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1.
Biochemistry (Mosc) ; 86(12): 1563-1571, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34937535

RESUMO

Development of technologies for high-throughput whole-genome sequencing and improvement of sample preparation techniques made it possible to study ancient DNA (aDNA) from archaeological samples over a million year old. The studies of aDNA have shed light on the history of human migration, replacement of populations, interbreeding of Cro-Magnons with Neanderthals and Denisovans, evolution of human pathogens, etc. Equally important is the possibility to investigate epigenetic modifications of ancient genomes, which has allowed to obtain previously inaccessible information on gene expression, nucleosome positioning, and DNA methylation. Analysis of methylation status of certain genomic sites can predict an individual's age at death and reconstruct some phenotypic features, as it was done for the Denisovan genome, and even to elucidate unfavorable environmental factors that had affected this archaic individual. In this review, we discuss current progress in epigenetic studies of aDNA, including methodological approaches and promising research directions in this field.


Assuntos
Metilação de DNA , DNA Antigo , Epigênese Genética , Evolução Molecular , Homem de Neandertal/genética , Animais , Epigenômica/tendências , Migração Humana , Humanos
2.
OMICS ; 25(11): 681-692, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34678084

RESUMO

Multiomics study designs have significantly increased understanding of complex biological systems. The multiomics literature is rapidly expanding and so is their heterogeneity. However, the intricacy and fragmentation of omics data are impeding further research. To examine current trends in multiomics field, we reviewed 52 articles from PubMed and Web of Science, which used an integrated omics approach, published between March 2006 and January 2021. From studies, data regarding investigated loci, species, omics type, and phenotype were extracted, curated, and streamlined according to standardized terminology, and summarized in a previously developed graphical summary. Evaluated studies included 21 omics types or applications of omics technology such as genomics, transcriptomics, metabolomics, epigenomics, environmental omics, and pharmacogenomics, species of various phyla including human, mouse, Arabidopsis thaliana, Saccharomyces cerevisiae, and various phenotypes, including cancer and COVID-19. In the analyzed studies, diverse methods, protocols, results, and terminology were used and accordingly, assessment of the studies was challenging. Adoption of standardized multiomics data presentation in the future will further buttress standardization of terminology and reporting of results in systems science. This shall catalyze, we suggest, innovation in both science communication and laboratory medicine by making available scientific knowledge that is easier to grasp, share, and harness toward medical breakthroughs.


Assuntos
Biologia Computacional/tendências , Genômica/tendências , Metabolômica/tendências , Proteômica/tendências , Animais , COVID-19 , Gráficos por Computador , Epigenômica/tendências , Perfilação da Expressão Gênica/tendências , Humanos , Farmacogenética/tendências , Publicações , SARS-CoV-2 , Terminologia como Assunto
3.
Nat Rev Rheumatol ; 17(10): 596-607, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34480165

RESUMO

Systemic sclerosis (SSc) is a prototypical inflammatory fibrotic disease involving inflammation, vascular abnormalities and fibrosis that primarily affect the skin and lungs. The aetiology of SSc is unknown and its pathogenesis is only partially understood. Of all the rheumatic diseases, SSc carries the highest all-cause mortality rate and represents an unmet medical need. A growing body of evidence implicates epigenetic aberrations in this intractable disease, including specific modifications affecting the three main cell types involved in SSc pathogenesis: immune cells, endothelial cells and fibroblasts. In this Review, we discuss the latest insights into the role of DNA methylation, histone modifications and non-coding RNAs in SSc and how these epigenetic alterations affect disease features. In particular, histone modifications have a role in the regulation of gene expression pertinent to activation of fibroblasts to myofibroblasts, governing their fate. DNA methyltransferases are crucial in disease pathogenesis by mediating methylation of DNA in specific promoters, regulating expression of specific pathways. We discuss targeting of these enzymes for therapeutic gain. Innovative epigenetic therapy could be targeted to treat the disease in a precision epigenetics approach.


Assuntos
Epigênese Genética/genética , Escleroderma Sistêmico , Metilação de DNA , Células Endoteliais/metabolismo , Epigênese Genética/fisiologia , Epigenômica/métodos , Epigenômica/tendências , Fibroblastos/metabolismo , Fibrose/tratamento farmacológico , Fibrose/genética , Fibrose/metabolismo , Regulação da Expressão Gênica/genética , Código das Histonas/genética , Humanos , Sistema Imunitário/citologia , Sistema Imunitário/metabolismo , Sistema Imunitário/fisiopatologia , RNA não Traduzido/genética , Escleroderma Sistêmico/tratamento farmacológico , Escleroderma Sistêmico/genética , Escleroderma Sistêmico/metabolismo , Escleroderma Sistêmico/fisiopatologia
4.
J Struct Biol ; 213(4): 107782, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34455069

RESUMO

Despite their simple body plan, stony corals (order Scleractinia, phylum Cnidaria) can produce massive and complex exoskeletal structures in shallow, tropical and subtropical regions of Earth's oceans. The species-specific macromorphologies of their aragonite skeletons suggest a highly coordinated biomineralization process that is rooted in their genomes, and which has persisted across major climatic shifts over the past 400 + million years. The mechanisms by which stony corals produce their skeletons has been the subject of interest for at least the last 160 years, and the pace of understanding the process has increased dramatically in the past decade since the sequencing of the first coral genome in 2011. In this review, we detail what is known to date about the genetic basis of the stony coral biomineralization process, with a focus on advances in the last several years as well as ways that physical and chemical tools can be combined with genetics, and then propose next steps forward for the coming decade.


Assuntos
Antozoários/genética , Biomineralização/genética , Calcificação Fisiológica/genética , Metamorfose Biológica/genética , Animais , Antozoários/classificação , Antozoários/crescimento & desenvolvimento , Carbonato de Cálcio/metabolismo , Epigenômica/métodos , Epigenômica/tendências , Previsões , Edição de Genes/métodos , Edição de Genes/tendências , Larva/genética , Larva/crescimento & desenvolvimento , Larva/metabolismo , Filogenia , Especificidade da Espécie
6.
Trends Biotechnol ; 39(7): 678-691, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33972106

RESUMO

The epigenome dynamically regulates gene expression and guides cellular differentiation throughout the lifespan of eukaryotic organisms. Recent advances in clustered regularly interspaced palindromic repeats (CRISPR)/Cas-based epigenome editing technologies have enabled researchers to site-specifically program epigenetic modifications to endogenous DNA and histones and to manipulate the architecture of native chromatin. As a result, epigenome editing has helped to uncover the causal relationships between epigenetic marks and gene expression. As epigenome editing tools have continued to develop, researchers have applied them in new ways to explore the function of the epigenome in human health and disease. In this review, we discuss the recent technical improvements in CRISPR/Cas-based epigenome editing that have advanced clinical research and examine how these technologies could be improved for greater future utility.


Assuntos
Sistemas CRISPR-Cas , Edição de Genes , Epigenoma/genética , Epigenômica/tendências , Edição de Genes/tendências , Humanos
7.
Rev. Hosp. Ital. B. Aires (2004) ; 41(1): 37-42, mar. 2021. ilus, tab
Artigo em Espanhol | LILACS | ID: biblio-1178964

RESUMO

El término CRISPR, por su acrónimo en inglés refiere a Clustered Regularly Interspaced Short Palindromic Repeats, es decir, repeticiones palindrómicas cortas, agrupadas y regularmente esparcidas, por sus características en el genoma, pertenece naturalmente al sistema de defensa de bacterias y arqueas. Este ha sido adaptado biotecnológicamente para la edición del ADN de células eucariotas, incluso de células humanas. El sistema CRISPR-Cas para editar genes consta, en forma generalizada, de dos componentes: una proteína nucleasa (Cas) y un ARN guía (sgRNA). La simplicidad del complejo lo hace una herramienta molecular reprogramable capaz de ser dirigida y de editar cualquier sitio en un genoma conocido. Su principal foco son las terapias para enfermedades hereditarias monogénicas y para el cáncer. Sin embargo, además de editor de genes, la tecnología CRISPR se utiliza para edición epigenética, regulación de la expresión génica y método de diagnóstico molecular. Este artículo tiene por objetivo presentar una revisión de las aplicaciones de la herramienta molecular CRISPR-Cas, particularmente en el campo biomédico, posibles tratamientos y diagnósticos, y los avances en investigación clínica, utilizando terapia génica con CRISPR/Cas más relevantes hasta la fecha. (AU)


CRISPR are Clustered Regularly Interspaced Short Palindromic Repeats, which naturally belong to the defense system of bacteria and archaea. It has been biotechnologically adapted for editing the DNA of eukaryotic cells, including human cells. The CRISPR-Cas system for editing genes generally consists of two components, a nuclease protein (Cas) and a guide RNA (sgRNA). The simplicity of the complex makes it a reprogrammable molecular tool capable of being targeted and editing any site in a known genome. Its main focus is therapies for monogenic inherited diseases and cancer. However, in addition to gene editor, CRISPR technology is used for epigenetic editing, regulation of gene expression, and molecular diagnostic methods. This article aims to present a review of the applications of the CRISPR-Cas molecular tool, particularly in the biomedical field, possible treatments and diagnoses, and the advances in clinical research, using the most relevant CRISPR-Cas gene therapy to date. (AU)


Assuntos
Humanos , Repetições Palindrômicas Curtas Agrupadas e Regularmente Espaçadas/genética , Sistemas CRISPR-Cas/genética , Biotecnologia , Terapia Genética/métodos , Expressão Gênica , Genoma Humano/genética , Regulação da Expressão Gênica , Epigenômica/tendências , Proteínas Associadas a CRISPR/genética , Proteínas Associadas a CRISPR/uso terapêutico , Doenças Genéticas Inatas/terapia , Neoplasias/terapia
9.
Neurosci Lett ; 743: 135586, 2021 01 19.
Artigo em Inglês | MEDLINE | ID: mdl-33352281

RESUMO

Multiple system atrophy (MSA) is an atypical parkinsonism that rapidly affects motor ability and autonomic function, leaving patients wheelchair-bound and dependent for daily activities in 3-5 years. Differential diagnosis is challenging as cases may resemble Parkinson's disease or other ataxic syndromes depending on the clinical variant (MSA-P or MSA-C), especially in early stages. There are limited symptomatic treatments and no disease-modifying therapies. Pathologically, alpha-synuclein aggregates are found in glial cytoplasmic inclusions, among other proteins, as well as in neurons. The molecular pathogenesis of the disease, however, is widely unknown. Transcriptomic studies in MSA have tried to unravel the pathological mechanisms involved in the disease. Several biological and molecular processes have been described in the literature that associate disease pathogenesis with inflammation, mitochondrial, and autophagy related dysfunctions, as well as prion disease and Alzheimer disease associated pathways. These reports have also registered several differential diagnostic biomarker candidates. However, cross-validation between studies, in general, is poor, making clinical applicability and data reliability very challenging. This review will go over the main transcriptomic studies done in MSA, reporting on the most significant transcriptive and post-transcriptive changes described, and focusing on the main consensual findings.


Assuntos
Atrofia de Múltiplos Sistemas/genética , Atrofia de Múltiplos Sistemas/metabolismo , Transcriptoma/fisiologia , Epigenômica/tendências , Humanos , MicroRNAs/genética , MicroRNAs/metabolismo , Doenças Priônicas/genética , Doenças Priônicas/metabolismo
10.
Methods ; 187: 104-113, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-32645449

RESUMO

The definition of epigenetics refers that molecular modifications on DNA that can regulate gene activity are independent of DNA sequence and mitotically stable. Notably, epigenetics studies have grown exponentially in the past few years. Recent progresses that lead to exciting discoveries and groundbreaking nature of this area demand thorough methodologies and advanced technologies to move epigenetics to the forefront of molecular biology. The most recognized epigenetic regulations are DNA methylation, histone modifications, and non-coding RNAs (ncRNAs). This review will discuss the modern techniques that are available to detect locus-specific and genome-wide changes for all epigenetic codes. Furthermore, updated analysis of technologies, newly developed methods, recent breakthroughs and bioinformatics pipelines in epigenetic analysis will be presented. These methods, as well as many others presented in this specific issue, provide comprehensive guidelines in the area of epigenetics that facilitate further developments in this promising and rapidly developing field.


Assuntos
Pesquisa Biomédica/métodos , Epigênese Genética , Epigenômica/métodos , Pesquisa Biomédica/tendências , Metilação de DNA , Epigenômica/tendências , Código das Histonas , Humanos , RNA não Traduzido/metabolismo
11.
Clin Epigenetics ; 12(1): 169, 2020 11 07.
Artigo em Inglês | MEDLINE | ID: mdl-33160401

RESUMO

Peripheral T-cell lymphoma (PTCL) is a rare and heterogeneous group of clinically aggressive diseases associated with poor prognosis. Except for ALK + anaplastic large-cell lymphoma (ALCL), most peripheral T-cell lymphomas are highly malignant and have an aggressive disease course and poor clinical outcomes, with a poor remission rate and frequent relapse after first-line treatment. Aberrant epigenetic alterations play an important role in the pathogenesis and development of specific types of peripheral T-cell lymphoma, including the regulation of the expression of genes and signal transduction. The most common epigenetic alterations are DNA methylation and histone modification. Histone modification alters the level of gene expression by regulating the acetylation status of lysine residues on the promoter surrounding histones, often leading to the silencing of tumour suppressor genes or the overexpression of proto-oncogenes in lymphoma. DNA methylation refers to CpG islands, generally leading to tumour suppressor gene transcriptional silencing. Genetic studies have also shown that some recurrent mutations in genes involved in the epigenetic machinery, including TET2, IDH2-R172, DNMT3A, RHOA, CD28, IDH2, TET2, MLL2, KMT2A, KDM6A, CREBBP, and EP300, have been observed in cases of PTCL. The aberrant expression of miRNAs has also gradually become a diagnostic biomarker. These provide a reasonable molecular mechanism for epigenetic modifying drugs in the treatment of PTCL. As epigenetic drugs implicated in lymphoma have been continually reported in recent years, many new ideas for the diagnosis, treatment, and prognosis of PTCL originate from epigenetics in recent years. Novel epigenetic-targeted drugs have shown good tolerance and therapeutic effects in the treatment of peripheral T-cell lymphoma as monotherapy or combination therapy. NCCN Clinical Practice Guidelines also recommended epigenetic drugs for PTCL subtypes as second-line therapy. Epigenetic mechanisms provide new directions and therapeutic strategies for the research and treatment of peripheral T-cell lymphoma. Therefore, this paper mainly reviews the epigenetic changes in the pathogenesis of peripheral T-cell lymphoma and the advancement of epigenetic-targeted drugs in the treatment of peripheral T-cell lymphoma (PTCL).


Assuntos
Epigenômica/métodos , Histonas/química , Linfoma de Células T Periférico/tratamento farmacológico , Linfoma de Células T Periférico/genética , Proteínas Repressoras/genética , Acetilação , Biomarcadores Tumorais/genética , Ilhas de CpG , Metilação de DNA , Epigênese Genética , Epigenômica/tendências , Regulação da Expressão Gênica/genética , Histona Desacetilases/uso terapêutico , Histonas/genética , Humanos , Linfoma de Células T Periférico/patologia , Mutação , Prognóstico , Transdução de Sinais/genética
12.
JAMA Netw Open ; 3(11): e2024832, 2020 11 02.
Artigo em Inglês | MEDLINE | ID: mdl-33231637

RESUMO

Importance: Early life stress (ELS) has been shown to affect brain development and health outcomes. Recent animal studies have linked paternal early stress exposures with next-generation outcomes. Epigenetic inheritance through the male germline has been suggested to be one of the mechanisms. Objectives: To test whether paternal ELS, as measured using the Trauma and Distress Scale, is associated with neonate brain development. Design, Setting, and Participants: This cohort study included data from participants from the prospective 2-generation FinnBrain Birth Cohort, which was collected from 2011 to 2015. Pregnant women and the fathers were consecutively recruited at gestational week 12 from maternity clinics in Finland. Magnetic resonance imaging data were analyzed in 2019. Participants in this study were 72 families (infant, father, mother). Exposure: Paternal exposure to ELS. Main Outcomes and Measures: Fractional anisotropy (FA) values in the major white-matter tracts of the newborn brain. Results: A total of 72 trios (infant, mother, and father) were analyzed. At the time of delivery, the mean (SD) age was 31.0 (4.4) years for fathers and 30.3 (4.5) years for mothers. Forty-one infants (57%) were boys; mean (SD) child age at inclusion was 26.9 (7.2) days from birth and 205 (8) days from estimated conception. Increasing levels of paternal ELS were associated with higher FA values in the newborn brain in the body of the corpus callosum, right superior corona radiata, and retrolenticular parts of the internal capsule. This association persisted after controlling for maternal ELS, maternal socioeconomic status (SES), maternal body mass index, maternal depressive symptoms during pregnancy, child sex, and child age from birth and gestation corrected age when imaged. In additional region-of-interest analyses, the association between FA values and paternal Trauma and Distress Scale sum scores remained statistically significant in the earliest maturing regions of the brain, eg, the genu of the corpus callosum (in the regression models, ß = 0.00096; 95% CI, 0.00034-0.00158; P = .003) and the splenium (ß = 0.00090; 95% CI, 0.00000-0.00180; P = .049). Conclusions and Relevance: This cohort study found a statistically significant association between paternal ELS and offspring brain development. This finding may have far-reaching implications in pediatrics, as it suggests the possibility of a novel route of intergenerational inheritance of ELS on next-generation brain development.


Assuntos
Experiências Adversas da Infância/estatística & dados numéricos , Encéfalo/crescimento & desenvolvimento , Pai/psicologia , Substância Branca/crescimento & desenvolvimento , Adulto , Anisotropia , Encéfalo/diagnóstico por imagem , Estudos de Coortes , Epigenômica/tendências , Feminino , Humanos , Lactente , Recém-Nascido , Imageamento por Ressonância Magnética , Masculino , Mães/psicologia , Exposição Paterna/efeitos adversos , Gravidez , Efeitos Tardios da Exposição Pré-Natal/genética , Estudos Prospectivos
13.
Funct Integr Genomics ; 20(6): 739-761, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33089419

RESUMO

Epigenetics is defined as changes in gene expression that are not associated with changes in DNA sequence but due to the result of methylation of DNA and post-translational modifications to the histones. These epigenetic modifications are known to regulate gene expression by bringing changes in the chromatin state, which underlies plant development and shapes phenotypic plasticity in responses to the environment and internal cues. This review articulates the role of histone modifications and DNA methylation in modulating biotic and abiotic stresses, as well as crop improvement. It also highlights the possibility of engineering epigenomes and epigenome-based predictive models for improving agronomic traits.


Assuntos
Epigenômica/tendências , Código das Histonas/genética , Histonas/genética , Melhoramento Vegetal , Cromatina/genética , Produtos Agrícolas/genética , Metilação de DNA/genética , Regulação da Expressão Gênica de Plantas/genética , Desenvolvimento Vegetal/genética , Plantas/genética , Processamento de Proteína Pós-Traducional/genética
14.
Trends Immunol ; 41(8): 676-691, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32622854

RESUMO

Effective anticancer immunotherapy treatments constitute a qualitative leap in cancer management. Nonetheless, not all patients benefit from such therapies because they fail to achieve complete responses, suffer frequent relapses, or develop potentially life-threatening toxicities. Epigenomic signatures in immune and cancer cells appear to be accurate and promising predictors of patient outcomes with immunotherapy. In addition, combined treatments with epigenetic drugs can exploit the dynamic nature of epigenetic changes to potentially modulate responses to immunotherapy. Candidate epigenetic biomarkers may provide a rationale for patient stratification and precision medicine, thus maximizing the chances of treatment success while minimizing unwanted effects. We present a comprehensive up-to-date view of potential epigenetic biomarkers in immunotherapy and discuss their advantages over other indicators.


Assuntos
Epigenômica , Imunoterapia , Neoplasias , Terapia Combinada , Epigênese Genética , Epigenômica/tendências , Humanos , Imunoterapia/tendências , Neoplasias/genética , Neoplasias/terapia
15.
Curr Opin Psychiatry ; 33(6): 515-520, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32576735

RESUMO

PURPOSE OF REVIEW: Studies indicate that environmental factors, acting at various moments throughout the life cycle, can result in epigenetically mediated alterations in gene expression. In this article, we review recent findings on the role of epigenetic factors in eating disorders, address methodological issues that need to be considered when interpreting research findings, and comment on possible clinical applications. RECENT FINDINGS: Evidence suggests that eating disorders implicate alterations of methylation in genes involved in the mental status, metabolism, anthropometric features and immunity. Furthermore, some research in individuals with anorexia nervosa suggests the presence of reversible, malnutrition-induced epigenetic alterations that 'reset' as patients recover. SUMMARY: Epigenetic studies in the eating disorders corroborate the idea that eating disorder cause is multifactorial, and identify markers that could help inform our understanding of illness staging and subtyping that may explain the commonly progressive course of these disorders, and that may provide insights towards the development of novel interventions. Already, there is evidence to suggest that, in people with eating disorders, epigenetically informed interventions help reduce stigma and shame, and increase self-acceptance and hopes of recovery. Although findings are intriguing, further research is required as, to date, studies apply modest sample sizes and disparate methodologies.


Assuntos
Epigenômica , Transtornos da Alimentação e da Ingestão de Alimentos , Causalidade , Epigenômica/métodos , Epigenômica/tendências , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Transtornos da Alimentação e da Ingestão de Alimentos/genética , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Interação Gene-Ambiente , Humanos , Projetos de Pesquisa
16.
Mol Biol Rep ; 47(7): 5559-5567, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32506306

RESUMO

The association between air pollution and a wide-ranging spectrum of acute and chronic disorders-including cardiovascular diseases-is widely acknowledged. Exposure to airborne pollutants triggers harmful mechanisms such as oxidative stress and systemic inflammation, which lead to increased incidence of myocardial infarction, arterial hypertension, stroke, and heart failure. Sustained efforts have been made in recent years to discover how environmental exposures affect human health through epigenetic phenomena, such as DNA methylation, histone modifications and non-coding RNA-mediated gene regulation. This review summarizes the current evidences on the relationship between air pollution exposure, epigenetic alterations and cardiovascular impact, in view of present implications and future perspectives.


Assuntos
Poluição do Ar/efeitos adversos , Doenças Cardiovasculares/genética , Epigenômica/tendências , Poluentes Atmosféricos , Poluição do Ar/estatística & dados numéricos , Doenças Cardiovasculares/etiologia , Metilação de DNA , Exposição Ambiental/efeitos adversos , Epigênese Genética , Epigenômica/métodos , Humanos , Hipertensão/etiologia , Hipertensão/genética , Incidência , Fatores de Risco
17.
Fertil Steril ; 113(3): 478-488, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32089255

RESUMO

The complexity of male reproductive impairment has hampered characterization of the underlying genetic causes of male infertility. However, in the last 20 years, more powerful and affordable tools to interrogate the genetic and epigenetic determinants of male infertility have accelerated the number of new discoveries in the characterization of male infertility. With this explosion of new data, integration in a systems-based approach-including complete phenotypic information-to male infertility is imperative. We briefly review the current understanding of genetic and epigenetic causes of male infertility and how findings may be translated into a practical component for the diagnosis and treatment of male infertility.


Assuntos
Big Data , Epigenômica/métodos , Infertilidade Masculina/genética , Técnicas de Reprodução Assistida/tendências , Análise Mutacional de DNA/métodos , Análise Mutacional de DNA/tendências , Epigênese Genética/fisiologia , Epigenômica/tendências , Sequenciamento de Nucleotídeos em Larga Escala/tendências , Humanos , Infertilidade Masculina/diagnóstico , Infertilidade Masculina/terapia , Masculino , Polimorfismo Genético , Análise de Sequência de DNA/tendências
19.
Curr Opin Allergy Clin Immunol ; 20(2): 155-161, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31985545

RESUMO

PURPOSE OF REVIEW: Childhood asthma is a heterogeneous inflammatory disease comprising different phenotypes and endotypes and, particularly in its severe forms, has a large impact on the quality-of-life of patients and caregivers. The application of advanced omics technologies provides useful insights into underlying asthma endotypes and may provide potential clinical biomarkers to guide treatment and move towards a precision medicine approach. RECENT FINDINGS: The current article addresses how novel omics approaches have shaped our current understanding of childhood asthma and highlights recent findings from (pharmaco)genomics, epigenomics, transcriptomics, and metabolomics studies on childhood asthma and their potential clinical implications to guide treatment in severe asthmatics. SUMMARY: Until now, omics studies have largely expanded our view on asthma heterogeneity, helped understand cellular processes underlying asthma, and brought us closer towards identifying (bio)markers that will allow the prediction of treatment responsiveness and disease progression. There is a clinical need for biomarkers that will guide treatment at the individual level, particularly in the field of biologicals. The integration of multiomics data together with clinical data could be the next promising step towards development individual risk prediction models to guide treatment. However, this requires large-scale collaboration in a multidisciplinary setting.


Assuntos
Antiasmáticos/uso terapêutico , Asma/diagnóstico , Produtos Biológicos/uso terapêutico , Medicina de Precisão/métodos , Antiasmáticos/farmacologia , Asma/tratamento farmacológico , Asma/genética , Asma/imunologia , Produtos Biológicos/farmacologia , Biomarcadores/análise , Criança , Progressão da Doença , Epigenômica/métodos , Epigenômica/tendências , Perfilação da Expressão Gênica/tendências , Predisposição Genética para Doença , Humanos , Metabolômica/métodos , Metabolômica/tendências , Testes Farmacogenômicos/métodos , Testes Farmacogenômicos/tendências , Medicina de Precisão/tendências , Proteômica/métodos , Proteômica/tendências , Índice de Gravidade de Doença , Resultado do Tratamento
20.
Nat Rev Clin Oncol ; 17(2): 75-90, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31548600

RESUMO

The past decade has seen the emergence of immunotherapy as a prime approach to cancer treatment, revolutionizing the management of many types of cancer. Despite the promise of immunotherapy, most patients do not have a response or become resistant to treatment. Thus, identifying combinations that potentiate current immunotherapeutic approaches will be crucial. The combination of immune-checkpoint inhibition with epigenetic therapy is one such strategy that is being tested in clinical trials, encompassing a variety of cancer types. Studies have revealed key roles of epigenetic processes in regulating immune cell function and mediating antitumour immunity. These interactions make combined epigenetic therapy and immunotherapy an attractive approach to circumvent the limitations of immunotherapy alone. In this Review, we highlight the basic dynamic mechanisms underlying the synergy between immunotherapy and epigenetic therapies and detail current efforts to translate this knowledge into clinical benefit for patients.


Assuntos
Epigênese Genética/imunologia , Imunoterapia/métodos , Neoplasias/terapia , Microambiente Tumoral/genética , Epigenômica/tendências , Humanos , Oncologia/tendências , Neoplasias/imunologia
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