Clinical Epigenetics,
Journal Year:
2024,
Volume and Issue:
16(1)
Published: Oct. 16, 2024
The
role
of
epigenetics
in
cardiovascular
diseases
has
paved
the
way
for
innovative
therapeutic
approaches.
Investigating
epigenetic
changes
using
cell-free
DNA
(cfDNA)
holds
substantial
promise
beyond
mere
diagnostics,
especially
heart-related
conditions
like
acute
myocardial
infarction
(AMI),
where
obtaining
tissue
samples
is
a
challenge.
This
study
explores
methylation
patterns
cfDNA
AMI
patients
and
compares
them
with
genomic
(gDNA)
from
same
individuals,
aiming
to
evaluate
effectiveness
as
valuable
resource
studying
diseases.
Mechanisms of Ageing and Development,
Journal Year:
2023,
Volume and Issue:
211, P. 111797 - 111797
Published: March 1, 2023
Sexual
dimorphism
is
a
key
factor
to
consider
in
the
ageing
process
given
impact
that
it
has
on
life
expectancy.
The
oxidative-inflammatory
theory
of
states
result
establishment
oxidative
stress
which,
due
interplay
immune
system,
translates
into
inflammatory
stress,
and
both
processes
are
responsible
for
damage
loss
function
an
organism.
We
show
there
relevant
gender
differences
number
markers
propose
they
may
account
differential
lifespan
between
sexes,
males
display,
general,
higher
oxidation
basal
inflammation.
In
addition,
we
explain
significant
role
circulating
cell-free
DNA
as
marker
inductor
inflammation,
connecting
having
potential
become
useful
marker.
Finally,
discuss
how
changes
take
place
differentially
with
each
sex,
which
could
also
have
sex-differential
lifespan.
Further
research
including
sex
essential
variable
needed
understand
grounds
better
comprehend
itself.
Trends in Genetics,
Journal Year:
2023,
Volume and Issue:
39(4), P. 285 - 307
Published: Feb. 13, 2023
Liquid
biopsies
(LBs),
particularly
using
circulating
tumor
DNA
(ctDNA),
are
expected
to
revolutionize
precision
oncology
and
blood-based
cancer
screening.
Recent
technological
improvements,
in
combination
with
the
ever-growing
understanding
of
cell-free
(cfDNA)
biology,
enabling
detection
tumor-specific
changes
extremely
high
resolution
new
analysis
concepts
beyond
genetic
alterations,
including
methylomics,
fragmentomics,
nucleosomics.
The
interrogation
a
large
number
markers
complexity
data
render
traditional
correlation
methods
insufficient.
In
this
regard,
machine
learning
(ML)
algorithms
increasingly
being
used
decipher
disease-
tissue-specific
signals
from
cfDNA.
Here,
we
review
recent
insights
into
biological
ctDNA
features
how
these
incorporated
sophisticated
ML
applications.
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(6), P. 3403 - 3403
Published: March 17, 2024
The
potential
of
liquid
biopsy
for
the
prognosis
and
diagnosis
diseases
is
unquestionable.
Within
evolving
landscape
disease
diagnostics
personalized
medicine,
circulating
microRNAs
(c-miRNAs)
stand
out
among
biomarkers
found
in
blood
circulation
other
biological
fluids
due
to
their
stability,
specificity,
non-invasive
detection
biofluids.
However,
complexity
human
limitations
inherent
single-marker
highlight
need
a
more
integrative
approach.
It
has
been
recently
suggested
that
multi-analyte
approach
offers
advantages
over
single-analyte
diseases.
In
this
review,
we
explore
combining
three
well-studied
classes
biofluids—miRNAs,
DNAs,
proteins—to
enhance
accuracy
efficacy
monitoring.
Initially,
provide
an
overview
each
biomarker
class
discuss
main
disadvantages
highlighting
superiority
c-miRNAs
biomarkers.
Additionally,
challenges
future
directions
integrating
these
into
clinical
practice,
emphasizing
standardized
protocols
further
validation
studies.
This
integrated
revolutionize
precision
medicine
by
offering
insights
mechanisms,
facilitating
early
detection,
guiding
therapeutic
strategies.
collaborative
power
with
represents
promising
frontier
comprehensive
understanding
management
complex
Nevertheless,
several
must
be
addressed
before
can
translated
practice.
International Journal of Molecular Sciences,
Journal Year:
2023,
Volume and Issue:
24(17), P. 13469 - 13469
Published: Aug. 30, 2023
We
are
not
entirely
able
to
understand,
assess,
and
modulate
the
functioning
of
immune
system
in
clinical
situations
that
lead
a
systemic
inflammatory
response.
In
search
for
diagnostic
treatment
strategies
(which
still
far
from
perfect),
it
became
very
important
study
pathogenesis
participation
endogenous
inflammation
mediators.
This
attempts
more
precisely
establish
role
neutrophils
individual
phenomena
occurring
during
an
anti-inflammatory
reaction,
taking
into
account
their
cidal,
immunoregulatory,
reparative
abilities.
Pro-
anticoagulatory
properties
endothelium
response
syndrome
(SIRS)
emphasised,
along
with
resulting
implications
(the
application
immunotherapy
using
mesenchymal
stem/stromal
cells
(MSCs)
or
IL-6
antagonists
sepsis
COVID-19
treatment,
among
others).
Special
attention
is
paid
reactive
oxygen
species
(ROS),
produced
by
activated
“respiratory
burst”
course
SIRS;
protective
pathogenic
these
mediators
highlighted.
Moreover,
clinically
useful
biomarkers
SIRS
(neutrophil
extracellular
traps,
cell-free
DNA,
DAMP,
TREMs,
NGAL,
miRNA,
selected
cytokines,
ROS,
recognised
markers
endothelial
damage
group
adhesins
means
immunohistochemical
techniques)
related
presented,
diagnosing
forecasting
sepsis,
burn
disease,
emphasised.
Finally,
examples
immunomodulation
antioxidative
thermal
injury
therapy
presented.
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(16), P. 8594 - 8594
Published: Aug. 6, 2024
Liquid
biopsy,
a
noninvasive
diagnosis
that
examines
circulating
tumor
components
in
body
fluids,
is
increasingly
used
cancer
management.
An
overview
of
relevant
literature
emphasizes
the
current
state
liquid
biopsy
applications
care.
Biomarkers
particularly
DNA
(ctDNA),
RNAs
(ctRNA),
cells
(CTCs),
extracellular
vesicles
(EVs),
and
other
components,
offer
promising
opportunities
for
early
diagnosis,
treatment
selection,
monitoring,
disease
assessment.
The
implementation
precision
medicine
has
shown
significant
potential
various
types,
including
lung
cancer,
colorectal
breast
prostate
cancer.
Advances
genomic
molecular
technologies
such
as
next-generation
sequencing
(NGS)
digital
polymerase
chain
reaction
(dPCR)
have
expanded
utility
enabling
detection
somatic
variants
actionable
alterations
tumors.
also
demonstrated
predicting
responses,
monitoring
minimal
residual
(MRD),
assessing
heterogeneity.
Nevertheless,
standardizing
techniques,
interpreting
results,
integrating
them
into
clinical
routine
remain
challenges.
Despite
these
challenges,
implications
management,
offering
dynamic
approach
to
understanding
biology
guiding
personalized
strategies.
Biomedicines,
Journal Year:
2024,
Volume and Issue:
12(5), P. 933 - 933
Published: April 23, 2024
Sepsis
continues
to
be
a
significant
public
health
challenge
despite
advances
in
understanding
its
pathophysiology
and
management
strategies.
Therefore,
this
study
evaluated
the
value
of
cell-free
nuclear
DNA
(cf-nDNA)
mitochondrial
(cf-mtDNA)
for
assessing
severity
prognosis
sepsis.
Ninety-four
patients
were
divided
into
three
groups:
infection
(n
=
32),
sepsis
30),
septic
shock
32).
Plasma
samples
collected
at
time
diagnosis,
cfDNA
concentrations
determined
by
qPCR
assay.
The
results
showed
that
plasma
levels
increased
with
disease.
To
distinguish
between
those
sepsis,
biomarker
L1PA290
achieved
highest
AUC
0.817
(95%
CI:
0.725–0.909),
demonstrating
sensitivity
77.0%
specificity
79.3%.
When
cf-nDNA
was
combined
SOFA
score,
there
improvement
(0.916
(0.853–0.979)),
(88.1%),
(80.0%).
Moreover,
admitted
ICU
after
being
diagnosed
had
significantly
higher
concentrations.
In
ICU,
combining
score
yielded
an
0.753
(0.622–0.857),
95.2%
50.0%.
can
differentiate
It
also
identify
who
are
likely
predicting
indications
intensive
care,
suggesting
potential
as
Scientific Reports,
Journal Year:
2023,
Volume and Issue:
13(1)
Published: Nov. 10, 2023
Although
cell-free
DNA
(cfDNA)
is
an
emerging
sepsis
biomarker,
the
use
of
cfDNA,
especially
as
diagnostic
and
prognostic
indicators,
has
surprisingly
not
been
systemically
analyzed.
Data
adult
patients
with
that
conducted
cfDNA
measurement
within
24
h
admission
was
collected
from
PubMed,
ScienceDirect,
Scopus,
Cochrane
Library
until
October
2022.
The
Quality
in
Prognosis
Studies
(QUIPS)
Assessment
Diagnostic
Studies-2
(QUADAS-2)
tools
were
used
to
reduce
risk
biased
assessment.
mean
difference
(MD)
concentration
standardized
(SMD)
between
populations
calculated
using
Review
Manager
(RevMan)
version
5.4.1
package
software.
Pooled
analysis
18
included
studies
demonstrated
increased
serum
levels
when
compared
healthy
control
(SMD
=
1.02;
95%
confidence
interval
(CI)
0.46-1.57)
or
non-sepsis
intensive
care
unit
(ICU)
1.03;
CI
0.65-1.40),
respectively.
Meanwhile,
a
slight
decrease
statistical
value
observed
ICU
SIRS
0.74;
0.41-1.06).
lower
also
survivors
non-survivors
at
1.43;
95%CI
0.69-2.17)
pooled
area
under
receiver
operating
characteristic
curve
(AUC)
0.76
(95%
0.64-0.87)
for
mortality
prediction.
Levels
showed
sensitivity
0.81
0.75-0.86)
specificity
0.72
0.65-0.78)
odd
ratio
(DOR)
25.03
5.48-114.43)
identification
critically
ill
conditions.
significantly
higher
being
helpful
indicator
conditions
sepsis.
Nevertheless,
results
test
must
be
interpreted
carefully
context
all
clinical
situations.
Frontiers in Immunology,
Journal Year:
2024,
Volume and Issue:
15
Published: May 13, 2024
Outcome-prediction
in
patients
with
sepsis
is
challenging
and
currently
relies
on
the
serial
measurement
of
many
parameters.
Standard
diagnostic
tools,
such
as
serum
creatinine
(SCr),
lack
sensitivity
specificity
for
acute
kidney
injury
(AKI).
Circulating
cell-free
DNA
(cfDNA),
which
can
be
obtained
from
liquid
biopsies,
potentially
contribute
to
quantification
tissue
damage
prediction
mortality
sepsis-associated
AKI
(SA-AKI).
We
investigated
clinical
significance
cfDNA
levels
a
predictor
28-day
mortality,
occurrence
SA-AKI
initiation
renal
replacement
therapy
(RRT)
sepsis.
Furthermore,
we
long-term
course
survivors
at
6
12
months
after
onset.
Specifically,
measured
mitochondrial
(mitochondrially
encoded
NADH-ubiquinone
oxidoreductase
chain
1,
mt-ND1,
mitochondrially
cytochrome
C
oxidase
subunit
III,
mt-CO3)
nuclear
(nuclear
ribosomal
protein
S18,
n-Rps18)
81
healthy
controls
all
available
samples
150
intensive
care
unit
3
±
1
days,
7
2
Our
analysis
revealed
that,
day
3,
had
elevated
(mt-ND1,
n-Rps18,
p<0.001)
decreased
phase
non-survivors
(16%)
higher
(all
p<0.05)
compared
(84%).
Patients
without
p<0.05).
Cell-free
was
also
significantly
increased
requiring
RRT
All
parameters
improved
AUC
SCr
predicting
(AUC=0.88)
well
APACHE
II
(AUC=0.86).
In
summary,
could
improve
risk
models
The
predictive
value
cfDNA,
even
single
onset
sepsis,
offer
significant
advantage
over
conventional
methods
that
require
repeated
measurements
or
baseline
assessment.
Considering
our
data
show
decrease
first
insult,
future
studies
investigate
"memoryless"
marker
thus
bring
further
innovation
complex
field
diagnostics.