Thursday, June 30, 2016



Vitamin A deficiency


Vitamin  A is a collection of fat soluble retinoids (retinal, retinol and retinyl esters) that are involved in immunity, cell growth & differentiation and communication, vision and reproduction. Human takes 2 types of vitamin A, which are preformed vitamin A and provitamin A / carotenoids (alpha & beta carotene and beta cryptoxanthin) that are metabolized intracellularly into active vitamin A [1]. 50-80% vitamin A are cellular RBP (retinol binding protein) / tranthyretin bound in liver and the rest is deposited into kidneys, lungs and adipose tissue as retinyl palmitate [2].

Vitamin A deficiency (VAD) / hypovitaminosis is very common in Africa and South Asia and according to WHO around 2500000 to 5000000 children become blind every year due to VAD among which half of them die within a year after blindness. Pregnant women are also at higher risk for vitamin A deficiency during third trimester. Patients with cystic fibrosis, cancer, pancreatic insufficiency, inflammatory bowel disorder (IBD) are also at increased risk for VAD. The serum retinol concentration is affected by several factors such as infection, RBP synthesis in liver and zinc & iron levels. While zinc deficiency affects retinol transport from liver, iron deficiency affects vitamin A metabolism.

Vitamin A has huge impact on vision so VAD results in various types of vision problem including xeropthalmia, night blindness, corneal inflammation, keratomalacia, corneal xerosis, bitot’s spots (abnormal squamous cell proliferation and keratinization of conjunctiva that results in irregular foamy patches in the white of the eye) etc. Xeropthalmia is characterized by abnormal dryness of cornea and conjunctiva that leads to cessation of lachrymal fluid / tears that results in thick, dehydrated and wrinkled conjunctiva. Keratomalacia is characterized by xerosis and dryness with ulceration and perforation in the cornea that results in eye loss. As retinol plays an important role in rhodopsin (which is a photoreceptor  pigment essential to the retinol receptors that are responsible for night vision) formation, VAD also results in night blindness [3].

Recently researchers  from Weill Cornell medical college found that VAD may lead to beta cell loss in pancreas that results in reduced insulin production and increased blood glucose levels which are main symptoms of  type 2 diabetes [4].

Chicken, egg, whole milk, carrot, orange color fruits, sweet potatoes, spinach, kale and green vegetables are rich in vitamin A and daily 5 servings of these vitamin A rich food should be taken to avoid or reduce VAD. In high risk population mainly in children from 6 months to 5 years, vitamin A supplementation is recommended to reduce morbidity, mortality and blindness.




References:




  1. http://www.medicalnewstoday.com/articles/288199.php


Friday, May 27, 2016



Understanding the zika virus


Zika virus disease is a mosquito borne disease that has currently become epidemic in the world. The zika virus (ZIKV) is a mosquito borne pathogen that is transferred to human sexually or through the bite of infected Aedes mosquitoes. Pregnant women and women who want to conceive are at higher risk to be infected by zika because the transplacental transmission of zika virus leads to serious brain damage, microcephaly (abnormally small head) and other birth defects to the fetus. Zika virus can also cause  a rare autoimmune neurological disorder Guillain-Barre syndrome that affects the chest muscle cells in adult men and results in paralysis.

Zika virus is an enveloped (by lipids and E glycoproteins) single stranded RNA virus  that belongs to flavivirus genus (the same genus for West Nile virus and dengue virus). The virus attaches to the host cell receptors by the E glycoprotein and then through endocytosis the viral RNA is released into the host cytoplasm [1]. Then the ZIKV targets the neural stem cells called cortical neural precursors which are responsible for the formation of cerebral cortex (responsible for brain functions) of the brain. These neural stem cells become the factories for the zika viral replication. ZIKV also interferes with gangliosides that are crucial for brain development, neurogenesis, synaptogenesis, synaptic transmission and cell proliferation [2]. Recent research in UCSD using a 3D stem cell based first trimester human brain model revealed that zika virus may cause microcephaly by hijacking human immune system [3]. Zika virus infection in pregnant women stops the neonatal brain development and results in birth of babies with abnormally small head known as microcephaly. UCSD scientists discovered that zika virus activates a cell bound protein TLR3 which is responsible for turning off the genes that are required to develop various human brain parts from the neural stem cells. Binding of TLR3 with the viral RNA results in organoid shrinkage/brain damage (microcephaly) and apoptosis in developing fetuses.

Zika viral infection symptoms include fever and rash conjunctivitis, muscle and joint pain that lasts up to 7 days [4]. Currently there is no permanent treatment for zika virus infection/microcephaly in pregnant women. Recent research by the virologists from KU Leuven in Belgium suggests that an experimental antiviral drug against hepatitis C virus can slow down the zika  infection in mice [5]. Also the TLR3 inhibitor is a big future in zika therapeutics.

Brazil became the epicenter of zika outbreak where 5600 cases of confirmed or suspected cases of microcephaly is reported by World Health Organization and the virus is spreading to Latin America and Caribbean.



References:




Saturday, April 30, 2016



Listeriosis: an important public health concern in the United States


Listeriosis is a fatal foodborne opportunistic bacterial infection caused by a genus of gram positive bacteria called Listeria. Listeria is found in soil, water and in some animals including cattle and poultry. Individuals with weakened immunity system especially T cell mediated immunity such as pregnant women and older people are at highest risk of listeriosis. These  bacteria have 6 species among which Listeria monocytogenes is the disease causing one in humans. Listeria bacteria do not form spores, they don't have capsules, and they are motile at 10 to 25 degrees Centigrade. Listeriosis occurs by ingestion of contaminated raw and industrially processed food that contains L. monocytogenes pathogen.These bacteria can survive the food processing technology, can tolerate high salt concentration and low pH and are able to multiply in refrigeration temperature which makes this pathogen a serious threat to food industry.

As listeriosis is a foodborne infection the primary site of entry of the bacteria is the gastrointestinal tract of the host and then the liver and the CNS. L. monocytogenes is intracellular parasite that can survive in macrophages to invade non phagocytic cells such as epithelial cells, hepatocytes and endothelial cells where they undergo intracellular proliferation [1]. The hemolysin/hly gene is the virulence factor that leads the Listeria bacteria for intracellular survival. Other virulence factors are also involved in listeria pathogenesis such as cell to cell adhesion protein internlanin (In1A & In1B) for epithelial cell invasion and ActA  for cell to cell spread. Internlanin binds with the host cell membrane receptors E cadherin (transmembrane glycoprotein), C1q complement fraction receptor, ECM (Heparin Sulfate Proteoglycan/HSPG) and MET receptor for hepatocyte growth factor (HGF) [2]. After phagocytosis the bacterial phagolysosome listeriolysin O (cholesterol dependent pore forming toxins/CDTX) enter the host cytoplasm and multiply there. In the cytoplasm bacterial surface protein Act A initiate actin formation through which listeria spread cell to cell which results in infection. Studies suggest that iron metal plays an important role in regulation of virulence gene expression in L. monocytogenes [3]. Recent research also identifies an auxiliary protein secretion system (SecA2) that secretes autolytic enzymes that promotes pathogenesis in L. monocytogenes [4].

Consumption of raw fruit, vegetables and meat, unpasteurized milk and milk products, smoked seafood, processed ready to eat food may result in listeriosis. CDC estimates that approximately 1600 illnesses and 260 deaths due to listeriosis occur annually in the United States. In 2011 147  illnesses, 33 deaths and one miscarriage occurred due to consumption of contaminated cantaloupe from a single farm [5]. Symptoms of listeriosis include fever, chill, severe body and headaches, diarrhea, vomiting and influenza type symptoms, which can be treated by antibiotics in most of the cases but may be life-threatening in some cases [6].



References




Thursday, March 31, 2016



Restriction enzymes - The most useful tool in Molecular biology




The restriction enzymes/endonucleases (REases) were first discovered by Swiss microbiologist Werner Arber (with Stuart Linn) in 1978 (for which they received Nobel prize) during the study of host controlled restriction of bacteriophases (from E. coli strain). Now it has become the most essential tool in genetic engineering & molecular biology that can cleave the sugar phosphate backbone of the DNA at specific nucleotide sequence (called recognition sequence which is about 4-6 nt long). As example, restriction enzyme HaeII from the bacterium Hemophilus aegypticus cuts the DNA only at  particular sequence:
                                             5’ GGCC 3’
                                             3’ CCGG 5’
The recognition sequence length dictates the cutting frequency of the enzyme in a random DNA sequence. Such as enzymes with 6 bp long recognition site will cut the DNA in every 46(i.e. 4096) bp. The recognition site of one RE can be similar with  another RE and such REs are called isoschizomers such as SacI and SstI [1]. REs are evolved from bacteria and named by the host, for example, EcoR1 are derived from E. coli strain RY13.

Restriction enzymes are mainly of 4 types on the basis of subunit composition, sequence specificity, cleavage position and cofactor requirements [2].Type I restriction enzymes cleave DNA at random sites that are far from its recognition sequence. The most common (93% of REs)  commercially available restriction enzyme is Type II restriction enzyme that cleaves DNA in the presence of Mg2+ within its recognition sequence and it  does not require ATP hydrolysis  such as HindIII [3]. Type II restriction enzymes are of several types, such as Type IIG (that cleaves outside its recognition sequence such as Acul), type IIP (that  cleaves  symmetric  sequences) and type IIS (that cleaves asymmetric sequences such as FolkI). TypeIII  restriction enzyme cleaves outside their  recognition sequences and  require two sequences with opposite orientation within the same DNA molecule. Type IV restriction enzymes cleave only modified/methylated DNA.

Restriction digestion of DNA double helix results in highly reactive sticky ends or cohesive ends that can be bound by DNA ligase. All restriction enzymes are heat sensitive. Their activity is highly affected by enzyme concentration, sequence context, incubation temperature and buffer composition. Deviation of any of these factors results in ineffective restriction digestion at cognate restriction site or cleavage at non-cognate star sites (Star activity) [4]. Some factors can induce star activity in restriction digestion such as high pH, prolonged reaction time, presence of organic solvents (e.g. DMSO) and glycerol concentration of the reaction mix. Recently New England Biolabs developed High Fidelity engineered restriction endonucleases that have reduced star activity and rapid digestion [5].

Applications:

  • Cloning utilizes restriction enzymes along with DNA ligase for the study and production of recombinant proteins.
  • DNA mapping or restriction mapping for the detection of single nucleotide polymorphism and mutation to identify genetic disorder loci
  • Epigenetic modification study
  • Synthetic biology utilizes restriction enzymes to create novel technologies such as Bio-BrickTM and Golden Gate assembly.
  • DNA Library construction by SAGE (Serial Analysis of Gene Expression) to identify mutation in cancer research [6]
  • Gene editing, DNA sequencing, DNA fingerprinting and in vast area of recombinant DNA and biotechnology

References:


Monday, February 29, 2016



Neglected tropical diseases (NTDs)



Neglected tropical diseases are diverse group of tropical diseases that affect more than 1 billion people including 500 million children in 149 tropical and subtropical countries globally. NTDs are endemic and bacterial and parasitic diseases that affect mainly the world’s poorest communities with inadequate sanitation and absence of clean water. The 7 most common NTDs are found in low and middle-income countries of Asia, Africa and Latin America. The examples of some neglected tropical diseases are as follows:

  • Chagas disease/American Trypanosomiasis: Named after Brazilian doctor Carlos Chagas this disease is caused by the unicellular protozoan parasite Trypanosoma cruzi and mainly found in the rural areas of Latin America. This parasite is transmitted to human blood  by triatomine bugs and result in cardiomyopathy and dysrhythmias.
  • Buruli ulcer: This disease is usually found in the tropical areas of Africa and Australia and caused by the bacteria Myobacteria ulceran which affects the skin and bone. This bacteria produces plasmid-encoded toxin mycolactone that diffuses into subcutaneous fat and causes progressive necrosis [1].

  • Dengue: The most common tropical and subtropical disease that affects 400 million people every year is caused by the viruses transmitted mainly by Aedes mosquitoes. Dengue virus is a small single-stranded RNA virus that has four distinct serotype which are transmitted to humans through the bite of infected Aedes mosquitoes mainly A. aegypti.

  • Cysticercosis: A parasitic infection caused by Taenia solium that infects brain muscle and other tissues.

  • Echinococcosis: A parasitic infection caused by the small tapeworm Echinococcus granulosus (Cystic Echinococcosis) and Echinococcus multilocularis (Alveolar Echinococcosis/AE) that result in infiltrative liver lesions.

  • Onchocerciasis/River blindness: An infection caused by the worm O. volvulus and transmitted by black fly (Simulium) and mainly found in Africa resulting in skin lesions and blindness. Ivermectin drug treatment is the most effective method of control of this disease.



Currently there are various researches going on to prevent and control NTDs. Metabolomics study identified small molecules biomarkers (SMBs) in acute phase clinical specimens (blood serum) that differentiate dengue disease outcomes [2]. These metabolites (SMBs) also provide the insight of metabolic pathways, pathogenic and immunologic mechanism associated with dengue  disease. Medical research on AE  suggests that serial endoscopic balloon dilation and stenting combined with benzimidazole treatment can re-establish and maintain biliary duct patency for many years in AE patients [3]. Currently 13 leading pharmaceutical companies, global health organizations, donor and endemic country governments are partnered with World Health Organization to control, eliminate and reduce the global burden of  NTDs.  



References:

  1. https://bmb.oxfordjournals.org/content/early/2009/12/10/bmb.ldp046.full
  2. http://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0004449#sec022
  3. http://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0004278#sec012


Saturday, January 30, 2016


CRISPR and genome editing


CRISPRs or Clustered Regularly Interspaced Short Palindromic Repeats are short prokaryotic DNA sequences (~ 20 nt) that are part of bacterial adaptive immune system. Recent research in genomics suggests that these CRISPR could change/edit the DNA sequence at exact location on a chromosome of almost any type of living being, including humans, very fast. CRISPR gene editing technology is much easier, cheaper and faster than other gene editing methods including Zn fingers and TALENs (Transcription Activator Like Effector Nucleases). There are 3 types of CRISPR mechanisms among which type II is the most studied one. The key components of CRISPR gene editing are Cas9 protein / Csn1 endonuclease along with the guide RNA (crRNA and trRNA) [1]. In CRISPR pathway first the foreign DNA is integrated into the CRISPR locus and the loci are then transcribed to produce crRNA. These crRNA then guide the Cas9 / RNAse III family endonuclease to edit the target genome or to destroy the invading DNA in sequence specific way [2].

This CRISPER or Cas9 based genetic technology  has various applications in biotechnology and medical research for gene knock out, gene repression/activation, genetic screening, genomic loci imaging and purification [3], epigenetic modifications, transcriptional regulation, etc. This powerful gene editing method has huge potential to treat genetic disorders and cancer, to produce genetically modified crops, to engineer the ecosystems through gene drive, to produce transgenic animal model for biomedical research, in drug development and most recently (in April 2015) to edit human embryonic stem cells (though it triggered ethical debate). In 2014 researchers from MIT first used CRISPER editing in mice to treat a metabolic disease tyrosinaemia. In January 2016, scientists from Duke University successfully used CRISPER genetic technology to treat DMD (Duchenne Muscular Dystrophy, a genetic disorder that causes muscle breakdown due to mutation in dystrophin gene) in mouse model [4]. As Cas9 could correct the causative mutation this CRISPER/Cas9 genome editing technology may direct an exciting future in therapeutics to treat monogenic recessive disorders/genetic diseases [5]. Examples of such disorders include sickle cell anaemia, cystic fibrosis, DMD, retinitis etc. Though scientists need to overcome many hurdles this Cas9 based genome editing technology has powerful future solution for effective genome modification that lead to novel inventions in biomedical and genomic research.

References:



5. Patrick D. Hsu, Eric S. Lander, Feng Zhang, Development and Applications of CRISPR-Cas9 for Genome Engineering, DOI: http://dx.doi.org/10.1016/j.cell.2014.05.010

Friday, January 15, 2016


RNA silencing in plant biotechnology



RNA silencing or post transcriptional gene silencing (PTGS) plays an important biological role in plants which includes the following:
  • defense against viruses
  • epigenetic control of chromatin modifications
  • control of the expression of developmentally regulated genes
  • regulation of biotic & abiotic stress, and
  • defense against nonviral pathogens and insects.


RNA silencing pathways or RNA interference (RNAi) are mediated by small homologous RNA molecules that are 21 to 24 nt long. These RNA molecules are processed by dicers or dicer-like endonucleases (DCL) and RNA dependent RNA polymerases (RDRs). They bind with AGO (Argonaute) proteins to form RISC (RNA induced silencing complex) and repress/modify the gene expression at transcriptional, post transcriptional and translational level. RNA silencing pathways involve various types of small RNAs which includes
  • micro RNAs (mi RNAs) that have important biological role in plants including auxin regulator and accumulator of transcription factors that involves in plant development [1]
  • endogenous trans acting si RNAs/TAS (ta-siRNAs)
  • natural cis antisense transcripts associated si RNAs (nat si RNAs), and
  • heterochromatic si RNAs (hc si RNA).


The micro RNAs are produced by DCL1 and binds with AGO1 to cleave target mRNA and repress the translation. The ta-si RNA is produced by DCL4 and RDR6 to cleave TAS gene and control the gene expression in plants [2]. The hc si RNAs are produced by plant specific transcript POL4, RDR2 and DCL3 and then binds with AGO4, AGO6 and AGO9 to direct DNA methylation. Through these RNA silencing pathways plants are defended against invaded viral nucleic acid/transgenes. During this defense mechanism viral RNA is diced by DCL4&DCL2  to produce the si RNAs to degrade the viral RNA [3].


RNAi is now widely used in industrial plant biotechnology for production of  disease and pathogen resistant plants, for generation of male sterility to produce hybrid seeds, for crop production with improved nutritional contents and in various other aspects. Industrially RNAi has also been used to modify the metabolic pathways of plants to enhance nutrient accumulation and decrease toxin generation. For example, lyc gene and DET1 gene in tomato are engineered by RNAi to increase lycopene (antioxidant), flavonoid and beta carotene concentration. FAD2 and SAD1 gene in canola, cotton, and peanut plant is manipulated by RNAi to  increase the oleic acid and stearic acid concentration [4]. In 2015 a group of scientists  at Australia's Commonwealth Scientific and Industrial Research Organization (CSIRO) explained the use of RNAi to increase the healthier monounsaturated fatty acid (MUFA) level in flaxseeds [5]. CSIRO used RNAi to reduce the function of 3 genes in cottonseed that usually convert oleic acid to bad fatty acids. This resulted in high oleic acid containing cottonseed oil that is free from cholesterol raising trans fatty acids [6].


Other than plants RNAi technology is also applied for genome analysis and drug target validation for  therapeutic development and hence it is termed as "breakthrough in biotech industry".

References:

  1. https://www.researchgate.net/profile/Olivier_Voinnet/publication/7212300_The_diversity_of_RNA_silencing_pathways_in_plants/links/0deec51e64ff16726e000000.pdf
  2. http://www.plantphysiol.org/content/147/2/456.full
  3. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181474/
  4. https://isaaa.org/resources/publications/pocketk/34/default.asp
  5. https://www.geneticliteracyproject.org/2015/01/29/gene-silencing-technology-boosts-levels-of-monounsaturated-fats-in-flax/
  6. http://www.csiro.au/en/Research/Farming-food/Innovation-and-technology-for-the-future/Gene-technology/RNAi