Prognostic markers for IgA nephropathy: Lectins detect changes in glycan modification

A group from Okayama University School of Medicine has reported on a study focusing on glycans and lectins as prognosis markers for IgA nephropathy.
https://www.nature.com/articles/s41598-020-77736-1

They have found excellent prognostic markers from urine as a diagnostic sample with using lectin microarrays for 157 IgA nephropathy patients who received a renal biopsy from 2010 to 2017 at Okayama University Hospital.
The prognosis outcome were based on a decrease in glomerular filter rate (eGFR) (> 4 mL/min/1.73 m2/year), or eGFR ≥ 30% decline from baseline. T Score was used for the statistical evaluation, and  it was found that ECA lectins (with glycan binding specificity to Galβ1-4GlcNAc) and NPA lectins (with glycan binding specificity to High Mannose) could be good prognostic markers.
ECA:(odds ratio[OR] 2.84, 95% confidence interval[CI] 1.11–7.28)
NPA:(OR 2.32, 95% CI 1.11–4.85)
T Score is calculated by multiplying the standardized percentile rank by 10 and adding 50. T0, T1, T2 indicate Oxford classification about tubular atrophy and interstitial fibrosis.

A regenerative medicine approach to thin endometrium (endometrial stunting) which is one of causes of infertility

A group from the Center for Child Health and Development described a regenerative medicine approach to thin endometrium (endometrial stunting), which is one of causes of infertility.
https://stemcellres.biomedcentral.com/articles/10.1186/s13287-021-02188-x

There are various causes of infertility, but one of them is a thin endometrium (endometrial stunting). It is known that thin endometrium make ovoimplantation difficult, but little is known about the reason. Treatments for endometrial stunting include (1)estradiol replacement, mineral and vitamin administration, and from regenerative medicine approaches, (2) administration of platelet-rich plasma, (3) menstruation-derived stem cells, and (4) use of autologous transplantation of exogenously prepared endometrium cell sheets.

In a regenerative medicine approach, however, it would be very important how efficiently to culture the endometrium under xeno-free conditions. The endometrium is basically difficult to culture with feeder-free, and from the view point of xeno-free, the authors have developed a method of using autologous endometrial stromal cells as a feeder  instead of MEF. They also used special media (ESTEM-HE) in terms of accelerating endometrial cell growth. In the figure below, continental medium is DMEM and epithelium-specific medium is a special medium named ESTEM-HE.

Efficacy of Pfizer Coronavirus (COVDI-19) Vaccine: Effects on B.1.1.7 (UK lineage variant) and B.1.351 (South African lineage variant)

A group from Grossman School of Medicine, New York has reported on the efficacy of Pfizer’s current new coronavirus (COVDI-19) vaccine for B.1.1.7 (UK lineage variant) and B.1.351 (South African lineage variant).
https://www.biorxiv.org/content/10.1101/2021.02.05.430003v1

This blog site also contains a similar research result from other research groups (see article on February 6, 2021).
The Group’s reporting has a similar trend. The current Pfizer vaccine is not so affected by UK variant, but it seems certain that its effectiveness is likely to be significantly lower for South African variant.

Electrochemical high sensitivity detection using RCA isothermal amplification and Redox reaction of the novel coronavirus (SARS-CoV-2)

RT-PCR is the Gold Standard for the detection of the new coronavirus (SARS-CoV-2).
A group from Mahidol University, Nakhon Pathom, Thailand etc. has reported an electrochemical detection method that has the same sensitivity and specificity as RT-PCR and do not require expensive devices.
https://www.nature.com/articles/s41467-021-21121-7

In order to detect SARS-CoV-2 with high sensitivity, of course, a gene amplification process is required. They adopted Rolling Circle Amplification (RCA). The RCA method, like the PCR and LAMP methods, has the advantage that carryover contamination has a small impact on the next amplification process and can be amplified in an isothermal bath at around room temperature (25°C to 37°C). The RCA amplicon (Padlock probe) was designed as shown below and was consist of Target gene specific to the target you want to detect (N-gene, S-gene, etc. of SARS-CoV-2), Universal capture probe-binding region, and Generic reporter probe-binding region. With this Padlock probe, RCA results in long DNA amplicons containing hundreds of tandem repeats of the Padlock DNA complementary sequence. For this RCA products, hybridize probe-conjugated magnetic bead particle (CP-MNB) and Silica methylene blue reporter probe (SiMB-RP) to obtain the final product. Methylene blue or Acridine orange was used to as a redox regent. The current obtained by the electrochemical reaction increased with copy numbers as shown below. As a result, the detection limit sensitivity reached 1 copy/uL.

Vitamin C and the new coronavirus (COVID-19)

A group from University of Helsinki etc. has reported on the relationship between Vitamin C and COVID-19.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7848027/

In healthy people, a Vitamin C intake of about 0.1 g/day is enough to maintain the concentration of Vitamin C in the blood. However, when infected with COVID-19 and becomes severe, the concentration of Vitamin C in the blood decreases sharply, and it can be reduced to the same level as vitamin C deficiency and further to a level that is almost undetected.

Taking a large amount of Vitamin C (6-8 g/day) has the following effects:
Reduced ICU treatment duration by an average of 8%
Reduced fatality from 35% to 78%

Since there are no side effects of Vitamin C, this is also considered to be effective for the COVID-19 treatment.

New biomarkers for lung cancer using bronchial alveoli cleaning fluid

A group from The First Affiliated Human of Xi’an Jiaotong University, Xi’an, China etc. has reported new biomarkers from bronchial alveoli lavage to identify adenocarcinoma, squamous carcinomas, and small cell lung cancer.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7840895/

Lectin microarrays were used for the marker screening, and bronchoalveolar lavage fluid was used as a sample. The goal was to identify lung adenocarcinomas (ADC), lung squamous carcinomas (SCC), and small cell lung cancer (SCLC) from benign pulmonary diseases (BPD). The goal was also to distinguish between early stage lung cancer (LC-ES) and advanced stage long cancer (LC-AS).

From the results of the lectin microarray, significant differences were found in 15  lectins, and a logistic regression analysis was performed by combining several lectins to identify the differences between various lung cancers.

As a result
To discriminate lung cancer from good lung disease, ECA, GSL-I, and RCA120 were used (cutoff value: 0.754, ALC: 0.961, sensitivity: 0.918, specificity: 0.939),
to discriminate ADC, DBA, STL, UEA-I, BPL were used (cutoff value: 0.569, ALC: 0.619, sensitivity: 0.706, specificity: 0.586),
to discriminate SCC, PNA was used (cutoff value: 0.578, ALC: 0.693, sensitivity: 0.800, specificity: 0.667),
to discriminate SCLC, STL, BS-I, PTL-II, SBA, PSA were used (cutoff value: 0.728, ALC: 0.718, sensitivity: 0.721, specificity: 0.684),
and also
to detect early cancer, MAL-II, LTL, GSL-I, RCA120, PTL-II, PWM were used, resulting in (cutoff value: 0.668, AOC: 0.856, sensitivity: 0.829, specificity: 0.810).

In order to distinguish various diseases, it is advantageous not to rely on one variable (one lectin), but to distinguish the characteristic profile for each disease using multiple variables (multiple lectins). In my view, I think that it will become a trend to adopt AI instead of using conventional statistical analysis to improve discrimination ability of the differences in disease profiles.

Efficacy of Moderna and Pfizer Vaccines for the new coronavirus (SARS-CoV-2) Variants in the UK and South Africa

A group from Columbia University Vagelos College of Physicans and Surgeons etc. has reported on the efficacy of Moderna and Pfizer vaccines for the new coronavirus (SARS-CoV-2) variants in the UK and South Africa.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7852271/

In addition to the existing D614G mutation, UK and South African variants contain the following mutations: there are 8 mutations in UK variants (B.1.1.7) (abbreviated as UKΔ8), and 9 mutations in South African variants (B.1.351) (abbreviated as SAΔ9).
Neutralization titers were measured by using serum samples from volunteers vaccinated with Moderna and Pfizer referring D614G as WT.  The mean loss of neutralizing activity against UKΔ8 appeared to be small  (1.8 fold, Moderna; 2.0 fold, Pfizer), but was quite significant against SAΔ9 (8.6 fold, Moderna; 6.5 fold, Pfizer) .

Targeting cancer cells using lectococcus lactis (gram-positive bacteria) expressed lectins

In cancer, aberrant glycans are expressed on the membrane. The structures and densities, of course, vary depending on the cancer types, but in general, it would be characterized by the expression of multi-branched N-glycans, the increase of O-glycans, the truncation of O-glycans, and the changes in terminal modification (i.e., sialic acid, fucose).
A group from Univ. of Ljubljana has proposed a method of targeting to cancer cells by using geneicaly modified Lactoccus lactis (a type of Gram-positive bacteria) to express lectins on the membrane specific to the aberrant  glycans of cancer cells.
https://www.mdpi.com/2076-2607/9/2/223/htm

Specifically, they focused on two types of lectins. One is B subunit of Shiga holotoxin (Stx1B) and the other is Critocybe Nebularis lectin (CNL).
The glycan binding specificity of these lectins is as follows,
Stx1B = Gb3,
CNL = LacdiNAc.

Since these lectin genomes have been published, they have been incorporated into plasmids, and lectococcus lactis were modified using the plasmids to express those lectins on the cell membrane.
Stx1B itself has  cytotoxicity, so it can effectively adhere to cancer cells and kill them as shown below.
Since CNL has not cytotoxicity, targeting to cancer cells is possible, but it is not cytotoxic at all.
Finally, they are proposing a method of using such bacteria modified to express lectins suitable for targeting to cancer cells carrying therapeutic agents.

Are glycans related to the tissue targeting performance of Adeno-associated virus (AAV)?

In gene therapy using Adeno-associated virus (AAV), it has been suggested that there are some differences in AAV capsids in terms of tissue targeting ability, and it has been told that glycans may be involved in he AAV’s tissue targeting ability. Such arguments have been around for quite some time.
For example, the following papers are references.
https://www.nature.com/articles/gt201316
https://www.jbc.org/article/S0021-9258(20)51734-1/fulltext
https://www.jbc.org/article/S0021-9258(20)48853-2/fulltext
https://jvi.asm.org/content/80/18/9093

Specifically, it has been reported that AAV-1 and AAV-6 bind to Sialic acid, AAV-2 binds to Heparan sulfate, and AAV-9 binds to Galatose.
But, is it true?
To this blog admin., it is a kind of unbelievable thing that capsid proteins have lectin-like functions?

A method using ammonia to select hepatocytes from differentiated ones from pluripotent stem cells (iPSC, ESC)

Toxicology tests using hepatocytes have come to be widely used as an alternative way for testing drug toxicology using animals. The problem with using hepatocytes in toxicology tests is that it is difficult to supply large quantities of hepatocytes with the same characteristics. Therefore, a group from the National Institute of Child Health and Development proposes a method to create hepatocytes from pluripotent stem cells (iPSC, ESC) and enrich highly uniform hepatocellular populations from heterogeneous cell populations using ammonia.
https://www.biorxiv.org/content/10.1101/2020.03.20.999680v1.full

After ESC is differentiated into hepatocytes, an ammonia treatment is performed for 2 days to select uniform hepatocytes that are resistant to ammonia toxicity. 70-80% will die at this stage. Surviving hepatocytes are cultured and proliferated on MEF-feeder. Hepatocytes selected in this way multiply about 30 times in 190 days. The detailed mechanism of ammonia toxicity is not known, but it is thought that ammonia ions compete with potassium ions and eventually die with intracellular and/or extracellular pH change. ALB, AFP, CYP3A4, CPS1, and OTC genes are highly expressed in ammonia-selected hepatocytes, and ALB and AFP decrease with the passage. CPS1 and OTC are genes involved in the metabolism of ammonia. CYP3A4 is one of the enzymes that metabolizes unwanted biological molecules.
The same is possible with hepatocytes made from iPSC.

The differentiated cells from iPSC and /or ECS were further cultivated and propagated in the ESTEM-HE medium (GlycoTechnica, Ltd.) .

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