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Scientific Abstracts presented at the 5th International Convention of Association of Pharmacy Professionals: Redesigning Pharmacy Education and Regulations for Translational Drug Research in India, hosted at Anna University, Centre for Excellence in Nanobio Translational Research, Bharathidasan Institute of Technology Campus, Tiruchirappalli, Tamil Nadu, India, 22nd–23rd January, 2016. 2016年1月22日至23日,在印度泰米尔纳德邦蒂鲁奇拉帕利巴拉蒂达桑理工学院安纳大学纳米生物转化研究卓越中心举办的第五届药学专业协会国际会议:重新设计印度转化药物研究的药学教育和法规。
Pub Date : 2016-01-01 DOI: 10.1016/j.nhtm.2016.01.001
Edited by Selvamani Palanisamy , Latha Subbiah , Ruckmani Kandasamy
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引用次数: 0
Development and characterization of chitosan-based antimicrobial films incorporated with streptomycin loaded starch nanoparticles 载链霉素纳米淀粉壳聚糖抗菌膜的制备与表征
Pub Date : 2016-01-01 DOI: 10.1016/j.nhtm.2016.04.002
Neethu Hari, Ananthakrishnan Jayakumaran Nair

Nowadays, Chitosan has attained more attention due to its potential applications in food, agriculture and pharmaceutics. The cationic nature of chitosan enhances the film forming capacity of this polymer. However, films made only from chitosan lack water resistance and have reduced mechanical properties. The functional properties of chitosan films can be improved when chitosan films are combined with other film forming materials. The objective of this study was to prepare chitosan based antimicrobial films by the incorporation of streptomycin loaded starch Nanocrystals. Different properties of this film such as swelling nature, moisture content, degradation nature and the antimicrobial activity of modified chitosan films were investigated. Drug releasing efficacy of the film was also studied. The addition of streptomycin loaded Starch nanocrystals in chitosan-gelatin film increased crystallinity of the film, lowered the swelling nature of the film to a controlled manner. Moreover the Modified chitosan based antimicrobial film showed almost 90% of Escherichia coli inhibition and 80% of Bacillus subtilis inhibition and also the film showed a sustained release (60%) of streptomycin for 10 days.

Focal point

  • Benchside

    Synthesis of streptomycin loaded starch nanoparticles (SS-NPs) using nanoprecipitation method and the development of novel chitosan based antimicrobial film by the incorporation of streptomycin loaded starch nanoparticles using solvent casting technique

  • Bedside

    Development of potential multifunctional antimicrobial film for medical, pharmaceutical and food based applications due to its excellent film forming ability, biocompatibility, biodegradability and antimicrobial property

  • Industry

    The designed unique antimicrobial film, if finely tuned, can be used both in biomedical fields for developing scaffolds in tissue engineering, wound dressing material, capsule material for sustained drug release and immobilization of enzyme and food industry as packaging material

  • Government

    Financial investment and support from government would help to develop new novel translational tools which contribute for better health care and also help to reduces disease burden

  • Regulatory

Stringent regulatory principles limit the clinical trials essential for validation of biomaterials which might have turned in to a highly beneficial multifunctional product such as antimicrobial film potentially useful both in biomedical and food industry.

近年来,壳聚糖因其在食品、农业和医药等领域的潜在应用而受到越来越多的关注。壳聚糖的阳离子性质增强了该聚合物的成膜能力。然而,仅由壳聚糖制成的薄膜缺乏耐水性,机械性能降低。壳聚糖薄膜与其他成膜材料结合可提高壳聚糖薄膜的功能性能。本研究的目的是通过掺入链霉素淀粉纳米晶制备壳聚糖基抗菌膜。考察了改性壳聚糖膜的溶胀性、含水率、降解性和抗菌性能。研究了该膜的释药效果。在壳聚糖-明胶薄膜中加入链霉素负载的淀粉纳米晶体,提高了薄膜的结晶度,使薄膜的溶胀性得到控制。改性壳聚糖抗菌膜对大肠杆菌的抑制率接近90%,对枯草芽孢杆菌的抑制率为80%,对链霉素的缓释率为60%,缓释时间为10 d。•使用纳米沉淀法合成装载链霉素的淀粉纳米颗粒(SS-NPs),以及使用溶剂铸造技术将装载链霉素的淀粉纳米颗粒结合在一起,开发新型壳聚糖抗菌膜。•床边开发潜在的多功能抗菌膜,用于医疗、制药和食品应用,因为它具有出色的成膜能力、生物相容性、•工业设计独特的抗菌膜,如果精细调整,可用于生物医学领域,用于开发组织工程支架,伤口敷料材料,•政府政府的财政投资和支持将有助于开发新的新型转化工具,这些工具有助于更好的医疗保健,也有助于减轻疾病负担•监管严格的监管原则限制了对生物材料验证至关重要的临床试验,这些生物材料可能会变成非常有益的多功能产品,如抗菌膜在生物医学和食品工业中都有潜在的用途。
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引用次数: 19
Translational aspects in targeting the stromal tumour microenvironment: From bench to bedside 靶向间质肿瘤微环境的翻译方面:从实验室到床边
Pub Date : 2016-01-01 DOI: 10.1016/j.nhtm.2016.03.001
R. Bhome , H.A. Al Saihati , R.W. Goh , M.D. Bullock , J.N. Primrose , G.J. Thomas , A.E. Sayan , A.H. Mirnezami

Solid tumours comprise, not only malignant cells but also a variety of stromal cells and extracellular matrix proteins. These components interact via an array of signalling pathways to create an adaptable network that may act to promote or suppress cancer progression. To date, the majority of anti-tumour chemotherapeutic agents have principally sought to target the cancer cell. Consequently, resistance develops because of clonal evolution, as a result of selection pressure during tumour expansion. The concept of activating or inhibiting other cell types within the tumour microenvironment is relatively novel and has the advantage of targeting cells which are genetically stable and less likely to develop resistance. This review outlines key players in the stromal tumour microenvironment and discusses potential targeting strategies that may offer therapeutic benefit.

Focal points:

  • Benchside

    ○ The tumour stroma consists of mesenchymal, immune and vascular cells housed in an extracellular matrix. Stromal cells and extracellular matrix proteins represent genetically stable targets which can be exploited in cancer treatment. Numerous in vitro and animal studies support the concept of stromal-directed treatment.

  • Bedside

    ○ Several therapeutic strategies have been developed or repurposed to target the stroma. The anti-angiogenic agent bevacizumab was one of the first specific stromal-targeting agents to be licensed for cancer treatment over a decade ago. More recently, immune modulation of the stroma has become a hugely successful strategy, with novel drugs such as checkpoint inhibitors set to revolutionise cancer treatment.

  • Governments

    ○ Funding bodies should continue to acknowledge the pivotal role that the stroma plays in cancer progression, in parallel with cancer cell itself. Undoubtedly, the most successful treatment regimens of the future will address both the “seed” and the “soil”.

实体瘤不仅包括恶性细胞,还包括各种基质细胞和细胞外基质蛋白。这些成分通过一系列信号通路相互作用,形成一个可适应的网络,可能促进或抑制癌症的进展。迄今为止,大多数抗肿瘤化疗药物主要是针对癌细胞。因此,由于肿瘤扩张期间的选择压力,克隆进化产生了耐药性。激活或抑制肿瘤微环境中的其他细胞类型的概念相对较新,并且具有靶向遗传稳定且不太可能产生耐药性的细胞的优势。本综述概述了基质肿瘤微环境中的关键因素,并讨论了可能提供治疗益处的潜在靶向策略。〇肿瘤基质由细胞外基质中的间充质细胞、免疫细胞和血管细胞组成。基质细胞和细胞外基质蛋白是基因稳定的靶点,可用于癌症治疗。大量的体外和动物研究支持基质定向治疗的概念。•床边治疗:针对基质,已经开发或重新利用了几种治疗策略。抗血管生成药物贝伐单抗是十多年前获准用于癌症治疗的首批特异性基质靶向药物之一。最近,基质的免疫调节已经成为一种非常成功的策略,像检查点抑制剂这样的新药将彻底改变癌症治疗。•政府〇资助机构应继续承认基质在癌症进展中的关键作用,与癌细胞本身一样。毫无疑问,未来最成功的治疗方案将同时针对“种子”和“土壤”。
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引用次数: 20
Chemotherapeutic effect of 3, 3′-Diindolylmethane encapsulated chitosan nanoparticles on 7, 12-Dimethylbenz (a) anthracene induced mammary cancer – A dose dependent study 3,3 ' -二吲哚甲基甲烷包封壳聚糖纳米颗粒对7,12 -二甲基苯(a)蒽致乳腺癌的化疗作用-剂量依赖性研究
Pub Date : 2016-01-01 DOI: 10.1016/j.nhtm.2016.04.001
Stainsloss Isabella, Sankaran Mirunalini

Breast cancer is the second most prevalent cancer among women and its incidence is amplifying alarmingly. Since genetic factors are believed to account for only 10% of the reported cases, remaining the environmental factors, including diet are thought to play a significant role in predisposing breast cancer. Many bioactive compounds have been reported for their anticancer potential. One among the bioactive compound 3, 3′-Diindolylmethane (DIM) is a phytochemical possess a wide array of pharmacological activities such as anti-proliferative and anti-oxidant properties. Its properties such as poor water solubility and low bioavailability have hampered its clinical development.

Therefore, it is a great interest to study whether the nano formulation for DIM with chitosan for its enhanced potential, the present study was aimed to evaluate the chemotherapeutic potential of 3, 3′- Diindolylmethane encapsulated chitosan nanoparticles (DIM@CS-NP) on 7,12-Dimethylbenz(a)anthracene (DMBA) induced mammary carcinoma in rats. DMBA was induced in a single subcutaneous injection of 25 mg/ kg body weight to each rat. In the present study, we investigated the altered activities of lipid peroxidation, enzymatic antioxidants (SOD, CAT, GPx) and non- enzymatic antioxidant (GSH) in plasma, liver and mammary tissue, supported by histopathological study of mammary tissues. We evaluated the changes in the body weight of control and experimental animals. There was a significant decrease in the final body weight of tumor bearing animals, when compared to control animals. Also, we observed a diminished cellular antioxidant status and the elevated oxidant levels in plasma, liver, mammary tissues of DMBA induced rats. However, administration of DIM@CS-NP significantly increased the mean final body weight when compared with DMBA induced animals. Oral supplementation of different doses of DIM@CS-NP (0.5, 1, 2 mg/kg BW), significantly renovated the activities of cellular antioxidants and ultimately diminished the levels of lipid peroxidation, which pointed towards suppression of preneoplastic lesions, thereby reduced the cancer risk, and significant improvement in the levels of enzymatic (SOD, CAT, GPx) and non- enzymatic antioxidant (GSH) in the plasma, liver and mammary tissue. Based on the above finding we conclude the nano formulation of DIM provides a novel therapeutic regime for mammary cancer.

Focal points:

  • Benchside

    • Oxidants, antioxidant status and histopathological examination of mammary tumor tissue are necessary to determine the chemotherapeutic potential of DIM@CS-NP on experimental induced rat mammary carcinoma.

  • Bedside

    • Ingestion of DIM@CS-NP may reduce the severity of D

乳腺癌是妇女中第二常见的癌症,其发病率正在惊人地增加。由于遗传因素被认为只占报告病例的10%,剩下的环境因素,包括饮食,被认为在乳腺癌易感性中起着重要作用。据报道,许多生物活性化合物具有抗癌潜力。生物活性化合物3,3′-二吲哚基甲烷(DIM)是一种具有抗增殖、抗氧化等多种药理活性的植物化学物质。其水溶性差、生物利用度低等特点阻碍了其临床应用。因此,研究壳聚糖纳米制剂是否能增强DIM的潜能是一个很大的兴趣,本研究旨在评估3,3 ' -二吲哚基甲烷包封的壳聚糖纳米颗粒(DIM@CS-NP)对7,12-二甲基苯(a)蒽(DMBA)诱导的大鼠乳腺癌的化疗潜力。每只大鼠皮下单次注射25 mg/ kg体重的DMBA诱导。本研究通过对乳腺组织的组织病理学研究,探讨了血浆、肝脏和乳腺组织中脂质过氧化、酶促抗氧化剂(SOD、CAT、GPx)和非酶促抗氧化剂(GSH)活性的变化。我们评估了对照动物和实验动物的体重变化。与对照动物相比,荷瘤动物的最终体重显著降低。此外,我们还观察到DMBA诱导大鼠的细胞抗氧化状态降低,血浆、肝脏和乳腺组织中氧化剂水平升高。然而,与DMBA诱导的动物相比,DIM@CS-NP显著增加了平均最终体重。口服不同剂量DIM@CS-NP(0.5、1、2 mg/kg BW)可显著改善细胞抗氧化剂活性,最终降低脂质过氧化水平,从而抑制肿瘤前病变,从而降低癌症风险,并显著提高血浆、肝脏和乳腺组织中酶(SOD、CAT、GPx)和非酶抗氧化剂(GSH)水平。基于上述发现,我们认为DIM纳米制剂为乳腺癌提供了一种新的治疗方案。•Benchside〇氧化剂、抗氧化状态和乳腺肿瘤组织的组织病理学检查是确定DIM@CS-NP对实验性大鼠乳腺癌化疗潜力的必要条件。•床边〇摄入DIM@CS-NP可减轻DMBA诱导的荷瘤动物的严重程度。更多由生物相容性和可生物降解聚合物制成的纳米级药物传递系统为药物传递和肿瘤靶向治疗提供了新的途径。•产业〇从十字花科蔬菜中提取的新配方化合物被认为是治疗各种恶性肿瘤的最佳化学疗法之一。•社区〇制药行业开发具有化疗潜力的纳米配方产品,不仅可以为当地带来经济效益,还可以为患者提供便利。•监管机构〇以十字花科蔬菜为原料生产的纳米配方药物产品,可以更好地改善药物输送和药物持续释放系统,与传统形式的药物剂量相比,具有一定的优势,因为它们可以最大限度地减少副作用,并延长药物的疗效。这将需要用于纳米配方化合物的标记和图案,并在临床试验中进行测试。
{"title":"Chemotherapeutic effect of 3, 3′-Diindolylmethane encapsulated chitosan nanoparticles on 7, 12-Dimethylbenz (a) anthracene induced mammary cancer – A dose dependent study","authors":"Stainsloss Isabella,&nbsp;Sankaran Mirunalini","doi":"10.1016/j.nhtm.2016.04.001","DOIUrl":"10.1016/j.nhtm.2016.04.001","url":null,"abstract":"<div><p><span>Breast cancer is the second most prevalent cancer among women and its incidence is amplifying alarmingly. Since genetic factors are believed to account for only 10% of the reported cases, remaining the </span>environmental factors<span>, including diet are thought to play a significant role in predisposing breast cancer. Many bioactive compounds have been reported for their anticancer potential. One among the bioactive compound 3, 3′-Diindolylmethane (DIM) is a phytochemical possess a wide array of pharmacological activities such as anti-proliferative and anti-oxidant properties. Its properties such as poor water solubility and low bioavailability have hampered its clinical development.</span></p><p><span>Therefore, it is a great interest to study whether the nano formulation for DIM with chitosan for its enhanced potential, the present study was aimed to evaluate the chemotherapeutic potential of 3, 3′- Diindolylmethane encapsulated chitosan nanoparticles<span> (DIM@CS-NP) on 7,12-Dimethylbenz(a)anthracene (DMBA) induced mammary carcinoma<span> in rats. DMBA was induced in a single subcutaneous injection of 25</span></span></span> <span>mg/ kg body weight to each rat. In the present study, we investigated the altered activities of lipid peroxidation<span>, enzymatic antioxidants (SOD, CAT, GPx) and non- enzymatic antioxidant (GSH) in plasma, liver and mammary tissue, supported by histopathological study of mammary tissues. We evaluated the changes in the body weight of control and experimental animals. There was a significant decrease in the final body weight of tumor bearing animals, when compared to control animals. Also, we observed a diminished cellular antioxidant status and the elevated oxidant levels in plasma, liver, mammary tissues of DMBA induced rats. However, administration of DIM@CS-NP significantly increased the mean final body weight when compared with DMBA induced animals. Oral supplementation of different doses of DIM@CS-NP (0.5, 1, 2 mg/kg BW), significantly renovated the activities of cellular antioxidants and ultimately diminished the levels of lipid peroxidation, which pointed towards suppression of preneoplastic lesions, thereby reduced the cancer risk, and significant improvement in the levels of enzymatic (SOD, CAT, GPx) and non- enzymatic antioxidant (GSH) in the plasma, liver and mammary tissue. Based on the above finding we conclude the nano formulation of DIM provides a novel therapeutic regime for mammary cancer.</span></span></p><p><strong>Focal points:</strong></p><p></p><ul><li><span>•</span><span><p>Benchside</p><ul><li><span>○</span><span><p>Oxidants, antioxidant status and histopathological examination of mammary tumor tissue are necessary to determine the chemotherapeutic potential of DIM@CS-NP on experimental induced rat mammary carcinoma.</p></span></li></ul></span></li><li><span>•</span><span><p>Bedside</p><ul><li><span>○</span><span><p><span>Ingestion of DIM@CS-NP may reduce the severity of D","PeriodicalId":90660,"journal":{"name":"New horizons in translational medicine","volume":"3 1","pages":"Pages 1-8"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.nhtm.2016.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87636049","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: 8
Lipid and sterol gene sequence variation in autism and correlates with neurodevelopmental status: A pilot study 自闭症中脂质和固醇基因序列变异及其与神经发育状态的相关性:一项初步研究
Pub Date : 2015-09-01 DOI: 10.1016/j.nhtm.2015.09.001
Trevor A. Hall, Robert D. Steiner , Hollis Wright, Beth Wilmot, Jean-Baptiste Roullet , Meaghan Peters, Michael Harris

Objective

Research has uncovered potential links between lipid and sterol metabolism and autism spectrum disorder (ASD). We worked to characterize genetic sequence variants in lipid/sterol related genes in children affected with ASD to investigate the association between lipid/sterol gene sequence variation and neurodevelopmental phenotype that could identify new etiologies for ASD and eventually aid to focus intervention strategies.

Design and methods

Children with confirmed ASD were recruited from a regional academic health center. Participants included 24 children (20 male and 4 female) between the ages of 40 to 81 months (M=60 months). Several neurodevelopmental measures were administered which provided an assessment of neurodevelopmental functional status. We applied our exome sequencing workflow to perform alignment to the Human Reference Sequence (build 37) base calling for every base pair in the reads that align to the reference sequence QC evaluation of the annotation of all genetic variants different from the reference sequence using dbSNP and the 1000 Genomes databases. We investigated whether novel variants identified were related to neurodevelopmental functioning.

Results and conclusions

Variants occurred in 355 total genomic positions, 53 of which were not previously annotated as variant positions in either dbSNP or the 1000 Genomes Project׳s variant annotation. Of these 355 variants, 169 were nonsynonymous (31 were novel). The total number of variants observed in the exons of captured regions of an individual participant ranged from 88 to 117; novel variants ranged from four to 10 per participant, while nonsynonymous variants ranged from 36 and 51 per participant. The total number of nonsynonymous variants per subject was significantly associated with neurodevelopmental function. Further, several genes involved in sterol and lipid metabolism including NPC1, DHCR24 and others that when mutated cause diseases with ASD characteristics, were associated with ASD in Network analysis. Altogether, the findings suggest that nonsynonymous variants in lipid/sterol related genes may be a biological marker of neurodevelopment status in ASD. Results support an association between lipid and sterol metabolism and ASD and suggest the need for further research attempting to elucidate the mechanisms behind the association and the etiology and neurodevelopmental effects of ASD.

Focal points

  • Bedside

Understanding the association between genetics and metabolism and ASD will contribute to the scientific understanding of complex neurodevelopmental disorders. Continued study into the association between lipid and sterol genes and ASD may lead to new novel and effective treatment options for ASD.

  • Benchside

A large

目的研究揭示了脂质和固醇代谢与自闭症谱系障碍(ASD)之间的潜在联系。我们研究了ASD患儿中脂质/固醇相关基因的基因序列变异,以研究脂质/固醇基因序列变异与神经发育表型之间的关系,从而确定ASD的新病因,并最终帮助制定重点干预策略。设计与方法从某地区学术健康中心招募确诊为ASD的儿童。参与者包括24名儿童(20名男性和4名女性),年龄在40至81个月(M=60个月)之间。一些神经发育措施提供了神经发育功能状态的评估。我们应用我们的外显子组测序工作流程对人类参考序列(构建37)碱基进行比对,调用与参考序列比对的reads中的每个碱基对,使用dbSNP和1000个基因组数据库对与参考序列不同的所有遗传变异的注释进行QC评估。我们调查了新发现的变异是否与神经发育功能有关。结果和结论变异发生在355个基因组位点上,其中53个位点之前没有在dbSNP或1000基因组计划的变异注释中被注释为变异位点。在这355个变体中,169个是非同义的(31个是新颖的)。在单个参与者捕获区域的外显子中观察到的变异总数从88到117不等;每个参与者的新变体从4到10个不等,而非同义变体从36到51个不等。每个受试者的非同义变体总数与神经发育功能显著相关。此外,在网络分析中,包括NPC1、DHCR24等在内的几个参与固醇和脂质代谢的基因,当突变导致具有ASD特征的疾病时,与ASD相关。总之,研究结果表明,脂质/固醇相关基因的非同义变异可能是ASD神经发育状态的生物学标志。结果支持脂质和固醇代谢与ASD之间的关联,并提示需要进一步的研究来阐明这种关联背后的机制、ASD的病因学和神经发育影响。了解遗传和代谢与ASD之间的关系将有助于科学地理解复杂的神经发育障碍。继续研究脂质和甾醇基因与ASD之间的关系可能会为ASD带来新的、新颖的、有效的治疗选择。大量的基因序列变异与ASD相关。还需要进一步的研究来确定哪些关联导致了不同亚型的ASD表现,并阐明所观察到的关联背后的机制。新的受基因影响的ASD亚型的发现可能会导致新的新颖有效的ASD治疗方案的发展。开发新的新颖有效的ASD治疗方案将对ASD患者的生活质量产生重大影响。•监管机构由于基于ASD的遗传基础开发新的新颖有效的治疗方案需要当局的广泛支持才能成功地在临床转化,因此持续的金融投资将是必要的,以将实验室的研究转化为床边。政府的支持也有助于将治疗自闭症谱系障碍的相关费用降至最低。
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引用次数: 2
Infantile spasms in early-onset Niemann–Pick disease with a novel compound heterozygous mutations in SMPD1 gene SMPD1基因新型复合杂合突变与早发尼曼-匹克病的婴儿痉挛
Pub Date : 2015-09-01 DOI: 10.1016/j.nhtm.2015.11.001
Massimiliano Chetta , Anna Guacci , Francesca Rizzo , Giovanna Marchese , Francesca Felicia Operto , Alessandro Weisz , Giangennaro Coppola

Niemann–Pick diseases are a group of rare autosomal recessive disorders caused by an inherited deficiency of lysosomal storage with similar clinical presentations. At least three different Niemann–Pick (NP) diseases have been described, with NPA and NPB occurring as a result of a deficiency of the acid sphingomyelinase (ASM) enzyme, while NPC as a disorder that cause misregulation in cholesterol and lipids turnover, causing their accumulation in various tissues, including brain. The resulting phenotypic spectrum ranges from a severe infantile type with neurologic degeneration and death, usually by 3 years of age (NPA), to a non-neurologic adult onset form compatible with survival into adulthood (NPB) and a neurovisceral disorder with symptoms that occur at different times and progress independently (NPC).

Here, we report on an Italian child born from non-consanguineous healthy parents, with a negative family history, who developed infantile spasms at the age of 5 months and clinical signs of potential storage disease. The genetic screening, performed by means of whole exome sequencing, revealed compound heterozygous mutations in the Sphingomyelin Phosphodiesterase 1 gene (SMPD1), comprising both a homozygous polymorphism (p.V36A) in exon 1 and a new frameshift heterozygous deletion (c.1187delT) in exon 3 generating a premature stop (TAA) at codon 424 (p.L395fsX29).

This result appears to corroborate the phenotypic heterogeneity of the symptoms and suggests a correlation between the presence of a truncated SMPD1 polypeptide and the very early onset of the disease.

Focal points

  • Benchside: The comprehension of genotype–phenotype correlations in patients affected by Niemann–Pick disease will accelerate the accuracy of the diagnosis and permit to ameliorate patient follow-up.

  • Bedside: The coexistence of a homozygous polymorphism and of a new heterozygous frameshift deletion in exon 3 of the SMPD1 gene reveals the presence of infantile spasms, not previously related to mutations in SMPD1 gene. Elucidating the mechanisms associated to this altered gene product could open novel approaches in therapy.

尼曼-匹克病是一组罕见的常染色体隐性遗传病,由遗传性溶酶体储存缺陷引起,具有相似的临床表现。至少有三种不同的Niemann-Pick (NP)疾病被描述,NPA和NPB是由于酸性鞘磷脂酶(ASM)缺乏而发生的,而NPC是一种导致胆固醇和脂质周转失调的疾病,导致它们在包括大脑在内的各种组织中积累。由此产生的表型谱范围从伴有神经变性和死亡的严重婴儿型,通常在3岁(NPA),到可存活至成年的非神经性成人发病形式(NPB),以及在不同时间出现症状并独立进展的神经内脏疾病(NPC)。在这里,我们报告了一名意大利儿童,他出生于非近亲健康父母,阴性家族史,在5个月大时出现婴儿痉挛,并有潜在的储存疾病的临床症状。通过全外显子组测序进行遗传筛选,发现鞘磷脂二酯酶1基因(SMPD1)存在复合杂合突变,包括外显子1的纯合多态性(p.V36A)和外显子3的新移码杂合缺失(c.1187delT),在密码子424 (p.L395fsX29)处产生过早停止(TAA)。这一结果似乎证实了症状的表型异质性,并表明截断的SMPD1多肽的存在与疾病的早期发病之间存在相关性。•Benchside:了解Niemann-Pick病患者的基因型-表型相关性将加快诊断的准确性,并允许改善患者随访。•床边:SMPD1基因外显子3的纯合多态性和新的杂合移码缺失共存,揭示了婴儿痉挛的存在,以前与SMPD1基因突变无关。阐明与这种改变的基因产物相关的机制可以为治疗开辟新的途径。
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引用次数: 2
Viral strategies to modulate NKG2D-ligand expression in Human Cytomegalovirus infection 人巨细胞病毒感染中调节nkg2d配体表达的病毒策略
Pub Date : 2015-09-01 DOI: 10.1016/j.nhtm.2015.11.002
Hugh Reyburn , Gloria Esteso , Omodele Ashiru , Mar Vales-Gomez

Human cytomegalovirus is a paradigm for studies of viral strategies of immune evasion. In particular, the virus has developed multiple mechanisms for evasion of immune surveillance by lymphocytes expressing the activating receptor NKG2D. The human genome encodes several ligands able to bind NKG2D and in this article we review and discuss what is known about the various viral proteins and micro RNAs that act to minimise the recognition of the infected cell by modulation of the expression and trafficking of the different NKG2D ligand molecules.

Focal points

  • The activating receptor NKG2D is important in the immune response to HCMV.

  • HCMV has developed multiple strategies to evade immunosurveillance by cytotoxic lymphocytes expressing NKG2D.

  • A better understanding of immune evasion by HCMV will likely be relevant for the development of better vaccination strategies.

人类巨细胞病毒是研究病毒免疫逃避策略的一个范例。特别是,该病毒已经发展出多种机制,通过表达激活受体NKG2D的淋巴细胞逃避免疫监视。人类基因组编码几种能够结合NKG2D的配体,在本文中,我们回顾和讨论了各种病毒蛋白和微rna的已知情况,这些病毒蛋白和微rna通过调节不同NKG2D配体分子的表达和运输来最大限度地减少对感染细胞的识别。•激活受体NKG2D在HCMV的免疫反应中很重要。•HCMV已经发展出多种策略来逃避表达NKG2D的细胞毒性淋巴细胞的免疫监视。•更好地了解HCMV的免疫逃避可能与开发更好的疫苗接种策略有关。
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引用次数: 3
Preclinical characterization of eleven new Cys-PEGylated hGH mutants 11个新的cys聚乙二醇化hGH突变体的临床前特征
Pub Date : 2015-09-01 DOI: 10.1016/j.nhtm.2015.12.002
Fabio Selis , Stefano Genovese , Barbara Salis , Rodolfo Schrepfer , Valeriana Sblendorio , Mauro Cataldi , Giancarlo Tonon , Gaetano Orsini

We synthesized and tested for biological activity eleven new PEGylated hGH derivatives. To this aim we used different strategies. A first group of PEGylable Cys derivatives was prepared by mutating into Cys single specific aminoacid residues located either in the connecting loop between helices 1 and 2 (Ile36 and Phe44) or in the connecting loop between helices 3 and 4 (Ile138 and Phe146). A second group of mutants was synthetized by inserting new Cys close to the aforementioned positions. Other PEGylable mutants were prepared by inserting a Gly4–Cys chain either at the N- or at the C-terminus of the hGH molecule. Finally, a Cys residue of the second hGH disulfide bond (Cys182–Cys189) was made available for PEGylation by mutating its companion Cys to open up the disulfide bridge. All these mutants were tested for their ability to affect Nb2 cell proliferation in vitro and showed different effects. Two mutations (Phe44Cys and +Cys47) severely impaired and two (Ile138Cys and Phe146Cys) increased hGH bioactivity. The mutation Cys189Ser was functionally silent whereas the remaining mutations caused a 15–50% decrease in activity. 20 kDa-pegylation caused a dramatic decrease in bioactivity in all mutants. The r-hGH-(Ile138Cys)–Cys138–PEG derivative showed the highest activity (15% of wild-type unpegylated hGH) and was selected for pharmacockinetic studies in vivo. It showed a fivefold longer half-life and was significantly more effective than wild-type hGH in causing weight gain when given subcutaneously twice a week to hypophysectomized rats.

In conclusion, even when it is directed to residues supposed to have a marginal role in the activity of this hormone, 20 kDa pegylation has detrimental effect on hGH bioactivity. These effects may be counterbalanced by the increase in half-life as it happens in pegylated Ile138Cys–hGH that could represent a promising new long-acting hGH derivative.

Focal points:

  • Bedside: Current therapy of GH deficiency still has the important limitation of being delivered by daily subcutaneous injections and this reduces the compliance of the small pediatric patients. There is, therefore interest in developing long-acting GH derivative such as the new ones that we present here.

  • Benchside: By investigating the effect of Cys substitutions at aminoacidic positions that had not been investigated in previous studies, we obtained evidence that Ile138 and Phe146 have a role in GH bioactivity in vitro.

  • Industry: The mono-pegylated hGH mutant described in this work represents a promising candidate for human clinical pharmacology studies as long-acting derivative of h-GH.

我们合成了11个新的聚乙二醇化hGH衍生物并进行了生物活性测试。为此,我们采用了不同的策略。第一批具有PEGylable的Cys衍生物通过突变为位于1和2螺旋之间的连接环(Ile36和Phe44)或位于3和4螺旋之间的连接环(Ile138和Phe146)的Cys单个特定氨基酸残基而制备。第二组突变体是通过在上述位置附近插入新的Cys合成的。其他PEGylable突变体是通过在hGH分子的N端或c端插入Gly4-Cys链制备的。最后,第二个hGH二硫键的Cys残基(Cys182-Cys189)通过突变其伴生的Cys来打开二硫桥,从而可用于PEGylation。这些突变体对Nb2细胞的体外增殖能力进行了测试,并表现出不同的影响。两个突变(Phe44Cys和+Cys47)严重受损,两个突变(Ile138Cys和Phe146Cys)增加了hGH的生物活性。突变Cys189Ser在功能上是沉默的,而其余突变导致活性下降15-50%。20kda聚乙二醇化导致所有突变体的生物活性急剧下降。r-hGH-(Ile138Cys) - cys138 - peg衍生物显示出最高的活性(占野生型未聚乙二醇hGH的15%),并被选中进行体内药代动力学研究。它的半衰期是野生型生长激素的五倍,每周两次皮下注射给去垂体的大鼠,在引起体重增加方面明显比野生型生长激素更有效。综上所述,即使是针对在这种激素的活性中应该具有边缘作用的残基,20kda聚乙二醇化也会对hGH的生物活性产生不利影响。这些影响可能被半衰期的增加所抵消,因为它发生在聚乙二醇化的Ile138Cys-hGH中,这可能代表一种有前途的新的长效hGH衍生物。•床边:目前生长激素缺乏症的治疗仍然有一个重要的局限性,即每天进行皮下注射,这降低了小儿科患者的依从性。因此,有兴趣开发长效生长激素衍生物,如我们在这里提出的新产品。•Benchside:通过研究之前没有研究过的氨基酸位置的Cys取代的影响,我们获得了Ile138和Phe146在体外生长激素生物活性中起作用的证据。•行业:本研究中描述的单聚乙二醇hGH突变体代表了人类临床药理学研究中作为长效hGH衍生物的有希望的候选者。•社区:通过减少GH注射的频率,长效GH可以降低GH治疗的成本并增加药物依从性。
{"title":"Preclinical characterization of eleven new Cys-PEGylated hGH mutants","authors":"Fabio Selis ,&nbsp;Stefano Genovese ,&nbsp;Barbara Salis ,&nbsp;Rodolfo Schrepfer ,&nbsp;Valeriana Sblendorio ,&nbsp;Mauro Cataldi ,&nbsp;Giancarlo Tonon ,&nbsp;Gaetano Orsini","doi":"10.1016/j.nhtm.2015.12.002","DOIUrl":"10.1016/j.nhtm.2015.12.002","url":null,"abstract":"<div><p><span>We synthesized and tested for biological activity eleven new PEGylated hGH derivatives. To this aim we used different strategies. A first group of PEGylable Cys derivatives was prepared by mutating into Cys single specific aminoacid residues located either in the connecting loop between helices 1 and 2 (Ile36 and Phe44) or in the connecting loop between helices 3 and 4 (Ile138 and Phe146). A second group of mutants was synthetized by inserting new Cys close to the aforementioned positions. Other PEGylable mutants were prepared by inserting a Gly</span><sub>4</sub><span>–Cys chain either at the N- or at the C-terminus of the hGH molecule. Finally, a Cys residue of the second hGH disulfide<span><span> bond (Cys182–Cys189) was made available for PEGylation by mutating its companion Cys to open up the disulfide bridge. All these mutants were tested for their ability to affect Nb2 </span>cell proliferation in vitro and showed different effects. Two mutations (Phe44Cys and +Cys47) severely impaired and two (Ile138Cys and Phe146Cys) increased hGH bioactivity. The mutation Cys189Ser was functionally silent whereas the remaining mutations caused a 15–50% decrease in activity. 20</span></span> <!-->kDa-pegylation caused a dramatic decrease in bioactivity in all mutants. The r-hGH-(Ile138Cys)–Cys<sup>138</sup>–PEG derivative showed the highest activity (15% of wild-type unpegylated hGH) and was selected for pharmacockinetic studies in vivo. It showed a fivefold longer half-life and was significantly more effective than wild-type hGH in causing weight gain when given subcutaneously twice a week to hypophysectomized rats.</p><p>In conclusion, even when it is directed to residues supposed to have a marginal role in the activity of this hormone, 20<!--> <!-->kDa pegylation has detrimental effect on hGH bioactivity. These effects may be counterbalanced by the increase in half-life as it happens in pegylated Ile138Cys–hGH that could represent a promising new long-acting hGH derivative.</p><p><strong>Focal points:</strong></p><p></p><ul><li><span>•</span><span><p><em>Bedside</em><span><span>: Current therapy of GH deficiency still has the important limitation of being delivered by daily </span>subcutaneous injections and this reduces the compliance of the small pediatric patients. There is, therefore interest in developing long-acting GH derivative such as the new ones that we present here.</span></p></span></li></ul><p></p><ul><li><span>•</span><span><p><em>Benchside</em>: By investigating the effect of Cys substitutions at aminoacidic positions that had not been investigated in previous studies, we obtained evidence that Ile138 and Phe146 have a role in GH bioactivity in vitro.</p></span></li></ul><p></p><ul><li><span>•</span><span><p><em>Industry</em>: The mono-pegylated hGH mutant described in this work represents a promising candidate for human clinical pharmacology studies as long-acting derivative of h-GH.</p></span></li></ul><p></p><ul><li><s","PeriodicalId":90660,"journal":{"name":"New horizons in translational medicine","volume":"2 6","pages":"Pages 147-154"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.nhtm.2015.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75146837","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
Targeting Inflammatory Responses to Streptococcus pneumoniae 针对肺炎链球菌的炎症反应
Pub Date : 2015-09-01 DOI: 10.1016/j.nhtm.2015.09.002
Jimstan Periselneris, Ricardo J. José, Jeremy Brown

Streptococcus pneumoniae is a common cause of infectious morbidity and mortality, causing otitis media, pneumonia, septicaemia, and meningitis. The host inflammatory response is required for clearance of bacteria, but excessive inflammation can mediate bystander tissue damage. The host response is complex; involving initial recognition by pattern recognition receptors, clearance by tissue macrophages and the institution of an inflammatory response. This is orchestrated by the synthesis of a range of cytokines and chemokines that mediate both local and distant inflammatory effects. This causes neutrophil recruitment, upregulation of mucosal immunity, an acute phase response, and eventually the generation of antibodies. Currently, apart from antibiotic initiation, the use of adjuncts is limited to steroids in meningitis, with less evidence for their use in pneumonia. Some antibiotics used in recommended treatment regimens have immunomodulatory effects which may explain their beneficial effects above and beyond their antibacterial functions. By understanding the role of inflammation in pathogenesis better, more targeted approaches are being developed to limit excessive inflammation. Pathways being evaluated include inhibition of chemokines, inhibition of coagulation pathways that crosstalk with inflammatory signalling, and possibly the repurposing of statins to take of advantage of their immunomodulatory effects. All these approaches much strike the balance of reducing excessive inflammation while allowing enough phagocyte recruitment to enable effective bacterial clearance.

Focal Points

  • Bedside: Targeted inhibition of inflammatory pathways may be a useful adjuvant to antibiotic therapy of S. pneumoniae pneumonia and meningitis, to ameliorate host induced tissue damage. Nuance approaches may yield more benefit than broad brush immunosuppression, such as with corticosteroids.

  • Benchside: The dissection of the complex interaction of pathways downstream of S. pneumoniae recognition will allow targeting of specific components of the inflammatory response. This will allow enough inflammation to control bacterial replication, but limit bystander tissue damage.

  • Industry: Several drugs have been trialled for use in sepsis and pneumonia trials to control excessive inflammation that may be effective against S. pneumoniae induced disease. By identifying more effective targets, and identifying the cause of infection early, there is the potential to develop drugs that have therapeutic benefit.

肺炎链球菌是传染性疾病和死亡率的常见原因,可引起中耳炎、肺炎、败血症和脑膜炎。宿主的炎症反应是清除细菌所必需的,但过度的炎症可以介导旁观者组织损伤。宿主的反应很复杂;包括模式识别受体的初始识别,组织巨噬细胞的清除和炎症反应的建立。这是由一系列细胞因子和趋化因子的合成精心策划的,这些细胞因子和趋化因子介导了局部和远处的炎症效应。这导致中性粒细胞募集,粘膜免疫上调,急性期反应,并最终产生抗体。目前,除了开始使用抗生素外,辅助药物的使用仅限于类固醇治疗脑膜炎,其用于肺炎的证据较少。在推荐的治疗方案中使用的一些抗生素具有免疫调节作用,这可能解释了它们的有益作用超出了它们的抗菌功能。通过更好地了解炎症在发病机制中的作用,人们正在开发更有针对性的方法来限制过度炎症。正在评估的途径包括抑制趋化因子,抑制与炎症信号串扰的凝血途径,以及可能重新利用他汀类药物的免疫调节作用。所有这些方法都在减少过度炎症的同时,允许足够的吞噬细胞募集,以实现有效的细菌清除。•床边:靶向抑制炎症途径可能是肺炎链球菌肺炎和脑膜炎抗生素治疗的有用辅助,以改善宿主诱导的组织损伤。细微差别的方法可能比广泛的免疫抑制(如皮质类固醇)产生更多的益处。•Benchside:对肺炎链球菌识别下游通路复杂相互作用的解剖将允许针对炎症反应的特定成分。这将允许足够的炎症来控制细菌的复制,但限制旁观者的组织损伤。•行业:一些药物已用于败血症和肺炎试验,以控制过度炎症,可能对肺炎链球菌引起的疾病有效。通过确定更有效的靶点,并尽早确定感染的原因,就有可能开发出具有治疗效果的药物。
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引用次数: 5
Abstracts: 3rd Annual Congress of the European Society for Translational Medicine (EUSTM-2015) 1-4 September, 2015, Vienna, Austria. 第三届欧洲转化医学学会年会(EUSTM-2015) 2015年9月1-4日,奥地利维也纳。
Pub Date : 2015-09-01 DOI: 10.1016/j.nhtm.2015.12.001
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引用次数: 0
期刊
New horizons in translational medicine
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