Ploidies

Ploidies
  • 文章类型: Journal Article
    评估受精的人类胚胎对于体外受精至关重要,人工智能正在彻底改变的任务。用于胚胎质量评估和倍性检测的现有模型可以通过有效地利用延时成像来识别关键发育时间点以最大化预测准确性而得到显着改善。解决这个问题,我们开发并比较了不同胚胎发育阶段的各种胚胎倍性状态预测模型。我们介绍贝拉,一种先进的倍性预测模型,该模型超越了以前基于图像和视频的模型,而无需胚胎学家的输入。BELA使用多任务学习来预测质量分数,然后将其用于预测倍性状态。通过在WeillCornell数据集上实现0.76的接受者工作特征曲线下面积,以区分整倍性和非整倍性胚胎,BELA与在胚胎学家手册分数上训练的模型的性能相匹配。虽然不能替代非整倍体的植入前遗传学检测,BELA举例说明了此类模型如何简化胚胎评估过程。
    Assessing fertilized human embryos is crucial for in vitro fertilization, a task being revolutionized by artificial intelligence. Existing models used for embryo quality assessment and ploidy detection could be significantly improved by effectively utilizing time-lapse imaging to identify critical developmental time points for maximizing prediction accuracy. Addressing this, we develop and compare various embryo ploidy status prediction models across distinct embryo development stages. We present BELA, a state-of-the-art ploidy prediction model that surpasses previous image- and video-based models without necessitating input from embryologists. BELA uses multitask learning to predict quality scores that are thereafter used to predict ploidy status. By achieving an area under the receiver operating characteristic curve of 0.76 for discriminating between euploidy and aneuploidy embryos on the Weill Cornell dataset, BELA matches the performance of models trained on embryologists\' manual scores. While not a replacement for preimplantation genetic testing for aneuploidy, BELA exemplifies how such models can streamline the embryo evaluation process.
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  • 文章类型: Journal Article
    背景:在苜蓿(紫花苜蓿)中,干扰亚种的共存(即苜蓿,falcata和coheulea)的特征在于不同的倍性水平(二倍体和四倍体)以及能够产生未还原(2n)配子的减数分裂突变体的发生,已被有效地组合以建立新的多倍体。有关牧草质量和产量的大量农艺数据为多倍体化的实际利益提供了透彻的见解。然而,关于基因表达和调控的许多潜在分子机制仍未完全探索。在这项研究中,我们旨在通过检查叶片和生殖组织的转录组概况来解决这个差距,对应于花药和雌蕊,在不同时间点从属于双侧性多倍体化产生的后代的二倍体和四倍体紫花苜蓿个体中取样(dBSP和tBSP,分别)和源自单侧性多倍体化(tUSP)的四倍体个体。
    结果:考虑到花药和雌蕊在减少和未减少配子形成中的关键作用,我们首先分析了生殖组织在不同阶段的转录谱,无论倍性水平和样品的来源。通过使用和组合三种不同的分析方法,即加权基因共表达网络分析(WGCNA),tau(τ)分析,和差异表达基因(DEGs)分析,我们确定了一组强大的基因和转录因子可能参与男性孢子发生和配子发生过程,特别是在穿越时,call的合成,和外部形成。随后,我们在同一花期评估,归因于倍性水平的差异(tBSP与dBSP)或原点(tBSP与tUSP)的样品,导致倍性和亲本特异性基因的鉴定。这样,我们确定,例如,在tBSP和dBSP之间的比较中,在花蕾中特异性上调和下调的基因,这可以解释前者与后者材料相比生育力降低。
    结论:虽然这项研究主要作为转录组水平的广泛研究,提供的数据不仅可以代表科学界宝贵的原始资产,而且可以为苜蓿的功能分析提供完全可利用的基因组资源。
    BACKGROUND: In alfalfa (Medicago sativa), the coexistence of interfertile subspecies (i.e. sativa, falcata and coerulea) characterized by different ploidy levels (diploidy and tetraploidy) and the occurrence of meiotic mutants capable of producing unreduced (2n) gametes, have been efficiently combined for the establishment of new polyploids. The wealth of agronomic data concerning forage quality and yield provides a thorough insight into the practical benefits of polyploidization. However, many of the underlying molecular mechanisms regarding gene expression and regulation remained completely unexplored. In this study, we aimed to address this gap by examining the transcriptome profiles of leaves and reproductive tissues, corresponding to anthers and pistils, sampled at different time points from diploid and tetraploid Medicago sativa individuals belonging to progenies produced by bilateral sexual polyploidization (dBSP and tBSP, respectively) and tetraploid individuals stemmed from unilateral sexual polyploidization (tUSP).
    RESULTS: Considering the crucial role played by anthers and pistils in the reduced and unreduced gametes formation, we firstly analyzed the transcriptional profiles of the reproductive tissues at different stages, regardless of the ploidy level and the origin of the samples. By using and combining three different analytical methodologies, namely weighted-gene co-expression network analysis (WGCNA), tau (τ) analysis, and differentially expressed genes (DEGs) analysis, we identified a robust set of genes and transcription factors potentially involved in both male sporogenesis and gametogenesis processes, particularly in crossing-over, callose synthesis, and exine formation. Subsequently, we assessed at the same floral stage, the differences attributable to the ploidy level (tBSP vs. dBSP) or the origin (tBSP vs. tUSP) of the samples, leading to the identification of ploidy and parent-specific genes. In this way, we identified, for example, genes that are specifically upregulated and downregulated in flower buds in the comparison between tBSP and dBSP, which could explain the reduced fertility of the former compared to the latter materials.
    CONCLUSIONS: While this study primarily functions as an extensive investigation at the transcriptomic level, the data provided could represent not only a valuable original asset for the scientific community but also a fully exploitable genomic resource for functional analyses in alfalfa.
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  • 文章类型: Journal Article
    IVF实验室通常在合子阶段采用形态学原核评估,以鉴定被认为不适合临床使用的异常受精胚胎。实质上,这是对倍性的伪遗传测试,其动机是双亲二倍性是正常人类生活所必需的,异常倍性会导致植入失败,流产,或严重的妊娠并发症,包括磨牙妊娠和绒毛膜癌.这里,我们回顾了与从受精卵中获得的人类胚胎的倍性评估相关的文献,这些受精卵显示出除规范两种外的原核构型,以及转移后相关的妊娠结局。我们强调原核评估,尽管与异常倍性结果相关,在发育中胚胎异常倍性状态的预测中具有低特异性,而被认为异常受精的胚胎可以产生健康的怀孕。因此,这种普遍的原核评估策略总是导致对来自非典型原核受精卵的超过50%的胚泡进行不正确的分类,以及在试管婴儿中系统处置潜在存活的胚胎。为了克服当前实践的这种局限性,我们讨论了能够准确鉴定植入前胚胎倍性状态的新的植入前基因检测技术,并提出了从形态学检查到分子受精检查作为新的金标准的进展.这种替代分子受精检查代表了IVF中活产率的可能的非增量和无争议的改善,因为它增加了可用于转移的存活胚胎库。这对于“家庭建设”或胚胎数量通常有限的不良预后IVF患者尤其重要。
    IVF laboratories routinely adopt morphological pronuclear assessment at the zygote stage to identify abnormally fertilized embryos deemed unsuitable for clinical use. In essence, this is a pseudo-genetic test for ploidy motivated by the notion that biparental diploidy is required for normal human life and abnormal ploidy will lead to either failed implantation, miscarriage, or significant pregnancy complications, including molar pregnancy and chorionic carcinoma. Here, we review the literature associated with ploidy assessment of human embryos derived from zygotes displaying a pronuclear configuration other than the canonical two, and the related pregnancy outcome following transfer. We highlight that pronuclear assessment, although associated with aberrant ploidy outcomes, has a low specificity in the prediction of abnormal ploidy status in the developing embryo, while embryos deemed abnormally fertilized can yield healthy pregnancies. Therefore, this universal strategy of pronuclear assessment invariably leads to incorrect classification of over 50% of blastocysts derived from atypically pronucleated zygotes, and the systematic disposal of potentially viable embryos in IVF. To overcome this limitation of current practice, we discuss the new preimplantation genetic testing technologies that enable accurate identification of the ploidy status of preimplantation embryos and suggest a progress from morphology-based checks to molecular fertilization check as the new gold standard. This alternative molecular fertilization checking represents a possible non-incremental and controversy-free improvement to live birth rates in IVF as it adds to the pool of viable embryos available for transfer. This is especially important for the purposes of \'family building\' or for poor-prognosis IVF patients where embryo numbers are often limited.
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  • 文章类型: Journal Article
    在过去的150年中,陆生植物交替的演变一直是一个悬而未决的问题。两个假设主导了讨论:反对假设,假设二倍体孢子体的产生是从头产生的,并且复杂性逐渐增加,和同源假说,认为陆地植物祖先具有相似复杂性的独立生活的孢子体和单倍体配子体。倍性水平的变化是早期研究人员未知的。反对假说与下泥盆纪Rhyniechert植物的生成周期相矛盾,其孢子体和配子体具有相似的形态,并且某些志留纪孢子体的复杂性超过了Rhyniechert孢子体。最古老的明确苔藓植物配子体(thalli)来自中泥盆纪,附近有一个未连接的孢子体。基于2024年的发现,共轭藻类与陆地植物是共生的,我们为陆地植物生成周期的进化提出了一个新的假设,专注于共轭藻类中的不稳定倍性水平和繁殖类型。我们的“性不稳定性”假设假定了一段不稳定的世代周期(关于倍性),可能是主要的克隆生长,正如在共轭藻类中常见的那样,形成形态相似的孢子体和配子体。当有性生殖变得稳定时,配子融合的时机,减数分裂,和抵抗壁的形成,在一些共轭藻类中是异慢性的,变得标准化了,墙的形成永久延迟。在我们的场景中,独立生活的成年孢子体是陆地植物的祖先条件,而终生保留在配子体上的孢子体是苔藓植物的脱形。
    The evolution of the land plant alternation of generations has been an open question for the past 150 years. Two hypotheses have dominated the discussion: the antithetic hypothesis, which posits that the diploid sporophyte generation arose de novo and gradually increased in complexity, and the homologous hypothesis, which holds that land plant ancestors had independently living sporophytes and haploid gametophytes of similar complexity. Changes in ploidy levels were unknown to early researchers. The antithetic hypothesis is contradicted by generation cycles in Lower Devonian Rhynie chert plants, whose sporophytes and gametophytes have similar morphologies and by some Silurian sporophytes whose complexity exceeds that of Rhynie chert sporophytes. The oldest unambiguous bryophyte gametophytes (thalli) are from the upper Middle Devonian, with an unconnected sporophyte nearby. Based on the 2024 discovery that conjugate algae are paraphyletic to land plants, we present a new hypothesis for the evolution of the land plant generation cycle, focusing on labile ploidy levels and types of reproduction found in conjugate algae. Our \'sexual lability\' hypothesis assumes a period of unstable generation cycles (as regards ploidy), likely with predominant clonal growth, as is common in conjugate algae, resulting in sporophytes and gametophytes of similar morphology. When sexual reproduction became stabilized, the timing of gamete fusion, meiosis, and resistant wall formation, which are heterochronic in some conjugate algae, became standardized, with wall formation permanently delayed. In our scenario, independently living adult sporophytes are the land plant ancestral condition, and life-long sporophyte retention on the gametophyte is a bryophyte apomorphy.
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  • 文章类型: Journal Article
    紫外线(UV)辐射会影响生物体的发育和基因组稳定性;然而,它对减数分裂的影响,一种特殊的细胞分裂,对于在真核生物中跨代传递遗传信息至关重要,尚未阐明。在这项研究中,通过进行细胞遗传学研究,我们报告说,紫外线辐射不会损害减数分裂染色体的完整性,但会减弱着丝粒介导的染色体稳定性,并诱导拟南芥中不减少的配子。我们表明,功能性着丝粒特异性组蛋白3(CENH3)是专性交叉形成所必需的,并且在紫外线胁迫下保护姐妹染色单体内聚力中发挥作用。此外,我们发现紫外线在减数分裂II时特别改变纺锤体和原生质体的方向和组织,导致减数分裂恢复和配子未减少。我们确定紫外线诱导的减数分裂恢复不依赖于紫外线抗性基因座8介导的紫外线感知以及绒毡层发育和功能-和流产的小孢子依赖性绒毡层发育,但可能通过改变JASON函数和下调并行Spindle1发生。这项研究提供了证据,表明紫外线辐射会影响开花植物的减数分裂基因组稳定性和配子体倍性一致性。
    Ultraviolet (UV) radiation influences development and genome stability in organisms; however, its impact on meiosis, a special cell division essential for the delivery of genetic information across generations in eukaryotes, has not yet been elucidated. In this study, by performing cytogenetic studies, we reported that UV radiation does not damage meiotic chromosome integrity but attenuates centromere-mediated chromosome stability and induces unreduced gametes in Arabidopsis thaliana. We showed that functional centromere-specific histone 3 (CENH3) is required for obligate crossover formation and plays a role in the protection of sister chromatid cohesion under UV stress. Moreover, we found that UV specifically alters the orientation and organization of spindles and phragmoplasts at meiosis II, resulting in meiotic restitution and unreduced gametes. We determined that UV-induced meiotic restitution does not rely on the UV Resistance Locus8-mediated UV perception and the Tapetal Development and Function1- and Aborted Microspores-dependent tapetum development, but possibly occurs via altered JASON function and downregulated Parallel Spindle1. This study provides evidence that UV radiation influences meiotic genome stability and gametophytic ploidy consistency in flowering plants.
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  • 文章类型: Journal Article
    目的:内细胞团密度(ICM)能否成为人类胚泡质量的新指标?
    结论:本研究建立的致密化指数(DI)可以量化ICM密度,为倍性提供积极指导,怀孕,和活产。
    背景:在评估ICM的质量时,生殖保健诊所仍使用尺寸指标,而无需进一步评估。目前这种方法的主要缺点是胚泡ICM的评估相对粗糙,不能满足临床胚胎学家的需求,特别是当多个胚泡具有相同的ICM评分时,这使得它们难以进一步评估。
    方法:这项观察性研究包括了2018年1月至2021年11月1991年冻融胚胎移植(FET)周期的2272个囊胚和2019年1月至2023年2月430个植入前遗传检测周期的1105个囊胚的数据。
    方法:FET,ICSI,胚泡培养,滋养外胚层活检,延时(TL)监测,并进行了下一代测序。经过初步的样本量选择,对TL系统捕获的11幅焦平面图像进行归一化处理,并使用空间频率构造ICM的DI。
    结果:本研究成功构建了定量指标DI,该指标可在融合和纹理特征方面反映ICM密度的程度。DI值越高,胚泡ICM的密度越好,胚泡为整倍体(P<0.001),妊娠(P<0.001)和活产(P=0.005)的机会越高。在具有ICM分级B和囊胚分级4BB的囊胚中,DI也与倍性呈正相关,怀孕,和活产(P<0.05)。ROC分析表明,结合Gardner评分系统和DI可以更有效地预测妊娠和活产,与单独使用Gardner评分系统相比。
    结论:DI值的精确计算对图像质量提出了很高的要求,需要手动选择最清晰的焦平面和曝光控制。不能使用ICM不完全在视场内的图像。未评估ICM密度与染色体镶嵌性之间的关联。还没有评估ICM密度与胚胎实验室中不同辅助生殖技术和不同培养条件之间的关联。需要进行前瞻性研究以进一步研究ICM密度对临床结果的影响。
    结论:ICM密度评估是胚泡评估的新方向。本研究探索了评估囊胚ICM密度的新方法,并开发了ICM密度的定量指标和相应的定性评估方案。本研究开发的囊胚ICM的DI易于计算,只需要TL设备和图像处理,为临床结局提供积极指导。ICM密度的定性评估方案可以帮助没有TL设备的胚胎学家手动评估ICM密度。ICM密度是一个简单的指标,可以在实践中使用,是目前大多数中心使用的胚泡评分系统的良好补充。
    背景:这项工作得到了国家重点研究发展计划(2021YFC2700603)的支持。作者报告没有财务或商业利益冲突。
    背景:不适用。
    OBJECTIVE: Can the density of the inner cell mass (ICM) be a new indicator of the quality of the human blastocyst?
    CONCLUSIONS: The densification index (DI) developed in this study can quantify ICM density and provide positive guidance for ploidy, pregnancy, and live birth.
    BACKGROUND: In evaluating the quality of ICM, reproductive care clinics still use size indicators without further evaluation. The main disadvantage of this current method is that the evaluation of blastocyst ICM is relatively rough and cannot meet the needs of clinical embryologists, especially when multiple blastocysts have the same ICM score, which makes them difficult to evaluate further.
    METHODS: This observational study included data from 2272 blastocysts in 1991 frozen-thawed embryo transfer (FET) cycles between January 2018 to November 2021 and 1105 blastocysts in 430 preimplantation genetic testing cycles between January 2019 and February 2023.
    METHODS: FET, ICSI, blastocyst culture, trophectoderm biopsy, time-lapse (TL) monitoring, and next-generation sequencing were performed. After preliminary sample size selection, the 11 focal plane images captured by the TL system were normalized and the spatial frequency was used to construct the DI of the ICM.
    RESULTS: This study successfully constructed a quantitative indicator DI that can reflect the degree of ICM density in terms of fusion and texture features. The higher the DI value, the better the density of the blastocyst ICM, and the higher the chances that the blastocyst was euploid (P < 0.001) and that pregnancy (P < 0.001) and live birth (P = 0.005) were reached. In blastocysts with ICM graded B and blastocysts graded 4BB, DI was also positively associated with ploidy, pregnancy, and live birth (P < 0.05). ROC analysis showed that combining the Gardner scoring system with DI can more effectively predict pregnancy and live births, when compared to using the Gardner scoring system alone.
    CONCLUSIONS: Accurate calculation of the DI value places high demands on image quality, requiring manual selection of the clearest focal plane and exposure control. Images with the ICM not completely within the field of view cannot be used. The association between the density of ICM and chromosomal mosaicism was not evaluated. The associations between the density of ICM and different assisted reproductive technologies and different culture conditions in embryo laboratories were also not evaluated. Prospective studies are needed to further investigate the impact of ICM density on clinical outcomes.
    CONCLUSIONS: ICM density assessment is a new direction in blastocyst assessment. This study explores new ways of assessing blastocyst ICM density and develops quantitative indicators and a corresponding qualitative evaluation scheme for ICM density. The DI of the blastocyst ICM developed in this study is easy to calculate and requires only TL equipment and image processing, providing positive guidance for clinical outcomes. The qualitative evaluation scheme of ICM density can assist embryologists without TL equipment to manually evaluate ICM density. ICM density is a simple indicator that can be used in practice and is a good complement to the blastocyst scoring systems currently used in most centers.
    BACKGROUND: This work was supported by the National Key Research & Development Program of China (2021YFC2700603). The authors report no financial or commercial conflicts of interest.
    BACKGROUND: N/A.
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  • 文章类型: Journal Article
    多倍体是植物多样化的突出驱动力,伴随着影响基因表达的巨大染色体重排和表观遗传变化。亚基因组内部和之间的染色质相互作用如何适应倍性转换仍然知之甚少。我们为天然六倍体小麦(AABBDD)生成开放的染色质相互作用图,提取的四倍体小麦(AABB),二倍体小麦祖细胞Aegilopstauschii(DD)和重新合成的六倍体小麦(RHW,AABBDD).在分离D亚基因组后,AB亚基因组中从头建立或消失了数千个染色体内和染色体间环,其中37-95%的新环在D基因组合并后在RHW中再次丢失。有趣的是,超过一半的新环是由AB和D亚基因组之间染色质相互作用的破坏触发的级联反应形成的。RHW中的相互作用抑制基因相对于DD的表达被抑制,导致三个同系物在RHW中的表达更平衡。级联锚的相互作用水平逐步降低。与产量和植物结构相关的数量性状基因座的主要单核苷酸多态性在级联锚中显着富集。与这些锚相互作用的116个基因的表达与相应的性状显着相关。我们的发现揭示了多倍体物种基因组合并和分离过程中染色体间相互作用对染色体内环的反式调节。
    Polyploidy is a prominent driver of plant diversification, accompanied with dramatic chromosomal rearrangement and epigenetic changes that affect gene expression. How chromatin interactions within and between subgenomes adapt to ploidy transition remains poorly understood. We generate open chromatin interaction maps for natural hexaploid wheat (AABBDD), extracted tetraploid wheat (AABB), diploid wheat progenitor Aegilops tauschii (DD) and resynthesized hexaploid wheat (RHW, AABBDD). Thousands of intra- and interchromosomal loops are de novo established or disappeared in AB subgenomes after separation of D subgenome, in which 37-95% of novel loops are lost again in RHW after merger of D genome. Interestingly, more than half of novel loops are formed by cascade reactions that are triggered by disruption of chromatin interaction between AB and D subgenomes. The interaction repressed genes in RHW relative to DD are expression suppressed, resulting in more balanced expression of the three homoeologs in RHW. The interaction levels of cascade anchors are decreased step-by-step. Leading single nucleotide polymorphisms of yield- and plant architecture-related quantitative trait locus are significantly enriched in cascade anchors. The expression of 116 genes interacted with these anchors are significantly correlated with the corresponding traits. Our findings reveal trans-regulation of intrachromosomal loops by interchromosomal interactions during genome merger and separation in polyploid species.
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  • 文章类型: Journal Article
    目的:在人类原核期胚胎中,原核轴与第一卵裂平面形成之间存在关系吗?
    方法:对移植的胚胎进行随访直至其预后。在延时培养箱中正常受精后,总共有762个胚胎形成了两个细胞,并达到了胚泡期。胚胎分为三组:A组:第一个分裂平面平行于原核轴形成的胚胎;B组:观察到斜向形成的胚胎;C组:观察到垂直形成的胚胎。
    结果:A、B组的整倍体率明显高于C组(P<0.01),而C组的非整倍体率显着高于A组和B组(P<0.01)。基于HCG的妊娠试验阳性频率三组之间没有差异,临床妊娠的频率,流产率或分娩率。
    结论:相对于原核轴的第一分裂平面的形成模式是胚胎倍性的预测指标,当第一个分裂平面垂直于原核轴时,观察到的整倍体率降低,非整倍体的可能性很高。
    OBJECTIVE: Is there a relationship between the pronuclear axis and the first cleavage plane formation in human pronuclear-stage embryos, and what are the effects on ploidy and clinical pregnancy rates?
    METHODS: Transferred embryos were followed up until their prognoses. A total of 762 embryos formed two cells and reached the blastocyst stage after normal fertilization in a time-lapse incubator. Embryos were classified into three groups: group A: embryos in which the first plane of division was formed parallel to the axis of the pronucleus; group B: embryos in which cases of oblique formation were observed; and group C: embryos in which cases of perpendicular formation were observed.
    RESULTS: The euploidy rate was significantly higher in groups A and B than those in group C (P < 0.01), whereas the aneuploidy rate was significantly higher in group C (P < 0.01) than in groups A and B. No differences were found between the three groups in frequency of positive HCG-based pregnancy tests, frequency of clinical pregnancies, miscarriage rates or delivery rates.
    CONCLUSIONS: The formation pattern of the first plane of division relative to the pronuclear axis was a predictor of embryonic ploidy, with a reduced rate of euploidy and a high probability of aneuploidy observed when the first plane of division was perpendicular to the pronuclear axis.
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  • 文章类型: Journal Article
    背景:当前针对主动监测(AS)的前列腺癌患者的风险分层工具可能不足以识别需要治疗的患者。我们研究了DNA倍体和PTEN作为预测AS患者侵袭性疾病的潜在生物标志物。
    方法:我们在挪威当地医院的558例AS患者的3197个肿瘤组织块中,通过图像细胞计数和免疫组织化学评估了DNA倍性和PTEN蛋白表达。主要终点是治疗,以治疗失败(生化复发或开始抢救治疗)为次要终点。
    结果:在单变量和多变量分析中,诊断时DNA倍体和PTEN(DPP)状态的组合与无治疗生存率相关,与人力资源的DPP异常与DPP正常肿瘤为2.12(p<0.0001)和1.94(p<0.0001),分别。DNA倍体和PTEN状态与前列腺癌风险评估(CAPRA)评分的整合改善了风险分层(c指数差异=0.025;p=0.0033)。在接受治疗的患者中,DPP异常肿瘤患者治疗失败的可能性显著较高(HR2.01;p=0.027).
    结论:DNA倍性和PTEN可以作为额外的生物标志物来识别AS患者发展为侵袭性疾病的风险增加,能够对近50%的患者进行早期干预,这些患者最终将接受当前方案的治疗。
    BACKGROUND: Current risk stratification tools for prostate cancer patients under active surveillance (AS) may inadequately identify those needing treatment. We investigated DNA ploidy and PTEN as potential biomarkers to predict aggressive disease in AS patients.
    METHODS: We assessed DNA ploidy by image cytometry and PTEN protein expression by immunohistochemistry in 3197 tumour-containing tissue blocks from 558 patients followed in AS at a Norwegian local hospital. The primary endpoint was treatment, with treatment failure (biochemical recurrence or initiation of salvage therapy) as the secondary endpoint.
    RESULTS: The combined DNA ploidy and PTEN (DPP) status at diagnosis was associated with treatment-free survival in univariable- and multivariable analysis, with a HR for DPP-aberrant vs. DPP-normal tumours of 2.12 (p < 0.0001) and 1.94 (p < 0.0001), respectively. Integration of DNA ploidy and PTEN status with the Cancer of the Prostate Risk Assessment (CAPRA) score improved risk stratification (c-index difference = 0.025; p = 0.0033). Among the treated patients, those with DPP-aberrant tumours exhibited a significantly higher likelihood of treatment failure (HR 2.01; p = 0.027).
    CONCLUSIONS: DNA ploidy and PTEN could serve as additional biomarkers to identify AS patients at increased risk of developing aggressive disease, enabling earlier intervention for nearly 50% of the patients that will eventually receive treatment with current protocol.
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  • 文章类型: Journal Article
    卵巢高级别浆液性癌(HGSC)起源于输卵管,分泌细胞携带TP53突变,被称为p53签名,被确定为潜在的前体。p53标志演变为浆液性输卵管上皮内癌(STIC)病变,进而发展为侵入性HGSC,容易扩散到卵巢并散布在腹膜腔周围。我们最近调查了早期和晚期HGSC的基因组景观,发现晚期(中位数3.1)的倍性高于早期(中位数2.0)的样品。这里,为了探索在晚期疾病中观察到的高倍性和可能的全基因组重复(WGD)是否在HGSC的进化早期被确定,我们分析了5例HGSC患者的福尔马林固定石蜡包埋(FFPE)存档样本.使用浅层全基因组测序(sWGS)对p53特征和STIC病变进行激光捕获显微解剖和测序,而浸润性卵巢/输卵管和转移性癌样本接受了宏观解剖,并使用sWGS和靶向下一代测序进行了分析.结果显示,每位患者的STIC病变和浸润性癌样本之间的整体拷贝数变化模式非常相似。STIC病变的倍性改变明显,但不是p53信号,STIC病变的倍性与每位患者的浸润性卵巢/输卵管和转移性样本之间存在很强的相关性。从相对拷贝数重建每位患者的样本系统发育表明,高倍性,当存在时,发生在HGSC进化的早期,通过卵巢和转移性肿瘤的拷贝数特征进一步验证。这些发现表明异常倍性,暗示WGD,在HGSC早期出现,并在STIC病变中检测到,这意味着HGSC的轨迹可以在肿瘤发展的最早阶段确定。©2024作者(S)。由JohnWiley&SonsLtd代表英国和爱尔兰病理学会出版的病理学杂志。
    Ovarian high-grade serous carcinoma (HGSC) originates in the fallopian tube, with secretory cells carrying a TP53 mutation, known as p53 signatures, identified as potential precursors. p53 signatures evolve into serous tubal intraepithelial carcinoma (STIC) lesions, which in turn progress into invasive HGSC, which readily spreads to the ovary and disseminates around the peritoneal cavity. We recently investigated the genomic landscape of early- and late-stage HGSC and found higher ploidy in late-stage (median 3.1) than early-stage (median 2.0) samples. Here, to explore whether the high ploidy and possible whole-genome duplication (WGD) observed in late-stage disease were determined early in the evolution of HGSC, we analysed archival formalin-fixed paraffin-embedded (FFPE) samples from five HGSC patients. p53 signatures and STIC lesions were laser-capture microdissected and sequenced using shallow whole-genome sequencing (sWGS), while invasive ovarian/fallopian tube and metastatic carcinoma samples underwent macrodissection and were profiled using both sWGS and targeted next-generation sequencing. Results showed highly similar patterns of global copy number change between STIC lesions and invasive carcinoma samples within each patient. Ploidy changes were evident in STIC lesions, but not p53 signatures, and there was a strong correlation between ploidy in STIC lesions and invasive ovarian/fallopian tube and metastatic samples in each patient. The reconstruction of sample phylogeny for each patient from relative copy number indicated that high ploidy, when present, occurred early in the evolution of HGSC, which was further validated by copy number signatures in ovarian and metastatic tumours. These findings suggest that aberrant ploidy, suggestive of WGD, arises early in HGSC and is detected in STIC lesions, implying that the trajectory of HGSC may be determined at the earliest stages of tumour development. © 2024 The Author(s). The Journal of Pathology published by John Wiley & Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland.
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