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  • 1
    In: Cell, Elsevier BV, Vol. 185, No. 8 ( 2022-04), p. 1373-1388.e20
    Type of Medium: Online Resource
    ISSN: 0092-8674
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    Language: English
    Publisher: Elsevier BV
    Publication Date: 2022
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  • 2
    In: Clinical Gastroenterology and Hepatology, Elsevier BV, Vol. 12, No. 12 ( 2014-12), p. 2085-2091.e1
    Type of Medium: Online Resource
    ISSN: 1542-3565
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2014
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  • 3
    In: Cancer Discovery, American Association for Cancer Research (AACR), Vol. 12, No. 11 ( 2022-11-02), p. 2666-2683
    Abstract: Anticancer therapies have been limited by the emergence of mutations and other adaptations. In bacteria, antibiotics activate the SOS response, which mobilizes error-prone factors that allow for continuous replication at the cost of mutagenesis. We investigated whether the treatment of lung cancer with EGFR inhibitors (EGFRi) similarly engages hypermutators. In cycling drug-tolerant persister (DTP) cells and in EGFRi-treated patients presenting residual disease, we observed upregulation of GAS6, whereas ablation of GAS6's receptor, AXL, eradicated resistance. Reciprocally, AXL overexpression enhanced DTP survival and accelerated the emergence of T790M, an EGFR mutation typical to resistant cells. Mechanistically, AXL induces low-fidelity DNA polymerases and activates their organizer, RAD18, by promoting neddylation. Metabolomics uncovered another hypermutator, AXL-driven activation of MYC, and increased purine synthesis that is unbalanced by pyrimidines. Aligning anti-AXL combination treatments with the transition from DTPs to resistant cells cured patient-derived xenografts. Hence, similar to bacteria, tumors tolerate therapy by engaging pharmacologically targetable endogenous mutators. Significance: EGFR-mutant lung cancers treated with kinase inhibitors often evolve resistance due to secondary mutations. We report that in similarity to the bacterial SOS response stimulated by antibiotics, endogenous mutators are activated in drug-treated cells, and this heralds tolerance. Blocking the process prevented resistance in xenograft models, which offers new treatment strategies. This article is highlighted in the In This Issue feature, p. 2483
    Type of Medium: Online Resource
    ISSN: 2159-8274 , 2159-8290
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2022
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  • 4
    In: PLOS Pathogens, Public Library of Science (PLoS), Vol. 17, No. 2 ( 2021-2-11), p. e1009165-
    Abstract: The interactions between antibodies, SARS-CoV-2 and immune cells contribute to the pathogenesis of COVID-19 and protective immunity. To understand the differences between antibody responses in mild versus severe cases of COVID-19, we analyzed the B cell responses in patients 1.5 months post SARS-CoV-2 infection. Severe, and not mild, infection correlated with high titers of IgG against Spike receptor binding domain (RBD) that were capable of ACE2:RBD inhibition. B cell receptor (BCR) sequencing revealed that VH3-53 was enriched during severe infection. Of the 22 antibodies cloned from two severe donors, six exhibited potent neutralization against authentic SARS-CoV-2, and inhibited syncytia formation. Using peptide libraries, competition ELISA and mutagenesis of RBD, we mapped the epitopes of the neutralizing antibodies (nAbs) to three different sites on the Spike. Finally, we used combinations of nAbs targeting different immune-sites to efficiently block SARS-CoV-2 infection. Analysis of 49 healthy BCR repertoires revealed that the nAbs germline VHJH precursors comprise up to 2.7% of all VHJHs. We demonstrate that severe COVID-19 is associated with unique BCR signatures and multi-clonal neutralizing responses that are relatively frequent in the population. Moreover, our data support the use of combination antibody therapy to prevent and treat COVID-19.
    Type of Medium: Online Resource
    ISSN: 1553-7374
    Language: English
    Publisher: Public Library of Science (PLoS)
    Publication Date: 2021
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  • 5
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2023
    In:  Journal of Occupational Medicine and Toxicology Vol. 18, No. 1 ( 2023-09-14)
    In: Journal of Occupational Medicine and Toxicology, Springer Science and Business Media LLC, Vol. 18, No. 1 ( 2023-09-14)
    Abstract: Occupational Health Services (OHS) are comprehensive, multidisciplinary services supplied by various trained workers, including occupational physicians (OP), whose specialty is focused on workers’ health. Aims Our study questions are whether the OP/worker ratio may reflect the scope and availability of OHS. Methods This comparative study, conducted on globally different OHS, was based on literature analysis of peer-reviewed articles published in journals covering topics of occupational medicine and public health that addressed parameters on the type and scope of OHS provision. Results We described the number of OP/worker ratio, and the correlation to economic parameters (Gross domestic product—GDP, health expenditure, Gini Index—GI) by country. We found that among countries with a GDP per capita higher than US$30,000, only three (US, South Korea and Israel) had a very low OP/worker ratio (about 1:50,000 compared to 1:5,000 in other countries). Looking at all the countries together, there was a statistically significant negative correlation between health expenditure percentage of GDP per capita and OP/worker ratio (rs = -0.54, p = 0.01) and a significant positive correlation between GI and OP/worker ratio (rs = 0.47, p = 0.04). Conclusions The lesser the percentage of health expenditure of GDP and the subsequent greater general inequality as reflected by the GI, the lower the OP/worker ratio. The data collected in our comparative study show that the OP/worker ratio is a parameter both easy to define and obtain which best represents the status and disparity of OHS in each country.
    Type of Medium: Online Resource
    ISSN: 1745-6673
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
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  • 6
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 80, No. 16_Supplement ( 2020-08-15), p. 4320-4320
    Abstract: 75% of women suffering from ovarian cancer are diagnosed at late stage of the disease often associated with cancer cell infiltration into the peritoneal cavity. Standard therapy is tumor resection and subsequent platin-based chemotherapy. Relapse is frequently observed caused by persisting cancer cells. Persister cells comprise a therapy-tolerant subpopulation of cancer cells and repeated therapies presumably select for increased tolerance. The present project aims to find molecular markers for the identification and targeted eradication of persister ovarian cancer cells. Persister cells of the cisplatin-sensitive high-grade serous ovarian cancer cell line, OVCAR-3, were selected after cisplatin incubation with clinically relevant doses. Individual clones were isolated from control or cisplatin challenged OVCAR-3 cells. A subpopulation of the resulting clonal persister cells showed a distinct morphological phenotype characterized by increased migration and high viability in short- and long-term survival after cisplatin treatment. A significant upregulation (p & lt;0.001) of the endoplasmic reticulum (ER) stress marker, ATF3, was identified by RNA sequencing and this ER stress phenotype is maintained for more than 20 passages. Additionally, the ovarian cancer OVCAR-8 luciferase reporter cell line was transduced with the “Watermelon” (WM) library [1]. The WM library is a complex barcode library that enables simultaneous tracing of cell lineage and the cellular transcriptional and proliferative states. To study cancer relapse in a CDX model, WM-labelled OVCAR-8-Luc cells were injected into mice and pulse-treated with carboplatin. Single cell RNA sequencing of 900 cells isolated from solid metastases, ascites and treatment-naïve mice revealed an increase in multiple ER stress markers including ATF3, ATF4, JUN and XBP1 in the most abundant solid relapse lineages. Furthermore, analysis of clinical data from GEO, EGA and TCGA showed that low ATF3 expression is associated with increased 5-year-survival of patients with high-grade serous ovarian cancer (Logrank p=6.3e-6). We found that increased ER stress correlates with survival of cancer persister cells and incidence of metastases. This phenomenon was observed in cell lines, a CDX model and clinical data from human ovarian cancer samples. We propose ER stress response, exemplified by ATF3, as a molecular marker to identify and therapeutic targeting of ovarian cancer persister cells. [1] Metabolic switching underlies the ability of cancer persister cells to cycle under drug treatment, Oren Y et al., unpublished Citation Format: Kathrin Böpple, Meng Dong, Markus Kleih, Andrea Gaißler, Yaara Oren, Whitney S. Henry, Moshe Oren, Yael Aylon, Bernd Winkler, Aviv Regev, Robert A. Weinberg, Hans-Georg Kopp, Walter E. Aulitzky, Frank Essmann. Ovarian cancer persister cells are characterized by enhanced ER stress gene expression correlating with poor survival [abstract]. In: Proceedings of the Annual Meeting of the American Association for Cancer Research 2020; 2020 Apr 27-28 and Jun 22-24. Philadelphia (PA): AACR; Cancer Res 2020;80(16 Suppl):Abstract nr 4320.
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2020
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  • 7
    In: Clinical Infectious Diseases, Oxford University Press (OUP), Vol. 74, No. 9 ( 2022-05-03), p. 1639-1649
    Abstract: Following 13-valent pneumococcal conjugate vaccine (PCV13) implementation in infants worldwide, overall and vaccine-type invasive pneumococcal disease (IPD) rates declined in children, with variable indirect impact on adults. Methods A population-based, prospective, nationwide active surveillance of IPD in Israel, 2004–2019 (for adults ≥18 years, 2009–2019). The 7-valent PCV (PCV7)/PCV13 were implemented in Israel in July 2009/November 2010, respectively, with & gt;90% uptake in children & lt;2 years. The 23-valent pneumococcal polysaccharide vaccine (PPV-23) uptake among those & gt;65 years was ~75%. For pre-PCV episodes with missing serotype, extrapolations were applied. Overall, PCV13 serotypes (VT13) and non-VT13 (NVT) incidence rate ratios (IRRs) comparing pre-PCV (2004–2008), early-PCV (2009–2011), and late-PCV13 (2016–2019) periods were calculated for different age groups. Results Overall, 8614 IPD cases were recorded. IPD rates declined by 67% in children & lt;5 and 5–17 years, comparing late-PCV13 versus pre-PCV periods (IRR [95% CI]: .33 [.27–.40] and .33 [.21–.50], respectively). For adults, comparing late-PCV13 with early-PCV periods, rates significantly declined by 53% in those aged 18–44, while rates did not decline significantly in other age groups. VT13 rates significantly declined in all ages, with decline rates ranging between 94% in children & lt;5 years and 60% in adults ≥85 years. NVT rates significantly increased in & lt;5-, 50–64-, and ≥65-year age groups. In the late-PCV13 period, serotypes 3, 14, and 19A remained the predominant VT13, while serotypes 8 and 12F emerged as predominant NVTs. Conclusions Continuous monitoring of circulating serotypes in all ages demonstrated direct and indirect PCV effects, which are essential for the development of new vaccination strategies.
    Type of Medium: Online Resource
    ISSN: 1058-4838 , 1537-6591
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    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2022
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  • 8
    In: Blood, American Society of Hematology, Vol. 136, No. Supplement 1 ( 2020-11-5), p. 19-20
    Abstract: Substantial progress in the treatment of Multiple Myeloma (MM) extends survival for many patients (Pts), though most Pts eventually relapse and become therapy refractory. Patients with induction resistant multiple myeloma (IRMM), either primary refractory or early (≤18 months) relapse, have a particularly compromised survival. New treatment strategies and molecular biomarkers for patient stratification and effective clinical care are needed. We previously reported outcomes of KYDAR (NCT04065789) single-arm prospective clinical trial, in which pts primary resistant to a bortezomib-based induction achieved high rates of durable responses when treated with carfilzomib/daratumumab/lenalidomide/dexamethasone (Cohen YC et al. Blood (2019) 134 (Suppl 1): 982). We applied comprehensive single cell RNA-seq analysis of plasma cells (PCs) obtained from longitudinal bone marrow aspirate samples, taken from KYDAR participants (n=34), compared to newly diagnosed MM Pts (n=15) and to healthy controls (n=11). We discovered a novel MM resistance signature differentially expressed between IRMM and newly diagnosed MM groups. This "gene module is enriched for several pathways that were perturbed in the IRMM Pts, including mitochondrial stress genes, the ER and UPR pathway, and the proteasome machinery. Furthermore, differential gene expression analysis between KYDAR responders and non-responders unveil potentially druggable escape mechanisms. These include upregulation of genes associated with immune regulation, proteasome, apoptotic and ER-stress pathways, e.g. Cyclophilin A (PPIA) creating an elaborated signature and potential target list of pathways and escape mechanisms from a highly potent quadruple therapy. This signature includes many novel genes which were not previously described in the context of MM (Fig 1A). Here we report external validation of this novel resistance signature among 908 MM Pts in the MMRF CoMMpass dataset. We found that our genes signature expression follows a normal distribution with no apparent sub-populations in naïve patients, but when examining Pts after multiple relapses, we detected gradient increase in our signature with a clear bi-model distribution (Fig. 1B). The prevalence of high module-1 expression was 5% in newly diagnosed Pts vs 14% in Pts in 3rd or subsequent relapse (p & lt;0.001). Survival analysis on MMRF "module 1 high" (module 1 score & gt; 200) Pts (n = 68) compared with the rest of the population (n = 711) revealed a striking hazard-ratio of 3.9 (2.22 - 6.87) with p-value = 4.57x10-17 (Fig 1C). Module-1 was highly predictive of treatment outcome in KYDAR trials, beyond FISH cytogenetics (Fig 1D). We hypothesized that PPIA may function as a protective resistance gene in MM malignant cells, by accelerating protein folding pathways and reducing stress associated to proteasome inhibitors. In order to test whether PPIA is merely a marker for highly resistant patients or has a causal role in MM resistance to proteasome inhibitors, we used Cyclosporine A (CsA), a known inhibitor of PPIA, in a series of in vitro experiments, to explore it's potential synergy with carfilzomib, a proteasome inhibitor, on RPMI-8226 and U266B MM cell lines, expressing high levels of PPIA. Using MTS proliferation assay, we found that the combined CsA and carfilzomib therapy was significantly more effective than carfilzomib alone. Apoptosis as measured by Propidium Iodide, DAPI and Annexin V FITC staining, was dramatically increased in the combination therapy setting compared to carfilzomib or CsA monotherapy (Fig 1E). In summary, our study defines a roadmap for combining single cell RNA-seq profiling with clinical trials. We reveal and externally-validate a novel transcriptional signature for therapy resistance. We show inhibition of PPIA, a potential target identified, by CsA, overcomes relative resistance of MM cell lines to carfilzomib. We anticipate that such studies will significantly improve the ability to define mechanism of action of treatment, molecularly characterize the Pts that may benefit from the treatment, and reveal potential novel targets. Disclosures Tadmor: AbbVie: Consultancy, Speakers Bureau; Janssen: Consultancy, Speakers Bureau; Takeda: Consultancy, Speakers Bureau; Sanofi: Consultancy, Speakers Bureau; Medison: Consultancy, Speakers Bureau; Neopharm: Consultancy, Speakers Bureau; 6. Novartis Israel Ltd., a company wholly owned by Novartis Pharma AG: Consultancy, Speakers Bureau.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
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    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2020
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  • 9
    In: Cancer Cell, Elsevier BV, Vol. 24, No. 2 ( 2013-08), p. 242-256
    Type of Medium: Online Resource
    ISSN: 1535-6108
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2013
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  • 10
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2016
    In:  Cancer Research Vol. 76, No. 14_Supplement ( 2016-07-15), p. SY26-03-SY26-03
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 76, No. 14_Supplement ( 2016-07-15), p. SY26-03-SY26-03
    Abstract: Cellular decision-making involves integration of inputs from multiple signaling pathways, including tumor suppressor pathways. It is, therefore, of interest to elucidate how tumor suppressor pathways talk with each other to coordinate their activities in normal cells, and whether and how this coordination is perturbed in cancer. To that end, we have been investigating the crosstalk between two pivotal tumor suppressor pathways: the extensively studied p53 pathway and the Hippo pathway, whose relevance to cancer is becoming increasingly appreciated. In mammalian cells, two of the key members of the Hippo pathway are the LATS1 and LATS2 protein kinases. In earlier studies, we found that LATS2 binds to MDM2, the major negative regulator of p53, and inhibits MDM2's E3 ubiquitin ligase activity. Consequently, the binding of LATS2 to MDM2 leads to stabilization p53. The LATS2-MDM2 axis contributes to the activation of p53 in a number of biological stress-response settings, particularly in the context of mitotic machinery dysfunction as well as upon excessive activity of some oncogenes (e.g. H-Ras and K-Ras), where LATS2 undergoes extensive nuclear translocation with a consequent increase in its association with MDM2. Interestingly, the LATS2 gene itself is a bona fide transcriptional target of p53, but its induction by p53 is observed only under particular conditions, most notably those that involve p53 activation via the LATS2-MDM2 axis. These findings position LATS2 in the interface between the p53 and Hippo pathways, and suggest that it may play a role in coordinating the output of those two tumor suppressor pathways in response to stress. We next wished to determine whether the Hippo pathway impacts p53 activity also under nonstressed conditions. To that end, we silenced simultaneously LATS1 and LATS2 in nontransformed MCF10A human mammary epithelial cells. Although LATS downregulation did not affect p53 protein levels, it led to a change in its phosphorylation pattern, particularly a reduction in p53 phosphorylation on serines 15 and 315. Concomitantly, a fraction of the p53 molecules assumed a mutant-like conformation, reflected by increased reactivity with the mutant-specific PAb240 antibody. Remarkably, although p53 did not affect the migratory properties of control MCF10A cells, it turned into a positive regulator of cell migration in LATS-depleted cells. Indeed, RNA-seq analysis revealed that in such cells p53 acquired an increased ability to modulate the expression of genes that are implicated in regulation of cell motility. Of particular note, the genes upregulated by p53 in LATS-silenced cells displayed a significant overlap with genes reported to be upregulated by gain-of-function mutant p53 in breast cancer cells. Interestingly, one of the genes whose expression was selectively upregulated by p53 in LATS-depleted cells was PTGS2, better known as COX2. Moreover, PTGS2 upregulation was found to contribute to the migratory features of such cells, and PTGS2 depletion could mimic to some extent the impact of p53 depletion on migration. In an attempt to understand the molecular basis for the transcriptional rewiring of the “altered” p53 in LATS-depleted cells, we sought to identify proteins that associate preferentially with p53 in cells where LATS expression has been silenced. One of the top hits was the p52 subunit of NF-κB. Furthermore, we found that p52 contributed to the upregulation of PTGS2 in cells harboring the “altered” p53. Together, these findings imply that LATS proteins play an active role in maintaining wild-type p53 in its canonical state, ensuring that it is preferentially dedicated to the transcriptional regulation of canonical wild-type p53 target genes. Once LATS activity is compromised, as occurs in some cancers as a consequence of epigenetic silencing of LATS1 and/or LATS2, part of the p53 population shifts to a mutant-like state, potentially favoring the activation of genes that contribute to cancer rather than suppressing it. Hence, optimal performance of key players in one tumor suppressor pathway (the Hippo pathway) is required in order to sustain optimal performance of another tumor suppressor pathway (the p53 pathway). It seems highly plausible that this tumor suppressor crosstalk is not restricted to LATS kinases only, and input from additional tumor suppressor pathways may potentially also serve to keep p53 in a fully competent tumor suppressive state. Conversely, when such “support group” tumor suppressor pathways are rendered dysfunctional in some cancer cells, this may enable the endogenous wild type to acquire mutant-like properties without the need to accrue real genetic mutations in the TP53 locus. Further identification of such pathways and elucidation of the mechanisms by which they bolster the canonical biochemical features of p53 may provide clues for new strategies to restore tumor suppressive p53 function in cancers that retain a wild type TP53 gene. [N. Furth and N. Bossel Ben-Moshe contributed equally to this work.] Citation Format: Moshe Oren, Noa Furth, Noa Bossel Ben-Moshe, Ziv Porat, Eytan Domany, Yair Pozniak, Tamar Geiger, Yael Aylon. Tumor suppressor crosstalk: Modulation of p53 activity by the Hippo pathway. [abstract]. In: Proceedings of the 107th Annual Meeting of the American Association for Cancer Research; 2016 Apr 16-20; New Orleans, LA. Philadelphia (PA): AACR; Cancer Res 2016;76(14 Suppl):Abstract nr SY26-03.
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2016
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