IDT and Ubiquitome partner to develop mobile Ebola test

Integrated DNA Technologies (IDT) and Ubiquitome announced in early December 2014 a partnership to develop the Ubiquitome Freedom4 Real-Time RT-PCR Ebola Virus Assay for easy use in the field. This rapid test is designed to be run on Ubiquitome’s hand-held, battery powered real-time PCR device, the Freedom4. IDT, a market leader in the manufacture of GMP quality products for use in molecular diagnostic tests, is leveraging its PrimeTime qPCR Assay platform to develop an assay that will provide accurate and consistent test results for Ebola virus disease. Fitting in the palm of a hand, Ubiquitome’s Freedom4 instrument operates on battery power alone for up to six hours and delivers gold-standard real-time PCR performance wherever needed. The platform runs using an iPhone or laptop computer, is housed in a rugged aluminum casing and features a solid state design that includes laser-based optical detection, which is widely recognized as offering the highest performance in real-time PCR. Paul Pickering, Ubiquitome CEO, said “The Ubiquitome Freedom4 Real-Time RT-PCR Ebola Virus Assay, run on the Freedom4, will allow rapid, accurate field testing of Ebola virus disease. This is important because regions affected by this disease are often far from an established laboratory.” Stephen Gunstream, Chief Commercial Officer of IDT added, “The sensitivity and specificity of our PrimeTime qPCR Assays are well established. We are excited about how effectively we can combine IDT’s assay design expertise with Ubiquitome’s Freedom4 instrument to provide a field testing service for Ebola virus disease. This test will enable early detection and help control the spread of this devastating disease.” Testing of the Ubiquitome Freedom4 Real-Time RT-PCR Ebola Virus Assay will be conducted by Battelle in Aberdeen, Maryland, USA.

www.idtdna.com          www.ubiquitomebio.com

Patent protection granted for new technology diagnosing cancer

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

New genetic and epigenetic contributors to diabetes

An analysis of the genomes and epigenomes of lean and obese mice and humans has turned up a wealth of clues about how genes and the environment conspire to trigger diabetes, Johns Hopkins researchers say. Their findings reveal that obesity-induced changes to the epigenome — reversible chemical “tags” on DNA — are surprisingly similar in mice and humans, and might provide a new route to prevention and treatment of the disease, which affects hundreds of millions worldwide.

“It’s well known that most common diseases like diabetes result from a combination of genetic and environmental risk factors. What we haven’t been able to do is figure out how, exactly, the two are connected,” says Andrew Feinberg, M.D., M.P.H., Gilman Scholar and director of the Center for Epigenetics in the Institute for Basic Biomedical Sciences at the Johns Hopkins University School of Medicine. “This study takes a step in that direction.”

Feinberg has long studied the epigenome, which he compares to “software” that runs on DNA’s “hardware.” Epigenetic chemical tags affect whether and how much genes are used without changing the genetic code itself.

Feinberg wondered whether epigenetics might partly explain the skyrocketing worldwide incidence of type 2 diabetes. Obesity is a well-established risk factor for the disease, so Feinberg’s research group teamed with that of a group led by G. William Wong, Ph.D., an associate professor of physiology in the Center for Metabolism and Obesity Research at Johns Hopkins, to study the epigenetics of otherwise identical mice that were fed either normal or high-calorie diets.

Analyzing epigenetic marks at more than 7 million sites in the DNA of the mice’s fat cells, the researchers found clear differences between the normal and obese mice. Some sites that bore chemical tags called methyl groups in the lean mice were missing them in the obese mice, and vice versa. The methyl groups prevent genes from making proteins.

With colleagues at Sweden’s Karolinska Institutet, Feinberg and his team then tested whether the same pattern of differences held in fat cells from lean and obese people, and found, to their surprise, that it did. “Mice and humans are separated by 50 million years of evolution, so it’s interesting that obesity causes similar epigenetic changes to similar genes in both species,” Feinberg says. “It’s likely that when food supplies are highly variable, these epigenetic changes help our bodies adapt to temporary surges in calories. But if the high-calorie diet continues over the long term, the same epigenetic pattern raises the risk for disease.”

The research team also found that some of the epigenetic changes associated with obesity affect genes already known to raise diabetes risk. Others affect genes that had not been conclusively linked to the disease, but that turned out to have roles in how the body breaks down and uses nutrients, a process called metabolism. “This study yielded a list of genes that previously have not been shown to play a role in diabetes,” says Wong. “In further tests, we showed that at least some of these genes indeed regulate insulin action on sugar uptake; they offer insights into new potential targets for treating type 2 diabetes.”

In addition to providing leads for drug development, the results also suggest that an epigenetic test could be developed to identify people much earlier on the path to diabetes, giving more hope for preventing the disease, Feinberg says. John Hopkins Medicine

Prognostic test for E2F4 in breast cancer that will be valuable in other cancers

By looking at the expression levels of downstream genes of the regulators in breast cancer, investigators at Dartmouth Hitchcock’s Norris Cotton Cancer Center (NCCC), led by Chao Cheng, PhD, have identified a gene signature in E2F4 that is predictive of oestrogen receptor positive (ER+) breast cancer. The findings define a new opportunity for personalizing medicine for women whose Oncotype DX assay results classify them as of ‘intermediate-risk for recurrence.’

Until now, there has been no standard of care for those with intermediate risk. Results at NCCC support reclassifying 20-30% of those patients as ‘high-risk for recurrence,’ indicating they should receive aggressive follow-up treatment.
‘Our data-driven approach to designing an effective prognostic genomic signature for E2F4 activity in ER+ breast cancer patients gave us the essential information to develop what will be a simple clinical test to aid physicians in selecting the most effective treatment regimens for each patient,’ reported Cheng. ‘Furthermore, our approach is highly flexible, and because of the widespread essentiality of E2F4 in many types of cancer, it will be of great utility in solving many biomedical questions.’

With the goal to design an accurate and quick genomic test to measure the activity levels of the regulators associated with E2F4, Cheng’s team looked to the aberrant behaviour of transcription factors as a way to track and predict the root cause of all cancers – dysregulated gene expression that leads to uncontrollable cell proliferation, tumour genesis, and ultimately metastases.

The target genes were identified by chromatin immunoprecipitation sequencing (ChIP-seq) and researchers compared the regulatory activity score (RAS) of E2F4 in cancer tissues to determine the correlation with activity and patient survival. The prognostic signature for E2F4 was significantly predictive of patient outcome in breast cancer regardless of treatment status and the states of many other clinical and pathological variables.

Cheng explained the translational use of the E2F4 signature, ‘By developing a flexible, reproducible, and predictive test, we are providing physicians working in many areas of cancer with the information they need to tailor treatment regimens to specific individual patients. This is the essence of personalized medicine: the right treatment for the right patient at the right time.’ Norris Cotton Cancer Center

Researchers make new discoveries in key pathway for neurological diseases

A new intermediate step and unexpected enzymatic activity in a metabolic pathway in the body, which could lead to new drug design for psychiatric and neurodegenerative diseases, has been discovered by researchers at Georgia State University.

The research team has been studying a metabolic pathway called the tryptophan kynurenine pathway, which is linked to psychiatric and neurodegenerative disorders, including depression, anxiety, Alzheimer’s disease, Parkinson’s disease, Huntington’s disease, AIDS dementia complex, asphyxia in newborns and epilepsy. The medical potential of this pathway warrants detailed study to provide information about the pathway’s enzymes and their regulation.

This pathway produces several neurotransmitter regulators and is responsible for metabolizing nearly 99 percent of the tryptophan in the body. Tryptophan is a precursor of serotonin, the neurotransmitter responsible for mood.

The researchers determined the structure and mechanism of an enzyme in the kynurenine pathway, AMSDH.

To better understand the rapid chemical reaction catalysed by this enzyme, Dr. Aimin Liu, professor in the Department of Chemistry and core member of the Center for Diagnostics and Therapeutics at Georgia State, organized a research team, including graduate students Lu Huo, Ian Davis, Fange Liu and Shingo Esaki, and researchers at Brookhaven National Laboratory and Kansai University in Osaka, Japan. They used new scientific techniques, including time-lapse crystallography and single-crystal spectroscopy, to slow down the reaction rate by nearly 10,000 times. This allowed them to observe a new intermediate step, the thiohemiacetal intermediate, and discover an unexpected isomerase activity in AMSDH.

‘By doing this, we find new chemistry, and we also open up avenues for others to design specific drugs to target this pathway,’ Liu said. ‘This pathway is highly associated with neurodegenerative diseases and depression.’

The researchers took a high concentration of the purified protein, grew single crystals, mixed them with their substrate and froze them at different time points in liquid nitrogen at 77 Kelvin to stop all molecular activity. They sent the crystals to Argonne National Laboratory for remote data collection. The X-ray diffraction patterns collected there were used to create an electron density map, a 3-D, atomic-level resolution of the molecule’s shape. The researchers used time-lapse crystallography and single-crystal spectroscopy to observe intermediate steps of the reaction.

‘This is the first absorbance spectrum of this intermediate,’ Davis said. ‘When we look for this in solution assays, we don’t see this absorbance band because this intermediate is very short-lived in solution. But by doing it in crystal and freezing it down, you can actually see it in the crystalline state.

‘Enzymes work by stabilizing reactive intermediates. Through this isomerization mechanism, we found a new reactive intermediate stabilized by this enzyme. So if you want to design a drug, your best bet is to try and make something that looks very similar to this so that it will bind to the enzyme. That’s a general strategy for drug design. You want to try and make drugs that look very similar to transition states. Basically, we found a new transition state in this work.’

Information from the study has been deposited in the protein database, which can be accessed by other scientists. EurekAlert

Genetic clue points to most vulnerable children

Some children are more sensitive to their environments, for better and for worse. Now Duke University researchers have identified a gene variant that may serve as a marker for these children, who are among society’s most vulnerable.

“The findings are a step toward understanding the biology of what makes a child particularly sensitive to positive and negative environments,” said Dustin Albert, a research scientist at the Duke Center for Child and Family Policy. “This gives us an important clue about some of the children who need help the most.”

Drawing on two decades worth of data on high-risk first-graders from four locations across the country, the study found that children from high-risk backgrounds who also carried a certain common gene variant were extremely likely to develop serious problems as adults. Left untreated, 75 percent with the gene variant developed psychological problems by age 25, including alcohol abuse, substance abuse and antisocial personality disorder.

The picture changed dramatically, though, when children with the gene variant participated in an intensive program called the Fast Track Project. After receiving support services in childhood, just 18 percent developed psychopathology as adults.

“It’s a hopeful finding,” Albert said. “The children we studied were very susceptible to stress. But far from being doomed, they were instead particularly responsive to help.”

Previous research has suggested that while some children thrive like dandelions in a wide range of circumstances, others are more like orchids who wither or bloom in different environments. The new study suggests that children’s different levels of sensitivity are related to differences in their genomes.

Beginning in 1991, researchers screened nearly 10,000 kindergartners for aggressive behaviour problems, identifying nearly 900 who were at high risk, and assigning half of that group to receive intensive help. It was the largest violence-prevention trial ever supported by the National Institutes of Health and researchers have now followed participants since the early 1990’s.

Previous research has linked participation in Fast Track interventions to lower rates of psychiatric problems, substance abuse and convictions for violent crime in adulthood. The new study looks at the possible biology behind those responses. Albert said these findings could be a first step toward potential personalized treatments for some of society’s most troubled children. Knowledge like this might someday be used to help match children who would benefit with programs they badly need.

Key questions remain though, Albert said.  For starters, while the Fast Track Project was offered to children of all races, the new findings were limited to white children. Specifically, the authors observed strong response to Fast Track among the 60 white children with a common variant of the glucocorticoid receptor gene NR3C1, a gene involved in the body’s stress response.

Although children of other ethnicities benefited from Fast Track, the authors have not yet found a similar genetic clue to help identify which of these children responded most positively to the intervention.

“That doesn’t mean such genetic markers don’t exist among children of other races,” Albert said. “We simply don’t know yet what those markers are. ”That’s one of several important avenues for future research, Albert said, adding that thoughtful examination of the ethical issues involved is needed before the findings can be translated into policy.

“It would be premature to use this finding to screen children to determine who should receive intervention,” Albert said. “A lot more work needs to be done before we decide whether or not to make that leap.” Duke University

Researchers identify key substance that protects against pre-term birth

Researchers at UT Southwestern Medical Center have identified hyaluronon (HA) as a critical substance made by the body that protects against premature births caused by infection. Pre-term birth from infection is the leading cause of infant mortality in many countries according to the World Health Organization. The findings of the study are the first to identify the specific role that HA plays in the reproductive tract.

Dr. Yucel Akgul, first author and senior author Dr. Mala Mahendroo
“We found that HA is required to allow the epithelial lining of the reproductive tract to serve as the first line of defence against bacterial infections,” said senior author Dr. Mala Mahendroo, an Associate Professor in the Department of Obstetrics and Gynecology’s Cecil H. and Ida Green Center for Reproductive Biology Sciences. “Because of this action, HA offers cervical protection against the bacterial infections that cause 25 to 40 percent of pre-term births in women.”

Hyaluronon is a natural substance found in many tissues, and is both a lubricant and a beneficial component of eyes, joints, and skin. It has long been thought to play an essential role in increasing the cervix’s flexibility during the birth process; however, the study, which was conducted using mouse models, showed that HA is not essential for increased cervical pliability during late pregnancy. Rather, the substance plays an important barrier role in epithelial cells of the lower reproductive tract and in so doing protects against infection-related pre-term birth. The World Health Organization estimates that 1.09 million children under age 5 die from direct complications of being born prematurely, meaning before the 37th week of pregnancy.

Previous studies by UT Southwestern reproductive biology researchers showed that HA is present in both the cervix and cervical mucus of pregnant women. Next steps include determining the mechanism by which HA affects cervical protection against infection.

“This study demonstrates that HA plays a crucial role in the epithelial barrier as well as the cervix’s mucus,” said Dr. Yucel Akgul, first author of the study and research scientist in the Department of Obstetrics and Gynecology. “Our next step is to identify exactly how HA protects the cervix, which can have important clinical implications in the effort to reduce infection-mediated pre-term labour.” UT Southmwestern Medical Center

Discovery of new genetic mutations associated with childhood blindness

The discovery of new genetic mutations associated with childhood blindness, achieved through a collaboration between teams led by Michel Cayouette at the IRCM, Robert K. Koenekoop at McGill University and Doris Kretzschmar at Oregon Health and Science University has recently been published. The researchers identified a novel link between retinal degeneration and lipid metabolism. Results of their study could pave the way to new treatments for retinal degenerative diseases like Olive McFarlane syndrome (OMS) and Leber’s congenital amaurosis (LCA).

By attempting to uncover the genetic causes of OMS, a rare disease characterized by a degeneration of the retina that causes vision loss at a very young age, the researchers identified mutations in the gene PNPLA6 that are involved in lipid metabolism.

“This breakthrough is important because it represents the first discovery of a genetic mutation associated with this disease,” says Michel Cayouette, PhD, Director of the Cellular Neurobiology research unit at the IRCM. “In addition, we discovered that this same gene also affects patients with LCA.”

“We found that the gene plays an important role in the survival of photoreceptors, a specialized type of light-sensing neurons found in the retina,” explains Vasanth Ramamurthy, PhD, co-first author of the study in Dr. Cayouette’s laboratory. “More specifically, our results show that mutations in the gene lead to photoreceptor death, which, in turn, causes blindness in children with OMS and LCA.”

The scientists also discovered the lipid metabolism was altered in photoreceptors, thereby identifying a potential new target for the development of drugs that could treat retinal degeneration in patients with OMS and LCA.

“At the IRCM, we started a new research project to produce a mouse model of the mutation in order to better understand the molecular causes of these pathologies,” adds Dr. Cayouette. “This model will also allow us to test different therapeutic approaches to determine, for example, whether manipulating lipid metabolism could prevent retinal degeneration.” IRCM

Smoking, alcohol, gene variant interact to increase risk of chronic pancreatitis,

Genetic mutations may link smoking and alcohol consumption to destruction of the pancreas observed in chronic pancreatitis, according to a 12-year study led by researchers at the University of Pittsburgh School of Medicine. The findings provides insight into why some people develop this painful and debilitating inflammatory condition while most heavy smokers or drinkers do not appear to suffer any problems with it.

The process appears to begin with acute pancreatitis, which is the sudden onset of inflammation causing nausea, vomiting and severe pain in the upper abdomen that may radiate to the back, and is typically triggered by excessive drinking or gallbladder problems, explained senior investigator David Whitcomb, M.D., Ph.D., chief of gastroenterology, hepatology and nutrition, Pitt School of Medicine. Up to a third of those patients will have recurrent episodes of acute pancreatitis, and up to a third of that group develops chronic disease, in which the organ becomes scarred from inflammation.

“Smoking and drinking are known to be strong risk factors for chronic pancreatitis, but not everyone who smokes or drinks damages their pancreas,” Dr. Whitcomb said. “Our new study identifies gene variants that when combined with these lifestyle factors make people susceptible to chronic pancreatitis and may be useful to prevent patients from developing it.”

In the North American Pancreatitis Study II consortium, researchers evaluated gene profiles and alcohol and smoking habits of more than 1,000 people with either chronic pancreatitis or recurrent acute pancreatitis and an equivalent number of healthy volunteers. The researchers took a closer look at a gene called CTRC, which can protect pancreatic cells from injury caused by premature activation of trypsin, a digestive enzyme inside the pancreas instead of the intestine, a problem that has already been associated with pancreatitis.

They found that a certain variant of the CTRC gene, which is thought to be carried by about 10 percent of Caucasians, was a strong risk factor for alcohol- or smoking-associated chronic pancreatitis. It’s possible that the variant fails to protect the pancreas from trypsin, leaving the carrier vulnerable to ongoing pancreatic inflammation and scarring.

“This finding presents us with a window of opportunity to intervene in the diseases process,” Dr. Whitcomb said. “When people come to the hospital with acute pancreatitis, we could screen for this gene variant and do everything possible to help those who have it quit smoking and drinking alcohol, as well as test new treatments, because they have the greatest risk of progressing to end-stage chronic pancreatitis.” University of Pittsburgh Health Sciences

In head and neck cancer, surgeons need solid answers

Partnering with head and neck surgeons, pathologists at Dartmouth Hitchcock Medical Center’s Norris Cotton Cancer Center developed a new use for an old test to determine if a patient’s cancer is recurring, or if the biopsy shows benign inflammation of mucosal tissues. Lead author Candice C. Black, DO explains how her team confirmed the utility of ProExC, an existing antibody cocktail commonly used for pathology tests of the uterine cervix. The team’s goal remained sorting out problems presented by the frequently equivocal pathology results when surgeons need to determine the difference between true pre-neoplasia and merely inflammatory/reactive biopsies.

‘In reality, the biopsies we receive from head and neck patients are often tiny and poorly oriented. Particularly in smokers and other post-treatment patients, inflammation may cause reactive epithelial atypia that is difficult to distinguish from dysplasia,’ reported Dr. Black. ‘This new use of the ProExC antibody cocktail allows us to provide the head and neck surgeons with key information about which patients have post-therapy complications versus those with true tumour recurrence.’

The World Health Organization (WHO) provides two systems for classifying dysplasia, and both have been criticized as being too subjective and failing to predict disease progression. A spectrum of histologic aberrations in mucosal membranes can mimic dysplasia, as well as neo-plastic cytologic and architectural changes. This is the first attempt to use ProExC as a diagnostic adjunct in the detection of head and neck mucosal biopsies.

Pathologists used 64 biopsies from the Dartmouth archives to setup groups of patients who had and had not progressed to cancer, and found statistically significant differences between the progression cases and the controls in terms of the stain scores using ProExC. ‘The surgeons wanted to know if the mucosa was neoplastic or just inflamed and reactive. The old-school answer of ‘atypia’ simply isn’t sufficient to make decisions about therapeutic interventions,’ described Black. Norris Cotton Cancer Center at Dartmouth-Hitchcock