Study shows blocking microRNA miR-25 halts progression of heart failure, improves cardiac function, and may increase survival.

A team of cardiovascular researchers from the Cardiovascular Research Center at Icahn School of Medicine at Mount Sinai, Sanford-Burnham Medical Research Institute, and University of California, San Diego have identified a small, but powerful, new player in the onset and progression of heart failure. Their findings also show how they successfully blocked the newly discovered culprit to halt the debilitating and chronic life-threatening condition in its tracks.
In the study, investigators identified a tiny piece of RNA called miR-25 that blocks a gene known as SERCA2a, which regulates the flow of calcium within heart muscle cells. Decreased SERCA2a activity is one of the main causes of poor contraction of the heart and enlargement of heart muscle cells leading to heart failure. Using a functional screening system developed by researchers at Sanford-Burnham, the research team discovered miR-25 acts pathologically in patients suffering from heart failure, delaying proper calcium uptake in heart muscle cells.
‘Before the availability of high-throughput functional screening, our chance of teasing apart complex biological processes involved in disease progression like heart failure was like finding a needle in a haystack,’ says study co-senior author Mark Mercola, PhD, professor in the Development, Aging, and Regeneration Program at Sanford-Burnham and professor of Bioengineering at UC San Diego Jacobs School of Engineering. ‘The results of this study validate our approach to identifying microRNAs as potential therapeutic targets with significant clinical value.’
Dr. Mercola’s laboratory has pioneered the use of robotic high-throughput methods of drug discovery to identify new targets for heart failure. According to co-lead study authors Christine Wahlquist and Agustin Rojas Muñoz, PhD, developers of the approach and researchers in Mercola’s lab at Sanford-Burnham, they used high-throughput robotics to sift through the entire genome for microRNAs involved in heart muscle dysfunction.
Subsequently, the researchers at the Cardiovascular Research Center at Icahn School of Medicine at Mount Sinai found that injecting a small piece of RNA to inhibit the effects of miR-25 dramatically halted heart failure progression in mice. In addition, it also improved their cardiac function and survival.
‘In this study, we have not only identified one of the key cellular processes leading to heart failure, but have also demonstrated the therapeutic potential of blocking this process,’ says co-lead study author Dongtak Jeong, PhD, a post-doctoral fellow at the Cardiovascular Research Center at Icahn School of Medicine at Mount Sinai in the laboratory of the study’s co-senior author Roger J. Hajjar, MD.
Nearly 6 million Americans suffer from heart failure, which is when the heart becomes weak and cannot pump enough blood and oxygen throughout the body. Heart failure is a leading cause of hospitalisation in the elderly. Often, a variety of medications are used to provide heart failure patients temporary relief of their debilitating symptoms. However, these medications do not improve cardiac function or halt the progression of the disease. Mount Sinai Health System

Gene variants protect against relapse after treatment for Hepatitis C

Researchers at the Sahlgrenska Academy have identified a gene, which explains why certain patients with chronic hepatitis C do not experience relapse after treatment. The discovery may contribute to more effective treatment.
More than 100 million humans around the world are infected with hepatitis C virus. The infection gives rise to chronic liver inflammation, which may result in reduced liver function, liver cirrhosis and liver cancer. Even though anti-viral medications often efficiently eliminate the virus, the infection recurs in approximately one fifth of the patients.
Martin Lagging and co-workers at the Sahlgrenska Academy have studied an enzyme called inosine trifosfatase (ITPase), which normally prevents the incorporation of defective building blocks into RNA and DNA.
Unexpectedly they found that the gene encoding for ITPase (ITPA) had significance for the treatment outcome in chronic hepatitis C virus infection.
Earlier studies had shown that approximately one third of all people carry variants of the ITPA gene that result in reduced ITPase activity. The research team at the Sahlgrenska Academy showed that patients with these gene variants exhibited a more than a five times lower risk of experiencing relapse after treatment.
The study encompassed over 300 patients and was carried out in co-operation with hepatitis researchers in several Nordic countries.
Relapse after completed treatment is a significant problem in chronic hepatitis C, and the results may contribute to explaining why the infection recurs in many patients. Our hypothesis is that a low ITPase activity results in defective nucleotides being incorporated into the virus RNA, which makes the virus unstable, Martin Lagging said.
According to Martin Lagging, the discovery may also have significance for other virus infections.
A medication that interferes with the enzyme’s activity could have a broad antiviral effect, but this must be further investigated in future studies. University of Gothenburg

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Siemens Healthcare Diagnostics partners with Pfizer to develop companion diagnostics

Siemens Healthcare Diagnostics has announced that it has entered into a collaboration agreement with Pfizer, the world’s largest research-based pharmaceutical company, to design, develop and commercialize diagnostic tests for therapeutic products across Pfizer’s pipeline. Under the agreement, Siemens will be one of Pfizer’s collaboration partners to develop and provide in vitro diagnostic tests for use in clinical studies and, potentially, eventual global commercialization with Pfizer products. The Siemens Clinical Laboratory (SCL), a high-complexity testing laboratory focused on advancing personalized medicine, will develop the companion diagnostic tests under the partnership. The collaboration will leverage Siemens’ worldwide leadership in providing clinical diagnostic solutions for hospital and reference laboratories, specialty laboratories and point-of-care settings to help enable diagnostics development. “Companion diagnostics are an important enabler of targeted therapies for patients,” states John Hubbard, Senior Vice President and Worldwide Head of Development Operations at Pfizer. “This agreement with Siemens Healthcare Diagnostics is another example of Pfizer’s commitment to develop new precision medicines to address unmet clinical needs.” “Our relationship with Pfizer marks a major milestone in Siemens’ personalized medicine strategy,” states Dr. Trevor Hawkins, Senior Vice President, Strategy & Innovations, Diagnostics Division, Siemens Healthcare. “We look forward to collaborating with Pfizer to realize the goal of advancing innovative solutions that change the way patient care is delivered and, together, shape the future of diagnostic medicine.”  Companion diagnostic tests are clinical tests linked to a specific drug or therapy intended to assist physicians in making more informed and personalized treatment decisions for their patients. When used in the drug development process, companion diagnostics may help pharmaceutical companies improve patient selection and treatment monitoring, determine the preferred therapy dosing for patients, and establish a protocol to help maximize the treatment benefit for patients.

www.siemens.com

Biohit signs licencing agreement with Randox

Finnish healthcare company Biohit Oyj and Randox Laboratories have signed a licensing agreement which gives Randox the worldwide licensing rights for GastroPanel developed by Biohit. GastroPanel is a simple, non-invasive blood test for the diagnosis and screening of gastric disorders. GastroPanel test reliably detects H. pylori infection and damage or dysfunction of the stomach mucosa (atrophic gastritis), leading to acid-free stomach. According to the latest studies, non-acid stomach is a remarkable risk factor for gastric and esophageal cancer. GastroPanel is a non-invasive blood test that reliably identifies both healthy and unhealthy stomachs as well as helps to prioritize patients for further examinations. According to Biohit Oyj CEO Semi Korpela, “The combination of GastroPanel reagents with Randox analysers opens up new distribution possibilities for both companies”. Dr. Peter FitzGerald CBE, Managing Director of Randox, comments “The addition of the Biohit GastroPanel will add significantly to the range of diagnostic products we offer. Our ability to deliver these biomarkers to healthcare providers using our Biochip Array systems will enable diagnosis of gastric disorders in patients with dyspepsia ensuring appropriate further investigation and treatment and contribute to a reduction in healthcare costs. The GastroPanel will be offered in Randox analysers used in hospitals and reference laboratories through our global distribution network in 145 countries.”

www.biohithealthcare.comwww.randox.com

Freelite serum free light chain test now in Chinese guidelines

Freelite, a rapid serum based assay, is now included in the Chinese Multiple Myeloma Diagnosis and Treatment Guidelines. These guidelines recommend serum free light chains in multiple myeloma for diagnosis, as a prognostic indicator, to assess response, and follow-up monitoring to predict disease progression. These guidelines are published by the Chinese Medical Association and Chinese Myeloma Working Group and were written by 17 key opinion leaders from 14 different hospitals. Two of the authors, Professor Hou Jian and Dr Du Juan, recommend all hospital units to routinely use serum free light chains. A summary by these two authors specifically recommend the use of a polyclonal assay and its importance in nonsecretory multiple myeloma, and detection of light chain escape in multiple myeloma. Freelite is a rapid quantitative assay that measures kappa (k) and lambda (λ) immunoglobulin free light chains in multiple myeloma. These values can be expressed as a k / λ free light chain ratio.

www.thebindingsite.com

EKF Diagnostics’ Quo-Lab HbA1c analyser secures IFCC certification

The Quo-Lab HbA1c point-of-care analyser has successfully achieved International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) certification. The IFCC maintains the JCTLM (Joint Committee for Traceability in Laboratory Medicine) endorsed reference measurement procedure for HbA1c, accepted worldwide as the analytical control for traceability of HbA1c measurement. To participate in the programme manufacturers are required to register and report the results of 24 samples (two per month) from across the measurement range. The samples are supplied by an IFCC Reference Laboratory. Together with the existing NGSP certification achieved from 2012, the IFCC award demonstrates that Quo-Lab meets all of the demanding standards set by independent certifying bodies.  

www.ekfdiagnostics.com

Faulty gene can delay or block puberty

Scientists from Queen Mary University of London have identified a new gene that may influence the timing of puberty, according to new research. More than 4% of adolescents suffer from early or late-onset puberty, which is associated with health problems including obesity, type-2 diabetes, heart disease and cancer. The findings of the study will make diagnosis easier and more efficient, reducing the risk of disease.
Researchers scanned the genomes of seven families experiencing delayed puberty. Their genetic profiles were analysed to identify specific genes that were different in these families, compared to individuals who started puberty normally. The researchers identified 15 candidate genes which were then examined in a further 288 individuals with late-onset puberty.
One gene was found to have common variants in nine families. The gene appears to contribute to the early development of gonadotropin-releasing hormone (GnRH) neurons in the brain. At puberty, a surge of GnRH is released, signalling to the pituitary gland to release further hormones that act on the ovaries and testes, triggering reproductive function (sexual maturation). If development of the GnRH neurons is delayed, the surge of GnRH that initiates these signals is also delayed.
Dr Sasha Howard, lead author and Clinical Research Fellow at Queen Mary University of London, comments: ‘Studies estimate the majority of variation in the timing of puberty is genetically determined, yet this is one of the first genes with major impact to be identified. This is an exciting finding as disturbed GnRH neuron development has never been linked to simple delayed puberty before, and may reveal a new biological pathway in the control of puberty timing.’
The group has also shown that the same gene may be responsible for completely blocking puberty – a condition known as hypogonadotrophic hypogonadism. Queen Mary University of London

MRI reveals genetic activity

Doctors commonly use magnetic resonance imaging (MRI) to diagnose tumours, damage from stroke, and many other medical conditions. Neuroscientists also rely on it as a research tool for identifying parts of the brain that carry out different cognitive functions.

Now, a team of biological engineers at MIT is trying to adapt MRI to a much smaller scale, allowing researchers to visualise gene activity inside the brains of living animals. Tracking these genes with MRI would enable scientists to learn more about how the genes control processes such as forming memories and learning new skills, says Alan Jasanoff, an MIT associate professor of biological engineering and leader of the research team.

‘The dream of molecular imaging is to provide information about the biology of intact organisms, at the molecule level,’ says Jasanoff, who is also an associate member of MIT’s McGovern Institute for Brain Research. ‘The goal is to not have to chop up the brain, but instead to actually see things that are happening inside.’

To help reach that goal, Jasanoff and colleagues have developed a new way to image a ‘reporter gene’ — an artificial gene that turns on or off to signal events in the body, much like an indicator light on a car’s dashboard. In the new study, the reporter gene encodes an enzyme that interacts with a magnetic contrast agent injected into the brain, making the agent visible with MRI. This approach allows researchers to determine when and where that reporter gene is turned on.
MRI uses magnetic fields and radio waves that interact with protons in the body to produce detailed images of the body’s interior. In brain studies, neuroscientists commonly use functional MRI to measure blood flow, which reveals which parts of the brain are active during a particular task. When scanning other organs, doctors sometimes use magnetic ‘contrast agents’ to boost the visibility of certain tissues.

The new MIT approach includes a contrast agent called a manganese porphyrin and the new reporter gene, which codes for a genetically engineered enzyme that alters the electric charge on the contrast agent. Jasanoff and colleagues designed the contrast agent so that it is soluble in water and readily eliminated from the body, making it difficult to detect by MRI. However, when the engineered enzyme, known as SEAP, slices phosphate molecules from the manganese porphyrin, the contrast agent becomes insoluble and starts to accumulate in brain tissues, allowing it to be seen.

The natural version of SEAP is found in the placenta, but not in other tissues. By injecting a virus carrying the SEAP gene into the brain cells of mice, the researchers were able to incorporate the gene into the cells’ own genome. Brain cells then started producing the SEAP protein, which is secreted from the cells and can be anchored to their outer surfaces. That’s important, Jasanoff says, because it means that the contrast agent doesn’t have to penetrate the cells to interact with the enzyme.

Researchers can then find out where SEAP is active by injecting the MRI contrast agent, which spreads throughout the brain but accumulates only near cells producing the SEAP protein.
In this study, which was designed to test this general approach, the detection system revealed only whether the SEAP gene had been successfully incorporated into brain cells. However, in future studies, the researchers intend to engineer the SEAP gene so it is only active when a particular gene of interest is turned on.

Jasanoff first plans to link the SEAP gene with so-called ‘early immediate genes,’ which are necessary for brain plasticity — the weakening and strengthening of connections between neurons, which is essential to learning and memory.

‘As people who are interested in brain function, the top questions we want to address are about how brain function changes patterns of gene expression in the brain,’ Jasanoff says. ‘We also imagine a future where we might turn the reporter enzyme on and off when it binds to neurotransmitters, so we can detect changes in neurotransmitter levels as well.’ MIT

Blood test may help predict whether a child will become obese

Scientists have found that a simple blood test, which can read DNA, could be used to predict obesity levels in children.
Researchers at the Universities of Southampton, Exeter and Plymouth used the test to assess the levels of epigenetic switches in the PGC1a gene – a gene that regulates fat storage in the body.
Epigenetic switches take place through a chemical change called DNA methylation which controls how genes work and is set during early life.
The Southampton team found that the test, when carried out on children at five years old, differentiates between children with a high body fat and those with a low body fat when they were older. Results showed that a rise in DNA methylation levels of 10 per cent at five years was associated with up to 12 per cent more body fat at 14 years. Results were independent of the child’s gender, their amount of physical activity and their timing of puberty.
Dr Graham Burdge, of the University of Southampton who led the study with colleague Dr Karen Lillycrop, comments: ‘It can be difficult to predict when children are very young, which children will put on weight or become obese. It is important to know which children are at risk because help, such as suggestions about their diet, can be offered early and before they start to gain weight.
‘The results of our study provide further evidence that being overweight or obese in childhood is not just due to lifestyle, but may also involve important basic processes that control our genes. We hope that this knowledge will help us to develop and test new ways to prevent children developing obesity which can be introduced before a child starts to gain excess weight. However, our findings now need to be tested in larger groups of children.’
The researchers used DNA samples from 40 children who took part in the EarlyBird project, which studied 300 children in Plymouth from the age of five until they were 14 years old.
Led by Professor Wilkin, the study assessed the children in Plymouth each year for factors related to type 2 diabetes, such as the amount of exercise they undertook and the amount of fat in their body. A blood sample was collected and stored. The Southampton team extracted DNA from these blood samples to test for epigenetic switches.
Professor Wilkin says: ‘The EarlyBird study has already provided important information about the causes of obesity in children. Now samples stored during the study have provided clues about the role of fundamental processes that affect how genes work, over which a child has no control. This has shown that these mechanisms can affect their health during childhood and as adults.’ University of Southampton