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1.
bioRxiv ; 2024 May 18.
Article in English | MEDLINE | ID: mdl-38798358

ABSTRACT

B cell activation is accompanied by dynamic metabolic reprogramming, supported by a multitude of nutrients that include glucose, amino acids and fatty acids. While several studies have indicated that fatty acid mitochondrial oxidation is critical for immune cell functions, contradictory findings have been reported. Carnitine palmitoyltransferase II (CPT2) is a critical enzyme for long-chain fatty acid oxidation in mitochondria. Here, we test the requirement of CPT2 for humoral immunity using a mouse model with a lymphocyte specific deletion of CPT2. Stable 13C isotope tracing reveals highly reduced fatty acid-derived citrate production in CPT2 deficient B cells. Yet, CPT2 deficiency has no significant impact on B cell development, B cell activation, germinal center formation, and antibody production upon either thymus-dependent or -independent antigen challenges. Together, our findings indicate that CPT2 mediated fatty acid oxidation is dispensable for humoral immunity, highlighting the metabolic flexibility of lymphocytes.

2.
Cell Rep ; 43(2): 113746, 2024 Feb 27.
Article in English | MEDLINE | ID: mdl-38329873

ABSTRACT

Lactic acid has emerged as an important modulator of immune cell function. It can be produced by both gut microbiota and the host metabolism at homeostasis and during disease states. The production of lactic acid in the gut microenvironment is vital for tissue homeostasis. In the present study, we examined how lactic acid integrates cellular metabolism to shape the epigenome of macrophages during pro-inflammatory response. We found that lactic acid serves as a primary fuel source to promote histone H3K27 acetylation, which allows the expression of immunosuppressive gene program including Nr4a1. Consequently, macrophage pro-inflammatory function was transcriptionally repressed. Furthermore, the histone acetylation induced by lactic acid promotes a form of long-term immunosuppression ("trained immunosuppression"). Pre-exposure to lactic acid induces lipopolysaccharide tolerance. These findings thus indicate that lactic acid sensing and its effect on chromatin remodeling in macrophages represent a key homeostatic mechanism that can provide a tolerogenic tissue microenvironment.


Subject(s)
Histones , Lactic Acid , Acetylation , Gene Expression , Macrophages
3.
Sci Adv ; 9(46): eadi2414, 2023 11 17.
Article in English | MEDLINE | ID: mdl-37967193

ABSTRACT

Patients with advanced cancers who either do not experience initial response to or progress while on immune checkpoint inhibitors (ICIs) receive salvage radiotherapy to reduce tumor burden and tumor-related symptoms. Occasionally, some patients experience substantial global tumor regression with a rebound of cytotoxic CD8+ T cells. We have termed the rebound of cytotoxic CD8+ T cells in response to salvage therapy as T cell resilience and examined the underlying mechanisms of resilience. Resilient T cells are enriched for CX3CR1+ CD8+ T cells with low mitochondrial membrane potential, accumulate less reactive oxygen species (ROS), and express more malic enzyme 1 (ME1). ME1 overexpression enhanced the cytotoxicity and expansion of effector CD8+ T cells partially via the type I interferon pathway. ME1 also increased mitochondrial respiration while maintaining the redox state balance. ME1 increased the cytotoxicity of peripheral lymphocytes from patients with advanced cancers. Thus, preserved resilient T cells in patients rebound after salvage therapy and ME1 enhances their resiliency.


Subject(s)
Antineoplastic Agents , Neoplasms , Humans , CD8-Positive T-Lymphocytes , Up-Regulation , Salvage Therapy , Neoplasms/drug therapy
4.
ACS Appl Mater Interfaces ; 15(48): 56057-56063, 2023 Dec 06.
Article in English | MEDLINE | ID: mdl-38009945

ABSTRACT

Metal-organic frameworks (MOFs) are attractive materials with periodic pore structures constructed by coordinating metal ions and organic ligands. Recently, Cu3(HHTP)2 (HHTP = 2,3,6,7,10,11-hexahydroxytriphenylene), a two-dimensional conductive MOF, has attracted attention as a promising device material. Owing to the anisotropy of Cu3(HHTP)2 properties, oriented thin films of this MOF are desired for evaluating its physical properties and device integration. To date, wet processes have been used to fabricate Cu3(HHTP)2 films, whereas dry processes are essential for high-quality devices. However, oriented Cu3(HHTP)2 thin films have not yet been fabricated by using dry processes. In this study, we succeed in fabricating an orientation-controlled Cu3(HHTP)2 film on Al2O3 (001) by using a two-step dry process involving (1) the multilayer deposition of copper acetate and HHTP using a vapor deposition system and (2) pyridine vapor-assisted annealing. In-plane and out-of-plane X-ray diffraction patterns confirm the successful fabrication of the (001)-oriented Cu3(HHTP)2 films. The conductivity evaluated by four-probe measurements is 2.6 × 10-2 S cm-1, comparable to that of films fabricated by wet processes. This study provides a novel guideline for the orientation control of two-dimensional conductive MOF thin films via a dry process.

5.
J Control Release ; 358: 541-554, 2023 06.
Article in English | MEDLINE | ID: mdl-37182805

ABSTRACT

Boosting the metabolism of immune cells while restricting cancer cell metabolism is challenging. Herein, we report that using biomaterials for the controlled delivery of succinate metabolite to phagocytic immune cells activates them and modulates their metabolism in the presence of metabolic inhibitors. In young immunocompetent mice, polymeric microparticles, with succinate incorporated in the backbone, induced strong pro-inflammatory anti-melanoma responses. Administration of poly(ethylene succinate) (PES MP)-based vaccines and glutaminase inhibitor to young immunocompetent mice with aggressive and large, established B16F10 melanoma tumors increased their survival three-fold, a result of increased cytotoxic T cells expressing RORγT (Tc17). Mechanistically, PES MPs directly modulate glutamine and glutamate metabolism, upregulate succinate receptor SUCNR1, activate antigen presenting cells through and HIF-1alpha, TNFa and TSLP-signaling pathways, and are dependent on alpha-ketoglutarate dehydrogenase for their activity, which demonstrates correlation of succinate delivery and these pathways. Overall, our findings suggest that immunometabolism-modifying PES MP strategies provide an approach for developing robust cancer immunotherapies.


Subject(s)
Cancer Vaccines , Melanoma , Animals , Mice , Polymers , Succinic Acid/metabolism , Immunotherapy , Signal Transduction , Dendritic Cells
6.
J Phys Chem Lett ; 13(43): 10169-10174, 2022 Nov 03.
Article in English | MEDLINE | ID: mdl-36279198

ABSTRACT

Calcium compounds with N and H are promising catalysts for NH3 conversion, and their epitaxial thin films provide a platform to quantitatively understand the catalytic activities. Here we report the selective epitaxial growth of Ca2NH and CaNH thin films by controlling the hydrogen partial pressure (PH2) during reactive magnetron sputtering. We find that the hydrogen charge states can be tuned by PH2: Ca2NH containing H- is formed at PH2 < 0.04 Pa, while CaNH containing H+ is formed at PH2 > 0.04 Pa. In situ plasma emission spectroscopy reveals that the intensity of the Ca atomic emission (∼422 nm) decreases as PH2 increases, suggesting that Ca reacts with H2 and N2 to form Ca2NH at lower PH2, whereas at higher PH2, CaHx is first formed on the target surface and then sputtered to produce CaNH. This study provides a novel route to control the hydrogen charge states in Ca-N-H epitaxial thin films.

7.
ACS Appl Mater Interfaces ; 14(30): 34620-34626, 2022 Aug 03.
Article in English | MEDLINE | ID: mdl-35861531

ABSTRACT

Low interfacial resistance between the solid sulfide electrolyte and the electrode is critical for developing all-solid-state Li batteries; however, the origin of interfacial resistance has not been quantitatively reported in the literature. This study reports the resistance values across the interface between an amorphous Li3PS4 solid electrolyte and a LiCoO2(001) epitaxial thin film electrode in a thin-film Li battery model. High interfacial resistance is observed, which is attributed to the spontaneous formation of an interfacial layer between the solid electrolyte and the positive electrode upon contact. That is, the interfacial resistance originates from an interphase mixed layer instead of a space charge layer. The introduction of a 10 nm thick Li3PO4 buffer layer between the solid electrolyte and positive electrode layers suppresses the formation of the interphase mixed layer, thereby leading to a 2800-fold decrease in the interfacial resistance. These results provide insight into reducing the interfacial resistance of all-solid-state Li batteries with sulfide electrolytes by utilizing buffer layers.

8.
Am J Hematol ; 97(7): 895-902, 2022 07.
Article in English | MEDLINE | ID: mdl-35481878

ABSTRACT

Altered energy metabolism and changes in glycolytic and oxidative phosphorylation pathways are hallmarks of all cancer cells. The expression of select genes associated with the production of various enzymes and proteins involved in glycolysis and oxidative phosphorylation were assessed in the clonal plasma cells derived from patients with newly diagnosed multiple myeloma (NDMM) enrolled in the Multiple Myeloma Research Foundation (MMRF) CoMMpass data set. A scoring system consisting of assigning a point for every gene where their fragments per kilobase of transcript per million (FPKM) was above the median yielded a minimum of 0 and a maximum of 12 for the set of genes in the glycolytic and oxidative phosphorylation pathways to create a total energy metabolism molecular signature (EMMS) score. This EMMS score was independently associated with worse progression free survival (PFS) and overall survival (OS) outcomes of patients with NDMM. A higher EMMS score was more likely to be present in clonal plasma cells derived from Multiple myeloma (MM) patients than those from patients with monoclonal gammopathy of undetermined significance (MGUS). This was functionally confirmed by the clonal plasma cells from MM patients having a higher rate of mitochondrial and glycolysis-derived ATP formation than clonal plasma cells from MGUS patients. Thus, this study provides evidence for the effect of energy metabolism within clonal plasma cells on pathogenesis and outcomes of patients with MM. Exploiting the energy-producing metabolic pathways within clonal plasma cells for diagnostic and therapeutic purposes in MM should be explored in the future.


Subject(s)
Monoclonal Gammopathy of Undetermined Significance , Multiple Myeloma , Disease Progression , Energy Metabolism/genetics , Humans , Monoclonal Gammopathy of Undetermined Significance/diagnosis , Multiple Myeloma/complications , Multiple Myeloma/genetics , Multiple Myeloma/therapy , Plasma Cells/pathology , Transcriptome
9.
ACS Appl Mater Interfaces ; 14(2): 2703-2710, 2022 Jan 19.
Article in English | MEDLINE | ID: mdl-34991318

ABSTRACT

The origin of electrical resistance at the interface between the positive electrode and solid electrolyte of an all-solid-state Li battery has not been fully determined. It is well known that the interface resistance increases when the electrode surface is exposed to air. However, an effective method of reducing this resistance has not been developed. This report demonstrates that drastic reduction of the resistance is achievable by annealing the entire battery cell. Exposing the LiCoO2 positive electrode surface to H2O vapor increases the resistance by more than 10 times (to greater than 136 Ω cm2). The magnitude can be reduced to the initial value (10.3 Ω cm2) by annealing the sample in a battery form. First-principles calculations reveal that the protons incorporated into the LiCoO2 structure are spontaneously deintercalated during annealing to restore the low-resistance interface. These results provide fundamental insights into the fabrication of high-performance all-solid-state Li batteries.

10.
Nano Lett ; 21(23): 10086-10091, 2021 Dec 08.
Article in English | MEDLINE | ID: mdl-34807612

ABSTRACT

In electrochemical devices, it is important to control the ionic transport between the electrodes and solid electrolytes. However, it is difficult to tune the transport without applying an electric field. This paper presents a method to modulate the transport via tuning of the electrochemical potential difference by controlling the electronic states at the interfaces. We fabricated thin-film solid-state Li batteries using LiTi2O4 thin films as positive electrodes. The spontaneous Li-ion transport between the solid electrolyte and LiTi2O4 is controlled by tuning the electrochemical potential difference via use of an electrically conducting Nb-doped SrTiO3 substrate. This study establishes the foundation for rectifying the ionic transport via electronic energy band alignment.

11.
Nat Metab ; 3(7): 954-968, 2021 07.
Article in English | MEDLINE | ID: mdl-34226744

ABSTRACT

Pharmacological activation of the glycolytic enzyme PKM2 or expression of the constitutively active PKM1 isoform in cancer cells results in decreased lactate production, a phenomenon known as the PKM2 paradox in the Warburg effect. Here we show that oxaloacetate (OAA) is a competitive inhibitor of human lactate dehydrogenase A (LDHA) and that elevated PKM2 activity increases de novo synthesis of OAA through glutaminolysis, thereby inhibiting LDHA in cancer cells. We also show that replacement of human LDHA with rabbit LDHA, which is relatively resistant to OAA inhibition, eliminated the paradoxical correlation between the elevated PKM2 activity and the decreased lactate concentration in cancer cells treated with a PKM2 activator. Furthermore, rabbit LDHA-expressing tumours, compared to human LDHA-expressing tumours in mice, displayed resistance to the PKM2 activator. These findings describe a mechanistic explanation for the PKM2 paradox by showing that OAA accumulates and inhibits LDHA following PKM2 activation.


Subject(s)
Oxaloacetic Acid/metabolism , Pyruvate Kinase/metabolism , Animals , Cell Line, Tumor , Cytosol/metabolism , Enzyme Activation , Enzyme Inhibitors/pharmacology , Gene Expression Regulation , Glucose/metabolism , Glycolysis , Humans , Lactate Dehydrogenase 5/antagonists & inhibitors , Lactate Dehydrogenase 5/metabolism , Mice , Pyruvate Kinase/genetics , Rabbits
12.
Nano Lett ; 21(13): 5572-5577, 2021 Jul 14.
Article in English | MEDLINE | ID: mdl-34133187

ABSTRACT

Solid-state Li batteries using 5 V-class positive electrode materials display a higher energy density. However, the high resistance at the interface of the electrolyte and positive electrode (interface resistance, Ri) hinders their practical applications. Here, we report the relaxation of Ri between a solid electrolyte (Li3PO4) and a 5 V-class electrode (LiCo0.5Mn1.5O4). Although Ri is small at the Mn3+/4+ redox voltage of 4.0 V vs Li/Li+ (11 Ω cm2), it rapidly increases by more than 2 orders of magnitude as the voltage increases above the Co3+/4+ redox voltage of 5.2 V vs Li/Li+. After the applied voltage is reduced to 4.0 V vs Li/Li+, Ri decays to the original value after 3 h. The relaxation of Ri after exposure to high voltages suggests that the increase in Ri above 5 V vs Li/Li+ is attributable to the formation of an interfacial layer at the LPO/LCMO interface.

13.
Blood Cancer Discov ; 2(2): 162-185, 2021 03.
Article in English | MEDLINE | ID: mdl-33860275

ABSTRACT

MYC oncoproteins regulate transcription of genes directing cell proliferation, metabolism and tumorigenesis. A variety of alterations drive MYC expression in acute myeloid leukemia (AML) and enforced MYC expression in hematopoietic progenitors is sufficient to induce AML. Here we report that AML and myeloid progenitor cell growth and survival rely on MYC-directed suppression of Transcription Factor EB (TFEB), a master regulator of the autophagy-lysosome pathway. Notably, although originally identified as an oncogene, TFEB functions as a tumor suppressor in AML, where it provokes AML cell differentiation and death. These responses reflect TFEB control of myeloid epigenetic programs, by inducing expression of isocitrate dehydrogenase-1 (IDH1) and IDH2, resulting in global hydroxylation of 5-methycytosine. Finally, activating the TFEB-IDH1/IDH2-TET2 axis is revealed as a targetable vulnerability in AML. Thus, epigenetic control by a MYC-TFEB circuit dictates myeloid cell fate and is essential for maintenance of AML.


Subject(s)
Basic Helix-Loop-Helix Leucine Zipper Transcription Factors , Isocitrate Dehydrogenase , Leukemia, Myeloid, Acute , Proto-Oncogene Proteins c-myc , Signal Transduction , Basic Helix-Loop-Helix Leucine Zipper Transcription Factors/genetics , Cell Differentiation/genetics , Epigenesis, Genetic , Humans , Isocitrate Dehydrogenase/genetics , Leukemia, Myeloid, Acute/genetics , Mutation , Proto-Oncogene Proteins c-myc/genetics
14.
ACS Appl Mater Interfaces ; 13(13): 15746-15754, 2021 Apr 07.
Article in English | MEDLINE | ID: mdl-33764742

ABSTRACT

Understanding electronic and ionic transport across interfaces is crucial for designing high-performance electric devices. The adjustment of work functions is critical for band alignment at the interfaces of metals and semiconductors. However, the electronic structures at the interfaces of metals and mixed conductors, which conduct both electrons and ions, remain poorly understood. This study reveals that a Schottky barrier is present at the interface of the Nb-doped SrTiO3 metal and a LiCoO2 mixed conductor and that the interfacial resistance can be tuned by inserting an electric dipole layer. The interfacial resistance significantly decreased (by more than 5 orders of magnitude) upon the insertion of a 1 nm thick insulating LaAlO3 layer at the interface. We apply these techniques to solid-state lithium batteries and demonstrate that tuning the electronic energy band alignment by interfacial engineering is applicable to the interfaces of metals and mixed conductors. These results highlight the importance of designing positive electrode and current collector interfaces for solid-state lithium batteries with high power density.

15.
ACS Appl Mater Interfaces ; 13(4): 5861-5865, 2021 Feb 03.
Article in English | MEDLINE | ID: mdl-33494591

ABSTRACT

Solid-state lithium (Li) batteries using spinel-oxide electrode materials such as LiNi0.5Mn1.5O4 are promising power supplies for mobile devices and electric vehicles. Here, we demonstrate stable battery cycling between the Li0Ni0.5Mn1.5O4 and Li2Ni0.5Mn1.5O4 phases with working voltages of approximately 2.9 and 4.7 V versus Li/Li+ in solid-state Li batteries with contamination-free clean Li3PO4/LiNi0.5Mn1.5O4 interfaces. This clean interface has the effect of doubling the capacity of conventional battery cycling between the Li0Ni0.5Mn1.5O4 and Li1Ni0.5Mn1.5O4 phases. We also investigated the structural changes between the Li0Ni0.5Mn1.5O4 and Li2Ni0.5Mn1.5O4 phases during battery cycling. Furthermore, we found an inhomogeneous distribution of the Li2Ni0.5Mn1.5O4 phase in the LiNi0.5Mn1.5O4 electrode, induced by spontaneous Li migration after the formation of the Li3PO4/LiNi0.5Mn1.5O4 interface. These results indicate that the formation of a contamination-free clean Li3PO4/LiNi0.5Mn1.5O4 interface is key to increase the battery capacity.

16.
Cell Rep ; 34(1): 108601, 2021 01 05.
Article in English | MEDLINE | ID: mdl-33406440

ABSTRACT

Immune cells can metabolize glucose, amino acids, and fatty acids (FAs) to generate energy. The roles of different FA species and their impacts on humoral immunity remain poorly understood. Here, we report that proliferating B cells require monounsaturated FAs (MUFAs) to maintain mitochondrial metabolism and mTOR activity and to prevent excessive autophagy and endoplasmic reticulum (ER) stress. Furthermore, B cell-extrinsic stearoyl-CoA desaturase (SCD) activity generates MUFA to support early B cell development and germinal center (GC) formation in vivo during immunization and influenza infection. Thus, SCD-mediated MUFA production is critical for humoral immunity.


Subject(s)
B-Lymphocytes/physiology , Fatty Acids, Monounsaturated/immunology , Fatty Acids, Monounsaturated/metabolism , Immunity, Humoral , Mitochondria/physiology , Stearoyl-CoA Desaturase/physiology , TOR Serine-Threonine Kinases/metabolism , Animals , Autophagy , Endoplasmic Reticulum Stress , Gene Knockout Techniques , Mice , Mice, Inbred C57BL , Mice, Transgenic , Orthomyxoviridae/immunology , Orthomyxoviridae Infections/immunology , TOR Serine-Threonine Kinases/immunology
17.
Cancer Metab ; 8(1): 29, 2020 Dec 11.
Article in English | MEDLINE | ID: mdl-33308307

ABSTRACT

BACKGROUND: Overexpression of c-Myc is required for the progression of pre-malignant plasma cells in monoclonal gammopathy of undetermined significance (MGUS) to malignant plasma cells in multiple myeloma (MM). c-Myc also increases glutamine anaplerosis into the tricarboxylic acid (TCA) cycle within cancer cells. Whether increased glutamine anaplerosis is associated with the progression of pre-malignant to malignant plasma cells is unknown. METHODS: Human volunteers (N = 7) and patients with MGUS (N = 11) and MM (N = 12) were prospectively recruited to undergo an intravenous infusion of 13C-labeled glutamine followed by a bone marrow aspiration to obtain bone marrow cells and plasma. RESULTS: Despite notable heterogeneity, stable isotope-resolved metabolomics (SIRM) revealed that the mean 13C-labeled glutamine anaplerosis into the TCA cycle was higher in malignant compared to pre-malignant bone marrow plasma cells relative to the remainder of their paired bone marrow mononuclear cells. RNA sequencing demonstrated a higher relative mRNA expression of c-Myc and glutamine transporters such as ASCT2 and SN2 in malignant compared to pre-malignant bone marrow plasma cells. Finally, higher quantitative levels of TCA cycle intermediates in the bone marrow plasma differentiated MM from MGUS patients. CONCLUSION: Measurement of the in vivo activity of glutamine anaplerosis into the TCA cycle provides novel insight into the metabolic changes associated with the transformation of pre-malignant plasma cells in MGUS to malignant plasma cells in MM. TRIAL REGISTRATION: NCT03384108 and NCT03119883.

18.
Nano Lett ; 20(11): 8200-8204, 2020 Nov 11.
Article in English | MEDLINE | ID: mdl-33111521

ABSTRACT

There is an urgent need to develop solid electrolytes based on organic molecular crystals for application in energy devices. However, the quest for molecular crystals with high Li-ion conductivity is still in its infancy. In this study, the high Li-ion conductivity of a Li{N(SO2F)2}(NCCH2CH2CN)2 molecular crystal is reported. The crystal shows a Li-ion conductivity of 1 × 10-4 S cm-1 at 30 °C and 1 × 10-5 S cm-1 at -20 °C, with a low activation energy of 28 kJ mol-1. The conductivity at 30 °C is one of the highest values attainable by molecular crystals, whereas that at -20 °C is approximately 2 orders of magnitude higher than previously reported values. Furthermore, the all-solid-state Li-battery fabricated using this solid electrolyte demonstrates stable cycling, thereby maintaining 90% of the initial capacity after 100 charge-discharge cycles. The finding of high Li-ion conductivity in molecular crystals paves the way for their application in all-solid-state Li-batteries.

19.
ACS Omega ; 5(37): 23520-23523, 2020 Sep 22.
Article in English | MEDLINE | ID: mdl-32984670

ABSTRACT

We demonstrate that the surface of an α-Al2O3(001) single crystal recrystallizes to α-AlO(OH) under ultrahigh pressure (8 GPa) at 600 °C. The recrystallization depends on the degree of surface roughness. A polished surface topotaxially recrystallizes to (100)-oriented α-AlO(OH) microcrystals, while unpolished surface recrystallizes to polycrystalline α-AlO(OH). This study demonstrates a new synthetic route to obtain oriented crystals of ultrahigh-pressure-phase materials and paves the way for the investigations of the physical and chemical properties of such materials.

20.
Sci Rep ; 10(1): 10250, 2020 06 24.
Article in English | MEDLINE | ID: mdl-32581232

ABSTRACT

Oncogenic drivers of progression of monoclonal gammopathy of undetermined significance (MGUS) to multiple myeloma (MM) such as c-MYC have downstream effects on intracellular metabolic pathways of clonal plasma cells (PCs). Thus, extracellular environments such as the bone marrow (BM) plasma likely have unique metabolite profiles that differ from patients with MGUS compared to MM. This study utilized an untargeted metabolite and targeted complex lipid profiling of BM plasma to identify significant differences in the relative metabolite levels between patients with MGUS and MM from an exploratory cohort. This was followed by verification of some of the metabolite differences of interest by targeted quantification of the metabolites using isotopic internal standards in the exploratory cohort as well as an independent validation cohort. Significant differences were noted in the amino acid profiles such as decreased branch chain amino acids (BCAAs) and increased catabolism of tryptophan to the active kynurenine metabolite 3-hydroxy-kynurenine between patients with MGUS and MM. A decrease in the total levels of complex lipids such as phosphatidylethanolamines (PE), lactosylceramides (LCER) and phosphatidylinositols (PI) were also detected in the BM plasma samples from MM compared to MGUS patients. Thus, metabolite and complex lipid profiling of the BM plasma identifies differences in levels of metabolites and lipids between patients with MGUS and MM. This may provide insight into the possible differences of the intracellular metabolic pathways of their clonal PCs.


Subject(s)
Metabolomics/methods , Monoclonal Gammopathy of Undetermined Significance/diagnosis , Multiple Myeloma/diagnosis , Plasma Cells/metabolism , Amino Acids, Branched-Chain/analysis , Diagnosis, Differential , Humans , Kynurenine/analysis , Lactosylceramides/analysis , Lipidomics/methods , Monoclonal Gammopathy of Undetermined Significance/metabolism , Multiple Myeloma/blood , Multiple Myeloma/metabolism , Phosphatidylethanolamines/analysis , Phosphatidylinositols/analysis , Prospective Studies
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