Assessment of the current and emerging criteria for the histopathological classification of lung neuroendocrine tumours in the lungNENomics project

Background: Six thoracic pathologists reviewed 259 lung neuroendocrine tumours (LNETs) from the lungNENomics project, with 171 of them having associated survival data. This cohort presents a unique opportunity to assess the strengths and limitations of current World Health Organization (WHO) classification criteria and to evaluate the utility of emerging markers. Patients and methods: Patients were diagnosed based on the 2021 WHO criteria, with atypical carcinoids (ACs) defined by the presence of focal necrosis and/or 2-10 mitoses per 2 mm2. We investigated two markers of tumour proliferation: the Ki-67 index and phospho-histone H3 (PHH3) protein expression, quantified by pathologists and automatically via deep learning. Additionally, an unsupervised deep learning algorithm was trained to uncover previously unnoticed morphological features with diagnostic value. Results: The accuracy in distinguishing typical from ACs is hampered by interobserver variability in mitotic counting and the limitations of morphological criteria in identifying aggressive cases. Our study reveals that different Ki-67 cut-offs can categorise LNETs similarly to current WHO criteria. Counting mitoses in PHH3+ areas does not improve diagnosis, while providing a similar prognostic value to the current criteria. With the advantage of being time efficient, automated assessment of these markers leads to similar conclusions. Lastly, state-of-the-art deep learning modelling does not uncover undisclosed morphological features with diagnostic value. Conclusions: This study suggests that the mitotic criteria can be complemented by manual or automated assessment of Ki-67 or PHH3 protein expression, but these markers do not significantly improve the prognostic value of the current classification, as the AC group remains highly unspecific for aggressive cases. Therefore, we may have exhausted the potential of morphological features in classifying and prognosticating LNETs. Our study suggests that it might be time to shift the research focus towards investigating molecular markers that could contribute to a more clinically relevant morpho-molecular classification.</p

Biochemical Analysis of the Lipoprotein Lipase Truncation Variant, LPLS447X, Reveals Increased Lipoprotein Uptake

Lipoprotein lipase (LPL) is responsible for the hydrolysis of triglycerides from circulating lipoproteins. Whereas most identified mutations in the LPL gene are deleterious, one mutation, LPLS447X, causes a gain of function. This mutation truncates two amino acids from LPL's C-terminus. Carriers of LPLS447X have decreased VLDL levels and increased HDL levels, a cardioprotective phenotype. LPLS447X is used in Alipogene tiparvovec, the gene therapy product for individuals with familial LPL deficiency. It is unclear why LPLS447X results in a serum lipid profile more favorable than that of LPL. In vitro reports vary as to whether LPLS447X is more active than LPL. We report a comprehensive, biochemical comparison of purified LPLS447X and LPL dimers. We found no difference in specific activity on synthetic and natural substrates. We also did not observe a difference in the Ki for ANGPTL4 inhibition of LPLS447X relative to that of LPL. Finally, we analyzed LPL-mediated uptake of fluorescently labeled lipoprotein particles and found that LPLS447X enhanced lipoprotein uptake to a greater degree than LPL did. An LPL structural model suggests that the LPLS447X truncation exposes residues implicated in LPL binding to uptake receptors

Age- and diet-dependent requirement of DJ-1 for glucose homeostasis in mice with implications for human type 2 diabetes

Elderly patients often suffer from multiple age-related diseases. Here we show that the expression of DJ-1, an antioxidant protein with reduced expression in the central nervous system of patients with Parkinson's disease, is reduced in pancreatic islets of patients with type 2 diabetes mellitus (T2DM). In contrast, under non-diabetic conditions, DJ-1 expression increases in mouse and human islets during aging. In mouse islets, we show that DJ-1 prevents an increase in reactive oxygen species levels as the mice age. This antioxidant function preserves mitochondrial integrity and physiology, prerequisites for glucose-stimulated insulin secretion. Accordingly, DJ-1 deficient mice develop glucose intolerance and reduced β cell area as they age or gain weight. Our data suggest that DJ-1 is more generally involved in age- and lifestyle-related human diseases and show for the first time that DJ-1 plays a key role in glucose homeostasis and might serve as a novel drug target for T2DM

Metamorphic and metasomatic kyanite-bearing mineral assemblages of thassos island (Rhodope, Greece)

The Trikorfo area (Thassos Island, Rhodope massif, Northern Greece) represents a unique mineralogical locality with Mn-rich minerals including kyanite, andalusite, garnet and epidote. Their vivid colors and large crystal size make them good indicators of gem-quality materials, although crystals found up to now are too fractured to be considered as marketable gems. The dominant lithology is represented by a garnet–kyanite–biotite–hematite–plagioclase ± staurolite ± sillimanite paragneiss. Thermodynamic Perple_X modeling indicates conditions of ca. 630–710◦C and 7.8–10.4 kbars. Post-metamorphic metasomatic silicate and calc-silicate (Mn-rich)-minerals are found within (i) green-red horizons with a mineralogical zonation from diopside, hornblende, epidote and grossular, (ii) mica schists containing spessartine, kyanite, andalusite and piemontite, and (iii) weakly deformed quartz-feldspar coarse-grained veins with kyanite at the interface with the metamorphic gneiss. The transition towards brittle conditions is shown by Alpine-type tension gashes, including spessartine–epidote–clinochlore–hornblende-quartz veins, cross-cutting the metamorphic foliation. Kyanite is of particular interest because it is present in the metamorphic paragenesis and locally in metasomatic assemblages with a large variety of colors (zoned blue to green/yellow-transparent and orange). Element analyses and UV-near infrared spectroscopy analyses indicate that the variation in color is due to a combination of Ti4+–Fe2+, Fe3+ and Mn3+ substitutions with Al3+. Structural and mineralogical observations point to a two-stage evolution of the Trikorfo area, where post-metamorphic hydrothermal fluid circulation lead locally to metasomatic reactions from ductile to brittle conditions during Miocene exhumation of the high-grade host-rocks. The large variety of mineral compositions and assemblages points to a local control of the mineralogy and fO2 conditions during metasomatic reactions and interactions between hydrothermal active fluids and surrounding rocks. © 2019 by the authors. Licensee MDPI, Basel, Switzerland

Geochemical signatures of uranium oxides in the Lufilian belt: From unconformity-related to syn-metamorphic uranium deposits during the Pan-African orogenic cycle

International audienceThe Pan-African Lufilian belt (Zambia and Democratic Republic of Congo) is known for its world-class copper and cobalt deposits. In addition, the Lufilian Copperbelt hosts several uranium occurrences concentrated within deformed siliciclastic rocks of the basal Neoproterozoic Katanga Supergroup. We report LA-ICPMS and EMP analyses of the rare earth element (REE) and yttrium (Y) abundances (designated as the REY signatures) of uranium oxides from two uranium mineralizing events of the Lufilian belt previously dated at 652 ± 8 Ma and 530 ± 6 Ma by the U–Pb method on uraninite. Uranium oxides dated at ca. 650 Ma from the External fold-and-thrust belt are characterized by (i) bell shape REE patterns centered on middle REE (MREE), (ii) positive europium (Eu) anomalies and (iii) relatively low Y contents. In contrast, uranium oxides dated at ca. 530 Ma from the Domes region are characterized by (i) REE patterns but with a less pronounced light REE (LREE) fractionation, (ii) negative Eu anomalies and (iii) higher Y contents. Moreover, the External fold-and-thrust belt also contains uranium mineralization dated at ca. 530 Ma having the same characteristics as the ca. 530 Ma uranium oxides from the Domes region (a moderately fractionated REE pattern and a negative Eu anomaly). As REY signatures are known to reflect mineralizing processes, the distinct geochemical signatures of the two uranium oxide generations (ca. 650 Ma and ca. 530 Ma) provide meaningful information about the uranium cycle during the Pan-African orogeny. Compared to the REY signatures of the known worldwide uranium deposit types, the REY signature of uranium oxides dated at ca. 650 Ma of the External fold-and-thrust belt is similar to the REE patterns from unconformity-related U deposits (Athabasca in Canada and Kombolgie in Australia). Uranium oxides of the Domes region and some of the External fold-and-thrust belt display similar characteristics to syn-metamorphic U deposit (Mistamisk in Canada). Accordingly, we propose that the two stages of uranium oxide crystallizations within the Lufilian belt, at ca. 650 and ca. 530 Ma, occurred under distinct physico-chemical conditions. The first stage, at ca. 650 Ma, may be related to late diagenesis hydrothermal processes, at the basement/cover interface, with the circulation of highly saline basinal brines linked to evaporites of the Roan Group. This Pan-African unconformity-related uranium deposit is the youngest of this type described to date. The second stage may be connected to metamorphic fluid circulations, at about 530 Ma, during the Lufilian orogeny in the Domes region and also in the External fold-and-thrust belt

Developmental function and state transitions of a gene expression oscillator in Caenorhabditis elegans

Abstract Gene expression oscillators can structure biological events temporally and spatially. Different biological functions benefit from distinct oscillator properties. Thus, finite developmental processes rely on oscillators that start and stop at specific times, a poorly understood behavior. Here, we have characterized a massive gene expression oscillator comprising > 3,700 genes in Caenorhabditis elegans larvae. We report that oscillations initiate in embryos, arrest transiently after hatching and in response to perturbation, and cease in adults. Experimental observation of the transitions between oscillatory and non‐oscillatory states at high temporal resolution reveals an oscillator operating near a Saddle Node on Invariant Cycle (SNIC) bifurcation. These findings constrain the architecture and mathematical models that can represent this oscillator. They also reveal that oscillator arrests occur reproducibly in a specific phase. Since we find oscillations to be coupled to developmental processes, including molting, this characteristic of SNIC bifurcations endows the oscillator with the potential to halt larval development at defined intervals, and thereby execute a developmental checkpoint function