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Immune Checkpoint Inhibitors in Triple Negative Breast Cancer: The Search for the Optimal Biomarker 癌症三阴性患者的免疫检查点抑制剂:寻找最佳生物标志物
IF 3.8 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.1177/11772719221078774
SA Qureshi, N. Chan, Mridula A. George, S. Ganesan, D. Toppmeyer, C. Omene
Triple negative breast cancer (TNBC) is a high-risk and aggressive malignancy characterized by the absence of estrogen receptors (ER) and progesterone receptors (PR) on the surface of malignant cells, and by the lack of overexpression of human epidermal growth factor 2 (HER2). It has limited therapeutic options compared to other subtypes of breast cancer. There is now a growing body of evidence on the role of immunotherapy in TNBC, however much of the data from clinical trials is conflicting and thus, challenging for clinicians to integrate the data into clinical practice. Landmark phase III trials using immunotherapy in the early-stage neoadjuvant setting concluded that the addition of immunotherapy to chemotherapy improved the pathologic complete response (pCR) rate compared to chemotherapy with placebo while others found no significant improvement in pCR. Phase III trials have investigated the utility of immunotherapy in previously untreated metastatic TNBC, and these studies have similarly arrived at inconsistent conclusions. Some studies showed no benefit while others demonstrated a clinically significant improvement in overall survival in the PD-L1 positive population. It is not yet clear which biomarkers are most useful, and assays for these biomarkers have not been standardized. Given the often serious and severe side effects of immunotherapy, it is important and necessary to identify predictive biomarkers of response and resistance in order to enhance patient selection. In this review, we will discuss both the challenges of traditional biomarkers and the opportunities of emerging biomarkers for patient selection.
三阴性乳腺癌(TNBC)是一种高风险、侵袭性的恶性肿瘤,其特征是恶性细胞表面缺乏雌激素受体(ER)和孕激素受体(PR),并且缺乏人表皮生长因子2 (HER2)的过表达。与其他亚型乳腺癌相比,它的治疗选择有限。现在有越来越多的证据表明免疫治疗在TNBC中的作用,然而,临床试验的许多数据是相互矛盾的,因此,临床医生将这些数据整合到临床实践中是一项挑战。在早期新辅助治疗中使用免疫治疗的里程碑式III期试验得出结论,与安慰剂化疗相比,在化疗中添加免疫治疗可提高病理完全缓解率(pCR),而其他试验则发现pCR无显著改善。III期试验研究了免疫疗法对先前未治疗的转移性TNBC的效用,这些研究同样得出了不一致的结论。一些研究显示没有益处,而另一些研究显示PD-L1阳性人群的总生存率有临床显着改善。目前尚不清楚哪些生物标记物最有用,对这些生物标记物的测定也没有标准化。鉴于免疫治疗的严重副作用,确定反应和耐药的预测性生物标志物以增强患者选择是重要和必要的。在这篇综述中,我们将讨论传统生物标志物的挑战和新兴生物标志物在患者选择方面的机遇。
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引用次数: 10
The Availability of Human Biospecimens to Support Biomarker Research 支持生物标志物研究的人类生物标本的可用性
IF 3.8 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.1177/11772719221091750
T. Tarling, J. Byrne, Peter H. Watson
Preserved biospecimens held in biobank inventories and clinical archives are important resources for biomarker research. Recent advances in technologies have led to an increase in use of clinical archives in particular, in order to study retrospective cohorts and to generate data relevant to tissue biomarkers. This raises the question of whether the current sizes of biobank inventories are appropriate to meet the demands of biomarker research. This commentary discusses this question by considering data concerning overall biobank and biospecimen numbers to estimate current biospecimen supply and use. The data suggests that biospecimen supply exceeds current demand. Therefore, it may be important for individual biobanks to reassess the targets for their inventories, consider culling unused portions of these inventories, and shift resources towards providing prospective custom biobanking services.
生物库库存和临床档案中保存的生物样本是生物标志物研究的重要资源。最近的技术进步导致了临床档案的使用增加,特别是为了研究回顾性队列和生成与组织生物标志物相关的数据。这就提出了一个问题,即目前的生物库库存规模是否适合满足生物标志物研究的需求。这篇评论通过考虑有关整体生物库和生物样本数量的数据来讨论这个问题,以估计当前的生物样本供应和使用。数据表明,生物样本的供应超过了目前的需求。因此,个体生物库重新评估其库存目标,考虑剔除这些库存中未使用的部分,并将资源转移到提供潜在的定制生物库服务上,这一点可能很重要。
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引用次数: 3
Lack of Association of rs12702634 in RPA3-UMAD1 With Interstitial Lung Diseases in Japanese Rheumatoid Arthritis Patients RPA3-UMAD1中rs12702634与日本类风湿性关节炎患者间质性肺疾病缺乏相关性
IF 3.8 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.1177/11772719221091758
Takashi Higuchi, S. Oka, H. Furukawa, K. Shimada, S. Tohma
Background: Rheumatoid arthritis (RA) is occasionally complicated with interstitial lung disease (ILD). A recent genome-wide association study of ILD in RA reported an association with the polymorphism rs12702634 in RPA3-UMAD1. We conducted an association study of this variant with ILD in Japanese RA patients to replicate this association. Methods: Genotyping of rs12702634 was performed in 175 RA with ILD and 411 RA without chronic lung disease. Results: No association was detected for rs12702634 with ILD in RA (P = .6369, odds ratio [OR] 1.13, 95% confidence interval [CI] 0.72-1.78). Meta-analysis of these data combined with the data from the recent report showed no significant association (P = .0996, OR 1.52, 95% CI 0.92–2.49). Conclusions: The present study demonstrated no association of RPA3-UMAD1 rs12702634 with ILD in RA, suggesting the heterogeneity of the disease.
背景:类风湿性关节炎(RA)偶尔会并发间质性肺疾病(ILD)。最近的一项全基因组关联研究报告了RA中ILD与RPA3-UMAD1多态性rs12702634的关联。我们在日本RA患者中进行了一项该变异与ILD的关联研究,以重复这种关联。方法:对175例伴有ILD的RA和411例无慢性肺部疾病的RA进行rs12702634基因分型。结果:rs12702634与RA的ILD无相关性(P =。6369,优势比[OR] 1.13, 95%可信区间[CI] 0.72-1.78)。将这些数据与近期报告的数据进行meta分析,结果显示无显著相关性(P =。0.996,或1.52,95% ci 0.92-2.49)。结论:本研究显示RPA3-UMAD1 rs12702634与RA的ILD无关联,提示该疾病具有异质性。
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引用次数: 3
Cytokines in Abdominal Aortic Aneurysm: Master Regulators With Clinical Application 腹主动脉瘤中的细胞因子:主要调控因子及其临床应用
IF 3.8 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.1177/11772719221095676
O. A. Puchenkova, V. Soldatov, Andrei E. Belykh, O. Bushueva, G. Piavchenko, Artem A Venediktov, N. Shakhpazyan, A. Deykin, M. Korokin, M. Pokrovskiy
Abdominal aortic aneurysm (AAA) is a potentially life-threatening disorder with a mostly asymptomatic course where the abdominal aorta is weakened and bulged. Cytokines play especially important roles (both positive and negative) among the molecular actors of AAA development. All the inflammatory cascades, extracellular matrix degradation and vascular smooth muscle cell apoptosis are driven by cytokines. Previous studies emphasize an altered expression and a changed epigenetic regulation of key cytokines in AAA tissue samples. Such cytokines as IL-6, IL-10, IL-12, IL-17, IL-33, IL-1β, TGF-β, TNF-α, IFN-γ, and CXCL10 seem to be crucial in AAA pathogenesis. Some data obtained in animal studies show a protective function of IL-10, IL-33, and canonical TGF-β signaling, as well as a dual role of IL-4, IFN-γ and CXCL10, while TNF-α, IL-1β, IL-6, IL-12/IL-23, IL-17, CCR2, CXCR2, CXCR4 and the TGF-β noncanonical pathway are believed to aggravate the disease. Altogether data highlight significance of cytokines as informative markers and predictors of AAA. Pathologic serum/plasma concentrations of IL-1β, IL-2, IL-6, TNF-α, IL-10, IL-8, IL-17, IFN-γ, and PDGF have been already found in AAA patients. Some of the changes correlate with the size of aneurysms. Moreover, the risk of AAA is associated with polymorphic variants of genes encoding cytokines and their receptors: CCR2 (rs1799864), CCR5 (Delta-32), IL6 (rs1800796 and rs1800795), IL6R (rs12133641), IL10 (rs1800896), TGFB1 (rs1800469), TGFBR1 (rs1626340), TGFBR2 (rs1036095, rs4522809, rs1078985), and TNFA (rs1800629). Finally, 5 single-nucleotide polymorphisms in gene coding latent TGF-β-binding protein (LTBP4) and an allelic variant of TGFB3 are related to a significantly slower AAA annual growth rate.
腹主动脉瘤(AAA)是一种潜在的危及生命的疾病,其病程大多为无症状,腹主动脉变弱和隆起。细胞因子在AAA发育的分子因子中起着特别重要的作用(阳性和阴性)。所有的炎症级联反应、细胞外基质降解和血管平滑肌细胞凋亡都是由细胞因子驱动的。先前的研究强调AAA组织样本中关键细胞因子的表达改变和表观遗传学调控改变。IL-6、IL-10、IL-12、IL-17、IL-33、IL-1β、TGF-β、TNF-α、IFN-γ和CXCL10等细胞因子似乎在AAA发病机制中至关重要。动物研究中获得的一些数据显示,IL-10、IL-33和经典TGF-β信号传导具有保护作用,以及IL-4、IFN-γ和CXCL10的双重作用,而TNF-α、IL-1β、IL-6、IL-12/IL-23、IL-17、CCR2、CXCR2、CXCR4和TGF-β非经典途径被认为会加重疾病。总之,数据强调了细胞因子作为AAA的信息标志物和预测因子的重要性。AAA患者的病理血清/血浆中已发现IL-1β、IL-2、IL-6、TNF-α、IL-10、IL-8、IL-17、IFN-γ和PDGF的浓度。其中一些变化与动脉瘤的大小有关。此外,AAA的风险与编码细胞因子及其受体的基因的多态性变体有关:CCR2(rs1799864)、CCR5(Delta-32)、IL6(rs1800796和rs1800795)、IL-6R(rs12133641)、IL10(rs1800896)、TGFB1(rs1800469)、TGFBR1(rs1626340)、TGFFR2(rs1036095、rs4522809、rs1078985)和TNFA(rs1800629)。最后,编码潜在TGF-β结合蛋白(LTBP4)的基因的5个单核苷酸多态性和TGFB3的一个等位基因变体与AAA年增长率显著减慢有关。
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引用次数: 10
Relationship Between Anti-DFS70 Autoantibodies and Oxidative Stress. 抗dfs70自身抗体与氧化应激的关系
IF 3.8 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.1177/11772719211066791
Paweł Krzemień, Sławomir Kasperczyk, Maciej Banach, Aleksandra Kasperczyk, Michał Dobrakowski, Tomasz Tomasik, Adam Windak, Mirosław Mastej, Alberico Catapano, Kausik K Ray, Dimitri P Mikhailidis, Peter P Toth, George Howard, Gregory Yh Lip, Maciej Tomaszewski, Fadi J Charchar, Naveed Sattar, Bryan Williams, Thomas M MacDonald, Peter E Penson, Jacek J Jóźwiak
Background: The anti-DFS70 autoantibodies are one of the most commonly and widely described agent of unknown clinical significance, frequently detected in healthy individuals. It is not known whether the DFS70 autoantibodies are protective or pathogenic. One of the factors suspected of inducing the formation of anti-DFS70 antibodies is increased oxidative stress. We evaluated the coexistence of anti-DFS70 antibodies with selected markers of oxidative stress and investigated whether these antibodies could be considered as indirect markers of oxidative stress. Methods: The intensity of oxidative stress was measured in all samples via indices of free-radical damage to lipids and proteins such as total oxidant status (TOS), concentrations of lipid hydroperoxides (LPH), lipofuscin (LPS), and malondialdehyde (MDA). The parameters of the non-enzymatic antioxidant system, such as total antioxidant status (TAS) and uric acid concentration (UA), were also measured, as well as the activity of superoxide dismutase (SOD). Based on TOS and TAS values, the oxidative stress index (OSI) was calculated. All samples were also tested with indirect immunofluorescence assay (IFA) and 357 samples were selected for direct monospecific anti DFS70 enzyme-linked immunosorbent assay (ELISA) testing. Results: The anti-DFS70 antibodies were confirmed by ELISA test in 21.29% of samples. Compared with anti-DFS70 negative samples we observed 23% lower concentration of LPH (P = .038) and 11% lower concentration of UA (P = .005). TOS was 20% lower (P = .014). The activity of SOD was up to 5% higher (P = .037). The Pearson correlation showed weak negative correlation for LPH, UA, and TOS and a weak positive correlation for SOD activity. Conclusion: In samples positive for the anti-DFS70 antibody a decreased level of oxidative stress was observed, especially in the case of samples with a high antibody titer. Anti-DFS70 antibodies can be considered as an indirect marker of reduced oxidative stress or a marker indicating the recent intensification of antioxidant processes.
背景:抗dfs70自身抗体是最常见和广泛描述的临床意义未知的药物之一,经常在健康个体中检测到。目前尚不清楚DFS70自身抗体是保护性的还是致病性的。被怀疑诱导形成抗dfs70抗体的因素之一是氧化应激的增加。我们评估了抗dfs70抗体与氧化应激标记物的共存情况,并研究了这些抗体是否可以被视为氧化应激的间接标记物。方法:通过总氧化状态(TOS)、脂质氢过氧化物(LPH)、脂褐素(LPS)和丙二醛(MDA)浓度等自由基对脂质和蛋白质的损伤指数来测量所有样品的氧化应激强度。测定了非酶促抗氧化系统的总抗氧化状态(TAS)、尿酸浓度(UA)及超氧化物歧化酶(SOD)活性。根据TOS和TAS值计算氧化应激指数(OSI)。所有样品均采用间接免疫荧光法(IFA)检测,并选择357份样品进行直接单特异性抗DFS70酶联免疫吸附法(ELISA)检测。结果:21.29%的样品经ELISA检测,检测出dfs70抗体。与抗dfs70阴性样品相比,LPH浓度降低23% (P = 0.038), UA浓度降低11% (P = 0.005)。TOS降低20% (P = 0.014)。SOD活性比对照组高5% (P = 0.037)。Pearson相关性显示LPH、UA和TOS呈弱负相关,SOD活性呈弱正相关。结论:在抗dfs70抗体阳性的样品中,氧化应激水平下降,特别是在抗体滴度高的样品中。抗dfs70抗体可以被认为是氧化应激降低的间接标记物或表明近期抗氧化过程增强的标记物。
{"title":"Relationship Between Anti-DFS70 Autoantibodies and Oxidative Stress.","authors":"Paweł Krzemień, Sławomir Kasperczyk, Maciej Banach, Aleksandra Kasperczyk, Michał Dobrakowski, Tomasz Tomasik, Adam Windak, Mirosław Mastej, Alberico Catapano, Kausik K Ray, Dimitri P Mikhailidis, Peter P Toth, George Howard, Gregory Yh Lip, Maciej Tomaszewski, Fadi J Charchar, Naveed Sattar, Bryan Williams, Thomas M MacDonald, Peter E Penson, Jacek J Jóźwiak","doi":"10.1177/11772719211066791","DOIUrl":"https://doi.org/10.1177/11772719211066791","url":null,"abstract":"Background: The anti-DFS70 autoantibodies are one of the most commonly and widely described agent of unknown clinical significance, frequently detected in healthy individuals. It is not known whether the DFS70 autoantibodies are protective or pathogenic. One of the factors suspected of inducing the formation of anti-DFS70 antibodies is increased oxidative stress. We evaluated the coexistence of anti-DFS70 antibodies with selected markers of oxidative stress and investigated whether these antibodies could be considered as indirect markers of oxidative stress. Methods: The intensity of oxidative stress was measured in all samples via indices of free-radical damage to lipids and proteins such as total oxidant status (TOS), concentrations of lipid hydroperoxides (LPH), lipofuscin (LPS), and malondialdehyde (MDA). The parameters of the non-enzymatic antioxidant system, such as total antioxidant status (TAS) and uric acid concentration (UA), were also measured, as well as the activity of superoxide dismutase (SOD). Based on TOS and TAS values, the oxidative stress index (OSI) was calculated. All samples were also tested with indirect immunofluorescence assay (IFA) and 357 samples were selected for direct monospecific anti DFS70 enzyme-linked immunosorbent assay (ELISA) testing. Results: The anti-DFS70 antibodies were confirmed by ELISA test in 21.29% of samples. Compared with anti-DFS70 negative samples we observed 23% lower concentration of LPH (P = .038) and 11% lower concentration of UA (P = .005). TOS was 20% lower (P = .014). The activity of SOD was up to 5% higher (P = .037). The Pearson correlation showed weak negative correlation for LPH, UA, and TOS and a weak positive correlation for SOD activity. Conclusion: In samples positive for the anti-DFS70 antibody a decreased level of oxidative stress was observed, especially in the case of samples with a high antibody titer. Anti-DFS70 antibodies can be considered as an indirect marker of reduced oxidative stress or a marker indicating the recent intensification of antioxidant processes.","PeriodicalId":47060,"journal":{"name":"Biomarker Insights","volume":"17 ","pages":"11772719211066791"},"PeriodicalIF":3.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d1/ff/10.1177_11772719211066791.PMC8808033.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10268728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Analysis of Sex-Specific Prostanoid Production Using a Mouse Model of Selective Cyclooxygenase-2 Inhibition. 利用选择性环氧化酶-2抑制小鼠模型分析性别特异性前列腺素生成。
IF 3.8 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.1177/11772719221142151
Rita K Upmacis, Wendy L Becker, Donna M Rattendi, Raven S Bell, Kelsey D Jordan, Shayan Saniei, Elena Mejia

Background: Prostanoids are a family of lipid mediators formed from arachidonic acid by cyclooxygenase enzymes and serve as biomarkers of vascular function. Prostanoid production may be different in males and females indicating that different therapeutic approaches may be required during disease.

Objectives: We examined sex-dependent differences in COX-related metabolites in genetically modified mice that produce a cyclooxygenase-2 (COX2) enzyme containing a tyrosine 385 to phenylalanine (Y385F) mutation. This mutation renders the COX2 enzyme unable to form a key intermediate radical required for complete arachidonic acid metabolism and provides a model of selective COX2 inhibition.

Design and methods: Mice heterozygous for the Y385F mutation in COX2 were mated to produce cohorts of wild-type, heterozygous, and COX2 mutant mice. We investigated whether the genotype distribution followed Mendelian genetics and studied whether sex-specific differences could be found in certain prostanoid levels measured in peritoneal macrophages and in urinary samples.

Results: The inheritance of the COX2 mutation displayed a significant deviation with respect to Mendel's laws of genetics, with a lower-than-expected progeny of weaned COX2 mutant pups. In macrophages, prostaglandin E2 (PGE2) production following lipopolysaccharide (LPS) and interferon gamma (IFNγ) stimulation was COX2-dependent in both males and females, and data indicated that crosstalk between the nitric oxide (NO) and COX2 pathways may be sex specific. We observed significant differences in urinary PGE2 production by male and female COX2 mutant mice, with the loss of COX2 activity in male mice decreasing their ability to produce urinary PGE2. Finally, female mice across all 3 genotypes produced similar levels of urinary thromboxane (measured as 11-dehydro TxB2) at significantly higher levels than males, indicating a sex-related difference that is likely COX1-derived.

Conclusions: Our findings clearly demonstrate that sex-related differences in COX-derived metabolites can be observed, and that other pathways (such as the NO pathway) are affected.

背景:前列腺素是由花生四烯酸通过环加氧酶形成的一类脂质介质,是血管功能的生物标志物。前列腺素的产生在男性和女性中可能不同,这表明在疾病期间可能需要不同的治疗方法。目的:我们研究了在产生含有酪氨酸385到苯丙氨酸(Y385F)突变的环氧化酶-2 (COX2)酶的转基因小鼠中cox相关代谢物的性别依赖性差异。这种突变使COX2酶无法形成完全花生四烯酸代谢所需的关键中间自由基,并提供了选择性COX2抑制的模型。设计和方法:对COX2中Y385F突变的杂合小鼠进行交配,产生野生型、杂合型和COX2突变小鼠。我们调查了基因型分布是否遵循孟德尔遗传学,并研究了在腹膜巨噬细胞和尿液样本中测量的某些前列腺素水平是否存在性别特异性差异。结果:COX2突变的遗传表现出与孟德尔遗传定律的显著偏差,断奶COX2突变幼崽的后代低于预期。在巨噬细胞中,在脂多糖(LPS)和干扰素γ (IFNγ)刺激后,前列腺素E2 (PGE2)的产生在雄性和雌性中都依赖于COX2,数据表明一氧化氮(NO)和COX2途径之间的串扰可能是性别特异性的。我们观察到雄性和雌性COX2突变小鼠产生尿PGE2的显著差异,雄性小鼠COX2活性的丧失降低了它们产生尿PGE2的能力。最后,所有3种基因型的雌性小鼠产生相似水平的尿血栓素(测量为11-脱氢TxB2),其水平明显高于雄性,表明性别相关的差异可能是cox1衍生的。结论:我们的研究结果清楚地表明,cox衍生代谢物的性别相关差异是可以观察到的,并且其他途径(如NO途径)受到影响。
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引用次数: 0
Aberrant expression of miR-138 as a novel diagnostic biomarker in systemic sclerosis. miR-138作为系统性硬化症新诊断生物标志物的异常表达
IF 3.8 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.1177/11772719221135442
Paria Bayati, Hadi Poormoghim, Nazanin Mojtabavi

Background: MicroRNAs are short nucleotide sequences that contribute to the regulation of various biological functions and therefore their roles have been investigated in many pathologic conditions such as epithelial to mesenchymal transition in cancer and fibrosis; among them, miR-138 has been mostly studied in cancer biology and is well-known for its suppressing effect on cancer progression. Being able to suppress major pathways involved in EMT, miR-138 could be a good candidate to be investigated in fibrotic responses too. Based on our previous studies, and the capability of miR-138 to target and regulate several components of the EMT pathway; we hypothesized a role for miR-138 in systemic sclerosis. Accordingly, the gene expression of miR-138 was assessed to find any alterations in the whole blood of the SSc patients.

Methods: Blood was collected from 70 patients with systemic sclerosis (equally divided between 2 groups of limited and diffuse categories) and 30 healthy individuals as controls. RNA was immediately isolated from the fresh whole blood; afterward, the resulting RNA was reverse transcribed into cDNA and then the relative expression of miR-138 was compared between the patients and the controls by the means of qPCR, and specific TaqMan primer and probes.

Results: The relative expression of miR-138 was significantly lower in patients with systemic sclerosis compared to the controls. No significant difference was observed between the limited and diffuse patient groups. ROC curve analysis showed an appropriate diagnostic value of miR-138 in effectively differentiating SSc patients from the healthy controls.

Conclusion: miR-138 is likely involved in the pathogenesis of SSc and with further evaluations may be utilized as a diagnostic biomarker in SSc. Also, targeting miR-138 in future studies could be promising for finding a novel treatment option for patients with SSc.

背景:MicroRNAs是一种短核苷酸序列,有助于调节各种生物功能,因此它们在许多病理条件下的作用已被研究,如癌症和纤维化中的上皮细胞向间质细胞转化;其中,miR-138在癌症生物学领域的研究最多,因其对癌症进展的抑制作用而闻名。miR-138能够抑制参与EMT的主要途径,也可能是纤维化反应研究的一个很好的候选者。基于我们之前的研究,以及miR-138靶向和调节EMT通路的几个组分的能力;我们假设miR-138在系统性硬化症中的作用。因此,评估miR-138的基因表达,以发现SSc患者全血中的任何改变。方法:采集70例系统性硬化症患者的血液(分为局限性组和弥漫性组)和30例健康人作为对照。立即从新鲜全血中分离RNA;然后将得到的RNA逆转录成cDNA,通过qPCR、特异性TaqMan引物和探针比较患者与对照组miR-138的相对表达量。结果:与对照组相比,系统性硬化症患者miR-138的相对表达明显降低。局限性组和弥漫性组之间无显著差异。ROC曲线分析显示miR-138在有效区分SSc患者与健康对照中具有适当的诊断价值。结论:miR-138可能参与了SSc的发病机制,经过进一步的评估,miR-138可能被用作SSc的诊断生物标志物。此外,在未来的研究中靶向miR-138可能有望为SSc患者找到一种新的治疗选择。
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引用次数: 4
Host Transcriptional Signatures Predict Etiology in Community-Acquired Pneumonia: Potential Antibiotic Stewardship Tools 宿主转录特征预测社区获得性肺炎的病因:潜在的抗生素管理工具
IF 3.8 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.1177/11772719221099130
W. Siljan, D. Sivakumaran, C. Ritz, S. Jenum, T. Ottenhoff, E. Ulvestad, J. Holter, L. Heggelund, H. Grewal
Background: Current approaches for pathogen identification in community-acquired pneumonia (CAP) remain suboptimal, leaving most patients without a microbiological diagnosis. If better diagnostic tools were available for differentiating between viral and bacterial CAP, unnecessary antibacterial therapy could be avoided in viral CAP patients. Methods: In 156 adults hospitalized with CAP classified to have bacterial, viral, or mixed viral-bacterial infection based on microbiological testing or both microbiological testing and procalcitonin (PCT) levels, we aimed to identify discriminatory host transcriptional signatures in peripheral blood samples acquired at hospital admission, by applying Dual-color-Reverse-Transcriptase-Multiplex-Ligation-dependent-Probe-Amplification (dc-RT MLPA). Results: In patients classified by microbiological testing, a 9-transcript signature showed high accuracy for discriminating bacterial from viral CAP (AUC 0.91, 95% CI 0.85-0.96), while a 10-transcript signature similarly discriminated mixed viral-bacterial from viral CAP (AUC 0.91, 95% CI 0.86-0.96). In patients classified by both microbiological testing and PCT levels, a 13-transcript signature showed excellent accuracy for discriminating bacterial from viral CAP (AUC 1.00, 95% CI 1.00-1.00), while a 7-transcript signature similarly discriminated mixed viral-bacterial from viral CAP (AUC 0.93, 95% CI 0.87-0.98). Conclusion: Our findings support host transcriptional signatures in peripheral blood samples as a potential tool for guiding clinical decision-making and antibiotic stewardship in CAP.
背景:目前社区获得性肺炎(CAP)的病原体鉴定方法仍然不够理想,使大多数患者无法进行微生物学诊断。如果有更好的诊断工具来区分病毒性和细菌性CAP,就可以避免对病毒性CAP患者进行不必要的抗菌治疗。方法:根据微生物检测或微生物检测和降钙素原(PCT)水平,对156名CAP住院成人进行细菌、病毒或混合病毒-细菌感染的分类,我们旨在通过双色逆转录酶-多重连接依赖性探针扩增(dc-RT MLPA)技术,在入院时获得的外周血样本中识别歧视性宿主转录特征。结果:在微生物检测分类的患者中,9个转录本标记在区分细菌和病毒性CAP方面具有很高的准确性(AUC 0.91, 95% CI 0.85-0.96),而10个转录本标记在区分病毒性CAP和混合病毒-细菌方面具有相似的准确性(AUC 0.91, 95% CI 0.86-0.96)。在通过微生物检测和PCT水平进行分类的患者中,13个转录本标记在区分细菌和病毒性CAP方面表现出极好的准确性(AUC为1.00,95% CI为1.00-1.00),而7个转录本标记同样可以区分混合病毒-细菌和病毒性CAP (AUC为0.93,95% CI为0.87-0.98)。结论:我们的研究结果支持外周血样本中的宿主转录特征作为指导CAP临床决策和抗生素管理的潜在工具。
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引用次数: 1
Circulating Tumor Cell-Free DNA Genes as Prognostic Gene Signature for Platinum Resistant Ovarian Cancer Diagnosis. 循环肿瘤无细胞DNA基因作为铂耐药卵巢癌诊断的预后基因标志。
IF 3.8 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.1177/11772719221088404
Camille C Gunderson, Rangasudhagar Radhakrishnan, Rohini Gomathinayagam, Sanam Husain, Sheeja Aravindan, Kathleen M Moore, Danny N Dhanasekaran, Muralidharan Jayaraman

Clinical management of gynecological cancer begins by optimal debulking with first-line platinum-based chemotherapy. However, in ~80% patients, ovarian cancer will recur and is lethal. Prognostic gene signature panel identifying platinum-resistance enables better patient stratification for precision therapy. Retrospectively collected serum from 11 "poor" (<6 months progression free interval [PFI]) and 22 "favorable" (>24 months PFI) prognosis patients, were evaluated using circulating cell-free DNA (cfDNA). DNA from both groups showed 50 to 10 000 bp fragments. Pairwise analysis of sequenced cfDNA from patients showed that gene dosages were higher for 29 genes and lower for 64 genes in poor than favorable prognosis patients. Gene ontology analysis of higher dose genes predominantly grouped into cytoskeletal proteins, while lower dose genes, as hydrolases and receptors. Higher dosage genes searched for cancer-relatedness in Reactome database indicated 15 genes were referenced with cancer. Among them 3 genes, TGFBR2, ZMIZ2, and NRG2, were interacting with more than 4 cancer-associated genes. Protein expression analysis of tumor samples indicated that TGFBR2 was downregulated and ZMIZ2 was upregulated in poor prognosis patients. Our results indicate that the cfDNA gene dosage combined with protein expression in tumor samples can serve as gene signature panel for prognosis determination amongst ovarian cancer patients.

妇科癌症的临床治疗从一线铂类化疗开始。然而,在约80%的患者中,卵巢癌会复发并且是致命的。预后基因标记面板识别铂耐药,使患者更好地分层进行精确治疗。回顾性收集11例预后不良(24个月PFI)患者的血清,采用循环无细胞DNA (cfDNA)进行评估。两组DNA均显示50 ~ 10000 bp的片段。对患者cfDNA测序的两两分析显示,在预后较差的患者中,29个基因的剂量较高,64个基因的剂量较低。高剂量基因主要分为细胞骨架蛋白,低剂量基因主要分为水解酶和受体。在Reactome数据库中搜索高剂量基因,发现有15个基因与癌症相关。其中TGFBR2、ZMIZ2、NRG2 3个基因与4个以上癌症相关基因相互作用。肿瘤样本蛋白表达分析显示,在预后不良患者中,TGFBR2下调,ZMIZ2上调。我们的研究结果表明,cfDNA基因剂量结合肿瘤样品中的蛋白表达可以作为卵巢癌患者预后判断的基因标记面板。
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引用次数: 1
Decrease in Plasma miR-27a and miR-221 After Concussion in Australian Football Players 澳大利亚足球运动员脑震荡后血浆miR-27a和miR-221的减少
IF 3.8 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.1177/11772719221081318
S. Shultz, Caroline J Taylor, Riemke Aggio-Bruce, W. T. O'Brien, Mujun Sun, Adrian V Cioanca, George A. Neocleous, Georgia F Symons, R. Brady, A. Hardikar, M. Joglekar, Daniel M Costello, T. O’Brien, R. Natoli, S. McDonald
Introduction: Sports-related concussion (SRC) is a common form of brain injury that lacks reliable methods to guide clinical decisions. MicroRNAs (miRNAs) can influence biological processes involved in SRC, and measurement of miRNAs in biological fluids may provide objective diagnostic and return to play/recovery biomarkers. Therefore, this prospective study investigated the temporal profile of circulating miRNA levels in concussed male and female athletes. Methods: Pre-season baseline blood samples were collected from amateur Australian rules football players (82 males, 45 females). Of these, 20 males and 8 females sustained an SRC during the subsequent season and underwent blood sampling at 2-, 6- and 13-days post-injury. A miRNA discovery Open Array was conducted on plasma to assess the expression of 754 known/validated miRNAs. miRNA target identified were further investigated with quantitative real-time PCR (qRT-PCR) in a validation study. Data pertaining to SRC symptoms, demographics, sporting history, education history and concussion history were also collected. Results: Discovery analysis identified 18 candidate miRNA. The consequent validation study found that plasma miR-221-3p levels were decreased at 6d and 13d, and that miR-27a-3p levels were decreased at 6d, when compared to baseline. Moreover, miR-27a and miR-221-3p levels were inversely correlated with SRC symptom severity. Conclusion: Circulating levels of miR-27a-3p and miR-221-3p were decreased in the sub-acute stages after SRC, and were inversely correlated with SRC symptom severity. Although further studies are required, these analyses have identified miRNA biomarker candidates of SRC severity and recovery that may one day assist in its clinical management.
运动相关脑震荡(SRC)是一种常见的脑损伤形式,缺乏可靠的方法来指导临床决策。microrna (mirna)可以影响SRC中涉及的生物过程,测量生物体液中的mirna可以提供客观的诊断和回归/恢复生物标志物。因此,这项前瞻性研究调查了脑震荡男女运动员循环miRNA水平的时间分布。方法:采集业余澳式足球运动员季前基线血液样本(男82人,女45人)。其中,20只雄性和8只雌性在随后的季节中持续了SRC,并在受伤后2、6和13天进行了血液采样。在血浆中使用miRNA发现开放阵列来评估754个已知/验证的miRNA的表达。在验证研究中,我们用实时荧光定量PCR (qRT-PCR)进一步研究鉴定出的miRNA靶点。还收集了与SRC症状、人口统计学、运动史、教育史和脑震荡史有关的数据。结果:发现分析鉴定出18个候选miRNA。随后的验证研究发现,与基线相比,血浆miR-221-3p水平在第6天和第13天降低,miR-27a-3p水平在第6天降低。此外,miR-27a和miR-221-3p水平与SRC症状严重程度呈负相关。结论:外周血miR-27a-3p和miR-221-3p水平在SRC后亚急性期降低,且与SRC症状严重程度呈负相关。虽然需要进一步的研究,但这些分析已经确定了SRC严重程度和恢复的miRNA生物标志物候选物,可能有一天有助于其临床管理。
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引用次数: 6
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Biomarker Insights
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