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Archive for category: E-News

E-News

Scientists identify trigger for crucial immune system cell

, 26 August 2020/in E-News /by 3wmedia

Scientists at The Scripps Research Institute (TSRI) have identified the long-sought activating molecules for a rare but crucial subset of immune system cells that help rally other white blood cells to fight infection.

In the process, the team also uncovered a previously unsuspected link between the mammalian immune system and the communication systems of simpler organisms such as bacteria.

The findings could lead to novel therapeutic approaches for diseases such as type 1 diabetes that are the result of immune system over-activity, as well as new ways to boost the effectiveness of vaccines, according to study leader Luc Teyton, a professor in TSRI’s Department of Immunology and Microbial Science.

When a virus, bacteria or foreign substance invades the body, specialised cells known as dendritic cells present in the skin and other organs capture the trespassers and convert them into smaller pieces called antigens that they then display on their cell surfaces. White blood cells known as T and B cells recognize the antigens to launch very specific attacks on the invaders.

Dendritic cells also activate a specialized population of T cells known as natural killer T (NKT) cells. Once activated, NKT cells can commandeer the functions of dendritic cells to make them more effective and also recruit and coordinate the responses of T- and B-type cells.

“Because of their dual functions, NKT cells are a bridge between the body’s innate immunity, which is characterised by rapid but less specific responses to pathogens, and adaptive or acquired immunity, which is composed of specialised white blood cells that can remember past invaders,” Teyton said.

Previous studies indicated that NKT cells are activated by molecules known as glycolipids that dendritic cells produce and then display on their outer surfaces. It was widely assumed that the activating molecules were a class of glycolipids known as beta-glycosylceramides, an important component of nervous system cells.

However, this hypothesis had not been thoroughly examined, in part because there is no chemical test currently available to distinguish between two forms of the molecule that have slightly different configurations—beta-glycosylceramide and alpha-glycosylceramide. In addition, when scientists attempt to create either form synthetically for testing, there is always the possibility of small contamination of one by the other.

“When you’re making glycolipids, there is no completely faithful way of controlling the form that you’re making,” Teyton said. ‘You’re favouring the making of one, but you cannot say for sure that you don’t have a small amount of the other form.”

In their new study, Teyton and his colleagues, who included scientists from Brigham Young University, the La Jolla Institute for Allergy & Immunology and the University of Chicago, abandoned the chemical approach altogether. Instead, they combined a series of biochemical and biological assays to create a test that was sensitive enough to distinguish between the two different forms of glycolipids.

“Biological assays are exquisitely sensitive to low amounts of otherwise unmeasurable molecules,” said study first author Lisa Kain, a research technician in Teyton’s lab.

The scientists used custom antibodies to identify and eliminate alpha-glycosylceramides from their test batches. When the team was confident that their test batch contained only beta forms of the glycolipid, they tested it on NKT cells gathered from mice. To their surprise, however, nothing happened. Contrary to the conventional wisdom, the beta-glycosylceramides failed to activate the NKT cells.

“We were very skeptical about the early results,” Teyton said. “We thought we had used the wrong antibody.”

Next, the team combined enzymes designed to digest molecular linkages found only on beta-glycosylceramides with mice NKT cells inside test tubes. Surprisingly, the NKT cells were still being activated.

Finally, when the team used antibodies to disable alpha-glycosylceramides inside live mice, not only did the NKT cells fail to activate, they disappeared altogether from organs such as the thymus, where NKT cells are produced.

These multiple lines of evidence strongly indicated that it was the alpha form of the glycolipids that were the triggers for NKT cells. “What we thought was the contaminant turned out to be the activating molecule we were looking for,” Teyton said.

The results were surprising for another reason. Until that moment, scientists did not think mammalian cells were capable of producing alpha forms of the glycolipids. The molecules were thought to exist only in bacteria and other simple organisms, which use them primarily as a means of communicating with one another. The findings thus suggest that the roots of a crucial part of the mammalian immune response are even more ancient than previously thought.

“Nobody expected this,” Teyton said. “It’s like discovering that all languages share a common origin.”

Now that scientists know that alpha-glycosylceramides are made by our own body and activate NKT cells, they might be able to exploit it to create new therapies. For example, Teyton said, researchers could use enzymes to reduce alpha-glycosylceramide levels in order to suppress an overactive immune response, which happens with diseases such as type 1 diabetes. Or they could combine the molecules with antigens to create vaccines that elicit a faster and more efficient immune response.

“This opens up an avenue of new therapeutic approaches that we’ve never even thought about,” Teyton said. The Scripps Research Institute

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Rare mutations do not explain ‘missing heritability’ in asthma

, 26 August 2020/in E-News /by 3wmedia

Despite a strong suspected link between genetics and asthma, commonly found genetic mutations account for only a small part of the risk for developing the disease — a problem known as missing heritability.

Rare and low frequency genetic mutations have been thought to explain missing heritability, but it appears they are unlikely to play a major role, according to a new study led by scientists from the University of Chicago. Analysing the coding regions of genomes of more than 11,000 individuals, they identified mutations in just three genes that were associated with asthma risk. Each was associated with risk in specific ethnicities.

‘Previous studies have likely overestimated the heritability of asthma,’ said study senior author Carole Ober, PhD, Blum-Riese Professor and chair of the Department of Human Genetics at the University of Chicago. ‘This could be because those estimates are based on correlations between family members that share environment as well as genes, which could inflate the heritability. Gene-environment interactions are not considered in these large scale association studies, and we know that these are particularly important in establishing individual risks for asthma.’

Asthma affects more than 25 million adults and children of all ages and ethnicities in the US. Due to the widespread nature of the disease, most studies of its genetic underpinnings have focused on commonly occurring mutations, referred to as genetic variants. However, while numerous such variants have been identified, they are able to account for only a small proportion of the risk for inheriting or developing asthma. Rare mutations, found in less than five percent of the population, have been hypothesized to explain this disparity.

Graduate student Catherine Igartua led the analysis under the supervision of co-senior author Dan Nicolae, PhD, Professor in the Departments of Medicine, Statistics and Human Genetics. She evaluated nearly 33,000 rare or low frequency mutations in more than 11,000 individuals of a variety of ethnicities representing European, African and Latino backgrounds. She analysed mutations jointly across subjects, using a technique that allowed them to study mutations common in one ethnicity, but rare in others.

Only mutations in the genes GRASP, GSDMB and MTHFR showed a statistical link to asthma risk. Mutations in the first two genes were found primarily in Latino individuals, and mutations in the last gene in those with African ancestry. These genes, involved in protein scaffolding, apoptosis regulation and vitamin B9 metabolism respectively, have as yet unknown roles in asthma. The rarity and ethnic-specificity of these genes is insufficient to account for the widespread prevalence of asthma.

Although rare mutations might not contribute much to population asthma risk, these genes still have the potential to serve as targets for therapeutic development. Ober points to the discovery of rare mutations in the LDL receptor that eventually led to the development of statins to treat high cholesterol. She also notes that it is possible, but unlikely, that there are mutations with large effects on asthma risk outside of their screen as it looked at approximate 60 percent of mutations in coding regions of the genome.

‘It was assumed that there would be rare mutations with larger effect sizes than the common variants we have been studying,’ Ober said. ‘Surprisingly, we found that low frequency mutations explain only a very small amount of asthma risk.’ The University of Chicago Medicine

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Genotype found in 30 percent of ALS patients speeds up disease progression

, 26 August 2020/in E-News /by 3wmedia

Mice bred to carry a gene variant found in a third of ALS patients have a faster disease progression and die sooner than mice with the standard genetic model of the disease, according to Penn State College of Medicine researchers. Understanding the molecular pathway of this accelerated model could lead to more successful drug trials for all ALS patients.

Amyotrophic lateral sclerosis, commonly known as Lou Gehrig’s disease, is a degeneration of lower and upper motor neurons in the brainstem, spinal cord and the motor cortex. The disease, which affects 12,000 Americans, leads to loss of muscle control. People with ALS typically die of respiratory failure when the muscles that control breathing fail.

Penn State researchers were the first to discover increased iron levels in the brains of some patients with the late-onset neurodegenerative disorders Parkinson’s disease and Alzheimer’s disease. A decade ago, they also identified a relationship between ALS and excess iron accumulation when they found that 30 percent of ALS patients in their clinic carried a variant of a gene known as HFE that is associated with iron overload disease.

For this study, the researchers crossbred mice with the HFE gene variant with the standard mice used in ALS research.

‘When we followed the disease progression and the behaviour of our crossbred mice compared to the standard mice, we saw significant differences,’ said James Connor, vice chair of neurosurgery research and director of the Center for Aging and Neurodegenerative Diseases. The crossbred mice performed significantly worse on tests of forelimb and hindlimb grip strength and had a 4 percent shorter life span.

‘The disease progression was much faster in the crossbred mice than in the standard mice,’ Connor said. ‘What we found is that when ALS happens in the presence of the HFE gene variant, things go downhill more quickly.’

The lead investigator on this project, graduate student Wint Nandar, noticed that the HFE gene variant sped up disease progression and death in females but not males. Males with ALS die faster, on average, than females.

Connor said the variant may not have had time to accelerate the pace of the disease in male mice. An accelerated progression may show up in clinical trials in human males, who live longer with the disease than mice.

The researchers also studied how the HFE gene modified the pace of the disease in mice. The crossbred mice showed increased oxidative stress and microglial activation. Microglial cells normally help with repair in the body, but when over-activated they can promote unhealthy inflammation.

‘They can make things worse instead of better,’ Connor said.

The mice were also found to have disruption of the neurofilaments, the tiny cables that transport nutrients through nerve cells.

 ‘It’s a much worse environment when the gene variant is present,’ Connor said. ‘This makes it much easier for the disease to take off.’

The findings could help direct more successful clinical testing of new drug treatments, which have traditionally had disappointing results. Because patients with H63D HFE have an accelerated form of the disease, their results could skew study findings.

‘There might be drugs out there that work for 70 percent of the ALS population even though the studies don’t show that when all of the data are looked at without consideration of the genetic background,’ Connor said.

Separating the data out could help find effective treatments for both those with the gene variant and the rest of the ALS population.

‘How a drug is going to work on a carrier of the gene variant could be worse or it could be better, but it’s likely going to be different,’ Connor said. Penn State

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Researchers identify a key molecule in flies that adjusts energy use under starvation conditions

, 26 August 2020/in E-News /by 3wmedia

Scientists at IRB Barcelona have observed that, when deprived of food, flies that do not express p53 show poor management of energy store.

The study further supports the involvement of this molecule—traditionally associated with tumour suppression—in metabolism.

The researchers provide new insights to study p53 function in metabolic diseases such as diabetes and obesity. Most scientific literature devoted to the protein p53 refers to cancer biology, and the functions of this molecule as a tumour suppressor have been described in detail. Furthermore, also in cancer biology, it is known that p53 inhibits the metabolic pathways of tumour cells in order to block their metabolism and prevent their rapid growth and proliferation.

The most innovative research on p53 attempts to unveil its functions in the management of energy stores and nutrients in healthy cells. Recent studies with cell cultures have demonstrated that p53 is activated in response to nutrient depletion. This observation thus opens up a promising field of research into the role of p53 in metabolism and cell health.

This is precisely the field tackled in a study performed by scientists headed by ICREA Research Professor Marco Milán, at the Institute for Research in Biomedicine (IRB Barcelona). In this work, the authors show that in the fly Drosophila melanogaster p53 is activated in certain cells to adapt the metabolic response to nutrient deprivation, thus having a global effect on the organism.

The researchers also reveal the molecular mechanisms through which the activity of p53 is regulated. The results obtained in Drosophila are useful to address the study of the molecular mechanisms of p53 in vertebrate models and to examine whether this protein is involved in diabetes and obesity.

In humans, nutrient management is organised by a coordinated system involving cells from adipose tissue and from organs such as the pancreas and liver. When we eat, a complex system is triggered in which the hormones insulin and glucagon are responsible for distributing nutrients among tissues and storing them for later use. In Drosophila the storage and management of energy is regulated by cells from a tissue known as the fat body.

“Through this study we demonstrate that Drosophila is useful to study the adaptive response of an organism to the presence or absence of food and to examine the systemic response. In addition, this model contributes to revealing the molecular mechanisms activated and that work in the same way in vertebrates,” explains Milán, head of the Development and Growth Control Lab at IRB. “In fact, we can now generate diabetic and obese flies to study these metabolic diseases at the molecular level.”

p53 allows energy use to be adjusted in order to optimise energy stores

The scientists studied the function of p53 in fasting flies in order to unveil the metabolic response of the organism. When no food is available, p53 is activated exclusively in cells of the fat body. The activity of this protein induces a change in the metabolism of these cells in such a way that they stop using glucose and make new nutrients to fuel the surrounding tissues.

“p53 acts as a sensor of the fat body of the fly. It makes cells “tighten their belts” in order to use energy stores prudently and makes them act unselfishly in order to ensure a supply to other cells,” describes Lara Barrio, first author of the article and a PhD student in Marco Milán’s lab. The key role of p53 in metabolism is reflected by the fact that flies in which p53 is inhibited die more quickly.

The team believes that this work with Drosophila will pave the way to more in-depth research into the biology and functions of p53 in metabolism and associated diseases. “It would be particularly interesting,” say the scientists, “to address vertebrates and analyse the participation of p53 in diabetes and obesity and the cardiovascular conditions associated with these metabolic disorders.” IRB Barcelona

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Study investigates inherent contamination in deep well microplates

, 26 August 2020/in E-News /by 3wmedia

An independent academic study provides a detailed analysis of deep well microplates and the significant levels of contamination found in more than 50% of the commercially available plates tested.
The study gives data on a large range of microplates from numerous manufacturers based in Europe, USA and China. Mass spectral data shows that persistent contamination from a range of compounds found in the raw polymer master batch continues to be evident in many of the microplates tested. The effect of extractables leached out of the deep well plates identified in this report depends on the exact application for which the plate was designed but is highly likely to significantly affect their performance and contaminate samples stored in them.
The authors of the report conclude it is likely that a low grade polypropylene was used in the production of a significant proportion of the deep well microplates that leached extractables when tested.

http://tinyurl.com/qaxn89a
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Patent protection granted for new technology diagnosing cancer

, 26 August 2020/in E-News /by 3wmedia

A new diagnostic technology may significantly improve early detection and treatment of cancer and other diseases. Via a simple blood test the method can potentially diagnose diseases such as cancer at an early stage, enable screening of healthy individuals at risk of developing cancer, and help plan an individual course of treatment. Aarhus University has just received a patent for the technology in the USA.

‘The fact that we have now received patent protection for the American market is a really promising sign. We have just begun clinical research for breast cancer and the first results are very encouraging. We already know that the method can be used for many different types of cancer and potentially other diseases, but carrying out research that aims to develop diagnostic testing requires substantial funding,” says Tomasz K. Wojdacz, honorary associate professor at the Department of Biomedicine at Aarhus University, who together with Associate Professor Lise Lotte Hansen conducts research in the field of epigenetics with focus on DNA methylation.

The new method can easily be implemented in practice. Diagnostic tests based on the method can be performed in most of diagnostic laboratories, as they do not require special equipment.

‘The method detects specific changes affecting the pattern of genes, which are either active or silenced in a specific cell. The method is very sensitive and able to detect these changes in a limited number of cells, which is e.g. crucial for early diagnosis of cancer. It is well established that environmental factors play a role in changing this pattern of active and silenced genes, changes that may play a role in the onset of not only cancer but a long list of diseases including diabetes, cardiovascular and psychiatric diseases. Therefore, we see a huge potential for the use of the method we have developed,” explains Lise Lotte Hansen.

Lise Lotte Hansen and Tomasz K. Wojdacz are currently focusing on the application of the method in breast cancer risk screening and treatment but hope to soon be able to start clinical research targeting other types of cancer and diseases.

Of all the countries in the world, Denmark is the one with the highest incidence of breast cancer. According to preliminary results, a new test based on this technology makes it possible to find about 15 per cent of the women who are at risk of breast cancer.

“Most of our research currently focuses on using the method to identify healthy individuals with increased risk of developing disease in the future. Identification of these patients before they develop disease has significant benefits not only for the patients but also for the healthcare systems. It brings significant savings, as it is always cheaper to prevent disease than treat it,” says Tomasz K. Wojdacz.

The new technology was discovered by Tomasz K. Wojdacz and Lise Lotte Hansen and further developed by Tomasz K. Wojdacz in collaboration with the Peter MacCallum Cancer Centre, Melbourne, Australia. The application process for the US patent began in 2007 and was finalised this October when the patent protection was granted. Aarhus University

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Study improves understanding of genetic drivers of thyroid cancer

, 26 August 2020/in E-News /by 3wmedia

A comprehensive analysis of the genomes of nearly 500 papillary thyroid carcinomas (PTC) – the most common form of thyroid cancer – has provided new insights into the roles of frequently mutated cancer genes and other genomic alterations that drive disease development. The findings also may help improve diagnosis and treatment. Investigators with The Cancer Genome Atlas (TCGA) Research Network identified new molecular subtypes that will help clinicians determine which tumours are more aggressive and which are more likely to respond to certain treatments. Their findings confirmed that PTCs are driven primarily by mutations in one of two cancer-associated genes: BRAF (and a particular mutation, V600E) or RAS. The work also detailed many differences between the two genetic types, particularly in signalling pathways that promote tumour development and growth.

The researchers developed a scoring system to reflect gene expression in the two PTC types, allowing them to characterize tumours and determine both the pathway a tumour uses to send signals and its relative aggressiveness. Where a tumour lies on a scale – called its thyroid differentiation score – can have important treatment implications because different tumor signaling properties can mean the cancer responds differently to particular therapies.

The study also showed that BRAF-driven tumors have a broader range of genetic complexity than previously thought, with distinct subtypes. The results suggest a need for a new classification system that more accurately reflects underlying genetic characteristics of the cancer.

Thyroid cancer is the fastest growing cancer in the United States, with more than 20,000 new PTC cases each year. Most thyroid cancers are slow-growing and treatable with surgery, hormone therapy and radioactive iodine. National Human Genome Research Institute

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Skin may help spot Alzheimer’s and Parkinson’s disease

, 26 August 2020/in E-News /by 3wmedia

Scientists have proposed a new idea for detecting brain conditions including Alzheimer’s – a skin test. Their work, which is at an early stage, found the same abnormal proteins that accumulate in the brain in such disorders can also be found in skin.

Early diagnosis is key to preventing the loss of brain tissue in dementia, which can go undetected for years. But experts said even more advanced tests, including ones of spinal fluid, were still not ready for use. If they were, then doctors could treat them at the earliest stages, before irreversible brain damage or mental decline has taken place.

Investigators have been hunting for suitable biomarkers in the body – molecules in blood or exhaled breath, for example, that can be measured to accurately and reliably signal if a disease or disorder is present.

Dr Ildefonso Rodriguez-Leyva and colleagues from the University of San Luis Potosi, Mexico, believe skin is a good candidate for uncovering hidden brain disorders.

Skin has the same origin as brain tissue in the developing embryo and might, therefore, be a good window to what’s going on in the mind in later life – at least at a molecular level – they reasoned.

Post-mortem studies of people with Parkinson’s also reveal that the same protein deposits which occur in the brain with this condition also accumulate in the skin.

To test if the same was true in life as after death, the researchers recruited 65 volunteers – 12 who were healthy controls and the remaining 53 who had either Parkinson’s disease, Alzheimer’s or another type of dementia.

They took a small skin biopsy from behind the ear of each volunteer to test in their laboratory for any telltale signs of disease. Specifically, they looked for the presence of two proteins – tau and alpha-synuclein.

The 20 people with Alzheimer’s and the 16 with Parkinson’s had raised levels of both these proteins in their skin compared to the healthy controls and the patients with other types of dementia.

The people with Parkinson’s also had higher levels of alpha-synuclein protein.

Dr Rodriguez-Leyva, who will soon present his findings to the annual meeting of the American Academy of Neurology, said: ‘More research is needed to confirm these results, but the findings are exciting because we could potentially begin to use skin biopsies from living patients to study and learn more about these diseases.

‘This new test offers a potential biomarker that may allow doctors to identify and diagnose these diseases earlier on.’ It could also guide research into new treatments, he said. BBC

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New insights into breast cancer spread could yield better tests and treatments

, 26 August 2020/in E-News /by 3wmedia

A study combining tumour cells from patients with breast cancer with a laboratory model of blood vessel lining provides the most compelling evidence so far that a specific trio of cells is required for the spread of breast cancer. The findings could lead to better tests for predicting whether a woman’s breast cancer will spread and to new anti-cancer therapies. The study was led by researchers at the NCI-designated Albert Einstein Cancer Center and Montefiore Einstein Center for Cancer Care (MECCC).

Maja Oktay, M.D., Ph.D.According to the National Cancer Institute, more than 232,000 American women developed breast cancer last year and nearly 40,000 women died from the disease. It is the most common cancer among women in the United States. Most breast cancer deaths occur because the cancer has spread, or metastasized, which means that cells in the primary tumour have invaded blood vessels and travelled via the bloodstream to form tumours elsewhere in the body.

In earlier studies involving animal models and human cancer cell lines, researchers found that breast cancer spreads when three specific cells are in direct contact: an endothelial cell (a type of cell that lines the blood vessels), a perivascular macrophage (a type of immune cell found near blood vessels), and a tumour cell that produces high levels of Mena, a protein that enhances a cancer cell’s ability to spread. Where these three cells come in contact is where tumour cells can enter blood vessels—a site called a tumour microenvironment of metastasis, or TMEM. Tumours with high numbers of TMEM sites (i.e., they have a high TMEM ‘score’) were more likely to metastasize than were tumours with lower TMEM scores. In addition, the researchers found that cancer tissues high in a form of Mena called MenaINV were especially likely to metastasize. (MenaINV refers to the invasive form of Mena.)

‘Those studies revealed new insights into how cancer might spread, but they didn’t necessarily show what is happening in patients,’ said study leader Maja Oktay, M.D., Ph.D., associate professor of pathology at Albert Einstein College of Medicine of Yeshiva University and attending cytopathologist at Montefiore.

Since then, the scientists have extended their research to include patients with breast cancer. In 2011, they published findings on 40 patients showing a correlation between high MenaINV levels and high TMEM scores. The present study combines results from those 40 patients plus an additional 60 patients. All 100 patients had been diagnosed with invasive ductal carcinoma and were being treated at MECCC. Invasive ductal carcinoma is the most common type of invasive breast cancer, accounting for 80 percent of cases. In this disease, the cancer has grown through the duct walls and into the surrounding breast tissue.
For the subset of more recent patients, the researchers assessed tumour cell behaviour—in particular, cancer cells’ ability to cross the endothelium (inner layer) of blood vessels. They obtained tumour cells using fine needle aspiration and placed them in a novel engineered tissue assay designed to replicate the endothelium of a blood vessel—the barrier that cells must cross so they can spread from a primary tumour to distant sites. Biopsied tumour tissue from all 60 new patients was fixed in formalin and embedded in paraffin so that TMEM sites in the tissue could be counted.
‘It’s critically important to learn more about the metastatic process so we can develop new ways to predict whether cancer will spread and identify new treatments.’

Breast cancer cells able to cross the endothelial layer in this assay were found to have higher MenaINV levels compared with the total population of patients’ aspirated cells. In addition, finding high levels of MenaINV correlated with finding high numbers of TMEM sites in paraffin biopsy specimens from the same patients. The TMEM ‘score’ for each biopsy specimen was calculated by counting the total number of TMEM sites observed within ten 400x magnification fields. Combining the results from all 100 patients showed that the findings were consistent across the three most common clinical subtypes of invasive ductal carcinoma.

‘These results confirm that TMEM sites and MenaINV are essential for the spread of breast cancer in humans,’ said Dr. Oktay. ‘They also imply that MenaINV expression and TMEM score measure related aspects of a commonly used mechanism that human breast cancers use to metastasize.’

Dr. Oktay noted that ‘the outcome for patients with metastatic breast cancer hasn’t improved in the past 30 years despite the development of targeted therapies. It’s critically important to learn more about the metastatic process so we can develop new ways to predict whether cancer will spread and identify new treatments.’ Albert Einstein College of Medicine

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MicroRNA molecules serve as on/off switches for inflammation

, 26 August 2020/in E-News /by 3wmedia

University of Utah scientists have identified two microRNA molecules that control chronic inflammation, a discovery that one day may help researchers prevent certain fatal or debilitating conditions before they start.

‘We’re living at a time where the aging population is growing,’ said Ryan O’Connell, D.Phil., assistant professor of pathology, whose lab made the discovery. ‘The question is: how can we predict and prevent the onset of disorders that emerge upon growing older?’

After three years of research and building on previous studies, the scientists determined that if a particular microRNA is genetically removed from mice, the animals will develop chronic inflammation spontaneously and die early from subsequent ailments such as cancer or an autoimmune disorder. However, mice that also lack a second type of microRNA don’t develop chronic inflammation. So one microRNA prevents the condition while the other promotes it, identifying a key system in the body that modulates this harmful state.

Certain types of immune cells, called T follicular helper cells, are known to promote the production of antibodies that attack our own tissues and contribute to chronic inflammation. O’Connell and colleagues found that the microRNAs at issue are produced by and act to control these important cell types.

‘Now we know which cells in the body we need to get miRNA inhibitors delivered to if we want to reduce chronic inflammatory conditions,’ said O’Connell, noting that the next step is human research. One question would be whether patients with chronic inflammation who received an inhibitor of a certain microRNA would see their chronic inflammation indicators decrease, preventing fatal conditions from emerging.

Previous studies have shown that chronic inflammation is linked to the development of certain conditions including diabetes, lupus, arthritis, obesity, cancer, neurodegeneration and cardiovascular disease along with a shortened life span. The challenge is that chronic inflammation happens at a low level and is typically not detected by doctors. But certain biomarkers such as elevated levels of cytokines or antibodies can indicate the condition.

‘Everyone waits until they have bad symptoms to go see the doctor,’ he said. ‘However, the goal of medicine is to take a person who is not sick yet and be able to analyze something we can test that can help predict whether they’re going to be sick in the future — and take appropriate measures to prevent terrible outcomes.’ EurekAlert

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