69 results on '"Alcaraz N"'
Search Results
2. Transcriptional Profiles Reveal Deregulation of Lipid Metabolism and Inflammatory Pathways in Neurons Exposed to Palmitic Acid
- Author
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Flores-León, M., Alcaraz, N., Pérez-Domínguez, M., Torres-Arciga, K., Rebollar-Vega, R., De la Rosa-Velázquez, I. A., Arriaga-Canon, C., Herrera, L. A., Arias, Clorinda, and González-Barrios, Rodrigo
- Published
- 2021
- Full Text
- View/download PDF
3. The AIMe registry for artificial intelligence in biomedical research
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Matschinske, J., Matschinske, J., Alcaraz, N., Benis, A., Golebiewski, M., Grimm, D.G., Heumos, L., Kacprowski, T., Lazareva, O., List, M., Louadi, Z., Pauling, J.K., Pfeifer, N., Rottger, R., Schwammle, V., Sturm, G., Traverso, A., Van Steen, K., de Freitas, M.V., Silva, G.C.V., Wee, L., Wenke, N.K., Zanin, M., Zolotareva, O., Baumbach, J., Blumenthal, D.B., Matschinske, J., Matschinske, J., Alcaraz, N., Benis, A., Golebiewski, M., Grimm, D.G., Heumos, L., Kacprowski, T., Lazareva, O., List, M., Louadi, Z., Pauling, J.K., Pfeifer, N., Rottger, R., Schwammle, V., Sturm, G., Traverso, A., Van Steen, K., de Freitas, M.V., Silva, G.C.V., Wee, L., Wenke, N.K., Zanin, M., Zolotareva, O., Baumbach, J., and Blumenthal, D.B.
- Abstract
We present the AIMe registry, a community-driven reporting platform for AI in biomedicine. It aims to enhance the accessibility, reproducibility and usability of biomedical AI models, and allows future revisions by the community.
- Published
- 2021
4. Desensitization Protocol in Recipients of Deceased Kidney Donor With Donor-Specific Antibody-Low Titers
- Author
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Berga J, Calabuig A, Martinez E, Alcaraz N, Bernabeu A, Albiach J, Vila P, Catalan S, and Mateu L
- Abstract
Background. Kidney transplantation is the better option for end-stage renal disease (ESRD), but for patients with human leukocyte antigen (HLA) sensitization, the wait times are significantly longer than for patients without antibodies. Many desensitization protocols have been described involving strong immunosuppression, the use of apheresis, and B-cell modulating therapies. We have designed a desensitization protocol from day 0 for deceased donor kidney transplantation. Our aim was to present our initial experience with five kidney transplant patients. Methods. All patients had a negative complement-dependent cytotoxicity cross-match. The desensitization protocol included five to seven doses of thymoglobulin (1.25 mg/kg) and three sessions of plasmapheresis (PP) within the first week after transplantation, with intravenous immunoglobulin (500 mg/kg) after each PP session and one dose of rituximab on day 8. The presence of donor-specific antibodies (DSA) was analyzed by use of Luminex technology; levels between 1000 and 3000 mean fluorescence intensity were considered for desensitization. Results. The median age was 44 years and median renal replacement therapy time was 9 years. All recipients presented 1 to 3 DSA specificities. There were no severe side effects related to PP, infusion of intravenous immunoglobulin, or rituximab. The median follow-up period was 19.3 months. Median serum creatinine level at last follow-up was 1.7 mg/dL. A kidney biopsy was performed in all patients. Graft and patient survival was 100%. Conclusions. Until now, few data are available concerning whether HLA-incompatible kidney transplantation after desensitization would benefit patients with ERSD. The desensitization strategy using the combination of PP, low doses of intravenous immunoglobulin, and rituximab at our center resulted in a satisfactory clinical outcome.
- Published
- 2016
5. Desensitization Protocol in Recipients of Deceased Kidney Donor With Donor-Specific Antibody–Low Titers
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Kanter Berga, J., primary, Sancho Calabuig, A., additional, Gavela Martinez, E., additional, Puig Alcaraz, N., additional, Avila Bernabeu, A., additional, Crespo Albiach, J., additional, Molina Vila, P., additional, Beltrán Catalan, S., additional, and Pallardó Mateu, L., additional
- Published
- 2016
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6. Pretransplant Donor-Specific HLA Antibodies Detected by Single Antigen Bead Flow Cytometry: Risk Factors and Outcomes After Kidney Transplantation
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Kanter Berga, J., primary, Sancho Calabuig, A., additional, Gavela Martinez, E., additional, Puig Alcaraz, N., additional, Beltran Catalan, S., additional, Avila Bernabeu, A., additional, Crespo Albiach, J., additional, Montoro, J.A., additional, and Pallardo Mateu, L.M., additional
- Published
- 2012
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7. Pretransplant Donor-Specific HLA Antibodies: Risk Factors and Outcomes after Kidney Transplantation
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Kanter Berga, J., primary, Gavela Martinez, E., additional, Puig Alcaraz, N., additional, Sancho Calabuig, A., additional, and Pallardo Mateu, L., additional
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- 2012
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8. Donor-Specific HLA Antibodies: Risk Factors and Outcomes After Kidney Transplantation
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Berga, J. Kanter, primary, Mateu, L.M. Pallardo, additional, Catalan, S. Beltran, additional, Alcaraz, N. Puig, additional, Calabuig, A. Sancho, additional, Martinez, E. Gavela, additional, Bernabeu, A. Avila, additional, and Albiach, J. Crespo, additional
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- 2011
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9. Intraoperative Mapping of Sensate Flaps: Electrophysiologic Techniques and Neurosomal Boundaries
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Rhee, J. S., primary, Weisz, D. J., additional, Hirigoyen, M. B., additional, Sinha, U., additional, Alcaraz, N., additional, and Urken, M. L., additional
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- 1997
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10. Comparative transcriptome analysis reveals key epigenetic targets in SARS-CoV-2 infection
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Salgado-Albarran M, Ei, Navarro-Delgado, Ad, Moral-Morales, Alcaraz N, Jan Baumbach, Gonzalez-Barrios R, and Soto-Reyes E
11. Electrochemical lithium insertion in some niobates MNb2O6 (M = Mn, Co, Ni, Cu, Zn and Cd)
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Martínez-De La Cruz, A., Alcaraz, N. L., Fuentes, A. F., and Leticia M. Torres-Martínez
12. The fork protection complex promotes parental histone recycling and epigenetic memory.
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Charlton SJ, Flury V, Kanoh Y, Genzor AV, Kollenstart L, Ao W, Brøgger P, Weisser MB, Adamus M, Alcaraz N, Delvaux de Fenffe CM, Mattiroli F, Montoya G, Masai H, Groth A, and Thon G
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- Cell Cycle Proteins metabolism, Cell Cycle Proteins genetics, Mutation, Epigenetic Memory, Histones metabolism, Schizosaccharomyces metabolism, Schizosaccharomyces genetics, Epigenesis, Genetic, Schizosaccharomyces pombe Proteins metabolism, Schizosaccharomyces pombe Proteins genetics, DNA Replication
- Abstract
The inheritance of parental histones across the replication fork is thought to mediate epigenetic memory. Here, we reveal that fission yeast Mrc1 (CLASPIN in humans) binds H3-H4 tetramers and operates as a central coordinator of symmetric parental histone inheritance. Mrc1 mutants in a key connector domain disrupted segregation of parental histones to the lagging strand comparable to Mcm2 histone-binding mutants. Both mutants showed clonal and asymmetric loss of H3K9me-mediated gene silencing. AlphaFold predicted co-chaperoning of H3-H4 tetramers by Mrc1 and Mcm2, with the Mrc1 connector domain bridging histone and Mcm2 binding. Biochemical and functional analysis validated this model and revealed a duality in Mrc1 function: disabling histone binding in the connector domain disrupted lagging-strand recycling while another histone-binding mutation impaired leading strand recycling. We propose that Mrc1 toggles histones between the lagging and leading strand recycling pathways, in part by intra-replisome co-chaperoning, to ensure epigenetic transmission to both daughter cells., Competing Interests: Declaration of interests A.G. is co-founder and chief scientific officer (CSO) of Ankrin Therapeutics. A.G. is a member of the scientific advisory board of Molecular Cell. G.M. is a stockholder of Ensoma and a member of its scientific advisory board. The other authors declare no competing interests., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2024
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13. A Molecular Characterization of the Allelic Expression of the BRCA1 Founder Δ9-12 Pathogenic Variant and Its Potential Clinical Relevance in Hereditary Cancer.
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Dominguez-Ortiz J, Álvarez-Gómez RM, Montiel-Manríquez R, Cedro-Tanda A, Alcaraz N, Castro-Hernández C, Bautista-Hinojosa L, Contreras-Espinosa L, Torres-Maldonado L, Fragoso-Ontiveros V, Sánchez-Contreras Y, González-Barrios R, Fuente-Hernández MA, Mejía-Aguayo ML, Juárez-Figueroa U, Padua-Bracho A, Sosa-León R, Obregon-Serrano G, Vidal-Millán S, Núñez-Martínez PM, Pedroza-Torres A, Nicasio-Arzeta S, Rodríguez A, Luna F, Cisneros-Soberanis F, Frías S, Arriaga-Canon C, and Herrera-Montalvo LA
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- Humans, Female, Middle Aged, Genetic Predisposition to Disease, Adult, Founder Effect, Exons genetics, Breast Neoplasms genetics, Heterozygote, Mutation, Mexico, Ovarian Neoplasms genetics, Clinical Relevance, BRCA1 Protein genetics, Alleles, Hereditary Breast and Ovarian Cancer Syndrome genetics
- Abstract
Hereditary breast and ovarian cancer (HBOC) syndrome is a genetic condition that increases the risk of breast cancer by 80% and that of ovarian cancer by 40%. The most common pathogenic variants (PVs) causing HBOC occur in the BRCA1 gene, with more than 3850 reported mutations in the gene sequence. The prevalence of specific PVs in BRCA1 has increased across populations due to the effect of founder mutations. Therefore, when a founder mutation is identified, it becomes key to improving cancer risk characterization and effective screening protocols. The only founder mutation described in the Mexican population is the deletion of exons 9 to 12 of BRCA1 ( BRCA1
Δ9-12 ), and its description focuses on the gene sequence, but no transcription profiles have been generated for individuals who carry this gene. In this study, we describe the transcription profiles of cancer patients and healthy individuals who were heterozygous for PV BRCA1Δ9-12 by analyzing the differential expression of both alleles compared with the homozygous BRCA1 control group using RT-qPCR, and we describe the isoforms produced by the BRCA1 wild-type and BRCA1Δ9-12 alleles using nanopore long-sequencing. Using the Kruskal-Wallis test, our results showed a similar transcript expression of the wild-type allele between the healthy heterozygous group and the homozygous BRCA1 control group. An association between the recurrence and increased expression of both alleles in HBOC patients was also observed. An analysis of the sequences indicated four wild-type isoforms with diagnostic potential for discerning individuals who carry the PV BRCA1Δ9-12 and identifying which of them has developed cancer.- Published
- 2024
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14. Destination Matters More: Relapse following Hospital-Based Treatment of Substance Use Disorders With and Without Co-Occurring Disorders.
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Andreu M, Balcells-Olivero M, Alcaraz N, Marco O, Bueno L, Gual A, and Barrio P
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- Humans, Female, Retrospective Studies, Aftercare, Patient Discharge, Comorbidity, Chronic Disease, Recurrence, Hospitals, Mental Disorders complications, Mental Disorders epidemiology, Mental Disorders therapy, Substance-Related Disorders complications, Substance-Related Disorders epidemiology, Substance-Related Disorders therapy
- Abstract
Objectives: Addressing substance use in psychiatric care encounters significant barriers, but the emergence of specialized services offers an opportunity to advance and scale up the integration of addiction services within psychiatric settings. However, research gaps still exist in this field, particularly in understanding the substance relapse rates of people with co-occurring disorders after a psychiatric hospitalization. This study aimed to investigate and compare the relapse rates of patients under inpatient care with exclusively addiction-related issues and those with co-occurring disorders after a hospitalization in a psychiatric ward and gain insights into differences in outcomes for these two patient groups., Methods: This retrospective analysis examined electronic medical records of patients admitted to the Acute Psychiatry Ward of the Hospital Clinic of Barcelona with a substance use disorder diagnosis between January 2019 and February 2021. Cox regression was used to identify variables independently associated with the first relapse episode., Results: From a total of 318 admissions (79.2% with psychiatric comorbidity), 76.1% relapsed during the study follow-up, with a median survival time of 54 days. Younger age, female gender, voluntary admission, and outpatient follow-up were independently associated with relapse. The presence of a co-occurring disorder was not associated with relapse., Conclusion: This study highlights the need for interventions aimed at improving post-discharge abstinence rates for addiction-related hospitalizations. It also challenges the notion that co-occurring disorders automatically imply a worsened prognosis and emphasizes the importance of addressing addiction and psychiatric comorbidity in a comprehensive, integrated, and specialized manner.
- Published
- 2024
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15. Association of SLC12A1 and GLUR4 Ion Transporters with Neoadjuvant Chemoresistance in Luminal Locally Advanced Breast Cancer.
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Justo-Garrido M, López-Saavedra A, Alcaraz N, Cortés-González CC, Oñate-Ocaña LF, Caro-Sánchez CHS, Castro-Hernández C, Arriaga-Canon C, Díaz-Chávez J, and Herrera LA
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- Female, Humans, Drug Resistance, Neoplasm genetics, Membrane Transport Proteins, Neoadjuvant Therapy, Retrospective Studies, Solute Carrier Family 12, Member 1, Breast Neoplasms drug therapy, Breast Neoplasms genetics, Breast Neoplasms pathology
- Abstract
Chemoresistance to standard neoadjuvant treatment commonly occurs in locally advanced breast cancer, particularly in the luminal subtype, which is hormone receptor-positive and represents the most common subtype of breast cancer associated with the worst outcomes. Identifying the genes associated with chemoresistance is crucial for understanding the underlying mechanisms and discovering effective treatments. In this study, we aimed to identify genes linked to neoadjuvant chemotherapy resistance in 62 retrospectively included patients with luminal breast cancer. Whole RNA sequencing of 12 patient biopsies revealed 269 differentially expressed genes in chemoresistant patients. We further validated eight highly correlated genes associated with resistance. Among these, solute carrier family 12 member 1 ( SLC12A1 ) and glutamate ionotropic AMPA type subunit 4 ( GRIA4 ), both implicated in ion transport, showed the strongest association with chemoresistance. Notably, SLC12A1 expression was downregulated, while protein levels of glutamate receptor 4 (GLUR4), encoded by GRIA4 , were elevated in patients with a worse prognosis. Our results suggest a potential link between SLC12A1 gene expression and GLUR4 protein levels with chemoresistance in luminal breast cancer. In particular, GLUR4 protein could serve as a potential target for drug intervention to overcome chemoresistance.
- Published
- 2023
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16. Symmetric inheritance of parental histones governs epigenome maintenance and embryonic stem cell identity.
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Wenger A, Biran A, Alcaraz N, Redó-Riveiro A, Sell AC, Krautz R, Flury V, Reverón-Gómez N, Solis-Mezarino V, Völker-Albert M, Imhof A, Andersson R, Brickman JM, and Groth A
- Subjects
- Animals, Chromatin genetics, Embryonic Stem Cells, Mitosis, Mammals, Histones genetics, Epigenome
- Abstract
Modified parental histones are segregated symmetrically to daughter DNA strands during replication and can be inherited through mitosis. How this may sustain the epigenome and cell identity remains unknown. Here we show that transmission of histone-based information during DNA replication maintains epigenome fidelity and embryonic stem cell plasticity. Asymmetric segregation of parental histones H3-H4 in MCM2-2A mutants compromised mitotic inheritance of histone modifications and globally altered the epigenome. This included widespread spurious deposition of repressive modifications, suggesting elevated epigenetic noise. Moreover, H3K9me3 loss at repeats caused derepression and H3K27me3 redistribution across bivalent promoters correlated with misexpression of developmental genes. MCM2-2A mutation challenged dynamic transitions in cellular states across the cell cycle, enhancing naïve pluripotency and reducing lineage priming in G1. Furthermore, developmental competence was diminished, correlating with impaired exit from pluripotency. Collectively, this argues that epigenetic inheritance of histone modifications maintains a correctly balanced and dynamic chromatin landscape able to support mammalian cell differentiation., (© 2023. The Author(s).)
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- 2023
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17. Recycling of modified H2A-H2B provides short-term memory of chromatin states.
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Flury V, Reverón-Gómez N, Alcaraz N, Stewart-Morgan KR, Wenger A, Klose RJ, and Groth A
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- Cell Cycle, DNA Replication, Histones metabolism, Nucleosomes, Animals, Mice, Rabbits, Chromatin, Memory, Short-Term
- Abstract
Chromatin landscapes are disrupted during DNA replication and must be restored faithfully to maintain genome regulation and cell identity. The histone H3-H4 modification landscape is restored by parental histone recycling and modification of new histones. How DNA replication impacts on histone H2A-H2B is currently unknown. Here, we measure H2A-H2B modifications and H2A.Z during DNA replication and across the cell cycle using quantitative genomics. We show that H2AK119ub1, H2BK120ub1, and H2A.Z are recycled accurately during DNA replication. Modified H2A-H2B are segregated symmetrically to daughter strands via POLA1 on the lagging strand, but independent of H3-H4 recycling. Post-replication, H2A-H2B modification and variant landscapes are quickly restored, and H2AK119ub1 guides accurate restoration of H3K27me3. This work reveals epigenetic transmission of parental H2A-H2B during DNA replication and identifies cross talk between H3-H4 and H2A-H2B modifications in epigenome propagation. We propose that rapid short-term memory of recycled H2A-H2B modifications facilitates restoration of stable H3-H4 chromatin states., Competing Interests: Declaration of interests A.G. is inventor on a patent covering the therapeutic targeting of TONSL for cancer therapy. A.G. is co-founder and chief scientific officer (CSO) of Ankrin Therapeutics. A.G. is a member of the scientific advisory board of Molecular Cell., (Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.)
- Published
- 2023
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18. Promoter sequence and architecture determine expression variability and confer robustness to genetic variants.
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Einarsson H, Salvatore M, Vaagensø C, Alcaraz N, Bornholdt J, Rennie S, and Andersson R
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- Humans, Base Sequence, Promoter Regions, Genetic, Binding Sites, Mutation, Transcription Factors metabolism, Transcription, Genetic
- Abstract
Genetic and environmental exposures cause variability in gene expression. Although most genes are affected in a population, their effect sizes vary greatly, indicating the existence of regulatory mechanisms that could amplify or attenuate expression variability. Here, we investigate the relationship between the sequence and transcription start site architectures of promoters and their expression variability across human individuals. We find that expression variability can be largely explained by a promoter's DNA sequence and its binding sites for specific transcription factors. We show that promoter expression variability reflects the biological process of a gene, demonstrating a selective trade-off between stability for metabolic genes and plasticity for responsive genes and those involved in signaling. Promoters with a rigid transcription start site architecture are more prone to have variable expression and to be associated with genetic variants with large effect sizes, while a flexible usage of transcription start sites within a promoter attenuates expression variability and limits genotypic effects. Our work provides insights into the variable nature of responsive genes and reveals a novel mechanism for supplying transcriptional and mutational robustness to essential genes through multiple transcription start site regions within a promoter., Competing Interests: HE, MS, CV, NA, JB, SR, RA No competing interests declared, (© 2022, Einarsson et al.)
- Published
- 2022
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19. Editorial: Computational systems biomedicine.
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Batra R, Baloni P, Alcaraz N, Hauschild AC, and Cervera A
- Abstract
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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- 2022
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20. Genomic Profile in a Non-Seminoma Testicular Germ-Cell Tumor Cohort Reveals a Potential Biomarker of Sensitivity to Platinum-Based Therapy.
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González-Barrios R, Alcaraz N, Montalvo-Casimiro M, Cervera A, Arriaga-Canon C, Munguia-Garza P, Hinojosa-Ugarte D, Sobrevilla-Moreno N, Torres-Arciga K, Mendoza-Perez J, Diaz-Chavez J, Cortes-González CC, Castro-Hernández C, Martínez-Cedillo J, Scavuzzo A, Pérez-Montiel D, Jiménez-Ríos MA, and Herrera LA
- Abstract
Despite having a favorable response to platinum-based chemotherapies, ~15% of Testicular Germ-Cell Tumor (TGCT) patients are platinum-resistant. Mortality rates among Latin American countries have remained constant over time, which makes the study of this population of particular interest. To gain insight into this phenomenon, we conducted whole-exome sequencing, microarray-based comparative genomic hybridization, and copy number analysis of 32 tumors from a Mexican cohort, of which 18 were platinum-sensitive and 14 were platinum-resistant. We incorporated analyses of mutational burden, driver mutations, and SNV and CNV signatures. DNA breakpoints in genes were also investigated and might represent an interesting research opportunity. We observed that sensitivity to chemotherapy does not seem to be explained by any of the mutations detected. Instead, we uncovered CNVs, particularly amplifications on segment 2q11.1 as a novel variant with chemosensitivity biomarker potential. Our data shed light into understanding platinum resistance in a Latin-origin population.
- Published
- 2022
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21. Proteasome inhibition alters mitotic progression through the upregulation of centromeric α-Satellite RNAs.
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Cáceres-Gutiérrez RE, Andonegui MA, Oliva-Rico DA, González-Barrios R, Luna F, Arriaga-Canon C, López-Saavedra A, Prada D, Castro C, Parmentier L, Díaz-Chávez J, Alfaro-Mora Y, Navarro-Delgado EI, Fabian-Morales E, Tran B, Shetty J, Zhao Y, Alcaraz N, De la Rosa C, Reyes JL, Hédouin S, Hubé F, Francastel C, and Herrera LA
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- Centromere genetics, Centromere metabolism, DNA, Satellite genetics, Humans, Up-Regulation, Proteasome Endopeptidase Complex genetics, Proteasome Endopeptidase Complex metabolism, RNA, Satellite genetics
- Abstract
Cell cycle progression requires control of the abundance of several proteins and RNAs over space and time to properly transit from one phase to the next and to ensure faithful genomic inheritance in daughter cells. The proteasome, the main protein degradation system of the cell, facilitates the establishment of a proteome specific to each phase of the cell cycle. Its activity also strongly influences transcription. Here, we detected the upregulation of repetitive RNAs upon proteasome inhibition in human cancer cells using RNA-seq. The effect of proteasome inhibition on centromeres was remarkable, especially on α-Satellite RNAs. We showed that α-Satellite RNAs fluctuate along the cell cycle and interact with members of the cohesin ring, suggesting that these transcripts may take part in the regulation of mitotic progression. Next, we forced exogenous overexpression and used gapmer oligonucleotide targeting to demonstrate that α-Sat RNAs have regulatory roles in mitosis. Finally, we explored the transcriptional regulation of α-Satellite DNA. Through in silico analyses, we detected the presence of CCAAT transcription factor-binding motifs within α-Satellite centromeric arrays. Using high-resolution three-dimensional immuno-FISH and ChIP-qPCR, we showed an association between the α-Satellite upregulation and the recruitment of the transcription factor NFY-A to the centromere upon MG132-induced proteasome inhibition. Together, our results show that the proteasome controls α-Satellite RNAs associated with the regulation of mitosis., (© 2021 The Authors. The FEBS Journal published by John Wiley & Sons Ltd on behalf of Federation of European Biochemical Societies.)
- Published
- 2022
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22. Primary care provider expectations of addiction services and patients in Spain.
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Andreu M, Alcaraz N, Gual A, Segura L, and Barrio P
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- Humans, Primary Health Care, Qualitative Research, Spain, Motivation, Substance-Related Disorders therapy
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Background: Primary care (PC) is crucial in the care of substance use disorder (SUD) patients. However, the relationship between PC and addiction settings is complex and collaboration issues stand out. Available evidence suggests that integration of SUD and PC services can improve physical and mental health of SUD patients and reduce health expenses., Objective: To explore the experiences, views and attitudes of PC professionals towards the interaction between PC and SUD services., Methods: Twenty-seven GPs took part in three focus groups. The focus group sessions were audio-taped, transcribed verbatim and analysed using reflexive thematic analysis. Recurrent themes were identified., Results: Four main themes were devised: (1) Differences and specificities of SUD patients, (2) Interaction between providers of PC and addiction services, (3) Patient management (4) Addiction stigma. These main themes reflect the consideration that SUD patients are a specific group with specific care needs that yield specific challenges to GPs themselves. Improved training, availability of a shared medical record system, increased feedback between GP and addiction specialists and the efficiency of the circuit are to be considered the main priority for the majority of the participants., Conclusions: An efficient and effective referral circuit, with increased feedback and shared medical records is considered key to GPs. Its implementation should keep in mind the specific features of both SUD patients and GPs., (© The Author(s) 2021. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
- Published
- 2022
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23. Endogenous retroviruses co-opted as divergently transcribed regulatory elements shape the regulatory landscape of embryonic stem cells.
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Bakoulis S, Krautz R, Alcaraz N, Salvatore M, and Andersson R
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- Animals, DNA Transposable Elements genetics, Embryonic Stem Cells metabolism, Mice, Regulatory Sequences, Nucleic Acid genetics, Transcription Factors genetics, Transcription Factors metabolism, Endogenous Retroviruses genetics, Endogenous Retroviruses metabolism
- Abstract
Transposable elements are an abundant source of transcription factor binding sites, and favorable genomic integration may lead to their recruitment by the host genome for gene regulatory functions. However, it is unclear how frequent co-option of transposable elements as regulatory elements is, to which regulatory programs they contribute and how they compare to regulatory elements devoid of transposable elements. Here, we report a transcription initiation-centric, in-depth characterization of the transposon-derived regulatory landscape of mouse embryonic stem cells. We demonstrate that a substantial number of transposable element insertions, in particular endogenous retroviral elements, are associated with open chromatin regions that are divergently transcribed into unstable RNAs in a cell-type specific manner, and that these elements contribute to a sizable proportion of active enhancers and gene promoters. We further show that transposon subfamilies contribute differently and distinctly to the pluripotency regulatory program through their repertoires of transcription factor binding site sequences, shedding light on the formation of regulatory programs and the origins of regulatory elements., (© The Author(s) 2022. Published by Oxford University Press on behalf of Nucleic Acids Research.)
- Published
- 2022
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24. Breaking Isolation: Social Work in Solidarity with Migrant Workers through and beyond COVID-19.
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Alcaraz N, Lorenzetti L, Thomas S, and Dhungel R
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In the early months of COVID-19's proliferation through Canadian communities, the now largely documented uneven impacts and burdens of the illness were emerging. Among the early COVID-19 casualties were workers in Alberta's meatpacking plants, with infection rates so high that the news quickly gained international attention. The Cargill meatpacking plant, overwhelmingly staffed by temporary foreign workers with no permanent status or citizenship rights, was the site of the largest single coronavirus outbreak in Canada. The need for a community response to this emerging crisis was a focal discussion for a newly formed network of social workers. A multileveled series of actions and systems advocacy were put in place. These actions would foment a vibrant and diverse "community of communities" while also unveiling challenges and obstacles to the work during a period of a shifting health landscape, shutdowns, and changing legislation. This article focuses on the development of a grassroots and transformative community-led response to COVID-19, describing strategies, implementation, and challenges in the "real life" context of the recent pandemic. Key learnings for postpandemic community organizing and social work solidarity actions are highlighted., (© 2021 National Association of Social Workers.)
- Published
- 2021
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25. Emergence and spread of the potential variant of interest (VOI) B.1.1.519 of SARS-CoV-2 predominantly present in Mexico.
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Rodríguez-Maldonado AP, Vázquez-Pérez JA, Cedro-Tanda A, Taboada B, Boukadida C, Wong-Arámbula C, Nuñez-García TE, Cruz-Ortiz N, Barrera-Badillo G, Hernández-Rivas L, López-Martínez I, Mendoza-Vargas A, Reyes-Grajeda JP, Alcaraz N, Peñaloza-Figueroa F, Gonzalez-Barrera D, Rangel-DeLeon D, Herrera-Montalvo LA, Mejía-Nepomuceno F, Hernández-Terán A, Mújica-Sánchez M, Becerril-Vargas E, Martínez-Orozco JA, Pérez-Padilla R, Salas-Hernández J, Sanchez-Flores A, Isa P, Matías-Florentino M, Ávila-Ríos S, Muñoz-Medina JE, Grajales-Muñiz C, Salas-Lais AG, Santos Coy-Arechavaleta A, Hidalgo-Miranda A, Arias CF, and Ramírez-González JE
- Subjects
- COVID-19 transmission, Genome, Viral genetics, Humans, Mexico epidemiology, Mutation, Phylogeny, Prevalence, SARS-CoV-2 classification, SARS-CoV-2 isolation & purification, Spike Glycoprotein, Coronavirus genetics, COVID-19 epidemiology, COVID-19 virology, SARS-CoV-2 genetics
- Abstract
SARS-CoV-2 variants emerged in late 2020, and at least three variants of concern (B.1.1.7, B.1.351, and P1) have been reported by WHO. These variants have several substitutions in the spike protein that affect receptor binding; they exhibit increased transmissibility and may be associated with reduced vaccine effectiveness. In the present work, we report the identification of a potential variant of interest, harboring the mutations T478K, P681H, and T732A in the spike protein, within the newly named lineage B.1.1.519, that rapidly outcompeted the preexisting variants in Mexico and has been the dominant virus in the country during the first trimester of 2021., (© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.)
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- 2021
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26. The Evolutionary Landscape of SARS-CoV-2 Variant B.1.1.519 and Its Clinical Impact in Mexico City.
- Author
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Cedro-Tanda A, Gómez-Romero L, Alcaraz N, de Anda-Jauregui G, Peñaloza F, Moreno B, Escobar-Arrazola MA, Ramirez-Vega OA, Munguia-Garza P, Garcia-Cardenas F, Cisneros-Villanueva M, Moreno-Camacho JL, Rodriguez-Gallegos J, Luna-Ruiz Esparza MA, Fernández Rojas MA, Mendoza-Vargas A, Reyes-Grajeda JP, Campos-Romero A, Angulo O, Ruiz R, Sheinbaum-Pardo C, Sifuentes-Osornio J, Kershenobich D, Hidalgo-Miranda A, and Herrera LA
- Subjects
- Basic Reproduction Number statistics & numerical data, Biological Evolution, Genome, Viral, Haplotypes, Humans, Mexico epidemiology, Mutation, Nasopharynx virology, Phylogeny, RNA, Viral, SARS-CoV-2 classification, COVID-19 epidemiology, COVID-19 virology, SARS-CoV-2 genetics, Spike Glycoprotein, Coronavirus genetics
- Abstract
The SARS-CoV-2 pandemic is one of the most concerning health problems around the globe. We reported the emergence of SARS-CoV-2 variant B.1.1.519 in Mexico City. We reported the effective reproduction number (Rt) of B.1.1.519 and presented evidence of its geographical origin based on phylogenetic analysis. We also studied its evolution via haplotype analysis and identified the most recurrent haplotypes. Finally, we studied the clinical impact of B.1.1.519. The B.1.1.519 variant was predominant between November 2020 and May 2021, reaching 90% of all cases sequenced in February 2021. It is characterized by three amino acid changes in the spike protein: T478K, P681H, and T732A. Its Rt varies between 0.5 and 2.9. Its geographical origin remain to be investigated. Patients infected with variant B.1.1.519 showed a highly significant adjusted odds ratio (aOR) increase of 1.85 over non-B.1.1.519 patients for developing a severe/critical outcome ( p = 0.000296, 1.33-2.6 95% CI) and a 2.35-fold increase for hospitalization ( p = 0.005, 1.32-4.34 95% CI). The continuous monitoring of this and other variants will be required to control the ongoing pandemic as it evolves.
- Published
- 2021
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27. The AIMe registry for artificial intelligence in biomedical research.
- Author
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Matschinske J, Alcaraz N, Benis A, Golebiewski M, Grimm DG, Heumos L, Kacprowski T, Lazareva O, List M, Louadi Z, Pauling JK, Pfeifer N, Röttger R, Schwämmle V, Sturm G, Traverso A, Van Steen K, de Freitas MV, Villalba Silva GC, Wee L, Wenke NK, Zanin M, Zolotareva O, Baumbach J, and Blumenthal DB
- Subjects
- Research Design, Artificial Intelligence, Biomedical Research, Computational Biology methods, Registries
- Published
- 2021
- Full Text
- View/download PDF
28. Transcriptome Analysis Identifies GATA3-AS1 as a Long Noncoding RNA Associated with Resistance to Neoadjuvant Chemotherapy in Locally Advanced Breast Cancer Patients.
- Author
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Contreras-Espinosa L, Alcaraz N, De La Rosa-Velázquez IA, Díaz-Chávez J, Cabrera-Galeana P, Rebollar-Vega R, Reynoso-Noverón N, Maldonado-Martínez HA, González-Barrios R, Montiel-Manríquez R, Bautista-Sánchez D, Castro-Hernández C, Alvarez-Gomez RM, Jiménez-Trejo F, Tapia-Rodríguez M, García-Gordillo JA, Pérez-Rosas A, Bargallo-Rocha E, Arriaga-Canon C, and Herrera LA
- Subjects
- Adenocarcinoma metabolism, Adenocarcinoma pathology, Adult, Biomarkers, Tumor genetics, Breast Neoplasms metabolism, Breast Neoplasms pathology, Cohort Studies, Female, Gene Expression Regulation, Neoplastic, Humans, MCF-7 Cells, Middle Aged, Prognosis, RNA-Seq methods, Receptor, ErbB-2 metabolism, Treatment Outcome, Adenocarcinoma drug therapy, Adenocarcinoma genetics, Breast Neoplasms drug therapy, Breast Neoplasms genetics, Drug Resistance, Neoplasm genetics, GATA3 Transcription Factor genetics, Neoadjuvant Therapy methods, RNA, Antisense genetics, RNA, Long Noncoding genetics, Transcriptome genetics
- Abstract
Breast cancer is one of the leading causes of mortality in women worldwide, and neoadjuvant chemotherapy has emerged as an option for the management of locally advanced breast cancer. Extensive efforts have been made to identify new molecular markers to predict the response to neoadjuvant chemotherapy. Transcripts that do not encode proteins, termed long noncoding RNAs (lncRNAs), have been shown to display abnormal expression profiles in different types of cancer, but their role as biomarkers in response to neoadjuvant chemotherapy has not been extensively studied. Herein, lncRNA expression was profiled using RNA sequencing in biopsies from patients who subsequently showed either response or no response to treatment. GATA3-AS1 was overexpressed in the nonresponder group and was the most stable feature when performing selection in multiple random forest models. GATA3-AS1 was experimentally validated by quantitative RT-PCR in an extended group of 68 patients. Expression analysis confirmed that GATA3-AS1 is overexpressed primarily in patients who were nonresponsive to neoadjuvant chemotherapy, with a sensitivity of 92.9% and a specificity of 75.0%. The statistical model was based on luminal B-like patients and adjusted by menopausal status and phenotype (odds ratio, 37.49; 95% CI, 6.74-208.42; P = 0.001); GATA3-AS1 was established as an independent predictor of response. Thus, lncRNA GATA3-AS1 is proposed as a potential predictive biomarker of nonresponse to neoadjuvant chemotherapy., (Copyright © 2021 Association for Molecular Pathology and American Society for Investigative Pathology. Published by Elsevier Inc. All rights reserved.)
- Published
- 2021
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29. Comparative transcriptome analysis reveals key epigenetic targets in SARS-CoV-2 infection.
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Salgado-Albarrán M, Navarro-Delgado EI, Del Moral-Morales A, Alcaraz N, Baumbach J, González-Barrios R, and Soto-Reyes E
- Subjects
- COVID-19 virology, Gene Expression Profiling, Humans, Middle East Respiratory Syndrome Coronavirus genetics, Middle East Respiratory Syndrome Coronavirus pathogenicity, Severe acute respiratory syndrome-related coronavirus genetics, Severe acute respiratory syndrome-related coronavirus pathogenicity, SARS-CoV-2 pathogenicity, Signal Transduction genetics, COVID-19 genetics, Epigenesis, Genetic genetics, SARS-CoV-2 genetics, Transcriptome genetics
- Abstract
COVID-19 is an infection caused by SARS-CoV-2 (Severe Acute Respiratory Syndrome coronavirus 2), which has caused a global outbreak. Current research efforts are focused on the understanding of the molecular mechanisms involved in SARS-CoV-2 infection in order to propose drug-based therapeutic options. Transcriptional changes due to epigenetic regulation are key host cell responses to viral infection and have been studied in SARS-CoV and MERS-CoV; however, such changes are not fully described for SARS-CoV-2. In this study, we analyzed multiple transcriptomes obtained from cell lines infected with MERS-CoV, SARS-CoV, and SARS-CoV-2, and from COVID-19 patient-derived samples. Using integrative analyses of gene co-expression networks and de-novo pathway enrichment, we characterize different gene modules and protein pathways enriched with Transcription Factors or Epifactors relevant for SARS-CoV-2 infection. We identified EP300, MOV10, RELA, and TRIM25 as top candidates, and more than 60 additional proteins involved in the epigenetic response during viral infection that has therapeutic potential. Our results show that targeting the epigenetic machinery could be a feasible alternative to treat COVID-19.
- Published
- 2021
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30. Hiding for Survival: Highlighting the Lived Experiences of Precarity and Labour Abuse Among Filipino Non-status Migrants in Canada.
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Alcaraz N, Ferrer I, Abes JG, and Lorenzetti L
- Abstract
Non-status migrants are individuals who do not hold a valid immigration document or official status to stay in Canada. This paper presents a case study on the experiences of non-status migrants seeking access to health, social, and community services. Through interviews with five non-status migrants, the authors explore the specific needs, rights, services and barriers they encountered. Our findings highlight five case-based themes that centre on the (1) undocumented and hidden costs of striving for status, (2) aspirations to stay in Canada, (3) navigation through the everyday struggles to survive, (4) acts of selflessness and (5) resistance against the stigmatisation of being labelled a non-status migrant. Despite their fear of exposure to professionals, non-status participants express willingness to utilise services in the community. However, there is considerable paucity of information about the resources that they could access freely and without risk. This paper offers key recommendations for social work practitioners who engage in social justice and advocacy work alongside non-status migrants in Canada., Competing Interests: Conflict of InterestThe authors declare that they have no conflict of interest., (© The Author(s), under exclusive licence to Springer Nature Switzerland AG 2021.)
- Published
- 2021
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31. Magnetically-stimulated transformations in nanostructure of lipid mesophases: Effect of structure of iron oxide nanoparticles.
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Sun X, Alcaraz N, Qiao R, Hawley A, Tan A, and Boyd BJ
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- Hydrophobic and Hydrophilic Interactions, Molecular Structure, Lipids chemistry, Liquid Crystals chemistry, Magnetic Iron Oxide Nanoparticles chemistry, Nanostructures chemistry, Phase Transition
- Abstract
Nanostructured lipid-based liquid crystalline (LLC) systems can display different drug release rates and also be stimuli-responsive, rendering them the potential to serve as 'on-demand' drug delivery systems. In this study, a magnetically-responsive cubic phase nanocomposite was engineered by doping iron oxide nanoparticles (IONPs) into a phytantriol (PHYT)-based lipid that exhibits transformation in nanostructure under external alternating magnetic field (AMF). The effects of IONP surface hydrophilicity/hydrophobicity, size and concentration were determined in dispersed systems, and the effect of hydration state of the system was also assessed. Time-resolved small angle X-ray scattering (SAXS) was used to probe the impact of these variables on the transformation of nanostructure with and without the application of AMF. The inclusion of both hydrophobic and hydrophilic IONPs reduced the temperature of the phase transition from the inverted bicontinuous cubic (V
2 ) phase to inverted hexagonal (H2 ) phase and imparted magnetic-responsiveness to the systems. The size of the IONPs played an important role in governing the phase reversibility of the dispersed systems, while the concentration of the IONPs had more impact on the phase behaviour of the bulk systems. These successfully demonstrated a completely reversible magneto-responsive phase transition in the nanostructured LLC systems through optimising the selection of IONPs., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2020 Elsevier B.V. All rights reserved.)- Published
- 2020
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32. De Novo Pathway Enrichment with KeyPathwayMiner.
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Alcaraz N, Hartebrodt A, and List M
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- Animals, Humans, Oligonucleotide Array Sequence Analysis methods, Protein Interaction Maps, Software, Computational Biology methods
- Abstract
Biomolecular networks such as protein-protein interaction networks provide a static picture of the interplay of genes and their products, and, consequently, they fail to capture dynamic changes taking place during the development of complex diseases. KeyPathwayMiner is a software platform designed to fill this gap by integrating previous knowledge captured in molecular interaction networks with OMICS datasets (DNA microarrays, RNA sequencing, genome-wide methylation studies, etc.) to extract connected subnetworks with a high number of deregulated genes. This protocol describes how to use KeyPathwayMiner for integrated analysis of multi-omics datasets in the network analysis tool Cytoscape and in a stand-alone web application available at https://keypathwayminer.compbio.sdu.dk .
- Published
- 2020
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33. De Novo Pathway-Based Classification of Breast Cancer Subtypes.
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List M, Alcaraz N, and Batra R
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- Biomarkers, Tumor metabolism, Cluster Analysis, Female, Gene Expression Profiling, Gene Expression Regulation, Neoplastic genetics, Humans, Kaplan-Meier Estimate, Breast Neoplasms metabolism, Breast Neoplasms pathology
- Abstract
Breast cancer is a heterogeneous disease for which various clinically relevant subtypes have been reported. These subtypes are characterized by molecular differences which direct treatment selection. The state of the art for breast cancer subtyping utilizes histochemistry or gene expression to measure a few selected markers. However, classification based on molecular pathways (rather than individual markers) is a more robust way to classify breast cancer samples into known subtypes.Here, we present PathClass, a web application that allows its users to predict breast cancer subtypes using various traditional as well as advanced methods. This includes methods based on classical gene expression panels as well as de novo pathway-based predictors. Users can predict labels for datasets in the Gene Expression Omnibus or upload their own expression profiling data.Availability: https://pathclass.compbio.sdu.dk/ .
- Published
- 2020
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34. A functional genetic screen identifies the Mediator complex as essential for SSX2-induced senescence.
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Brückmann NH, Bennedsen SN, Duijf PHG, Terp MG, Thomassen M, Larsen M, Pedersen CB, Kruse T, Alcaraz N, Ditzel HJ, and Gjerstorff MF
- Subjects
- Cell Line, Tumor, Cell Nucleus genetics, Gene Expression Regulation, Neoplastic, Humans, Mediator Complex genetics, Mediator Complex Subunit 1 genetics, Melanoma pathology, Protein Kinases genetics, Sarcoma, Synovial genetics, Sarcoma, Synovial pathology, Transcription Factors genetics, Transcription, Genetic, Transcriptional Activation genetics, Cellular Senescence genetics, Melanoma genetics, Neoplasm Proteins genetics, Repressor Proteins genetics
- Abstract
The senescence response to oncogenes is believed to be a barrier to oncogenic transformation in premalignant lesions, and describing the mechanisms by which tumor cells evade this response is important for early diagnosis and treatment. The male germ cell-associated protein SSX2 is ectopically expressed in many types of cancer and is functionally involved in regulating chromatin structure and supporting cell proliferation. Similar to many well-characterized oncogenes, SSX2 has the ability to induce senescence in cells. In this study, we performed a functional genetic screen to identify proteins implicated in SSX2-induced senescence and identified several subunits of the Mediator complex, which is central in regulating RNA polymerase-mediated transcription. Further experiments showed that reduced levels of MED1, MED4, and MED14 perturbed the development of senescence in SSX2-expressing cells. In contrast, knockdown of MED1 did not prevent development of B-Raf- and Epirubicin-induced senescence, suggesting that Mediator may be specifically linked to the cellular functions of SSX2 that may lead to development of senescence or be central in a SSX2-specific senescence response. Indeed, immunostaining of melanoma tumors, which often express SSX proteins, exhibited altered levels of MED1 compared to benign nevi. Similarly, RNA-seq analysis suggested that MED1, MED4, and MED14 were downregulated in some tumors, while upregulated in others. In conclusion, our study reveals the Mediator complex as essential for SSX2-induced senescence and suggests that changes in Mediator activity could be instrumental for tumorigenesis.
- Published
- 2019
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35. The epigenetic factor BORIS (CTCFL) controls the androgen receptor regulatory network in ovarian cancer.
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Salgado-Albarrán M, González-Barrios R, Guerra-Calderas L, Alcaraz N, Estefanía Sánchez-Correa T, Castro-Hernández C, Sánchez-Pérez Y, Aréchaga-Ocampo E, García-Carrancá A, Cantú de León D, Herrera LA, Baumbach J, and Soto-Reyes E
- Abstract
The identification of prognostic biomarkers is a priority for patients suffering from high-grade serous ovarian cancer (SOC), which accounts for >70% of ovarian cancer (OC) deaths. Meanwhile, borderline ovarian cancer (BOC) is a low malignancy tumor and usually patients undergo surgery with low probabilities of recurrence. However, SOC remains the most lethal neoplasm due to the lack of biomarkers for early diagnosis and prognosis. In this regard, BORIS (CTCFL), a CTCF paralog, is a promising cancer biomarker that is overexpressed and controls transcription in several cancer types, mainly in OC. Studies suggest that BORIS has an important function in OC by altering gene expression, but the effect and extent to which BORIS influences transcription in OC from a genome-wide perspective is unclear. Here, we sought to identify BORIS target genes in an OC cell line (OVCAR3) with potential biomarker use in OC tumor samples. To achieve this, we performed in vitro knockout and knockdown experiments of BORIS in OVCAR3 cell line followed by expression microarrays and bioinformatics network enrichment analysis to identify relevant BORIS target genes. In addition, ex vivo expression data analysis of 373 ovarian cancer patients were evaluated to identify the expression patterns of BORIS target genes. In vitro, we uncovered 130 differentially expressed genes and obtained the BORIS-associated regulatory network, in which the androgen receptor (AR) acts as a major transcription factor. Also, FN1, FAM129A, and CD97 genes, which are related to chemoresistance and metastases in OC, were identified. In SOC patients, we observed that malignancy is associated with high levels of BORIS expression while BOC patients show lower levels. Our study suggests that BORIS acts as a main regulator, and has the potential to be used as a prognostic biomarker and to yield novel drug targets among the genes BORIS controls in SOC patients.
- Published
- 2019
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36. Orthologous proteins of experimental de- and remyelination are differentially regulated in the CSF proteome of multiple sclerosis subtypes.
- Author
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Martin NA, Nawrocki A, Molnar V, Elkjaer ML, Thygesen EK, Palkovits M, Acs P, Sejbaek T, Nielsen HH, Hegedus Z, Sellebjerg F, Molnar T, Barbosa EGV, Alcaraz N, Gallyas F Jr, Svenningsen AF, Baumbach J, Lassmann H, Larsen MR, and Illes Z
- Subjects
- Animals, Axons metabolism, Corpus Callosum metabolism, Corpus Callosum pathology, Cuprizone toxicity, Demyelinating Diseases genetics, Disease Models, Animal, Gene Expression Regulation, Humans, Mice, Multiple Sclerosis cerebrospinal fluid, Multiple Sclerosis chemically induced, Myelin Sheath genetics, Myelin Sheath pathology, Proto-Oncogene Proteins cerebrospinal fluid, Proto-Oncogene Proteins genetics, Receptor Protein-Tyrosine Kinases cerebrospinal fluid, Receptor Protein-Tyrosine Kinases genetics, Tissue Inhibitor of Metalloproteinase-1 cerebrospinal fluid, Tissue Inhibitor of Metalloproteinase-1 genetics, Axl Receptor Tyrosine Kinase, Cerebrospinal Fluid Proteins genetics, Multiple Sclerosis genetics, Proteome genetics, Remyelination genetics
- Abstract
Objective: Here, we applied a multi-omics approach (i) to examine molecular pathways related to de- and remyelination in multiple sclerosis (MS) lesions; and (ii) to translate these findings to the CSF proteome in order to identify molecules that are differentially expressed among MS subtypes., Methods: To relate differentially expressed genes in MS lesions to de- and remyelination, we compared transcriptome of MS lesions to transcriptome of cuprizone (CPZ)-induced de- and remyelination. Protein products of the overlapping orthologous genes were measured within the CSF by quantitative proteomics, parallel reaction monitoring (PRM). Differentially regulated proteins were correlated with molecular markers of inflammation by using MesoScale multiplex immunoassay. Expression kinetics of differentially regulated orthologous genes and proteins were examined in the CPZ model., Results: In the demyelinated and remyelinated corpus callosum, we detected 1239 differentially expressed genes; 91 orthologues were also differentially expressed in MS lesions. Pathway analysis of these orthologues suggested that the TYROBP (DAP12)-TREM2 pathway, TNF-receptor 1, CYBA and the proteasome subunit PSMB9 were related to de- and remyelination. We designed 129 peptides representing 51 orthologous proteins, measured them by PRM in 97 individual CSF, and compared their levels between relapsing (n = 40) and progressive MS (n = 57). Four proteins were differentially regulated among relapsing and progressive MS: tyrosine protein kinase receptor UFO (UFO), TIMP-1, apolipoprotein C-II (APOC2), and beta-2-microglobulin (B2M). The orthologous genes/proteins in the mouse brain peaked during acute remyelination. UFO, TIMP-1 and B2M levels correlated inversely with inflammation in the CSF (IL-6, MCP-1/CCL2, TARC/CCL17). APOC2 showed positive correlation with IL-2, IL-16 and eotaxin-3/CCL26., Conclusions: Pathology-based multi-omics identified four CSF markers that were differentially expressed in MS subtypes. Upregulated TIMP-1, UFO and B2M orthologues in relapsing MS were associated with reduced inflammation and reflected reparatory processes, in contrast to the upregulated orthologue APOC2 in progressive MS that reflected changes in lipid metabolism associated with increased inflammation., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2018
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37. CTCF-KDM4A complex correlates with histone modifications that negatively regulate CHD5 gene expression in cancer cell lines.
- Author
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Guerra-Calderas L, González-Barrios R, Patiño CC, Alcaraz N, Salgado-Albarrán M, de León DC, Hernández CC, Sánchez-Pérez Y, Maldonado-Martínez HA, De la Rosa-Velazquez IA, Vargas-Romero F, Herrera LA, García-Carrancá A, and Soto-Reyes E
- Abstract
Histone demethylase KDM4A is involved in H3K9me3 and H3K36me3 demethylation, which are epigenetic modifications associated with gene silencing and RNA Polymerase II elongation, respectively. KDM4A is abnormally expressed in cancer, affecting the expression of multiple targets, such as the CHD5 gene. This enzyme localizes at the first intron of CHD5 , and the dissociation of KDM4A increases gene expression. In vitro assays showed that KDM4A-mediated demethylation is enhanced in the presence of CTCF, suggesting that CTCF could increase its enzymatic activity in vivo, however the specific mechanism by which CTCF and KDM4A might be involved in the CHD5 gene repression is poorly understood. Here, we show that CTCF and KDM4A form a protein complex, which is recruited into the first intron of CHD5 . This is related to a decrease in H3K36me3/2 histone marks and is associated with its transcriptional downregulation. Depletion of CTCF or KDM4A by siRNA, triggered the reactivation of CHD5 expression, suggesting that both proteins are involved in the negative regulation of this gene. Furthermore, the knockout of KDM4A restored the CHD5 expression and H3K36me3 and H3K36me2 histone marks. Such mechanism acts independently of CHD5 promoter DNA methylation. Our findings support a novel mechanism of epigenetic repression at the gene body that does not involve promoter silencing., Competing Interests: CONFLICTS OF INTEREST The authors declare no conflicts of interests.
- Published
- 2018
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- View/download PDF
38. Clickable Cubosomes for Antibody-Free Drug Targeting and Imaging Applications.
- Author
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Alcaraz N, Liu Q, Hanssen E, Johnston A, and Boyd BJ
- Subjects
- Carbocyanines administration & dosage, Click Chemistry methods, Drug Delivery Systems, Fluorescent Dyes administration & dosage, Nanoparticles ultrastructure, Azides chemistry, Cyclooctanes chemistry, Drug Carriers chemistry, Fatty Alcohols chemistry, Nanoparticles chemistry, Phospholipids chemistry
- Abstract
The combination of copper-free click chemistry with metabolic labeling offers new opportunities in drug delivery. The objective of this study was to determine whether cubosomes functionalized with azide or dibenzocyclooctyne (DBCO) groups are able to undergo copper-free click chemistry with a strained cyclooctyne or azide, respectively. Phytantriol-based cubosomes were functionalized using phospholipids bearing an azide or DBCO group. The modified cubosome dispersions were characterized using dynamic light scattering, cryo-TEM, and small-angle X-ray scattering. The efficiency of "clickability" was assessed by reacting the cubosomes with a complementary dye and determining bound and unbound dye via size exclusion chromatography. The clickable cubosomes reacted specifically and efficiently with a click-Cy5 dye with minor changes to the size, shape, and structure of the cubosomes. This indicates that cubosomes can retain their unique internal structure while participating in copper-free click chemistry. This proof of concept study paves the way for the use of copper-free click chemistry and metabolic labeling with cubosomes for targeted drug delivery and imaging.
- Published
- 2018
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39. Lipidated polymers for the stabilization of cubosomes: nanostructured drug delivery vehicles.
- Author
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Grace JL, Alcaraz N, Truong NP, Davis TP, Boyd BJ, Quinn JF, and Whittaker MR
- Subjects
- Drug Carriers chemistry, Humans, Lipids chemical synthesis, Methacrylates chemical synthesis, Polyethylene Glycols chemical synthesis, Polymethacrylic Acids chemical synthesis, Drug Delivery Systems, Lipids chemistry, Methacrylates chemistry, Nanostructures chemistry, Polyethylene Glycols chemistry, Polymethacrylic Acids chemistry
- Abstract
Lipidated polymers, like their protein counterparts, may be useful in fields as diverse as biochemistry and drug delivery. As such, strategies for preparing lipidated polymers with defined molecular architecture are clearly warranted. Herein, we describe a broadly-applicable methodology for synthesizing such lipidated materials, and demonstrate how they can be applied to the preparation of nanostructured drug delivery vehicles.
- Published
- 2017
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- View/download PDF
40. De novo pathway-based biomarker identification.
- Author
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Alcaraz N, List M, Batra R, Vandin F, Ditzel HJ, and Baumbach J
- Subjects
- Biomarkers, Tumor metabolism, Breast Neoplasms classification, Breast Neoplasms metabolism, DNA Methylation, Female, Genes, Neoplasm, Humans, Biomarkers, Tumor genetics, Breast Neoplasms genetics, Gene Expression Profiling methods
- Abstract
Gene expression profiles have been extensively discussed as an aid to guide the therapy by predicting disease outcome for the patients suffering from complex diseases, such as cancer. However, prediction models built upon single-gene (SG) features show poor stability and performance on independent datasets. Attempts to mitigate these drawbacks have led to the development of network-based approaches that integrate pathway information to produce meta-gene (MG) features. Also, MG approaches have only dealt with the two-class problem of good versus poor outcome prediction. Stratifying patients based on their molecular subtypes can provide a detailed view of the disease and lead to more personalized therapies. We propose and discuss a novel MG approach based on de novo pathways, which for the first time have been used as features in a multi-class setting to predict cancer subtypes. Comprehensive evaluation in a large cohort of breast cancer samples from The Cancer Genome Atlas (TCGA) revealed that MGs are considerably more stable than SG models, while also providing valuable insight into the cancer hallmarks that drive them. In addition, when tested on an independent benchmark non-TCGA dataset, MG features consistently outperformed SG models. We provide an easy-to-use web service at http://pathclass.compbio.sdu.dk where users can upload their own gene expression datasets from breast cancer studies and obtain the subtype predictions from all the classifiers., (© The Author(s) 2017. Published by Oxford University Press on behalf of Nucleic Acids Research.)
- Published
- 2017
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41. Elucidation of Altered Pathways in Tumor-Initiating Cells of Triple-Negative Breast Cancer: A Useful Cell Model System for Drug Screening.
- Author
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Christensen AG, Ehmsen S, Terp MG, Batra R, Alcaraz N, Baumbach J, Noer JB, Moreira J, Leth-Larsen R, Larsen MR, and Ditzel HJ
- Subjects
- Animals, Antigens, CD metabolism, Apoptosis, Biomarkers, Tumor metabolism, Carcinogenesis metabolism, Carcinogenesis pathology, Cell Line, Tumor, Cell Proliferation, Cell Shape, Cell Survival, Epithelial-Mesenchymal Transition, Female, Humans, Mass Spectrometry, Mice, Protein Interaction Maps, Proteomics, Reproducibility of Results, Spheroids, Cellular pathology, Wnt Signaling Pathway, Drug Evaluation, Preclinical, Models, Biological, Neoplastic Stem Cells pathology, Signal Transduction, Triple Negative Breast Neoplasms drug therapy, Triple Negative Breast Neoplasms pathology
- Abstract
A limited number of cancer cells within a tumor are thought to have self-renewing and tumor-initiating capabilities that produce the remaining cancer cells in a heterogeneous tumor mass. Elucidation of central pathways preferentially used by tumor-initiating cells/cancer stem cells (CSCs) may allow their exploitation as potential cancer therapy targets. We used single cell cloning to isolate and characterize four isogenic cell clones from a triple-negative breast cancer cell line; two exhibited mesenchymal-like and two epithelial-like characteristics. Within these pairs, one, but not the other, resulted in tumors in immunodeficient NOD/Shi-scid/IL-2 Rγ null mice and efficiently formed mammospheres. Quantitative proteomics and phosphoproteomics were used to map signaling pathways associated with the tumor-initiating ability. Signaling associated with apoptosis was suppressed in tumor-initiating versus nontumorigenic counterparts with pro-apoptotic proteins, such as Bcl2-associated agonist of cell death (BAD), FAS-associated death domain protein (FADD), and myeloid differentiation primary response protein (MYD88), downregulated in tumor-initiating epithelial-like cells. Functional studies confirmed significantly lower apoptosis in tumor-initiating versus nontumorigenic cells. Moreover, central pathways, including β-catenin and nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB)-related signaling, exhibited increased activation in the tumor-initiating cells. To evaluate the CSC model as a tool for drug screening, we assessed the effect of separately blocking NF-κB and Wnt/β-catenin signaling and found markedly reduced mammosphere formation, particularly for tumor-initiating cells. Similar reduction was also observed using patient-derived primary cancer cells. Furthermore, blocking NF-κB signaling in mice transplanted with tumor-initiating cells significantly reduced tumor outgrowth. Our study demonstrates that suppressed apoptosis, activation of pathways associated with cell viability, and CSCs are the major differences between tumor-initiating and nontumorigenic cells independent of their epithelial-like/mesenchymal-like phenotype. These altered pathways may provide targets for future drug development to eliminate CSCs, and the cell model may be a useful tool in such drug screenings. Stem Cells 2017;35:1898-1912., (© 2017 AlphaMed Press.)
- Published
- 2017
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42. On the performance of de novo pathway enrichment.
- Author
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Batra R, Alcaraz N, Gitzhofer K, Pauling J, Ditzel HJ, Hellmuth M, Baumbach J, and List M
- Abstract
De novo pathway enrichment is a powerful approach to discover previously uncharacterized molecular mechanisms in addition to already known pathways. To achieve this, condition-specific functional modules are extracted from large interaction networks. Here, we give an overview of the state of the art and present the first framework for assessing the performance of existing methods. We identified 19 tools and selected seven representative candidates for a comparative analysis with more than 12,000 runs, spanning different biological networks, molecular profiles, and parameters. Our results show that none of the methods consistently outperforms the others. To mitigate this issue for biomedical researchers, we provide guidelines to choose the appropriate tool for a given dataset. Moreover, our framework is the first attempt for a quantitative evaluation of de novo methods, which will allow the bioinformatics community to objectively compare future tools against the state of the art.
- Published
- 2017
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43. Cubosomes as Carriers for MRI Contrast Agents.
- Author
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Alcaraz N and Boyd BJ
- Subjects
- Animals, Humans, Liquid Crystals chemistry, Nanoparticles ultrastructure, Phase Transition, Contrast Media administration & dosage, Delayed-Action Preparations chemistry, Lipids chemistry, Magnetic Resonance Imaging methods, Nanoparticles chemistry
- Abstract
Cubosomes are self-assembled nanostructures that often form on dispersion of polar lipids in aqueous environments. The nanoparticles are analogous to liposomes but contain a complex internal self-assembled structure providing a point of difference to relatively simple liposomes. They exhibit a range of attractive properties such as having a high surface area, being able to incorporate both hydrophobic and hydrophilic molecules and controlled release. Consequently cubosomes are of increasing interest in fields such as drug delivery, and diagnostic imaging, in particular as a carrier for magnetic resonance imaging contrast agents. Over the last decade the incorporation of various contrast agents into the cubic mesophases has demonstrated improved relaxivity and resolution, as well as addressing other limitations of commercially available agents by increasing circulation time, stability and targeting. This minireview provides a brief overview of what cubosomes are, how they can be made, how they are characterised and also summarise the findings from the studies that have used cubosomes to develop better contrast agents for MRI, as well as highlight some potential for future developments., (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.)
- Published
- 2017
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44. Change in autoantibody and cytokine responses during the evolution of neuromyelitis optica in patients with systemic lupus erythematosus: A preliminary study.
- Author
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Kovacs KT, Kalluri SR, Boza-Serrano A, Deierborg T, Csepany T, Simo M, Rokusz L, Miseta A, Alcaraz N, Czirjak L, Berki T, Molnar T, Hemmer B, and Illes Z
- Subjects
- Adolescent, Adult, B-Lymphocytes immunology, B-Lymphocytes metabolism, Biomarkers blood, Child, Female, Humans, Immunosuppressive Agents therapeutic use, Lupus Erythematosus, Systemic blood, Lupus Erythematosus, Systemic diagnosis, Lupus Erythematosus, Systemic drug therapy, Lymphocyte Activation, Middle Aged, Neuromyelitis Optica blood, Neuromyelitis Optica diagnosis, Neuromyelitis Optica drug therapy, Preliminary Data, Recurrence, Remission Induction, Retrospective Studies, Th1 Cells immunology, Th1 Cells metabolism, Th17 Cells immunology, Th17 Cells metabolism, Time Factors, Treatment Outcome, Young Adult, Aquaporin 4 immunology, Autoantibodies blood, Cytokines blood, Immunoglobulin G blood, Immunoglobulin M blood, Lupus Erythematosus, Systemic immunology, Neuromyelitis Optica immunology
- Abstract
Background: Neuromyelitis optica (NMO)-systemic lupus erythematosus (SLE) association is a rare condition characterized by multiple autoantibodies., Objective: To examine if, during the evolution of NMO, anti-AQP4 responses are part of polyclonal B cell activation, and if T cell responses contribute., Methods: In 19 samples of six patients who developed NMO during SLE, we examined the correlation of AQP4-IgG1 and IgM with (i) anti-MOG IgG and IgM, (ii) anti-nuclear, anti-nucleosome and anti-dsDNA IgG antibodies, (iii) cytokines and chemokines in the serum and (iv) longitudinal relation to NMO relapses/remission., Results: AQP4-IgG1 was present 1-2-5 years before the first NMO relapse. During relapse, AQP4-IgG1, ANA, anti-dsDNA and anti-nucleosome antibodies were elevated. Anti-MOG IgG/IgM and AQP4-IgM antibodies were not detected. AQP4-IgG1 antibodies correlated with concentration of anti-nucleosome, IFN-γ,interferon-gamma-induced CCL10/IP-10 and CCL17/TARC (p<0.05, respectively). CCL17/TARC correlated with levels of anti-nucleosome and anti-dsDNA (p<0.05, respectively). Compared to healthy subjects, concentration of IFN-γ and CCL17/TARC was higher in NMO/SLE (p<0.05)., Conclusions: AQP4-IgG1 antibodies are present in the sera years before the first NMO attack in patients with SLE; elevation of anti-AQP4 is part of a polyclonal B cell response during NMO relapses; in spite of multiple autoantibodies in the serum, MOG antibodies were not present; Th1 responses accompany autoantibody responses in NMO/SLE., (© The Author(s), 2015.)
- Published
- 2016
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45. KeyPathwayMinerWeb: online multi-omics network enrichment.
- Author
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List M, Alcaraz N, Dissing-Hansen M, Ditzel HJ, Mollenhauer J, and Baumbach J
- Subjects
- Case-Control Studies, Computational Biology statistics & numerical data, Datasets as Topic, Gene Expression Profiling, Gene Expression Regulation, Humans, Huntington Disease diagnosis, Internet, Protein Interaction Mapping, Computational Biology methods, Gene Regulatory Networks, Huntingtin Protein genetics, Huntington Disease genetics, User-Computer Interface
- Abstract
We present KeyPathwayMinerWeb, the first online platform for de novo pathway enrichment analysis directly in the browser. Given a biological interaction network (e.g. protein-protein interactions) and a series of molecular profiles derived from one or multiple OMICS studies (gene expression, for instance), KeyPathwayMiner extracts connected sub-networks containing a high number of active or differentially regulated genes (proteins, metabolites) in the molecular profiles. The web interface at (http://keypathwayminer.compbio.sdu.dk) implements all core functionalities of the KeyPathwayMiner tool set such as data integration, input of background knowledge, batch runs for parameter optimization and visualization of extracted pathways. In addition to an intuitive web interface, we also implemented a RESTful API that now enables other online developers to integrate network enrichment as a web service into their own platforms., (© The Author(s) 2016. Published by Oxford University Press on behalf of Nucleic Acids Research.)
- Published
- 2016
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- View/download PDF
46. Robust de novo pathway enrichment with KeyPathwayMiner 5.
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Alcaraz N, List M, Dissing-Hansen M, Rehmsmeier M, Tan Q, Mollenhauer J, Ditzel HJ, and Baumbach J
- Abstract
Identifying functional modules or novel active pathways, recently termed de novo pathway enrichment, is a computational systems biology challenge that has gained much attention during the last decade. Given a large biological interaction network, KeyPathwayMiner extracts connected subnetworks that are enriched for differentially active entities from a series of molecular profiles encoded as binary indicator matrices. Since interaction networks constantly evolve, an important question is how robust the extracted results are when the network is modified. We enable users to study this effect through several network perturbation techniques and over a range of perturbation degrees. In addition, users may now provide a gold-standard set to determine how enriched extracted pathways are with relevant genes compared to randomized versions of the original network.
- Published
- 2016
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47. Elucidation of epithelial-mesenchymal transition-related pathways in a triple-negative breast cancer cell line model by multi-omics interactome analysis.
- Author
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Pauling JK, Christensen AG, Batra R, Alcaraz N, Barbosa E, Larsen MR, Beck HC, Leth-Larsen R, Azevedo V, Ditzel HJ, and Baumbach J
- Subjects
- Cell Line, Tumor, Computational Biology methods, Female, Genomics methods, Humans, Proteomics methods, Epithelial-Mesenchymal Transition genetics, Gene Expression Regulation, Neoplastic genetics, Phosphorylation genetics, Protein Processing, Post-Translational genetics, Signal Transduction genetics, Triple Negative Breast Neoplasms genetics
- Abstract
In life sciences, and particularly biomedical research, linking aberrant pathways exhibiting phenotype-specific alterations to the underlying physical condition or disease is an ongoing challenge. Computationally, a key approach for pathway identification is data enrichment, combined with generation of biological networks. This allows identification of intrinsic patterns in the data and their linkage to a specific context such as cellular compartments, diseases or functions. Identification of aberrant pathways by traditional approaches is often limited to biological networks based on either gene expression, protein expression or post-translational modifications. To overcome single omics analysis, we developed a set of computational methods that allow a combined analysis of data collections from multiple omics fields utilizing hybrid interactome networks. We apply these methods to data obtained from a triple-negative breast cancer cell line model, combining data sets of gene and protein expression as well as protein phosphorylation. We focus on alterations associated with the phenotypical differences arising from epithelial-mesenchymal transition in two breast cancer cell lines exhibiting epithelial-like and mesenchymal-like morphology, respectively. Here we identified altered protein signaling activity in a complex biologically relevant network, related to focal adhesion and migration of breast cancer cells. We found dysregulated functional network modules revealing altered phosphorylation-dependent activity in concordance with the phenotypic traits and migrating potential of the tested model. In addition, we identified Ser267 on zyxin, a protein coupled to actin filament polymerization, as a potential in vivo phosphorylation target of cyclin-dependent kinase 1.
- Published
- 2014
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48. KeyPathwayMiner 4.0: condition-specific pathway analysis by combining multiple omics studies and networks with Cytoscape.
- Author
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Alcaraz N, Pauling J, Batra R, Barbosa E, Junge A, Christensen AG, Azevedo V, Ditzel HJ, and Baumbach J
- Subjects
- Computer Graphics, Protein Interaction Mapping, Computational Biology methods, Software
- Abstract
Background: Over the last decade network enrichment analysis has become popular in computational systems biology to elucidate aberrant network modules. Traditionally, these approaches focus on combining gene expression data with protein-protein interaction (PPI) networks. Nowadays, the so-called omics technologies allow for inclusion of many more data sets, e.g. protein phosphorylation or epigenetic modifications. This creates a need for analysis methods that can combine these various sources of data to obtain a systems-level view on aberrant biological networks., Results: We present a new release of KeyPathwayMiner (version 4.0) that is not limited to analyses of single omics data sets, e.g. gene expression, but is able to directly combine several different omics data types. Version 4.0 can further integrate existing knowledge by adding a search bias towards sub-networks that contain (avoid) genes provided in a positive (negative) list. Finally the new release now also provides a set of novel visualization features and has been implemented as an app for the standard bioinformatics network analysis tool: Cytoscape., Conclusion: With KeyPathwayMiner 4.0, we publish a Cytoscape app for multi-omics based sub-network extraction. It is available in Cytoscape's app store http://apps.cytoscape.org/apps/keypathwayminer or via http://keypathwayminer.mpi-inf.mpg.de.
- Published
- 2014
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49. Efficient key pathway mining: combining networks and OMICS data.
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Alcaraz N, Friedrich T, Kötzing T, Krohmer A, Müller J, Pauling J, and Baumbach J
- Subjects
- Algorithms, Colonic Neoplasms genetics, Computational Biology, Computer Simulation, DNA Methylation, Data Mining, Gene Expression Profiling, Gene Expression Regulation, Neoplastic, Humans, Huntington Disease genetics, Oligonucleotide Array Sequence Analysis, Phenotype, Protein Interaction Maps, Software, Gene Regulatory Networks, Genomics methods, Systems Biology methods
- Abstract
Systems biology has emerged over the last decade. Driven by the advances in sophisticated measurement technology the research community generated huge molecular biology data sets. These comprise rather static data on the interplay of biological entities, for instance protein-protein interaction network data, as well as quite dynamic data collected for studying the behavior of individual cells or tissues in accordance with changing environmental conditions, such as DNA microarrays or RNA sequencing. Here we bring the two different data types together in order to gain higher level knowledge. We introduce a significantly improved version of the KeyPathwayMiner software framework. Given a biological network modelled as a graph and a set of expression studies, KeyPathwayMiner efficiently finds and visualizes connected sub-networks where most components are expressed in most cases. It finds all maximal connected sub-networks where all nodes but k exceptions are expressed in all experimental studies but at most l exceptions. We demonstrate the power of the new approach by comparing it to similar approaches with gene expression data previously used to study Huntington's disease. In addition, we demonstrate KeyPathwayMiner's flexibility and applicability to non-array data by analyzing genome-scale DNA methylation profiles from colorectal tumor cancer patients. KeyPathwayMiner release 2 is available as a Cytoscape plugin and online at http://keypathwayminer.mpi-inf.mpg.de.
- Published
- 2012
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50. Donor-specific HLA antibodies: risk factors and outcomes after kidney transplantation.
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Kanter Berga J, Pallardo Mateu LM, Beltran Catalan S, Puig Alcaraz N, Sancho Calabuig A, Gavela Martinez E, Avila Bernabeu A, and Crespo Albiach J
- Subjects
- Adult, Chi-Square Distribution, Cross-Sectional Studies, Female, Graft Rejection immunology, Graft Survival, Histocompatibility Testing, Humans, Kaplan-Meier Estimate, Logistic Models, Male, Middle Aged, Risk Assessment, Risk Factors, Spain, Time Factors, Treatment Outcome, HLA Antigens immunology, Histocompatibility, Isoantibodies blood, Kidney Transplantation immunology, Kidney Transplantation mortality
- Abstract
Background: Anti-human leukocyte antigen antibodies (HLA Abs) have been associated with reduced kidney allograft survival. Our aim was to analyze the prevalence and impact on allograft function of donor-specific HLA antibodies (DSA) among a cohort of kidney transplant recipients., Patients and Methods: The 321 recipients had received deceased-donor kidneys followed for a median of 70 ± 43 months. We performed a cross-sectional analysis of the presence of HLA Abs with the use of Luminex technology., Results: Fifty patients (15.6%) displayed HLA Abs after transplantation including 21 (6.7%) as de novo HLA Abs. Eight patients (2.5%) developed DSA, and 42 (13%) showed no DSA. We compared 3 groups of patients: with DSA, without DSA, and without HLA sensitization. The DSA patients were younger (P = .03) with a higher percentage of men (P = .00), and having received less frequent induction treatment with basiliximab or thymoglobulin (P = .02). Patients without DSA revealed a higher percentage of pretransplantation HLA sensitization (P = .00), more pretransplantation transfusions (P = .08), and more frequent retransplantations (P = .00). The incidence of acute rejections was higher for DSA patients (P = .02) than for the other 2 groups, behaving as an independent risk factor (relative risk, 4.7; 95% confidence interval, 1.1-18.8; P = .03). Graft survival at 5 years was lower among patients with compared to those without HLA Abs (P = .00)., Conclusions: HLA donor-specific sensitization, an uncommon situation in our study, was associated with younger male recipients and less induction treatment. An acute rejection episode was an independent risk factor for the development of DSA; therefore, we think that monitoring of HLA Abs should be included in evaluation of the early postransplantation period., (Copyright © 2011 Elsevier Inc. All rights reserved.)
- Published
- 2011
- Full Text
- View/download PDF
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