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Human skeletal muscle xenograft as a new preclinical model for muscle disorders

eScholarship@UMMS - Thu, 04/10/2014 - 3:55pm

Development of novel therapeutics requires good animal models of disease. Disorders for which good animal models do not exist have very few drugs in development or clinical trial. Even where there are accepted, albeit imperfect models, the leap from promising preclinical drug results to positive clinical trials commonly fails, including in disorders of skeletal muscle. The main alternative model for early drug development, tissue culture, lacks both the architecture and, usually, the metabolic fidelity of the normal tissue in vivo. Herein, we demonstrate the feasibility and validity of human to mouse xenografts as a preclinical model of myopathy. Human skeletal muscle biopsies transplanted into the anterior tibial compartment of the hindlimbs of NOD-Rag1null IL2rgammanull immunodeficient host mice regenerate new vascularized and innervated myofibers from human myogenic precursor cells. The grafts exhibit contractile and calcium release behavior, characteristic of functional muscle tissue. The validity of the human graft as a model of facioscapulohumeral muscular dystrophy is demonstrated in disease biomarker studies, showing that gene expression profiles of xenografts mirror those of the fresh donor biopsies. These findings illustrate the value of a new experimental model of muscle disease, the human muscle xenograft in mice, as a feasible and valid preclinical tool to better investigate the pathogenesis of human genetic myopathies and to more accurately predict their response to novel therapeutics.

From Neurodegeneration to Infertility and Back - Exploring Functions of Two Genes: ARMC4 and TARDBP: A Dissertation

eScholarship@UMMS - Thu, 04/10/2014 - 3:34pm

Amyotrophic Lateral Sclerosis (ALS) is an adult-onset progressive neurodegenerative disease that causes degeneration in both upper and lower motor neurons. ALS progresses relentlessly after the onset of the disease, with most patients die within 3-5 years of diagnosis, largely due to respiratory failure. Since SOD1 became the first gene whose mutations were associated with ALS in 1993, more than 17 ALS causative genes have been identified. Among them, TAR DNA-binding protein (TARDBP) lies in the central of ALS pathology mechanism study, because TDP43 proteinopathy is observed not only in familial ALS cases carrying TARDBP mutations, but also in most of the sporadic ALS cases, which account for 90% of the whole ALS population. Several TDP43 overexpression mouse models have been successfully generated to study the gain-of-toxicity mechanism of TDP43 in ALS development, while the investigation of loss-of-function mechanism which could also contribute to ALS still awaits a proper mouse model. The major difficulty in generating TARDBP knock out mouse model lies in the fact that TARDBP is a development essential gene and complete depletion of TDP43 function causes embryonic lethality.

In chapter I, I reviewed the recent advances in ALS study. Emphasis was given to ALS mouse models, especially TARDBP ALS mouse model.

In Chapter II, I made a Tet-responsive construct that contains mCherry, a fluorescent protein, as an indicator for the expression of the artificial miRNA (amiTDP) residing in the 3’UTR of mCherry and targeting TARDBP. The construct was tested in NSC34 cells and TRE-mCherry-amiTDP43 transgenic mouse was generated with this construct. Crossing TRE-mCherry-amiTDP43 mouse with mPrp-tTA mouse, mCherry expression was successfully induced in mouse forebrain and cerebellum, but not in other tissues including spinal cord. By quantitative real-time PCR, amiTDP43 expression was confirmed to be coupled with mCherry expression. Fluorescent immunostaining revealed that mCherry was expressed in neurons, but not in astrocytes or microglia cells, and that in mCherry positive cells, TDP43 was significantly knocked down. Results from Nissl staining and GFAP immunostaining suggested that decrease of TDP43 in forebrain neuron only was not sufficient to cause neurodegeneration and neuron loss.

In chapter III, I investigated the function of Armadillo Containing Protein 4 (ARMC4), which was originally considered ALS causative gene. Our study of the function of CG5155, the possible homolog of ARMC4 in Drosophila, indicated that CG5155 is a male fertility gene that is involved in spermatogenesis. Therefore, we have named this gene Gudu. The transcript of Gudu is highly enriched in adult testes. Knockdown of Gudu by a ubiquitous driver leads to defects in the formation of the individualization complex that is required for spermatid maturation, thereby impairing spermatogenesis. Furthermore, testis-specific knockdown of Gudu by crossing the RNAi lines with Bam-Gal4 driver is sufficient to cause the infertility and defective spermatogenesis. Since Gudu is highly homologous to vertebrate ARMC4, also an Armadillo-repeat-containing protein enriched in testes, our results suggest that Gudu and ARMC4 is a subfamily of Armadillo-repeat containing proteins with an evolutionarily conserved function in spermatogenesis.

Characterization of the Visceral Endoderm Components in Early Post-Implantation Mouse Embryo Development: A Dissertation

eScholarship@UMMS - Thu, 04/10/2014 - 3:34pm

Early post-implantation vertebrate embryos are shaped by complex cellular and molecular mechanisms. In mice, the visceral endoderm, an extraembryonic cell lineage that appears before gastrulation, provides several important functions such as nutrition and mechanical protection. My thesis research focused on the role of the visceral endoderm in embryo patterning, a newly discovered function for this tissue. My results showed that an interplay between two subpopulations of visceral endoderm the anterior and posterior visceral endoderm, located on the opposite sides of the developing conceptus, are critical for the establishment of the anteroposterior body axis of the embryo. I also found that senescence-associated β-galactosidase activity delineates the visceral endoderm marking apical vacuole, a lysosomal-like organelle. This however indicates the nutritional function of visceral endoderm cells rather than a senescent population. My studies highlight the fundamental role of extraembryonic tissues in patterning mammalian embryos as opposed to housekeeping roles. They also reveal important difference when conducting studies at the organismal level rather than in cells in culture.

How Much Data Is Too Much?

Headlines from MedPage Today® - Thu, 04/10/2014 - 3:31pm
(MedPage Today) -- We're rapidly moving to an age in which we may soon be receiving reams of real-time data about our patients. But what's to be done with it?

ACA Enrollees Sicker Than Average?

Headlines from MedPage Today® - Thu, 04/10/2014 - 2:42pm
(MedPage Today) -- Early analysis of claims data shows those who bought coverage through federal and state marketplaces are more likely to use expensive specialty drugs to treat conditions like HIV/AIDS and hepatitis C than those with job-based insurance.

Endo Type: Endocrinologists React to Doc Pay Release

Headlines from MedPage Today® - Thu, 04/10/2014 - 2:05pm
(MedPage Today) -- Endocrinologists ranked somewhere in the middle of the Medicare physician pay data released yesterday -- a list bookended by oncologists at the top and ob/gyns at the bottom.

Stroke Rounds: Best Ways to Cut tPA Tx Times

Headlines from MedPage Today® - Thu, 04/10/2014 - 1:02pm
(MedPage Today) -- The three strategies most strongly associated with reduced times to treatment with tissue plasminogen activator (tPA) in acute ischemic stroke are used at relatively low rates, a survey showed.

10 Questions: Stuart Levy, MD

Headlines from MedPage Today® - Thu, 04/10/2014 - 12:21pm
(MedPage Today) -- How can physicians avoid burnout? Take courses -- it will remind you of medical school, and then why you went into medicine, Stuart Levy, MD, of Tufts University School of Medicine in Boston, said in response to one of 10 questions MedPage Today is asking thought leaders in medicine.

Western science severs ties with Russia

news@nature - Thu, 04/10/2014 - 12:21pm

Country’s science renaissance threatened as NATO and NASA suspend links.

Nature 508 162 doi: 10.1038/508162a

Hot Topics: BP Management in Stroke Patients

Headlines from MedPage Today® - Thu, 04/10/2014 - 12:07pm
(MedPage Today) -- How should blood pressure be managed in the acute care of stroke patients? We put the question to three stroke specialists, who agreed on one thing -- blood pressure management needs to be individualized according to the specific presentations.

Time running out for rarest primate

news@nature - Thu, 04/10/2014 - 11:21am

Rescue bid launched to save Hainan gibbon from becoming first ape driven to extinction by humans.

Nature 508 163 doi: 10.1038/508163a

Eating Disorders Often Missed in Men (CME/CE)

Headlines from MedPage Today® - Thu, 04/10/2014 - 11:07am
(MedPage Today) -- Young men with eating disorders, their families, and even the healthcare providers that first see them often fail to recognize their symptoms -- primarily because eating disorders are perceived as afflicting teenage girls, researchers found.

Morning Break: Beauty Patch for Women, Sex Offender Doc

Headlines from MedPage Today® - Thu, 04/10/2014 - 10:04am
(MedPage Today) -- Health news and commentary from around the Web, gathered by the MedPage Today staff.

On Doc Pay Release: 'You Cannot Call a Plumber for $57'

Headlines from MedPage Today® - Wed, 04/09/2014 - 8:00pm
(MedPage Today) -- MedPage Today reached out to several physician leaders for their thoughts on the release of physician payment data from CMS, including Nancy Nielsen, MD, PhD, a past president of the AMA.

Specialty Groups Cautious on Medicare Pay Data

Headlines from MedPage Today® - Wed, 04/09/2014 - 7:39pm
(MedPage Today) -- Whereas most physicians and some physician organizations have responded negatively to public release of their Medicare reimbursement data, several professional societies sided cautiously in favor of transparency.

Doc Groups Diss Medicare Pay Release

Headlines from MedPage Today® - Wed, 04/09/2014 - 7:25pm
WASHINGTON (MedPage Today) -- Organized medicine expressed concerns Wednesday about the possible consequences of releasing Medicare pay data for individual providers.

Flu Drugs Challenged in Full Data Review (CME/CE)

Headlines from MedPage Today® - Wed, 04/09/2014 - 7:01pm
(MedPage Today) -- Two major anti-influenza drugs have more limited benefits and greater risks than was previously thought, according to new reviews -- the first to have access to all the clinical trial data.

Immunotherapy Passes Early Tests in NSCLC (CME/CE)

Headlines from MedPage Today® - Wed, 04/09/2014 - 6:48pm
SAN DIEGO (MedPage Today) -- A cancer immunotherapy passed a key test in patients with lung cancer, as response rates and survival correlated with tumor expression of the drug's target, according to a study reported here.

CardioBuzz: Cardiologists React to Medicare Pay Data

Headlines from MedPage Today® - Wed, 04/09/2014 - 6:18pm
(MedPage Today) -- Cardiology groups and individual cardiologists were asked about what they thought about the release of information on what Medicare pays individuals practitioners.
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