genetic biomarkers

遗传生物标志物
  • 文章类型: Editorial
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  • 文章类型: Journal Article
    肝癌,主要是肝细胞癌,随着发病率上升和治疗选择有限,仍然是全球健康挑战。遗传因素在肝癌的发生发展中起着关键作用。这篇最先进的论文对肝癌遗传筛查策略的现状进行了全面的回顾。我们讨论肝癌的遗传基础,强调与风险相关的遗传变异的关键作用,体细胞突变,和表观遗传改变。我们还探讨了环境因素和遗传学之间复杂的相互作用,强调基因筛查如何通过使用液体活检来帮助风险分层和早期检测,以及高通量测序技术的进步。综合最新的研究成果,我们的目标是全面概述最先进的肝癌基因筛查方法,揭示了它们彻底改变早期检测的潜力,风险评估,和有针对性的治疗来对抗这种毁灭性的疾病。
    Liver cancer, primarily hepatocellular carcinoma, remains a global health challenge with rising incidence and limited therapeutic options. Genetic factors play a pivotal role in the development and progression of liver cancer. This state-of-the-art paper provides a comprehensive review of the current landscape of genetic screening strategies for liver cancer. We discuss the genetic underpinnings of liver cancer, emphasizing the critical role of risk-associated genetic variants, somatic mutations, and epigenetic alterations. We also explore the intricate interplay between environmental factors and genetics, highlighting how genetic screening can aid in risk stratification and early detection via using liquid biopsy, and advancements in high-throughput sequencing technologies. By synthesizing the latest research findings, we aim to provide a comprehensive overview of the state-of-the-art genetic screening methods for liver cancer, shedding light on their potential to revolutionize early detection, risk assessment, and targeted therapies in the fight against this devastating disease.
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  • 文章类型: Journal Article
    结直肠癌(CRC)是最常见的癌症类型之一,全球发病率和死亡率都很高。发展CRC的延长时间框架允许潜在的筛查和疾病的早期识别。此外,研究表明,在早期阶段进行诊断时,癌症患者的生存率会增加。最近的研究表明,CRC的发展,包括癌前病变,不仅受遗传因素的影响,还受表观遗传变量的影响。研究表明,表观遗传学在癌症发展中起着重要作用,尤其是CRC。虽然这种方法仍处于早期阶段,并且由于CRC的可变性而面临挑战,它显示了作为理解和解决疾病的潜在方法的希望。这篇综述审查了目前支持遗传和表观遗传生物标志物用于筛查和诊断的证据。此外,我们还讨论了将这些方法学转化为临床环境的可行性.几个标记显示出有希望的潜力,包括波形蛋白(VIM)的甲基化,syndecan-2(SDC2),和9号(9号)。然而,它们作为筛查和诊断工具的应用,尤其是早期CRC,尚未完全优化,它们的有效性需要大量的验证,多中心患者人群。将遗传和表观遗传生物标志物转化为实际临床应用需要广泛的试验和进一步的研究。生物标志物,诊断生物标志物。
    Colorectal cancer (CRC) is one of the most frequent types of cancer, with high incidence rates and mortality globally. The extended timeframe for developing CRC allows for the potential screening and early identification of the disease. Furthermore, studies have shown that survival rates for patients with cancer are increased when diagnoses are made at earlier stages. Recent research suggests that the development of CRC, including its precancerous lesion, is influenced not only by genetic factors but also by epigenetic variables. Studies suggest epigenetics plays a significant role in cancer development, particularly CRC. While this approach is still in its early stages and faces challenges due to the variability of CRC, it shows promise as a potential method for understanding and addressing the disease. This review examined the current evidence supporting genetic and epigenetic biomarkers for screening and diagnosis. In addition, we also discussed the feasibility of translating these methodologies into clinical settings. Several markers show promising potential, including the methylation of vimentin (VIM), syndecan-2 (SDC2), and septin 9 (SEPT9). However, their application as screening and diagnostic tools, particularly for early-stage CRC, has not been fully optimized, and their effectiveness needs validation in large, multi-center patient populations. Extensive trials and further investigation are required to translate genetic and epigenetic biomarkers into practical clinical use. biomarkers, diagnostic biomarkers.
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  • 文章类型: Journal Article
    癌症是全球主要的死亡原因,它将受益于早期阶段的诊断方法。然而,尽管进行了大量的研究和投资,癌症早期诊断仍不发达。由于其高灵敏度,基于表面增强拉曼光谱(SERS)的生物标志物检测在该领域引起了越来越多的兴趣。寡核苷酸是一种重要的遗传生物标志物,因为它们的改变可能在症状发作之前与疾病有关。我们提出了一个支持机器学习(ML)的框架来分析复杂的短直接SERS光谱,单链DNA和RNA靶标,以鉴定遗传生物标志物中发生的相关突变,这是关键的疾病指标。首先,通过采用特设合成的胶体银纳米颗粒作为SERS基底,我们使用直接SERS传感方法分析ssDNA和RNA序列中的单碱基突变。然后,提出了一种基于ML的假设检验来鉴定这些变化并区分突变序列与相应的天然序列。植根于“功能数据分析”,这种ML方法充分利用了SERS光谱数据中的丰富信息和依赖关系,以提高建模和检测能力。对大量DNA和RNASERS数据进行了测试,包括来自miR-21(一种已知的癌症miRNA生物标志物),我们的方法被证明可以准确区分从不同寡核苷酸获得的SERS光谱,在多个性能指标上优于各种数据驱动的方法,包括准确性,灵敏度,特异性,和F1分数。因此,这项工作代表了SERS和ML联合使用作为疾病诊断的有效方法在临床上具有实际适用性的进展.
    Cancer is globally a leading cause of death that would benefit from diagnostic approaches detecting it in its early stages. However, despite much research and investment, cancer early diagnosis is still underdeveloped. Owing to its high sensitivity, surface-enhanced Raman spectroscopy (SERS)-based detection of biomarkers has attracted growing interest in this area. Oligonucleotides are an important type of genetic biomarkers as their alterations can be linked to the disease prior to symptom onset. We propose a machine-learning (ML)-enabled framework to analyze complex direct SERS spectra of short, single-stranded DNA and RNA targets to identify relevant mutations occurring in genetic biomarkers, which are key disease indicators. First, by employing ad hoc-synthesized colloidal silver nanoparticles as SERS substrates, we analyze single-base mutations in ssDNA and RNA sequences using a direct SERS-sensing approach. Then, an ML-based hypothesis test is proposed to identify these changes and differentiate the mutated sequences from the corresponding native ones. Rooted in \"functional data analysis,\" this ML approach fully leverages the rich information and dependencies within SERS spectral data for improved modeling and detection capability. Tested on a large set of DNA and RNA SERS data, including from miR-21 (a known cancer miRNA biomarker), our approach is shown to accurately differentiate SERS spectra obtained from different oligonucleotides, outperforming various data-driven methods across several performance metrics, including accuracy, sensitivity, specificity, and F1-scores. Hence, this work represents a step forward in the development of the combined use of SERS and ML as effective methods for disease diagnosis with real applicability in the clinic.
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  • 文章类型: Journal Article
    帕金森病(PD)是一种复杂的神经系统疾病,由黑质致密部多巴胺能神经元的进行性丧失所描绘的退行性临床状况,表现为患者无数的感觉运动和非运动体征。这种疾病的发生是由于大脑中神经递质多巴胺的水平降低,这主要与移动性和认知方面的功能特征有关。基底神经节主要参与认知功能的产生,因此是PD中最重要的相关区域。由于PD的经典诊断和评估主要取决于运动特征的出现,仅在〜60-80%的多巴胺神经元细胞死亡已经发生时才出现,我们必须专注于识别生物标志物,以帮助我们在疾病进展的早期阶段评估和诊断PD,从而为患者提供更好的预后。这篇综述文章将重点介绍目前可用和正在使用的不同生物标志物,分为临床标题,生物,成像,和遗传生物标志物,并评估其特异性和敏感性,为患者提供早期帕金森病评估,以及使用分子生物标志物进行临床前诊断的未来。PD影响全球超过1%的人口,在其发病率和随之而来的社会经济负担方面仅次于阿尔茨海默病。虽然最近生物标志物的突破显著改善了患者的生存和预后几率,它仍然主要是一种有症状的诊断工具.这是一个需要专注于创造更先进的方法来早期诊断PD的研究领域。涉及临床诊断,神经成像技术,和分子生物学合作,以提供帕金森病患者应得的最高程度的护理和生活质量。
    Parkinson\'s disease (PD) is a complex neurological, degenerative clinical condition depicted by the advancing loss of dopaminergic neurons in the substantia nigra pars compacta, which manifests itself as a myriad of sensorimotor and non-motor signs in patients. The disease occurs due to the reduced levels of the neurotransmitter dopamine in the brain, which is primarily associated with functional characteristics regarding mobility and cognition. The basal ganglion is mainly involved in the generation of cognitive functions and therefore is the most significantly associated area in PD. Since the classical diagnosis and assessment of PD depends majorly on the appearance of motor characteristics, which only arise when ~60-80% of the dopamine neuronal cell death has already occurred, it is imperative we focus on identifying biomarkers that can help us assess and diagnose PD in the earlier stages of disease progression, thus providing a better prognosis for the patients. This review article will focus on the different biomarkers that are currently available and in use, divided under the headings of clinical, biological, imaging, and genetic biomarkers, and assess their specificity and sensitivity toward providing an early assessment of Parkinson\'s for the patients and the future of preclinical diagnostics using molecular biomarkers. PD affects over 1% of the population worldwide and only ranks second to Alzheimer\'s disease in the context of its incidence and consequent socioeconomic burden. While recent breakthroughs in biomarkers have dramatically improved patients\' odds of survival and prognosis, it still remains primarily a symptomatic diagnostic tool. It is an area of research that requires to focus on creating more advanced approaches toward diagnosing PD early, involving clinical diagnostics, neuroimaging technology, and molecular biology collaborations to provide the highest degree of care and quality of life that a Parkinson\'s patient deserves.
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  • 文章类型: Journal Article
    创伤后应激障碍(PTSD)是一种精神障碍,可以在经历创伤事件后发展。这项工作的目的是探索基因和遗传变异在PTSD的发生和发展中的作用。
    通过三种方法论方法,将与PTSD相关的122个基因和184个单核苷酸多态性(SNP)编译到PTSD的单基因储存库中。使用PharmGKB和DrugTargetor,323个候选药物被鉴定为靶向这122个基因。根据遗传关联的统计学意义选择了前17名候选药物,以及它们的混杂性(相关基因目标的数量),并进一步评估了它们在生物利用度和药物样特征方面的适用性。通过功能分析,获得了对生物过程的见解,细胞成分,和参与PTSD的分子功能。这为本研究的下一个方面奠定了基础,该方面是通过探索药物再利用方法来提出PTSD的有效治疗方法。
    主要目的是确定具有最有利特征的药物,可用作PTSD治疗的药理学方法。尤其是,根据每个个体的遗传变异,可以识别相关的生物途径,提出的候选药物将专门针对所述途径,考虑到这项工作的个性化方面。结果表明,用作PTSD的非标签治疗的药物具有良好的药代动力学特征,并且由DrugTargetor产生的潜在候选药物不是很有前途。氯氮平显示出良好的药代动力学特征,并与精神症状减轻有关。Ambrucin还显示出有希望的药代动力学特征,但主要与癌症治疗有关。
    UNASSIGNED: Post-Traumatic Stress Disorder (PTSD) is a mental disorder that can develop after experiencing traumatic events. The aim of this work is to explore the role of genes and genetic variations in the development and progression of PTSD.
    UNASSIGNED: Through three methodological approaches, 122 genes and 184 Single Nucleotide Polymorphisms (SNPs) associated with PTSD were compiled into a single gene repository for PTSD. Using PharmGKB and DrugTargetor, 323 drug candidates were identified to target these 122 genes. The top 17 drug candidates were selected based on the statistical significance of the genetic associations, and their promiscuity (number of associated genestargets) and were further assessed for their suitability in terms of bioavailability and drug-like characteristics. Through functional analysis, insights were gained into the biological processes, cellular components, and molecular functions involved in PTSD. This formed the foundation for the next aspect of this study which was to propose an efficient treatment for PTSD by exploring drug repurposing methods.
    UNASSIGNED: The main aim was to identify the drugs with the most favorable profile that can be used as a pharmacological approach for PTSD treatment. More in particular, according to the genetic variations present in each individual, the relevant biological pathway can be identified, and the drug candidate proposed will specifically target said pathway, accounting for the personalized aspect of this work. The results showed that the drugs used as off-label treatment for PTSD have favorable pharmacokinetic profiles and the potential drug candidates that arose from DrugTargetor were not very promising. Clozapine showed a promising pharmacokinetic profile and has been linked with decreased psychiatric symptoms. Ambrucin also showed a promising pharmacokinetic profile but has been mostly linked with cancer treatment.
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  • 文章类型: Journal Article
    自闭症谱系障碍是一种复杂的神经发育状况,具有多种遗传和大脑参与。尽管磁共振成像取得了进步,自闭症谱系障碍的诊断和了解其神经遗传因素仍然具有挑战性。我们提出了一种双分支图神经网络,可以有效地从双峰中提取和融合特征,达到73.9%的诊断准确率。为了解释自闭症谱系障碍与健康对照的区别机制,我们建立了脑成像标志物的扰动模型,并使用偏最小二乘回归和富集进行神经转录组联合分析,以鉴定潜在的遗传标志物.扰动模型识别与额叶结构磁共振成像相关的脑成像标记,temporal,顶叶,和枕叶,虽然功能性磁共振成像标记主要位于额叶,temporal,枕叶,还有小脑.神经转录组联合分析突出了与生物过程相关的基因,比如“突触”,\"\"行为,自闭症谱系障碍大脑发育中的“化学突触传递的调节”。不同的磁共振成像模式为自闭症谱系障碍的诊断提供了补充信息。我们的双分支图神经网络具有很高的准确性,可以识别异常的大脑区域,并且神经转录组学分析揭示了重要的遗传生物标志物。总的来说,我们的研究提出了一种有效的方法来协助自闭症谱系障碍的诊断和识别遗传生物标志物,显示出增强这种情况的诊断和治疗的潜力。
    Autism spectrum disorder is a complex neurodevelopmental condition with diverse genetic and brain involvement. Despite magnetic resonance imaging advances, autism spectrum disorder diagnosis and understanding its neurogenetic factors remain challenging. We propose a dual-branch graph neural network that effectively extracts and fuses features from bimodalities, achieving 73.9% diagnostic accuracy. To explain the mechanism distinguishing autism spectrum disorder from healthy controls, we establish a perturbation model for brain imaging markers and perform a neuro-transcriptomic joint analysis using partial least squares regression and enrichment to identify potential genetic biomarkers. The perturbation model identifies brain imaging markers related to structural magnetic resonance imaging in the frontal, temporal, parietal, and occipital lobes, while functional magnetic resonance imaging markers primarily reside in the frontal, temporal, occipital lobes, and cerebellum. The neuro-transcriptomic joint analysis highlights genes associated with biological processes, such as \"presynapse,\" \"behavior,\" and \"modulation of chemical synaptic transmission\" in autism spectrum disorder\'s brain development. Different magnetic resonance imaging modalities offer complementary information for autism spectrum disorder diagnosis. Our dual-branch graph neural network achieves high accuracy and identifies abnormal brain regions and the neuro-transcriptomic analysis uncovers important genetic biomarkers. Overall, our study presents an effective approach for assisting in autism spectrum disorder diagnosis and identifying genetic biomarkers, showing potential for enhancing the diagnosis and treatment of this condition.
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  • 文章类型: Journal Article
    基于铂的化疗(PBC)是一种广泛用于各种实体瘤的治疗方法,包括非小细胞肺癌(NSCLC)。然而,其疗效往往因患者出现耐药性而受损。越来越多的证据表明,遗传变异可能会影响NSCLC患者对PBC产生耐药性的易感性。这里,我们全面概述了铂类耐药的潜在机制,并强调了基因多态性在这一过程中的重要作用.本文讨论了调节DNA修复的遗传变异,细胞运动,药物运输,代谢处理,和免疫反应,重点关注它们对PBC反应的影响。探索了这些遗传多态性作为预测指标在临床实践中的潜在应用。与实施相关的挑战也是如此。
    Platinum-based chemotherapy (PBC) is a widely used treatment for various solid tumors, including non-small cell lung cancer (NSCLC). However, its efficacy is often compromised by the emergence of drug resistance in patients. There is growing evidence that genetic variations may influence the susceptibility of NSCLC patients to develop resistance to PBC. Here, we provide a comprehensive overview of the mechanisms underlying platinum drug resistance and highlight the important role that genetic polymorphisms play in this process. This paper discussed the genetic variants that regulate DNA repair, cellular movement, drug transport, metabolic processing, and immune response, with a focus on their effects on response to PBC. The potential applications of these genetic polymorphisms as predictive indicators in clinical practice are explored, as are the challenges associated with their implementation.
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  • 文章类型: Journal Article
    胶质母细胞瘤(GBM)是中枢神经系统最进展和最普遍的癌症之一。因此,鉴定遗传标记对于预测GBM的预后和提高治疗效果至关重要。为此,我们从TCGA和GEO数据集中获得了GBM的基因表达数据,并鉴定了差异表达基因(DEGs),将其重叠并用于单变量Cox回归的生存分析。接下来,使用功能富集和免疫浸润分析检查了基因的生物学意义和作为免疫治疗候选物的潜力。在GBM中确定了8个与预后相关的DEGs,即CRNDE,NRXN3,POPDC3,PTPRN,PTPRN2、SLC46A2、TIMP1和TNFSF9。推导的风险模型在识别总生存期明显较差的患者亚组方面表现出稳健性,以及具有不同GBM分子亚型和MGMT状态的人。此外,发现了预后基因的表达与免疫浸润细胞之间的几种相关性。总的来说,我们提出的生存衍生风险评分可为GBM患者提供预后意义和指导治疗策略.
    Glioblastoma (GBM) is one of the most progressive and prevalent cancers of the central nervous system. Identifying genetic markers is therefore crucial to predict prognosis and enhance treatment effectiveness in GBM. To this end, we obtained gene expression data of GBM from TCGA and GEO datasets and identified differentially expressed genes (DEGs), which were overlapped and used for survival analysis with univariate Cox regression. Next, the genes\' biological significance and potential as immunotherapy candidates were examined using functional enrichment and immune infiltration analysis. Eight prognostic-related DEGs in GBM were identified, namely CRNDE, NRXN3, POPDC3, PTPRN, PTPRN2, SLC46A2, TIMP1, and TNFSF9. The derived risk model showed robustness in identifying patient subgroups with significantly poorer overall survival, as well as those with distinct GBM molecular subtypes and MGMT status. Furthermore, several correlations between the expression of the prognostic genes and immune infiltration cells were discovered. Overall, we propose a survival-derived risk score that can provide prognostic significance and guide therapeutic strategies for patients with GBM.
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  • 文章类型: Journal Article
    白蛋白尿增加提示潜在的肾小球病理,并与更差的肾脏疾病预后相关。尤其是糖尿病肾病。许多单核苷酸多态性(SNP),与蛋白尿有关,可能有助于构建肾脏疾病的多基因风险评分(PRS)。我们调查了SNP的诊断准确性,先前与蛋白尿相关的特征,关于英国生物银行人群的白蛋白尿和肾损伤,对糖尿病特别感兴趣。采用多变量logistic回归分析91个SNPs对尿白蛋白与肌酐比值(UACR)相关性状和肾损害(任何病理提示肾损伤)的影响,按糖尿病分层。使用先前研究的微量白蛋白尿和UACR的加权PRS来计算受试者工作特征曲线下面积(AUROC)。CUBN-rs1801239和DDR1-rs116772905与所有UACR衍生的表型相关,在整体和非糖尿病队列中,但不是肾损伤.与没有糖尿病的个体相比,几种SNP在糖尿病个体中表现出不同的作用。与目前使用的临床变量相比,SNP并未改善AUROC。许多SNP与UACR或肾损伤有关,提示在肾功能障碍中的作用,在某些情况下取决于糖尿病的存在。然而,与标准临床变量相比,单个SNP或PRS不能提高白蛋白尿或肾损伤的诊断准确性.
    Increased albuminuria indicates underlying glomerular pathology and is associated with worse renal disease outcomes, especially in diabetic kidney disease. Many single nucleotide polymorphisms (SNPs), associated with albuminuria, could be potentially useful to construct polygenic risk scores (PRSs) for kidney disease. We investigated the diagnostic accuracy of SNPs, previously associated with albuminuria-related traits, on albuminuria and renal injury in the UK Biobank population, with a particular interest in diabetes. Multivariable logistic regression was used to evaluate the influence of 91 SNPs on urine albumin-to-creatinine ratio (UACR)-related traits and kidney damage (any pathology indicating renal injury), stratifying by diabetes. Weighted PRSs for microalbuminuria and UACR from previous studies were used to calculate the area under the receiver operating characteristic curve (AUROC). CUBN-rs1801239 and DDR1-rs116772905 were associated with all the UACR-derived phenotypes, in both the overall and non-diabetic cohorts, but not with kidney damage. Several SNPs demonstrated different effects in individuals with diabetes compared to those without. SNPs did not improve the AUROC over currently used clinical variables. Many SNPs are associated with UACR or renal injury, suggesting a role in kidney dysfunction, dependent on the presence of diabetes in some cases. However, individual SNPs or PRSs did not improve the diagnostic accuracy for albuminuria or renal injury compared to standard clinical variables.
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