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Tate T, Xiang T, Wobker SE, Zhou M, Chen X, Kim H, Batourina E, Lin CS, Kim WY, Lu C, Mckiernan JM, Mendelsohn CL. Pparg signaling controls bladder cancer subtype and immune exclusion. Nat Commun 2021; 12:6160. [PMID: 34697317 PMCID: PMC8545976 DOI: 10.1038/s41467-021-26421-6] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Accepted: 09/27/2021] [Indexed: 12/15/2022] Open
Abstract
Pparg, a nuclear receptor, is downregulated in basal subtype bladder cancers that tend to be muscle invasive and amplified in luminal subtype bladder cancers that tend to be non-muscle invasive. Bladder cancers derive from the urothelium, one of the most quiescent epithelia in the body, which is composed of basal, intermediate, and superficial cells. We find that expression of an activated form of Pparg (VP16;Pparg) in basal progenitors induces formation of superficial cells in situ, that exit the cell cycle, and do not form tumors. Expression in basal progenitors that have been activated by mild injury however, results in luminal tumor formation. We find that these tumors are immune deserted, which may be linked to down-regulation of Nf-kb, a Pparg target. Interestingly, some luminal tumors begin to shift to basal subtype tumors with time, down-regulating Pparg and other luminal markers. Our findings have important implications for treatment and diagnosis of bladder cancer. PPARg is differentially expressed in bladder cancer subtypes. Here, the authors show in mice that when an activated form of PPARg is expressed in basal bladder cells tumours do not form, however in the presence of injury the basal cells differentiate into luminal cells.
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Affiliation(s)
- Tiffany Tate
- Department of Urology, Columbia University Irving Medical Center, New York, NY, 10032, USA.,Department of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, 10032, USA.,Department of Genetics and Development, Columbia University Irving Medical Center, New York, NY, 10032, USA.,Columbia Stem Cell Initiative, Columbia University Irving Medical Center, New York, NY, 10032, USA
| | - Tina Xiang
- Department of Urology, Columbia University Irving Medical Center, New York, NY, 10032, USA.,Department of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, 10032, USA.,Department of Genetics and Development, Columbia University Irving Medical Center, New York, NY, 10032, USA.,Columbia Stem Cell Initiative, Columbia University Irving Medical Center, New York, NY, 10032, USA
| | - Sarah E Wobker
- Department of Pathology and Laboratory Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA
| | - Mi Zhou
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA
| | - Xiao Chen
- Department of Genetics and Development, Columbia University Irving Medical Center, New York, NY, 10032, USA
| | - Hyunwoo Kim
- Department of Urology, Columbia University Irving Medical Center, New York, NY, 10032, USA.,Department of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, 10032, USA.,Department of Genetics and Development, Columbia University Irving Medical Center, New York, NY, 10032, USA.,Columbia Stem Cell Initiative, Columbia University Irving Medical Center, New York, NY, 10032, USA
| | - Ekatherina Batourina
- Department of Urology, Columbia University Irving Medical Center, New York, NY, 10032, USA.,Department of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, 10032, USA.,Department of Genetics and Development, Columbia University Irving Medical Center, New York, NY, 10032, USA.,Columbia Stem Cell Initiative, Columbia University Irving Medical Center, New York, NY, 10032, USA
| | - Chyuan-Sheng Lin
- Columbia Stem Cell Initiative, Columbia University Irving Medical Center, New York, NY, 10032, USA.,Transgenic Mouse Shared Resource, Herbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY, 10032, USA
| | - William Y Kim
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.,Division of Oncology, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.,Department of Urology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA
| | - Chao Lu
- Department of Genetics and Development, Columbia University Irving Medical Center, New York, NY, 10032, USA
| | - James M Mckiernan
- Department of Urology, Columbia University Irving Medical Center, New York, NY, 10032, USA.,Herbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY, 10032, USA.,New York-Presbyterian Hospital, Columbia University Irving Medical Center, New York, NY, 10032, USA
| | - Cathy Lee Mendelsohn
- Department of Urology, Columbia University Irving Medical Center, New York, NY, 10032, USA. .,Department of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, 10032, USA. .,Department of Genetics and Development, Columbia University Irving Medical Center, New York, NY, 10032, USA. .,Columbia Stem Cell Initiative, Columbia University Irving Medical Center, New York, NY, 10032, USA. .,Herbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY, 10032, USA.
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Stagi S, Di Tommaso M, Scalini P, Sandini E, Masoni F, Chiarelli F, Verrotti A, Giglio S, Romano S, de Martino M. Cross-sectional study shows that impaired bone mineral status and metabolism are found in nonmosaic triple X syndrome. Acta Paediatr 2017; 106:619-626. [PMID: 28090675 DOI: 10.1111/apa.13744] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2016] [Revised: 10/11/2016] [Accepted: 01/10/2017] [Indexed: 12/11/2022]
Abstract
AIM The effect of a supernumerary X chromosome on bones has not been reported, and this study evaluated bone mineral status and metabolism in nonmosaic triple X syndrome. METHODS This cross-sectional study comprised 19 girls, with a median age of 10.9 years, with nonmosaic triple X syndrome and a control group matched for age and body size. We studied ionised and total calcium, phosphate, parathyroid hormone (PTH), 25-hydroxyvitamin D (25(OH)D), 1,25-dihydroxyvitamin D, osteocalcin, bone alkaline phosphatase levels and urinary deoxypyridinoline concentrations. We also measured the phalangeal amplitude-dependent speed of sound (AD-SoS) and the bone transmission time (BTT) Z-scores. RESULTS Patients with nonmosaic triple X syndrome showed significantly reduced AD-SoS (p < 0.005) and BTT Z-scores (p < 0.0001) compared to the control group, and these results persisted when we divided the sample into prepubertal and pubertal patients (p < 0.05). These patients also had significantly reduced ionised calcium (p < 0.005) and 25(OH)D levels (p < 0.005) and higher phosphate (p < 0.0001) and PTH (p < 0.0001) levels. CONCLUSION Subjects with nonmosaic triple X syndrome exhibited a significant impairment in bone mineral status and metabolism similar to other X polisomy, such as Klinefelter's syndrome. This suggests the presence of a primary bone deficit and the need for regular and close monitoring of these subjects.
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Affiliation(s)
- Stefano Stagi
- Department of Health Sciences; University of Florence, Anna Meyer Children's University Hospital; Florence Italy
| | | | - Perla Scalini
- Department of Health Sciences; University of Florence, Anna Meyer Children's University Hospital; Florence Italy
| | - Elena Sandini
- Department of Health Sciences; University of Florence, Anna Meyer Children's University Hospital; Florence Italy
| | | | | | - Alberto Verrotti
- Department of Paediatrics; University of L'Aquila; L'Aquila Italy
| | - Sabrina Giglio
- Genetics and Molecular Medicine Unit; Anna Meyer Children's University Hospital; Florence Italy
| | - Silvia Romano
- Genetics and Molecular Medicine Unit; Anna Meyer Children's University Hospital; Florence Italy
| | - Maurizio de Martino
- Department of Health Sciences; University of Florence, Anna Meyer Children's University Hospital; Florence Italy
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Kim H, Hwang SS, Uh Y, Kim J, Yoon KJ, Lee JY. A case associated with comorbidities among cerebral infarction, idiopathic thrombocytopenic purpura, and triple x syndrome. Turk J Haematol 2014; 31:184-7. [PMID: 25035678 PMCID: PMC4102048 DOI: 10.4274/tjh.2013.0064] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2013] [Accepted: 06/04/2013] [Indexed: 12/03/2022] Open
Abstract
A 46-year-old female presented to the emergency room due to the chief complaint of left-sided weakness. By imaging study, she was diagnosed with cerebral infarction. Thrombolytic and antiplatelet agents were not considered due to the “golden hour” for treatment having passed and a low platelet count. The peripheral blood smear, bone marrow biopsy, and aspirate findings were consistent with immune thrombocytopenic purpura. The chromosome analysis revealed the 47,XXX karyotype. To the best of our knowledge, this is the first case report associated with the comorbidities of cerebral infarction, idiopathic thrombocytopenic purpura, and triple X syndrome.
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Affiliation(s)
- Hanjun Kim
- Yonsei University Wonju College of Medicine, Department of Laboratory Medicine, Wonju, Korea
| | - Sang Sun Hwang
- Yonsei University Wonju College of Medicine, Department of Laboratory Medicine, Wonju, Korea
| | - Young Uh
- Yonsei University Wonju College of Medicine, Department of Laboratory Medicine, Wonju, Korea
| | - Juwon Kim
- Yonsei University Wonju College of Medicine, Department of Laboratory Medicine, Wonju, Korea
| | - Kap Jun Yoon
- Yonsei University Wonju College of Medicine, Department of Laboratory Medicine, Wonju, Korea
| | - Ji-Yong Lee
- Yonsei University Wonju College of Medicine, Department of Neurology, Wonju, Korea
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