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JCI early table of contents for Nov. 25, 2013

November 25th, 2013

Predicting nasopharyngeal carcinoma patient response to radiation therapy

Nasopharyngeal carcinoma (NPC) affects cells lining the nasopharynx. The majority of NPC cases can be cured by radiation therapy, however ~20% are resistant to radiation treatment. In this issue of the Journal of Clinical Investigation, Yu-Sun Chang and colleagues at Chang Gung University sought to find a way to predict which individual cases of NPC would be sensitive to radiation therapy. The authors compared the levels of various serum factors between NPC patients that responded to radiation therapy and patients that were resistant to therapy. Patients that did not respond to radiation therapy had higher serum levels of the IL-6 family cytokine leukemia inhibitory factor (LIF), and that LIF levels were predictive of NPC patient response to radiation therapy. The researchers further demonstrated that LIF itself promotes NPC. In the companion commentary, Micah Luftig from the Duke University School of Medicine discusses the implications of LIF as a predictor of NPC resistance to radiation therapy.

TITLE: Leukemia inhibitory factor promotes nasopharyngeal carcinoma progression and radioresistance

AUTHOR CONTACT: Yu-Sun Chang

Chang Gung University, Kwei-shan, Taoyuan, , TWN

Phone: 886-3-211-8800 Ext 5131; Fax: 886-3-211-8683; E-mail: ysc@mail.cgu.edu.tw

View this article at: http://www.jci.org/articles/view/63428?key=191243bd59aa6288820e

ACCOMPANYING COMMENTARY

TITLE: Heavy LIFting: tumor promotion and radioresistance in NPC

AUTHOR CONTACT: Micah Luftig

Duke Univeristy School of Medicine, Durham, NC, USA

Phone: (919) 668-3091; Fax: ; E-mail: micah.luftig@duke.edu

View this article at: http://www.jci.org/articles/view/73416?key=15a7795d9596b6418f40


Circadian clock proteins maintain neuronal cell function

The circadian clock synchronizes the molecular activity of cells to their environment. The "core clock" of the circadian system is made up of a group of proteins that autonomously activate and repress each other. BMAL1, one of the activating core clock proteins, is critical for maintaining circadian rhythm and for controlling oxidative stress, normal aging and cognitive ability. In this issue of the Journal of Clinical Investigation, Erik Musiek and colleagues at Washington University School of Medicine asked whether BMAL1 and the rest of the core clock contribute to the maintenance of healthy neurons. Using Bmal1-deficient mice, the authors found that as these mice aged activated astrocytes began to accumulate, a hallmark of active inflammation and damage. Bmal1-deficient mice also displayed localized degeneration of neuronal cells and a loss of functional connectivity, as measured by blood flow. The researchers found that BMAL1 and the other activating core clock proteins regulate important redox proteins that prevent damage caused by oxidative stress. In an accompanying commentary, Colleen McClung from the University of Pittsburgh noted that the activating circadian core clock proteins could be explored as targets for future therapies for neurodegenerative diseases.

TITLE: Circadian clock proteins regulate neuronal redox homeostasis and neurodegeneration

AUTHOR CONTACT: Erik Musiek

Washington University School of Medicine, St. Louis, MO, USA

Phone: 3147470286; E-mail: musieke@neuro.wustl.edu

View this article at: http://www.jci.org/articles/view/70317?key=83efd051820931342863

ACCOMPANYING COMMENTARY

TITLE: Mind your rhythms: an important role for circadian genes in neuroprotection

AUTHOR CONTACT: Colleen McClung

University of Pittsburgh Medical Center, Pittsburgh, PA, USA

Phone: 412-624-5547; Fax: ; E-mail: mcclungca@upmc.edu

View this article at: http://www.jci.org/articles/view/73059?key=bf81e41bcbf25b8e31ca


Identifying targets of autoantibodies

Patients with the autoimmune disease systemic lupus erythematosus (SLE) produce autoantibodies that target can cause damage to multiple organ systems. The host factors that are targeted by autoantibodies produced by SLE patients are not fully understood. In this issue of the Journal of Clinical Investigation, Jordan Price and colleagues at Stanford University developed a microarray to identify cytokines, chemokines, and other circulating proteins as potential targets of the autoantibodies produced by SLE patients. The authors identified several autoantibody targets, and determined that SLE patients with high levels of autoantibodies directed against the B cell activating factor (BAFF) had more severe SLE-associated symptoms. In an accompanying commentary, Maureen Su of the University of North Carolina and Stephanie Sarantopoulos of Duke University discuss how identification of autoantibody targets produced by patients with autoimmune disorders will be informative for diagnosis and therapeutic strategy development.

TITLE: Protein microarray analysis reveals BAFF-binding autoantibodies in systemic lupus erythematosus

AUTHOR CONTACT: Jordan Price

Stanford University, Stanford, CA, USA

Phone: 650.724.6743; Fax: ; E-mail: jvp2099@gmail.com

View this article at: http://www.jci.org/articles/view/70231?key=58cb6df2455064a28a39

ACCOMPANYING COMMENTARY

TITLE: BAFF-ling autoantibodies

AUTHOR CONTACT: Maureen A. Su

University of North Carolina, Chapel Hill, Chapel Hill, NC, USA

Phone: 919-597-0777; Fax: 919-843-7588; E-mail: masu@email.unc.edu

View this article at: http://www.jci.org/articles/view/73166?key=fd4f43d99da081cda5a8


Balancing T cell populations

Depending on the signals received, naïve T cells are able to differentiate into mature T cell populations, which play different roles in the immune system. For example, regulatory T cells (Tregs) are important for tamping down the immune response and preventing development of autoimmune disease, while effector T cells promote inflammation. Maintaining the proper balance between Tregs and effector T cells prevents immune dysfunction. In this issue of the Journal of Clinical Investigation, Yun-Cai Lu and colleagues at the La Jolla Institute for Allergy and Immunology investigated the role of the mTOR regulator tuberous sclerosis 1 (TSC1) in maintaining immune homeostasis. Using a mouse model, the authors found that loss of TSC1 in T cells, tipped the balance between Tregs and effector T cells and promoted severe inflammation in a colitis model. In the absence of TSC1, Tregs inappropriately produced proinflammatory cytokines, thereby promoting inflammation and damage responses. In an accompanying commentary, Kai Yang and Hongbo Chi at St. Jude Children's Research Hospital discuss how fine tuning mTOR activity through regulators such as TSC1 may be beneficial for treating autoimmune and inflammatory diseases

TITLE: TSC1 regulates the balance between effector and regulatory T cells

AUTHOR CONTACT: Yun-Cai Liu

La Jolla Institute for Allergy and Immunology, La Jolla, CA, USA

Phone: 858-752-6810; Fax: 858-752-6985; E-mail: yuncail@liai.org

View this article at: http://www.jci.org/articles/view/69751?key=e30edd227923f01ef7e9

ACCOMPANYING COMMENTARY

TITLE: Tuning mTOR activity for immune balance

AUTHOR CONTACT: Hongbo Chi

St. Jude Children's Research Hospital, Memphis, , USA

Phone: 901-595-6282; Fax: ; E-mail: Hongbo.Chi@STJUDE.ORG

View this article at: http://www.jci.org/articles/view/73202?key=49651bddb9504dbf286f


Identification of a genetic mutation associated with steroid-resistant nephritic syndrome

Patients with nephritic syndrome exhibit an array of symptoms that are associated with loss of kidney function, including excess protein in urine, swelling, and albuminuria. Many nephritic syndrome patients respond well to treatment with steroids; however, subsets of patients are resistant to steroid treatment and are at high risk of kidney failure. Recent studies have identified single gene mutations that are associated with development of steroid-resistant nephritic syndrome; however, these mutations account for approximately half of all steroid-resistant cases. In this issue of the Journal of Clinical Investigation, Friedhelm Hildebrandt and colleagues at Boston Children's Hospital identified mutations in gene encoding the aarF domain containing kinase 4 (ADCK4) in 15 individuals with steroid-resistant nephritic syndrome from 8 different families. The authors found that cells isolated from patients with ADCK4 mutations had reduced levels of coenzyme Q10 (CoQ10), and decreased mitochondrial respiration. Furthermore, one patient with ACDK4-assocatiated steroid-resistant nephritic syndrome showed improvement following treatment with CoQ10. In their companion commentary, Laura Malaga-Dieguez and Katalin Susztak of the University of Pennsylvania suggest that CoQ10 treatment may be promising for a subset of patients with steroid-resistant nephritic syndrome.

TITLE: ADCK4 mutations promote steroid-resistant nephrotic syndrome through CoQ10 biosynthesis disruption

AUTHOR CONTACT: Friedhelm Hildebrandt

HHMI/Boston Children's Hospital, Boston, MA, USA

Phone: 617-355-6129; Fax: 617-730-0365; E-mail: friedhelm.hildebrandt@childrens.harvard.edu

View this article at: http://www.jci.org/articles/view/69000?key=9aeeb2804ee3135671b5

ACCOMPANYING COMMENTARY

TITLE: ADCK4 "reenergizes" nephrotic syndrome

AUTHOR CONTACT: Katalin Susztak

University of Pennsylvania, Philadelphia, PA, USA

Phone: 215-662-7934; Fax: ; E-mail: ksusztak@mail.med.upenn.edu

View this article at: http://www.jci.org/articles/view/73168?key=b544e88ac6b999168409


Insights into type 2B von Willebrand disease

In response to blood vessel damage, von Willebrand factor (vWF) binds to the exposed extra cellular matrix, recruits platelets to the site of injury, and activates platelets, which promotes thrombis formation. Patients with von Willebrand disease type 2B (vWD-type 2B) produce a vWF protein that has a high binding affinity for platelets; however, these patients exhibit a bleeding tendency that is thought to be due to loss of vWF multimers. In this issue of the Journal of Clinical Investigation, Marijke Bryckaert and colleagues at the Hôpital Kremlin Bicêtre determined that the bleeding phenotype associated with vWD-type 2B might be due to platelet dysfunction. Evaluation of platelets treated with vWD-type 2B-associated vWF revealed the mutatnt vWF was able to bind platelets, but was unable to activate them, thereby inhibiting thrombus formation. In an accompanying commentary, Jerry Ware of the University of Arkansas discusses the implications of this study for treatment of vWD-type 2B

TITLE: von Willebrand factor mutation promotes thrombocytopathy by inhibiting integrin αIIbβ3

AUTHOR CONTACT: Marijke Bryckaert

Inserm U770, Hôpital Kremlin Bicêtre, Le Kremlin Bicêtre, UNK, FRA

Phone: 33 149595642; Fax: 33 146719472; E-mail: marijke.bryckaert@inserm.fr

View this article at: http://www.jci.org/articles/view/69458?key=3f538e18596a90b7d9e6

ACCOMPANYING COMMENTARY

TITLE: Thrombocytopathy and type 2B von Willebrand disease

AUTHOR CONTACT: Jerry Ware

University of Arkansas for Medical Sciences, Little Rock, , USA

Phone: 501-526-6096; Fax: ; E-mail: jware@uams.edu

View this article at: http://www.jci.org/articles/view/73169?key=55eaefd5aca6c9c0b9af


ALSO IN THIS ISSUE

TITLE: AKT activation promotes PTEN hamartoma tumor syndrome–associated cataract development

AUTHOR CONTACT: Thomas White

Stony Brook University School of Medicine, Stony Brook, NY, USA

Phone: 631 444 9683; E-mail: View this article at: http://www.jci.org/articles/view/70437?key=cbc9d2992ff30cf0d8f5

TITLE: Mice generated by in vitro fertilization exhibit vascular dysfunction and shortened life span

AUTHOR CONTACT: Emrush Rexhaj

University Hospital Bern, Inselspital, Bern, , CHE

Phone: +41316321941; Fax: ; E-mail: emrush.rexhaj@insel.ch

View this article at: http://www.jci.org/articles/view/68943?key=d8399609fd839a0e9922

Provided by Journal of Clinical Investigation

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