In Situ Hybridization, Fluorescence

原位杂交, 荧光
  • 文章类型: Case Reports
    背景:脊索瘤,一种罕见的由脊索组织引起的恶性肿瘤,通常发生在脊柱轴。只有少数已发表的原发性肺脊索瘤的报道。在这里,我们介绍了一例原发性肺脊索瘤,并讨论了诊断罕见脊索瘤的重要考虑因素。
    方法:我们报告一例39岁男性原发性肺脊索瘤,有睾丸混合生殖细胞卵黄囊肿瘤和畸胎瘤病史。计算机断层扫描显示左下叶缓慢生长的实性病变。我们对可疑生殖细胞肿瘤肺转移进行了楔形切除术。组织学上,大的圆形或卵圆形细胞与嗜酸性细胞的细胞质被大的细胞包围,颗粒,轻度嗜酸性细胞浆。肿瘤细胞为生唾液。免疫组织化学检查对短尾畸形呈阳性,S-100蛋白,上皮膜抗原,波形蛋白,和细胞角蛋白AE1/AE3,提示肺脊索瘤。睾丸混合生殖细胞肿瘤的重新检查未发现脊索元素。尽管某些区域的短尾染色呈阳性,苏木精和伊红(HE)染色未显示脊索瘤的典型形态特征。肺肿瘤的互补荧光原位杂交(FISH)证实不存在同染色体12p和12p扩增。因此,确定了原发性肺脊索瘤的最终诊断.
    结论:在有睾丸混合生殖细胞肿瘤病史的患者中,肺和睾丸肿瘤的HE和Brachyury染色的组织形态学比较,使用FISH分析肺肿瘤中的12p和12p扩增对于诊断罕见肺脊索瘤至关重要。
    BACKGROUND: Chordoma, a rare malignant tumor arising from notochordal tissue, usually occurs along the spinal axis. Only a few published reports of primary lung chordomas exist. Herein, we present a case of primary lung chordoma and discuss important considerations for diagnosing rare chordomas.
    METHODS: We report a case of primary lung chordoma in a 39-year-old male with a history of testicular mixed germ-cell tumor of yolk sac and teratoma. Computed tomography revealed slow-growing solid lesions in the left lower lobe. We performed wedge resection for suspected germ-cell tumor lung metastasis. Histologically, large round or oval cells with eosinophilic cytoplasm were surrounded by large cells with granular, lightly eosinophilic cytoplasm. Tumor cells were physaliphorous. Immunohistochemistry was positive for brachyury, S-100 protein, epithelial membrane antigen, vimentin, and cytokeratin AE1/AE3, suggesting pulmonary chordoma. Re-examination of the testicular mixed germ-cell tumor revealed no notochordal elements. Although some areas were positive for brachyury staining, hematoxylin and eosin (HE) staining did not show morphological features typical of chordoma. Complementary fluorescence in situ hybridization (FISH) of the lung tumor confirmed the absence of isochromosome 12p and 12p amplification. Thus, a final diagnosis of primary lung chordoma was established.
    CONCLUSIONS: In patients with a history of testicular mixed germ cell tumors, comparison of histomorphology using HE and Brachyury staining of lung and testicular tumors, and analyzing isochromosome 12p and 12p amplification in lung tumors using FISH is pivotal for the diagnosis of rare lung chordomas.
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  • 文章类型: Journal Article
    腹膜转移(PM)是胃癌(GC)患者中最常见的转移类型,预后极差。腹膜腔中游离癌细胞(FCCs)的检测已被证明是GC的最差预后因素之一。然而,缺乏对腹膜腔内FCC的灵敏检测方法。本研究旨在使用一种新的腹腔灌洗液细胞学检查来检测GC患者的FCCs,探讨其对隐匿性腹膜转移瘤(OPM)的诊断及预后的临床意义。
    通过上皮肿瘤细胞大小分离(ISET)方法,从50例GC患者中获得并处理了腹膜灌洗液。免疫荧光和荧光原位杂交(FISH)用于鉴定表达8号染色体(CEP8)的FCCs,染色体17(CEP17),上皮细胞粘附分子(EpCAM)。
    使用ISET平台和免疫荧光-FISH的组合,FCCs的检测高于光学显微镜(24.0%vs.2.0%)。样本分为阳性和阴性组,基于CEP8、CEP17和EpCAM的表达式。年龄之间具有统计学上的显着关系(P=0.029),性别(P=0.002),淋巴浸润(P=0.001),pTNM分期(P=0.001),和FCC的积极性。在调整协变量后,FCC阳性患者的无进展生存期低于FCC阴性患者.
    ISET平台从腹腔灌洗液中高度富集有核细胞,和包括EpCAM的指标,CEP8和CEP17证实了FCC的诊断。作为一种潜在的检测方法,它为OPM的早期干预和延长患者生存期提供了机会.
    UNASSIGNED: Peritoneal metastasis (PM) is the most prevalent type of metastasis in patients with gastric cancer (GC) and has an extremely poor prognosis. The detection of free cancer cells (FCCs) in the peritoneal cavity has been demonstrated to be one of the worst prognostic factors for GC. However, there is a lack of sensitive detection methods for FCCs in the peritoneal cavity. This study aimed to use a new peritoneal lavage fluid cytology examination to detect FCCs in patients with GC, and to explore its clinical significance on diagnosing of occult peritoneal metastasis (OPM) and prognosis.
    UNASSIGNED: Peritoneal lavage fluid from 50 patients with GC was obtained and processed via the isolation by size of epithelial tumor cells (ISET) method. Immunofluorescence and fluorescence in situ hybridization (FISH) were used to identify FCCs expressing chromosome 8 (CEP8), chromosome 17 (CEP17), and epithelial cell adhesion molecule (EpCAM).
    UNASSIGNED: Using a combination of the ISET platform and immunofluorescence-FISH, the detection of FCCs was higher than that by light microscopy (24.0% vs. 2.0%). Samples were categorized into positive and negative groups, based on the expressions of CEP8, CEP17, and EpCAM. Statistically significant relationships were demonstrated between age (P = 0.029), sex (P = 0.002), lymphatic invasion (P = 0.001), pTNM stage (P = 0.001), and positivity for FCCs. After adjusting for covariates, patients with positive FCCs had lower progression-free survival than patients with negative FCCs.
    UNASSIGNED: The ISET platform highly enriched nucleated cells from peritoneal lavage fluid, and indicators comprising EpCAM, CEP8, and CEP17 confirmed the diagnosis of FCCs. As a potential detection method, it offers an opportunity for early intervention of OPM and an extension of patient survival.
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  • 文章类型: Journal Article
    亚洲柑橘木虱(ACP)DiaphorinacitriKuwayama是亚洲念珠菌(CLas)的主要载体,柑橘黄龙病(HLB)的致病原。ACP内部CLA的分布和动态对于理解传输如何,CLas的传播和感染在自然界中发生在其宿主载体内。在这项研究中,通过荧光原位杂交(FISH)和实时定量PCR(qPCR)技术检测了CLas在ACP5龄若虫和成虫各种组织中的分布和滴度变化。结果表明,以被感染的植物为食后,ACP5龄若虫和成虫100%被CLas感染,CLas在ACP的大多数组织中广泛分布。中肠内CLas的滴度,5龄若虫和成虫的唾液腺和血淋巴组织最高。与成年人相比,5龄若虫的这三个组织中的CLas滴度明显更高,在mycetome中,卵巢和睾丸明显低于成人。FISH可视化进一步证实了这些发现。对CLas的动态分析表明,它存在于ACP成年人的所有发育年龄中。在ACP成人的大多数组织中,随着年龄的增长,CLas的存在呈明显的上升趋势,包括中肠,血淋巴,唾液腺,脚,头部,角质层和肌肉。我们的发现对全面了解传播具有重要意义,CLas的传播和侵扰,这对于制定新的策略来阻止CLas的传播非常重要,因此有助于HLB的有效预防和控制。
    The Asian citrus psyllid (ACP) Diaphorina citri Kuwayama is the leading vector of Candidatus Liberibacter asiaticus (CLas), the causative agent of citrus Huanglongbing (HLB) disease. The distribution and dynamics of CLas within ACP are critical to understanding how the transmission, spread and infection of CLas occurs within its host vector in nature. In this study, the distribution and titer changes of CLas in various tissues of ACP 5th instar nymphs and adults were examined by fluorescence in situ hybridization (FISH) and real-time quantitative PCR (qPCR) techniques. Results demonstrated that 100% of ACP 5th instar nymphs and adults were infected with CLas following feeding on infected plants, and that CLas had widespread distribution in most of the tissues of ACP. The titers of CLas within the midgut, salivary glands and hemolymph tissues were the highest in both 5th instar nymphs and adults. When compared with adults, the titers of CLas in these three tissues of 5th instar nymphs were significantly higher, while in the mycetome, ovary and testes they were significantly lower than those of adults. FISH visualization further confirmed these findings. Dynamic analysis of CLas demonstrated that it was present across all the developmental ages of ACP adults. There was a discernible upward trend in the presence of CLas with advancing age in most tissues of ACP adults, including the midgut, hemolymph, salivary glands, foot, head, cuticula and muscle. Our findings have significant implications for the comprehensive understanding of the transmission, dissemination and infestation of CLas, which is of much importance for developing novel strategies to halt the spread of CLas, and therefore contribute to the efficient prevention and control of HLB.
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  • 文章类型: Journal Article
    物理作图证明了染色体的组织和结构。尽管有关于植物细胞基因组学的数据,已对少数物种的单拷贝和/或低拷贝基因进行了物理定位。番木瓜细胞基因组学已从BAC-FISH和重复序列完成。我们旨在绘制木瓜中serk2、svp样和mdar4序列。扩增序列并对扩增子进行测序,显示与serk2、svp样和mdar4基因的相似性。确认了番木瓜二倍体,并表征了有丝分裂染色体。1号染色体对长臂着丝粒的着丝粒表现出继发性收缩。所以,我们得出结论是性染色体。serk2被定位在性染色体的长臂间质部分,相间核显示两个荧光信号。考虑到这些结果和木瓜性染色体的测序数据,svp样和mdar4基因定位在性染色体长臂的间质区域。两个序列在相间核中仅显示一个荧光信号。这里采用的程序可以复制其他单拷贝和/或低拷贝基因,允许构建细胞遗传学图谱。此外,我们重新研究了木瓜性染色体的细胞基因组学数据,提出了关于这些染色体的结构和进化的修正观点。
    Physical mapping evidences the chromosome organization and structure. Despite the data about plant cytogenomics, physical mapping has been conducted from single-copy and/or low-copy genes for few species. Carica papaya cytogenomics has been accomplished from BAC-FISH and repeatome sequences. We aimed to map the serk 2, svp-like and mdar 4 sequences in C. papaya. The sequences were amplified and the amplicons sequenced, showing similarity in relation to serk 2, svp-like and mdar 4 genes. Carica papaya diploidy was confirmed and the mitotic chromosomes characterized. The chromosome 1 exhibited the secondary constriction pericentromeric to the centromere of the long arm. So, we concluded that it is the sex chromosomes. serk 2 was mapped in the long arm interstitial portion of the sex chromosomes, and the interphase nuclei showed two fluorescence signals. Considering these results and the sequencing data from the C. papaya sex chromosomes, svp-like and mdar 4 genes were mapped in the interstitial region of the sex chromosome long arm. Both sequences showed only one fluorescence signal in the interphase nuclei. The procedure adopted here can be reproduced for other single-copy and/or low-copy genes, allowing the construction of cytogenetic maps. In addition, we revisited the cytogenomics data about C. papaya sex chromosomes, presenting a revised point of view about the structure and evolution to these chromosomes.
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  • 文章类型: Journal Article
    激光产生的电子束在放射治疗中的应用是最近的发展。因此,需要研究对辐射损伤的生物反应机制。在这项研究中,在用激光产生的超短电子束照射的人血细胞(白细胞)和K562白血病细胞中,分析了端粒长度(TL)作为遗传损伤的终点。在定量荧光原位杂交(Q-FISH)中分析了中期和间期以评估TL。在血白细胞中照射0.5、1.5和3.0Gy后,在两种情况下(中期和间期),与未照射的对照相比,TLs均缩短。辐射还导致在K562细胞的间期中可检测到的显著的TL缩短。总的来说,在正常细胞和白血病细胞中观察到TL与辐射剂量呈负相关,呈剂量依赖性.K562细胞对超短电子束辐射剂量的增加比正常血细胞更敏感。端粒缩短导致基因组不稳定和细胞死亡,所获得的结果证实了该生物标志物用于评估加速电子的基因毒性效应以进一步用于放射治疗的适用性.观察到的正常细胞和K562细胞之间TL缩短的差异为进一步开发最佳辐射参数提供了机会,以减少放疗期间正常细胞的副作用。
    Application of laser-generated electron beams in radiotherapy is a recent development. Accordingly, mechanisms of biological response to radiation damage need to be investigated. In this study, telomere length (TL) as endpoint of genetic damage was analyzed in human blood cells (leukocytes) and K562 leukemic cells irradiated with laser-generated ultrashort electron beam. Metaphases and interphases were analyzed in quantitative fluorescence in situ hybridization (Q-FISH) to assess TL. TLs were shortened compared to non-irradiated controls in both settings (metaphase and interphase) after irradiation with 0.5, 1.5, and 3.0 Gy in blood leukocytes. Radiation also caused a significant TL shortening detectable in the interphase of K562 cells. Overall, a negative correlation between TL and radiation doses was observed in normal and leukemic cells in a dose-dependent manner. K562 cells were more sensitive than normal blood cells to increasing doses of ultrashort electron beam radiation. As telomere shortening leads to genome instability and cell death, the results obtained confirm the suitability of this biomarker for assessing genotoxic effects of accelerated electrons for their further use in radiation therapy. Observed differences in TL shortening between normal and K562 cells provide an opportunity for further development of optimal radiation parameters to reduce side effects in normal cells during radiotherapy.
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  • 文章类型: Journal Article
    对眼睛颜色色素沉着最显著的遗传影响归因于HERC2基因中的内含子SNPrs12913832,与相邻OCA2基因的启动子区相互作用。这种互动,通过形成染色质环,调节OCA2的转录活性,直接影响眼睛颜色色素沉着。最近的技术进步已经阐明了细胞核内基因组的精确空间组织,染色质结构在调节各种基因组功能中起着关键作用。在这项研究中,我们使用荧光原位杂交(FISH)和高通量染色体构象捕获(Hi-C)数据研究了人类淋巴细胞核中靠近HERC2/OCA2基因座的染色质的组织.属于染色体区域15q12-q13.1的3Mb基因组DNA显示存在三个连续的染色质环,根据SNPrs12913832中A或G等位基因的存在,其表现出不同的压实水平。此外,对基因基因组组织的分析表明,该染色体区域在进化上是高度保守的,对其他脊椎动物物种的同势区域的分析证明了这一点。因此,rs12913832变体的作用不仅与确定OCA2基因的转录激活有关,而且与较大区域的染色质压实有关,强调染色质组织在相关基因的适当调节中的关键作用。考虑这一发现的更广泛含义至关重要,特别是关于位于内含子区域内的相似多态性的潜在调节作用,它们不会通过调节剪接过程来影响相同的基因,但是它们调节相邻基因的表达。因此,在使用全外显子组测序进行诊断时,应谨慎行事,作为内含子序列可以提供有关它们所在区域的有价值的基因调控信息。因此,未来的研究工作还应该致力于更深入地了解内含子SNP在染色质环组织和转录调控中的作用和作用方式的确切机制.
    The most significant genetic influence on eye color pigmentation is attributed to the intronic SNP rs12913832 in the HERC2 gene, which interacts with the promoter region of the contiguous OCA2 gene. This interaction, through the formation of a chromatin loop, modulates the transcriptional activity of OCA2, directly affecting eye color pigmentation. Recent advancements in technology have elucidated the precise spatial organization of the genome within the cell nucleus, with chromatin architecture playing a pivotal role in regulating various genome functions. In this study, we investigated the organization of the chromatin close to the HERC2/OCA2 locus in human lymphocyte nuclei using fluorescence in situ hybridization (FISH) and high-throughput chromosome conformation capture (Hi-C) data. The 3 Mb of genomic DNA that belonged to the chromosomal region 15q12-q13.1 revealed the presence of three contiguous chromatin loops, which exhibited a different level of compaction depending on the presence of the A or G allele in the SNP rs12913832. Moreover, the analysis of the genomic organization of the genes has demonstrated that this chromosomal region is evolutionarily highly conserved, as evidenced by the analysis of syntenic regions in species from other Vertebrate classes. Thus, the role of rs12913832 variant is relevant not only in determining the transcriptional activation of the OCA2 gene but also in the chromatin compaction of a larger region, underscoring the critical role of chromatin organization in the proper regulation of the involved genes. It is crucial to consider the broader implications of this finding, especially regarding the potential regulatory role of similar polymorphisms located within intronic regions, which do not influence the same gene by modulating the splicing process, but they regulate the expression of adjacent genes. Therefore, caution should be exercised when utilizing whole-exome sequencing for diagnostic purposes, as intron sequences may provide valuable gene regulation information on the region where they reside. Thus, future research efforts should also be directed towards gaining a deeper understanding of the precise mechanisms underlying the role and mode of action of intronic SNPs in chromatin loop organization and transcriptional regulation.
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  • 文章类型: Journal Article
    染色体易位可导致不同严重程度的表型效应,取决于断点的位置和易位染色体区域相间核内基因的重排。平衡易位通常在表型上是无症状的,并且通常由于减数分裂期间的问题导致的生育力降低而被检测到。罗伯逊易位是最常见的染色体异常,通常无症状,并且可以作为正常多态性在人群中持续存在。我们偶然发现了21号染色体和22号染色体之间的罗伯逊易位,它在三代之间遗传而没有任何表型效应,尤其是女性。与α-卫星DNA的原位杂交揭示了易位染色体中存在两个着丝粒序列。相互易位导致21号和22号染色体的短臂部分缺失,核糖体RNA基因保留在新的中间染色体的中间部分。重新排列并没有引起长臂的改变。群体中无症状杂合染色体多态性的传播可导致杂合个体之间的交配,可能导致后代携带异常的纯合染色体构型。这种新的核型可能不会在呈现它的个体中产生表型效应。人类群体中无症状杂合形式的染色体重排的核型频率可能被低估了,和分子核型通过阵列比较基因组杂交(阵列CGH)分析不允许鉴定这种类型的染色体异常,使经典的细胞遗传学分析成为获得带有平衡重排的核型明确结果的首选方法。
    Chromosomal translocations can result in phenotypic effects of varying severity, depending on the position of the breakpoints and the rearrangement of genes within the interphase nucleus of the translocated chromosome regions. Balanced translocations are often asymptomatic phenotypically and are typically detected due to a decrease in fertility resulting from issues during meiosis. Robertsonian translocations are among the most common chromosomal abnormalities, often asymptomatic, and can persist in the population as a normal polymorphism. We serendipitously discovered a Robertsonian translocation between chromosome 21 and chromosome 22, which is inherited across three generations without any phenotypic effect, notably only in females. In situ hybridization with alpha-satellite DNAs revealed the presence of both centromeric sequences in the translocated chromosome. The reciprocal translocation resulted in a partial deletion of the short arm of both chromosomes 21, and 22, with the ribosomal RNA genes remaining present in the middle part of the new metacentric chromosome. The rearrangement did not cause alterations to the long arm. The spread of an asymptomatic heterozygous chromosomal polymorphism in a population can lead to mating between heterozygous individuals, potentially resulting in offspring with a homozygous chromosomal configuration for the anomaly they carry. This new karyotype may not produce phenotypic effects in the individual who presents it. The frequency of karyotypes with chromosomal rearrangements in asymptomatic heterozygous form in human populations is likely underestimated, and molecular karyotype by array Comparative Genomic Hybridization (array-CGH) analysis does not allow for the identification of this type of chromosomal anomaly, making classical cytogenetic analysis the preferred method for obtaining clear results on a karyotype carrying a balanced rearrangement.
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  • 文章类型: Journal Article
    海洋中的塑料碎片释放出可能对海洋动物有毒的化合物。最近发现一些海洋细菌可以降解这种渗滤液,但是关于这些细菌多样性的信息大多缺乏。在这项研究中,我们分析了新的低密度聚乙烯(LDPE)和自然风化塑料混合物在渗滤液上生长的细菌多样性,从沙滩上收集。我们使用了催化报告子沉积-荧光原位杂交(CARD-FISH)的组合,生物正交非规范氨基酸标记(BONCAT),和16SrRNA基因扩增子测序,以分析浮游细菌群的特定活性响应以及在辐照和非辐照条件下产生的塑料渗滤液的响应类群的身份。我们发现一些通才类群对所有渗滤液都有反应,其中大多数属于Alteromonadales,海洋螺旋藻,亚硝基球藻,红霉素,和Sphingomonadales命令。然而,也有非通用分类群响应特定的辐照和非辐照渗滤液。我们的研究结果提供了有关细菌分类群的信息,这些分类群可能被用来降解塑料降解过程中释放到海水中的化学物质,从而有助于其生物修复。
    Plastic debris in the ocean releases chemical compounds that can be toxic to marine fauna. It was recently found that some marine bacteria can degrade such leachates, but information on the diversity of these bacteria is mostly lacking. In this study, we analysed the bacterial diversity growing on leachates from new low-density polyethylene (LDPE) and a mix of naturally weathered plastic, collected from beach sand. We used a combination of Catalysed Reporter Deposition-Fluorescence In Situ Hybridization (CARD-FISH), BioOrthogonal Non-Canonical Amino acid Tagging (BONCAT), and 16S rRNA gene amplicon sequencing to analyse bacterioplankton-groups specific activity responses and the identity of the responsive taxa to plastic leachates produced under irradiated and non-irradiated conditions. We found that some generalist taxa responded to all leachates, most of them belonging to the Alteromonadales, Oceanospirillales, Nitrosococcales, Rhodobacterales, and Sphingomonadales orders. However, there were also non-generalist taxa responding to specific irradiated and non-irradiated leachates. Our results provide information about bacterial taxa that could be potentially used to degrade the chemicals released during plastic degradation into seawater contributing to its bioremediation.
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  • 文章类型: Journal Article
    痤疮皮肤杆菌是骨科植入物相关感染(OIAIs)中已知的机会病原体。痤疮梭菌的物种包含不同的系统型。以前的研究表明,痤疮梭菌可以引起单一和多类型的感染,即由不同基因型的多种菌株引起的感染。然而,目前还不知道不同的痤疮丙酸杆菌(C.acnes)在复杂的生物膜群落中是否有组织,这可能构成增加生物膜强度和持久性的多细胞策略。这里,在共培养实验中确定了属于IB和II型的两种痤疮杆菌菌株的相互作用。在液体培养或琼脂平板上没有观察到菌株之间的不利相互作用;相反,当组合两种菌株时,微量滴定板和钛圆盘上的生物膜形成显着增加。荧光原位杂交显示两种菌株在整个生物膜中共同出现。转录组分析显示,与浮游生长相比,生物膜嵌入细胞中基因表达的菌株特异性改变。特别是影响参与碳和氨基酸代谢的基因。总的来说,我们的结果为痤疮梭菌双型生物膜的性质提供了初步的见解,表明属于不同种型的菌株可以形成具有加性效应的生物膜。这些发现可能会影响痤疮梭菌OIAIs在诊断和治疗方面的感知。
    Cutibacterium acnes is a known opportunistic pathogen in orthopedic implant-associated infections (OIAIs). The species of C. acnes comprises distinct phylotypes. Previous studies suggested that C. acnes can cause single- as well as multi-typic infections, i.e. infections caused by multiple strains of different phylotypes. However, it is not known if different C. acnes phylotypes are organized in a complex biofilm community, which could constitute a multicellular strategy to increase biofilm strength and persistency. Here, the interactions of two C. acnes strains belonging to phylotypes IB and II were determined in co-culture experiments. No adverse interactions between the strains were observed in liquid culture or on agar plates; instead, biofilm formation in both microtiter plates and on titanium discs was significantly increased when combining both strains. Fluorescence in situ hybridization showed that both strains co-occurred throughout the biofilm. Transcriptome analyses revealed strain-specific alterations of gene expression in biofilm-embedded cells compared to planktonic growth, in particular affecting genes involved in carbon and amino acid metabolism. Overall, our results provide first insights into the nature of dual-type biofilms of C. acnes, suggesting that strains belonging to different phylotypes can form biofilms together with additive effects. The findings might influence the perception of C. acnes OIAIs in terms of diagnosis and treatment.
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  • 文章类型: Journal Article
    背景:MYBRNA原位杂交(ISH)已成为支持腺样囊性癌(ACC)诊断的可靠且可访问的标志物,虽然还没有很好的研究。这里,我们在验证和前瞻性队列中报告了我们的结果,以提高MYBRNAISH诊断准确性.
    方法:79例(回顾性23例,前瞻性56例)接受了MYBRNAISH检测(44个ACC和35个非ACC)。MYBRNAISH结果最初基于先前建立的(原始)评分标准来解释。加权\"i-scores\",阳性肿瘤细胞百分比,具有大信号的肿瘤细胞百分比(%LS),和染色模式(近腔,弥漫,无焦点图案,或阴性)是逻辑回归模型的输入。将最终模型性能特征与原始评分标准和MYB::NFIBFISH结果进行比较。
    结果:非房型是ACC特有且独有的。所有i分数,%LS,ACC的阳性百分比明显更高。原始评分标准产生了95.5%的灵敏度(Sn),68.6%特异性(Sp),准确率为83.5%。MYB::NFIBFISH的灵敏度为42.9%,100%特异性,60%的准确性。优化性能,简单,和最小的共线性,我们的最终模型被定义为:近腔模式和/或%LS>16.5%,导致93.2%的锡,97.1%Sp,ACC诊断准确率为94.9%。假阴性包括伴有明显肾小管嗜酸性粒细胞增多的ACC和MYBL1::NFIB易位的ACC。最终模型独有的一个假阳性是具有MYB扩增的鼻咽癌。
    结论:MYBRNAISH具有比MYB::NFIBFISH更高的Sn,同时保持高Sp。与原始评分标准相比,我们的模型提供了对特异性的改进,并强调了近腔染色模式和%LS的重要性。尽管如此,替代融合仍然是关键的假阴性,而具有其他MYB激活机制的罕见非ACC可能表现为假阳性.
    BACKGROUND: MYB RNA in situ hybridization (ISH) has emerged as a reliable and accessible marker to support adenoid cystic carcinoma (ACC) diagnosis, though still not well studied. Here, we report our results in a validation and prospective cohort to improve MYB RNA ISH diagnostic accuracy.
    METHODS: 79 cases (23 retrospective and 56 prospective) underwent MYB RNA ISH testing (44 ACC and 35 non-ACC). MYB RNA ISH results were initially interpreted based on previously established (original) scoring criteria. Weighted \"i-scores\", percent positive tumor cells, percent tumor cells with large signals (% LS), and staining pattern (abluminal, diffuse, focal non-patterned, or negative) were inputs for logistic regression models. Final model performance characteristics were compared with original scoring criteria and MYB::NFIB FISH results.
    RESULTS: An abluminal pattern was characteristic and exclusive to ACC. All i-scores, % LS, and percent positive were significantly higher in ACC. Original scoring criteria yielded a 95.5% sensitivity (Sn), 68.6% specificity (Sp), and 83.5% accuracy. MYB::NFIB FISH yielded a 42.9% sensitivity, 100% specificity, and 60% accuracy. Optimizing for performance, simplicity, and minimal collinearity, our final model was defined as: abluminal pattern and/or % LS > 16.5%, which resulted in a 93.2% Sn, 97.1% Sp, and 94.9% accuracy for ACC diagnosis. False negatives included an ACC with striking tubular eosinophilia and a MYBL1::NFIB translocated ACC. One false positive exclusive to the final model was a nasopharyngeal carcinoma with MYB amplification.
    CONCLUSIONS: MYB RNA ISH has a higher Sn than MYB::NFIB FISH while retaining high Sp. Our model provides improvements to specificity compared to original scoring criteria and highlight the importance of abluminal staining pattern and % LS. Nonetheless, alternate fusions remain key false negatives while rare non-ACC with other mechanisms of MYB activation may present as false positives.
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