34 research outputs found

    Differential expansion of circulating human MDSC subsets in patients with cancer, infection and inflammation

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    Background Myeloid-derived suppressor cells (MDSC) are a functional myeloid cell subset that includes myeloid cells with immune suppressive properties. The presence of MDSC has been reported in the peripheral blood of patients with several malignant and non-malignant diseases. So far, direct comparison of MDSC across different diseases and Centers is hindered by technical pitfalls and a lack of standardized methodology. To overcome this issue, we formed a network through the COST Action Mye-EUNITER (www.mye-euniter.eu) with the goal to standardize and facilitate the comparative analysis of human circulating MDSC in cancer, inflammation and infection. In this manuscript, we present the results of the multicenter study Mye-EUNITER MDSC Monitoring Initiative, that involved 13 laboratories and compared circulating MDSC subsets across multiple diseases, using a common protocol for the isolation, identification and characterization of these cells. Methods We developed, tested, executed and optimized a standard operating procedure for the isolation and immunophenotyping of MDSC using blood from healthy donors. We applied this procedure to the blood of almost 400 patients and controls with different solid tumors and non-malignant diseases. The latter included viral infections such as HIV and hepatitis B virus, but also psoriasis and cardiovascular disorders. Results We observed that the frequency of MDSC in healthy donors varied substantially between centers and was influenced by technical aspects such as the anticoagulant and separation method used. Expansion of polymorphonuclear (PMN)-MDSC exceeded the expansion of monocytic MDSC (M-MDSC) in five out of six solid tumors. PMN-MDSC expansion was more pronounced in cancer compared with infection and inflammation. Programmed death-ligand 1 was primarily expressed in M-MDSC and e-MDSC and was not upregulated as a consequence of disease. LOX-1 expression was confined to PMN-MDSC. Conclusions This study provides improved technical protocols and workflows for the multi-center analysis of circulating human MDSC subsets. Application of these workflows revealed a predominant expansion of PMN-MDSC in solid tumors that exceeds expansion in chronic infection and inflammation

    ĐŃŃĐŸŃ†ĐžĐ°Ń‚ĐžĐČĐœĐŸ-ŃĐ”ĐŒĐ°ĐœŃ‚ĐžŃ‡Đ”ŃĐșая группа ĐșĐ°Đș ŃĐ·Ń‹ĐșĐŸĐČая ĐŸŃĐœĐŸĐČĐ° ĐșĐŸĐœŃ†Đ”ĐżŃ‚Đ°

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    Статья ĐżĐŸŃĐČŃŃ‰Đ”ĐœĐ° ĐŸĐżĐžŃĐ°ĐœĐžŃŽ ĐŸŃĐŸĐ±ĐŸĐč лДĐșсОĐșĐŸ-ŃĐ”ĐŒĐ°ĐœŃ‚ĐžŃ‡Đ”ŃĐșĐŸĐč ĐżĐ°Ń€Đ°ĐŽĐžĐłĐŒŃ‹ Đ°ŃŃĐŸŃ†ĐžĐ°Ń‚ĐžĐČĐœĐŸ-ŃĐ”ĐŒĐ°ĐœŃ‚ĐžŃ‡Đ”ŃĐșĐŸĐč группы, ĐșĐŸŃ‚ĐŸŃ€Đ°Ń яĐČĐ»ŃĐ”Ń‚ŃŃ частью Đ°ŃŃĐŸŃ†ĐžĐ°Ń‚ĐžĐČĐœĐŸ- ŃĐ”ĐŒĐ°ĐœŃ‚ĐžŃ‡Đ”ŃĐșĐŸĐłĐŸ ĐșĐŸĐŒĐżĐ»Đ”Đșса Đž Ń€Đ°ŃŃĐŒĐ°Ń‚Ń€ĐžĐČĐ°Đ”Ń‚ŃŃ ĐșĐ°Đș ŃĐ·Ń‹ĐșĐŸĐČая ĐŸŃĐœĐŸĐČĐ° ĐșĐŸĐœŃ†Đ”ĐżŃ‚Đ°. Đ˜ŃŃĐ»Đ”ĐŽĐŸĐČĐ°ĐœĐžĐ” ĐżŃ€ĐŸĐČĐ”ĐŽĐ”ĐœĐŸ с ĐżŃ€ĐžĐŒĐ”ĐœĐ”ĐœĐžĐ”ĐŒ ĐŸĐżĐžŃĐ°Ń‚Đ”Đ»ŃŒĐœĐŸĐłĐŸ, струĐșŃ‚ŃƒŃ€ĐœĐŸĐłĐŸ Đž Ń„ŃƒĐœĐșŃ†ĐžĐŸĐœĐ°Đ»ŃŒĐœĐŸĐłĐŸ ĐŒĐ”Ń‚ĐŸĐŽĐŸĐČ.Статтю просĐČŃŃ‡Đ”ĐœĐŸ ĐŸĐżĐžŃŃƒ ĐŸŃĐŸĐ±Đ»ĐžĐČĐŸŃ— лДĐșсОĐșĐŸ-ŃĐ”ĐŒĐ°ĐœŃ‚ĐžŃ‡ĐœĐŸŃ— ĐżĐ°Ń€Đ°ĐŽĐžĐłĐŒĐž Đ°ŃĐŸŃ†Ń–Đ°Ń‚ĐžĐČĐœĐŸ-ŃĐ”ĐŒĐ°ĐœŃ‚ĐžŃ‡ĐœĐŸŃ— групо, яĐșĐ° є Ń‡Đ°ŃŃ‚ĐžĐœĐŸŃŽ Đ°ŃĐŸŃ†Ń–Đ°Ń‚ĐžĐČĐœĐŸ-ŃĐ”ĐŒĐ°ĐœŃ‚ĐžŃ‡ĐœĐŸĐłĐŸ ĐșĐŸĐŒĐżĐ»Đ”Đșсу і яĐČĐ»ŃŃ” ŃĐŸĐ±ĐŸŃŽ ĐŒĐŸĐČĐœŃƒ ĐŸŃĐœĐŸĐČу ĐșĐŸĐœŃ†Đ”ĐżŃ‚Ńƒ. Đ”ĐŸŃĐ»Ń–ĐŽĐ¶Đ”ĐœĐœŃ ĐżŃ€ĐŸĐČĐ”ĐŽĐ”ĐœĐŸ Ń–Đ· Đ·Đ°ŃŃ‚ĐŸŃŃƒĐČĐ°ĐœĐœŃĐŒ ĐŸĐżĐžŃĐŸĐČĐŸĐłĐŸ, струĐșŃ‚ŃƒŃ€ĐœĐŸĐłĐŸ та Ń„ŃƒĐœĐșŃ†Ń–ĐŸĐœĐ°Đ»ŃŒĐœĐŸĐłĐŸ ĐŒĐ”Ń‚ĐŸĐŽŃ–ĐČ.The particular lexico-semantic paradigm – associative-semantic group (ASG) which is the part of associative-semantic complex (ASC) – is investigated in the article as a linguistic base of concept. Descriptive, structural, and functional methods were used

    Assessing associations between the AURKAHMMR-TPX2-TUBG1 functional module and breast cancer risk in BRCA1/2 mutation carriers

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    While interplay between BRCA1 and AURKA-RHAMM-TPX2-TUBG1 regulates mammary epithelial polarization, common genetic variation in HMMR (gene product RHAMM) may be associated with risk of breast cancer in BRCA1 mutation carriers. Following on these observations, we further assessed the link between the AURKA-HMMR-TPX2-TUBG1 functional module and risk of breast cancer in BRCA1 or BRCA2 mutation carriers. Forty-one single nucleotide polymorphisms (SNPs) were genotyped in 15,252 BRCA1 and 8,211 BRCA2 mutation carriers and subsequently analyzed using a retrospective likelihood appr

    Assessing Associations between the AURKA-HMMR-TPX2-TUBG1 Functional Module and Breast Cancer Risk in BRCA1/2 Mutation Carriers

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    While interplay between BRCA1 and AURKA-RHAMM-TPX2-TUBG1 regulates mammary epithelial polarization, common genetic variation in HMMR (gene product RHAMM) may be associated with risk of breast cancer in BRCA1 mutation carriers. Following on these observations, we further assessed the link between the AURKA-HMMR-TPX2-TUBG1 functional module and risk of breast cancer in BRCA1 or BRCA2 mutation carriers. Forty-one single nucleotide polymorphisms (SNPs) were genotyped in 15,252 BRCA1 and 8,211 BRCA2 mutation carriers and subsequently analyzed using a retrospective likelihood approach. The association of HMMR rs299290 with breast cancer risk in BRCA1 mutation carriers was confirmed: per-allele hazard ratio (HR) = 1.10, 95% confidence interval (CI) 1.04 – 1.15, p = 1.9 x 10−4 (false discovery rate (FDR)-adjusted p = 0.043). Variation in CSTF1, located next to AURKA, was also found to be associated with breast cancer risk in BRCA2 mutation carriers: rs2426618 per-allele HR = 1.10, 95% CI 1.03 – 1.16, p = 0.005 (FDR-adjusted p = 0.045). Assessment of pairwise interactions provided suggestions (FDR-adjusted pinteraction values > 0.05) for deviations from the multiplicative model for rs299290 and CSTF1 rs6064391, and rs299290 and TUBG1 rs11649877 in both BRCA1 and BRCA2 mutation carriers. Following these suggestions, the expression of HMMR and AURKA or TUBG1 in sporadic breast tumors was found to potentially interact, influencing patients’ survival. Together, the results of this study support the hypothesis of a causative link between altered function of AURKA-HMMR-TPX2-TUBG1 and breast carcinogenesis in BRCA1/2 mutation carriers

    The Changing Landscape for Stroke\ua0Prevention in AF: Findings From the GLORIA-AF Registry Phase 2

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    Background GLORIA-AF (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation) is a prospective, global registry program describing antithrombotic treatment patterns in patients with newly diagnosed nonvalvular atrial fibrillation at risk of stroke. Phase 2 began when dabigatran, the first non\u2013vitamin K antagonist oral anticoagulant (NOAC), became available. Objectives This study sought to describe phase 2 baseline data and compare these with the pre-NOAC era collected during phase 1. Methods During phase 2, 15,641 consenting patients were enrolled (November 2011 to December 2014); 15,092 were eligible. This pre-specified cross-sectional analysis describes eligible patients\u2019 baseline characteristics. Atrial fibrillation disease characteristics, medical outcomes, and concomitant diseases and medications were collected. Data were analyzed using descriptive statistics. Results Of the total patients, 45.5% were female; median age was 71 (interquartile range: 64, 78) years. Patients were from Europe (47.1%), North America (22.5%), Asia (20.3%), Latin America (6.0%), and the Middle East/Africa (4.0%). Most had high stroke risk (CHA2DS2-VASc [Congestive heart failure, Hypertension, Age  6575 years, Diabetes mellitus, previous Stroke, Vascular disease, Age 65 to 74 years, Sex category] score  652; 86.1%); 13.9% had moderate risk (CHA2DS2-VASc = 1). Overall, 79.9% received oral anticoagulants, of whom 47.6% received NOAC and 32.3% vitamin K antagonists (VKA); 12.1% received antiplatelet agents; 7.8% received no antithrombotic treatment. For comparison, the proportion of phase 1 patients (of N = 1,063 all eligible) prescribed VKA was 32.8%, acetylsalicylic acid 41.7%, and no therapy 20.2%. In Europe in phase 2, treatment with NOAC was more common than VKA (52.3% and 37.8%, respectively); 6.0% of patients received antiplatelet treatment; and 3.8% received no antithrombotic treatment. In North America, 52.1%, 26.2%, and 14.0% of patients received NOAC, VKA, and antiplatelet drugs, respectively; 7.5% received no antithrombotic treatment. NOAC use was less common in Asia (27.7%), where 27.5% of patients received VKA, 25.0% antiplatelet drugs, and 19.8% no antithrombotic treatment. Conclusions The baseline data from GLORIA-AF phase 2 demonstrate that in newly diagnosed nonvalvular atrial fibrillation patients, NOAC have been highly adopted into practice, becoming more frequently prescribed than VKA in Europe and North America. Worldwide, however, a large proportion of patients remain undertreated, particularly in Asia and North America. (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation [GLORIA-AF]; NCT01468701

    Assessing Associations between the AURKA-HMMR-TPX2-TUBG1 Functional Module and Breast Cancer Risk in BRCA1/2 Mutation Carriers

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    While interplay between BRCA1 and AURKA-RHAMM-TPX2-TUBG1 regulates mammary epithelial polarization, common genetic variation in HMMR (gene product RHAMM) may be associated with risk of breast cancer in BRCA1 mutation carriers. Following on these observations, we further assessed the link between the AURKA-HMMR-TPX2-TUBG1 functional module and risk of breast cancer in BRCA1 or BRCA2 mutation carriers. Forty-one single nucleotide polymorphisms (SNPs) were genotyped in 15,252 BRCA1 and 8,211 BRCA2 mutation carriers and subsequently analyzed using a retrospective likelihood approach. The association of HMMR rs299290 with breast cancer risk in BRCA1 mutation carriers was confirmed: per-allele hazard ratio (HR) = 1.10, 95% confidence interval (CI) 1.04 - 1.15, p = 1.9 x 10(-4) (false discovery rate (FDR)-adjusted p = 0.043). Variation in CSTF1, located next to AURKA, was also found to be associated with breast cancer risk in BRCA2 mutation carriers: rs2426618 per-allele HR = 1.10, 95% CI 1.03 - 1.16, p = 0.005 (FDR-adjusted p = 0.045). Assessment of pairwise interactions provided suggestions (FDR-adjusted p(interaction) values > 0.05) for deviations from the multiplicative model for rs299290 and CSTF1 rs6064391, and rs299290 and TUBG1 rs11649877 in both BRCA1 and BRCA2 mutation carriers. Following these suggestions, the expression of HMMR and AURKA or TUBG1 in sporadic breast tumors was found to potentially interact, influencing patients' survival. Together, the results of this study support the hypothesis of a causative link between altered function of AURKA-HMMR-TPX2-TUBG1 and breast carcinogenesis in BRCA1/2 mutation carriers.Peer reviewe

    Clinical correlations and long-term follow-up in 100 patients with sarcoglycanopathies

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    International audienceBackground and purpose: To describe a large series of patients with α, ÎČ, and Îł sarcoglycanopathies (LGMD-R3, R4, and R5) and study phenotypic correlations and disease progression. Methods: A multicentric retrospective study in four centers in the Paris area collecting neuromuscular, respiratory, cardiac, histologic, and genetic data. The primary outcome of progression was age of loss of ambulation (LoA); disease severity was established according to LoA before or after 18 years of age. Time-to-event analysis was performed. Results: One hundred patients (54 Îł-SG; 41 α-SG; 5 ÎČ-SG) from 80 families were included. The Îł-SG patients had earlier disease onset than α-SG patients (5.5 vs. 8 years; p = 0.022) and ÎČ-SG patients (24.4 years). Axial muscle weakness and joint contractures were frequent and exercise intolerance was observed. At mean follow-up of 22.9 years, 65.3% of patients were wheelchair-bound (66.7% α-SG, 67.3% Îł-SG, 40% ÎČ-SG). Dilated cardiomyopathy occurred in all sarcoglycanopathy subtypes, especially in Îł-SG patients (p = 0.01). Thirty patients were ventilated and six died. Absent sarcoglycan protein expression on muscle biopsy and younger age at onset were associated with earlier time to LoA (p = 0.021 and p = 0.002). Age at onset was an independent predictor of both severity and time to LoA (p = 0.0004 and p = 0.009). The α-SG patients showed genetic heterogeneity, whereas >90% of Îł-SG patients carried the homozygous c.525delT frameshift variant. Five new mutations were identified. Conclusions: This large multicentric series delineates the clinical spectrum of patients with sarcoglycanopathies. Age at disease onset is an independent predictor of severity of disease and LoA, and should be taken into account in future clinical trials
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