Artepillin C is a diprenylated phenylpropanoid with various pharmacological benefits for human health. Its natural occurrence is limited to a few Asteraceae plants, such as Baccharis species, necessitating a stable supply through synthetic biology. In Saccharomyces cerevisiae, the utilization of aromatic substrates within the cell was limited, resulting in very low production of artepillin C. In this study, we used AcPT1, a p-coumaric acid (p-CA)-specific diprenyltransferase, in Komagataella phaffii to produce artepillin C. Detailed studies revealed that the critical bottleneck in K. phaffii was the supply of prenyl diphosphates, not phenylpropanoid flux. By enhancing the prenyl substrate pathway through overexpression of isopentenyl diphosphate isomerase and a truncated HMG-CoA reductase, we achieved a strong increase in artepillin C production. A major part of artepillin C was accumulated in yeast cells. One of the advantages of K. phaffii is its superior growth and ability to achieve high cell density cultivation compared to that of S. cerevisiae. Therefore, fed-batch cultivation with glycerol was performed. As a result, the dry cell weight (DCW) reached 61.0 g/L, and the intracellular amount of de novo produced artepillin C reached 187.3 μg/DCW. Analysis of intermediates revealed that the supply of p-CA constituted a bottleneck in artepillin C production in the engineered strain. By enhancing the p-CA supply, the intracellular accumulation of artepillin C reached 1200 μg/DCW even in batch cultivation. Moreover, the total intra- and extracellular amounts of artepillin C reached 12.5 mg/L, marking the highest de novo synthesis amount of artepillin C reported thus far, even under batch cultivation conditions.
Artepillin C 是一种二烯基苯丙酮类化合物,对人体健康具有多种药理作用。它的天然存在仅限于少数菊科植物,如百日草,因此需要通过合成生物学来获得稳定的供应。在本研究中,我们在 Komagataella phaffii 中利用对香豆酸(p-CA)特异性二烯基转移酶 AcPT1 生产青蒿素 C。通过过量表达异戊烯基二磷酸异构酶和截短的 HMG-CoA 还原酶来增强前酰基底物途径,我们实现了青蒿素 C 产量的强劲增长。大部分青蒿素 C 在酵母细胞中积累。与 S. cerevisiae 相比,K. phaffii 的优势之一是其生长性能优越,能够实现高细胞密度培养。因此,进行了甘油喂养批量培养。结果,干细胞重量(DCW)达到 61.0 g/L,细胞内从头生产的青蒿素 C 量达到 187.3 μg/DCW。对中间产物的分析表明,p-CA 的供应构成了工程菌株生产青蒿素 C 的瓶颈。通过增加 p-CA 的供应,即使在批量培养中,青蒿素 C 的胞内积累也达到了 1200 μg/DCW。此外,细胞内和细胞外的青蒿素 C 总量达到了 12.5 毫克/升,这是迄今为止所报道的青蒿素 C 从头合成量的最高值,即使在批量培养条件下也是如此。
{"title":"De Novo Production of the Bioactive Phenylpropanoid Artepillin C Using Membrane-Bound Prenyltransferase in <i>Komagataella phaffii</i>.","authors":"Takahiro Bamba, Ryosuke Munakata, Yuya Ushiro, Ryota Kumokita, Sayaka Tanaka, Yoshimi Hori, Akihiko Kondo, Kazufumi Yazaki, Tomohisa Hasunuma","doi":"10.1021/acssynbio.4c00472","DOIUrl":"https://doi.org/10.1021/acssynbio.4c00472","url":null,"abstract":"<p><p>Artepillin C is a diprenylated phenylpropanoid with various pharmacological benefits for human health. Its natural occurrence is limited to a few Asteraceae plants, such as <i>Baccharis</i> species, necessitating a stable supply through synthetic biology. In <i>Saccharomyces cerevisiae</i>, the utilization of aromatic substrates within the cell was limited, resulting in very low production of artepillin C. In this study, we used AcPT1, a <i>p</i>-coumaric acid (<i>p</i>-CA)-specific diprenyltransferase, in <i>Komagataella phaffii</i> to produce artepillin C. Detailed studies revealed that the critical bottleneck in <i>K. phaffii</i> was the supply of prenyl diphosphates, not phenylpropanoid flux. By enhancing the prenyl substrate pathway through overexpression of isopentenyl diphosphate isomerase and a truncated HMG-CoA reductase, we achieved a strong increase in artepillin C production. A major part of artepillin C was accumulated in yeast cells. One of the advantages of <i>K. phaffii</i> is its superior growth and ability to achieve high cell density cultivation compared to that of <i>S. cerevisiae</i>. Therefore, fed-batch cultivation with glycerol was performed. As a result, the dry cell weight (DCW) reached 61.0 g/L, and the intracellular amount of de novo produced artepillin C reached 187.3 μg/DCW. Analysis of intermediates revealed that the supply of <i>p</i>-CA constituted a bottleneck in artepillin C production in the engineered strain. By enhancing the <i>p</i>-CA supply, the intracellular accumulation of artepillin C reached 1200 μg/DCW even in batch cultivation. Moreover, the total intra- and extracellular amounts of artepillin C reached 12.5 mg/L, marking the highest de novo synthesis amount of artepillin C reported thus far, even under batch cultivation conditions.</p>","PeriodicalId":26,"journal":{"name":"ACS Synthetic Biology","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142612581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-12DOI: 10.1016/j.jhep.2024.10.047
Tatjana Schwarz, Johannes Ptok, Maximilian Damagnez, Christopher Menne, Elahe Salimi Alizei, Julia Lang-Meli, Michelle Maas, Daniel Habermann, Daniel Hoffmann, Julian Schulze zur Wiesch, Georg Lauer, Helenie Kefalakes, Markus Cornberg, Anke RM. Kraft, Smaranda Gliga, Hans H. Bock, Peter A. Horn, Mala K. Maini, Robert Thimme, Heiner Wedemeyer, Jörg Timm
Background & Aims
Immune responses by CD8 T cells are essential for control of HBV replication. Although selection of escape mutations in CD8 T cell epitopes has been previously described in HBV infection, its overall influence on HBV sequence diversity and correlation with markers of HBV replication remain unclear.
Methods
Whole-genome sequencing was applied to HBV isolates from 532 patients with chronic HBV infection and high-resolution HLA class I genotyping. Using a Bayesian model (HAMdetector) for Identification of HLA-associated mutational states (HAMs) the frequency and location of residues under CD8 T cell selection pressure were determined and the levels of adaptation of individual isolates were quantified.
Results
Using previously published thresholds for the identification of HAMs, a total of 295 residues showed evidence of CD8 T cell escape, the majority of which were located in previously unidentified epitopes. Interestingly, HAMs were highly enriched in the HBV core protein compared to all other proteins. When individual HBV isolates were compared, different levels of adaptation to HLA class I immune pressure were noted. The level of adaptation increased with patient age and correlated with markers of replication, with low levels of adaptation in HBeAg-positive infection. Furthermore, the levels of adaptation negatively correlated with HBV viral load and HBsAg levels, consistent with high levels of HLA class I-associated selection pressure in patients with low replication level.
Conclusions
HBV sequence diversity is shaped by HLA class I-associated selection pressure with the HBV core protein being a predominant target of selection. Importantly, different levels of adaptation to immune pressure were observed between HBV infection stages, which need to be considered in the context of T cell-based therapies.
Impact and implications
The immune response mediated by CD8 T cells plays a critical role in controlling HBV infection and shows promise for therapeutic strategies aimed at achieving a functional cure. This study demonstrates that mutational escape within CD8 T cell epitopes is common in HBV and represents a key factor in the failure of immune control. Notably, the HBV core protein emerges as the primary target of CD8 T cell selection pressure. Additionally, the observed correlation between HBV adaptation levels and viral replication markers indicates that CD8 T cell immunity may influence transitions between phases of chronic HBV infection.
背景& 目的CD8 T细胞的免疫反应是控制HBV复制的关键。方法对来自 532 例慢性 HBV 感染患者的 HBV 分离物进行了全基因组测序,并进行了高分辨率 HLA I 类基因分型。结果根据之前公布的 HAMs 鉴定阈值,共有 295 个残基显示出 CD8 T 细胞逃逸的证据,其中大部分位于之前未确定的表位。有趣的是,与所有其他蛋白相比,HBV 核心蛋白中的 HAMs 高度富集。在对单个 HBV 分离物进行比较时,发现它们对 HLA I 类免疫压力的适应程度不同。适应水平随患者年龄的增长而增加,并与复制标志物相关,HBeAg 阳性感染者的适应水平较低。此外,适应水平与 HBV 病毒载量和 HBsAg 水平呈负相关,这与低复制水平患者的高水平 HLA I 类相关选择压力一致。影响和意义CD8 T 细胞介导的免疫反应在控制 HBV 感染中发挥着关键作用,并为旨在实现功能性治愈的治疗策略带来了希望。这项研究表明,CD8 T 细胞表位的突变逃逸在 HBV 中很常见,是导致免疫控制失败的关键因素。值得注意的是,HBV 核心蛋白是 CD8 T 细胞选择压力的主要目标。此外,观察到的 HBV 适应水平与病毒复制标志物之间的相关性表明,CD8 T 细胞免疫可能会影响慢性 HBV 感染阶段之间的转换。
{"title":"HBV shows different levels of adaptation to HLA class I-associated selection pressure correlating with markers of replication","authors":"Tatjana Schwarz, Johannes Ptok, Maximilian Damagnez, Christopher Menne, Elahe Salimi Alizei, Julia Lang-Meli, Michelle Maas, Daniel Habermann, Daniel Hoffmann, Julian Schulze zur Wiesch, Georg Lauer, Helenie Kefalakes, Markus Cornberg, Anke RM. Kraft, Smaranda Gliga, Hans H. Bock, Peter A. Horn, Mala K. Maini, Robert Thimme, Heiner Wedemeyer, Jörg Timm","doi":"10.1016/j.jhep.2024.10.047","DOIUrl":"https://doi.org/10.1016/j.jhep.2024.10.047","url":null,"abstract":"<h3>Background & Aims</h3>Immune responses by CD8 T cells are essential for control of HBV replication. Although selection of escape mutations in CD8 T cell epitopes has been previously described in HBV infection, its overall influence on HBV sequence diversity and correlation with markers of HBV replication remain unclear.<h3>Methods</h3>Whole-genome sequencing was applied to HBV isolates from 532 patients with chronic HBV infection and high-resolution HLA class I genotyping. Using a Bayesian model (HAMdetector) for Identification of HLA-associated mutational states (HAMs) the frequency and location of residues under CD8 T cell selection pressure were determined and the levels of adaptation of individual isolates were quantified.<h3>Results</h3>Using previously published thresholds for the identification of HAMs, a total of 295 residues showed evidence of CD8 T cell escape, the majority of which were located in previously unidentified epitopes. Interestingly, HAMs were highly enriched in the HBV core protein compared to all other proteins. When individual HBV isolates were compared, different levels of adaptation to HLA class I immune pressure were noted. The level of adaptation increased with patient age and correlated with markers of replication, with low levels of adaptation in HBeAg-positive infection. Furthermore, the levels of adaptation negatively correlated with HBV viral load and HBsAg levels, consistent with high levels of HLA class I-associated selection pressure in patients with low replication level.<h3>Conclusions</h3>HBV sequence diversity is shaped by HLA class I-associated selection pressure with the HBV core protein being a predominant target of selection. Importantly, different levels of adaptation to immune pressure were observed between HBV infection stages, which need to be considered in the context of T cell-based therapies.<h3>Impact and implications</h3>The immune response mediated by CD8 T cells plays a critical role in controlling HBV infection and shows promise for therapeutic strategies aimed at achieving a functional cure. This study demonstrates that mutational escape within CD8 T cell epitopes is common in HBV and represents a key factor in the failure of immune control. Notably, the HBV core protein emerges as the primary target of CD8 T cell selection pressure. Additionally, the observed correlation between HBV adaptation levels and viral replication markers indicates that CD8 T cell immunity may influence transitions between phases of chronic HBV infection.","PeriodicalId":26,"journal":{"name":"ACS Synthetic Biology","volume":"18 1","pages":""},"PeriodicalIF":25.7,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142601481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-12DOI: 10.1021/acssynbio.4c00529
Matthew M Cleere, Kevin H Gardner
Blue light illumination can be detected by light-oxygen-voltage (LOV) photosensing proteins and translated into a range of biochemical responses, facilitating the generation of novel optogenetic tools to control cellular function. Here, we develop new variants of our previously described VP-EL222 light-dependent transcription factor and apply them to study the phosphate-responsive signaling (PHO) pathway in the budding yeast Saccharomyces cerevisiae, exemplifying the utilities of these new tools. Focusing first on the VP-EL222 protein itself, we quantified the tunability of gene expression as a function of light intensity and duration and demonstrated that this system can tolerate the addition of substantially larger effector domains without impacting function. We further demonstrated the utility of several EL222-driven transcriptional controllers in both plasmid and genomic settings, using the PHO5 and PHO84 promoters in their native chromosomal contexts as examples. These studies highlight the utility of light-controlled gene activation using EL222 tethered to either artificial transcription domains or yeast activator proteins (Pho4). Similarly, we demonstrate the ability to optogenetically repress gene expression with EL222 fused to the yeast Ume6 protein. We finally investigated the effects of moving EL222 recruitment sites to different locations within the PHO5 and PHO84 promoters, as well as determining how this artificial light-controlled regulation could be integrated with the native controls dependent on inorganic phosphate (Pi) availability. Taken together, our work expands the applicability of these versatile optogenetic tools in the types of functionalities that they can deliver and the biological questions that can be probed.
{"title":"Optogenetic Control of Phosphate-Responsive Genes Using Single-Component Fusion Proteins in <i>Saccharomyces cerevisiae</i>.","authors":"Matthew M Cleere, Kevin H Gardner","doi":"10.1021/acssynbio.4c00529","DOIUrl":"10.1021/acssynbio.4c00529","url":null,"abstract":"<p><p>Blue light illumination can be detected by light-oxygen-voltage (LOV) photosensing proteins and translated into a range of biochemical responses, facilitating the generation of novel optogenetic tools to control cellular function. Here, we develop new variants of our previously described VP-EL222 light-dependent transcription factor and apply them to study the phosphate-responsive signaling (<i>PHO</i>) pathway in the budding yeast <i>Saccharomyces cerevisiae</i>, exemplifying the utilities of these new tools. Focusing first on the VP-EL222 protein itself, we quantified the tunability of gene expression as a function of light intensity and duration and demonstrated that this system can tolerate the addition of substantially larger effector domains without impacting function. We further demonstrated the utility of several EL222-driven transcriptional controllers in both plasmid and genomic settings, using the <i>PHO5</i> and <i>PHO84</i> promoters in their native chromosomal contexts as examples. These studies highlight the utility of light-controlled gene activation using EL222 tethered to either artificial transcription domains or yeast activator proteins (Pho4). Similarly, we demonstrate the ability to optogenetically repress gene expression with EL222 fused to the yeast Ume6 protein. We finally investigated the effects of moving EL222 recruitment sites to different locations within the <i>PHO5</i> and <i>PHO84</i> promoters, as well as determining how this artificial light-controlled regulation could be integrated with the native controls dependent on inorganic phosphate (P<sub>i</sub>) availability. Taken together, our work expands the applicability of these versatile optogenetic tools in the types of functionalities that they can deliver and the biological questions that can be probed.</p>","PeriodicalId":26,"journal":{"name":"ACS Synthetic Biology","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142612583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-11DOI: 10.1038/s41551-024-01281-9
Joshua C. Chen, Abdeali Dhuliyawalla, Robert Garcia, Ariadna Robledo, Joshua E. Woods, Fatima Alrashdan, Sean O’Leary, Adam Husain, Anthony Price, Scott Crosby, Michelle M. Felicella, Ajay K. Wakhloo, Patrick Karas, Nicole Provenza, Wayne Goodman, Sameer A. Sheth, Sunil A. Sheth, Jacob T. Robinson, Peter Kan
Minimally invasive neural interfaces can be used to diagnose, manage and treat many disorders, with reduced risks of surgical complications. However, endovascular probes lack access to key cortical, subcortical and spinal targets, and are not typically explantable after endothelialization. Here we report the development and testing, in sheep, of endocisternal neural interfaces that approach brain and spinal cord targets through inner and outer spaces filled with cerebrospinal fluid. Thus, the interfaces gain access to the entire brain convexity, to deep brain structures within the ventricles and to the spinal cord from the spinal subarachnoid space. We combined an endocisternal neural interface with wireless miniature magnetoelectrically powered bioelectronics so that it can be freely navigated percutaneously from the spinal space to the cranial subarachnoid space, and from the cranial subarachnoid space to the ventricles. In sheep, we show recording and stimulation functions, as well as repositioning of the flexible electrodes and explantation of the interface after chronic implantation. Minimally invasive endocisternal bioelectronics may enable chronic and transient therapies, particularly for stroke rehabilitation and epilepsy monitoring.
{"title":"Endocisternal interfaces for minimally invasive neural stimulation and recording of the brain and spinal cord","authors":"Joshua C. Chen, Abdeali Dhuliyawalla, Robert Garcia, Ariadna Robledo, Joshua E. Woods, Fatima Alrashdan, Sean O’Leary, Adam Husain, Anthony Price, Scott Crosby, Michelle M. Felicella, Ajay K. Wakhloo, Patrick Karas, Nicole Provenza, Wayne Goodman, Sameer A. Sheth, Sunil A. Sheth, Jacob T. Robinson, Peter Kan","doi":"10.1038/s41551-024-01281-9","DOIUrl":"https://doi.org/10.1038/s41551-024-01281-9","url":null,"abstract":"<p>Minimally invasive neural interfaces can be used to diagnose, manage and treat many disorders, with reduced risks of surgical complications. However, endovascular probes lack access to key cortical, subcortical and spinal targets, and are not typically explantable after endothelialization. Here we report the development and testing, in sheep, of endocisternal neural interfaces that approach brain and spinal cord targets through inner and outer spaces filled with cerebrospinal fluid. Thus, the interfaces gain access to the entire brain convexity, to deep brain structures within the ventricles and to the spinal cord from the spinal subarachnoid space. We combined an endocisternal neural interface with wireless miniature magnetoelectrically powered bioelectronics so that it can be freely navigated percutaneously from the spinal space to the cranial subarachnoid space, and from the cranial subarachnoid space to the ventricles. In sheep, we show recording and stimulation functions, as well as repositioning of the flexible electrodes and explantation of the interface after chronic implantation. Minimally invasive endocisternal bioelectronics may enable chronic and transient therapies, particularly for stroke rehabilitation and epilepsy monitoring.</p>","PeriodicalId":26,"journal":{"name":"ACS Synthetic Biology","volume":"245 1","pages":""},"PeriodicalIF":28.1,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142598338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-11DOI: 10.1021/acssynbio.4c00552
Allison Y Tang, Seyi Jung, César Carrasco-López, José L Avalos
In metabolic engineering, increasing chemical production usually involves manipulating the expression levels of key enzymes. However, limited synthetic tools exist for modulating enzyme activity beyond the transcription level. Inspired by natural post-translational mechanisms, we present targeted enzyme degradation mediated by optically controlled nanobodies. We applied this method to a branched biosynthetic pathway, deoxyviolacein, and observed enhanced product specificity and yield. We then extend the biosynthesis pathway to violacein and show how simultaneous degradation of two target enzymes can further shift production profiles. Through the redirection of metabolic flux, we demonstrate how targeted enzyme degradation can be used to minimize unwanted intermediates and boost the formation of desired products.
{"title":"Light-Induced Nanobody-Mediated Targeted Protein Degradation for Metabolic Flux Control.","authors":"Allison Y Tang, Seyi Jung, César Carrasco-López, José L Avalos","doi":"10.1021/acssynbio.4c00552","DOIUrl":"https://doi.org/10.1021/acssynbio.4c00552","url":null,"abstract":"<p><p>In metabolic engineering, increasing chemical production usually involves manipulating the expression levels of key enzymes. However, limited synthetic tools exist for modulating enzyme activity beyond the transcription level. Inspired by natural post-translational mechanisms, we present targeted enzyme degradation mediated by optically controlled nanobodies. We applied this method to a branched biosynthetic pathway, deoxyviolacein, and observed enhanced product specificity and yield. We then extend the biosynthesis pathway to violacein and show how simultaneous degradation of two target enzymes can further shift production profiles. Through the redirection of metabolic flux, we demonstrate how targeted enzyme degradation can be used to minimize unwanted intermediates and boost the formation of desired products.</p>","PeriodicalId":26,"journal":{"name":"ACS Synthetic Biology","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142612582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-10DOI: 10.1016/j.jhep.2024.10.043
Changhoon Yoo, Hyehyun Jeong, Jae Ho Jeong, Kyu-pyo Kim, Seonmin Lee, Baek-Yeol Ryoo, Dae Wook Hwang, Jae Hoon Lee, Deog-Bog Moon, Ki-Hun Kim, Sang Soo Lee, Tae Jun Song, Dongwook Oh, Myung Ah Lee, Hong Jae Chon, Ji Sung Lee, George Laliotis, Samuel Rivero-Hinojosa, Erik Spickard, Derrick Renner, Minetta C. Liu
Background & Aims
Surgery is the only curative therapeutic option for resectable extrahepatic cholangiocarcinoma (eCCA), but recurrence is common, and prognosis is poor. There is an unmet clinical need for improved decision-making regarding adjuvant chemotherapy (ACT). Here we evaluated the usefulness of monitoring longitudinal circulating tumor DNA (ctDNA) for minimal residual disease (MRD) in patients of the STAMP trial, which compares the efficacy of adjuvant capecitabine (CAP) versus gemcitabine plus cisplatin (GemCis).
Methods
Between July 2017 and November 2020, 101 patients were randomized 1:1 to receive GemCis (n=50) or CAP (n=51). Efficacy outcomes were analyzed with an extended follow-up of 19 months from the previous report. From a biomarker cohort of 89 patients, longitudinal plasma samples (n=254) were prospectively collected post-surgery before adjuvant chemotherapy (ACT), and on-ACT at 12 and 24 weeks from cycle 1 day 1 (C1D1). ctDNA was evaluated using a personalized, tumor-informed, 16-plex PCR-NGS assay and was correlated with clinical outcomes.
Results
In the extended follow-up analysis, median disease-free survival (DFS) and overall survival (OS) did not significantly differ between the CAP and GemCis groups. Significantly inferior DFS was associated with ctDNA-positivity before ACT (HR, 1.8; p=0.029), on-ACT at 12 weeks from C1D1 (HR, 7.72; p<0.001), on-ACT at 24 weeks from C1D1 (HR, 5.24; p<0.001), and anytime post-surgery (HR, 3.81; p<0.001). Analysis of pre-treatment to on-treatment ctDNA dynamics revealed that serially ctDNA-negative patients exhibited a significantly longer DFS compared to those with sustained ctDNA-positivity (HR, 6.7; p<0.001) or who turned ctDNA-positive (HR, 5.8; p<0.001).
Conclusion
In patients with resected eCCA, ctDNA status and dynamics predicted recurrence during adjuvant therapy, and may help optimize clinical decision-making.
Impact and implications
The findings from this study highlight the critical role of ctDNA as a prognostic biomarker and monitoring tool for patients with resected extrahepatic cholangiocarcinoma (eCCA). By demonstrating the superiority of ctDNA to predict disease recurrence compared to conventional biomarkers such as CA 19-9 and CEA, this study underscores its potential in guiding decision-making during adjuvant chemotherapy. These results may be crucial to refine post-surgical treatment strategies and improve patient outcomes. The practical application of ctDNA monitoring could lead to more personalized treatment approaches, enabling timely interventions based on minimal residual disease (MRD) status.
{"title":"Circulating tumor DNA status and dynamics predict recurrence in patients with resected extrahepatic cholangiocarcinoma","authors":"Changhoon Yoo, Hyehyun Jeong, Jae Ho Jeong, Kyu-pyo Kim, Seonmin Lee, Baek-Yeol Ryoo, Dae Wook Hwang, Jae Hoon Lee, Deog-Bog Moon, Ki-Hun Kim, Sang Soo Lee, Tae Jun Song, Dongwook Oh, Myung Ah Lee, Hong Jae Chon, Ji Sung Lee, George Laliotis, Samuel Rivero-Hinojosa, Erik Spickard, Derrick Renner, Minetta C. Liu","doi":"10.1016/j.jhep.2024.10.043","DOIUrl":"https://doi.org/10.1016/j.jhep.2024.10.043","url":null,"abstract":"<h3>Background & Aims</h3>Surgery is the only curative therapeutic option for resectable extrahepatic cholangiocarcinoma (eCCA), but recurrence is common, and prognosis is poor. There is an unmet clinical need for improved decision-making regarding adjuvant chemotherapy (ACT). Here we evaluated the usefulness of monitoring longitudinal circulating tumor DNA (ctDNA) for minimal residual disease (MRD) in patients of the STAMP trial, which compares the efficacy of adjuvant capecitabine (CAP) versus gemcitabine plus cisplatin (GemCis).<h3>Methods</h3>Between July 2017 and November 2020, 101 patients were randomized 1:1 to receive GemCis (<em>n</em>=50) or CAP (<em>n</em>=51). Efficacy outcomes were analyzed with an extended follow-up of 19 months from the previous report. From a biomarker cohort of 89 patients, longitudinal plasma samples (<em>n</em>=254) were prospectively collected post-surgery before adjuvant chemotherapy (ACT), and on-ACT at 12 and 24 weeks from cycle 1 day 1 (C1D1). ctDNA was evaluated using a personalized, tumor-informed, 16-plex PCR-NGS assay and was correlated with clinical outcomes.<h3>Results</h3>In the extended follow-up analysis, median disease-free survival (DFS) and overall survival (OS) did not significantly differ between the CAP and GemCis groups. Significantly inferior DFS was associated with ctDNA-positivity before ACT (HR, 1.8; <em>p</em>=0.029), on-ACT at 12 weeks from C1D1 (HR, 7.72; <em>p</em><0.001), on-ACT at 24 weeks from C1D1 (HR, 5.24; <em>p</em><0.001), and anytime post-surgery (HR, 3.81; <em>p</em><0.001). Analysis of pre-treatment to on-treatment ctDNA dynamics revealed that serially ctDNA-negative patients exhibited a significantly longer DFS compared to those with sustained ctDNA-positivity (HR, 6.7; <em>p</em><0.001) or who turned ctDNA-positive (HR, 5.8; <em>p</em><0.001).<h3>Conclusion</h3>In patients with resected eCCA, ctDNA status and dynamics predicted recurrence during adjuvant therapy, and may help optimize clinical decision-making.<h3>Impact and implications</h3>The findings from this study highlight the critical role of ctDNA as a prognostic biomarker and monitoring tool for patients with resected extrahepatic cholangiocarcinoma (eCCA). By demonstrating the superiority of ctDNA to predict disease recurrence compared to conventional biomarkers such as CA 19-9 and CEA, this study underscores its potential in guiding decision-making during adjuvant chemotherapy. These results may be crucial to refine post-surgical treatment strategies and improve patient outcomes. The practical application of ctDNA monitoring could lead to more personalized treatment approaches, enabling timely interventions based on minimal residual disease (MRD) status.<h3>Clinical Trial Registration number</h3>NCT03079427","PeriodicalId":26,"journal":{"name":"ACS Synthetic Biology","volume":"3 1","pages":""},"PeriodicalIF":25.7,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142596803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-08DOI: 10.1016/j.jhep.2024.11.004
Moon Haeng Hur, Jeong-Hoon Lee
Section snippets
Grant support
This work was supported by National IT Industry Promotion Agency grant funded by the Korea Ministry of Science and ICT (S0252-21-1001), Liver Research Foundation of Korea as part of Bio Future Strategies Research Project, and Seoul National University Hospital Research Fund (04-2019-3090).
Authors’ contributions
MH and JL both drafted and reviewed the letter equally
Declaration of Competing Interest
Moon Haeng Hur: Nothing to declare; Jeong-Hoon Lee: Jeong-Hoon Lee receives research grants from Yuhan Pharmaceuticals and GreenCross Cell, and lecture fees from Samil Pharmaceuticals, GreenCross Cell, Daewoong Pharmaceuticals, and Gilead Korea.
本研究得到了韩国科学和信息通信技术部资助的国家信息技术产业振兴院基金(S0252-21-1001)、作为生物未来战略研究项目一部分的韩国肝脏研究基金会以及首尔国立大学医院研究基金(04-2019-3090)的支持:Jeong-Hoon Lee 从 Yuhan Pharmaceuticals 和 GreenCross Cell 获得研究基金,并从 Samil Pharmaceuticals、GreenCross Cell、Daewoong Pharmaceuticals 和 Gilead Korea 获得讲课费。
{"title":"Reply to “A machine learning model to predict liver-related outcomes after the functional cure of chronic hepatitis B: Is cirrhosis driving the performance?”","authors":"Moon Haeng Hur, Jeong-Hoon Lee","doi":"10.1016/j.jhep.2024.11.004","DOIUrl":"https://doi.org/10.1016/j.jhep.2024.11.004","url":null,"abstract":"<h2>Section snippets</h2><section><section><h2>Grant support</h2>This work was supported by National IT Industry Promotion Agency grant funded by the Korea Ministry of Science and ICT (S0252-21-1001), Liver Research Foundation of Korea as part of Bio Future Strategies Research Project, and Seoul National University Hospital Research Fund (04-2019-3090).</section></section><section><section><h2>Authors’ contributions</h2>MH and JL both drafted and reviewed the letter equally</section></section><section><section><h2>Declaration of Competing Interest</h2>Moon Haeng Hur: Nothing to declare; Jeong-Hoon Lee: Jeong-Hoon Lee receives research grants from Yuhan Pharmaceuticals and GreenCross Cell, and lecture fees from Samil Pharmaceuticals, GreenCross Cell, Daewoong Pharmaceuticals, and Gilead Korea.</section></section>","PeriodicalId":26,"journal":{"name":"ACS Synthetic Biology","volume":"43 1","pages":""},"PeriodicalIF":25.7,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142596805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-08DOI: 10.1016/j.jhep.2024.10.044
Hyun Young Kim, Sara Brin Rosenthal, Xiao Liu, Charlene Miciano, Xiaomeng Hou, Michael Miller, Justin Buchanan, Olivier B. Poirion, Daisy Chilin-Fuentes, Cuijuan Han, Mojgan Housseini, Raquel Carvalho-Gontijo Weber, Sadatsugu Sakane, Wonseok Lee, Huayi Zhao, Karin Diggle, Sebastian Preissl, Christopher K. Glass, Bing Ren, Allen Wang, Tatiana Kisseleva
Background and aims
Metabolic dysfunction-associated steatotic liver disease (MASLD) ranges from Metabolic dysfunction-associated steatotic liver (MASL) to Metabolic dysfunction-associated steatohepatitis (MASH) with fibrosis. Activation of Hepatic Stellate Cells (HSCs) into fibrogenic myofibroblasts plays a critical role in the pathogenesis of MASH liver fibrosis. We compared transcriptome and chromatin accessibility of human HSCs from NORMAL, MASL, and MASH livers at single cell resolution. We aimed to identify genes that are upregulated in activated HSCs and to determine which of these genes are key in the pathogenesis of MASH fibrosis.
Methods
18 human livers were profiled using single-nucleus (sn)RNA-seq and snATAC-seq. High priority targets were identified, then tested in 2D human HSC cultures, 3D human liver spheroids, and HSC-specific gene knockout mice.
Results
MASH-enriched activated (A) HSC subclusters are the major source of extracellular matrix proteins. We identified a set of concurrently upregulated and more accessible core genes (GAS7, SPON1, SERPINE1, LTBP2, KLF9, EFEMP1) that drive activation of (A) HSC subclusters. Expression of these genes was regulated via crosstalk between lineage-specific (JUNB/AP1), cluster-specific (RUNX1/2) and signal-specific (FOXA1/2) transcription factors. The pathological relevance of the selected targets, such as SERPINE1 (PAI-1), was demonstrated using dsiRNA-based HSC-specific gene knockdown or pharmacological inhibition of PAI-1 in 3D human MASH liver spheroids, and HSC-specific Serpine1 knockout mice.
Conclusion
This study identified novel gene targets and regulatory mechanisms underlying activation of MASH fibrogenic HSCs and demonstrated that genetic or pharmacological inhibition of select genes suppressed liver fibrosis.
Impact and implications
Here we present snRNA-seq and snATAC-seq analysis of human HSCs from NORMAL, MASL, and MASH livers. We identified additional subclusters that were not detected by previous studies and characterized the mechanism by which HSCs activate in the MASH livers, including the transcriptional machinery that activates HSCs into myofibroblasts. For the first time, we described the pathogenic role of activated HSC-derived PAI-1 (a product of SERPINE1 gene) in the development of MASH liver fibrosis. Targeting of RUNX1/2-SERPINE1 axis may provide a novel strategy for treatment of liver fibrosis in patients.
{"title":"Multi-Modal Analysis of human Hepatic Stellate Cells identifies novel therapeutic targets for Metabolic Dysfunction-Associated Steatotic Liver Disease","authors":"Hyun Young Kim, Sara Brin Rosenthal, Xiao Liu, Charlene Miciano, Xiaomeng Hou, Michael Miller, Justin Buchanan, Olivier B. Poirion, Daisy Chilin-Fuentes, Cuijuan Han, Mojgan Housseini, Raquel Carvalho-Gontijo Weber, Sadatsugu Sakane, Wonseok Lee, Huayi Zhao, Karin Diggle, Sebastian Preissl, Christopher K. Glass, Bing Ren, Allen Wang, Tatiana Kisseleva","doi":"10.1016/j.jhep.2024.10.044","DOIUrl":"https://doi.org/10.1016/j.jhep.2024.10.044","url":null,"abstract":"<h3>Background and aims</h3>Metabolic dysfunction-associated steatotic liver disease (MASLD) ranges from Metabolic dysfunction-associated steatotic liver (MASL) to Metabolic dysfunction-associated steatohepatitis (MASH) with fibrosis. Activation of Hepatic Stellate Cells (HSCs) into fibrogenic myofibroblasts plays a critical role in the pathogenesis of MASH liver fibrosis. We compared transcriptome and chromatin accessibility of human HSCs from NORMAL, MASL, and MASH livers at single cell resolution. We aimed to identify genes that are upregulated in activated HSCs and to determine which of these genes are key in the pathogenesis of MASH fibrosis.<h3>Methods</h3>18 human livers were profiled using single-nucleus (sn)RNA-seq and snATAC-seq. High priority targets were identified, then tested in 2D human HSC cultures, 3D human liver spheroids, and HSC-specific gene knockout mice.<h3>Results</h3>MASH-enriched activated (A) HSC subclusters are the major source of extracellular matrix proteins. We identified a set of concurrently upregulated and more accessible core genes (<em>GAS7, SPON1, SERPINE1, LTBP2, KLF9, EFEMP1</em>) that drive activation of (A) HSC subclusters. Expression of these genes was regulated via crosstalk between lineage-specific (<em>JUNB/AP1</em>), cluster-specific (<em>RUNX1/2</em>) and signal-specific (<em>FOXA1/2</em>) transcription factors. The pathological relevance of the selected targets, such as <em>SERPINE1</em> (PAI-1), was demonstrated using dsiRNA-based HSC-specific gene knockdown or pharmacological inhibition of PAI-1 in 3D human MASH liver spheroids, and HSC-specific <em>Serpine1</em> knockout mice.<h3>Conclusion</h3>This study identified novel gene targets and regulatory mechanisms underlying activation of MASH fibrogenic HSCs and demonstrated that genetic or pharmacological inhibition of select genes suppressed liver fibrosis.<h3>Impact and implications</h3>Here we present snRNA-seq and snATAC-seq analysis of human HSCs from NORMAL, MASL, and MASH livers. We identified additional subclusters that were not detected by previous studies and characterized the mechanism by which HSCs activate in the MASH livers, including the transcriptional machinery that activates HSCs into myofibroblasts. For the first time, we described the pathogenic role of activated HSC-derived PAI-1 (a product of <em>SERPINE1</em> gene) in the development of MASH liver fibrosis. Targeting of <em>RUNX1/2-SERPINE1</em> axis may provide a novel strategy for treatment of liver fibrosis in patients.","PeriodicalId":26,"journal":{"name":"ACS Synthetic Biology","volume":"9 1","pages":""},"PeriodicalIF":25.7,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142596806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-08DOI: 10.1016/j.jhep.2024.11.001
Dario Saltini, Alberto Zanetto, Filippo Schepis
Section snippets
Author contributions
concept and design: DS, AZ, FS; drafted the letter: DS, AZ, FS. All authors approved the final version of this letter.
Financial support
No financial support was received for this study.
Declaration of Competing Interest
FS has received lecture fees and research grant from W.L. Gore, Cook Medical and Echosens.
章节片段作者贡献:构思和设计:DS、AZ、FS;起草信件:所有作者均批准了本信件的最终版本。财务支持本研究未获得任何财务支持。竞争利益声明FS 从 W.L. Gore、Cook Medical 和 Echosens 获得了讲课费和研究基金。
{"title":"Sedoanalgesia during TIPS placement: hemodynamic and ethical issues","authors":"Dario Saltini, Alberto Zanetto, Filippo Schepis","doi":"10.1016/j.jhep.2024.11.001","DOIUrl":"https://doi.org/10.1016/j.jhep.2024.11.001","url":null,"abstract":"<h2>Section snippets</h2><section><section><h2>Author contributions</h2>concept and design: DS, AZ, FS; drafted the letter: DS, AZ, FS. All authors approved the final version of this letter.</section></section><section><section><h2>Financial support</h2>No financial support was received for this study.</section></section><section><section><h2>Declaration of Competing Interest</h2>FS has received lecture fees and research grant from W.L. Gore, Cook Medical and Echosens.</section></section>","PeriodicalId":26,"journal":{"name":"ACS Synthetic Biology","volume":"38 1","pages":""},"PeriodicalIF":25.7,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142597837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Does MASH Co-Morbidity in CHB Truly Suppress Immune Function?","authors":"Zhigang Wei, Dan Shan, Chaojie Liang","doi":"10.1016/j.jhep.2024.11.002","DOIUrl":"https://doi.org/10.1016/j.jhep.2024.11.002","url":null,"abstract":"<h2>Section snippets</h2><section><section><h2>Author’s contributions</h2>Zhigang Wei: Study design & Manuscript Writing.Dan Shan and Chaojie Liang: Study design & Manuscript Revision.</section></section><section><section><h2>Declaration of Competing Interest</h2>We declare there is no any conflict of interest.</section></section><section><section><h2>Acknowledgements & Funding</h2>This work was supported by Shanxi Medical University Doctoral Start-up Fund (XD1802) and Shanxi Scholarship Council of China (20221852).</section></section>","PeriodicalId":26,"journal":{"name":"ACS Synthetic Biology","volume":"94 1","pages":""},"PeriodicalIF":25.7,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142596807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}