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Summary of Prof. Yin's CSEMV-EVCNA award lecture 2021. 尹教授2021年CSEMV-EVCNA获奖讲座总结。
Pub Date : 2022-04-13 eCollection Date: 2022-01-01 DOI: 10.20517/evcna.2022.16
Ying Zhang, Hang Yin

Extracellular vesicles (EVs) have been regarded as influential intracellular delivering parcels that possess tremendous potential because of their strict and complex secretion regulation processes. However, traditional detection methods cannot monitor the secretion of EVs due to their small particle diameters. Inspired by their peculiar diverse appearances and lipid membranes ingredients, we developed an innovative strategy to detect EVs in any kind of fluids by using rationally designed peptide probes that particularly recognize the highly curved surface of EVs. These peptide probes also serve as novel tools to selectively target cancerous cells with specific lipid compositions and distributions. With this strategy, we discovered a series of EV-secreting regulation mechanisms and identified their roles within physiological processes. Recently, we found that the transportation of oligodeoxynucleotides and cell division control protein 42 homolog from TLR9-activated macrophages to naïve cells via EVs exerts synergetic effects in the propagation of the intracellular immune response, which suggests a general mechanism for EV-mediated uptake of pathogen-associated molecular patterns.

细胞外囊泡(Extracellular vesicles, ev)因其严格而复杂的分泌调控过程而被认为是具有巨大潜力的细胞内递送包裹。然而,由于电动汽车的颗粒直径小,传统的检测方法无法监测其分泌情况。受其独特多样的外观和脂质膜成分的启发,我们开发了一种创新的策略,通过使用合理设计的肽探针来检测任何液体中的电动汽车,特别是识别电动汽车的高弯曲表面。这些肽探针也可以作为一种新的工具来选择性地靶向具有特定脂质组成和分布的癌细胞。通过这一策略,我们发现了一系列ev分泌调节机制,并确定了它们在生理过程中的作用。最近,我们发现从tlr9激活的巨噬细胞向naïve细胞运输寡核苷酸和细胞分裂控制蛋白42同源物在细胞内免疫反应的传播中发挥协同作用,这提示了ev介导的病原体相关分子模式摄取的一般机制。
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引用次数: 0
Engineered mammalian and bacterial extracellular vesicles as promising nanocarriers for targeted therapy. 工程哺乳动物和细菌细胞外囊泡作为靶向治疗的有前途的纳米载体。
Pub Date : 2022-04-13 eCollection Date: 2022-01-01 DOI: 10.20517/evcna.2022.04
Han Liu, Zhen Geng, Jiacan Su

Extracellular vesicles (EVs), which are nanocarriers with phospholipid bilayer structures released by most cells, play a key role in regulating physiological and pathological processes. EVs have been investigated due to their loading capacity, low toxicity, immunogenicity, and biofunctions. Although EVs have shown good potential as therapeutic vehicles, natural EVs have a poor targeting ability, which substantially reduces the therapeutic effect. Through the addition of a targeting unit into the membrane surface of EVs or inside EVs by engineering technology, the therapeutic agent can accumulate in specific cells and tissues. Here, we focus on mammalian EVs (MEVs) and bacterial EVs (BEVs), which are the two most common types of EVs in the biomedical field. In this review, we describe engineered MEVs and BEVs as promising nanocarriers for targeted therapy and summarize the biogenesis, isolation, and characterization of MEVs and BEVs. We then describe engineering techniques for enhancement of the targeting ability of EVs. Moreover, we focus on the applications of engineered MEVs and BEVs in targeted therapy, including the treatment of cancer and brain and bone disease. We believe that this review will help improve the understanding of engineered MEVs and BEVs, thereby promoting their application and clinical translation.

细胞外囊泡(Extracellular vesicles, EVs)是大多数细胞释放的具有磷脂双层结构的纳米载体,在调节生理和病理过程中起着关键作用。电动汽车因其负载能力、低毒性、免疫原性和生物功能而受到广泛研究。虽然电动汽车已经显示出良好的治疗潜力,但天然电动汽车的靶向能力较差,这大大降低了治疗效果。通过工程技术在电动汽车膜表面或电动汽车内部添加靶向单元,使治疗剂在特定细胞和组织中蓄积。在这里,我们重点关注哺乳动物电动汽车(mev)和细菌电动汽车(bev),这是生物医学领域最常见的两种电动汽车类型。在这篇综述中,我们描述了工程mev和bev作为靶向治疗的有前途的纳米载体,并总结了mev和bev的生物发生、分离和表征。然后,我们描述了增强电动汽车靶向能力的工程技术。此外,我们专注于工程mev和bev在靶向治疗中的应用,包括癌症和脑和骨疾病的治疗。我们相信这篇综述将有助于提高对工程化mev和bev的理解,从而促进它们的应用和临床转化。
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引用次数: 0
Free flow electrophoresis allows quick and reproducible preparation of extracellular vesicles from conditioned cell culture media. 自由流动电泳允许从条件细胞培养基中快速和可复制地制备细胞外囊泡。
Pub Date : 2022-03-16 eCollection Date: 2022-01-01 DOI: 10.20517/evcna.2021.26
Simon Staubach, Tobias Tertel, Bernd Walkenfort, Dominik Buschmann, Michael W Pfaffl, Gerhard Weber, Bernd Giebel

Aim: Despite intensive research during the last decade, it remains challenging to prepare extracellular vesicles (EVs) of high purity, especially from primary body liquids or protein-rich conditioned media. For now, time-consuming combinations of at least two orthogonal methods, e.g., density and size separation, are required to enrich EVs to high purity, often at the expense of processing time. Therefore, novel technologies are required that allow EV preparation in acceptable time intervals and to fair purities. Free-flow electrophoresis (FFE) constitutes a well-established semi-preparative method to separate and prepare analytes, e.g., by inherent differences in their electric charges. FFE combines a flow-driven longitudinal transport of sample material with vertical electrophoresis and allows the separation of sample components into up to 96 different fractions. It was our aim to evaluate the potential of FFE for the separation of EVs from other sample components of EV-containing protein-rich conditioned cell culture media.

Methods: Exemplarily, conditioned media of mesenchymal stem/stromal cells raised in the presence of EV-containing 10% human platelet lysate were processed. We analyzed the obtained fractions by different technologies, including imaging flow cytometry, western blot and nanoparticle tracking analysis.

Results: We demonstrate that FFE quickly and reproducibly separates EVs from a huge proportion of molecules included in the original sample.

Conclusion: Our results qualify FFE as a feasible, quick and reproducible technology for the preparation of bona fide EVs.

目的:尽管在过去十年中进行了大量的研究,但制备高纯度的细胞外囊泡(ev)仍然具有挑战性,特别是从原代体液或富含蛋白质的条件培养基中制备。目前,至少需要两种正交方法的耗时组合,例如密度和尺寸分离,才能将电动汽车浓缩到高纯度,通常需要花费处理时间。因此,需要新颖的技术,使EV制备在可接受的时间间隔和公平的纯度。自由流动电泳(FFE)构成了一种成熟的半制备方法来分离和制备分析物,例如,通过其电荷的固有差异。FFE结合了流动驱动的纵向运输样品材料与垂直电泳,并允许样品组分分离成多达96个不同的分数。我们的目的是评估FFE从含有富含蛋白质的ev条件细胞培养基的其他样品组分中分离ev的潜力。方法:例如,在含有10%人血小板裂解液的ev存在下培养间充质干细胞/基质细胞的条件培养基。我们通过不同的技术,包括成像流式细胞术,western blot和纳米颗粒跟踪分析,分析得到的部分。结果:我们证明了FFE快速且可重复性地从原始样品中包含的大部分分子中分离出ev。结论:我们的结果证明FFE是一种可行的、快速的、可重复的制备真正ev的技术。
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引用次数: 0
Nucleic acid functionalized extracellular vesicles as promising therapeutic systems for nanomedicine. 核酸功能化的细胞外囊泡是纳米医学中有前景的治疗系统。
Pub Date : 2022-02-22 eCollection Date: 2022-01-01 DOI: 10.20517/evcna.2021.21
Chunping Liu, Dongyue He, Huan Cen, Huiqi Chen, Longmei Li, Guangning Nie, Zixue Zhong, Qingfeng He, Xiaofei Yang, Sien Guo, Lei Wang, Zhijin Fan

Extracellular vesicles (EVs), as natural carriers, are regarded as a new star in nanomedicine due to their excellent biocompatibility, fascinating physicochemical properties, and unique biological regulatory functions. However, there are still some challenges to using natural EVs, including poor targeting ability and the clearance from circulation, which may limit their further development and clinical use. Nucleic acid has the functions of programmability, targeting, gene therapy, and immune regulation. Owing to the engineering design and modification by integrating functional nucleic acid, EVs offer excellent performances as a therapeutic system in vivo. This review briefly introduces the function and mechanism of nucleic acid in the diagnosis and treatment of diseases. Then, the strategies of nucleic acid-functionalized EVs are summarized and the latest progress of nucleic acid-functionalized EVs in nanomedicine is highlighted. Finally, the challenges and prospects of nucleic acid-functionalized EVs as a promising diagnostic system are proposed.

细胞外囊泡(Extracellular vesicles, ev)作为一种天然载体,以其优异的生物相容性、迷人的物理化学性质和独特的生物调控功能,成为纳米医学领域的一颗新星。然而,天然电动汽车仍存在一些挑战,包括靶向能力差和循环清除,这可能限制其进一步开发和临床应用。核酸具有可编程性、靶向性、基因治疗和免疫调节功能。通过整合功能性核酸的工程设计和改造,ev作为一种体内治疗系统具有优异的性能。本文就核酸在疾病诊断和治疗中的作用及机制作一简要介绍。总结了核酸功能化电动汽车的发展策略,重点介绍了核酸功能化电动汽车在纳米医学领域的最新进展。最后,提出了核酸功能化电动汽车作为一种有前景的诊断系统所面临的挑战和前景。
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引用次数: 0
Liquid biopsy of extracellular vesicle biomarkers for prostate cancer personalized treatment decision. 细胞外囊泡液体活检生物标志物对前列腺癌个性化治疗决策的影响。
Pub Date : 2022-01-13 eCollection Date: 2022-01-01 DOI: 10.20517/evcna.2021.20
Meng Han, Bairen Pang, Cheng Zhou, Xin Li, Qi Wang, Junhui Jiang, Yong Li

Liquid biopsy of tumor-derived extracellular vesicles (EVs) has great potential as a biomarker source for prostate cancer (CaP) early diagnosis and predicting the stages of cancer. The contents of EVs play an important role in intercellular communication and have specific expression in blood and urine samples from CaP patients. Powered by high-throughput, next-generation sequencing and proteomic technologies, novel EV biomarkers are easily detected in a non-invasive manner in different stages of CaP patients. These identified potential biomarkers can be further validated with a large sample size, machine learning model, and other different methods to improve the sensitivity and specificity of CaP diagnosis. The EV-based liquid biopsy is a novel and less-invasive alternative to surgical biopsies which would enable clinicians to potentially discover a whole picture of tumor through a simple blood or urine sample. In summary, this approach holds promise for developing personalized medicine to guide treatment decisions precisely for CaP patients.

肿瘤来源的细胞外囊泡(EVs)液体活检作为前列腺癌(CaP)早期诊断和预测癌症分期的生物标志物来源具有很大的潜力。EVs的含量在细胞间通讯中起重要作用,在CaP患者的血液和尿液样本中有特异性表达。在高通量、新一代测序和蛋白质组学技术的支持下,新的EV生物标志物可以在不同阶段的CaP患者中以无创方式轻松检测到。这些确定的潜在生物标志物可以通过大样本量、机器学习模型和其他不同的方法进一步验证,以提高CaP诊断的敏感性和特异性。基于ev的液体活检是外科活检的一种新颖且侵入性较小的替代方法,它将使临床医生能够通过简单的血液或尿液样本发现肿瘤的全貌。总之,这种方法有望为CaP患者开发个性化的药物,以精确地指导治疗决策。
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引用次数: 0
Acknowledgement to reviewers of Extracellular Vesicles and Circulating Nucleic Acids in 2021. 感谢2021年《细胞外囊泡和循环核酸》的审稿人。
Pub Date : 2022-01-13 eCollection Date: 2022-01-01 DOI: 10.20517/evcna.2022.01
Evcna Editorial Office
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引用次数: 0
A report on ASIC2021: a conference on extracellular vesicle communication mechanisms. ASIC2021报告:细胞外囊泡通讯机制会议
Pub Date : 2022-01-01 DOI: 10.20517/evcna.2022.31
Ashley E Russell, Susmita Sil, Shilpa Buch, Michael W Graner
AD. His group generated human induced pluripotent stem cells (hiPSCs) and differentiated them into neuronal, astrocytic, oligodendrocytic, and microglial cell types. Proteomic profiles of EVs from these differentiated iPSC cells contained cell-type specific markers: excitatory neurons (ATP1A3, NCAM1); astrocytes (LRP1, ITGA6); microglia-like cells (ITGAM, CD300A); and oligodendrocyte-like cells (LAMP2, FTH1). There were also 16 pan-EV marker candidates, including integrins and annexins. Cell type-specific EV proteins could also be found when comparing their data to CSF EV proteomic datasets, which also held true for brain-derived EVs. Correlation networks and pathway analyses identified proteins in each cell subset EVs with co-expression in AD. It was shown that astrocyte-specific EV (ADEV) markers were most significantly associated with AD pathology and cognitive impairment, thereby underscoring the role of ADEVs in AD progression. The hub protein from this module, integrin- β 1 (ITGB1), was elevated in ADEVs purified from total brain-derived EVs and associated with brain A β 42 and tau load in independent cohorts. From this, it was found that astrocytes are likely in an activated state due to IL1B, and astrocytic AD EVs are enriched in ITGB1. This correlated with A β 42 and phosphoTau, and these EVs enhance neuronal uptake via integrin signaling. Thus, this study provides a featured framework and rich resource for analyses of EV functions in neurodegenerative diseases in a cell type-specific manner.
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引用次数: 0
Exploring extracellular vesicles as mediators of clinical disease and vehicles for viral therapeutics: Insights from the COVID-19 pandemic. 探索细胞外囊泡作为临床疾病的介质和病毒治疗的载体:来自COVID-19大流行的见解。
Pub Date : 2022-01-01 Epub Date: 2022-07-19 DOI: 10.20517/evcna.2022.19
Vaughn D Craddock, Christine M Cook, Navneet K Dhillon

The COVID-19 pandemic has challenged researchers to rapidly understand the capabilities of the SARS-CoV-2 virus and investigate potential therapeutics for SARS-CoV-2 infection. COVID-19 has been associated with devastating lung and cardiac injury, profound inflammation, and a heightened coagulopathic state, which may, in part, be driven by cellular crosstalk facilitated by extracellular vesicles (EVs). In recent years, EVs have emerged as important biomarkers of disease, and while extracellular vesicles may contribute to the spread of COVID-19 infection from one cell to the next, they also may be engineered to play a protective or therapeutic role as decoys or "delivery drivers" for therapeutic agents. This review explores these roles and areas for future study.

COVID-19大流行对研究人员提出了挑战,要求他们迅速了解SARS-CoV-2病毒的能力,并研究SARS-CoV-2感染的潜在治疗方法。COVID-19与破坏性肺和心脏损伤、严重炎症和凝血功能亢进有关,这在一定程度上可能是由细胞外囊泡(ev)促进的细胞串扰驱动的。近年来,ev已成为疾病的重要生物标志物,虽然细胞外囊泡可能有助于COVID-19感染从一个细胞传播到另一个细胞,但它们也可能被设计为作为治疗剂的诱饵或“递送驱动程序”发挥保护或治疗作用。本文就其作用及今后的研究方向作一综述。
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引用次数: 1
HIV-1 Tat induced microglial EVs leads to neuronal synaptodendritic injury: microglia-neuron cross-talk in NeuroHIV. HIV-1 Tat 诱导的小胶质细胞 EVs 导致神经元突触树突状损伤:NeuroHIV 中的小胶质细胞-神经元交叉对话。
Pub Date : 2022-01-01 Epub Date: 2022-05-31 DOI: 10.20517/evcna.2022.14
Muthukumar Kannan, Seema Singh, Divya T Chemparathy, Abiola A Oladapo, Dinesh Y Gawande, Shashank M Dravid, Shilpa Buch, Susmita Sil

Aim: Activation of microglial NLRP3 inflammasome is an essential contributor to neuroinflammation underlying HIV-associated neurological disorders (HAND). Under pathological conditions, microglia-derived-EVs (MDEVs) can affect neuronal functions by delivering neurotoxic mediators to recipient cells. However, the role of microglial NLRP3 in mediating neuronal synaptodendritic injury has remained unexplored to date. In the present study, we sought to assess the regulatory role of HIV-1 Tat induced microglial NLRP3 in neuronal synaptodendritic injury. We hypothesized that HIV-1 Tat mediated microglia EVs carrying significant levels of NLRP3 contribute to the synaptodendritic injury, thereby affecting the maturation of neurons.

Methods: To understand the cross-talk between microglia and neuron, we isolated EVs from BV2 and human primary microglia (HPM) cells with or without NLRP3 depletion using siNLRP3 RNA. EVs were isolated by differential centrifugation, characterized by ZetaView nanoparticle tracking analysis, electron microscopy, and western blot analysis for exosome markers. Purified EVs were exposed to primary rat neurons isolated from E18 rats. Along with green fluorescent protein (GFP) plasmid transfection, immunocytochemistry was performed to visualize neuronal synaptodendritic injury. Western blotting was employed to measure siRNA transfection efficiency and the extent of neuronal synaptodegeneration. Images were captured in confocal microscopy, and subsequently, Sholl analysis was performed for analyzing dendritic spines using neuronal reconstruction software Neurolucida 360. Electrophysiology was performed on hippocampal neurons for functional assessment.

Results: Our findings demonstrated that HIV-1 Tat induced expression of microglial NLRP3 and IL1β, and further that these were packaged in microglial exosomes (MDEV) and were also taken up by the neurons. Exposure of rat primary neurons to microglial Tat-MDEVs resulted in downregulation of synaptic proteins- PSD95, synaptophysin, excitatory vGLUT1, as well as upregulation of inhibitory proteins- Gephyrin, GAD65, thereby implicating impaired neuronal transmissibility. Our findings also showed that Tat-MDEVs not only caused loss of dendritic spines but also affected numbers of spine sub-types- mushroom and stubby. Synaptodendritic injury further affected functional impairment as evidenced by the decrease in miniature excitatory postsynaptic currents (mEPSCs). To assess the regulatory role of NLRP3 in this process, neurons were also exposed to Tat-MDEVs from NLRP3 silenced microglia. Tat-MDEVs from NLRP3 silenced microglia exerted a protective role on neuronal synaptic proteins, spine density as well as mEPSCs.

Conclusion: In summary, our study underscores the role of microglial NLRP3 as an important contributor to Tat-MDEV mediated synaptodendritic injury. While the role of NLRP3 in inflammation is we

目的:小胶质细胞 NLRP3 炎性体的激活是导致艾滋病毒相关神经系统疾病(HAND)的神经炎症的重要因素。在病理条件下,小胶质细胞衍生的EVs(MDEVs)可通过向受体细胞传递神经毒性介质来影响神经元功能。然而,迄今为止,小胶质细胞 NLRP3 在介导神经元突触树突损伤中的作用仍未得到研究。在本研究中,我们试图评估 HIV-1 Tat 诱导的小胶质细胞 NLRP3 在神经元突触树突损伤中的调控作用。我们假设,HIV-1 Tat 介导的携带大量 NLRP3 的小胶质细胞 EVs 会导致突触树突损伤,从而影响神经元的成熟:为了了解小胶质细胞与神经元之间的交叉对话,我们使用 siNLRP3 RNA 从 BV2 和人类原代小胶质细胞(HPM)中分离出了 NLRP3 缺失或未缺失的 EVs。我们采用差速离心法分离了EVs,并通过ZetaView纳米颗粒追踪分析、电子显微镜和Western印迹分析对外泌体标记物进行了表征。纯化的EV暴露于从E18大鼠分离的原代大鼠神经元。在转染绿色荧光蛋白(GFP)质粒的同时,还进行了免疫细胞化学分析,以观察神经元突触树突损伤。用 Western 印迹法测量 siRNA 的转染效率和神经元突触变性的程度。共聚焦显微镜捕获图像,然后使用神经元重建软件 Neurolucida 360 进行 Sholl 分析,以分析树突棘。对海马神经元进行了电生理学功能评估:结果:我们的研究结果表明,HIV-1 Tat 可诱导小胶质细胞 NLRP3 和 IL1β 的表达,而且这些物质被包装在小胶质细胞外泌体(MDEV)中,并被神经元吸收。将大鼠原发性神经元暴露于小胶质细胞 Tat-MDEVs 会导致突触蛋白 PSD95、突触素、兴奋性 vGLUT1 的下调,以及抑制蛋白 Gephyrin、GAD65 的上调,从而暗示神经元的传递性受损。我们的研究结果还表明,Tat-MDEVs 不仅会导致树突棘的缺失,还会影响树突棘亚型--蘑菇棘和矮棘--的数量。突触树突损伤进一步影响了功能损伤,这体现在微型兴奋性突触后电流(mEPSCs)的减少上。为了评估 NLRP3 在这一过程中的调节作用,神经元还暴露于来自 NLRP3 沉默的小胶质细胞的 Tat-MDEVs 中。来自 NLRP3 沉默的小胶质细胞的 Tat-MDEV 对神经元突触蛋白、脊柱密度以及 mEPSCs 起到了保护作用:总之,我们的研究强调了小胶质细胞 NLRP3 在 Tat-MDEV 介导的突触树突损伤中的重要作用。虽然 NLRP3 在炎症中的作用已被充分描述,但它在 EV 介导的神经元损伤中的作用却是一个有趣的发现,这意味着它是手足口病治疗的一个靶点。
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引用次数: 0
Genome-wide Analysis Reflects Novel 5-Hydroxymethylcytosines Implicated in Diabetic Nephropathy and the Biomarker Potential. 全基因组分析反映了与糖尿病肾病有关的新型5-羟甲基胞嘧啶和生物标志物潜力。
Pub Date : 2022-01-01 Epub Date: 2022-03-24 DOI: 10.20517/evcna.2022.03
Ying Yang, Chang Zeng, Kun Yang, Shaohua Xu, Zhou Zhang, Qinyun Cai, Chuan He, Wei Zhang, Song-Mei Liu

Aim: Diabetic nephropathy (DN) has become the most common cause of end-stage renal disease (ESRD) in most countries. Elucidating novel epigenetic contributors to DN can not only enhance our understanding of this complex disorder, but also lay the foundation for developing more effective monitoring tools and preventive interventions in the future, thus contributing to our ultimate goal of improving patient care.

Methods: The 5hmC-Seal, a highly selective, chemical labeling technique, was used to profile genome-wide 5-hydroxymethylcytosines (5hmC), a stable cytosine modification type marking gene activation, in circulating cell-free DNA (cfDNA) samples from a cohort of patients recruited at Zhongnan Hospital, including T2D patients with nephropathy (DN, n = 12), T2D patients with non-DN vascular complications (non-DN, n = 29), and T2D patients without any complication (controls, n = 14). Differentially analysis was performed to find DN-associated 5hmC features, followed by the exploration of biomarker potential of 5hmC in cfDNA for DN using a machine learning approach.

Results: Genome-wide analyses of 5hmC in cfDNA detected 427 and 336 differential 5hmC modifications associated with DN, compared with non-DN individuals and controls, and suggested relevant pathways such as NOD-like receptor signaling pathway and tyrosine metabolism. Our exploration using a machine learning approach revealed an exploratory model comprised of ten 5hmC genes showing the possibility to distinguish DN from non-DN individuals or controls.

Conclusion: Genome-wide analysis suggests the possibility of exploiting novel 5hmC in patient-derived cfDNA as a non-invasive tool for monitoring DN in high risk T2D patients in the future.

目的:在大多数国家,糖尿病肾病(DN)已成为终末期肾病(ESRD)的最常见原因。阐明新的表观遗传因素不仅可以增强我们对这种复杂疾病的理解,而且可以为未来开发更有效的监测工具和预防干预奠定基础,从而有助于我们改善患者护理的最终目标。方法:采用高选择性化学标记技术5hmC- seal,对中南医院循环无细胞DNA (cfDNA)样本进行全基因组5-羟甲基胞嘧啶(5-hydroxymethylcytosines, 5hmC),这是一种稳定的胞嘧啶修饰型标记基因激活,该样本包括合并肾病的T2D患者(DN, n = 12)、合并非DN血管并发症的T2D患者(非DN, n = 29)和无并发症的T2D患者(对照组,n = 14)。进行差异分析以发现DN相关的5hmC特征,然后使用机器学习方法探索cfDNA中5hmC对DN的生物标志物潜力。结果:与非DN个体和对照组相比,cfDNA中5hmC的全基因组分析检测到427和336个与DN相关的差异5hmC修饰,并提示了nod样受体信号通路和酪氨酸代谢等相关途径。我们使用机器学习方法的探索揭示了一个由十个5hmC基因组成的探索性模型,显示了区分DN与非DN个体或对照的可能性。结论:全基因组分析表明,利用患者源性cfDNA中的新型5hmC作为未来监测高风险T2D患者DN的非侵入性工具是可能的。
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引用次数: 0
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