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Inhibition of integrin alpha v/beta 5 mitigates the protective effect induced by irisin in hemorrhage 整合素αv/β5的抑制减轻了鸢尾素在出血中诱导的保护作用。
IF 3.6 4区 医学 Q2 PATHOLOGY Pub Date : 2023-09-27 DOI: 10.1016/j.yexmp.2023.104869
Lijiang Wang , Supaporn Kulthinee , John Slate-Romano , Thomas Zhao , Hamsa Shanmugam , Patrycja M Dubielecka , Ling X. Zhang , Gangjian Qin , Shougang Zhuang , Y. Eugene Chin , Ting C. Zhao

Introduction

Irisin plays an important role in regulating tissue stress, cardiac function, and inflammation. Integrin αvβ5 was recently identified as a receptor for irisin to elicit its physiologic function. It remains unknown whether integrin αvβ5 is required for irisin's function in modulating the physiologic response to hemorrhage. The objective of this study is to examine if integrin αvβ5 contributes to the effects of irisin during the hemorrhagic response.

Methods

Hemorrhage was induced in mice by achieving a mean arterial blood pressure of 35–45 mmHg for one hour, followed by two hours of resuscitation. Irisin (0.5  μg/kg) was administrated to assess its pharmacologic effects in hemorrhage. Cilengitide, a cyclic Arg-Gly-Asp peptide (cRGDyK) which is an inhibitor of integrin αvβ5, or control RGDS (1 mg/kg) was administered with irisin. In another cohort of mice, the irisin-induced protective effect was examined after knocking down integrin β5 with nanoparticle delivery of integrin β5 sgRNA using CRSIPR/Cas-9 gene editing. Cardiac function and hemodynamics were measured using echocardiography and femoral artery catheterization, respectively. Systemic cytokine releases were measured using Enzyme-linked immunosorbent assay (ELISA). Histological analyses were used to determine tissue damage in myocardium, skeletal muscles, and lung tissues. Terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) was carried out to assess apoptosis in tissues.

Results

Hemorrhage induced reduction of integrin αvβ5 in skeletal muscles and repressed recovery of cardiac performance and hemodynamics. Irisin treatment led to significantly improved cardiac function, which was abrogated by treatment with Cilengitide or knockdown of integrin β5. Furthermore, irisin resulted in a marked suppression of tumor necrosis factor-α (TNF-α) and interleukin-1 (IL-1), muscle edema, and inflammatory cells infiltration in myocardium and skeletal muscles, which was attenuated by Cilengitide or knockdown of integrin β5. Irisin-induced reduction of apoptosis in the myocardium, skeletal muscles, and lung, which were attenuated by either the inhibition of integrin αvβ5, or knockdown of integrin β5.

Conclusion

Integrin αvβ5 plays an important role for irisin in modulating the protective effect during hemorrhage.

引言:Irisin在调节组织应激、心脏功能和炎症方面发挥着重要作用。整合素αvβ5最近被鉴定为鸢尾素的受体,以引发其生理功能。目前尚不清楚整合素αvβ5是否是鸢尾素调节出血生理反应所必需的。本研究的目的是检测整合素αvβ5是否有助于鸢尾素在出血反应中的作用。方法:通过使小鼠平均动脉血压达到35-45mmHg持续1小时,然后复苏2小时来诱导小鼠出血。给予Irisin(0.5μg/kg)以评估其在出血中的药理作用。Cilengitide是一种环状Arg-Gly-Asp肽(cRGDyK),是整合素αvβ5的抑制剂,或对照RGDS(1mg/kg)与鸢尾素一起给药。在另一组小鼠中,使用CRSIPR/Cas-9基因编辑,用整合素β5 sgRNA的纳米颗粒递送敲低整合素β5后,检测了鸢尾素诱导的保护作用。分别用超声心动图和股动脉导管插入术测量心功能和血流动力学。使用酶联免疫吸附测定法(ELISA)测量全身细胞因子释放。组织学分析用于确定心肌、骨骼肌和肺组织的组织损伤。末端脱氧核苷酸转移酶dUTP缺口末端标记(TUNEL)用于评估组织中的细胞凋亡。结果:出血导致骨骼肌整合素αvβ5减少,抑制心功能和血流动力学的恢复。Irisin治疗可显著改善心功能,而Cilengitide治疗或敲低整合素β5可消除这一点。此外,鸢尾素可显著抑制肿瘤坏死因子-α(TNF-α)和白细胞介素-1(IL-1)、肌肉水肿以及心肌和骨骼肌中的炎症细胞浸润,而Cilengitide或整合素β5的敲低可减弱这种抑制作用。鸢尾素诱导的心肌、骨骼肌和肺细胞凋亡减少,通过抑制整合素αvβ5或敲低整合素β5而减弱。结论:整合素αvα5在调节出血保护作用中起重要作用。
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引用次数: 0
Effects of bisphenol A on murine salivary glands and human tumor cell lines 双酚A对小鼠唾液腺和人肿瘤细胞系的影响
IF 3.6 4区 医学 Q2 PATHOLOGY Pub Date : 2023-09-13 DOI: 10.1016/j.yexmp.2023.104870
Gabriela Kelly da Silva , José Alcides Almeida de Arruda , Tatiana Fernandes Araújo Almeida , Sicília Rezende Oliveira , Paula Alves da Silva Rocha , Ricardo Alves Mesquita , Zenilda de Lourdes Cardeal , Helvécio Costa Menezes , Ivana Márcia Alves Diniz , Soraia Macari , Andréia Machado Leopoldino , Tarcília Aparecida Silva

Bisphenol A (BPA) is an endocrine-disrupting chemical with a potential role in endocrine cancers. However, the effects of BPA on the salivary glands have been barely explored. We investigated the impact of in vivo sub-chronic exposure to BPA and its in vitro effects on human salivary gland mucoepidermoid carcinoma cell lines. Male and female mice were exposed to BPA (30 mg/kg/day). Sublingual and submandibular salivary glands from an estrogen-deficiency model were also analyzed. BPA concentration in salivary glands was evaluated by gas chromatography coupled to ion trap mass spectrometry. Immunohistochemical analysis using anti-p63 and anti-α-SMA antibodies was performed on mouse salivary gland tissues. Gene expression of estrogen receptors alpha and beta, P63 and α-SMA was quantified in mouse salivary gland and/or mucoepidermoid (UM-HMC-1 and UM-HMC-3A) cell lines. Cell viability, p63 and Ki-67 immunostaining were evaluated in vitro. BPA disrupted the tissue architecture of the submandibular and sublingual glands, particularly in female mice, and increased the expression of estrogen receptors and p63, effects that were accompanied by significant BPA accumulation in these tissues. Conversely, ovariectomy slightly impacted BPA-induced morphological changes. In vitro, BPA did not affect the proliferation of neoplastic cells, but augmented the expression of p63 and estrogen receptors. The present data highlight a potential harmful effect of BPA on salivary gland tissues, particularly in female mice, and salivary gland tumor cells. Our findings suggest that estrogen-dependent pathways may orchestrate the effects of BPA in salivary glands.

双酚A (BPA)是一种干扰内分泌的化学物质,在内分泌癌中有潜在的作用。然而,BPA对唾液腺的影响几乎没有被研究过。我们研究了体内亚慢性BPA暴露对人唾液腺黏液表皮样癌细胞的影响及其体外效应。雄性和雌性小鼠暴露于BPA (30 mg/kg/天)。还分析了雌激素缺乏模型的舌下和下颌下唾液腺。采用气相色谱-离子阱质谱联用技术测定唾液腺中BPA浓度。采用抗p63和抗α- sma抗体对小鼠唾液腺组织进行免疫组化分析。测定小鼠唾液腺和/或黏液表皮样细胞(UM-HMC-1和UM-HMC-3A)中雌激素受体α和β、P63和α-SMA的基因表达。体外检测细胞活力、p63、Ki-67免疫染色。BPA破坏了下颌骨和舌下腺的组织结构,特别是在雌性小鼠中,并增加了雌激素受体和p63的表达,这些影响伴随着BPA在这些组织中的大量积累。相反,卵巢切除术轻微影响bpa诱导的形态学改变。在体外实验中,BPA不影响肿瘤细胞的增殖,但增加了p63和雌激素受体的表达。目前的数据强调了BPA对唾液腺组织(尤其是雌性小鼠)和唾液腺肿瘤细胞的潜在有害影响。我们的研究结果表明,雌激素依赖途径可能协调了BPA在唾液腺中的作用。
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引用次数: 0
DNA methylation of HOX genes and its clinical implications in cancer HOX基因的DNA甲基化及其在癌症中的临床意义
IF 3.6 4区 医学 Q2 PATHOLOGY Pub Date : 2023-09-13 DOI: 10.1016/j.yexmp.2023.104871
Xin Hu , Yong Wang , Xiaoyu Zhang , Chensheng Li , Xikun Zhang , Dongxia Yang , Yuanyuan Liu , Lianlian Li

Homeobox (HOX) genes encode highly conserved transcription factors that play vital roles in embryonic development. DNA methylation is a pivotal regulatory epigenetic signaling mark responsible for regulating gene expression. Abnormal DNA methylation is largely associated with the aberrant expression of HOX genes, which is implicated in a broad range of human diseases, including cancer. Numerous studies have clarified the mechanisms of DNA methylation in both physiological and pathological processes. In this review, we focus on how DNA methylation regulates HOX genes and briefly discuss drug development approaches targeting these mechanisms.

同源盒(HOX)基因编码高度保守的转录因子,在胚胎发育中起着至关重要的作用。DNA甲基化是调控基因表达的关键调控表观遗传信号标记。异常DNA甲基化在很大程度上与HOX基因的异常表达有关,这与包括癌症在内的多种人类疾病有关。大量的研究已经阐明了DNA甲基化在生理和病理过程中的机制。在这篇综述中,我们将重点关注DNA甲基化如何调节HOX基因,并简要讨论针对这些机制的药物开发方法。
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引用次数: 0
A review of the critical role of vitamin D axis on the immune system 维生素D轴在免疫系统中的重要作用综述
IF 3.6 4区 医学 Q2 PATHOLOGY Pub Date : 2023-08-01 DOI: 10.1016/j.yexmp.2023.104866
Gholamreza Daryabor , Nasser Gholijani , Fatemeh Rezaei Kahmini

In recent years, the physiological and molecular functions of vitamin D (Vit-D) have been deeply investigated. At first, Vit-D was considered a regulator of mineral and skeletal homeostasis. However, due to the extensive-expression pattern of Vit-D receptor (VDR) in almost every non-skeletal cell, Vit-D is considered mainly a multifunctional agent with broad effects on various tissues, notably the immune system. The expression of VDR in immune cells such as dendritic cells, monocyte/macrophage, neutrophils, B cells and T cells has been well demonstrated. Besides, such immune cells are capable of metabolizing the active form of Vit-D which means that it can module the immune system in both paracrine and autocrine manners. Vit-D binding protein (DBP), that regulates the levels and homeostasis of Vit-D, is another key molecule capable of modulating the immune system. Recent studies indicate that dysregulation of Vit-D axis, variations in the DBP and VDR genes, and Vit-D levels might be risk factors for the development of autoimmune disease. Here, the current evidence regarding the role of Vit-D axis on the immune system, as well as its role in the development of autoimmune disease will be clarified. Further insight will be given to those studies that investigated the association between single nucleotide polymorphisms of DBP and VDR genes with autoimmune disease susceptibility.

近年来,人们对维生素D(Vit-D)的生理和分子功能进行了深入的研究。起初,维生素D被认为是矿物质和骨骼稳态的调节因子。然而,由于维生素D受体(VDR)在几乎所有非骨骼细胞中的广泛表达模式,维生素D主要被认为是一种对各种组织,特别是免疫系统具有广泛作用的多功能制剂。VDR在免疫细胞如树突状细胞、单核细胞/巨噬细胞、中性粒细胞、B细胞和T细胞中的表达已得到充分证明。此外,这种免疫细胞能够代谢活性形式的维生素D,这意味着它可以以旁分泌和自分泌的方式调节免疫系统。调节维生素D水平和稳态的维生素D结合蛋白(DBP)是另一种能够调节免疫系统的关键分子。最近的研究表明,维生素D轴的失调、DBP和VDR基因的变异以及维生素D水平可能是自身免疫性疾病发展的危险因素。在这里,目前关于维生素D轴在免疫系统中的作用及其在自身免疫性疾病发展中的作用的证据将得到澄清。研究DBP和VDR基因单核苷酸多态性与自身免疫性疾病易感性之间关系的研究将提供进一步的见解。
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引用次数: 1
Characterization of human umbilical cord blood-derived mast cells using high-throughput expression profiling and next-generation knowledge discovery platforms 利用高通量表达谱和下一代知识发现平台表征人类脐带血来源的肥大细胞
IF 3.6 4区 医学 Q2 PATHOLOGY Pub Date : 2023-08-01 DOI: 10.1016/j.yexmp.2023.104867
Sherin Bakhashab , Ghalya H. Banafea , Farid Ahmed , Haneen Alsehli , Huda F. AlShaibi , Nadia Bagatian , Ohoud Subhi , Kalamegam Gauthaman , Mahmood Rasool , Hans-Juergen Schulten , Peter Natesan Pushparaj

Mast cells (MCs) are tissue-resident innate immune cells that express the high-affinity receptor for immunoglobulin E and are responsible for host defense and an array of diseases related to immune system. We aimed in this study to characterize the pathways and gene signatures of human cord blood-derived MCs (hCBMCs) in comparison to cells originating from CD34 progenitors using next-generation knowledge discovery methods. CD34+ cells were isolated from human umbilical cord blood using magnetic activated cell sorting and differentiated into MCs with rhIL-6 and rhSCF supplementation for 6–8 weeks. The purity of hCBMCs was analyzed by flow cytometry exhibiting the surface markers CD117+CD34CD45CD23FcεR1αdim. Total RNA from hCBMCs and CD34 cells were isolated and hybridized using microarray. Differentially expressed genes were analyzed using iPathway Guide and Pre-Ranked Gene Set Enrichment Analysis. Next-generation knowledge discovery platforms revealed MC-specific gene signatures and molecular pathways enriched in hCBMCs and pertain the immunological response repertoire.

肥大细胞(MC)是组织固有的先天免疫细胞,表达免疫球蛋白E的高亲和力受体,负责宿主防御和一系列与免疫系统相关的疾病。在本研究中,我们旨在使用下一代知识发现方法,与来源于CD34祖细胞的细胞相比,表征人脐血来源的MCs(hCBMCs)的途径和基因特征。使用磁性活化细胞分选从人脐带血中分离CD34+细胞,并在补充rhIL-6和rhSCF的情况下分化为MCs 6-8周。通过流式细胞术分析hCBMCs的纯度,显示表面标记CD117+CD34−CD45−CD23−FcεR1αdim。从hCBMCs和CD34−细胞中分离总RNA,并使用微阵列进行杂交。使用iPathway指南和预排序基因集富集分析来分析差异表达的基因。下一代知识发现平台揭示了hCBMCs中富集的MC特异性基因特征和分子途径,并涉及免疫反应库。
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引用次数: 0
Epigenetic regulation of circ-HIPK3, circ-PVT1, miR-25, and miR-149 in radiosensitivity of breast cancer circ-HIPK3、circ-PVT1、miR-25和miR-149在乳腺癌放射敏感性中的表观遗传调控
IF 3.6 4区 医学 Q2 PATHOLOGY Pub Date : 2023-08-01 DOI: 10.1016/j.yexmp.2023.104865
Elahe Abdollahi, Hossein Mozdarani

Assessing the radiosensitivity of cells before administering radiation therapy (RT) to individuals diagnosed with breast cancer (BC) can facilitate the selection of appropriate treatment regimens and minimize the incidence of adverse side effects in patients undergoing radiation exposure.

In this research, blood samples were obtained from 60 women who had been diagnosed with Invasive Ductal Carcinoma (IDC) Breast Cancer. The average age of the patients was 47 ± 9.93. Additionally, the study incorporated 20 healthy women, with an average age of 44.43 ± 6.7. A standard G2 assay was conducted to predict the cellular response to radiation. Out of the 60 samples, the G2 assay identified 20 patients with breast cancer who exhibited radiosensitivity. Hence, molecular investigations were ultimately conducted on two equivalent cohorts comprising 20 subjects each, one with and the other without cellular radiosensitivity. The expression levels of miR-149, miR-25, circ-PVT1, and circ-HIPK3 in peripheral blood mononuclear cells (PBMCs) were evaluated using quantitative polymerase chain reaction (qPCR). Receiver Operating Characteristic (ROC) curves were used to evaluate the sensitivity and specificity of the RNAs. An analysis using binary logistic regression was performed to investigate the relationship between RNAs and both BC and cellular radiosensitivity (CR) in patients with BC.

The findings revealed a significant upregulation of Circ-HIPK3 and circ-PVT1 in individuals diagnosed with BC. The levels of Circ-HIPK3 and Circ-PVT1 were found to be directly associated with CR in BC patients. The analysis of the ROC curve demonstrated that circ-HIPK3 and circ-PVT1 exhibit favorable specificity and sensitivity in accurately predicting both BC and CR in patients with BC. The findings from the binary logistic regression analysis demonstrated that circ-HIPK3 and circ-PVT1 were effective predictors of both BC and CR. The ROC curve and binary logistic regression analyses provide evidence that miR-25 is a reliable predictor for BC patients exclusively.

Our research has demonstrated that circ-HIPK3, circ-PVT1, and miR-25 may be involved in BC regulatory processes. The circular RNAs Circ-HIPK3 and circ-PVT1, as well as miR-25, among other significant biomarkers, could potentially serve as promising biomarkers for predicting BC. Furthermore, Circ-HIPK3 and circ-PVT1 have the potential to serve as biomarkers for predicting CR in BC patients.

在对诊断为癌症(BC)的个体进行放射治疗(RT)之前,评估细胞的放射敏感性可以促进选择适当的治疗方案,并最大限度地降低接受放射治疗的患者的不良副作用发生率。在这项研究中,从60名被诊断为侵袭性导管癌(IDC)癌症的女性身上采集了血液样本。患者的平均年龄为47±9.93岁。此外,该研究纳入了20名健康女性,平均年龄为44.43±6.7岁。进行标准G2测定以预测细胞对辐射的反应。在60个样本中,G2检测确定了20名表现出放射敏感性的癌症乳腺癌患者。因此,最终对两个同等的队列进行了分子研究,每个队列包括20名受试者,一名具有细胞放射敏感性,另一名没有细胞放射敏感性。使用定量聚合酶链式反应(qPCR)评估外周血单核细胞(PBMC)中miR-149、miR-25、circ-PVT1和circ-HIPK3的表达水平。受试者操作特征(ROC)曲线用于评估RNA的敏感性和特异性。使用二元逻辑回归进行分析,以研究RNA与BC患者的BC和细胞放射敏感性(CR)之间的关系。研究结果显示,在诊断为BC的个体中,Circ-HIPK3和Circ-PVT1显著上调。发现Circ-HIPK3和Circ-PVT1的水平与BC患者的CR直接相关。ROC曲线的分析表明,circ-HIPK3和circ-PVT1在准确预测BC患者的BC和CR方面表现出良好的特异性和敏感性。二元逻辑回归分析的结果表明,circ-HIPK3和circ-PVT1是BC和CR的有效预测因子。ROC曲线和二元逻辑返回分析提供了证据,证明miR-25仅是BC患者的可靠预测因子。我们的研究表明,circ-HIPK3、circ-PVT1和miR-25可能参与BC调节过程。环状RNA Circ-HIPK3和Circ-PVT1,以及miR-25,以及其他重要的生物标志物,可能成为预测BC的有前途的生物标志。此外,Circ-HIPK3和Circ-PVT1有潜力作为预测BC患者CR的生物标志物。
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引用次数: 0
The biogenesis, biological functions and modification of Circular RNAs 环状rna的生物发生、生物学功能和修饰
IF 3.6 4区 医学 Q2 PATHOLOGY Pub Date : 2023-06-01 DOI: 10.1016/j.yexmp.2023.104861
Sen Liu , Xiang Yu Guo , Qing Juan Shang , Peng Gao

Circular RNAs are covalently closed and non-coding in eukaryotes, which have tissue- specific and temporal-specific expression patterns whose biogenesis is regulated by transcription and splicing. Most circular RNAs are localized in the cytoplasm. The sequences and protein-binding elements of circular RNAs facilitate circular RNAs in exerting biological functions through complementary base pairing, regulating protein function or self-translation. Recent studies have revealed that N6-Methyladenosine (m6A), a prevalent post-transcriptional modification, can affect the translation, localization, and degradation of circular RNAs. Cutting-edge research into circular RNAs have benefitted from the development of high-throughput sequencing technology. Furthermore, the expansion of novel research methods has promoted progress into circular RNA research.

环状RNA在真核生物中是共价封闭的和非编码的,具有组织特异性和时间特异性的表达模式,其生物发生由转录和剪接调节。大多数环状RNA定位在细胞质中。环状RNA的序列和蛋白质结合元件促进环状RNA通过互补碱基配对、调节蛋白质功能或自翻译发挥生物功能。最近的研究表明,N6-甲基腺苷(m6A)是一种普遍存在的转录后修饰,可以影响环状RNA的翻译、定位和降解。对环状RNA的前沿研究得益于高通量测序技术的发展。此外,新研究方法的扩展促进了环形RNA研究的进展。
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引用次数: 3
Cytokeratin 20 expression is linked to stage progression and to poor prognosis in advanced (pT4) urothelial carcinoma of the bladder 细胞角蛋白20的表达与晚期(pT4)膀胱尿路上皮癌的分期进展和不良预后有关
IF 3.6 4区 医学 Q2 PATHOLOGY Pub Date : 2023-06-01 DOI: 10.1016/j.yexmp.2023.104860
Paul Giacomo Bruch , Henning Plage , Sebastian Hofbauer , Kira Kornienko , Sarah Weinberger , Florian Roßner , Simon Schallenberg , Martina Kluth , Maximilian Lennartz , Niclas C. Blessin , Andreas H. Marx , Henrik Samtleben , Margit Fisch , Michael Rink , Marcin Slojewski , Krystian Kaczmarek , Thorsten Ecke , Steffen Hallmann , Stefan Koch , Nico Adamini , Sefer Elezkurtaj

Cytokeratin 20 (CK20) expression is limited to umbrella cells in the normal urothelium. Since CK20 is often upregulated in neoplastic urothelial cells including dysplasia and carcinoma in situ, immunohistochemical CK20 analysis is often used for the assessment of bladder biopsies. CK20 expression is a feature of luminal bladder cancer subtype, but its prognostic relevance is disputed. In this study, we investigated CK20 on >2700 urothelial bladder carcinomas in a tissue microarray format by immunohistochemistry. Cytoplasmic and membranous CK20 staining was seen in 1319 (51.8%) cancers. The fraction of CK20 positive and especially strongly positive cases increased from pTaG2 low grade (44.5% strongly positive) and pTaG2 high grade (57.7%) to pTaG3 high grade (62.3%; p = 0.0006) but was lower in muscle-invasive (pT2–4) carcinomas (51.1% in all pTa vs. 29.6% in pT2–4; p < 0.0001). Within pT2–4 carcinomas, CK20 positivity was linked to nodal metastasis and lymphatic vessel invasion (p < 0.0001 each) and to venous invasion (p = 0.0177). CK20 staining was unrelated to overall patient survival if all 605 pT2–4 carcinomas were jointly analyzed but subgroup analyses revealed a significant association of CK20 positivity with favorable prognosis in 129 pT4 carcinomas (p = 0.0005). CK20 positivity was strongly linked to the expression of GATA3 (p < 0.0001), another feature of luminal bladder cancer. The combined analysis of both parameters showed best prognosis for luminal A (CK20+/GATA3+, CK20+/GATA3-) and worst outcome for luminal B (CK20−/GATA3+) and basal/squamous (CK20−/GATA3-) in pT4 urothelial carcinomas (p = 0.0005). In summary, the results of our study demonstrate a complex role of CK20 expression in urothelial neoplasms including neoexpression in pTa tumors, a subsequent loss of CK20 expression in a subset of tumors progressing to muscle-invasion, and a stage dependent prognostic role in muscle-invasive cancers.

细胞角蛋白20 (CK20)的表达仅限于正常尿路上皮的伞状细胞。由于CK20在包括不典型增生和原位癌在内的肿瘤尿路上皮细胞中经常上调,因此免疫组织化学CK20分析经常用于膀胱活检的评估。CK20表达是腔内膀胱癌亚型的一个特征,但其与预后的相关性尚存争议。在本研究中,我们通过免疫组织化学的组织芯片形式研究了CK20对2700例尿路上皮性膀胱癌的影响。1319例(51.8%)肿瘤细胞质和膜性CK20染色。CK20阳性和强阳性病例的比例从pTaG2低级别(强阳性44.5%)和pTaG2高级别(57.7%)增加到pTaG3高级别(62.3%);p = 0.0006),但在肌肉浸润性(pT2-4)癌中较低(所有pTa为51.1%,pT2-4为29.6%;p & lt;0.0001)。在pT2-4癌中,CK20阳性与淋巴结转移和淋巴管侵袭有关(p <0.0001)和静脉侵入(p = 0.0177)。如果对所有605例pT2-4癌进行联合分析,CK20染色与患者总体生存率无关,但亚组分析显示,129例pT4癌中CK20阳性与良好预后显著相关(p = 0.0005)。CK20阳性与GATA3的表达密切相关(p <0.0001),这是腔内膀胱癌的另一个特征。这两个参数的综合分析显示,pT4尿路上皮癌中,管腔A (CK20+/GATA3+、CK20+/GATA3-)预后最好,管腔B (CK20−/GATA3+)和基底/鳞状(CK20−/GATA3-)预后最差(p = 0.0005)。总之,我们的研究结果证明了CK20表达在尿路上皮肿瘤中的复杂作用,包括pTa肿瘤中的新表达,CK20在一部分肿瘤进展为肌肉侵袭的随后表达缺失,以及在肌肉侵袭性癌症中的分期依赖预后作用。
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引用次数: 2
Analysis of BRCA1 and BRCA2 alternative splicing in predisposition to ovarian cancer BRCA1和BRCA2选择性剪接在卵巢癌易感性中的分析
IF 3.6 4区 医学 Q2 PATHOLOGY Pub Date : 2023-04-01 DOI: 10.1016/j.yexmp.2023.104856
Anna Jasiak , Magdalena Koczkowska , Maciej Stukan , Dariusz Wydra , Wojciech Biernat , Ewa Izycka-Swieszewska , Kamil Buczkowski , Michael R. Eccles , Logan Walker , Bartosz Wasag , Magdalena Ratajska

Background

The mRNA splicing is regulated on multiple levels, resulting in the proper distribution of genes' transcripts in each cell and maintaining cell homeostasis. At the same time, the expression of alternative transcripts can change in response to underlying genetic variants, often missed during routine diagnostics.

Aim

The main aim of this study was to define the frequency of aberrant splicing in BRCA1 and BRCA2 genes in blood RNA extracted from ovarian cancer patients who were previously found negative for the presence of pathogenic alterations in the 25 most commonly analysed ovarian cancer genes, including BRCA1 and BRCA2.

Material and methods

Frequency and spectrum of splicing alterations in BRCA1 and BRCA2 genes were analysed in blood RNA from 101 ovarian cancer patients and healthy controls (80 healthy women) using PCR followed by gel electrophoresis and Sanger sequencing. The expression of splicing events was examined using RT-qPCR.

Results

We did not identify any novel, potentially pathogenic splicing alterations. Nevertheless, we detected six naturally occurring transcripts, named BRCA1ΔE9-10, BRCA1ΔE11, BRCA1ΔE11q, and BRCA2ΔE3, BRCA2ΔE12 and BRCA2ΔE17-18 of which three (BRCA1ΔE11q, BRCA1ΔE11 and BRCA2ΔE3) were significantly higher expressed in the ovarian cancer cohort than in healthy controls (p ≤ 0.0001).

Conclusions

This observation indicates that the upregulation of selected naturally occurring transcripts can be stimulated by non-genetic mechanisms and be a potential systemic response to disease progression and/or treatment. However, this hypothesis requires further examination.

mRNA剪接在多个水平上受到调控,从而导致基因转录物在每个细胞中的合理分布,维持细胞的稳态。与此同时,替代转录本的表达可能会因潜在的遗传变异而改变,而这些变异在常规诊断中经常被遗漏。目的本研究的主要目的是确定从卵巢癌患者提取的血液RNA中BRCA1和BRCA2基因异常剪接的频率,这些患者之前在25种最常分析的卵巢癌基因(包括BRCA1和BRCA2)中发现了阴性的致病性改变。材料和方法应用PCR、凝胶电泳和Sanger测序分析了101例卵巢癌患者和健康对照(80例健康女性)血液RNA中BRCA1和BRCA2基因剪接改变的频率和谱。采用RT-qPCR检测剪接事件的表达。结果我们没有发现任何新的、潜在的致病性剪接改变。然而,我们发现六个天然的成绩单,叫BRCA1ΔE9-10, BRCA1ΔE11, BRCA1ΔE11q,和BRCA2ΔE3, BRCA2ΔE12汽油和BRCA2ΔE17-18其中3例(BRCA1ΔE11q, BRCA1ΔE11和BRCA2ΔE3)卵巢癌组中表达明显高于健康对照组(p≤0.0001)。这一观察结果表明,选择的自然发生的转录本的上调可以由非遗传机制刺激,并且是对疾病进展和/或治疗的潜在全身反应。然而,这一假设需要进一步的检验。
{"title":"Analysis of BRCA1 and BRCA2 alternative splicing in predisposition to ovarian cancer","authors":"Anna Jasiak ,&nbsp;Magdalena Koczkowska ,&nbsp;Maciej Stukan ,&nbsp;Dariusz Wydra ,&nbsp;Wojciech Biernat ,&nbsp;Ewa Izycka-Swieszewska ,&nbsp;Kamil Buczkowski ,&nbsp;Michael R. Eccles ,&nbsp;Logan Walker ,&nbsp;Bartosz Wasag ,&nbsp;Magdalena Ratajska","doi":"10.1016/j.yexmp.2023.104856","DOIUrl":"10.1016/j.yexmp.2023.104856","url":null,"abstract":"<div><h3>Background</h3><p>The mRNA splicing is regulated on multiple levels, resulting in the proper distribution of genes' transcripts in each cell and maintaining cell homeostasis. At the same time, the expression of alternative transcripts can change in response to underlying genetic variants, often missed during routine diagnostics.</p></div><div><h3>Aim</h3><p>The main aim of this study was to define the frequency of aberrant splicing in <em>BRCA1</em> and <em>BRCA2</em> genes in blood RNA extracted from ovarian cancer patients who were previously found negative for the presence of pathogenic alterations in the 25 most commonly analysed ovarian cancer genes, including <em>BRCA1</em> and <em>BRCA2</em>.</p></div><div><h3>Material and methods</h3><p>Frequency and spectrum of splicing alterations in <em>BRCA1</em> and <em>BRCA2</em> genes were analysed in blood RNA from 101 ovarian cancer patients and healthy controls (80 healthy women) using PCR followed by gel electrophoresis and Sanger sequencing. The expression of splicing events was examined using RT-qPCR.</p></div><div><h3>Results</h3><p>We did not identify any novel, potentially pathogenic splicing alterations. Nevertheless, we detected six naturally occurring transcripts, named <em>BRCA1ΔE9-10</em>, <em>BRCA1ΔE11</em>, <em>BRCA1ΔE11q</em>, and <em>BRCA2ΔE3</em>, <em>BRCA2ΔE12</em> and <em>BRCA2ΔE17-18</em> of which three (<em>BRCA1ΔE11q</em>, <em>BRCA1ΔE11</em> and <em>BRCA2ΔE3</em>) were significantly higher expressed in the ovarian cancer cohort than in healthy controls (<em>p</em> ≤ 0.0001).</p></div><div><h3>Conclusions</h3><p>This observation indicates that the upregulation of selected naturally occurring transcripts can be stimulated by non-genetic mechanisms and be a potential systemic response to disease progression and/or treatment. However, this hypothesis requires further examination.</p></div>","PeriodicalId":12176,"journal":{"name":"Experimental and molecular pathology","volume":"130 ","pages":"Article 104856"},"PeriodicalIF":3.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9309778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Amplicon-based NGS test for assessing MLH1 promoter methylation and its correlation with BRAF mutation in colorectal cancer patients 基于扩增子的NGS检测评估结直肠癌患者MLH1启动子甲基化及其与BRAF突变的相关性
IF 3.6 4区 医学 Q2 PATHOLOGY Pub Date : 2023-04-01 DOI: 10.1016/j.yexmp.2023.104855
Sara Iolanda Oliveira da Silva , Tabata Alves Domingos , Bruna Elisa Catin Kupper , Louise De Brot , Samuel Aguiar Junior , Dirce Maria Carraro , Giovana Tardin Torrezan

Detecting MLH1 promoter methylation is highly relevant to differentiate between possible Lynch syndrome patients or patients with sporadic causes of MLH1/PMS2 deficiency in colorectal (CRC) and endometrial cancers. Here, we aimed to develop a test for assessing MLH1 promoter methylation based in next generation sequencing (NGS), and to evaluate the concordance of MLH1 methylation and BRAF-V600 mutation status in CRC. For that, we performed a series of experiments with DNA from tumor, saliva and commercial control samples and our in house developed amplicon-based NGS test. In patients' samples, MLH1 methylation above 10% was only observed in tumors with MLH1/PMS2 loss. We confirmed the reproducibility and accuracy of MLH1 promoter analysis performing a serial dilution experiment with completely methylated and unmethylated control DNAs and a comparison between two NGS platforms (Ion Proton and Illumina). In MLH1/PMS2 deficient tumors, the MLH1 methylation status was concordant with the BRAF mutation status in 90% (18/20) of the cases. Our amplicon-based NGS test showed a great sensitivity and specificity for detecting MLH1 methylation in CRC samples, with a high agreement with the evaluation of BRAF mutation. This simple and affordable test could be used as a reflex test to identify patients with sporadic causes of MLH1/PMS2 deficiency in CRC, aiding to genetic test referral and identification of Lynch syndrome patients.

检测MLH1启动子甲基化与区分结直肠癌和子宫内膜癌中可能的Lynch综合征患者或散发性MLH1/PMS2缺乏症患者高度相关。在这里,我们旨在开发一种基于下一代测序(NGS)的MLH1启动子甲基化评估测试,并评估CRC中MLH1甲基化与BRAF-V600突变状态的一致性。为此,我们对来自肿瘤、唾液和商业对照样本的DNA进行了一系列实验,并开发了基于扩增子的NGS测试。在患者样本中,MLH1甲基化超过10%仅在MLH1/PMS2缺失的肿瘤中观察到。我们用完全甲基化和未甲基化的对照dna进行了一系列稀释实验,并在两个NGS平台(Ion Proton和Illumina)之间进行了比较,证实了MLH1启动子分析的重复性和准确性。在MLH1/PMS2缺陷肿瘤中,90%(18/20)的病例中MLH1甲基化状态与BRAF突变状态一致。我们基于扩增子的NGS检测显示,在CRC样本中检测MLH1甲基化具有很高的敏感性和特异性,与BRAF突变的评估高度一致。该检测方法简单且价格合理,可作为一种反射性检测方法,用于识别CRC中散发原因的MLH1/PMS2缺乏症患者,有助于基因检测转诊和Lynch综合征患者的识别。
{"title":"Amplicon-based NGS test for assessing MLH1 promoter methylation and its correlation with BRAF mutation in colorectal cancer patients","authors":"Sara Iolanda Oliveira da Silva ,&nbsp;Tabata Alves Domingos ,&nbsp;Bruna Elisa Catin Kupper ,&nbsp;Louise De Brot ,&nbsp;Samuel Aguiar Junior ,&nbsp;Dirce Maria Carraro ,&nbsp;Giovana Tardin Torrezan","doi":"10.1016/j.yexmp.2023.104855","DOIUrl":"10.1016/j.yexmp.2023.104855","url":null,"abstract":"<div><p>Detecting <em>MLH1</em> promoter methylation is highly relevant to differentiate between possible Lynch syndrome patients or patients with sporadic causes of MLH1/PMS2 deficiency in colorectal (CRC) and endometrial cancers. Here, we aimed to develop a test for assessing <em>MLH1</em> promoter methylation based in next generation sequencing (NGS), and to evaluate the concordance of <em>MLH1</em> methylation and <em>BRAF</em>-V600 mutation status in CRC. For that, we performed a series of experiments with DNA from tumor, saliva and commercial control samples and our in house developed amplicon-based NGS test. In patients' samples, <em>MLH1</em> methylation above 10% was only observed in tumors with MLH1/PMS2 loss. We confirmed the reproducibility and accuracy of <em>MLH1</em> promoter analysis performing a serial dilution experiment with completely methylated and unmethylated control DNAs and a comparison between two NGS platforms (Ion Proton and Illumina). In MLH1/PMS2 deficient tumors, the <em>MLH1</em> methylation status was concordant with the <em>BRAF</em> mutation status in 90% (18/20) of the cases. Our amplicon-based NGS test showed a great sensitivity and specificity for detecting <em>MLH1</em> methylation in CRC samples, with a high agreement with the evaluation of <em>BRAF</em> mutation. This simple and affordable test could be used as a reflex test to identify patients with sporadic causes of MLH1/PMS2 deficiency in CRC, aiding to genetic test referral and identification of Lynch syndrome patients.</p></div>","PeriodicalId":12176,"journal":{"name":"Experimental and molecular pathology","volume":"130 ","pages":"Article 104855"},"PeriodicalIF":3.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9624437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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Experimental and molecular pathology
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