BACKGROUND Thiopurine-induced leukopenia(TIL)is a life-threatening toxicity and occurs with a high frequency in the Asian population.Although nucleoside diphosphate-linked moiety X-type motif 15(NUDT15)variants signif...BACKGROUND Thiopurine-induced leukopenia(TIL)is a life-threatening toxicity and occurs with a high frequency in the Asian population.Although nucleoside diphosphate-linked moiety X-type motif 15(NUDT15)variants significantly improve the predictive sensitivity of TIL,more than 50%of cases of this toxicity cannot be predicted by this mutation.The potential use of the 6-thioguanine nucleotide(6TGN)level to predict TIL has been explored,but no decisive conclusion has been reached.Can we increase the predictive sensitivity based on 6TGN by subgrouping patients according to their NUDT15 R139C genotypes?AIM To determine the 6TGN cut-off levels after dividing patients into subgroups according to their NUDT15 R139C genotypes.METHODS Patients’clinical and epidemiological characteristics were collected from medical records from July 2014 to February 2017.NUDT15 R139C,thiopurine S methyltransferase,and 6TGN concentrations were measured.RESULTS A total of 411 Crohn’s disease patients were included.TIL was observed in 72 individuals with a median 6TGN level of 323.4 pmol/8×10^8 red blood cells(RBC),which was not different from that of patients without TIL(P=0.071).Then,we compared the 6TGN levels based on NUDT15 R139C.For CC(n=342)and CT(n=65)genotypes,the median 6TGN level in patients with TIL was significantly higher than that in patients without(474.8 vs 306.0 pmol/8×10^8 RBC,P=9.4×10-^5;291.7 vs 217.6 pmol/8×10^8 RBC,P=0.039,respectively).The four TT carriers developed TIL,with a median 6TGN concentration of 135.8 pmol/8×10^8 RBC.The 6TGN cut-off levels were 411.5 and 319.2 pmol/8×108 RBC for the CC and CT groups,respectively.CONCLUSION The predictive sensitivity of TIL based on 6TGN is dramatically increased after subgrouping according to NUDT15 R139C genotypes.Applying 6TGN cut-off levels to adjust thiopurine therapies based on NUDT15 is strongly recommended.展开更多
血栓性微血管病(Thrombotic microangiopathy,TMA)是一组以非免疫性血管内溶血和缺血性器官功能障碍为特征的疾病,包括原发性血栓性微血管病[如血栓性血小板减少性紫癜(Thrombotic thrombocytopenic purpura,TTP)等]和继发性血栓性微血...血栓性微血管病(Thrombotic microangiopathy,TMA)是一组以非免疫性血管内溶血和缺血性器官功能障碍为特征的疾病,包括原发性血栓性微血管病[如血栓性血小板减少性紫癜(Thrombotic thrombocytopenic purpura,TTP)等]和继发性血栓性微血管病[如弥散性血管内凝血(Disseminated intravascular coagulation,DIC)等]。目前血管性血友病因子裂解蛋白酶(A disintegrin and metalloprotease with a thrombospondin type 1 motif member 13,ADAMTS13)在TTP诊疗中的作用相对明确,但是否在其他血栓性微血管病的诊疗中存在同样重要的价值并不清楚,ADAMTS13作用于相关血栓性微血管病的具体机制较为复杂。ADAMTS13在DIC、系统性红斑狼疮肾炎以及严重肝损伤等相关血栓性微血管病中活性均有不同程度的降低,或许可作为该类疾病的辅助诊断指标。本文主要从ADAMTS13与血栓性微血管病的发病机制及其在相关血栓性微血管病诊疗中的应用价值进行综述。展开更多
粘虫 Mythimna separata（Walker）是一种迁飞性害虫，严重危害玉米、水稻、小麦等粮食作物。 SSR 是指以1～6个核苷酸为基本重复单位的串联重复 DNA 序列。 SSR 位点的信息分析为粘虫扩散、迁飞和交配等行为分子机制的研究以及粘虫的...粘虫 Mythimna separata（Walker）是一种迁飞性害虫，严重危害玉米、水稻、小麦等粮食作物。 SSR 是指以1～6个核苷酸为基本重复单位的串联重复 DNA 序列。 SSR 位点的信息分析为粘虫扩散、迁飞和交配等行为分子机制的研究以及粘虫的综合防治奠定理论基础。本研究基于高通量测序获得的粘虫转录组数据，利用软件 msatcom‐mander 发掘粘虫 SSR 位点。结果从20776条转录组 Unigenes 中共搜索出400个 SSR ，分布于372条 Unigenes 中。在粘虫转录组 SSR 中，三核苷酸重复的数量最为丰富，有271个；其次是二核苷酸和单核苷酸重复，分别是70个和49个；四至六核苷酸重复的数量都很少，共10个。粘虫转录组 SSR 共包含24种重复基元，其中 CCG／CGG 是优势重复基元类型，有69个；其次是 AAG／CTT ，有57个。 CG／CG 有18个，在二核苷酸重复基元中所占的比例达到25.7％。此研究发掘到的 SSR 位点将为粘虫遗传图谱的构建、遗传多样性分析、亲缘关系分析等提供丰富的分子标记。展开更多
基金Supported by the National Natural Science Foundation of China,No.81573507,No.81473283,No.81173131,and No.81320108027Guangdong Provincial Key Laboratory Construction Foundation,No.2017B030314030+1 种基金The National Key Research and Development Program,No.2016YFC0905003the 111 Project,No.B16047
文摘BACKGROUND Thiopurine-induced leukopenia(TIL)is a life-threatening toxicity and occurs with a high frequency in the Asian population.Although nucleoside diphosphate-linked moiety X-type motif 15(NUDT15)variants significantly improve the predictive sensitivity of TIL,more than 50%of cases of this toxicity cannot be predicted by this mutation.The potential use of the 6-thioguanine nucleotide(6TGN)level to predict TIL has been explored,but no decisive conclusion has been reached.Can we increase the predictive sensitivity based on 6TGN by subgrouping patients according to their NUDT15 R139C genotypes?AIM To determine the 6TGN cut-off levels after dividing patients into subgroups according to their NUDT15 R139C genotypes.METHODS Patients’clinical and epidemiological characteristics were collected from medical records from July 2014 to February 2017.NUDT15 R139C,thiopurine S methyltransferase,and 6TGN concentrations were measured.RESULTS A total of 411 Crohn’s disease patients were included.TIL was observed in 72 individuals with a median 6TGN level of 323.4 pmol/8×10^8 red blood cells(RBC),which was not different from that of patients without TIL(P=0.071).Then,we compared the 6TGN levels based on NUDT15 R139C.For CC(n=342)and CT(n=65)genotypes,the median 6TGN level in patients with TIL was significantly higher than that in patients without(474.8 vs 306.0 pmol/8×10^8 RBC,P=9.4×10-^5;291.7 vs 217.6 pmol/8×10^8 RBC,P=0.039,respectively).The four TT carriers developed TIL,with a median 6TGN concentration of 135.8 pmol/8×10^8 RBC.The 6TGN cut-off levels were 411.5 and 319.2 pmol/8×108 RBC for the CC and CT groups,respectively.CONCLUSION The predictive sensitivity of TIL based on 6TGN is dramatically increased after subgrouping according to NUDT15 R139C genotypes.Applying 6TGN cut-off levels to adjust thiopurine therapies based on NUDT15 is strongly recommended.
文摘血栓性微血管病(Thrombotic microangiopathy,TMA)是一组以非免疫性血管内溶血和缺血性器官功能障碍为特征的疾病,包括原发性血栓性微血管病[如血栓性血小板减少性紫癜(Thrombotic thrombocytopenic purpura,TTP)等]和继发性血栓性微血管病[如弥散性血管内凝血(Disseminated intravascular coagulation,DIC)等]。目前血管性血友病因子裂解蛋白酶(A disintegrin and metalloprotease with a thrombospondin type 1 motif member 13,ADAMTS13)在TTP诊疗中的作用相对明确,但是否在其他血栓性微血管病的诊疗中存在同样重要的价值并不清楚,ADAMTS13作用于相关血栓性微血管病的具体机制较为复杂。ADAMTS13在DIC、系统性红斑狼疮肾炎以及严重肝损伤等相关血栓性微血管病中活性均有不同程度的降低,或许可作为该类疾病的辅助诊断指标。本文主要从ADAMTS13与血栓性微血管病的发病机制及其在相关血栓性微血管病诊疗中的应用价值进行综述。
文摘粘虫 Mythimna separata（Walker）是一种迁飞性害虫，严重危害玉米、水稻、小麦等粮食作物。 SSR 是指以1～6个核苷酸为基本重复单位的串联重复 DNA 序列。 SSR 位点的信息分析为粘虫扩散、迁飞和交配等行为分子机制的研究以及粘虫的综合防治奠定理论基础。本研究基于高通量测序获得的粘虫转录组数据，利用软件 msatcom‐mander 发掘粘虫 SSR 位点。结果从20776条转录组 Unigenes 中共搜索出400个 SSR ，分布于372条 Unigenes 中。在粘虫转录组 SSR 中，三核苷酸重复的数量最为丰富，有271个；其次是二核苷酸和单核苷酸重复，分别是70个和49个；四至六核苷酸重复的数量都很少，共10个。粘虫转录组 SSR 共包含24种重复基元，其中 CCG／CGG 是优势重复基元类型，有69个；其次是 AAG／CTT ，有57个。 CG／CG 有18个，在二核苷酸重复基元中所占的比例达到25.7％。此研究发掘到的 SSR 位点将为粘虫遗传图谱的构建、遗传多样性分析、亲缘关系分析等提供丰富的分子标记。
