USE OF AMNIOTIC FLUID PEPTIDES FOR PREDICTING POSTNATAL RENAL FUNCTION IN CONGENITAL ANOMALIES OF THE KIDNEY AND THE URINARY TRACT

    公开(公告)号:WO2020053380A1

    公开(公告)日:2020-03-19

    申请号:PCT/EP2019/074472

    申请日:2019-09-13

    Abstract: Bilateral congenital anomalies of the kidney and urinary tract (CAKUT) are the main cause of childhood chronic kidney disease (CKD). Accurate and non-biased prenatal prediction of postnatal disease evolution is currently lacking, but is essential for prenatal counseling and disease management. Here the inventors aimed to develop an objective and quantifiable risk prediction method based on amniotic fluid (AF) peptides. 178 fetuses with bilateral CAKUT were included in a prospective multicenter study. The AF peptide content was studied using capillary electrophoresis coupled to mass spectrometry. The endpoint was early-onset renal failure (CKD stage 3-5) or death due to end-stage renal disease at two years of age. Among the ~7000 peptide candidates, 98 were associated with early severe renal failure. The most frequently found peptides associated with severe disease were fragments from extracellular matrix proteins and thymosin-P4. Combination of those 98 peptides in a classifier lead to the prediction of postnatal renal outcome in a blinded validation set of 51 patients with a 88% (95%CI: 64-98) sensitivity, 97% (95%CI: 85-100) specificity and an AUC of 0.96 (95%CI: 0.87-1.00), outperforming predictions based on currently used clinical methods. The classifier also predicted normal postnatal renal function in 75% of terminated pregnancies where fetopathology showed kidneys compatible with normal life. Analysis of AF peptides thus allows a precise and quantifiable prediction of postnatal renal function in bilateral CAKUT with potential major impact on pre- and postnatal disease management.

    PHARMACEUTICAL COMPOSITIONS FOR THE TREATMENT OF CHEMORESISTANT ACUTE MYELOID LEUKEMIA (AML)
    6.
    发明申请
    PHARMACEUTICAL COMPOSITIONS FOR THE TREATMENT OF CHEMORESISTANT ACUTE MYELOID LEUKEMIA (AML) 审中-公开
    用于治疗化疗敏感性急性髓细胞性白血病(AML)的药物组合物

    公开(公告)号:WO2017191300A1

    公开(公告)日:2017-11-09

    申请号:PCT/EP2017/060756

    申请日:2017-05-05

    Abstract: The present invention relates to pharmaceutical compositions for use in the treatment of chemoresistant acute myeloid leukemia (AML). The inventors have established a powerful preclinical model to screen in vivo responses to conventional genotoxics and to mimic the chemoresistance and minimal residual disease as observed in AML patients after chemotherapy. The inventors showed that cytarabine-resistance mechanism involves the CD39-dependent crosstalk between energetic niche and AML mitochondrial functions through CD39-P2Y13-cAMP-PKA signaling axis. In particular, the present invention relates to an inhibitor of the CD39-P2Y13-cAMP-PKA signaling axis for use in a method of treating chemoresistant acute myeloid leukemia (AML) in a patient in need thereof comprising administering to the patient a therapeutically effective amount of said inhibitor.

    Abstract translation: 本发明涉及用于治疗化学抗性急性骨髓性白血病(AML)的药物组合物。 发明人已经建立了强大的临床前模型来筛选对常规基因毒素的体内应答,并且模拟化疗后在AML患者中观察到的化学抗性和微小残留疾病。 发明人表明,阿糖胞苷抗性机制涉及通过CD39-P2Y13-cAMP-PKA信号轴在高能生态位和AML线粒体功能之间的CD3​​9依赖性串扰。 具体而言,本发明涉及CD39-P2Y13-cAMP-PKA信号轴的抑制剂,用于在需要治疗的患者中治疗化学抗性急性骨髓性白血病(AML)的方法中,所述方法包括向患者施用治疗有效量 的所述抑制剂。

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