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Plasma methylated GNB4 and Riplet as a novel dual-marker panel for the detection of hepatocellular carcinoma. 血浆甲基化 GNB4 和 Riplet 作为检测肝细胞癌的新型双标记物面板。
IF 3.7 3区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-01 Epub Date: 2023-12-28 DOI: 10.1080/15592294.2023.2299044
Yanteng Zhao, Lei Zhao, Huifang Jin, Ying Xie, Liyinghui Chen, Wei Zhang, Lanlan Dong, Lianglu Zhang, Yue Huang, Kangkang Wan, Qiankun Yang, Shaochi Wang

Early detection of hepatocellular carcinoma (HCC) can greatly improve the survival rate of patients. We aimed to develop a novel marker panel based on cell-free DNA (cfDNA) methylation for the detection of HCC. The differentially methylated CpG sites (DMCs) specific for HCC blood diagnosis were selected from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) databases, then validated by the whole genome bisulphite sequencing (WGBS) of 12 paired HCC and paracancerous tissues. The clinical performance of the panel was evaluated using tissue samples [32 HCC, chronic liver disease (CLD), and healthy individuals] and plasma cohorts (173 HCC, 199 CLD, and 98 healthy individuals). The combination of G protein subunit beta 4 (GNB4) and Riplet had the optimal area under the curve (AUC) in seven candidates through TCGA, GEO, and WGBS analyses. In tissue validation, the GNB4 and Riplet showed an AUC of 100% with a sensitivity and specificity of 100% for detecting any-stage HCC. In plasma, it demonstrated a high sensitivity of 84.39% at 91.92% specificity, with an AUC of 92.51% for detecting any-stage HCC. The dual-marker panel had a higher sensitivity of 78.26% for stage I HCC than alpha-fetoprotein (AFP) of 47.83%, and a high sensitivity of 70.27% for detecting a single tumour (size ≤3 cm). In conclusion, we developed a novel dual-marker panel that demonstrates high accuracy in detecting HCC, surpassing the performance of AFP testing.

早期发现肝细胞癌(HCC)可大大提高患者的生存率。我们旨在开发一种基于无细胞DNA(cfDNA)甲基化的新型标记物面板,用于检测HCC。我们从癌症基因组图谱(The Cancer Genome Atlas,TCGA)和基因表达总库(Gene Expression Omnibus,GEO)数据库中筛选出了血液诊断 HCC 的特异性差异甲基化 CpG 位点(DMCs),然后对 12 个配对的 HCC 和癌旁组织进行了全基因组亚硫酸氢盐测序(WGBS)验证。利用组织样本(32 例 HCC、慢性肝病(CLD)和健康人)和血浆队列(173 例 HCC、199 例慢性肝病和 98 例健康人)对面板的临床性能进行了评估。通过TCGA、GEO和WGBS分析,G蛋白亚基β4(GNB4)和Riplet的组合在七个候选样本中具有最佳的曲线下面积(AUC)。在组织验证中,GNB4 和 Riplet 的 AUC 为 100%,对检测任何阶段的 HCC 的灵敏度和特异性均为 100%。在血浆中,检测任何阶段的 HCC 的灵敏度为 84.39%,特异性为 91.92%,AUC 为 92.51%。与甲胎蛋白(AFP)47.83%的灵敏度相比,双标记物检测 I 期 HCC 的灵敏度更高(78.26%),检测单个肿瘤(大小≤3 厘米)的灵敏度也高达 70.27%。总之,我们开发的新型双标记物面板在检测 HCC 方面具有很高的准确性,其性能超过了甲胎蛋白检测。
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引用次数: 0
Correction. 更正。
IF 2.9 3区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-01 Epub Date: 2024-08-04 DOI: 10.1080/15592294.2024.2388387
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引用次数: 0
Homocysteine affects macrophage polarization by altering m6A methylation of scavenger receptors CD209 and CD163L1. 同型半胱氨酸通过改变清除率受体CD209和CD163L1的m6A甲基化影响巨噬细胞极化。
IF 2.9 3区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-01 Epub Date: 2024-12-03 DOI: 10.1080/15592294.2024.2437272
Yu Liang, Yongbo Wang, Jia Tan, Jingxuan Shu, Ya Xu, Mingyuan Wang, Shengjun Yang, Linna Ma

Atherosclerosis is a chronic inflammatory disease characterized by fatty plaque deposits on artery walls. Elevated plasma homocysteine (Hcy) levels are an independent risk factor for atherosclerosis. Research on the mechanism by which Hcy promotes atherosclerosis has gradually turned to epigenetic inheritance, but the correlation between Hcy and m6A (N6-methyladenosine) modification has not been reported. In this study, MeRIP-seq was performed on macrophages and Hcy-treated macrophages. GO and KEGG analyses were used to perform functional analysis of differentially methylated genes. qRT-PCR and western blot were taken to determine the expression of CD209, CD163L1, proinflammatory, and anti-inflammatory factors. Flow cytometry was used to detect the proportion of M2 macrophages. The results showed that after Hcy treatment, the overall m6A methylation of macrophages was down-regulated, and 856 differential methylation peaks were annotated to 781 genes. These included CD209 and CD163L1, whose m6A methylation was inhibited after treatment with Hcy. In addition, mRNA and protein expressions of CD209 and CD163L1 were also inhibited after Hcy treatment. Overexpression of CD209 or CD163L1 prevents the Hcy-induced decrease in the proportion of M2 macrophages. This article identified changes in the modification level of m6A in macrophages by Hcy and revealed the possible mechanism by which Hcy induces macrophage polarization.

动脉粥样硬化是一种以动脉壁上脂肪斑块沉积为特征的慢性炎症性疾病。血浆同型半胱氨酸(Hcy)水平升高是动脉粥样硬化的独立危险因素。Hcy促进动脉粥样硬化的机制研究已逐渐转向表观遗传,但Hcy与m6A (n6 -甲基腺苷)修饰之间的相关性尚未见报道。在本研究中,对巨噬细胞和hcy处理的巨噬细胞进行MeRIP-seq。使用GO和KEGG分析对差异甲基化基因进行功能分析。采用qRT-PCR和western blot检测CD209、CD163L1、促炎因子和抗炎因子的表达。流式细胞术检测M2巨噬细胞比例。结果显示,经Hcy处理后,巨噬细胞m6A甲基化整体下调,781个基因注释了856个差异甲基化峰。其中包括CD209和CD163L1,它们的m6A甲基化在Hcy治疗后被抑制。此外,Hcy处理后CD209和CD163L1的mRNA和蛋白表达也受到抑制。过表达CD209或CD163L1可阻止hcy诱导的M2巨噬细胞比例下降。本文通过观察Hcy对巨噬细胞m6A修饰水平的改变,揭示了Hcy诱导巨噬细胞极化的可能机制。
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引用次数: 0
Global DNA methylation is not elevated in blood samples from Machado-Joseph disease mutation carriers. 在马查多-约瑟夫病突变携带者的血液样本中,全局 DNA 甲基化没有升高。
IF 2.9 3区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-01 Epub Date: 2024-06-20 DOI: 10.1080/15592294.2024.2368995
Luís Teves, Ana Rosa Vieira Melo, Ana F Ferreira, Mafalda Raposo, Carolina Lemos, Conceição Bettencourt, Manuela Lima

Machado-Joseph disease (MJD) is an autosomal dominant spinocerebellar ataxia (SCA) caused by a polyglutamine expansion in the ataxin-3 protein, which initiates a cascade of pathogenic events, including transcriptional dysregulation. Genotype-phenotype correlations in MJD are incomplete, suggesting an influence of additional factors, such as epigenetic modifications, underlying the MJD pathogenesis. DNA methylation is known to impact the pathophysiology of neurodegenerative disorders through gene expression regulation and increased methylation has been reported for other SCAs. In this work we aimed to analyse global methylation in MJD carriers. Global 5-mC levels were quantified in blood samples of 33 MJD mutation carriers (patients and preclinical subjects) and 33 healthy controls, matched by age, sex, and smoking status. For a subset of 16 MJD subjects, a pilot follow-up analysis with two time points was also conducted. No differences were found in median global 5-mC levels between MJD mutation carriers and controls and no correlations between methylation levels and clinical or genetic variables were detected. Also, no alterations in global 5-mC levels were observed over time. Our findings do not support an increase in global blood methylation levels associated with MJD.

马查多-约瑟夫病(MJD)是一种常染色体显性脊髓小脑共济失调症(SCA),由共济失调蛋白-3(ataxin-3)中的多谷氨酰胺扩增引起,这种扩增会引发一系列致病事件,包括转录失调。MJD的基因型与表型之间的相关性并不完全,这表明MJD的发病机制还受到表观遗传修饰等其他因素的影响。众所周知,DNA 甲基化可通过基因表达调控影响神经退行性疾病的病理生理学,其他 SCA 也有甲基化增加的报道。在这项工作中,我们旨在分析 MJD 携带者的整体甲基化情况。我们对 33 名 MJD 基因突变携带者(患者和临床前受试者)和 33 名健康对照者的血液样本中的 5-mC 整体水平进行了量化,这些携带者的年龄、性别和吸烟状况与健康对照者相匹配。还对 16 名 MJD 受试者的子集进行了两个时间点的试验性随访分析。结果发现,MJD 基因突变携带者与对照组之间的 5-mC 中位数水平没有差异,也没有发现甲基化水平与临床或遗传变异之间存在相关性。此外,随着时间的推移,也没有观察到全球 5-mC 水平的变化。我们的研究结果不支持与 MJD 相关的全血甲基化水平的增加。
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引用次数: 0
Association of changes in expression of HDAC and SIRT genes after drug treatment with cancer cell line sensitivity to kinase inhibitors. 药物治疗后 HDAC 和 SIRT 基因表达的变化与癌细胞系对激酶抑制剂敏感性的关系。
IF 3.7 3区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-01 Epub Date: 2024-02-18 DOI: 10.1080/15592294.2024.2309824
Julia Krushkal, Yingdong Zhao, Kyle Roney, Weimin Zhu, Alan Brooks, Deborah Wilsker, Ralph E Parchment, Lisa M McShane, James H Doroshow

Histone deacetylases (HDACs) and sirtuins (SIRTs) are important epigenetic regulators of cancer pathways. There is a limited understanding of how transcriptional regulation of their genes is affected by chemotherapeutic agents, and how such transcriptional changes affect tumour sensitivity to drug treatment. We investigated the concerted transcriptional response of HDAC and SIRT genes to 15 approved antitumor agents in the NCI-60 cancer cell line panel. Antitumor agents with diverse mechanisms of action induced upregulation or downregulation of multiple HDAC and SIRT genes. HDAC5 was upregulated by dasatinib and erlotinib in the majority of the cell lines. Tumour cell line sensitivity to kinase inhibitors was associated with upregulation of HDAC5, HDAC1, and several SIRT genes. We confirmed changes in HDAC and SIRT expression in independent datasets. We also experimentally validated the upregulation of HDAC5 mRNA and protein expression by dasatinib in the highly sensitive IGROV1 cell line. HDAC5 was not upregulated in the UACC-257 cell line resistant to dasatinib. The effects of cancer drug treatment on expression of HDAC and SIRT genes may influence chemosensitivity and may need to be considered during chemotherapy.

组蛋白去乙酰化酶(HDACs)和sirtuins(SIRTs)是癌症通路的重要表观遗传调节因子。人们对其基因的转录调控如何受到化疗药物的影响,以及这种转录变化如何影响肿瘤对药物治疗的敏感性了解有限。我们研究了 HDAC 和 SIRT 基因对 NCI-60 癌细胞系面板中 15 种已获批准的抗肿瘤药物的协同转录反应。具有不同作用机制的抗肿瘤药物诱导了多个 HDAC 和 SIRT 基因的上调或下调。在大多数细胞系中,达沙替尼和厄洛替尼上调了 HDAC5。肿瘤细胞系对激酶抑制剂的敏感性与 HDAC5、HDAC1 和多个 SIRT 基因的上调有关。我们在独立数据集中证实了 HDAC 和 SIRT 表达的变化。我们还通过实验验证了达沙替尼在高敏IGROV1细胞系中对HDAC5 mRNA和蛋白表达的上调作用。在对达沙替尼耐药的UACC-257细胞系中,HDAC5没有上调。癌症药物治疗对HDAC和SIRT基因表达的影响可能会影响化疗敏感性,在化疗过程中可能需要加以考虑。
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引用次数: 0
ZSCAN25 methylation predicts seizures and severe alcohol withdrawal syndrome. ZSCAN25 甲基化可预测癫痫发作和严重酒精戒断综合征。
IF 3.7 3区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-01 Epub Date: 2024-01-03 DOI: 10.1080/15592294.2023.2298057
Allan Andersen, Emily Milefchik, Emma Papworth, Brandan Penaluna, Kelsey Dawes, Joanna Moody, Gracie Weeks, Ellyse Froehlich, Kaitlyn deBlois, Jeffrey D Long, Robert Philibert

Currently, clinicians use their judgement and indices such as the Prediction of Alcohol Withdrawal Syndrome Scale (PAWSS) to determine whether patients are admitted to hospitals for consideration of withdrawal syndrome (AWS). However, only a fraction of those admitted will experience severe AWS. Previously, we and others have shown that epigenetic indices, such as the Alcohol T-Score (ATS), can quantify recent alcohol consumption. However, whether these or other alcohol biomarkers, such as carbohydrate deficient transferrin (CDT), could identify those at risk for severe AWS is unknown. To determine this, we first conducted genome-wide DNA methylation analyses of subjects entering and exiting alcohol treatment to identify loci whose methylation quickly reverted as a function of abstinence. We then tested whether methylation at a rapidly reverting locus, cg07375256, or other existing metrics including PAWSS scores, CDT levels, or ATS, could predict outcome in 125 subjects admitted for consideration of AWS. We found that PAWSS did not significantly predict severe AWS nor seizures. However, methylation at cg07375256 (ZSCAN25) and CDT strongly predicted severe AWS with ATS (p < 0.007) and cg07375256 (p < 6 × 10-5) methylation also predicting AWS associated seizures. We conclude that epigenetic methods can predict those likely to experience severe AWS and that the use of these or similar Precision Epigenetic approaches could better guide AWS management.

目前,临床医生根据自己的判断和酒精戒断综合征预测量表(PAWSS)等指标来决定患者是否因考虑戒断综合征(AWS)而入院。然而,只有一小部分入院患者会出现严重的戒断综合征。在此之前,我们和其他人已经证明,酒精T-评分(ATS)等表观遗传指数可以量化近期的酒精消耗量。然而,这些指标或其他酒精生物标志物(如碳水化合物缺乏性转铁蛋白(CDT))是否能识别有严重酒精中毒风险的人群尚不清楚。为了确定这一点,我们首先对进入和退出酒精治疗的受试者进行了全基因组 DNA 甲基化分析,以确定其甲基化随戒酒而迅速恢复的位点。然后,我们测试了快速甲基化位点 cg07375256 或其他现有指标(包括 PAWSS 评分、CDT 水平或 ATS)的甲基化是否能预测 125 名考虑接受 AWS 治疗的受试者的治疗结果。我们发现,PAWSS 并不能显著预测严重的 AWS 或癫痫发作。然而,cg07375256(ZSCAN25)和 CDT 的甲基化可强烈预测严重 AWS 和 ATS(P P
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引用次数: 0
Sex and tissue-specificity of piRNA regulation in adult mice following perinatal lead (Pb) exposure. 围产期铅(Pb)暴露后成年小鼠 piRNA 调节的性别和组织特异性。
IF 2.9 3区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-01 Epub Date: 2024-11-13 DOI: 10.1080/15592294.2024.2426952
Bambarendage P U Perera, Kai Wang, Dongyue Wang, Kathleen Chen, Alisa Dewald, Swati Sriram, Jaclyn M Goodrich, Laurie K Svoboda, Maureen A Sartor, Dana C Dolinoy

Lead (Pb) is a neurotoxicant with early life exposure linked to long-term health effects. Piwi-interacting RNAs (piRNAs) are small non-coding RNAs that associate with PIWIL proteins to induce DNA methylation. It remains unknown whether Pb exposure influences piRNA expression. This study evaluated how perinatal Pb exposure (32 ppm in drinking water) impacts piRNA expression in adult mice and assessed piRNA dysregulation as a potential mechanism for Pb-induced toxicity. Pb exposure effects on piRNA expression and associated gene repression in the germline (testis/ovary) and soma (liver and brain) were evaluated. Small RNA sequencing was used to determine differentially expressed piRNAs, RT-qPCR to examine piRNA target expression, and whole genome bisulfite sequencing to evaluate target DNA methylation status. Three piRNAs (mmpiR-1500602, mmpiR-0201406, and mmpiR-0200026) were significant after multiple testing correction (all downregulated in the male Pb-exposed brain in comparison to control; FDR < 0.05). Within piOxiDB, TAO Kinase 3 was identified as a downstream mRNA target for one of the three Pb-sensitive piRNA. The Pb-exposed male brain exhibited increased Taok3 expression (p < 0.05) and decreased DNA methylation (FDR < 0.01). The results demonstrate that perinatal Pb exposure stably influences longitudinal piRNA expression in a tissue- and sex-specific manner, potentially via DNA methylation-directed mechanisms.

铅(Pb)是一种神经毒物,早期接触铅会对健康产生长期影响。Piwi-interacting RNA(piRNA)是一种小型非编码 RNA,可与 PIWIL 蛋白结合,诱导 DNA 甲基化。目前仍不清楚铅暴露是否会影响 piRNA 的表达。本研究评估了围产期铅暴露(饮用水中浓度为百万分之 32)如何影响成年小鼠的 piRNA 表达,并评估了 piRNA 失调作为铅诱导毒性的一种潜在机制。评估了铅暴露对生殖细胞(睾丸/卵巢)和体细胞(肝脏和大脑)中 piRNA 表达和相关基因抑制的影响。使用小 RNA 测序确定不同表达的 piRNA,使用 RT-qPCR 检测 piRNA 的靶表达,使用全基因组亚硫酸氢盐测序评估靶 DNA 甲基化状态。经多重检验校正后,三个 piRNA(mmpiR-1500602、mmpiR-0200026 和 mmpiR-0200026)具有显著性(与对照组相比,所有 piRNA 在暴露于铅的雄性大脑中都下调;FDR Taok3 表达(p
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引用次数: 0
Letter to the editor: critical evaluation of the reliability of DNA methylation probes on the illumina MethylationEPIC v1.0 BeadChip microarrays. 致编辑的信:对illumina MethylationEPIC v1.0 BeadChip芯片上DNA甲基化探针可靠性的批判性评估。
IF 2.9 3区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-01 Epub Date: 2024-10-04 DOI: 10.1080/15592294.2024.2411470
Julian Hecker, Scott T Weiss, Jessica A Lasky-Su, Dawn L DeMeo, Christoph Lange
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引用次数: 0
Epigenome-wide association study of loneliness in a sample of U.S. middle-aged twins. 美国中年双胞胎孤独感的全表观基因组关联研究。
IF 2.9 3区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-01 Epub Date: 2024-12-08 DOI: 10.1080/15592294.2024.2427999
Christopher R Beam, Kelly M Bakulski, Ebrahim Zandi, Eric Turkheimer, Morgan Lynch, Alaina I Gold, Thalida Em Arpawong, Sophie A Bell, Alyssa C Kam, Jonathan Becker, Deborah Winders Davis

Loneliness is a complex human trait that is highly polygenic and found to affect gene expression related to inflammatory and immunological functioning. To date, no epigenome-wide association studies of loneliness have tested whether differentially methylated sites are annotated to genes associated with inflammatory and immunological processes. Using 281 individual adult twins' DNA methylation data from the Louisville Twin Study, we performed an epigenome-wide analysis of loneliness to address this gap in the literature. In the discovery analysis, 169 twins were used to prioritize probes and test associations with DNA methylation age acceleration, and 56 independent monozygotic (MZ) twin pairs (112 individuals) were used in a within-family replication analysis. Among the 837,274 sites analyzed, no probe sites were statistically significant at the genome-wide level (p < 5.97 × 10-8), but 25 suggestive sites (p < 5 × 10-5) were annotated to genes related to various biological processes, including inflammatory response and protein-binding functions that extend prior findings. The nominal associations at these suggestive probe sites were highly correlated (r = .72) between the discovery sample and the MZ pair replication sample. Finally, loneliness significantly correlated with the DunedinPACE DNA methylation measure, suggesting that higher levels of loneliness were associated with accelerated epigenetic age as quantified by a measure that indexes longitudinal changes across multiple organ systems.

孤独是一种复杂的人类特征,它是高度多基因的,并被发现影响与炎症和免疫功能相关的基因表达。迄今为止,还没有孤独感的全表观基因组关联研究测试了差异甲基化位点是否被注释为与炎症和免疫过程相关的基因。利用来自路易斯维尔双胞胎研究的281对成年双胞胎的DNA甲基化数据,我们对孤独感进行了全表观基因组分析,以解决文献中的这一空白。在发现分析中,169对双胞胎被用于优先排序探针并测试与DNA甲基化年龄加速的关联,56对独立的单卵(MZ)双胞胎(112个人)被用于家庭内复制分析。在分析的837274个位点中,没有探针位点在全基因组水平上具有统计学意义(p -8),但25个提示位点(p -5)被注释为与各种生物过程相关的基因,包括炎症反应和蛋白质结合功能,扩展了先前的发现。在发现样本和MZ对复制样本之间,这些暗示探针位点的名义关联是高度相关的(r = .72)。最后,孤独感与DunedinPACE DNA甲基化测量结果显著相关,这表明孤独感水平的升高与表观遗传年龄的加速有关,这是通过一项指标衡量多器官系统的纵向变化来量化的。
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引用次数: 0
A promising application of kidney-specific cell-free DNA methylation markers in real-time monitoring sepsis-induced acute kidney injury. 肾脏特异性无细胞 DNA 甲基化标记在实时监测败血症诱发的急性肾损伤中的应用前景广阔。
IF 2.9 3区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-01 Epub Date: 2024-10-07 DOI: 10.1080/15592294.2024.2408146
Ruilian You, Xiangming Quan, Peng Xia, Chao Zhang, Anlei Liu, Hanshu Liu, Ling Yang, Huadong Zhu, Limeng Chen

Sepsis-induced acute kidney injury (SI-AKI) is a common clinical syndrome that is associated with high mortality and morbidity. Effective timely detection may improve the outcome of SI-AKI. Kidney-derived cell-free DNA (cfDNA) may provide new insight into understanding and identifying SI-AKI. Plasma cfDNA from 82 healthy individuals, 7 patients with sepsis non-acute kidney injury (SN-AKI), and 9 patients with SI-AKI was subjected to genomic methylation sequencing. We deconstructed the relative contribution of cfDNA from different cell types based on cell-specific methylation markers and focused on exploring the association between kidney-derived cfDNA and SI-AKI.Based on the deconvolution of the cfDNA methylome: SI-AKI patients displayed the elevated cfDNA concentrations with an increased contribution of kidney epithelial cells (kidney-Ep) DNA; kidney-Ep derived cfDNA achieved high accuracy in distinguishing SI-AKI from SN-AKI (AUC = 0.92, 95% CI 0.7801-1); the higher kidney-ep cfDNA concentrations tended to correlate with more advanced stages of SI-AKI; strikingly, SN-AKI patients with potential kidney damage unmet by SI-AKI criteria showed higher levels of kidney-Ep derived cfDNA than healthy individuals. The autonomous screening of kidney-Ep (n = 24) and kidney endothelial (kidney-Endo, n = 12) specific methylation markers indicated the unique identity of kidney-Ep/kidney-Endo compared with other cell types, and its targeted assessment reproduced the main findings of the deconvolution of the cfDNA methylome. Our study first demonstrates that kidney-Ep- and kidney-Endo-specific methylation markers can serve as a novel marker for SI-AKI emergence, supporting further exploration of the utility of kidney-specific cfDNA methylation markers in the study of SI-AKI.

败血症诱发急性肾损伤(SI-AKI)是一种常见的临床综合征,死亡率和发病率都很高。及时有效的检测可改善 SI-AKI 的预后。肾脏来源的无细胞DNA(cfDNA)可为了解和识别SI-AKI提供新的视角。我们对 82 名健康人、7 名败血症非急性肾损伤(SN-AKI)患者和 9 名 SI-AKI 患者的血浆 cfDNA 进行了基因组甲基化测序。我们根据细胞特异性甲基化标记解构了来自不同细胞类型的 cfDNA 的相对贡献,并重点探索了肾脏来源的 cfDNA 与 SI-AKI 之间的关联:SI-AKI患者的cfDNA浓度升高,肾上皮细胞(肾-Ep)DNA的贡献增加;肾-Ep衍生的cfDNA在区分SI-AKI和SN-AKI方面具有很高的准确性(AUC = 0.92, 95% CI 0.7801-1);较高的肾-ep cfDNA 浓度往往与 SI-AKI 的晚期阶段相关;引人注目的是,未达到 SI-AKI 标准的潜在肾损伤 SN-AKI 患者的肾-Ep 衍生 cfDNA 水平高于健康人。对肾-Ep(24 人)和肾内皮(12 人)特异性甲基化标记物的自主筛选表明,肾-Ep/肾-Endo 与其他细胞类型相比具有独特的特性,其针对性评估再现了 cfDNA 甲基化组解旋的主要发现。我们的研究首次证明了肾-Ep和肾-Endo特异性甲基化标记物可作为SI-AKI出现的新型标记物,支持进一步探索肾特异性cfDNA甲基化标记物在SI-AKI研究中的应用。
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引用次数: 0
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