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Riboflavin and Histidine Metabolisms Are Two Key Pathways Related to the Clinically Isolated Syndrome (CIS): a WGCNA-based in silico Analysis 核黄素和组氨酸代谢是与临床孤立综合征(CIS)相关的两个关键途径:一项基于wgna的计算机分析
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-05-04 DOI: 10.2174/1875692120666230504114225
Mansoor Salehi, Parvaneh Tavakoli Afshar, Zohreh Taherian, Roya Bakhtiyari, Farzaneh Rami, M. Etemadifar
As an inflammatory disorder, Multiple Sclerosis (MS) causes demyelination, as well as axonal and neuronal injury in the central nervous system (CNS). Several clinical signs may be the indicators of MS among which, Clinically Isolated Syndrome (CIS) is the first symptom caused by the inflammation and demyelination of CNS. CIS is characterized by symptoms such as optic neuritis, brain stem or cerebellar syndrome, spinal cord syndrome, or sometimes cerebral hemispheric dysfunction.So far, metabolic pathways involved in the development of CIS are not fully understood. Therefore, in this study, weighted gene co-expression network analysis (WGCNA) has been used to identify differentially expressed genes in CIS disease and the main pathways associated with it.We grouped differentially expressed genes along with the functionally related genes into large modules to obtain their direct and indirect relationships.The results have identified two new pathways associated with CIS, including riboflavin and histidine metabolism-involved pathways.Riboflavin and histidine metabolism-involved pathways may be considered potential therapeutic goals for CIS management in the future.
作为一种炎症性疾病,多发性硬化症(MS)导致脱髓鞘,以及中枢神经系统(CNS)的轴突和神经元损伤。一些临床体征可能是MS的指标,其中临床孤立综合征(CIS)是由中枢神经系统炎症和脱髓鞘引起的第一症状。CIS的特征是视神经炎、脑干或小脑综合征、脊髓综合征或有时大脑半球功能障碍等症状。到目前为止,参与CIS发展的代谢途径尚不完全清楚。因此,本研究采用加权基因共表达网络分析(weighted gene co-expression network analysis, WGCNA)来鉴定CIS疾病中的差异表达基因及其相关的主要通路。我们将差异表达基因与功能相关基因分组成大模块,以获得它们之间的直接和间接关系。结果发现了两条与CIS相关的新途径,包括核黄素和组氨酸代谢相关的途径。核黄素和组氨酸代谢相关途径可能被认为是未来CIS管理的潜在治疗目标。
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引用次数: 0
Meet the Editorial Board Member 认识编辑委员会成员
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-04-01 DOI: 10.2174/187569212001230613152539
Muntaser E. Ibrahim
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引用次数: 0
Papillary thyroid carcinoma: A narrative review on the most important genetic and epigenetic alterations 甲状腺乳头状癌:对最重要的遗传和表观遗传改变的叙述回顾
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-02-22 DOI: 10.2174/1875692120666230222110736
Reza Nekouian, Atiyeh Mohamadi, Seyyed Amir Yasin Ahmadi
Papillary Thyroid Carcinoma (PTC) is the most common subtype of thyroid cancer that is the most prevalent in the endocrine system. According to worldwide reports, its prevalence rate has been increasing in recent decades. The Discovery of DNA sequencing methods and molecular diagnostic techniques provides an insight into the understanding of PTC molecular biology and as well as in thyroidology, which opens a new perspective in finding molecular markers. Aligning cytological diagnostic methods with molecular behavior studies creates promising tools for better decision-making strategies for preoperative conditions to distinguish between benign from malignant thyroid nodules in challenging cases and limit unnecessary surgeries. Extensive studies have been performed on identifying the genes involved in PTC development and their prognosis. Currently, clinical and pathological features of the tumour (such as size, extrathyroid and lymph node invasion, and capsular invasion) are used to predict the prognosis of papillary thyroid cancer. In this review, we tried to summarize fundamental signaling pathways affecting PTC and the most important genetic alterations, including point mutations in proto-oncogenes and chromosomal rearrangements, as well as up/down-regulation of certain micro RNAs (miRNA) as an epigenetic change. Briefly, some of the most commonly altered genes in PTC are BRAF, RAS, RET, PAX8, PPARγ, and miRNAs like mir-146b, mir-221, mir-222, and mir-181b.
甲状腺乳头状癌(PTC)是内分泌系统中最常见的甲状腺癌亚型。根据世界范围的报告,近几十年来,其患病率一直在上升。DNA测序方法和分子诊断技术的发现为PTC分子生物学和甲状腺学的认识提供了新的视角,为寻找分子标记开辟了新的视角。将细胞学诊断方法与分子行为研究结合起来,为术前更好的决策策略创造了有希望的工具,以区分具有挑战性的甲状腺结节的良恶性,并限制不必要的手术。广泛的研究已经进行了鉴定基因参与PTC的发展和他们的预后。目前,肿瘤的临床和病理特征(如大小、甲状腺外淋巴结浸润、囊膜浸润)被用来预测甲状腺乳头状癌的预后。在这篇综述中,我们试图总结影响PTC的基本信号通路和最重要的遗传改变,包括原癌基因的点突变和染色体重排,以及作为表观遗传改变的某些微rna (miRNA)的上调/下调。简而言之,PTC中一些最常见的改变基因是BRAF、RAS、RET、PAX8、PPARγ以及mir-146b、mir-221、mir-222和mir-181b等mirna。
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引用次数: 0
Recent advances in Nasopharyngeal cancer management: from diagnosis to theranostics 鼻咽癌治疗的最新进展:从诊断到治疗
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-02-13 DOI: 10.2174/1875692120666230213111629
I. Chaoui, Raja Benzeid, Amina Gihbid, N. Benchekroun, N. Tawfiq, A. Benider, Mohammed Attaleb, A. Filali Maltouf, M. El Mzibri, M. Khyatti
Nasopharyngeal cancer [NPC] is one of the most common head and neck cancers. NPC differs significantly from other cancers in its etiology, epidemiology, clinical behavior, and treatment. Being highly radiosensitive, the standard treatment for NPC is radiotherapy. However, radioresistance hampers the success of treatment and may cause local recurrence and distant metastases in NPC patients. In this review, we discuss the updated protocols for NPC diagnosis and treatment based on recent literature with an emphasis on the mechanisms of radioresistance at the molecular level with a special focus on genetic and epigenetic events, affecting genes involved in xenobiotic detoxification and DNA repair. We also highlight the importance of some cellular and Epstein Barr viral miRNAs targeting specific DNA repair factors and consequently promoting NPC radioresistance. These molecular markers may serve as promising tools for diagnosis, prognosis, and radioresistance prediction to guide theranostics of patients with NPC in the future.
鼻咽癌是最常见的头颈部肿瘤之一。鼻咽癌在病因、流行病学、临床行为和治疗方面与其他癌症有显著的不同。由于鼻咽癌对放射高度敏感,标准的治疗方法是放疗。然而,放射耐药阻碍了治疗的成功,并可能导致鼻咽癌患者局部复发和远处转移。在这篇综述中,我们根据最近的文献讨论了鼻咽癌诊断和治疗的最新方案,重点讨论了分子水平上辐射耐药的机制,特别关注遗传和表观遗传事件,影响涉及外源解毒和DNA修复的基因。我们还强调了一些靶向特定DNA修复因子的细胞和爱泼斯坦巴尔病毒mirna的重要性,从而促进鼻咽癌的放射耐药。这些分子标记物有望作为鼻咽癌患者的诊断、预后和放射耐药预测的重要工具,指导未来鼻咽癌患者的治疗。
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引用次数: 0
Development of an Isothermal Point-of-Care Genetic rapid test for thedetection of the HLA-B*57:01 Allele, a predictor for Hypersensitivity reaction caused by Abacavir, for stratifying patients for Antiretroviral Abacavir HIV therapy 开发一种用于检测HLA-B*57:01等位基因(阿巴卡韦引起的超敏反应的预测因子)的等温点护理遗传快速检测方法,用于分层接受抗逆转录病毒阿巴卡韦HIV治疗的患者
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-02-06 DOI: 10.2174/1875692120666230206141327
Alexander E. Jacobsen, Antje Jüngling, Corinna Gorges, M. Eidens
Abacavir is used in the treatment of HIV-infected patients. A hypersensitive reaction (HSR) occurs in about 5-8% of patients treated with Abacavir. The HLA-B*57:01 allele is a valuable predictor for HSR and its screening is mandatory prior to treatment with Abacavir.Abacavir is used in the treatment of HIV-infected patients. A hypersensitive reaction (HSR) occurs in about 5-8% of patients treated with Abacavir. The HLA-B*57:01 allele is a valuable predictor for HSR and its screening is mandatory prior treatment with Abacavir.Current screening methods require considerable investments for equipment. In order to lower the required investments and enable physician practices to perform the screening in a point-of-care (PoC) setting, our objective was to develop a novel isothermal genetic rapid test that requires a minimal setup cost, does not require specific training and thus is suitable for a physician practice setting.Current screening methods require considerable investments for equipment. In order to lower the required investments and enable physician practices to perform the screening in a point-of-care (PoC) setting, our objective was to develop an isothermal recombinase polymerase amplification (RPA) for the specific amplification of the HLA-B*57:01 allele and detection via lateral flow dipstick.We developed an isothermal recombinase polymerase amplification (RPA) for the specific amplification of the HLA-B*57:01 allele using allele-specific primers coupled to Biotin. Primers specific for human lactase gene, coupled to Digoxigenin, were used as an internal amplification control (IAC). Lateral flow dipstick provided rapid and accurate detection of HLA-B*57:01 allele and IAC via the respective antibodies sprayed on the strips surface.The reference method identified the HLA-B*57:01 allele in the reference sample, in 2 out of 28 buccal swab samples and in 2 out of 13 blood samples. The initial isothermal RPA resulted in unspecific amplification of the HLA-B*57:01 allele. By further optimization steps the specific amplification of the allele and the detection on lateral flow dipstick was observed. The newly developed isothermal RPA was validated.The method developed fulfils the requirements for a genetically based PoC screening system for the HLA-B*57:01 variant, requiring a minimal investment for a heating block and a pipette.
阿巴卡韦用于治疗艾滋病毒感染者。在接受阿巴卡韦治疗的患者中,约有5-8%发生过敏反应(HSR)。HLA-B*57:01等位基因是HSR的重要预测因子,在阿巴卡韦治疗前必须进行筛查。阿巴卡韦用于治疗艾滋病毒感染者。在接受阿巴卡韦治疗的患者中,约有5-8%发生过敏反应(HSR)。HLA-B*57:01等位基因是HSR的一个有价值的预测因子,其筛查是阿巴卡韦治疗前的强制性要求。目前的筛选方法需要大量的设备投资。为了降低所需的投资并使医生实践能够在护理点(PoC)环境中进行筛查,我们的目标是开发一种新的等温基因快速检测,该检测需要最小的设置成本,不需要特定的培训,因此适用于医生实践环境。目前的筛选方法需要大量的设备投资。为了降低所需的投资,使医生能够在护理点(PoC)环境中进行筛查,我们的目标是开发一种等温重组酶聚合酶扩增(RPA),用于HLA-B*57:01等位基因的特异性扩增,并通过侧流量尺进行检测。我们开发了一种等温重组酶聚合酶扩增(RPA)技术,利用等位基因特异性引物偶联生物素对HLA-B*57:01等位基因进行特异性扩增。以人乳糖酶基因特异性引物偶联地高辛作为内扩增对照(IAC)。侧流试纸通过在试纸条表面喷洒抗体,对HLA-B*57:01等位基因和IAC进行快速准确的检测。参考方法在参考样本、28份口腔拭子样本中的2份和13份血液样本中的2份中检测到HLA-B*57:01等位基因。初始等温RPA导致HLA-B*57:01等位基因的非特异性扩增。通过进一步的优化步骤,观察了等位基因的特异性扩增和在侧流试纸上的检测结果。对新开发的等温RPA进行了验证。开发的方法满足HLA-B*57:01变异的基于基因的PoC筛选系统的要求,需要最小的加热块和移液器投资。
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引用次数: 0
The Comparative Genomics and Network Analysis of eNOS by Using Different Bioinformatics Approaches 利用不同生物信息学方法的eNOS比较基因组学和网络分析
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-01-26 DOI: 10.2174/1875692120666230126110252
J. Parkash, Arpita Banerjee, Randeep Singh, Nymphaea Arora, Tania Arora, Vikash Prashar, P. Godara, Arti Sharma, H. Changotra
Nitric oxide synthase (NOS) is an enzyme that catalyzes the synthesis of nitric oxide (NO) from L-arginine. It has three isoforms: (1) neuronal NOS (nNOS or NOS1), which participates in neural transmission; (2) inducible NOS (iNOS or NOS2), which produces NO in macrophages; and (3) endothelial NOS (eNOS or NOS3) that regulates blood pressure. The eNOS is mainly expressed in blood vessels and is a crucial regulator of endothelial homeostasis.The present study aimed to unravel the role of eNOS in different signaling pathways and its involvement as a therapeutic target in various neurodegenerative disorders.This study used various in silico methods for comprehensive genomic analysis of eNOS in 16 organisms from 7 different phyla. Prediction of conserved domains and evolutionary relationship for eNOS among 16 organisms was made. Various physical and chemical parameters, signal peptides, and transmembrane regions that helped understand its functional relevance were also studied.Three transcription factor binding sites (TFBS), i.e., CP2, AR, and LDSPOLYA, were identified in human eNOS, while ATF1, T3R, and STAT1 were predicted in mouse eNOS. Transcription factors were identified for each regulatory region in human as well as mouse eNOS. eNOS protein was predicted to harbor 14 different post-translational modification (PTM) sites, most of which have phosphorylation (serine followed by threonine and tyrosine phosphorylation) followed by sumoylation and palmitoylation among all the organisms used in the current study. However, human eNOS has a relatively lower number of PTM sites for tyrosine phosphorylation.Structures of eNOS isoform, consistent with available biochemical and structural data, provide substantial insight into the NOS conformational changes, which give in-depth knowledge of the mechanism of eNOS, and will be helpful for better understanding the role of eNOS in pathophysiology.
一氧化氮合成酶(NOS)是一种催化l -精氨酸合成一氧化氮(NO)的酶。它有三种亚型:(1)神经元NOS (nNOS或NOS1),参与神经传递;(2)诱导NOS (iNOS或NOS2),在巨噬细胞中产生NO;(3)调节血压的内皮细胞NOS (eNOS或NOS3)。eNOS主要在血管中表达,是内皮稳态的重要调节因子。本研究旨在揭示eNOS在不同信号通路中的作用及其作为各种神经退行性疾病的治疗靶点的参与。本研究采用多种计算机方法对来自7个不同门的16种生物的eNOS进行了全面的基因组分析。预测了16种生物eNOS的保守结构域和进化关系。我们还研究了各种物理和化学参数、信号肽和跨膜区域,以帮助了解其功能相关性。在人eNOS中鉴定到三个转录因子结合位点(TFBS),即CP2、AR和LDSPOLYA,而在小鼠eNOS中预测到ATF1、T3R和STAT1。在人类和小鼠的eNOS中,每个调控区域都鉴定了转录因子。预计eNOS蛋白含有14个不同的翻译后修饰(PTM)位点,在本研究中使用的所有生物中,大多数位点都有磷酸化(丝氨酸磷酸化,苏氨酸磷酸化,酪氨酸磷酸化),然后是sumo酰化和棕榈酰化。然而,人类eNOS中酪氨酸磷酸化的PTM位点数量相对较少。eNOS异构体的结构与现有的生物化学和结构数据一致,为深入了解eNOS的构象变化提供了重要依据,有助于深入了解eNOS的机制,并有助于更好地理解eNOS在病理生理中的作用。
{"title":"The Comparative Genomics and Network Analysis of eNOS by Using Different Bioinformatics Approaches","authors":"J. Parkash, Arpita Banerjee, Randeep Singh, Nymphaea Arora, Tania Arora, Vikash Prashar, P. Godara, Arti Sharma, H. Changotra","doi":"10.2174/1875692120666230126110252","DOIUrl":"https://doi.org/10.2174/1875692120666230126110252","url":null,"abstract":"\u0000\u0000Nitric oxide synthase (NOS) is an enzyme that catalyzes the synthesis of nitric oxide (NO) from L-arginine. It has three isoforms: (1) neuronal NOS (nNOS or NOS1), which participates in neural transmission; (2) inducible NOS (iNOS or NOS2), which produces NO in macrophages; and (3) endothelial NOS (eNOS or NOS3) that regulates blood pressure. The eNOS is mainly expressed in blood vessels and is a crucial regulator of endothelial homeostasis.\u0000\u0000\u0000\u0000The present study aimed to unravel the role of eNOS in different signaling pathways and its involvement as a therapeutic target in various neurodegenerative disorders.\u0000\u0000\u0000\u0000This study used various in silico methods for comprehensive genomic analysis of eNOS in 16 organisms from 7 different phyla. Prediction of conserved domains and evolutionary relationship for eNOS among 16 organisms was made. Various physical and chemical parameters, signal peptides, and transmembrane regions that helped understand its functional relevance were also studied.\u0000\u0000\u0000\u0000Three transcription factor binding sites (TFBS), i.e., CP2, AR, and LDSPOLYA, were identified in human eNOS, while ATF1, T3R, and STAT1 were predicted in mouse eNOS. Transcription factors were identified for each regulatory region in human as well as mouse eNOS. eNOS protein was predicted to harbor 14 different post-translational modification (PTM) sites, most of which have phosphorylation (serine followed by threonine and tyrosine phosphorylation) followed by sumoylation and palmitoylation among all the organisms used in the current study. However, human eNOS has a relatively lower number of PTM sites for tyrosine phosphorylation.\u0000\u0000\u0000\u0000Structures of eNOS isoform, consistent with available biochemical and structural data, provide substantial insight into the NOS conformational changes, which give in-depth knowledge of the mechanism of eNOS, and will be helpful for better understanding the role of eNOS in pathophysiology.\u0000","PeriodicalId":11056,"journal":{"name":"Current Pharmacogenomics and Personalized Medicine","volume":"2001 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88343329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk prediction of type 2 diabetes mellitus (T2DM) in Indian families using antioxidant gene variants 利用抗氧化基因变异预测印度家庭2型糖尿病(T2DM)风险
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-11-24 DOI: 10.2174/1875692120666221124121316
M. Banerjee, Atar Singh Kushwah, P. Vats, K. Usman
Type 2 diabetes mellitus (T2DM) is a complex metabolic diseasethat is caused by insulin dysfunction. It is an output of oxidative stress that results from defective redox reactions and increased reactive metabolites (RMs) and is neutralized by antioxidant enzymes. It has been reported that decreased levels of antioxidant enzymes are dueto genetic alterations in the respective genes. Therefore, the present study has undertaken agenetic analysis of antioxidant genes and their interaction in the family to assess T2DMrisk.This study aimed to investigate the individual susceptibility>risk to T2DM usingantioxidant gene variants and their interactions in family members with a diabetic history.Genotypic analysis of antioxidant genes was done by polymerase chain reactionrestriction fragment length polymorphism (PCR-RFLP), haplotype analysis, and gene-geneinteractions using statistical tools. Pedigrees were constructed by face-to-face interviewswith members of nine families.Genotypes AT (CAT-21A>T), IV (GSTP1+313(105I>V), and CT (GPx1+599C>T) were found to be frequent in diabetic individuals. For instance, in one family, ifonly the mother had diabetes, all siblings were found to have the risk genotypes AT (CAT21A>T) and CT (GPx1 +599C>T) with 2.12- and 2.11-folds risk of developing T2DM. Therisk haplotypes, NNV (GSTM1 N>P(Null>Present), GSTT1 N>P(Null>Present),GSTP1105I>V and TCC (CAT-21A>T, SOD2+47C>T, GPx1+599C>T) were observed inmost of the diabetic individuals and non-diabetics possessing the risk haplotypes manifestedaltered BMI.The present study suggests that the GSTP1105I>V, CAT-21A>T,SOD2+47C>T and GPx1+599C>T gene variants can be prognostic biomarkers for the assessment of T2DM risk in healthy individuals.
2型糖尿病(T2DM)是一种由胰岛素功能障碍引起的复杂代谢疾病。它是氧化应激的产物,由氧化还原反应缺陷和反应性代谢物(RMs)增加引起,并被抗氧化酶中和。据报道,抗氧化酶水平的下降是由于相应基因的遗传改变。因此,本研究对抗氧化基因及其在家族中的相互作用进行了遗传分析,以评估t2dm风险。本研究旨在探讨有糖尿病史的家庭成员中抗氧化基因变异对2型糖尿病的个体易感性风险及其相互作用。抗氧化基因的基因型分析采用聚合酶链反应限制性片段长度多态性(PCR-RFLP)、单倍型分析和基因-基因相互作用统计工具。系谱是通过与9个家庭的成员面对面访谈构建的。基因型AT (CAT-21A>T)、IV (GSTP1+313(105I>V)、CT (GPx1+599C>T)在糖尿病患者中较为常见。例如,在一个家庭中,如果只有母亲患有糖尿病,所有兄弟姐妹都被发现具有AT (CAT21A>T)和CT (GPx1 +599C>T)的风险基因型,患T2DM的风险分别为2.12倍和2.11倍。在大多数糖尿病患者和非糖尿病患者中存在风险单倍型NNV (GSTM1 N>P(Null>Present))、GSTT1 N>P(Null>Present)、GSTP1105I>V和TCC (CAT-21A>T、SOD2+47C>T、GPx1+599C>T)。本研究提示GSTP1105I>V、CAT-21A>T、SOD2+47C>T和GPx1+599C>T基因变异可作为健康人T2DM风险评估的预后生物标志物。
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引用次数: 0
A Rare PTPN11 Mutation in a Patient with Juvenile MyelomonocyticLeukemia: A Case Report 一个罕见的PTPN11突变在少年髓单核细胞白血病患者:一个病例报告
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-11-24 DOI: 10.2174/1875692120666221124113404
N. Rezaei, S. Khanmohammadi, S. Zoghi, Elham Rayzan, S. Shahkarami, R. Jimenez Heredia, A. Frohne, Simin Seyedpour, K. Boztug
Juvenile myelomonocytic leukemia (JMML) is a rare childhood disease characterized by hepatosplenomegaly, monocytosis, anemia, increased white blood cellcount, thrombocytopenia, skin infiltration, and elevated fetal hemoglobin. Mutation in specificgenes, including KRAS, NRAS, PTPN11, and NF1, can lead to the development of JMML.A two-year-old boy with a history of inguinal abscess at the age of 12months and surgery due to infectious lymphadenitis was referred to the hospital. His parentsalso reported a history of oral candidiasis, recurrent otitis media, and lymphadenopathy inthe patient. The physical examination showed splenomegaly, macular rash, lymphadenopathy in the neck region, and rashes in the inguinal region and on the hands and feet. Laboratory and flow cytometry data showed lymphocytosis, low hemoglobin, thrombocytopenia,monocytosis, eosinophilia, and a shift to the left in the peripheral blood. The bone marrowaspiration showed a cellular marrow with myeloid hyperplasia. Whole-exome sequencingrevealed a rare heterozygous ENST00000351677.2:c.1508G>C, p.Gly503Ala variant inPTPN11. The patient was diagnosed with JMML but, unfortunately, passed away.We report a rare heterozygous mutation in the PTPN11 gene in a two-year-oldboy diagnosed with JMML. This uncommon mutation should be considered in the mutational screening protocol of JMML. Management of JMML with RAS pathway targetedtherapy may also have promising results and needs further investigations.
青少年髓单细胞白血病(JMML)是一种罕见的儿童疾病,其特征是肝脾肿大、单核细胞增多、贫血、白细胞计数增加、血小板减少、皮肤浸润和胎儿血红蛋白升高。特定基因(包括KRAS、NRAS、PTPN11和NF1)的突变可导致jml的发展。一名两岁男童,12个月时因腹股沟脓肿及感染性淋巴结炎手术被转介至医院。他的父母也报告了患者口腔念珠菌病、复发性中耳炎和淋巴结病的病史。体格检查显示脾肿大,黄斑皮疹,颈部淋巴结病变,腹股沟区及手足皮疹。实验室和流式细胞术数据显示外周血淋巴细胞增多,血红蛋白低,血小板减少,单核细胞增多,嗜酸性粒细胞增多,左移。骨髓穿刺显示骨髓细胞增生。全外显子组测序显示一个罕见的杂合基因ENST00000351677.2:c。158g >C, p.Gly503Ala变体inPTPN11。病人被诊断为jml,但不幸的是,他去世了。我们报告一个罕见的杂合突变在PTPN11基因在一个两岁的男孩诊断为JMML。在JMML的突变筛选方案中应考虑这种罕见的突变。用RAS通路靶向治疗JMML也可能有很好的结果,需要进一步的研究。
{"title":"A Rare PTPN11 Mutation in a Patient with Juvenile Myelomonocytic\u0000Leukemia: A Case Report","authors":"N. Rezaei, S. Khanmohammadi, S. Zoghi, Elham Rayzan, S. Shahkarami, R. Jimenez Heredia, A. Frohne, Simin Seyedpour, K. Boztug","doi":"10.2174/1875692120666221124113404","DOIUrl":"https://doi.org/10.2174/1875692120666221124113404","url":null,"abstract":"\u0000\u0000Juvenile myelomonocytic leukemia (JMML) is a rare childhood disease characterized by hepatosplenomegaly, monocytosis, anemia, increased white blood cell\u0000count, thrombocytopenia, skin infiltration, and elevated fetal hemoglobin. Mutation in specific\u0000genes, including KRAS, NRAS, PTPN11, and NF1, can lead to the development of JMML.\u0000\u0000\u0000\u0000A two-year-old boy with a history of inguinal abscess at the age of 12\u0000months and surgery due to infectious lymphadenitis was referred to the hospital. His parents\u0000also reported a history of oral candidiasis, recurrent otitis media, and lymphadenopathy in\u0000the patient. The physical examination showed splenomegaly, macular rash, lymphadenopathy in the neck region, and rashes in the inguinal region and on the hands and feet. Laboratory and flow cytometry data showed lymphocytosis, low hemoglobin, thrombocytopenia,\u0000monocytosis, eosinophilia, and a shift to the left in the peripheral blood. The bone marrow\u0000aspiration showed a cellular marrow with myeloid hyperplasia. Whole-exome sequencing\u0000revealed a rare heterozygous ENST00000351677.2:c.1508G>C, p.Gly503Ala variant in\u0000PTPN11. The patient was diagnosed with JMML but, unfortunately, passed away.\u0000\u0000\u0000\u0000We report a rare heterozygous mutation in the PTPN11 gene in a two-year-old\u0000boy diagnosed with JMML. This uncommon mutation should be considered in the mutational screening protocol of JMML. Management of JMML with RAS pathway targeted\u0000therapy may also have promising results and needs further investigations.\u0000","PeriodicalId":11056,"journal":{"name":"Current Pharmacogenomics and Personalized Medicine","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88380048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PCSK9 A/G (rs505151) gene polymorphism and its expression at the molecular level in patients with coronary artery disease PCSK9 A/G (rs505151)基因多态性及其在冠心病患者分子水平上的表达
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-09-30 DOI: 10.2174/1875692119666220930161000
K. Srivastava, Shelly Aggarwal, R. Narang, D. Saluja
PCSK9 (Proprotein convertase subtilisin/kexin type 9) plays a key role in cholesterol homeostasis and Coronary artery disease (CAD). Many studies have extrapolated the association of PCSK9 gene with low density lipoprotein cholesterol (LDL-C) levels and CAD but with contradicting results. There is no such study available stating the intergenotypic variations in the levels of expression of PCSK9 and LDL-C and their correlations with CAD risk factors in patients with CAD.We aim to explore the association of PCSK9 A/G (rs505151) polymorphism and its expression at mRNA and protein level in patients with CAD. Additionally, it is investigated how the levels of LDL-C, PCSK9, BMI, and systolic blood pressure (SBP) in patients with CAD and in healthy participants relate to the PCSK9 intergenotypic variation.Angiographically confirmed CAD patients [n=250] and controls [n=250] were genotyped by PCR followed by RFLP techniques. Real time PCR and Western Blot methods were used to investigate PCSK9's differential expression.Odds ratio being the index of association revealed a statistically significant association of PCSK9 A/G (rs505151), A Vs G= 4.94 [1.37-7.79] polymorphism with CAD. In patients with the GG genotype, there is a correlation between higher PCSK9 gene expression and circulating LDL-C levels.Our study shows a significant association of PCSK9 gene polymorphism with CAD. We also observed an increased expression of PCSK9 gene in patients with G allele. In our study, PCSK9 A/G (rs505151) gene and LDL-C emerged as independent risk factors. To determine whether upregulated PCSK9 gene expression can act as a prognostic marker for CAD, more follow-up research is required.
PCSK9(蛋白转化酶枯草素/ keexin 9型)在胆固醇稳态和冠状动脉疾病(CAD)中起关键作用。许多研究推断PCSK9基因与低密度脂蛋白胆固醇(LDL-C)水平和CAD之间存在关联,但结果却相互矛盾。目前还没有这样的研究表明在冠心病患者中PCSK9和LDL-C表达水平的基因型差异及其与冠心病危险因素的相关性。我们旨在探讨PCSK9 A/G (rs505151)多态性与CAD患者mRNA和蛋白水平表达的关系。此外,还研究了冠心病患者和健康参与者的LDL-C、PCSK9、BMI和收缩压(SBP)水平与PCSK9基因型变异的关系。血管造影确诊的冠心病患者[n=250]和对照组[n=250]分别采用PCR和RFLP技术进行基因分型。采用Real time PCR和Western Blot方法检测PCSK9的差异表达。比值比作为关联指标显示PCSK9 a /G (rs505151)多态性与CAD的相关性具有统计学意义,a Vs G= 4.94[1.37 ~ 7.79]。在GG基因型患者中,较高的PCSK9基因表达与循环LDL-C水平之间存在相关性。我们的研究表明PCSK9基因多态性与CAD有显著关联。我们还观察到PCSK9基因在G等位基因患者中的表达增加。在我们的研究中,PCSK9 A/G (rs505151)基因和LDL-C成为独立的危险因素。为了确定PCSK9基因表达上调是否可以作为CAD的预后标志物,还需要更多的后续研究。
{"title":"PCSK9 A/G (rs505151) gene polymorphism and its expression at the molecular level in patients with coronary artery disease","authors":"K. Srivastava, Shelly Aggarwal, R. Narang, D. Saluja","doi":"10.2174/1875692119666220930161000","DOIUrl":"https://doi.org/10.2174/1875692119666220930161000","url":null,"abstract":"\u0000\u0000PCSK9 (Proprotein convertase subtilisin/kexin type 9) plays a key role in cholesterol homeostasis and Coronary artery disease (CAD). Many studies have extrapolated the association of PCSK9 gene with low density lipoprotein cholesterol (LDL-C) levels and CAD but with contradicting results. There is no such study available stating the intergenotypic variations in the levels of expression of PCSK9 and LDL-C and their correlations with CAD risk factors in patients with CAD.\u0000\u0000\u0000\u0000We aim to explore the association of PCSK9 A/G (rs505151) polymorphism and its expression at mRNA and protein level in patients with CAD. Additionally, it is investigated how the levels of LDL-C, PCSK9, BMI, and systolic blood pressure (SBP) in patients with CAD and in healthy participants relate to the PCSK9 intergenotypic variation.\u0000\u0000\u0000\u0000Angiographically confirmed CAD patients [n=250] and controls [n=250] were genotyped by PCR followed by RFLP techniques. Real time PCR and Western Blot methods were used to investigate PCSK9's differential expression.\u0000\u0000\u0000\u0000Odds ratio being the index of association revealed a statistically significant association of PCSK9 A/G (rs505151), A Vs G= 4.94 [1.37-7.79] polymorphism with CAD. In patients with the GG genotype, there is a correlation between higher PCSK9 gene expression and circulating LDL-C levels.\u0000\u0000\u0000\u0000Our study shows a significant association of PCSK9 gene polymorphism with CAD. We also observed an increased expression of PCSK9 gene in patients with G allele. In our study, PCSK9 A/G (rs505151) gene and LDL-C emerged as independent risk factors. To determine whether upregulated PCSK9 gene expression can act as a prognostic marker for CAD, more follow-up research is required.\u0000","PeriodicalId":11056,"journal":{"name":"Current Pharmacogenomics and Personalized Medicine","volume":"91 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85654697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A real-world pilot observational study of neuropathic pain medications in older adult patients in North India 一个现实世界的试点观察研究神经性疼痛药物在印度北部的老年患者
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-09-26 DOI: 10.2174/1875692119666220926150315
S. Chakrabarti, Upinder Kaur, Vandana Dwiivedi, Alok Singh, Ashutosh Kumar Singh, A. Pandey, Kumudini Acharya
This pilot study aimed to make head-to-head comparisons of multiple classesof drugs used in the management of neuropathic pain in North Indian older adult patients presenting to the geriatric clinic of a tertiary medical institutionChronic neuropathic pain is a condition affecting nearly one third of olderadults. There is paucity of data on head-to-head comparisons of drugs used in neuropathic painin older adults. Real world studies may be a useful tool to study diverse neuropathic pain medications in this population.The study objective was to measure NPRS (numeric pain rating scale), GDS (geriatric depression scale), IADL (instrumental activities of daily living), HMSE (Hindi mentalstate examination) scores at baseline, and 4- and 12-week follow-ups in all older adults patients receiving neuropathic pain medications.A prospective observational study was conducted involving older adult patients ≥50 years of age with painful peripheral neuropathy of any etiology (n=60; mean age 63±8.4years). The patients received either gabapentin, pregabalin, duloxetine, amitriptyline, or methyl-cobalamin complex. NPRS, GDS, IADL, and HMSE scores were measured at baselineand post-therapy.All groups except amitriptyline showed statistically significant improvement inNPRS at 4 weeks and 12 weeks compared to baseline. 30% response rate at 4 weeks was maximum for pregabalin (72%) and 50% response rate at 12 weeks was maximum for gabapentin(58%). Numerically maximum improvement in depression was seen with duloxetine. Therewas no statistically significant difference in the measured parameters between the drug groupsacross time. Mean daily dose was 172 mg (gabapentin group), 75 mg (pregabalin group) and20 mg (duloxetine group). The adverse drug reaction rate was 10.5%.All drug groups showed beneficial effects on neuropathic pain at much lowerdoses than those described in the literature. The effectiveness at these low doses and the lowerrates of adverse effects sets the foundation for larger studies in the future in diverse ethnic andaged populations.
本初步研究旨在对在三级医疗机构老年门诊就诊的北印度老年患者神经性疼痛治疗中使用的多种药物进行正面比较。慢性神经性疼痛影响近三分之一的老年人。老年人神经性疼痛药物的正面对比数据缺乏。现实世界的研究可能是一个有用的工具来研究不同的神经性疼痛药物在这一人群。研究目的是测量所有接受神经性疼痛药物治疗的老年患者的NPRS(数字疼痛评定量表)、GDS(老年抑郁量表)、日常生活工具性活动(IADL)、印度精神状态检查(HMSE)的基线得分,并进行4周和12周的随访。一项前瞻性观察性研究涉及年龄≥50岁的任何病因的疼痛性周围神经病变的老年成人患者(n=60;平均年龄(63±8.4岁)。患者接受加巴喷丁、普瑞巴林、度洛西汀、阿米替林或甲基钴胺素复合物治疗。在基线和治疗后分别测量NPRS、GDS、IADL和HMSE评分。与基线相比,除阿米替林外,所有组在4周和12周时的inNPRS均有统计学显著改善。普瑞巴林在4周时的最高反应率为30%(72%),加巴喷丁在12周时的最高反应率为50%(58%)。从数字上看,度洛西汀对抑郁症的改善最大。各药物组间各时间测量参数差异无统计学意义。平均日剂量为加巴喷丁组172 mg、普瑞巴林组75 mg、度洛西汀组20 mg。药物不良反应发生率为10.5%。所有药物组都显示出对神经性疼痛的有益作用,其剂量远低于文献中描述的剂量。这些低剂量的有效性和较低的不良反应率为未来在不同种族和年龄人群中进行更大规模的研究奠定了基础。
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Current Pharmacogenomics and Personalized Medicine
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