首页 > 最新文献

Clinical and Translational Medicine最新文献

英文 中文
Tailored chemotherapy: Innovative deep-learning model customizing chemotherapy for high-grade serous ovarian carcinoma 定制化疗:创新的深度学习模型为高级别浆液性卵巢癌定制化疗。
IF 7.9 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-07 DOI: 10.1002/ctm2.1774
Se Ik Kim, Sangick Park, Eunyong Ahn, Jeunhui Kim, HyunA Jo, Juwon Lee, Untack Cho, Maria Lee, Cheol Lee, Danny N. Dhanasekaran, Taejin Ahn, Yong Sang Song
<p>Dear Editor,</p><p>The study presents a novel RNA-seq-based deep-learning model for predicting the chemoresistance of platinum-based therapy in high-grade serous ovarian carcinoma (HGSOC), aiming to personalize chemotherapy and improve patient outcomes. By leveraging diverse transcriptome datasets of ovarian tissue and employing deep ensemble learning techniques, the model prioritized to predict chemo-resistant HGSOC patients after initial platinum-based chemotherapy with high performance prioritized to sensitivity (sensitivity 100%, specificity 54.1% and area under the curve [AUC] 0.85). This may offer treatment strategies and enhance clinical reliability.</p><p>HGSOC remains a significant health burden with high mortality rates worldwide, often diagnosed late due to ineffective screening.<span><sup>1</sup></span> Furthermore, despite extensive surgery and chemotherapy, chemo-resistance remains a major challenge of platinum-based therapy in HGSOC, necessitating accurate prediction methods to improve patient outcomes and guide treatment decisions. Predicting the chemo-sensitivity of platinum-based therapy is the very first step of the personalized medicine for HGSOC, as it may offer incorporation of targeted agents.<span><sup>2</sup></span> Genetic profiles offer potential in predicting resistance of platinum-based chemotherapy in HGSOC, supplementing clinicopathologic data inadequacies.<span><sup>3</sup></span> Yet, reliance solely on genomic data faces challenges due to tumour heterogeneity.<span><sup>4</sup></span> However, epigenetic factors, and DNA methylation patterns, offer promise in chemotherapy response prediction, while RNA-seq data aids in chemo-resistance prediction, requiring further validation for the clinical applicability of a small number of samples.<span><sup>5</sup></span> Gene expression difference among racial groups in HGSOC is also confounding for accurate prediction of survival outcome.<span><sup>6</sup></span></p><p>Here, we adopt strategical approaches to extract universal chemo-resistance traits from public data with diverse ethnic backgrounds aiming for prediction accuracy in a small sample size. We utilized RNA-seq of fresh-frozen primary ovarian cancer tissue from The Cancer Genome Atlas (TCGA), Seoul National University (SNUH) and Patch et al.’s dataset (Patch).<span><sup>7</sup></span> TCGA includes a majority of Caucasians, comprising 208 (chemo-resistant group: 149, chemo-sensitive group: 59) HGSOC patients. Patch comprises 40 (24, 16) Australian HGSOC patients. SNUH included 86 (14, 72) Korean HGSOC patients, who applied the same resistance criteria (no recurrence within 6 months) after initial platinum-based chemotherapy. No significant differences were observed in age, CA-125 levels, or FIGO stage between chemo-resistant and chemo-sensitive cases (Table S1).</p><p>The study proceeded through three phases: data preprocessing, gene selection, and deep learning (Figure 1).</p><p>We aligned TCGA and SNUH fast
亲爱的编辑,这项研究提出了一种基于RNA-seq的新型深度学习模型,用于预测高级别浆液性卵巢癌(HGSOC)患者对铂类疗法的化疗耐药性,旨在实现个性化化疗并改善患者预后。通过利用不同的卵巢组织转录组数据集和采用深度集合学习技术,该模型优先预测了初次铂类化疗后化疗耐药的 HGSOC 患者,灵敏度高(灵敏度 100%,特异性 54.1%,曲线下面积 [AUC] 0.85)。1 此外,尽管进行了广泛的手术和化疗,化疗耐药仍是铂类药物治疗 HGSOC 的一大挑战,因此需要精确的预测方法来改善患者预后并指导治疗决策。预测铂类药物的化疗敏感性是 HGSOC 个性化医疗的第一步,因为它可以提供靶向药物。2 基因图谱为预测 HGSOC 对铂类药物化疗的耐药性提供了可能,补充了临床病理数据的不足。3 然而,由于肿瘤的异质性,仅仅依靠基因组数据面临挑战。然而,表观遗传因素和 DNA 甲基化模式为化疗反应预测提供了希望,而 RNA-seq 数据有助于化疗耐药性预测,但需要对少量样本的临床适用性进行进一步验证。5 HGSOC 不同种族间的基因表达差异也会影响生存结果的准确预测。我们利用了来自《癌症基因组图谱》(TCGA)、首尔国立大学(SNUH)和 Patch 等人的数据集(Patch)7 的新鲜冷冻原发性卵巢癌组织的 RNA-seq。Patch 包括 40 名(24,16)澳大利亚 HGSOC 患者。SNUH包括86名(14名,72名)韩国HGSOC患者,他们在首次铂类化疗后采用了相同的耐药标准(6个月内无复发)。化疗耐药和化疗敏感病例在年龄、CA-125水平或FIGO分期方面无明显差异(表S1)。研究分为三个阶段:数据预处理、基因选择和深度学习(图1)。Patch 独家提供了 TPM 数据。将TCGA、SNUH和Patch的TPM与集合ID相结合,我们过滤掉了低表达基因,得到了14 902个集合ID。每个数据集的训练和测试比例为 2:1,以确保化疗耐药和化疗敏感病例之间的平衡(见图 2)。第一种策略旨在捕捉所有数据集中最一致的特征。我们对每个基因进行了学生 t 检验,选出每个数据集中 p 值为 0.05 的基因。第二种策略是识别每个数据集中差异表达的基因。在对化疗耐药样本和化疗敏感样本进行了 100 次装袋试验后,通过曼-惠特尼 U 检验(p 值为 0.05),在 80 多次试验中选择了具有显著性的基因,从而得到了 27 个基因(分别来自 TCGA、SNUH 和 Patch 的 4、7 和 16 个基因)(tier2)。将这些基因与最初的 4 个基因(tier1)相结合,得出了 31 个预测化疗耐药性的基因(表 S1)。使用 Adam 优化器和二元交叉熵损失(表 S4),对每个褶皱进行了 2160 个超参数组合的训练。将每个褶皱中的模型应用于 SNUH 训练数据,以选出表现最好的模型(表 S5)。深度集合模型对 TCGA 和 SNUH 的 AUC 分别为 0.721 和 0.85,灵敏度分别为 0.75 和 1.0,特异度分别为 0.68 和 0.541。另一个模型使用了 16 个以前报告过的基因,TCGA 和 SNUH 的 AUC 分别为 0.716 和 0.717,灵敏度分别为 0.75 和 0.6,特异度分别为 0.62 和 0.458。我们选出的 31 个基因优于之前使用相同方法和数据选出的基因。此外,这 31 个基因的 AUC 明显高于随机抽取相同数量基因生成的模型(图 S1)。(图 S1)。
{"title":"Tailored chemotherapy: Innovative deep-learning model customizing chemotherapy for high-grade serous ovarian carcinoma","authors":"Se Ik Kim,&nbsp;Sangick Park,&nbsp;Eunyong Ahn,&nbsp;Jeunhui Kim,&nbsp;HyunA Jo,&nbsp;Juwon Lee,&nbsp;Untack Cho,&nbsp;Maria Lee,&nbsp;Cheol Lee,&nbsp;Danny N. Dhanasekaran,&nbsp;Taejin Ahn,&nbsp;Yong Sang Song","doi":"10.1002/ctm2.1774","DOIUrl":"10.1002/ctm2.1774","url":null,"abstract":"&lt;p&gt;Dear Editor,&lt;/p&gt;&lt;p&gt;The study presents a novel RNA-seq-based deep-learning model for predicting the chemoresistance of platinum-based therapy in high-grade serous ovarian carcinoma (HGSOC), aiming to personalize chemotherapy and improve patient outcomes. By leveraging diverse transcriptome datasets of ovarian tissue and employing deep ensemble learning techniques, the model prioritized to predict chemo-resistant HGSOC patients after initial platinum-based chemotherapy with high performance prioritized to sensitivity (sensitivity 100%, specificity 54.1% and area under the curve [AUC] 0.85). This may offer treatment strategies and enhance clinical reliability.&lt;/p&gt;&lt;p&gt;HGSOC remains a significant health burden with high mortality rates worldwide, often diagnosed late due to ineffective screening.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; Furthermore, despite extensive surgery and chemotherapy, chemo-resistance remains a major challenge of platinum-based therapy in HGSOC, necessitating accurate prediction methods to improve patient outcomes and guide treatment decisions. Predicting the chemo-sensitivity of platinum-based therapy is the very first step of the personalized medicine for HGSOC, as it may offer incorporation of targeted agents.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; Genetic profiles offer potential in predicting resistance of platinum-based chemotherapy in HGSOC, supplementing clinicopathologic data inadequacies.&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; Yet, reliance solely on genomic data faces challenges due to tumour heterogeneity.&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt; However, epigenetic factors, and DNA methylation patterns, offer promise in chemotherapy response prediction, while RNA-seq data aids in chemo-resistance prediction, requiring further validation for the clinical applicability of a small number of samples.&lt;span&gt;&lt;sup&gt;5&lt;/sup&gt;&lt;/span&gt; Gene expression difference among racial groups in HGSOC is also confounding for accurate prediction of survival outcome.&lt;span&gt;&lt;sup&gt;6&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;Here, we adopt strategical approaches to extract universal chemo-resistance traits from public data with diverse ethnic backgrounds aiming for prediction accuracy in a small sample size. We utilized RNA-seq of fresh-frozen primary ovarian cancer tissue from The Cancer Genome Atlas (TCGA), Seoul National University (SNUH) and Patch et al.’s dataset (Patch).&lt;span&gt;&lt;sup&gt;7&lt;/sup&gt;&lt;/span&gt; TCGA includes a majority of Caucasians, comprising 208 (chemo-resistant group: 149, chemo-sensitive group: 59) HGSOC patients. Patch comprises 40 (24, 16) Australian HGSOC patients. SNUH included 86 (14, 72) Korean HGSOC patients, who applied the same resistance criteria (no recurrence within 6 months) after initial platinum-based chemotherapy. No significant differences were observed in age, CA-125 levels, or FIGO stage between chemo-resistant and chemo-sensitive cases (Table S1).&lt;/p&gt;&lt;p&gt;The study proceeded through three phases: data preprocessing, gene selection, and deep learning (Figure 1).&lt;/p&gt;&lt;p&gt;We aligned TCGA and SNUH fast","PeriodicalId":10189,"journal":{"name":"Clinical and Translational Medicine","volume":"14 9","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ctm2.1774","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142145248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
RNA splicing factor RBFOX2 is a key factor in the progression of cancer and cardiomyopathy RNA 剪接因子 RBFOX2 是癌症和心肌病进展的关键因素。
IF 7.9 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-07 DOI: 10.1002/ctm2.1788
Jinze Shen, Jianqiao Shentu, Chenming Zhong, Qiankai Huang, Shiwei Duan

Background

Alternative splicing of pre-mRNA is a fundamental regulatory process in multicellular eukaryotes, significantly contributing to the diversification of the human proteome. RNA-binding fox-1 homologue 2 (RBFOX2), a member of the evolutionarily conserved RBFOX family, has emerged as a critical splicing regulator, playing a pivotal role in the alternative splicing of pre-mRNA. This review provides a comprehensive analysis of RBFOX2, elucidating its splicing activity through direct and indirect binding mechanisms. RBFOX2 exerts substantial influence over the alternative splicing of numerous transcripts, thereby shaping essential cellular processes such as differentiation and development.

Main body of the abstract

Dysregulation of RBFOX2-mediated alternative splicing has been closely linked to a spectrum of cardiovascular diseases and malignant tumours, underscoring its potential as a therapeutic target. Despite significant progress, current research faces notable challenges. The complete structural characterisation of RBFOX2 remains elusive, limiting in-depth exploration beyond its RNA-recognition motif. Furthermore, the scarcity of studies focusing on RBFOX2-targeting drugs poses a hindrance to translating research findings into clinical applications.

Conclusion

This review critically assesses the existing body of knowledge on RBFOX2, highlighting research gaps and limitations. By delineating these areas, this analysis not only serves as a foundational reference for future studies but also provides strategic insights for bridging these gaps. Addressing these challenges will be instrumental in unlocking the full therapeutic potential of RBFOX2, paving the way for innovative and effective treatments in various diseases.

背景:前mRNA的交替剪接是多细胞真核生物的一个基本调控过程,对人类蛋白质组的多样化做出了重要贡献。RNA 结合狐-1 同源物 2(RBFOX2)是进化保守的 RBFOX 家族的成员,它已成为一个关键的剪接调节因子,在前 mRNA 的交替剪接中发挥着关键作用。本综述对 RBFOX2 进行了全面分析,通过直接和间接的结合机制阐明了它的剪接活性。摘要正文:RBFOX2 介导的替代剪接失调与一系列心血管疾病和恶性肿瘤密切相关,凸显了其作为治疗靶点的潜力。尽管取得了重大进展,但目前的研究仍面临着明显的挑战。RBFOX2 的完整结构特征仍然难以确定,限制了对其 RNA 识别基团以外的深入研究。此外,针对 RBFOX2 靶向药物的研究很少,阻碍了将研究成果转化为临床应用:本综述批判性地评估了有关 RBFOX2 的现有知识体系,强调了研究空白和局限性。通过对这些领域的划分,本分析报告不仅为未来研究提供了基础参考,还为弥补这些差距提供了战略性见解。应对这些挑战将有助于释放 RBFOX2 的全部治疗潜力,为各种疾病的创新和有效治疗铺平道路。
{"title":"RNA splicing factor RBFOX2 is a key factor in the progression of cancer and cardiomyopathy","authors":"Jinze Shen,&nbsp;Jianqiao Shentu,&nbsp;Chenming Zhong,&nbsp;Qiankai Huang,&nbsp;Shiwei Duan","doi":"10.1002/ctm2.1788","DOIUrl":"10.1002/ctm2.1788","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Alternative splicing of pre-mRNA is a fundamental regulatory process in multicellular eukaryotes, significantly contributing to the diversification of the human proteome. RNA-binding fox-1 homologue 2 (RBFOX2), a member of the evolutionarily conserved RBFOX family, has emerged as a critical splicing regulator, playing a pivotal role in the alternative splicing of pre-mRNA. This review provides a comprehensive analysis of RBFOX2, elucidating its splicing activity through direct and indirect binding mechanisms. RBFOX2 exerts substantial influence over the alternative splicing of numerous transcripts, thereby shaping essential cellular processes such as differentiation and development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main body of the abstract</h3>\u0000 \u0000 <p>Dysregulation of RBFOX2-mediated alternative splicing has been closely linked to a spectrum of cardiovascular diseases and malignant tumours, underscoring its potential as a therapeutic target. Despite significant progress, current research faces notable challenges. The complete structural characterisation of RBFOX2 remains elusive, limiting in-depth exploration beyond its RNA-recognition motif. Furthermore, the scarcity of studies focusing on RBFOX2-targeting drugs poses a hindrance to translating research findings into clinical applications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This review critically assesses the existing body of knowledge on RBFOX2, highlighting research gaps and limitations. By delineating these areas, this analysis not only serves as a foundational reference for future studies but also provides strategic insights for bridging these gaps. Addressing these challenges will be instrumental in unlocking the full therapeutic potential of RBFOX2, paving the way for innovative and effective treatments in various diseases.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10189,"journal":{"name":"Clinical and Translational Medicine","volume":"14 9","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ctm2.1788","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142145247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ALKBH5-mediated m6A demethylation ameliorates extracellular matrix deposition in cutaneous pathological fibrosis ALKBH5 介导的 m6A 去甲基化可改善皮肤病理性纤维化中细胞外基质的沉积。
IF 7.9 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-04 DOI: 10.1002/ctm2.70016
Ruoqing Xu, En Yang, Hsin Liang, Shenying Luo, Yunhan Liu, Yimin Khoong, Haizhou Li, Xin Huang, Yixuan Zhao, Tao Zan

Background

Elevated extracellular matrix (ECM) accumulation is a major contributing factor to the pathogenesis of fibrotic diseases. Recent studies have indicated that N6-methyladenosine (m6A) RNA modification plays a pivotal role in modulating RNA stability and contribute to the initiation of various pathological conditions. Howbeit, the precise mechanism by which m6A influences ECM deposition remains unclear.

Methods

In this study, we used hypertrophic scars (HTSs) as a paradigm to investigate ECM-related diseases. We focused on the role of ALKBH5-mediated m6A demethylation within the pathological progression of HTSs and examined its correlation with clinical stages. The effects of ALKBH5 ablation on ECM components were studied both in vivo and in vitro. Downstream targets of ALKBH5, along with their underlying mechanisms, were identified using integrated high-throughput analysis, RNA-binding protein immunoprecipitation and RNA pull-down assays. Furthermore, the therapeutic potential of exogenous ALKBH5 overexpression was evaluated in fibrotic scar models.

Results

ALKBH5 was decreased in fibroblasts derived from HTS lesions and was negatively correlated with their clinical stages. Importantly, ablation of ALKBH5 promoted the expression of COL3A1, COL1A1, and ELN, leading to pathological deposition and reconstruction of the ECM both in vivo and in vitro. From a therapeutic perspective, the exogenous overexpression of ALKBH5 significantly inhibited abnormal collagen deposition in fibrotic scar models. As determined by integrated high-throughput analysis, key ECM components including COL3A1, COL1A1, and ELN are direct downstream targets of ALKBH5. By means of its mechanism, ALKBH5 inhibits the expression of COL3A1, COL1A1, and ELN by removing m6A from mRNAs, thereby decreasing their stability in a YTHDF1-dependent manner.

Conclusions

Our study identified ALKBH5 as an endogenous suppressor of pathological ECM deposition, contributing to the development of a reprogrammed m6A-targeted therapy for HTSs.

背景:细胞外基质(ECM)积累增加是导致纤维化疾病发病的一个主要因素。最近的研究表明,N6-甲基腺苷(m6A)RNA 修饰在调节 RNA 稳定性方面起着关键作用,并导致各种病理状况的发生。然而,m6A 影响 ECM 沉积的确切机制仍不清楚:在这项研究中,我们以肥厚性疤痕(HTSs)为范例,研究与 ECM 相关的疾病。我们重点研究了 ALKBH5 介导的 m6A 去甲基化在肥厚性疤痕病理进展中的作用,并考察了其与临床分期的相关性。我们在体内和体外研究了 ALKBH5 消融对 ECM 成分的影响。通过综合高通量分析、RNA结合蛋白免疫沉淀和RNA牵引试验,确定了ALKBH5的下游靶点及其内在机制。此外,还在纤维化瘢痕模型中评估了外源性ALKBH5过表达的治疗潜力:结果:ALKBH5在来源于HTS病变的成纤维细胞中减少,并与临床分期呈负相关。重要的是,ALKBH5 的消减促进了 COL3A1、COL1A1 和 ELN 的表达,导致 ECM 在体内和体外的病理沉积和重建。从治疗角度来看,外源性过表达 ALKBH5 能显著抑制纤维化疤痕模型中胶原蛋白的异常沉积。通过综合高通量分析确定,包括 COL3A1、COL1A1 和 ELN 在内的关键 ECM 成分是 ALKBH5 的直接下游靶标。ALKBH5的作用机制是通过去除mRNA中的m6A,从而以依赖YTHDF1的方式降低其稳定性,从而抑制COL3A1、COL1A1和ELN的表达:我们的研究发现,ALKBH5 是病理性 ECM 沉积的内源性抑制因子,有助于开发针对 HTS 的重编程 m6A 靶向疗法。
{"title":"ALKBH5-mediated m6A demethylation ameliorates extracellular matrix deposition in cutaneous pathological fibrosis","authors":"Ruoqing Xu,&nbsp;En Yang,&nbsp;Hsin Liang,&nbsp;Shenying Luo,&nbsp;Yunhan Liu,&nbsp;Yimin Khoong,&nbsp;Haizhou Li,&nbsp;Xin Huang,&nbsp;Yixuan Zhao,&nbsp;Tao Zan","doi":"10.1002/ctm2.70016","DOIUrl":"10.1002/ctm2.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Elevated extracellular matrix (ECM) accumulation is a major contributing factor to the pathogenesis of fibrotic diseases. Recent studies have indicated that N6-methyladenosine (m<sup>6</sup>A) RNA modification plays a pivotal role in modulating RNA stability and contribute to the initiation of various pathological conditions. Howbeit, the precise mechanism by which m<sup>6</sup>A influences ECM deposition remains unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this study, we used hypertrophic scars (HTSs) as a paradigm to investigate ECM-related diseases. We focused on the role of ALKBH5-mediated m<sup>6</sup>A demethylation within the pathological progression of HTSs and examined its correlation with clinical stages. The effects of ALKBH5 ablation on ECM components were studied both in vivo and in vitro. Downstream targets of ALKBH5, along with their underlying mechanisms, were identified using integrated high-throughput analysis, RNA-binding protein immunoprecipitation and RNA pull-down assays. Furthermore, the therapeutic potential of exogenous ALKBH5 overexpression was evaluated in fibrotic scar models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>ALKBH5 was decreased in fibroblasts derived from HTS lesions and was negatively correlated with their clinical stages. Importantly, ablation of ALKBH5 promoted the expression of COL3A1, COL1A1, and ELN, leading to pathological deposition and reconstruction of the ECM both in vivo and in vitro. From a therapeutic perspective, the exogenous overexpression of ALKBH5 significantly inhibited abnormal collagen deposition in fibrotic scar models. As determined by integrated high-throughput analysis, key ECM components including COL3A1, COL1A1, and ELN are direct downstream targets of ALKBH5. By means of its mechanism, ALKBH5 inhibits the expression of COL3A1, COL1A1, and ELN by removing m<sup>6</sup>A from mRNAs, thereby decreasing their stability in a YTHDF1-dependent manner.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our study identified ALKBH5 as an endogenous suppressor of pathological ECM deposition, contributing to the development of a reprogrammed m6A-targeted therapy for HTSs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10189,"journal":{"name":"Clinical and Translational Medicine","volume":"14 9","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11374695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142132010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Single-cell multi-modal chromatin profiles revealing epigenetic regulations of cells in hepatocellular carcinoma 揭示肝癌细胞表观遗传调控的单细胞多模式染色质图谱
IF 7.9 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-29 DOI: 10.1002/ctm2.70000
Chunqing Wang, Waidong Huang, Yu Zhong, Xuanxuan Zou, Shang Liu, Jie Li, Yunfan Sun, Kaiqian Zhou, Xi Chen, Zihao Li, Shanshan Wang, Yaling Huang, Yinqi Bai, Jianhua Yin, Xin Jin, Shiping Liu, Yue Yuan, Qiuting Deng, Miaomiao Jiang, Chuanyu Liu, Longqi Liu, Xun Xu, Liang Wu
<div> <section> <h3> Background</h3> <p>Various epigenetic regulations systematically govern gene expression in cells involving various biological processes. Dysregulation of the epigenome leads to aberrant transcriptional programs and subsequently results in diseases, such as cancer. Therefore, comprehensive profiling epigenomics is essential for exploring the mechanisms underlying gene expression regulation during development and disease.</p> </section> <section> <h3> Methods</h3> <p>In this study, we developed single-cell chromatin proteins and accessibility tagmentation (scCPA-Tag), a multi-modal single-cell epigenetic profile capturing technique based on barcoded Tn5 transposases and a droplet microfluidics platform. scCPA-Tag enables the simultaneous capture of DNA profiles of histone modification and chromatin accessibility in the same cell.</p> </section> <section> <h3> Results</h3> <p>By applying scCPA-Tag to K562 cells and a hepatocellular carcinoma (HCC) sample, we found that the silence of several chromatin-accessible genes can be attributed to lysine-27-trimethylation of the histone H3 tail (H3K27me3) modification. We characterized the epigenetic features of the tumour cells and different immune cell types in the HCC tumour tissue by scCPA-Tag. Besides, a tumour cell subtype (C2) with more aggressive features was identified and characterized by high chromatin accessibility and a lower abundance of H3K27me3 on tumour-promoting genes.</p> </section> <section> <h3> Conclusions</h3> <p>Our multi-modal scCPA-Tag provides a comprehensive approach for exploring the epigenetic landscapes of heterogeneous cell types and revealing the mechanisms of gene expression regulation during developmental and pathological processes at the single-cell level.</p> </section> <section> <h3> Highlights</h3> <div> <ul> <li>scCPA-Tag offers a highly efficient and high throughput technique to simultaneously profile histone modification and chromatin accessibility within a single cell.</li> <li>scCPA-Tag enables to uncover multiple epigenetic modification features of cellular compositions within tumor tissues.</li> <li>scCPA-Tag facilitates the exploration of the epigenetic landscapes of heterogeneous cell types and provides the mechanisms governing gene expression regulation.</li> </ul>
背景 各种表观遗传调控系统地控制着细胞中涉及各种生物过程的基因表达。表观基因组的失调会导致转录程序异常,进而引发癌症等疾病。因此,全面剖析表观基因组学对于探索发育和疾病过程中基因表达调控的机制至关重要。 方法 在这项研究中,我们开发了单细胞染色质蛋白和可及性标记技术(scCPA-Tag),这是一种基于条形码 Tn5 转座酶和液滴微流控平台的多模式单细胞表观遗传学图谱捕获技术。scCPA-Tag 可同时捕获同一细胞中组蛋白修饰和染色质可及性的 DNA 图谱。 结果 通过将 scCPA-Tag 应用于 K562 细胞和肝细胞癌(HCC)样本,我们发现几个染色质可及性基因的沉默可归因于组蛋白 H3 尾部的赖氨酸-27-三甲基化(H3K27me3)修饰。我们利用 scCPA-Tag 分析了 HCC 肿瘤组织中肿瘤细胞和不同免疫细胞类型的表观遗传学特征。此外,我们还发现了一种更具侵袭性特征的肿瘤细胞亚型(C2),其特点是染色质可及性高、促瘤基因上的 H3K27me3 丰度较低。 结论 我们的多模式 scCPA-Tag 为探索异质细胞类型的表观遗传景观提供了一种全面的方法,并在单细胞水平上揭示了发育和病理过程中基因表达的调控机制。 亮点 scCPA-Tag 提供了一种高效率、高通量的技术,可同时分析单细胞内组蛋白修饰和染色质的可及性。
{"title":"Single-cell multi-modal chromatin profiles revealing epigenetic regulations of cells in hepatocellular carcinoma","authors":"Chunqing Wang,&nbsp;Waidong Huang,&nbsp;Yu Zhong,&nbsp;Xuanxuan Zou,&nbsp;Shang Liu,&nbsp;Jie Li,&nbsp;Yunfan Sun,&nbsp;Kaiqian Zhou,&nbsp;Xi Chen,&nbsp;Zihao Li,&nbsp;Shanshan Wang,&nbsp;Yaling Huang,&nbsp;Yinqi Bai,&nbsp;Jianhua Yin,&nbsp;Xin Jin,&nbsp;Shiping Liu,&nbsp;Yue Yuan,&nbsp;Qiuting Deng,&nbsp;Miaomiao Jiang,&nbsp;Chuanyu Liu,&nbsp;Longqi Liu,&nbsp;Xun Xu,&nbsp;Liang Wu","doi":"10.1002/ctm2.70000","DOIUrl":"https://doi.org/10.1002/ctm2.70000","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Various epigenetic regulations systematically govern gene expression in cells involving various biological processes. Dysregulation of the epigenome leads to aberrant transcriptional programs and subsequently results in diseases, such as cancer. Therefore, comprehensive profiling epigenomics is essential for exploring the mechanisms underlying gene expression regulation during development and disease.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;In this study, we developed single-cell chromatin proteins and accessibility tagmentation (scCPA-Tag), a multi-modal single-cell epigenetic profile capturing technique based on barcoded Tn5 transposases and a droplet microfluidics platform. scCPA-Tag enables the simultaneous capture of DNA profiles of histone modification and chromatin accessibility in the same cell.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;By applying scCPA-Tag to K562 cells and a hepatocellular carcinoma (HCC) sample, we found that the silence of several chromatin-accessible genes can be attributed to lysine-27-trimethylation of the histone H3 tail (H3K27me3) modification. We characterized the epigenetic features of the tumour cells and different immune cell types in the HCC tumour tissue by scCPA-Tag. Besides, a tumour cell subtype (C2) with more aggressive features was identified and characterized by high chromatin accessibility and a lower abundance of H3K27me3 on tumour-promoting genes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Our multi-modal scCPA-Tag provides a comprehensive approach for exploring the epigenetic landscapes of heterogeneous cell types and revealing the mechanisms of gene expression regulation during developmental and pathological processes at the single-cell level.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Highlights&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 &lt;ul&gt;\u0000 \u0000 &lt;li&gt;scCPA-Tag offers a highly efficient and high throughput technique to simultaneously profile histone modification and chromatin accessibility within a single cell.&lt;/li&gt;\u0000 \u0000 &lt;li&gt;scCPA-Tag enables to uncover multiple epigenetic modification features of cellular compositions within tumor tissues.&lt;/li&gt;\u0000 \u0000 &lt;li&gt;scCPA-Tag facilitates the exploration of the epigenetic landscapes of heterogeneous cell types and provides the mechanisms governing gene expression regulation.&lt;/li&gt;\u0000 &lt;/ul&gt;\u0000 ","PeriodicalId":10189,"journal":{"name":"Clinical and Translational Medicine","volume":"14 9","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ctm2.70000","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142100455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ecological and evolutionary dynamics to design and improve ovarian cancer treatment 利用生态和进化动力学设计和改进卵巢癌治疗方法
IF 7.9 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-29 DOI: 10.1002/ctm2.70012
Grace Y. Q. Han, Monica Alexander, Julia Gattozzi, Marilyn Day, Elayna Kirsch, Narges Tafreshi, Raafat Chalar, Soraya Rahni, Gabrielle Gossner, William Burke, Mehdi Damaghi

Ovarian cancer ecosystems are exceedingly complex, consisting of a high heterogeneity of cancer cells. Development of drugs such as poly ADP-ribose polymerase (PARP) inhibitors, targeted therapies and immunotherapies offer more options for sequential or combined treatments. Nevertheless, mortality in metastatic ovarian cancer patients remains high because cancer cells consistently develop resistance to single and combination therapies, urging a need for treatment designs that target the evolvability of cancer cells. The evolutionary dynamics that lead to resistance emerge from the complex tumour microenvironment, the heterogeneous populations, and the individual cancer cell's plasticity. We propose that successful management of ovarian cancer requires consideration of the ecological and evolutionary dynamics of the disease. Here, we review current options and challenges in ovarian cancer treatment and discuss principles of tumour evolution. We conclude by proposing evolutionarily designed strategies for ovarian cancer, with the goal of integrating such principles with longitudinal, quantitative data to improve the treatment design and management of drug resistance.

Key points/Highlights

  • Tumours are ecosystems in which cancer and non-cancer cells interact and evolve in complex and dynamic ways.

  • Conventional therapies for ovarian cancer inevitably lead to the development of resistance because they fail to consider tumours’ heterogeneity and cellular plasticity.

  • Eco-evolutionarily designed therapies should consider cancer cell plasticity and patient-specific characteristics to improve clinical outcome and prevent relapse.

卵巢癌的生态系统极其复杂,由高度异质性的癌细胞组成。多聚 ADP 核糖聚合酶(PARP)抑制剂、靶向疗法和免疫疗法等药物的开发为连续或联合治疗提供了更多选择。尽管如此,转移性卵巢癌患者的死亡率仍然居高不下,因为癌细胞对单一疗法和综合疗法不断产生抗药性,这就迫切需要针对癌细胞的进化性设计治疗方案。导致抗药性的进化动力来自复杂的肿瘤微环境、异质性群体以及单个癌细胞的可塑性。我们认为,要成功治疗卵巢癌,就必须考虑该疾病的生态和进化动态。在此,我们回顾了卵巢癌治疗的现有选择和挑战,并讨论了肿瘤进化的原理。最后,我们提出了针对卵巢癌的进化设计策略,目的是将这些原则与纵向定量数据相结合,改进治疗设计和耐药性管理。 要点/亮点 肿瘤是一个生态系统,癌细胞和非癌细胞在其中以复杂而动态的方式相互作用和进化。 卵巢癌的传统疗法由于未能考虑肿瘤的异质性和细胞可塑性,不可避免地会导致耐药性的产生。 生态进化设计的疗法应考虑到癌细胞的可塑性和患者的特异性,以改善临床疗效并防止复发。
{"title":"Ecological and evolutionary dynamics to design and improve ovarian cancer treatment","authors":"Grace Y. Q. Han,&nbsp;Monica Alexander,&nbsp;Julia Gattozzi,&nbsp;Marilyn Day,&nbsp;Elayna Kirsch,&nbsp;Narges Tafreshi,&nbsp;Raafat Chalar,&nbsp;Soraya Rahni,&nbsp;Gabrielle Gossner,&nbsp;William Burke,&nbsp;Mehdi Damaghi","doi":"10.1002/ctm2.70012","DOIUrl":"https://doi.org/10.1002/ctm2.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>Ovarian cancer ecosystems are exceedingly complex, consisting of a high heterogeneity of cancer cells. Development of drugs such as poly ADP-ribose polymerase (PARP) inhibitors, targeted therapies and immunotherapies offer more options for sequential or combined treatments. Nevertheless, mortality in metastatic ovarian cancer patients remains high because cancer cells consistently develop resistance to single and combination therapies, urging a need for treatment designs that target the evolvability of cancer cells. The evolutionary dynamics that lead to resistance emerge from the complex tumour microenvironment, the heterogeneous populations, and the individual cancer cell's plasticity. We propose that successful management of ovarian cancer requires consideration of the ecological and evolutionary dynamics of the disease. Here, we review current options and challenges in ovarian cancer treatment and discuss principles of tumour evolution. We conclude by proposing evolutionarily designed strategies for ovarian cancer, with the goal of integrating such principles with longitudinal, quantitative data to improve the treatment design and management of drug resistance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key points/Highlights</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>\u0000 <p>Tumours are ecosystems in which cancer and non-cancer cells interact and evolve in complex and dynamic ways.</p>\u0000 </li>\u0000 \u0000 <li>\u0000 <p>Conventional therapies for ovarian cancer inevitably lead to the development of resistance because they fail to consider tumours’ heterogeneity and cellular plasticity.</p>\u0000 </li>\u0000 \u0000 <li>\u0000 <p>Eco-evolutionarily designed therapies should consider cancer cell plasticity and patient-specific characteristics to improve clinical outcome and prevent relapse.</p>\u0000 </li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 </div>","PeriodicalId":10189,"journal":{"name":"Clinical and Translational Medicine","volume":"14 9","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ctm2.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142100452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CLINICAL AND TRANSLATIONAL MEDICINE 临床与转化医学
IF 7.9 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-27 DOI: 10.1002/ctm2.1820
{"title":"CLINICAL AND TRANSLATIONAL MEDICINE","authors":"","doi":"10.1002/ctm2.1820","DOIUrl":"https://doi.org/10.1002/ctm2.1820","url":null,"abstract":"","PeriodicalId":10189,"journal":{"name":"Clinical and Translational Medicine","volume":"14 9","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ctm2.1820","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142089844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advances in understanding the immunity of the brain and its borders: Focus on brain macrophages 了解大脑及其边界免疫的进展:聚焦脑巨噬细胞。
IF 7.9 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-27 DOI: 10.1002/ctm2.70014
Patrick Süß, Martin Diebold, Roman Sankowski

A recent study outlines the phenotypes of brain border region macrophages in developing, normal and glioblastoma-affected brains. For the first time, the authors show in-vivo turnover of human brain border macrophages. The findings have implications for the understanding of brain border immunity and potential macrophage targeting therapies.

keypoints

  • Human border region macrophages are distinct from microglia.
  • These distinct phenotypes are established early during embryonal development - Brain border macrophages are partially replaced by bone marrow-derived myeloid cells.
  • The transcriptional phenotypes of glioblastoma-associated macrophage are determined by the anatomical region.
最近的一项研究概述了发育中、正常和受胶质母细胞瘤影响的大脑中脑边界区域巨噬细胞的表型。作者首次在体内展示了人类脑边界巨噬细胞的更替。这些发现对了解脑边界免疫和潜在的巨噬细胞靶向疗法具有重要意义。要点:人类边界区域巨噬细胞与小胶质细胞不同。这些不同的表型在胚胎发育早期就已确立--脑边界巨噬细胞部分被骨髓来源的髓样细胞取代。胶质母细胞瘤相关巨噬细胞的转录表型由解剖区域决定。
{"title":"Advances in understanding the immunity of the brain and its borders: Focus on brain macrophages","authors":"Patrick Süß,&nbsp;Martin Diebold,&nbsp;Roman Sankowski","doi":"10.1002/ctm2.70014","DOIUrl":"10.1002/ctm2.70014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>A recent study outlines the phenotypes of brain border region macrophages in developing, normal and glioblastoma-affected brains. For the first time, the authors show in-vivo turnover of human brain border macrophages. The findings have implications for the understanding of brain border immunity and potential macrophage targeting therapies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> keypoints</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>Human border region macrophages are distinct from microglia.</li>\u0000 \u0000 <li>These distinct phenotypes are established early during embryonal development - Brain border macrophages are partially replaced by bone marrow-derived myeloid cells.</li>\u0000 \u0000 <li>The transcriptional phenotypes of glioblastoma-associated macrophage are determined by the anatomical region.</li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 </div>","PeriodicalId":10189,"journal":{"name":"Clinical and Translational Medicine","volume":"14 9","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ctm2.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of oral faecal microbiota transplantation intervention for children with autism spectrum disorder: A randomised, double-blind, placebo-controlled trial 自闭症谱系障碍儿童口服粪便微生物群移植干预的效果:随机、双盲、安慰剂对照试验。
IF 7.9 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-26 DOI: 10.1002/ctm2.70006
Lin Wan, Huan Wang, Yan Liang, Xun Zhang, Xinyun Yao, Gang Zhu, Jun Cai, Guoyin Liu, Xinting Liu, Qianqian Niu, Siwen Li, Bo Zhang, Jing Gao, Jing Wang, Xiuyu Shi, Linyan Hu, Xiaoyan Liu, Zhiyong Zou, Guang Yang
<p>To the Editor:</p><p>We conducted a randomised, double-blind, placebo-controlled trial of an oral faecal microbiota transplantation (FMT) intervention in children with autism spectrum disorder (ASD), and observed that there were differences in pre- and post-FMT intervention changes in the social domain scores of the Vineland Adaptive Behaviour Scale, third version (Vineland-3), with no severe adverse events (AEs) related to FMT occurring.</p><p>Multiple studies have documented variations in the gut microbiota (GM) between children with ASD and typically developing children.<span><sup>1, 2</sup></span> Furthermore, specific gut microbes may modulate ASD-related behaviour through their metabolites.<span><sup>1</sup></span> However, another study proposed that the GM is not the central driver of ASD symptoms; rather, the presence of restricted interests associated with ASD and a more limited dietary variety have been linked to reduced diversity in the GM.<span><sup>3</sup></span> The relationship between the GM and ASD remains enigmatic and complex as the age-old philosophical conundrum that has long been debated: which came first, the chicken or the egg? Some open-label studies<span><sup>4-6</sup></span> have demonstrated that FMT improved the core symptoms of patients with ASD, though these studies lacked comparable control groups, which may lead to disregard of potential placebo effects on efficacy evaluation. Therefore, we conducted this study.</p><p>A total of 103 eligible participants (Figure 1) were enrolled and randomised to receive either FMT or a placebo. These agents were administered during two 6-day periods in the hospital, the first occurring in the initial week and the second in the fifth week of the study. Patients were not hospitalised during the interval between treatments. FMT capsules from five healthy donors were randomly provided to 8, 8, 11, 7 and 18 patients, respectively, with each patient receiving capsules from the same donor throughout the treatment process. The Social Responsiveness Scale, Second Edition (SRS-2), Vineland-3, and Autism Behaviour Checklist (ABC) scales were administered to measure outcomes before the start of the treatment as well as at Weeks 9 and 17 of the experiment for repeated measures (see Appendix S1).</p><p>The primary outcome was the difference in the change in the SRS-2 <i>T</i>-score between groups from baseline to Week 9 or Week 17, analysed using a mixed model for repeated measures. The secondary outcomes included Vineland-3 and ABC scores. Sensitivity analysis was conducted by comparing the changes in the scores of these scales between the FMT group with a donor gut microbiota colonisation rate of ≥20% or less than 20% and the placebo group. AEs were assessed (see Appendix S1).</p><p>No notable between-group differences were detected between the FMT (<i>n</i> = 52) and placebo (<i>n</i> = 51) groups in terms of demographic and baseline characteristics or scales (Appendix S1; Tables S1 and
致编辑:我们对自闭症谱系障碍(ASD)儿童进行了一项口服粪便微生物群移植(FMT)干预的随机、双盲、安慰剂对照试验,观察到FMT干预前后维尼兰适应行为量表(Vineland Adaptive Behaviour Scale)第三版(Vineland-3)社会领域得分的变化存在差异,且未发生与FMT相关的严重不良事件(AEs)。多项研究记录了患有 ASD 的儿童与发育正常的儿童之间肠道微生物群(GM)的差异、2 此外,特定的肠道微生物可能会通过其代谢产物调节与 ASD 相关的行为。1 然而,另一项研究提出,肠道微生物群并不是 ASD 症状的核心驱动因素;相反,与 ASD 相关的兴趣限制和更有限的饮食种类的存在与肠道微生物群多样性的减少有关。3 肠道微生物群与 ASD 之间的关系仍然神秘而复杂,就像人们长期争论的古老哲学难题一样:先有鸡还是先有蛋?一些开放标签研究4-6表明,FMT可改善ASD患者的核心症状,但这些研究缺乏可比较的对照组,这可能导致忽略潜在的安慰剂效应对疗效评估的影响。因此,我们开展了这项研究。共有 103 名符合条件的参与者(图 1)被纳入研究,并随机接受 FMT 或安慰剂治疗。这些药物分两次在医院进行,每次为期 6 天,第一次在研究的第一周,第二次在研究的第五周。在两次治疗之间,患者不住院。来自五位健康供体的 FMT 胶囊分别随机提供给 8、8、11、7 和 18 位患者,每位患者在整个治疗过程中接受来自同一位供体的胶囊。在治疗开始前以及实验的第 9 周和第 17 周进行了社会反应量表第二版 (SRS-2)、Vineland-3 和自闭症行为检查表 (ABC) 量表的测量,以进行重复测量(见附录 S1)。次要结果包括 Vineland-3 和 ABC 评分。通过比较供体肠道微生物菌群定植率≥20%或低于20%的FMT组与安慰剂组之间这些量表评分的变化,进行了敏感性分析。FMT 组(n = 52)和安慰剂组(n = 51)在人口统计学特征、基线特征或量表方面没有发现明显的组间差异(附录 S1;表 S1 和 S2)。就主要结果而言,两组在基线、第 9 周或第 17 周的 SRS-2 T 评分没有显著差异(附录 S1;图 S2)。FMT 组的 SRS-2 T 评分从基线时的 78.33 显著降至第 17 周时的 74.59(p = .03;附录 S1;表 S3)。从基线到第 17 周,两组的 SRS-2 T 评分及其域均有显著下降;但两组间的 T 评分变化差异无统计学意义(表 1)。从基线到第 9 周和第 17 周,FMT 组和安慰剂组的得分均有所下降(附录 S1;表 S3);但组间差异不显著(表 1)。至于作为次要结果的 Vineland-3 评分,两组在基线、第 9 周或第 17 周的评分均无显著差异(附录 S1;图 S3)。治疗 17 周后,FMT 组和安慰剂组的 Vineland-3 症状均有平均改善(附录 S1;表 S3)。值得注意的是,从基线到第 17 周,FMT 组和安慰剂组在社交领域得分的变化上存在显著的统计学差异(差异 = 5.05,95% 置信区间 [CI]:0.31-9.79;表 1)。此外,与安慰剂组(.55)相比,从基线到第 17 周,FMT 组在游戏和休闲子域的得分(1.91)明显更高(差异 = 1.36,95% 置信区间:.19-2.53;附录 S1;图 S1;表 S4)。在阿尔法多样性方面,两组在第 5 周时的香农指数、辛普森指数和因弗辛普森指数存在显著差异(附录 S1;图 S5A),而 FMT 组的β多样性(从基线到第 9 周的布雷-柯蒂斯距离)明显高于安慰剂组(附录 S1;图 S5B)。 在敏感性分析中,FMT 组的 52 位参与者中有 30 位在第 17 周时菌落率≥20%。具体来说,与安慰剂组相比,定植率较高(≥20%)的参与者在第 17 周时的维尼兰-3 量表各领域均有较大改善(表 2)。表S5(附录S1)列出了FMT组(根据定植率)和安慰剂组Vineland-3子域得分的变化情况。在103名患有ASD的儿童中,19名儿童发生了28例AE,没有组间差异,没有儿童因AE退出试验。FMT组和安慰剂组报告的AEs比例相似,分别有12名(23.1%)和7名(13.7%)患者出现一种或多种AEs。AE发生频率分别为18次和10次,表明FMT组发生的AE更多。所有参与者的不良反应均得到缓解或改善,没有出现严重不良反应(3 级)。最常见的不良反应是发烧,FMT 组出现了 4 次,安慰剂组出现了 5 次(表 3)。我们的主要研究结果表明,FMT 并未显著改善 ASD 儿童的临床症状;然而,我们对次要结果的分析表明,口服 FMT 改善了 Vineland-3 量表的社交领域得分。此外,我们的研究结果表明,FMT 在 ASD 儿童中的耐受性很高。我们还观察到了明显的安慰剂效应。杨光、邹志勇和刘晓燕为共同通讯作者,对本研究的构思、调查和方法学做出了同等贡献,并审阅和编辑了手稿;可全面查阅本研究的所有数据,并对数据的完整性和数据分析的准确性负责。姚新云、朱刚、蔡俊、刘国银、刘新婷、牛倩倩、李思文、高静、王静、石秀玉和胡林燕参与了数据的获取、研究的调查和方法学,并审阅和编辑了手稿。万琳参与了研究的调查和方法论,撰写了原稿,并审阅和编辑了后续稿件。王欢分析了数据;撰写了原稿;审阅并编辑了后续稿件。梁艳和张迅参与了原稿的撰写。张博参与了研究方法的制定;审阅并编辑了手稿。所有作者均参与了本研究的构思,并对最终稿件进行了修改和批准。没有或将不会从与本文主题直接或间接相关的任何一方获得经济或非经济利益。本研究得到了国家重点研发计划一般项目(参考文献:2023YFC2706405和2022YFC2705301)、北京市自然科学基金(参考文献:7222187)、总装备部装备综合研究项目、中国人民解放军总医院第七医学中心创新培育基金重点项目(参考文献:qzx-2023-1)、军队计划生育专项科研项目(参考文献:22JSZ20)和国家自然科学基金(参考文献:82170302)的资助。我们确认已阅读该杂志关于发表伦理问题的立场,并确认本报告符合这些准则。
{"title":"Effect of oral faecal microbiota transplantation intervention for children with autism spectrum disorder: A randomised, double-blind, placebo-controlled trial","authors":"Lin Wan,&nbsp;Huan Wang,&nbsp;Yan Liang,&nbsp;Xun Zhang,&nbsp;Xinyun Yao,&nbsp;Gang Zhu,&nbsp;Jun Cai,&nbsp;Guoyin Liu,&nbsp;Xinting Liu,&nbsp;Qianqian Niu,&nbsp;Siwen Li,&nbsp;Bo Zhang,&nbsp;Jing Gao,&nbsp;Jing Wang,&nbsp;Xiuyu Shi,&nbsp;Linyan Hu,&nbsp;Xiaoyan Liu,&nbsp;Zhiyong Zou,&nbsp;Guang Yang","doi":"10.1002/ctm2.70006","DOIUrl":"10.1002/ctm2.70006","url":null,"abstract":"&lt;p&gt;To the Editor:&lt;/p&gt;&lt;p&gt;We conducted a randomised, double-blind, placebo-controlled trial of an oral faecal microbiota transplantation (FMT) intervention in children with autism spectrum disorder (ASD), and observed that there were differences in pre- and post-FMT intervention changes in the social domain scores of the Vineland Adaptive Behaviour Scale, third version (Vineland-3), with no severe adverse events (AEs) related to FMT occurring.&lt;/p&gt;&lt;p&gt;Multiple studies have documented variations in the gut microbiota (GM) between children with ASD and typically developing children.&lt;span&gt;&lt;sup&gt;1, 2&lt;/sup&gt;&lt;/span&gt; Furthermore, specific gut microbes may modulate ASD-related behaviour through their metabolites.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; However, another study proposed that the GM is not the central driver of ASD symptoms; rather, the presence of restricted interests associated with ASD and a more limited dietary variety have been linked to reduced diversity in the GM.&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; The relationship between the GM and ASD remains enigmatic and complex as the age-old philosophical conundrum that has long been debated: which came first, the chicken or the egg? Some open-label studies&lt;span&gt;&lt;sup&gt;4-6&lt;/sup&gt;&lt;/span&gt; have demonstrated that FMT improved the core symptoms of patients with ASD, though these studies lacked comparable control groups, which may lead to disregard of potential placebo effects on efficacy evaluation. Therefore, we conducted this study.&lt;/p&gt;&lt;p&gt;A total of 103 eligible participants (Figure 1) were enrolled and randomised to receive either FMT or a placebo. These agents were administered during two 6-day periods in the hospital, the first occurring in the initial week and the second in the fifth week of the study. Patients were not hospitalised during the interval between treatments. FMT capsules from five healthy donors were randomly provided to 8, 8, 11, 7 and 18 patients, respectively, with each patient receiving capsules from the same donor throughout the treatment process. The Social Responsiveness Scale, Second Edition (SRS-2), Vineland-3, and Autism Behaviour Checklist (ABC) scales were administered to measure outcomes before the start of the treatment as well as at Weeks 9 and 17 of the experiment for repeated measures (see Appendix S1).&lt;/p&gt;&lt;p&gt;The primary outcome was the difference in the change in the SRS-2 &lt;i&gt;T&lt;/i&gt;-score between groups from baseline to Week 9 or Week 17, analysed using a mixed model for repeated measures. The secondary outcomes included Vineland-3 and ABC scores. Sensitivity analysis was conducted by comparing the changes in the scores of these scales between the FMT group with a donor gut microbiota colonisation rate of ≥20% or less than 20% and the placebo group. AEs were assessed (see Appendix S1).&lt;/p&gt;&lt;p&gt;No notable between-group differences were detected between the FMT (&lt;i&gt;n&lt;/i&gt; = 52) and placebo (&lt;i&gt;n&lt;/i&gt; = 51) groups in terms of demographic and baseline characteristics or scales (Appendix S1; Tables S1 and","PeriodicalId":10189,"journal":{"name":"Clinical and Translational Medicine","volume":"14 9","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ctm2.70006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142072152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A severe asthma phenotype of excessive airway Haemophilus influenzae relative abundance associated with sputum neutrophilia 气道流感嗜血杆菌相对丰度过高与痰中性粒细胞增多有关的严重哮喘表型。
IF 7.9 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-26 DOI: 10.1002/ctm2.70007
Ali Versi, Adnan Azim, Fransiskus Xaverius Ivan, Mahmoud I Abdel-Aziz, Stewart Bates, John Riley, Mohib Uddin, Nazanin Zounemat Kermani, Anke-H Maitland-Van Der Zee, Sven-Eric Dahlen, Ratko Djukanovic, Sanjay H Chotirmall, Peter Howarth, Ian M Adcock, Kian Fan Chung, the U-BIOPRED study group

Background

Severe asthma (SA) encompasses several clinical phenotypes with a heterogeneous airway microbiome. We determined the phenotypes associated with a low α-diversity microbiome.

Methods

Metagenomic sequencing was performed on sputum samples from SA participants. A threshold of 2 standard deviations below the mean of α-diversity of mild-moderate asthma and healthy control subjects was used to define those with an abnormal abundance threshold as relative dominant species (RDS).

Findings

Fifty-one out of 97 SA samples were classified as RDSs with Haemophilus influenzae RDS being most common (n = 16), followed by Actinobacillus unclassified (n = 10), Veillonella unclassified (n = 9), Haemophilus aegyptius (n = 9), Streptococcus pseudopneumoniae (n = 7), Propionibacterium acnes (n = 5), Moraxella catarrhalis (= 5) and Tropheryma whipplei (n = 5). Haemophilus influenzae RDS had the highest duration of disease, more exacerbations in previous year and greatest number on daily oral corticosteroids. Hierarchical clustering of RDSs revealed a C2 cluster (n = 9) of highest relative abundance of exclusively Haemophilus influenzae RDSs with longer duration of disease and higher sputum neutrophil counts associated with enrichment pathways of MAPK, NF-κB, TNF, mTOR and necroptosis, compared to the only other cluster, C1, which consisted of 7 Haemophilus influenzae RDSs out of 42. Sputum transcriptomics of C2 cluster compared to C1 RDSs revealed higher expression of neutrophil extracellular trap pathway (NETosis), IL6-transignalling signature and neutrophil activation.

Conclusion

We describe a Haemophilus influenzae cluster of the highest relative abundance associated with neutrophilic inflammation and NETosis indicating a host response to the bacteria. This phenotype of severe asthma may respond to specific antibiotics.

背景:严重哮喘(SA)包括几种临床表型,气道微生物组具有异质性。我们确定了与低α多样性微生物组相关的表型:对 SA 患者的痰液样本进行了元基因组测序。方法:对 SA 患者的痰样本进行了元基因组测序,以低于轻度-中度哮喘和健康对照受试者 α 多样性平均值 2 个标准差为阈值,将丰度阈值异常的微生物定义为相对优势种(RDS):97 份哮喘样本中有 51 份被归类为 RDS,其中流感嗜血杆菌 RDS 最为常见(16 份),其次是未分类的放线菌(10 份)和未分类的 Veillonella(9 份)、埃及嗜血杆菌(9 人)、假肺炎链球菌(7 人)、痤疮丙酸杆菌(5 人)、白喉摩拉菌(5 人)和白喉曲霉菌(5 人)。流感嗜血杆菌 RDS 的病程最长,前一年病情加重的次数最多,每天口服皮质类固醇的人数最多。RDS的层次聚类显示,C2聚类(n = 9)的相对丰度最高,完全由流感嗜血杆菌RDS组成,病程较长,痰中性粒细胞计数较高,与MAPK、NF-κB、TNF、mTOR和坏死相关,而唯一的另一个聚类C1由42个RDS中的7个流感嗜血杆菌RDS组成。与 C1 RDS 相比,C2 群的痰转录组学显示中性粒细胞胞外陷阱通路(NETosis)、IL6 信号特征和中性粒细胞活化的表达更高:我们描述了一个相对丰度最高的流感嗜血杆菌集群,它与中性粒细胞炎症和NETosis有关,表明宿主对细菌的反应。这种严重哮喘的表型可能对特定抗生素有反应。
{"title":"A severe asthma phenotype of excessive airway Haemophilus influenzae relative abundance associated with sputum neutrophilia","authors":"Ali Versi,&nbsp;Adnan Azim,&nbsp;Fransiskus Xaverius Ivan,&nbsp;Mahmoud I Abdel-Aziz,&nbsp;Stewart Bates,&nbsp;John Riley,&nbsp;Mohib Uddin,&nbsp;Nazanin Zounemat Kermani,&nbsp;Anke-H Maitland-Van Der Zee,&nbsp;Sven-Eric Dahlen,&nbsp;Ratko Djukanovic,&nbsp;Sanjay H Chotirmall,&nbsp;Peter Howarth,&nbsp;Ian M Adcock,&nbsp;Kian Fan Chung,&nbsp;the U-BIOPRED study group","doi":"10.1002/ctm2.70007","DOIUrl":"10.1002/ctm2.70007","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Severe asthma (SA) encompasses several clinical phenotypes with a heterogeneous airway microbiome. We determined the phenotypes associated with a low α-diversity microbiome.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Metagenomic sequencing was performed on sputum samples from SA participants. A threshold of 2 standard deviations below the mean of α-diversity of mild-moderate asthma and healthy control subjects was used to define those with an abnormal abundance threshold as relative dominant species (RDS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Fifty-one out of 97 SA samples were classified as RDSs with <i>Haemophilus influenzae</i> RDS being most common (<i>n</i> = 16), followed by <i>Actinobacillus unclassified</i> (<i>n</i> = 10), <i>Veillonella unclassified</i> (<i>n</i> = 9)<i>, Haemophilus aegyptius</i> (<i>n</i> = 9)<i>, Streptococcus pseudopneumoniae</i> (<i>n = 7</i>), <i>Propionibacterium acnes</i> (<i>n = 5), Moraxella catarrhalis</i> (<i>n </i>=<i> 5</i>) and <i>Tropheryma whipplei</i> (<i>n</i> = 5). <i>Haemophilus influenzae</i> RDS had the highest duration of disease, more exacerbations in previous year and greatest number on daily oral corticosteroids. Hierarchical clustering of RDSs revealed a C2 cluster (<i>n</i> = 9) of highest relative abundance of exclusively <i>Haemophilus influenzae</i> RDSs with longer duration of disease and higher sputum neutrophil counts associated with enrichment pathways of MAPK, NF-κB, TNF, mTOR and necroptosis, compared to the only other cluster, C1, which consisted of 7 <i>Haemophilus influenzae</i> RDSs out of 42. Sputum transcriptomics of C2 cluster compared to C1 RDSs revealed higher expression of neutrophil extracellular trap pathway (NETosis), IL6-transignalling signature and neutrophil activation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We describe a <i>Haemophilus influenzae</i> cluster of the highest relative abundance associated with neutrophilic inflammation and NETosis indicating a host response to the bacteria. This phenotype of severe asthma may respond to specific antibiotics.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10189,"journal":{"name":"Clinical and Translational Medicine","volume":"14 9","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ctm2.70007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142072151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The co-location of CD14+APOE+ cells and MMP7+ tumour cells contributed to worse immunotherapy response in non-small cell lung cancer CD14+APOE+细胞和MMP7+肿瘤细胞的共同定位导致非小细胞肺癌的免疫治疗反应更差。
IF 7.9 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-26 DOI: 10.1002/ctm2.70009
Guangyu Fan, Tongji Xie, Le Tang, Lin Li, Xiaohong Han, Yuankai Shi

Intra-tumour immune infiltration is a crucial determinant affecting immunotherapy response in non-small cell lung cancer (NSCLC). However, its phenotype and related spatial structure have remained elusive. To overcome these restrictions, we undertook a comprehensive study comprising spatial transcriptomic (ST) data (28 712 spots from six samples). We identified two distinct intra-tumour infiltration patterns: immune exclusion (characterised by myeloid cells) and immune activation (characterised by plasma cells). The immune exclusion and immune activation signatures showed adverse and favourable roles in NSCLC patients' survival, respectively. Notably, CD14+APOE+ cells were recognised as the main cell type in immune exclusion samples, with increased epithelial‒mesenchymal transition and decreased immune activities. The co-location of CD14+APOE+ cells and MMP7+ tumour cells was observed in both ST and bulk transcriptomics data, validated by multiplex immunofluorescence performed on 20 NSCLC samples. The co-location area exhibited the upregulation of proliferation-related pathways and hypoxia activities. This co-localisation inhibited T-cell infiltration and the formation of tertiary lymphoid structures. Both CD14+APOE+ cells and MMP7+ tumour cells were associated with worse survival. In an immunotherapy cohort from the ORIENT-3 clinical trial, NSCLC patients who responded unfavourably exhibited higher infiltration of CD14+APOE+ cells and MMP7+ tumour cells. Within the co-location area, the MK, SEMA3 and Macrophage migration inhibitory factor (MIF) signalling pathway was most active in cell‒cell communication. This study identified immune exclusion and activation patterns in NSCLC and the co-location of CD14+APOE+ cells and MMP7+ tumour cells as contributors to immune resistance.

瘤内免疫浸润是影响非小细胞肺癌(NSCLC)免疫治疗反应的一个重要决定因素。然而,其表型和相关的空间结构仍然难以捉摸。为了克服这些限制,我们开展了一项包含空间转录组(ST)数据(来自六个样本的 28 712 个点)的综合研究。我们发现了两种不同的肿瘤内浸润模式:免疫排斥(以髓样细胞为特征)和免疫激活(以浆细胞为特征)。免疫排斥和免疫激活特征分别对 NSCLC 患者的生存有不利和有利的影响。值得注意的是,CD14+APOE+细胞被认为是免疫排斥样本中的主要细胞类型,上皮-间质转化增加,免疫活性降低。在 ST 和批量转录组学数据中都观察到了 CD14+APOE+ 细胞和 MMP7+ 肿瘤细胞的共定位,并通过对 20 个 NSCLC 样本进行多重免疫荧光验证。共定位区域表现出增殖相关通路和缺氧活性的上调。这种共定位抑制了 T 细胞浸润和三级淋巴结构的形成。CD14+APOE+细胞和MMP7+肿瘤细胞都与生存率下降有关。在ORIENT-3临床试验的免疫疗法队列中,反应不佳的NSCLC患者表现出更高的CD14+APOE+细胞和MMP7+肿瘤细胞浸润。在共定位区域内,MK、SEMA3 和巨噬细胞迁移抑制因子(MIF)信号通路在细胞间通讯中最为活跃。这项研究确定了NSCLC的免疫排斥和激活模式,以及CD14+APOE+细胞和MMP7+肿瘤细胞的共定位是导致免疫抵抗的因素。
{"title":"The co-location of CD14+APOE+ cells and MMP7+ tumour cells contributed to worse immunotherapy response in non-small cell lung cancer","authors":"Guangyu Fan,&nbsp;Tongji Xie,&nbsp;Le Tang,&nbsp;Lin Li,&nbsp;Xiaohong Han,&nbsp;Yuankai Shi","doi":"10.1002/ctm2.70009","DOIUrl":"10.1002/ctm2.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>Intra-tumour immune infiltration is a crucial determinant affecting immunotherapy response in non-small cell lung cancer (NSCLC). However, its phenotype and related spatial structure have remained elusive. To overcome these restrictions, we undertook a comprehensive study comprising spatial transcriptomic (ST) data (28 712 spots from six samples). We identified two distinct intra-tumour infiltration patterns: immune exclusion (characterised by myeloid cells) and immune activation (characterised by plasma cells). The immune exclusion and immune activation signatures showed adverse and favourable roles in NSCLC patients' survival, respectively. Notably, CD14+APOE+ cells were recognised as the main cell type in immune exclusion samples, with increased epithelial‒mesenchymal transition and decreased immune activities. The co-location of CD14+APOE+ cells and MMP7+ tumour cells was observed in both ST and bulk transcriptomics data, validated by multiplex immunofluorescence performed on 20 NSCLC samples. The co-location area exhibited the upregulation of proliferation-related pathways and hypoxia activities. This co-localisation inhibited T-cell infiltration and the formation of tertiary lymphoid structures. Both CD14+APOE+ cells and MMP7+ tumour cells were associated with worse survival. In an immunotherapy cohort from the ORIENT-3 clinical trial, NSCLC patients who responded unfavourably exhibited higher infiltration of CD14+APOE+ cells and MMP7+ tumour cells. Within the co-location area, the MK, SEMA3 and Macrophage migration inhibitory factor (MIF) signalling pathway was most active in cell‒cell communication. This study identified immune exclusion and activation patterns in NSCLC and the co-location of CD14+APOE+ cells and MMP7+ tumour cells as contributors to immune resistance.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10189,"journal":{"name":"Clinical and Translational Medicine","volume":"14 9","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ctm2.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142072153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Clinical and Translational Medicine
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1