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Romania's Pioneering Law: Establishing the Right to Personalized Medicine. 罗马尼亚的先锋法律:确立个性化医疗的权利。
IF 2.2 3区 生物学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-05-01 Epub Date: 2024-05-14 DOI: 10.1089/omi.2024.0039
Marius Geanta, Cosmina Cioroboiu, Bianca Cucos, Adriana Boata

This analysis and commentary discuss Romania's landmark law, the first globally, acknowledging the right of citizens and patients to personalized medicine. Initiated following the EU Council's 2015 policy on personalized medicine, the law is a result of intersectoral collaborative efforts led by the Centre for Innovation in Medicine in Romania using a quadruple (later evolved to penta) helix model involving academia, public, private, and civil society sectors. Promulgated on May 24, 2023, the law legally entitles patients to personalized health care and in ways informed by individual genetic and phenotypic consideration. The law mandates informed consent for medical interventions and ensures data protection in accordance with the General Data Protection Regulation. We suggest that this pioneering legislation paves the way for integrating personalized medicine into Romania's health care system, shaping clinical practice, research, and health policy. In all, it marks a significant step in redefining health care delivery, emphasizing individualized treatment and the political determinants of personalized medicine, and setting a precedent for future health care innovations worldwide.

本分析和评论讨论了罗马尼亚具有里程碑意义的法律,这是全球首部承认公民和患者享有个性化医疗权利的法律。该法是在欧盟理事会 2015 年发布个性化医疗政策后启动的,是罗马尼亚医学创新中心(Centre for Innovation in Medicine in Romania)领导的跨部门合作努力的成果,采用了四螺旋(后演变为五螺旋)模式,涉及学术界、公共部门、私营部门和民间社会。该法于 2023 年 5 月 24 日颁布,从法律上赋予了患者获得个性化医疗服务的权利,并以个人基因和表型考虑为依据。该法规定,医疗干预必须获得知情同意,并根据《通用数据保护条例》确保数据保护。我们认为,这项开创性的立法为将个性化医疗纳入罗马尼亚的医疗保健系统、影响临床实践、研究和卫生政策铺平了道路。总之,它标志着在重新定义医疗保健服务、强调个性化治疗和个性化医疗的政治决定因素方面迈出了重要一步,并为全球未来的医疗保健创新开创了先例。
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引用次数: 0
From Androgen Dependence to Independence in Prostate Cancer: Unraveling Therapeutic Potential and Proteomic Landscape of Hydroxychloroquine as an Autophagy Inhibitor. 前列腺癌从雄激素依赖到独立:揭示羟氯喹作为自噬抑制剂的治疗潜力和蛋白质组图谱
IF 2.2 3区 生物学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI: 10.1089/omi.2024.0061
Sevinc Yanar, Merve Gulsen Bal Albayrak, Murat Kasap, Gurler Akpinar

Prostate cancer is a major planetary health challenge wherein new ways of thinking drug discovery and therapeutics innovation are much needed. Numerous studies have shown that autophagy inhibition holds a significant role as an adjunctive intervention in prostate cancer. Hydroxychloroquine (HCQ) has gained considerable attention due to its established role as an autophagy inhibitor across diverse cancer types, but its proteomics landscape and systems biology in prostate cancer are currently lacking in the literature. This study reports the proteomic responses to HCQ in prostate cancer cells, namely, androgen-dependent LNCaP and androgen-independent PC3 cells. Differentially expressed proteins and proteome in HCQ-treated cells were determined by label-free quantification with nano-high-performance liquid chromatography and tandem mass spectrometry (nHPLC-MS/MS), and harnessing bioinformatics tools. In PC3 cells, there was a marked shift toward metabolic reprogramming, highlighted by an upregulation of mitochondrial proteins in oxidative phosphorylation and tricarboxylic acid cycle, suggesting an adaptive mechanism to maintain energy production under therapeutic stress. In contrast, LNCaP cells prioritized proteostasis and cell cycle regulation, indicating a more conservative adaptation strategy. To the best of our knowledge, this study is the first to demonstrate the differential responses of prostate cancer cells to autophagy inhibition by HCQ, suggesting that a combination therapy approach, targeting distinct pathways in androgen-independent and androgen-dependent cells, could represent a promising treatment strategy. Moreover, the varied proteomic responses observed between these cell lines underscore the importance of personalized medicine in cancer therapy. Future translational and clinical research on HCQ and prostate cancer are called for.

前列腺癌是地球健康面临的一大挑战,亟需新的药物发现和治疗创新思维。大量研究表明,自噬抑制作为前列腺癌的辅助干预措施具有重要作用。羟基氯喹(HCQ)作为一种自噬抑制剂,已在多种癌症类型中发挥了既定的作用,因此受到了广泛关注,但其在前列腺癌中的蛋白质组学研究和系统生物学研究目前还缺乏文献报道。本研究报告了前列腺癌细胞(即雄激素依赖性 LNCaP 和雄激素非依赖性 PC3 细胞)对 HCQ 的蛋白质组学反应。研究采用纳米高效液相色谱-串联质谱(nHPLC-MS/MS)技术和生物信息学工具,通过无标记定量分析确定了HCQ处理细胞中的差异表达蛋白和蛋白质组。在PC3细胞中,新陈代谢发生了明显的重编程转变,突出表现为氧化磷酸化和三羧酸循环中线粒体蛋白的上调,这表明在治疗压力下维持能量生产的适应性机制。相比之下,LNCaP 细胞优先考虑蛋白稳态和细胞周期调控,表明其适应策略更为保守。据我们所知,本研究首次证明了前列腺癌细胞对 HCQ 抑制自噬的不同反应,这表明针对雄激素依赖性细胞和雄激素依赖性细胞不同途径的综合治疗方法可能是一种很有前景的治疗策略。此外,在这些细胞系之间观察到的不同蛋白质组反应凸显了个性化医疗在癌症治疗中的重要性。未来需要对 HCQ 和前列腺癌进行转化和临床研究。
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引用次数: 0
Tumor Mutation Burden as a Cornerstone in Precision Oncology Landscapes: Effect of Panel Size and Uncertainty in Cutoffs. 肿瘤突变负担是精准肿瘤学的基石:小组规模和临界值不确定性的影响。
IF 2.2 3区 生物学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-04-01 Epub Date: 2024-04-16 DOI: 10.1089/omi.2024.0015
Betul Budak, Kazim Yalcin Arga

Tumor mutation burden (TMB) has profound implications for personalized cancer therapy, particularly immunotherapy. However, the size of the panel and the cutoff values for an accurate determination of TMB are still controversial. In this study, a pan-cancer analysis was performed on 22 cancer types from The Cancer Genome Atlas. The efficiency of gene panels of different sizes and the effect of cutoff values in accurate TMB determination was assessed on a large cohort using Whole Exome Sequencing data (n = 9929 patients) as the gold standard. Gene panels of four different sizes (i.e., 0.44-2.54 Mb) were selected for comparative analyses. The heterogeneity of TMB within and between cancer types is observed to be very high, and it becomes possible to obtain the exact TMB value as the size of the panel increases. In panels with limited size, it is particularly difficult to recognize patients with low TMB. In addition, the use of a general TMB cutoff can be quite misleading. The optimal cutoff value varies between 5 and 20, depending on the TMB distribution of the different tumor types. The use of comprehensive gene panels and the optimization of TMB cutoff values for different cancer types can make TMB a robust biomarker in precision oncology. Moreover, optimization of TMB can help accelerate translational medicine research, and by extension, delivery of personalized cancer care in the future.

肿瘤突变负荷(TMB)对个性化癌症疗法,尤其是免疫疗法有着深远的影响。然而,准确测定 TMB 的面板大小和临界值仍存在争议。本研究对《癌症基因组图谱》中的 22 种癌症类型进行了泛癌症分析。以全外显子组测序数据(n = 9929 例患者)为金标准,在一个大型队列中评估了不同大小的基因组在准确确定 TMB 方面的效率和临界值的影响。比较分析选择了四个不同大小(即 0.44-2.54 Mb)的基因组。据观察,癌症类型内和癌症类型间的 TMB 异质性非常高,随着基因组大小的增加,有可能获得准确的 TMB 值。在规模有限的样本中,识别低 TMB 患者尤其困难。此外,使用一般的 TMB 临界值可能会产生相当大的误导。根据不同肿瘤类型的 TMB 分布情况,最佳临界值在 5 到 20 之间。针对不同癌症类型使用全面的基因面板并优化 TMB 临界值,可使 TMB 成为精准肿瘤学中的可靠生物标记物。此外,优化 TMB 还有助于加速转化医学研究,进而在未来提供个性化的癌症治疗。
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引用次数: 0
Blood-Based Multiomics-Guided Detection of a Precancerous Pancreatic Tumor. 基于血液的胰腺肿瘤癌前病变多组学引导检测
IF 2.2 3区 生物学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-04-01 Epub Date: 2024-04-17 DOI: 10.1089/omi.2023.0278
Mohammad A Anwar, Ammar H Keshteli, Haiyan Yang, Windy Wang, Xukun Li, Helen M Messier, Pieter R Cullis, Christoph H Borchers, Robert Fraser, David S Wishart

Over a decade ago, longitudinal multiomics analysis was pioneered for early disease detection and individually tailored precision health interventions. However, high sample processing costs, expansive multiomics measurements along with complex data analysis have made this approach to precision/personalized medicine impractical. Here we describe in a case report, a more practical approach that uses fewer measurements, annual sampling, and faster decision making. We also show how this approach offers promise to detect an exceedingly rare and potentially fatal condition before it fully manifests. Specifically, we describe in the present case report how longitudinal multiomics monitoring (LMOM) helped detect a precancerous pancreatic tumor and led to a successful surgical intervention. The patient, enrolled in an annual blood-based LMOM since 2018, had dramatic changes in the June 2021 and 2022 annual metabolomics and proteomics results that prompted further clinical diagnostic testing for pancreatic cancer. Using abdominal magnetic resonance imaging, a 2.6 cm lesion in the tail of the patient's pancreas was detected. The tumor fluid from an aspiration biopsy had 10,000 times that of normal carcinoembryonic antigen levels. After the tumor was surgically resected, histopathological findings confirmed it was a precancerous pancreatic tumor. Postoperative omics testing indicated that most metabolite and protein levels returned to patient's 2018 levels. This case report illustrates the potentials of blood LMOM for precision/personalized medicine, and new ways of thinking medical innovation for a potentially life-saving early diagnosis of pancreatic cancer. Blood LMOM warrants future programmatic translational research with the goals of precision medicine, and individually tailored cancer diagnoses and treatments.

十多年前,纵向多组学分析被率先用于早期疾病检测和个人定制的精准健康干预。然而,高昂的样本处理成本、大量的多组学测量以及复杂的数据分析使得这种精准/个性化医疗方法变得不切实际。在这里,我们通过一份病例报告描述了一种更实用的方法,它使用更少的测量、每年采样一次,并能更快地做出决策。我们还展示了这种方法如何有望在一种极其罕见且可能致命的疾病完全显现之前将其检测出来。具体来说,我们在本病例报告中描述了纵向多组学监测(LMOM)如何帮助检测出胰腺肿瘤的癌前病变,并成功地进行了手术干预。该患者自2018年起每年参加一次基于血液的LMOM,2021年6月和2022年6月的年度代谢组学和蛋白质组学结果发生了巨大变化,促使其接受进一步的胰腺癌临床诊断检测。通过腹部磁共振成像,发现患者胰腺尾部有一个 2.6 厘米的病灶。抽吸活检的肿瘤液中癌胚抗原含量是正常值的 10,000 倍。手术切除肿瘤后,组织病理学检查结果证实这是一种胰腺癌前病变。术后 omics 检测表明,大多数代谢物和蛋白质水平恢复到患者 2018 年的水平。本病例报告说明了血液 LMOM 在精准/个性化医疗方面的潜力,以及在胰腺癌早期诊断中可能挽救生命的医疗创新新思路。血液 LMOM 值得在未来开展以精准医疗、个性化癌症诊断和治疗为目标的计划性转化研究。
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引用次数: 0
Giant Virus Global Proteomics Innovation: Comparative Evaluation of In-Gel and In-Solution Digestion Methods. 巨型病毒全球蛋白质组学创新:凝胶内消化法和溶液内消化法的比较评估。
IF 2.2 3区 生物学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-04-01 Epub Date: 2024-04-15 DOI: 10.1089/omi.2024.0012
Monica Upadhyay, Divya Nair, Gregory W Moseley, Sanjeeva Srivastava, Kiran Kondabagil

With their unusually large genome and particle sizes, giant viruses (GVs) defy the conventional definition of viruses. Although most GVs isolated infect unicellular protozoans, such as amoeba, studies in the last decade have established their much wider prevalence infecting most eukaryotic supergroups and some giant viral families with the potential to be human pathogens. Their complexity, almost autonomous life cycle, and enigmatic evolution necessitate the study of GVs. The accurate assessment of GV proteome is a veritable challenge. We have compared the coverage of global protein identification using different methods for GVs isolated in Mumbai, Mimivirus Bombay (MVB), Powai Lake Megavirus (PLMV), and Kurlavirus (KV), along with two previously studied GVs, Acanthamoeba polyphaga Mimivirus (APMV) and Marseillevirus (MV). Our study shows that the simultaneous use of in-gel and in-solution digestion methods can significantly increase the coverage of protein identification in the global proteome analysis of purified GV particles. Combining the two methods of analyses, we identified an additional 72 proteins in APMV and 114 in MV compared with what have been previously reported. Similarly, proteomes of MVB, PLMV, and KV were analyzed, and a total of 242 proteins in MVB, 287 proteins in PLMV, and 174 proteins in KV were identified. Our results suggest that a combined methodology of in-gel and in-solution methods is more efficient and opens up new avenues for innovation in global proteome analysis of GVs. Future planetary health research on GVs can benefit from consideration of a broader range of proteomics methodologies as illustrated by the present study.

巨型病毒(GVs)的基因组和颗粒尺寸异常巨大,打破了病毒的传统定义。虽然大多数分离出来的巨型病毒感染单细胞原生动物,如变形虫,但过去十年的研究已经证实,它们广泛感染大多数真核超群和一些巨型病毒家族,并有可能成为人类病原体。巨细胞病毒的复杂性、几乎独立的生命周期和神秘的进化过程促使人们必须对其进行研究。准确评估巨细胞病毒蛋白质组是一项真正的挑战。我们比较了使用不同方法对孟买分离的 GV、孟买含羞草病毒(MVB)、Powai Lake Megavirus(PLMV)和 Kurlavirus(KV),以及之前研究过的两种 GV:Acanthamoeba polyphaga Mimivirus(APMV)和马赛病毒(MV)进行全球蛋白质鉴定的覆盖范围。我们的研究表明,在对纯化的 GV 颗粒进行全蛋白质组分析时,同时使用凝胶内消化法和溶液内消化法可以显著提高蛋白质鉴定的覆盖率。结合这两种分析方法,我们在 APMV 和 MV 中分别鉴定出了 72 个和 114 个蛋白质。同样,我们还分析了 MVB、PLMV 和 KV 的蛋白质组,共鉴定出 MVB 中的 242 个蛋白质、PLMV 中的 287 个蛋白质和 KV 中的 174 个蛋白质。我们的研究结果表明,凝胶内法和溶液内法相结合的方法更有效,为全球龙胆紫蛋白质组分析的创新开辟了新途径。如本研究所示,未来有关龙卷风的行星健康研究可受益于更广泛的蛋白质组学方法。
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引用次数: 0
How Can We Boost the Pharmacogenomics Adoption Rate in Clinical Practice Around the World? 如何提高药物基因组学在全球临床实践中的采用率?
IF 2.2 3区 生物学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-04-01 Epub Date: 2024-04-05 DOI: 10.1089/omi.2024.0049
Konstantinos Z Vasileiou, George P Patrinos
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引用次数: 0
Riddling Substitution of "hsa" to "has" in the Enigmatic MicroRNA Nomenclature. 谜一样的 MicroRNA 命名法中 "hsa "到 "has "的替换。
IF 2.2 3区 生物学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-04-01 Epub Date: 2024-04-08 DOI: 10.1089/omi.2023.0248
Riya Vishwakarma, Krishnapriya Ramakrishnan, Niyas Rehman

This concise review and analysis offers an initial unpacking of a previously under-recognized issue within the microRNA research and communications field regarding the inadvertent use of "has" instead of "hsa" in article titles in the microRNA nomenclature. This subtle change, often the result of grammar auto correction tools, introduces considerable ambiguity and confusion among readers and researchers in reporting of microRNA-related discoveries. The impact of this issue cannot be underestimated, as precise and consistent nomenclature is vital for science communication and computational retrieval of relevant scientific literature and to advance science and innovation. We suggest that the recognition and correction of these often inadvertent "hsa" to "has" substitution errors are timely and important so as to ensure a higher level of accuracy throughout the writing and publication process in the microRNA field in particular. Doing so will also contribute to clarity and consistency in the field of microRNA research, ultimately improving scientific veracity, communication, and progress.

这篇简明扼要的评论和分析初步揭示了 microRNA 研究和交流领域以前认识不足的一个问题,即在 microRNA 命名法中,文章标题无意中使用了 "has "而不是 "hsa"。这种微妙的变化往往是语法自动修正工具的结果,在报道 microRNA 相关发现时给读者和研究人员带来了相当大的歧义和困惑。这个问题的影响不容低估,因为精确一致的术语对于科学交流和相关科学文献的计算检索以及推动科学和创新至关重要。我们认为,及时发现并纠正这些经常无意中出现的 "hsa "到 "has "的替换错误是非常重要的,这样才能确保整个写作和发表过程,尤其是 microRNA 领域的写作和发表过程具有更高的准确性。这样做还将有助于提高 microRNA 研究领域的清晰度和一致性,最终改善科学的真实性、交流和进步。
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引用次数: 0
Pancreatic Cancer and Longitudinal Multiomics Monitoring. 胰腺癌与多组学纵向监测
IF 2.2 3区 生物学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-04-01 Epub Date: 2024-04-05 DOI: 10.1089/omi.2024.0058
Vural Özdemir
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引用次数: 0
Unpacking Immune Modulation as a Site of Therapeutics Innovation for Nematode Parasite Wuchereria bancrofti: A Temporal Quantitative Phosphoproteomics Profiling of Macrophage Migration Inhibitory Factor 2. 将免疫调节作为治疗线虫寄生虫班克罗夫蒂虫的创新点:巨噬细胞迁移抑制因子2的定时定量磷蛋白组学分析。
IF 2.2 3区 生物学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-03-01 DOI: 10.1089/omi.2024.0002
Ishwar Singh, Anagha Kanichery, Chinmaya Narayana Kotimoole, Prashant Kumar Modi, Thottethodi Subrahmanya Keshava Prasad, Sugeerappa Laxamannappa Hoti

Nematode infections are common in both humans and livestock, with major adverse planetary health and economic impacts. Wuchereria bancrofti is a parasitic nematode that causes lymphatic filariasis, a neglected tropical disease that can lead to severe disability and deformity worldwide. For the long-term survival of the bancroftian parasites in the host, a complex immune invasion strategy is involved through immunomodulation. Therefore, immunomodulation can serve as a site of research and innovation for molecular targets. Macrophage migration inhibitory factor (MIF) is a pleiotropic cytokine crucial to the host antimicrobial alarm system and stress response. Interestingly, the nematode parasite W. bancrofti also produces two homologs of MIF (Wba-MIF1 and 2). Using a mass spectrometry-based phosphoproteomics approach, we report new findings on the immunomodulatory effect and signaling mechanism of Wba-MIF2 in macrophage cells. Accordingly, we observed 1201 phosphorylated sites on 467 proteins. Out of the 1201 phosphorylated sites, 1075, 117, and 9 were found on serine (S), threonine (T), and tyrosine (Y) residues, respectively. Our bioinformatics analysis led to identification of major pathways, including spliceosomes, T cell receptor signaling pathway, Th17 differentiation pathway, interleukin-17 signaling pathway, and insulin signaling pathway upon Wba-MIF2 treatment. Wba-MIF2 treatment also enriched CDK4, CDK1, and DNAPK kinases. The comparison of the signaling pathway of Wba-MIF2 with that of human-MIF suggests both share similar signaling pathways. These findings collectively offer new insights into the role and mechanism of Wba-MIF2 as an immunomodulator and inform future diagnostics and drug discovery research for W. bancrofti.

线虫感染在人类和牲畜中都很常见,对地球健康和经济造成重大不利影响。盘尾丝虫是一种寄生线虫,可引起淋巴丝虫病,这是一种被忽视的热带疾病,可导致全球范围内的严重残疾和畸形。为了让盘尾丝虫病寄生虫在宿主体内长期存活,需要通过免疫调节采取复杂的免疫入侵策略。因此,免疫调节可以作为分子靶标的研究和创新场所。巨噬细胞迁移抑制因子(MIF)是一种多效细胞因子,对宿主的抗微生物警报系统和应激反应至关重要。有趣的是,线虫寄生虫 W. bancrofti 也产生两种 MIF 的同源物(Wba-MIF1 和 2)。利用基于质谱的磷酸化蛋白质组学方法,我们报告了关于 Wba-MIF2 在巨噬细胞中的免疫调节作用和信号转导机制的新发现。据此,我们在 467 个蛋白质上观察到了 1201 个磷酸化位点。在这 1201 个磷酸化位点中,丝氨酸(S)、苏氨酸(T)和酪氨酸(Y)残基上的磷酸化位点分别为 1075 个、117 个和 9 个。通过生物信息学分析,我们确定了 Wba-MIF2 处理后的主要通路,包括剪接体、T 细胞受体信号通路、Th17 分化通路、白细胞介素-17 信号通路和胰岛素信号通路。Wba-MIF2 处理还富集了 CDK4、CDK1 和 DNAPK 激酶。Wba-MIF2 与人类-MIF 信号通路的比较表明,两者具有相似的信号通路。这些发现共同为研究 Wba-MIF2 作为免疫调节剂的作用和机制提供了新的视角,并为今后针对班克罗夫特蠕虫的诊断和药物发现研究提供了参考。
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引用次数: 0
Deciphering Breast Cancer Metastasis Cascade: A Systems Biology Approach Integrating Transcriptome and Interactome Insights for Target Discovery. 解密乳腺癌转移级联:整合转录组和相互作用组洞察力以发现目标的系统生物学方法。
IF 2.2 3区 生物学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-03-01 Epub Date: 2024-03-14 DOI: 10.1089/omi.2023.0285
Bikashita Kalita, Mohane Selvaraj Coumar

Breast cancer is the lead cause of cancer-related deaths among women globally. Breast cancer metastasis is a complex and still inadequately understood process and a key dimension of mortality attendant to breast cancer. This study reports dysregulated genes across metastatic stages and tissues, shedding light on their molecular interplay in disease pathogenesis and new possibilities for drug discovery. Comprehensive analyses of gene expression data from primary breast tumor, circulating tumor cells, and distant metastatic sites in the brain, lung, liver, and bone were conducted. Genes dysregulated across multiple stages and tissues were identified as metastatic cascade genes, and are further classified based on functional associations with metastasis-related mechanisms. Their interactions with HUB genes in interactome networks were scrutinized, followed by pathway enrichment analysis. Validation for their potential as targets included assessments for survival, druggability, prognostic marker status, secretome annotation, protein expression, and cell type marker association. Results displayed critical genes in the metastatic cascade and those specific to metastatic sites, revealing the involvement of the collagen degradation and assembly of collagen fibrils and other multimeric structure pathways in driving metastasis. Notably, pivotal cascade genes FABP4, CXCL12, APOD, and IGF1 emerged with high metastatic potential, linked to significant druggability and survival scores, establishing them as potential molecular targets. The significance of this research lies in its potential to uncover novel biomarkers for early detection, therapeutic targets, and a deeper understanding of the molecular mechanisms underpinning the metastatic cascade in breast cancer, and with an eye to precision/personalized medicine.

乳腺癌是全球妇女因癌症死亡的主要原因。乳腺癌转移是一个复杂的过程,人们对它的了解还很不够,这也是导致乳腺癌患者死亡的一个关键因素。本研究报告了各转移阶段和组织中的失调基因,揭示了它们在疾病发病机制中的分子相互作用,为药物发现提供了新的可能性。研究人员对原发性乳腺肿瘤、循环肿瘤细胞以及脑、肺、肝和骨等远处转移部位的基因表达数据进行了全面分析。在多个阶段和组织中表达失调的基因被鉴定为转移级联基因,并根据其与转移相关机制的功能关联进行了进一步分类。研究人员仔细研究了这些基因与相互作用组网络中的 HUB 基因之间的相互作用,然后进行了通路富集分析。对这些基因作为靶点的潜力进行了验证,包括生存率、可药用性、预后标志物状态、分泌组注释、蛋白质表达和细胞类型标志物关联的评估。结果显示了转移级联中的关键基因和转移部位的特异性基因,揭示了胶原降解和胶原纤维组装以及其他多聚体结构通路参与驱动转移。值得注意的是,关键级联基因 FABP4、CXCL12、APOD 和 IGF1 具有较高的转移潜能,与显著的可药性和存活率评分相关,从而将它们确立为潜在的分子靶点。这项研究的意义在于它有可能发现用于早期检测的新型生物标记物、治疗靶点,并加深对支撑乳腺癌转移级联的分子机制的理解,同时着眼于精准/个性化医疗。
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引用次数: 0
期刊
Omics A Journal of Integrative Biology
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