Nucleosomes

核小体
  • 文章类型: Journal Article
    PhiC31整合系统通过识别哺乳动物细胞中的假attP位点并将外源基因整合到活性染色质的开放染色质区域中,允许靶向且有效的转基因整合和表达。为了研究PhiC31整合开放染色质区高效基因表达的调控模式,这项研究利用泛型染色质开放元件(UCOE)和激活RNA(saRNA)来调节PhiC31整合载体启动子区域的染色质结构。该研究分析了整合启动子中DNA甲基化和核小体占据变化对基因表达水平的影响。结果表明,对于具有中等CG密度的OCT4启动子,与转录起始位点附近的核小体定位变化相比,DNA甲基化对表达的影响较小,这对于增强下游基因表达至关重要。另一方面,对于具有高CG密度的SOX2启动子,转录起始位点上游CpG岛的甲基化增加在影响高表达中起关键作用,但核小体的定位和聚集也有重要影响。总之,分析DNA甲基化模式,核小体定位,和不同启动子的数量分布可以确定PhiC31整合位点是否具有通过利用染色质调节元件进一步增强表达或克服转基因沉默效应的潜力。
    The PhiC31 integration system allows for targeted and efficient transgene integration and expression by recognizing pseudo attP sites in mammalian cells and integrating the exogenous genes into the open chromatin regions of active chromatin. In order to investigate the regulatory patterns of efficient gene expression in the open chromatin region of PhiC31 integration, this study utilized Ubiquitous Chromatin Opening Element (UCOE) and activating RNA (saRNA) to modulate the chromatin structure in the promoter region of the PhiC31 integration vector. The study analysed the effects of DNA methylation and nucleosome occupancy changes in the integrated promoter on gene expression levels. The results showed that for the OCT4 promoter with moderate CG density, DNA methylation had a smaller impact on expression compared to changes in nucleosome positioning near the transcription start site, which was crucial for enhancing downstream gene expression. On the other hand, for the SOX2 promoter with high CG density, increased methylation in the CpG island upstream of the transcription start site played a key role in affecting high expression, but the positioning and clustering of nucleosomes also had an important influence. In conclusion, analysing the DNA methylation patterns, nucleosome positioning, and quantity distribution of different promoters can determine whether the PhiC31 integration site possesses the potential to further enhance expression or overcome transgene silencing effects by utilizing chromatin regulatory elements.
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  • 文章类型: Journal Article
    DNA粗粒度(CG)计算模型的最新进展使分子水平的见解能够在复杂的多尺度系统中DNA的行为。然而,大多数现有的CGDNA模型与CG蛋白质模型不兼容,将其应用限制在蛋白质-核酸组装等新兴主题中。这里,我们提出了一种新的计算高效的CGDNA模型。我们首先利用实验数据建立模型来预测DNA行为的各个方面,包括熔化热力学和相关的局部结构特性,如主要和次要的凹槽。然后,我们使用全原子亲水量表来定义蛋白质和DNA位点之间的非键合相互作用,为了使我们的DNA模型与现有的CG蛋白模型(HPS-Urry)兼容,广泛用于研究蛋白质相分离,并表明我们的新模型合理地再现了原型蛋白质-DNA系统的实验结合亲和力。为了进一步证明这个新模型的功能,我们模拟了一个有和没有组蛋白尾巴的完整核小体,在微秒的时间尺度上,生成构象集合,并提供对组蛋白尾巴在影响HP1α蛋白的液-液相分离(LLPS)中的作用的分子见解。我们发现组蛋白尾巴与DNA有良好的相互作用,影响DNA的构象集合并拮抗HP1α与DNA之间的接触,从而影响DNA促进HP1αLLPS的能力。这些发现揭示了复杂的分子框架,该框架可以微调异染色质蛋白的相变特性,并有助于异染色质的调节和功能。总的来说,这里介绍的CGDNA模型适用于许多生物和工程应用中具有亚纳米分辨率的微米级研究,可用于研究蛋白质-DNA复合物,比如核小体,或具有DNA的蛋白质的LLPS,能够机械地理解分子信息如何在基因组水平上传播。
    Recent advances in coarse-grained (CG) computational models for DNA have enabled molecular-level insights into the behavior of DNA in complex multiscale systems. However, most existing CG DNA models are not compatible with CG protein models, limiting their applications for emerging topics such as protein-nucleic acid assemblies. Here, we present a new computationally efficient CG DNA model. We first use experimental data to establish the model\'s ability to predict various aspects of DNA behavior, including melting thermodynamics and relevant local structural properties such as the major and minor grooves. We then employ an all-atom hydropathy scale to define nonbonded interactions between protein and DNA sites, to make our DNA model compatible with an existing CG protein model (HPS-Urry), which is extensively used to study protein phase separation, and show that our new model reasonably reproduces the experimental binding affinity for a prototypical protein-DNA system. To further demonstrate the capabilities of this new model, we simulate a full nucleosome with and without histone tails, on a microsecond time scale, generating conformational ensembles and provide molecular insights into the role of histone tails in influencing the liquid-liquid phase separation (LLPS) of HP1α proteins. We find that histone tails interact favorably with DNA, influencing the conformational ensemble of the DNA and antagonizing the contacts between HP1α and DNA, thus affecting the ability of DNA to promote LLPS of HP1α. These findings shed light on the complex molecular framework that fine-tunes the phase transition properties of heterochromatin proteins and contributes to heterochromatin regulation and function. Overall, the CG DNA model presented here is suitable to facilitate micrometer-scale studies with sub-nm resolution in many biological and engineering applications and can be used to investigate protein-DNA complexes, such as nucleosomes, or LLPS of proteins with DNA, enabling a mechanistic understanding of how molecular information may be propagated at the genome level.
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  • 文章类型: Journal Article
    血浆置换疗法(PEX)在依库珠单抗可用之前是血栓性微血管病的标准治疗方法,目前仍被广泛应用。然而,大多数PEX患者最终仍进展为终末期肾病(ESRD).已经提出,输注含有活性补体的血浆可以诱导额外的补体激活,随后激活嗜中性粒细胞和内皮细胞。导致器官损伤加重和肾功能恶化。
    这项观察性试点研究检查了血液透析的效果,依库珠单抗和PEX治疗前后aHUS患者血浆中的补体-,中性粒细胞和内皮细胞活化。
    11名患者被纳入本初步研究。6例患者接受血液透析治疗,2例患者接受定期输注依库珠单抗,3例患者定期接受PEX治疗。在3次连续治疗期间随访患者。在患者接受治疗之前和之后采集血液样本。
    PEX后患者血浆中补体激活产物增加,与接受血液透析或依库珠单抗治疗的患者相反。在用于PEX的全血浆中检测到补体活化产物水平增加。此外,在血液透析和PEX后观察到患者中性粒细胞和内皮细胞的活化,但不适用于接受依库珠单抗治疗的患者。
    在这项初步研究中,我们观察到PEX诱导补体和中性粒细胞活化,而无血浆中含有大量的补体激活产物。此外,我们证明血液透析诱导中性粒细胞和内皮细胞的活化。补体激活和随后的中性粒细胞激活可能导致器官功能的恶化,并可能导致ESRD。需要进一步的随机对照研究来研究PEX对血栓性微血管病变患者补体和中性粒细胞活化的影响。
    UNASSIGNED: Plasma exchange therapy (PEX) was standard treatment for thrombotic microangiopathy before eculizumab was available and is still widely applied. However, most PEX patients still ultimately progress to end-stage renal disease (ESRD). It has been suggested that infusion of plasma that contains active complement may induce additional complement activation with subsequent activation of neutrophils and endothelial cells, leading to exacerbation of organ damage and deterioration of renal function.
    UNASSIGNED: This observational pilot study examines the effect of hemodialysis, eculizumab and PEX before and after treatment in plasma of aHUS patients on complement-, neutrophil and endothelial cell activation.
    UNASSIGNED: Eleven patients were included in this pilot study. Six patients were treated with hemodialysis, 2 patients received regular infusions of eculizumab, and 3 patients were on a regular schedule for PEX. Patients were followed during 3 consecutive treatments. Blood samples were taken before and after patients received their treatment.
    UNASSIGNED: Complement activation products increased in plasma of patients after PEX, as opposed to patients treated with hemodialysis or eculizumab. Increased levels of complement activation products were detected in omniplasma used for PEX. Additionally, activation of neutrophils and endothelial cells was observed in patients after hemodialysis and PEX, but not in patients receiving eculizumab treatment.
    UNASSIGNED: In this pilot study we observed that PEX induced complement and neutrophil activation, and that omniplasma contains significant amounts of complement activation products. Additionally, we demonstrate that hemodialysis induces activation of neutrophils and endothelial cells. Complement activation with subsequent neutrophil activation may contribute to the deterioration of organ function and may result in ESRD. Further randomized controlled studies are warranted to investigate the effect of PEX on complement- and neutrophil activation in patients with thrombotic microangiopathy.
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  • 文章类型: Journal Article
    在真核生物中,基因组DNA与组蛋白结合形成核小体。核小体为基因组压缩提供了基础,表观遗传标记,并介导核蛋白与其靶DNA基因座的相互作用。位于H2A-H2B组蛋白二聚体上的带负电荷的(酸性)斑块是核小体表面的特征。酸性贴片是各种染色质蛋白质附着的常见位点,包括病毒。酸性贴片结合肽提供了可用于通过破坏核小体与天然蛋白质的相互作用或将人工部分靶向核小体来调节染色质功能的透视化合物。这可能有利于开发新的疗法。在这项工作中,我们使用了几种计算和实验技术来提高我们对肽如何与酸性斑块结合以及它们结合的后果的理解。通过对PDB数据库的广泛分析,组蛋白序列分析,和分子动力学模拟,我们阐明了稳定肽-核小体复合物的常见结合模式和关键相互作用。通过MD模拟和FRET测量,我们表征了肽结合赋予的核小体动力学变化。采用荧光偏振和凝胶电泳,我们评估了LANA1-22肽对DNA和核小体的亲和力和特异性。一起来看,我们的研究为分子间相互作用的不同模式提供了新的见解,这些相互作用可以被天然和设计的肽用来结合核小体,以及肽结合对核小体动力学和稳定性的影响。
    In eukaryotic organisms, genomic DNA associates with histone proteins to form nucleosomes. Nucleosomes provide a basis for genome compaction, epigenetic markup, and mediate interactions of nuclear proteins with their target DNA loci. A negatively charged (acidic) patch located on the H2A-H2B histone dimer is a characteristic feature of the nucleosomal surface. The acidic patch is a common site in the attachment of various chromatin proteins, including viral ones. Acidic patch-binding peptides present perspective compounds that can be used to modulate chromatin functioning by disrupting interactions of nucleosomes with natural proteins or alternatively targeting artificial moieties to the nucleosomes, which may be beneficial for the development of new therapeutics. In this work, we used several computational and experimental techniques to improve our understanding of how peptides may bind to the acidic patch and what are the consequences of their binding. Through extensive analysis of the PDB database, histone sequence analysis, and molecular dynamic simulations, we elucidated common binding patterns and key interactions that stabilize peptide-nucleosome complexes. Through MD simulations and FRET measurements, we characterized changes in nucleosome dynamics conferred by peptide binding. Using fluorescence polarization and gel electrophoresis, we evaluated the affinity and specificity of the LANA1-22 peptide to DNA and nucleosomes. Taken together, our study provides new insights into the different patterns of intermolecular interactions that can be employed by natural and designed peptides to bind to nucleosomes, and the effects of peptide binding on nucleosome dynamics and stability.
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  • 文章类型: Journal Article
    染色质纤维的组织和动力学在调节基因表达的DNA可及性中起着至关重要的作用。在这里,我们结合了低温电子层析成像(cryo-ET),子体积平均,和3D分割,以可视化通过接头组蛋白折叠的体外和体内染色质纤维。我们发现,增加的核小体重复长度和延长的纤维长度不会改变均质组成的重建染色质中的双起始螺旋结构。此外,观察到具有异质组成的分离染色质纤维,其中包括与双起始螺旋兼容的短程区域。在体内,子体积平均揭示了青蛙红细胞核中转录失活的染色质中类似的双起始螺旋结构亚基。引人注目的是,通过具有电压相板的cryo-ET进一步确定了在交替的N/N2核小体之间普遍呈之字形的明确的DNA轨迹。因此,这些结构相似性表明了由接头组蛋白诱导的染色质的一般折叠模式,异质成分主要影响局部构象,而不是改变整体结构。
    The organization and dynamics of chromatin fiber play crucial roles in regulating DNA accessibility for gene expression. Here we combine cryoelectron tomography (cryo-ET), sub-volume averaging, and 3D segmentation to visualize the in vitro and in vivo chromatin fibers folding by linker histone. We discover that an increased nucleosome repeat length and prolonged fiber length do not change the two-start helical architecture in reconstituted chromatin of homogeneous composition. Additionally, an isolated chromatin fiber with heterogeneous composition was observed, which includes short-range regions compatible with two-start helix. In vivo, sub-volume averaging reveals similar subunits of two-start helical architecture in transcriptionally inactive chromatin in frog erythrocyte nuclei. Strikingly, unambiguous DNA trajectories that displayed a zigzag pattern universally between alternate N/N+2 nucleosomes were further determined by cryo-ET with voltage phase plate. Therefore, these structural similarities suggest a general folding mode of chromatin induced by linker histone, and heterogeneous compositions mainly affect local conformation rather than changing the overall architecture.
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  • 文章类型: Observational Study
    背景:心脏骤停后缺血再灌注激活肽基精氨酸脱亚胺酶和瓜氨酸组蛋白H3(CitH3),这导致中性粒细胞胞外陷阱(NET)的形成。这项研究试图确定心脏骤停后患者NET成分的变化,并分析NETs与28天全因死亡率的相关性。
    方法:在本研究中,包括95例心脏骤停后恢复自主循环(ROSC)的患者。根据其28天的生存状况,将其分为幸存者组(n=32)和非幸存者组(n=63)。对照组包括20名健康个体。在ROSC后第1、3和7天从患者和在登记时从对照受试者收集血液样品。采用荧光标记法测定血清无细胞DNA(cfDNA)水平,以及NETs成分的血清浓度,包括CitH3,髓过氧化物酶(MPO),中性粒细胞弹性蛋白酶(NE),和核小体,使用酶联免疫吸附测定进行估计。
    结果:与对照组相比,ROSC术后1周患者血清NET成分明显升高(P均<0.05)。非幸存者组的这些成分均明显高于幸存者组(均P<0.05)。Spearman相关分析显示各组分与APACHEⅡ评分呈正相关(均P<0.05)。二元logistic回归分析表明,血清cfDNA,ROSC后第1天和第3天的CitH3和核小体是28天全因死亡率的独立预测因子。此外,这些参数在ROSC后第1天的ROC曲线下面积最大(分别为0.876,0.862和0.861).
    结论:血清cfDNA水平升高,CitH3,MPO,NE,核小体与ROSC术后疾病严重程度呈正相关。然而,只有血清CitH3,cfDNA,ROSC后第1天的核小体对28天全因死亡率具有良好的预测价值。
    Background: Ischemia-reperfusion after cardiac arrest (CA) activates peptidyl arginine deiminase and citrullinated histone H3 (CitH3), which leads to the formation of neutrophil extracellular traps (NETs). This study attempted to determine the alterations in NET components in post-CA patients as well as analyze the association of NETs with 28-day all-cause mortality. Methods : In this study, 95 patients with restoration of spontaneous circulation (ROSC) after CA were included. They were categorized into the survivor group (n = 32) and the nonsurvivor group (n = 63) according to their 28-day survival statuses. The control group comprised 20 healthy individuals. The blood samples were collected from the patients on days 1, 3, and 7 after ROSC and from the control subjects at the time of enrollment. The serum cell-free DNA (cfDNA) level was determined using the fluorescent labeling method, and the serum concentrations of NET components, including CitH3, myeloperoxidase, neutrophil elastase, and nucleosomes, were estimated using the enzyme-linked immunosorbent assay. Results : Compared with the control group, the serum NET components were significantly increased in the patients 1 week after ROSC (all P < 0.05). These components were significantly higher in the nonsurvivor group than in the survivor group (all P < 0.05). Spearman correlational analysis revealed that the components were positively correlated with Acute Physiology and Chronic Health Evaluation II scores (both P < 0.05). Binary logistic regression analysis indicated that serum cfDNA, CitH3, and nucleosomes on days 1 and 3 after ROSC were independent predictors of 28-day all-cause mortality. Furthermore, these parameters on day 1 after ROSC had the biggest areas under the receiver operating characteristic curves (0.876, 0.862, and 0.861, respectively). Conclusions: Elevated serum levels of cfDNA, CitH3, myeloperoxidase, neutrophil elastase, and nucleosomes were positively correlated with disease severity after ROSC. However, only serum CitH3, cfDNA, and nucleosomes on day 1 after ROSC showed a good predictive value for 28-day all-cause mortality.
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  • 文章类型: Journal Article
    连接组蛋白H1在各种生物过程中起着至关重要的作用,包括核小体稳定,高阶染色质结构组织,基因表达,和真核细胞中的表观遗传调控。与高等真核生物不同,关于酿酒酵母中的接头组蛋白知之甚少。Hho1和Hmo1是出芽酵母中两个长期存在争议的组蛋白H1候选物。在这项研究中,我们在单分子水平上直接观察到Hmo1而不是Hho1参与酵母核质提取物(YNPE)的染色质组装,可以复制酵母核的生理状态。Hmo1的存在促进了YNPE中DNA上核小体的组装,正如单分子力谱所揭示的。进一步的单分子分析表明,Hmo1的富含赖氨酸的C末端结构域(CTD)对于染色质压实的功能至关重要,而Hho1C端的第二个球状结构域削弱了其能力。此外,Hmo1而不是Hho1通过可逆相分离与双链DNA形成缩合物。在细胞周期中,Hmo1的磷酸化波动与后生动物H1一致。我们的数据表明,Hmo1,而不是Hho1,具有一些类似于酿酒酵母中的接头组蛋白的功能,即使Hmo1的某些特性与规范接头组蛋白H1的特性不同。我们的研究为出芽酵母中的接头组蛋白H1提供了线索,并提供了对整个真核生物中组蛋白H1的进化和多样性的见解。重要性关于出芽酵母中接头组蛋白H1的身份存在长期争论。为了解决这个问题,我们利用了YNPE,精确复制酵母细胞核的生理条件,结合全内反射荧光显微镜和磁镊子。我们的发现表明,Hmo1而不是Hho1负责出芽酵母中的染色质组装。此外,我们发现Hmo1与组蛋白H1具有某些共同特征,包括整个细胞周期的相分离和磷酸化波动.此外,我们发现Hho1的富含赖氨酸的结构域被其C末端的第二个球状结构域掩埋,导致类似于组蛋白H1的功能丧失。我们的研究提供了令人信服的证据,表明Hmo1在出芽酵母中共享接头组蛋白H1的功能,并有助于我们理解整个真核生物中接头组蛋白H1的进化。
    Linker histone H1 plays a crucial role in various biological processes, including nucleosome stabilization, high-order chromatin structure organization, gene expression, and epigenetic regulation in eukaryotic cells. Unlike higher eukaryotes, little about the linker histone in Saccharomyces cerevisiae is known. Hho1 and Hmo1 are two long-standing controversial histone H1 candidates in budding yeast. In this study, we directly observed at the single-molecule level that Hmo1, but not Hho1, is involved in chromatin assembly in the yeast nucleoplasmic extracts (YNPE), which can replicate the physiological condition of the yeast nucleus. The presence of Hmo1 facilitates the assembly of nucleosomes on DNA in YNPE, as revealed by single-molecule force spectroscopy. Further single-molecule analysis showed that the lysine-rich C-terminal domain (CTD) of Hmo1 is essential for the function of chromatin compaction, while the second globular domain at the C-terminus of Hho1 impairs its ability. In addition, Hmo1, but not Hho1, forms condensates with double-stranded DNA via reversible phase separation. The phosphorylation fluctuation of Hmo1 coincides with metazoan H1 during the cell cycle. Our data suggest that Hmo1, but not Hho1, possesses some functionality similar to that of linker histone in Saccharomyces cerevisiae, even though some properties of Hmo1 differ from those of a canonical linker histone H1. Our study provides clues for the linker histone H1 in budding yeast and provides insights into the evolution and diversity of histone H1 across eukaryotes. IMPORTANCE There has been a long-standing debate regarding the identity of linker histone H1 in budding yeast. To address this issue, we utilized YNPE, which accurately replicate the physiological conditions in yeast nuclei, in combination with total internal reflection fluorescence microscopy and magnetic tweezers. Our findings demonstrated that Hmo1, rather than Hho1, is responsible for chromatin assembly in budding yeast. Additionally, we found that Hmo1 shares certain characteristics with histone H1, including phase separation and phosphorylation fluctuations throughout the cell cycle. Furthermore, we discovered that the lysine-rich domain of Hho1 is buried by its second globular domain at the C-terminus, resulting in the loss of function that is similar to histone H1. Our study provides compelling evidence to suggest that Hmo1 shares linker histone H1 function in budding yeast and contributes to our understanding of the evolution of linker histone H1 across eukaryotes.
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  • 文章类型: Journal Article
    核小体是DNA和组蛋白的稳定复合物,对基因组的正常运作至关重要。这些结构必须展开和分解,以进行基因表达等过程,复制,和修复。已知组蛋白翻译后修饰(PTM)在调节核小体的结构变化中起重要作用。然而,这些修饰发挥作用的潜在机制尚不清楚.在这项研究中,我们报告了使用横向磁镊子对由高乙酰化组蛋白组成的DNA-蛋白质复合物进行单分子显微操作实验的结果。在将超乙酰化组蛋白引入样品室之前,通过以小于4pN的力预延伸λ-DNA来进行实验。随着组蛋白与它形成复合物,DNA缩短,然后核小体阵列暴露于增加的张力,导致DNA延伸的量化变化,步长为(整数倍)〜50nm。我们还将使用PTM组蛋白和天然组蛋白的实验结果与在相同力范围(2-80pN)和加载速率下收集的两种组蛋白的数据进行了比较。我们的数据表明,高乙酰化核小体需要约〜2.5pN的解结合力,这与天然组蛋白所需的相似。此外,我们确定了天然和高乙酰化组蛋白的步长分布之间的明显差异,并发现与用天然组蛋白重建的系链相反,与高乙酰化组蛋白压实的系绳中的大多数核小体在明显低于6pN的力下进行了分解。
    Nucleosomes are stable complexes of DNA and histone proteins that are essential for the proper functioning of the genome. These structures must be unwrapped and disassembled for processes such as gene expression, replication, and repair. Histone post-translational modifications (PTMs) are known to play a significant role in regulating the structural changes of nucleosomes. However, the underlying mechanisms by which these modifications function remain unclear. In this study, we report the results of single molecule micromanipulation experiments on DNA-protein complexes composed of hyperacetylated histone proteins using transverse magnetic tweezers. The experiments were conducted by pre-extending λ-DNA with a force less than 4 pN before introducing hyperacetylated histones into the sample chamber. The DNA shortened as the histones formed complexes with it and the nucleosome arrays were then exposed to increasing tension, resulting in quantized changes in the DNA\'s extension with step sizes of (integral multiples of) ~50 nm. We also compared results of experiments using PTM histones and native histones with data collected for both types of histones for the same force ranges (2-80 pN) and loading rates. Our data show that hyperacetylated nucleosomes require an unbinding force of around ~2.5 pN, which is similar to that required for native histones. Moreover, we identified clear differences between the step-size distributions of native and hyperacetylated histones and found that in contrast to tethers reconstituted with native histones, the majority of nucleosomes in tethers compacted with hyperacetylated histones underwent disassembly at forces significantly lower than 6 pN.
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  • 文章类型: Journal Article
    未经证实:脓毒症是一种危及生命的器官功能障碍,原因是宿主对感染的反应失调。及时识别对于降低危重患者的风险和更好的预后很重要。金属蛋白酶1的核小体和组织抑制剂(TIMP1)是生物标志物,其在预测脓毒症器官功能障碍和死亡率方面的有效性和实用性已得到证实。然而,这两种生物标志物在阐明疾病严重程度方面具有更好的预测价值,器官功能障碍,败血症的死亡率还有待回答,需要进一步的研究。
    未经证实:80例脓毒症/脓毒性休克患者,这项前瞻性观察试验招募了重症监护病房(ICU)收治的年龄在18~75岁之间的患者.在诊断为脓毒症/脓毒性休克的24小时内,使用酶联免疫吸附测定(ELISA)对血清核小体和TIMP1进行定量。主要结果是比较核小体和TIMP1在估计脓毒症死亡率中的可预测性。
    UNASSIGNED:TIMP1和核小体区分幸存者和非幸存者的受试者工作特征曲线下面积(AUROC)为0.70[95%置信区间(CI),0.58-0.81]和0.68(0.56-0.80),分别。虽然独立,TIMP1和核小体具有统计学意义的区分幸存者和非幸存者的能力(分别为p=0.002和p=0.004),未观察到一种生物标志物在区分幸存者和非幸存者方面优于另一种生物标志物.
    UNASSIGNED:每种生物标志物的中值显示幸存者和非幸存者之间的统计学显着差异,未观察到一种生物标志物在预测死亡率方面优于另一种生物标志物.然而,这是一项观察性研究,未来需要更大的研究来验证这项研究的结果.
    未经批准:RaiN,KhannaP,KashyapS,KashyapL,AnandRK,KumarS.血清核小体和金属蛋白酶组织抑制剂1(TIMP1)预测脓毒症成年危重病患者死亡率的比较:前瞻性观察性研究。印度JCritCareMed2022;26(7):804-810。
    UNASSIGNED: Sepsis is a life-threatening organ dysfunction due to dysregulated host response to infection. Timely identification is important for risk reduction and better outcomes in critically ill patients. Nucleosomes and tissue inhibitors of metalloproteinase1 (TIMP1) are the biomarkers whose validity and utility in predicting organ dysfunction and mortality in sepsis have been proven. However, which biomarker among these two has better predictive value in elucidating disease severity, organ dysfunction, and mortality in sepsis is yet to be answered, and further studies are needed.
    UNASSIGNED: Eighty patients with sepsis/septic shock, aged between 18 and 75 years admitted in intensive care unit (ICU) were recruited in this prospective observational trial. Quantification of serum nucleosomes and TIMP1 was done using enzyme linked immunosorbent assay (ELISA) within 24 hours of diagnosis of sepsis/septic shock. The primary outcome was to compare the predictability of nucleosomes and TIMP1 in estimating sepsis mortality.
    UNASSIGNED: The area under the receiver operating characteristic curve (AUROC) for TIMP1 and nucleosomes to discriminate between survivors and non-survivors were 0.70 [95% Confidence interval (CI), 0.58-0.81] and 0.68 (0.56-0.80), respectively. Although independent, TIMP1 and nucleosomes have statistically significant capacity to discriminate between survivors and non-survivors (p = 0.002 and p = 0.004, respectively), superiority of one biomarker over the other in discriminating between survivors and non-survivors was not observed.
    UNASSIGNED: The median values of each biomarker showed statistically significant differences between survivors and non-survivors, superiority of one biomarker over other in predicting mortality was not observed. However, this was an observational study and larger studies are needed in the future to validate the findings of this study.
    UNASSIGNED: Rai N, Khanna P, Kashyap S, Kashyap L, Anand RK, Kumar S. Comparison of Serum Nucleosomes and Tissue Inhibitor of Metalloproteinase1 (TIMP1) in Predicting Mortality in Adult Critically Ill Patients in Sepsis: Prospective Observational Study. Indian J Crit Care Med 2022;26(7):804-810.
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  • 文章类型: Journal Article
    背景:无细胞DNA(cfDNA)正在成为检测卵巢癌(OC)的潜在生物标志物。最近,我们报道了一种基于cfDNA全基因组测序数据的方法,包括核小体分布(核小体足迹NF),终端签名序列(基序),DNA片段(片段),和拷贝数变异(CNV)。在本研究中,我们探讨了cfDNA中的多组学早期筛查技术是否可以应用于卵巢癌的早期筛查。
    方法:纳入59名OC患者和100名健康对照者。从血浆中提取无细胞DNA并通过低通全基因组测序进行分析。获得了该队列所有样本的基因组特征,包括拷贝数变异(CNV),5\'-结束图案,碎片配置文件,和核小体足迹(NF)。基于这四个特征的性能开发了称为OC评分的集成评分系统。
    结果:所有四个特征都显示出OC的诊断潜力。基于cfDNA独特的基因组特征,作为一种新的OC综合诊断方法,OC评分在区分OC患者与健康对照组方面具有很高的准确性(AUC97.7%;敏感性94.7%;特异性98.0%).OC评分从健康对照组到不同分期的OC患者呈逐渐变化的趋势,特别是对于早期OC监测的关注,在高特异性下实现了令人满意的灵敏度(85.7%)。
    结论:这是第一项使用多维早期筛查技术评估无细胞DNA诊断原发性OC的潜力的研究。我们提出了一种有希望的方法来提高OC患者的预测准确性。
    BACKGROUND: Cell-free DNA (cfDNA) is emerging as a potential biomarker for the detection of ovarian cancer (OC). Recently, we reported a method based upon cfDNA whole-genome sequencing data including the nucleosome distribution (nucleosome footprinting NF), terminal signature sequence (motif), DNA fragmentation (fragment), and copy number variation (CNV).In the present study, we explored whether multiomics early screening technology in cfDNA can be applied for early screening of ovarian cancer.
    METHODS: Fifty-nine patients with OC and 100 healthy controls were included in this prospective study. Cell-free DNA was extracted from plasma and analyzed by low-pass whole-genome sequencing. Genomic features were obtained for all samples of the cohort, including copy number variation (CNV), 5\'-end motifs, fragmentation profiles, and nucleosome footprinting (NF). An integrated scoring system termed the OC score was developed based on the performance of these four features.
    RESULTS: All four features showed diagnostic potential for OC. Based on the unique genome features of cfDNA, the OC score has high accuracy in distinguishing OC patients from healthy controls (AUC 97.7%; sensitivity 94.7%; specificity 98.0%) as a new comprehensive diagnostic method for OC. The OC score showed a gradual trend from healthy controls to OC patients with different stages, especially for early OC monitoring of concern, which achieved a satisfactory sensitivity (85.7%) at a high specificity.
    CONCLUSIONS: This is the first study evaluating the potential of cell-free DNA for the diagnosis of primary OC using multidimensional early screening technology. We present a promising method to increase the accuracy of prediction in patients with OC.
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