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MicroRNA biogenesis pathway alterations in aging 衰老过程中MicroRNA生物发生途径的改变
Pub Date : 2023-01-01 DOI: 10.20517/evcna.2023.29
J. Sanz-Ros, C. Mas-Bargues, Nekane Romero-García, Javier Huete-Acevedo, M. Dromant, C. Borrás
Aging is characterized by genomic instability and dysregulation of gene expression. MicroRNAs (miRNAs) are small non-coding RNAs that play a crucial role in post-transcriptional gene regulation. This work explores the impact of dysregulated miRNA biogenesis on the aging process. During aging, alterations in the transcription of primary miRNAs (pri-miRNAs) occur due to genomic changes, DNA damage, and epigenetic modifications. The microprocessor complex, comprising DGCR8 and Drosha proteins, is vital for pri-miRNA processing. Age-related changes in this complex affect miRNA biogenesis and miRNA expression profiles, linking these alterations with age-related conditions. Conversely, interventions like caloric restriction and mTOR inhibition enhance microprocessor activity, suggesting a connection between microprocessor function, aging-related pathways, and lifespan extension. Exportin-5 mediates the transport of pre-miRNAs from the nucleus to the cytoplasm. Although the role of miRNA export in aging is not well understood, accelerated export of pre-miRNAs is observed in response to DNA damage, and nucleocytoplasmic transport has been linked to cellular senescence. Dicer is responsible for processing pre-miRNAs into mature miRNAs. Reduced Dicer expression during aging is reported in various organisms and tissues and is associated with premature aging phenotypes. Conversely, the upregulation of Dicer improves stress resistance and metabolic adaptations induced by caloric restriction and exercise training. Understanding the role of miRNA biogenesis disruption in aging provides insights into the molecular mechanisms of aging and age-related diseases. Targeting this pathway may hold promise for therapeutic strategies and contribute to healthy aging.
衰老的特征是基因组不稳定和基因表达失调。MicroRNAs (miRNAs)是一种小的非编码rna,在转录后基因调控中起着至关重要的作用。这项工作探讨了miRNA生物发生失调对衰老过程的影响。在衰老过程中,由于基因组变化、DNA损伤和表观遗传修饰,初级miRNAs (pri-miRNAs)的转录发生改变。由DGCR8和Drosha蛋白组成的微处理器复合物对pri-miRNA加工至关重要。该复合物的年龄相关变化影响miRNA的生物发生和miRNA表达谱,将这些变化与年龄相关的疾病联系起来。相反,热量限制和mTOR抑制等干预措施可以增强微处理器的活性,这表明微处理器功能、衰老相关途径和寿命延长之间存在联系。export -5介导前mirna从细胞核到细胞质的运输。尽管miRNA输出在衰老中的作用尚不清楚,但在DNA损伤的反应中可以观察到pre-miRNA的加速输出,并且核细胞质运输与细胞衰老有关。Dicer负责将pre- mirna加工成成熟的mirna。据报道,在各种生物体和组织中,衰老过程中Dicer表达的减少与早衰表型有关。相反,Dicer的上调可以改善由热量限制和运动训练引起的应激抵抗和代谢适应。了解miRNA生物发生中断在衰老中的作用,有助于深入了解衰老和年龄相关疾病的分子机制。靶向这一途径可能为治疗策略带来希望,并有助于健康衰老。
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引用次数: 1
Exosome-based drug delivery systems for the treatment of diabetes and its complications: current opinion 基于外泌体的药物输送系统治疗糖尿病及其并发症:当前观点
Pub Date : 2023-01-01 DOI: 10.20517/evcna.2023.32
Qi Chen, Jie Chen, Yi-Ning Liu, Su-Hua Qi, Lin-Yan Huang
Diabetes medication is based on controlling blood glucose and delaying the onset of related complications and is not a complete cure for diabetes. Conventional drug therapy fails to stop progressive islet β cell failure in diabetic patients. Recent studies have shown that "exosome-based therapy" holds great promise in treating diabetes and its complications. Exosomes are small vesicles that are stable in the bloodstream and can effectively deliver therapeutic drugs to specific tissues or organs through intercellular communication. Using exosomes as carriers for drug delivery offers several advantages. This review summarizes the benefits of exosomal drug delivery systems, drug loading methods, and their applications in treating diabetes and its complications. However, there are still challenges to overcome in using exosomal drug delivery systems, such as large-scale production, assessing the contents of exosomes, and monitoring the safety and effectiveness of the treatment in vivo. In conclusion, this review proposes the therapeutical potential of exosomes as drug carriers for developing novel drugs to provide new strategies for treating diabetes and its complications.
糖尿病药物是基于控制血糖和延缓相关并发症的发生,并不能完全治愈糖尿病。常规药物治疗不能阻止糖尿病患者进行性胰岛β细胞衰竭。最近的研究表明,“以外泌体为基础的疗法”在治疗糖尿病及其并发症方面具有很大的前景。外泌体是一种在血液中稳定的小囊泡,可以通过细胞间通讯有效地将治疗药物输送到特定的组织或器官。使用外泌体作为药物递送的载体有几个优点。本文综述了外泌体给药系统、载药方法及其在治疗糖尿病及其并发症中的应用。然而,使用外泌体给药系统仍有挑战需要克服,如大规模生产,评估外泌体的含量,以及监测体内治疗的安全性和有效性。综上所述,本文综述了外泌体作为药物载体的治疗潜力,为开发新型药物提供了治疗糖尿病及其并发症的新策略。
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引用次数: 0
Biodistribution of therapeutic extracellular vesicles 治疗性细胞外囊泡的生物分布
Pub Date : 2023-01-01 DOI: 10.20517/evcna.2023.12
Dhanu Gupta, O. Wiklander, Matthew J. A. Wood, S. El-Andaloussi
The field of extracellular vesicles (EVs) has seen a tremendous paradigm shift in the past two decades, from being regarded as cellular waste bags to being considered essential mediators in intercellular communication. Their unique ability to transfer macromolecules across cells and biological barriers has made them a rising star in drug delivery. Mounting evidence suggests that EVs can be explored as efficient drug delivery vehicles for a range of therapeutic macromolecules. In contrast to many synthetic delivery systems, these vesicles appear exceptionally well tolerated in vivo. This tremendous development in the therapeutic application of EVs has been made through technological advancement in labelling and understanding the in vivo biodistribution of EVs. Here in this review, we have summarised the recent findings in EV in vivo pharmacokinetics and discussed various biological barriers that need to be surpassed to achieve tissue-specific delivery.
在过去的二十年中,细胞外囊泡(EVs)领域发生了巨大的范式转变,从被视为细胞垃圾袋到被认为是细胞间通讯的重要介质。它们在细胞和生物屏障之间转移大分子的独特能力使它们成为药物输送领域的新星。越来越多的证据表明,电动汽车可以作为一系列治疗大分子的有效药物递送载体。与许多合成给药系统相比,这些囊泡在体内表现出异常良好的耐受性。这一巨大的发展是通过技术的进步,在标记和了解ev的体内生物分布。在这篇综述中,我们总结了EV体内药代动力学的最新发现,并讨论了实现组织特异性递送需要克服的各种生物屏障。
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引用次数: 4
Breaking free: endocytosis and endosomal escape of extracellular vesicles 挣脱:胞外囊泡的内吞作用和内体逃逸
Pub Date : 2023-01-01 DOI: 10.20517/evcna.2023.26
L. Ribovski, B. Joshi, J. Gao, I. Zuhorn
Extracellular vesicles (EVs) are natural micro-/nanoparticles that play an important role in intercellular communication. They are secreted by producer/donor cells and subsequent uptake by recipient/acceptor cells may result in phenotypic changes in these cells due to the delivery of cargo molecules, including lipids, RNA, and proteins. The process of endocytosis is widely described as the main mechanism responsible for cellular uptake of EVs, with endosomal escape of cargo molecules being a necessity for the functional delivery of EV cargo. Equivalent to synthetic micro-/nanoparticles, the properties of EVs, such as size and composition, together with environmental factors such as temperature, pH, and extracellular fluid composition, codetermine the interactions of EVs with cells, from binding to uptake, intracellular trafficking, and cargo release. Innovative assays for detection and quantification of the different steps in the EV formation and EV-mediated cargo delivery process have provided valuable insight into the biogenesis and cellular processing of EVs and their cargo, revealing the occurrence of EV recycling and degradation, next to functional cargo delivery, with the back fusion of the EV with the endosomal membrane standing out as a common cargo release pathway. In view of the significant potential for developing EVs as drug delivery systems, this review discusses the interaction of EVs with biological membranes en route to cargo delivery, highlighting the reported techniques for studying EV internalization and intracellular trafficking, EV-membrane fusion, endosomal permeabilization, and cargo delivery, including functional delivery of RNA cargo.
细胞外囊泡(EVs)是一种天然的微/纳米颗粒,在细胞间通讯中起着重要作用。它们由生产者/供体细胞分泌,随后被受体/受体细胞摄取,可能导致这些细胞的表型变化,这是由于运送货物分子,包括脂质、RNA和蛋白质。内吞作用过程被广泛描述为负责细胞摄取EV的主要机制,货物分子的内体逃逸是EV货物功能递送的必要条件。相当于合成的微/纳米颗粒,电动汽车的性质,如大小和组成,以及环境因素,如温度、pH值和细胞外液组成,共同决定了电动汽车与细胞的相互作用,从结合到摄取,细胞内运输和货物释放。检测和量化电动汽车形成和电动汽车介导的货物递送过程的不同步骤的创新分析为电动汽车及其货物的生物发生和细胞加工提供了有价值的见解,揭示了电动汽车回收和降解的发生,除了功能性货物递送之外,电动汽车与内体膜的反向融合是一种常见的货物释放途径。鉴于开发EV作为药物递送系统的巨大潜力,本文讨论了EV在货物递送过程中与生物膜的相互作用,重点介绍了EV内化和细胞内运输、EV-膜融合、内体渗透和货物递送(包括RNA货物的功能递送)的研究技术。
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引用次数: 1
Bioprinting extracellular vesicles as a ‘cell-free' regenerative medicine approach 生物打印细胞外囊泡作为一种“无细胞”再生医学方法
Pub Date : 2023-01-01 DOI: 10.20517/evcna.2023.19
Kexin Jiao, Chun Liu, Saraswat Basu, N. Raveendran, T. Nakano, S. Ivanovski, Pingping Han
Regenerative medicine involves the restoration of tissue or organ function via the regeneration of these structures. As promising regenerative medicine approaches, either extracellular vesicles (EVs) or bioprinting are emerging stars to regenerate various tissues and organs (i.e., bone and cardiac tissues). Emerging as highly attractive cell-free, off-the-shelf nanotherapeutic agents for tissue regeneration, EVs are bilayered lipid membrane particles that are secreted by all living cells and play a critical role as cell-to-cell communicators through an exchange of EV cargos of protein, genetic materials, and other biological components. 3D bioprinting, combining 3D printing and biology, is a state-of-the-art additive manufacturing technology that uses computer-aided processes to enable simultaneous patterning of 3D cells and tissue constructs in bioinks. Although developing an effective system for targeted EVs delivery remains challenging, 3D bioprinting may offer a promising means to improve EVs delivery efficiency with controlled loading and release. The potential application of 3D bioprinted EVs to regenerate tissues has attracted attention over the past few years. As such, it is timely to explore the potential and associated challenges of utilizing 3D bioprinted EVs as a novel ‘cell-free’ alternative regenerative medicine approach. In this review, we describe the biogenesis and composition of EVs, and the challenge of isolating and characterizing small EVs - sEVs (< 200 nm). Common 3D bioprinting techniques are outlined and the issue of bioink printability is explored. After applying the following search strategy in PubMed: ‘bioprinted exosomes’ or ‘3D bioprinted extracellular vesicles’, eight studies utilizing bioprinted EVs were found that have been included in this scoping review. Current studies utilizing bioprinted sEVs for various in vitro and in vivo tissue regeneration applications, including angiogenesis, osteogenesis, immunomodulation, chondrogenesis and myogenesis, are discussed. Finally, we explore the current challenges and provide an outlook on possible refinements for bioprinted sEVs applications.
再生医学涉及通过这些结构的再生来恢复组织或器官的功能。作为有前途的再生医学方法,细胞外囊泡(EVs)或生物打印是再生各种组织和器官(即骨骼和心脏组织)的新兴明星。作为一种极具吸引力的无细胞、现成的用于组织再生的纳米治疗剂,EV是由所有活细胞分泌的双层脂质膜颗粒,通过交换EV货物的蛋白质、遗传物质和其他生物成分,作为细胞间的通讯媒介发挥着关键作用。3D生物打印结合了3D打印和生物学,是一种最先进的增材制造技术,它使用计算机辅助过程在生物墨水中实现3D细胞和组织结构的同时图案化。尽管开发一种有效的靶向电动汽车递送系统仍然具有挑战性,但3D生物打印可能提供一种有前途的方法,可以通过控制装载和释放来提高电动汽车的递送效率。在过去的几年里,生物3D打印电动汽车在组织再生方面的潜在应用引起了人们的关注。因此,现在是时候探索利用3D生物打印电动汽车作为一种新的“无细胞”替代再生医学方法的潜力和相关挑战。本文综述了电动汽车的生物起源和组成,以及小型电动汽车- sev (< 200 nm)的分离和表征所面临的挑战。概述了常见的3D生物打印技术,并探讨了生物墨水可打印性的问题。在PubMed中应用以下搜索策略:“生物打印外泌体”或“3D生物打印细胞外囊泡”后,发现有8项利用生物打印ev的研究已被纳入本范围综述。本文讨论了目前利用生物打印的sev进行各种体外和体内组织再生应用的研究,包括血管生成、成骨、免疫调节、软骨形成和肌肉生成。最后,我们探讨了当前面临的挑战,并对生物打印sev应用的可能改进进行了展望。
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引用次数: 1
Hijacking intercellular trafficking for the spread of protein aggregates in neurodegenerative diseases: a focus on tunneling nanotubes (TNTs) 神经退行性疾病中劫持细胞间运输以传播蛋白质聚集体:对隧道纳米管(TNTs)的关注
Pub Date : 2023-01-01 DOI: 10.20517/evcna.2023.05
Ranabir Chakraborty, Sevan Belian, C. Zurzolo
Over the years, the influence of secretory mechanisms on intercellular communication has been extensively studied. In the central nervous system (CNS), both trans-synaptic (neurotransmitter-based) and long-distance (extracellular vesicles-based) communications regulate activities and homeostasis. In less than a couple of decades, however, there has been a major paradigm shift in our understanding of intercellular communication. Increasing evidence suggests that besides secretory mechanisms (via extracellular vesicles), several cells are capable of establishing long-distance communication routes referred to as Tunneling Nanotubes (TNTs). TNTs are membranous bridges classically supported by F-Actin filaments, allowing for the exchange of different types of intracellular components between the connected cells, ranging from ions and organelles to pathogens and toxic protein aggregates. The roles of TNTs in pathological spreading of several neurodegenerative conditions such as Prion diseases, Alzheimer’s disease (AD), Parkinson’s disease (PD), and Huntington’s disease (HD) have been well established. However, the fragile nature of these structures and lack of specific biomarkers raised some skepticism regarding their existence. In this review, we will first place TNTs within the spectrum of intercellular communication mechanisms before discussing their known and hypothesized biological relevance in vitro and in vivo in physiological and neurodegenerative contexts. Finally, we discuss the challenges and promising prospects in the field of TNT studies.
多年来,分泌机制对细胞间通讯的影响已被广泛研究。在中枢神经系统(CNS)中,跨突触(以神经递质为基础)和远距离(以细胞外囊泡为基础)通信调节活动和体内平衡。然而,在不到几十年的时间里,我们对细胞间通讯的理解发生了重大的范式转变。越来越多的证据表明,除了分泌机制(通过细胞外囊泡)外,一些细胞还能够建立被称为隧道纳米管(TNTs)的长距离通信路线。tnt是典型的由f -肌动蛋白丝支撑的膜性桥梁,允许连接的细胞之间交换不同类型的细胞内成分,从离子和细胞器到病原体和有毒蛋白质聚集体。TNTs在几种神经退行性疾病(如朊病毒病、阿尔茨海默病(AD)、帕金森病(PD)和亨廷顿病(HD))的病理扩散中的作用已经得到了很好的证实。然而,这些结构的脆弱性和缺乏特定的生物标志物引起了一些人对它们存在的怀疑。在这篇综述中,我们将首先把tnt放在细胞间通讯机制的范围内,然后讨论它们在体外和体内生理和神经退行性背景下已知的和假设的生物学相关性。最后,讨论了TNT研究面临的挑战和前景。
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引用次数: 1
Extracellular Vesicles in Phytopathogenic Fungi 植物病原真菌的细胞外囊泡
Pub Date : 2023-01-01 DOI: 10.20517/evcna.2023.04
Brian D. Rutter, R. Innes
Extracellular vesicles (EVs) are nano-sized, lipid compartments that mediate the intercellular transport of lipids, proteins, nucleic acids and metabolites. During infectious diseases, EVs released by host cells promote immune responses, while those released by pathogens attempt to subvert host immunity. There is a growing body of research investigating the role of fungal EVs in plant pathosystems. It is becoming clear that EVs released by fungal phytopathogens play a role during infection through the transport of protein effectors, toxic metabolites and RNA. Here, we discuss recent findings on EVs in fungal phytopathogens, including the methods employed in their isolation, their characterization, contents and functionality, as well as the key questions remaining to be addressed.
细胞外囊泡(EVs)是纳米级的脂质室,介导脂质、蛋白质、核酸和代谢物的细胞间运输。在感染性疾病中,宿主细胞释放的ev促进免疫应答,而病原体释放的ev试图破坏宿主免疫。有越来越多的研究调查真菌EVs在植物病理系统中的作用。真菌植物病原体释放的ev通过转运蛋白质效应器、毒性代谢物和RNA在感染过程中发挥作用,这一点越来越清楚。在此,我们讨论了真菌植物病原体中ev的最新发现,包括它们的分离方法、表征、含量和功能,以及尚待解决的关键问题。
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引用次数: 4
Inhibition of osteosarcoma by European Mistletoe derived val-miR218 欧洲槲寄生衍生val-miR218对骨肉瘤的抑制作用
Pub Date : 2023-01-01 DOI: 10.20517/evcna.2023.15
W. Xie, C. Delebinski, D. Gürgen, Maik Schröder, G. Seifert, M. Melzig
Aim: In recent years, there has been a growing interest in the therapeutic potential of plant-derived miRNAs, which have been considered new bioactive ingredients in medicinal plants. Viscum album L., commonly used as an adjuvant cancer therapy in central Europe, contains a large number of miRNAs associated with human diseases such as cancer, cardiovascular diseases, and neurological disorders. This study aimed to investigate whether mistletoe miRNAs, specifically val-miR218, exert anti-cancer activity against osteosarcoma. Methods: The anti-cancer effects of miRNAs from V. album L. were evaluated. The targets of val-miR218 were identified by RNA-seq. The mRNA and protein expression of the targets was confirmed by RT-qPCR and western blot analyses. The interaction between the val-miR218 and miRNA recognition elements (MREs) was validated by the dual-luciferase assay. The inhibitory effect of val-miR218 against osteosarcoma was investigated in vivo. Results: Among these abundant miRNAs in V. album L., val-miR218 showed high potential anti-cancer effects against osteosarcoma. To clarify its molecular mechanism of action, we sequenced val-miR218 associated RNAs and their down-regulated RNAs. As a result, 61 genes were considered the direct targets of val-miR218. Interestingly, these targets were related to essential cellular functions such as cell cycle, DNA replication, and cell morphology, suggesting that val-miR218 significantly inhibited cell growth and arrested osteosarcoma cells in G0/G1 phase by influencing basic cell activities. Mistletoe extracellular vesicles offered val-miR218 adequate protection and facilitated the uptake of val-miR281 by human cells. Moreover, val-miR218 showed significant anti-tumor effects in vivo. Conclusion: This study demonstrated the significant potential of val-miR218 regarding proliferation inhibition in various tumor cell lines in vitro and for osteosarcoma in vivo. Due to the increasing problems during chemotherapy, new therapeutic approaches are becoming more critical. The significant anti-cancer effects of medicinal plants derived miRNAs indicate a promising therapeutic strategy for treating cancer.
目的:近年来,人们对植物源性mirna的治疗潜力越来越感兴趣,它们被认为是药用植物中的新型生物活性成分。Viscum album L.是中欧地区常用的辅助癌症治疗药物,含有大量与癌症、心血管疾病、神经系统疾病等人类疾病相关的mirna。本研究旨在探讨槲寄生mirna,特别是val-miR218是否对骨肉瘤具有抗癌活性。方法:对紫花苜蓿microrna的抗癌作用进行评价。通过RNA-seq鉴定了val-miR218的靶点。RT-qPCR和western blot分析证实了靶点mRNA和蛋白的表达。通过双荧光素酶实验验证了val-miR218与miRNA识别元件(MREs)之间的相互作用。在体内研究了val-miR218对骨肉瘤的抑制作用。结果:在V. album L.丰富的microrna中,val-miR218对骨肉瘤具有较高的潜在抗癌作用。为了阐明其作用的分子机制,我们对value - mir218相关rna及其下调rna进行了测序。因此,有61个基因被认为是val-miR218的直接靶点。有趣的是,这些靶点与细胞周期、DNA复制和细胞形态等基本细胞功能相关,这表明val-miR218通过影响基本细胞活性显著抑制细胞生长,并在G0/G1期阻滞骨肉瘤细胞。槲寄生细胞外囊泡为val-miR218提供了充分的保护,并促进了人类细胞对val-miR281的摄取。此外,val-miR218在体内表现出明显的抗肿瘤作用。结论:本研究证明了val-miR218在体外对多种肿瘤细胞系和体内骨肉瘤的增殖抑制方面具有显著的潜力。由于化疗过程中出现的问题越来越多,新的治疗方法变得越来越重要。药用植物来源的mirna具有显著的抗癌作用,为治疗癌症提供了一种有前景的治疗策略。
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引用次数: 0
Advances in extracellular vesicle isolation methods: a path towards cell-type specific EV isolation 细胞外囊泡分离方法的进展:通往细胞类型特异性EV分离的途径
Pub Date : 2023-01-01 DOI: 10.20517/evcna.2023.14
Adnan Shami-Shah, Benjamin G Travis, David R. Walt
Extracellular vesicles are small, heterogenous, phospholipid-rich vesicles that are secreted by all cells into the extracellular space. They play a key role in intercellular communication because they can transport a variety of biomolecules such as proteins, lipids, and nucleic acids between cells. As categorized by the International Society of Extracellular Vesicles (ISEV), the term EV encompasses different sub-types, including exosomes, microvesicles, and apoptotic bodies, which differ in their size, origin, and cargo. EVs can be isolated from biological fluids such as blood, urine, and cerebrospinal fluid, and their biomolecular content can be analyzed to monitor the progression of certain diseases. Therefore, EVs can be used as a new source of liquid biomarkers for advancing novel diagnostic and therapeutic tools. Isolating and analyzing EVs can be challenging due to their nanoscopic size and low abundance. Several techniques have been developed for the isolation and characterization of EVs, including ultracentrifugation, density gradient separation, size-exclusion chromatography, microfluidics, and magnetic bead-based/affinity methods. This review highlights advances in EV isolation techniques in the last decade and provides a perspective on their advantages, limitations, and potential application to cell-type specific EV isolation in the future.
细胞外囊泡是一种小的、多相的、富含磷脂的囊泡,由所有细胞分泌到细胞外空间。它们在细胞间通讯中起着关键作用,因为它们可以在细胞间运输各种生物分子,如蛋白质、脂质和核酸。根据国际细胞外囊泡学会(ISEV)的分类,EV一词包括不同的亚型,包括外泌体、微囊泡和凋亡小体,它们的大小、来源和载物不同。可以从血液、尿液和脑脊液等生物体液中分离出ev,并分析其生物分子含量以监测某些疾病的进展。因此,电动汽车可以作为一种新的液体生物标志物来源,用于推进新的诊断和治疗工具。由于电动汽车的纳米级尺寸和低丰度,分离和分析电动汽车可能具有挑战性。目前已经开发了几种用于分离和表征ev的技术,包括超离心、密度梯度分离、尺寸排除色谱、微流体和基于磁珠/亲和的方法。本文综述了近十年来EV分离技术的进展,并对其优势、局限性和未来在细胞类型特异性EV分离中的潜在应用前景进行了展望。
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引用次数: 0
Non-invasive prenatal diagnosis (NIPD): current and emerging technologies 无创产前诊断(NIPD):当前和新兴技术
Pub Date : 2023-01-01 DOI: 10.20517/evcna.2022.44
B. Hanson, B. Paternoster, Nikita Povarnitsyn, E. Scotchman, L. Chitty, N. Chandler
Prenatal testing is important for the early detection and diagnosis of rare genetic conditions with life-changing implications for the patient and their family. Gaining access to the fetal genotype can be achieved using gold-standard invasive sampling methods, such as amniocentesis and chorionic villus sampling, but these carry a small risk of miscarriage. Non-invasive prenatal diagnosis (NIPD) for select rare monogenic conditions has been in clinical service in England since 2012 and has revolutionised the field of prenatal diagnostics by reducing the number of women undergoing invasive sampling procedures. Fetal-derived genomic material is present in a highly fragmented form amongst the maternal cell-free DNA (cfDNA) in circulation, with sequence coverage across the entire fetal genome. Cell-free fetal DNA (cffDNA) is the foundation for NIPD, and several technologies have been clinically implemented for the detection of paternally inherited and de novo pathogenic variants. Conversely, a low abundance of cffDNA within a high background of maternal cfDNA makes assigning maternally inherited variants to the fetal fraction a significantly more challenging task. Research is ongoing to expand available tests for maternal inheritance to include a broader range of monogenic conditions, as well as to uncover novel diagnostic avenues. This review covers the scope of technologies currently clinically available for NIPD of monogenic conditions and those still in the research pipeline towards implementation in the future.
产前检查对于早期发现和诊断罕见的遗传疾病非常重要,这些疾病会改变患者及其家庭的生活。获得胎儿基因型可以使用金标准的侵入性取样方法,如羊膜穿刺术和绒毛膜绒毛取样,但这些方法有很小的流产风险。自2012年以来,针对罕见单基因疾病的非侵入性产前诊断(NIPD)已在英国开展临床服务,并通过减少接受侵入性采样程序的妇女数量,彻底改变了产前诊断领域。胎儿来源的基因组物质以高度碎片化的形式存在于循环中的母体无细胞DNA (cfDNA)中,序列覆盖整个胎儿基因组。无细胞胎儿DNA (cffDNA)是NIPD的基础,临床上已经实施了几种技术来检测父系遗传和新生致病变异。相反,在母体cfDNA的高背景下,低丰度的cfDNA使得将母体遗传变异分配给胎儿部分成为一项更具挑战性的任务。目前正在进行研究,以扩大现有的母亲遗传测试,包括更广泛的单基因疾病,并发现新的诊断途径。这篇综述涵盖了目前临床可用于单基因NIPD的技术范围,以及那些仍在研究管道中面向未来实施的技术。
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引用次数: 0
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Extracellular vesicles and circulating nucleic acids
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