Bitesize Breakthroughs
The latest news and research in pathology and laboratory medicine
Benchmarking Exercise
To improve genome sequencing information for diagnosing and treating disease, researchers have used the Genome in a Bottle Consortium’s variant benchmark sets to characterize challenging autosomal genes (1). They found that false duplications in GRCh37 or GRCh38 may lead to missed variants for short- and long-read technologies in relevant genes.
Algorithmic Assistance
Researchers have developed a new tool to predict liver cancer risk in hepatitis C patients using only a single test (2). The team used simple algorithms that incorporate post-treatment liver stiffness, albumin levels, and age to accurately identify at-risk patients. The algorithm can also take into account alpha-fetoprotein levels and alcohol consumption.
Vive la Résistance
Like other multicellular organisms, Trichoplax adhaerens should be vulnerable to cancer – but no cases have yet been reported. Researchers have investigated the organism’s resistance to cancer and found they are able to withstand high levels of radiation damage (3), potentially due to the overexpression of genes involved in DNA repair and apoptosis.
Breaking the Cycle
About 20 percent of patients with human papillomavirus (HPV)-driven oropharyngeal squamous cell carcinoma (OPSCC) experience recurrence within five years of treatment. New research into a circulating cell-free tumor tissue modified HPV DNA test has demonstrated its clinical validity and utility in predicting and identifying recurrent HPV-driven OPSCC (4).
Anticipating Resistance
Researchers have built machine learning models to predict individuals’ risk of developing resistance to specific antibiotics (5). By combining data from 140,349 urinary tract infections and 7,365 wound infections with whole-genome sequencing of 1,113 pre- and post-treatment bacterial isolates, they identified alternative susceptibility-matched antibiotics with lower predicted resistance risk.
Breakthrough Responses
Researchers have investigated neutralizing antibody responses after breakthrough infection with Omicron and Delta SARS-CoV-2 variants in vaccinated individuals (non-boosted and boosted). They found that infection raised antibody responses overall, but the effect increased with more clinically severe infection (6). Breakthrough Delta infection raised Delta-specific titers to wild-type levels, whereas Omicron breakthroughs induced responses comparable to Delta levels.
- J Wagner et al., Nat Biotechnol, [Online ahead of print] (2022). PMID: 35132260.
- G Semmler et al., J Hepatol, [Online ahead of print] (2021). PMID: 34871626.
- A Fortunato et al., PLoS Biol, 19, e3001471 (2021). PMID: 34788294.
- GJ Hanna et al, “Detection of Occult Recurrence Using Circulating HPV Tumor DNA Among Patients Treated for HPV-driven Oropharyngeal Squamous Cell Carcinoma.” Paper presented at the 2022 Multidisciplinary Head and Neck Cancers Symposium; 24–26 February 2022; Phoenix, USA.
- M Stracy et al., Science, 375, 889 (2022). PMID: 35201862.
- V Servellita et al., [Preprint] (2022).
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