18 research outputs found
Microarray analysis after RNA amplification can detect pronounced differences in gene expression using limma
BACKGROUND: RNA amplification is necessary for profiling gene expression from small tissue samples. Previous studies have shown that the T7 based amplification techniques are reproducible but may distort the true abundance of targets. However, the consequences of such distortions on the ability to detect biological variation in expression have not been explored sufficiently to define the true extent of usability and limitations of such amplification techniques. RESULTS: We show that expression ratios are occasionally distorted by amplification using the Affymetrix small sample protocol version 2 due to a disproportional shift in intensity across biological samples. This occurs when a shift in one sample cannot be reflected in the other sample because the intensity would lie outside the dynamic range of the scanner. Interestingly, such distortions most commonly result in smaller ratios with the consequence of reducing the statistical significance of the ratios. This becomes more critical for less pronounced ratios where the evidence for differential expression is not strong. Indeed, statistical analysis by limma suggests that up to 87% of the genes with the largest and therefore most significant ratios (p < 10e(-20)) in the unamplified group have a p-value below 10e(-20 )in the amplified group. On the other hand, only 69% of the more moderate ratios (10e(-20 )< p < 10e(-10)) in the unamplified group have a p-value below 10e(-10 )in the amplified group. Our analysis also suggests that, overall, limma shows better overlap of genes found to be significant in the amplified and unamplified groups than the Z-scores statistics. CONCLUSION: We conclude that microarray analysis of amplified samples performs best at detecting differences in gene expression, when these are large and when limma statistics are used
Reformation als Kommunikationsprozess
Beim Hussitismus bzw. Utraquismus in Böhmen und der reformatorische Bewegung ab 1517 in Sachsen handelt es sich um zwei unterschiedliche Reformationen, jedoch mit einer FĂŒlle von sachlichen und personalen Verbindungslinien. Diese rĂŒcken im vorliegenden Band erstmalig in einen gemeinsamen Fokus.»Wir sind alle Hussiten«, bekannte Martin Luther 1520 nach der LektĂŒre von Schriften des tschechischen Reformators Jan Hus, der gut einhundert Jahre zuvor als Ketzer verbrannt worden war. Die beiden Reformatoren verbinden, ebenso wie die von ihnen ausgehenden Erweckungs- und Erneuerungsbewegungen, viele Ăhnlichkeiten, Ăbereinstimmungen und parallele EntwicklungsverlĂ€ufe. Dennoch werden sie meist getrennt betrachtet. Der Sammelband analysiert Aspekte der Reformation in Böhmen und Sachsen und rĂŒckt so die beiden religiösen Brennpunkte in einen gemeinsamen Fokus. Methodisch wĂ€hlen die BeitrĂ€gerinnen und BeitrĂ€ger dabei einen kommunikationsgeschichtlichen Zugang
A highly conserved transcriptional repressor controls a large regulon involved in lipid degradation in Mycobacterium smegmatis and Mycobacterium tuberculosis
The Mycobacterium tuberculosis TetR-type regulator Rv3574 has been implicated in pathogenesis as it is induced in vivo, and genome-wide essentiality studies show it is required for infection. As the gene is highly conserved in the mycobacteria, we deleted the Rv3574 orthologue in Mycobacterium smegmatis (MSMEG_6042) and used real-time quantitative polymerase chain reaction and microarray analyses to show that it represses the transcription both of itself and of a large number of genes involved in lipid metabolism. We identified a conserved motif within its own promoter (TnnAACnnGTTnnA) and showed that it binds as a dimer to 29 bp probes containing the motif. We found 16 and 31 other instances of the motif in intergenic regions of M. tuberculosis and M. smegmatis respectively. Combining the results of the microarray studies with the motif analyses, we predict that Rv3574 directly controls the expression of 83 genes in M. smegmatis, and 74 in M. tuberculosis. Many of these genes are known to be induced by growth on cholesterol in rhodococci, and palmitate in M. tuberculosis. We conclude that this regulator, designated elsewhere as kstR, controls the expression of genes used for utilizing diverse lipids as energy sources, possibly imported through the mce4 system
Reformation als Kommunikationsprozess
Beim Hussitismus bzw. Utraquismus in Böhmen und der reformatorische Bewegung ab 1517 in Sachsen handelt es sich um zwei unterschiedliche Reformationen, jedoch mit einer FĂŒlle von sachlichen und personalen Verbindungslinien. Diese rĂŒcken im vorliegenden Band erstmalig in einen gemeinsamen Fokus.»Wir sind alle Hussiten«, bekannte Martin Luther 1520 nach der LektĂŒre von Schriften des tschechischen Reformators Jan Hus, der gut einhundert Jahre zuvor als Ketzer verbrannt worden war. Die beiden Reformatoren verbinden, ebenso wie die von ihnen ausgehenden Erweckungs- und Erneuerungsbewegungen, viele Ăhnlichkeiten, Ăbereinstimmungen und parallele EntwicklungsverlĂ€ufe. Dennoch werden sie meist getrennt betrachtet. Der Sammelband analysiert Aspekte der Reformation in Böhmen und Sachsen und rĂŒckt so die beiden religiösen Brennpunkte in einen gemeinsamen Fokus. Methodisch wĂ€hlen die BeitrĂ€gerinnen und BeitrĂ€ger dabei einen kommunikationsgeschichtlichen Zugang
Personalized breast cancer screening in a population-based study: Women informed to screen depending on measures of risk (WISDOM)
Abstract
Background: WISDOM is a 100,000 healthy women preference-tolerant, pragmatic study comparing traditional annual screening to personalized risk-based breast screening. The novelty of WISDOM personalized screening is the integration of previously validated genetic and clinical risk factors (age, family history, breast biopsy results, ethnicity, mammographic density) into a single risk assessment model that directs the starting age, timing, and frequency of screening. The goal of WISDOM is to determine if personalized screening, compared to annual screening, is as safe, less morbid, enables prevention, and is more accepted by women. The study is registered on ClinicalTrials.gov, NCT02620852.
Methods: Women aged 40-74 years with no history of breast cancer or DCIS, and no previous double mastectomy can join the study online at wisdomstudy.org. Participants can either elect randomization or self-select a study arm. Then, they can provide electronic consent and sign the Release for Medical Information via DocuSign. For all participants, 5-year risk of developing breast cancer is calculated according to the Breast Cancer Screening Consortium (BCSC) model. Participants in the personalized arm undergo panel-based mutation testing (BRCA1, BRCA2, TP53, PTEN, STK11, CDH1, ATM, PALB2, and CHEK2), and their 5-year risk is calculated using the BCSC score combined with a Polygenic Risk Score (BCSC-PRS) that includes 75 single nucleotide polymorphisms (SNPs) known to increase breast cancer risk (will increase to 229). The SNPs and mutations are assessed by saliva-based testing through Color Genomics. 5-year risk level thresholds are used to stratify for low-, moderate- and high risk. Risk stratification determines age to start, stop, and frequency of screening.
Accrual: As of July 2019, the WISDOM study is open to all eligible women in California, North Dakota, South Dakota, Minnesota, Iowa, Illinois, and New Jersey. To date, 30,392 eligible women have registered, and 21,392 women have consented to participate in the trial. The median age was 56 years. 85% of participants were Caucasian, 2% African-American, and 5% Asian. 6% self-reported Hispanic ethnicity. WISDOM is actively partnering with Blue Cross Blue Shield Association for national coverage, self-insured companies (Salesforce, Genentech, Qualcomm, CalPERS) and Medi-Cal (Inland Empire Health Plan) using a coverage with evidence progression approach.
Accrual expansion and diversity: To strengthen generalizability, the WISDOM Study is enhancing the diversity of our potential participant population by expanding to other states (Alabama, Louisiana), and partnering with other health insurers and self-insured companies. Future expansion regions include Texas, Florida, South Carolina, Oklahoma, Montana, and New Mexico. Additionally, we have translated the whole study experience to Spanish to further reach Spanish-speaking communities. With the engagement of patient advocates and community partnerships, expanding diversity recruitment will strengthen our scientific knowledge of breast cancer risk and increase access to personalized breast cancer screening recommendations for all women. WISDOM enrollment will continue through 2020.
Conclusions: Results at 5 years will enable us to demonstrate that personalized screening improves healthcare value by reducing screen volumes and costs without jeopardizing outcomes.
Citation Format: Mandy Che, Allison Stover Fiscallini, Irene Acerbi, Yiweh Shieh, Lisa Madlensky, Jeffrey Tice, Elad Ziv, Martin Eklund, Amie Blanco, Barry Tong, Deborah Goodman, Lamees Nassereddine, Nancy Anderson, Heather Harvey, Steele Fors, Hannah L Park, Antonia Petruse, Skye Stewart, Janet Wernisch, Larissa Risty, Ian Hurley, Barbara Koenig, Celia Kaplan, Robert Hiatt, Neil Wenger, Vivian Lee, Diane Heditsian, Susie Brain, Leah Sabacan, Barbara Parker, Alexander Borowsky, Hoda Anton-Culver, Hoda Anton-Culver, Arash Naeim, Andrea Kaster, Melinda Talley, Laura van't Veer, Andrea LaCroix, Olufunmilayo I Olopade, Deepa Sheth, WISDOM Study and Athena Breast Health Network Investigators and Advocate Partners and Laura Esserman. Personalized breast cancer screening in a population-based study: Women informed to screen depending on measures of risk (WISDOM) [abstract]. In: Proceedings of the 2019 San Antonio Breast Cancer Symposium; 2019 Dec 10-14; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2020;80(4 Suppl):Abstract nr OT3-03-02
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