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| September 2012 Volume 18, Issue 9 | | | | | Podcast Editorial News Book Review Correspondence News and Views Community Corner Between Bedside and Bench Research Highlights Articles Letters Technical Report Erratum Corrigenda | | | | | | Advertisement | | Nature Outlook: Breast Cancer Each year, 1.3 million women - and some 13,000 men - are diagnosed with breast cancer. The past few decades have seen huge advances in treatment, but about one-quarter of those diagnosed will die from the disease. The difficult challenges are only just starting. Access the Outlook free online for six months. Produced with support from: Saisei Mirai | | | | Advertisement | | Online-only personal subscriptions now available For only 49 USD/29 GBP/29 EUR to selected journals Subscribe now! | | | | Nature Medicine Podcast | Top | | | | Smell test for gene therapy Gene therapy fixes olfactory function in mice and a computer model helps predict antiviral drug resistance in people. Listen Now | | | Editorial | Top | | | | The cure conundrum p1305 doi:10.1038/nm.2951 This summer, researchers launched a strategy to accelerate finding a cure for HIV. The effort aims to revolutionize treatment of the infection, but the inherent risks require that regulators ensure a measured approach. | | News | Top | | | | Consumer gene tests poised for regulatory green light p1306 Asher Mullard doi:10.1038/nm0912-1306 | | | | Strapped for funding, medical researchers pitch to the crowd p1307 Virginia Hughes doi:10.1038/nm0912-1307 | | | | Drug pipeline is flush with new options for chronic constipation pp1308 - 1309 Elie Dolgin doi:10.1038/nm0912-1308 | | | | NIH aims to facilitate extramural research through new grants p1309 Kathleen Raven doi:10.1038/nm0912-1309 | | | | Lack of BRCA testing approval creates snag for cancer trials p1310 Anna Azvolinsky doi:10.1038/nm0912-1310a | | | | Correction p1310 doi:10.1038/nm0912-1310b | | | | Controversial egg-producing stem cells promise better IVF p1311 Elie Dolgin doi:10.1038/nm0912-1311 | | | | Drug companies look to biomarkers to salvage cancer target pp1312 - 1313 Elie Dolgin doi:10.1038/nm0912-1312a | | | | Stop-work order creates uncertainty for Ebola drug research p1312 Kathleen Raven doi:10.1038/nm0912-1312b | | | | Institutes experiment with a variety of different appeal processes p1313 Roxanne Palmer doi:10.1038/nm0912-1313 | | | | Exon-skipping drug pulls ahead in muscular dystrophy field p1314 Alisa Opar doi:10.1038/nm0912-1314 | | | | Q&A | | | | Straight talk with... Mark Sculpher p1315 doi:10.1038/nm0912-1315 By 2014, the UK will be changing the way it regulates the price it pays for medicines. The government has embraced an idea known as value-based pricing (VBP), with negotiations on how the system will work due to begin this month. One of the most influential thinkers on the UK’s proposed system is health economist Mark Sculpher, director of the Programme on Economic Evaluation and Health Technology Assessment at the University of York. Kate Ravilious met with Sculpher to discuss the value of VBP. | | | | News in Brief | | | | Biomedical briefing pp1316 - 1317 doi:10.1038/nm0912-1316 | | | | News Feature | | | | Turning a new phage pp1318 - 1320 Lauren Gravitz doi:10.1038/nm0912-1318 The idea of using bacteria-fighting viruses as a weapon against hard-to-treat infections is making a surprising comeback, but with a twist on how it has been attempted for nearly a century. Researchers and companies are now tweaking and deconstructing these bacteria killers in an effort to develop a new arsenal against antibiotic-resistant superbugs[mdash]one with more potency and a better likelihood of regulatory approval. Lauren Gravitz reports. | | | | Opinion | | | | (Meta)analyze this: Systematic reviews might lose credibility p1321 Peter Humaidan and Nikolaos P Polyzos doi:10.1038/nm0912-1321 Doctors and regulatory agencies rely on meta-analyses when setting clinical guidelines and making decisions about drugs. However, as the number of these analyses increases, it's clear that many of them lack robust evidence from randomized trials, which may lead to the adoption of treatment modalities of ambiguous value. Without a more disciplined approach requiring a reasonable minimum amount of data, meta-analyses could lose credibility. | | Book Review | Top | | | | AIDS: Back to the beginning pp1322 - 1323 Nathan Wolfe reviews The Origins of AIDS by Jacques Pepin and Tinderbox: How the West Sparked the AIDS Epidemic and How the World Can Finally Overcome It by Craig Timberg and Daniel Halperin doi:10.1038/nm.2857 | | Correspondence | Top | | | | Does a [beta]2-adrenergic receptor-WNK4-Na-Cl co-transporter signal cascade exist in the in vivo kidney? pp1324 - 1325 Shinichi Uchida, Motoko Chiga, Eisei Sohara, Tatemitsu Rai and Sei Sasaki doi:10.1038/nm.2809 | | | | Reply to: Does a [beta]2-adrenergic receptor-WNK4-Na-Cl co-transporter signal cascade exist in the in vivo kidney? pp1325 - 1327 ShengYu Mu, Tatsuo Shimosawa and Toshiro Fujita doi:10.1038/nm.2939 | | | | Technical concerns about immunoprecipitation of methylated fetal DNA for noninvasive trisomy 21 diagnosis pp1327 - 1328 Yu Kwan Tong, Rossa Wai Kwun Chiu, Kwan Chee Allen Chan, Tak Yeung Leung and Yuk Ming Dennis Lo doi:10.1038/nm.2915 | | | | Reply to: Technical concerns about immunoprecipitation of methylated fetal DNA for noninvasive trisomy 21 diagnosis pp1328 - 1329 Philippos C Patsalis doi:10.1038/nm.2914 | | News and Views | Top | | | | | | Community Corner | Top | | | | Tracking the insidious course of Alzheimer's disease pp1342 - 1343 doi:10.1038/nm.2922 | | Between Bedside and Bench | Top | | | | The not-so-simple hdl story: Is it time to revise the HDL cholesterol hypothesis? pp1344 - 1346 Daniel J Rader and Alan R Tall doi:10.1038/nm.2937 Formation of plaques in artery walls, or atherogenesis, is known to lead to cardiovascular disease risk and heart disease. Low-density lipoproteins (LDLs), which deliver cholesterol to inflammatory cells in blood vessels, are linked to disease, which is commonly managed using cholesterol-lowering therapies. Whether increasing levels of high-density lipoproteins (HDLs), which remove cholesterol from the circulation, can be cardioprotective has not been clear, despite early clinical studies showing evidence for a positive effect in cardiovascular disease. In 'Bench to Bedside', Daniel J. Rader and Alan R. Tall discuss how the field should focus on promoting reverse cholesterol transport that would result in cholesterol efflux from macrophages to biliary excretion rather than simply trying to increase HDL cholesterol levels. Understanding how different molecular mechanisms operate in this 'HDL flux hypothesis' will uncover ways to develop HDL-targeted therapeutics that will protect from cardiovascular and heart disease. In 'Bedside to Bench', Jay W. Heinecke peruses clinical studies to propose better and simpler ways to measure reverse cholesterol transport in the clinic. Genetic alterations and factors involved in HDL functionality may be useful for quantifying HDL function and finding effective drugs to lower cardiovascular disease risk. | | | | The not-so-simple hdl story: A new era for quantifying HDL and cardiovascular risk? pp1346 - 1347 Jay W Heinecke doi:10.1038/nm.2930 | | Research Highlights | Top | | | | Vaccines: Protection from Nipah | Obesity: Gaining SIRT-ainty | Cancer: Partners in crime | Cancer: Awakening metastasis | Immunology: Tweaking T cell responses | Neuroscience: Disabling axonal degeneration | New from NPG | Articles | Top | | | | A PML-PPAR-[delta] pathway for fatty acid oxidation regulates hematopoietic stem cell maintenance pp1350 - 1358 Keisuke Ito, Arkaitz Carracedo, Dror Weiss, Fumio Arai, Ugo Ala, David E Avigan, Zachary T Schafer, Ronald M Evans, Toshio Suda, Chih-Hao Lee and Pier Paolo Pandolfi doi:10.1038/nm.2882 Keisuke Ito et al. uncover a new pathway regulating hematopoietic stem cell maintenance and function. In this pathway, the promyelocytic leukemia protein (PML) regulates the activity of the PPAR-[delta] nuclear hormone receptor and, thereby, fatty acid oxidation, such that PPAR-[delta] activators have the potential of improving stem cell function. Intriguingly, this pathway controls the cell fate of dividing stem cells. See also: News and Views by Broxmeyer & Mantel | | | | Treatment-induced damage to the tumor microenvironment promotes prostate cancer therapy resistance through WNT16B pp1359 - 1368 Yu Sun, Judith Campisi, Celestia Higano, Tomasz M Beer, Peggy Porter, Ilsa Coleman, Lawrence True and Peter S Nelson doi:10.1038/nm.2890 Responses to anticancer therapy are hampered by several factors, and Peter S. Nelson and colleagues here identify a protective effect of the tumor microenvironment. After cytotoxic chemotherapy, inflammatory NF-[kappa]B signaling activates the secretion of WNT16B, which acts on epithelial cells, promoting their survival and fostering tumor growth in vivo. This pathway is also active in human tumors treated with chemotherapy and illustrates the potential caveats of cyclical therapy and the need to overcome environmental protection to successfully eliminate tumors. See also: News and Views by Ostman | | | | Multigenerational epigenetic adaptation of the hepatic wound-healing response pp1369 - 1377 Mujdat Zeybel, Timothy Hardy, Yi K Wong, John C Mathers, Christopher R Fox, Agata Gackowska, Fiona Oakley, Alastair D Burt, Caroline L Wilson, Quentin M Anstee, Matt J Barter, Steven Masson, Ahmed M Elsharkawy, Derek A Mann and Jelena Mann doi:10.1038/nm.2893 Derek Mann and his colleagues have found that experimental induction of liver fibrosis in male rats results in an epigenetic modification of the chromatin in their sperm such that their offspring have a more mild wound-healing response to hepatic fibrogenic insults. The mechanism responsible for this phenomenon is not clear, but it seems to involve a yet unidentified soluble factor released by myofibroblasts that act on either the germ cells or mature sperm. See also: Between Bedside and Bench by Heinecke | | | | Antiretroviral dynamics determines HIV evolution and predicts therapy outcome pp1378 - 1385 Daniel I S Rosenbloom, Alison L Hill, S Alireza Rabi, Robert F Siliciano and Martin A Nowak doi:10.1038/nm.2892 Highly active antiretroviral therapy is crucial to controlling the progression of HIV infection. Therapy failure is often[mdash]but not always[mdash]attributed to resistance mutations in the HIV-1-encoded protein targets. Here Rosenbloom et al. use mathematical modeling to explain the distinct patterns of resistance found with different classes of antiretroviral drugs and predict specific single-pill combination therapies that might prevent resistance even in the setting of poor patient adherence. | | | | Infection-induced NETosis is a dynamic process involving neutrophil multitasking in vivo pp1386 - 1393 Bryan G Yipp, Bjorn Petri, Davide Salina, Craig N Jenne, Brittney N V Scott, Lori D Zbytnuik, Keir Pittman, Muhammad Asaduzzaman, Kaiyu Wu, H Christopher Meijndert, Stephen E Malawista, Anne de Boisfleury Chevance, Kunyan Zhang, John Conly and Paul Kubes doi:10.1038/nm.2847 Bacteria can be trapped by neutrophil extracellular traps (NETs) in vitro, but their relevance in vivo is uncertain, in part because NETs are thought to be released by dying neutrophils, thereby eliminating the other antimicrobial functions of these cells. Paul Kubes and his colleagues report in this issue that NET release need not kill neutrophils and that NETosis can by dynamically imaged in vivo. See also: News and Views by Peschel & Hartl | | | | Bat3 promotes T cell responses and autoimmunity by repressing Tim-3-mediated cell death and exhaustion pp1394 - 1400 Manu Rangachari, Chen Zhu, Kaori Sakuishi, Sheng Xiao, Jozsef Karman, Andrew Chen, Mathieu Angin, Andrew Wakeham, Edward A Greenfield, Raymond A Sobel, Hitoshi Okada, Peter J McKinnon, Tak W Mak, Marylyn M Addo, Ana C Anderson and Vijay K Kuchroo doi:10.1038/nm.2871 T cell immunoglobulin and mucin domain-containing 3 (Tim-3) is an inhibitory receptor that is expressed on exhausted T cells and suppresses T helper type 1 (TH1) responses. Vijay Kuchroo and his colleagues show that human leukocyte antigen B (HLA-B)-associated transcript 3 (Bat3) binds intracellularly to Tim-3 and represses its function. Bat3 knockdown suppresses the development of experimental autoimmune encephalomyelitis and induces an exhaustion-like phenotype in T cells. See also: News and Views by Haining | | Letters | Top | | | | Anti-inflammatory activity of IgG1 mediated by Fc galactosylation and association of Fc[gamma]RIIB and dectin-1 pp1401 - 1406 Christian M Karsten, Manoj K Pandey, Julia Figge, Regina Kilchenstein, Philip R Taylor, Marcela Rosas, Jacqueline U McDonald, Selinda J Orr, Markus Berger, Dominique Petzold, Veronique Blanchard, Andre Winkler, Constanze Hess, Delyth M Reid, Irina V Majoul, Richard T Strait, Nathaniel L Harris, Gabriele Kohl, Eva Wex, Ralf Ludwig, Detlef Zillikens, Falk Nimmerjahn, Fred D Finkelman, Gordon D Brown, Marc Ehlers and Jorg Kohl doi:10.1038/nm.2862 Complement components activate and recruit immune cells, promoting host defense and inflammatory disease. Jorg Kohl and his colleagues demonstrate that IgG1 immune complexes inhibit C5a-mediated inflammatory responses and disease. The inhibitory effect of IgG1 immune complexes requires galactosylation of the antibody, binding to the inhibitory IgG receptor Fc[gamma]RIIB and the association of Fc[gamma]RIIB with the C-type lectin-like receptor dectin-1. See also: News and Views by Ricklin et al. | | | | Neutrophils mediate insulin resistance in mice fed a high-fat diet through secreted elastase pp1407 - 1412 Saswata Talukdar, Da Young Oh, Gautam Bandyopadhyay, Dongmei Li, Jianfeng Xu, Joanne McNelis, Min Lu, Pingping Li, Qingyun Yan, Yimin Zhu, Jachelle Ofrecio, Michael Lin, Martin B Brenner and Jerrold M Olefsky doi:10.1038/nm.2885 Infiltration of various immune cell types into the fat tissue and liver has been implicated in obesity-induced insulin resistance. Jerry Olefsky and his colleagues now show that neutrophils are one of the earliest immune cells to arrive in these tissues, that they release the protease neutrophil elastase and that this enzyme degrades IRS-1, a key member of the insulin signaling pathway. These results show that neutrophils contribute to insulin resistance and how they may do so. | | | | Decreased expression of synapse-related genes and loss of synapses in major depressive disorder pp1413 - 1417 Hyo Jung Kang, Bhavya Voleti, Tibor Hajszan, Grazyna Rajkowska, Craig A Stockmeier, Pawel Licznerski, Ashley Lepack, Mahesh S Majik, Lak Shin Jeong, Mounira Banasr, Hyeon Son and Ronald S Duman doi:10.1038/nm.2886 Ronald Duman and colleagues report that synapse number is reduced in subjects with major depressive disorder. This is associated with decreased expression of synapse-related genes and increased expression of the transcriptional repressor, GATA1. Expression of GATA1 in prefrontal cortex neurons decreases the expression of synapse-related genes, reduces dendrite branching and produces depressive behavior in a rat model of depression. | | | | EPHA4 is a disease modifier of amyotrophic lateral sclerosis in animal models and in humans pp1418 - 1422 Annelies Van Hoecke, Lies Schoonaert, Robin Lemmens, Mieke Timmers, Kim A Staats, Angela S Laird, Elke Peeters, Thomas Philips, An Goris, Benedicte Dubois, Peter M Andersen, Ammar Al-Chalabi, Vincent Thijs, Ann M Turnley, Paul W van Vught, Jan H Veldink, Orla Hardiman, Ludo Van Den Bosch, Paloma Gonzalez-Perez, Philip Van Damme, Robert H Brown Jr, Leonard H van den Berg and Wim Robberecht doi:10.1038/nm.2901 Epha4 is a receptor involved in axonal repulsion. Wim Robberecht and his colleagues report that genetic or pharmacological inhibition of Epha4 is protective in rodent and zebrafish models of amyotrophic lateral sclerosis. In humans, expression of Epha4 inversely correlates with disease onset and survival, and in two patients, mutations in Epha4 are associated with longer survival, suggesting Epha4 may be targeted therapeutically to prevent axonal degeneration. | | | | Gene therapy rescues cilia defects and restores olfactory function in a mammalian ciliopathy model pp1423 - 1428 Jeremy C McIntyre, Erica E Davis, Ariell Joiner, Corey L Williams, I-Chun Tsai, Paul M Jenkins, Dyke P McEwen, Lian Zhang, John Escobado, Sophie Thomas, Katarzyna Szymanska, Colin A Johnson, Philip L Beales, Eric D Green, James C Mullikin, NISC Comparative Sequencing Program, Aniko Sabo, Donna M Muzny, Richard A Gibbs, Tania Attie-Bitach, Bradley K Yoder, Randall R Reed, Nicholas Katsanis and Jeffrey R Martens doi:10.1038/nm.2860 Ciliopathies are caused by alterations in the development and function of cilia. Now Jeffrey Martens and his colleagues demonstrate anatomic and functional rescue of cilia development in mature, differentiated neurons by adenovirus-mediated restoration of expression of the wild-type protein intraflagellar transport protein 88 (Ift88) and show restoration of olfactory function in a mouse model of ciliopathy. A loss-of-function mutation in IFT88 is also identified in individuals with ciliopathies. | | | | Direct regulation of blood pressure by smooth muscle cell mineralocorticoid receptors pp1429 - 1433 Amy McCurley, Paulo W Pires, Shawn B Bender, Mark Aronovitz, Michelle J Zhao, Daniel Metzger, Pierre Chambon, Michael A Hill, Anne M Dorrance, Michael E Mendelsohn and Iris Z Jaffe doi:10.1038/nm.2891 The mineralocorticoid receptor, targeted by drugs commonly used to treat hypertension, is generally thought to contribute to hypertension by altering kidney function. Using mice lacking the mineralocorticoid receptor specifically in smooth muscle cells, Iris Jaffe and her colleagues show that it also controls many aspects of vascular aging, including blood vessel tone, and that these vascular effects contribute to the mineralocorticoid receptor's prohypertensive actions. | | Technical Report | Top | | | | On silico peptide microarrays for high-resolution mapping of antibody epitopes and diverse protein-protein interactions pp1434 - 1440 Jordan V Price, Stephanie Tangsombatvisit, Guangyu Xu, Jiangtao Yu, Dan Levy, Emily C Baechler, Or Gozani, Madoo Varma, Paul J Utz and Chih Long Liu doi:10.1038/nm.2913 Using the semiconductor synthesis technology of maskless photolithography on microprocessor-grade silicon wafers, Jordan Price and colleagues synthesized microarrays containing every possible overlapping peptide in a linear sequence covering the N terminus of human histone H2B, including post-translational modifications. They demonstrated use of the 'on silico' peptide microarrays for the high-resolution mapping (at the single amino acid level) of epitopes targeted by commercially available H2B-specific antibodies and also by autoantibodies in samples from individuals with systemic lupus erythematosus. | | Erratum | Top | | | | Vitamin E decreases bone mass by stimulating osteoclast fusion p1445 Koji Fujita, Makiko Iwasaki, Hiroki Ochi, Toru Fukuda, Chengshan Ma, Takeshi Miyamoto, Kimitaka Takitani, Takako Negishi-Koga, Satoko Sunamura, Tatsuhiko Kodama, Hiroshi Takayanagi, Hiroshi Tamai, Shigeaki Kato, Hiroyuki Arai, Kenichi Shinomiya, Hiroshi Itoh, Atsushi Okawa and Shu Takeda doi:10.1038/nm0912-1445a | | Corrigenda | Top | | | | Identification of a mutation in the extracellular domain of the Epidermal Growth Factor Receptor conferring cetuximab resistance in colorectal cancer p1445 Clara Montagut, Alba Dalmases, Beatriz Bellosillo, Marta Crespo, Silvia Pairet, Mar Iglesias, Marta Salido, Manuel Gallen, Scot Marsters, Siao Ping Tsai, Andre Minoche, Seshagiri Somasekar, Sergi Serrano, Heinz Himmelbauer, Joaquim Bellmunt, Ana Rovira, Jeff Settleman, Francesc Bosch and Joan Albanell doi:10.1038/nm0912-1445b | | | | Methylglyoxal modification of Nav1.8 facilitates nociceptive neuron firing and causes hyperalgesia in diabetic neuropathy p1445 Angelika Bierhaus, Thomas Fleming, Stoyan Stoyanov, Andreas Leffler, Alexandru Babes, Cristian Neacsu, Susanne K Sauer, Mirjam Eberhardt, Martina Schnolzer, Felix Lasischka, Winfried L Neuhuber, Tatjana I Kichko, Ilze Konrade, Ralf Elvert, Walter Mier, Valdis Pirags, Ivan K Lukic, Michael Morcos, Thomas Dehmer, Naila Rabbani, Paul J Thornalley, Diane Edelstein, Carla Nau, Josephine Forbes, Per M Humpert, Markus Schwaninger, Dan Ziegler, David M Stern, Mark E Cooper, Uwe Haberkorn, Michael Brownlee, Peter W Reeh and Peter P Nawroth doi:10.1038/nm0912-1445c | | | | Broad antigenic coverage induced by vaccination with virus-based cDNA libraries cures established tumors p1445 Timothy Kottke, Fiona Errington, Jose Pulido, Feorillo Galivo, Jill Thompson, Phonphimon Wongthida, Rosa Maria Diaz, Heung Chong, Elizabeth Ilett, John Chester, Hardev Pandha, Kevin Harrington, Peter Selby, Alan Melcher and Richard Vile doi:10.1038/nm0912-1445d | | Top | | | | | | | | | Natureevents is a fully searchable, multi-disciplinary database designed to maximise exposure for events organisers. The contents of the Natureevents Directory are now live. The digital version is available here. Find the latest scientific conferences, courses, meetings and symposia on natureevents.com. For event advertising opportunities across the Nature Publishing Group portfolio please contact natureevents@nature.com | | | | | | | | | |
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