9 research outputs found

    Genetic instability from a single S phase after whole-genome duplication

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    Diploid and stable karyotypes are associated with health and fitness in animals. By contrast, whole-genome duplications—doublings of the entire complement of chromosomes—are linked to genetic instability and frequently found in human cancers(1–3). It has been established that whole-genome duplications fuel chromosome instability through abnormal mitosis(4–8); however, the immediate consequences of tetraploidy in the first interphase are not known. This is a key question because single whole-genome duplication events such as cytokinesis failure can promote tumorigenesis(9). Here we find that human cells undergo high rates of DNA damage during DNA replication in the first S phase following induction of tetraploidy. Using DNA combing and single-cell sequencing, we show that DNA replication dynamics is perturbed, generating under- and over-replicated regions. Mechanistically, we find that these defects result from a shortage of proteins during the G1/S transition, which impairs the fidelity of DNA replication. This work shows that within a single interphase, unscheduled tetraploid cells can acquire highly abnormal karyotypes. These findings provide an explanation for the genetic instability landscape that favours tumorigenesis after tetraploidization

    Clinical features and outcomes of elderly hospitalised patients with chronic obstructive pulmonary disease, heart failure or both

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    Background and objective: Chronic obstructive pulmonary disease (COPD) and heart failure (HF) mutually increase the risk of being present in the same patient, especially if older. Whether or not this coexistence may be associated with a worse prognosis is debated. Therefore, employing data derived from the REPOSI register, we evaluated the clinical features and outcomes in a population of elderly patients admitted to internal medicine wards and having COPD, HF or COPD + HF. Methods: We measured socio-demographic and anthropometric characteristics, severity and prevalence of comorbidities, clinical and laboratory features during hospitalization, mood disorders, functional independence, drug prescriptions and discharge destination. The primary study outcome was the risk of death. Results: We considered 2,343 elderly hospitalized patients (median age 81 years), of whom 1,154 (49%) had COPD, 813 (35%) HF, and 376 (16%) COPD + HF. Patients with COPD + HF had different characteristics than those with COPD or HF, such as a higher prevalence of previous hospitalizations, comorbidities (especially chronic kidney disease), higher respiratory rate at admission and number of prescribed drugs. Patients with COPD + HF (hazard ratio HR 1.74, 95% confidence intervals CI 1.16-2.61) and patients with dementia (HR 1.75, 95% CI 1.06-2.90) had a higher risk of death at one year. The Kaplan-Meier curves showed a higher mortality risk in the group of patients with COPD + HF for all causes (p = 0.010), respiratory causes (p = 0.006), cardiovascular causes (p = 0.046) and respiratory plus cardiovascular causes (p = 0.009). Conclusion: In this real-life cohort of hospitalized elderly patients, the coexistence of COPD and HF significantly worsened prognosis at one year. This finding may help to better define the care needs of this population

    Identification des mécanismes moléculaires générant une instabilité génétique dans les cellules polyploïdes

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    La polyploĂŻdie se caractĂ©rise par une duplication du gĂ©nome entier. Elle inhibe efficacement la prolifĂ©ration cellulaire et joue pourtant un rĂŽle clĂ© dans les Ă©tapes prĂ©coces de la tumorigĂ©nĂšse. Comment est-elle capable de promouvoir une instabilitĂ© gĂ©nĂ©tique dans les cellules cancĂ©reuses est une question en suspens. J'ai Ă©tabli un systĂšme modĂšle affectant la cytocinĂšse pour Ă©tudier les consĂ©quences de la polyploĂŻdie dans les cellules souches neuronales (CSN) et dans le disque imaginal de l'aile de drosophile. Les cellules polyploĂŻdes du disque sont rapidement Ă©liminĂ©es, les CSN polyploĂŻdes continuent de prolifĂ©rer. Les CSN polyploĂŻdes sont caractĂ©risĂ©es par une instabilitĂ© gĂ©nĂ©tique prĂ©coce et deux facteurs en sont responsables: les erreurs mitotiques et des dommages Ă  l'ADN. Ces dommages sont issus en partie de l'incapacitĂ© des cellules Ă  restreindre leur progression dans le cycle cellulaire aprĂšs une rĂ©plication incomplĂšte de l'ADN. J'ai trouvĂ© que de multiples domaines nuclĂ©aires au sein de la mĂȘme CSN polyploĂŻde pouvaient prĂ©senter une asynchronie de leur progression dans le cycle cellulaire. Les domaines nuclĂ©aires en retard dans leur progression sont les cibles des lĂ©sions Ă  l'ADN au moment de l'entrĂ©e en mitose. Les lĂ©sions sont rĂ©duites aprĂšs surexpression de Chk1, une kinase de la voie ATR de rĂ©ponse aux dommages Ă  l'ADN. De plus, la prolifĂ©ration incontrĂŽlĂ©e des CSN polyploĂŻdes gĂ©nĂ©tiquement instables est responsable de leur potentiel tumorigĂ©nique dans les essais de transplantation. Mes rĂ©sultats montrent que la tolĂ©rance Ă  la polyploĂŻdie dĂ©pend du tissu et qu'une sĂ©rie d'Ă©vĂ©nements contribue Ă  l'instabilitĂ© gĂ©nĂ©tique dans les CSN polyploĂŻdes.Polyploidy, which derives from whole-genome duplication events, is normally a potent inhibitor of cell proliferation, but plays important roles during the early steps of tumorigenesis. However, how the gain of multiple sets of chromosomes promotes the generation of unbalanced karyotypes typical of cancer cells remains to be investigated. Using a number of conditions that affect cytokinesis, I established a model system to study the consequences of polyploidy in the neural stem cells (NSCs) of Drosophila and in the wing disc (WD). Importantly, while polyploidy is rapidly eliminated from the WD, polyploid NSCs continue to proliferate. Polyploid NSCs are characterized by early-onset genetic instability and two sources account for the generation of unstable karyotypes: mitotic errors and high-levels of DNA damage. DNA damage in polyploid NSCs arises, at least in part, from the inability of polyploid cells to restrain cell cycle progression in response to incomplete DNA replication. Surprisingly, I found that multiple nuclear domains in the same polyploid NSC can exhibit asynchrony in cell cycle progression, with delayed nuclear domains experiencing acute DNA damage at mitotic entry. I show that DNA damage in polyploid NSCs can be reduced over-expressing Chk1, the main downstream kinase engaged by ATR in the DNA damage response. I also show that uncontrolled proliferation of genetically unstable polyploid NSCs holds tumorigenic potential in transplantation assays. Overall, my results show that the tolerance to polyploidy is tissue dependent and that a complex network of events contributes to the generation of unbalanced karyotypes in polyploid NSCs

    Chromosomes function as a barrier to mitotic spindle bipolarity in polyploid cells

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    International audiencePloidy variations such as genome doubling are frequent in human tumors and have been associated with genetic instability favoring tumor progression. How polyploid cells deal with increased centrosome numbers and DNA content remains unknown. Using Drosophila neuroblasts and human cancer cells to study mitotic spindle assembly in polyploid cells, we found that most polyploid cells divide in a multipolar manner. We show that even if an initial centrosome clustering step can occur at mitotic entry, the establishment of kinetochore-microtubule attachments leads to spatial chromosome configurations, whereby the final coalescence of supernumerary poles into a bipolar array is inhibited. Using in silico approaches and various spindle and DNA perturbations, we show that chromosomes act as a physical barrier blocking spindle pole coalescence and bipolarity. Importantly, microtubule stabilization suppressed multipolarity by improving both centrosome clustering and pole coalescence. This work identifies inhibitors of bipolar division in polyploid cells and provides a rationale to understand chromosome instability typical of polyploid cancer cells

    Author Correction: Genetic instability from a single S phase after whole-genome duplication (Nature, (2022), 604, 7904, (146-151), 10.1038/s41586-022-04578-4)

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    In the version of this article initially published, the third sentence of the abstract, now reading “This is a key question because single whole-genome duplication events such as cytokinesis failure can promote tumorigenesis9 and DNA double-strand breaks10” was truncated and did not mention double-strand breaks or cite ref. 10 (Pedersen, R. S. et al. Profiling DNA damage response following mitotic perturbations. Nat. Commun. 7, 13887 (2016)). The reference has now been included in the HTML and PDF versions of the article

    Genetic instability from a single S phase after whole-genome duplication

    No full text
    Diploid and stable karyotypes are associated with health and fitness in animals. By contrast, whole-genome duplications-doublings of the entire complement of chromosomes-are linked to genetic instability and frequently found in human cancers(1-3). It has been established that whole-genome duplications fuel chromosome instability through abnormal mitosis(4-8); however, the immediate consequences of tetraploidy in the first interphase are not known. This is a key question because single whole-genome duplication events such as cytokinesis failure can promote tumorigenesis(9). Here we find that human cells undergo high rates of DNA damage during DNA replication in the first S phase following induction of tetraploidy. Using DNA combing and single-cell sequencing, we show that DNA replication dynamics is perturbed, generating under- and over-replicated regions. Mechanistically, we find that these defects result from a shortage of proteins during the G1/S transition, which impairs the fidelity of DNA replication. This work shows that within a single interphase, unscheduled tetraploid cells can acquire highly abnormal karyotypes. These findings provide an explanation for the genetic instability landscape that favours tumorigenesis after tetraploidization

    Follicular helper T cell signature of replicative exhaustion, apoptosis, and senescence in common variable immunodeficiency

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    Common variable immunodeficiency (CVID) is the most frequent primary antibody deficiency whereby follicular helper T (Tfh) cells fail to establish productive responses with B cells in germinal centers. Here, we analyzed the frequency, phenotype, transcriptome, and function of circulating Tfh (cTfh) cells in CVID patients displaying autoimmunity as an additional phenotype. A group of patients showed a high frequency of cTfh1 cells and a prominent expression of PD-1 and ICOS as well as a cTfh mRNA signature consistent with highly activated, but exhausted, senescent, and apoptotic cells. Plasmatic CXCL13 levels were elevated in this group and positively correlated with cTfh1 cell frequency and PD-1 levels. Monoallelic variants in RTEL1, a telomere length- and DNA repair-related gene, were identified in four patients belonging to this group. Their blood lymphocytes showed shortened telomeres, while their cTfh were more prone to apoptosis. These data point toward a novel pathogenetic mechanism in CVID, whereby alterations in DNA repair and telomere elongation might predispose to antibody deficiency. A Th1, highly activated but exhausted and apoptotic cTfh phenotype was associated with this form of CVID
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