| 1. |
- Eklund, Ella A, et al.
(author)
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Assessing the prognostic value of KRAS mutation combined with tumor size in stage I-II non-small cell lung cancer: a retrospective analysis
- 2024
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In: FRONTIERS IN ONCOLOGY. - 2234-943X. ; 14
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Journal article (peer-reviewed)abstract
- Background: KRAS mutation status is a well-established independent prognostic factor in advanced non-small cell lung cancer (NSCLC), yet its role in early-stage disease is unclear. Here, we investigate the prognostic value of combining survival data on KRAS mutation status and tumor size in stage I-II NSCLC. Methods: We studied the combined impact of KRAS mutational status and tumor size on overall survival (OS) in patients with stage I-II NSCLC. We performed a retrospective study including 310 diagnosed patients with early (stage I-II) NSCLCs. All molecularly assessed patients diagnosed with stage I-II NSCLC between 2016-2018 in the V & auml;stra G & ouml;taland Region of western Sweden were screened in this multi-center retrospective study. The primary study outcome was overall survival. Results: Out of 310 patients with stage I-II NSCLC, 37% harbored an activating mutation in the KRAS gene. Our study confirmed staging and tumor size as prognostic factors. However, KRAS mutational status was not found to impact OS and there was no difference in the risk of death when combining KRAS mutational status and primary tumor size. Conclusions: In our patient cohort, KRAS mutations in combination with primary tumor size did not impact prognosis in stage I-II NSCLC.
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| 2. |
- Nilton, Anna, et al.
(author)
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Targeting Zfp148 activates p53 and reduces tumor initiation in the gut
- 2016
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In: OncoTarget. - : Impact Journals, LLC. - 1949-2553. ; 7:35, s. 56183-56192
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Journal article (peer-reviewed)abstract
- The transcription factor Zinc finger protein 148 (Zfp148, ZBP-89, BFCOL, BERF1, htβ) interacts physically with the tumor suppressor p53, but the significance of this interaction is not known. We recently showed that knockout of Zfp148 in mice leads to ectopic activation of p53 in some tissues and cultured fibroblasts, suggesting that Zfp148 represses p53 activity. Here we hypothesize that targeting Zfp148 would unleash p53 activity and protect against cancer development, and test this idea in the APCMin/+ mouse model of intestinal adenomas. Loss of one copy of Zfp148 markedly reduced tumor numbers and tumor-associated intestinal bleedings, and improved survival. Furthermore, after activation of β-catenin-the initiating event in colorectal cancer-Zfp148 deficiency activated p53 and induced apoptosis in intestinal explants of APCMin/+ mice. The anti-tumor effect of targeting Zfp148 depended on p53, as Zfp148 deficiency did not affect tumor numbers in APCMin/+ mice lacking one or both copies of Trp53. The results suggest that Zfp148 controls the fate of newly transformed intestinal tumor cells by repressing p53 and that targeting Zfp148 might be useful in the treatment of colorectal cancer.
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| 3. |
- Sayin, Sama I.
(author)
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Gut microbial regulation of bile acid metabolism and signaling
- 2016
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Doctoral thesis (other academic/artistic)abstract
- The collection of microbes in our gastrointestinal tract, the gut microbiota, is an environmental factor that has profound impact on host health and disease. Bile acids are endogenous cholesterol-derived molecules that can be modified by the gut microbiota and function as signaling molecules in regulation of host metabolic processes. This thesis investigates the role of the gut microbiota on bile acid metabolism and signaling by comparing mice that lack microbiota with their conventionally-raised counterparts. We found that the gut microbiota regulates bile acid metabolism at several levels, including proportionalities of individual bile acid species and expression of genes involved in bile acid homeostasis. Specifically, the gut microbiota decreased levels of mouse primary bile acid tauro-beta-muricholic acid (T-βMCA), which we identified as an antagonist of the nuclear receptor farnesoid-x-receptor (FXR). FXR mediates negative feedback regulation of bile acid homeostasis, as well as regulation of several physiological processes. Hence, we identified the molecular mechanism behind microbial regulation of bile acid homeostasis as T-βMCA mediated inhibition of FXR activity. Since humans lack T-βMCA, this thesis plays an important role in explaining the existing discrepancies between mouse and human studies targeting FXR for treating gastrointestinal diseases. Furthermore, in order to better understand the effect of the microbiota on FXR signaling, we re-derived mice that lacked functional FXR as germ-free and mapped microbial regulation of genes through FXR. We found that the microbiota can regulate expression of FXR target genes through direct FXR binding to promoters in the intestine, while protein-protein interactions between FXR and other co-regulators are likely regulated in the liver. In conclusion, this study establishes the microbiota as a key player in bile acid metabolism and FXR signaling in the liver and the intestine. The findings from this thesis implicate the microbiota as an important factor that needs to be taken into consideration in treating gastrointestinal diseases by targeting bile-acid mediated FXR signaling.
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| 4. |
- Sayin, Sama I., et al.
(author)
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Gut microbiota regulates bile acid metabolism by reducing the levels of tauro-beta-muricholic acid, a naturally occurring FXR antagonist.
- 2013
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In: Cell metabolism. - : Elsevier BV. - 1932-7420 .- 1550-4131. ; 17:2, s. 225-35
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Journal article (peer-reviewed)abstract
- Bile acids are synthesized from cholesterol in the liver and further metabolized by the gut microbiota into secondary bile acids. Bile acid synthesis is under negative feedback control through activation of the nuclear receptor farnesoid X receptor (FXR) in the ileum and liver. Here we profiled the bile acid composition throughout the enterohepatic system in germ-free (GF) and conventionally raised (CONV-R) mice. We confirmed a dramatic reduction in muricholic acid, but not cholic acid, levels in CONV-R mice. Rederivation of Fxr-deficient mice as GF demonstrated that the gut microbiota regulated expression of fibroblast growth factor 15 in the ileum and cholesterol 7α-hydroxylase (CYP7A1) in the liver by FXR-dependent mechanisms. Importantly, we identified tauro-conjugated beta- and alpha-muricholic acids as FXR antagonists. These studies suggest that the gut microbiota not only regulates secondary bile acid metabolism but also inhibits bile acid synthesis in the liver by alleviating FXR inhibition in the ileum.
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| 5. |
- Trabelsi, M. S., et al.
(author)
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Farnesoid X receptor inhibits glucagon-like peptide-1 production by enteroendocrine L cells
- 2015
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In: Nature Communications. - : Springer Science and Business Media LLC. - 2041-1723. ; 6
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Journal article (peer-reviewed)abstract
- Bile acids are signalling molecules, which activate the transmembrane receptor TGR5 and the nuclear receptor FXR. BA sequestrants (BAS) complex bile acids in the intestinal lumen and decrease intestinal FXR activity. The BAS-BA complex also induces glucagon-like peptide-1 (GLP-1) production by L cells which potentiates beta-cell glucose-induced insulin secretion. Whether FXR is expressed in L cells and controls GLP-1 production is unknown. Here, we show that FXR activation in L cells decreases proglucagon expression by interfering with the glucose-responsive factor Carbohydrate-Responsive Element Binding Protein (ChREBP) and GLP-1 secretion by inhibiting glycolysis. In vivo, FXR deficiency increases GLP-1 gene expression and secretion in response to glucose hence improving glucose metabolism. Moreover, treatment of ob/ob mice with the BAS colesevelam increases intestinal proglucagon gene expression and improves glycaemia in a FXR-dependent manner. These findings identify the FXR/GLP-1 pathway as a new mechanism of BA control of glucose metabolism and a pharmacological target for type 2 diabetes.
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| 6. |
- Wahlström, Annika, 1975, et al.
(author)
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Intestinal Crosstalk between Bile Acids and Microbiota and Its Impact on Host Metabolism.
- 2016
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In: Cell metabolism. - : Elsevier BV. - 1932-7420 .- 1550-4131. ; 24:1, s. 41-50
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Journal article (peer-reviewed)abstract
- The gut microbiota is considered a metabolic "organ" that not only facilitates harvesting of nutrients and energy from the ingested food but also produces numerous metabolites that signal through their cognate receptors to regulate host metabolism. One such class of metabolites, bile acids, is produced in the liver from cholesterol and metabolized in the intestine by the gut microbiota. These bioconversions modulate the signaling properties of bile acids via the nuclear farnesoid X receptor and the G protein-coupled membrane receptor 5, which regulate numerous metabolic pathways in the host. Conversely, bile acids can modulate gut microbial composition both directly and indirectly through activation of innate immune genes in the small intestine. Thus, host metabolism can be affected through microbial modifications of bile acids, which lead to altered signaling via bile acid receptors, but also by altered microbiota composition.
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