genetic mutations

基因突变
  • 文章类型: Journal Article
    肌萎缩侧索硬化症(ALS)是一种致命的神经退行性疾病,其主要特征是受影响的运动神经元中泛素化蛋白的积累。目前,ALS的确切发病机制尚不清楚,目前尚无有效的治疗措施。ALS的潜在发病机制主要包括一些致病蛋白的错误折叠,遗传变异,线粒体功能障碍,自噬障碍,神经炎症,RNA的错误调控,改变了轴突运输,和肠道微生物菌群失调。探索ALS的发病机制是寻找有效治疗方法的关键步骤。目前的研究表明,遗传变异,肠道微生物菌群失调,神经胶质细胞的激活,细胞外囊泡的运输障碍可能在ALS的发病中起着重要作用。本综述对目前这些与ALS发病机制密切相关的潜在有希望的话题进行了系统的综述,旨在为寻找ALS的新治疗措施提供一些新的证据和线索。
    Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease mainly characterized by the accumulation of ubiquitinated proteins in the affected motor neurons. At present, the accurate pathogenesis of ALS remains unclear and there are still no effective treatment measures for ALS. The potential pathogenesis of ALS mainly includes the misfolding of some pathogenic proteins, the genetic variation, mitochondrial dysfunction, autophagy disorders, neuroinflammation, the misregulation of RNA, the altered axonal transport, and gut microbial dysbiosis. Exploring the pathogenesis of ALS is a critical step in searching for the effective therapeutic approaches. The current studies suggested that the genetic variation, gut microbial dysbiosis, the activation of glial cells, and the transportation disorder of extracellular vesicles may play some important roles in the pathogenesis of ALS. This review conducts a systematic review of these current potential promising topics closely related to the pathogenesis of ALS; it aims to provide some new evidences and clues for searching the novel treatment measures of ALS.
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  • 文章类型: Journal Article
    胎儿小头畸形是一个小头,大脑皮层体积有各种损失。受影响的病例可能患有严重的大脑发育受损严重程度,从轻度到重度智力低下。它可以是孤立的发现,也可以是其他异常,这取决于包括基因突变在内的异质性原因。染色体异常,先天性传染病,产妇饮酒,怀孕期间代谢紊乱。它往往是一个终身和不可治愈的条件。因此,早期发现胎儿小头畸形和确定潜在原因对于临床工作人员为父母提供适当的遗传咨询和准确的管理很重要。
    Fetal microcephaly is a small head with various losses of cerebral cortical volume. The affected cases may suffer from a wide range in severity of impaired cerebral development from slight to severe mental retardation. It can be an isolated finding or with other anomalies depending on the heterogeneous causes including genetic mutations, chromosomal abnormalities, congenital infectious diseases, maternal alcohol consumption, and metabolic disorders during pregnancy. It is often a lifelong and incurable condition. Thus, early detection of fetal microcephaly and identification of the underlying causes are important for clinical staff to provide appropriate genetic counseling to the parents and accurate management.
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  • 文章类型: Journal Article
    作为支架蛋白,钙/钙调蛋白依赖性丝氨酸蛋白激酶(CASK)已在整个身体的各种组织中进行了广泛的研究。Cask基因普遍存在于多种组织中,比如神经元,胰岛,心,肾脏和精子,并且主要位于基底膜附近的细胞质中。CASK通过其结构域与多种蛋白质结合以发挥其生物活性。
    这里,我们讨论了CASK在全身多个组织中的作用。不同CASK结构域在调节神经元发育中的作用,强调了神经递质的释放和突触小泡的分泌;分析了CASK对胰岛β细胞功能的调节机制;讨论了肾脏和精子发育;并比较了CASK在不同肿瘤中的作用。最后,我们阐明了Cask基因在体内的重要性,以及Cask基因的缺失或突变如何产生不良后果。
    CASK是一种保守基因,在各种组织中具有相似的作用。Cask基因在神经系统中的功能主要参与神经系统的发育和神经递质的释放。在内分泌系统中,据报道,CASK参与了胰岛素囊泡的运输过程。CASK还参与心肌细胞离子通道的调节,肾脏和精子发育,和肿瘤增殖。CASK是全身不可缺少的基因,CASK突变可导致胎儿畸形或出生时死亡。在这次审查中,我们总结了CASK在各种系统中的生物学功能和病理机制,从而为进一步深入研究CASK函数提供了依据。
    UNASSIGNED: As a scaffold protein, calcium/calmodulin-dependent serine protein kinase (CASK) has been extensively studied in a variety of tissues throughout the body. The Cask gene is ubiquitous in several tissues, such as the neurons, islets, heart, kidneys and sperm, and is mostly localised in the cytoplasm adjacent to the basement membrane. CASK binds to a variety of proteins through its domains to exerting its biological activity.
    UNASSIGNED: Here, we discuss the role of CASK in multiple tissues throughout the body. The role of different CASK domains in regulating neuronal development, neurotransmitter release and synaptic vesicle secretion was emphasised; the regulatory mechanism of CASK on the function of pancreatic islet β cells was analysed; the role of CASK in cardiac physiology, kidney and sperm development was discussed; and the role of CASK in different tumours was compared. Finally, we clarify the importance of the Cask gene in the body, and how deletion or mutation of the Cask gene can have adverse consequences.
    UNASSIGNED: CASK is a conserved gene with similar roles in various tissues. The function of the Cask gene in the nervous system is mainly involved in the development of the nervous system and the release of neurotransmitters. In the endocrine system, an involvement of CASK has been reported in the process of insulin vesicle transport. CASK is also involved in cardiomyocyte ion channel regulation, kidney and sperm development, and tumour proliferation. CASK is an indispensable gene for the whole body, and CASK mutations can cause foetal malformations or death at birth. In this review, we summarise the biological functions and pathological mechanisms of CASK in various systems, thereby providing a basis for further in-depth studies of CASK functions.
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  • 文章类型: Journal Article
    这项研究调查了胃腺癌(STAD)的基因突变和免疫细胞动力学,重点是确定预后标志物和治疗靶点。TCGA-STAD样品的分析显示C>A是高和低风险组中最常见的单核苷酸变体(SNV)。关键突变驱动基因包括TTN,TP53和MUC16,移码突变在低风险组中更普遍,错义突变在高风险组中更普遍。C1QA和CD68等hub基因的相互作用分析显示出显著的相关性,影响免疫细胞浸润模式。使用ssGSEA,我们发现更高的免疫细胞浸润(B细胞,CD4+T细胞,CD8+T细胞,DC电池,NK细胞)在高危人群中,与风险评分增加相关。xCell算法结果表明各组之间不同的免疫浸润水平。该研究的风险评分模型在预后预测和免疫治疗疗效评估中被证明是有效的。关键分子如CD28,CD27和SLAMF7与风险评分显着相关,提示高危STAD患者的潜在目标。药物敏感性分析显示风险评分与对某些治疗的敏感性呈负相关,提示高危STAD患者的潜在治疗选择。我们还通过表型实验验证了RPL14在胃癌中的致癌作用。证明了它对癌细胞增殖的影响,入侵和迁移。总的来说,这项研究为STAD的遗传和免疫方面提供了重要的见解,强调风险评分模型对于胃癌管理中个性化治疗策略和临床决策的重要性。
    This study investigates genetic mutations and immune cell dynamics in stomach adenocarcinoma (STAD), focusing on identifying prognostic markers and therapeutic targets. Analysis of TCGA-STAD samples revealed C > A as the most common single nucleotide variant (SNV) in both high and low-risk groups. Key mutated driver genes included TTN, TP53 and MUC16, with frame-shift mutations more prevalent in the low-risk group and missense mutations in the high-risk group. Interaction analysis of hub genes such as C1QA and CD68 showed significant correlations, impacting immune cell infiltration patterns. Using ssGSEA, we found higher immune cell infiltration (B cells, CD4+ T cells, CD8+ T cells, DC cells, NK cells) in the high-risk group, correlated with increased risk scores. xCell algorithm results indicated distinct immune infiltration levels between the groups. The study\'s risk scoring model proved effective in prognosis prediction and immunotherapy efficacy assessment. Key molecules like CD28, CD27 and SLAMF7 correlated significantly with risk scores, suggesting potential targets for high-risk STAD patients. Drug sensitivity analysis showed a negative correlation between risk scores and sensitivity to certain treatments, indicating potential therapeutic options for high-risk STAD patients. We also validated the carcinogenic role of RPL14 in gastric cancer through phenotypic experiments, demonstrating its influence on cancer cell proliferation, invasion and migration. Overall, this research provides crucial insights into the genetic and immune aspects of STAD, highlighting the importance of a risk scoring model for personalized treatment strategies and clinical decision-making in gastric cancer management.
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  • 文章类型: Journal Article
    将遗传变异映射到表型变异提出了重大挑战,由于突变经常意外地结合在一起,即使在相同的环境中,也与假定的加性效应不同。这些相互作用被称为上位或遗传相互作用。标志上位,作为一种特定类型的上位,涉及在改变的遗传背景下完全逆转突变效应,给表型预测带来了巨大的障碍。尽管它很重要,关于标志上位的机械原因的系统概述有限。这篇综述探讨了机制原因,突出了它在信号级联中的出现,达到顶峰的健身景观,和物理互动。超越理论讨论,我们深入研究了标志上位在农业中的实际应用,进化,抗生素耐药性。总之,这篇综述旨在加强对体征上位和分子动力学的理解,预测未来在系统生物工程中的努力,利用体征上位的知识。
    Mapping genetic variations to phenotypic variations poses a significant challenge, as mutations often combine unexpectedly, diverging from assumed additive effects even in the same environment. These interactions are known as epistasis or genetic interactions. Sign epistasis, as a specific type of epistasis, involves a complete reversal of mutation effects within altered genetic backgrounds, presenting a substantial hurdle to phenotype prediction. Despite its importance, there is a limited systematic overview of the mechanistic causes of sign epistasis. This review explores the mechanistic causes, highlighting its occurrence in signalling cascades, peaked fitness landscapes, and physical interactions. Moving beyond theoretical discussions, we delve into the practical applications of sign epistasis in agriculture, evolution, and antibiotic resistance. In conclusion, this review aims to enhance the comprehension of sign epistasis and molecular dynamics, anticipating future endeavours in systematic biology engineering that leverage the knowledge of sign epistasis.
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  • 文章类型: Journal Article
    目前,儿童甲状腺癌领域的知识结构还不够清晰,学者们对这一领域的发展趋势缺乏足够的了解,这导致了前瞻性产出的短缺。这项研究的目的是帮助学者构建一个完整的知识框架,并识别当前的挑战,机遇,和发展趋势。
    我们于2023年8月7日在WebofScienceCoreCollection数据库中搜索了文献,并从引用最多的前100篇文章中提取了关键信息,比如国家,机构,作者,主题,和关键词。我们使用了文献计量学工具,如文献计量学,VOSviewer,和CiteSpace用于可视化分析,Excel用于统计描述。
    引用次数最多的前100篇文章随时间波动,研究集中在欧洲国家,美国,和日本,其中美国的科研机构和学者做出了突出贡献。关键字分析显示,研究已从小儿甲状腺癌(甲状腺全切除术)和诱发因素(切尔诺贝利电站事故)的简单治疗方法转变为基因突变(例如BRAF和RET基因)的临床应用和更大规模的遗传变化(DICER1基因的突变研究)。主题策略分析显示融合癌基因的流行趋势日益增加,而传统治疗和诊断研究的普及逐渐下降。
    对小儿甲状腺癌的基本问题进行了广泛的研究,在常规诊断和治疗方法的随访和队列分析中,有显著的结果。然而,这些方法仍有一定的局限性。因此,学者们应该专注于探索融合基因,分子靶点的临床应用,和新颖的治疗方法。本研究为该领域的学者提供了有力的参考。
    UNASSIGNED: At present, the structure of knowledge in the field of childhood thyroid cancer is not clear enough, and scholars lack a sufficient understanding of the developing trends in this field, which has led to a shortage of forward-looking outputs. The purpose of this research is to help scholars construct a complete knowledge framework and identify current challenges, opportunities, and development trends.
    UNASSIGNED: We searched the literature in the Web of Science Core Collection database on August 7, 2023 and extracted key information from the top 100 most cited articles, such as the countries, institutions, authors, themes, and keywords. We used bibliometric tools such as bibliometrix, VOSviewer, and CiteSpace for a visualization analysis and Excel for statistical descriptions.
    UNASSIGNED: The top 100 most cited articles fluctuated over time, and the research was concentrated in European countries, the United States, and Japan, among which scientific research institutions and scholars from the United States made outstanding contributions. Keyword analysis revealed that research has shifted from simple treatment methods for pediatric thyroid cancer (total thyroidectomy) and inducing factors (the Chernobyl power station accident) to the clinical applications of genetic mutations (such as the BRAF and RET genes) and larger-scale genetic changes (mutation studies of the DICER1 gene). The thematic strategy analysis showed an increasing trend towards the popularity of fusion oncogenes, while the popularity of research on traditional treatments and diagnostics has gradually declined.
    UNASSIGNED: Extensive research has been conducted on the basic problems of pediatric thyroid cancer, and there has been significant outputs in the follow-up and cohort analysis of conventional diagnostic and treatment methods. However, these methods still have certain limitations. Therefore, scholars should focus on exploring fusion genes, the clinical applications of molecular targets, and novel treatment methods. This study provides a strong reference for scholars in this field.
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  • 文章类型: Case Reports
    肌原纤维肌病(MFM)是一组影响骨骼肌和心肌的遗传异质性疾病。肌原纤维性肌病的特征是肌源性纤维的局灶性溶解和降解的肌源性纤维产物整合到包涵体中,通常富含desmin和许多其他蛋白质。在这里,我们报告了一例54岁女性,她的双侧大腿无力超过3年。根据肌肉活检结果和LDB3基因外显子8中存在新的突变,她被诊断为MFM。由LDB3基因突变引起的肌原纤维性肌病是非常罕见的,并且通常缺乏不同的临床特征,并且通常表现出缓慢的疾病进展。当考虑对MFM进行诊断时,特别是在复杂的常染色体显性肌病的情况下,肌肉活检不能明确显示MFM,临床医生利用基因检测作为诊断工具变得至关重要。
    Myofibrillar myopathies (MFMs) are a group of genetically heterogeneous diseases affecting the skeletal and cardiac muscles. Myofibrillar myopathies are characterized by focal lysis of myogenic fibers and integration of degraded myogenic fiber products into inclusion bodies, which are typically rich in desmin and many other proteins. Herein, we report a case of a 54-year-old woman who experienced bilateral thigh weakness for over three years. She was diagnosed with MFMs based on muscle biopsy findings and the presence of a novel mutation in exon 8 of the LDB3 gene. Myofibrillar myopathies caused by a mutation in the LDB3 gene are extremely uncommon and often lack distinct clinical characteristics and typically exhibit a slow disease progression. When considering a diagnosis of MFMs, particularly in complex instances of autosomal dominant myopathies where muscle biopsies do not clearly indicate MFMs, it becomes crucial for clinicians to utilize genetic test as a diagnostic tool.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    耐药性是各种癌症类型靶向治疗疗效的主要障碍。包括胶质母细胞瘤(GBM)。然而,理解复杂的细胞内和细胞外机制潜在的耐药性仍然难以捉摸。实证研究已经阐明了遗传畸变,比如基因突变,随着微环境的适应,特别是血管生成,作为肿瘤进展和耐药性的关键驱动因素。尽管如此,数学模型经常孤立地划分这些因素。在这项研究中,我们提出了一种基于多尺度智能体的GBM模型,包括细胞动力学,复杂的信号通路,基因突变,血管生成,和治疗干预措施。这种综合框架有助于探索基因突变和血管微环境之间的相互作用,以形成酪氨酸激酶抑制剂治疗期间肿瘤的动态演变。我们的模拟揭示了影响肿瘤细胞迁移和增殖的突变加速了表型异质性的出现。从而在治疗和未治疗的条件下加剧肿瘤侵袭。此外,肿瘤附近的血管生成促进了肿瘤环境,通过增加肿瘤细胞的存活率来增强突变诱导的耐药性。总的来说,我们的研究结果强调了内在基因突变和外在微环境适应在引导肿瘤生长和耐药方面的双重作用.最后,我们通过整合单细胞RNA-seq证实了我们关于基因突变和血管生成对靶向治疗反应性的影响的模型预测,空间转录组学,批量RNA-seq,和GBM患者的临床数据。多维方法增强了我们对神经胶质瘤耐药性控制复杂性的理解,并提供了对潜在治疗策略的见解。
    Drug resistance is a prominent impediment to the efficacy of targeted therapies across various cancer types, including glioblastoma (GBM). However, comprehending the intricate intracellular and extracellular mechanisms underlying drug resistance remains elusive. Empirical investigations have elucidated that genetic aberrations, such as gene mutations, along with microenvironmental adaptation, notably angiogenesis, act as pivotal drivers of tumor progression and drug resistance. Nonetheless, mathematical models frequently compartmentalize these factors in isolation. In this study, we present a multiscale agent-based model of GBM, encompassing cellular dynamics, intricate signaling pathways, gene mutations, angiogenesis, and therapeutic interventions. This integrative framework facilitates an exploration of the interplay between genetic mutations and the vascular microenvironment in shaping the dynamic evolution of tumors during treatment with tyrosine kinase inhibitor. Our simulations unveil that mutations influencing the migration and proliferation of tumor cells expedite the emergence of phenotype heterogeneity, thereby exacerbating tumor invasion under both treated and untreated conditions. Moreover, angiogenesis proximate to the tumor fosters a protumoral milieu, augmenting mutation-induced drug resistance by increasing the survival rate of tumor cells. Collectively, our findings underscore the dual roles of intrinsic genetic mutations and extrinsic microenvironmental adaptations in steering tumor growth and drug resistance. Finally, we substantiate our model predictions concerning the impact of gene mutations and angiogenesis on the responsiveness of targeted therapies by integrating single-cell RNA-seq, spatial transcriptomics, bulk RNA-seq, and clinical data from GBM patients. The multidimensional approach enhances our understanding of the complexities governing drug resistance in glioma and offers insights into potential therapeutic strategies.
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  • 文章类型: Journal Article
    靶向由B细胞淋巴瘤-2(BCL-2)抗凋亡蛋白调节的内在凋亡途径可以克服癌细胞中凋亡的逃避。BCL-2抑制剂已经发展成为通过诱导肿瘤细胞凋亡来治疗癌症的重要手段。作为研究最广泛的BCL-2抑制剂,venetoclax对BCL-2具有高度选择性,可以有效抑制肿瘤的存活。它的出现和发展对血液恶性肿瘤的治疗前景产生了重大影响,尤其是慢性淋巴细胞白血病和急性髓细胞性白血病,其中已明确纳入推荐的治疗方案。此外,在复发和难治性多发性骨髓瘤和某些淋巴瘤中,已证明维奈托克与其他药物联合使用具有相当大的疗效。尽管维奈托克在临床前实验和临床试验中发挥着重要的抗肿瘤作用,在现实世界的患者人群中,治疗结果存在很大的个体差异,药物敏感性降低会导致疾病复发或进展。在具有不同分子特征的患者中,治疗效果可能差异很大。和关键的基因突变可能导致对维内克的不同敏感性。为了准确预测BCL-2抑制疗法的有效性,需要更多新型生物标志物的鉴定和验证。此外,我们总结了BCL-2抑制剂在实体瘤治疗中的应用的最新研究进展,并证明大量临床前模型通过联合治疗显示了有希望的结果.维奈托克在实体瘤中的应用值得进一步的临床研究以确定其前景。
    Targeting the intrinsic apoptotic pathway regulated by B-cell lymphoma-2 (BCL-2) antiapoptotic proteins can overcome the evasion of apoptosis in cancer cells. BCL-2 inhibitors have evolved into an important means of treating cancers by inducing tumor cell apoptosis. As the most extensively investigated BCL-2 inhibitor, venetoclax is highly selective for BCL-2 and can effectively inhibit tumor survival. Its emergence and development have significantly influenced the therapeutic landscape of hematological malignancies, especially in chronic lymphocytic leukemia and acute myeloid leukemia, in which it has been clearly incorporated into the recommended treatment regimens. In addition, the considerable efficacy of venetoclax in combination with other agents has been demonstrated in relapsed and refractory multiple myeloma and certain lymphomas. Although venetoclax plays a prominent antitumor role in preclinical experiments and clinical trials, large individual differences in treatment outcomes have been characterized in real-world patient populations, and reduced drug sensitivity will lead to disease recurrence or progression. The therapeutic efficacy may vary widely in patients with different molecular characteristics, and key genetic mutations potentially result in differential sensitivities to venetoclax. The identification and validation of more novel biomarkers are required to accurately predict the effectiveness of BCL-2 inhibition therapy. Furthermore, we summarize the recent research progress relating to the use of BCL-2 inhibitors in solid tumor treatment and demonstrate that a wealth of preclinical models have shown promising results through combination therapies. The applications of venetoclax in solid tumors warrant further clinical investigation to define its prospects.
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