Publications by authors named "Agustin Fernandez"

Maple syrup urine disease (MSUD) is a rare inherited metabolic disorder characterized by deficient activity of the branched-chain alpha-ketoacid dehydrogenase (BCKDH) complex, required to metabolize the amino acids leucine, isoleucine, and valine. Despite its profound metabolic implications, the molecular alterations underlying this metabolic impairment had not yet been completely elucidated. We performed a comprehensive multi-omics integration analysis, including genomic, epigenomic, and transcriptomic data from fibroblasts derived from a cohort of MSUD patients and unaffected controls to genetically characterize an MSUD case and to unravel the MSUD pathophysiology.

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DNA methylation is a widely studied epigenetic mark which in mammals involves the incorporation of a methyl group to the fifth carbon of cytosines, mainly those belonging to CpG dinucleotides. It has been linked to context-dependent regulatory functions ranging from gene and repetitive DNA silencing to gene body transcriptional activity. Because of its important roles during embryonic development and cell differentiation, DNA methylation can be used to track cell reprogramming by measuring the methylation levels of pluripotency-associated factors.

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Background: Hypertrophic cardiomyopathy is an autosomal dominant cardiac disease. The mechanisms that determine its variable expressivity are poorly understood. Epigenetics could play a crucial role in bridging the gap between genotype and phenotype by orchestrating the interplay between the environment and the genome regulation.

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  • - Aging leads to a decline in bodily functions and the development of various diseases, but environmental factors like lifestyle choices can impact this decline and promote healthier aging.
  • - Research conducted on male mice reveals changes in the hippocampus as they age, including inflammation and issues with how mRNA is processed, along with modifications to their genetic structure.
  • - By providing enriched environments for these mice, many age-related changes were reversed, particularly in pathways linked to brain support cells, suggesting that lifestyle choices can have a significant effect on aging at a molecular level.
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  • Temple syndrome (TS14) is a rare genetic disorder caused by issues with parental gene expression, leading to developmental delays and growth problems in affected individuals.
  • A study on a 2-year-old girl showed symptoms like language delay, small stature, and early puberty, prompting genetic testing to pinpoint the underlying cause.
  • The genetic analysis revealed a deletion of the DLK1 gene from the father, resulting in abnormal gene methylation patterns that align with the clinical profile of Temple syndrome.
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Background: Sarcomas represent an extensive group of malignant diseases affecting mesodermal tissues. Among sarcomas, the clinical management of chondrosarcomas remains a complex challenge, as high-grade tumours do not respond to current therapies. Mutations in the isocitrate dehydrogenase (IDH) 1 and 2 genes are among the most common mutations detected in chondrosarcomas and may represent a therapeutic opportunity.

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  • Pericentric heterochromatin (PCH) is crucial for genome integrity, and disruptions in PCH are linked to cancer and aging.
  • HP1α, β, and γ are proteins associated with heterochromatin that help maintain PCH structure through their interactions with histone modifications.
  • The histone variant H2A.Z plays an important yet poorly understood role in PCH, influencing its stability and organization, particularly through its interactions with HP1 isoforms, thereby impacting genome stability and the potential development of chromosome defects.
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Background: Promoter hypermethylation of tumour suppressor genes is frequently observed during the malignant transformation of colorectal cancer (CRC). However, whether this epigenetic mechanism is functional in cancer or is a mere consequence of the carcinogenic process remains to be elucidated.

Results: In this work, we performed an integrative multi-omic approach to identify gene candidates with strong correlations between DNA methylation and gene expression in human CRC samples and a set of 8 colon cancer cell lines.

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  • Glioblastoma (GBM) is a highly aggressive cancer with significant genetic and epigenetic variability, complicating treatment development.
  • Recent advancements in molecular diagnostics have improved the classification of GBM into subtypes, leading to better management based on prognosis.
  • By using multi-omic approaches, researchers identified specific molecular vulnerabilities in GBM subtypes, showing that targeting certain pathways can effectively impair tumor growth, particularly in aggressive mesenchymal-like tumors and suggesting new personalized treatment strategies.
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Obesity is associated with adipose tissue dysfunction through the differentiation and expansion of pre-adipocytes to adipocytes (hyperplasia) and/or increases in size of pre-existing adipocytes (hypertrophy). A cascade of transcriptional events coordinates the differentiation of pre-adipocytes into fully differentiated adipocytes; the process of adipogenesis. Although nicotinamide N-methyltransferase (NNMT) has been associated with obesity, how NNMT is regulated during adipogenesis, and the underlying regulatory mechanisms, remain undefined.

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  • The TINCR gene is specifically expressed in epithelial tissues and plays a role in skin cell differentiation and wound healing, despite being initially identified as a long non-coding RNA.
  • Recent findings suggest that TINCR functions as a tumor suppressor in squamous cell carcinoma (SCC), with its expression increasing in response to UV damage in a TP53-dependent way.
  • Decreased levels of TINCR are linked to skin and head/neck SCCs, as knockout mice show faster tumor development, and genetic analyses reveal mutations in TINCR in clinical SCC samples, confirming its tumor-suppressing capability.
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  • Obesity and gestational diabetes in mothers significantly increase the risk of cardiometabolic diseases in their children, potentially explained by epigenetic changes in DNA methylation.
  • This study analyzed DNA methylation patterns in blood samples from 26 children born to mothers with obesity or gestational diabetes, compared to 13 healthy controls, over their first year of life.
  • Findings revealed notable DNA methylation changes during early development, with specific biomarkers identifying children at risk, indicating impacts on genes linked to fatty acid metabolism and energy production.
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  • The JAK/STAT pathway is often disrupted in T-cell acute lymphoblastic leukemia (T-ALL) and lymphoblastic lymphoma (LBL), but there are no approved specific therapies targeting this issue.
  • The study found that hypermethylation of the SOCS3 gene is a common occurrence in T-ALL/LBL, suggesting it could be a potential target for treatment.
  • SOCS3 plays a critical role in regulating the JAK/STAT pathway and its impairment allows for its constant activation, making SOCS3 a promising therapeutic target for these diseases.
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Aging and cancer are clearly associated processes, at both the epidemiological and molecular level. Epigenetic mechanisms are good candidates to explain the molecular links between the two phenomena, but recent reports have also revealed considerable differences, particularly regarding the loss of DNA methylation in the two processes. The large-scale generation and availability of genome-wide epigenetic data now permits systematic studies to be undertaken which may help clarify the similarities and differences between aging and cancer epigenetic alterations.

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Objective: The minimally invasive fine-needle aspiration cytology (FNAC) is the current gold standard for the diagnosis of thyroid nodule malignancy. However, the correct discrimination of follicular neoplasia often requires more invasive diagnostic techniques. The lack of suitable immunohistochemical markers to distinguish between follicular thyroid carcinoma and other types of follicular-derived lesions complicates diagnosis, and despite most of these tumours being surgically resected, only a small number will test positive for malignancy.

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Dementia and cognitive disorders are major aging-associated pathologies. The prevalence and severity of these conditions are influenced by both genetic and environmental factors. Reflecting this, epigenetic alterations have been associated with each of these processes, especially at the level of DNA methylation, and such changes may help explain the observed interindividual variability in the development of the 2 pathologies.

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  • The study investigates how long-term resistance and endurance training affect the epigenomic and transcriptomic changes in the hippocampus of mice.
  • Using techniques like whole-genome bisulfite sequencing and RNA sequencing, researchers analyze these effects after 4 weeks of training and assess cognitive improvements through a novel object recognition test.
  • Findings show different training models influence DNA methylation and gene expression pathways, highlighting endurance training's connection to neuroplasticity and resistance training's role in interferon responses, both linked to enhanced learning and memory.
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Background: Chimeric antigen receptor (CAR) T cells directed against CD19 (CART19) are effective in B-cell malignancies, but little is known about the molecular factors predicting clinical outcome of CART19 therapy. The increasingly recognized relevance of epigenetic changes in cancer immunology prompted us to determine the impact of the DNA methylation profiles of CART19 cells on the clinical course.

Methods: We recruited 114 patients with B-cell malignancies, comprising 77 patients with acute lymphoblastic leukemia and 37 patients with non-Hodgkin lymphoma who were treated with CART19 cells.

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Diseases caused by human herpes simplex virus types 1 and 2 (HSV-1 and HSV-2) affect millions of people worldwide and range from fatal encephalitis in neonates and herpes keratitis to orofacial and genital herpes, among other manifestations. The viruses can be shed efficiently by asymptomatic carriers, causing increased rates of infection. Viral transmission occurs through direct contact of mucosal surfaces followed by initial replication of the incoming virus in skin tissues.

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  • Glioblastoma multiforme (GBM) is the most common and dangerous brain tumor in adults.
  • The study finds that changes in DNA and a specific marker (H4K20me2) are linked to how GBM tumors behave and grow.
  • Adding more of the H4K20me2 marker in tests showed it can act like a tumor suppressor and change how some cancer-related genes work.
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B cell acute lymphoblastic leukemia (B-ALL) is the most common childhood cancer. As predicted by its prenatal origin, infant B-ALL (iB-ALL) shows an exceptionally silent DNA mutational landscape, suggesting that alternative epigenetic mechanisms may substantially contribute to its leukemogenesis. Here, we have integrated genome-wide DNA methylome and transcriptome data from 69 patients with de novo MLL-rearranged leukemia (MLLr) and non-MLLr iB-ALL leukemia uniformly treated according to the Interfant-99/06 protocol.

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Background: The abundance of energy metabolites is intimately interconnected with the activity of chromatin-modifying enzymes in order to guarantee the finely tuned modulation of gene expression in response to cellular energetic status. Metabolism-induced epigenetic gene regulation is a key molecular axis for the maintenance of cellular homeostasis, and its deregulation is associated with several pathological conditions. Nicotinamide N-methyltransferase (NNMT) is a metabolic enzyme that catalyzes the methylation of nicotinamide (NAM) using the universal methyl donor S-adenosyl methionine (SAM), directly linking one-carbon metabolism with a cell's methylation balance and nicotinamide adenine dinucleotide (NAD) levels.

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  • Type 1 diabetes (T1D) is an autoimmune disease characterized by insulin deficiency and high blood sugar levels, which alters the body's internal environment and forces cells to adapt.
  • The study analyzed DNA methylation patterns in blood samples from 18 T1D patients to identify epigenomic changes related to the disease and metabolic control issues.
  • Over 100 genes showed T1D-related DNA methylation differences, with patients who had poor glycemic control experiencing accelerated epigenetic aging, highlighting the importance of managing the disease for healthy aging.
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  • Cell-free DNA (cfDNA) methylation is a significant biomarker that reflects gene expression in its tissue of origin, showing an inverse relationship between gene methylation and expression levels.
  • A comparison of cfDNA methylation in serum to DNA from blood and bone cells revealed that methylation levels in serum closely match those from bone (79% vs. 82%), but are lower than in blood cells (87%).
  • No changes in serum sclerostin levels or methylation were observed after 6 months of antiosteoporotic treatment, indicating that further research is needed to explore cfDNA's potential role as a bone biomarker.
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