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The Human Proteome Map Completed

Reporter and Curator: Larry H. Bernstein, MD, FCAP

UPDATED 6/02/2024

The genetic, pharmacogenomic, and immune landscapes associated with protein expression across human cancers.

Source: Chen C, Liu Y, Li Q, Zhang Z, Luo M, Liu Y, Han L. The Genetic, Pharmacogenomic, and Immune Landscapes Associated with Protein Expression across Human Cancers. Cancer Res. 2023 Nov 15;83(22):3673-3680. doi: 10.1158/0008-5472.CAN-23-0758. PMID: 37548539; PMCID: PMC10843800.

Abstract

Proteomics is a powerful approach that can rapidly enhance our understanding of cancer development. Detailed characterization of the genetic, pharmacogenomic, and immune landscape in relation to protein expression in cancer patients could provide new insights into the functional roles of proteins in cancer. By taking advantage of the genotype data from The Cancer Genome Atlas (TCGA) and protein expression data from The Cancer Proteome Atlas (TCPA), we characterized the effects of genetic variants on protein expression across 31 cancer types and identified approximately 100,000 protein quantitative trait loci (pQTL). Among these, over 8000 pQTL were associated with patient overall survival. Furthermore, characterization of the impact of protein expression on more than 350 imputed anticancer drug responses in patients revealed nearly 230,000 significant associations. In addition, approximately 21,000 significant associations were identified between protein expression and immune cell abundance. Finally, a user-friendly data portal, GPIP (https://hanlaboratory.com/GPIP), was developed featuring multiple modules that enable researchers to explore, visualize, and browse multidimensional data. This detailed analysis reveals the associations between the proteomic landscape and genetic variation, patient outcome, the immune microenvironment, and drug response across cancer types, providing a resource that may offer valuable clinical insights and encourage further functional investigations of proteins in cancer.

Introduction

Functional proteomics is a powerful approach that helps us understand cancer pathophysiology and identify potential therapeutic strategies (). Functional protein analysis using reverse-phase protein arrays (RPPA) has already proven highly effective in studying large numbers of TCGA samples, especially when integrated with genomic, transcriptomic, and clinical information (). Previous works demonstrated that a QTL mapping approach is effective to understand the genetic basis of multiple molecular features in human diseases (). Identifying the sequence determinants of protein levels (pQTLs) may guide the search for causal genes and facilitate understanding the underlying mechanisms of human diseases. However, it remains challenging to further understand the functional roles of protein expression in cancers. For example, it is unclear whether proteins are associated with drug response and/or immune features in patients. In this study, we systematically investigated the effects of genetic variants on protein expression and characterized the impact of protein expression on imputed drug responses and immune cell abundances from different sources (Fig. 1). To facilitate broad access of these data for the biomedical research community, we developed a user-friendly database, GPIP (https://hanlaboratory.com/GPIP). We expect this study to have a significant clinical impact on the future development of protein-based targeted therapies.

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Impact of genetic variants on protein expression.

A Workflow of GPIP to identify pQTLs and survival-associated pQTLs. B The number of pQTLs identified for each cancer type. C Association between CYCLINB1 protein expression level and rs12576855 in LUAD patients. D Association between CYCLINB1 protein expression level and rs2722796 in LGG patients. E The number of survival-associated pQTLs identified for each cancer type. F Kaplan–Meier plot showing the association between rs10918659 (pQTL of HER2_pY1248) genotypes and overall survival times of STAD patients. G Kaplan–Meier plot showing the association between rs13158796 (pQTL of HER2_pY1248) genotypes and overall survival times of STAD patients.

Identification of protein–drug associations

To investigate potential associations between protein expression and drug response, we calculated the Spearman rank correlation between protein expression data and drug response from DrVAEN and cancerRxTissue. These two datasets employed distinct predictive models that integrated omics data from CCLE and drug response data from GDSC to predict drug response in TCGA samples (Fig. 2A) (,). Association with |Rs| > 0.3 and FDR < 0.05 were considered as significant associations in each cancer type.

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Exploring the pharmacogenomics of protein in human cancer.

A Workflow of GPIP to identify Drug-associated proteins. B The number of protein-drug response pairs identified from DrVAEN (left) and cancerRxTissue (right) for each cancer type. C Visualization of the associations between proteins and drugs (DrVAEN) within and across different cancer signaling pathways. Blue links represent associations within a single pathway, while orange links represent associations cross pathways. D Enrichment analysis of drug target pathways among significant protein-drug response pairs. The color represents the log2 (odds ratio) of Fisher’s exact test. The size represents the FDR value.

Identification of protein–immune cell associations

To examine the relationship between protein expression and immune cell abundance, we utilized Spearman rank correlation coefficient to calculate the associations between protein expression data and immune cell abundance data from TIMER, CIBERSORT, ImmuneCellAI, and ImmuneCellGSVA (Fig. 3). These datasets utilized different methods to evaluate immune cell abundance by leveraging immune gene signatures as a proxy (). We considered correlations with |Rs| > 0.3 and FDR < 0.05 as significant associations.

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Exploring the immune landscapes of protein in human cancer.

A Workflow of GPIP to identify Immune cell-associated proteins. B The number of protein-drug response pairs identified from ImmuneCellsGSVA (purple), ImmuCellAI (yellow), TIMER (red) and CIBERSORT (green) for each cancer type. C The top 10 proteins with the highest number of significantly associated immune cell types in HNSC. The color represents the Rs between protein expression and immune cell abundance (ImmuneCellGSVA). The size represents the FDR value. D Association between PREX1expression and impute MDSC abundance in HNSC patients.

Database construction

GPIP was developed using Python Flask-RESTful API frameworks (https://flask-restful.readthedocs.io/), AngularJS (https://angularjs.org), and Bootstrap (https://getbootstrap.com/). The database for GPIP was implemented using the NoSQL database program MongoDB (https://www.mongodb.com/). The user-friendly interface of the GPIP web application was served through the Apache HTTP Server, allowing users to access the database and perform queries and analysis through a web browser.

Data availability

All results generated in this study can be found in GPIP database, (https://hanlaboratory.com/GPIP). Publicly available data generated by others were used by the authors in this study: The genotype data and clinical data were obtained from The Cancer Genome Atlas (TCGA) data portal at https://tcga-data.nci.nih.gov/tcga/. The reverse-phase protein array (RPPA) protein expression data was obtained from The Cancer Proteome Atlas (TCPA) data portal at https://www.tcpaportal.org/. The imputed pharmacogenomic data were obtained from DrVAEN at https://bioinfo.uth.edu/drvaen/ and cancerRxTissue at https://manticore.niehs.nih.gov/cancerRxTissue/. The immune-cell infiltration data were obtained from Tumor Immune Estimation Resource (TIMER) at http://timer.cistrome.org/, Immune Cell Abundance Identifier (ImmuCellAI) at http://bioinfo.life.hust.edu.cn/ImmuCellAI/, and CIBERSORT at https://cibersort.stanford.edu/.

A comprehensive data portal

We developed a user-friendly data portal, GPIP (https://hanlaboratory.com/GPIP), to facilitate visualizing, searching, and browsing of our results by the biomedical research community (Fig. 4A). GPIP contains four main modules: Protein-QTLs, Surivial-QTLs, Drug Response, and Immune Infiltration (Fig. 4B). Querying can be easily performed by selecting cancer type, protein, drug, immune cell abundance, or entering the SNP ID of interest (Fig. 4C). For example, in the Protein-QTLs and Survival-QTLs modules, users can search for pQTLs by selecting a cancer type (e.g., LUAD) and entering a protein name (e.g., CYCLINB1) or an SNP ID (e.g., rs12576855). In the Drug Response module, users can search for protein-drug response associations by selecting a data source for imputed drug response (e.g., DrVAEN) and selecting an anticancer drug (e.g., Talazoparib) or a protein (e.g., PARP1). In the Immune Infiltration module, users can search for protein-immune infiltration pairs by selecting a data source for imputed immune cell abundance (e.g., ImmuneCellsGSVA), and selecting an immune cell type (e.g., Activated B cell) or a protein (e.g., PDL1). In addition, on the bottom of the main page, we developed a cancer type module where users can click on a specific cancer type (e.g., BLCA) to search for related information across all 4 modules (Fig. 4D). The search results for each module included a table to list related information accordingly (Fig. 4E). A “Details” button for each result item was clicked for generating a box plot in protein-QTLs module (Fig. 4F), a Kaplan–Meier plot in Survival-QTLs module (Fig. 4G) and a scatter plot in Drug Response and Immune Infiltration modules, respectively (Fig. 4H,I).I). Our database provides a valuable resource for cancer research and will be of great interest to the research community.

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Content and interface of GPIP.

A GPIP homepage and browser bar. B The four main modules of GPIP. C Search boxes in the pQTLs module. D Search boxes in the cancer type-specific search module. E An example of resulting list in the pQTL module. F An example of boxplot for the pQTLs module result. G An example of Kaplan–Meier plot for the Survival protein-QTLs module result. H An example of scatter plot for the Drug Response module result. I An example of scatter plot for the Immune Infiltration module result.

Discussion

Proteomics plays a crucial role in identifying potential therapeutic strategies and understanding cancer pathophysiology (). In this study, we investigated the effects of genetic variants on protein expression and characterized the impact of protein expression on imputed drug responses and immune cell abundances across human cancers. We also developed the user-friendly data portal, GPIP, to provide access to these results. Our study provides a comprehensive analysis of protein expression in different cancer types and their association with drug response and immune cell abundance.

Identifying genetic variants associated with cancer has revolutionized our understanding of the disease and holds promise for improved diagnosis and treatment. In GPIP, we identified ~100,000 pQTLs across 31 cancer types and 8.8% of them were found to be associated with patient survival (Fig. 1). These genetic variants hold significant promise for unraveling the underlying biological mechanisms of disease progression and response to treatments. For example, a survival-associated pQTL may help to identify a genetic variant that controls the expression of a protein crucial for tumor growth or immune response, thus impacting patient survival. Our results suggest that pQTLs have the potential to serve as prognostic biomarkers and aid in the development of precision medicine.

Despite the promising implications, it is crucial to consider potential limitations of pQTL identification. One limitation is the small number of tumor samples in rare cancers, which limits statistical power and the detection of significant pQTLs. For example, only 8 proteins with pQTLs were found in CHOL, likely due to the small sample size (Table S1). Additionally, we observed that some cancer types with large sample sizes identified only a small number of pQTLs (e.g., BRAC), possibly due to the data quality of protein abundance. Tumors originating from different tissues may have variations in protein extraction quality or protein measurement accuracy (). Furthermore, cancer type heterogeneity can impact pQTL identification, as tumors from different tissues exhibit distinct protein expression profiles and genetic landscapes. Addressing these limitations is necessary to ensure valid and reliable results.

Protein expression levels in tumors can impact response of cancer cells to therapeutic drugs due to their role as targets of drug action, with alterations in expression potentially modifying drug sensitivity or resistance. In GPIP, we utilized the imputed drug response and protein expression data in TCGA patients to identify the potential associations between protein expression and drug response (Fig. 2). Our results revealed that certain proteins were significantly associated with drug sensitivity or resistance, suggesting that protein expression levels could potentially be used as biomarkers to predict drug response in cancer patients. Recent studies have shown that the impact of genetic variants on drug response can be mediated through protein-protein interaction (PPI) networks (,). Integrating genetic variants and PPI to further understand the associations between protein expression and drug response may provide further insights.

The protein expression level in tumors is crucial in the context of tumor immune microenvironment and immunotherapy, as it might impact immune cell abundance and response, and potentially improve the efficacy of immunotherapy. In GPIP, we examined the association between protein expression levels and imputed immune cell abundance across multiple cancer types. Our study identified ~21,000 significant correlations between proteins and immune cell types, highlighting the potential role of protein expression levels in shaping the tumor immune microenvironment (Fig. 3). Our results offer a promising avenue for future research to understand the interplay between protein expression and the tumor immune microenvironment, leading to personalized immunotherapy strategies and better treatment outcomes for cancer patients.

In summary, GPIP is a comprehensive and multifaceted data platform designed to aid functional and clinical research on protein in cancer patients. As more relevant datasets become available, we will continually update GPIP to ensure its relevance and usefulness to the research community.

Significance:

Comprehensive characterization of the relationship between protein expression and the genetic, pharmacogenomic, and immune landscape of tumors across cancer types provides a foundation for investigating the role of protein expression in cancer development and treatment.

Researchers Produce First Map of Human Proteome, and Reveal New
Significance in The Human Proteome

HAHNE, TECHNISCHE UNIVERSITÄT MÜNCHENTwo international teams have
independently produced the first drafts of the human proteome. These curated
catalogs of the proteins expressed in most non-diseased human tissues and
organs can be used as a baseline to better understand changes that occur in
disease states. Their findings were published today (May 29) in Nature.

Both teams uncovered new complexities of the human genome, identifying novel
proteins from regions of the genome previously thought to be non-coding.

“the real breakthrough with these two projects is the comprehensive coverage of
more than 80 percent of the expected human proteome” said Hanno Steen, director
of proteomics at Boston Children’s Hospital, who was not involved in the work.

The human proteome map provides a catalog of proteins expressed in nondiseased tissues and organs to use as baseline in understanding changes that occur in disease

Given the growing importance of proteins in medical laboratory testing,

Experts are comparing this to the first complete map of the human genome

  • and this information provides for rapid advances
  • in understanding transcriptomics and metabolomics

Map of Human Proteome Expected to Advance Medical Science

“Housekeeping genes” that are expressed in all tissues and cell types

  • have been thought to be involved in basic cellular functions.

Two teams developing a Human Proteome Map

  • detected proteins encoded by 2,350 genes
  • across all human cells and tissues.

The corresponding housekeeping proteins comprised
about 75% of total protein mass.

  •  histones,
  • ribosomal proteins,
  • metabolic enzymes, and
  • cytoskeletal proteins

The two international teams produced

  • the first drafts of the human protoeome,
  • a catalog of proteins expressed in most
  • nondiseased human issues and organs.

The evidence suggests there is translation from DNA regions

  • that were not thought to be translated—including
  • more than 400 translated long, intergenic non-coding RNAs (lincRNAs)—
    found by the Küster team—and
  • 193 new proteins—uncovered by the Pandey team.

This proteome map can be used as a baseline to understand

  • changes that occur in the disease state

These studies are part of the Human Proteome Project,

  1. an international effort by the Human Proteome Organization
  2. to revolutionize our understanding of the human proteome
  3. by coordinating research at laboratories around the world directed
  4. at mapping the entire human proteome.

This new information about the human proteome

  • is expected to trigger rapid advances in medical science
  • and a better understanding of the underlying causes of human diseases.

One Study Team Was at Johns Hopkins University

  • In one study, which was headed by Ahilesh Pandey, M.D.,
    at Johns Hopkins University in Baltimore,
  • and colleague Harsha Gowda, Ph.D.,
    of the Institute of Bioinformatics in Bangalore, India,
  • the research team used an advanced form of mass spectrometry to analyze proteins
  • to create the human proteome map,

according to a report published in NIH Research Matters.

The research team examined

  1. 30 normal human tissue and cell types:
  2. 17 adult tissues,
  3. 7 fetal tissue and
  4. 6 blood cell types.

Samples from three people per tissue type

  • were processed through several steps.

The protein fragments, or peptides, were analyzed on

The amino acid sequences were

  • then compared to known sequences.

Their results were published in the May 28, 2014, issue of Nature.

The resulting draft map of the human proteome map includes

  • proteins encoded by more than 17,000 genes,
  • noted the Research Matters article.

Among these are hundreds of proteins from regions

  • previously thought to be non-coding.

This study also provided a new understanding of

  • how genes are expressed.

For example, almost 200 genes begin in locations

  • other than those predicted based on genetic sequence.

“The fact that 193 of the proteins came from DNA sequences

  • predicted to be non-coding means that
  • we don’t fully understand how cells read DNA,
  • since the sequences code for proteins

This study also produced the Human Proteome Map,

  • an interactive online portal.

This can be accessed at this link.

The study data will soon be accessible through

German’s ProteomicsDB Analyzed a Mix of Available and New Tissue Data

The other study was conducted by a team lead by  Bernhard Küster
of the Technische Universität München in Germany.

Küster and his colleagues created a

This database contains 92% of the

  • estimated 19,629 human proteins,

noted The Scientist article.

Küster’s team also used mass spectrometry

  • to analyze human tissue samples.

This team’s approach differed from Johns Hopkins’ in that

  • it compiled about 60% of the information
  • in the ProteomicsDB database
  1. by using existing raw mass spec (MS) data
  2. from databases and colleagues’ contributions.

To fill data gaps, the Küster lab generated its own
MS data after analyzing

  1. 60 human tissues,
  2. 13 body fluids, and
  3. 147 cancer cell lines.

High-resolution public data

  • was selected and computationally processed
  • for strict quality

The database for ProteomicsDB is

  • public and searchable.

It can be accessed at this link.

German Study Added New Insights to Transcription Process

Comparing the ratio of protein to mRNA levels for every protein globally,

  • the Küster lab found that the translation rate
  • is a constant feature of each mRNA transcript. 

The proteomics community has viewed

  • transcriptome and proteome data as two sides of a coin.

But this analysis shows that at least, at steady state,

  • once the ratio for an mRNA/protein pair has been calculated,
  1. protein levels can be determined
  2. just from specific mRNA levels.

Proteomics researchers in Toronto maintaining ionic balance and in Boston commented on the
importance of the findings, even a “new paradigm” because of

  • the fixed ratio of protein to mRNA

This is quite in keeping with what we have been learning

  • with respect to homeostasis.

In 2003, the Human Genome Project created a

  • draft map of the human genome—
  • all the genes in the human body.

Genomics has since driven many advances in medical science.

This was a progress from the classic discovery of Watson and Crick –

  • the classical dogma holds that
  • DNA makes RNA makes protein.
  • no constraints are place on this

But the cell is functioning in contact with other cells,

  • immersed in interstitial fluid
  • maintaining cationic and anionic balance
  • and mitochondrial energy balance and ubiquitin systems interact
  • and protein interacts with the chromatin and transcriptional RNA

So the restriction that has been discovered has credence,

  • the classical diagram has to be redrawn

Deeper Knowledge of Proteome to Improve Diagnostics and Therapeutics

In the two projects is:

  • the comprehensive coverage of more than 80% of
  • the expected human proteome,

These studies indicate that to get to

  • a deep level of proteome coverage,
  • many different tissue types must be probed.

the  studies are  complimentary.

  1. The Hopkins group provided a survey of human proteins from a single source, which allows for easy comparisons within their data.
  2. The ProteomeDB effort connected new information with existing data

A deeper knowledge of the human proteome could help

  • fill the gap between genomes and phenotypes.

As this occurs, it has the potential to transform

  • the way diagnostics and therapeutics are developed,
  •  enhancing overall biomedical research and healthcare,

it was noted in a report presented to scientific leaders at a NIH workshop

  • on advances in proteomics and its applications.

Having completed a draft map of the human proteome—
the set of all proteins in the human body

  • It opens another window to cell function.

It has been ASSUMED –

  • genes control the most basic functions of the cell,
  • including what proteins to make and when.
  • but we have assumed for too much in assigning
    full control to the genome

Researchers have identified more than 20,000 protein- coding genes.

However, scientific understanding of the proteome has

  • lagged behind that of the genome,
  • partly because of the proteome’s complexities.

The relationship between genes and proteins isn’t a simple matter of

  • one gene coding for one protein.

Stretches of DNA can be read and translated

  • into proteins in different ways.

Proteins are also more difficult to sequence than genes.

The importance of these latest studies to pathologists and Ph.D.s working

  • in molecular diagnostics laboratories is that
  • this information will expedite further research into the human proteome.

Such research is expected to lead to

  • novel methods of diagnosis and complex
  • “multi-analyte” clinical laboratory tests that
  • look for multiple proteins in a single assay.

“The prevalent view was that information transfer was from genome to transcriptome to proteome.
What these efforts show is that it’s a two-way road— proteomics can be used to annotate the genome.
The importance is that, using these datasets, we can improve the annotation of the genome and the
algorithms that predict transcription and translation,” said Steen. “The genomics field can now hugely
benefit from proteomics data.”

Wilhelm et al., “Mass-spectrometry- based draft of the human proteome,”
Nature,  http://dx.doi.doi:/10.1038/nature13319, 2014

M.S. Kim et al. “A draft map of the human proteome,”
Nature,  http://dx.doi.org:/10.1038/nature13302, 2014.

Tags

proteomicsnoncoding RNAhuman researchhuman proteome projecthuman genetics and genomics

http://www.the-scientist.com/?articles.view/articleNo/40083/title/Human-Proteome-Mapped/

 

__Patricia Kirk

__by Harrison Wein, Ph.D.

__by Anna Azvolinsky

Related Information:

Revealing The Human Proteome

Human Proteome Mapped

The human proteome – a scientific opportunity for transforming diagnostics, therapeutics, and healthcare

Reference: A draft map of the human proteome.
Kim MS, Pinto SM, Getnet D, Nirujogi RS, Manda SS, Donahue CA, Gowda H, Pandey A.
Nature. 2014 May 29;509(7502):575-81. http://dx.doi.org:/10.1038/nature13302. PMID: 24870542

Funding: NIH’s National Institute of General Medical Sciences (NIGMS), National Cancer Institute (NCI),
and National Heart, Lung, and Blood Institute (NHLBI); the Sol Goldman Pancreatic Cancer Research Center;
India’s Council of Scientific and Industrial Research; and Wellcome Trust/DBT India Alliance.

http://nihprod.cit.nih.gov/researchmatters/june2014/06092014proteome.htm

 

 

 

 

 

 

 

 

 

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Epilogue: Envisioning New Insights in Cancer Translational Biology

Author and Curator: Larry H Bernstein, MD, FCAP

 

The foregoing  summary leads to a beginning as it is a conclusion.  It concludes a body of work in the e-book series,

Series C: e-Books on Cancer & Oncology

Series C Content Consultant: Larry H. Bernstein, MD, FCAP

 

VOLUME ONE 

Cancer Biology and Genomics for Disease Diagnosis

2014

Stephen J. Williams, PhD, Senior Editor

sjwilliamspa@comcast.net

Tilda Barliya, PhD, Editor

tildabarliya@gmail.com

Ritu Saxena, PhD, Editor

ritu.uab@gmail.com

Leaders in Pharmaceutical Business Intelligence 

that has been presented by the cancer team of professional experts, e-Book concept was conceived by Aviva Lev-Ari, PhD, RN, e-Series Editor-in-Chief and Founder of Leaders in Pharmaceutical Business Intelligence 

and the Open Access Online Scientific Journal

http://pharmaceuticalintelligence.com

Stephen J. Williams, PhD, Senior Editor, and other notable contributors in  various aspects of cancer research in the emerging fields of targeted  pharmacology,  nanotechnology, cancer imaging, molecular pathology, transcriptional and regulatory ‘OMICS’, metabolism, medical and allied health related sciences, synthetic biology, pharmaceutical discovery, and translational medicine.

This  volume and its content have been conceived and organized to capture the organized events that emerge in embryological development, leading to the major organ systems that we recognize anatomically and physiologically as an integrated being.  We capture the dynamic interactions between the systems under stress  that are elicited by cytokine-driven hormonal responses, long thought to be circulatory and multisystem, that affect the major compartments of  fat and lean body mass, and are as much the drivers of metabolic pathway changes that emerge as epigenetics, without disregarding primary genetic diseases.

The greatest difficulty in organizing such a work is in whether it is to be merely a compilation of cancer expression organized by organ systems, or whether it is to capture developing concepts of underlying stem cell expressed changes that were once referred to as “dedifferentiation”.  In proceeding through the stages of neoplastic transformation, there occur adaptive local changes in cellular utilization of anabolic and catabolic pathways, and a retention or partial retention of functional specificities.

This  effectively results in the same cancer types not all fitting into the same “shoe”. There is a sequential loss of identity associated with cell migration, cell-cell interactions with underlying stroma, and metastasis., but cells may still retain identifying “signatures” in microRNA combinatorial patterns.  The story is still incomplete, with gaps in our knowledge that challenge the imagination.

What we have laid out is a map with substructural ordered concepts forming subsets within the structural maps.  There are the traditional energy pathways with terms aerobic and anaerobic glycolysis, gluconeogenesis, triose phosphate branch chains, pentose shunt, and TCA cycle vs the Lynen cycle, the Cori cycle, glycogenolysis, lipid peroxidation, oxidative stress, autosomy and mitosomy, and genetic transcription, cell degradation and repair, muscle contraction, nerve transmission, and their involved anatomic structures (cytoskeleton, cytoplasm, mitochondria, liposomes and phagosomes, contractile apparatus, synapse.

Then there is beneath this macro-domain the order of signaling pathways that regulate these domains and through mechanisms of cellular regulatory control have pleiotropic inhibitory or activation effects, that are driven by extracellular and intracellular energy modulating conditions through three recognized structures: the mitochondrial inner membrane, the intercellular matrix, and the ion-channels.

What remains to be done?

  1. There is still to be elucidated the differences in patterns within cancer types the distinct phenotypic and genotypic features  that mitigate anaplastic behavior. One leg of this problem lies in the density of mitochondria, that varies between organ types, but might vary also within cell type of a common function.  Another leg of this problem has also appeared to lie in the cell death mechanism that relates to the proeosomal activity acting on both the ribosome and mitochondrion in a coordinated manner.  This is an unsolved mystery of molecular biology.

 

  1. Then there is a need to elucidate the major differences between tumors of endocrine, sexual, and structural organs, which are distinguished by primarily a synthetic or primarily a catabolic function, and organs that are neither primarily one or the other.  For example, tumors of the thyroid and paratnhyroids, islet cells of pancreas, adrenal cortex, and pituitary glands have the longest 5 year survivals.  They and the sexual organs are in the visceral compartment.  The rest of the visceral compartment would be the liver, pancreas, salivary glands, gastrointestinal tract, and lungs (which are embryologically an outpouching of the gastrointestinal tract), kidneys and lower urinary tract.  Cancers of these organs have a much less favorable survival (brain, breast and prostate, lymphatic, blood forming organ, skin).  The case  is intermediate for breast and prostate between the endocrine organs and GI tract, based on natural history, irrespective of the available treatments.  Just consider the dilemma over what we do about screening for prostate cancer in men over the age of 60 years age who have a 70 percent incident silent carcinoma of the prostate that could be associated with unrelated cause of death.  The very rapid turnover of the gastric and colonic GI epithelium, and of the  subepithelial  B cell mucosal lymphocytic structures  is associated  with a greater aggressiveness of the tumor.

 

  1. However, we  have to reconsider the observation by NO Kaplan than the synthetic and catabolic functions are highlighted by differences in the expressions of the balance of  the two major pyridine nucleotides – DPN (NAD) and TPN (NADP) – which also might be related to the density of mitochondria  which is associated with both NADP and synthetic activity, and  with efficient aerobic function.  These are in an equilibrium through the “transhydrogenase reaction” co-discovered by Kaplan, in Fritz Lipmann’s laboratory. There does  arise a conundrum involving the regulation of mitochondria in these high turnover epithelial tissues  that rely on aerobic energy, and generate ATP through TPN linked activity, when they undergo carcinogenesis. The cells  replicate and they become utilizers of glycolysis, while at the same time, the cell death pathway is quiescent. The result becomes the introduction of peripheral muscle and liver synthesized protein cannabolization (cancer cachexia) to provide glucose  from proteolytic amino acid sources.

 

  1. There is also the structural compartment of the lean body mass. This is the heart, skeletal  structures (includes smooth muscle of GI tract, uterus, urinary bladder, brain, bone, bone marrow).  The contractile component is associated with sarcomas.  What is most striking is that the heart, skeletal muscle, and inflammatory cells are highly catabolic, not anabolic.  NO Kaplan referred tp them as DPN (NAD) tissues. This compartment requires high oxygen supply, and has a high mechanical function. But again, we return to the original observations of enrgy requirements at rest being different than at high demand.  At work, skeletal muscle generates lactic acid, but the heart can use lactic acid as fuel,.

 

  1. The liver is supplied by both the portal vein and the hepatic artery, so it is not prone to local ischemic injury (Zahn infarct). It is exceptional in that it carries out synthesis of all the circulating transport proteins, has a major function in lipid synthesis and in glycogenesis and glycogenolysis, with the added role of drug detoxification through the P450 system.  It is not only the largest organ (except for brain), but is highly active both anabolically and catabolically (by ubiquitilation).
  2. The expected cellular turnover rates for these tissues and their balance of catabolic and anabolic function would have to be taken into account to account for the occurrence and the activities of oncogenesis. This is by no means a static picture, but a dynamic organism constantly in flux imposed by internal and external challenges.  It is also important to note the the organs have a concentration of mitochondria, associated with energy synthetic and catabolic requirements provided by oxygen supply and the electron transport mechanism for oxidative phosphorylation.  For example, tissues that are primarily synthetic do not have intermitent states of resting and high demand, as seen in skeletal muscle, or perhaps myocardium (which is syncytial and uses lactic acid generated from skeletal muscle when there is high demand).
  3. The existence of  lncDNA has been discovered only as a result of the human genome project (HGP). This was previously known only as “dark DNA”.  It has become clear that lncDNA has an important role in cellular regulatory activities centered in the chromatin modeling.  Moreover, just as proteins exhibit functionality in their folding, related to tertiary structure and highly influenced by location of –S-S- bridges and amino acid residue distances (allosteric effects), there is a less studied effect as the chromatin becomes more compressed within the nucleus, that should have a bearing on cellular expression.

According to Jose Eduardo de Salles Roselino , when the Na/Glucose transport system (for a review Silvermann, M. in Annu. Rev. Biochem.60: 757-794(1991)) was  found in kidneys as well as in key absorptive cells of digestive tract, it should be stressed its functional relationship with “internal milieu” and real meaning, homeostasis. It is easy to understand how the major topic was presented as how to prevent diarrheal deaths in infants, while detected in early stages. However, from a biochemical point of view, as presented in Schrödinger´s What is life?, (biochemistry offering a molecular view for two legs of biology, physiology and genetics). Why should it be driven to the sole target of understanding genetics? Why the understanding of physiology in molecular terms should be so neglected?

From a biochemical point of view, here in a single protein. It is found the transport of the cation most directly related to water maintenance, the internal solvent that bath our cells and the hydrocarbon whose concentration is kept under homeostatic control on that solvent. Completely at variance with what is presented in microorganisms as previously mentioned in Moyed and Umbarger revision (Ann. Rev42: 444(1962)) that does not regulates the environment where they live and appears to influence it only as an incidental result of their metabolism.

In case any attempt is made in order to explain why the best leg that supports scientific reasoning from biology for medical purposes was led to atrophy, several possibilities can be raised. However, none of them could be placed strictly in scientific terms. Factors that bare little relationship with scientific progress in general terms must also be taken into account.

One simple possibility of explanation can be found in one review (G. Scatchard – Solutions of Electrolytes Ann. Rev. Physical Chemistry 14: 161-176 (1963)).  A simple reading of it and the sophisticated differences among researchers will discourage one hundred per cent of biologists to keep in touch with this line of research. Biochemists may keep on reading.  However, consider that first: Complexity is not amenable to reductionist vision in all cases. Second, as coupling between scalar flows such as chemical reactions and vector flows such as diffusion flows, heat flows, and electrical current can occur only in anisotropic system…let them with their problems of solvents, ions and etc. and let our biochemical reactions on another basket. At the interface, for instance, at membrane level, we will agree that ATP is converted to ADP because it is far from equilibrium and the continuous replenishment of ATP that maintain relatively constant ATP levels inside the cell and this requires some non-stationary flow.

Our major point must be to understand that our biological limits are far clearer present in our limited ability to regulate the information stored in the DNA than in the amount of information we have in the DNA as the master regulator of the cells.

The amazing revelation that Masahiro Chiga   (discovery of liver adenylate kinase  distinct from that of muscle) taught  me (LHB) is – draw 2 circles  that intersect, one of which represents what we know, the other – what we don’t know.  We don’t teach how much we don’t know!  Even today, as much as 40 years ago, there is a lot we need to get on top of this.

 

The observation is rather similar to the presentations I  (Jose Eduardo de Salles Rosalino) was previously allowed to make of the conformational energy as made by R Marcus in his Nobel lecture revised (J. of  Electroanalytical Chemistry 438:(1997) p251-259. His description of the energetic coordinates of a landscape of a chemical reaction is only a two-dimensional cut of what in fact is a volcano crater (in three dimensions) ( each one varie but the sum of the two is constant. Solvational+vibrational=100% in ordinate) nuclear coordinates in abcissa. In case we could represent it by research methods that allow us to discriminate in one by one degree of different pairs of energy, we would most likely have 360 other similar representations of the same phenomenon. The real representation would take into account all those 360 representation together. In case our methodology was not that fine, for instance it discriminate only differences of minimal 10 degrees in 360 possible, will have 36 partial representations of something that to be perfectly represented will require all 36 being taken together. Can you reconcile it with ATGC? Yet, when complete genome sequences were presented they were described as we will know everything about this living being. The most important problems in biology will be viewed by limited vision always and the awareness of this limited is something we should acknowledge and teach it. Therefore, our knowledge is made up of partial representations.

 

Even though we may have complete genome data for the most intricate biological problems, they are not so amenable to this level of reductionism. However, from general views of signals and symptoms we could get to the most detailed molecular view and in this case the genome provides an anchor. This is somehow, what Houssay was saying to me and to Leloir when he pointed out that only in very rare occasions biological phenomena could be described in three terms: Pacco, the dog and the anesthetic (previous e-mail). The non-coding region, to me will be important guiding places for protein interactions.

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