Joint analysis of mutational and transcriptional landscapes in human cancer reveals key perturbations during cancer evolution.

BACKGROUND: Tumors are able to acquire new capabilities, including traits such as drug resistance and metastasis that are associated with unfavorable clinical outcomes. Single-cell technologies have made it possible to study both mutational and transcriptomic profiles, but as most studies have been conducted on model systems, little is known about cancer evolution in human patients. Hence, a better understanding of cancer evolution could have important implications for treatment strategies. RESULTS: Here, we analyze cancer evolution and clonal selection by jointly considering mutational and transcriptomic profiles of single cells acquired from tumor biopsies from 49 lung cancer samples and 51 samples with chronic myeloid leukemia. Comparing the two profiles, we find that each clone is associated with a preferred transcriptional state. For metastasis and drug resistance, we find that the number of mutations affecting related genes increases as the clone evolves, while changes in gene expression profiles are limited. Surprisingly, we find that mutations affecting ligand-receptor interactions with the tumor microenvironment frequently emerge as clones acquire drug resistance. CONCLUSIONS: Our results show that lung cancer and chronic myeloid leukemia maintain a high clonal and transcriptional diversity, and we find little evidence in favor of clonal sweeps. This suggests that for these cancers selection based solely on growth rate is unlikely to be the dominating driving force during cancer evolution.

Testosterone Replacement Therapy in Klinefelter Syndrome-Follow-up Study Associating Hemostasis and RNA Expression.

BACKGROUND: Men with Klinefelter syndrome (KS) develop hypergonadotropic hypogonadism, are in need of testosterone replacement therapy (TRT), and present with a more than 4-fold increased risk of thrombosis. TRT in KS has the potential to modify thrombotic risk, but data are scarce. AIM: To assess effects of 18 months of TRT on hemostasis in KS and identify genes associated with the prothrombotic phenotype. METHODS: Untreated and TRT-treated men with KS were included at baseline and matched to healthy controls. TRT was initiated in untreated KS and all groups were reassessed after 18 months of follow-up. Thrombin generation was evaluated with or without thrombomodulin, and fibrin clot lysis was evaluated by turbidity measurements. RNA expression was assessed in blood, fat, and muscle tissue of patients with TRT-treated KS and controls. RESULTS: Thrombin generation with thrombomodulin was slightly increased in untreated KS, but overall KS was not associated with a hypercoagulable state. KS presented with fibrinolytic impairment associated with higher body fat and higher levels of fibrinogen. Eighteen months of TRT in KS was associated with a reduction in body fat and fibrinogen, attenuating the prothrombotic profile. The expression of ENPP4 was higher in men with KS and served as a key player among a group of genes associated with impaired fibrinolysis. CONCLUSION: KS is associated with a specific expression profile contributing to fibrinolytic impairment and increased thrombotic risk in the patients. TRT in patients with KS has the potential for alleviating the prothrombotic phenotype, in particular by reducing body fat and fibrinogen.

Las traumatizaciones transgeneracionales y la mentalización / Les traumatitzacions transgeneracionals i la mentalització / Transgenerational traumatisation and mentalization

Los padres que no lograron elaborar e integrar sus experiencias traumáticas ponen en peligro el desarrollo y la salud psíquica de sus hijos. La transmisión de los trastornos de regulación propia y de la relación dependientes del trauma se realiza a través de diferentes “correas de transmisión”. Los momentos atmosféricos, las fantasías, los sentimientos y las convicciones de los padres traumatizados, el tipo y la calidad de su modo de relacionarse, así como las interacciones concretas con los hijos hacen surgir lo traumático entre padres e hijos. Los procesos traumáticos perturban la capacidad de mentalización de los padres y dificultan o imposibilitan que los hijos consigan desarrollar adecuadamente su competencia mentalizadora. Las intervenciones psicoterapéuticas orientadas a la mentalización en diferentes modalidades (familiar, atención a los padres, individual) pueden ayudar a la elaboración y la resolución de los procesos de transmisión transgeneracional. En este artículo, las consideraciones teóricas se ilustran y acompañan con tres presentaciones de casos.(AU)

Parents who have not been able to process and integrate their traumatic experiences endanger the development and psychological health of their children. The transmission of trauma-dependent self-regulation and relationship disorders takes place via different "transmission belts". Atmospheric moments, fantasies, feelings, and convictions of the traumatised parents, the type and quality of their relationships as well as the concrete interactions with the children give rise to the trauma between parents and children. Traumatic processes disrupt the mentalising capacity of the parents and make it difficult or impossible for the children to develop their mentalising competence adequately. Mentalization-oriented psychotherapeutic interventions in different modalities (family, parenting, individual) can help in the elaboration and resolution of transgenerational transmission processes. In this article, theoretical considerations are illustrated and accompanied by three case presentations.(AU)

Els pares que no van aconseguir elaborar i integrar les seves experiències traumàtiques posen en perill el desenvolupament i la salut psíquica dels fills. La transmissió dels trastorns de regulació pròpia i de la relació dependents del trauma es realitza a través de diferents “corretges de transmissió”. Els moments atmosfèrics, les fantasies, els sentiments i les conviccions dels pares traumatitzats, el tipus i la qualitat de la seva manera de relacionar-se, així com les interaccions concretes amb els fills fan sorgir tot allò que és traumàtic entre pares i fills. Els processos traumàtics pertorben la capacitat de mentalització dels pares i dificulten o impossibiliten que els fills aconsegueixin desenvolupar adequadament la seva competència mentalitzadora. Les intervencions psicoterapèutiques orientades a la mentalització en diferents modalitats (familiar, atenció als pares, individual) poden ajudar a elaborar i resoldre els processos de transmissió transgeneracional. En aquest article, les consideracions teòriques s'il·lustren i acompanyen amb tres presentacions de casos.(AU)

Transcriptomic and Immunophenotypic Characterization of Tumor Immune Microenvironment in Squamous Cell Carcinoma of the Oral Tongue.

The tumor immune microenvironment of oral tongue squamous cell carcinoma may be accountable for differences in clinical behavior, particularly between different age groups. We performed RNA expression profiling and evaluated tumor infiltrating lymphocytes (TILs) and their T-cell subsets in order to assess the functional status of oral tongue squamous cell carcinoma tumor microenvironment and detect potentially clinically useful associations. Archival surgical pathology material from sixteen oral tongue squamous cell carcinoma patients was microscopically evaluated for TIL densities. RNA was extracted from macrodissected whole tumor sections and normal controls and RNA expression profiling was performed by the NanoString PanCancer IO 360 Gene Expression Panel. Immunostains for CD4, CD8 and FOXP3 were evaluated manually and by digital image analysis. Oral tongue squamous cell carcinomas had increased TIL densities, numerically dominated by CD4 + T cells, followed by CD8 + and FOXP3 + T cells. RNA expression profiling of tumors versus normal controls showed tumor signature upregulation in inhibitory immune signaling (CTLA4, TIGIT and PD-L2), followed by inhibitory tumor mechanisms (IDO1, TGF-ß, B7-H3 and PD-L1). Patients older than 44 years showed a tumor microenvironment with increased Tregs and CTLA4 expression. Immunohistochemically assessed CD8% correlated well with molecular signatures related to CD8 + cytotoxic T-cell functions. FOXP3% correlated significantly with CTLA4 upregulation. CTLA4 molecular signature could be predicted by FOXP3% assessed by immunohistochemistry (R2 = 0.619, p = 0.026). Oral tongue squamous cell carcinoma hosts a complex inhibitory immune microenvironment, partially reflected in immunohistochemically quantified CD8 + and FOXP3 + T-cell subsets. Immunohistochemistry can be a useful screening tool for detecting tumors with upregulated expression of the targetable molecule CTLA4.

A Critical Role for Estrogen-Related Receptor Signaling in Cardiac Maturation.

RATIONALE: The heart undergoes dramatic developmental changes during the prenatal to postnatal transition, including maturation of cardiac myocyte energy metabolic and contractile machinery. Delineation of the mechanisms involved in cardiac postnatal development could provide new insight into the fetal shifts that occur in the diseased heart and unveil strategies for driving maturation of stem cell-derived cardiac myocytes. OBJECTIVE: To delineate transcriptional drivers of cardiac maturation. METHODS AND RESULTS: We hypothesized that ERR (estrogen-related receptor) α and γ, known transcriptional regulators of postnatal mitochondrial biogenesis and function, serve a role in the broader cardiac maturation program. We devised a strategy to knockdown the expression of ERRα and γ in heart after birth (pn-csERRα/γ [postnatal cardiac-specific ERRα/γ]) in mice. With high levels of knockdown, pn-csERRα/γ knockdown mice exhibited cardiomyopathy with an arrest in mitochondrial maturation. RNA sequence analysis of pn-csERRα/γ knockdown hearts at 5 weeks of age combined with chromatin immunoprecipitation with deep sequencing and functional characterization conducted in human induced pluripotent stem cell-derived cardiac myocytes (hiPSC-CM) demonstrated that ERRγ activates transcription of genes involved in virtually all aspects of postnatal developmental maturation, including mitochondrial energy transduction, contractile function, and ion transport. In addition, ERRγ was found to suppress genes involved in fibroblast activation in hearts of pn-csERRα/γ knockdown mice. Disruption of Esrra and Esrrg in mice during fetal development resulted in perinatal lethality associated with structural and genomic evidence of an arrest in cardiac maturation, including persistent expression of early developmental and noncardiac lineage gene markers including cardiac fibroblast signatures. Lastly, targeted deletion of ESRRA and ESRRG in hiPSC-CM derepressed expression of early (transcription factor 21 or TCF21) and mature (periostin, collagen type III) fibroblast gene signatures. CONCLUSIONS: ERRα and γ are critical regulators of cardiac myocyte maturation, serving as transcriptional activators of adult cardiac metabolic and structural genes, an.d suppressors of noncardiac lineages including fibroblast determination.

A network-based variable selection approach for identification of modules and biomarker genes associated with end-stage kidney disease.

AIMS: Intervention for end-stage kidney disease (ESKD), which is associated with adverse prognoses and major economic burdens, is challenging due to its complex pathogenesis. The study was performed to identify biomarker genes and molecular mechanisms for ESKD by bioinformatics approach. METHODS: Using the Gene Expression Omnibus dataset GSE37171, this study identified pathways and genomic biomarkers associated with ESKD via a multi-stage knowledge discovery process, including identification of modules of genes by weighted gene co-expression network analysis, discovery of important involved pathways by Gene Ontology and Kyoto Encyclopedia of Genes and Genomes enrichment analyses, selection of differentially expressed genes by the empirical Bayes method, and screening biomarker genes by the least absolute shrinkage and selection operator (Lasso) logistic regression. The results were validated using GSE70528, an independent testing dataset. RESULTS: Three clinically important gene modules associated with ESKD, were identified by weighted gene co-expression network analysis. Within these modules, Gene Ontology and Kyoto Encyclopedia of Genes and Genomes enrichment analyses revealed important biological pathways involved in ESKD, including transforming growth factor-ß and Wnt signalling, RNA-splicing, autophagy and chromatin and histone modification. Furthermore, Lasso logistic regression was conducted to identify five final genes, namely, CNOT8, MST4, PPP2CB, PCSK7 and RBBP4 that are differentially expressed and associated with ESKD. The accuracy of the final model in distinguishing the ESKD cases and controls was 96.8% and 91.7% in the training and validation datasets, respectively. CONCLUSION: Network-based variable selection approaches can identify biological pathways and biomarker genes associated with ESKD. The findings may inform more in-depth follow-up research and effective therapy.

In Silico Characterization and Expression Analysis Of The Alpha Subunit Of The Heteromeric Acetyl-Coenzyme A Carboxylase From Two Microalgae / Caracterización in silico y análisis de la expresión de la subunidad alfa de la acetil-coenzima a carboxilasa heteromérica de dos microalgas

RESUMEN Las microalgas son microorganismos fotosintéticos con gran potencial para abastecer las demandas energéticas mundiales. Sin embargo, los limitados conocimientos que se tienen de estos organismos, en particular a nivel molecular de los procesos metabólicos, han limitado su uso con estos propósitos. En esta investigación se ha realizado el análisis in silico de la subunidad alfa de la acetil-Coenzima A carboxilasa heteromérica (αACCasa), una enzima clave en la biosíntesis de lípidos de las microalgas Chlorella sp. y Scenedesmus sp. Asimismo, se ha medido la expresión de este gen en ambas especies cultivadas en medios deficientes de nitrógeno. Los resultados indican que la αACCasa muestra conservación estructural y funcional en ambas especies de microalgas y su mayor similitud genética con otras especies de microalgas. Asimismo, se ha mostrado que el nivel de expresión del gen se incrementa significativamente cuando las microalgas son cultivadas en ausencia de nitrógeno, lo cual se relaciona a su vez con una mayor acumulación de lípidos microalgales. En conclusión, el análisis in silico de la αACCasa de Chlorella sp. y Scenedesmus sp. presentan características estructurales, funcionales y evolutivas muy similares con otras especies de microalgas y plantas. Asimismo, el estudio revela que en ambas especies el gen se sobreexpresa cuando las microalgas son sometidas a estrés por deficiencia de nitrógeno, el cual se relaciona significativamente con la acumulación de lípidos totales en estas células.

ABSTRACT Microalgae are photosynthetic microorganisms with great potential to supply the world's energy demands. However, the limited knowledge of these organisms, particularly at the molecular level of metabolic processes, has limited their use to these purposes. In this investigation, the in silico analysis of the alpha subunit of the heteromeric acetyl-coenzyme A carboxylase (αACCase), a key enzyme in lipid biosynthesis of microalgae Chlorella sp. and Scenedesmus sp. was carried out. Also, the expression of this gene has been measured in both species cultivated in nitrogen-depleted media. Results indicate that αACCase shows structural and functional conservation in both species of microalgae and their greater genetic similarity with other species of microalgae. Also, it has been shown that the expression levels of this gene are significantly increased when the microalgae are cultured in the absence of nitrogen, which in turn is related to a greater accumulation of microalgal lipids. In conclusion, the in silico analysis of the Chlorella sp. and Scenedesmus sp. αACCase reveals structural, functional and evolutionary characteristics very similar to other microalgae and plant species. Also, the study reveals that in both species the gene is overexpressed when microalgae are subjected to nitrogen deficiency stress, which is significantly related to total lipids accumulation in these cells.

Regulation and Role of EZH2 in Cancer / Journal of the Korean Cancer Association, 대한암학회지

Polycomb repressive complex 2 (PRC2) is the epigenetic regulator that induces histone H3 lysine 27 methylation (H3K27me3) and silences specific gene transcription. Enhancer of zeste homolog 2 (EZH2) is an enzymatic subunit of PRC2, and evidence shows that EZH2 plays an essential role in cancer initiation, development, progression, metastasis, and drug resistance. EZH2 expression is indeed regulated by various oncogenic transcription factors, tumor suppressor miRNAs, and cancer-associated non-coding RNA. EZH2 activity is also controlled by post-translational modifications, which are deregulated in cancer. The canonical role of EZH2 is gene silencing through H3K27me3, but accumulating evidence shows that EZH2 methlyates substrates other than histone and has methylase-independent functions. These non-canonical functions of EZH2 are shown to play a role in cancer progression. In this review, we summarize current information on the regulation and roles of EZH2 in cancer. We also discuss various therapeutic approaches to targeting EZH2.

Beyond DNA Repair: Additional Functions of PARP-1 in Cancer.

Poly(ADP-ribose) polymerases (PARPs) are DNA-dependent nuclear enzymes that transfer negatively charged ADP-ribose moieties from cellular nicotinamide-adenine-dinucleotide (NAD(+)) to a variety of protein substrates, altering protein-protein and protein-DNA interactions. The most studied of these enzymes is poly(ADP-ribose) polymerase-1 (PARP-1), which is an excellent therapeutic target in cancer due to its pivotal role in the DNA damage response. Clinical studies have shown susceptibility to PARP inhibitors in DNA repair defective cancers with only mild adverse side effects. Interestingly, additional studies are emerging which demonstrate a role for this therapy in DNA repair proficient tumors through a variety of mechanisms. In this review, we will discuss additional functions of PARP-1 - including regulation of inflammatory mediators, cellular energetics and death pathways, gene transcription, sex hormone- and ERK-mediated signaling, and mitosis - and the role these PARP-1-mediated processes play in oncogenesis, cancer progression, and the development of therapeutic resistance. As PARP-1 can act in both a pro- and anti-tumor manner depending on the context, it is important to consider the global effects of this protein in determining when, and how, to best use PARP inhibitors in anticancer therapy.

Glucocorticoid receptor phosphorylation: The pathophysiological significance / 第二军医大学学报

Glucocorticoid (GC) has important physiological and pharmacological effects, which are mainly mediated by the GC receptor (GR). As a ligand-dependent transcriptional factor, GR activity is regulated by phosphorylation as well as GC; it is subject to hormone-dependent and -independent phosphorylation on several serine and threonine residues, especially in the N terminus. The GR is phosphorylated by cell-specific kinases such as cyclin-dependent kinases (CDKs), glycogen synthase kinase 3β (GSK3J7beta;) and mitogen-activated protein kinases (MAPKs). Phosphorylation regulates signaling and transcriptional activity of GR, thereby modulates the response of cells to GC and may be involved in the development and progression of diseases. Here we reviewed the recent research on GR phosphorylation and its pathophysiological significance.

MicroARNs: una visión molecular / MicroRNA (miRNA): A molecular view

Los microARNs son ARN pequeños de aproximadamente 22 nucleótidos de longitud que participan en la regulación de muchos procesos celulares y, su alteración está asociada con el desarrollo de diferentes patologías, especialmente cáncer. Gracias al uso de las herramientas de bioinformática es posible determinar su distribución en el genoma y sus funciones en diferentes tejidos. La mayoría de microARNs son producidos en una vía canónica a partir de un transcripto primario largo, en un proceso secuencial de dos reacciones guiadas principalmente por dos enzimas, Drosha en el núcleo y Dicer en el citoplasma. Sin embargo, actualmente han sido descritas algunas vías no canónicas de generación de microARNs. El objetivo de esta revisión es describir el proceso de generación de microARNs y la maquinaria involucrada en su generación con el propósito de lograr alcanzar un mejor entendimiento de los diferentes procesos en los cuales están involucrados. Salud UIS 2011; 43 (3): 289-297.

MicroRNAs are small RNAs of approximately 22 nucleotides in length that participate in the regulation of many cellular processes and it alteration is associated with the development of different pathologies in particular, cancer. Using bioinformatics tools is possible determine their wide distribution in the genome and their functions in different tissues. Mostly of microRNAs are produced in a canonical way from a long primary transcript, in a sequential process of two reactions guided mostly by two enzymes: Drosha in the nucleus and Dicer in the cytoplasm. However, it has been described some pathways non-canonical for the generation of microRNAs. The aim of this review is to describe the generation process of microRNAs and the machinery involved in their generation for the purpose of achieving a better understanding of the different processes they are involved. Salud UIS 2011; 43 (3): 289-297.