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Potential therapeutic response in a severe case of autosomal dominant osteopetrosis type I 1例常染色体显性I型骨质疏松症的潜在治疗效果
Pub Date : 2022-01-01 DOI: 10.20517/jtgg.2021.63
S. Jafri, Elizabeth A Burke, D. Adams, C. Evans, D. Bulas, S. Weinerman, Kristen S. Pan, M. Collins, T. Markello, G. Vezina, W. Gahl, C. Toro
The low-density lipoprotein receptor-related protein 5 gene (LRP5), which encodes a coreceptor within the canonical Wnt signaling pathway, plays a crucial role in bone mass regulation and has been associated with several bone disorders. Autosomal dominant osteopetrosis type I (ADO type I, OMIM 607634) is a rare disease caused by heterozygous, gain-of-function mutations in LRP5. Here we describe a 44-year-old female who presented with thickened calvarium, elevated bone density, torus palatinus, mandibular exostoses, enlarged mandible, and disabling headaches and bone pain. Exome sequencing revealed a previously reported heterozygous missense variant in the LRP5 gene (p.A242T). Post-diagnosis cranial vault volume measurement by computed tomography 3D reconstruction demonstrated decreasing intracranial volume over time. Off-label use of leuprolide acetate was associated with apparent stabilization of skull mineralization. This report documents a severe example of ADO type I and provides anecdotal evidence of the utility of therapy in need of formal evaluation.
低密度脂蛋白受体相关蛋白5基因(LRP5)在典型的Wnt信号通路中编码一种辅助受体,在骨量调节中起着至关重要的作用,并与多种骨骼疾病有关。常染色体显性I型骨质疏松症(ADO I型,OMIM 607634)是一种罕见的疾病,由LRP5的杂合、功能获得性突变引起。我们在此报告一位44岁女性患者,她表现为颅骨增厚、骨密度升高、腭环肌、下颌骨外生骨、下颌骨增大、致残性头痛和骨痛。外显子组测序揭示了先前报道的LRP5基因的杂合错义变异(p.A242T)。诊断后颅穹窿容积测量通过计算机断层三维重建显示颅内容积随时间减少。说明书外使用醋酸leuprolide与颅骨矿化的明显稳定有关。本报告记录了一个严重的ADO I型病例,并提供了需要正式评估的治疗效用的轶事证据。
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引用次数: 0
Potentials and challenges of launching the pilot phase of Hong Kong Genome Project 启动香港基因组计划试验阶段的潜力和挑战
Pub Date : 2022-01-01 DOI: 10.20517/jtgg.2022.02
A. Chu, J. Fung, A. Tong, Sin Man Chow, Kelvin Y. K. Chan, Kit San Yeung, H. Lo, B. Chung
Genomic medicine and precision medicine initiatives have taken centre stage in scientific, clinical, as well as health economics and utility research on the global scene for the past decade. It is clear the important role genomic advancement has played in enhancing diagnostic rate, streamlining personalised treatment, and improving efficacy of the overall clinical management of undiagnosed, rare, and common diseases for humankind. The Hong Kong Genome Institute (HKGI) was established in May 2020 within the Food and Health Bureau, Hong Kong Special Administrative Region, to integrate genomic medicine into mainstream healthcare. The main goals of setting up HKGI are to (1) improve the diagnostic rate and future care for individuals affected by undiagnosed diseases and hereditary cancers using whole genome sequencing; (2) advance research in genomic science; (3) nurture talents in genomic medicine; and (4) enhance public genomic literacy and overall engagement through the launching of the Hong Kong Genome Project (HKGP). In this paper, we review the current landscape and specific challenges encountered during the construction of the infrastructure and implementation of the pilot phase of HKGP. Through reviewing what has been achieved and established to date, and the potentials and prospects that have emerged in the process, this paper will provide insights into planning the main phase of HKGP, and considerations for our international counterparts when building similar projects.
过去十年来,基因组医学和精准医学倡议在全球范围内的科学、临床以及卫生经济学和实用研究中占据了中心位置。很明显,基因组学的进步在提高诊诊率、简化个性化治疗和提高人类未确诊、罕见和常见疾病的整体临床管理效率方面发挥了重要作用。香港基因组研究所(HKGI)成立于2020年5月,隶属于香港特别行政区食物及卫生局,旨在将基因组医学纳入主流医疗保健。设立香港基因组的主要目的是:(1)利用全基因组测序提高未确诊疾病和遗传性癌症患者的诊断率和未来护理;(2)推进基因组科学研究;(3)培养基因组医学人才;(4)透过推出“香港基因组计划”,提高公众对基因组的认知和整体参与。在本文中,我们将回顾香港政府在基础设施建设和试行阶段所遇到的具体挑战。本文将回顾香港旅游计划至今所取得的成就,以及在此过程中出现的潜力和前景,为规划香港旅游计划的主要阶段提供见解,并为国际同行在建设类似项目时提供参考。
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引用次数: 4
Enigmatic role of WRN-RECQL helicase in DNA repair and its implications in cancer WRN-RECQL解旋酶在DNA修复中的神秘作用及其在癌症中的意义
Pub Date : 2022-01-01 DOI: 10.20517/jtgg.2021.60
Pooja Gupta, A. G. Majumdar, B. Patro
Werner (WRN) helicase belongs to the RECQL class of DNA helicases. Mutation in Werner (WRN) RECQL helicase leads to premature aging syndrome, Werner syndrome (WS), and predisposition to multiple cancers. WS patients exhibit heightened incidence of neoplasia, e.g., soft tissue sarcoma, osteosarcoma, malignant melanoma, meningioma, thyroid cancer, breast cancer, and leukemias. Extensive research on WRN helicase has revealed its important and diverse roles in DNA repair pathways, especially in double-strand break repair. Consequently, WRN deficiency is causally associated with genomic instability and cancer predispositions. In this review, we summarize recent studies unraveling the fundamental roles WRN helicase plays in DNA repair and genome stability and its implications in cancer therapy and resistance.
Werner (WRN)解旋酶属于RECQL类DNA解旋酶。Werner (WRN) RECQL解旋酶突变导致早衰综合征、Werner综合征(WS)和多种癌症易感性。WS患者表现出较高的肿瘤发病率,如软组织肉瘤、骨肉瘤、恶性黑色素瘤、脑膜瘤、甲状腺癌、乳腺癌和白血病。对WRN解旋酶的广泛研究揭示了其在DNA修复途径,特别是双链断裂修复中的重要和多样的作用。因此,WRN缺乏与基因组不稳定性和癌症易感性有因果关系。在这篇综述中,我们总结了最近的研究揭示了WRN解旋酶在DNA修复和基因组稳定性中的基本作用及其在癌症治疗和耐药中的意义。
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引用次数: 3
Neurogenic dysphagia: current pharmacogenomic perspectives 神经源性吞咽困难:当前的药物基因组学观点
Pub Date : 2022-01-01 DOI: 10.20517/jtgg.2022.08
J. Guerra, V. Naidoo, R. Cacabelos
Neurogenic dysphagia (ND) is characterized by a swallowing disorder where nervous system, muscle, and neuromuscular diseases are involved. DRD1, COMT, BDNF, and APOE are genes that may have a predictive role in the occurrence and evolution of ND. Many drugs that improve swallowing or can induce or exacerbate swallowing difficulties are related to dopamine metabolism and substance P. These pharmacological treatments for ND include dopamine precursors (levodopa), dopamine agonists (amantadine, apomorphine, cabergoline, and rotigotine), and TRP channel activators (capsaicin, piperine, and menthol). Since treatment outcomes are highly dependent on the genomic profiles of ND patients, personalized treatments should rely on pharmacogenetic procedures to optimize therapeutic interventions. Knowledge of the pharmacogenetic profiles of these drugs would minimize the occurrence of adverse drug reactions (especially to antidopaminergic medications) that may induce dysphagia and optimize pharmacological treatment that can ameliorate it. This knowledge should also be applied to the use of medications that control symptoms associated with dysphagia, such as sialorrhea, xerostomia, reflux, or hiccups.
神经性吞咽困难(ND)是一种伴有神经系统、肌肉和神经肌肉疾病的吞咽障碍。DRD1、COMT、BDNF和APOE等基因可能在ND的发生和进化中具有预测作用。许多改善吞咽或可诱发或加重吞咽困难的药物都与多巴胺代谢和p物质有关。ND的药物治疗包括多巴胺前体(左旋多巴)、多巴胺激动剂(金刚烷胺、阿波啡、卡麦角林和罗替戈汀)和TRP通道激活剂(辣椒素、胡椒碱和薄荷醇)。由于治疗结果高度依赖ND患者的基因组图谱,个性化治疗应依靠药物遗传学程序来优化治疗干预措施。了解这些药物的药理学特征可以最大限度地减少可能导致吞咽困难的药物不良反应(特别是抗多巴胺能药物)的发生,并优化可以改善吞咽困难的药物治疗。这一知识也应应用于控制吞咽困难相关症状的药物的使用,如唾液、口干、反流或打嗝。
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引用次数: 0
Evaluation of immunologic parameters in canine glioma patients treated with an oncolytic herpes virus 溶瘤性疱疹病毒治疗犬胶质瘤患者免疫参数的评价
Pub Date : 2021-12-05 DOI: 10.20517/jtgg.2021.31
M. Chambers, J. Foote, R. T. Bentley, D. Botta, D. Crossman, D. D. Manna, D. Estevez-Ordonez, J. Koehler, C. Langford, Michael A. Miller, J. Markert, A. Olivier, N. Omar, S. Platt, D. Rissi, A. Shores, D. Sorjonen, E. Yang, A. B. Yanke, G. Gillespie
Aim: To molecularly characterize the tumor microenvironment and evaluate immunologic parameters in canine glioma patients before and after treatment with oncolytic human IL-12-expressing herpes simplex virus (M032) and in treatment naïve canine gliomas. Methods: We assessed pet dogs with sporadically occurring gliomas enrolled in Stage 1 of a veterinary clinical trial that was designed to establish the safety of intratumoral oncoviral therapy with M032, a genetically modified oncolytic herpes simplex virus. Specimens from dogs in the trial and dogs not enrolled in the trial were evaluated with immunohistochemistry, NanoString, Luminex cytokine profiling, and multi-parameter flow cytometry. Results: Treatment-naive canine glioma microenvironment had enrichment of Iba1 positive macrophages and minimal numbers of T and B cells, consistent with previous studies identifying these tumors as immunologically “cold”. NanoString mRNA profiling revealed enrichment for tumor intrinsic pathways consistent with suppression of tumor-specific immunity and support of tumor progression. Oncolytic viral treatment induced an intratumoral mRNA transcription signature of tumor-specific immune responses in 83% (5/6) of canine glioma patients. Changes included mRNA signatures corresponding with interferon signaling, lymphoid and myeloid cell activation, recruitment, and T and B cell immunity. Multiplexed protein analysis identified a subset of oligodendroglioma subjects with increased concentrations of IL-2, IL-7, IL-6, IL-10, IL-15, TNFα, GM-CSF between 14 and 28 days after treatment, with evidence of CD4+ T cell activation and modulation of IL-4 and IFNγ production in CD4+ and CD8+ T cells isolated from peripheral blood. Conclusion: These findings indicate that M032 modulates the tumor-immune microenvironment in the canine glioma model.
目的:研究犬胶质瘤患者应用溶瘤性人表达il -12的单纯疱疹病毒(M032)治疗naïve犬胶质瘤前后肿瘤微环境的分子特征和免疫参数。方法:我们对患有偶发性胶质瘤的宠物狗进行了1期兽医临床试验,该试验旨在确定M032(一种转基因溶瘤性单纯疱疹病毒)肿瘤内肿瘤病毒治疗的安全性。采用免疫组织化学、NanoString、Luminex细胞因子谱和多参数流式细胞术对试验犬和未参加试验犬的标本进行评估。结果:未经治疗的犬胶质瘤微环境中Iba1阳性巨噬细胞富集,T细胞和B细胞数量较少,这与先前将这些肿瘤确定为免疫“冷”的研究一致。NanoString mRNA谱分析显示,肿瘤内在通路的富集与抑制肿瘤特异性免疫和支持肿瘤进展一致。溶瘤病毒治疗在83%(5/6)的犬胶质瘤患者中诱导肿瘤特异性免疫应答的肿瘤内mRNA转录特征。这些变化包括与干扰素信号、淋巴细胞和髓细胞活化、募集以及T细胞和B细胞免疫相关的mRNA特征。多路蛋白分析发现,在治疗后14至28天,少突胶质细胞瘤患者的IL-2、IL-7、IL-6、IL-10、IL-15、TNFα、GM-CSF浓度升高,有证据表明CD4+ T细胞活化,CD4+和CD8+ T细胞中IL-4和IFNγ的产生受到调节。结论:M032可调节犬胶质瘤模型的肿瘤免疫微环境。
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引用次数: 7
Roles of interacting stress-related genes in lifespan regulation: insights for translating experimental findings to humans 相互作用的应激相关基因在寿命调节中的作用:将实验结果转化为人类的见解
Pub Date : 2021-10-19 DOI: 10.20517/jtgg.2021.26
A. Yashin, Deqing Wu, K. Arbeev, A. Yashkin, I. Akushevich, Olivia Bagley, Matt Duan, S. Ukraintseva
Aim: Experimental studies provided numerous evidence that caloric/dietary restriction may improve health and increase the lifespan of laboratory animals, and that the interplay among molecules that sense cellular stress signals and those regulating cell survival can play a crucial role in cell response to nutritional stressors. However, it is unclear whether the interplay among corresponding genes also plays a role in human health and lifespan. Methods: Literature about roles of cellular stressors have been reviewed, such as amino acid deprivation, and the integrated stress response (ISR) pathway in health and aging. Single nucleotide polymorphisms (SNPs) in two candidate genes (GCN2/EIF2AK4 and CHOP/DDIT3) that are closely involved in the cellular stress response to amino acid starvation, have been selected using information from experimental studies. Associations of these SNPs and their interactions with human survival in the Health and Retirement Study data have been estimated. The impact of collective associations of multiple interacting SNP pairs on survival has been evaluated, using a recently developed composite index: the SNP-specific Interaction Polygenic Risk Score (SIPRS). Results: Significant interactions have been found between SNPs from GCN2/EIF2AK4 and CHOP/DDI3T genes that were associated with survival 85+ compared to survival between ages 75 and 85 in the total sample (males and females combined) and in females only. This may reflect sex differences in genetic regulation of the human lifespan. Highly statistically significant associations of SIPRS [constructed for the rs16970024 (GCN2/EIF2AK4) and rs697221 (CHOP/DDIT3)] with survival in both sexes also been found in this study. Conclusion: Identifying associations of the genetic interactions with human survival is an important step in translating the knowledge from experimental to human aging research. Significant associations of multiple SNPxSNP interactions in ISR genes with survival to the oldest old age that have been found in this study, can help uncover mechanisms of multifactorial regulation of human lifespan and its heterogeneity.
目的:实验研究提供了大量证据,证明热量/饮食限制可以改善实验动物的健康并延长其寿命,感知细胞应激信号的分子和调节细胞存活的分子之间的相互作用可以在细胞对营养应激源的反应中发挥关键作用。然而,目前尚不清楚相应基因之间的相互作用是否也在人类健康和寿命中发挥作用。方法:综述了有关细胞应激源的作用的文献,如氨基酸剥夺和综合应激反应(ISR)途径在健康和衰老中的作用。利用实验研究中的信息选择了与氨基酸饥饿的细胞应激反应密切相关的两个候选基因(GCN2/EIF2AK4和CHOP/DDIT3)中的单核苷酸多态性(SNPs)。在健康和退休研究数据中,已经估计了这些SNP的关联及其与人类生存的相互作用。使用最近开发的复合指数:SNP特异性相互作用多基因风险评分(SIPRS),评估了多个相互作用SNP对的集体关联对生存率的影响。结果:在GCN2/EIF2AK4和CHOP/DDI3T基因的SNPs之间发现了显著的相互作用,与总样本(男性和女性加在一起)和仅在女性中75岁至85岁之间的存活率相比,这些SNPs与85岁以上的存活率相关。这可能反映了人类寿命基因调控的性别差异。本研究还发现,SIPRS[为rs16970024(GCN2/EIF2AK4)和rs697221(CHOP/DDIT3)构建]与两性生存率之间具有高度统计学意义的相关性。结论:识别基因相互作用和人类生存的关系是将实验知识转化为人类衰老研究的重要一步。本研究发现,ISR基因中的多个SNPxSNP相互作用与活到最老年龄之间存在显著关联,这有助于揭示人类寿命及其异质性的多因素调节机制。
{"title":"Roles of interacting stress-related genes in lifespan regulation: insights for translating experimental findings to humans","authors":"A. Yashin, Deqing Wu, K. Arbeev, A. Yashkin, I. Akushevich, Olivia Bagley, Matt Duan, S. Ukraintseva","doi":"10.20517/jtgg.2021.26","DOIUrl":"https://doi.org/10.20517/jtgg.2021.26","url":null,"abstract":"Aim: Experimental studies provided numerous evidence that caloric/dietary restriction may improve health and increase the lifespan of laboratory animals, and that the interplay among molecules that sense cellular stress signals and those regulating cell survival can play a crucial role in cell response to nutritional stressors. However, it is unclear whether the interplay among corresponding genes also plays a role in human health and lifespan. Methods: Literature about roles of cellular stressors have been reviewed, such as amino acid deprivation, and the integrated stress response (ISR) pathway in health and aging. Single nucleotide polymorphisms (SNPs) in two candidate genes (GCN2/EIF2AK4 and CHOP/DDIT3) that are closely involved in the cellular stress response to amino acid starvation, have been selected using information from experimental studies. Associations of these SNPs and their interactions with human survival in the Health and Retirement Study data have been estimated. The impact of collective associations of multiple interacting SNP pairs on survival has been evaluated, using a recently developed composite index: the SNP-specific Interaction Polygenic Risk Score (SIPRS). Results: Significant interactions have been found between SNPs from GCN2/EIF2AK4 and CHOP/DDI3T genes that were associated with survival 85+ compared to survival between ages 75 and 85 in the total sample (males and females combined) and in females only. This may reflect sex differences in genetic regulation of the human lifespan. Highly statistically significant associations of SIPRS [constructed for the rs16970024 (GCN2/EIF2AK4) and rs697221 (CHOP/DDIT3)] with survival in both sexes also been found in this study. Conclusion: Identifying associations of the genetic interactions with human survival is an important step in translating the knowledge from experimental to human aging research. Significant associations of multiple SNPxSNP interactions in ISR genes with survival to the oldest old age that have been found in this study, can help uncover mechanisms of multifactorial regulation of human lifespan and its heterogeneity.","PeriodicalId":73999,"journal":{"name":"Journal of translational genetics and genomics","volume":"5 1","pages":"357 - 379"},"PeriodicalIF":0.0,"publicationDate":"2021-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45808839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epigenetics in prostate cancer treatment 前列腺癌治疗中的表观遗传学
Pub Date : 2021-08-27 DOI: 10.20517/jtgg.2021.19
Katelyn Jones, Yanquan Zhang, Yifan Kong, Elia Farah, Ruixin Wang, Chaohao Li, Xinyi Wang, Zhuangzhuang Zhang, Jianlin Wang, Fengyi Mao, Xiaoqi Liu, Jinghui Liu
Prostate cancer (PCa) is the most commonly diagnosed malignancy among men, and the progression of this disease results in fewer treatment options available to clinical patients. It highlights the vital necessity for discovering novel therapeutic approaches and expanding the current understanding of molecular mechanisms. Epigenetic alternations such as DNA methylation models and histone modifications have been associated as key drivers in the development and advancement of PCa. Several studies have been conducted and demonstrated that targeting these epigenetic enzymes or regulatory proteins has been strongly associated with the regulation of cancer cell growth. Due to the success rate of these therapeutic routes in pre-clinical settings, many drugs have now advanced to clinical testing, where efficacy will be measured. This review will discuss the role of epigenetic modifications in PCa development and its function in the progression of the disease to resistant forms and introduce therapeutic strategies that have demonstrated successful results as PCa treatment.
前列腺癌(PCa)是男性中最常见的恶性肿瘤,这种疾病的进展导致临床患者可获得的治疗选择较少。它强调了发现新的治疗方法和扩大目前对分子机制的理解的至关重要的必要性。表观遗传改变,如DNA甲基化模型和组蛋白修饰,被认为是前列腺癌发展和进展的关键驱动因素。一些研究已经进行并证明,靶向这些表观遗传酶或调节蛋白与癌细胞生长的调节密切相关。由于这些治疗途径在临床前环境中的成功率,许多药物现在已经进入临床试验阶段,在那里将测量疗效。本文将讨论表观遗传修饰在前列腺癌发展中的作用及其在疾病向耐药形式发展中的作用,并介绍已经证明成功治疗前列腺癌的治疗策略。
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引用次数: 4
Retinal organoid differentiation methods determine organoid cellular composition 视网膜类器官分化方法确定类器官细胞组成
Pub Date : 2021-08-23 DOI: 10.20517/jtgg.2021.35
Patricia Berber, Andrea Milenkovic, Lisa Michaelis, B. Weber
methods determine Abstract Aim: We aimed to compare the quantity and quality of aging retinal organoids generated by applying three distinct differentiation protocols for human-derived induced pluripotent stem cells (hiPSC). Methods: hiPSC were differentiated to retinal organoids using a 3D technique (Method 1) and a 3D-2D-3D technique (Method
方法确定摘要目的:我们旨在比较应用三种不同的人源诱导多能干细胞分化方案产生的老化视网膜类器官的数量和质量。方法:使用3D技术(方法1)和3D-2D-3D技术(法
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引用次数: 5
Genetics and genomics of extranodal natural killer/T cell lymphoma: from etiology to treatment 结外自然杀伤/T细胞淋巴瘤的遗传学和基因组学:从病因到治疗
Pub Date : 2021-08-18 DOI: 10.20517/jtgg.2021.21
Jiaxin Jiang, Zhaohui Ruan, Qianyu Wang, Li Jiang, Roujun Peng
and of extranodal natural killer/T cell lymphoma: from etiology to treatment. J Transl Abstract Extranodal natural killer/T cell lymphoma (NKTCL) is a heterogenous and unique epidemiological non-Hodgkin’s lymphoma, which is strongly associated with Epstein-Barr virus (EBV) infection. Based on the development of various sequencing methods and molecular biology technologies, genome- and transcriptome-wide association studies of NKTCL have provided insight into the etiology and pathogenesis of NKTCL. Comparative genomic hybridization detected variations in tumor suppressor genes such as PRDM1 , RUNX3 , and EZH2 . Whole-exome sequencing identified pathogenic variant such as DDX3X , and TP53 . Signal pathways such as the Janus kinase/signal transduction and activator of transcription pathway and nuclear factor kappaB pathway are frequently abnormal in NKTCL. In addition, programmed death-1, programmed death ligand-1, and the human leukocyte antigen risk alleles are significantly associated with NKTCL pathogenesis. Meanwhile, epigenetics analysis has also exposited changes such as PTPRK , HACE1 , microRNAs, and long non-coding RNAs, which play important role on the development and biology of NKTCL. EBV infection is tightly correlated with NKTCL. Viral genomic alterations and lytic genes of EBV are reported to have pathogenic effects on host cells that contribute to the etiology of NKTCL. We summarize the genomic and genetic alterations during the pathogenesis and development of NKTCL and exhibit the potential therapeutic targets that are worth exploring in future research and clinical trials. (2/7) [98] Sanger sequencing revealed that LMP1 gene contained a 30 bp deletion, which may be related to the poor prognosis of NKTCL patients [99] . Analyzing the EBV genome and transcriptome derived from NKTCL, in addition to the 30 bp deletion in LMP1 , small deletions in BARTs , EBNA2 , EBNA3s , BLLF1/2 , and other regions were also detected, which disclosed the heterogeneity in EBV cloning in NKTCL patients [17] . Interestingly, this study also clarified an insertion of EBV fragments into the human nonhomologous end-joining 1 ( NHEJ1 ) gene region, which may lead to changes in the expression and function of NHEJ1 . The NHEJ1 gene is vital in repairing DNA damage and maintaining genome stability [100] . Thus, integration of the EBV genome and human genome might have crucial impact on the pathogenesis and development of NKTCL. The molecular mechanism of this integration affecting NKTCL tumorigenesis and whether indeed contributes to clinical treatment of NKTCL need
结外自然杀伤/T细胞淋巴瘤:从病因到治疗。结外自然杀伤/T细胞淋巴瘤(NKTCL)是一种异质性、独特的非霍奇金淋巴瘤,与EB病毒(EBV)感染密切相关。基于各种测序方法和分子生物学技术的发展,NKTCL的全基因组和转录组关联研究为NKTCL的病因和发病机制提供了见解。比较基因组杂交检测到肿瘤抑制基因如PRDM1、RUNX3和EZH2的变异。全外显子组测序鉴定了致病性变体,如DDX3X和TP53。信号通路,如Janus激酶/信号转导和转录激活剂通路和核因子κB通路在NKTCL中经常异常。此外,程序性死亡-1、程序性死亡配体-1和人类白细胞抗原风险等位基因与NKTCL的发病机制显著相关。同时,表观遗传学分析也揭示了PTPRK、HACE1、微小RNA和长非编码RNA等变化,这些变化对NKTCL的发育和生物学起着重要作用。EBV感染与NKTCL密切相关。据报道,EBV的病毒基因组改变和裂解基因对宿主细胞具有致病作用,这有助于NKTCL的病因。我们总结了NKTCL发病机制和发展过程中的基因组和基因变化,并展示了在未来研究和临床试验中值得探索的潜在治疗靶点。(2/7)[98]Sanger测序显示LMP1基因含有30bp的缺失,这可能与NKTCL患者的不良预后有关[99]。分析来源于NKTCL的EBV基因组和转录组,除了LMP1中的30bp缺失外,还检测到BART、EBNA2、EBNA3s、BLLF1/2和其他区域的小缺失,这揭示了NKTCL患者EBV克隆的异质性[17]。有趣的是,这项研究还阐明了EBV片段插入人类非同源末端连接1(NHEJ1)基因区域,这可能导致NHEJ1的表达和功能发生变化。NHEJ1基因在修复DNA损伤和维持基因组稳定性方面至关重要[100]。因此,EBV基因组和人类基因组的整合可能对NKTCL的发病机制和发展产生至关重要的影响。这种整合影响NKTCL肿瘤发生的分子机制,以及是否确实有助于临床治疗NKTCL需要
{"title":"Genetics and genomics of extranodal natural killer/T cell lymphoma: from etiology to treatment","authors":"Jiaxin Jiang, Zhaohui Ruan, Qianyu Wang, Li Jiang, Roujun Peng","doi":"10.20517/jtgg.2021.21","DOIUrl":"https://doi.org/10.20517/jtgg.2021.21","url":null,"abstract":"and of extranodal natural killer/T cell lymphoma: from etiology to treatment. J Transl Abstract Extranodal natural killer/T cell lymphoma (NKTCL) is a heterogenous and unique epidemiological non-Hodgkin’s lymphoma, which is strongly associated with Epstein-Barr virus (EBV) infection. Based on the development of various sequencing methods and molecular biology technologies, genome- and transcriptome-wide association studies of NKTCL have provided insight into the etiology and pathogenesis of NKTCL. Comparative genomic hybridization detected variations in tumor suppressor genes such as PRDM1 , RUNX3 , and EZH2 . Whole-exome sequencing identified pathogenic variant such as DDX3X , and TP53 . Signal pathways such as the Janus kinase/signal transduction and activator of transcription pathway and nuclear factor kappaB pathway are frequently abnormal in NKTCL. In addition, programmed death-1, programmed death ligand-1, and the human leukocyte antigen risk alleles are significantly associated with NKTCL pathogenesis. Meanwhile, epigenetics analysis has also exposited changes such as PTPRK , HACE1 , microRNAs, and long non-coding RNAs, which play important role on the development and biology of NKTCL. EBV infection is tightly correlated with NKTCL. Viral genomic alterations and lytic genes of EBV are reported to have pathogenic effects on host cells that contribute to the etiology of NKTCL. We summarize the genomic and genetic alterations during the pathogenesis and development of NKTCL and exhibit the potential therapeutic targets that are worth exploring in future research and clinical trials. (2/7) [98] Sanger sequencing revealed that LMP1 gene contained a 30 bp deletion, which may be related to the poor prognosis of NKTCL patients [99] . Analyzing the EBV genome and transcriptome derived from NKTCL, in addition to the 30 bp deletion in LMP1 , small deletions in BARTs , EBNA2 , EBNA3s , BLLF1/2 , and other regions were also detected, which disclosed the heterogeneity in EBV cloning in NKTCL patients [17] . Interestingly, this study also clarified an insertion of EBV fragments into the human nonhomologous end-joining 1 ( NHEJ1 ) gene region, which may lead to changes in the expression and function of NHEJ1 . The NHEJ1 gene is vital in repairing DNA damage and maintaining genome stability [100] . Thus, integration of the EBV genome and human genome might have crucial impact on the pathogenesis and development of NKTCL. The molecular mechanism of this integration affecting NKTCL tumorigenesis and whether indeed contributes to clinical treatment of NKTCL need","PeriodicalId":73999,"journal":{"name":"Journal of translational genetics and genomics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48501589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genomic characterization of treatment-associated small cell neuroendocrine carcinoma of the prostate 治疗相关前列腺小细胞神经内分泌癌的基因组特征
Pub Date : 2021-08-03 DOI: 10.20517/jtgg.2021.32
I. Kouchkovsky, D. Quigley, E. Small, R. Aggarwal
Genomic characterization of treatment-associated small cell neuroendocrine carcinoma of the Abstract Treatment-associated small cell neuroendocrine carcinoma of the prostate (t-SCNC) is an aggressive prostate cancer variant with rising incidence. Although morphologically similar to de novo small cell prostate cancer, t-SCNC is thought to emerge from metastatic castration-resistant prostate cancer (mCRPC) under the selective pressure of prolonged AR-targeted therapies. t-SCNC is associated with a distinct transcriptional landscape, characterized by the upregulation of stem cell-associated and neuronal programs (e.g., SOX2, N-MYC, FOXA2) and decreased canonical AR signaling. In addition, as with other neuroendocrine carcinomas, RB1 loss and inactivating TP53 mutations are key genomic hallmarks of t-SCNC. Nevertheless, despite their histologic, molecular, and clinical differences, there is a striking degree of genomic overlap between t-SCNC and its adenocarcinoma counterpart. This finding underscores the clonal evolution of t-SCNC from mCRPC, as well as the importance of epigenetic mechanisms in regulating tumor phenotype. In this review, we summarize the key genomic, transcriptional, and epigenetic features of t-SCNC and discuss how recent advances in our understanding of molecular drivers of t-SCNC have contributed to improving the diagnosis and treatment of this aggressive disease.
治疗相关性前列腺小细胞神经内分泌癌(t-SCNC)是一种发病率不断上升的侵袭性前列腺癌变体。尽管形态与新生小细胞前列腺癌相似,但t-SCNC被认为是在长期ar靶向治疗的选择压力下,从转移性去势抵抗性前列腺癌(mCRPC)中出现的。t-SCNC与一个独特的转录景观相关,其特征是干细胞相关和神经元程序(例如,SOX2, N-MYC, FOXA2)的上调和典型AR信号的减少。此外,与其他神经内分泌癌一样,RB1缺失和TP53失活突变是t-SCNC的关键基因组标志。然而,尽管它们在组织学、分子和临床方面存在差异,但在t-SCNC和腺癌之间存在显著程度的基因组重叠。这一发现强调了t-SCNC从mCRPC的克隆进化,以及表观遗传机制在调节肿瘤表型中的重要性。在这篇综述中,我们总结了t-SCNC的关键基因组、转录和表观遗传学特征,并讨论了我们对t-SCNC分子驱动因素的理解的最新进展如何有助于提高这种侵袭性疾病的诊断和治疗。
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引用次数: 0
期刊
Journal of translational genetics and genomics
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