multiomics

多组学
  • 文章类型: Journal Article
    菌核病菌(Ss)是最具破坏性的真菌病原体之一。在包括油菜在内的多种经济重要作物中造成巨大的产量损失。植物对Ss的抗性与由多个次要基因控制的定量抗病性(QDR)有关。涉及QDR至Ss的基因的全基因组鉴定尚未进行。在这项研究中,我们整合了几种检测方法,包括全基因组关联研究(GWAS),多组学共定位,和机器学习预测来识别,在全基因组范围内,涉及油菜QDR到Ss的基因。采用GWAS和多组学共定位,我们确定了与油菜对Ss的抗性相关的七个抗性相关基因座(RALs)。此外,我们开发了一种机器学习算法,并将其命名为综合多组学分析和目标基因预测机器学习(iMAP),它整合了多组学数据,以快速预测广泛染色体区域内的疾病抗性相关基因。通过基于识别RAL的iMAP,我们揭示了与SsQDR相关的多个钙信号基因。对变异的选择性扫描和单倍型的群体水平分析证实了进化过程中预测的钙信号基因的阳性选择。总的来说,这项研究开发了一种集成了多组数据和机器学习方法的算法,为预测与特定性状相关的靶基因提供了强有力的工具。此外,为进一步了解钙信号基因在SsQDR中的作用和机制奠定了基础。
    Sclerotinia sclerotiorum (Ss) is one of the most devastating fungal pathogens, causing huge yield loss in multiple economically important crops including oilseed rape. Plant resistance to Ss pertains to quantitative disease resistance (QDR) controlled by multiple minor genes. Genome-wide identification of genes involved in QDR to Ss is yet to be conducted. In this study, we integrated several assays including genome-wide association study (GWAS), multi-omics co-localization, and machine learning prediction to identify, on a genome-wide scale, genes involved in the oilseed rape QDR to Ss. Employing GWAS and multi-omics co-localization, we identified seven resistance-associated loci (RALs) associated with oilseed rape resistance to Ss. Furthermore, we developed a machine learning algorithm and named it Integrative Multi-Omics Analysis and Machine Learning for Target Gene Prediction (iMAP), which integrates multi-omics data to rapidly predict disease resistance-related genes within a broad chromosomal region. Through iMAP based on the identified RALs, we revealed multiple calcium signaling genes related to the QDR to Ss. Population-level analysis of selective sweeps and haplotypes of variants confirmed the positive selection of the predicted calcium signaling genes during evolution. Overall, this study has developed an algorithm that integrates multi-omics data and machine learning methods, providing a powerful tool for predicting target genes associated with specific traits. Furthermore, it makes a basis for further understanding the role and mechanisms of calcium signaling genes in the QDR to Ss.
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  • 文章类型: Journal Article
    目的:对新诊断的1型糖尿病患者的β细胞丢失率的异质性了解甚少,这对设计和解释改变疾病的临床试验造成了障碍。对1型糖尿病诊断后获得的基线多组学数据的综合分析可以提供对1型糖尿病诊断后疾病进展的不同速率的机械见解。
    方法:我们在一个泛欧洲联盟中收集了样本,该联盟对来自97名新诊断患者的数据中的五种不同的组学模式进行了协同分析。在这项研究中,我们使用多组学因素分析来鉴定与以空腹C肽测量的β细胞质量诊断后下降相关的分子特征.
    结果:两个分子特征与空腹C肽水平显著相关。一个特征显示与中性粒细胞脱颗粒相关,细胞因子信号,淋巴细胞和非淋巴细胞相互作用以及G蛋白偶联受体信号事件与β细胞功能的快速下降呈负相关。第二个特征与翻译有关,而病毒感染与β细胞功能的变化成反比。此外,免疫组学数据揭示了与β细胞快速衰退相关的自然杀伤细胞特征.
    结论:β细胞质量缓慢和快速下降的个体之间的不同特征在分期和预测疾病进展速度方面可能是有价值的,因此可以实现更智能(更短和更小)的试验设计用于疾病修饰疗法以及提供治疗效果的生物标志物。
    OBJECTIVE: Heterogeneity in the rate of β-cell loss in newly diagnosed type 1 diabetes patients is poorly understood and creates a barrier to designing and interpreting disease-modifying clinical trials. Integrative analyses of baseline multi-omics data obtained after the diagnosis of type 1 diabetes may provide mechanistic insight into the diverse rates of disease progression after type 1 diabetes diagnosis.
    METHODS: We collected samples in a pan-European consortium that enabled the concerted analysis of five different omics modalities in data from 97 newly diagnosed patients. In this study, we used Multi-Omics Factor Analysis to identify molecular signatures correlating with post-diagnosis decline in β-cell mass measured as fasting C-peptide.
    RESULTS: Two molecular signatures were significantly correlated with fasting C-peptide levels. One signature showed a correlation to neutrophil degranulation, cytokine signalling, lymphoid and non-lymphoid cell interactions and G-protein coupled receptor signalling events that were inversely associated with a rapid decline in β-cell function. The second signature was related to translation and viral infection was inversely associated with change in β-cell function. In addition, the immunomics data revealed a Natural Killer cell signature associated with rapid β-cell decline.
    CONCLUSIONS: Features that differ between individuals with slow and rapid decline in β-cell mass could be valuable in staging and prediction of the rate of disease progression and thus enable smarter (shorter and smaller) trial designs for disease modifying therapies as well as offering biomarkers of therapeutic effect.
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  • 文章类型: Journal Article
    背景:2型糖尿病(T2DM)是一种具有严重合并症的代谢紊乱。通过正确验证潜在的microRNA(miRNA)相互作用,多组学方法可以促进新的治疗靶标和生物标志物的鉴定。
    目的:本研究的目的是使用计算机模拟分析从公开的T2DM患者的基因表达综合(GEO)数据集中鉴定不同组织中显著差异表达的共同靶基因及其调节miRNA。
    方法:使用从5个公开可用的T2DM数据集中鉴定的差异表达基因(DEG),我们进行了功能富集,coexpression,和网络分析以确定路径,蛋白质-蛋白质相互作用,和miRNA-mRNA相互作用参与T2DM。
    结果:我们分别从GEO数据集GSE38642、GSE25724、GSE20966、GSE26887和GSE23343的表达谱中提取了2852、8631、5501、3662和3753DEGs。DEG分析显示,16个常见基因在胰岛素分泌中富集,内分泌抵抗,和其他T2DM相关通路。四个DEG,MAML3,EEF1D,NRG1和CDK5RAP2在通常靶向的miRNA调节的簇网络中很重要(hsa-let-7b-5p,hsa-mir-155-5p,hsa-mir-124-3p,hsa-mir-1-3p),参与晚期糖基化终产物(AGE)-晚期糖基化终产物受体(RAGE)信号通路,最终导致糖尿病并发症和内分泌抵抗。
    结论:本研究确定了T2DM患者的组织特异性DEGs,尤其是关于心脏,肝脏,和胰腺。我们确定了总共16个常见的DEG和前四个常见的靶向miRNA(hsa-let-7b-5p,hsa-miR-124-3p,hsa-miR-1-3p,并具有-miR-155-5p)。鉴定的miRNA参与调节各种途径,包括磷脂酰肌醇-3-激酶-蛋白激酶B,内分泌抵抗,和AGE-RAGE信号通路。
    BACKGROUND: Type 2 diabetes mellitus (T2DM) is a metabolic disorder with severe comorbidities. A multiomics approach can facilitate the identification of novel therapeutic targets and biomarkers with proper validation of potential microRNA (miRNA) interactions.
    OBJECTIVE: The aim of this study was to identify significant differentially expressed common target genes in various tissues and their regulating miRNAs from publicly available Gene Expression Omnibus (GEO) data sets of patients with T2DM using in silico analysis.
    METHODS: Using differentially expressed genes (DEGs) identified from 5 publicly available T2DM data sets, we performed functional enrichment, coexpression, and network analyses to identify pathways, protein-protein interactions, and miRNA-mRNA interactions involved in T2DM.
    RESULTS: We extracted 2852, 8631, 5501, 3662, and 3753 DEGs from the expression profiles of GEO data sets GSE38642, GSE25724, GSE20966, GSE26887, and GSE23343, respectively. DEG analysis showed that 16 common genes were enriched in insulin secretion, endocrine resistance, and other T2DM-related pathways. Four DEGs, MAML3, EEF1D, NRG1, and CDK5RAP2, were important in the cluster network regulated by commonly targeted miRNAs (hsa-let-7b-5p, hsa-mir-155-5p, hsa-mir-124-3p, hsa-mir-1-3p), which are involved in the advanced glycation end products (AGE)-receptor for advanced glycation end products (RAGE) signaling pathway, culminating in diabetic complications and endocrine resistance.
    CONCLUSIONS: This study identified tissue-specific DEGs in T2DM, especially pertaining to the heart, liver, and pancreas. We identified a total of 16 common DEGs and the top four common targeting miRNAs (hsa-let-7b-5p, hsa-miR-124-3p, hsa-miR-1-3p, and has-miR-155-5p). The miRNAs identified are involved in regulating various pathways, including the phosphatidylinositol-3-kinase-protein kinase B, endocrine resistance, and AGE-RAGE signaling pathways.
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  • 文章类型: Journal Article
    背景:固有/适应性免疫是抗肿瘤治疗的关键。然而,其与胃肠道(GI)癌症的因果关系尚不清楚。
    方法:从MSigDB数据库中提取免疫基因。将GI癌的全基因组关联研究(GWAS)摘要数据与与基因相关的表达定量性状基因座(eQTL)和DNA甲基化定量性状基因座(mQTL)进行整合。基于汇总数据的孟德尔随机化(SMR)和共定位分析用于揭示基因与胃肠道癌症之间的因果关系。敏感性分析采用双样本MR分析。单细胞分析阐明了基因的富集。
    结果:三步SMR分析表明,一种假定的机制,cg17294865CpG位点调控HLA-DRA表达与胃癌风险呈负相关。HLA-DRA在胃癌中的单核细胞/巨噬细胞和骨髓细胞中的表达显着差异。
    结论:这项研究提供了证据,表明上调HLA-DRA的表达水平可以降低胃癌的风险。
    BACKGROUND: Innate/adaptive immunity is the key to anti-tumor therapy. However, its causal relationship to Gastrointestinal (GI) cancer remains unclear.
    METHODS: Immunity genes were extracted from the MSigDB database. The Genome-wide association studies (GWAS) summary data of GI cancer were integrated with expression quantitative trait loci (eQTL) and DNA methylation quantitative trait loci (mQTL) associated with genes. Summary-data-based Mendelian randomization (SMR) and co-localization analysis were used to reveal causal relationships between genes and GI cancer. Two-sample MR analysis was used for sensitivity analysis. Single cell analysis clarified the enrichment of genes.
    RESULTS: Three-step SMR analysis showed that a putative mechanism, cg17294865 CpG site regulating HLA-DRA expression was negatively associated with gastric cancer risk. HLA-DRA was significantly differentially expressed in monocyte/macrophage and myeloid cells in gastric cancer.
    CONCLUSIONS: This study provides evidence that upregulating the expression level of HLA-DRA can reduce the risk of gastric cancer.
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  • 文章类型: Journal Article
    线粒体RNA修饰(MRM)在调控线粒体关键基因的表达和促进肿瘤转移中起着至关重要的作用。尽管意义重大,关于低级别胶质瘤(LGGs)中MRM的综合研究仍然未知。单细胞RNA-seq数据(GSE89567)用于评估分布功能状态,以及不同细胞类型LGG微环境中MRM相关基因的相关性。我们通过使用LASSO回归分析和随机生存森林算法选择潜在的MRM相关基因,开发了MRM评分系统,基于来自TCGA的多个批量RNA-seq数据集,CGGA,GSE16011和E-MTAB-3892。对预后和免疫学特征进行分析,信号通路,新陈代谢,体细胞突变和拷贝数变异(CNVs),治疗反应,并预测潜在的小分子药物。从文献中总共选择了35个MRM相关基因。1120个正常脑组织和529个LGGs的差异表达分析显示,有22个和10个基因上调和下调,分别。大多数基因与LGG的预后相关。METLL8,METLL2A,TRMT112和METTL2B在所有细胞类型和每种细胞类型的不同细胞周期中广泛表达。几乎所有细胞类型都有与线粒体RNA加工相关的簇,核糖体生物发生,或氧化磷酸化。细胞间通讯和Pearson相关分析显示MRM可能通过调节NCMA信号通路和ICP表达促进微环境的发展,从而促进恶性进展。通过LASSO和RSF算法共观察到11个和9个MRM相关基因,分别,最后用6个MRM相关基因建立MRM评分系统(TRMT2B,TRMT11、METTL6、METTL8、TRMT6和TRUB2)。然后通过qPCR在神经胶质瘤和正常组织中验证了六个MRM相关基因。MRM评分可以预测恶性肿瘤的临床特征,丰富的免疫浸润,基因变异,临床结果,信号通路和代谢的富集。体外实验表明,沉默METTL8可显着抑制神经胶质瘤细胞的增殖并增强细胞凋亡。MRM评分高的患者对免疫疗法和小分子药物如花生四烷基三氟甲基酮有更好的反应,MS.275,AH.6809,他克莫司,和TTNPB。这些对神经胶质瘤微环境中MRM的生物学影响的新见解强调了其作为开发精确疗法的目标的潜力。包括免疫治疗方法。
    Mitochondrial RNA modification (MRM) plays a crucial role in regulating the expression of key mitochondrial genes and promoting tumor metastasis. Despite its significance, comprehensive studies on MRM in lower grade gliomas (LGGs) remain unknown. Single-cell RNA-seq data (GSE89567) was used to evaluate the distribution functional status, and correlation of MRM-related genes in different cell types of LGG microenvironment. We developed an MRM scoring system by selecting potential MRM-related genes using LASSO regression analysis and the Random Survival Forest algorithm, based on multiple bulk RNA-seq datasets from TCGA, CGGA, GSE16011, and E-MTAB-3892. Analysis was performed on prognostic and immunological features, signaling pathways, metabolism, somatic mutations and copy number variations (CNVs), treatment responses, and forecasting of potential small-molecule agents. A total of 35 MRM-related genes were selected from the literature. Differential expression analysis of 1120 normal brain tissues and 529 LGGs revealed that 22 and 10 genes were upregulated and downregulated, respectively. Most genes were associated with prognosis of LGG. METLL8, METLL2A, TRMT112, and METTL2B were extensively expressed in all cell types and different cell cycle of each cell type. Almost all cell types had clusters related to mitochondrial RNA processing, ribosome biogenesis, or oxidative phosphorylation. Cell-cell communication and Pearson correlation analyses indicated that MRM may promoting the development of microenvironment beneficial to malignant progression via modulating NCMA signaling pathway and ICP expression. A total of 11 and 9 MRM-related genes were observed by LASSO and the RSF algorithm, respectively, and finally 6 MRM-related genes were used to establish MRM scoring system (TRMT2B, TRMT11, METTL6, METTL8, TRMT6, and TRUB2). The six MRM-related genes were then validated by qPCR in glioma and normal tissues. MRM score can predict the malignant clinical characteristics, abundance of immune infiltration, gene variation, clinical outcome, the enrichment of signaling pathways and metabolism. In vitro experiments demonstrated that silencing METTL8 significantly curbs glioma cell proliferation and enhances apoptosis. Patients with a high MRM score showed a better response to immunotherapies and small-molecule agents such as arachidonyl trifluoromethyl ketone, MS.275, AH.6809, tacrolimus, and TTNPB. These novel insights into the biological impacts of MRM within the glioma microenvironment underscore its potential as a target for developing precise therapies, including immunotherapeutic approaches.
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  • 文章类型: Journal Article
    由职业暴露和热浪引起的极端高温事件变得越来越普遍。然而,人类对热暴露反应的分子变化仍有待阐明。
    这项研究使用纵向多组学分析来评估来自矿山救援队的24名受试者的急性热暴露(50°C持续30分钟)的影响。在急性热暴露之前(基线)和5分钟时收集静脉血液样本,30分钟,1h,和24小时后的急性热暴露(恢复)。对每个样本进行了深入的多组学分析,包括血浆蛋白质组学(非靶向)和代谢组学(非靶向)。
    数据整理和注释后,最终的数据集包含2,473种分析物,包括478种蛋白质和1995种代谢物。时间序列分析揭示了涉及免疫反应的变化的精心策划的分子编排,凝血,酸碱平衡,氧化应激,细胞骨架,和能量代谢。通过蛋白质-蛋白质相互作用和网络分析的进一步分析揭示了急性热暴露的潜在调节剂。此外,鉴定了预测急性热暴露后心肺功能变化的新型血液分析物。
    这项研究提供了对动态分子变化的全面调查,这些动态分子变化是人类男性遭受热暴露的复杂生理过程的基础。我们的发现将有助于评估极端高温的健康影响,并激发未来的机理和临床研究。
    UNASSIGNED: Extreme heat events caused by occupational exposure and heat waves are becoming more common. However, the molecular changes underlying the response to heat exposure in humans remain to be elucidated.
    UNASSIGNED: This study used longitudinal multi-omics profiling to assess the impact of acute heat exposure (50°C for 30 min) in 24 subjects from a mine rescue team. Intravenous blood samples were collected before acute heat exposure (baseline) and at 5 min, 30 min, 1 h, and 24 h after acute heat exposure (recovery). In-depth multi-omics profiling was performed on each sample, including plasma proteomics (untargeted) and metabolomics (untargeted).
    UNASSIGNED: After data curation and annotation, the final dataset contained 2,473 analytes, including 478 proteins and 1995 metabolites. Time-series analysis unveiled an orchestrated molecular choreography of changes involving the immune response, coagulation, acid-base balance, oxidative stress, cytoskeleton, and energy metabolism. Further analysis through protein-protein interactions and network analysis revealed potential regulators of acute heat exposure. Moreover, novel blood-based analytes that predicted change in cardiopulmonary function after acute heat exposure were identified.
    UNASSIGNED: This study provided a comprehensive investigation of the dynamic molecular changes that underlie the complex physiological processes that occur in human males who undergo heat exposure. Our findings will help health impact assessment of extreme high temperature and inspire future mechanistic and clinical studies.
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  • 文章类型: Journal Article
    急性移植物抗宿主病(aGVHD)是与肠道微生物群破坏相关的异基因造血细胞移植(alloHCT)的主要并发症。然而,治疗性微生物群调节是否能预防aGVHD尚不清楚.我们做了一个随机的,在100例接受诱导化疗的急性髓性白血病患者和alloHCT受者中,在微生物群损伤高峰时进行第三方粪便微生物群移植(FMT)的安慰剂对照试验。尽管微生物多样性有所改善,共生节的扩张,和潜在病原体的减少,aGVHD发生在FMT后比安慰剂更频繁。尽管这一意外发现可以通过两臂之间的临床差异来解释,我们询问是否也可能存在微生物群解释。为此,我们对干预前后的肠道微生物组和血清代谢组进行了多组学分析.我们发现,在干预后扩大了Faecalibacterium,在稳态条件下具有肠道保护和抗炎特性的共生属,预测aGVHD的风险更高。Faecalibacterium扩增主要发生在FMT之后,这是由于独特的供体分类群的植入,表明供体粪杆菌来源的抗原可能刺激了同种异体免疫细胞。粪杆菌和熊去氧胆酸(一种抗炎次级胆汁酸)呈负相关,提供另一种机械解释。总之,我们证明了微生物群效应的背景依赖性,其中正常有益的细菌可能对疾病有害。虽然FMT是一个广泛的,社区层面的干预,在生态复杂的环境中,它可能需要精确的工程,在这些环境中,多重扰动(例如抗生素,肠道损伤,同种免疫)同时有效。
    Acute GVHD (aGVHD) is a major complication of allogeneic hematopoietic cell transplantation (alloHCT) associated with gut microbiota disruptions. However, whether therapeutic microbiota modulation prevents aGVHD is unknown. We conducted a randomized, placebo-controlled trial of third-party fecal microbiota transplantation (FMT) administered at the peak of microbiota injury in 100 patients with acute myeloid leukemia receiving induction chemotherapy and alloHCT recipients. Despite improvements in microbiome diversity, expansion of commensals, and shrinkage of potential pathogens, aGVHD occurred more frequently after FMT than placebo. Although this unexpected finding could be explained by clinical differences between the two arms, we asked whether a microbiota explanation might be also present. To this end, we performed multi-omics analysis of preintervention and postintervention gut microbiome and serum metabolome. We found that postintervention expansion of Faecalibacterium, a commensal genus with gut-protective and anti-inflammatory properties under homeostatic conditions, predicted a higher risk for aGVHD. Faecalibacterium expansion occurred predominantly after FMT and was due to engraftment of unique donor taxa, suggesting that donor Faecalibacterium-derived antigens might have stimulated allogeneic immune cells. Faecalibacterium and ursodeoxycholic acid (an anti-inflammatory secondary bile acid) were negatively correlated, offering an alternative mechanistic explanation. In conclusion, we demonstrate context dependence of microbiota effects where a normally beneficial bacteria may become detrimental in disease. While FMT is a broad, community-level intervention, it may need precision engineering in ecologically complex settings where multiple perturbations (e.g., antibiotics, intestinal damage, alloimmunity) are concurrently in effect.
    UNASSIGNED: Post-FMT expansion of Faecalibacterium, associated with donor microbiota engraftment, predicted a higher risk for aGVHD in alloHCT recipients. Although Faecalibacterium is a commensal genus with gut-protective and anti-inflammatory properties under homeostatic conditions, our findings suggest that it may become pathogenic in the setting of FMT after alloHCT. Our results support a future trial with precision engineering of the FMT product used as GVHD prophylaxis after alloHCT.
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  • 文章类型: Journal Article
    煤层微生物,作为煤层二次生物气生产的内生驱动因素,可能与煤层中甲烷的产生有关。在这项研究中,对淮南矿区三种不同深度烟煤层微生物进行室内厌氧培养实验,并利用宏基因组和代谢多组学的联合分析揭示了烟煤煤层的二次沼气生成机理。结果表明,在连续两个循环中,生物甲烷产量的累积质量摩尔浓度(Molality)随煤层深度的增加而增加。在属一级,1#三个煤层对应的细菌和古细菌群落结构存在显著差异,6#,和9#(p<0.05)。煤的风干基(Vad)的挥发性物质与细菌和古细菌的属水平组成差异显着相关,分别为R细菌=0.368和R古细菌=0.463。功能基因分析表明,厌氧发酵培养前后产甲烷的相对丰度增加了42%。同时,培养60天后,在煤层气微生物的液体代谢产物中共检测到11类与甲烷生成密切相关的碳代谢同源物。最后,脂肪酸,基于京都基因和基因组百科全书(KEGG)数据库,重建了氨基酸和碳水化合物协同产甲烷代谢途径。1#深煤样品代谢途径内mcrA基因表达水平显著高于其他两组(p<0.05为显著性),甲烷生成途径末端mcrA基因的高效表达促进了烟煤有机质向甲烷的转化。因此,煤基质组成可能是引起微生物群落和代谢功能多样性的关键因素,这可能与不同煤层中甲烷含量的不同有关。
    Coal seam microbes, as endogenous drivers of secondary biogenic gas production in coal seams, might be related to methane production in coal seams. In this study, we carried out anaerobic indoor culture experiments of microorganisms from three different depths of bituminous coal seams in Huainan mining area, and revealed the secondary biogas generation mechanism of bituminous coal seams by using the combined analysis of macro-genome and metabolism multi-omics. The results showed that the cumulative mass molar concentrations (Molality) of biomethane production increased with the increase of the coal seam depth in two consecutive cycles. At the genus level, there were significant differences in the bacterial and archaeal community structures corresponding to the three coal seams 1#, 6#, and 9#(p < 0.05). The volatile matter of air-dry basis (Vad) of coal was significantly correlated with differences in genus-level composition of bacteria and archaea, with correlations of R bacterial = 0.368 and R archaeal = 0.463, respectively. Functional gene analysis showed that the relative abundance of methanogenesis increased by 42% before and after anaerobic fermentation cultivation. Meanwhile, a total of 11 classes of carbon metabolism homologues closely related to methanogenesis were detected in the liquid metabolites of coal bed microbes after 60 days of incubation. Finally, the fatty acid, amino acid and carbohydrate synergistic methanogenic metabolic pathway was reconstructed based on the Kyoto Encyclopedia of Genes and Genomes (KEGG) database. The expression level of mcrA gene within the metabolic pathway of the 1# deep coal sample was significantly higher than that of the other two groups (p < 0.05 for significance), and the efficient expression of mcrA gene at the end of the methanogenic pathway promoted the conversion of bituminous coal organic matter to methane. Therefore, coal matrix compositions may be the key factors causing diversity in microbial community and metabolic function, which might be related to the different methane content in different coal seams.
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  • 文章类型: Journal Article
    背景:风湿性心脏病(RHD),退行性主动脉狭窄(AS),先天性瓣膜疾病在撒哈拉以南非洲很普遍。在理解疾病机制方面仍然存在许多知识差距,表型分层,和预测。因此,我们旨在通过临床分析来描述患者的特征,成像,组织学,和分子生物标志物来提高我们对病理生理学的理解,诊断,RHD和AS的预后。
    方法:在此横截面中,病例对照研究,我们计划招募RHD和AS患者,并将其与匹配的对照进行比较.活着的参与者将接受临床评估,超声心动图,用于循环生物标志物分析的CMR和血液采样。将从接受瓣膜置换的患者获得组织样本,而健康的组织将从尸体中获得。免疫组织学,蛋白质组学,代谢组学,和转录组分析将用于分析循环和组织特异性生物标志物。单变量和多变量统计分析将用于重要生物标志物的假设检验和鉴定。总之,本研究旨在使用多参数CMR成像来描述RHD和退行性AS的病理生理学。除了发现新的生物标志物,并通过组织和血液蛋白质组和代谢组的高通量分析探索与RHD和AS相关的病理机制,并提供使用尸体组织作为心血管疾病研究对照的适用性的概念证明。
    BACKGROUND: Rheumatic heart disease (RHD), degenerative aortic stenosis (AS), and congenital valve diseases are prevalent in sub-Saharan Africa. Many knowledge gaps remain in understanding disease mechanisms, stratifying phenotypes, and prognostication. Therefore, we aimed to characterise patients through clinical profiling, imaging, histology, and molecular biomarkers to improve our understanding of the pathophysiology, diagnosis, and prognosis of RHD and AS.
    METHODS: In this cross-sectional, case-controlled study, we plan to recruit RHD and AS patients and compare them to matched controls. Living participants will undergo clinical assessment, echocardiography, CMR and blood sampling for circulatory biomarker analyses. Tissue samples will be obtained from patients undergoing valve replacement, while healthy tissues will be obtained from cadavers. Immunohistology, proteomics, metabolomics, and transcriptome analyses will be used to analyse circulatory- and tissue-specific biomarkers. Univariate and multivariate statistical analyses will be used for hypothesis testing and identification of important biomarkers. In summary, this study aims to delineate the pathophysiology of RHD and degenerative AS using multiparametric CMR imaging. In addition to discover novel biomarkers and explore the pathomechanisms associated with RHD and AS through high-throughput profiling of the tissue and blood proteome and metabolome and provide a proof of concept of the suitability of using cadaveric tissues as controls for cardiovascular disease studies.
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  • 文章类型: Journal Article
    近年来,一些实验观察表明,肠道微生物组在调节正或负代谢稳态中起作用。吲哚-3-丙酸(IPA),色氨酸分解代谢产物主要由C.孢子菌产生,最近已显示在代谢和心血管疾病的背景下发挥有利或不利的作用。我们进行了一项研究,以描绘以低和高IPA水平为特征的人类受试者的临床和多组学特征。低IPA血液水平的受试者表现出胰岛素抵抗,超重,与高IPA患者相比,低度炎症和代谢综合征的特征。代谢组学分析显示IPA与亮氨酸呈负相关,异亮氨酸,和缬氨酸代谢。结肠组织的转录组学分析揭示了几种信号的富集,调节和代谢过程。宏基因组学揭示了反刍动物的几个OTU,alistipes,Blautia,丁酸弧菌和akkermansia在高IPA组中显著富集,而在低IPA组大肠杆菌-志贺氏菌中显著富集,巨球菌和脱硫弧菌属更丰富。接下来,我们测试了在小鼠模型中用IPA治疗可以概括人类受试者的观察结果的假设,至少部分。我们发现,用IPA短期治疗(4天,20/mg/kg)改善葡萄糖耐量和Akt磷酸化在骨骼肌水平,同时调节血液中的BCAA水平和结肠组织中的基因表达,所有与在对IPA水平进行分层的人类受试者中观察到的结果一致。我们的结果表明,IPA治疗可能被认为是改善菌群失调患者胰岛素抵抗的潜在策略。
    In recent years several experimental observations demonstrated that the gut microbiome plays a role in regulating positively or negatively metabolic homeostasis. Indole-3-propionic acid (IPA), a Tryptophan catabolic product mainly produced by C. Sporogenes, has been recently shown to exert either favorable or unfavorable effects in the context of metabolic and cardiovascular diseases. We performed a study to delineate clinical and multiomics characteristics of human subjects characterized by low and high IPA levels. Subjects with low IPA blood levels showed insulin resistance, overweight, low-grade inflammation, and features of metabolic syndrome compared to those with high IPA. Metabolomics analysis revealed that IPA was negatively correlated with leucine, isoleucine, and valine metabolism. Transcriptomics analysis in colon tissue revealed the enrichment of several signaling, regulatory, and metabolic processes. Metagenomics revealed several OTU of ruminococcus, alistipes, blautia, butyrivibrio and akkermansia were significantly enriched in highIPA group while in lowIPA group Escherichia-Shigella, megasphera, and Desulfovibrio genus were more abundant. Next, we tested the hypothesis that treatment with IPA in a mouse model may recapitulate the observations of human subjects, at least in part. We found that a short treatment with IPA (4 days at 20/mg/kg) improved glucose tolerance and Akt phosphorylation in the skeletal muscle level, while regulating blood BCAA levels and gene expression in colon tissue, all consistent with results observed in human subjects stratified for IPA levels. Our results suggest that treatment with IPA may be considered a potential strategy to improve insulin resistance in subjects with dysbiosis.
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