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重症肌无力患者血浆染色体外环状DNA的分子特征

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目的 对重症肌无力(myasthenia gravis,MG)患者血浆染色体外环状DNA(extrachromosomal cir-cular DNA,eccDNA)进行全长测序,分析eccDNA的分子特征及潜在功能,初步探索eccDNA在MG发病过程中的作用机制.方法 收集2例MG患者及2例性别、年龄与之匹配的健康人血浆样本,基于滚环扩增和纳米孔测序全新技术平台,对血浆eccDNA进行全长测序,分析比较MG患者与健康人血浆eccDNA的长度分布、染色体来源、基因组元件分布及eccDNA相关差异基因功能富集情况.结果 在MG患者和健康对照者中,长度为250~500 bp的eccDNA均分布最多,且MG患者在150~300 bp之间eccDNA呈现另一分布高峰,对照组则在此区间的eccDNA丰度极低.健康对照组eccDNA在1号染色体上分布最多,而MG患者组eccDNA在2号染色体上分布最多;MG患者eccDNA来源基因组元件在内含子、远端基因间区占比均高于健康对照者,而外显子区占比均低于健康对照者.相较于健康对照组,MG患者组eccDNA差异基因富集的通路多与氯离子通道活性、氯离子跨膜转运、钙离子结合及细胞信号传导有关.结论 MG患者与健康人血浆eccDNA的分子特征(大小分布、染色体来源、基因组元件分布、eccDNA基因功能富集)存在差异,提示eccDNA可能通过基因表达调控、细胞信号传导、神经突触发育及免疫功能调节等潜在功能影响MG的发生发展,eccDNA可能成为MG早期诊断和疗效监测的新型生物标志物.
The molecular characterization of plasma extrachromosomal circular DNA in myasthenia gravis
Objective To analyze molecular features and potential functions of plasma extrachromosomal circular DNA(eccDNA),we performed full-length sequencing of eccDNA in plasma from patients with myasthenia gravis(MG).This study preliminarily explored the mechanism of eccDNA in the pathogenesis of MG.Methods Plasma samples were collected from two MG patients and two sex-and age-matched healthy individuals.EccDNA of 4 plasma samples were sequenced at full length based on a novel technology platform of rolling circle amplification(RCA)and nanopore sequencing.Combined with bioinformatics analysis,we compared the differences in size distribution,chromosomal origin,genomic element distribution,and functional enrichment of eccDNA between MG patients and 2 healthy adults.Results The plasma eccDNA with a length of 250-500 bp was most distributed both in the MG patient group and the healthy control group.EccDNA samples showed another distribution peak between 150-300 bp in the MG patient group,while it was extremely low in the healthy control group.In the healthy control group,eccDNA was most distributed on chromosome 1,while in the MG patient group,eccDNA was most distributed on chromosome 2.The proportion of eccDNA-derived genomic elements of MG patients were higher than those of healthy controls in the intronic and distal intergenic regions,while the propotion in the exonic regions were lower than those of healthy controls.Compared with healthy controls,the pathways enriched in eccDNA differential genes in the MG patient group were mostly related to chloride channel activity,chloride transmembrane transport,calcium binding and cellular signaling.Conclusions In this study,we found that differences in the molecular characteristics(size distribution,chromosomal origin,genomic element distribution,and functional enrichment)of plasma eccDNA were obvious between MG patients and healthy individuals,suggesting that eccDNA may affect the development of MG through potential functions such as regulation of gene expression,cell signaling,synaptic development,and regulation of immune function.In the future,eccDNA may be used as a novel biomarker for early diagnosis and monitoring of the efficacy of MG.

extrachromosomal circular DNAmyasthenia gravisrolling circle amplificationnanopore sequencing technology

黄睿、郭莹玉、吴青峻、邹丽辉

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100730 北京医院 国家老年医学中心 国家卫生健康委北京老年医学研究所 国家卫生健康委老年医学重点实验室 中国医学科学院老年医学研究院

100730 北京医院胸外科 国家老年医学中心 中国医学科学院老年医学研究院

染色体外环状DNA 重症肌无力 滚环扩增 纳米孔测序

中央高水平医院临床科研业务费项目

BJ-2023-077

2024

中国神经免疫学和神经病学杂志
卫生部北京医院 中国免疫学会神经免疫学分会

中国神经免疫学和神经病学杂志

CSTPCD
影响因子:0.87
ISSN:1006-2963
年,卷(期):2024.31(2)
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