6,765 research outputs found

    Therapeutic and prognostic strategies in neuroblastoma : exploring nuclear hormone receptors, MYC targets, and DIAPH3

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    Neuroblastoma (NB) is a pediatric cancer derived from the cells of neural crest origin that form the sympathoadrenal system. Typically, the tumor cells migrate along the spinal cord and spread to the chest, neck, and/or abdomen. Different clinical behaviors are observed in this disease: some tumors spontaneously regress without treatment, while others are highly aggressive and resistant to current therapies. Approximately 40% of high-risk NB patients have MYCN amplification while 10% have MYC (i.e. encoding c-MYC) overexpression. These patients have undifferentiated tumors with a poor prognosis. Our group previously found that the expression and activation of nuclear hormone receptors (NHRs) estrogen receptor alpha (ERĪ±) by 17-Ī²-estradiol (E2), and the glucocorticoid receptor (GR) by dexamethasone (DEX), could trigger differentiation by disrupting the regulation of the miR-17 ~ 92 microRNA cluster by MYCN. In paper I, we sought to investigate whether the simultaneous activation of both ERĪ± and GR has a more beneficial effect compared to the activation of either ERĪ± or GR alone. We examined cell survival, alterations in cell shape as indicated by neurite extension, variations in metabolic pathways, accumulation of lipid droplets, and performed xenograft experiments. Our findings revealed that the simultaneous activation of GR and ERĪ±, compared to their single activation, led to reduced viability and a more robust differentiation. This dual activation also caused changes in glycolysis and oxidative phosphorylation, increased lipid droplet accumulation, and decreased aggressiveness in mouse models. The triple activation with an additional activation of the retinoic acid receptor using all trans-retinoic acid (ATRA), amplified the differentiation phenotype. Bulk-sequencing analysis showed that patients with high levels of NHRs are related to favorable survival and clinical outcome. In summary, our data suggest that combination activation of these NHRs could be a potential differentiation induction treatment. Paper II investigates target genes of c-MYC and MYCN to explore if it is possible to obtain a better prognosis prediction using the expression of this group of genes, instead of the expression of MYC and/or MYCN alone. In addition, we analyzed if there are different prediction power capabilities between c-MYC and MYCN target genes, and their different role during sympathoadrenal development. We screened lists of target genes by using comprehensive approaches, including differential expression analysis between clinical risk groups, INSS stages, MYCN amplification status, progression status; Univariate Cox regression analysis to select the target genes related to prognosis prediction power, and protein interaction network analysis to select genes that share a meaningful biology function. Following the training and validation of (LASSO) regression prediction models in three different patient cohorts (SEQC, Kocak, and Versteeg), we found that a risk score computed on c-MYC/MYCN target genes with prognostic value, could effectively classify patients in groups with different survival probabilities. The high-risk group of patients exhibited unfavorable clinical outcomes and low survival rates. Further, single cell RNA sequencing analysis revealed that c-MYC and MYCN targets have different expression patterns during sympathoadrenal development. Notably, genes linked to adverse outcomes were predominantly expressed in sympathoblasts in comparison to chromaffin cells. In summary, our research provides new insights into the importance of c-MYC/MYCN target genes during sympathoadrenal development and their value in predicting patient outcome. In paper III we studied the function of one member of the formin protein family involved in cytoskeleton modulation: Diaphanous Related Formin 3 (DIAPH3). We found that high DIAPH3 expression in NB tumors are associated with MYCN amplification, higher stage, risk, progression and negative clinical outcome. Elevated DIAPH3 expression was also found in specific cells during mouse sympathoadrenal development and in progenitor cells of the post- natal human adrenal gland. Furthermore, the knockdown of DIAPH3 resulted in a slight decrease in cell growth and cell cycle arrest. Our study suggests that DIAPH3 could be a promising target for new therapeutic strategies

    Advancements and future prospects of adeno-associated virus-mediated gene therapy for sensorineural hearing loss

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    Sensorineural hearing loss (SNHL), a highly prevalent sensory impairment, results from a multifaceted interaction of genetic and environmental factors. As we continually gain insights into the molecular basis of auditory development and the growing compendium of deafness genes identified, research on gene therapy for SNHL has significantly deepened. Adeno-associated virus (AAV), considered a relatively secure vector for gene therapy in clinical trials, can deliver various transgenes based on gene therapy strategies such as gene replacement, gene silencing, gene editing, or gene addition to alleviate diverse types of SNHL. This review delved into the preclinical advances in AAV-based gene therapy for SNHL, spanning hereditary and acquired types. Particular focus is placed on the dual-AAV construction method and its application, the vector delivery route of mouse inner ear models (local, systemic, fetal, and cerebrospinal fluid administration), and the significant considerations in transforming from AAV-based animal model inner ear gene therapy to clinical implementation

    Graduate Catalog of Studies, 2023-2024

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    Genomic investigation of antimicrobial resistant enterococci

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    Enterococcus faecium and Enterococcus faecalis are important causes of healthcare-associated infections in immunocompromised patients. Enterococci thrive in modern healthcare settings, being able to resist killing by a range of antimicrobial agents, persist in the environment, and adapt to changing circumstances. In Scotland, rates of vancomycin resistant E. faecium (VREfm) have risen almost 150% in recent years leaving few treatment options and challenging healthcare delivery. Resistance to the last line agent linezolid has also been detected in E. faecalis. Whole genome sequencing (WGS) allows investigation of the population structure and transmission of microorganisms, and identification of antimicrobial resistance mechanisms. The aim of this thesis was to use WGS to understand the molecular epidemiology of antimicrobial resistant enterococci from human healthcare settings in Scotland. Analysis of some of the earliest identified Scottish linezolid-resistant E. faecalis showed the resistance mechanism, optrA, was present in unrelated lineages and in different genetic elements, suggesting multiple introductions from a larger reservoir. To inform transmission investigations, within-patient diversity of VREfm was explored showing ~30% of patients carried multiple lineages and identifying a within-patient diversity threshold for transmission studies. WGS was then applied to a large nosocomial outbreak of VREfm, highlighting a complex network of related variants across multiple wards. Having examined within-hospital transmission, the role of regional relationships was investigated which showed that VREfm in Scotland is driven by multiple clones transmitted within individual Health Boards with occasional spread between regions. The most common lineage in the national collection (ST203) was estimated to have been present in Scotland since around 2005, highlighting its persistence in the face of increasing infection prevention and control measures. This thesis provides a starting point for genomic surveillance of enterococci in Scotland, and a basis for interventional studies aiming to reduce the burden of enterococcal infections."This work was supported by the Chief Scientist Office (Scotland) [grant number SIRN/10]; the Wellcome Trust [grant numbers 105621/Z/14/Z, 206194]; and the BBSRC [grant number BB/S019669/1]."ā€”Fundin

    Human gut microbesā€™ transmission, persistence, and contribution to lactose tolerance

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    Human genotypes and their environment interact to produce selectable phenotypes. How microbes of the human gut microbiome interact with their host genotype to shape phenotype is not fully understood. Microbiota that inhabit the human body are environmentally acquired, yet many are passed intergenerationally between related family members, raising the possibility that they could act like genes. Here, I present three studies aimed at better understanding how certain gut microbiota contribute to host phenotypes. In a first study, I assessed mother to child transmission in understudied populations. I collected stool samples from 386 mother-infant pairs in Gabon and Vietnam, which are relatively under-studied for microbiome dynamics, and in Germany. Using metagenomic sequencing I characterized microbial strain diversity. I found that 25-50% of strains detected in mother-infant pairs were shared, and that strain-sharing between unrelated individuals was rare overall. These observations indicate that vertical transmission of microbes is widespread in human populations. Second, to test whether strains acquired during infancy persist into adulthood (similar to human genes), I collected stool from an adolescent previously surveyed for microbiome diversity as an infant. This dataset represents the longest follow-up to date for the persistence of strains seeded in infancy. I observed two strains that had persisted in the gut despite over 10 years passing, as well as 5 additional strains shared between the subject and his parents. Taken together, the results of these first two studies suggest that gut microbial strains persist throughout life and transmit between host-generations, dynamics more similar to those of the hostā€™s own genome than of their environment. Third, I tested whether gut microbes could confer a phenotype (lactose tolerance) to individuals lacking the necessary genotypes (lactase persistence). I studied 784 women in Gabon, Vietnam and Germany for lactase persistence (genotype), lactose tolerance (phenotype), and characterized their gut microbiomes through metagenomic sequencing. Despite the genotype, I observed that 13% of participants were lactose tolerant by clinical criteria; I termed this novel phenotype microbially-acquired lactose tolerance (MALT). Those with MALT harbored microbiomes enriched for Bifidobacteria, a known lactose degrader. These results indicate that Bifidobacteria - which is passed intergenerationally - can confer a phenotype previously thought to be under only host genetic control. Taken together, my thesis work lends weight to the concept that specific microbes inhabiting the human gut have the potential to behave as epigenetic factors in evolution

    Biological ammonium transporters : evolution and diversification

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    Although ammonium is the preferred nitrogen source for microbes and plants, in animal cells it is a toxic product of nitrogen metabolism that needs to be excreted. Thus, ammonium movement across biological membranes, whether for uptake or excretion, is a fundamental and ubiquitous biological process catalysed by the superfamily of the Amt/Mep/Rh transporters. A remarkable feature of the Amt/Mep/Rh family is that they are ubiquitous and, despite sharing low amino acid sequence identity, are highly structurally conserved. Despite sharing a common structure, these proteins have become involved in a diverse range of physiological process spanning all domains of life, with reports describing their involvement in diverse biological processes being published regularly. In this context, we exhaustively present their range of biological roles across the domains of life and after explore current hypotheses concerning their evolution to help to understand how and why the conserved structure fulfils diverse physiological functions

    Graduate Catalog of Studies, 2023-2024

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    Context-Dependent Acquisition of Antimicrobial Resistance Mechanisms

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    Natural transformation is a process whereby bacteria actively take up free DNA from the environment while in a physiological state termed competence. Uptaken DNA is then recombined into the recipientā€™s genome or reconverted into extra-chromosomal genetic elements. The inducing stimuli for competence vary widely between transformable species and competence induction is affected by a host of abiotic factors found in bacterial environments. Natural transformation is recognised to be responsible for the dissemination of antimicrobial resistance genes both within and between species, contributing to the global antimicrobial resistance crisis threatening modern medicine. Despite being the first mechanism of horizontal gene transfer discovered, the evolutionary benefits of natural transformation are still under debate. This thesis is comprised of four standalone research chapters which aimed 1) to determine if chemotherapeutic compounds affect the transformation frequencies of transformable bacteria. This provides important information which can have implications on the contraction of a life-threatening infection in cancer patients. 2) to determine if other environmentally relevant bacteria affect the transformation frequencies of transformable bacteria. Understanding the contexts under which bacteria transform in their natural environments can help us to predict the spread of antimicrobial resistance mechanisms via natural transformation. 3) to produce a resource of genomic information for the scientific community, allowing researchers to improve our understanding of the Acinetobacter genus. And 4) to determine if environmentally relevant bacteria affect the transformation frequencies of transformable bacteria to find evidence for the sex hypothesis for natural transformation. This was performed by using biotic interactions as a selection pressure and DNA from a range of related species as a substrate for transformation. Together, these chapters provide information about the contexts under which transformation is both regulated and selected for in realistic environmental contexts. Enhancing our understanding of how and when bacteria naturally transform, in both natural and clinical environments, can help us to monitor and establish preventative measures to limit the spread of antimicrobial resistance genes between bacteria

    Contingency, repeatability, and predictability in the evolution of a prokaryotic pangenome

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    Pangenomes exhibit remarkable variability in many prokaryotic species, much of which is maintained through the processes of horizontal gene transfer and gene loss. Repeated acquisitions of near-identical homologs can easily be observed across pangenomes, leading to the question of whether these parallel events potentiate similar evolutionary trajectories, or whether the remarkably different genetic backgrounds of the recipients mean that postacquisition evolutionary trajectories end up being quite different. In this study, we present a machine learning method that predicts the presence or absence of genes in the Escherichia coli pangenome based on complex patterns of the presence or absence of other accessory genes within a genome. Our analysis leverages the repeated transfer of genes through the E. coli pangenome to observe patterns of repeated evolution following similar events. We find that the presence or absence of a substantial set of genes is highly predictable from other genes alone, indicating that selection potentiates and maintains geneā€“gene co-occurrence and avoidance relationships deterministically over long-term bacterial evolution and is robust to differences in host evolutionary history. We propose that at least part of the pangenome can be understood as a set of genes with relationships that govern their likely cohabitants, analogous to an ecosystemā€™s set of interacting organisms. Our findings indicate that intragenomic gene fitness effects may be key drivers of prokaryotic evolution, influencing the repeated emergence of complex geneā€“gene relationships across the pangenome
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