MDS

MDS
  • 文章类型: Journal Article
    在多种微生物中发现的脲酶在尿素分解诱导的方解石沉淀(UICP)中起着至关重要的作用。然而,产脲酶菌株的基因组信息有限,镍配体残基对脲酶活性的调控等方面需要进一步深入研究。本研究通过采用生物矿化控制生长的遗传结构,阐明了新分离的菌株YX-3与镍配体残基偶联的脲酶活性,分子对接,分子动力学模拟(MDS),和定点诱变。全基因组测序显示存在脲酶基因簇,包含结构基因ureA,ureB,和ureC,除了辅助基因ureD,ureE,ureF,和ureG。RT-qPCR分析显示NiCl2的添加导致了ureC表达的显著上调。通过同源性建模和分子对接,进一步证明了UreC域中的His267,His294和Gly325与镍离子和尿素同时配位。和分子动力学模拟(MDS)表明,当这些残基分别突变为丙氨酸时,脲酶-尿素对接复合物表现出四个指标的递减结合稳定性,包括均方根偏差(RMSD)。蛋白质印迹显示H267A的突变,H294A,和G325A导致脲酶的相对表达减少,其中脲酶活性约为62%,45%,是野生型(WT)的20%,分别。过表达结果进一步证实了这些残基对于脲酶活性和CaCO3沉淀的重要性。这些结果将有助于在分子水平上加深对产脲酶菌株的认识,拓展调控脲酶活性的理论基础。
    Urease found in a wide range of microorganisms plays a vital role in ureolytic induced calcite precipitation (UICP). However, the genomic information on urease-producing strains is limited, and there is a need for further in-depth studies on aspects such as the regulation of urease activity by nickel ligand residues. The present study delved into the elucidation of urease activity in a newly isolated strain YX-3 coupled with nickel-ligand residues by employing the genetic architecture of biomineralization-controlled growth, molecular docking, molecular dynamics simulation (MDS), and site-directed mutagenesis. Genome-wide sequencing showed the presence of urease gene clusters, comprising structural genes ureA, ureB, and ureC, alongside auxiliary genes ureD, ureE, ureF, and ureG. RT-qPCR analysis showed that the addition of NiCl2 resulted in a significant up-regulation of ureC expression. His267, His294, and Gly325 in the domain of UreC were further proved to coordinate with nickel ions and urea simultaneously through homology modeling and molecular docking, and molecular dynamics simulations (MDS) showed the urease-urea docking complexes exhibited degressive binding stability by four metrics including root mean square deviations (RMSD) when those residues were mutated into alanine respectively. Western blotting exhibited that mutations of H267A, H294A, and G325A led to a reduction in the relative expression of urease, wherein urease activity was about 62%, 45%, and 20% times that of the wild type (WT), respectively. The overexpression results further confirmed the importance of these residues for urease activity and CaCO3 precipitation. These results would help to deepen the understanding of urease-producing strains at a molecular level and expand the theoretical basis for modulating urease activity.
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  • 文章类型: Journal Article
    健康的饮食可以防止超重和高血压。我们调查了儿童早期健康饮食与体重指数(BMI)和血压(BP)的关系。在GECKO出生队列中,高度,体重,在5岁和10岁时测量血压。3年时使用三个饮食评分进行饮食评估:停止高血压的饮食方法(DASH),地中海饮食评分(MDS),和生命线饮食评分(LLDS)。线性和逻辑回归模型评估了饮食评分与BMI和BP的关联。包括1077名儿童,10.8%的人在5年时超重或肥胖。这个数字在10年内为16.5%。此外,34.5%的人在5年时血压升高。这个数字在10年内为23.9%。更高的DASH,MDS,LLDS,这表明饮食更健康,均与10岁时较低的BMIz评分相关.较高的DASH与10年时较低的超重风险有关。在5年或10年时,饮食评分均与BP或BP升高无关。此外,在超重的子集中,饮食与血压无关.儿童早期的健康饮食与儿童超重较少有关,但在10岁时血压没有降低。
    A healthy diet prevents overweight problems and hypertension. We investigated the associations of a healthy diet with the body mass index (BMI) and blood pressure (BP) in early childhood. In the GECKO birth cohort, height, weight, and BP were measured at 5 and 10 years of age. Diet was evaluated at 3 years using three diet scores: the Dietary Approaches to Stop Hypertension (DASH), the Mediterranean Diet Score (MDS), and the Lifelines Diet Score (LLDS). Linear and logistic regression models assessed the associations of diet scores with the BMI and BP. Of the 1077 children included, 10.8% were overweight or obese at 5 years. That number was 16.5% at 10 years. In addition, 34.5% had elevated BP at 5 years. That number was 23.9% at 10 years. Higher DASH, MDS, and LLDS, which indicate healthier diets, were all associated with lower BMI z-scores at 10 years of age. Higher DASH is related to lower overweight risk at 10 years. None of the diet scores were associated with BP or elevated BP at either 5 or 10 years. Also, in an overweight subset, diet was not related to BP. A healthy diet in early childhood is related to children being less overweight but not having lower BP at 10 years of age.
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  • 文章类型: Journal Article
    土壤侵蚀对土壤质量的影响仍未得到系统的理解。因此,这项研究的目的是量化土壤侵蚀对土壤质量的影响及其随农田坡度形态的变化,基于放射性核素137Cs的中国东北,无人机推导出高分辨率数字高程模型,和土壤取样。137Cs方法产生的平均土壤侵蚀率为-275tkm-2yr-1,范围为-1870至1557tkm-2yr-1。从总数据集(SQI_TDS)得出的土壤质量指标可以很好地解释为从最小数据集(SQI_MDS)得出的指标,决定系数R2为0.874。SOM,沙子,与其他土壤指标相比,MDS中的阳离子交换量起着更重要的作用。土壤质量受土壤侵蚀影响显著,Adj.SQI_TDS和SQI_MDS的R2为0.29和0.33,分别。土壤侵蚀和土壤质量的空间变化均受斜坡地形的影响。必须根据东北地区的地形和侵蚀特征来控制土壤侵蚀。
    The impact of soil erosion on soil quality is still not systematically understood. The purpose of this study was thus to quantify the impact of soil erosion on soil quality and its change with slope morphology in an agricultural field, northeastern China based on radionuclide 137Cs, unmanned aerial vehicle derived high resolution digital elevation model, and soil sampling. 137Cs method yielded an average soil erosion rate of - 275 t km-2 yr-1 ranging from - 1870 to 1557 t km-2 yr-1. The soil quality index derived from total dataset (SQI_TDS) can be well explained by that derived from minimum data set (SQI_MDS) with a determination coefficient R2 of 0.874. SOM, sand, and cation exchange capacity in the MDS play more important roles than other soil indicators. Soil quality was significantly affected by soil erosion, with Adj. R2 of 0.29 and 0.33 for SQI_TDS and SQI_MDS, respectively. The spatial variations of soil erosion and soil quality were both affected by slope topography. Soil erosion must be controlled according to topographic and erosion characteristics in northeastern China.
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  • 文章类型: Journal Article
    目的骨髓增生异常综合征(MDS)是一种以造血干细胞形态发育异常为特征的恶性克隆性疾病。然而,基因突变的MDS患者巨核细胞(MKs)的病理特征尚不明确。方法对104例原发性MDS患者的骨髓MK标本进行评估。根据与功能MK相关的基因突变将所有患者分为两组。记录并比较MK和血小板的形态和细胞特征。结果MDS患者中突变频率较高的基因为TUBB1(11.54%),VWF(8.65%),NBEAL2(5.77%),最常见的点突变是TUBB1p。(R307H)和p。(Q43P)。MK突变患者显示二磷酸腺苷诱导的血小板聚集减少,CD34+CD61+MK比例高(10.00vs.4.00%,p=0.012),和短的总生存期(33.15vs.40.50个月,p=0.013)。Further,CD34+CD61+MK百分比较高(≥20.00%)的患者血小板计数较低(36.00×109/Lvs.88.50×109/L,p=0.015)和更深刻的外敷(p=0.001)。通过分析MK的RNA测序,差异表达的mRNA参与生理过程,包括血小板功能和血小板活化,特别是对于CD34+CD61+MK百分比高的MDS患者。CD62P的高表达,CXCL10和S100A9mRNA,通过RNA测序显示,通过PCR检测进行验证。结论高比例CD34+CD61+MK是MK突变的MDS患者预后不良因素。CD62P,CXCL10和S100A9可能是评估基因缺陷与血小板功能之间分子联系的潜在靶标。
    Objective  Myelodysplastic syndrome (MDS) is a malignant clonal disorder of hematopoietic stem cells which is characterized by morphologic dysplasia. However, the pathological characteristics of megakaryocytes (MKs) in MDS patients with gene mutation are not well established. Methods  Bone marrow MK specimens from 104 patients with primary MDS were evaluated, and all patients were distributed into two groups according to gene mutation associated with functional MKs. The morphologic and cellular characteristics of MKs and platelets were recorded and compared. Results  The more frequently mutated genes in MDS patients were TUBB1 (11.54%), VWF (8.65%), NBEAL2 (5.77%), and the most common point mutation was TUBB1 p.(R307H) and p.(Q43P). Patients with MK mutation showed a decrease in adenosine diphosphate-induced platelet aggregation, high proportion of CD34 + CD61 + MKs (10.00 vs. 4.00%, p  = 0.012), and short overall survival (33.15 vs. 40.50 months, p  = 0.013). Further, patients with a higher percent of CD34 + CD61 + MKs (≧20.00%) had lower platelet counts (36.00 × 10 9 /L vs. 88.50 × 10 9 /L, p  = 0.015) and more profound emperipolesis ( p  = 0.001). By analyzing RNA-sequencing of MKs, differentially expressed mRNA was involved in physiological processes including platelet function and platelet activation, especially for MDS patients with high percent of CD34 + CD61 + MKs. The high levels of expression of CD62P, CXCL10, and S100A9 mRNA, shown by RNA sequencing, were validated by PCR assay. Conclusion  High proportion of CD34 + CD61 + MKs was a poor prognostic factor in MDS patients with MK mutation. CD62P, CXCL10, and S100A9 may be the potential targets to evaluate the molecular link between gene defects and platelet function.
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  • 文章类型: Journal Article
    骨髓增生异常综合征(MDS)包括一系列以外周血细胞消耗为特征的克隆性造血系统恶性肿瘤。MDS的治疗受到患者高龄的阻碍,目前可用于治疗干预的药物种类有限。在这项研究中,我们发现ES-Cu强烈抑制MDS细胞系的活力,并以铜依赖性方式激活角化。重要的是,铁凋亡诱导剂IKE在体外和体内协同增强ES-Cu介导的细胞毒性。值得注意的是,IKE和ES-Cu的组合强烈受损的线粒体稳态与增加的线粒体ROS,MMP超极化,下调铁硫蛋白,降低耗氧率。此外,ES-Cu/IKE处理可以增强DLAT的脂质化依赖性寡聚化。为了阐明协同细胞死亡事件的具体顺序,铁性凋亡和角化凋亡的抑制剂被用来进一步表征细胞死亡的基础。细胞活力测定表明,谷胱甘肽及其前体N-乙酰半胱氨酸可以在单一或联合治疗下显著挽救细胞死亡。证明GSH在角化和角化的调节网络中起交叉点作用。重要的是,已发现xCT表达的重建和FDX1细胞的敲低有助于单一治疗的耐受性,但对联合治疗的恢复影响不大。总的来说,这些发现表明,导致多种程序性细胞死亡途径诱导的协同相互作用可能是增强MDS治疗效果的有希望的方法.
    Myelodysplastic syndromes (MDS) encompass a collection of clonal hematopoietic malignancies distinguished by the depletion of peripheral blood cells. The treatment of MDS is hindered by the advanced age of patients, with a restricted repertoire of drugs currently accessible for therapeutic intervention. In this study, we found that ES-Cu strongly inhibited the viability of MDS cell lines and activated cuproptosis in a copper-dependent manner. Importantly, ferroptosis inducer IKE synergistically enhanced ES-Cu-mediated cytotoxicity both in vitro and in vivo. Of note, the combination of IKE and ES-Cu intensively impaired mitochondrial homeostasis with increased mitochondrial ROS, MMP hyperpolarized, down-regulated iron-sulfur proteins and declined oxygen consumption rate. Additionally, ES-Cu/IKE treatment could enhance the lipoylation-dependent oligomerization of the DLAT. To elucidate the specific order of events in the synergistic cell death, inhibitors of ferroptosis and cuproptosis were utilized to further characterize the basis of cell death. Cell viability assays showed that the glutathione and its precursor N-acetylcysteine could significantly rescue the cell death under either mono or combination treatment, demonstrating that GSH acts at the crossing point in the regulation network of cuproptosis and ferroptosis. Significantly, the reconstitution of xCT expression and knockdown of FDX1 cells have been found to contribute to the tolerance of mono treatment but have little recovery impact on the combined treatment. Collectively, these findings suggest that a synergistic interaction leading to the induction of multiple programmed cell death pathways could be a promising approach to enhance the effectiveness of therapy for MDS.
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  • 文章类型: Journal Article
    嵌合状态与异基因造血干细胞移植(allo-HSCT)后的疾病复发密切相关。然而,嵌合率是动态变化的,不同嵌合体的敏感性需要进一步研究。
    为了研究不同嵌合体对复发的预测价值,我们测量了骨髓(BM),外周血(PB),和T细胞(从BM分离)嵌合后178例患者的allo-HSCT。
    接收器工作特征(ROC)曲线显示,与PB和BM嵌合相比,T细胞嵌合更适合预测allo-HSCT后的复发。预测复发的T细胞嵌合状态的截断值为99.45%。白血病和骨髓增生异常综合征(MDS)复发患者的T细胞嵌合体在allo-HSCT后2个月至9个月逐渐下降。allo-HSCT后1年内复发和死亡的风险更高。在allo-HSCT后3个月,缓解和复发患者的T细胞嵌合率分别为99.43%和94.28%(P=0.009)。allo-HSCT后6个月分别为99.31%和95.27%(P=0.013),在allo-HSCT后9个月,分别为99.26%和91.32%(P=0.024),分别。早期复发(allo-HSCT后9个月内复发)和晚期复发(allo-HSCT后9个月后复发)在allo-HSCT后2个月之间的T细胞嵌合体存在显着差异(P=0.036)。T细胞嵌合状态每增加1%,疾病复发的风险比为0.967(95%CI:0.948-0.987,P<0.001).
    我们建议在allo-HSCT后2、3、6和9个月持续监测T细胞嵌合体以预测复发。
    UNASSIGNED: Chimerism is closely correlated with disease relapse after allogeneic hematopoietic stem cell transplantation (allo-HSCT). However, chimerism rate is dynamic changes, and the sensitivity of different chimerism requires further research.
    UNASSIGNED: To investigate the predictive value of distinct chimerism for relapse, we measured bone marrow (BM), peripheral blood (PB), and T-cell (isolated from BM) chimerism in 178 patients after allo-HSCT.
    UNASSIGNED: Receiver operating characteristic (ROC) curve showed that T-cell chimerism was more suitable to predict relapse after allo-HSCT compared with PB and BM chimerism. The cutoff value of T-cell chimerism for predicting relapse was 99.45%. Leukemia and myelodysplastic syndrome (MDS) relapse patients\' T-cell chimerism was a gradual decline from 2 months to 9 months after allo-HSCT. Higher risk of relapse and death within 1 year after allo-HSCT. The T-cell chimerism rates in remission and relapse patients were 99.43% and 94.28% at 3 months after allo-HSCT (P = 0.009), 99.31% and 95.27% at 6 months after allo-HSCT (P = 0.013), and 99.26% and 91.32% at 9 months after allo-HSCT (P = 0.024), respectively. There was a significant difference (P = 0.036) for T-cell chimerism between early relapse (relapse within 9 months after allo-HSCT) and late relapse (relapse after 9 months after allo-HSCT) at 2 months after allo-HSCT. Every 1% increase in T-cell chimerism, the hazard ratio for disease relapse was 0.967 (95% CI: 0.948-0.987, P<0.001).
    UNASSIGNED: We recommend constant monitoring T-cell chimerism at 2, 3, 6, and 9 months after allo-HSCT to predict relapse.
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  • 文章类型: Journal Article
    α-葡糖苷酶的抑制剂已用于通过防止碳水化合物分解成葡萄糖和防止增强葡萄糖转化来治疗2型糖尿病(T2DM)。基于结构的虚拟筛选(SBVS)用于产生新型化学支架-配体α-葡糖苷酶抑制剂。在这项研究中,使用SBVS和分子动力学模拟(MDS)技术针对受体α-葡萄糖苷酶筛选了数据库。基于分子对接研究,α-葡糖苷酶抑制剂的三种和两种化合物分别从商业数据库(ZINC)和内部数据库中选择用于本研究。所选化合物的结合相互作用模式后来预测了它们的α-葡糖苷酶抑制潜力。最后,根据相互作用,来自ZINC的3个铅化合物中的1个和来自内部数据库的2个铅化合物中的1个入围。此外,使用MDS和MDS后策略以及参考阿卡波糖/α-葡糖苷酶来完善和验证入围的线索。通过SBVS预测抑制α-葡萄糖苷酶的能力,表明这些化合物具有良好的抑制活性。先导抑制剂的结构可以作为设计新型抑制剂的模板,和体外测试,以确认他们的抗糖尿病潜力是必要的。这些见解有助于合理设计新的有效的抗糖尿病药物。由RamaswamyH.Sarma沟通。
    Inhibitors of α-glucosidase have been used to treat type-2 diabetes (T2DM) by preventing the breakdown of carbohydrates into glucose and prevent enhancing glucose conversion. Structure-based virtual screening (SBVS) was used to generate novel chemical scaffold-ligand α-glucosidase inhibitors. The databases were screened against the receptor α-glucosidase using SBVS and molecular dynamics simulation (MDS) techniques in this study. Based on molecular docking studies, three and two compounds of α-glucosidase inhibitors were chosen from a commercial database (ZINC) and an In-house database for this study respectively. The mode of binding interactions of the selected compounds later predicted their α-glucosidase inhibitory potential. Finally, one out of three lead compound from ZINC and one out of two lead compound from In-house database were shortlisted based on interactions. Furthermore, MDS and post-MDS strategies were used to refine and validate the shortlisted leads along with the reference acarbose/α-glucosidase. The Hits\' ability to inhibit α-glucosidase was predicted by SBVS, indicating that these compounds have good inhibitory activities. The lead inhibitor\'s structure may serve as templates for the design of novel inhibitors, and in vitro testing to confirm their anti-diabetic potential is necessary. These insights can help rationally design new effective anti-diabetic drugs.Communicated by Ramaswamy H. Sarma.
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  • 文章类型: Journal Article
    背景:患有急性髓细胞性白血病或骨髓增生异常综合征(AML/MDS)的老年患者的预后很差。然而,在这一患者群体中,最近异基因造血干细胞移植(allo-HSCT)的使用有所增加.然而,为患者选择供体类型的最佳选择仍然是未满足的需求。中国老年AML/MDS患者使用allo-HSCT的数据有限。为了更好地理解和优化老年患者供体类型的选择,特别是对于那些患有难治性或复发性疾病的人,与美国和欧洲以前的研究相比。
    方法:我们的回顾性研究纳入了259名年龄超过55岁的患者,这些患者在2015年4月至2022年8月之间进行了首次allo-HSCT。这些患者根据供体类型分为三组:单倍体相关供体组(单倍体相关供体移植[HID],n=184),配对同胞供体组(配对同胞供体移植[MSD],n=39),和匹配的无关供体组(匹配的无关供体移植[MUD],n=36)。用卡方检验进行统计,对数秩和精细灰色检验。
    结果:队列的中位年龄为57岁(范围:55-75),26.25%的患者超过60岁。年轻患者急性移植物抗宿主病的发生率较高(HR=1.942,P=0.035),中性粒细胞恢复较快(HR=1.387,P=0.012),在整个队列中,总生存率(HR=0.567,P=0.043)优于年龄≥60岁的患者。难治性或复发性(R/R)患者中性粒细胞植入延迟(P=0.010,HR=0.752),血小板植入延迟(P<0.001,HR=0.596),复发发生率较高(HR=2.300,P=0.013),无论供体类型如何,均低于无复发生存率(RFS)(HR=1.740,HR=0.016)。当谈到移植物抗宿主无病时,无复发生存率(GRFS),根据多变量分析,MUD优于HID(HR=0.472,P=0.026)。相比之下,我们发现MSD的GRFS水平低于HID(HR=1.621,P=0.043)。
    结论:供体类型的选择没有显著影响allo-HSCT的结果。然而,当考虑移植后的生活质量时,来自年轻供体的MUD或HID可能是老年患者的最佳选择。
    BACKGROUND: Elderly patients with acute myeloid leukemia or myelodysplastic syndromes (AML/MDS) have historically had poor prognoses. However, there has been a recent increase in the use of allogenic hematopoietic stem cell transplantation (allo-HSCT) are in this patient population. Nevertheless, the optimal choice of donor type for the patients remains an unmet need. Limited data exist on the use of allo-HSCT in elderly patients with AML/MDS from China. To better understand and optimize the selection of donor type for the elderly patients, particularly for those with refractory or relapsed disease, in comparison with the previous studies in the US and Europe.
    METHODS: Our retrospective study enrolled 259 patients aged over 55 years who underwent their first allo-HSCT between April 2015 and August 2022. These patients were divided into three groups based on donor type: haploidentical related donor group (haploidentical related donor transplantation [HID], n = 184), matched sibling donor group (matched sibling donor transplantation [MSD], n = 39), and matched unrelated donor group (matched unrelated donor transplantation [MUD], n = 36). Statistics were performed with the chi-square test, the log-rank and Fine-Gray tests.
    RESULTS: The median age of the cohort was 57 years (range: 55-75) and 26.25% of patients were over 60 years old. Younger patients had a higher incidence of acute graft-versus-host disease (HR = 1.942, P = 0.035), faster neutrophil recovery (HR = 1.387, P = 0.012), and better overall survival (HR = 0.567, P = 0.043) than patients aged ≥ 60 years across the entire cohort. Patients with refractory or relapsed (R/R) diseases had delayed neutrophil engraftment (P = 0.010, HR = 0.752) and platelet engraftment (P < 0.001, HR = 0.596), higher incidence of relapses (HR = 2.300, P = 0.013), and inferior relapse-free survival (RFS) (HR = 1.740, HR = 0.016) regardless of donor type. When it came to graft-versus-host-disease-free, relapse-free survival (GRFS), MUDs turned out to be superior to HIDs (HR = 0.472, P = 0.026) according to the multivariable analysis. In contrast, we found MSDs had an inferior GRFS to HIDs in parallel (HR = 1.621, P = 0.043).
    CONCLUSIONS: The choice of donor type did not significantly affect the outcomes of allo-HSCT. However, when considering the quality of post-transplant life, MUDs or HIDs from younger donors may be the optimal choice for elderly patients.
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  • 文章类型: Journal Article
    背景:急性髓性白血病(AML)和骨髓增生异常综合征(MDS)的预后尽管在治疗方面有所进展,但仍然令人沮丧。靶向治疗在改善预后方面越来越受到重视。
    方法:通过RT-qPCR分析AML和MDS患者BRAF的表达。通过CCK-8测定测量用药物处理的细胞活力。网络药理学和RNA序列用于分析药物的作用机制,并在体外和异种移植肿瘤模型中进行验证。
    结果:这里我们显示BRAF在AML和MDS患者中过度表达,并与不良预后相关。BRAF抑制剂-Vemurafenib(VEM)可显著诱导衰老,AML细胞的增殖抑制和凋亡,可以通过硼替佐米(BOR)增强。这种抑制作用也在源自AML患者的CD34+细胞中得到证实。机械上,我们发现VEM联合BOR可以开启HIPPO信号通路,从而在AML细胞和异种移植小鼠中诱导细胞衰老。
    结论:综合来看,我们的研究结果表明,在AML和MDS患者中BRAF表达显著上调,这与不利的临床结果有关。我们还发现BRAF抑制剂Vemurafenib通过激活HIPPO信号通路诱导细胞衰老。BRAF表达的分析有望作为AML和MDS患者的预后指标和潜在治疗靶标。
    The outcome of Acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS) remain dismal despite the development of treatment. Targeted therapy is gaining more and more attention in improving prognosis.
    Expression of BRAF was analyzed by RT-qPCR in AML and MDS patients. Cells viability treated by drugs was measured by CCK-8 assay. Network pharmacology and RNA-sequence were used to analyze the mechanism of drugs and verified in vitro and xenograft tumor model.
    Here we showed that BRAF was overexpressed in AML and MDS patients, and correlated with poor prognosis. The BRAF inhibitor-Vemurafenib (VEM) could significantly induce senescence, proliferation inhibition and apoptosis in AML cells, which can be enhanced by Bortezomib (BOR). This inhibitory effect was also verified in CD34 + cells derived from AML patients. Mechanistically, we showed that VEM combined with BOR could turn on HIPPO signaling pathway, thereby inducing cellular senescence in AML cells and xenograft mouse.
    Taken together, our findings demonstrate a significant upregulation of BRAF expression in AML and MDS patients, which is associated with unfavorable clinical outcomes. We also discovered that the BRAF inhibitor Vemurafenib induces cellular senescence through activation of the HIPPO signaling pathway. Analysis of BRAF expression holds promise as a prognostic indicator and potential therapeutic target for individuals with AML and MDS.
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  • 文章类型: Journal Article
    背景:被诊断为范可尼贫血(FA)的个体,一种罕见的疾病,其特征是染色体不稳定影响FA信号通路,表现出对骨髓增生异常综合征(MDS)或急性髓细胞性白血病(AML)发作的高度脆弱性。
    方法:这里,我们采用不同的生物信息学和统计学分析来研究FA通路基因的表达/突变模式与MDS/AML之间的潜在关联.
    结果:该研究包括4295个样本,包括来自我们和其他9个在线队列的3235个AML和1024个MDS。我们调查了种族的不同比例,年龄,法裔美国人-英国人,和性别因素。与FA野生型组相比,我们观察到FA突变组中FNACD2,FANCI和RAD51C的表达降低.FA突变组表现出更有利的临床总体生存预后。我们开发了基于FA基因表达的随机森林分类器和决策树,用于细胞遗传学风险评估。此外,我们创建了FA相关列线图来预测AML患者的生存率.
    结论:这项研究有助于更深入地了解FA和MDS/AML之间的功能联系。
    Individuals diagnosed with Fanconi anemia (FA), an uncommon disorder characterized by chromosomal instability affecting the FA signaling pathway, exhibit heightened vulnerability to the onset of myelodysplastic syndromes (MDS) or acute myeloid leukemia (AML).
    Herein, we employed diverse bioinformatics and statistical analyses to investigate the potential associations between the expression/mutation patterns of FA pathway genes and MDS/AML.
    The study included 4295 samples, comprising 3235 AML and 1024 MDS from our and nine other online cohorts. We investigated the distinct proportion of race, age, French-American-British, and gender factors. Compared to the FA wild-type group, we observed a decrease in the expression of FNACD2, FANCI, and RAD51C in the FA mutation group. The FA mutation group exhibited a more favorable clinical overall survival prognosis. We developed a random forest classifier and a decision tree based on FA gene expression for cytogenetic risk assessment. Furthermore, we created an FA-related Nomogram to predict survival rates in AML patients.
    This investigation facilitates a deeper understanding of the functional links between FA and MDS/AML.
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