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DNA damage, DNA repair and carcinogenicity: Tobacco smoke versus electronic cigarette aerosol DNA损伤、DNA修复和致癌性:烟草烟雾与电子烟气溶胶
IF 5.3 2区 医学 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2022-01-01 DOI: 10.1016/j.mrrev.2021.108409
Moon-shong Tang , Hyun-Wook Lee , Mao-wen Weng , Hsiang-Tsui Wang , Yu Hu , Lung-Chi Chen , Sung-Hyun Park , Huei-wei Chan , Jiheng Xu , Xue-Ru Wu , He Wang , Rui Yang , Karen Galdane , Kathryn Jackson , Annie Chu , Elizabeth Halzack

The allure of tobacco smoking is linked to the instant gratification provided by inhaled nicotine. Unfortunately, tobacco curing and burning generates many mutagens including more than 70 carcinogens. There are two types of mutagens and carcinogens in tobacco smoke (TS): direct DNA damaging carcinogens and procarcinogens, which require metabolic activation to become DNA damaging. Recent studies provide three new insights on TS-induced DNA damage. First, two major types of TS DNA damage are induced by direct carcinogen aldehydes, cyclic-1,N2-hydroxy-deoxyguanosine (γ-OH-PdG) and α-methyl-1, N2-γ-OH-PdG, rather than by the procarcinogens, polycyclic aromatic hydrocarbons and aromatic amines. Second, TS reduces DNA repair proteins and activity levels. TS aldehydes also prevent procarcinogen activation. Based on these findings, we propose that aldehydes are major sources of TS induce DNA damage and a driving force for carcinogenesis. E-cigarettes (E-cigs) are designed to deliver nicotine in an aerosol state, without burning tobacco. E-cigarette aerosols (ECAs) contain nicotine, propylene glycol and vegetable glycerin. ECAs induce O6-methyl-deoxyguanosines (O6-medG) and cyclic γ-hydroxy-1,N2--propano-dG (γ-OH-PdG) in mouse lung, heart and bladder tissues and causes a reduction of DNA repair proteins and activity in lungs. Nicotine and nicotine-derived nitrosamine ketone (NNK) induce the same types of DNA adducts and cause DNA repair inhibition in human cells. After long-term exposure, ECAs induce lung adenocarcinoma and bladder urothelial hyperplasia in mice. We propose that E-cig nicotine can be nitrosated in mouse and human cells becoming nitrosamines, thereby causing two carcinogenic effects, induction of DNA damage and inhibition of DNA repair, and that ECA is carcinogenic in mice. Thus, this article reviews the newest literature on DNA adducts and DNA repair inhibition induced by nicotine and ECAs in mice and cultured human cells, and provides insights into ECA carcinogenicity in mice.

吸烟的诱惑力与吸入尼古丁带来的即时满足感有关。不幸的是,烟草的烘烤和燃烧会产生许多诱变剂,包括70多种致癌物质。烟草烟雾(TS)中有两种诱变剂和致癌物:直接DNA损伤致癌物和前致癌物,它们需要代谢激活才能成为DNA损伤。最近的研究为ts诱导的DNA损伤提供了三个新的见解。首先,两种主要类型的TS DNA损伤是由直接致癌物醛环-1,N2-羟基脱氧鸟苷(γ-OH-PdG)和α-甲基-1,N2 -γ-OH-PdG引起的,而不是由原致癌物多环芳烃和芳香胺引起的。其次,TS降低了DNA修复蛋白和活性水平。TS醛还能防止致癌原的活化。基于这些发现,我们提出醛是TS诱导DNA损伤的主要来源和致癌的驱动力。电子烟(E-cigs)的设计目的是在不燃烧烟草的情况下,以气溶胶的形式输送尼古丁。电子烟气雾剂(ECAs)含有尼古丁、丙二醇和植物甘油。ECAs在小鼠肺、心脏和膀胱组织中诱导o6 -甲基-脱氧鸟苷(O6-medG)和环γ-羟基-1,N2-丙基- dg (γ-OH-PdG),并导致肺中DNA修复蛋白和活性的降低。尼古丁和尼古丁衍生的亚硝胺酮(NNK)在人体细胞中诱导相同类型的DNA加合物并引起DNA修复抑制。长期暴露后,ECAs可诱导小鼠肺腺癌和膀胱尿路上皮增生。我们提出电子烟尼古丁可在小鼠和人类细胞中亚硝化成为亚硝胺,从而产生诱导DNA损伤和抑制DNA修复的两种致癌作用,ECA对小鼠具有致癌作用。因此,本文综述了尼古丁和ECA在小鼠和培养的人细胞中诱导DNA加合物和DNA修复抑制的最新文献,并对ECA在小鼠中的致癌性提供了新的见解。
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引用次数: 12
The role of mentoring in the careers of geneticists 指导在遗传学家职业生涯中的作用。
IF 5.3 2区 医学 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2022-01-01 DOI: 10.1016/j.mrrev.2022.108417
Elof Axel Carlson

This commentary reflects on the importance of mentoring in science education. It is written from the perspective of a geneticist and historian of science, but its implications extend to many other fields. A lineage of mentoring is traced from the author's educational experience back through several centuries in the form of an intellectual pedigree.

这篇评论反映了指导在科学教育中的重要性。这本书是从遗传学家和科学史家的角度写的,但它的含义延伸到许多其他领域。师徒谱系以知识谱系的形式从作者的教育经历追溯了几个世纪。
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引用次数: 0
Meta-analysis of epigenome-wide association studies in newborns and children show widespread sex differences in blood DNA methylation 新生儿和儿童表观基因组关联研究的荟萃分析显示,血液DNA甲基化存在广泛的性别差异
IF 5.3 2区 医学 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2022-01-01 DOI: 10.1016/j.mrrev.2022.108415
Olivia Solomon , Karen Huen , Paul Yousefi , Leanne K. Küpers , Juan R. González , Matthew Suderman , Sarah E. Reese , Christian M. Page , Olena Gruzieva , Peter Rzehak , Lu Gao , Kelly M. Bakulski , Alexei Novoloaca , Catherine Allard , Irene Pappa , Maria Llambrich , Marta Vives , Dereje D. Jima , Tuomas Kvist , Andrea Baccarelli , Nina Holland

Background

Among children, sex-specific differences in disease prevalence, age of onset, and susceptibility have been observed in health conditions including asthma, immune response, metabolic health, some pediatric and adult cancers, and psychiatric disorders. Epigenetic modifications such as DNA methylation may play a role in the sexual differences observed in diseases and other physiological traits.

Methods

We performed a meta-analysis of the association of sex and cord blood DNA methylation at over 450,000 CpG sites in 8438 newborns from 17 cohorts participating in the Pregnancy And Childhood Epigenetics (PACE) Consortium. We also examined associations of child sex with DNA methylation in older children ages 5.5–10 years from 8 cohorts (n = 4268).

Results

In newborn blood, sex was associated at Bonferroni level significance with differences in DNA methylation at 46,979 autosomal CpG sites (p < 1.3 × 10−7) after adjusting for white blood cell proportions and batch. Most of those sites had lower methylation levels in males than in females. Of the differentially methylated CpG sites identified in newborn blood, 68% (31,727) met look-up level significance (p < 1.1 × 10−6) in older children and had methylation differences in the same direction.

Conclusions

This is a large-scale meta-analysis examining sex differences in DNA methylation in newborns and older children. Expanding upon previous studies, we replicated previous findings and identified additional autosomal sites with sex-specific differences in DNA methylation. Differentially methylated sites were enriched in genes involved in cancer, psychiatric disorders, and cardiovascular phenotypes.

在儿童中,已经观察到疾病患病率、发病年龄和易感性在健康状况方面的性别差异,包括哮喘、免疫反应、代谢健康、一些儿童和成人癌症以及精神疾病。表观遗传修饰如DNA甲基化可能在疾病和其他生理特征中观察到的性别差异中发挥作用。研究人员对来自17个参加妊娠与儿童表观遗传学(PACE)联盟的8438名新生儿的45万个CpG位点的性别与脐带血DNA甲基化的关系进行了荟萃分析。我们还研究了来自8个队列(n = 4268)的5.5-10岁较大儿童的儿童性别与DNA甲基化的关系。结果新生儿血液中,性别与常染色体46,979个CpG位点的DNA甲基化存在Bonferroni水平显著相关(p <1.3 × 10−7),调整白细胞比例和批次。大多数这些位点的甲基化水平在男性中低于女性。在新生儿血液中发现的差异甲基化CpG位点中,68%(31,727)符合查找水平显著性(p <1.1 × 10−6),在同一方向上存在甲基化差异。这是一项大规模的荟萃分析,研究了新生儿和较大儿童DNA甲基化的性别差异。在先前研究的基础上,我们重复了先前的研究结果,并确定了DNA甲基化中具有性别特异性差异的其他常染色体位点。差异甲基化位点在涉及癌症、精神疾病和心血管表型的基因中富集。
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引用次数: 19
Genotoxicity evaluation of medical devices: A regulatory perspective 医疗器械基因毒性评价:监管视角。
IF 5.3 2区 医学 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2022-01-01 DOI: 10.1016/j.mrrev.2021.108407
Tirukalikundram S. Kumaravel , Tiruvathipuram N. Sathya , Ramalingam Balaje , Pitchaipillai Pradeepa , Desikan Yogaraj , Malliga R. Murali , K.R. Navaneethakrishnan , Sivasubramanian Murugan , Awadhesh N. Jha

This review critically evaluates our current regulatory understanding of genotoxicity testing and risk assessment of medical devices. Genotoxicity risk assessment of these devices begins with the evaluation of materials of construction, manufacturing additives and all residual materials for potential to induce DNA damage. This is followed by extractable and/or leachable (E&L) studies to understand the worst case and/or clinical exposures, coupled with risk assessment of extractables or leachables. The TTC (Threshold of Toxicological Concern) approach is used to define acceptable levels of genotoxic chemicals, when identified. Where appropriate, in silico predictions may be used to evaluate the genotoxic potentials of identifiable chemicals with limited toxicological data and above the levels defined by TTC. Devices that could not be supported by E&L studies are evaluated by in vitro genotoxicity studies conducted in accordance with ISO10993-3 and 33. Certain endpoints such as ‘site of contact genotoxicity’ that are specific for certain classes of medical devices are currently not addressed in the current standards. The review also illustrates the potential uses of recent advances to achieve the goal of robust genotoxicity assessment of medical devices which are being increasingly used for health benefits. The review also highlights the gaps for genotoxicity risk assessment of medical devices and suggests possible approaches to address them taking into consideration the recent advances in genotoxicity testing including their potential uses in biocompatibility assessment.

这篇综述批判性地评估了我们目前对医疗器械基因毒性测试和风险评估的监管理解。这些装置的遗传毒性风险评估始于对建筑材料、制造添加剂和所有可能引起DNA损伤的残留材料的评估。随后是可提取和/或可浸出(E&L)研究,以了解最坏情况和/或临床暴露,以及可提取或可浸出的风险评估。TTC(毒理学关注阈值)方法用于确定基因毒性化学物质的可接受水平。在适当情况下,计算机预测可用于评估毒理学数据有限且超过TTC规定水平的可识别化学品的遗传毒性潜力。不能通过E&L研究支持的器械通过按照ISO10993-3和33进行的体外遗传毒性研究进行评估。某些端点,如特定类别医疗器械的“接触部位遗传毒性”,目前在现行标准中没有涉及。该审查还说明了最近进展的潜在用途,以实现对越来越多用于健康益处的医疗器械进行强有力的遗传毒性评估的目标。审查还强调了医疗器械遗传毒性风险评估方面的差距,并在考虑到遗传毒性测试的最新进展,包括其在生物相容性评估中的潜在用途的情况下,提出了解决这些差距的可能方法。
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引用次数: 0
Molecular characterization of hypoxanthine guanine phosphoribosyltransferase mutant T cells in human blood: The concept of surrogate selection for immunologically relevant cells 人血液中次黄嘌呤鸟嘌呤磷酸核糖基转移酶突变T细胞的分子特征:免疫相关细胞替代选择的概念
IF 5.3 2区 医学 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2022-01-01 DOI: 10.1016/j.mrrev.2022.108414
Noah A. Kaitz , Cindy L. Zuleger , Peng Yu , Michael A. Newton , Richard J. Albertini , Mark R. Albertini

Somatic cell gene mutations arise in vivo due to replication errors during DNA synthesis occurring spontaneously during normal DNA synthesis or as a result of replication on a DNA template damaged by endogenous or exogenous mutagens. In principle, changes in the frequencies of mutant cells in vivo in humans reflect changes in exposures to exogenous or endogenous DNA damaging insults, other factors being equal. It is becoming increasingly evident however, that somatic mutations in humans have a far greater range of interpretations. For example, mutations in lymphocytes provide invaluable probes for in vivo cellular and molecular processes, providing identification of clonal amplifications of these cells in autoimmune and infectious diseases, transplantation recipients, paroxysmal nocturnal hemoglobinuria (PNH), and cancer. The assay for mutations of the X-chromosomal hypoxanthine guanine phosphoribosyltransferase (HPRT) gene has gained popular acceptance for this purpose since viable mutant cells can be recovered for molecular and other analyses. Although the major application of the HPRT T cell assay remains human population monitoring, the enrichment of activated T cells in the mutant fraction in individuals with ongoing immunological processes has demonstrated the utility of surrogate selection, a method that uses somatic mutation as a surrogate marker for the in vivo T cell proliferation that underlies immunological processes to investigate clinical disorders with immunological features. Studies encompassing a wide range of clinical conditions are reviewed. Despite the historical importance of the HPRT mutation system in validating surrogate selection, there are now additional mutational and other methods for identifying immunologically active T cells. These methods are reviewed and provide insights for strategies to extend surrogate selection in future studies.

体细胞基因突变是由于正常DNA合成过程中自发发生的DNA合成过程中的复制错误或由于内源性或外源性诱变剂损伤的DNA模板上的复制而在体内产生的。原则上,在其他因素相同的情况下,人体体内突变细胞频率的变化反映了外源性或内源性DNA损伤损伤暴露的变化。然而,越来越明显的是,人类体细胞突变的解释范围要大得多。例如,淋巴细胞的突变为体内细胞和分子过程提供了宝贵的探针,为自身免疫性疾病和感染性疾病、移植受体、阵发性夜间血红蛋白尿(PNH)和癌症中这些细胞的克隆扩增提供了鉴定。对x染色体次黄嘌呤鸟嘌呤磷酸核糖基转移酶(HPRT)基因突变的测定已经获得了广泛的接受,因为可以恢复活的突变细胞进行分子和其他分析。尽管HPRT T细胞检测的主要应用仍然是人群监测,但在正在进行免疫过程的个体中,突变部分中活化T细胞的富集已经证明了替代选择的效用,这种方法使用体细胞突变作为体内T细胞增殖的替代标记,这是免疫过程的基础,用于研究具有免疫特征的临床疾病。研究包括广泛的临床条件进行审查。尽管HPRT突变系统在验证替代选择方面具有重要的历史意义,但现在有更多的突变和其他方法来识别免疫活性T细胞。对这些方法进行了综述,并为今后研究中扩展替代选择的策略提供了见解。
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引用次数: 1
The potential role of COVID-19 in the induction of DNA damage COVID-19在诱导DNA损伤中的潜在作用
IF 5.3 2区 医学 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2022-01-01 DOI: 10.1016/j.mrrev.2022.108411
Pablo Pánico, Patricia Ostrosky-Wegman, Ana María Salazar

The coronavirus disease-2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is challenging global health and economic systems. In some individuals, COVID-19 can cause a wide array of symptoms, affecting several organs, such as the lungs, heart, bowels, kidneys and brain, causing multiorgan failure, sepsis and death. These effects are related in part to direct viral infection of these organs, immunological deregulation, a hypercoagulatory state and the potential for development of cytokine storm syndrome. Since the appearance of COVID-19 is recent, the long-term effects on the health of recovered patients remain unknown. In this review, we focused on current evidence of the mechanisms of DNA damage mediated by coronaviruses. Data supports that these viruses can induce DNA damage, genomic instability, and cell cycle deregulation during their replication in mammalian cells. Since the induction of DNA damage and aberrant DNA repair mechanisms are related to the development of chronic diseases such as cancer, diabetes, neurodegenerative disorders, and atherosclerosis, it will be important to address similar effects and outcomes in recovered COVID-19 patients.

由严重急性呼吸系统综合征冠状病毒-2 (SARS-CoV-2)引起的冠状病毒病-2019 (COVID-19)正在挑战全球卫生和经济系统。在一些人身上,COVID-19可引起广泛的症状,影响几个器官,如肺、心脏、肠道、肾脏和大脑,导致多器官衰竭、败血症和死亡。这些影响部分与这些器官的直接病毒感染、免疫失调、高凝状态和细胞因子风暴综合征的发展潜力有关。由于COVID-19是最近出现的,因此对康复患者健康的长期影响尚不清楚。在这篇综述中,我们重点介绍了目前冠状病毒介导的DNA损伤机制的证据。数据支持这些病毒在哺乳动物细胞中复制时可诱导DNA损伤、基因组不稳定和细胞周期失调。由于DNA损伤的诱导和异常的DNA修复机制与癌症、糖尿病、神经退行性疾病和动脉粥样硬化等慢性疾病的发展有关,因此在康复的COVID-19患者中解决类似的效果和结果将非常重要。
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引用次数: 15
“Micronuclei and Disease” special issue: Aims, scope, and synthesis of outcomes "微核与疾病"特刊:目标、范围和成果综合
IF 5.3 2区 医学 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2021-07-01 DOI: 10.1016/j.mrrev.2021.108384
Michael Fenech , Siegfried Knasmueller , Lisbeth E. Knudsen , Micheline Kirsch-Volders , Permal Deo , Bernhard Franzke , Helga Stopper , Maria-Grazia Andreassi , Claudia Bolognesi , Varinderpal S. Dhillon , Blanca Laffon , Karl-Heinz Wagner , Stefano Bonassi

The purpose of the “Micronuclei and Disease” special issue (SI) is to: (i) Determine the level of evidence for association of micronuclei (MN), a biomarker of numerical and structural chromosomal aberrations, with risk of specific diseases in humans; (ii) Define plausible mechanisms that explain association of MN with each disease; (iii) Identify knowledge gaps and research needed to translate MN assays into clinical practice.

The “MN and Disease” SI includes 14 papers. The first is a review of mechanisms of MN formation and their consequences in humans. 11 papers are systematic reviews and/or meta-analyses of the association of MN with reproduction, child health, inflammation, auto-immune disease, glycation, metabolic diseases, chronic kidney disease, cardiovascular disease, eleven common cancers, ageing and frailty. The penultimate paper focuses on effect of interventions on MN frequency in the elderly. A road map for translation of MN data into clinical practice is the topic of the final paper.

The majority of reviewed studies were case-control studies in which the ratio of mean MN frequency in disease cases relative to controls, i.e. the mean ratio (MR), was calculated. The mean of these MR values, estimated by meta-analyses, for lymphocyte and buccal cell MN in non-cancer diseases were 2.3 and 3.6 respectively, and for cancers they were 1.7 and 2.6 respectively. The highest MR values were observed in studies of cancer cases in which MN were measured in the same tissue as the tumour (MR = 4.9–10.8).

This special issue is an important milestone in the evidence supporting MN as a reliable genomic biomarker of developmental and degenerative disease risk. These advances, together with results from prospective cohort studies, are helping to identify diseases in which MN assays can be practically employed in the clinical setting to better identify high risk patients and to prioritise them for preventive therapy.

"微核与疾病"特刊的目的是:(i)确定微核(数量和结构染色体畸变的生物标志物)与人类特定疾病风险之间关联的证据水平;(ii)确定MN与每种疾病之间关联的合理机制;(iii)确定将MN检测方法转化为临床实践所需的知识缺口和研究。“MN与疾病”SI收录了14篇论文。第一篇综述了锰形成的机制及其对人类的影响。11篇论文是关于MN与生殖、儿童健康、炎症、自身免疫性疾病、糖基化、代谢疾病、慢性肾脏疾病、心血管疾病、11种常见癌症、衰老和虚弱之间关系的系统综述和/或荟萃分析。倒数第二篇论文的重点是干预对老年人MN频率的影响。最后一篇论文的主题是将MN数据转化为临床实践的路线图。大多数审查的研究是病例对照研究,其中计算疾病病例中MN平均频率相对于对照组的比率,即平均比率(MR)。通过荟萃分析估计,非癌症疾病中淋巴细胞和颊细胞MN的MR平均值分别为2.3和3.6,癌症的MR平均值分别为1.7和2.6。在与肿瘤在同一组织中测量MN的癌症病例研究中观察到最高的MR值(MR = 4.9-10.8)。这一期特刊是支持MN作为发育性和退行性疾病风险可靠的基因组生物标志物的重要里程碑。这些进展,加上前瞻性队列研究的结果,正在帮助识别疾病,其中MN测定可以在临床环境中实际应用,以更好地识别高风险患者并优先进行预防治疗。
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引用次数: 16
How can exposure to engineered nanomaterials influence our epigenetic code? A review of the mechanisms and molecular targets 接触工程纳米材料如何影响我们的表观遗传密码?机制及分子靶点研究进展
IF 5.3 2区 医学 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2021-07-01 DOI: 10.1016/j.mrrev.2021.108385
Luciana Moreira , Carla Costa , Joana Pires , João Paulo Teixeira , Sónia Fraga

Evidence suggests that engineered nanomaterials (ENM) can induce epigenetic modifications. In this review, we provide an overview of the epigenetic modulation of gene expression induced by ENM used in a variety of applications: titanium dioxide (TiO2), silver (Ag), gold (Au), silica (SiO2) nanoparticles and carbon-based nanomaterials (CNM). Exposure to these ENM can trigger alterations in cell patterns of DNA methylation, post-transcriptional histone modifications and expression of non-coding RNA. Such effects are dependent on ENM dose and physicochemical properties including size, shape and surface chemistry, as well as on the cell/organism sensitivity. The genes affected are mostly involved in the regulation of the epigenetic machinery itself, as well as in apoptosis, cell cycle, DNA repair and inflammation related pathways, whose long-term alterations might lead to the onset or progression of certain pathologies. In addition, some DNA methylation patterns may be retained as a form of epigenetic memory. Prenatal exposure to ENM may impair the normal development of the offspring by transplacental effects and/or putative transmission of epimutations in imprinting genes. Thus, understanding the impact of ENM on the epigenome is of paramount importance and epigenetic evaluation must be considered when assessing the risk of ENM to human health.

有证据表明,工程纳米材料(ENM)可以诱导表观遗传修饰。在这篇综述中,我们概述了ENM诱导基因表达的表观遗传调控在各种应用中的应用:二氧化钛(TiO2)、银(Ag)、金(Au)、二氧化硅(SiO2)纳米粒子和碳基纳米材料(CNM)。暴露于这些ENM可引发DNA甲基化、转录后组蛋白修饰和非编码RNA表达的细胞模式改变。这种效应取决于ENM的剂量和物理化学性质,包括大小、形状和表面化学,以及细胞/生物体的敏感性。受影响的基因主要涉及表观遗传机制本身的调控,以及细胞凋亡、细胞周期、DNA修复和炎症相关通路,这些通路的长期改变可能导致某些病理的发生或进展。此外,一些DNA甲基化模式可能作为表观遗传记忆的一种形式被保留。产前暴露于ENM可能会通过经胎盘作用和/或印记基因的推定传递损害后代的正常发育。因此,了解ENM对表观基因组的影响至关重要,在评估ENM对人类健康的风险时,必须考虑表观遗传评估。
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引用次数: 7
Genetic predisposition to lymphomas: Overview of rare syndromes and inherited familial variants 淋巴瘤的遗传易感性:罕见综合征和遗传性家族变异的概述
IF 5.3 2区 医学 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2021-07-01 DOI: 10.1016/j.mrrev.2021.108386
Bartosz Szmyd, Wojciech Mlynarski, Agata Pastorczak

Approximately 10 % of malignancies occur in carriers of germline mutations predisposing to cancer. A high risk of developing lymphomas has been noted in many primary immunodeficiencies, including DNA repair disorders. Moreover, implementation of next-generation sequencing has recently enabled to uncover rare genetic variants predisposing patients to lymphoid neoplasms. Some patients harboring inherited predisposition to lymphomas require dedicated clinical management, which will contribute to effective cancer treatment and to the prevention of potential severe toxicities and secondary malignancies. In line with that, our review summarizes the natural history of lymphoid tumors developing on different germline genetic backgrounds and discusses the progress that has been made toward successfully treating these malignancies.

大约10%的恶性肿瘤发生在易患癌症的种系突变携带者身上。在许多原发性免疫缺陷中,包括DNA修复障碍,发生淋巴瘤的风险很高。此外,下一代测序的实施最近已经能够发现使患者易患淋巴样肿瘤的罕见遗传变异。一些具有遗传易感性的淋巴瘤患者需要专门的临床管理,这将有助于有效的癌症治疗和预防潜在的严重毒性和继发性恶性肿瘤。在此基础上,本文总结了淋巴样肿瘤在不同种系遗传背景下发展的自然历史,并讨论了成功治疗这些恶性肿瘤的进展。
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引用次数: 5
Roadmap for translating results from the micronucleus assay into clinical practice: From observational studies to randomized controlled trials 将微核检测结果转化为临床实践的路线图:从观察性研究到随机对照试验
IF 5.3 2区 医学 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2021-07-01 DOI: 10.1016/j.mrrev.2021.108390
Stefano Bonassi , Michael Fenech

According to the definition delivred by the WHO, a biomarker, independently from its role that may be indicative of exposure, response or effect, is inevitably linked to a clinical outcome or to a disease. The presence of a continuum from early biological events to therapy, and prognosis is the unifying mechanism that justifies this conclusion. Traditionally, the technical and inter-individual variability of the assays, together with the long duration between early pathogenetic events and the disease, prevented clinical applications to these biomarkers. These limitations became less important with the emerging of personalized preventive medicine because of the focus on disease prediction and prevention, and the recommended use of all data concerning measurable patient's features. Several papers have been published on the best validation procedures for translating biomarkers to real life. The history of cholesterol concentration is extensively discussed as a reliable example of a biomarker that - after a long and controversial validation process - is currently used in clinical practice. The frequency of micronucleated cells is a reliable biomarker for the pathogenesis of cancer and other non-communicable diseases, and the link with clinical outcomes is substantiated by epidemiological evidence and strong mechanistic basis. Available literature concerning the use of the micronucleus assay in clinical studies is discussed, and a suitable three-levels road-map driving this biomarker towards clinical practice is presented. Under the perspective of personalized medicine, the use of the micronucleus assays can play a decisive role in addressing preventive and therapeutic strategies of chronic diseases. In many cases the MN assay is either currently used in clinical practice or classified as adequate to consider translation into practice. The roadmap to clinical validation of the micronucleus assay finds inspiration from the history of biomarkers such as cholesterol, which clearly showed that the evidence from prospective studies or RCTs is critical to achieve the required level of trust from the healthcare profession. (307 words)

根据世卫组织提供的定义,生物标志物,独立于其可能指示暴露、反应或影响的作用,不可避免地与临床结果或疾病联系在一起。从早期生物事件到治疗和预后的连续统一体的存在是证明这一结论的统一机制。传统上,检测的技术和个体间差异,以及早期发病事件和疾病之间的长时间,阻碍了这些生物标志物的临床应用。随着个性化预防医学的出现,这些限制变得不那么重要了,因为重点是疾病预测和预防,并建议使用所有有关可测量患者特征的数据。已经发表了几篇关于将生物标志物转化为现实生活的最佳验证程序的论文。胆固醇浓度的历史被广泛讨论,作为一种生物标志物的可靠例子,经过漫长而有争议的验证过程,目前已用于临床实践。微核细胞的频率是癌症和其他非传染性疾病发病机制的可靠生物标志物,其与临床结果的联系得到流行病学证据和强有力的机制基础的证实。关于在临床研究中使用微核测定的现有文献进行了讨论,并提出了一个合适的三级路线图,推动这种生物标志物走向临床实践。在个性化医疗的视角下,微核检测的应用可以在制定慢性病的预防和治疗策略方面发挥决定性作用。在许多情况下,锰含量测定要么目前用于临床实践,要么被归类为足以考虑转化为实践。微核检测的临床验证路线图从胆固醇等生物标志物的历史中获得灵感,这清楚地表明,前瞻性研究或随机对照试验的证据对于获得医疗保健专业人员所需的信任水平至关重要。(307字)
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引用次数: 3
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Mutation Research-Reviews in Mutation Research
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