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Search Results (624)

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18 pages, 6745 KiB  
Article
Ovarian Transcriptome Profile from Egg-Laying Period to Incubation Period of Changshun Green-Shell Laying Hens
by Zhi Chen and Di Wen
Genes 2025, 16(4), 394; https://doi.org/10.3390/genes16040394 - 29 Mar 2025
Viewed by 137
Abstract
Background/Objectives: The Changshun green-shell laying hen with a strong broodiness is a Chinese indigenous chicken breed. Little is known about the mechanisms responsible for the ovary development of Changshun green-shell laying hens from the egg-laying period (LP) to the incubation period (BP). Methods: [...] Read more.
Background/Objectives: The Changshun green-shell laying hen with a strong broodiness is a Chinese indigenous chicken breed. Little is known about the mechanisms responsible for the ovary development of Changshun green-shell laying hens from the egg-laying period (LP) to the incubation period (BP). Methods: A total of six hens were selected from LP (n = three) and BP (n = three) at 28 weeks old. The RNA sequencing (RNA-seq) of ovaries from hens in LP and BP groups was performed to identify candidate genes and pathways associated with broodiness. Results: We identified 1650 differently expressed genes (DEGs), including 429 up-regulated and 1221 down-regulated DEGs, in chicken ovaries between LP and BP groups. Gene ontology term (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis revealed that these DEGs were mainly involved in the pathways related to follicle development in chicken ovaries, including focal adhesion, the MAPK signaling pathway, and the FoxO signaling pathway, and vascular smooth muscle contraction, ECM–receptor interaction, and the GnRH signaling pathway were down-regulated in incubating ovaries. Eight candidate genes (EGFR, VEGFRKDRL, FLT1, KDR, PDGFRA, TEK, KIT and FGFR3) related to angiogenesis, folliculogenesis, steroidogenesis and oogenesis in ovaries were suggested to play important roles in the ovarian development of Changshun hens during the transition from LP to BP. Conclusions: This study identified a range of genes and several pathways that may be involved in regulating the broodiness of Changshun green-shell laying hens. These data are helpful to further enrich our understanding of the mechanism of incubation behaviour in chickens. Full article
(This article belongs to the Section Animal Genetics and Genomics)
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16 pages, 4183 KiB  
Article
Glyceraldehyde 3-Phosphate Dehydrogenase and Galectin from Dirofilaria immitis Excretory/Secretory Antigens Activate Proangiogenic Pathway in In Vitro Vascular Endothelial Cell Model
by Manuel Collado-Cuadrado, Alfonso Balmori-de la Puente, Iván Rodríguez-Escolar, Elena Infante González-Mohino, Claudia Alarcón-Torrecillas, Miguel Pericacho and Rodrigo Morchón
Animals 2025, 15(7), 964; https://doi.org/10.3390/ani15070964 - 27 Mar 2025
Viewed by 137
Abstract
Heartworm disease is caused by Dirofilaria immitis, which mainly affects canids and felids. Adult D. immitis worms are located between the heart’s right ventricle and the pulmonary artery. These parasites produce an inflammatory and hypoxic process in the vascular endothelium. It has [...] Read more.
Heartworm disease is caused by Dirofilaria immitis, which mainly affects canids and felids. Adult D. immitis worms are located between the heart’s right ventricle and the pulmonary artery. These parasites produce an inflammatory and hypoxic process in the vascular endothelium. It has been demonstrated that D. immitis excretory/secretory antigens are able to stimulate the angiogenic process as a survival mechanism of D. immitis in the vascular endothelium, stimulating the proangiogenic pathway and related cellular processes. Our goal was to study the role of glyceraldehyde 3-phosphate dehydrogenase (GAPDH) and galectin (GAL) (proteins of D. immitis excretory/secretory antigens) plus vascular endothelial growth factor isoform A (VEGF-A) in the angiogenic process and their relationship with three cellular processes (cell proliferation, cell migration, and pseudocapillary formation) in an in vitro model of vascular endothelial cells. Cell viability and cytotoxicity were analyzed by live cell analysis and a commercial kit, respectively. VEGF-A, sVEGFR-2, VEGFR-1/sFlt, soluble endoglin, and membrane endoglin were analyzed by commercial ELISA kits. Cell proliferation, cell migration, and pseudocapillary formation were analyzed by MTT-based assay, the wound healing technique, and counting cell connections and cell clusters, respectively. rDiGAPDH+VEGF-A and rDiGAL+VEGF-A significantly increased the expression of sVEGFR-2, mEndoglin, and VEGF-A compared to cultures treated with only the proteins (rDiGAPDH and rDiGAL), VEGF-A, or unstimulated cultures. In addition, they also produced a significant increase in cell proliferation, cell migration, and pseudocapillary formation. Therefore, these proteins together with VEGF-A can activate the proangiogenic pathway and could be related to D. immitis survival in the circulatory system. Full article
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20 pages, 11346 KiB  
Article
Pomegranate Juice Alleviates Preeclampsia Symptoms in an L-NAME-Induced Rat Model: A Dose-Dependent Study
by Sasitorn Kerdsuknirund, Atcharaporn Thaeomor, Pakanit Kupittayanant, Panida Khunkaewla, Suthida Chanlun, Rungrudee Srisawat, Pattama Tongdee, Porntip Nimkuntod and Sajeera Kupittayanant
Nutrients 2025, 17(7), 1143; https://doi.org/10.3390/nu17071143 - 26 Mar 2025
Viewed by 112
Abstract
Objective: This study aimed to evaluate the dose-dependent therapeutic effects of pomegranate juice on preeclampsia symptoms using an L-NAME-induced rat model. Methods: Pregnant rats (n = 5/group) were assigned to a negative control group or groups receiving L-NAME to induce [...] Read more.
Objective: This study aimed to evaluate the dose-dependent therapeutic effects of pomegranate juice on preeclampsia symptoms using an L-NAME-induced rat model. Methods: Pregnant rats (n = 5/group) were assigned to a negative control group or groups receiving L-NAME to induce preeclampsia, with pomegranate juice administered at low, medium, and high doses from gestation day 7 to 20. Maternal parameters, including body weight, systolic blood pressure, urinary protein, and sFlt-1 levels, were monitored. Kidney and placental histology were assessed on gestation day 20. Results: L-NAME successfully induced preeclampsia symptoms, including significant maternal weight gain, hypertension, proteinuria, and increased sFlt-1 levels. Pomegranate juice administration alleviated these symptoms in a dose-dependent manner. High doses significantly prevented weight gain from gestation day 14, reduced the systolic blood pressure from gestation day 16, and lowered proteinuria and the sFlt-1 levels by gestation day 18, achieving values comparable to those of normal pregnant controls. Medium doses showed a moderate improvement, particularly in later gestational stages, while low doses had minimal effects. Pomegranate juice also enhanced placental health by increasing the labyrinth depth and reducing endocapillary hypercellularity, contributing to higher fetal and placental birth weights. The dose–response analysis indicated that the kidneys exhibited a stronger response to pomegranate juice than the placenta, suggesting different sensitivity thresholds. Conclusions: Pomegranate juice alleviates preeclampsia symptoms in a dose-dependent manner, significantly improving maternal weight regulation, blood pressure, and proteinuria. The therapeutic effects of pomegranate juice are attributed to its high phenolic content, which reduces sFlt-1 and improves placental function. These findings support pomegranate juice as a potential natural intervention for preeclampsia management. Full article
(This article belongs to the Section Nutrition and Metabolism)
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23 pages, 433 KiB  
Systematic Review
Endocrine-Disrupting Chemicals and the Effects of Distorted Epigenetics on Preeclampsia: A Systematic Review
by Balu Usha Rani, Ramasamy Vasantharekha, Winkins Santosh, Thangavelu Swarnalingam and Seetharaman Barathi
Cells 2025, 14(7), 493; https://doi.org/10.3390/cells14070493 - 26 Mar 2025
Viewed by 214
Abstract
Background: Preeclampsia (PE) is a critical complication of pregnancy that affects 3% to 5% of all pregnancies and has been linked to aberrant placentation, causing severe maternal and fetal illness and death. Objectives: This systematic review aims to elucidate the association of in-utero [...] Read more.
Background: Preeclampsia (PE) is a critical complication of pregnancy that affects 3% to 5% of all pregnancies and has been linked to aberrant placentation, causing severe maternal and fetal illness and death. Objectives: This systematic review aims to elucidate the association of in-utero endocrine-disrupting chemical (EDC) exposure and microRNAs and their imprinted genes from prenatal and maternal circulation of PE patients. Methods: Databases such as PubMed, PubMed Central, ScienceDirect, the Comparative Toxicogenomics Database (CTD), ProQuest, EBSCOhost, and Google Scholar were utilized to search for articles that investigate the relationships between selected EDCs and epigenetic events such as DNA methylation and microRNAs that are associated with PE. Results: A total of 29 studies were included in the database search. Altered expression of microRNAs (miR-15a-5p, miR-142-3p, and miR-185) in the placenta of PE patients was positively associated with the urinary concentration of phthalates and phenols in the development of the disease in the first trimester. EDCs such as phenols, phthalates, perfluoroalkyl substances (PFOAs), polybrominated diphenyl ethers (PBDEs), and organochlorine phosphates (OCPs) have been reported to be associated with hypertensive disorders in pregnancy. miRNA-31, miRNA-144, miRNA-145, miRNA-210, placental specific clusters (C14MC, and C19MC) may be used as possible targets for PE because of their potential roles in the onset and progression of PE. Conclusions: Prenatal EDC exposure, including exposure to BPA, showed association with signaling pathways including estrogen, sFlt-1/PlGF, ErbB, MAPK/ERK, and cholesterol mechanisms with placental hemodynamics. Even low EDC exposures leave altered epigenetic marks throughout gestation, which might cause PE complications. Full article
(This article belongs to the Special Issue Molecular Advances in Prenatal Exposure to Environmental Toxicants)
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16 pages, 3498 KiB  
Article
Neutralization of Marinobufagenin Demonstrates Efficacy In Vitro and In Vivo in Models of Pre-Eclampsia
by Ahmed F. Pantho, Mehruba Zaman, Syeda H. Afroze, John M. Wages, Bo Yu, James W. Larrick, Thomas J. Kuehl, Niraj Vora and Mohammad Nasir Uddin
Biomedicines 2025, 13(4), 782; https://doi.org/10.3390/biomedicines13040782 - 24 Mar 2025
Viewed by 209
Abstract
Background/Objectives: Marinobufagenin (MBG) is a biomarker that is found to be high in pre-eclampsia (preE), and thus is relevant in the pathogenesis of obstetric complications. MBG is thought to possibly be implicated in harmful signaling within cytotrophoblasts (CTBs) of the placenta. In [...] Read more.
Background/Objectives: Marinobufagenin (MBG) is a biomarker that is found to be high in pre-eclampsia (preE), and thus is relevant in the pathogenesis of obstetric complications. MBG is thought to possibly be implicated in harmful signaling within cytotrophoblasts (CTBs) of the placenta. In this study, we evaluated how anti-MBG human monoclonal antibody can alter cellular signaling in CTBs and in a rat model of preE. Methods: CTB cell proliferation, migration, and invasion as a result of MBG, both with and without anti-MBG present, were monitored via cell-based studies. Pro-angiogenic and anti-angiogenic factors in response to MBG with and without antibody were measured. Finally, we evaluated the lead anti-MBG antibody in comparison with the parent murine antibody in a rat model of preE. Results: CTB cells exposed to ≥1 nM MBG showed decreased (p < 0.05) proliferation, migration, and invasion, decreased secretion of VEGF and PIGF, and increased secretion of sFlt-1 and sEng. Pretreatment with anti-MBG significantly (p < 0.05) attenuated MBG-induced CTB dysfunction and modulation of VEGF, PIGF, sFlt-1, and sEng expression. In the rat model, anti-MBG treatment normalized blood pressure, reduced proteinuria, and eliminated fetal effects. Conclusions: MBG is a potential causative agent for preE, as it causes dysfunction in CTBs due to anti-angiogenic milieu. Our study suggests that anti-MBG antibody binds to MBG, neutralizing it and preventing downstream signaling in vitro. In a rat model of preE, treatment with anti-MBG antibody was effective at normalizing blood pressure, kidney function, and fetal birth weights. These data suggest that a human monoclonal antibody with high specificity and affinity for MBG has potential as a therapeutic agent for preE. Full article
(This article belongs to the Special Issue Pathogenesis and Treatment of Preeclampsia)
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14 pages, 2138 KiB  
Article
Angiogenic Biomarkers: Are They Good Tools to Predict Perinatal Outcomes in Hypertensive Disorders of Pregnancy? A Retrospective Cohort Study
by Magdalena Bednarek-Jędrzejek, Katarzyna Maksym, Stepan Feduniw, Slagjana Simeonova Krstevska, Igor Samardziski, Tomasz Góra, Michał Ciebiera, Adrianna Zahorowska, Katarzyna Pruś, Sylwia Dzidek, Hanna Jasiak-Jóźwik, Martyna Drzycimska, Ewa Kwiatkowska, Andrzej Torbé and Sebastian Kwiatkowski
Diagnostics 2025, 15(7), 799; https://doi.org/10.3390/diagnostics15070799 - 21 Mar 2025
Viewed by 262
Abstract
Background: The sFlt-1/PlGF ratio has proven predictive value in diagnosing preeclampsia. Referring to a study from 18 American perinatal centers, we present results from 2 European centers showing the significant value of those markers in predicting severe perinatal outcomes in hypertensive disorders [...] Read more.
Background: The sFlt-1/PlGF ratio has proven predictive value in diagnosing preeclampsia. Referring to a study from 18 American perinatal centers, we present results from 2 European centers showing the significant value of those markers in predicting severe perinatal outcomes in hypertensive disorders of pregnancy. Methods: A total of 1630 patients with suspected or confirmed placental insufficiency, hospitalized in two tertiary perinatal centers in Poland and Macedonia, were assessed for their sFlt-1/PlGF ratio. Due to incomplete data, perinatal outcomes were only obtained for 1196 patients. They were sorted into two groups according to the value of the sFlt-1/PlGF ratio (<40 and ≥40). The aim of this study was to predict adverse perinatal outcomes in terms of days to delivery, gestational age, birth weight, and cord blood pH. Results: The strongest negative correlation was observed between the index values and the number of days until delivery (R = −0.48; p < 0.001). In a group of patients with an index value of ≥40, the AUC was 0.9955 (95% CI: 0.9913 to 0.9996), with a sensitivity of 52%, a specificity of 78%, a positive predictive value of 77%, and a negative predictive value of 53%. For patients who were tested before 37 weeks of gestation, 66% of women with a ratio of ≥40 delivered within 7 days of the test, and 80% of those with a ratio of <40 delivered more than 7 days after the test, with a sensitivity of 68%, a specificity of 79%, a positive predictive value of 66%, and a negative predictive value of 80%. Conclusions: In women with hypertensive disorders, the sFlt-1/PlGF ratio can be used to predict the time to delivery. A cut-off of 40 is very useful in predicting severe perinatal outcomes. Full article
(This article belongs to the Special Issue Diagnosis and Management in Prenatal Medicine, 3rd Edition)
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15 pages, 2525 KiB  
Article
Comprehensive Age-Stratified Impact of NPM1 Mutation in Acute Myeloid Leukemia: A Real-World Experience
by Vikram Dhillon, Abdul Moiz Khan, Jeff Justin M. Aguilar, Sushmitha Nanja Reddy, Mai M. Aly, Tariq Kewan, Waled Bahaj, Carmelo Gurnari, Valeria Visconte, David Carr, Julie Boerner, Jay Yang, Gregory Dyson, Jaroslaw Maciejewski and Suresh Kumar Balasubramanian
Cancers 2025, 17(6), 1020; https://doi.org/10.3390/cancers17061020 - 18 Mar 2025
Viewed by 275
Abstract
Background: While NPM1-mutated AML in the absence of FLT3-ITD generally carries a favorable prognosis, large registry studies suggest the positive prognostic benefit may not extend to patients > 65 years of age. We examined this preferential, age-dependent prognostic impact through a [...] Read more.
Background: While NPM1-mutated AML in the absence of FLT3-ITD generally carries a favorable prognosis, large registry studies suggest the positive prognostic benefit may not extend to patients > 65 years of age. We examined this preferential, age-dependent prognostic impact through a real-world analysis of 2811 adult AML patients. Results: The median overall survival (OS) was significantly better in NPM1MT compared to NPM1WT patients [20.86 vs. 17 mo., p = 0.003]. When stratified by age, NPM1MT patients had higher OS than NPM1WT patients in the 55–65-year age group (28.62 vs. 16.3 mo., p ≤ 0.0001). This OS benefit was heterogenous and prevailed most strikingly in the 55–60 (68.3 vs. 15.6 mo., p = 0.002), and up to the 60–65-year group (mOS not estimable vs. 20 mo., p = 0.007), but not beyond 65 y. Notably, the ≤65 cohort was more enriched with dominant NPM1 (21% vs. 15%, p ≤ 0.001), while the >65 cohort was enriched with abnormal karyotype (20% in >65 years vs. 16% in ≤65 years, p = 0.001), and co-occurring SRSF2 and ASXL1 mutations (18.7% vs. 7.5%, p ≤ 0.0001 and 13.5% vs. 4.1%, p ≤ 0.0001 resp.). Conclusions: We demonstrate that in a real-world setting, the prognostic benefit of NPM1 does not extend beyond age 65, underscoring the need for age-adapted risk stratification models. This granular approach could prevent the potential overestimation of prognosis in older patients with NPM1MT AML and inform therapeutic decision making. Full article
(This article belongs to the Section Cancer Pathophysiology)
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13 pages, 2138 KiB  
Article
The Impact of Cannabidiol (CBD) on Lipid Absorption and Lymphatic Transport in Rats
by Qi Zhu, Qing Yang, Ling Shen, Meifeng Xu and Min Liu
Nutrients 2025, 17(6), 1034; https://doi.org/10.3390/nu17061034 - 15 Mar 2025
Viewed by 309
Abstract
Background: Cannabidiol (CBD) exerts diverse metabolic effects, yet its influence on intestinal lipid metabolism remains unclear. Methods: In this study, we investigated whether short-term (one-week) CBD treatment affects lipid absorption and transport through the lymphatic system using a validated lymph fistula model. Results: [...] Read more.
Background: Cannabidiol (CBD) exerts diverse metabolic effects, yet its influence on intestinal lipid metabolism remains unclear. Methods: In this study, we investigated whether short-term (one-week) CBD treatment affects lipid absorption and transport through the lymphatic system using a validated lymph fistula model. Results: CBD treatment significantly enhanced the transport of radiolabeled triglycerides through the lymphatic system. This effect appeared specific, as CBD did not substantially alter cholesterol output in the lymph. Chemical assays indicated that CBD treatment did not significantly alter total triglycerides, cholesterol, phospholipids, or non-esterified fatty acid levels in the lymph. However, it significantly enhanced the lymphatic output of apolipoprotein A4 (ApoA4) and apolipoprotein A1 (ApoA1). Additionally, gene expression analysis revealed a downregulation of vascular endothelial growth factor receptor 1 (Flt1) in the small intestine, leading to increased lymphatic lacteal permeability and altered lipid transport dynamics. Conclusions: These findings indicate that short-term CBD treatment modulates lymphatic lipid composition and apolipoprotein secretion by regulating lymphatic lacteal function, thereby influencing lipid transport and metabolism. This study provides novel insights into CBD’s role in facilitating TG-rich lipoprotein transport via the lymphatic system, highlighting its potential therapeutic applications in lipid-related disorders. Full article
(This article belongs to the Special Issue Functional Lipids and Human Health)
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16 pages, 8664 KiB  
Article
Visualizing the Cellular and Subcellular Distribution of Fms-like Tyrosine Kinase 3 (Flt3) and Other Neuronal Proteins Using Alkaline Phosphatase (AP) Immunolabeling
by Yuqin Yin, Kathleen Z. He, Jane Kirby, Ishraq A. Haque and Xin Tang
Int. J. Mol. Sci. 2025, 26(5), 2284; https://doi.org/10.3390/ijms26052284 - 4 Mar 2025
Viewed by 290
Abstract
Precisely localizing the spatial distribution of proteins within various brain cell types and subcellular compartments, such as the synapses, is essential for generating and testing hypotheses to elucidate their roles in brain function. While the fms-like tyrosine kinase-3 (Flt3) has been extensively studied [...] Read more.
Precisely localizing the spatial distribution of proteins within various brain cell types and subcellular compartments, such as the synapses, is essential for generating and testing hypotheses to elucidate their roles in brain function. While the fms-like tyrosine kinase-3 (Flt3) has been extensively studied in the context of blood cell development and leukemia pathogenesis, its role in the brain remains poorly understood. Previous efforts to address this issue were hindered by the low expression levels of Flt3 and the limited sensitivity of the standard immunolabeling method, which were insufficient to reliably detect Flt3 protein in brain tissue. In this study, we systematically characterized Flt3 protein localization during brain development using a highly sensitive immunolabeling method based on alkaline phosphatase (AP) polymer biochemistry. This approach revealed a previously unrecognized neuron-selective Flt3 expression pattern in both mouse and human cerebella, with a developmental increase in total protein levels accompanied by a shift from a cytosolic to a dendritic subcellular distribution. Combining AP-polymer-based immunohistochemistry (AP-IHC) for Flt3 with conventional immunostaining of cell type marker proteins revealed parvalbumin- and calbindin-positive Purkinje cells to be the main cell type expressing Flt3 in the cerebellum. To validate the versatility of the AP-IHC method for detecting low-abundance neuronal proteins, we demonstrated robust labeling of Kir2.1, a potassium channel protein, in brain tissue sections from mouse, pig, and human samples. We further applied the AP-IHC method to human stem cell-derived neurons, effectively visualizing the postsynaptic density scaffold protein PSD95 within synapses. To our knowledge, this is the first study to employ an AP-IHC method combined with other standard immunofluorescent staining to co-detect weakly expressed neuronal proteins and other cellular markers in brain tissue and cultured neurons. Additionally, our findings uncover a previously unrecognized neuron-specific pattern of Flt3 expression in the cerebellum, laying the foundation for future mechanistic studies on its role in normal brain development and neurological disorders. Full article
(This article belongs to the Special Issue Molecular Research of Therapeutic Target Enzymes)
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18 pages, 2132 KiB  
Article
Functional Role of Fatty Acid Synthase for Signal Transduction in Core-Binding Factor Acute Myeloid Leukemia with an Activating c-Kit Mutation
by Ruimeng Zhuang, Bente Siebels, Konstantin Hoffer, Anna Worthmann, Stefan Horn, Nikolas Christian Cornelius von Bubnoff, Cyrus Khandanpour, Niklas Gebauer, Sivahari Prasad Gorantla, Hanna Voss, Hartmut Schlüter, Malte Kriegs, Walter Fiedler, Carsten Bokemeyer, Manfred Jücker and Maxim Kebenko
Biomedicines 2025, 13(3), 619; https://doi.org/10.3390/biomedicines13030619 - 3 Mar 2025
Viewed by 287
Abstract
Background/Objectives: Acute myeloid leukemia (AML) is a rare hematological malignancy with a poor prognosis. Activating c-Kit (CD117) mutations occur in 5% of de novo AML and 30% of core-binding factor (CBF) AML, leading to worse clinical outcomes. Posttranslational modifications, particularly with myristic [...] Read more.
Background/Objectives: Acute myeloid leukemia (AML) is a rare hematological malignancy with a poor prognosis. Activating c-Kit (CD117) mutations occur in 5% of de novo AML and 30% of core-binding factor (CBF) AML, leading to worse clinical outcomes. Posttranslational modifications, particularly with myristic and palmitic acid, are crucial for various cellular processes, including membrane organization, signal transduction, and apoptosis regulation. However, most research has focused on solid tumors, with limited understanding of these mechanisms in AML. Fatty acid synthase (FASN), a key palmitoyl-acyltransferase, regulates the subcellular localization, trafficking, and degradation of target proteins, such as H-Ras, N-Ras, and FLT3-ITDmut receptors in AML. Methods: In this study, we investigated the role of FASN in two c-Kit-N822K-mutated AML cell lines using FASN knockdown via shRNA and the FASN inhibitor TVB-3166. Functional implications, including cell proliferation, were assessed through Western blotting, mass spectrometry, and PamGene. Results: FASN inhibition led to an increased phosphorylation of c-Kit (p-c-Kit), Lyn kinase (pLyn), MAP kinase (pMAPK), and S6 kinase (pS6). Furthermore, we observed sustained high expression of Gli1 in Kasumi1 cells following FASN inhibition, which is well known to be mediated by the upregulation of pS6. Conclusions: The combination of TVB-3166 and the Gli inhibitor GANT61 resulted in a significant reduction in the survival of Kasumi1 cells. Full article
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15 pages, 1580 KiB  
Article
Conventional PCR Versus Next Generation Sequencing for Diagnosis of FLT3, IDH and NPM1 Mutations in Acute Myeloid Leukemia: Results of the PETHEMA PCR-LMA Study
by Blanca Boluda, Rebeca Rodriguez-Veiga, Claudia Sargas, Rosa Ayala, María J. Larráyoz, María Carmen Chillón, Elena Soria-Saldise, Cristina Bilbao, Esther Prados de la Torre, Irene Navarro, David Martinez-Cuadron, Cristina Gil, Teresa Bernal, Juan Bergua, Lorenzo Algarra, Mar Tormo, Pilar Martínez-Sanchez, Estrella Carrillo-Cruz, Josefina Serrano, Juan M. Alonso-Domínguez, Raimundo García, Maria Luz Amigo, Pilar Herrera-Puente, María J. Sayas, Esperanza Lavilla-Rubira, María José García-Pérez, Julia Morán, Esther Pérez-Santaolalla, Natalia Alonso-Vence, Ana Oliva, Juan Antonio López, Manuel Barrios, María García-Fortes, María Teresa Olave, Jorge Labrador, Joaquín Martínez-López, María J. Calasanz, Ramón García-Sanz, José A. Pérez-Simón, María T. Gómez-Casares, Joaquín Sánchez-Garcia, Yolanda Mendizabal, Eva Barragán and Pau Montesinosadd Show full author list remove Hide full author list
Cancers 2025, 17(5), 854; https://doi.org/10.3390/cancers17050854 - 1 Mar 2025
Viewed by 506
Abstract
Background/Objectives: This PETHEMA PCR-LMA study aimed to evaluate whether mutations detected by NGS (VAF cut-off of ≥5%) correlate with NPM1, FLT3-ITD, FLT3-TKD, IDH1, and IDH2 mutations detected using conventional PCR (analytical sensitivity 3%) in a nationwide network of seven reference laboratories. Methods: Between [...] Read more.
Background/Objectives: This PETHEMA PCR-LMA study aimed to evaluate whether mutations detected by NGS (VAF cut-off of ≥5%) correlate with NPM1, FLT3-ITD, FLT3-TKD, IDH1, and IDH2 mutations detected using conventional PCR (analytical sensitivity 3%) in a nationwide network of seven reference laboratories. Methods: Between 2019 and 2021, 1685 adult AML patients with at least one centralized sample (NGS or PCR) at primary diagnosis or relapse/refractory episode were included. Results: During this period, 1288 paired NGS/PCR samples (1094 at diagnosis, 103 at relapse and 88 at refractoriness) were analyzed. Considering PCR the gold-standard, for NPM1 NGS sensitivity was 98.5% and specificity 98.9%, for FLT3-ITD 73.8% and 99.6%, for FLT3-TKD 84.5% and 99.3%, for IDH1 98.7% and 98.7%, and for IDH2 99.1% and 97.7%, respectively. Overall concordance rate of positive results between NGS (and PCR was 95% (262/276) for NPM1, 72% (149/206) for FLT3-ITD, 74% (49/66) for FLT3-TKD, 87% (77/89) for IDH1 and 84% (107/127) for IDH2. Overall, median days from sample reception until report were 7 for PCR and 28 for NGS. Conclusions: This study shows high concordance between NPM1 and IDH results using PCR and NGS. However, sensible important discrepancies are observed for FLT3 mutations. In our context, rapid screening for these druggable mutations should be performed by conventional PCR. Full article
(This article belongs to the Special Issue New Approaches in Leukemia)
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25 pages, 9941 KiB  
Article
Cetacean Conservation in the Pelagos Sanctuary: Status and Proposal for Its Improvement
by Erica Stoppa, Francesca Grossi, Léa David, Nathalie Di-Meglio, Marine Roul, Antonella Arcangeli, Eugenia Pasanisi, Ilaria Campana, Miriam Paraboschi, Alberto Castelli, Eleonora Pignata, Massimiliano Rosso, Aurelie Moulins and Paola Tepsich
Diversity 2025, 17(3), 174; https://doi.org/10.3390/d17030174 - 28 Feb 2025
Viewed by 1032
Abstract
The Pelagos Sanctuary hosts eight resident cetacean species. Genetically different from Atlantic populations, their conservation is essential to preserve the whole biodiversity of the Ligurian Sea. The NATURA 2000 network is currently identified as one of the most efficient conservation tools due to [...] Read more.
The Pelagos Sanctuary hosts eight resident cetacean species. Genetically different from Atlantic populations, their conservation is essential to preserve the whole biodiversity of the Ligurian Sea. The NATURA 2000 network is currently identified as one of the most efficient conservation tools due to its legally binding nature; however, its effectiveness for cetacean preservation is still unclear. The study used data systematically collected within the Pelagos Sanctuary from 2008 to 2021 by the FLT Med Net and the LIFE Conceptu Maris projects to investigate cetaceans distribution, Richness and diversity related to the existing protected areas. Of the 423 hexagons considered, only 21.28% of the study area was covered by French NATURA 2000 sites and 9.22% by Italian sites. French NATURA 2000 sites had the highest coverage of weighted Encounter Rate (ER_w) and biodiversity values. Only three species showed statistically significant differences between the French and Italian protected and non-protected hexagons, and biodiversity showed no significant difference. Only T. truncatus had higher median over Italian protected hexagons. The Pelagos Sanctuary still lacks offshore NATURA 2000 sites, especially in Italian waters. For this reason, areas to amplify the Network aimed at increasing cetacean and biodiversity conservation were highlighted in the results of this study. Full article
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9 pages, 1408 KiB  
Case Report
Hemophagocytic Lymphohistiocytosis with Predominant T-Lymphocytes in Young Child: An Unusual Presentation of Evolving Acute Myeloid Leukemia
by Aida I. Richardson, Kai Lee Yap, Katrin Leuer and Shunyou Gong
J. Clin. Med. 2025, 14(5), 1511; https://doi.org/10.3390/jcm14051511 - 24 Feb 2025
Viewed by 310
Abstract
Background: Hemophagocytic lymphohistiocytosis (HLH) is an aggressive, life-threatening condition commonly observed in young children. Distinguishing primary HLH from secondary HLH, such as malignancy-associated HLH, can be challenging, potentially leading to misdiagnosis and inappropriate treatment. Case presentation: A 16-month-old female presented with fever, decreased [...] Read more.
Background: Hemophagocytic lymphohistiocytosis (HLH) is an aggressive, life-threatening condition commonly observed in young children. Distinguishing primary HLH from secondary HLH, such as malignancy-associated HLH, can be challenging, potentially leading to misdiagnosis and inappropriate treatment. Case presentation: A 16-month-old female presented with fever, decreased appetite, and rhinorrhea. A review of the peripheral blood smear revealed anemia and leukopenia, with absolute neutropenia characterized by a high lymphocyte count (approximately 80% were T cells by flow cytometry). Flow cytometry was negative for immunophenotypically abnormal cells. Initially, the cytopenia was attributed to a viral infection. However, the cytopenia did not improve, and a bone marrow evaluation revealed evidence of HLH but no immunophenotypically abnormal population. An extensive work-up for HLH, including next-generation sequencing (NGS) and cytogenetic testing identified the KMT2A::MLLT3 fusion transcript, indicating malignancy-associated HLH in the setting of evolving leukemia. Because there was no increase in blasts or immunophenotypically abnormal cells, the diagnosis of leukemia could not be made at that time. The patient was closely monitored and, seven weeks later, was diagnosed with acute myeloid leukemia/acute monocytic leukemia. In addition to the KMT2A::MLLT3 fusion, pathogenic variants in the PTPN11 and FLT3 genes were detected by NGS. Conclusions: The presentation of evolving acute monocytic leukemia can be nonspecific, mimicking conditions such as HLH, without an initial increase in immature cells or monocytes. Maintaining a broad differential diagnosis and including comprehensive molecular genetic testing may facilitate early diagnosis and appropriate treatment. Full article
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9 pages, 1084 KiB  
Case Report
Dynamics of Inflammatory Factors in Aqueous Humor During Brolucizumab Treatment for Age-Related Macular Degenerations: A Case Series
by Masaki Asakage, Hidetaka Noma, Kanako Yasuda, Hiroshi Goto and Masahiko Shimura
Medicina 2025, 61(3), 372; https://doi.org/10.3390/medicina61030372 - 20 Feb 2025
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Abstract
Anti-vascular endothelial growth factor (VEGF) treatment with intravitreal brolucizumab (IVBr) was launched as a novel treatment for neovascular age-related macular degeneration (AMD), but the incidence of intraocular inflammation (IOI) as a specific adverse effect of brolucizumab has been reported. We evaluated the dynamics [...] Read more.
Anti-vascular endothelial growth factor (VEGF) treatment with intravitreal brolucizumab (IVBr) was launched as a novel treatment for neovascular age-related macular degeneration (AMD), but the incidence of intraocular inflammation (IOI) as a specific adverse effect of brolucizumab has been reported. We evaluated the dynamics of inflammatory factors in AMD in patients with or without IOI before and after anti-VEGF treatment with IVBr. We describe three patients who did not develop inflammation after three consecutive administrations of IVBr and three in whom inflammation occurred after the first IVBr treatment. The presence or absence of inflammation was determined by slit-lamp examination and a laser flare meter. Aqueous humor was obtained during anti-VEGF treatment with IVBr. Levels of VEGF, platelet-derived growth factor (PDGF)-AA, monocyte chemoattractant protein 1 (MCP-1), interleukin (IL)-6, IL-8, interferon-inducible 10 kDa protein (IP-10), Fms-related tyrosine kinase 3 ligands (Flt-3L), and fractalkine were measured. Vision worsened in one patient who developed IOI after initial IVBr, so IVBr was discontinued and the patient was switched to intravitreal aflibercept with sub-tenon injection of triamcinolone acetonide. IVBr was continued in the two other patients with IOI. VEGF decreased after IVBr in all patients with and without IOI. On the other hand, at 1 month IL-6, IL-8, MCP-1, IP-10, and Flt-3L were higher in the three patients with IOI compared with baseline and with the three patients without IOI. In two patients with IOI, not only flares but also IL-8, IP-10, and Flt-3L decreased from 1 to 2 months after IVBr despite continued IVBr. This case series might lead to a better understanding of the pathogenesis of IOI after IVBr. Full article
(This article belongs to the Section Ophthalmology)
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14 pages, 2327 KiB  
Article
The Prognostic Impact of Additional Molecular and Cytogenetic Abnormalities on AML Patients with NPM1- and/or FLT3-ITD Mutations Receiving Intensive Chemotherapy: Real-World Data from the Greek Registry
by Ioanna Lazana, Maria Papathanassiou, Ioannis Konstantellos, Tatiana Tzenou, Anastasia Kopsaftopoulou, Maria Liga, Vasiliki Violaki, Lydia Kyriazopoulou, Konstantinos Gkirkas, Apostolia Papalexandri, Eleni Plata, Evrydiki Michalis, Theoni Leonidopoulou, Maria Garofalaki, Anastasia Sioni, Irene Tziotziou, Chrysavgi Lalayanni, Dimitrios Kiousiafes, Theodoros P. Vassilakopoulos, Eleni Kapsali, Alexandros Spyridonidis, Ioannis Baltadakis, Maria Angelopoulou, Ioanna Sakellari and Panagiotis Tsirigotisadd Show full author list remove Hide full author list
Cancers 2025, 17(4), 667; https://doi.org/10.3390/cancers17040667 - 16 Feb 2025
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Abstract
Background/Objective: The prognostic impact of additional cytogenetic aberrations and molecular abnormalities (such as MDS-related mutations, mutations in myeloid genes and the KRAS/NRAS mutations) in patients with NPM1- and/or FLT3-ITD-mutated AML remains elusive. Methods: This retrospective, multicentre study of real-world data aimed [...] Read more.
Background/Objective: The prognostic impact of additional cytogenetic aberrations and molecular abnormalities (such as MDS-related mutations, mutations in myeloid genes and the KRAS/NRAS mutations) in patients with NPM1- and/or FLT3-ITD-mutated AML remains elusive. Methods: This retrospective, multicentre study of real-world data aimed to investigate the impact of these mutations and cytogenetic abnormalities on the prognosis of patients with NPM1- and/or FLT3-ITD-mutated AML, treated with intensive chemotherapy. Results: In a cohort of 161 patients, the only parameters identified to affect the outcomes (EFS and OS) were the age of the patient, primary refractory disease, the presence of a NPM1 mutation and the use of allogenic stem cell transplantation (allo-SCT) within the first complete remission. More specifically, ages below the median conferred significantly improved outcomes, whereas primary refractory disease exhibited a negative correlation with the EFS and OS. Subsequent subgroup analysis, stratifying patients into three groups (Group 1: NPM1mutated/FLT3wt; Group 2: NPM1mutated/FLT3mutated; Group 3: NPM1wt/FLT3mutated). revealed that allo-SCT in CR1 improved the outcomes (EFS and OS) in Groups 2 and 3, but had no additional impact in Group 1. Conclusions: Age, primary refractory disease and allogenic stem cell transplantation in the first complete response were found to have a prognostic impact on outcomes, Interestingly, no significant association was detected between the poor prognostic cytogenetic abnormalities or the presence of additional mutations in myeloid genes, MDS-related genes or KRAS/NRAS genes and the outcomes in any group of patients. Full article
(This article belongs to the Section Molecular Cancer Biology)
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