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http://www.ncbi.nlm.nih.gov/pubmed/28203581
1. J Investig Med High Impact Case Rep. 2017 Feb 1;5(1):2324709617691307. doi: 10.1177/2324709617691307. eCollection 2017 Jan-Mar. Long-Term Response and Possible Cure of Patients With B-Cell Malignancies With Dose-Escalated Rituximab. Jacobs LM(1), Wiernik PH(2), Dutcher JP(2), Muxi P(3). Author information: (1)George Washington University, Washington, DC, USA. (2)Cancer Research Foundation of New York, Chappaqua, NY, USA. (3)British Hospital, Montevideo, Uruguay. Rituximab (R), a chimeric monoclonal antibody targeting CD20 antigen on B-cells, has become a standard of care in the treatment of B-cell malignancies, most often in conjunction with cytotoxic chemotherapy. Activity has been demonstrated in many subtypes of B-cell lymphoma, including diffuse large cell lymphoma, follicular lymphoma (FL), mantle cell lymphoma (MCL), chronic lymphocytic leukemia (CLL), lymphocyte-predominant Hodgkin lymphoma, and Waldenström macroglobulinemia (WM). Additionally, dose escalation of R as a single agent has demonstrated improved activity in previously treated/poor prognosis CLL. We present 4 cases of B-cell malignancy (2 CLL variants/MCL, 1 FL, 1 WM) who received dose-escalated R as a single agent and achieved complete response (3 patients) and stable disease/partial response (1 patient) of 6.5+ to 15+ years duration. They have been off treatment for 6.5+ to 15+ years. Toxicity was minimal, with initial infusion reactions similar to those observed with standard dose infusions. There were no serious treatment-related adverse events or infections. Dose escalated R as a single agent may possibly be curative for some patients with B-cell malignancies, unlike the standard empiric dose of 375 mg/m2, and deserves further study. DOI: 10.1177/2324709617691307 PMCID: PMC5298442 PMID: 28203581 Conflict of interest statement: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
http://www.ncbi.nlm.nih.gov/pubmed/29174092
1. Eur J Med Genet. 2018 Mar;61(3):145-151. doi: 10.1016/j.ejmg.2017.11.008. Epub 2017 Nov 23. Rare copy number variants identified in prune belly syndrome. Boghossian NS(1), Sicko RJ(2), Giannakou A(3), Dimopoulos A(3), Caggana M(2), Tsai MY(4), Yeung EH(3), Pankratz N(4), Cole BR(4), Romitti PA(5), Browne ML(6), Fan R(7), Liu A(3), Kay DM(2), Mills JL(3). Author information: (1)Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States; Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, United States. Electronic address: nboghoss@mailbox.sc.edu. (2)Division of Genetics, Wadsworth Center, Department of Health, Albany, NY, United States. (3)Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, United States. (4)Department of Laboratory Medicine and Pathology, University of Minnesota Medical School, Minneapolis, MN, United States. (5)Department of Epidemiology, College of Public Health, The University of Iowa, Iowa City, IA, United States. (6)New York State Department of Health, Congenital Malformations Registry, Albany, NY, United States; University at Albany School of Public Health, Rensselaer, NY, United States. (7)Department of Biostatistics, Bioinformatics, and Biomathematics, Georgetown University Medical Center (GUMC), Washington, DC, United States. Prune belly syndrome (PBS), also known as Eagle-Barrett syndrome, is a rare congenital disorder characterized by absence or hypoplasia of the abdominal wall musculature, urinary tract anomalies, and cryptorchidism in males. The etiology of PBS is largely unresolved, but genetic factors are implicated given its recurrence in families. We examined cases of PBS to identify novel pathogenic copy number variants (CNVs). A total of 34 cases (30 males and 4 females) with PBS identified from all live births in New York State (1998-2005) were genotyped using Illumina HumanOmni2.5 microarrays. CNVs were prioritized if they were absent from in-house controls, encompassed ≥10 consecutive probes, were ≥20 Kb in size, had ≤20% overlap with common variants in population reference controls, and had ≤20% overlap with any variant previously detected in other birth defect phenotypes screened in our laboratory. We identified 17 candidate autosomal CNVs; 10 cases each had one CNV and four cases each had two CNVs. The CNVs included a 158 Kb duplication at 4q22 that overlaps the BMPR1B gene; duplications of different sizes carried by two cases in the intron of STIM1 gene; a 67 Kb duplication 202 Kb downstream of the NOG gene, and a 1.34 Mb deletion including the MYOCD gene. The identified rare CNVs spanned genes involved in mesodermal, muscle, and urinary tract development and differentiation, which might help in elucidating the genetic contribution to PBS. We did not have parental DNA and cannot identify whether these CNVs were de novo or inherited. Further research on these CNVs, particularly BMP signaling is warranted to elucidate the pathogenesis of PBS. Copyright © 2017 Elsevier Masson SAS. All rights reserved. DOI: 10.1016/j.ejmg.2017.11.008 PMCID: PMC5803418 PMID: 29174092 [Indexed for MEDLINE] Conflict of interest statement: Conflict of interest: None.
http://www.ncbi.nlm.nih.gov/pubmed/26604506
1. J Oral Maxillofac Pathol. 2015 May-Aug;19(2):255-9. doi: 10.4103/0973-029X.164545. Ill-fitting dentures as primary presentation of mantle cell lymphoma: A case report and literature review of the primary mantle cell lymphomas of the hard palate. Dereci Ö(1), Ay S(1), Açıkalın MF(2), Karagülle M(3). Author information: (1)Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Eskişehir Osmangazi University, Eskişehir, Turkey. (2)Department of Pathology, Eskişehir Osmangazi University, Eskişehir, Turkey. (3)Department of Hematology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey. Mantle cell lymphoma (MCL) is a subtype of B-cell non-Hodgkin's lymphoma seen predominantly in males. Common extra-nodal sites of involvement of MCL are Waldeyer's ring, gastrointestinal tract, bone marrow and peripheral blood. The extra-nodal palatal localization of MCL is quite uncommon. MCL is seen in predominantly older patients, therefore undiagnosed MCL patients are likely to have total prosthesis. In this study, a case of MCL, initially presenting as palatal swelling was reported with relevant literature review and the possible role of dental professionals in the diagnosis of this rare entity was discussed. DOI: 10.4103/0973-029X.164545 PMCID: PMC4611938 PMID: 26604506
http://www.ncbi.nlm.nih.gov/pubmed/10942246
1. Leukemia. 2000 Aug;14(8):1483-9. doi: 10.1038/sj.leu.2401829. Mantle cell lymphoma proliferates upon IL-10 in the CD40 system. Visser HP(1), Tewis M, Willemze R, Kluin-Nelemans JC. Author information: (1)Dept of Hematology, Leiden, The Netherlands. Mantle cell lymphoma (MCL) is a B cell non-Hodgkin's lymphoma, characterized by a poor response to therapy and short survival. To assess the proliferative capacity, we cultured MCL cells, using irradiated 3T6 mouse fibroblasts transfected with human CD40L ('CD40 system') in the presence of different cytokines. Proliferation was measured by 3H-thymidine incorporation and by CFSE fluorescence. Thirteen out of 16 MCL cases proliferated well in the CD40 system. In 10 cases a strong response upon further addition of IL-10 was seen, whereas IL-4 had an additional effect in only four cases. CFSE staining of cells before and after culture showed an increased number of cell divisions in the IL-10/CD40L stimulated cells. The MCL cells remained CD5+CD19+. Neither plasma cell differentiation nor isotype switching was seen. The light chain expression was strictly monoclonal. IL-1beta, IL-2, IL-6, G-CSF and GM-CSF did not stimulate MCL proliferation. IL-10 receptor expression correlated with the response to IL-10 in the culture system and the effect of added IL-10 could be blocked by antibodies directed against IL-10 and the IL-10 receptor. Autocrine IL-10 production by the MCL cells was detected in eight of 10 cases tested. IL-10 receptor blocking decreased proliferation when no exogenous IL-10 was used in four of seven cases tested. EBV assessed by EBER in situ hybridization was not detected in six cases tested. In conclusion, MCL can successfully be cultured upon CD40 stimulation if 3T6 CD40L+ cells are used. In this context IL-10 is a costimulatory factor. IL-10 receptor expression seems to correlate with response to CD40 crosslinking and IL-10. Autocrine IL-10 production might play a role in the proliferation of this lymphoma. This culture system may be useful to test new treatment strategies for this, thus far, therapy-resistant lymphoma. DOI: 10.1038/sj.leu.2401829 PMID: 10942246 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/8649059
1. Leukemia. 1996 Jun;10 Suppl 2:s78-83. Mantle cell lymphoma: a lymphoproliferative disorder associated with aberrant function of the cell cycle. Garcia-Conde J(1), Cabanillas F. Author information: (1)Lymphoma Section, MD Anderson Cancer Center, Houston, TX 77030, USA. Mantle cell lymphoma is a B cell lymphoproliferative disorder cytogenetically characterized by the t(11;14)(q13;q32) which at molecular level involves the Bcl-1/PRAD-1 gene. Immunophenotypically it is characterized by co-expression of CD5+/CD20+ and CD23- antigens. Histologic patterns are recognized as: diffuse, mantle zone and nodular. Diffuse mantle lymphoma is the most frequent and is associated with a poor prognosis. The rearrangement of the Bcl-1/PRAD-1 increases the synthesis of cyclin D1. Cyclin D1 binds to Cdk4 and forms a complex, then binds to and phosphorylates Rb protein thus triggering cells to progress from G0/G1 to S and thus drives cellular proliferation. The 5-year survival in the MD Anderson series was less than 30% and anthracycline regimens do not appear to have any major impact on the outcomes of cases with nodular or diffuse histopathological patterns. Intensive therapeutic programs and first line autologous or allogeneic bone marrow transplantation remains experimental. PMID: 8649059 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/22555177
1. Mod Pathol. 2012 Sep;25(9):1227-35. doi: 10.1038/modpathol.2012.84. Epub 2012 May 4. Increased tumor cell proliferation in mantle cell lymphoma is associated with elevated insulin-like growth factor 2 mRNA-binding protein 3 expression. Hartmann EM(1), Beà S, Navarro A, Trapp V, Campo E, Ott G, Rosenwald A. Author information: (1)Institute of Pathology, University of Würzburg, Germany. Mantle cell lymphoma is an aggressive, non-curable B-cell lymphoma, characterized by the translocation t(11;14)(q13;q32) involving CCND1 and a high number of additional genetic alterations. Chromosomal gains of 7p are frequent in mantle cell lymphoma, with insulin-like growth factor II mRNA-binding protein 3 (IGF2BP3 aka IMP3) being the most upregulated gene in this region. IGF2BP3 is a member of the IGF II mRNA-BP family, and increased IGF2BP3 expression is associated with an aggressive behavior in many malignant tumors. We here analyze selected genes related to IGF signaling in gene expression and genomic array data of 8 mantle cell lymphoma cell lines and 12 primary mantle cell lymphomas and study IGF2BP3 protein expression in 172 well-characterized primary mantle cell lymphomas by immunohistochemistry. The majority of mantle cell lymphoma cell lines and primary cases showed elevated IGF2BP3 mRNA expression and a subset also expressed the IGF1 and IGF2 receptors. On the protein level, 66 of 172 primary mantle cell lymphomas showed IGF2BP3 expression in >50% of tumor cells, and strong IGF2BP3 protein expression was highly associated with increased proliferation as measured by the Ki-67 index, but not with overall survival of mantle cell lymphoma patients. Only a subset of mantle cell lymphomas with marked IGF2BP3 expression had an underlying chromosomal gain in 7p, suggesting that additional mechanisms are involved in the upregulation of IGF2BP3 in mantle cell lymphoma. In seven paired mantle cell lymphoma samples, IGF2BP3 protein expression remained constant between primary diagnosis and relapse. Increased IGF2BP3 expression and, potentially, enhanced IGF signaling may contribute proproliferative stimuli in the evolution of mantle cell lymphoma tumor cells. DOI: 10.1038/modpathol.2012.84 PMID: 22555177 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/8277026
1. J Am Acad Dermatol. 1994 Jan;30(1):23-30. doi: 10.1016/s0190-9622(94)70002-8. Mantle zone lymphoma: an immunohistologic study of skin lesions. Bertero M(1), Novelli M, Fierro MT, Bernengo MG. Author information: (1)Clinica Dermatologica I, Università degli Studi di Torino, Italy. BACKGROUND: Mantle zone lymphoma (MZL) is a B-cell proliferation regarded as the follicular variant of intermediate lymphocytic lymphoma (ILL). Neoplastic small lymphoid cells proliferate as wide mantles around atrophic centers of benign appearance. OBJECTIVE: The clinical, histologic, and immunohistochemical features of four cases of MZL, heralded by cutaneous lesions, are described and correlated with the lymph node pattern. RESULTS: All specimens showed extensive nodules in the reticular dermis invading the subcutaneous tissue. They were mainly composed of a proliferation of small lymphocytes with slightly irregular nuclear contours and clumped chromatin, forming wide mantles around small atrophic germinal centers. Serial biopsy specimens in case 1 revealed evolution of the skin lesions from pseudolymphoma into MZL. Their immunohistochemistry was similar to that of lymph nodes and showed that the neoplastic cells were CD5+, CD20+, CD22+, CD25+, CD74+, Leu-8+, HLA-DR+, IgM+, IgD+ with restriction for the lambda light chain, CD10-, and CD71-, whereas the germinal center cells were polyclonal. In three cases many CD38+, PCA-1+ plasma cells were present both in the grenz zone and in bordering neoplastic nodules. The clinical course was chronic. The only death occurred from unrelated causes; one patient is still alive 17 years after onset. CONCLUSION: Skin lesions may be the only manifestation of MZL for an extended period. The differentiation between pseudolymphoma and other lymphoma subtypes is based not only on the histologic and cytologic features but also on the architecture, followed by immunohistochemical confirmation. DOI: 10.1016/s0190-9622(94)70002-8 PMID: 8277026 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/33197439
1. Exp Cell Res. 2020 Dec 15;397(2):112365. doi: 10.1016/j.yexcr.2020.112365. Epub 2020 Nov 14. Expression and role of MIG/CXCR3 axis in mantle cell lymphoma. Zhu MX(1), Wan WL(1), Hong Y(1), Wang YF(1), Dong F(1), Jing HM(2). Author information: (1)Department of Hematology and Lymphoma Research Center, Peking University Third Hospital, Beijing, 100191, PR China. (2)Department of Hematology and Lymphoma Research Center, Peking University Third Hospital, Beijing, 100191, PR China. Electronic address: hongmeijing2020@163.com. Mantle cell lymphoma (MCL) is a unique subtype of B-cell non-Hodgkin lymphoma with a generally aggressive and heterogeneous clinical course. Chemokines are one of the complex components in the tumor microenvironment (TME), and they play a vital role in tumor progression and metastasis. There is no information about the monokine induced by gamma interferon (MIG)/CXC chemokine receptor 3 (CXCR3) axis in patients with MCL. In the present study, we discovered that CXCR3 was highly expressed in MCL tissues and some cell lines including Maver, Z138, and Jeko-1, and significantly associated with clinical factors reflecting high tumor burden in MCL patients. Moreover, elevated serum MIG at diagnosis showed a close relationship with advanced disease and poor prognosis in MCL patients. Additionally, the role of CXCR3 in promoting the proliferation and inhibiting the apoptosis of primary MCL cells and Jeko-1 cells was validated by in vitro experiments. Further research indicated that the MIG/CXCR3 axis mediated MCL cell migration to the TME through the PI3K/AKT signaling pathway. Therefore, the MIG/CXCR3 axis might be a potential target with fewer off-target side effects than other targets in MCL. Copyright © 2020. Published by Elsevier Inc. DOI: 10.1016/j.yexcr.2020.112365 PMID: 33197439 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/10463985
1. Cancer. 1999 Sep 1;86(5):850-7. doi: 10.1002/(sici)1097-0142(19990901)86:5<850::aid-cncr22>3.0.co;2-z. Mantle cell lymphoma in leukemic phase: characterization of its broad cytologic spectrum with emphasis on the importance of distinction from other chronic lymphoproliferative disorders. Wong KF(1), Chan JK, So JC, Yu PH. Author information: (1)Department of Pathology, Queen Elizabeth Hospital, Hong Kong, China. BACKGROUND: Mantle cell lymphoma is a mature, virgin B-cell neoplasm characterized immunologically by a panB+, CD5+, CD23-, cyclin D1+ phenotype and genetically by t(11;14)(q13;q32) with overexpression of the cyclin D1 (bcl-1) gene. It usually presents as advanced stage disease, involving lymph nodes, spleen, bone marrow, and extranodal sites, particularly the gastrointestinal tract. However, frank leukemic presentation with high white cell counts is uncommon and can be difficult to distinguish from other chronic lymphoproliferative disorders. The aim of this study was to characterize the morphologic spectrum of leukemic mantle cell lymphoma. METHODS: During the period July 1994 through October 1998, 14 patients with mantle cell lymphoma in leukemic phase were diagnosed at the Department of Pathology, Queen Elizabeth Hospital, Hong Kong. The diagnosis of mantle cell lymphoma was based on histologic and immunocytochemical findings and was confirmed by cyclin D1 immunoreactivity in all cases. The clinical records and laboratory results were reviewed. Peripheral blood smears, bone marrow, and other tissue biopsies were examined, with particular attention to the cytologic features of the leukemic mantle cells. RESULTS: Mantle cell lymphoma in leukemic phase showed a very aggressive clinical course. Eight patients died at a mean of 13 months, and only 1 patient was disease free. Morphologically, the leukemic mantle cells exhibited a broad morphologic spectrum, with several cytologic patterns identified: 1) mixed small and medium-sized cells, 2) predominantly medium-sized cells, 3) predominantly large cells, and 4) giant cells. Despite variations in the size and nuclear shape, the leukemic mantle cells could usually be recognized by the nuclear irregularity and clefting, moderately dense but evenly distributed chromatin, small nucleoli, and scant cytoplasm. CONCLUSIONS: Recognition of the characteristic cytologic features of leukemic mantle cells can help to distinguish them from other chronic lymphoproliferative disorders. In contrast to the latter, the clinical course is aggressive and response to conventional chemotherapy is poor. Copyright 1999 American Cancer Society. DOI: 10.1002/(sici)1097-0142(19990901)86:5<850::aid-cncr22>3.0.co;2-z PMID: 10463985 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/36299369
1. ERJ Open Res. 2022 Oct 24;8(4):00240-2022. doi: 10.1183/23120541.00240-2022. eCollection 2022 Oct. Phase I studies of BI 1015550, a preferential phosphodiesterase 4B inhibitor, in healthy males and patients with idiopathic pulmonary fibrosis. Maher TM(1)(2), Schlecker C(3), Luedtke D(4), Bossert S(4), Zoz DF(5), Schultz A(6). Author information: (1)Inflammation, Repair, and Development Section, National Heart and Lung Institute, Imperial College London, London, UK. (2)Keck Medicine of USC, Los Angeles, CA, USA. (3)Boehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany. (4)Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach an der Riss, Germany. (5)Boehringer Ingelheim Pharmaceuticals Inc, Ridgefield, CT, USA. (6)CRS Clinical Research Services Mannheim GmbH, Mannheim, Germany. INTRODUCTION: BI 1015550 is a phosphodiesterase 4 (PDE4) inhibitor that has antifibrotic properties. Phase I and Ic studies were conducted to investigate the safety, tolerability and pharmacokinetics of BI 1015550 in healthy male subjects and patients with idiopathic pulmonary fibrosis (IPF). METHODS: In the phase I study, 42 subjects were partially randomised to receive placebo or BI 1015550 in single rising doses of 36 mg and 48 mg, or multiple rising doses of 6 mg and 12 mg twice daily over 14 days. In the phase Ic study, 15 patients with IPF were randomised to receive 18 mg BI 1015550 or placebo twice daily for up to 12 weeks. For both studies, the primary endpoint was the number of subjects with drug-related adverse events (AEs). RESULTS: In the Phase I study, drug-related AEs were reported for 50.0% of healthy male subjects treated with a single dose of BI 1015550, compared with 16.7% receiving placebo. For those receiving multiple doses, drug-related AEs were reported for 37.5% of those treated with BI 1015550 and 12.5% receiving placebo. The most frequently reported AEs by organ class were nervous system disorders, which were largely driven by headache. In the Phase Ic study, drug-related AEs were reported in 90.0% of patients treated with BI 1015550, compared with 60.0% of those receiving placebo. The most frequent AEs by organ class were gastrointestinal AEs. CONCLUSIONS: BI 1015550 had an acceptable safety profile in healthy male subjects and male and female patients with IPF, supporting further development in larger trials. Copyright ©The authors 2022. DOI: 10.1183/23120541.00240-2022 PMCID: PMC9589333 PMID: 36299369 Conflict of interest statement: Conflict of interest: T.M. Maher has received consultancy fees from Boehringer Ingelheim, Roche/Genentech, AstraZeneca, Bayer, Blade Therapeutics, Bristol-Myers Squibb, Galapagos, Galecto, GlaxoSmithKline, IQVIA, Pliant, Respivant, Theravance and Veracyte; and honoraria from Boehringer Ingelheim and Roche/Genentech. C. Schlecker, D. Leudtke, S. Bossert and D.F. Zoz are employees of Boehringer Ingelheim. A. Schultz is an employee of CRS Clinical Research Services Mannheim GmbH.
http://www.ncbi.nlm.nih.gov/pubmed/35569036
1. N Engl J Med. 2022 Jun 9;386(23):2178-2187. doi: 10.1056/NEJMoa2201737. Epub 2022 May 15. Trial of a Preferential Phosphodiesterase 4B Inhibitor for Idiopathic Pulmonary Fibrosis. Richeldi L(1), Azuma A(1), Cottin V(1), Hesslinger C(1), Stowasser S(1), Valenzuela C(1), Wijsenbeek MS(1), Zoz DF(1), Voss F(1), Maher TM(1); 1305-0013 Trial Investigators. Collaborators: Otaola M, Elias P, Arce G, Glaspole I, Corte T, Olschewski H, Idzko M, Lamprecht B, Anees S, Moran Mendoza O, Mallet M, Ryerson C, Manganas H, Silva Orellana A, Salinas Fénero M, Zhang J, Xu J, Xu Z, Hong Q, Wen F, Sterclova M, Pauk N, Bendstrup E, Shaker S, Titlestad I, Myllärniemi M, Kilpeläinen M, Strander I, Purokivi M, Kaarteenaho R, Koschel D, Wiewrodt R, Behr J, Kreuter M, Hammerl P, Bonella F, Blaas S, Antoniou A, Bouros D, Tzouvelekis A, Muller V, Richeldi L, Albera C, Balestro E, Bargagli E, Lacedonia D, Ravaglia C, Rogliani P, Kondo Y, Izumi S, Nakamura Y, Kitamura H, Inoue Y, Okamoto M, Mostard RLM, Wijsenbeek-Lourens M, Veltkamp M, Nossent EJ, Piotrowski W, Sieminska A, Kim YH, Song JW, Choi SM, Bazdyrev E, Moiseev S, Yakusevich V, Shmelev E, Rumyantseva O, Molina-Molina M, Roldán Sánchez J, Valenzuela C, Sellares J, Sauleda J, Arias M, Dziublyk O, Bielosludtseva K, Molyneaux P, Adamali H, Patel D, Sigal B, Weigt S, Andrews C, Averill F, Scholand M, Hamblin M, Bhatt N, Ettinger N, Criner G, Morrow L, Moua T, Azuma A, Cottin V, Wijsenbeek MS, Maher TM, Costabel U, Cornelis Grutters J, Horton MR, Rossman MD, Anstrom K. Author information: (1)From Unità Operativa Complessa di Pneumologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome (L.R.); Nippon Medical School, Tokyo (A.A.); Hôpital Louis Pradel, Centre National de Référence des Maladies Pulmonaires Rares, Hospices Civils de Lyon, Unité Mixte de Recherche 754 Institut National de la Recherche Agronomique and Université Claude Bernard Lyon 1, ERN-LUNG (European Reference Network on Rare Respiratory Diseases), RespiFil, OrphaLung, Lyon, France (V.C.); Translational Medicine and Clinical Pharmacology, Boehringer Ingelheim International, Biberach (C.H.), and TA Inflammation Medicine (S.S.), Boehringer Ingelheim Pharma (F.V.), Ingelheim am Rhein - both in Germany; the Interstitial Lung Disease Unit, Department of Pulmonology, Hospital Universitario de la Princesa, University Autonoma de Madrid, Madrid (C.V.); the Department of Respiratory Medicine, Erasmus Medical Center, Rotterdam, the Netherlands (M.S.W.); Boehringer Ingelheim Pharmaceuticals, Ridgefield, CT (D.F.Z.); Keck School of Medicine, University of Southern California, Los Angeles (T.M.M.); and the National Heart and Lung Institute, Imperial College London, London (T.M.M.). Comment in N Engl J Med. 2022 Jun 9;386(23):2235-2236. doi: 10.1056/NEJMe2205411. N Engl J Med. 2022 Aug 25;387(8):761. doi: 10.1056/NEJMc2209529. N Engl J Med. 2022 Aug 25;387(8):761-762. doi: 10.1056/NEJMc2209529. BACKGROUND: Phosphodiesterase 4 (PDE4) inhibition is associated with antiinflammatory and antifibrotic effects that may be beneficial in patients with idiopathic pulmonary fibrosis. METHODS: In this phase 2, double-blind, placebo-controlled trial, we investigated the efficacy and safety of BI 1015550, an oral preferential inhibitor of the PDE4B subtype, in patients with idiopathic pulmonary fibrosis. Patients were randomly assigned in a 2:1 ratio to receive BI 1015550 at a dose of 18 mg twice daily or placebo. The primary end point was the change from baseline in the forced vital capacity (FVC) at 12 weeks, which we analyzed with a Bayesian approach separately according to background nonuse or use of an antifibrotic agent. RESULTS: A total of 147 patients were randomly assigned to receive BI 1015550 or placebo. Among patients without background antifibrotic use, the median change in the FVC was 5.7 ml (95% credible interval, -39.1 to 50.5) in the BI 1015550 group and -81.7 ml (95% credible interval, -133.5 to -44.8) in the placebo group (median difference, 88.4 ml; 95% credible interval, 29.5 to 154.2; probability that BI 1015550 was superior to placebo, 0.998). Among patients with background antifibrotic use, the median change in the FVC was 2.7 ml (95% credible interval, -32.8 to 38.2) in the BI 1015550 group and -59.2 ml (95% credible interval, -111.8 to -17.9) in the placebo group (median difference, 62.4 ml; 95% credible interval, 6.3 to 125.5; probability that BI 1015550 was superior to placebo, 0.986). A mixed model with repeated measures analysis provided results that were consistent with those of the Bayesian analysis. The most frequent adverse event was diarrhea. A total of 13 patients discontinued BI 1015550 treatment owing to adverse events. The percentages of patients with serious adverse events or severe adverse events were similar in the two trial groups. CONCLUSIONS: In this placebo-controlled trial, treatment with BI 1015550, either alone or with background use of an antifibrotic agent, prevented a decrease in lung function in patients with idiopathic pulmonary fibrosis. (Funded by Boehringer Ingelheim; 1305-0013 ClinicalTrials.gov number, NCT04419506.). Copyright © 2022 Massachusetts Medical Society. DOI: 10.1056/NEJMoa2201737 PMID: 35569036 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/35517783
1. Front Pharmacol. 2022 Apr 20;13:838449. doi: 10.3389/fphar.2022.838449. eCollection 2022. BI 1015550 is a PDE4B Inhibitor and a Clinical Drug Candidate for the Oral Treatment of Idiopathic Pulmonary Fibrosis. Herrmann FE(1), Hesslinger C(1), Wollin L(1), Nickolaus P(1). Author information: (1)Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach an der Riss, Germany. Erratum in Front Pharmacol. 2023 May 30;14:1219760. doi: 10.3389/fphar.2023.1219760. The anti-inflammatory and immunomodulatory abilities of oral selective phosphodiesterase 4 (PDE4) inhibitors enabled the approval of roflumilast and apremilast for use in chronic obstructive pulmonary disease and psoriasis/psoriatic arthritis, respectively. However, the antifibrotic potential of PDE4 inhibitors has not yet been explored clinically. BI 1015550 is a novel PDE4 inhibitor showing a preferential enzymatic inhibition of PDE4B. In vitro, BI 1015550 inhibits lipopolysaccharide (LPS)-induced tumor necrosis factor-α (TNF-α) and phytohemagglutinin-induced interleukin-2 synthesis in human peripheral blood mononuclear cells, as well as LPS-induced TNF-α synthesis in human and rat whole blood. In vivo, oral BI 1015550 shows potent anti-inflammatory activity in mice by inhibiting LPS-induced TNF-α synthesis ex vivo and in Suncus murinus by inhibiting neutrophil influx into bronchoalveolar lavage fluid stimulated by nebulized LPS. In Suncus murinus, PDE4 inhibitors induce emesis, a well-known gastrointestinal side effect limiting the use of PDE4 inhibitors in humans, and the therapeutic ratio of BI 1015550 appeared to be substantially improved compared with roflumilast. Oral BI 1015550 was also tested in two well-known mouse models of lung fibrosis (induced by either bleomycin or silica) under therapeutic conditions, and appeared to be effective by modulating various model-specific parameters. To better understand the antifibrotic potential of BI 1015550 in vivo, its direct effect on human fibroblasts from patients with idiopathic pulmonary fibrosis (IPF) was investigated in vitro. BI 1015550 inhibited transforming growth factor-β-stimulated myofibroblast transformation and the mRNA expression of various extracellular matrix proteins, as well as basic fibroblast growth factor plus interleukin-1β-induced cell proliferation. Nintedanib overall was unremarkable in these assays, but interestingly, the inhibition of proliferation was synergistic when it was combined with BI 1015550, leading to a roughly 10-fold shift of the concentration-response curve to the left. In summary, the unique preferential inhibition of PDE4B by BI 1015550 and its anticipated improved tolerability in humans, plus its anti-inflammatory and antifibrotic potential, suggest BI 1015550 to be a promising oral clinical candidate for the treatment of IPF and other fibro-proliferative diseases. Copyright © 2022 Herrmann, Hesslinger, Wollin and Nickolaus. DOI: 10.3389/fphar.2022.838449 PMCID: PMC9065678 PMID: 35517783 Conflict of interest statement: FEH, CH, LW, and PN are employees of Boehringer Ingelheim Pharma GmbH & Co. KG.
http://www.ncbi.nlm.nih.gov/pubmed/26785833
1. Eur J Hum Genet. 2016 Aug;24(9):1255-61. doi: 10.1038/ejhg.2015.283. Epub 2016 Jan 20. Online genetic counseling from the providers' perspective: counselors' evaluations and a time and cost analysis. Otten E(1), Birnie E(1), Ranchor AV(2), van Langen IM(1). Author information: (1)Department of Genetics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands. (2)Department of Health Psychology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands. Telemedicine applications are increasingly being introduced in patient care in various disciplines, including clinical genetics, mainly to increase access to care and to reduce time and costs for patients and professionals. Most telegenetics reports describe applications in large geographical areas, showing positive patients' and professionals' satisfaction. One economic analysis published thus far reported lower costs than in-person care. We hypothesized that telegenetics can also be beneficial from the professional's view in relatively small geographical areas. We performed a pilot study in the Northern Netherlands of 51 home-based online counseling sessions for cardiogenetic and oncogenetic cascade screening, and urgent prenatal counseling. Previously, we showed patient satisfaction, anxiety, and perceived control of online counseling to be comparable to in-person counseling. This study focuses on expectations, satisfaction, and practical evaluations of the involved counselors, and the impact in terms of time and costs. Most counselors expected disadvantages of online counseling for themselves and their patients, mainly concerning insufficient non-verbal communication; few expected advantages for themselves. Afterwards, counselors additionally raised the disadvantage of insufficient verbal communication, and reported frequent technical problems. Their overall mean telemedicine satisfaction itemscore was 3.38 before, and 2.95 afterwards, being afterwards slightly below the minimum level we set for a satisfactory result. We estimated reduced time and costs by online counseling with about 8% and 10-12%, respectively. We showed online genetic counseling to be effective, feasible and cost-efficient, but technical improvements are needed to increase counselors' satisfaction. DOI: 10.1038/ejhg.2015.283 PMCID: PMC4989197 PMID: 26785833 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/34155820
1. Wiley Interdiscip Rev RNA. 2022 Mar;13(2):e1678. doi: 10.1002/wrna.1678. Epub 2021 Jun 21. Microexon alternative splicing of small GTPase regulators: Implication in central nervous system diseases. Lee JS(1)(2), Lamarche-Vane N(3)(4), Richard S(1)(5)(2). Author information: (1)Segal Cancer Center, Lady Davis Institute for Medical Research, Montreal, Quebec, Canada. (2)Department of Biochemistry, McGill University, Montreal, Quebec, Canada. (3)Research Institute of the McGill University Health Centre, Cancer Research Program, Montreal, Quebec, Canada. (4)Department of Anatomy and Cell Biology, McGill University, Montreal, Quebec, Canada. (5)Gerald Bronfman Department of Oncology, McGill University, Montreal, Quebec, Canada. Microexons are small sized (≤51 bp) exons which undergo extensive alternative splicing in neurons, microglia, embryonic stem cells, and cancer cells, giving rise to cell type specific protein isoforms. Due to their small sizes, microexons provide a unique challenge for the splicing machinery. They frequently lack exon splicer enhancers/repressors and require specialized neighboring trans-regulatory and cis-regulatory elements bound by RNA binding proteins (RBPs) for their inclusion. The functional consequences of including microexons within mRNAs have been extensively documented in the central nervous system (CNS) and aberrations in their inclusion have been observed to lead to abnormal processes. Despite the increasing evidence for microexons impacting cellular physiology within CNS, mechanistic details illustrating their functional importance in diseases of the CNS is still limited. In this review, we discuss the unique characteristics of microexons, and how RBPs participate in regulating their inclusion and exclusion during splicing. We consider recent findings of microexon alternative splicing and their implication for regulating the function of small GTPases in the context of the microglia, and we extrapolate these findings to what is known in neurons. We further discuss the emerging evidence for dysregulation of the Rho GTPase pathway in CNS diseases and the consequences contributed by the mis-splicing of microexons. This article is categorized under: RNA Processing > Splicing Mechanisms RNA Processing > Splicing Regulation/Alternative Splicing RNA in Disease and Development > RNA in Disease. © 2021 Wiley Periodicals LLC. DOI: 10.1002/wrna.1678 PMID: 34155820 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/35347281
1. Nat Med. 2022 Apr;28(4):780-788. doi: 10.1038/s41591-022-01737-y. Epub 2022 Mar 28. In vivo topical gene therapy for recessive dystrophic epidermolysis bullosa: a phase 1 and 2 trial. Gurevich I(1), Agarwal P(2), Zhang P(2), Dolorito JA(1), Oliver S(2), Liu H(2), Reitze N(2), Sarma N(2), Bagci IS(1), Sridhar K(1), Kakarla V(1), Yenamandra VK(1), O'Malley M(2), Prisco M(3), Tufa SF(4), Keene DR(4), South AP(3), Krishnan SM(2), Marinkovich MP(5)(6). Author information: (1)Program in Epithelial Biology and Department of Dermatology, Stanford University School of Medicine, Stanford, CA, USA. (2)Krystal Biotech, Pittsburgh, PA, USA. (3)Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA. (4)Microscopy Unit, Shriners Hospital for Children, Portland, OR, USA. (5)Program in Epithelial Biology and Department of Dermatology, Stanford University School of Medicine, Stanford, CA, USA. mpm@stanford.edu. (6)Veterans Affairs Medical Center, Palo Alto, Stanford, CA, USA. mpm@stanford.edu. Comment in Med. 2022 May 13;3(5):273-275. doi: 10.1016/j.medj.2022.04.008. Trends Mol Med. 2022 Jul;28(7):533-535. doi: 10.1016/j.molmed.2022.05.001. Recessive dystrophic epidermolysis bullosa (RDEB) is a lifelong genodermatosis associated with blistering, wounding, and scarring caused by mutations in COL7A1, the gene encoding the anchoring fibril component, collagen VII (C7). Here, we evaluated beremagene geperpavec (B-VEC), an engineered, non-replicating COL7A1 containing herpes simplex virus type 1 (HSV-1) vector, to treat RDEB skin. B-VEC restored C7 expression in RDEB keratinocytes, fibroblasts, RDEB mice and human RDEB xenografts. Subsequently, a randomized, placebo-controlled, phase 1 and 2 clinical trial (NCT03536143) evaluated matched wounds from nine RDEB patients receiving topical B-VEC or placebo repeatedly over 12 weeks. No grade 2 or above B-VEC-related adverse events or vector shedding or tissue-bound skin immunoreactants were noted. HSV-1 and C7 antibodies sometimes presented at baseline or increased after B-VEC treatment without an apparent impact on safety or efficacy. Primary and secondary objectives of C7 expression, anchoring fibril assembly, wound surface area reduction, duration of wound closure, and time to wound closure following B-VEC treatment were met. A patient-reported pain-severity secondary outcome was not assessed given the small proportion of wounds treated. A global assessment secondary endpoint was not pursued due to redundancy with regard to other endpoints. These studies show that B-VEC is an easily administered, safely tolerated, topical molecular corrective therapy promoting wound healing in patients with RDEB. © 2022. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply. DOI: 10.1038/s41591-022-01737-y PMCID: PMC9018416 PMID: 35347281 [Indexed for MEDLINE] Conflict of interest statement: M.P.M. received funding from Krystal Biotech to conduct this study through a sponsored research award administered through the Stanford University Office of Research Management. M.P.M. is also an investigator for the following companies that are studying molecular corrective therapies for recessive dystrophic epidermolysis bullosa: Castle Creek Pharmaceuticals, Abeona Therapeutics, WINGS therapeutics and Phoenix Tissue Repair. A.P.S. owns stock in Krystal Biotech. P.A., P.P.Z. and S.O., as well as H.L., N.R., N.S., M.O. and S.M.K. are employees of Krystal Biotech. All other authors have no competing interests.
http://www.ncbi.nlm.nih.gov/pubmed/1836514
1. Lab Invest. 1991 Nov;65(5):588-600. Hairpatches, a single gene mutation characterized by progressive renal disease and alopecia in the mouse. A potential model for a newly described heritable human disorder. Shultz LD(1), Lane PW, Coman DR, Taylor S, Hall E, Lyons B, Wood BG, Schlager G. Author information: (1)Jackson Laboratory, Bar Harbor, Maine. A new murine mutation, hairpatches (Hpt), is on chromosome 4, 18.1 recombination units distal to brown near the interferon alpha and beta chain structural gene complex. On the inbred HPT/Le strain background, Hpt is semi-dominant, and Hpt/Hpt mice die in utero by 6 to 8 days of gestation. Such death in utero is associated with abnormalities of embryonic ectodermal derivatives. However on the (C57BL/6J x C3HeB/FeJ-a/a) segregating hybrid background, Hpt is a fully dominant mutation. HPT/Le Hpt/+ mice can be recognized by 3 to 4 days of age by patches of lightly pigmented skin. These mice show reduced numbers of hair follicles, abnormalities in hair follicle structure, and patchy absence of hair throughout life. By 2 weeks of age, abnormal hair follicle development is accompanied by thickening of the epidermis, reduction in levels of subcutaneous fat, and dermal inflammation. Progressive glomerulosclerosis, resulting in chronic kidney failure, is accompanied by increases in glomerular mesangial matrix, deposition of immune complexes, and glomerular enlargement. Scanning electron microscopic studies revealed abnormalities of podocytes including disorganization, swelling, and fusion of the foot processes. Increase in serum blood urea nitrogen levels accompanies conspicuous renal histopathologic changes. Cardiovascular changes in Hpt/+ mice are evidenced by hypertrophy of the left heart ventricle. Increased systolic blood pressure in these animals was found by 3 months of age. Anemia occurs in Hpt/+ mice by 40 weeks. The Hpt/+ mutation provides a valuable new animal model for chronic kidney disease accompanied by skin abnormalities and ventricular hypertrophy. The pathologic changes caused by this mutation are similar to those reported in affected family members with a newly described autosomal dominant human disease. PMID: 1836514 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/23301070
1. PLoS One. 2013;8(1):e53426. doi: 10.1371/journal.pone.0053426. Epub 2013 Jan 2. Retrotransposon insertion in the T-cell acute lymphocytic leukemia 1 (Tal1) gene is associated with severe renal disease and patchy alopecia in Hairpatches (Hpt) mice. Hosur V(1), Cox ML, Burzenski LM, Riding RL, Alley L, Lyons BL, Kavirayani A, Martin KA, Cox GA, Johnson KR, Shultz LD. Author information: (1)The Jackson Laboratory, Bar Harbor, Maine, United States of America. "Hairpatches" (Hpt) is a naturally occurring, autosomal semi-dominant mouse mutation. Hpt/Hpt homozygotes die in utero, while Hpt/+ heterozygotes exhibit progressive renal failure accompanied by patchy alopecia. This mutation is a model for the rare human disorder "glomerulonephritis with sparse hair and telangiectases" (OMIM 137940). Fine mapping localized the Hpt locus to a 6.7 Mb region of Chromosome 4 containing 62 known genes. Quantitative real time PCR revealed differential expression for only one gene in the interval, T-cell acute lymphocytic leukemia 1 (Tal1), which was highly upregulated in the kidney and skin of Hpt/+ mice. Southern blot analysis of Hpt mutant DNA indicated a new EcoRI site in the Tal1 gene. High throughput sequencing identified an endogenous retroviral class II intracisternal A particle insertion in Tal1 intron 4. Our data suggests that the IAP insertion in Tal1 underlies the histopathological changes in the kidney by three weeks of age, and that glomerulosclerosis is a consequence of an initial developmental defect, progressing in severity over time. The Hairpatches mouse model allows an investigation into the effects of Tal1, a transcription factor characterized by complex regulation patterns, and its effects on renal disease. DOI: 10.1371/journal.pone.0053426 PMCID: PMC3534690 PMID: 23301070 [Indexed for MEDLINE] Conflict of interest statement: Competing Interests: The authors have declared that no competing interests exist.
http://www.ncbi.nlm.nih.gov/pubmed/23244814
1. Value Health. 2012 Dec;15(8):1108-18. doi: 10.1016/j.jval.2012.06.019. Epub 2012 Nov 3. Comparisons of Food and Drug Administration and European Medicines Agency risk management implementation for recent pharmaceutical approvals: report of the International Society for Pharmacoeconomics and outcomes research risk benefit management working group. Lis Y(1), Roberts MH, Kamble S, J Guo J, Raisch DW. Author information: (1)PAREXEL International, Uxbridge, UK. OBJECTIVE: 1) To compare the Food and Drug Administration's (FDA's) Risk Evaluation and Mitigation Strategies (REMS) and European Medicines Agency's (EMA's) Risk Management Plan (RMP) guidances and 2) to compare REMS and RMPs for specific chemical entities and biological products. METHODS: FDA, EMA, and pharmaceutical company Web sites were consulted for details pertaining to REMS and RMPs. REMS requirements include medication guides, communication plans, elements to ensure safe use, implementation systems, and specified assessment intervals. RMP requirements are increased pharmacovigilance and risk minimization activities. We compared these requirements for drugs requiring both REMS and RMPs. RESULTS: We identified 95 drugs on FDA's REMS list as of March 2010. Of these, there were 29 drugs (11 biologics and 18 new chemical entities) with EMA RMPs. REMS and RMPs are similar in objectives, with comparable toolkits. Both allow flexibility in product-specific actions, recognizing adverse effects of potential concern. Of the 29 drugs reviewed, REMS requirements not included in RMPs were patient medication guides (100% of the drugs), provider communication plans (38%), and routine monitoring of REMS (66%). RMP requirements not included in REMS were specific adverse event reporting (45% of the drugs), prospective registry studies (34%), prospective epidemiology studies (24%), additional trial data (28%), and Summary of Product Characteristics contraindications (76%). CONCLUSIONS: Both REMS and RMPs provide positive guidance for identification, monitoring, and minimization of risk to patient safety. Currently, neither agency provides specific guidance on how risk should be related to benefit either qualitatively or quantitatively. Copyright © 2012 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved. DOI: 10.1016/j.jval.2012.06.019 PMID: 23244814 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/34346508
1. Int J Cancer. 2021 Nov 15;149(10):1787-1800. doi: 10.1002/ijc.33758. Epub 2021 Aug 16. Alternative microexon splicing by RBFOX2 and PTBP1 is associated with metastasis in colorectal cancer. Mochizuki Y(1)(2), Funayama R(1), Shirota M(3), Kikukawa Y(1), Ohira M(1), Karasawa H(2), Kobayashi M(1)(2), Ohnuma S(2), Unno M(2), Nakayama K(1). Author information: (1)Department of Cell Proliferation, ART, Graduate School of Medicine, Tohoku University, Sendai, Japan. (2)Department of Surgery, Graduate School of Medicine, Tohoku University, Sendai, Japan. (3)Division of Interdisciplinary Medical Science, ART, Graduate School of Medicine, Tohoku University, Sendai, Japan. The splicing of microexons (very small exons) is frequently dysregulated in the brain of individuals with autism spectrum disorder. However, little is known of the patterns, regulatory mechanisms and roles of microexon splicing in cancer. We here examined the transcriptome-wide profile of microexon splicing in matched colorectal cancer (CRC) and normal tissue specimens. Out of 1492 microexons comprising 3 to 15 nucleotides, 21 (1%) manifested differential splicing between CRC and normal tissue. The 21 genes harboring the differentially spliced microexons were enriched in gene ontology terms related to cell adhesion and migration. RNA interference-mediated knockdown experiments identified two splicing factors, RBFOX2 and PTBP1, as regulators of microexon splicing in CRC cells. RBFOX2 and PTBP1 were found to directly bind to microexon-containing pre-mRNAs and to control their splicing in such cells. Differential microexon splicing was shown to be due, at least in part, to altered expression of RBFOX2 and PTBP1 in CRC tissue compared to matched normal tissue. Finally, we found that changes in the pattern of microexon splicing were associated with CRC metastasis. Our data thus suggest that altered expression of RBFOX2 and PTBP1 might influence CRC metastasis through the regulation of microexon splicing. © 2021 UICC. DOI: 10.1002/ijc.33758 PMID: 34346508 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/36267868
1. J Pediatr Genet. 2021 Mar 10;11(4):267-271. doi: 10.1055/s-0041-1725118. eCollection 2022 Dec. Cribriform Appearance of White Matter in Canavan Disease Associated with Novel Mutations of ASPA Gene. Bhat MD(1), Manjunath N(2), Kumari R(3), Faruq M(4), Pal PK(2), Prasad C(1), Mundlamuri RC(2), Nalini A(2), Udupi GA(5), Baishya PP(1), Kulanthaivelu K(1). Author information: (1)Department of Neuroimaging and Interventional Radiology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India. (2)Department of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India. (3)Genomics and Molecular Medicine, CSIR Institute of Genomics and Integrative Biology, New Delhi. (4)Department of Genomics and Molecular Medicine, CSIR-Institute of Genomics and Integrative Biology, New Delhi, India. (5)Department of Human Genetics, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India. Cribriform appearance of the brain in Canavan disease is a rare finding. The two presented cases broaden the magnetic resonance imaging (MRI) phenotype wherein numerous oval, cystic structures, a few resembling dilated Virchow-Robin (VR) spaces, were noted in the centrum semiovale, periventricular, and lobar white matter producing a cribriform pattern. Besides, discrete round to oval cysts were present at the gray-white matter junctions in the second case, which were larger and appeared morphologically distinct from the VR spaces. These cysts did not elongate in any plane on imaging and were more representative of giant intramyelinic vacuoles. Genetic analysis revealed novel mutations in the aspartoacylase or ASPA gene that possibly accounts for the severe form of Canavan disease, which probably explains the imaging findings. The multicystic appearance of the white matter in Canavan disease is unusual and possibly represents two different histopathological substrates. Thieme. All rights reserved. DOI: 10.1055/s-0041-1725118 PMCID: PMC9578778 PMID: 36267868 Conflict of interest statement: Conflict of Interest None declared.
http://www.ncbi.nlm.nih.gov/pubmed/35636725
1. Drug Discov Today. 2022 Sep;27(9):2467-2483. doi: 10.1016/j.drudis.2022.05.019. Epub 2022 May 27. The pathogenesis of, and pharmacological treatment for, Canavan disease. Wei H(1), Moffett JR(2), Amanat M(3), Fatemi A(4), Tsukamoto T(5), Namboodiri AM(6), Slusher BS(7). Author information: (1)Johns Hopkins Drug Discovery, Johns Hopkins University School of Medicine, 855 N. Wolfe Street, Baltimore, MD 21205, USA; Department of Neurology, Johns Hopkins University School of Medicine, 855 N. Wolfe Street, Baltimore, MD 21205, USA; Department of Pharmacology and Molecular Science, Johns Hopkins University School of Medicine, 855 N. Wolfe Street, Baltimore, MD 21205, USA. (2)Department of Anatomy, Physiology and Genetics and Neuroscience Program, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd., Bethesda, MD 20814, USA. Electronic address: john.moffett@usuhs.edu. (3)Kennedy Krieger Institute, Baltimore, MD 21205, USA. (4)Department of Neurology, Johns Hopkins University School of Medicine, 855 N. Wolfe Street, Baltimore, MD 21205, USA; Department of Behavioral Science, Johns Hopkins University School of Medicine, 855 N. Wolfe Street, Baltimore, MD 21205, USA; Department of Pediatrics, Johns Hopkins University School of Medicine, 855 N. Wolfe Street, Baltimore, MD 21205, USA; Kennedy Krieger Institute, Baltimore, MD 21205, USA. (5)Johns Hopkins Drug Discovery, Johns Hopkins University School of Medicine, 855 N. Wolfe Street, Baltimore, MD 21205, USA; Department of Neurology, Johns Hopkins University School of Medicine, 855 N. Wolfe Street, Baltimore, MD 21205, USA. (6)Department of Anatomy, Physiology and Genetics and Neuroscience Program, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd., Bethesda, MD 20814, USA. (7)Johns Hopkins Drug Discovery, Johns Hopkins University School of Medicine, 855 N. Wolfe Street, Baltimore, MD 21205, USA; Department of Neurology, Johns Hopkins University School of Medicine, 855 N. Wolfe Street, Baltimore, MD 21205, USA; Department of Pharmacology and Molecular Science, Johns Hopkins University School of Medicine, 855 N. Wolfe Street, Baltimore, MD 21205, USA; Department of Oncology, Johns Hopkins University School of Medicine, 855 N. Wolfe Street, Baltimore, MD 21205, USA; Department of Medicine, Johns Hopkins University School of Medicine, 855 N. Wolfe Street, Baltimore, MD 21205, USA; Department of Psychiatry, Johns Hopkins University School of Medicine, 855 N. Wolfe Street, Baltimore, MD 21205, USA. Electronic address: bslusher@jhmi.edu. Canavan disease (CD) is an inherited leukodystrophy resulting from mutations in the gene encoding aspartoacylase (ASPA). ASPA is highly expressed in oligodendrocytes and catalyzes the cleavage of N-acetylaspartate (NAA) to produce aspartate and acetate. In this review, we examine the pathologies and clinical presentation in CD, the metabolism and transportation of NAA in the brain, and the hypothetical mechanisms whereby ASPA deficiency results in dysmyelination and a failure of normal brain development. We also discuss therapeutic options that could be used for the treatment of CD. Copyright © 2022 Elsevier Ltd. All rights reserved. DOI: 10.1016/j.drudis.2022.05.019 PMID: 35636725 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/35637731
1. iScience. 2022 May 11;25(6):104391. doi: 10.1016/j.isci.2022.104391. eCollection 2022 Jun 17. Therapeutic development for Canavan disease using patient iPSCs introduced with the wild-type ASPA gene. Chao J(1), Feng L(1), Ye P(1), Chen X(1), Cui Q(1), Sun G(1)(2), Zhou T(1), Tian E(1), Li W(1), Hu W(3), Riggs AD(2), Matalon R(4), Shi Y(1). Author information: (1)Division of Stem Cell Biology Research, Department of Stem Cell Biology and Regenerative Medicine, Beckman Research Institute of City of Hope, 1500 E. Duarte Road, Duarte, CA 91010, USA. (2)Diabetes and Metabolism Research Institute, City of Hope, 1500 E. Duarte Road, Duarte, CA 91010, USA. (3)Department of Molecular Imaging and Therapy, Beckman Research Institute of City of Hope, 1500 E. Duarte Road, Duarte, CA 91010, USA. (4)Department of Pediatrics, The University of Texas Medical Branch at Galveston, 301 University Boulevard, Galveston, TX 77555-0359, USA. Canavan disease (CD) is a devastating neurological disease that lacks effective therapy. Because CD is caused by mutations of the aspartoacylase (ASPA) gene, we introduced the wild-type (WT) ASPA gene into patient iPSCs through lentiviral transduction or CRISPR/Cas9-mediated gene editing. We then differentiated the WT ASPA-expressing patient iPSCs (ASPA-CD iPSCs) into NPCs and showed that the resultant ASPA-CD NPCs exhibited potent ASPA enzymatic activity. The ASPA-CD NPCs were able to survive in brains of transplanted CD mice. The engrafted ASPA-CD NPCs reconstituted ASPA activity in CD mouse brains, reduced the abnormally elevated level of NAA in both brain tissues and cerebrospinal fluid (CSF), and rescued hallmark pathological phenotypes of the disease, including spongy degeneration, myelination defects, and motor function impairment in transplanted CD mice. These genetically modified patient iPSC-derived NPCs represent a promising cell therapy candidate for CD, a disease that has neither a cure nor a standard treatment. © 2022. DOI: 10.1016/j.isci.2022.104391 PMCID: PMC9142666 PMID: 35637731 Conflict of interest statement: A patent application related to this work has been filed. The authors declare no other competing interests.
http://www.ncbi.nlm.nih.gov/pubmed/35929936
1. Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2022 Aug 10;39(8):859-863. doi: 10.3760/cma.j.cn511374-20210612-00499. [Genetic analysis and prenatal diagnosis for a Chinese pedigree affected with Canavan disease]. [Article in Chinese] Sun G(1), Zhu X, Hu S, Liu L, Wang L, Kong X. Author information: (1)Center of Genetics and Prenatal Diagnosis, Department of Obstetrics and Gynecology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China. kongxd@263.net. OBJECTIVE: To explore the genetic basis for a Chinese patient suspected for Canavan disease. METHODS: Whole exome sequencing (WES) was carried out for the proband, and candidate variants were verified by Sanger sequencing of the proband, her parents and brother. Prenatal diagnosis was provided to her mother by chorionic villi sampling (CVS) upon her subsequent pregnancy. RESULTS: The proband, a 4-month-old female infant, had manifested drowsiness, hypotonia and apathy. Urine metabolism screening showed elevated N-acetylaspartic acid. Cranial magnetic resonance imaging revealed abnormal myelination and multiple abnormal signals in large brain areas. WES revealed that the proband has harbored compound heterozygous variants of the ASPA gene, namely c.187A>G (p.Arg63Gly) in exon 1 and c.634+1G>A (P.?) in exon 4. Sanger sequencing confirmed that the c.187A>G (p.Arg63Gly) and c.634+1G>A (p.?) variants were respectively inherited from her mother and father. Her phenotypically normal brother has carried a heterozygous c.634+1G>A (p.?) variant. Prenatal diagnosis by CVS indicated that the fetus was a heterozygous carrier of the c.187A>G variant. CONCLUSION: WES can facilitate the diagnosis of Canavan disease, particularly for those lacking specific phenotypes of the disease. The compound heterozygous variants of the ASPA gene probably underlay the Canavan disease in this patient, and the result has enabled prenatal diagnosis for this family. DOI: 10.3760/cma.j.cn511374-20210612-00499 PMID: 35929936 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/29213721
1. Dement Neuropsychol. 2011 Jan-Mar;5(1):54-57. doi: 10.1590/S1980-57642011DN05010010. Congenital prosopagnosia: A case report. Schultz RR(1), Bertolucci PHF(2). Author information: (1)Head, Behavior Neurology Section, University of Santo Amaro, São Paulo SP, Brazil; Behavior Neurology Section, Department of Neurology and Neurosurgery, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo SP, Brazil. (2)Head, Behavior Neurology Section, Department of Neurology and Neurosurgery, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo SP, Brazil. Prosopagnosia is a visual agnosia characterized by an inability to recognize previously known human faces and to learn new faces. The aim of this study was to present a forty-six year-old woman with congenital prosopagnosia, and to discuss the neural bases of perception and recognition of faces. The patients had a lifetime impairment in recognizing faces of family members, close friends, and even her own face in photos. She also had impairment in recognizing animals such as discriminating between cats and dogs. The patient's basic visual skills showed impairment in identifying and recognizing the animal form perception on the coding subtest of the WAIS-R, recognizing overlapping pictures (Luria), and in identifying silhouettes depicting animals and objects (VOSP). Unconventional tests using pictures evidenced impairment in her capacity to identify famous faces, facial emotions and animals. Her face perception abilities were preserved, but recognition could not take place. Therefore, it appears that the agnosia in this case best fits the group of categories termed "associative". Publisher: Prosopagnosia é uma agnosia visual caracterizada por uma incapacidade de reconhecer faces humanas vistas anteriormente e aprender outras. O objetivo é apresentar uma mulher de 46 anos com prosopagnosia congênita e discutir as bases neurais da percepção e do reconhecimento de faces. Ela nos procurou referindo apresentar desde a infância problemas no reconhecimento de faces de membros da família, amigos próximos e mesmo para sua própria imagem numa fotografia. Também diz apresentar prejuízo no reconhecimento de animais, como discriminar cães de gatos. Apresentou dificuldades em identificar e reconhecer animais desenhados; reconhecer figuras sobrepostas (Luria), incorrendo em paragnosias visuais e identificar silhuetas de animais (VOSP). Em testes não convencionais, usando figuras, evidenciou diminuição da capacidade em identificar faces famosas, expressões faciais e animais, mas não em estimar o sexo e a idade das pessoas. Concluindo, suas habilidades perceptuais para face estão preservadas, mas há um déficit de reconhecimento. Tudo indica que sua agnosia pertence ao grupo das associativas. DOI: 10.1590/S1980-57642011DN05010010 PMCID: PMC5619140 PMID: 29213721 Conflict of interest statement: Disclosure: The authors reports no conflicts of interest.
http://www.ncbi.nlm.nih.gov/pubmed/29213598
1. Dement Neuropsychol. 2008 Oct-Dec;2(4):353-355. doi: 10.1590/S1980-57642009DN20400021. Developmental prosopagnosia and adaptative compensatory strategies: Case study. Rodrigues A(1), Bolognani SAP(1), Brucki SMD(2), Bueno OFA(3). Author information: (1)Neuropsychologist. Head of Centro Paulista de Neuropsicologia, Departamento de Psicobiologia, UNIFESP-EPM. (2)Neurologist. Head of Centro Paulista de Neuropsicologia, Departamento de Psicobiologia, UNIFESP-EPM. (3)Psychologist, Head of Centro Paulista de Neuropsicologia, Departamento de Psicobiologia, UNIFESP-EPM. Prosopagnosia is a type of visual agnosia with inability to identify faces, usually secondary to brain lesion in associative cortex areas, but there is also a congenital form known as developmental prosopagnosia. OBJECTIVES: To describe a case of developmental prosopagnosia that illustrates the specificity of the pathways for perception of faces in the visual system. Also, we will describe possible mechanisms of recognition used by this patient. METHODS: R.S., a 50 year-old woman, was referred for neuropsychological assessment due to difficulties in perception of familiar faces since childhood, unexplained by any loss of visual acuity. RESULTS: The exam showed good performance for comprehension, reasoning, concept formation, constructional abilities, criticism, judgment, mental control, memory and visual perception for other kinds of stimuli. No difficulties were seen regarding identification of ethnicity, age and types of animals. The patient was able to match celebrities' faces in different positions, but could not identify the matching pictures for unknown people. CONCLUSIONS: These findings indicate the patient had developed strategies, throughout life, to recognize familiar faces (relatives, celebrities) from memorized fragments, but still had difficulties in identifying non-familiar faces holistically. Publisher: A prosopagnosia é um tipo de agnosia visual que pode surgir em decorrência de lesão cerebral em áreas do córtex associativo, mas também pode constituir uma condição congênita, também chamada de prosopagnosia de desenvolvimento. OBJETIVOS: Descrição de um caso de prosopagnosia de desenvolvimento, que ilustra mecanismos específicos de percepção visual, bem como vias alternativas utilizadas no reconhecimento de pessoas. MÉTODOS: A paciente, 50 anos, foi encaminhada para avaliação neuropsicológica com queixas de dificuldades de percepção visual não justificáveis por perda de acuidade. Desde criança teve dificuldades em reconhecer rostos de pessoas conhecidas. RESULTADOS: Na avaliação a paciente mostrou bons resultados quanto a capacidade de compreensão e expressão de idéias, raciocínio e conceituação, visuo-construção, crítica, julgamento, controle mental, memória e percepção visual para outras modalidades de estímulos. Também não obteve prejuízos no reconhecimento de etnias, expressões faciais, identificação de faixas etárias e tipos de animais. A paciente foi capaz de parear fotos de rostos familiares famosos em diferentes posições, mas não conseguiu parear rostos não familiares. CONCLUSÕES: O conjunto dos achados indica que a paciente desenvolveu estratégias ao longo da vida para reconhecer rostos conhecidos (familiares, celebridades) a partir de fragmentos memorizados, mas continua tendo dificuldades para identificar holisticamente faces não familiares. DOI: 10.1590/S1980-57642009DN20400021 PMCID: PMC5619093 PMID: 29213598
http://www.ncbi.nlm.nih.gov/pubmed/30625291
1. Neuropsychologia. 2019 Feb 18;124:87-97. doi: 10.1016/j.neuropsychologia.2018.12.022. Epub 2019 Jan 6. Perception of musical pitch in developmental prosopagnosia. Corrow SL(1), Stubbs JL(2), Schlaug G(3), Buss S(3), Paquette S(3), Duchaine B(4), Barton JJS(2). Author information: (1)Human Vision and Eye Movement Laboratory, Departments of Medicine (Neurology), Ophthalmology and Visual Science, University of British Columbia, Vancouver, Canada; Department of Psychology, Bethel University, St. Paul, MN, USA. Electronic address: s-corrow@bethel.edu. (2)Human Vision and Eye Movement Laboratory, Departments of Medicine (Neurology), Ophthalmology and Visual Science, University of British Columbia, Vancouver, Canada. (3)Music and Neuroimaging Laboratory, Department of Neurology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA. (4)Department of Psychological and Brain Sciences, Dartmouth College, Hanover, NH, USA. Studies of developmental prosopagnosia have often shown that developmental prosopagnosia differentially affects human face processing over non-face object processing. However, little consideration has been given to whether this condition is associated with perceptual or sensorimotor impairments in other modalities. Comorbidities have played a role in theories of other developmental disorders such as dyslexia, but studies of developmental prosopagnosia have often focused on the nature of the visual recognition impairment despite evidence for widespread neural anomalies that might affect other sensorimotor systems. We studied 12 subjects with developmental prosopagnosia with a battery of auditory tests evaluating pitch and rhythm processing as well as voice perception and recognition. Overall, three subjects were impaired in fine pitch discrimination, a prevalence of 25% that is higher than the estimated 4% prevalence of congenital amusia in the general population. This was a selective deficit, as rhythm perception was unaffected in all 12 subjects. Furthermore, two of the three prosopagnosic subjects who were impaired in pitch discrimination had intact voice perception and recognition, while two of the remaining nine subjects had impaired voice recognition but intact pitch perception. These results indicate that, in some subjects with developmental prosopagnosia, the face recognition deficit is not an isolated impairment but is associated with deficits in other domains, such as auditory perception. These deficits may form part of a broader syndrome which could be due to distributed microstructural anomalies in various brain networks, possibly with a common theme of right hemispheric predominance. Crown Copyright © 2019. Published by Elsevier Ltd. All rights reserved. DOI: 10.1016/j.neuropsychologia.2018.12.022 PMCID: PMC10262916 PMID: 30625291 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/20850465
1. Neuropsychologia. 2010 Nov;48(13):3725-32. doi: 10.1016/j.neuropsychologia.2010.09.008. Epub 2010 Sep 17. Superior voice recognition in a patient with acquired prosopagnosia and object agnosia. Hoover AE(1), Démonet JF, Steeves JK. Author information: (1)Centre for Vision Research, York University, Toronto, Canada. Anecdotally, it has been reported that individuals with acquired prosopagnosia compensate for their inability to recognize faces by using other person identity cues such as hair, gait or the voice. Are they therefore superior at the use of non-face cues, specifically voices, to person identity? Here, we empirically measure person and object identity recognition in a patient with acquired prosopagnosia and object agnosia. We quantify person identity (face and voice) and object identity (car and horn) recognition for visual, auditory, and bimodal (visual and auditory) stimuli. The patient is unable to recognize faces or cars, consistent with his prosopagnosia and object agnosia, respectively. He is perfectly able to recognize people's voices and car horns and bimodal stimuli. These data show a reverse shift in the typical weighting of visual over auditory information for audiovisual stimuli in a compromised visual recognition system. Moreover, the patient shows selectively superior voice recognition compared to the controls revealing that two different stimulus domains, persons and objects, may not be equally affected by sensory adaptation effects. This also implies that person and object identity recognition are processed in separate pathways. These data demonstrate that an individual with acquired prosopagnosia and object agnosia can compensate for the visual impairment and become quite skilled at using spared aspects of sensory processing. In the case of acquired prosopagnosia it is advantageous to develop a superior use of voices for person identity recognition in everyday life. Copyright © 2010 Elsevier Ltd. All rights reserved. DOI: 10.1016/j.neuropsychologia.2010.09.008 PMID: 20850465 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/26321070
1. Cortex. 2015 Oct;71:390-7. doi: 10.1016/j.cortex.2015.07.030. Epub 2015 Aug 4. The processing of voice identity in developmental prosopagnosia. Liu RR(1), Corrow SL(2), Pancaroglu R(3), Duchaine B(4), Barton JJ(5). Author information: (1)Human Vision and Eye Movement Laboratory, Departments of Medicine (Neurology), Ophthalmology and Visual Sciences, University of British Columbia, Eye Care Centre, Vancouver, BC, Canada. Electronic address: r.liu@alumni.ubc.ca. (2)Human Vision and Eye Movement Laboratory, Departments of Medicine (Neurology), Ophthalmology and Visual Sciences, University of British Columbia, Eye Care Centre, Vancouver, BC, Canada. Electronic address: sherryse.corrow@eyecarecentre.org. (3)Human Vision and Eye Movement Laboratory, Departments of Medicine (Neurology), Ophthalmology and Visual Sciences, University of British Columbia, Eye Care Centre, Vancouver, BC, Canada. Electronic address: raikap@gmail.com. (4)Psychological and Brain Sciences, Dartmouth College, Hanover, NH, USA. Electronic address: bradley.c.duchaine@dartmouth.edu. (5)Human Vision and Eye Movement Laboratory, Departments of Medicine (Neurology), Ophthalmology and Visual Sciences, University of British Columbia, Eye Care Centre, Vancouver, BC, Canada. Electronic address: jasonbarton@shaw.ca. BACKGROUND: Developmental prosopagnosia is a disorder of face recognition that is believed to reflect impairments of visual mechanisms. However, voice recognition has rarely been evaluated in developmental prosopagnosia to clarify if it is modality-specific or part of a multi-modal person recognition syndrome. OBJECTIVE: Our goal was to examine whether voice discrimination and/or recognition are impaired in subjects with developmental prosopagnosia. DESIGN/METHODS: 73 healthy controls and 12 subjects with developmental prosopagnosia performed a match-to-sample test of voice discrimination and a test of short-term voice familiarity, as well as a questionnaire about face and voice identification in daily life. RESULTS: Eleven subjects with developmental prosopagnosia scored within the normal range for voice discrimination and voice recognition. One was impaired on discrimination and borderline for recognition, with equivalent scores for face and voice recognition, despite being unaware of voice processing problems. CONCLUSIONS: Most subjects with developmental prosopagnosia are not impaired in short-term voice familiarity, providing evidence that developmental prosopagnosia is usually a modality-specific disorder of face recognition. However, there may be heterogeneity, with a minority having additional voice processing deficits. Objective tests of voice recognition should be integrated into the diagnostic evaluation of this disorder to distinguish it from a multi-modal person recognition syndrome. Copyright © 2015 Elsevier Ltd. All rights reserved. DOI: 10.1016/j.cortex.2015.07.030 PMCID: PMC4575891 PMID: 26321070 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/1796436
1. Tidsskr Nor Laegeforen. 1991 Nov 30;111(29):3505-6. [Prosopagnosia. A rare disorder of visual perception]. [Article in Norwegian] Wolland AM(1), Hagelsteen JH. Author information: (1)Haukåsen barnenevrologiske poliklinikk, Oslo. Prosopagnosia is a rare neurological sign, characterized by disturbance of recognition of faces. It is important to remember that prosopagnosia can appear as a result of a brain injury, and as such may be a major disability to the patient. We report a case of a nine year old boy with prosopagnosia due to brain injury at the age of 18 months. The main injury was localized to the boy's left hemisphere, but his right hemisphere was probably also affected. Most post mortem examinations of patients suffering from prosopagnosia show bilateral or right-sided parietal, temporal and occipetal pathological changes. PMID: 1796436 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/28539812
1. Eye Brain. 2016 Sep 26;8:165-175. doi: 10.2147/EB.S92838. eCollection 2016. Prosopagnosia: current perspectives. Corrow SL(1)(2), Dalrymple KA(3), Barton JJ(1)(2). Author information: (1)Human Vision and Eye Movement Laboratory, Neurology Division, Department of Medicine. (2)Department of Ophthalmology and Visual Science, University of British Columbia, Vancouver, Canada. (3)Institute of Child Development, University of Minnesota, Minneapolis, MN, USA. Prosopagnosia is a selective visual agnosia characterized by the inability to recognize the identity of faces. There are both acquired forms secondary to brain damage and developmental forms without obvious structural lesions. In this review, we first discuss the diagnosis of acquired and developmental prosopagnosia, and the challenges present in the latter case. Second, we discuss the evidence regarding the selectivity of the prosopagnosic defect, particularly in relation to the recognition of other objects, written words (another visual object category requiring high expertise), and voices. Third, we summarize recent findings about the structural and functional basis of prosopagnosia from studies using magnetic resonance imaging, functional magnetic resonance imaging, and event-related potentials. Finally, we discuss recent attempts at rehabilitation of face recognition in prosopagnosia. DOI: 10.2147/EB.S92838 PMCID: PMC5398751 PMID: 28539812 Conflict of interest statement: Disclosure This work was supported by CIHR operating grant (MOP-102567) to JB. JB was supported by a Canada Research Chair and the Marianne Koerner Chair in Brain Diseases. SC was supported by National Eye Institute of the National Institutes of Health under award number F32 EY023479-02 and Loan Repayment Program. The authors report no other conflicts of interest in this work.
http://www.ncbi.nlm.nih.gov/pubmed/15098192
1. Rev Neurol. 2004 Apr 1-15;38(7):682-6. [Prosopagnosia: is it a single or a multiple entity?]. [Article in Spanish] García García R(1), Cacho Gutiérrez LJ. Author information: (1)Departamento de Psicología Básica, Facultad de Psicologia, Universidad de Salamanca. Salamanca, España. rigar@usal.es INTRODUCTION: The prosopagnosia has generally been defined as an incapacity to recognize familiar faces, or faces previously known, due to certain lesions to certain areas of the cerebral cortex. Yet it seems that there is no universal consensus neither on its definition nor in relation to the specific lesions that might cause it. There seems to be no consensus either around the criteria that might enable us to identify different types of prosopagnosia. OBJECTIVE: We make an attempt to revise the definition of prosopagnosia and to see if it is appropriate to consider it as a single entity or, on the contrary, we are able to differentiate specific types of prosopagnosia according to its origin, brain lesion associated with it or the patients characteristics. On the other hand, we questioned ourselves whether different exams usually utilized for the identification of prosopagnosia in fact measure the same concept. CONCLUSIONS: We propose that we could distinguish different types of prosopagnosia with different clinical characteristics. Then we went on to differentiate between developed prosopagnosias and acquired prosopagnosias by bilateral brain lesion as opposed with those associated with a fundamentally aperceptive deficit, as opposed to those linked with a fundamentally associative deficit. Lastly, we propose that different types of exams of recognition and identification can measure distinct aspects linked to prosopagnosia. PMID: 15098192 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/17402670
1. Perception. 2007;36(2):299-301. doi: 10.1068/p5716. Prosopagnosia in biographies and autobiographies. Grüter T(1), Grüter M. Author information: (1)Department of Psychological Basic Research, Faculty of Psychology, University of Vienna, Vienna, Austria. thomas.grueter@univie.ac.at Prosopagnosia is a selective impairment of the visual learning and recognition of faces. The congenital type, which is not accompanied by detectable brain damage or malformation, was recently found to be far more common than previously known. Therefore, one should expect that at least a few biographies or autobiographies would reveal a prosopagnosia. In this paper we present an autobiography and a biography describing five cases of congenital prosopagnosia. These biographic descriptions of prosopagnosia add further evidence to the assumption that the congenital type of prosopagnosia is not a rare condition, and not as socially crippling as one might expect. DOI: 10.1068/p5716 PMID: 17402670 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/17981784
1. Front Biosci. 2008 Jan 1;13:3150-8. doi: 10.2741/2916. Congenital prosopagnosia--a common hereditary cognitive dysfunction in humans. Kennerknecht I(1), Pluempe N, Welling B. Author information: (1)Institut fuer Humangenetik, Westfaelische Wilhelms Universitaet, Muenster, Germany. kennerk@uni-muenster.de The apparent selectivity of agnosia for faces is termed prosopagnosia or face blindness. This cognitive dysfunction can be seen after traumatic events--involving at least the right occipital temporal region--or very frequently congenital in the absence of any detectable lesions. The familiarity of congenital prosopagnosia was studied in two independently ascertained collections of subjects with prosopagnosia. One was an unselected group of pupils and students who underwent a questionnaire based screening. The others were self reported subjects after having heard for the first time about the phenomenon of prosopagnosia from mass media citing our studies and/or from our homepage (www.prosopagnosia.de). Those who agreed with consecutive studies of their family members had mostly one or more prosopagnosic first degree relatives. The segregation patterns derived from 39 families are compatible with autosomal dominant inheritance. Hence, mutation(s) in one gene are sufficient for manifestation of the phenotype. Still fitting the concept of autosomal dominant inheritance, we have evidence for a slightly reduced penetrance (4 normal transmitters from distinct families) and one or two de novo mutations. DOI: 10.2741/2916 PMID: 17981784 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/20182942
1. J Clin Exp Neuropsychol. 2010 Aug;32(7):763-6. doi: 10.1080/13803390903512686. Epub 2010 Feb 24. Not all patients labeled as "prosopagnosia" have a real prosopagnosia. Gainotti G(1). Author information: (1)Center for Neuropsychological Research, Department of Neurosciences, Policlinico Gemelli, Catholic University of Rome, Rome, Italy. gainotti@ rm.unicatt.it Since face recognition is the most powerful source of information for identifying familiar people, patients showing a multimodal defect in people recognition have been sometimes considered as affected by "prosopagnosia"-namely, by a form of visual agnosia, specifically affecting face recognition. In this note we report two anatomoclinical observations and a neuroanatomical study in which an inappropriate use of the term "prosopagnosia" was made, because the person recognition defect was not confined to the visual (face) modality, but also concerned voice and/or name of the target person. The dangers of this inappropriate use of the term prosopagnosia are briefly discussed. DOI: 10.1080/13803390903512686 PMID: 20182942 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/17186317
1. J Hum Genet. 2007;52(3):230-236. doi: 10.1007/s10038-006-0101-6. Epub 2006 Dec 22. Hereditary prosopagnosia (HPA): the first report outside the Caucasian population. Kennerknecht I(1), Plümpe N(2), Edwards S(3), Raman R(4). Author information: (1)Institut für Humangenetik, Westfälische Wilhelms Universität, Münster, Germany. kennerk@uni-muenster.de. (2)Institut für Humangenetik, Westfälische Wilhelms Universität, Münster, Germany. (3)Department of Psychology, Zululand University, P. Bag X1001, KwaDlangezwa, 3886, South Africa. (4)Department of Zoology and Molecular and Human Genetics, Banaras Hindu University, Varanasi, 221005, India. Prosopagnosia (PA) or face blindness is characterized by a deficiency in identifying familiar faces. Almost all reports are single cases or collections of unrelated patients who acquired prosopagnosia after brain injuries, strokes or atrophy of at least the right occipito-temporal cortex. Until 2001, the inborn form - in the absence of any brain lesions - was described in fewer than 20 probands exclusively of Caucasian origin. We recently found that in the German Caucasian population, congenital prosopagnosia has a very high prevalence of at least 2.5% and that it is genetically determined. It is best described by autosomal-dominant inheritance in the more than 50 families investigated. We therefore introduced the term non-syndromic hereditary PA for the congenital form of a monosymptomatic or isolated PA. This surprisingly high frequency in the Caucasian population prompted us to extend our search to other ethnic groups. We performed a questionnaire-based screening among 198 native Indian students at Banaras Hindu University in Varanasi. In a then selected subset, we found after further detailed diagnostic interviews one Bengali female student with visual agnosia for face recognition only. Several other members of her large family reported the same impairment of face recognition. The segregation pattern of PA in this family is also compatible with autosomal-dominant inheritance. DOI: 10.1007/s10038-006-0101-6 PMID: 17186317 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/2697897
1. Recenti Prog Med. 1989 Dec;80(12):633-7. [Agnosia]. [Article in Italian] De Renzi E. The term agnosia defines an impairment of stimulus recognition, limited to one modality and not explainable in terms of sensory deficits or general mental deterioration. Visual object agnosia refers to the inability to recognize objects and prosopagnosia to the failure to recognize faces that are well familiar to the patient, when stimuli are visually perceived. Both deficits may appear in an apperceptive form, where it is the internal and external structure of the stimulus to be unrecognized and an associative form where the patient achieves a good percept, but cannot assign it a meaning. Apperceptive forms are preferentially associated with bilateral occipital damage, object associative agnosia with left occipital damage and associative prosopagnosia with right occipital damage. PMID: 2697897 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/33184411
1. Sci Rep. 2020 Nov 12;10(1):19757. doi: 10.1038/s41598-020-76819-3. Normal recognition of famous voices in developmental prosopagnosia. Tsantani M(1), Cook R(2). Author information: (1)Department of Psychological Sciences, Birkbeck, University of London, Malet Street, London, WC1E 7HX, UK. (2)Department of Psychological Sciences, Birkbeck, University of London, Malet Street, London, WC1E 7HX, UK. richard.cook@bbk.ac.uk. Developmental prosopagnosia (DP) is a condition characterised by lifelong face recognition difficulties. Recent neuroimaging findings suggest that DP may be associated with aberrant structure and function in multimodal regions of cortex implicated in the processing of both facial and vocal identity. These findings suggest that both facial and vocal recognition may be impaired in DP. To test this possibility, we compared the performance of 22 DPs and a group of typical controls, on closely matched tasks that assessed famous face and famous voice recognition ability. As expected, the DPs showed severe impairment on the face recognition task, relative to typical controls. In contrast, however, the DPs and controls identified a similar number of voices. Despite evidence of interactions between facial and vocal processing, these findings suggest some degree of dissociation between the two processing pathways, whereby one can be impaired while the other develops typically. A possible explanation for this dissociation in DP could be that the deficit originates in the early perceptual encoding of face structure, rather than at later, post-perceptual stages of face identity processing, which may be more likely to involve interactions with other modalities. DOI: 10.1038/s41598-020-76819-3 PMCID: PMC7661722 PMID: 33184411 [Indexed for MEDLINE] Conflict of interest statement: The authors declare no competing interests.
http://www.ncbi.nlm.nih.gov/pubmed/2684250
1. No To Shinkei. 1989 Jul;41(7):703-10. [Non-verbal facial and topographic visual object agnosia--a problem of familiarity in prosopagnosia and topographic disorientation]. [Article in Japanese] Takahashi N(1), Kawamura M, Hirayama K, Tagawa K. Author information: (1)Department of Neurology, School of Medicine, Chiba University, Japan. In recent years, prosopagnosia is defined as the "loss of ability to recognize the well-acquainted persons like the family members by their physiognomy." There are many reports based on this definition. However, from the viewpoint of symptomatology, there are many problems not entirely solved yet. And the mechanism of its manifestation is not clearly explained. Topographic disorientation, which often accompanies prosopagnosia, is studied even less. From the results of the postmortem examination in the literature, bilateral occipito-temporal lesions have been known to cause prosopagnosia. However, the recent radiographical examination by the computed tomography revealed that the prosopagnosia is also caused by the right occipito-temporal lesions only. We experienced a case with prosopagnosia and topographic disorientation which were considered to be caused by infarction in the territory of the right posterior cerebral artery. Detailed symptomatological, morphological and functional examinations were carried out by means of various psychological testing, X-ray computed tomography (CT), magnetic resonance imaging (MRI) and positron emission tomography (PET). The patient was a 70-year-old right-handed man who suffered from sudden visual loss on both eyes, and was admitted to our hospital after four weeks. On examination, a decrease of visual acuity and right homonymous hemianopsia were recognized. When visual acuity was recovered, he was unable to recognize the faces of his relatives and friends, with whom he has been well acquainted for many years. He also found his own house, the buildings and streets around it as entirely unfamiliar. Seven months after the onset of the disease, examination showed he had definite prosopagnosia and topographic disorientation.(ABSTRACT TRUNCATED AT 250 WORDS) PMID: 2684250 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/16767465
1. Psychol Res. 2007 Sep;71(5):583-90. doi: 10.1007/s00426-006-0068-0. Epub 2006 Jun 10. Gaze behaviour in hereditary prosopagnosia. Schwarzer G(1), Huber S, Grüter M, Grüter T, Gross C, Hipfel M, Kennerknecht I. Author information: (1)University of Giessen, Otto-Behaghel-Strasse 10F, 35394 Giessen, Germany. gudrun.schwarzer@psychol.uni-giessen.de Prosopagnosia is the inability to recognize someone by the face alone in the absence of sensory or intellectual impairment. In contrast to the acquired form of prosopagnosia we studied the congenital form. Since we could recently show that this form is inherited as a simple monogenic trait we called it hereditary form. To determine whether not only face recognition and neuronal processing but also the perceptual acquisition of facial information is specific to prosopagnosia, we studied the gaze behaviour of four hereditary prosopagnosics in comparison to matched control subjects. This rarely studied form of prosopagnosia ensures that deficits are limited to face recognition. Whereas the control participants focused their gaze on the central facial features, the hereditary prosopagnosics showed a significantly different gaze behaviour. They had a more dispersed gaze and also fixated external facial features. Thus, the face recognition impairment of the hereditary prosopagnosics is reflected in their gaze behaviour. DOI: 10.1007/s00426-006-0068-0 PMID: 16767465 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/33817891
1. J Genet Couns. 2021 Aug;30(4):924-937. doi: 10.1002/jgc4.1418. Epub 2021 Apr 4. Benefits and limitations of telegenetics: A literature review. Gorrie A(1), Gold J(2), Cameron C(1), Krause M(1)(3), Kincaid H(1). Author information: (1)Department of General Genetics, Monash Medical Centre, Melbourne, Victoria, Australia. (2)Independent Consultant, Melbourne, Victoria, Australia. (3)Department of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia. Telegenetics involves the use of technology (generally video conferencing) to remotely provide genetic services. A telegenetics platform is critical for those with limitations or vulnerabilities compromising their ability to attend clinic in-person, including individuals in rural areas. As the demand for remote genetics services increases, and amidst the COVID-19 pandemic with social distancing practices in place, we conducted a literature review to examine the benefits and limitations of telegenetics and explore the views of patients and health professionals utilizing telegenetics. Searches of the PubMed database identified 21 relevant primary studies for inclusion. The majority of studies found acceptability of telegenetics to be high among patients and health professionals and that telegenetics provided access to genetics services for underserved communities. The main benefits cited include cost-effectiveness and reduction in travel time for genetics services providing outreach clinics and patients who would otherwise travel long distances to access genetics. Patients appreciated the convenience of telegenetics including the reduced wait times, although a minority of patients reported their psychosocial needs were not adequately met. Eight studies compared outcomes between telegenetics and in-person services; findings suggested when comparing telegenetics patients to their in-person counterparts, telegenetics patients had a similar level of knowledge and understanding of genetics and similar psychological outcomes. Some studies reported challenges related to establishing rapport and reading and responding to verbal cues via telegenetics, while technical issues were not generally found to be a major limitation. Some service adaptations, for example, counseling strategies, may be required to successfully deliver telegenetics. Further research may be necessary to gather and examine data on how telegenetics outcomes compare to that of in-person genetic counseling and adapt services accordingly. © 2021 National Society of Genetic Counselors. DOI: 10.1002/jgc4.1418 PMID: 33817891 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/35576529
1. Blood. 2022 Nov 10;140(19):2053-2062. doi: 10.1182/blood.2022015403. A phase 1 dose escalation study of the pyruvate kinase activator mitapivat (AG-348) in sickle cell disease. Xu JZ(1), Conrey A(1), Frey I(1), Gwaabe E(1), Menapace LA(1), Tumburu L(1), Lundt M(1), Lequang T(1), Li Q(2), Glass K(2), Dunkelberger EB(2), Iyer V(3), Mangus H(3), Kung C(3), Dang L(3), Kosinski PA(3), Hawkins P(3), Jeffries N(4), Eaton WA(2), Lay Thein S(1). Author information: (1)Sickle Cell Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD. (2)Laboratory of Chemical Physics, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD. (3)Agios Pharmaceuticals, Inc., Cambridge, MA. (4)Office of Biostatistics Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD. Comment in Blood. 2022 Nov 10;140(19):2005-2006. doi: 10.1182/blood.2022016930. Polymerization of deoxygenated hemoglobin S underlies the pathophysiology of sickle cell disease (SCD). In activating red blood cell pyruvate kinase and glycolysis, mitapivat (AG-348) increases adenosine triphosphate (ATP) levels and decreases the 2,3-diphosphoglycerate (2,3-DPG) concentration, an upstream precursor in glycolysis. Both changes have therapeutic potential for patients with SCD. Here, we evaluated the safety and tolerability of multiple ascending doses of mitapivat in adults with SCD with no recent blood transfusions or changes in hydroxyurea or l-glutamine therapy. Seventeen subjects were enrolled; 1 subject was withdrawn shortly after starting the study. Sixteen subjects completed 3 ascending dose levels of mitapivat (5, 20, and 50 mg, twice daily [BID]) for 2 weeks each; following a protocol amendment, the dose was escalated to 100 mg BID in 9 subjects. Mitapivat was well tolerated at all dose levels, with the most common treatment-emergent adverse events (AEs) being insomnia, headache, and hypertension. Six serious AEs (SAEs) included 4 vaso-occlusive crises (VOCs), non-VOC-related shoulder pain, and a preexisting pulmonary embolism. Two VOCs occurred during drug taper and were possibly drug related; no other SAEs were drug related. Mean hemoglobin increase at the 50 mg BID dose level was 1.2 g/dL, with 9 of 16 (56.3%) patients achieving a hemoglobin response of a ≥1 g/dL increase compared with baseline. Mean reductions in hemolytic markers and dose-dependent decreases in 2,3-DPG and increases in ATP were also observed. This study provides proof of concept that mitapivat has disease-modifying potential in patients with SCD. This trial was registered at www.clinicaltrials.gov as #NCT04000165. DOI: 10.1182/blood.2022015403 PMCID: PMC9837441 PMID: 35576529 [Indexed for MEDLINE] Conflict of interest statement: Conflict-of-interest disclosure: V.I., H.M., C.K., L.D., P.A.K., and P.H. are employed by and are stockholders in Agios. H.M. and P.H. are stockholders in Bristol-Myers Squibb. V.I. is a stockholder in Novartis. The remaining authors declare no competing financial interests.
http://www.ncbi.nlm.nih.gov/pubmed/35988546
1. Lancet Haematol. 2022 Oct;9(10):e724-e732. doi: 10.1016/S2352-3026(22)00214-9. Epub 2022 Aug 18. Mitapivat in adult patients with pyruvate kinase deficiency receiving regular transfusions (ACTIVATE-T): a multicentre, open-label, single-arm, phase 3 trial. Glenthøj A(1), van Beers EJ(2), Al-Samkari H(3), Viprakasit V(4), Kuo KHM(5), Galactéros F(6), Chonat S(7), Porter J(8), Zagadailov E(9), Xu R(9), Oluyadi A(9), Hawkins P(9), Gheuens S(9), Beynon V(9), Barcellini W(10); ACTIVATE-T investigators. Author information: (1)Department of Haematology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark. Electronic address: andreas.glenthoej@regionh.dk. (2)Benign Hematology Center, Van Creveldkliniek, University Medical Center Utrecht, University Utrecht, Utrecht, the Netherlands. (3)Division of Hematology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. (4)Siriraj Hospital, Mahidol University, Bangkok, Thailand. (5)Division of Hematology, University of Toronto, Toronto, ON, Canada. (6)Unité des Maladies Génétiques du Globule Rouge, CHU Henri Mondor, Créteil, France. (7)Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta and Department of Pediatrics, Emory University, Atlanta, GA, USA. (8)Department of Haematology, University College London Cancer Institute, London, UK. (9)Agios Pharmaceuticals, Cambridge, MA, USA. (10)Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. Comment in Lancet Haematol. 2022 Oct;9(10):e708-e709. doi: 10.1016/S2352-3026(22)00249-6. BACKGROUND: Mitapivat, an oral activator of pyruvate kinase (PK) in red blood cells (RBCs), has shown significant improvements in haemoglobin and haemolysis among patients with pyruvate kinase deficiency who were not receiving regular transfusions. We aimed to evaluate the efficacy and safety of mitapivat in adults with pyruvate kinase deficiency receiving regular transfusions. METHODS: ACTIVATE-T was an open-label, single-arm, phase 3 trial conducted in 20 centres across Europe, North America, and Asia. Eligible participants were adults (aged ≥18 years) with a clinical laboratory confirmation of pyruvate kinase deficiency receiving regular transfusions (at least six episodes in the previous year). Participants received oral mitapivat during a 16-week dose-optimisation period (5 mg, 20 mg, 50 mg twice daily) and 24-week fixed-dose period. The primary endpoint was a reduction in transfusion burden (≥33% reduction in number of RBC units transfused during the fixed-dose period, compared with the participant's individual historical transfusion burden, standardised to 24 weeks). Efficacy and safety were assessed in all participants who received at least one dose of mitapivat. This trial is registered with ClinicalTrials.gov, NCT03559699, and is complete. FINDINGS: Between June 26, 2018, and Feb 4, 2020, 27 participants (20 [74%] female and seven [26%] male; 20 [74%] White, three [11%] Asian, and four [15%] not reported) were enrolled and received at least one dose of mitapivat. Median duration of exposure to mitapivat was 40·3 weeks (IQR 40·0-41·3). A reduction in transfusion burden by at least 33% was found in ten (37%) participants (95% CI 19-58; p=0·0002). The most common treatment-emergent adverse events were increase in alanine aminotransferase (ten [37%] participants), headache (ten [37%]), increase in aspartate aminotransferase (five [19%]), fatigue (five [19%]), and nausea (five [19%]). Two grade 3 treatment-emergent adverse events were related to study treatment: joint swelling (one participant [4%]) and an increase in aspartate aminotransferase (one participant [4%]). Three participants had serious treatment-emergent adverse events, none related to the study treatment: increased blood triglycerides, ovarian cyst, and renal colic (each in one participant [4%]). No treatment-related deaths were observed. INTERPRETATION: Mitapivat represents a novel therapy that can reduce transfusion burden in some adults with pyruvate kinase deficiency receiving regular transfusions, and is the first disease-modifying agent approved in this disease. FUNDING: Agios Pharmaceuticals. Copyright © 2022 Elsevier Ltd. All rights reserved. DOI: 10.1016/S2352-3026(22)00214-9 PMID: 35988546 [Indexed for MEDLINE] Conflict of interest statement: Declaration of interests EZ, RX, AO, PH, SG, and VB are employees and shareholders of Agios Pharmaceuticals. AG has received fees for consultancy work and as a member of advisory boards from Agios Pharmaceuticals, bluebird bio, Celgene, Novartis, and Novo Nordisk; and research grants from Alexion, Saniona, and Sanofi. EJvB has received fees as a member of advisory board from Agios Pharmaceuticals; and research funding from Agios Pharmaceuticals, Novartis, Pfizer, and RR Mechatronics. HA-S has received fees for consultancy work from Agios Pharmaceuticals, argenx, Dova–Sobi, Novartis, Rigel, Forma Therapeutics, and Moderna; and research funding from Agios Pharmaceuticals, Dova, and Amgen. VV has received fees for consultancy work, honoraria, research funding, and speakers bureau from Bristol-Myers Squibb; and fees for consultancy work and research funding from Agios Pharmaceuticals, Ionis, La Jolla Pharmaceuticals, Protagonist Therapeutics, and Vifor Pharma. KHMK has received fees for consultancy work from Agios Pharmaceuticals, Alexion, Apellis, bluebird bio, Celgene, Pfizer, and Novartis; honoraria from Alexion and Novartis; research funding from Pfizer; and membership on an entity's Board of Directors or advisory committees from Bioverativ. FG has been on board membership or advisory committee for Addmedica. SC has received fees for consultancy work from Agios Pharmaceuticals, Alexion, Daiichi Sankyo, Novartis, and Takeda; and research funding from Agios Pharmaceuticals, Alexion, Apellis, Global Blood Therapeutics, Novartis, and Takeda. WB has received honoraria from Agios Pharmaceuticals, Alexion, and Novartis; and been on board membership or advisory committee for Bioverativ and Incyte. JP declares no competing interests.
http://www.ncbi.nlm.nih.gov/pubmed/35964609
1. Lancet. 2022 Aug 13;400(10351):493-501. doi: 10.1016/S0140-6736(22)01337-X. Safety and efficacy of mitapivat, an oral pyruvate kinase activator, in adults with non-transfusion dependent α-thalassaemia or β-thalassaemia: an open-label, multicentre, phase 2 study. Kuo KHM(1), Layton DM(2), Lal A(3), Al-Samkari H(4), Bhatia J(5), Kosinski PA(5), Tong B(5), Lynch M(5), Uhlig K(5), Vichinsky EP(3). Author information: (1)Division of Haematology, University of Toronto, Toronto, ON, Canada. Electronic address: kevin.kuo@uhn.ca. (2)Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK. (3)Division of Hematology, University of California San Francisco Benioff Children's Hospital, Oakland, CA, USA. (4)Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. (5)Agios Pharmaceuticals, Cambridge, MA, USA. Comment in Lancet. 2022 Aug 13;400(10351):470-471. doi: 10.1016/S0140-6736(22)01431-3. Cell Rep Med. 2022 Oct 18;3(10):100790. doi: 10.1016/j.xcrm.2022.100790. BACKGROUND: Patients with non-transfusion-dependent thalassaemia (NTDT), although they do not require regular blood transfusions for survival, can still accrue a heavy burden of comorbidities. No approved disease-modifying therapies exist for these patients. We aimed to investigate the safety and efficacy of mitapivat (Agios Pharmaceuticals, Cambridge, MA, USA), a pyruvate kinase activator, in adults with non-transfusion-dependent (NTD) α-thalassaemia or NTD β-thalassaemia. METHODS: In this open-label, multicentre, phase 2 study, patients were recruited from four academic clinical study sites in Oakland, CA, and Boston, MA, USA; Toronto, ON, Canada; and London, UK. Patients were eligible if they were aged 18 years or older, with NTDT (including β-thalassaemia with or without α-globin gene mutations, haemoglobin E β-thalassaemia, or α-thalassaemia), and a baseline haemoglobin concentration of 10·0 g/dL or lower. During a 24-week core period, mitapivat was administered orally at 50 mg twice daily for the first 6 weeks followed by an escalation to 100 mg twice daily for 18 weeks thereafter. The primary endpoint was haemoglobin response (a ≥1·0 g/dL increase in haemoglobin concentration from baseline at one or more assessments between weeks 4 and 12). Efficacy and safety were assessed in the full analysis set (ie, all patients who received at least one dose of study drug). This study is registered with ClinicalTrials.gov, NCT03692052, and is closed to accrual. FINDINGS: Between Dec 28, 2018, and Feb 6, 2020, 27 patients were screened, of whom 20 were enrolled (15 [75%] with β-thalassaemia and five [25%] with α-thalassaemia) and received mitapivat. The median age of patients was 44 years (IQR 35-56), 15 (75%) of 20 patients were female, five (25%) were male, and ten (50%) identified as Asian. 16 (80% [90% CI 60-93]) of 20 patients had a haemoglobin response (p<0·0001), five (100%) of five with α-thalassaemia and 11 (73%) of 15 with β-thalassaemia. 17 (85%) patients had a treatment-emergent adverse event, and 13 had a treatment-emergent event that was considered to be treatment related. One serious treatment-emergent adverse event occurred (grade 3 renal impairment), which was considered unrelated to study drug, resulting in discontinuation of treatment. The most commonly reported treatment-emergent adverse events were initial insomnia (ten [50%] patients), dizziness (six [30%]), and headache (five [25%]). No patients died during the 24-week core period. INTERPRETATION: These efficacy and safety results support the continued investigation of mitapivat for the treatment of both α-thalassaemia and β-thalassaemia. FUNDING: Agios Pharmaceuticals. Copyright © 2022 Elsevier Ltd. All rights reserved. DOI: 10.1016/S0140-6736(22)01337-X PMID: 35964609 [Indexed for MEDLINE] Conflict of interest statement: Declaration of interests KHMK reports consultancy fees from Agios Pharmaceuticals, Alexion, Apellis, bluebird bio, Celgene, Forma, Pfizer, and Novartis; honoraria from Alexion and Novartis; membership on an advisory committee for Agios Pharmaceuticals and Bioverativ/Sanofi/Sangamo; and research funding from Pfizer. DML reports consultancy fees from Agios Pharmaceuticals and membership on the Board of Directors or advisory committee for Agios Pharmaceuticals and Cerus. AL reports research funding from bluebird bio, Celgene, Insight Magnetics, La Jolla Pharmaceutical Company, Novartis, Protagonist Therapeutics, Terumo Corporations, and Forma; consultancy fees from Agios Pharmaceuticals and Chiesi USA; and membership on the Board of Directors or advisory committee for Celgene and Protagonist Therapeutics. HA-S reports consultancy fees from Agios Pharmaceuticals, argenx, Dova/Sobi, Moderna, Novartis, Rigel, and Forma and research funding from Agios Pharmaceuticals, Amgen, and Dova. JB, PAK, BT, ML, and KU are employees and shareholders of Agios Pharmaceuticals. EPV reports consultancy fees and research funding from Agios Pharmaceuticals, bluebird bio, Global Blood Therapeutics, Novartis, and Pfizer.
http://www.ncbi.nlm.nih.gov/pubmed/28388403
1. Cell. 2017 Apr 6;169(2):186-187. doi: 10.1016/j.cell.2017.03.030. ESCRTing Necroptosis. Guo H(1), Kaiser WJ(2). Author information: (1)Department of Microbiology, Immunology, and Molecular Genetics, University of Texas Heath San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA. (2)Department of Microbiology, Immunology, and Molecular Genetics, University of Texas Heath San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA. Electronic address: kaiserw@uthscsa.edu. Comment on Cell. 2017 Apr 6;169(2):286-300.e16. doi: 10.1016/j.cell.2017.03.020. Necroptosis is a highly inflammatory form of programmed cell death that results from MLKL-mediated disruption of the cell membrane. In this issue of Cell, Gong et al. challenge the notion that MLKL activation is a point of no return by identifying mechanisms to counterbalance necroptosis, sustain plasma membrane integrity, and prolong cell viability. Copyright © 2017 Elsevier Inc. All rights reserved. DOI: 10.1016/j.cell.2017.03.030 PMID: 28388403 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/28388412
1. Cell. 2017 Apr 6;169(2):286-300.e16. doi: 10.1016/j.cell.2017.03.020. ESCRT-III Acts Downstream of MLKL to Regulate Necroptotic Cell Death and Its Consequences. Gong YN(1), Guy C(1), Olauson H(2), Becker JU(3), Yang M(1), Fitzgerald P(1), Linkermann A(4), Green DR(5). Author information: (1)Department of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA. (2)Division of Renal Medicine, Clinical Sciences, Intervention and Technology, Karolinska Institutet, 171 76 Stockholm, Sweden. (3)Institute of Pathology, University Hospital of Cologne, 50674 Cologne, Germany. (4)Division of Nephrology, Department of Internal Medicine III, University Hospital Carl Gustav Carus at the Technische Universität Dresden, 01307 Dresden, Germany. Electronic address: andreas.linkermann@ukdd.de. (5)Department of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA. Electronic address: douglas.green@stjude.org. Comment in Cell. 2017 Apr 6;169(2):186-187. doi: 10.1016/j.cell.2017.03.030. Nat Rev Mol Cell Biol. 2017 Jun;18(6):342-343. doi: 10.1038/nrm.2017.46. Immunity. 2017 Jul 18;47(1):1-3. doi: 10.1016/j.immuni.2017.07.002. The activation of mixed lineage kinase-like (MLKL) by receptor-interacting protein kinase-3 (RIPK3) results in plasma membrane (PM) disruption and a form of regulated necrosis, called necroptosis. Here, we show that, during necroptosis, MLKL-dependent calcium (Ca2+) influx and phosphatidylserine (PS) exposure on the outer leaflet of the plasma membrane preceded loss of PM integrity. Activation of MLKL results in the generation of broken, PM "bubbles" with exposed PS that are released from the surface of the otherwise intact cell. The ESCRT-III machinery is required for formation of these bubbles and acts to sustain survival of the cell when MLKL activation is limited or reversed. Under conditions of necroptotic cell death, ESCRT-III controls the duration of plasma membrane integrity. As a consequence of the action of ESCRT-III, cells undergoing necroptosis can express chemokines and other regulatory molecules and promote antigenic cross-priming of CD8+ T cells. Copyright © 2017 Elsevier Inc. All rights reserved. DOI: 10.1016/j.cell.2017.03.020 PMCID: PMC5443414 PMID: 28388412 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/31138766
1. Sci Signal. 2019 May 28;12(583):eaaw3423. doi: 10.1126/scisignal.aaw3423. Flotillin-mediated endocytosis and ALIX-syntenin-1-mediated exocytosis protect the cell membrane from damage caused by necroptosis. Fan W(1)(2), Guo J(1)(2), Gao B(1)(2), Zhang W(1)(2), Ling L(1)(2), Xu T(1)(2), Pan C(1)(2), Li L(1)(2), Chen S(1)(2), Wang H(3)(4), Zhang J(3)(5), Wang X(6)(2). Author information: (1)National Institute of Biological Sciences, Beijing, No. 7 Science Park Road, Zhongguancun Life Science Park, Beijing 102206, China. (2)Tsinghua Institute of Multidisciplinary Biomedical Research, Tsinghua University, Beijing 102206, China. (3)Department of Pathology, School of Basic Medical Sciences, Peking University Health Science Center, Beijing 100191, China. (4)Department of Pathology, Peking University Third Hospital, Beijing 100191, China. (5)Department of Pathology, University of Washington School of Medicine, Seattle, WA, USA. (6)National Institute of Biological Sciences, Beijing, No. 7 Science Park Road, Zhongguancun Life Science Park, Beijing 102206, China. wangxiaodong@nibs.ac.cn. Necroptosis is a form of regulated necrosis that is implicated in various human diseases including Alzheimer's disease. Necroptosis requires the translocation of the pseudokinase MLKL from the cytosol to the plasma membrane after its phosphorylation by the kinase RIPK3. Using protein cross-linking followed by affinity purification, we detected the lipid raft-associated proteins flotillin-1 and flotillin-2 and the ESCRT-associated proteins ALIX and syntenin-1 in membrane-localized MLKL immunoprecipitates. Phosphorylated MLKL was removed from membranes through either flotillin-mediated endocytosis followed by lysosomal degradation or ALIX-syntenin-1-mediated exocytosis. Thus, cells undergoing necroptosis need to overcome these independent suppressive mechanisms before plasma membrane disruption can occur. Copyright © 2019 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. DOI: 10.1126/scisignal.aaw3423 PMID: 31138766 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/31490656
1. ACS Chem Biol. 2019 Oct 18;14(10):2286-2294. doi: 10.1021/acschembio.9b00616. Epub 2019 Sep 20. Membrane Disruption by Very Long Chain Fatty Acids during Necroptosis. Parisi LR(1), Sowlati-Hashjin S(2)(3), Berhane IA(1), Galster SL(1), Carter KA(4), Lovell JF(4), Chemler SR(1), Karttunen M(2)(5)(3), Atilla-Gokcumen GE(1). Author information: (1)Department of Chemistry , University at Buffalo, The State University of New York , Buffalo , New York 14260 , United States. (2)Department of Chemistry , The University of Western Ontario , 1151 Richmond Street , London , Ontario N6A 5B7 , Canada. (3)The Centre of Advanced Materials and Biomaterials Research , The University of Western Ontario , 1151 Richmond Street , London , Ontario N6A 5B7 , Canada. (4)Department of Biomedical Engineering , University at Buffalo, The State University of New York , Buffalo , New York 14260 , United States. (5)Department of Applied Mathematics , The University of Western Ontario , 1151 Richmond Street , London , Ontario N6A 5B7 , Canada. Necroptosis is a form of regulated cell death which results in loss of plasma membrane integrity, release of intracellular contents, and an associated inflammatory response. We previously found that saturated very long chain fatty acids (VLCFAs), which contain ≥20 carbons, accumulate during necroptosis. Here, we show that genetic knockdown of Fatty Acid (FA) Elongase 7 (ELOVL7) reduces accumulation of specific very long chain FAs during necroptosis, resulting in reduced necroptotic cell death and membrane permeabilization. Conversely, increasing the expression of ELOVL7 increases very long chain fatty acids and membrane permeabilization. In vitro, introduction of the VLCFA C24 FA disrupts bilayer integrity in liposomes to a greater extent than a conventional C16 FA. To investigate the microscopic origin of these observations, atomistic Molecular Dynamics (MD) simulations were performed. MD simulations suggest that fatty acids cause clear differences in bilayers based on length and that it is the interdigitation of C24 FA between the individual leaflets that results in disorder in the region and, consequently, membrane disruption. We synthesized clickable VLCFA analogs and observed that many proteins were acylated by VLCFAs during necroptosis. Taken together, these results confirm the active role of VLCFAs during necroptosis and point to multiple potential mechanisms of membrane disruption including direct permeabilization via bilayer disruption and permeabilization by targeting of proteins to cellular membranes by fatty acylation. DOI: 10.1021/acschembio.9b00616 PMCID: PMC6800604 PMID: 31490656 [Indexed for MEDLINE] Conflict of interest statement: The authors declare no competing financial interest.
http://www.ncbi.nlm.nih.gov/pubmed/35365636
1. Cell Death Dis. 2022 Apr 1;13(4):291. doi: 10.1038/s41419-022-04740-w. The Lck inhibitor, AMG-47a, blocks necroptosis and implicates RIPK1 in signalling downstream of MLKL. Jacobsen AV(1)(2), Pierotti CL(1)(2), Lowes KN(1)(2), Au AE(1)(2), Zhang Y(1)(2), Etemadi N(1), Fitzgibbon C(1)(2), Kersten WJA(1), Samson AL(1)(2), van Delft MF(1)(2), Huang DCS(1)(2), Sabroux HJ(1)(2), Lessene G(1)(2)(3), Silke J(4)(5), Murphy JM(6)(7). Author information: (1)The Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, Australia. (2)Department of Medical Biology, The University of Melbourne, Parkville, VIC, Australia. (3)Department of Pharmacology and Therapeutics, The University of Melbourne, Parkville, VIC, Australia. (4)The Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, Australia. silke@wehi.edu.au. (5)Department of Medical Biology, The University of Melbourne, Parkville, VIC, Australia. silke@wehi.edu.au. (6)The Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, Australia. jamesm@wehi.edu.au. (7)Department of Medical Biology, The University of Melbourne, Parkville, VIC, Australia. jamesm@wehi.edu.au. Necroptosis is a form of caspase-independent programmed cell death that arises from disruption of cell membranes by the mixed lineage kinase domain-like (MLKL) pseudokinase after its activation by the upstream kinases, receptor interacting protein kinase (RIPK)-1 and RIPK3, within a complex known as the necrosome. Dysregulated necroptosis has been implicated in numerous inflammatory pathologies. As such, new small molecule necroptosis inhibitors are of great interest, particularly ones that operate downstream of MLKL activation, where the pathway is less well defined. To better understand the mechanisms involved in necroptosis downstream of MLKL activation, and potentially uncover new targets for inhibition, we screened known kinase inhibitors against an activated mouse MLKL mutant, leading us to identify the lymphocyte-specific protein tyrosine kinase (Lck) inhibitor AMG-47a as an inhibitor of necroptosis. We show that AMG-47a interacts with both RIPK1 and RIPK3, that its ability to protect from cell death is dependent on the strength of the necroptotic stimulus, and that it blocks necroptosis most effectively in human cells. Moreover, in human cell lines, we demonstrate that AMG-47a can protect against cell death caused by forced dimerisation of MLKL truncation mutants in the absence of any upstream signalling, validating that it targets a process downstream of MLKL activation. Surprisingly, however, we also found that the cell death driven by activated MLKL in this model was completely dependent on the presence of RIPK1, and to a lesser extent RIPK3, although it was not affected by known inhibitors of these kinases. Together, these results suggest an additional role for RIPK1, or the necrosome, in mediating human necroptosis after MLKL is phosphorylated by RIPK3 and provide further insight into reported differences in the progression of necroptosis between mouse and human cells. © 2022. The Author(s). DOI: 10.1038/s41419-022-04740-w PMCID: PMC8976052 PMID: 35365636 [Indexed for MEDLINE] Conflict of interest statement: CLP, KNL, AEA, YZ, NE, CF, WJAK, ALS, HJS, GL, JS and JMM contribute, or have contributed, to a project developing necroptosis inhibitors in collaboration with Anaxis Pty Ltd. AVJ, MFvD, and DCSH declare no conflicts of interest.
http://www.ncbi.nlm.nih.gov/pubmed/27158445
1. F1000Res. 2015 Nov 19;4:F1000 Faculty Rev-1297. doi: 10.12688/f1000research.7046.1. eCollection 2015. Post-translational control of RIPK3 and MLKL mediated necroptotic cell death. Murphy JM(#)(1)(2), Vince JE(#)(1)(2). Author information: (1)The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia. (2)Department of Medical Biology, University of Melbourne, Parkville, Victoria, Australia. (#)Contributed equally Several programmed lytic and necrotic-like cell death mechanisms have now been uncovered, including the recently described receptor interacting protein kinase-3 (RIPK3)-mixed lineage kinase domain-like (MLKL)-dependent necroptosis pathway. Genetic experiments have shown that programmed necrosis, including necroptosis, can play a pivotal role in regulating host-resistance against microbial infections. Alternatively, excess or unwarranted necroptosis may be pathological in autoimmune and autoinflammatory diseases. This review highlights the recent advances in our understanding of the post-translational control of RIPK3-MLKL necroptotic signaling. We discuss the critical function of phosphorylation in the execution of necroptosis, and highlight the emerging regulatory roles for several ubiquitin ligases and deubiquitinating enzymes. Finally, based on current evidence, we discuss the potential mechanisms by which the essential, and possibly terminal, necroptotic effector, MLKL, triggers the disruption of cellular membranes to cause cell lysis. DOI: 10.12688/f1000research.7046.1 PMCID: PMC4851234 PMID: 27158445 Conflict of interest statement: Competing interests: James M. Murphy co-leads a program funded by Catalyst Therapeutics Pty Ltd and the Walter and Eliza Hall Institute to develop necroptosis inhibitors. James E. Vince declares that he has no competing interests. No competing interests were disclosed.
http://www.ncbi.nlm.nih.gov/pubmed/31766571
1. Cells. 2019 Nov 21;8(12):1486. doi: 10.3390/cells8121486. Molecular Insights into the Mechanism of Necroptosis: The Necrosome As a Potential Therapeutic Target. Chen J(1), Kos R(1), Garssen J(1)(2), Redegeld F(1). Author information: (1)Division of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, 3508 TB Utrecht, The Netherlands. (2)Danone Nutricia Research, Uppsalaan 12, 3584 CT, Utrecht, The Netherlands. Necroptosis, or regulated necrosis, is an important type of programmed cell death in addition to apoptosis. Necroptosis induction leads to cell membrane disruption, inflammation and vascularization. It plays important roles in various pathological processes, including neurodegeneration, inflammatory diseases, multiple cancers, and kidney injury. The molecular regulation of necroptotic pathway has been intensively studied in recent years. Necroptosis can be triggered by multiple stimuli and this pathway is regulated through activation of receptor-interacting protein kinase 1 (RIPK1), RIPK3 and pseudokinase mixed lineage kinase domain-like (MLKL). A better understanding of the mechanism of regulation of necroptosis will further aid to the development of novel drugs for necroptosis-associated human diseases. In this review, we focus on new insights in the regulatory machinery of necroptosis. We further discuss the role of necroptosis in different pathologies, its potential as a therapeutic target and the current status of clinical development of drugs interfering in the necroptotic pathway. DOI: 10.3390/cells8121486 PMCID: PMC6952807 PMID: 31766571 [Indexed for MEDLINE] Conflict of interest statement: The authors declare that no conflicts of interest.
http://www.ncbi.nlm.nih.gov/pubmed/29076500
1. Cell Res. 2018 Jan;28(1):9-21. doi: 10.1038/cr.2017.133. Epub 2017 Oct 27. Plasma membrane changes during programmed cell deaths. Zhang Y(1), Chen X(1), Gueydan C(2), Han J(1). Author information: (1)State Key Laboratory of Cellular Stress Biology, Innovation Center for Cell Signaling Network, School of Life Sciences, Xiamen University, Xiamen, Fujian 361005, China. (2)Laboratoire de Biologie Moléculaire du Gène, Faculté des Sciences, Université Libre de Bruxelles, 1050 Brussels, Belgium. Ruptured and intact plasma membranes are classically considered as hallmarks of necrotic and apoptotic cell death, respectively. As such, apoptosis is usually considered a non-inflammatory process while necrosis triggers inflammation. Recent studies on necroptosis and pyroptosis, two types of programmed necrosis, revealed that plasma membrane rupture is mediated by MLKL channels during necroptosis but depends on non-selective gasdermin D (GSDMD) pores during pyroptosis. Importantly, the morphology of dying cells executed by MLKL channels can be distinguished from that executed by GSDMD pores. Interestingly, it was found recently that secondary necrosis of apoptotic cells, a previously believed non-regulated form of cell lysis that occurs after apoptosis, can be programmed and executed by plasma membrane pore formation like that of pyroptosis. In addition, pyroptosis is associated with pyroptotic bodies, which have some similarities to apoptotic bodies. Therefore, different cell death programs induce distinctive reshuffling processes of the plasma membrane. Given the fact that the nature of released intracellular contents plays a crucial role in dying/dead cell-induced immunogenicity, not only membrane rupture or integrity but also the nature of plasma membrane breakdown would determine the fate of a cell as well as its ability to elicit an immune response. In this review, we will discuss recent advances in the field of apoptosis, necroptosis and pyroptosis, with an emphasis on the mechanisms underlying plasma membrane changes observed on dying cells and their implication in cell death-elicited immunogenicity. DOI: 10.1038/cr.2017.133 PMCID: PMC5752838 PMID: 29076500 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/33848465
1. Cell Chem Biol. 2021 Sep 16;28(9):1298-1309.e7. doi: 10.1016/j.chembiol.2021.03.012. Epub 2021 Apr 12. Protein acylation by saturated very long chain fatty acids and endocytosis are involved in necroptosis. Pradhan AJ(1), Lu D(1), Parisi LR(1), Shen S(2), Berhane IA(1), Galster SL(1), Bynum K(3), Monje-Galvan V(4), Gokcumen O(5), Chemler SR(1), Qu J(2), Kay JG(3), Atilla-Gokcumen GE(6). Author information: (1)Department of Chemistry, University at Buffalo, The State University of New York, Buffalo, NY 14260, USA. (2)Department of Pharmaceutical Sciences, University at Buffalo, The State University of New York, Buffalo, NY 14214, USA. (3)Department of Oral Biology, University at Buffalo, The State University of New York, Buffalo, NY 14214, USA. (4)Department of Chemical and Biological Engineering, University at Buffalo, The State University of New York, Buffalo, NY 14260, USA. (5)Department of Biological Sciences, University at Buffalo, The State University of New York, Buffalo, NY 14260, USA. (6)Department of Chemistry, University at Buffalo, The State University of New York, Buffalo, NY 14260, USA. Electronic address: ekinatil@buffalo.edu. Necroptosis is a form of cell death characterized by receptor-interacting protein kinase activity and plasma membrane permeabilization via mixed-lineage kinase-like protein (MLKL). This permeabilization is responsible for the inflammatory properties of necroptosis. We previously showed that very long chain fatty acids (VLCFAs) are functionally involved in necroptosis, potentially through protein fatty acylation. Here, we define the scope of protein acylation by saturated VLCFAs during necroptosis. We show that MLKL and phosphoMLKL, key for membrane permeabilization, are exclusively acylated during necroptosis. Reducing the levels of VLCFAs decreases their membrane recruitment, suggesting that acylation by VLCFAs contributes to their membrane localization. Acylation of phosphoMLKL occurs downstream of phosphorylation and oligomerization and appears to be, in part, mediated by ZDHHC5 (a palmitoyl transferase). We also show that disruption of endosomal trafficking increases cell viability during necroptosis, possibly by preventing recruitment, or removal, of phosphoMLKL from the plasma membrane. Copyright © 2021 Elsevier Ltd. All rights reserved. DOI: 10.1016/j.chembiol.2021.03.012 PMCID: PMC8529612 PMID: 33848465 [Indexed for MEDLINE] Conflict of interest statement: Declaration of interests The authors declare no competing interest.
http://www.ncbi.nlm.nih.gov/pubmed/30709919
1. J Cell Sci. 2019 Feb 28;132(5):jcs220996. doi: 10.1242/jcs.220996. Activated MLKL attenuates autophagy following its translocation to intracellular membranes. Frank D(1)(2), Vaux DL(1)(2), Murphy JM(1)(2), Vince JE(3)(4), Lindqvist LM(5)(2). Author information: (1)Cell Signalling and Cell Death Division, The Walter and Eliza Hall Institute of Medical Research, 1G Royal Parade, Melbourne, Victoria 3052, Australia. (2)Department of Medical Biology, The University of Melbourne, Parkville, Victoria 3050, Australia. (3)Department of Medical Biology, The University of Melbourne, Parkville, Victoria 3050, Australia Lisa.Lindqvist@csl.com.au vince@wehi.edu.au. (4)Inflammation Division, The Walter and Eliza Hall Institute of Medical Research, 1G Royal Parade, Melbourne, Victoria 3052, Australia. (5)Cell Signalling and Cell Death Division, The Walter and Eliza Hall Institute of Medical Research, 1G Royal Parade, Melbourne, Victoria 3052, Australia Lisa.Lindqvist@csl.com.au vince@wehi.edu.au. Necroptosis is an inflammatory form of programmed cell death mediated by the pseudokinase mixed-lineage kinase domain-like protein (MLKL). Upon phosphorylation by receptor-interacting protein kinase-3 (RIPK3), MLKL oligomerizes, and translocates to and disrupts the plasma membrane, thereby causing necroptotic cell lysis. Herein, we show that activation of necroptosis in mouse dermal fibroblasts (MDFs) and HT-29 human colorectal cancer cells results in accumulation of the autophagic marker, lipidated LC3B (also known as MAP1LC3B), in an MLKL-dependent manner. Unexpectedly, the necroptosis-induced increase in lipidated LC3B was due to inhibition of autophagic flux, not the activation of autophagy. Inhibition of autophagy by MLKL correlated with a decrease in autophagosome and/or autolysosome function, and required the association of activated MLKL with intracellular membranes. Collectively, our findings uncover an additional role for the MLKL pseudokinase, namely to inhibit autophagy during necroptosis. © 2019. Published by The Company of Biologists Ltd. DOI: 10.1242/jcs.220996 PMID: 30709919 [Indexed for MEDLINE] Conflict of interest statement: Competing interestsD.L.V. used to be on the scientific advisory board for TetraLogic Pharmaceuticals. J.M.M. is a scientific advisory board member of Anaxis Pharma.
http://www.ncbi.nlm.nih.gov/pubmed/30344099
1. Mol Cell. 2018 Nov 1;72(3):457-468.e5. doi: 10.1016/j.molcel.2018.09.011. Epub 2018 Oct 18. Mixed Lineage Kinase Domain-like Protein MLKL Breaks Down Myelin following Nerve Injury. Ying Z(1), Pan C(2), Shao T(1), Liu L(1), Li L(1), Guo D(1), Zhang S(1), Yuan T(1), Cao R(1), Jiang Z(1), Chen S(1), Wang F(1), Wang X(3). Author information: (1)National Institute of Biological Sciences, 7 Science Park Road, Zhongguancun Life Science Park, Beijing 102206, China; Tsinghua Institute of Multidisciplinary Biomedical Research, Tsinghua University, Beijing, China. (2)School of Life Sciences, Tsinghua University, Beijing 100084, China. (3)National Institute of Biological Sciences, 7 Science Park Road, Zhongguancun Life Science Park, Beijing 102206, China; Tsinghua Institute of Multidisciplinary Biomedical Research, Tsinghua University, Beijing, China. Electronic address: wangxiaodong@nibs.ac.cn. Comment in Mol Cell. 2018 Nov 1;72(3):397-399. doi: 10.1016/j.molcel.2018.10.025. Successful regeneration of severed peripheral nerves requires the breakdown and subsequent clearance of myelin, tightly packed membrane sheaths of Schwann cells that protect nerve fibers and harbor nerve growth-inhibitory proteins. How Schwann cells initiate myelin breakdown in response to injury is still largely unknown. Here we report that, following sciatic nerve injury, MLKL, a pseudokinase known to rupture cell membranes during necroptotic cell death, is induced and targets the myelin sheath membrane of Schwann cells to promote myelin breakdown. The function of MLKL in disrupting myelin sheaths requires injury-induced phosphorylation of serine 441, an activation signal distinct from the necroptosis-inducing phosphorylation by RIP3 kinase. Mice with Mlkl specifically knocked out in Schwann cells showed delayed myelin sheath breakdown. Lack of MLKL reduced nerve regeneration following injury, whereas overexpression of MLKL accelerated myelin breakdown and promoted the regeneration of axons. Copyright © 2018 Elsevier Inc. All rights reserved. DOI: 10.1016/j.molcel.2018.09.011 PMID: 30344099 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/30148498
1. J Vis Exp. 2018 Aug 7;(138):58088. doi: 10.3791/58088. Characterization of MLKL-mediated Plasma Membrane Rupture in Necroptosis. McNamara DE(1), Quarato G(2), Guy CS(2), Green DR(2), Moldoveanu T(3). Author information: (1)Department of Structural Biology, St. Jude Children's Research Hospital; Department of Chemical Biology and Therapeutics, St. Jude Children's Research Hospital. (2)Department of Immunology, St. Jude Children's Research Hospital. (3)Department of Structural Biology, St. Jude Children's Research Hospital; Department of Chemical Biology and Therapeutics, St. Jude Children's Research Hospital; Tudor.Moldoveanu@stjude.org. Necroptosis is a programmed cell death pathway triggered by activation of receptor interacting protein kinase 3 (RIPK3), which phosphorylates and activates the mixed lineage kinase-like domain pseudokinase, MLKL, to rupture or permeabilize the plasma membrane. Necroptosis is an inflammatory pathway associated with multiple pathologies including autoimmunity, infectious and cardiovascular diseases, stroke, neurodegeneration, and cancer. Here, we describe protocols that can be used to characterize MLKL as the executioner of plasma membrane rupture in necroptosis. We visualize the process of necroptosis in cells using live-cell imaging with conventional and confocal fluorescence microscopy, and in fixed cells using electron microscopy, which together revealed the redistribution of MLKL from the cytosol to the plasma membrane prior to induction of large holes in the plasma membrane. We present in vitro nuclear magnetic resonance (NMR) analysis using lipids to identify putative modulators of MLKL-mediated necroptosis. Based on this method, we identified quantitative lipid-binding preferences and phosphatidyl-inositol phosphates (PIPs) as critical binders of MLKL that are required for plasma membrane targeting and permeabilization in necroptosis. DOI: 10.3791/58088 PMCID: PMC6126679 PMID: 30148498 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/33654612
1. Cureus. 2021 Jan 27;13(1):e12932. doi: 10.7759/cureus.12932. Dermatillomania: A Case Report and Literature Review. Malayala SV(1), Rehman H(2), Vasireddy D(3). Author information: (1)Internal Medicine, Temple University Hospital, Philadelphia, USA. (2)Internal Medicine, Physicians for American Healthcare Access, Philadelphia, USA. (3)Pediatrics, Pediatric Group of Acadiana, Lafayette, USA. Skin picking disorder, also termed dermatillomania is a condition that leads to repetitive picking of their skin ending up in skin and soft tissue damage. It is classified in Diagnostic and Statistical Manual of Mental Disorder Fifth edition under the "obsessive compulsive and related disorders" section. Often associated with other psychiatric conditions like autism, alcohol abuse, obsessive compulsive, body dysmorphic, mood, anxiety and borderline personality disorders, it is a disorder that is quite often underreported. The patient in this case report is a 58-year-old male with a diagnosis of obsessive compulsive disorder (OCD) who reported severe anxiety and skin picking episodes over several years. He presented to the emergency room with an extensive wound on distal left foot with exposure of the underlying muscle tissue, that resulted from the excessive picking of skin from the left foot. This compulsive behavior started off with picking the skin around his nail beds and slowly got worse. The skin picking would get worse whenever he gets nervous or anxious. The wound was treated with topical wound care and antibiotics. At the time of discharge, he was prescribed oral antibiotics to complete his course of treatment and was referred to the hospital's cognitive behavioral therapy (CBT) program that specializes in treatment of OCD and anxiety disorders. Treatment of dermatillomania is a multipronged approach and should include treatment of the underlying psychiatric illness, the treatment for pruritus and topical treatment of the lesions. Selective serotonin reuptake inhibitors (SSRIs) have proved to be the most effective in treating the psychiatric component of dermatillomania. Non-pharmacological treatments such as behavioral therapy, habit reversal exercises and support groups have also proved to be helpful and are well tolerated amongst patients suffering from dermatillomania. Copyright © 2021, Malayala et al. DOI: 10.7759/cureus.12932 PMCID: PMC7910222 PMID: 33654612 Conflict of interest statement: The authors have declared that no competing interests exist.
http://www.ncbi.nlm.nih.gov/pubmed/21323095
1. Cutis. 2011 Jan;87(1):14-8. Pathologic grooming behavior: facial dermatillomania. Harris SS(1), Kushon D, Benedetto E. Author information: (1)Drexel University College of Medicine, Philadelphia, Pennsylvania, USA. Scott.Harris@hotmail.com Dermatillomania is a pathologic grooming disorder characterized by repetitive, ritualistic, impulsive skin picking without an underlying dermatologic condition. It can lead to skin damage and distress and can affect patient function. This disorder has not received much attention in the literature, with few studies reporting treatment efficacy. Patients with dermatillomania typically present to primary care physicians and frequently are referred to dermatologists; only rarely do patients receive additional psychiatric consultation that may improve treatment efficacy and decrease morbidity. We provide a case report of long-standing facial dermatillomania and our multimodal treatment approach. PMID: 21323095 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/32839552
1. Cell Res. 2020 Dec;30(12):1063-1077. doi: 10.1038/s41422-020-00393-6. Epub 2020 Aug 24. Myofiber necroptosis promotes muscle stem cell proliferation via releasing Tenascin-C during regeneration. Zhou S(1)(2), Zhang W(1)(2), Cai G(3), Ding Y(4)(5), Wei C(1), Li S(1), Yang Y(1)(2), Qin J(1), Liu D(1), Zhang H(6), Shao X(7), Wang J(7), Wang H(1), Yang W(1), Wang H(4)(8), Chen S(3)(9), Hu P(10)(11)(12)(13)(14)(15), Sun L(16)(17)(18). Author information: (1)State Key Laboratory of Cell Biology, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, 200031, China. (2)University of Chinese Academy of Sciences, Beijing, 100049, China. (3)National Institute of Biological Sciences, 7 Science Park Road, Zhongguancun Life Science Park, Beijing, 102206, China. (4)Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Prince of Wales Hospital, New Territories, 999077, Hong Kong SAR, China. (5)Department of Chemical Pathology, The Chinese University of Hong Kong, Prince of Wales Hospital, New Territories, 999077, Hong Kong SAR, China. (6)Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China. (7)Department of Orthopedic Surgery, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China. (8)Department of Orthopaedics and Traumatology, The Chinese University of Hong Kong, Prince of Wales Hospital, New Territories, 999077, Hong Kong SAR, China. (9)Tsinghua Institute of Multidisciplinary Biomedical Research, Tsinghua University, Beijing 102206, China. (10)State Key Laboratory of Cell Biology, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, 200031, China. hup@sibcb.ac.cn. (11)University of Chinese Academy of Sciences, Beijing, 100049, China. hup@sibcb.ac.cn. (12)Institute for Stem Cell and Regeneration, Chinese Academy of Sciences, Beijing, 100101, China. hup@sibcb.ac.cn. (13)Bioland Laboratory (Guangzhou Regenerative Medicine and Health Guangdong Laboratory), Guangzhou, Guangdong, 510005, China. hup@sibcb.ac.cn. (14)Bio-Research Innovation Center, Shanghai Institute of Biochemistry and Cell Biology, Suzhou, Jiangsu, 215121, China. hup@sibcb.ac.cn. (15)Shanghai Institute of Stem Cell Research and Clinical Translation, Shanghai, 200120, China. hup@sibcb.ac.cn. (16)State Key Laboratory of Cell Biology, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, 200031, China. liming.sun@sibcb.ac.cn. (17)University of Chinese Academy of Sciences, Beijing, 100049, China. liming.sun@sibcb.ac.cn. (18)Institute for Stem Cell and Regeneration, Chinese Academy of Sciences, Beijing, 100101, China. liming.sun@sibcb.ac.cn. Necroptosis, a form of programmed cell death, is characterized by the loss of membrane integrity and release of intracellular contents, the execution of which depends on the membrane-disrupting activity of the Mixed Lineage Kinase Domain-Like protein (MLKL) upon its phosphorylation. Here we found myofibers committed MLKL-dependent necroptosis after muscle injury. Either pharmacological inhibition of the necroptosis upstream kinase Receptor Interacting Protein Kinases 1 (RIPK1) or genetic ablation of MLKL expression in myofibers led to significant muscle regeneration defects. By releasing factors into the muscle stem cell (MuSC) microenvironment, necroptotic myofibers facilitated muscle regeneration. Tenascin-C (TNC), released by necroptotic myofibers, was found to be critical for MuSC proliferation. The temporary expression of TNC in myofibers is tightly controlled by necroptosis; the extracellular release of TNC depends on necroptotic membrane rupture. TNC directly activated EGF receptor (EGFR) signaling pathway in MuSCs through its N-terminus assembly domain together with the EGF-like domain. These findings indicate that necroptosis plays a key role in promoting MuSC proliferation to facilitate muscle regeneration. DOI: 10.1038/s41422-020-00393-6 PMCID: PMC7784988 PMID: 32839552 [Indexed for MEDLINE] Conflict of interest statement: The authors declare no competing interests.
http://www.ncbi.nlm.nih.gov/pubmed/36198538
1. Rinsho Ketsueki. 2022;63(9):1126-1134. doi: 10.11406/rinketsu.63.1126. [Current status and future prospects of diffuse large B-cell lymphoma treatment]. [Article in Japanese] Yamaguchi M(1). Author information: (1)Department of Hematological Malignancies, Mie University Graduate School of Medicine. R-CHOP therapy (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone) has been used as the standard treatment regimen for patients with newly diagnosed diffuse large B-cell lymphoma (DLBCL), since the introduction of rituximab in the early 2000s. Recently, polatuzumab vedotin and anti-CD19 chimeric antigen receptor T-cell (CAR-T) therapy have been introduced as potential treatment options for relapsed or refractory DLBCL. The effectiveness of polatuzumab vedotin, rituximab, cyclophosphamide, doxorubicin, and prednisone for newly diagnosed CD20-positive DLBCL, except for the low-risk group of the international prognostic index, was reported in 2022. Bispecific antibodies such as epcoritamab, mosunetuzumab, and glofitamab, anti-CD19 antibody drug tafasitamab combined with lenalidomide, CD19 antibody drug conjugate loncastuximab tesirine, oral selective inhibitor of nuclear export selinexor, and several new agents have been investigated for DLBCL. For non-germinal center B-cell type DLBCL, R-CHOP combined with acalabrutinib is being evaluated. This review summarizes the current standard of care for DLBCL and outlines the recently introduced therapeutic agents or those that are under development in Japan. DOI: 10.11406/rinketsu.63.1126 PMID: 36198538 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/35626120
1. Cancers (Basel). 2022 May 20;14(10):2516. doi: 10.3390/cancers14102516. Glofitamab Treatment in Relapsed or Refractory DLBCL after CAR T-Cell Therapy. Rentsch V(1), Seipel K(2), Banz Y(3), Wiedemann G(4), Porret N(4), Bacher U(5), Pabst T(1). Author information: (1)Department of Medical Oncology, Inselspital, Bern University Hospital, 3010 Bern, Switzerland. (2)Department of Biomedical Research, University of Bern, 3008 Bern, Switzerland. (3)Institute of Pathology, Inselspital, University of Bern, 3008 Bern, Switzerland. (4)Center of Laboratory Medicine (ZLM), Inselspital, Bern University Hospital, 3010 Bern, Switzerland. (5)Department of Hematology, Inselspital, Bern University Hospital, 3010 Bern, Switzerland. Chimeric antigen receptor T-cells (CAR T) treatment has become a standard option for patients with diffuse large B-cell lymphomas (DLBCL), which are refractory or relapse after two prior lines of therapy. However, little evidence exists for treatment recommendations in patients who relapse after CAR T-cell treatment and the outcome for such patients is poor. In this study, we evaluated the safety and efficacy of a monotherapy with the bispecific CD20xCD3 antibody glofitamab in patients who progressed after CAR T treatment. We report nine consecutive patients with progressive DLBCL after preceding CAR T-cell therapy. The patients received a maximum of 12 cycles of glofitamab after a single obinutuzumab pre-treatment at an academic institution. CRS was observed in two patients (grade 2 in both patients). We observed an overall response rate of 67%, with four patients achieving a complete response and a partial remission in two patients. Interestingly, we identified increased persistence of circulating CAR T-cells in peripheral blood in three of the five patients with measurable CAR T-cells. Our data suggest that glofitamab treatment is well tolerated and effective in patients with DLBCL relapsing after CAR T-cell therapy and can enhance residual CAR T-cell activity. DOI: 10.3390/cancers14102516 PMCID: PMC9139991 PMID: 35626120 Conflict of interest statement: The authors declare no conflict of interest. No financial support was received from Roche Pharma; data were analyzed and the manuscript was written completely independently from the company.
http://www.ncbi.nlm.nih.gov/pubmed/34941996
1. Blood Adv. 2022 Feb 8;6(3):1025-1037. doi: 10.1182/bloodadvances.2021005954. Pharmacodynamics and molecular correlates of response to glofitamab in relapsed/refractory non-Hodgkin lymphoma. Bröske AE(1), Korfi K(2), Belousov A(3), Wilson S(3), Ooi CH(3), Bolen CR(4), Canamero M(1), Alcaide EG(3), James I(5), Piccione EC(4), Carlile DJ(6), Dimier N(6), Umaña P(2), Bacac M(2), Weisser M(1), Dickinson M(7). Author information: (1)Roche Innovation Center Munich, Roche Pharma Research and Early Development, Penzberg, Germany. (2)Roche Innovation Center Zürich, Roche Pharma Research and Early Development, Zürich, Switzerland. (3)Roche Innovation Center Basel, Roche Pharma Research and Early Development, Basel, Switzerland. (4)Genentech, Inc., South San Francisco, CA. (5)A4P Consulting Ltd., Sandwich, United Kingdom. (6)Roche Innovation Center Welwyn, Roche Pharma Research and Early Development, Welwyn Garden City, United Kingdom; and. (7)Peter MacCallum Cancer Centre, Royal Melbourne Hospital and The University of Melbourne, Melbourne, VIC, Australia. Glofitamab, a novel CD20xCD3, T-cell-engaging bispecific antibody, exhibited single-agent activity in Study NP30179, a first-in-human, phase 1 trial in relapsed/refractory B-cell non-Hodgkin lymphoma. Preclinical studies showed that glofitamab leads to T-cell activation, proliferation, and tumor cell killing upon binding to CD20 on malignant cells. Here, we provide evidence of glofitamab's clinical activity, including pharmacodynamic profile, mode of action, and factors associated with clinical response, by evaluating biomarkers in patient samples from the dose-escalation part of this trial. Patients enrolled in Study NP30179 received single-dose obinutuzumab pretreatment (1000 mg) 7 days before IV glofitamab (5 µg-25 mg). Glofitamab treatment lasted ≤12 cycles once every 2 or 3 weeks. Blood samples were collected at predefined time points per the clinical protocol; T-cell populations were evaluated centrally by flow cytometry, and cytokine profiles were analyzed. Immunohistochemical and genomic biomarker analyses were performed on tumor biopsy samples. Pharmacodynamic modulation was observed with glofitamab treatment, including dose-dependent induction of cytokines, and T-cell margination, proliferation, and activation in peripheral blood. Gene expression analysis of pretreatment tumor biopsy samples indicated that tumor cell intrinsic factors such as TP53 signaling are associated with resistance to glofitamab, but they may also be interlinked with a diminished effector T-cell profile in resistant tumors and thus represent a poor prognostic factor per se. This integrative biomarker data analysis provides clinical evidence regarding glofitamab's mode of action, supports optimal biological dose selection, and will further guide clinical development. This trial was registered at www.clinicaltrials.gov as #NCT03075696. © 2022 by The American Society of Hematology. Licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0), permitting only noncommercial, nonderivative use with attribution. All other rights reserved. DOI: 10.1182/bloodadvances.2021005954 PMCID: PMC8945294 PMID: 34941996 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/35665782
1. N Engl J Med. 2022 Jul 7;387(1):9-20. doi: 10.1056/NEJMoa2203690. Epub 2022 Jun 5. Trastuzumab Deruxtecan in Previously Treated HER2-Low Advanced Breast Cancer. Modi S(1), Jacot W(1), Yamashita T(1), Sohn J(1), Vidal M(1), Tokunaga E(1), Tsurutani J(1), Ueno NT(1), Prat A(1), Chae YS(1), Lee KS(1), Niikura N(1), Park YH(1), Xu B(1), Wang X(1), Gil-Gil M(1), Li W(1), Pierga JY(1), Im SA(1), Moore HCF(1), Rugo HS(1), Yerushalmi R(1), Zagouri F(1), Gombos A(1), Kim SB(1), Liu Q(1), Luo T(1), Saura C(1), Schmid P(1), Sun T(1), Gambhire D(1), Yung L(1), Wang Y(1), Singh J(1), Vitazka P(1), Meinhardt G(1), Harbeck N(1), Cameron DA(1); DESTINY-Breast04 Trial Investigators. Collaborators: Kühr T, Schmitt C, Greil R, Egle D, Wildiers H, Gombos A, Canon JL, Duhoux F, Henning JW, Asselah J, Xu B, Hu X, Zhang Q, Sun T, Liu Q, Li W, Wang X, Pan Y, Wang X, Wu X, Chen X, Luo T, Hu W, Wang J, Lin X, Jacot W, Bourgeois H, Lefeuvre-Plesse C, Hardy Bessard AC, Frenel JS, Gligorov J, Pierga JY, Levy C, Grenier J, Helissey-Danis C, André F, Augereau P, Sahir J, Viret F, Simon H, Villanueva C, Tsiatas M, Papazisis K, Mavroudis D, Zagouri F, Papandreou C, Boukovinas I, Baka S, Kotsakis A, Rubovszky G, Mezei K, Sonnenblick A, Bernstein Molho R, Yerushalmi R, Perets R, Evron E, Uziely B, Gianni L, Zamagni C, Tassone PF, Soto Parra H, Cazzaniga ME, Portarena I, Colleoni M, Masci G, Tamburini E, De Laurentiis M, Pedersini R, Bria E, Gori S, Naito Y, Yonemori K, Kobayashi T, Iwata H, Iwasa T, Sagara Y, Tanabe Y, Yamashita T, Aogi K, Tokunaga E, Hayashi T, Tomioka N, Yasojima H, Inoue K, Miyoshi Y, Ito M, Tsurutani J, Niikura N, Im SA, Park YH, Kim JH, Kim SB, Sohn JH, Lee KS, Chae YS, Lee MH, Sousa AR, Salgado M, Faria AL, Moreira Pinto A, Teira A, Rodrigues A, Portela C, Ganshina I, Stroyakovskiy D, Kislov N, Cortes Castan J, Gil-Gil M, Vidal M, Antolin Novoa S, Fernandez Abad M, Garcia Saenz JA, Saura Manich C, Servitja Tormo S, Nogales Fernandez E, Bermejo Perez MJ, Cruz Jurado J, Ruiz Borrego M, Lindman H, Wennstig AK, Weibring K, Müller A, Vetter M, Huober J, Dedes K, Zaman K, Schwitter M, Chung WP, Lu YS, Hou MF, Schmid P, Wheatley D, Madhusudan S, Modi S, McAndrew N, Shtivelband M, Ueno N, Mitri Z, Dyar S, Litvak A, Raymond J, McKnight J, Ahn E, Lynch C, Rugo H, Krop I, Chan D, Moore H, Mahtani R, Niravath P, Bahadur S, Dakhil S, Milillo-Naraine A, Riaz F, Schumaker D, Lammers P, Pluard T, Adams S, Han H, Kayali F, Hamilton E. Author information: (1)From the Memorial Sloan Kettering Cancer Center, New York (S.M.); Institut du Cancer de Montpellier, Université Montpellier, INSERM Unité 1194, Montpellier (W.J.), and Institut Curie, Université Paris Cité, Paris (J.-Y.P.) - both in France; Kanagawa Cancer Center, Yokohama (T.Y.), Kyushu Cancer Center, National Hospital Organization, Fukuoka (E.T.), Showa University Hospital, Tokyo (J.T.), and Tokai University School of Medicine, Isehara-shi (N.N.) - all in Japan; Yonsei Cancer Center, Yonsei University Health System (J. Sohn), Samsung Medical Center (Y.H.P.), Seoul National University Hospital, Cancer Research Institute, Seoul National University College of Medicine, Seoul National University (S.-A.I.), and Asan Medical Center, University of Ulsan College of Medicine (S.-B.K.), Seoul, Kyungpook National University Chilgok Hospital, Daegu (Y.S.C.), and the National Cancer Center, Goyang-si (K.S.L.) - all in South Korea; the Department of Medical Oncology, Hospital Clínic de Barcelona (M.V., A.P.), Translational Genomics and Targeted Therapies in Solid Tumors, Institut d'Investigacions Biomèdiques August Pi i Sunyer (A.P.), the Department of Medicine, University of Barcelona (A.P.), the Breast Cancer Unit, Institute of Oncology (IOB)-Quirón Salud (A.P.), Institut Catala d'Oncologia l'Hospitalet-Hospital Duran i Reynals (M.G.-G.), and Vall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology (C.S.) - all in Barcelona; the University of Texas M.D. Anderson Cancer Center, Houston (N.T.U.); Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing (B.X.), Zhejiang Cancer Hospital, Hangzhou (X.W.), the First Hospital of Jilin University, Changchun (W.L.), Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou (Q.L.), West China Hospital, Sichuan University, Chengdu (T.L.), and Liaoning Cancer Hospital and Institute, Shenyang (T.S.) - all in China; the Cleveland Clinic Foundation, Cleveland (H.C.F.M.); the University of California, San Francisco, Helen Diller Family Comprehensive Cancer Center, San Francisco (H.S.R.); Rabin Medical Center, Petah Tikva, Tel Aviv University, Tel Aviv, Israel (R.Y.); Alexandra Regional General Hospital, Athens (F.Z.); Institut Jules Bordet, Brussels (A.G.); Queen Mary University of London, London (P.S.), and Edinburgh Cancer Centre, Institute of Genetics and Cancer, University of Edinburgh, Edinburgh (D.A.C.) - both in the United Kingdom; Daiichi Sankyo, Basking Ridge, NJ (D.G., L.Y., Y.W., J. Singh, P.V., G.M.); and the Breast Center, Department of Obstetrics and Gynecology, and Comprehensive Cancer Center Munich, Ludwig Maximilian University Hospital, Munich, Germany (N.H.). Comment in Nat Rev Clin Oncol. 2022 Aug;19(8):493. doi: 10.1038/s41571-022-00663-9. N Engl J Med. 2022 Jul 7;387(1):75-76. doi: 10.1056/NEJMe2206661. N Engl J Med. 2022 Sep 22;387(12):1143-1144. doi: 10.1056/NEJMc2210368. N Engl J Med. 2022 Sep 22;387(12):1144. doi: 10.1056/NEJMc2210368. J Nucl Med. 2023 Jul;64(7):1164-1165. doi: 10.2967/jnumed.123.265434. BACKGROUND: Among breast cancers without human epidermal growth factor receptor 2 (HER2) amplification, overexpression, or both, a large proportion express low levels of HER2 that may be targetable. Currently available HER2-directed therapies have been ineffective in patients with these "HER2-low" cancers. METHODS: We conducted a phase 3 trial involving patients with HER2-low metastatic breast cancer who had received one or two previous lines of chemotherapy. (Low expression of HER2 was defined as a score of 1+ on immunohistochemical [IHC] analysis or as an IHC score of 2+ and negative results on in situ hybridization.) Patients were randomly assigned in a 2:1 ratio to receive trastuzumab deruxtecan or the physician's choice of chemotherapy. The primary end point was progression-free survival in the hormone receptor-positive cohort. The key secondary end points were progression-free survival among all patients and overall survival in the hormone receptor-positive cohort and among all patients. RESULTS: Of 557 patients who underwent randomization, 494 (88.7%) had hormone receptor-positive disease and 63 (11.3%) had hormone receptor-negative disease. In the hormone receptor-positive cohort, the median progression-free survival was 10.1 months in the trastuzumab deruxtecan group and 5.4 months in the physician's choice group (hazard ratio for disease progression or death, 0.51; P<0.001), and overall survival was 23.9 months and 17.5 months, respectively (hazard ratio for death, 0.64; P = 0.003). Among all patients, the median progression-free survival was 9.9 months in the trastuzumab deruxtecan group and 5.1 months in the physician's choice group (hazard ratio for disease progression or death, 0.50; P<0.001), and overall survival was 23.4 months and 16.8 months, respectively (hazard ratio for death, 0.64; P = 0.001). Adverse events of grade 3 or higher occurred in 52.6% of the patients who received trastuzumab deruxtecan and 67.4% of those who received the physician's choice of chemotherapy. Adjudicated, drug-related interstitial lung disease or pneumonitis occurred in 12.1% of the patients who received trastuzumab deruxtecan; 0.8% had grade 5 events. CONCLUSIONS: In this trial involving patients with HER2-low metastatic breast cancer, trastuzumab deruxtecan resulted in significantly longer progression-free and overall survival than the physician's choice of chemotherapy. (Funded by Daiichi Sankyo and AstraZeneca; DESTINY-Breast04 ClinicalTrials.gov number, NCT03734029.). Copyright © 2022 Massachusetts Medical Society. DOI: 10.1056/NEJMoa2203690 PMCID: PMC10561652 PMID: 35665782 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/36239213
1. Rapid Commun Mass Spectrom. 2023 Jan 15;37(1):e9414. doi: 10.1002/rcm.9414. Analysis of N-nitrosodimethylamine in metformin hydrochloride products by high-resolution accurate mass gas chromatography mass spectrometry. Kee CL(1), Zeng Y(1), Ge X(1), Lim JQ(1), Teo Jessie HG(1), Low MY(1). Author information: (1)Health Sciences Authority, Pharmaceutical Laboratory, Applied Sciences Group, Singapore. RATIONALE: The high resolving power of the Orbitrap mass spectrometer in a high-resolution accurate mass gas chromatography (HRAM-GC-MS) system provides greater selectivity and sensitivity for the identification and quantification of volatile analytes at low parts per billion (ppb) levels. Hence, it can be applied for the analysis of pharmaceutical impurities like N-nitrosodimethylamine (NDMA) in metformin hydrochloride products (METs). METHODS: Different METs extracted by a dichloromethane/aqueous system were analyzed by HRAM-GC-MS under softer electron ionization (EI) at 30 eV. The accurate masses of NDMA and its internal standard NDMA-d6 were analyzed by full scan and targeted selected ion monitoring modes under 60 000 and 30 000 full width at half maximum at m/z 200, respectively. Data acquisition and processing were managed by Xcalibur and Trace Finder software, respectively. RESULTS: Limits of detection (LOD) and quantification (LOQ) at 10 and 20 ng/g were achieved, which is below the allowed daily intake of 32 ng/g. The mass errors measured from experimental data were within ±2 ppm of the theoretical values over a period of a week. Sample analysis showed that 180 out of 212 samples (85%) were below LOD and 15 out of 212 samples (7 %) were within LOD and LOQ. Only 17 samples (8%) were found to be above LOQ, comprising one active pharmaceutical ingredient (API), five immediate-release METs and 11 extended-released METs. Amongst these, seven extended-release METs and one API exceeded the daily allowed intake, 32 ng/g. CONCLUSIONS: The validated method has been successfully applied for NDMA analysis in various forms of METs. The method is rather straightforward without an additional clean-up step. The scope can also be extended to other volatile impurities in finished pharmaceutical products. © 2022 John Wiley & Sons Ltd. DOI: 10.1002/rcm.9414 PMID: 36239213 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/35666611
1. Cancer Discov. 2022 Aug 5;12(8):1828. doi: 10.1158/2159-8290.CD-NB2022-0043. T-DXd: New Standard for HER2-Low Breast Cancer. [No authors listed] Findings from the phase III DESTINY-Breast04 trial indicate that the antibody-drug conjugate trastuzumab deruxtecan (T-DXd) is effective for patients with inoperable/metastatic HER2-low breast cancer. T-DXd should be considered a new standard of care for these patients, who otherwise have limited options. ©2022 American Association for Cancer Research. DOI: 10.1158/2159-8290.CD-NB2022-0043 PMID: 35666611 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/36150260
1. Spectrochim Acta A Mol Biomol Spectrosc. 2023 Jan 15;285:121889. doi: 10.1016/j.saa.2022.121889. Epub 2022 Sep 16. The spectroscopic and computational study of anthracene based chemosensor - Ag(+) interactions. Kumar A(1), Virender(2), Mohan B(3), Parikh J(4), Modi K(5). Author information: (1)Department of Chemistry, Kurukshetra University Kurukshetra, Kurukshetra 136119, India. Electronic address: akumarchem@kuk.ac.in. (2)Department of Chemistry, Kurukshetra University Kurukshetra, Kurukshetra 136119, India. (3)College of Ocean Food and Biological Engineering, Jimei University, 185 Yinjiang Road, Jimei District, Xiamen 361021, China. (4)Faculty of Science, Department of Chemistry, Ganpat University, Gujarat, India. (5)Department of Humanity and Science, School of Engineering, Indrashil University, Mehsana 382740, Gujarat, India. Electronic address: kmodi5033@gmail.com. Here in, we demonstrate a selective detection of Ag+ ion by the anthracene-based schiff base sensor AMC. The recognition event among sensor AMC and Ag+ ion was investigated by enhanced absorption band, red-shifted quenched emission spectra, electrochemical studies and DFT computational studies. The presence of Ag+ ion to solution of AMC quenched almost 50 % emission intensity of the ligand band. Data from high-resolution electrospray ionization mass spectrometry (ESI-HRMS), Ag+ titrations, and Job's plot studies all show that Ag+ binds to AMC in a 1:1 stoichiometric ratio.The quantitative parameters of sensor for silver ion are determined as the limit of detection (LOD) 5.95 × 10-7 M, and limit of quantitation (LOQ) 1.98 × 10-8 M in the linear range 3.48-20.31 × 10-6 M with good association affinity of 5.030 × 103 M-1. LMCT phenomenon from insilico studies, is in good agreement with the results obtained from other performed spectroscopic techniques. In addition, this sensor AMC was also successfully applied to real water samples for the identification and measurement of Ag+ ions. Copyright © 2022. Published by Elsevier B.V. DOI: 10.1016/j.saa.2022.121889 PMID: 36150260 [Indexed for MEDLINE] Conflict of interest statement: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
http://www.ncbi.nlm.nih.gov/pubmed/21603916
1. Anal Bioanal Chem. 2011 Aug;401(2):717-26. doi: 10.1007/s00216-011-5089-x. Epub 2011 May 21. Determination of the LOQ in real-time PCR by receiver operating characteristic curve analysis: application to qPCR assays for Fusarium verticillioides and F. proliferatum. Nutz S(1), Döll K, Karlovsky P. Author information: (1)Molecular Phytopathology and Mycotoxin Research, Georg August University Göttingen, Göttingen, Germany. Real-time PCR (qPCR) is the principal technique for the quantification of pathogen biomass in host tissue, yet no generic methods exist for the determination of the limit of quantification (LOQ) and the limit of detection (LOD) in qPCR. We suggest using the Youden index in the context of the receiver operating characteristic (ROC) curve analysis for this purpose. The LOQ was defined as the amount of target DNA that maximizes the sum of sensitivity and specificity. The LOD was defined as the lowest amount of target DNA that was amplified with a false-negative rate below a given threshold. We applied this concept to qPCR assays for Fusarium verticillioides and Fusarium proliferatum DNA in maize kernels. Spiked matrix and field samples characterized by melting curve analysis of PCR products were used as the source of true positives and true negatives. On the basis of the analysis of sensitivity and specificity of the assays, we estimated the LOQ values as 0.11 pg of DNA for spiked matrix and 0.62 pg of DNA for field samples for F. verticillioides. The LOQ values for F. proliferatum were 0.03 pg for spiked matrix and 0.24 pg for field samples. The mean LOQ values correspond to approximately eight genomes for F. verticillioides and three genomes for F. proliferatum. We demonstrated that the ROC analysis concept, developed for qualitative diagnostics, can be used for the determination of performance parameters of quantitative PCR. DOI: 10.1007/s00216-011-5089-x PMCID: PMC3132422 PMID: 21603916 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/28911409
1. J Food Drug Anal. 2016 Jan;24(1):56-62. doi: 10.1016/j.jfda.2015.04.009. Epub 2015 May 29. Comparing determination methods of detection and quantification limits for aflatoxin analysis in hazelnut. Şengül Ü(1). Author information: (1)Giresun University, Central Research Laboratory, Giresun, Turkey. Hazelnut is a type of plant that grows in wet and humid climatic conditions. Adverse climatic conditions result in the formation of aflatoxin in hazelnuts during the harvesting, drying, and storing processes. Aflatoxin is considered an important food contaminant, which makes aflatoxin analysis important in the international produce trade. For this reason, validation is important for the analysis of aflatoxin in hazelnuts. The limit of detection (LOD) and limit of quantification (LOQ) are two important parameters in validation. In this study, the LOD and LOQ values have been determined using the Association of Official Agricultural Chemists (AOAC) Method 991.31, which is one of the most viable high-performance liquid chromatography analysis methods in the analysis of aflatoxin in hazelnuts. Several approaches can be used to calculate LOD and LOQ values. In this study, to calculate the LOD and LOQ values, the visual evaluation (empirical) method, the signal-to-noise method, and calibration curve approaches were applied. The most appropriate approaches were compared. Our conclusion is that the visual evaluation method provided much more realistic LOD and LOQ values. Copyright © 2015. Published by Elsevier B.V. DOI: 10.1016/j.jfda.2015.04.009 PMCID: PMC9345422 PMID: 28911409 Conflict of interest statement: Conflicts of interest The author has no conflict of interest relevant to this article.
http://www.ncbi.nlm.nih.gov/pubmed/36206626
1. Talanta. 2023 Feb 1;253:123970. doi: 10.1016/j.talanta.2022.123970. Epub 2022 Sep 29. Development of a digital anti-Müllerian hormone immunoassay: ultrasensitive, accurate and practical strategy for reduced ovarian reserve monitoring and assessment. Kuang X(1), Wei L(2), Huang Y(2), Ji M(2), Tang Y(2), Wei B(2), Yang S(3), Lai D(4), Xu H(5). Author information: (1)School of Biomedical Engineering, Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, China; The International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China; Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, China. (2)The International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China; Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, China. (3)Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. (4)The International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China; Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, China. Electronic address: laidongmei@hotmail.com. (5)School of Biomedical Engineering, Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, China. Electronic address: xuhong@sjtu.edu.cn. Anti-Müllerian hormone (AMH) is an ideal biomarker for the assessment of ovarian reserve. However, its application in determining ovarian reserve reduction is restricted due to the low sensitivity of existing AMH assays. Herein, a homebrew ultrasensitive digital AMH assay (UD-AMH) was established based on a single-molecule array (SiMoA, HD-X platform), and the analytical performance of UD-AMH was evaluated systematically. The limit of detection (LoD) and limit of quantitation (LoQ) of UD-AMH were 0.13 and 0.14 pg/mL, respectively, which is approximately 100-fold higher than that of the current reported general clinical AMH assay. A comparison study showed a high correlation, with r = 0.988 for the Beckman Access AMH assay and r = 0.945 for the Kangrun AMH assay. In addition, we found that the AMH concentrations of premature ovarian insufficiency (POI) patients were very low (2.59 (0.86, 31.79) pg/mL) and similar to those of perimenopausal women (2.37 (0.65, 35.88) pg/mL) but significantly higher than those of menopausal women (0.43 (0.28, 1.17) pg/mL). Furthermore, we observed that the AMH concentration of most hormone therapy (HT) treated POI patients decreased sharply, suggesting that the ovarian reserve of POI patients declines over time even under HT-treatment. Copyright © 2022 Elsevier B.V. All rights reserved. DOI: 10.1016/j.talanta.2022.123970 PMID: 36206626 [Indexed for MEDLINE] Conflict of interest statement: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
http://www.ncbi.nlm.nih.gov/pubmed/36308687
1. Methods Mol Biol. 2023;2426:119-129. doi: 10.1007/978-1-0716-1967-4_6. Left-Censored Missing Value Imputation Approach for MS-Based Proteomics Data with GSimp. Wei R(1), Wang J(2). Author information: (1)The University of Texas MD Anderson Cancer Center, Department of Genetics, Houston, TX, USA. rwei2@mdanderson.org. (2), Houston, TX, USA. Missing values caused by the limit of detection or quantification (LOD/LOQ) were widely observed in mass spectrometry (MS)-based omics studies and could be recognized as missing not at random (MNAR). MNAR leads to biased statistical estimations and jeopardizes downstream analyses. Although a wide range of missing value imputation methods was developed for omics studies, a limited number of methods were designed appropriately for the situation of MNAR. To facilitate MS-based omics studies, we introduce GSimp, a Gibbs sampler-based missing value imputation approach, to deal with left-censor missing values in MS-proteomics datasets. In this book, we explain the MNAR and elucidate the usage of GSimp for MNAR in detail. © 2023. The Author(s), under exclusive license to Springer Science+Business Media, LLC, part of Springer Nature. DOI: 10.1007/978-1-0716-1967-4_6 PMID: 36308687 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/8013092
1. Clin Chem. 1994 Jul;40(7 Pt 1):1233-8. Limit of detection (LQD)/limit of quantitation (LOQ): comparison of the empirical and the statistical methods exemplified with GC-MS assays of abused drugs. Armbruster DA(1), Tillman MD, Hubbs LM. Author information: (1)Armstrong Laboratory Drug Testing Division, Human Systems Center (AFMC), Brooks AFB, TX 78235-5240. Comment in Clin Chem. 1994 Jul;40(7 Pt 1):1218-9. The limit of detection (LOD) for any analytical procedure, the point at which analysis is just feasible, may be determined by a statistical approach based on measuring replicate blank (negative) samples or by an empirical approach, consisting of measuring progressively more dilute concentrations of analyte. The limit of quantitation (LOQ), or concentration at which quantitative results can be reported with a high degree of confidence, may likewise be determined by either approach. We used both methods to determine LOD and LOQ for forensic gas chromatographic-mass spectrometric (GC-MS) analyses of abused drugs. The statistically determined LOD and LOQ values for these assays underestimated the LOD because of the large imprecision associated with blank measurements and the inability of blank samples to meet typical GC-MS acceptance criteria. The empirical method provided much more realistic LOD values, supported by reasonable experimental data, and are 0.5-0.03 the magnitude of the corresponding statistical LODs. The empirical LODs and LOQs are identical for these GC-MS assays. The observations made here about the LOD/LOQ for specific forensic GC-MS procedures are generally applicable to any type of analysis. PMID: 8013092 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/18852857
1. Clin Biochem Rev. 2008 Aug;29 Suppl 1(Suppl 1):S49-52. Limit of blank, limit of detection and limit of quantitation. Armbruster DA(1), Pry T. Author information: (1)Global Scientific Affairs, Abbott Diagnostics, Abbott Park, IL 60064, USA. David.Armbruster@abbott.com * Limit of Blank (LoB), Limit of Detection (LoD), and Limit of Quantitation (LoQ) are terms used to describe the smallest concentration of a measurand that can be reliably measured by an analytical procedure. * LoB is the highest apparent analyte concentration expected to be found when replicates of a blank sample containing no analyte are tested. LoB = mean(blank) + 1.645(SD(blank)). * LoD is the lowest analyte concentration likely to be reliably distinguished from the LoB and at which detection is feasible. LoD is determined by utilising both the measured LoB and test replicates of a sample known to contain a low concentration of analyte. * LoD = LoB + 1.645(SD (low concentration sample)). * LoQ is the lowest concentration at which the analyte can not only be reliably detected but at which some predefined goals for bias and imprecision are met. The LoQ may be equivalent to the LoD or it could be at a much higher concentration. PMCID: PMC2556583 PMID: 18852857
http://www.ncbi.nlm.nih.gov/pubmed/33799266
1. Food Chem. 2021 Sep 1;355:129525. doi: 10.1016/j.foodchem.2021.129525. Epub 2021 Mar 11. An effective analytical droplet digital PCR approach for identification and quantification of fur-bearing animal meat in raw and processed food. Yu N(1), Ren J(2), Huang W(1), Xing R(1), Deng T(1), Chen Y(3). Author information: (1)Chinese Academy of Inspection and Quarantine, Beijing, 100176. (2)Chinese Academy of Inspection and Quarantine, Beijing, 100176; Beijing Food & Wine Inspection and Testing 1st Station, Beijing, 101111. (3)Chinese Academy of Inspection and Quarantine, Beijing, 100176. Electronic address: chenyingcaiq@163.com. Available nuclear gene sequences for meat detection are still rare and little applicability in the investigation of new types of meat adulteration such as fox, mink and raccoon dog was performed. In the present work, we developed a reliable qualitative and quantitative detection method for fur-bearing animal meat based on droplet digital PCR (ddPCR). Three sets of primers and probes targeted nuclear genes for fox, mink and raccoon dog were designed for ddPCR system; In addition, turkey was selected as internal reference to transform the copy numbers to the fraction of target species. Results indicated that the dynamic ranges of three fur-bearing animals were all from 1% to 90%; the limit of detection (LOD) and limit of quantification (LOQ) for three fur-bearing animals were same, with LOD 0.1% (w/w) and LOQ 1% (w/w). Moreover, we confirmed that different additives had no effect on quantification accuracy in the ddPCR assay. Copyright © 2021 Elsevier Ltd. All rights reserved. DOI: 10.1016/j.foodchem.2021.129525 PMID: 33799266 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/32308686
1. Int J Anal Chem. 2020 Mar 19;2020:5417549. doi: 10.1155/2020/5417549. eCollection 2020. A Simple Spectrophotometric Method for Determination of Glyoxylic Acid in Its Synthesis Mixture. Abdulwahed M(1), Mamoly L(1), Bosnali W(1). Author information: (1)Damascus University, Faculty of Sciences, Damascus, Syria. A new simple and reliable spectrophotometric method is described to determine glyoxylic acid in its synthesis reaction mixture containing oxalic acid, glycolic acid, acetic acid, glyoxal, and ethylene glycol by means of a modified Hopkins-Cole reaction between glyoxylic acid and tryptophan in presence of ferric chloride and concentrated sulphuric acid. The linear range of glyoxylic acid concentration is 0-0.028 M. The limits of detection (LOD) and quantitation (LOQ) are 0.0019 M and 0.00577 M, respectively. The LOD, LOQ, standard deviation, relative standard deviation, and recovery ratio of the proposed method are comparable with a selected HPLC reference method. Both methods displayed same precision and credibility. Reaction stoichiometry between tryptophan and glyoxylic acid is assumed to be 2 : 3. Reaction mechanism has been postulated based on identified molar ratios of reactants. Glyoxal gave a negative test with tryptophan although it is a dialdehyde. Copyright © 2020 Mazhar Abdulwahed et al. DOI: 10.1155/2020/5417549 PMCID: PMC7155763 PMID: 32308686 Conflict of interest statement: The authors declare that they have no conflicts of interest.
http://www.ncbi.nlm.nih.gov/pubmed/33972799
1. Nat Genet. 2021 May;53(5):650-662. doi: 10.1038/s41588-021-00842-x. Epub 2021 May 10. Histone acetylation dynamics modulates chromatin conformation and allele-specific interactions at oncogenic loci. Sungalee S(#)(1)(2), Liu Y(#)(2)(3)(4), Lambuta RA(1)(2), Katanayeva N(1)(2), Donaldson Collier M(1)(5), Tavernari D(2)(3)(4), Roulland S(6), Ciriello G(2)(3)(4), Oricchio E(7)(8). Author information: (1)Swiss Institute for Experimental Cancer Research, School of Life Sciences, EPFL, Lausanne, Switzerland. (2)Swiss Cancer Center Leman, Lausanne, Switzerland. (3)Department of Computational Biology, University of Lausanne, Lausanne, Switzerland. (4)Swiss Institute of Bioinformatics, Lausanne, Switzerland. (5)Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, the Netherlands. (6)Aix-Marseille University, CNRS, INSERM, Centre d'Immunologie de Marseille-Luminy, Marseille, France. (7)Swiss Institute for Experimental Cancer Research, School of Life Sciences, EPFL, Lausanne, Switzerland. elisa.oricchio@epfl.ch. (8)Swiss Cancer Center Leman, Lausanne, Switzerland. elisa.oricchio@epfl.ch. (#)Contributed equally In cancer cells, enhancer hijacking mediated by chromosomal alterations and/or increased deposition of acetylated histone H3 lysine 27 (H3K27ac) can support oncogene expression. However, how the chromatin conformation of enhancer-promoter interactions is affected by these events is unclear. In the present study, by comparing chromatin structure and H3K27ac levels in normal and lymphoma B cells, we show that enhancer-promoter-interacting regions assume different conformations according to the local abundance of H3K27ac. Genetic or pharmacological depletion of H3K27ac decreases the frequency and the spreading of these interactions, altering oncogene expression. Moreover, enhancer hijacking mediated by chromosomal translocations influences the epigenetic status of the regions flanking the breakpoint, prompting the formation of distinct intrachromosomal interactions in the two homologous chromosomes. These interactions are accompanied by allele-specific gene expression changes. Overall, our work indicates that H3K27ac dynamics modulates interaction frequency between regulatory regions and can lead to allele-specific chromatin configurations to sustain oncogene expression. DOI: 10.1038/s41588-021-00842-x PMID: 33972799 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/21662779
1. Anal Chem. 1999 Jul 1;71(13):2288-93. doi: 10.1021/ac981087y. Trace determination of glycols by HPLC with UV and electrospray ionization mass spectrometric detections. Holčapek M(1), Virelizier H, Chamot-Rooke J, Jandera P, Moulin C. Author information: (1)Faculty of Chemical Technology, Department of Analytical Chemistry, University of Pardubice, nám. Čs.legií 565, 53210 Pardubice, Czech Republic, and CEA Saclay, DPE/SPCP/LASO, 91191 Gif sur Yvette Cedex, France. A high-performance liquid chromatography/mass spectrometry (HPLC/MS) method is developed for trace determination of glycols (ethylene glycol, 1,2- and 1,3-propylene glycols, and 2,3-butylene glycol) in water after derivatization with benzoyl chloride. Benzoyl esters of glycols are separated by microcolumn reversed-phase HPLC. Sensitivity and linearity of UV detection at 237 nm is compared with electrospray ionization mass spectrometric (ESI-MS) detection using selected ion monitoring. Limits of detection (LOD) and quantitation (LOQ) for UV detection are 1 and 2 mg/L, respectively. For ESI-MS detection, LOD and LOQ are in the ranges 10-25 and 20-50 μg/L, respectively. LOD obtained by ESI-MS for the determination of glycols is improved by 2-3 orders of magnitude in comparison to previously published methods. The effect of the structure of isomeric glycols on their electrospray mass spectra is discussed. The method has been applied for the determination of glycols in aqueous matrixes containing high concentrations of salts occurring in nuclear waste disposal treatment. DOI: 10.1021/ac981087y PMID: 21662779
http://www.ncbi.nlm.nih.gov/pubmed/32764680
1. Leukemia. 2021 Apr;35(4):1012-1022. doi: 10.1038/s41375-020-1001-z. Epub 2020 Aug 6. KAT7 is a genetic vulnerability of acute myeloid leukemias driven by MLL rearrangements. Au YZ(#)(1)(2)(3), Gu M(#)(2), De Braekeleer E(2), Gozdecka M(2)(4), Aspris D(2), Tarumoto Y(5), Cooper J(2), Yu J(1)(6), Ong SH(1), Chen X(7), Tzelepis K(2)(8), Huntly BJP(4)(9)(10), Vassiliou G(11)(12)(13), Yusa K(14)(15). Author information: (1)Stem Cell Genetics, Wellcome Sanger Institute, Hinxton, Cambridge, UK. (2)Haematological Cancer Genetics, Wellcome Sanger Institute, Hinxton, Cambridge, UK. (3)Dana-Farber Cancer Institute, Boston, MA, USA. (4)Wellcome Trust-MRC Stem Cell Institute, Cambridge Biomedical Campus, University of Cambridge, Cambridge, UK. (5)Stem Cell Genetics, Institute for Frontier Life and Medical Sciences, Kyoto University, Kyoto, Japan. (6)Department of Cell Biology, The Francis Crick Institute, London, UK. (7)Gene Expression Genomics, Wellcome Sanger Institute, Hinxton, Cambridge, UK. (8)Gurdon Institute, University of Cambridge, Tennis Court Road, Cambridge, UK. (9)Department of Haematology, Cambridge University Hospitals NHS Trust, Cambridge, UK. (10)Cambridge Institute for Medical Research, University of Cambridge, Cambridge, UK. (11)Haematological Cancer Genetics, Wellcome Sanger Institute, Hinxton, Cambridge, UK. gsv20@sanger.ac.uk. (12)Wellcome Trust-MRC Stem Cell Institute, Cambridge Biomedical Campus, University of Cambridge, Cambridge, UK. gsv20@sanger.ac.uk. (13)Department of Haematology, Cambridge University Hospitals NHS Trust, Cambridge, UK. gsv20@sanger.ac.uk. (14)Stem Cell Genetics, Wellcome Sanger Institute, Hinxton, Cambridge, UK. k.yusa@infront.kyoto-u.ac.jp. (15)Stem Cell Genetics, Institute for Frontier Life and Medical Sciences, Kyoto University, Kyoto, Japan. k.yusa@infront.kyoto-u.ac.jp. (#)Contributed equally Histone acetyltransferases (HATs) catalyze the transfer of an acetyl group from acetyl-CoA to lysine residues of histones and play a central role in transcriptional regulation in diverse biological processes. Dysregulation of HAT activity can lead to human diseases including developmental disorders and cancer. Through genome-wide CRISPR-Cas9 screens, we identified several HATs of the MYST family as fitness genes for acute myeloid leukemia (AML). Here we investigate the essentiality of lysine acetyltransferase KAT7 in AMLs driven by the MLL-X gene fusions. We found that KAT7 loss leads to a rapid and complete loss of both H3K14ac and H4K12ac marks, in association with reduced proliferation, increased apoptosis, and differentiation of AML cells. Acetyltransferase activity of KAT7 is essential for the proliferation of these cells. Mechanistically, our data propose that acetylated histones provide a platform for the recruitment of MLL-fusion-associated adaptor proteins such as BRD4 and AF4 to gene promoters. Upon KAT7 loss, these factors together with RNA polymerase II rapidly dissociate from several MLL-fusion target genes that are essential for AML cell proliferation, including MEIS1, PBX3, and SENP6. Our findings reveal that KAT7 is a plausible therapeutic target for this poor prognosis AML subtype. DOI: 10.1038/s41375-020-1001-z PMCID: PMC7610570 PMID: 32764680 [Indexed for MEDLINE] Conflict of interest statement: Competing interests G.S.V. is a consultant for Kymab and Oxstem.
http://www.ncbi.nlm.nih.gov/pubmed/33373635
1. Int J Biol Macromol. 2021 Feb 15;170:326-335. doi: 10.1016/j.ijbiomac.2020.12.173. Epub 2020 Dec 26. Histone acetyl transferases and their epigenetic impact on bone remodeling. Gomathi K(1), Akshaya N(1), Srinaath N(1), Rohini M(1), Selvamurugan N(2). Author information: (1)Department of Biotechnology, School of Bioengineering, SRM Institute of Science and Technology, Kattankulathur 603 203, Tamil Nadu, India. (2)Department of Biotechnology, School of Bioengineering, SRM Institute of Science and Technology, Kattankulathur 603 203, Tamil Nadu, India. Electronic address: selvamun@srmist.edu.in. Bone remodeling is a complex event that maintains bone homeostasis. The epigenetic mechanism of the regulation of bone remodeling has been a major research focus over the past decades. Histone acetylation is an influential post-translational modification in chromatin architecture. Acetylation affects chromatin structure by offering binding signals for reader proteins that harbor acetyl-lysine recognition domains. This review summarizes recent data of histone acetylation in bone remodeling. The crux of this review is the functional role of histone acetyltransferases, the key promoters of histone acetylation. The functional regulation of acetylation via noncoding RNAs in bone remodeling is also discussed. Understanding the principles governing histone acetylation in bone remodeling would lead to the development of better epigenetic therapies for bone diseases. Copyright © 2020 Elsevier B.V. All rights reserved. DOI: 10.1016/j.ijbiomac.2020.12.173 PMID: 33373635 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/11878590
1. J AOAC Int. 2002 Jan-Feb;85(1):122-7. Optimization and validation of arsenic determination in foods by hydride generation flame atomic absorption spectrometry. Kabengera C(1), Bodart P, Hubert P, Thunus L, Noirfalise A. Author information: (1)Université Nationale du Rwanda, Butare. Charles.Kabengera@student.ulg.ac.be A hydride generation flame atomic absorption spectrometric method was developed and optimized to quantitate arsenic (As) in foods. A wet digestion of the samples with HNO3 + H2O2 was performed and excess oxidants were eliminated by addition of hydrochloric acid and urea. As5+ in As3+ was then reduced by potassium iodide. The As3+ solution was analyzed by generation of arsine with sodium tetrahydroborate. As determination ranged from 2.5 to 20 microg/L, with a determination coefficient of 0.997. The limits of detection (LOD) and quantitation (LOQ) were 0.6 and 2.1 microg/L, respectively. The method was validated and good results were obtained for recovery, precision, accuracy, LOD, and LOQ. This method is now used to analyze foods from Rwanda. PMID: 11878590 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/10790315
1. Anal Biochem. 2000 May 1;280(2):308-14. doi: 10.1006/abio.2000.4546. A continuous, nonradioactive assay for histone acetyltransferases. Kim Y(1), Tanner KG, Denu JM. Author information: (1)Department of Biochemistry and Molecular Biology, Oregon Health Sciences University, Portland, Oregon, 97201-3098, USA. Histone acetyltransferases (HATs) catalyze the acetyl-group transfer from acetyl-CoA to the epsilon-amino group of specific lysine residues within core histone proteins. HATs and other chromatin-remodeling enzymes have been recently shown to regulate gene activation within specific loci. To facilitate mechanistic studies, we have developed two continuous, nonradioactive assays for the prototypical GCN5 HAT. The CoASH generated in the HAT reactions was continuously measured by using a coupled enzyme system with either alpha-ketoglutarate dehydrogenase or pyruvate dehydrogenase. The CoASH-dependent oxidation of alpha-ketoglutarate or pyruvate is accompanied by the reduction of NAD to NADH, which was measured spectrophotometrically at 340 nm. The steady-state rate constants with substrates acetyl-CoA and a synthetic peptide (corresponding to the first 20 amino acids of H3 histone) were determined. The resulting rate constants were not significantly different between the two coupled assays, providing strong validation of these methods. Rate constants were also determined using the commonly employed radioactive filter-binding assay and compared. The 1.5- to 5-fold lower values obtained in the radioactive end-point assay are discussed in terms of the technical problems and limitations of this assay. The coupled assays should be widely applicable since the production of CoASH is common to all HAT enzymes, regardless of protein substrate. Copyright 2000 Academic Press. DOI: 10.1006/abio.2000.4546 PMID: 10790315 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/32791974
1. Reprod Biol Endocrinol. 2020 Aug 13;18(1):84. doi: 10.1186/s12958-020-00637-5. Histone acetylation and the role of histone deacetylases in normal cyclic endometrium. Gujral P(1), Mahajan V(1)(2), Lissaman AC(1)(2), Ponnampalam AP(3)(4)(5). Author information: (1)The Liggins Institute, The University of Auckland, Auckland, New Zealand. (2)Department of Obstetrics and Gynaecology, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand. (3)The Liggins Institute, The University of Auckland, Auckland, New Zealand. a.ponnampalam@auckland.ac.nz. (4)Department of Obstetrics and Gynaecology, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand. a.ponnampalam@auckland.ac.nz. (5)Department of Physiology, Faculty of Medical and Health Sciences, The University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand. a.ponnampalam@auckland.ac.nz. Histone acetylation is a critical epigenetic modification that changes chromatin architecture and regulates gene expression by opening or closing the chromatin structure. It plays an essential role in cell cycle progression and differentiation. The human endometrium goes through cycles of regeneration, proliferation, differentiation, and degradation each month; each phase requiring strict epigenetic regulation for the proper functioning of the endometrium. Aberrant histone acetylation and alterations in levels of two acetylation modulators - histone acetylases (HATs) and histone deacetylases (HDACs) - have been associated with endometrial pathologies such as endometrial cancer, implantation failures, and endometriosis. Thus, histone acetylation is likely to have an essential role in the regulation of endometrial remodelling throughout the menstrual cycle. DOI: 10.1186/s12958-020-00637-5 PMCID: PMC7425564 PMID: 32791974 [Indexed for MEDLINE] Conflict of interest statement: The authors declare that they have no competing interests.
http://www.ncbi.nlm.nih.gov/pubmed/26440431
1. Trends Plant Sci. 2015 Oct;20(10):614-621. doi: 10.1016/j.tplants.2015.07.005. Histone Acetylation Enzymes Coordinate Metabolism and Gene Expression. Shen Y(1), Wei W(2), Zhou DX(3). Author information: (1)Institute of Plant Sciences Paris-Saclay (IPS2), University Paris-sud 11, 91405 Orsay, France. (2)Institute of interdisciplinary Scientific Research, Jianghan University, 430056, Wuhan, China. (3)Institute of Plant Sciences Paris-Saclay (IPS2), University Paris-sud 11, 91405 Orsay, France. Electronic address: dao-xiu.zhou@u-psud.fr. Histone lysine acetylation is well known for being important in the epigenetic regulation of gene expression in eukaryotic cells. Recent studies have uncovered a plethora of acetylated proteins involved in important metabolic pathways, such as photosynthesis and respiration in plants. Enzymes involved in histone acetylation and deacetylation are being identified as regulators of acetylation of metabolic enzymes. Importantly, key metabolites, such as acetyl-CoA and NAD(+), are involved in protein acetylation and deacetylation processes, and their cellular levels may regulate the activity of histone acetyltransferases (HAT) and deacetylases (HDAC). Further research is required to determine whether and how HATs and HDACs sense cellular metabolite signals to control gene expression and metabolic enzyme activity through lysine acetylation and deacetylation. Copyright © 2015 Elsevier Ltd. All rights reserved. DOI: 10.1016/j.tplants.2015.07.005 PMID: 26440431 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/10373413
1. J Biol Chem. 1999 Jun 25;274(26):18157-60. doi: 10.1074/jbc.274.26.18157. Catalytic mechanism and function of invariant glutamic acid 173 from the histone acetyltransferase GCN5 transcriptional coactivator. Tanner KG(1), Trievel RC, Kuo MH, Howard RM, Berger SL, Allis CD, Marmorstein R, Denu JM. Author information: (1)Department of Biochemistry and Molecular Biology, Oregon Health Sciences University, Portland, Oregon 97201-3098, USA. Within chromatin, reversible acetylation of core histones is critical for transcriptional activation of eukaryotic target genes. The recent identification of intrinsic histone acetyltransferase (HAT) catalytic activity from a number of transcriptional co-activators (including yeast GCN5, p300/CBP, P/CAF, and TAFII250), has underscored the importance of protein acetylation in transcriptional control. The GCN5 family is the prototype for a diverse group of at least four distinct human HATs families. Although there is now a clear link between in vivo HAT catalytic activity and gene activation, little is known about the molecular mechanisms of histone acetylation. Herein, we report the first detailed biochemical study that probes the catalytic mechanism and the function of invariant glutamic acid 173 within the GCN5 family of HATs. Our results suggest that the HAT reaction involves the formation of a ternary complex (histones, acetyl-CoA, and enzyme) where the epsilon-amino group of histone lysine residues directly attacks the bound acetyl-CoA. The acetylation reaction requires deprotonation of the epsilon-amino group prior to nucleophilic attack. Employing site-directed mutagenesis, chemical modification, steady-state, and pH-dependent rate analysis, it is demonstrated that glutamic acid 173 is an essential catalytic residue, acting as a general base catalyst by deprotonating the histone substrate. DOI: 10.1074/jbc.274.26.18157 PMID: 10373413 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/12368900
1. Nat Struct Biol. 2002 Nov;9(11):862-9. doi: 10.1038/nsb849. The catalytic mechanism of the ESA1 histone acetyltransferase involves a self-acetylated intermediate. Yan Y(1), Harper S, Speicher DW, Marmorstein R. Author information: (1)The Wistar Institute, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA. Comment in Nat Struct Biol. 2002 Dec;9(12):888-91. doi: 10.1038/nsb1202-888. Yeast ESA1 is a member of the MYST subfamily of histone acetyltransferases (HATs), which use acetyl-coenzyme A (CoA) to acetylate specific Lys residues within histones to regulate gene expression. The structure of an ESA1-CoA complex reveals structural similarity to the catalytic core of the GCN5/PCAF subfamily of HAT proteins. Here we report additional structural and functional studies on ESA1 that demonstrate that histone acetylation proceeds through an acetyl-cysteine enzyme intermediate. This Cys residue is strictly conserved within the MYST members, suggesting a common mode of catalysis by this HAT subfamily. However, this mode of catalysis differs dramatically from the GCN5/PCAF subfamily, which mediate direct nucleophilic attack of the acetyl-CoA cofactor by the enzyme-deprotonated substrate lysine of the histone. These results demonstrate that different HAT subfamilies can use distinct catalytic mechanisms, which have implications for their distinct biological roles and for the development of HAT-specific inhibitors. DOI: 10.1038/nsb849 PMID: 12368900 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/26065557
1. Assay Drug Dev Technol. 2015 May;13(4):210-20. doi: 10.1089/adt.2015.636. Epub 2015 May 28. Effective Quenchers Are Required to Eliminate the Interference of Substrate: Cofactor Binding in the HAT Scintillation Proximity Assay. Ngo L(1), Wu J(1), Yang C(1), Zheng YG(1). Author information: (1)Department of Pharmaceutical and Biomedical Sciences, The University of Georgia , Athens, Georgia . Histone acetyltransferases (HATs) mediate the transfer of an acetyl group from the cofactor, acetyl-CoA, to the side chain amino group of specific lysines in diverse protein substrates, most notably nuclear histones. The deregulation of HATs is connected to a number of disease states. Reliable and rapid biochemical assays for HATs are critical for understanding biological functions of protein acetylation, as well as for screening small-molecule inhibitors of HAT enzymes. In this report, we present a scintillation proximity assay (SPA) for the measurement of HAT enzymatic activities. The acetyl donor was [(3)H]Ac-CoA, and a biotin-modified histone peptide served as the HAT substrate. After the HAT reaction, streptavidin-coated beads were added to induce proximity of acetylated substrate to the scintillant molecules. However, we observed strong nonspecific binding between the cofactor and the histone peptide substrates, which adversely complicated the SPA performance. To prevent this problem, a set of chemical agents were evaluated to eliminate the cofactor-substrate interaction, thus providing reliable SPA readings. With optimization, the SPA showed consistent and robust performance for HAT activity measurement and HAT inhibitor evaluation. Overall, this mix-and-measure assay does not require any washing procedure, can be utilized in the microplate format, and is well suited for high-throughput screening of HAT chemical modulators. DOI: 10.1089/adt.2015.636 PMCID: PMC4490742 PMID: 26065557 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/17694092
1. Oncogene. 2007 Aug 13;26(37):5528-40. doi: 10.1038/sj.onc.1210619. Chemistry of acetyl transfer by histone modifying enzymes: structure, mechanism and implications for effector design. Hodawadekar SC(1), Marmorstein R. Author information: (1)The Wistar Institute and The Department of Chemistry, University of Pennsylvania, Philadelphia, PA 19104, USA. The post-translational modification of histones plays an important role in chromatin regulation, a process that insures the fidelity of gene expression and other DNA transactions. Of the enzymes that mediate post-translation modification, the histone acetyltransferase (HAT) and histone deacetylase (HDAC) proteins that add and remove acetyl groups to and from target lysine residues within histones, respectively, have been the most extensively studied at both the functional and structural levels. Not surprisingly, the aberrant activity of several of these enzymes have been implicated in human diseases such as cancer and metabolic disorders, thus making them important drug targets. Significant mechanistic insights into the function of HATs and HDACs have come from the X-ray crystal structures of these enzymes both alone and in liganded complexes, along with associated enzymatic and biochemical studies. In this review, we will discuss what we have learned from the structures and related biochemistry of HATs and HDACs and the implications of these findings for the design of protein effectors to regulate gene expression and treat disease. DOI: 10.1038/sj.onc.1210619 PMID: 17694092 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/28240169
1. Curr Med Chem. 2017;24(37):4121-4150. doi: 10.2174/0929867324666170223153115. Epigenetic Modulation Using Small Molecules - Targeting Histone Acetyltransferases in Disease. Richters A(1), Koehler AN(1)(2). Author information: (1)David H. Koch Institute for Integrative Cancer Research, Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA, United States. (2)Broad Institute of MIT and Harvard, Cambridge, MA, United States. Histone acetyltransferases (HATs) are epigenetic drivers that catalyze the acetyl transfer from acetyl-CoA to lysines of both histone and non-histone substrates and thereby induce transcription either by chromatin remodeling or direct transcription factor activation. Histone deacetylases (HDACs) conduct the reverse reaction to counter HAT activity. Physiological processes such as cell cycle progression or apoptosis require a thoroughly balanced equilibrium of the interplay between acetylation and deacetylation processes to maintain or, if required, alter the global acetylome status. Aberrant HAT activity has recently been demonstrated to play a crucial role in the progression of various diseases such as prostate, lung, and colon cancers as well as glioblastomas and neurodegenerative diseases. Recent investigations have aimed for the identification of HAT modulators to further decipher the complexity of acetyl transferase related signaling cascades and discover potential leads for drug design approaches. HDACs have been extensively characterized and targeted by small molecules, including four FDA-approved HDAC inhibitors; in contrast, HATs have not been active targets for therapeutic development. This review will summarize the status of HAT associated diseases and the arsenal of currently known and available HAT inhibitors with respect to their discovery, further improvements, and current applications. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org. DOI: 10.2174/0929867324666170223153115 PMID: 28240169
http://www.ncbi.nlm.nih.gov/pubmed/21908798
1. J Biomol Screen. 2011 Dec;16(10):1186-95. doi: 10.1177/1087057111418653. Epub 2011 Sep 9. Advances in label-free screening approaches for studying histone acetyltransferases. Rye PT(1), Frick LE, Ozbal CC, Lamarr WA. Author information: (1)Agilent Technologies, Inc., Life Sciences Group, Wakefield, Massachusetts 01880, USA. peter.rye@agilent.com Histone acetyltransferases (HATs) catalyze the transfer of an acetyl group from an acetyl-coenzyme A donor molecule to specific lysine residues within proteins. The acetylation state of proteins, particularly histones, is known to modulate their intermolecular binding properties and control various cellular processes, most notably transcriptional activation. In addition, deregulation of HAT activity has been linked to the development of a number of cancers; therefore, compounds that affect these enzymes have strong potential as therapeutic agents. The research presented here demonstrates three label-free HAT screening approaches, all based on the fast and direct measurement of one or more substrate-product pairs by high-throughput mass spectrometry techniques. The first approach involves monitoring all possible acetylation states of a peptide concurrently to measure HAT activity. The second approach measures acetylation reactions, on both peptides and whole protein substrates, via direct detection of the acetyl-coenzyme A cosubstrate and coenzyme A coproduct. Lastly, the authors demonstrate the ability to monitor directly the acetylation state of whole histone proteins in the same high-throughput manner using time-of-flight mass spectrometry. The generation of compound-mediated inhibition data using each of these techniques establishes mass spectrometry as a versatile, label-free, and biologically relevant screening approach to this challenging target class. DOI: 10.1177/1087057111418653 PMID: 21908798 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/31606071
1. Methods Enzymol. 2019;626:1-21. doi: 10.1016/bs.mie.2019.07.013. Epub 2019 Aug 12. Crosstalk between cellular metabolism and histone acetylation. Trefely S(1), Doan MT(2), Snyder NW(3). Author information: (1)A.J. Drexel Autism Institute, Drexel University, Philadelphia, PA, United States; Abramson Family Cancer Research Institute, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States. (2)A.J. Drexel Autism Institute, Drexel University, Philadelphia, PA, United States. (3)A.J. Drexel Autism Institute, Drexel University, Philadelphia, PA, United States. Electronic address: nws28@drexel.edu. Dynamic interplay between cellular metabolism and histone acetylation is a key mechanism underlying metabolic control of epigenetics. In particular, the central metabolite acetyl-coenzyme A (acetyl-CoA) acts as the acetyl-donor for histone acetylation in both an enzymatic and non-enzymatic manner. Since members of the family of histone acetyl transferases (HATs) that catalyze the acetylation of histone tails possess a Michaelis constant (Km) within the range of physiological cellular acetyl-CoA concentrations, changing concentrations of acetyl-CoA can restrict or promote enzymatic histone acetylation. Likewise, non-enzymatic histone acetylation occurs at physiological concentrations. These concepts implicate acetyl-CoA as a rheostat for nutrient availability acting, in part, by controlling histone acetylation. Histone acetylation is an important epigenetic modification that controls gene expression and acetyl-CoA dependent changes in both histone acetylation and gene expression have been shown in yeast and mammalian systems. However, quantifying the metabolic conditions required to achieve specific changes in histone acetylation is a major challenge. The relationship between acetyl-CoA and histone acetylation may be influenced by a variety of factors including sub-cellular location of metabolites and enzymes, relative quantities of metabolites, and substrate availability/preference. A diversity of substrates can contribute the two-carbon acyl-chain to acetyl-CoA, a number of pathways can create or degrade acetyl-CoA, and only a handful of potential mechanisms for the crosstalk between metabolism and histone acetylation have been explored. The centrality of acetyl-CoA in intermediary metabolism means that acetyl-CoA levels may change, or be resistant to change, in unexpected ways. Thus, quantification of relevant metabolites is critical evidence in understanding how the nutrient rheostat is set in normal and pathological contexts. Coupling metabolite quantitation with isotope tracing to examine fate of specific metabolites is critical to the crosstalk between metabolism and histone acetylation, including but not limited to acetyl-CoA provides necessary context. This chapter provides guidance on experimental design of quantification with isotope dilution and/or tracing of acetyl-CoA within a targeted or highly multiplexed multi-analyte workflow. © 2019 Elsevier Inc. All rights reserved. DOI: 10.1016/bs.mie.2019.07.013 PMID: 31606071 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/35042977
1. Nat Rev Mol Cell Biol. 2022 May;23(5):329-349. doi: 10.1038/s41580-021-00441-y. Epub 2022 Jan 18. Modulation of cellular processes by histone and non-histone protein acetylation. Shvedunova M(1), Akhtar A(2). Author information: (1)Department of Chromatin Regulation, Max Planck Institute of Immunobiology and Epigenetics, Freiburg im Breisgau, Germany. (2)Department of Chromatin Regulation, Max Planck Institute of Immunobiology and Epigenetics, Freiburg im Breisgau, Germany. akhtar@ie-freiburg.mpg.de. Lysine acetylation is a widespread and versatile protein post-translational modification. Lysine acetyltransferases and lysine deacetylases catalyse the addition or removal, respectively, of acetyl groups at both histone and non-histone targets. In this Review, we discuss several features of acetylation and deacetylation, including their diversity of targets, rapid turnover, exquisite sensitivity to the concentrations of the cofactors acetyl-CoA, acyl-CoA and NAD+, and tight interplay with metabolism. Histone acetylation and non-histone protein acetylation influence a myriad of cellular and physiological processes, including transcription, phase separation, autophagy, mitosis, differentiation and neural function. The activity of lysine acetyltransferases and lysine deacetylases can, in turn, be regulated by metabolic states, diet and specific small molecules. Histone acetylation has also recently been shown to mediate cellular memory. These features enable acetylation to integrate the cellular state with transcriptional output and cell-fate decisions. © 2022. Springer Nature Limited. DOI: 10.1038/s41580-021-00441-y PMID: 35042977 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/12624111
1. J Biol Chem. 2003 May 23;278(21):19134-40. doi: 10.1074/jbc.M301580200. Epub 2003 Mar 6. Small molecule modulators of histone acetyltransferase p300. Balasubramanyam K(1), Swaminathan V, Ranganathan A, Kundu TK. Author information: (1)Transcription and Disease Laboratory, Molecular Biology and Genetics Unit, Jawaharlal Nehru Center for Advanced Scientific Research, Jakkur, Bangalore 560064, India. Histone acetyltransferases (HATs) are a group of enzymes that play a significant role in the regulation of gene expression. These enzymes covalently modify the N-terminal lysine residues of histones by the addition of acetyl groups from acetyl-CoA. Dysfunction of these enzymes is often associated with the manifestation of several diseases, predominantly cancer. Here we report that anacardic acid from cashew nut shell liquid is a potent inhibitor of p300 and p300/CBP-associated factor histone acetyltranferase activities. Although it does not affect DNA transcription, HAT-dependent transcription from a chromatin template was strongly inhibited by anacardic acid. Furthermore, we describe the design and synthesis of an amide derivative N-(4-chloro-3-trifluoromethyl-phenyl)-2-ethoxy-6-pentadecyl-benzamide (CTPB) using anacardic acid as a synthon, which remarkably activates p300 HAT activity but not that of p300/CBP-associated factor. Although CTPB does not affect DNA transcription, it enhances the p300 HAT-dependent transcriptional activation from in vitro assembled chromatin template. However, it has no effect on histone deacetylase activity. These compounds would be useful as biological switching molecules for probing into the role of p300 in transcriptional studies and may also be useful as new chemical entities for the development of anticancer drugs. DOI: 10.1074/jbc.M301580200 PMID: 12624111 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/15313419
1. Biochem Pharmacol. 2004 Sep 15;68(6):1215-20. doi: 10.1016/j.bcp.2004.05.038. Implications of small molecule activators and inhibitors of histone acetyltransferases in chromatin therapy. Varier RA(1), Swaminathan V, Balasubramanyam K, Kundu TK. Author information: (1)Transcription and Disease Laboratory, Molecular Biology and Genetics Unit, Jawaharlal Nehru Centre for Advanced Scientific Research, Jakkur, Bangalore 560064, India. Histone acetylation is a diagnostic feature of transcriptionally active chromatin. The group of enzymes, histone acetyltransferases (HATs), involved in this crucial step of gene regulation, covalently modifies the N-terminal lysine residues of histones by the addition of an acetyl group from acetyl coenzyme A. Dysfunction of these enzymes is often associated with several diseases, ranging from neurodegenerative disorders to cancer. These enzymes thus are potential new targets for therapeutics. We have discovered few small molecule compounds, which target HATs and either activate or inhibit the enzyme potently. These compounds would be useful as biological switching molecules for probing into the role of HATs in gene regulation and cell cycle and may be useful as new chemical entities for the development of new drugs. DOI: 10.1016/j.bcp.2004.05.038 PMID: 15313419 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/32157780
1. Aging Cell. 2020 Apr;19(4):e13129. doi: 10.1111/acel.13129. Epub 2020 Mar 11. Inhibition of histone acetyltransferase GCN5 extends lifespan in both yeast and human cell lines. Huang B(1), Zhong D(1), Zhu J(1), An Y(1), Gao M(1), Zhu S(1), Dang W(2), Wang X(1), Yang B(1)(3), Xie Z(1)(4). Author information: (1)State Key Laboratory of Natural and Biomimetic Drugs, Department of Pharmacology, School of Basic Medical Sciences, Peking University, Beijing, China. (2)Huffington Center on Aging, Baylor College of Medicine, Houston, TX, USA. (3)Key Laboratory of Molecular Cardiovascular Sciences, Ministry of Education, Beijing, China. (4)Peking University International Cancer Institute, Peking University, Beijing, China. Histone acetyltransferases (HATs) are important enzymes that transfer acetyl groups onto histones and thereby regulate both gene expression and chromosomal structures. Previous work has shown that the activation of sirtuins, which are histone deacetylases, can extend lifespan. This suggests that inhibiting HATs may have a similar beneficial effect. In the present study, we utilized a range of HAT inhibitors or heterozygous Gcn5 and Ngg1 mutants to demonstrate marked yeast life extension. In human cell lines, HAT inhibitors and selective RNAi-mediated Gcn5 or Ngg1 knockdown reduced the levels of aging markers and promoted proliferation in senescent cells. Furthermore, this observed lifespan extension was associated with the acetylation of histone H3 rather than that of H4. Specifically, it was dependent upon H3K9Ac and H3K18Ac modifications. We also found that the ability of caloric restriction to prolong lifespan is Gcn5-, Ngg1-, H3K9-, and H3K18-dependent. Transcriptome analysis revealed that these changes were similar to those associated with heat shock and were inversely correlated with the gene expression profiles of aged yeast and aged worms. Through a bioinformatic analysis, we also found that HAT inhibition activated subtelomeric genes in human cell lines. Together, our results suggest that inhibiting the HAT Gcn5 may be an effective means of increasing longevity. © 2020 The Authors. Aging Cell published by the Anatomical Society and John Wiley & Sons Ltd. DOI: 10.1111/acel.13129 PMCID: PMC7189995 PMID: 32157780 [Indexed for MEDLINE] Conflict of interest statement: The authors declare that they have no conflict of interest.
http://www.ncbi.nlm.nih.gov/pubmed/10579936
1. Methods. 1999 Nov;19(3):410-6. doi: 10.1006/meth.1999.0877. Transcriptional analysis of purified histone acetyltransferase complexes. Steger DJ(1), Workman JL. Author information: (1)Department of Biochemistry and Biophysics, University of California at San Francisco, 513 Parnassus Avenue, San Francisco, California 94143-0448, USA. Acetylation of lysine residues within the amino-terminal tails of the core histone proteins is strongly correlated to the regulation of gene transcription in vivo. To directly study the effects of histone acetylation on transcription, we have developed a biochemical system examining the regulation of RNA polymerase II-directed transcription by native histone acetyltransferases (HATs). For the promoter sequences investigated, it has been demonstrated that HATs facilitate transcription from nucleosomal DNA templates in an acetyl-CoA-dependent fashion but do not affect transcription from histone-free templates. Here, protocols are presented describing the in vitro assembly of evenly spaced nucleosomal arrays on DNA fragments harboring gene regulatory sequences and the use of these templates with purified HAT complexes in transcription assays. Copyright 1999 Academic Press. DOI: 10.1006/meth.1999.0877 PMID: 10579936 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/10485713
1. Nature. 1999 Sep 2;401(6748):93-8. doi: 10.1038/43487. Structure of Tetrahymena GCN5 bound to coenzyme A and a histone H3 peptide. Rojas JR(1), Trievel RC, Zhou J, Mo Y, Li X, Berger SL, Allis CD, Marmorstein R. Author information: (1)The Wistar Institute, Department of Chemistry, University of Pennsylvania, Philadelphia 19104, USA. Gene activation is a highly regulated process that requires the coordinated action of proteins to relieve chromatin repression and to promote transcriptional activation. Nuclear histone acetyltransferase (HAT) enzymes provide a mechanistic link between chromatin destabilization and gene activation by acetylating the epsilon-amino group of specific lysine residues within the aminoterminal tails of core histones to facilitate access to DNA by transcriptional activators. Here we report the high-resolution crystal structure of the HAT domain of Tetrahymena GCN5 (tGCN5) bound with both its physiologically relevant ligands, coenzyme A (CoA) and a histone H3 peptide, and the structures of nascent tGCN5 and a tGCN5/acetyl-CoA complex. Our structural data reveal histone-binding specificity for a random-coil structure containing a G-K-X-P recognition sequence, and show that CoA is essential for reorienting the enzyme for histone binding. Catalysis appears to involve water-mediated proton extraction from the substrate lysine by a glutamic acid general base and a backbone amide that stabilizes the transition-state reaction intermediate. Comparison with related N-acetyltransferases indicates a conserved structural framework for CoA binding and catalysis, and structural variability in regions associated with substrate-specific binding. DOI: 10.1038/43487 PMID: 10485713 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/15955204
1. J Gastroenterol Hepatol. 2005 Jul;20(7):988-94. doi: 10.1111/j.1440-1746.2005.03807.x. Histone deacetylase inhibitors, anticancerous mechanism and therapy for gastrointestinal cancers. Fang JY(1). Author information: (1)Shanghai Second Medical University Renji Hospital, Shanghai Institute of Digestive Disease, China. jingyuanfang@yahoo.com Histone acetylation regulates gene transcription. Histone acetylation is a reversible process: histone acetyltransferases (HAT) transfer the acetyl moiety from acetyl coenzyme A to the lysine, and histone deacetylases (HDAC) remove the acetyl groups re-establishing the positive charge in the histones. HDAC inhibitors have antiproliferative activity against human cancer cells via cell cycle arrest, pro-differentiation, and pro-apoptosis. In recent years, many studies have shown that specific HDAC inhibitors are helpful for gastrointestinal cancer therapy. DOI: 10.1111/j.1440-1746.2005.03807.x PMID: 15955204 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/25707943
1. Biochem Cell Biol. 2015 Apr;93(2):149-57. doi: 10.1139/bcb-2014-0119. Epub 2014 Dec 16. Acetyl-lysine erasers and readers in the control of pulmonary hypertension and right ventricular hypertrophy. Stratton MS(1), McKinsey TA. Author information: (1)Department of Medicine, Division of Cardiology, University of Colorado Denver, 12700 E. 19th Ave, Aurora, CO 80045-0508, USA. Acetylation of lysine residues within nucleosomal histone tails provides a crucial mechanism for epigenetic control of gene expression. Acetyl groups are coupled to lysine residues by histone acetyltransferases (HATs) and removed by histone deacetylases (HDACs), which are also commonly referred to as "writers" and "erasers", respectively. In addition to altering the electrostatic properties of histones, lysine acetylation often creates docking sites for bromodomain-containing "reader" proteins. This review focuses on epigenetic control of pulmonary hypertension (PH) and associated right ventricular (RV) cardiac hypertrophy and failure. Effects of small molecule HDAC inhibitors in pre-clinical models of PH are highlighted. Furthermore, we describe the recently discovered role of bromodomain and extraterminal (BET) reader proteins in the control of cardiac hypertrophy, and provide evidence suggesting that one member of this family, BRD4, contributes to the pathogenesis of RV failure. Together, the data suggest intriguing potential for pharmacological epigenetic therapies for the treatment of PH and right-sided heart failure. L'acétylation des lysines situées á l'intérieur des queues des histones nucléosomales constitue un mécanisme crucial de contrôle épigénétique de l'expression génique. Les groupes acétyles sont couplés aux lysines par les histone acétytransférases (HAT) et sont enlevés par les histone déacétylases (HDAC), dont on dit qu'elles sont respectivement des « rédacteurs » et des « effaceurs ». En plus de modifier les propriétés électrostatiques des histones, l'acétylation des lysines crée souvent un site d'amarrage des protéines comportant un bromodomaine qu'on dit « lectrices ». Cet article de revue se concentre sur le contrôle épigénétique de l‘hypertension pulmonaire (HP), et de l'hypertrophie et de l'insuffisance cardiaques ventriculaires droites qui lui sont associées. Les effets de petites molécules qui inhibent les HDAC dans des modèles précliniques d'HP sont soulignés. De plus, les auteurs décrivent le rôle récemment découvert des protéines lectrices BET (bromodomaine et domaine terminal) dans le contrôle de l'hypertrophie cardiaque, et présentent des indices qui suggèrent qu'un membre de cette famille, BRD4, contribue á la pathogenèse de l'insuffisance ventriculaire droite. Dans l'ensemble, les données suggèrent que les thérapies pharmacologiques épigénétiques possèdent un potentiel de traitement intéressant de l'HP et de l'insuffisance cardiaque localisée du côté droit. [Traduit par la Rédaction] DOI: 10.1139/bcb-2014-0119 PMCID: PMC4975937 PMID: 25707943 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/11479283
1. J Biol Chem. 2001 Oct 12;276(41):38307-19. doi: 10.1074/jbc.M100290200. Epub 2001 Jul 30. Regulation of global acetylation in mitosis through loss of histone acetyltransferases and deacetylases from chromatin. Kruhlak MJ(1), Hendzel MJ, Fischle W, Bertos NR, Hameed S, Yang XJ, Verdin E, Bazett-Jones DP. Author information: (1)Research Institute, The Hospital for Sick Children, Toronto, Ontario M5G 1X8, Canada. Histone acetylation, a reversible modification of the core histones, is widely accepted to be involved in remodeling chromatin organization for genetic reprogramming. Histone acetylation is a dynamic process that is regulated by two classes of enzymes, the histone acetyltransferases (HATs) and histone deacetylases (HDACs). Although promoter-specific acetylation and deacetylation has received most of the recent attention, it is superimposed upon a broader acting and dynamic acetylation that profoundly affects many nuclear processes. In this study, we monitored this broader histone acetylation as cells enter and exit mitosis. In contrast to the hypothesis that HATs and HDACs remain bound to mitotic chromosomes to provide an epigenetic imprint for postmitotic reactivation of the genome, we observed that HATs and HDACs are spatially reorganized and displaced from condensing chromosomes as cells progress through mitosis. During mitosis, HATs and HDACs are unable to acetylate or deacetylate chromatin in situ despite remaining fully catalytically active when isolated from mitotic cells and assayed in vitro. Our results demonstrate that HATs and HDACs do not stably bind to the genome to function as an epigenetic mechanism of selective postmitotic gene activation. Our results, however, do support a role for spatial organization of these enzymes within the cell nucleus and their relationship to euchromatin and heterochromatin postmitotically in the reactivation of the genome. DOI: 10.1074/jbc.M100290200 PMID: 11479283 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/9708888
1. FEBS Lett. 1998 Jul 17;431(2):131-3. doi: 10.1016/s0014-5793(98)00752-2. How do histone acetyltransferases select lysine residues in core histones? Kimura A(1), Horikoshi M. Author information: (1)Department of Cellular Biology, Institute of Molecular and Cellular Biosciences, The University of Tokyo, Japan. Acetylation of specific lysines of core histone N-terminal tails correlates with chromatin assembly and specific regulation of gene expression. Core histones acetylated at particular lysines mediate effects on chromatin function; however, the manner in which different histone acetyltransferases (HATs) discriminate lysines is unknown. Here we propose a putative rule for lysine selection by HATs based on the primary sequence in the vicinity of lysines in the core histone N-terminal tails and in flanking sequence. This provides insight into the molecular basis of site selection of core histones by HATs. DOI: 10.1016/s0014-5793(98)00752-2 PMID: 9708888 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/9780836
1. Bioessays. 1998 Aug;20(8):615-26. doi: 10.1002/(SICI)1521-1878(199808)20:8<615::AID-BIES4>3.0.CO;2-H. Roles of histone acetyltransferases and deacetylases in gene regulation. Kuo MH(1), Allis CD. Author information: (1)Department of Biology, University of Rochester, NY, USA. Acetylation of internal lysine residues of core histone N-terminal domains has been found correlatively associated with transcriptional activation in eukaryotes for more than three decades. Recent discoveries showing that several transcriptional regulators possess intrinsic histone acetyltransferase (HAT) and deacetylase (HDAC) activities strongly suggest that histone acetylation and deacetylation each plays a causative role in regulating transcription. Intriguingly, several HATs have been shown an ability to acetylate nonhistone protein substrates (e.g., transcription factors) in vitro as well, suggesting the possibility that internal lysine acetylation of multiple proteins exists as a rapid and reversible regulatory mechanism much like protein phosphorylation. This article reviews recent developments in histone acetylation and transcriptional regulation. We also discuss several important, yet unanswered, questions. DOI: 10.1002/(SICI)1521-1878(199808)20:8<615::AID-BIES4>3.0.CO;2-H PMID: 9780836 [Indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/17325692
1. Cell Res. 2007 Mar;17(3):195-211. doi: 10.1038/sj.cr.7310149. HDACs, histone deacetylation and gene transcription: from molecular biology to cancer therapeutics. Gallinari P(1), Di Marco S, Jones P, Pallaoro M, Steinkühler C. Author information: (1)Istituto di Ricerche di Biologia Molecolare P. Angeletti-IRBM-Merck Research Laboratories Rome, Pomezia, Italy. Histone deacetylases (HDACs) and histone acetyl transferases (HATs) are two counteracting enzyme families whose enzymatic activity controls the acetylation state of protein lysine residues, notably those contained in the N-terminal extensions of the core histones. Acetylation of histones affects gene expression through its influence on chromatin conformation. In addition, several non-histone proteins are regulated in their stability or biological function by the acetylation state of specific lysine residues. HDACs intervene in a multitude of biological processes and are part of a multiprotein family in which each member has its specialized functions. In addition, HDAC activity is tightly controlled through targeted recruitment, protein-protein interactions and post-translational modifications. Control of cell cycle progression, cell survival and differentiation are among the most important roles of these enzymes. Since these processes are affected by malignant transformation, HDAC inhibitors were developed as antineoplastic drugs and are showing encouraging efficacy in cancer patients. DOI: 10.1038/sj.cr.7310149 PMID: 17325692 [Indexed for MEDLINE]