A new step toward non-genotoxic conditioning prior to hematopoietic stem cell transplantation.

Mol Ther

Université Paris Cité, Paris, France; Department of Paediatric Immunology and Haematology, Robert Debré Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France; Institut de Recherche Saint-Louis, INSERM U976, Paris, France.

Published: June 2024

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11184374PMC
http://dx.doi.org/10.1016/j.ymthe.2024.05.025DOI Listing

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Article Synopsis
  • Autologous gene modified cell therapies show promise for treating monogenic disorders, representing a significant advance in hematopoietic stem cell transplantation and cellular therapies.
  • The manuscript reviews clinical data on various conditioning regimens used for these therapies across different disorders like hemoglobinopathies, metabolic issues, and bone marrow failures.
  • Recommendations are proposed to standardize treatments for these disorders, and the authors explore potential future options for non-genotoxic conditioning regimens.
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A modular strategy for the testing and assessment of non-genotoxic carcinogens.

Arch Toxicol

August 2024

UK Health Security Agency, Radiation, Chemical and Environmental Hazards, Harwell Science and Innovation Campus, Chilton, Oxfordshire, OX11 0RQ, UK.

A modular strategy is described for the testing and assessment (MoSt) of non-genotoxic carcinogenicity (NGTxC) that is suitable for regulatory applications. It utilizes and builds upon work conducted by the OECD expert group on NGTxC. The approach integrates relevant test methods from the molecular- to cellular- and further to tissue level, many of which have been recently reviewed.

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A new step toward non-genotoxic conditioning prior to hematopoietic stem cell transplantation.

Mol Ther

June 2024

Université Paris Cité, Paris, France; Department of Paediatric Immunology and Haematology, Robert Debré Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France; Institut de Recherche Saint-Louis, INSERM U976, Paris, France.

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The Adverse Outcome Pathway (AOP) concept facilitates rapid hazard assessment for human health risks. AOPs are constantly evolving, their number is growing, and they are referenced in the AOP-Wiki database, which is supported by the OECD. Here, we present a study that aims at identifying well-defined biological areas, as well as gaps within the AOP-Wiki for future research needs.

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Current chemical testing strategies are limited in their ability to detect non-genotoxic carcinogens (NGTxC). Epigenetic anomalies develop during carcinogenesis regardless of whether the molecular initiating event is associated with genotoxic (GTxC) or NGTxC events; therefore, epigenetic markers may be harnessed to develop new approach methodologies that improve the detection of both types of carcinogens. This study used Syrian hamster fetal cells to establish the chronology of carcinogen-induced DNA methylation changes from primary cells until senescence-bypass as an essential carcinogenic step.

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