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1.
Pharmacogenomics J ; 14(2): 182-91, 2014 Apr.
Article in English | MEDLINE | ID: mdl-23670706

ABSTRACT

This study was designed to identify genes whose expression in peripheral blood may serve as early markers for treatment response to lithium (Li) in patients with bipolar disorder. Although changes in peripheral blood gene-expression may not relate directly to mood symptoms, differences in treatment response at the biochemical level may underlie some of the heterogeneity in clinical response to Li. Subjects were randomized to treatment with (n=28) or without (n=32) Li. Peripheral blood gene-expression was measured before and 1 month after treatment initiation, and treatment response was assessed after 6 months. In subjects treated with Li, 62 genes were differentially regulated in treatment responders and non-responders. Of these, BCL2L1 showed the greatest difference between Li responders and non-responders. These changes were specific to Li responders (n=9), and were not seen in Li non-responders or patients treated without Li, suggesting that they may have specific roles in treatment response to Li.


Subject(s)
Bipolar Disorder/genetics , Gene Expression Regulation/drug effects , Lithium/administration & dosage , bcl-X Protein/biosynthesis , Bipolar Disorder/drug therapy , Bipolar Disorder/pathology , Blood Proteins/biosynthesis , Female , Humans , Male , bcl-X Protein/genetics
2.
Int J Tuberc Lung Dis ; 28(4): 189-194, 2024 Apr 01.
Article in English | MEDLINE | ID: mdl-38563336

ABSTRACT

BACKGROUNDKey challenges in paediatric TB diagnosis are invasive sampling and poor sensitivity of standard methods. This study demonstrates the diagnostic potential of non-invasive sampling of bioaerosols from children using SMaRT-PCR, comprising mask sampling combined with reverse transcriptase-polymerase chain reaction (RT-PCR) for TB.METHODSExhaled bioaerosols were captured on modified N-95 masks in a 10-min talk-cough-breathe process from 51 children (30 with TB confirmed using standard sampling methods and 21 without TB) aged 2-15 years. All mask samples were tested using in-house RT-PCR for 16s and rpoB RNA transcripts. Additional mask samples from children with TB were tested using Xpert® MTB/RIF (n = 3) and Xpert® MTB/RIF Ultra (n = 27).RESULTSSMaRT-PCR sensitivity for detecting TB among treatment-naïve children was 96% if 16s or rpoB was present, and 75% if both genes were present, comparable to standard methods (71%) in the same cohort. Specificity was better for both genes, at 95%, than 85% for a single gene detection. Mask sampling with Xpert MTB/RIF or Ultra had a sensitivity of only 13%.CONCLUSIONThis is the first study to provide evidence for testing bioaerosols as a promising alternative for detecting paediatric TB. Sampling is non-invasive and simple, with the potential for point-of-care applications. This pilot study also suggests that RNA transcript-based detection may improve TB diagnostic sensitivity in children; however, further investigation is required to establish its adaptability in clinical settings..


Subject(s)
Mycobacterium tuberculosis , Tuberculosis, Pulmonary , Humans , Child , Mycobacterium tuberculosis/genetics , Reverse Transcriptase Polymerase Chain Reaction , Pilot Projects , Tuberculosis, Pulmonary/diagnosis , RNA , Sensitivity and Specificity
3.
J Appl Microbiol ; 110(5): 1203-14, 2011 May.
Article in English | MEDLINE | ID: mdl-21371219

ABSTRACT

AIMS: To investigate the changes in bacterial diversity on fresh spinach phyllosphere associated with storage at refrigeration temperatures. METHODS AND RESULTS: Community structure and population dynamics of spinach phylloepiphytic bacteria associated with packaging and refrigeration of ready-to-eat fresh produce were evaluated using pyrosequencing of 16S rRNA gene amplicons. A diverse community responsive to storage at refrigerated temperatures was detected belonging to over 1000 operational taxonomic units, including many diverse members not previously described on the phyllosphere. Of the approx. 8800 unique sequences examined from fresh spinach leaves, 75% were from previously undescribed taxa. The classified sequences from the fresh spinach phyllosphere were assigned to 11 different phyla with the largest number of reads belonging to Proteobacteria and Firmicutes. Packaging and storage of spinach under refrigerated conditions decreased the richness, diversity and evenness of the bacterial community. Refrigeration at 4 and 10°C and storage resulted in a decrease in number of taxa represented from 11 phyla in fresh spinach to only 5 phyla after 1 day of storage. Sequences belonging to γ-Proteobacteria, particularly Pseudomonas spp. and members of the Enterobacteriaceae, were the most numerous after 15 days of storage at both temperatures. Growth inhibition of the genera Escherichia was achieved at 4°C but not at 10°C storage, thus highlighting the importance of temperature in fresh packaged spinach. CONCLUSIONS: The application of pyrosequencing to describe composition and diversity of the phyllosphere on spinach leaves provided a broader outlook of the bacterial composition of this community complementing other phyllosphere studies that have used culture- and nonculture-dependent approaches. SIGNIFICANCE AND IMPACT OF THE STUDY: Pyrosequencing allowed a broader description of the bacterial composition and diversity of the spinach leaf surface than previously obtained using culture-based detection and will be a powerful tool to help ensure the future safety and quality of packaged spinach.


Subject(s)
Bacteria/growth & development , Food Handling/methods , Food Microbiology , Refrigeration , Spinacia oleracea/microbiology , Bacteria/classification , Bacteria/genetics , Biodiversity , Gene Library , Metagenome , RNA, Bacterial/genetics , RNA, Ribosomal, 16S/genetics , Sequence Analysis, DNA
4.
Spectrochim Acta A Mol Biomol Spectrosc ; 246: 119010, 2021 Feb 05.
Article in English | MEDLINE | ID: mdl-33035886

ABSTRACT

During the investigation of fungal isolation from fruit, the major genera were Aspergillus, Penicillium, cladosporium, Alternaria, fusarium, Colletotrichum were found. Among them Aspergillus (15 species) was found major dominant on different fruits. Fifteen different Aspergillus species viz. Aspergillus brasiliensis, Aspergillus phoenicis, Aspergillus carbonarius, four Aspergillus flavus, Aspergillus acidus, two Aspergillus awamori, Aspergillus aculeatus, Aspergillus eucalypticola, Aspergillus oryzae and two Aspergillus Spp. have been differentiate and identify using morphology (microscopic technique), Fourier Transforms Infrared spectroscopy (FTIR), Raman Spectroscopy (RS) and UV-visible spectrophotometry (UV-vis). The fungal mass in powder form was used in present study. In FTIR the finger print region is important for the characterization of Aspergillus because this region is unique and contains peaks indicating the presence of DNA. From the results were found Fourier transform infrared (FTIR) technique and Raman spectroscopy a useful tool, sensitive, fast, economical, accurate, not require sample preparation and successfully used to identify fungi.


Subject(s)
Fruit , Microscopy , Aspergillus , Fungi , Spectroscopy, Fourier Transform Infrared
5.
J Bacteriol ; 192(12): 3078-92, 2010 Jun.
Article in English | MEDLINE | ID: mdl-20400544

ABSTRACT

Helicobacter pylori is the dominant member of the gastric microbiota and has been associated with an increased risk of gastric cancer and peptic ulcers in adults. H. pylori populations have migrated and diverged with human populations, and health effects vary. Here, we describe the whole genome of the cag-positive strain V225d, cultured from a Venezuelan Piaroa Amerindian subject. To gain insight into the evolution and host adaptation of this bacterium, we undertook comparative H. pylori genomic analyses. A robust multiprotein phylogenetic tree reflects the major human migration out of Africa, across Europe, through Asia, and into the New World, placing Amerindian H. pylori as a particularly close sister group to East Asian H. pylori. In contrast, phylogenetic analysis of the host-interactive genes vacA and cagA shows substantial divergence of Amerindian from Old World forms and indicates new genotypes (e.g., VacA m3) involving these loci. Despite deletions in CagA EPIYA and CRPIA domains, V225d stimulates interleukin-8 secretion and the hummingbird phenotype in AGS cells. However, following a 33-week passage in the mouse stomach, these phenotypes were lost in isolate V225-RE, which had a 15-kb deletion in the cag pathogenicity island that truncated CagA and eliminated some of the type IV secretion system genes. Thus, the unusual V225d cag architecture was fully functional via conserved elements, but the natural deletion of 13 cag pathogenicity island genes and the truncation of CagA impaired the ability to induce inflammation.


Subject(s)
Genetic Variation , Helicobacter Infections/microbiology , Helicobacter pylori/genetics , Helicobacter pylori/metabolism , Inflammation/metabolism , Animals , Bacterial Proteins/genetics , Bacterial Proteins/metabolism , Cell Line , Coculture Techniques , Female , Gene Expression Regulation, Bacterial , Genome, Bacterial , Genomic Islands/genetics , Genomic Islands/physiology , Humans , Mice , Molecular Sequence Data , Phylogeny
6.
Science ; 222(4622): 419-21, 1983 Oct 28.
Article in English | MEDLINE | ID: mdl-17789533

ABSTRACT

Esterase 6, a component of the seminal fluid of Drosophila melanogaster males, hydrolyzes cis-vaccenyl acetate, a lipid made only by males, to cis-vaccenyl alcohol. This reaction occurs in the female reproductive tract and is virtually complete within 6 hours after copulation. Both the alcohol and the acetate decrease the number of matings among pairs of virgin flies in which the female is treated topically with these substances. Although females tested 10 minutes after copulation elicit less courtship than virgin females, females tested 6 hours after copulation stimulate even less courtship if they received active esterase 6 in the seminal fluid of their respective mates. Either the alcohol or a derivative appears to be an antiaphrodisiac that decreases courtship elicited by inseminated females and thus reduces the probability of further mating. Thus the activity of the pheromone depends on a final reaction which occurs in the female, using both substrate and enzyme provided by the male.

7.
Nucleic Acids Res ; 35(12): 3953-62, 2007.
Article in English | MEDLINE | ID: mdl-17553834

ABSTRACT

We present a bacterial genome computational analysis pipeline, called GenVar. The pipeline, based on the program GeneWise, is designed to analyze an annotated genome and automatically identify missed gene calls and sequence variants such as genes with disrupted reading frames (split genes) and those with insertions and deletions (indels). For a given genome to be analyzed, GenVar relies on a database containing closely related genomes (such as other species or strains) as well as a few additional reference genomes. GenVar also helps identify gene disruptions probably caused by sequencing errors. We exemplify GenVar's capabilities by presenting results from the analysis of four Brucella genomes. Brucella is an important human pathogen and zoonotic agent. The analysis revealed hundreds of missed gene calls, new split genes and indels, several of which are species specific and hence provide valuable clues to the understanding of the genome basis of Brucella pathogenicity and host specificity.


Subject(s)
Brucella/genetics , Computational Biology/methods , Genetic Variation , Genome, Bacterial , Genomics/methods , Amino Acid Sequence , Bacterial Proteins/genetics , Base Sequence , Brucella/pathogenicity , DNA, Intergenic/chemistry , Genes, Bacterial , Molecular Sequence Data , Polymorphism, Genetic , Software , Virulence Factors/genetics
8.
Nucleic Acids Res ; 35(Database issue): D401-6, 2007 Jan.
Article in English | MEDLINE | ID: mdl-17142235

ABSTRACT

The PathoSystems Resource Integration Center (PATRIC) is one of eight Bioinformatics Resource Centers (BRCs) funded by the National Institute of Allergy and Infection Diseases (NIAID) to create a data and analysis resource for selected NIAID priority pathogens, specifically proteobacteria of the genera Brucella, Rickettsia and Coxiella, and corona-, calici- and lyssaviruses and viruses associated with hepatitis A and E. The goal of the project is to provide a comprehensive bioinformatics resource for these pathogens, including consistently annotated genome, proteome and metabolic pathway data to facilitate research into counter-measures, including drugs, vaccines and diagnostics. The project's curation strategy has three prongs: 'breadth first' beginning with whole-genome and proteome curation using standardized protocols, a 'targeted' approach addressing the specific needs of researchers and an integrative strategy to leverage high-throughput experimental data (e.g. microarrays, proteomics) and literature. The PATRIC infrastructure consists of a relational database, analytical pipelines and a website which supports browsing, querying, data visualization and the ability to download raw and curated data in standard formats. At present, the site warehouses complete sequences for 17 bacterial and 332 viral genomes. The PATRIC website (https://patric.vbi.vt.edu) will continually grow with the addition of data, analysis and functionality over the course of the project.


Subject(s)
Bioterrorism , Databases, Genetic , Proteobacteria/genetics , RNA Viruses/genetics , Genomics , Internet , Proteobacteria/metabolism , Proteobacteria/pathogenicity , Proteomics , RNA Viruses/metabolism , RNA Viruses/pathogenicity , Systems Integration , User-Computer Interface
9.
World J Gastroenterol ; 13(39): 5208-16, 2007 Oct 21.
Article in English | MEDLINE | ID: mdl-17876891

ABSTRACT

AIM: To investigate the role of small intestinal carcinoid tumor-derived fibrotic mediators, TGFbeta1 and CTGF, in the mediation of fibrosis via activation of an "intestinal" stellate cell. METHODS: GI carcinoid tumors were collected for Q RT-PCR analysis of CTGF and TGFbeta1. Markers of stellate cell desmoplasia were identified in peritoneal fibrosis by immunohistochemistry and stellate cells cultured from fresh resected fibrotic tissue. CTGF and TGFbeta1 were evaluated using quantitative tissue array profiling (AQUA analysis) in a GI carcinoid tissue microarray (TMA) with immunostaining and correlated with clinical and histologically documented fibrosis. Serum CTGF was analyzed using a sandwich ELISA assay. RESULTS: Message levels of both CTGF and TGFbeta1 in SI carcinoid tumors were significantly increased (> 2-fold, P < 0.05) versus normal mucosa and gastric (non-fibrotic) carcinoids. Activated stellate cells and markers of stellate cell-mediated fibrosis (vimentin, desmin) were identified in histological fibrosis. An intestinal stellate cell was immunocytochemically and biochemically characterized and its TGFbeta1 (10-7M) initiated CTGF transcription response (> 3-fold, P < 0.05) demonstrated. In SI carcinoid tumor patients with documented fibrosis, TMA analysis demonstrated higher CTGF immunostaining (AQUA Score: 92 +/- 8; P < 0.05), as well as elevated TGFbeta1 (90.6 +/- 4.4, P < 0.05). Plasma CTGF (normal 12.5 +/- 2.6 ng/mL) was increased in SI carcinoid tumor patients (31 +/- 10 ng/mL, P < 0.05) compared to non-fibrotic GI carcinoids (< 15 ng/mL). CONCLUSION: SI carcinoid tumor fibrosis is a CTGF/TGFbeta1-mediated stellate cell-driven fibrotic response. The delineation of the biology of fibrosis will facilitate diagnosis and enable development of agents to obviate its local and systemic complications.


Subject(s)
Carcinoid Tumor/etiology , Carcinoid Tumor/metabolism , Gastrointestinal Neoplasms/etiology , Gastrointestinal Neoplasms/metabolism , Immediate-Early Proteins/metabolism , Intercellular Signaling Peptides and Proteins/metabolism , Intestine, Small/metabolism , Adult , Aged , Carcinoid Tumor/pathology , Case-Control Studies , Cells, Cultured , Connective Tissue Growth Factor , Extracellular Matrix/metabolism , Extracellular Matrix/pathology , Female , Fibrosis/etiology , Fibrosis/metabolism , Fibrosis/pathology , Gastrointestinal Neoplasms/pathology , Humans , Intestine, Small/pathology , Male , Middle Aged , RNA, Messenger/metabolism , Tissue Array Analysis , Transforming Growth Factor beta1/metabolism
10.
Cancer Res ; 50(12): 3627-30, 1990 Jun 15.
Article in English | MEDLINE | ID: mdl-2187599

ABSTRACT

Activation of c-Ki-ras by point mutation within exon 1 was studied in 33 specimens of dysplastic gastrointestinal lesions or of cancers presumed to arise from dysplasia. Samples were obtained from patients with underlying ulcerative colitis or Barrett's esophagus, two diseases associated with dysplasia and increased rates of colonic or esophageal adenocarcinoma, respectively. Genomic DNA was amplified using primers bounding this exon in the polymerase chain reaction. Polymerase chain reaction products were analyzed by direct dideoxy sequencing. Three point mutations in codon 13 of c-Ki-ras were found, all in colonic specimens (two high-grade dysplasias and one adenocarcinoma arising in ulcerative colitis). No point mutations were observed in the second exon of c-Ki-ras or in and around codons 12, 13, and 61 of c-N-ras and C-Ha-ras in a partial sampling of the specimens. These data indicate that ras family protooncogene activation is an uncommon event at this level of malignant progression in these disease states. Carcinogenesis in ulcerative colitis and Barrett's esophagus may proceed via different pathways than in sporadic colon cancer, perhaps involving loss or inactivation of suppressor genes.


Subject(s)
Adenocarcinoma/genetics , Colitis, Ulcerative/genetics , Esophageal Neoplasms/genetics , Esophagus/analysis , Genes, ras , Mutation , Codon , DNA, Neoplasm/analysis , Esophagus/pathology , Humans , Polymerase Chain Reaction
11.
J Genet ; 95(4): 787-799, 2016 Dec.
Article in English | MEDLINE | ID: mdl-27994177

ABSTRACT

An attempt was made to understand the 'floral bud distortion' (FBD), an unexplored disorder prevailing in soybean. Cytological behaviour of floral reproductive organs and in silico characterization of differentially expressed transcript-derived fragments (TDFs) in symptomatic and asymptomatic soybean plants were carried out. Pollens in asymptomatic plants do not have defects in number, size, shape and function. However, in symptomatic plant, pollens were found nonviable, abnormal in shape and with reduced germination ability. Here, we employed a computational approach, exploring invaluable resources. The tissue-specific transcript profile of symptomatic and asymptomatic sources was compared to determine differentially expressed TDFs associated with FBD to improve its basic understanding. A total of 60 decamer primers produced 197 scorable amplicons, ranged 162-1130 bp, of which 171 were monomorphic and 26 were differentially regulated. Reproducible TDFs were sequenced and characterized for their homology analysis, annotation, protein-protein interaction, subcellular localization and their physical mapping. Homology-based annotation of TDFs in soybean revealed presence of two characterized and seven uncharacterized hits. Annotation of characterized sequences showed presence of genes, namely auxin response factor 9 (ARF9) and forkhead-associated (FHA) domain, which are directly involved in plant development through various pathways, such as hormonal regulation, plant morphology, embryogenesis and DNA repair.


Subject(s)
Flowers/genetics , Gene Expression Regulation, Plant , Genes, Plant , Glycine max/genetics , Glycine max/metabolism , Chromosomes, Plant , Computational Biology/methods , Gene Expression Profiling , Gene Ontology , Gene Regulatory Networks , Molecular Sequence Annotation , Physical Chromosome Mapping , Pollen/anatomy & histology , Pollen/cytology , Pollen/ultrastructure , Protein Interaction Mapping , Protein Interaction Maps , Protein Transport , Proteome , Proteomics/methods , Quantitative Trait, Heritable , Sequence Analysis, DNA , Glycine max/cytology , Glycine max/ultrastructure
12.
Biochim Biophys Acta ; 496(2): 401-11, 1977 Feb 28.
Article in English | MEDLINE | ID: mdl-189841

ABSTRACT

The development of a sensitive viroimmunoassay for honey bee cytochrome c and its usage for early detection of caste differentiation is described. Pure honey bee cytochrome c was isolated from workers and used to produce antibodies in rabbits. Bacteriophage T4 was chemically modified by covalent attachment of honey bee cytochrome c using tolylene-2,4-diisocyanate as a cross-linking agent. The immunospecific inactivation of this bacteriophage-cytochrome c conjugate by anti-cytochrome c antibodies can be inhibited by free cytochrome c. In quantitative determinations, 50% inhibition is reproducibly achieved at a concentration of 6 ng/ml (5 pmol/ml) and as little as 0.3 ng/ml (0.25 pmol/ml) could be detected by this system. Cytochrome c concentrations were measured in individual animals and substantial differences corresponding larval stages of worker and queen bees are reported.


Subject(s)
Bees/growth & development , Coliphages , Cytochrome c Group/analysis , Antibodies , Cytochrome c Group/immunology , Immunoassay , Larva/immunology , Metamorphosis, Biological
14.
Leukemia ; 3(11): 827-9, 1989 Nov.
Article in English | MEDLINE | ID: mdl-2682048

ABSTRACT

The proto-oncogene c-N-ras frequently bears point mutations in ANLL cell DNA which endow it with the capacity to transform NIH/3T3 cells in vitro. Chronic myelogenous leukemia (CML) is a neoplasm highly related to ANLL since it involves the same hematopoietic progenitor cells and ultimately transforms to a neoplasm virtually indistinguishable from acute nonlymphoblastic leukemia (ANLL). Thus, we and others have examined ras genes in CML. This report confirms that ras gene activation is a very infrequent event in CML. However, a lymphoblastic cell line derived from a patient with CML did exhibit a novel second exon 61st codon activating mutation of c-N-ras.


Subject(s)
Codon , Gene Expression Regulation , Genes, ras , Leukemia, Myelogenous, Chronic, BCR-ABL Positive/genetics , Mutation , RNA, Messenger , Humans , Proto-Oncogene Mas , Transcriptional Activation , Tumor Cells, Cultured
15.
Leukemia ; 3(7): 511-5, 1989 Jul.
Article in English | MEDLINE | ID: mdl-2659902

ABSTRACT

While activation of the protooncogene c-N-ras is observed regularly in acute myelogenous leukemia, amplification of c-myc in AML cells or derived lines is uncommon. In particular, concurrent ras/myc activation, which has been shown to be critical in several elegant models of malignancy, has been demonstrated in a very small number of human tumors or derivative cell lines. A cell line, RED-3, is described which was derived from cells of a patient with aggressive acute leukemia which exhibits many markers of lineage infidelity. DNA from this cell line contains an activating point mutation of c-N-ras as well as 20-30-fold amplification of c-myc. After HL-60, this is the second example of ras/myc activation in AML derived cells and demonstrates that this lesion is not unique to HL-60. Rather, it may be important in leukemogenesis in a small proportion of AML patients.


Subject(s)
Gene Amplification , Gene Expression Regulation , Genes, ras , Leukemia-Lymphoma, Adult T-Cell/genetics , Mutation , Oncogenes , Adult , Amino Acid Sequence , Animals , Base Sequence , Cell Line , Cell Transformation, Neoplastic/genetics , DNA, Neoplasm/physiology , Humans , Male , Mice , Molecular Sequence Data , Phenotype
16.
Clin Nucl Med ; 30(5): 308-11, 2005 May.
Article in English | MEDLINE | ID: mdl-15827397

ABSTRACT

PURPOSE: We report a case of a rectal carcinoid tumor that was treated using endoscopic resection. This case highlights the usefulness of using somatostatin receptor scintigraphy in the postresection endoscopy of the tumor and the intraoperative use of a gamma probe detector for the surgical resection of metastatic adenopathy that had not been detected using computed tomography (CT) scanning. METHODS: The patient was studied using CT scanning, somatostatin receptor scintigraphy (SRS), and rectal endoscopic ultrasonography (EUS). A gamma probe detector was scheduled for use during the subsequent surgical intervention. RESULTS: The SRS demonstrated a pelvic metastatic lymphatic node that had not been detected on CT scanning. Additional EUS did not show regional metastatic lymph nodes. Histopathology following removal of retroperitoneal and presacral lymphatic nodes confirmed the diagnosis of metastatic carcinoid tumor. At follow up at 6 months, SRS and rectoscopy were normal. CONCLUSION: Somatostatin receptor scintigraphy is very useful in identifying the presence of lymph node metastases, even with a small rectal carcinoid tumor. This is of considerable importance when scheduling surgery and the CT and EUS are normal. The use of an intraoperative gamma-probe detector assists in the surgical excision of the metastatic lymphatic nodes, especially because they had been detected only using SRS, and when their exact location is uncertain.


Subject(s)
Carcinoid Tumor/diagnostic imaging , Carcinoid Tumor/secondary , Lymph Node Excision/methods , Lymph Nodes/diagnostic imaging , Neoplasm Recurrence, Local/diagnostic imaging , Octreotide/analogs & derivatives , Pentetic Acid/analogs & derivatives , Rectal Neoplasms/diagnostic imaging , Rectal Neoplasms/surgery , Surgery, Computer-Assisted/methods , Carcinoid Tumor/surgery , Female , Gamma Cameras , Humans , Intraoperative Care/methods , Lymph Nodes/surgery , Lymphatic Metastasis , Middle Aged , Neoplasm Recurrence, Local/secondary , Neoplasm Recurrence, Local/surgery , Radionuclide Imaging , Radiopharmaceuticals
17.
Clin Transl Oncol ; 17(7): 521-9, 2015 Jul.
Article in English | MEDLINE | ID: mdl-25596034

ABSTRACT

PURPOSE: We report the response rate in children older than 18 months with stage 4 Neuroblastoma, using a modified dose-intensive, response-adaptive, induction mN7 protocol. METHODS: From 2005 to 2012, 24 patients were treated with the mN7 protocol. Phase 1 included five MSKCC N7 cycles and surgery and two high-dose cyclophosphamide-topotecan (HD-CT) cycles for those who did not achieve complete remission (CR) and negative bone marrow (BM) minimal residual disease (MRD) status (CR+MRD-). Phase 2 consisted of myeloablative doses of topotecan, thiotepa and carboplatin plus hyperfractionated RT. Phase 3 included isotretinoin and 3F8 immunotherapy plus GM-CSF. BM MRD was monitored using GD2 synthase, PHOX2B and cyclin D1 mRNAs. RESULTS: After 3 cycles, all patients showed BM complete histological clearance and 6 (25 %) were MRD-. Twenty of 21 s-look surgeries achieved macroscopic complete resection. After 5 cycles and surgery, (123)I-MIBG scan was negative in 15 (62.5 %) cases, BM disease by histology was negative in 23 (96 %) and 10 (42 %) patients were MRD-. Twelve (50 %) pts were in CR, 2 in very good partial response (VGPR), 9 partial response (PR) and one had progressive disease. With 2 HD-CT extra cycles, 17 (71 %) pts achieved CR+MRD- status moving to phase 2. Overall and event-free survival at 3 years for the 17 patients who achieved CR+MRD- is 65 and 53 %, respectively, median follow-up 47 months. Seven (29 %) patients never achieved CR+MRD-. Univariate Cox regression analysis shows CR+MRD- status after mN7 induction as the only statistically significant prognostic factor to predict overall survival. CONCLUSIONS: mN7 induction regimen produced a CR+MRD- rate of 71 %. CR+MRD- status following induction was the only predictive marker of long-term survival.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Bone Marrow/pathology , Brain Neoplasms/drug therapy , Consolidation Chemotherapy/methods , Induction Chemotherapy/methods , Neuroblastoma/drug therapy , Neurosurgical Procedures , Carboplatin/administration & dosage , Child , Child, Preschool , Cisplatin/administration & dosage , Cohort Studies , Cyclophosphamide/administration & dosage , Disease-Free Survival , Doxorubicin/administration & dosage , Etoposide/administration & dosage , Female , Humans , Immunotherapy , Infant , Isotretinoin/administration & dosage , Male , Neoadjuvant Therapy , Neoplasm Staging , Neuroblastoma/pathology , Pilot Projects , Prospective Studies , Radiotherapy , Thiotepa/administration & dosage , Topotecan/administration & dosage , Treatment Outcome , Vincristine/administration & dosage
18.
Physiol Genomics ; 20(1): 131-42, 2004 Dec 15.
Article in English | MEDLINE | ID: mdl-15602048

ABSTRACT

Enterochromaffin-like (ECL) cell hyperplasia and then irreversible neoplasia can be generated in the African rodent Mastomys natalensis using the H2 receptor blocker, loxtidine, for 8-16 wk. We used a GeneChip approach complemented by standard technologies to identify gene expression alterations in the gastric mucosa during gastrin-mediated ECL cell transformation. Gastric mucosa (mucosal scrapping) and ECL cell-enriched fractions were obtained from untreated Mastomys (controls) and from animals treated with loxtidine for 8 wk (hyperplasia). Tumor ECL cells were obtained by hand-dissection of gastric ECL cell nodules from animals treated with loxtidine for >16 wk and from a spontaneously developed ECL cell tumor. RNA was isolated, examined on rat U34A GeneChips, and comparison analysis was performed to identify altered gene expression. Alterations in gene expressions were examined further by immunohistochemistry, quantitative RT-PCR (Q-RT-PCR), sequencing and Western blot. GeneSpring analysis demonstrated alterations in few genes (<20) in hyperplastic and tumor mucosa. The histamine H1 receptor was consistently increased in proliferating mucosa. This gene change was confirmed by Q-RT-PCR. Other genes showing alterations included neural-(chromogranin A and somatostatin), cell-cycle-, and AP-1-associated genes. Immunostaining confirmed alterations in neural markers. Cluster analysis of ECL cell-enriched samples demonstrated that c-fos and junD were differently regulated. Q-RT-PCR and Western blot in prospectively collected gastric mucosal samples confirmed the differential expression of Fos and Jun. The negative regulators of AP-1, JunD, and Menin were decreased in tumor mucosa. A missense of unknown function was noted in the menin gene. Hypergastrinemia in an animal model of gastric carcinoids differentially altered the histamine type 1 receptor and gene expression and protein composition of AP-1. These results suggest that expression of this receptor and an altered composition of AP-1 with a loss of inhibition play a role in ECL cell transformation.


Subject(s)
Gastric Mucosa/pathology , Transcription Factor AP-1/physiology , Amino Acid Sequence , Animals , Blotting, Western , Cell Transformation, Neoplastic , Chromogranin A , Chromogranins/metabolism , Cluster Analysis , Cyclin D1/metabolism , DNA Primers/chemistry , Enterochromaffin Cells , Histamine/metabolism , Immunohistochemistry , Models, Biological , Molecular Sequence Data , Murinae , Mutation , Oligonucleotide Array Sequence Analysis , RNA/chemistry , Rats , Receptors, Histamine H1/metabolism , Reverse Transcriptase Polymerase Chain Reaction , Sequence Homology, Amino Acid , Software , Somatostatin/metabolism , Stomach Neoplasms/metabolism , Time Factors
19.
J Neuroimmunol ; 49(1-2): 145-52, 1994 Jan.
Article in English | MEDLINE | ID: mdl-8294552

ABSTRACT

We previously observed that demyelination of dissociated dorsal root ganglion cultures by acute phase serum of some Guillain Barré syndrome (GBS) patients was associated with cytolysis of rat Schwann cells (SC) not committed to myelination. In this study, to determine if SC cytolysis was antibody (Ab) and complement-dependent and if SC at various stages of differentiation were uniformly susceptible, sciatic nerve SC from 1-2-day-old (SC/2d) or 6-day-old (SC/6d) Sprague Dawley rats were sensitized with IgM from GBS patients or normal controls and incubated at 37 degrees C for 60 min with 25% guinea pig serum complement. Cytolysis was detected by vital dye exclusion. IgM Ab of 11 GBS patients induced complement-mediated cytolysis of 10.7-64.1% SC/2d (38.3 +/- 18.8; mean +/- SD) which was significantly higher than cytolysis of SC/6d (8.5-32%) or that by normal controls (15.0 +/- 15.2 SC/2d; 8.3 +/- 3.3 SC/6d mean +/- SD, n = 11). Culture of SC/6d increased their cytolysis by IgM plus complement to the levels similar to that of SC/2d. FACS analysis suggested that the greater sensitivity of SC/2d to cytolysis did not reflect greater antibody binding since 2.6-fold less GBS IgM was required to initiate SC/2d lysis compared to SC/6d. This suggested that the less differentiated SC were more susceptible to complement-mediated cytolysis.


Subject(s)
Antibodies/immunology , Complement System Proteins/physiology , Cytotoxicity, Immunologic , Polyradiculoneuropathy/immunology , Schwann Cells/immunology , Animals , Cells, Cultured , Humans , Immunoglobulin M/immunology , Phenotype , Rats , Rats, Sprague-Dawley
20.
J Neuroimmunol ; 69(1-2): 63-71, 1996 Sep.
Article in English | MEDLINE | ID: mdl-8823377

ABSTRACT

Antibody (Ab) sensitized sciatic nerve Schwann cells (SchC) of 2-day-old rats (SchC/2d) were significantly more susceptible to cytolysis by both heterologous, guinea pig (GP), and homologous rat serum complement (40 +/- 3.8% and 21.2 +/- 3.1%, respectively) than SchC of 6-day-old rats (SchC/6d) (7.9 +/- 5.9% and 2.6 +/- 3.1%, respectively). To determine if resistance to complement (C)-mediated cytolysis correlated with expression of membrane proteins which regulate C activation, we used Western blot and FACS analysis. Binding of specific polyclonal Ab demonstrated similar concentrations of Crry, a regulator of C3 convertase formation, on plasma membranes of SchC 2d and 6d. During C activation, both C3b deposition and iC3b formation were greater on SchC/6d than on SchC/2d and the C3b deposition did not correlate with enhanced cytolysis. In contrast, 2.1-fold more rat CD59, a regulator of C8 and C9 incorporation into C5b-9, detected with Western blot on SchC/6d compared with SchC/2d was confirmed by FACS. Further, both rat and GP C8/C9 lysed SchC/2d expressing human C5b-7 (20.1 +/- 3.7 and 21.6 +/- 4.7%, respectively), while only GP C8/C9 caused cytolysis of 10.7 +/- 4.3% SchC/6d expressing hu C5b-7 and rat C8/C9 did not (0.5 +/- 0.5%). Preincubation of SchC/6d with an F(ab)2 fragment of an mAb to rCD59 with blocking capacity, increased cytolysis mediated by rat serum C more than 6-fold to 16.7 +/- 3.0% but only 1.7-fold (maximum cytolysis 37.4 +/- 11.2%) in SchC/2d. Our data suggest that expression of rat CD59 on SchC increased almost two-fold between postnatal days 2 and 6, and this increased expression on more terminally differentiated SchC is a significant factor in regulating terminal complement complex formation and limiting cytolysis of rat SchC by homologous serum complement.


Subject(s)
CD59 Antigens/physiology , Complement Membrane Attack Complex/metabolism , Complement System Proteins/physiology , Cytotoxicity, Immunologic , Schwann Cells/immunology , Animals , Antigens, Surface , Cells, Cultured , Complement C3/metabolism , Complement C8/metabolism , Complement C9/metabolism , Guinea Pigs , Rats , Rats, Sprague-Dawley , Receptors, Cell Surface , Receptors, Complement/metabolism , Sciatic Nerve
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