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Tumor cell type and gene marker identification by single layer perceptron neural network on single-cell RNA sequence data 通过单层感知器神经网络识别单细胞 RNA 序列数据中的肿瘤细胞类型和基因标记物
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-03-23 DOI: 10.1007/s12038-023-00368-w
Biswajit Senapati, Ranjita Das

Tumors have drawn increasing attention recently because of their heterogeneous interior structures. Particularly, single-cell RNA (scRNA) mechanics have made important contributions to the field of tumor research. To investigate the cell types and identify similar types of gene markers present inside a tumor, machine learning classifier, optimization, and neural network models were applied to scRNA sequencing data. Indeed, even though single-cell analysis is a more powerful tool, several issues have been identified, such as transcriptional noise that alters gene expression and degrades mRNA. Recently, optimization models for single-cell analysis have been developed to address these kinds of issues, and encouraging results have been reported. scRNA sequencing is popular because it produces biological information in the form of patterns that are displayed within the transcriptome profile. The neural network approach plays an important role in understanding and identifying these distinct patterns. A single layer perceptron was introduced to better analyze the data pattern within gene expression profiles. Finally, recently developed optimization models with machine learning classifiers are compared with the proposed single layer perceptron. The single layer perceptron performs better compared with other models such as extra tree classifier with genetic algorithm, k-nearest neighbors with bat optimization, decision tree with gray wolf optimization, random forest with firefly optimization, and Gaussian naïve Bayes with artificial bee colony optimization. This study also focused on classifying these unique cell types and gene markers using scRNA sequence datasets. The proposed single layer perceptron was assessed using two datasets: normal mucosa and colorectal tumors. Our findings showed that the proposed single layer perceptron performed exceptionally well with accuracy, precision, recall, and F1 value.

近来,肿瘤因其内部结构的异质性而日益受到关注。特别是单细胞 RNA(scRNA)力学为肿瘤研究领域做出了重要贡献。为了研究肿瘤内部的细胞类型并识别类似类型的基因标记物,我们将机器学习分类器、优化和神经网络模型应用于 scRNA 测序数据。事实上,尽管单细胞分析是一种更强大的工具,但也发现了一些问题,如改变基因表达和降解 mRNA 的转录噪音。最近,人们开发了单细胞分析的优化模型来解决这些问题,并取得了令人鼓舞的成果。scRNA 测序之所以受欢迎,是因为它能以转录组图谱中显示的模式形式产生生物信息。神经网络方法在理解和识别这些独特模式方面发挥着重要作用。为了更好地分析基因表达谱中的数据模式,我们引入了单层感知器。最后,将最近开发的带有机器学习分类器的优化模型与所提出的单层感知器进行了比较。与其他模型相比,单层感知器的表现更好,如采用遗传算法的额外树分类器、采用蝙蝠优化的 k 近邻、采用灰狼优化的决策树、采用萤火虫优化的随机森林以及采用人工蜂群优化的高斯天真贝叶斯。这项研究还侧重于利用 scRNA 序列数据集对这些独特的细胞类型和基因标记进行分类。我们使用两个数据集(正常粘膜和结直肠肿瘤)对所提出的单层感知器进行了评估。我们的研究结果表明,所提出的单层感知器在准确度、精确度、召回率和 F1 值方面都表现出色。
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引用次数: 0
From sequence to consequence: Deciphering the complex cis-regulatory landscape 从序列到结果:解密复杂的顺式调控格局
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-03-14 DOI: 10.1007/s12038-024-00431-0

Abstract

Cell type-specific expression of genes plays a pivotal role in the development and evolution of multicellular organisms over millions of years. The majority of regulatory control resides within the non-coding regions of the genome, referred to as ‘dark matter’, which contains cis-regulatory modules. These cis-regulatory modules function collectively and can impact gene expression even when located far from the target gene, exhibiting context-specific behaviour. Consequently, the cis-regulatory code governing gene expression patterns is intricate, in contrast to the universally understood genetic code. This overview centres on the current knowledge regarding cis-regulatory elements, primarily enhancers and their role in governing the spatiotemporal gene expression patterns, and how they have evolved and adapted across different species.

摘要 基因的细胞类型特异性表达在多细胞生物数百万年的发展和进化过程中起着关键作用。大部分调控控制存在于基因组的非编码区,即 "暗物质",其中包含顺式调控模块。这些顺式调控模块具有集体功能,即使远离目标基因,也能影响基因表达,表现出特定环境行为。因此,与人们普遍理解的遗传密码不同,支配基因表达模式的顺式调节密码错综复杂。本综述主要介绍顺式调控元件(主要是增强子)及其在调控时空基因表达模式方面的作用,以及它们如何在不同物种间进化和适应。
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引用次数: 0
Crosstalk between photosynthesis and respiration in microbes 微生物光合作用和呼吸作用之间的相互影响
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-03-13 DOI: 10.1007/s12038-023-00417-4
Ginga Shimakawa, Yusuke Matsuda, Adrien Burlacot

Phototrophic organisms harbor two main bioenergetic hubs, photosynthesis and respiration, and these processes dynamically exchange and share metabolites to balance the energy of the cell. In microalgae and cyanobacteria, the crosstalk between the light-triggered reactions of photosynthesis and respiration is particularly prominent with respiratory O2 uptake which can be stimulated upon illumination. Since its discovery, this light-enhanced respiration has been proposed to be critical in dissipating the excess reducing power generated by photosynthesis. Importantly, the physiological role and putative molecular mechanism involved have just recently started to be understood. Here, we revisit the physiological functions and discuss possible molecular mechanisms of interactions between the photosynthetic and respiratory electron flows in microalgae and cyanobacteria.

光养生物有两个主要的生物能枢纽,即光合作用和呼吸作用,这些过程动态地交换和共享代谢产物,以平衡细胞的能量。在微藻类和蓝藻中,光合作用和呼吸作用的光触发反应之间的串扰尤为突出,呼吸作用的氧气吸收可在光照下受到刺激。自发现以来,这种光增强的呼吸作用被认为是消散光合作用产生的过剩还原力的关键。重要的是,人们最近才开始了解这种呼吸作用的生理作用和假定的分子机制。在此,我们将重新审视微藻和蓝藻中光合作用和呼吸作用电子流之间相互作用的生理功能,并讨论可能的分子机制。
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引用次数: 0
Role of mitochondria and chloroplasts during stomatal closure: Subcellular location of superoxide and H2O2 production in guard cells of Arabidopsis thaliana 线粒体和叶绿体在气孔关闭过程中的作用:拟南芥保卫细胞中产生超氧化物和 H2O2 的亚细胞位置
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-03-13 DOI: 10.1007/s12038-023-00418-3
Shashibhushan Gahir, Pulimamidi Bharath, Deepak Saini, Gudipalli Padmaja, Agepati S Raghavendra

Stomatal guard cells are unique in that they have more mitochondria than chloroplasts. Several reports emphasized the importance of mitochondria as the major energy source during stomatal opening. We re-examined their role during stomatal closure. The marked sensitivity of stomata to both menadione (MD) and methyl viologen (MV) demonstrated that both mitochondria and chloroplasts helped to promote stomatal closure in Arabidopsis. As in the case of abscisic acid (ABA), a plant stress hormone, MD and MV induced stomatal closure at micromolar concentration. All three compounds generated superoxide and H2O2, as indicated by fluorescence probes, BES-So-AM and CM-H2DCFDA, respectively. Results from tiron (a superoxide scavenger) and catalase (an H2O2 scavenger) confirmed that both the superoxide and H2O2 were requisites for stomatal closure. Co-localization of the superoxide and H2O2 in mitochondria and chloroplasts using fluorescent probes revealed that exposure to MV initially triggered higher superoxide and H2O2 generation in mitochondria. In contrast, MD elevated superoxide/H2O2 levels in chloroplasts. However, with prolonged exposure, MD and MV induced ROS production in other organelles. We conclude that ROS production in mitochondria and chloroplasts leads to stomatal closure. We propose that stomatal guard cells can be good models for examining inter-organellar interactions.

气孔防护细胞的独特之处在于线粒体多于叶绿体。一些报道强调了线粒体作为气孔开放期间主要能量来源的重要性。我们重新研究了线粒体在气孔关闭过程中的作用。气孔对甲萘醌(MD)和甲基紫精(MV)的明显敏感性表明,线粒体和叶绿体都有助于促进拟南芥气孔的关闭。与植物胁迫激素脱落酸(ABA)一样,MD 和 MV 在微摩尔浓度下也能诱导气孔关闭。这三种化合物都会产生超氧化物和 H2O2,分别通过荧光探针 BES-So-AM 和 CM-H2DCFDA 来显示。铁(一种超氧化物清除剂)和过氧化氢酶(一种 H2O2 清除剂)的研究结果证实,超氧化物和 H2O2 都是气孔关闭的必要条件。使用荧光探针对线粒体和叶绿体中的超氧化物和 H2O2 进行共定位后发现,暴露于 MV 后,线粒体中产生的超氧化物和 H2O2 较多。相比之下,MD 提高了叶绿体中的超氧化物/H2O2 水平。然而,随着暴露时间的延长,MD 和 MV 会诱导其他细胞器产生 ROS。我们的结论是,线粒体和叶绿体中产生的 ROS 会导致气孔关闭。我们认为,气孔防护细胞是研究细胞器间相互作用的良好模型。
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引用次数: 0
Cobra (Naja naja) venom L-amino acid oxidase (NNLAAO70) induces apoptosis and secondary necrosis in human lung epithelial cancer cells 眼镜蛇(Naja naja)毒液中的 L-氨基酸氧化酶(NNLAAO70)诱导人肺上皮癌细胞凋亡和继发性坏死
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-03-07 DOI: 10.1007/s12038-024-00429-8
Ananda Murali Rayapati, Bhadramurthy Vemulapati, Chandrasekhar Chanda

Snake venom L-amino acid oxidases (LAAOs) are flavoenzymes with diverse physiological and pharmacological effects. These enzymes are found to showcase anticoagulant, antiplatelet, cytotoxicity and other biological effects in bite victims. However, the exact mechanism through which they exhibit several biological properties is not yet fully understood. The current study focussed on the purification of cobra venom LAAO and the functional characterization of purified LAAO. A novel L-amino acid oxidase NNLAAO70 with a molecular weight ~70 kDa was purified from the venom of an Indian spectacled cobra (Naja naja). NNLAAO70 showed high substrate specificity for L-His, L-Leu, and L-Arg during its LAAO activity. It inhibited adenosine di-phosphate (ADP) and collagen-induced platelet aggregation process in a dose-dependent manner. About 60% inhibition of collagen-induced and 40% inhibition of ADP-induced platelet aggregation was observed with a 40 μg/ml dose of NNLAAO70. NNLAAO70 exhibited bactericidal activity on Bacillus subtilis, Escherichia coli, Bacillus megaterium, and Pseudomonas fluorescens. NNLAAO70 also showed cytotoxicity on A549 cells in vitro. It showed severe bactericidal activity on P. fluorescens and lysed 55% of cells. NNLAAO70 also exhibited drastic cytotoxicity on A549 cells. At 1 μg/ml dosage, it demonstrated a 60% reduction in A549 viability and induced apoptosis upon 24-h incubation. H2O2 released during oxidative deamination reactions played a major role in NNLAAO70-induced cytotoxicity. NNLAAO70 significantly increased intracellular reactive oxygen species (ROS) levels in A549 cells by six fold when compared to untreated cells. Oxidative stress-mediated cell injury is the primary cause of NNLAAO70-induced apoptosis in A549 cells and prolonged oxidative stress caused DNA fragmentation and activated cellular secondary necrosis.

蛇毒 L-氨基酸氧化酶(LAAOs)是一种黄酮类酶,具有多种生理和药理作用。研究发现,这些酶在被咬伤者体内具有抗凝血、抗血小板、细胞毒性和其他生物效应。然而,它们表现出多种生物特性的确切机制尚未完全清楚。本研究的重点是眼镜蛇毒 LAAO 的纯化和纯化 LAAO 的功能表征。研究人员从印度眼镜蛇(Naja naja)的毒液中纯化出了一种新型 L-氨基酸氧化酶 NNLAAO70,其分子量约为 70 kDa。NNLAAO70 在 LAAO 活性中对 L-His、L-Leu 和 L-Arg 具有高度底物特异性。它以剂量依赖性方式抑制二磷酸腺苷(ADP)和胶原蛋白诱导的血小板聚集过程。剂量为 40 μg/ml 的 NNLAAO70 对胶原诱导的血小板聚集抑制率约为 60%,对 ADP 诱导的血小板聚集抑制率约为 40%。NNLAAO70 对枯草杆菌、大肠杆菌、巨大芽孢杆菌和荧光假单胞菌具有杀菌活性。NNLAAO70 对 A549 细胞也有体外细胞毒性。它对荧光假单胞菌具有严重的杀菌活性,能裂解 55% 的细胞。NNLAAO70 对 A549 细胞也有剧烈的细胞毒性。在 1 μg/ml 的剂量下,A549 细胞的存活率降低了 60%,并在培养 24 小时后诱导细胞凋亡。氧化脱氨反应过程中释放的 H2O2 在 NNLAAO70 诱导的细胞毒性中发挥了重要作用。与未处理的细胞相比,NNLAAO70 使 A549 细胞内活性氧(ROS)水平明显增加了六倍。氧化应激介导的细胞损伤是 NNLAAO70 诱导 A549 细胞凋亡的主要原因,长时间的氧化应激会导致 DNA 断裂并激活细胞继发性坏死。
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引用次数: 0
Finding identical sequence repeats in multiple protein sequences: An algorithm 在多个蛋白质序列中寻找相同的重复序列:一种算法
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-02-28 DOI: 10.1007/s12038-023-00410-x
Vikas Kumar Maurya, Madhumathi Sanjeevi, Chandrasekar Narayanan Rahul, Ajitha Mohan, Dhanalakshmi Ramachandran, Rashmi Siddalingappa, Roshan Rauniyar, Sekar Kanagaraj

In recent years, several experimental evidences suggest that amino acid repeats are closely linked to many disease conditions, as they have a significant role in evolution of disordered regions of the polypeptide segments. Even though many algorithms and databases were developed for such analysis, each algorithm has some caveats, like limitation on the number of amino acids within the repeat patterns and number of query protein sequences. To this end, in the present work, a new method called the internal sequence repeats across multiple protein sequences (ISRMPS) is proposed for the first time to identify identical repeats across multiple protein sequences. It also identifies distantly located repeat patterns in various protein sequences. Our method can be applied to study evolutionary relationships, epitope mapping, CRISPR-Cas sequencing methods, and other comparative analytical assessments of protein sequences.

近年来,一些实验证据表明,氨基酸重复与许多疾病密切相关,因为氨基酸重复在多肽段无序区域的进化中起着重要作用。尽管为此类分析开发了许多算法和数据库,但每种算法都有一些注意事项,如对重复模式中氨基酸数量和查询蛋白质序列数量的限制。为此,本研究首次提出了一种名为跨多个蛋白质序列的内部序列重复(ISRMPS)的新方法,用于识别跨多个蛋白质序列的相同重复。它还能识别各种蛋白质序列中位置较远的重复模式。我们的方法可用于研究进化关系、表位图谱、CRISPR-Cas 测序方法以及其他蛋白质序列的比较分析评估。
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引用次数: 0
Dynein functions in galectin-3 mediated processes of clathrin-independent endocytosis Dynein在galectin-3介导的不依赖凝集素的内吞过程中发挥作用
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-02-28 DOI: 10.1007/s12038-024-00432-z
Chaithra Mayya, A Hema Naveena, Pankhuri Sinha, Dhiraj Bhatia

Multiple endocytic processes operate in cells in tandem to uptake multiple cargoes involved in diverse cellular functions, including cell adhesion and migration. The best-studied clathrin-mediated endocytosis (CME) involves the formation of a well-defined cytoplasmic clathrin coat to facilitate cargo uptake. According to the glycolipid–lectin (GL–Lect) hypothesis, galectin-3 (Gal3) binds to glycosylated membrane receptors and glycosphingolipids (GSLs) to drive membrane bending and tubular membrane invaginations that undergo scission to form a morphologically distinct class of uptake structures, termed clathrin-independent carriers (CLICs). Which components from cytoskeletal machinery are involved in the scission of CLICs remains to be explored. In this study, we propose that dynein is recruited onto Gal3-induced tubular endocytic pits and provides the pulling force for friction-driven scission. The uptake of Gal3 and its cargoes (CD98/CD147) is significantly dependent on dynein activity, whereas only transferrin (CME marker) is slightly affected upon dynein inhibition. Our study reveals that Gal3 and Gal3-dependent (CD98 and CD147) clathrin-independent cargoes require dynein for the clathrin-independent endocytosis.

细胞内有多种内吞过程协同运作,以摄取涉及多种细胞功能(包括细胞粘附和迁移)的多种货物。研究得最清楚的凝集素介导的内吞作用(CME)包括形成一层明确的细胞质凝集素外膜,以促进货物的摄取。根据糖脂-选择素(GL-Lect)假说,galectin-3(Gal3)与糖基化的膜受体和糖磷脂(GSLs)结合,驱动膜弯曲和管状膜内陷,管状膜内陷发生分裂,形成形态独特的一类摄取结构,称为凝集素独立载体(CLICs)。细胞骨架机制中的哪些成分参与了CLICs的分裂仍有待探索。在这项研究中,我们提出,动力蛋白被招募到 Gal3 诱导的管状内吞坑上,并为摩擦驱动的裂解提供牵引力。Gal3及其载体(CD98/CD147)的摄取明显依赖于动力蛋白的活性,而只有转铁蛋白(CME标记物)在动力蛋白受抑制时受到轻微影响。我们的研究揭示,Gal3和依赖于Gal3的(CD98和CD147)不依赖于凝集素的货物需要动力蛋白才能进行不依赖于凝集素的内吞。
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引用次数: 0
Recent developments in gene therapy research in India 印度基因治疗研究的最新进展
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-02-20 DOI: 10.1007/s12038-024-00423-0
Ruchita Selot, Arkasubhra Ghosh

Inherited genetic disorders are progressive in nature and lead to organ dysfunction or death in severe cases. At present, there are no permanent treatment options for >95% of inherited disorders. Different modes of inheritance, type of gene(s) involved, and population-based variations add further complexity to finding suitable cures for approximately 400 million patients worldwide. Gene therapy is a very promising molecular technique for the treatment of rare genetic disorders. Gene therapy functions on the basis of restoration, replacement, inhibition, and, most recently, editing of gene(s) to rescue the disease phenotype. Recent reports show that increasing numbers of gene therapy clinical trials are using viral vectors (64.2%) when compared with non-viral vectors. Rapid development of efficient viral vector systems like the adeno-associated virus (AAV) and lentivirus has significantly contributed to this progress. Notably, AAV-mediated gene therapy has shown high potential for genetic disease treatment as evident from recent clinical trials for the eye (NCT00999609), blood (NCT00979238), and neuro-muscular systems (NCT02122952). Safety and efficacy are the two most critical features required for vector(s) to qualify for pre-clinical and clinical trial approval. The process of clinical-grade vector production, evaluation, and approvals for gene therapy products requires significant technological development, knowledge enhancement, and large financial investments. Additionally, trained manpower is required to meet the demands for constant technical innovation. These factors together contribute towards exorbitant prices for every dose of a gene therapy product and thus pose a challenge for the gene therapy field. The Indian subcontinent has traditionally lagged behind North America, Europe, Japan, and others in gene therapy clinical trials due to factors like inadequate industrial-scientific infrastructure, lack of accessible and organized patient databases, low financial investments, etc. However, over the last decade, increasing awareness of rare diseases, and international approvals of gene therapies such as Luxturna, Zolgensma, Hemgenix, etc., have spurred gene therapy development in India as well. In view of these advances, this article outlines gene therapy research, regulatory processes, and the launch of gene therapy clinical trials in India in the context of major developments worldwide. We briefly describe ongoing gene therapy research across Indian organizations and the nascent gene therapy product manufacturing. Further, we highlight the various initiatives from the medical and patient community to avail rehabilitation and gene therapy options. We briefly discuss the roles of regulatory agencies and guidelines for gene therapy clinical trials in India. We anticipate that this concise review will highlight the promise of gene therapy for the large population of rare disease patients in India.

遗传性疾病具有渐进性,严重时会导致器官功能障碍或死亡。目前,95% 的遗传性疾病都没有永久性的治疗方案。不同的遗传方式、所涉及的基因类型以及基于人群的变异,使得为全球约 4 亿患者寻找合适的治疗方法变得更加复杂。基因疗法是治疗罕见遗传疾病的一种非常有前景的分子技术。基因治疗的原理是通过修复、替换、抑制以及最近的基因编辑来挽救疾病的表型。最新报告显示,与非病毒载体相比,越来越多的基因治疗临床试验使用病毒载体(64.2%)。腺相关病毒(AAV)和慢病毒等高效病毒载体系统的快速发展极大地推动了这一进展。值得注意的是,AAV 介导的基因疗法在遗传疾病治疗方面已显示出巨大潜力,这一点从最近针对眼部(NCT00999609)、血液(NCT00979238)和神经肌肉系统(NCT02122952)的临床试验中可见一斑。安全性和有效性是载体获得临床前和临床试验批准的两个最关键的特征。临床级载体的生产、评估和基因治疗产品的审批过程需要大量的技术开发、知识提升和巨额资金投入。此外,还需要训练有素的人才来满足不断进行技术创新的要求。这些因素共同导致每剂基因治疗产品的价格高昂,从而给基因治疗领域带来了挑战。印度次大陆在基因治疗临床试验方面历来落后于北美、欧洲、日本和其他国家,原因包括工业科学基础设施不足、缺乏可访问和有组织的患者数据库、资金投入少等。然而,在过去十年中,人们对罕见病的认识不断提高,Luxturna、Zolgensma、Hemgenix 等基因疗法在国际上获得批准,这也刺激了印度基因疗法的发展。鉴于这些进展,本文结合世界范围内的重大发展,概述了印度的基因治疗研究、监管流程和基因治疗临床试验的启动情况。我们简要介绍了印度各机构正在进行的基因治疗研究和新生的基因治疗产品制造。此外,我们还重点介绍了医疗界和患者为利用康复和基因治疗方案而采取的各种举措。我们简要讨论了印度基因治疗临床试验监管机构的作用和指导方针。我们希望这篇简明扼要的综述能凸显基因疗法为印度众多罕见病患者带来的希望。
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引用次数: 0
Enhancing access to treatment for Gaucher disease in India: The need for indigenous manufacturing 提高印度戈谢病治疗的可及性:本土生产的必要性
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-02-20 DOI: 10.1007/s12038-024-00427-w
Nidhi Patel, Heta Pandya, Ganesh Sangle, Mohua Chakraborty Choudhury

Gaucher disease (GD) is a prevalent lysosomal storage disorder (LSD) that significantly impacts individuals’ lives. However, the exorbitant prices of GD medications pose a major hurdle in ensuring widespread availability and affordability of treatment in India. The country heavily relies on imported medications, leading to high costs and limited access for many patients. This article aims to address this issue by advocating for the establishment of indigenous manufacturing capabilities for GD medicines in India. Through an examination of the current landscape of GD treatment, including the availability, affordability, and challenges associated with imported medications, this article highlights the urgent need for localized production. By focusing on the potential benefits of indigenous manufacturing, such as reduced costs, increased accessibility, and enhanced availability, this research aims to provide insights and recommendations to policymakers, healthcare professionals, and relevant stakeholders. The findings underscore the importance of developing domestic manufacturing capabilities to address the affordability and accessibility challenges faced by GD patients in India. The research also emphasizes the potential positive impact on the healthcare system, the pharmaceutical industry, and the overall well-being of individuals with GD. Ultimately, this article seeks to stimulate discussions and actions towards creating a sustainable framework for indigenous manufacturing of GD medicines, thereby improving the lives of those affected by this rare and debilitating condition.

戈谢病(GD)是一种普遍存在的溶酶体储积症(LSD),对患者的生活造成严重影响。然而,高昂的戈谢病药物价格对确保治疗在印度的普及和可负担性构成了重大障碍。印度严重依赖进口药物,导致成本高昂,许多患者难以获得治疗。本文旨在通过倡导建立印度本土的 GD 药物制造能力来解决这一问题。通过考察目前的 GD 治疗情况,包括进口药物的可用性、可负担性和相关挑战,本文强调了本地化生产的迫切需要。通过关注本土生产的潜在优势,如降低成本、提高可及性和可用性,本研究旨在为政策制定者、医疗保健专业人士和相关利益方提供见解和建议。研究结果强调了发展本土制造能力的重要性,以解决印度广东快乐十分患者在经济承受能力和可及性方面面临的挑战。研究还强调了对医疗保健系统、制药行业和 GD 患者整体福祉的潜在积极影响。最终,这篇文章旨在激发讨论和行动,为本土生产 GD 药物建立一个可持续的框架,从而改善受这种罕见的衰弱病症影响的人们的生活。
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引用次数: 0
Spinal muscular atrophy: Molecular mechanism of pathogenesis, diagnosis, therapeutics, and clinical trials in the Indian context 脊髓性肌肉萎缩症:印度的发病、诊断、治疗和临床试验的分子机制
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-02-20 DOI: 10.1007/s12038-023-00412-9
Ashutosh Aasdev, R S Sreelekshmi, V Rajesh Iyer, Shivranjani C Moharir

Spinal muscular atrophy (SMA) is a neuromuscular, rare genetic disorder caused due to loss-of-function mutations in the survival motor neuron-1 (SMN1) gene, leading to deficiency of the SMN protein. The severity of the disease phenotype is inversely proportional to the copy number of another gene, SMN2, that differs from SMN1 by a few nucleotides. The current diagnostic methods for SMA include symptom-based diagnosis, biochemical methods like detection of serum creatine kinase, and molecular detection of disease-causing mutations using polymerase chain reaction (PCR), multiplex ligation-dependent probe amplification (MLPA), and exome or next-generation sequencing (NGS). Along with detection of the disease-causing mutation in the SMN1 gene, it is crucial to identify the copy number of the SMN2 gene, which is a disease modifier. Therapeutic options like gene therapy, antisense therapy, and small molecules are available for SMA, but, the costs are prohibitively high. This review discusses the prevalence, diagnosis, available therapeutic options for SMA, and their clinical trials in the Indian context, and highlights the need for measures to make indigenous diagnostic and therapeutic interventions.

脊髓性肌萎缩症(SMA)是一种神经肌肉性罕见遗传疾病,由于存活运动神经元-1(SMN1)基因发生功能缺失突变,导致SMN蛋白缺乏。疾病表型的严重程度与另一个基因 SMN2 的拷贝数成反比,SMN2 与 SMN1 的拷贝数相差几个核苷酸。目前 SMA 的诊断方法包括基于症状的诊断、检测血清肌酸激酶等生化方法,以及使用聚合酶链反应(PCR)、多重连接依赖性探针扩增(MLPA)、外显子组或下一代测序(NGS)等方法对致病突变进行分子检测。在检测 SMN1 基因致病突变的同时,确定 SMN2 基因的拷贝数也至关重要,因为 SMN2 基因是疾病的调节因子。目前已有基因治疗、反义治疗和小分子药物等治疗方法可用于 SMA,但费用高昂,令人望而却步。本综述讨论了 SMA 的发病率、诊断、现有治疗方案及其在印度的临床试验,并强调了采取措施进行本土诊断和治疗干预的必要性。
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引用次数: 0
期刊
Journal of Biosciences
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