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PURPOSE: Surfactant therapy in premature infants has reduced the severity of respiratory distress syndrome (RDS), thus leading to a reduction in mortality. However, the anticipated effect of surfactant therapy on the incidence and severity of retinopathy of prematurity (ROP) is ambiguous. The acute rise in PaO2 and the increased survival of low-birth-weight infants may augment the risk of ROP, whereas their improved health and respiratory status may lower it. METHODS: We reviewed the findings of sequential ophthalmologic examinations performed in our neonatal intensive care unit. Premature infants of gestational age under 32 weeks and weighing less than 1500 g at birth who received surfactant treatment were compared with a group of historical controls consisting of premature infants of the same mean birth weight and gestational age who did not get this supplement. RESULTS: ROP was present in 13 (65%) of the 20 surfactant-treated babies, and threshold disease was noted in six (30%). In the historical control group, 20 (77%) of 25 infants had ROP, of whom 10 (40%) were treated for threshold disease. These differences were not statistically significant. CONCLUSION: Surfactant therapy was not associated with an increased incidence of ROP in our series.
Assuntos
Álcoois Graxos/uso terapêutico , Fosforilcolina , Polietilenoglicóis/uso terapêutico , Surfactantes Pulmonares/uso terapêutico , Retinopatia da Prematuridade/epidemiologia , Idade de Início , Combinação de Medicamentos , Feminino , Humanos , Incidência , Recém-Nascido de Baixo Peso , Recém-Nascido , Masculino , Síndrome do Desconforto Respiratório do Recém-Nascido/prevenção & controle , Retinopatia da Prematuridade/etiologia , Retinopatia da Prematuridade/fisiopatologia , Estudos Retrospectivos , Índice de Gravidade de Doença , Taxa de SobrevidaRESUMO
Genome-wide expression data from tumors and cell lines in breast cancer, together with drug response of cell lines, open prospects for integrative analyses that can lead to better personalized therapy. Drug responses and expression data collected from cell lines and tumors were used to generate tripartite networks connecting clusters of patients to cell lines and cell lines to drugs, to connect drugs to patients. Various approaches were applied to connect cell lines to tumor clusters: a standard method that uses a biomarker gene set, and new methods that compute metasignatures for transcription factors and histone modifications given upregulated genes in cell lines or tumors. The results from the metasignature analysis identify two major clusters of patients: one enriched for active histone marks and one for repressive marks. The tumors enriched for activation marks are correlated with poor prognosis. Overall, the analyses suggest new patient clustering, discover dysregulated pathways, and recommend individualized use of drugs to treat subsets of patients.CPT: Pharmacometrics & Systems Pharmacology (2013) 2, e35; doi:10.1038/psp.2013.11; advance online publication 27 March 2013.
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Abstraction of intracellular biomolecular interactions into networks is useful for data integration and graph analysis. Network analysis tools facilitate predictions of novel functions for proteins, prediction of functional interactions and identification of intracellular modules. These efforts are linked with drug and phenotype data to accelerate drug-target and biomarker discovery. This review highlights the currently available varieties of mammalian biomolecular networks, and surveys methods and tools to construct, compare, integrate, visualise and analyse such networks.
Assuntos
Algoritmos , Bases de Dados de Proteínas , Modelos Biológicos , Mapeamento de Interação de Proteínas/métodos , Proteoma/química , Proteoma/metabolismo , Transdução de Sinais/fisiologia , Biologia de Sistemas/métodos , Animais , Simulação por Computador , Humanos , Mamíferos , Relação Estrutura-Atividade , Integração de SistemasRESUMO
Networks that contain only sign-consistent loops, such as positive feedforward and feedback loops, function as monotone systems. Simulated using differential equations, monotone systems display well-ordered behaviour that excludes the possibility for chaotic dynamics. Perturbations of such systems have unambiguous global effects and a predictability characteristic that confers robustness and adaptability. The authors assess whether the topology of biological regulatory networks is similar to the topology of monotone systems. For this, three intracellular regulatory networks are analysed where links are specified for the directionality and the effects of interactions. These networks were assembled from functional studies in the experimental literature. It is found that the three biological networks contain far more positive 'sign-consistent' feedback and feedforward loops than negative loops. Negative loops can be 'eliminated' from the real networks by the removal of fewer links as compared with the corresponding shuffled networks. The abundance of positive feedforward and feedback loops in real networks emerges from the presence of hubs that are enriched with either negative or positive links. These observations suggest that intracellular regulatory networks are 'close-to-monotone', a characteristic that could contribute to the dynamical stability observed in cellular behaviour.
Assuntos
Citoplasma/metabolismo , Retroalimentação Fisiológica , Modelos Biológicos , Biologia de Sistemas , Animais , Simulação por Computador , Citoplasma/genética , Escherichia coli/genética , Escherichia coli/metabolismo , Retroalimentação Fisiológica/fisiologia , Redes Reguladoras de Genes , Humanos , Redes Neurais de Computação , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/metabolismo , Transdução de SinaisRESUMO
The last few years have seen significant advances in our understanding of the molecular mechanisms of stem-cell-fate specification. New and emerging high-throughput techniques, as well as increasingly accurate loss-of-function perturbation techniques, are allowing us to dissect the interplay among genetic, epigenetic, proteomic, and signaling mechanisms in stem-cell-fate determination with ever-increasing fidelity (Boyer et al. 2005, 2006; Ivanova et al. 2006; Loh et al. 2006; Cole et al. 2008; Jiang et al. 2008; Johnson et al. 2008; Kim et al. 2008; Liu et al. 2008; Marson et al. 2008; Mathur et al. 2008). Taken together, recent reports using these new techniques demonstrate that stem-cell-fate specification is an extremely complex process, regulated by multiple mutually interacting molecular mechanisms involving multiple regulatory feedback loops. Given this complexity and the sensitive dependence of stem cell differentiation on signaling cues from the extracellular environment, how are we best to develop a coherent quantitative understanding of stem cell fate at the systems level? One approach that we and other researchers have begun to investigate is the application of techniques derived in the computational disciplines (mathematics, physics, computer science, etc.) to problems in stem cell biology. Here, we briefly sketch a few pertinent results from the literature in this area and discuss future potential applications of computational techniques to stem cell systems biology.