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Decoding the Epigenetics of Infertility: Mechanisms, Environmental Influences, and Therapeutic Strategies. 解码不孕症的表观遗传学:机制、环境影响和治疗策略。
IF 2.5 Q3 GENETICS & HEREDITY Pub Date : 2024-09-05 DOI: 10.3390/epigenomes8030034
Lara Saftić Martinović, Tea Mladenić, Dora Lovrić, Saša Ostojić, Sanja Dević Pavlić

Infertility is a complex condition caused by a combination of genetic, environmental, and lifestyle factors. Recent advances in epigenetics have highlighted the importance of epigenetic changes in fertility regulation. This review aims to provide a comprehensive overview of the epigenetic mechanisms involved in infertility, with a focus on DNA methylation, histone modification, and non-coding RNAs. We investigate the specific epigenetic events that occur during gametogenesis, with a focus on spermatogenesis and oogenesis as distinct processes. Furthermore, we investigate how environmental factors such as diet, stress, and toxin exposure can influence these epigenetic changes, potentially leading to infertility. The second part of the review explores epigenetic changes as therapeutic targets for infertility. Emerging therapies that modulate epigenetic marks present promising opportunities for fertility restoration, particularly in spermatogenesis. By summarizing current research findings, this review emphasizes the importance of understanding epigenetic contributions to infertility. Our discussion aims to lay the groundwork for future research directions and clinical applications in reproductive health.

不孕症是一种复杂的疾病,由遗传、环境和生活方式等因素共同造成。表观遗传学的最新进展凸显了表观遗传变化在生育调节中的重要性。本综述旨在全面概述与不孕症有关的表观遗传学机制,重点关注 DNA 甲基化、组蛋白修饰和非编码 RNA。我们研究了配子发生过程中发生的特定表观遗传事件,重点关注精子发生和卵子生成这两个不同的过程。此外,我们还研究了饮食、压力和毒素暴露等环境因素如何影响这些表观遗传变化,从而可能导致不育。综述的第二部分探讨了作为不育症治疗靶点的表观遗传变化。调节表观遗传标记的新兴疗法为恢复生育能力,尤其是精子发生带来了希望。通过总结当前的研究成果,本综述强调了了解表观遗传对不孕不育症影响的重要性。我们的讨论旨在为生殖健康领域未来的研究方向和临床应用奠定基础。
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引用次数: 0
α-Crystalline Domains and Intrinsically Disordered Regions Can Work in Parallel to Induce Accumulation of MBD6 at Chromocenters in Arabidopsis thaliana. 拟南芥中的α-结晶结构域和内在无序区可同时发挥作用,诱导 MBD6 在染色体中心聚集。
IF 2.5 Q3 GENETICS & HEREDITY Pub Date : 2024-08-28 DOI: 10.3390/epigenomes8030033
Brandon A Boone, Cristy P Mendoza, Noah J Behrendt, Steven E Jacobsen

Proteins are localized and concentrated at cellular and genomic locations for specific and efficient functions. Efforts to understand protein accumulation in eukaryotic organisms have primarily focused on multivalent interactions between intrinsically disordered regions (IDRs) as mediators of protein condensation. We previously showed that α-crystalline domain (ACD) proteins 15 (ACD15) and 21 (ACD21) were required for multimerization and the accumulation of gene-silencing methyl-CpG-binding domain protein 6 (MBD6) at chromocenters in Arabidopsis thaliana. Here, we demonstrate that ACDs and IDRs can act as parallel mechanisms, facilitating higher-order MBD6 assemblies. Using human IDRs known to be important for protein accumulation, we replicated and enhanced the accumulation of MBD6 at chromocenters. In addition, IDRs fused to MBD6 could substitute for ACD function and partially reconstitute the MBD6 gene-silencing function. However, the accumulation of MBD6 by IDRs still required ACD15 and ACD21 for full effect. These results establish that ACD-mediated protein accumulation is a mechanism that can function similarly to and together with IDR-mediated mechanisms.

蛋白质定位并集中在细胞和基因组位置,以实现特定和有效的功能。了解真核生物体内蛋白质聚集的工作主要集中在作为蛋白质凝聚媒介的内在无序区(IDR)之间的多价相互作用上。我们以前的研究表明,拟南芥中的α-结晶结构域(ACD)蛋白15(ACD15)和21(ACD21)是多聚化和基因沉默甲基-CpG结合结构域蛋白6(MBD6)在染色质中心聚集所必需的。在这里,我们证明了 ACD 和 IDR 可作为平行机制发挥作用,促进 MBD6 的高阶组装。利用已知对蛋白质积累很重要的人类 IDRs,我们复制并增强了 MBD6 在染色体中心的积累。此外,与 MBD6 融合的 IDRs 可以替代 ACD 的功能,并部分重建 MBD6 的基因沉默功能。然而,IDRs 对 MBD6 的积累仍然需要 ACD15 和 ACD21 才能完全起作用。这些结果证明,ACD 介导的蛋白质积累是一种可与 IDR 介导的机制一起发挥类似作用的机制。
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引用次数: 0
Genome-Wide Methylation Profiling of Peripheral T-Cell Lymphomas Identifies TRIP13 as a Critical Driver of Tumor Proliferation and Survival. 外周T细胞淋巴瘤的全基因组甲基化分析发现TRIP13是肿瘤增殖和存活的关键驱动因素
IF 2.5 Q3 GENETICS & HEREDITY Pub Date : 2024-08-21 DOI: 10.3390/epigenomes8030032
Pawel Nowialis, Julian Tobon, Katarina Lopusna, Jana Opavska, Arshee Badar, Duo Chen, Reem Abdelghany, Gene Pozas, Jacob Fingeret, Emma Noel, Alberto Riva, Hiroshi Fujiwara, Alexander Ishov, Rene Opavsky

Cytosine methylation contributes to the regulation of gene expression and normal hematopoiesis in mammals. It is catalyzed by the family of DNA methyltransferases that include DNMT1, DNMT3A, and DNMT3B. Peripheral T-cell lymphomas (PTCLs) represent aggressive mature T-cell malignancies exhibiting a broad spectrum of clinical features with poor prognosis and inadequately understood molecular pathobiology. To better understand the molecular landscape and identify candidate genes involved in disease maintenance, we profiled DNA methylation and gene expression of PTCLs. We found that the methylation patterns in PTCLs are deregulated and heterogeneous but share 767 hypo- and 567 hypermethylated differentially methylated regions (DMRs) along with 231 genes up- and 91 genes downregulated in all samples, suggesting a potential association with tumor development. We further identified 39 hypomethylated promoters associated with increased gene expression in the majority of PTCLs. This putative oncogenic signature included the TRIP13 (thyroid hormone receptor interactor 13) gene whose genetic and pharmacologic inactivation inhibited the proliferation of T-cell lines by inducing G2-M arrest and apoptosis. Our data thus show that human PTCLs have a significant number of recurrent methylation alterations that may affect the expression of genes critical for proliferation whose targeting might be beneficial in anti-lymphoma treatments.

胞嘧啶甲基化有助于调节哺乳动物的基因表达和正常造血。它由 DNA 甲基转移酶家族(包括 DNMT1、DNMT3A 和 DNMT3B)催化。外周 T 细胞淋巴瘤(PTCL)是一种侵袭性成熟 T 细胞恶性肿瘤,具有广泛的临床特征,预后不良,其分子病理生物学尚不清楚。为了更好地了解其分子结构并确定参与疾病维持的候选基因,我们对 PTCL 的 DNA 甲基化和基因表达进行了分析。我们发现,PTCL 的甲基化模式是失调和异质性的,但在所有样本中,共有 767 个低甲基化和 567 个高甲基化的差异甲基化区域(DMR),231 个基因上调,91 个基因下调,这表明它们与肿瘤的发展有潜在的关联。我们进一步确定了 39 个低甲基化启动子,它们与大多数 PTCL 中基因表达的增加有关。这种假定的致癌特征包括 TRIP13(甲状腺激素受体互作因子 13)基因,该基因的遗传和药物失活可通过诱导 G2-M 停滞和细胞凋亡来抑制 T 细胞系的增殖。因此,我们的数据表明,人类 PTCL 有大量反复发生的甲基化改变,这些改变可能会影响对增殖至关重要的基因的表达,而针对这些基因的治疗可能对抗淋巴瘤治疗有益。
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引用次数: 0
Sex-Specific Associations between Prenatal Exposure to Bisphenols and Phthalates and Infant Epigenetic Age Acceleration. 产前暴露于双酚和邻苯二甲酸盐与婴儿表观遗传年龄加速之间的性别特异性关联。
IF 2.5 Q3 GENETICS & HEREDITY Pub Date : 2024-08-10 DOI: 10.3390/epigenomes8030031
Gillian England-Mason, Sarah M Merrill, Jiaying Liu, Jonathan W Martin, Amy M MacDonald, David W Kinniburgh, Nicole Gladish, Julia L MacIsaac, Gerald F Giesbrecht, Nicole Letourneau, Michael S Kobor, Deborah Dewey

We examined whether prenatal exposure to two classes of endocrine-disrupting chemicals (EDCs) was associated with infant epigenetic age acceleration (EAA), a DNA methylation biomarker of aging. Participants included 224 maternal-infant pairs from a Canadian pregnancy cohort study. Two bisphenols and 12 phthalate metabolites were measured in maternal second trimester urines. Buccal epithelial cell cheek swabs were collected from 3 month old infants and DNA methylation was profiled using the Infinium MethylationEPIC BeadChip. The Pediatric-Buccal-Epigenetic tool was used to estimate EAA. Sex-stratified robust regressions examined individual chemical associations with EAA, and Bayesian kernel machine regression (BKMR) examined chemical mixture effects. Adjusted robust models showed that in female infants, prenatal exposure to total bisphenol A (BPA) was positively associated with EAA (B = 0.72, 95% CI: 0.21, 1.24), and multiple phthalate metabolites were inversely associated with EAA (Bs from -0.36 to -0.66, 95% CIs from -1.28 to -0.02). BKMR showed that prenatal BPA was the most important chemical in the mixture and was positively associated with EAA in both sexes. No overall chemical mixture effects or male-specific associations were noted. These findings indicate that prenatal EDC exposures are associated with sex-specific deviations in biological aging, which may have lasting implications for child health and development.

我们研究了产前接触两类干扰内分泌的化学品(EDCs)是否与婴儿表观遗传年龄加速(EAA)(一种衰老的DNA甲基化生物标志物)有关。参与者包括来自加拿大妊娠队列研究的 224 对母婴。在孕妇怀孕后三个月的尿液中测量了两种双酚和 12 种邻苯二甲酸酯代谢物。收集了 3 个月大婴儿的颊上皮细胞拭子,并使用 Infinium MethylationEPIC BeadChip 对 DNA 甲基化进行了分析。儿科-口腔-表观遗传学工具用于估算 EAA。性别分层稳健回归检验了单个化学物质与EAA的关联,贝叶斯核机器回归(BKMR)检验了化学物质的混合物效应。调整后的稳健模型显示,在女婴中,产前暴露于总双酚 A (BPA) 与 EAA 呈正相关(B = 0.72,95% CI:0.21, 1.24),而多种邻苯二甲酸酯代谢物与 EAA 呈反相关(Bs 从 -0.36 到 -0.66,95% CI 从 -1.28 到 -0.02)。BKMR 显示,产前双酚 A 是混合物中最重要的化学物质,与男女 EAA 均呈正相关。没有发现整体化学混合物效应或男性特异性关联。这些研究结果表明,产前暴露于 EDC 与生物衰老的性别特异性偏差有关,这可能会对儿童的健康和发育产生持久影响。
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引用次数: 0
Multiomics Screening Identified CpG Sites and Genes That Mediate the Impact of Exposure to Environmental Chemicals on Cardiometabolic Traits. 多组学筛选确定了介导暴露于环境化学品对心脏代谢特征影响的 CpG 位点和基因。
IF 2.5 Q3 GENETICS & HEREDITY Pub Date : 2024-07-29 DOI: 10.3390/epigenomes8030029
Majid Nikpay

An understanding of the molecular mechanism whereby an environmental chemical causes a disease is important for the purposes of future applications. In this study, a multiomics workflow was designed to combine several publicly available datasets in order to identify CpG sites and genes that mediate the impact of exposure to environmental chemicals on cardiometabolic traits. Organophosphate and prenatal lead exposure were previously reported to change methylation level at the cg23627948 site. The outcome of the analyses conducted in this study revealed that, as the cg23627948 site becomes methylated, the expression of the GNA12 gene decreases, which leads to a higher body fat percentage. Prenatal perfluorooctane sulfonate exposure was reported to increase the methylation level at the cg21153102 site. Findings of this study revealed that higher methylation at this site contributes to higher diastolic blood pressure by changing the expression of CHP1 and GCHFR genes. Moreover, HKR1 mediates the impact of B12 supplementation → cg05280698 hypermethylation on higher kidney function, while CTDNEP1 mediates the impact of air pollution → cg03186999 hypomethylation on higher systolic blood pressure. This study investigates CpG sites and genes that mediate the impact of environmental chemicals on cardiometabolic traits. Furthermore, the multiomics approach described in this study provides a convenient workflow with which to investigate the impact of an environmental factor on the body's biomarkers, and, consequently, on health conditions, using publicly available data.

了解环境化学物质导致疾病的分子机制对于未来的应用非常重要。在这项研究中,我们设计了一个多组学工作流程,将几个公开可用的数据集结合起来,以确定介导暴露于环境化学物质对心脏代谢特征影响的 CpG 位点和基因。此前有报道称,有机磷和产前铅暴露会改变 cg23627948 位点的甲基化水平。本研究的分析结果显示,随着 cg23627948 位点的甲基化,GNA12 基因的表达会降低,从而导致体脂率升高。据报道,产前接触全氟辛烷磺酸会增加 cg21153102 位点的甲基化水平。该研究结果显示,该位点的甲基化水平升高会改变 CHP1 和 GCHFR 基因的表达,从而导致舒张压升高。此外,HKR1 介导了补充 B12 → cg05280698 高甲基化对高肾功能的影响,而 CTDNEP1 介导了空气污染 → cg03186999 低甲基化对高收缩压的影响。这项研究调查了介导环境化学物质对心脏代谢特征影响的 CpG 位点和基因。此外,本研究中描述的多组学方法提供了一种便捷的工作流程,可利用公开数据研究环境因素对人体生物标志物的影响,进而研究环境因素对健康状况的影响。
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引用次数: 0
Epigenetic Regulation of Mammalian Cardiomyocyte Development. 哺乳动物心肌细胞发育的表观遗传调控
IF 2.5 Q3 GENETICS & HEREDITY Pub Date : 2024-06-29 DOI: 10.3390/epigenomes8030025
Isaiah K Mensah, Humaira Gowher

The heart is the first organ formed during mammalian development and functions to distribute nutrients and oxygen to other parts of the developing embryo. Cardiomyocytes are the major cell types of the heart and provide both structural support and contractile function to the heart. The successful differentiation of cardiomyocytes during early development is under tight regulation by physical and molecular factors. We have reviewed current studies on epigenetic factors critical for cardiomyocyte differentiation, including DNA methylation, histone modifications, chromatin remodelers, and noncoding RNAs. This review also provides comprehensive details on structural and morphological changes associated with the differentiation of fetal and postnatal cardiomyocytes and highlights their differences. A holistic understanding of all aspects of cardiomyocyte development is critical for the successful in vitro differentiation of cardiomyocytes for therapeutic purposes.

心脏是哺乳动物发育过程中形成的第一个器官,其功能是向发育中胚胎的其他部位分配营养和氧气。心肌细胞是心脏的主要细胞类型,为心脏提供结构支持和收缩功能。在早期发育过程中,心肌细胞的成功分化受到物理和分子因素的严格调控。我们回顾了目前对心肌细胞分化至关重要的表观遗传因素的研究,包括 DNA 甲基化、组蛋白修饰、染色质重塑和非编码 RNA。本综述还全面详述了与胎儿和出生后心肌细胞分化相关的结构和形态学变化,并强调了它们之间的差异。全面了解心肌细胞发育的各个方面对于成功体外分化心肌细胞以达到治疗目的至关重要。
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引用次数: 0
DNA Hypomethylation Underlies Epigenetic Swapping between AGO1 and AGO1-V2 Isoforms in Tumors. DNA低甲基化是肿瘤中AGO1和AGO1-V2异构体表观遗传交换的基础
IF 2.5 Q3 GENETICS & HEREDITY Pub Date : 2024-06-22 DOI: 10.3390/epigenomes8030024
Jean S Fain, Camille Wangermez, Axelle Loriot, Claudia Denoue, Charles De Smet

Human tumors progress in part by accumulating epigenetic alterations, which include gains and losses of DNA methylation in different parts of the cancer cell genome. Recent work has revealed a link between these two opposite alterations by showing that DNA hypomethylation in tumors can induce the expression of transcripts that overlap downstream gene promoters and thereby induce their hypermethylation. Preliminary in silico evidence prompted us to investigate if this mechanism applies to the locus harboring AGO1, a gene that plays a central role in miRNA biogenesis and RNA interference. Inspection of public RNA-Seq datasets and RT-qPCR experiments show that an alternative transcript starting 13.4 kb upstream of AGO1 (AGO1-V2) is expressed specifically in testicular germ cells, and becomes aberrantly activated in different types of tumors, particularly in tumors of the esophagus, stomach, and lung. This expression pattern classifies AGO1-V2 into the group of "Cancer-Germline" (CG) genes. Analysis of transcriptomic and methylomic datasets provided evidence that transcriptional activation of AGO1-V2 depends on DNA demethylation of its promoter region. Western blot experiments revealed that AGO1-V2 encodes a shortened isoform of AGO1, corresponding to a truncation of 75 aa in the N-terminal domain, and which we therefore referred to as "∆NAGO1". Interestingly, significant correlations between hypomethylation/activation of AGO1-V2 and hypermethylation/repression of AGO1 were observed upon examination of tumor cell lines and tissue datasets. Overall, our study reveals the existence of a process of interdependent epigenetic alterations in the AGO1 locus, which promotes swapping between two AGO1 protein-coding mRNA isoforms in tumors.

人类肿瘤进展的部分原因是表观遗传学改变的累积,其中包括癌细胞基因组不同部位 DNA 甲基化的增减。最近的研究表明,肿瘤中的 DNA 低甲基化可诱导下游基因启动子重叠的转录本表达,从而诱导其高甲基化,从而揭示了这两种相反改变之间的联系。初步硅学证据促使我们研究这一机制是否适用于AGO1基因座,该基因在miRNA生物发生和RNA干扰中发挥着核心作用。对公开的 RNA-Seq 数据集和 RT-qPCR 实验的检测表明,从 AGO1 上游 13.4 kb 开始的另一个转录本(AGO1-V2)在睾丸生殖细胞中特异性表达,并在不同类型的肿瘤中异常激活,尤其是在食道、胃和肺部肿瘤中。这种表达模式将 AGO1-V2 归入 "癌症-胚系"(CG)基因组。对转录组和甲基组数据集的分析证明,AGO1-V2 的转录激活取决于其启动子区域的 DNA 去甲基化。Western 印迹实验显示,AGO1-V2 编码 AGO1 的缩短异构体,相当于 N 端结构域截短 75 aa,因此我们将其称为"∆NGO1"。有趣的是,在对肿瘤细胞系和组织数据集进行检测后发现,AGO1-V2 的低甲基化/激活与 AGO1 的高甲基化/抑制之间存在明显的相关性。总之,我们的研究揭示了 AGO1 基因座存在一个相互依存的表观遗传学改变过程,它促进了肿瘤中两种 AGO1 蛋白编码 mRNA 异构体之间的交换。
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引用次数: 0
Keep Fingers on the CpG Islands. 把手指放在 CpG 岛上
IF 2.5 Q3 GENETICS & HEREDITY Pub Date : 2024-06-19 DOI: 10.3390/epigenomes8020023
Xing Zhang, Robert M Blumenthal, Xiaodong Cheng

The post-genomic era has ushered in the extensive application of epigenetic editing tools, allowing for precise alterations of gene expression. The use of reprogrammable editors that carry transcriptional corepressors has significant potential for long-term epigenetic silencing for the treatment of human diseases. The ideal scenario involves precise targeting of a specific genomic location by a DNA-binding domain, ensuring there are no off-target effects and that the process yields no genetic remnants aside from specific epigenetic modifications (i.e., DNA methylation). A notable example is a recent study on the mouse Pcsk9 gene, crucial for cholesterol regulation and expressed in hepatocytes, which identified synthetic zinc-finger (ZF) proteins as the most effective DNA-binding editors for silencing Pcsk9 efficiently, specifically, and persistently. This discussion focuses on enhancing the specificity of ZF-array DNA binding by optimizing interactions between specific amino acids and DNA bases across three promoters containing CpG islands.

后基因组时代迎来了表观遗传编辑工具的广泛应用,从而可以精确地改变基因表达。使用携带转录核心抑制因子的可重编编辑器,具有长期表观遗传沉默治疗人类疾病的巨大潜力。理想的情况是,DNA 结合域精确靶向特定的基因组位置,确保不会产生脱靶效应,而且除了特定的表观遗传修饰(即 DNA 甲基化)外,该过程不会产生任何遗传残留。一个显著的例子是最近对小鼠 Pcsk9 基因的研究,该基因对胆固醇调节至关重要,并在肝细胞中表达,研究发现合成锌指(ZF)蛋白是最有效的 DNA 结合编辑器,能高效、特异、持久地沉默 Pcsk9 基因。本次讨论的重点是通过优化含有 CpG 岛的三个启动子中特定氨基酸和 DNA 碱基之间的相互作用来增强 ZF 阵列 DNA 结合的特异性。
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引用次数: 0
Structural and Biochemical Characterization of the Nucleosome Containing Variants H3.3 and H2A.Z. 含变体 H3.3 和 H2A.Z 的核小体的结构和生化特征
IF 2.5 Q3 GENETICS & HEREDITY Pub Date : 2024-05-27 DOI: 10.3390/epigenomes8020021
Harry Jung, Vladyslava Sokolova, Gahyun Lee, Victoria Rose Stevens, Dongyan Tan

Variant H3.3, along with H2A.Z, is notably enriched at promoter regions and is commonly associated with transcriptional activation. However, the specific molecular mechanisms through which H3.3 influences chromatin dynamics at transcription start sites, and its role in gene regulation, remain elusive. Using a combination of biochemistry and cryo-electron microscopy (cryo-EM), we show that the inclusion of H3.3 alone does not induce discernible changes in nucleosome DNA dynamics. Conversely, the presence of both H3.3 and H2A.Z enhances DNA's flexibility similarly to H2A.Z alone. Interestingly, our findings suggest that the presence of H3.3 in the H2A.Z nucleosome provides slightly increased protection to DNA at internal sites within the nucleosome. These results imply that while H2A.Z at active promoters promotes the formation of more accessible nucleosomes with increased DNA accessibility to facilitate transcription, the simultaneous presence of H3.3 offers an additional mechanism to fine-tune nucleosome accessibility and the chromatin environment.

变体 H3.3 与 H2A.Z 一起明显富集于启动子区域,通常与转录激活有关。然而,H3.3影响转录起始位点染色质动态的具体分子机制及其在基因调控中的作用仍然难以捉摸。我们结合使用生物化学和低温电子显微镜(cryo-EM),发现单独加入 H3.3 并不会引起核小体 DNA 动态的明显变化。相反,H3.3 和 H2A.Z 的存在与单独存在 H2A.Z 时类似,都能增强 DNA 的灵活性。有趣的是,我们的研究结果表明,H3.3存在于H2A.Z核小体中,对核小体内部位点DNA的保护作用略有增强。这些结果表明,在活跃的启动子上,H2A.Z 可促进形成更容易接近的核小体,增加 DNA 的可接近性以促进转录,而同时存在的 H3.3 则提供了一种额外的机制来微调核小体的可接近性和染色质环境。
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引用次数: 0
Blood Vitamin C Levels of Patients Receiving Immunotherapy and Relationship to Monocyte Subtype and Epigenetic Modification. 接受免疫治疗的患者血液中的维生素 C 水平及其与单核细胞亚型和表观遗传修饰的关系。
IF 2.5 Q3 GENETICS & HEREDITY Pub Date : 2024-04-30 DOI: 10.3390/epigenomes8020017
Ben Topham, Millie de Vries, Maria Nonis, Rebecca van Berkel, Juliet M Pullar, Nicholas J Magon, Margreet C M Vissers, Margaret J Currie, Bridget A Robinson, David Gibbs, Abel Ang, Gabi U Dachs

The treatment of metastatic melanoma has been revolutionised by immunotherapy, yet a significant number of patients do not respond, and many experience autoimmune adverse events. Associations have been reported between patient outcome and monocyte subsets, whereas vitamin C (ascorbate) has been shown to mediate changes in cancer-stimulated monocytes in vitro. We therefore investigated the relationship of ascorbate with monocyte subsets and epigenetic modifications in patients with metastatic melanoma receiving immunotherapy. Patients receiving immunotherapy were compared to other cancer cohorts and age-matched healthy controls. Ascorbate levels in plasma and peripheral blood-derived mononuclear cells (PBMCs), monocyte subtype and epigenetic markers were measured, and adverse events, tumour response and survival were recorded. A quarter of the immunotherapy cohort had hypovitaminosis C, with plasma and PBMC ascorbate levels significantly lower than those from other cancer patients or healthy controls. PBMCs from the immunotherapy cohort contained similar frequencies of non-classical and classical monocytes. DNA methylation markers and intracellular ascorbate concentration were correlated with monocyte subset frequency in healthy controls, but correlation was lost in immunotherapy patients. No associations between ascorbate status and immune-related adverse events or tumour response or overall survival were apparent.

免疫疗法给转移性黑色素瘤的治疗带来了革命性的变化,但仍有相当多的患者对这种疗法没有反应,许多患者还出现了自身免疫不良反应。有报道称,患者的预后与单核细胞亚群之间存在关联,而维生素 C(抗坏血酸)已被证明能在体外介导癌症刺激单核细胞的变化。因此,我们研究了抗坏血酸与接受免疫疗法的转移性黑色素瘤患者的单核细胞亚群和表观遗传学改变之间的关系。我们将接受免疫疗法的患者与其他癌症患者和年龄匹配的健康对照组进行了比较。测量了血浆和外周血单核细胞(PBMCs)中的抗坏血酸水平、单核细胞亚型和表观遗传标记物,并记录了不良事件、肿瘤反应和存活率。免疫疗法队列中有四分之一的患者维生素 C 过低,血浆和外周血单核细胞抗坏血酸水平明显低于其他癌症患者或健康对照组。免疫疗法组群的 PBMC 中含有相似频率的非典型和典型单核细胞。在健康对照组中,DNA 甲基化标记物和细胞内抗坏血酸浓度与单核细胞亚群频率相关,但在免疫治疗患者中则失去了相关性。抗坏血酸状态与免疫相关不良事件、肿瘤反应或总生存期之间没有明显的关联。
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引用次数: 0
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