第948回千葉医学会例会・第14回千葉精神科集談会

Expression of NGN3 and hairy and enhancer of split-1 (HES1) mRNA following treatment with tyrosine kinase inhibitor CEP-701. Quantitative RTPCR results of four biological replicate samples (A–D) treated with API-1 for four days. RQ, relative quantification of NGN3 and HES1 normalized to the level of cyclophillin A. ΔCt, change in threshold cycle (Ct). Mean and standard error of the mean (SEM), results of Student’s t-test (TTEST) and percentage of control are shown. (DOCX 47 kb

Mutations in HYAL2, Encoding Hyaluronidase 2, Cause a Syndrome of Orofacial Clefting and Cor Triatriatum Sinister in Humans and Mice.

Orofacial clefting is amongst the most common of birth defects, with both genetic and environmental components. Although numerous studies have been undertaken to investigate the complexities of the genetic etiology of this heterogeneous condition, this factor remains incompletely understood. Here, we describe mutations in the HYAL2 gene as a cause of syndromic orofacial clefting. HYAL2, encoding hyaluronidase 2, degrades extracellular hyaluronan, a critical component of the developing heart and palatal shelf matrix. Transfection assays demonstrated that the gene mutations destabilize the molecule, dramatically reducing HYAL2 protein levels. Consistent with the clinical presentation in affected individuals, investigations of Hyal2-/- mice revealed craniofacial abnormalities, including submucosal cleft palate. In addition, cor triatriatum sinister and hearing loss, identified in a proportion of Hyal2-/- mice, were also found as incompletely penetrant features in affected humans. Taken together our findings identify a new genetic cause of orofacial clefting in humans and mice, and define the first molecular cause of human cor triatriatum sinister, illustrating the fundamental importance of HYAL2 and hyaluronan turnover for normal human and mouse development

Abstract 5199: Tumor-specific antibody response induced by novel immunomodulator, IFx-Hu2.0, reflects extent of epitope spreading to multiple tumor epitopes

Abstract While the role of T cells in cancer immunotherapy has been well studied and is relatively clear and well defined, there are few studies elucidating the more complicated involvement of B cells in anti-cancer processes. Preclinical data showed that IFx-Hu2.0 primes both innate and adaptive immune responses through the expression of Emm55, a bacterial protein. Recognition by antigen presenting cells (APC) is followed by interantigenic epitope spreading to tumor antigens expressed in transfected tumor cells. The current study was designed to determine the extent of epitope spreading through quantitating the IgM and IgG responses to known melanoma antigens. Plasma samples (pre-and post-intralesional injection of IFx-Hu2.0) from seven patients with unresectable stage III-IV cutaneous melanoma enrolled in a first-in-human, phase 1 open-label trial (NCT03655756) were analyzed and compared using PEPperCHIP® Melanoma Antigen Microarrays with 21 melanoma-associated antigens converted into linear 15 amino acid peptides with a peptide-peptide overlap of 13 amino acids. The resulting array contained 4,125 different peptides printed in duplicate along with multiple control peptides. The arrays were incubated with plasma samples [collected immediately prior to and four weeks (N=6) or two weeks (N=1) post treatment and three weeks post injection #2 (N=1)] at three dilutions, followed by staining with secondary and control antibodies. Readout with a LI-COR Odyssey Imaging System was followed by quantification of spot intensities and peptide annotation with PepSlide® Analyzer. For generation of IgM/IgG intensity ratios, a minimal baseline intensity of 200 fluorescence units was set. Changes in both IgM and IgG epitope recognition to melanoma-associated antigens was detected in all patients. Baseline and IFx-Hu2.0-induced antibody response profiles for all individuals were heterogeneous, with no dominant common antibody response, pointing to the unpredictability of specific epitope recognition and a relative independence from MHC haplotype requirements due to epitope spreading. Notwithstanding the signals from adjacent peptides, high numbers of newly recognized melanoma epitopes were observed for all patients and all plasma samples. These data suggest enhanced crosstalk between innate and adaptive immune cells, epitope presentation by APC to T and B cells and epitope spreading to multiple previously unrecognized tumor epitopes. IgM and IgG levels were maintained at four weeks post IFx-Hu2.0 administration suggesting continued primary recognition and maturation of effector immune response. B cells represent an important proportion of infiltrating lymphocytes in melanoma and are associated with good prognosis in most cancer types. Studies are underway to determine the relative contribution of B cell activity to anti-tumor effects seen with IFx-Hu2.0. Citation Format: Patricia Lawman, Michael Shamblott, Ashraf Dehlawi, James Bianco. Tumor-specific antibody response induced by novel immunomodulator, IFx-Hu2.0, reflects extent of epitope spreading to multiple tumor epitopes [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2022; 2022 Apr 8-13. Philadelphia (PA): AACR; Cancer Res 2022;82(12_Suppl):Abstract nr 5199.</jats:p

Neurogenin 3 is regulated by neurotrophic tyrosine kinase receptor type 2 (TRKB) signaling in the adult human exocrine pancreas

BACKGROUND: Reports of exocrine-to-endocrine reprogramming through expression or stabilization of the transcription factor neurogenin 3 (NGN3) have generated renewed interest in harnessing pancreatic plasticity for therapeutic applications. NGN3 is expressed by a population of endocrine progenitor cells that give rise exclusively to hormone-secreting cells within pancreatic islets and is necessary and sufficient for endocrine differentiation during development. In the adult human pancreas, NGN3 is expressed by dedifferentiating exocrine cells with a phenotype resembling endocrine progenitor cells and the capacity for endocrine differentiation in vitro. Neurotrophic tyrosine kinase receptor type 2 (TRKB), which regulates neuronal cell survival, differentiation and plasticity, was identified as highly overexpressed in the NGN3 positive cell transcriptome compared to NGN3 negative exocrine cells. This study was designed to determine if NGN3 is regulated by TRKB signaling in the adult human exocrine pancreas. METHODS: Transcriptome analysis, quantitative reverse transcriptase polymerase chain reaction (RTPCR) and immunochemistry were used to identify TRKB isoform expression in primary cultures of human islet-depleted exocrine tissue and human cadaveric pancreas biopsies. The effects of pharmacological modulation of TRKB signaling on the expression of NGN3 were assessed by Student’s t-test and ANOVA. RESULTS: Approximately 30 % of cultured exocrine cells and 95 % of NGN3+ cells express TRKB on their cell surface. Transcriptome-based exon splicing analyses, isoform-specific quantitative RTPCR and immunochemical staining demonstrate that TRKB-T1, which lacks a tyrosine kinase domain, is the predominant isoform expressed in cultured exocrine tissue and is expressed in histologically normal cadaveric pancreas biopsies. Pharmacological inhibition of TRKB significantly decreased the percentage of NGN3+ cells, while a TRKB agonist significantly increased this percentage. Inhibition of protein kinase B (AKT) blocked the effect of the TRKB agonist, while inhibition of tyrosine kinase had no effect. Modulation of TRKB and AKT signaling did not significantly affect the level of NGN3 mRNA. CONCLUSIONS: In the adult human exocrine pancreas, TRKB-T1 positively regulates NGN3 independent of effects on NGN3 transcription. Targeting mechanisms controlling the NGN3+ cell population size and endocrine cell fate commitment represent a potential new approach to understand pancreas pathobiology and means whereby cell populations could be expanded for therapeutic purposes. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12964-016-0146-x) contains supplementary material, which is available to authorized users