2 30705973 Further, approximately 74%-88% of patients with MG have anti-acetylcholine receptor (AChR) antibodies that bind to postsynaptic membrane and induce complement-mediated injury. ('antibodies', 'Var', (91, 101)) ('AChR', 'Gene', (85, 89)) ('induce', 'Reg', (141, 147)) ('patients', 'Species', '9606', (34, 42)) ('complement-mediated', 'CPA', (148, 167)) 4 30705973 Herein, we report the case of refractory thymoma-associated generalized MG with anti-AChR and anti-striational antibodies. ('anti-striational', 'Var', (94, 110)) ('anti-AChR', 'Var', (80, 89)) ('thymoma', 'Disease', 'MESH:D013945', (41, 48)) ('thymoma', 'Disease', (41, 48)) ('thymoma', 'Phenotype', 'HP:0100522', (41, 48)) ('generalized MG', 'Disease', (60, 74)) 33 30705973 Presence of these antibodies is associated with severe manifestations of MG including complications of myositis and cardiomyositis. ('myositis and cardiomyositis', 'Disease', 'MESH:D009220', (103, 130)) ('myositis', 'Phenotype', 'HP:0100614', (103, 111)) ('associated', 'Reg', (32, 42)) ('myositis', 'Phenotype', 'HP:0100614', (122, 130)) ('Presence', 'Var', (0, 8)) 59 27167980 PBMC from 6 thymoma patients with autoantibodies to IL-12/23 p40 (thymoma positive), 4 thymoma patients without autoantibodies (thymoma negative), three HIES adults with confirmed STAT3 deficiency (V637M, R417S, G618D) and 16 adult controls were isolated using Ficoll (GE Health, UK) according to manufacturer protocol. ('HIES', 'Disease', (153, 157)) ('thymoma', 'Phenotype', 'HP:0100522', (12, 19)) ('R417S', 'Mutation', 'p.R417S', (205, 210)) ('thymoma', 'Disease', (66, 73)) ('thymoma', 'Disease', 'MESH:D013945', (128, 135)) ('thymoma', 'Phenotype', 'HP:0100522', (66, 73)) ('R417S', 'Var', (205, 210)) ('STAT3 deficiency', 'Disease', (180, 196)) ('STAT3 deficiency', 'Disease', 'MESH:D007153', (180, 196)) ('thymoma', 'Disease', 'MESH:D013945', (87, 94)) ('patients', 'Species', '9606', (20, 28)) ('thymoma', 'Disease', (128, 135)) ('HIES', 'Disease', 'MESH:D007589', (153, 157)) ('V637M', 'Mutation', 'rs113994139', (198, 203)) ('V637M', 'Var', (198, 203)) ('thymoma', 'Phenotype', 'HP:0100522', (128, 135)) ('IL-12/23', 'Gene', (52, 60)) ('G618D', 'Mutation', 'p.G618D', (212, 217)) ('p40', 'Gene', '3578', (61, 64)) ('thymoma', 'Disease', 'MESH:D013945', (12, 19)) ('thymoma', 'Disease', (87, 94)) ('thymoma', 'Phenotype', 'HP:0100522', (87, 94)) ('p40', 'Gene', (61, 64)) ('patients', 'Species', '9606', (95, 103)) ('thymoma', 'Disease', 'MESH:D013945', (66, 73)) ('thymoma', 'Disease', (12, 19)) ('G618D', 'Var', (212, 217)) 90 27167980 Further observations on other immunodeficiencies with similar clinical features and/or systemic Th17 deficiencies are required to better understand the role of innate and conventional T cell compartments in the protection against infectious disease. ('immunodeficiencies', 'Disease', 'MESH:D007153', (30, 48)) ('immunodeficiencies', 'Disease', (30, 48)) ('immunodeficiencies', 'Phenotype', 'HP:0002721', (30, 48)) ('infectious disease', 'Disease', (230, 248)) ('deficiencies', 'Var', (101, 113)) ('infectious disease', 'Disease', 'MESH:D003141', (230, 248)) 131 30507309 The combination of NICs and lambdaHU had higher sensitivity and specificity than did those of conventional qualitative CT image analysis during the combined phases. ('CT', 'Chemical', 'MESH:D002251', (119, 121)) ('NICs', 'Chemical', '-', (19, 23)) ('sensitivity', 'MPA', (48, 59)) ('higher', 'PosReg', (41, 47)) ('NICs', 'Var', (19, 23)) 271 31143343 Several studies revealed that using antibiotics should be used with caution, there are specific antibiotics that may cause muscle weakness due to their ability to produce partial neuromuscular blockade through inhibiting acetylcholine release from the presynaptic membrane. ('muscle weakness', 'Disease', (123, 138)) ('partial neuromuscular blockade', 'MPA', (171, 201)) ('acetylcholine', 'Chemical', 'MESH:D000109', (221, 234)) ('muscle weakness', 'Phenotype', 'HP:0001324', (123, 138)) ('inhibiting', 'NegReg', (210, 220)) ('muscle weakness', 'Disease', 'MESH:D018908', (123, 138)) ('antibiotics', 'Var', (96, 107)) 392 29984771 Resection of the thymoma led to the improvement of the neurologic symptoms typical of PERM, as well as a reduction in the GlyR-Ab titers. ('GlyR-Ab', 'Chemical', '-', (122, 129)) ('PERM', 'Disease', (86, 90)) ('Resection', 'Var', (0, 9)) ('thymoma', 'Disease', 'MESH:D013945', (17, 24)) ('thymoma', 'Disease', (17, 24)) ('improvement', 'PosReg', (36, 47)) ('neurologic symptoms', 'MPA', (55, 74)) ('reduction', 'NegReg', (105, 114)) ('thymoma', 'Phenotype', 'HP:0100522', (17, 24)) ('GlyR-Ab titers', 'MPA', (122, 136)) 402 29984771 PDGFR alpha is mutated in about 5% of GISTs that are negative for c-kit mutations and therefore has constitutive kinase activity. ('PDGFR alpha', 'Gene', (0, 11)) ('constitutive kinase activity', 'MPA', (100, 128)) ('GIST', 'Phenotype', 'HP:0100723', (38, 42)) ('mutated', 'Var', (15, 22)) ('PDGFR alpha', 'Gene', '5156', (0, 11)) 403 29984771 Since PDGFR alpha and beta can function as a heterodimer, it is conceivable that an autoimmune reaction to PDGFRs might occur in the presence of a GIST expressing a mutant PDGFR alpha. ('PDGFR alpha', 'Gene', (172, 183)) ('PDGFR', 'Gene', '5159', (172, 177)) ('mutant', 'Var', (165, 171)) ('PDGFR alpha', 'Gene', (6, 17)) ('GIST', 'Phenotype', 'HP:0100723', (147, 151)) ('autoimmune reaction', 'Phenotype', 'HP:0002960', (84, 103)) ('PDGFR', 'Gene', (6, 11)) ('PDGFR', 'Gene', '5159', (6, 11)) ('PDGFR alpha', 'Gene', '5156', (6, 17)) ('PDGFR alpha', 'Gene', '5156', (172, 183)) ('PDGFR', 'Gene', (107, 112)) ('function', 'Reg', (31, 39)) ('PDGFR', 'Gene', '5159', (107, 112)) ('PDGFR', 'Gene', (172, 177)) 405 29984771 Knockout of PDGF-B and PDGFR beta in mice was lethal to embryos, which showed microaneurysms and severe edema. ('edema', 'Disease', 'MESH:D004487', (104, 109)) ('edema', 'Phenotype', 'HP:0000969', (104, 109)) ('PDGF-B', 'Gene', (12, 18)) ('microaneurysms', 'Disease', (78, 92)) ('PDGFR beta', 'Gene', (23, 33)) ('edema', 'Disease', (104, 109)) ('PDGF-B', 'Gene', '18591', (12, 18)) ('Knockout', 'Var', (0, 8)) ('microaneurysms', 'Disease', 'MESH:D000071071', (78, 92)) ('mice', 'Species', '10090', (37, 41)) 431 30010142 Since 2001 and 2011, two new subgroups of patients have been characterized with autoantibodies against other components of the NMJ: respectively, the muscle-specific kinase (MuSK) and the low-density lipoprotein-related protein 4 (LRP4). ('autoantibodies', 'Var', (80, 94)) ('muscle-specific kinase', 'Gene', '4593', (150, 172)) ('lipoprotein-related protein 4', 'Gene', '4038', (200, 229)) ('LRP4', 'Gene', (231, 235)) ('muscle-specific kinase', 'Gene', (150, 172)) ('patients', 'Species', '9606', (42, 50)) ('lipoprotein-related protein 4', 'Gene', (200, 229)) 446 30010142 MG with anti-MuSK antibodies corresponds to about 5% of the MG patients (Table 1). ('anti-MuSK', 'Protein', (8, 17)) ('anti-MuSK antibodies', 'Phenotype', 'HP:0030210', (8, 28)) ('MuSK antibodies', 'Phenotype', 'HP:0030210', (13, 28)) ('patients', 'Species', '9606', (63, 71)) ('antibodies', 'Var', (18, 28)) 506 30010142 The results of the MG thymectomy trial (MGTX) confirm the fact that transsternal thymectomy, associated with prednisone, allows a decrease in prednisone requirement in non-thymomatous patients when compared with prednisone alone, and a general alleviation of the disease burden over time. ('prednisone', 'Chemical', 'MESH:D011241', (212, 222)) ('patients', 'Species', '9606', (184, 192)) ('thymoma', 'Disease', 'MESH:D013945', (172, 179)) ('decrease', 'NegReg', (130, 138)) ('prednisone requirement', 'MPA', (142, 164)) ('transsternal', 'Var', (68, 80)) ('prednisone', 'Chemical', 'MESH:D011241', (142, 152)) ('thymoma', 'Disease', (172, 179)) ('thymoma', 'Phenotype', 'HP:0100522', (172, 179)) ('prednisone', 'Chemical', 'MESH:D011241', (109, 119)) 534 30010142 Moreover the use of an anti-CD40L antibody is an effective treatment to suppress EAMG even when it is given during the chronic stage of disease. ('EAMG', 'Chemical', '-', (81, 85)) ('EAMG', 'Disease', (81, 85)) ('anti-CD40L', 'Var', (23, 33)) 581 30010142 Moreover, antibodies against IL-6 suppress EAMG in the rat model when administrated either during the acute or the chronic phase of disease. ('EAMG', 'CPA', (43, 47)) ('IL-6', 'Gene', (29, 33)) ('EAMG', 'Chemical', '-', (43, 47)) ('rat', 'Species', '10116', (78, 81)) ('antibodies', 'Var', (10, 20)) ('suppress', 'NegReg', (34, 42)) ('rat', 'Species', '10116', (55, 58)) 593 30010142 Numerous studies on EAMG models have clearly shown that inhibition of complement pathways effectively and specifically diminish the NMJ destruction induced by anti-AChR antibodies. ('anti-AChR antibodies', 'Protein', (159, 179)) ('complement pathways', 'Pathway', (70, 89)) ('NMJ', 'Disease', (132, 135)) ('diminish', 'NegReg', (119, 127)) ('inhibition', 'Var', (56, 66)) ('EAMG', 'Chemical', '-', (20, 24)) 595 30010142 Moreover, increased complement consumption was detected in MG patients with high AChR antibody concentrations. ('complement consumption', 'MPA', (20, 42)) ('rat', 'Species', '10116', (102, 105)) ('AChR antibody', 'Protein', (81, 94)) ('high', 'Var', (76, 80)) ('patients', 'Species', '9606', (62, 70)) ('increased', 'PosReg', (10, 19)) 641 27855632 The variables used for classification were sex, age of onset, disease duration, presence of thymoma or thymic hyperplasia, positivity for AChR-Ab or anti-muscle-specific tyrosine kinase antibody, positivity for other concurrent autoantibodies, and disease condition at worst and current. ('positivity', 'Var', (123, 133)) ('thymic hyperplasia', 'Phenotype', 'HP:0010516', (103, 121)) ('thymoma or thymic hyperplasia', 'Disease', (92, 121)) ('AChR-Ab', 'Chemical', '-', (138, 145)) ('thymoma', 'Phenotype', 'HP:0100522', (92, 99)) ('AChR-Ab', 'Gene', (138, 145)) ('thymoma or thymic hyperplasia', 'Disease', 'MESH:D013952', (92, 121)) 663 27855632 The other variables evaluated were: sex; age of onset; disease duration; presence of thymoma; presence of thymic hyperplasia in thymectomized cases; positivity for AChR-Ab or MuSK-Ab; and positivity for other concurrent autoantibodies (Table 2). ('AChR-Ab', 'Chemical', '-', (164, 171)) ('AChR-Ab', 'Protein', (164, 171)) ('thymic hyperplasia', 'Disease', 'MESH:D013952', (106, 124)) ('thymoma', 'Disease', (85, 92)) ('thymoma', 'Phenotype', 'HP:0100522', (85, 92)) ('thymic hyperplasia', 'Phenotype', 'HP:0010516', (106, 124)) ('positivity', 'Var', (149, 159)) ('MuSK-Ab', 'Chemical', '-', (175, 182)) ('thymic hyperplasia', 'Disease', (106, 124)) ('MuSK-Ab', 'Gene', (175, 182)) 681 27855632 Patients with MuSK-Ab also showed worst severity at the same level as thymoma-associated MG patients, although this result was not statistically significant because of the small number of patients. ('MuSK-Ab', 'Var', (14, 21)) ('thymoma-associated MG', 'Disease', (70, 91)) ('patients', 'Species', '9606', (92, 100)) ('patients', 'Species', '9606', (188, 196)) ('Patients', 'Species', '9606', (0, 8)) ('thymoma', 'Phenotype', 'HP:0100522', (70, 77)) ('MuSK-Ab', 'Chemical', '-', (14, 21)) 810 24379993 The 2004 WHO classification considers three morphological types of thymoma according to genetic alterations (microsatellite instability, 6q25, 5q21-22 mutations): A, B (B1, B2, and B3), and AB. ('thymoma', 'Phenotype', 'HP:0100522', (67, 74)) ('B (B1, B2, and B3', 'Gene', '931;2925;680', (166, 183)) ('5q21-22 mutations', 'Var', (143, 160)) ('microsatellite instability', 'Var', (109, 135)) ('thymoma', 'Disease', 'MESH:D013945', (67, 74)) ('thymoma', 'Disease', (67, 74)) 866 24379993 Our hypothesis is also highlighted by the clinical and molecular data reported by Aigner, who showed the presence of LKM-3 and UGT 1 antibody (UDP glutamyl-transferase involved in AIH) in the patient's serum, liver, and thymoma tissue. ('patient', 'Species', '9606', (192, 199)) ('UGT 1', 'Gene', (127, 132)) ('thymoma', 'Disease', 'MESH:D013945', (220, 227)) ('thymoma', 'Disease', (220, 227)) ('LKM-3', 'Var', (117, 122)) ('presence', 'Reg', (105, 113)) ('thymoma', 'Phenotype', 'HP:0100522', (220, 227)) ('UGT 1', 'Gene', '7361', (127, 132)) 946 33506159 Anti-PIT-1 hypophysitis (anti-PIT-1 antibody syndrome) is characterized by acquired growth hormone (GH), prolactin (PRL), and thyrotropin (TSH) deficiencies associated with autoimmunity to PIT-1. ('PIT-1', 'Gene', (30, 35)) ('deficiencies', 'Var', (144, 156)) ('growth hormone', 'Gene', (84, 98)) ('PRL', 'Gene', (116, 119)) ('TSH', 'Chemical', 'MESH:D013972', (139, 142)) ('PIT-1 antibody syndrome', 'Disease', 'MESH:D000069281', (30, 53)) ('growth hormone', 'Gene', '2688', (84, 98)) ('prolactin', 'Gene', (105, 114)) ('prolactin', 'Gene', '5617', (105, 114)) ('PIT-1', 'Gene', (5, 10)) ('PIT-1', 'Gene', '5449', (189, 194)) ('PIT-1 hypophysitis', 'Disease', 'MESH:C536528', (5, 23)) ('autoimmunity', 'Phenotype', 'HP:0002960', (173, 185)) ('PIT-1', 'Gene', '5449', (5, 10)) ('PIT-1 antibody syndrome', 'Disease', (30, 53)) ('PIT-1', 'Gene', (189, 194)) ('PIT-1', 'Gene', '5449', (30, 35)) ('PIT-1 hypophysitis', 'Disease', (5, 23)) ('PRL', 'Gene', '5617', (116, 119)) ('GH', 'Gene', '2688', (100, 102)) 1011 33506159 Generally, ectopic antigen presentation in tumors evokes disruption of immune tolerance, causing autoimmunity. ('autoimmunity', 'Phenotype', 'HP:0002960', (97, 109)) ('evokes', 'Reg', (50, 56)) ('tumor', 'Phenotype', 'HP:0002664', (43, 48)) ('immune tolerance', 'CPA', (71, 87)) ('ectopic', 'Var', (11, 18)) ('tumors', 'Disease', (43, 49)) ('tumors', 'Phenotype', 'HP:0002664', (43, 49)) ('causing', 'Reg', (89, 96)) ('tumors', 'Disease', 'MESH:D009369', (43, 49)) 1012 33506159 In previous cases of anti-PIT-1 hypophysitis, ectopic expression of PIT-1 in thymoma tissue has eventually led to the production of autoreactive PIT-1-specific CTLs as well as circulating autoantibodies. ('PIT-1', 'Gene', '5449', (145, 150)) ('PIT-1 hypophysitis', 'Disease', 'MESH:C536528', (26, 44)) ('thymoma', 'Disease', (77, 84)) ('PIT-1', 'Gene', (68, 73)) ('led to', 'Reg', (107, 113)) ('thymoma', 'Phenotype', 'HP:0100522', (77, 84)) ('ectopic expression', 'Var', (46, 64)) ('PIT-1 hypophysitis', 'Disease', (26, 44)) ('PIT-1', 'Gene', '5449', (26, 31)) ('PIT-1', 'Gene', (145, 150)) ('PIT-1', 'Gene', '5449', (68, 73)) ('thymoma', 'Disease', 'MESH:D013945', (77, 84)) ('PIT-1', 'Gene', (26, 31)) 1017 33506159 These data also suggest that anti-PIT-1 hypophysitis is a form of paraneoplastic syndrome that may be associated with several malignancies, including breast cancer and gastric cancer, because ectopic expression of PIT-1 has been reported in these tumors. ('tumor', 'Phenotype', 'HP:0002664', (247, 252)) ('tumors', 'Disease', (247, 253)) ('breast cancer', 'Phenotype', 'HP:0003002', (150, 163)) ('ectopic', 'Var', (192, 199)) ('cancer', 'Phenotype', 'HP:0002664', (176, 182)) ('PIT-1', 'Gene', '5449', (34, 39)) ('gastric cancer', 'Disease', 'MESH:D013274', (168, 182)) ('breast cancer', 'Disease', 'MESH:D001943', (150, 163)) ('tumors', 'Disease', 'MESH:D009369', (247, 253)) ('breast cancer', 'Disease', (150, 163)) ('PIT-1', 'Gene', (34, 39)) ('malignancies', 'Disease', 'MESH:D009369', (126, 138)) ('associated', 'Reg', (102, 112)) ('PIT-1', 'Gene', '5449', (214, 219)) ('gastric cancer', 'Phenotype', 'HP:0012126', (168, 182)) ('paraneoplastic syndrome', 'Disease', (66, 89)) ('malignancies', 'Disease', (126, 138)) ('PIT-1', 'Gene', (214, 219)) ('cancer', 'Phenotype', 'HP:0002664', (157, 163)) ('tumors', 'Phenotype', 'HP:0002664', (247, 253)) ('PIT-1 hypophysitis', 'Disease', 'MESH:C536528', (34, 52)) ('paraneoplastic syndrome', 'Disease', 'MESH:D010257', (66, 89)) ('gastric cancer', 'Disease', (168, 182)) ('PIT-1 hypophysitis', 'Disease', (34, 52)) 1025 32215054 Suitable indications of eculizumab for patients with refractory generalized myasthenia gravis Eculizumab is a humanized monoclonal antibody that targets complement protein C5 and inhibits terminal complement-mediated damage at the neuromuscular junction. ('myasthenia gravis', 'Disease', (76, 93)) ('men', 'Species', '9606', (203, 206)) ('men', 'Species', '9606', (159, 162)) ('patients', 'Species', '9606', (39, 47)) ('inhibits', 'NegReg', (179, 187)) ('complement protein C5', 'Protein', (153, 174)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (76, 93)) ('human', 'Species', '9606', (110, 115)) ('Eculizumab', 'Var', (94, 104)) ('myasthenia', 'Phenotype', 'HP:0003473', (76, 86)) ('Eculizumab', 'Chemical', 'MESH:C481642', (94, 104)) 1044 32215054 In this disease, the complement-mediated pathological membrane changes reduce the efficiency of neurotransmission at the neuromuscular junction, resulting in the characteristic muscle weakness and fatigability. ('reduce', 'NegReg', (71, 77)) ('fatigability', 'CPA', (197, 209)) ('muscle weakness', 'Phenotype', 'HP:0001324', (177, 192)) ('muscle weakness', 'Disease', 'MESH:D018908', (177, 192)) ('muscle weakness', 'Disease', (177, 192)) ('changes', 'Var', (63, 70)) ('men', 'Species', '9606', (27, 30)) 1046 32215054 Patients with refractory gMG might also have frequent exacerbations, which can be life-threatening, require admission to a hospital or intensive care, and cause episodes of respiratory failure that require mechanical ventilation. ('respiratory failure', 'Disease', (173, 192)) ('respiratory failure', 'Disease', 'MESH:D012131', (173, 192)) ('exacerbations', 'MPA', (54, 67)) ('refractory gMG', 'Var', (14, 28)) ('Patients', 'Species', '9606', (0, 8)) ('MG', 'Chemical', 'MESH:D008274', (26, 28)) ('episodes of respiratory failure', 'Phenotype', 'HP:0004885', (161, 192)) ('cause', 'Reg', (155, 160)) ('respiratory failure', 'Phenotype', 'HP:0002878', (173, 192)) ('respiratory failure that require mechanical ventilation', 'Phenotype', 'HP:0004887', (173, 228)) 1148 32215054 In addition, a single missense C5 heterozygous mutation (c.2654G>A) was identified as a poor responder to eculizumab in patients with paroxysmal nocturnal hemoglobinuria. ('hemoglobinuria', 'Phenotype', 'HP:0003641', (155, 169)) ('paroxysmal nocturnal hemoglobinuria', 'Disease', 'MESH:D006457', (134, 169)) ('patients', 'Species', '9606', (120, 128)) ('c.2654G>A', 'Var', (57, 66)) ('c.2654G>A', 'Mutation', 'c.2654G>A', (57, 66)) ('paroxysmal nocturnal hemoglobinuria', 'Disease', (134, 169)) ('paroxysmal nocturnal hemoglobinuria', 'Phenotype', 'HP:0004818', (134, 169)) ('eculizumab', 'Chemical', 'MESH:C481642', (106, 116)) 1183 30697585 MG onset was defined as the earlier of 2 dates: (1) the date of development of weakness with increased fatigability of skeletal muscles (e.g., fluctuating diplopia, ptosis, or skeletal muscle power) or (2) the date of detection of abnormality on RNS or an SFEMG in weakened muscles. ('weakness', 'Disease', (79, 87)) ('diplopia', 'Phenotype', 'HP:0000651', (155, 163)) ('fatigability', 'MPA', (103, 115)) ('weakness', 'Disease', 'MESH:D018908', (79, 87)) ('ptosis', 'Disease', (165, 171)) ('ptosis', 'Phenotype', 'HP:0000508', (165, 171)) ('diplopia', 'Disease', 'MESH:D004172', (155, 163)) ('increased fatigability', 'Phenotype', 'HP:0003388', (93, 115)) ('diplopia', 'Disease', (155, 163)) ('abnormality', 'Var', (231, 242)) ('fatigability of skeletal muscles', 'Phenotype', 'HP:0030197', (103, 135)) ('ptosis', 'Disease', 'MESH:C564553', (165, 171)) 1203 30697585 Four thymomatous patients with normal RNS tests on extremities presented with rapid progression of weakness with acute markedly elevated serum CK levels (1,008-10,226 IU/L) at IM development (rhabdomyolysis-like features) and required ventilator support. ('thymoma', 'Disease', 'MESH:D013945', (5, 12)) ('markedly elevated serum CK levels', 'Phenotype', 'HP:0030234', (119, 152)) ('weakness', 'Disease', (99, 107)) ('thymoma', 'Disease', (5, 12)) ('rhabdomyolysis', 'Disease', 'MESH:D012206', (192, 206)) ('weakness', 'Disease', 'MESH:D018908', (99, 107)) ('IM', 'Phenotype', 'HP:0009071', (176, 178)) ('thymoma', 'Phenotype', 'HP:0100522', (5, 12)) ('CK', 'Gene', '51727', (143, 145)) ('rhabdomyolysis', 'Disease', (192, 206)) ('patients', 'Species', '9606', (17, 25)) ('rhabdomyolysis', 'Phenotype', 'HP:0003201', (192, 206)) ('1,008-10,226', 'Var', (154, 166)) ('elevated serum CK', 'Phenotype', 'HP:0003236', (128, 145)) ('elevated', 'PosReg', (128, 136)) 1210 30697585 The serum testing for autoantibodies demonstrated anti-AChR Ab (9/10), MSAs (0/9), and anti-titin Ab (6/8). ('MSA', 'Chemical', '-', (71, 74)) ('titin', 'Gene', '7273', (92, 97)) ('anti-AChR', 'Var', (50, 59)) ('titin', 'Gene', (92, 97)) ('MSAs', 'Disease', (71, 75)) 1282 30697585 However, a previous report has shown that genetic polymorphisms of CTLA-4 are associated with thymomatous MG patients. ('associated', 'Reg', (78, 88)) ('patients', 'Species', '9606', (109, 117)) ('thymomatous MG', 'Disease', 'MESH:D000080343', (94, 108)) ('CTLA-4', 'Gene', (67, 73)) ('thymomatous MG', 'Disease', (94, 108)) ('genetic polymorphisms', 'Var', (42, 63)) ('thymoma', 'Phenotype', 'HP:0100522', (94, 101)) 1354 28275751 Type B2 is most frequently observed thymoma type in patients with MG. Okumura et al. ('thymoma', 'Phenotype', 'HP:0100522', (36, 43)) ('thymoma type', 'Disease', 'MESH:D013945', (36, 48)) ('MG.', 'Var', (66, 69)) ('thymoma type', 'Disease', (36, 48)) ('patients', 'Species', '9606', (52, 60)) 1361 28275751 Though earlier studies reported presence of MG as an indicator of poor prognosis, recent publications have demonstrated that presence of MG may not affect prognosis or that, in fact, these thymoma patients may have a better prognosis. ('thymoma', 'Gene', '7063', (189, 196)) ('patients', 'Species', '9606', (197, 205)) ('presence', 'Var', (125, 133)) ('thymoma', 'Gene', (189, 196)) ('thymoma', 'Phenotype', 'HP:0100522', (189, 196)) 1364 28275751 detected an association between MG and early Masaoka stage, which was explained by early diagnosis of thymoma as result of MG. Elmaci et al. ('thymoma', 'Gene', (102, 109)) ('MG.', 'Var', (123, 126)) ('thymoma', 'Gene', '7063', (102, 109)) ('thymoma', 'Phenotype', 'HP:0100522', (102, 109)) ('early Masaoka stage', 'Disease', (39, 58)) 1569 25189481 Although complete surgical resection is the mainstay of treatment of TETs and is the most important predictor of long-term survival, debulking is also reported to provide palliation and prolong survival for selected patients incapable of being rendered completely disease-free. ('patients', 'Species', '9606', (216, 224)) ('debulking', 'Var', (133, 142)) ('palliation', 'Disease', (171, 181)) 1710 27956763 An increase in the level of IgA, IgG, IgM, CD3+T, CD4+T, CD4+T/CD8+T, WBC, CRP, and NK-cell in the IN group was observed after thymectomy, while a decrease was seen with regard to prealbumin and albumin (p < 0.05). ('IgG', 'MPA', (33, 36)) ('CRP', 'Gene', (75, 78)) ('CRP', 'Gene', '1401', (75, 78)) ('CD4+T/CD8+T', 'Var', (57, 68)) ('CD3+T', 'MPA', (43, 48)) ('CD4+T', 'MPA', (50, 55)) ('IgA', 'MPA', (28, 31)) ('increase', 'PosReg', (3, 11)) 1716 27956763 The immunonutrients are glutamine, arginine, and polyunsaturated fatty acids (omega-3), among others, which can improve the immunity and nutrition effectively. ('polyunsaturated', 'Var', (49, 64)) ('improve', 'PosReg', (112, 119)) ('nutrition', 'CPA', (137, 146)) ('immunity', 'CPA', (124, 132)) ('arginine', 'Chemical', 'MESH:D001120', (35, 43)) ('omega-3', 'Chemical', 'MESH:D015525', (78, 85)) ('glutamine', 'Chemical', 'MESH:D005973', (24, 33)) ('polyunsaturated fatty acids', 'Chemical', 'MESH:D005231', (49, 76)) 1733 27956763 Arginine, as the important component part of immune nutriment, stimulates anabolic hormone release, improves nitrogen balance, and has immunostimulatory and thymotrophic functions. ('nitrogen balance', 'MPA', (109, 125)) ('Arginine', 'Chemical', 'MESH:D001120', (0, 8)) ('anabolic hormone release', 'MPA', (74, 98)) ('Arginine', 'Var', (0, 8)) ('improves', 'PosReg', (100, 108)) ('stimulates', 'PosReg', (63, 73)) 1784 24171048 Studies on paraneoplastic syndromes such as pure red cell aplasia with thymoma show that auto-antibodies or auto-reactive T lymphocytes could directly or indirectly inhibit erythropoiesis, so that the loss of B cell function could be secondary to the immune destruction. ('aplasia with thymoma', 'Phenotype', 'HP:0005359', (58, 78)) ('erythropoiesis', 'MPA', (173, 187)) ('pure red cell aplasia', 'Disease', (44, 65)) ('loss of B cell', 'Phenotype', 'HP:0005365', (201, 215)) ('paraneoplastic syndromes', 'Disease', 'MESH:D010257', (11, 35)) ('thymoma', 'Phenotype', 'HP:0100522', (71, 78)) ('paraneoplastic syndromes', 'Disease', (11, 35)) ('auto-antibodies', 'Var', (89, 104)) ('pure red cell aplasia', 'Disease', 'MESH:D012010', (44, 65)) ('thymoma', 'Gene', '7063', (71, 78)) ('thymoma', 'Gene', (71, 78)) ('pure red cell aplasia', 'Phenotype', 'HP:0012410', (44, 65)) ('inhibit', 'NegReg', (165, 172)) 1866 30411854 The GP + E group had a significantly higher overall response rate (75% vs. 42.9%; P = 0.028), and median progression-free survival (PFS) and overall survival (OS) of 19 and 76 months, respectively. ('GP + E', 'Var', (4, 10)) ('GP + E', 'Chemical', 'MESH:C062053', (4, 10)) ('higher', 'PosReg', (37, 43)) ('progression-free survival', 'CPA', (105, 130)) 1894 30411854 Twenty-four (53.3%) patients received GP + E, including 10 (22.2%) thymoma and 14 (31.1%) thymic carcinoma patients. ('GP + E', 'Chemical', 'MESH:C062053', (38, 44)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (90, 106)) ('carcinoma', 'Phenotype', 'HP:0030731', (97, 106)) ('thymoma', 'Phenotype', 'HP:0100522', (67, 74)) ('patients', 'Species', '9606', (20, 28)) ('thymic carcinoma', 'Disease', (90, 106)) ('GP + E', 'Var', (38, 44)) ('patients', 'Species', '9606', (107, 115)) ('thymoma', 'Disease', 'MESH:D013945', (67, 74)) ('thymoma', 'Disease', (67, 74)) 1899 30411854 The GP + E group had a significantly higher ORR (75% vs. 42.9%; P = 0.028). ('GP + E', 'Var', (4, 10)) ('GP + E', 'Chemical', 'MESH:C062053', (4, 10)) ('higher', 'PosReg', (37, 43)) ('ORR', 'MPA', (44, 47)) 1903 30411854 In the GP + E group, the median PFS was 19 months (95% CI 15.7-22.3) and the median OS was 76 months (Fig 2). ('GP + E', 'Var', (7, 13)) ('PFS', 'MPA', (32, 35)) ('GP + E', 'Chemical', 'MESH:C062053', (7, 13)) 1936 24517958 Further investigation revealed for resection margin-positive patients; S + RT had higher OS than S alone (P = 0.006). ('S + RT', 'Var', (71, 77)) ('patients', 'Species', '9606', (61, 69)) ('higher', 'PosReg', (82, 88)) ('OS', 'Chemical', '-', (89, 91)) 1957 24517958 Positive surgical margins predicted for worse OS (hazard ratio [HR] = 7.1, P = 0.004, Table 2). ('Positive', 'Var', (0, 8)) ('OS', 'Chemical', '-', (46, 48)) ('worse OS', 'Disease', (40, 48)) 1966 24517958 The margin-positive stages II and III thymoma patients treated with S + RT had higher OS than S alone (log-rank test, P = 0.006); whereas, margin-negative stages II and III thymoma patients did not demonstrate any significant differences between S + RT versus S alone (log-rank test, P = 0.733). ('S + RT', 'Var', (68, 74)) ('III thymoma', 'Disease', (169, 180)) ('patients', 'Species', '9606', (46, 54)) ('III thymoma', 'Disease', 'MESH:D013945', (169, 180)) ('OS', 'Chemical', '-', (86, 88)) ('patients', 'Species', '9606', (181, 189)) ('III thymoma', 'Disease', (34, 45)) ('III thymoma', 'Disease', 'MESH:D013945', (34, 45)) ('higher', 'PosReg', (79, 85)) ('thymoma', 'Phenotype', 'HP:0100522', (38, 45)) ('thymoma', 'Phenotype', 'HP:0100522', (173, 180)) 1967 24517958 No statically significant differences in PFS were observed between S + RT versus S alone in margin-positive (log-rank test, P = 0.467) or margin-negative (log-rank test, P = 0.847) stage II and III thymoma. ('III thymoma', 'Disease', (194, 205)) ('thymoma', 'Phenotype', 'HP:0100522', (198, 205)) ('III thymoma', 'Disease', 'MESH:D013945', (194, 205)) ('stage II', 'Disease', (181, 189)) ('S + RT', 'Var', (67, 73)) 1976 24517958 Our study using Cox regression modeling showed that positive surgical margin predicted worse overall survival (hazard ratio=7.1; P=0.004). ('overall survival', 'MPA', (93, 109)) ('worse', 'NegReg', (87, 92)) ('Cox', 'Gene', '1351', (16, 19)) ('positive', 'Var', (52, 60)) ('Cox', 'Gene', (16, 19)) 1977 24517958 Our study using Cox regression modeling showed that positive surgical margin was an independent factor associated with worse OS (HR = 7.1, P = 0.004). ('OS', 'Chemical', '-', (125, 127)) ('positive surgical margin', 'Var', (52, 76)) ('Cox', 'Gene', '1351', (16, 19)) ('worse OS', 'Disease', (119, 127)) ('Cox', 'Gene', (16, 19)) 1980 24517958 We found that for resection marginpositive stages II and III thymoma, S + RT resulted in a higher OS than S alone (P = 0.006); for resection margin-negative stages II and III thymoma, no statistically significant differences were observed between S + RT versus S alone (P = 0.733). ('thymoma', 'Phenotype', 'HP:0100522', (175, 182)) ('higher', 'PosReg', (91, 97)) ('III thymoma', 'Disease', (57, 68)) ('III thymoma', 'Disease', 'MESH:D013945', (57, 68)) ('S + RT', 'Var', (70, 76)) ('thymoma', 'Phenotype', 'HP:0100522', (61, 68)) ('III thymoma', 'Disease', (171, 182)) ('OS', 'Chemical', '-', (98, 100)) ('III thymoma', 'Disease', 'MESH:D013945', (171, 182)) 2016 24725416 We conclude that dysgeusia shared a common pathological background with MG. MG has a clear autoimmune substrate with a primary pathogenic role for the thymus. ('MG. MG', 'Var', (72, 78)) ('dysgeusia', 'Phenotype', 'HP:0031249', (17, 26)) ('dysgeusia', 'Disease', 'MESH:D004408', (17, 26)) ('dysgeusia', 'Disease', (17, 26)) 2060 33142021 This study arises from the analysis of a large cohort of patients affected by thymoma-associated myasthenia gravis with antiacetylcholine receptor antibodies. ('myasthenia', 'Phenotype', 'HP:0003473', (97, 107)) ('patients', 'Species', '9606', (57, 65)) ('acetylcholine', 'Chemical', 'MESH:D000109', (124, 137)) ('thymoma', 'Phenotype', 'HP:0100522', (78, 85)) ('thymoma-associated myasthenia gravis', 'Disease', (78, 114)) ('thymoma-associated myasthenia gravis', 'Disease', 'MESH:D009157', (78, 114)) ('antiacetylcholine', 'Var', (120, 137)) ('antiacetylcholine receptor antibodies', 'Phenotype', 'HP:0030208', (120, 157)) 2065 33142021 Neuromyotonia was diagnosed according to the presence of typical electromyography abnormalities and/or autoantibodies against LGI1/CASPR2. ('Neuromyotonia', 'Disease', (0, 13)) ('Neuromyotonia', 'Disease', 'MESH:D020386', (0, 13)) ('CASPR2', 'Gene', '26047', (131, 137)) ('LGI1', 'Gene', '9211', (126, 130)) ('LGI1', 'Gene', (126, 130)) ('electromyography abnormalities', 'Phenotype', 'HP:0003457', (65, 95)) ('autoantibodies', 'Var', (103, 117)) ('CASPR2', 'Gene', (131, 137)) 2102 33381454 Different studies showed that PD1/PDL1 inhibitors are effective in advanced TETs and contributed to the approval of Pembrolizumab for thymic carcinoma. ('inhibitors', 'Var', (39, 49)) ('carcinoma', 'Phenotype', 'HP:0030731', (141, 150)) ('PDL1', 'Gene', '29126', (34, 38)) ('Pembrolizumab', 'Chemical', 'MESH:C582435', (116, 129)) ('PDL1', 'Gene', (34, 38)) ('PD1', 'Gene', '5133', (30, 33)) ('thymic carcinoma', 'Disease', (134, 150)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (134, 150)) ('PD1', 'Gene', (30, 33)) 2117 33381454 Thyroid dysfunction was also shown, with FT4 >7.7 ng/dl (normal range 0.9 to 1.7 ng/dl) and TSH 0.013 mcUI/ml (normal range 0.3 to 4.2 mcUI/ml). ('Thyroid dysfunction', 'Disease', 'MESH:D013959', (0, 19)) ('Thyroid dysfunction', 'Disease', (0, 19)) ('TSH 0.013 mcUI/ml', 'Var', (92, 109)) ('FT4 >', 'Var', (41, 46)) 2170 33381454 Since PD1 is a crucial inhibitory receptor, its blockade might revert T-cell exhaustion, unleash the immune response and potentially lead to the hepatic damage. ('PD1', 'Gene', (6, 9)) ('immune response', 'CPA', (101, 116)) ('hepatic damage', 'Disease', 'MESH:D056486', (145, 159)) ('unleash', 'Reg', (89, 96)) ('T-cell exhaustion', 'Phenotype', 'HP:0005435', (70, 87)) ('T-cell exhaustion', 'CPA', (70, 87)) ('lead to', 'Reg', (133, 140)) ('hepatic damage', 'Disease', (145, 159)) ('blockade', 'Var', (48, 56)) ('revert', 'NegReg', (63, 69)) ('PD1', 'Gene', '5133', (6, 9)) 2175 33381454 Thus, it is mandatory to better refine the druggable focuses, decreasing the incidence of undesired effects exerted by immune-system modulation and novel bullets striking the non-cancerous neighborhood. ('cancerous neighborhood', 'Disease', 'MESH:D009369', (179, 201)) ('cancer', 'Phenotype', 'HP:0002664', (179, 185)) ('novel', 'Var', (148, 153)) ('decreasing', 'NegReg', (62, 72)) ('cancerous neighborhood', 'Disease', (179, 201)) 2187 30302151 On the other hand, regarding postoperative drainage, duration of chest tube drainage and length of hospital stay, VATS thymectomy yielded better results and the differences were significant. ('chest tube drainage', 'Disease', (65, 84)) ('VATS', 'Var', (114, 118)) ('better', 'PosReg', (138, 144)) ('chest tube drainage', 'Disease', 'MESH:D002637', (65, 84)) 2222 30302151 Likewise, duration of chest tube drainage and length of hospital stay were shorter in the VATS group than the open thymectomy group, and the difference was statistically significant (p = 0.039 and p = 0.018). ('VATS', 'Var', (90, 94)) ('shorter', 'NegReg', (75, 82)) ('duration', 'MPA', (10, 18)) ('chest tube drainage', 'Disease', 'MESH:D002637', (22, 41)) ('chest tube drainage', 'Disease', (22, 41)) 2231 30302151 According to these reports, VATS thymectomy demonstrated a superior outcome in terms of hospital stay, intraoperative blood loss, and cosmetic satisfaction when compared with open access surgery. ('intraoperative blood loss', 'Disease', (103, 128)) ('VATS', 'Var', (28, 32)) ('intraoperative blood loss', 'Disease', 'MESH:D016063', (103, 128)) 2247 30302151 There are numerous studies confirming that VATS thymectomy results in less post-operative pain compared with open procedures. ('less', 'NegReg', (70, 74)) ('pain', 'Phenotype', 'HP:0012531', (90, 94)) ('pain', 'Disease', 'MESH:D010146', (90, 94)) ('pain', 'Disease', (90, 94)) ('VATS', 'Var', (43, 47)) 2251 30302151 Our data suggest that VATS thymectomy has some advantages over open surgery, including shorter length of hospital stay, less postoperative drainage and shorter duration of chest tube drainage. ('chest tube drainage', 'Disease', 'MESH:D002637', (172, 191)) ('chest tube drainage', 'Disease', (172, 191)) ('VATS', 'Var', (22, 26)) 2345 25528459 In other situations, thymectomy may precipitate a clinical deterioration or even create a new disease, suggesting a protective role of the thymus against autoimmunity. ('thymectomy', 'Var', (21, 31)) ('autoimmunity', 'Disease', 'MESH:D001327', (154, 166)) ('autoimmunity', 'Disease', (154, 166)) ('new disease', 'Disease', (90, 101)) ('autoimmunity', 'Phenotype', 'HP:0002960', (154, 166)) ('precipitate', 'Reg', (36, 47)) ('create', 'Reg', (81, 87)) ('clinical', 'MPA', (50, 58)) 2384 25574416 The association with cryoablation produced a significant improvement of her symptoms; she died of lung metastases 41 months later. ('improvement', 'PosReg', (57, 68)) ('cryoablation', 'Var', (21, 33)) ('lung metastases', 'Disease', (98, 113)) ('symptoms', 'MPA', (76, 84)) ('lung metastases', 'Disease', 'MESH:D009362', (98, 113)) 2401 18545673 These denote alternative splicing in MG-thymoma tumors compared to healthy human thymus and to in-house and Affymetrix datasets from colon cancer and healthy tissues. ('colon cancer', 'Phenotype', 'HP:0003003', (133, 145)) ('colon cancer', 'Disease', 'MESH:D015179', (133, 145)) ('thymoma', 'Phenotype', 'HP:0100522', (40, 47)) ('tumors', 'Phenotype', 'HP:0002664', (48, 54)) ('cancer', 'Phenotype', 'HP:0002664', (139, 145)) ('colon cancer', 'Disease', (133, 145)) ('alternative splicing', 'Var', (13, 33)) ('human', 'Species', '9606', (75, 80)) ('MG-thymoma tumors', 'Disease', (37, 54)) ('tumor', 'Phenotype', 'HP:0002664', (48, 53)) ('MG-thymoma tumors', 'Disease', 'MESH:D013945', (37, 54)) 2407 18545673 Changes in gene expression, and particularly in alternative splicing patterns are often disease-associated, and aberrant alternative splicing (hyper-splicing) is one of the characteristics of cancer cells, as well as of inflammation and autoimmune muscle diseases. ('alternative splicing patterns', 'MPA', (48, 77)) ('autoimmune muscle diseases', 'Disease', (237, 263)) ('autoimmune muscle diseases', 'Disease', 'MESH:D001327', (237, 263)) ('cancer', 'Disease', (192, 198)) ('cancer', 'Disease', 'MESH:D009369', (192, 198)) ('inflammation', 'Disease', 'MESH:D007249', (220, 232)) ('aberrant alternative splicing', 'Var', (112, 141)) ('inflammation', 'Disease', (220, 232)) ('Changes', 'Reg', (0, 7)) ('cancer', 'Phenotype', 'HP:0002664', (192, 198)) 2418 18545673 At the functional level, alternative hyper-splicing can modify tumor properties, since gene products may play roles in multiple, often seemingly unrelated, routes. ('tumor', 'Disease', (63, 68)) ('alternative hyper-splicing', 'Var', (25, 51)) ('tumor', 'Phenotype', 'HP:0002664', (63, 68)) ('tumor', 'Disease', 'MESH:D009369', (63, 68)) ('modify', 'Reg', (56, 62)) 2420 18545673 First, we analyzed our in-house MG-thymoma study and the Affymetrix colon cancer exon microarray data set, which identified tumor-specific alternative splicing events relevant to both tumors or specific to one of them. ('tumor', 'Disease', 'MESH:D009369', (184, 189)) ('MG-thymoma', 'Disease', (32, 42)) ('tumor', 'Phenotype', 'HP:0002664', (124, 129)) ('colon cancer', 'Phenotype', 'HP:0003003', (68, 80)) ('colon cancer', 'Disease', 'MESH:D015179', (68, 80)) ('tumor', 'Phenotype', 'HP:0002664', (184, 189)) ('tumor', 'Disease', (124, 129)) ('cancer', 'Phenotype', 'HP:0002664', (74, 80)) ('tumors', 'Disease', (184, 190)) ('tumors', 'Disease', 'MESH:D009369', (184, 190)) ('alternative', 'Var', (139, 150)) ('tumor', 'Disease', (184, 189)) ('tumors', 'Phenotype', 'HP:0002664', (184, 190)) ('colon cancer', 'Disease', (68, 80)) ('MG-thymoma', 'Disease', 'MESH:D013945', (32, 42)) ('thymoma', 'Phenotype', 'HP:0100522', (35, 42)) ('tumor', 'Disease', 'MESH:D009369', (124, 129)) 2421 18545673 In-depth analyses of exon-specific alterations involved several key transcripts from the tumor-related, immune function and muscle-characteristic GO categories and the MG-related ACHE gene, which is ubiquitously expressed, undergoes alternative splicing at both termini (3' and 5') and contributes to many different biological processes. ('ACHE', 'Gene', (179, 183)) ('tumor', 'Disease', 'MESH:D009369', (89, 94)) ('rat', 'Species', '10116', (39, 42)) ('alternative splicing', 'Var', (233, 253)) ('contributes', 'Reg', (286, 297)) ('ACHE', 'Gene', '43', (179, 183)) ('tumor', 'Phenotype', 'HP:0002664', (89, 94)) ('tumor', 'Disease', (89, 94)) 2424 18545673 Combined ad-hoc and post-hoc statistics with in-depth analysis of key transcripts and FISH, RT-PCR and mass spectrometry followed by peptide sequencing validation revealed pronounced alternative hyper-splicing in several gene categories modified in MG-thymoma tumors. ('MG-thymoma tumors', 'Disease', 'MESH:D013945', (249, 266)) ('thymoma', 'Phenotype', 'HP:0100522', (252, 259)) ('alternative hyper-splicing', 'Var', (183, 209)) ('tumor', 'Phenotype', 'HP:0002664', (260, 265)) ('MG-thymoma tumors', 'Disease', (249, 266)) ('tumors', 'Phenotype', 'HP:0002664', (260, 266)) 2426 18545673 Together, these findings support the notion of a major contribution of alternative hyper-splicing to MG-thymoma features, opening new venues for diagnosis and treatment of specific tumor types, and revealed specific tumor-type alternative splicing signatures reflecting MG-thymoma and colon cancer properties. ('colon cancer', 'Disease', (285, 297)) ('tumor', 'Disease', (216, 221)) ('MG-thymoma', 'Disease', (101, 111)) ('tumor', 'Disease', (181, 186)) ('MG-thymoma', 'Disease', 'MESH:D013945', (270, 280)) ('tumor', 'Phenotype', 'HP:0002664', (181, 186)) ('MG-thymoma', 'Disease', (270, 280)) ('alternative', 'Var', (71, 82)) ('thymoma', 'Phenotype', 'HP:0100522', (273, 280)) ('tumor', 'Disease', 'MESH:D009369', (216, 221)) ('colon cancer', 'Phenotype', 'HP:0003003', (285, 297)) ('tumor', 'Disease', 'MESH:D009369', (181, 186)) ('MG-thymoma', 'Disease', 'MESH:D013945', (101, 111)) ('tumor', 'Phenotype', 'HP:0002664', (216, 221)) ('thymoma', 'Phenotype', 'HP:0100522', (104, 111)) ('cancer', 'Phenotype', 'HP:0002664', (291, 297)) ('colon cancer', 'Disease', 'MESH:D015179', (285, 297)) 2471 18545673 It exhibited alternative splicing in MG-thymoma tumors compared to healthy thymuses but not between colon cancers to normal colons (Text S3). ('colon cancers', 'Disease', (100, 113)) ('thymoma', 'Phenotype', 'HP:0100522', (40, 47)) ('cancer', 'Phenotype', 'HP:0002664', (106, 112)) ('colon cancers', 'Phenotype', 'HP:0003003', (100, 113)) ('tumors', 'Phenotype', 'HP:0002664', (48, 54)) ('cancers', 'Phenotype', 'HP:0002664', (106, 113)) ('colon cancers', 'Disease', 'MESH:D015179', (100, 113)) ('alternative splicing', 'Var', (13, 33)) ('colon cancer', 'Phenotype', 'HP:0003003', (100, 112)) ('MG-thymoma tumors', 'Disease', (37, 54)) ('tumor', 'Phenotype', 'HP:0002664', (48, 53)) ('MG-thymoma tumors', 'Disease', 'MESH:D013945', (37, 54)) 2483 18545673 FISH for AChE-R protein variant indicated a significant increase in the number of stained cells in the MG-thymomic section compared to healthy thymus (Figure 5A). ('variant', 'Var', (24, 31)) ('increase', 'PosReg', (56, 64)) ('AChE', 'Gene', (9, 13)) ('AChE', 'Gene', '43', (9, 13)) 2503 18545673 Our findings highlighted hyper-splicing in tumor-related, immune function and muscle-specific transcripts with distinct patterns from those of colon cancer or healthy thymus and included parent-child relationships in the GO hierarchy, which specifically highlighted biologically significant categories and transcripts. ('child', 'Species', '9606', (194, 199)) ('colon cancer', 'Phenotype', 'HP:0003003', (143, 155)) ('tumor', 'Disease', 'MESH:D009369', (43, 48)) ('cancer', 'Phenotype', 'HP:0002664', (149, 155)) ('colon cancer', 'Disease', 'MESH:D015179', (143, 155)) ('tumor', 'Phenotype', 'HP:0002664', (43, 48)) ('colon cancer', 'Disease', (143, 155)) ('hyper-splicing', 'Var', (25, 39)) ('tumor', 'Disease', (43, 48)) 2506 18545673 Changes in the expression of these proteins can affect the alternative splicing of an undefined number of cellular transcripts and might account for some of the known splicing changes in cancer. ('affect', 'Reg', (48, 54)) ('cancer', 'Disease', 'MESH:D009369', (187, 193)) ('cancer', 'Disease', (187, 193)) ('splicing', 'MPA', (167, 175)) ('expression', 'MPA', (15, 25)) ('Changes', 'Var', (0, 7)) ('cancer', 'Phenotype', 'HP:0002664', (187, 193)) 2508 18545673 Specific changes related to MG-thymoma included HLA-DRB1, associated with a haplotype predictive of MG susceptibility in female with specific gene variants. ('variants', 'Var', (147, 155)) ('MG-thymoma', 'Disease', 'MESH:D013945', (28, 38)) ('MG-thymoma', 'Disease', (28, 38)) ('HLA-DRB1', 'Gene', (48, 56)) ('HLA-DRB1', 'Gene', '3123', (48, 56)) ('thymoma', 'Phenotype', 'HP:0100522', (31, 38)) ('changes', 'Reg', (9, 16)) 2514 18545673 Indeed, antibodies against structural muscle proteins, among them myosin, were detected by others in the sera of MG patients, and myosin mutations are associated with colon cancer. ('colon cancer', 'Phenotype', 'HP:0003003', (167, 179)) ('myosin', 'Gene', '79784', (130, 136)) ('associated', 'Reg', (151, 161)) ('patients', 'Species', '9606', (116, 124)) ('colon cancer', 'Disease', 'MESH:D015179', (167, 179)) ('mutations', 'Var', (137, 146)) ('myosin', 'Gene', (66, 72)) ('cancer', 'Phenotype', 'HP:0002664', (173, 179)) ('colon cancer', 'Disease', (167, 179)) ('myosin', 'Gene', '79784', (66, 72)) ('myosin', 'Gene', (130, 136)) 2613 32189468 Postoperative chemotherapy was suggested for patients with Masaoka stage IV or R2 resection. ('patients', 'Species', '9606', (45, 53)) ('Masaoka stage IV', 'Disease', (59, 75)) ('R2 resection', 'Var', (79, 91)) 2678 31828474 The majority of patients (approximately 80%) have antibodies against the nicotinic acetylcholine receptor (AChR), while in a small subset of patients antibodies against muscle-specific receptor tyrosine kinase (MuSK), lipoprotein-related protein 4 (LRP4) or other postsynaptic structures of the neuromuscular junction are detected. ('MuSK', 'Gene', (211, 215)) ('LRP4', 'Gene', '4038', (249, 253)) ('antibodies', 'Var', (50, 60)) ('acetylcholine', 'Chemical', 'MESH:D000109', (83, 96)) ('MuSK', 'Gene', '4593', (211, 215)) ('muscle-specific receptor tyrosine kinase', 'Gene', (169, 209)) ('muscle-specific receptor tyrosine kinase', 'Gene', '4593', (169, 209)) ('patients', 'Species', '9606', (16, 24)) ('LRP4', 'Gene', (249, 253)) ('lipoprotein-related protein 4', 'Gene', '4038', (218, 247)) ('patients', 'Species', '9606', (141, 149)) ('lipoprotein-related protein 4', 'Gene', (218, 247)) 2691 31828474 Diagnostic criteria for myasthenia gravis consisted of typical myasthenic symptoms in combination with myasthenia gravis-related antibodies, or in seronegative patients either pathological repetitive nerve stimulation with a decrement over 10%, a positive edrophonium chloride test, or documented clinical improvement following pyridostigmine treatment. ('men', 'Species', '9606', (313, 316)) ('pyridostigmine', 'Chemical', 'MESH:D011729', (328, 342)) ('pathological', 'Var', (176, 188)) ('myasthenia gravis', 'Disease', (24, 41)) ('myasthenia gravis', 'Disease', (103, 120)) ('decrement', 'NegReg', (225, 234)) ('myasthenia', 'Phenotype', 'HP:0003473', (24, 34)) ('myasthenia', 'Phenotype', 'HP:0003473', (103, 113)) ('edrophonium chloride', 'Chemical', 'MESH:D004491', (256, 276)) ('men', 'Species', '9606', (230, 233)) ('men', 'Species', '9606', (348, 351)) ('myasthenic symptoms', 'Phenotype', 'HP:0003473', (63, 82)) ('myasthenic symptoms', 'Disease', 'MESH:D051271', (63, 82)) ('patients', 'Species', '9606', (160, 168)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (24, 41)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (103, 120)) ('men', 'Species', '9606', (290, 293)) ('edrophonium chloride test', 'MPA', (256, 281)) ('myasthenic symptoms', 'Disease', (63, 82)) 2715 31828474 Additionally, male sex was also associated with treatment failure in the multivariate analysis (p = 0.011, OR 6.05, 95% CI 1.51-24.15), but not in the univariate analysis (p = 0.26). ('men', 'Species', '9606', (53, 56)) ('treatment failure', 'CPA', (48, 65)) ('male sex', 'Var', (14, 22)) 2770 29867917 Most of these individuals suffer from X-linked agammaglobulinemia (XLA) which occurs due to mutations in the gene encoding Bruton's tyrosine kinase (BTK), an enzyme essential for B-cell development. ('BTK', 'Gene', '695', (149, 152)) ('suffer', 'Reg', (26, 32)) ('X-linked agammaglobulinemia', 'Disease', (38, 65)) ("Bruton's tyrosine kinase", 'Gene', (123, 147)) ('mutations', 'Var', (92, 101)) ('X-linked agammaglobulinemia', 'Disease', 'MESH:C537409', (38, 65)) ("Bruton's tyrosine kinase", 'Gene', '695', (123, 147)) ('BTK', 'Gene', (149, 152)) ('agammaglobulinemia', 'Phenotype', 'HP:0004432', (47, 65)) 2806 29867917 Reflecting the heterogeneity of these conditions, the single patient with protective vaccine responses, in retrospect had an atypical presentation for CVID with early-onset chronic mucocutaneous candidiasis, and subsequent adult-onset hypogammaglobulinemia, was identified to have a gain-of-function (GOF) STAT1 mutation, which is not typically associated with PAD. ('chronic mucocutaneous candidiasis', 'Disease', (173, 206)) ('CVID', 'Disease', (151, 155)) ('gain-of-function', 'PosReg', (283, 299)) ('mutation', 'Var', (312, 320)) ('patient', 'Species', '9606', (61, 68)) ('CVID', 'Disease', 'MESH:D017074', (151, 155)) ('chronic mucocutaneous candidiasis', 'Disease', 'MESH:D002178', (173, 206)) ('hypogammaglobulinemia', 'Phenotype', 'HP:0004313', (235, 256)) ('chronic mucocutaneous candidiasis', 'Phenotype', 'HP:0002728', (173, 206)) ('STAT1', 'Gene', (306, 311)) ('hypogammaglobulinemia', 'Disease', (235, 256)) ('STAT1', 'Gene', '6772', (306, 311)) ('mucocutaneous candidiasis', 'Phenotype', 'HP:0002728', (181, 206)) ('hypogammaglobulinemia', 'Disease', 'MESH:D000361', (235, 256)) 2809 29867917 This included 21 XLA patients with hemizygous BTK mutations. ('mutations', 'Var', (50, 59)) ('BTK', 'Gene', (46, 49)) ('patients', 'Species', '9606', (21, 29)) ('BTK', 'Gene', '695', (46, 49)) 2811 29867917 Of the CVID patients, 4 had NFkappaB1 deficiency, and 3 were heterozygous for the (C104R) variant in TNFSRF13B, encoding TACI, a known risk-factor for the development of CVID. ('patients', 'Species', '9606', (12, 20)) ('TNFSRF13B', 'Gene', (101, 110)) ('CVID', 'Disease', (7, 11)) ('CVID', 'Disease', 'MESH:D017074', (7, 11)) ('C104R', 'Var', (83, 88)) ('TACI', 'Gene', '23495', (121, 125)) ('CVID', 'Disease', (170, 174)) ('C104R', 'Mutation', 'rs34557412', (83, 88)) ('CVID', 'Disease', 'MESH:D017074', (170, 174)) ('NFkappaB1', 'Protein', (28, 37)) ('TACI', 'Gene', (121, 125)) 2812 29867917 One of these patients also harbored a pathogenic mutation in TCF3 (E555K), which causes an autosomal dominant form of agammaglobulinemia. ('TCF3', 'Gene', (61, 65)) ('causes', 'Reg', (81, 87)) ('patients', 'Species', '9606', (13, 21)) ('agammaglobulinemia', 'Disease', 'MESH:D000361', (118, 136)) ('E555K', 'Var', (67, 72)) ('agammaglobulinemia', 'Disease', (118, 136)) ('pathogenic', 'Reg', (38, 48)) ('E555K', 'Mutation', 'rs879255271', (67, 72)) ('agammaglobulinemia', 'Phenotype', 'HP:0004432', (118, 136)) ('TCF3', 'Gene', '6929', (61, 65)) 2813 29867917 In addition, we identified NFKB2 mutations in three CVID and two IgGSCD patients, who had marked autoimmune clinical manifestations. ('NFKB2', 'Gene', '4791', (27, 32)) ('CVID', 'Disease', (52, 56)) ('mutations', 'Var', (33, 42)) ('CVID', 'Disease', 'MESH:D017074', (52, 56)) ('NFKB2', 'Gene', (27, 32)) ('patients', 'Species', '9606', (72, 80)) 2858 29867917 In this cohort, patients who were later identified to have a genetic contribution to their disease, had a shorter time to a clinical diagnosis (Table 2). ('shorter', 'NegReg', (106, 113)) ('patients', 'Species', '9606', (16, 24)) ('genetic', 'Var', (61, 68)) 2860 29867917 In addition, molecular tests may help identify patients-at-risk for certain disease complications, as in the case of NFKB2 mutations which are associated with a high risk of central adrenal insufficiency. ('associated', 'Reg', (143, 153)) ('NFKB2', 'Gene', '4791', (117, 122)) ('central adrenal insufficiency', 'Disease', (174, 203)) ('patients', 'Species', '9606', (47, 55)) ('central adrenal insufficiency', 'Phenotype', 'HP:0011734', (174, 203)) ('central adrenal insufficiency', 'Disease', 'MESH:D000309', (174, 203)) ('adrenal insufficiency', 'Phenotype', 'HP:0000846', (182, 203)) ('NFKB2', 'Gene', (117, 122)) ('mutations', 'Var', (123, 132)) 2861 29867917 Further highlighting the complexities of clinical presentation in PID, we have described a patient who was initially misdiagnosed with CVID, but later found to have a STAT1 GOF mutation after his diagnosis was reconsidered in light of early-onset mucocutaneous candidiasis. ('STAT1', 'Gene', '6772', (167, 172)) ('mutation', 'Var', (177, 185)) ('mucocutaneous candidiasis', 'Disease', 'MESH:D002178', (247, 272)) ('GOF', 'PosReg', (173, 176)) ('mucocutaneous candidiasis', 'Phenotype', 'HP:0002728', (247, 272)) ('mucocutaneous candidiasis', 'Disease', (247, 272)) ('CVID', 'Disease', (135, 139)) ('PID', 'Gene', (66, 69)) ('STAT1', 'Gene', (167, 172)) ('patient', 'Species', '9606', (91, 98)) ('CVID', 'Disease', 'MESH:D017074', (135, 139)) ('PID', 'Gene', '9219', (66, 69)) 2862 29867917 We also identified one individual with digenic disease due to a pathogenic E555K variant in TCF3 and C104R variant in TNFRSF13B. ('TNFRSF13B', 'Gene', '23495', (118, 127)) ('C104R', 'Mutation', 'rs34557412', (101, 106)) ('TNFRSF13B', 'Gene', (118, 127)) ('pathogenic', 'Reg', (64, 74)) ('E555K', 'Var', (75, 80)) ('TCF3', 'Gene', '6929', (92, 96)) ('C104R', 'Var', (101, 106)) ('TCF3', 'Gene', (92, 96)) ('digenic disease', 'Disease', (39, 54)) ('E555K', 'Mutation', 'rs879255271', (75, 80)) 2863 29867917 We have previously reported another kindred affected by PAD and autoimmune disease; the proband harbored a novel non-sense TCF3 mutation and the C104R variant in TNFRSF13B, with a resultant CVID-like disorder and systemic lupus erythematosus. ('kin', 'Gene', (36, 39)) ('TNFRSF13B', 'Gene', (162, 171)) ('systemic lupus erythematosus', 'Phenotype', 'HP:0002725', (213, 241)) ('TCF3', 'Gene', (123, 127)) ('C104R', 'Mutation', 'rs34557412', (145, 150)) ('autoimmune disease', 'Disease', (64, 82)) ('CVID-like disorder', 'Disease', (190, 208)) ('kin', 'Gene', '22944', (36, 39)) ('systemic lupus erythematosus', 'Disease', 'MESH:D008180', (213, 241)) ('C104R', 'Var', (145, 150)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (64, 82)) ('autoimmune disease', 'Disease', 'MESH:D001327', (64, 82)) ('TCF3', 'Gene', '6929', (123, 127)) ('mutation', 'Var', (128, 136)) ('systemic lupus erythematosus', 'Disease', (213, 241)) ('TNFRSF13B', 'Gene', '23495', (162, 171)) ('CVID-like disorder', 'Disease', 'MESH:D017074', (190, 208)) 2864 29867917 We are not aware of other reports of digenic PAD due to the more common pathogenic TCF3 E555K variant in combination with an additional genetic risk-factor. ('TCF3', 'Gene', '6929', (83, 87)) ('TCF3', 'Gene', (83, 87)) ('E555K', 'Var', (88, 93)) ('E555K', 'Mutation', 'rs879255271', (88, 93)) ('digenic PAD', 'Disease', (37, 48)) 2866 29867917 Nevertheless diagnostic rates could increase to 30% for CVID patients selected for sequencing on the basis of certain clinical or laboratory features. ('sequencing', 'Var', (83, 93)) ('increase', 'PosReg', (36, 44)) ('patients', 'Species', '9606', (61, 69)) ('CVID', 'Disease', (56, 60)) ('CVID', 'Disease', 'MESH:D017074', (56, 60)) 2875 29867917 Importantly, two IGSCD patients in our cohort harbored NFKB2 mutations, which may have predisposed these patients to the more severe clinical phenotype. ('patients', 'Species', '9606', (105, 113)) ('patients', 'Species', '9606', (23, 31)) ('NFKB2', 'Gene', '4791', (55, 60)) ('mutations', 'Var', (61, 70)) ('IGSCD', 'Phenotype', 'HP:0032135', (17, 22)) ('NFKB2', 'Gene', (55, 60)) 2898 24294607 The vast majority of genetic factors that have been implicated in autoimmune disease susceptibility are common variants, predominantly, single nucleotide polymorphisms (SNPs) rather than insertion/deletion polymorphisms or microsatellites. ('single nucleotide polymorphisms', 'Var', (136, 167)) ('autoimmune disease', 'Disease', 'MESH:D001327', (66, 84)) ('autoimmune disease', 'Disease', (66, 84)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (66, 84)) 2904 24294607 As probably expected, the study detected the strongest association in the Human Leukocyte Antigen (HLA) Class I locus (rs7750641) which, after imputation and conditional analyses of the broad HLA region, led to the determination of HLA-B*08 allele as the main risk allele (Table 1). ('HLA', 'Gene', '3119', (192, 195)) ('rs7750641', 'DBSNP_MENTION', 'None', (119, 128)) ('HLA', 'Gene', (232, 235)) ('HLA', 'Gene', (99, 102)) ('HLA', 'Gene', (192, 195)) ('HLA-B', 'Gene', (232, 237)) ('rs7750641', 'Var', (119, 128)) ('HLA-B', 'Gene', '3106', (232, 237)) ('HLA', 'Gene', '3119', (232, 235)) ('Human', 'Species', '9606', (74, 79)) ('HLA', 'Gene', '3119', (99, 102)) 2908 24294607 This GWAS, also, verified the association between MG with thymus hyperplasia and the rs2476601 SNP in the PTPN22 locus (discussed below) which has been reported in previous studies. ('rs2476601', 'DBSNP_MENTION', 'None', (85, 94)) ('PTPN22', 'Gene', '26191', (106, 112)) ('thymus hyperplasia', 'Disease', (58, 76)) ('thymus hyperplasia', 'Disease', 'MESH:D013952', (58, 76)) ('thymus hyperplasia', 'Phenotype', 'HP:0010516', (58, 76)) ('rs2476601', 'Var', (85, 94)) ('PTPN22', 'Gene', (106, 112)) 2910 24294607 Applying imputation around the TNIP1 locus, a strong association was demonstrated with the rs2233290 SNP, causing a proline to alanine substitution at position 151 of the coding region. ('proline to alanine substitution at position 151', 'Var', (116, 163)) ('TNIP1', 'Gene', '10318', (31, 36)) ('rs2233290', 'Var', (91, 100)) ('rs2233290', 'DBSNP_MENTION', 'None', (91, 100)) ('TNIP1', 'Gene', (31, 36)) ('causing', 'Reg', (106, 113)) ('proline to alanine substitution at position 151', 'SUBSTITUTION', 'None', (116, 163)) 2933 24294607 The 59 ATA-positive patients appeared to be associated with the DR7 allele, whilst a negative association was observed in the case of the DR3 allele (Table 1), revealing a reverse outcome from the one noticed in MG patients with thymus hyperplasia and in ATA-negative patients who were associated with DR3 (Table 1), as well. ('associated', 'Reg', (44, 54)) ('patients', 'Species', '9606', (215, 223)) ('DR3', 'Gene', '8718', (138, 141)) ('DR7', 'Var', (64, 67)) ('thymus hyperplasia', 'Disease', (229, 247)) ('ATA', 'Chemical', '-', (7, 10)) ('ATA', 'Chemical', '-', (255, 258)) ('thymus hyperplasia', 'Phenotype', 'HP:0010516', (229, 247)) ('thymus hyperplasia', 'Disease', 'MESH:D013952', (229, 247)) ('DR3', 'Gene', '8718', (302, 305)) ('patients', 'Species', '9606', (20, 28)) ('DR3', 'Gene', (138, 141)) ('patients', 'Species', '9606', (268, 276)) ('DR3', 'Gene', (302, 305)) 2937 24294607 Overall, 27 markers, most of them microsatellites, covering the entire region of HLA complex, were genotyped. ('HLA', 'Gene', (81, 84)) ('HLA', 'Gene', '3119', (81, 84)) ('microsatellites', 'Var', (34, 49)) 2940 24294607 More recent data derived from an association study of 1,472 SNPs covering the overall MHC region, in a cohort of 438 MG cases from Sweden, determined the Class I HLA locus as the most susceptible in MG. More specifically, the strongest association was detected in the case of rs2523674 SNP mapped 3.5 kb downstream of the HLA complex protein 5 (HCP5) gene, while the imputed HLA-C*0701 allele was also associated, in an independent way (Table 1). ('HLA', 'Gene', (375, 378)) ('HCP5', 'Gene', '10866', (345, 349)) ('HLA', 'Gene', (162, 165)) ('HCP5', 'Gene', (345, 349)) ('HLA', 'Gene', '3119', (375, 378)) ('HLA', 'Gene', (322, 325)) ('HLA-C', 'Gene', '3107', (375, 380)) ('rs2523674', 'DBSNP_MENTION', 'None', (276, 285)) ('HLA', 'Gene', '3119', (162, 165)) ('rs2523674', 'Var', (276, 285)) ('HLA-C', 'Gene', (375, 380)) ('HLA complex protein 5', 'Gene', (322, 343)) ('HLA', 'Gene', '3119', (322, 325)) ('HLA complex protein 5', 'Gene', '10866', (322, 343)) 2941 24294607 Although this study scrutinized a large set of genetic variants across the vast MHC region, it disregarded the heterogeneous clinical and biological profiles of the disease that could lead to distinct HLA association signals. ('variants', 'Var', (55, 63)) ('HLA', 'Gene', (201, 204)) ('HLA', 'Gene', '3119', (201, 204)) 2964 24294607 The missense SNP rs2476601 (1858C>T), which leads to an arginine to tryptophan substitution (R620W), has been reproducibly associated with multiple autoimmune diseases, MG included, as reviewed in. ('associated', 'Reg', (123, 133)) ('rs2476601', 'Var', (17, 26)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (148, 166)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (148, 167)) ('rs2476601', 'DBSNP_MENTION', 'None', (17, 26)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (148, 167)) ('R620W', 'Var', (93, 98)) ('1858C>T', 'Var', (28, 35)) ('R620W', 'SUBSTITUTION', 'None', (93, 98)) ('1858C>T', 'SUBSTITUTION', 'None', (28, 35)) ('arginine', 'Chemical', 'MESH:D001120', (56, 64)) ('leads to', 'Reg', (44, 52)) ('autoimmune diseases', 'Disease', (148, 167)) ('tryptophan', 'Chemical', 'MESH:D014364', (68, 78)) 2965 24294607 As a matter of fact, a meta-analysis, conducted recently on the association of rs2476601 with a plethora of autoimmune diseases, established the correlation of this variant with rheumatoid arthritis, MG, lupus, type I diabetes, and several other diseases, but not with a cluster of diseases affecting the skin, the gastrointestinal tract, or immune privileged areas, such as psoriasis, Crohn's disease, multiple sclerosis, and so forth. ('arthritis', 'Phenotype', 'HP:0001369', (189, 198)) ('psoriasis', 'Phenotype', 'HP:0003765', (375, 384)) ('rs2476601', 'Var', (79, 88)) ('type I diabetes', 'Phenotype', 'HP:0100651', (211, 226)) ('psoriasis', 'Disease', 'MESH:D011565', (375, 384)) ('rheumatoid arthritis', 'Disease', (178, 198)) ('multiple sclerosis', 'Disease', (403, 421)) ('psoriasis', 'Disease', (375, 384)) ('plethora', 'Phenotype', 'HP:0001050', (96, 104)) ('rheumatoid arthritis', 'Disease', 'MESH:D001172', (178, 198)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (108, 127)) ('multiple sclerosis', 'Disease', 'MESH:D009103', (403, 421)) ('rs2476601', 'DBSNP_MENTION', 'None', (79, 88)) ("Crohn's disease", 'Phenotype', 'HP:0100280', (386, 401)) ('autoimmune diseases', 'Disease', (108, 127)) ("Crohn's disease", 'Disease', 'MESH:D003424', (386, 401)) ('correlation', 'Interaction', (145, 156)) ("Crohn's disease", 'Disease', (386, 401)) ('type I diabetes', 'Disease', 'MESH:D003922', (211, 226)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (108, 127)) ('type I diabetes', 'Disease', (211, 226)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (108, 126)) ('rheumatoid arthritis', 'Phenotype', 'HP:0001370', (178, 198)) ('lupus', 'Disease', (204, 209)) ('association', 'Interaction', (64, 75)) 2969 24294607 This observation is inconsistent with the results of decreased IL-2 levels, demonstrated by Vang and coworkers, in patients with type I autoimmune diabetes carrying the 620W allele. ('type I autoimmune diabetes', 'Phenotype', 'HP:0100651', (129, 155)) ('patients', 'Species', '9606', (115, 123)) ('IL-2', 'Gene', (63, 67)) ('IL-2', 'Gene', '3558', (63, 67)) ('620W', 'Var', (169, 173)) ('type I autoimmune diabetes', 'Disease', 'MESH:D003922', (129, 155)) ('decreased', 'NegReg', (53, 62)) ('type I autoimmune diabetes', 'Disease', (129, 155)) 2970 24294607 An association study of the R620W variant in Hungarian and German MG patients proved that the PTPN22 1858T allele was associated with MG predisposition, only, in the subgroup of nonthymoma patients with detectable ATA (Table 2), leading to conflicting conclusions compared to the French MG study, in which the association was established in the exactly opposite case of non-thymoma patients lacking ATA. ('ATA', 'Chemical', '-', (214, 217)) ('patients', 'Species', '9606', (382, 390)) ('thymoma', 'Phenotype', 'HP:0100522', (181, 188)) ('thymoma', 'Disease', 'MESH:D013945', (181, 188)) ('R620W', 'Var', (28, 33)) ('thymoma', 'Disease', 'MESH:D013945', (374, 381)) ('R620W', 'SUBSTITUTION', 'None', (28, 33)) ('ATA', 'Chemical', '-', (399, 402)) ('MG predisposition', 'Disease', (134, 151)) ('PTPN22', 'Gene', (94, 100)) ('thymoma', 'Disease', (181, 188)) ('thymoma', 'Disease', (374, 381)) ('PTPN22', 'Gene', '26191', (94, 100)) ('associated', 'Reg', (118, 128)) ('patients', 'Species', '9606', (69, 77)) ('patients', 'Species', '9606', (189, 197)) ('thymoma', 'Phenotype', 'HP:0100522', (374, 381)) 2971 24294607 Another study in German Caucasian MG patients was the first to uncover a strong association between +1858T genotypes and thymoma-related MG (Table 2). ('thymoma', 'Phenotype', 'HP:0100522', (121, 128)) ('patients', 'Species', '9606', (37, 45)) ('+1858T', 'Var', (100, 106)) ('thymoma', 'Disease', 'MESH:D013945', (121, 128)) ('thymoma', 'Disease', (121, 128)) 2972 24294607 It is worth mentioning that the intratumorous IL-2 expression levels were found to be reduced in patients bearing the +1858T allele. ('reduced', 'NegReg', (86, 93)) ('expression levels', 'MPA', (51, 68)) ('IL-2', 'Gene', '3558', (46, 50)) ('+1858T', 'Var', (118, 124)) ('IL-2', 'Gene', (46, 50)) ('patients', 'Species', '9606', (97, 105)) 2974 24294607 Instead, the rs2488457 SNP which resides in the PTPN22 promoter region (-1123G>C) appeared to be associated with MG characterized by low titer anti-AChR antibodies (Table 2). ('-1123G>C', 'SUBSTITUTION', 'None', (72, 80)) ('PTPN22', 'Gene', (48, 54)) ('PTPN22', 'Gene', '26191', (48, 54)) ('-1123G>C', 'Var', (72, 80)) ('rs2488457', 'Var', (13, 22)) ('associated', 'Reg', (97, 107)) ('rs2488457', 'DBSNP_MENTION', 'None', (13, 22)) 2975 24294607 A meta-analysis of the four above studies performed on allele frequencies of the PTPN22 rs2476601 verified the association of the T allele with nonthymomatous MG. ('PTPN22', 'Gene', '26191', (81, 87)) ('thymoma', 'Disease', 'MESH:D013945', (147, 154)) ('thymoma', 'Disease', (147, 154)) ('thymoma', 'Phenotype', 'HP:0100522', (147, 154)) ('association', 'Interaction', (111, 122)) ('rs2476601', 'Var', (88, 97)) ('PTPN22', 'Gene', (81, 87)) ('rs2476601', 'DBSNP_MENTION', 'None', (88, 97)) 2977 24294607 To begin with, one of the most important associations is that of the rs16862847 SNP located at the promoter region of the CHRNA1:encoding the alpha-subunit of the muscle AChR pentameric channel:which has been constantly associated with MG, as discussed in detail in. ('associations', 'Reg', (41, 53)) ('rs16862847', 'Var', (69, 79)) ('associated', 'Reg', (220, 230)) ('CHRNA1', 'Gene', (122, 128)) ('CHRNA1', 'Gene', '1134', (122, 128)) ('rs16862847', 'DBSNP_MENTION', 'None', (69, 79)) 2980 24294607 In addition to previous studies reporting a probable association between the +49A/G coding variant and the subset of thymoma-related MG, the involvement of SNPs located at the promoter region of CTLA-4 has also been evaluated. ('CTLA-4', 'Gene', '1493', (195, 201)) ('thymoma', 'Disease', 'MESH:D013945', (117, 124)) ('thymoma', 'Disease', (117, 124)) ('+49A/G', 'SUBSTITUTION', 'None', (77, 83)) ('CTLA-4', 'Gene', (195, 201)) ('+49A/G', 'Var', (77, 83)) ('thymoma', 'Phenotype', 'HP:0100522', (117, 124)) 2981 24294607 Two SNPs, at positions -1772T/C and -1661A/G upstream of CTLA-4, were shown to be associated with MG in a group of 165 MG patients of Swedish origin. ('CTLA-4', 'Gene', '1493', (57, 63)) ('associated with', 'Reg', (82, 97)) ('-1772T/C', 'Var', (23, 31)) ('CTLA-4', 'Gene', (57, 63)) ('-1661A/G', 'Var', (36, 44)) ('-1772T/C', 'SUBSTITUTION', 'None', (23, 31)) ('patients', 'Species', '9606', (122, 130)) ('-1661A/G', 'SUBSTITUTION', 'None', (36, 44)) 2982 24294607 Because of their location within regulatory elements:the NF-1 and c/EBP binding sites:these polymorphisms plausibly have an effect on gene transcription or even splicing, as implied by the increased levels of sCD152, in -1772T/C heterozygote MG patients. ('NF-1', 'Gene', (57, 61)) ('polymorphisms', 'Var', (92, 105)) ('patients', 'Species', '9606', (245, 253)) ('c/EBP', 'Gene', '1050', (66, 71)) ('c/EBP', 'Gene', (66, 71)) ('effect', 'Reg', (124, 130)) ('CD152', 'Gene', '1493', (210, 215)) ('splicing', 'MPA', (161, 169)) ('-1772T/C', 'Var', (220, 228)) ('NF-1', 'Gene', '4763', (57, 61)) ('-1772T/C', 'SUBSTITUTION', 'None', (220, 228)) ('CD152', 'Gene', (210, 215)) ('gene transcription', 'MPA', (134, 152)) ('increased', 'PosReg', (189, 198)) 2985 24294607 The rs2737713 polymorphism which leads to a phenylalanine to tyrosine substitution (F19Y) in the LGALS8 locus, encoding galectin-8, appeared to be moderately associated with MG. A previous study of the same research group examined two SNPs in the 5' upstream sequence of the galectin-1 gene (LGALS1), along with two SNPs in regulatory regions of the interleukin receptor 2beta gene (IL2Rbeta) which resides in the 22q13 chromosomal region, too. ('LGALS8', 'Gene', (97, 103)) ('F19Y', 'Var', (84, 88)) ('galectin-1', 'Gene', '3956', (275, 285)) ('associated', 'Reg', (158, 168)) ('galectin-8', 'Gene', (120, 130)) ('IL2Rbeta', 'Gene', (383, 391)) ('rs2737713', 'DBSNP_MENTION', 'None', (4, 13)) ('F19Y', 'SUBSTITUTION', 'None', (84, 88)) ('galectin-8', 'Gene', '3964', (120, 130)) ('IL2Rbeta', 'Gene', '3559', (383, 391)) ('galectin-1', 'Gene', (275, 285)) ('tyrosine', 'Chemical', 'MESH:D014443', (61, 69)) ('LGALS8', 'Gene', '3964', (97, 103)) ('LGALS1', 'Gene', (292, 298)) ('phenylalanine', 'Chemical', 'MESH:D010649', (44, 57)) ('LGALS1', 'Gene', '3956', (292, 298)) ('rs2737713', 'Var', (4, 13)) 2986 24294607 A strong association was identified between MG and the haplotype formed by SNPs rs4820293 and rs743777 of LGALS1 and IL2Rbeta, respectively, but functional studies did not verify an impact of rs4820293-different genotypes on gene expression. ('rs4820293', 'Var', (192, 201)) ('LGALS1', 'Gene', '3956', (106, 112)) ('rs4820293', 'DBSNP_MENTION', 'None', (192, 201)) ('rs4820293', 'DBSNP_MENTION', 'None', (80, 89)) ('IL2Rbeta', 'Gene', '3559', (117, 125)) ('rs4820293', 'Var', (80, 89)) ('rs743777', 'Var', (94, 102)) ('LGALS1', 'Gene', (106, 112)) ('IL2Rbeta', 'Gene', (117, 125)) ('rs743777', 'DBSNP_MENTION', 'None', (94, 102)) 2988 24294607 In this survey, three missense variants in the IL4Ralpha (I75V, S503P, and Q576R) which are thought to disrupt the signal transduction of interleukin-4 (IL-4) were selected. ('IL-4', 'Gene', (153, 157)) ('Q576R', 'Var', (75, 80)) ('IL-4', 'Gene', '3565', (153, 157)) ('I75V', 'Var', (58, 62)) ('IL4Ralpha', 'Gene', '3566', (47, 56)) ('interleukin-4', 'Gene', '3565', (138, 151)) ('I75V', 'SUBSTITUTION', 'None', (58, 62)) ('disrupt', 'NegReg', (103, 110)) ('signal transduction', 'MPA', (115, 134)) ('IL4Ralpha', 'Gene', (47, 56)) ('S503P', 'SUBSTITUTION', 'None', (64, 69)) ('interleukin-4', 'Gene', (138, 151)) ('Q576R', 'SUBSTITUTION', 'None', (75, 80)) ('S503P', 'Var', (64, 69)) 2996 24294607 A recent study in Han Chinese MG cases attempted to assess the contribution of two SNPs, rs3761548 (-3279A/C) and rs2280883 (IVS9+459A/G), in the FOXP3 gene to MG susceptibility. ('rs2280883', 'Var', (114, 123)) ('-3279A/C', 'Var', (100, 108)) ('IVS9+459A/G', 'SUBSTITUTION', 'None', (125, 136)) ('rs3761548', 'Var', (89, 98)) ('FOXP3', 'Gene', (146, 151)) ('rs3761548', 'DBSNP_MENTION', 'None', (89, 98)) ('IVS9+459A/G', 'Var', (125, 136)) ('-3279A/C', 'SUBSTITUTION', 'None', (100, 108)) ('FOXP3', 'Gene', '50943', (146, 151)) ('rs2280883', 'DBSNP_MENTION', 'None', (114, 123)) 3011 32110228 Paraneoplastic neurological syndromes (PNS) associated with anti-CV2/collapsin response mediator protein (CRMP) 5 antibodies are rare and often precede the cancer itself. ('collapsin response mediator protein (CRMP) 5', 'Gene', '56896', (69, 113)) ('Paraneoplastic neurological syndromes', 'Disease', 'MESH:D020361', (0, 37)) ('cancer', 'Disease', (156, 162)) ('CV2', 'Gene', (65, 68)) ('cancer', 'Disease', 'MESH:D009369', (156, 162)) ('Paraneoplastic neurological syndromes', 'Disease', (0, 37)) ('PNS', 'Disease', (39, 42)) ('neurological syndrome', 'Phenotype', 'HP:0000707', (15, 36)) ('cancer', 'Phenotype', 'HP:0002664', (156, 162)) ('PNS', 'Disease', 'MESH:D020361', (39, 42)) ('antibodies', 'Var', (114, 124)) ('CV2', 'Gene', '168667', (65, 68)) 3039 32110228 Onconeural antibodies are classified into 3 main categories: (a) well-characterized antibodies with a strong cancer association (anti-amphiphysin, anti-CV2 [CRMP5], anti-Hu [ANNA-1], anti-Ma2, anti-recoverin, anti-Ri [ANNA-2], and anti-Yo [PCA-1]), (b) partially characterized antibodies (ANNA-3, anti-mGluR1, anti-Tr, anti-Zic4, PCA-2), and (c) antibodies occurring in both cancer- and non-cancer-associated syndromes (anti-acetylcholine receptor [AchR], anti-nicotinic AchR, anti-VGCC, anti-VGKC). ('cancer', 'Disease', 'MESH:D009369', (109, 115)) ('Zic4', 'Gene', '84107', (324, 328)) ('cancer', 'Phenotype', 'HP:0002664', (375, 381)) ('mGluR1', 'Gene', (302, 308)) ('Ma2', 'Gene', (188, 191)) ('cancer', 'Disease', (391, 397)) ('CRMP5', 'Gene', (157, 162)) ('cancer', 'Phenotype', 'HP:0002664', (391, 397)) ('Zic4', 'Gene', (324, 328)) ('CV2', 'Gene', (152, 155)) ('PCA-1', 'Gene', '100750225', (240, 245)) ('Ma2', 'Gene', '10687', (188, 191)) ('cancer', 'Disease', 'MESH:D009369', (375, 381)) ('CV2', 'Gene', '168667', (152, 155)) ('PCA-1', 'Gene', (240, 245)) ('cancer', 'Disease', (109, 115)) ('PCA-2', 'Gene', '103164619', (330, 335)) ('cancer', 'Disease', 'MESH:D009369', (391, 397)) ('cancer', 'Phenotype', 'HP:0002664', (109, 115)) ('CRMP5', 'Gene', '56896', (157, 162)) ('anti-acetylcholine', 'Var', (420, 438)) ('PCA-2', 'Gene', (330, 335)) ('mGluR1', 'Gene', '2911', (302, 308)) ('cancer', 'Disease', (375, 381)) 3049 32110228 Antibodies associated with limbic encephalitis are anti-Hu, anti-Ma2, anti-amphiphysin and anti-CV2/CRMP5. ('encephalitis', 'Disease', (34, 46)) ('CV2', 'Gene', (96, 99)) ('Ma2', 'Gene', '10687', (65, 68)) ('encephalitis', 'Disease', 'MESH:D004660', (34, 46)) ('associated', 'Reg', (11, 21)) ('CRMP5', 'Gene', (100, 105)) ('anti-Hu', 'Var', (51, 58)) ('CRMP5', 'Gene', '56896', (100, 105)) ('encephalitis', 'Phenotype', 'HP:0002383', (34, 46)) ('anti-amphiphysin', 'Var', (70, 86)) ('CV2', 'Gene', '168667', (96, 99)) ('Ma2', 'Gene', (65, 68)) 3066 32110228 Treatment of PNS of the CNS in general is challenging, particularly for disorders associated with antibodies against intracellular antigens which probably cause neuronal damage by cytotoxic T-cell mechanisms. ('antibodies', 'Var', (98, 108)) ('neuronal damage', 'Disease', (161, 176)) ('PNS', 'Disease', (13, 16)) ('PNS', 'Disease', 'MESH:D020361', (13, 16)) ('neuronal damage', 'Disease', 'MESH:D009410', (161, 176)) 3110 28242989 However, Tc-99m MIBI uptake has been reported in both malignant and benign thymomas. ('malignant', 'Disease', (54, 63)) ('Tc-99', 'Chemical', '-', (9, 14)) ('benign thymomas', 'Disease', 'MESH:D013945', (68, 83)) ('thymoma', 'Phenotype', 'HP:0100522', (75, 82)) ('MIBI', 'Chemical', 'MESH:C055887', (16, 20)) ('Tc-99m', 'Var', (9, 15)) ('benign thymomas', 'Disease', (68, 83)) 3121 23765114 Of two patients with PIK3CA or AKT1 mutations, one was treated with an mTOR inhibitor-based regimen and achieved 26% regression with a TTF of 17 months. ('AKT1', 'Gene', '207', (31, 35)) ('PIK3CA', 'Gene', (21, 27)) ('mutations', 'Var', (36, 45)) ('mTOR', 'Gene', '2475', (71, 75)) ('TTF', 'Chemical', '-', (135, 138)) ('AKT1', 'Gene', (31, 35)) ('mTOR', 'Gene', (71, 75)) ('PIK3CA', 'Gene', '5290', (21, 27)) ('patients', 'Species', '9606', (7, 15)) ('regression', 'NegReg', (117, 127)) 3133 23765114 Of 12 patients assessed for a PIK3CA mutation (7 by NGS; 6 by single gene PCR sequencing, including one of whom was also assessed by NGS), one patient (8%; case #16, Table 2) had a PIK3CA mutation (S553T) in exon 9. ('PIK3CA', 'Gene', (30, 36)) ('patient', 'Species', '9606', (143, 150)) ('patient', 'Species', '9606', (6, 13)) ('PIK3CA', 'Gene', '5290', (30, 36)) ('S553T', 'Mutation', 'rs1285828931', (198, 203)) ('PIK3CA', 'Gene', (181, 187)) ('PIK3CA', 'Gene', '5290', (181, 187)) ('patients', 'Species', '9606', (6, 14)) ('S553T', 'Var', (198, 203)) 3134 23765114 One of the 13 patients (8%) assessed for an EGFR mutation (7 by NGS; 8 by single gene PCR-based sequencing including 2 who also had NGS) had a mutation (case #4, Table 2; T785I in exon 20) in the sample obtained five years prior to referral. ('T785I', 'Var', (171, 176)) ('EGFR', 'Gene', '1956', (44, 48)) ('EGFR', 'Gene', (44, 48)) ('T785I', 'Mutation', 'rs587780591', (171, 176)) ('patients', 'Species', '9606', (14, 22)) 3135 23765114 Of interest no EGFR mutation was found by NGS in the sample obtained from a separate site, one year after referral. ('EGFR', 'Gene', '1956', (15, 19)) ('EGFR', 'Gene', (15, 19)) ('mutation', 'Var', (20, 28)) 3136 23765114 Twelve patients assessed for a KRAS mutation, 9 for an NRAS mutation, and 9 for a BRAF mutation, were all wild-type. ('KRAS', 'Gene', (31, 35)) ('BRAF', 'Gene', '673', (82, 86)) ('NRAS', 'Gene', '4893', (55, 59)) ('KRAS', 'Gene', '3845', (31, 35)) ('BRAF', 'Gene', (82, 86)) ('NRAS', 'Gene', (55, 59)) ('patients', 'Species', '9606', (7, 15)) ('mutation', 'Var', (36, 44)) 3139 23765114 One patient (case #4, Table 2) had an APC mutation (E1536), TP53 mutation (R282W) and MCL1 amplification. ('R282W', 'Var', (75, 80)) ('APC', 'Disease', 'MESH:D011125', (38, 41)) ('patient', 'Species', '9606', (4, 11)) ('TP53', 'Gene', '7157', (60, 64)) ('MCL1', 'Gene', '4170', (86, 90)) ('APC', 'Disease', (38, 41)) ('R282W', 'Mutation', 'rs28934574', (75, 80)) ('E1536', 'Var', (52, 57)) ('TP53', 'Gene', (60, 64)) ('MCL1', 'Gene', (86, 90)) 3140 23765114 A second patient (case #8, Table 2) had a RET mutation (E768Q) and CDKN2A/B deletion. ('RET', 'Gene', '5979', (42, 45)) ('CDKN2A/B', 'Gene', '1029;1030', (67, 75)) ('E768Q', 'Var', (56, 61)) ('CDKN2A/B', 'Gene', (67, 75)) ('RET', 'Gene', (42, 45)) ('patient', 'Species', '9606', (9, 16)) ('E768Q', 'Mutation', 'p.E768Q', (56, 61)) 3141 23765114 MCL1 amplification was identified in a third patient (case #11, Table 2) and an AKT1 mutation (E17K) in a fourth patient (case #17, Table 2). ('patient', 'Species', '9606', (113, 120)) ('E17K', 'Var', (95, 99)) ('MCL1', 'Gene', '4170', (0, 4)) ('AKT1', 'Gene', '207', (80, 84)) ('MCL1', 'Gene', (0, 4)) ('patient', 'Species', '9606', (45, 52)) ('AKT1', 'Gene', (80, 84)) ('E17K', 'Mutation', 'rs121434592', (95, 99)) 3155 23765114 One of two patients (cases #16 and 17, Table 2) with a mutation in the PI3K/AKT/mTOR axis was treated with an mTOR-based regimen and achieved 26% regression with a TTF of 17 months (case #17, Table 2). ('mTOR', 'Gene', (110, 114)) ('mTOR', 'Gene', '2475', (110, 114)) ('AKT', 'Gene', '207', (76, 79)) ('regression', 'NegReg', (146, 156)) ('mTOR', 'Gene', (80, 84)) ('mTOR', 'Gene', '2475', (80, 84)) ('TTF', 'Chemical', '-', (164, 167)) ('AKT', 'Gene', (76, 79)) ('mutation', 'Var', (55, 63)) ('patients', 'Species', '9606', (11, 19)) 3160 23765114 The median TTF was significantly longer in nine patients (one patient [case #; Table ] was not included in the paired analysis as the patient did not receive prior systemic therapy for advanced cancer) treated on mTOR inhibitor combinations (11.6 months, 95% CI, 0.0-30.9 months) compared to median TTF on their last standard therapy prior to referral to the phase I clinic (2.3 months, 95% CI, 1.7-2.9 months; p=0.024; Figure 2B). ('TTF', 'Chemical', '-', (11, 14)) ('mTOR', 'Gene', (213, 217)) ('combinations', 'Var', (228, 240)) ('TTF', 'MPA', (11, 14)) ('cancer', 'Disease', (194, 200)) ('TTF', 'Chemical', '-', (299, 302)) ('patient', 'Species', '9606', (62, 69)) ('cancer', 'Phenotype', 'HP:0002664', (194, 200)) ('patient', 'Species', '9606', (48, 55)) ('patient', 'Species', '9606', (134, 141)) ('patients', 'Species', '9606', (48, 56)) ('mTOR', 'Gene', '2475', (213, 217)) ('longer', 'PosReg', (33, 39)) ('cancer', 'Disease', 'MESH:D009369', (194, 200)) 3173 23765114 For instance, one of 12 patients (8%) harbored a PIK3CA mutation; one of 13 (8%), an EGFR mutation; one of seven (14%), a RET mutation; and one of seven (14%), an AKT1 mutation. ('RET', 'Gene', '5979', (122, 125)) ('EGFR', 'Gene', (85, 89)) ('EGFR', 'Gene', '1956', (85, 89)) ('RET', 'Gene', (122, 125)) ('AKT1', 'Gene', '207', (163, 167)) ('PIK3CA', 'Gene', (49, 55)) ('AKT1', 'Gene', (163, 167)) ('patients', 'Species', '9606', (24, 32)) ('PIK3CA', 'Gene', '5290', (49, 55)) ('mutation', 'Var', (56, 64)) ('mutation', 'Var', (90, 98)) 3177 23765114 One of the five patients (case #17, Table 2) had an AKT1 mutation, and achieved tumor regression of 26% that lasted 17 months. ('mutation', 'Var', (57, 65)) ('tumor', 'Disease', 'MESH:D009369', (80, 85)) ('AKT1', 'Gene', '207', (52, 56)) ('tumor', 'Phenotype', 'HP:0002664', (80, 85)) ('patients', 'Species', '9606', (16, 24)) ('tumor', 'Disease', (80, 85)) ('AKT1', 'Gene', (52, 56)) 3186 23765114 One patient (case #4, Table 2) showed an EGFR mutation in sample tissue obtained five years prior to referral. ('EGFR', 'Gene', (41, 45)) ('EGFR', 'Gene', '1956', (41, 45)) ('mutation', 'Var', (46, 54)) ('patient', 'Species', '9606', (4, 11)) 3188 23765114 Other aberrations included mutations in APC, a tumor suppressor gene often altered in colorectal cancer, or in p53. ('mutations', 'Var', (27, 36)) ('APC', 'Disease', 'MESH:D011125', (40, 43)) ('colorectal cancer', 'Disease', 'MESH:D015179', (86, 103)) ('APC', 'Disease', (40, 43)) ('p53', 'Gene', (111, 114)) ('p53', 'Gene', '7157', (111, 114)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (86, 103)) ('tumor', 'Disease', 'MESH:D009369', (47, 52)) ('colorectal cancer', 'Disease', (86, 103)) ('cancer', 'Phenotype', 'HP:0002664', (97, 103)) ('tumor', 'Phenotype', 'HP:0002664', (47, 52)) ('tumor', 'Disease', (47, 52)) 3189 23765114 MCL1 amplification implicated in antiapoptic activity, and loss of CDKN2A/B, a gene that encodes inhibition of cyclin-dependent kinases were also seen (Table 2). ('antiapoptic activity', 'MPA', (33, 53)) ('amplification', 'Var', (5, 18)) ('CDKN2A/B', 'Gene', '1029;1030', (67, 75)) ('MCL1', 'Gene', '4170', (0, 4)) ('MCL1', 'Gene', (0, 4)) ('CDKN2A/B', 'Gene', (67, 75)) ('loss', 'NegReg', (59, 63)) 3197 23765114 Diverse actionable molecular aberrations were seen in our patients including, but not limited to, mutations in PIK3CA (1 of 12 tested; 8%); EGFR (1 of 13; 8%); RET (1 of 7; 14%); and AKT1 (1 of 7; 14%). ('EGFR', 'Gene', (140, 144)) ('AKT1', 'Gene', '207', (183, 187)) ('PIK3CA', 'Gene', (111, 117)) ('mutations', 'Var', (98, 107)) ('AKT1', 'Gene', (183, 187)) ('RET', 'Gene', '5979', (160, 163)) ('patients', 'Species', '9606', (58, 66)) ('PIK3CA', 'Gene', '5290', (111, 117)) ('EGFR', 'Gene', '1956', (140, 144)) ('RET', 'Gene', (160, 163)) 3198 23765114 Other aberrations were also observed: TP53 mutation, APC mutation, MCL1 amplification, and, CDK2A/B deletion. ('MCL1', 'Gene', (67, 71)) ('amplification', 'Var', (72, 85)) ('APC', 'Disease', 'MESH:D011125', (53, 56)) ('APC', 'Disease', (53, 56)) ('MCL1', 'Gene', '4170', (67, 71)) ('TP53', 'Gene', (38, 42)) ('mutation', 'Var', (43, 51)) ('CDK2A/B', 'Gene', (92, 99)) ('TP53', 'Gene', '7157', (38, 42)) 3228 20421818 High EGFR immunoreactivity is seen in more aggressive thymic neoplasms as classified according to the 2004 WHO, but regardless of classification, the presence of EGFR in tumor cells (1+, 2+, and 3+) is associated with improved performance free survival (PFS) and a trend for better OS. ('tumor', 'Disease', 'MESH:D009369', (170, 175)) ('aggressive thymic neoplasms', 'Disease', 'MESH:D013953', (43, 70)) ('thymic neoplasms', 'Phenotype', 'HP:0100521', (54, 70)) ('tumor', 'Phenotype', 'HP:0002664', (170, 175)) ('neoplasms', 'Phenotype', 'HP:0002664', (61, 70)) ('EGFR', 'Gene', (162, 166)) ('tumor', 'Disease', (170, 175)) ('performance free survival', 'CPA', (227, 252)) ('1+', 'Var', (183, 185)) ('presence', 'Var', (150, 158)) ('aggressive thymic neoplasms', 'Disease', (43, 70)) ('improved', 'PosReg', (218, 226)) 3277 20421818 Patients with high C-kit expression had an inferior PFS then those with low C-kit expression (Figure 2). ('C-kit', 'Gene', (76, 81)) ('C-kit', 'Gene', (19, 24)) ('C-kit', 'Gene', '3815', (76, 81)) ('C-kit', 'Gene', '3815', (19, 24)) ('high', 'Var', (14, 18)) ('Patients', 'Species', '9606', (0, 8)) ('PFS', 'MPA', (52, 55)) 3280 20421818 After adjusting for the presence of liver metastasis, EGFR positivity (hazard ratio = 0.16, 95% confidence interval: [0.06 - 0.43], p = 0.0004) and low C-kit expression (hazard ratio = 0.08, 95% confidence interval: [0.02-0.35], p = 0.0008) remained significant predictors of PFS. ('C-kit', 'Gene', (152, 157)) ('C-kit', 'Gene', '3815', (152, 157)) ('expression', 'MPA', (158, 168)) ('positivity', 'Var', (59, 69)) ('PFS', 'Disease', (276, 279)) ('liver metastasis', 'Disease', 'MESH:D009362', (36, 52)) ('EGFR', 'Gene', (54, 58)) ('liver metastasis', 'Disease', (36, 52)) ('low', 'NegReg', (148, 151)) 3281 20421818 OS (Figure 3) for patients with EGFR positivity (median 64.3 months [43.4 -93.3 months]) tended to be better than that of patients without EGFR expression (median 39.9 months [15.2-Inf mos], log-rank test p value 0.058). ('positivity', 'Var', (37, 47)) ('patients', 'Species', '9606', (122, 130)) ('EGFR', 'Gene', (32, 36)) ('patients', 'Species', '9606', (18, 26)) 3282 20421818 Those with high C-kit expression tended toward an inferior OS, but the difference was not statistically significant (log-rank test p = 0.12). ('C-kit', 'Gene', (16, 21)) ('inferior OS', 'CPA', (50, 61)) ('C-kit', 'Gene', '3815', (16, 21)) ('high', 'Var', (11, 15)) 3283 20421818 The median OS (Figure 4) for patients with high C-kit expression was 34.6 months (16.0-Inf) compared with 63.6 months (43.4 - 88.0 months) for those with low expression. ('C-kit', 'Gene', (48, 53)) ('patients', 'Species', '9606', (29, 37)) ('C-kit', 'Gene', '3815', (48, 53)) ('high', 'Var', (43, 47)) 3296 20421818 Our study confirms other reports demonstrating a high percentage of EGFR positivity in thymic epithelial tumors. ('epithelial tumors', 'Disease', (94, 111)) ('epithelial tumors', 'Disease', 'MESH:D002277', (94, 111)) ('positivity', 'Var', (73, 83)) ('tumor', 'Phenotype', 'HP:0002664', (105, 110)) ('tumors', 'Phenotype', 'HP:0002664', (105, 111)) ('EGFR', 'Gene', (68, 72)) 3302 20421818 Our results demonstrate that the presence of EGFR immunostaining in tumor cells (+1, 2, and 3) was associated with a significantly better PFS with a trend toward improved OS. ('tumor', 'Disease', (68, 73)) ('EGFR', 'Gene', (45, 49)) ('improved', 'PosReg', (162, 170)) ('presence', 'Var', (33, 41)) ('tumor', 'Disease', 'MESH:D009369', (68, 73)) ('PFS', 'MPA', (138, 141)) ('better', 'PosReg', (131, 137)) ('tumor', 'Phenotype', 'HP:0002664', (68, 73)) 3303 20421818 In addition, the presence of C-kit immunoreactivity was associated with a significantly worse PFS. ('PFS', 'Disease', (94, 97)) ('C-kit', 'Gene', (29, 34)) ('C-kit', 'Gene', '3815', (29, 34)) ('presence', 'Var', (17, 25)) ('worse', 'NegReg', (88, 93)) 3311 20421818 Further studies are needed to define the frequency of mutations on these markers, whether such mutations carry therapeutic predictive capabilities, and the importance of these pathways on carcinogenesis and drug resistance. ('carcinogenesis', 'Disease', (188, 202)) ('carcinogenesis', 'Disease', 'MESH:D063646', (188, 202)) ('mutations', 'Var', (54, 63)) ('drug resistance', 'Phenotype', 'HP:0020174', (207, 222)) 3407 32358402 Deficiencies in T lymphocyte function may induce autoimmune diseases such as myasthenia gravis, erythropoiesis, systemic lupus erythematosus, inflammatory myopathy, and thyroid disease. ('as', 'Gene', '112935892', (181, 183)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (49, 68)) ('induce', 'Reg', (42, 48)) ('thyroid disease', 'Disease', (169, 184)) ('T lymphocyte', 'Protein', (16, 28)) ('autoimmune diseases', 'Disease', (49, 68)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (49, 68)) ('thyroid disease', 'Phenotype', 'HP:0000820', (169, 184)) ('systemic lupus erythematosus', 'Disease', (112, 140)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (77, 94)) ('thyroid disease', 'Disease', 'MESH:D013959', (169, 184)) ('inflammatory myopathy', 'Phenotype', 'HP:0009071', (142, 163)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (49, 67)) ('myopathy', 'Phenotype', 'HP:0003198', (155, 163)) ('myopathy', 'Disease', (155, 163)) ('as', 'Gene', '112935892', (74, 76)) ('systemic lupus erythematosus', 'Phenotype', 'HP:0002725', (112, 140)) ('Deficiencies', 'Var', (0, 12)) ('systemic lupus erythematosus', 'Disease', 'MESH:D008180', (112, 140)) ('myasthenia gravis', 'Disease', (77, 94)) ('as', 'Gene', '112935892', (64, 66)) ('as', 'Gene', '112935892', (79, 81)) ('myasthenia', 'Phenotype', 'HP:0003473', (77, 87)) ('erythropoiesis', 'Disease', (96, 110)) ('myopathy', 'Disease', 'MESH:D009135', (155, 163)) 3467 31891634 In this study, we excluded the following ICD-O-3 histology codes according to the SEER guideline: 9050-9055 (mesothelioma), 9060-9091 (germ cell tumor), 9140 (Kaposi sarcoma), and 9550-9992 (lymphomas, leukemias, myelomas, lymphoreticular, and immunoproliferative diseases). ('9060-9091', 'Var', (124, 133)) ('9550-9992', 'Var', (180, 189)) ('9140', 'Var', (153, 157)) ('Kaposi sarcoma', 'Disease', 'MESH:D012514', (159, 173)) ('myelomas', 'Disease', 'MESH:D009101', (213, 221)) ('9050-9055', 'Var', (98, 107)) ('lymphomas', 'Disease', (191, 200)) ('sarcoma', 'Phenotype', 'HP:0100242', (166, 173)) ('tumor', 'Disease', (145, 150)) ('Kaposi sarcoma', 'Disease', (159, 173)) ('immunoproliferative diseases', 'Disease', 'MESH:D007160', (244, 272)) ('immunoproliferative diseases', 'Disease', (244, 272)) ('tumor', 'Disease', 'MESH:D009369', (145, 150)) ('myelomas', 'Disease', (213, 221)) ('lymphoreticular', 'Disease', (223, 238)) ('leukemias', 'Disease', 'MESH:D007938', (202, 211)) ('Kaposi sarcoma', 'Phenotype', 'HP:0100726', (159, 173)) ('mesothelioma', 'Disease', (109, 121)) ('leukemias', 'Phenotype', 'HP:0001909', (202, 211)) ('germ cell tumor', 'Phenotype', 'HP:0100728', (135, 150)) ('O-3', 'Chemical', 'MESH:D013481', (45, 48)) ('mesothelioma', 'Disease', 'MESH:D008654', (109, 121)) ('tumor', 'Phenotype', 'HP:0002664', (145, 150)) ('lymphomas', 'Disease', 'MESH:D008223', (191, 200)) ('lymphomas', 'Phenotype', 'HP:0002665', (191, 200)) ('leukemias', 'Disease', (202, 211)) 3468 31891634 Then, we used the ICD-O-3 histology code to identify cases of thymoma (8581-8585), thymic carcinoma (8020, 8023, 8033, 8070, 8082, 8123, 8140, 8200, 8260, 8310, 8430, 8480, 8560, 8576, and 8586), thymic neuroendocrine tumor (8013, 8041, 8045, 8240, and 8249), and other types of tumor (with different codes) according to the WHO Classification of Tumors of Endocrine Organs 4th edition. ('tumor', 'Phenotype', 'HP:0002664', (279, 284)) ('8013', 'Var', (225, 229)) ('carcinoma', 'Phenotype', 'HP:0030731', (90, 99)) ('Tumors', 'Phenotype', 'HP:0002664', (347, 353)) ('tumor', 'Disease', (218, 223)) ('8020', 'Var', (101, 105)) ('thymic neuroendocrine tumor', 'Disease', (196, 223)) ('neuroendocrine tumor', 'Phenotype', 'HP:0100634', (203, 223)) ('Tumor', 'Phenotype', 'HP:0002664', (347, 352)) ('8581-8585', 'Var', (71, 80)) ('tumor', 'Disease', 'MESH:D009369', (218, 223)) ('8586', 'Var', (189, 193)) ('Tumors of Endocrine', 'Disease', 'MESH:D004701', (347, 366)) ('O-3', 'Chemical', 'MESH:D013481', (22, 25)) ('tumor', 'Disease', (279, 284)) ('tumor', 'Phenotype', 'HP:0002664', (218, 223)) ('thymic carcinoma', 'Disease', (83, 99)) ('thymoma', 'Gene', '7063', (62, 69)) ('thymoma', 'Phenotype', 'HP:0100522', (62, 69)) ('tumor', 'Disease', 'MESH:D009369', (279, 284)) ('thymic neuroendocrine tumor', 'Disease', 'MESH:D018358', (196, 223)) ('8070', 'Var', (119, 123)) ('thymoma', 'Gene', (62, 69)) ('Tumors of Endocrine', 'Disease', (347, 366)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (83, 99)) 3571 31289591 On multivariate analysis, greater than or equal to 50% abutment of the circumference of an adjacent vessel on CT was statistically associated with an incomplete resection or late stage thymomas. ('greater than', 'Var', (26, 38)) ('thymomas', 'Disease', (185, 193)) ('thymomas', 'Disease', 'MESH:D013945', (185, 193)) ('incomplete resection', 'CPA', (150, 170)) ('associated', 'Reg', (131, 141)) ('thymoma', 'Phenotype', 'HP:0100522', (185, 192)) 3676 30038930 The risk of reactivation is increased in settings of T-cell-mediated immune dysfunction, which may be the result of T-cell exhaustion, deterioration, or deletion. ('deletion', 'Var', (153, 161)) ('reactivation', 'MPA', (12, 24)) ('immune dysfunction', 'Disease', (69, 87)) ('T-cell exhaustion', 'Phenotype', 'HP:0005435', (116, 133)) ('immune dysfunction', 'Disease', 'MESH:D007154', (69, 87)) 3680 30038930 Although the precise mechanism remains unknown, we hypothesize that our patient's immune dysfunction was most likely due to defective expression of the autoimmune regulator (AIRE) in thymoma resulting in deficient selection and functional T-cell deficits, despite a normal absolute CD4+ T-cell count. ('immune dysfunction', 'Disease', (82, 100)) ('autoimmune regulator', 'Gene', (152, 172)) ('autoimmune regulator', 'Gene', '326', (152, 172)) ('absolute CD4+ T-cell count', 'Phenotype', 'HP:0005407', (273, 299)) ('patient', 'Species', '9606', (72, 79)) ('selection', 'CPA', (214, 223)) ('defective', 'Var', (124, 133)) ('CD4', 'Gene', '920', (282, 285)) ('thymoma', 'Gene', '7063', (183, 190)) ('thymoma', 'Phenotype', 'HP:0100522', (183, 190)) ('expression', 'MPA', (134, 144)) ('CD4', 'Gene', (282, 285)) ('AIRE', 'Gene', (174, 178)) ('thymoma', 'Gene', (183, 190)) ('AIRE', 'Gene', '326', (174, 178)) ('T-cell deficits', 'Phenotype', 'HP:0005435', (239, 254)) ('immune dysfunction', 'Disease', 'MESH:D007154', (82, 100)) ('functional T-cell deficits', 'CPA', (228, 254)) ('deficient', 'NegReg', (204, 213)) 3804 24457247 Laboratory workup showed transaminitis (AST 377 U/L, upper limit of normal (ULN) 34 U/L; ALT 357 U/L, ULN 41 U/L) elevated creatine kinase (CK 1462 U/L, ULN 252 U/L), and lactate dehydrogenase (LDH 947 U/L, ULN 226 U/L), no serological evidence of hepatitis A, B or C infection and absence of anti-smooth muscle and anti-nuclear antibodies. ('lactate dehydrogenase', 'MPA', (171, 192)) ('hepatitis A, B or C infection', 'Disease', 'MESH:D006509', (248, 277)) ('LDH 947 U/L', 'Var', (194, 205)) ('hepatitis', 'Phenotype', 'HP:0012115', (248, 257)) ('CK', 'Gene', '51727', (140, 142)) ('creatine kinase', 'MPA', (123, 138)) ('elevated creatine kinase', 'Phenotype', 'HP:0003236', (114, 138)) ('transaminitis', 'Disease', (25, 38)) ('AST', 'Gene', (40, 43)) ('elevated', 'PosReg', (114, 122)) ('ALT 357 U/L', 'Var', (89, 100)) ('AST', 'Gene', '26503', (40, 43)) 3893 21819556 Laboratory toxicity was defined as white cell count <=3.0 x109/L, neutrophils <=1.5 x109/L, or platelets <=100 x109/L, or AST, ALT and GGT > 2-fold the upper limit of normal. ('AST', 'Gene', (122, 125)) ('ALT', 'MPA', (127, 130)) ('neutrophils', 'CPA', (66, 77)) ('AST', 'Gene', '26503', (122, 125)) ('toxicity', 'Disease', 'MESH:D064420', (11, 19)) ('white cell count', 'CPA', (35, 51)) ('toxicity', 'Disease', (11, 19)) ('platelets', 'CPA', (95, 104)) ('Laboratory', 'Disease', (0, 10)) ('<=100 x109/L', 'Var', (105, 117)) ('GGT', 'Gene', '728441', (135, 138)) ('GGT', 'Gene', (135, 138)) 3912 21819556 The average daily prednisone dose per kilogram bodyweight at month 12 was also lower in the MTX-group being on average 0.15 mg/kg prednisone (SD +- 0.08) daily as compared with that in the AZA-group of 0.31 mg/kg (SD +- 0.22)(mean Delta 0.16; 95% CI 0.29; 0.03; p = 0.019). ('MTX-group', 'Var', (92, 101)) ('AZA', 'Chemical', 'MESH:D001379', (189, 192)) ('prednisone', 'Chemical', 'MESH:D011241', (18, 28)) ('lower', 'NegReg', (79, 84)) ('MTX', 'Chemical', 'MESH:D008727', (92, 95)) ('prednisone', 'Chemical', 'MESH:D011241', (130, 140)) 3950 21819556 This study represents the "real-life" situation in that a spectrum of patients with generalized MG were recruited including AChR-Ab-negative and thymoma-associated variants: two less prevalent MG subgroups often associated with severe disease requiring immunosuppression. ('thymoma', 'Phenotype', 'HP:0100522', (145, 152)) ('variants', 'Var', (164, 172)) ('generalized', 'Disease', (84, 95)) ('patients', 'Species', '9606', (70, 78)) 3959 33674910 Molecular pathology of thymomas: implications for diagnosis and therapy Thymomas exhibit a unique genomic landscape, comprising the lowest on average total mutational burden among adult human cancers; a unique point mutation in the GTF2I gene in WHO type A and AB thymomas (and rarely others); almost unique KMT2A-MAML2 translocations in rare WHO type B2 and B3 thymomas; a unique YAP1-MAML2 translocation in almost all metaplastic thymomas; and unique miRNA profiles in relation to GTF2I mutational status and WHO histotypes. ('YAP1', 'Gene', '10413', (381, 385)) ('thymoma', 'Phenotype', 'HP:0100522', (362, 369)) ('cancers', 'Phenotype', 'HP:0002664', (192, 199)) ('KMT2A', 'Gene', '4297', (308, 313)) ('AB thymomas', 'Disease', (261, 272)) ('cancers', 'Disease', (192, 199)) ('thymomas', 'Disease', 'MESH:D013945', (362, 370)) ('thymoma', 'Phenotype', 'HP:0100522', (432, 439)) ('thymomas', 'Disease', (23, 31)) ('cancer', 'Phenotype', 'HP:0002664', (192, 198)) ('YAP1', 'Gene', (381, 385)) ('AB thymomas', 'Disease', 'MESH:D013945', (261, 272)) ('thymomas', 'Disease', 'MESH:D013945', (432, 440)) ('thymomas', 'Disease', (362, 370)) ('GTF2I', 'Gene', '2969', (232, 237)) ('MAML2', 'Gene', (314, 319)) ('thymoma', 'Phenotype', 'HP:0100522', (264, 271)) ('MAML2', 'Gene', (386, 391)) ('thymomas', 'Disease', (432, 440)) ('GTF2I', 'Gene', (232, 237)) ('KMT2A', 'Gene', (308, 313)) ('thymomas', 'Disease', 'MESH:D013945', (264, 272)) ('cancers', 'Disease', 'MESH:D009369', (192, 199)) ('GTF2I', 'Gene', '2969', (483, 488)) ('MAML2', 'Gene', '84441', (314, 319)) ('MAML2', 'Gene', '84441', (386, 391)) ('GTF2I', 'Gene', (483, 488)) ('thymomas', 'Disease', (264, 272)) ('point mutation', 'Var', (210, 224)) ('thymoma', 'Phenotype', 'HP:0100522', (23, 30)) ('Thymoma', 'Phenotype', 'HP:0100522', (72, 79)) ('human', 'Species', '9606', (186, 191)) ('thymomas', 'Disease', 'MESH:D013945', (23, 31)) 3960 33674910 While most thymomas can be diagnosed solely on the basis of morphological features, mutational analyses can solve challenging differential diagnostic problems. ('thymoma', 'Phenotype', 'HP:0100522', (11, 18)) ('thymomas', 'Disease', (11, 19)) ('thymomas', 'Disease', 'MESH:D013945', (11, 19)) ('mutational', 'Var', (84, 94)) 3988 33674910 CD247 hypoexpression entails susceptibility to infections and, hypothetically, the increased prevalence of non-thymic cancers in thymoma patients. ('hypoexpression', 'Var', (6, 20)) ('cancers', 'Disease', (118, 125)) ('cancers', 'Disease', 'MESH:D009369', (118, 125)) ('CD247', 'Gene', '919', (0, 5)) ('susceptibility to infections', 'Phenotype', 'HP:0002719', (29, 57)) ('thymoma', 'Disease', (129, 136)) ('CD247', 'Gene', (0, 5)) ('infections', 'Disease', 'MESH:D007239', (47, 57)) ('thymoma', 'Phenotype', 'HP:0100522', (129, 136)) ('patients', 'Species', '9606', (137, 145)) ('cancer', 'Phenotype', 'HP:0002664', (118, 124)) ('infections', 'Disease', (47, 57)) ('susceptibility', 'Reg', (29, 43)) ('cancers', 'Phenotype', 'HP:0002664', (118, 125)) ('thymoma', 'Disease', 'MESH:D013945', (129, 136)) 3994 33674910 Also, gains and losses were commonly large-scale alterations such as whole chromosome or chromosome arm losses and gains, with losses of chromosome 6 material (harboring the FOXC1 tumor suppressor gene at 6p25.3) and gains in 1q as the most common structural abnormalities across all histotypes. ('FOXC1 tumor', 'Disease', 'MESH:D009369', (174, 185)) ('chromosome arm', 'CPA', (89, 103)) ('gains', 'PosReg', (115, 120)) ('tumor', 'Phenotype', 'HP:0002664', (180, 185)) ('structural abnormalities', 'Disease', 'MESH:C566527', (248, 272)) ('FOXC1 tumor', 'Disease', (174, 185)) ('losses', 'NegReg', (127, 133)) ('gains in', 'Var', (217, 225)) ('losses', 'NegReg', (104, 110)) ('structural abnormalities', 'Disease', (248, 272)) 3995 33674910 One of the most prevalent somatic mutations of thymomas is a single nucleotide hot-spot mutation (c.74146970T>A; p.L424H) in the general transcription factor IIi gene (GTF2I). ('p.L424H', 'Mutation', 'p.L424H', (113, 120)) ('GTF2I', 'Gene', (168, 173)) ('c.74146970T>A', 'Mutation', 'c.74146970T>A', (98, 111)) ('thymoma', 'Phenotype', 'HP:0100522', (47, 54)) ('c.74146970T>A;', 'Var', (98, 112)) ('GTF2I', 'Gene', '2969', (168, 173)) ('thymomas', 'Disease', (47, 55)) ('thymomas', 'Disease', 'MESH:D013945', (47, 55)) 3997 33674910 Less common recurrent alterations concern gain-of-function mutations of HRAS (mainly in type A and AB thymomas) and NRAS (in type A and B thymomas), and loss-of-function mutations of TP53 (in type B thymomas and TCs). ('TP53', 'Gene', '7157', (183, 187)) ('B thymomas', 'Disease', 'MESH:D013945', (197, 207)) ('type B thymomas', 'Disease', (192, 207)) ('thymoma', 'Phenotype', 'HP:0100522', (138, 145)) ('type B thymomas', 'Disease', 'MESH:D013945', (192, 207)) ('B thymomas', 'Disease', (136, 146)) ('B thymomas', 'Disease', 'MESH:D013945', (100, 110)) ('loss-of-function', 'NegReg', (153, 169)) ('NRAS', 'Gene', '4893', (116, 120)) ('AB thymomas', 'Disease', (99, 110)) ('TP53', 'Gene', (183, 187)) ('gain-of-function', 'PosReg', (42, 58)) ('thymoma', 'Phenotype', 'HP:0100522', (199, 206)) ('mutations', 'Var', (59, 68)) ('AB thymomas', 'Disease', 'MESH:D013945', (99, 110)) ('B thymomas', 'Disease', 'MESH:D013945', (136, 146)) ('HRAS', 'Gene', '3265', (72, 76)) ('mutations', 'Var', (170, 179)) ('HRAS', 'Gene', (72, 76)) ('NRAS', 'Gene', (116, 120)) ('thymoma', 'Phenotype', 'HP:0100522', (102, 109)) ('type A', 'Disease', (88, 94)) 3998 33674910 The enrichment of C>T mutations within CpG di-nucleotides is an age-related signature that fits well with the age of thymoma patients. ('fits', 'Disease', (91, 95)) ('thymoma', 'Disease', 'MESH:D013945', (117, 124)) ('C>T mutations', 'Var', (18, 31)) ('di-nucleotides', 'Chemical', 'MESH:D015226', (43, 57)) ('thymoma', 'Disease', (117, 124)) ('fits', 'Disease', 'MESH:D012640', (91, 95)) ('thymoma', 'Phenotype', 'HP:0100522', (117, 124)) ('patients', 'Species', '9606', (125, 133)) 3999 33674910 KIT mutations and oncogenic driver mutations or translocations that are characteristic of lung and other cancers have not been observed. ('translocations', 'Var', (48, 62)) ('cancers', 'Phenotype', 'HP:0002664', (105, 112)) ('cancers', 'Disease', (105, 112)) ('cancers', 'Disease', 'MESH:D009369', (105, 112)) ('KIT', 'Gene', '3815', (0, 3)) ('cancer', 'Phenotype', 'HP:0002664', (105, 111)) ('mutations', 'Var', (4, 13)) ('KIT', 'Gene', (0, 3)) 4001 33674910 While a single TC among the 10 tested carcinomas showed microsatellite instability (MSI) due to a pathogenic nonsense mutation (E37*) in the MHL1 gene, none of the 107 tested thymomas exhibited this oncogenic feature. ('carcinomas', 'Disease', 'MESH:D009369', (38, 48)) ('carcinomas', 'Disease', (38, 48)) ('E37*', 'Var', (128, 132)) ('E37*', 'SUBSTITUTION', 'None', (128, 132)) ('pathogenic', 'Reg', (98, 108)) ('microsatellite instability', 'Disease', 'MESH:D053842', (56, 82)) ('carcinomas', 'Phenotype', 'HP:0030731', (38, 48)) ('thymomas', 'Disease', 'MESH:D013945', (175, 183)) ('thymoma', 'Phenotype', 'HP:0100522', (175, 182)) ('microsatellite instability', 'Disease', (56, 82)) ('MHL1', 'Gene', (141, 145)) ('thymomas', 'Disease', (175, 183)) 4005 33674910 2) vaguely resembles spindle cell areas in type A and AB thymomas, GTF2I mutations were consistently absent. ('AB thymomas', 'Disease', (54, 65)) ('GTF2I', 'Gene', (67, 72)) ('thymoma', 'Phenotype', 'HP:0100522', (57, 64)) ('GTF2I', 'Gene', '2969', (67, 72)) ('absent', 'NegReg', (101, 107)) ('mutations', 'Var', (73, 82)) ('AB thymomas', 'Disease', 'MESH:D013945', (54, 65)) 4007 33674910 Recurrent KMT2A-MAML2 translocations were recently identified in 6% of clinically aggressive type B2 and B3 thymomas and a single case of combined TC (B3 thymoma with small TC component). ('thymoma', 'Disease', 'MESH:D013945', (154, 161)) ('thymoma', 'Disease', (154, 161)) ('identified', 'Reg', (51, 61)) ('thymomas', 'Disease', (108, 116)) ('thymomas', 'Disease', 'MESH:D013945', (108, 116)) ('thymoma', 'Phenotype', 'HP:0100522', (154, 161)) ('thymoma', 'Disease', 'MESH:D013945', (108, 115)) ('translocations', 'Var', (22, 36)) ('KMT2A', 'Gene', (10, 15)) ('thymoma', 'Disease', (108, 115)) ('MAML2', 'Gene', (16, 21)) ('KMT2A', 'Gene', '4297', (10, 15)) ('thymoma', 'Phenotype', 'HP:0100522', (108, 115)) ('MAML2', 'Gene', '84441', (16, 21)) 4008 33674910 The translocations variably involved exons 8, 9, 10, or 11 of KMT2A and exon 2 of MAML2, and are highly characteristic of type B2 and B3 thymomas, because they were previously found only in very rare leukemias, myelodysplastic syndromes, and one plasmacytoma but not in any other tumor among over 250.000 cases sequenced by Foundation Medicine, including 266 thymic carcinomas. ('translocations', 'Var', (4, 18)) ('leukemias', 'Disease', (200, 209)) ('carcinomas', 'Phenotype', 'HP:0030731', (366, 376)) ('plasmacytoma', 'Phenotype', 'HP:0011857', (246, 258)) ('KMT2A', 'Gene', '4297', (62, 67)) ('myelodysplastic syndromes', 'Phenotype', 'HP:0002863', (211, 236)) ('myelodysplastic syndromes', 'Disease', (211, 236)) ('thymoma', 'Phenotype', 'HP:0100522', (137, 144)) ('tumor', 'Disease', (280, 285)) ('thymomas', 'Disease', 'MESH:D013945', (137, 145)) ('MAML2', 'Gene', (82, 87)) ('myelodysplastic syndromes', 'Disease', 'MESH:D009190', (211, 236)) ('tumor', 'Disease', 'MESH:D009369', (280, 285)) ('leukemias', 'Disease', 'MESH:D007938', (200, 209)) ('KMT2A', 'Gene', (62, 67)) ('thymomas', 'Disease', (137, 145)) ('MAML2', 'Gene', '84441', (82, 87)) ('thymic carcinomas', 'Disease', (359, 376)) ('leukemias', 'Phenotype', 'HP:0001909', (200, 209)) ('involved', 'Reg', (28, 36)) ('tumor', 'Phenotype', 'HP:0002664', (280, 285)) ('thymic carcinomas', 'Disease', 'MESH:D013953', (359, 376)) 4009 33674910 The function of the respective fusion proteins in thymomas is currently unclear, but might be oncogenic drivers, since 7 of the 11 cases did not harbor any concurrent mutations, while the four others showed only single additional mutations/variants in TP53, ARID1A, SFB1, and the TERT promoter. ('TERT', 'Gene', '7015', (280, 284)) ('ARID1A', 'Gene', '8289', (258, 264)) ('SFB1', 'Gene', (266, 270)) ('ARID1A', 'Gene', (258, 264)) ('mutations/variants', 'Var', (230, 248)) ('TP53', 'Gene', '7157', (252, 256)) ('thymoma', 'Phenotype', 'HP:0100522', (50, 57)) ('thymomas', 'Disease', 'MESH:D013945', (50, 58)) ('TERT', 'Gene', (280, 284)) ('thymomas', 'Disease', (50, 58)) ('TP53', 'Gene', (252, 256)) 4010 33674910 Furthermore, KMT2A (also known as MLL) is a known oncogenic driver in translocations with other partner genes in sarcomas and leukemias. ('translocations', 'Var', (70, 84)) ('MLL', 'Gene', (34, 37)) ('sarcomas and leukemias', 'Disease', 'MESH:D012509', (113, 135)) ('MLL', 'Gene', '4297', (34, 37)) ('KMT2A', 'Gene', (13, 18)) ('KMT2A', 'Gene', '4297', (13, 18)) ('leukemias', 'Phenotype', 'HP:0001909', (126, 135)) ('sarcomas', 'Phenotype', 'HP:0100242', (113, 121)) 4014 33674910 3) or combined SMARCA4/SMARCA2 deficiency. ('SMARCA4', 'Gene', '6597', (15, 22)) ('SMARCA2', 'Gene', (23, 30)) ('SMARCA2', 'Gene', '6595', (23, 30)) ('deficiency', 'Var', (31, 41)) ('SMARCA4', 'Gene', (15, 22)) 4027 33674910 However, no recurrent genetic alterations were identified even in heavily pretreated thymomas, while TC frequently showed mutations in potential oncogenic driver genes with a role in chromatin remodeling (e.g., SMARCA4), histone modification (BAP1, SETD2, ASXL1), and DNA methylation (TET2, DNMT3a34, WT1). ('WT1', 'Gene', '7490', (301, 304)) ('BAP1', 'Gene', (243, 247)) ('TET2', 'Gene', (285, 289)) ('thymomas', 'Disease', (85, 93)) ('thymomas', 'Disease', 'MESH:D013945', (85, 93)) ('SETD2', 'Gene', '29072', (249, 254)) ('SETD2', 'Gene', (249, 254)) ('ASXL1', 'Gene', '171023', (256, 261)) ('SMARCA4', 'Gene', '6597', (211, 218)) ('thymoma', 'Phenotype', 'HP:0100522', (85, 92)) ('SMARCA4', 'Gene', (211, 218)) ('ASXL1', 'Gene', (256, 261)) ('mutations', 'Var', (122, 131)) ('BAP1', 'Gene', '8314', (243, 247)) ('DNA', 'MPA', (268, 271)) ('TET2', 'Gene', '54790', (285, 289)) ('histone modification', 'MPA', (221, 241)) ('WT1', 'Gene', (301, 304)) 4028 33674910 Mutations in these genes appear worth testing as biomarkers in TCs, as they constitute promising biomarkers in advanced renal cell carcinomas treated with sunitinib, sorafenib, and everolimus, i.e., drugs that are used in advanced TCs (reviewed in). ('carcinomas', 'Phenotype', 'HP:0030731', (131, 141)) ('sorafenib', 'Chemical', 'MESH:D000077157', (166, 175)) ('renal cell carcinomas', 'Disease', 'MESH:C538614', (120, 141)) ('sunitinib', 'Chemical', 'MESH:D000077210', (155, 164)) ('renal cell carcinomas', 'Phenotype', 'HP:0005584', (120, 141)) ('Mutations', 'Var', (0, 9)) ('everolimus', 'Chemical', 'MESH:D000068338', (181, 191)) ('renal cell carcinomas', 'Disease', (120, 141)) 4031 33674910 A GTF2I (p.L424H) mutation strongly argues for the diagnosis of type A over a focally spindly type B3 thymoma or a metaplastic thymoma. ('p.L424H', 'Mutation', 'p.L424H', (9, 16)) ('GTF2I', 'Gene', (2, 7)) ('type A', 'Disease', (64, 70)) ('thymoma', 'Disease', 'MESH:D013945', (127, 134)) ('thymoma', 'Disease', (127, 134)) ('thymoma', 'Disease', 'MESH:D013945', (102, 109)) ('p.L424H', 'Var', (9, 16)) ('GTF2I', 'Gene', '2969', (2, 7)) ('thymoma', 'Disease', (102, 109)) ('thymoma', 'Phenotype', 'HP:0100522', (127, 134)) ('thymoma', 'Phenotype', 'HP:0100522', (102, 109)) 4036 33674910 The diagnostic relevance of the recently described KMT2A-MAML2 translocations in aggressive type B2 and B3 thymomas needs confirmation. ('thymoma', 'Phenotype', 'HP:0100522', (107, 114)) ('translocations', 'Var', (63, 77)) ('KMT2A', 'Gene', '4297', (51, 56)) ('thymomas', 'Disease', (107, 115)) ('thymomas', 'Disease', 'MESH:D013945', (107, 115)) ('KMT2A', 'Gene', (51, 56)) ('MAML2', 'Gene', '84441', (57, 62)) ('MAML2', 'Gene', (57, 62)) 4050 32051380 Approximately 85% of all MG patients have an autoantibody against the nicotinic acetylcholine receptor (AChR) in their serum. ('autoantibody', 'Var', (45, 57)) ('AChR', 'Gene', (104, 108)) ('acetylcholine', 'Chemical', 'MESH:D000109', (80, 93)) ('MG', 'Disease', 'MESH:D000080343', (25, 27)) ('patients', 'Species', '9606', (28, 36)) 4057 32051380 An international, randomized, and controlled trial involving 126 adult MG patients with anti-AChR antibody showed a distinct benefit of thymectomy in patients <50 years old at onset compared with those >=50 years old. ('MG', 'Disease', 'MESH:D000080343', (71, 73)) ('anti-AChR antibody', 'Var', (88, 106)) ('thymectomy', 'Disease', (136, 146)) ('patients', 'Species', '9606', (74, 82)) ('patients', 'Species', '9606', (150, 158)) ('benefit', 'PosReg', (125, 132)) ('antibody', 'Var', (98, 106)) 4059 32051380 We herein report a case in which anti-LRP4 antibody-positive MG was complicated by a thymoma, and surgical resection of this thymoma successfully ameliorated the patient's symptoms. ('LRP4', 'Gene', (38, 42)) ('thymoma', 'Disease', 'MESH:D013945', (85, 92)) ('thymoma', 'Phenotype', 'HP:0100522', (125, 132)) ('thymoma', 'Disease', (85, 92)) ('LRP4', 'Gene', '4038', (38, 42)) ('thymoma', 'Phenotype', 'HP:0100522', (85, 92)) ('antibody-positive', 'Var', (43, 60)) ('thymoma', 'Disease', 'MESH:D013945', (125, 132)) ('patient', 'Species', '9606', (162, 169)) ('MG', 'Disease', 'MESH:D000080343', (61, 63)) ('thymoma', 'Disease', (125, 132)) 4079 32051380 MG patients with anti-LRP4 antibodies were mainly female, and their symptoms were relatively mild with predominant ocular muscle involvement. ('LRP4', 'Gene', '4038', (22, 26)) ('MG', 'Disease', 'MESH:D000080343', (0, 2)) ('antibodies', 'Var', (27, 37)) ('patients', 'Species', '9606', (3, 11)) ('LRP4', 'Gene', (22, 26)) 4128 27346413 Patients who received PORT had a younger median age, were more likely of male gender, had a higher rate of myasthenia gravis, higher proportion of stage III disease, larger tumors, more likely WHO type B1, B2 or B3 histology than A or AB and less likely to having received chemotherapy. ('myasthenia gravis', 'Disease', (107, 124)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (107, 124)) ('tumor', 'Phenotype', 'HP:0002664', (173, 178)) ('Patients', 'Species', '9606', (0, 8)) ('stage III disease', 'Disease', (147, 164)) ('myasthenia', 'Phenotype', 'HP:0003473', (107, 117)) ('tumors', 'Disease', 'MESH:D009369', (173, 179)) ('tumors', 'Disease', (173, 179)) ('tumors', 'Phenotype', 'HP:0002664', (173, 179)) ('B2 or B3 histology', 'Var', (206, 224)) 4168 27346413 When analyzing subgroups with different histologic subtypes, the patient group with stage III, WHO type B1, B2 or B3, thymomas had the greatest benefit with PORT. ('B2 or B3', 'Var', (108, 116)) ('thymoma', 'Phenotype', 'HP:0100522', (118, 125)) ('benefit', 'PosReg', (144, 151)) ('thymomas', 'Disease', 'MESH:D013945', (118, 126)) ('thymomas', 'Disease', (118, 126)) ('patient', 'Species', '9606', (65, 72)) 4389 23125865 Expression of the Autoimmune Regulator Gene and Its Relevance to the Mechanisms of Central and Peripheral Tolerance The autoimmune polyendocrine syndrome type 1 (APS-1) is a monogenic disease due to pathogenic variants occurring in the autoimmune regulator (AIRE) gene. ('variants', 'Var', (210, 218)) ('autoimmune polyendocrine syndrome type 1 (APS-1)', 'Disease', 'MESH:C538275', (120, 168)) ('AIRE', 'Gene', (258, 262)) ('autoimmune regulator', 'Gene', (236, 256)) ('Autoimmune Regulator', 'Gene', '326', (18, 38)) ('autoimmune regulator', 'Gene', '326', (236, 256)) ('pathogenic', 'Reg', (199, 209)) ('Autoimmune Regulator', 'Gene', (18, 38)) 4390 23125865 Dysregulation of thymic AIRE expression in genetically transmitted and acquired diseases other than APS-1 may contribute to further forms of autoimmunity. ('autoimmunity', 'Disease', (141, 153)) ('Dysregulation', 'Var', (0, 13)) ('autoimmunity', 'Disease', 'MESH:D001327', (141, 153)) ('APS-1', 'Gene', '326', (100, 105)) ('APS-1', 'Gene', (100, 105)) ('contribute', 'Reg', (110, 120)) ('autoimmunity', 'Phenotype', 'HP:0002960', (141, 153)) 4392 23125865 Pathogenic variants in the autoimmune regulator (AIRE) gene cause the autoimmune polyendocrine syndrome type 1 (APS-1), also called autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED), an autosomal recessive disease characterized by immunological disturbances such as difficulty to eradicate surface candidiasis and autoimmunity to various organs, mainly endocrine glands. ('autoimmunity', 'Disease', 'MESH:D001327', (336, 348)) ('autoimmunity', 'Phenotype', 'HP:0002960', (336, 348)) ('AIRE', 'Gene', (49, 53)) ('APECED', 'Gene', '326', (196, 202)) ('autosomal recessive disease', 'Disease', (208, 235)) ('variants', 'Var', (11, 19)) ('candidiasis', 'Disease', (320, 331)) ('candidiasis', 'Disease', (162, 173)) ('ectodermal dystrophy', 'Phenotype', 'HP:0000968', (174, 194)) ('candidiasis', 'Disease', 'MESH:D002177', (320, 331)) ('candidiasis', 'Disease', 'MESH:D002177', (162, 173)) ('autosomal recessive disease', 'Disease', 'MESH:D030342', (208, 235)) ('autoimmune regulator', 'Gene', '326', (27, 47)) ('autoimmune polyendocrine syndrome type 1 (APS-1)', 'Disease', 'MESH:C538275', (70, 118)) ('autoimmunity', 'Disease', (336, 348)) ('autoimmune regulator', 'Gene', (27, 47)) ('autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy', 'Disease', 'MESH:D016884', (132, 194)) ('cause', 'Reg', (60, 65)) ('immunological disturbances', 'Phenotype', 'HP:0002715', (253, 279)) ('APECED', 'Gene', (196, 202)) 4420 23125865 Such cells were able to induce the deletion of CD8+ T-cell clones bearing TCRs specific for antigens encoded by Aire-dependent genes: the clones had been transferred into irradiated mice reconstituted with beta 2-microglobulin-deficient (beta 2-m -/-) bone marrow to ensure that only radioresistant stromal cells of the secondary lymphoid organs could interact with them. ('beta 2-microglobulin', 'Gene', (206, 226)) ('CD8', 'Gene', (47, 50)) ('CD8', 'Gene', '925', (47, 50)) ('mice', 'Species', '10090', (182, 186)) ('beta 2-m', 'Gene', '12010', (206, 214)) ('beta 2-microglobulin', 'Gene', '12010', (206, 226)) ('deletion', 'Var', (35, 43)) ('beta 2-m', 'Gene', (238, 246)) ('beta 2-m', 'Gene', '12010', (238, 246)) 4425 23125865 AIRE expression is confined to a final stage of cell maturation, as shown in vitro and in vivo by the postmitotic status of murine Aire+ mTECs; in addition, Aire+ mTECs show a very limited life span. ('life span', 'CPA', (189, 198)) ('murine', 'Species', '10090', (124, 130)) ('Aire+', 'Var', (157, 162)) 4427 23125865 This led the researchers to suggest that, in human field, the condition of heterozygosity for pathogenic AIRE variants could confer a risk for the onset of sporadic autoimmune diseases, when acting in synergy with other susceptibility factors. ('autoimmune diseases', 'Disease', 'MESH:D001327', (165, 184)) ('risk', 'Reg', (134, 138)) ('variants', 'Var', (110, 118)) ('human', 'Species', '9606', (45, 50)) ('autoimmune diseases', 'Disease', (165, 184)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (165, 184)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (165, 183)) ('AIRE', 'Gene', (105, 109)) 4434 23125865 Impairment in various steps of T-cell maturation may cause the disease: the most frequent defect is caused by pathogenic variants in the recombinase-activating genes 1 and 2 (RAG-1 and RAG-2, resp.). ('caused', 'Reg', (100, 106)) ('RAG-1', 'Gene', '5896', (175, 180)) ('variants', 'Var', (121, 129)) ('RAG-2', 'Gene', (185, 190)) ('RAG-2', 'Gene', '5897', (185, 190)) ('RAG-1', 'Gene', (175, 180)) 4439 23125865 A reasonable interpretation of what happens in these conditions leads to suppose that the thymi of the patients bearing genetically transmitted defects of the molecules involved in the developmental steps of T lymphocytes (with privileged reference to the construction of TCR diversity), show abnormalities of TEC differentiation, and consequently of AIRE expression, that are proportional to the timing of intervention of the same factors; hypomorphic variants of the related genes would result in more subtle disturbances. ('defects', 'Var', (144, 151)) ('expression', 'MPA', (356, 366)) ('hypomorphic variants', 'Var', (441, 461)) ('patients', 'Species', '9606', (103, 111)) ('TEC differentiation', 'CPA', (310, 329)) 4440 23125865 Thymomas are rare tumors derived from TECs that are often associated with autoimmune diseases, mainly myasthenia gravis, caused by Abs to the acetylcholine receptor (AChR). ('caused by', 'Reg', (121, 130)) ('autoimmune diseases', 'Disease', (74, 93)) ('Thymomas', 'Disease', 'MESH:D013945', (0, 8)) ('Thymoma', 'Phenotype', 'HP:0100522', (0, 7)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (74, 93)) ('Thymomas', 'Disease', (0, 8)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (74, 92)) ('myasthenia', 'Phenotype', 'HP:0003473', (102, 112)) ('myasthenia gravis', 'Disease', (102, 119)) ('tumors', 'Disease', (18, 24)) ('tumors', 'Disease', 'MESH:D009369', (18, 24)) ('tumors', 'Phenotype', 'HP:0002664', (18, 24)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (74, 93)) ('Abs to', 'Var', (131, 137)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (102, 119)) ('tumor', 'Phenotype', 'HP:0002664', (18, 23)) 4455 23125865 Rag -/- mouse recalls the most frequent defect causing Omenn syndrome: as reported, RAG/Rag proteins are indispensable to create TCR diversity and an adequate T-cell repertoire; the consequence of their deficiency is an impaired thymocyte maturation, with a block at DN3 stage. ('recalls', 'Disease', (14, 21)) ('Omenn syndrome', 'Disease', 'MESH:C538564', (55, 69)) ('Omenn syndrome', 'Disease', (55, 69)) ('deficiency', 'Var', (203, 213)) ('thymocyte maturation', 'CPA', (229, 249)) ('mouse', 'Species', '10090', (8, 13)) ('impaired', 'NegReg', (220, 228)) ('recalls', 'Disease', 'MESH:D008569', (14, 21)) 4458 23125865 As well as in human field, following studies suggest that the degree of thymic abnormalities, Aire expression included, depends on how precociously the factors damaged by pathogenic variants of the encoding genes act in the construction of TCR diversity. ('thymic abnormalities', 'Phenotype', 'HP:0000777', (72, 92)) ('human', 'Species', '9606', (14, 19)) ('variants', 'Var', (182, 190)) ('thymic abnormalities', 'Disease', 'MESH:D013953', (72, 92)) ('thymic abnormalities', 'Disease', (72, 92)) 4506 22007295 Some MG patients with anti-MuSK antibodies are hypersensitive to an increase in acetylcholine concentration. ('antibodies', 'Var', (32, 42)) ('anti-MuSK antibodies', 'Phenotype', 'HP:0030210', (22, 42)) ('MuSK', 'Gene', (27, 31)) ('acetylcholine', 'Chemical', 'MESH:D000109', (80, 93)) ('MuSK antibodies', 'Phenotype', 'HP:0030210', (27, 42)) ('hypersensitive', 'Disease', 'MESH:D004342', (47, 61)) ('MuSK', 'Gene', '4593', (27, 31)) ('increase', 'PosReg', (68, 76)) ('hypersensitive', 'Disease', (47, 61)) ('acetylcholine concentration', 'MPA', (80, 107)) ('patients', 'Species', '9606', (8, 16)) 4535 22007295 For milder MG, the risk of progressive multifocal leucoencephalopathy and other potential long-term side effects probably outweigh its therapeutic potential. ('milder', 'Var', (4, 10)) ('multifocal leucoencephalopathy', 'Disease', (39, 69)) ('multifocal leucoencephalopathy', 'Disease', 'None', (39, 69)) ('progressive multifocal leucoencephalopathy', 'Phenotype', 'HP:0006980', (27, 69)) 4551 22007295 For MG patients with anti-MuSK antibodies, the majority of evidence points to no therapeutic effect of thymectomy. ('MuSK antibodies', 'Phenotype', 'HP:0030210', (26, 41)) ('MuSK', 'Gene', '4593', (26, 30)) ('MuSK', 'Gene', (26, 30)) ('anti-MuSK antibodies', 'Phenotype', 'HP:0030210', (21, 41)) ('antibodies', 'Var', (31, 41)) ('patients', 'Species', '9606', (7, 15)) 4750 31791411 Patients who were potential candidates for first-line CT-guided RFA were as follows: (1) patients with stage I thymomas according to the Masaoka staging system; (2) patients with an East Coast Oncology Group (ECOG) performance status value <=2; (3) patients who were not considered high-risk for anesthesia and surgery; (4) patients with normal coagulation function without bleeding tendency; and (5) patients who strongly refused any other further treatment but voluntarily accepted RFA after being informed of the potential risks and benefits. ('patients', 'Species', '9606', (324, 332)) ('thymoma', 'Phenotype', 'HP:0100522', (111, 118)) ('patients', 'Species', '9606', (249, 257)) ('Oncology', 'Phenotype', 'HP:0002664', (193, 201)) ('thymomas', 'Disease', (111, 119)) ('patients', 'Species', '9606', (401, 409)) ('thymomas', 'Disease', 'MESH:D013945', (111, 119)) ('Patients', 'Species', '9606', (0, 8)) ('bleeding', 'Disease', 'MESH:D006470', (374, 382)) ('patients', 'Species', '9606', (89, 97)) ('patients', 'Species', '9606', (165, 173)) ('bleeding tendency', 'Phenotype', 'HP:0001892', (374, 391)) ('<=2', 'Var', (240, 243)) ('bleeding', 'Disease', (374, 382)) 4893 26915359 Based on c-Kit gene mutant status, drugs that inhibit c-Kit, such as imatinib, sorafenib, and sunitinib, may provide better results. ('sorafenib', 'Chemical', 'MESH:D000077157', (79, 88)) ('c-Kit', 'Gene', (54, 59)) ('inhibit', 'NegReg', (46, 53)) ('sunitinib', 'Chemical', 'MESH:D000077210', (94, 103)) ('c-Kit', 'Gene', '3815', (54, 59)) ('c-Kit', 'Gene', (9, 14)) ('mutant', 'Var', (20, 26)) ('c-Kit', 'Gene', '3815', (9, 14)) ('imatinib', 'Chemical', 'MESH:D000068877', (69, 77)) 4931 26173602 After the pathological diagnosis of thymic lesion, tests for the presence of autoantibodies were positive for antinuclear antibodies, rheumatic factor, and anti-SSA/Ro antibodies. ('rheumatic', 'Disease', 'MESH:D012216', (134, 143)) ('rheumatic', 'Disease', (134, 143)) ('thymic lesion', 'Disease', (36, 49)) ('thymic lesion', 'Disease', 'MESH:D013953', (36, 49)) ('antinuclear antibodies', 'Protein', (110, 132)) ('antinuclear antibodies', 'Phenotype', 'HP:0003493', (110, 132)) ('positive for antinuclear antibodies', 'Phenotype', 'HP:0003493', (97, 132)) ('anti-SSA/Ro', 'Var', (156, 167)) 4954 26173602 Lymphoid markers revealed organized mixed distribution of CD3+, CD5+, CD20+, and CD79+ cells and did not show monoclonal proliferation of B cells or T cells (Fig. ('CD79+ cells', 'Var', (81, 92)) ('CD20', 'Gene', '54474', (70, 74)) ('CD20', 'Gene', (70, 74)) ('CD5', 'Gene', (64, 67)) ('CD3+', 'Var', (58, 62)) ('CD5', 'Gene', '921', (64, 67)) 5004 25889429 The results of the present study provide a perspective on lncRNA expression in MG. We identify a subset of aberrant lncRNAs and mRNAs as potential biomarkers for the diagnosis of MG. ('ncRNA', 'Gene', (59, 64)) ('aberrant', 'Var', (107, 115)) ('ncRNA', 'Gene', (117, 122)) ('ncRNA', 'Gene', '220202', (59, 64)) ('ncRNA', 'Gene', '220202', (117, 122)) 5008 25889429 Muscle weakness and fatigue, as hallmarks of MG, indicate improper signaling between T and B cells, resulting in the elicitation of an antibody-mediated autoimmune response against the acetylcholine receptor (AChR) located at neuromuscular junctions. ('AChR', 'Gene', (209, 213)) ('Muscle weakness', 'Phenotype', 'HP:0001324', (0, 15)) ('fatigue', 'Disease', (20, 27)) ('acetylcholine', 'Chemical', 'MESH:D000109', (185, 198)) ('improper', 'Var', (58, 66)) ('elicitation', 'Reg', (117, 128)) ('fatigue', 'Phenotype', 'HP:0012378', (20, 27)) ('fatigue', 'Disease', 'MESH:D005221', (20, 27)) ('autoimmune response', 'Phenotype', 'HP:0002960', (153, 172)) ('Muscle weakness', 'Disease', (0, 15)) ('Muscle weakness', 'Disease', 'MESH:D018908', (0, 15)) 5041 25889429 We selected the top 100 and 200 reliability prediction terms(according to the P-value and enrichment) for co-expressed and aberrant lncRNA genes, respectively (Figure 2). ('ncRNA', 'Gene', '220202', (133, 138)) ('aberrant', 'Var', (123, 131)) ('ncRNA', 'Gene', (133, 138)) 5057 25889429 Among these, 4 lncRNAs (oebiotech_11658, oebiotech_12721, oebiotech_21725 and oebiotech_21831) had 8 cis genes, and the lncRNA with the highest aberrant expression, lncRNA oebiotech_11933, had 3 cis genes (C1orf74, G0S2 and TRAF3IP3). ('G0S2', 'Gene', (215, 219)) ('ncRNA', 'Gene', '220202', (121, 126)) ('oebiotech_21831', 'Var', (78, 93)) ('ncRNA', 'Gene', '220202', (166, 171)) ('TRAF3IP3', 'Gene', (224, 232)) ('ncRNA', 'Gene', (16, 21)) ('C1orf74', 'Gene', '148304', (206, 213)) ('oebiotech_21725', 'Var', (58, 73)) ('C1orf74', 'Gene', (206, 213)) ('ncRNA', 'Gene', '220202', (16, 21)) ('ncRNA', 'Gene', (166, 171)) ('G0S2', 'Gene', '50486', (215, 219)) ('TRAF3IP3', 'Gene', '80342', (224, 232)) ('ncRNA', 'Gene', (121, 126)) 5058 25889429 The aberrantly expressed lncRNA A_24_P927716 had 2 cis genes (ACSL1 and LOC731424). ('ncRNA', 'Gene', (26, 31)) ('ACSL1', 'Gene', '2180', (62, 67)) ('LOC731424', 'Var', (72, 81)) ('ncRNA', 'Gene', '220202', (26, 31)) ('ACSL1', 'Gene', (62, 67)) 5077 25889429 Figure 6A shows the core TF-lncRNA-target gene relationship for MG patients with thymoma versus healthy controls, containing 8 lncRNAs with disrupted expression (lncRNAs oebiotech_24272, oebiotech_23755, oebiotech_18319, oebiotech_13727, oebiotech_08281, A_21_P0008564, A_21_P0006010 and A_21_P0001906), 27 target genes and 1 core TF CTCF in this core map. ('ncRNA', 'Gene', (128, 133)) ('ncRNA', 'Gene', (29, 34)) ('CTCF', 'Gene', (334, 338)) ('thymoma', 'Disease', (81, 88)) ('patients', 'Species', '9606', (67, 75)) ('ncRNA', 'Gene', '220202', (163, 168)) ('ncRNA', 'Gene', '220202', (128, 133)) ('A_21_P0001906', 'Var', (288, 301)) ('thymoma', 'Phenotype', 'HP:0100522', (81, 88)) ('ncRNA', 'Gene', '220202', (29, 34)) ('thymoma', 'Disease', 'MESH:D013945', (81, 88)) ('CTCF', 'Gene', '10664', (334, 338)) ('A_21_P0006010', 'Var', (270, 283)) ('ncRNA', 'Gene', (163, 168)) 5079 25889429 Figure 6C shows the core TF-lncRNA-target gene relationship in MG patients with thymoma versus MG patients without thymoma, containing 8 lncRNA with disrupted expression (lncRNAs oebiotech_22642, oebiotech_18319, oebiotech_18319, oebiotech_09353, oebiotech_06898, oebiotech_00715, A_21_P0010245, and A_21_P0009360), 27 target genes and1 core TF CTCF in this core map. ('ncRNA', 'Gene', (29, 34)) ('ncRNA', 'Gene', '220202', (29, 34)) ('CTCF', 'Gene', (345, 349)) ('ncRNA', 'Gene', (138, 143)) ('ncRNA', 'Gene', (172, 177)) ('thymoma', 'Disease', (115, 122)) ('ncRNA', 'Gene', '220202', (138, 143)) ('ncRNA', 'Gene', '220202', (172, 177)) ('thymoma', 'Phenotype', 'HP:0100522', (115, 122)) ('A_21_P0010245', 'Var', (281, 294)) ('expression', 'MPA', (159, 169)) ('thymoma', 'Disease', 'MESH:D013945', (80, 87)) ('thymoma versus MG', 'Disease', (80, 97)) ('thymoma versus MG', 'Disease', 'MESH:D013945', (80, 97)) ('patients', 'Species', '9606', (98, 106)) ('A_21_P0009360', 'Var', (300, 313)) ('CTCF', 'Gene', '10664', (345, 349)) ('thymoma', 'Disease', (80, 87)) ('patients', 'Species', '9606', (66, 74)) ('thymoma', 'Phenotype', 'HP:0100522', (80, 87)) ('thymoma', 'Disease', 'MESH:D013945', (115, 122)) 5117 25889429 The increased expression of cytokines and chemokines, such as IL-8, CXCL1, CXCL3, CXCL3, and CXCL5, was observed among the oebiotech_11658, oebiotech_12721, oebiotech_21831, oebiotech_11933, and oebiotech_22652 'cis' genes, suggesting that these lncRNAs may regulate the expression of these cytokines and chemokines. ('CXCL3', 'Gene', (75, 80)) ('CXCL1', 'Gene', '2919', (68, 73)) ('expression', 'MPA', (271, 281)) ('CXCL3', 'Gene', (82, 87)) ('CXCL1', 'Gene', (68, 73)) ('IL-8', 'Gene', '3576', (62, 66)) ('CXCL5', 'Gene', (93, 98)) ('ncRNA', 'Gene', (247, 252)) ('expression', 'MPA', (14, 24)) ('regulate', 'Reg', (258, 266)) ('CXCL3', 'Gene', '2921', (82, 87)) ('CXCL3', 'Gene', '2921', (75, 80)) ('oebiotech_11658', 'Var', (123, 138)) ('CXCL5', 'Gene', '6374', (93, 98)) ('ncRNA', 'Gene', '220202', (247, 252)) ('increased', 'PosReg', (4, 13)) ('IL-8', 'Gene', (62, 66)) 5123 25889429 In the present study, we identified a subset of aberrant lncRNAs to distinguish MG patients with or without thymoma compared with healthy individuals. ('thymoma', 'Phenotype', 'HP:0100522', (108, 115)) ('thymoma', 'Disease', 'MESH:D013945', (108, 115)) ('aberrant', 'Var', (48, 56)) ('ncRNA', 'Gene', (58, 63)) ('thymoma', 'Disease', (108, 115)) ('patients', 'Species', '9606', (83, 91)) ('ncRNA', 'Gene', '220202', (58, 63)) 5167 20181983 Because thymic tumors can support thymocyte development, aberrant T-cell generation has been suggested as a cause. ('T-cell generation', 'CPA', (66, 83)) ('tumors', 'Phenotype', 'HP:0002664', (15, 21)) ('thymic tumor', 'Phenotype', 'HP:0100521', (8, 20)) ('aberrant T-cell', 'Phenotype', 'HP:0002843', (57, 72)) ('thymocyte development', 'CPA', (34, 55)) ('tumor', 'Phenotype', 'HP:0002664', (15, 20)) ('tumors', 'Disease', 'MESH:D009369', (15, 21)) ('aberrant', 'Var', (57, 65)) ('tumors', 'Disease', (15, 21)) 5168 20181983 The autoimmune polyglandular syndrome type 1 (APS1), a monogenic syndrome of pleomorphic autoimmunity characterized by the clinical triad of hypoparathyroidism, hypoadrenalism, and candidiasis, arises from defects in the AIRE (auto-immune regulator) gene, which mediates the expression of tissue-specific self-antigens by medullary thymic epithelial cells. ('hypoparathyroidism', 'Disease', (141, 159)) ('candidiasis', 'Disease', (181, 192)) ('pleomorphic autoimmunity', 'Disease', (77, 101)) ('autoimmune polyglandular syndrome type 1', 'Gene', '326', (4, 44)) ('candidiasis', 'Disease', 'MESH:D002177', (181, 192)) ('pleomorphic autoimmunity', 'Disease', 'MESH:D008228', (77, 101)) ('autoimmunity', 'Phenotype', 'HP:0002960', (89, 101)) ('arises from', 'Reg', (194, 205)) ('hypoadrenalism', 'Disease', (161, 175)) ('hypoparathyroidism', 'Phenotype', 'HP:0000829', (141, 159)) ('AIRE', 'Gene', '326', (221, 225)) ('AIRE', 'Gene', (221, 225)) ('defects', 'Var', (206, 213)) ('APS1', 'Gene', (46, 50)) ('autoimmune polyglandular syndrome type 1', 'Gene', (4, 44)) ('hypoadrenalism', 'Disease', 'MESH:D000309', (161, 175)) ('APS1', 'Gene', '326', (46, 50)) ('hypoadrenalism', 'Phenotype', 'HP:0000846', (161, 175)) ('hypoparathyroidism', 'Disease', 'MESH:D007011', (141, 159)) 5241 33729676 Furthermore, patients with low LDH (<=373 IU/L) at baseline and myasthenia gravis concurrence showed significantly better OS (p = 0.001 and p = 0.008, respectively) (Figure 3). ('LDH', 'MPA', (31, 34)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (64, 81)) ('patients', 'Species', '9606', (13, 21)) ('myasthenia', 'Phenotype', 'HP:0003473', (64, 74)) ('<=373 IU/L', 'Var', (36, 46)) ('low', 'NegReg', (27, 30)) ('better', 'PosReg', (115, 121)) ('myasthenia gravis', 'Disease', (64, 81)) 5244 33729676 In the analysis for RFS, Masaoka stages (HR 2.291, 95% CI: 1.088-4.822; p = 0.029) and surgical resection (HR 3.221, 95% CI: 1.446-7.175; p = 0.004) were statistically significantly associated with risk of relapse (Table 3). ('relapse', 'Disease', (206, 213)) ('associated', 'Reg', (182, 192)) ('RFS', 'Disease', (20, 23)) ('RFS', 'Disease', 'MESH:D005198', (20, 23)) ('Masaoka', 'Disease', (25, 32)) ('surgical resection', 'Var', (87, 105)) 5279 33729676 demonstrated that high serum LDH (>225 IU/L) was an independent predictor of decreased PFS in 95 patients with thymic carcinoma. ('thymic carcinoma', 'Disease', (111, 127)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (111, 127)) ('LDH', 'Protein', (29, 32)) ('PFS', 'Disease', (87, 90)) ('carcinoma', 'Phenotype', 'HP:0030731', (118, 127)) ('>225 IU/L', 'Var', (34, 43)) ('decreased', 'NegReg', (77, 86)) ('patients', 'Species', '9606', (97, 105)) 5294 31819103 A significant advantage in Freedom-from-Recurrence and/or Cause-specific survival (CSS) was evident for patients with high Advanced-Lung- Cancer-Inflammation-Index, low CRP-Fibrinogen-Score (CFS), low Glasgow-Prognostic-Score (GPS), low high-sensitivity-modified GPS, low TET-adapted GPS (TET-aGPS) and low Systemic-Immune-Inflammation Index. ('Cancer-Inflammation', 'Disease', 'MESH:D009369', (138, 157)) ('Glasgow-Prognostic-Score', 'Protein', (201, 225)) ('CRP', 'Gene', (169, 172)) ('aGPS', 'Gene', '8540', (293, 297)) ('low', 'Var', (197, 200)) ('high-sensitivity-modified GPS', 'Protein', (237, 266)) ('CRP', 'Gene', '1401', (169, 172)) ('aGPS', 'Gene', (293, 297)) ('low', 'NegReg', (233, 236)) ('Cancer-Inflammation', 'Disease', (138, 157)) ('TET-adapted GPS', 'MPA', (272, 287)) ('advantage', 'PosReg', (14, 23)) ('low', 'NegReg', (165, 168)) ('low CRP-Fibrinogen', 'Phenotype', 'HP:0011900', (165, 183)) ('Freedom-from-Recurrence', 'CPA', (27, 50)) ('low', 'NegReg', (268, 271)) ('Cancer', 'Phenotype', 'HP:0002664', (138, 144)) ('patients', 'Species', '9606', (104, 112)) 5327 31819103 The majority of all patients with paraneoplastic MG (94.7%) were scored with CFS 0, whereas only 73% of all patients without MG had CFS 0. ('paraneoplastic MG', 'Disease', 'MESH:D000080343', (34, 51)) ('CFS', 'Var', (77, 80)) ('paraneoplastic MG', 'Disease', (34, 51)) ('patients', 'Species', '9606', (20, 28)) ('patients', 'Species', '9606', (108, 116)) 5336 31819103 GPS 0 was associated with significantly better FFR (p = 0.001) compared to patients scored with GPS 1 + 2, however there was no difference for CSS (p = 0.823), respectively. ('GPS 0', 'Var', (0, 5)) ('GPS 1', 'Gene', (96, 101)) ('patients', 'Species', '9606', (75, 83)) ('FFR', 'Gene', (47, 50)) ('GPS 1', 'Gene', '2873', (96, 101)) ('FFR', 'Gene', '738', (47, 50)) ('better', 'PosReg', (40, 46)) 5340 31819103 Univariable analysis revealed significantly worse CSS in patients with TC (HR = 11.1; p < 0.001), high CFS (HR = 5.94; p = 0.002), high Masaoka-Koga tumor stage (HR = 5.52; p = 0.003), high GPS (HR = 4.90; p = 0.040), high HS-mGPS (HR = 4.87; p = 0.041), high TET-aGPS (HR = 5.18; p = 0.014) and low ALI (HR = 3.47; p = 0.049), respectively. ('worse', 'NegReg', (44, 49)) ('tumor', 'Disease', 'MESH:D009369', (149, 154)) ('aGPS', 'Gene', (264, 268)) ('HS-mGPS', 'Disease', 'MESH:C567159', (223, 230)) ('patients', 'Species', '9606', (57, 65)) ('high', 'Var', (98, 102)) ('tumor', 'Phenotype', 'HP:0002664', (149, 154)) ('high', 'Var', (185, 189)) ('tumor', 'Disease', (149, 154)) ('CSS', 'CPA', (50, 53)) ('HS-mGPS', 'Disease', (223, 230)) ('aGPS', 'Gene', '8540', (264, 268)) 5343 31819103 Regarding FFR, univariable analyses showed that the risk of recurrence was significantly increased in men (HR = 2.37; p = 0.02), in patients with TC (HR = 4.45; p < 0.001), resection status R1 + R2 (HR = 3.55; p = 0.029), in patients with absence of MG (HR = 3.77; p = 0.029), in patients with Masaoka-Koga stage III-IV (HR = 4.86; p < 0.001), low ALI (HR = 2.92; p = 0.038), high CFS (HR = 4.56; p = 0.001), high GPS (HR = 5.13; p = 0.009) and high TET-aGPS (HR = 3.17; p = 0.009). ('resection status R1 + R2', 'Var', (173, 197)) ('FFR', 'Gene', '738', (10, 13)) ('aGPS', 'Gene', (454, 458)) ('patients', 'Species', '9606', (280, 288)) ('high GPS', 'CPA', (409, 417)) ('patients', 'Species', '9606', (225, 233)) ('aGPS', 'Gene', '8540', (454, 458)) ('increased', 'PosReg', (89, 98)) ('FFR', 'Gene', (10, 13)) ('men', 'Species', '9606', (102, 105)) ('patients', 'Species', '9606', (132, 140)) ('high', 'Var', (376, 380)) 5344 31819103 Multivariable analyses remained statistically significant for patients with TC (HR = 28.24; p < 0.001), for patients with incomplete resection status R1 + R2 (HR = 13.96; p = 0.003) and for patients with Masaoka-Koga stage III-IV (HR = 4.78; 0.042), while none of the clinical composite scores represented an independent predictive factor for FFR (Table 3). ('patients', 'Species', '9606', (190, 198)) ('FFR', 'Gene', (343, 346)) ('FFR', 'Gene', '738', (343, 346)) ('R1 + R2', 'Var', (150, 157)) ('patients', 'Species', '9606', (108, 116)) ('patients', 'Species', '9606', (62, 70)) 5345 31819103 Univariable analysis for thymoma revealed significantly worse CSS in patients with resection status R1 + R2 (HR = 14; p = 0.009) and high Masaoka-Koga tumor stage (HR = 9.7; p = 0.049), respectively. ('tumor', 'Phenotype', 'HP:0002664', (151, 156)) ('thymoma', 'Disease', 'MESH:D013945', (25, 32)) ('R1 + R2', 'Var', (100, 107)) ('tumor', 'Disease', (151, 156)) ('worse', 'NegReg', (56, 61)) ('thymoma', 'Disease', (25, 32)) ('thymoma', 'Phenotype', 'HP:0100522', (25, 32)) ('CSS', 'MPA', (62, 65)) ('patients', 'Species', '9606', (69, 77)) ('tumor', 'Disease', 'MESH:D009369', (151, 156)) 5347 31819103 Regarding FFR, univariable analyses showed that the risk of recurrence was significantly increased in men (HR = 3.01; p = 0.048), resection status R1 + R2 (HR = 4.57; p = 0.021), in patients with Masaoka-Koga stage III-IV (HR = 6.68; p = 0.001), and high GPS (HR = 85.9; p = 0.002). ('FFR', 'Gene', '738', (10, 13)) ('resection status R1 + R2', 'Var', (130, 154)) ('patients', 'Species', '9606', (182, 190)) ('increased', 'PosReg', (89, 98)) ('FFR', 'Gene', (10, 13)) ('men', 'Species', '9606', (102, 105)) 5354 31819103 Patients with CRP (>0.3 mg/dL) showed significantly worse CSS (HR 4.9; p = 0.042) as well as a worse FFR (HR 3.5; p = 0.013). ('CRP', 'Gene', '1401', (14, 17)) ('FFR', 'Gene', (101, 104)) ('worse', 'NegReg', (52, 57)) ('FFR', 'Gene', '738', (101, 104)) ('Patients', 'Species', '9606', (0, 8)) ('CSS', 'MPA', (58, 61)) ('>0.3 mg/dL', 'Var', (19, 29)) ('CRP', 'Gene', (14, 17)) 5358 31819103 The HS-mGPS was composed of previously described variables albumin (<35 g/L) and CRP (>0.3 mg/L). ('albumin', 'Gene', (59, 66)) ('CRP', 'Gene', (81, 84)) ('albumin', 'Gene', '213', (59, 66)) ('HS-mGPS', 'Disease', 'MESH:C567159', (4, 11)) ('CRP', 'Gene', '1401', (81, 84)) ('HS-mGPS', 'Disease', (4, 11)) ('<35 g/L', 'Var', (68, 75)) 5386 31819103 ALI > 18, representing lower systemic inflammation was associated with better outcome in patients with NSCLC. ('NSCLC', 'Disease', (103, 108)) ('NSCLC', 'Disease', 'MESH:D002289', (103, 108)) ('ALI > 18', 'Var', (0, 8)) ('patients', 'Species', '9606', (89, 97)) ('NSCLC', 'Phenotype', 'HP:0030358', (103, 108)) ('inflammation', 'Disease', 'MESH:D007249', (38, 50)) ('inflammation', 'Disease', (38, 50)) 5423 31819103 In our cohort 355 did not reveal a significant difference among low and high SII regarding CSS and FFR. ('FFR', 'Gene', '738', (99, 102)) ('low', 'Var', (64, 67)) ('CSS', 'Disease', (91, 94)) ('FFR', 'Gene', (99, 102)) 5487 31608319 Mutations in general transcription factor IIi (GTF2I) are unique to TETs and are rarely observed in other malignancies. ('malignancies', 'Disease', 'MESH:D009369', (106, 118)) ('GTF2I', 'Gene', (47, 52)) ('TETs', 'Disease', 'MESH:C536905', (68, 72)) ('malignancies', 'Disease', (106, 118)) ('GTF2I', 'Gene', '2969', (47, 52)) ('Mutations', 'Var', (0, 9)) ('TETs', 'Disease', (68, 72)) 5513 31608319 Mutations in the GTF2I oncogene were found predominantly in type A and AB thymoma, which is consistent with previously published data. ('type A', 'Disease', (60, 66)) ('found', 'Reg', (37, 42)) ('thymoma', 'Phenotype', 'HP:0100522', (74, 81)) ('AB thymoma', 'Disease', 'MESH:D013945', (71, 81)) ('Mutations', 'Var', (0, 9)) ('GTF2I', 'Gene', (17, 22)) ('AB thymoma', 'Disease', (71, 81)) ('GTF2I', 'Gene', '2969', (17, 22)) 5515 31608319 An independent effort at developing a molecular classification of TETs was conducted by Lee and colleagues by using information on DNA mutations, mRNA expression and somatic copy number alterations from the TCGA data set. ('mRNA expression', 'MPA', (146, 161)) ('TETs', 'Disease', 'MESH:C536905', (66, 70)) ('TETs', 'Disease', (66, 70)) ('mutations', 'Var', (135, 144)) ('DNA', 'Gene', (131, 134)) 5516 31608319 Four molecular subgroups were identified with the following molecular characteristics: tumors with GTF2I mutations, GTF2I-wild type tumors with expression of genes associated with T-cell signaling, and tumors with chromosomal stability and instability. ('tumor', 'Phenotype', 'HP:0002664', (87, 92)) ('GTF2I', 'Gene', (116, 121)) ('tumors', 'Disease', 'MESH:D009369', (202, 208)) ('tumors', 'Phenotype', 'HP:0002664', (87, 93)) ('mutations', 'Var', (105, 114)) ('GTF2I', 'Gene', '2969', (99, 104)) ('GTF2I', 'Gene', (99, 104)) ('tumors', 'Phenotype', 'HP:0002664', (132, 138)) ('tumors', 'Disease', (87, 93)) ('type tumors', 'Disease', 'MESH:D009369', (127, 138)) ('tumors', 'Phenotype', 'HP:0002664', (202, 208)) ('tumor', 'Phenotype', 'HP:0002664', (132, 137)) ('tumors', 'Disease', 'MESH:D009369', (87, 93)) ('tumors', 'Disease', (132, 138)) ('tumor', 'Phenotype', 'HP:0002664', (202, 207)) ('tumors', 'Disease', (202, 208)) ('GTF2I', 'Gene', '2969', (116, 121)) ('tumors', 'Disease', 'MESH:D009369', (132, 138)) ('type tumors', 'Disease', (127, 138)) 5520 31608319 Recurrent mutations in 7 of 9 epigenetic regulatory genes, including BAP1, ASXL1, SETD2, SMARCA4, DNMT3A, TET2, and WT1, were detected in 16 (34%) cases of thymic carcinoma but were absent in thymoma samples. ('thymoma', 'Disease', 'MESH:D013945', (192, 199)) ('SETD2', 'Gene', (82, 87)) ('WT1', 'Gene', (116, 119)) ('DNMT3A', 'Gene', '1788', (98, 104)) ('BAP1', 'Gene', '8314', (69, 73)) ('SETD2', 'Gene', '29072', (82, 87)) ('WT1', 'Gene', '7490', (116, 119)) ('ASXL1', 'Gene', '171023', (75, 80)) ('thymoma', 'Disease', (192, 199)) ('thymoma', 'Phenotype', 'HP:0100522', (192, 199)) ('TET2', 'Gene', (106, 110)) ('thymic carcinoma', 'Disease', (156, 172)) ('SMARCA4', 'Gene', '6597', (89, 96)) ('BAP1', 'Gene', (69, 73)) ('ASXL1', 'Gene', (75, 80)) ('DNMT3A', 'Gene', (98, 104)) ('carcinoma', 'Phenotype', 'HP:0030731', (163, 172)) ('TET2', 'Gene', '54790', (106, 110)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (156, 172)) ('mutations', 'Var', (10, 19)) ('detected', 'Reg', (126, 134)) ('SMARCA4', 'Gene', (89, 96)) ('epigenetic regulatory genes', 'Gene', (30, 57)) 5525 31608319 Dysregulation of collagen metabolism in the tumor microenvironment has been previously shown to have variable effects on tumor growth at various stages of cancer development. ('tumor', 'Phenotype', 'HP:0002664', (121, 126)) ('Dysregulation', 'Var', (0, 13)) ('cancer', 'Phenotype', 'HP:0002664', (155, 161)) ('effects', 'Reg', (110, 117)) ('tumor', 'Disease', (121, 126)) ('tumor', 'Disease', 'MESH:D009369', (44, 49)) ('collagen metabolism', 'MPA', (17, 36)) ('tumor', 'Phenotype', 'HP:0002664', (44, 49)) ('tumor', 'Disease', (44, 49)) ('cancer', 'Disease', (155, 161)) ('cancer', 'Disease', 'MESH:D009369', (155, 161)) ('tumor', 'Disease', 'MESH:D009369', (121, 126)) 5533 31608319 The cytosine deaminase activity of apolipoprotein B mRNA editing enzyme, catalytic polypeptide-like (APOBEC) correlated strongly with mutational heterogeneity. ('cytosine deaminase activity', 'MPA', (4, 31)) ('catalytic', 'MPA', (73, 82)) ('apolipoprotein B', 'Protein', (35, 51)) ('cytosine', 'Chemical', 'MESH:D003596', (4, 12)) ('mutational', 'Var', (134, 144)) ('mRNA editing enzyme', 'Enzyme', (52, 71)) 5542 31608319 In contrast, C19MC expression was absent in type B thymomas. ('type B thymomas', 'Disease', 'MESH:D013945', (44, 59)) ('thymoma', 'Phenotype', 'HP:0100522', (51, 58)) ('type B thymomas', 'Disease', (44, 59)) ('C19MC', 'Var', (13, 18)) 5544 31608319 Enkner and colleagues also observed overexpression of C19MC in type A thymomas and absence of expression in thymic carcinomas. ('thymic carcinomas', 'Disease', (108, 125)) ('carcinoma', 'Phenotype', 'HP:0030731', (115, 124)) ('overexpression', 'PosReg', (36, 50)) ('carcinomas', 'Phenotype', 'HP:0030731', (115, 125)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (108, 125)) ('type A thymomas', 'Disease', 'MESH:D013945', (63, 78)) ('type A thymomas', 'Disease', (63, 78)) ('thymoma', 'Phenotype', 'HP:0100522', (70, 77)) ('A thymomas', 'Phenotype', 'HP:0100522', (68, 78)) ('C19MC', 'Var', (54, 59)) 5546 31608319 C14MC appears to have tumor suppressor properties in gastrointestinal stromal tumor and glioma. ('gastrointestinal stromal tumor', 'Phenotype', 'HP:0100723', (53, 83)) ('tumor', 'Disease', 'MESH:D009369', (22, 27)) ('gastrointestinal stromal tumor', 'Disease', (53, 83)) ('tumor', 'Disease', 'MESH:D009369', (78, 83)) ('glioma', 'Phenotype', 'HP:0009733', (88, 94)) ('glioma', 'Disease', (88, 94)) ('tumor', 'Phenotype', 'HP:0002664', (22, 27)) ('tumor', 'Phenotype', 'HP:0002664', (78, 83)) ('C14MC', 'Var', (0, 5)) ('gastrointestinal stromal tumor', 'Disease', 'MESH:D046152', (53, 83)) ('glioma', 'Disease', 'MESH:D005910', (88, 94)) ('tumor', 'Disease', (22, 27)) ('tumor', 'Disease', (78, 83)) 5570 31608319 An acquired defect in CD247 in naive T-cells has been described in patients with lymphocyte-rich thymomas, which causes T-cell receptor hyporesponsiveness and cutaneous anergy. ('CD247', 'Gene', (22, 27)) ('thymoma', 'Phenotype', 'HP:0100522', (97, 104)) ('hyporesponsiveness', 'Disease', (136, 154)) ('cutaneous anergy', 'Disease', (159, 175)) ('patients', 'Species', '9606', (67, 75)) ('cutaneous anergy', 'Phenotype', 'HP:0002965', (159, 175)) ('causes', 'Reg', (113, 119)) ('thymomas', 'Disease', (97, 105)) ('defect', 'Var', (12, 18)) ('thymomas', 'Disease', 'MESH:D013945', (97, 105)) ('T-cell receptor hyporesponsiveness', 'Phenotype', 'HP:0002930', (120, 154)) ('hyporesponsiveness', 'Disease', 'MESH:C566417', (136, 154)) ('CD247', 'Gene', '919', (22, 27)) 5573 31608319 Acquired immunodeficiency caused by anti-cytokine antibodies can increase the risk for development of opportunistic infections. ('Acquired immunodeficiency', 'Disease', (0, 25)) ('immunodeficiency', 'Phenotype', 'HP:0002721', (9, 25)) ('opportunistic infections', 'Disease', (102, 126)) ('opportunistic infections', 'Phenotype', 'HP:0031690', (102, 126)) ('opportunistic infections', 'Disease', 'MESH:D009894', (102, 126)) ('anti-cytokine antibodies', 'Var', (36, 60)) ('Acquired immunodeficiency', 'Disease', 'MESH:D000163', (0, 25)) 5579 31608319 XPO1 is involved in nuclear export of tumor suppressor proteins, including p53 and inhibition of XPO1 in TET cells has been shown to induce anti-tumor activity in vitro. ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('tumor', 'Disease', (38, 43)) ('tumor', 'Disease', 'MESH:D009369', (145, 150)) ('induce', 'PosReg', (133, 139)) ('tumor', 'Phenotype', 'HP:0002664', (145, 150)) ('XPO1', 'Gene', '7514', (0, 4)) ('XPO1', 'Gene', (0, 4)) ('tumor', 'Disease', (145, 150)) ('p53', 'Gene', (75, 78)) ('tumor', 'Disease', 'MESH:D009369', (38, 43)) ('p53', 'Gene', '7157', (75, 78)) ('XPO1', 'Gene', '7514', (97, 101)) ('inhibition', 'Var', (83, 93)) ('XPO1', 'Gene', (97, 101)) 5583 31608319 Mutations in p53 were also associated with worse overall survival (OS) compared with p53-wild-type tumors (median survival 19 versus 106 months; P=0.0003). ('tumors', 'Phenotype', 'HP:0002664', (99, 105)) ('overall survival', 'MPA', (49, 65)) ('p53', 'Gene', (85, 88)) ('type tumors', 'Disease', 'MESH:D009369', (94, 105)) ('type tumors', 'Disease', (94, 105)) ('Mutations', 'Var', (0, 9)) ('p53', 'Gene', (13, 16)) ('tumor', 'Phenotype', 'HP:0002664', (99, 104)) ('p53', 'Gene', '7157', (85, 88)) ('p53', 'Gene', '7157', (13, 16)) ('worse', 'NegReg', (43, 48)) 5584 31608319 A negative impact of p53 mutations on survival was also detected in 123 TET cases derived from the TCGA database. ('negative', 'NegReg', (2, 10)) ('mutations', 'Var', (25, 34)) ('p53', 'Gene', '7157', (21, 24)) ('p53', 'Gene', (21, 24)) 5586 31608319 Presence of a p53 mutation was also associated with a shorter time to disease relapse (median disease-free survival was 9.7 months versus not evaluable in p53-wild-type cases due to a low frequency of relapse). ('p53', 'Gene', (155, 158)) ('p53', 'Gene', '7157', (155, 158)) ('p53', 'Gene', (14, 17)) ('p53', 'Gene', '7157', (14, 17)) ('disease relapse', 'CPA', (70, 85)) ('mutation', 'Var', (18, 26)) ('shorter', 'NegReg', (54, 61)) ('Presence', 'Var', (0, 8)) 5587 31608319 Presence of a GTF2I mutation and enrichment of genes involved in T-cell signaling are associated with favorable disease-free survival and OS in contrast to tumors with chromosomal instability. ('chromosomal instability', 'Phenotype', 'HP:0040012', (168, 191)) ('mutation', 'Var', (20, 28)) ('tumor', 'Phenotype', 'HP:0002664', (156, 161)) ('tumors', 'Disease', 'MESH:D009369', (156, 162)) ('GTF2I', 'Gene', (14, 19)) ('tumors', 'Phenotype', 'HP:0002664', (156, 162)) ('tumors', 'Disease', (156, 162)) ('Presence', 'Var', (0, 8)) ('GTF2I', 'Gene', '2969', (14, 19)) 5588 31608319 Other prognostic markers under investigation include expression of the genes SOX2 and CA9, which are reported to be associated with shorter survival in TET patients and the methylation status of the genes KSR1, ELF3, ILRN and RAG1, which have variable effects on OS. ('patients', 'Species', '9606', (156, 164)) ('RAG1', 'Gene', (226, 230)) ('CA9', 'Gene', (86, 89)) ('RAG1', 'Gene', '5896', (226, 230)) ('ELF3', 'Gene', '1999', (211, 215)) ('CA9', 'Gene', '768', (86, 89)) ('methylation status', 'Var', (173, 191)) ('KSR1', 'Gene', '8844', (205, 209)) ('ELF3', 'Gene', (211, 215)) ('shorter', 'NegReg', (132, 139)) ('SOX2', 'Gene', (77, 81)) ('KSR1', 'Gene', (205, 209)) ('SOX2', 'Gene', '6657', (77, 81)) ('ILRN', 'Gene', (217, 221)) 5682 25789744 Fatal Yellow Fever Vaccine-Associated Viscerotropic Disease : Oregon, September 2014 In September 2014, a previously healthy Oregon woman in her 60s went to a hospital emergency department with malaise, dyspnea, vomiting, and diarrhea of 3-5 days' duration. ('woman', 'Species', '9606', (132, 137)) ('diarrhea', 'Phenotype', 'HP:0002014', (226, 234)) ('malaise', 'Phenotype', 'HP:0012378', (194, 201)) ('vomiting', 'Phenotype', 'HP:0002013', (212, 220)) ('Fever', 'Phenotype', 'HP:0001945', (13, 18)) ('diarrhea', 'Disease', (226, 234)) ('dyspnea', 'Disease', 'MESH:D004417', (203, 210)) ('diarrhea', 'Disease', 'MESH:D003967', (226, 234)) ('malaise', 'Disease', (194, 201)) ('vomiting', 'Disease', (212, 220)) ('vomiting', 'Disease', 'MESH:D014839', (212, 220)) ('Yellow Fever', 'Disease', (6, 18)) ('dyspnea', 'Phenotype', 'HP:0002094', (203, 210)) ('September', 'Var', (88, 97)) ('Yellow Fever', 'Disease', 'MESH:D015004', (6, 18)) ('malaise', 'Disease', 'MESH:D005221', (194, 201)) ('dyspnea', 'Disease', (203, 210)) 5730 25611232 Other potential mechanisms include the increased frequency of mutations in thymoma-derived T cells due to high turnover rate of cortical thymocytes and reduced numbers of T regulatory cells, which have inhibitory effects on antigen-specific activation of naive autologous T cells. ('thymoma', 'Phenotype', 'HP:0100522', (75, 82)) ('reduced', 'NegReg', (152, 159)) ('T regulatory cells', 'CPA', (171, 189)) ('thymoma', 'Disease', 'MESH:D013945', (75, 82)) ('mutations', 'Var', (62, 71)) ('thymoma', 'Disease', (75, 82)) 5731 25611232 In a subset of patients, defects in autoimmune regulatory (AIRE) gene may play a role. ('patients', 'Species', '9606', (15, 23)) ('defects', 'Var', (25, 32)) ('AIRE', 'Gene', '326', (59, 63)) ('AIRE', 'Gene', (59, 63)) 5733 25611232 AIRE mutations underlie the APECED syndrome (autoimmune polyendocrinopathy candidiasis ectodermal dystrophy) which shares autoimmune manifestations and anti-interferon autoantibodies with thymoma associated autoimmune syndromes. ('autoimmune polyendocrinopathy candidiasis ectodermal dystrophy', 'Disease', 'MESH:D016884', (45, 107)) ('APECED syndrome', 'Disease', 'MESH:D016884', (28, 43)) ('APECED syndrome', 'Disease', (28, 43)) ('thymoma', 'Disease', 'MESH:D013945', (188, 195)) ('autoimmune manifestations', 'Phenotype', 'HP:0002960', (122, 147)) ('thymoma', 'Disease', (188, 195)) ('underlie', 'Reg', (15, 23)) ('AIRE', 'Gene', (0, 4)) ('mutations', 'Var', (5, 14)) ('thymoma', 'Phenotype', 'HP:0100522', (188, 195)) ('AIRE', 'Gene', '326', (0, 4)) ('polyendocrinopathy candidiasis', 'Phenotype', 'HP:0005411', (56, 86)) ('ectodermal dystrophy', 'Phenotype', 'HP:0000968', (87, 107)) 5735 25611232 The association between autoimmune manifestations with response is possibly due to modulation of thymic immune mileu by cixutumumab or an egress of dysfunctional T cells to the periphery as a result of tumor shrinkage. ('dysfunctional T', 'Disease', (148, 163)) ('dysfunctional T', 'Disease', 'MESH:D006331', (148, 163)) ('tumor', 'Disease', (202, 207)) ('association', 'Interaction', (4, 15)) ('autoimmune manifestations', 'Phenotype', 'HP:0002960', (24, 49)) ('cixutumumab', 'Var', (120, 131)) ('cixutumumab', 'Chemical', 'MESH:C557414', (120, 131)) ('tumor', 'Disease', 'MESH:D009369', (202, 207)) ('tumor', 'Phenotype', 'HP:0002664', (202, 207)) 5814 27992479 Incomplete resection significantly influences survival, with a 5-year survival rate of 55% and 48% in R1- and R2-resected tumors, respectively, in contrast to 70% in R0 tumors. ('tumors', 'Phenotype', 'HP:0002664', (122, 128)) ('tumors', 'Disease', (122, 128)) ('tumors', 'Disease', 'MESH:D009369', (122, 128)) ('survival', 'MPA', (46, 54)) ('tumors', 'Disease', 'MESH:D009369', (169, 175)) ('tumor', 'Phenotype', 'HP:0002664', (169, 174)) ('influences', 'Reg', (35, 45)) ('tumors', 'Phenotype', 'HP:0002664', (169, 175)) ('tumor', 'Phenotype', 'HP:0002664', (122, 127)) ('R2-resected', 'Var', (110, 121)) ('tumors', 'Disease', (169, 175)) ('R1-', 'Var', (102, 105)) 5870 27992479 At study start, six patients were positive for antibodies against the AChR but showed no clinically relevant symptoms of myasthenia gravis (Table 2). ('myasthenia gravis', 'Disease', (121, 138)) ('antibodies', 'Var', (47, 57)) ('positive', 'Reg', (34, 42)) ('AChR', 'Gene', (70, 74)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (121, 138)) ('patients', 'Species', '9606', (20, 28)) ('myasthenia', 'Phenotype', 'HP:0003473', (121, 131)) 5999 32277368 While it is well-recognized that these diseases may occur in the absence of a thymoma, the presence of a thymoma has been associated with a worse prognosis, which in some part, appears to be dependent on thymoma WHO classification and Masaoka staging. ('thymoma', 'Phenotype', 'HP:0100522', (204, 211)) ('thymoma', 'Phenotype', 'HP:0100522', (105, 112)) ('thymoma', 'Phenotype', 'HP:0100522', (78, 85)) ('absence of a thymoma', 'Phenotype', 'HP:0005359', (65, 85)) ('thymoma', 'Gene', '7063', (204, 211)) ('presence', 'Var', (91, 99)) ('thymoma', 'Gene', '7063', (105, 112)) ('thymoma', 'Gene', '7063', (78, 85)) ('thymoma', 'Gene', (204, 211)) ('thymoma', 'Gene', (105, 112)) ('thymoma', 'Gene', (78, 85)) 6000 32277368 noted that among different WHO thymoma classes, class B2 is most commonly associated with autoimmune and paraneoplastic disorders, whereas class AB thymomas are least commonly associated. ('thymoma', 'Gene', '7063', (31, 38)) ('thymoma', 'Gene', (31, 38)) ('thymoma', 'Gene', '7063', (148, 155)) ('thymomas', 'Disease', (148, 156)) ('class B2', 'Var', (48, 56)) ('thymoma', 'Gene', (148, 155)) ('thymomas', 'Disease', 'MESH:D013945', (148, 156)) ('thymoma', 'Phenotype', 'HP:0100522', (31, 38)) ('paraneoplastic disorders', 'Disease', 'MESH:D010257', (105, 129)) ('paraneoplastic disorders', 'Disease', (105, 129)) ('associated', 'Reg', (74, 84)) ('thymoma', 'Phenotype', 'HP:0100522', (148, 155)) 6006 32277368 Multiple theories on the pathogenesis and development of autoimmune disease/paraneoplastic syndromes in the context of thymoma have been postulated, primarily focusing on an underlying dysregulation of normal thymic function, in turn affecting positive and negative selection processes and defects in central tolerance. ('affecting', 'Reg', (234, 243)) ('neoplastic syndrome', 'Phenotype', 'HP:0002664', (80, 99)) ('autoimmune disease', 'Disease', 'MESH:D001327', (57, 75)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (57, 75)) ('central tolerance', 'CPA', (301, 318)) ('dysregulation', 'Var', (185, 198)) ('thymoma', 'Gene', '7063', (119, 126)) ('paraneoplastic syndromes', 'Disease', 'MESH:D010257', (76, 100)) ('thymoma', 'Phenotype', 'HP:0100522', (119, 126)) ('paraneoplastic syndromes', 'Disease', (76, 100)) ('thymoma', 'Gene', (119, 126)) ('autoimmune disease', 'Disease', (57, 75)) 6013 32277368 This theory is supported by the presence of autoantibodies in thymomas associated with myasthenia gravis and other autoimmune diseases. ('myasthenia gravis', 'Disease', (87, 104)) ('thymomas', 'Disease', (62, 70)) ('thymomas', 'Disease', 'MESH:D013945', (62, 70)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (115, 133)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (87, 104)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (115, 134)) ('autoantibodies', 'Var', (44, 58)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (115, 134)) ('myasthenia', 'Phenotype', 'HP:0003473', (87, 97)) ('thymoma', 'Phenotype', 'HP:0100522', (62, 69)) ('autoimmune diseases', 'Disease', (115, 134)) ('associated', 'Reg', (71, 81)) 6164 26320843 Apart from the "thymic stemness" alteration on chromosome 6q25, thymic squamous cell carcinomas share other similarities with type B3 thymomas, namely gain of chromosome 1q and loss of chromosome 6. ('thymomas', 'Disease', (134, 142)) ('thymomas', 'Disease', 'MESH:D013945', (134, 142)) ('gain', 'PosReg', (151, 155)) ('squamous cell carcinomas', 'Phenotype', 'HP:0002860', (71, 95)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (71, 94)) ('thymoma', 'Phenotype', 'HP:0100522', (134, 141)) ('loss', 'Var', (177, 181)) ('carcinoma', 'Phenotype', 'HP:0030731', (85, 94)) ('squamous cell carcinomas', 'Disease', 'MESH:D002294', (71, 95)) ('carcinomas', 'Phenotype', 'HP:0030731', (85, 95)) ('squamous cell carcinomas', 'Disease', (71, 95)) 6302 33537838 Here, we cover (a) tolerance-inducing cell types, whether thymic epithelial or tuft cells, or dendritic, B- or thymic myoid cells; (b) tolerance-inducing mechanisms and their failure in relation to thymic anatomic compartments, and with special emphasis on human monogenic and polygenic autoimmune diseases and the related thymic pathologies, if known; (c) polymorphisms and mutations of tolerance-related genes with an impact on positive selection (e.g. ('autoimmune diseases', 'Phenotype', 'HP:0002960', (287, 306)) ('mutations', 'Var', (375, 384)) ('human', 'Species', '9606', (257, 262)) ('polymorphisms', 'Var', (357, 370)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (287, 306)) ('autoimmune diseases', 'Disease', (287, 306)) 6308 33537838 It also prevents human autoimmune diseases (HAIDs) through both negative selection (by which most autoreactive alpha/beta-T-cells are deleted) and generation of FOXP3+ regulatory T-cells (Tregs) that restrain those autoreactive T-cells that inevitably escape negative selection and seed the periphery. ('FOXP3+', 'Var', (161, 167)) ('autoimmune diseases', 'Disease', (23, 42)) ('human', 'Species', '9606', (17, 22)) ('negative selection', 'CPA', (64, 82)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (23, 42)) ('HAIDs', 'Disease', 'None', (44, 49)) ('Tregs', 'Chemical', '-', (188, 193)) ('HAIDs', 'Disease', (44, 49)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (23, 42)) ('prevents', 'NegReg', (8, 16)) 6311 33537838 the autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy syndrome (APECED, alias autoimmune polyglandular syndrome type 1, APS1) due to autoimmune regulator (AIRE) mutations, the immunodysregulation polyendocrinopathy and enteropathy X-linked (IPEX) syndrome) resulting from FOXP3 mutations and 'leaky' (subtotal) immunodeficiency syndromes due to primary T-cell or stromal cell developmental defects. ('APECED', 'Gene', '326', (77, 83)) ('autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy syndrome', 'Disease', 'MESH:D016884', (4, 75)) ('immunodeficiency', 'Phenotype', 'HP:0002721', (324, 340)) ("'leaky'", 'Disease', (305, 312)) ('mutations', 'Var', (174, 183)) ('enteropathy', 'Phenotype', 'HP:0002242', (232, 243)) ('immunodeficiency syndromes', 'Disease', (324, 350)) ('APS1', 'Gene', (133, 137)) ('mutations', 'Var', (291, 300)) ('alias autoimmune polyglandular syndrome', 'Disease', (85, 124)) ('immunodysregulation polyendocrinopathy and enteropathy X-linked (IPEX) syndrome', 'Disease', 'MESH:C580192', (189, 268)) ('ectodermal dystrophy', 'Phenotype', 'HP:0000968', (46, 66)) ('autoimmune regulator', 'Gene', (146, 166)) ('autoimmune regulator', 'Gene', '326', (146, 166)) ('FOXP3', 'Gene', (285, 290)) ('alias autoimmune polyglandular syndrome', 'Disease', 'MESH:D016884', (85, 124)) ('APECED', 'Gene', (77, 83)) ('APS1', 'Gene', '326', (133, 137)) ('immunodeficiency syndromes', 'Disease', 'MESH:D007153', (324, 350)) 6315 33537838 Identifying AIRE mutations as the cause of the APECED syndrome has deepened the understanding of negative selection. ('AIRE', 'Gene', (12, 16)) ('cause', 'Reg', (34, 39)) ('APECED syndrome', 'Disease', (47, 62)) ('APECED syndrome', 'Disease', 'MESH:D016884', (47, 62)) ('mutations', 'Var', (17, 26)) 6333 33537838 Patients with inactivating AIRE mutations develop APECED due to autoimmune T- and B-cell responses that damage many organs, preferentially the adrenal cortex and parathyroid glands. ('APECED', 'Gene', '326', (50, 56)) ('damage', 'Reg', (104, 110)) ('APECED', 'Gene', (50, 56)) ('AIRE', 'Gene', (27, 31)) ('Patients', 'Species', '9606', (0, 8)) ('mutations', 'Var', (32, 41)) ('inactivating', 'Var', (14, 26)) 6334 33537838 In contrast to AIRE-deficient mice, nearly all APECED patients show neutralizing autoantibodies to type I interferons and TH17 interleukins, and loss of Th17 and Th22 cells, which correlate with the characteristic mucocutaneous candidiasis, which is often the first sign of APECED. ('AIRE-deficient', 'Disease', 'MESH:D016884', (15, 29)) ('Th17', 'Protein', (153, 157)) ('mice', 'Species', '10090', (30, 34)) ('patients', 'Species', '9606', (54, 62)) ('neutralizing', 'MPA', (68, 80)) ('APECED', 'Gene', '326', (47, 53)) ('APECED', 'Gene', '326', (274, 280)) ('APECED', 'Gene', (47, 53)) ('loss', 'Var', (145, 149)) ('AIRE-deficient', 'Disease', (15, 29)) ('APECED', 'Gene', (274, 280)) ('candidiasis', 'Disease', 'MESH:D002177', (228, 239)) ('mucocutaneous candidiasis', 'Phenotype', 'HP:0002728', (214, 239)) ('candidiasis', 'Disease', (228, 239)) 6337 33537838 AIRE polymorphisms have been associated with sporadic vitiligo and rheumatoid arthritis (RA) but not with other common autoimmune diseases such as T1D. ('rheumatoid arthritis', 'Phenotype', 'HP:0001370', (67, 87)) ('autoimmune diseases', 'Disease', (119, 138)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (119, 138)) ('sporadic vitiligo and rheumatoid arthritis', 'Disease', 'MESH:D001172', (45, 87)) ('AIRE', 'Gene', (0, 4)) ('RA', 'Disease', 'MESH:D001172', (89, 91)) ('vitiligo', 'Phenotype', 'HP:0001045', (54, 62)) ('associated', 'Reg', (29, 39)) ('arthritis', 'Phenotype', 'HP:0001369', (78, 87)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (119, 138)) ('polymorphisms', 'Var', (5, 18)) 6338 33537838 mutations of PRKDC) can cause APECED-like syndromes. ('PRKDC', 'Gene', (13, 18)) ('APECED', 'Gene', '326', (30, 36)) ('cause', 'Reg', (24, 29)) ('PRKDC', 'Gene', '5591', (13, 18)) ('APECED', 'Gene', (30, 36)) ('mutations', 'Var', (0, 9)) 6345 33537838 Transplantation of Fezf2-/- thymi into nude mice elicits organ infiltrates and autoantibodies that are different from those in AIRE-/- mice. ('elicits', 'Reg', (49, 56)) ('nude mice', 'Species', '10090', (39, 48)) ('organ infiltrates', 'CPA', (57, 74)) ('Fezf2-/-', 'Var', (19, 27)) ('mice', 'Species', '10090', (135, 139)) ('mice', 'Species', '10090', (44, 48)) 6347 33537838 In mice, Chd4 induces the expression of a small set of unique genes. ('expression', 'MPA', (26, 36)) ('mice', 'Species', '10090', (3, 7)) ('induces', 'Reg', (14, 21)) ('Chd4', 'Var', (9, 13)) 6353 33537838 Similarly, a polymorphism in the IRF8-binding site in the promoter of the AIRE-driven gene encoding the acetylcholine receptor (AChR) alpha-subunit has been linked to reduced AChR expression in the thymus and the risk of very early-onset myasthenia gravis. ('polymorphism', 'Var', (13, 25)) ('AChR', 'Gene', (175, 179)) ('myasthenia', 'Phenotype', 'HP:0003473', (238, 248)) ('IRF8', 'Gene', (33, 37)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (238, 255)) ('expression', 'MPA', (180, 190)) ('myasthenia gravis', 'Disease', (238, 255)) ('acetylcholine', 'Chemical', 'MESH:D000109', (104, 117)) ('IRF8', 'Gene', '3394', (33, 37)) ('reduced', 'NegReg', (167, 174)) 6381 33537838 cDC1s are generated intrathymically from immature precursors recruited to the thymus by mTEC-derived CCL21s, while other DCs are attracted from the periphery as mature cells by mTEC-derived chemokines, some of which require toll-like receptor 9 (TLR9)/MYD-88 signalling for production. ('MYD-88', 'Gene', '4615', (252, 258)) ('mTEC-derived', 'Var', (88, 100)) ('MYD-88', 'Gene', (252, 258)) ('toll-like receptor 9', 'Gene', (224, 244)) ('TLR9', 'Gene', (246, 250)) ('CCL21', 'Gene', (101, 106)) ('CCL21', 'Gene', '6366', (101, 106)) ('TEC', 'Chemical', '-', (178, 181)) ('TEC', 'Chemical', '-', (89, 92)) ('toll-like receptor 9', 'Gene', '54106', (224, 244)) ('TLR9', 'Gene', '54106', (246, 250)) 6392 33537838 A defect at this level elicits Treg deficiency and autoimmunity. ('defect', 'Var', (2, 8)) ('elicits', 'Reg', (23, 30)) ('autoimmunity', 'Phenotype', 'HP:0002960', (51, 63)) ('deficiency', 'Disease', (36, 46)) ('Treg', 'Chemical', '-', (31, 35)) ('deficiency', 'Disease', 'MESH:D007153', (36, 46)) 6393 33537838 Subsequently, CD4+ CD8-- single positive thymocytes develop in the medulla through further epigenetic modifications, establishment of the 'Treg-specific demethylated region, TSDR' and binding of transcription factors (e.g. ('Treg', 'Chemical', '-', (139, 143)) ('CD8', 'Gene', (19, 22)) ('CD8', 'Gene', '925', (19, 22)) ('binding', 'Interaction', (184, 191)) ('epigenetic modifications', 'Var', (91, 115)) 6402 33537838 For example, IPEX syndrome (analogous to murine scurfy syndrome) results from different mutations across the FOXP3 gene, showing that Tregs are indispensable to prevent T1D (even perinatally), inflammatory bowel disease and allergies, although the clinical variability of IPEX correlates poorly with the type of FOXP3 mutation. ('IPEX', 'Gene', (13, 17)) ('scurfy', 'Gene', '20371', (48, 54)) ('IPEX syndrome', 'Disease', (13, 26)) ('mutations', 'Var', (88, 97)) ('results from', 'Reg', (65, 77)) ('T1D', 'Disease', (169, 172)) ('allergies', 'Disease', 'MESH:D004342', (224, 233)) ('IPEX', 'Gene', '50943', (13, 17)) ('Tregs', 'Chemical', '-', (134, 139)) ('IPEX syndrome', 'Disease', 'MESH:C580192', (13, 26)) ('IPEX', 'Gene', (272, 276)) ('inflammatory bowel disease', 'Phenotype', 'HP:0002037', (193, 219)) ('inflammatory bowel disease', 'Disease', (193, 219)) ('inflammatory bowel disease', 'Disease', 'MESH:D015212', (193, 219)) ('scurfy', 'Gene', (48, 54)) ('allergies', 'Phenotype', 'HP:0012393', (224, 233)) ('IPEX', 'Gene', '50943', (272, 276)) ('allergies', 'Disease', (224, 233)) ('murine', 'Species', '10090', (41, 47)) ('FOXP3', 'Gene', (109, 114)) 6403 33537838 Other mutations in CD25, CTLA4, LRBA, BACH2 and STAT3 cause 'IPEX-like syndromes' due to Treg dysfunction. ('CD25', 'Gene', (19, 23)) ('STAT3', 'Gene', (48, 53)) ('cause', 'Reg', (54, 59)) ('BACH2', 'Gene', (38, 43)) ('IPEX', 'Gene', (61, 65)) ('CTLA4', 'Gene', '1493', (25, 30)) ('IPEX', 'Gene', '50943', (61, 65)) ('LRBA', 'Gene', (32, 36)) ('Treg', 'Chemical', '-', (89, 93)) ('CTLA4', 'Gene', (25, 30)) ('Treg dysfunction', 'Disease', (89, 105)) ('STAT3', 'Gene', '6774', (48, 53)) ('LRBA', 'Gene', '987', (32, 36)) ('mutations', 'Var', (6, 15)) ('BACH2', 'Gene', '60468', (38, 43)) 6405 33537838 In addition, genetic variants in Treg-related loci associate with some common sporadic autoimmune diseases. ('associate', 'Reg', (51, 60)) ('Treg', 'Chemical', '-', (33, 37)) ('genetic variants', 'Var', (13, 29)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (87, 106)) ('autoimmune diseases', 'Disease', (87, 106)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (87, 106)) ('Treg-related loci', 'Gene', (33, 50)) 6413 33537838 Homozygosity for the rs54457782 SNP of PSMB11 has been associated with altered B5t function of the protein in cTECs and an elevated risk of Sjogren syndrome in one study. ('PSMB11', 'Gene', (39, 45)) ('TEC', 'Chemical', '-', (111, 114)) ('associated', 'Reg', (55, 65)) ('rs54457782', 'Mutation', 'rs54457782', (21, 31)) ('B5t function of the', 'MPA', (79, 98)) ('altered', 'Reg', (71, 78)) ('PSMB11', 'Gene', '122706', (39, 45)) ('rs54457782', 'Var', (21, 31)) ('Sjogren syndrome', 'Disease', 'MESH:D012859', (140, 156)) ('Sjogren syndrome', 'Disease', (140, 156)) 6414 33537838 Deletion of Prss16 in cTECs clearly protects NOD mice against T1D, presumably by affecting processing of pancreatic islet cell TRAs. ('T1D', 'Disease', (62, 65)) ('TRA', 'Gene', '6955', (127, 130)) ('affecting', 'Reg', (81, 90)) ('mice', 'Species', '10090', (49, 53)) ('protects', 'Reg', (36, 44)) ('TEC', 'Chemical', '-', (23, 26)) ('Prss16', 'Gene', (12, 18)) ('TRA', 'Gene', (127, 130)) ('Prss16', 'Gene', '54373', (12, 18)) ('Deletion', 'Var', (0, 8)) 6416 33537838 Polymorphisms of the C-type lectin CLEC16A gene show associations with T1D, multiple sclerosis (MS), systemic lupus (SLE), celiac disease, RA and JIA. ('multiple sclerosis', 'Disease', 'MESH:D009103', (76, 94)) ('celiac disease', 'Disease', (123, 137)) ('JIA', 'Disease', (146, 149)) ('SLE', 'Disease', (117, 120)) ('RA', 'Disease', 'MESH:D001172', (139, 141)) ('CLEC16A', 'Gene', '23274', (35, 42)) ('SLE', 'Disease', 'MESH:D008180', (117, 120)) ('Polymorphisms', 'Var', (0, 13)) ('systemic lupus', 'Disease', 'MESH:D008180', (101, 115)) ('celiac disease', 'Phenotype', 'HP:0002608', (123, 137)) ('T1D', 'Disease', (71, 74)) ('systemic lupus', 'Disease', (101, 115)) ('multiple sclerosis', 'Disease', (76, 94)) ('CLEC16A', 'Gene', (35, 42)) ('associations', 'Reg', (53, 65)) ('systemic lupus', 'Phenotype', 'HP:0002725', (101, 115)) 6418 33537838 In a similar scenario, 'autoimmunizing positive selection' (complemented by defective negative selection) might be operative in thymomas (see below), and in patients with ZAP70 mutations: while inactivating mutations of ZAP70 cause severe immunodeficiency, hypomorphic mutations lead to positive selection of autoreactive thymocytes. ('ZAP70', 'Gene', (220, 225)) ('ZAP70', 'Gene', '7535', (171, 176)) ('positive selection', 'CPA', (287, 305)) ('severe immunodeficiency', 'Phenotype', 'HP:0004430', (232, 255)) ('thymomas', 'Disease', (128, 136)) ('mutations', 'Var', (177, 186)) ('inactivating mutations', 'Var', (194, 216)) ('ZAP70', 'Gene', '7535', (220, 225)) ('ZAP70', 'Gene', (171, 176)) ('lead to', 'Reg', (279, 286)) ('patients', 'Species', '9606', (157, 165)) ('hypomorphic mutations', 'Var', (257, 278)) ('immunodeficiency', 'Disease', 'MESH:D007153', (239, 255)) ('thymomas', 'Disease', 'MESH:D013945', (128, 136)) ('immunodeficiency', 'Phenotype', 'HP:0002721', (239, 255)) ('immunodeficiency', 'Disease', (239, 255)) ('thymoma', 'Phenotype', 'HP:0100522', (128, 135)) 6419 33537838 Since attenuated ZAP70 signalling also attenuates negative selection and selection of Tregs, autoimmunity arises, leading to bullous pemphigoid, colitis and proteinuria in patients. ('leading to', 'Reg', (114, 124)) ('attenuated', 'Var', (6, 16)) ('negative selection', 'CPA', (50, 68)) ('proteinuria', 'Phenotype', 'HP:0000093', (157, 168)) ('colitis', 'Disease', 'MESH:D003092', (145, 152)) ('colitis', 'Disease', (145, 152)) ('ZAP70', 'Gene', '7535', (17, 22)) ('proteinuria', 'Disease', 'MESH:D011507', (157, 168)) ('bullous pemphigoid', 'Disease', (125, 143)) ('attenuates', 'NegReg', (39, 49)) ('colitis', 'Phenotype', 'HP:0002583', (145, 152)) ('Tregs', 'Chemical', '-', (86, 91)) ('autoimmunity', 'Phenotype', 'HP:0002960', (93, 105)) ('patients', 'Species', '9606', (172, 180)) ('ZAP70', 'Gene', (17, 22)) ('proteinuria', 'Disease', (157, 168)) 6420 33537838 Nucleotide variants of TAGAP that encode a thymocyte GAP protein are associated with various HAIDs, likely reflecting attenuated thymocyte migration from the cortex to the medulla. ('thymocyte migration from the', 'CPA', (129, 157)) ('HAIDs', 'Disease', (93, 98)) ('Nucleotide variants', 'Var', (0, 19)) ('TAGAP', 'Gene', (23, 28)) ('associated', 'Reg', (69, 79)) ('TAGAP', 'Gene', '117289', (23, 28)) ('attenuated', 'NegReg', (118, 128)) ('HAIDs', 'Disease', 'None', (93, 98)) 6421 33537838 Finally, associations of SNPs of SATB1 with colitis, psoriasis and MS have been linked to SATB1's role in Treg development in the thymic cortex. ('psoriasis', 'Disease', 'MESH:D011565', (53, 62)) ('colitis', 'Phenotype', 'HP:0002583', (44, 51)) ('linked', 'Reg', (80, 86)) ('psoriasis', 'Phenotype', 'HP:0003765', (53, 62)) ('SATB1', 'Gene', (90, 95)) ('Treg', 'Chemical', '-', (106, 110)) ('colitis', 'Disease', 'MESH:D003092', (44, 51)) ('SNPs', 'Var', (25, 29)) ('psoriasis', 'Disease', (53, 62)) ('associations', 'Interaction', (9, 21)) ('colitis', 'Disease', (44, 51)) ('Treg development', 'CPA', (106, 122)) ('SATB1', 'Gene', '6304', (90, 95)) ('SATB1', 'Gene', (33, 38)) ('SATB1', 'Gene', '6304', (33, 38)) 6429 33537838 Defects of thymocyte adhesion, migration and egress from the thymus are typically associated with a combined (T-/B-cell) immunodeficiency, as exemplified by mutations of MST1 and CORO1A. ('thymocyte adhesion', 'CPA', (11, 29)) ('associated', 'Reg', (82, 92)) ('Defects', 'NegReg', (0, 7)) ('immunodeficiency', 'Phenotype', 'HP:0002721', (121, 137)) ('migration', 'CPA', (31, 40)) ('MST1', 'Gene', '4485', (170, 174)) ('immunodeficiency', 'Disease', 'MESH:D007153', (121, 137)) ('MST1', 'Gene', (170, 174)) ('mutations', 'Var', (157, 166)) ('immunodeficiency', 'Disease', (121, 137)) ('CORO1A', 'Gene', '11151', (179, 185)) ('CORO1A', 'Gene', (179, 185)) ('egress', 'CPA', (45, 51)) 6431 33537838 In MTS1 mutant thymi, some T-cells typically escape to the periphery, where rarely oligoclonal or even monoclonal lymphoproliferations, organ infiltrates and autoantibody-mediated cytopenias develop. ('MTS1', 'Gene', '1029', (3, 7)) ('mutant', 'Var', (8, 14)) ('cytopenias', 'Disease', 'MESH:D006402', (180, 190)) ('cytopenias', 'Disease', (180, 190)) ('MTS1', 'Gene', (3, 7)) 6432 33537838 In CORO1A mutations, the egress defect is generally so severe that autoimmunity is generally prevented. ('autoimmunity', 'Phenotype', 'HP:0002960', (67, 79)) ('CORO1A', 'Gene', '11151', (3, 9)) ('egress defect', 'MPA', (25, 38)) ('CORO1A', 'Gene', (3, 9)) ('mutations', 'Var', (10, 19)) 6433 33537838 Thymi with defects in egress due to mutations of MTS1 and CORA1A usually retain their corticomedullary architecture. ('egress', 'CPA', (22, 28)) ('MTS1', 'Gene', '1029', (49, 53)) ('mutations', 'Var', (36, 45)) ('defects', 'NegReg', (11, 18)) ('RA', 'Disease', 'MESH:D001172', (60, 62)) ('corticomedullary architecture', 'CPA', (86, 115)) ('MTS1', 'Gene', (49, 53)) 6434 33537838 The generally mild defect in MTS1 mutations shifts the balance towards a higher proportion of mature thymocytes, while the massive block to egress in CORO1A mutated thymi leads to 'giant PVS' with accumulations of mature T-cells. ('CORO1A', 'Gene', '11151', (150, 156)) ('leads to', 'Reg', (171, 179)) ('accumulations', 'PosReg', (197, 210)) ("'giant", 'PosReg', (180, 186)) ('MTS1', 'Gene', (29, 33)) ('CORO1A', 'Gene', (150, 156)) ('MTS1', 'Gene', '1029', (29, 33)) ('mutated', 'Var', (157, 164)) ('egress', 'MPA', (140, 146)) ('mutations', 'Var', (34, 43)) 6439 33537838 Female gender and the HLA-DR3 B8 A1 haplotype are strong risk factors, B8 appearing the strongest, though roles of other loci are less clear (Table 1). ('HLA', 'Gene', (22, 25)) ('haplotype', 'Var', (36, 45)) ('HLA', 'Gene', '3117', (22, 25)) 6462 33537838 With rare exceptions, levels of mRNA encoding the AChR alpha-subunit are higher in TAMG(+) thymomas than in TAMG(-) thymomas, hinting at immunisation there rather than tolerance induction, unlike in the normal thymus. ('thymomas', 'Disease', 'MESH:D013945', (116, 124)) ('thymomas', 'Disease', 'MESH:D013945', (91, 99)) ('TAMG', 'Chemical', '-', (83, 87)) ('thymoma', 'Phenotype', 'HP:0100522', (91, 98)) ('TAMG(+', 'Var', (83, 89)) ('TAMG', 'Chemical', '-', (108, 112)) ('mRNA encoding', 'MPA', (32, 45)) ('levels', 'MPA', (22, 28)) ('thymoma', 'Phenotype', 'HP:0100522', (116, 123)) ('thymomas', 'Disease', (91, 99)) ('thymomas', 'Disease', (116, 124)) ('higher', 'PosReg', (73, 79)) 6467 33537838 autoantibodies against IL-17s and/ or IL-22 and loss of the cytokine-producing cells. ('loss', 'NegReg', (48, 52)) ('IL-17', 'Gene', '3605', (23, 28)) ('IL-22', 'Gene', '50616', (38, 43)) ('IL-22', 'Gene', (38, 43)) ('IL-17', 'Gene', (23, 28)) ('autoantibodies', 'Var', (0, 14)) 6469 33537838 The differences between these syndromes include the rarity in APECED patients of MG or of almost any neurological disorder or autoantibody; they may partly reflect the contrasting effects of AIRE mutations present since conception in APECED versus the focal acquisition of a neoplastic AIRE-deficient clone of thymic epithelial cells in adult thymoma patients who already have an established normal peripheral immune repertoire. ('neurological disorder', 'Disease', (101, 122)) ('MG', 'Disease', 'MESH:D000080343', (81, 83)) ('thymoma', 'Disease', (343, 350)) ('neurological disorder', 'Phenotype', 'HP:0000707', (101, 122)) ('neurological disorder', 'Disease', 'MESH:D009422', (101, 122)) ('patients', 'Species', '9606', (69, 77)) ('thymoma', 'Phenotype', 'HP:0100522', (343, 350)) ('APECED', 'Gene', (62, 68)) ('APECED', 'Gene', '326', (62, 68)) ('neoplastic AIRE-deficient', 'Disease', (275, 300)) ('thymoma', 'Disease', 'MESH:D013945', (343, 350)) ('APECED', 'Gene', '326', (234, 240)) ('patients', 'Species', '9606', (351, 359)) ('APECED', 'Gene', (234, 240)) ('neoplastic AIRE-deficient', 'Disease', 'MESH:D016884', (275, 300)) ('mutations', 'Var', (196, 205)) 6570 28674368 Subsequently, SPS was established as an autoimmune disorder, most frequently associated with antibodies against GAD. ('autoimmune disorder', 'Phenotype', 'HP:0002960', (40, 59)) ('SPS', 'Disease', (14, 17)) ('autoimmune disorder', 'Disease', (40, 59)) ('GAD', 'Gene', (112, 115)) ('antibodies', 'Var', (93, 103)) ('autoimmune disorder', 'Disease', 'MESH:D001327', (40, 59)) ('GAD', 'Gene', '2571', (112, 115)) ('associated', 'Reg', (77, 87)) 6740 26632723 Although pathogenic bacterium is the most common pathogen in all GS patients, opportunistic pathogens associated with cell-mediated immunodeficiency including CMV (41.7%) and P. jirovecii (16.7%), frequently caused opportunistic infections in hospitalized GS patients in this study. ('P. jirovecii', 'Var', (175, 187)) ('patients', 'Species', '9606', (259, 267)) ('immunodeficiency', 'Phenotype', 'HP:0002721', (132, 148)) ('opportunistic infections', 'Disease', (215, 239)) ('opportunistic infections', 'Phenotype', 'HP:0031690', (215, 239)) ('immunodeficiency', 'Disease', 'MESH:D007153', (132, 148)) ('caused', 'Reg', (208, 214)) ('GS', 'Disease', 'MESH:D011125', (256, 258)) ('opportunistic infections', 'Disease', 'MESH:D009894', (215, 239)) ('immunodeficiency', 'Disease', (132, 148)) ('patients', 'Species', '9606', (68, 76)) ('P. jirovecii', 'Species', '42068', (175, 187)) ('GS', 'Disease', 'MESH:D011125', (65, 67)) 6741 26632723 CMV often appeared to cause intestinal infection, and P. jirovecii led to pulmonary infection. ('cause', 'Reg', (22, 27)) ('intestinal infection', 'Disease', 'MESH:D007410', (28, 48)) ('P. jirovecii', 'Species', '42068', (54, 66)) ('pulmonary infection', 'Disease', (74, 93)) ('pulmonary infection', 'Phenotype', 'HP:0006532', (74, 93)) ('intestinal infection', 'Disease', (28, 48)) ('led to', 'Reg', (67, 73)) ('pulmonary infection', 'Disease', 'MESH:D008171', (74, 93)) ('P. jirovecii', 'Var', (54, 66)) 6807 25240293 The 5-year survival rate was around 50% for type B3 thymoma, while it was 90% for types B1, AB and A. ('AB', 'Disease', 'MESH:D049290', (92, 94)) ('thymoma', 'Phenotype', 'HP:0100522', (52, 59)) ('type B3', 'Var', (44, 51)) ('thymoma', 'Disease', 'MESH:D013945', (52, 59)) ('thymoma', 'Disease', (52, 59)) 6861 23074376 A recheck of the thyroid function tests 20 days after the operation revealed TSH 22 mIU/ml, corrected calcium 8.8 mg/dl, and phosphate 2.4 mg/dl. ('corrected calcium', 'MPA', (92, 109)) ('TSH', 'Var', (77, 80)) ('TSH', 'Chemical', '-', (77, 80)) ('calcium', 'Chemical', 'MESH:D002118', (102, 109)) ('phosphate', 'Chemical', 'MESH:D010710', (125, 134)) 6982 26087886 Based on mouse model, we confirmed that miR-15b knockdown could increase IL-15 expression in healthy mice, while miR-15b overexpression could inhibit IL-15 expression in EAMG mice. ('expression', 'Species', '29278', (79, 89)) ('mice', 'Species', '10090', (175, 179)) ('IL-15', 'Gene', (150, 155)) ('inhibit', 'NegReg', (142, 149)) ('overexpression', 'PosReg', (121, 135)) ('expression', 'MPA', (79, 89)) ('EAMG', 'Chemical', '-', (170, 174)) ('expression', 'Species', '29278', (125, 135)) ('mouse', 'Species', '10090', (9, 14)) ('miR-15b', 'Gene', (40, 47)) ('miR-15b', 'Gene', (113, 120)) ('increase', 'PosReg', (64, 72)) ('expression', 'Species', '29278', (156, 166)) ('mice', 'Species', '10090', (101, 105)) ('expression', 'MPA', (156, 166)) ('IL-15', 'Gene', (73, 78)) ('knockdown', 'Var', (48, 57)) 6994 26087886 miR-15b is also an miRNA significantly and consistently downregulated in different clinical phenotypes of MG. ('MG', 'Disease', 'MESH:D000080343', (106, 108)) ('miR-15b', 'Var', (0, 7)) ('downregulated', 'NegReg', (56, 69)) 7015 26087886 Il-15 concentration in human serum and in mouse serum and EDL muscle tissue were measured by using an ELISA kit (USCN Life Science, SEA061Hu and SEA061Mu) according to the manufacturer's instructions. ('Il-15', 'Gene', (0, 5)) ('mouse', 'Species', '10090', (42, 47)) ('Il-15', 'Gene', '3600', (0, 5)) ('SEA061Hu', 'Var', (132, 140)) ('human', 'Species', '9606', (23, 28)) ('SEA061Mu', 'Var', (145, 153)) 7026 26087886 To verify the putative binding site, HEK293T cells or C2C12 cells were co-transfected with either 100nM miR-15b mimics or miR-NC mimics and 200 ng of plasmid. ('HEK293T', 'CellLine', 'CVCL:0063', (37, 44)) ('miR-15b', 'Gene', (104, 111)) ('C2C12 cells', 'CellLine', 'CVCL:0188', (54, 65)) ('mimics', 'Var', (112, 118)) 7031 26087886 In both serum and EDL muscle level, miR-15b was significantly lower in EAMG mice than in healthy controls (Figure 1C, 1D). ('miR-15b', 'Gene', (36, 43)) ('EAMG', 'Chemical', '-', (71, 75)) ('lower', 'NegReg', (62, 67)) ('mice', 'Species', '10090', (76, 80)) ('EAMG', 'Var', (71, 75)) 7032 26087886 For IL-15 expression, the average concentration (mean +-SD) in serum (pg/ml) and muscle (pg/mg tissue protein) of EAMG mice were 431.6+-36.1 and 11.4+-2.4, respectively, which were significantly higher than in healthy mice (264.0+-15.4 and 4.4+-1.3, respectively) (Figure 1E, 1F). ('mice', 'Species', '10090', (119, 123)) ('IL-15', 'Gene', (4, 9)) ('EAMG', 'Chemical', '-', (114, 118)) ('higher', 'PosReg', (195, 201)) ('expression', 'MPA', (10, 20)) ('expression', 'Species', '29278', (10, 20)) ('EAMG', 'Var', (114, 118)) ('mice', 'Species', '10090', (218, 222)) 7034 26087886 To further explore whether miR-15b can module IL-15 expression, primary EDL muscle cells were used for analysis. ('expression', 'Species', '29278', (52, 62)) ('IL-15', 'Gene', (46, 51)) ('miR-15b', 'Var', (27, 34)) ('expression', 'MPA', (52, 62)) 7035 26087886 First, primary EDL muscle cells from EMAG mice and healthy mice were transfected for overexpression and knockdown of miR-15b, respectively. ('mice', 'Species', '10090', (59, 63)) ('miR-15b', 'Gene', (117, 124)) ('mice', 'Species', '10090', (42, 46)) ('expression', 'Species', '29278', (89, 99)) ('knockdown', 'Var', (104, 113)) 7037 26087886 In primary EMAG mouse, EDL muscle cells, miR-15b overexpression led to significantly decreased IL-15 expression at both mRNA (Figure 2C) and protein (Figure 2E) level. ('decreased', 'NegReg', (85, 94)) ('IL-15', 'Gene', (95, 100)) ('expression', 'Species', '29278', (53, 63)) ('expression', 'Species', '29278', (101, 111)) ('mouse', 'Species', '10090', (16, 21)) ('overexpression', 'PosReg', (49, 63)) ('expression', 'MPA', (101, 111)) ('miR-15b', 'Var', (41, 48)) 7038 26087886 In contrast, miR-15b knockdown in primary healthy mouse EDL muscle cells resulted in significantly increased IL-15 expression at mRNA (Figure 2D) and protein level (Figure 2F). ('IL-15', 'Gene', (109, 114)) ('mouse', 'Species', '10090', (50, 55)) ('expression', 'Species', '29278', (115, 125)) ('expression', 'MPA', (115, 125)) ('miR-15b', 'Gene', (13, 20)) ('increased', 'PosReg', (99, 108)) ('knockdown', 'Var', (21, 30)) 7039 26087886 Therefore, these results suggest that miR-15b can modulate IL-15 expression. ('modulate', 'Reg', (50, 58)) ('IL-15', 'Gene', (59, 64)) ('expression', 'Species', '29278', (65, 75)) ('expression', 'MPA', (65, 75)) ('miR-15b', 'Var', (38, 45)) 7042 26087886 Dual luciferase assay showed that miR-15b could significantly abrogate luciferase activity of the reporter with wild-type sequence, but had no inhibitive effect on the vector with mutant sequence in both HEK293T and C2C12 cells (Figure 3D, 3E). ('miR-15b', 'Var', (34, 41)) ('HEK293T', 'CellLine', 'CVCL:0063', (204, 211)) ('luciferase', 'Enzyme', (71, 81)) ('C2C12 cells', 'CellLine', 'CVCL:0188', (216, 227)) ('activity', 'MPA', (82, 90)) ('abrogate', 'NegReg', (62, 70)) 7050 26087886 Based on a mouse model, we confirmed that miR-15b knockdown can increase IL-15 expression in skeletal muscle of healthy mice, while miR-15b overexpression can inhibit IL-15 expression in EAMG mice. ('expression', 'Species', '29278', (79, 89)) ('expression', 'Species', '29278', (144, 154)) ('mice', 'Species', '10090', (120, 124)) ('mice', 'Species', '10090', (192, 196)) ('expression', 'MPA', (79, 89)) ('EAMG', 'Chemical', '-', (187, 191)) ('miR-15b', 'Gene', (132, 139)) ('mouse', 'Species', '10090', (11, 16)) ('knockdown', 'Var', (50, 59)) ('overexpression', 'PosReg', (140, 154)) ('increase', 'PosReg', (64, 72)) ('expression', 'Species', '29278', (173, 183)) ('expression', 'MPA', (173, 183)) ('IL-15', 'Gene', (73, 78)) ('inhibit', 'NegReg', (159, 166)) ('miR-15b', 'Gene', (42, 49)) 7056 26087886 IL-15 neutralization by using IL-15-specific antibodies contributed to reduced severity of psoriasis in a human psoriasis xenograft model. ('human', 'Species', '9606', (106, 111)) ('IL-15', 'Gene', (0, 5)) ('psoriasis', 'Disease', 'MESH:D011565', (112, 121)) ('psoriasis', 'Disease', 'MESH:D011565', (91, 100)) ('severity', 'MPA', (79, 87)) ('IL-15-specific', 'Gene', (30, 44)) ('psoriasis', 'Disease', (112, 121)) ('psoriasis', 'Phenotype', 'HP:0003765', (112, 121)) ('reduced', 'NegReg', (71, 78)) ('psoriasis', 'Disease', (91, 100)) ('psoriasis', 'Phenotype', 'HP:0003765', (91, 100)) ('neutralization', 'Var', (6, 20)) 7057 26087886 In an in vivo model, blocking IL-15 also prevented the induction of allergen-specific T cells and associated allergic inflammation . ('IL-15', 'Gene', (30, 35)) ('blocking', 'Var', (21, 29)) ('prevented', 'NegReg', (41, 50)) ('allergic inflammation', 'Disease', (109, 130)) ('allergen-specific T cells', 'CPA', (68, 93)) ('allergic inflammation', 'Disease', 'MESH:D007249', (109, 130)) 7174 33805310 reported a better, but not statistically significant survival rate in B1-B2 vs. B3 thymomas. ('thymomas', 'Disease', 'MESH:D013945', (83, 91)) ('thymomas', 'Disease', (83, 91)) ('B1-B2', 'Var', (70, 75)) ('thymoma', 'Phenotype', 'HP:0100522', (83, 90)) 7186 33805310 reporting a significantly better survival in surgical resections (also debulking) versus other treatments; R0-R1 thymoma patients showed a better survival rate than R2 patients, which in turn, showed a better survival rate than those treated differently, even if not statistically significant. ('thymoma', 'Disease', 'MESH:D013945', (113, 120)) ('R0-R1', 'Var', (107, 112)) ('thymoma', 'Disease', (113, 120)) ('survival', 'MPA', (146, 154)) ('thymoma', 'Phenotype', 'HP:0100522', (113, 120)) ('patients', 'Species', '9606', (168, 176)) ('better', 'PosReg', (139, 145)) ('patients', 'Species', '9606', (121, 129)) 7299 33569912 13 , 16 , 28 , 29 , 30 , 31 The operative time and intraoperative blood loss in the CRT + surgery group were significantly longer than that in the surgery group, which may be due to the formation of connective tissue around the thymoma by chemoradiotherapy, making it more difficult to separate the tumors. ('thymoma', 'Disease', (235, 242)) ('longer', 'PosReg', (130, 136)) ('tumor', 'Phenotype', 'HP:0002664', (306, 311)) ('tumors', 'Disease', (306, 312)) ('tumors', 'Disease', 'MESH:D009369', (306, 312)) ('thymoma', 'Phenotype', 'HP:0100522', (235, 242)) ('tumors', 'Phenotype', 'HP:0002664', (306, 312)) ('intraoperative blood loss', 'Disease', (58, 83)) ('CRT + surgery', 'Var', (91, 104)) ('intraoperative blood loss', 'Disease', 'MESH:D016063', (58, 83)) ('thymoma', 'Disease', 'MESH:D013945', (235, 242)) 7342 26429871 T cell clonality screening by TCRgamma PCR was positive for a clonal TCRbeta gene rearrangement. ('rearrangement', 'Var', (82, 95)) ('TCRbeta', 'Gene', '6957', (69, 76)) ('TCRbeta', 'Gene', (69, 76)) 7345 26429871 FISH analysis utilizing probes specific for aberrations commonly associated with myelodysplasia (MDS) and for rearrangements of the TCR alpha/delta locus (14q11) were performed. ('MDS', 'Disease', (97, 100)) ('MDS', 'Disease', 'MESH:D009190', (97, 100)) ('MDS', 'Phenotype', 'HP:0002863', (97, 100)) ('myelodysplasia', 'Disease', 'MESH:D009190', (81, 95)) ('rearrangements', 'Var', (110, 124)) ('associated', 'Reg', (65, 75)) ('myelodysplasia', 'Disease', (81, 95)) ('TCR alpha/delta', 'Gene', (132, 147)) ('myelodysplasia', 'Phenotype', 'HP:0002863', (81, 95)) 7381 26429871 It is believed that dysregulated activation signaling and impaired Fas-induced dealth signaling complex (DISC) formation, which renders LGL CD8+ T cells resistant to Fas-mediated apoptosis, enable them to proliferate and contribute to pathogenesis of LGL. ('dysregulated', 'Var', (20, 32)) ('contribute', 'Reg', (221, 231)) ('Fas', 'Chemical', 'MESH:C038178', (166, 169)) ('enable', 'PosReg', (190, 196)) ('activation', 'PosReg', (33, 43)) ('CD8', 'Gene', (140, 143)) ('proliferate', 'CPA', (205, 216)) ('CD8', 'Gene', '925', (140, 143)) ('LGL', 'Disease', (251, 254)) ('impaired', 'NegReg', (58, 66)) ('Fas', 'Chemical', 'MESH:C038178', (67, 70)) 7605 31827799 Concordance between antibodies was lower for PD-L1 staining on immune cells with no significant difference between TB3 and TC except on E1L3N antibody. ('Concordance', 'MPA', (0, 11)) ('E1L3N', 'Var', (136, 141)) ('lower', 'NegReg', (35, 40)) ('TB3', 'Chemical', '-', (115, 118)) ('PD-L1', 'Gene', (45, 50)) 7640 31827799 Sections were deparaffinized, rehydrated and heated for antigen retrieval, 20 min in high buffer (DAKO) (PD-L1 SP142, PD-L1 E1L3N, and PD-L2), and 64 min CC1 (PD1 and CD8). ('PD-L2', 'Gene', (135, 140)) ('PD-L2', 'Gene', '80380', (135, 140)) ('SP142', 'Chemical', '-', (111, 116)) ('CD8', 'Gene', (167, 170)) ('CD8', 'Gene', '925', (167, 170)) ('CC1', 'Gene', '6358', (154, 157)) ('CC1', 'Gene', (154, 157)) ('PD-L1 E1L3N', 'Var', (118, 129)) ('PD-L1 SP142', 'Var', (105, 116)) 7652 31827799 PD-L1 expression was found positive using a 50% threshold in approximatively half of the patients with reproducible results across the antibodies: 51% with 22C3 pharm DX assay, 52% with E1L3N antibody on Dako Autostainer, 51% with SP142 antibody on Dako Autostainer, 53% with SP263 CA on Ventana Benchmark Ultra. ('SP263', 'Chemical', '-', (276, 281)) ('SP142', 'Chemical', '-', (231, 236)) ('SP263 CA', 'Var', (276, 284)) ('patients', 'Species', '9606', (89, 97)) ('E1L3N', 'Var', (186, 191)) ('Dako', 'Chemical', '-', (204, 208)) ('Dako', 'Chemical', '-', (249, 253)) 7671 31827799 As expected, survival was superior in TB3 when compared to TC (p = 0.04, Fig. ('TB3', 'Chemical', '-', (38, 41)) ('superior', 'PosReg', (26, 34)) ('TB3', 'Var', (38, 41)) ('survival', 'CPA', (13, 21)) 7674 31827799 In the subgroup of TB3, PD-L1 expression was significantly associated with a better PFS no matter which antibody was used (Fig. ('expression', 'Var', (30, 40)) ('PFS', 'Disease', (84, 87)) ('PD-L1', 'Gene', (24, 29)) ('TB3', 'Chemical', '-', (19, 22)) 7675 31827799 PFS was almost double in patients with PDL1 expression regardless the antibody used for PD-L1 detection and the cut-off (1% vs. 50%). ('PDL1', 'Gene', (39, 43)) ('PFS', 'MPA', (0, 3)) ('expression', 'Var', (44, 54)) ('patients', 'Species', '9606', (25, 33)) ('PDL1', 'Gene', '29126', (39, 43)) 7682 31827799 PD-L1 high scores were more frequent in TETs than in thymic controls (68.1% versus 17.6%). ('PD-L1', 'Gene', (0, 5)) ('TETs', 'Chemical', 'MESH:C010349', (40, 44)) ('TETs', 'Disease', (40, 44)) ('high scores', 'Var', (6, 17)) 7690 31827799 found no impact of PD-L1 expression on survival but high PD-L1 was associated with advanced Masaoka staging and high-grade histology in surgically treated thymoma ). ('high-grade histology', 'CPA', (112, 132)) ('PD-L1', 'Gene', (57, 62)) ('thymoma', 'Disease', 'MESH:D013945', (155, 162)) ('Masaoka', 'Disease', (92, 99)) ('associated', 'Reg', (67, 77)) ('high', 'Var', (52, 56)) ('thymoma', 'Disease', (155, 162)) ('thymoma', 'Phenotype', 'HP:0100522', (155, 162)) 7691 31827799 In patients with advanced thymic carcinoma, the median PFS was higher in the low PD-L1 group vs the high PD-L1 group (23.5 vs 13.3 months). ('thymic carcinoma', 'Disease', (26, 42)) ('low', 'Var', (77, 80)) ('carcinoma', 'Phenotype', 'HP:0030731', (33, 42)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (26, 42)) ('PFS', 'MPA', (55, 58)) ('patients', 'Species', '9606', (3, 11)) ('higher', 'PosReg', (63, 69)) 7692 31827799 reported that PD-L1 expression was more common in thymomas compared to thymic carcinoma and was associated with longer overall survival (Arbour KC, PLoS One 2017) in line with our findings. ('thymic carcinoma', 'Disease', (71, 87)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (71, 87)) ('thymoma', 'Phenotype', 'HP:0100522', (50, 57)) ('carcinoma', 'Phenotype', 'HP:0030731', (78, 87)) ('expression', 'Var', (20, 30)) ('common', 'Reg', (40, 46)) ('thymomas', 'Disease', 'MESH:D013945', (50, 58)) ('overall survival', 'MPA', (119, 135)) ('PD-L1', 'Gene', (14, 19)) ('thymomas', 'Disease', (50, 58)) ('longer', 'PosReg', (112, 118)) 7807 30572538 This survival benefit of reducing the tumor burden, decompressing the spinal stenosis to alleviate radiculopathy, and facilitating subsequent chemotherapy and radiation therapy. ('radiculopathy', 'Disease', 'MESH:D011843', (99, 112)) ('tumor', 'Disease', (38, 43)) ('spinal stenosis', 'Phenotype', 'HP:0003416', (70, 85)) ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('radiculopathy', 'Disease', (99, 112)) ('decompressing', 'Var', (52, 65)) ('tumor', 'Disease', 'MESH:D009369', (38, 43)) ('spinal stenosis', 'Disease', 'MESH:D013130', (70, 85)) ('spinal stenosis', 'Disease', (70, 85)) 7963 28123839 IHC revealed positivity for B-cell markers CD20 and CD45, findings suggestive, but not diagnostic, of B-cell lymphoma. ('positivity', 'Var', (13, 23)) ('CD20', 'Gene', '54474', (43, 47)) ('CD45', 'Gene', (52, 56)) ('CD20', 'Gene', (43, 47)) ('lymphoma', 'Disease', 'MESH:D008223', (109, 117)) ('lymphoma', 'Phenotype', 'HP:0002665', (109, 117)) ('CD45', 'Gene', '5788', (52, 56)) ('cell lymphoma', 'Phenotype', 'HP:0012191', (104, 117)) ('lymphoma', 'Disease', (109, 117)) ('B-cell lymphoma', 'Phenotype', 'HP:0012191', (102, 117)) 7977 28123839 Patients with the much less common and more aggressive DLBCL variant present with fever, dyspnea, cough, and constitutional symptoms. ('DLBCL', 'Gene', (55, 60)) ('fever', 'Disease', 'MESH:D005334', (82, 87)) ('dyspnea', 'Phenotype', 'HP:0002094', (89, 96)) ('fever', 'Disease', (82, 87)) ('cough', 'Phenotype', 'HP:0012735', (98, 103)) ('variant', 'Var', (61, 68)) ('Patients', 'Species', '9606', (0, 8)) ('dyspnea', 'Disease', (89, 96)) ('fever', 'Phenotype', 'HP:0001945', (82, 87)) ('constitutional symptoms', 'Disease', (109, 132)) ('cough', 'Disease', (98, 103)) ('dyspnea', 'Disease', 'MESH:D004417', (89, 96)) ('constitutional symptoms', 'Phenotype', 'HP:0025142', (109, 132)) 8069 23742015 Eosinophil deficiency can be regarded as having several origins: first, as a spontaneous occurrence in human diseases; second, as a result of genetic manipulations in experimental animals; and third, as an effect of pharmacological agents specifically designed to reduce eosinophil numbers. ('Eosinophil deficiency', 'Disease', 'MESH:D004802', (0, 21)) ('man', 'Species', '9606', (105, 108)) ('man', 'Species', '9606', (150, 153)) ('Eosinophil deficiency', 'Disease', (0, 21)) ('human', 'Species', '9606', (103, 108)) ('manipulations', 'Var', (150, 163)) ('Eosinophil deficiency', 'Phenotype', 'HP:0031891', (0, 21)) ('reduce eosinophil numbers', 'Phenotype', 'HP:0031891', (264, 289)) 8142 23742015 One strain was engineered by deletion of a high-affinity GATA-binding site in the GATA-1 promoter. ('deletion', 'Var', (29, 37)) ('GATA-binding', 'Protein', (57, 69)) ('GATA', 'Chemical', '-', (57, 61)) ('GATA', 'Chemical', '-', (82, 86)) ('GATA-1', 'Gene', '2623', (82, 88)) ('GATA-1', 'Gene', (82, 88)) 8144 23742015 Deletion of the GATA-binding site within the gene's promoter led to selective loss of the eosinophil lineage, and these mice have been used to determine the role of the eosinophil in disease models, including asthma. ('asthma', 'Disease', (209, 215)) ('mice', 'Species', '10090', (120, 124)) ('asthma', 'Phenotype', 'HP:0002099', (209, 215)) ('GATA', 'Chemical', '-', (16, 20)) ('eosinophil lineage', 'CPA', (90, 108)) ('loss', 'NegReg', (78, 82)) ('asthma', 'Disease', 'MESH:D001249', (209, 215)) ('Deletion', 'Var', (0, 8)) 8176 23742015 Furthermore, because anti-IL-5 antibody therapy profoundly reduces the numbers of blood and tissue eosinophils, but does not deplete them completely, treatment with these agents is not entirely comparable to the mouse models and patients described above. ('patients', 'Species', '9606', (229, 237)) ('reduces', 'NegReg', (59, 66)) ('anti-IL-5', 'Var', (21, 30)) ('mouse', 'Species', '10090', (212, 217)) 8248 30961527 In ANCA-associated vasculitis, abnormalities in the number and function of regulatory T cells have been observed, and peripheral immune tolerance abnormality in regulatory T cells is one of the pathogeneses of ANCA-associated vasculitis. ('vasculitis', 'Disease', 'MESH:D014657', (226, 236)) ('vasculitis', 'Disease', (19, 29)) ('vasculitis, abnormalities in the number', 'Disease', 'MESH:D014657', (19, 58)) ('vasculitis', 'Disease', (226, 236)) ('abnormality', 'Var', (146, 157)) ('ANCA', 'Chemical', '-', (210, 214)) ('vasculitis', 'Disease', 'MESH:D014657', (19, 29)) ('vasculitis', 'Phenotype', 'HP:0002633', (19, 29)) ('ANCA', 'Chemical', '-', (3, 7)) ('vasculitis', 'Phenotype', 'HP:0002633', (226, 236)) 8249 30961527 In contrast, thymoma-associated autoimmune diseases may be caused by abnormalities of central immune tolerance due to the induction of autoreactive T-cell clones in abnormal thymic tissue or to the suppression of regulatory T cells. ('abnormalities', 'Var', (69, 82)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (32, 51)) ('thymoma', 'Disease', 'MESH:D013945', (13, 20)) ('thymoma', 'Disease', (13, 20)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (32, 50)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (32, 51)) ('central immune tolerance', 'CPA', (86, 110)) ('thymoma', 'Phenotype', 'HP:0100522', (13, 20)) ('caused by', 'Reg', (59, 68)) ('autoimmune diseases', 'Disease', (32, 51)) 8380 33374432 This considering that a correlation of the rate of lymph node metastases with the WHO classification and TNM staging system has been reported, with a higher incidence of lymphatic spread in B2-B3 thymomas and in TNM stage III tumors. ('B2-B3', 'Var', (190, 195)) ('thymomas', 'Disease', 'MESH:D013945', (196, 204)) ('tumors', 'Phenotype', 'HP:0002664', (226, 232)) ('higher', 'PosReg', (150, 156)) ('metastases', 'Disease', 'MESH:D009362', (62, 72)) ('III tumors', 'Disease', 'MESH:D009369', (222, 232)) ('thymoma', 'Phenotype', 'HP:0100522', (196, 203)) ('III tumors', 'Disease', (222, 232)) ('tumor', 'Phenotype', 'HP:0002664', (226, 231)) ('thymomas', 'Disease', (196, 204)) ('metastases', 'Disease', (62, 72)) ('lymphatic spread', 'CPA', (170, 186)) 8404 32015469 Compared with non-dRT, dRT significantly improved 5-year overall survival (OS, P = 0.003), progression-free survival (PFS, P = 0.008), and freedom from locoregional failure (FFLF, P < 0.001). ('LF', 'Disease', 'MESH:D009364', (176, 178)) ('improved', 'PosReg', (41, 49)) ('freedom', 'CPA', (139, 146)) ('dRT', 'Var', (23, 26)) ('overall survival', 'CPA', (57, 73)) ('locoregional failure', 'Disease', 'MESH:D009364', (152, 172)) ('locoregional failure', 'Disease', (152, 172)) ('progression-free survival', 'CPA', (91, 116)) 8406 32015469 On multivariate analysis, dRT was an independent prognostic factor for OS (hazard ratio [HR]: 2.37, P = 0.024), PFS (HR: 2.40, P = 0.004), and FFLF (HR: 3.83, P = 0.001). ('PFS', 'Disease', (112, 115)) ('dRT', 'Var', (26, 29)) ('LF', 'Disease', 'MESH:D009364', (145, 147)) 8450 32015469 Patients who received dRT had improved OS and PFS compared with patients who did not receive dRT (Fig. ('patients', 'Species', '9606', (64, 72)) ('dRT', 'Var', (22, 25)) ('Patients', 'Species', '9606', (0, 8)) ('PFS', 'CPA', (46, 49)) ('improved', 'PosReg', (30, 38)) 8455 32015469 The 5- and 10-year PFS rates were 37.3% and 37.3%, respectively, among patients who underwent both DS and dRT and 34.8% and 18%, respectively, among patients who did not undergo both DS and dRT (P = 0.149). ('patients', 'Species', '9606', (71, 79)) ('PFS', 'CPA', (19, 22)) ('patients', 'Species', '9606', (149, 157)) ('dRT', 'Var', (106, 109)) 8456 32015469 Table 2 showed that tumor size >7 cm (P = 0.014), B2 or B3 subtype (P = 0.002), absence of dRT (P = 0.008), and unimodal treatment (P = 0.038) were found to be associated with worse OS, and tumor size >7 cm (P = 0.019), B2 or B3 subtype (P = 0.004), and absence of dRT (P = 0.003) were found to be associated with worse PFS on univariate analysis. ('absence', 'Var', (80, 87)) ('tumor', 'Disease', 'MESH:D009369', (190, 195)) ('tumor', 'Phenotype', 'HP:0002664', (190, 195)) ('worse OS', 'Disease', (176, 184)) ('tumor', 'Disease', 'MESH:D009369', (20, 25)) ('tumor', 'Disease', (190, 195)) ('tumor', 'Phenotype', 'HP:0002664', (20, 25)) ('tumor', 'Disease', (20, 25)) 8457 32015469 On multivariate analysis (Table 3), tumor size >7 cm (hazard ratio [HR]: 2.37, 95% confidence interval [CI]: 1.09-5.15, P = 0.029), B2 or B3 subtype (HR: 0.38, 95% CI: 0.19-0.74, P = 0.005), and absence of dRT (HR: 2.12, 95% CI: 1.10-4.06, P = 0.024) were associated with worse OS, while tumor size >7 cm (HR: 2.55, 95% CI: 1.29-5.04, P = 0.007) and absence of dRT (HR: 2.40, 95% CI: 1.33-4.38, P = 0.004) were associated with worse PFS. ('tumor', 'Disease', (288, 293)) ('tumor', 'Disease', 'MESH:D009369', (36, 41)) ('tumor', 'Disease', 'MESH:D009369', (288, 293)) ('absence', 'Var', (350, 357)) ('tumor', 'Phenotype', 'HP:0002664', (36, 41)) ('tumor', 'Phenotype', 'HP:0002664', (288, 293)) ('tumor', 'Disease', (36, 41)) 8464 32015469 The 5- and 10-year FFLF rates were significantly higher in the dRT group (79.6% and 48.5%, respectively) than in the non-dRT group (23.6% and 8.8%, respectively; P < 0.001). ('dRT', 'Var', (63, 66)) ('higher', 'PosReg', (49, 55)) ('LF', 'Disease', 'MESH:D009364', (21, 23)) 8466 32015469 Table 4 showed that tumor size >7 cm (P = 0.011), B2 or B3 subtype (P = 0.002), and absence of dRT (P < 0.001) were found to be associated with worse FFLF, and tumor size >7 cm (P = 0.014) and B2 or B3 subtype (P < 0.001) were found to be associated with worse FFDM on univariate analysis. ('absence', 'Var', (84, 91)) ('LF', 'Disease', 'MESH:D009364', (152, 154)) ('tumor', 'Disease', 'MESH:D009369', (160, 165)) ('dRT', 'Gene', (95, 98)) ('tumor', 'Disease', 'MESH:D009369', (20, 25)) ('tumor', 'Phenotype', 'HP:0002664', (160, 165)) ('tumor', 'Phenotype', 'HP:0002664', (20, 25)) ('tumor', 'Disease', (160, 165)) ('tumor', 'Disease', (20, 25)) 8467 32015469 On multivariate analysis (Table 5), tumor size >7 cm (HR: 5.63, 95% CI: 1.99-15.91, P = 0.001), great-vessel invasion (HR: 2.36, 95% CI: 1.09-5.12, P = 0.029), and absence of dRT (HR: 3.83, 95% CI: 1.76-8.31, P = 0.001) were associated with worse FFLF, and tumor size >7 cm (HR: 4.38, 95% CI: 1.79-15.01, P = 0.002), B2 or B3 subtype (HR: 0.14, 95% CI: 0.05-0.37, P < 0.001), and great-vessel invasion (HR: 4.09, 95% CI: 1.50-11.12, P = 0.006) were associated with worse FFDM. ('tumor', 'Phenotype', 'HP:0002664', (257, 262)) ('tumor', 'Disease', (257, 262)) ('worse', 'Disease', (241, 246)) ('absence', 'Var', (164, 171)) ('tumor', 'Disease', 'MESH:D009369', (36, 41)) ('LF', 'Disease', 'MESH:D009364', (249, 251)) ('great-vessel invasion', 'CPA', (380, 401)) ('tumor', 'Phenotype', 'HP:0002664', (36, 41)) ('tumor', 'Disease', 'MESH:D009369', (257, 262)) ('tumor', 'Disease', (36, 41)) 8496 32015469 In addition to radiotherapy, our study found that tumor size <=7 cm was associated with improved OS, PFS, FFLF, and FFDM, which implies that tumor size may be an important prognostic predictor for incompletely resected or unresectable thymoma. ('tumor', 'Disease', 'MESH:D009369', (141, 146)) ('thymoma', 'Disease', (235, 242)) ('LF', 'Disease', 'MESH:D009364', (108, 110)) ('tumor', 'Phenotype', 'HP:0002664', (141, 146)) ('<=7', 'Var', (61, 64)) ('PFS', 'Disease', (101, 104)) ('tumor', 'Disease', (141, 146)) ('tumor', 'Disease', 'MESH:D009369', (50, 55)) ('thymoma', 'Phenotype', 'HP:0100522', (235, 242)) ('tumor', 'Phenotype', 'HP:0002664', (50, 55)) ('improved', 'PosReg', (88, 96)) ('tumor', 'Disease', (50, 55)) ('thymoma', 'Disease', 'MESH:D013945', (235, 242)) 8509 32015469 Multivariate analysis showed that dRT was an independent predictor of OS, PFS, and FFLF. ('PFS', 'Disease', (74, 77)) ('dRT', 'Var', (34, 37)) ('LF', 'Disease', 'MESH:D009364', (85, 87)) 8513 24260492 Association of the DNMT3B -579G>T Polymorphism with Risk of Thymomas in Patients with Myasthenia Gravis Increasing evidence suggests a contribution of epigenetic processes in promoting cancer and autoimmunity. ('Thymomas', 'Disease', (60, 68)) ('Myasthenia Gravis', 'Disease', 'MESH:D009157', (86, 103)) ('cancer', 'Phenotype', 'HP:0002664', (185, 191)) ('-579G>T', 'Var', (26, 33)) ('DNMT3B', 'Gene', (19, 25)) ('DNMT3B', 'Gene', '1789', (19, 25)) ('Myasthenia Gravis', 'Disease', (86, 103)) ('autoimmunity', 'Phenotype', 'HP:0002960', (196, 208)) ('-579G>T', 'SUBSTITUTION', 'None', (26, 33)) ('cancer', 'Disease', 'MESH:D009369', (185, 191)) ('Myasthenia', 'Phenotype', 'HP:0003473', (86, 96)) ('Association', 'Interaction', (0, 11)) ('cancer', 'Disease', (185, 191)) ('Patients', 'Species', '9606', (72, 80)) ('Thymoma', 'Phenotype', 'HP:0100522', (60, 67)) 8514 24260492 Myasthenia gravis (MG) is an autoimmune disease mediated, in approximately 80% of the patients, by antibodies against the nicotinic acetylcholine receptor (AChR+). ('autoimmune disease', 'Disease', 'MESH:D001327', (29, 47)) ('antibodies', 'Var', (99, 109)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (29, 47)) ('Myasthenia gravis', 'Disease', (0, 17)) ('Myasthenia gravis', 'Disease', 'MESH:D009157', (0, 17)) ('mediated', 'Reg', (48, 56)) ('acetylcholine', 'Chemical', 'MESH:D000109', (132, 145)) ('AChR+', 'Gene', (156, 161)) ('Myasthenia', 'Phenotype', 'HP:0003473', (0, 10)) ('autoimmune disease', 'Disease', (29, 47)) ('patients', 'Species', '9606', (86, 94)) 8516 24260492 In the present study we investigated if a common polymorphism (-579G>T: rs1569686) in the promoter of the DNMT3B gene coding for the DNA methyltransferase 3B, an enzyme that mediates DNA methylation, increases the risk to develop MG or MG-associated thymomas. ('DNA methyltransferase 3B', 'Gene', (133, 157)) ('-579G>T', 'SUBSTITUTION', 'None', (63, 70)) ('thymoma', 'Phenotype', 'HP:0100522', (250, 257)) ('increases', 'PosReg', (200, 209)) ('DNMT3B', 'Gene', (106, 112)) ('DNMT3B', 'Gene', '1789', (106, 112)) ('DNA methyltransferase 3B', 'Gene', '1789', (133, 157)) ('rs1569686', 'Var', (72, 81)) ('thymomas', 'Disease', (250, 258)) ('rs1569686', 'DBSNP_MENTION', 'None', (72, 81)) ('thymomas', 'Disease', 'MESH:D013945', (250, 258)) ('-579G>T', 'Var', (63, 70)) 8523 24260492 Increasing evidence suggests a contribution of epigenetic modifications in complex diseases such as cancer and autoimmune disorders. ('epigenetic modifications', 'Var', (47, 71)) ('cancer', 'Phenotype', 'HP:0002664', (100, 106)) ('autoimmune disorders', 'Disease', (111, 131)) ('contribution', 'Reg', (31, 43)) ('autoimmune disorders', 'Phenotype', 'HP:0002960', (111, 131)) ('cancer', 'Disease', (100, 106)) ('cancer', 'Disease', 'MESH:D009369', (100, 106)) ('autoimmune disorders', 'Disease', 'MESH:D001327', (111, 131)) 8525 24260492 Most of the studies performed so far in autoimmune diseases have focused on DNA methylation impairments in systemic lupus erythematosus and rheumatoid arthritis. ('autoimmune diseases', 'Disease', (40, 59)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (40, 59)) ('systemic lupus erythematosus', 'Disease', (107, 135)) ('arthritis', 'Phenotype', 'HP:0001369', (151, 160)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (40, 58)) ('systemic lupus erythematosus', 'Phenotype', 'HP:0002725', (107, 135)) ('rheumatoid arthritis', 'Phenotype', 'HP:0001370', (140, 160)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (40, 59)) ('systemic lupus erythematosus', 'Disease', 'MESH:D008180', (107, 135)) ('impairments', 'Var', (92, 103)) ('rheumatoid arthritis', 'Disease', (140, 160)) ('rheumatoid arthritis', 'Disease', 'MESH:D001172', (140, 160)) 8531 24260492 The goal of the present study was to investigate if a common polymorphism (-579G>T: rs1569686) in the promoter of the DNMT3B gene coding for the DNA methyltransferase 3B, one of the key de novo enzymes mediating DNA methylation, increases the risk to develop MG or MG-associated thymomas. ('DNMT3B', 'Gene', (118, 124)) ('DNA methyltransferase 3B', 'Gene', '1789', (145, 169)) ('DNMT3B', 'Gene', '1789', (118, 124)) ('-579G>T', 'Var', (75, 82)) ('thymomas', 'Disease', (279, 287)) ('thymomas', 'Disease', 'MESH:D013945', (279, 287)) ('rs1569686', 'DBSNP_MENTION', 'None', (84, 93)) ('increases', 'Reg', (229, 238)) ('-579G>T', 'SUBSTITUTION', 'None', (75, 82)) ('DNA methyltransferase 3B', 'Gene', (145, 169)) ('thymoma', 'Phenotype', 'HP:0100522', (279, 286)) ('rs1569686', 'Var', (84, 93)) 8532 24260492 The selected polymorphism has been suggested to impair DNA methylation of tumor suppressor genes, therefore impairing their expression levels, and for this reason it was investigated as a susceptibility factor for several cancer types. ('polymorphism', 'Var', (13, 25)) ('cancer', 'Disease', 'MESH:D009369', (222, 228)) ('tumor', 'Disease', 'MESH:D009369', (74, 79)) ('impairing', 'NegReg', (108, 117)) ('expression levels', 'MPA', (124, 141)) ('cancer', 'Disease', (222, 228)) ('tumor', 'Phenotype', 'HP:0002664', (74, 79)) ('impair', 'NegReg', (48, 54)) ('tumor', 'Disease', (74, 79)) ('DNA methylation', 'MPA', (55, 70)) ('cancer', 'Phenotype', 'HP:0002664', (222, 228)) 8533 24260492 A meta-analysis of published studies revealed that the mutant allele (T) is associated with increased risk of cancer compared to the wild type one (G). ('cancer', 'Disease', (110, 116)) ('cancer', 'Disease', 'MESH:D009369', (110, 116)) ('mutant', 'Var', (55, 61)) ('cancer', 'Phenotype', 'HP:0002664', (110, 116)) 8534 24260492 Moreover, DNMT3B promoter polymorphisms have been associated with global DNA methylation and are increasingly investigated in other complex diseases than cancer. ('polymorphisms', 'Var', (26, 39)) ('global DNA methylation', 'MPA', (66, 88)) ('cancer', 'Disease', (154, 160)) ('cancer', 'Disease', 'MESH:D009369', (154, 160)) ('DNMT3B', 'Gene', '1789', (10, 16)) ('cancer', 'Phenotype', 'HP:0002664', (154, 160)) ('associated', 'Reg', (50, 60)) ('DNMT3B', 'Gene', (10, 16)) 8535 24260492 Indeed, clinical studies showed association with wide-spread DNA methylation and suicide attempts in psychiatric patients, with increased risk of early-onset schizophrenia, with risk of giving birth to a child with Down syndrome, as well as with increased risk of the autoimmune disease oral lichen planus, and with the progression of joint destruction in rheumatoid arthritis. ('rheumatoid arthritis', 'Disease', (356, 376)) ('rheumatoid arthritis', 'Disease', 'MESH:D001172', (356, 376)) ('autoimmune disease oral lichen planus', 'Disease', 'MESH:D008010', (268, 305)) ('child', 'Species', '9606', (204, 209)) ('risk of giving birth', 'Phenotype', 'HP:0001622', (178, 198)) ('patients', 'Species', '9606', (113, 121)) ('schizophrenia', 'Disease', (158, 171)) ('psychiatric', 'Disease', 'MESH:D001523', (101, 112)) ('psychiatric', 'Disease', (101, 112)) ('suicide attempts', 'Phenotype', 'HP:0100716', (81, 97)) ('rheumatoid arthritis', 'Phenotype', 'HP:0001370', (356, 376)) ('methylation', 'Var', (65, 76)) ('schizophrenia', 'Disease', 'MESH:D012559', (158, 171)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (268, 286)) ('schizophrenia', 'Phenotype', 'HP:0100753', (158, 171)) ('association', 'Interaction', (32, 43)) ('arthritis', 'Phenotype', 'HP:0001369', (367, 376)) ('autoimmune disease oral lichen planus', 'Disease', (268, 305)) 8553 24260492 Allele and genotype frequencies generated by the DNMT3B -579G>T polymorphism in patients and controls are shown in Tables 2 and 3, respectively . ('DNMT3B', 'Gene', (49, 55)) ('-579G>T', 'Var', (56, 63)) ('patients', 'Species', '9606', (80, 88)) ('-579G>T', 'SUBSTITUTION', 'None', (56, 63)) ('DNMT3B', 'Gene', '1789', (49, 55)) 8559 24260492 We also compared allele and genotype frequencies generated by the DNMT3B -579G>T polymorphism in MG patients stratified according to disease age at onset (<=45 years vs. > 45 years), to disease severity (less severe forms: Grade I + IIA vs. more severe forms: Grade IIB + III + IV), or to the presence/absence of associated autoimmune diseases (associated AID vs. no associated AID). ('age', 'Gene', '5973', (141, 144)) ('AID', 'Disease', 'None', (356, 359)) ('AID', 'Disease', (378, 381)) ('AID', 'Disease', (356, 359)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (324, 342)) ('AID', 'Disease', 'None', (378, 381)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (324, 343)) ('AID', 'Phenotype', 'HP:0002960', (356, 359)) ('DNMT3B', 'Gene', '1789', (66, 72)) ('-579G>T', 'SUBSTITUTION', 'None', (73, 80)) ('AID', 'Phenotype', 'HP:0002960', (378, 381)) ('patients', 'Species', '9606', (100, 108)) ('age', 'Gene', (141, 144)) ('autoimmune diseases', 'Disease', (324, 343)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (324, 343)) ('-579G>T', 'Var', (73, 80)) ('DNMT3B', 'Gene', (66, 72)) 8561 24260492 In order to shed some light on the role of epigenetics in both MG and MG-associated diseases, we analyzed the DNMT3B -579G>T polymorphism in a large population of MG patients of Italian descent. ('-579G>T', 'Var', (117, 124)) ('DNMT3B', 'Gene', (110, 116)) ('DNMT3B', 'Gene', '1789', (110, 116)) ('-579G>T', 'SUBSTITUTION', 'None', (117, 124)) ('patients', 'Species', '9606', (166, 174)) 8564 24260492 Present data are in agreement with a literature meta-analysis suggesting an increased risk of cancer associated with the presence of the DNMT3B -579T allele. ('presence', 'Var', (121, 129)) ('cancer', 'Phenotype', 'HP:0002664', (94, 100)) ('DNMT3B', 'Gene', '1789', (137, 143)) ('DNMT3B', 'Gene', (137, 143)) ('cancer', 'Disease', (94, 100)) ('cancer', 'Disease', 'MESH:D009369', (94, 100)) 8570 24260492 Their results were in accordance with Chen and coworkers, who found that tumor suppressor genes and DNA repair genes, including hMLH1, RASSF1A, MGMT, p16/INK4, DAPK, FHIT, RAR2, CDH1, and APC, are frequently hypermethylated in thymic epithelial tumours, all found to be methylated in almost 20 to 40% of the cases. ('INK4', 'Gene', (154, 158)) ('tumor', 'Phenotype', 'HP:0002664', (73, 78)) ('RAR2', 'Gene', (172, 176)) ('RAR2', 'Gene', '142684', (172, 176)) ('MGMT', 'Gene', '4255', (144, 148)) ('hypermethylated', 'Var', (208, 223)) ('FHIT', 'Gene', '2272', (166, 170)) ('APC', 'Disease', 'MESH:D011125', (188, 191)) ('APC', 'Disease', (188, 191)) ('epithelial tumours', 'Disease', (234, 252)) ('DAPK', 'Gene', (160, 164)) ('p16', 'Gene', (150, 153)) ('CDH1', 'Gene', '999', (178, 182)) ('tumor', 'Disease', (73, 78)) ('p16', 'Gene', '1029', (150, 153)) ('epithelial tumours', 'Disease', 'MESH:D002277', (234, 252)) ('DAPK', 'Gene', '1612', (160, 164)) ('MGMT', 'Gene', (144, 148)) ('RASSF1A', 'Gene', '11186', (135, 142)) ('tumours', 'Phenotype', 'HP:0002664', (245, 252)) ('CDH1', 'Gene', (178, 182)) ('tumor', 'Disease', 'MESH:D009369', (73, 78)) ('INK4', 'Gene', '1029', (154, 158)) ('hMLH1', 'Gene', (128, 133)) ('tumour', 'Phenotype', 'HP:0002664', (245, 251)) ('RASSF1A', 'Gene', (135, 142)) ('FHIT', 'Gene', (166, 170)) ('hMLH1', 'Gene', '4292', (128, 133)) 8572 24260492 The functional role of the DNMT3B -579G>T polymorphism is not yet completely elucidated. ('-579G>T', 'Var', (34, 41)) ('DNMT3B', 'Gene', (27, 33)) ('DNMT3B', 'Gene', '1789', (27, 33)) ('-579G>T', 'SUBSTITUTION', 'None', (34, 41)) 8573 24260492 Some authors suggest that it can directly impair promoter activity and gene expression levels, and others observed a linkage disequilibrium between rs1569686 and other DNMT3B promoter polymorphisms, namely -149C>T (rs2424913) and -283T>C (rs6058870), which have been functionally associated with promoter activity and gene expression levels. ('rs6058870', 'DBSNP_MENTION', 'None', (239, 248)) ('gene expression levels', 'MPA', (71, 93)) ('-149C>T', 'SUBSTITUTION', 'None', (206, 213)) ('-283T>C', 'SUBSTITUTION', 'None', (230, 237)) ('rs2424913', 'DBSNP_MENTION', 'None', (215, 224)) ('impair', 'NegReg', (42, 48)) ('rs1569686', 'DBSNP_MENTION', 'None', (148, 157)) ('-283T>C', 'Var', (230, 237)) ('rs6058870', 'Var', (239, 248)) ('DNMT3B', 'Gene', (168, 174)) ('rs2424913', 'Var', (215, 224)) ('DNMT3B', 'Gene', '1789', (168, 174)) ('rs1569686', 'Var', (148, 157)) ('age', 'Gene', (121, 124)) ('promoter activity', 'MPA', (49, 66)) ('-149C>T', 'Var', (206, 213)) ('age', 'Gene', '5973', (121, 124)) 8574 24260492 Taken overall, results from those studies coupled with the evidence of an association of the DNMT3B -579G>T polymorphism with various types of cancer, suggest that this polymorphism might either have a functional role on gene expression levels, or be a tag SNP of functional haplotypes. ('DNMT3B', 'Gene', '1789', (93, 99)) ('cancer', 'Phenotype', 'HP:0002664', (143, 149)) ('DNMT3B', 'Gene', (93, 99)) ('-579G>T', 'SUBSTITUTION', 'None', (100, 107)) ('cancer', 'Disease', (143, 149)) ('cancer', 'Disease', 'MESH:D009369', (143, 149)) ('-579G>T', 'Var', (100, 107)) ('association', 'Interaction', (74, 85)) ('gene expression levels', 'MPA', (221, 243)) 8580 24260492 By contrast, several studies revealed global or gene specific hypomethylation, impaired activities of enzymes such as DNMTs or methyl CpG binding proteins, histone tail modifications, and/or changes in non coding RNAs, in autoimmune diseases such as systemic lupus erythematosus, rheumatoid arthritis, Sjogren's syndrome, psoriasis, multiple sclerosis, and systemic sclerosis, among others, suggesting that further studies are needed to elucidate the possible contribution of epigenetics to the pathogenesis of MG. ('rheumatoid arthritis', 'Phenotype', 'HP:0001370', (280, 300)) ('systemic lupus erythematosus', 'Disease', 'MESH:D008180', (250, 278)) ('systemic sclerosis', 'Disease', 'MESH:D012595', (357, 375)) ('multiple sclerosis', 'Disease', (333, 351)) ("Sjogren's syndrome", 'Disease', 'MESH:D012859', (302, 320)) ("Sjogren's syndrome", 'Disease', (302, 320)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (222, 241)) ('arthritis', 'Phenotype', 'HP:0001369', (291, 300)) ('autoimmune diseases', 'Disease', (222, 241)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (222, 241)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (222, 240)) ('rheumatoid arthritis', 'Disease', (280, 300)) ('multiple sclerosis', 'Disease', 'MESH:D009103', (333, 351)) ('systemic sclerosis', 'Disease', (357, 375)) ('psoriasis', 'Phenotype', 'HP:0003765', (322, 331)) ('systemic lupus erythematosus', 'Disease', (250, 278)) ('rheumatoid arthritis', 'Disease', 'MESH:D001172', (280, 300)) ('changes', 'Var', (191, 198)) ('psoriasis', 'Disease', 'MESH:D011565', (322, 331)) ('psoriasis', 'Disease', (322, 331)) ('systemic lupus erythematosus', 'Phenotype', 'HP:0002725', (250, 278)) 8582 24260492 At best of our knowledge the present is the first investigation of DNMT3B promoter polymorphisms in MG patients. ('polymorphisms', 'Var', (83, 96)) ('DNMT3B', 'Gene', '1789', (67, 73)) ('patients', 'Species', '9606', (103, 111)) ('DNMT3B', 'Gene', (67, 73)) 8583 24260492 Our study suggests that the presence of the DNMT3B -579T allele might represent a risk factor for the development of MG-associated thymomas, particularly in carriers of the homozygous TT genotype, while it probably does not have effect on other MG subtypes. ('presence', 'Var', (28, 36)) ('thymoma', 'Phenotype', 'HP:0100522', (131, 138)) ('risk', 'Reg', (82, 86)) ('DNMT3B', 'Gene', (44, 50)) ('DNMT3B', 'Gene', '1789', (44, 50)) ('thymomas', 'Disease', (131, 139)) ('thymomas', 'Disease', 'MESH:D013945', (131, 139)) 8635 31214197 Approximately 80% of patients with PNP have circulating anti-Dsg3 IgG, and other autoantibodies against desmosomal cadherins (e.g., Dsg1, Dsc1, Dsc2, and Dsc3) have been detected in some patients with PNP (19-42%). ('Dsg1', 'Gene', (132, 136)) ('patients', 'Species', '9606', (187, 195)) ('Dsc3', 'Gene', (154, 158)) ('Dsg1', 'Gene', '1828', (132, 136)) ('PNP', 'Disease', (35, 38)) ('Dsc1', 'Gene', (138, 142)) ('Dsc1', 'Gene', '1823', (138, 142)) ('patients', 'Species', '9606', (21, 29)) ('Dsc2', 'Gene', (144, 148)) ('anti-Dsg3', 'Var', (56, 65)) ('Dsc2', 'Gene', '1824', (144, 148)) ('Dsc3', 'Gene', '1825', (154, 158)) 8662 31214197 A recent study showed that antibodies to A2ML1, which act as a protease inhibitor, decrease the adhesion of cultured normal human keratinocytes by activating plasmin. ('activating', 'Reg', (147, 157)) ('rat', 'Species', '10116', (132, 135)) ('adhesion of cultured normal human keratinocytes', 'CPA', (96, 143)) ('antibodies', 'Var', (27, 37)) ('plasmin', 'Gene', (158, 165)) ('decrease', 'NegReg', (83, 91)) ('human', 'Species', '9606', (124, 129)) ('A2ML1', 'Gene', (41, 46)) ('A2ML1', 'Gene', '144568', (41, 46)) ('plasmin', 'Gene', '5340', (158, 165)) 8671 31214197 Thus, anti-Dsg3 antibody might contribute to the pathogenesis of bronchiolitis obliterans. ('bronchiolitis obliterans', 'Disease', 'MESH:D001989', (65, 89)) ('bronchiolitis obliterans', 'Disease', (65, 89)) ('anti-Dsg3', 'Var', (6, 15)) ('bronchiolitis', 'Phenotype', 'HP:0011950', (65, 78)) ('bronchiolitis obliterans', 'Phenotype', 'HP:0011946', (65, 89)) ('contribute', 'Reg', (31, 41)) 8672 31214197 In a recent study, mice treated with anti-epiplakin antibodies showed loss of cell-cell adhesion in the respiratory epithelium, suggesting that anti-epiplakin antibody may play a pathogenic role in bronchiolitis obliterans, although epiplakin is located within the subcellular area of epithelial cells. ('anti-epiplakin', 'Var', (37, 51)) ('loss', 'NegReg', (70, 74)) ('bronchiolitis obliterans', 'Phenotype', 'HP:0011946', (198, 222)) ('cell-cell adhesion in the respiratory epithelium', 'CPA', (78, 126)) ('rat', 'Species', '10116', (109, 112)) ('bronchiolitis', 'Phenotype', 'HP:0011950', (198, 211)) ('bronchiolitis obliterans', 'Disease', 'MESH:D001989', (198, 222)) ('pathogenic', 'Reg', (179, 189)) ('antibodies', 'Var', (52, 62)) ('play', 'Reg', (172, 176)) ('bronchiolitis obliterans', 'Disease', (198, 222)) ('mice', 'Species', '10090', (19, 23)) 8683 31214197 With regard to CD4+ T cell-mediated immunity, adoptive transfer of Dsg3-specific CD4+ T cells into RAG2-/- mice was found to cause interface dermatitis as a result of cell-mediated immunity, and interferon-gamma from CD4+ T cells was shown as a crucial inducer of this interface dermatitis. ('Dsg3-specific', 'Gene', (67, 80)) ('dermatitis', 'Disease', 'MESH:D003872', (279, 289)) ('dermatitis', 'Disease', (279, 289)) ('dermatitis', 'Disease', 'MESH:D003872', (141, 151)) ('dermatitis', 'Disease', (141, 151)) ('cell-mediated immunity', 'CPA', (167, 189)) ('dermatitis', 'Phenotype', 'HP:0011123', (141, 151)) ('RAG2', 'Gene', (99, 103)) ('dermatitis', 'Phenotype', 'HP:0011123', (279, 289)) ('interferon-gamma', 'Gene', '15978', (195, 211)) ('cause', 'Reg', (125, 130)) ('CD4+ T cells', 'Var', (81, 93)) ('RAG2', 'Gene', '19374', (99, 103)) ('mice', 'Species', '10090', (107, 111)) ('interferon-gamma', 'Gene', (195, 211)) 8707 31214197 Although the role of Tregs in PNP has not been studied, recent studies in FOXP3-/- scurfy mice revealed that the absence of Tregs leads to autoimmune bullous skin diseases mediated by anti-BP230 antibodies. ('bullous skin', 'Phenotype', 'HP:0008066', (150, 162)) ('BP230', 'Gene', '13518', (189, 194)) ('leads to', 'Reg', (130, 138)) ('autoimmune bullous skin diseases', 'Disease', (139, 171)) ('absence', 'Var', (113, 120)) ('absence of Tregs', 'Phenotype', 'HP:0030336', (113, 129)) ('autoimmune bullous skin diseases', 'Phenotype', 'HP:0001019', (139, 171)) ('mice', 'Species', '10090', (90, 94)) ('Tregs', 'Protein', (124, 129)) ('autoimmune bullous skin diseases', 'Disease', 'MESH:D012872', (139, 171)) ('BP230', 'Gene', (189, 194)) 8708 31214197 Similar to the findings of the mouse study, bullous pemphigoid, characterized by anti-BP180 and anti-BP230 autoantibodies, reportedly developed in a pediatric patient with immune dysregulation, polyendocrinopathy, enteropathy, and X-linked (IPEX) syndrome caused by FOXP3 mutation. ('enteropathy', 'Disease', (214, 225)) ('polyendocrinopathy', 'Disease', 'MESH:D016884', (194, 212)) ('developed', 'Reg', (134, 143)) ('bullous pemphigoid', 'Disease', (44, 62)) ('BP230', 'Gene', (101, 106)) ('enteropathy', 'Phenotype', 'HP:0002242', (214, 225)) ('polyendocrinopathy', 'Disease', (194, 212)) ('immune dysregulation', 'Phenotype', 'HP:0002958', (172, 192)) ('mouse', 'Species', '10090', (31, 36)) ('BP230', 'Gene', '13518', (101, 106)) ('caused by', 'Reg', (256, 265)) ('mutation', 'Var', (272, 280)) ('X-linked (IPEX) syndrome', 'Disease', 'MESH:C580192', (231, 255)) ('patient', 'Species', '9606', (159, 166)) ('FOXP3', 'Gene', (266, 271)) ('enteropathy', 'Disease', 'MESH:C538273', (214, 225)) 8716 31214197 Tumor-specific neoantigens result from the mutation of tumors. ('Tumor', 'Phenotype', 'HP:0002664', (0, 5)) ('tumor', 'Phenotype', 'HP:0002664', (55, 60)) ('mutation', 'Var', (43, 51)) ('tumors', 'Phenotype', 'HP:0002664', (55, 61)) ('neoantigens', 'MPA', (15, 26)) ('result from', 'Reg', (27, 38)) ('tumors', 'Disease', 'MESH:D009369', (55, 61)) ('tumors', 'Disease', (55, 61)) 8717 31214197 Neoantigens mimicking self-antigens derived from desmosomal and hemidesmosomal proteins have not been investigated in neoplasms to date, although studies have shown that several proteins including Dsg3, BP180, BP230, and alpha6beta4 integrin are overexpressed in epithelial-origin carcinoma. ('neoplasms', 'Phenotype', 'HP:0002664', (118, 127)) ('BP180', 'Var', (203, 208)) ('BP230', 'Gene', (210, 215)) ('neoplasm', 'Phenotype', 'HP:0002664', (118, 126)) ('alpha6beta4 integrin', 'Protein', (221, 241)) ('carcinoma', 'Disease', 'MESH:D002277', (281, 290)) ('BP230', 'Gene', '13518', (210, 215)) ('carcinoma', 'Phenotype', 'HP:0030731', (281, 290)) ('neoplasms', 'Disease', 'MESH:D009369', (118, 127)) ('neoplasms', 'Disease', (118, 127)) ('overexpressed', 'PosReg', (246, 259)) ('Dsg3', 'Gene', (197, 201)) ('carcinoma', 'Disease', (281, 290)) 8777 26766736 A substantial differentiator was a large microRNA cluster on chr19q13.42 that was significantly overexpressed in all A and AB tumours and whose expression was virtually absent in the other thymomas and normal tissues. ('tumour', 'Phenotype', 'HP:0002664', (126, 132)) ('thymomas', 'Disease', (189, 197)) ('thymomas', 'Disease', 'MESH:D013945', (189, 197)) ('AB tumours', 'Disease', (123, 133)) ('tumours', 'Phenotype', 'HP:0002664', (126, 133)) ('overexpressed', 'PosReg', (96, 109)) ('chr19q13.42', 'Var', (61, 72)) ('AB tumours', 'Disease', 'MESH:D009369', (123, 133)) ('thymoma', 'Phenotype', 'HP:0100522', (189, 196)) 8780 26766736 A large microRNA cluster on chr19q13.42 is a transcriptional hallmark of type A and AB thymomas. ('thymoma', 'Phenotype', 'HP:0100522', (87, 94)) ('chr19q13.42', 'Var', (28, 39)) ('type A', 'Disease', (73, 79)) ('AB thymomas', 'Disease', 'MESH:D013945', (84, 95)) ('AB thymomas', 'Disease', (84, 95)) 8810 26766736 All A and AB samples were classified into the group positive for C19MC cluster, whereas the B1, B2, and B3 samples were present in the C19MC-negative group. ('C19MC', 'Chemical', '-', (65, 70)) ('C19MC', 'Chemical', '-', (135, 140)) ('B1, B2, and B3', 'Gene', '931;3383;680', (92, 106)) ('positive', 'Reg', (52, 60)) ('C19MC cluster', 'Var', (65, 78)) 8812 26766736 Previous work in hepatocellular carcinoma has demonstrated that the C19MC cluster causes activation of the PI3K/AKT pathway by inhibition of the PI3K antagonist PTEN, and also of the cell cycle inhibitor p21. ('hepatocellular carcinoma', 'Disease', (17, 41)) ('C19MC', 'Var', (68, 73)) ('PTEN', 'Gene', '5728', (161, 165)) ('carcinoma', 'Phenotype', 'HP:0030731', (32, 41)) ('AKT', 'Gene', '207', (112, 115)) ('p21', 'Gene', '1026', (204, 207)) ('p21', 'Gene', (204, 207)) ('C19MC', 'Chemical', '-', (68, 73)) ('activation', 'PosReg', (89, 99)) ('inhibition', 'NegReg', (127, 137)) ('PTEN', 'Gene', (161, 165)) ('AKT', 'Gene', (112, 115)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (17, 41)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (17, 41)) 8817 26766736 In congruence with the pathway analysis, we observed significantly higher activated phospho-AKT in the C19MC-positive thymomas as compared with the C19MC-negative tumours (P<0.0001) as well as the expected downregulation of PTEN in the C19MC-positive thymomas as compared with the C19MC-negative tumours (P<0.0001). ('thymomas', 'Disease', 'MESH:D013945', (251, 259)) ('tumour', 'Phenotype', 'HP:0002664', (163, 169)) ('thymomas', 'Disease', (118, 126)) ('downregulation', 'NegReg', (206, 220)) ('tumours', 'Phenotype', 'HP:0002664', (296, 303)) ('tumours', 'Disease', 'MESH:D009369', (296, 303)) ('thymomas', 'Disease', (251, 259)) ('C19MC', 'Chemical', '-', (103, 108)) ('tumour', 'Phenotype', 'HP:0002664', (296, 302)) ('C19MC-positive', 'Var', (236, 250)) ('AKT', 'Gene', (92, 95)) ('PTEN', 'Gene', (224, 228)) ('C19MC', 'Chemical', '-', (148, 153)) ('C19MC', 'Chemical', '-', (236, 241)) ('PTEN', 'Gene', '5728', (224, 228)) ('thymoma', 'Phenotype', 'HP:0100522', (118, 125)) ('tumours', 'Disease', (163, 170)) ('AKT', 'Gene', '207', (92, 95)) ('thymomas', 'Disease', 'MESH:D013945', (118, 126)) ('thymoma', 'Phenotype', 'HP:0100522', (251, 258)) ('C19MC', 'Chemical', '-', (281, 286)) ('tumours', 'Phenotype', 'HP:0002664', (163, 170)) ('higher activated', 'PosReg', (67, 83)) ('tumours', 'Disease', 'MESH:D009369', (163, 170)) ('tumours', 'Disease', (296, 303)) ('C19MC-positive', 'Var', (103, 117)) 8818 26766736 To provide additional support that the C19MC cluster induces activation of the PI3K pathway, we performed an in vitro experiment using the only known existing human Thymoma AB cell line, IU-TAB1. ('C19MC cluster', 'Var', (39, 52)) ('Thymoma AB', 'Disease', (165, 175)) ('Thymoma', 'Phenotype', 'HP:0100522', (165, 172)) ('activation', 'PosReg', (61, 71)) ('human', 'Species', '9606', (159, 164)) ('C19MC', 'Chemical', '-', (39, 44)) ('PI3K pathway', 'Pathway', (79, 91)) ('Thymoma AB', 'Disease', 'MESH:D013945', (165, 175)) 8823 26766736 Upregulation of p-AKT, p-MTOR, p-70 S6K, and p-4E-BP1 was also observed with mir-517a alone. ('Upregulation', 'PosReg', (0, 12)) ('p-4E-BP1', 'Var', (45, 53)) ('mir-517a', 'Gene', '574479', (77, 85)) ('p-70 S6K', 'Gene', '6198', (31, 39)) ('AKT', 'Gene', (18, 21)) ('mir-517a', 'Gene', (77, 85)) ('p-70 S6K', 'Gene', (31, 39)) ('MTOR', 'Gene', (25, 29)) ('AKT', 'Gene', '207', (18, 21)) ('MTOR', 'Gene', '2475', (25, 29)) 8825 26766736 As seen in Figure 5, we observe significant sensitivity of this cell line to these inhibitors, with PF-04691502 and BEZ235 demonstrating the best reduction in cell viability at an IC50 of 118 and 210 nM, respectively. ('BEZ235', 'Chemical', 'MESH:C531198', (116, 122)) ('PF-04691502', 'Var', (100, 111)) ('PF-04691502', 'Chemical', 'MESH:C570662', (100, 111)) ('cell viability', 'CPA', (159, 173)) ('BEZ235', 'Var', (116, 122)) ('reduction', 'NegReg', (146, 155)) 8831 26766736 In a similarly classified set of tumours, ETMRs (embryonal tumours with multilayered rosettes), 12 out of 12 ETMRs demonstrated overexpression of C19MC driven by a fusion of the TTYH1 gene promoter (tweety family member 1) with C19MC, suggesting that a translocation along with amplification drives expression in these rare tumours. ('fusion', 'Var', (164, 170)) ('tumours', 'Phenotype', 'HP:0002664', (59, 66)) ('tumours', 'Disease', 'MESH:D009369', (59, 66)) ('rosettes', 'Phenotype', 'HP:0031925', (85, 93)) ('tumour', 'Phenotype', 'HP:0002664', (59, 65)) ('tumours', 'Disease', (33, 40)) ('tumour', 'Phenotype', 'HP:0002664', (33, 39)) ('TTYH1', 'Gene', (178, 183)) ('tumours', 'Disease', (324, 331)) ('tumours', 'Phenotype', 'HP:0002664', (33, 40)) ('embryonal tumours', 'Disease', 'MESH:D009373', (49, 66)) ('tumours', 'Disease', 'MESH:D009369', (33, 40)) ('C19MC', 'Chemical', '-', (228, 233)) ('C19MC', 'Var', (146, 151)) ('embryonal tumours', 'Disease', (49, 66)) ('tumours', 'Phenotype', 'HP:0002664', (324, 331)) ('tumours', 'Disease', 'MESH:D009369', (324, 331)) ('TTYH1', 'Gene', '57348', (178, 183)) ('overexpression', 'PosReg', (128, 142)) ('C19MC', 'Chemical', '-', (146, 151)) ('tumour', 'Phenotype', 'HP:0002664', (324, 330)) ('tumours', 'Disease', (59, 66)) 8832 26766736 Overexpression of this cluster is similarly seen in thyroid adenomas, parathyroid adenomas, hepatic mesenchymal hamartomas, hepatocellular carcinomas, and in a subset of tamoxifen-resistant breast cancers, mediated by a variety of mechanisms including gene amplification, chromosomal translocations, and hypomethylation. ('parathyroid adenomas', 'Disease', 'MESH:D010282', (70, 90)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (124, 148)) ('thyroid adenomas', 'Phenotype', 'HP:0000854', (74, 90)) ('hepatic mesenchymal hamartomas', 'Disease', 'MESH:D006222', (92, 122)) ('gene amplification', 'Var', (252, 270)) ('hepatic mesenchymal hamartomas', 'Disease', (92, 122)) ('hypomethylation', 'Var', (304, 319)) ('cancers', 'Phenotype', 'HP:0002664', (197, 204)) ('hepatocellular carcinomas', 'Disease', 'MESH:D006528', (124, 149)) ('cancer', 'Phenotype', 'HP:0002664', (197, 203)) ('breast cancers', 'Disease', 'MESH:D001943', (190, 204)) ('tamoxifen', 'Chemical', 'MESH:D013629', (170, 179)) ('parathyroid adenomas', 'Phenotype', 'HP:0002897', (70, 90)) ('breast cancers', 'Disease', (190, 204)) ('hamartomas', 'Phenotype', 'HP:0010566', (112, 122)) ('thyroid adenomas', 'Disease', (52, 68)) ('hepatocellular carcinomas', 'Phenotype', 'HP:0001402', (124, 149)) ('carcinoma', 'Phenotype', 'HP:0030731', (139, 148)) ('carcinomas', 'Phenotype', 'HP:0030731', (139, 149)) ('thyroid adenomas', 'Disease', 'MESH:D013964', (52, 68)) ('breast cancers', 'Phenotype', 'HP:0003002', (190, 204)) ('hepatocellular carcinomas', 'Disease', (124, 149)) ('parathyroid adenomas', 'Disease', (70, 90)) ('thyroid adenomas', 'Disease', 'MESH:D013964', (74, 90)) ('thyroid adenomas', 'Phenotype', 'HP:0000854', (52, 68)) ('chromosomal translocations', 'Var', (272, 298)) 8834 26766736 Of further interest to thymoma, it has been recently hypothesised that C19MC exosomes are potent immunomodulators that may suppress immune function in the tumour microenvironment. ('C19MC', 'Var', (71, 76)) ('thymoma', 'Disease', (23, 30)) ('suppress immune function', 'Phenotype', 'HP:0002721', (123, 147)) ('thymoma', 'Phenotype', 'HP:0100522', (23, 30)) ('tumour', 'Phenotype', 'HP:0002664', (155, 161)) ('tumour', 'Disease', 'MESH:D009369', (155, 161)) ('suppress', 'NegReg', (123, 131)) ('C19MC', 'Chemical', '-', (71, 76)) ('thymoma', 'Disease', 'MESH:D013945', (23, 30)) ('tumour', 'Disease', (155, 161)) 8837 26766736 Although overactivation of this pathway is common in many cancers, the mean of activation varies, but in many cases is achieved via somatic mutations in PIK3CA or PTEN. ('PIK3CA', 'Gene', '5290', (153, 159)) ('cancer', 'Phenotype', 'HP:0002664', (58, 64)) ('PTEN', 'Gene', (163, 167)) ('cancers', 'Phenotype', 'HP:0002664', (58, 65)) ('PTEN', 'Gene', '5728', (163, 167)) ('cancers', 'Disease', 'MESH:D009369', (58, 65)) ('mutations', 'Var', (140, 149)) ('cancers', 'Disease', (58, 65)) ('overactivation', 'PosReg', (9, 23)) ('PIK3CA', 'Gene', (153, 159)) 8840 26766736 Further protein-level data in our validation cohort demonstrated elevated p-AKT and decreased PTEN in our C19MC-positive tumours. ('AKT', 'Gene', '207', (76, 79)) ('tumours', 'Disease', 'MESH:D009369', (121, 128)) ('tumours', 'Disease', (121, 128)) ('PTEN', 'Gene', (94, 98)) ('tumour', 'Phenotype', 'HP:0002664', (121, 127)) ('PTEN', 'Gene', '5728', (94, 98)) ('AKT', 'Gene', (76, 79)) ('C19MC-positive', 'Var', (106, 120)) ('elevated', 'PosReg', (65, 73)) ('tumours', 'Phenotype', 'HP:0002664', (121, 128)) ('C19MC', 'Chemical', '-', (106, 111)) ('decreased', 'NegReg', (84, 93)) 8847 26766736 Because C19MC expression is largely restricted to type A and AB thymomas, measurement of this microRNA cluster as a routine molecular diagnostic in thymoma tissues may be well warranted and potentially superior to histological subtyping by microscopy. ('thymoma', 'Disease', 'MESH:D013945', (64, 71)) ('AB thymomas', 'Disease', (61, 72)) ('thymoma', 'Disease', (64, 71)) ('thymoma', 'Phenotype', 'HP:0100522', (64, 71)) ('C19MC', 'Chemical', '-', (8, 13)) ('thymoma', 'Disease', 'MESH:D013945', (148, 155)) ('thymoma', 'Disease', (148, 155)) ('C19MC', 'Var', (8, 13)) ('AB thymomas', 'Disease', 'MESH:D013945', (61, 72)) ('thymoma', 'Phenotype', 'HP:0100522', (148, 155)) 8849 26766736 Outcomes from our clinical trial, as well as studies of the C19MC cluster with PI3K pathway inhibitors in other cancer types, will help to shed light on the utility of C19MC as a therapeutic biomarker. ('C19MC', 'Chemical', '-', (168, 173)) ('cancer', 'Disease', (112, 118)) ('cancer', 'Disease', 'MESH:D009369', (112, 118)) ('C19MC', 'Var', (168, 173)) ('C19MC', 'Chemical', '-', (60, 65)) ('cancer', 'Phenotype', 'HP:0002664', (112, 118)) 8913 25396312 Several antibodies (Abs) have been described in MG. Pathogenic Abs bind to extracellular determinants of postsynaptic membrane proteins, and cause morphologic and functional alterations that interfere with neuromuscular transmission (NMT). ('Ab', 'Chemical', '-', (20, 22)) ('interfere', 'NegReg', (191, 200)) ('neuromuscular transmission', 'MPA', (206, 232)) ('bind', 'Reg', (67, 71)) ('Ab', 'Chemical', '-', (63, 65)) ('cause', 'Reg', (141, 146)) ('Abs', 'Var', (63, 66)) 8926 25396312 a reduced number of acetylcholine vesicles released by nerve depolarization, generally caused by Abs to the P/Q-type voltage-gated calcium channel (VGCC) on motor nerve membrane. ('acetylcholine', 'Chemical', 'MESH:D000109', (20, 33)) ('nerve', 'Var', (55, 60)) ('calcium', 'Chemical', 'MESH:D002118', (131, 138)) ('depolarization', 'NegReg', (61, 75)) ('VGCC', 'Gene', (148, 152)) ('reduced', 'NegReg', (2, 9)) ('Abs', 'NegReg', (97, 100)) ('Ab', 'Chemical', '-', (97, 99)) ('acetylcholine vesicles released', 'MPA', (20, 51)) 8936 25396312 NMT with or without CNS alterations can occur as a paraneoplastic disease, generally in association with thymoma and with MG as frequent co-morbidity. ('alterations', 'Var', (24, 35)) ('NMT', 'Disease', (0, 3)) ('thymoma', 'Phenotype', 'HP:0100522', (105, 112)) ('paraneoplastic disease', 'Disease', 'MESH:D010257', (51, 73)) ('thymoma', 'Gene', '7063', (105, 112)) ('paraneoplastic disease', 'Disease', (51, 73)) ('CNS', 'Gene', (20, 23)) ('thymoma', 'Gene', (105, 112)) ('occur', 'Reg', (40, 45)) 8957 25396312 While LGI1 Abs are more common in autoimmune non-paraneoplastic encephalitis, patients with thymoma more often have antibodies to Caspr2. ('Caspr2', 'Gene', (130, 136)) ('non-paraneoplastic encephalitis', 'Phenotype', 'HP:0007030', (45, 76)) ('encephalitis', 'Phenotype', 'HP:0002383', (64, 76)) ('antibodies', 'Var', (116, 126)) ('LGI1', 'Gene', '9211', (6, 10)) ('thymoma', 'Phenotype', 'HP:0100522', (92, 99)) ('LGI1', 'Gene', (6, 10)) ('Caspr2', 'Gene', '26047', (130, 136)) ('patients', 'Species', '9606', (78, 86)) ('Ab', 'Chemical', '-', (11, 13)) ('autoimmune non-paraneoplastic encephalitis', 'Disease', (34, 76)) ('autoimmune non-paraneoplastic encephalitis', 'Disease', 'MESH:C535841', (34, 76)) ('thymoma', 'Gene', '7063', (92, 99)) ('common', 'Reg', (24, 30)) ('thymoma', 'Gene', (92, 99)) 8967 25396312 A recent serologic analysis of 27 patients with Morvan's syndrome reported patients with Abs to Caspr2 (n=6), LGI1 (n=3), or both Caspr2 and LGI1 (n=15); thymoma was found in approximately 50% of patients with Caspr2 antibodies but in no patients with only LGI1 antibodies. ('Ab', 'Chemical', '-', (89, 91)) ('LGI1', 'Gene', (257, 261)) ('thymoma', 'Phenotype', 'HP:0100522', (154, 161)) ('patients', 'Species', '9606', (196, 204)) ('antibodies', 'Var', (217, 227)) ('LGI1', 'Gene', '9211', (141, 145)) ('thymoma', 'Gene', '7063', (154, 161)) ('Caspr2', 'Gene', '26047', (96, 102)) ('thymoma', 'Gene', (154, 161)) ('LGI1', 'Gene', '9211', (257, 261)) ("Morvan's syndrome", 'Disease', 'MESH:D013595', (48, 65)) ('Caspr2', 'Gene', (130, 136)) ('patients', 'Species', '9606', (75, 83)) ('LGI1', 'Gene', (110, 114)) ('patients', 'Species', '9606', (34, 42)) ('Caspr2', 'Gene', (210, 216)) ("Morvan's syndrome", 'Disease', (48, 65)) ('patients', 'Species', '9606', (238, 246)) ('Caspr2', 'Gene', '26047', (130, 136)) ('LGI1', 'Gene', '9211', (110, 114)) ('LGI1', 'Gene', (141, 145)) ('Caspr2', 'Gene', (96, 102)) ('Caspr2', 'Gene', '26047', (210, 216)) 8980 25396312 Anti-Hu (anti-ANNA1) is associated with several different PNDs, and most of these have rarely been seen in patients with thymic tumors including sensory neuronopathy, encephalitis/brainstem encephalitis, autonomic neuropathy. ('autonomic neuropathy', 'Disease', 'MESH:D009422', (204, 224)) ('encephalitis', 'Phenotype', 'HP:0002383', (190, 202)) ('thymic tumors', 'Disease', (121, 134)) ('Anti-Hu', 'Var', (0, 7)) ('thymic tumors', 'Disease', 'MESH:D013953', (121, 134)) ('thymic tumor', 'Phenotype', 'HP:0100521', (121, 133)) ('encephalitis/brainstem encephalitis', 'Disease', (167, 202)) ('autonomic neuropathy', 'Disease', (204, 224)) ('encephalitis', 'Phenotype', 'HP:0002383', (167, 179)) ('PNDs', 'Disease', 'None', (58, 62)) ('encephalitis/brainstem encephalitis', 'Disease', 'MESH:D004660', (167, 202)) ('tumor', 'Phenotype', 'HP:0002664', (128, 133)) ('PNDs', 'Disease', (58, 62)) ('neuropathy', 'Phenotype', 'HP:0009830', (214, 224)) ('tumors', 'Phenotype', 'HP:0002664', (128, 134)) ('sensory neuronopathy', 'Disease', 'MESH:D009134', (145, 165)) ('patients', 'Species', '9606', (107, 115)) ('sensory neuronopathy', 'Disease', (145, 165)) 9036 24705787 Aberrant expression of RAGE or RAGE ligands in human patients with malignancies has been reported in e.g. ('human', 'Species', '9606', (47, 52)) ('reported', 'Reg', (89, 97)) ('patients', 'Species', '9606', (53, 61)) ('Aberrant', 'Var', (0, 8)) ('malignancies', 'Disease', (67, 79)) ('malignancies', 'Disease', 'MESH:D009369', (67, 79)) 9105 24705787 The concentration of HMGB1 in serum was significantly increased in patients with TETs (HMGB1 [ng/ml] 2.1+-0.3 vs. 1.1+-0.2; p = 0.008; fig. ('concentration', 'MPA', (4, 17)) ('patients', 'Species', '9606', (67, 75)) ('HMGB1', 'Gene', (21, 26)) ('TETs', 'Var', (81, 85)) ('increased', 'PosReg', (54, 63)) ('TETs', 'Chemical', 'MESH:C010349', (81, 85)) 9132 24705787 The knockout of p53 in HCT116 cells increased the expression of cytosolic HMGB1 and induced autophagy. ('induced', 'Reg', (84, 91)) ('HCT116', 'CellLine', 'CVCL:0291', (23, 29)) ('p53', 'Gene', (16, 19)) ('knockout', 'Var', (4, 12)) ('increased', 'PosReg', (36, 45)) ('autophagy', 'CPA', (92, 101)) ('p53', 'Gene', '7157', (16, 19)) ('HMGB1', 'Gene', (74, 79)) ('expression', 'MPA', (50, 60)) 9137 24705787 In patients with colorectal cancer the coexpression of RAGE and HMGB1 was associated with invasion and metastasis. ('colorectal cancer', 'Phenotype', 'HP:0003003', (17, 34)) ('cancer', 'Phenotype', 'HP:0002664', (28, 34)) ('coexpression', 'Var', (39, 51)) ('HMGB1', 'Gene', (64, 69)) ('colorectal cancer', 'Disease', (17, 34)) ('patients', 'Species', '9606', (3, 11)) ('colorectal cancer', 'Disease', 'MESH:D015179', (17, 34)) ('associated', 'Reg', (74, 84)) 9170 24705787 Evidence that cTEC mediate positive selection stems from experiments in mice whose MHC class II genes were deleted by targeted disruption. ('MHC class II genes', 'Gene', (83, 101)) ('cTEC', 'Chemical', '-', (14, 18)) ('deleted', 'Var', (107, 114)) ('mice', 'Species', '10090', (72, 76)) 9187 24705787 S100+ (CD1a+, CD207+, CD11c+) positive dendritic cells were described in juvenile and immature Hassall's corpuscles of postnatal human thymus. ('CD11c', 'Gene', (22, 27)) ('CD207', 'Gene', (14, 19)) ('CD1a', 'Gene', '909', (7, 11)) ('CD1a', 'Gene', (7, 11)) ('human', 'Species', '9606', (129, 134)) ('S100+', 'Var', (0, 5)) ('CD207', 'Gene', '50489', (14, 19)) ('CD11c', 'Gene', '3687', (22, 27)) 9228 33489209 A 63-year-old gentleman, known to have hypertension was referred to hematology clinic in November 2018, after he was detected to have high hemoglobin (20.3 mg/dL, normal <16.5 mg/dL) with high hematocrit (62.6%, normal 35%-45%), erythrocytes (7.2 x 106/microL, normal 3.8-4.8), leukocytes (14.3 x 103/microL, normal 4-10), and thrombocytes (674 x 103/microL, normal 150-400). ('hypertension', 'Disease', (39, 51)) ('674 x 103/microL', 'Var', (341, 357)) ('hypertension', 'Phenotype', 'HP:0000822', (39, 51)) ('14.3 x 103/microL', 'Var', (290, 307)) ('high hemoglobin', 'Phenotype', 'HP:0001900', (134, 149)) ('high hematocrit', 'Phenotype', 'HP:0001899', (188, 203)) ('hypertension', 'Disease', 'MESH:D006973', (39, 51)) 9277 33489209 Patients with PV positive for JAK2 mutation can develop MG as a paraneoplastic syndrome, in the absence of thymoma. ('thymoma', 'Phenotype', 'HP:0100522', (107, 114)) ('paraneoplastic syndrome', 'Disease', (64, 87)) ('JAK2', 'Gene', '3717', (30, 34)) ('develop', 'PosReg', (48, 55)) ('paraneoplastic syndrome', 'Disease', 'MESH:D010257', (64, 87)) ('Patients', 'Species', '9606', (0, 8)) ('JAK2', 'Gene', (30, 34)) ('MG', 'Disease', 'MESH:D000080343', (56, 58)) ('mutation', 'Var', (35, 43)) ('absence of thymoma', 'Phenotype', 'HP:0005359', (96, 114)) ('thymoma', 'Disease', 'MESH:D013945', (107, 114)) ('thymoma', 'Disease', (107, 114)) 9287 31156543 Antibodies against these channels cause a heterogeneous group of diseases, such as Lambert-Eaton syndrome, Isaacs' syndrome and myasthenia gravis. ('myasthenia gravis', 'Disease', (128, 145)) ("Isaacs' syndrome", 'Disease', (107, 123)) ('Lambert-Eaton syndrome', 'Disease', (83, 105)) ('Antibodies', 'Var', (0, 10)) ('Lambert-Eaton syndrome', 'Disease', 'MESH:D015624', (83, 105)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (128, 145)) ('cause', 'Reg', (34, 39)) ('myasthenia', 'Phenotype', 'HP:0003473', (128, 138)) 9311 31156543 Antibodies of VGKCs in peripheral nervous system cause autoimmune neuromyotonia disorders, such as Isaacs' syndrome, and in central nervous system lead to Morvan syndrome and limbic encephalitis. ('VGKCs', 'Gene', (14, 19)) ('encephalitis', 'Disease', (182, 194)) ('Morvan syndrome', 'Disease', 'OMIM:201300', (155, 170)) ('Antibodies', 'Var', (0, 10)) ('autoimmune neuromyotonia disorders', 'Disease', (55, 89)) ('encephalitis', 'Disease', 'MESH:D004660', (182, 194)) ("Isaacs' syndrome", 'Disease', (99, 115)) ('Morvan syndrome', 'Disease', (155, 170)) ('autoimmune neuromyotonia disorders', 'Disease', 'MESH:D020386', (55, 89)) ('encephalitis', 'Phenotype', 'HP:0002383', (182, 194)) ('myotonia', 'Phenotype', 'HP:0002486', (71, 79)) ('cause', 'Reg', (49, 54)) 9339 31156543 In MG, antibodies against AChRs lead to a decreased safety margin of neuromuscular transmission, so that slight depletion of ACh results in failure of post-synaptic depolarization for many muscle fibers. ('ACh', 'Chemical', 'MESH:D000109', (26, 29)) ('failure of post-synaptic depolarization', 'Phenotype', 'HP:0007688', (140, 179)) ('decreased', 'NegReg', (42, 51)) ('AChRs', 'Gene', (26, 31)) ('depletion', 'MPA', (112, 121)) ('antibodies', 'Var', (7, 17)) ('ACh', 'Chemical', 'MESH:D000109', (125, 128)) ('safety margin', 'MPA', (52, 65)) ('failure', 'NegReg', (140, 147)) 9340 31156543 Similarly, in LEMS, antibodies against VGCC compromise the safety margin which results in radically decrease ACh release at all times. ('compromise', 'NegReg', (44, 54)) ('ACh release', 'MPA', (109, 120)) ('antibodies', 'Var', (20, 30)) ('safety margin', 'MPA', (59, 72)) ('decrease', 'NegReg', (100, 108)) ('VGCC', 'Protein', (39, 43)) ('ACh', 'Chemical', 'MESH:D000109', (109, 112)) 9341 31156543 Antibodies against VGCCs and AChRs usually cause similar symptoms, such as skeletal muscle weakness, to list the main feature, due to insufficient AChs released from presynaptic membrane or reduced functional AChR density on post-synaptic membrane, respectively. ('AChs released from presynaptic membrane', 'MPA', (147, 186)) ('ACh', 'Chemical', 'MESH:D000109', (147, 150)) ('AChRs', 'Gene', (29, 34)) ('cause', 'Reg', (43, 48)) ('VGCCs', 'Gene', (19, 24)) ('Antibodies', 'Var', (0, 10)) ('skeletal muscle weakness', 'Disease', 'MESH:D018908', (75, 99)) ('skeletal muscle weakness', 'Disease', (75, 99)) ('functional AChR density on post-synaptic membrane', 'MPA', (198, 247)) ('reduced', 'NegReg', (190, 197)) ('muscle weakness', 'Phenotype', 'HP:0001324', (84, 99)) ('ACh', 'Chemical', 'MESH:D000109', (29, 32)) ('ACh', 'Chemical', 'MESH:D000109', (209, 212)) ('insufficient', 'NegReg', (134, 146)) 9342 31156543 While antibodies against VGKCs often lead to serial symptoms as a result of redundant AChs released from the nerve terminal, such as muscle stiffness and cramps. ('cramps', 'Disease', (154, 160)) ('serial symptoms', 'Disease', (45, 60)) ('VGKCs', 'Gene', (25, 30)) ('muscle stiffness', 'Disease', (133, 149)) ('cramps', 'Disease', 'MESH:D009120', (154, 160)) ('ACh', 'Chemical', 'MESH:D000109', (86, 89)) ('lead to', 'Reg', (37, 44)) ('antibodies', 'Var', (6, 16)) ('muscle stiffness', 'Disease', 'None', (133, 149)) ('muscle stiffness', 'Phenotype', 'HP:0003552', (133, 149)) ('AChs', 'Protein', (86, 90)) 9343 31156543 LEMS is an autoimmune neuromuscular junction channelopathy caused by antibodies against VGCCs. ('VGCCs', 'Gene', (88, 93)) ('autoimmune neuromuscular junction channelopathy', 'Disease', (11, 58)) ('LEMS', 'Disease', (0, 4)) ('autoimmune neuromuscular junction channelopathy', 'Disease', 'MESH:D053447', (11, 58)) ('antibodies', 'Var', (69, 79)) ('caused by', 'Reg', (59, 68)) 9370 31156543 Traditionally, antibodies against P/Q-type VGCCs are detected in 85-90% of patients with LEMS, in some reports even with up to 100% in LEMS patients with SCLC, which suggests a high specificity of LEMS diagnosis. ('patients', 'Species', '9606', (75, 83)) ('VGCCs', 'Protein', (43, 48)) ('SCLC', 'Disease', (154, 158)) ('LEMS', 'Disease', (89, 93)) ('detected', 'Reg', (53, 61)) ('patients', 'Species', '9606', (140, 148)) ('SCLC', 'Disease', 'MESH:D018288', (154, 158)) ('antibodies', 'Var', (15, 25)) ('SCLC', 'Phenotype', 'HP:0030357', (154, 158)) 9379 31156543 Two studies showed antibody against SOX1 presents in 64-67% of patients with SCLC-LEMS, compared to 0-5% in NT-LEMS patients. ('SCLC-LEMS', 'Disease', 'MESH:D018288', (77, 86)) ('patients', 'Species', '9606', (116, 124)) ('SOX1', 'Gene', '6656', (36, 40)) ('NT-LEMS', 'Chemical', '-', (108, 115)) ('antibody', 'Var', (19, 27)) ('SOX1', 'Gene', (36, 40)) ('patients', 'Species', '9606', (63, 71)) ('SCLC', 'Phenotype', 'HP:0030357', (77, 81)) ('SCLC-LEMS', 'Disease', (77, 86)) 9384 31156543 Intriguingly, antibodies against AChRs can also be detected in a small part of LEMS, while these specific antibodies have no diagnostic value. ('antibodies', 'Var', (14, 24)) ('detected', 'Reg', (51, 59)) ('ACh', 'Chemical', 'MESH:D000109', (33, 36)) ('AChRs', 'Gene', (33, 38)) 9408 31156543 Since LEMS is caused by the antibodies against VGCCs, treatment suppressing the immune system is effective. ('VGCCs', 'Protein', (47, 52)) ('suppressing the immune system', 'Phenotype', 'HP:0002721', (64, 93)) ('antibodies', 'Var', (28, 38)) ('LEMS', 'Disease', (6, 10)) ('caused by', 'Reg', (14, 23)) ('men', 'Species', '9606', (59, 62)) 9442 31156543 LGI1 antibody seems to be more strongly associated with limbic encephalitis than Isaacs' syndrome and less seropositive in Isaacs' syndrome compared with CASPR2 antibody. ('LGI1', 'Gene', '9211', (0, 4)) ('antibody', 'Var', (5, 13)) ('LGI1', 'Gene', (0, 4)) ('CASPR2', 'Gene', (154, 160)) ("encephalitis than Isaacs' syndrome", 'Disease', (63, 97)) ('encephalitis', 'Phenotype', 'HP:0002383', (63, 75)) ("encephalitis than Isaacs' syndrome", 'Disease', 'MESH:D020386', (63, 97)) ('associated with', 'Reg', (40, 55)) ('CASPR2', 'Gene', '26047', (154, 160)) 9487 31156543 The immune response against epitopes expressed on abnormal thymic cells spills over to components at NMJ, mostly like AChR, which causes symptoms of MG. MG is mainly caused by antibodies against AChR or other proteins on the post-synaptic membrane, with a characteristic of impaired signal transduction, muscle weakness, and fatigability. ('caused by', 'Reg', (166, 175)) ('ACh', 'Chemical', 'MESH:D000109', (195, 198)) ('muscle weakness', 'Disease', 'MESH:D018908', (304, 319)) ('signal transduction', 'MPA', (283, 302)) ('ACh', 'Chemical', 'MESH:D000109', (118, 121)) ('muscle weakness', 'Phenotype', 'HP:0001324', (304, 319)) ('fatigability', 'Disease', (325, 337)) ('antibodies', 'Var', (176, 186)) ('muscle weakness', 'Disease', (304, 319)) ('AChR', 'Protein', (195, 199)) 9490 31156543 Antibodies against AChR alpha subunit are more pathogenic than those against other subunits, such as beta, delta, gamma, and epsilon. ('AChR', 'Gene', (19, 23)) ('pathogenic', 'Reg', (47, 57)) ('Antibodies', 'Var', (0, 10)) ('ACh', 'Chemical', 'MESH:D000109', (19, 22)) 9497 31156543 In LRP4 immunized mice, LRP4 antibodies induce muscular weakness through disruption of the interaction between LRP4 and agrin, and thereby inhibit AChR-mediated neuromuscular signal transmission. ('LRP4', 'Gene', (24, 28)) ('antibodies', 'Var', (29, 39)) ('ACh', 'Chemical', 'MESH:D000109', (147, 150)) ('disruption', 'NegReg', (73, 83)) ('inhibit', 'NegReg', (139, 146)) ('AChR-mediated neuromuscular signal transmission', 'MPA', (147, 194)) ('mice', 'Species', '10090', (18, 22)) ('weakness', 'Disease', (56, 64)) ('weakness', 'Disease', 'MESH:D018908', (56, 64)) ('muscular weakness', 'Phenotype', 'HP:0001324', (47, 64)) ('interaction', 'Interaction', (91, 102)) ('LRP4', 'Protein', (111, 115)) ('induce', 'Reg', (40, 46)) ('agrin', 'Protein', (120, 125)) 9515 31156543 By inhibiting AChE through neostigmine, the amount of AChs is significantly increased in the synaptic cleft, and AChs are capable of binding to the AChRs for a longer period, resulting improved neuromuscular transmission. ('AChE', 'Gene', '43', (14, 18)) ('improved', 'PosReg', (185, 193)) ('ACh', 'Chemical', 'MESH:D000109', (14, 17)) ('inhibiting', 'NegReg', (3, 13)) ('ACh', 'Chemical', 'MESH:D000109', (148, 151)) ('AChs', 'Var', (113, 117)) ('neostigmine', 'Protein', (27, 38)) ('AChRs', 'Protein', (148, 153)) ('neostigmine', 'Chemical', 'MESH:D009388', (27, 38)) ('AChE', 'Gene', (14, 18)) ('ACh', 'Chemical', 'MESH:D000109', (113, 116)) ('ACh', 'Chemical', 'MESH:D000109', (54, 57)) ('neuromuscular transmission', 'MPA', (194, 220)) ('binding', 'Interaction', (133, 140)) 9523 31156543 The classic electrophysiologic demonstration of an NMJ transmission defect is the documentation of a decremental response of the CMAP to slow (2-3 Hz) motor repetitive nerve stimulation. ('men', 'Species', '9606', (86, 89)) ('NMJ', 'Gene', (51, 54)) ('decremental response', 'MPA', (101, 121)) ('defect', 'Var', (68, 74)) ('men', 'Species', '9606', (106, 109)) 9578 30276969 Tumors were classified into three categories according to International Classification of Disease (ICD-O-3) codes: TNETs (8150-8157, 8240-8246, and 8249), thymoma (8580-8585), and thymic carcinoma (8070, 8123, 8430, 8082, 8310, 8033, 8260, 8200, 8480, 8140, 8023, 8560, 8576, 8586, 8588, and 8589). ('8560', 'Var', (264, 268)) ('8310', 'Var', (222, 226)) ('Tumors', 'Phenotype', 'HP:0002664', (0, 6)) ('8430', 'Var', (210, 214)) ('TNETs', 'Disease', (115, 120)) ('8586', 'Var', (276, 280)) ('8576', 'Var', (270, 274)) ('8480', 'Var', (246, 250)) ('8240-8246', 'Var', (133, 142)) ('Tumors', 'Disease', (0, 6)) ('8589', 'Var', (292, 296)) ('ICD', 'Disease', (99, 102)) ('thymic carcinoma', 'Disease', (180, 196)) ('thymoma', 'Disease', 'MESH:D013945', (155, 162)) ('ICD', 'Disease', 'OMIM:252500', (99, 102)) ('8082', 'Var', (216, 220)) ('Tumors', 'Disease', 'MESH:D009369', (0, 6)) ('8150-8157', 'Var', (122, 131)) ('8140', 'Var', (252, 256)) ('8580-8585', 'Var', (164, 173)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (180, 196)) ('carcinoma', 'Phenotype', 'HP:0030731', (187, 196)) ('thymoma', 'Phenotype', 'HP:0100522', (155, 162)) ('thymoma', 'Disease', (155, 162)) ('8070', 'Var', (198, 202)) 9616 30276969 The OS rate was higher in the PORT group than that in the control group (yes vs. no, five-year OS 67.6% vs.54.6%; P = 0.036) (Fig 4a,b). ('PORT', 'Var', (30, 34)) ('higher', 'PosReg', (16, 22)) ('OS', 'Chemical', '-', (4, 6)) ('OS', 'Chemical', '-', (95, 97)) 9621 30276969 In subgroup analysis, PORT improved both OS and CSS in patients with M-K stage III-IV and improved OS in patients with M-K stage IIB. ('OS', 'Chemical', '-', (41, 43)) ('CSS', 'Chemical', '-', (48, 51)) ('patients', 'Species', '9606', (105, 113)) ('improved', 'PosReg', (27, 35)) ('M-K', 'Var', (69, 72)) ('improved', 'PosReg', (90, 98)) ('patients', 'Species', '9606', (55, 63)) ('OS', 'Chemical', '-', (99, 101)) ('CSS', 'MPA', (48, 51)) 9692 28072685 Testing for c-kit mutation was performed to exclude thymic carcinoma and to consider a targeted agent; exons 9, 11, 13, and 17 were unidentified. ('carcinoma', 'Disease', (59, 68)) ('mutation', 'Var', (18, 26)) ('carcinoma', 'Disease', 'MESH:D002277', (59, 68)) ('carcinoma', 'Phenotype', 'HP:0030731', (59, 68)) ('c-kit', 'Gene', '3815', (12, 17)) ('c-kit', 'Gene', (12, 17)) 9893 33936037 Therefore, it's necessary to optimize dose to minimize the irAEs induced by PD-1 antibody while maintaining clinical effectiveness. ('minimize', 'NegReg', (46, 54)) ('antibody', 'Var', (81, 89)) ('irAEs', 'Disease', (59, 64)) ('PD-1', 'Gene', (76, 80)) ('PD-1', 'Gene', '5133', (76, 80)) 9907 33174672 It is a rare syndrome that progressively decreases inhibition of the central nervous system due to blockade of glutamic acid decarboxylase (GAD) causing increased muscle activity. ('GAD', 'Gene', '2571', (140, 143)) ('muscle activity', 'MPA', (163, 178)) ('decreases', 'NegReg', (41, 50)) ('increased', 'PosReg', (153, 162)) ('blockade', 'Var', (99, 107)) ('glutamic acid decarboxylase', 'Gene', '2571', (111, 138)) ('increased muscle', 'Phenotype', 'HP:0003712', (153, 169)) ('glutamic acid decarboxylase', 'Gene', (111, 138)) ('GAD', 'Gene', (140, 143)) ('inhibition of the central nervous system', 'MPA', (51, 91)) 9915 33174672 The diagnosis of SPS requires a high index of suspicion as there is no formal diagnostic criteria; however, the following are features generally considered necessary to make the diagnosis: Stiffness in the axial and limb muscles resulting in impairment of ambulation; presence of superimposed episodic spasms that are precipitated by sudden movement, noise, or emotional upset; a positive therapeutic response to oral diazepam or findings of continuous motor-unit activity on electromyography (EMG) that are abolished by intravenous diazepam; and an absence of other neurologic disorders that may explain the clinical features7, 8. ('impairment of ambulation', 'Disease', (242, 266)) ('MG', 'Chemical', 'MESH:D008274', (495, 497)) ('SPS', 'Disease', 'MESH:C535540', (17, 20)) ('diazepam', 'Chemical', 'MESH:D003975', (418, 426)) ('men', 'Species', '9606', (248, 251)) ('SPS', 'Disease', (17, 20)) ('impairment of ambulation', 'Disease', 'MESH:D020233', (242, 266)) ('neurologic disorders', 'Disease', (567, 587)) ('neurologic disorders', 'Disease', 'MESH:D009422', (567, 587)) ('men', 'Species', '9606', (345, 348)) ('neurologic disorders', 'Phenotype', 'HP:0000707', (567, 587)) ('Stiffness', 'Var', (189, 198)) ('diazepam', 'Chemical', 'MESH:D003975', (533, 541)) ('episodic spasms', 'Disease', 'MESH:C580065', (293, 308)) ('emotional upset', 'Phenotype', 'HP:0000712', (361, 376)) ('episodic spasms', 'Disease', (293, 308)) 9996 32701070 Lynch syndrome is most frequently caused by mutations in the mismatch repair genes MLH1, MSH2, MSH6, and PMS2, leading to microsatellite instability. ('PMS2', 'Gene', '5395', (105, 109)) ('MSH6', 'Gene', '2956', (95, 99)) ('MSH2', 'Gene', (89, 93)) ('MLH1', 'Gene', '4292', (83, 87)) ('MSH2', 'Gene', '4436', (89, 93)) ('Lynch syndrome', 'Disease', (0, 14)) ('MLH1', 'Gene', (83, 87)) ('mutations', 'Var', (44, 53)) ('PMS2', 'Gene', (105, 109)) ('MSH6', 'Gene', (95, 99)) ('microsatellite instability', 'MPA', (122, 148)) ('Lynch syndrome', 'Disease', 'MESH:D003123', (0, 14)) ('caused', 'Reg', (34, 40)) 10061 30186552 In more severe forms, weakness of the bulbar muscles can cause dysphasia and dysarthria. ('dysphasia and dysarthria', 'Disease', 'MESH:D004401', (63, 87)) ('cause', 'Reg', (57, 62)) ('dysarthria', 'Phenotype', 'HP:0001260', (77, 87)) ('weakness', 'Var', (22, 30)) ('weakness of the bulbar muscles', 'Phenotype', 'HP:0001283', (22, 52)) ('dysphasia', 'Phenotype', 'HP:0002357', (63, 72)) 10093 25915571 In 8% of patients with thyroid-associated ophtalmopathy, AChR antibodies are found, possibly due to common autoimmune targets in the eye muscle and/or genetic factors. ('patients', 'Species', '9606', (9, 17)) ('ophtalmopathy', 'Disease', (42, 55)) ('ophtalmopathy', 'Disease', 'None', (42, 55)) ('found', 'Reg', (77, 82)) ('antibodies', 'Var', (62, 72)) ('AChR', 'Gene', (57, 61)) 10098 25915571 Furthermore, ATD and DM (both type 1 and 2) occur more frequently in patients with AChR antibodies than in those without such antibodies. ('DM', 'Phenotype', 'HP:0000819', (21, 23)) ('DM', 'Disease', 'MESH:D009223', (21, 23)) ('AChR', 'Gene', (83, 87)) ('ATD', 'Disease', (13, 16)) ('patients', 'Species', '9606', (69, 77)) ('antibodies', 'Var', (88, 98)) 10101 25915571 Nevertheless, both SLE and ATD are more frequent in the LOMG subgroup than in control populations, especially Hashimoto's disease. ('SLE', 'Phenotype', 'HP:0002725', (19, 22)) ('frequent', 'Reg', (40, 48)) ("Hashimoto's disease", 'Disease', 'MESH:D050031', (110, 129)) ("Hashimoto's disease", 'Disease', (110, 129)) ('ATD', 'Disease', (27, 30)) ('SLE', 'Disease', 'MESH:D008180', (19, 22)) ('SLE', 'Disease', (19, 22)) ('LOMG', 'Var', (56, 60)) 10127 25915571 A possible association between anti-Kv1.4 antibodies and cardiac involvement, especially myocarditis, was recently described, the disease characterized by heart failure and arrhythmias together with limb and paraspinal muscle weakness. ('arrhythmias', 'Disease', 'MESH:D001145', (173, 184)) ('arrhythmias', 'Disease', (173, 184)) ('myocarditis', 'Disease', (89, 100)) ('heart failure', 'Disease', 'MESH:D006333', (155, 168)) ('Kv1.4', 'Gene', (36, 41)) ('myocarditis', 'Phenotype', 'HP:0012819', (89, 100)) ('heart failure', 'Phenotype', 'HP:0001635', (155, 168)) ('cardiac involvement', 'Disease', 'MESH:D006331', (57, 76)) ('Kv1.4', 'Gene', '3739', (36, 41)) ('arrhythmias', 'Phenotype', 'HP:0011675', (173, 184)) ('heart failure', 'Disease', (155, 168)) ('paraspinal muscle weakness', 'Disease', (208, 234)) ('antibodies', 'Var', (42, 52)) ('muscle weakness', 'Phenotype', 'HP:0001324', (219, 234)) ('myocarditis', 'Disease', 'MESH:D009205', (89, 100)) ('paraspinal muscle weakness', 'Disease', 'MESH:D018908', (208, 234)) ('cardiac involvement', 'Disease', (57, 76)) 10146 25915571 D-penicillamine can induce both AChR and MuSK antibody-positive MG, a rare phenomenon which is reversible after discontinuation of the treatment. ('induce', 'Reg', (20, 26)) ('D-penicillamine', 'Chemical', 'MESH:D010396', (0, 15)) ('MuSK antibody', 'Phenotype', 'HP:0030210', (41, 54)) ('MuSK', 'Gene', (41, 45)) ('MuSK', 'Gene', '4593', (41, 45)) ('D-penicillamine', 'Var', (0, 15)) ('AChR', 'Gene', (32, 36)) 10148 25915571 LRP4 autoantibodies are reported in up to 50% of MG patients without AChR or MuSK antibodies, and even in a few patients with MuSK-MG. ('LRP4', 'Gene', (0, 4)) ('MuSK', 'Gene', (77, 81)) ('MuSK', 'Gene', '4593', (77, 81)) ('LRP4', 'Gene', '4038', (0, 4)) ('MuSK', 'Gene', '4593', (126, 130)) ('patients', 'Species', '9606', (112, 120)) ('MuSK', 'Gene', (126, 130)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (126, 133)) ('autoantibodies', 'Var', (5, 19)) ('patients', 'Species', '9606', (52, 60)) ('MuSK antibodies', 'Phenotype', 'HP:0030210', (77, 92)) 10151 25915571 However, LRP4 antibodies have been found in Lambert Eaton myasthenic syndrome and neuromyelitis optica. ('neuromyelitis optica', 'Disease', 'MESH:D009471', (82, 102)) ('myasthenic syndrome', 'Phenotype', 'HP:0003473', (58, 77)) ('neuromyelitis optica', 'Disease', (82, 102)) ('Eaton myasthenic syndrome', 'Disease', (52, 77)) ('Eaton myasthenic syndrome', 'Disease', 'MESH:D015624', (52, 77)) ('LRP4', 'Gene', (9, 13)) ('antibodies', 'Var', (14, 24)) ('LRP4', 'Gene', '4038', (9, 13)) ('found', 'Reg', (35, 40)) 10165 25915571 EOMG and other autoimmune disorders are associated with the HLA A1-B8-DR3-DQ2 haplotype. ('autoimmune disorders', 'Disease', 'MESH:D001327', (15, 35)) ('HLA', 'Gene', '3117', (60, 63)) ('autoimmune disorder', 'Phenotype', 'HP:0002960', (15, 34)) ('haplotype', 'Var', (78, 87)) ('HLA', 'Gene', (60, 63)) ('EOMG', 'Disease', (0, 4)) ('autoimmune disorders', 'Phenotype', 'HP:0002960', (15, 35)) ('EOMG', 'Chemical', '-', (0, 4)) ('autoimmune disorders', 'Disease', (15, 35)) ('associated', 'Reg', (40, 50)) 10178 25915571 The protein tyrosine phosphatase non-receptor 22 (PTPN22) R620W gene polymorphism is a general risk factor for autoimmune diseases with an increased production of auto-antibodies and predisposes MG and EOMG in particular for additional autoimmune diseases. ('protein tyrosine phosphatase non-receptor 22', 'Gene', (4, 48)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (111, 130)) ('EOMG', 'Chemical', '-', (202, 206)) ('predisposes', 'Reg', (183, 194)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (236, 255)) ('protein tyrosine phosphatase non-receptor 22', 'Gene', '26191', (4, 48)) ('EOMG', 'Disease', (202, 206)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (111, 130)) ('R620W', 'Var', (58, 63)) ('R620W', 'Mutation', 'rs2476601', (58, 63)) ('risk factor', 'Reg', (95, 106)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (236, 254)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (236, 255)) ('PTPN22', 'Gene', (50, 56)) ('autoimmune diseases', 'Disease', (111, 130)) ('PTPN22', 'Gene', '26191', (50, 56)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (111, 129)) ('autoimmune diseases', 'Disease', (236, 255)) 10180 25915571 The lack of association of PTPN22 R620W polymorphism with MuSK-MG and antibody negative-MG subgroups emphasizes the different genetic background for MG subgroups. ('PTPN22', 'Gene', (27, 33)) ('R620W', 'Var', (34, 39)) ('R620W', 'Mutation', 'rs2476601', (34, 39)) ('PTPN22', 'Gene', '26191', (27, 33)) ('MuSK-MG', 'Disease', (58, 65)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (58, 65)) ('association', 'Interaction', (12, 23)) 10182 25915571 CTLA4 gene polymorphisms are associated with MG and also other autoimmune diseases such as type 1 DM, ATD, SLE, RA and celiac disease. ('SLE', 'Disease', 'MESH:D008180', (107, 110)) ('SLE', 'Disease', (107, 110)) ('CTLA4', 'Gene', (0, 5)) ('DM', 'Disease', 'MESH:D009223', (98, 100)) ('RA', 'Disease', 'MESH:D001172', (112, 114)) ('SLE', 'Phenotype', 'HP:0002725', (107, 110)) ('polymorphisms', 'Var', (11, 24)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (63, 82)) ('autoimmune diseases', 'Disease', (63, 82)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (63, 82)) ('associated', 'Reg', (29, 39)) ('celiac disease', 'Disease', (119, 133)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (63, 81)) ('RA', 'Phenotype', 'HP:0001370', (112, 114)) ('celiac disease', 'Phenotype', 'HP:0002608', (119, 133)) ('DM', 'Phenotype', 'HP:0000819', (98, 100)) ('CTLA4', 'Gene', '1493', (0, 5)) ('ATD', 'Disease', (102, 105)) ('celiac disease', 'Disease', 'MESH:D002446', (119, 133)) 10216 26324168 In the present case, we preferred the anterolateral approach because the incision could be extended to either a posterolateral approach in the case of adhesions to the inferior pulmonary vein, or a hemiclamshell approach in case of adhesions to the superior vena cava. ('inferior pulmonary vein', 'Disease', (168, 191)) ('inferior pulmonary vein', 'Disease', 'MESH:D000071078', (168, 191)) ('superior vena cava', 'Phenotype', 'HP:0031041', (249, 267)) ('adhesions', 'Var', (151, 160)) 10229 22138614 We reviewed 13 studies that evaluated the diagnostic role of thymic epithelial tumors with [18F]FDG-PET. ('FDG', 'Chemical', 'MESH:D019788', (96, 99)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (61, 85)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (68, 84)) ('thymic epithelial tumors', 'Disease', (61, 85)) ('[18F]FDG-PET', 'Var', (91, 103)) ('tumors', 'Phenotype', 'HP:0002664', (79, 85)) ('tumor', 'Phenotype', 'HP:0002664', (79, 84)) 10231 22138614 However, [18F]FDG-PET may not be useful for differentiating low-risk thymoma and high-risk thymoma. ('thymoma', 'Disease', (91, 98)) ('[18F]FDG-PET', 'Var', (9, 21)) ('FDG', 'Chemical', 'MESH:D019788', (14, 17)) ('thymoma', 'Phenotype', 'HP:0100522', (91, 98)) ('thymoma', 'Disease', 'MESH:D013945', (69, 76)) ('thymoma', 'Disease', (69, 76)) ('thymoma', 'Disease', 'MESH:D013945', (91, 98)) ('thymoma', 'Phenotype', 'HP:0100522', (69, 76)) 10232 22138614 One paper reported that [18F]FDG-PET has a predictive significance for treatment and prognosis in thymic epithelial tumors. ('thymic epithelial tumors', 'Disease', (98, 122)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (105, 121)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (98, 122)) ('FDG', 'Chemical', 'MESH:D019788', (29, 32)) ('tumor', 'Phenotype', 'HP:0002664', (116, 121)) ('tumors', 'Phenotype', 'HP:0002664', (116, 122)) ('[18F]FDG-PET', 'Var', (24, 36)) 10241 22138614 The purpose of this study is to systematically review the available literature regarding the diagnostic performance of [18F]FDG-PET in patients with thymic epithelial tumors, which may contribute to the development of guidelines for the usefulness of PET. ('patients', 'Species', '9606', (135, 143)) ('FDG', 'Chemical', 'MESH:D019788', (124, 127)) ('FDG-PET', 'Gene', (124, 131)) ('thymic epithelial tumors', 'Disease', (149, 173)) ('tumor', 'Phenotype', 'HP:0002664', (167, 172)) ('tumors', 'Phenotype', 'HP:0002664', (167, 173)) ('[18F]', 'Var', (119, 124)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (149, 173)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (156, 172)) 10243 22138614 We performed a systematic search of the MEDLINE and PubMed databases to identify all clinical trials regarding the relationship between [18F]FDG-PET and thymic epithelial tumors. ('thymic epithelial tumors', 'Disease', (153, 177)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (160, 176)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (153, 177)) ('FDG', 'Chemical', 'MESH:D019788', (141, 144)) ('tumor', 'Phenotype', 'HP:0002664', (171, 176)) ('[18F]FDG-PET', 'Var', (136, 148)) ('tumors', 'Phenotype', 'HP:0002664', (171, 177)) 10244 22138614 The search strategy included articles published between January 1995 and August 2011 using the following keywords: "PET" or "positron emission tomography"; "positron emission tomography/computer tomography" or "PET/CT"; "[18F]FDG" or "fluorodeoxyglucose"; "thymic epithelial tumor", "thymoma", "thymic carcinoma" or "thymic". ('thymoma', 'Disease', (284, 291)) ('PET/CT"; "[', 'Var', (211, 222)) ('carcinoma', 'Phenotype', 'HP:0030731', (302, 311)) ('tumor', 'Phenotype', 'HP:0002664', (275, 280)) ('thymoma', 'Phenotype', 'HP:0100522', (284, 291)) ('glucose', 'Chemical', 'MESH:D005947', (246, 253)) ('thymic carcinoma', 'Disease', (295, 311)) ('epithelial tumor', 'Disease', (264, 280)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (264, 280)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (295, 311)) ('FDG', 'Chemical', 'MESH:D019788', (226, 229)) ('thymoma', 'Disease', 'MESH:D013945', (284, 291)) ('epithelial tumor', 'Disease', 'MESH:D002277', (264, 280)) 10245 22138614 We selected all published reports that clearly described the diagnostic performance of [18F]FDG-PET in patients with thymic epithelial tumors. ('tumor', 'Phenotype', 'HP:0002664', (135, 140)) ('tumors', 'Phenotype', 'HP:0002664', (135, 141)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (117, 141)) ('thymic epithelial tumors', 'Disease', (117, 141)) ('FDG', 'Chemical', 'MESH:D019788', (92, 95)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (124, 140)) ('patients', 'Species', '9606', (103, 111)) ('FDG-PET', 'Gene', (92, 99)) ('[18F]', 'Var', (87, 92)) 10268 22138614 In monitoring treatment by [18F]FDG-PET, one study documented that [18F]FDG-PET was useful for monitoring response after treatment (chemotherapy or radiation) in inoperable thymic epithelial tumors. ('FDG', 'Chemical', 'MESH:D019788', (72, 75)) ('FDG', 'Chemical', 'MESH:D019788', (32, 35)) ('[18F]FDG-PET', 'Var', (67, 79)) ('tumor', 'Phenotype', 'HP:0002664', (191, 196)) ('thymic epithelial tumors', 'Disease', (173, 197)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (173, 197)) ('tumors', 'Phenotype', 'HP:0002664', (191, 197)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (180, 196)) 10275 22138614 The results of this study indicate that cellular uptake of [18F]FDG is mediated by Glut1 and that the expression of Glut1 protein is regulated by HIF-1alpha. ('Glut1', 'Gene', '6513', (116, 121)) ('mediated', 'Reg', (71, 79)) ('expression', 'MPA', (102, 112)) ('Glut1', 'Gene', '6513', (83, 88)) ('[18F]FDG', 'Var', (59, 67)) ('HIF-1alpha', 'Gene', (146, 156)) ('HIF-1alpha', 'Gene', '3091', (146, 156)) ('Glut1', 'Gene', (116, 121)) ('FDG', 'Chemical', 'MESH:D019788', (64, 67)) ('cellular uptake', 'CPA', (40, 55)) ('Glut1', 'Gene', (83, 88)) 10276 22138614 One of 12 studies examined the diagnostic significance of [11C]methionine (MET)-PET in thymic epithelial tumors and another study examined [11C]acetate (AC)-PET. ('[11C', 'Chemical', 'MESH:C000615233', (140, 144)) ('AC', 'Chemical', 'MESH:C438206', (154, 156)) ('MET', 'Chemical', '-', (75, 78)) ('[11C', 'Chemical', 'MESH:C000615233', (58, 62)) ('tumor', 'Phenotype', 'HP:0002664', (105, 110)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (87, 111)) ('thymic epithelial tumors', 'Disease', (87, 111)) ('[11C]methionine', 'Var', (58, 73)) ('tumors', 'Phenotype', 'HP:0002664', (105, 111)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (94, 110)) 10282 22138614 This is the first review to evaluate the clinical significance of [18F]FDG-PET in patients with thymic epithelial tumors. ('[18F]', 'Var', (66, 71)) ('tumor', 'Phenotype', 'HP:0002664', (114, 119)) ('patients', 'Species', '9606', (82, 90)) ('FDG-PET', 'Gene', (71, 78)) ('thymic epithelial tumors', 'Disease', (96, 120)) ('FDG', 'Chemical', 'MESH:D019788', (71, 74)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (96, 120)) ('tumors', 'Phenotype', 'HP:0002664', (114, 120)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (103, 119)) 10292 22138614 Moreover, the overall survival after treatment tended to be longer in patients with partial metabolic response compared with those with non-partial metabolic response. ('longer', 'PosReg', (60, 66)) ('patients', 'Species', '9606', (70, 78)) ('overall survival', 'MPA', (14, 30)) ('partial metabolic response', 'Var', (84, 110)) 10299 22138614 Biologically, the expression of Glut1 plays a crucial role in the accumulation of [18F]FDG within tumor cells. ('[18F]FDG', 'Var', (82, 90)) ('FDG', 'Chemical', 'MESH:D019788', (87, 90)) ('tumor', 'Disease', 'MESH:D009369', (98, 103)) ('Glut1', 'Gene', (32, 37)) ('tumor', 'Phenotype', 'HP:0002664', (98, 103)) ('tumor', 'Disease', (98, 103)) ('Glut1', 'Gene', '6513', (32, 37)) 10310 22138614 However, [18F]FDG-PET may not be useful for distinguishing these groups, because [18F]FDG accumulation overlaps in low-risk thymoma and high-risk thymoma. ('FDG', 'Chemical', 'MESH:D019788', (86, 89)) ('thymoma', 'Phenotype', 'HP:0100522', (146, 153)) ('[18F]FDG', 'Var', (81, 89)) ('FDG', 'Chemical', 'MESH:D019788', (14, 17)) ('thymoma', 'Phenotype', 'HP:0100522', (124, 131)) ('thymoma', 'Disease', 'MESH:D013945', (146, 153)) ('thymoma', 'Disease', 'MESH:D013945', (124, 131)) ('thymoma', 'Disease', (124, 131)) ('thymoma', 'Disease', (146, 153)) 10311 22138614 [18F]FDG-PET may have an important role in predicting response to treatment and prognosis in thymic epithelial tumors. ('tumor', 'Phenotype', 'HP:0002664', (111, 116)) ('[18F]', 'Var', (0, 5)) ('tumors', 'Phenotype', 'HP:0002664', (111, 117)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (100, 116)) ('FDG', 'Chemical', 'MESH:D019788', (5, 8)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (93, 117)) ('thymic epithelial tumors', 'Disease', (93, 117)) 10317 19861435 All thymic tumors were profiled for mutations in genes encoding components of the EGFR and KIT signaling pathways, assessed for EGFR and KIT expression by immunohistochemistry (IHC), and analyzed by array-based comparative genomic hybridization (aCGH). ('thymic tumors', 'Disease', 'MESH:D013953', (4, 17)) ('EGFR', 'Gene', (82, 86)) ('tumor', 'Phenotype', 'HP:0002664', (11, 16)) ('tumors', 'Phenotype', 'HP:0002664', (11, 17)) ('EGFR', 'Gene', '1956', (128, 132)) ('EGFR', 'Gene', (128, 132)) ('mutations', 'Var', (36, 45)) ('thymic tumors', 'Disease', (4, 17)) ('EGFR', 'Gene', '1956', (82, 86)) ('thymic tumor', 'Phenotype', 'HP:0100521', (4, 16)) 10320 19861435 One thymoma and one thymic carcinoma harbored KRAS mutations (G12A and G12V, respectively), and one thymoma had a G13V HRAS mutation. ('thymic carcinoma harbored KRAS', 'Disease', 'MESH:D013945', (20, 50)) ('thymoma', 'Phenotype', 'HP:0100522', (100, 107)) ('carcinoma', 'Phenotype', 'HP:0030731', (27, 36)) ('thymoma', 'Gene', (4, 11)) ('G12A', 'Mutation', 'rs121913529', (62, 66)) ('G13V', 'Mutation', 'rs104894226', (114, 118)) ('G12V', 'Var', (71, 75)) ('thymoma', 'Gene', (100, 107)) ('thymic carcinoma harbored KRAS', 'Disease', (20, 50)) ('thymoma', 'Gene', '7063', (4, 11)) ('G12V', 'Mutation', 'rs121913529', (71, 75)) ('HRAS', 'Gene', '3265', (119, 123)) ('G12A', 'Var', (62, 66)) ('thymoma', 'Phenotype', 'HP:0100522', (4, 11)) ('HRAS', 'Gene', (119, 123)) ('thymoma', 'Gene', '7063', (100, 107)) 10322 19861435 Two thymic carcinomas harbored somatic KIT mutations (V560del and H697Y). ('thymic carcinomas', 'Disease', 'MESH:D013945', (4, 21)) ('H697Y', 'Mutation', 'rs763308199', (66, 71)) ('H697Y', 'Var', (66, 71)) ('V560del', 'Var', (54, 61)) ('thymic carcinomas', 'Disease', (4, 21)) ('carcinomas', 'Phenotype', 'HP:0030731', (11, 21)) ('carcinoma', 'Phenotype', 'HP:0030731', (11, 20)) ('V560del', 'Mutation', 'p.560delV', (54, 61)) 10323 19861435 In cell viability assays, the V560del mutant was associated with similar sensitivities to imatinib and sunitinib, while the H697Y mutant displayed greater sensitivity to sunitinib. ('V560del', 'Mutation', 'p.560delV', (30, 37)) ('sunitinib', 'Chemical', 'MESH:D000077210', (103, 112)) ('imatinib', 'Chemical', 'MESH:D000068877', (90, 98)) ('H697Y', 'Mutation', 'rs763308199', (124, 129)) ('sunitinib', 'Chemical', 'MESH:D000077210', (170, 179)) ('V560del', 'Var', (30, 37)) ('H697Y', 'Var', (124, 129)) ('sensitivities to imatinib', 'MPA', (73, 98)) 10331 19861435 For example, compared to thymomas, thymic carcinomas display many more chromosomal gains and losses and exclusively harbor somatic mutations in the kinase encoded by KIT. ('thymic carcinomas', 'Disease', (35, 52)) ('carcinomas', 'Phenotype', 'HP:0030731', (42, 52)) ('mutations', 'Var', (131, 140)) ('losses', 'NegReg', (93, 99)) ('chromosomal gains', 'CPA', (71, 88)) ('thymomas', 'Disease', 'MESH:D013945', (25, 33)) ('KIT', 'Gene', (166, 169)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (35, 52)) ('thymoma', 'Phenotype', 'HP:0100522', (25, 32)) ('carcinoma', 'Phenotype', 'HP:0030731', (42, 51)) ('thymomas', 'Disease', (25, 33)) 10333 19861435 Some thymic malignancies harbor mutations in RAS genes, which have been previously associated with resistance to EGFR-directed therapies. ('thymic malignancies', 'Disease', 'MESH:D013953', (5, 24)) ('thymic malignancies', 'Disease', (5, 24)) ('mutations', 'Var', (32, 41)) ('associated', 'Reg', (83, 93)) ('EGFR', 'Gene', '1956', (113, 117)) ('EGFR', 'Gene', (113, 117)) ('RAS genes', 'Gene', (45, 54)) 10362 19861435 All samples were analyzed for a total of 74 Sequenom assays, designed to detect 101 known somatic mutations in genes of the EGFR signaling pathway: EGFR, KRAS, HRAS, NRAS, BRAF, PIK3CA, AKT1, ERBB2, and MEK1 (Supplemental Table 1). ('NRAS', 'Gene', '4893', (166, 170)) ('MEK1', 'Gene', '5604', (203, 207)) ('ERBB2', 'Gene', (192, 197)) ('KRAS', 'Gene', '3845', (154, 158)) ('EGFR', 'Gene', '1956', (124, 128)) ('PIK3CA', 'Gene', (178, 184)) ('EGFR', 'Gene', '1956', (148, 152)) ('AKT1', 'Gene', '207', (186, 190)) ('ERBB2', 'Gene', '2064', (192, 197)) ('men', 'Species', '9606', (215, 218)) ('KRAS', 'Gene', (154, 158)) ('NRAS', 'Gene', (166, 170)) ('HRAS', 'Gene', '3265', (160, 164)) ('HRAS', 'Gene', (160, 164)) ('MEK1', 'Gene', (203, 207)) ('BRAF', 'Gene', '673', (172, 176)) ('AKT1', 'Gene', (186, 190)) ('BRAF', 'Gene', (172, 176)) ('EGFR', 'Gene', (148, 152)) ('EGFR', 'Gene', (124, 128)) ('mutations', 'Var', (98, 107)) ('PIK3CA', 'Gene', '5290', (178, 184)) 10375 19861435 Ba/F3 cells harboring the KITV560del and KITH697Y mutations were generated using the QuikChange II XL site-directed Mutagenesis Kit (Stratagene Agilent Technologies), as previously described (See Supplemental Methods). ('KITV560del', 'Mutation', 'c.560delKITV', (26, 36)) ('men', 'Species', '9606', (202, 205)) ('KITH697Y', 'Var', (41, 49)) ('H697Y', 'Mutation', 'rs763308199', (44, 49)) ('KITV560del', 'Var', (26, 36)) 10393 19861435 High EGFR staining was significantly associated with stage III-IV tumors (p=0.023, Chi-square test). ('tumor', 'Phenotype', 'HP:0002664', (66, 71)) ('High', 'Var', (0, 4)) ('tumors', 'Disease', (66, 72)) ('EGFR', 'Gene', '1956', (5, 9)) ('tumors', 'Disease', 'MESH:D009369', (66, 72)) ('tumors', 'Phenotype', 'HP:0002664', (66, 72)) ('associated', 'Reg', (37, 47)) ('EGFR', 'Gene', (5, 9)) 10394 19861435 We then profiled tumors for the presence of mutations in genes encoding components of the EGFR signaling pathway that are known to be mutated at specific recurrent nucleotide positions in human cancers. ('tumors', 'Phenotype', 'HP:0002664', (17, 23)) ('human', 'Species', '9606', (188, 193)) ('cancers', 'Phenotype', 'HP:0002664', (194, 201)) ('tumors', 'Disease', (17, 23)) ('tumors', 'Disease', 'MESH:D009369', (17, 23)) ('EGFR', 'Gene', '1956', (90, 94)) ('cancers', 'Disease', 'MESH:D009369', (194, 201)) ('cancer', 'Phenotype', 'HP:0002664', (194, 200)) ('cancers', 'Disease', (194, 201)) ('EGFR', 'Gene', (90, 94)) ('mutations', 'Var', (44, 53)) ('tumor', 'Phenotype', 'HP:0002664', (17, 22)) 10395 19861435 Somatic RAS mutations were found in 3 (7%) of 45 tumors (Table 2): a heterozygous G to C substitution at nucleotide position 35 in exon 1 of KRAS, resulting in a alanine for glycine amino acid substitution at position 12 (G12A) in a type B2 thymoma (case 28); a heterozygous G to T substitution at nucleotide position 35 in exon 1 of KRAS, resulting in a valine for glycine amino acid substitution at position 12 (G12V) in a thymic carcinoma (case 41); and a heterozygous G to T mutation at position 38 in exon 1 of HRAS, resulting in a valine for glycine amino acid substitution at position 13 (G13V), in a type A thymoma (case 3) (Figure 1). ('KRAS', 'Gene', (141, 145)) ('valine for glycine amino acid substitution at position 13', 'Mutation', 'rs104894226', (537, 594)) ('tumor', 'Phenotype', 'HP:0002664', (49, 54)) ('G13V', 'Mutation', 'rs104894226', (596, 600)) ('in a', 'Reg', (532, 536)) ('tumors', 'Disease', (49, 55)) ('type B2 thymoma', 'Disease', (233, 248)) ('thymoma', 'Phenotype', 'HP:0100522', (241, 248)) ('thymoma', 'Phenotype', 'HP:0100522', (615, 622)) ('type A thymoma', 'Disease', (608, 622)) ('valine for glycine amino acid substitution at position 12', 'Mutation', 'rs121913529', (355, 412)) ('G12A', 'Mutation', 'rs121913529', (222, 226)) ('KRAS', 'Gene', '3845', (334, 338)) ('tumors', 'Disease', 'MESH:D009369', (49, 55)) ('substitution', 'Var', (282, 294)) ('KRAS', 'Gene', (334, 338)) ('G to T mutation', 'Var', (472, 487)) ('alanine for glycine amino acid substitution at position 12', 'Mutation', 'rs121913529', (162, 220)) ('G12V', 'Mutation', 'rs121913529', (414, 418)) ('thymic carcinoma', 'Disease', (425, 441)) ('KRAS', 'Gene', '3845', (141, 145)) ('mutations', 'Var', (12, 21)) ('HRAS', 'Gene', '3265', (516, 520)) ('type A thymoma', 'Disease', 'MESH:D013945', (608, 622)) ('tumors', 'Phenotype', 'HP:0002664', (49, 55)) ('G to T mutation at position 38', 'Mutation', 'rs104894226', (472, 502)) ('substitution', 'Var', (89, 101)) ('G to T substitution at nucleotide position 35', 'Mutation', 'rs121913529', (275, 320)) ('HRAS', 'Gene', (516, 520)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (425, 441)) ('G to C substitution at nucleotide position 35', 'Mutation', 'rs121913529', (82, 127)) ('type B2 thymoma', 'Disease', 'MESH:D013945', (233, 248)) ('carcinoma', 'Phenotype', 'HP:0030731', (432, 441)) 10399 19861435 Moreover, KIT staining by IHC has been reported to be frequent in thymic carcinoma. ('thymic carcinoma', 'Disease', 'MESH:D013945', (66, 82)) ('frequent', 'Reg', (54, 62)) ('KIT staining', 'Var', (10, 22)) ('thymic carcinoma', 'Disease', (66, 82)) ('carcinoma', 'Phenotype', 'HP:0030731', (73, 82)) 10401 19861435 Direct sequencing of exons that encode the KIT kinase and transmembrane domains revealed that 2 (4%) of the 45 tumors, both thymic carcinomas, harbored KIT mutations (Table 2). ('carcinoma', 'Phenotype', 'HP:0030731', (131, 140)) ('carcinomas', 'Phenotype', 'HP:0030731', (131, 141)) ('harbored', 'Reg', (143, 151)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (124, 141)) ('mutations', 'Var', (156, 165)) ('tumor', 'Phenotype', 'HP:0002664', (111, 116)) ('KIT', 'Gene', (152, 155)) ('tumors', 'Disease', (111, 117)) ('tumors', 'Disease', 'MESH:D009369', (111, 117)) ('tumors', 'Phenotype', 'HP:0002664', (111, 117)) ('thymic carcinomas', 'Disease', (124, 141)) 10402 19861435 One tumor, CD5-positive, contained a heterozygous deletion of nucleotides 1678 to 1680 in exon 11 of KIT, resulting in a deletion of valine at position 560 (V560del) (Figure 1). ('tumor', 'Disease', (4, 9)) ('CD5', 'Gene', '921', (11, 14)) ('V560del', 'Mutation', 'p.560delV', (157, 164)) ('KIT', 'Gene', (101, 104)) ('valine', 'MPA', (133, 139)) ('tumor', 'Disease', 'MESH:D009369', (4, 9)) ('valine', 'Chemical', 'MESH:D014633', (133, 139)) ('tumor', 'Phenotype', 'HP:0002664', (4, 9)) ('deletion', 'Var', (121, 129)) ('CD5', 'Gene', (11, 14)) 10403 19861435 The other mutation, found in a CD5-negative tumor, was a heterozygous C to T mutation at position 2089 in exon 14 of KIT, resulting in a tyrosine for histidine amino acid substitution at position 697 (H697Y) (Figure 1). ('tyrosine for histidine amino acid substitution at position 697', 'Mutation', 'rs763308199', (137, 199)) ('CD5', 'Gene', (31, 34)) ('KIT', 'Gene', (117, 120)) ('CD5', 'Gene', '921', (31, 34)) ('tumor', 'Disease', 'MESH:D009369', (44, 49)) ('tyrosine', 'Var', (137, 145)) ('C to T mutation at position 2089', 'Mutation', 'rs763308199', (70, 102)) ('tumor', 'Phenotype', 'HP:0002664', (44, 49)) ('H697Y', 'Mutation', 'rs763308199', (201, 206)) ('in a', 'Reg', (132, 136)) ('tumor', 'Disease', (44, 49)) 10404 19861435 KIT V560G, KIT del557-558) have been found in GISTs sensitive to imatinib, and this exact mutation was previously observed in a case of thymic carcinoma responding to imatinib. ('imatinib', 'Chemical', 'MESH:D000068877', (65, 73)) ('KIT del557-558', 'Var', (11, 25)) ('V560G', 'Var', (4, 9)) ('thymic carcinoma', 'Disease', (136, 152)) ('sensitive to imatinib', 'MPA', (52, 73)) ('V560G', 'Mutation', 'rs121913521', (4, 9)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (136, 152)) ('carcinoma', 'Phenotype', 'HP:0030731', (143, 152)) ('imatinib', 'Chemical', 'MESH:D000068877', (167, 175)) ('KIT', 'Gene', (0, 3)) 10405 19861435 The KIT H697Y has not been previously reported in any cancer (COSMIC). ('cancer', 'Disease', 'MESH:D009369', (54, 60)) ('cancer', 'Disease', (54, 60)) ('H697Y', 'Mutation', 'rs763308199', (8, 13)) ('H697Y', 'Var', (8, 13)) ('cancer', 'Phenotype', 'HP:0002664', (54, 60)) 10407 19861435 To confirm that the V560del mutation is associated with imatinib sensitivity, and to study the H697Y mutation, we generated stable Ba/F3 transfectants expressing the mutant alleles. ('V560del', 'Var', (20, 27)) ('imatinib', 'Chemical', 'MESH:D000068877', (56, 64)) ('V560del', 'Mutation', 'p.560delV', (20, 27)) ('imatinib sensitivity', 'MPA', (56, 76)) ('H697Y', 'Mutation', 'rs763308199', (95, 100)) ('associated', 'Reg', (40, 50)) 10409 19861435 Ba/F3-KITV560del and Ba/F3-KITH697Y cells grew in the absence of IL-3, demonstrating that these mutations confer gain-of-function (data not shown). ('H697Y', 'Mutation', 'rs763308199', (30, 35)) ('KITV560del', 'Mutation', 'c.560delKITV', (6, 16)) ('gain-of-function', 'PosReg', (113, 129)) ('mutations', 'Var', (96, 105)) 10412 19861435 Although the latter GI50 was still below 1000nM for imatinib, a cut-off reported for resistance to this drug in GISTs, these data suggest that sunitinib may be a more effective KIT inhibitor than imatinib in KIT-mutant thymic carcinomas. ('carcinomas', 'Phenotype', 'HP:0030731', (226, 236)) ('sunitinib', 'Chemical', 'MESH:D000077210', (143, 152)) ('imatinib', 'Chemical', 'MESH:D000068877', (52, 60)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (219, 236)) ('KIT-mutant', 'Var', (208, 218)) ('carcinoma', 'Phenotype', 'HP:0030731', (226, 235)) ('imatinib', 'Chemical', 'MESH:D000068877', (196, 204)) ('thymic carcinomas', 'Disease', (219, 236)) 10434 19861435 Copy number data analysis revealed that compared to squamous lung cancers, chromosomal aberrations were more frequent and occurred in different and larger loci in thymic carcinomas (Supplemental Figure 3). ('lung cancer', 'Phenotype', 'HP:0100526', (61, 72)) ('carcinoma', 'Phenotype', 'HP:0030731', (170, 179)) ('thymic carcinomas', 'Disease', (163, 180)) ('squamous lung cancers', 'Disease', (52, 73)) ('cancer', 'Phenotype', 'HP:0002664', (66, 72)) ('squamous lung cancers', 'Disease', 'MESH:D008175', (52, 73)) ('lung cancers', 'Phenotype', 'HP:0100526', (61, 73)) ('cancers', 'Phenotype', 'HP:0002664', (66, 73)) ('carcinomas', 'Phenotype', 'HP:0030731', (170, 180)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (163, 180)) ('occurred', 'Reg', (122, 130)) ('men', 'Species', '9606', (188, 191)) ('chromosomal aberrations', 'Var', (75, 98)) ('chromosomal aberrations', 'Phenotype', 'HP:0040012', (75, 98)) 10439 19861435 First, mutational analysis of genes encoding components of the EGFR signaling pathway led to the identification of RAS mutations in 3 (7%) out of 45 thymic epithelial tumors. ('EGFR', 'Gene', '1956', (63, 67)) ('epithelial tumors', 'Disease', 'MESH:D002277', (156, 173)) ('EGFR', 'Gene', (63, 67)) ('RAS', 'Gene', (115, 118)) ('tumor', 'Phenotype', 'HP:0002664', (167, 172)) ('mutations', 'Var', (119, 128)) ('tumors', 'Phenotype', 'HP:0002664', (167, 173)) ('epithelial tumors', 'Disease', (156, 173)) ('mutational', 'Var', (7, 17)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (156, 172)) 10441 19861435 In our study, 2 RAS mutant tumors were thymomas (type A and B2) which are low-grade, and the other tumor was a thymic carcinoma, which is high-grade. ('thymic carcinoma', 'Disease', (111, 127)) ('tumor', 'Disease', (99, 104)) ('tumor', 'Phenotype', 'HP:0002664', (27, 32)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (111, 127)) ('tumor', 'Disease', (27, 32)) ('thymomas', 'Disease', 'MESH:D013945', (39, 47)) ('thymoma', 'Phenotype', 'HP:0100522', (39, 46)) ('tumors', 'Disease', (27, 33)) ('tumors', 'Disease', 'MESH:D009369', (27, 33)) ('tumors', 'Phenotype', 'HP:0002664', (27, 33)) ('carcinoma', 'Phenotype', 'HP:0030731', (118, 127)) ('tumor', 'Disease', 'MESH:D009369', (99, 104)) ('RAS', 'Gene', (16, 19)) ('tumor', 'Phenotype', 'HP:0002664', (99, 104)) ('thymomas', 'Disease', (39, 47)) ('tumor', 'Disease', 'MESH:D009369', (27, 32)) ('mutant', 'Var', (20, 26)) 10442 19861435 KRAS mutations predict for primary resistance to anti-EGFR directed therapies (i.e. ('KRAS', 'Gene', (0, 4)) ('mutations', 'Var', (5, 14)) ('predict', 'Reg', (15, 22)) ('EGFR', 'Gene', '1956', (54, 58)) ('EGFR', 'Gene', (54, 58)) ('KRAS', 'Gene', '3845', (0, 4)) 10444 19861435 HRAS mutations occur much more rarely in epithelial cancers. ('HRAS', 'Gene', (0, 4)) ('cancer', 'Phenotype', 'HP:0002664', (52, 58)) ('epithelial cancers', 'Disease', 'MESH:D000077216', (41, 59)) ('mutations', 'Var', (5, 14)) ('epithelial cancers', 'Disease', (41, 59)) ('HRAS', 'Gene', '3265', (0, 4)) ('cancers', 'Phenotype', 'HP:0002664', (52, 59)) 10445 19861435 Cells expressing activated or mutant HRAS (T24 cell line) have also been reported to be resistant to gefitinib. ('HRAS', 'Gene', '3265', (37, 41)) ('resistant', 'MPA', (88, 97)) ('gefitinib', 'Chemical', 'MESH:D000077156', (101, 110)) ('mutant', 'Var', (30, 36)) ('HRAS', 'Gene', (37, 41)) 10451 19861435 As both RAS mutant tumors were strongly positive for EGFR staining, the data also suggest that IHC staining for EGFR is not useful as an eligibility marker for anti-EGFR therapies. ('EGFR', 'Gene', (112, 116)) ('tumors', 'Disease', (19, 25)) ('EGFR', 'Gene', (165, 169)) ('tumors', 'Disease', 'MESH:D009369', (19, 25)) ('tumor', 'Phenotype', 'HP:0002664', (19, 24)) ('mutant', 'Var', (12, 18)) ('EGFR', 'Gene', '1956', (53, 57)) ('EGFR', 'Gene', '1956', (112, 116)) ('EGFR', 'Gene', (53, 57)) ('tumors', 'Phenotype', 'HP:0002664', (19, 25)) ('positive', 'Reg', (40, 48)) ('EGFR', 'Gene', '1956', (165, 169)) 10452 19861435 The second finding is the presence of KIT mutations in 2 of 45 thymic tumors. ('thymic tumors', 'Disease', 'MESH:D013953', (63, 76)) ('presence', 'Reg', (26, 34)) ('tumor', 'Phenotype', 'HP:0002664', (70, 75)) ('KIT', 'Gene', (38, 41)) ('tumors', 'Phenotype', 'HP:0002664', (70, 76)) ('mutations', 'Var', (42, 51)) ('thymic tumor', 'Phenotype', 'HP:0100521', (63, 75)) ('thymic tumors', 'Disease', (63, 76)) 10453 19861435 One was a V560 deletion in exon 11, and the other was a novel H697Y mutation in exon 14. ('H697Y', 'Mutation', 'rs763308199', (62, 67)) ('H697Y', 'Var', (62, 67)) ('V560 deletion', 'Var', (10, 23)) 10454 19861435 In contrast to RAS mutations, KIT mutations were found exclusively in thymic carcinomas. ('thymic carcinomas', 'Disease', (70, 87)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (70, 87)) ('carcinoma', 'Phenotype', 'HP:0030731', (77, 86)) ('KIT', 'Gene', (30, 33)) ('carcinomas', 'Phenotype', 'HP:0030731', (77, 87)) ('mutations', 'Var', (34, 43)) ('found', 'Reg', (49, 54)) 10455 19861435 Previously, out of 106 thymic tumors collectively tested, only 3 cases of KIT mutation have been reported in the literature; all these mutations also occurred in thymic carcinomas. ('tumors', 'Phenotype', 'HP:0002664', (30, 36)) ('carcinoma', 'Phenotype', 'HP:0030731', (169, 178)) ('carcinomas', 'Phenotype', 'HP:0030731', (169, 179)) ('mutations', 'Var', (135, 144)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (162, 179)) ('thymic tumor', 'Phenotype', 'HP:0100521', (23, 35)) ('thymic tumors', 'Disease', (23, 36)) ('thymic tumors', 'Disease', 'MESH:D013953', (23, 36)) ('tumor', 'Phenotype', 'HP:0002664', (30, 35)) ('occurred', 'Reg', (150, 158)) ('thymic carcinomas', 'Disease', (162, 179)) 10456 19861435 This mutation is associated with sensitivity to KIT inhibitors, based upon multiple lines of evidence: 1) we showed in vitro that the growth of mutant-bearing Ba/F3 cells is readily inhibited by treatment with imatinib and sunitinib; 2) the patient whose tumor harbored this mutation responded to treatment with imatinib, and 3) this mutation has also been found in an imatinib-sensitive GIST. ('sunitinib', 'Chemical', 'MESH:D000077210', (223, 232)) ('tumor', 'Disease', (255, 260)) ('men', 'Species', '9606', (302, 305)) ('tumor', 'Phenotype', 'HP:0002664', (255, 260)) ('mutant-bearing', 'Var', (144, 158)) ('patient', 'Species', '9606', (241, 248)) ('mutation', 'Var', (275, 283)) ('men', 'Species', '9606', (200, 203)) ('imatinib', 'Chemical', 'MESH:D000068877', (369, 377)) ('inhibited', 'NegReg', (182, 191)) ('imatinib', 'Chemical', 'MESH:D000068877', (312, 320)) ('tumor', 'Disease', 'MESH:D009369', (255, 260)) ('imatinib', 'Chemical', 'MESH:D000068877', (210, 218)) 10457 19861435 Another KIT-mutant case of thymic carcinoma reported in the literature harbored an L576P mutation in exon 11. ('L576P', 'Mutation', 'rs121913513', (83, 88)) ('L576P', 'Var', (83, 88)) ('thymic carcinoma', 'Disease', (27, 43)) ('carcinoma', 'Phenotype', 'HP:0030731', (34, 43)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (27, 43)) 10459 19861435 The third mutation reported is a D820E mutation in exon 17, exhibited by a thymic carcinoma responding to sorafenib. ('D820E', 'Var', (33, 38)) ('D820E', 'Mutation', 'rs1057519711', (33, 38)) ('thymic carcinoma', 'Disease', (75, 91)) ('carcinoma', 'Phenotype', 'HP:0030731', (82, 91)) ('sorafenib', 'Chemical', 'MESH:D000077157', (106, 115)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (75, 91)) 10460 19861435 The D820Y KIT mutation is known to be associated with imatinib resistance and sorafenib sensitivity in GIST. ('D820Y', 'Mutation', 'rs1057519710', (4, 9)) ('associated', 'Reg', (38, 48)) ('imatinib resistance', 'MPA', (54, 73)) ('imatinib', 'Chemical', 'MESH:D000068877', (54, 62)) ('sorafenib', 'Chemical', 'MESH:D000077157', (78, 87)) ('D820Y KIT', 'Var', (4, 13)) ('sensitivity', 'MPA', (88, 99)) 10461 19861435 Finally, we show here that the KIT H697Y mutation, identified in exon 14 (which was not sequenced in previous studies) is associated in vitro with greater sensitivity to sunitinib vs. imatinib. ('greater', 'PosReg', (147, 154)) ('KIT', 'Gene', (31, 34)) ('H697Y', 'Mutation', 'rs763308199', (35, 40)) ('H697Y', 'Var', (35, 40)) ('sunitinib', 'Chemical', 'MESH:D000077210', (170, 179)) ('imatinib', 'Chemical', 'MESH:D000068877', (184, 192)) ('sensitivity to sunitinib', 'MPA', (155, 179)) 10463 19861435 The rarity of KIT mutations in unselected thymic tumors and the greater sensitivity of the H697Y mutant to sunitinib could explain the absence of responses observed in 2 recent phase II trials with imatinib, where patients were selected either by histologic type (B3 thymomas and thymic carcinomas), or using KIT staining by IHC. ('thymic tumor', 'Phenotype', 'HP:0100521', (42, 54)) ('thymic tumors', 'Disease', 'MESH:D013953', (42, 55)) ('patients', 'Species', '9606', (214, 222)) ('tumor', 'Phenotype', 'HP:0002664', (49, 54)) ('sunitinib', 'Chemical', 'MESH:D000077210', (107, 116)) ('tumors', 'Phenotype', 'HP:0002664', (49, 55)) ('imatinib', 'Chemical', 'MESH:D000068877', (198, 206)) ('thymoma', 'Phenotype', 'HP:0100522', (267, 274)) ('carcinoma', 'Phenotype', 'HP:0030731', (287, 296)) ('carcinomas', 'Phenotype', 'HP:0030731', (287, 297)) ('H697Y', 'Mutation', 'rs763308199', (91, 96)) ('H697Y', 'Var', (91, 96)) ('thymic tumors', 'Disease', (42, 55)) ('thymomas and thymic carcinomas', 'Disease', 'MESH:D013945', (267, 297)) ('mutations', 'Var', (18, 27)) 10485 19861435 We were also able to identify additional differential alterations present in thymic tumors (chromosome 12 gains, and chromosome 2p, 6, 7, 14 losses). ('tumor', 'Phenotype', 'HP:0002664', (84, 89)) ('chromosome', 'Var', (92, 102)) ('thymic tumors', 'Disease', (77, 90)) ('tumors', 'Phenotype', 'HP:0002664', (84, 90)) ('thymic tumor', 'Phenotype', 'HP:0100521', (77, 89)) ('gains', 'PosReg', (106, 111)) ('thymic tumors', 'Disease', 'MESH:D013953', (77, 90)) ('losses', 'NegReg', (141, 147)) 10486 19861435 Consistent with these findings, we did not identify mutations in TP53 in thymic carcinomas, although such mutations are frequent (55%) in lung squamous cell carcinomas. ('mutations', 'Var', (52, 61)) ('carcinoma', 'Phenotype', 'HP:0030731', (80, 89)) ('carcinomas', 'Phenotype', 'HP:0030731', (157, 167)) ('lung squamous cell carcinomas', 'Disease', (138, 167)) ('TP53', 'Gene', '7157', (65, 69)) ('TP53', 'Gene', (65, 69)) ('carcinomas', 'Phenotype', 'HP:0030731', (80, 90)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (73, 90)) ('squamous cell carcinomas', 'Phenotype', 'HP:0002860', (143, 167)) ('lung squamous cell carcinomas', 'Disease', 'MESH:D002294', (138, 167)) ('carcinoma', 'Phenotype', 'HP:0030731', (157, 166)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (143, 166)) ('thymic carcinomas', 'Disease', (73, 90)) 10655 23725376 Loss of heterozygosity (LOH) on chromosome 6 is the most frequent genetic abnormality in thymoma. ('thymoma', 'Disease', 'MESH:D013945', (89, 96)) ('Loss of heterozygosity', 'Var', (0, 22)) ('thymoma', 'Disease', (89, 96)) ('thymoma', 'Phenotype', 'HP:0100522', (89, 96)) ('genetic abnormality', 'Disease', 'MESH:D030342', (66, 85)) ('genetic abnormality', 'Disease', (66, 85)) 10658 23725376 There are five hotspots of frequent deletions indicating that several putative tumor suppressor genes on chromosome 6 are involved in the development of thymic epithelial tumor. ('epithelial tumor', 'Phenotype', 'HP:0031492', (160, 176)) ('deletions', 'Var', (36, 45)) ('tumor', 'Disease', (79, 84)) ('involved', 'Reg', (122, 130)) ('tumor', 'Phenotype', 'HP:0002664', (171, 176)) ('tumor', 'Disease', 'MESH:D009369', (171, 176)) ('thymic epithelial tumor', 'Disease', 'MESH:C536905', (153, 176)) ('tumor', 'Disease', 'MESH:D009369', (79, 84)) ('tumor', 'Disease', (171, 176)) ('thymic epithelial tumor', 'Disease', (153, 176)) ('tumor', 'Phenotype', 'HP:0002664', (79, 84)) 10661 23725376 This primary adenocarcinoma of the thymus with intestinal differentiation shows homozygous deletion of part of the HLA- locus in chromosomal region 6p21.32 confirmed by CGH array. ('adenocarcinoma of the thymus', 'Disease', (13, 41)) ('carcinoma', 'Phenotype', 'HP:0030731', (18, 27)) ('deletion', 'Var', (91, 99)) ('HLA- locus', 'Gene', (115, 125)) ('adenocarcinoma of the thymus', 'Phenotype', 'HP:0100521', (13, 41)) ('primary adenocarcinoma', 'Disease', 'MESH:D000230', (5, 27)) ('primary adenocarcinoma', 'Disease', (5, 27)) ('adenocarcinoma of the thymus', 'Disease', 'MESH:D000230', (13, 41)) 10744 23493352 It may provide additional support for a diagnosis by identifying tumor-specific genetic signatures, help in prognostication and even in determining the best therapeutic options. ('tumor', 'Disease', (65, 70)) ('help', 'Reg', (100, 104)) ('tumor', 'Disease', 'MESH:D009369', (65, 70)) ('genetic', 'Var', (80, 87)) ('tumor', 'Phenotype', 'HP:0002664', (65, 70)) 10765 20966748 Immunodeficiency secondary to anti-cytokine autoantibodies Anti-cytokine autoantibodies are an important and emerging mechanism of disease pathogenesis. ('Immunodeficiency', 'Phenotype', 'HP:0002721', (0, 16)) ('Immunodeficiency', 'Disease', (0, 16)) ('Immunodeficiency', 'Disease', 'MESH:D007153', (0, 16)) ('anti-cytokine autoantibodies', 'Var', (30, 58)) 10766 20966748 We will review the clinical and laboratory features of syndromes in which immunodeficiency is caused by or associated with neutralizing anti-cytokine autoantibodies. ('caused by', 'Reg', (94, 103)) ('neutralizing', 'Var', (123, 135)) ('immunodeficiency', 'Phenotype', 'HP:0002721', (74, 90)) ('immunodeficiency', 'Disease', (74, 90)) ('immunodeficiency', 'Disease', 'MESH:D007153', (74, 90)) 10782 20966748 Other defects impacting the same metabolic pathway have similar susceptibilities, including STAT1, IL-12p40, IL-12Rb1, and NEMO. ('metabolic pathway', 'Pathway', (33, 50)) ('NEMO', 'Gene', (123, 127)) ('p40', 'Gene', (104, 107)) ('NEMO', 'Gene', '8517', (123, 127)) ('impacting', 'Reg', (14, 23)) ('IL-12Rb1', 'Gene', (109, 117)) ('p40', 'Gene', '3578', (104, 107)) ('STAT1', 'Gene', (92, 97)) ('STAT1', 'Gene', '6772', (92, 97)) ('defects', 'Var', (6, 13)) ('IL-12Rb1', 'Gene', '3594', (109, 117)) 10783 20966748 The first cases of immunodeficiency caused by autoantibodies to IFN-gamma were described in 2004. ('immunodeficiency', 'Phenotype', 'HP:0002721', (19, 35)) ('immunodeficiency', 'Disease', (19, 35)) ('caused', 'Reg', (36, 42)) ('autoantibodies', 'Var', (46, 60)) ('immunodeficiency', 'Disease', 'MESH:D007153', (19, 35)) ('IFN-gamma', 'Gene', '3458', (64, 73)) ('IFN-gamma', 'Gene', (64, 73)) 10792 20966748 There are 3 distinct forms of PAP, each demonstrating abnormalities of surfactant metabolism that result in accumulation of acellular periodic acid-Schiff (PAS) positive proteinaceous material in pulmonary alveoli and development of large foamy, monocyte-like alveolar macrophages (reviewed by Trapnell et al.). ('pulmonary alveoli', 'Disease', 'MESH:D008171', (196, 213)) ('acellular', 'MPA', (124, 133)) ('PAS', 'Chemical', '-', (156, 159)) ('accumulation', 'PosReg', (108, 120)) ('development', 'CPA', (218, 229)) ('abnormalities', 'Var', (54, 67)) ('pulmonary alveoli', 'Disease', (196, 213)) ('periodic acid-Schiff', 'Chemical', '-', (134, 154)) ('PAP', 'Disease', (30, 33)) 10793 20966748 Primary PAP, the most severe form, results from mutations in the GM-CSF receptor and generally leads to respiratory failure and death shortly after birth. ('death', 'Disease', (128, 133)) ('Primary PAP', 'Disease', (0, 11)) ('respiratory failure', 'Disease', (104, 123)) ('GM-CSF receptor', 'Gene', (65, 80)) ('respiratory failure', 'Disease', 'MESH:D012131', (104, 123)) ('results from', 'Reg', (35, 47)) ('respiratory failure', 'Phenotype', 'HP:0002878', (104, 123)) ('death', 'Disease', 'MESH:D003643', (128, 133)) ('leads to', 'Reg', (95, 103)) ('mutations', 'Var', (48, 57)) 10795 20966748 Anti-GM-CSF autoantibodies in patients with PAP contribute to a range of defects in alveolar macrophage function including chemotaxis, adhesion, phagocytosis, microbicidal activity, and phagolysosome fusion. ('Anti-GM-CSF', 'Protein', (0, 11)) ('Anti-GM-CSF autoantibodies', 'Phenotype', 'HP:0020050', (0, 26)) ('alveolar macrophage function', 'CPA', (84, 112)) ('adhesion', 'CPA', (135, 143)) ('autoantibodies', 'Var', (12, 26)) ('phagolysosome fusion', 'CPA', (186, 206)) ('microbicidal activity', 'CPA', (159, 180)) ('phagocytosis', 'CPA', (145, 157)) ('patients', 'Species', '9606', (30, 38)) ('chemotaxis', 'CPA', (123, 133)) ('PAP', 'Disease', (44, 47)) ('defects', 'NegReg', (73, 80)) 10796 20966748 Evidence from GM-CSF receptor-deficient mice suggests that GM-CSF induces PU.1, a gene critical to both surfactant homeostasis and TLR signaling, which potentially explains both surfactant accumulation and infection susceptibility seen in PAP. ('induces', 'Reg', (66, 73)) ('infection', 'Disease', (206, 215)) ('infection', 'Disease', 'MESH:D007239', (206, 215)) ('GM-CSF', 'Var', (59, 65)) ('mice', 'Species', '10090', (40, 44)) ('PU.1', 'Gene', '20375', (74, 78)) ('PU.1', 'Gene', (74, 78)) 10805 20966748 APECED is a rare, autosomal recessive disorder caused by mutations in the autoimmune regulator (AIRE) gene that is characterized by a classic triad of CMC, hypoparathyroidism, and Addison's disease (reviewed by Perheentupa). ("Addison's disease", 'Disease', (180, 197)) ('hypoparathyroidism', 'Disease', (156, 174)) ('hypoparathyroidism', 'Phenotype', 'HP:0000829', (156, 174)) ('hypoparathyroidism', 'Disease', 'MESH:D007011', (156, 174)) ('CMC', 'Disease', (151, 154)) ('autoimmune regulator', 'Gene', '326', (74, 94)) ('AIRE', 'Gene', (96, 100)) ('caused by', 'Reg', (47, 56)) ('autoimmune regulator', 'Gene', (74, 94)) ('mutations', 'Var', (57, 66)) ("Addison's disease", 'Disease', 'MESH:D000224', (180, 197)) ('AIRE', 'Gene', '326', (96, 100)) ("Addison's disease", 'Phenotype', 'HP:0008207', (180, 197)) ('autosomal recessive disorder', 'Disease', 'MESH:D030342', (18, 46)) ('APECED', 'Gene', '326', (0, 6)) ('CMC', 'Phenotype', 'HP:0002728', (151, 154)) ('autosomal recessive disorder', 'Disease', (18, 46)) ('APECED', 'Gene', (0, 6)) 10824 20966748 Pathogenic autoantibodies are common in thymoma, most often in the form of myasthenia gravis caused by anti-acetylcholine receptor antibodies. ('thymoma', 'Disease', (40, 47)) ('acetylcholine receptor antibodies', 'Phenotype', 'HP:0030208', (108, 141)) ('myasthenia', 'Phenotype', 'HP:0003473', (75, 85)) ('thymoma', 'Phenotype', 'HP:0100522', (40, 47)) ('anti-acetylcholine', 'Var', (103, 121)) ('caused', 'Reg', (93, 99)) ('myasthenia gravis', 'Disease', (75, 92)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (75, 92)) ('thymoma', 'Disease', 'MESH:D013945', (40, 47)) 10838 20966748 Hyper-IgE syndrome, characterized by recurrent staphylococcal skin abscesses, is due to mutations in STAT3, the critical signal transduction molecule for IL-6 and IL-10 responses. ('Hyper-IgE syndrome', 'Disease', (0, 18)) ('STAT3', 'Gene', '6774', (101, 106)) ('Hyper-IgE syndrome', 'Disease', 'MESH:D007589', (0, 18)) ('recurrent staphylococcal skin', 'Phenotype', 'HP:0007499', (37, 66)) ('IL-10', 'Gene', (163, 168)) ('skin abscesses', 'Phenotype', 'HP:0031292', (62, 76)) ('STAT3', 'Gene', (101, 106)) ('abscess', 'Phenotype', 'HP:0025615', (67, 74)) ('due', 'Reg', (81, 84)) ('mutations', 'Var', (88, 97)) ('IL-6', 'Gene', (154, 158)) ('IL-10', 'Gene', '3586', (163, 168)) ('staphylococcal skin abscesses', 'Disease', (47, 76)) ('IL-6', 'Gene', '3569', (154, 158)) ('abscesses', 'Phenotype', 'HP:0025615', (67, 76)) 10860 33718203 In the validation set, the NECT-based clinical RM (AUC = 0.770 for low-risk thymoma, 0.689 for high-risk thymoma, and 0.783 for thymic carcinoma; ACC = 0.569) performed better than the CECT-based clinical-semantic RM (AUC = 0.785 for low-risk thymoma, 0.576 for high-risk thymoma, and 0.774 for thymic carcinoma; ACC = 0.483). ('thymoma', 'Disease', 'MESH:D013945', (105, 112)) ('thymoma', 'Disease', (243, 250)) ('thymic carcinoma', 'Disease', (295, 311)) ('thymoma', 'Phenotype', 'HP:0100522', (243, 250)) ('thymoma', 'Disease', 'MESH:D013945', (272, 279)) ('thymoma', 'Disease', (76, 83)) ('thymoma', 'Disease', (105, 112)) ('thymoma', 'Phenotype', 'HP:0100522', (76, 83)) ('carcinoma', 'Phenotype', 'HP:0030731', (135, 144)) ('thymoma', 'Phenotype', 'HP:0100522', (105, 112)) ('carcinoma', 'Phenotype', 'HP:0030731', (302, 311)) ('thymoma', 'Disease', (272, 279)) ('better', 'PosReg', (169, 175)) ('thymoma', 'Phenotype', 'HP:0100522', (272, 279)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (128, 144)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (295, 311)) ('0.783', 'Var', (118, 123)) ('thymoma', 'Disease', 'MESH:D013945', (243, 250)) ('thymoma', 'Disease', 'MESH:D013945', (76, 83)) ('thymic carcinoma', 'Disease', (128, 144)) 10914 33718203 In the training set, the NECT-based RM achieved AUCs of 0.739 (for low-risk thymoma), 0.783 (for high-risk thymoma), and 0.759 (for thymic carcinoma) and an ACC of 0.644 ( Table 2 , Figure 3 ). ('thymoma', 'Disease', (76, 83)) ('thymoma', 'Phenotype', 'HP:0100522', (107, 114)) ('thymoma', 'Phenotype', 'HP:0100522', (76, 83)) ('carcinoma', 'Phenotype', 'HP:0030731', (139, 148)) ('thymoma', 'Disease', 'MESH:D013945', (76, 83)) ('0.783', 'Var', (86, 91)) ('0.759', 'Var', (121, 126)) ('thymoma', 'Disease', 'MESH:D013945', (107, 114)) ('thymoma', 'Disease', (107, 114)) ('thymic carcinoma', 'Disease', (132, 148)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (132, 148)) 10915 33718203 In contrast, the CECT-based RM achieved AUCs of 0.679 (for low-risk thymoma), 0.688 (for high-risk thymoma), and 0.721 (for thymic carcinoma) and an ACC of 0.576. ('0.721', 'Var', (113, 118)) ('thymoma', 'Disease', 'MESH:D013945', (99, 106)) ('carcinoma', 'Phenotype', 'HP:0030731', (131, 140)) ('thymoma', 'Disease', 'MESH:D013945', (68, 75)) ('thymoma', 'Disease', (68, 75)) ('thymoma', 'Disease', (99, 106)) ('0.688', 'Var', (78, 83)) ('thymoma', 'Phenotype', 'HP:0100522', (68, 75)) ('thymoma', 'Phenotype', 'HP:0100522', (99, 106)) ('thymic carcinoma', 'Disease', (124, 140)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (124, 140)) 10916 33718203 In the validation set, similar results were found, where the NECT-based RM achieved AUCs of 0.686 (for low-risk thymoma), 0.601 (for high-risk thymoma), and 0.632 (for thymic carcinoma) and an ACC of 0.483 ( Table 3 ). ('thymoma', 'Disease', 'MESH:D013945', (112, 119)) ('0.632', 'Var', (157, 162)) ('thymoma', 'Disease', (112, 119)) ('0.601', 'Var', (122, 127)) ('thymoma', 'Disease', 'MESH:D013945', (143, 150)) ('thymoma', 'Phenotype', 'HP:0100522', (112, 119)) ('thymoma', 'Disease', (143, 150)) ('thymoma', 'Phenotype', 'HP:0100522', (143, 150)) ('thymic carcinoma', 'Disease', (168, 184)) ('carcinoma', 'Phenotype', 'HP:0030731', (175, 184)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (168, 184)) 10917 33718203 In contrast, the CECT-based RM achieved AUCs of 0.611 (for low-risk thymoma), 0.574 (for high-risk thymoma), and 0.626 (for thymic carcinoma) and an ACC of 0.448. ('thymoma', 'Disease', 'MESH:D013945', (99, 106)) ('carcinoma', 'Phenotype', 'HP:0030731', (131, 140)) ('0.626', 'Var', (113, 118)) ('thymoma', 'Disease', 'MESH:D013945', (68, 75)) ('thymoma', 'Disease', (68, 75)) ('thymoma', 'Disease', (99, 106)) ('0.574', 'Var', (78, 83)) ('thymoma', 'Phenotype', 'HP:0100522', (68, 75)) ('thymoma', 'Phenotype', 'HP:0100522', (99, 106)) ('thymic carcinoma', 'Disease', (124, 140)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (124, 140)) 10918 33718203 In the training set, the NECT-based clinical RM exhibited AUCs of 0.746 (for low-risk thymoma), 0.808 (for high-risk thymoma), and 0.813 (for thymic carcinoma) and an ACC of 0.659. ('thymic carcinoma', 'Disease', 'MESH:D013953', (142, 158)) ('carcinoma', 'Phenotype', 'HP:0030731', (149, 158)) ('0.808', 'Var', (96, 101)) ('thymoma', 'Disease', 'MESH:D013945', (117, 124)) ('thymoma', 'Disease', 'MESH:D013945', (86, 93)) ('thymoma', 'Disease', (86, 93)) ('0.813', 'Var', (131, 136)) ('thymoma', 'Phenotype', 'HP:0100522', (86, 93)) ('thymoma', 'Disease', (117, 124)) ('thymic carcinoma', 'Disease', (142, 158)) ('thymoma', 'Phenotype', 'HP:0100522', (117, 124)) 10919 33718203 Moreover, the CECT-based clinical RM exhibited AUCs of 0.690 (for low-risk thymoma), 0.717 (for high-risk thymoma), and 0.768 (for thymic carcinoma) and an ACC of 0.553. ('thymic carcinoma', 'Disease', (131, 147)) ('0.768', 'Var', (120, 125)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (131, 147)) ('carcinoma', 'Phenotype', 'HP:0030731', (138, 147)) ('thymoma', 'Disease', 'MESH:D013945', (106, 113)) ('thymoma', 'Phenotype', 'HP:0100522', (75, 82)) ('thymoma', 'Disease', (106, 113)) ('thymoma', 'Phenotype', 'HP:0100522', (106, 113)) ('0.717', 'Var', (85, 90)) ('thymoma', 'Disease', 'MESH:D013945', (75, 82)) ('thymoma', 'Disease', (75, 82)) 10920 33718203 Similarly, in the validation set, the NECT-based clinical RM exhibited AUCs of 0.687 (for low-risk thymoma), 0.699 (for high-risk thymoma), and 0.689 (for thymic carcinoma) and an ACC of 0.483. ('thymoma', 'Disease', 'MESH:D013945', (99, 106)) ('thymoma', 'Disease', 'MESH:D013945', (130, 137)) ('thymoma', 'Disease', (130, 137)) ('0.699', 'Var', (109, 114)) ('thymoma', 'Disease', (99, 106)) ('thymoma', 'Phenotype', 'HP:0100522', (130, 137)) ('thymoma', 'Phenotype', 'HP:0100522', (99, 106)) ('0.689', 'Var', (144, 149)) ('thymic carcinoma', 'Disease', (155, 171)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (155, 171)) ('carcinoma', 'Phenotype', 'HP:0030731', (162, 171)) 10921 33718203 The CECT-based clinical RM exhibited AUCs of 0.538 (for low-risk thymoma), 0.644 (for high-risk thymoma), and 0.679 (for thymic carcinoma) and an ACC of 0.448. ('thymoma', 'Phenotype', 'HP:0100522', (65, 72)) ('carcinoma', 'Phenotype', 'HP:0030731', (128, 137)) ('thymoma', 'Disease', 'MESH:D013945', (65, 72)) ('thymoma', 'Disease', 'MESH:D013945', (96, 103)) ('thymoma', 'Disease', (96, 103)) ('thymoma', 'Disease', (65, 72)) ('thymoma', 'Phenotype', 'HP:0100522', (96, 103)) ('0.644', 'Var', (75, 80)) ('0.679', 'Var', (110, 115)) ('thymic carcinoma', 'Disease', (121, 137)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (121, 137)) 10922 33718203 In the training set, the NECT-based clinical-semantic RM exhibited AUCs of 0.880 (for low-risk thymoma), 0.850 (for high-risk thymoma), and 0.939 (for thymic carcinoma) and an ACC of 0.750. ('0.850', 'Var', (105, 110)) ('thymoma', 'Disease', (95, 102)) ('thymoma', 'Disease', 'MESH:D013945', (126, 133)) ('thymoma', 'Phenotype', 'HP:0100522', (95, 102)) ('thymoma', 'Disease', (126, 133)) ('0.939', 'Var', (140, 145)) ('thymoma', 'Phenotype', 'HP:0100522', (126, 133)) ('carcinoma', 'Phenotype', 'HP:0030731', (158, 167)) ('thymic carcinoma', 'Disease', (151, 167)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (151, 167)) ('thymoma', 'Disease', 'MESH:D013945', (95, 102)) 10923 33718203 Moreover, the CECT-based clinical-semantic RM exhibited AUCs of 0.835 (for low-risk thymoma), 0.813 (for high-risk thymoma), and 0.946 (for thymic carcinoma) and an ACC of 0.705. ('thymoma', 'Phenotype', 'HP:0100522', (115, 122)) ('thymoma', 'Phenotype', 'HP:0100522', (84, 91)) ('0.813', 'Var', (94, 99)) ('thymic carcinoma', 'Disease', (140, 156)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (140, 156)) ('thymoma', 'Disease', 'MESH:D013945', (115, 122)) ('0.946', 'Var', (129, 134)) ('thymoma', 'Disease', (115, 122)) ('carcinoma', 'Phenotype', 'HP:0030731', (147, 156)) ('thymoma', 'Disease', 'MESH:D013945', (84, 91)) ('thymoma', 'Disease', (84, 91)) 10924 33718203 Similarly, in the validation set, the NECT-based clinical-semantic RM exhibited AUCs of 0.770 (for low-risk thymoma), 0.689 (for high-risk thymoma), and 0.783 (for thymic carcinoma) and an ACC of 0.569. ('0.689', 'Var', (118, 123)) ('thymoma', 'Disease', (139, 146)) ('thymoma', 'Phenotype', 'HP:0100522', (139, 146)) ('thymoma', 'Disease', 'MESH:D013945', (108, 115)) ('thymic carcinoma', 'Disease', (164, 180)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (164, 180)) ('carcinoma', 'Phenotype', 'HP:0030731', (171, 180)) ('thymoma', 'Disease', (108, 115)) ('0.783', 'Var', (153, 158)) ('thymoma', 'Disease', 'MESH:D013945', (139, 146)) ('thymoma', 'Phenotype', 'HP:0100522', (108, 115)) 10925 33718203 The CECT-based clinical-semantic RM exhibited AUCs of 0.785 (for low-risk thymoma), 0.576 (for high-risk thymoma), and 0.774 (for thymic carcinoma) and an ACC of 0.483. ('thymoma', 'Disease', 'MESH:D013945', (74, 81)) ('thymoma', 'Disease', 'MESH:D013945', (105, 112)) ('thymoma', 'Disease', (105, 112)) ('thymoma', 'Disease', (74, 81)) ('thymoma', 'Phenotype', 'HP:0100522', (105, 112)) ('thymic carcinoma', 'Disease', (130, 146)) ('thymoma', 'Phenotype', 'HP:0100522', (74, 81)) ('carcinoma', 'Phenotype', 'HP:0030731', (137, 146)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (130, 146)) ('0.774', 'Var', (119, 124)) ('0.576', 'Var', (84, 89)) 10971 33547763 DRB1*07 carriers and non-carriers did not differ in disease severity and response to therapy. ('DRB1', 'Gene', (0, 4)) ('carriers', 'Var', (8, 16)) ('DRB1', 'Gene', '3123', (0, 4)) 10974 33547763 Myasthenia gravis (MG) is caused by antibodies (Abs) to post-synaptic proteins at the motor end-plate. ('antibodies', 'Var', (36, 46)) ('caused by', 'Reg', (26, 35)) ('Myasthenia gravis', 'Disease', (0, 17)) ('Myasthenia gravis', 'Disease', 'MESH:D009157', (0, 17)) ('Myasthenia', 'Phenotype', 'HP:0003473', (0, 10)) ('post-synaptic proteins', 'Protein', (56, 78)) 11020 33547763 Using the same approach, we could confirm the association results for DRB1*07 (frequencies in simulated controls between 0.075 and 0.182, 0.125 in the whole control cohort and 0.234 in LOMG; p-values from 6.83x10-6 to 0.2335, 93 out of 100 < 0.05) and, to a lesser extent, for DQB1*02 (frequencies in simulated controls between 0.107 and 0.220, 0.125 in the whole control cohort and 0.224 in LOMG; p-values from 0.0017 to 1.00, 42 out of 100 P-values < 0.05). ('DRB1', 'Gene', '3123', (70, 74)) ('DQB1', 'Gene', '3119', (277, 281)) ('LOMG', 'Phenotype', 'HP:0007081', (185, 189)) ('DRB1', 'Gene', (70, 74)) ('LOMG', 'Phenotype', 'HP:0007081', (392, 396)) ('DQB1', 'Gene', (277, 281)) ('0.224', 'Var', (383, 388)) ('0.234', 'Var', (176, 181)) ('0.182', 'Var', (131, 136)) 11040 33547763 In the former, conducted in U.S. patients, there was an association with TNFRSF11A (rs4263037) and with rs9271871 in the DRB1-DQA1 intergenic region. ('DRB1', 'Gene', (121, 125)) ('rs9271871', 'Mutation', 'rs9271871', (104, 113)) ('patients', 'Species', '9606', (33, 41)) ('DRB1', 'Gene', '3123', (121, 125)) ('rs4263037', 'Var', (84, 93)) ('DQA1', 'Gene', '3117', (126, 130)) ('rs9271871', 'Var', (104, 113)) ('association', 'Interaction', (56, 67)) ('rs4263037', 'Mutation', 'rs4263037', (84, 93)) ('TNFRSF11A', 'Gene', (73, 82)) ('TNFRSF11A', 'Gene', '8792', (73, 82)) ('DQA1', 'Gene', (126, 130)) 11062 33547763 Renton and co-workers found that the association of the TNFRSF11A single nucleotide polymorphism with MG increased in parallel with age of onset. ('TNFRSF11A', 'Gene', '8792', (56, 65)) ('association', 'Interaction', (37, 48)) ('single nucleotide polymorphism', 'Var', (66, 96)) ('TNFRSF11A', 'Gene', (56, 65)) 11069 33547763 When clinical characteristics were analyzed, DRB1*07 carriers and non-carriers did not differ in disease severity, comorbidities, and response to therapies by univariate analysis. ('carriers', 'Var', (53, 61)) ('DRB1', 'Gene', (45, 49)) ('DRB1', 'Gene', '3123', (45, 49)) 11070 33547763 Furthermore, in our cohort, titin Abs were not associated with a more severe disease course, in line with other studies performed in non-Scandinavian populations, 41 questioning their utility as a negative prognostic marker. ('titin', 'Gene', (28, 33)) ('Abs', 'Var', (34, 37)) ('titin', 'Gene', '7273', (28, 33)) 11126 29977769 Our case developed bacteremia caused by E. coli, S. pneumoniae and P. aeruginosa. ('S. pneumoniae', 'Var', (49, 62)) ('bacteremia', 'Disease', 'MESH:D016470', (19, 29)) ('bacteremia', 'Disease', (19, 29)) ('S. pneumoniae', 'Species', '1313', (49, 62)) ('P. aeruginosa', 'Species', '287', (67, 80)) ('E. coli', 'Species', '562', (40, 47)) ('bacteremia', 'Phenotype', 'HP:0031864', (19, 29)) ('pneumonia', 'Phenotype', 'HP:0002090', (52, 61)) ('P. aeruginosa', 'Var', (67, 80)) 11154 29668640 Immunohistochemistry results were presented as follows: positivity for Keratin (broad-spectrum), P63 (+) and Ki-67 (+20%), negative for TTF-1, P53, PLAP, TDT, LCA, CD1a, and VIM. ('TTF-1', 'Gene', (136, 141)) ('TTF-1', 'Gene', '7270', (136, 141)) ('TDT', 'Gene', '1791', (154, 157)) ('P63 (+) and Ki-67', 'Gene', '8626', (97, 114)) ('VIM', 'Gene', '7431', (174, 177)) ('CD1a', 'Gene', '909', (164, 168)) ('positivity', 'Var', (56, 66)) ('LCA', 'Gene', '5788', (159, 162)) ('TDT', 'Gene', (154, 157)) ('P53', 'Gene', (143, 146)) ('CD1a', 'Gene', (164, 168)) ('P53', 'Gene', '7157', (143, 146)) ('VIM', 'Gene', (174, 177)) ('PLAP', 'Gene', (148, 152)) ('Keratin', 'Protein', (71, 78)) ('PLAP', 'Gene', '250', (148, 152)) ('LCA', 'Gene', (159, 162)) 11314 28190926 In humans, cortical and medullary thymic epithelial cells yield different expression patterns of cytokeratin: medullary thymic epithelial cells express cytokeratin 5 and cytokeratin 14, whereas cortical thymic epithelial cells express cytokeratin 8 and cytokeratin 18, . ('cytokeratin 18', 'Gene', (253, 267)) ('cytokeratin 18', 'Gene', '3875', (253, 267)) ('cytokeratin', 'Var', (170, 181)) ('humans', 'Species', '9606', (3, 9)) ('cytokeratin 5', 'Gene', (152, 165)) ('cytokeratin 5', 'Gene', '3852', (152, 165)) 11319 26481746 Single-fiber Electromyography in the Extensor Digitorum Communis for the Predictive Prognosis of Ocular Myasthenia Gravis: A Retrospective Study of 102 Cases Single-fiber electromyography (SFEMG) abnormality in the extensor digitorum communis (EDC) was reported in ocular myasthenia gravis (OMG), which indicated subclinical involvement beyond extraocular muscles in OMG patients. ('MG', 'Disease', 'MESH:D000080343', (192, 194)) ('Ocular Myasthenia Gravis', 'Disease', 'MESH:D009157', (97, 121)) ('abnormality', 'Var', (196, 207)) ('MG', 'Disease', 'MESH:D000080343', (368, 370)) ('patients', 'Species', '9606', (371, 379)) ('Ocular Myasthenia Gravis', 'Disease', (97, 121)) ('MG', 'Disease', 'MESH:D000080343', (292, 294)) ('SFEMG', 'Chemical', '-', (189, 194)) ('myasthenia', 'Phenotype', 'HP:0003473', (272, 282)) ('ocular myasthenia gravis', 'Disease', (265, 289)) ('reported', 'Reg', (253, 261)) ('ocular myasthenia gravis', 'Disease', 'MESH:D009157', (265, 289)) ('Myasthenia', 'Phenotype', 'HP:0003473', (104, 114)) 11339 26481746 As subclinical abnormality could be found, would an abnormal jitter predict the prognosis of OMG? ('predict', 'Reg', (68, 75)) ('abnormal', 'Var', (52, 60)) ('jitter', 'MPA', (61, 67)) ('MG', 'Disease', 'MESH:D000080343', (94, 96)) 11375 26481746 Total 55 OMG developed generalized myasthenia gravis (GMG) in the follow-up, 47 of 84 patients in the abnormal SFEMG group while 8 of 18 in the normal SFEMG group. ('SFEMG', 'Chemical', '-', (151, 156)) ('myasthenia gravis', 'Disease', (35, 52)) ('SFEMG', 'Chemical', '-', (111, 116)) ('MG', 'Disease', 'MESH:D000080343', (154, 156)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (35, 52)) ('MG', 'Disease', 'MESH:D000080343', (10, 12)) ('MG', 'Disease', 'MESH:D000080343', (55, 57)) ('MG', 'Disease', 'MESH:D000080343', (114, 116)) ('myasthenia', 'Phenotype', 'HP:0003473', (35, 45)) ('abnormal', 'Var', (102, 110)) ('patients', 'Species', '9606', (86, 94)) 11382 26481746 Since a gold diagnostic standard is not available in MG, abnormal SFEMG in accordance with clinical fatigue could contribute to the diagnosis. ('fatigue', 'Disease', 'MESH:D005221', (100, 107)) ('SFEMG', 'Chemical', '-', (66, 71)) ('fatigue', 'Disease', (100, 107)) ('fatigue', 'Phenotype', 'HP:0012378', (100, 107)) ('MG', 'Disease', 'MESH:D000080343', (69, 71)) ('abnormal', 'Var', (57, 65)) ('MG', 'Disease', 'MESH:D000080343', (53, 55)) ('contribute', 'Reg', (114, 124)) 11394 26481746 Since there is no reliable parameter at present to predict the tendency for OMG patients to develop GMG, we suspected that the SFEMG abnormality in EDC muscle might imply an OMG patient to be "subclinical GMG" from a clinical neurophysiology point of view. ('MG', 'Disease', 'MESH:D000080343', (130, 132)) ('MG', 'Disease', 'MESH:D000080343', (77, 79)) ('patients', 'Species', '9606', (80, 88)) ('abnormality', 'Var', (133, 144)) ('patient', 'Species', '9606', (178, 185)) ('MG', 'Disease', 'MESH:D000080343', (206, 208)) ('imply', 'Reg', (165, 170)) ('MG', 'Disease', 'MESH:D000080343', (175, 177)) ('MG', 'Disease', 'MESH:D000080343', (101, 103)) ('patient', 'Species', '9606', (80, 87)) ('SFEMG', 'Chemical', '-', (127, 132)) 11505 32869520 Data were acquired from the following four registers, provided by the National Board of Health and Welfare in Sweden (Socialstyrelsen): Patients with (a) classification codes for MG; ICD-9 code 358A or ICD-10 code G70.0, in the NPR and/or (b) two or more prescriptions of pyridostigmine (ATC N07AA02) or ambenonium (ATC N07AA30) in SPDR were considered to have an MG diagnosis, in accordance with the MG identification method validated in a Swedish setting by Fang et al. ('ATC N07AA30', 'Var', (318, 329)) ('pyridostigmine', 'Chemical', 'MESH:D011729', (274, 288)) ('ATC N07AA02', 'Var', (290, 301)) ('Patients', 'Species', '9606', (138, 146)) ('ambenonium', 'Chemical', 'MESH:D000549', (306, 316)) 11516 32869520 TOMG: All patients with a thymoma, as identified by ICD-10 code D15.0, D38.4, or C37.9 in the NPR or in the CR registers. ('thymoma', 'Disease', (26, 33)) ('TOMG', 'Chemical', '-', (0, 4)) ('thymoma', 'Phenotype', 'HP:0100522', (26, 33)) ('D15.0', 'Var', (64, 69)) ('D38.4', 'Var', (71, 76)) ('C37.9', 'Var', (81, 86)) ('patients', 'Species', '9606', (10, 18)) ('thymoma', 'Disease', 'MESH:D013945', (26, 33)) 11559 29485186 Biochemical abnormalities included azotemia (BUN 57 mg/dL; [RI], 10-30 mg/dL; creatinine 3.7 mg/dL; [RI], 0.5-1.5 mg/dL; hyperphosphatemia 8.9 mg/dL; [RI], 3.2-6.0 mg/dL), decreased bicarbonate (16.0 mEq/L; [RI], 19-25 mEq/L), hypoalbuminemia (2.1 g/dL; [RI], 2.7-4.0 g/dL), hypercholesterolemia (436 mg/dL; [RI], 132-300 mg/dL), hyperbilirubinemia (0.66 mg/dL; [RI], <0.1-0.6 mg/dL), mildly increased ALP (192 U/L; [RI], 20-150 U/L), and mild electrolyte alterations (sodium 135 mEq/L; [RI], 141-151 mEq/L; chloride 108 mEq/L; [RI], 112-121 mEq/L; calcium 8.9 mg/dL; [RI], 9.7-11.3 mg/dL). ('hyperphosphatemia', 'Phenotype', 'HP:0002905', (121, 138)) ('hypercholesterolemia', 'Disease', 'MESH:D006937', (275, 295)) ('hypoalbuminemia', 'Disease', 'MESH:D034141', (227, 242)) ('ALP', 'Gene', (402, 405)) ('creatinine', 'Chemical', 'MESH:D003404', (78, 88)) ('hyperbilirubinemia', 'Disease', (330, 348)) ('increased', 'PosReg', (392, 401)) ('hypercholesterolemia', 'Disease', (275, 295)) ('hypoalbuminemia', 'Disease', (227, 242)) ('increased ALP', 'Phenotype', 'HP:0003155', (392, 405)) ('azotemia', 'Disease', 'MESH:D053099', (35, 43)) ('hypoalbuminemia', 'Phenotype', 'HP:0003073', (227, 242)) ('ALP', 'Gene', '403548', (402, 405)) ('decreased bicarbonate', 'Phenotype', 'HP:0032066', (172, 193)) ('azotemia', 'Disease', (35, 43)) ('hyperphosphatemia', 'Disease', 'MESH:D054559', (121, 138)) ('electrolyte alterations', 'Phenotype', 'HP:0003111', (444, 467)) ('hyperbilirubinemia', 'Disease', 'MESH:D006932', (330, 348)) ('hyperbilirubinemia', 'Phenotype', 'HP:0002904', (330, 348)) ('azotemia', 'Phenotype', 'HP:0002157', (35, 43)) ('electrolyte alterations', 'MPA', (444, 467)) ('decreased', 'NegReg', (172, 181)) ('436 mg/dL', 'Var', (297, 306)) ('hyperphosphatemia', 'Disease', (121, 138)) ('mildly increased ALP', 'Phenotype', 'HP:0008180', (385, 405)) ('hypercholesterolemia', 'Phenotype', 'HP:0003124', (275, 295)) 11720 21151207 Similar to membranous nephropathy, ablation of the tumor frequently achieves remission of MCD; therefore, factors produced by cancer cells may contribute to the pathogenesis of paraneoplastic MCD. ('MCD', 'Phenotype', 'HP:0012579', (90, 93)) ('MCD', 'Phenotype', 'HP:0012579', (192, 195)) ('ablation', 'Var', (35, 43)) ('tumor', 'Disease', (51, 56)) ('cancer', 'Disease', (126, 132)) ('paraneoplastic MCD', 'Disease', 'MESH:D012514', (177, 195)) ('tumor', 'Disease', 'MESH:D009369', (51, 56)) ('cancer', 'Phenotype', 'HP:0002664', (126, 132)) ('MCD', 'Gene', (90, 93)) ('MCD', 'Gene', '4582', (90, 93)) ('membranous nephropathy', 'Disease', (11, 33)) ('MCD', 'Gene', (192, 195)) ('MCD', 'Gene', '4582', (192, 195)) ('tumor', 'Phenotype', 'HP:0002664', (51, 56)) ('membranous nephropathy', 'Phenotype', 'HP:0012578', (11, 33)) ('cancer', 'Disease', 'MESH:D009369', (126, 132)) ('paraneoplastic MCD', 'Disease', (177, 195)) ('contribute', 'Reg', (143, 153)) ('nephropathy', 'Phenotype', 'HP:0000112', (22, 33)) ('membranous nephropathy', 'Disease', 'MESH:D007674', (11, 33)) 11735 21151207 Although this study was reported before the discovery of anti-neutrophil cytoplasmic antibodies (ANCAs), an assessment of renal pathology revealed pauci-immune crescentic glomerulonephritis, consistent with vasculitis. ('vasculitis', 'Disease', (207, 217)) ('nephritis', 'Phenotype', 'HP:0000123', (180, 189)) ('crescentic glomerulonephritis', 'Phenotype', 'HP:0008653', (160, 189)) ('vasculitis', 'Phenotype', 'HP:0002633', (207, 217)) ('men', 'Species', '9606', (114, 117)) ('glomerulonephritis', 'Disease', 'MESH:D005921', (171, 189)) ('vasculitis', 'Disease', 'MESH:D014657', (207, 217)) ('glomerulonephritis', 'Phenotype', 'HP:0000099', (171, 189)) ('glomerulonephritis', 'Disease', (171, 189)) ('anti-neutrophil', 'Var', (57, 72)) 11811 21151207 The Val617Phe mutation in JAK2, which causes abnormal cell proliferation, is present in more than 90% of patients with polycythemia vera and in nearly half of those with essential thrombocythemia or primary myelofibrosis. ('polycythemia vera', 'Disease', 'MESH:D011087', (119, 136)) ('myelofibrosis', 'Disease', 'MESH:D055728', (207, 220)) ('patients', 'Species', '9606', (105, 113)) ('Val617Phe', 'Var', (4, 13)) ('JAK2', 'Gene', '3717', (26, 30)) ('thrombocythemia', 'Disease', 'MESH:D013922', (180, 195)) ('Val617Phe', 'Mutation', 'rs77375493', (4, 13)) ('polycythemia vera', 'Disease', (119, 136)) ('thrombocythemia', 'Disease', (180, 195)) ('JAK2', 'Gene', (26, 30)) ('myelofibrosis', 'Phenotype', 'HP:0011974', (207, 220)) ('thrombocythemia', 'Phenotype', 'HP:0001894', (180, 195)) ('polycythemia', 'Phenotype', 'HP:0001901', (119, 131)) ('abnormal cell proliferation', 'Phenotype', 'HP:0031377', (45, 72)) ('rat', 'Species', '10116', (66, 69)) ('myelofibrosis', 'Disease', (207, 220)) 11814 21151207 Plasma and urine levels of platelet-derived growth factor (PDGF) are elevated in patients with myeloproliferative neoplasms and PDGF has been shown to enhance mesangial proliferation and fibrosis. ('myeloproliferative neoplasms', 'Disease', 'MESH:D009196', (95, 123)) ('rat', 'Species', '10116', (176, 179)) ('PDGF', 'Var', (128, 132)) ('neoplasms', 'Phenotype', 'HP:0002664', (114, 123)) ('enhance', 'PosReg', (151, 158)) ('mesangial proliferation', 'Phenotype', 'HP:0012574', (159, 182)) ('neoplasm', 'Phenotype', 'HP:0002664', (114, 122)) ('patients', 'Species', '9606', (81, 89)) ('mesangial proliferation', 'CPA', (159, 182)) ('myeloproliferative neoplasms', 'Disease', (95, 123)) ('myeloproliferative neoplasm', 'Phenotype', 'HP:0005547', (95, 122)) ('fibrosis', 'Disease', 'MESH:D005355', (187, 195)) ('fibrosis', 'Disease', (187, 195)) ('myeloproliferative neoplasms', 'Phenotype', 'HP:0005547', (95, 123)) ('elevated', 'PosReg', (69, 77)) ('rat', 'Species', '10116', (107, 110)) 11830 21151207 Monocytes may be involved in pathogenesis of paraneoplastic glomerulonephritis since monocyte counts are higher in patients with nephrotic range proteinuria than in those without.. Of note, severe monocytosis causes marked lysozymuria, which may present as nephrotic range proteinuria. ('proteinuria', 'Disease', (145, 156)) ('monocytosis', 'Var', (197, 208)) ('proteinuria', 'Disease', 'MESH:D011507', (145, 156)) ('paraneoplastic glomerulonephritis', 'Disease', (45, 78)) ('proteinuria', 'Disease', (273, 284)) ('nephrotic', 'Disease', 'MESH:D009404', (129, 138)) ('proteinuria', 'Disease', 'MESH:D011507', (273, 284)) ('nephrotic range proteinuria', 'Phenotype', 'HP:0012593', (257, 284)) ('proteinuria', 'Phenotype', 'HP:0000093', (145, 156)) ('nephrotic', 'Disease', (129, 138)) ('nephrotic', 'Disease', 'MESH:D009404', (257, 266)) ('glomerulonephritis', 'Phenotype', 'HP:0000099', (60, 78)) ('proteinuria', 'Phenotype', 'HP:0000093', (273, 284)) ('monocytosis', 'Phenotype', 'HP:0012311', (197, 208)) ('nephrotic range proteinuria', 'Phenotype', 'HP:0012593', (129, 156)) ('patients', 'Species', '9606', (115, 123)) ('lysozymuria', 'Disease', (223, 234)) ('nephrotic', 'Disease', (257, 266)) ('paraneoplastic glomerulonephritis', 'Disease', 'MESH:D005921', (45, 78)) ('severe monocytosis', 'Var', (190, 208)) ('nephritis', 'Phenotype', 'HP:0000123', (69, 78)) 11859 21151207 Mitomycin C is associated with a 2-10% risk of thrombotic microangiopathy; this risk increases considerably for cumulative doses of >= 40 mg/m2. ('thrombotic microangiopathy', 'Disease', 'MESH:D057049', (47, 73)) ('Mitomycin C', 'Chemical', 'MESH:D016685', (0, 11)) ('Mitomycin', 'Var', (0, 9)) ('thrombotic microangiopathy', 'Disease', (47, 73)) 11881 21151207 This notion is supported by studies in Buffalo/Mna rats, in which TH2 polarization induces thymoma-associated MCD and FSGS. ('FSGS', 'Gene', (118, 122)) ('thymoma', 'Disease', (91, 98)) ('MCD', 'Phenotype', 'HP:0012579', (110, 113)) ('rats', 'Species', '10116', (51, 55)) ('MCD', 'Gene', (110, 113)) ('thymoma', 'Phenotype', 'HP:0100522', (91, 98)) ('TH2 polarization', 'Var', (66, 82)) ('MCD', 'Gene', '4582', (110, 113)) ('FSGS', 'Phenotype', 'HP:0000097', (118, 122)) ('induces', 'Reg', (83, 90)) ('FSGS', 'Gene', '81', (118, 122)) ('thymoma', 'Disease', 'MESH:D013945', (91, 98)) 11991 32132638 Enhancements in cytokine production and the cytotoxicity of T cells by the anti-PD-1 antibody were significantly greater in B3/C. ('anti-PD-1', 'Var', (75, 84)) ('cytotoxicity of T', 'Disease', 'MESH:D064420', (44, 61)) ('Enhancements', 'PosReg', (0, 12)) ('cytotoxicity of T', 'Disease', (44, 61)) ('cytokine production', 'MPA', (16, 35)) ('greater', 'PosReg', (113, 120)) 12000 32132638 The anti-PD-1 blocking antibody exerts beneficial effects in a limited population of cancer patients. ('anti-PD-1', 'Var', (4, 13)) ('cancer', 'Disease', 'MESH:D009369', (85, 91)) ('patients', 'Species', '9606', (92, 100)) ('cancer', 'Disease', (85, 91)) ('beneficial effects', 'PosReg', (39, 57)) ('cancer', 'Phenotype', 'HP:0002664', (85, 91)) 12002 32132638 Clinical trials on immune checkpoint inhibitors are ongoing, and acceptable clinical efficacies of the anti-PD-1 antibody have been reported for TETs. ('TETs', 'Disease', 'MESH:C536905', (145, 149)) ('TETs', 'Disease', (145, 149)) ('anti-PD-1', 'Var', (103, 112)) 12026 32132638 2a), the rates of Tim-3+ and CD103+ in CD4 and CD8 single-positive T cells were significantly higher in B3/C than in non-B3/C (Fig. ('Tim-3', 'Gene', (18, 23)) ('CD8', 'Gene', (47, 50)) ('Tim-3', 'Gene', '84868', (18, 23)) ('CD103', 'Gene', '3682', (29, 34)) ('CD8', 'Gene', '925', (47, 50)) ('B3/C', 'Var', (104, 108)) ('CD4', 'Gene', (39, 42)) ('CD103', 'Gene', (29, 34)) ('higher', 'PosReg', (94, 100)) 12028 32132638 The rate of 4-1BB+ in CD4 single-positive T cells was significantly higher in B3/C than in non-B3/C (Fig. ('B3/C', 'Var', (78, 82)) ('rate', 'MPA', (4, 8)) ('higher', 'PosReg', (68, 74)) ('4-1BB', 'Gene', '3604', (12, 17)) ('CD4', 'Gene', (22, 25)) ('4-1BB', 'Gene', (12, 17)) 12029 32132638 The rate of OX40+ in CD8 single-positive T cells was higher in B3/C than in non-B3/C (Fig. ('higher', 'PosReg', (53, 59)) ('CD8', 'Gene', (21, 24)) ('rate', 'MPA', (4, 8)) ('CD8', 'Gene', '925', (21, 24)) ('B3/C', 'Var', (63, 67)) ('OX40', 'Gene', '7293', (12, 16)) ('OX40', 'Gene', (12, 16)) 12030 32132638 The rate of CD4+CD25++, namely, regulatory T cells, in CD4 single-positive T cells was also significantly higher in B3/C (Fig. ('CD25', 'Gene', (16, 20)) ('B3/C', 'Var', (116, 120)) ('regulatory T cells', 'CPA', (32, 50)) ('higher', 'PosReg', (106, 112)) ('CD25', 'Gene', '3559', (16, 20)) 12032 32132638 As expected, the proportion of CD4+CD8+ double-positive T cells was significantly lower in B3/C than in non-B3/C (Supplementary Fig. ('B3/C', 'Var', (91, 95)) ('CD8', 'Gene', (35, 38)) ('CD8', 'Gene', '925', (35, 38)) ('lower', 'NegReg', (82, 87)) 12033 32132638 Similarly, the proportions of CD4 and CD8 single-positive T cells were also higher in B3/C than in non-B3/C (Supplementary Fig. ('CD4', 'Protein', (30, 33)) ('CD8', 'Gene', (38, 41)) ('CD8', 'Gene', '925', (38, 41)) ('higher', 'PosReg', (76, 82)) ('B3/C', 'Var', (86, 90)) 12036 32132638 Moreover, the ability of CD8 single-positive T cells to produce IFN-gamma, TNF-alpha, and IL-2 was significantly greater in B3/C than in non-B3/C (Fig. ('TNF-alpha', 'Gene', (75, 84)) ('IFN-gamma', 'Gene', (64, 73)) ('CD8', 'Gene', (25, 28)) ('IL-2', 'Gene', '3558', (90, 94)) ('CD8', 'Gene', '925', (25, 28)) ('IL-2', 'Gene', (90, 94)) ('TNF-alpha', 'Gene', '7124', (75, 84)) ('ability', 'MPA', (14, 21)) ('greater', 'PosReg', (113, 120)) ('IFN-gamma', 'Gene', '3458', (64, 73)) ('B3/C', 'Var', (124, 128)) 12044 32132638 Similar to the results obtained for cytotoxicity, IFN-gamma secretion from CD8 single-positive T cells was higher in B3/C than in non-B3/C (Fig. ('CD8', 'Gene', '925', (75, 78)) ('IFN-gamma', 'Gene', '3458', (50, 59)) ('IFN-gamma', 'Gene', (50, 59)) ('B3/C', 'Var', (117, 121)) ('higher', 'PosReg', (107, 113)) ('CD8', 'Gene', (75, 78)) 12045 32132638 The expression levels of perforin and granzyme B in CD8 single-positive T cells were also higher in B3/C than in non-B3/C (Supplementary Fig. ('expression levels', 'MPA', (4, 21)) ('granzyme B', 'Gene', (38, 48)) ('B3/C', 'Var', (100, 104)) ('granzyme B', 'Gene', '3002', (38, 48)) ('higher', 'PosReg', (90, 96)) ('CD8', 'Gene', (52, 55)) ('CD8', 'Gene', '925', (52, 55)) 12046 32132638 In a quantitative multiplex analysis, the cytokine production of IL-2, IL-4, IL-6, and IFN-gamma was significantly greater in B3/C than in non-B3/C (Supplementary Fig. ('IL-4', 'Gene', (71, 75)) ('IFN-gamma', 'Gene', (87, 96)) ('cytokine production', 'MPA', (42, 61)) ('IFN-gamma', 'Gene', '3458', (87, 96)) ('IL-2', 'Gene', '3558', (65, 69)) ('IL-6', 'Gene', (77, 81)) ('IL-2', 'Gene', (65, 69)) ('IL-4', 'Gene', '3565', (71, 75)) ('greater', 'PosReg', (115, 122)) ('B3/C', 'Var', (126, 130)) ('IL-6', 'Gene', '3569', (77, 81)) 12050 32132638 Similar to the bulk results, the effects of nivolumab on the cytotoxicity of CD8 single-positive T cells were slightly stronger in B3/C than in non-B3/C (Supplementary Fig. ('CD8', 'Gene', (77, 80)) ('CD8', 'Gene', '925', (77, 80)) ('stronger', 'PosReg', (119, 127)) ('nivolumab', 'Chemical', 'MESH:D000077594', (44, 53)) ('cytotoxicity', 'CPA', (61, 73)) ('B3/C', 'Var', (131, 135)) 12051 32132638 S10A), and cytokine production levels were also higher in B3/C than in non-B3/C in the IFN-gamma secretion assay (Supplementary Fig. ('IFN-gamma', 'Gene', '3458', (87, 96)) ('cytokine production levels', 'MPA', (11, 37)) ('IFN-gamma', 'Gene', (87, 96)) ('S10A', 'Var', (0, 4)) ('higher', 'PosReg', (48, 54)) ('S10A', 'SUBSTITUTION', 'None', (0, 4)) ('B3/C', 'Var', (58, 62)) 12064 32132638 Although PD-1 expression by T cells did not markedly differ between B3/C and non-B3/C, the rate of PD-1 + Tim-3+ in CD4 and CD8 single-positive T cells was significantly higher in B3/C than in non-B3/C. ('higher', 'PosReg', (170, 176)) ('Tim-3', 'Gene', '84868', (106, 111)) ('CD8', 'Gene', (124, 127)) ('B3/C and non-B3/C', 'Gene', '28908', (68, 85)) ('CD8', 'Gene', '925', (124, 127)) ('B3/C', 'Var', (180, 184)) ('Tim-3', 'Gene', (106, 111)) 12074 32132638 Based on these analyses, we found that T cells in B3/C showed a stronger anti-tumor immune response to nivolumab than those in non-B3/C. ('stronger', 'PosReg', (64, 72)) ('tumor', 'Disease', 'MESH:D009369', (78, 83)) ('tumor', 'Phenotype', 'HP:0002664', (78, 83)) ('nivolumab', 'Chemical', 'MESH:D000077594', (103, 112)) ('tumor', 'Disease', (78, 83)) ('B3/C', 'Var', (50, 54)) 12075 32132638 Clinical trials on immune checkpoint inhibitors for TETs are ongoing, and an acceptable clinical efficacy has been reported for the anti-PD-1 antibody for TETs. ('TETs', 'Disease', 'MESH:C536905', (52, 56)) ('TETs', 'Disease', (52, 56)) ('TETs', 'Disease', (155, 159)) ('anti-PD-1', 'Var', (132, 141)) ('TETs', 'Disease', 'MESH:C536905', (155, 159)) 12080 32132638 In conclusion, the characteristics of CD4 and CD8 single-positive T cells in B3 thymoma and thymic carcinoma are favorable for anti-tumor immunity. ('CD8', 'Gene', '925', (46, 49)) ('CD4', 'Gene', (38, 41)) ('thymoma', 'Phenotype', 'HP:0100522', (80, 87)) ('tumor', 'Disease', 'MESH:D009369', (132, 137)) ('thymic carcinoma', 'Disease', (92, 108)) ('tumor', 'Phenotype', 'HP:0002664', (132, 137)) ('single-positive', 'Var', (50, 65)) ('tumor', 'Disease', (132, 137)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (92, 108)) ('carcinoma', 'Phenotype', 'HP:0030731', (99, 108)) ('CD8', 'Gene', (46, 49)) ('thymoma', 'Disease', 'MESH:D013945', (80, 87)) ('thymoma', 'Disease', (80, 87)) 12136 27580949 In case of thymomas greater than 2 cm and without fat tissue surrounding the thymic capsule, the manipulation of the tumor may cause seeding of tumor cells that are responsible for local and pleural recurrences. ('tumor', 'Disease', (144, 149)) ('tumor', 'Phenotype', 'HP:0002664', (117, 122)) ('seeding', 'CPA', (133, 140)) ('tumor', 'Disease', (117, 122)) ('cause', 'Reg', (127, 132)) ('thymomas', 'Disease', (11, 19)) ('thymomas', 'Disease', 'MESH:D013945', (11, 19)) ('pleural', 'Disease', 'MESH:D010995', (191, 198)) ('tumor', 'Disease', 'MESH:D009369', (144, 149)) ('thymoma', 'Phenotype', 'HP:0100522', (11, 18)) ('tumor', 'Phenotype', 'HP:0002664', (144, 149)) ('pleural', 'Disease', (191, 198)) ('tumor', 'Disease', 'MESH:D009369', (117, 122)) ('manipulation', 'Var', (97, 109)) 12201 27580949 A case report shows that a patient with EGFR mutation fails to respond to gefitinib. ('patient', 'Species', '9606', (27, 34)) ('EGFR', 'Gene', '1956', (40, 44)) ('mutation', 'Var', (45, 53)) ('EGFR', 'Gene', (40, 44)) ('gefitinib', 'Chemical', 'MESH:D000077156', (74, 83)) 12249 27165426 The rate of thymoma comorbidity with MG was determined by identifying cases with thymoma (KCD codes: C37, malignant thymoma; D150, thymoma, benign; D384, thymoma, uncertain) among the incident MG cases. ('thymoma', 'Disease', (154, 161)) ('thymoma', 'Phenotype', 'HP:0100522', (12, 19)) ('thymoma', 'Disease', (116, 123)) ('thymoma', 'Phenotype', 'HP:0100522', (154, 161)) ('thymoma', 'Phenotype', 'HP:0100522', (116, 123)) ('thymoma', 'Disease', (131, 138)) ('thymoma', 'Phenotype', 'HP:0100522', (131, 138)) ('thymoma', 'Disease', (81, 88)) ('thymoma', 'Phenotype', 'HP:0100522', (81, 88)) ('thymoma comorbidity', 'Disease', 'MESH:D013945', (12, 31)) ('C37', 'Var', (101, 104)) ('malignant thymoma', 'Disease', 'MESH:D013945', (106, 123)) ('D150', 'Var', (125, 129)) ('thymoma', 'Disease', 'MESH:D013945', (12, 19)) ('thymoma comorbidity', 'Disease', (12, 31)) ('thymoma', 'Disease', 'MESH:D013945', (154, 161)) ('thymoma', 'Disease', 'MESH:D013945', (116, 123)) ('thymoma', 'Disease', 'MESH:D013945', (131, 138)) ('malignant thymoma', 'Disease', (106, 123)) ('thymoma', 'Disease', (12, 19)) ('thymoma', 'Disease', 'MESH:D013945', (81, 88)) 12300 24213242 It must be emphasized that the trials included in this analysis predominantly utilized less conformal radiation techniques and had a large proportion of patients with N0 status (approximately 25%) and that many patients did not undergo adequate staging. ('less', 'NegReg', (87, 91)) ('N0 status', 'Var', (167, 176)) ('patients', 'Species', '9606', (211, 219)) ('patients', 'Species', '9606', (153, 161)) 12305 24213242 Finally, investigators from Vanderbilt University Medical Center assessed the impact of extranodal extension (ECE) in patients receiving PORT, and found that the survival benefit with PORT was present with negative ECE but not with positive ECE. ('ECE', 'Gene', (241, 244)) ('ECE', 'Gene', '1889', (241, 244)) ('survival', 'MPA', (162, 170)) ('ECE', 'Gene', (110, 113)) ('ECE', 'Gene', '1889', (110, 113)) ('ECE', 'Gene', (215, 218)) ('ECE', 'Gene', '1889', (215, 218)) ('patients', 'Species', '9606', (118, 126)) ('PORT', 'Var', (184, 188)) 12428 33028413 The results can be explained by that decreased diffusion space of water protons in the extracellular and intracellular dimensions due to enlarged nuclei, hyperchromatism, and hypercellularity in high risk thymoma and thymic carcinoma. ('enlarged', 'PosReg', (137, 145)) ('thymoma', 'Phenotype', 'HP:0100522', (205, 212)) ('hyperchromatism', 'Disease', (154, 169)) ('men', 'Species', '9606', (121, 124)) ('hyperchromatism', 'Disease', 'None', (154, 169)) ('diffusion space of water protons', 'MPA', (47, 79)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013953', (205, 233)) ('water', 'Chemical', 'MESH:D014867', (66, 71)) ('hypercellularity', 'Var', (175, 191)) ('carcinoma', 'Phenotype', 'HP:0030731', (224, 233)) ('decreased', 'NegReg', (37, 46)) 12439 33028413 On the other hand, type B1 and B2 thymomas belonged to the lymphocyte-rich thymomas, and type B1 thymoma showed the lowest ECV because of its dense lymphocystic population. ('thymomas', 'Disease', (34, 42)) ('thymoma', 'Phenotype', 'HP:0100522', (97, 104)) ('thymomas', 'Disease', 'MESH:D013945', (34, 42)) ('thymoma', 'Disease', 'MESH:D013945', (34, 41)) ('thymoma', 'Phenotype', 'HP:0100522', (75, 82)) ('thymoma', 'Disease', (97, 104)) ('thymomas', 'Disease', 'MESH:D013945', (75, 83)) ('thymoma', 'Disease', (34, 41)) ('type B1', 'Var', (89, 96)) ('thymoma', 'Disease', 'MESH:D013945', (97, 104)) ('thymoma', 'Phenotype', 'HP:0100522', (34, 41)) ('thymoma', 'Disease', 'MESH:D013945', (75, 82)) ('thymoma', 'Disease', (75, 82)) ('thymomas', 'Disease', (75, 83)) 12479 32668077 1 , 2 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 Myasthenia gravis is defined in humans as skeletal muscle weakness and fatigability caused by autoantibodies against components of the NMJ of skeletal muscle. ('fatigability', 'Disease', (134, 146)) ('muscle weakness', 'Phenotype', 'HP:0001324', (114, 129)) ('skeletal muscle weakness', 'Disease', (105, 129)) ('skeletal muscle weakness', 'Disease', 'MESH:D018908', (105, 129)) ('humans', 'Species', '9606', (95, 101)) ('Myasthenia gravis', 'Disease', (63, 80)) ('Myasthenia gravis', 'Disease', 'MESH:D009157', (63, 80)) ('Myasthenia', 'Phenotype', 'HP:0003473', (63, 73)) ('autoantibodies', 'Var', (157, 171)) ('caused by', 'Reg', (147, 156)) 12569 32668077 72 , 73 , 74 , 75 , 76 , 77 Over 30 mutations have been identified in humans, and affect proteins involved in NMJ structure, function, or repair. ('affect', 'Reg', (88, 94)) ('proteins', 'Protein', (95, 103)) ('function', 'MPA', (131, 139)) ('humans', 'Species', '9606', (76, 82)) ('mutations', 'Var', (42, 51)) 12572 32668077 72 , 73 , 74 , 75 For some mutations, however, the location of the affected protein or proteins is unknown, meaning that these CMSs cannot presently be classified, and are referred to as "other". ('mutations', 'Var', (31, 40)) ('CMSs', 'Disease', (131, 135)) ('CMSs', 'Disease', 'None', (131, 135)) 12581 32668077 11 , 63 , 66 , 71 It involves a missense mutation in exon 6 of the choline acetyltransferase (CHAT) gene the normal function of which is the synthesis of acetylcholine (ACh), and is inherited in an autosomal recessive manner. ('choline acetyltransferase', 'Gene', (71, 96)) ('choline acetyltransferase', 'Gene', '486775', (71, 96)) ('synthesis of', 'MPA', (145, 157)) ('ACh', 'Chemical', 'MESH:D000109', (173, 176)) ('CHAT', 'Disease', 'None', (98, 102)) ('missense mutation in', 'Var', (36, 56)) ('CHAT', 'Disease', (98, 102)) ('acetylcholine', 'Chemical', 'MESH:D000109', (158, 171)) 12586 32668077 12 , 13 These CMSs involve a mutation in the collagen-like tail subunit of asymmetric acetylcholinesterase (COLQ) gene, which anchors acetylcholinesterase (AChE) to the basal lamina of the NMJ. ('collagen-like tail subunit of asymmetric acetylcholinesterase', 'Gene', '101093134', (47, 108)) ('anchors acetylcholinesterase', 'MPA', (128, 156)) ('COLQ', 'Gene', (110, 114)) ('mutation', 'Var', (31, 39)) ('-like tail', 'Phenotype', 'HP:0002825', (55, 65)) ('CMSs', 'Disease', (16, 20)) ('CMSs', 'Disease', 'None', (16, 20)) 12589 32668077 8 Administration of pyridostigmine bromide results in worsening of skeletal muscle weakness and fatigability. ('pyridostigmine', 'Var', (21, 35)) ('skeletal muscle weakness', 'Disease', (68, 92)) ('muscle weakness', 'Phenotype', 'HP:0001324', (77, 92)) ('skeletal muscle weakness', 'Disease', 'MESH:D018908', (68, 92)) ('worsening of skeletal muscle weakness', 'Phenotype', 'HP:0003323', (55, 92)) ('pyridostigmine bromide', 'Chemical', 'MESH:D011729', (21, 43)) ('worsening', 'NegReg', (55, 64)) ('fatigability', 'CPA', (97, 109)) 12599 32668077 68 Both of these CMSs are associated with a mutation in the cholinergic receptor nicotinic epsilon subunit (CHRNE) gene, which codes for the epsilon subunit of the AChR. ('AChR', 'Gene', (165, 169)) ('CMSs', 'Disease', (18, 22)) ('CMSs', 'Disease', 'None', (18, 22)) ('AChR', 'Gene', '751106', (165, 169)) ('associated', 'Reg', (27, 37)) ('cholinergic receptor nicotinic epsilon subunit', 'Gene', (61, 107)) ('mutation', 'Var', (45, 53)) ('cholinergic receptor nicotinic epsilon subunit', 'Gene', '479471', (61, 107)) ('CHRNE', 'Gene', (109, 114)) 12602 32668077 9 In the Heideterrier, a nonsynonymous mutation in exon 31 is reported in 1 dog with skeletal muscle weakness and fatigability. ('dog', 'Species', '9615', (77, 80)) ('muscle weakness', 'Phenotype', 'HP:0001324', (95, 110)) ('skeletal muscle weakness', 'Disease', (86, 110)) ('nonsynonymous mutation in', 'Var', (26, 51)) ('skeletal muscle weakness', 'Disease', 'MESH:D018908', (86, 110)) 12609 32668077 1 , 8 , 9 , 10 , 11 , 13 Although a decremental response frequently is observed upon RNS in most CMSs, 8 , 9 , 10 there is a CMS in cats in which RNS often can be normal, 12 , 13 and a CMS in dogs in which a preceding high frequency conditioning train usually is required before observation of a decremental response. ('CMSs', 'Disease', (103, 107)) ('CMSs', 'Disease', 'None', (103, 107)) ('dogs', 'Species', '9615', (203, 207)) ('cats', 'Species', '9685', (141, 145)) ('RNS', 'Var', (91, 94)) 12611 32668077 8 , 9 , 10 , 11 , 12 , 13 With the recent identification of the genetic mutations responsible for some CMSs in dogs and cats, it is now clear that the causative gene plays a pivotal role as to which symptomatic treatment benefits a given CMS. ('dogs', 'Species', '9615', (117, 121)) ('mutations', 'Var', (78, 87)) ('CMSs', 'Disease', (109, 113)) ('cats', 'Species', '9685', (126, 130)) ('CMSs', 'Disease', 'None', (109, 113)) 12616 32668077 10 Similarly, COLQ-associated CMSs in humans respond positively to beta2-adrenergic receptor agonists such as albuterol and ephedrine, which are thought to stabilize the NMJ and decrease dispersion of AChRs. ('ephedrine', 'Var', (125, 134)) ('albuterol', 'Chemical', 'MESH:D000420', (111, 120)) ('AChR', 'Gene', (202, 206)) ('humans', 'Species', '9606', (39, 45)) ('CMSs', 'Disease', (31, 35)) ('CMSs', 'Disease', 'None', (31, 35)) ('decrease', 'NegReg', (179, 187)) ('ephedrine', 'Chemical', 'MESH:D004809', (125, 134)) ('beta2-adrenergic receptor', 'Gene', (68, 93)) ('beta2-adrenergic receptor', 'Gene', '154', (68, 93)) ('NMJ', 'MPA', (171, 174)) ('COLQ-associated', 'Disease', (15, 30)) ('AChR', 'Gene', '751106', (202, 206)) 12620 32668077 78 Given the shared pathogenesis, and similarities in the response to a given symptomatic treatment among CMSs in humans, dogs, and cats with shared causative mutations, it is logical to consider similar treatments in dogs and cats as those used in humans for a given CMS, which emphasizes the importance of correctly classifying CMSs in dogs and cats. ('cats', 'Species', '9685', (229, 233)) ('CMSs', 'Disease', (108, 112)) ('CMSs', 'Disease', 'None', (108, 112)) ('dogs', 'Species', '9615', (340, 344)) ('cats', 'Species', '9685', (349, 353)) ('dogs', 'Species', '9615', (220, 224)) ('humans', 'Species', '9606', (116, 122)) ('cats', 'Species', '9685', (134, 138)) ('dogs', 'Species', '9615', (124, 128)) ('mutations', 'Var', (161, 170)) ('humans', 'Species', '9606', (251, 257)) ('CMSs', 'Disease', (332, 336)) ('CMSs', 'Disease', 'None', (332, 336)) 12654 26839727 Genetic studies show a possible role of Transmembrane Activator and CAML interactor (TACI) mutation in B-cells and plasma cells in pathogenesis of both CVID and GS. ('Transmembrane Activator and CAML interactor', 'Gene', '23495', (40, 83)) ('mutation', 'Var', (91, 99)) ('TACI', 'Gene', '23495', (85, 89)) ('CVID', 'Disease', (152, 156)) ('TACI', 'Gene', (85, 89)) ('CVID', 'Disease', 'MESH:D017074', (152, 156)) ('GS', 'Disease', 'MESH:D011125', (161, 163)) 12716 31666013 Associations of BAFF rs2893321 polymorphisms with myasthenia gravis susceptibility Myasthenia gravis (MG) is an autoimmune diseases characterized by fatigue and weakness of skeletal muscles. ('autoimmune diseases', 'Phenotype', 'HP:0002960', (112, 131)) ('Associations', 'Interaction', (0, 12)) ('fatigue', 'Disease', (149, 156)) ('fatigue', 'Phenotype', 'HP:0012378', (149, 156)) ('weakness of skeletal muscles', 'Disease', (161, 189)) ('Myasthenia gravis', 'Disease', (83, 100)) ('Myasthenia', 'Phenotype', 'HP:0003473', (83, 93)) ('BAFF', 'Gene', '10673', (16, 20)) ('myasthenia', 'Phenotype', 'HP:0003473', (50, 60)) ('rs2893321', 'Mutation', 'rs2893321', (21, 30)) ('MG', 'Disease', 'MESH:D009157', (102, 104)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (50, 67)) ('fatigue', 'Disease', 'MESH:D005221', (149, 156)) ('polymorphisms', 'Var', (31, 44)) ('BAFF', 'Gene', (16, 20)) ('weakness of skeletal muscles', 'Disease', 'MESH:D018908', (161, 189)) ('myasthenia gravis', 'Disease', (50, 67)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (112, 131)) ('Myasthenia gravis', 'Disease', 'MESH:D009157', (83, 100)) ('autoimmune diseases', 'Disease', (112, 131)) 12718 31666013 The current study aimed to investigate the association between single nucleotide polymorphism rs2893321 in BAFF with MG susceptibility in Chinese Han population. ('single nucleotide polymorphism rs2893321', 'Var', (63, 103)) ('rs2893321', 'Var', (94, 103)) ('rs2893321', 'Mutation', 'rs2893321', (94, 103)) ('BAFF', 'Gene', '10673', (107, 111)) ('BAFF', 'Gene', (107, 111)) ('MG', 'Disease', 'MESH:D009157', (117, 119)) 12722 31666013 Additionally, rs2893321 was found to be associated with gender and age in patients with MG. Genetic variations of rs2893321 in BAFF might be associated with susceptibility to MG in the Chinese Han population. ('susceptibility', 'Reg', (157, 171)) ('rs2893321', 'Mutation', 'rs2893321', (14, 23)) ('rs2893321', 'Var', (114, 123)) ('patients', 'Species', '9606', (74, 82)) ('MG', 'Disease', 'MESH:D009157', (88, 90)) ('variations', 'Var', (100, 110)) ('MG', 'Disease', 'MESH:D009157', (175, 177)) ('associated', 'Reg', (141, 151)) ('rs2893321', 'Mutation', 'rs2893321', (114, 123)) ('BAFF', 'Gene', '10673', (127, 131)) ('BAFF', 'Gene', (127, 131)) 12732 31666013 Evidence shows that dysregulation of BAFF contributes to autoimmune disorders, including rheumatoid arthritis, systemic lupus erythematosus, and primary biliary cirrhosis. ('systemic lupus erythematosus', 'Disease', 'MESH:D008180', (111, 139)) ('autoimmune disorders', 'Phenotype', 'HP:0002960', (57, 77)) ('rheumatoid arthritis', 'Disease', (89, 109)) ('rheumatoid arthritis', 'Disease', 'MESH:D001172', (89, 109)) ('BAFF', 'Gene', '10673', (37, 41)) ('systemic lupus erythematosus', 'Disease', (111, 139)) ('autoimmune disorders', 'Disease', 'MESH:D001327', (57, 77)) ('arthritis', 'Phenotype', 'HP:0001369', (100, 109)) ('primary biliary cirrhosis', 'Disease', 'MESH:D008105', (145, 170)) ('cirrhosis', 'Phenotype', 'HP:0001394', (161, 170)) ('dysregulation', 'Var', (20, 33)) ('primary biliary cirrhosis', 'Phenotype', 'HP:0002613', (145, 170)) ('systemic lupus erythematosus', 'Phenotype', 'HP:0002725', (111, 139)) ('contributes', 'Reg', (42, 53)) ('rheumatoid arthritis', 'Phenotype', 'HP:0001370', (89, 109)) ('primary biliary cirrhosis', 'Disease', (145, 170)) ('autoimmune disorders', 'Disease', (57, 77)) ('BAFF', 'Gene', (37, 41)) 12735 31666013 Specifically, BAFF polymorphisms are associated with the phenotypes and occurrence of autoimmune diseases. ('polymorphisms', 'Var', (19, 32)) ('BAFF', 'Gene', '10673', (14, 18)) ('BAFF', 'Gene', (14, 18)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (86, 105)) ('autoimmune diseases', 'Disease', (86, 105)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (86, 105)) ('associated', 'Reg', (37, 47)) 12736 31666013 The variant, single nucleotide polymorphism (SNP) rs2893321 of the BAFF gene, has been reported to be a susceptible genetic variant for the development of Graves' disease and autoimmune thyroid diseases. ('autoimmune thyroid diseases', 'Disease', (175, 202)) ("Graves' disease", 'Disease', 'MESH:D006111', (155, 170)) ('thyroid diseases', 'Phenotype', 'HP:0000820', (186, 202)) ('single nucleotide polymorphism', 'Var', (13, 43)) ('autoimmune thyroid diseases', 'Disease', 'MESH:D013967', (175, 202)) ('rs2893321', 'Mutation', 'rs2893321', (50, 59)) ("Graves' disease", 'Phenotype', 'HP:0100647', (155, 170)) ('BAFF', 'Gene', '10673', (67, 71)) ('BAFF', 'Gene', (67, 71)) ("Graves' disease", 'Disease', (155, 170)) ('men', 'Species', '9606', (147, 150)) 12754 31666013 As shown in Table 1, we observed significant differences in genotype frequencies of BAFF rs2893321 between the MG group and the control group (chi2 = 6.088, P = .048). ('rs2893321', 'Mutation', 'rs2893321', (89, 98)) ('rs2893321', 'Var', (89, 98)) ('BAFF', 'Gene', '10673', (84, 88)) ('BAFF', 'Gene', (84, 88)) ('MG', 'Disease', 'MESH:D009157', (111, 113)) 12755 31666013 Frequency of genotype GG in MG patients (18.1%) was significantly elevated compared to control group (10.8%) (P < 0.05). ('MG', 'Disease', 'MESH:D009157', (28, 30)) ('genotype', 'Var', (13, 21)) ('patients', 'Species', '9606', (31, 39)) ('elevated', 'PosReg', (66, 74)) 12757 31666013 As shown in Table 2, rs2893321 genotype frequencies were significantly different between women in the MG group and those in the control group (chi2 = 6.145, P = .046). ('rs2893321', 'Mutation', 'rs2893321', (21, 30)) ('women', 'Species', '9606', (89, 94)) ('MG', 'Disease', 'MESH:D009157', (102, 104)) ('rs2893321', 'Var', (21, 30)) ('different', 'Reg', (71, 80)) 12760 31666013 As shown in Table 3, the rs2893321 genotype frequencies in the EOMG group showed significant differences between the MG and control groups (chi2 = 6.058, P = .048). ('rs2893321', 'Var', (25, 34)) ('rs2893321', 'Mutation', 'rs2893321', (25, 34)) ('MG', 'Disease', 'MESH:D009157', (117, 119)) ('differences', 'Reg', (93, 104)) ('MG', 'Disease', 'MESH:D009157', (65, 67)) 12761 31666013 Frequency of genotype AA in EOMG patients (43.0%) was significantly elevated compared to control group (34.2%) (P < 0.05). ('elevated', 'PosReg', (68, 76)) ('genotype', 'Var', (13, 21)) ('MG', 'Disease', 'MESH:D009157', (30, 32)) ('patients', 'Species', '9606', (33, 41)) 12765 31666013 In the current study, the single nucleotide polymorphism rs2893321 of the BAFF gene was found to be associated with susceptibility to MG in a Chinese Han population. ('susceptibility', 'Reg', (116, 130)) ('MG', 'Disease', 'MESH:D009157', (134, 136)) ('associated', 'Reg', (100, 110)) ('single nucleotide polymorphism rs2893321', 'Var', (26, 66)) ('rs2893321', 'Var', (57, 66)) ('BAFF', 'Gene', '10673', (74, 78)) ('rs2893321', 'Mutation', 'rs2893321', (57, 66)) ('BAFF', 'Gene', (74, 78)) 12768 31666013 No associations were found between the rs2893321 polymorphism and MG patients with or without thymoma or MG patients who were AChR antibody negative or positive. ('MG', 'Disease', 'MESH:D009157', (105, 107)) ('patients', 'Species', '9606', (69, 77)) ('thymoma', 'Disease', (94, 101)) ('thymoma', 'Disease', 'MESH:D013945', (94, 101)) ('rs2893321', 'Var', (39, 48)) ('MG', 'Disease', 'MESH:D009157', (66, 68)) ('patients', 'Species', '9606', (108, 116)) ('rs2893321', 'Mutation', 'rs2893321', (39, 48)) ('thymoma', 'Phenotype', 'HP:0100522', (94, 101)) 12769 31666013 BAFF stimulates the biological functions of B cells, and dysregulation of BAFF can affect the development of MG. ('affect', 'Reg', (83, 89)) ('dysregulation', 'Var', (57, 70)) ('BAFF', 'Gene', '10673', (0, 4)) ('BAFF', 'Gene', (0, 4)) ('stimulates', 'PosReg', (5, 15)) ('MG', 'Disease', 'MESH:D009157', (109, 111)) ('biological functions of B cells', 'CPA', (20, 51)) ('men', 'Species', '9606', (101, 104)) ('BAFF', 'Gene', '10673', (74, 78)) ('BAFF', 'Gene', (74, 78)) 12770 31666013 The genetic variant of BAFF is associated with systemic lupus erythematosus, Graves' disease, chronic lymphocytic leukemia, and other autoimmune diseases. ('autoimmune diseases', 'Disease', (134, 153)) ("Graves' disease", 'Phenotype', 'HP:0100647', (77, 92)) ('chronic lymphocytic leukemia', 'Disease', 'MESH:D015451', (94, 122)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (134, 153)) ("Graves' disease", 'Disease', (77, 92)) ('chronic lymphocytic leukemia', 'Phenotype', 'HP:0005550', (94, 122)) ('leukemia', 'Phenotype', 'HP:0001909', (114, 122)) ('systemic lupus erythematosus', 'Disease', 'MESH:D008180', (47, 75)) ('associated', 'Reg', (31, 41)) ("Graves' disease", 'Disease', 'MESH:D006111', (77, 92)) ('systemic lupus erythematosus', 'Disease', (47, 75)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (134, 153)) ('genetic variant', 'Var', (4, 19)) ('chronic lymphocytic leukemia', 'Disease', (94, 122)) ('BAFF', 'Gene', '10673', (23, 27)) ('BAFF', 'Gene', (23, 27)) ('systemic lupus erythematosus', 'Phenotype', 'HP:0002725', (47, 75)) 12771 31666013 However, no study has investigated the connection between BAFF polymorphisms and MG. ('BAFF', 'Gene', '10673', (58, 62)) ('BAFF', 'Gene', (58, 62)) ('MG', 'Disease', 'MESH:D009157', (81, 83)) ('polymorphisms', 'Var', (63, 76)) 12772 31666013 In our study, the results demonstrated that the frequencies of the AA genotype of rs2893321 were significantly higher in patients with MG than in the healthy controls, which suggests that rs2893321 might be associated with MG susceptibility in this ethnic Chinese Han population. ('rs2893321', 'Mutation', 'rs2893321', (188, 197)) ('rs2893321', 'Gene', (82, 91)) ('MG', 'Disease', 'MESH:D009157', (135, 137)) ('MG', 'Disease', 'MESH:D009157', (223, 225)) ('associated', 'Reg', (207, 217)) ('higher', 'PosReg', (111, 117)) ('rs2893321', 'Mutation', 'rs2893321', (82, 91)) ('rs2893321', 'Var', (188, 197)) ('patients', 'Species', '9606', (121, 129)) 12774 31666013 In this study, rs2893321 was found to be closely associated with MG patients who were younger than 50 years and female. ('associated', 'Reg', (49, 59)) ('rs2893321', 'Var', (15, 24)) ('patients', 'Species', '9606', (68, 76)) ('rs2893321', 'Mutation', 'rs2893321', (15, 24)) ('MG', 'Disease', 'MESH:D009157', (65, 67)) 12776 31666013 Additionally, no significant differences in genotype or allele frequency of rs2893321 were observed among MG patients with or without thymoma or MG patients who were AChR antibody positive and negative. ('MG', 'Disease', 'MESH:D009157', (145, 147)) ('patients', 'Species', '9606', (148, 156)) ('thymoma', 'Disease', (134, 141)) ('patients', 'Species', '9606', (109, 117)) ('rs2893321', 'Var', (76, 85)) ('thymoma', 'Phenotype', 'HP:0100522', (134, 141)) ('rs2893321', 'Mutation', 'rs2893321', (76, 85)) ('MG', 'Disease', 'MESH:D009157', (106, 108)) ('thymoma', 'Disease', 'MESH:D013945', (134, 141)) 12780 31666013 Our study indicated the genotype frequency of rs2893321 was different in EOMG patients compared with healthy control, which suggested rs2893321 in BAFF might be a susceptible genetic variant in EOMG patients. ('BAFF', 'Gene', '10673', (147, 151)) ('BAFF', 'Gene', (147, 151)) ('rs2893321', 'Var', (46, 55)) ('MG', 'Disease', 'MESH:D009157', (75, 77)) ('patients', 'Species', '9606', (78, 86)) ('rs2893321', 'Var', (134, 143)) ('rs2893321', 'Mutation', 'rs2893321', (46, 55)) ('MG', 'Disease', 'MESH:D009157', (196, 198)) ('patients', 'Species', '9606', (199, 207)) ('rs2893321', 'Mutation', 'rs2893321', (134, 143)) 12787 31666013 These results suggest that sex hormones affected BAFF gene expression and that the genetic variant of rs2893321 in BAFF was significantly associated with susceptibility to MG in women. ('rs2893321', 'Mutation', 'rs2893321', (102, 111)) ('susceptibility', 'Reg', (154, 168)) ('BAFF', 'Gene', '10673', (49, 53)) ('BAFF', 'Gene', (49, 53)) ('associated', 'Reg', (138, 148)) ('expression', 'MPA', (59, 69)) ('rs2893321', 'Var', (102, 111)) ('BAFF', 'Gene', (115, 119)) ('women', 'Species', '9606', (178, 183)) ('MG', 'Disease', 'MESH:D009157', (172, 174)) ('BAFF', 'Gene', '10673', (115, 119)) 12788 31666013 This study demonstrate the association between BAFF polymorphisms and MG. ('BAFF', 'Gene', (47, 51)) ('MG', 'Disease', 'MESH:D009157', (70, 72)) ('BAFF', 'Gene', '10673', (47, 51)) ('polymorphisms', 'Var', (52, 65)) 12789 31666013 In a Chinese Han population, rs2893321 was found to be associated with MG susceptibility, specifically in women with the condition and in patients who were younger than 50 years. ('MG', 'Disease', 'MESH:D009157', (71, 73)) ('associated', 'Reg', (55, 65)) ('rs2893321', 'Var', (29, 38)) ('women', 'Species', '9606', (106, 111)) ('rs2893321', 'Mutation', 'rs2893321', (29, 38)) ('patients', 'Species', '9606', (138, 146)) 12926 29945642 Slides were preincubated in 20% normal goat serum, and then incubated with antibodies against pan-cytokeratin (AE1/AE3; 1:100; Dako, Carpinteria, CA), CK5/6(1:50, Dako, Carpinteria, CA), p63 (1:50; Dako, Carpinteria, CA), TdT (1:100, Dako, Carpinteria, CA), CD20(1:50, Dako, Carpinteria, CA), CD117(1:200; Dako, Carpinteria, CA) and CD5 (1:20; Thermo Fisher Scientific, Fremont, CA). ('AE1/AE3', 'Gene', (111, 118)) ('CD5', 'Gene', '921', (333, 336)) ('p63', 'Gene', '8626', (187, 190)) ('CK5/6(1:50', 'Gene', '3852', (151, 161)) ('AE1/AE3', 'Gene', '6521;6508', (111, 118)) ('goat', 'Species', '9925', (39, 43)) ('CD117', 'Gene', '3815', (293, 298)) ('CD20', 'Gene', '54474', (258, 262)) ('CD20', 'Gene', (258, 262)) ('CD117', 'Gene', (293, 298)) ('p63', 'Gene', (187, 190)) ('TdT', 'Gene', (222, 225)) ('1:100', 'Var', (227, 232)) ('CD5', 'Gene', (333, 336)) ('TdT', 'Gene', '1791', (222, 225)) 12998 29945642 demonstrated that the immunohistochemistry was also in accordance with this hypothesis, the epithelial lining of Hassall corpuscles and MTCs showed similar staining for AE1/AE3, CK13, p63, CK5/6 and D2-40. ('CK5/6', 'Gene', (189, 194)) ('AE1/AE3', 'Gene', (169, 176)) ('D2-40', 'Var', (199, 204)) ('MTC', 'Gene', (136, 139)) ('p63', 'Gene', '8626', (184, 187)) ('AE1/AE3', 'Gene', '6521;6508', (169, 176)) ('CK13', 'Gene', '3860', (178, 182)) ('CK13', 'Gene', (178, 182)) ('p63', 'Gene', (184, 187)) ('CK5/6', 'Gene', '3852', (189, 194)) ('MTC', 'Gene', '4489', (136, 139)) 13066 28458876 Multiple endocrine neoplasia type 1 (MEN 1) is an autosomal dominant tumor syndrome arising from mutations of the MEN 1 tumor suppressor gene on chromosome 11q13. ('mutations', 'Var', (97, 106)) ('tumor', 'Phenotype', 'HP:0002664', (69, 74)) ('autosomal dominant tumor syndrome', 'Disease', (50, 83)) ('MEN 1', 'Gene', (114, 119)) ('MEN 1', 'Gene', '4221', (114, 119)) ('tumor', 'Disease', (69, 74)) ('Multiple endocrine neoplasia type 1', 'Gene', (0, 35)) ('endocrine neoplasia', 'Phenotype', 'HP:0100568', (9, 28)) ('Multiple endocrine neoplasia type 1', 'Gene', '4221', (0, 35)) ('MEN 1', 'Gene', (37, 42)) ('tumor', 'Disease', 'MESH:D009369', (120, 125)) ('MEN 1', 'Gene', '4221', (37, 42)) ('neoplasia', 'Phenotype', 'HP:0002664', (19, 28)) ('tumor', 'Phenotype', 'HP:0002664', (120, 125)) ('autosomal dominant tumor syndrome', 'Disease', 'MESH:D030342', (50, 83)) ('tumor', 'Disease', 'MESH:D009369', (69, 74)) ('tumor', 'Disease', (120, 125)) 13097 28458876 examined possible genotype-phenotype correlation in thymic carcinoid from MEN 1 and reported a high prevalence of truncating MEN 1 mutation in patients with thymic carcinoid. ('carcinoid', 'Phenotype', 'HP:0100570', (59, 68)) ('truncating', 'MPA', (114, 124)) ('carcinoid', 'Phenotype', 'HP:0100570', (164, 173)) ('MEN 1', 'Gene', (125, 130)) ('MEN 1', 'Gene', '4221', (125, 130)) ('MEN 1', 'Gene', (74, 79)) ('MEN 1', 'Gene', '4221', (74, 79)) ('patients', 'Species', '9606', (143, 151)) ('mutation', 'Var', (131, 139)) 13161 20573206 Any errors occurring during this process can cause dissemination of aberrant nodules that are responsible for most atypical thymomas. ('atypical thymomas', 'Disease', 'MESH:D013945', (115, 132)) ('errors', 'Var', (4, 10)) ('dissemination', 'MPA', (51, 64)) ('atypical thymomas', 'Disease', (115, 132)) ('cause', 'Reg', (45, 50)) ('thymoma', 'Phenotype', 'HP:0100522', (124, 131)) 13164 20573206 It also confirmed the presence of CD3+, CD5+ T lymphocytes and the absence of immature T-lymphocyte markers. ('CD5', 'Gene', '921', (40, 43)) ('CD5', 'Gene', (40, 43)) ('CD3+', 'Var', (34, 38)) 13167 20573206 Any errors occurring during this phase can cause dissemination of aberrant nodules that are responsible for most uncommon thymomas. ('errors', 'Var', (4, 10)) ('cause', 'Reg', (43, 48)) ('thymomas', 'Disease', 'MESH:D013945', (122, 130)) ('dissemination', 'MPA', (49, 62)) ('thymoma', 'Phenotype', 'HP:0100522', (122, 129)) ('thymomas', 'Disease', (122, 130)) 13226 27802446 Overall distributions of HLA-B*61 and C*05 were more frequent in MG patients (7.4 vs. 2.0% and 14.8 vs. 6.8%, respectively) than in non-MG patients. ('MG', 'Disease', 'MESH:D000080343', (136, 138)) ('HLA-B', 'Gene', '3106', (25, 30)) ('patients', 'Species', '9606', (139, 147)) ('HLA-B', 'Gene', (25, 30)) ('patients', 'Species', '9606', (68, 76)) ('C*05', 'Var', (38, 42)) ('MG', 'Disease', 'MESH:D000080343', (65, 67)) 13228 27802446 In patients seropositive for anti-AchR antibodies, the frequencies of HLA-B*50 and C*05 were higher. ('higher', 'PosReg', (93, 99)) ('HLA-B', 'Gene', '3106', (70, 75)) ('HLA-B', 'Gene', (70, 75)) ('anti-AchR antibodies', 'Protein', (29, 49)) ('patients', 'Species', '9606', (3, 11)) ('C*05', 'Var', (83, 87)) 13230 27802446 In addition, HLA-A*01, A*31, B*08, and DRB1*14 were higher among patients with thymic hyperplasia, whereas DQB1*03 was lower. ('A*31', 'Var', (23, 27)) ('thymic hyperplasia', 'Disease', (79, 97)) ('thymic hyperplasia', 'Phenotype', 'HP:0010516', (79, 97)) ('DQB1', 'Gene', (107, 111)) ('HLA-A', 'Gene', '3105', (13, 18)) ('B*08', 'Var', (29, 33)) ('thymic hyperplasia', 'Disease', 'MESH:D013952', (79, 97)) ('DRB1', 'Gene', '3123', (39, 43)) ('HLA-A', 'Gene', (13, 18)) ('DRB1', 'Gene', (39, 43)) ('higher', 'PosReg', (52, 58)) ('patients', 'Species', '9606', (65, 73)) ('DQB1', 'Gene', '3119', (107, 111)) 13283 27802446 The overall distribution of HLA alleles B*61 and C*05 was more frequent in MG patients (Table 2); however, these differences lost significance after correction of the p values (Pc = 1.248 and Pc = 0.936, respectively). ('B*61', 'Var', (40, 44)) ('patients', 'Species', '9606', (78, 86)) ('HLA', 'Gene', '3117', (28, 31)) ('C*05', 'Var', (49, 53)) ('HLA', 'Gene', (28, 31)) ('MG', 'Disease', 'MESH:D000080343', (75, 77)) 13289 27802446 In the present study, the frequencies of HLA-B*61 and C*05 were higher in the MG patients than in the controls. ('MG', 'Disease', 'MESH:D000080343', (78, 80)) ('HLA-B', 'Gene', (41, 46)) ('C*05', 'Var', (54, 58)) ('higher', 'PosReg', (64, 70)) ('HLA-B', 'Gene', '3106', (41, 46)) ('patients', 'Species', '9606', (81, 89)) 13300 27802446 In the present study, both the patients with ocular weakness at disease onset and those seropositive for anti-AchR antibodies had significantly higher frequencies of HLA-B*50 and C*05 alleles than did the controls, but all of these differences lost significance after correction for multiple comparisons. ('ocular weakness at disease', 'Disease', 'MESH:D018908', (45, 71)) ('HLA-B', 'Gene', '3106', (166, 171)) ('ocular weakness at disease', 'Disease', (45, 71)) ('HLA-B', 'Gene', (166, 171)) ('anti-AchR', 'Gene', (105, 114)) ('higher', 'PosReg', (144, 150)) ('patients', 'Species', '9606', (31, 39)) ('antibodies', 'Var', (115, 125)) 13308 27802446 reported that the TNF-2 polymorphism at the TNF-308 promoter position was associated with HLA-B*50, and among HLA-B*50-positive individuals TNF-2 was strongly correlated with ocular Behcet's disease. ('TNF', 'Gene', '7124', (44, 47)) ('polymorphism', 'Var', (24, 36)) ('TNF', 'Gene', (18, 21)) ('HLA-B', 'Gene', (90, 95)) ('HLA-B', 'Gene', (110, 115)) ('TNF', 'Gene', '7124', (140, 143)) ('HLA-B', 'Gene', '3106', (90, 95)) ('HLA-B', 'Gene', '3106', (110, 115)) ("ocular Behcet's disease", 'Disease', (175, 198)) ('correlated with', 'Reg', (159, 174)) ('TNF', 'Gene', '7124', (18, 21)) ('TNF', 'Gene', (44, 47)) ('associated', 'Reg', (74, 84)) ('TNF', 'Gene', (140, 143)) 13314 27802446 In the other study of Turkish patients with MG, the higher frequencies of the HLA alleles A*02, B*8, and DRB1*03 were associated with EOMG. ('MG', 'Disease', 'MESH:D000080343', (136, 138)) ('MG', 'Disease', 'MESH:D000080343', (44, 46)) ('HLA', 'Gene', '3117', (78, 81)) ('B*8', 'Var', (96, 99)) ('DRB1', 'Gene', (105, 109)) ('DRB1', 'Gene', '3123', (105, 109)) ('HLA', 'Gene', (78, 81)) ('patients', 'Species', '9606', (30, 38)) ('EOMG', 'Chemical', '-', (134, 138)) ('associated with', 'Reg', (118, 133)) ('A*02', 'Var', (90, 94)) 13402 33767014 Although most reports suggested no difference between total thymectomy and partial thymectomy, multi-institutional studies with large numbers of patients revealed a higher local recurrence rate after partial thymectomy, particularly for stage II disease, which is difficult (if not impossible) to assess preoperatively. ('patients', 'Species', '9606', (145, 153)) ('stage II disease', 'Disease', 'MESH:D058625', (237, 253)) ('stage II disease', 'Disease', (237, 253)) ('partial thymectomy', 'Var', (200, 218)) ('local recurrence', 'CPA', (172, 188)) 13471 28449028 Masaoka-Koga Stage III-IV, incomplete resection and non-thymoma histology were identified to have a significant impact on increasing recurrences and worsening survival in an ESTS cohort study (2030 patients). ('survival', 'MPA', (159, 167)) ('non-thymoma', 'Disease', 'MESH:D013945', (52, 63)) ('increasing', 'PosReg', (122, 132)) ('recurrences', 'CPA', (133, 144)) ('incomplete resection', 'Var', (27, 47)) ('worsening', 'NegReg', (149, 158)) ('non-thymoma', 'Disease', (52, 63)) ('thymoma', 'Phenotype', 'HP:0100522', (56, 63)) 13504 27123063 Furthermore, DLET and one-lung ventilation may result in a variety of complications, including hoarseness, hypoxaemia, tracheobronchial injury, vocal cord injury and re-expansion or oxidative stress. ('DLET', 'Var', (13, 17)) ('tracheobronchial injury', 'Disease', (119, 142)) ('hoarseness', 'Phenotype', 'HP:0001609', (95, 105)) ('vocal cord injury', 'Disease', (144, 161)) ('oxidative stress', 'Disease', (182, 198)) ('tracheobronchial injury', 'Disease', 'MESH:C566362', (119, 142)) ('oxidative stress', 'Phenotype', 'HP:0025464', (182, 198)) ('lung ventilation', 'Phenotype', 'HP:0002107', (26, 42)) ('result in', 'Reg', (47, 56)) ('hypoxaemia', 'Disease', 'MESH:D000860', (107, 117)) ('hoarseness', 'Disease', (95, 105)) ('hypoxaemia', 'Disease', (107, 117)) ('re-expansion', 'Disease', (166, 178)) ('vocal cord injury', 'Disease', 'MESH:D014826', (144, 161)) 13507 27123063 In addition, the artificial pneumothorax with CO2 insufflation may result in deteriorative changes, such as circulatory failure, ventricular arrhythmias and contralateral pneumothorax. ('result', 'Reg', (67, 73)) ('contralateral pneumothorax', 'Disease', (157, 183)) ('ventricular arrhythmias', 'Disease', 'MESH:D001145', (129, 152)) ('circulatory failure', 'Disease', 'MESH:D012769', (108, 127)) ('ventricular arrhythmias', 'Phenotype', 'HP:0004308', (129, 152)) ('arrhythmias', 'Phenotype', 'HP:0011675', (141, 152)) ('pneumothorax', 'Phenotype', 'HP:0002107', (28, 40)) ('insufflation', 'Disease', (50, 62)) ('CO2', 'Var', (46, 49)) ('ventricular arrhythmias', 'Disease', (129, 152)) ('artificial pneumothorax', 'Disease', (17, 40)) ('circulatory failure', 'Disease', (108, 127)) ('insufflation', 'Disease', 'None', (50, 62)) ('pneumothorax', 'Phenotype', 'HP:0002107', (171, 183)) ('CO2', 'Chemical', 'MESH:D002245', (46, 49)) ('deteriorative', 'MPA', (77, 90)) 13517 26193470 We compared the PDT lung cancer patients with those receiving chemotherapy or target therapy (n = 51) and found that the PDT group had better survival than non-PDT patients (mean survival time: 39.0 versus 17.6 months; P = .047). ('survival', 'MPA', (142, 150)) ('patients', 'Species', '9606', (32, 40)) ('cancer', 'Phenotype', 'HP:0002664', (25, 31)) ('PDT lung cancer', 'Disease', 'MESH:D008175', (16, 31)) ('lung cancer', 'Phenotype', 'HP:0100526', (20, 31)) ('PDT', 'Var', (121, 124)) ('better', 'PosReg', (135, 141)) ('patients', 'Species', '9606', (164, 172)) ('PDT lung cancer', 'Disease', (16, 31)) 13612 31700740 Negative selection ensures T-cell non-reactivity to self-antigens, thereby preventing development of autoimmunity. ('autoimmunity', 'Disease', (101, 113)) ('T-cell', 'CPA', (27, 33)) ('autoimmunity', 'Disease', 'MESH:D001327', (101, 113)) ('Negative selection', 'Var', (0, 18)) ('preventing', 'NegReg', (75, 85)) ('autoimmunity', 'Phenotype', 'HP:0002960', (101, 113)) 13704 31473641 Historically, neurologic symptoms found in the setting of positive antibodies to CASPR2 receptor or LGI1 were considered to be part of the 'classical' syndrome highly suggestive of limbic encephalitis. ('encephalitis', 'Phenotype', 'HP:0002383', (188, 200)) ('CASPR2', 'Gene', (81, 87)) ('LGI1', 'Gene', '9211', (100, 104)) ('LGI1', 'Gene', (100, 104)) ('CASPR2', 'Gene', '26047', (81, 87)) ('encephalitis', 'Disease', 'MESH:D004660', (188, 200)) ('encephalitis', 'Disease', (188, 200)) ('antibodies', 'Var', (67, 77)) 13713 31473641 Prior literature reported association between limbic encephalitis due to thymoma and VGKC antibodies, but as more case reports come forth, the list of 'responsible' autoantibodies has continually developed to include even more different biomarkers, as evidenced by the extensive list of antibodies tested in the expanded autoimmune encephalitis panel both in the serum and CSF for this patient. ('encephalitis', 'Disease', 'MESH:D004660', (332, 344)) ('thymoma', 'Phenotype', 'HP:0100522', (73, 80)) ('encephalitis', 'Disease', (332, 344)) ('encephalitis', 'Phenotype', 'HP:0002383', (53, 65)) ('VGKC', 'Gene', (85, 89)) ('autoimmune encephalitis', 'Disease', 'MESH:C535841', (321, 344)) ('patient', 'Species', '9606', (386, 393)) ('encephalitis', 'Phenotype', 'HP:0002383', (332, 344)) ('autoimmune encephalitis', 'Disease', (321, 344)) ('encephalitis', 'Disease', (53, 65)) ('thymoma', 'Disease', 'MESH:D013945', (73, 80)) ('thymoma', 'Disease', (73, 80)) ('encephalitis', 'Disease', 'MESH:D004660', (53, 65)) ('antibodies', 'Var', (90, 100)) ('association', 'Interaction', (26, 37)) 13738 28180106 The clinical diagnosis was cT1aN0M0 primary lung cancer of the salivary gland type or a spindle cell tumor showing epithelial differentiation; subsequently, thoracoscopic RUL lobectomy and mediastinal lymph node dissection were performed. ('lung cancer', 'Phenotype', 'HP:0100526', (44, 55)) ('primary lung cancer', 'Disease', (36, 55)) ('cancer', 'Phenotype', 'HP:0002664', (49, 55)) ('cT1aN0M0', 'Var', (27, 35)) ('tumor', 'Disease', (101, 106)) ('primary lung cancer', 'Disease', 'MESH:D008175', (36, 55)) ('tumor', 'Phenotype', 'HP:0002664', (101, 106)) ('tumor', 'Disease', 'MESH:D009369', (101, 106)) 13847 21139832 Immunohistochemically, a Pan-CK and CK19 expression could be identified (Figure 4B) as well as a concomitant infiltrate of partly CD3-positive lymphocytes (Figure 4C). ('CK19', 'Gene', '3880', (36, 40)) ('CK19', 'Gene', (36, 40)) ('Pan-CK', 'Var', (25, 31)) 13885 32569233 Thymic pathological changes can activate the autoimmune response towards acetylcholine receptor, whereas thymusectomy will reduce the sources of abnormal immunity. ('acetylcholine', 'Chemical', 'MESH:D000109', (73, 86)) ('autoimmune response', 'Phenotype', 'HP:0002960', (45, 64)) ('Thymic', 'Disease', (0, 6)) ('sources of abnormal immunity', 'MPA', (134, 162)) ('reduce', 'NegReg', (123, 129)) ('autoimmune response towards acetylcholine receptor', 'MPA', (45, 95)) ('activate', 'PosReg', (32, 40)) ('changes', 'Var', (20, 27)) ('pathological changes', 'Var', (7, 27)) 13896 32569233 Patients will be included when meet the following items: onset within 5 years; age 18 to 65 years; acetylcholine-receptor-antibody level over 1.00 nmol/L or 0.50 to 0.99 nmol/L if edrophonium test is positive, repetitive nerve stimulation or single-fiber electromyography is abnormal; fit the MG recommendations for clinical research standards of II to IV. ('0.50', 'Var', (157, 161)) ('edrophonium', 'Chemical', 'MESH:D004491', (180, 191)) ('acetylcholine-receptor-antibody level', 'Phenotype', 'HP:0030208', (99, 136)) ('Patients', 'Species', '9606', (0, 8)) ('acetylcholine-receptor-antibody level', 'MPA', (99, 136)) ('acetylcholine', 'Chemical', 'MESH:D000109', (99, 112)) 13913 29850635 Aberrant Peripheral Immune Function in a Good Syndrome Patient Good's syndrome (GS) is often accompanied by recurrent respiratory infections and chronic diarrhea. ('diarrhea', 'Disease', (153, 161)) ('chronic diarrhea', 'Phenotype', 'HP:0002028', (145, 161)) ('respiratory infections', 'Disease', (118, 140)) ('Aberrant', 'Var', (0, 8)) ("Good's syndrome", 'Disease', (63, 78)) ('GS', 'Disease', 'MESH:D011125', (80, 82)) ('recurrent respiratory infection', 'Phenotype', 'HP:0002205', (108, 139)) ('accompanied', 'Reg', (93, 104)) ('respiratory infections', 'Phenotype', 'HP:0011947', (118, 140)) ('respiratory infections', 'Disease', 'MESH:D012131', (118, 140)) ('recurrent respiratory infections', 'Phenotype', 'HP:0002205', (108, 140)) ('respiratory infection', 'Phenotype', 'HP:0011947', (118, 139)) ("Good's syndrome", 'Disease', 'MESH:D010300', (63, 78)) ('diarrhea', 'Phenotype', 'HP:0002014', (153, 161)) ('diarrhea', 'Disease', 'MESH:D003967', (153, 161)) 13941 29850635 PBMCs (1 x 106) isolated from the GS patient and healthy donors were labeled with CFSE (0.5 muM; Invitrogen) and incubated with anti-CD3 (2 mug/mL) and anti-CD28 (2 mug/mL) (eBioscience, San Diego, CA, USA) at 37 C incubator for 5 days. ('GS', 'Disease', 'MESH:D011125', (34, 36)) ('anti-CD28', 'Var', (152, 161)) ('patient', 'Species', '9606', (37, 44)) ('anti-CD3', 'Var', (128, 136)) 13965 29850635 Accordingly, the percentage of Vdelta1 T cells in this patient was higher than that in the HCs (43.9% versus 19.12 +- 17.20%) (Figure 2(c)). ('HCs', 'Chemical', '-', (91, 94)) ('higher', 'PosReg', (67, 73)) ('patient', 'Species', '9606', (55, 62)) ('Vdelta1', 'Var', (31, 38)) 13999 29850635 We separately measured the IL-17A produced by CD4+ T cells, CD8+ T cells, and gammadeltaT cells but did not detect any obvious differences between the cells from our GS patient and those from HCs. ('IL-17A', 'Gene', (27, 33)) ('HCs', 'Chemical', '-', (192, 195)) ('CD8', 'Gene', '925', (60, 63)) ('GS', 'Disease', 'MESH:D011125', (166, 168)) ('IL-17A', 'Gene', '3605', (27, 33)) ('patient', 'Species', '9606', (169, 176)) ('CD4+ T', 'Var', (46, 52)) ('CD8', 'Gene', (60, 63)) 14118 17261634 The number of OT1-GFP cells infiltrating EG7 was, as expected, higher than the number infiltrating EL4, especially at day 6 after adoptive transfer (327 +- 50 cells/mm2 versus 27 +- 2 cells/mm2) (Fig. ('EL4', 'Gene', '111979', (99, 102)) ('EG7', 'Var', (41, 44)) ('rat', 'Species', '10116', (92, 95)) ('rat', 'Species', '10116', (34, 37)) ('higher', 'PosReg', (63, 69)) ('EL4', 'Gene', (99, 102)) 14129 17261634 As shown in Videos S1 and S2 (available at http://www.jem.org/cgi/content/full/jem.20061890/DC1), during the early phase of rejection OT1-GFP moved actively in EL4 tumors but had reduced motility in EG7 tumors. ('tumor', 'Phenotype', 'HP:0002664', (203, 208)) ('OT1-GFP', 'Var', (134, 141)) ('tumors', 'Disease', (203, 209)) ('tumors', 'Disease', (164, 170)) ('tumors', 'Disease', 'MESH:D009369', (203, 209)) ('EG7 tumors', 'Disease', (199, 209)) ('tumors', 'Disease', 'MESH:D009369', (164, 170)) ('tumors', 'Phenotype', 'HP:0002664', (164, 170)) ('tumors', 'Phenotype', 'HP:0002664', (203, 209)) ('EG7 tumors', 'Disease', 'MESH:D009369', (199, 209)) ('motility', 'MPA', (187, 195)) ('EL4', 'Gene', '111979', (160, 163)) ('tumor', 'Phenotype', 'HP:0002664', (164, 169)) ('reduced', 'NegReg', (179, 186)) ('EL4', 'Gene', (160, 163)) 14133 17261634 The migration trajectories were more restrained in the EG7 compared with the EL4 tumors (confinement ratios of 0.4 +- 0.2 versus 0.6 +- 0.2). ('EL4', 'Gene', (77, 80)) ('tumors', 'Disease', (81, 87)) ('tumors', 'Disease', 'MESH:D009369', (81, 87)) ('rat', 'Species', '10116', (101, 104)) ('restrained', 'NegReg', (37, 47)) ('migration trajectories', 'CPA', (4, 26)) ('rat', 'Species', '10116', (7, 10)) ('EG7', 'Var', (55, 58)) ('tumor', 'Phenotype', 'HP:0002664', (81, 86)) ('EL4', 'Gene', '111979', (77, 80)) ('tumors', 'Phenotype', 'HP:0002664', (81, 87)) 14134 17261634 Consistently, the arrest coefficient was higher in EG7 (33 +- 17%) than in EL4 (13 +- 17%) tumors. ('tumors', 'Disease', (91, 97)) ('tumors', 'Disease', 'MESH:D009369', (91, 97)) ('tumors', 'Phenotype', 'HP:0002664', (91, 97)) ('EG7', 'Var', (51, 54)) ('tumor', 'Phenotype', 'HP:0002664', (91, 96)) ('higher', 'PosReg', (41, 47)) ('EL4', 'Gene', (75, 78)) ('EL4', 'Gene', '111979', (75, 78)) ('arrest coefficient', 'MPA', (18, 36)) 14140 17261634 The GFP-expressing tumors behaved like their GFP-negative counterparts in terms of tumor growth and rejection after transfer of OT1 cells. ('tumors', 'Disease', (19, 25)) ('tumors', 'Disease', 'MESH:D009369', (19, 25)) ('tumor', 'Phenotype', 'HP:0002664', (83, 88)) ('tumor', 'Disease', 'MESH:D009369', (19, 24)) ('tumor', 'Disease', (83, 88)) ('rejection', 'CPA', (100, 109)) ('tumor', 'Phenotype', 'HP:0002664', (19, 24)) ('GFP-expressing', 'Var', (4, 18)) ('tumor', 'Disease', (19, 24)) ('tumors', 'Phenotype', 'HP:0002664', (19, 25)) ('tumor', 'Disease', 'MESH:D009369', (83, 88)) 14141 17261634 During the early phase of tumor rejection, tumor cells formed a dense network of bright living cells in both EL4-GFP and EG7-GFP tumors, similar to that observed in the absence of OT1 cells (Fig. ('EG7-GFP', 'Var', (121, 128)) ('EL4', 'Gene', (109, 112)) ('tumors', 'Disease', (129, 135)) ('tumors', 'Disease', 'MESH:D009369', (129, 135)) ('tumors', 'Phenotype', 'HP:0002664', (129, 135)) ('tumor', 'Disease', 'MESH:D009369', (26, 31)) ('tumor', 'Disease', 'MESH:D009369', (43, 48)) ('tumor', 'Disease', 'MESH:D009369', (129, 134)) ('tumor', 'Phenotype', 'HP:0002664', (129, 134)) ('tumor', 'Phenotype', 'HP:0002664', (43, 48)) ('tumor', 'Disease', (26, 31)) ('tumor', 'Phenotype', 'HP:0002664', (26, 31)) ('tumor', 'Disease', (129, 134)) ('tumor', 'Disease', (43, 48)) ('EL4', 'Gene', '111979', (109, 112)) 14260 17261634 Cell suspensions were prepared in PBS 0.5% BSA, and cells were labeled with anti-CD69-biotin followed by streptavidin-PercP-Cy5.5, anti-CD62L-allophycocyanin, anti-CD44-PE, or anti-Vbeta5-PE (Becton Dickinson). ('CD62L', 'Gene', (136, 141)) ('PercP-Cy5', 'Chemical', '-', (118, 127)) ('CD69', 'Gene', (81, 85)) ('CD62L', 'Gene', '6402', (136, 141)) ('PBS', 'Chemical', 'MESH:D007854', (34, 37)) ('CD44', 'Gene', '960', (164, 168)) ('anti-Vbeta5-PE', 'Var', (176, 190)) ('CD44', 'Gene', (164, 168)) ('CD69', 'Gene', '969', (81, 85)) 14309 31516798 This disease is mediated by the anti-acetylcholine receptor (ACh) antibody (Ab) or rarely by muscle-specific tyrosine kinase (MuSK) Ab, lipoprotein-related protein 4 (LRP4), or agrin. ('LRP4', 'Gene', '4038', (167, 171)) ('mediated', 'Reg', (16, 24)) ('lipoprotein-related protein 4', 'Gene', (136, 165)) ('MuSK', 'Gene', '4593', (126, 130)) ('anti-acetylcholine', 'Var', (32, 50)) ('muscle-specific tyrosine kinase', 'Gene', (93, 124)) ('MuSK', 'Gene', (126, 130)) ('muscle-specific tyrosine kinase', 'Gene', '4593', (93, 124)) ('agrin', 'Gene', '375790', (177, 182)) ('LRP4', 'Gene', (167, 171)) ('lipoprotein-related protein 4', 'Gene', '4038', (136, 165)) ('agrin', 'Gene', (177, 182)) 14386 25890208 Previous series studies revealed intraoperative adhesion of noninvasive thymomas had a significantly higher recurrent rate. ('higher', 'PosReg', (101, 107)) ('thymomas', 'Disease', (72, 80)) ('noninvasive', 'Disease', (60, 71)) ('recurrent rate', 'CPA', (108, 122)) ('thymomas', 'Disease', 'MESH:D013945', (72, 80)) ('thymoma', 'Phenotype', 'HP:0100522', (72, 79)) ('adhesion', 'Var', (48, 56)) 14395 19449311 We have previously demonstrated that on double positive (DP) thymocytes the ligation of CD8 in the absence of TCR engagement results in apoptosis and have postulated this is a mechanism to remove thymocytes that have failed positive selection. ('CD8', 'Gene', '925', (88, 91)) ('apoptosis', 'CPA', (136, 145)) ('rat', 'Species', '10116', (26, 29)) ('ligation', 'Var', (76, 84)) ('results in', 'Reg', (125, 135)) ('DP', 'Chemical', '-', (57, 59)) ('CD8', 'Gene', (88, 91)) 14398 19449311 Decreasing LAT expression and mutation of tyrosine residues of LAT reduced apoptosis upon crosslinking of CD8. ('mutation of tyrosine residues', 'Var', (30, 59)) ('Decreasing', 'NegReg', (0, 10)) ('CD8', 'Gene', (106, 109)) ('apoptosis', 'CPA', (75, 84)) ('CD8', 'Gene', '925', (106, 109)) ('LAT', 'Gene', (63, 66)) ('reduced', 'NegReg', (67, 74)) ('expression', 'MPA', (15, 25)) ('LAT', 'Protein', (11, 14)) ('tyrosine', 'Chemical', 'MESH:D014443', (42, 50)) 14399 19449311 Our results identify novel functions for both CD8 and LAT that are independent of TCR signal transduction and suggest a mechanism for signal transduction leading to apoptosis upon CD8 crosslinking. ('CD8', 'Gene', '925', (46, 49)) ('apoptosis', 'CPA', (165, 174)) ('leading to', 'Reg', (154, 164)) ('crosslinking', 'Var', (184, 196)) ('CD8', 'Gene', (46, 49)) ('CD8', 'Gene', (180, 183)) ('CD8', 'Gene', '925', (180, 183)) 14402 19449311 Apoptosis of thymocytes can also be triggered by corticosteroids or by ligation of CD24, CD45, or Thy-1, however the role of these events in thymic selection is yet to be established.. We have previously described a novel mechanism for apoptosis of immature DP thymocytes through the ligation of CD8. ('apoptosis', 'CPA', (236, 245)) ('ligation', 'Var', (284, 292)) ('Thy-1', 'Gene', (98, 103)) ('DP', 'Chemical', '-', (258, 260)) ('CD8', 'Gene', (296, 299)) ('Thy-1', 'Gene', '21838', (98, 103)) ('CD8', 'Gene', '925', (296, 299)) ('CD24', 'Gene', (83, 87)) ('CD45', 'Gene', '19264', (89, 93)) ('CD24', 'Gene', '12484', (83, 87)) ('CD45', 'Gene', (89, 93)) 14406 19449311 The ligation of CD8, in the absence of TCR engagement, results in apoptosis of a proportion of DP thymocytes and we hypothesize that this maybe a mechanism to remove DP thymocytes that have failed positive selection. ('results in', 'Reg', (55, 65)) ('DP', 'Chemical', '-', (95, 97)) ('ligation', 'Var', (4, 12)) ('apoptosis', 'CPA', (66, 75)) ('DP', 'Chemical', '-', (166, 168)) ('CD8', 'Gene', (16, 19)) ('CD8', 'Gene', '925', (16, 19)) 14411 19449311 CD8beta is palmitoylated on a cysteine residue in its cytoplasmic tail and partitions CD8 heterodimers into lipid rafts. ('CD8', 'Gene', (86, 89)) ('CD8', 'Gene', (0, 3)) ('cysteine', 'Chemical', 'MESH:D003545', (30, 38)) ('lipid', 'Chemical', 'MESH:D008055', (108, 113)) ('CD8', 'Gene', '925', (0, 3)) ('CD8', 'Gene', '925', (86, 89)) ('CD8beta', 'Gene', (0, 7)) ('CD8beta', 'Gene', '12526', (0, 7)) ('partitions', 'MPA', (75, 85)) ('palmitoylated', 'Var', (11, 24)) 14420 19449311 Only the five C-terminal tyrosines (Y127, Y132, Y171, Y191 and Y226) undergo detectable phosphorylation upon TCR engagement. ('Y226', 'Var', (63, 67)) ('phosphorylation', 'MPA', (88, 103)) ('Y132', 'Var', (42, 46)) ('Y127', 'Var', (36, 40)) ('tyrosines', 'Chemical', 'MESH:D014443', (25, 34)) ('Y171', 'Var', (48, 52)) ('undergo', 'Reg', (69, 76)) ('Y132', 'Chemical', '-', (42, 46)) ('Y191', 'Var', (54, 58)) 14424 19449311 We found that upon ligation of CD8 the association of LAT with CD8 was increased and LAT was phosphorylated on several regulatory tyrosine residues. ('ligation', 'Var', (19, 27)) ('CD8', 'Gene', (31, 34)) ('phosphorylated', 'MPA', (93, 107)) ('CD8', 'Gene', (63, 66)) ('CD8', 'Gene', '925', (31, 34)) ('increased', 'PosReg', (71, 80)) ('tyrosine', 'Chemical', 'MESH:D014443', (130, 138)) ('CD8', 'Gene', '925', (63, 66)) ('association', 'Interaction', (39, 50)) 14425 19449311 In addition, the expression and phosphorylation of LAT was required for apoptosis to occur following the ligation of CD8 while Lck did not play a role. ('ligation', 'Var', (105, 113)) ('CD8', 'Gene', (117, 120)) ('CD8', 'Gene', '925', (117, 120)) 14426 19449311 In this study we present a model in which ligation of CD8 initiates a novel biochemical signaling pathway that leads to apoptosis and provides an explanation for the preferential association of LAT with CD8 during thymocyte development. ('CD8', 'Gene', '925', (54, 57)) ('initiates', 'Reg', (58, 67)) ('apoptosis', 'CPA', (120, 129)) ('biochemical signaling pathway', 'Pathway', (76, 105)) ('leads to', 'Reg', (111, 119)) ('CD8', 'Gene', (203, 206)) ('CD8', 'Gene', '925', (203, 206)) ('CD8', 'Gene', (54, 57)) ('ligation', 'Var', (42, 50)) 14440 19449311 To determine if separate crosslinking of CD8alpha or CD8beta induced apoptosis 3H6 cells were treated with anti-CD8alpha or anti-CD8beta antibodies and anti-rat IgG (Fig. ('anti-CD8alpha', 'Var', (107, 120)) ('IgG', 'Gene', (161, 164)) ('CD8beta', 'Gene', (53, 60)) ('CD8beta', 'Gene', '12526', (53, 60)) ('CD8beta', 'Gene', '12526', (129, 136)) ('H6', 'CellLine', 'CVCL:J418', (80, 82)) ('rat', 'Species', '10116', (157, 160)) ('CD8beta', 'Gene', (129, 136)) ('rat', 'Species', '10116', (20, 23)) ('IgG', 'Gene', '16059', (161, 164)) 14441 19449311 Anti-CD8alpha and anti-CD8beta both induced apoptosis in 70% of 3H6 cells following crosslinking as determined by the binding of annexin-V. ('induced', 'Reg', (36, 43)) ('apoptosis', 'CPA', (44, 53)) ('Anti-CD8alpha', 'Var', (0, 13)) ('CD8beta', 'Gene', (23, 30)) ('H6', 'CellLine', 'CVCL:J418', (65, 67)) ('CD8beta', 'Gene', '12526', (23, 30)) 14453 19449311 The ligation of CD8 results in a slight increase in the association of CD8alpha with Lck. ('CD8', 'Gene', '925', (71, 74)) ('Lck', 'Disease', (85, 88)) ('increase', 'PosReg', (40, 48)) ('ligation', 'Var', (4, 12)) ('association', 'Interaction', (56, 67)) ('CD8', 'Gene', (16, 19)) ('CD8', 'Gene', '925', (16, 19)) ('CD8', 'Gene', (71, 74)) 14454 19449311 This result suggests that a small pool of Lck is recruited to CD8alpha upon crosslinking of CD8 and may be involved in coupling the apoptotic signals from CD8 to downstream pathways. ('CD8', 'Gene', (92, 95)) ('CD8', 'Gene', (62, 65)) ('crosslinking', 'Var', (76, 88)) ('CD8', 'Gene', '925', (92, 95)) ('CD8', 'Gene', '925', (62, 65)) ('involved', 'Reg', (107, 115)) ('CD8', 'Gene', (155, 158)) ('CD8', 'Gene', '925', (155, 158)) ('coupling', 'MPA', (119, 127)) ('apoptotic signals', 'MPA', (132, 149)) ('recruited', 'PosReg', (49, 58)) 14455 19449311 Lck is regulated by reversible phosphorylation of 2 tyrosine residues Y394 and Y505. ('Y505', 'Chemical', '-', (79, 83)) ('Y394', 'Chemical', '-', (70, 74)) ('tyrosine', 'Chemical', 'MESH:D014443', (52, 60)) ('Y394', 'Var', (70, 74)) ('Y505', 'Var', (79, 83)) 14456 19449311 Lck autophosphorylates Y394 leading to a conformational change in the activation loop of Lck. ('Y394', 'Chemical', '-', (23, 27)) ('conformational change in the activation loop', 'MPA', (41, 85)) ('Y394', 'Var', (23, 27)) ('Lck', 'Gene', (89, 92)) 14457 19449311 An increase in phosphorylation of Y394 is indicative of an increase in Lck kinase activity. ('Lck kinase', 'Enzyme', (71, 81)) ('Y394', 'Var', (34, 38)) ('increase', 'PosReg', (59, 67)) ('activity', 'MPA', (82, 90)) ('Y394', 'Chemical', '-', (34, 38)) ('increase', 'PosReg', (3, 11)) ('phosphorylation', 'MPA', (15, 30)) 14458 19449311 Lck is also negatively regulated by phosphorylation of a conserved C-terminal tyrosine residue, Y505. ('Lck', 'Gene', (0, 3)) ('Y505', 'Chemical', '-', (96, 100)) ('Y505', 'Var', (96, 100)) ('tyrosine', 'Chemical', 'MESH:D014443', (78, 86)) ('negatively', 'NegReg', (12, 22)) 14459 19449311 When phosphorylated, Y505 binds to the SH2 domain in the same Lck molecule forcing Lck into an inactive conformation. ('Lck', 'MPA', (83, 86)) ('Y505', 'Var', (21, 25)) ('Y505', 'Chemical', '-', (21, 25)) 14468 19449311 To verify that PP2 inhibits the activity of src-family kinases in our system, MHC-/- thymocytes were treated with either PP2, or PP3 (a pharmacologically inactive control for PP2), or were left untreated. ('PP2', 'Gene', '18169', (15, 18)) ('PP2', 'Gene', (175, 178)) ('src', 'Gene', '20779', (44, 47)) ('PP3', 'Var', (129, 132)) ('src', 'Gene', (44, 47)) ('PP2', 'Gene', (121, 124)) ('activity', 'MPA', (32, 40)) ('PP2', 'Gene', '18169', (175, 178)) ('PP2', 'Gene', (15, 18)) ('inhibits', 'NegReg', (19, 27)) ('PP2', 'Gene', '18169', (121, 124)) 14472 19449311 Thymocytes from MHC-/- mice were pretreated with PP2 or PP3 and then incubated with antibody to CD8 under crosslinking conditions. ('PP3', 'Var', (56, 59)) ('PP2', 'Gene', (49, 52)) ('CD8', 'Gene', (96, 99)) ('CD8', 'Gene', '925', (96, 99)) ('PP2', 'Gene', '18169', (49, 52)) ('mice', 'Species', '10090', (23, 27)) 14478 19449311 Upon the ligation of CD8 there is a dramatic increase in the amount of LAT that is associated with CD8alpha. ('ligation', 'Var', (9, 17)) ('CD8', 'Gene', (99, 102)) ('CD8', 'Gene', '925', (99, 102)) ('CD8', 'Gene', (21, 24)) ('CD8', 'Gene', '925', (21, 24)) ('LAT', 'MPA', (71, 74)) ('increase', 'PosReg', (45, 53)) 14482 19449311 Ligation of CD8 increases tyrosine phosphorylation of LAT within 1 minute with a sustained increase in phosphorylation until 30 minutes. ('CD8', 'Gene', '925', (12, 15)) ('Ligation', 'Var', (0, 8)) ('tyrosine', 'Chemical', 'MESH:D014443', (26, 34)) ('LAT', 'Protein', (54, 57)) ('phosphorylation', 'MPA', (103, 118)) ('increases', 'PosReg', (16, 25)) ('tyrosine phosphorylation', 'MPA', (26, 50)) ('CD8', 'Gene', (12, 15)) 14486 19449311 3 N-terminal tyrosine residues Y37, Y45, and Y110 did not become phosphorylated following the ligation of CD8. ('Y110', 'Var', (45, 49)) ('CD8', 'Gene', (106, 109)) ('CD8', 'Gene', '925', (106, 109)) ('Y37', 'Var', (31, 34)) ('tyrosine', 'Chemical', 'MESH:D014443', (13, 21)) ('Y45', 'Var', (36, 39)) 14487 19449311 3 C-terminal tyrosine residues; Y127 Y 132 and Y 191became phosphorylated following ligation of CD8 but with varying kinetics and intensity. ('phosphorylated', 'MPA', (59, 73)) ('Y 191became', 'Var', (47, 58)) ('Y127 Y 132', 'Var', (32, 42)) ('CD8', 'Gene', (96, 99)) ('Y127 Y', 'Mutation', 'p.Y127Y', (32, 38)) ('CD8', 'Gene', '925', (96, 99)) ('tyrosine', 'Chemical', 'MESH:D014443', (13, 21)) 14488 19449311 Phosphorylation of Y110Y127 and Y226 results in the formation of binding sites for the small adaptor molecule Grb2 while phosphorylation of Y132 creates a binding site for PLCgamma1. ('Y132', 'Var', (140, 144)) ('binding', 'Interaction', (65, 72)) ('Grb2', 'Gene', (110, 114)) ('binding', 'Interaction', (155, 162)) ('Y226', 'Var', (32, 36)) ('Y110Y127', 'Var', (19, 27)) ('Y132', 'Chemical', '-', (140, 144)) ('PLCgamma1', 'Gene', (172, 181)) ('PLCgamma1', 'Gene', '18803', (172, 181)) ('Grb2', 'Gene', '14784', (110, 114)) 14489 19449311 The final residue, Y171, appears to have a high level of phosphorylation in unstimulated cells that is maintained following the ligation of CD8. ('phosphorylation', 'MPA', (57, 72)) ('CD8', 'Gene', (140, 143)) ('CD8', 'Gene', '925', (140, 143)) ('Y171', 'Var', (19, 23)) 14490 19449311 These data demonstrates that the ligation of CD8 on DP thymocytes induces the phosphorylation on specific tyrosine residues of LAT and that these residues are within the binding sites for Grb2, Gads, and PLCgamma1. ('rat', 'Species', '10116', (18, 21)) ('PLCgamma1', 'Gene', (204, 213)) ('PLCgamma1', 'Gene', '18803', (204, 213)) ('induces', 'Reg', (66, 73)) ('ligation', 'Var', (33, 41)) ('DP', 'Chemical', '-', (52, 54)) ('CD8', 'Gene', (45, 48)) ('Grb2', 'Gene', '14784', (188, 192)) ('CD8', 'Gene', '925', (45, 48)) ('tyrosine', 'Chemical', 'MESH:D014443', (106, 114)) ('Grb2', 'Gene', (188, 192)) ('phosphorylation on specific tyrosine residues', 'MPA', (78, 123)) 14499 19449311 The experiments described above demonstrated that the expression of LAT is required for apoptosis following ligation of CD8 and that LAT exhibits an increase in tyrosine phosphorylation upon crosslinking of CD8. ('CD8', 'Gene', '925', (207, 210)) ('tyrosine phosphorylation', 'MPA', (161, 185)) ('increase', 'PosReg', (149, 157)) ('CD8', 'Gene', (120, 123)) ('CD8', 'Gene', '925', (120, 123)) ('rat', 'Species', '10116', (39, 42)) ('tyrosine', 'Chemical', 'MESH:D014443', (161, 169)) ('ligation', 'Var', (108, 116)) ('CD8', 'Gene', (207, 210)) 14501 19449311 A study by Zhu et al examined the effect of phenyalanine substitutions for the tyrosine residues of LAT on TCR signaling in a Jurkat T cell line that did not express LAT. ('tyrosine', 'Chemical', 'MESH:D014443', (79, 87)) ('phenyalanine substitutions', 'Var', (44, 70)) ('LAT', 'Gene', (100, 103)) ('phenyalanine', 'Chemical', '-', (44, 56)) ('a Jurkat', 'CellLine', 'CVCL:0065', (124, 132)) ('TCR signaling', 'MPA', (107, 120)) 14502 19449311 They established that the human equivalents of the 4 c-terminal tyrosine residues (Y132 Y171 Y191 and Y226) are important for TCR signaling and thymocyte development. ('thymocyte development', 'CPA', (144, 165)) ('Y132 Y171 Y191', 'Var', (83, 97)) ('tyrosine', 'Chemical', 'MESH:D014443', (64, 72)) ('Y226', 'Var', (102, 106)) ('Y132', 'Chemical', '-', (83, 87)) ('human', 'Species', '9606', (26, 31)) 14503 19449311 We sought to determine if the apoptotic signal induced by the ligation of CD8 utilized a similar pattern of LAT phosphorylation. ('CD8', 'Gene', '925', (74, 77)) ('CD8', 'Gene', (74, 77)) ('ligation', 'Var', (62, 70)) 14504 19449311 We created a panel of stable cell lines that express tyrosine to phenylalanine mutated forms of human LAT (mut-hLAT) expressed in the LATkd-3H6 cell line. ('phenylalanine', 'Chemical', 'MESH:D010649', (65, 78)) ('H6', 'CellLine', 'CVCL:J418', (141, 143)) ('human', 'Species', '9606', (96, 101)) ('tyrosine', 'Chemical', 'MESH:D014443', (53, 61)) ('tyrosine to phenylalanine', 'Var', (53, 78)) ('hLAT', 'Gene', (111, 115)) ('hLAT', 'Gene', '27040', (111, 115)) 14507 19449311 The LATkd-3H6 cells have a ~90% decrease in the amount of murine LAT (mLAT) protein that is expressed, therefore, the majority of the LAT protein that is expressed is the mut-hLAT. ('mLAT', 'Gene', (70, 74)) ('hLAT', 'Gene', (175, 179)) ('H6', 'CellLine', 'CVCL:J418', (11, 13)) ('mLAT', 'Gene', '16797', (70, 74)) ('murine', 'Species', '10090', (58, 64)) ('hLAT', 'Gene', '27040', (175, 179)) ('LATkd-3H6', 'Var', (4, 13)) ('decrease', 'NegReg', (32, 40)) ('amount', 'MPA', (48, 54)) 14509 19449311 Probing western blots using an antibody that reacts with both mLAT and mut-hLAT proteins demonstrated that expression of mut-hLAT protein restored the total LAT protein level to approximately 4 fold the level of endogenous murine LAT expressed in 3H6 cells (Fig 5B). ('protein', 'Var', (130, 137)) ('hLAT', 'Gene', (75, 79)) ('LAT protein level', 'MPA', (157, 174)) ('mLAT', 'Gene', '16797', (62, 66)) ('restored', 'PosReg', (138, 146)) ('hLAT', 'Gene', '27040', (75, 79)) ('H6', 'CellLine', 'CVCL:J418', (248, 250)) ('hLAT', 'Gene', (125, 129)) ('murine', 'Species', '10090', (223, 229)) ('expression', 'Var', (107, 117)) ('rat', 'Species', '10116', (96, 99)) ('mLAT', 'Gene', (62, 66)) ('hLAT', 'Gene', '27040', (125, 129)) 14512 19449311 3H6, LATkd-3H6 and LATkd-3H6 cells that expressed either wildtype (WT) or mutant (mut) human LAT were treated with CD8alpha antibody under crosslinking conditions and apoptosis was measured by the binding of annexin-V (Figure 5C). ('H6', 'CellLine', 'CVCL:J418', (1, 3)) ('human', 'Species', '9606', (87, 92)) ('H6', 'CellLine', 'CVCL:J418', (26, 28)) ('H6', 'CellLine', 'CVCL:J418', (12, 14)) ('binding', 'Interaction', (197, 204)) ('mutant', 'Var', (74, 80)) 14513 19449311 Crosslinking of CD8 resulted in the induction of apoptosis in 40% of 3H6 cells and18% of LATkd-3H6 cells. ('H6', 'CellLine', 'CVCL:J418', (96, 98)) ('Crosslinking', 'Var', (0, 12)) ('induction', 'Reg', (36, 45)) ('H6', 'CellLine', 'CVCL:J418', (70, 72)) ('CD8', 'Gene', (16, 19)) ('apoptosis', 'CPA', (49, 58)) ('CD8', 'Gene', '925', (16, 19)) 14516 19449311 The expression of the Delta1-9LAT mut-hLAT did not restore the susceptibility to CD8 mediated apoptosis indicating that phosphorylation of at least some of the tyrosine residues of LAT is necessary for apoptosis. ('CD8', 'Gene', (81, 84)) ('Delta1-9LAT', 'Var', (22, 33)) ('CD8', 'Gene', '925', (81, 84)) ('hLAT', 'Gene', (38, 42)) ('tyrosine', 'Chemical', 'MESH:D014443', (160, 168)) ('hLAT', 'Gene', '27040', (38, 42)) 14525 19449311 Mice deficient in ZAP-70 have normal thymic development through the pre-TCR/beta-selection stage but are unable to progress through positive and negative selection and are arrested at the DP stage. ('DP', 'Chemical', '-', (188, 190)) ('thymic development', 'CPA', (37, 55)) ('Mice', 'Species', '10090', (0, 4)) ('ZAP-70', 'Gene', (18, 24)) ('deficient', 'Var', (5, 14)) 14528 19449311 Following crosslinking of CD8, the proportion of apoptotic cells in ZAP-70-/- thymocytes was similar to the levels obtained when MHC-/- or C57BL/6 thymocytes were treated in a similar manner. ('crosslinking', 'Var', (10, 22)) ('ZAP-70-/-', 'Var', (68, 77)) ('CD8', 'Gene', '925', (26, 29)) ('CD8', 'Gene', (26, 29)) 14530 19449311 Zap-70 has been shown to phosphorylate the 5 c-terminal tyrosine of LAT including Y132, Y171 and Y191. ('tyrosine', 'Chemical', 'MESH:D014443', (56, 64)) ('Y132', 'Var', (82, 86)) ('Zap-70', 'Gene', (0, 6)) ('Y132', 'Chemical', '-', (82, 86)) ('Y191', 'Var', (97, 101)) ('Zap-70', 'Gene', '22637', (0, 6)) ('Y171', 'Var', (88, 92)) 14531 19449311 The ligation of CD8 induced an increase in the phosphorylation of Y191 (data not shown) in a similar pattern to MHC-/- thymocytes. ('phosphorylation', 'MPA', (47, 62)) ('Y191', 'Var', (66, 70)) ('ligation', 'Var', (4, 12)) ('CD8', 'Gene', (16, 19)) ('CD8', 'Gene', '925', (16, 19)) ('increase', 'PosReg', (31, 39)) 14532 19449311 In contrast, thymocytes from Zap-70-/- mice did not have an increase in phosphorylation on Y132 in response to ligation of CD8 compared to MHC-/- thymocytes (Fig 6C). ('ligation', 'Var', (111, 119)) ('CD8', 'Gene', (123, 126)) ('mice', 'Species', '10090', (39, 43)) ('CD8', 'Gene', '925', (123, 126)) ('phosphorylation', 'MPA', (72, 87)) ('Y132', 'Chemical', '-', (91, 95)) ('Zap-70', 'Gene', (29, 35)) ('Zap-70', 'Gene', '22637', (29, 35)) 14533 19449311 This data demonstrates that Zap-70 is responsible for the increase in phosphorylation of LAT on Y132. ('Y132', 'Var', (96, 100)) ('increase', 'PosReg', (58, 66)) ('LAT', 'Protein', (89, 92)) ('Zap-70', 'Gene', (28, 34)) ('Zap-70', 'Gene', '22637', (28, 34)) ('phosphorylation', 'MPA', (70, 85)) ('Y132', 'Chemical', '-', (96, 100)) ('rat', 'Species', '10116', (17, 20)) 14534 19449311 Since Zap-70 is not required for apoptosis, this implies that phosphorylation of Y132 of LAT is also not involved in CD8-mediated apoptosis. ('LAT', 'Gene', (89, 92)) ('Zap-70', 'Gene', (6, 12)) ('Y132', 'Chemical', '-', (81, 85)) ('CD8', 'Gene', (117, 120)) ('Zap-70', 'Gene', '22637', (6, 12)) ('CD8', 'Gene', '925', (117, 120)) ('involved', 'Reg', (105, 113)) ('Y132', 'Var', (81, 85)) 14543 19449311 The percentage of CD4+CD8+ DP thymocytes is slightly lower in ITK-/- (81.7) and RLK-/-ITK-/- (80.2%) mice compared to C57BL/6 mice (85%). ('ITK-/-', 'Var', (62, 68)) ('mice', 'Species', '10090', (126, 130)) ('RLK', 'Gene', '22165', (80, 83)) ('CD4', 'Gene', (18, 21)) ('DP', 'Chemical', '-', (27, 29)) ('CD4', 'Gene', '12504', (18, 21)) ('mice', 'Species', '10090', (101, 105)) ('RLK', 'Gene', (80, 83)) ('CD8', 'Gene', (22, 25)) ('lower', 'NegReg', (53, 58)) ('CD8', 'Gene', '925', (22, 25)) 14545 19449311 Thymocytes from MHC-/-, C57BL/6, ITK-/-, and RLK-/-ITK-/- mice were crosslinked with CD8alpha antibody and apoptosis was measured by binding of annexin-V (Fig. ('C57BL/6', 'Var', (24, 31)) ('RLK', 'Gene', (45, 48)) ('mice', 'Species', '10090', (58, 62)) ('RLK', 'Gene', '22165', (45, 48)) ('binding', 'Interaction', (133, 140)) 14547 19449311 The ligation of CD8 induced the phosphorylation of LAT on Y132 and Y191 indicating that ITK and RLK are not involved in the phosphorylation of LAT during apoptosis (Fig 6F). ('CD8', 'Gene', (16, 19)) ('Y191', 'Var', (67, 71)) ('Y132', 'Var', (58, 62)) ('RLK', 'Gene', (96, 99)) ('Y132', 'Chemical', '-', (58, 62)) ('RLK', 'Gene', '22165', (96, 99)) ('phosphorylation', 'MPA', (32, 47)) ('ligation', 'Var', (4, 12)) ('LAT', 'Protein', (51, 54)) ('CD8', 'Gene', '925', (16, 19)) 14549 19449311 In this study we investigated the initial events of the biochemical signaling pathway in DP thymocytes that links the ligation of CD8 on the cell surface to apoptosis. ('ligation', 'Var', (118, 126)) ('DP', 'Chemical', '-', (89, 91)) ('CD8', 'Gene', '925', (130, 133)) ('CD8', 'Gene', (130, 133)) 14551 19449311 In this report we focused on the phosphorylation events initiated by CD8 ligation. ('CD8', 'Gene', '925', (69, 72)) ('CD8', 'Gene', (69, 72)) ('ligation', 'Var', (73, 81)) 14555 19449311 Other investigators have suggested that expression of CD8alphaalpha and CD8alphabeta represent alternate differentiation. ('CD8alphaalpha', 'Chemical', '-', (54, 67)) ('CD8alphaalpha', 'Var', (54, 67)) ('CD8alphabeta', 'Gene', (72, 84)) 14560 19449311 In our experiments the ligation of CD8 resulted in a large increase in the amount of CD8alpha associated with LAT while the association of CD8alpha with Lck was only slightly increased (Figure 3, 4). ('CD8', 'Gene', (139, 142)) ('CD8', 'Gene', '925', (139, 142)) ('CD8', 'Gene', (85, 88)) ('CD8', 'Gene', '925', (85, 88)) ('ligation', 'Var', (23, 31)) ('CD8', 'Gene', (35, 38)) ('CD8', 'Gene', '925', (35, 38)) ('increase', 'PosReg', (59, 67)) 14564 19449311 Overall our observations are consistent with a signaling model in which the ligation of the CD8 that is associated with LAT and/or the CD8 that is not associated with either Lck or LAT, results in the increased association of LAT with CD8alpha and the induction of the apoptotic signaling cascade. ('CD8', 'Gene', (92, 95)) ('CD8', 'Gene', '925', (135, 138)) ('CD8', 'Gene', (235, 238)) ('increased', 'PosReg', (201, 210)) ('CD8', 'Gene', '925', (235, 238)) ('CD8', 'Gene', '925', (92, 95)) ('LAT', 'Protein', (226, 229)) ('association', 'Interaction', (211, 222)) ('CD8', 'Gene', (135, 138)) ('apoptotic signaling cascade', 'Pathway', (269, 296)) ('induction', 'Reg', (252, 261)) ('ligation', 'Var', (76, 84)) 14565 19449311 The ligation of Lck-associated CD8 is not required for apoptosis but is involved in TCR signaling. ('CD8', 'Gene', (31, 34)) ('CD8', 'Gene', '925', (31, 34)) ('involved', 'Reg', (72, 80)) ('Lck-associated', 'Gene', (16, 30)) ('ligation', 'Var', (4, 12)) 14566 19449311 This proposed model might explain why the ligation of CD8 activated several signaling molecules, including ZAP-70, MAP kinases, AKT, and ROS, (data not shown) even though these molecules are not required for the apoptosis initiated by the ligation of CD8. ('CD8', 'Gene', '925', (54, 57)) ('MAP kinases', 'Pathway', (115, 126)) ('ligation', 'Var', (42, 50)) ('CD8', 'Gene', (251, 254)) ('CD8', 'Gene', '925', (251, 254)) ('ZAP-70', 'Protein', (107, 113)) ('CD8', 'Gene', (54, 57)) ('activated', 'PosReg', (58, 67)) ('ROS', 'Pathway', (137, 140)) ('AKT', 'Pathway', (128, 131)) ('ROS', 'Chemical', '-', (137, 140)) 14569 19449311 This adds an additional layer of complexity to the outcome of the phosphorylation of LAT if the engagement of CD8 results in the phosphorylation of these same 4 tyrosine residues during positive selection. ('results in', 'Reg', (114, 124)) ('phosphorylation', 'MPA', (129, 144)) ('engagement', 'Var', (96, 106)) ('CD8', 'Gene', (110, 113)) ('tyrosine', 'Chemical', 'MESH:D014443', (161, 169)) ('CD8', 'Gene', '925', (110, 113)) 14574 19449311 In general, the ligation of CD8 induced a slow increase in phosphorylation that peaked at 30 minutes after crosslinking. ('CD8', 'Gene', (28, 31)) ('ligation', 'Var', (16, 24)) ('phosphorylation', 'MPA', (59, 74)) ('increase', 'PosReg', (47, 55)) ('CD8', 'Gene', '925', (28, 31)) 14575 19449311 In contrast, the ligation of CD3 and CD8 induces a rapid phosphorylation response that peaked at 1 minute after crosslinking and then gradually declined. ('CD3', 'Gene', '12503', (29, 32)) ('phosphorylation response', 'MPA', (57, 81)) ('CD8', 'Gene', (37, 40)) ('CD8', 'Gene', '925', (37, 40)) ('ligation', 'Var', (17, 25)) ('CD3', 'Gene', (29, 32)) 14587 19449311 Thymocytes are also susceptible to the induction of apoptosis by the ligation of molecules such as Thy-1, CD24 and CD45. ('CD45', 'Gene', (115, 119)) ('CD45', 'Gene', '19264', (115, 119)) ('Thy-1', 'Gene', '21838', (99, 104)) ('Thy-1', 'Gene', (99, 104)) ('CD24', 'Gene', (106, 110)) ('CD24', 'Gene', '12484', (106, 110)) ('ligation', 'Var', (69, 77)) 14588 19449311 Our studies indicate that ligation of CD8 can also induce apoptosis in a proportion of DP thymocytes. ('induce', 'Reg', (51, 57)) ('DP', 'Chemical', '-', (87, 89)) ('CD8', 'Gene', (38, 41)) ('ligation', 'Var', (26, 34)) ('CD8', 'Gene', '925', (38, 41)) ('apoptosis', 'CPA', (58, 67)) 14590 19449311 The crosslinking of CD45, CD24, and Thy-1 with antibodies induces apoptosis of thymocytes and the characterization of the pathways initiated by cross-linking of these molecules has suggested that there are both similar and distinct events. ('Thy-1', 'Gene', (36, 41)) ('induces', 'Reg', (58, 65)) ('CD24', 'Gene', (26, 30)) ('apoptosis', 'CPA', (66, 75)) ('CD24', 'Gene', '12484', (26, 30)) ('Thy-1', 'Gene', '21838', (36, 41)) ('CD45', 'Gene', (20, 24)) ('CD45', 'Gene', '19264', (20, 24)) ('crosslinking', 'Var', (4, 16)) 14597 19449311 The ligation of CD8 induces a unique pattern of phosphorylation on LAT that utilizes the same tyrosine residues as TCR signaling, but with different kinetics and intensities. ('tyrosine', 'Chemical', 'MESH:D014443', (94, 102)) ('induces', 'Reg', (20, 27)) ('phosphorylation', 'MPA', (48, 63)) ('CD8', 'Gene', '925', (16, 19)) ('ligation', 'Var', (4, 12)) ('CD8', 'Gene', (16, 19)) ('tyrosine residues', 'MPA', (94, 111)) 14600 19449311 C57BL/6 and B6.MHC-/- (Abetab-/- and beta2M-/-) were purchased from Taconic Farms (Germantown, NY). ('beta2M', 'Gene', (37, 43)) ('C57BL/6', 'Var', (0, 7)) ('beta2M', 'Gene', '12010', (37, 43)) 14602 19449311 B6.CD8beta-/- mice were obtained from Dr. Alfred Singer (National Institutes of Health, Bethesda MD); B6.ZAP-70-/- mice were obtained from Dr. Arthur Weiss (University of California, San Francisco, San Francisco CA); and B6.ITK-/- and B6. ('mice', 'Species', '10090', (14, 18)) ('B6.ITK-/-', 'Var', (221, 230)) ('CD8beta', 'Gene', (3, 10)) ('mice', 'Species', '10090', (115, 119)) ('CD8beta', 'Gene', '12526', (3, 10)) 14618 19449311 Plasmids encoding myc-tagged human LAT either wildtype (WTLAT) or mutants Delta1-9LAT, Delta1-5LAT, and Delta6-9LAT in pMSCVGFP were obtained from Dr. Weiguo Zhang (Duke University) and cloned into the pMSCVpuro retroviral vector. ('Delta1-5LAT', 'Var', (87, 98)) ('Delta1-9LAT', 'Var', (74, 85)) ('mutants Delta1-9LAT', 'Var', (66, 85)) ('human', 'Species', '9606', (29, 34)) ('Delta6-9LAT', 'Var', (104, 115)) 14642 20551960 Each patient was required to fulfil the following criteria: 15-70 years of age; Eastern Cooperative Oncology Group (ECOG) performance status, 0-2; and adequate organ function, that is, leukocyte count >=4000/mul, platelet count >=105/mul, haemoglobin >=10.0 g per 100 ml, serum creatinine <1.5 mg per 100 ml, creatinine clearance >=60 ml min-1, serum bilirubin <1.5 mg per 100 ml, serum alanine aminotransferase and aspartate aminotransferase less than double the upper limit of the institutional normal range, PaO2 >=70 mm Hg and predicted post-operative forced expiratory volume in 1 s to be 50% or more of the age-, sex- and height-predicted vital capacity. ('>=105/mul', 'Var', (228, 237)) ('patient', 'Species', '9606', (5, 12)) ('min-1', 'Gene', '966', (338, 343)) ('>=4000/mul', 'Var', (201, 211)) ('alanine aminotransferase', 'Gene', (387, 411)) ('>=10.0', 'Var', (251, 257)) ('forced expiratory', 'MPA', (556, 573)) ('serum bilirubin', 'MPA', (345, 360)) ('alanine aminotransferase', 'Gene', '2875', (387, 411)) ('creatinine clearance', 'MPA', (309, 329)) ('min-1', 'Gene', (338, 343)) ('Oncology', 'Phenotype', 'HP:0002664', (100, 108)) ('forced expiratory volume in 1 s', 'Phenotype', 'HP:0032342', (556, 587)) ('less', 'NegReg', (443, 447)) ('>=60', 'Var', (330, 334)) ('aspartate aminotransferase', 'MPA', (416, 442)) 14775 32300521 Post-Contrast sagittal images exhibited some irregularity between the interface of the mass and the superior vena cava, suggestive of adherence to the outer aspect of the vessel adventitia. ('vessel adventitia', 'Disease', 'MESH:C536223', (171, 188)) ('irregularity', 'Var', (45, 57)) ('vessel adventitia', 'Disease', (171, 188)) ('superior vena cava', 'Phenotype', 'HP:0031041', (100, 118)) 14886 31832410 In the lymphoid stroma, B lymphocytes were mainly CD20-positive, while the number of mature T lymphocytes varied in different parts of the lesion but were mainly positive for CD3 and CD5. ('CD5', 'Gene', (183, 186)) ('lymphoid stroma', 'Disease', (7, 22)) ('lymphoid stroma', 'Disease', 'MESH:D008224', (7, 22)) ('CD5', 'Gene', '921', (183, 186)) ('CD20', 'Gene', '54474', (50, 54)) ('CD20', 'Gene', (50, 54)) ('CD3', 'Var', (175, 178)) 14901 31832410 After a comprehensive analysis of these studies, we observed some polygonal tumor-like epithelial cells with a certain amount of type B2 thymomaism, which is similar to type B2 thymomas. ('thymoma', 'Disease', 'MESH:D013945', (137, 144)) ('thymoma', 'Phenotype', 'HP:0100522', (177, 184)) ('tumor', 'Phenotype', 'HP:0002664', (76, 81)) ('tumor', 'Disease', (76, 81)) ('thymoma', 'Disease', (137, 144)) ('thymoma', 'Phenotype', 'HP:0100522', (137, 144)) ('type B2', 'Var', (129, 136)) ('thymomas', 'Disease', (177, 185)) ('thymomas', 'Disease', 'MESH:D013945', (177, 185)) ('thymoma', 'Disease', 'MESH:D013945', (177, 184)) ('thymoma', 'Disease', (177, 184)) ('tumor', 'Disease', 'MESH:D009369', (76, 81)) 15145 29191778 With regards to MG, 10-20% of patients with MG have thymoma and 30% of patients with thymoma either present with or develop MG. Myasthenia gravis is a result of autoantibodies against the neuromuscular junction, with the most common being acetylcholine receptor (AChR) antibodies. ('thymoma', 'Disease', 'MESH:D013945', (85, 92)) ('autoantibodies', 'Var', (161, 175)) ('thymoma', 'Phenotype', 'HP:0100522', (52, 59)) ('thymoma', 'Disease', (85, 92)) ('patients', 'Species', '9606', (71, 79)) ('result', 'Reg', (151, 157)) ('thymoma', 'Phenotype', 'HP:0100522', (85, 92)) ('patients', 'Species', '9606', (30, 38)) ('thymoma', 'Disease', 'MESH:D013945', (52, 59)) ('Myasthenia gravis', 'Disease', (128, 145)) ('thymoma', 'Disease', (52, 59)) ('Myasthenia gravis', 'Disease', 'MESH:D009157', (128, 145)) ('Myasthenia', 'Phenotype', 'HP:0003473', (128, 138)) ('AChR', 'Gene', (263, 267)) 15147 29191778 There are specific antibodies associated with MG that co-exist with AChR antibodies and increase the likelihood of a coexisting thymoma and may herald more severe disease, including antibodies against titin, a large intracellular protein important for muscle contractility, and against ryanodine receptor (RyR), a calcium channel in the sarcoplasmic reticulum. ('ryanodine receptor', 'Gene', (286, 304)) ('titin', 'Gene', '7273', (201, 206)) ('RyR', 'Gene', (306, 309)) ('antibodies', 'Var', (182, 192)) ('ryanodine receptor', 'Gene', '6261', (286, 304)) ('herald', 'Reg', (144, 150)) ('RyR', 'Gene', '6261', (306, 309)) ('thymoma', 'Disease', 'MESH:D013945', (128, 135)) ('thymoma', 'Disease', (128, 135)) ('titin', 'Gene', (201, 206)) ('thymoma', 'Phenotype', 'HP:0100522', (128, 135)) 15306 26713298 In this retrospective study with long-term clinical outcomes, 86.9 +- 50.3 months follow-up duration, we demonstrated that transsternal thymectomy, along with postoperative prednisolone and pyridostigmine in MG patients was associated with favorable outcomes regardless of pathologic features, thymoma versus thymus hyperplasia. ('pyridostigmine', 'Chemical', 'MESH:D011729', (190, 204)) ('patients', 'Species', '9606', (211, 219)) ('thymoma versus thymus hyperplasia', 'Disease', (294, 327)) ('thymus hyperplasia', 'Phenotype', 'HP:0010516', (309, 327)) ('thymoma versus thymus hyperplasia', 'Disease', 'MESH:D013945', (294, 327)) ('thymoma', 'Phenotype', 'HP:0100522', (294, 301)) ('prednisolone', 'Chemical', 'MESH:D011239', (173, 185)) ('transsternal', 'Var', (123, 135)) ('MG', 'Disease', 'MESH:D000080343', (208, 210)) 15343 26713298 In another study comparing VATS and transsternal thymectomy in 60 nonthymomatous MG patients, it has been demonstrated that VATS thymectomy was more advantageous due to shorter hospital stay, less tissue injury, better cosmetic results, and equivalent CSR rate compared with classic transsternal thymectomy. ('VATS', 'Var', (124, 128)) ('patients', 'Species', '9606', (84, 92)) ('CSR', 'CPA', (252, 255)) ('nonthymomatous MG', 'Disease', 'MESH:D000080343', (66, 83)) ('thymoma', 'Phenotype', 'HP:0100522', (69, 76)) ('nonthymomatous MG', 'Disease', (66, 83)) 15347 26713298 In addition, transsternal thymectomy was associated with high rates of CSR and PR among this cohort of MG patients. ('MG', 'Disease', 'MESH:D000080343', (103, 105)) ('transsternal', 'Var', (13, 25)) ('CSR', 'Disease', (71, 74)) ('patients', 'Species', '9606', (106, 114)) 15382 25385331 In mice, mucous cell increases can be induced by various experimental methods, including the ovalbumin-induced allergic asthma model; genetic modifications and exposure to various noxious agents such as bacterial toxins, allergens and particulates, viruses, and certain carcinogens. ('asthma', 'Phenotype', 'HP:0002099', (120, 126)) ('genetic modifications', 'Var', (134, 155)) ('ovalbumin', 'Gene', '282665', (93, 102)) ('mice', 'Species', '10090', (3, 7)) ('ovalbumin', 'Gene', (93, 102)) ('allergic asthma', 'Disease', 'MESH:D004342', (111, 126)) ('allergic asthma', 'Disease', (111, 126)) 15422 25385331 One early change seen, within 15 minutes of administration of L-norepinephrine, was an increase in the number of cell-to-cell hernias in which a portion of the cytoplasm of a smooth muscle cell within the tunica media invaginated into an adjacent smooth muscle cell, and this change is evident on light microscopy as vacuolation (Figure 2E, arrows). ('rat', 'Species', '10116', (52, 55)) ('hernias', 'Disease', 'MESH:D006547', (126, 133)) ('hernias', 'Disease', (126, 133)) ('L-norepinephrine', 'Var', (62, 78)) ('L-norepinephrine', 'Chemical', 'MESH:D009638', (62, 78)) ('hernias', 'Phenotype', 'HP:0100790', (126, 133)) 15428 25385331 Nitrative stress was found to be a prominent feature of PDE inhibitors, and more recent studies showed that nitric oxide (NO) was involved in vascular injury both due to PDE inhibitors and fenoldopam mesylate. ('fenoldopam', 'Chemical', 'MESH:D018818', (189, 199)) ('Nitrative stress', 'Phenotype', 'HP:0025464', (0, 16)) ('involved', 'Reg', (130, 138)) ('vascular injury', 'Disease', (142, 157)) ('inhibitors', 'Var', (174, 184)) ('vascular injury', 'Disease', 'MESH:D057772', (142, 157)) ('nitric oxide', 'MPA', (108, 120)) ('rat', 'Species', '10116', (3, 6)) ('PDE', 'Gene', (170, 173)) ('nitric oxide', 'Chemical', 'MESH:D009569', (108, 120)) 15433 25385331 It is likely that these alterations in the endothelial cell junctions results in the subintimal deposition of plasma proteins within the vascular wall at injured sites. ('rat', 'Species', '10116', (28, 31)) ('alterations', 'Var', (24, 35)) ('results in', 'Reg', (70, 80)) ('subintimal deposition of plasma proteins', 'MPA', (85, 125)) 15471 25385331 Exocrine pancreatic injury induced in the rat by non-invasive methods (administration of cerulein, cyanohydroxybutene and large amounts of select amino acids such as L-arginine, L-ornithine) is characterized by inflammation, lobular atrophy, acinar cell death, acinar cell vacuolar degeneration, and/or replacement of exocrine tissue by fibrosis and adipose tissue. ('inflammation', 'Disease', 'MESH:D007249', (211, 223)) ('death', 'Disease', (254, 259)) ('L-ornithine', 'Var', (178, 189)) ('lobular atrophy', 'Disease', 'MESH:D018275', (225, 240)) ('fibrosis', 'Disease', 'MESH:D005355', (337, 345)) ('fibrosis', 'Disease', (337, 345)) ('rat', 'Species', '10116', (79, 82)) ('cerulein', 'Chemical', 'MESH:D002108', (89, 97)) ('inflammation', 'Disease', (211, 223)) ('acinar cell vacuolar degeneration', 'Disease', (261, 294)) ('L-ornithine', 'Chemical', 'MESH:D009952', (178, 189)) ('L-arginine', 'Chemical', 'MESH:D001120', (166, 176)) ('death', 'Disease', 'MESH:D003643', (254, 259)) ('pancreatic injury', 'Disease', (9, 26)) ('pancreatic injury', 'Disease', 'MESH:D010195', (9, 26)) ('acinar cell vacuolar degeneration', 'Disease', 'MESH:C536522', (261, 294)) ('rat', 'Species', '10116', (288, 291)) ('lobular atrophy', 'Disease', (225, 240)) ('cyanohydroxybutene', 'Chemical', '-', (99, 117)) ('rat', 'Species', '10116', (42, 45)) 15518 25385331 The six-month Tg.rasH2 mouse study has gained scientific and regulatory acceptance as a potential replacement for the standard 2-year carcinogenicity mouse bioassay; this model was created by microinjecting the human c-Ha-ras gene into C57BL/6 x BALBc F2 zygotes. ('Tg', 'Chemical', '-', (14, 16)) ('c-Ha-ras', 'Gene', (217, 225)) ('microinjecting', 'Var', (192, 206)) ('mouse', 'Species', '10090', (23, 28)) ('human', 'Species', '9606', (211, 216)) ('c-Ha-ras', 'Gene', '15461', (217, 225)) ('mouse', 'Species', '10090', (150, 155)) 15558 25385331 The mRNA of the human c-Ha-ras gene was detected in femoral muscle from the Tg.rasH2 mice by RT-PCR, suggesting that integration of the c-Ha-ras gene plays a crucial role in the pathogenesis of skeletal myopathy in the rasH2 mice. ('mice', 'Species', '10090', (85, 89)) ('skeletal myopathy', 'Disease', (194, 211)) ('c-Ha-ras', 'Gene', (136, 144)) ('Tg', 'Chemical', '-', (76, 78)) ('myopathy', 'Phenotype', 'HP:0003198', (203, 211)) ('skeletal myopathy', 'Phenotype', 'HP:0003756', (194, 211)) ('c-Ha-ras', 'Gene', '15461', (22, 30)) ('c-Ha-ras', 'Gene', '15461', (136, 144)) ('mice', 'Species', '10090', (225, 229)) ('rat', 'Species', '10116', (122, 125)) ('skeletal myopathy', 'Disease', 'MESH:D009135', (194, 211)) ('human', 'Species', '9606', (16, 21)) ('c-Ha-ras', 'Gene', (22, 30)) ('integration', 'Var', (117, 128)) 15735 25385331 The voting results for the diagnoses were: Craniopharyngeal dysplasia (8%); Craniopharyngeal derivatives (9%); Aberrant craniopharyngeal structures (27%, preferred OWG diagnosis); Craniopharyngeal cysts (6%); Craniopharyngeal duct hyperplasia (33%); Craniopharyngeal duct metaplasia (8%); Craniopharyngioma (7%); Other (2%). ('dysplasia', 'Disease', 'MESH:D004476', (60, 69)) ('duct metaplasia', 'Disease', 'MESH:D008679', (267, 282)) ('Craniopharyngioma', 'Phenotype', 'HP:0030062', (289, 306)) ('duct metaplasia', 'Disease', (267, 282)) ('Craniopharyngioma', 'Disease', 'MESH:D003397', (289, 306)) ('Aberrant', 'Var', (111, 119)) ('Craniopharyngioma', 'Disease', (289, 306)) ('duct hyperplasia', 'Disease', (226, 242)) ('dysplasia', 'Disease', (60, 69)) ('duct hyperplasia', 'Disease', 'MESH:D006965', (226, 242)) ('Craniopharyngeal cysts', 'Disease', (180, 202)) 15801 27566187 In this study, 27% of patients in the MIT group underwent partial thymectomy compared with 9% of patients in the OT group. ('OT', 'Chemical', '-', (113, 115)) ('patients', 'Species', '9606', (22, 30)) ('partial thymectomy', 'Disease', (58, 76)) ('MIT', 'Chemical', '-', (38, 41)) ('MIT', 'Var', (38, 41)) ('patients', 'Species', '9606', (97, 105)) 15860 28123518 On the basis of the WHO classification, thymic carcinomas were present in 25 patients (25/66, 37.9%), type B3 thymomas in 18 (18/66, 27.3%), type B2+B3 thymomas in 8 (8/66, 12.1%), type B2 thymomas in 10 (10/66, 15.2%), type B1+B2 thymomas in 3 (3/66, 4.5%) and type A thymomas in 2 (2/66, 3.0%). ('thymic carcinomas', 'Disease', 'MESH:D013945', (40, 57)) ('A thymomas', 'Disease', 'MESH:D013945', (267, 277)) ('thymomas', 'Disease', 'MESH:D013945', (189, 197)) ('thymomas', 'Disease', (110, 118)) ('thymic carcinomas', 'Disease', (40, 57)) ('thymomas', 'Disease', 'MESH:D013945', (269, 277)) ('type B3', 'Var', (102, 109)) ('thymomas', 'Disease', (189, 197)) ('B2+B3', 'Gene', (146, 151)) ('thymomas', 'Disease', (269, 277)) ('patients', 'Species', '9606', (77, 85)) ('carcinoma', 'Phenotype', 'HP:0030731', (47, 56)) ('A thymomas', 'Phenotype', 'HP:0100522', (267, 277)) ('carcinomas', 'Phenotype', 'HP:0030731', (47, 57)) ('type B2', 'Var', (181, 188)) ('A thymomas', 'Disease', (267, 277)) ('thymoma', 'Phenotype', 'HP:0100522', (152, 159)) ('thymoma', 'Phenotype', 'HP:0100522', (231, 238)) ('B1+B2', 'Gene', '28905;3383', (225, 230)) ('thymomas', 'Disease', 'MESH:D013945', (152, 160)) ('thymomas', 'Disease', 'MESH:D013945', (231, 239)) ('thymoma', 'Phenotype', 'HP:0100522', (110, 117)) ('thymoma', 'Phenotype', 'HP:0100522', (269, 276)) ('B1+B2', 'Gene', (225, 230)) ('thymomas', 'Disease', 'MESH:D013945', (110, 118)) ('B2+B3', 'Gene', '28907;680', (146, 151)) ('thymomas', 'Disease', (152, 160)) ('thymomas', 'Disease', (231, 239)) ('thymoma', 'Phenotype', 'HP:0100522', (189, 196)) 15935 24455488 In contrast, mutations in the epithelial growth factor receptor are quite uncommon in thymic malignancies and seem to be limited to a small proportion of Asian patients. ('patients', 'Species', '9606', (160, 168)) ('malignancies', 'Disease', 'MESH:D009369', (93, 105)) ('epithelial growth factor receptor', 'Gene', (30, 63)) ('mutations', 'Var', (13, 22)) ('malignancies', 'Disease', (93, 105)) 16052 21600006 described the first case of a carcinoma with an activating KIT mutation and suggested that screening for activating KIT mutations may identify KIT-expressing carcinomas that could benefit from imatinib. ('carcinomas', 'Disease', (158, 168)) ('activating', 'Reg', (48, 58)) ('carcinomas', 'Disease', 'MESH:D002277', (158, 168)) ('carcinoma', 'Disease', (158, 167)) ('KIT-expressing', 'MPA', (143, 157)) ('imatinib', 'Chemical', 'MESH:D000068877', (193, 201)) ('mutation', 'Var', (63, 71)) ('carcinoma', 'Disease', 'MESH:D002277', (158, 167)) ('carcinoma', 'Disease', 'MESH:D002277', (30, 39)) ('mutations', 'Var', (120, 129)) ('carcinoma', 'Phenotype', 'HP:0030731', (30, 39)) ('carcinoma', 'Phenotype', 'HP:0030731', (158, 167)) ('carcinomas', 'Phenotype', 'HP:0030731', (158, 168)) ('carcinoma', 'Disease', (30, 39)) 16064 20123959 In contrast, the subsequent endocrine features are clearly autoimmune, resulting from defects in thymic self-tolerance induction caused by mutations in the autoimmune regulator (AIRE). ('autoimmune regulator', 'Gene', (156, 176)) ('mutations', 'Var', (139, 148)) ('autoimmune regulator', 'Gene', '326', (156, 176)) ('AIRE', 'Gene', (178, 182)) ('AIRE', 'Gene', '326', (178, 182)) ('thymic self-tolerance induction', 'CPA', (97, 128)) ('self-tolerance', 'Phenotype', 'HP:0100716', (104, 118)) ('defects', 'NegReg', (86, 93)) 16068 20123959 We independently found autoantibodies against these Th17-produced cytokines in rare thymoma patients with CMC. ('autoantibodies', 'Var', (23, 37)) ('patients', 'Species', '9606', (92, 100)) ('thymoma', 'Phenotype', 'HP:0100522', (84, 91)) ('found', 'Reg', (17, 22)) ('thymoma', 'Disease', 'MESH:D013945', (84, 91)) ('thymoma', 'Disease', (84, 91)) 16074 20123959 CMC and impaired Th17 production are also prominent in the autosomal dominant hyper-IgE syndrome caused by STAT3 mutations and in patients with defective CARD9 or dectin-1. ('STAT3', 'Gene', (107, 112)) ('CARD9', 'Gene', (154, 159)) ('CARD9', 'Gene', '64170', (154, 159)) ('hyper-IgE syndrome', 'Disease', 'MESH:D007589', (78, 96)) ('caused', 'Reg', (97, 103)) ('CMC', 'Disease', (0, 3)) ('patients', 'Species', '9606', (130, 138)) ('hyper-IgE syndrome', 'Disease', (78, 96)) ('dectin-1', 'Gene', (163, 171)) ('mutations', 'Var', (113, 122)) ('Th17 production', 'MPA', (17, 32)) ('dectin-1', 'Gene', '64581', (163, 171)) ('STAT3', 'Gene', '6774', (107, 112)) 16101 20123959 Remarkably, we detected serum autoantibodies against IL-17A, IL-17F, and/or IL-22 in the great majority of the 162 patients, with diverse AIRE mutations. ('patients', 'Species', '9606', (115, 123)) ('IL-17A', 'Gene', (53, 59)) ('IL-17A', 'Gene', '3605', (53, 59)) ('detected', 'Reg', (15, 23)) ('IL-17F', 'Gene', (61, 67)) ('AIRE', 'Gene', (138, 142)) ('AIRE', 'Gene', '326', (138, 142)) ('IL-22', 'Gene', '50616', (76, 81)) ('IL-17F', 'Gene', '112744', (61, 67)) ('IL-22', 'Gene', (76, 81)) ('mutations', 'Var', (143, 152)) 16103 20123959 In sharp contrast, their levels were low or undetectable in healthy subjects and unaffected relatives heterozygous for AIRE mutations. ('AIRE', 'Gene', '326', (119, 123)) ('AIRE', 'Gene', (119, 123)) ('mutations', 'Var', (124, 133)) 16109 20123959 We therefore use neutralizing titers against IL-22 for optimal quantification and sensitivity in most subsequent analyses. ('IL-22', 'Gene', '50616', (45, 50)) ('IL-22', 'Gene', (45, 50)) ('neutralizing', 'Var', (17, 29)) 16135 20123959 If so, the autoantibodies against IL-17 and IL-22 might prove to be useful predictors of CMC susceptibility that could be assessed in prospective serial studies in AIRE mutant siblings of APECED probands (or thymoma patients). ('IL-17', 'Gene', (34, 39)) ('thymoma', 'Disease', 'MESH:D013945', (208, 215)) ('IL-17', 'Gene', '3605', (34, 39)) ('thymoma', 'Disease', (208, 215)) ('IL-22', 'Gene', '50616', (44, 49)) ('CMC', 'Disease', (89, 92)) ('AIRE', 'Gene', (164, 168)) ('thymoma', 'Phenotype', 'HP:0100522', (208, 215)) ('IL-22', 'Gene', (44, 49)) ('patients', 'Species', '9606', (216, 224)) ('AIRE', 'Gene', '326', (164, 168)) ('mutant', 'Var', (169, 175)) ('APECED', 'Gene', '326', (188, 194)) ('APECED', 'Gene', (188, 194)) 16138 20123959 At one extreme, every p.R257X homozygote (61 from Finland, 5 from Slovenia, and 2 from Norway) had CMC and was positive against IL-22, and 64 were also positive against IL-17F. ('IL-22', 'Gene', (128, 133)) ('p.R257X', 'Mutation', 'rs121434254', (22, 29)) ('CMC', 'Disease', (99, 102)) ('IL-17F', 'Gene', (169, 175)) ('p.R257X', 'Var', (22, 29)) ('positive', 'Reg', (111, 119)) ('IL-17F', 'Gene', '112744', (169, 175)) ('positive', 'Reg', (152, 160)) ('Slovenia', 'Disease', (66, 74)) ('Slovenia', 'Disease', 'None', (66, 74)) ('IL-22', 'Gene', '50616', (128, 133)) 16139 20123959 In contrast, among 20 c.967_979del13 homozygous patients (13 from Norway, 6 from USA, and 1 from Pakistan), 7 were negative against IL-17F and 1 against IL-22, and these also included the 7 without CMC. ('IL-22', 'Gene', (153, 158)) ('IL-17F and 1', 'Gene', '112744;3553', (132, 144)) ('c.967_979del13', 'Mutation', 'c.967_979del13', (22, 36)) ('patients', 'Species', '9606', (48, 56)) ('negative', 'NegReg', (115, 123)) ('c.967_979del13', 'Var', (22, 36)) ('IL-22', 'Gene', '50616', (153, 158)) 16140 20123959 Moreover, autoantibodies and CMC were both rare in a unique family with a dominant-negative p.G228W substitution that cosegregates mainly with autoimmune thyroiditis and autoantibodies to type I IFNs. ('IFN', 'Gene', '3439', (195, 198)) ('thyroiditis', 'Phenotype', 'HP:0100646', (154, 165)) ('p.G228W', 'Mutation', 'rs121434257', (92, 99)) ('autoimmune thyroiditis', 'Disease', (143, 165)) ('p.G228W', 'Var', (92, 99)) ('IFN', 'Gene', (195, 198)) ('autoimmune thyroiditis', 'Disease', 'MESH:D013967', (143, 165)) 16154 20123959 Clinically, APECED is highly variable, including in the CMC onset age (even in p.R257X homozygotes), so there must be multiple predisposing factors, whether genetic, immunological, or environmental. ('p.R257X', 'Var', (79, 86)) ('APECED', 'Gene', '326', (12, 18)) ('APECED', 'Gene', (12, 18)) ('CMC', 'Disease', (56, 59)) ('p.R257X', 'Mutation', 'rs121434254', (79, 86)) 16161 20123959 Even more importantly, this susceptibility is likewise phenocopied in patients with autoantibodies against IFN-gamma. ('patients', 'Species', '9606', (70, 78)) ('autoantibodies', 'Var', (84, 98)) ('IFN-gamma', 'Gene', '3458', (107, 116)) ('IFN-gamma', 'Gene', (107, 116)) 16214 31781423 A myelodysplastic syndrome was excluded by morphological evaluation, cytogenetic analysis, and mutational analysis, which revealed a normal karyotype and the absence of EZH2, GATA2, and TET2 mutations. ('GATA2', 'Gene', (175, 180)) ('TET2', 'Gene', '54790', (186, 190)) ('absence', 'NegReg', (158, 165)) ('TET2', 'Gene', (186, 190)) ('mutations', 'Var', (191, 200)) ('myelodysplastic syndrome', 'Phenotype', 'HP:0002863', (2, 26)) ('GATA2', 'Gene', '2624', (175, 180)) ('EZH2', 'Gene', '2146', (169, 173)) ('myelodysplastic syndrome', 'Disease', (2, 26)) ('EZH2', 'Gene', (169, 173)) ('myelodysplastic syndrome', 'Disease', 'MESH:D009190', (2, 26)) 16253 31781423 For this reason, our first goal was to exclude a myelodysplastic syndrome secondary to chemotherapy and radiotherapy treatments: no morphological changes suggestive of MDS were observed, the karyotype was normal, and also the mutations associated with myelodysplasia and rare forms of sideroblastic anemia associated with immunodeficiency such as TET2, GATA2, TRNT1, were negative. ('sideroblastic anemia', 'Disease', (285, 305)) ('TET2', 'Gene', (347, 351)) ('myelodysplastic syndrome', 'Disease', (49, 73)) ('myelodysplasia', 'Disease', (252, 266)) ('immunodeficiency', 'Disease', 'MESH:D007153', (322, 338)) ('MDS', 'Disease', 'MESH:D009190', (168, 171)) ('TRNT1', 'Gene', '51095', (360, 365)) ('TRNT1', 'Gene', (360, 365)) ('immunodeficiency', 'Phenotype', 'HP:0002721', (322, 338)) ('MDS', 'Disease', (168, 171)) ('myelodysplastic syndrome', 'Phenotype', 'HP:0002863', (49, 73)) ('myelodysplasia', 'Phenotype', 'HP:0002863', (252, 266)) ('TET2', 'Gene', '54790', (347, 351)) ('myelodysplastic syndrome', 'Disease', 'MESH:D009190', (49, 73)) ('myelodysplasia', 'Disease', 'MESH:D009190', (252, 266)) ('anemia', 'Phenotype', 'HP:0001903', (299, 305)) ('GATA2', 'Gene', '2624', (353, 358)) ('sideroblastic anemia', 'Disease', 'MESH:D000756', (285, 305)) ('mutations', 'Var', (226, 235)) ('GATA2', 'Gene', (353, 358)) ('sideroblastic anemia', 'Phenotype', 'HP:0001924', (285, 305)) ('immunodeficiency', 'Disease', (322, 338)) 16350 31218940 The outcome in this case was supported by our previous studies, whereby FMT relieved patients' economic burden and stopped or reduced the need for use of some medications. ('economic burden', 'MPA', (95, 110)) ('relieved', 'NegReg', (76, 84)) ('patients', 'Species', '9606', (85, 93)) ('FMT', 'Var', (72, 75)) ('reduced', 'NegReg', (126, 133)) ('need for use of some medications', 'MPA', (138, 170)) 16375 30816514 There are various mechanisms by which the pathogenesis of thymoma occurs, including epigenetic alterations, which are a hallmark of cancer due to their role in carcinogenesis initiation. ('cancer', 'Disease', (132, 138)) ('thymoma', 'Gene', (58, 65)) ('epigenetic alterations', 'Var', (84, 106)) ('carcinogenesis initiation', 'Disease', (160, 185)) ('cancer', 'Phenotype', 'HP:0002664', (132, 138)) ('thymoma', 'Phenotype', 'HP:0100522', (58, 65)) ('carcinogenesis initiation', 'Disease', 'MESH:D063646', (160, 185)) ('thymoma', 'Gene', '7063', (58, 65)) ('cancer', 'Disease', 'MESH:D009369', (132, 138)) 16376 30816514 Recent evidence has indicated that miR-145-5p is an important epigenetic regulation factor that may be involved in tumor progression and treatment response in thymic epithelial tumors. ('epithelial tumors', 'Disease', 'MESH:D002277', (166, 183)) ('tumor', 'Phenotype', 'HP:0002664', (115, 120)) ('tumors', 'Phenotype', 'HP:0002664', (177, 183)) ('tumor', 'Disease', (115, 120)) ('tumor', 'Disease', 'MESH:D009369', (177, 182)) ('tumor', 'Phenotype', 'HP:0002664', (177, 182)) ('involved', 'Reg', (103, 111)) ('epithelial tumors', 'Disease', (166, 183)) ('tumor', 'Disease', (177, 182)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (166, 182)) ('miR-145-5p', 'Var', (35, 45)) ('tumor', 'Disease', 'MESH:D009369', (115, 120)) 16379 30816514 Previous research has also provided evidence that DNA hypermethylation in promoter regions and global DNA hypomethylation serve an important role in the tumorigenesis of thymic epithelial tumors. ('tumor', 'Disease', (188, 193)) ('tumor', 'Disease', 'MESH:D009369', (153, 158)) ('hypomethylation', 'Var', (106, 121)) ('tumors', 'Phenotype', 'HP:0002664', (188, 194)) ('epithelial tumors', 'Disease', (177, 194)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (177, 193)) ('epithelial tumors', 'Disease', 'MESH:D002277', (177, 194)) ('tumor', 'Disease', (153, 158)) ('tumor', 'Phenotype', 'HP:0002664', (153, 158)) ('tumor', 'Disease', 'MESH:D009369', (188, 193)) ('tumor', 'Phenotype', 'HP:0002664', (188, 193)) 16380 30816514 Specific DNA methylation aberrations, which are associated with different thymic epithelial tumor histotypes or thymomas accompanied by MG, have previously been identified. ('epithelial tumor', 'Disease', (81, 97)) ('associated', 'Reg', (48, 58)) ('methylation', 'Var', (13, 24)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (81, 97)) ('thymoma', 'Phenotype', 'HP:0100522', (112, 119)) ('tumor', 'Phenotype', 'HP:0002664', (92, 97)) ('epithelial tumor', 'Disease', 'MESH:D002277', (81, 97)) ('thymomas', 'Disease', 'MESH:D013945', (112, 120)) ('thymomas', 'Disease', (112, 120)) 16381 30816514 However, the function of aberrant DNA methylation in thymomas is less clear. ('aberrant', 'Var', (25, 33)) ('thymomas', 'Disease', (53, 61)) ('thymoma', 'Phenotype', 'HP:0100522', (53, 60)) ('thymomas', 'Disease', 'MESH:D013945', (53, 61)) 16408 30816514 A total of 19,118 probes were found to be significantly differentially methylated (Deltabeta>0.2 and adjusted P<0.05), including 119 hypermethylated and 18,999 hypomethylated DMCs. ('DMCs', 'Chemical', '-', (175, 179)) ('hypomethylated', 'Reg', (160, 174)) ('Deltabeta', 'Chemical', '-', (83, 92)) ('hypermethylated', 'Var', (133, 148)) 16414 30816514 Significant differences were observed between the hypo- and hypermethylated DMCs according to the functional genomic distribution, as well as the CpG content and neighborhood context (Fig. ('DMCs', 'Chemical', '-', (76, 80)) ('differences', 'Reg', (12, 23)) ('hypo-', 'Var', (50, 55)) ('hypermethylated', 'Var', (60, 75)) 16424 30816514 In total, 10,014 CpGs were differentially methylated at Deltabeta>0.2 and P<0.001 between type A and B thymoma subjects, which consisted of 3,998 hypermethylated and 6,016 hypomethylated DMCs. ('DMCs', 'Chemical', '-', (187, 191)) ('hypermethylated', 'Var', (146, 161)) ('thymoma', 'Gene', '7063', (103, 110)) ('Deltabeta', 'Chemical', '-', (56, 65)) ('thymoma', 'Gene', (103, 110)) ('CpGs', 'Chemical', 'MESH:C015772', (17, 21)) ('thymoma', 'Phenotype', 'HP:0100522', (103, 110)) 16432 30816514 Considering that aberrant DNA methylation may cause gene expression alterations in thymomas, methylation and expression data of type A and B thymomas from the GEO database were analyzed. ('gene expression alterations', 'MPA', (52, 79)) ('aberrant', 'Var', (17, 25)) ('thymomas', 'Disease', (83, 91)) ('thymomas', 'Disease', 'MESH:D013945', (83, 91)) ('thymomas', 'Disease', (141, 149)) ('thymomas', 'Disease', 'MESH:D013945', (141, 149)) ('B thymomas', 'Disease', 'MESH:D013945', (139, 149)) ('B thymomas', 'Disease', (139, 149)) ('DNA', 'Protein', (26, 29)) ('cause', 'Reg', (46, 51)) ('thymoma', 'Phenotype', 'HP:0100522', (141, 148)) ('thymoma', 'Phenotype', 'HP:0100522', (83, 90)) 16433 30816514 Differential methylation analysis showed that a total of 377 hypermethylated DMCs between type A and B thymomas were located in proximal promoters (TSS1500 and TSS200), which were associated with 319 genes. ('hypermethylated', 'Reg', (61, 76)) ('DMCs', 'Chemical', '-', (77, 81)) ('TSS1500', 'Var', (148, 155)) ('B thymomas', 'Disease', 'MESH:D013945', (101, 111)) ('B thymomas', 'Disease', (101, 111)) ('thymoma', 'Phenotype', 'HP:0100522', (103, 110)) ('TSS200', 'Var', (160, 166)) 16434 30816514 In addition, a total of 658 hypomethylated DMCs between type A and B thymomas were located in proximal promoters, which were associated with 530 genes. ('DMCs', 'Chemical', '-', (43, 47)) ('B thymomas', 'Disease', 'MESH:D013945', (67, 77)) ('B thymomas', 'Disease', (67, 77)) ('hypomethylated', 'Var', (28, 42)) ('thymoma', 'Phenotype', 'HP:0100522', (69, 76)) 16438 30816514 Furthermore, functional annotation showed that the seven genes that were hypermethylated with a lower expression were highly involved in five KEGG pathways: 'Insulin signaling pathway', 'Fc gamma R-mediated phagocytosis', 'Fc epsilon RI singling pathway', 'CAMs' and 'focal adhesion' (Table IV). ('Fc epsilon RI', 'Gene', '2205', (223, 236)) ('KEGG pathways', 'Pathway', (142, 155)) ("'Insulin signaling pathway'", 'Pathway', (157, 184)) ('Fc epsilon RI', 'Gene', (223, 236)) ('involved', 'Reg', (125, 133)) ('hypermethylated', 'Var', (73, 88)) 16442 30816514 For the seven genes that were hypermethylated with low expression, the AUC of ICAM3 (0.717), APBB1IP (0.748), IFI16 (0.745), PARVG (0.762), CCM2 (0.703), INPP5D (0.741) and SP110 (0.738) was >0.7, as shown in Fig. ('APBB1IP', 'Gene', (93, 100)) ('0.762', 'Var', (132, 137)) ('ICAM3', 'Gene', '3385', (78, 83)) ('PARVG', 'Gene', (125, 130)) ('0.703', 'Var', (146, 151)) ('SP110', 'Gene', '3431', (173, 178)) ('PARVG', 'Gene', '64098', (125, 130)) ('0.717', 'Var', (85, 90)) ('IFI16', 'Gene', '3428', (110, 115)) ('APBB1IP', 'Gene', '54518', (93, 100)) ('CCM2', 'Gene', '83605', (140, 144)) ('INPP5D', 'Gene', '3635', (154, 160)) ('IFI16', 'Gene', (110, 115)) ('INPP5D', 'Gene', (154, 160)) ('SP110', 'Gene', (173, 178)) ('ICAM3', 'Gene', (78, 83)) ('0.748', 'Var', (102, 107)) ('CCM2', 'Gene', (140, 144)) ('0.745', 'Var', (117, 122)) 16448 30816514 Using Deltabeta>0.2 and P<0.001, 121 DMCs were identified between the MG- and non-MG-thymoma subjects, including 22 hypermethylated and 99 hypomethylated DMCs. ('Deltabeta', 'Chemical', '-', (6, 15)) ('hypomethylated', 'Var', (139, 153)) ('hypermethylated', 'Var', (116, 131)) ('thymoma', 'Phenotype', 'HP:0100522', (85, 92)) ('DMCs', 'Chemical', '-', (37, 41)) ('DMCs', 'Chemical', '-', (154, 158)) ('non-MG-thymoma', 'Disease', 'MESH:D013945', (78, 92)) ('non-MG-thymoma', 'Disease', (78, 92)) 16452 30816514 Epigenetic changes, particularly changes in DNA methylation, are important markers and widely studied in a variety of cancer types. ('cancer', 'Disease', (118, 124)) ('DNA methylation', 'MPA', (44, 59)) ('changes', 'Reg', (33, 40)) ('cancer', 'Disease', 'MESH:D009369', (118, 124)) ('cancer', 'Phenotype', 'HP:0002664', (118, 124)) ('Epigenetic changes', 'Var', (0, 18)) 16454 30816514 A previous report showed that epigenetic events have been implicated in thymomas. ('thymomas', 'Disease', (72, 80)) ('epigenetic events', 'Var', (30, 47)) ('thymomas', 'Disease', 'MESH:D013945', (72, 80)) ('thymoma', 'Phenotype', 'HP:0100522', (72, 79)) ('implicated', 'Reg', (58, 68)) 16462 30816514 The present study provided a more extensive list of candidate differentially methylated genes, which may be associated with thymomas. ('differentially methylated genes', 'Var', (62, 93)) ('thymomas', 'Disease', (124, 132)) ('thymomas', 'Disease', 'MESH:D013945', (124, 132)) ('associated', 'Reg', (108, 118)) ('thymoma', 'Phenotype', 'HP:0100522', (124, 131)) 16463 30816514 Further studies are required to evaluate the gene expression alterations in thymomas regulated by aberrant DNA methylation. ('thymomas', 'Disease', 'MESH:D013945', (76, 84)) ('aberrant', 'Var', (98, 106)) ('thymomas', 'Disease', (76, 84)) ('thymoma', 'Phenotype', 'HP:0100522', (76, 83)) 16468 30816514 Differential methylation analysis identified 3,998 hypermethylated and 6,016 hypomethylated DMCs between type A and B thymoma subjects. ('thymoma', 'Phenotype', 'HP:0100522', (118, 125)) ('thymoma', 'Gene', '7063', (118, 125)) ('thymoma', 'Gene', (118, 125)) ('DMCs', 'Chemical', '-', (92, 96)) ('hypermethylated', 'Var', (51, 66)) 16472 30816514 Therefore, the present results underlined the importance of aberrant DNA methylation in different subtypes of thymoma. ('thymoma', 'Gene', '7063', (110, 117)) ('DNA', 'Protein', (69, 72)) ('thymoma', 'Gene', (110, 117)) ('thymoma', 'Phenotype', 'HP:0100522', (110, 117)) ('aberrant', 'Var', (60, 68)) 16478 30816514 In conclusion, the present study reported the dysregulated DNA methylation involved in thymoma using the Illumina 850K methylation microarray. ('thymoma', 'Gene', '7063', (87, 94)) ('thymoma', 'Phenotype', 'HP:0100522', (87, 94)) ('thymoma', 'Gene', (87, 94)) ('dysregulated', 'Var', (46, 58)) 16483 30897085 The PIK3/Akt/mTOR pathway plays a key role in various cancers; interestingly, several phase I/II studies have reported a positive effect of mTOR inhibitors in disease control in thymoma patients. ('thymoma', 'Disease', 'MESH:D013945', (178, 185)) ('cancers', 'Phenotype', 'HP:0002664', (54, 61)) ('PIK3', 'Gene', (4, 8)) ('cancers', 'Disease', (54, 61)) ('Akt', 'Gene', (9, 12)) ('cancers', 'Disease', 'MESH:D009369', (54, 61)) ('thymoma', 'Disease', (178, 185)) ('PIK3', 'Gene', '5294', (4, 8)) ('thymoma', 'Phenotype', 'HP:0100522', (178, 185)) ('mTOR', 'Gene', (13, 17)) ('cancer', 'Phenotype', 'HP:0002664', (54, 60)) ('mTOR', 'Gene', '2475', (13, 17)) ('mTOR', 'Gene', (140, 144)) ('inhibitors', 'Var', (145, 155)) ('mTOR', 'Gene', '2475', (140, 144)) ('patients', 'Species', '9606', (186, 194)) ('Akt', 'Gene', '207', (9, 12)) 16487 30897085 Interestingly, we report the activation of Akt, mTOR and P70S6 proteins in primary thymic epithelial cells maintained for short period of time after their derivation from seven AB and B thymomas. ('mTOR', 'Gene', '2475', (48, 52)) ('activation', 'PosReg', (29, 39)) ('mTOR', 'Gene', (48, 52)) ('Akt', 'Gene', '207', (43, 46)) ('thymoma', 'Phenotype', 'HP:0100522', (186, 193)) ('Akt', 'Gene', (43, 46)) ('thymomas', 'Disease', (186, 194)) ('thymomas', 'Disease', 'MESH:D013945', (186, 194)) ('P70S6', 'Var', (57, 62)) 16499 30897085 Sequencing of 197 cancer-related genes revealed the presence of non-synonymous somatic mutations in over 60% thymic carcinomas and barely 15% thymomas. ('non-synonymous somatic mutations', 'Var', (64, 96)) ('thymic carcinomas', 'Disease', (109, 126)) ('thymomas', 'Disease', (142, 150)) ('thymomas', 'Disease', 'MESH:D013945', (142, 150)) ('cancer', 'Phenotype', 'HP:0002664', (18, 24)) ('carcinoma', 'Phenotype', 'HP:0030731', (116, 125)) ('carcinomas', 'Phenotype', 'HP:0030731', (116, 126)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (109, 126)) ('cancer', 'Disease', (18, 24)) ('cancer', 'Disease', 'MESH:D009369', (18, 24)) ('thymoma', 'Phenotype', 'HP:0100522', (142, 149)) 16500 30897085 The most frequent mutations (26% of thymic carcinomas) were located in the p53 tumor suppressor gene. ('tumor', 'Phenotype', 'HP:0002664', (79, 84)) ('tumor', 'Disease', (79, 84)) ('carcinoma', 'Phenotype', 'HP:0030731', (43, 52)) ('thymic carcinomas', 'Disease', (36, 53)) ('carcinomas', 'Phenotype', 'HP:0030731', (43, 53)) ('p53', 'Gene', (75, 78)) ('p53', 'Gene', '7157', (75, 78)) ('tumor', 'Disease', 'MESH:D009369', (79, 84)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (36, 53)) ('mutations', 'Var', (18, 27)) 16501 30897085 GTF2I was confirmed as an oncogene associated with type A thymoma, and mutations in HRAS, NRAS, and TP53 were identified in thymomas. ('TP53', 'Gene', '7157', (100, 104)) ('NRAS', 'Gene', (90, 94)) ('thymomas', 'Disease', 'MESH:D013945', (124, 132)) ('thymomas', 'Disease', (124, 132)) ('TP53', 'Gene', (100, 104)) ('type A thymoma', 'Disease', (51, 65)) ('associated', 'Reg', (35, 45)) ('identified', 'Reg', (110, 120)) ('GTF2I', 'Gene', (0, 5)) ('NRAS', 'Gene', '4893', (90, 94)) ('HRAS', 'Gene', '3265', (84, 88)) ('type A thymoma', 'Disease', 'MESH:D013945', (51, 65)) ('mutations', 'Var', (71, 80)) ('thymoma', 'Phenotype', 'HP:0100522', (58, 65)) ('HRAS', 'Gene', (84, 88)) ('thymoma', 'Phenotype', 'HP:0100522', (124, 131)) ('GTF2I', 'Gene', '2969', (0, 5)) 16503 30897085 Mutations of genes encoding regulatory subunit of PIK3 have been reported in a tumorigenic thymic carcinoma cell line, using targeted exome sequencing, predicting the efficacy of PIK3 inhibitors. ('tumor', 'Phenotype', 'HP:0002664', (79, 84)) ('PIK3', 'Gene', (179, 183)) ('thymic carcinoma', 'Disease', (91, 107)) ('tumor', 'Disease', (79, 84)) ('carcinoma', 'Phenotype', 'HP:0030731', (98, 107)) ('PIK3', 'Gene', '5294', (179, 183)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (91, 107)) ('Mutations', 'Var', (0, 9)) ('PIK3', 'Gene', (50, 54)) ('tumor', 'Disease', 'MESH:D009369', (79, 84)) ('PIK3', 'Gene', '5294', (50, 54)) 16517 30897085 After 20 min rehydration in PBS, cells were incubated for one hour at room temperature with the BM4048 mouse monoclonal anti-cytokeratin (Acris) or mouse monoclonal anti-vimentin (Sigma) antibodies diluted in PBS supplemented with 1% bovine serum albumin as recommended. ('PBS', 'Chemical', 'MESH:D007854', (209, 212)) ('vimentin', 'Gene', '7431', (170, 178)) ('bovine', 'Species', '9913', (234, 240)) ('mouse', 'Species', '10090', (103, 108)) ('mouse', 'Species', '10090', (148, 153)) ('vimentin', 'Gene', (170, 178)) ('PBS', 'Chemical', 'MESH:D007854', (28, 31)) ('BM4048', 'Var', (96, 102)) 16522 30897085 Primary thymic epithelial cells (5000 cells/well) derived from patients #3147 (AB type), #3146 (B2 type) and #3149 (B2/B3 type) were incubated in "TEC medium" in 96 well plates for twelve hours then treated with 1, 10 or 100 nM rapamycin (Sigma). ('rapamycin', 'Chemical', 'MESH:D020123', (228, 237)) ('#3149', 'Var', (109, 114)) ('TEC medium', 'Chemical', '-', (147, 157)) ('#3146', 'Var', (89, 94)) ('patients', 'Species', '9606', (63, 71)) 16525 30897085 Primary thymic epithelial cells (5.104 cells/well) derived from thymomas #3146 (B2), #3147 (AB) and #3149 (B2/B3) were incubated in "TEC medium" in 6 well plates for twelve hours then treated with 100 nM rapamycin (Sigma) or 10 muM cisplatin (Promega). ('TEC medium', 'Chemical', '-', (133, 143)) ('rapamycin', 'Chemical', 'MESH:D020123', (204, 213)) ('thymoma', 'Phenotype', 'HP:0100522', (64, 71)) ('#3147', 'Var', (85, 90)) ('#3149', 'Var', (100, 105)) ('thymomas', 'Disease', (64, 72)) ('cisplatin', 'Chemical', 'MESH:D002945', (232, 241)) ('thymomas', 'Disease', 'MESH:D013945', (64, 72)) 16528 30897085 Mutations of PIK3CA, PIK3R1 and GTF2i have been analyzed using primers in exons 1 to 21 for PIK3CA (GenBank NM06218.3), exons 5 to 16 for PIK3R1 (GenBank NM181523) and exons 5-15 for GTF2I (GenBank NM001518.4) gene (Table 2). ('PIK3CA', 'Gene', (13, 19)) ('PIK3R1', 'Gene', '5295', (21, 27)) ('PIK3CA', 'Gene', '5290', (92, 98)) ('GTF2I', 'Gene', '2969', (183, 188)) ('PIK3R1', 'Gene', (21, 27)) ('PIK3R1', 'Gene', '5295', (138, 144)) ('GTF2i', 'Gene', (32, 37)) ('PIK3R1', 'Gene', (138, 144)) ('PIK3CA', 'Gene', '5290', (13, 19)) ('Mutations', 'Var', (0, 9)) ('GTF2i', 'Gene', '2969', (32, 37)) ('PIK3CA', 'Gene', (92, 98)) ('GTF2I', 'Gene', (183, 188)) 16531 30897085 From January 2015 to December 2017, twelve patients (8 males and 4 females, mean age of 66.67 +- 8.99 years (46-83)) who have undergone surgery (Table 1) for thymic epithelial tumors (3154, 2635, 2646, 2836, 3147, 3148, 3152, 3146, 3149, 3150, 2637) or for pleural relapse of a type A thymoma removed 25 months before the surgery (3153) have been included in our study (Table 1). ('thymoma', 'Phenotype', 'HP:0100522', (285, 292)) ('pleural', 'Disease', 'MESH:D010995', (257, 264)) ('tumor', 'Phenotype', 'HP:0002664', (176, 181)) ('thymic epithelial tumors', 'Disease', (158, 182)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (158, 182)) ('type A thymoma', 'Disease', (278, 292)) ('patients', 'Species', '9606', (43, 51)) ('pleural', 'Disease', (257, 264)) ('type A thymoma', 'Disease', 'MESH:D013945', (278, 292)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (165, 181)) ('3154', 'Var', (184, 188)) ('tumors', 'Phenotype', 'HP:0002664', (176, 182)) 16534 30897085 According to the WHO pathological classification, tumors were of type AB for 6 patients (2635, 2646, 2836, 3147, 3148, and 3152), B2 for 3 patients (3146, 3149, 3150) and thymic carcinoma for patient 2637 (Table 1). ('3146', 'Var', (149, 153)) ('patient', 'Species', '9606', (192, 199)) ('tumors', 'Disease', 'MESH:D009369', (50, 56)) ('patients', 'Species', '9606', (139, 147)) ('2836', 'Var', (101, 105)) ('thymic carcinoma', 'Disease', (171, 187)) ('2635', 'Var', (89, 93)) ('patient', 'Species', '9606', (79, 86)) ('patients', 'Species', '9606', (79, 87)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (171, 187)) ('carcinoma', 'Phenotype', 'HP:0030731', (178, 187)) ('tumor', 'Phenotype', 'HP:0002664', (50, 55)) ('tumors', 'Phenotype', 'HP:0002664', (50, 56)) ('tumors', 'Disease', (50, 56)) ('patient', 'Species', '9606', (139, 146)) ('3147', 'Var', (107, 111)) 16541 30897085 A screening of PIK3 and GTF2I mutations was performed on all tumors. ('PIK3', 'Gene', '5294', (15, 19)) ('tumors', 'Disease', (61, 67)) ('tumors', 'Disease', 'MESH:D009369', (61, 67)) ('GTF2I', 'Gene', (24, 29)) ('mutations', 'Var', (30, 39)) ('tumor', 'Phenotype', 'HP:0002664', (61, 66)) ('PIK3', 'Gene', (15, 19)) ('tumors', 'Phenotype', 'HP:0002664', (61, 67)) ('GTF2I', 'Gene', '2969', (24, 29)) 16542 30897085 Among the 12 tumors, only patient 3149 (B2/ B3 thymoma) carried a non-conservative A/C transversion localized on position 56 of exon 2 of PIK3CA (Fig 2A). ('patient', 'Species', '9606', (26, 33)) ('thymoma', 'Disease', 'MESH:D013945', (47, 54)) ('A/C transversion', 'Var', (83, 99)) ('tumors', 'Disease', (13, 19)) ('tumors', 'Disease', 'MESH:D009369', (13, 19)) ('tumors', 'Phenotype', 'HP:0002664', (13, 19)) ('thymoma', 'Disease', (47, 54)) ('thymoma', 'Phenotype', 'HP:0100522', (47, 54)) ('PIK3CA', 'Gene', (138, 144)) ('B2/ B3', 'Gene', '680', (40, 46)) ('B2/ B3', 'Gene', (40, 46)) ('tumor', 'Phenotype', 'HP:0002664', (13, 18)) ('PIK3CA', 'Gene', '5290', (138, 144)) 16543 30897085 We also detected a GTF2I mutation for tumor 3154, reported as a micronodular thymoma with lymphoid stroma, a rare presentation of type A thymoma (Fig 2B). ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('tumor', 'Disease', (38, 43)) ('thymoma', 'Disease', (77, 84)) ('thymoma', 'Disease', 'MESH:D013945', (137, 144)) ('type A thymoma', 'Disease', 'MESH:D013945', (130, 144)) ('GTF2I', 'Gene', (19, 24)) ('thymoma', 'Phenotype', 'HP:0100522', (77, 84)) ('mutation', 'Var', (25, 33)) ('thymoma', 'Disease', (137, 144)) ('lymphoid stroma', 'Disease', (90, 105)) ('thymoma', 'Disease', 'MESH:D013945', (77, 84)) ('GTF2I', 'Gene', '2969', (19, 24)) ('tumor', 'Disease', 'MESH:D009369', (38, 43)) ('thymoma', 'Phenotype', 'HP:0100522', (137, 144)) ('lymphoid stroma', 'Disease', 'MESH:D008223', (90, 105)) ('type A thymoma', 'Disease', (130, 144)) 16555 30897085 We focused our analysis on cell cultures derived from AB (# 3147), B2 (# 3146) and B2/ B3 (#3149) thymomas at early passages because these cells had good proliferative abilities (~24 hours doubling time), a prerequisite for the study of rapamycin inhibition over a 72-hour period. ('thymomas', 'Disease', 'MESH:D013945', (98, 106)) ('B2/ B3', 'Gene', '680', (83, 89)) ('#3149', 'Var', (91, 96)) ('proliferative abilities', 'CPA', (154, 177)) ('# 3146', 'Var', (71, 77)) ('thymoma', 'Phenotype', 'HP:0100522', (98, 105)) ('B2/ B3', 'Gene', (83, 89)) ('rapamycin', 'Chemical', 'MESH:D020123', (237, 246)) ('thymomas', 'Disease', (98, 106)) 16558 30897085 The activation of mTOR was reduced by ~90%, ~30% and ~ 50% in thymic epithelial cells respectively derived from AB (3147), B2 (3146) and B2/B3 thymomas (Fig 5). ('reduced', 'NegReg', (27, 34)) ('thymomas', 'Disease', (143, 151)) ('mTOR', 'Gene', (18, 22)) ('mTOR', 'Gene', '2475', (18, 22)) ('thymomas', 'Disease', 'MESH:D013945', (143, 151)) ('activation', 'MPA', (4, 14)) ('thymoma', 'Phenotype', 'HP:0100522', (143, 150)) ('B2 (3146', 'Var', (123, 131)) 16571 30897085 Besides PIK3 regulatory subunits mutations, copy number gain of the anti-apoptotic molecule BCL2 was observed at comparative genomic hybridization of such cell lines, while in vitro siRNA knockdown reduced cell proliferation, and in vivo exposure to a pan-BCL2 inhibitor led to an inhibition of xenograft growth, via a mechanism involving the PIK3/AKT/mTOR pathway. ('AKT', 'Gene', '207', (348, 351)) ('BCL2', 'Gene', (256, 260)) ('PIK3', 'Gene', '5294', (343, 347)) ('PIK3', 'Gene', (343, 347)) ('inhibition', 'NegReg', (281, 291)) ('cell proliferation', 'CPA', (206, 224)) ('gain', 'PosReg', (56, 60)) ('mutations', 'Var', (33, 42)) ('AKT', 'Gene', (348, 351)) ('mTOR', 'Gene', '2475', (352, 356)) ('BCL2', 'Gene', '596', (92, 96)) ('PIK3', 'Gene', (8, 12)) ('mTOR', 'Gene', (352, 356)) ('reduced', 'NegReg', (198, 205)) ('BCL2', 'Gene', '596', (256, 260)) ('xenograft growth', 'CPA', (295, 311)) ('PIK3', 'Gene', '5294', (8, 12)) ('BCL2', 'Gene', (92, 96)) 16572 30897085 Exposure of thymic carcinoma cells to HSP90 inhibitors led to cell cycle arrest and apoptosis, and blocked invasiveness, through the downregulation of HSP90 oncogenic clients, including insulin-like growth factor 1 receptor (IGF-1R), a transmembrane tyrosine kinase receptor frequently overexpressed in thymic carcinomas, CDK4, and PIK3/ Akt. ('PIK3', 'Gene', '5294', (332, 336)) ('IGF-1R', 'Gene', '3480', (225, 231)) ('CDK4', 'Gene', (322, 326)) ('IGF-1R', 'Gene', (225, 231)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (303, 319)) ('Akt', 'Gene', (338, 341)) ('apoptosis', 'CPA', (84, 93)) ('arrest', 'Disease', 'MESH:D006323', (73, 79)) ('carcinoma', 'Phenotype', 'HP:0030731', (310, 319)) ('carcinomas', 'Phenotype', 'HP:0030731', (310, 320)) ('HSP90', 'Gene', (38, 43)) ('CDK4', 'Gene', '1019', (322, 326)) ('blocked invasiveness', 'CPA', (99, 119)) ('HSP90', 'Gene', (151, 156)) ('downregulation', 'NegReg', (133, 147)) ('insulin-like growth factor 1 receptor', 'Gene', (186, 223)) ('Akt', 'Gene', '207', (338, 341)) ('thymic carcinoma', 'Disease', (12, 28)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (303, 320)) ('HSP90', 'Gene', '3320', (38, 43)) ('HSP90', 'Gene', '3320', (151, 156)) ('thymic carcinomas', 'Disease', (303, 320)) ('cell cycle arrest', 'Phenotype', 'HP:0011018', (62, 79)) ('inhibitors', 'Var', (44, 54)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (12, 28)) ('carcinoma', 'Phenotype', 'HP:0030731', (19, 28)) ('insulin-like growth factor 1 receptor', 'Gene', '3480', (186, 223)) ('arrest', 'Disease', (73, 79)) ('PIK3', 'Gene', (332, 336)) 16573 30897085 Taken together, these data were of significant therapeutic relevance: while pictilisib is mostly developed in breast cancers, which more frequently harbor PIK3 alterations, phase II trials dedicated to thymic epithelial tumors were conducted with the IGF-1R inhibitor cixutumumab, the mTOR inhibitor everolimus, and the CDK inhibitor milciclib [INS], reporting on clinical antitumor activity in advanced, refractory cases. ('tumor', 'Disease', (220, 225)) ('thymic epithelial tumors', 'Disease', (202, 226)) ('breast cancers', 'Phenotype', 'HP:0003002', (110, 124)) ('tumor', 'Disease', 'MESH:D009369', (220, 225)) ('tumor', 'Disease', (377, 382)) ('tumors', 'Phenotype', 'HP:0002664', (220, 226)) ('PIK3', 'Gene', (155, 159)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (209, 225)) ('PIK3', 'Gene', '5294', (155, 159)) ('tumor', 'Disease', 'MESH:D009369', (377, 382)) ('mTOR', 'Gene', (285, 289)) ('tumor', 'Phenotype', 'HP:0002664', (220, 225)) ('cancer', 'Phenotype', 'HP:0002664', (117, 123)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (202, 226)) ('alterations', 'Var', (160, 171)) ('IGF-1R', 'Gene', '3480', (251, 257)) ('cancers', 'Phenotype', 'HP:0002664', (117, 124)) ('IGF-1R', 'Gene', (251, 257)) ('tumor', 'Phenotype', 'HP:0002664', (377, 382)) ('everolimus', 'Chemical', 'MESH:D000068338', (300, 310)) ('mTOR', 'Gene', '2475', (285, 289)) ('cixutumumab', 'Chemical', 'MESH:C557414', (268, 279)) ('breast cancers', 'Disease', 'MESH:D001943', (110, 124)) ('breast cancers', 'Disease', (110, 124)) 16586 30897085 Beside the deregulation of the Akt/ mTOR pathway, we have identified for the first time PIK3CA mutation in a type B2/B3 thymoma, which may participate to the deregulation of the Akt-mTOR pathway, among others. ('mTOR', 'Gene', (182, 186)) ('mTOR', 'Gene', '2475', (182, 186)) ('Akt', 'Gene', (31, 34)) ('PIK3CA', 'Gene', '5290', (88, 94)) ('participate', 'Reg', (139, 150)) ('mTOR', 'Gene', (36, 40)) ('Akt', 'Gene', '207', (178, 181)) ('thymoma', 'Disease', (120, 127)) ('mTOR', 'Gene', '2475', (36, 40)) ('thymoma', 'Disease', 'MESH:D013945', (120, 127)) ('Akt', 'Gene', '207', (31, 34)) ('thymoma', 'Phenotype', 'HP:0100522', (120, 127)) ('PIK3CA', 'Gene', (88, 94)) ('Akt', 'Gene', (178, 181)) ('mutation', 'Var', (95, 103)) 16588 30897085 Interestingly, only one of our cases harbored a GTF2I mutations, that was associated at RPPA analysis in this cohort, with lower expression of the apoptosis, cell cycle, DNA damage response, hormone receptor signaling, breast hormone signaling, RAS/MAPK, RTK, and TSC/mTOR pathways. ('mTOR', 'Gene', '2475', (268, 272)) ('cell cycle', 'CPA', (158, 168)) ('mTOR', 'Gene', (268, 272)) ('expression', 'MPA', (129, 139)) ('RAS/MAPK', 'Pathway', (245, 253)) ('lower', 'NegReg', (123, 128)) ('mutations', 'Var', (54, 63)) ('RTK', 'Pathway', (255, 258)) ('apoptosis', 'CPA', (147, 156)) ('GTF2I', 'Gene', (48, 53)) ('breast hormone signaling', 'Pathway', (219, 243)) ('DNA', 'MPA', (170, 173)) ('hormone', 'CPA', (191, 198)) ('GTF2I', 'Gene', '2969', (48, 53)) 16593 29750002 Immunohistochemically, the epithelial tumor cells reacted positively for cytokeratin AE1/AE3, and some reacted positively for p63, which is expressed in normal thymic epithelial cells. ('reacted', 'Reg', (50, 57)) ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('p63', 'Var', (126, 129)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (27, 43)) ('AE1', 'Gene', '24779', (85, 88)) ('reacted positively', 'Reg', (103, 121)) ('AE3', 'Gene', '24781', (89, 92)) ('AE3', 'Gene', (89, 92)) ('AE1', 'Gene', (85, 88)) 16809 33975604 A previous retrospective study developed a radiomics model using LR analysis and realized high diagnostic performance; it reported that the AUCs for differentiating high-risk thymomas from low-risk thymomas were 0.89 for mean0c and 0.87 for a combination of mean0u and entropy. ('mean0c', 'Var', (221, 227)) ('thymoma', 'Phenotype', 'HP:0100522', (198, 205)) ('thymomas', 'Disease', (198, 206)) ('thymomas', 'Disease', (175, 183)) ('thymoma', 'Phenotype', 'HP:0100522', (175, 182)) ('thymomas', 'Disease', 'MESH:D013945', (198, 206)) ('thymomas', 'Disease', 'MESH:D013945', (175, 183)) 16835 33192293 Epigenetic modifications, and particularly the gene silencing resulting from hypermethylation of tumor suppressor and DNA repair genes, play a pivotal role in tumor development and progression (Costa-Pinheiro et al.,). ('tumor', 'Disease', 'MESH:D009369', (97, 102)) ('tumor', 'Phenotype', 'HP:0002664', (97, 102)) ('tumor', 'Phenotype', 'HP:0002664', (159, 164)) ('tumor', 'Disease', (97, 102)) ('tumor', 'Disease', (159, 164)) ('DNA repair genes', 'Gene', (118, 134)) ('gene', 'MPA', (47, 51)) ('Epigenetic modifications', 'Var', (0, 24)) ('hypermethylation', 'Var', (77, 93)) ('tumor', 'Disease', 'MESH:D009369', (159, 164)) 16837 33192293 However, the study compared very few samples (Bi et al.,), so that larger studies are required to epigenetically characterize those tumors and their different histological subtypes, as well as to understand the links between the epigenetic modifications observed in TAMG tissues and the severity of the MG symptoms. ('tumor', 'Phenotype', 'HP:0002664', (132, 137)) ('TAMG', 'Chemical', '-', (266, 270)) ('tumors', 'Phenotype', 'HP:0002664', (132, 138)) ('tumors', 'Disease', (132, 138)) ('tumors', 'Disease', 'MESH:D009369', (132, 138)) ('epigenetic modifications', 'Var', (229, 253)) 16839 33192293 Collectively, those studies have shown that hypermethylation of those genes is more frequent in thymic carcinomas than in thymomas, but most of those studies did not clarify if thymoma samples were from patients with TAMG or from patients without MG, while others included very few TAMG-associated thymomas, making it not possible to correlate the observed methylation levels with tumor stage, histology, or MG symptoms; in addition, no data were often available from adjacent normal thymic tissues in order to compare the methylation levels between pathological and healthy samples. ('thymoma', 'Disease', (298, 305)) ('thymoma', 'Disease', 'MESH:D013945', (122, 129)) ('thymoma', 'Phenotype', 'HP:0100522', (298, 305)) ('thymic carcinomas', 'Disease', 'MESH:D013953', (96, 113)) ('thymoma', 'Disease', (177, 184)) ('thymomas', 'Disease', 'MESH:D013945', (298, 306)) ('tumor', 'Phenotype', 'HP:0002664', (381, 386)) ('carcinomas', 'Phenotype', 'HP:0030731', (103, 113)) ('TAMG', 'Chemical', '-', (282, 286)) ('thymoma', 'Phenotype', 'HP:0100522', (177, 184)) ('thymoma', 'Disease', (122, 129)) ('patients', 'Species', '9606', (203, 211)) ('thymoma', 'Phenotype', 'HP:0100522', (122, 129)) ('thymomas', 'Disease', (298, 306)) ('TAMG', 'Chemical', '-', (217, 221)) ('thymomas', 'Disease', 'MESH:D013945', (122, 130)) ('hypermethylation', 'Var', (44, 60)) ('thymomas', 'Disease', (122, 130)) ('thymoma', 'Disease', 'MESH:D013945', (298, 305)) ('tumor', 'Disease', (381, 386)) ('patients', 'Species', '9606', (230, 238)) ('thymic carcinomas', 'Disease', (96, 113)) ('thymoma', 'Disease', 'MESH:D013945', (177, 184)) ('tumor', 'Disease', 'MESH:D009369', (381, 386)) 16841 33192293 The study revealed an increased prevalence of aneuploidy among MG+ thymomas, but the MG status was not associated with any methylation signature (Radovich et al.,). ('thymomas', 'Disease', 'MESH:D013945', (67, 75)) ('thymoma', 'Phenotype', 'HP:0100522', (67, 74)) ('Rad', 'Gene', (146, 149)) ('Rad', 'Gene', '6236', (146, 149)) ('aneuploidy', 'Disease', (46, 56)) ('MG+', 'Var', (63, 66)) ('thymomas', 'Disease', (67, 75)) ('aneuploidy', 'Disease', 'MESH:D000782', (46, 56)) 16861 33192293 Negative controls are DNA samples from patients with colorectal cancer that showed hypomethylation (promoter methylation levels ranging from 1-5%) of the investigated genes in both cancer and adjacent healthy mucosa (Supplementary Figure 1). ('cancer', 'Phenotype', 'HP:0002664', (181, 187)) ('patients', 'Species', '9606', (39, 47)) ('cancer', 'Disease', (64, 70)) ('cancer', 'Disease', 'MESH:D009369', (64, 70)) ('colorectal cancer', 'Disease', 'MESH:D015179', (53, 70)) ('hypomethylation', 'Var', (83, 98)) ('cancer', 'Disease', 'MESH:D009369', (181, 187)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (53, 70)) ('cancer', 'Disease', (181, 187)) ('cancer', 'Phenotype', 'HP:0002664', (64, 70)) ('colorectal cancer', 'Disease', (53, 70)) 16874 33192293 All the investigated genes were largely demethylated in thymomas, and no correlation with the demographic (age and gender) or clinical data (tumor histology and grade) was observed (Supplementary Table 1). ('tumor', 'Disease', 'MESH:D009369', (141, 146)) ('tumor', 'Phenotype', 'HP:0002664', (141, 146)) ('thymoma', 'Phenotype', 'HP:0100522', (56, 63)) ('thymomas', 'Disease', 'MESH:D013945', (56, 64)) ('thymomas', 'Disease', (56, 64)) ('tumor', 'Disease', (141, 146)) ('demethylated', 'Var', (40, 52)) 16879 33192293 Collectively, previous studies in TETs have shown that these genes are frequently hypermethylated in thymic carcinomas, but studies investigating their methylation levels in thymomas have provided conflicting and inconclusive results. ('thymic carcinomas', 'Disease', 'MESH:D013953', (101, 118)) ('carcinomas', 'Phenotype', 'HP:0030731', (108, 118)) ('thymoma', 'Phenotype', 'HP:0100522', (174, 181)) ('thymomas', 'Disease', (174, 182)) ('hypermethylated', 'Var', (82, 97)) ('thymomas', 'Disease', 'MESH:D013945', (174, 182)) ('thymic carcinomas', 'Disease', (101, 118)) 16898 33192293 Previous studies in Asian samples have shown that MLH1, MGMT, CDKN2A, and RASSF1A genes are hypomethylated in thymomas as compared with thymic carcinomas or neuroendocrine tumors (Hirabayashi et al.,; Suzuki et al.,; Chen et al.,; Mokhtar et al.,; Kajiura et al.,). ('RASSF1A', 'Gene', (74, 81)) ('MLH1', 'Gene', '4292', (50, 54)) ('carcinomas', 'Phenotype', 'HP:0030731', (143, 153)) ('MLH1', 'Gene', (50, 54)) ('tumor', 'Phenotype', 'HP:0002664', (172, 177)) ('MGMT', 'Gene', (56, 60)) ('RASSF1A', 'Gene', '11186', (74, 81)) ('thymomas', 'Disease', (110, 118)) ('thymomas', 'Disease', 'MESH:D013945', (110, 118)) ('MGMT', 'Gene', '4255', (56, 60)) ('tumors', 'Phenotype', 'HP:0002664', (172, 178)) ('CDKN2A', 'Gene', '1029', (62, 68)) ('hypomethylated', 'Var', (92, 106)) ('thymic carcinomas or neuroendocrine tumors', 'Disease', 'MESH:D013953', (136, 178)) ('CDKN2A', 'Gene', (62, 68)) ('thymic carcinomas or neuroendocrine tumors', 'Disease', (136, 178)) ('thymoma', 'Phenotype', 'HP:0100522', (110, 117)) ('neuroendocrine tumors', 'Phenotype', 'HP:0100634', (157, 178)) 16921 33178562 Other significant negatives in the evaluation for hepatitis included negative antinuclear antibody; anti-M2; anti-smooth muscle; and anti-LKM. ('anti-LKM', 'Var', (133, 141)) ('negative antinuclear antibody', 'Phenotype', 'HP:0003493', (69, 98)) ('antinuclear antibody', 'Protein', (78, 98)) ('negative', 'NegReg', (69, 77)) ('hepatitis', 'Disease', (50, 59)) ('hepatitis', 'Phenotype', 'HP:0012115', (50, 59)) ('anti-M2', 'Var', (100, 107)) ('hepatitis', 'Disease', 'MESH:D056486', (50, 59)) ('anti-smooth', 'Var', (109, 120)) 16987 33178562 describes the first patient affected with GS to carry 2 missense mutations in BAFF-R, P21R/H159Y, associated with low BAFF-R expression and low B-cell counts. ('P21R', 'Var', (86, 90)) ('BAFF-R', 'Gene', (118, 124)) ('P21R', 'SUBSTITUTION', 'None', (86, 90)) ('BAFF-R', 'Gene', '115650', (78, 84)) ('H159Y', 'Var', (91, 96)) ('H159Y', 'SUBSTITUTION', 'None', (91, 96)) ('expression', 'MPA', (125, 135)) ('missense mutations', 'Var', (56, 74)) ('patient', 'Species', '9606', (20, 27)) ('BAFF-R', 'Gene', (78, 84)) ('low', 'NegReg', (114, 117)) ('BAFF-R', 'Gene', '115650', (118, 124)) 17012 33178562 Lower serum bactericidal activity to H. pylori have been observed in primary antibody deficiency disorders like XLA and CVID, leading some to postulate that hypogammaglobulinemic states, causes immune dysregulation and predisposes to chronic infections like H. pylori. ('hypogammaglobulinemic states', 'Phenotype', 'HP:0004313', (157, 185)) ('immune', 'MPA', (194, 200)) ('XLA', 'Disease', (112, 115)) ('Lower', 'NegReg', (0, 5)) ('H. pylori', 'Disease', (258, 267)) ('H. pylori', 'Species', '210', (37, 46)) ('predisposes to', 'Reg', (219, 233)) ('serum bactericidal activity', 'MPA', (6, 33)) ('H. pylori', 'Species', '210', (258, 267)) ('immune dysregulation', 'Phenotype', 'HP:0002958', (194, 214)) ('chronic infections', 'Phenotype', 'HP:0031035', (234, 252)) ('hypogammaglobulinemic', 'Var', (157, 178)) ('causes', 'Reg', (187, 193)) ('CVID', 'Disease', (120, 124)) ('infections', 'Disease', 'MESH:D007239', (242, 252)) ('CVID', 'Disease', 'MESH:D017074', (120, 124)) ('infections', 'Disease', (242, 252)) ('antibody deficiency', 'Phenotype', 'HP:0004313', (77, 96)) ('primary antibody deficiency disorders', 'Disease', 'MESH:D000081207', (69, 106)) ('primary antibody deficiency disorders', 'Disease', (69, 106)) 17044 32264857 Myasthenia gravis (MG) is a neuromuscular junction disease that is mostly associated with autoimmune antibodies, such as anti-acetylcholine receptor (AChR)-antibody (Ab). ('anti-acetylcholine', 'Var', (121, 139)) ('acetylcholine', 'Chemical', 'MESH:D000109', (126, 139)) ('autoimmune antibodies', 'Phenotype', 'HP:0002960', (90, 111)) ('neuromuscular junction disease', 'Disease', 'MESH:D020511', (28, 58)) ('associated', 'Reg', (74, 84)) ('Myasthenia gravis', 'Disease', (0, 17)) ('Myasthenia gravis', 'Disease', 'MESH:D009157', (0, 17)) ('Myasthenia', 'Phenotype', 'HP:0003473', (0, 10)) ('neuromuscular junction disease', 'Disease', (28, 58)) 17075 32264857 She had HLA-A*11:01/24:02, B*39:01/51:01, C*07:02/14:02, DRB1*04:5/11:01, DRB3*02:02, DRB4*01:03, DQA1*03:03/05:05, DQB1*03:01/04:01, DPA1*01:03/02:02, and DPB1*02:01/05:01 (Table 3). ('HLA-A', 'Gene', (8, 13)) ('B*39:01/51:01', 'Var', (27, 40)) ('C*07:02/14:02', 'Var', (42, 55)) ('DQB1', 'Gene', '3119', (116, 120)) ('DPB1', 'Gene', '3115', (156, 160)) ('DQA1*03:03/05:05', 'Var', (98, 114)) ('DPA1*01:03/02:02', 'Var', (134, 150)) ('DRB1', 'Gene', (57, 61)) ('DRB4', 'Gene', (86, 90)) ('DRB1', 'Gene', '3123', (57, 61)) ('DRB3*02:02', 'Var', (74, 84)) ('DRB4', 'Gene', '3126', (86, 90)) ('DPB1', 'Gene', (156, 160)) ('DQB1', 'Gene', (116, 120)) ('HLA-A', 'Gene', '3105', (8, 13)) 17089 32264857 reported a case of APS-2 similar to the current case; their patient had AD, HT and AIH with MG without thymoma and with no bronchial asthma but had HLA-A23, B52/62, and DR11/15. ('AD', 'Phenotype', 'HP:0008207', (72, 74)) ('patient', 'Species', '9606', (60, 67)) ('bronchial asthma', 'Disease', 'MESH:D001249', (123, 139)) ('DR11', 'Gene', '55717', (169, 173)) ('APS-2', 'Gene', (19, 24)) ('bronchial asthma', 'Phenotype', 'HP:0002099', (123, 139)) ('DR11', 'Gene', (169, 173)) ('bronchial asthma', 'Disease', (123, 139)) ('APS-2', 'Gene', '170685', (19, 24)) ('thymoma', 'Disease', 'MESH:D013945', (103, 110)) ('AD', 'Disease', 'MESH:D000544', (72, 74)) ('B52/62', 'Var', (157, 163)) ('HT', 'Phenotype', 'HP:0000872', (76, 78)) ('HLA-A', 'Gene', '3105', (148, 153)) ('thymoma', 'Disease', (103, 110)) ('HLA-A', 'Gene', (148, 153)) ('AD', 'Disease', (72, 74)) ('thymoma', 'Phenotype', 'HP:0100522', (103, 110)) 17109 29472706 ATM kinase has been established as a central player in DNA double-strand break repair and its deficiency causes ataxia telangiectasia, a rare, multi-system disease with no cure. ('causes', 'Reg', (105, 111)) ('multi-system disease', 'Disease', (143, 163)) ('ataxia telangiectasia', 'Disease', (112, 133)) ('telangiectasia', 'Phenotype', 'HP:0001009', (119, 133)) ('ataxia telangiectasia', 'Disease', 'MESH:D001260', (112, 133)) ('deficiency', 'Var', (94, 104)) ('multi-system disease', 'Disease', 'MESH:C564969', (143, 163)) ('ataxia', 'Phenotype', 'HP:0001251', (112, 118)) 17115 29472706 Mutations in the ataxia telangiectasia mutated (ATM) gene cause ataxia telangiectasia (A-T) syndrome, a rare disease that exhibits cancer predisposition, neurodegeneration, immunodeficiency, and premature aging of the skin and hair. ('immunodeficiency', 'Phenotype', 'HP:0002721', (173, 189)) ('neurodegeneration', 'Phenotype', 'HP:0002180', (154, 171)) ('telangiectasia', 'Phenotype', 'HP:0001009', (24, 38)) ('cancer', 'Disease', 'MESH:D009369', (131, 137)) ('neurodegeneration', 'Disease', 'MESH:D019636', (154, 171)) ('telangiectasia', 'Phenotype', 'HP:0001009', (71, 85)) ('Mutations', 'Var', (0, 9)) ('ATM', 'Gene', (48, 51)) ('ataxia', 'Phenotype', 'HP:0001251', (17, 23)) ('ataxia telangiectasia (A-T) syndrome', 'Disease', 'MESH:D001260', (64, 100)) ('immunodeficiency', 'Disease', (173, 189)) ('neurodegeneration', 'Disease', (154, 171)) ('cancer', 'Disease', (131, 137)) ('ataxia', 'Phenotype', 'HP:0001251', (64, 70)) ('cause', 'Reg', (58, 63)) ('cancer', 'Phenotype', 'HP:0002664', (131, 137)) ('ataxia telangiectasia mutated', 'Gene', '11920', (17, 46)) ('ataxia telangiectasia mutated', 'Gene', (17, 46)) ('immunodeficiency', 'Disease', 'MESH:D007153', (173, 189)) 17119 29472706 The majority of A-T patients have mutations in ATMgene that result in complete loss of the protein. ('loss', 'NegReg', (79, 83)) ('A-T', 'Disease', 'MESH:D001260', (16, 19)) ('protein', 'Protein', (91, 98)) ('ATMgene', 'Gene', (47, 54)) ('patients', 'Species', '9606', (20, 28)) ('A-T', 'Disease', (16, 19)) ('mutations', 'Var', (34, 43)) 17128 29472706 The possibility of reinserting ATM protein or correcting point mutations as soon as the disease is diagnosed can be predicted to be of great benefit for A-T patients; however, whether and to what extent A-T phenotypes can be rescued, once ATM functions are restored, need to be tested in preclinical experiments. ('A-T', 'Disease', (153, 156)) ('A-T', 'Disease', (203, 206)) ('A-T', 'Disease', 'MESH:D001260', (153, 156)) ('patients', 'Species', '9606', (157, 165)) ('correcting', 'Var', (46, 56)) ('A-T', 'Disease', 'MESH:D001260', (203, 206)) ('point mutations', 'Var', (57, 72)) 17143 29472706 More consistently, transgenic MEFs, treated overnight with 1 muM 4-OHT before gamma-irradiation, activated an Atm-dependent signaling cascade similarly to Atm+/- MEFs (Fig. ('Atm', 'Gene', (110, 113)) ('Atm', 'Gene', (155, 158)) ('MEFs', 'CellLine', 'CVCL:9115', (30, 34)) ('transgenic', 'Var', (19, 29)) ('transgenic', 'Species', '10090', (19, 29)) ('MEFs', 'CellLine', 'CVCL:9115', (162, 166)) ('4-OHT', 'Chemical', 'MESH:C032278', (65, 70)) ('Atm', 'Gene', '11920', (155, 158)) ('Atm', 'Gene', '11920', (110, 113)) ('activated', 'PosReg', (97, 106)) 17153 29472706 Analysis of T-cell development revealed that the percentage of CD4-positive cells was partially recovered after tamoxifen in transgenic mice compared with knockout mice, but not in transgenic mice that were not treated with tamoxifen (Fig. ('mice', 'Species', '10090', (136, 140)) ('CD4', 'Gene', (63, 66)) ('transgenic', 'Var', (125, 135)) ('mice', 'Species', '10090', (192, 196)) ('tamoxifen', 'Chemical', 'MESH:D013629', (112, 121)) ('mice', 'Species', '10090', (164, 168)) ('CD4', 'Gene', '12504', (63, 66)) ('tamoxifen', 'Chemical', 'MESH:D013629', (224, 233)) ('transgenic mice', 'Species', '10090', (125, 140)) ('transgenic mice', 'Species', '10090', (181, 196)) 17167 29472706 Notably, transgenic males were able to fertilize females and to give pups within 2 months of continuous breeding after tamoxifen treatment (Fig. ('transgenic', 'Species', '10090', (9, 19)) ('transgenic', 'Var', (9, 19)) ('tamoxifen', 'Chemical', 'MESH:D013629', (119, 128)) ('fertilize', 'CPA', (39, 48)) 17191 29472706 5e, right panels) did not reveal major differences in the cerebella and in Purkinje cell morphology and number between Atm+/+ and Atm TgERT2-LBDAtm-/- mice suggesting that transgene expression preserved cerebella integrity in an Atm knockout background. ('Atm', 'Gene', (144, 147)) ('mice', 'Species', '10090', (151, 155)) ('cerebella integrity', 'CPA', (203, 222)) ('Atm', 'Gene', '11920', (229, 232)) ('Atm', 'Gene', '11920', (119, 122)) ('ERT2', 'Gene', '26417', (136, 140)) ('Atm', 'Gene', '11920', (130, 133)) ('Atm', 'Gene', (229, 232)) ('transgene', 'Var', (172, 181)) ('Atm', 'Gene', '11920', (144, 147)) ('ERT2', 'Gene', (136, 140)) ('Atm', 'Gene', (130, 133)) ('Atm', 'Gene', (119, 122)) 17195 29472706 A-T is a highly pleiotropic autosomal recessive human disorder that is caused by mutations in the ATM gene, located on the long arm of chromosome 11 (q22-23). ('autosomal recessive human disorder', 'Disease', 'MESH:D030342', (28, 62)) ('ATM', 'Gene', (98, 101)) ('caused by', 'Reg', (71, 80)) ('autosomal recessive human disorder', 'Disease', (28, 62)) ('A-T', 'Disease', (0, 3)) ('mutations', 'Var', (81, 90)) ('A-T', 'Disease', 'MESH:D001260', (0, 3)) 17202 29472706 Interestingly, we found that Atm reactivation in the meiotic phase was sufficient to restore male fertility, providing novel biological insights with potential implications in the reproductive medicine. ('Atm', 'Gene', '11920', (29, 32)) ('reactivation', 'Var', (33, 45)) ('male fertility', 'CPA', (93, 107)) ('Atm', 'Gene', (29, 32)) ('restore', 'PosReg', (85, 92)) 17221 29472706 To explain the later cerebellar phenotype it has been proposed that defective Atm might permit specific neuronal cell population, such as Purkinje cells to accumulate mutations that lead to functional deficits later in life. ('Atm', 'Gene', '11920', (78, 81)) ('mutations', 'Var', (167, 176)) ('Atm', 'Gene', (78, 81)) 17247 29472706 DNA-PK inhibitor (NU7026:10 muM, Sigma) and ATM inhibitor (Kudo55933:10 muM, SelleckChem, Huston, TX, USA) were added to the medium 1 h before bleomycin (5 nM), NCS (500ng/ml, Sigma), and gamma-irradiation (10 Gy) and cells were collected 1 h later, if not indicated. ('bleomycin', 'Chemical', 'MESH:D001761', (143, 152)) ('Kudo55933', 'Chemical', '-', (59, 68)) ('DNA-PK', 'Gene', (0, 6)) ('NU7026', 'Chemical', 'MESH:C479235', (18, 24)) ('NU7026:10', 'Var', (18, 27)) ('DNA-PK', 'Gene', '19090', (0, 6)) 17251 29472706 Primary antibodies were used overnight at the following dilutions: anti-mouse Atm S1987p (1:500), produced by immunization with the synthetic peptide SPTFEEGSpQGTTISS (Becton Dickinson), anti-Smc1 S957p (1:500, Rockland Immunochemicals, Limerick, PA, USA), anti-p53 S15p (1:500, Cell Signaling, Danvers, MA, USA), anti-p53 (1:1000, Santa Cruz, Dallas, TX, USA), anti-gammaH2AX (1: 1000 Upstate Biotechnology), and anti-Kap-1 S824p (1:700, Bethyl Labs, Montgomery, TX, USA), anti-tubulin (1:10,000, Sigma), anti-Actin (1:2000, Sigma), anti-Histone H3 (1:1000, Abcam, Cambridge, UK). ('p53', 'Gene', '22060', (319, 322)) ('1:700', 'Var', (432, 437)) ('p53', 'Gene', (262, 265)) ('anti-Kap-1', 'Var', (414, 424)) ('Biotec', 'Chemical', '-', (394, 400)) ('gammaH2AX', 'Gene', '15270', (367, 376)) ('mouse', 'Species', '10090', (72, 77)) ('Atm', 'Gene', '11920', (78, 81)) ('Smc1', 'Gene', '24061', (192, 196)) ('p53', 'Gene', '22060', (262, 265)) ('p53', 'Gene', (319, 322)) ('Smc1', 'Gene', (192, 196)) ('anti-Histone', 'Var', (534, 546)) ('anti-Actin', 'Protein', (506, 516)) ('anti-tubulin', 'Protein', (474, 486)) ('gammaH2AX', 'Gene', (367, 376)) ('Atm', 'Gene', (78, 81)) 17263 29472706 Single-cell suspensions of thymocytes were stained for 20 min with anti-CD4-PE, anti-CD8-FITC, or anti-TCR-beta-APC antibodies (1:50; Miltenyi Biotec, Bologna, Italy) at 4 C. Dead cells were stained with SYTOX Blue (Thermo Fisher Scientific-Life Technologies, Waltham, MA, USA). ('CD8-FITC', 'Chemical', '-', (85, 93)) ('anti-CD8-FITC', 'Var', (80, 93)) ('Biotec', 'Chemical', '-', (143, 149)) ('SYTOX Blue', 'Chemical', '-', (205, 216)) ('CD4', 'Gene', (72, 75)) ('CD4', 'Gene', '12504', (72, 75)) 17274 27623618 Myasthenia gravis (MG) is an organ-specific, autoimmune disorder, which is generally mediated by anti-acetylcholine receptor (AChR) or, less frequently, by anti-muscle-specific receptor tyrosine kinase (MuSK) antibodies (Ab) at the neuromuscular junction. ('autoimmune disorder', 'Disease', (45, 64)) ('MG', 'Disease', 'MESH:D000080343', (19, 21)) ('autoimmune disorder', 'Disease', 'MESH:D001327', (45, 64)) ('anti-acetylcholine', 'Var', (97, 115)) ('mediated', 'Reg', (85, 93)) ('Myasthenia gravis', 'Disease', (0, 17)) ('Myasthenia gravis', 'Disease', 'MESH:D009157', (0, 17)) ('Myasthenia', 'Phenotype', 'HP:0003473', (0, 10)) ('autoimmune disorder', 'Phenotype', 'HP:0002960', (45, 64)) ('acetylcholine', 'Chemical', 'MESH:D000109', (102, 115)) 17306 27623618 Titin-Ab and RyR-Ab have a 70 % positive predictive value, and 95 % sensitivity and specificity for a thymoma in MG. ('MG', 'Disease', 'MESH:D000080343', (113, 115)) ('thymoma', 'Disease', 'MESH:D013945', (102, 109)) ('Titin', 'Gene', '7273', (0, 5)) ('thymoma', 'Disease', (102, 109)) ('Titin', 'Gene', (0, 5)) ('RyR-Ab', 'Var', (13, 19)) ('thymoma', 'Phenotype', 'HP:0100522', (102, 109)) 17313 27623618 Considering that titin-Ab and RyR-Ab have been mostly associated with invasive/malignant types of thymoma, in the presence of such antibodies in MG or GrM-MG patients, the employment of a thymectomy technique that assures complete resection is decisive for the prognosis. ('thymoma', 'Disease', 'MESH:D013945', (98, 105)) ('thymoma', 'Disease', (98, 105)) ('titin', 'Gene', (17, 22)) ('GrM-MG', 'Disease', (151, 157)) ('thymoma', 'Phenotype', 'HP:0100522', (98, 105)) ('RyR-Ab', 'Var', (30, 36)) ('MG', 'Disease', 'MESH:D000080343', (155, 157)) ('GrM-MG', 'Disease', 'MESH:D000080343', (151, 157)) ('MG', 'Disease', 'MESH:D000080343', (145, 147)) ('patients', 'Species', '9606', (158, 166)) ('associated', 'Reg', (54, 64)) ('titin', 'Gene', '7273', (17, 22)) 17422 22792269 The Dlc1 gene has multiple transcriptional isoforms and we have previously established a mouse strain containing a gene trap (gt) insertion, which specifically reduces the expression of the 6.1 kb isoform (isoform 2). ('gt', 'Gene', (126, 128)) ('Dlc1', 'Gene', (4, 8)) ('insertion', 'Var', (130, 139)) ('expression', 'MPA', (172, 182)) ('reduces', 'NegReg', (160, 167)) ('mouse', 'Species', '10090', (89, 94)) 17427 22792269 We have found tumour specific selective hypermethylation of the Dlc1 isoform 2 promoter and reduction of the corresponding protein expression in thymic lymphoma (TL) and thymic epithelial carcinoma (TEC) derived from the thymic tumours. ('tumour', 'Disease', (228, 234)) ('thymic epithelial carcinoma', 'Disease', (170, 197)) ('reduction', 'NegReg', (92, 101)) ('hypermethylation', 'Var', (40, 56)) ('tumour', 'Phenotype', 'HP:0002664', (14, 20)) ('tumour', 'Disease', 'MESH:D009369', (14, 20)) ('thymic tumours', 'Disease', 'MESH:D013953', (221, 235)) ('lymphoma', 'Phenotype', 'HP:0002665', (152, 160)) ('protein expression', 'MPA', (123, 141)) ('tumour', 'Disease', (14, 20)) ('epithelial carcinoma', 'Phenotype', 'HP:0031492', (177, 197)) ('thymic epithelial carcinoma', 'Disease', 'MESH:C536905', (170, 197)) ('thymic lymphoma', 'Disease', 'MESH:D013953', (145, 160)) ('carcinoma', 'Phenotype', 'HP:0030731', (188, 197)) ('tumours', 'Phenotype', 'HP:0002664', (228, 235)) ('Dlc1', 'Gene', (64, 68)) ('thymic tumours', 'Disease', (221, 235)) ('thymic lymphoma', 'Disease', (145, 160)) ('tumour', 'Phenotype', 'HP:0002664', (228, 234)) ('tumour', 'Disease', 'MESH:D009369', (228, 234)) 17431 22792269 The Dlc1 gene has been found frequently deleted or, down regulated by promoter hypermethylation in breast, lung, liver, colon and prostate tumours. ('tumours', 'Phenotype', 'HP:0002664', (139, 146)) ('Dlc1', 'Gene', (4, 8)) ('down regulated', 'NegReg', (52, 66)) ('liver', 'Disease', (113, 118)) ('lung', 'Disease', (107, 111)) ('tumour', 'Phenotype', 'HP:0002664', (139, 145)) ('colon and prostate tumours', 'Disease', 'MESH:D015179', (120, 146)) ('breast', 'Disease', (99, 105)) ('promoter hypermethylation', 'Var', (70, 95)) 17432 22792269 A recent study using representational oligonucleotide microarray analysis has shown heterozygous deletion of Dlc1 locus in ~50% of liver, breast and lung tumours and 70% of colon cancers. ('tumour', 'Phenotype', 'HP:0002664', (154, 160)) ('tumours', 'Phenotype', 'HP:0002664', (154, 161)) ('oligonucleotide', 'Chemical', 'MESH:D009841', (38, 53)) ('cancer', 'Phenotype', 'HP:0002664', (179, 185)) ('colon cancers', 'Disease', (173, 186)) ('breast and lung tumours', 'Disease', 'MESH:D008175', (138, 161)) ('colon cancers', 'Phenotype', 'HP:0003003', (173, 186)) ('cancers', 'Phenotype', 'HP:0002664', (179, 186)) ('Dlc1', 'Gene', (109, 113)) ('colon cancers', 'Disease', 'MESH:D015179', (173, 186)) ('liver', 'Disease', (131, 136)) ('deletion', 'Var', (97, 105)) 17433 22792269 In vitro studies have shown that transfection of the Dlc1 gene can inhibit cell growth, abolish in vivo tumour formation and induce apoptosis. ('apoptosis', 'CPA', (132, 141)) ('transfection', 'Var', (33, 45)) ('inhibit', 'NegReg', (67, 74)) ('tumour', 'Disease', (104, 110)) ('cell growth', 'CPA', (75, 86)) ('induce', 'Reg', (125, 131)) ('tumour', 'Phenotype', 'HP:0002664', (104, 110)) ('tumour', 'Disease', 'MESH:D009369', (104, 110)) ('abolish', 'NegReg', (88, 95)) ('Dlc1', 'Gene', (53, 57)) 17436 22792269 We have previously established a mouse strain containing a gene trap insertion, which specifically reduces the expression of the 6.1 kb transcriptional isoform (isoform 2) of Dlc1, thus creating a hypomorph. ('Dlc1', 'Gene', (175, 179)) ('insertion', 'Var', (69, 78)) ('expression', 'MPA', (111, 121)) ('mouse', 'Species', '10090', (33, 38)) ('reduces', 'NegReg', (99, 106)) 17442 22792269 Therefore, it is hypothesized that activation of the Rho pathway through loss of the Dlc1 RhoGAP expression will complement the Ras oncogene in cell transformation in vivo. ('RhoGAP', 'Gene', '75404', (90, 96)) ('Rho pathway', 'Pathway', (53, 64)) ('loss', 'Var', (73, 77)) ('RhoGAP', 'Gene', (90, 96)) 17453 22792269 This revealed significantly lower survival in the heterozygous KD gene trapped mice compared with K+ mice (P value = 0.0077, Figure 3A). ('lower', 'NegReg', (28, 33)) ('survival', 'CPA', (34, 42)) ('mice', 'Species', '10090', (79, 83)) ('KD gene trapped', 'Var', (63, 78)) ('mice', 'Species', '10090', (101, 105)) 17479 22792269 To determine that the tumours were due to the activation of K-Ras2G12D allele, we extracted cellular RNA from the primary tumours and the tumour cell lines and then performed pyrosequencing based mutation analysis for K-Ras2G12D mutation (Figure 6). ('tumour', 'Disease', 'MESH:D009369', (122, 128)) ('tumour', 'Disease', 'MESH:D009369', (22, 28)) ('tumours', 'Phenotype', 'HP:0002664', (22, 29)) ('tumours', 'Disease', 'MESH:D009369', (22, 29)) ('tumour', 'Disease', (22, 28)) ('tumours', 'Phenotype', 'HP:0002664', (122, 129)) ('tumour', 'Disease', (122, 128)) ('tumour', 'Phenotype', 'HP:0002664', (138, 144)) ('tumours', 'Disease', (22, 29)) ('tumours', 'Disease', 'MESH:D009369', (122, 129)) ('primary tumours', 'Disease', (114, 129)) ('primary tumours', 'Disease', 'MESH:D009369', (114, 129)) ('tumour', 'Phenotype', 'HP:0002664', (22, 28)) ('tumour', 'Disease', 'MESH:D009369', (138, 144)) ('tumours', 'Disease', (122, 129)) ('K-Ras2G12D mutation', 'Var', (218, 237)) ('tumour', 'Phenotype', 'HP:0002664', (122, 128)) ('tumour', 'Disease', (138, 144)) 17480 22792269 All the primary tumours showed expression of the mutant K-Ras2 allele (Figure 6F). ('K-Ras2', 'Gene', '16653', (56, 62)) ('mutant', 'Var', (49, 55)) ('K-Ras2', 'Gene', (56, 62)) ('primary tumours', 'Disease', 'MESH:D009369', (8, 23)) ('tumour', 'Phenotype', 'HP:0002664', (16, 22)) ('tumours', 'Phenotype', 'HP:0002664', (16, 23)) ('primary tumours', 'Disease', (8, 23)) 17481 22792269 However, the expression of the mutant allele was less than 50% in the primary tumours as revealed by the pyrogram, presumably due to normal cell infiltration (Figure 6D & E). ('tumours', 'Phenotype', 'HP:0002664', (78, 85)) ('mutant', 'Var', (31, 37)) ('primary tumours', 'Disease', (70, 85)) ('primary tumours', 'Disease', 'MESH:D009369', (70, 85)) ('tumour', 'Phenotype', 'HP:0002664', (78, 84)) 17482 22792269 In the tumour cell lines the mutant and wild type allele were expressed at equal levels indicating absence of normal cell contamination (Figure 6F). ('tumour', 'Disease', (7, 13)) ('tumour', 'Phenotype', 'HP:0002664', (7, 13)) ('mutant', 'Var', (29, 35)) ('tumour', 'Disease', 'MESH:D009369', (7, 13)) 17487 22792269 The frequency of methylation in the primary tumour also matched with the methylation pattern observed in the cell line DNA. ('tumour', 'Disease', 'MESH:D009369', (44, 50)) ('methylation', 'Var', (17, 28)) ('tumour', 'Disease', (44, 50)) ('tumour', 'Phenotype', 'HP:0002664', (44, 50)) 17488 22792269 Deletion of Dlc1 locus has been reported to be responsible for loss of protein expression in different human tumours. ('tumours', 'Phenotype', 'HP:0002664', (109, 116)) ('tumour', 'Phenotype', 'HP:0002664', (109, 115)) ('human', 'Species', '9606', (103, 108)) ('tumours', 'Disease', 'MESH:D009369', (109, 116)) ('tumours', 'Disease', (109, 116)) ('protein expression', 'MPA', (71, 89)) ('Dlc1', 'Gene', (12, 16)) ('loss', 'NegReg', (63, 67)) ('Deletion', 'Var', (0, 8)) 17489 22792269 The LOH analysis revealed no significant loss at the Dlc1 locus in the majority of tumours; however, we have found microsatellite size alteration for the D8Mit293 marker in one tumour as well as the corresponding cell line DNA (Figure 8C). ('tumour', 'Disease', (83, 89)) ('tumours', 'Disease', (83, 90)) ('tumour', 'Disease', 'MESH:D009369', (177, 183)) ('tumour', 'Disease', (177, 183)) ('alteration', 'Reg', (135, 145)) ('D8Mit293', 'Var', (154, 162)) ('microsatellite', 'Var', (115, 129)) ('tumour', 'Phenotype', 'HP:0002664', (83, 89)) ('tumour', 'Disease', 'MESH:D009369', (83, 89)) ('tumours', 'Phenotype', 'HP:0002664', (83, 90)) ('tumour', 'Phenotype', 'HP:0002664', (177, 183)) ('Mit293', 'CellLine', 'CVCL:0045', (156, 162)) ('tumours', 'Disease', 'MESH:D009369', (83, 90)) 17499 22792269 To determine if the T-lymphoma cells with lower Dlc1 levels showed increased extravasation and migration, a transendothalial migration assay was carried out (Figure 10). ('extravasation', 'MPA', (77, 90)) ('Dlc1', 'Gene', (48, 52)) ('lymphoma', 'Phenotype', 'HP:0002665', (22, 30)) ('lower', 'Var', (42, 47)) ('T-lymphoma', 'Disease', (20, 30)) ('increased', 'PosReg', (67, 76)) ('migration', 'CPA', (95, 104)) ('T-lymphoma', 'Disease', 'MESH:D016399', (20, 30)) ('T-lymphoma', 'Phenotype', 'HP:0012190', (20, 30)) 17506 22792269 The aberrant use of one promoter over another in genes, such as TGFB3, LEF1 and CYP19A1, is directly linked to cancerous cell growth (reviewed by). ('CYP19A1', 'Gene', '13075', (80, 87)) ('cancerous', 'Disease', (111, 120)) ('aberrant', 'Var', (4, 12)) ('cancer', 'Phenotype', 'HP:0002664', (111, 117)) ('LEF1', 'Gene', (71, 75)) ('CYP19A1', 'Gene', (80, 87)) ('cancerous', 'Disease', 'MESH:D009369', (111, 120)) ('TGFB3', 'Gene', (64, 69)) ('TGFB3', 'Gene', '21809', (64, 69)) ('linked', 'Reg', (101, 107)) ('LEF1', 'Gene', '16842', (71, 75)) 17515 22792269 The Dlc1 genetrap alone is unable to induce tumours however, in presence of K-Ras2G12D mutation, it increases tumour and metastasis frequencies compared with K-Ras2G12D mutation only mice, indicating an additive effect. ('tumours', 'Phenotype', 'HP:0002664', (44, 51)) ('tumours', 'Disease', 'MESH:D009369', (44, 51)) ('tumour', 'Disease', 'MESH:D009369', (44, 50)) ('increases', 'PosReg', (100, 109)) ('tumour', 'Disease', (44, 50)) ('tumours', 'Disease', (44, 51)) ('K-Ras2G12D mutation', 'Var', (76, 95)) ('mice', 'Species', '10090', (183, 187)) ('tumour', 'Phenotype', 'HP:0002664', (110, 116)) ('tumour', 'Disease', 'MESH:D009369', (110, 116)) ('tumour', 'Phenotype', 'HP:0002664', (44, 50)) ('tumour', 'Disease', (110, 116)) 17531 22792269 This suggests that the novel exon 1 of isoform 3 may change either localization or the RhoGap activity of Dlc1. ('Dlc1', 'Gene', (106, 110)) ('RhoGap', 'Gene', '75404', (87, 93)) ('RhoGap', 'Gene', (87, 93)) ('exon', 'Var', (29, 33)) ('change', 'Reg', (53, 59)) ('localization', 'MPA', (67, 79)) 17533 22792269 The usual mechanisms for down regulation of Dlc1 protein in tumours is either deletion of the Dlc1 locus or hypermethylation of the Dlc1 promoter. ('down regulation', 'NegReg', (25, 40)) ('hypermethylation', 'Var', (108, 124)) ('tumours', 'Disease', 'MESH:D009369', (60, 67)) ('tumours', 'Disease', (60, 67)) ('deletion', 'Var', (78, 86)) ('Dlc1', 'Gene', (94, 98)) ('tumour', 'Phenotype', 'HP:0002664', (60, 66)) ('Dlc1', 'Gene', (44, 48)) ('tumours', 'Phenotype', 'HP:0002664', (60, 67)) 17534 22792269 Somatic mutations are rare for the coding region of Dlc1 gene in different tumours, reviewed by and so far there is no report on the association of existing single nucleotide polymorphisms in Dlc1 with the outcome of the disease. ('single nucleotide polymorphisms', 'Var', (157, 188)) ('Dlc1', 'Gene', (192, 196)) ('association', 'Interaction', (133, 144)) ('tumours', 'Disease', 'MESH:D009369', (75, 82)) ('tumours', 'Disease', (75, 82)) ('Dlc1', 'Gene', (52, 56)) ('tumours', 'Phenotype', 'HP:0002664', (75, 82)) ('tumour', 'Phenotype', 'HP:0002664', (75, 81)) 17539 22792269 Thus, our results indicate that in the K-Ras2 induced thymic tumours, selective methylation of the promoter of Dlc1 isoform 2 may lead to a malignant phenotype in thymus. ('malignant phenotype', 'CPA', (140, 159)) ('lead to', 'Reg', (130, 137)) ('thymic tumours', 'Disease', (54, 68)) ('tumours', 'Phenotype', 'HP:0002664', (61, 68)) ('K-Ras2', 'Gene', '16653', (39, 45)) ('Dlc1', 'Gene', (111, 115)) ('tumour', 'Phenotype', 'HP:0002664', (61, 67)) ('methylation', 'Var', (80, 91)) ('thymic tumours', 'Disease', 'MESH:D013953', (54, 68)) ('K-Ras2', 'Gene', (39, 45)) 17548 22792269 Alteration in anyone of these Rho mediated functions could increase the metastatic potential of T lymphoma cells. ('T lymphoma', 'Disease', (96, 106)) ('Alteration', 'Var', (0, 10)) ('lymphoma', 'Phenotype', 'HP:0002665', (98, 106)) ('T lymphoma', 'Phenotype', 'HP:0012190', (96, 106)) ('T lymphoma', 'Disease', 'MESH:D016399', (96, 106)) ('increase', 'PosReg', (59, 67)) 17551 22792269 p21 deficiency contributes to the development of a wide variety of tumour types in mice, which include skin, colon, intestine, pituitary, thyroid, mammary gland, salivary gland, connective tissue and histiocytic sarcomas. ('colon', 'Disease', (109, 114)) ('pituitary', 'Disease', (127, 136)) ('tumour', 'Phenotype', 'HP:0002664', (67, 73)) ('sarcomas', 'Disease', 'MESH:D012509', (212, 220)) ('tumour', 'Disease', 'MESH:D009369', (67, 73)) ('skin', 'Disease', (103, 107)) ('salivary gland', 'Disease', (162, 176)) ('sarcomas', 'Phenotype', 'HP:0100242', (212, 220)) ('sarcomas', 'Disease', (212, 220)) ('p21', 'Gene', (0, 3)) ('tumour', 'Disease', (67, 73)) ('mice', 'Species', '10090', (83, 87)) ('intestine', 'Disease', (116, 125)) ('deficiency', 'Var', (4, 14)) ('contributes', 'Reg', (15, 26)) ('p21', 'Gene', '12575', (0, 3)) ('thyroid', 'Disease', (138, 145)) ('mammary gland', 'Disease', (147, 160)) ('connective tissue', 'Disease', (178, 195)) 17555 22792269 In brief, our finding indicates that Dlc1 isoform 2 undergoes selective hypermethylation in oncogenic K-Ras2 induced thymic tumours and significantly decrease the overall survival in mice. ('thymic tumours', 'Disease', 'MESH:D013953', (117, 131)) ('decrease', 'NegReg', (150, 158)) ('mice', 'Species', '10090', (183, 187)) ('hypermethylation', 'Var', (72, 88)) ('K-Ras2', 'Gene', (102, 108)) ('tumour', 'Phenotype', 'HP:0002664', (124, 130)) ('tumours', 'Phenotype', 'HP:0002664', (124, 131)) ('thymic tumours', 'Disease', (117, 131)) ('K-Ras2', 'Gene', '16653', (102, 108)) 17563 22792269 Eight week Dlcgt/wt; K-Ras2G12D/wt and the K-Ras2G12D/wt mice were injected with 1x108 plaque forming units of AdCre virus/0.2 ml phosphate buffered saline (PBS) via the tail vein. ('mice', 'Species', '10090', (57, 61)) ('phosphate buffered saline', 'Chemical', '-', (130, 155)) ('K-Ras2G12D/wt', 'Var', (43, 56)) ('PBS', 'Disease', 'MESH:D011535', (157, 160)) ('PBS', 'Disease', (157, 160)) 17580 22792269 Six microsatellite markers, namely D8Mit293, D8Mit225, Dlc1, and D8Mit226, D8Mit97, and D8Mit194 were used, which spans 1.9 Mb chromosomal region around Dlc1 locus (based on Build 37 assembly by NCBI). ('D8Mit225', 'Var', (45, 53)) ('D8Mit194', 'Var', (88, 96)) ('D8Mit226', 'Var', (65, 73)) ('D8Mit97', 'Var', (75, 82)) ('D8Mit293', 'Var', (35, 43)) ('Dlc1', 'Gene', (153, 157)) ('Mit293', 'CellLine', 'CVCL:0045', (37, 43)) 17688 29932785 Recently, antibodies towards the lipoprotein receptor like protein-4 (LRP4) have been found in patients with MG, but thus far their pathogenicity has not been unequivocally established. ('found', 'Reg', (86, 91)) ('LRP4', 'Gene', (70, 74)) ('antibodies', 'Var', (10, 20)) ('patients', 'Species', '9606', (95, 103)) 17701 29932785 AChE inhibition increases the available acetylcholine for binding to the AChR thereby increasing the endplate potential and improving a compromise of the safety factor. ('improving', 'PosReg', (124, 133)) ('AChR', 'Protein', (73, 77)) ('acetylcholine', 'MPA', (40, 53)) ('binding', 'Interaction', (58, 65)) ('inhibition', 'Var', (5, 15)) ('of', 'Gene', '6688', (147, 149)) ('increases', 'PosReg', (16, 25)) ('increasing', 'PosReg', (86, 96)) ('compromise', 'MPA', (136, 146)) ('endplate', 'MPA', (101, 109)) ('acetylcholine', 'Chemical', 'MESH:D000109', (40, 53)) 17708 29932785 Third, AChR antibodies may inhibit activation of the AChR through blocking of the ACh binding site or inhibition of ion channel opening. ('antibodies', 'Var', (12, 22)) ('AChR', 'Protein', (7, 11)) ('blocking', 'NegReg', (66, 74)) ('ion channel opening', 'MPA', (116, 135)) ('ACh', 'Protein', (82, 85)) ('activation', 'MPA', (35, 45)) ('inhibition', 'NegReg', (102, 112)) ('of', 'Gene', '6688', (46, 48)) ('of', 'Gene', '6688', (75, 77)) ('inhibit', 'NegReg', (27, 34)) ('of', 'Gene', '6688', (113, 115)) 17714 29932785 Antibodies to LRP4 are predominantly IgG1 and appear to induce weakness by disrupting the interaction between LRP4-agrin signaling and by complement-activation. ('LRP4', 'Gene', (14, 18)) ('Antibodies', 'Var', (0, 10)) ('disrupting', 'NegReg', (75, 85)) ('weakness', 'Disease', (63, 71)) ('weakness', 'Disease', 'MESH:D018908', (63, 71)) ('men', 'Species', '9606', (144, 147)) ('interaction', 'Interaction', (90, 101)) ('LRP4-agrin signaling', 'MPA', (110, 130)) 17715 29932785 Antibodies to LRP-4 have been detected in about 18% of patients without AChR and MuSK antibodies in a large multicenter analysis from Europe, while a study from China indicated a frequency of 4%. ('MuSK antibodies', 'Phenotype', 'HP:0030210', (81, 96)) ('Antibodies', 'Var', (0, 10)) ('of', 'Gene', '6688', (52, 54)) ('LRP-4', 'Gene', (14, 19)) ('of', 'Gene', '6688', (189, 191)) ('detected', 'Reg', (30, 38)) ('patients', 'Species', '9606', (55, 63)) 17746 29932785 Morphometric analysis does not reveal significant differences between LOMG and normal thymus from age matched controls. ('age', 'Gene', '5973', (98, 101)) ('LOMG', 'Var', (70, 74)) ('age', 'Gene', (98, 101)) 17748 29932785 A diversity of autoantibodies, including anti-titin and anti-RyR, are found in the circulation of LOMG patients. ('anti-RyR', 'Var', (56, 64)) ('of', 'Gene', '6688', (95, 97)) ('anti-titin', 'Var', (41, 51)) ('of', 'Gene', '6688', (12, 14)) ('patients', 'Species', '9606', (103, 111)) ('LOMG', 'Disease', (98, 102)) 17787 29932785 Purine synthesis is inhibited by azathioprine leading to inhibition of rapidly dividing cells, including lymphocytes involved in the autoimmune response. ('autoimmune response', 'Phenotype', 'HP:0002960', (133, 152)) ('of', 'Gene', '6688', (68, 70)) ('Purine', 'Chemical', 'MESH:C030985', (0, 6)) ('azathioprine', 'Chemical', 'MESH:D001379', (33, 45)) ('inhibition', 'NegReg', (57, 67)) ('rapidly dividing cells', 'CPA', (71, 93)) ('inhibited', 'NegReg', (20, 29)) ('azathioprine', 'Var', (33, 45)) ('Purine synthesis', 'MPA', (0, 16)) 17803 29932785 Cyclosporine increases risk of osteoporosis. ('osteoporosis', 'Disease', 'MESH:D010024', (31, 43)) ('osteoporosis', 'Disease', (31, 43)) ('of', 'Gene', '6688', (28, 30)) ('Cyclosporine', 'Var', (0, 12)) ('osteoporosis', 'Phenotype', 'HP:0000939', (31, 43)) ('Cyclosporine', 'Chemical', 'MESH:D016572', (0, 12)) 17820 29932785 Cyclophosphamide inhibits lymphocyte replication but also has more broader immunomodulatory effects including modulation of Th2/Th1 ratios, altered cytokine production, and enhanced proliferation and survival of certain lymphocyte populations, and modulation of dendritic cell activity. ('inhibits', 'NegReg', (17, 25)) ('modulation', 'Reg', (110, 120)) ('proliferation', 'CPA', (182, 195)) ('altered', 'Reg', (140, 147)) ('lymphocyte replication', 'CPA', (26, 48)) ('of', 'Gene', '6688', (209, 211)) ('Cyclophosphamide', 'Chemical', 'MESH:D003520', (0, 16)) ('of', 'Gene', '6688', (121, 123)) ('cytokine production', 'MPA', (148, 167)) ('of', 'Gene', '6688', (259, 261)) ('Th2/Th1 ratios', 'MPA', (124, 138)) ('enhanced', 'PosReg', (173, 181)) ('Cyclophosphamide', 'Var', (0, 16)) ('survival', 'CPA', (200, 208)) ('modulation', 'Reg', (248, 258)) 17845 29932785 A deficiency of eculizumab is its inactivity among patients with a genetic variant of the C5 epitope to which it binds, and its general complement inhibition in an immunosuppressed population. ('A deficiency of eculizumab', 'Disease', 'MESH:D007153', (0, 26)) ('men', 'Species', '9606', (142, 145)) ('of', 'Gene', '6688', (13, 15)) ('variant', 'Var', (75, 82)) ('of', 'Gene', '6688', (83, 85)) ('inactivity', 'MPA', (34, 44)) ('patients', 'Species', '9606', (51, 59)) ('inhibition', 'NegReg', (147, 157)) ('complement', 'MPA', (136, 146)) ('A deficiency of eculizumab', 'Disease', (0, 26)) ('binds', 'Interaction', (113, 118)) 17858 29932785 EN101 is an antisense oligodeoxynucleotide that acts at the mRNA level and selectively reduces the enzymatic isoform of AChE-R, which is generated with injury to the NMJ produced by MG. ('EN101', 'Var', (0, 5)) ('of', 'Gene', '6688', (117, 119)) ('oligodeoxynucleotide', 'Chemical', 'MESH:D009838', (22, 42)) ('reduces', 'NegReg', (87, 94)) ('of', 'Gene', '6688', (111, 113)) 17870 29932785 The disruption of FcRn-IgG interaction results in IgG catabolism and lowering of serum IgG levels. ('of', 'Gene', '6688', (78, 80)) ('IgG catabolism', 'MPA', (50, 64)) ('serum IgG levels', 'MPA', (81, 97)) ('interaction', 'Interaction', (27, 38)) ('FcRn-IgG', 'Protein', (18, 26)) ('disruption', 'Var', (4, 14)) ('lowering', 'NegReg', (69, 77)) ('lowering of serum IgG', 'Phenotype', 'HP:0004315', (69, 90)) ('of', 'Gene', '6688', (15, 17)) 17876 29932785 The first attempts to induce tolerance involved administration of denatured Torpedo AChR, which reduced severity of EAMG in rabbits and rodents. ('denatured', 'Var', (66, 75)) ('EAMG', 'Chemical', '-', (116, 120)) ('EAMG', 'Disease', (116, 120)) ('of', 'Gene', '6688', (63, 65)) ('rabbits', 'Species', '9986', (124, 131)) ('of', 'Gene', '6688', (113, 115)) ('reduced', 'NegReg', (96, 103)) 18154 31452756 It has been suggested that 'SPT before thymoma' arises from the dysfunction of cortical thymic epithelial cells in nascent thymoma without clinical symptoms. ('thymoma', 'Gene', (123, 130)) ('SPT', 'Gene', (28, 31)) ('SPT', 'Gene', '189', (28, 31)) ('thymoma', 'Phenotype', 'HP:0100522', (39, 46)) ('thymoma', 'Gene', '7063', (39, 46)) ('thymoma', 'Phenotype', 'HP:0100522', (123, 130)) ('thymoma', 'Gene', (39, 46)) ('thymoma', 'Gene', '7063', (123, 130)) ('dysfunction', 'Var', (64, 75)) 18176 31452756 Sun et al have suggested that Fas and FasL polymorphisms may modify SPT risk in oropharyngeal or other types of H&N SCC. ('polymorphisms', 'Var', (43, 56)) ('SCC', 'Gene', (116, 119)) ('SPT', 'Gene', '189', (68, 71)) ('FasL', 'Gene', '356', (38, 42)) ('SPT', 'Gene', (68, 71)) ('FasL', 'Gene', (38, 42)) ('oropharyngeal', 'Disease', (80, 93)) ('modify', 'Reg', (61, 67)) ('SCC', 'Gene', '6317', (116, 119)) ('Fas', 'Gene', (30, 33)) ('H&N', 'Chemical', '-', (112, 115)) 18267 23382114 Patients who were previously treated for advanced disease with at least one platinum-based chemotherapy were treated with cixutumumab, an insulin-like growth factor receptor 1 (IGF1R) inhibitor (NCT00965250) or belinostat, an histone deacetylase (HDAC) inhibitor (NCT00589290). ('histone deacetylase', 'Gene', '9734', (226, 245)) ('IGF1R', 'Gene', (177, 182)) ('platinum', 'Chemical', 'MESH:D010984', (76, 84)) ('belinostat', 'Chemical', 'MESH:C487081', (211, 221)) ('histone deacetylase', 'Gene', (226, 245)) ('IGF1R', 'Gene', '3480', (177, 182)) ('Patients', 'Species', '9606', (0, 8)) ('NCT00965250', 'Var', (195, 206)) ('HDAC', 'Gene', (247, 251)) ('cixutumumab', 'Chemical', 'MESH:C557414', (122, 133)) ('HDAC', 'Gene', '9734', (247, 251)) 18307 23382114 Whereas some investigators reported the usefulness of [18F]-FDG PET/CT, a marked overlap in uptake among high and low-risk thymomas was also observed. ('thymomas', 'Disease', (123, 131)) ('thymoma', 'Phenotype', 'HP:0100522', (123, 130)) ('[18F]-FDG', 'Var', (54, 63)) ('thymomas', 'Disease', 'MESH:D013945', (123, 131)) 18363 33327647 As SQAP led to increased tumor oxygenation in mice, it was considered that the radiosensitizing effect of this agent was to enhance the oxygen-dependent effects of radiotherapy in tumors. ('tumor', 'Disease', 'MESH:D009369', (180, 185)) ('tumor', 'Phenotype', 'HP:0002664', (25, 30)) ('SQAP', 'Chemical', 'MESH:C000605760', (3, 7)) ('oxygen', 'Chemical', 'MESH:D010100', (136, 142)) ('oxygen-dependent effects', 'MPA', (136, 160)) ('tumor', 'Phenotype', 'HP:0002664', (180, 185)) ('tumor', 'Disease', (25, 30)) ('enhance', 'PosReg', (124, 131)) ('tumors', 'Phenotype', 'HP:0002664', (180, 186)) ('tumor', 'Disease', (180, 185)) ('increased', 'PosReg', (15, 24)) ('oxygen', 'Chemical', 'MESH:D010100', (31, 37)) ('SQAP', 'Var', (3, 7)) ('tumors', 'Disease', (180, 186)) ('tumors', 'Disease', 'MESH:D009369', (180, 186)) ('mice', 'Species', '10090', (46, 50)) ('tumor', 'Disease', 'MESH:D009369', (25, 30)) 18488 29552309 Patients with preoperative radiotherapy had lower OS and DSS than patients with PORT or without radiotherapy (P = 0.007 and P < 0.001, respectively). ('lower', 'NegReg', (44, 49)) ('DSS', 'Gene', (57, 60)) ('radiotherapy', 'Var', (27, 39)) ('Patients', 'Species', '9606', (0, 8)) ('DSS', 'Gene', '5376', (57, 60)) ('OS', 'Chemical', '-', (50, 52)) ('patients', 'Species', '9606', (66, 74)) 18525 29552309 In thymoma in Masaoka Stages II-IV, surgically treated patients with PORT had significantly better OS than those without PORT (P = 0.015). ('thymoma', 'Gene', (3, 10)) ('thymoma', 'Phenotype', 'HP:0100522', (3, 10)) ('PORT', 'Var', (69, 73)) ('patients', 'Species', '9606', (55, 63)) ('thymoma', 'Gene', '7063', (3, 10)) ('OS', 'Chemical', '-', (99, 101)) ('better', 'PosReg', (92, 98)) 18616 28614249 Also, there has recently been evidence for a potential role of RVATS in the treatment of lung cancer; in lobectomy, RVATS was associated with shorter hospital stay, shorter chest tube duration, and less blood loss compared with open lobectomy. ('blood loss', 'Disease', (203, 213)) ('lung cancer', 'Disease', (89, 100)) ('lung cancer', 'Phenotype', 'HP:0100526', (89, 100)) ('shorter', 'NegReg', (142, 149)) ('blood loss', 'Disease', 'MESH:D006473', (203, 213)) ('cancer', 'Phenotype', 'HP:0002664', (94, 100)) ('lung cancer', 'Disease', 'MESH:D008175', (89, 100)) ('RVATS', 'Var', (116, 121)) 18633 28614249 Patients undergoing RVATS spent significantly less time hospitalized than patients undergoing sternotomy [-4.06 days (95% CI -7.98 to -0.13); P = .046]. ('Patients', 'Species', '9606', (0, 8)) ('less', 'NegReg', (46, 50)) ('patients', 'Species', '9606', (74, 82)) ('RVATS', 'Var', (20, 25)) 18646 28614249 Patients undergoing RVATS spent significantly less time in hospital than patients undergoing sternotomy. ('Patients', 'Species', '9606', (0, 8)) ('less', 'NegReg', (46, 50)) ('patients', 'Species', '9606', (73, 81)) ('RVATS', 'Var', (20, 25)) 18654 28614249 The results of our meta-analyses show that patients undergoing RVATS spent less time in hospital than patients treated by open surgery. ('patients', 'Species', '9606', (43, 51)) ('RVATS', 'Var', (63, 68)) ('less', 'NegReg', (75, 79)) ('patients', 'Species', '9606', (102, 110)) 18938 27684864 There was no diabetic mellitus and negative results for complement 3 (143 mg/dL), complement 4 (35.1 mg/dL), syphilis test, hepatitis B, hepatitis C, Immunoglobulin G (898 mg/dL), Immunoglobulin A (288 mg/dL), and Immunoglobulin M (129 mg/dL). ('syphilis test', 'Disease', (109, 122)) ('diabetic mellitus', 'Disease', (13, 30)) ('hepatitis', 'Phenotype', 'HP:0012115', (124, 133)) ('288 mg/dL', 'Var', (198, 207)) ('hepatitis B, hepatitis C', 'Disease', 'MESH:D006509', (124, 148)) ('diabetic mellitus', 'Phenotype', 'HP:0000819', (13, 30)) ('898 mg/dL', 'Var', (168, 177)) ('hepatitis', 'Phenotype', 'HP:0012115', (137, 146)) ('diabetic mellitus', 'Disease', 'MESH:D003920', (13, 30)) 19006 27267746 Among them, type B2 and B3 tumours are considered to be "high-risk" thymomas, whereas type A, AB, and B1 tumours are considered "low-risk" thymomas". ('tumours', 'Phenotype', 'HP:0002664', (105, 112)) ('tumour', 'Phenotype', 'HP:0002664', (27, 33)) ('tumours', 'Disease', 'MESH:D009369', (105, 112)) ('thymoma', 'Phenotype', 'HP:0100522', (139, 146)) ('tumours', 'Disease', (105, 112)) ('tumours', 'Phenotype', 'HP:0002664', (27, 34)) ('type B2', 'Var', (12, 19)) ('thymoma', 'Phenotype', 'HP:0100522', (68, 75)) ('thymomas', 'Disease', 'MESH:D013945', (68, 76)) ('tumour', 'Phenotype', 'HP:0002664', (105, 111)) ('tumours', 'Disease', 'MESH:D009369', (27, 34)) ('thymomas', 'Disease', (139, 147)) ('tumours', 'Disease', (27, 34)) ('thymomas', 'Disease', (68, 76)) ('thymomas', 'Disease', 'MESH:D013945', (139, 147)) 19047 27267746 Local recurrence at the site of the primary tumour after surgical resection was noted only in patients with thymomas (type B3 in one, B2 in two, B1 in one, and AB in one patient), and not in patients with thymic carcinoma (p=0.05). ('patients', 'Species', '9606', (191, 199)) ('patients', 'Species', '9606', (94, 102)) ('thymoma', 'Phenotype', 'HP:0100522', (108, 115)) ('type B3', 'Var', (118, 125)) ('primary tumour', 'Disease', (36, 50)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (205, 221)) ('thymomas', 'Disease', (108, 116)) ('thymomas', 'Disease', 'MESH:D013945', (108, 116)) ('patient', 'Species', '9606', (170, 177)) ('carcinoma', 'Phenotype', 'HP:0030731', (212, 221)) ('primary tumour', 'Disease', 'MESH:D009369', (36, 50)) ('patient', 'Species', '9606', (94, 101)) ('patient', 'Species', '9606', (191, 198)) ('tumour', 'Phenotype', 'HP:0002664', (44, 50)) ('thymic carcinoma', 'Disease', (205, 221)) 19118 33436376 cTfh increased with elevated expression of inducible T-cell costimulator (ICOS) in patients with MG. cTfh shifted to Th2 and Th17 over Th1 in MG. ICOShighcTfh produced significantly higher levels of interleukin (IL)-21, IL-4, and IL-17A than ICOSlow cTfh only in patients with MG. ('interleukin (IL)-21', 'Gene', '59067', (199, 218)) ('cTfh', 'Chemical', '-', (0, 4)) ('interleukin (IL)-21', 'Gene', (199, 218)) ('Th2', 'Chemical', '-', (117, 120)) ('ICOShighcTfh', 'Chemical', '-', (146, 158)) ('higher', 'PosReg', (182, 188)) ('Th1', 'Gene', (135, 138)) ('MG', 'Disease', 'MESH:D000080343', (97, 99)) ('IL-17A', 'Gene', (230, 236)) ('Th1', 'Gene', '51497', (135, 138)) ('ICOShighcTfh', 'Var', (146, 158)) ('cTfh', 'Chemical', '-', (101, 105)) ('Th1', 'Gene', (125, 128)) ('MG', 'Disease', 'MESH:D000080343', (142, 144)) ('patients', 'Species', '9606', (83, 91)) ('inducible T-cell costimulator', 'Gene', '29851', (43, 72)) ('Th1', 'Gene', '51497', (125, 128)) ('MG', 'Disease', 'MESH:D000080343', (277, 279)) ('inducible T-cell costimulator', 'Gene', (43, 72)) ('cTfh', 'Chemical', '-', (250, 254)) ('cTfh', 'Chemical', '-', (154, 158)) ('patients', 'Species', '9606', (263, 271)) ('IL-17A', 'Gene', '3605', (230, 236)) 19121 33436376 Alternation of cTfh is a key feature in the development of MG and may become a biomarker for disease severity and therapeutic efficacy. ('cTfh', 'Chemical', '-', (15, 19)) ('cTfh', 'Gene', (15, 19)) ('Alternation', 'Var', (0, 11)) ('MG', 'Disease', 'MESH:D000080343', (59, 61)) 19129 33436376 Evidence shows that Tfh in PB and secondary lymph nodes can be divided into Tfh1, Tfh2, and Tfh17-like total helper T cells and that Tfh2 and Tfh17 more strongly induce antibody production. ('Tfh', 'Chemical', '-', (92, 95)) ('Tfh', 'Chemical', '-', (82, 85)) ('Tfh17', 'Chemical', '-', (92, 97)) ('induce', 'PosReg', (162, 168)) ('Tfh', 'Chemical', '-', (20, 23)) ('Tfh', 'Chemical', '-', (142, 145)) ('antibody', 'CPA', (169, 177)) ('Tfh2', 'Chemical', '-', (82, 86)) ('Tfh2', 'Chemical', '-', (133, 137)) ('Tfh', 'Chemical', '-', (76, 79)) ('Tfh2', 'Var', (133, 137)) ('Tfh17', 'Chemical', '-', (142, 147)) ('Tfh', 'Chemical', '-', (133, 136)) 19152 33436376 The frequency of cTfh2 and cTfh17 within CD4 T cells was significantly higher in patients with MG than in HS (5.7% in patients with MG vs 4.2% in HS, p = 0.023, and 0.73% in patients with MG vs 0.21% in HS, p < 0.001, respectively) (figure 1E). ('higher', 'PosReg', (71, 77)) ('CD4', 'Gene', (41, 44)) ('MG', 'Disease', 'MESH:D000080343', (95, 97)) ('cTfh2', 'Chemical', '-', (17, 22)) ('MG', 'Disease', 'MESH:D000080343', (188, 190)) ('CD4', 'Gene', '920', (41, 44)) ('patients', 'Species', '9606', (81, 89)) ('cTfh2', 'Var', (17, 22)) ('patients', 'Species', '9606', (174, 182)) ('MG', 'Disease', 'MESH:D000080343', (132, 134)) ('cTfh17', 'Chemical', '-', (27, 33)) ('cTfh17', 'Var', (27, 33)) ('patients', 'Species', '9606', (118, 126)) 19189 33436376 The frequency of cTfh1 and cTfh2 within CD4 T cells decreased after treatment (p = 0.1 and 0.04, respectively) (figure e-4, A and B, links.lww.com/NXI/A378). ('CD4 T cells decreased', 'Phenotype', 'HP:0005407', (40, 61)) ('cTfh2', 'Chemical', '-', (27, 32)) ('decreased', 'NegReg', (52, 61)) ('cTfh2', 'Var', (27, 32)) ('CD4', 'Gene', (40, 43)) ('T cells decreased', 'Phenotype', 'HP:0005403', (44, 61)) ('cTfh1', 'Var', (17, 22)) ('cTfh', 'Chemical', '-', (17, 21)) ('CD4', 'Gene', '920', (40, 43)) ('cTfh', 'Chemical', '-', (27, 31)) 19212 33436376 We reported on enhanced cytokine production by ICOShigh cTfh in a human pathologic condition. ('cytokine production', 'MPA', (24, 43)) ('cTfh', 'Chemical', '-', (56, 60)) ('human', 'Species', '9606', (66, 71)) ('enhanced', 'PosReg', (15, 23)) ('ICOShigh cTfh', 'Var', (47, 60)) 19242 33094573 In fact, a recent study suggested that the diagnostic power of 18F-FDG PET/CT for anterior mediastinal mass is high, but its negative predictive value is higher. ('anterior mediastinal mass', 'Disease', (82, 107)) ('18F-FDG PET/CT', 'Var', (63, 77)) ('18F-FDG', 'Chemical', '-', (63, 70)) 19340 31683962 TaqMan Gene Expression Assays, including IL10 (Hs00174086_m1), PD-L1 (CD274: Hs00204257_m1), and beta-actin (Hs99999903_m1), were purchased from Thermo Fisher Scientific. ('Hs99999903_m1', 'Var', (110, 123)) ('IL10', 'Gene', (42, 46)) ('IL10', 'Gene', '3586', (42, 46)) ('CD274', 'Gene', (71, 76)) ('PD-L1', 'Gene', (64, 69)) ('Hs00174086_m1', 'Var', (48, 61)) ('PD-L1', 'Gene', '29126', (64, 69)) ('CD274', 'Gene', '29126', (71, 76)) 19361 31683962 The counts were higher in the type B1-3 thymomas than in types A, AB, or C (Figure 6). ('higher', 'PosReg', (16, 22)) ('thymoma', 'Phenotype', 'HP:0100522', (40, 47)) ('thymomas', 'Disease', 'MESH:D013945', (40, 48)) ('thymomas', 'Disease', (40, 48)) ('type B1-3', 'Var', (30, 39)) 19371 31683962 These data also supported the potential of PD1/PD-L1 blockades as a promising treatment for aggressive thymomas, such as type B2 or B3. ('type B2', 'Disease', (121, 128)) ('PD-L1', 'Gene', (47, 52)) ('men', 'Species', '9606', (83, 86)) ('aggressive thymomas', 'Disease', 'MESH:D013945', (92, 111)) ('PD1', 'Gene', '5133', (43, 46)) ('blockades', 'Var', (53, 62)) ('PD-L1', 'Gene', '29126', (47, 52)) ('PD1', 'Gene', (43, 46)) ('aggressive thymomas', 'Disease', (92, 111)) ('thymoma', 'Phenotype', 'HP:0100522', (103, 110)) 19387 31683962 Overall, our study suggests that the application of immunotherapy in TET treatment would be lucrative, since PD-L1 positivity was diffuse, strong, and present in a large number of TETs (53.9%), as confirmed in previous reports. ('men', 'Species', '9606', (78, 81)) ('PD-L1', 'Gene', (109, 114)) ('positivity', 'Var', (115, 125)) ('PD-L1', 'Gene', '29126', (109, 114)) 19395 31683962 Apart from PD-1/PD-L1 blockade therapy, recent studies have identified a missense mutation (chromosome 7 c.74146970T>A) in the GTF2I gene at a high frequency in TETs. ('c.74146970T>A', 'Mutation', 'c.74146970T>A', (105, 118)) ('PD-1/PD-L1 blockade', 'Disease', (11, 30)) ('GTF2I', 'Gene', (127, 132)) ('PD-1/PD-L1 blockade', 'Disease', 'MESH:D010300', (11, 30)) ('c.74146970T>A', 'Var', (105, 118)) ('GTF2I', 'Gene', '2969', (127, 132)) 19430 27387303 Detection of the EGFR mutation in each specimen was performed using a peptide nucleic acid-locked nucleic acid (PNA-LNA) PCR clamp assay (SRL Inc., Tokyo, Japan). ('mutation', 'Var', (22, 30)) ('EGFR', 'Gene', '1956', (17, 21)) ('EGFR', 'Gene', (17, 21)) 19448 27387303 On the other hand, there were no EGFR gene mutations found in the TC and B3 specimens. ('mutations', 'Var', (43, 52)) ('EGFR', 'Gene', '1956', (33, 37)) ('EGFR', 'Gene', (33, 37)) 19484 27387303 However, no EGFR mutations were detected in the B3 and TC specimens. ('EGFR', 'Gene', '1956', (12, 16)) ('EGFR', 'Gene', (12, 16)) ('mutations', 'Var', (17, 26)) 19485 27387303 Several previous reports have also noted that EGFR mutations are rare in thymic malignancies. ('mutations', 'Var', (51, 60)) ('thymic malignancies', 'Disease', 'MESH:D013953', (73, 92)) ('EGFR', 'Gene', '1956', (46, 50)) ('EGFR', 'Gene', (46, 50)) ('thymic malignancies', 'Disease', (73, 92)) 19574 21396119 The patients that underwent EPP (n = 4) had better local recurrence free survival compared to the patients that did not have an EPP (n = 7) (5-year: 75% vs. 16%, 10-year: 75% vs. 0%). ('better', 'PosReg', (44, 50)) ('EPP', 'Var', (28, 31)) ('patients', 'Species', '9606', (98, 106)) ('patients', 'Species', '9606', (4, 12)) ('local recurrence free survival', 'CPA', (51, 81)) 19647 33889210 Patients that were MG+ had better OS rates versus MG- counterparts (p < 0.05, Figure 1d). ('Patients', 'Species', '9606', (0, 8)) ('MG+', 'Var', (19, 22)) ('OS rates', 'MPA', (34, 42)) ('better', 'PosReg', (27, 33)) 19664 33889210 Interestingly, our data suggest that MG+ patients had better OS versus MG- counterparts (Figure 1d). ('MG+', 'Var', (37, 40)) ('patients', 'Species', '9606', (41, 49)) ('better', 'PosReg', (54, 60)) 19667 33889210 More recently, a large retrospective study found that MG+ had a slight protective effect on OS among thymoma patients. ('MG+', 'Var', (54, 57)) ('patients', 'Species', '9606', (109, 117)) ('thymoma', 'Phenotype', 'HP:0100522', (101, 108)) ('thymoma', 'Gene', '7063', (101, 108)) ('thymoma', 'Gene', (101, 108)) 19672 33889210 Unexpectedly, our data report a statistically significant difference in OS regarding MG status, with better rates of OS at 5 and 10 years for MG+ patients. ('better rates', 'PosReg', (101, 113)) ('MG+', 'Var', (142, 145)) ('patients', 'Species', '9606', (146, 154)) 19782 27900082 Based on the clinical diagnosis of T4N0M0 lung cancer, sequential chemoradiotherapy with two cycles of mytomycin C, vindecine and cisplatin (MVC regimen), and radiotherapy of 60 Gy was administered. ('vindecine', 'Chemical', '-', (116, 125)) ('lung cancer', 'Disease', (42, 53)) ('lung cancer', 'Phenotype', 'HP:0100526', (42, 53)) ('cisplatin', 'Chemical', 'MESH:D002945', (130, 139)) ('cancer', 'Phenotype', 'HP:0002664', (47, 53)) ('T4N0M0', 'Var', (35, 41)) ('mytomycin C', 'Chemical', 'MESH:D016685', (103, 114)) ('lung cancer', 'Disease', 'MESH:D008175', (42, 53)) 19875 21461350 Considering the possibility of drug resistance, based on the past history of treatment with antituberculosis drugs twice, a 6-drug ATT regimen that included rifampicin (450 mg), isoniazid (300 mg), ethambutol (800 mg), pyrazinamide (1250 mg), streptomycin (0.75 gm), and levofloxacin (750 mg) along with pyridoxine was started. ('isoniazid', 'Chemical', 'MESH:D007538', (178, 187)) ('450', 'Var', (169, 172)) ('levofloxacin', 'Chemical', 'MESH:D064704', (271, 283)) ('drug resistance', 'Phenotype', 'HP:0020174', (31, 46)) ('ethambutol', 'Chemical', 'MESH:D004977', (198, 208)) ('streptomycin', 'Chemical', 'MESH:D013307', (243, 255)) ('300', 'Var', (189, 192)) ('pyridoxine', 'Chemical', 'MESH:D011736', (304, 314)) ('pyrazinamide', 'Chemical', 'MESH:D011718', (219, 231)) ('rifampicin', 'Chemical', 'MESH:D012293', (157, 167)) ('1250', 'Var', (233, 237)) 19961 32705358 reported that elevation of serum IgE was more frequently observed in lymph nodes of patients with IgG4-RD compared with those with MCD, and high levels of IL-6 and CRP may be important differential diagnostic markers for MCD apart from IgG4-RD. ('IL-6', 'Gene', '3569', (155, 159)) ('patients', 'Species', '9606', (84, 92)) ('MCD', 'Gene', (221, 224)) ('serum IgE', 'MPA', (27, 36)) ('CRP', 'Gene', (164, 167)) ('elevation', 'PosReg', (14, 23)) ('IgG4-RD', 'Var', (98, 105)) ('MCD', 'Gene', (131, 134)) ('MCD', 'Gene', '4582', (131, 134)) ('CRP', 'Gene', '1401', (164, 167)) ('MCD', 'Gene', '4582', (221, 224)) ('IL-6', 'Gene', (155, 159)) 20095 20880069 Mammography revealed breast cancer or infiltrated lymph nodes in 83% of patients with PCD, anti-Yo antibodies and breast cancer. ('PCD', 'Disease', 'MESH:D007619', (86, 89)) ('anti-Yo', 'Var', (91, 98)) ('cancer', 'Phenotype', 'HP:0002664', (28, 34)) ('breast cancer', 'Disease', 'MESH:D001943', (21, 34)) ('cancer', 'Phenotype', 'HP:0002664', (121, 127)) ('breast cancer', 'Disease', (21, 34)) ('PCD', 'Disease', (86, 89)) ('breast cancer', 'Phenotype', 'HP:0003002', (21, 34)) ('breast cancer', 'Disease', 'MESH:D001943', (114, 127)) ('revealed', 'Reg', (12, 20)) ('breast cancer', 'Phenotype', 'HP:0003002', (114, 127)) ('breast cancer', 'Disease', (114, 127)) ('patients', 'Species', '9606', (72, 80)) 20103 20880069 Five other prospective cohort studies compared MRI with mammography and US in women with a life-time risk for breast cancer over 20-25% showed similar results: sensitivity was 77-100% for MRI, 16-40% for mammography and 16-40% for US. ('MRI', 'Var', (188, 191)) ('cancer', 'Phenotype', 'HP:0002664', (117, 123)) ('women', 'Species', '9606', (78, 83)) ('breast cancer', 'Disease', 'MESH:D001943', (110, 123)) ('breast cancer', 'Disease', (110, 123)) ('breast cancer', 'Phenotype', 'HP:0003002', (110, 123)) 20106 20880069 The optimal modality to screen the ovaries will depend on the expected tumour: carcinoma in anti-Yo, anti-Ri and anti-amphiphysin-related PNS and teratoma in anti-NMDAR related PNS. ('tumour', 'Disease', (71, 77)) ('ovaries', 'Disease', 'MESH:D010051', (35, 42)) ('teratoma', 'Phenotype', 'HP:0009792', (146, 154)) ('carcinoma', 'Disease', (79, 88)) ('anti-amphiphysin-related', 'Var', (113, 137)) ('teratoma', 'Disease', 'MESH:D013724', (146, 154)) ('carcinoma', 'Disease', 'MESH:D002277', (79, 88)) ('ovaries', 'Disease', (35, 42)) ('tumour', 'Phenotype', 'HP:0002664', (71, 77)) ('teratoma', 'Disease', (146, 154)) ('carcinoma', 'Phenotype', 'HP:0030731', (79, 88)) ('tumour', 'Disease', 'MESH:D009369', (71, 77)) 20126 20880069 This study showed that it has additional value to obtain tissue (biopsy or orchiectomy, unilateral or even bilateral) in young male patients (<50 years) with anti-Ma2 antibodies, deteriorating neurological disease and microcalcifications on US. ('antibodies', 'Var', (167, 177)) ('Ma2', 'Gene', '10687', (163, 166)) ('deteriorating', 'NegReg', (179, 192)) ('deteriorating neurological disease', 'Phenotype', 'HP:0002344', (179, 213)) ('neurological disease', 'Disease', (193, 213)) ('neurological disease', 'Disease', 'MESH:D019636', (193, 213)) ('neurological disease', 'Phenotype', 'HP:0000707', (193, 213)) ('microcalcifications', 'CPA', (218, 237)) ('patients', 'Species', '9606', (132, 140)) ('Ma2', 'Gene', (163, 166)) 20234 29217782 In contrast, "autoimmune PRCA" mediated by antibodies is less common, and most antierythroid antibodies would typically result in immune hemolytic anemia. ('immune hemolytic anemia', 'Phenotype', 'HP:0001890', (130, 153)) ('anemia', 'Phenotype', 'HP:0001903', (147, 153)) ('PRCA', 'Phenotype', 'HP:0012410', (25, 29)) ('result in', 'Reg', (120, 129)) ('hemolytic anemia', 'Disease', 'MESH:D000743', (137, 153)) ('hemolytic anemia', 'Phenotype', 'HP:0001878', (137, 153)) ('antierythroid', 'Var', (79, 92)) ('hemolytic anemia', 'Disease', (137, 153)) 20258 29217782 The distributions of MGUS, hypogammaglobulinemia, presence of T-cell receptor (TCR) rearrangement, median CD4/CD8 ratio, median CD16/CD56 ratio, and Vbeta expansion are listed in Table 1. ('CD4', 'Gene', (106, 109)) ('CD56', 'Gene', (133, 137)) ('presence of T-cell receptor', 'Phenotype', 'HP:0005354', (50, 77)) ('CD16', 'Gene', (128, 132)) ('T-cell receptor', 'Gene', '6962', (62, 77)) ('hypogammaglobulinemia', 'Disease', (27, 48)) ('CD4', 'Gene', '920', (106, 109)) ('T-cell receptor', 'Gene', (62, 77)) ('presence', 'Var', (50, 58)) ('TCR', 'Gene', '6962', (79, 82)) ('CD8', 'Gene', (110, 113)) ('hypogammaglobulinemia', 'Disease', 'MESH:D000361', (27, 48)) ('CD16', 'Gene', '2214', (128, 132)) ('rearrangement', 'Var', (84, 97)) ('CD56', 'Gene', '4684', (133, 137)) ('TCR', 'Gene', (79, 82)) ('CD8', 'Gene', '925', (110, 113)) ('hypogammaglobulinemia', 'Phenotype', 'HP:0004313', (27, 48)) 20260 29217782 The CD4/CD8 ratio was significantly lower among the LGL/PRCA group (0.2) compared to the idiopathic group with and without thymoma (0.9 and 1.5; P=0.0064) (Online Supplementary Figure S2). ('lower', 'NegReg', (36, 41)) ('CD4', 'Gene', (4, 7)) ('thymoma', 'Disease', 'MESH:D013945', (123, 130)) ('LGL/PRCA', 'Var', (52, 60)) ('CD4', 'Gene', '920', (4, 7)) ('thymoma', 'Disease', (123, 130)) ('thymoma', 'Phenotype', 'HP:0100522', (123, 130)) ('CD8', 'Gene', (8, 11)) ('PRCA', 'Phenotype', 'HP:0012410', (56, 60)) ('CD8', 'Gene', '925', (8, 11)) 20261 29217782 The STAT3 mutation in the LGL/PRCA patients were positive in 5/11 patients tested, whereas 17 patients tested negative in the idiopathic group. ('patients', 'Species', '9606', (94, 102)) ('PRCA', 'Phenotype', 'HP:0012410', (30, 34)) ('positive', 'Reg', (49, 57)) ('mutation', 'Var', (10, 18)) ('STAT3', 'Gene', '6774', (4, 9)) ('LGL/PRCA', 'Gene', (26, 34)) ('patients', 'Species', '9606', (35, 43)) ('STAT3', 'Gene', (4, 9)) ('patients', 'Species', '9606', (66, 74)) 20264 29217782 Alterations found in genes affected in MDS were present in five typical idiopathic aPRCA patients and were considered to be of germline origin (Online Supplementary Table S7). ('Alterations', 'Var', (0, 11)) ('MDS', 'Phenotype', 'HP:0002863', (39, 42)) ('patients', 'Species', '9606', (89, 97)) ('aPRCA', 'Disease', (83, 88)) ('MDS', 'Disease', (39, 42)) ('MDS', 'Disease', 'MESH:D009190', (39, 42)) ('PRCA', 'Phenotype', 'HP:0012410', (84, 88)) 20303 29217782 The presence of STAT3 mutations may support this notion, as STAT3 mutant clonal cells are usually a subfraction of clonally TCR-rearranged cytotoxic lymphocytes (CTL) as determined by quantitative analyses of TCR Vbeta-chain sequencing (data not shown). ('TCR', 'Gene', (124, 127)) ('mutant', 'Var', (66, 72)) ('TCR', 'Gene', '6962', (209, 212)) ('STAT3', 'Gene', '6774', (16, 21)) ('STAT3', 'Gene', '6774', (60, 65)) ('STAT3', 'Gene', (16, 21)) ('TCR', 'Gene', '6962', (124, 127)) ('TCR', 'Gene', (209, 212)) ('STAT3', 'Gene', (60, 65)) 20335 29031952 PLGA pellets loaded with 50% w/w 5-FU exhibited comparable, and significantly enhanced, antitumor activity (as measured by tumor volumes and survival) in vivo in a thymoma and colon cancer model, respectively, when compared to an equivalent bolus dose (120 mg/kg) of soluble 5-FU. ('cancer', 'Phenotype', 'HP:0002664', (182, 188)) ('tumor', 'Disease', (123, 128)) ('tumor', 'Disease', 'MESH:D009369', (92, 97)) ('tumor', 'Disease', 'MESH:D009369', (123, 128)) ('5-FU', 'Chemical', 'MESH:D005472', (275, 279)) ('tumor', 'Phenotype', 'HP:0002664', (92, 97)) ('tumor', 'Phenotype', 'HP:0002664', (123, 128)) ('thymoma', 'Phenotype', 'HP:0100522', (164, 171)) ('5-FU', 'Var', (33, 37)) ('thymoma and colon cancer', 'Disease', 'MESH:D013945', (164, 188)) ('tumor', 'Disease', (92, 97)) ('colon cancer', 'Phenotype', 'HP:0003003', (176, 188)) ('5-FU', 'Chemical', 'MESH:D005472', (33, 37)) ('enhanced', 'PosReg', (78, 86)) 20352 29031952 PLGA pellets loaded with 50% w/w 5-FU were capable of imparting significant antitumor activity against two independent tumor types (thymoma (EL4) and colon carcinoma (CT26)) in vivo when subcutaneously injected proximal to palpable tumors. ('thymoma', 'Phenotype', 'HP:0100522', (132, 139)) ('tumor', 'Phenotype', 'HP:0002664', (80, 85)) ('EL4', 'Gene', '111979', (141, 144)) ('tumor', 'Phenotype', 'HP:0002664', (119, 124)) ('tumors', 'Disease', 'MESH:D009369', (232, 238)) ('colon carcinoma', 'Disease', (150, 165)) ('tumor', 'Disease', (232, 237)) ('5-FU', 'Chemical', 'MESH:D005472', (33, 37)) ('colon carcinoma', 'Disease', 'MESH:D015179', (150, 165)) ('CT26', 'CellLine', 'CVCL:7254', (167, 171)) ('carcinoma', 'Phenotype', 'HP:0030731', (156, 165)) ('tumor', 'Disease', 'MESH:D009369', (232, 237)) ('tumor', 'Disease', (80, 85)) ('EL4', 'Gene', (141, 144)) ('5-FU', 'Var', (33, 37)) ('tumors', 'Phenotype', 'HP:0002664', (232, 238)) ('thymoma', 'Disease', 'MESH:D013945', (132, 139)) ('tumor', 'Disease', 'MESH:D009369', (80, 85)) ('tumor', 'Disease', (119, 124)) ('tumor', 'Phenotype', 'HP:0002664', (232, 237)) ('tumor', 'Disease', 'MESH:D009369', (119, 124)) ('thymoma', 'Disease', (132, 139)) ('tumors', 'Disease', (232, 238)) 20415 29031952 With 5-FU being a mildly hydrophilic molecule (approximately 12 mg/ml in water at pH 7 ), an increase in percent 5-FU in the formulation therefore likely increased the hydrophilicity of the formulation and accordingly enhanced the rate of water absorption, polymer hydrolysis and erosion, and consequently, the 5-FU release rate. ('enhanced', 'PosReg', (218, 226)) ('5-FU', 'Chemical', 'MESH:D005472', (311, 315)) ('water', 'Chemical', 'MESH:D014867', (239, 244)) ('polymer hydrolysis', 'CPA', (257, 275)) ('increase', 'PosReg', (93, 101)) ('water absorption', 'MPA', (239, 255)) ('5-FU', 'Chemical', 'MESH:D005472', (113, 117)) ('hydrophilicity', 'MPA', (168, 182)) ('polymer', 'Chemical', 'MESH:D011108', (257, 264)) ('5-FU', 'Var', (113, 117)) ('5-FU release rate', 'MPA', (311, 328)) ('erosion', 'CPA', (280, 287)) ('increased', 'PosReg', (154, 163)) ('5-FU', 'Chemical', 'MESH:D005472', (5, 9)) ('water', 'Chemical', 'MESH:D014867', (73, 78)) 20416 29031952 PLGA pellets loaded with 30% 5-FU (w/w) showed a tri-phasic release pattern with a small initial burst release within one day followed by a diffusion-predominate release until day 14. ('diffusion-predominate', 'MPA', (140, 161)) ('5-FU', 'Var', (29, 33)) ('5-FU', 'Chemical', 'MESH:D005472', (29, 33)) ('tri-phasic release pattern', 'MPA', (49, 75)) 20438 29031952 When delivered in solution form, 5-FU significantly reduced lymphocyte counts (Figure 5E) and granulocyte counts (Figure 5F) within the first week of treatment compared to untreated mice (p < 0.05) while there were no significant differences in lymphocyte nor granulocyte counts between mice treated with 5-FU-loaded PLGA pellets and mice receiving no treatment (Figures 5E & 5F). ('5-FU', 'Chemical', 'MESH:D005472', (305, 309)) ('reduced', 'NegReg', (52, 59)) ('mice', 'Species', '10090', (334, 338)) ('mice', 'Species', '10090', (182, 186)) ('reduced lymphocyte counts', 'Phenotype', 'HP:0001888', (52, 77)) ('mice', 'Species', '10090', (287, 291)) ('granulocyte counts', 'CPA', (94, 112)) ('lymphocyte counts', 'CPA', (60, 77)) ('5-FU', 'Var', (33, 37)) ('5-FU', 'Chemical', 'MESH:D005472', (33, 37)) 20441 29031952 Although an independent study performed by another group showed the negative impact of 5-FU on mouse weight, the impact was only marginal and thus the results were largely in agreement with the study presented here. ('negative', 'NegReg', (68, 76)) ('5-FU', 'Var', (87, 91)) ('5-FU', 'Chemical', 'MESH:D005472', (87, 91)) ('mouse weight', 'CPA', (95, 107)) ('mouse', 'Species', '10090', (95, 100)) 20464 27844328 The sequencing of 50 genes detected nonsynonymous mutations in 16 carcinomas affecting ALK, ATM, CDKN2A, ERBB4, FGFR3, KIT, NRAS and TP53. ('carcinoma', 'Phenotype', 'HP:0030731', (66, 75)) ('CDKN2A', 'Gene', (97, 103)) ('carcinomas', 'Phenotype', 'HP:0030731', (66, 76)) ('carcinomas', 'Disease', (66, 76)) ('FGFR3', 'Gene', (112, 117)) ('carcinomas', 'Disease', 'MESH:D002277', (66, 76)) ('ALK', 'Gene', '238', (87, 90)) ('KIT', 'Gene', (119, 122)) ('nonsynonymous mutations', 'Var', (36, 59)) ('ALK', 'Gene', (87, 90)) ('RB', 'Disease', 'MESH:D012175', (106, 108)) 20465 27844328 Only two B3 thymomas had a mutation in noncoding regions of the SMARCB1 and STK11 gene respectively. ('thymoma', 'Phenotype', 'HP:0100522', (12, 19)) ('thymomas', 'Disease', (12, 20)) ('mutation', 'Var', (27, 35)) ('STK11', 'Gene', (76, 81)) ('thymomas', 'Disease', 'MESH:D013945', (12, 20)) ('SMARCB1', 'Gene', (64, 71)) 20467 27844328 Fluorescence in situ hybridization detected in 38 % of carcinomas a CDKN2A, in 32 % a TP53 and in 8 % an ATM gene deletion, whereas only one B3 thymoma exhibited a CDKNA deletion, and none of the type A thymomas showed a gene loss. ('detected', 'Reg', (35, 43)) ('carcinomas', 'Phenotype', 'HP:0030731', (55, 65)) ('carcinomas', 'Disease', 'MESH:D002277', (55, 65)) ('type A thymomas', 'Disease', 'MESH:D013945', (196, 211)) ('carcinoma', 'Phenotype', 'HP:0030731', (55, 64)) ('CDKN2A', 'Gene', (68, 74)) ('carcinomas', 'Disease', (55, 65)) ('type A thymomas', 'Disease', (196, 211)) ('thymoma', 'Disease', (144, 151)) ('thymoma', 'Disease', 'MESH:D013945', (144, 151)) ('thymoma', 'Disease', 'MESH:D013945', (203, 210)) ('A thymomas', 'Phenotype', 'HP:0100522', (201, 211)) ('thymoma', 'Phenotype', 'HP:0100522', (144, 151)) ('thymoma', 'Disease', (203, 210)) ('thymoma', 'Phenotype', 'HP:0100522', (203, 210)) ('deletion', 'Var', (114, 122)) 20468 27844328 Sequencing of the total miRNA pool of 5 type A thymomas and 5 thymic carcinomas identified the C19MC miRNA cluster as highly expressed in type A thymomas, but completely silenced in thymic carcinomas. ('type A thymomas', 'Disease', (40, 55)) ('C19MC', 'Var', (95, 100)) ('type A thymomas', 'Disease', 'MESH:D013945', (40, 55)) ('A thymomas', 'Phenotype', 'HP:0100522', (143, 153)) ('carcinomas', 'Phenotype', 'HP:0030731', (69, 79)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (182, 199)) ('A thymomas', 'Phenotype', 'HP:0100522', (45, 55)) ('carcinomas', 'Phenotype', 'HP:0030731', (189, 199)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (62, 79)) ('thymoma', 'Phenotype', 'HP:0100522', (47, 54)) ('type A thymomas', 'Disease', (138, 153)) ('type A thymomas', 'Disease', 'MESH:D013945', (138, 153)) ('thymic carcinomas', 'Disease', (182, 199)) ('carcinoma', 'Phenotype', 'HP:0030731', (69, 78)) ('carcinoma', 'Phenotype', 'HP:0030731', (189, 198)) ('thymic carcinomas', 'Disease', (62, 79)) ('thymoma', 'Phenotype', 'HP:0100522', (145, 152)) 20469 27844328 Furthermore, the miRNA cluster C14MC was downregulated in thymic carcinomas. ('C14MC', 'Var', (31, 36)) ('carcinoma', 'Phenotype', 'HP:0030731', (65, 74)) ('carcinomas', 'Phenotype', 'HP:0030731', (65, 75)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (58, 75)) ('downregulated', 'NegReg', (41, 54)) ('thymic carcinomas', 'Disease', (58, 75)) ('miRNA', 'Protein', (17, 22)) 20470 27844328 Among non-clustered miRNAs, the upregulation of miR-21, miR-9-3 and miR-375 and the downregulation of miR-34b, miR-34c, miR-130a and miR-195 in thymic carcinomas were most significant. ('miR-375', 'Chemical', '-', (68, 75)) ('miR-34', 'Chemical', '-', (102, 108)) ('carcinomas', 'Phenotype', 'HP:0030731', (151, 161)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (144, 161)) ('miR-195', 'Gene', '406971', (133, 140)) ('miR-21', 'Gene', (48, 54)) ('upregulation', 'PosReg', (32, 44)) ('miR-375', 'Var', (68, 75)) ('miR-195', 'Gene', (133, 140)) ('miR-34', 'Chemical', '-', (111, 117)) ('miR-34b', 'Gene', (102, 109)) ('miR-130a', 'Chemical', '-', (120, 128)) ('carcinoma', 'Phenotype', 'HP:0030731', (151, 160)) ('thymic carcinomas', 'Disease', (144, 161)) ('miR-130a', 'Var', (120, 128)) ('miR-34c', 'Var', (111, 118)) ('miR-9-3', 'Gene', (56, 63)) ('downregulation', 'NegReg', (84, 98)) 20478 27844328 Mutation of the tyrosine kinase KIT was the only known targetable alteration in thymic carcinoma, but it is present in only 6-12 % of cases. ('carcinoma', 'Phenotype', 'HP:0030731', (87, 96)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (80, 96)) ('Mutation', 'Var', (0, 8)) ('thymic carcinoma', 'Disease', (80, 96)) 20479 27844328 Recently, whole exome and targeted gene panel sequencing of TETs identified a specific missense mutation in GTF2I in type A thymomas and common mutations in TP53 and epigenetic regulatory genes in thymic carcinomas. ('GTF2I', 'Gene', (108, 113)) ('carcinoma', 'Phenotype', 'HP:0030731', (204, 213)) ('thymic carcinomas', 'Disease', (197, 214)) ('missense mutation', 'Var', (87, 104)) ('type A thymomas', 'Disease', 'MESH:D013945', (117, 132)) ('carcinomas', 'Phenotype', 'HP:0030731', (204, 214)) ('type A thymomas', 'Disease', (117, 132)) ('A thymomas', 'Phenotype', 'HP:0100522', (122, 132)) ('thymoma', 'Phenotype', 'HP:0100522', (124, 131)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (197, 214)) 20510 27844328 Four carcinomas exhibited a missense mutation in the tumor suppressor CDKN2A, which was thus the second most frequently mutated gene. ('missense mutation', 'Var', (28, 45)) ('tumor', 'Disease', 'MESH:D009369', (53, 58)) ('carcinoma', 'Phenotype', 'HP:0030731', (5, 14)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('carcinomas', 'Phenotype', 'HP:0030731', (5, 15)) ('exhibited', 'Reg', (16, 25)) ('tumor', 'Disease', (53, 58)) ('CDKN2A', 'Gene', (70, 76)) ('carcinomas', 'Disease', (5, 15)) ('carcinomas', 'Disease', 'MESH:D002277', (5, 15)) 20511 27844328 Two carcinomas each harbored a missense mutation in the fibroblast growth factor receptor 3 (FGFR3) and the receptor tyrosine kinase KIT. ('carcinomas', 'Phenotype', 'HP:0030731', (4, 14)) ('carcinomas', 'Disease', 'MESH:D002277', (4, 14)) ('carcinomas', 'Disease', (4, 14)) ('receptor tyrosine kinase', 'Gene', (108, 132)) ('harbored', 'Reg', (20, 28)) ('missense mutation', 'Var', (31, 48)) ('receptor tyrosine kinase', 'Gene', '5979', (108, 132)) ('FGFR3', 'Gene', (93, 98)) ('carcinoma', 'Phenotype', 'HP:0030731', (4, 13)) 20512 27844328 The receptor tyrosine kinases ALK and ERBB4, the serine/threonine kinase ATM, and the GTPase NRAS were mutated in one thymic carcinoma each (Tables 1 and 2). ('receptor tyrosine kinase', 'Gene', (4, 28)) ('mutated', 'Var', (103, 110)) ('ALK', 'Gene', (30, 33)) ('receptor tyrosine kinase', 'Gene', '5979', (4, 28)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (118, 134)) ('carcinoma', 'Phenotype', 'HP:0030731', (125, 134)) ('serine/threonine kinase ATM', 'Enzyme', (49, 76)) ('RB', 'Disease', 'MESH:D012175', (39, 41)) ('ALK', 'Gene', '238', (30, 33)) ('GTPase NRAS', 'Gene', (86, 97)) ('thymic carcinoma', 'Disease', (118, 134)) 20515 27844328 One was a point mutation in the 3' untranslated region at position -17 of the tumor suppressor SMARCB1. ('tumor', 'Disease', 'MESH:D009369', (78, 83)) ('tumor', 'Phenotype', 'HP:0002664', (78, 83)) ('SMARCB1', 'Gene', (95, 102)) ('tumor', 'Disease', (78, 83)) ('point mutation in', 'Var', (10, 27)) 20516 27844328 The other represented a deletion of two nucleotides +16 and +17 upstream of the exon-intron boundary of exon 4 of the tumor suppressor STK11. ('tumor', 'Phenotype', 'HP:0002664', (118, 123)) ('tumor', 'Disease', (118, 123)) ('tumor', 'Disease', 'MESH:D009369', (118, 123)) ('deletion', 'Var', (24, 32)) 20517 27844328 Three (17 %) of the 18 type A thymomas harbored a non-synonymous mutation in the HRAS oncogene (Tables 1 and 2). ('type A thymomas', 'Disease', 'MESH:D013945', (23, 38)) ('A thymomas', 'Phenotype', 'HP:0100522', (28, 38)) ('HRAS', 'Gene', (81, 85)) ('type A thymomas', 'Disease', (23, 38)) ('thymoma', 'Phenotype', 'HP:0100522', (30, 37)) ('non-synonymous mutation', 'Var', (50, 73)) ('harbored', 'Reg', (39, 47)) 20529 27844328 Motivated by the two thymic carcinomas with an FGFR3 mutation and the one carcinoma with an ALK mutation, we also performed FISH for these two genes. ('carcinomas', 'Phenotype', 'HP:0030731', (28, 38)) ('FGFR3', 'Gene', (47, 52)) ('mutation', 'Var', (53, 61)) ('ALK', 'Gene', (92, 95)) ('carcinoma', 'Disease', (28, 37)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (21, 38)) ('carcinoma', 'Phenotype', 'HP:0030731', (28, 37)) ('carcinoma', 'Disease', 'MESH:D002277', (74, 83)) ('carcinoma', 'Phenotype', 'HP:0030731', (74, 83)) ('ALK', 'Gene', '238', (92, 95)) ('carcinoma', 'Disease', (74, 83)) ('carcinoma', 'Disease', 'MESH:D002277', (28, 37)) ('thymic carcinomas', 'Disease', (21, 38)) 20533 27844328 C19MC miRNAs were highly expressed in 4 of the 5 type A thymomas and completely silenced in all 5 thymic carcinomas (Fig. ('thymic carcinomas', 'Disease', 'MESH:D013945', (98, 115)) ('C19MC', 'Var', (0, 5)) ('thymic carcinomas', 'Disease', (98, 115)) ('type A thymomas', 'Disease', 'MESH:D013945', (49, 64)) ('carcinoma', 'Phenotype', 'HP:0030731', (105, 114)) ('A thymomas', 'Phenotype', 'HP:0100522', (54, 64)) ('type A thymomas', 'Disease', (49, 64)) ('carcinomas', 'Phenotype', 'HP:0030731', (105, 115)) ('thymoma', 'Phenotype', 'HP:0100522', (56, 63)) 20534 27844328 C14MC transcripts were also significantly downregulated in thymic carcinomas, but the cluster was not completely silenced (Fig. ('carcinoma', 'Phenotype', 'HP:0030731', (66, 75)) ('carcinomas', 'Phenotype', 'HP:0030731', (66, 76)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (59, 76)) ('downregulated', 'NegReg', (42, 55)) ('C14MC', 'Var', (0, 5)) ('thymic carcinomas', 'Disease', (59, 76)) 20536 27844328 On the contrary miR-34b, miR-34c, miR-130a and miR-195 were of low abundance in thymic carcinomas, but strongly expressed in type A thymomas (Fig. ('thymic carcinomas', 'Disease', (80, 97)) ('thymoma', 'Phenotype', 'HP:0100522', (132, 139)) ('miR-34b', 'Var', (16, 23)) ('miR-34', 'Chemical', '-', (25, 31)) ('miR-34c', 'Var', (25, 32)) ('carcinomas', 'Phenotype', 'HP:0030731', (87, 97)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (80, 97)) ('type A thymomas', 'Disease', 'MESH:D013945', (125, 140)) ('miR-130a', 'Chemical', '-', (34, 42)) ('A thymomas', 'Phenotype', 'HP:0100522', (130, 140)) ('miR-130a', 'Var', (34, 42)) ('type A thymomas', 'Disease', (125, 140)) ('miR-34', 'Chemical', '-', (16, 22)) ('expressed', 'Reg', (112, 121)) ('miR-195', 'Gene', (47, 54)) ('miR-195', 'Gene', '406971', (47, 54)) ('carcinoma', 'Phenotype', 'HP:0030731', (87, 96)) 20549 27844328 In thymic carcinomas, but not in type A and B3 thymomas, a lack of p16INK4A expression was largely associated with CDKN2A mutation or gene deletion (data not shown). ('CDKN2A', 'Gene', (115, 121)) ('gene deletion', 'Var', (134, 147)) ('lack', 'NegReg', (59, 63)) ('p16INK4A', 'Gene', (67, 75)) ('mutation', 'Var', (122, 130)) ('carcinomas', 'Phenotype', 'HP:0030731', (10, 20)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (3, 20)) ('p16INK4A', 'Gene', '1029', (67, 75)) ('thymoma', 'Phenotype', 'HP:0100522', (47, 54)) ('expression', 'MPA', (76, 86)) ('thymic carcinomas', 'Disease', (3, 20)) ('thymomas', 'Disease', 'MESH:D013945', (47, 55)) ('carcinoma', 'Phenotype', 'HP:0030731', (10, 19)) ('associated', 'Reg', (99, 109)) ('thymomas', 'Disease', (47, 55)) 20559 27844328 It encodes p16INK4A and p14ARF by alternative splicing. ('p14ARF', 'Var', (24, 30)) ('p16INK4A', 'Gene', '1029', (11, 19)) ('p16INK4A', 'Gene', (11, 19)) 20560 27844328 p16INK4A inhibits cell cycle progression by blocking cyclin dependent kinases 4 and 6, whereas p14ARF activates the TP53 tumor suppressor. ('cyclin', 'Enzyme', (53, 59)) ('cell cycle progression', 'CPA', (18, 40)) ('TP53', 'Gene', (116, 120)) ('tumor', 'Phenotype', 'HP:0002664', (121, 126)) ('tumor', 'Disease', (121, 126)) ('p16INK4A', 'Gene', (0, 8)) ('activates', 'PosReg', (102, 111)) ('inhibits', 'NegReg', (9, 17)) ('block', 'Disease', 'MESH:D006327', (44, 49)) ('block', 'Disease', (44, 49)) ('p14ARF', 'Var', (95, 101)) ('p16INK4A', 'Gene', '1029', (0, 8)) ('tumor', 'Disease', 'MESH:D009369', (121, 126)) 20561 27844328 Inhibitors for these kinases are currently being investigated in clinical trials for various malignancies and might constitute a therapeutic option also for thymic carcinomas. ('thymic carcinomas', 'Disease', 'MESH:D013945', (157, 174)) ('thymic carcinomas', 'Disease', (157, 174)) ('Inhibitors', 'Var', (0, 10)) ('malignancies', 'Disease', 'MESH:D009369', (93, 105)) ('carcinoma', 'Phenotype', 'HP:0030731', (164, 173)) ('malignancies', 'Disease', (93, 105)) ('carcinomas', 'Phenotype', 'HP:0030731', (164, 174)) 20563 27844328 In our study, however, CDKN2A gene loss or mutation did not correlate with a worse outcome in thymic carcinomas. ('thymic carcinomas', 'Disease', (94, 111)) ('carcinoma', 'Phenotype', 'HP:0030731', (101, 110)) ('mutation', 'Var', (43, 51)) ('loss', 'NegReg', (35, 39)) ('CDKN2A', 'Gene', (23, 29)) ('carcinomas', 'Phenotype', 'HP:0030731', (101, 111)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (94, 111)) 20565 27844328 A TP53 protein overexpression, which is often caused by TP53 mutation, has been reported in a cohort of 25 thymic carcinomas to be associated with a worse disease free survival. ('overexpression', 'PosReg', (15, 29)) ('carcinoma', 'Phenotype', 'HP:0030731', (114, 123)) ('mutation', 'Var', (61, 69)) ('TP53 protein', 'Protein', (2, 14)) ('carcinomas', 'Phenotype', 'HP:0030731', (114, 124)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (107, 124)) ('TP53', 'Gene', (56, 60)) ('thymic carcinomas', 'Disease', (107, 124)) 20566 27844328 In our study with 31 evaluable thymic carcinomas TP53 gene loss or mutation was, however, not a prognostic marker for disease free or overall survival. ('carcinomas TP53 gene loss', 'Disease', (38, 63)) ('mutation', 'Var', (67, 75)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (31, 48)) ('carcinomas', 'Phenotype', 'HP:0030731', (38, 48)) ('carcinomas TP53 gene loss', 'Disease', 'MESH:D025063', (38, 63)) ('carcinoma', 'Phenotype', 'HP:0030731', (38, 47)) ('thymic carcinomas', 'Disease', (31, 48)) 20568 27844328 Mutated KIT constitutes a therapeutic target for kinase inhibitors such as imatinib. ('Mutated', 'Var', (0, 7)) ('imatinib', 'Chemical', 'MESH:D000068877', (75, 83)) ('KIT', 'Gene', (8, 11)) 20569 27844328 KIT mutation is rare in thymic carcinoma, but so far the only known molecular target based on few, but encouraging case reports. ('mutation', 'Var', (4, 12)) ('thymic carcinoma', 'Disease', (24, 40)) ('KIT', 'Gene', (0, 3)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (24, 40)) ('carcinoma', 'Phenotype', 'HP:0030731', (31, 40)) 20570 27844328 In our series two carcinomas with KIT mutations that predict sensitivity to imatinib were present. ('carcinoma', 'Phenotype', 'HP:0030731', (18, 27)) ('imatinib', 'Chemical', 'MESH:D000068877', (76, 84)) ('carcinomas', 'Phenotype', 'HP:0030731', (18, 28)) ('carcinomas', 'Disease', (18, 28)) ('carcinomas', 'Disease', 'MESH:D002277', (18, 28)) ('mutations', 'Var', (38, 47)) ('KIT', 'Gene', (34, 37)) 20572 27844328 FGFR genes are deregulated in solid tumors by amplification, translocation or mutation. ('translocation', 'Var', (61, 74)) ('solid tumors', 'Disease', (30, 42)) ('deregulated', 'PosReg', (15, 26)) ('amplification', 'Var', (46, 59)) ('mutation', 'Var', (78, 86)) ('solid tumors', 'Disease', 'MESH:D009369', (30, 42)) ('tumor', 'Phenotype', 'HP:0002664', (36, 41)) ('FGFR genes', 'Gene', (0, 10)) ('tumors', 'Phenotype', 'HP:0002664', (36, 42)) 20573 27844328 FGFR3 mutations are particulary frequent in bladder cancer, where they are associated with low grade, early stage, and better survival. ('cancer', 'Phenotype', 'HP:0002664', (52, 58)) ('bladder cancer', 'Phenotype', 'HP:0009725', (44, 58)) ('FGFR3', 'Gene', (0, 5)) ('bladder cancer', 'Disease', 'MESH:D001749', (44, 58)) ('bladder cancer', 'Disease', (44, 58)) ('mutations', 'Var', (6, 15)) ('frequent', 'Reg', (32, 40)) 20574 27844328 We observed a FGFR3 missense mutation in two thymic carcinomas. ('missense mutation', 'Var', (20, 37)) ('carcinoma', 'Phenotype', 'HP:0030731', (52, 61)) ('carcinomas', 'Phenotype', 'HP:0030731', (52, 62)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (45, 62)) ('FGFR3', 'Gene', (14, 19)) ('thymic carcinomas', 'Disease', (45, 62)) 20575 27844328 Thus, inhibition of FGFR3 might represent a novel target in a subset of thymic carcinomas. ('carcinomas', 'Phenotype', 'HP:0030731', (79, 89)) ('FGFR3', 'Gene', (20, 25)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (72, 89)) ('inhibition', 'Var', (6, 16)) ('carcinoma', 'Phenotype', 'HP:0030731', (79, 88)) ('thymic carcinomas', 'Disease', (72, 89)) 20576 27844328 ALK is a receptor tyrosine kinase that, when altered by chromosomal inversion, translocation, amplification or mutation, plays an oncogenic role in certain cancers. ('altered', 'Reg', (45, 52)) ('amplification', 'Var', (94, 107)) ('cancers', 'Phenotype', 'HP:0002664', (156, 163)) ('cancers', 'Disease', (156, 163)) ('cancers', 'Disease', 'MESH:D009369', (156, 163)) ('plays', 'Reg', (121, 126)) ('translocation', 'Var', (79, 92)) ('receptor tyrosine kinase', 'Gene', '5979', (9, 33)) ('ALK', 'Gene', (0, 3)) ('cancer', 'Phenotype', 'HP:0002664', (156, 162)) ('receptor tyrosine kinase', 'Gene', (9, 33)) ('mutation', 'Var', (111, 119)) ('ALK', 'Gene', '238', (0, 3)) 20577 27844328 Best known are ALK gene alterations in anaplastic large cell lymphoma, lung adenocarcinoma, inflammatory myofibroblastic tumor and neuroblastoma. ('ALK', 'Gene', (15, 18)) ('cell lymphoma', 'Disease', (56, 69)) ('neuroblastoma', 'Disease', (131, 144)) ('alterations', 'Var', (24, 35)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (71, 90)) ('tumor', 'Phenotype', 'HP:0002664', (121, 126)) ('lymphoma', 'Phenotype', 'HP:0002665', (61, 69)) ('lung adenocarcinoma', 'Disease', (71, 90)) ('tumor', 'Disease', (121, 126)) ('ALK', 'Gene', '238', (15, 18)) ('cell lymphoma', 'Phenotype', 'HP:0012191', (56, 69)) ('carcinoma', 'Phenotype', 'HP:0030731', (81, 90)) ('neuroblastoma', 'Phenotype', 'HP:0003006', (131, 144)) ('lung adenocarcinoma', 'Disease', 'MESH:D000077192', (71, 90)) ('cell lymphoma', 'Disease', 'MESH:D016399', (56, 69)) ('myofibroblastic tumor', 'Phenotype', 'HP:0020135', (105, 126)) ('neuroblastoma', 'Disease', 'MESH:D009447', (131, 144)) ('tumor', 'Disease', 'MESH:D009369', (121, 126)) 20584 27844328 Therapy of colon and breast cancer with anti-EGFR and anti-ERBB2 antibodies, respectively, and of EGFR mutated lung adenocarcinoma with tyrosine kinase inhibitors is well established. ('EGFR', 'Gene', (98, 102)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (111, 130)) ('carcinoma', 'Phenotype', 'HP:0030731', (121, 130)) ('mutated', 'Var', (103, 110)) ('cancer', 'Phenotype', 'HP:0002664', (28, 34)) ('lung adenocarcinoma', 'Disease', (111, 130)) ('breast cancer', 'Phenotype', 'HP:0003002', (21, 34)) ('lung adenocarcinoma', 'Disease', 'MESH:D000077192', (111, 130)) ('RB', 'Disease', 'MESH:D012175', (60, 62)) ('colon and breast cancer', 'Disease', 'MESH:D001943', (11, 34)) 20585 27844328 ERBB4 mutations have been identified in lung, breast and gastric cancer and melanoma. ('melanoma', 'Disease', (76, 84)) ('melanoma', 'Disease', 'MESH:D008545', (76, 84)) ('cancer', 'Phenotype', 'HP:0002664', (65, 71)) ('lung', 'Disease', (40, 44)) ('gastric cancer', 'Phenotype', 'HP:0012126', (57, 71)) ('RB', 'Disease', 'MESH:D012175', (1, 3)) ('identified', 'Reg', (26, 36)) ('mutations', 'Var', (6, 15)) ('breast and gastric cancer', 'Disease', 'MESH:D013274', (46, 71)) ('melanoma', 'Phenotype', 'HP:0002861', (76, 84)) 20586 27844328 Several of these ERBB4 mutations were shown to be oncogenic in melanoma models and could be inhibited by treatment with lapatinib. ('RB', 'Disease', 'MESH:D012175', (18, 20)) ('oncogenic', 'CPA', (50, 59)) ('melanoma models', 'Disease', (63, 78)) ('mutations', 'Var', (23, 32)) ('melanoma models', 'Disease', 'MESH:D008545', (63, 78)) ('lapatinib', 'Chemical', 'MESH:D000077341', (120, 129)) ('melanoma', 'Phenotype', 'HP:0002861', (63, 71)) 20587 27844328 ERBB4 mutated thymic carcinoma might also be inhibited by EGFR family blockers such as lapatinib and afatinib. ('block', 'Disease', (70, 75)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (14, 30)) ('block', 'Disease', 'MESH:D006327', (70, 75)) ('lapatinib', 'Chemical', 'MESH:D000077341', (87, 96)) ('EGFR', 'Gene', (58, 62)) ('thymic carcinoma', 'Disease', (14, 30)) ('afatinib', 'Chemical', 'MESH:D000077716', (101, 109)) ('RB', 'Disease', 'MESH:D012175', (1, 3)) ('carcinoma', 'Phenotype', 'HP:0030731', (21, 30)) ('mutated', 'Var', (6, 13)) 20593 27844328 One thymic carcinoma harbored a NRAS and three type A thymomas a HRAS mutation. ('type A thymomas', 'Disease', 'MESH:D013945', (47, 62)) ('A thymomas', 'Phenotype', 'HP:0100522', (52, 62)) ('thymoma', 'Phenotype', 'HP:0100522', (54, 61)) ('type A thymomas', 'Disease', (47, 62)) ('HRAS', 'Gene', (65, 69)) ('NRAS', 'Disease', (32, 36)) ('thymic carcinoma', 'Disease', (4, 20)) ('mutation', 'Var', (70, 78)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (4, 20)) ('carcinoma', 'Phenotype', 'HP:0030731', (11, 20)) 20596 27844328 C19MC overexpression has been reported in embryonal pediatric brain tumors caused by fusion with TTYH1 or focal genomic amplification. ('fusion', 'Var', (85, 91)) ('C19MC', 'Var', (0, 5)) ('tumors', 'Phenotype', 'HP:0002664', (68, 74)) ('TTYH1', 'Protein', (97, 102)) ('embryonal pediatric brain tumors', 'Disease', 'MESH:D001932', (42, 74)) ('embryonal pediatric brain tumors', 'Disease', (42, 74)) ('caused by', 'Reg', (75, 84)) ('overexpression', 'PosReg', (6, 20)) ('brain tumors', 'Phenotype', 'HP:0030692', (62, 74)) ('tumor', 'Phenotype', 'HP:0002664', (68, 73)) ('focal genomic amplification', 'Var', (106, 133)) 20598 27844328 C19MC overexpression in type A and AB thymomas has recently been reported by Radovich M. et al., who suggested that one of the key functions of the cluster is the activation of the PI3K/AKT pathway. ('C19MC', 'Var', (0, 5)) ('activation', 'PosReg', (163, 173)) ('PI3K/AKT pathway', 'Pathway', (181, 197)) ('AB thymomas', 'Disease', 'MESH:D013945', (35, 46)) ('AB thymomas', 'Disease', (35, 46)) ('thymoma', 'Phenotype', 'HP:0100522', (38, 45)) 20600 27844328 C14MC miRNA expression was decreased in thymic carcinomas as compared to type A thymomas, but still present to some degree, with not all miRNAs of the cluster affected. ('thymic carcinomas', 'Disease', 'MESH:D013945', (40, 57)) ('thymoma', 'Phenotype', 'HP:0100522', (80, 87)) ('decreased', 'NegReg', (27, 36)) ('thymic carcinomas', 'Disease', (40, 57)) ('carcinoma', 'Phenotype', 'HP:0030731', (47, 56)) ('C14MC', 'Var', (0, 5)) ('carcinomas', 'Phenotype', 'HP:0030731', (47, 57)) ('type A thymomas', 'Disease', 'MESH:D013945', (73, 88)) ('A thymomas', 'Phenotype', 'HP:0100522', (78, 88)) ('type A thymomas', 'Disease', (73, 88)) 20601 27844328 Infering from published work suggesting that C14MC functions as a large tumor suppressor cluster in GIST and glioma we assume that the downregulation of C14MC miRNAs might exert a tumor promoting effect in thymic carcinomas. ('tumor', 'Disease', 'MESH:D009369', (180, 185)) ('glioma', 'Phenotype', 'HP:0009733', (109, 115)) ('tumor', 'Phenotype', 'HP:0002664', (72, 77)) ('C14MC', 'Var', (153, 158)) ('tumor', 'Phenotype', 'HP:0002664', (180, 185)) ('tumor', 'Disease', (72, 77)) ('GIST', 'Disease', (100, 104)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (206, 223)) ('carcinomas', 'Phenotype', 'HP:0030731', (213, 223)) ('tumor', 'Disease', (180, 185)) ('glioma', 'Disease', (109, 115)) ('tumor', 'Disease', 'MESH:D009369', (72, 77)) ('carcinoma', 'Phenotype', 'HP:0030731', (213, 222)) ('downregulation', 'NegReg', (135, 149)) ('thymic carcinomas', 'Disease', (206, 223)) ('glioma', 'Disease', 'MESH:D005910', (109, 115)) 20602 27844328 Among the non-clustered miRNAs with significant differences in expression between type A thymomas and thymic carcinomas, the low expression of miR-34b, miR-34c, miR-130a and miR-195 in thymic carcinomas was most pronounced. ('thymic carcinomas', 'Disease', (102, 119)) ('carcinoma', 'Phenotype', 'HP:0030731', (192, 201)) ('carcinomas', 'Phenotype', 'HP:0030731', (192, 202)) ('miR-34b', 'Var', (143, 150)) ('thymomas and thymic carcinomas', 'Disease', 'MESH:D013945', (89, 119)) ('thymoma', 'Phenotype', 'HP:0100522', (89, 96)) ('A thymomas', 'Phenotype', 'HP:0100522', (87, 97)) ('miR-130a', 'Chemical', '-', (161, 169)) ('miR-130a', 'Var', (161, 169)) ('miR-195', 'Gene', '406971', (174, 181)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (185, 202)) ('carcinoma', 'Phenotype', 'HP:0030731', (109, 118)) ('thymic carcinomas', 'Disease', (185, 202)) ('miR-34', 'Chemical', '-', (152, 158)) ('carcinomas', 'Phenotype', 'HP:0030731', (109, 119)) ('miR-195', 'Gene', (174, 181)) ('miR-34', 'Chemical', '-', (143, 149)) ('type A thymomas', 'Disease', (82, 97)) ('type A thymomas', 'Disease', 'MESH:D013945', (82, 97)) ('miR-34c', 'Var', (152, 159)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (102, 119)) 20604 27844328 In non-small cell lung cancer (NSCLC) immune evasion of the tumor via PD-L1 is mediated by miR-34. ('mediated by', 'Reg', (79, 90)) ('PD-L1', 'Gene', '29126', (70, 75)) ('non-small cell lung cancer', 'Phenotype', 'HP:0030358', (3, 29)) ('NSCLC', 'Disease', (31, 36)) ('tumor', 'Disease', 'MESH:D009369', (60, 65)) ('miR-34', 'Var', (91, 97)) ('NSCLC', 'Disease', 'MESH:D002289', (31, 36)) ('miR-34', 'Chemical', '-', (91, 97)) ('lung cancer', 'Phenotype', 'HP:0100526', (18, 29)) ('tumor', 'Phenotype', 'HP:0002664', (60, 65)) ('non-small cell lung cancer', 'Disease', 'MESH:D002289', (3, 29)) ('cancer', 'Phenotype', 'HP:0002664', (23, 29)) ('tumor', 'Disease', (60, 65)) ('non-small cell lung cancer', 'Disease', (3, 29)) ('NSCLC', 'Phenotype', 'HP:0030358', (31, 36)) ('PD-L1', 'Gene', (70, 75)) ('small cell lung cancer', 'Phenotype', 'HP:0030357', (7, 29)) 20608 27844328 Among the non-clustered miRNAs overexpressed in thymic carcinoma as compared to type A thymoma miR21, miR-9-3 and miR-375 were most significant. ('thymoma', 'Phenotype', 'HP:0100522', (87, 94)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (48, 64)) ('miR-375', 'Var', (114, 121)) ('miR-9-3', 'Var', (102, 109)) ('miR21', 'Var', (95, 100)) ('carcinoma', 'Phenotype', 'HP:0030731', (55, 64)) ('overexpressed', 'PosReg', (31, 44)) ('A thymoma', 'Disease', 'MESH:D013945', (85, 94)) ('miR-375', 'Chemical', '-', (114, 121)) ('A thymoma', 'Disease', (85, 94)) ('thymic carcinoma', 'Disease', (48, 64)) 20610 27844328 In contrast to our findings in thymic carcinomas miR-9-3 has been reported to be repressed by methylation in NSCLC. ('thymic carcinomas', 'Disease', (31, 48)) ('NSCLC', 'Disease', 'MESH:D002289', (109, 114)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (31, 48)) ('carcinomas', 'Phenotype', 'HP:0030731', (38, 48)) ('NSCLC', 'Phenotype', 'HP:0030358', (109, 114)) ('methylation', 'Var', (94, 105)) ('carcinoma', 'Phenotype', 'HP:0030731', (38, 47)) ('NSCLC', 'Disease', (109, 114)) 20620 27844328 The authors furthermore described HER3 positivity in 45.8 % of the carcinomas. ('HER3', 'Gene', (34, 38)) ('HER3', 'Gene', '2065', (34, 38)) ('carcinomas', 'Disease', 'MESH:D002277', (67, 77)) ('carcinoma', 'Phenotype', 'HP:0030731', (67, 76)) ('carcinomas', 'Phenotype', 'HP:0030731', (67, 77)) ('carcinomas', 'Disease', (67, 77)) ('positivity', 'Var', (39, 49)) 20621 27844328 detected HER2 positivity in nine of 17 thymic carcinomas, but no HER2 gene amplification could be demonstrated by FISH. ('HER2', 'Gene', '2064', (65, 69)) ('carcinoma', 'Phenotype', 'HP:0030731', (46, 55)) ('thymic carcinomas', 'Disease', (39, 56)) ('HER2', 'Gene', (9, 13)) ('HER2', 'Gene', '2064', (9, 13)) ('carcinomas', 'Phenotype', 'HP:0030731', (46, 56)) ('positivity', 'Var', (14, 24)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (39, 56)) ('HER2', 'Gene', (65, 69)) 20625 27844328 Tumors with MET overexpression, gene amplification and exon 14 skipping mutations are candidates for MET targeted therapies in clinical trials. ('overexpression', 'PosReg', (16, 30)) ('gene amplification', 'Var', (32, 50)) ('exon', 'Var', (55, 59)) ('Tumors', 'Disease', (0, 6)) ('Tumors', 'Disease', 'MESH:D009369', (0, 6)) ('Tumors', 'Phenotype', 'HP:0002664', (0, 6)) ('skipping', 'NegReg', (63, 71)) 20627 27844328 Aberrations in the PI3K/mTOR/AKT pathway are common in solid tumors. ('common', 'Reg', (45, 51)) ('solid tumors', 'Disease', (55, 67)) ('solid tumors', 'Disease', 'MESH:D009369', (55, 67)) ('tumor', 'Phenotype', 'HP:0002664', (61, 66)) ('tumors', 'Phenotype', 'HP:0002664', (61, 67)) ('Aberrations', 'Var', (0, 11)) ('mTOR', 'Gene', (24, 28)) ('mTOR', 'Gene', '2475', (24, 28)) 20643 27844328 In thymic carcinomas a lack of p16INK4A protein expression was largely associated with CDKNA gene deletion. ('carcinomas', 'Phenotype', 'HP:0030731', (10, 20)) ('expression', 'MPA', (48, 58)) ('deletion', 'Var', (98, 106)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (3, 20)) ('p16INK4A', 'Gene', (31, 39)) ('thymic carcinomas', 'Disease', (3, 20)) ('lack', 'NegReg', (23, 27)) ('carcinoma', 'Phenotype', 'HP:0030731', (10, 19)) ('p16INK4A', 'Gene', '1029', (31, 39)) ('associated', 'Reg', (71, 81)) ('CDKNA gene', 'Disease', (87, 97)) 20644 27844328 In type A thymomas that lacked CDKN2A deletions and type B3 thymomas that rarely (7 %) exhibited CDKN2A deletion a different mechanism must predominate. ('thymomas', 'Disease', (10, 18)) ('thymomas', 'Disease', 'MESH:D013945', (10, 18)) ('type A thymomas', 'Disease', 'MESH:D013945', (3, 18)) ('thymoma', 'Phenotype', 'HP:0100522', (60, 67)) ('A thymomas', 'Phenotype', 'HP:0100522', (8, 18)) ('type A thymomas', 'Disease', (3, 18)) ('deletions', 'Var', (38, 47)) ('thymomas', 'Disease', (60, 68)) ('thymomas', 'Disease', 'MESH:D013945', (60, 68)) ('CDKN2A', 'Gene', (31, 37)) ('thymoma', 'Phenotype', 'HP:0100522', (10, 17)) 20645 27844328 CDKN2A promoter methylation is a known alternative mechanism of p16I INK4A silencing and may dominate in type A and B3 thymomas. ('dominate', 'Reg', (93, 101)) ('thymomas', 'Disease', (119, 127)) ('silencing', 'NegReg', (75, 84)) ('thymoma', 'Phenotype', 'HP:0100522', (119, 126)) ('p16I', 'Var', (64, 68)) ('thymomas', 'Disease', 'MESH:D013945', (119, 127)) 20651 27844328 Furthermore, PD-L1 high TETs were associated with a more aggressive histology and worse prognosis. ('aggressive histology', 'CPA', (57, 77)) ('PD-L1', 'Gene', (13, 18)) ('high TETs', 'Var', (19, 28)) ('PD-L1', 'Gene', '29126', (13, 18)) 20659 27844328 ROS1 is a tyrosine kinase that is aberrantly activated by translocation in a subset of lung carcinomas and cholangiocarcinomas. ('translocation', 'Var', (58, 71)) ('ROS1', 'Gene', (0, 4)) ('carcinoma', 'Phenotype', 'HP:0030731', (92, 101)) ('ROS1', 'Gene', '6098', (0, 4)) ('lung carcinomas and cholangiocarcinomas', 'Disease', 'MESH:D018281', (87, 126)) ('carcinomas', 'Phenotype', 'HP:0030731', (92, 102)) ('carcinoma', 'Phenotype', 'HP:0030731', (116, 125)) ('carcinomas', 'Phenotype', 'HP:0030731', (116, 126)) ('activated', 'PosReg', (45, 54)) 20661 27844328 ROS1 positivity by immunohistochemistry is a surrogate marker for the presence of a ROS1 translocation. ('translocation', 'Var', (89, 102)) ('ROS1', 'Gene', '6098', (84, 88)) ('ROS1', 'Gene', (0, 4)) ('ROS1', 'Gene', '6098', (0, 4)) ('ROS1', 'Gene', (84, 88)) 20665 27844328 In summary, our data show genetic differences between type A and B3 thymomas and thymic carcinomas with respect to cancer gene mutations and miRNA expression. ('miRNA expression', 'MPA', (141, 157)) ('cancer', 'Disease', (115, 121)) ('thymomas and thymic carcinomas', 'Disease', 'MESH:D013945', (68, 98)) ('thymoma', 'Phenotype', 'HP:0100522', (68, 75)) ('cancer', 'Phenotype', 'HP:0002664', (115, 121)) ('carcinoma', 'Phenotype', 'HP:0030731', (88, 97)) ('carcinomas', 'Phenotype', 'HP:0030731', (88, 98)) ('mutations', 'Var', (127, 136)) ('cancer', 'Disease', 'MESH:D009369', (115, 121)) 20667 24482655 FK506 attenuates thymic output in patients with myasthenia gravis Myasthenia gravis (MG) is an antibody-mediated, T-cell-dependent autoimmune disease. ('myasthenia gravis', 'Disease', (48, 65)) ('autoimmune disease', 'Disease', 'MESH:D001327', (131, 149)) ('attenuates', 'NegReg', (6, 16)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (131, 149)) ('FK506', 'Var', (0, 5)) ('FK506', 'Chemical', 'MESH:D016559', (0, 5)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (48, 65)) ('myasthenia', 'Phenotype', 'HP:0003473', (48, 58)) ('patients', 'Species', '9606', (34, 42)) ('autoimmune disease', 'Disease', (131, 149)) ('Myasthenia', 'Phenotype', 'HP:0003473', (66, 76)) ('Myasthenia gravis', 'Disease', (66, 83)) ('Myasthenia gravis', 'Disease', 'MESH:D009157', (66, 83)) ('thymic output', 'MPA', (17, 30)) 20668 24482655 The production of these antibodies in B-cells depends on AChR-specific CD4+ T-cells and the thymus gland seems to play a significant role in the pathogenesis of MG. Altered thymic T-cell export seems to be associated with a pathological mechanism in myasthenia gravis. ('myasthenia', 'Phenotype', 'HP:0003473', (250, 260)) ('associated', 'Reg', (206, 216)) ('thymic T-cell export', 'MPA', (173, 193)) ('Altered', 'Var', (165, 172)) ('myasthenia gravis', 'Disease', (250, 267)) ('CD4', 'Gene', (71, 74)) ('CD4', 'Gene', '920', (71, 74)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (250, 267)) 20731 24482655 The patients with myasthenia gravis took FK506 for at least 6 months. ('myasthenia gravis', 'Disease', 'MESH:D009157', (18, 35)) ('FK506', 'Chemical', 'MESH:D016559', (41, 46)) ('patients', 'Species', '9606', (4, 12)) ('FK506', 'Var', (41, 46)) ('myasthenia', 'Phenotype', 'HP:0003473', (18, 28)) ('myasthenia gravis', 'Disease', (18, 35)) 20753 24482655 It is confirmed in many institutions that low-dose FK506 is effective in myasthenia gravis. ('myasthenia gravis', 'Disease', (73, 90)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (73, 90)) ('myasthenia', 'Phenotype', 'HP:0003473', (73, 83)) ('FK506', 'Var', (51, 56)) ('FK506', 'Chemical', 'MESH:D016559', (51, 56)) 20792 22720235 As depicted in Figure 1A and B, the vaccination with EG-7/alphaGC significantly reduced the growth of solid tumors and induced prolonged survival in comparison to those of EG-7/veh group. ('solid tumors', 'Disease', (102, 114)) ('survival', 'CPA', (137, 145)) ('growth', 'MPA', (92, 98)) ('tumor', 'Phenotype', 'HP:0002664', (108, 113)) ('EG-7/alphaGC', 'Var', (53, 65)) ('prolonged', 'PosReg', (127, 136)) ('reduced', 'NegReg', (80, 87)) ('solid tumors', 'Disease', 'MESH:D009369', (102, 114)) ('tumors', 'Phenotype', 'HP:0002664', (108, 114)) 20793 22720235 Tumors affect myelopoiesis and induce the expansion of CD11b+Gr-1+ myeloid-derived suppressor cell (MDSC) in the bone marrow, blood, spleen. ('Tumor', 'Phenotype', 'HP:0002664', (0, 5)) ('Tumors', 'Disease', (0, 6)) ('CD11b+Gr-1+', 'Var', (55, 66)) ('Tumors', 'Disease', 'MESH:D009369', (0, 6)) ('Tumors', 'Phenotype', 'HP:0002664', (0, 6)) ('myelopoiesis', 'CPA', (14, 26)) ('affect', 'Reg', (7, 13)) 20794 22720235 Of note, we also observed a great decrease of CD11b+Gr-1+ population in the spleen of EG-7/alphaGC vaccinated mice (< 4%) compared with that of EG-7/veh group (> 20%) (Fig. ('mice', 'Species', '10090', (110, 114)) ('EG-7/alphaGC', 'Var', (86, 98)) ('CD11b+Gr-1+', 'MPA', (46, 57)) ('decrease', 'NegReg', (34, 42)) 20809 22720235 As depicted in Figure 3B, the CD8+ T cells from the EG-7/alphaGC vaccinated mice induced a significantly higher percentage of caspase-3 cleavage in the target cells than those from the EG-7/veh vaccinated mice. ('higher', 'PosReg', (105, 111)) ('caspase-3', 'Gene', '12367', (126, 135)) ('mice', 'Species', '10090', (76, 80)) ('mice', 'Species', '10090', (205, 209)) ('caspase-3', 'Gene', (126, 135)) ('EG-7/alphaGC', 'Var', (52, 64)) 20819 22720235 When we analyzed splenocytes six hours after the injection, we observed that CD1d-tetramer+ cells in mice receiving T/alphaGC produced IFNgamma+ whereas the same population in mice receiving T/veh did not produce IFNgamma (Fig. ('IFNgamma', 'Gene', (135, 143)) ('IFNgamma', 'Gene', '15978', (135, 143)) ('mice', 'Species', '10090', (176, 180)) ('mice', 'Species', '10090', (101, 105)) ('IFNgamma', 'Gene', (213, 221)) ('T/alphaGC', 'Var', (116, 125)) ('IFNgamma', 'Gene', '15978', (213, 221)) 20849 22720235 We utilized bm-1 mouse whose cells are able to load SIINFEKL onto their MHC I, but the resulting complex cannot be recognized by OT-I TCR due to a mutation in the H-2K region. ('TCR', 'Gene', '328483', (134, 137)) ('mouse', 'Species', '10090', (17, 22)) ('H-2K region', 'Gene', (163, 174)) ('SIINFEKL', 'Disease', (52, 60)) ('mutation', 'Var', (147, 155)) ('TCR', 'Gene', (134, 137)) ('SIINFEKL', 'Disease', 'None', (52, 60)) 20867 22720235 T cells were isolated from C57BL/6(WT), B7-/- (B7.1-/-B7.2-/-), B7h-/- or B7B7h-/- and loaded with alphaGC and SIINFEKL ex vivo. ('SIINFEKL', 'Disease', 'None', (111, 119)) ('SIINFEKL', 'Disease', (111, 119)) ('B7h-/-', 'Var', (64, 70)) ('B7B7h-/-', 'Var', (74, 82)) 20871 22720235 In the present study, we showed that vaccination with conventional CD4 T cells presenting both CD1d-alphaGC and MHC class I-restricted peptide triggered iNKT cell activation and generated an antigen-specific cytotoxic T lymphocyte response in vivo. ('activation', 'PosReg', (163, 173)) ('iNKT cell', 'CPA', (153, 162)) ('peptide', 'Chemical', 'MESH:D010455', (135, 142)) ('antigen-specific cytotoxic T lymphocyte response', 'CPA', (191, 239)) ('CD1d-alphaGC', 'Var', (95, 107)) 20901 22720235 C57BL/6, OT-I, C57BL/6bm1 (bm-1), IL-4-/-, IFNgamma-/-, IL-12p35-/-, CD80-/-CD86-/- (B7-/-) mice were purchased from The Jackson Laboratory (Bar Harbor, ME). ('IFNgamma', 'Gene', (43, 51)) ('IL-12p35', 'Gene', (56, 64)) ('IL-4', 'Gene', (34, 38)) ('CD80', 'Gene', (69, 73)) ('IFNgamma', 'Gene', '15978', (43, 51)) ('C57BL/6bm1', 'Var', (15, 25)) ('IL-4', 'Gene', '16189', (34, 38)) ('CD86', 'Gene', (76, 80)) ('CD86', 'Gene', '12524', (76, 80)) ('mice', 'Species', '10090', (92, 96)) ('CD80', 'Gene', '12519', (69, 73)) ('IL-12p35', 'Gene', '16159', (56, 64)) 21017 32374079 To our knowledge, this is the first study to construct a lncRNAs classifier consisting of ADAMTS9-AS1, HSD52, LINC00968 and LINC01697, for predicting recurrence probability in patients with TETs. ('LINC01697', 'Var', (124, 133)) ('patients', 'Species', '9606', (176, 184)) ('ncRNA', 'Gene', '54719', (58, 63)) ('LINC00968', 'Gene', (110, 119)) ('AS1', 'Gene', (98, 101)) ('LINC00968', 'Gene', '100507632', (110, 119)) ('ncRNA', 'Gene', (58, 63)) ('AS1', 'Gene', '5729', (98, 101)) ('ADAMTS9', 'Gene', '56999', (90, 97)) ('HSD52', 'Gene', (103, 108)) ('HSD52', 'Gene', '729467', (103, 108)) ('ADAMTS9', 'Gene', (90, 97)) 21035 32374079 In our study, we found WHO histological types was not a significant association with recurrence among patients with TETs, which is in agreement with previous trials.26, 27 Nevertheless, several published trials reported that WHO histological types were an independent risk factor for TETs patients in predicting RFS.28, 29 Masaoka stage was significantly associated with recurrence among patients with TETs in univariate cox analysis, whereas not in multivariate cox analysis. ('RFS.28', 'Var', (312, 318)) ('patients', 'Species', '9606', (289, 297)) ('Masaoka stage', 'Disease', (323, 336)) ('patients', 'Species', '9606', (102, 110)) ('associated', 'Reg', (355, 365)) ('patients', 'Species', '9606', (388, 396)) ('recurrence', 'Disease', (371, 381)) 21107 29924013 Upon MRI, leiomyosarcomas are seen with enhancement and have the appearance of water molecule diffusion confined in the diffusion-weighted imaging (DWI) sequence. ('sarcoma', 'Phenotype', 'HP:0100242', (17, 24)) ('enhancement', 'PosReg', (40, 51)) ('water molecule diffusion', 'MPA', (79, 103)) ('leiomyosarcomas', 'Phenotype', 'HP:0100243', (10, 25)) ('water', 'Chemical', 'MESH:D014867', (79, 84)) ('leiomyosarcomas', 'Disease', 'MESH:D007890', (10, 25)) ('men', 'Species', '9606', (47, 50)) ('leiomyosarcoma', 'Phenotype', 'HP:0100243', (10, 24)) ('leiomyosarcomas', 'Disease', (10, 25)) ('MRI', 'Var', (5, 8)) ('sarcomas', 'Phenotype', 'HP:0100242', (17, 25)) 21155 29862111 's study showed the tumor group CSR value and the hyperplasia group CSR value of 1.0398 +- 0.0244 and 0.4964 +- 0.1841, respectively. ('0.4964 +-', 'Var', (102, 111)) ('hyperplasia', 'Disease', (50, 61)) ('tumor', 'Disease', 'MESH:D009369', (20, 25)) ('tumor', 'Phenotype', 'HP:0002664', (20, 25)) ('hyperplasia', 'Disease', 'MESH:D006965', (50, 61)) ('tumor', 'Disease', (20, 25)) 21207 33633666 Vitamin D Receptor Polymorphism and Myasthenia Gravis in Chinese Han Population Myasthenia gravis (MG) is an autoimmune disease in which antibodies bind to acetylcholine receptors (AChR) or other functional molecules in the postsynaptic membrane at the neuromuscular junction. ('Vitamin D Receptor', 'Gene', '7421', (0, 18)) ('Myasthenia Gravis', 'Disease', (36, 53)) ('Myasthenia gravis', 'Disease', (80, 97)) ('bind', 'Interaction', (148, 152)) ('autoimmune disease', 'Disease', (109, 127)) ('Myasthenia gravis', 'Disease', 'MESH:D009157', (80, 97)) ('Myasthenia', 'Phenotype', 'HP:0003473', (36, 46)) ('acetylcholine', 'Chemical', 'MESH:D000109', (156, 169)) ('autoimmune disease', 'Disease', 'MESH:D001327', (109, 127)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (109, 127)) ('Myasthenia Gravis', 'Disease', 'MESH:D009157', (36, 53)) ('acetylcholine', 'MPA', (156, 169)) ('Vitamin D Receptor', 'Gene', (0, 18)) ('Polymorphism', 'Var', (19, 31)) ('Myasthenia', 'Phenotype', 'HP:0003473', (80, 90)) 21209 33633666 The immunomodulatory actions of 1,25(OH)2D3 are mediated by its binding to a vitamin D receptor (VDR). ('binding', 'Interaction', (64, 71)) ('VDR', 'Gene', (97, 100)) ('vitamin D receptor', 'Gene', '7421', (77, 95)) ('1,25(OH)2D3', 'Chemical', 'MESH:D002117', (32, 43)) ('vitamin D receptor', 'Gene', (77, 95)) ('VDR', 'Gene', '7421', (97, 100)) ('1,25(OH)2D3', 'Var', (32, 43)) 21210 33633666 In the study, we undertook a case-control study to explore the association between VDR gene polymorphism and the susceptibility and severity of MG patients. ('VDR', 'Gene', (83, 86)) ('association', 'Interaction', (63, 74)) ('VDR', 'Gene', '7421', (83, 86)) ('patients', 'Species', '9606', (147, 155)) ('polymorphism', 'Var', (92, 104)) 21214 33633666 In the analysis of subgroups with a comprehensive classification, the frequencies of alleles and genotypes in rs731236 showed significant differences between adult non-thymoma AChRAb negative MG subgroup and the control group, as well as the adult non-thymoma AChRAb positive MG group. ('AChRAb', 'Chemical', '-', (260, 266)) ('rs731236', 'Var', (110, 118)) ('thymoma', 'Phenotype', 'HP:0100522', (252, 259)) ('negative', 'NegReg', (183, 191)) ('differences', 'Reg', (138, 149)) ('thymoma', 'Phenotype', 'HP:0100522', (168, 175)) ('rs731236', 'Mutation', 'rs731236', (110, 118)) ('AChRAb', 'Chemical', '-', (176, 182)) 21215 33633666 In the Chinese Han population, rs731236 was found to be possibly associated with adult non-thymoma AChRAb negative MG patients, although this needs further confirmation. ('adult non-thymoma AChRAb negative', 'Disease', (81, 114)) ('AChRAb', 'Chemical', '-', (99, 105)) ('thymoma', 'Phenotype', 'HP:0100522', (91, 98)) ('associated', 'Reg', (65, 75)) ('rs731236', 'Mutation', 'rs731236', (31, 39)) ('patients', 'Species', '9606', (118, 126)) ('rs731236', 'Var', (31, 39)) 21220 33633666 Moreover, 1,25(OH)2D3 inhibits proliferation and differentiation of plasma cells. ('inhibits', 'NegReg', (22, 30)) ('1,25(OH)2D3', 'Var', (10, 21)) ('1,25(OH)2D3', 'Chemical', 'MESH:D002117', (10, 21)) 21221 33633666 The immunomodulatory actions of 1,25(OH)2D3 are mediated by its binding to VDR. ('binding', 'Interaction', (64, 71)) ('1,25(OH)2D3', 'Chemical', 'MESH:D002117', (32, 43)) ('VDR', 'Gene', (75, 78)) ('VDR', 'Gene', '7421', (75, 78)) ('1,25(OH)2D3', 'Var', (32, 43)) 21227 33633666 VDR genes' polymorphism has been associated with many autoimmune disorders such as autoimmune thyroid disease, idiopathic inflammatory myopathy, multiple sclerosis, type 1 diabetes mellitus, and systemic lupus erythematosus. ('autoimmune thyroid disease', 'Disease', 'MESH:D013967', (83, 109)) ('multiple sclerosis', 'Disease', 'MESH:D009103', (145, 163)) ('systemic lupus erythematosus', 'Phenotype', 'HP:0002725', (195, 223)) ('type 1 diabetes', 'Phenotype', 'HP:0100651', (165, 180)) ('diabetes mellitus', 'Disease', 'MESH:D003920', (172, 189)) ('myopathy', 'Phenotype', 'HP:0003198', (135, 143)) ('systemic lupus erythematosus', 'Disease', 'MESH:D008180', (195, 223)) ('autoimmune disorders', 'Disease', (54, 74)) ('diabetes mellitus', 'Phenotype', 'HP:0000819', (172, 189)) ('idiopathic inflammatory myopathy', 'Disease', 'MESH:D009220', (111, 143)) ('VDR', 'Gene', (0, 3)) ('thyroid disease', 'Phenotype', 'HP:0000820', (94, 109)) ('autoimmune disorders', 'Disease', 'MESH:D001327', (54, 74)) ('autoimmune disorders', 'Phenotype', 'HP:0002960', (54, 74)) ('polymorphism', 'Var', (11, 23)) ('autoimmune thyroid disease', 'Disease', (83, 109)) ('multiple sclerosis', 'Disease', (145, 163)) ('systemic lupus erythematosus', 'Disease', (195, 223)) ('diabetes mellitus', 'Disease', (172, 189)) ('idiopathic inflammatory myopathy', 'Disease', (111, 143)) ('VDR', 'Gene', '7421', (0, 3)) ('associated', 'Reg', (33, 43)) ('inflammatory myopathy', 'Phenotype', 'HP:0009071', (122, 143)) 21228 33633666 Our previous study found that VDR gene Tru9I (rs757343) polymorphism was associated with risk of MG in females older than 15 years. ('rs757343) polymorphism', 'Var', (46, 68)) ('polymorphism', 'Var', (56, 68)) ('associated', 'Reg', (73, 83)) ('VDR', 'Gene', (30, 33)) ('rs757343', 'Mutation', 'rs757343', (46, 54)) ('VDR', 'Gene', '7421', (30, 33)) 21229 33633666 In this study, we undertook a case-control study to further explore the association between VDR gene polymorphisms and the susceptibility and severity of MG patients in a systematic way. ('association', 'Interaction', (72, 83)) ('patients', 'Species', '9606', (157, 165)) ('VDR', 'Gene', (92, 95)) ('polymorphisms', 'Var', (101, 114)) ('VDR', 'Gene', '7421', (92, 95)) 21241 33633666 SNPs were selected systematically, including the functional loci [rs4516035 (5' near gene), rs2228570 (exon 2), rs9729 (3'UTR)], hot SNPs [rs1544410, rs731236, rs7975232, rs757343, rs2238136 ], and tag SNPs (rs3847987, rs10875692, rs2107301, rs2239186, rs2853564, rs11574027, rs7136534, rs739837, and rs2239181). ('rs11574027', 'Var', (264, 274)) ('[rs4516035', 'Var', (65, 75)) ('rs757343', 'Mutation', 'rs757343', (171, 179)) ('rs2107301', 'Mutation', 'rs2107301', (231, 240)) ('rs7136534', 'Mutation', 'rs7136534', (276, 285)) ('rs4516035', 'Mutation', 'rs4516035', (66, 75)) ('rs2239181', 'Mutation', 'rs2239181', (301, 310)) ('rs1544410', 'Mutation', 'rs1544410', (139, 148)) ('rs739837', 'Mutation', 'rs739837', (287, 295)) ('rs3847987', 'Var', (208, 217)) ('rs7136534', 'Var', (276, 285)) ('rs2239186', 'Var', (242, 251)) ('rs2239181', 'Var', (301, 310)) ('rs2238136', 'Mutation', 'rs2238136', (181, 190)) ('rs10875692', 'Var', (219, 229)) ('rs2107301', 'Var', (231, 240)) ('rs731236', 'Mutation', 'rs731236', (150, 158)) ('rs2853564', 'Var', (253, 262)) ('rs2239186', 'Mutation', 'rs2239186', (242, 251)) ('rs731236', 'Var', (150, 158)) ('rs7975232', 'Var', (160, 169)) ('[rs1544410', 'Var', (138, 148)) ('rs10875692', 'Mutation', 'rs10875692', (219, 229)) ('rs2853564', 'Mutation', 'rs2853564', (253, 262)) ('rs9729', 'Mutation', 'rs9729', (112, 118)) ('rs2228570', 'Mutation', 'rs2228570', (92, 101)) ('rs7975232', 'Mutation', 'rs7975232', (160, 169)) ('rs739837', 'Var', (287, 295)) ('rs11574027', 'Mutation', 'rs11574027', (264, 274)) ('rs2238136 ]', 'Var', (181, 192)) ('rs757343', 'Var', (171, 179)) ('rs2228570', 'Var', (92, 101)) ('rs3847987', 'Mutation', 'rs3847987', (208, 217)) ('rs9729', 'Var', (112, 118)) 21243 33633666 Rs1544410 and rs2107301 were genotyped by using improved multiplex ligation detection reaction (iMLDR) technique (Shanghai Genesky Biotechnologies Inc. China). ('rs2107301', 'Var', (14, 23)) ('Rs1544410', 'Mutation', 'Rs1544410', (0, 9)) ('Rs1544410', 'Var', (0, 9)) ('rs2107301', 'Mutation', 'rs2107301', (14, 23)) 21258 33633666 The G allele frequency in rs731236 was significantly higher in the adult non-thymoma AChRAb negative MG subgroup than that in the control group (Pbon = 0.032, OR = 2.42) and in the adult non-thymoma AChRAb positive MG group (Pbon = 0.032, OR = 2.90) (Table 2). ('thymoma', 'Phenotype', 'HP:0100522', (191, 198)) ('higher', 'PosReg', (53, 59)) ('AChRAb', 'Chemical', '-', (85, 91)) ('thymoma', 'Phenotype', 'HP:0100522', (77, 84)) ('AChRAb', 'Chemical', '-', (199, 205)) ('rs731236', 'Mutation', 'rs731236', (26, 34)) ('rs731236', 'Var', (26, 34)) 21261 33633666 The G allele frequency in rs731236 was significantly higher in the double negative group than those in the control group (Pbon = 0.016, OR = 2.65). ('rs731236', 'Mutation', 'rs731236', (26, 34)) ('rs731236', 'Var', (26, 34)) ('double', 'Var', (67, 73)) ('higher', 'PosReg', (53, 59)) 21262 33633666 There were no significant differences in allele frequency in rs731236 between the MuSK positive and the double negative group, as well as between the MuSK positive and the control group (Supplementary Table 2). ('MuSK', 'Gene', '4593', (82, 86)) ('MuSK', 'Gene', '4593', (150, 154)) ('MuSK', 'Gene', (82, 86)) ('MuSK', 'Gene', (150, 154)) ('rs731236', 'Mutation', 'rs731236', (61, 69)) ('rs731236', 'Var', (61, 69)) 21264 33633666 Block 1 was constructed by rs9729, rs3847987, rs739837, rs731236, rs7975232, rs10875692, and rs757343, and block 2 was constructed by rs11574027 and rs7136534. ('rs757343', 'Var', (93, 101)) ('rs739837', 'Var', (46, 54)) ('rs7975232', 'Mutation', 'rs7975232', (66, 75)) ('rs11574027', 'Var', (134, 144)) ('rs9729', 'Var', (27, 33)) ('rs11574027', 'Mutation', 'rs11574027', (134, 144)) ('rs3847987', 'Var', (35, 44)) ('rs7136534', 'Mutation', 'rs7136534', (149, 158)) ('rs731236', 'Var', (56, 64)) ('rs739837', 'Mutation', 'rs739837', (46, 54)) ('rs757343', 'Mutation', 'rs757343', (93, 101)) ('rs3847987', 'Mutation', 'rs3847987', (35, 44)) ('rs7136534', 'Var', (149, 158)) ('rs10875692', 'Var', (77, 87)) ('rs9729', 'Mutation', 'rs9729', (27, 33)) ('rs731236', 'Mutation', 'rs731236', (56, 64)) ('rs7975232', 'Var', (66, 75)) ('rs10875692', 'Mutation', 'rs10875692', (77, 87)) 21266 33633666 Block 1 was constructed by rs9729, rs3847987, rs739837, rs731236, rs7975232, rs10875692, rs757343, and rs1544410, and block 2 was constructed by rs11574027 and rs7136534. ('rs739837', 'Var', (46, 54)) ('rs7136534', 'Mutation', 'rs7136534', (160, 169)) ('rs11574027', 'Var', (145, 155)) ('rs7136534', 'Var', (160, 169)) ('rs3847987', 'Var', (35, 44)) ('rs1544410', 'Var', (103, 112)) ('rs10875692', 'Var', (77, 87)) ('rs757343', 'Var', (89, 97)) ('rs731236', 'Mutation', 'rs731236', (56, 64)) ('rs731236', 'Var', (56, 64)) ('rs739837', 'Mutation', 'rs739837', (46, 54)) ('rs9729', 'Mutation', 'rs9729', (27, 33)) ('rs7975232', 'Var', (66, 75)) ('rs10875692', 'Mutation', 'rs10875692', (77, 87)) ('rs757343', 'Mutation', 'rs757343', (89, 97)) ('rs7975232', 'Mutation', 'rs7975232', (66, 75)) ('rs9729', 'Var', (27, 33)) ('rs1544410', 'Mutation', 'rs1544410', (103, 112)) ('rs3847987', 'Mutation', 'rs3847987', (35, 44)) ('rs11574027', 'Mutation', 'rs11574027', (145, 155)) 21275 33633666 The rs731236 was found to be located in a CpG imposing a direct cis effect on site-specific and regional methylation. ('rs731236', 'Var', (4, 12)) ('methylation', 'MPA', (105, 116)) ('rs731236', 'Mutation', 'rs731236', (4, 12)) 21276 33633666 Children carrying the C allele for TaqI were more likely to develop asthma, and interleukin-10 levels were significantly low in asthmatics with the TC genotype for TaqI due to a decrease in expression of VDR. ('interleukin-10', 'Gene', (80, 94)) ('Children', 'Species', '9606', (0, 8)) ('asthma', 'Disease', (68, 74)) ('TaqI', 'Gene', (164, 168)) ('VDR', 'Gene', (204, 207)) ('decrease', 'NegReg', (178, 186)) ('asthma', 'Disease', (128, 134)) ('C allele', 'Var', (22, 30)) ('expression', 'MPA', (190, 200)) ('develop', 'PosReg', (60, 67)) ('VDR', 'Gene', '7421', (204, 207)) ('asthma', 'Disease', 'MESH:D001249', (128, 134)) ('asthma', 'Phenotype', 'HP:0002099', (68, 74)) ('interleukin-10', 'Gene', '3586', (80, 94)) ('low', 'NegReg', (121, 124)) ('asthma', 'Phenotype', 'HP:0002099', (128, 134)) ('asthma', 'Disease', 'MESH:D001249', (68, 74)) 21277 33633666 Therefore, it is presumed that rs731236 can affect the expression of VDR, and thus affect the expression of cytokines, thereby exerting immunomodulatory effects. ('affect', 'Reg', (83, 89)) ('VDR', 'Gene', '7421', (69, 72)) ('expression', 'MPA', (55, 65)) ('rs731236', 'Mutation', 'rs731236', (31, 39)) ('affect', 'Reg', (44, 50)) ('expression of cytokines', 'MPA', (94, 117)) ('VDR', 'Gene', (69, 72)) ('rs731236', 'Var', (31, 39)) 21278 33633666 rs731236 was also found to be associated with allergic diseases, autoimmune thyroid disease, and multiple sclerosis. ('associated', 'Reg', (30, 40)) ('autoimmune thyroid disease', 'Disease', 'MESH:D013967', (65, 91)) ('allergic diseases', 'Disease', (46, 63)) ('multiple sclerosis', 'Disease', 'MESH:D009103', (97, 115)) ('allergic diseases', 'Disease', 'MESH:D004342', (46, 63)) ('rs731236', 'Mutation', 'rs731236', (0, 8)) ('autoimmune thyroid disease', 'Disease', (65, 91)) ('thyroid disease', 'Phenotype', 'HP:0000820', (76, 91)) ('rs731236', 'Var', (0, 8)) ('multiple sclerosis', 'Disease', (97, 115)) 21284 33633666 Previous studies found that rs7975232, rs731236, and rs1544410 variants were in strong linkage disequilibrium, and we also performed haplotype analysis. ('rs7975232', 'Mutation', 'rs7975232', (28, 37)) ('rs731236', 'Var', (39, 47)) ('rs731236', 'Mutation', 'rs731236', (39, 47)) ('rs1544410', 'Var', (53, 62)) ('rs7975232', 'Var', (28, 37)) ('rs1544410', 'Mutation', 'rs1544410', (53, 62)) 21285 33633666 We found that rs9729, rs3847987, rs739837, rs731236, rs7975232, rs10875692, and rs757343 were in high linkage disequilibrium, but there were no significant differences in haplotype frequencies between MG and the control group, which suggested that these haplotypes were not significantly related to the susceptibility of MG. ('rs739837', 'Var', (33, 41)) ('rs10875692', 'Mutation', 'rs10875692', (64, 74)) ('rs757343', 'Var', (80, 88)) ('rs7975232', 'Var', (53, 62)) ('rs731236', 'Mutation', 'rs731236', (43, 51)) ('rs9729', 'Var', (14, 20)) ('rs731236', 'Var', (43, 51)) ('rs7975232', 'Mutation', 'rs7975232', (53, 62)) ('rs739837', 'Mutation', 'rs739837', (33, 41)) ('rs757343', 'Mutation', 'rs757343', (80, 88)) ('rs3847987', 'Var', (22, 31)) ('rs9729', 'Mutation', 'rs9729', (14, 20)) ('rs10875692', 'Var', (64, 74)) ('rs3847987', 'Mutation', 'rs3847987', (22, 31)) 21287 33633666 Our previous research found that VDR gene Tru9I (rs757343) polymorphism may be associated with risk of MG in females older than 15 years. ('associated', 'Reg', (79, 89)) ('polymorphism', 'Var', (59, 71)) ('rs757343', 'Mutation', 'rs757343', (49, 57)) ('VDR', 'Gene', (33, 36)) ('rs757343) polymorphism', 'Var', (49, 71)) ('VDR', 'Gene', '7421', (33, 36)) 21288 33633666 Therefore, we recruited a new cohort with a larger sample size, selected SNPs of VDR gene in a systematic strategy, and performed Logistic analysis. ('SNPs', 'Var', (73, 77)) ('VDR', 'Gene', (81, 84)) ('VDR', 'Gene', '7421', (81, 84)) 21290 33633666 Our study mainly explores the association between vitamin D receptor gene polymorphism and the susceptibility and maximal severity of MG. ('polymorphism', 'Var', (74, 86)) ('vitamin D receptor', 'Gene', '7421', (50, 68)) ('vitamin D receptor', 'Gene', (50, 68)) ('association', 'Interaction', (30, 41)) 21295 33633666 In conclusion, in the Chinese Han population, rs731236 was found to be possibly associated with adult non-thymoma AChRAb negative MG patients. ('rs731236', 'Mutation', 'rs731236', (46, 54)) ('patients', 'Species', '9606', (133, 141)) ('rs731236', 'Var', (46, 54)) ('thymoma', 'Phenotype', 'HP:0100522', (106, 113)) ('associated', 'Reg', (80, 90)) ('AChRAb', 'Chemical', '-', (114, 120)) 21347 33458585 These antibodies are either clinically silent or they cause MG, myositis, neuro-myotonia, encephalitis, autonomic neuropathy, subacute hearing loss and even encephalitis . ('cause', 'Reg', (54, 59)) ('hearing loss', 'Disease', (135, 147)) ('myositis', 'Disease', (64, 72)) ('myotonia', 'Phenotype', 'HP:0002486', (80, 88)) ('encephalitis', 'Phenotype', 'HP:0002383', (157, 169)) ('hearing loss', 'Disease', 'MESH:D034381', (135, 147)) ('encephalitis', 'Disease', 'MESH:D004660', (90, 102)) ('encephalitis', 'Disease', (90, 102)) ('antibodies', 'Var', (6, 16)) ('neuro-myotonia, encephalitis, autonomic neuropathy', 'Disease', 'MESH:D009422', (74, 124)) ('myositis', 'Phenotype', 'HP:0100614', (64, 72)) ('neuropathy', 'Phenotype', 'HP:0009830', (114, 124)) ('hearing loss', 'Phenotype', 'HP:0000365', (135, 147)) ('encephalitis', 'Disease', 'MESH:D004660', (157, 169)) ('encephalitis', 'Disease', (157, 169)) ('encephalitis', 'Phenotype', 'HP:0002383', (90, 102)) ('myositis', 'Disease', 'MESH:D009220', (64, 72)) 21402 31655916 The TNM classification was p-T1aN0M0 stage I, while it was stage II in accordance with the Masaoka staging system. ('TNM', 'Gene', (4, 7)) ('p-T1aN0M0', 'Var', (27, 36)) ('TNM', 'Gene', '10178', (4, 7)) 21411 31655916 The diagnosis was thymic LELC, classified as p-T1aN0M0 stage I in the TNM classification and stage II according to the Masaoka staging system. ('thymic LELC', 'Disease', (18, 29)) ('thymic LELC', 'Disease', 'MESH:D013945', (18, 29)) ('TNM', 'Gene', '10178', (70, 73)) ('p-T1aN0M0', 'Var', (45, 54)) ('TNM', 'Gene', (70, 73)) 21452 21785709 The presence of striational antibodies is associated with more severe disease in all MG subgroups. ('severe disease', 'Disease', (63, 77)) ('associated with', 'Reg', (42, 57)) ('presence', 'Var', (4, 12)) ('severe disease', 'Disease', 'MESH:D056729', (63, 77)) ('striational antibodies', 'Protein', (16, 38)) 21477 21785709 Generally, anti-titin antibody is detected in 20-40% of all MG patients, anti-RyR in 13-38%, and anti-Kv1.4 in 12-15%. ('detected', 'Reg', (34, 42)) ('anti-RyR', 'Var', (73, 81)) ('Kv1.4', 'Gene', (102, 107)) ('MG', 'Disease', 'MESH:D000080343', (60, 62)) ('titin', 'Gene', '7273', (16, 21)) ('Kv1.4', 'Gene', '3739', (102, 107)) ('titin', 'Gene', (16, 21)) ('patients', 'Species', '9606', (63, 71)) 21479 21785709 The disease onset age is eldest in MG patients with anti-titin antibodies and youngest in those with anti-Kv1.4 antibodies. ('Kv1.4', 'Gene', (106, 111)) ('titin', 'Gene', '7273', (57, 62)) ('MG', 'Disease', 'MESH:D000080343', (35, 37)) ('Kv1.4', 'Gene', '3739', (106, 111)) ('antibodies', 'Var', (63, 73)) ('patients', 'Species', '9606', (38, 46)) ('titin', 'Gene', (57, 62)) 21485 21785709 Since common characteristics of MG patients with anti-titin and anti-RyR antibodies have been described, the clinical picture may be common across different ethnic groups and immunogenetic backgrounds. ('MG', 'Disease', 'MESH:D000080343', (32, 34)) ('anti-RyR', 'Var', (64, 72)) ('titin', 'Gene', '7273', (54, 59)) ('patients', 'Species', '9606', (35, 43)) ('titin', 'Gene', (54, 59)) 21495 21785709 Anti-RyR antibodies cause allosteric inhibition of RyR function in vitro, inhibiting Ca2+ release from the sarcoplasmic reticulum. ('inhibiting', 'NegReg', (74, 84)) ('Ca2+', 'Chemical', 'MESH:D000069285', (85, 89)) ('Anti-RyR', 'Protein', (0, 8)) ('antibodies', 'Var', (9, 19)) ('Ca2+ release from the sarcoplasmic reticulum', 'MPA', (85, 129)) 21497 21785709 In this regard, a 27-year-old MG patient, who was positive for anti-RyR antibody, but not anti-AChR, was proven to be impaired E-C coupling. ('impaired', 'NegReg', (118, 126)) ('MG', 'Disease', 'MESH:D000080343', (30, 32)) ('patient', 'Species', '9606', (33, 40)) ('anti-RyR antibody', 'Var', (63, 80)) ('E-C', 'CPA', (127, 130)) 21500 21785709 Autoantibodies to neuronal VGKC are known to be associated with acquired neuromyotonia, Morvan's syndrome, and autoimmune nonparaneoplastic limbic encephalitis. ("Morvan's syndrome", 'Disease', 'MESH:D013595', (88, 105)) ('neuromyotonia', 'Disease', 'MESH:D020386', (73, 86)) ('associated', 'Reg', (48, 58)) ('encephalitis', 'Phenotype', 'HP:0002383', (147, 159)) ("Morvan's syndrome", 'Disease', (88, 105)) ('VGKC', 'Gene', (27, 31)) ('nonparaneoplastic limbic encephalitis', 'Phenotype', 'HP:0007030', (122, 159)) ('autoimmune nonparaneoplastic limbic encephalitis', 'Disease', (111, 159)) ('VGKC', 'Gene', '3752', (27, 31)) ('autoimmune nonparaneoplastic limbic encephalitis', 'Disease', 'MESH:C531729', (111, 159)) ('Autoantibodies', 'Var', (0, 14)) ('neuromyotonia', 'Disease', (73, 86)) 21516 21785709 In addition, the autoantibodies for C-terminal regions in RyR1 are frequently detected in T-MG and may contribute to muscle dysfunction via the impairment of Ca2+ release. ('muscle dysfunction', 'Disease', 'MESH:D018908', (117, 135)) ('MG', 'Disease', 'MESH:D000080343', (92, 94)) ('Ca2+', 'Chemical', 'MESH:D000069285', (158, 162)) ('RyR1', 'Gene', (58, 62)) ('Ca2+ release', 'MPA', (158, 170)) ('impairment', 'MPA', (144, 154)) ('RyR1', 'Gene', '6261', (58, 62)) ('detected', 'Reg', (78, 86)) ('contribute to', 'Reg', (103, 116)) ('muscle dysfunction', 'Disease', (117, 135)) ('autoantibodies', 'Var', (17, 31)) 21521 21785709 When the disease severity is compared between different striational antibodies, MG patients with anti-Kv1.4 antibodies show more severe symptoms than those with anti-titin antibodies. ('titin', 'Gene', '7273', (166, 171)) ('Kv1.4', 'Gene', (102, 107)) ('titin', 'Gene', (166, 171)) ('Kv1.4', 'Gene', '3739', (102, 107)) ('MG', 'Disease', 'MESH:D000080343', (80, 82)) ('antibodies', 'Var', (108, 118)) ('patients', 'Species', '9606', (83, 91)) 21522 21785709 Similarly, it is also reported that MG patients with anti-RyR antibodies have more severe manifestations than those with anti-titin antibodies. ('titin', 'Gene', (126, 131)) ('patients', 'Species', '9606', (39, 47)) ('titin', 'Gene', '7273', (126, 131)) ('anti-RyR antibodies', 'Var', (53, 72)) ('MG', 'Disease', 'MESH:D000080343', (36, 38)) 21524 21785709 In addition, patients with anti-RyR antibodies have high rates of bulbar, respiratory, and neck involvement at MG onset. ('antibodies', 'Var', (36, 46)) ('bulbar', 'Disease', (66, 72)) ('patients', 'Species', '9606', (13, 21)) ('anti-RyR', 'Protein', (27, 35)) ('MG', 'Disease', 'MESH:D000080343', (111, 113)) ('respiratory', 'Disease', (74, 85)) 21539 21785709 We also confirmed that some MG patients with anti-Kv1.4 antibodies had a risk for lethal arrhythmias including ventricular tachycardia, sick sinus syndrome, and complete atrial ventricular block (Figure 1). ('ventricular tachycardia', 'Disease', (111, 134)) ('Kv1.4', 'Gene', (50, 55)) ('sick sinus syndrome', 'Disease', 'MESH:D012804', (136, 155)) ('Kv1.4', 'Gene', '3739', (50, 55)) ('arrhythmias', 'Disease', 'MESH:D001145', (89, 100)) ('sick sinus syndrome', 'Phenotype', 'HP:0011704', (136, 155)) ('sick sinus syndrome', 'Disease', (136, 155)) ('ventricular tachycardia', 'Disease', 'MESH:D017180', (111, 134)) ('atrial ventricular block', 'Disease', 'MESH:C563984', (170, 194)) ('antibodies', 'Var', (56, 66)) ('MG', 'Disease', 'MESH:D000080343', (28, 30)) ('atrial ventricular block', 'Disease', (170, 194)) ('arrhythmias', 'Disease', (89, 100)) ('patients', 'Species', '9606', (31, 39)) ('arrhythmias', 'Phenotype', 'HP:0011675', (89, 100)) ('sinus syndrome', 'Phenotype', 'HP:0000246', (141, 155)) ('tachycardia', 'Phenotype', 'HP:0001649', (123, 134)) ('ventricular tachycardia', 'Phenotype', 'HP:0004756', (111, 134)) 21555 21785709 Although 20 years have passed since the discovery of anti-titin antibodies in MG patient, the detection of striational antibodies is not routinely tested in the clinical management by all neurologist. ('titin', 'Gene', (58, 63)) ('MG', 'Disease', 'MESH:D000080343', (78, 80)) ('patient', 'Species', '9606', (81, 88)) ('antibodies', 'Var', (64, 74)) ('titin', 'Gene', '7273', (58, 63)) 21567 32126176 Adaptive immune dysregulation plays an integral role in the development and progression of many malignancies, most notably in the setting of a high mutational burden or other immunogenic features, which are particularly common in melanoma. ('immune dysregulation', 'Phenotype', 'HP:0002958', (9, 29)) ('malignancies', 'Disease', 'MESH:D009369', (96, 108)) ('mutational', 'Var', (148, 158)) ('malignancies', 'Disease', (96, 108)) ('melanoma', 'Phenotype', 'HP:0002861', (230, 238)) ('melanoma', 'Disease', (230, 238)) ('melanoma', 'Disease', 'MESH:D008545', (230, 238)) 21591 32126176 Antibodies that block these inhibitory receptors or "immune checkpoints" bolster the anti-tumor response by promoting T-cell activation and function and increasing immune exposure to tumor specific antigens. ('immune exposure', 'MPA', (164, 179)) ('Antibodies', 'Var', (0, 10)) ('function', 'CPA', (140, 148)) ('tumor', 'Disease', 'MESH:D009369', (183, 188)) ('promoting', 'PosReg', (108, 117)) ('tumor', 'Phenotype', 'HP:0002664', (90, 95)) ('tumor', 'Disease', (90, 95)) ('T-cell activation', 'CPA', (118, 135)) ('bolster', 'PosReg', (73, 80)) ('tumor', 'Phenotype', 'HP:0002664', (183, 188)) ('tumor', 'Disease', (183, 188)) ('tumor', 'Disease', 'MESH:D009369', (90, 95)) ('increasing', 'PosReg', (153, 163)) 21596 32126176 While iRAEs have been reported in up to 90% of patients treated with anti-CTLA4 agents and 70% of those treated with anti-PD1/PDL1, grade 3 or 4 toxicities occur in an estimated 27% and 16% respectively. ('PDL1', 'Gene', '29126', (126, 130)) ('toxicities', 'Disease', (145, 155)) ('anti-CTLA4', 'Var', (69, 79)) ('PDL1', 'Gene', (126, 130)) ('patients', 'Species', '9606', (47, 55)) ('iRAEs', 'Disease', (6, 11)) ('toxicities', 'Disease', 'MESH:D064420', (145, 155)) 21628 32126176 The GRIN2A gene, which encodes for a subunit of the NMDA receptor is frequently expressed and mutated in melanoma and could represent a shared antigen involved in paraneoplastic autoimmune encephalitis. ('mutated', 'Var', (94, 101)) ('melanoma', 'Phenotype', 'HP:0002861', (105, 113)) ('melanoma', 'Disease', (105, 113)) ('melanoma', 'Disease', 'MESH:D008545', (105, 113)) ('NMDA', 'Chemical', 'MESH:D016202', (52, 56)) ('paraneoplastic autoimmune encephalitis', 'Disease', (163, 201)) ('encephalitis', 'Phenotype', 'HP:0002383', (189, 201)) ('GRIN2A', 'Gene', (4, 10)) ('paraneoplastic autoimmune encephalitis', 'Disease', 'MESH:C535841', (163, 201)) ('GRIN2A', 'Gene', '2903', (4, 10)) 21630 32126176 Mouse models involving a neo-self-antigen expressed in both Purkinje cells and implanted tumor cells demonstrated significant cerebellar inflammation and T-cell infiltration after exposure to anti-CTLA4 antibodies. ('T-cell infiltration', 'CPA', (154, 173)) ('cerebellar inflammation', 'Disease', (126, 149)) ('cerebellar inflammation', 'Disease', 'MESH:D007249', (126, 149)) ('tumor', 'Disease', 'MESH:D009369', (89, 94)) ('antibodies', 'Var', (203, 213)) ('cerebellar inflammation', 'Phenotype', 'HP:0002383', (126, 149)) ('anti-CTLA4 antibodies', 'Var', (192, 213)) ('Mouse', 'Species', '10090', (0, 5)) ('anti-CTLA4', 'Gene', (192, 202)) ('tumor', 'Phenotype', 'HP:0002664', (89, 94)) ('tumor', 'Disease', (89, 94)) 21631 32126176 Cerebellar inflammation was present in 84% (27/32) of mice treated with anti-CTLA4 but was not found in any controls that were not exposed to anti-CTLA4 or in any non-neo-antigen expressing models that were treated with ICI. ('inflammation', 'Disease', (11, 23)) ('anti-CTLA4', 'Var', (72, 82)) ('Cerebellar inflammation', 'Phenotype', 'HP:0002383', (0, 23)) ('mice', 'Species', '10090', (54, 58)) ('inflammation', 'Disease', 'MESH:D007249', (11, 23)) 21647 32126176 Some authors have postulated that disruption of the blood brain barrier in patients with CNS metastases who undergo stereotactic radiosurgery (SRS) may increase the risk for immune-related CNS complications. ('SRS', 'Disease', 'MESH:C536678', (143, 146)) ('metastases', 'Disease', (93, 103)) ('SRS', 'Disease', (143, 146)) ('immune-related CNS', 'Disease', (174, 192)) ('patients', 'Species', '9606', (75, 83)) ('disruption', 'Var', (34, 44)) ('metastases', 'Disease', 'MESH:D009362', (93, 103)) ('CNS', 'Disease', (89, 92)) 21654 32126176 Rituximab can be considered in patients with features typical for autoimmune encephalitis, such as positive CSF autoantibody testing, new onset seizures, or characteristic T2 hyperintensities of the medial temporal lobes or in those with no improvement despite 1-2 weeks of appropriate therapy. ('seizures', 'Disease', 'MESH:D012640', (144, 152)) ('Rituximab', 'Chemical', 'MESH:D000069283', (0, 9)) ('encephalitis', 'Phenotype', 'HP:0002383', (77, 89)) ('T2 hyperintensities', 'Var', (172, 191)) ('seizures', 'Disease', (144, 152)) ('seizures', 'Phenotype', 'HP:0001250', (144, 152)) ('patients', 'Species', '9606', (31, 39)) ('autoimmune encephalitis', 'Disease', 'MESH:C535841', (66, 89)) ('autoimmune encephalitis', 'Disease', (66, 89)) 21679 32126176 While some cases involve exacerbation of known myasthenia, most represent a de novo syndrome.. Antibodies to the acetylcholine receptor are identified in ~85% of patients with generalized myasthenia gravis yet are more frequently negative in patients with ICI-associated MG. ('patients', 'Species', '9606', (162, 170)) ('myasthenia', 'Disease', 'MESH:D020294', (188, 198)) ('myasthenia', 'Phenotype', 'HP:0003473', (47, 57)) ('myasthenia', 'Disease', (47, 57)) ('myasthenia', 'Disease', (188, 198)) ('myasthenia', 'Phenotype', 'HP:0003473', (188, 198)) ('MG', 'Chemical', 'MESH:D008274', (271, 273)) ('myasthenia gravis', 'Disease', (188, 205)) ('Antibodies', 'Var', (95, 105)) ('myasthenia', 'Disease', 'MESH:D020294', (47, 57)) ('identified', 'Reg', (140, 150)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (188, 205)) ('acetylcholine', 'Chemical', 'MESH:D000109', (113, 126)) ('patients', 'Species', '9606', (242, 250)) 21746 32126176 Like non-ICI associated GBS, most cases can be categorized as an acute inflammatory demyelinating polyneuropathy (AIDP) although rare variants, including Miller-Fisher syndrome, have also been reported in association with ICI. ('ICI', 'Disease', (222, 225)) ('variants', 'Var', (134, 142)) ('Miller-Fisher syndrome', 'Disease', (154, 176)) ('polyneuropathy', 'Phenotype', 'HP:0001271', (98, 112)) ('neuropathy', 'Phenotype', 'HP:0009830', (102, 112)) ('association', 'Reg', (205, 216)) ('AIDP', 'Phenotype', 'HP:0007131', (114, 118)) ('inflammatory demyelinating polyneuropathy', 'Disease', 'MESH:D020275', (71, 112)) ('acute inflammatory demyelinating polyneuropathy', 'Phenotype', 'HP:0007131', (65, 112)) ('inflammatory demyelinating polyneuropathy', 'Disease', (71, 112)) 21758 32126176 BRAF inhibitors have many known immunomodulatory effects in metastatic melanoma and could theoretically potentiate an anti-tumor response that also aberrantly targets neural tissue. ('tumor', 'Disease', (123, 128)) ('inhibitors', 'Var', (5, 15)) ('melanoma', 'Phenotype', 'HP:0002861', (71, 79)) ('melanoma', 'Disease', (71, 79)) ('BRAF', 'Gene', '673', (0, 4)) ('melanoma', 'Disease', 'MESH:D008545', (71, 79)) ('potentiate', 'PosReg', (104, 114)) ('tumor', 'Disease', 'MESH:D009369', (123, 128)) ('BRAF', 'Gene', (0, 4)) ('tumor', 'Phenotype', 'HP:0002664', (123, 128)) 21783 32126176 One can speculate that a viral infection or reactivation would produce CNS inflammation, which would be countered by expression of PD-L1 on the inflamed cells. ('viral infection', 'Disease', 'MESH:D001102', (25, 40)) ('produce', 'Reg', (63, 70)) ('PD-L1', 'Gene', '29126', (131, 136)) ('reactivation', 'Var', (44, 56)) ('viral infection', 'Disease', (25, 40)) ('inflammation', 'Disease', 'MESH:D007249', (75, 87)) ('inflammation', 'Disease', (75, 87)) ('PD-L1', 'Gene', (131, 136)) 21784 32126176 Blockade of PD-1 or PD-L1 however, would allow inflammation to persist unchecked, further worsening the clinical presentation. ('Blockade', 'Var', (0, 8)) ('worsening', 'PosReg', (90, 99)) ('PD-L1', 'Gene', '29126', (20, 25)) ('PD-L1', 'Gene', (20, 25)) ('clinical', 'MPA', (104, 112)) ('inflammation', 'Disease', (47, 59)) ('inflammation', 'Disease', 'MESH:D007249', (47, 59)) ('PD-1', 'Gene', (12, 16)) 21892 30454002 Many studies demonstrated that high NLR value is predictive of reduced overall survival (OS), cancer-related survival, DFS, progression-free survival, and enhanced resistance to therapies in a multitude of solid neoplasms. ('NLR', 'MPA', (36, 39)) ('reduced', 'NegReg', (63, 70)) ('progression-free survival', 'CPA', (124, 149)) ('resistance to therapies', 'CPA', (164, 187)) ('solid neoplasms', 'Disease', (206, 221)) ('solid neoplasms', 'Disease', 'MESH:D018250', (206, 221)) ('neoplasms', 'Phenotype', 'HP:0002664', (212, 221)) ('enhanced', 'PosReg', (155, 163)) ('cancer', 'Phenotype', 'HP:0002664', (94, 100)) ('overall survival', 'CPA', (71, 87)) ('OS', 'Chemical', '-', (89, 91)) ('high', 'Var', (31, 35)) ('DFS', 'CPA', (119, 122)) ('cancer', 'Disease', (94, 100)) ('cancer', 'Disease', 'MESH:D009369', (94, 100)) 21920 30454002 The proportion of patients older than the median age (61 years) was significantly higher (p = 0.021) in the high-NLR-Group (69%) than in the low-NLR-Group (40%). ('high-NLR-Group', 'Var', (108, 122)) ('higher', 'PosReg', (82, 88)) ('patients', 'Species', '9606', (18, 26)) 21929 30454002 However, following stratification of the patients according to TNM stage, DFS rates for patients in the low-NLR-Group were significantly higher (p = 0.043) than those in the high-NLR-Group both in I-II stages (Fig. ('low-NLR-Group', 'Var', (104, 117)) ('DFS', 'MPA', (74, 77)) ('TNM', 'Gene', '10178', (63, 66)) ('patients', 'Species', '9606', (88, 96)) ('higher', 'PosReg', (137, 143)) ('patients', 'Species', '9606', (41, 49)) ('TNM', 'Gene', (63, 66)) 21944 30454002 Patients with NLR >=1.96 had significantly shorter OS, recurrence-free survival, disease-specific survival, disease-related survival, and showed higher cumulative incidence of recurrence. ('disease-related', 'CPA', (108, 123)) ('NLR >=1.96', 'Var', (14, 24)) ('OS', 'Chemical', '-', (51, 53)) ('disease-specific survival', 'CPA', (81, 106)) ('Patients', 'Species', '9606', (0, 8)) ('recurrence-free survival', 'CPA', (55, 79)) ('higher', 'PosReg', (145, 151)) ('shorter', 'NegReg', (43, 50)) 22203 22590574 The muscle fatigability is mediated by pathogenic autoantibodies against the muscle acetylcholine receptors (AChR-abs) detectable in the majority of patients (80-85%). ('muscle fatigability', 'Phenotype', 'HP:0003750', (4, 23)) ('patients', 'Species', '9606', (149, 157)) ('muscle fatigability', 'CPA', (4, 23)) ('autoantibodies', 'Var', (50, 64)) ('acetylcholine', 'Chemical', 'MESH:D000109', (84, 97)) 22204 22590574 Among the remaining patients without AChR-abs, 10-50% have antibodies to the muscle specific kinase (MuSK). ('muscle specific kinase', 'Gene', '4593', (77, 99)) ('muscle specific kinase', 'Gene', (77, 99)) ('antibodies', 'Var', (59, 69)) ('patients', 'Species', '9606', (20, 28)) ('MuSK', 'Gene', '4593', (101, 105)) ('MuSK', 'Gene', (101, 105)) 22257 22590574 Haplotype analysis of the DRB1*15:01 versus other HLA-B alleles showed the strongest LD with B*07 (D' = 0.5, r2 = 0.2). ('B*07', 'Var', (93, 97)) ('DRB1', 'Gene', '3123', (26, 30)) ('HLA-B', 'Gene', (50, 55)) ('DRB1', 'Gene', (26, 30)) ('HLA-B', 'Gene', '3106', (50, 55)) 22263 22590574 Novel negative associations were seen with HLA-A*02 (pnc = 4.6x10-4, pc = 3.7x10-3), C*05 (pnc = 4.6x10-3, pc = 0.06) and DRB1*13:01(pnc = 3.1x10-3, pc = 0.1), however, only A*02 was significant associated after correction. ('HLA-A', 'Gene', (43, 48)) ('negative', 'NegReg', (6, 14)) ('C*05', 'Var', (85, 89)) ('DRB1', 'Gene', '3123', (122, 126)) ('DRB1', 'Gene', (122, 126)) ('HLA-A', 'Gene', '3105', (43, 48)) 22315 21860784 Thymomas lacking this ability do not induce MG. Thymomas with histological similarities to medullary thymic tissue or thymomas lacking developing T cells are seldom associated with MG. Other thymoma characteristics that can cause reduced self-tolerance include defective epithelial expression of the autoimmune regulator (AIRE) gene and/or of major histocompatibility complex class II molecules, absence of myoid cells, failure to generate FOXP3(+) regulatory T cells, and genetic polymorphisms affecting T-cell signalling. ('Thymomas', 'Disease', 'MESH:D013945', (0, 8)) ('Thymoma', 'Phenotype', 'HP:0100522', (0, 7)) ('Thymomas', 'Disease', 'MESH:D013945', (48, 56)) ('thymomas', 'Disease', (118, 126)) ('Thymoma', 'Phenotype', 'HP:0100522', (48, 55)) ('defective', 'Var', (261, 270)) ('thymoma', 'Disease', 'MESH:D013945', (191, 198)) ('FOXP3', 'Gene', (440, 445)) ('rat', 'Species', '10116', (435, 438)) ('Thymomas', 'Disease', (0, 8)) ('Thymomas', 'Disease', (48, 56)) ('T-cell signalling', 'MPA', (505, 522)) ('thymoma', 'Disease', 'MESH:D013945', (118, 125)) ('thymoma', 'Disease', (191, 198)) ('reduced', 'NegReg', (230, 237)) ('thymoma', 'Phenotype', 'HP:0100522', (191, 198)) ('autoimmune regulator', 'Gene', (300, 320)) ('autoimmune regulator', 'Gene', '326', (300, 320)) ('FOXP3', 'Gene', '50943', (440, 445)) ('thymoma', 'Disease', (118, 125)) ('thymoma', 'Phenotype', 'HP:0100522', (118, 125)) ('AIRE', 'Gene', (322, 326)) ('AIRE', 'Gene', '326', (322, 326)) ('thymomas', 'Disease', 'MESH:D013945', (118, 126)) ('self-tolerance', 'CPA', (238, 252)) 22333 21860784 There is also a rat model with thymoma and MG with RyR antibodies but no AChR antibodies, indicating that RyR antibodies may cause MG symptoms irrespective of AChR antibodies. ('rat', 'Species', '10116', (16, 19)) ('AChR', 'Gene', (73, 77)) ('thymoma', 'Disease', 'MESH:D013945', (31, 38)) ('thymoma', 'Phenotype', 'HP:0100522', (31, 38)) ('cause', 'Reg', (125, 130)) ('thymoma', 'Disease', (31, 38)) ('AChR', 'Gene', (159, 163)) ('AChR', 'Gene', '170945', (73, 77)) ('MG symptoms', 'Disease', (131, 142)) ('AChR', 'Gene', '170945', (159, 163)) ('RyR antibodies', 'Var', (106, 120)) 22335 21860784 Neck weakness at MG onset is a distinctive feature of patients with RyR antibodies, while respiratory symptoms are also found in patients with titin antibodies with and without RyR antibodies. ('Neck weakness', 'Disease', (0, 13)) ('respiratory symptoms', 'Phenotype', 'HP:0011947', (90, 110)) ('titin', 'Gene', (143, 148)) ('patients', 'Species', '9606', (54, 62)) ('rat', 'Species', '10116', (95, 98)) ('patients', 'Species', '9606', (129, 137)) ('Neck weakness', 'Disease', 'MESH:D018908', (0, 13)) ('Neck weakness', 'Phenotype', 'HP:0000467', (0, 13)) ('titin', 'Gene', '7273', (143, 148)) ('RyR antibodies', 'Var', (68, 82)) 22346 21860784 The presence of titin and RyR antibodies is associated with more severe disease in thymoma MG and in late-onset MG. ('late-onset MG', 'Disease', (101, 114)) ('RyR antibodies', 'Protein', (26, 40)) ('titin', 'Gene', '7273', (16, 21)) ('thymoma MG', 'Disease', (83, 93)) ('thymoma MG', 'Disease', 'MESH:D013945', (83, 93)) ('titin', 'Gene', (16, 21)) ('presence', 'Var', (4, 12)) ('thymoma', 'Phenotype', 'HP:0100522', (83, 90)) ('associated with', 'Reg', (44, 59)) 22371 21860784 Tacrolimus, which is an immunosuppressant and enhancer of RyR-related sarcoplasmic calcium release, may be especially beneficial in MG patients with RyR antibodies that in theory might block the RyR interfering with its function. ('patients', 'Species', '9606', (135, 143)) ('Tacrolimus', 'Chemical', 'MESH:D016559', (0, 10)) ('RyR', 'Gene', (149, 152)) ('RyR', 'MPA', (195, 198)) ('antibodies', 'Var', (153, 163)) ('block', 'NegReg', (185, 190)) ('calcium', 'Chemical', 'MESH:D002118', (83, 90)) 22511 25648096 Immunoreactivity to CD5 is a distinctive feature of CASTLE, with 82% and 100% sensitivity and specificity, respectively. ('CD5', 'Gene', (20, 23)) ('Immunoreactivity', 'Var', (0, 16)) ('CASTLE', 'Disease', (52, 58)) ('CD5', 'Gene', '921', (20, 23)) 22566 26273358 Thy0517 are polygonal adherent cell lines, complying with tumor cell morphology and with apparent nuclear membrane and nucleolus by microscopic observation (Fig 1e), excluding contact-inhibition. ('tumor', 'Phenotype', 'HP:0002664', (58, 63)) ('tumor', 'Disease', (58, 63)) ('Thy0517', 'Var', (0, 7)) ('tumor', 'Disease', 'MESH:D009369', (58, 63)) 22575 26273358 As shown by immunohistochemistry and immunocytochemistry, the cell lines, human thymoma, and nude mice tumors were positive for expressions of cytokeratin CK7, CK8/18, CK19, CK-pan, CD24, BCL-2, P63, Vimentin, epithelial membrane antigen (EMA), and COX2 (Fig 3a-j). ('CK19', 'Gene', (168, 172)) ('tumor', 'Phenotype', 'HP:0002664', (103, 108)) ('tumors', 'Disease', (103, 109)) ('P63', 'Gene', (195, 198)) ('COX2', 'Gene', '17709', (249, 253)) ('CD24', 'Gene', (182, 186)) ('CK-pan', 'Gene', (174, 180)) ('tumors', 'Disease', 'MESH:D009369', (103, 109)) ('nude mice', 'Species', '10090', (93, 102)) ('COX2', 'Gene', (249, 253)) ('Vimentin', 'Protein', (200, 208)) ('thymoma', 'Phenotype', 'HP:0100522', (80, 87)) ('tumors', 'Phenotype', 'HP:0002664', (103, 109)) ('thymoma', 'Gene', '7063', (80, 87)) ('BCL-2', 'Gene', (188, 193)) ('epithelial membrane antigen (EMA),', 'Gene', '107924', (210, 244)) ('cytokeratin CK7', 'Protein', (143, 158)) ('CK8/18', 'Var', (160, 166)) ('thymoma', 'Gene', (80, 87)) ('human', 'Species', '9606', (74, 79)) 22589 26273358 In 1992, a cell line named Ty-82 from a 22-year-old female with undifferentiated thymic carcinoma and t(15;19)(q12;p13) chromosome translocation was established. ('carcinoma', 'Phenotype', 'HP:0030731', (88, 97)) ('undifferentiated thymic carcinoma', 'Disease', 'MESH:D002277', (64, 97)) ('undifferentiated thymic carcinoma', 'Disease', (64, 97)) ('Ty-82', 'Chemical', '-', (27, 32)) ('t(15;19)(q12;p13', 'Var', (102, 118)) ('t(15;19)(q12;p13)', 'STRUCTURAL_ABNORMALITY', 'None', (102, 119)) 22600 26273358 The doubling time of Thy0517 (37 hours) is greater than thymoma cell line IU-TAB-1 (48 hours), but lower than thymic carcinoma cell line ThyL-6 (26.3 hours). ('Thy0517', 'Var', (21, 28)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (110, 126)) ('carcinoma', 'Phenotype', 'HP:0030731', (117, 126)) ('lower', 'NegReg', (99, 104)) ('thymoma', 'Gene', '7063', (56, 63)) ('thymoma', 'Gene', (56, 63)) ('doubling', 'MPA', (4, 12)) ('thymic carcinoma', 'Disease', (110, 126)) ('thymoma', 'Phenotype', 'HP:0100522', (56, 63)) 22602 26273358 The IU-TAB-1 cell line exhibits epithelial markers (pan-cytokeratin), CD29, CD9, CD58, CD24, P63, and epithelial cell adhesion molecule (EpCAM) without showing C-Kit (CD117) and EGFR markers. ('epithelial cell adhesion molecule', 'Gene', (102, 135)) ('CD58', 'Gene', '965', (81, 85)) ('EpCAM', 'Gene', '4072', (137, 142)) ('CD58', 'Gene', (81, 85)) ('epithelial cell adhesion molecule', 'Gene', '4072', (102, 135)) ('C-Kit', 'Gene', (160, 165)) ('CD9', 'Gene', '928', (76, 79)) ('CD24', 'Var', (87, 91)) ('C-Kit', 'Gene', '3815', (160, 165)) ('CD29', 'Gene', '3688', (70, 74)) ('P63', 'Var', (93, 96)) ('CD117', 'Gene', (167, 172)) ('CD117', 'Gene', '3815', (167, 172)) ('CD9', 'Gene', (76, 79)) ('EpCAM', 'Gene', (137, 142)) ('CD29', 'Gene', (70, 74)) 22603 26273358 In contrast, Thy0517 cell line expresses p63, EGFR, BCL-2, Vimentin, and several epithelial markers including pan-cytokeratin, CK7, CK8/18, CK19, EMA, but no expression of lymphocyte antigen CD99 and TdT. ('p63', 'Gene', (41, 44)) ('CD99', 'Gene', '4267', (191, 195)) ('CK8/18', 'Var', (132, 138)) ('CK19', 'Var', (140, 144)) ('TdT', 'Gene', (200, 203)) ('BCL-2', 'Gene', (52, 57)) ('CK7', 'Var', (127, 130)) ('EGFR', 'Gene', (46, 50)) ('p63', 'Gene', '8626', (41, 44)) ('TdT', 'Gene', '1791', (200, 203)) ('EMA', 'CPA', (146, 149)) ('CD99', 'Gene', (191, 195)) 22605 26273358 However, the cell line expresses CD24 scattered, which has been considered as a kind of cancer stem cell marker in malignant mesothelioma, colon, ovarian, gastric and hepatic cancers. ('cancer', 'Disease', (88, 94)) ('malignant mesothelioma', 'Disease', (115, 137)) ('cancer', 'Disease', 'MESH:D009369', (88, 94)) ('gastric and hepatic cancers', 'Disease', 'MESH:D013274', (155, 182)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (115, 137)) ('cancer', 'Disease', (175, 181)) ('cancer', 'Disease', 'MESH:D009369', (175, 181)) ('colon', 'Disease', 'MESH:D015179', (139, 144)) ('ovarian', 'Disease', (146, 153)) ('cancers', 'Phenotype', 'HP:0002664', (175, 182)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (115, 137)) ('cancer', 'Phenotype', 'HP:0002664', (88, 94)) ('colon', 'Disease', (139, 144)) ('cancer', 'Phenotype', 'HP:0002664', (175, 181)) ('CD24', 'Var', (33, 37)) 22612 32218504 Among the six WHO subtypes (Type A, AB, B1, B2, and B3 thymoma and thymic carcinoma), the mean CEmax values and most of the perfusion and spectral parameter values of Type A and Type AB were significantly higher than those of the other subtypes (all P < 0.05), and there was no difference among Type B1, B2 and B3 (all P > 0.05). ('Type A', 'Var', (167, 173)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013945', (55, 83)) ('higher', 'PosReg', (205, 211)) ('CEmax values', 'MPA', (95, 107)) ('carcinoma', 'Phenotype', 'HP:0030731', (74, 83)) ('B1, B2 and B3', 'Gene', '28905;28907;680', (300, 313)) ('B1, B2, and B3', 'Gene', '28905;3383;680', (40, 54)) ('thymoma', 'Phenotype', 'HP:0100522', (55, 62)) 22635 32218504 According to the histological and immunohistochemical results, with regard to WHO pathological subtypes, there were 9 (10.2%) Type A, 8 (9.1%) Type AB, 13 (14.8%) Type B1, 16 (18.2%) Type B2, 11 (12.5%) Type B3, and 31 (35.2%) TC patients (Table 1). ('patients', 'Species', '9606', (230, 238)) ('Type B1', 'Var', (163, 170)) ('Type B2', 'Var', (183, 190)) ('Type AB', 'Var', (143, 150)) 22670 32218504 The specificity of NICv values in differentiating HRT* from TC was 100% and was higher than that (88.0%) of ICv. ('NICv values', 'Var', (19, 30)) ('HRT*', 'Disease', (50, 54)) ('ICv', 'Chemical', '-', (108, 111)) ('ICv', 'Chemical', '-', (20, 23)) 22706 32218504 Normalized iodine concentrations (NICs) and lambdaHU were calculated separately using the following formula: NIC = ICtumour/ICThoracic aorta or aortic arch; lambdaHU = (CT40keV-CT80keV)/40. ('CT40keV-CT80keV)/40', 'Var', (169, 188)) ('iodine', 'Chemical', 'MESH:D007455', (11, 17)) ('tumour', 'Phenotype', 'HP:0002664', (117, 123)) ('tumour', 'Disease', 'MESH:D009369', (117, 123)) ('tumour', 'Disease', (117, 123)) 22746 31616725 The thymus plays an important role in the growth and differentiation of T lymphocytes and its disorder can cause a spectrum of autoimmune diseases due to disturbance in cell-mediated immunity including synthesis of anti-AChR leading to MG. ('disturbance', 'Reg', (154, 165)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (127, 146)) ('MG', 'Disease', 'MESH:D009157', (236, 238)) ('autoimmune diseases', 'Disease', (127, 146)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (127, 146)) ('anti-AChR', 'Protein', (215, 224)) ('cause', 'Reg', (107, 112)) ('spectrum', 'Disease', (115, 123)) ('disorder', 'Var', (94, 102)) 22764 30339550 Low-risk (type A, AB, and B1) thymomas or early-stage (stages I and II) thymic epithelial tumors (TETs) are usually treated with surgery, and high-risk (type B2 and B3) thymomas or advanced stage (stages III and IV) TETs frequently require a multimodality approach, whereas lymphomas are managed with chemotherapy. ('thymoma', 'Phenotype', 'HP:0100522', (169, 176)) ('thymomas', 'Disease', 'MESH:D013945', (169, 177)) ('lymphomas', 'Phenotype', 'HP:0002665', (274, 283)) ('lymphoma', 'Phenotype', 'HP:0002665', (274, 282)) ('thymoma', 'Phenotype', 'HP:0100522', (30, 37)) ('tumor', 'Phenotype', 'HP:0002664', (90, 95)) ('type B2', 'Var', (153, 160)) ('epithelial tumors', 'Disease', (79, 96)) ('lymphomas', 'Disease', 'MESH:D008223', (274, 283)) ('thymomas', 'Disease', 'MESH:D013945', (30, 38)) ('tumors', 'Phenotype', 'HP:0002664', (90, 96)) ('thymomas', 'Disease', (169, 177)) ('lymphomas', 'Disease', (274, 283)) ('epithelial tumors', 'Disease', 'MESH:D002277', (79, 96)) ('thymomas', 'Disease', (30, 38)) 22895 29318185 It has been reported that MG patients with corticosteroids treatment had a 1.46-fold increased risk of developing diabetes mellitus as compared with non-MG cohort; while those without corticosteroids had no increase risk of DM. ('patients', 'Species', '9606', (29, 37)) ('diabetes mellitus', 'Phenotype', 'HP:0000819', (114, 131)) ('corticosteroids', 'Var', (43, 58)) ('diabetes mellitus', 'Disease', (114, 131)) ('DM', 'Disease', 'MESH:D009223', (224, 226)) ('diabetes mellitus', 'Disease', 'MESH:D003920', (114, 131)) ('steroids', 'Chemical', 'MESH:D013256', (191, 199)) ('steroids', 'Chemical', 'MESH:D013256', (50, 58)) 22926 28216655 These data strongly suggest that the aberrant expression of PIT-1 in the thymoma plays a causal role in the development of this syndrome. ('PIT-1', 'Gene', (60, 65)) ('thymoma', 'Phenotype', 'HP:0100522', (73, 80)) ('causal', 'Reg', (89, 95)) ('aberrant expression', 'Var', (37, 56)) ('PIT-1', 'Gene', '5449', (60, 65)) ('thymoma', 'Disease', 'MESH:D013945', (73, 80)) ('thymoma', 'Disease', (73, 80)) 22932 28216655 It also regulates the expression of growth hormone (GH), prolactin (PRL), and thyroid-stimulating hormone (TSH) and mutations in PIT-1 gene cause congenital GH, PRL, and TSH deficiencies. ('PRL', 'Gene', (68, 71)) ('prolactin', 'Gene', '5617', (57, 66)) ('growth hormone', 'Gene', (36, 50)) ('prolactin', 'Gene', (57, 66)) ('PIT-1', 'Gene', '5449', (129, 134)) ('cause', 'Reg', (140, 145)) ('PRL', 'Gene', (161, 164)) ('growth hormone', 'Gene', '2688', (36, 50)) ('PRL', 'Gene', '5617', (68, 71)) ('PRL', 'Gene', '5617', (161, 164)) ('GH', 'Gene', '2688', (157, 159)) ('mutations', 'Var', (116, 125)) ('GH', 'Gene', '2688', (52, 54)) ('TSH deficiencies', 'Disease', (170, 186)) ('TSH deficiencies', 'Disease', 'MESH:D007037', (170, 186)) ('PIT-1', 'Gene', (129, 134)) 22941 28216655 Although the precise mechanisms remain unknown, it has been suggested that the aberrant expression of the antigen, acetylcholine receptor (AChR) in the tumor cells and a defect in the negative selection in thymoma may play a role in the development of autoimmunity. ('tumor', 'Disease', 'MESH:D009369', (152, 157)) ('tumor', 'Phenotype', 'HP:0002664', (152, 157)) ('role', 'Reg', (225, 229)) ('aberrant', 'Var', (79, 87)) ('play', 'Reg', (218, 222)) ('thymoma', 'Disease', 'MESH:D013945', (206, 213)) ('autoimmunity', 'Phenotype', 'HP:0002960', (252, 264)) ('tumor', 'Disease', (152, 157)) ('autoimmunity', 'Disease', (252, 264)) ('defect', 'NegReg', (170, 176)) ('thymoma', 'Disease', (206, 213)) ('AChR', 'Gene', (139, 143)) ('negative selection', 'CPA', (184, 202)) ('thymoma', 'Phenotype', 'HP:0100522', (206, 213)) ('expression', 'MPA', (88, 98)) ('autoimmunity', 'Disease', 'MESH:D001327', (252, 264)) 22961 28216655 Since it has been reported that the aberrant expression of AChR is associated with autoimmunity to AChR in MG, we analyzed the expression of PIT-1 protein in the thymoma tissue. ('autoimmunity', 'Phenotype', 'HP:0002960', (83, 95)) ('autoimmunity', 'Disease', 'MESH:D001327', (83, 95)) ('AChR', 'Gene', (59, 63)) ('expression', 'MPA', (45, 55)) ('associated', 'Reg', (67, 77)) ('PIT-1', 'Gene', (141, 146)) ('aberrant', 'Var', (36, 44)) ('thymoma', 'Disease', 'MESH:D013945', (162, 169)) ('thymoma', 'Disease', (162, 169)) ('PIT-1', 'Gene', '5449', (141, 146)) ('autoimmunity', 'Disease', (83, 95)) ('thymoma', 'Phenotype', 'HP:0100522', (162, 169)) 22966 28216655 Furthermore, immunohistochemical analysis showed an aberrant expression of PIT-1 in the neoplastic cortical thymic epithelial cells in patient 1 (Fig. ('patient', 'Species', '9606', (135, 142)) ('PIT-1', 'Gene', '5449', (75, 80)) ('aberrant', 'Var', (52, 60)) ('PIT-1', 'Gene', (75, 80)) ('expression', 'MPA', (61, 71)) 22974 28216655 These data strongly suggest that thymoma that aberrantly expressed PIT-1 plays an essential role in the development of this disease. ('thymoma', 'Disease', (33, 40)) ('aberrantly expressed', 'Var', (46, 66)) ('thymoma', 'Phenotype', 'HP:0100522', (33, 40)) ('PIT-1', 'Gene', '5449', (67, 72)) ('thymoma', 'Disease', 'MESH:D013945', (33, 40)) ('PIT-1', 'Gene', (67, 72)) 22978 28216655 In anti-PIT-1 antibody syndrome, it is speculated that the aberrant expression of PIT-1 evoked positive selection for PIT-1-reactive T cells and the defect in negative selection in thymoma tissue induced breakdown in immune tolerance for PIT-1. ('PIT-1', 'Gene', (82, 87)) ('antibody syndrome', 'Disease', 'MESH:D007153', (14, 31)) ('PIT-1', 'Gene', '5449', (8, 13)) ('aberrant', 'Var', (59, 67)) ('PIT-1', 'Gene', (118, 123)) ('PIT-1', 'Gene', '5449', (118, 123)) ('thymoma', 'Disease', 'MESH:D013945', (181, 188)) ('PIT-1', 'Gene', '5449', (238, 243)) ('PIT-1', 'Gene', '5449', (82, 87)) ('thymoma', 'Disease', (181, 188)) ('antibody syndrome', 'Disease', (14, 31)) ('thymoma', 'Phenotype', 'HP:0100522', (181, 188)) ('PIT-1', 'Gene', (238, 243)) ('PIT-1', 'Gene', (8, 13)) 22980 28216655 Recently, it has been reported that mutations of epigenetic regulatory genes are common in thymic neoplasms, suggesting that epigenetic changes such as histone modification, chromatin remodeling, and DNA methylation pathways may occur and cause a dysregulated expression of silencing gene in thymoma. ('cause', 'Reg', (239, 244)) ('dysregulated expression of silencing', 'MPA', (247, 283)) ('neoplasms', 'Phenotype', 'HP:0002664', (98, 107)) ('thymoma', 'Disease', 'MESH:D013945', (292, 299)) ('thymic neoplasms', 'Disease', 'MESH:D013953', (91, 107)) ('histone', 'MPA', (152, 159)) ('mutations', 'Var', (36, 45)) ('thymoma', 'Disease', (292, 299)) ('thymic neoplasms', 'Disease', (91, 107)) ('thymoma', 'Phenotype', 'HP:0100522', (292, 299)) ('thymic neoplasms', 'Phenotype', 'HP:0100521', (91, 107)) 22981 28216655 It is possible that such epigenetic changes cause the aberrant expression of PIT-1 in the thymoma tissue of anti-PIT-1 antibody syndrome. ('PIT-1', 'Gene', (77, 82)) ('cause', 'Reg', (44, 49)) ('PIT-1', 'Gene', (113, 118)) ('PIT-1', 'Gene', '5449', (77, 82)) ('expression', 'MPA', (63, 73)) ('PIT-1', 'Gene', '5449', (113, 118)) ('antibody syndrome', 'Disease', (119, 136)) ('thymoma', 'Disease', 'MESH:D013945', (90, 97)) ('epigenetic changes', 'Var', (25, 43)) ('thymoma', 'Disease', (90, 97)) ('antibody syndrome', 'Disease', 'MESH:D007153', (119, 136)) ('thymoma', 'Phenotype', 'HP:0100522', (90, 97)) 22985 28216655 Anti-AChR antibodies are the most common type of the pathogenesis of MG. Anti-AChR antibody activates the classical complement pathway, formation of the membrane attack complex initiated by activated C3, causes severe structural injury of endplates and lyses the postsynaptic membrane. ('classical complement pathway', 'Pathway', (106, 134)) ('injury of endplates', 'Disease', (229, 248)) ('lyses the postsynaptic membrane', 'CPA', (253, 284)) ('Anti-AChR antibody', 'Var', (73, 91)) ('activates', 'PosReg', (92, 101)) ('causes', 'Reg', (204, 210)) ('injury of endplates', 'Disease', 'MESH:C566415', (229, 248)) 22997 28216655 Most of the patients reveal autoantibodies against the common antigens between the tumor and central nervous system. ('tumor', 'Phenotype', 'HP:0002664', (83, 88)) ('patients', 'Species', '9606', (12, 20)) ('tumor', 'Disease', (83, 88)) ('tumor', 'Disease', 'MESH:D009369', (83, 88)) ('autoantibodies', 'Var', (28, 42)) 23053 25616178 Myasthenia gravis (MG) is more frequent in type B1-3 thymomas (35-49%) than in type A and AB (25-26%). ('MG', 'Disease', 'MESH:D000080343', (19, 21)) ('thymoma', 'Phenotype', 'HP:0100522', (53, 60)) ('thymomas', 'Disease', 'MESH:D013945', (53, 61)) ('Myasthenia gravis', 'Disease', (0, 17)) ('Myasthenia gravis', 'Disease', 'MESH:D009157', (0, 17)) ('type B1-3', 'Var', (43, 52)) ('Myasthenia', 'Phenotype', 'HP:0003473', (0, 10)) ('thymomas', 'Disease', (53, 61)) 23082 25616178 The effect on recurrence is seen in stages I + II thymoma and for type AB versus B1, B2, and B3. ('thymoma', 'Gene', (50, 57)) ('thymoma', 'Gene', '7063', (50, 57)) ('type AB', 'Var', (66, 73)) ('thymoma', 'Phenotype', 'HP:0100522', (50, 57)) 23181 22171357 Over the next 10 years or so, many clinical studies on patients with compromised ventilation were undertaken, many with anaesthetist Laurie Loh, who subsequently moved with JND to Oxford (Supplementary materials B10, B11, B13, B14, B15, B24 and B25). ('B14', 'Gene', (227, 230)) ('man', 'Species', '9606', (30, 33)) ('B13', 'Gene', '4698', (222, 225)) ('B15', 'Gene', (232, 235)) ('B11', 'Var', (217, 220)) ('men', 'Species', '9606', (194, 197)) ('B14', 'Gene', '4700', (227, 230)) ('B13', 'Gene', (222, 225)) ('man', 'Species', '9606', (110, 113)) ('B10', 'Gene', '5169', (212, 215)) ('patients', 'Species', '9606', (55, 63)) ('B10', 'Gene', (212, 215)) ('B15', 'Gene', '4710', (232, 235)) 23192 22171357 Within a few weeks, the first muscle biopsies began to arrive at UCL; endplate recordings were made by visiting postdoc Yushi Ito who confirmed that alpha-bungarotoxin inhibited human muscle neuromuscular transmission and that the miniature endplate potentials were indeed substantially reduced in amplitude at myasthenia gravis endplates. ('myasthenia gravis endplates', 'Phenotype', 'HP:0004576', (311, 338)) ('miniature endplate potentials', 'MPA', (231, 260)) ('human', 'Species', '9606', (178, 183)) ('myasthenia', 'Phenotype', 'HP:0003473', (311, 321)) ('inhibited', 'NegReg', (168, 177)) ('reduced', 'NegReg', (287, 294)) ('myasthenia gravis', 'Disease', (311, 328)) ('human muscle neuromuscular transmission', 'MPA', (178, 217)) ('alpha-bungarotoxin', 'Var', (149, 167)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (311, 328)) 23208 22171357 The results in seven patients, including one with congenital myasthenia who had no detectable AChR antibodies and did not improve clinically, otherwise showed a remarkable inverse correlation:not only as the AChR antibodies fell following the exchanges, but also as they subsequently rose (Supplementary material B19). ('men', 'Species', '9606', (296, 299)) ('myasthenia', 'Phenotype', 'HP:0003473', (61, 71)) ('congenital myasthenia', 'Disease', (50, 71)) ('fell', 'NegReg', (224, 228)) ('patients', 'Species', '9606', (21, 29)) ('B19', 'Gene', '59271', (313, 316)) ('exchanges', 'Var', (243, 252)) ('B19', 'Gene', (313, 316)) ('congenital myasthenia', 'Disease', 'MESH:D020294', (50, 71)) ('AChR', 'Gene', (208, 212)) 23211 22171357 It was many years before JND and Jackie Palace performed the seminal trial of prednisolone alone versus prednisolone plus azathioprine (Supplementary material B212) demonstrating that azathioprine reduced the maintenance dose of prednisolone required to achieve clinical remission, but that this effect took 10 months to be evident. ('B21', 'Gene', '9267', (159, 162)) ('men', 'Species', '9606', (142, 145)) ('prednisolone', 'Chemical', 'MESH:D011239', (104, 116)) ('B21', 'Gene', (159, 162)) ('azathioprine', 'Chemical', 'MESH:D001379', (184, 196)) ('reduced', 'NegReg', (197, 204)) ('azathioprine', 'Var', (184, 196)) ('man', 'Species', '9606', (7, 10)) ('prednisolone', 'Chemical', 'MESH:D011239', (229, 241)) ('azathioprine', 'Chemical', 'MESH:D001379', (122, 134)) ('rat', 'Species', '10116', (172, 175)) ('prednisolone', 'Chemical', 'MESH:D011239', (78, 90)) ('maintenance dose of prednisolone', 'MPA', (209, 241)) 23217 22171357 Despite several publications from other groups claiming no convincing effect, careful analysis showed a clear influence of thymectomy alone on AChR antibody levels, which declined on average by ~50% over a year in patients with hyperplastic thymi (Supplementary material B53), but not in thymoma patients, as predicted from their poorer clinical response. ('patients', 'Species', '9606', (214, 222)) ('men', 'Species', '9606', (254, 257)) ('hyperplastic thymi', 'Phenotype', 'HP:0010516', (228, 246)) ('AChR antibody levels', 'MPA', (143, 163)) ('hyperplastic', 'Var', (228, 240)) ('patients', 'Species', '9606', (296, 304)) ('thymoma', 'Phenotype', 'HP:0100522', (288, 295)) ('declined', 'NegReg', (171, 179)) ('thymoma', 'Gene', '7063', (288, 295)) ('thymoma', 'Gene', (288, 295)) 23245 22171357 Some years later, clinical training fellow Jeremy Farrar (now Director of the Oxford University Clinical Research Unit in Ho Chi Mingh City, Vietnam), supervised by Nick Willcox, was able to recombine the heavy and light chain genes from messenger RNA expressed in the thymus of a patient with myasthenia gravis and demonstrate the diverse germ-line gene origins of the antibodies (Supplementary material B191). ('Willcox', 'Chemical', '-', (170, 177)) ('rat', 'Species', '10116', (323, 326)) ('patient', 'Species', '9606', (281, 288)) ('B19', 'Gene', '59271', (405, 408)) ('recombine', 'Var', (191, 200)) ('myasthenia', 'Phenotype', 'HP:0003473', (294, 304)) ('B19', 'Gene', (405, 408)) ('myasthenia gravis', 'Disease', (294, 311)) ('men', 'Species', '9606', (388, 391)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (294, 311)) 23247 22171357 These had shown that the antibodies could inhibit acetylcholine or alpha-bungarotoxin binding to rodent receptors, and reduce the surface expression of AChRs on cultured cell lines by a process known as antigenic modulation:cross-linking and internalization of the receptors followed by their degradation. ('alpha-bungarotoxin', 'Protein', (67, 85)) ('degradation', 'MPA', (293, 304)) ('reduce', 'NegReg', (119, 125)) ('binding', 'Interaction', (86, 93)) ('antibodies', 'Var', (25, 35)) ('surface expression', 'MPA', (130, 148)) ('acetylcholine', 'MPA', (50, 63)) ('acetylcholine', 'Chemical', 'MESH:D000109', (50, 63)) ('internalization', 'MPA', (242, 257)) ('inhibit', 'NegReg', (42, 49)) ('AChRs', 'Gene', (152, 157)) 23287 22171357 Indeed, postdoc Ian Matthews with visiting clinical fellow Hiro Shiono, together with Glasgow immunologists Gary Sims and David Stott, subsequently showed that the IgGs cloned from the thymic B cells were highly mutated (Supplementary material B278). ('men', 'Species', '9606', (227, 230)) ('mutated', 'Var', (212, 219)) ('IgGs', 'Gene', (164, 168)) 23290 22171357 As a result of a collaboration between David Beeson, Henri-Jean Garchon (Paris) and Bruno Kyewski (Heidelberg), a predisposing polymorphism of the AChR alpha subunit gene was found to influence AChR expression in the epithelial cells, particularly under the influence of a protein called the Autoimmune Regulator (AIRE; see below; Giraud et al., 2006). ('polymorphism', 'Var', (127, 139)) ('AIRE', 'Gene', '326', (314, 318)) ('expression', 'MPA', (199, 209)) ('AChR alpha', 'Gene', (147, 157)) ('AIRE', 'Gene', (314, 318)) ('Autoimmune Regulator', 'Gene', '326', (292, 312)) ('AChR alpha', 'Gene', '1134', (147, 157)) ('AChR', 'Gene', (194, 198)) ('rat', 'Species', '10116', (24, 27)) ('Autoimmune Regulator', 'Gene', (292, 312)) ('influence', 'Reg', (184, 193)) 23299 22171357 Visiting clinical fellow Norbert Sommer found that AChR-reactive T cells were present in both patients and controls (Supplementary material B137), probably indicating incomplete deletion of autoreactive T cells in the thymus. ('patients', 'Species', '9606', (94, 102)) ('B13', 'Gene', '4698', (140, 143)) ('deletion', 'Var', (178, 186)) ('men', 'Species', '9606', (123, 126)) ('B13', 'Gene', (140, 143)) 23302 22171357 One AChR-specific T-cell clone from an HLA-DR3/4 heterozygous early-onset myasthenia gravis patient's thymus demonstrated a role for a recurring 86Gly Val dimorphism in the presenting HLA Class II molecules (a collaboration with John Bell and Paul Wordsworth in the Human Immunology Group at the Weatherall Institute of Molecular Medicine; Supplementary material B134). ('patient', 'Species', '9606', (92, 99)) ('86Gly Val dimorphism', 'Var', (145, 165)) ('myasthenia', 'Phenotype', 'HP:0003473', (74, 84)) ('B13', 'Gene', '4698', (363, 366)) ('DR3', 'Gene', (43, 46)) ('DR3', 'Gene', '8718', (43, 46)) ('myasthenia gravis', 'Disease', (74, 91)) ('rat', 'Species', '10116', (116, 119)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (74, 91)) ('B13', 'Gene', (363, 366)) ('men', 'Species', '9606', (346, 349)) ('rat', 'Species', '10116', (217, 220)) ('Human', 'Species', '9606', (266, 271)) 23311 22171357 Overall, the eight native AChR-specific clones that were identified all recognized extracellular AChR epitopes and were presented to the different T-cell receptors often by 'minor' Class II molecules (HLA-DQ, -DP and -DR52a) rather than the HLA-DR molecules that associate strongly with myasthenia gravis. ('myasthenia gravis', 'Disease', 'MESH:D009157', (287, 304)) ('myasthenia', 'Phenotype', 'HP:0003473', (287, 297)) ('extracellular', 'MPA', (83, 96)) ('rat', 'Species', '10116', (225, 228)) ('HLA-DQ', 'Var', (201, 207)) ('presented', 'Interaction', (120, 129)) ('myasthenia gravis', 'Disease', (287, 304)) ('AChR', 'Gene', (97, 101)) 23324 22171357 Whereas four patients, including two brothers, had reduced AChRs, not dissimilar to those in many patients with myasthenia gravis, one patient had completely normal AChR numbers despite very small miniature endplate potential amplitudes [later identified by postdoc Richard Webster as harbouring an AChR alpha gene (CHRNA1) mutation causing abnormally small AChR channel openings]. ('mutation', 'Var', (324, 332)) ('patient', 'Species', '9606', (135, 142)) ('CHRNA1', 'Gene', '1134', (316, 322)) ('patient', 'Species', '9606', (98, 105)) ('myasthenia', 'Phenotype', 'HP:0003473', (112, 122)) ('patient', 'Species', '9606', (13, 20)) ('patients', 'Species', '9606', (13, 21)) ('small miniature endplate', 'Phenotype', 'HP:0003402', (191, 215)) ('patients', 'Species', '9606', (98, 106)) ('AChR alpha', 'Gene', (299, 309)) ('myasthenia gravis', 'Disease', (112, 129)) ('CHRNA1', 'Gene', (316, 322)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (112, 129)) ('man', 'Species', '9606', (93, 96)) ('miniature endplate potential amplitudes', 'MPA', (197, 236)) ('AChR alpha', 'Gene', '1134', (299, 309)) 23327 22171357 As the genes encoding human proteins were cloned and the primary sequences determined (Supplementary materials B109 and B149), research assistant Rebecca Croxen and clinical fellow Phil Nicolls were able to identify mutations in AChR and rapsyn genes. ('men', 'Species', '9606', (93, 96)) ('B10', 'Gene', '5169', (111, 114)) ('B14', 'Gene', '4700', (120, 123)) ('B14', 'Gene', (120, 123)) ('B10', 'Gene', (111, 114)) ('rapsyn', 'Gene', (238, 244)) ('AChR', 'Gene', (229, 233)) ('mutations', 'Var', (216, 225)) ('human', 'Species', '9606', (22, 27)) ('rapsyn', 'Gene', '5913', (238, 244)) 23328 22171357 She obtained a detailed description of the consequences of the different genetic defects on AChR expression and function using patch and cell recordings from Xenopus oocytes, or from HEK (human embryonic kidney) 293 cells transfected with the mutant or wild-type genes. ('genetic defects', 'Disease', (73, 88)) ('embryonic kidney', 'Disease', 'MESH:D007674', (194, 210)) ('human', 'Species', '9606', (188, 193)) ('293 cells', 'CellLine', 'CVCL:0045', (212, 221)) ('HEK', 'CellLine', 'CVCL:M624', (183, 186)) ('Xenopus', 'Species', '8355', (158, 165)) ('genetic defects', 'Disease', 'MESH:D030342', (73, 88)) ('embryonic kidney', 'Disease', (194, 210)) ('AChR', 'Gene', (92, 96)) ('expression', 'MPA', (97, 107)) ('mutant', 'Var', (243, 249)) ('function', 'MPA', (112, 120)) 23329 22171357 Novel alpha subunit mutations were identified and characterized in the Slow Channel Syndrome (Supplementary material B190) and the adult AChR-specific epsilon subunit gene was found to be a major target for CMS-associated mutations, probably, as suggested by Andrew Engel and colleagues, because loss of the epsilon subunit could be partially compensated by maintaining expression of foetal AChR (that has the gamma subunit instead of epsilon). ('CMS', 'Disease', 'MESH:C536089', (207, 210)) ('men', 'Species', '9606', (100, 103)) ('Slow Channel Syndrome', 'Disease', (71, 92)) ('Slow Channel Syndrome', 'Disease', 'MESH:D020294', (71, 92)) ('CMS', 'Disease', (207, 210)) ('mutations', 'Var', (222, 231)) ('B19', 'Gene', (117, 120)) ('B19', 'Gene', '59271', (117, 120)) ('mutations', 'Var', (20, 29)) 23330 22171357 The gene mutations were located throughout the length of the epsilon subunit coding sequence, and along with the first identification of AChR promoter sequence mutations, were shown to cause reduced AChR expression and thus underlie AChR deficiency syndromes (Supplementary materials B216, B227 and B239). ('mutations', 'Var', (160, 169)) ('deficiency syndromes', 'Disease', 'MESH:D013577', (238, 258)) ('mutations', 'Var', (9, 18)) ('AChR', 'Gene', (199, 203)) ('expression', 'MPA', (204, 214)) ('reduced', 'NegReg', (191, 198)) ('B22', 'Gene', '4715', (290, 293)) ('B21', 'Gene', '9267', (284, 287)) ('B23', 'Gene', '4869', (299, 302)) ('B21', 'Gene', (284, 287)) ('men', 'Species', '9606', (266, 269)) ('B22', 'Gene', (290, 293)) ('B23', 'Gene', (299, 302)) ('deficiency syndromes', 'Disease', (238, 258)) ('AChR', 'Gene', (137, 141)) ('underlie', 'Reg', (224, 232)) 23331 22171357 However, AChR epsilon mutations did not explain all of the patients with reduced endplate AChR expression, and mutations in rapsyn, the protein that anchors AChRs at the neuromuscular junction, were also identified. ('mutations', 'Var', (111, 120)) ('rapsyn', 'Gene', (124, 130)) ('endplate', 'MPA', (81, 89)) ('reduced', 'NegReg', (73, 80)) ('patients', 'Species', '9606', (59, 67)) ('reduced endplate AChR', 'Phenotype', 'HP:0003402', (73, 94)) ('expression', 'MPA', (95, 105)) ('rapsyn', 'Gene', '5913', (124, 130)) 23333 22171357 Georgina Burke, working in the clinic with JND, was able to identify different clinical phenotypes in these two forms of AChR deficiency with respect to ophthalmoplegia, arthrogryposis, squint and apnoeas, enabling targeted gene screening (Supplementary material B256). ('ophthalmoplegia', 'Phenotype', 'HP:0000602', (153, 168)) ('apnoeas', 'Disease', 'MESH:D001049', (197, 204)) ('arthrogryposis', 'Phenotype', 'HP:0002804', (170, 184)) ('apnoeas', 'Disease', (197, 204)) ('deficiency', 'Var', (126, 136)) ('squint', 'Phenotype', 'HP:0000486', (186, 192)) ('ophthalmoplegia', 'Disease', (153, 168)) ('arthrogryposis', 'Disease', (170, 184)) ('men', 'Species', '9606', (246, 249)) ('AChR', 'Gene', (121, 125)) ('ophthalmoplegia', 'Disease', 'MESH:D009886', (153, 168)) ('arthrogryposis', 'Disease', 'MESH:D001176', (170, 184)) ('squint and apnoeas', 'Phenotype', 'HP:0002104', (186, 204)) ('squint', 'Disease', (186, 192)) 23335 22171357 The clinical and experimental work has flourished with the important identification of limb-girdle myasthenic syndrome associated with mutations in the recently-discovered DOK7 gene, the clinical correlates (Supplementary materials B67 and B275), and the realisation that treatment with ephedrine or other beta-2 adrenergic receptor agonists such as salbutamol can lead to dramatic patient improvements in this now commonly recognized CMS. ('beta-2 adrenergic receptor', 'Gene', '154', (306, 332)) ('improvements', 'PosReg', (390, 402)) ('beta-2 adrenergic receptor', 'Gene', (306, 332)) ('patient', 'Species', '9606', (382, 389)) ('associated', 'Reg', (119, 129)) ('CMS', 'Disease', 'MESH:C536089', (435, 438)) ('men', 'Species', '9606', (397, 400)) ('mutations', 'Var', (135, 144)) ('limb-girdle myasthenic syndrome', 'Disease', 'MESH:D049288', (87, 118)) ('ephedrine', 'Chemical', 'MESH:D004809', (287, 296)) ('CMS', 'Disease', (435, 438)) ('men', 'Species', '9606', (23, 26)) ('salbutamol', 'Chemical', 'MESH:D000420', (350, 360)) ('men', 'Species', '9606', (214, 217)) ('men', 'Species', '9606', (277, 280)) ('DOK7', 'Gene', '285489', (172, 176)) ('myasthenic syndrome', 'Phenotype', 'HP:0003473', (99, 118)) ('DOK7', 'Gene', (172, 176)) ('limb-girdle myasthenic syndrome', 'Disease', (87, 118)) 23338 22171357 John Ealing, MRC clinical training fellow, joined the group to show that DNA hammerhead ribozymes could be used to repair or change AChR gene sequences (in collaboration with Professor Matthew Wood, Oxford), and had considerable success in vitro. ('rat', 'Species', '10116', (163, 166)) ('AChR gene', 'Gene', (132, 141)) ('repair', 'Var', (115, 121)) ('DNA hammerhead', 'Phenotype', 'HP:0001765', (73, 87)) ('change', 'Reg', (125, 131)) ('MRC', 'CellLine', 'CVCL:0440', (13, 16)) 23356 22171357 Engel and a succession of his visiting Japanese clinical fellows demonstrated beautifully the normal clustering of the presynaptic active zone particles that are voltage-gated calcium channels, and their disorganization/disappearance over time, indicating internalization and destruction of the protein:analogous to the antigenic modulation shown earlier in myasthenia gravis:which correlated with the electrophysiological defects seen in Oxford (Supplementary materials B47, B84, B85, B86, B104 and B110). ('calcium', 'Chemical', 'MESH:D002118', (176, 183)) ('rat', 'Species', '10116', (72, 75)) ('B86', 'Var', (486, 489)) ('B110', 'Var', (500, 504)) ('B10', 'Gene', (491, 494)) ('myasthenia gravis', 'Disease', (358, 375)) ('B85', 'Var', (481, 484)) ('B84', 'Var', (476, 479)) ('B47', 'Gene', '2886', (471, 474)) ('men', 'Species', '9606', (453, 456)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (358, 375)) ('B10', 'Gene', '5169', (491, 494)) ('myasthenia', 'Phenotype', 'HP:0003473', (358, 368)) ('B47', 'Gene', (471, 474)) 23374 22171357 When the same IgG preparations were applied to cerebellar granular cells in culture, however, the electrophysiological responses became less dependent on P/Q-type voltage-gated calcium channels, with an increase in the contributions of other voltage-gated calcium channels (Supplementary material B213). ('B21', 'Gene', '9267', (297, 300)) ('rat', 'Species', '10116', (23, 26)) ('calcium', 'Chemical', 'MESH:D002118', (177, 184)) ('calcium', 'Chemical', 'MESH:D002118', (256, 263)) ('B21', 'Gene', (297, 300)) ('P/Q-type', 'Var', (154, 162)) ('men', 'Species', '9606', (280, 283)) 23386 22171357 In fact, IgG from patients with muscle specific kinase antibodies did not directly affect AChR function in vitro. ('affect', 'Reg', (83, 89)) ('AChR function', 'CPA', (90, 103)) ('patients', 'Species', '9606', (18, 26)) ('antibodies', 'Var', (55, 65)) 23408 22171357 From then, apart from a continued interest in respiratory function in different diseases (Supplementary materials B24, B25, B114, B126 and B145), most of his focus was on neuromuscular junction disorders. ('neuromuscular junction disorders', 'Disease', (171, 203)) ('men', 'Species', '9606', (96, 99)) ('B14', 'Gene', (139, 142)) ('B12', 'Gene', (130, 133)) ('B12', 'Gene', '4709', (130, 133)) ('B114', 'Var', (124, 128)) ('B14', 'Gene', '4700', (139, 142)) ('neuromuscular junction disorders', 'Disease', 'MESH:D020511', (171, 203)) ('rat', 'Species', '10116', (51, 54)) 23415 22171357 The clinical features of patients with CMS that David Beeson identified, including many with Dok-7 mutations, were characterized (Supplementary material B275), and Georgina Burke documented useful clinical clues to the diagnoses of AChR and rapsyn deficiencies (Supplementary materials B246 and B256). ('men', 'Species', '9606', (183, 186)) ('CMS', 'Disease', 'MESH:C536089', (39, 42)) ('men', 'Species', '9606', (268, 271)) ('CMS', 'Disease', (39, 42)) ('Dok-7', 'Gene', (93, 98)) ('mutations', 'Var', (99, 108)) ('patients', 'Species', '9606', (25, 33)) ('rapsyn deficiencies', 'Disease', 'MESH:D007153', (241, 260)) ('Dok-7', 'Gene', '285489', (93, 98)) ('man', 'Species', '9606', (83, 86)) ('rapsyn deficiencies', 'Disease', (241, 260)) ('men', 'Species', '9606', (136, 139)) ('AChR', 'Gene', (232, 236)) 23421 22171357 After his retirement, despite a little more time with his family, JND switched focus to clinical trials in a characteristically effective manner, helping to promote better and more comprehensive reporting of their results (Supplementary material B242) and establishing with US colleagues Gil Wolfe, Henry Kaminski, Fred Jaretski and Gary Cutter, among others, the first blinded randomized clinical trial of thymectomy in myasthenia gravis which is still recruiting today (Supplementary materials B254, B276, B280 and H). ('men', 'Species', '9606', (478, 481)) ('B276', 'Var', (502, 506)) ('myasthenia gravis', 'Disease', (421, 438)) ('men', 'Species', '9606', (16, 19)) ('B28', 'Gene', '54069', (508, 511)) ('men', 'Species', '9606', (229, 232)) ('man', 'Species', '9606', (138, 141)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (421, 438)) ('myasthenia', 'Phenotype', 'HP:0003473', (421, 431)) ('B28', 'Gene', (508, 511)) 23465 26886206 Antibodies against LRP4 are predominantly of the complement-binding IgG1 and 2 type and are able to inhibit the LRP4-agrin interaction and thus alter AChR clustering in muscle cells. ('AChR', 'Protein', (150, 154)) ('men', 'Species', '9606', (55, 58)) ('Antibodies', 'Var', (0, 10)) ('LRP4', 'Gene', '4038', (112, 116)) ('agrin', 'Gene', '375790', (117, 122)) ('LRP4', 'Gene', '4038', (19, 23)) ('agrin', 'Gene', (117, 122)) ('alter', 'Reg', (144, 149)) ('LRP4', 'Gene', (19, 23)) ('LRP4', 'Gene', (112, 116)) ('interaction', 'Interaction', (123, 134)) ('inhibit', 'NegReg', (100, 107)) 23466 26886206 Antibodies against agrin are able to inhibit agrin-induced MuSK phosphorylation and AChR clustering in muscle cells. ('Antibodies', 'Var', (0, 10)) ('agrin', 'Gene', '375790', (45, 50)) ('inhibit', 'NegReg', (37, 44)) ('MuSK', 'Gene', '4593', (59, 63)) ('MuSK', 'Gene', (59, 63)) ('AChR clustering', 'CPA', (84, 99)) ('agrin', 'Gene', (45, 50)) ('agrin', 'Gene', '375790', (19, 24)) ('agrin', 'Gene', (19, 24)) 23505 26886206 (c) More than 50 % share common expansions in the peripheral T cell repertoire with TAMG patients. ('patients', 'Species', '9606', (89, 97)) ('peripheral T cell repertoire', 'CPA', (50, 78)) ('TAMG', 'Chemical', '-', (84, 88)) ('expansions', 'Var', (32, 42)) 23506 26886206 Hence, immunological parallels between LOMG and TAMG are so close that it appears that aberrations in the aged thymus in LOMG mimic thymoma behavior without definite neoplasia, leading to export and possibly even activation of non-tolerant T cells. ('thymoma', 'Phenotype', 'HP:0100522', (132, 139)) ('thymoma behavior', 'Disease', 'MESH:D013945', (132, 148)) ('thymoma behavior', 'Disease', (132, 148)) ('neoplasia', 'Disease', (166, 175)) ('LOMG', 'Chemical', '-', (39, 43)) ('TAMG', 'Chemical', '-', (48, 52)) ('aberrations', 'Var', (87, 98)) ('mimic', 'Reg', (126, 131)) ('non-tolerant T cells', 'CPA', (227, 247)) ('neoplasia', 'Disease', 'MESH:D009369', (166, 175)) ('activation', 'PosReg', (213, 223)) ('neoplasia', 'Phenotype', 'HP:0002664', (166, 175)) ('LOMG', 'Chemical', '-', (121, 125)) ('export', 'CPA', (188, 194)) ('aged thymus', 'Phenotype', 'HP:0010516', (106, 117)) 23542 26886206 In case of an estimated therapy duration of longer than 3 months using a dosage of >7.5 mg prednisolone equivalent, patients should be treated with calcium (1000-1500 mg/d) and vitamin D (400-800 IE/d) to prevent osteoporosis. ('calcium', 'Chemical', 'MESH:D002118', (148, 155)) ('osteoporosis', 'Disease', 'MESH:D010024', (213, 225)) ('400-800', 'Var', (188, 195)) ('osteoporosis', 'Disease', (213, 225)) ('patients', 'Species', '9606', (116, 124)) ('osteoporosis', 'Phenotype', 'HP:0000939', (213, 225)) ('vitamin D', 'Chemical', 'MESH:D014807', (177, 186)) ('prednisolone', 'Chemical', 'MESH:D011239', (91, 103)) 23565 26886206 Testing for TMTP activity or TPMT genotype can be performed prior to treatment initiation: (a) patients completely lacking TMPT activity (frequency 1:300) or those homozygous for distinct TPMT single nucleotide polymorphisms cannot be treated with AZA. ('TPMT', 'Gene', '7172', (29, 33)) ('AZA', 'Chemical', 'MESH:D001379', (248, 251)) ('TPMT', 'Gene', '7172', (188, 192)) ('patients', 'Species', '9606', (95, 103)) ('TPMT', 'Gene', (29, 33)) ('single nucleotide polymorphisms', 'Var', (193, 224)) ('men', 'Species', '9606', (74, 77)) ('lacking', 'NegReg', (115, 122)) ('TMPT activity', 'MPA', (123, 136)) ('TPMT', 'Gene', (188, 192)) 23582 26886206 Methotrexate (MTX) has been used for several decades now as a treatment for MG. MTX competitively inhibits dihydrofolate reductase (DHFR) with an affinity of about 1000-fold that of dihydrofolate. ('MTX', 'Var', (80, 83)) ('DHFR', 'Gene', '1719', (132, 136)) ('dihydrofolate reductase', 'Gene', (107, 130)) ('MTX', 'Chemical', 'MESH:D008727', (80, 83)) ('men', 'Species', '9606', (67, 70)) ('dihydrofolate', 'Chemical', 'MESH:C010920', (182, 195)) ('Methotrexate', 'Chemical', 'MESH:D008727', (0, 12)) ('inhibits', 'NegReg', (98, 106)) ('dihydrofolate reductase', 'Gene', '1719', (107, 130)) ('dihydrofolate', 'Chemical', 'MESH:C010920', (107, 120)) ('DHFR', 'Gene', (132, 136)) ('MTX', 'Chemical', 'MESH:D008727', (14, 17)) 23606 26886206 In a multicenter, open cohort study in 79 patients with MG, low-dosage TCM (0.1 mg/day/kg bodyweight) could replace combination therapy consisting of CSA and prednisolon and provide good clinical stabilization including regression of nAChR-Ab titers. ('low-dosage', 'Var', (60, 70)) ('nAChR', 'Gene', '1137', (234, 239)) ('regression', 'MPA', (220, 230)) ('prednisolon', 'Chemical', '-', (158, 169)) ('nAChR', 'Gene', (234, 239)) ('TCM', 'Chemical', 'MESH:D016559', (71, 74)) ('CSA', 'Gene', '1161', (150, 153)) ('patients', 'Species', '9606', (42, 50)) ('CSA', 'Gene', (150, 153)) 23613 26886206 A meta-analysis was recently performed of 15 uncontrolled observational studies including a total of 168 patients [125 females and 43 males; 91 MG patients with AChR antibodies, 70 MG patients with MuSK antibodies, and 7 MG patients without AChR or MuSK antibodies ("double seronegative")]. ('MuSK', 'Gene', '4593', (249, 253)) ('antibodies', 'Var', (166, 176)) ('MuSK', 'Gene', (198, 202)) ('patients', 'Species', '9606', (105, 113)) ('MuSK antibodies', 'Phenotype', 'HP:0030210', (249, 264)) ('MuSK', 'Gene', '4593', (198, 202)) ('patients', 'Species', '9606', (184, 192)) ('MuSK antibodies', 'Phenotype', 'HP:0030210', (198, 213)) ('patients', 'Species', '9606', (147, 155)) ('patients', 'Species', '9606', (224, 232)) ('MuSK', 'Gene', (249, 253)) 23635 26886206 Clinical experience with other therapeutic monoclonal antibodies now in broader use in multiple sclerosis such as anti-CD52/alemtuzumab and anti-IL2R/daclizumab are sparce in patients with MG and should be considered in individual rare cases only. ('anti-CD52/alemtuzumab', 'Var', (114, 135)) ('IL2R', 'Gene', (145, 149)) ('sclerosis', 'Disease', 'MESH:D012598', (96, 105)) ('patients', 'Species', '9606', (175, 183)) ('IL2R', 'Gene', '3559', (145, 149)) ('alemtuzumab', 'Chemical', 'MESH:D000074323', (124, 135)) ('sclerosis', 'Disease', (96, 105)) ('daclizumab', 'Chemical', 'MESH:D000077561', (150, 160)) 23696 26224649 Ablation of beta-catenin in Keratin 5 (K5)-expressing mTECs results in thymic atrophy, mainly due to a defective IL-7 niche in beta-catenin-deficient mTEC derivatives that are unable to support early thymocyte development. ('beta-catenin', 'Gene', '12387', (12, 24)) ('beta-catenin', 'Gene', '12387', (127, 139)) ('Ablation', 'Var', (0, 8)) ('beta-catenin', 'Gene', (12, 24)) ('atrophy', 'Disease', 'MESH:D001284', (78, 85)) ('K5', 'Gene', (39, 41)) ('IL-7', 'Gene', (113, 117)) ('Keratin 5', 'Gene', (28, 37)) ('IL-7', 'Gene', '16196', (113, 117)) ('Keratin 5', 'Gene', '110308', (28, 37)) ('atrophy', 'Disease', (78, 85)) ('defective', 'NegReg', (103, 112)) ('beta-catenin', 'Gene', (127, 139)) ('thymic', 'Disease', (71, 77)) 23701 26224649 Early thymoma lesions driven by the N64Ctnnb1/ERT2 transgene are frequently identified at the cortical-medullary junction (CMJ) of the transgenic thymi. ('N64Ctnnb1/ERT2', 'Var', (37, 51)) ('thymoma lesions', 'Disease', 'MESH:D013945', (6, 21)) ('thymoma lesions', 'Disease', (6, 21)) ('transgenic', 'Species', '10090', (136, 146)) ('thymoma', 'Phenotype', 'HP:0100522', (6, 13)) 23704 26224649 The thymoma lesions express K5, Np63 (alpha and beta isoforms), and beta5t, which is a protease subunit used as a differential diagnostic marker of human type B3 thymomas. ('thymoma', 'Phenotype', 'HP:0100522', (163, 170)) ('beta5t', 'Gene', (69, 75)) ('thymoma lesions', 'Disease', 'MESH:D013945', (4, 19)) ('beta5t', 'Gene', '122706', (69, 75)) ('thymomas', 'Disease', (163, 171)) ('thymomas', 'Disease', 'MESH:D013945', (163, 171)) ('human', 'Species', '9606', (149, 154)) ('thymoma lesions', 'Disease', (4, 19)) ('Np63', 'Var', (33, 37)) ('thymoma', 'Phenotype', 'HP:0100522', (4, 11)) 23705 26224649 Consistent with expression patterns found in human thymomas, N64Ctnnb1/ERT2-mediated thymomas showed loss of AIRE and downregulation of p21. ('p21', 'Gene', '644914', (137, 140)) ('N64Ctnnb1/ERT2-mediated', 'Var', (62, 85)) ('thymomas', 'Disease', (51, 59)) ('downregulation', 'NegReg', (119, 133)) ('thymomas', 'Disease', 'MESH:D013945', (51, 59)) ('thymomas', 'Disease', (86, 94)) ('AIRE', 'Gene', (110, 114)) ('human', 'Species', '9606', (45, 50)) ('thymomas', 'Disease', 'MESH:D013945', (86, 94)) ('AIRE', 'Gene', '326', (110, 114)) ('loss', 'NegReg', (102, 106)) ('thymoma', 'Phenotype', 'HP:0100522', (86, 93)) ('thymoma', 'Phenotype', 'HP:0100522', (51, 58)) ('p21', 'Gene', (137, 140)) 23706 26224649 Moreover, histologic characteristics of N64Ctnnb1/ERT2 transgene-induced thymomas have a squamoid appearance and loose connective tissue in the perivascular space resembling that of human type B3 thymomas (or atypical thymomas). ('thymomas', 'Disease', (219, 227)) ('thymoma', 'Phenotype', 'HP:0100522', (197, 204)) ('thymomas', 'Disease', 'MESH:D013945', (219, 227)) ('N64Ctnnb1/ERT2', 'Var', (41, 55)) ('thymoma', 'Phenotype', 'HP:0100522', (74, 81)) ('thymomas', 'Disease', (197, 205)) ('human', 'Species', '9606', (183, 188)) ('thymomas', 'Disease', 'MESH:D013945', (74, 82)) ('thymomas', 'Disease', (74, 82)) ('thymomas', 'Disease', 'MESH:D013945', (197, 205)) ('thymoma', 'Phenotype', 'HP:0100522', (219, 226)) ('perivascular space', 'Phenotype', 'HP:0012520', (145, 163)) 23710 26224649 Interestingly, specific ablation of beta-catenin in prostate basal cells blocks basal-to-luminal differentiation, indicating a critical role of beta-catenin in this process (Figure 1B). ('beta-catenin', 'Gene', (144, 156)) ('basal-to-luminal differentiation', 'CPA', (80, 112)) ('beta-catenin', 'Gene', (36, 48)) ('beta-catenin', 'Gene', '12387', (144, 156)) ('blocks', 'NegReg', (73, 79)) ('ablation', 'Var', (24, 32)) ('beta-catenin', 'Gene', '12387', (36, 48)) 23718 26224649 We further demonstrate that loss of beta-catenin suppresses basal-derived prostate cancer progression but is dispensable for luminal-derived prostate cancer. ('cancer', 'Phenotype', 'HP:0002664', (150, 156)) ('loss', 'Var', (28, 32)) ('prostate cancer', 'Disease', (74, 89)) ('prostate cancer', 'Disease', 'MESH:D011471', (141, 156)) ('cancer', 'Phenotype', 'HP:0002664', (83, 89)) ('prostate cancer', 'Phenotype', 'HP:0012125', (141, 156)) ('beta-catenin', 'Gene', (36, 48)) ('prostate cancer', 'Disease', 'MESH:D011471', (74, 89)) ('prostate cancer', 'Phenotype', 'HP:0012125', (74, 89)) ('suppresses', 'NegReg', (49, 59)) ('prostate cancer', 'Disease', (141, 156)) ('beta-catenin', 'Gene', '12387', (36, 48)) 23721 26224649 Aberrant beta-catenin activation in the K5-expressing epithelial derivatives of the thymus and prostate gland promotes tumor progression. ('tumor', 'Disease', (119, 124)) ('Aberrant', 'Var', (0, 8)) ('beta-catenin', 'Gene', (9, 21)) ('activation', 'PosReg', (22, 32)) ('promotes', 'PosReg', (110, 118)) ('tumor', 'Disease', 'MESH:D009369', (119, 124)) ('beta-catenin', 'Gene', '12387', (9, 21)) ('tumor', 'Phenotype', 'HP:0002664', (119, 124)) 24127 25499804 A large number of DCs is related to better survival in a variety of malignant tumors such as melanoma, breast carcinoma, hepatocellular carcinoma, and lung adenocarcinoma. ('lung adenocarcinoma', 'Disease', 'MESH:D000077192', (151, 170)) ('melanoma', 'Disease', 'MESH:D008545', (93, 101)) ('malignant tumors', 'Disease', 'MESH:D018198', (68, 84)) ('tumor', 'Phenotype', 'HP:0002664', (78, 83)) ('hepatocellular carcinoma', 'Disease', (121, 145)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (151, 170)) ('carcinoma', 'Phenotype', 'HP:0030731', (136, 145)) ('better', 'PosReg', (36, 42)) ('tumors', 'Phenotype', 'HP:0002664', (78, 84)) ('malignant tumors', 'Disease', (68, 84)) ('breast carcinoma', 'Disease', 'MESH:D001943', (103, 119)) ('melanoma', 'Phenotype', 'HP:0002861', (93, 101)) ('melanoma', 'Disease', (93, 101)) ('carcinoma', 'Phenotype', 'HP:0030731', (110, 119)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (121, 145)) ('lung adenocarcinoma', 'Disease', (151, 170)) ('breast carcinoma', 'Phenotype', 'HP:0003002', (103, 119)) ('DCs', 'Var', (18, 21)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (121, 145)) ('breast carcinoma', 'Disease', (103, 119)) ('carcinoma', 'Phenotype', 'HP:0030731', (161, 170)) 24225 21152329 Feature signs and symptoms include weakness in the muscles that control eye and eyelid movements (ocular myasthenia), facial expression, chewing, swallowing (dysphagia), slurred speech (dysarthria) that is often associated with a nasal tone (dystonia) due to weakness of the velar muscles, and generalized muscle weakness that may involve the extremities and trunk. ('dysphagia', 'Phenotype', 'HP:0002015', (158, 167)) ('ocular myasthenia', 'Disease', 'MESH:D009157', (98, 115)) ('eyelid movements', 'Disease', 'MESH:D009069', (80, 96)) ('dystonia', 'Phenotype', 'HP:0001332', (242, 250)) ('myasthenia', 'Phenotype', 'HP:0003473', (105, 115)) ('weakness', 'Var', (35, 43)) ('slurred speech', 'Phenotype', 'HP:0001350', (170, 184)) ('muscle weakness', 'Phenotype', 'HP:0001324', (306, 321)) ('associated', 'Reg', (212, 222)) ('nasal tone', 'Disease', (230, 240)) ('chewing', 'Disease', (137, 144)) ('dysarthria', 'Phenotype', 'HP:0001260', (186, 196)) ('dysphagia', 'Disease', (158, 167)) ('facial expression', 'Disease', (118, 135)) ('swallowing', 'Disease', (146, 156)) ('slurred speech', 'Disease', (170, 184)) ('eyelid movements', 'Disease', (80, 96)) ('generalized muscle weakness', 'Phenotype', 'HP:0003324', (294, 321)) ('ocular myasthenia', 'Disease', (98, 115)) 24248 33438140 Compared to AChR-MG, DSP-MG had greater bulbar dysfunction (47.1% vs 18.6%, P = 0.04), higher incidence of myasthenia crisis (41.2% vs 14.8%, P = 0.04), more severe Myasthenia Gravis Foundation of America classification at maximum worsening, greater autoantibody abnormalities (70.6% vs 33.3%, P = 0.015), greater need for immunosuppressant treatment (58.8% vs 3.7%, P < 0.001), and worse prognosis with less remission (11.8% vs 55.6%, P = 0.001). ('Myasthenia Gravis', 'Disease', (165, 182)) ('bulbar dysfunction', 'Disease', 'MESH:D010244', (40, 58)) ('DSP-MG', 'Var', (21, 27)) ('autoantibody abnormalities', 'Disease', 'MESH:D050031', (250, 276)) ('myasthenia crisis', 'Disease', (107, 124)) ('autoantibody abnormalities', 'Disease', (250, 276)) ('Myasthenia', 'Phenotype', 'HP:0003473', (165, 175)) ('greater', 'PosReg', (242, 249)) ('myasthenia', 'Phenotype', 'HP:0003473', (107, 117)) ('myasthenia crisis', 'Disease', 'MESH:D020294', (107, 124)) ('bulbar dysfunction', 'Disease', (40, 58)) ('Myasthenia Gravis', 'Disease', 'MESH:D009157', (165, 182)) 24262 33438140 DSP-MG patients had greater bulbar palsy dysfunction, a higher incidence of myasthenia crisis, higher MGFA classification at maximum worsening, more autoantibody abnormalities, greater need for immunosuppressants, and a lower rate of pharmacologic remission. ('autoantibody abnormalities', 'Disease', 'MESH:D050031', (149, 175)) ('bulbar palsy dysfunction', 'Disease', (28, 52)) ('myasthenia crisis', 'Disease', 'MESH:D020294', (76, 93)) ('autoantibody abnormalities', 'Disease', (149, 175)) ('greater', 'PosReg', (20, 27)) ('higher', 'PosReg', (95, 101)) ('DSP-MG', 'Var', (0, 6)) ('MGFA', 'Chemical', '-', (102, 106)) ('bulbar palsy dysfunction', 'Disease', 'MESH:D010244', (28, 52)) ('myasthenia crisis', 'Disease', (76, 93)) ('bulbar palsy', 'Phenotype', 'HP:0001283', (28, 40)) ('MGFA classification', 'MPA', (102, 121)) ('patients', 'Species', '9606', (7, 15)) ('myasthenia', 'Phenotype', 'HP:0003473', (76, 86)) 24282 33438140 MuSK-MG also has worse prognosis than AChR-MG as a result of drug insensitivity and more aggressive disease course. ('MuSK-MG', 'Var', (0, 7)) ('aggressive disease', 'Disease', 'MESH:D001523', (89, 107)) ('aggressive disease', 'Disease', (89, 107)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (0, 7)) ('drug insensitivity', 'Phenotype', 'HP:0008189', (61, 79)) 24361 31452699 After functional annotation analysis, it was determined that the DEGs were enriched in 'ribosome', 'oxidative phosphorylation', 'spliceosome', 'DNA replication' and 'cell cycle', which indicated that the DEGs may affect cell growth and have an important role in the occurrence and development of thymoma. ('DEGs', 'Var', (204, 208)) ('thymoma', 'Disease', 'MESH:D013945', (296, 303)) ('thymoma', 'Disease', (296, 303)) ('thymoma', 'Phenotype', 'HP:0100522', (296, 303)) ('cell growth', 'CPA', (220, 231)) ('affect', 'Reg', (213, 219)) 24416 30191163 6) revealed a tissue made-up by bands of sclerosis and average size lymphocytes with T-immature phenotype (precursor T cell, CD3+, CD5+/-, CD4+, CD8+, TdT+), associated also with irregular oval shape epithelial cells (CKAE1-AE3+, Calretinin-). ('CKAE1-AE3', 'Gene', (218, 227)) ('CD3+', 'Var', (125, 129)) ('CD8', 'Gene', (145, 148)) ('CKAE1-AE3', 'Gene', '6508', (218, 227)) ('CD4', 'Gene', (139, 142)) ('CD5', 'Gene', (131, 134)) ('sclerosis', 'Disease', 'MESH:D012598', (41, 50)) ('CD8', 'Gene', '925', (145, 148)) ('CD5', 'Gene', '921', (131, 134)) ('CD4', 'Gene', '920', (139, 142)) ('sclerosis', 'Disease', (41, 50)) 24491 29682176 Finally, CTLA-4 gene polymorphisms have been associated to increased susceptibility to multiple types of cancer such as breast, melanoma gastric and colon cancers and cervical carcinomas. ('carcinoma', 'Phenotype', 'HP:0030731', (176, 185)) ('carcinomas', 'Phenotype', 'HP:0030731', (176, 186)) ('cancer', 'Phenotype', 'HP:0002664', (155, 161)) ('cancer', 'Disease', (105, 111)) ('cancer', 'Disease', 'MESH:D009369', (105, 111)) ('breast', 'Disease', (120, 126)) ('CTLA-4', 'Gene', (9, 15)) ('colon cancers', 'Phenotype', 'HP:0003003', (149, 162)) ('melanoma', 'Phenotype', 'HP:0002861', (128, 136)) ('cancers', 'Phenotype', 'HP:0002664', (155, 162)) ('polymorphisms', 'Var', (21, 34)) ('cancer', 'Phenotype', 'HP:0002664', (105, 111)) ('melanoma gastric and colon cancers and cervical carcinomas', 'Disease', 'MESH:D013274', (128, 186)) ('cancer', 'Disease', (155, 161)) ('cancer', 'Disease', 'MESH:D009369', (155, 161)) 24517 29682176 In regard to CTLA-4 expression, patients were divided into two groups showing low < 0.5 (n = 15 specimens) and high > 0.5 (n = 48 specimens) CTLA-4 level. ('high > 0.5', 'Var', (111, 121)) ('CTLA-4', 'MPA', (141, 147)) ('patients', 'Species', '9606', (32, 40)) 24519 29682176 In addition, atypical histological type thymoma (OS = 65.73 months) (Figure 5B) showed a significant (p = 0.0055) reduced survival respect to typical thymoma (OS = 188.22 months) confirming that high CTLA-4 expression in atypical thymoma (Figure 1D) is associated with negative prognosis. ('thymoma', 'Gene', (230, 237)) ('OS', 'Chemical', '-', (49, 51)) ('thymoma', 'Phenotype', 'HP:0100522', (40, 47)) ('reduced', 'NegReg', (114, 121)) ('CTLA-4', 'Gene', (200, 206)) ('OS', 'Chemical', '-', (159, 161)) ('thymoma', 'Phenotype', 'HP:0100522', (150, 157)) ('thymoma', 'Gene', '7063', (40, 47)) ('high', 'Var', (195, 199)) ('thymoma', 'Gene', '7063', (150, 157)) ('type thymoma', 'Disease', 'MESH:D013945', (35, 47)) ('thymoma', 'Phenotype', 'HP:0100522', (230, 237)) ('thymoma', 'Gene', (150, 157)) ('type thymoma', 'Disease', (35, 47)) ('thymoma', 'Gene', (40, 47)) ('thymoma', 'Gene', '7063', (230, 237)) 24531 29682176 In particular, single nucleotide polymorphisms (SNPs) of CTLA-4 seem to be associated with the manifestation of MG in patients with thymoma. ('associated with', 'Reg', (75, 90)) ('thymoma', 'Phenotype', 'HP:0100522', (132, 139)) ('thymoma', 'Gene', '7063', (132, 139)) ('CTLA-4', 'Gene', (57, 63)) ('thymoma', 'Gene', (132, 139)) ('single nucleotide polymorphisms', 'Var', (15, 46)) ('patients', 'Species', '9606', (118, 126)) 24532 29682176 SNPs in position 49 in patients expressing high CTLA-4 levels, in particular SNP +49 A/A and SNP +49 A/G showed a bad prognosis and reduced OS. ('+49 A/G', 'Mutation', 'rs231775', (97, 104)) ('patients', 'Species', '9606', (23, 31)) ('reduced', 'NegReg', (132, 139)) ('SNP +49 A/A', 'Var', (77, 88)) ('OS', 'Chemical', '-', (140, 142)) ('SNP +49 A/G', 'Var', (93, 104)) 24545 29682176 In a multivariate Cox proportional hazards regression model, high CTLA-4 levels both in total and atypical thymoma, as well as age > 60 and tumor dimension > 5 cm, confirm their significance as negative prognostic factor for survival. ('thymoma', 'Phenotype', 'HP:0100522', (107, 114)) ('CTLA-4', 'Gene', (66, 72)) ('thymoma', 'Gene', '7063', (107, 114)) ('high', 'Var', (61, 65)) ('tumor', 'Disease', 'MESH:D009369', (140, 145)) ('thymoma', 'Gene', (107, 114)) ('tumor', 'Phenotype', 'HP:0002664', (140, 145)) ('negative', 'NegReg', (194, 202)) ('tumor', 'Disease', (140, 145)) 24550 29682176 The presence of Treg in tumor microenvironment has been associated with poor outcomes in patients with cancers. ('tumor', 'Phenotype', 'HP:0002664', (24, 29)) ('cancers', 'Disease', 'MESH:D009369', (103, 110)) ('cancer', 'Phenotype', 'HP:0002664', (103, 109)) ('tumor', 'Disease', (24, 29)) ('patients', 'Species', '9606', (89, 97)) ('cancers', 'Phenotype', 'HP:0002664', (103, 110)) ('presence', 'Var', (4, 12)) ('tumor', 'Disease', 'MESH:D009369', (24, 29)) ('cancers', 'Disease', (103, 110)) 24564 29682176 Regarding the use of IPI, thymoma patients showing high CTLA-4 expression could be benefit of immunotherapy with IPI. ('CTLA-4', 'Gene', (56, 62)) ('thymoma', 'Phenotype', 'HP:0100522', (26, 33)) ('IPI', 'Chemical', 'MESH:D000074324', (113, 116)) ('expression', 'MPA', (63, 73)) ('IPI', 'Chemical', 'MESH:D000074324', (21, 24)) ('thymoma', 'Gene', '7063', (26, 33)) ('high', 'Var', (51, 55)) ('patients', 'Species', '9606', (34, 42)) ('thymoma', 'Gene', (26, 33)) 24595 29682176 CTLA-4 Cytotoxic T lymphocyte antigen 4 OS Overall Survival MG Myasthenia Gravis Teff effector T cells Treg regulatory T cells PBMCs Peripheral Blood Mononuclear Cells PMA Phorbol 12-Myristate 13-acetate qRT-PCR Quantitative real time polymerase chain reaction TILs Tumor-infiltrating Leukocytes IHC Immunohystochemistry mAB Monoclonal Antibody TETs Thymic Epithelial Tumors SNPs Single Nucleotide Polymorphisms NPC Nasopharyngeal Carcinoma IPI Ipilimumab H&E Hematoxylin Eosin ('H&E', 'Chemical', '-', (456, 459)) ('Carcinoma', 'Disease', (431, 440)) ('IPI', 'Chemical', 'MESH:D000074324', (441, 444)) ('Carcinoma', 'Disease', 'MESH:D002277', (431, 440)) ('Hematoxylin Eosin', 'Chemical', '-', (460, 477)) ('OS', 'Chemical', '-', (40, 42)) ('PMA', 'Chemical', 'MESH:D013755', (168, 171)) ('NPC', 'Disease', 'MESH:D052556', (412, 415)) ('Single Nucleotide Polymorphisms', 'Var', (380, 411)) ('Tumor', 'Phenotype', 'HP:0002664', (368, 373)) ('NPC', 'Phenotype', 'HP:0100630', (412, 415)) ('Myasthenia', 'Phenotype', 'HP:0003473', (63, 73)) ('Tumor', 'Phenotype', 'HP:0002664', (266, 271)) ('Tumors', 'Phenotype', 'HP:0002664', (368, 374)) ('Epithelial Tumors', 'Disease', (357, 374)) ('Phorbol 12-Myristate 13-acetate', 'Chemical', 'MESH:D013755', (172, 203)) ('Cytotoxic', 'Disease', (7, 16)) ('Carcinoma', 'Phenotype', 'HP:0030731', (431, 440)) ('NPC', 'Disease', (412, 415)) ('Myasthenia Gravis', 'Disease', (63, 80)) ('Ipilimumab', 'Chemical', 'MESH:D000074324', (445, 455)) ('Cytotoxic', 'Disease', 'MESH:D064420', (7, 16)) ('Nasopharyngeal Carcinoma', 'Phenotype', 'HP:0100630', (416, 440)) ('Epithelial Tumors', 'Disease', 'MESH:D002277', (357, 374)) ('Myasthenia Gravis', 'Disease', 'MESH:D009157', (63, 80)) 24662 27832160 Detection was performed using 2 step Mach 3 Mouse HRP Polymer Detection (Biocare M3M530L, Biocare, Concord, CA, USA) 20/20 minutes. ('Biocare', 'Var', (73, 80)) ('M3M530L', 'Var', (81, 88)) ('Mouse', 'Species', '10090', (44, 49)) 24674 27832160 The collagens CO1A1, CO1A2, CO3A1, CO5A1, CO6A1, CO6A2 and CO6A3 were distinguished by 17, 18, 7, 2, 20, 24 and 97 unique peptides respectively. ('CO6A1', 'Var', (42, 47)) ('CO6A3', 'Var', (59, 64)) ('CO6A2', 'Var', (49, 54)) ('peptides', 'Chemical', 'MESH:D010455', (122, 130)) 24735 27832160 The loss of CD3E leads to absence of mature double and single positive thymocytes implicating its role in pre-TCR development. ('absence', 'NegReg', (26, 33)) ('CD3E', 'Gene', (12, 16)) ('CD3E', 'Gene', '916', (12, 16)) ('loss', 'Var', (4, 8)) 24744 27832160 High levels of stathmin have been associated with poor prognosis in multiple cancer types and resistance to drugs stabilizing microtubules, such as taxane. ('resistance', 'MPA', (94, 104)) ('associated', 'Reg', (34, 44)) ('cancer', 'Disease', (77, 83)) ('taxane', 'Chemical', 'MESH:C080625', (148, 154)) ('High levels', 'Var', (0, 11)) ('cancer', 'Disease', 'MESH:D009369', (77, 83)) ('stathmin', 'Gene', (15, 23)) ('stathmin', 'Gene', '3925', (15, 23)) ('cancer', 'Phenotype', 'HP:0002664', (77, 83)) 24745 27832160 Furthermore, depletion of stathmin leads to cell cycle arrest in the G2 phase and apoptosis. ('apoptosis', 'CPA', (82, 91)) ('cell cycle arrest in the G2 phase', 'CPA', (44, 77)) ('depletion', 'Var', (13, 22)) ('cell cycle arrest', 'Phenotype', 'HP:0011018', (44, 61)) ('stathmin', 'Gene', '3925', (26, 34)) ('stathmin', 'Gene', (26, 34)) 24812 25364773 Screening of serum for classic paraneoplastic autoantibodies by Western blot (Euroimmun, Lubeck, Germany) and autoimmune encephalitis autoantibodies by cell-based assays (Euroimmun) showed positivity for anti-Hu, anti-CV2, and anti-GABAB receptor but negativity for anti-Ri, anti-Yo, anti-Ma2/Ta, anti-amphiphysin, anti-LGI1, anti-CASPR2, anti-NMDAR, anti-GAD, anti-glycine receptor, anti-AQP4, anti-AChR (tested with the most sensitive radioimunnoassay), and anti-MuSK. ('anti-glycine', 'Var', (361, 373)) ('CASPR2', 'Gene', '26047', (331, 337)) ('AQP4', 'Gene', (389, 393)) ('CV2', 'Gene', (218, 221)) ('GAD', 'Gene', (356, 359)) ('paraneoplastic', 'Disease', 'MESH:D010257', (31, 45)) ('CV2', 'Gene', '168667', (218, 221)) ('LGI1', 'Gene', (320, 324)) ('AQP4', 'Gene', '361', (389, 393)) ('autoimmune encephalitis', 'Disease', 'MESH:C535841', (110, 133)) ('autoimmune encephalitis', 'Disease', (110, 133)) ('Ma2', 'Gene', (289, 292)) ('GAD', 'Gene', '2571', (356, 359)) ('man', 'Species', '9606', (100, 103)) ('LGI1', 'Gene', '9211', (320, 324)) ('paraneoplastic', 'Disease', (31, 45)) ('anti-NMDAR', 'Var', (339, 349)) ('anti-AChR', 'Var', (395, 404)) ('Ma2', 'Gene', '10687', (289, 292)) ('CASPR2', 'Gene', (331, 337)) ('GABAB', 'Chemical', '-', (232, 237)) ('encephalitis', 'Phenotype', 'HP:0002383', (121, 133)) 24826 25364773 It is also the first case associated with thymoma and co-occurrence with 2 other paraneoplastic antibodies, namely anti-Hu and anti-CV2. ('paraneoplastic', 'Disease', 'MESH:D010257', (81, 95)) ('CV2', 'Gene', '168667', (132, 135)) ('CV2', 'Gene', (132, 135)) ('paraneoplastic', 'Disease', (81, 95)) ('thymoma', 'Disease', 'MESH:D013945', (42, 49)) ('thymoma', 'Disease', (42, 49)) ('thymoma', 'Phenotype', 'HP:0100522', (42, 49)) ('anti-Hu', 'Var', (115, 122)) ('associated', 'Reg', (26, 36)) 24829 25364773 In our case, the rapid response to plasmapheresis after symptom reoccurrence strongly suggests (although does not prove) that the main causative factor was humoral immunity associated with GABAB antibodies rather than T-cell immunity implicated in CV2 and Hu paraneoplastic syndromes. ('CV2', 'Gene', (248, 251)) ('GABAB', 'Chemical', '-', (189, 194)) ('antibodies', 'Var', (195, 205)) ('Hu paraneoplastic syndromes', 'Disease', (256, 283)) ('Hu paraneoplastic syndromes', 'Disease', 'MESH:D010257', (256, 283)) ('CV2', 'Gene', '168667', (248, 251)) 24862 19946549 Autoantibody-mediated destruction of nicotinic acetylcholine receptors at the neuromuscular junction causes sporadic skeletal muscle weakness. ('causes', 'Reg', (101, 107)) ('muscle weakness', 'Disease', (126, 141)) ('nicotinic acetylcholine receptors', 'Protein', (37, 70)) ('muscle weakness', 'Phenotype', 'HP:0001324', (126, 141)) ('muscle weakness', 'Disease', 'MESH:D018908', (126, 141)) ('destruction', 'Var', (22, 33)) 24922 19946549 In some patients with this condition, the presence of voltage-gated potassium channel antibodies is also associated with other symptoms of autonomic dysfunction including somnolence, sweating, hypersalivation and appetite alteration. ('sweating', 'Disease', (183, 191)) ('hypersalivation', 'Disease', (193, 208)) ('appetite alteration', 'Disease', (213, 232)) ('somnolence', 'Disease', (171, 181)) ('somnolence', 'Disease', 'MESH:D006970', (171, 181)) ('hypersalivation', 'Disease', 'MESH:D012798', (193, 208)) ('autonomic dysfunction', 'Disease', 'MESH:D001342', (139, 160)) ('autonomic dysfunction', 'Disease', (139, 160)) ('hypersalivation', 'Phenotype', 'HP:0003781', (193, 208)) ('sweating', 'Phenotype', 'HP:0000975', (183, 191)) ('autonomic dysfunction', 'Phenotype', 'HP:0012332', (139, 160)) ('antibodies', 'Var', (86, 96)) ('associated', 'Reg', (105, 115)) ('voltage-gated potassium channel', 'Protein', (54, 85)) ('presence', 'Var', (42, 50)) ('patients', 'Species', '9606', (8, 16)) 24977 28392652 The pathogenesis of oral lesions in PNP remains unclear, but the presence of autoantibodies against Dsg3 and/or cell-mediated immune responses may play a role in damaging mucosal epithelia. ('Dsg3', 'Gene', (100, 104)) ('presence', 'Var', (65, 73)) ('oral lesions', 'Phenotype', 'HP:0100649', (20, 32)) ('autoantibodies', 'Var', (77, 91)) ('damaging mucosal epithelia', 'Disease', 'MESH:D009059', (162, 188)) ('PNP', 'Disease', (36, 39)) ('Dsg3', 'Gene', '1830', (100, 104)) ('damaging mucosal epithelia', 'Disease', (162, 188)) 24998 25382196 According to the histological and immunohistochemical results, from WHO pathological classification perspective there were 11 (5.1%) patients of type A, 47 (21.8%) of type AB, 38 (17.6%) of type B1, 43 (19.9%) of type B2, 21 (9.7%) of type B3, and 56 (25.9%) of thymic carcinoma (Supplementary Table 2). ('thymic carcinoma', 'Disease', 'MESH:D013945', (262, 278)) ('B2, 21', 'Gene', '28907;9267', (218, 224)) ('B1, 43', 'Gene', '28905', (195, 201)) ('carcinoma', 'Phenotype', 'HP:0030731', (269, 278)) ('patients', 'Species', '9606', (133, 141)) ('type AB', 'Var', (167, 174)) ('thymic carcinoma', 'Disease', (262, 278)) 25110 26543766 Hereditary HNPGLs are mostly caused by mutations of the SDHD gene, but SDHB and SDHC mutations are not uncommon in such patients. ('SDHD', 'Gene', (56, 60)) ('SDHD', 'Gene', '6392', (56, 60)) ('caused by', 'Reg', (29, 38)) ('PGLs', 'Phenotype', 'HP:0002668', (13, 17)) ('SDHB', 'Gene', '6390', (71, 75)) ('mutations', 'Var', (39, 48)) ('SDHB', 'Gene', (71, 75)) ('SDHC', 'Gene', (80, 84)) ('patients', 'Species', '9606', (120, 128)) ('HNPGLs', 'Phenotype', 'HP:0002864', (11, 17)) ('SDHC', 'Gene', '6391', (80, 84)) ('Hereditary HNPGLs', 'Disease', (0, 17)) 25111 26543766 Multiple head and neck paragangliomas are common in patients with SDHD mutations, while malignant head and neck paraganglioma is mostly seen in patients with SDHB mutations (Burnichon et al. ('SDHB', 'Gene', '6390', (158, 162)) ('head and neck paraganglioma', 'Phenotype', 'HP:0002864', (98, 125)) ('paragangliomas', 'Phenotype', 'HP:0002668', (23, 37)) ('SDHD', 'Gene', (66, 70)) ('paraganglioma', 'Phenotype', 'HP:0002668', (23, 36)) ('head and neck paraganglioma', 'Phenotype', 'HP:0002864', (9, 36)) ('mutations', 'Var', (71, 80)) ('neck paragangliomas', 'Disease', (18, 37)) ('SDHB', 'Gene', (158, 162)) ('common', 'Reg', (42, 48)) ('patients', 'Species', '9606', (52, 60)) ('neck paraganglioma', 'Disease', 'MESH:D010235', (18, 36)) ('neck paraganglioma', 'Disease', (107, 125)) ('neck paraganglioma', 'Disease', 'MESH:D010235', (107, 125)) ('head and neck paragangliomas', 'Phenotype', 'HP:0002864', (9, 37)) ('neck paragangliomas', 'Disease', 'MESH:D010235', (18, 37)) ('patients', 'Species', '9606', (144, 152)) ('neck paragangliomas', 'Phenotype', 'HP:0002864', (18, 37)) ('SDHD', 'Gene', '6392', (66, 70)) ('paraganglioma', 'Phenotype', 'HP:0002668', (112, 125)) 25174 26543766 Recurrent genetic alterations have so far been reported for thymomas as well as for thymic squamous cell carcinoma. ('genetic alterations', 'Var', (10, 29)) ('thymoma', 'Phenotype', 'HP:0100522', (60, 67)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (91, 114)) ('carcinoma', 'Phenotype', 'HP:0030731', (105, 114)) ('squamous cell carcinoma', 'Disease', (91, 114)) ('thymomas', 'Disease', 'MESH:D013945', (60, 68)) ('thymomas', 'Disease', (60, 68)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (91, 114)) ('reported', 'Reg', (47, 55)) 25175 26543766 Deletions of chromosome 6p are reported with type A thymoma and gains of chromosome 1q and losses of chromosomes 6 and 13q are reported with type B3 thymomas (Zettl et al.). ('thymoma', 'Phenotype', 'HP:0100522', (149, 156)) ('thymoma', 'Phenotype', 'HP:0100522', (52, 59)) ('type B3 thymomas', 'Disease', 'MESH:D013945', (141, 157)) ('type A thymoma', 'Disease', (45, 59)) ('losses', 'NegReg', (91, 97)) ('type A thymoma', 'Disease', 'MESH:D013945', (45, 59)) ('gains', 'PosReg', (64, 69)) ('type B3 thymomas', 'Disease', (141, 157)) ('Deletions', 'Var', (0, 9)) 25179 26543766 Only 2 % of PGLs are found in the mediastinum and are associated with germ line mutations in either SDHB or SDHD. ('PGLs', 'Phenotype', 'HP:0002668', (12, 16)) ('mutations', 'Var', (80, 89)) ('SDHD', 'Gene', (108, 112)) ('SDHB', 'Gene', '6390', (100, 104)) ('SDHB', 'Gene', (100, 104)) ('associated', 'Reg', (54, 64)) ('SDHD', 'Gene', '6392', (108, 112)) 25183 26543766 Mutations in the genes encoding succinate dehydrogenase (SDH) subunits B, C, and D cause extra-adrenal PGLs. ('SDH', 'Gene', (57, 60)) ('extra-adrenal PGLs', 'Disease', (89, 107)) ('Mutations', 'Var', (0, 9)) ('cause', 'Reg', (83, 88)) ('PGLs', 'Phenotype', 'HP:0002668', (103, 107)) ('succinate dehydrogenase', 'Gene', '6390', (32, 55)) ('SDH', 'Gene', '6390', (57, 60)) ('succinate dehydrogenase', 'Gene', (32, 55)) 25203 25000259 ASXL1 and DNMT3A mutation in a cytogenetically normal B3 thymoma The molecular drivers of thymoma are poorly understood. ('thymoma', 'Disease', 'MESH:D013945', (57, 64)) ('thymoma', 'Disease', (57, 64)) ('ASXL1', 'Gene', '171023', (0, 5)) ('mutation', 'Var', (17, 25)) ('thymoma', 'Phenotype', 'HP:0100522', (57, 64)) ('thymoma', 'Disease', 'MESH:D013945', (90, 97)) ('thymoma', 'Disease', (90, 97)) ('ASXL1', 'Gene', (0, 5)) ('DNMT3A', 'Gene', (10, 16)) ('DNMT3A', 'Gene', '1788', (10, 16)) ('thymoma', 'Phenotype', 'HP:0100522', (90, 97)) 25204 25000259 Outside of the identification of rarely occurring epidermal growth factor receptor and v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog mutations via candidate gene sequencing, mutations in common cancer genes have yet to be observed. ('mutations', 'Var', (149, 158)) ('epidermal growth factor receptor', 'Gene', '1956', (50, 82)) ('cancer', 'Phenotype', 'HP:0002664', (210, 216)) ('sarcoma', 'Phenotype', 'HP:0100242', (118, 125)) ('sarcoma viral', 'Disease', 'MESH:D001102', (118, 131)) ('cancer', 'Disease', 'MESH:D009369', (210, 216)) ('epidermal growth factor receptor', 'Gene', (50, 82)) ('sarcoma viral', 'Disease', (118, 131)) ('cancer', 'Disease', (210, 216)) 25206 25000259 Thus, we attempted to identify somatic driver mutations in a cytogenetically normal thymoma. ('thymoma', 'Disease', 'MESH:D013945', (84, 91)) ('thymoma', 'Phenotype', 'HP:0100522', (84, 91)) ('mutations', 'Var', (46, 55)) ('thymoma', 'Disease', (84, 91)) 25208 25000259 Mutations in known tumor suppressors DNMT3A (p.G728D) and ASXL1 (p.E657fs), consistent with mutations of known consequence in acute myeloid leukemia, were identified. ('acute myeloid leukemia', 'Phenotype', 'HP:0004808', (126, 148)) ('DNMT3A', 'Gene', (37, 43)) ('DNMT3A', 'Gene', '1788', (37, 43)) ('p.G728D', 'Mutation', 'p.G728D', (45, 52)) ('tumor', 'Disease', 'MESH:D009369', (19, 24)) ('leukemia', 'Phenotype', 'HP:0001909', (140, 148)) ('p.E657fs', 'Mutation', 'p.E657fsX', (65, 73)) ('tumor', 'Phenotype', 'HP:0002664', (19, 24)) ('ASXL1', 'Gene', '171023', (58, 63)) ('acute myeloid leukemia', 'Disease', (126, 148)) ('tumor', 'Disease', (19, 24)) ('p.E657fs', 'Var', (65, 73)) ('myeloid leukemia', 'Phenotype', 'HP:0012324', (132, 148)) ('p.G728D', 'Var', (45, 52)) ('ASXL1', 'Gene', (58, 63)) ('acute myeloid leukemia', 'Disease', 'MESH:D015470', (126, 148)) 25219 25000259 Amplifications and rare activating mutations of EGFR and overexpression of HER2, KIT, BCL2 and TP53, as well as loss of CDKN2A have been previously described. ('overexpression', 'PosReg', (57, 71)) ('EGFR', 'Gene', '1956', (48, 52)) ('activating', 'PosReg', (24, 34)) ('CDKN2A', 'Gene', (120, 126)) ('BCL2', 'Gene', '596', (86, 90)) ('HER2', 'Gene', (75, 79)) ('EGFR', 'Gene', (48, 52)) ('KIT', 'Gene', (81, 84)) ('CDKN2A', 'Gene', '1029', (120, 126)) ('loss', 'NegReg', (112, 116)) ('Amplifications', 'Var', (0, 14)) ('HER2', 'Gene', '2064', (75, 79)) ('BCL2', 'Gene', (86, 90)) ('TP53', 'Gene', '7157', (95, 99)) ('TP53', 'Gene', (95, 99)) 25225 25000259 In this article, we report the identification of DNMT3A and ASXL1 mutations in a cytogenetically normal stage IVB type B3 thymoma. ('mutations', 'Var', (66, 75)) ('ASXL1', 'Gene', '171023', (60, 65)) ('thymoma', 'Disease', 'MESH:D013945', (122, 129)) ('thymoma', 'Disease', (122, 129)) ('ASXL1', 'Gene', (60, 65)) ('thymoma', 'Phenotype', 'HP:0100522', (122, 129)) ('DNMT3A', 'Gene', (49, 55)) ('DNMT3A', 'Gene', '1788', (49, 55)) 25226 25000259 This is the first identification of driver point mutations in B3 thymoma and suggests that further genomic profiling of cytogenetically normal B3 thymomas may reveal the specific molecular drivers of this tumor type. ('thymoma', 'Phenotype', 'HP:0100522', (146, 153)) ('point mutations', 'Var', (43, 58)) ('tumor', 'Disease', 'MESH:D009369', (205, 210)) ('thymoma', 'Disease', 'MESH:D013945', (65, 72)) ('thymomas', 'Disease', (146, 154)) ('thymomas', 'Disease', 'MESH:D013945', (146, 154)) ('thymoma', 'Disease', 'MESH:D013945', (146, 153)) ('tumor', 'Phenotype', 'HP:0002664', (205, 210)) ('tumor', 'Disease', (205, 210)) ('thymoma', 'Disease', (65, 72)) ('thymoma', 'Phenotype', 'HP:0100522', (65, 72)) ('thymoma', 'Disease', (146, 153)) 25242 25000259 Sixteen copy number gains, 1 copy number loss (Table 2) and 6 structural variants (Table 3) were also observed. ('copy number loss', 'Disease', (29, 45)) ('copy number loss', 'Disease', 'MESH:D016388', (29, 45)) ('copy number', 'Var', (8, 19)) ('gains', 'PosReg', (20, 25)) 25246 25000259 Fourteen nonsynonymous, 1 nonsense and 2 frameshift somatic mutations were observed in the tumor (Table 1). ('tumor', 'Disease', 'MESH:D009369', (91, 96)) ('nonsynonymous', 'Var', (9, 22)) ('tumor', 'Phenotype', 'HP:0002664', (91, 96)) ('nonsense', 'Var', (26, 34)) ('frameshift somatic mutations', 'Var', (41, 69)) ('tumor', 'Disease', (91, 96)) 25247 25000259 Of these mutations, four stood out with clear functional relevance:frameshift mutations in FAM193A and ASXL1, a nonsense mutation in GRM5, and a nonsynonymous mutation in DNMT3A. ('ASXL1', 'Gene', (103, 108)) ('GRM5', 'Gene', (133, 137)) ('DNMT3A', 'Gene', (171, 177)) ('DNMT3A', 'Gene', '1788', (171, 177)) ('FAM193A', 'Gene', (91, 98)) ('frameshift mutations', 'Var', (67, 87)) ('FAM193A', 'Gene', '8603', (91, 98)) ('ASXL1', 'Gene', '171023', (103, 108)) ('GRM5', 'Gene', '2915', (133, 137)) 25248 25000259 Although the mutations in FAM193A and GRM5 clearly impact protein function, the relevance of these mutations to tumorigenesis is not immediately apparent. ('GRM5', 'Gene', '2915', (38, 42)) ('tumor', 'Disease', 'MESH:D009369', (112, 117)) ('GRM5', 'Gene', (38, 42)) ('tumor', 'Phenotype', 'HP:0002664', (112, 117)) ('FAM193A', 'Gene', (26, 33)) ('FAM193A', 'Gene', '8603', (26, 33)) ('protein function', 'MPA', (58, 74)) ('tumor', 'Disease', (112, 117)) ('mutations', 'Var', (13, 22)) ('impact', 'Reg', (51, 57)) 25249 25000259 On the other hand, the somatic mutations in DNMT3A and ASXL1 are of the type previously observed in other tumor types and expected to contribute to tumorigenesis. ('mutations', 'Var', (31, 40)) ('tumor', 'Phenotype', 'HP:0002664', (148, 153)) ('DNMT3A', 'Gene', (44, 50)) ('ASXL1', 'Gene', (55, 60)) ('DNMT3A', 'Gene', '1788', (44, 50)) ('tumor', 'Disease', (148, 153)) ('contribute', 'Reg', (134, 144)) ('tumor', 'Disease', 'MESH:D009369', (106, 111)) ('tumor', 'Phenotype', 'HP:0002664', (106, 111)) ('ASXL1', 'Gene', '171023', (55, 60)) ('tumor', 'Disease', 'MESH:D009369', (148, 153)) ('tumor', 'Disease', (106, 111)) 25252 25000259 The nonsynonymous mutation observed in this thymoma sample leads to a nonconservative substitution of aspartate for glycine at amino-acid 728 (p.G728D) within the DNA methylase domain of DNMT3A. ('DNMT3A', 'Gene', (187, 193)) ('p.G728D', 'Mutation', 'p.G728D', (143, 150)) ('thymoma', 'Disease', (44, 51)) ('DNMT3A', 'Gene', '1788', (187, 193)) ('glycine', 'Chemical', 'MESH:D005998', (116, 123)) ('leads to', 'Reg', (59, 67)) ('thymoma', 'Phenotype', 'HP:0100522', (44, 51)) ('aspartate', 'Chemical', 'MESH:D001224', (102, 111)) ('p.G728D', 'Var', (143, 150)) ('thymoma', 'Disease', 'MESH:D013945', (44, 51)) 25253 25000259 This region is known to be responsible for the hydrophobic interaction between DNMT3A and its regulatory subunit DNMT3L, an interaction that is required for activation of DNMT3A methyltransferase activity and previously shown to be disrupted by mutations in this region. ('DNMT3L', 'Gene', (113, 119)) ('DNMT3L', 'Gene', '29947', (113, 119)) ('mutations', 'Var', (245, 254)) ('DNMT3A', 'Gene', (171, 177)) ('DNMT3A', 'Gene', '1788', (171, 177)) ('hydrophobic interaction', 'MPA', (47, 70)) ('responsible', 'Reg', (27, 38)) ('DNMT3A', 'Gene', (79, 85)) ('DNMT3A', 'Gene', '1788', (79, 85)) ('activity', 'MPA', (196, 204)) 25255 25000259 Strikingly and unusually, this somatic mutation was observed in homozygous state in the tumor: 61 of 62 (98.4%) exome sequencing reads from the tumor supported the mutation, 0 of 41 (0%) of exome sequencing reads from the normal sample supported the mutation, the homozygous state was confirmed via Sanger sequencing (Figure 2, inset), and no evidence for loss of heterozygosity was observed in the exome or low-pass whole-genome sequencing data. ('tumor', 'Disease', (144, 149)) ('tumor', 'Disease', 'MESH:D009369', (88, 93)) ('mutation', 'Var', (164, 172)) ('tumor', 'Phenotype', 'HP:0002664', (88, 93)) ('tumor', 'Disease', 'MESH:D009369', (144, 149)) ('tumor', 'Phenotype', 'HP:0002664', (144, 149)) ('tumor', 'Disease', (88, 93)) 25257 25000259 Finally, a previously sequenced AML, reported by Hou et al., carried a mutation at this position (p.G728R) and at a nearby position (p.F731L), supporting the notion that homozygous or compound heterozygous mutations at the DNMT3A:DNMT3L interface are required to effectively disrupt methyltransferase activity. ('p.F731L', 'Var', (133, 140)) ('AML', 'Disease', 'MESH:D015470', (32, 35)) ('disrupt', 'NegReg', (275, 282)) ('p.G728R', 'Mutation', 'p.G728R', (98, 105)) ('DNMT3L', 'Gene', (230, 236)) ('p.F731L', 'Mutation', 'rs143019657', (133, 140)) ('methyltransferase', 'Enzyme', (283, 300)) ('AML', 'Phenotype', 'HP:0004808', (32, 35)) ('AML', 'Disease', (32, 35)) ('DNMT3L', 'Gene', '29947', (230, 236)) ('DNMT3A', 'Gene', (223, 229)) ('DNMT3A', 'Gene', '1788', (223, 229)) ('p.G728R', 'Var', (98, 105)) ('activity', 'MPA', (301, 309)) 25258 25000259 Thus, the type, location and unusual zygosity of this somatic mutation strongly suggest mutations in DNMT3A have a causal role in the etiology of thymoma. ('causal role', 'Reg', (115, 126)) ('thymoma', 'Phenotype', 'HP:0100522', (146, 153)) ('DNMT3A', 'Gene', (101, 107)) ('DNMT3A', 'Gene', '1788', (101, 107)) ('mutations', 'Var', (88, 97)) ('thymoma', 'Disease', 'MESH:D013945', (146, 153)) ('thymoma', 'Disease', (146, 153)) 25261 25000259 The heterozygous deletion of a single guanine nucleotide within exon 12 of ASXL1 leads to out-of-frame translation beginning at codon 657 and premature truncation of the protein, removing >50% of the protein including the PHD domain responsible from histone interactions. ('removing', 'NegReg', (179, 187)) ('ASXL1', 'Gene', '171023', (75, 80)) ('ASXL1', 'Gene', (75, 80)) ('guanine nucleotide', 'Chemical', 'MESH:D006150', (38, 56)) ('out-of-frame translation', 'MPA', (90, 114)) ('protein', 'Protein', (200, 207)) ('deletion', 'Var', (17, 25)) ('truncation', 'MPA', (152, 162)) 25262 25000259 Similar heterozygous C-terminal truncations are sufficient to induce myelodysplastic syndrome. ('myelodysplastic syndrome', 'Phenotype', 'HP:0002863', (69, 93)) ('induce', 'Reg', (62, 68)) ('C-terminal', 'Var', (21, 31)) ('myelodysplastic syndrome', 'Disease', (69, 93)) ('myelodysplastic syndrome', 'Disease', 'MESH:D009190', (69, 93)) 25263 25000259 Previously observed frameshift or nonsense mutations in ASXL1 across numerous tumor types catalogued in The Cancer Genome Atlas (TCGA) have been observed both upstream and downstream of amino-acid 657, with the highest concentration centered at position 657 (Figure 3). ('ASXL1', 'Gene', (56, 61)) ('numerous tumor', 'Disease', 'MESH:D009369', (69, 83)) ('tumor', 'Phenotype', 'HP:0002664', (78, 83)) ('amino-acid', 'Var', (186, 196)) ('numerous tumor', 'Disease', (69, 83)) ('frameshift', 'Var', (20, 30)) ('Cancer Genome Atlas', 'Disease', 'MESH:D009369', (108, 127)) ('Cancer Genome Atlas', 'Disease', (108, 127)) ('ASXL1', 'Gene', '171023', (56, 61)) ('nonsense mutations', 'Var', (34, 52)) ('Cancer', 'Phenotype', 'HP:0002664', (108, 114)) 25264 25000259 In fact, the majority of previously observed ASXL1 mutations occur in the same exon as this mutation, exon 12. ('ASXL1', 'Gene', '171023', (45, 50)) ('ASXL1', 'Gene', (45, 50)) ('mutations', 'Var', (51, 60)) 25265 25000259 Thus, both the type and location of this somatic mutation strongly suggests mutations in ASXL1 have a causal role in the etiology of thymomas. ('mutations', 'Var', (76, 85)) ('thymoma', 'Phenotype', 'HP:0100522', (133, 140)) ('ASXL1', 'Gene', '171023', (89, 94)) ('ASXL1', 'Gene', (89, 94)) ('thymomas', 'Disease', (133, 141)) ('thymomas', 'Disease', 'MESH:D013945', (133, 141)) 25266 25000259 A number of focal copy number gains were observed in this tumor, the most interesting being an amplification of the HOXA cluster (see Discussion section). ('tumor', 'Phenotype', 'HP:0002664', (58, 63)) ('tumor', 'Disease', (58, 63)) ('HOXA', 'Gene', (116, 120)) ('HOXA', 'Gene', '3197', (116, 120)) ('tumor', 'Disease', 'MESH:D009369', (58, 63)) ('gains', 'PosReg', (30, 35)) ('copy number', 'Var', (18, 29)) 25268 25000259 Our results show that mutations in DNMT3A and ASXL1 have a role in the development of thymoma. ('ASXL1', 'Gene', (46, 51)) ('DNMT3A', 'Gene', '1788', (35, 41)) ('thymoma', 'Disease', 'MESH:D013945', (86, 93)) ('thymoma', 'Disease', (86, 93)) ('mutations', 'Var', (22, 31)) ('ASXL1', 'Gene', '171023', (46, 51)) ('thymoma', 'Phenotype', 'HP:0100522', (86, 93)) ('DNMT3A', 'Gene', (35, 41)) ('role', 'Reg', (59, 63)) 25271 25000259 These results are reminiscent of the preferential occurrence of driver point mutations in cytogenetically normal AML and suggests further sequencing of cytogenetically normal thymomas are fertile ground for the identification of the molecular drivers of thymic cancer. ('thymic cancer', 'Disease', 'MESH:D013953', (254, 267)) ('AML', 'Disease', 'MESH:D015470', (113, 116)) ('cancer', 'Phenotype', 'HP:0002664', (261, 267)) ('AML', 'Phenotype', 'HP:0004808', (113, 116)) ('AML', 'Disease', (113, 116)) ('thymomas', 'Disease', (175, 183)) ('thymoma', 'Phenotype', 'HP:0100522', (175, 182)) ('thymic cancer', 'Disease', (254, 267)) ('thymomas', 'Disease', 'MESH:D013945', (175, 183)) ('point mutations', 'Var', (71, 86)) 25277 25000259 The most common DNMT3A mutations in AML occur at p.R882. ('AML', 'Disease', 'MESH:D015470', (36, 39)) ('DNMT3A', 'Gene', '1788', (16, 22)) ('DNMT3A', 'Gene', (16, 22)) ('AML', 'Disease', (36, 39)) ('AML', 'Phenotype', 'HP:0004808', (36, 39)) ('mutations', 'Var', (23, 32)) ('p.R882', 'Var', (49, 55)) 25278 25000259 Mutations at this position disrupt binding at the DNMT3A:DNMT3A interface, and impact activity in dominant-negative manner, or at least reduce the odds of proper tetramer assembly by ~75% as a single mutated DNMT3A protein is sufficient to disrupt tetramer assembly. ('DNMT3A', 'Gene', (50, 56)) ('DNMT3A', 'Gene', '1788', (208, 214)) ('DNMT3A', 'Gene', '1788', (50, 56)) ('DNMT3A', 'Gene', (57, 63)) ('DNMT3A', 'Gene', '1788', (57, 63)) ('binding', 'Interaction', (35, 42)) ('tetramer assembly', 'MPA', (248, 265)) ('activity', 'MPA', (86, 94)) ('reduce', 'NegReg', (136, 142)) ('Mutations', 'Var', (0, 9)) ('impact', 'Reg', (79, 85)) ('disrupt', 'Reg', (27, 34)) ('proper tetramer assembly', 'MPA', (155, 179)) ('DNMT3A', 'Gene', (208, 214)) 25279 25000259 Alternatively, the DNMT3L:DNMT3A interface is disrupted by somatic mutations within the mutational hotspot region centered on the p.G728D mutation observed in this thymoma. ('disrupted', 'NegReg', (46, 55)) ('thymoma', 'Disease', 'MESH:D013945', (164, 171)) ('DNMT3A', 'Gene', (26, 32)) ('DNMT3L', 'Gene', '29947', (19, 25)) ('DNMT3A', 'Gene', '1788', (26, 32)) ('p.G728D', 'Var', (130, 137)) ('thymoma', 'Disease', (164, 171)) ('thymoma', 'Phenotype', 'HP:0100522', (164, 171)) ('p.G728D', 'Mutation', 'p.G728D', (130, 137)) ('DNMT3L', 'Gene', (19, 25)) 25280 25000259 Heterozygous mutations at this site may not be expected to influence activity as markedly as mutations at p.R882 as they likely allow for the formation of partially complete complexes, for example, DNMT3A:DNMT3A:DNMT3L complexes could form 50% of the time. ('DNMT3A', 'Gene', (198, 204)) ('DNMT3L', 'Gene', (212, 218)) ('mutations', 'Var', (93, 102)) ('activity', 'MPA', (69, 77)) ('DNMT3A', 'Gene', (205, 211)) ('DNMT3A', 'Gene', '1788', (198, 204)) ('DNMT3A', 'Gene', '1788', (205, 211)) ('influence', 'Reg', (59, 68)) ('DNMT3L', 'Gene', '29947', (212, 218)) ('allow', 'Reg', (128, 133)) 25281 25000259 Thus, it is notable that the p.G728D mutation was observed in homozygous state in this tumor. ('tumor', 'Phenotype', 'HP:0002664', (87, 92)) ('p.G728D', 'Var', (29, 36)) ('tumor', 'Disease', (87, 92)) ('p.G728D', 'Mutation', 'p.G728D', (29, 36)) ('tumor', 'Disease', 'MESH:D009369', (87, 92)) 25282 25000259 The second confidently identified driver mutation was a frameshift mutation in exon 12 of ASXL1. ('frameshift mutation in', 'Var', (56, 78)) ('ASXL1', 'Gene', '171023', (90, 95)) ('ASXL1', 'Gene', (90, 95)) 25283 25000259 ASXL1 is a known tumor suppressor in hematological malignancies, where the majority of frameshift and nonsense mutations are also observed in exon 12. ('frameshift', 'Var', (87, 97)) ('tumor', 'Disease', (17, 22)) ('hematological malignancies', 'Disease', 'MESH:D019337', (37, 63)) ('ASXL1', 'Gene', '171023', (0, 5)) ('hematological malignancies', 'Phenotype', 'HP:0004377', (37, 63)) ('nonsense mutations', 'Var', (102, 120)) ('ASXL1', 'Gene', (0, 5)) ('tumor', 'Disease', 'MESH:D009369', (17, 22)) ('hematological malignancies', 'Disease', (37, 63)) ('tumor', 'Phenotype', 'HP:0002664', (17, 22)) 25289 25000259 Although co-occurrence of DNMT3A and ASXL1 mutations are quite rare in epithelial and hematological malignancies, sequencing of a larger number of thymomas will be required to determine whether this co-occurrence is a happenstance of our subject selection or whether it points to a specific requirement of marked epigenetic reprogramming in the neoplastic transformation of thymic cells. ('hematological malignancies', 'Phenotype', 'HP:0004377', (86, 112)) ('DNMT3A', 'Gene', (26, 32)) ('neoplastic transformation of thymic cells', 'Phenotype', 'HP:0100521', (345, 386)) ('thymomas', 'Disease', 'MESH:D013945', (147, 155)) ('DNMT3A', 'Gene', '1788', (26, 32)) ('ASXL1', 'Gene', '171023', (37, 42)) ('ASXL1', 'Gene', (37, 42)) ('thymoma', 'Phenotype', 'HP:0100522', (147, 154)) ('mutations', 'Var', (43, 52)) ('hematological malignancies', 'Disease', (86, 112)) ('hematological malignancies', 'Disease', 'MESH:D019337', (86, 112)) ('thymomas', 'Disease', (147, 155)) 25290 25000259 The extent of DNMT3A and ASXL1 mutations in thymoma should be explored, and treatments targeting epigenetic reprogramming should be considered in the future. ('ASXL1', 'Gene', (25, 30)) ('mutations', 'Var', (31, 40)) ('thymoma', 'Disease', (44, 51)) ('thymoma', 'Disease', 'MESH:D013945', (44, 51)) ('thymoma', 'Phenotype', 'HP:0100522', (44, 51)) ('ASXL1', 'Gene', '171023', (25, 30)) ('DNMT3A', 'Gene', (14, 20)) ('DNMT3A', 'Gene', '1788', (14, 20)) 25298 25000259 Nonsynonymous, in-frame, frameshift, nonsense or canonical splice-site donor/acceptor site variants were retained for further analysis. ('donor', 'Species', '9606', (71, 76)) ('frameshift', 'Var', (25, 35)) ('nonsense', 'Var', (37, 45)) 25301 25000259 Significant windows (P-value threshold=1E-8) were stringently filtered to retain called copy number variations only where the ratio of tumor to normal reads, adjusted for the difference in total number of reads, was at least 1.5X greater for copy number gains or 0.5X lower for copy number losses. ('tumor', 'Phenotype', 'HP:0002664', (135, 140)) ('tumor', 'Disease', (135, 140)) ('lower', 'NegReg', (268, 273)) ('copy number loss', 'Disease', (278, 294)) ('gains', 'PosReg', (254, 259)) ('copy number loss', 'Disease', 'MESH:D016388', (278, 294)) ('copy number', 'Var', (242, 253)) ('tumor', 'Disease', 'MESH:D009369', (135, 140)) 25302 25000259 For structural variants, an initial set of raw candidate structural variants was called using SVDetect with at least seven reads supporting structural variant calls in the tumor sample and three reads supporting calls in the normal sample. ('tumor', 'Phenotype', 'HP:0002664', (172, 177)) ('calls', 'Reg', (159, 164)) ('structural variant', 'Var', (140, 158)) ('tumor', 'Disease', (172, 177)) ('tumor', 'Disease', 'MESH:D009369', (172, 177)) 25314 17986328 Congenital myasthenic syndromes stem from genetic mutations that result in abnormal neuromuscular transmission. ('mutations', 'Var', (50, 59)) ('Congenital myasthenic syndromes', 'Disease', (0, 31)) ('Congenital myasthenic syndromes', 'Disease', 'MESH:D020294', (0, 31)) ('abnormal neuromuscular transmission', 'Phenotype', 'HP:0003398', (75, 110)) 25364 17986328 In most cases, antibodies bind to the main immunogenic region of the alpha-subunit of the AChR, though MG patients with antibodies to MuSK exhibit clinical weakness and electrophysiologic findings that are quite similar to MG patients with AChR antibodies. ('antibodies', 'Var', (120, 130)) ('antibodies to MuSK', 'Phenotype', 'HP:0030210', (120, 138)) ('MuSK', 'Gene', '4593', (134, 138)) ('weakness', 'Disease', (156, 164)) ('MuSK', 'Gene', (134, 138)) ('AChR', 'Gene', (90, 94)) ('bind', 'Interaction', (26, 30)) ('patients', 'Species', '9606', (226, 234)) ('patients', 'Species', '9606', (106, 114)) ('weakness', 'Disease', 'MESH:D018908', (156, 164)) 25376 17986328 Edrophonium chloride temporarily improves the safety factor of neuromuscular transmission and may elicit improved strength in patients with abnormal neuromuscular transmission. ('Edrophonium', 'Var', (0, 11)) ('improves', 'PosReg', (33, 41)) ('elicit', 'Reg', (98, 104)) ('patients', 'Species', '9606', (126, 134)) ('strength', 'MPA', (114, 122)) ('Edrophonium chloride', 'Chemical', 'MESH:D004491', (0, 20)) ('improved', 'PosReg', (105, 113)) ('abnormal neuromuscular transmission', 'Phenotype', 'HP:0003398', (140, 175)) ('safety factor of neuromuscular transmission', 'MPA', (46, 89)) 25411 17986328 AChR blocking antibodies compete for the acetylcholine binding site or allosterically inhibit binding of radiolabelled alpha-bungarotoxin to the AChR. ('AChR', 'Gene', (0, 4)) ('binding', 'Interaction', (94, 101)) ('acetylcholine binding site', 'MPA', (41, 67)) ('inhibit', 'NegReg', (86, 93)) ('antibodies', 'Var', (14, 24)) ('acetylcholine', 'Chemical', 'MESH:D000109', (41, 54)) 25412 17986328 Approximately 4% of patients with negative AChR binding antibodies have an elevated AChR modulating antibody assay, and approximately 1% of patients with negative AChR binding antibodies demonstrate increased AChR blocking antibodies. ('elevated', 'PosReg', (75, 83)) ('antibodies', 'Var', (56, 66)) ('patients', 'Species', '9606', (20, 28)) ('patients', 'Species', '9606', (140, 148)) ('AChR modulating antibody assay', 'MPA', (84, 114)) ('AChR', 'Gene', (43, 47)) 25419 17986328 Antibodies to MuSK have been demonstrated recently in about one third of patients with generalized SN MG. ('SN MG', 'Disease', 'MESH:D000080343', (99, 104)) ('Antibodies', 'Var', (0, 10)) ('MuSK', 'Gene', (14, 18)) ('MuSK', 'Gene', '4593', (14, 18)) ('SN MG', 'Disease', (99, 104)) ('patients', 'Species', '9606', (73, 81)) ('Antibodies to MuSK', 'Phenotype', 'HP:0030210', (0, 18)) 25424 17986328 Patients with ryanodine antibodies may exhibit severe, treatment-resistant MG associated with malignant thymomas. ('ryanodine antibodies', 'Var', (14, 34)) ('malignant thymomas', 'Disease', 'MESH:D013945', (94, 112)) ('ryanodine', 'Chemical', 'MESH:D012433', (14, 23)) ('Patients', 'Species', '9606', (0, 8)) ('men', 'Species', '9606', (60, 63)) ('malignant thymomas', 'Phenotype', 'HP:0100697', (94, 112)) ('malignant thymomas', 'Disease', (94, 112)) ('thymoma', 'Phenotype', 'HP:0100522', (104, 111)) 25466 17986328 Occasional patients are unable to tolerate an alternating-day regimen due to mood instability, variation in MG, or difficult glycemic control in occasional diabetic patients. ('diabetic', 'Disease', (156, 164)) ('men', 'Species', '9606', (66, 69)) ('variation', 'Var', (95, 104)) ('patients', 'Species', '9606', (165, 173)) ('diabetic', 'Disease', 'MESH:D003920', (156, 164)) ('patients', 'Species', '9606', (11, 19)) 25513 17986328 The most common cyclosporine interactions and potential complications include non-steroidal anti-inflammatory agents with impaired renal function, angiotensin converting enzyme inhibitors eliciting hyperkalemia, and HMG CoA reductase inhibitors precipitating cholesterol-lowering agent myopathy. ('HMG CoA reductase', 'Gene', (216, 233)) ('cholesterol', 'Chemical', 'MESH:D002784', (259, 270)) ('eliciting', 'Reg', (188, 197)) ('steroid', 'Chemical', 'MESH:D013256', (82, 89)) ('impaired renal function', 'Disease', 'MESH:D007674', (122, 145)) ('myopathy', 'Disease', 'MESH:D009135', (286, 294)) ('HMG CoA reductase', 'Gene', '3156', (216, 233)) ('hyperkalemia', 'Disease', (198, 210)) ('cyclosporine', 'Chemical', 'MESH:D016572', (16, 28)) ('impaired renal function', 'Disease', (122, 145)) ('myopathy', 'Phenotype', 'HP:0003198', (286, 294)) ('myopathy', 'Disease', (286, 294)) ('precipitating', 'Reg', (245, 258)) ('hyperkalemia', 'Disease', 'MESH:D006947', (198, 210)) ('interactions', 'Var', (29, 41)) ('hyperkalemia', 'Phenotype', 'HP:0002153', (198, 210)) 25541 17986328 High infusion rates may be associated with thrombosis and stroke. ('High', 'Var', (0, 4)) ('stroke', 'Phenotype', 'HP:0001297', (58, 64)) ('associated', 'Reg', (27, 37)) ('stroke', 'Disease', (58, 64)) ('thrombosis', 'Disease', (43, 53)) ('stroke', 'Disease', 'MESH:D020521', (58, 64)) ('thrombosis', 'Disease', 'MESH:D013927', (43, 53)) 25617 31409307 Based on the results of mass spectrometry, COL17A1 was only up-regulated in type AB, but not in type B2/B3, and had the greatest fold-change (~920X). ('up-regulated', 'PosReg', (60, 72)) ('COL17A1', 'Gene', '1308', (43, 50)) ('COL17A1', 'Gene', (43, 50)) ('type AB', 'Var', (76, 83)) 25619 31409307 The amount and the percentage of thymoma containing COL17A1 was significantly (P < 0.01) higher in type AB as compared to type B2/B3 (Fig. ('COL17A1', 'Gene', (52, 59)) ('thymoma', 'Phenotype', 'HP:0100522', (33, 40)) ('type AB', 'Var', (99, 106)) ('higher', 'PosReg', (89, 95)) ('thymoma', 'Gene', '7063', (33, 40)) ('COL17A1', 'Gene', '1308', (52, 59)) ('thymoma', 'Gene', (33, 40)) 25692 26962777 Now, extended transsternal thymectomy (ETT) is believed as the standard surgical technique, and several retrospective studies have shown that ETT contributed to the amelioration of myasthenic symptoms and may inhibit the progression of OMG to GMG. ('ETT', 'Var', (142, 145)) ('MG', 'Disease', 'MESH:D000080343', (237, 239)) ('inhibit', 'NegReg', (209, 216)) ('myasthenic symptoms', 'Disease', (181, 200)) ('myasthenic symptoms', 'Phenotype', 'HP:0003473', (181, 200)) ('myasthenic symptoms', 'Disease', 'MESH:D051271', (181, 200)) ('MG', 'Disease', 'MESH:D000080343', (244, 246)) ('amelioration', 'PosReg', (165, 177)) 25716 26962777 A comparison of groups that did and did not experience POA indicated that the only statistically significant differences were that patients with POA were more likely to have a thymoma (P < 0.001) and an ectopic thymus (P = 0.005). ('patients', 'Species', '9606', (131, 139)) ('ectopic thymus', 'Phenotype', 'HP:0010517', (203, 217)) ('thymoma', 'Disease', 'MESH:D013945', (176, 183)) ('thymoma', 'Disease', (176, 183)) ('POA', 'Var', (145, 148)) ('thymoma', 'Phenotype', 'HP:0100522', (176, 183)) 25753 25860215 All patients showed a predominance of CD3+ T cells over CD20+ B cells, and CD4+ Th cells over CD8+ cytotoxic T cells. ('CD4', 'Gene', (75, 78)) ('CD3+', 'Var', (38, 42)) ('CD8', 'Gene', (94, 97)) ('CD20', 'Gene', (56, 60)) ('CD20', 'Gene', '54474', (56, 60)) ('CD8', 'Gene', '925', (94, 97)) ('patients', 'Species', '9606', (4, 12)) ('CD4', 'Gene', '920', (75, 78)) 25763 25860215 Good syndrome (GS) is characterized as thymoma complicated with hypogammaglobulinemia and involves various immunodeficient conditions including depleted B cells, reduced T cells, and inversion of the CD4/CD8 ratio. ('reduced', 'NegReg', (162, 169)) ('Good syndrome', 'Disease', (0, 13)) ('hypogammaglobulinemia', 'Disease', 'MESH:D000361', (64, 85)) ('inversion', 'Var', (183, 192)) ('CD8', 'Gene', '925', (204, 207)) ('hypogammaglobulinemia', 'Phenotype', 'HP:0004313', (64, 85)) ('GS', 'Disease', 'MESH:D011125', (15, 17)) ('immunodeficient', 'Disease', 'MESH:D007153', (107, 122)) ('immunodeficient', 'Disease', (107, 122)) ('CD4', 'Gene', '920', (200, 203)) ('reduced T cells', 'Phenotype', 'HP:0005403', (162, 177)) ('T cells', 'CPA', (170, 177)) ('thymoma', 'Phenotype', 'HP:0100522', (39, 46)) ('Good syndrome', 'Disease', 'MESH:D013577', (0, 13)) ('CD4', 'Gene', (200, 203)) ('thymoma', 'Gene', '7063', (39, 46)) ('hypogammaglobulinemia', 'Disease', (64, 85)) ('thymoma', 'Gene', (39, 46)) ('CD8', 'Gene', (204, 207)) 25787 25860215 The mouse monoclonal antibodies used to analyze lymphocyte subsets were anti-CD3, anti-CD20, anti-CD4 and anti-CD8 (Leu4, Leu12, Leu3a + 3b, and Leu2a, respectively; BD Bioscience, San Jose, CA). ('mouse', 'Species', '10090', (4, 9)) ('Leu4', 'Var', (116, 120)) ('CD4', 'Gene', '920', (98, 101)) ('Leu2a', 'Var', (145, 150)) ('Leu3a + 3b', 'Var', (129, 139)) ('CD20', 'Gene', '54474', (87, 91)) ('CD20', 'Gene', (87, 91)) ('Leu12', 'Var', (122, 127)) ('CD4', 'Gene', (98, 101)) ('CD8', 'Gene', (111, 114)) ('CD8', 'Gene', '925', (111, 114)) 25795 25860215 The GS patient showed diffuse infiltration of CD3+ T cells in the lamina propria, whereas CD20+ B cells were rarely seen. ('CD3+ T', 'Var', (46, 52)) ('patient', 'Species', '9606', (7, 14)) ('CD20', 'Gene', '54474', (90, 94)) ('CD20', 'Gene', (90, 94)) ('GS', 'Disease', 'MESH:D011125', (4, 6)) 25803 25860215 GS presents with thymoma complicated with hypogammaglobulinemia, few or absent B cells, abnormal CD4/CD8 ratio, CD4 T cell lymphopenia, and impaired T cell mitogenic response as first described by Good et al. ('impaired T', 'Disease', (140, 150)) ('T cell lymphopenia', 'Disease', (116, 134)) ('T cell lymphopenia', 'Disease', 'MESH:D008231', (116, 134)) ('hypogammaglobulinemia', 'Disease', 'MESH:D000361', (42, 63)) ('thymoma', 'Phenotype', 'HP:0100522', (17, 24)) ('hypogammaglobulinemia', 'Phenotype', 'HP:0004313', (42, 63)) ('GS', 'Disease', 'MESH:D011125', (0, 2)) ('thymoma', 'Gene', '7063', (17, 24)) ('lymphopenia', 'Phenotype', 'HP:0001888', (123, 134)) ('thymoma', 'Gene', (17, 24)) ('CD8', 'Gene', '925', (101, 104)) ('absent B cells', 'Phenotype', 'HP:0005365', (72, 86)) ('CD4 T cell lymphopenia', 'Phenotype', 'HP:0005407', (112, 134)) ('CD4', 'Gene', '920', (97, 100)) ('hypogammaglobulinemia', 'Disease', (42, 63)) ('CD4', 'Gene', '920', (112, 115)) ('CD4', 'Gene', (97, 100)) ('impaired T', 'Disease', 'MESH:D009422', (140, 150)) ('abnormal', 'Var', (88, 96)) ('CD4', 'Gene', (112, 115)) ('CD8', 'Gene', (101, 104)) 25811 25860215 In this study, CD3+ and CD4+ T cells were mainly distributed throughout both the connective tissue papillae and the lamina propria from both GS and OLP patients. ('CD3+', 'Var', (15, 19)) ('CD4', 'Gene', (24, 27)) ('CD4', 'Gene', '920', (24, 27)) ('patients', 'Species', '9606', (152, 160)) ('GS', 'Disease', 'MESH:D011125', (141, 143)) 25822 15974803 The Ews-ERG Fusion Protein Can Initiate Neoplasia from Lineage-Committed Haematopoietic Cells The EWS-ERG fusion protein is found in human sarcomas with the chromosomal translocation t(21;22)(q22;q12), where the translocation is considered to be an initiating event in sarcoma formation within uncommitted mesenchymal cells, probably long-lived progenitors capable of self renewal. ('ERG', 'Gene', (102, 105)) ('sarcoma', 'Disease', (269, 276)) ('Ews', 'Gene', (4, 7)) ('sarcoma', 'Phenotype', 'HP:0100242', (269, 276)) ('Neoplasia', 'Disease', 'MESH:D009369', (40, 49)) ('human', 'Species', '9606', (133, 138)) ('ERG', 'Gene', '13876', (8, 11)) ('sarcoma', 'Disease', 'MESH:D012509', (139, 146)) ('sarcomas', 'Disease', 'MESH:D012509', (139, 147)) ('sarcomas', 'Phenotype', 'HP:0100242', (139, 147)) ('ERG', 'Gene', (8, 11)) ('sarcoma', 'Disease', (139, 146)) ('sarcomas', 'Disease', (139, 147)) ('t(21;22)(q22;q12', 'Var', (183, 199)) ('t(21;22)(q22;q12)', 'STRUCTURAL_ABNORMALITY', 'None', (183, 200)) ('Neoplasia', 'Phenotype', 'HP:0002664', (40, 49)) ('Neoplasia', 'Disease', (40, 49)) ('ERG', 'Gene', '13876', (102, 105)) ('Ews', 'Gene', '14030', (4, 7)) ('sarcoma', 'Phenotype', 'HP:0100242', (139, 146)) ('sarcoma', 'Disease', 'MESH:D012509', (269, 276)) 25826 15974803 This conditional Ews gene fusion model of tumourigenesis shows that Ews-ERG can cause haematopoietic tumours and the precursor cells are committed cells. ('tumour', 'Phenotype', 'HP:0002664', (42, 48)) ('tumour', 'Disease', (101, 107)) ('tumour', 'Disease', 'MESH:D009369', (42, 48)) ('haematopoietic tumours', 'Disease', (86, 108)) ('tumour', 'Disease', (42, 48)) ('Ews-ERG', 'Var', (68, 75)) ('tumours', 'Phenotype', 'HP:0002664', (101, 108)) ('haematopoietic tumours', 'Disease', 'MESH:D009369', (86, 108)) ('cause', 'Reg', (80, 85)) ('tumour', 'Phenotype', 'HP:0002664', (101, 107)) ('tumour', 'Disease', 'MESH:D009369', (101, 107)) 25827 15974803 Using a mouse model, these authors study the potential of a known cancer-related gene to cause tumors in cells committed to different lineages. ('tumors', 'Disease', 'MESH:D009369', (95, 101)) ('gene', 'Var', (81, 85)) ('cause', 'Reg', (89, 94)) ('cancer', 'Phenotype', 'HP:0002664', (66, 72)) ('tumors', 'Phenotype', 'HP:0002664', (95, 101)) ('mouse', 'Species', '10090', (8, 13)) ('cancer', 'Disease', 'MESH:D009369', (66, 72)) ('tumors', 'Disease', (95, 101)) ('cancer', 'Disease', (66, 72)) 25828 15974803 Chromosomal translocations are characteristic of many human cancers, and are especially well studied in leukaemias, lymphomas, and sarcomas. ('lymphomas', 'Phenotype', 'HP:0002665', (116, 125)) ('cancers', 'Phenotype', 'HP:0002664', (60, 67)) ('cancers', 'Disease', (60, 67)) ('lymphoma', 'Phenotype', 'HP:0002665', (116, 124)) ('Chromosomal translocations', 'Var', (0, 26)) ('cancers', 'Disease', 'MESH:D009369', (60, 67)) ('sarcomas', 'Disease', 'MESH:D012509', (131, 139)) ('leukaemias', 'Disease', (104, 114)) ('sarcomas', 'Phenotype', 'HP:0100242', (131, 139)) ('lymphomas', 'Disease', (116, 125)) ('sarcoma', 'Phenotype', 'HP:0100242', (131, 138)) ('sarcomas', 'Disease', (131, 139)) ('leukaemias', 'Disease', 'MESH:D007938', (104, 114)) ('lymphomas', 'Disease', 'MESH:D008223', (116, 125)) ('cancer', 'Phenotype', 'HP:0002664', (60, 66)) ('human', 'Species', '9606', (54, 59)) 25830 15974803 The main outcomes of the reciprocal translocations are either forced oncogene expression, as found in lymphoid malignancies, or gene fusion, found in both leukaemias and sarcomas. ('expression', 'MPA', (78, 88)) ('sarcomas', 'Phenotype', 'HP:0100242', (170, 178)) ('leukaemias and sarcomas', 'Disease', 'MESH:D007938', (155, 178)) ('gene fusion', 'Var', (128, 139)) ('lymphoid malignancies', 'Disease', 'MESH:D008223', (102, 123)) ('lymphoid malignancies', 'Disease', (102, 123)) ('sarcoma', 'Phenotype', 'HP:0100242', (170, 177)) ('lymphoid malignancies', 'Phenotype', 'HP:0002665', (102, 123)) ('oncogene', 'Protein', (69, 77)) ('forced', 'PosReg', (62, 68)) 25839 15974803 Finally, the EWS gene can also be involved with the CHOP gene by chromosomal translocation in malignant myxoid liposarcoma, analogous to FUS-CHOP. ('CHOP', 'Gene', (52, 56)) ('liposarcoma', 'Phenotype', 'HP:0012034', (111, 122)) ('malignant myxoid liposarcoma', 'Disease', (94, 122)) ('chromosomal translocation', 'Var', (65, 90)) ('sarcoma', 'Phenotype', 'HP:0100242', (115, 122)) ('CHOP', 'Gene', '13198', (52, 56)) ('malignant myxoid liposarcoma', 'Disease', 'MESH:D018208', (94, 122)) ('CHOP', 'Gene', '13198', (141, 145)) ('EWS', 'Gene', (13, 16)) ('myxoid liposarcoma', 'Phenotype', 'HP:0012268', (104, 122)) ('CHOP', 'Gene', (141, 145)) 25840 15974803 The chromosomal translocations in Ewing's and other sarcomas are considered as primary initiating events. ('sarcomas', 'Disease', 'MESH:D012509', (52, 60)) ('sarcomas', 'Phenotype', 'HP:0100242', (52, 60)) ('sarcoma', 'Phenotype', 'HP:0100242', (52, 59)) ("Ewing's", 'Disease', 'MESH:C563168', (34, 41)) ('sarcomas', 'Disease', (52, 60)) ('Ewing', 'Disease', (34, 39)) ('chromosomal translocations', 'Var', (4, 30)) 25842 15974803 The fusion protein may therefore be instructive by imparting a phenotype on the cell by affecting a specific differentiation programme, which must be part of the genetic make-up of the cancer stem cell, since the chromosomal translocation is an initiating and persistent feature. ('affecting', 'Reg', (88, 97)) ('cancer', 'Phenotype', 'HP:0002664', (185, 191)) ('fusion', 'Var', (4, 10)) ('cancer', 'Disease', 'MESH:D009369', (185, 191)) ('cancer', 'Disease', (185, 191)) 25843 15974803 The pre-existing chromosomal translocation creates a cellular environment allowing secondary mutations to arise in progeny cells, resulting in overt cancer. ('cancer', 'Disease', (149, 155)) ('chromosomal translocation', 'Var', (17, 42)) ('resulting in', 'Reg', (130, 142)) ('mutations', 'Var', (93, 102)) ('overt', 'Disease', (143, 148)) ('cancer', 'Phenotype', 'HP:0002664', (149, 155)) ('cancer', 'Disease', 'MESH:D009369', (149, 155)) 25845 15974803 We have analysed whether EWS fusions function only in the domain of mesenchymal progenitors and whether they function in other cell lineages, specifically within committed cells, as has been demonstrated for MLL fusions. ('MLL', 'Gene', (208, 211)) ('fusions', 'Var', (29, 36)) ('MLL', 'Gene', '214162', (208, 211)) ('EWS', 'Gene', (25, 28)) 25847 15974803 These methods were either the knock-in model, which involved fusing the MLL gene partner AF9 into the mouse Mll gene, resulting in acute myeloid leukaemias in mice, or the translocator model to give de novo chromosomal translocations, resulting in cell-specific leukaemias. ('leukaemias', 'Disease', (262, 272)) ('MLL', 'Gene', '214162', (72, 75)) ('AF9', 'Gene', (89, 92)) ('mice', 'Species', '10090', (159, 163)) ('acute myeloid leukaemias', 'Phenotype', 'HP:0004808', (131, 155)) ('myeloid leukaemias', 'Phenotype', 'HP:0012324', (137, 155)) ('leukaemias', 'Disease', (145, 155)) ('leukaemias', 'Disease', 'MESH:D007938', (262, 272)) ('Mll', 'Gene', '214162', (108, 111)) ('MLL', 'Gene', (72, 75)) ('acute myeloid leukaemias', 'Disease', 'MESH:D007938', (131, 155)) ('fusing', 'Var', (61, 67)) ('acute myeloid leukaemias', 'Disease', (131, 155)) ('mouse', 'Species', '10090', (102, 107)) ('leukaemias', 'Disease', 'MESH:D007938', (145, 155)) ('Mll', 'Gene', (108, 111)) 25850 15974803 We have sought to determine whether an Ews-ERG fusion can be oncogenic in a cell type not generally associated with human tumours (specifically in lymphoid cells) and also to determine whether Ews-ERG fusion can initiate leukaemia from committed cells. ('fusion', 'Var', (47, 53)) ('tumours', 'Phenotype', 'HP:0002664', (122, 129)) ('leukaemia', 'Disease', (221, 230)) ('Ews-ERG', 'Gene', (39, 46)) ('tumours', 'Disease', 'MESH:D009369', (122, 129)) ('tumours', 'Disease', (122, 129)) ('leukaemia', 'Disease', 'MESH:D007938', (221, 230)) ('tumour', 'Phenotype', 'HP:0002664', (122, 128)) ('human', 'Species', '9606', (116, 121)) 25852 15974803 Our results show that Ews-ERG can function as an oncogene in committed cells of mice and suggest that EWS-ERG is able to contribute to neoplasia in a variety of cellular contexts in vivo. ('neoplasia', 'Disease', (135, 144)) ('neoplasia', 'Phenotype', 'HP:0002664', (135, 144)) ('contribute', 'Reg', (121, 131)) ('neoplasia', 'Disease', 'MESH:D009369', (135, 144)) ('mice', 'Species', '10090', (80, 84)) ('EWS-ERG', 'Var', (102, 109)) 25861 15974803 We investigated the ability of Ews-ERG fusion protein to contribute to leukaemogenesis by causing the inversion of the ERG-containing cassette in lymphoid cells using Rag1-Cre knock-in mice. ('Rag1', 'Gene', (167, 171)) ('inversion', 'Var', (102, 111)) ('contribute', 'Reg', (57, 67)) ('causing', 'Reg', (90, 97)) ('mice', 'Species', '10090', (185, 189)) ('ERG-containing cassette', 'Gene', (119, 142)) ('leukaemogenesis', 'Disease', (71, 86)) ('Rag1', 'Gene', '19373', (167, 171)) 25872 15974803 The Rag1-Cre knock-in allele was previously shown to be specific for lymphoid cells using a reporter assay dependent on Cre-mediated deletion of a loxP-flanked (floxed) segment of the Lmo2 gene. ('Rag1', 'Gene', (4, 8)) ('deletion', 'Var', (133, 141)) ('Rag1', 'Gene', '19373', (4, 8)) ('Lmo2', 'Gene', (184, 188)) ('Lmo2', 'Gene', '16909', (184, 188)) 25873 15974803 We have sustained these observations using an additional reporter assay, namely the ROSA-loxSTOP-lacZ (ROSA26-R) allele where beta-galactosidase (betagal) expression is activated by deletion of a loxP-pA site. ('activated', 'PosReg', (169, 178)) ('loxP-pA', 'Chemical', '-', (196, 203)) ('ROSA-loxSTOP-lacZ', 'Chemical', '-', (84, 101)) ('expression', 'MPA', (155, 165)) ('beta-galactosidase', 'Gene', (126, 144)) ('betagal', 'Gene', (146, 153)) ('deletion', 'Var', (182, 190)) ('beta-galactosidase', 'Gene', '12091', (126, 144)) ('ROSA26', 'Gene', '14910', (103, 109)) ('ROSA26', 'Gene', (103, 109)) 25886 15974803 The situation with the thymomas of invertor mice varied from mainly CD4+CD8+ DP cells (e.g., M2 in Figure 5) to mainly CD8+ single positive (SP) cells (e.g., M3 in Figure 5) to mainly double negative cells (e.g., M4 in Figure 5). ('CD4', 'Gene', '12504', (68, 71)) ('SP', 'Chemical', '-', (141, 143)) ('thymoma', 'Phenotype', 'HP:0100522', (23, 30)) ('CD8+', 'Var', (119, 123)) ('DP', 'Chemical', '-', (77, 79)) ('CD4', 'Gene', (68, 71)) ('thymomas', 'Disease', (23, 31)) ('mice', 'Species', '10090', (44, 48)) ('thymomas', 'Disease', 'MESH:D013945', (23, 31)) 25888 15974803 While we found either CD8+ SP or CD4+CD8+ DP thymomas, none showed a CD4+ SP phenotype. ('CD8+ SP', 'Var', (22, 29)) ('CD4', 'Gene', (69, 72)) ('thymomas', 'Disease', (45, 53)) ('DP', 'Chemical', '-', (42, 44)) ('thymomas', 'Disease', 'MESH:D013945', (45, 53)) ('SP', 'Chemical', '-', (27, 29)) ('thymoma', 'Phenotype', 'HP:0100522', (45, 52)) ('CD4', 'Gene', '12504', (69, 72)) ('CD8+ SP', 'Chemical', '-', (22, 29)) ('CD4', 'Gene', (33, 36)) ('SP', 'Chemical', '-', (74, 76)) ('CD4', 'Gene', '12504', (33, 36)) 25891 15974803 The probe detects a 5-kb band in non-lymphoid DNA corresponding to the intact Tcrb gene; if V-D-J or D-J joins have occurred, new restriction fragments are created, giving rise to "rearranged" bands on the hybridisation autoradiograph. ('Tcrb', 'Gene', '21577', (78, 82)) ('Tcrb', 'Gene', (78, 82)) ('V-D-J', 'Var', (92, 97)) ('D-J joins', 'Var', (101, 110)) 25896 15974803 Confirmation that the Tcrb rearrangements observed by hybridisations were due to productive V-D-J joins was made by sequence analysis of the Tcrb genes in four of the cases. ('Tcrb', 'Gene', (141, 145)) ('Tcrb', 'Gene', '21577', (141, 145)) ('rearrangements', 'Var', (27, 41)) ('Tcrb', 'Gene', (22, 26)) ('Tcrb', 'Gene', '21577', (22, 26)) 25902 15974803 Our results show that lymphomas arise when Ews-ERG is aberrantly expressed in the committed cells of the lymphoid lineage. ('arise', 'Reg', (32, 37)) ('lymphoma', 'Phenotype', 'HP:0002665', (22, 30)) ('aberrantly', 'Var', (54, 64)) ('lymphomas', 'Disease', (22, 31)) ('lymphomas', 'Disease', 'MESH:D008223', (22, 31)) ('Ews-ERG', 'Gene', (43, 50)) ('lymphomas', 'Phenotype', 'HP:0002665', (22, 31)) 25918 15974803 Leukaemogenesis in Ews-ERG invertor mice thus concurs with the hypothesis that EWS fusions can cause neoplasia arising in various cell types. ('EWS', 'Gene', (79, 82)) ('neoplasia', 'Disease', (101, 110)) ('Leukaemogenesis', 'Disease', (0, 15)) ('cause', 'Reg', (95, 100)) ('neoplasia', 'Disease', 'MESH:D009369', (101, 110)) ('neoplasia', 'Phenotype', 'HP:0002664', (101, 110)) ('mice', 'Species', '10090', (36, 40)) ('fusions', 'Var', (83, 90)) 26065 29850538 Currently, immunotherapy based on the blockage of programmed death 1 (PD-1)/programmed death ligand 1 (PD-L1) is satisfactory in a variety of aggressive tumor species. ('programmed death 1', 'Gene', (50, 68)) ('aggressive tumor', 'Disease', 'MESH:D001523', (142, 158)) ('tumor', 'Phenotype', 'HP:0002664', (153, 158)) ('aggressive tumor', 'Disease', (142, 158)) ('PD-1', 'Gene', (70, 74)) ('programmed death 1', 'Gene', '5133', (50, 68)) ('PD-1', 'Gene', '5133', (70, 74)) ('blockage', 'Var', (38, 46)) 26102 29850538 Considering that the biological behaviors of type B3 thymoma were similar to that of thymic carcinoma, it was classified as thymus carcinoma for analysis. ('type B3', 'Var', (45, 52)) ('carcinoma', 'Phenotype', 'HP:0030731', (131, 140)) ('thymoma', 'Phenotype', 'HP:0100522', (53, 60)) ('carcinoma', 'Phenotype', 'HP:0030731', (92, 101)) ('thymic carcinoma', 'Disease', (85, 101)) ('thymus carcinoma', 'Disease', (124, 140)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (85, 101)) ('thymus carcinoma', 'Disease', 'MESH:D013953', (124, 140)) ('thymoma', 'Disease', 'MESH:D013945', (53, 60)) ('thymoma', 'Disease', (53, 60)) 26122 29850538 The high expression of PD-L1 in thymoma can be an independent risk factor for tumor recurrence and predict a poor overall survival. ('PD-L1', 'Gene', (23, 28)) ('thymoma', 'Phenotype', 'HP:0100522', (32, 39)) ('tumor', 'Disease', 'MESH:D009369', (78, 83)) ('tumor', 'Phenotype', 'HP:0002664', (78, 83)) ('high', 'Var', (4, 8)) ('tumor', 'Disease', (78, 83)) ('thymoma', 'Disease', 'MESH:D013945', (32, 39)) ('thymoma', 'Disease', (32, 39)) 26138 29850538 Overall, the current findings indicated that the expressions of PD-L1 protein and mRNA differed in thymoma and thymic carcinomas, and PD-L1 may serve as a potential marker of invasiveness and prognosis. ('thymoma', 'Disease', 'MESH:D013945', (99, 106)) ('thymic carcinomas', 'Disease', (111, 128)) ('protein', 'Protein', (70, 77)) ('thymoma', 'Disease', (99, 106)) ('carcinoma', 'Phenotype', 'HP:0030731', (118, 127)) ('expressions', 'MPA', (49, 60)) ('mRNA', 'MPA', (82, 86)) ('PD-L1', 'Gene', (64, 69)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (111, 128)) ('differed', 'Reg', (87, 95)) ('PD-L1', 'Var', (134, 139)) ('thymoma', 'Phenotype', 'HP:0100522', (99, 106)) ('carcinomas', 'Phenotype', 'HP:0030731', (118, 128)) 26165 28101136 The lymphoid population showed intense positivity for CD3, CD5, CD8, and CD99 (Figures 4A to 4D) and weak positivity for CD4 and CD43. ('CD8', 'Gene', (64, 67)) ('CD99', 'Gene', '4267', (73, 77)) ('CD43', 'Gene', '6693', (129, 133)) ('CD5', 'Gene', (59, 62)) ('CD4', 'Gene', (121, 124)) ('CD43', 'Gene', (129, 133)) ('CD8', 'Gene', '925', (64, 67)) ('CD5', 'Gene', '921', (59, 62)) ('CD4', 'Gene', '920', (121, 124)) ('CD99', 'Gene', (73, 77)) ('CD3', 'Var', (54, 57)) ('CD4', 'Gene', (129, 132)) ('CD4', 'Gene', '920', (129, 132)) 26166 28101136 The cytokeratin cocktail showed positivity in the tumour's epithelial component (Figures 4E and 4F). ('positivity', 'Var', (32, 42)) ("tumour's epithelial component", 'Disease', (50, 79)) ('tumour', 'Phenotype', 'HP:0002664', (50, 56)) ("tumour's epithelial component", 'Disease', 'MESH:D000077216', (50, 79)) 26267 31195997 Autoimmune encephalitis (AE), which is characterized by the subacute (days to weeks) development of seizures, recent memory loss, mental confusion and psychiatric symptoms due to antibodies against neuronal cell surface and synaptic proteins, is newly recognized autoimmune disorders involved in synaptic transmission and neuronal excitability. ('memory loss', 'Disease', (117, 128)) ('psychiatric symptoms', 'Phenotype', 'HP:0000708', (151, 171)) ('memory loss', 'Disease', 'MESH:D008569', (117, 128)) ('memory loss', 'Phenotype', 'HP:0002354', (117, 128)) ('autoimmune disorders', 'Phenotype', 'HP:0002960', (263, 283)) ('mental confusion', 'Disease', (130, 146)) ('confusion', 'Phenotype', 'HP:0001289', (137, 146)) ('autoimmune disorders', 'Disease', 'MESH:D001327', (263, 283)) ('psychiatric', 'Disease', 'MESH:D001523', (151, 162)) ('mental confusion', 'Disease', 'MESH:D003221', (130, 146)) ('due', 'Reg', (172, 175)) ('Autoimmune encephalitis', 'Disease', (0, 23)) ('seizures', 'Disease', (100, 108)) ('Autoimmune encephalitis', 'Disease', 'MESH:C535841', (0, 23)) ('psychiatric', 'Disease', (151, 162)) ('seizures', 'Disease', 'MESH:D012640', (100, 108)) ('antibodies', 'Var', (179, 189)) ('seizures', 'Phenotype', 'HP:0001250', (100, 108)) ('encephalitis', 'Phenotype', 'HP:0002383', (11, 23)) ('autoimmune disorders', 'Disease', (263, 283)) 26276 31195997 Histological examination showed WHO type B2: Kpan(+++), CK19(+++), CD30(+++), CD20(-), CD3(-), CD5(+), TdT(+), and Ki67(+, 90%). ('CK19', 'Gene', (56, 60)) ('CD20(-', 'Var', (78, 84)) ('TdT', 'Gene', (103, 106)) ('CD30(+++', 'Var', (67, 75)) ('CK19', 'Gene', '3880', (56, 60)) ('CD5', 'Gene', (95, 98)) ('CD3(-', 'Var', (87, 92)) ('TdT', 'Gene', '1791', (103, 106)) ('CD5', 'Gene', '921', (95, 98)) 26329 29221139 'Dangerous' autoantigen presentation in the context of autoimmune regulator (AIRE) deficiency, abnormal T cell selection, and failure in regulatory T cell (Treg) generation are postulated intra-tumorous mechanisms, not mutually exclusive, driving the autoimmune response in thymoma-associated MG. ('intra-tumorous', 'Disease', (188, 202)) ('abnormal T', 'Disease', (95, 105)) ('rat', 'Species', '10116', (166, 169)) ('thymoma', 'Disease', (274, 281)) ('autoimmune response', 'Phenotype', 'HP:0002960', (251, 270)) ('thymoma', 'Disease', 'MESH:D013945', (274, 281)) ('abnormal T cell', 'Phenotype', 'HP:0002843', (95, 110)) ('tumor', 'Phenotype', 'HP:0002664', (194, 199)) ("'Dangerous'", 'PosReg', (0, 11)) ('thymoma', 'Phenotype', 'HP:0100522', (274, 281)) ('autoimmune regulator', 'Gene', '326', (55, 75)) ('intra-tumorous', 'Disease', 'MESH:D009369', (188, 202)) ('abnormal T', 'Disease', 'MESH:D000014', (95, 105)) ('deficiency', 'Var', (83, 93)) ('autoimmune regulator', 'Gene', (55, 75)) 26386 29221139 CK/LMP1 double positive TECs were never detected in MG and non-MG thymomas (Figure 5), whereas CK/LMP2A double positive cells were only occasionally found in MG-associated thymomas (Figure 5A), whereas rare CK/LMP2A double positive TECs were found in one of the three non-MG thymomas, found positive for EBV DNA and EBER1 [MG (-) T14] (Table 2) (Figure 5B). ('LMP2A', 'Gene', (98, 103)) ('thymomas', 'Disease', 'MESH:D013945', (275, 283)) ('thymoma', 'Phenotype', 'HP:0100522', (66, 73)) ('non-MG thymomas', 'Disease', 'MESH:D013945', (268, 283)) ('LMP2A', 'Gene', (210, 215)) ('TEC', 'Gene', '7006', (24, 27)) ('TEC', 'Gene', (232, 235)) ('thymomas', 'Disease', (275, 283)) ('LMP2A', 'Gene', '17494231', (98, 103)) ('thymomas', 'Disease', 'MESH:D013945', (172, 180)) ('non-MG thymomas', 'Disease', 'MESH:D013945', (59, 74)) ('non-MG thymomas', 'Disease', (268, 283)) ('LMP2A', 'Gene', '17494231', (210, 215)) ('thymomas', 'Disease', (172, 180)) ('non-MG thymomas', 'Disease', (59, 74)) ('TEC', 'Gene', (24, 27)) ('EBV', 'Species', '10376', (304, 307)) ('thymomas', 'Disease', 'MESH:D013945', (66, 74)) ('EBER1 [MG (-) T14]', 'Var', (316, 334)) ('TEC', 'Gene', '7006', (232, 235)) ('thymomas', 'Disease', (66, 74)) ('thymoma', 'Phenotype', 'HP:0100522', (275, 282)) ('thymoma', 'Phenotype', 'HP:0100522', (172, 179)) 26412 29221139 Since the 80's several studies attempted to identify EBV nucleic acids in MG and non-MG thymomas producing contrasting results, likely because of the different approaches employed and the use of virus detection techniques that would not be considered sufficiently sensitive today. ('EBV', 'Gene', (53, 56)) ('nucleic acids', 'Var', (57, 70)) ('non-MG thymomas', 'Disease', 'MESH:D013945', (81, 96)) ('EBV', 'Species', '10376', (53, 56)) ('thymoma', 'Phenotype', 'HP:0100522', (88, 95)) ('non-MG thymomas', 'Disease', (81, 96)) 26428 29221139 This sample was from a MG patient [MG (+) T24, Table 1] positive for anti-AChR, -titin and -ryanodine receptor antibodies, having concomitant stiff-person syndrome associated with glutamic acid decarboxylase (GAD) antibodies, and transient myositis. ('anti-AChR', 'Protein', (69, 78)) ('titin', 'Gene', (81, 86)) ('patient', 'Species', '9606', (26, 33)) ('GAD', 'Gene', '2571', (209, 212)) ('stiff-person syndrome', 'Disease', (142, 163)) ('person', 'Species', '9606', (148, 154)) ('glutamic acid decarboxylase', 'Gene', '2571', (180, 207)) ('myositis', 'Disease', 'MESH:D009220', (240, 248)) ('myositis', 'Disease', (240, 248)) ('glutamic acid decarboxylase', 'Gene', (180, 207)) ('titin', 'Gene', '7273', (81, 86)) ('positive', 'Reg', (56, 64)) ('GAD', 'Gene', (209, 212)) ('transient', 'Disease', (230, 239)) ('antibodies', 'Var', (111, 121)) ('myositis', 'Phenotype', 'HP:0100614', (240, 248)) 26444 29221139 EBV dysregulation of the host B cell system can lead to abnormal B cell survival and breakdown of B cell tolerance through mechanisms that involve: a) LMP1 and LMP2A expression, which are able to mimic activated CD40 and B cell receptor signaling; b) induction of the anti-apoptotic protein Bcl-2, known to be overexpressed in MG-associated thymomas; c) synthesis of the B cell growth factor BAFF, known to be increased in serum and thymus of MG patients; and d) hypersensitivity to TLR stimulation. ('thymoma', 'Phenotype', 'HP:0100522', (341, 348)) ('LMP2A', 'Gene', (160, 165)) ('hypersensitivity', 'Disease', 'MESH:D004342', (463, 479)) ('dysregulation', 'Var', (4, 17)) ('LMP2A', 'Gene', '17494231', (160, 165)) ('BAFF', 'Gene', '10673', (392, 396)) ('thymomas', 'Disease', (341, 349)) ('synthesis', 'MPA', (354, 363)) ('thymomas', 'Disease', 'MESH:D013945', (341, 349)) ('BAFF', 'Gene', (392, 396)) ('abnormal B cell', 'Phenotype', 'HP:0002846', (56, 71)) ('overexpressed', 'PosReg', (310, 323)) ('patients', 'Species', '9606', (446, 454)) ('Bcl-2', 'Gene', (291, 296)) ('hypersensitivity', 'Disease', (463, 479)) ('EBV', 'Species', '10376', (0, 3)) 26470 29221139 Briefly, amplification was performed in a total volume of 25 mul containing 0.5 mug of DNA, 1X Taqman Universal PCR Master Mix (Thermo Fisher Scientific), 0.18 muM forward and reverse Pol primers, 0.1 muM FAM-labeled Pol probe, 0.09 muM forward and reverse beta2m primers, and 0.08 muM VIC-labeled beta2m probe. ('0.18', 'Var', (155, 159)) ('beta2m', 'Gene', '567', (298, 304)) ('beta2m', 'Gene', (298, 304)) ('beta2m', 'Gene', '567', (257, 263)) ('Mix', 'Gene', (123, 126)) ('beta2m', 'Gene', (257, 263)) ('Mix', 'Gene', '83881', (123, 126)) 26477 29221139 For EBNA2 and gp350/220, real-time PCR reactions were performed in duplicate in a final volume of 20 mul containing 1X SYBR Green mix (Thermo Fisher Scientific) and 1 muM of each primer, whose sequence was as previously described. ('mix', 'Gene', '83881', (130, 133)) ('EBNA2', 'Gene', (4, 9)) ('EBNA2', 'Gene', '17494192', (4, 9)) ('mix', 'Gene', (130, 133)) ('SYBR Green', 'Chemical', '-', (119, 129)) ('gp350/220', 'Var', (14, 23)) 26493 29221139 Secondary antibodies were: Cy2-conjugated goat anti-mouse IgG, Cy3-conjugated goat anti-rabbit IgG and Cy3-conjugated goat anti-rat IgG (Jackson Immunoresearch Laboratories). ('Cy3-conjugated', 'Var', (63, 77)) ('goat', 'Species', '9925', (118, 122)) ('Cy2-conjugated', 'Var', (27, 41)) ('goat', 'Species', '9925', (78, 82)) ('mouse', 'Species', '10090', (52, 57)) ('rabbit', 'Species', '9986', (88, 94)) ('Cy3', 'Chemical', '-', (103, 106)) ('goat', 'Species', '9925', (42, 46)) ('rat', 'Species', '10116', (164, 167)) ('Cy2', 'Chemical', '-', (27, 30)) ('Cy3', 'Chemical', '-', (63, 66)) ('rat', 'Species', '10116', (128, 131)) ('Cy3-conjugated', 'Var', (103, 117)) 26549 28514756 Conversely, median FFR was significantly worse in patients who received adjuvant therapy (128.5 months; 95% CI 40.7-216.3 months) compared to median FFR of 160.7 months (95% CI 30.6-290.8 months) in patients who did not receive adjuvant therapy (p = 0.001). ('FFR', 'MPA', (19, 22)) ('patients', 'Species', '9606', (50, 58)) ('worse', 'NegReg', (41, 46)) ('adjuvant', 'Var', (72, 80)) ('patients', 'Species', '9606', (199, 207)) 26629 27789964 Three gene mutations were identified, including two with PIK3CA mutation and one with EGFR mutation. ('PIK3CA', 'Gene', '5290', (57, 63)) ('mutation', 'Var', (64, 72)) ('EGFR', 'Gene', '1956', (86, 90)) ('EGFR', 'Gene', (86, 90)) ('PIK3CA', 'Gene', (57, 63)) 26630 27789964 The three patients with mutant genes included two cases of thymoma (one with EGFR and the other with PIK3CA mutation) in addition to a case of thymic carcinoma (PIK3CA mutation). ('PIK3CA', 'Gene', '5290', (101, 107)) ('thymoma', 'Disease', 'MESH:D013945', (59, 66)) ('PIK3CA', 'Gene', (161, 167)) ('carcinoma', 'Phenotype', 'HP:0030731', (150, 159)) ('thymic carcinoma', 'Disease', (143, 159)) ('PIK3CA', 'Gene', '5290', (161, 167)) ('thymoma', 'Disease', (59, 66)) ('mutant genes', 'Var', (24, 36)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (143, 159)) ('EGFR', 'Gene', '1956', (77, 81)) ('patients', 'Species', '9606', (10, 18)) ('thymoma', 'Phenotype', 'HP:0100522', (59, 66)) ('EGFR', 'Gene', (77, 81)) ('PIK3CA', 'Gene', (101, 107)) 26633 27789964 PIK3CA and EGFR mutations represent candidate driver genes and treatment targets in TET. ('EGFR', 'Gene', '1956', (11, 15)) ('EGFR', 'Gene', (11, 15)) ('mutations', 'Var', (16, 25)) ('PIK3CA', 'Gene', (0, 6)) ('PIK3CA', 'Gene', '5290', (0, 6)) 26639 27789964 In the present study, we identified mutations associated with tumorigenesis using next-generation sequencing (NGS) of 22 hotspot genes in a series of 52 TET patients. ('tumor', 'Phenotype', 'HP:0002664', (62, 67)) ('tumor', 'Disease', (62, 67)) ('mutations', 'Var', (36, 45)) ('patients', 'Species', '9606', (157, 165)) ('associated', 'Reg', (46, 56)) ('tumor', 'Disease', 'MESH:D009369', (62, 67)) 26653 27789964 Histologically, there were five patients with type A thymoma (9.6%) (Figure 1A), eight with type AB (15.4%) (Figure 1B), six with type B1 (11.5%) (Figure 1C), nine with type B2 (17.3%) (Figure 1D), nine with type B3 thymoma (17.3%) (Figure 1E), and 15 with thymic carcinoma (28.8%) (Figure 1F). ('patients', 'Species', '9606', (32, 40)) ('thymoma', 'Disease', 'MESH:D013945', (53, 60)) ('thymoma', 'Phenotype', 'HP:0100522', (53, 60)) ('thymoma', 'Disease', 'MESH:D013945', (216, 223)) ('thymoma', 'Disease', (216, 223)) ('type AB', 'Var', (92, 99)) ('thymoma', 'Phenotype', 'HP:0100522', (216, 223)) ('thymic carcinoma', 'Disease', (257, 273)) ('type A thymoma', 'Disease', (46, 60)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (257, 273)) ('carcinoma', 'Phenotype', 'HP:0030731', (264, 273)) ('type A thymoma', 'Disease', 'MESH:D013945', (46, 60)) ('thymoma', 'Disease', (53, 60)) 26658 27789964 One patient carried an EGFR mutation (E746_750de), and two cases harbored PIK3CA mutation (both E545Q) (Table 2). ('E746_750de', 'Var', (38, 48)) ('PIK3CA', 'Gene', '5290', (74, 80)) ('E545Q', 'Var', (96, 101)) ('patient', 'Species', '9606', (4, 11)) ('EGFR', 'Gene', '1956', (23, 27)) ('E545Q', 'Mutation', 'rs104886003', (96, 101)) ('EGFR', 'Gene', (23, 27)) ('PIK3CA', 'Gene', (74, 80)) 26670 27789964 Two cases of PIK3CA mutation and one with EGFR mutation were identified. ('EGFR', 'Gene', '1956', (42, 46)) ('PIK3CA', 'Gene', (13, 19)) ('EGFR', 'Gene', (42, 46)) ('mutation', 'Var', (20, 28)) ('PIK3CA', 'Gene', '5290', (13, 19)) 26674 27789964 From a histological point of view, some gene variations commonly seen in epithelial origin tumors may be found in TET. ('tumors', 'Disease', 'MESH:D009369', (91, 97)) ('tumors', 'Disease', (91, 97)) ('tumors', 'Phenotype', 'HP:0002664', (91, 97)) ('variations', 'Var', (45, 55)) ('tumor', 'Phenotype', 'HP:0002664', (91, 96)) 26676 27789964 The frequency of PIK3CA mutations is ~2%-5% in other solid carcinomas. ('carcinomas', 'Phenotype', 'HP:0030731', (59, 69)) ('PIK3CA', 'Gene', (17, 23)) ('PIK3CA', 'Gene', '5290', (17, 23)) ('solid carcinomas', 'Disease', 'MESH:D018250', (53, 69)) ('carcinoma', 'Phenotype', 'HP:0030731', (59, 68)) ('mutations', 'Var', (24, 33)) ('solid carcinomas', 'Disease', (53, 69)) 26677 27789964 Data pertaining to PIK3CA mutations in thymoma and thymic carcinoma have not been widely reported. ('PIK3CA', 'Gene', (19, 25)) ('PIK3CA', 'Gene', '5290', (19, 25)) ('thymoma', 'Phenotype', 'HP:0100522', (39, 46)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013945', (39, 67)) ('mutations', 'Var', (26, 35)) ('carcinoma', 'Phenotype', 'HP:0030731', (58, 67)) 26678 27789964 Until now, only one study by Wheler et al reported a PIK3CA mutation in one of the 12 TET patients. ('mutation', 'Var', (60, 68)) ('patients', 'Species', '9606', (90, 98)) ('PIK3CA', 'Gene', (53, 59)) ('PIK3CA', 'Gene', '5290', (53, 59)) 26679 27789964 In the present cohort, two PIK3CA mutations were detected in thymoma with a frequency of 3.8%. ('thymoma', 'Disease', 'MESH:D013945', (61, 68)) ('detected', 'Reg', (49, 57)) ('thymoma', 'Disease', (61, 68)) ('PIK3CA', 'Gene', (27, 33)) ('thymoma', 'Phenotype', 'HP:0100522', (61, 68)) ('PIK3CA', 'Gene', '5290', (27, 33)) ('mutations', 'Var', (34, 43)) 26680 27789964 Epidermal growth factor receptor (EGFR) mutations have been identified as driver genes in non-small-cell lung cancer (NSCLC) at a frequency of 40%-50% in the East Asian population. ('lung cancer', 'Phenotype', 'HP:0100526', (105, 116)) ('NSCLC', 'Phenotype', 'HP:0030358', (118, 123)) ('EGFR', 'Gene', (34, 38)) ('Epidermal growth factor receptor', 'Gene', (0, 32)) ('cancer', 'Phenotype', 'HP:0002664', (110, 116)) ('lung cancer', 'Disease', 'MESH:D008175', (105, 116)) ('mutations', 'Var', (40, 49)) ('NSCLC', 'Disease', (118, 123)) ('non-small-cell lung cancer', 'Phenotype', 'HP:0030358', (90, 116)) ('small-cell lung cancer', 'Phenotype', 'HP:0030357', (94, 116)) ('Epidermal growth factor receptor', 'Gene', '1956', (0, 32)) ('NSCLC', 'Disease', 'MESH:D002289', (118, 123)) ('EGFR', 'Gene', '1956', (34, 38)) ('lung cancer', 'Disease', (105, 116)) 26681 27789964 The EGFR mutations in TET have been identified in previous studies. ('EGFR', 'Gene', (4, 8)) ('mutations', 'Var', (9, 18)) ('TET', 'Gene', (22, 25)) ('EGFR', 'Gene', '1956', (4, 8)) 26682 27789964 No representative clinical characteristics associated with EGFR mutations were found, although most patients were diagnosed with thymoma but not thymic carcinoma. ('thymic carcinoma', 'Disease', (145, 161)) ('thymoma', 'Disease', 'MESH:D013945', (129, 136)) ('carcinoma', 'Phenotype', 'HP:0030731', (152, 161)) ('EGFR', 'Gene', (59, 63)) ('thymoma', 'Disease', (129, 136)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (145, 161)) ('thymoma', 'Phenotype', 'HP:0100522', (129, 136)) ('patients', 'Species', '9606', (100, 108)) ('mutations', 'Var', (64, 73)) ('EGFR', 'Gene', '1956', (59, 63)) ('diagnosed', 'Reg', (114, 123)) 26683 27789964 In the current study, our patient who carried the EGFR mutation represented type B3. ('EGFR', 'Gene', (50, 54)) ('EGFR', 'Gene', '1956', (50, 54)) ('patient', 'Species', '9606', (26, 33)) ('mutation', 'Var', (55, 63)) 26689 27789964 EGFR-tyrosine kinase inhibitors (TKIs) displayed adequate efficacy in NSCLC patients who carried EGFR mutations. ('patients', 'Species', '9606', (76, 84)) ('EGFR', 'Gene', (0, 4)) ('EGFR', 'Gene', '1956', (97, 101)) ('NSCLC', 'Disease', (70, 75)) ('NSCLC', 'Disease', 'MESH:D002289', (70, 75)) ('EGFR', 'Gene', (97, 101)) ('mutations', 'Var', (102, 111)) ('EGFR', 'Gene', '1956', (0, 4)) ('NSCLC', 'Phenotype', 'HP:0030358', (70, 75)) 26691 27789964 However, no association was found between EGFR mutations and gefitinib efficacy. ('gefitinib', 'Chemical', 'MESH:D000077156', (61, 70)) ('EGFR', 'Gene', '1956', (42, 46)) ('EGFR', 'Gene', (42, 46)) ('mutations', 'Var', (47, 56)) 26692 27789964 The role of EGFR mutations in carcinomas may be different in thymoma compared with NSCLC. ('thymoma', 'Disease', 'MESH:D013945', (61, 68)) ('NSCLC', 'Disease', (83, 88)) ('thymoma', 'Disease', (61, 68)) ('NSCLC', 'Disease', 'MESH:D002289', (83, 88)) ('EGFR', 'Gene', '1956', (12, 16)) ('thymoma', 'Phenotype', 'HP:0100522', (61, 68)) ('carcinomas', 'Disease', (30, 40)) ('NSCLC', 'Phenotype', 'HP:0030358', (83, 88)) ('carcinoma', 'Phenotype', 'HP:0030731', (30, 39)) ('carcinomas', 'Phenotype', 'HP:0030731', (30, 40)) ('EGFR', 'Gene', (12, 16)) ('carcinomas', 'Disease', 'MESH:D002277', (30, 40)) ('mutations', 'Var', (17, 26)) 26693 27789964 In our cohort, only one patient with thymoma carried the EGFR mutation. ('thymoma', 'Disease', 'MESH:D013945', (37, 44)) ('thymoma', 'Disease', (37, 44)) ('thymoma', 'Phenotype', 'HP:0100522', (37, 44)) ('patient', 'Species', '9606', (24, 31)) ('EGFR', 'Gene', '1956', (57, 61)) ('mutation', 'Var', (62, 70)) ('EGFR', 'Gene', (57, 61)) 26702 27789964 Furthermore, functional analyses of the mutations are needed to determine the molecular mechanisms of tumorigenesis. ('mutations', 'Var', (40, 49)) ('tumor', 'Phenotype', 'HP:0002664', (102, 107)) ('tumor', 'Disease', (102, 107)) ('tumor', 'Disease', 'MESH:D009369', (102, 107)) 26703 27789964 In conclusion, this study reports the incidence of PIK3CA and EGFR mutations in some TET patients. ('EGFR', 'Gene', '1956', (62, 66)) ('EGFR', 'Gene', (62, 66)) ('mutations', 'Var', (67, 76)) ('PIK3CA', 'Gene', (51, 57)) ('patients', 'Species', '9606', (89, 97)) ('PIK3CA', 'Gene', '5290', (51, 57)) 26757 26509934 Alterations in these processes can cause severe autoimmunity such as autoimmune polyendocrine syndrome type 1 (APS-1) and immune dysregulation, polyendocrinopathy, enteropathy X-linked (IPEX) syndrome. ('immune dysregulation', 'Phenotype', 'HP:0002958', (122, 142)) ('Alterations', 'Var', (0, 11)) ('autoimmunity', 'Phenotype', 'HP:0002960', (48, 60)) ('enteropathy', 'Phenotype', 'HP:0002242', (164, 175)) ('enteropathy X-linked (IPEX) syndrome', 'Disease', 'MESH:C580192', (164, 200)) ('autoimmune polyendocrine syndrome', 'Disease', (69, 102)) ('polyendocrinopathy', 'Disease', (144, 162)) ('APS-1', 'Gene', '326', (111, 116)) ('cause', 'Reg', (35, 40)) ('APS-1', 'Gene', (111, 116)) ('autoimmune polyendocrine syndrome', 'Disease', 'MESH:C538275', (69, 102)) ('immune dysregulation', 'Disease', (122, 142)) 26813 23487479 Accumulation of Tc-99m MIBI in benign and malignant thymomas is previously described. ('malignant thymomas', 'Disease', 'MESH:D013945', (42, 60)) ('benign', 'Disease', (31, 37)) ('thymoma', 'Phenotype', 'HP:0100522', (52, 59)) ('Tc-99m', 'Var', (16, 22)) ('Tc-99', 'Chemical', '-', (16, 21)) ('malignant thymomas', 'Phenotype', 'HP:0100697', (42, 60)) ('malignant thymomas', 'Disease', (42, 60)) ('MIBI', 'Chemical', 'MESH:C055887', (23, 27)) 26851 23091703 Moreover, DQ5, the serologic equivalent of DQB1*05:02, has been shown to be strongly associated with anti-MuSK MG in a Dutch cohort. ('DQB1', 'Gene', '3119', (43, 47)) ('MuSK', 'Gene', (106, 110)) ('MuSK', 'Gene', '4593', (106, 110)) ('DQ5', 'Var', (10, 13)) ('DQB1', 'Gene', (43, 47)) ('associated', 'Reg', (85, 95)) 26884 31304461 The impact of WT1 mutations on the activity of peptide vaccine-based immunotherapy also appears unclear. ('WT1', 'Gene', '7490', (14, 17)) ('WT1', 'Gene', (14, 17)) ('mutations', 'Var', (18, 27)) 26885 31304461 Although not common, 3% of advanced and pretreated TETs harbor recurrent WT1 mutations (4% among recurrent thymic carcinomas). ('thymic carcinomas', 'Disease', (107, 124)) ('carcinoma', 'Phenotype', 'HP:0030731', (114, 123)) ('carcinomas', 'Phenotype', 'HP:0030731', (114, 124)) ('WT1', 'Gene', '7490', (73, 76)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (107, 124)) ('mutations', 'Var', (77, 86)) ('WT1', 'Gene', (73, 76)) 26886 31304461 This raises another question: does the presence of WT1 mutations predict for response to WT1-based immunotherapy? ('WT1', 'Gene', (89, 92)) ('predict', 'Reg', (65, 72)) ('mutations', 'Var', (55, 64)) ('WT1', 'Gene', '7490', (51, 54)) ('WT1', 'Gene', (51, 54)) ('WT1', 'Gene', '7490', (89, 92)) 26917 30918333 Cytometric cell-based assays for anti-striational antibodies in myasthenia gravis with myositis and/or myocarditis The purposes of the present study were to identify anti-striational antibodies in myasthenia gravis (MG) patients with myositis and/or myocarditis using a combination of cell-based assays and flow cytometry (cytometric cell-based assays) and to describe the main clinical implications. ('myositis', 'Phenotype', 'HP:0100614', (87, 95)) ('MG', 'Disease', 'MESH:D000080343', (216, 218)) ('myositis', 'Disease', 'MESH:D009220', (87, 95)) ('myasthenia gravis', 'Disease', (64, 81)) ('patients', 'Species', '9606', (220, 228)) ('myocarditis', 'Disease', (250, 261)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (197, 214)) ('myocarditis', 'Disease', 'MESH:D009205', (103, 114)) ('myositis', 'Disease', (87, 95)) ('myositis', 'Phenotype', 'HP:0100614', (234, 242)) ('anti-striational antibodies', 'Var', (166, 193)) ('myositis', 'Disease', 'MESH:D009220', (234, 242)) ('myasthenia', 'Phenotype', 'HP:0003473', (64, 74)) ('myocarditis', 'Disease', 'MESH:D009205', (250, 261)) ('myasthenia gravis', 'Disease', (197, 214)) ('myocarditis', 'Phenotype', 'HP:0012819', (103, 114)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (64, 81)) ('clinical', 'Species', '191496', (378, 386)) ('myasthenia', 'Phenotype', 'HP:0003473', (197, 207)) ('myositis', 'Disease', (234, 242)) ('myocarditis', 'Disease', (103, 114)) ('myocarditis', 'Phenotype', 'HP:0012819', (250, 261)) 26921 30918333 MG patients with myositis and/or myocarditis as well as late-onset and thymoma-associated MG had anti-titin, anti-ryanodine receptor, and anti-Kv1.4 antibodies. ('myocarditis', 'Phenotype', 'HP:0012819', (33, 44)) ('anti-ryanodine', 'Var', (109, 123)) ('thymoma', 'Disease', (71, 78)) ('myositis', 'Phenotype', 'HP:0100614', (17, 25)) ('myositis', 'Disease', 'MESH:D009220', (17, 25)) ('thymoma', 'Phenotype', 'HP:0100522', (71, 78)) ('MG', 'Disease', 'MESH:D000080343', (0, 2)) ('myositis', 'Disease', (17, 25)) ('Kv1.4', 'Gene', (143, 148)) ('myocarditis', 'Disease', 'MESH:D009205', (33, 44)) ('patients', 'Species', '9606', (3, 11)) ('MG', 'Disease', 'MESH:D000080343', (90, 92)) ('titin', 'Gene', '7273', (102, 107)) ('Kv1.4', 'Gene', '3739', (143, 148)) ('thymoma', 'Disease', 'MESH:D013945', (71, 78)) ('myocarditis', 'Disease', (33, 44)) ('titin', 'Gene', (102, 107)) 26939 30918333 In addition, we randomly selected 30 patients with anti-signal recognition particle myopathy, 30 with inclusion body myositis, and 30 with Duchenne muscular dystrophy as disease controls. ('myositis', 'Phenotype', 'HP:0100614', (117, 125)) ('patients', 'Species', '9606', (37, 45)) ('Duchenne muscular dystrophy', 'Disease', (139, 166)) ('myopathy', 'Disease', 'MESH:D009135', (84, 92)) ('myositis', 'Disease', 'MESH:D009220', (117, 125)) ('Duchenne muscular dystrophy', 'Disease', 'MESH:D020388', (139, 166)) ('muscular dystrophy', 'Phenotype', 'HP:0003560', (148, 166)) ('myopathy', 'Phenotype', 'HP:0003198', (84, 92)) ('myositis', 'Disease', (117, 125)) ('anti-signal', 'Var', (51, 62)) ('myopathy', 'Disease', (84, 92)) 26971 30918333 Unexpectedly, 61% (55/90) of the disease control patients and 23% (7/30) of healthy controls showed positivity for anti-ryanodine receptor antibodies. ('anti-ryanodine receptor antibodies', 'Protein', (115, 149)) ('patients', 'Species', '9606', (49, 57)) ('positivity', 'Var', (100, 110)) 27013 30918333 On the other hand, our results suggest that the production of anti-ryanodine receptor antibodies may be a secondary phenomenon related to the muscle necrosis observed in immune-mediated necrotizing myopathy or muscular dystrophy. ('muscle necrosis', 'Disease', (142, 157)) ('men', 'Species', '9606', (121, 124)) ('necrotizing myopathy', 'Phenotype', 'HP:0008978', (186, 206)) ('anti-ryanodine', 'Var', (62, 76)) ('muscle necrosis', 'Disease', 'MESH:D009336', (142, 157)) ('necrotizing myopathy', 'Disease', 'MESH:D009135', (186, 206)) ('muscular dystrophy', 'Disease', (210, 228)) ('muscular dystrophy', 'Phenotype', 'HP:0003560', (210, 228)) ('muscular dystrophy', 'Disease', 'MESH:D009136', (210, 228)) ('myopathy', 'Phenotype', 'HP:0003198', (198, 206)) ('necrotizing myopathy', 'Disease', (186, 206)) 27043 30918333 The diagnosis of MG was made based on the patient exhibiting the typical history and signs of fluctuating weakness in the voluntary muscles, the presence of serum anti-acetylcholine receptor or anti-muscle-specific kinase antibody, and abnormal findings of neuromuscular junction transmission. ('weakness', 'Disease', (106, 114)) ('weakness', 'Disease', 'MESH:D018908', (106, 114)) ('MG', 'Disease', 'MESH:D000080343', (17, 19)) ('patient', 'Species', '9606', (42, 49)) ('anti-muscle-specific', 'Var', (194, 214)) ('fluctuating', 'MPA', (94, 105)) 27122 28147469 Chromosome 12p abnormalities, which are specific genetic alterations found in testicular seminomas, are also present in mediastinal seminomas. ('testicular seminomas', 'Disease', (78, 98)) ('testicular seminomas', 'Phenotype', 'HP:0100617', (78, 98)) ('seminomas', 'Disease', 'MESH:D018239', (132, 141)) ('seminomas', 'Disease', (132, 141)) ('Chromosome', 'Var', (0, 10)) ('testicular seminoma', 'Phenotype', 'HP:0100617', (78, 97)) ('seminomas', 'Disease', 'MESH:D018239', (89, 98)) ('seminomas', 'Disease', (89, 98)) ('testicular seminomas', 'Disease', 'MESH:D018239', (78, 98)) 27124 28147469 reported a unique pattern of a KIT exon 17 mutations in mediastinal seminomas, which are rare in testicular seminomas. ('testicular seminomas', 'Disease', (97, 117)) ('seminomas', 'Disease', 'MESH:D018239', (108, 117)) ('testicular seminoma', 'Phenotype', 'HP:0100617', (97, 116)) ('KIT exon 17', 'Gene', (31, 42)) ('testicular seminomas', 'Phenotype', 'HP:0100617', (97, 117)) ('seminomas', 'Disease', (108, 117)) ('testicular seminomas', 'Disease', 'MESH:D018239', (97, 117)) ('mutations', 'Var', (43, 52)) ('seminomas', 'Disease', 'MESH:D018239', (68, 77)) ('seminomas', 'Disease', (68, 77)) 27131 28147469 They obtain chromosomal and molecular abnormalities such as chromosome 12p abnormalities and KIT mutations and transform from thymic epithelial tumors into GCTs (seminoma) or from seminomas into thymic epithelial tumors. ('mutations', 'Var', (97, 106)) ('chromosome 12p abnormalities', 'Disease', 'MESH:C538301', (60, 88)) ('KIT', 'Gene', (93, 96)) ('tumors', 'Phenotype', 'HP:0002664', (213, 219)) ('epithelial tumors', 'Disease', (133, 150)) ('GCTs', 'Disease', (156, 160)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (202, 218)) ('epithelial tumors', 'Disease', 'MESH:D002277', (133, 150)) ('tumor', 'Phenotype', 'HP:0002664', (213, 218)) ('transform', 'Reg', (111, 120)) ('seminoma', 'Disease', (180, 188)) ('seminomas', 'Disease', 'MESH:D018239', (180, 189)) ('seminomas', 'Disease', (180, 189)) ('seminoma', 'Disease', 'MESH:D018239', (180, 188)) ('seminoma', 'Disease', (162, 170)) ('chromosome 12p abnormalities', 'Disease', (60, 88)) ('GCTs', 'Phenotype', 'HP:0100728', (156, 160)) ('molecular abnormalities', 'Disease', (28, 51)) ('seminoma', 'Disease', 'MESH:D018239', (162, 170)) ('epithelial tumors', 'Disease', (202, 219)) ('tumors', 'Phenotype', 'HP:0002664', (144, 150)) ('epithelial tumors', 'Disease', 'MESH:D002277', (202, 219)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (133, 149)) ('molecular abnormalities', 'Disease', 'MESH:C567116', (28, 51)) ('tumor', 'Phenotype', 'HP:0002664', (144, 149)) 27190 33835748 The proportion of patients displaying abnormal decreases in responses in the trapezius, abductor digiti minimi, or flexor carpi ulnaris muscles on the RNS test was higher in the GOMG group (p<0.001, p=0.002, and p<0.001, respectively). ('GOMG', 'Var', (178, 182)) ('RNS', 'Chemical', '-', (151, 154)) ('patients', 'Species', '9606', (18, 26)) ('decreases', 'NegReg', (47, 56)) ('responses', 'MPA', (60, 69)) ('GOMG', 'Chemical', '-', (178, 182)) 27191 33835748 The Cox proportional-hazards model revealed that an abnormal result on the RNS test was significantly associated with conversion to generalized MG [hazard ratio (HR)=3.13, 95% confidence interval (CI)=1.18-8.32]. ('associated with', 'Reg', (102, 117)) ('RNS test', 'Gene', (75, 83)) ('abnormal', 'Var', (52, 60)) ('generalized MG', 'Disease', (132, 146)) ('RNS', 'Chemical', '-', (75, 78)) ('conversion', 'Disease', (118, 128)) 27193 33835748 An abnormal result on the RNS test, especially in the limb muscles, is an independent predictor of the conversion from ocular to generalized MG. ('abnormal', 'Var', (3, 11)) ('RNS', 'Gene', (26, 29)) ('ocular', 'Disease', (119, 125)) ('generalized MG', 'Disease', (129, 143)) ('RNS', 'Chemical', '-', (26, 29)) 27211 33835748 Inclusion criteria were 1) diagnosed as ocular MG, 2) positivity in the neostigmine challenge test and/or in the serological test for autoantibodies, including AChR antibody and MuSK antibody, and 3) the RNS test conducted at five muscles [OO, nasalis (NA), abductor digiti minimi (ADM), flexor carpi ulnaris (FCU), and trapezius (TR)] during the diagnostic workup. ('neostigmine', 'Chemical', 'MESH:D009388', (72, 83)) ('OO', 'Chemical', '-', (240, 242)) ('TR', 'Gene', '2149', (331, 333)) ('MuSK', 'Gene', '4593', (178, 182)) ('FCU', 'Chemical', '-', (310, 313)) ('MuSK antibody', 'Phenotype', 'HP:0030210', (178, 191)) ('MuSK', 'Gene', (178, 182)) ('RNS', 'Chemical', '-', (204, 207)) ('positivity', 'Var', (54, 64)) 27239 33835748 The AChR antibody titer was also higher in the GOMG group (9.1 nmol/L) than in the ROMG group (5.0 nmol/L, p<0.001), as was the proportion of patients who used oral prednisolone (58.0% vs. 33.3%, p=0.039). ('ROMG', 'Chemical', '-', (83, 87)) ('higher', 'PosReg', (33, 39)) ('AChR antibody', 'Protein', (4, 17)) ('GOMG', 'Chemical', '-', (47, 51)) ('GOMG', 'Var', (47, 51)) ('patients', 'Species', '9606', (142, 150)) ('prednisolone', 'Chemical', 'MESH:D011239', (165, 177)) 27248 33835748 In contrast, the proportions of patients showing decreased responses in the TR, ADM, and FCU muscles were significantly higher in the GOMG group (37.5%, 16.7%, and 37.5%, respectively) than in the ROMG group (8.0%, 0%, and 8.0%; p<0.001, p=0.002, and p<0.001, respectively). ('patients', 'Species', '9606', (32, 40)) ('TR', 'Gene', '2149', (76, 78)) ('decreased', 'NegReg', (49, 58)) ('ROMG', 'Chemical', '-', (197, 201)) ('GOMG', 'Var', (134, 138)) ('GOMG', 'Chemical', '-', (134, 138)) ('responses', 'MPA', (59, 68)) ('FCU', 'Chemical', '-', (89, 92)) 27249 33835748 The proportion of subjects showing a decreased response in at least one of the five muscles was also significantly higher in the GOMG group (75.0%) than in the ROMG group (38.6%, p=0.002). ('higher', 'PosReg', (115, 121)) ('GOMG', 'Var', (129, 133)) ('ROMG', 'Chemical', '-', (160, 164)) ('GOMG', 'Chemical', '-', (129, 133)) 27251 33835748 Similar to the comparison of the proportion of abnormal responses based on a threshold of 10%, the decreases in ADM, FCU, and TR muscles were significantly larger in the GOMG group than in the ROMG group (p=0.011, p=0.009, and p=0.044, respectively). ('decreases', 'NegReg', (99, 108)) ('FCU', 'CPA', (117, 120)) ('GOMG', 'Chemical', '-', (170, 174)) ('GOMG', 'Var', (170, 174)) ('FCU', 'Chemical', '-', (117, 120)) ('ROMG', 'Chemical', '-', (193, 197)) ('ADM', 'CPA', (112, 115)) ('TR', 'Gene', '2149', (126, 128)) 27254 33835748 The incidence of symptom conversion to generalized MG was significantly higher in the RNS-test-positive group than in the RNS-test-negative group (log-rank test, p=0.001). ('RNS', 'Chemical', '-', (122, 125)) ('RNS', 'Chemical', '-', (86, 89)) ('generalized MG', 'Disease', (39, 53)) ('higher', 'PosReg', (72, 78)) ('RNS-test-positive', 'Var', (86, 103)) 27302 33835748 The proportions of AChR-antibody positivity and presence of thymoma were also higher in the GOMG group than in the ROMG group, but the differences did not reach statistical significance. ('thymoma', 'Disease', 'MESH:D013945', (60, 67)) ('thymoma', 'Disease', (60, 67)) ('thymoma', 'Phenotype', 'HP:0100522', (60, 67)) ('higher', 'PosReg', (78, 84)) ('ROMG', 'Chemical', '-', (115, 119)) ('GOMG', 'Chemical', '-', (92, 96)) ('GOMG', 'Var', (92, 96)) ('AChR-antibody', 'Protein', (19, 32)) 27375 31764848 Concerning the variants of GBS, AIDP was identified in 12 cases, AMAN in 5 cases, AMSAN in 3 cases, and MFS in 5 cases. ('AMSAN', 'Chemical', 'None', (82, 87)) ('GBS', 'Disease', 'MESH:D020275', (27, 30)) ('GBS', 'Disease', (27, 30)) ('MFS', 'Disease', (104, 107)) ('AMAN', 'Chemical', 'None', (65, 69)) ('variants', 'Var', (15, 23)) ('MFS', 'Disease', 'MESH:D008382', (104, 107)) ('AIDP', 'Disease', (32, 36)) ('AIDP', 'Chemical', 'None', (32, 36)) 27402 31764848 Any infections or other incentives could make the body more likely to produce antibodies to peripheral nerves causing GBS. ('infections', 'Disease', (4, 14)) ('GBS', 'Disease', (118, 121)) ('antibodies', 'Var', (78, 88)) ('infections', 'Disease', 'MESH:D007239', (4, 14)) ('peripheral nerves', 'Protein', (92, 109)) ('GBS', 'Disease', 'MESH:D020275', (118, 121)) 27433 26303293 The MRI demonstrated that the lesion involving the left cingulate gyrus increased in size, and an abnormal signal intensity lesion in the left corona radiata, which was presumably the cause of his right hemiparesis, and edematous swelling of the bilateral medial temporal regions appeared (Fig. ('increased', 'PosReg', (72, 81)) ('edematous swelling', 'Disease', (220, 238)) ('edematous swelling', 'Disease', 'MESH:D004487', (220, 238)) ('edematous swelling', 'Phenotype', 'HP:0000969', (220, 238)) ('right hemiparesis', 'Disease', 'MESH:D010291', (197, 214)) ('right hemiparesis', 'Phenotype', 'HP:0040293', (197, 214)) ('lesion', 'Var', (124, 130)) ('right hemiparesis', 'Disease', (197, 214)) ('hemiparesis', 'Phenotype', 'HP:0001269', (203, 214)) ('edema', 'Phenotype', 'HP:0000969', (220, 225)) 27476 33329350 This led to the identification of more patients with antibodies to the classical antigens AChR and MuSK and to the third MG autoantigen, the low-density lipoprotein receptor-related protein 4 (LRP4), while antibodies against other extracellular or intracellular targets, such as agrin, Kv1.4 potassium channels, collagen Q, titin, the ryanodine receptor and cortactin have been found in some MG patients. ('patients', 'Species', '9606', (39, 47)) ('titin', 'Gene', '7273', (324, 329)) ('low-density lipoprotein receptor-related protein 4', 'Gene', '4038', (141, 191)) ('ACh', 'Chemical', 'MESH:D000109', (90, 93)) ('titin', 'Gene', (324, 329)) ('patients', 'Species', '9606', (395, 403)) ('LRP4', 'Gene', '4038', (193, 197)) ('cortactin', 'Gene', (358, 367)) ('collagen Q', 'Gene', '8292', (312, 322)) ('MuSK', 'Gene', (99, 103)) ('LRP4', 'Gene', (193, 197)) ('Kv1.4', 'Gene', (286, 291)) ('agrin', 'Gene', '375790', (279, 284)) ('agrin', 'Gene', (279, 284)) ('cortactin', 'Gene', '2017', (358, 367)) ('Kv1.4', 'Gene', '3739', (286, 291)) ('antibodies', 'Var', (53, 63)) ('low-density lipoprotein receptor-related protein 4', 'Gene', (141, 191)) ('collagen Q', 'Gene', (312, 322)) ('ryanodine receptor', 'Gene', '6261', (335, 353)) ('MuSK', 'Gene', '4593', (99, 103)) ('ryanodine receptor', 'Gene', (335, 353)) 27498 33329350 They are composed of five homologous subunits with a stoichiometry of alpha2betadeltaepsilon in adult and alpha2betagammadelta in fetal or adult denervated muscles. ('epsilon', 'Disease', (85, 92)) ('epsilon', 'Disease', 'MESH:D001321', (85, 92)) ('alpha2betagammadelta', 'Var', (106, 126)) 27506 33329350 Lastly, antibodies that bind close to the AChR ligand binding site are thought to directly block acetylcholine binding and receptor activation. ('acetylcholine binding', 'MPA', (97, 118)) ('activation', 'PosReg', (132, 142)) ('receptor', 'MPA', (123, 131)) ('ACh', 'Chemical', 'MESH:D000109', (42, 45)) ('acetylcholine', 'Chemical', 'MESH:D000109', (97, 110)) ('block', 'NegReg', (91, 96)) ('antibodies', 'Var', (8, 18)) 27528 33329350 Interestingly, LRP4 antibodies have also been reported in 10-23% of amyotrophic lateral sclerosis (ALS) patients and in 3.6% patients with other neurological diseases but not in healthy controls. ('LRP4', 'Gene', '4038', (15, 19)) ('ALS', 'Disease', (99, 102)) ('amyotrophic lateral sclerosis', 'Disease', 'MESH:D000690', (68, 97)) ('amyotrophic lateral sclerosis', 'Phenotype', 'HP:0007354', (68, 97)) ('antibodies', 'Var', (20, 30)) ('LRP4', 'Gene', (15, 19)) ('neurological diseases', 'Disease', (145, 166)) ('reported', 'Reg', (46, 54)) ('neurological diseases', 'Disease', 'MESH:D020271', (145, 166)) ('ALS', 'Phenotype', 'HP:0007354', (99, 102)) ('ALS', 'Disease', 'MESH:D008113', (99, 102)) ('patients', 'Species', '9606', (104, 112)) ('amyotrophic lateral sclerosis', 'Disease', (68, 97)) ('patients', 'Species', '9606', (125, 133)) 27538 33329350 In a Caucasian patient cohort Kv1.4 antibodies were associated with LOMG patients and mild disease, often remaining purely ocular, while in Japanese patients they correlated with increased disease severity, myasthenic crises and the presence of thymoma. ('patient', 'Species', '9606', (15, 22)) ('patients', 'Species', '9606', (149, 157)) ('antibodies', 'Var', (36, 46)) ('thymoma', 'Disease', (245, 252)) ('Kv1.4', 'Gene', (30, 35)) ('myasthenic crises', 'Phenotype', 'HP:0003473', (207, 224)) ('thymoma', 'Phenotype', 'HP:0100522', (245, 252)) ('associated', 'Reg', (52, 62)) ('myasthenic crises', 'Disease', (207, 224)) ('patients', 'Species', '9606', (73, 81)) ('Kv1.4', 'Gene', '3739', (30, 35)) ('patient', 'Species', '9606', (73, 80)) ('patient', 'Species', '9606', (149, 156)) ('LOMG patients', 'Disease', (68, 81)) ('increased', 'PosReg', (179, 188)) ('thymoma', 'Disease', 'MESH:D013945', (245, 252)) ('mild disease', 'Disease', (86, 98)) 27560 33329350 Antibodies against rapsyn have been found in about 15% of MG patients, including among SNMG. ('Antibodies', 'Var', (0, 10)) ('rapsyn', 'Gene', '5913', (19, 25)) ('SNMG', 'Disease', (87, 91)) ('patients', 'Species', '9606', (61, 69)) ('found', 'Reg', (36, 41)) ('rapsyn', 'Gene', (19, 25)) 27618 33329350 Indeed, antibodies against clustered AChRs belong to the complement-activating subclasses and cause complement depositions on the cell surface. ('AChRs', 'Gene', (37, 42)) ('men', 'Species', '9606', (63, 66)) ('complement depositions on', 'MPA', (100, 125)) ('ACh', 'Chemical', 'MESH:D000109', (37, 40)) ('cause', 'Reg', (94, 99)) ('clustered AChRs', 'Gene', (27, 42)) ('antibodies', 'Var', (8, 18)) ('men', 'Species', '9606', (106, 109)) 27658 33329350 The identification of peptides derived from the human AChR alpha subunit as T cell dominant epitopes, lead to the construction of altered peptides with single amino acid substitutions (termed altered peptide ligands, APL), some of which were found to inhibit T cell proliferative responses in vitro. ('human', 'Species', '9606', (48, 53)) ('substitutions', 'Var', (170, 183)) ('rat', 'Species', '10116', (273, 276)) ('inhibit', 'NegReg', (251, 258)) ('ACh', 'Chemical', 'MESH:D000109', (54, 57)) ('T cell proliferative responses', 'CPA', (259, 289)) ('APL', 'Gene', (217, 220)) ('APL', 'Gene', '18010', (217, 220)) 27719 33246468 In our study, only AMC distinguished from type B1 and B2 thymomas was enrolled to research, because most of type B3 thymic carcinomas can easily be distinguished from cysts preoperatively by CT manifestations. ('thymic carcinomas', 'Disease', (116, 133)) ('thymoma', 'Phenotype', 'HP:0100522', (57, 64)) ('thymic carcinomas', 'Disease', 'MESH:D013953', (116, 133)) ('thymomas', 'Disease', 'MESH:D013945', (57, 65)) ('AMC', 'Chemical', '-', (19, 22)) ('carcinomas', 'Phenotype', 'HP:0030731', (123, 133)) ('thymomas', 'Disease', (57, 65)) ('type B3', 'Var', (108, 115)) 27765 29664052 The presence of MG gives thymomas some special pathological and clinical characteristics and may influence its prognosis. ('thymomas', 'Disease', 'MESH:D013945', (25, 33)) ('thymoma', 'Phenotype', 'HP:0100522', (25, 32)) ('presence', 'Var', (4, 12)) ('influence', 'Reg', (97, 106)) ('thymomas', 'Disease', (25, 33)) 27864 25426445 It is clear that anti-cytokine autoantibodies are an important and emerging mechanisms of adult-onset immunodeficiency and can be responsible for severe opportunistic infection in previously healthy adults. ('opportunistic infection', 'Disease', 'MESH:D009894', (153, 176)) ('responsible', 'Reg', (130, 141)) ('opportunistic infection', 'Phenotype', 'HP:0031690', (153, 176)) ('immunodeficiency', 'Phenotype', 'HP:0002721', (102, 118)) ('opportunistic infection', 'Disease', (153, 176)) ('anti-cytokine autoantibodies', 'Var', (17, 45)) ('immunodeficiency', 'Disease', 'MESH:D007153', (102, 118)) ('immunodeficiency', 'Disease', (102, 118)) 27973 25059994 In our understanding these pathophysiological alterations resulted in a reduction of the arterial blood pressure and the tissue perfusion, followed by a considerable rise of catecholamine levels in this trial. ('reduction', 'NegReg', (72, 81)) ('arterial blood pressure', 'MPA', (89, 112)) ('catecholamine', 'Chemical', 'MESH:D002395', (174, 187)) ('tissue perfusion', 'CPA', (121, 137)) ('rise', 'PosReg', (166, 170)) ('alterations', 'Var', (46, 57)) ('rise of catecholamine levels', 'Phenotype', 'HP:0003334', (166, 194)) ('reduction of the arterial blood pressure', 'Phenotype', 'HP:0002615', (72, 112)) ('catecholamine levels', 'MPA', (174, 194)) 28171 31167928 Lymphocyte-driven regional immunopathology in pneumonitis caused by impaired central immune tolerance Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED), a monogenic disorder caused by AIRE mutations, presents with several autoimmune diseases. ('APECED', 'Gene', '326', (166, 172)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (244, 262)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (244, 263)) ('pneumonitis', 'Disease', (46, 57)) ('AIRE', 'Gene', (206, 210)) ('APECED', 'Gene', (166, 172)) ('mutations', 'Var', (211, 220)) ('ectodermal dystrophy', 'Phenotype', 'HP:0000968', (144, 164)) ('autoimmune diseases', 'Disease', (244, 263)) ('AIRE', 'Gene', '326', (206, 210)) ('Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy', 'Disease', 'MESH:C538275', (102, 164)) ('pneumonitis', 'Disease', 'MESH:D011014', (46, 57)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (244, 263)) 28175 31167928 Autoantibodies against BPIFB1 and KCNRG and the homozygous c.967_979del13 AIRE mutation are associated with pneumonitis development. ('associated with', 'Reg', (92, 107)) ('KCNRG', 'Gene', (34, 39)) ('AIRE', 'Gene', (74, 78)) ('AIRE', 'Gene', '326', (74, 78)) ('pneumonitis', 'Disease', (108, 119)) ('c.967_979del13', 'Var', (59, 73)) ('BPIFB1', 'Gene', '92747', (23, 29)) ('pneumonitis', 'Disease', 'MESH:D011014', (108, 119)) ('BPIFB1', 'Gene', (23, 29)) ('KCNRG', 'Gene', '283518', (34, 39)) ('c.967_979del13', 'Mutation', 'c.967_979del13', (59, 73)) 28181 31167928 Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED) or autoimmune polyglandular syndrome type 1 is a monogenic disorder most often caused by biallelic mutations in the thymus-enriched autoimmune regulator (AIRE) gene. ('AIRE', 'Gene', (226, 230)) ('autoimmune regulator', 'Gene', (204, 224)) ('autoimmune polyglandular syndrome', 'Disease', (75, 108)) ('autoimmune regulator', 'Gene', '326', (204, 224)) ('APECED', 'Gene', '326', (64, 70)) ('AIRE', 'Gene', '326', (226, 230)) ('autoimmune polyglandular syndrome', 'Disease', 'MESH:D016884', (75, 108)) ('ectodermal dystrophy', 'Phenotype', 'HP:0000968', (42, 62)) ('Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy', 'Disease', 'MESH:C538275', (0, 62)) ('APECED', 'Gene', (64, 70)) ('biallelic mutations', 'Var', (161, 180)) ('caused by', 'Reg', (151, 160)) 28183 31167928 Aire deficiency also features breakdown in B lymphocyte tolerance; Aire-/- B lymphocytes have been implicated in contributing to organ-specific autoimmune damage via direct priming of T lymphocytes. ('autoimmune damage', 'Disease', (144, 161)) ('Aire-/- B', 'Var', (67, 76)) ('Aire deficiency', 'Disease', 'MESH:D009041', (0, 15)) ('B lymphocyte tolerance', 'CPA', (43, 65)) ('autoimmune damage', 'Disease', 'MESH:D020274', (144, 161)) ('contributing', 'Reg', (113, 125)) ('Aire deficiency', 'Disease', (0, 15)) 28186 31167928 Although autoantibodies against the lung-specific bactericidal/permeability-increasing fold-containing B1 (BPIFB1) and the potassium channel regulator KCNRG have been associated with the development of APECED pneumonitis, the immunopathogenesis of APECED pneumonitis in humans remains elusive, and no effective treatment is known. ('KCNRG', 'Gene', '283518', (151, 156)) ('BPIFB1', 'Gene', (107, 113)) ('associated with', 'Reg', (167, 182)) ('KCNRG', 'Gene', (151, 156)) ('APECED pneumonitis', 'Disease', 'MESH:C538275', (248, 266)) ('autoantibodies', 'Var', (9, 23)) ('humans', 'Species', '9606', (270, 276)) ('potassium', 'Chemical', 'MESH:D011188', (123, 132)) ('APECED pneumonitis', 'Disease', (202, 220)) ('BPIFB1', 'Gene', '92747', (107, 113)) ('APECED pneumonitis', 'Disease', 'MESH:C538275', (202, 220)) ('APECED pneumonitis', 'Disease', (248, 266)) 28205 31167928 Bronchiectasis was the most common radiographic finding (81%) followed by GGO or mosaicism (76.2%), a tree-in-bud pattern, nodular opacities, or mucus plugging, each of which was seen in more than half of the patients (Fig. ('mosaicism', 'Var', (81, 90)) ('nodular opacities', 'Disease', (123, 140)) ('Bronchiectasis', 'Phenotype', 'HP:0002110', (0, 14)) ('Bronchiectasis', 'Disease', (0, 14)) ('nodular opacities', 'Disease', 'MESH:D003318', (123, 140)) ('patients', 'Species', '9606', (209, 217)) ('GGO', 'Disease', (74, 77)) ('Bronchiectasis', 'Disease', 'MESH:D001987', (0, 14)) ('tree-in-bud pattern', 'Phenotype', 'HP:0032174', (102, 121)) 28215 31167928 Progressively worsening bronchiectasis-associated lung disease occurred later in untreated pneumonitis, associated with Gram-negative or Gram-positive bacteria (n = 4) or NTM (n = 2). ('bronchiectasis', 'Phenotype', 'HP:0002110', (24, 38)) ('bronchiectasis-associated lung disease', 'Disease', 'MESH:D001987', (24, 62)) ('bronchiectasis-associated lung disease', 'Disease', (24, 62)) ('lung disease', 'Phenotype', 'HP:0002088', (50, 62)) ('pneumonitis', 'Disease', (91, 102)) ('Gram-negative', 'Var', (120, 133)) ('pneumonitis', 'Disease', 'MESH:D011014', (91, 102)) 28223 31167928 Autoantibodies against BPIFB1 and KCNRG have been associated with APECED pneumonitis in previous studies. ('KCNRG', 'Gene', (34, 39)) ('BPIFB1', 'Gene', '92747', (23, 29)) ('BPIFB1', 'Gene', (23, 29)) ('APECED pneumonitis', 'Disease', (66, 84)) ('KCNRG', 'Gene', '283518', (34, 39)) ('associated', 'Reg', (50, 60)) ('Autoantibodies', 'Var', (0, 14)) ('APECED pneumonitis', 'Disease', 'MESH:C538275', (66, 84)) 28230 31167928 We found an association between carrying the AIRE c.967_979del13 mutation in homozygosity and the time to development of pneumonitis (Fig. ('pneumonitis', 'Disease', 'MESH:D011014', (121, 132)) ('AIRE', 'Gene', (45, 49)) ('c.967_979del13', 'Mutation', 'c.967_979del13', (50, 64)) ('AIRE', 'Gene', '326', (45, 49)) ('c.967_979del13', 'Var', (50, 64)) ('pneumonitis', 'Disease', (121, 132)) 28231 31167928 2C); no other genotype-phenotype correlations were observed, nor did we identify specific human leukocyte antigen (HLA) haplotype associations with the time to development of pneumonitis. ('HLA', 'Gene', (115, 118)) ('pneumonitis', 'Disease', 'MESH:D011014', (175, 186)) ('haplotype', 'Var', (120, 129)) ('human', 'Species', '9606', (90, 95)) ('pneumonitis', 'Disease', (175, 186)) 28254 31167928 All six available deep lung tissue samples showed lymphocytic or lymphoplasmacytic bronchiolitis and/or peribronchiolar inflammation dominated by CD4+ and CD8+ T lymphocytes, with the latter prominent within intraepithelial areas. ('lymphoplasmacytic bronchiolitis', 'Disease', (65, 96)) ('lymphoplasmacytic bronchiolitis', 'Disease', 'MESH:D001988', (65, 96)) ('CD8', 'Gene', (155, 158)) ('CD4+', 'Var', (146, 150)) ('inflammation', 'Disease', 'MESH:D007249', (120, 132)) ('CD8', 'Gene', '925', (155, 158)) ('bronchiolitis', 'Phenotype', 'HP:0011950', (83, 96)) ('lymphocytic', 'Disease', (50, 61)) ('inflammation', 'Disease', (120, 132)) 28266 31167928 Besides thymoma, thymic AIRE is decreased in patients with biallelic hypomorphic RAG mutations who manifest immune deficiency, dysregulation, and autoimmunity. ('autoimmunity', 'Phenotype', 'HP:0002960', (146, 158)) ('autoimmunity', 'Disease', (146, 158)) ('immune deficiency', 'Disease', 'MESH:D007153', (108, 125)) ('thymoma', 'Phenotype', 'HP:0100522', (8, 15)) ('immune deficiency', 'Disease', (108, 125)) ('man', 'Species', '9606', (99, 102)) ('biallelic hypomorphic', 'Var', (59, 80)) ('autoimmunity', 'Disease', 'MESH:D001327', (146, 158)) ('AIRE', 'Gene', (24, 28)) ('AIRE', 'Gene', '326', (24, 28)) ('patients', 'Species', '9606', (45, 53)) ('thymoma', 'Disease', 'MESH:D013945', (8, 15)) ('decreased', 'NegReg', (32, 41)) ('immune deficiency', 'Phenotype', 'HP:0002721', (108, 125)) ('thymoma', 'Disease', (8, 15)) 28273 31167928 We next examined histological features of lung disease in Aire-/- mice and found that Aire-/- mouse lung tissue exhibited histological abnormalities similar to those seen in patients with APECED pneumonitis. ('lung disease', 'Phenotype', 'HP:0002088', (42, 54)) ('lung disease', 'Disease', 'MESH:D008171', (42, 54)) ('APECED pneumonitis', 'Disease', (188, 206)) ('mice', 'Species', '10090', (66, 70)) ('patients', 'Species', '9606', (174, 182)) ('mouse', 'Species', '10090', (94, 99)) ('histological abnormalities', 'Phenotype', 'HP:0002664', (122, 148)) ('APECED pneumonitis', 'Disease', 'MESH:C538275', (188, 206)) ('Aire-/-', 'Var', (86, 93)) ('lung disease', 'Disease', (42, 54)) 28279 31167928 CD4+ T lymphocytes are critical to promote pneumonitis, so as could be predicted, Aire-/-Ighn-/- mice manifested only partial amelioration of lung tissue injury relative to Aire-/- mice (Fig. ('mice', 'Species', '10090', (181, 185)) ('Aire-/-Ighn-/-', 'Var', (82, 96)) ('man', 'Species', '9606', (102, 105)) ('lung tissue injury', 'Disease', (142, 160)) ('lung tissue injury', 'Disease', 'MESH:D055370', (142, 160)) ('mice', 'Species', '10090', (97, 101)) ('pneumonitis', 'Disease', (43, 54)) ('pneumonitis', 'Disease', 'MESH:D011014', (43, 54)) 28280 31167928 Together, these data indicate that although both Aire-/- alphabeta T and B lymphocytes drive airway neutrophilia, Aire-/- alphabeta T lymphocytes predominate over Aire-/- B lymphocytes in promoting autoimmune lung tissue injury. ('airway neutrophilia', 'Disease', (93, 112)) ('airway neutrophilia', 'Disease', 'MESH:C563010', (93, 112)) ('autoimmune lung tissue injury', 'Disease', 'MESH:D055370', (198, 227)) ('promoting', 'PosReg', (188, 197)) ('autoimmune lung tissue injury', 'Disease', (198, 227)) ('Aire-/- alphabeta T', 'Var', (114, 133)) ('neutrophilia', 'Phenotype', 'HP:0011897', (100, 112)) 28310 31167928 Beyond chest CT, measurement of autoantibodies against BPIFB1 and KCNRG is a valuable, albeit less sensitive, screen for APECED pneumonitis. ('BPIFB1', 'Gene', '92747', (55, 61)) ('KCNRG', 'Gene', (66, 71)) ('BPIFB1', 'Gene', (55, 61)) ('autoantibodies', 'Var', (32, 46)) ('APECED pneumonitis', 'Disease', (121, 139)) ('KCNRG', 'Gene', '283518', (66, 71)) ('APECED pneumonitis', 'Disease', 'MESH:C538275', (121, 139)) 28316 31167928 We found an association between the homozygous c.967_979del13 AIRE mutation and development of pneumonitis. ('pneumonitis', 'Disease', (95, 106)) ('c.967_979del13', 'Mutation', 'c.967_979del13', (47, 61)) ('AIRE', 'Gene', '326', (62, 66)) ('AIRE', 'Gene', (62, 66)) ('pneumonitis', 'Disease', 'MESH:D011014', (95, 106)) ('c.967_979del13', 'Var', (47, 61)) 28319 31167928 Enrollment in our study and uniform pulmonary evaluation of European patients with APECED with c.967_979del13 homozygosity will help address this possibility. ('APECED', 'Gene', (83, 89)) ('c.967_979del13', 'Mutation', 'c.967_979del13', (95, 109)) ('patients', 'Species', '9606', (69, 77)) ('c.967_979del13', 'Var', (95, 109)) ('APECED', 'Gene', '326', (83, 89)) 28330 31167928 Within the lung parenchyma, CD4 and CD8 lymphocyte peribronchial and bronchiolar infiltration with associated follicular bronchiolitis and large B lymphocyte aggregates deeper in the lung parenchyma was also consistently observed, whereas CD4 and CD8 interstitial tissue lymphocytosis was seen less often. ('lymphocytosis', 'Disease', (271, 284)) ('CD4', 'Var', (28, 31)) ('CD8', 'Gene', (247, 250)) ('follicular bronchiolitis', 'Disease', 'MESH:D001988', (110, 134)) ('CD8', 'Gene', '925', (247, 250)) ('lymphocytosis', 'Disease', 'MESH:D008218', (271, 284)) ('lymphocytosis', 'Phenotype', 'HP:0100827', (271, 284)) ('bronchiolitis', 'Phenotype', 'HP:0011950', (121, 134)) ('CD8', 'Gene', (36, 39)) ('follicular bronchiolitis', 'Disease', (110, 134)) ('bronchiolar infiltration', 'CPA', (69, 93)) ('CD8', 'Gene', '925', (36, 39)) ('large B lymphocyte aggregates', 'CPA', (139, 168)) 28361 31167928 Inclusion criteria consisted of either a clinical APECED diagnosis based on developing any two manifestations within the classic triad of CMC, hypoparathyroidism, and adrenal insufficiency (n = 46) or a genetic diagnosis (i.e., biallelic AIRE mutations and/or deletions) without a classic diagnostic dyad (n = 4). ('AIRE', 'Gene', (238, 242)) ('AIRE', 'Gene', '326', (238, 242)) ('CMC', 'Phenotype', 'HP:0002728', (138, 141)) ('APECED', 'Gene', '326', (50, 56)) ('deletions', 'Var', (260, 269)) ('hypoparathyroidism', 'Disease', (143, 161)) ('adrenal insufficiency', 'Phenotype', 'HP:0000846', (167, 188)) ('adrenal insufficiency', 'Disease', 'MESH:D000309', (167, 188)) ('hypoparathyroidism', 'Disease', 'MESH:D007011', (143, 161)) ('APECED', 'Gene', (50, 56)) ('hypoparathyroidism', 'Phenotype', 'HP:0000829', (143, 161)) ('mutations', 'Var', (243, 252)) ('CMC', 'Disease', (138, 141)) ('adrenal insufficiency', 'Disease', (167, 188)) ('man', 'Species', '9606', (95, 98)) 28384 29438696 We further observe enrichment of mutations in HRAS, NRAS, and TP53. ('NRAS', 'Gene', (52, 56)) ('TP53', 'Gene', '7157', (62, 66)) ('NRAS', 'Gene', '4893', (52, 56)) ('HRAS', 'Gene', '3265', (46, 50)) ('TP53', 'Gene', (62, 66)) ('mutations', 'Var', (33, 42)) ('HRAS', 'Gene', (46, 50)) 28387 29438696 They identify high prevalence of GTF2I mutations and enrichment of mutations in HRAS, NRAS, and TP53 and link over-expression of muscle auto-antigens and increased aneuploidy in thymoma and patients' risk of having myasthenia gravis. ('NRAS', 'Gene', (86, 90)) ('myasthenia', 'Phenotype', 'HP:0003473', (215, 225)) ('HRAS', 'Gene', '3265', (80, 84)) ('GTF2I', 'Gene', (33, 38)) ('myasthenia gravis', 'Disease', (215, 232)) ('TP53', 'Gene', (96, 100)) ('NRAS', 'Gene', '4893', (86, 90)) ('over-expression', 'PosReg', (110, 125)) ('patients', 'Species', '9606', (190, 198)) ('aneuploidy in thymoma', 'Disease', (164, 185)) ('GTF2I', 'Gene', '2969', (33, 38)) ('mutations', 'Var', (39, 48)) ('mutations', 'Var', (67, 76)) ('aneuploidy in thymoma', 'Disease', 'MESH:D000782', (164, 185)) ('thymoma', 'Phenotype', 'HP:0100522', (178, 185)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (215, 232)) ('HRAS', 'Gene', (80, 84)) ('TP53', 'Gene', '7157', (96, 100)) 28394 29438696 However, mutations in EGFR and KIT are uncommon. ('mutations', 'Var', (9, 18)) ('KIT', 'Gene', (31, 34)) ('EGFR', 'Gene', '1956', (22, 26)) ('EGFR', 'Gene', (22, 26)) 28395 29438696 documented that histological subtypes of thymoma exhibited differential molecular profiles with thymic carcinomas displaying more chromosomal gains and losses and occasionally harboring somatic mutations in KIT. ('thymic carcinomas', 'Disease', (96, 113)) ('carcinomas', 'Phenotype', 'HP:0030731', (103, 113)) ('KIT', 'Gene', (207, 210)) ('thymoma', 'Gene', (41, 48)) ('losses', 'NegReg', (152, 158)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (96, 113)) ('thymoma', 'Phenotype', 'HP:0100522', (41, 48)) ('carcinoma', 'Phenotype', 'HP:0030731', (103, 112)) ('chromosomal gains', 'Var', (130, 147)) ('thymoma', 'Gene', '7063', (41, 48)) 28397 29438696 Exome sequencing has revealed a high frequency of recurrent mutations in the GTF2I gene in type A and AB thymomas. ('AB thymomas', 'Disease', (102, 113)) ('thymoma', 'Phenotype', 'HP:0100522', (105, 112)) ('GTF2I', 'Gene', (77, 82)) ('GTF2I', 'Gene', '2969', (77, 82)) ('mutations', 'Var', (60, 69)) ('type A', 'Disease', (91, 97)) ('AB thymomas', 'Disease', 'MESH:D013945', (102, 113)) 28399 29438696 Nevertheless, these efforts have helped identify unique molecular changes in TETs such as an anti-apoptotic gene signature and mutations in genes involved in histone modification, DNA methylation and chromatin remodeling in thymic carcinomas. ('thymic carcinomas', 'Disease', 'MESH:D013945', (224, 241)) ('carcinoma', 'Phenotype', 'HP:0030731', (231, 240)) ('carcinomas', 'Phenotype', 'HP:0030731', (231, 241)) ('thymic carcinomas', 'Disease', (224, 241)) ('mutations', 'Var', (127, 136)) ('anti-apoptotic gene', 'Gene', (93, 112)) 28412 29438696 The vast majority of mutations in HRAS and NRAS occurred at known gain-of-function codons (HRAS: codon 12, 13, 117; NRAS: codon 61). ('HRAS', 'Gene', (91, 95)) ('HRAS', 'Gene', (34, 38)) ('NRAS', 'Gene', (43, 47)) ('HRAS', 'Gene', '3265', (91, 95)) ('NRAS', 'Gene', (116, 120)) ('gain-of-function', 'PosReg', (66, 82)) ('NRAS', 'Gene', '4893', (43, 47)) ('NRAS', 'Gene', '4893', (116, 120)) ('HRAS', 'Gene', '3265', (34, 38)) ('mutations', 'Var', (21, 30)) 28413 29438696 In TP53, all mutations were known pathogenic loss of function mutations. ('mutations', 'Var', (13, 22)) ('TP53', 'Gene', '7157', (3, 7)) ('TP53', 'Gene', (3, 7)) ('loss of function', 'NegReg', (45, 61)) 28414 29438696 This suggests that mutations in GTF2I, HRAS, NRAS, and TP53 are most likely founder mutations occurring at the onset or very early in tumor development. ('GTF2I', 'Gene', (32, 37)) ('NRAS', 'Gene', '4893', (45, 49)) ('TP53', 'Gene', '7157', (55, 59)) ('TP53', 'Gene', (55, 59)) ('GTF2I', 'Gene', '2969', (32, 37)) ('mutations', 'Var', (19, 28)) ('tumor', 'Disease', 'MESH:D009369', (134, 139)) ('HRAS', 'Gene', '3265', (39, 43)) ('NRAS', 'Gene', (45, 49)) ('tumor', 'Phenotype', 'HP:0002664', (134, 139)) ('HRAS', 'Gene', (39, 43)) ('tumor', 'Disease', (134, 139)) 28423 29438696 We observed that cases in subtypes 1 and 3 are associated with higher lymphocyte content (p < 0.01), GTF2I mutation is predominantly seen in subtypes 3 and 4, and HRAS mutation is predominantly observed in subtype 4. ('GTF2I', 'Gene', '2969', (101, 106)) ('HRAS', 'Gene', '3265', (163, 167)) ('mutation', 'Var', (107, 115)) ('lymphocyte content', 'MPA', (70, 88)) ('HRAS', 'Gene', (163, 167)) ('higher', 'PosReg', (63, 69)) ('GTF2I', 'Gene', (101, 106)) 28428 29438696 The opposite is seen in the AB-, B-, and C-like clusters where tumor suppression is down-regulated (p53, and TAp73a), and oncogenes are up-regulated (MYC/Max, MYB, FOXM1, and E2F1) (Figure 3D). ('tumor', 'Disease', (63, 68)) ('tumor', 'Phenotype', 'HP:0002664', (63, 68)) ('up-regulated', 'PosReg', (136, 148)) ('MYB', 'Gene', (159, 162)) ('TAp73a', 'Var', (109, 115)) ('MYC', 'Gene', '4609', (150, 153)) ('FOXM1', 'Gene', '2305', (164, 169)) ('p53', 'Gene', '7157', (100, 103)) ('tumor', 'Disease', 'MESH:D009369', (63, 68)) ('MYB', 'Gene', '4602', (159, 162)) ('FOXM1', 'Gene', (164, 169)) ('down-regulated', 'NegReg', (84, 98)) ('E2F1', 'Gene', (175, 179)) ('oncogenes', 'CPA', (122, 131)) ('MYC', 'Gene', (150, 153)) ('E2F1', 'Gene', '1869', (175, 179)) ('p53', 'Gene', (100, 103)) 28430 29438696 Given the predominance of GTF2I mutations in type A & AB thymomas, we utilized our multi-platform data to further characterize GTF2I-mutated tumors. ('AB thymomas', 'Disease', (54, 65)) ('tumor', 'Phenotype', 'HP:0002664', (141, 146)) ('GTF2I', 'Gene', (26, 31)) ('tumors', 'Disease', (141, 147)) ('tumors', 'Disease', 'MESH:D009369', (141, 147)) ('thymoma', 'Phenotype', 'HP:0100522', (57, 64)) ('tumors', 'Phenotype', 'HP:0002664', (141, 147)) ('mutations', 'Var', (32, 41)) ('GTF2I', 'Gene', (127, 132)) ('GTF2I', 'Gene', '2969', (26, 31)) ('GTF2I', 'Gene', '2969', (127, 132)) ('AB thymomas', 'Disease', 'MESH:D013945', (54, 65)) 28432 29438696 GTF2I mutations are very rare in cancer with no observed L424H mutations in any other of the ~10,000 tumor samples profiled by the TCGA (Figure 4B). ('cancer', 'Disease', (33, 39)) ('000 tumor', 'Disease', (97, 106)) ('cancer', 'Disease', 'MESH:D009369', (33, 39)) ('tumor', 'Phenotype', 'HP:0002664', (101, 106)) ('GTF2I', 'Gene', (0, 5)) ('000 tumor', 'Disease', 'MESH:D009369', (97, 106)) ('cancer', 'Phenotype', 'HP:0002664', (33, 39)) ('GTF2I', 'Gene', '2969', (0, 5)) ('L424H', 'Mutation', 'p.L424H', (57, 62)) ('mutations', 'Var', (6, 15)) ('L424H', 'Var', (57, 62)) 28433 29438696 There are occasional (<1%) GTF2I mutations in other cancers and these are exclusively at sites other than L424H. ('L424H', 'Mutation', 'p.L424H', (106, 111)) ('GTF2I', 'Gene', '2969', (27, 32)) ('cancer', 'Phenotype', 'HP:0002664', (52, 58)) ('cancers', 'Disease', (52, 59)) ('mutations', 'Var', (33, 42)) ('cancers', 'Phenotype', 'HP:0002664', (52, 59)) ('GTF2I', 'Gene', (27, 32)) ('cancers', 'Disease', 'MESH:D009369', (52, 59)) 28434 29438696 We examined the transcriptional response associated with GTF2I mutations using RNA-seq data analysis (Figure 4C). ('mutations', 'Var', (63, 72)) ('GTF2I', 'Gene', (57, 62)) ('GTF2I', 'Gene', '2969', (57, 62)) 28435 29438696 Ten GTF2I mutant samples were misclassified by our predictor as wild type and all had a low variant allele frequency, concordant low tumor purity, and high lymphocyte grade (Figure S2B). ('mutant', 'Var', (10, 16)) ('tumor', 'Phenotype', 'HP:0002664', (133, 138)) ('low tumor', 'Disease', 'MESH:D009800', (129, 138)) ('GTF2I', 'Gene', (4, 9)) ('low tumor', 'Disease', (129, 138)) ('high lymphocyte', 'Phenotype', 'HP:0100827', (151, 166)) ('GTF2I', 'Gene', '2969', (4, 9)) 28436 29438696 The GTF2I mutants had higher expression of genes involved in cell morphogenesis, receptor tyrosine kinase signaling, retinoic acid receptors, neuronal processes, as well as the WNT and SHH signaling pathways. ('higher', 'PosReg', (22, 28)) ('mutants', 'Var', (10, 17)) ('GTF2I', 'Gene', '2969', (4, 9)) ('GTF2I', 'Gene', (4, 9)) ('receptor tyrosine kinase signaling', 'MPA', (81, 115)) ('expression', 'MPA', (29, 39)) ('WNT and', 'Pathway', (177, 184)) 28437 29438696 DNA methylation changes that associated with GTF2I mutations were indistinguishable from changes associated with histological type and lymphocyte grade (Figure 4D). ('GTF2I', 'Gene', (45, 50)) ('mutations', 'Var', (51, 60)) ('GTF2I', 'Gene', '2969', (45, 50)) 28438 29438696 RPPA data was available for 42 thymoma samples of types A or AB, of which 32 exhibited GTF2I mutations. ('thymoma', 'Gene', '7063', (31, 38)) ('mutations', 'Var', (93, 102)) ('thymoma', 'Gene', (31, 38)) ('exhibited', 'Reg', (77, 86)) ('GTF2I', 'Gene', (87, 92)) ('thymoma', 'Phenotype', 'HP:0100522', (31, 38)) ('GTF2I', 'Gene', '2969', (87, 92)) 28439 29438696 After correcting for multiple hypothesis testing, we found 91 proteins to be significantly downregulated in the GTF2I mutant tumors. ('downregulated', 'NegReg', (91, 104)) ('proteins', 'Protein', (62, 70)) ('tumor', 'Phenotype', 'HP:0002664', (125, 130)) ('GTF2I', 'Gene', (112, 117)) ('tumors', 'Disease', (125, 131)) ('tumors', 'Disease', 'MESH:D009369', (125, 131)) ('tumors', 'Phenotype', 'HP:0002664', (125, 131)) ('mutant', 'Var', (118, 124)) ('GTF2I', 'Gene', '2969', (112, 117)) 28440 29438696 Pathway analysis demonstrated lower expression of the apoptosis, cell cycle, DNA damage response, hormone receptor signaling, breast hormone signaling, RAS/MAPK, RTK and TSC/mTOR pathways in GTF2I mutant tumors (Figure 4E). ('RAS/MAPK', 'Pathway', (152, 160)) ('apoptosis', 'CPA', (54, 63)) ('lower', 'NegReg', (30, 35)) ('tumors', 'Disease', 'MESH:D009369', (204, 210)) ('GTF2I', 'Gene', (191, 196)) ('RTK', 'Pathway', (162, 165)) ('hormone receptor', 'MPA', (98, 114)) ('tumor', 'Phenotype', 'HP:0002664', (204, 209)) ('cell cycle', 'CPA', (65, 75)) ('DNA damage', 'MPA', (77, 87)) ('GTF2I', 'Gene', '2969', (191, 196)) ('mutant', 'Var', (197, 203)) ('tumors', 'Disease', (204, 210)) ('breast hormone signaling', 'MPA', (126, 150)) ('mTOR', 'Gene', (174, 178)) ('mTOR', 'Gene', '2475', (174, 178)) ('expression', 'MPA', (36, 46)) ('tumors', 'Phenotype', 'HP:0002664', (204, 210)) 28446 29438696 Furthermore, MG status was neither associated with mutations in any single gene (including GTF2I) nor with any methylation signature or microRNA profile (data not shown). ('GTF2I', 'Gene', (91, 96)) ('mutations', 'Var', (51, 60)) ('GTF2I', 'Gene', '2969', (91, 96)) 28453 29438696 Expression levels of the medium size neurofilament, NEFM, that exhibits immunogenic similarities with the AChR a-subunit and titin were 23.8-fold higher in MG+ compared to MG- thymomas and even higher (30-fold) in MG+ type A/AB subset (FDR=0) (Figure 5D). ('higher', 'PosReg', (146, 152)) ('higher', 'PosReg', (194, 200)) ('titin', 'Gene', '7273', (125, 130)) ('Expression levels', 'MPA', (0, 17)) ('thymomas', 'Disease', (176, 184)) ('thymomas', 'Disease', 'MESH:D013945', (176, 184)) ('titin', 'Gene', (125, 130)) ('MG+', 'Var', (156, 159)) ('NEFM', 'Gene', '4741', (52, 56)) ('NEFM', 'Gene', (52, 56)) ('thymoma', 'Phenotype', 'HP:0100522', (176, 183)) 28460 29438696 Of distinct interest, a single TC sample exhibited an exceptionally high TMB (21.29 mutations per megabase), and was excluded from the analysis in Figure 6B to avoid skewing the results. ('mutations', 'Var', (84, 93)) ('TMB', 'Chemical', '-', (73, 76)) ('TMB', 'MPA', (73, 76)) 28461 29438696 However, a further analysis of this sample revealed a characteristic mutation pattern of SNVs most similar to COSMIC signature 6 (cosine similarity = 0.91, http://cancer.sanger.ac.uk/cosmic/signatures) and a significant enrichment of 1-base indels (19% vs 5% in remaining samples), which is associated with microsatellite unstable tumors with defective DNA mismatch repair (Figure 6C). ('SNVs', 'Gene', (89, 93)) ('1-base indels', 'Var', (234, 247)) ('microsatellite unstable tumors', 'Disease', (307, 337)) ('tumor', 'Phenotype', 'HP:0002664', (331, 336)) ('microsatellite unstable tumors', 'Disease', 'MESH:D053842', (307, 337)) ('cancer', 'Phenotype', 'HP:0002664', (163, 169)) ('tumors', 'Phenotype', 'HP:0002664', (331, 337)) ('cancer', 'Disease', (163, 169)) ('cancer', 'Disease', 'MESH:D009369', (163, 169)) 28462 29438696 Interestingly, this sample has a pathogenic nonsense mutation (E37*) in MLH1 (https://www.ncbi.nlm.nih.gov/clinvar/variation/89641/) with a concomitant loss of MLH1 mRNA expression (2.6-fold down-regulation against the median). ('MLH1', 'Gene', (160, 164)) ('E37*', 'Var', (63, 67)) ('loss', 'NegReg', (152, 156)) ('down-regulation', 'NegReg', (191, 206)) ('pathogenic', 'Reg', (33, 43)) ('mRNA expression', 'MPA', (165, 180)) ('E37*', 'SUBSTITUTION', 'None', (63, 67)) ('MLH1', 'Gene', '4292', (72, 76)) ('MLH1', 'Gene', (72, 76)) ('MLH1', 'Gene', '4292', (160, 164)) 28463 29438696 To our knowledge, this is the first report of a microsatellite unstable Thymic Carcinoma. ('microsatellite unstable', 'Var', (48, 71)) ('Carcinoma', 'Disease', (79, 88)) ('Carcinoma', 'Phenotype', 'HP:0030731', (79, 88)) ('Carcinoma', 'Disease', 'MESH:D002277', (79, 88)) 28466 29438696 using the publically available TCGA TET dataset also demonstrated separation of TETs into four clusters defined by: GTF2I mutations, T-cell signaling, chromosomal stability, and chromosomal instability. ('chromosomal instability', 'Phenotype', 'HP:0040012', (178, 201)) ('GTF2I', 'Gene', (116, 121)) ('T-cell', 'MPA', (133, 139)) ('mutations', 'Var', (122, 131)) ('GTF2I', 'Gene', '2969', (116, 121)) 28467 29438696 GTF2I L424H mutations are unique to TETs and is the most common mutation in this tumor type. ('L424H', 'Mutation', 'p.L424H', (6, 11)) ('L424H', 'Var', (6, 11)) ('GTF2I', 'Gene', (0, 5)) ('tumor', 'Disease', 'MESH:D009369', (81, 86)) ('tumor', 'Phenotype', 'HP:0002664', (81, 86)) ('GTF2I', 'Gene', '2969', (0, 5)) ('tumor', 'Disease', (81, 86)) 28469 29438696 Mutations in GTF2I have been described rarely in other tumor types and are present at different codons. ('tumor', 'Disease', 'MESH:D009369', (55, 60)) ('tumor', 'Phenotype', 'HP:0002664', (55, 60)) ('tumor', 'Disease', (55, 60)) ('Mutations', 'Var', (0, 9)) ('GTF2I', 'Gene', (13, 18)) ('GTF2I', 'Gene', '2969', (13, 18)) 28470 29438696 RNA-seq identified higher expression of genes involved in cell morphogenesis, receptor tyrosine kinases, retinoic acid receptors, neuronal processes, as well as the WNT and SHH signaling pathways in the GTF2I mutant tumors. ('expression', 'MPA', (26, 36)) ('higher', 'PosReg', (19, 25)) ('tumors', 'Disease', (216, 222)) ('tumors', 'Disease', 'MESH:D009369', (216, 222)) ('tumors', 'Phenotype', 'HP:0002664', (216, 222)) ('GTF2I', 'Gene', (203, 208)) ('tumor', 'Phenotype', 'HP:0002664', (216, 221)) ('mutant', 'Var', (209, 215)) ('GTF2I', 'Gene', '2969', (203, 208)) 28472 29438696 GTF2IRD1 is a GTF2I family member, located near GTF2I, which was also upregulated in our dataset in GTF2I mutants. ('GTF2I', 'Gene', '2969', (100, 105)) ('GTF2I', 'Gene', '2969', (0, 5)) ('GTF2I', 'Gene', (0, 5)) ('GTF2IRD1', 'Gene', (0, 8)) ('GTF2IRD1', 'Gene', '9569', (0, 8)) ('GTF2I', 'Gene', (14, 19)) ('GTF2I', 'Gene', (48, 53)) ('upregulated', 'PosReg', (70, 81)) ('GTF2I', 'Gene', (100, 105)) ('mutants', 'Var', (106, 113)) ('GTF2I', 'Gene', '2969', (14, 19)) ('GTF2I', 'Gene', '2969', (48, 53)) 28486 29438696 An exception is the finding of a microsatellite unstable thymic carcinoma, which may suggest the use of immune checkpoint therapy for these very rare cases. ('thymic carcinoma', 'Disease', (57, 73)) ('microsatellite unstable', 'Var', (33, 56)) ('carcinoma', 'Phenotype', 'HP:0030731', (64, 73)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (57, 73)) 28490 29438696 Incorporation of molecularly defined subtypes for histological diagnosis, as well as drug development based on these genomic data, particularly targeting mutant GTF2I, may have significant clinical implications for patients with TETs. ('patients', 'Species', '9606', (215, 223)) ('GTF2I', 'Gene', '2969', (161, 166)) ('GTF2I', 'Gene', (161, 166)) ('mutant', 'Var', (154, 160)) 28520 29438696 After passing quality control, bisulfite-converted DNA samples were whole genome amplified followed by enzymatic fragmentation and hybridized overnight to BeadChips followed by a locus-specific base extension with labeled nucleotides (cy3 and cy5). ('cy3', 'Var', (235, 238)) ('bisulfite', 'Chemical', 'MESH:C042345', (31, 40)) ('cy5', 'Var', (243, 246)) 28553 29438696 For each filter, we then calculated a reads-per-million (RPM) abundance metric as: To detect genomic integration of specific viruses we performed de novo assembly of RNA-seq and DNA-seq sequence data with ABySS v1.3.4, using for each library the reads classified by BBT as human, the virus, multi-match and no match. ('BBT', 'Chemical', '-', (266, 269)) ('v1.3', 'Gene', (211, 215)) ('RPM', 'Chemical', '-', (57, 60)) ('multi-match', 'Var', (291, 302)) ('human', 'Species', '9606', (273, 278)) ('v1.3', 'Gene', '28816', (211, 215)) 28585 29438696 A Fisher's exact test p value <= 0.15 was returned when comparing the number of reads with gapped alignments versus reads without in the normal to the tumor. ('tumor', 'Disease', (151, 156)) ('gapped alignments', 'Var', (91, 108)) ('tumor', 'Disease', 'MESH:D009369', (151, 156)) ('tumor', 'Phenotype', 'HP:0002664', (151, 156)) 28589 29438696 Functional annotation of mutations was performed with Oncotator (http://www.broadinstitute.org/cancer/cga/oncotator) using Gencode V18. ('cga', 'Gene', (102, 105)) ('mutations', 'Var', (25, 34)) ('cancer', 'Disease', 'MESH:D009369', (95, 101)) ('cancer', 'Disease', (95, 101)) ('cga', 'Gene', '1113', (102, 105)) ('cancer', 'Phenotype', 'HP:0002664', (95, 101)) 28590 29438696 At BCM, mutations in BAM files were detected as follows: Atlas-SNP of the Atlas2 Suite was run to list all variants found in multiple reads at a single locus; and variants were annotated with dbSNP by ANNOVAR and COSMIC (Catalogue Of Somatic Mutations In Cancer). ('Cancer', 'Phenotype', 'HP:0002664', (255, 261)) ('variants', 'Var', (163, 171)) ('Cancer', 'Disease', (255, 261)) ('Cancer', 'Disease', 'MESH:D009369', (255, 261)) 28606 29438696 Multi-omics definition of four robust molecular TET subtypes associated with survival Thymomas have the lowest mutational burden among adult cancers Enrichment of HRAS, NRAS, TP53, and recurrent GTF2I mutations are observed Expression of autoimmune targets and aneuploidy links thymoma to myasthenia gravis ('adult cancers', 'Disease', 'MESH:C535836', (135, 148)) ('aneuploidy links thymoma to myasthenia gravis', 'Disease', 'MESH:D009157', (261, 306)) ('GTF2I', 'Gene', (195, 200)) ('Thymoma', 'Phenotype', 'HP:0100522', (86, 93)) ('TP53', 'Gene', '7157', (175, 179)) ('myasthenia', 'Phenotype', 'HP:0003473', (289, 299)) ('NRAS', 'Gene', (169, 173)) ('HRAS', 'Gene', '3265', (163, 167)) ('HRAS', 'Gene', (163, 167)) ('aneuploidy links thymoma to myasthenia gravis', 'Disease', (261, 306)) ('cancers', 'Phenotype', 'HP:0002664', (141, 148)) ('cancer', 'Phenotype', 'HP:0002664', (141, 147)) ('thymoma', 'Phenotype', 'HP:0100522', (278, 285)) ('adult cancers', 'Disease', (135, 148)) ('Thymoma', 'Gene', (86, 93)) ('mutations', 'Var', (201, 210)) ('TP53', 'Gene', (175, 179)) ('Thymoma', 'Gene', '7063', (86, 93)) ('NRAS', 'Gene', '4893', (169, 173)) ('GTF2I', 'Gene', '2969', (195, 200)) 28658 26273398 WHO classification was type A/B in three (11.5%) patients, type B1 in three (11.5%), type B1/B2 in one (3.8%), type B2 in three (11.5%), and type B3 in seven (26.9%) patients. ('B1/B2', 'Gene', '28905;3383', (90, 95)) ('type B2', 'Var', (111, 118)) ('B1/B2', 'Gene', (90, 95)) ('patients', 'Species', '9606', (49, 57)) ('patients', 'Species', '9606', (166, 174)) 28683 26273398 In Kaplan-Meier analysis, a MTV and a TLG higher than 83.5 cm3 and 371.3, respectively, was associated with a poor prognosis (Fig 3). ('371.3', 'Var', (67, 72)) ('MTV', 'Chemical', '-', (28, 31)) ('MTV', 'Var', (28, 31)) ('TLG', 'Chemical', '-', (38, 41)) 28720 23580814 No carcinoma cells were observed, favoring T1N0M0. ('carcinoma', 'Disease', 'MESH:D002277', (3, 12)) ('carcinoma', 'Phenotype', 'HP:0030731', (3, 12)) ('carcinoma', 'Disease', (3, 12)) ('T1N0M0', 'Var', (43, 49)) 28744 19513285 Myasthenia gravis (MG) is an autoimmune disease in which muscular weakness and fatigability of skeletal muscles are caused by an antibody against the acetylcholine receptor (AChR) at the neuromuscular junction. ('AChR', 'Gene', (174, 178)) ('autoimmune disease', 'Disease', 'MESH:D001327', (29, 47)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (29, 47)) ('muscular weakness', 'Phenotype', 'HP:0001324', (57, 74)) ('antibody', 'Var', (129, 137)) ('caused by', 'Reg', (116, 125)) ('Myasthenia gravis', 'Disease', (0, 17)) ('muscular weakness', 'Disease', 'MESH:D018908', (57, 74)) ('Myasthenia gravis', 'Disease', 'MESH:D009157', (0, 17)) ('muscular weakness', 'Disease', (57, 74)) ('Myasthenia', 'Phenotype', 'HP:0003473', (0, 10)) ('fatigability', 'CPA', (79, 91)) ('autoimmune disease', 'Disease', (29, 47)) ('fatigability of skeletal muscles', 'Phenotype', 'HP:0030197', (79, 111)) 28787 20197733 Given the small number of patients treated in this study, selection based on presence of c-KIT mutations might be warranted. ('c-KIT', 'Gene', (89, 94)) ('c-KIT', 'Gene', '3815', (89, 94)) ('mutations', 'Var', (95, 104)) ('patients', 'Species', '9606', (26, 34)) 28791 20197733 c-KIT positivity by immunohistochemistry (IHC) has been observed in 73 to 86% of TC. ('c-KIT', 'Gene', (0, 5)) ('positivity', 'Var', (6, 16)) ('c-KIT', 'Gene', '3815', (0, 5)) 28797 20197733 Other inclusion criteria were age more than 18 years, presence of measurable and/or evaluable disease (by WHO Response Criteria), performance status 0 to 2 (Eastern Cooperative Oncology Group), adequate end organ function (total bilirubin <1.5 x upper limit of normal [ULN], serum glutamic oxaloacetic transaminase and serum glutamic pyruvic transaminase <2.5 x ULN, creatinine <1.5 x ULN, absolute neutrophil count >1.5 x 109/L, platelets >100 x 109/L, and leukocytes >3 x 109/L), and life expectancy more than 3 months. ('creatinine', 'Chemical', 'MESH:D003404', (367, 377)) ('>100 x 109/L', 'Var', (440, 452)) ('Oncology', 'Phenotype', 'HP:0002664', (177, 185)) ('platelets', 'CPA', (430, 439)) ('absolute neutrophil count', 'CPA', (390, 415)) ('serum glutamic pyruvic transaminase', 'MPA', (319, 354)) ('serum glutamic oxaloacetic transaminase', 'Phenotype', 'HP:0031956', (275, 314)) ('serum glutamic oxaloacetic transaminase', 'MPA', (275, 314)) ('creatinine', 'MPA', (367, 377)) ('life expectancy', 'CPA', (486, 501)) 28808 20197733 The PCR products were purified (Qiaquick PCR purification KIT, Qiagen, The Netherlands) and screened for mutations by bidirectional sequence analysis, using the forward and reverse PCR primers. ('KIT', 'Gene', '3815', (58, 61)) ('KIT', 'Gene', (58, 61)) ('mutations', 'Var', (105, 114)) 28834 20197733 have described a case of epidermoid carcinoma of the thymus with strong expression of KIT, an activating mutation in exon 11 of the KIT gene (V560del) and a response to imatinib that lasted 6 months. ('KIT', 'Gene', (86, 89)) ('epidermoid carcinoma of the thymus', 'Disease', 'MESH:D002294', (25, 59)) ('KIT', 'Gene', '3815', (132, 135)) ('V560del', 'Var', (142, 149)) ('KIT', 'Gene', (132, 135)) ('imatinib', 'Chemical', 'MESH:D000068877', (169, 177)) ('carcinoma', 'Phenotype', 'HP:0030731', (36, 45)) ('activating', 'PosReg', (94, 104)) ('V560del', 'Mutation', 'p.560delV', (142, 149)) ('KIT', 'Gene', '3815', (86, 89)) ('epidermoid carcinoma of the thymus', 'Disease', (25, 59)) 28836 20197733 They also found no c-KIT mutations in exons 9, 11, 13, and 17 of the KIT gene in 21 of 22 cases of TC by direct DNA sequencing. ('KIT', 'Gene', (69, 72)) ('mutations', 'Var', (25, 34)) ('KIT', 'Gene', '3815', (21, 24)) ('c-KIT', 'Gene', (19, 24)) ('KIT', 'Gene', '3815', (69, 72)) ('KIT', 'Gene', (21, 24)) ('c-KIT', 'Gene', '3815', (19, 24)) 28841 20197733 In 22 cases of thymoma and 11 cases of TC analyzed for mutations of exons 9, 11,13, and 17 of the KIT gene, only one case of TC harbored a missense mutation in exon 11 (L576P). ('thymoma', 'Disease', (15, 22)) ('mutations', 'Var', (55, 64)) ('thymoma', 'Phenotype', 'HP:0100522', (15, 22)) ('KIT', 'Gene', '3815', (98, 101)) ('L576P', 'Mutation', 'rs121913513', (169, 174)) ('KIT', 'Gene', (98, 101)) ('thymoma', 'Disease', 'MESH:D013945', (15, 22)) 28842 20197733 The presence of mutations in the c-KIT gene determines response to imatinib therapy. ('mutations', 'Var', (16, 25)) ('c-KIT', 'Gene', (33, 38)) ('imatinib', 'Chemical', 'MESH:D000068877', (67, 75)) ('response', 'MPA', (55, 63)) ('c-KIT', 'Gene', '3815', (33, 38)) 28848 20197733 A recent report (W. Pao, personal communication) identified two KIT mutations in six resected TC analyzed, one of which is a novel mutation. ('mutations', 'Var', (68, 77)) ('KIT', 'Gene', '3815', (64, 67)) ('KIT', 'Gene', (64, 67)) 28851 20197733 The rarity of KIT mutations in this disease may be the reason for this negative result. ('KIT', 'Gene', '3815', (14, 17)) ('KIT', 'Gene', (14, 17)) ('mutations', 'Var', (18, 27)) 28852 20197733 Selection of patients with TC harboring KIT mutations may be of interest for further studies. ('KIT', 'Gene', '3815', (40, 43)) ('KIT', 'Gene', (40, 43)) ('patients', 'Species', '9606', (13, 21)) ('mutations', 'Var', (44, 53)) 2065 30714278 Neuromyotonia was diagnosed according to the presence of typical electromyography abnormalities and/or autoantibodies against LGI1/CASPR2. ('Neuromyotonia', 'Disease', (0, 13)) ('Neuromyotonia', 'Disease', 'MESH:D020386', (0, 13)) ('CASPR2', 'Gene', '26047', (131, 137)) ('LGI1', 'Gene', '9211', (126, 130)) ('LGI1', 'Gene', (126, 130)) ('electromyography abnormalities', 'Phenotype', 'HP:0003457', (65, 95)) ('autoantibodies', 'Var', (103, 117)) ('CASPR2', 'Gene', (131, 137)) 28859 30714278 Three patients had Netrin-1 receptor antibodies, two with neuromyotonia and concomitant CASPR2+LGI1 antibodies and one with spontaneous muscle overactivity without electromyography evidence of neuromyotonia. ('antibodies', 'Var', (37, 47)) ('neuromyotonia', 'Disease', 'MESH:D020386', (58, 71)) ('LGI1', 'Gene', '9211', (95, 99)) ('LGI1', 'Gene', (95, 99)) ('Netrin-1', 'Gene', (19, 27)) ('CASPR2', 'Gene', (88, 94)) ('neuromyotonia', 'Disease', (193, 206)) ('neuromyotonia', 'Disease', 'MESH:D020386', (193, 206)) ('CASPR2', 'Gene', '26047', (88, 94)) ('patients', 'Species', '9606', (6, 14)) ('Netrin-1', 'Gene', '9423', (19, 27)) ('muscle overactivity', 'Phenotype', 'HP:0000752', (136, 155)) ('neuromyotonia', 'Disease', (58, 71)) 28866 30714278 NMT can be associated with myasthenia gravis (MG) with unknown frequency 6. ('associated', 'Reg', (11, 21)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (27, 44)) ('myasthenia', 'Phenotype', 'HP:0003473', (27, 37)) ('NMT', 'Var', (0, 3)) ('myasthenia gravis', 'Disease', (27, 44)) 28879 30714278 Patients were defined as having NMT if the following criteria were fulfilled: (i) the presence of cramps and/or muscle twitching (myokymia and/or fasciculations) affecting at least two skeletal regions; (ii) no pyridostigmine treatment, or symptom persistence after the drug suspension 18; (iii) electromyography (EMG) compatible with NMT (myokymic/neuromyotonic discharges) 4 or, in patients without EMG available, seropositivity for CASPR2 and/or LGI1 antibodies, which can typically be associated with NMT 19. ('LGI1', 'Gene', (449, 453)) ('fasciculations', 'Phenotype', 'HP:0002380', (146, 160)) ('NMT 1', 'Gene', '4836', (505, 510)) ('fasciculations', 'Disease', (146, 160)) ('seropositivity', 'Var', (416, 430)) ('neuromyotonic', 'Disease', 'None', (349, 362)) ('muscle twitching', 'Phenotype', 'HP:0002380', (112, 128)) ('LGI1', 'Gene', '9211', (449, 453)) ('twitching', 'Phenotype', 'HP:0010546', (119, 128)) ('Patients', 'Species', '9606', (0, 8)) ('myokymia', 'Disease', 'MESH:D020385', (130, 138)) ('NMT', 'Disease', (335, 338)) ('CASPR2', 'Gene', (435, 441)) ('patients', 'Species', '9606', (384, 392)) ('fasciculation', 'Phenotype', 'HP:0002380', (146, 159)) ('neuromyotonic', 'Disease', (349, 362)) ('fasciculations', 'Disease', 'MESH:D005207', (146, 160)) ('NMT 1', 'Gene', (505, 510)) ('CASPR2', 'Gene', '26047', (435, 441)) ('myokymia', 'Disease', (130, 138)) ('myokymia', 'Phenotype', 'HP:0002411', (130, 138)) 28903 30714278 As a whole, 6/23 patients had autoantibodies against neuronal cell-surface proteins. ('patients', 'Species', '9606', (17, 25)) ('neuronal cell-surface proteins', 'Protein', (53, 83)) ('autoantibodies', 'Var', (30, 44)) 28907 30714278 One patient with periocular myokymia and fasciculations in the four limbs had isolated antibodies to the Netrin-1 receptor DCC. ('Netrin-1', 'Gene', (105, 113)) ('myokymia', 'Phenotype', 'HP:0002411', (28, 36)) ('fasciculation', 'Phenotype', 'HP:0002380', (41, 54)) ('myokymia and fasciculations', 'Disease', 'MESH:D005207', (28, 55)) ('patient', 'Species', '9606', (4, 11)) ('DCC', 'Gene', (123, 126)) ('Netrin-1', 'Gene', '9423', (105, 113)) ('DCC', 'Gene', '1630', (123, 126)) ('antibodies', 'Var', (87, 97)) ('fasciculations', 'Phenotype', 'HP:0002380', (41, 55)) 28927 30714278 Previous studies compared patients with peripheral nerve hyperexcitability with or without typical EMG features of NMT, concluding that the frequency of VGKC antibodies (including CASPR2 and LGI1 antibodies) is increased in both groups, thus probably implicated in the pathogenesis, and that the EMG features reflect quantitative rather than qualitative differences 18. ('antibodies', 'Var', (158, 168)) ('CASPR2', 'Gene', '26047', (180, 186)) ('patients', 'Species', '9606', (26, 34)) ('increased', 'PosReg', (211, 220)) ('LGI1', 'Gene', '9211', (191, 195)) ('CASPR2', 'Gene', (180, 186)) ('rat', 'Species', '10116', (330, 333)) ('LGI1', 'Gene', (191, 195)) ('VGKC', 'Gene', (153, 157)) 28940 30714278 In our series, the autoantibodies tended to associate with recurrent thymoma. ('thymoma', 'Gene', '7063', (69, 76)) ('autoantibodies', 'Var', (19, 33)) ('thymoma', 'Gene', (69, 76)) ('thymoma', 'Phenotype', 'HP:0100522', (69, 76)) ('associate with', 'Reg', (44, 58)) 28950 30242309 This cohort study combined with a patient-led survey found that antibodies to the extracellular aspects of leucine-rich glioma inactivated protein, contactin-associated protein 2, and contactin 2 were variably present in 45% of patients with neuromyotonia. ('contactin 2', 'Gene', '6900', (184, 195)) ('glioma', 'Phenotype', 'HP:0009733', (120, 126)) ('contactin-associated protein 2', 'Gene', '26047', (148, 178)) ('neuromyotonia', 'Disease', (242, 255)) ('present', 'Reg', (210, 217)) ('antibodies', 'Var', (64, 74)) ('patients', 'Species', '9606', (228, 236)) ('patient', 'Species', '9606', (34, 41)) ('neuromyotonia', 'Disease', 'MESH:D020386', (242, 255)) ('glioma', 'Disease', (120, 126)) ('contactin 2', 'Gene', (184, 195)) ('contactin-associated protein 2', 'Gene', (148, 178)) ('patient', 'Species', '9606', (228, 235)) ('glioma', 'Disease', 'MESH:D005910', (120, 126)) 28969 30242309 Antibodies to LGI1 were strongly associated with limbic encephalitis, whereas antibodies to CASPR2 were found more often in patients with Morvan syndrome or NMT, sometimes with LGI1. ('LGI1', 'Gene', '9211', (177, 181)) ('Morvan syndrome', 'Disease', 'OMIM:201300', (138, 153)) ('LGI1', 'Gene', (177, 181)) ('Antibodies', 'Var', (0, 10)) ('NMT', 'Disease', (157, 160)) ('LGI1', 'Gene', '9211', (14, 18)) ('Morvan syndrome', 'Disease', (138, 153)) ('CASPR2', 'Gene', (92, 98)) ('encephalitis', 'Disease', (56, 68)) ('encephalitis', 'Disease', 'MESH:D004660', (56, 68)) ('LGI1', 'Gene', (14, 18)) ('encephalitis', 'Phenotype', 'HP:0002383', (56, 68)) ('patients', 'Species', '9606', (124, 132)) ('associated with', 'Reg', (33, 48)) 28970 30242309 Contactin-associated protein 2 antibodies were associated with underlying thymomas, but contactin 2 antibodies were uncommon. ('contactin 2', 'Gene', '6900', (88, 99)) ('Contactin-associated protein 2', 'Gene', (0, 30)) ('thymoma', 'Phenotype', 'HP:0100522', (74, 81)) ('thymomas', 'Disease', (74, 82)) ('thymomas', 'Disease', 'MESH:D013945', (74, 82)) ('antibodies', 'Var', (31, 41)) ('associated', 'Reg', (47, 57)) ('contactin 2', 'Gene', (88, 99)) ('Contactin-associated protein 2', 'Gene', '26047', (0, 30)) 29019 30242309 However, results of the live cell-based assays were positive in 17 of the 38 patients (45%), including CASPR2 antibodies in 11 (29%), LGI1 antibodies in 8 (21%), and contactin 2 antibodies in 5 (13%) (Figure 2A). ('contactin 2', 'Gene', '6900', (166, 177)) ('LGI1', 'Gene', '9211', (134, 138)) ('LGI1', 'Gene', (134, 138)) ('positive', 'Reg', (52, 60)) ('patients', 'Species', '9606', (77, 85)) ('contactin 2', 'Gene', (166, 177)) ('CASPR2', 'Gene', (103, 109)) ('antibodies', 'Var', (110, 120)) 29022 30242309 However, of the 6 patients with both CASPR2 and LGI1 antibodies, 3 (50%) had thymoma and 1 had developed prostate cancer; 1 had mild disease that responded to carbamazepine alone. ('thymoma', 'Disease', (77, 84)) ('CASPR2', 'Gene', (37, 43)) ('prostate cancer', 'Disease', (105, 120)) ('thymoma', 'Phenotype', 'HP:0100522', (77, 84)) ('carbamazepine', 'Chemical', 'MESH:D002220', (159, 172)) ('LGI1', 'Gene', '9211', (48, 52)) ('cancer', 'Phenotype', 'HP:0002664', (114, 120)) ('LGI1', 'Gene', (48, 52)) ('prostate cancer', 'Disease', 'MESH:D011471', (105, 120)) ('patients', 'Species', '9606', (18, 26)) ('prostate cancer', 'Phenotype', 'HP:0012125', (105, 120)) ('thymoma', 'Disease', 'MESH:D013945', (77, 84)) ('antibodies', 'Var', (53, 63)) 29066 30242309 Nevertheless, 3 of the 6 patients (50%) with both CASPR2 and LGI1 antibodies had many features of Morvan syndrome, including thymoma; however, none had developed encephalopathy, and the diagnosis remained NMT. ('LGI1', 'Gene', '9211', (61, 65)) ('LGI1', 'Gene', (61, 65)) ('thymoma', 'Phenotype', 'HP:0100522', (125, 132)) ('encephalopathy', 'Phenotype', 'HP:0001298', (162, 176)) ('CASPR2', 'Gene', (50, 56)) ('encephalopathy', 'Disease', (162, 176)) ('Morvan syndrome', 'Disease', 'OMIM:201300', (98, 113)) ('encephalopathy', 'Disease', 'MESH:D001927', (162, 176)) ('patients', 'Species', '9606', (25, 33)) ('thymoma', 'Disease', 'MESH:D013945', (125, 132)) ('antibodies', 'Var', (66, 76)) ('Morvan syndrome', 'Disease', (98, 113)) ('thymoma', 'Disease', (125, 132)) 29071 30242309 By contrast, LGI1 antibodies modulate VGKC function on brain slices and alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid currents in hippocampal neurons and internalize the LGI1-disintegrin and metalloproteinase 22 receptor complex in transfected human embryonic kidney cells. ('function', 'MPA', (43, 51)) ('LGI1', 'Gene', '9211', (13, 17)) ('LGI1', 'Gene', (13, 17)) ('modulate', 'Reg', (29, 37)) ('VGKC', 'Protein', (38, 42)) ('LGI1', 'Gene', (181, 185)) ('LGI1', 'Gene', '9211', (181, 185)) ('human', 'Species', '9606', (255, 260)) ('internalize', 'MPA', (165, 176)) ('antibodies', 'Var', (18, 28)) ('alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid', 'Chemical', 'MESH:D018350', (72, 128)) 29073 30242309 These findings are typical of neuropathic pain models and consistent with a contribution of CASPR2 antibodies to producing pain via an effect at the levels of the dorsal root in NMT. ('neuropathic pain', 'Disease', (30, 46)) ('pain', 'Disease', 'MESH:D010146', (42, 46)) ('pain', 'Disease', (42, 46)) ('antibodies', 'Var', (99, 109)) ('effect', 'Reg', (135, 141)) ('CASPR2', 'Gene', (92, 98)) ('producing', 'Disease', (113, 122)) ('neuropathic pain', 'Disease', 'MESH:D009437', (30, 46)) ('pain', 'Phenotype', 'HP:0012531', (123, 127)) ('pain', 'Disease', 'MESH:D010146', (123, 127)) ('pain', 'Disease', (123, 127)) ('pain', 'Phenotype', 'HP:0012531', (42, 46)) 29091 30242309 Moreover, although heterogeneity of clinical features and related antibodies may limit interpretation of significant correlations, the coexistence of LGI1 and CASPR2 antibodies may suggest the presence of thymoma, often accompanied by autonomic and central nervous system involvement. ('antibodies', 'Var', (166, 176)) ('thymoma', 'Phenotype', 'HP:0100522', (205, 212)) ('men', 'Species', '9606', (279, 282)) ('LGI1', 'Gene', '9211', (150, 154)) ('LGI1', 'Gene', (150, 154)) ('thymoma', 'Disease', 'MESH:D013945', (205, 212)) ('thymoma', 'Disease', (205, 212)) ('CASPR2', 'Gene', (159, 165)) 29266 28174490 With the lesion size increased, the detection rate of necrosis in lesions increased by CEUS (Table 2). ('CEUS', 'Var', (87, 91)) ('CEUS', 'Chemical', '-', (87, 91)) ('necrosis', 'Disease', (54, 62)) ('necrosis', 'Disease', 'MESH:D009336', (54, 62)) 29296 28174490 performed biopsy of peripheral lung masses and revealed that CEUS improved necrosis detection rate and success rate of biopsy as the lesion size increased compared with conventional ultrasound. ('success', 'CPA', (103, 110)) ('CEUS', 'Var', (61, 65)) ('CEUS', 'Chemical', '-', (61, 65)) ('necrosis', 'Disease', 'MESH:D009336', (75, 83)) ('improved', 'PosReg', (66, 74)) ('biopsy', 'CPA', (119, 125)) ('necrosis', 'Disease', (75, 83)) 29316 28174490 Last, although CEUS improved the accuracy rate of biopsy compared to conventional ultrasound, there was high risk for biopsy in lesions close to heart or large vessels. ('improved', 'PosReg', (20, 28)) ('accuracy', 'MPA', (33, 41)) ('biopsy', 'CPA', (50, 56)) ('CEUS', 'Var', (15, 19)) ('CEUS', 'Chemical', '-', (15, 19)) 29318 28174490 CEUS prior to biopsy could improve the accuracy rate of biopsy, reduce the risk of complications, and thus become clinically important for mediastinal biopsy. ('biopsy', 'CPA', (56, 62)) ('accuracy', 'MPA', (39, 47)) ('reduce', 'NegReg', (64, 70)) ('CEUS', 'Var', (0, 4)) ('CEUS', 'Chemical', '-', (0, 4)) ('improve', 'PosReg', (27, 34)) 29327 27999265 Almost all thymoma-associated MG (TAMG) patients have antibodies to the AChR; very rare exceptions have been seen in anti-MuSK+ or in double seronegative patients, while anti-LRP4 autoantibodies have not been reported. ('TAMG', 'Chemical', '-', (34, 38)) ('antibodies', 'Var', (54, 64)) ('thymoma', 'Disease', 'MESH:D013945', (11, 18)) ('AChR', 'Protein', (72, 76)) ('thymoma', 'Disease', (11, 18)) ('thymoma', 'Phenotype', 'HP:0100522', (11, 18)) 29328 27999265 The molecular events that characterize thymic neoplasms, including point mutations, chromosomal aberrations, and epigenetic modifications, such as changes in DNA methylation, have been described in the last few years. ('chromosomal aberrations', 'Phenotype', 'HP:0040012', (84, 107)) ('neoplasms', 'Phenotype', 'HP:0002664', (46, 55)) ('DNA', 'MPA', (158, 161)) ('thymic neoplasms', 'Disease', 'MESH:D013953', (39, 55)) ('changes', 'Reg', (147, 154)) ('thymic neoplasms', 'Disease', (39, 55)) ('neoplasm', 'Phenotype', 'HP:0002664', (46, 54)) ('thymic neoplasm', 'Phenotype', 'HP:0100521', (39, 54)) ('point mutations', 'Var', (67, 82)) ('thymic neoplasms', 'Phenotype', 'HP:0100521', (39, 55)) 29329 27999265 Aberrant DNA methylation is the most widespread epigenetic alteration in carcinogenesis, and consists of the addition of a methyl group to cytosines, mainly in a CpG dinucleotide context, leading to gene silencing when occurring in the promoter region of a gene. ('carcinogenesis', 'Disease', (73, 87)) ('Aberrant', 'Var', (0, 8)) ('methylation', 'Var', (13, 24)) ('cytosines', 'Chemical', 'MESH:D003596', (139, 148)) ('carcinogenesis', 'Disease', 'MESH:D063646', (73, 87)) ('gene', 'MPA', (199, 203)) 29331 27999265 Interestingly, promoter methylation of the CDKN2A gene was reported in up to 11% of thymomas and 25% of thymic carcinoma, while aberrant MGMT methylation and loss of its protein expression was more frequent in thymic carcinoma than in thymoma. ('thymoma', 'Disease', (235, 242)) ('reported', 'Reg', (59, 67)) ('CDKN2A', 'Gene', (43, 49)) ('carcinoma', 'Phenotype', 'HP:0030731', (217, 226)) ('thymoma', 'Phenotype', 'HP:0100522', (84, 91)) ('aberrant', 'Var', (128, 136)) ('thymoma', 'Phenotype', 'HP:0100522', (235, 242)) ('promoter', 'MPA', (15, 23)) ('protein expression', 'MPA', (170, 188)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (210, 226)) ('thymomas', 'Disease', 'MESH:D013945', (84, 92)) ('carcinoma', 'Phenotype', 'HP:0030731', (111, 120)) ('thymomas', 'Disease', (84, 92)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (104, 120)) ('thymic carcinoma', 'Disease', (210, 226)) ('thymoma', 'Disease', 'MESH:D013945', (84, 91)) ('thymoma', 'Disease', 'MESH:D013945', (235, 242)) ('thymic carcinoma', 'Disease', (104, 120)) ('loss', 'NegReg', (158, 162)) ('thymoma', 'Disease', (84, 91)) 29337 27999265 DNMT3B and DNMT1 studied regions were largely hypomethylated both in blood and tumor tissue DNA. ('tumor', 'Disease', 'MESH:D009369', (79, 84)) ('hypomethylated', 'Var', (46, 60)) ('tumor', 'Phenotype', 'HP:0002664', (79, 84)) ('tumor', 'Disease', (79, 84)) 29348 27999265 MTHFR is one of the major enzymes in folate metabolism since it catalyzes the irreversible conversion of 5,10-methylene THF (the methyl donor in the conversion of dUMP to dTMP) into 5-methyl THF, which remethylates homocysteine to methionine, necessary for the formation of S-adenosylmethionine, the universal donor of methyl groups; therefore, this key protein controls whether folate is partitioned towards DNA precursor synthesis or DNA methylation, and an alteration of this enzyme can interfere with the provision of methyl groups necessary for DNA methylation reactions. ('S-adenosylmethionine', 'Chemical', 'MESH:D012436', (274, 294)) ('5,10-methylene THF', 'Chemical', '-', (105, 123)) ('methionine', 'Chemical', 'MESH:D008715', (231, 241)) ('methionine', 'Chemical', 'MESH:D008715', (284, 294)) ('homocysteine', 'Chemical', 'MESH:D006710', (215, 227)) ('interfere', 'NegReg', (490, 499)) ('folate', 'Chemical', 'MESH:D005492', (379, 385)) ('alteration', 'Var', (460, 470)) ('folate', 'Chemical', 'MESH:D005492', (37, 43)) 29350 27999265 Moreover, it is also emerging that MTHFR hypermethylation could be involved in cancer formation; in fact, a correlation between MTHFR hypermethylation and lung cancer or cervical cancer lesions was observed. ('MTHFR', 'Gene', (128, 133)) ('cancer', 'Disease', 'MESH:D009369', (160, 166)) ('cancer', 'Phenotype', 'HP:0002664', (79, 85)) ('cancer', 'Phenotype', 'HP:0002664', (179, 185)) ('cancer', 'Disease', (160, 166)) ('cancer', 'Disease', 'MESH:D009369', (79, 85)) ('lung cancer', 'Disease', (155, 166)) ('correlation', 'Interaction', (108, 119)) ('lung cancer', 'Phenotype', 'HP:0100526', (155, 166)) ('cancer', 'Disease', 'MESH:D009369', (179, 185)) ('cancer', 'Phenotype', 'HP:0002664', (160, 166)) ('cancer', 'Disease', (79, 85)) ('lung cancer', 'Disease', 'MESH:D008175', (155, 166)) ('hypermethylation', 'Var', (134, 150)) ('cancer', 'Disease', (179, 185)) 29353 27999265 The silencing of MTHFR could cause a significant decrease in the global 5-methylcytosine content, leading to the activation of proto-oncogenes, as well as to global hypomethylation, as demonstrated in lung cancer by Vaissiere and coworkers. ('global 5-methylcytosine content', 'MPA', (65, 96)) ('cancer', 'Phenotype', 'HP:0002664', (206, 212)) ('lung cancer', 'Disease', 'MESH:D008175', (201, 212)) ('5-methylcytosine', 'Chemical', 'MESH:D044503', (72, 88)) ('decrease', 'NegReg', (49, 57)) ('activation', 'PosReg', (113, 123)) ('global hypomethylation', 'MPA', (158, 180)) ('MTHFR', 'Gene', (17, 22)) ('proto-oncogenes', 'MPA', (127, 142)) ('lung cancer', 'Phenotype', 'HP:0100526', (201, 212)) ('lung cancer', 'Disease', (201, 212)) ('silencing', 'Var', (4, 13)) 29355 27999265 In this regard, it was suggested that MTHFR hypermethylation might confer a growth advantage to cancer cells and contribute to the cancer phenotype in tumors of the upper aero-digestive tract. ('cancer', 'Disease', (131, 137)) ('tumor', 'Phenotype', 'HP:0002664', (151, 156)) ('growth advantage', 'CPA', (76, 92)) ('cancer', 'Phenotype', 'HP:0002664', (96, 102)) ('contribute', 'Reg', (113, 123)) ('tumors', 'Disease', (151, 157)) ('tumors', 'Disease', 'MESH:D009369', (151, 157)) ('tumors', 'Phenotype', 'HP:0002664', (151, 157)) ('cancer', 'Phenotype', 'HP:0002664', (131, 137)) ('MTHFR', 'Gene', (38, 43)) ('hypermethylation', 'Var', (44, 60)) ('cancer', 'Disease', 'MESH:D009369', (96, 102)) ('cancer', 'Disease', 'MESH:D009369', (131, 137)) ('cancer', 'Disease', (96, 102)) 29357 27999265 This study revealed a clear involvement of MTHFR promoter methylation in TAMG, particularly the higher methylation levels in tumor tissue with respect to other tissues. ('involvement', 'Reg', (28, 39)) ('tumor', 'Disease', 'MESH:D009369', (125, 130)) ('MTHFR', 'Gene', (43, 48)) ('TAMG', 'Chemical', '-', (73, 77)) ('tumor', 'Phenotype', 'HP:0002664', (125, 130)) ('methylation levels', 'MPA', (103, 121)) ('tumor', 'Disease', (125, 130)) ('methylation', 'Var', (58, 69)) ('higher', 'PosReg', (96, 102)) 29359 27999265 Obviously other studies need to further explore the significance of MTHFR methylation in TAMG, in order to better understand its pathogenic role in the onset of thymomas. ('methylation', 'Var', (74, 85)) ('MTHFR', 'Gene', (68, 73)) ('thymoma', 'Phenotype', 'HP:0100522', (161, 168)) ('thymomas', 'Disease', (161, 169)) ('thymomas', 'Disease', 'MESH:D013945', (161, 169)) ('TAMG', 'Chemical', '-', (89, 93)) 29360 27999265 The MTHFR protein is also required for the synthesis of DNA precursors, and impairments of this protein could contribute to cancer development by increasing the rate of point mutations and chromosome instability in rapidly dividing cells. ('increasing', 'PosReg', (146, 156)) ('cancer', 'Disease', (124, 130)) ('chromosome instability', 'Phenotype', 'HP:0040012', (189, 211)) ('impairments', 'Var', (76, 87)) ('cancer', 'Phenotype', 'HP:0002664', (124, 130)) ('chromosome instability', 'CPA', (189, 211)) ('point mutations', 'Var', (169, 184)) ('contribute', 'Reg', (110, 120)) ('cancer', 'Disease', 'MESH:D009369', (124, 130)) 29362 27999265 In this regard, it was observed that females with increased BRCA1 blood methylation have a 3.5-fold increased risk for early-onset breast cancer with histological features commonly seen in tumors arising in women with germline BRCA1 mutations. ('BRCA1', 'Gene', (60, 65)) ('tumor', 'Phenotype', 'HP:0002664', (189, 194)) ('increased', 'PosReg', (50, 59)) ('BRCA1', 'Gene', (227, 232)) ('tumors', 'Disease', (189, 195)) ('tumors', 'Disease', 'MESH:D009369', (189, 195)) ('tumors', 'Phenotype', 'HP:0002664', (189, 195)) ('cancer', 'Phenotype', 'HP:0002664', (138, 144)) ('breast cancer', 'Disease', 'MESH:D001943', (131, 144)) ('breast cancer', 'Disease', (131, 144)) ('mutations', 'Var', (233, 242)) ('breast cancer', 'Phenotype', 'HP:0003002', (131, 144)) 29363 27999265 Similarly, glutathione S-transferase 1 (GSTP1) promoter methylation in peripheral DNA is regarded as a potential prognostic marker of prostate cancer. ('GSTP1', 'Gene', (40, 45)) ('cancer', 'Phenotype', 'HP:0002664', (143, 149)) ('prostate cancer', 'Disease', (134, 149)) ('glutathione', 'Chemical', 'MESH:D005978', (11, 22)) ('prostate cancer', 'Disease', 'MESH:D011471', (134, 149)) ('methylation', 'Var', (56, 67)) ('prostate cancer', 'Phenotype', 'HP:0012125', (134, 149)) 29372 27999265 In early tumor stages, DNMTs seem to lead to methylation-associated repression of tumor suppressor genes and to promote tumor initiation, while in advanced tumor stages the downregulation of de novo DNMTs seems to be associated with promoter DNA hypomethylation of specific oncogenes and, consequently, would promote tumorigenesis. ('tumor', 'Phenotype', 'HP:0002664', (317, 322)) ('tumor', 'Disease', (156, 161)) ('tumor', 'Disease', (82, 87)) ('downregulation', 'NegReg', (173, 187)) ('promoter DNA hypomethylation', 'Var', (233, 261)) ('promote', 'PosReg', (112, 119)) ('tumor', 'Disease', 'MESH:D009369', (156, 161)) ('tumor', 'Disease', 'MESH:D009369', (82, 87)) ('repression', 'NegReg', (68, 78)) ('tumor', 'Disease', (9, 14)) ('methylation-associated', 'MPA', (45, 67)) ('promote', 'PosReg', (309, 316)) ('tumor', 'Disease', (120, 125)) ('tumor', 'Disease', 'MESH:D009369', (9, 14)) ('tumor', 'Disease', (317, 322)) ('tumor', 'Phenotype', 'HP:0002664', (156, 161)) ('tumor', 'Disease', 'MESH:D009369', (120, 125)) ('tumor', 'Phenotype', 'HP:0002664', (82, 87)) ('tumor initiation', 'Disease', 'MESH:D009369', (120, 136)) ('tumor', 'Disease', 'MESH:D009369', (317, 322)) ('tumor initiation', 'Disease', (120, 136)) ('tumor', 'Phenotype', 'HP:0002664', (9, 14)) ('tumor', 'Phenotype', 'HP:0002664', (120, 125)) 29375 27999265 Aberrant DNMT3A methylation was also observed in other cancers, such as in acute myeloid leukemia and in breast cancer, where DNMT3A expression is associated with advanced stages. ('cancers', 'Disease', 'MESH:D009369', (55, 62)) ('leukemia', 'Phenotype', 'HP:0001909', (89, 97)) ('acute myeloid leukemia', 'Disease', (75, 97)) ('myeloid leukemia', 'Phenotype', 'HP:0012324', (81, 97)) ('cancer', 'Phenotype', 'HP:0002664', (55, 61)) ('observed', 'Reg', (37, 45)) ('acute myeloid leukemia', 'Disease', 'MESH:D015470', (75, 97)) ('acute myeloid leukemia', 'Phenotype', 'HP:0004808', (75, 97)) ('DNMT3A', 'Gene', (9, 15)) ('breast cancer', 'Disease', 'MESH:D001943', (105, 118)) ('cancers', 'Phenotype', 'HP:0002664', (55, 62)) ('cancer', 'Phenotype', 'HP:0002664', (112, 118)) ('breast cancer', 'Disease', (105, 118)) ('methylation', 'Var', (16, 27)) ('cancers', 'Disease', (55, 62)) ('breast cancer', 'Phenotype', 'HP:0003002', (105, 118)) 29376 27999265 Studies performed in mice with conditional knockout of Dnmt3a revealed a role for DNA methylation in mediating the self-renewal and differentiation of normal hematopoietic stem cells and leukemia stem cells. ('Dnmt3a', 'Gene', (55, 61)) ('methylation', 'Var', (86, 97)) ('differentiation', 'CPA', (132, 147)) ('leukemia', 'Disease', (187, 195)) ('leukemia', 'Phenotype', 'HP:0001909', (187, 195)) ('leukemia', 'Disease', 'MESH:D007938', (187, 195)) ('self-renewal', 'CPA', (115, 127)) 29377 27999265 A functional role of this gene in thymic epithelial tumors emerged from studies that focused on mutation analysis, revealing that DNMT3A is one the most frequently mutated genes in thymic carcinoma, and that the mutation p.G728D is associated with B3 thymomas. ('thymomas', 'Disease', (251, 259)) ('thymomas', 'Disease', 'MESH:D013945', (251, 259)) ('tumor', 'Phenotype', 'HP:0002664', (52, 57)) ('DNMT3A', 'Gene', (130, 136)) ('tumors', 'Phenotype', 'HP:0002664', (52, 58)) ('p.G728D', 'Var', (221, 228)) ('p.G728D', 'Mutation', 'p.G728D', (221, 228)) ('thymic epithelial tumors', 'Disease', (34, 58)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (34, 58)) ('thymoma', 'Phenotype', 'HP:0100522', (251, 258)) ('thymic carcinoma', 'Disease', (181, 197)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (181, 197)) ('associated', 'Reg', (232, 242)) ('carcinoma', 'Phenotype', 'HP:0030731', (188, 197)) 29379 27999265 From the DNA promoter methylation analyses performed in this study, the involvement of MTHFR and DNMT3A methylation in thymoma-associated myasthenia gravis has been proven, even if other studies are needed to assess a potential pathogenic role of these genes in TAMG. ('DNMT3A', 'Gene', (97, 103)) ('TAMG', 'Chemical', '-', (262, 266)) ('thymoma-associated myasthenia gravis', 'Disease', (119, 155)) ('thymoma-associated myasthenia gravis', 'Disease', 'MESH:D009157', (119, 155)) ('thymoma', 'Phenotype', 'HP:0100522', (119, 126)) ('methylation', 'Var', (104, 115)) ('MTHFR', 'Gene', (87, 92)) ('myasthenia', 'Phenotype', 'HP:0003473', (138, 148)) ('involvement', 'Reg', (72, 83)) 29438 25230752 Clinical and serologic parallels to APS-I in patients with thymomas, and autoantigen transcripts in their tumors1 Patients with the autoimmune polyendocrine syndrome type I (APS-I), caused by mutations in the autoimmune regulator (AIRE) gene, and myasthenia gravis (MG) with thymoma, show intriguing but unexplained parallels. ('APS-I', 'Gene', (174, 179)) ('autoimmune regulator', 'Gene', (209, 229)) ('thymoma', 'Disease', (59, 66)) ('patients', 'Species', '9606', (45, 53)) ('thymoma', 'Phenotype', 'HP:0100522', (59, 66)) ('mutations', 'Var', (192, 201)) ('APS-I', 'Gene', '326', (36, 41)) ('myasthenia gravis', 'Disease', (247, 264)) ('AIRE', 'Gene', (231, 235)) ('thymomas', 'Disease', 'MESH:D013945', (59, 67)) ('myasthenia', 'Phenotype', 'HP:0003473', (247, 257)) ('APS-I', 'Gene', (36, 41)) ('thymomas', 'Disease', (59, 67)) ('thymoma', 'Disease', 'MESH:D013945', (275, 282)) ('autoimmune polyendocrine syndrome type I', 'Gene', '326', (132, 172)) ('tumors', 'Phenotype', 'HP:0002664', (106, 112)) ('APS-I', 'Gene', '326', (174, 179)) ('thymoma', 'Disease', 'MESH:D013945', (59, 66)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (247, 264)) ('autoimmune polyendocrine syndrome type I', 'Gene', (132, 172)) ('thymoma', 'Disease', (275, 282)) ('thymoma', 'Phenotype', 'HP:0100522', (275, 282)) ('autoimmune regulator', 'Gene', '326', (209, 229)) ('Patients', 'Species', '9606', (114, 122)) 29439 25230752 They include uncommon manifestations like autoimmune adrenal insufficiency (AI), hypoparathyroidism (HP), and chronic mucocutaneous candidiasis (CMC) plus autoantibodies neutralizing IL-17, IL-22 and type I interferons. ('neutralizing', 'Var', (170, 182)) ('IL-22', 'Gene', (190, 195)) ('hypoparathyroidism', 'Disease', (81, 99)) ('adrenal insufficiency', 'Phenotype', 'HP:0000846', (53, 74)) ('hypoparathyroidism', 'Phenotype', 'HP:0000829', (81, 99)) ('IL-17', 'Gene', '3605', (183, 188)) ('hypoparathyroidism', 'Disease', 'MESH:D007011', (81, 99)) ('IL-17', 'Gene', (183, 188)) ('candidiasis', 'Disease', 'MESH:D002177', (132, 143)) ('autoimmune adrenal insufficiency', 'Disease', (42, 74)) ('autoimmune adrenal insufficiency', 'Disease', 'MESH:D000309', (42, 74)) ('IL-22', 'Gene', '50616', (190, 195)) ('chronic mucocutaneous candidiasis', 'Phenotype', 'HP:0002728', (110, 143)) ('candidiasis', 'Disease', (132, 143)) 29456 25230752 Remarkably, at diagnosis almost 100% of these patients have autoAbs neutralizing type I interferons (IFNs), especially IFN-alpha2, IFN-alpha8 and the related IFN-omega. ('patients', 'Species', '9606', (46, 54)) ('neutralizing', 'Var', (68, 80)) ('autoAbs', 'Var', (60, 67)) ('IFN-alpha8', 'Gene', (131, 141)) ('IFN-alpha8', 'Gene', '3445', (131, 141)) ('IFN-alpha2', 'Gene', (119, 129)) ('IFN-alpha2', 'Gene', '3440', (119, 129)) 29461 25230752 Occasional thymoma patients have been reported with autoimmune endocrine or ectodermal manifestations, or even CMC plus autoAbs neutralizing IL-17 and IL-22/ deficiencies in Th17 and Th22 cells, very similar to those observed in APS-I. ('patients', 'Species', '9606', (19, 27)) ('deficiencies', 'Var', (158, 170)) ('IL-17', 'Gene', (141, 146)) ('thymoma', 'Disease', 'MESH:D013945', (11, 18)) ('IL-17', 'Gene', '3605', (141, 146)) ('CMC plus autoAbs', 'Disease', 'MESH:C535816', (111, 127)) ('thymoma', 'Disease', (11, 18)) ('IL-22', 'Gene', '50616', (151, 156)) ('ectodermal manifestations', 'CPA', (76, 101)) ('thymoma', 'Phenotype', 'HP:0100522', (11, 18)) ('IL-22', 'Gene', (151, 156)) ('CMC plus autoAbs', 'Disease', (111, 127)) ('neutralizing', 'NegReg', (128, 140)) 29489 25230752 Both are unusual in autoimmune patients like these who had no genomic AIRE mutations (asterisked in Table II and Supplemental Table III). ('AIRE', 'Gene', (70, 74)) ('patients', 'Species', '9606', (31, 39)) ('mutations', 'Var', (75, 84)) 29492 25230752 Of the 121 MG patients without thymomas at diagnosis, only one with LOMG (P11) showed clear APS-I-typical features, while another (P12) had pernicious anemia and thyroid disease, and a strong family history of thyroid autoimmunity (Table II). ('thymomas', 'Disease', (31, 39)) ('thyroid disease', 'Phenotype', 'HP:0000820', (162, 177)) ('thyroid autoimmunity', 'Disease', 'MESH:D013967', (210, 230)) ('anemia', 'Phenotype', 'HP:0001903', (151, 157)) ('thymomas', 'Disease', 'MESH:D013945', (31, 39)) ('autoimmunity', 'Phenotype', 'HP:0002960', (218, 230)) ('thymoma', 'Phenotype', 'HP:0100522', (31, 38)) ('thyroid disease', 'Disease', (162, 177)) ('thyroid autoimmunity', 'Disease', (210, 230)) ('anemia', 'Disease', (151, 157)) ('LOMG (P11', 'Var', (68, 77)) ('anemia', 'Disease', 'MESH:D000740', (151, 157)) ('patients', 'Species', '9606', (14, 22)) ('thyroid disease', 'Disease', 'MESH:D013959', (162, 177)) 29505 25230752 Among 4 such patients, P5 had high-index autoAbs against 21OH and 17OH (Table II), but, unfortunately, we did not have access to his thymoma. ('17OH', 'Protein', (66, 70)) ('thymoma', 'Disease', 'MESH:D013945', (133, 140)) ('21OH', 'Chemical', '-', (57, 61)) ('thymoma', 'Disease', (133, 140)) ('patients', 'Species', '9606', (13, 21)) ('21OH', 'Protein', (57, 61)) ('thymoma', 'Phenotype', 'HP:0100522', (133, 140)) ('autoAbs', 'Var', (41, 48)) ('17OH', 'Chemical', '-', (66, 70)) 29525 25230752 In 3 of the 4 patients with autoimmune thyroid disease (P1, P13 and P14), it presented later than their MG and their thymomas. ('autoimmune thyroid disease', 'Disease', 'MESH:D013967', (28, 54)) ('P13', 'Var', (60, 63)) ('P1', 'Var', (56, 58)) ('thymomas', 'Disease', (117, 125)) ('thymomas', 'Disease', 'MESH:D013945', (117, 125)) ('thyroid disease', 'Phenotype', 'HP:0000820', (39, 54)) ('autoimmune thyroid disease', 'Disease', (28, 54)) ('P14', 'Var', (68, 71)) ('patients', 'Species', '9606', (14, 22)) ('thymoma', 'Phenotype', 'HP:0100522', (117, 124)) 29531 25230752 Conversely, AIRE was very low in P21, but she had adrenal autoAbs despite z-scores >2.5 for 17OH and 21OH. ('adrenal autoAbs', 'Disease', 'MESH:D000310', (50, 65)) ('17OH', 'Chemical', '-', (92, 96)) ('z-scores', 'Var', (74, 82)) ('21OH', 'Chemical', '-', (101, 105)) ('adrenal autoAbs', 'Disease', (50, 65)) 29532 25230752 Overall, these findings provide no clear support for general TSAg under-expression in thymomas as the main cause of the associated autoimmunity. ('under-expression', 'Var', (66, 82)) ('thymomas', 'Disease', (86, 94)) ('thymomas', 'Disease', 'MESH:D013945', (86, 94)) ('thymoma', 'Phenotype', 'HP:0100522', (86, 93)) ('autoimmunity', 'Phenotype', 'HP:0002960', (131, 143)) ('TSAg', 'Chemical', '-', (61, 65)) 29545 25230752 Interestingly too, MG has been reported in rare patients with hypomorphic RAG1 mutations who also have disorganized AIRE-deficient thymi, and/ or IFN-alpha autoAbs, which again implicates aberrant AIRE-deficient thymopoiesis in autoimmunization in these disparate syndromes. ('hypomorphic RAG1', 'Disease', (62, 78)) ('AIRE-deficient', 'Disease', (197, 211)) ('AIRE-deficient', 'Disease', 'MESH:D016884', (197, 211)) ('hypomorphic RAG1', 'Disease', 'None', (62, 78)) ('IFN-alpha', 'Gene', '3440', (146, 155)) ('AIRE-deficient', 'Disease', (116, 130)) ('AIRE-deficient', 'Disease', 'MESH:D016884', (116, 130)) ('AIRE-deficient thymopoiesis', 'Disease', 'MESH:D016884', (197, 224)) ('AIRE-deficient thymopoiesis', 'Disease', (197, 224)) ('IFN-alpha', 'Gene', (146, 155)) ('patients', 'Species', '9606', (48, 56)) ('mutations', 'Var', (79, 88)) 29548 25230752 Similarly, further manifestations appeared >=15 years after initial presentation in several thymoma patients (eg, P1-P3, P8 and P9; Tables II and Supplemental Table SIII), but they might have been missed in many others where pre-thymomectomy follow-up was much shorter, as possibly in a previous study (where only 28 patients were tested for autoAbs). ('P1-P3', 'Var', (114, 119)) ('thymoma', 'Disease', 'MESH:D013945', (92, 99)) ('thymoma', 'Disease', (92, 99)) ('thymoma', 'Phenotype', 'HP:0100522', (92, 99)) ('patients', 'Species', '9606', (100, 108)) ('patients', 'Species', '9606', (317, 325)) 29553 25230752 Whereas APS-I patients have genomic AIRE mutations from conception, the AIRE-deficiency arises only in the tumors and decades later in life in thymoma patients. ('mutations', 'Var', (41, 50)) ('AIRE-deficiency', 'Disease', (72, 87)) ('thymoma', 'Disease', 'MESH:D013945', (143, 150)) ('tumors', 'Disease', (107, 113)) ('AIRE-deficiency', 'Disease', 'MESH:D016884', (72, 87)) ('tumors', 'Phenotype', 'HP:0002664', (107, 113)) ('thymoma', 'Disease', (143, 150)) ('patients', 'Species', '9606', (151, 159)) ('tumors', 'Disease', 'MESH:D009369', (107, 113)) ('thymoma', 'Phenotype', 'HP:0100522', (143, 150)) ('patients', 'Species', '9606', (14, 22)) ('AIRE', 'Gene', (36, 40)) 29627 24444077 Immunohistochemically, the epidermoid cells of the tumor were positive to pan-CK (AE1/AE3), CK5/6, CK7 and p63, but negative to CD5. ('pan-CK', 'Var', (74, 80)) ('tumor', 'Phenotype', 'HP:0002664', (51, 56)) ('CD5', 'Gene', (128, 131)) ('AE1/AE3', 'Gene', (82, 89)) ('positive', 'Reg', (62, 70)) ('CK7', 'Gene', (99, 102)) ('p63', 'Gene', (107, 110)) ('tumor', 'Disease', (51, 56)) ('CD5', 'Gene', '921', (128, 131)) ('CK5/6', 'Gene', '3852', (92, 97)) ('CK5/6', 'Gene', (92, 97)) ('AE1/AE3', 'Gene', '6521;6508', (82, 89)) ('p63', 'Gene', '8626', (107, 110)) ('CK7', 'Gene', '3855', (99, 102)) ('tumor', 'Disease', 'MESH:D009369', (51, 56)) 29633 24444077 By immunohistochemical staining, the neoplastic cells revealed the positivity for pan-CK (AE1/AE3), CK5/6, CK19 and p63, as well as negativity for CD5 and CD117 (Figure 4). ('CK19', 'Gene', (107, 111)) ('CD117', 'Var', (155, 160)) ('CD5', 'Gene', '921', (147, 150)) ('p63', 'Gene', (116, 119)) ('CK5/6', 'Gene', (100, 105)) ('CK5/6', 'Gene', '3852', (100, 105)) ('CK19', 'Gene', '3880', (107, 111)) ('p63', 'Gene', '8626', (116, 119)) ('AE1/AE3', 'Gene', (90, 97)) ('AE1/AE3', 'Gene', '6521;6508', (90, 97)) ('pan-CK', 'Protein', (82, 88)) ('CD5', 'Gene', (147, 150)) 29660 24444077 It is necessary for the further study to clarify if MAML2 rearrangement presents in the rare MEC component of combined thymic epithelial tumors. ('tumors', 'Phenotype', 'HP:0002664', (137, 143)) ('rearrangement', 'Var', (58, 71)) ('epithelial tumors', 'Disease', (126, 143)) ('MAML2', 'Gene', (52, 57)) ('MAML2', 'Gene', '84441', (52, 57)) ('epithelial tumors', 'Disease', 'MESH:D002277', (126, 143)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (126, 142)) ('presents', 'Reg', (72, 80)) ('tumor', 'Phenotype', 'HP:0002664', (137, 142)) 29722 19809436 Each patient was required to fulfil the following criteria: age, 15-70 years; Eastern Cooperative Oncology Group (ECOG) performance status (PS), 0-2; adequate organ function, that is, leukocyte count >=4000 mul-1, platelet count >=105 mul-1, hemoglobin >=10.0 g dl-1, serum creatinine <1.5 mg dl-1, creatinine clearance >=60 ml min-1, serum bilirubin <1.5 mg dl-1, serum alanine transaminase and aspartate transaminase levels less than double the upper limit of the institutional normal range; and PaO2 >=70 mm Hg. ('mul-1', 'Gene', '79594', (207, 212)) ('mul-1', 'Gene', (235, 240)) ('min-1', 'Gene', '966', (328, 333)) ('min-1', 'Gene', (328, 333)) ('patient', 'Species', '9606', (5, 12)) ('serum creatinine', 'MPA', (268, 284)) ('mul-1', 'Gene', '79594', (235, 240)) ('mul-1', 'Gene', (207, 212)) ('>=10.0 g dl-1', 'Var', (253, 266)) ('Oncology', 'Phenotype', 'HP:0002664', (98, 106)) ('creatinine clearance', 'MPA', (299, 319)) ('serum bilirubin', 'MPA', (335, 350)) ('less than', 'NegReg', (426, 435)) 29881 32457832 Moreover, both interventions can decrease glucose, glutamine, and growth factor availability, depriving cancer cells of their major fuels and creating an unfavorable physiological environment for unchecked growth and proliferation. ('depriving', 'NegReg', (94, 103)) ('glutamine', 'Chemical', 'MESH:D005973', (51, 60)) ('decrease', 'NegReg', (33, 41)) ('cancer', 'Phenotype', 'HP:0002664', (104, 110)) ('interventions', 'Var', (15, 28)) ('creating', 'Reg', (142, 150)) ('glutamine', 'MPA', (51, 60)) ('major fuels', 'MPA', (126, 137)) ('glucose', 'MPA', (42, 49)) ('cancer', 'Disease', (104, 110)) ('cancer', 'Disease', 'MESH:D009369', (104, 110)) ('glucose', 'Chemical', 'MESH:D005947', (42, 49)) 29921 32457832 Calorie restriction reduces tumor incidence by 75% in rodents and by 50% in rhesus monkeys. ('tumor', 'Disease', (28, 33)) ('reduces', 'NegReg', (20, 27)) ('Calorie restriction', 'Var', (0, 19)) ('tumor', 'Disease', 'MESH:D009369', (28, 33)) ('rhesus monkeys', 'Species', '9544', (76, 90)) ('tumor', 'Phenotype', 'HP:0002664', (28, 33)) 29989 32143154 Thus, it was diagnosed as clinically T1aN0M0 stage I (Masaoka stage I) thymoma and thymectomy through a median sternotomy was performed. ('thymoma', 'Phenotype', 'HP:0100522', (71, 78)) ('T1aN0M0 stage', 'Var', (37, 50)) ('thymoma', 'Disease', (71, 78)) ('thymoma', 'Disease', 'MESH:D013945', (71, 78)) 30174 28787670 About one third are associated with myasthenia gravis and their resection significantly improves the symptoms of myasthenia gravis. ('associated', 'Reg', (20, 30)) ('myasthenia', 'Phenotype', 'HP:0003473', (36, 46)) ('improves', 'PosReg', (88, 96)) ('myasthenia', 'Phenotype', 'HP:0003473', (113, 123)) ('myasthenia gravis', 'Disease', (113, 130)) ('myasthenia gravis', 'Disease', (36, 53)) ('symptoms', 'MPA', (101, 109)) ('resection', 'Var', (64, 73)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (113, 130)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (36, 53)) 30208 24885581 As to histological type, five patients had type A, 33 type AB, 19 type B1, 39 type B2, and 15 type B3 thymomas, whereas 68 patients had thymic carcinoma, including 11 with neuroendocrine carcinomas according to the 2004 WHO classification. ('type B1', 'Var', (66, 73)) ('neuroendocrine carcinomas', 'Phenotype', 'HP:0100634', (172, 197)) ('thymomas', 'Disease', 'MESH:D013945', (102, 110)) ('neuroendocrine carcinomas', 'Disease', (172, 197)) ('carcinoma', 'Phenotype', 'HP:0030731', (187, 196)) ('thymic carcinoma', 'Disease', (136, 152)) ('type AB', 'Var', (54, 61)) ('patients', 'Species', '9606', (123, 131)) ('carcinomas', 'Phenotype', 'HP:0030731', (187, 197)) ('neuroendocrine carcinoma', 'Phenotype', 'HP:0100634', (172, 196)) ('patients', 'Species', '9606', (30, 38)) ('thymoma', 'Phenotype', 'HP:0100522', (102, 109)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (136, 152)) ('carcinoma', 'Phenotype', 'HP:0030731', (143, 152)) ('thymomas', 'Disease', (102, 110)) ('neuroendocrine carcinomas', 'Disease', 'MESH:D018278', (172, 197)) 30242 24885581 As to histology, according to the 2004 WHO classification five patients had type A, 19 type B1, 39 type B2, 15 type B3, and 33 type AB thymomas. ('type B3', 'Var', (111, 118)) ('thymoma', 'Phenotype', 'HP:0100522', (135, 142)) ('type AB thymomas', 'Disease', 'MESH:D013945', (127, 143)) ('type B2', 'Var', (99, 106)) ('patients', 'Species', '9606', (63, 71)) ('type AB thymomas', 'Disease', (127, 143)) 30277 24885581 Although our results did not demonstrate a significant association between abnormalities or secondary malignancies and survival, some studies have reported that types A and AB thymoma have a low association with myasthenia gravis, whereas types B1 and B2 are more likely to be associated with myasthenia gravis. ('myasthenia', 'Phenotype', 'HP:0003473', (293, 303)) ('association', 'Interaction', (195, 206)) ('malignancies', 'Disease', 'MESH:D009369', (102, 114)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (212, 229)) ('myasthenia gravis', 'Disease', (293, 310)) ('AB thymoma', 'Disease', 'MESH:D013945', (173, 183)) ('malignancies', 'Disease', (102, 114)) ('AB thymoma', 'Disease', (173, 183)) ('myasthenia', 'Phenotype', 'HP:0003473', (212, 222)) ('types A', 'Var', (161, 168)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (293, 310)) ('myasthenia gravis', 'Disease', (212, 229)) ('thymoma', 'Phenotype', 'HP:0100522', (176, 183)) 30323 23446204 Higher focal FDG uptake was seen in patients with type B3 thymoma than in those with type A, AB, B1, or B2 thymoma (p<0.006). ('thymoma', 'Phenotype', 'HP:0100522', (107, 114)) ('thymoma', 'Gene', (58, 65)) ('patients', 'Species', '9606', (36, 44)) ('thymoma', 'Gene', '7063', (107, 114)) ('type B3', 'Var', (50, 57)) ('thymoma', 'Phenotype', 'HP:0100522', (58, 65)) ('Higher', 'PosReg', (0, 6)) ('thymoma', 'Gene', (107, 114)) ('thymoma', 'Gene', '7063', (58, 65)) ('FDG', 'Chemical', 'MESH:D019788', (13, 16)) ('focal FDG uptake', 'CPA', (7, 23)) 30530 25667444 Aberrant WNT signaling has been reported in several tumor types. ('tumor', 'Phenotype', 'HP:0002664', (52, 57)) ('Aberrant', 'Var', (0, 8)) ('tumor', 'Disease', (52, 57)) ('WNT signaling', 'Pathway', (9, 22)) ('reported', 'Reg', (32, 40)) ('tumor', 'Disease', 'MESH:D009369', (52, 57)) 30531 25667444 In particular, stabilizing mutations of beta-catenin in the mouse thymic epithelium blocks thymus development and function. ('mutations', 'Var', (27, 36)) ('beta-catenin', 'Protein', (40, 52)) ('function', 'CPA', (114, 122)) ('blocks', 'NegReg', (84, 90)) ('mouse', 'Species', '10090', (60, 65)) ('thymus development', 'CPA', (91, 109)) 30546 25667444 For CTNNB1, slides were washed with TBST wash buffer (Dako) and then incubated at room temperature for 60 minutes with Signal Stain protein block (Cell Signaling) containing a 1:200 dilution of rabbit monoclonal antibody to CD45, clone EP322Y (Epitomics, Burlingame, CA, USA). ('Dako', 'Chemical', '-', (54, 58)) ('rabbit', 'Species', '9986', (194, 200)) ('CTNNB1', 'Gene', '1499', (4, 10)) ('CD45', 'Gene', '5788', (224, 228)) ('rat', 'Species', '10116', (92, 95)) ('CTNNB1', 'Gene', (4, 10)) ('EP322Y', 'Var', (236, 242)) ('CD45', 'Gene', (224, 228)) ('TBST wash', 'Chemical', '-', (36, 45)) 30559 25667444 Lees-Miller (University of Calgary, Canada); H226 (ATCC), human epithelial lung squamous cell carcinoma; and H522 (ATCC), human epithelial lung adenocarcinoma. ('human', 'Species', '9606', (122, 127)) ('carcinoma', 'Phenotype', 'HP:0030731', (94, 103)) ('human', 'Species', '9606', (58, 63)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (80, 103)) ('carcinoma', 'Phenotype', 'HP:0030731', (149, 158)) ('epithelial lung squamous cell carcinoma', 'Disease', 'MESH:D002294', (64, 103)) ('epithelial lung squamous cell carcinoma', 'Disease', (64, 103)) ('H522', 'Var', (109, 113)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (139, 158)) ('epithelial lung adenocarcinoma', 'Disease', (128, 158)) ('lung squamous cell carcinoma', 'Phenotype', 'HP:0030359', (75, 103)) ('epithelial lung adenocarcinoma', 'Disease', 'MESH:D000077192', (128, 158)) 30564 25667444 A tumor nuclear mask was generated by inverting the cytoplasmic mask within the tumor mask. ('tumor', 'Disease', 'MESH:D009369', (80, 85)) ('inverting', 'Var', (38, 47)) ('cytoplasmic mask', 'MPA', (52, 68)) ('tumor', 'Disease', 'MESH:D009369', (2, 7)) ('tumor', 'Phenotype', 'HP:0002664', (80, 85)) ('rat', 'Species', '10116', (29, 32)) ('tumor', 'Phenotype', 'HP:0002664', (2, 7)) ('tumor', 'Disease', (80, 85)) ('tumor', 'Disease', (2, 7)) 30580 25667444 NOTCH1 mutations and overexpression have been noted in squamous lung and head and neck cancer. ('squamous lung', 'Disease', (55, 68)) ('squamous lung', 'Disease', 'MESH:D002294', (55, 68)) ('neck cancer', 'Disease', (82, 93)) ('head and neck cancer', 'Phenotype', 'HP:0012288', (73, 93)) ('cancer', 'Phenotype', 'HP:0002664', (87, 93)) ('overexpression', 'PosReg', (21, 35)) ('neck cancer', 'Disease', 'MESH:D006258', (82, 93)) ('NOTCH1', 'Gene', '4851', (0, 6)) ('NOTCH1', 'Gene', (0, 6)) ('mutations', 'Var', (7, 16)) 30583 25667444 In thymoma microarrays, high gene expression of NOTCH signaling proteins was associated with metastatic disease. ('NOTCH', 'Protein', (48, 53)) ('thymoma', 'Disease', 'MESH:D013945', (3, 10)) ('thymoma', 'Disease', (3, 10)) ('high gene', 'Var', (24, 33)) ('thymoma', 'Phenotype', 'HP:0100522', (3, 10)) ('metastatic disease', 'Disease', (93, 111)) ('associated', 'Reg', (77, 87)) 30600 33572388 Thymoma types A and AB are generally considered benign tumors; type B1 is a low-grade malignant tumor (10-year survival rate of 90%); type B2 shows a higher degree of malignancy; and type B3 shows the advanced stage and a poor prognosis, similar to that of thymic carcinoma. ('malignant tumor', 'Disease', (86, 101)) ('type B3', 'Var', (183, 190)) ('tumor', 'Phenotype', 'HP:0002664', (96, 101)) ('benign tumors', 'Disease', (48, 61)) ('tumor', 'Phenotype', 'HP:0002664', (55, 60)) ('Thymoma', 'Phenotype', 'HP:0100522', (0, 7)) ('carcinoma', 'Phenotype', 'HP:0030731', (264, 273)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (257, 273)) ('tumors', 'Phenotype', 'HP:0002664', (55, 61)) ('malignant tumor', 'Disease', 'MESH:D009369', (86, 101)) ('Thymoma', 'Disease', (0, 7)) ('type B2', 'Var', (134, 141)) ('benign tumors', 'Disease', 'MESH:D009369', (48, 61)) ('thymic carcinoma', 'Disease', (257, 273)) ('malignancy', 'Disease', 'MESH:D009369', (167, 177)) ('malignancy', 'Disease', (167, 177)) 30701 33402862 On the other hand, the deletion of Meis1 downregulates p21, p15, p16, and p19arf expression in cardiomyocytes and improves the cell cycle (Muralidhar and Sadek, 2016). ('p15', 'Gene', (60, 63)) ('p16', 'Gene', '1029', (65, 68)) ('cell cycle', 'CPA', (127, 137)) ('p15', 'Gene', '1030', (60, 63)) ('deletion', 'Var', (23, 31)) ('p21', 'Gene', (55, 58)) ('Meis1', 'Gene', (35, 40)) ('downregulates', 'NegReg', (41, 54)) ('p21', 'Gene', '644914', (55, 58)) ('p19arf', 'Gene', (74, 80)) ('p19arf', 'Gene', '1029', (74, 80)) ('p16', 'Gene', (65, 68)) ('improves', 'PosReg', (114, 122)) ('expression', 'MPA', (81, 91)) 30714 33402862 Meis1 is essential for normal hematopoiesis, as was indicated by Meis1 mutant mice having an internal hemorrhage, liver hypoplasia, and anemia (Azcoitia et al., 2005). ('Meis1', 'Gene', (65, 70)) ('anemia', 'Phenotype', 'HP:0001903', (136, 142)) ('liver hypoplasia', 'Disease', 'MESH:D017093', (114, 130)) ('hemorrhage', 'Disease', 'MESH:D006470', (102, 112)) ('liver hypoplasia', 'Disease', (114, 130)) ('anemia', 'Disease', (136, 142)) ('hematopoiesis', 'Disease', 'MESH:C536227', (30, 43)) ('anemia', 'Disease', 'MESH:D000740', (136, 142)) ('mutant', 'Var', (71, 77)) ('Azcoitia', 'Disease', (144, 152)) ('hemorrhage', 'Disease', (102, 112)) ('hematopoiesis', 'Disease', (30, 43)) ('mice', 'Species', '10090', (78, 82)) ('Azcoitia', 'Disease', 'None', (144, 152)) ('internal hemorrhage', 'Phenotype', 'HP:0011029', (93, 112)) 30727 33402862 Under normal circumstances, 11 Hox paralogs in locus C are involved in healthy urogenital development; however, in the case of bladder cancer, these gene family variants are upregulated (Cantile et al., 2003). ('variants', 'Var', (161, 169)) ('upregulated', 'PosReg', (174, 185)) ('bladder cancer', 'Phenotype', 'HP:0009725', (127, 141)) ('men', 'Species', '9606', (97, 100)) ('cancer', 'Phenotype', 'HP:0002664', (135, 141)) ('bladder cancer', 'Disease', 'MESH:D001749', (127, 141)) ('bladder cancer', 'Disease', (127, 141)) 30728 33402862 Genetic and epigenetic modifications have an important function in carcinoma formation. ('carcinoma', 'Disease', 'MESH:D009369', (67, 76)) ('Genetic', 'Var', (0, 7)) ('carcinoma', 'Phenotype', 'HP:0030731', (67, 76)) ('epigenetic modifications', 'Var', (12, 36)) ('carcinoma', 'Disease', (67, 76)) 30729 33402862 DNA hypermethylation is among the most common and characterized epigenetic modification in human malignancies. ('malignancies', 'Disease', 'MESH:D009369', (97, 109)) ('human', 'Species', '9606', (91, 96)) ('malignancies', 'Disease', (97, 109)) ('hypermethylation', 'Var', (4, 20)) 30736 33402862 Alternative splicing has a significant function in the posttranscriptional regulation of genes, as well as cancer development or progression. ('posttranscriptional regulation of genes', 'MPA', (55, 94)) ('men', 'Species', '9606', (121, 124)) ('cancer', 'Phenotype', 'HP:0002664', (107, 113)) ('progression', 'CPA', (129, 140)) ('function', 'Reg', (39, 47)) ('cancer', 'Disease', 'MESH:D009369', (107, 113)) ('Alternative splicing', 'Var', (0, 20)) ('cancer', 'Disease', (107, 113)) 30739 33402862 Moreover, Meis2 knockdown significantly inhibits the migration and invasion capacities of bladder cancer cells (Xie et al., 2019). ('bladder cancer', 'Disease', (90, 104)) ('cancer', 'Phenotype', 'HP:0002664', (98, 104)) ('knockdown', 'Var', (16, 25)) ('invasion capacities', 'CPA', (67, 86)) ('bladder cancer', 'Phenotype', 'HP:0009725', (90, 104)) ('inhibits', 'NegReg', (40, 48)) ('Meis2', 'Gene', (10, 15)) ('bladder cancer', 'Disease', 'MESH:D001749', (90, 104)) 30748 33402862 Mutations that affect HOX/PBX/MEIS interactions may also contribute to breast cancer (Dard et al., 2018). ('breast cancer', 'Disease', (71, 84)) ('breast cancer', 'Phenotype', 'HP:0003002', (71, 84)) ('contribute', 'Reg', (57, 67)) ('interactions', 'Interaction', (35, 47)) ('Mutations', 'Var', (0, 9)) ('cancer', 'Phenotype', 'HP:0002664', (78, 84)) ('breast cancer', 'Disease', 'MESH:D001943', (71, 84)) 30752 33402862 Distant metastasis and associated mortality are closely related to Meis2 expression in colorectal cancer (Wan et al., 2019). ('cancer', 'Phenotype', 'HP:0002664', (98, 104)) ('expression', 'Var', (73, 83)) ('Meis2', 'Gene', (67, 72)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (87, 104)) ('mortality', 'Disease', 'MESH:D003643', (34, 43)) ('colorectal cancer', 'Disease', (87, 104)) ('Distant metastasis', 'CPA', (0, 18)) ('mortality', 'Disease', (34, 43)) ('colorectal cancer', 'Disease', 'MESH:D015179', (87, 104)) 30754 33402862 Moreover, high Meis2 expression may reduce the overall survival period of patients with colorectal cancer (Wan et al., 2019). ('colorectal cancer', 'Disease', (88, 105)) ('reduce', 'NegReg', (36, 42)) ('patients', 'Species', '9606', (74, 82)) ('colorectal cancer', 'Disease', 'MESH:D015179', (88, 105)) ('expression', 'MPA', (21, 31)) ('cancer', 'Phenotype', 'HP:0002664', (99, 105)) ('high', 'Var', (10, 14)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (88, 105)) ('overall survival period', 'CPA', (47, 70)) ('Meis2', 'Protein', (15, 20)) 30760 33402862 In addition, the knockdown of Hoxa9 and Hoxa4 in HT29 cells leads to a significant decrease in cell proliferation, and their overexpression causes an increase in the self-renewal ability of colorectal CSCs (Bhatlekar et al., 2018). ('cell proliferation', 'CPA', (95, 113)) ('Hoxa4', 'Gene', (40, 45)) ('HT29 cells', 'CellLine', 'CVCL:0320', (49, 59)) ('Hoxa4', 'Gene', '3201', (40, 45)) ('colorectal CSCs', 'Disease', (190, 205)) ('colorectal CSCs', 'Disease', 'MESH:D015179', (190, 205)) ('decrease', 'NegReg', (83, 91)) ('increase', 'PosReg', (150, 158)) ('knockdown', 'Var', (17, 26)) ('Hoxa9', 'Gene', (30, 35)) ('overexpression', 'PosReg', (125, 139)) 30769 33402862 (2016) showed that the expression of Meis1 has a reverse association with lymph node involvement, metastasis, and tumor staging in ESCC (Rad et al., 2016). ('tumor', 'Disease', 'MESH:D009369', (114, 119)) ('tumor', 'Phenotype', 'HP:0002664', (114, 119)) ('lymph node involvement', 'CPA', (74, 96)) ('metastasis', 'CPA', (98, 108)) ('Meis1', 'Gene', (37, 42)) ('tumor', 'Disease', (114, 119)) ('expression', 'Var', (23, 33)) ('Rad', 'Gene', '6236', (137, 140)) ('men', 'Species', '9606', (92, 95)) ('Rad', 'Gene', (137, 140)) ('ESCC', 'Disease', (131, 135)) 30791 33402862 Nuclear receptor SET domain-containing protein-1 (NSD1) silencing by epigenetic modification leads to Sotos syndrome, as well as nonhereditary neuroblastoma and glioma development (Berdasco et al., 2009). ('Nuclear receptor SET domain-containing protein-1', 'Gene', (0, 48)) ('NSD1', 'Gene', '64324', (50, 54)) ('glioma', 'Disease', 'MESH:D005910', (161, 167)) ('Sotos syndrome', 'Disease', 'MESH:D058495', (102, 116)) ('neuroblastoma', 'Disease', 'MESH:D009447', (143, 156)) ('leads', 'Reg', (93, 98)) ('Nuclear receptor SET domain-containing protein-1', 'Gene', '64324', (0, 48)) ('glioma', 'Phenotype', 'HP:0009733', (161, 167)) ('Sotos syndrome', 'Disease', (102, 116)) ('neuroblastoma', 'Disease', (143, 156)) ('epigenetic modification', 'Var', (69, 92)) ('NSD1', 'Gene', (50, 54)) ('glioma', 'Disease', (161, 167)) ('neuroblastoma', 'Phenotype', 'HP:0003006', (143, 156)) ('silencing', 'NegReg', (56, 65)) ('men', 'Species', '9606', (175, 178)) 30792 33402862 Hypermethylation of Nsd1 causes the upregulation of Meis1 transcript and protein due to the absence of NSD1 binding to the Meis1 promoter in neuroblastoma cells (Berdasco et al., 2009). ('neuroblastoma', 'Disease', 'MESH:D009447', (141, 154)) ('absence', 'NegReg', (92, 99)) ('Meis1', 'Gene', (52, 57)) ('Nsd1', 'Gene', (20, 24)) ('neuroblastoma', 'Disease', (141, 154)) ('NSD1', 'Gene', (103, 107)) ('Hypermethylation', 'Var', (0, 16)) ('binding', 'Interaction', (108, 115)) ('protein', 'Protein', (73, 80)) ('upregulation', 'PosReg', (36, 48)) ('neuroblastoma', 'Phenotype', 'HP:0003006', (141, 154)) ('transcript', 'MPA', (58, 68)) ('Nsd1', 'Gene', '64324', (20, 24)) ('NSD1', 'Gene', '64324', (103, 107)) 30814 33402862 Intriguingly, stable transfection of the dominant-negative variant of MEIS1 has generated clones with altered cell proliferation, increased differentiated phenotype, and elevated contact inhibition and cell death. ('elevated', 'PosReg', (170, 178)) ('death', 'Disease', 'MESH:D003643', (207, 212)) ('death', 'Disease', (207, 212)) ('differentiated phenotype', 'CPA', (140, 164)) ('contact inhibition', 'CPA', (179, 197)) ('MEIS1', 'Gene', (70, 75)) ('cell proliferation', 'CPA', (110, 128)) ('variant', 'Var', (59, 66)) ('increased', 'PosReg', (130, 139)) ('altered', 'Reg', (102, 109)) 30832 33402862 Mutations in the MEIS-HOX signaling pathway and its downstream proteins have been found to cause MLL (Zhou et al., 2014). ('cause', 'Reg', (91, 96)) ('MEIS-HOX signaling pathway', 'Pathway', (17, 43)) ('Mutations', 'Var', (0, 9)) ('MLL', 'Gene', (97, 100)) ('MLL', 'Gene', '4297', (97, 100)) 30834 33402862 In vivo studies have shown that PU.1 mutation contributes to MLL development by modulating MEIS-HOX downstream genes (Zhou et al., 2014). ('MLL', 'Gene', '4297', (61, 64)) ('mutation', 'Var', (37, 45)) ('MLL', 'Gene', (61, 64)) ('men', 'Species', '9606', (72, 75)) ('modulating', 'Reg', (80, 90)) ('MEIS-HOX downstream genes', 'Gene', (91, 116)) ('PU.1', 'Gene', '6688', (32, 36)) ('contributes', 'Reg', (46, 57)) ('PU.1', 'Gene', (32, 36)) 30839 33402862 In cases with an inactivation mutation of Meis1 in fetal liver cells, myeloid transformation loses its capability for the differentiation and self-renewal of leukemia stem cells (Wong et al., 2007). ('Meis1', 'Gene', (42, 47)) ('loses', 'NegReg', (93, 98)) ('leukemia', 'Disease', (158, 166)) ('leukemia', 'Phenotype', 'HP:0001909', (158, 166)) ('leukemia', 'Disease', 'MESH:D007938', (158, 166)) ('myeloid transformation', 'CPA', (70, 92)) ('inactivation mutation', 'Var', (17, 38)) 30849 33402862 Moreover, pre-B-cell ALL patients were observed to have E2A-PBX1 chimeric oncoprotein resulting from chromosomal translocation t(1;19), and translocation results in mutant oncoprotein (Carroll et al., 1984). ('t(1;19', 'Var', (127, 133)) ('translocation', 'Var', (140, 153)) ('PBX1', 'Gene', (60, 64)) ('mutant', 'Var', (165, 171)) ('E2A', 'Gene', '6929', (56, 59)) ('oncoprotein', 'Protein', (74, 85)) ('E2A', 'Gene', (56, 59)) ('results in', 'Reg', (154, 164)) ('pre-B', 'Gene', (10, 15)) ('patients', 'Species', '9606', (25, 33)) ('oncoprotein', 'Protein', (172, 183)) ('PBX1', 'Gene', '5087', (60, 64)) ('chimeric', 'Var', (65, 73)) ('pre-B', 'Gene', '10113', (10, 15)) 30851 33402862 MEIS1 and MEIS2 interact with HOX and PBX variants in leukemia (Garcia-Cuellar et al., 2015). ('leukemia', 'Disease', (54, 62)) ('Garcia-Cuellar', 'Disease', (64, 78)) ('leukemia', 'Phenotype', 'HP:0001909', (54, 62)) ('variants', 'Var', (42, 50)) ('Garcia-Cuellar', 'Disease', 'MESH:C536767', (64, 78)) ('PBX', 'Gene', (38, 41)) ('leukemia', 'Disease', 'MESH:D007938', (54, 62)) 30852 33402862 The presence of PBX3 and MEIS1 increases HOXA9-induced leukemia (Garcia-Cuellar et al., 2015). ('PBX3', 'Gene', '5090', (16, 20)) ('Garcia-Cuellar', 'Disease', 'MESH:C536767', (65, 79)) ('leukemia', 'Phenotype', 'HP:0001909', (55, 63)) ('increases', 'PosReg', (31, 40)) ('leukemia', 'Disease', 'MESH:D007938', (55, 63)) ('HOXA9', 'Gene', '3205', (41, 46)) ('Garcia-Cuellar', 'Disease', (65, 79)) ('leukemia', 'Disease', (55, 63)) ('MEIS1', 'Gene', (25, 30)) ('HOXA9', 'Gene', (41, 46)) ('presence', 'Var', (4, 12)) ('PBX3', 'Gene', (16, 20)) 30858 33402862 The deletion of Meis2 differentially modulates TAL1, and thereby impairs endothelial specification and endothelial to hematopoietic transition (Wang et al., 2018b). ('Meis2', 'Gene', (16, 21)) ('TAL1', 'Gene', '6886', (47, 51)) ('impairs', 'NegReg', (65, 72)) ('endothelial to hematopoietic transition', 'CPA', (103, 142)) ('TAL1', 'Gene', (47, 51)) ('endothelial specification', 'CPA', (73, 98)) ('modulates', 'Reg', (37, 46)) ('deletion', 'Var', (4, 12)) 30859 33402862 Aberrant expression of Tlx1/Hox11 also results in T-cell leukemogenesis via Meis1 and Meis2 (Milech et al., 2010). ('Aberrant expression', 'Var', (0, 19)) ('results in', 'Reg', (39, 49)) ('Hox11', 'Gene', (28, 33)) ('T-cell leukemogenesis', 'Phenotype', 'HP:0005517', (50, 71)) ('T-cell leukemogenesis', 'Disease', (50, 71)) ('Hox11', 'Gene', '15404', (28, 33)) 30860 33402862 It has been found that Meis1/Hoxa9 deregulation has an important function in the progression of leukemia (Collins and Hess, 2016). ('deregulation', 'Var', (35, 47)) ('leukemia', 'Disease', (96, 104)) ('leukemia', 'Phenotype', 'HP:0001909', (96, 104)) ('leukemia', 'Disease', 'MESH:D007938', (96, 104)) ('Meis1/Hoxa9', 'Gene', (23, 34)) 30861 33402862 Meis1 mutations lead blood cells to develop the symptoms of leukemia, as well as gain the chemoresistance and proliferation of leukemia cells by triggering other MEIS-cofactors (summarized in Table 1). ('gain', 'PosReg', (81, 85)) ('leukemia', 'Phenotype', 'HP:0001909', (60, 68)) ('leukemia', 'Disease', (127, 135)) ('leukemia', 'Phenotype', 'HP:0001909', (127, 135)) ('leukemia', 'Disease', 'MESH:D007938', (127, 135)) ('leukemia', 'Disease', 'MESH:D007938', (60, 68)) ('proliferation', 'CPA', (110, 123)) ('develop', 'PosReg', (36, 43)) ('chemoresistance', 'CPA', (90, 105)) ('Meis1', 'Gene', (0, 5)) ('leukemia', 'Disease', (60, 68)) ('mutations', 'Var', (6, 15)) 30862 33402862 The ectopic expression of Meis1 has been shown to inhibit cell proliferation in nonsmall-cell lung cancer (NSCLC) (Li et al., 2014). ('nonsmall-cell lung cancer', 'Disease', 'MESH:D002289', (80, 105)) ('NSCLC', 'Disease', (107, 112)) ('inhibit', 'NegReg', (50, 57)) ('cell proliferation', 'CPA', (58, 76)) ('NSCLC', 'Disease', 'MESH:D002289', (107, 112)) ('nonsmall-cell lung cancer', 'Disease', (80, 105)) ('lung cancer', 'Phenotype', 'HP:0100526', (94, 105)) ('Meis1', 'Gene', (26, 31)) ('ectopic expression', 'Var', (4, 22)) ('cancer', 'Phenotype', 'HP:0002664', (99, 105)) 30875 33402862 Blocking of HIF-1alpha complexes has been shown to cause increased metastasis and angiogenesis and an increase in cancer cell proliferation (Lin et al., 2017; Yang et al., 2017). ('cancer', 'Disease', 'MESH:D009369', (114, 120)) ('Blocking', 'Var', (0, 8)) ('angiogenesis', 'CPA', (82, 94)) ('metastasis', 'CPA', (67, 77)) ('HIF-1alpha', 'Gene', (12, 22)) ('cancer', 'Phenotype', 'HP:0002664', (114, 120)) ('increase', 'PosReg', (102, 110)) ('increased', 'PosReg', (57, 66)) ('HIF-1alpha', 'Gene', '3091', (12, 22)) ('cancer', 'Disease', (114, 120)) 30877 33402862 Surprisingly, however, cells that have a high expression of HIF-2alpha are more aggressive against radiotherapy and FDG uptake (Sun et al., 2015; Higashi et al., 2016). ('more', 'PosReg', (75, 79)) ('high expression', 'Var', (41, 56)) ('HIF-2alpha', 'Gene', (60, 70)) ('HIF-2alpha', 'Gene', '2034', (60, 70)) ('FDG', 'Chemical', 'MESH:D019788', (116, 119)) 30888 33402862 Moreover, it has been shown that miRNA-196a modulates the expression of target genes (cadherin-11, calponin-1, and osteopontin) by regulating Hoxc8 in melanocyte and melanoma cells (Mueller and Bosserhoff, 2011). ('melanoma', 'Phenotype', 'HP:0002861', (166, 174)) ('melanoma', 'Disease', (166, 174)) ('modulates', 'Reg', (44, 53)) ('calponin-1', 'Gene', '1264', (99, 109)) ('Hoxc8', 'Gene', (142, 147)) ('miRNA-196a', 'Var', (33, 43)) ('expression', 'MPA', (58, 68)) ('osteopontin', 'Gene', '6696', (115, 126)) ('melanoma', 'Disease', 'MESH:D008545', (166, 174)) ('cadherin-11', 'Gene', '1009', (86, 97)) ('Hoxc8', 'Gene', '3224', (142, 147)) ('osteopontin', 'Gene', (115, 126)) ('cadherin-11', 'Gene', (86, 97)) ('regulating', 'Reg', (131, 141)) ('calponin-1', 'Gene', (99, 109)) 30890 33402862 Furthermore, the knockdown of Pbx1 by short interfering RNAs (siRNA) leads to the suppression of cell growth (Shiraishi et al., 2007). ('Pbx1', 'Gene', (30, 34)) ('cell growth', 'CPA', (97, 108)) ('knockdown', 'Var', (17, 26)) ('Pbx1', 'Gene', '5087', (30, 34)) ('suppression', 'NegReg', (82, 93)) 30895 33402862 Moreover, a detailed DNA methylation analysis of all stages of human melanoma revealed that Hoxa9 DNA hypermethylation had a function in tumor development when compared to benign samples (Wouters et al., 2017). ('melanoma', 'Disease', 'MESH:D008545', (69, 77)) ('tumor', 'Disease', (137, 142)) ('tumor', 'Disease', 'MESH:D009369', (137, 142)) ('human', 'Species', '9606', (63, 68)) ('Hoxa9', 'Var', (92, 97)) ('men', 'Species', '9606', (150, 153)) ('hypermethylation', 'Var', (102, 118)) ('melanoma', 'Phenotype', 'HP:0002861', (69, 77)) ('tumor', 'Phenotype', 'HP:0002664', (137, 142)) ('melanoma', 'Disease', (69, 77)) 30899 33402862 Following the disruption of HOX-PBX interaction with double active peptide, c-Fos expression increases and apoptosis takes place (Platais et al., 2018). ('expression', 'MPA', (82, 92)) ('c-Fos', 'Gene', '2353', (76, 81)) ('increases', 'PosReg', (93, 102)) ('interaction', 'Interaction', (36, 47)) ('disruption', 'Var', (14, 24)) ('apoptosis', 'CPA', (107, 116)) ('c-Fos', 'Gene', (76, 81)) 30901 33402862 The misregulated expression of Hoxc6 and Hoxa10 cluster proteins are involved in the proliferation, survival and migration of oral cell carcinoma. ('oral cell carcinoma', 'Disease', (126, 145)) ('Hoxc6', 'Gene', '3223', (31, 36)) ('Hoxa10', 'Gene', (41, 47)) ('misregulated', 'Var', (4, 16)) ('expression', 'MPA', (17, 27)) ('involved', 'Reg', (69, 77)) ('Hoxa10', 'Gene', '3206', (41, 47)) ('survival', 'CPA', (100, 108)) ('Hoxc6', 'Gene', (31, 36)) ('migration', 'CPA', (113, 122)) ('carcinoma', 'Phenotype', 'HP:0030731', (136, 145)) ('oral cell carcinoma', 'Disease', 'MESH:C538614', (126, 145)) 30902 33402862 Disruption of Hoxc6 and Hoxa10 gene expression could enhance tumor progression (Carrera et al., 2015; Tang et al., 2019). ('Hoxa10', 'Gene', (24, 30)) ('Hoxa10', 'Gene', '3206', (24, 30)) ('tumor', 'Disease', 'MESH:D009369', (61, 66)) ('Hoxc6', 'Gene', (14, 19)) ('enhance', 'PosReg', (53, 60)) ('tumor', 'Phenotype', 'HP:0002664', (61, 66)) ('Hoxc6', 'Gene', '3223', (14, 19)) ('tumor', 'Disease', (61, 66)) ('Disruption', 'Var', (0, 10)) 30906 33402862 The hypermethylation of Meis1 has been identified in adenoid cystic carcinoma samples using the methylated CpG island amplification and microarray methods, but further validation studies are needed (Bell et al., 2011). ('adenoid cystic carcinoma', 'Disease', (53, 77)) ('carcinoma', 'Phenotype', 'HP:0030731', (68, 77)) ('adenoid cystic carcinoma', 'Disease', 'MESH:D003528', (53, 77)) ('Meis1', 'Gene', (24, 29)) ('hypermethylation', 'Var', (4, 20)) 30907 33402862 Hoxa9 hypermethylation was also reported in the promoter methylation analysis of OSCC patient tissues (Guerrero-Preston et al., 2011) and salivary rinses (Schussel et al., 2013), which leads to the growth advantage of the tumor, and an increase in metastasis (Uchida et al., 2014). ('hypermethylation', 'Var', (6, 22)) ('metastasis', 'CPA', (248, 258)) ('tumor', 'Disease', 'MESH:D009369', (222, 227)) ('growth advantage', 'CPA', (198, 214)) ('OS', 'Phenotype', 'HP:0002669', (81, 83)) ('patient', 'Species', '9606', (86, 93)) ('tumor', 'Phenotype', 'HP:0002664', (222, 227)) ('tumor', 'Disease', (222, 227)) ('increase', 'PosReg', (236, 244)) 30908 33402862 Moreover, miR-139-5p inhibits cell proliferation, invasion, and migration by directly targeting Hoxa9 expression (Wang et al., 2017b). ('invasion', 'CPA', (50, 58)) ('inhibits', 'NegReg', (21, 29)) ('cell proliferation', 'CPA', (30, 48)) ('expression', 'MPA', (102, 112)) ('Hoxa9', 'Protein', (96, 101)) ('targeting', 'Reg', (86, 95)) ('migration', 'CPA', (64, 73)) ('miR-139-5p', 'Var', (10, 20)) ('miR-139-5p', 'Chemical', '-', (10, 20)) 30910 33402862 Pbx2 and hypermethylation of Meis1 and HoxA9, however, may be considered prognostic markers of oral cancer. ('Pbx2', 'Gene', '5089', (0, 4)) ('cancer', 'Phenotype', 'HP:0002664', (100, 106)) ('HoxA9', 'Gene', (39, 44)) ('Meis1', 'Gene', (29, 34)) ('hypermethylation', 'Var', (9, 25)) ('HoxA9', 'Gene', '3205', (39, 44)) ('Pbx2', 'Gene', (0, 4)) ('cancer', 'Disease', (100, 106)) ('cancer', 'Disease', 'MESH:D009369', (100, 106)) 30920 33402862 Similarly, lncRNA HOTAIR transcribed from the Hoxc locus of DNA in uterine cancers leads to cellular proliferation, metastasis, and radiotherapy resistance via the MAPK signaling pathway (Li et al., 2018). ('Hoxc', 'Gene', (46, 50)) ('HOTAIR', 'Gene', (18, 24)) ('cancers', 'Disease', 'MESH:D009369', (75, 82)) ('cellular proliferation', 'CPA', (92, 114)) ('cancers', 'Phenotype', 'HP:0002664', (75, 82)) ('radiotherapy resistance', 'CPA', (132, 155)) ('HOTAIR', 'Gene', '100124700', (18, 24)) ('cancers', 'Disease', (75, 82)) ('leads to', 'Reg', (83, 91)) ('Hoxc', 'Gene', '3220', (46, 50)) ('uterine cancer', 'Phenotype', 'HP:0010784', (67, 81)) ('uterine cancers', 'Phenotype', 'HP:0010784', (67, 82)) ('metastasis', 'CPA', (116, 126)) ('cancer', 'Phenotype', 'HP:0002664', (75, 81)) ('DNA', 'Gene', (60, 63)) ('lncRNA', 'Var', (11, 17)) 30932 33402862 In a case with retroperitoneal leiomyoma, it was reported that tumor cells had a t(9;22)(q33;q12) translocation, which resulted in a fusion of Ewsr1 and Pbx3 genes (Panagopoulos et al., 2015). ('tumor', 'Disease', (63, 68)) ('tumor', 'Phenotype', 'HP:0002664', (63, 68)) ('Pbx3', 'Gene', '5090', (153, 157)) ('fusion', 'Var', (133, 139)) ('Ewsr1', 'Gene', (143, 148)) ('resulted in', 'Reg', (119, 130)) ('t(9;22)(q33;q12)', 'STRUCTURAL_ABNORMALITY', 'None', (81, 97)) ('retroperitoneal leiomyoma', 'Disease', (15, 40)) ('tumor', 'Disease', 'MESH:D009369', (63, 68)) ('Pbx3', 'Gene', (153, 157)) ('Ewsr1', 'Gene', '2130', (143, 148)) ('retroperitoneal leiomyoma', 'Disease', 'MESH:D007889', (15, 40)) 30937 33402862 The aberrantly expressed Hoxa9 in patients with epithelial ovarian cancer has no significant predictive value during first-line platinum-taxane chemotherapy (Pontikakis et al., 2017). ('epithelial ovarian cancer', 'Disease', 'MESH:D000077216', (48, 73)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (59, 73)) ('platinum-taxane', 'Chemical', '-', (128, 143)) ('cancer', 'Phenotype', 'HP:0002664', (67, 73)) ('patients', 'Species', '9606', (34, 42)) ('epithelial ovarian cancer', 'Phenotype', 'HP:0025318', (48, 73)) ('aberrantly expressed', 'Var', (4, 24)) ('Hoxa9', 'Gene', (25, 30)) ('epithelial ovarian cancer', 'Disease', (48, 73)) 30939 33402862 Although, the methylation analyses of Hoxa9 with large cohorts has shown that Hoxa9 is hypermethylated in both high-grade serous ovarian cancer (Montavon et al., 2012) and primary ovarian cancer patients, (Wu et al., 2007) the association of hypermethylation with the stage, histological types, grade, and ascites could not be established (Xing et al., 2015). ('ovarian cancer', 'Phenotype', 'HP:0100615', (129, 143)) ('serous ovarian cancer', 'Disease', 'MESH:D018284', (122, 143)) ('cancer', 'Phenotype', 'HP:0002664', (188, 194)) ('primary ovarian cancer', 'Disease', 'MESH:D016649', (172, 194)) ('primary ovarian cancer', 'Disease', (172, 194)) ('cancer', 'Phenotype', 'HP:0002664', (137, 143)) ('ascites', 'Phenotype', 'HP:0001541', (306, 313)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (180, 194)) ('Hoxa9', 'Gene', (78, 83)) ('patients', 'Species', '9606', (195, 203)) ('ascites', 'Disease', (306, 313)) ('serous ovarian cancer', 'Disease', (122, 143)) ('hypermethylated', 'Var', (87, 102)) ('ascites', 'Disease', 'MESH:D001201', (306, 313)) 30940 33402862 Interestingly, a study on ovarian cancer cell line and normal tissue showed that DNA methylation of some of the analyzed genes, including Hoxa9, Hoxa10, MiR-34b, Prom1, Cables1, Sparc, and Rsk4, had an inverse correlation with their expression level (Niskakoski et al., 2014). ('cancer', 'Phenotype', 'HP:0002664', (34, 40)) ('Sparc', 'Gene', (178, 183)) ('Cables1', 'Gene', '91768', (169, 176)) ('Rsk4', 'Gene', (189, 193)) ('Rsk4', 'Gene', '27330', (189, 193)) ('methylation', 'Var', (85, 96)) ('Prom1', 'Gene', (162, 167)) ('ovarian cancer', 'Disease', 'MESH:D010051', (26, 40)) ('MiR-34b', 'Gene', (153, 160)) ('MiR-34b', 'Gene', '407041', (153, 160)) ('Hoxa10', 'Gene', (145, 151)) ('ovarian cancer', 'Disease', (26, 40)) ('Hoxa10', 'Gene', '3206', (145, 151)) ('Sparc', 'Gene', '6678', (178, 183)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (26, 40)) ('expression level', 'MPA', (233, 249)) ('Prom1', 'Gene', '8842', (162, 167)) ('Cables1', 'Gene', (169, 176)) ('Hoxa9', 'Gene', (138, 143)) 30954 33402862 T3M4, a cellosaurus cell line, is known to have stimulated cell proliferation through the formation of HOXB2-A10-PBX HD heterodimers and associated pancreatic carcinogenesis (Aulisa et al., 2009). ('T3M4', 'Var', (0, 4)) ('pancreatic carcinogenesis', 'Disease', (148, 173)) ('cell proliferation', 'CPA', (59, 77)) ('HOXB2', 'Gene', '3212', (103, 108)) ('HOXB2', 'Gene', (103, 108)) ('pancreatic carcinogenesis', 'Disease', 'MESH:D063646', (148, 173)) ('stimulated', 'PosReg', (48, 58)) ('HD', 'Disease', 'MESH:D006816', (117, 119)) 30957 33402862 Studies have shown that the expression of mitochondrial genes could be downregulated when Meis1 specific siRNA was transfected into PaC cells (Tomoeda et al., 2011). ('downregulated', 'NegReg', (71, 84)) ('PaC', 'Phenotype', 'HP:0006699', (132, 135)) ('PaC', 'CellLine', 'CVCL:E280', (132, 135)) ('expression', 'MPA', (28, 38)) ('PaC', 'Phenotype', 'HP:0002894', (132, 135)) ('transfected', 'Var', (115, 126)) ('mitochondrial genes', 'Gene', (42, 61)) 30958 33402862 In addition, MEIS proteins could contribute to the Warburg effect to facilitate the abnormal growth of cells in the hypoxic tumor microenvironment via transactivation of HIFs and cooperation with HOX proteins. ('men', 'Species', '9606', (142, 145)) ('tumor', 'Phenotype', 'HP:0002664', (124, 129)) ('facilitate', 'PosReg', (69, 79)) ('transactivation', 'Var', (151, 166)) ('hypoxic tumor', 'Disease', (116, 129)) ('abnormal growth', 'Phenotype', 'HP:0001507', (84, 99)) ('HIFs', 'Disease', (170, 174)) ('hypoxic tumor', 'Disease', 'MESH:D009369', (116, 129)) ('HIFs', 'Disease', 'None', (170, 174)) 30968 33402862 Binding of the HOTTIP to WDR5 induces Hoxa9 expression, which is also a significant factor for PCSCs maintenance (Cheng et al., 2015; Fu et al., 2017). ('PC', 'Phenotype', 'HP:0012125', (95, 97)) ('Hoxa9', 'Protein', (38, 43)) ('WDR5', 'Gene', '11091', (25, 29)) ('HOTTIP', 'Gene', '100316868', (15, 21)) ('Binding', 'Var', (0, 7)) ('WDR5', 'Gene', (25, 29)) ('HOTTIP', 'Gene', (15, 21)) ('induces', 'Reg', (30, 37)) 30973 33402862 Mutations in Hoxb13 generate a critical risk of developing prostate cancer (PC) (Johng et al., 2019). ('risk', 'Reg', (40, 44)) ('cancer', 'Phenotype', 'HP:0002664', (68, 74)) ('prostate cancer', 'Disease', 'MESH:D011471', (59, 74)) ('prostate cancer', 'Phenotype', 'HP:0012125', (59, 74)) ('Hoxb13', 'Gene', (13, 19)) ('Hoxb13', 'Gene', '10481', (13, 19)) ('PC', 'Phenotype', 'HP:0012125', (76, 78)) ('Mutations', 'Var', (0, 9)) ('prostate cancer', 'Disease', (59, 74)) 30976 33402862 Depletion of Meis1 and Meis2 in vivo may cause tumor growth and an increase in the expression of protumorigenic genes c-Myc and CD142 (Bhanvadia et al., 2018). ('tumor', 'Phenotype', 'HP:0002664', (100, 105)) ('Meis2', 'Gene', (23, 28)) ('tumor', 'Disease', (100, 105)) ('CD142', 'Gene', '2152', (128, 133)) ('c-Myc', 'Gene', '4609', (118, 123)) ('Depletion', 'Var', (0, 9)) ('tumor', 'Disease', 'MESH:D009369', (47, 52)) ('increase', 'PosReg', (67, 75)) ('cause', 'Reg', (41, 46)) ('c-Myc', 'Gene', (118, 123)) ('expression', 'MPA', (83, 93)) ('tumor', 'Phenotype', 'HP:0002664', (47, 52)) ('CD142', 'Gene', (128, 133)) ('tumor', 'Disease', 'MESH:D009369', (100, 105)) ('tumor', 'Disease', (47, 52)) ('Meis1', 'Gene', (13, 18)) 31005 33402862 In addition, the expression of Meis1/2 is associated with antimetastasis in PC (Bhanvadia et al., 2018). ('associated', 'Reg', (42, 52)) ('PC', 'Phenotype', 'HP:0012125', (76, 78)) ('Meis1/2', 'Gene', (31, 38)) ('antimetastasis', 'Disease', (58, 72)) ('expression', 'Var', (17, 27)) ('Meis1/2', 'Gene', '150365', (31, 38)) 31010 33402862 Sarcoma is genetically complicated as well, such that an increase in mutational burden, complex karyotype, translocation, and amplification could be the genetic basis of the disease (Dancsok et al., 2017). ('amplification', 'MPA', (126, 139)) ('translocation', 'Var', (107, 120)) ('Sarcoma', 'Disease', (0, 7)) ('Sarcoma', 'Disease', 'MESH:D012509', (0, 7)) ('mutational burden', 'MPA', (69, 86)) ('increase', 'PosReg', (57, 65)) ('Sarcoma', 'Phenotype', 'HP:0100242', (0, 7)) 31013 33402862 In addition, in vivo silencing of Meis1 remarkably suppresses xenograft tumor growth (Lin et al., 2019). ('tumor', 'Phenotype', 'HP:0002664', (72, 77)) ('Meis1', 'Gene', (34, 39)) ('tumor', 'Disease', (72, 77)) ('suppresses', 'NegReg', (51, 61)) ('tumor', 'Disease', 'MESH:D009369', (72, 77)) ('silencing', 'Var', (21, 30)) 31018 33402862 The vascular invasion, cellular necrosis, and perinephric fat invasion seen in both cases indicated that the Meis1-Ncoa2 fusion gene could be malignant (Argani et al., 2018). ('Ncoa2', 'Gene', (115, 120)) ('necrosis', 'Disease', (32, 40)) ('necrosis', 'Disease', 'MESH:D009336', (32, 40)) ('vascular invasion', 'CPA', (4, 21)) ('Ncoa2', 'Gene', '10499', (115, 120)) ('fusion gene', 'Var', (121, 132)) 31024 33402862 On the other hand, Hoxa9 expression is upregulated in OS tissues, and the silencing of Hoxa9 recovers the miR-873 downregulation effects. ('miR-873', 'Gene', (106, 113)) ('upregulated', 'PosReg', (39, 50)) ('expression', 'MPA', (25, 35)) ('Hoxa9', 'Gene', (19, 24)) ('OS', 'Phenotype', 'HP:0002669', (54, 56)) ('recovers', 'NegReg', (93, 101)) ('silencing', 'Var', (74, 83)) ('miR-873', 'Gene', '100126316', (106, 113)) ('downregulation', 'NegReg', (114, 128)) ('Hoxa9', 'Gene', (87, 92)) 31027 33402862 The silencing of Meis1 in the xenograft model was found to suppress tumor size in sarcoma (Lin et al., 2019). ('tumor', 'Disease', (68, 73)) ('Meis1', 'Gene', (17, 22)) ('sarcoma', 'Disease', 'MESH:D012509', (82, 89)) ('tumor', 'Disease', 'MESH:D009369', (68, 73)) ('tumor', 'Phenotype', 'HP:0002664', (68, 73)) ('sarcoma', 'Disease', (82, 89)) ('suppress', 'NegReg', (59, 67)) ('sarcoma', 'Phenotype', 'HP:0100242', (82, 89)) ('silencing', 'Var', (4, 13)) 31084 33402862 MEIS1 could trigger cell proliferation in colorectal cancer, while MEIS2 determines the relationship between colorectal cancer growth and death (Wan et al., 2019). ('colorectal cancer', 'Disease', (109, 126)) ('cancer', 'Phenotype', 'HP:0002664', (120, 126)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (42, 59)) ('cell proliferation', 'CPA', (20, 38)) ('MEIS1', 'Var', (0, 5)) ('colorectal cancer', 'Disease', (42, 59)) ('colorectal cancer', 'Disease', 'MESH:D015179', (109, 126)) ('death', 'Disease', 'MESH:D003643', (138, 143)) ('death', 'Disease', (138, 143)) ('cancer', 'Phenotype', 'HP:0002664', (53, 59)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (109, 126)) ('colorectal cancer', 'Disease', 'MESH:D015179', (42, 59)) ('trigger', 'Reg', (12, 19)) 31085 33402862 MEIS2 could increase colorectal dependent cell death (Wang et al., 2019b). ('colorectal dependent cell death', 'Disease', (21, 52)) ('MEIS2', 'Var', (0, 5)) ('colorectal dependent cell death', 'Disease', 'MESH:D015179', (21, 52)) ('increase', 'PosReg', (12, 20)) 31091 33402862 The expression of noncoding RNAs has often been found to impair cancer (Di Leva et al., 2014; Hayes et al., 2014; Sanchez Calle et al., 2018). ('noncoding RNAs', 'Protein', (18, 32)) ('cancer', 'Disease', (64, 70)) ('RNAs', 'Protein', (28, 32)) ('cancer', 'Disease', 'MESH:D009369', (64, 70)) ('expression', 'Var', (4, 14)) ('impair', 'NegReg', (57, 63)) ('cancer', 'Phenotype', 'HP:0002664', (64, 70)) 31106 33402862 lncRNA CASC11, TUG1, PCAT6, LOC730100, and LINK-A have important functions in the proliferation and metastasis of the bladder cancer, laryngocarcinoma, cervical, glioblastoma, and ovarian carcinoma (Li et al., 2019c; Luo et al., 2019; Lv et al., 2019; Zhang et al., 2019; Zhuang et al., 2019). ('laryngocarcinoma', 'Disease', (134, 150)) ('ovarian carcinoma', 'Phenotype', 'HP:0025318', (180, 197)) ('CASC11', 'Gene', (7, 13)) ('LOC730100', 'Var', (28, 37)) ('glioblastoma', 'Disease', 'MESH:D005909', (162, 174)) ('metastasis of the bladder cancer', 'Disease', (100, 132)) ('TUG1', 'Gene', '55000', (15, 19)) ('CASC11', 'Gene', '100270680', (7, 13)) ('cervical', 'Disease', (152, 160)) ('glioblastoma', 'Disease', (162, 174)) ('glioblastoma', 'Phenotype', 'HP:0012174', (162, 174)) ('carcinoma', 'Phenotype', 'HP:0030731', (141, 150)) ('laryngocarcinoma', 'Disease', 'None', (134, 150)) ('cancer', 'Phenotype', 'HP:0002664', (126, 132)) ('bladder cancer', 'Phenotype', 'HP:0009725', (118, 132)) ('proliferation', 'CPA', (82, 95)) ('metastasis of the bladder cancer', 'Disease', 'MESH:D001749', (100, 132)) ('ovarian carcinoma', 'Disease', 'MESH:D010051', (180, 197)) ('carcinoma', 'Phenotype', 'HP:0030731', (188, 197)) ('PCAT6', 'Gene', (21, 26)) ('ovarian carcinoma', 'Disease', (180, 197)) ('PC', 'Phenotype', 'HP:0012125', (21, 23)) ('PCAT6', 'Gene', '100506696', (21, 26)) ('TUG1', 'Gene', (15, 19)) 31123 33402862 Two small peptides, HXR9 and CXR9, were shown to induce apoptosis in NSCLC cells, breast, ovarian, prostate, and meningioma cells by disrupting the interaction of HOX and PBX (Plowright et al., 2009; Morgan et al., 2010; Morgan et al., 2012; Ando et al., 2014). ('HXR9', 'Var', (20, 24)) ('ovarian', 'Disease', 'MESH:D010049', (90, 97)) ('meningioma', 'Disease', (113, 123)) ('HOX', 'Protein', (163, 166)) ('NSCLC', 'Disease', (69, 74)) ('disrupting', 'NegReg', (133, 143)) ('ovarian', 'Disease', (90, 97)) ('NSCLC', 'Disease', 'MESH:D002289', (69, 74)) ('interaction', 'Interaction', (148, 159)) ('meningioma', 'Phenotype', 'HP:0002858', (113, 123)) ('PBX', 'Gene', (171, 174)) ('induce', 'PosReg', (49, 55)) ('meningioma', 'Disease', 'MESH:D008577', (113, 123)) ('apoptosis', 'CPA', (56, 65)) ('CXR9', 'Var', (29, 33)) 31125 33402862 PHOX2B expression was reported as reduced in neuroblastoma cells as a result of small molecule combination, which included curcumin, SAHA, and trichostatin (Di Zanni et al., 2015). ('reduced', 'NegReg', (34, 41)) ('neuroblastoma', 'Phenotype', 'HP:0003006', (45, 58)) ('PHOX2B', 'Gene', (0, 6)) ('curcumin', 'Chemical', 'MESH:D003474', (123, 131)) ('small', 'Var', (80, 85)) ('combination', 'Interaction', (95, 106)) ('expression', 'MPA', (7, 17)) ('PHOX2B', 'Gene', '8929', (0, 6)) ('neuroblastoma', 'Disease', 'MESH:D009447', (45, 58)) ('trichostatin', 'Chemical', 'MESH:C012589', (143, 155)) ('neuroblastoma', 'Disease', (45, 58)) 31130 33402862 CCI-006 also impairs mitochondria in the case of CCI-007 and increases apoptosis. ('apoptosis', 'CPA', (71, 80)) ('CCI-007', 'Chemical', '-', (49, 56)) ('impairs', 'NegReg', (13, 20)) ('mitochondria', 'MPA', (21, 33)) ('CCI-006', 'Chemical', '-', (0, 7)) ('increases', 'PosReg', (61, 70)) ('CCI-006', 'Var', (0, 7)) ('CCI-007', 'Var', (49, 56)) 31149 33402862 Disruption of the MEIS-PBX interaction could also cause caspase-dependent apoptosis in a cell-dependent manner. ('cause', 'Reg', (50, 55)) ('interaction', 'Interaction', (27, 38)) ('caspase', 'Gene', '841', (56, 63)) ('caspase', 'Gene', (56, 63)) ('Disruption', 'Var', (0, 10)) 31159 33402862 In a number of in vitro studies where MEIS and MEIS partner proteins were targeted indirectly by small molecules or noncoding RNAs, cancer proliferation, spread, metastasis, and invasion could have been suppressed. ('metastasis', 'CPA', (162, 172)) ('spread', 'CPA', (154, 160)) ('cancer', 'Disease', (132, 138)) ('cancer', 'Phenotype', 'HP:0002664', (132, 138)) ('suppressed', 'NegReg', (203, 213)) ('invasion', 'CPA', (178, 186)) ('small molecules', 'Var', (97, 112)) ('cancer', 'Disease', 'MESH:D009369', (132, 138)) 31209 30915134 Injury to this nerve results in hemi-diaphragm paralysis and paradoxical movement of the diaphragm and causes respiratory problems. ('Injury', 'Var', (0, 6)) ('paralysis', 'Disease', (47, 56)) ('paralysis', 'Phenotype', 'HP:0003470', (47, 56)) ('respiratory problems', 'Phenotype', 'HP:0002795', (110, 130)) ('paralysis', 'Disease', 'MESH:D010243', (47, 56)) ('causes', 'Reg', (103, 109)) ('results in', 'Reg', (21, 31)) ('paradoxical movement of the diaphragm', 'CPA', (61, 98)) ('diaphragm paralysis', 'Phenotype', 'HP:0006597', (37, 56)) ('respiratory problems', 'Disease', (110, 130)) 31373 29147359 The success of sunitinib also was unrelated to mutations in EGFT, c-KIT, KRAS, and BRAF. ('KRAS', 'Gene', (73, 77)) ('KRAS', 'Gene', '3845', (73, 77)) ('c-KIT', 'Gene', (66, 71)) ('mutations', 'Var', (47, 56)) ('c-KIT', 'Gene', '3815', (66, 71)) ('sunitinib', 'Chemical', 'MESH:D000077210', (15, 24)) ('BRAF', 'Gene', '673', (83, 87)) ('EGFT', 'Gene', (60, 64)) ('BRAF', 'Gene', (83, 87)) 31477 25119822 The Association of PTPN22 R620W Polymorphism Is Stronger with Late-Onset AChR-Myasthenia Gravis in Turkey A functional single nucleotide polymorphism (SNP) of the PTPN22 gene encoding a protein tyrosine phosphatase has been associated with autoimmune disorders including myasthenia gravis (MG). ('protein tyrosine phosphatase', 'Gene', '26191', (186, 214)) ('PTPN22', 'Gene', '100539686', (19, 25)) ('R620W', 'Var', (26, 31)) ('protein tyrosine phosphatase', 'Gene', (186, 214)) ('autoimmune disorders', 'Disease', (240, 260)) ('R620W', 'Mutation', 'rs2476601', (26, 31)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (271, 288)) ('Myasthenia', 'Phenotype', 'HP:0003473', (78, 88)) ('autoimmune disorders', 'Phenotype', 'HP:0002960', (240, 260)) ('PTPN22', 'Gene', (163, 169)) ('associated', 'Reg', (224, 234)) ('autoimmune disorders', 'Disease', 'MESH:D001327', (240, 260)) ('myasthenia', 'Phenotype', 'HP:0003473', (271, 281)) ('Myasthenia Gravis', 'Disease', 'MESH:D009157', (78, 95)) ('PTPN22', 'Gene', (19, 25)) ('PTPN22', 'Gene', '100539686', (163, 169)) ('Myasthenia Gravis', 'Disease', (78, 95)) ('myasthenia gravis', 'Disease', (271, 288)) 31478 25119822 As the PTPN22 R620W polymorphism has a wide variation of allele frequencies among different populations, this polymorphism was investigated in MG in Turkey. ('R620W', 'Var', (14, 19)) ('R620W', 'Mutation', 'rs2476601', (14, 19)) ('Turkey', 'Species', '9103', (149, 155)) ('PTPN22', 'Gene', (7, 13)) 31480 25119822 DNA samples from 416 patients with clinically diagnosed generalized MG (231 with Abs to acetylcholine receptor, AChR-MG), 53 with Abs to muscle-specific kinase (MuSK-MG), 55 patients with no detectable Abs (SN-MG), 77 patients with thymoma (TAMG) and 293 healthy controls (HC) were genotyped for the SNP (PTPN22 R620W, C1858T, rs2476601). ('thymoma', 'Disease', (232, 239)) ('rs2476601', 'Mutation', 'rs2476601', (327, 336)) ('R620W', 'Mutation', 'rs2476601', (312, 317)) ('thymoma', 'Phenotype', 'HP:0100522', (232, 239)) ('generalized MG', 'Disease', (56, 70)) ('TAMG', 'Chemical', '-', (241, 245)) ('patients', 'Species', '9606', (218, 226)) ('rs2476601', 'Var', (327, 336)) ('patients', 'Species', '9606', (174, 182)) ('C1858T', 'Mutation', 'rs2476601', (319, 325)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (161, 168)) ('patients', 'Species', '9606', (21, 29)) ('thymoma', 'Disease', 'MESH:D013945', (232, 239)) ('C1858T', 'Var', (319, 325)) ('muscle-specific kinase', 'Gene', '4593', (137, 159)) ('muscle-specific kinase', 'Gene', (137, 159)) ('SN-MG', 'Chemical', '-', (207, 212)) 31484 25119822 In contrast to findings in other autoimmune diseases, the distribution of the PTPN22 polymorphism in this population provides a susceptibility marker for AChR-MG. ('autoimmune diseases', 'Phenotype', 'HP:0002960', (33, 52)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (33, 51)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (33, 52)) ('AChR-MG', 'Disease', (154, 161)) ('PTPN22', 'Gene', (78, 84)) ('susceptibility', 'Reg', (128, 142)) ('polymorphism', 'Var', (85, 97)) ('autoimmune diseases', 'Disease', (33, 52)) 31494 25119822 Altered T cell receptor (TCR) signaling has been recognized as a risk factor for other autoimmune diseases. ('autoimmune disease', 'Phenotype', 'HP:0002960', (87, 105)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (87, 106)) ('Altered', 'Var', (0, 7)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (87, 106)) ('autoimmune diseases', 'Disease', (87, 106)) 31496 25119822 A single nucleotide polymorphism (SNP) of PTPN22 causing an amino acid change (R620W, C1858T, dbSNP reference: rs2476601) has been shown to affect the interaction of this protein phosphatase with Src family kinases in T cell activation. ('rs2476601', 'Mutation', 'rs2476601', (111, 120)) ('T cell', 'CPA', (218, 224)) ('interaction', 'Interaction', (151, 162)) ('protein phosphatase', 'Enzyme', (171, 190)) ('C1858T', 'Var', (86, 92)) ('PTPN22', 'Gene', (42, 48)) ('R620W', 'Var', (79, 84)) ('R620W', 'Mutation', 'rs2476601', (79, 84)) ('affect', 'Reg', (140, 146)) ('C1858T', 'Mutation', 'rs2476601', (86, 92)) ('amino acid change', 'MPA', (60, 77)) ('Src', 'Enzyme', (196, 199)) 31497 25119822 Individuals carrying the variant allele of PTPN22 (T allele encoding W620) may have changes in the threshold for thymic selection and be prone to autoimmunity. ('autoimmunity', 'Phenotype', 'HP:0002960', (146, 158)) ('autoimmunity', 'Disease', (146, 158)) ('changes', 'Reg', (84, 91)) ('threshold for thymic selection', 'MPA', (99, 129)) ('autoimmunity', 'Disease', 'MESH:D001327', (146, 158)) ('PTPN22', 'Gene', (43, 49)) ('prone', 'Reg', (137, 142)) ('W620', 'Var', (69, 73)) 31498 25119822 MG was shown to be associated with PTPN22 R620W polymorphism similar to several other autoimmune diseases. ('associated', 'Reg', (19, 29)) ('PTPN22', 'Gene', (35, 41)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (86, 105)) ('R620W', 'Var', (42, 47)) ('R620W', 'Mutation', 'rs2476601', (42, 47)) ('autoimmune diseases', 'Disease', (86, 105)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (86, 105)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (86, 104)) 31499 25119822 The polymorphic allele was increased in the non-thymoma MG patients without anti-titin antibodies (ATA) (odds ratio [OR]: 1.97). ('titin', 'Gene', (81, 86)) ('thymoma', 'Phenotype', 'HP:0100522', (48, 55)) ('non-thymoma', 'Disease', (44, 55)) ('thymoma MG', 'Disease', (48, 58)) ('polymorphic', 'Var', (4, 15)) ('thymoma MG', 'Disease', 'MESH:D013945', (48, 58)) ('titin', 'Gene', '7273', (81, 86)) ('patients', 'Species', '9606', (59, 67)) ('non-thymoma', 'Disease', 'MESH:D013945', (44, 55)) 31500 25119822 In subsequent studies on Swedish, German and Hungarian MG patients, this PTPN22 variant was associated with AChR-MG and with thymoma-associated MG (TAMG) in one study. ('thymoma', 'Phenotype', 'HP:0100522', (125, 132)) ('AChR-MG', 'Disease', (108, 115)) ('TAMG', 'Chemical', '-', (148, 152)) ('variant', 'Var', (80, 87)) ('PTPN22', 'Gene', (73, 79)) ('thymoma', 'Disease', 'MESH:D013945', (125, 132)) ('patients', 'Species', '9606', (58, 66)) ('associated', 'Reg', (92, 102)) ('thymoma', 'Disease', (125, 132)) ('Hungarian MG', 'CellLine', 'CVCL:J029', (45, 57)) 31501 25119822 The first genome-wide association study published in MG recently revealed the expected association with PTPN22 (rs2476601; OR: 1.71) in a larger sample of EOMG cases from European populations. ('EOMG', 'Chemical', '-', (155, 159)) ('rs2476601;', 'Var', (112, 122)) ('PTPN22', 'Gene', (104, 110)) ('rs2476601', 'Mutation', 'rs2476601', (112, 121)) ('association', 'Interaction', (87, 98)) 31503 25119822 Because the PTPN22 R620W polymorphism demonstrates a wide variation among different populations, with the highest polymorphic allele presence being in Scandinavia (15%) yet absent in Asian and African populations, this polymorphism is being investigated in this study as a susceptibility marker in MG patients and within heterogeneous disease subgroups from Turkey. ('R620W', 'Var', (19, 24)) ('patients', 'Species', '9606', (301, 309)) ('Turkey', 'Species', '9103', (358, 364)) ('PTPN22', 'Gene', (12, 18)) ('R620W', 'Mutation', 'rs2476601', (19, 24)) 31512 25119822 DNA samples from patients and HC were genotyped by polymerase chain reaction (PCR) based on restriction fragment length polymorphism (RFLP) analysis for the SNP (rs2476601, R620W, C1858T, C T) of PTPN22 gene. ('PTPN22', 'Gene', (196, 202)) ('rs2476601', 'Mutation', 'rs2476601', (162, 171)) ('C1858T', 'Var', (180, 186)) ('men', 'Species', '9606', (108, 111)) ('R620W', 'Mutation', 'rs2476601', (173, 178)) ('rs2476601', 'Var', (162, 171)) ('C1858T', 'Mutation', 'rs2476601', (180, 186)) ('patients', 'Species', '9606', (17, 25)) ('R620W', 'Var', (173, 178)) 31517 25119822 The distribution of the PTPN22 C1858T polymorphism (C T) revealed that the genotype frequencies were in Hardy-Weinberg equilibrium in the HC. ('C1858T', 'Var', (31, 37)) ('PTPN22', 'Gene', (24, 30)) ('C1858T', 'Mutation', 'rs2476601', (31, 37)) 31518 25119822 The PTPN22 C1858T genotypes implicated significant differences between groups (Table 2). ('C1858T', 'Mutation', 'rs2476601', (11, 17)) ('PTPN22', 'Gene', (4, 10)) ('C1858T', 'Var', (11, 17)) 31525 25119822 When the AChR-MG patients were subgrouped according to 50 years of age as the cut-off for disease onset, the PTPN22 T allele was more strongly associated with LOMG. ('associated with', 'Reg', (143, 158)) ('T allele', 'Var', (116, 124)) ('LOMG', 'Disease', (159, 163)) ('patients', 'Species', '9606', (17, 25)) ('LOMG', 'Chemical', '-', (159, 163)) ('PTPN22', 'Gene', (109, 115)) 31531 25119822 The associations of PTPN22 polymorphism with EOMG (p = 0.10, OR: 1.95) and being women (p = 0.10, OR: 1.95) in AChR-MG patients were not statistically significant with this analysis. ('polymorphism', 'Var', (27, 39)) ('women', 'Species', '9606', (81, 86)) ('patients', 'Species', '9606', (119, 127)) ('AChR-MG', 'Disease', (111, 118)) ('EOMG', 'Disease', (45, 49)) ('EOMG', 'Chemical', '-', (45, 49)) ('associations', 'Interaction', (4, 16)) ('PTPN22', 'Gene', (20, 26)) 31532 25119822 The PTPN22 R620W polymorphism is accepted as a general risk factor for autoimmune diseases with prominent production of auto-antibodies. ('autoimmune diseases', 'Phenotype', 'HP:0002960', (71, 90)) ('PTPN22', 'Gene', (4, 10)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (71, 89)) ('R620W', 'Var', (11, 16)) ('R620W', 'Mutation', 'rs2476601', (11, 16)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (71, 90)) ('autoimmune diseases', 'Disease', (71, 90)) 31533 25119822 MG, being a prototypic auto-antibody mediated disease, has also been one of the diseases showing association with the PTPN22 R620W polymorphism. ('R620W', 'Mutation', 'rs2476601', (125, 130)) ('PTPN22', 'Gene', (118, 124)) ('R620W', 'Var', (125, 130)) 31534 25119822 A relatively strong association of the polymorphic PTPN22 1858 T allele was demonstrated with AChR-MG also in this population from Turkey, where the MAF of the polymorphic allele was as low as 2%. ('polymorphic', 'Var', (39, 50)) ('Turkey', 'Species', '9103', (131, 137)) ('AChR-MG', 'Disease', (94, 101)) ('PTPN22', 'Gene', (51, 57)) 31539 25119822 In another study from Germany, EOMG but also TAMG subgroups had increased frequencies of the PTPN22 polymorphic allele compared with ethnically matched controls (OR: 2.4 and 2.5). ('TAMG', 'Chemical', '-', (45, 49)) ('EOMG', 'Chemical', '-', (31, 35)) ('PTPN22', 'Gene', (93, 99)) ('polymorphic', 'Var', (100, 111)) 31540 25119822 Based on the recently performed meta-analyses and genome-wide results, the most robust conclusion is that the minor allele (T) of PTPN22 polymorphism is associated with the presence of anti-AChR Abs and with the absence of thymoma in MG. ('anti-AChR Abs', 'Disease', (185, 198)) ('thymoma', 'Disease', 'MESH:D013945', (223, 230)) ('associated', 'Reg', (153, 163)) ('PTPN22', 'Gene', (130, 136)) ('absence of thymoma', 'Phenotype', 'HP:0005359', (212, 230)) ('thymoma', 'Disease', (223, 230)) ('polymorphism', 'Var', (137, 149)) ('thymoma', 'Phenotype', 'HP:0100522', (223, 230)) 31546 25119822 However, we have also observed an inbalance of the sex distribution in this relatively smaller subgroup of AChR-MG and the association with the PTPN22 R620W polymorphism was even stronger in women of LOMG group compared with healthy women. ('association', 'Interaction', (123, 134)) ('women', 'Species', '9606', (191, 196)) ('LOMG', 'Chemical', '-', (200, 204)) ('AChR-MG', 'Gene', (107, 114)) ('stronger', 'PosReg', (179, 187)) ('R620W', 'Var', (151, 156)) ('R620W', 'Mutation', 'rs2476601', (151, 156)) ('women', 'Species', '9606', (233, 238)) ('PTPN22', 'Gene', (144, 150)) 31548 25119822 This difference of PTPN22 in women and men was not observed previously in the genome-wide association study, but similar findings have been proposed previously in rheumatoid arthritis (RA) for PTPN22 . ('arthritis', 'Phenotype', 'HP:0001369', (174, 183)) ('women', 'Species', '9606', (29, 34)) ('men', 'Species', '9606', (31, 34)) ('rheumatoid arthritis', 'Disease', (163, 183)) ('rheumatoid arthritis', 'Disease', 'MESH:D001172', (163, 183)) ('RA', 'Phenotype', 'HP:0001370', (185, 187)) ('PTPN22', 'Var', (193, 199)) ('men', 'Species', '9606', (39, 42)) ('RA', 'Disease', 'MESH:D001172', (185, 187)) ('rheumatoid arthritis', 'Phenotype', 'HP:0001370', (163, 183)) 31554 25119822 Among the non-HLA genetic associations with autoimmune diseases, the PTPN22 R620W gene polymorphism was shown to be a major risk factor in association studies of several diseases in Caucasian populations including North American, Spanish, British, Dutch, French-Canadian and Swedish patients. ('autoimmune diseases', 'Phenotype', 'HP:0002960', (44, 63)) ('risk factor', 'Reg', (124, 135)) ('R620W', 'Mutation', 'rs2476601', (76, 81)) ('PTPN22', 'Gene', (69, 75)) ('patients', 'Species', '9606', (283, 291)) ('British', 'Disease', (239, 246)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (44, 62)) ('HLA', 'Gene', '3123', (14, 17)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (44, 63)) ('R620W', 'Var', (76, 81)) ('HLA', 'Gene', (14, 17)) ('autoimmune diseases', 'Disease', (44, 63)) 31555 25119822 However, there were considerable ethnical differences in the polymorphic allele frequencies of PTPN22 R620W polymorphism in different populations with a North-South gradient ranging between 15.5% and 2.1% in Europe. ('R620W', 'Var', (102, 107)) ('R620W', 'Mutation', 'rs2476601', (102, 107)) ('PTPN22', 'Gene', (95, 101)) 31556 25119822 The frequency of the PTPN22 polymorphism was also relatively low in the healthy population from Turkey in the present data as well as in another sample from Turkey. ('Turkey', 'Species', '9103', (157, 163)) ('PTPN22', 'Gene', (21, 27)) ('polymorphism', 'Var', (28, 40)) ('Turkey', 'Species', '9103', (96, 102)) ('low', 'NegReg', (61, 64)) 31557 25119822 Our previous results on the absence of the association with this PTPN22 polymorphism in other autoimmune diseases such as RA and Takayasu's arthritis in this population underlines the specificity of the current finding in AChR-MG, also supporting the relationship with specific humoral autoimmunity. ('RA', 'Phenotype', 'HP:0001370', (122, 124)) ('arthritis', 'Phenotype', 'HP:0001369', (140, 149)) ('autoimmunity', 'Disease', (286, 298)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (94, 112)) ('PTPN22', 'Gene', (65, 71)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (94, 113)) ("Takayasu's arthritis", 'Disease', (129, 149)) ('humoral autoimmunity', 'Phenotype', 'HP:0005363', (278, 298)) ('autoimmunity', 'Disease', 'MESH:D001327', (286, 298)) ('polymorphism', 'Var', (72, 84)) ('autoimmunity', 'Phenotype', 'HP:0002960', (286, 298)) ('RA', 'Disease', 'MESH:D001172', (122, 124)) ('autoimmune diseases', 'Disease', (94, 113)) ('AChR-MG', 'Disease', (222, 229)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (94, 113)) ("Takayasu's arthritis", 'Disease', 'MESH:D001015', (129, 149)) 31559 25119822 Moreover, the findings identify PTPN22 R620W polymorphism as the strongest susceptibility marker for LOMG among all other MG subgroups and provide a hint for a sex related difference in susceptibility for AChR-MG. ('R620W', 'Mutation', 'rs2476601', (39, 44)) ('AChR-MG', 'Disease', (205, 212)) ('LOMG', 'Disease', (101, 105)) ('PTPN22', 'Gene', (32, 38)) ('LOMG', 'Chemical', '-', (101, 105)) ('R620W', 'Var', (39, 44)) ('susceptibility', 'Reg', (75, 89)) 31579 17277895 These cells, the precursors of conventional TCRalphabeta T lymphocytes, go on to rearrange their TCRalpha genes and undergo positive and negative selection for self/non-self discrimination through the engagement of TCR with peptide present in a major histocompatibility complex on antigen-presenting cells. ('TCRalpha', 'Gene', (97, 105)) ('TCRalpha', 'Gene', '28695', (97, 105)) ('rearrange', 'Var', (81, 90)) ('TCR', 'Protein', (215, 218)) ('TCRalphabeta T', 'Disease', 'MESH:D001260', (44, 58)) ('men', 'Species', '9606', (207, 210)) ('TCRalpha', 'Gene', (44, 52)) ('TCRalpha', 'Gene', '28695', (44, 52)) ('TCRalphabeta T', 'Disease', (44, 58)) ('engagement', 'Interaction', (201, 211)) ('Th', 'Gene', '21823', (0, 2)) 31621 17277895 For all the examined patients the mean spirometric values were in the normal range (FEV1 73.2+-22.33%, VC 86.0+-22.0%, FEV1/VC 0.87+-0.18, FEF25 76.8+-38.93%, FEF50 68.3+-35.78%, FEF75 68.2+-34.78%). ('spirometric', 'MPA', (39, 50)) ('FEF50', 'Var', (159, 164)) ('patients', 'Species', '9606', (21, 29)) ('FEV1/VC', 'Var', (119, 126)) ('FEF25', 'Var', (139, 144)) ('FEV1', 'Var', (84, 88)) 31812 18510682 Occasionally, clonally expanded lymphocytes with a characteristic CD3+, CD57+ phenotype may not have LGL morphology on a peripheral smear but may represent in vivo antigen-activated cytotoxic effector T cells. ('CD3+', 'Var', (66, 70)) ('CD57', 'Gene', '27087', (72, 76)) ('CD57', 'Gene', (72, 76)) 31839 18510682 Thus, combined CsA therapy can sustain a longer duration of initial remission than CS, however, discontinuation of maintenance therapy was strongly correlated with relapse (P < 0 001) and caused relapses with a median of 3 months with a range of 1 5-40 months. ('relapse', 'Disease', (164, 171)) ('CsA', 'Gene', '1442', (15, 18)) ('rat', 'Species', '10116', (50, 53)) ('discontinuation', 'Var', (96, 111)) ('CsA', 'Gene', (15, 18)) ('caused', 'Reg', (188, 194)) 31892 18510682 Alemtuzumab causes prolonged, severe CD4 and CD8 lymphopenia and PRCA due to parvovirus B19 infection in a patient with cutaneous T-cell lymphoma treated with alemtuzumab has been reported. ('CD8 lymphopenia', 'Phenotype', 'HP:0005415', (45, 60)) ('PRCA', 'Phenotype', 'HP:0012410', (65, 69)) ('lymphopenia', 'Disease', 'MESH:D008231', (49, 60)) ('lymphoma', 'Phenotype', 'HP:0002665', (137, 145)) ('parvovirus B19 infection', 'Disease', (77, 101)) ('alemtuzumab', 'Chemical', 'MESH:D000074323', (159, 170)) ('cutaneous T-cell lymphoma', 'Phenotype', 'HP:0012192', (120, 145)) ('CD4', 'Gene', '920', (37, 40)) ('Alemtuzumab', 'Chemical', 'MESH:D000074323', (0, 11)) ('cell lymphoma', 'Phenotype', 'HP:0012191', (132, 145)) ('PRCA', 'Disease', (65, 69)) ('CD8', 'Gene', '925', (45, 48)) ('CD4', 'Gene', (37, 40)) ('cutaneous T-cell lymphoma', 'Disease', (120, 145)) ('cutaneous T-cell lymphoma', 'Disease', 'MESH:D016410', (120, 145)) ('Alemtuzumab', 'Var', (0, 11)) ('lymphopenia', 'Disease', (49, 60)) ('parvovirus B19 infection', 'Disease', 'MESH:D016731', (77, 101)) ('lymphopenia', 'Phenotype', 'HP:0001888', (49, 60)) ('T-cell lymphoma', 'Phenotype', 'HP:0012190', (130, 145)) ('CD8', 'Gene', (45, 48)) ('patient', 'Species', '9606', (107, 114)) 31893 18510682 Tacrolimus (FK506) is often associated with chronic B19 infection-associated anaemia in organ transplant recipients and cessation of tacrolimus or replacement with other immunosuppressants results in an improvement of anaemia. ('anaemia', 'Disease', (77, 84)) ('anaemia', 'Disease', (218, 225)) ('anaemia', 'Disease', 'MESH:D000740', (218, 225)) ('FK506', 'Chemical', 'MESH:D016559', (12, 17)) ('Tacrolimus', 'Chemical', 'MESH:D016559', (0, 10)) ('anaemia', 'Phenotype', 'HP:0001903', (77, 84)) ('tacrolimus', 'Chemical', 'MESH:D016559', (133, 143)) ('anaemia', 'Phenotype', 'HP:0001903', (218, 225)) ('associated with', 'Reg', (28, 43)) ('infection-associated anaemia in organ transplant recipients', 'Phenotype', 'HP:0410256', (56, 115)) ('cessation', 'Var', (120, 129)) ('B19', 'Gene', (52, 55)) ('anaemia', 'Disease', 'MESH:D000740', (77, 84)) ('B19', 'Gene', '59271', (52, 55)) 31905 18510682 The two most important initial steps in the management of anti-EPO antibody-mediated PRCA are transfusions for symptomatic anaemia and stopping the administration of rhEPO. ('anti-EPO', 'Var', (58, 66)) ('rat', 'Species', '10116', (156, 159)) ('anaemia', 'Disease', 'MESH:D000740', (123, 130)) ('PRCA', 'Phenotype', 'HP:0012410', (85, 89)) ('anaemia', 'Disease', (123, 130)) ('anaemia', 'Phenotype', 'HP:0001903', (123, 130)) 31910 18510682 Thus, a recent animal study suggested that a possible alternative strategy might be to administer Hematide to patients with PRCA due to anti-rhEPO antibodies, which should enable ongoing stimulation of erythropoiesis. ('Hematide', 'Chemical', 'MESH:C514771', (98, 106)) ('PRCA', 'Disease', (124, 128)) ('rat', 'Species', '10116', (68, 71)) ('anti-rhEPO antibodies', 'Var', (136, 157)) ('PRCA', 'Phenotype', 'HP:0012410', (124, 128)) ('patients', 'Species', '9606', (110, 118)) 32061 33228633 Patients affected by mucosal-dominant PV only have detectable anti-DSG3 IgG AA, whereas those with mucocutaneous form of PV have both anti-DSG3 and DSG1 IgG AA. ('anti-DSG3', 'Var', (62, 71)) ('Patients', 'Species', '9606', (0, 8)) ('IgG', 'Gene', '668542', (72, 75)) ('IgG', 'Gene', (72, 75)) ('IgG', 'Gene', '668542', (153, 156)) ('IgG', 'Gene', (153, 156)) 32298 33228633 Direct immunofluorescence revealed intercellular epidermal IgG in one dog (unpublished data); two follow-up studies using sera from this dog supported the involvement of anti-DSG3 IgG in the dissociation of keratinocytes in canine PNP. ('dog', 'Species', '9615', (70, 73)) ('IgG', 'Gene', '668542', (59, 62)) ('IgG', 'Gene', (59, 62)) ('IgG', 'Gene', '668542', (180, 183)) ('dog', 'Species', '9615', (137, 140)) ('anti-DSG3', 'Var', (170, 179)) ('IgG', 'Gene', (180, 183)) ('dissociation of keratinocytes', 'MPA', (191, 220)) ('canine', 'Species', '9615', (224, 230)) ('involvement', 'Reg', (155, 166)) 32459 31610957 When patients were stratified by R status, those with R2 resection had worse overall survival (median survival, 11.8 [R0/R1] vs 5.5 [R2] years; P = .005) and progression-free survival (median progression-free survival, 2.8 [R0/R1] vs. 1.7 [R2] years; P = .005). ('progression-free survival', 'CPA', (158, 183)) ('patients', 'Species', '9606', (5, 13)) ('overall survival', 'CPA', (77, 93)) ('worse', 'NegReg', (71, 76)) ('R2 resection', 'Var', (54, 66)) 32490 31610957 In line with the data that suggest resection of all gross disease or even debulking may improve outcomes, all patients with thymic carcinoma underwent resection with curative intent:in cases of R2 resections, disease was left only on critical structures that were unresectable. ('R2 resections', 'Var', (194, 207)) ('carcinoma', 'Phenotype', 'HP:0030731', (131, 140)) ('thymic carcinoma', 'Disease', (124, 140)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (124, 140)) ('patients', 'Species', '9606', (110, 118)) 32675 33629204 Additionally, giant cell myositis can also be induced with anti-PD-1 antibodies, suggesting that T cell hyperactivation may be a common critical factor in driving these phenotypes. ('induced', 'Reg', (46, 53)) ('myositis', 'Phenotype', 'HP:0100614', (25, 33)) ('giant cell myositis', 'Disease', 'MESH:D009220', (14, 33)) ('giant cell myositis', 'Disease', (14, 33)) ('antibodies', 'Var', (69, 79)) ('anti-PD-1 antibodies', 'Var', (59, 79)) 32690 29269707 A Case of Paraneoplastic Limbic Encephalitis in a Patient with Invasive Thymoma with Anti-Glutamate Receptor Antibody-Positive Cerebrospinal Fluid: A Case Report Background: Thymoma is known to cause autoimmune neuromuscular disease. ('Paraneoplastic Limbic Encephalitis', 'Disease', (10, 44)) ('autoimmune neuromuscular disease', 'Disease', (200, 232)) ('Thymoma', 'Phenotype', 'HP:0100522', (174, 181)) ('Paraneoplastic Limbic Encephalitis', 'Disease', 'MESH:D020363', (10, 44)) ('autoimmune neuromuscular disease', 'Disease', 'MESH:D001327', (200, 232)) ('Thymoma', 'Phenotype', 'HP:0100522', (72, 79)) ('Patient', 'Species', '9606', (50, 57)) ('Encephalitis', 'Phenotype', 'HP:0002383', (32, 44)) ('cause', 'Reg', (194, 199)) ('Thymoma', 'Var', (174, 181)) 32729 29269707 For example, patients with anti-Hu antibody usually have small-cell lung cancer (SCLC), and patients with anti-Yo antibody usually have breast, ovarian, or uterine cancer. ('small-cell lung cancer', 'Disease', 'MESH:D055752', (57, 79)) ('cancer', 'Disease', (73, 79)) ('cancer', 'Disease', 'MESH:D009369', (73, 79)) ('ovarian', 'Disease', (144, 151)) ('lung cancer', 'Phenotype', 'HP:0100526', (68, 79)) ('cancer', 'Phenotype', 'HP:0002664', (164, 170)) ('small-cell lung cancer', 'Disease', (57, 79)) ('patients', 'Species', '9606', (13, 21)) ('patients', 'Species', '9606', (92, 100)) ('cancer', 'Phenotype', 'HP:0002664', (73, 79)) ('uterine cancer', 'Phenotype', 'HP:0010784', (156, 170)) ('SCLC', 'Disease', (81, 85)) ('cancer', 'Disease', (164, 170)) ('cancer', 'Disease', 'MESH:D009369', (164, 170)) ('SCLC', 'Disease', 'MESH:D018288', (81, 85)) ('anti-Hu antibody', 'Var', (27, 43)) ('breast', 'Disease', (136, 142)) 32747 29269707 Symptoms caused by anti-NMDA receptor encephalitis can be improved by adding anti-tumor therapy and immunotherapy early in the disease course. ('encephalitis', 'Disease', 'MESH:D004660', (38, 50)) ('encephalitis', 'Disease', (38, 50)) ('NMDA', 'Chemical', '-', (24, 28)) ('tumor', 'Disease', 'MESH:D009369', (82, 87)) ('encephalitis', 'Phenotype', 'HP:0002383', (38, 50)) ('tumor', 'Phenotype', 'HP:0002664', (82, 87)) ('tumor', 'Disease', (82, 87)) ('anti-NMDA', 'Var', (19, 28)) 32849 26232146 The aim was provide insights in how HRQOL in MG stands across borders and time, compare the scores to general population controls and other chronic disorders and assess the impact of potential predictors for quality of life such as a) clinical characteristics b) antibodies c) thymoma and d) treatment in a population-based cohort. ('thymoma', 'Disease', 'MESH:D013945', (277, 284)) ('thymoma', 'Disease', (277, 284)) ('thymoma', 'Phenotype', 'HP:0100522', (277, 284)) ('chronic disorders', 'Disease', (140, 157)) ('antibodies c', 'Var', (263, 275)) ('chronic disorders', 'Disease', 'MESH:D002908', (140, 157)) 32936 23978943 Those patients with antibodies that target the VGKC-associated protein Caspr2 have been particularly associated with acquired neuromyotonia in the setting of MG and/or thymoma. ('Caspr2', 'Gene', (71, 77)) ('Caspr2', 'Gene', '26047', (71, 77)) ('antibodies', 'Var', (20, 30)) ('thymoma', 'Disease', 'MESH:D013945', (168, 175)) ('thymoma', 'Disease', (168, 175)) ('neuromyotonia', 'Disease', (126, 139)) ('patients', 'Species', '9606', (6, 14)) ('thymoma', 'Phenotype', 'HP:0100522', (168, 175)) ('associated with', 'Reg', (101, 116)) ('neuromyotonia', 'Disease', 'MESH:D020386', (126, 139)) 32984 23978943 Some patients with acquired neuromyotonia or Morvan syndrome have antibodies to the VGKC complex. ('VGKC complex', 'Protein', (84, 96)) ('patients', 'Species', '9606', (5, 13)) ('neuromyotonia or Morvan syndrome', 'Disease', 'MESH:D020386', (28, 60)) ('neuromyotonia or Morvan syndrome', 'Disease', (28, 60)) ('antibodies', 'Var', (66, 76)) 32986 23978943 Although there is growing recognition that LGI1 IgG and Caspr2 IgG are associated with diverse neurologic presentations, even at low titers, LGI1 antibodies are often associated with seizures and cognitive impairment, consistent with their localization at central nervous system synapses. ('antibodies', 'Var', (146, 156)) ('LGI1', 'Gene', (43, 47)) ('cognitive impairment', 'Phenotype', 'HP:0100543', (196, 216)) ('seizures', 'Phenotype', 'HP:0001250', (183, 191)) ('cognitive impairment', 'Disease', (196, 216)) ('associated with', 'Reg', (167, 182)) ('cognitive impairment', 'Disease', 'MESH:D003072', (196, 216)) ('seizures', 'Disease', 'MESH:D012640', (183, 191)) ('Caspr2', 'Gene', (56, 62)) ('LGI1', 'Gene', (141, 145)) ('LGI1', 'Gene', '9211', (141, 145)) ('Caspr2', 'Gene', '26047', (56, 62)) ('seizures', 'Disease', (183, 191)) ('associated', 'Reg', (71, 81)) ('LGI1', 'Gene', '9211', (43, 47)) 32987 23978943 Caspr2 organizes VGKCs on both central nervous system and peripheral nervous system axons, and patients with Caspr2 antibodies may have encephalitis and/or acquired neuromyotonia. ('Caspr2', 'Gene', (109, 115)) ('patients', 'Species', '9606', (95, 103)) ('antibodies', 'Var', (116, 126)) ('encephalitis', 'Phenotype', 'HP:0002383', (136, 148)) ('Caspr2', 'Gene', '26047', (109, 115)) ('neuromyotonia', 'Disease', (165, 178)) ('Caspr2', 'Gene', (0, 6)) ('neuromyotonia', 'Disease', 'MESH:D020386', (165, 178)) ('Caspr2', 'Gene', '26047', (0, 6)) ('encephalitis', 'Disease', 'MESH:D004660', (136, 148)) ('encephalitis', 'Disease', (136, 148)) 32988 23978943 It is likely that Caspr2 antibodies cause disease by disrupting the VGKC complex on central nervous system and/or peripheral nervous system axons, but the pathogenic mechanisms have not been proven. ('VGKC complex', 'Protein', (68, 80)) ('cause', 'Reg', (36, 41)) ('Caspr2', 'Gene', '26047', (18, 24)) ('disease', 'Disease', (42, 49)) ('antibodies', 'Var', (25, 35)) ('Caspr2', 'Gene', (18, 24)) ('disrupting', 'NegReg', (53, 63)) 32989 23978943 Caspr2 antibodies may also be associated with MG and/or thymoma, and have recently been shown to be associated with diverse pain syndromes. ('associated', 'Reg', (30, 40)) ('pain', 'Phenotype', 'HP:0012531', (124, 128)) ('pain', 'Disease', 'MESH:D010146', (124, 128)) ('pain', 'Disease', (124, 128)) ('associated', 'Reg', (100, 110)) ('antibodies', 'Var', (7, 17)) ('Caspr2', 'Gene', (0, 6)) ('thymoma', 'Disease', 'MESH:D013945', (56, 63)) ('thymoma', 'Disease', (56, 63)) ('Caspr2', 'Gene', '26047', (0, 6)) ('thymoma', 'Phenotype', 'HP:0100522', (56, 63)) 33001 30734484 It is well understood that antibodies against the acetylcholinereceptor (AchR) are essential for the development of MG, and that anti-AchR can block the post-synaptic membrane, AchR, as well as reduce the quantity of AchR at the neuromuscular junction, leading to a decrease in the responses to neurotransmitter Ach at muscular contractions. ('Ach', 'Chemical', 'MESH:D000109', (134, 137)) ('quantity', 'MPA', (205, 213)) ('block', 'NegReg', (143, 148)) ('Ach', 'Chemical', 'MESH:D000109', (217, 220)) ('AchR', 'Protein', (177, 181)) ('men', 'Species', '9606', (108, 111)) ('Ach', 'Chemical', 'MESH:D000109', (312, 315)) ('Ach', 'Chemical', 'MESH:D000109', (73, 76)) ('Ach', 'Chemical', 'MESH:D000109', (177, 180)) ('post-synaptic membrane', 'MPA', (153, 175)) ('anti-AchR', 'Var', (129, 138)) ('decrease', 'NegReg', (266, 274)) ('reduce', 'NegReg', (194, 200)) 33045 30734484 Among them, AIRE and IL-7R, acting as immune regulators, as well as CHRNA3 (subunit of AchR), were significantly downregulated in thymoma-related MG and repressed by an epigenetics mechanism.8 Nevertheless, the precise mechanisms underlying the deficiency of AIRE in thymoma-related MG have not been clarified. ('AIRE', 'Gene', (12, 16)) ('AIRE', 'Gene', '326', (12, 16)) ('thymoma', 'Disease', 'MESH:D013945', (130, 137)) ('thymoma', 'Disease', (130, 137)) ('thymoma', 'Phenotype', 'HP:0100522', (268, 275)) ('AIRE', 'Gene', (260, 264)) ('thymoma', 'Phenotype', 'HP:0100522', (130, 137)) ('IL-7R', 'Gene', '3575', (21, 26)) ('CHRNA3', 'Gene', (68, 74)) ('AIRE', 'Gene', '326', (260, 264)) ('thymoma', 'Disease', 'MESH:D013945', (268, 275)) ('Ach', 'Chemical', 'MESH:D000109', (87, 90)) ('CHRNA3', 'Gene', '1136', (68, 74)) ('thymoma', 'Disease', (268, 275)) ('deficiency', 'Var', (246, 256)) ('IL-7R', 'Gene', (21, 26)) 33053 30734484 In conclusion, we successfully identified novel genetic alterations for molecular understanding of the occurrence and development of thymoma-related MG. ('thymoma', 'Disease', 'MESH:D013945', (133, 140)) ('thymoma', 'Disease', (133, 140)) ('men', 'Species', '9606', (125, 128)) ('thymoma', 'Phenotype', 'HP:0100522', (133, 140)) ('genetic alterations', 'Var', (48, 67)) 33071 33458590 MG is mostly caused by antibodies against the acetylcholine receptor (AChR) and rarely by antibodies against muscle specific kinase (MuSK). ('muscle specific kinase', 'Gene', '4593', (109, 131)) ('MuSK', 'Gene', (133, 137)) ('antibodies', 'Var', (23, 33)) ('acetylcholine receptor', 'Protein', (46, 68)) ('MuSK', 'Gene', '4593', (133, 137)) ('acetylcholine', 'Chemical', 'MESH:D000109', (46, 59)) ('muscle specific kinase', 'Gene', (109, 131)) ('caused by', 'Reg', (13, 22)) 33076 33458590 Among those without a thymoma, the largest subgroup consists of young women (age < 50 years) with anti-AChR antibodies. ('thymoma', 'Disease', (22, 29)) ('anti-AChR antibodies', 'Var', (98, 118)) ('thymoma', 'Phenotype', 'HP:0100522', (22, 29)) ('thymoma', 'Disease', 'MESH:D013945', (22, 29)) ('women', 'Species', '9606', (70, 75)) 33128 33458590 Absence of definite fluctuations, absence of response to anticholinesterases, and difficulty in finding decrement in classically-examined muscles in repetitive nerve stimulation in some patients with MuSK MG may suggest ALS in the face of bulbar symptoms/head drop without ocular symptoms. ('ALS', 'Phenotype', 'HP:0007354', (220, 223)) ('bulbar symptoms', 'Phenotype', 'HP:0002483', (239, 254)) ('MuSK MG', 'Var', (200, 207)) ('suggest', 'Reg', (212, 219)) ('ALS', 'Disease', (220, 223)) ('MuSK MG', 'CellLine', 'CVCL:1698', (200, 207)) ('bulbar symptoms/head', 'Disease', (239, 259)) ('men', 'Species', '9606', (109, 112)) ('symptoms/head drop', 'Disease', (246, 264)) ('patients', 'Species', '9606', (186, 194)) 33380 24847446 Milciclib, an inhibitor of cyclin-dependent kinase 2/cyclin A complex and tropomyosin receptor kinase A (TrkA) is being evaluated in two phase II studies in patients with recurrent B3 thymoma and thymic carcinoma (NCT01011439 and NCT 01301391). ('cyclin A', 'Gene', (53, 61)) ('thymoma', 'Phenotype', 'HP:0100522', (184, 191)) ('TrkA', 'Gene', (105, 109)) ('NCT 01301391', 'Var', (230, 242)) ('cyclin A', 'Gene', '890', (53, 61)) ('tropomyosin receptor kinase A', 'Gene', '4914', (74, 103)) ('TrkA', 'Gene', '4914', (105, 109)) ('carcinoma', 'Phenotype', 'HP:0030731', (203, 212)) ('patients', 'Species', '9606', (157, 165)) ('thymic carcinoma', 'Disease', (196, 212)) ('cyclin-dependent kinase 2', 'Gene', (27, 52)) ('Milciclib', 'Chemical', '-', (0, 9)) ('cyclin-dependent kinase 2', 'Gene', '1017', (27, 52)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (196, 212)) ('NCT01011439', 'Var', (214, 225)) ('thymoma', 'Disease', 'MESH:D013945', (184, 191)) ('tropomyosin receptor kinase A', 'Gene', (74, 103)) ('thymoma', 'Disease', (184, 191)) 33472 33704915 Among these circRNAs, hsa_circ_0001173, hsa_circ_0007291, hsa_circ_0003550, and hsa_circ_0001947 were significantly upregulated in thymoma tissues compared with normal thymic tissues. ('thymoma', 'Phenotype', 'HP:0100522', (131, 138)) ('hsa_circ_0001173', 'Var', (22, 38)) ('hsa_circ_0001947', 'Var', (80, 96)) ('upregulated', 'PosReg', (116, 127)) ('hsa_circ_0007291', 'Var', (40, 56)) ('hsa_circ_0003550', 'Var', (58, 74)) ('thymoma', 'Disease', 'MESH:D013945', (131, 138)) ('thymoma', 'Disease', (131, 138)) 33474 33704915 Finally, we also found that SCAP (hsa_circ_0007291 parental gene) and AFF2 (hsa_circ_0001947 parental gene) were all significantly related with progression-free survival (PFS) of thymoma patients in a Kaplan-Meier plot (p-value <0.05). ('related with', 'Reg', (131, 143)) ('patients', 'Species', '9606', (187, 195)) ('progression-free survival', 'CPA', (144, 169)) ('hsa_circ_0001947', 'Var', (76, 92)) ('thymoma', 'Disease', 'MESH:D013945', (179, 186)) ('thymoma', 'Disease', (179, 186)) ('thymoma', 'Phenotype', 'HP:0100522', (179, 186)) 33475 33704915 The expression levels of hsa_circ_0001173, hsa_circ_0007291, hsa_circ_0003550, and hsa_circ_0001947 were significantly upregulated and positively correlated with immune imbalance in thymoma patients. ('expression levels', 'MPA', (4, 21)) ('hsa_circ_0003550', 'Var', (61, 77)) ('correlated', 'Reg', (146, 156)) ('upregulated', 'PosReg', (119, 130)) ('immune imbalance', 'Disease', (162, 178)) ('patients', 'Species', '9606', (190, 198)) ('imbalance', 'Phenotype', 'HP:0002172', (169, 178)) ('thymoma', 'Disease', 'MESH:D013945', (182, 189)) ('hsa_circ_0007291', 'Var', (43, 59)) ('thymoma', 'Disease', (182, 189)) ('thymoma', 'Phenotype', 'HP:0100522', (182, 189)) ('immune imbalance', 'Phenotype', 'HP:0002958', (162, 178)) ('hsa_circ_0001947', 'Var', (83, 99)) ('hsa_circ_0001173', 'Var', (25, 41)) 33484 33704915 A number of investigations have demonstrated that circRNAs are associated with several types of cancer, such as gastric cancer, papillary thyroid cancer, hepatocellular carcinoma, and malignant melanoma. ('cancer', 'Disease', (146, 152)) ('circRNAs', 'Var', (50, 58)) ('gastric cancer', 'Disease', 'MESH:D013274', (112, 126)) ('carcinoma', 'Phenotype', 'HP:0030731', (169, 178)) ('cancer', 'Disease', (120, 126)) ('malignant melanoma', 'Phenotype', 'HP:0002861', (184, 202)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (154, 178)) ('malignant melanoma', 'Disease', 'MESH:D008545', (184, 202)) ('cancer', 'Phenotype', 'HP:0002664', (146, 152)) ('papillary thyroid cancer', 'Disease', (128, 152)) ('cancer', 'Disease', (96, 102)) ('cancer', 'Phenotype', 'HP:0002664', (120, 126)) ('cancer', 'Phenotype', 'HP:0002664', (96, 102)) ('associated', 'Reg', (63, 73)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (154, 178)) ('gastric cancer', 'Phenotype', 'HP:0012126', (112, 126)) ('papillary thyroid cancer', 'Phenotype', 'HP:0002895', (128, 152)) ('cancer', 'Disease', 'MESH:D009369', (146, 152)) ('cancer', 'Disease', 'MESH:D009369', (120, 126)) ('hepatocellular carcinoma', 'Disease', (154, 178)) ('malignant melanoma', 'Disease', (184, 202)) ('cancer', 'Disease', 'MESH:D009369', (96, 102)) ('papillary thyroid cancer', 'Disease', 'MESH:D000077273', (128, 152)) ('thyroid cancer', 'Phenotype', 'HP:0002890', (138, 152)) ('gastric cancer', 'Disease', (112, 126)) 33498 33704915 15 , 16 As shown in Figure 2, the expression levels of hsa_circ_0001173, hsa_circ_0007291, hsa_circ_0003550, and hsa_circ_0001947 were significantly upregulated in thymoma tissue compared with control tissues (p-values were all less than 0.01). ('thymoma', 'Phenotype', 'HP:0100522', (166, 173)) ('hsa_circ_0001947', 'Var', (115, 131)) ('upregulated', 'PosReg', (151, 162)) ('thymoma', 'Disease', 'MESH:D013945', (166, 173)) ('hsa_circ_0001173', 'Var', (57, 73)) ('hsa_circ_0003550', 'Var', (93, 109)) ('hsa_circ_0007291', 'Var', (75, 91)) ('thymoma', 'Disease', (166, 173)) ('expression levels', 'MPA', (36, 53)) 33499 33704915 Some mRNAs were associated with more than one miRNA, such as NM_001455 was targeted by hsa-miR-1-5p, hsa-miR-182-5p, hsa-miR-21-3p and hsa-miR-5006-5p. ('hsa-miR-21-3p', 'Gene', '406995', (117, 130)) ('hsa-miR-5006', 'Gene', (135, 147)) ('hsa-miR-21-3p', 'Gene', (117, 130)) ('hsa-miR-5006', 'Gene', '100847026', (135, 147)) ('NM_001455', 'Gene', (61, 70)) ('hsa-miR-182', 'Gene', (101, 112)) ('associated', 'Reg', (16, 26)) ('hsa-miR-1-5p', 'Var', (87, 99)) ('hsa-miR-182', 'Gene', '406958', (101, 112)) 33504 33704915 Patients with high expression of SCAP and AFF2 showed better overall survival. ('SCAP', 'Gene', (33, 37)) ('Patients', 'Species', '9606', (0, 8)) ('high expression', 'Var', (14, 29)) ('AFF2', 'Gene', (42, 46)) ('better', 'PosReg', (54, 60)) 33506 33704915 The present study demonstrated that hsa_circ_0001173, hsa_circ_0007291, hsa_circ_0003550, and hsa_circ_0001947 were expressed at high levels and associated with important pathological pathways in thymoma patients. ('patients', 'Species', '9606', (204, 212)) ('thymoma', 'Disease', 'MESH:D013945', (196, 203)) ('hsa_circ_0001947', 'Var', (94, 110)) ('hsa_circ_0001173', 'Var', (36, 52)) ('thymoma', 'Disease', (196, 203)) ('associated with', 'Reg', (145, 160)) ('thymoma', 'Phenotype', 'HP:0100522', (196, 203)) ('hsa_circ_0003550', 'Var', (72, 88)) 33507 33704915 Furthermore, the expression of the parental gene of hsa_circ_0007291 and hsa_circ_0001947 was associated with survival rate of thymoma patients. ('hsa_circ_0001947', 'Var', (73, 89)) ('hsa_circ_0007291', 'Var', (52, 68)) ('patients', 'Species', '9606', (135, 143)) ('thymoma', 'Disease', 'MESH:D013945', (127, 134)) ('thymoma', 'Disease', (127, 134)) ('expression', 'MPA', (17, 27)) ('thymoma', 'Phenotype', 'HP:0100522', (127, 134)) ('survival rate', 'CPA', (110, 123)) ('associated', 'Reg', (94, 104)) 33512 33704915 At the same time, we found that SCAP (hsa_circ_0007291 parental gene) and AFF2 (hsa_circ_0001947 parental gene) were all significantly related with progression-free survival (PFS) of thymoma patients in the Kaplan-Meier plot. ('related with', 'Reg', (135, 147)) ('patients', 'Species', '9606', (191, 199)) ('thymoma', 'Phenotype', 'HP:0100522', (183, 190)) ('hsa_circ_0001947', 'Var', (80, 96)) ('progression-free survival', 'CPA', (148, 173)) ('thymoma', 'Disease', 'MESH:D013945', (183, 190)) ('thymoma', 'Disease', (183, 190)) 33515 33704915 30 Therefore, hsa_circ_0007291 and hsa_circ_0001947 may also participate in immune disorders by affecting the instability of the parental gene SCAP and AFF2. ('instability', 'MPA', (111, 122)) ('hsa_circ_0001947', 'Var', (36, 52)) ('hsa_circ_0007291', 'Var', (15, 31)) ('participate', 'Reg', (62, 73)) ('affecting', 'Reg', (97, 106)) ('immune disorders', 'Disease', 'MESH:D007154', (77, 93)) ('immune disorders', 'Disease', (77, 93)) 33516 33704915 In the preliminary exploration of this study, hsa_circ_0001173, hsa_circ_0007291, hsa_circ_0003550, and hsa_circ_0001947 in thymoma tissues showed some potential as biomarkers of disease, such as high specific expression, sensitive detection, and correlated with patient survival rates. ('patient', 'Species', '9606', (263, 270)) ('hsa_circ_0001947', 'Var', (104, 120)) ('hsa_circ_0003550', 'Var', (82, 98)) ('hsa_circ_0001173', 'Var', (46, 62)) ('hsa_circ_0007291', 'Var', (64, 80)) ('thymoma', 'Disease', 'MESH:D013945', (124, 131)) ('thymoma', 'Disease', (124, 131)) ('thymoma', 'Phenotype', 'HP:0100522', (124, 131)) 33523 32194681 The area under the curve in receiver-operating characteristic curve analysis for predicting malignancy was significantly greater for SUVmax than for volume-based metabolic parameters using all classification methods. ('malignancy', 'Disease', 'MESH:D009369', (92, 102)) ('SUVmax', 'Var', (133, 139)) ('malignancy', 'Disease', (92, 102)) 33562 32194681 SUVmax vs. MTV P<0.0001) or p-malignant lesions (0.8562, 0.6616, and 0.4691, respectively, SUVmax vs. TLG P=0.0002. ('TLG', 'Disease', 'MESH:C564972', (102, 105)) ('0.4691', 'Var', (69, 75)) ('TLG', 'Disease', (102, 105)) ('p-malignant lesions', 'CPA', (28, 47)) ('0.8562', 'Var', (49, 55)) ('MTV', 'Chemical', '-', (11, 14)) 33619 30832724 Bioinformatic analysis of TCGA 450 K methylation array data, transcriptome sequencing data, WHO histologic classification and Masaoka staging system was performed to identify differentially expressed methylation sites between thymoma and thymic carcinoma as well as the different DNA methylation sites associated with the overall survival in patients with TETs. ('thymic carcinoma', 'Disease', 'MESH:D013945', (238, 254)) ('associated', 'Reg', (302, 312)) ('thymoma', 'Disease', 'MESH:D013945', (226, 233)) ('thymoma', 'Disease', (226, 233)) ('patients', 'Species', '9606', (342, 350)) ('carcinoma', 'Phenotype', 'HP:0030731', (245, 254)) ('thymoma', 'Phenotype', 'HP:0100522', (226, 233)) ('methylation', 'Var', (200, 211)) ('thymic carcinoma', 'Disease', (238, 254)) 33620 30832724 Using pyrosequencing, 4 different methylation sites (cg05784862, cg07154254, cg02543462, and cg06288355) were sequenced from tumor tissues of 100 Chinese patients with TETs. ('cg02543462', 'Var', (77, 87)) ('tumor', 'Disease', 'MESH:D009369', (125, 130)) ('cg07154254', 'Chemical', '-', (65, 75)) ('tumor', 'Phenotype', 'HP:0002664', (125, 130)) ('cg06288355', 'Chemical', '-', (93, 103)) ('cg05784862', 'Var', (53, 63)) ('cg05784862', 'Chemical', '-', (53, 63)) ('cg06288355', 'Var', (93, 103)) ('patients', 'Species', '9606', (154, 162)) ('tumor', 'Disease', (125, 130)) ('cg02543462', 'Chemical', '-', (77, 87)) ('cg07154254', 'Var', (65, 75)) 33622 30832724 cg05784862(KSR1), cg07154254(ELF3), cg02543462(ILRN), and cg06288355(RAG1) were identified as independent prognostic factors for overall survival in patients with TETs after adjusting for Masaoka staging in 100 Chinese patients. ('cg06288355', 'Var', (58, 68)) ('patients', 'Species', '9606', (219, 227)) ('cg02543462', 'Var', (36, 46)) ('patients', 'Species', '9606', (149, 157)) ('cg07154254', 'Chemical', '-', (18, 28)) ('RAG1', 'Gene', (69, 73)) ('KSR1', 'Gene', '8844', (11, 15)) ('ELF3', 'Gene', (29, 33)) ('ELF3', 'Gene', '1999', (29, 33)) ('KSR1', 'Gene', (11, 15)) ('RAG1', 'Gene', '5896', (69, 73)) ('cg02543462', 'Chemical', '-', (36, 46)) ('cg07154254', 'Var', (18, 28)) ('cg05784862', 'Var', (0, 10)) ('cg05784862', 'Chemical', '-', (0, 10)) ('cg06288355', 'Chemical', '-', (58, 68)) 33624 30832724 The methylation levels of cg05784862(KSR1), cg07154254(ELF3), cg02543462(ILRN), and cg06288355(RAG1) sites are associated with the progression of TETs and may serve as new biomarkers for predicting the overall survival in patients with TETs. ('KSR1', 'Gene', (37, 41)) ('RAG1', 'Gene', (95, 99)) ('ELF3', 'Gene', (55, 59)) ('cg02543462', 'Chemical', '-', (62, 72)) ('RAG1', 'Gene', '5896', (95, 99)) ('cg07154254', 'Var', (44, 54)) ('cg06288355', 'Var', (84, 94)) ('methylation levels', 'MPA', (4, 22)) ('patients', 'Species', '9606', (222, 230)) ('TETs', 'Disease', (146, 150)) ('cg06288355', 'Chemical', '-', (84, 94)) ('cg02543462', 'Var', (62, 72)) ('cg05784862', 'Var', (26, 36)) ('cg05784862', 'Chemical', '-', (26, 36)) ('cg07154254', 'Chemical', '-', (44, 54)) ('associated with', 'Reg', (111, 126)) ('KSR1', 'Gene', '8844', (37, 41)) ('ELF3', 'Gene', '1999', (55, 59)) 33629 30832724 Epigenetic alterations such as DNA methylation, histone modification, and loss of genome imprinting play crucial roles in the formation and progression of cancer. ('DNA methylation', 'Var', (31, 46)) ('cancer', 'Phenotype', 'HP:0002664', (155, 161)) ('loss', 'NegReg', (74, 78)) ('histone modification', 'Var', (48, 68)) ('cancer', 'Disease', (155, 161)) ('cancer', 'Disease', 'MESH:D009369', (155, 161)) 33630 30832724 Over the past decade, many researchers have demonstrated the presence of aberrant DNA methylation in various types of tumor. ('tumor', 'Disease', 'MESH:D009369', (118, 123)) ('tumor', 'Phenotype', 'HP:0002664', (118, 123)) ('aberrant', 'Var', (73, 81)) ('tumor', 'Disease', (118, 123)) ('DNA', 'Protein', (82, 85)) 33634 30832724 On the other hand, the genes regulated by hypermethylation sites manifested more diverse functions and were predominately involved in neuroactive ligand-receptor interactions (hsa04080, adjusted P = 4.53 x 10-24), calcium signaling pathways (hsa04020, adjusted P = 4.72 x 10-13), and cAMP signaling pathways (hsa04024, adjusted P = 8.33 x 10-8). ('hsa04024', 'Var', (309, 317)) ('involved', 'Reg', (122, 130)) ('calcium signaling pathways', 'Pathway', (214, 240)) ('cAMP', 'Chemical', '-', (284, 288)) ('calcium', 'Chemical', 'MESH:D002118', (214, 221)) ('hypermethylation sites', 'Var', (42, 64)) ('interactions', 'Interaction', (162, 174)) ('neuroactive', 'MPA', (134, 145)) ('sites', 'Var', (59, 64)) ('hsa04080', 'Var', (176, 184)) ('cAMP signaling pathways', 'Pathway', (284, 307)) ('hsa04020', 'Var', (242, 250)) 33642 30832724 Among these CpG sites, methylation status in four genes, KSR1, ELF3, ILRN, RAG1, had shown strong association with overall survival and corresponding mRNA expression (Additional file 6: Figure S2 and Additional file 7: Figure S3). ('association', 'Interaction', (98, 109)) ('KSR1', 'Gene', (57, 61)) ('RAG1', 'Gene', (75, 79)) ('ELF3', 'Gene', (63, 67)) ('RAG1', 'Gene', '5896', (75, 79)) ('mRNA expression', 'MPA', (150, 165)) ('methylation status', 'Var', (23, 41)) ('overall', 'MPA', (115, 122)) ('ELF3', 'Gene', '1999', (63, 67)) ('KSR1', 'Gene', '8844', (57, 61)) ('ILRN', 'Gene', (69, 73)) 33643 30832724 Median beta values for the probes of cg05784862(KSR1), cg07154254(ELF3), cg02543462(ILRN), and cg06288355(RAG1) were chosen as cut-off values to categorize patients into low and high methylation subgroups. ('patients', 'Species', '9606', (156, 164)) ('ELF3', 'Gene', (66, 70)) ('RAG1', 'Gene', (106, 110)) ('ELF3', 'Gene', '1999', (66, 70)) ('cg07154254', 'Chemical', '-', (55, 65)) ('RAG1', 'Gene', '5896', (106, 110)) ('cg05784862', 'Var', (37, 47)) ('cg05784862', 'Chemical', '-', (37, 47)) ('KSR1', 'Gene', '8844', (48, 52)) ('cg02543462', 'Chemical', '-', (73, 83)) ('cg06288355', 'Var', (95, 105)) ('KSR1', 'Gene', (48, 52)) ('cg06288355', 'Chemical', '-', (95, 105)) ('cg02543462', 'Var', (73, 83)) ('cg07154254', 'Var', (55, 65)) 33644 30832724 3, patients with high methylation in the first three methylation sites exhibited excellent prognosis, whereas those with low methylation in the last methylation site were associated with significantly longer overall survival. ('longer', 'PosReg', (201, 207)) ('patients', 'Species', '9606', (3, 11)) ('overall survival', 'MPA', (208, 224)) ('high methylation', 'Var', (17, 33)) 33645 30832724 Moreover, after adjustment for age, gender, WHO histological type, Masaoka stage, presence of myasthenia gravis, tumor site, and radiotherapy, cg07154254(ELF3) (HR = 1.091 x 10-6 95% CI 0.000-0.098, P = 0.018) and cg02543462(ILRN) (HR = 9.744 x 10-4 95% CI 0.000-0.669, P = 0.037) remained significantly associated with overall survival. ('cg07154254', 'Chemical', '-', (143, 153)) ('tumor', 'Disease', (113, 118)) ('associated with', 'Reg', (304, 319)) ('overall', 'MPA', (320, 327)) ('myasthenia gravis', 'Disease', (94, 111)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (94, 111)) ('tumor', 'Disease', 'MESH:D009369', (113, 118)) ('cg07154254', 'Var', (143, 153)) ('cg02543462', 'Chemical', '-', (214, 224)) ('tumor', 'Phenotype', 'HP:0002664', (113, 118)) ('ELF3', 'Gene', (154, 158)) ('cg02543462', 'Var', (214, 224)) ('myasthenia', 'Phenotype', 'HP:0003473', (94, 104)) ('ELF3', 'Gene', '1999', (154, 158)) 33646 30832724 Cg05784862(KSR1) (HR = 0.014 95% CI 0.000-1.297, P = 0.065) and cg06288355(RAG1) (HR = 62.037 95% CI 0.934-4122.5, P = 0.054) had borderline significance for overall survival after adjustment mainly because of extremely low number of deaths. ('RAG1', 'Gene', (75, 79)) ('RAG1', 'Gene', '5896', (75, 79)) ('KSR1', 'Gene', '8844', (11, 15)) ('death', 'Disease', 'MESH:D003643', (234, 239)) ('death', 'Disease', (234, 239)) ('KSR1', 'Gene', (11, 15)) ('cg06288355', 'Var', (64, 74)) ('overall', 'MPA', (158, 165)) ('cg06288355', 'Chemical', '-', (64, 74)) ('Cg05784862', 'Var', (0, 10)) 33650 30832724 Beta values for cg05784862(KSR1), cg07154254(ELF3), and cg02543462(ILRN) were significantly lower in patients with WHO histological type C compared with those with type A-B3. ('ELF3', 'Gene', (45, 49)) ('patients', 'Species', '9606', (101, 109)) ('KSR1', 'Gene', '8844', (27, 31)) ('cg02543462', 'Chemical', '-', (56, 66)) ('KSR1', 'Gene', (27, 31)) ('cg07154254', 'Var', (34, 44)) ('cg05784862', 'Var', (16, 26)) ('cg05784862', 'Chemical', '-', (16, 26)) ('cg02543462', 'Var', (56, 66)) ('cg07154254', 'Chemical', '-', (34, 44)) ('ELF3', 'Gene', '1999', (45, 49)) ('lower', 'NegReg', (92, 97)) 33651 30832724 Cg06288355(RAG1) exhibited opposite pattern (Fig. ('RAG1', 'Gene', (11, 15)) ('Cg06288355', 'Chemical', '-', (0, 10)) ('Cg06288355', 'Var', (0, 10)) ('RAG1', 'Gene', '5896', (11, 15)) 33658 30832724 In the current field of TETs, tumor size, gene mutation, protein expression, and miRNA had been reported to affect the prognosis of patients with TETs and potentially be used as prognostic biomarkers for TETs. ('affect', 'Reg', (108, 114)) ('tumor', 'Disease', 'MESH:D009369', (30, 35)) ('TETs', 'Disease', (146, 150)) ('tumor', 'Phenotype', 'HP:0002664', (30, 35)) ('miRNA', 'MPA', (81, 86)) ('prognosis', 'CPA', (119, 128)) ('gene mutation', 'Var', (42, 55)) ('tumor', 'Disease', (30, 35)) ('patients', 'Species', '9606', (132, 140)) ('protein', 'Protein', (57, 64)) 33662 30832724 Four DNA methylation sites (cg05784862, cg07154254, cg02543462, and cg06288355) that predict the overall survival in patients with TETs were selected, and a prognostic model was constructed which has a higher accuracy compared to the commonly used Masaoka staging (AUC 1.000 vs 0.742, P = 2.7 x 10-6). ('cg07154254', 'Var', (40, 50)) ('cg02543462', 'Chemical', '-', (52, 62)) ('cg02543462', 'Var', (52, 62)) ('cg07154254', 'Chemical', '-', (40, 50)) ('cg05784862', 'Var', (28, 38)) ('patients', 'Species', '9606', (117, 125)) ('cg06288355', 'Var', (68, 78)) ('cg06288355', 'Chemical', '-', (68, 78)) ('cg05784862', 'Chemical', '-', (28, 38)) 33665 30832724 The four DNA methylation sites (cg05784862, cg07154254, cg02543462, and cg06288355) were selected by comparing WHO's type A-B3 and type C DNA methylation levels; therefore, they can be used to differentially diagnose for type C TETs. ('cg06288355', 'Var', (72, 82)) ('cg02543462', 'Chemical', '-', (56, 66)) ('cg06288355', 'Chemical', '-', (72, 82)) ('cg07154254', 'Var', (44, 54)) ('cg05784862', 'Var', (32, 42)) ('cg05784862', 'Chemical', '-', (32, 42)) ('cg02543462', 'Var', (56, 66)) ('cg07154254', 'Chemical', '-', (44, 54)) ('type C TETs', 'Disease', (221, 232)) 33666 30832724 KSR1 gene is an oncogene regulated by the cg05784862 site. ('cg05784862', 'Chemical', '-', (42, 52)) ('KSR1', 'Gene', (0, 4)) ('KSR1', 'Gene', '8844', (0, 4)) ('cg05784862', 'Var', (42, 52)) 33667 30832724 In this study, patients with poor prognosis showed lower levels of cg05784862 site methylation in the tissue, resulting in higher expression of KSR1 gene. ('expression', 'MPA', (130, 140)) ('patients', 'Species', '9606', (15, 23)) ('KSR1', 'Gene', '8844', (144, 148)) ('KSR1', 'Gene', (144, 148)) ('higher', 'PosReg', (123, 129)) ('cg05784862', 'Var', (67, 77)) ('cg05784862', 'Chemical', '-', (67, 77)) ('lower', 'NegReg', (51, 56)) 33672 30832724 ELF3, a transcription factor, is regulated by the cg07154254 site. ('ELF3', 'Gene', '1999', (0, 4)) ('cg07154254 site', 'Var', (50, 65)) ('cg07154254', 'Chemical', '-', (50, 60)) ('ELF3', 'Gene', (0, 4)) 33673 30832724 Our results showed that patients with poor prognosis had lower levels of cg07154254 site methylation in the tissue, which results in higher expression of ELF3 gene. ('expression', 'MPA', (140, 150)) ('cg07154254', 'Chemical', '-', (73, 83)) ('higher', 'PosReg', (133, 139)) ('ELF3', 'Gene', '1999', (154, 158)) ('patients', 'Species', '9606', (24, 32)) ('ELF3', 'Gene', (154, 158)) ('cg07154254 site methylation', 'Var', (73, 100)) ('lower', 'NegReg', (57, 62)) 33678 30832724 ILRN gene is mainly involved in immune response and is regulated by the cg02543462 site. ('ILRN', 'Gene', (0, 4)) ('cg02543462', 'Chemical', '-', (72, 82)) ('cg02543462 site', 'Var', (72, 87)) 33680 30832724 The RAG1 is mainly involved in immune regulation and is regulated by the cg06288355 site. ('RAG1', 'Gene', (4, 8)) ('cg06288355', 'Chemical', '-', (73, 83)) ('cg06288355', 'Var', (73, 83)) ('RAG1', 'Gene', '5896', (4, 8)) ('regulated', 'Reg', (56, 65)) 33682 30832724 KSR1, ELF3, ILRN, and RAG1 regulated by the DNA methylation sites cg05784862, cg07154254, cg02543462, and cg06288355, respectively, are known to be involved in tumorigenesis, progression, and death, which is one of the reasons for using them as prognostic biomarkers in patients with TETs. ('ILRN', 'Gene', (12, 16)) ('KSR1', 'Gene', (0, 4)) ('death', 'Disease', (192, 197)) ('tumor', 'Phenotype', 'HP:0002664', (160, 165)) ('cg07154254', 'Chemical', '-', (78, 88)) ('cg05784862', 'Chemical', '-', (66, 76)) ('progression', 'CPA', (175, 186)) ('ELF3', 'Gene', '1999', (6, 10)) ('cg06288355', 'Chemical', '-', (106, 116)) ('death', 'Disease', 'MESH:D003643', (192, 197)) ('involved', 'Reg', (148, 156)) ('cg02543462', 'Var', (90, 100)) ('tumor', 'Disease', (160, 165)) ('RAG1', 'Gene', (22, 26)) ('ELF3', 'Gene', (6, 10)) ('cg05784862', 'Var', (66, 76)) ('patients', 'Species', '9606', (270, 278)) ('KSR1', 'Gene', '8844', (0, 4)) ('RAG1', 'Gene', '5896', (22, 26)) ('tumor', 'Disease', 'MESH:D009369', (160, 165)) ('cg02543462', 'Chemical', '-', (90, 100)) ('cg07154254', 'Var', (78, 88)) ('cg06288355', 'Var', (106, 116)) 33693 30832724 Taken together, ELF3, KSR1, ILRN, and RAG1 methylation sites can be used to determine the prognosis of patients with TETs and can also differentially diagnose subtypes of TETs. ('diagnose', 'Reg', (150, 158)) ('TETs', 'Disease', (171, 175)) ('KSR1', 'Gene', (22, 26)) ('RAG1', 'Gene', (38, 42)) ('methylation', 'Var', (43, 54)) ('TETs', 'Disease', (117, 121)) ('RAG1', 'Gene', '5896', (38, 42)) ('ELF3', 'Gene', '1999', (16, 20)) ('ELF3', 'Gene', (16, 20)) ('patients', 'Species', '9606', (103, 111)) ('KSR1', 'Gene', '8844', (22, 26)) 33719 30832724 The total sum of products with coefficient of four candidate methylation sites in univariate Cox regression and corresponding beta values were calculated as risk scores for each patient in the validation set. ('Cox', 'Gene', (93, 96)) ('patient', 'Species', '9606', (178, 185)) ('methylation', 'Var', (61, 72)) ('Cox', 'Gene', '1351', (93, 96)) 33721 30832724 ELF3 E74 like ETS transcription factor 3 ILRN Interleukin 1 receptor type 1 KEGG Kyoto Encyclopedia of Genes and Genomes KSR Kinase suppressor of ras 1 RAG1 Recombination activating 1 ROC Receiver operating characteristic curve TETs Thymic epithelial tumors GW, SL, CC, and JH contributed to the conception and design. ('tumors', 'Phenotype', 'HP:0002664', (251, 257)) ('RAG1', 'Gene', '5896', (152, 156)) ('SL', 'Disease', 'MESH:C564794', (262, 264)) ('epithelial tumors', 'Disease', (240, 257)) ('RAG1', 'Gene', (152, 156)) ('E74', 'Var', (5, 8)) ('ELF3', 'Gene', '1999', (0, 4)) ('epithelial tumors', 'Disease', 'MESH:D002277', (240, 257)) ('tumor', 'Phenotype', 'HP:0002664', (251, 256)) ('ELF3', 'Gene', (0, 4)) 33732 30168897 The median OS was 29.5 months patients with high TGF-beta expression versus 62.9 in patients with low TGF-beta (P = 0.052). ('high', 'Var', (44, 48)) ('TGF-beta', 'Gene', (49, 57)) ('OS', 'Gene', '17451', (11, 13)) ('patients', 'Species', '9606', (84, 92)) ('TGF-beta', 'Gene', '7040', (102, 110)) ('patients', 'Species', '9606', (30, 38)) ('TGF-beta', 'Gene', '7040', (49, 57)) ('TGF-beta', 'Gene', (102, 110)) 33781 30168897 Among all patients, the median OS (mOS) in patients with high PD-L1 expression was shorter than in patients with low PD-L1 expression (mOS: 29.5 months, [95% confidence interval, CI 20.0-39.0] vs. 42.6 months [95% CI 0-98.3]; P = 0.186) (Fig 5a). ('OS', 'Gene', '17451', (31, 33)) ('mOS', 'Gene', (35, 38)) ('high', 'Var', (57, 61)) ('patients', 'Species', '9606', (43, 51)) ('shorter', 'NegReg', (83, 90)) ('OS', 'Gene', '17451', (36, 38)) ('expression', 'Var', (68, 78)) ('patients', 'Species', '9606', (99, 107)) ('mOS', 'Gene', (135, 138)) ('mOS', 'Gene', '17451', (35, 38)) ('OS', 'Gene', '17451', (136, 138)) ('mOS', 'Gene', '17451', (135, 138)) ('patients', 'Species', '9606', (10, 18)) ('PD-L1', 'Gene', (62, 67)) 33782 30168897 The mOS in patients with high TGF-beta expression was also shorter than in patients with low TGF-beta expression (29.5 months [95% CI 18.6-40.4] vs. 62.9 months [95% CI 15.6-110.1]; P = 0.052) (Fig 5b). ('TGF-beta', 'Gene', '7040', (93, 101)) ('TGF-beta', 'Gene', (93, 101)) ('mOS', 'Gene', '17451', (4, 7)) ('shorter', 'NegReg', (59, 66)) ('patients', 'Species', '9606', (75, 83)) ('high', 'Var', (25, 29)) ('TGF-beta', 'Gene', '7040', (30, 38)) ('TGF-beta', 'Gene', (30, 38)) ('patients', 'Species', '9606', (11, 19)) ('mOS', 'Gene', (4, 7)) 33786 30168897 In contrast, high CD8 expression correlated with better OS in advanced thymic carcinoma compared to low CD8 expression (50.7 months [95% CI 18.2-83.2] vs. 15.1 months [95% CI 0.0-36.4], respectively; P = 0.154) (Fig 6). ('OS', 'Gene', '17451', (56, 58)) ('high', 'Var', (13, 17)) ('thymic carcinoma', 'Disease', (71, 87)) ('carcinoma', 'Phenotype', 'HP:0030731', (78, 87)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (71, 87)) ('CD8', 'Gene', (104, 107)) ('CD8', 'Gene', (18, 21)) ('CD8', 'Gene', '925', (18, 21)) ('CD8', 'Gene', '925', (104, 107)) 33790 30168897 The median PFS (mPFS) was significantly shorter in thymic carcinoma patients with high PD-L1 expression compared to patients with low PD-L1 expression (mPFS: 10.6 months [95% CI 0-24.9] vs. NE [95% CI 0-NE]; P = 0.043) (Fig 7b). ('PD-L1', 'Gene', (87, 92)) ('high', 'Var', (82, 86)) ('PFS', 'MPA', (11, 14)) ('patients', 'Species', '9606', (116, 124)) ('patients', 'Species', '9606', (68, 76)) ('thymic carcinoma', 'Disease', (51, 67)) ('shorter', 'NegReg', (40, 47)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (51, 67)) ('carcinoma', 'Phenotype', 'HP:0030731', (58, 67)) 33807 30168897 Our results demonstrate that high TGF-beta expression is numerically associated with poor OS in thymic carcinoma. ('high', 'Var', (29, 33)) ('TGF-beta', 'Gene', (34, 42)) ('OS', 'Gene', '17451', (90, 92)) ('associated', 'Reg', (69, 79)) ('thymic carcinoma', 'Disease', (96, 112)) ('TGF-beta', 'Gene', '7040', (34, 42)) ('expression', 'MPA', (43, 53)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (96, 112)) ('carcinoma', 'Phenotype', 'HP:0030731', (103, 112)) 33808 30168897 This observation is consistent with previous reports of the immunosuppressive role of TGF-beta in the tumor microenviroment.37, 38 We further found that high PD-L1 expression may be associated with poor PFS, which is consistent with the results of several previously published papers. ('TGF-beta', 'Gene', '7040', (86, 94)) ('PFS', 'Disease', (203, 206)) ('expression', 'MPA', (164, 174)) ('TGF-beta', 'Gene', (86, 94)) ('tumor', 'Disease', 'MESH:D009369', (102, 107)) ('poor PFS', 'Disease', (198, 206)) ('PD-L1', 'Protein', (158, 163)) ('tumor', 'Phenotype', 'HP:0002664', (102, 107)) ('tumor', 'Disease', (102, 107)) ('high', 'Var', (153, 157)) 33810 30168897 concluded that high PD-L1 expression was associated with poorer OS in patients with advanced TETs,31 consistent with our findings. ('high', 'Var', (15, 19)) ('expression', 'MPA', (26, 36)) ('poorer', 'Disease', (57, 63)) ('patients', 'Species', '9606', (70, 78)) ('OS', 'Gene', '17451', (64, 66)) ('PD-L1', 'Protein', (20, 25)) 33860 25378848 Pleural fluid analysis revealed lymphocyte predominant (95%), exudative red colored fluid with raised values of lactate dehydogenase (LDH - 1654 IU/L) and ADA (271.9 IU/L). ('ADA', 'Gene', '100', (155, 158)) ('lactate', 'Chemical', 'MESH:D019344', (112, 119)) ('raised', 'PosReg', (95, 101)) ('ADA', 'Gene', (155, 158)) ('Pleural fluid', 'Phenotype', 'HP:0002202', (0, 13)) ('raised values of lactate', 'Phenotype', 'HP:0002151', (95, 119)) ('exudative red colored fluid', 'MPA', (62, 89)) ('raised values of lactate dehydogenase', 'Phenotype', 'HP:0025435', (95, 132)) ('lactate dehydogenase', 'MPA', (112, 132)) ('LDH', 'Var', (134, 137)) ('271.9', 'Var', (160, 165)) 33918 31829410 The following codes were used for patient identification: (i) registered site on cancer, thymus (C37) and (ii) ICD-O-3 histology codes 8020, 8023, 8033, 8070, 8082, 8123, 8140, 8200, 8260, 8310, 8430, 8480, 8560, 8576, 8580-8585 and 8586 with a behavior code of 3 (i.e. ('8576', 'Var', (213, 217)) ('8020', 'Var', (135, 139)) ('cancer', 'Disease', 'MESH:D009369', (81, 87)) ('8200', 'Var', (177, 181)) ('8082', 'Var', (159, 163)) ('cancer', 'Disease', (81, 87)) ('8140', 'Var', (171, 175)) ('8123', 'Var', (165, 169)) ('8023', 'Var', (141, 145)) ('8260', 'Var', (183, 187)) ('8033', 'Var', (147, 151)) ('patient', 'Species', '9606', (34, 41)) ('8586', 'Var', (233, 237)) ('cancer', 'Phenotype', 'HP:0002664', (81, 87)) ('8310', 'Var', (189, 193)) ('8070', 'Var', (153, 157)) ('8480', 'Var', (201, 205)) 34138 31736571 These are more likely to occur in the elderly and those with severe MG. Antibodies against striated muscles (anti-titin, anti-ryanodine, and anti-Kv 1.4 antibodies) have been implicated. ('titin', 'Gene', '7273', (114, 119)) ('ryanodine', 'Chemical', 'MESH:D012433', (126, 135)) ('Kv 1.4', 'Gene', (146, 152)) ('MG', 'Disease', 'MESH:D009157', (68, 70)) ('anti-ryanodine', 'Var', (121, 135)) ('titin', 'Gene', (114, 119)) ('Kv 1.4', 'Gene', '3739', (146, 152)) 34144 31736571 It is important to note that IVIG and plasma exchange could worsen stress cardiomyopathy due to fluid overload and hemodynamic instability, respectively. ('stress cardiomyopathy', 'Disease', 'MESH:D054549', (67, 88)) ('stress cardiomyopathy', 'Disease', (67, 88)) ('worsen', 'NegReg', (60, 66)) ('cardiomyopathy', 'Phenotype', 'HP:0001638', (74, 88)) ('fluid overload', 'Phenotype', 'HP:0011105', (96, 110)) ('plasma exchange', 'Var', (38, 53)) 34285 31331197 On both CT and MRI, the most frequent qualitative parameters of thymoma were at lateral position, in mass shape, absence of SI loss on the opposed-phase image relative to the in-phase image, high SI in T2-weighted with fat suppression, and having attenuated soft or mixed tissue. ('thymoma', 'Disease', 'MESH:D013945', (64, 71)) ('thymoma', 'Disease', (64, 71)) ('absence of SI loss', 'Disease', 'MESH:D004832', (113, 131)) ('thymoma', 'Phenotype', 'HP:0100522', (64, 71)) ('high SI', 'Var', (191, 198)) ('absence of SI loss', 'Disease', (113, 131)) 34353 29163772 This and the known potential of senescence to eliminate pre-cancerous cells make us hypothesize, that genetic and epigenetic alterations that interfere with thymic involution could contribute to the development of thymomas and TSCCs. ('epigenetic alterations', 'Var', (114, 136)) ('thymomas', 'Disease', 'MESH:D013945', (214, 222)) ('TSCCs', 'Disease', (227, 232)) ('cancer', 'Disease', 'MESH:D009369', (60, 66)) ('thymoma', 'Phenotype', 'HP:0100522', (214, 221)) ('contribute', 'Reg', (181, 191)) ('cancer', 'Disease', (60, 66)) ('thymomas', 'Disease', (214, 222)) ('cancer', 'Phenotype', 'HP:0002664', (60, 66)) 34357 29163772 cFLIP is expressed in various splice variants (mainly cFLIPL (cFLIPlong) and cFLIPS (cFLIPshort)) in normal tissues and many tumors and is regulated by various factors, including NF-kappaB. ('cFLIPS', 'Var', (77, 83)) ('tumor', 'Phenotype', 'HP:0002664', (125, 130)) ('tumors', 'Disease', 'MESH:D009369', (125, 131)) ('tumors', 'Disease', (125, 131)) ('tumors', 'Phenotype', 'HP:0002664', (125, 131)) 34370 29163772 Subsequently, cFLIP expression decreased more rapidly in pTECs from NTs (n=4) than in 3 of 4 investigated neoplastic pTECs (Figure 2). ('pTECs', 'Chemical', '-', (117, 122)) ('NTs', 'Var', (68, 71)) ('est', 'Gene', '6783', (96, 99)) ('decreased', 'NegReg', (31, 40)) ('est', 'Gene', (96, 99)) ('pTECs', 'Chemical', '-', (57, 62)) ('cFLIP', 'Protein', (14, 19)) 34379 29163772 To test this hypothesis, cFLIP RNA and protein levels were downregulated in 2 to 4 day-old pTECs by cFLIP shRNA (Figure 4A). ('est', 'Gene', (4, 7)) ('est', 'Gene', '6783', (4, 7)) ('downregulated', 'NegReg', (59, 72)) ('cFLIP shRNA', 'Var', (100, 111)) ('pTECs', 'Chemical', '-', (91, 96)) 34381 29163772 The thymic carcinoma cell line, 1889c, and HaCaT keratinocytes showed a similar reduction of cell survival upon cFLIP knockdown (Supplementary Figure 4A-4B). ('knockdown', 'Var', (118, 127)) ('reduction', 'NegReg', (80, 89)) ('cFLIP', 'Protein', (112, 117)) ('HaCaT', 'CellLine', 'CVCL:0038', (43, 48)) ('cell survival', 'CPA', (93, 106)) ('thymic carcinoma', 'Disease', (4, 20)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (4, 20)) ('carcinoma', 'Phenotype', 'HP:0030731', (11, 20)) 34382 29163772 However, following cFLIP knockdown, only 1889c cells and HaCaT cells but not pTECs could be rescued from TNFalpha-induced cell death through the pan-caspase inhibitor Z-VAD-FMK or the necroptosis inhibitor, Necrostatin-1 (Nec1) (Figure 4C-4D und Supplementary Figure 4B-4D). ('Necrostatin-1', 'Chemical', 'MESH:C507699', (207, 220)) ('TNFalpha-induced', 'Gene', (105, 121)) ('HaCaT cells', 'CellLine', 'CVCL:0038', (57, 68)) ('Nec1', 'Gene', (222, 226)) ('(Nec1', 'Gene', '5122', (221, 226)) ('pTECs', 'Chemical', '-', (77, 82)) ('knockdown', 'Var', (25, 34)) ('Z-VAD-FMK', 'Chemical', 'MESH:C096713', (167, 176)) 34384 29163772 Taken together, cFLIP counteracts senescence in neoplastic pTECs and prevents their death by a mechanism that is independent of caspases and the necroptosis inducer, RIPK1. ('pTECs', 'Chemical', '-', (59, 64)) ('cFLIP', 'Var', (16, 21)) ('senescence', 'MPA', (34, 44)) ('death', 'CPA', (84, 89)) ('prevents', 'NegReg', (69, 77)) 34385 29163772 Since cFLIP expression is driven by activated NF-kappaB (p65) in some non-thymic tumors, we treated neoplastic pTECs and control cell lines with the NF-kappaB inhibitor, EF24 (Figure 5). ('Since cFLIP', 'Gene', (0, 11)) ('thymic tumors', 'Disease', (74, 87)) ('activated', 'PosReg', (36, 45)) ('NF-kappaB', 'Protein', (46, 55)) ('pTECs', 'Chemical', '-', (111, 116)) ('driven', 'Reg', (26, 32)) ('thymic tumor', 'Phenotype', 'HP:0100521', (74, 86)) ('Since cFLIP', 'Gene', '8837', (0, 11)) ('thymic tumors', 'Disease', 'MESH:D013953', (74, 87)) ('tumor', 'Phenotype', 'HP:0002664', (81, 86)) ('tumors', 'Phenotype', 'HP:0002664', (81, 87)) ('p65', 'Var', (57, 60)) 34387 29163772 Furthermore, EF24 treatment induced premature senescence in terms of X-Gal staining and accelerated p16 overexpression (data not shown). ('accelerated', 'PosReg', (88, 99)) ('p16', 'Protein', (100, 103)) ('premature senescence', 'MPA', (36, 56)) ('X-Gal', 'Chemical', 'MESH:C044888', (69, 74)) ('treatment', 'Var', (18, 27)) ('EF24 treatment', 'Var', (13, 27)) 34390 29163772 Therefore, like cFLIP knockdown, NF-kappaB inhibition can facilitate TNFalpha-induced cell death of pTECs by a caspase and RIPK1 independent mechanism. ('facilitate', 'PosReg', (58, 68)) ('inhibition', 'Var', (43, 53)) ('pTECs', 'Chemical', '-', (100, 105)) ('NF-kappaB', 'Protein', (33, 42)) ('TNFalpha-induced', 'Gene', (69, 85)) 34392 29163772 Autophagic vacuoles were detected already 24 hours after shRNA-mediated cFLIP knockdown in all cultured pTECs of thymomas (n=3) (Figure 6A) but only after 48 hours in a minority of 1889c TC cells (Figure 6B). ('knockdown', 'Var', (78, 87)) ('Autophagic vacuoles', 'Phenotype', 'HP:0003736', (0, 19)) ('1889c TC', 'CellLine', 'CVCL:D024', (181, 189)) ('Autophagic vacuoles', 'CPA', (0, 19)) ('thymoma', 'Phenotype', 'HP:0100522', (113, 120)) ('pTECs', 'Chemical', '-', (104, 109)) ('thymomas', 'Disease', (113, 121)) ('cFLIP', 'Gene', (72, 77)) ('thymomas', 'Disease', 'MESH:D013945', (113, 121)) 34400 29163772 The main new findings here are i) higher expression of cFLIP in thymomas and TSCCs compared to NT in vivo; ii) delayed decline of cFLIP levels and delayed senescence in cultured neoplastic pTECs compared to normal pTECs; iii) regulation of cFLIP expression through NF-kappaB signaling in neoplastic pTECs; and iv) cell death induction through autophagy and apoptosis by cFLIP knockdown and NF-kappaB inhibition in pTECs. ('pTECs', 'Chemical', '-', (189, 194)) ('cFLIP', 'MPA', (130, 135)) ('expression', 'MPA', (41, 51)) ('inhibition', 'NegReg', (400, 410)) ('cell death induction', 'CPA', (314, 334)) ('NF-kappaB', 'Protein', (390, 399)) ('pTECs', 'Chemical', '-', (299, 304)) ('thymoma', 'Phenotype', 'HP:0100522', (64, 71)) ('thymomas', 'Disease', 'MESH:D013945', (64, 72)) ('apoptosis', 'CPA', (357, 366)) ('cFLIP', 'Protein', (370, 375)) ('pTECs', 'Chemical', '-', (214, 219)) ('pTECs', 'Chemical', '-', (414, 419)) ('thymomas', 'Disease', (64, 72)) ('autophagy', 'CPA', (343, 352)) ('knockdown', 'Var', (376, 385)) 34402 29163772 Genetic gains of BCL-2 family genes belong to the commonest genetic abnormalities in TETs, and BCL-2 and BIRC3 overexpression are almost consistent features of TCs. ('TCs', 'Disease', (160, 163)) ('TETs', 'Disease', (85, 89)) ('mos', 'Gene', (132, 135)) ('genetic abnormalities', 'Disease', (60, 81)) ('BCL-2 family genes', 'Gene', (17, 35)) ('gains', 'PosReg', (8, 13)) ('TCs', 'Chemical', 'MESH:D013667', (160, 163)) ('Genetic', 'Var', (0, 7)) ('BIRC3', 'Gene', (105, 110)) ('est', 'Gene', (56, 59)) ('L-', 'Chemical', '-', (97, 99)) ('mos', 'Gene', '4342', (132, 135)) ('TETs', 'Chemical', 'MESH:C010349', (85, 89)) ('BIRC3', 'Gene', '330', (105, 110)) ('est', 'Gene', '6783', (56, 59)) ('L-', 'Chemical', '-', (19, 21)) ('genetic abnormalities', 'Disease', 'MESH:D030342', (60, 81)) 34404 29163772 Since survival of primary cell cultures established from thymomas was significantly attenuated by TNFalpha treatment only after cFLIP knockdown, increased cFLIP expression appears to be functionally relevant. ('survival', 'CPA', (6, 14)) ('thymoma', 'Phenotype', 'HP:0100522', (57, 64)) ('attenuated', 'NegReg', (84, 94)) ('thymomas', 'Disease', 'MESH:D013945', (57, 65)) ('thymomas', 'Disease', (57, 65)) ('est', 'Gene', (40, 43)) ('TNFalpha', 'Gene', (98, 106)) ('treatment', 'Var', (107, 116)) ('est', 'Gene', '6783', (40, 43)) 34408 29163772 Since cFLIP expression levels are decreased in CSQCC compared to normal tissues, TRAIL therapy has been considered effective and safe for patients with cFLIPlow CSQSC. ('Since cFLIP', 'Gene', (0, 11)) ('TRAIL', 'Gene', (81, 86)) ('decreased', 'NegReg', (34, 43)) ('CSQCC', 'Disease', (47, 52)) ('Since cFLIP', 'Gene', '8837', (0, 11)) ('TRAIL', 'Gene', '8743', (81, 86)) ('cFLIPlow', 'Var', (152, 160)) ('patients', 'Species', '9606', (138, 146)) 34410 29163772 Increased expression of the large variant of cFLIP cFLIPL and additionally increases expression of the small cFLIP variant cFLIPS in B2 thymoma subtype (Figure 1) occurred across the spectrum of indolent to aggressive thymoma subtypes and highly malignant TSCC suggesting that cFLIP is an important regulator of TEC homoeostasis rather than driver of aggressiveness. ('variant', 'Var', (115, 122)) ('est', 'Gene', (265, 268)) ('aggressiveness', 'Disease', (351, 365)) ('thymoma subtype', 'Disease', (136, 151)) ('aggressiveness', 'Phenotype', 'HP:0000718', (351, 365)) ('aggressive thymoma subtypes', 'Disease', 'MESH:D013945', (207, 234)) ('increases', 'PosReg', (75, 84)) ('TEC homoeostasis', 'Disease', (312, 328)) ('aggressiveness', 'Disease', 'MESH:D001523', (351, 365)) ('thymoma', 'Phenotype', 'HP:0100522', (136, 143)) ('thymoma', 'Phenotype', 'HP:0100522', (218, 225)) ('expression', 'MPA', (10, 20)) ('thymoma subtype', 'Disease', 'MESH:D013945', (136, 151)) ('thymoma subtype', 'Disease', 'MESH:D013945', (218, 233)) ('est', 'Gene', '6783', (265, 268)) ('aggressive thymoma subtypes', 'Disease', (207, 234)) ('expression', 'MPA', (85, 95)) ('TEC homoeostasis', 'Disease', 'MESH:C536980', (312, 328)) ('cFLIP', 'Gene', (45, 50)) 34416 29163772 Since blockade of the extrinsic apoptotic pathway delays thymic involution in mice, conditional cFLIP overexpression and knockout in murine TECs in vivo may give hints to the role of cFLIP in thymoma development and thymic involution, respectively. ('thymoma', 'Disease', 'MESH:D013945', (192, 199)) ('extrinsic apoptotic pathway', 'Pathway', (22, 49)) ('thymoma', 'Disease', (192, 199)) ('TEC', 'Gene', (140, 143)) ('TEC', 'Gene', '7006', (140, 143)) ('blockade', 'Var', (6, 14)) ('murine', 'Species', '10090', (133, 139)) ('thymoma', 'Phenotype', 'HP:0100522', (192, 199)) ('delays', 'NegReg', (50, 56)) ('thymic involution', 'CPA', (57, 74)) ('mice', 'Species', '10090', (78, 82)) 34417 29163772 cFLIPS overexpression in B2 thymoma (Figure 1) suggests that the small cFLIP variant could play a role in the development of the B2 thymomen, how far cFLIPS in involved in blocking the thymic senescence and involution muss be investigated further in TECs isolated from these neoplastic tissues of B2 thymoma. ('thymoma', 'Phenotype', 'HP:0100522', (28, 35)) ('variant', 'Var', (77, 84)) ('TEC', 'Gene', '7006', (250, 253)) ('est', 'Gene', (51, 54)) ('thymic senescence', 'CPA', (185, 202)) ('thymoma', 'Disease', 'MESH:D013945', (300, 307)) ('thymoma', 'Disease', 'MESH:D013945', (28, 35)) ('role', 'Reg', (98, 102)) ('play', 'Reg', (91, 95)) ('thymoma', 'Disease', (28, 35)) ('est', 'Gene', '6783', (51, 54)) ('thymoma', 'Disease', (300, 307)) ('est', 'Gene', (229, 232)) ('thymoma', 'Phenotype', 'HP:0100522', (300, 307)) ('est', 'Gene', '6783', (229, 232)) ('TEC', 'Gene', (250, 253)) 34420 29163772 Rarely, p16 deficiency in TETs results from homozygous loss of the CDKN2A locus at 9p21.3. ('loss', 'NegReg', (55, 59)) ('CDKN2A', 'Gene', (67, 73)) ('p16', 'Gene', (8, 11)) ('TETs', 'Chemical', 'MESH:C010349', (26, 30)) ('deficiency', 'Var', (12, 22)) 34424 29163772 c-FLIPL but not cFLIPS attenuates autophagy by directly acting on the autophagy machinery by inhibiting Atg3 binding to LC3, thereby decreasing LC3 processing. ('acting', 'Reg', (56, 62)) ('autophagy', 'CPA', (34, 43)) ('LC3', 'Gene', '84557', (120, 123)) ('autophagy machinery', 'CPA', (70, 89)) ('LC3', 'Gene', (120, 123)) ('LC3', 'Gene', '84557', (144, 147)) ('attenuates', 'NegReg', (23, 33)) ('LC3', 'Gene', (144, 147)) ('decreasing', 'NegReg', (133, 143)) ('Atg3', 'Protein', (104, 108)) ('c-FLIPL', 'Var', (0, 7)) ('inhibiting', 'NegReg', (93, 103)) ('binding', 'Interaction', (109, 116)) 34425 29163772 Unexpectedly, in all four primary thymoma epithelial cell cultures tested, cFLIP knockdown induced autophagosome formation and rendered pTECs sensitive to TNFalpha-induced cell death that could not be prevented by single agent pan-caspase and necroptosis inhibition. ('est', 'Gene', (68, 71)) ('cFLIP', 'Gene', (75, 80)) ('thymoma epithelial', 'Disease', (34, 52)) ('est', 'Gene', '6783', (68, 71)) ('induced', 'Reg', (91, 98)) ('knockdown', 'Var', (81, 90)) ('autophagosome formation', 'CPA', (99, 122)) ('thymoma epithelial', 'Disease', 'MESH:D013945', (34, 52)) ('pTECs', 'Chemical', '-', (136, 141)) ('thymoma', 'Phenotype', 'HP:0100522', (34, 41)) ('sensitive', 'MPA', (142, 151)) 34426 29163772 This suggests that cFLIP in thymomas prevents epithelial cell death mainly through blockade of both apoptosis and autophagy. ('cFLIP', 'Var', (19, 24)) ('thymomas', 'Disease', (28, 36)) ('prevents', 'NegReg', (37, 45)) ('thymoma', 'Phenotype', 'HP:0100522', (28, 35)) ('autophagy', 'CPA', (114, 123)) ('thymomas', 'Disease', 'MESH:D013945', (28, 36)) ('est', 'Gene', '6783', (9, 12)) ('est', 'Gene', (9, 12)) ('epithelial cell death', 'CPA', (46, 67)) ('apoptosis', 'CPA', (100, 109)) 34429 29163772 Since TNFalpha treatment reduced survival of cFLIP-depleted, thymoma-derived pTECs by cFLIPshRNA or EF24 compared to untreated controls (Figure 5C and 7C), cell death control by intrinsic pathways is strongly operative in TETs and may need attention in future therapeutic trials for thymoma patients (see below). ('cFLIPshRNA', 'Var', (86, 96)) ('TNFalpha', 'Gene', (6, 14)) ('survival', 'CPA', (33, 41)) ('reduced', 'NegReg', (25, 32)) ('thymoma', 'Disease', (283, 290)) ('thymoma', 'Disease', 'MESH:D013945', (61, 68)) ('thymoma', 'Phenotype', 'HP:0100522', (283, 290)) ('thymoma', 'Disease', (61, 68)) ('patients', 'Species', '9606', (291, 299)) ('thymoma', 'Phenotype', 'HP:0100522', (61, 68)) ('pTECs', 'Chemical', '-', (77, 82)) ('thymoma', 'Disease', 'MESH:D013945', (283, 290)) ('TETs', 'Chemical', 'MESH:C010349', (222, 226)) 34430 29163772 cFLIP expression is regulated by a broad spectrum of mechanisms, including histone acetylation DNA damage and ubiquitination miR-375 sonic hedgehog and myc signalling; and Hsp90. ('miR-375', 'Var', (125, 132)) ('Hsp90', 'Gene', (172, 177)) ('cFLIP', 'Gene', (0, 5)) ('histone acetylation', 'MPA', (75, 94)) ('Hsp90', 'Gene', '3320', (172, 177)) ('ubiquitination', 'MPA', (110, 124)) ('myc signalling', 'CPA', (152, 166)) 34431 29163772 Here we focussed on NF-kappaB-driven cFLIP expression because it is common in many cancers Indeed, the NF-kappaB inhibitor, EF24 elicited cFLIP downregulation in primary thymoma TECs and 1889 thymic carcinoma cells (Figure 4A and Supplementary Figure 6A) and sensitized them to TNFalpha induced cell death (Figure 4B and 4C and Supplementary Figure 6B and 6C). ('cancers', 'Disease', 'MESH:D009369', (83, 90)) ('cancers', 'Phenotype', 'HP:0002664', (83, 90)) ('cell death', 'CPA', (295, 305)) ('thymoma', 'Phenotype', 'HP:0100522', (170, 177)) ('cFLIP', 'MPA', (138, 143)) ('thymoma TECs', 'Disease', (170, 182)) ('cancer', 'Phenotype', 'HP:0002664', (83, 89)) ('thymic carcinoma', 'Disease', (192, 208)) ('downregulation', 'NegReg', (144, 158)) ('thymoma TECs', 'Disease', 'MESH:D013945', (170, 182)) ('EF24', 'Var', (124, 128)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (192, 208)) ('carcinoma', 'Phenotype', 'HP:0030731', (199, 208)) ('cancers', 'Disease', (83, 90)) 34432 29163772 Like cFLIP knockdown, NF-kappaB blockade induced both apoptosis and autophagy in 1889c TC cells (Supplementary Figure 7 and Figure 7) and in primary thymoma-derived TECs (Figure 4; Figure 5 and Figure 7). ('apoptosis', 'CPA', (54, 63)) ('thymoma', 'Phenotype', 'HP:0100522', (149, 156)) ('1889c TC', 'CellLine', 'CVCL:D024', (81, 89)) ('TEC', 'Gene', (165, 168)) ('thymoma', 'Disease', 'MESH:D013945', (149, 156)) ('NF-kappaB', 'Protein', (22, 31)) ('induced', 'Reg', (41, 48)) ('autophagy', 'CPA', (68, 77)) ('TEC', 'Gene', '7006', (165, 168)) ('blockade', 'Var', (32, 40)) ('thymoma', 'Disease', (149, 156)) 34481 28278141 MG with thymoma is particularly associated with autoantibodies against postsynaptic nicotinic acetylcholine receptors (AchR-Abs). ('thymoma', 'Phenotype', 'HP:0100522', (8, 15)) ('postsynaptic nicotinic acetylcholine receptors', 'Protein', (71, 117)) ('acetylcholine', 'Chemical', 'MESH:D000109', (94, 107)) ('thymoma', 'Disease', 'MESH:D013945', (8, 15)) ('associated', 'Reg', (32, 42)) ('thymoma', 'Disease', (8, 15)) ('autoantibodies', 'Var', (48, 62)) 34754 20859116 Given the contribution of genetic variation in development of other cancers, it would indeed be surprising if genetic risk factors were not present for thymoma. ('thymoma', 'Phenotype', 'HP:0100522', (152, 159)) ('cancer', 'Phenotype', 'HP:0002664', (68, 74)) ('thymoma', 'Gene', '7063', (152, 159)) ('cancers', 'Phenotype', 'HP:0002664', (68, 75)) ('thymoma', 'Gene', (152, 159)) ('cancers', 'Disease', (68, 75)) ('cancers', 'Disease', 'MESH:D009369', (68, 75)) ('genetic variation', 'Var', (26, 43)) 34797 32384230 Patients with TNM stage IV or R2 resection were suggested for postoperative chemotherapy. ('TNM', 'Gene', '10178', (14, 17)) ('Patients', 'Species', '9606', (0, 8)) ('R2 resection', 'Var', (30, 42)) ('TNM', 'Gene', (14, 17)) 34822 32384230 Incomplete resection was a risk factor for tumor recurrence (HR 4.784, 95% CI: 1.067-21.450, P = 0.041), while older age was a protective factor (HR 0.930, 95% CI: 0.880-0.984, P = 0.012)(Table 4). ('tumor', 'Phenotype', 'HP:0002664', (43, 48)) ('tumor', 'Disease', (43, 48)) ('tumor', 'Disease', 'MESH:D009369', (43, 48)) ('Incomplete resection', 'Var', (0, 20)) 34841 32384230 Complete resection is quite an important factor in thymoma prognosis and tumor recurrence.9, 13 This study demonstrated that resection status did not significantly influence the survival, but incomplete resection increased the possibility of tumor recurrence. ('thymoma', 'Gene', '7063', (51, 58)) ('tumor', 'Disease', 'MESH:D009369', (73, 78)) ('thymoma', 'Gene', (51, 58)) ('tumor', 'Disease', 'MESH:D009369', (242, 247)) ('tumor', 'Phenotype', 'HP:0002664', (73, 78)) ('incomplete resection', 'Var', (192, 212)) ('tumor', 'Phenotype', 'HP:0002664', (242, 247)) ('tumor', 'Disease', (73, 78)) ('tumor', 'Disease', (242, 247)) ('thymoma', 'Phenotype', 'HP:0100522', (51, 58)) 34886 31375453 The registry was queried to identify patients who were at least 20 years old when diagnosed with a first primary invasive tumor of the thymus (International Classification of Diseases for Oncology, 3rd edition [ICD-O-3] site codes C37.9 and histology codes 8580-8586) in California between 1988 and 2015. ('patients', 'Species', '9606', (37, 45)) ('C37.9', 'Var', (231, 236)) ('Oncology', 'Phenotype', 'HP:0002664', (188, 196)) ('invasive tumor', 'Disease', 'MESH:D009361', (113, 127)) ('tumor of the thymus', 'Phenotype', 'HP:0100521', (122, 141)) ('tumor', 'Phenotype', 'HP:0002664', (122, 127)) ('invasive tumor', 'Disease', (113, 127)) 34892 31375453 Both thymoma (ICD-O-3 codes 8580-8585) and thymic carcinoma (code 8586) were included. ('thymoma', 'Disease', 'MESH:D013945', (5, 12)) ('thymoma', 'Disease', (5, 12)) ('thymic carcinoma', 'Disease', (43, 59)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (43, 59)) ('thymoma', 'Phenotype', 'HP:0100522', (5, 12)) ('carcinoma', 'Phenotype', 'HP:0030731', (50, 59)) ('code 8586', 'Var', (61, 70)) 34930 31375453 Similar to prior studies, we found that rates of thymic malignancies were higher among APIs than other races/ethnicities. ('APIs', 'Var', (87, 91)) ('malignancies', 'Disease', (56, 68)) ('higher', 'Reg', (74, 80)) ('malignancies', 'Disease', 'MESH:D009369', (56, 68)) 34958 28771603 PD-L1 positivity (>= 25% of tumor membrane expression) was frequent in TETs (15/23, 65%), more common in thymomas compared to thymic carcinomas (p<0.01), and was associated with longer overall survival (p = 0.02). ('thymic carcinomas', 'Disease', 'MESH:D013945', (126, 143)) ('thymomas', 'Disease', 'MESH:D013945', (105, 113)) ('overall', 'MPA', (185, 192)) ('tumor', 'Disease', (28, 33)) ('thymoma', 'Phenotype', 'HP:0100522', (105, 112)) ('positivity', 'Var', (6, 16)) ('longer', 'PosReg', (178, 184)) ('carcinomas', 'Phenotype', 'HP:0030731', (133, 143)) ('carcinoma', 'Phenotype', 'HP:0030731', (133, 142)) ('PD-L1', 'Gene', (0, 5)) ('thymic carcinomas', 'Disease', (126, 143)) ('common', 'Reg', (95, 101)) ('tumor', 'Disease', 'MESH:D009369', (28, 33)) ('thymomas', 'Disease', (105, 113)) ('PD-L1', 'Gene', '29126', (0, 5)) ('tumor', 'Phenotype', 'HP:0002664', (28, 33)) 34977 28771603 Based on reported clinical trials of patients treated with durvalumab in which PD-L1 expression >= 25% has been associated with improved outcomes,, we pre-specified the definition of patients as PD-L1 "positive" as those with M-score >= 25%. ('>= 25%', 'Var', (96, 102)) ('patients', 'Species', '9606', (37, 45)) ('improved', 'PosReg', (128, 136)) ('PD-L1', 'Gene', (195, 200)) ('PD-L1', 'Gene', (79, 84)) ('durvalumab', 'Chemical', 'MESH:C000613593', (59, 69)) ('PD-L1', 'Gene', '29126', (195, 200)) ('PD-L1', 'Gene', '29126', (79, 84)) ('patients', 'Species', '9606', (183, 191)) 34986 28771603 PD-L1 positivity was more common in thymomas compared with thymic carcinomas (11/12 vs. 4/11, p<0.01) as summarized in Table 2. ('carcinoma', 'Phenotype', 'HP:0030731', (66, 75)) ('carcinomas', 'Phenotype', 'HP:0030731', (66, 76)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (59, 76)) ('positivity', 'Var', (6, 16)) ('thymoma', 'Phenotype', 'HP:0100522', (36, 43)) ('PD-L1', 'Gene', (0, 5)) ('common', 'Reg', (26, 32)) ('thymomas', 'Disease', (36, 44)) ('thymomas', 'Disease', 'MESH:D013945', (36, 44)) ('thymic carcinomas', 'Disease', (59, 76)) ('PD-L1', 'Gene', '29126', (0, 5)) 34992 28771603 High/moderate CD137 expression co-associated with several markers, including CD8 (p = 0.01), CTLA-4 (p = 0.008), and ICOS (p = 0.03). ('CD8', 'Gene', (77, 80)) ('ICOS', 'Gene', '29851', (117, 121)) ('CD137', 'Gene', '3604', (14, 19)) ('co-associated', 'Reg', (31, 44)) ('CTLA-4', 'Gene', '1493', (93, 99)) ('expression', 'MPA', (20, 30)) ('CD8', 'Gene', '925', (77, 80)) ('CTLA-4', 'Gene', (93, 99)) ('High/moderate', 'Var', (0, 13)) ('CD137', 'Gene', (14, 19)) ('ICOS', 'Gene', (117, 121)) 34993 28771603 High/moderate GITR expression co-associated with PD-1 (p = 0.043). ('PD-1', 'Gene', (49, 53)) ('GITR', 'Gene', '8784', (14, 18)) ('PD-1', 'Gene', '5133', (49, 53)) ('GITR', 'Gene', (14, 18)) ('High/moderate', 'Var', (0, 13)) 34999 28771603 The presence of moderate and high levels of CD3+ TILs (IHC 2 or 3 vs IHC 1) was also associated with an improved OS (mOS 80 months [95% CI:34-80] versus 43 months [95% CI 23-79], p = 0.04, Fig 3B). ('mOS', 'Gene', (117, 120)) ('improved', 'PosReg', (104, 112)) ('CD3+', 'Var', (44, 48)) ('OS', 'Gene', '17451', (118, 120)) ('CD3+ TILs', 'Chemical', '-', (44, 53)) ('mOS', 'Gene', '17451', (117, 120)) ('OS', 'Gene', '17451', (113, 115)) 35006 28771603 The finding that PD-L1 expression is associated with improved survival has been noted in other tumor types as well. ('survival', 'MPA', (62, 70)) ('PD-L1', 'Gene', '29126', (17, 22)) ('expression', 'Var', (23, 33)) ('tumor', 'Disease', 'MESH:D009369', (95, 100)) ('tumor', 'Phenotype', 'HP:0002664', (95, 100)) ('PD-L1', 'Gene', (17, 22)) ('improved', 'PosReg', (53, 61)) ('tumor', 'Disease', (95, 100)) 35007 28771603 For example, in patients with non-small cell lung cancers (NSCLCs), PD-L1 expression was associated with improved overall survival independent of age and stage of disease and also associated with improved overall survival in early stage patients. ('non-small cell lung cancers', 'Phenotype', 'HP:0030358', (30, 57)) ('overall survival', 'MPA', (114, 130)) ('cancers', 'Phenotype', 'HP:0002664', (50, 57)) ('expression', 'Var', (74, 84)) ('patients', 'Species', '9606', (16, 24)) ('small cell lung cancers', 'Phenotype', 'HP:0030357', (34, 57)) ('non-small cell lung cancers', 'Disease', (30, 57)) ('overall', 'MPA', (205, 212)) ('PD-L1', 'Gene', (68, 73)) ('lung cancers', 'Phenotype', 'HP:0100526', (45, 57)) ('cancer', 'Phenotype', 'HP:0002664', (50, 56)) ('improved', 'PosReg', (105, 113)) ('non-small cell lung cancers', 'Disease', 'MESH:D002289', (30, 57)) ('patients', 'Species', '9606', (237, 245)) ('improved', 'PosReg', (196, 204)) ('PD-L1', 'Gene', '29126', (68, 73)) 35009 28771603 This association between high PD-L1 expression and improved benefit from PD-1/PD-L1 blockade in other tumor types raises the possibility that anti-PD-1/PD-L1 drugs may be effective therapy for patients with TETs. ('patients', 'Species', '9606', (193, 201)) ('PD-L1', 'Gene', '29126', (152, 157)) ('PD-1', 'Gene', (147, 151)) ('PD-1/PD-L1 blockade', 'Disease', 'MESH:D010300', (73, 92)) ('PD-L1', 'Gene', (78, 83)) ('PD-1', 'Gene', '5133', (147, 151)) ('tumor', 'Disease', 'MESH:D009369', (102, 107)) ('PD-L1', 'Gene', (152, 157)) ('PD-1', 'Gene', (73, 77)) ('PD-L1', 'Gene', (30, 35)) ('high', 'Var', (25, 29)) ('PD-1', 'Gene', '5133', (73, 77)) ('PD-L1', 'Gene', '29126', (30, 35)) ('PD-L1', 'Gene', '29126', (78, 83)) ('PD-1/PD-L1 blockade', 'Disease', (73, 92)) ('tumor', 'Disease', (102, 107)) ('expression', 'MPA', (36, 46)) ('tumor', 'Phenotype', 'HP:0002664', (102, 107)) 35026 28771603 Abcam EPR1161) which have no known cutpoint or predictive appreciation with response to anti-PD(L1) therapy and therefore may have limited clinical implications. ('Abcam', 'Gene', (0, 5)) ('PD(L1', 'Gene', '29126', (93, 98)) ('EPR1161', 'Var', (6, 13)) 35028 28771603 Padda et al concluded that high PD-L1 expression associated with poorer overall survival while Katsuya et al. ('PD-L1', 'Gene', (32, 37)) ('overall', 'MPA', (72, 79)) ('expression', 'MPA', (38, 48)) ('poorer', 'NegReg', (65, 71)) ('high', 'Var', (27, 31)) ('PD-L1', 'Gene', '29126', (32, 37)) 35032 28771603 Yokoyama and colleagues similarly described improved overall survival in high PD-L1 expression, however this series was limited to only thymic carcinoma histology. ('carcinoma', 'Phenotype', 'HP:0030731', (143, 152)) ('PD-L1', 'Gene', (78, 83)) ('thymic carcinoma', 'Disease', (136, 152)) ('overall survival', 'MPA', (53, 69)) ('PD-L1', 'Gene', '29126', (78, 83)) ('improved', 'PosReg', (44, 52)) ('high', 'Var', (73, 77)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (136, 152)) 35049 22973113 Alterations affecting chromosome 6p21.3 (MHC locus) and 6q25.2-25.3 are the most frequently observed genetic alterations in thymomas and thymic squamous cell carcinomas. ('MHC', 'Gene', '3107', (41, 44)) ('thymomas', 'Disease', (124, 132)) ('thymomas', 'Disease', 'MESH:D013945', (124, 132)) ('Alterations', 'Var', (0, 11)) ('squamous cell carcinomas', 'Disease', (144, 168)) ('squamous cell carcinomas', 'Disease', 'MESH:D002294', (144, 168)) ('carcinoma', 'Phenotype', 'HP:0030731', (158, 167)) ('squamous cell carcinomas', 'Phenotype', 'HP:0002860', (144, 168)) ('MHC', 'Gene', (41, 44)) ('thymoma', 'Phenotype', 'HP:0100522', (124, 131)) ('carcinomas', 'Phenotype', 'HP:0030731', (158, 168)) 35052 22973113 While epidermal growth factor receptor (EGFR) overexpression is common in thymomas (70%) and about half (53%) of thymic carcinomas, EGFR mutations are exceedingly rare, with only three EGFR mutations noted in a total of 158 tumors analyzed. ('overexpression', 'PosReg', (46, 60)) ('tumor', 'Phenotype', 'HP:0002664', (224, 229)) ('tumors', 'Disease', (224, 230)) ('carcinoma', 'Phenotype', 'HP:0030731', (120, 129)) ('carcinomas', 'Phenotype', 'HP:0030731', (120, 130)) ('EGFR', 'Gene', '1956', (132, 136)) ('epidermal growth factor receptor', 'Gene', (6, 38)) ('EGFR', 'Gene', (185, 189)) ('tumors', 'Disease', 'MESH:D009369', (224, 230)) ('thymoma', 'Phenotype', 'HP:0100522', (74, 81)) ('EGFR', 'Gene', (40, 44)) ('epidermal growth factor receptor', 'Gene', '1956', (6, 38)) ('thymomas', 'Disease', 'MESH:D013945', (74, 82)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (113, 130)) ('thymic carcinomas', 'Disease', (113, 130)) ('thymomas', 'Disease', (74, 82)) ('EGFR', 'Gene', '1956', (185, 189)) ('tumors', 'Phenotype', 'HP:0002664', (224, 230)) ('EGFR', 'Gene', (132, 136)) ('mutations', 'Var', (137, 146)) ('EGFR', 'Gene', '1956', (40, 44)) 35053 22973113 RAS mutations are also rare, with a series at Memorial Sloan-Kettering Cancer Center showing only three (two thymomas and one thymic carcinoma) out of 45 (7%) TETs displaying RAS mutations. ('Cancer', 'Disease', (71, 77)) ('Cancer', 'Disease', 'MESH:D009369', (71, 77)) ('thymoma', 'Phenotype', 'HP:0100522', (109, 116)) ('carcinoma', 'Phenotype', 'HP:0030731', (133, 142)) ('thymomas', 'Disease', (109, 117)) ('thymic carcinoma', 'Disease', (126, 142)) ('mutations', 'Var', (4, 13)) ('thymomas', 'Disease', 'MESH:D013945', (109, 117)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (126, 142)) ('Cancer', 'Phenotype', 'HP:0002664', (71, 77)) 35132 22973113 The potential use of imatinib for thymic carcinoma generated a great deal of excitement following the publication of a case report of imatinib leading to an impressive response in a patient with metastatic epidermoid carcinoma of the thymus. ('epidermoid carcinoma of the thymus', 'Disease', 'MESH:D002294', (206, 240)) ('carcinoma', 'Phenotype', 'HP:0030731', (41, 50)) ('carcinoma of the thymus', 'Phenotype', 'HP:0100521', (217, 240)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (34, 50)) ('patient', 'Species', '9606', (182, 189)) ('thymic carcinoma', 'Disease', (34, 50)) ('imatinib', 'Chemical', 'MESH:D000068877', (21, 29)) ('epidermoid carcinoma of the thymus', 'Disease', (206, 240)) ('imatinib', 'Var', (134, 142)) ('imatinib', 'Chemical', 'MESH:D000068877', (134, 142)) ('carcinoma', 'Phenotype', 'HP:0030731', (217, 226)) 35140 22973113 It was discovered that three tumors analyzed had no c-KIT or PDGFR mutations, and only one of four tumors analyzed demonstrated c-KIT expression by immunohistochemistry. ('c-KIT', 'Gene', '3815', (128, 133)) ('tumors', 'Disease', 'MESH:D009369', (99, 105)) ('c-KIT', 'Gene', (52, 57)) ('PDGFR', 'Gene', (61, 66)) ('tumor', 'Phenotype', 'HP:0002664', (29, 34)) ('mutations', 'Var', (67, 76)) ('PDGFR', 'Gene', '5159', (61, 66)) ('c-KIT', 'Gene', '3815', (52, 57)) ('tumors', 'Phenotype', 'HP:0002664', (29, 35)) ('c-KIT', 'Gene', (128, 133)) ('tumors', 'Disease', 'MESH:D009369', (29, 35)) ('tumor', 'Phenotype', 'HP:0002664', (99, 104)) ('tumors', 'Disease', (29, 35)) ('tumors', 'Phenotype', 'HP:0002664', (99, 105)) ('tumors', 'Disease', (99, 105)) 35148 22973113 It turns out that c-KIT mutations, which may well be required in order for patients to respond to imatinib, are actually rather rare in thymic carcinomas. ('carcinomas', 'Phenotype', 'HP:0030731', (143, 153)) ('c-KIT', 'Gene', (18, 23)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (136, 153)) ('carcinoma', 'Phenotype', 'HP:0030731', (143, 152)) ('patients', 'Species', '9606', (75, 83)) ('thymic carcinomas', 'Disease', (136, 153)) ('c-KIT', 'Gene', '3815', (18, 23)) ('imatinib', 'Chemical', 'MESH:D000068877', (98, 106)) ('mutations', 'Var', (24, 33)) 35150 22973113 All c-KIT mutations occurred in tumors expressing c-KIT by immunohistochemistry and all occurred in poorly differentiated squamous cell carcinomas with a particularly solid growth pattern. ('c-KIT', 'Gene', (4, 9)) ('c-KIT', 'Gene', (50, 55)) ('squamous cell carcinomas', 'Disease', 'MESH:D002294', (122, 146)) ('squamous cell carcinomas', 'Disease', (122, 146)) ('c-KIT', 'Gene', '3815', (50, 55)) ('c-KIT', 'Gene', '3815', (4, 9)) ('occurred', 'Reg', (88, 96)) ('squamous cell carcinomas', 'Phenotype', 'HP:0002860', (122, 146)) ('tumors', 'Phenotype', 'HP:0002664', (32, 38)) ('carcinomas', 'Phenotype', 'HP:0030731', (136, 146)) ('tumor', 'Phenotype', 'HP:0002664', (32, 37)) ('carcinoma', 'Phenotype', 'HP:0030731', (136, 145)) ('tumors', 'Disease', (32, 38)) ('mutations', 'Var', (10, 19)) ('occurred', 'Reg', (20, 28)) ('tumors', 'Disease', 'MESH:D009369', (32, 38)) 35151 22973113 There were a total of twelve such cases in the series, meaning c-KIT mutations were seen in half of them. ('mutations', 'Var', (69, 78)) ('c-KIT', 'Gene', '3815', (63, 68)) ('c-KIT', 'Gene', (63, 68)) 35153 22973113 Positive tumors should be evaluated for c-KIT mutations, and imatinib therapy could be considered for those tumors with likely sensitive mutations in exons 9 or 11. ('mutations', 'Var', (46, 55)) ('tumor', 'Phenotype', 'HP:0002664', (108, 113)) ('c-KIT', 'Gene', '3815', (40, 45)) ('tumor', 'Phenotype', 'HP:0002664', (9, 14)) ('mutations', 'Var', (137, 146)) ('tumors', 'Phenotype', 'HP:0002664', (9, 15)) ('imatinib', 'Chemical', 'MESH:D000068877', (61, 69)) ('tumors', 'Disease', (108, 114)) ('tumors', 'Disease', 'MESH:D009369', (108, 114)) ('tumors', 'Phenotype', 'HP:0002664', (108, 114)) ('tumors', 'Disease', (9, 15)) ('tumors', 'Disease', 'MESH:D009369', (9, 15)) ('c-KIT', 'Gene', (40, 45)) 35156 22973113 There are two case reports of pretreated patients thymic carcinoma with c-KIT mutations (one in exon 11, the other in exon 17) experiencing impressive responses to sorafenib. ('thymic carcinoma', 'Disease', (50, 66)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (50, 66)) ('c-KIT', 'Gene', (72, 77)) ('carcinoma', 'Phenotype', 'HP:0030731', (57, 66)) ('mutations', 'Var', (78, 87)) ('patients', 'Species', '9606', (41, 49)) ('c-KIT', 'Gene', '3815', (72, 77)) ('sorafenib', 'Chemical', 'MESH:D000077157', (164, 173)) 35164 22973113 SU014813 is an oral multitargeted TKI that targets the VEGF receptors, PDGFRs, KIT, and FMS-like tyrosine kinase 3. ('VEGF', 'Gene', (55, 59)) ('SU014813', 'Chemical', '-', (0, 8)) ('FMS-like tyrosine kinase 3', 'Gene', '2322', (88, 114)) ('SU014813', 'Var', (0, 8)) ('VEGF', 'Gene', '7422', (55, 59)) ('PDGFR', 'Gene', (71, 76)) ('PDGFR', 'Gene', '5159', (71, 76)) ('FMS-like tyrosine kinase 3', 'Gene', (88, 114)) 35172 22973113 None of five patients analyzed, including the patient with the PR, were found to have EGFR-activating or KRAS mutations by DNA sequencing. ('patient', 'Species', '9606', (46, 53)) ('mutations', 'Var', (110, 119)) ('patient', 'Species', '9606', (13, 20)) ('EGFR', 'Gene', '1956', (86, 90)) ('patients', 'Species', '9606', (13, 21)) ('KRAS', 'Gene', (105, 109)) ('EGFR', 'Gene', (86, 90)) ('KRAS', 'Gene', '3845', (105, 109)) 35173 22973113 EGFR-activating mutations have been found to be a predictor for response among patients with non-small cell lung cancer. ('small cell lung cancer', 'Phenotype', 'HP:0030357', (97, 119)) ('EGFR', 'Gene', (0, 4)) ('cancer', 'Phenotype', 'HP:0002664', (113, 119)) ('non-small cell lung cancer', 'Phenotype', 'HP:0030358', (93, 119)) ('mutations', 'Var', (16, 25)) ('lung cancer', 'Phenotype', 'HP:0100526', (108, 119)) ('patients', 'Species', '9606', (79, 87)) ('non-small cell lung cancer', 'Disease', 'MESH:D002289', (93, 119)) ('EGFR', 'Gene', '1956', (0, 4)) ('non-small cell lung cancer', 'Disease', (93, 119)) 35179 22973113 Therefore, inhibitors of HDAC enzymes alter the patterns of gene expression and can lead to cellular differentiation, growth arrest, and/or apoptosis of cancer cells. ('cancer', 'Disease', 'MESH:D009369', (153, 159)) ('cellular differentiation', 'CPA', (92, 116)) ('lead to', 'Reg', (84, 91)) ('patterns of gene expression', 'MPA', (48, 75)) ('cancer', 'Disease', (153, 159)) ('apoptosis', 'CPA', (140, 149)) ('growth arrest', 'Phenotype', 'HP:0001510', (118, 131)) ('growth arrest', 'CPA', (118, 131)) ('cancer', 'Phenotype', 'HP:0002664', (153, 159)) ('inhibitors', 'Var', (11, 21)) ('alter', 'Reg', (38, 43)) ('HDAC', 'Gene', (25, 29)) ('HDAC', 'Gene', '9734', (25, 29)) 35201 22973113 Positivity for IGF-1R was observed more frequently in recurrent disease, in more aggressive histologic subtypes, and in cases of advanced disease. ('recurrent disease', 'Disease', (54, 71)) ('advanced disease', 'Disease', 'MESH:D020178', (129, 145)) ('IGF-1R', 'Gene', (15, 21)) ('IGF-1R', 'Gene', '3480', (15, 21)) ('observed', 'Reg', (26, 34)) ('Positivity', 'Var', (0, 10)) ('advanced disease', 'Disease', (129, 145)) 35207 22973113 PHA-848125AC is an orally administered inhibitor of cyclindependent kinase 2/cyclin A complex and TrkA. ('cyclin A', 'Gene', (77, 85)) ('cyclin A', 'Gene', '890', (77, 85)) ('TrkA', 'Gene', '4914', (98, 102)) ('TrkA', 'Gene', (98, 102)) ('PHA-848125AC', 'Var', (0, 12)) ('848125AC', 'Chemical', '-', (4, 12)) 35277 31033234 Indeed, prior studies including a small number of thymic cysts reported that three-fourths or more of thymic cysts had CT attenuation equal to that of the chest wall muscle, which was attributed to high calcium or protein contents, hemorrhage, or streak artifacts.11, 12 Focal necrosis existed in 33.3% of thymomas in our results, consistent with the results of other studies, where focal necrosis was found in 28-42% of thymomas. ('calcium', 'Chemical', 'MESH:D002118', (203, 210)) ('necrosis', 'Disease', (389, 397)) ('thymoma', 'Phenotype', 'HP:0100522', (306, 313)) ('necrosis', 'Disease', 'MESH:D009336', (277, 285)) ('thymoma', 'Phenotype', 'HP:0100522', (421, 428)) ('thymomas', 'Disease', (306, 314)) ('artifacts.11', 'Var', (254, 266)) ('thymomas', 'Disease', 'MESH:D013945', (306, 314)) ('hemorrhage', 'Disease', (232, 242)) ('thymomas', 'Disease', (421, 429)) ('thymomas', 'Disease', 'MESH:D013945', (421, 429)) ('necrosis', 'Disease', 'MESH:D009336', (389, 397)) ('hemorrhage', 'Disease', 'MESH:D006470', (232, 242)) ('necrosis', 'Disease', (277, 285)) 35392 27227948 The thymus plays a primary role in early-onset MG mediated by anti-AChR antibodies. ('MG', 'Disease', 'MESH:D000080343', (47, 49)) ('anti-AChR antibodies', 'Var', (62, 82)) ('mediated', 'Reg', (50, 58)) ('antibodies', 'Var', (72, 82)) 35484 26904321 Additional oncogenic events, such as inactivation of tumor suppression genes and/or activation of protooncogenes, may also be required before clones become malignant and are capable of widespread dissemination and growth. ('tumor', 'Disease', 'MESH:D009369', (53, 58)) ('inactivation', 'Var', (37, 49)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('tumor', 'Disease', (53, 58)) 35515 22882218 In approximately 85% of MG patients, circulating antibodies against the acetylcholine receptor (AChR) bungarotoxin-binding site are not only the pathogenic effector immune molecules but also provide a sensitive and specific diagnostic test. ('ACh', 'Chemical', 'MESH:D000109', (96, 99)) ('AChR', 'Gene', (96, 100)) ('acetylcholine', 'Chemical', 'MESH:D000109', (72, 85)) ('patients', 'Species', '9606', (27, 35)) ('antibodies', 'Var', (49, 59)) 35523 22882218 Evidence from classical experiments indicates that anti-AChR antibodies are pathogenic (the main cause of weakness in MG), leading to end-plate AChR loss, simplification of the postsynaptic membrane and derangement of neuromuscular transmission. ('weakness', 'Disease', (106, 114)) ('weakness', 'Disease', 'MESH:D018908', (106, 114)) ('derangement', 'Reg', (203, 214)) ('antibodies', 'Var', (61, 71)) ('anti-AChR', 'Protein', (51, 60)) ('ACh', 'Chemical', 'MESH:D000109', (144, 147)) ('loss', 'NegReg', (149, 153)) ('derangement of neuromuscular transmission', 'Phenotype', 'HP:0003398', (203, 244)) ('end-plate AChR', 'MPA', (134, 148)) ('ACh', 'Chemical', 'MESH:D000109', (56, 59)) ('neuromuscular transmission', 'MPA', (218, 244)) ('simplification of the postsynaptic membrane', 'MPA', (155, 198)) 35526 22882218 Antibody binding reduces the number and/or function of muscle AChRs by three main mechanisms: complement activation resulting in destruction and focal lysis of the postsynaptic folds at the NMJ leading to the destruction of AChR and AChR-related proteins at the end-plate (i.e., rapsyn and voltage-gated sodium channels); cross-linking of adjacent AChRs resulting in their accelerated internalization and degradation; and blocking of the acetylcholine (ACh)-binding site. ('ACh', 'Chemical', 'MESH:D000109', (233, 236)) ('function', 'MPA', (43, 51)) ('reduces', 'NegReg', (17, 24)) ('ACh', 'Chemical', 'MESH:D000109', (62, 65)) ('rapsyn', 'Gene', (279, 285)) ('sodium', 'Chemical', 'MESH:D012964', (304, 310)) ('cross-linking', 'Var', (322, 335)) ('internalization', 'MPA', (385, 400)) ('ACh', 'Chemical', 'MESH:D000109', (224, 227)) ('ACh', 'Chemical', 'MESH:D000109', (453, 456)) ('ACh', 'Chemical', 'MESH:D000109', (348, 351)) ('accelerated', 'PosReg', (373, 384)) ('acetylcholine', 'MPA', (438, 451)) ('acetylcholine', 'Chemical', 'MESH:D000109', (438, 451)) ('rapsyn', 'Gene', '5913', (279, 285)) ('blocking', 'NegReg', (422, 430)) ('degradation', 'MPA', (405, 416)) ('AChR', 'Protein', (224, 228)) 35528 22882218 The thymus gland plays an incompletely understood but critical role in the pathogenesis of MG with AChR autoantibodies. ('ACh', 'Chemical', 'MESH:D000109', (99, 102)) ('AChR', 'Gene', (99, 103)) ('autoantibodies', 'Var', (104, 118)) 35540 22882218 As a primary site for the establishment of immune regulation, derangements in the thymus gland may lead to a defect in the immune system's suppression of autoreactive lymphocytes, allowing for the development of anti-AChR immune responses. ('derangements', 'Var', (62, 74)) ('lead to', 'Reg', (99, 106)) ('allowing for', 'Reg', (180, 192)) ('ACh', 'Chemical', 'MESH:D000109', (217, 220)) ('defect in the immune system', 'Phenotype', 'HP:0002715', (109, 136)) ('derangements in the thymus', 'Phenotype', 'HP:0000777', (62, 88)) ('suppression', 'CPA', (139, 150)) ('anti-AChR immune responses', 'CPA', (212, 238)) 35545 22882218 AChR-related antibodies in MG can be classified into three types (based on the effects of the antibodies on AChRs and AChR turnover): binding, blocking and modulating. ('ACh', 'Chemical', 'MESH:D000109', (0, 3)) ('modulating', 'Var', (156, 166)) ('ACh', 'Chemical', 'MESH:D000109', (108, 111)) ('ACh', 'Chemical', 'MESH:D000109', (118, 121)) ('binding', 'Interaction', (134, 141)) 35547 22882218 As noted, autoantibodies against AChRs can be detected in approximately 80-85% of patients with generalized MG and 50-75% of patients with ocular MG. ('autoantibodies', 'Var', (10, 24)) ('AChRs', 'Gene', (33, 38)) ('patients', 'Species', '9606', (82, 90)) ('generalized MG', 'Disease', (96, 110)) ('detected', 'Reg', (46, 54)) ('ACh', 'Chemical', 'MESH:D000109', (33, 36)) ('patients', 'Species', '9606', (125, 133)) 35557 22882218 Modulating AChR antibodies accelerate the rate of AChR internalization by cross-linking adjacent receptors and are detected by measuring the amount of internalized, processed 125I-alpha-bungarotoxin-labeled AChR released from cultured cells. ('Modulating', 'Var', (0, 10)) ('cross-linking', 'Interaction', (74, 87)) ('ACh', 'Chemical', 'MESH:D000109', (11, 14)) ('accelerate', 'PosReg', (27, 37)) ('AChR', 'Gene', (11, 15)) ('internalization', 'MPA', (55, 70)) ('ACh', 'Chemical', 'MESH:D000109', (207, 210)) ('125I-alpha-bungarotoxin', 'Chemical', '-', (175, 198)) ('ACh', 'Chemical', 'MESH:D000109', (50, 53)) 35579 22882218 The role of MuSK in mature adult muscle is less clear, but inhibition of MuSK synthesis has been found to cause AChR dispersion and end-plate disruption. ('cause', 'Reg', (106, 111)) ('end-plate disruption', 'CPA', (132, 152)) ('MuSK synthesis', 'Gene', (73, 87)) ('inhibition', 'Var', (59, 69)) ('AChR dispersion', 'CPA', (112, 127)) ('ACh', 'Chemical', 'MESH:D000109', (112, 115)) 35588 22882218 Recent studies, however, demonstrate that complement activation may not be necessary for the onset of MuSK MG in mice and that both divalent and monovalent antibodies may induce MuSK dysfunction without the activation of complement. ('MuSK dysfunction', 'Disease', (178, 194)) ('MuSK dysfunction', 'Disease', 'MESH:D009157', (178, 194)) ('MuSK dysfunction', 'Phenotype', 'HP:0030210', (178, 194)) ('monovalent antibodies', 'Var', (145, 166)) ('mice', 'Species', '10090', (113, 117)) ('induce', 'Reg', (171, 177)) 35593 22882218 While MG patients with anti-MuSK antibodies may have presentations similar to anti-AChR-positive MG, they frequently have atypical clinical features, such as selective facial, bulbar, neck and respiratory muscle weakness and marked muscle atrophy, occasionally with relative sparing of ocular muscles. ('patients', 'Species', '9606', (9, 17)) ('muscle atrophy', 'Disease', 'MESH:D009133', (232, 246)) ('respiratory muscle weakness', 'Phenotype', 'HP:0002747', (193, 220)) ('selective facial', 'Disease', (158, 174)) ('bulbar', 'Disease', (176, 182)) ('respiratory muscle weakness', 'Disease', (193, 220)) ('anti-MuSK antibodies', 'Var', (23, 43)) ('respiratory muscle weakness', 'Disease', 'MESH:D012131', (193, 220)) ('ACh', 'Chemical', 'MESH:D000109', (83, 86)) ('anti-MuSK antibodies', 'Phenotype', 'HP:0030210', (23, 43)) ('muscle weakness', 'Phenotype', 'HP:0001324', (205, 220)) ('MuSK antibodies', 'Phenotype', 'HP:0030210', (28, 43)) ('muscle atrophy', 'Disease', (232, 246)) ('muscle atrophy', 'Phenotype', 'HP:0003202', (232, 246)) ('antibodies', 'Var', (33, 43)) ('neck', 'Disease', (184, 188)) 35618 22882218 In general, anti-titin antibodies correlate with disease severity and may identify patients more likely to be refractory to therapy, including thymectomy. ('antibodies', 'Var', (23, 33)) ('titin', 'Gene', (17, 22)) ('thymectomy', 'Disease', (143, 153)) ('patients', 'Species', '9606', (83, 91)) ('titin', 'Gene', '7273', (17, 22)) 35637 22882218 The combination of titin and RyR antibody positivity is approximately 95% sensitive and 70% specific for thymoma in MG. RyR antibodies are positively associated with invasive/malignant thymoma, so that their presence in an MG patient undergoing thymectomy should alert the surgeon to choose a technique that assures complete exploration and removal. ('RyR', 'Gene', (120, 123)) ('RyR', 'Gene', '6261', (120, 123)) ('thymoma', 'Disease', (105, 112)) ('thymoma', 'Disease', 'MESH:D013945', (105, 112)) ('titin', 'Gene', '7273', (19, 24)) ('thymoma', 'Phenotype', 'HP:0100522', (105, 112)) ('patient', 'Species', '9606', (226, 233)) ('thymoma', 'Disease', 'MESH:D013945', (185, 192)) ('thymoma', 'Phenotype', 'HP:0100522', (185, 192)) ('thymoma', 'Disease', (185, 192)) ('RyR', 'Gene', (29, 32)) ('RyR', 'Gene', '6261', (29, 32)) ('titin', 'Gene', (19, 24)) ('antibodies', 'Var', (124, 134)) ('associated with', 'Reg', (150, 165)) 35665 22882218 Autoantibodies to other end-plate proteins may play a role in patients with anti-AChR- and anti-MuSK negative MG. ('anti-AChR-', 'Protein', (76, 86)) ('play', 'Reg', (47, 51)) ('anti-MuSK', 'Var', (91, 100)) ('ACh', 'Chemical', 'MESH:D000109', (81, 84)) ('negative', 'NegReg', (101, 109)) ('patients', 'Species', '9606', (62, 70)) ('anti-MuSK negative', 'Phenotype', 'HP:0030210', (91, 109)) 35666 22882218 Recent studies have identified anti-lipoprotein receptor-related protein 4 antibodies in approximately 9% of double-seronegative generalized MG patients. ('antibodies', 'Var', (75, 85)) ('lipoprotein receptor-related protein 4', 'Gene', (36, 74)) ('patients', 'Species', '9606', (144, 152)) ('lipoprotein receptor-related protein 4', 'Gene', '4038', (36, 74)) ('generalized MG', 'Disease', (129, 143)) 35693 33362698 On the opposite of the scale, MuSK MG has a more dangerous prognosis with prominent bulbar, neck and respiratory muscle involvement and frequent respiratory crisis. ('respiratory muscle involvement', 'Disease', 'MESH:D012131', (101, 131)) ('frequent respiratory crisis', 'Phenotype', 'HP:0002205', (136, 163)) ('bulbar', 'Disease', (84, 90)) ('MuSK MG', 'Var', (30, 37)) ('respiratory crisis', 'CPA', (145, 163)) ('MuSK MG', 'CellLine', 'CVCL:1698', (30, 37)) ('respiratory muscle involvement', 'Disease', (101, 131)) 35695 33362698 The thymus does not appear to be involved (no LFH, no thymoma) in patients with MuSK MG. Interestingly, MuSK MG has a marked female dominance with a female to male ratio of 9:1. ('thymoma', 'Disease', (54, 61)) ('MuSK MG', 'Var', (104, 111)) ('thymoma', 'Phenotype', 'HP:0100522', (54, 61)) ('MuSK MG', 'CellLine', 'CVCL:1698', (104, 111)) ('MuSK MG', 'CellLine', 'CVCL:1698', (80, 87)) ('patients', 'Species', '9606', (66, 74)) ('thymoma', 'Disease', 'MESH:D013945', (54, 61)) 35700 33362698 The combination of antibodies to agrin and LRP4 produces more severe symptoms than LRP4 alone. ('LRP4', 'Gene', '4038', (43, 47)) ('LRP4', 'Gene', (83, 87)) ('antibodies', 'Var', (19, 29)) ('LRP4', 'Gene', '4038', (83, 87)) ('agrin', 'Gene', '375790', (33, 38)) ('combination', 'Interaction', (4, 15)) ('LRP4', 'Gene', (43, 47)) ('agrin', 'Gene', (33, 38)) 35708 33362698 The immunopathologic mechanisms by which these Abs can affect the signal transmission are: cross-linking of AChR leading to increased endocytosis; activation of complement cascade causing AChR loss and destruction of the postjunctional membrane; and also by directly blocking the acetylcholine binding to AChR site (Figure 1A). ('AChR', 'MPA', (188, 192)) ('affect', 'Reg', (55, 61)) ('loss', 'NegReg', (193, 197)) ('increased', 'PosReg', (124, 133)) ('cross-linking', 'Var', (91, 104)) ('endocytosis', 'MPA', (134, 145)) ('signal transmission', 'MPA', (66, 85)) ('AChR', 'Gene', (108, 112)) ('destruction', 'NegReg', (202, 213)) ('acetylcholine', 'Chemical', 'MESH:D000109', (280, 293)) ('blocking', 'NegReg', (267, 275)) ('acetylcholine', 'MPA', (280, 293)) ('binding', 'Interaction', (294, 301)) 35743 33362698 In contrast, MuSK cell-based assay (MuSK-CBAs; HEK293 cells transfected with MuSK recombinant antigen) has been reported to have increased sensitivity (6-10%) due to additional detection of conformation-dependent MuSK Abs. ('MuSK', 'Gene', (36, 40)) ('MuSK', 'Gene', (77, 81)) ('HEK293', 'CellLine', 'CVCL:0045', (47, 53)) ('MuSK', 'Gene', '4593', (77, 81)) ('MuSK', 'Gene', '4593', (13, 17)) ('MuSK', 'Gene', (13, 17)) ('MuSK', 'Gene', '4593', (213, 217)) ('MuSK', 'Gene', (213, 217)) ('conformation-dependent', 'Var', (190, 212)) ('MuSK Abs', 'Phenotype', 'HP:0030210', (213, 221)) ('MuSK', 'Gene', '4593', (36, 40)) 35774 33362698 In Japanese patients the presence of Kv1.4Abs has been associated with mild to severe disease, myasthenia crisis, and thymic abnormalities. ('patients', 'Species', '9606', (12, 20)) ('thymic abnormalities', 'Phenotype', 'HP:0000777', (118, 138)) ('myasthenia', 'Phenotype', 'HP:0003473', (95, 105)) ('Kv1.4', 'Gene', '3739', (37, 42)) ('presence', 'Var', (25, 33)) ('associated', 'Reg', (55, 65)) ('thymic abnormalities', 'Disease', 'MESH:D013953', (118, 138)) ('mild to severe disease', 'Disease', (71, 93)) ('thymic abnormalities', 'Disease', (118, 138)) ('myasthenia crisis', 'Disease', 'MESH:D020294', (95, 112)) ('Kv1.4', 'Gene', (37, 42)) ('myasthenia crisis', 'Disease', (95, 112)) 35797 33362698 In contrast, LRP-4 Abs positive patients generally have milder phenotype and they respond well to pyridostigmine, prednisone as well as IVIG treatments similar to AChR Abs positive patients. ('positive', 'Var', (23, 31)) ('AChR Abs', 'Chemical', '-', (163, 171)) ('patients', 'Species', '9606', (32, 40)) ('LRP-4', 'Gene', (13, 18)) ('pyridostigmine', 'Chemical', 'MESH:D011729', (98, 112)) ('prednisone', 'Chemical', 'MESH:D011241', (114, 124)) ('Abs positive', 'Var', (19, 31)) ('patients', 'Species', '9606', (181, 189)) ('LRP-4', 'Gene', '4038', (13, 18)) 35897 31967407 Alterations of its controlled activity have been shown to result in a wide spectrum of clinical behaviors including many autoimmune disorders (Bernard et al., 2016; Josefowicz et al., 2012; Sakaguchi et al., 2008; Savage et al., 2014) and thymic epithelial tumors (TETs). ('thymic epithelial tumors', 'Disease', (239, 263)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (239, 263)) ('clinical', 'Species', '191496', (87, 95)) ('Alterations', 'Var', (0, 11)) ('tumors', 'Phenotype', 'HP:0002664', (257, 263)) ('autoimmune disorders', 'Disease', (121, 141)) ('autoimmune disorders', 'Phenotype', 'HP:0002960', (121, 141)) ('controlled activity', 'MPA', (19, 38)) ('result in', 'Reg', (58, 67)) ('autoimmune disorders', 'Disease', 'MESH:D001327', (121, 141)) ('tumor', 'Phenotype', 'HP:0002664', (257, 262)) 36074 31967407 Furthermore, knockdown of CNOT on mice was shown to result in significant increase in pulmonary metastasis (Faraji et al., 2014). ('mice', 'Species', '10090', (34, 38)) ('pulmonary metastasis', 'Disease', (86, 106)) ('increase', 'PosReg', (74, 82)) ('CNOT', 'Gene', (26, 30)) ('pulmonary metastasis', 'Disease', 'MESH:D009362', (86, 106)) ('knockdown', 'Var', (13, 22)) 36079 31967407 SHMT1 polymorphism was also shown to be correlated with clinical outcomes (Bahari et al., 2016; Wang et al., 2014). ('correlated', 'Reg', (40, 50)) ('polymorphism', 'Var', (6, 18)) ('clinical', 'Species', '191496', (56, 64)) ('SHMT1', 'Gene', (0, 5)) 36084 31967407 The abnormally developed T cell might impair immunosurveillance of cancer and could also cause autoimmune diseases. ('cancer', 'Disease', 'MESH:D009369', (67, 73)) ('autoimmune diseases', 'Disease', (95, 114)) ('abnormally', 'Var', (4, 14)) ('cancer', 'Disease', (67, 73)) ('cause', 'Reg', (89, 94)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (95, 114)) ('impair', 'NegReg', (38, 44)) ('cancer', 'Phenotype', 'HP:0002664', (67, 73)) ('immunosurveillance', 'CPA', (45, 63)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (95, 114)) 36150 31737381 Other studies of patients with thymic neoplasia also detect autoantibodies against cytokines and a decrease in in vitro cytokine production in response to T-cell simulation. ('neoplasia', 'Phenotype', 'HP:0002664', (38, 47)) ('in in vitro cytokine production', 'MPA', (108, 139)) ('decrease', 'NegReg', (99, 107)) ('autoantibodies', 'Var', (60, 74)) ('patients', 'Species', '9606', (17, 25)) ('thymic neoplasia', 'Disease', 'MESH:C564767', (31, 47)) ('thymic neoplasia', 'Phenotype', 'HP:0100521', (31, 47)) ('thymic neoplasia', 'Disease', (31, 47)) 36263 30758142 The mechanisms of the beneficial effect of macrolide antibiotics in DPB are thought to be the result of immunomodulation rather than antibiotics.25, 26, 27 The reduced effect of macrolide antibiotics on the proinflammatory response may be beneficial to the abnormal immune status of the small airway wall in patients with thymic neoplasm. ('neoplasm', 'Phenotype', 'HP:0002664', (329, 337)) ('thymic neoplasm', 'Disease', 'MESH:D013953', (322, 337)) ('patients', 'Species', '9606', (308, 316)) ('macrolide antibiotics', 'Chemical', '-', (43, 64)) ('proinflammatory response', 'MPA', (207, 231)) ('antibiotics.25', 'Var', (133, 147)) ('reduced', 'NegReg', (160, 167)) ('thymic neoplasm', 'Disease', (322, 337)) ('macrolide antibiotics', 'Chemical', '-', (178, 199)) ('thymic neoplasm', 'Phenotype', 'HP:0100521', (322, 337)) 36292 25105128 Few lymphocytes of both mature (CD5+/CD1a-/Tdt-) and immature (CD1a+, Tdt+) T cell phenotypes were seen scattered among the EC or in the perivascular spaces (PVS). ('Tdt', 'Gene', '1791', (70, 73)) ('Tdt', 'Gene', (70, 73)) ('CD1a+', 'Var', (63, 68)) ('Tdt', 'Gene', '1791', (43, 46)) ('perivascular spaces', 'Phenotype', 'HP:0012520', (137, 156)) ('Tdt', 'Gene', (43, 46)) ('PVS', 'Phenotype', 'HP:0012520', (158, 161)) 36335 23193443 Thymoma-associated MG may also have additional paraneoplasia-associated antibodies (e.g., antivoltage-gated K+ and Ca++ channels, anti-Hu, antidihydropyrimidinase-related protein 5, and antiglutamic acid decarboxylase antibodies). ('paraneoplasia', 'Disease', 'None', (47, 60)) ('Thymoma', 'Gene', '7063', (0, 7)) ('antidihydropyrimidinase-related', 'Protein', (139, 170)) ('Thymoma', 'Phenotype', 'HP:0100522', (0, 7)) ('antiglutamic acid decarboxylase', 'Protein', (186, 217)) ('paraneoplasia', 'Disease', (47, 60)) ('anti-Hu', 'Var', (130, 137)) ('Thymoma', 'Gene', (0, 7)) ('antiglutamic acid decarboxylase antibodies', 'Phenotype', 'HP:0025329', (186, 228)) 36349 23193443 Since the presence of striational autoantibodies is associated with a more severe disease in all MG subgroups, these antibodies can therefore be used as prognostic determinants in MG patients. ('associated with', 'Reg', (52, 67)) ('presence', 'Var', (10, 18)) ('striational autoantibodies', 'Protein', (22, 48)) ('patients', 'Species', '9606', (183, 191)) 36363 23193443 When the nerve action potential reaches the synaptic bouton, depolarization opens voltage gated Calcium channels on the presynaptic membrane, triggering release of ACh into the synaptic cleft. ('ACh', 'Chemical', 'MESH:D000109', (164, 167)) ('ACh', 'Protein', (164, 167)) ('triggering', 'Reg', (142, 152)) ('depolarization', 'Var', (61, 75)) ('release', 'MPA', (153, 160)) 36392 23193443 IL-18-deficient mice are resistant to EAMG, and pharmacologic block of IL-18 suppresses EAMG. ('EAMG', 'Chemical', '-', (88, 92)) ('suppresses', 'NegReg', (77, 87)) ('pharmacologic', 'Var', (48, 61)) ('EAMG', 'Chemical', '-', (38, 42)) ('EAMG', 'MPA', (88, 92)) ('IL-18', 'Gene', (71, 76)) ('mice', 'Species', '10090', (16, 20)) 36396 23193443 MG patients with anti-MuSK antibodies do not have anti-AChR Abs, except as reported in a group of Japanese patients. ('MuSK antibodies', 'Phenotype', 'HP:0030210', (22, 37)) ('ACh', 'Chemical', 'MESH:D000109', (55, 58)) ('anti-MuSK antibodies', 'Var', (17, 37)) ('antibodies', 'Var', (27, 37)) ('anti-MuSK antibodies', 'Phenotype', 'HP:0030210', (17, 37)) ('patients', 'Species', '9606', (3, 11)) ('patients', 'Species', '9606', (107, 115)) 36613 29702286 The search for additional treatment options for patients with TET has led to several studies evaluating the expression of PD-L1 in TET, as high expression of PD-L1 has been found to be predictive of benefit in patients with NSCLC treated with checkpoint inhibitors in the first-line setting. ('PD-L1', 'Gene', '29126', (158, 163)) ('high expression', 'Var', (139, 154)) ('benefit', 'PosReg', (199, 206)) ('NSCLC', 'Disease', (224, 229)) ('PD-L1', 'Gene', (122, 127)) ('NSCLC', 'Disease', 'MESH:D002289', (224, 229)) ('PD-L1', 'Gene', (158, 163)) ('patients', 'Species', '9606', (210, 218)) ('PD-L1', 'Gene', '29126', (122, 127)) ('patients', 'Species', '9606', (48, 56)) 36618 29702286 finding that high PD-L1 expression was associated with a worse prognosis and Yokoyama et al. ('high', 'Var', (13, 17)) ('PD-L1', 'Gene', (18, 23)) ('PD-L1', 'Gene', '29126', (18, 23)) ('expression', 'MPA', (24, 34)) 36619 29702286 finding that high PD-L1 was associated with a better prognosis. ('high', 'Var', (13, 17)) ('PD-L1', 'Gene', (18, 23)) ('PD-L1', 'Gene', '29126', (18, 23)) 36630 29702286 Demographic and clinical factors were summarized separately by PD-L1 (positive versus negative, high/moderate versus low) and PD-1 (positive versus negative, high/moderate versus low) status separately. ('PD-1', 'Gene', (126, 130)) ('PD-1', 'Gene', '5133', (126, 130)) ('positive', 'Var', (70, 78)) ('PD-L1', 'Gene', (63, 68)) ('positive', 'Var', (132, 140)) ('PD-L1', 'Gene', '29126', (63, 68)) 36638 29702286 When only high/moderate levels of PD-L1 and PD-1 were assessed (>= 3+ by IHC), 57% of patients had high/moderate PD-L1 expression whereas only 31% of all patients had high/moderate PD-1 expression. ('PD-1', 'Gene', (44, 48)) ('expression', 'MPA', (119, 129)) ('PD-1', 'Gene', '5133', (44, 48)) ('PD-1', 'Gene', (181, 185)) ('PD-1', 'Gene', '5133', (181, 185)) ('PD-L1', 'Gene', (113, 118)) ('patients', 'Species', '9606', (154, 162)) ('PD-L1', 'Gene', (34, 39)) ('high/moderate', 'Var', (99, 112)) ('PD-L1', 'Gene', '29126', (113, 118)) ('PD-L1', 'Gene', '29126', (34, 39)) ('patients', 'Species', '9606', (86, 94)) 36641 29702286 PD-1 positivity was not associated with WHO grade (p = 0.12) or stage (p = 0.18) however, high/moderate expression of PD-1 (compared to low or no expression) was associated with lower WHO grade (p = 0.03). ('PD-1', 'Gene', '5133', (118, 122)) ('PD-1', 'Gene', (0, 4)) ('lower', 'NegReg', (178, 183)) ('PD-1', 'Gene', '5133', (0, 4)) ('high/moderate expression', 'Var', (90, 114)) ('WHO grade', 'CPA', (184, 193)) ('PD-1', 'Gene', (118, 122)) 36645 29702286 Survival was not significantly different for patients with PD-1 expression, high PD-L1 (compared to low PD-L1), and high PD-1 expression. ('PD-1', 'Gene', (59, 63)) ('PD-L1', 'Gene', (81, 86)) ('PD-1', 'Gene', '5133', (59, 63)) ('PD-L1', 'Gene', '29126', (104, 109)) ('PD-1', 'Gene', (121, 125)) ('PD-1', 'Gene', '5133', (121, 125)) ('patients', 'Species', '9606', (45, 53)) ('PD-L1', 'Gene', '29126', (81, 86)) ('high', 'Var', (76, 80)) ('PD-L1', 'Gene', (104, 109)) 36668 29702286 reported that high PD-L1 expression was associated with a better prognosis, including longer OS and progression-free survival. ('PD-L1', 'Gene', (19, 24)) ('progression-free survival', 'CPA', (100, 125)) ('expression', 'MPA', (25, 35)) ('longer OS', 'CPA', (86, 95)) ('PD-L1', 'Gene', '29126', (19, 24)) ('high', 'Var', (14, 18)) 36671 29702286 Marchevsky and Walts reported expression of PD-L1 in 92% of thymomas and 50% of thymic carcinomas and found higher PD-L1 expression in B2/3 thymoma compared to AB and B1 thymoma. ('thymic carcinomas', 'Disease', (80, 97)) ('thymoma', 'Disease', (60, 67)) ('thymoma', 'Phenotype', 'HP:0100522', (60, 67)) ('expression', 'MPA', (121, 131)) ('thymoma', 'Disease', (140, 147)) ('thymoma', 'Phenotype', 'HP:0100522', (140, 147)) ('thymomas', 'Disease', 'MESH:D013945', (60, 68)) ('thymoma', 'Disease', (170, 177)) ('carcinoma', 'Phenotype', 'HP:0030731', (87, 96)) ('thymic carcinomas', 'Disease', 'MESH:D013953', (80, 97)) ('thymoma', 'Phenotype', 'HP:0100522', (170, 177)) ('thymomas', 'Disease', (60, 68)) ('B2/3', 'Var', (135, 139)) ('higher', 'PosReg', (108, 114)) ('carcinomas', 'Phenotype', 'HP:0030731', (87, 97)) ('PD-L1', 'Gene', (115, 120)) ('thymoma', 'Disease', 'MESH:D013945', (60, 67)) ('PD-L1', 'Gene', '29126', (115, 120)) ('thymoma', 'Disease', 'MESH:D013945', (140, 147)) ('PD-L1', 'Gene', (44, 49)) ('PD-L1', 'Gene', '29126', (44, 49)) ('thymoma', 'Disease', 'MESH:D013945', (170, 177)) 36679 29702286 of an association between high PD-L1 expression and worse clinical outcomes (p = 0.10, log-rank test; p = 0.12 after three thymic carcinoma patients were excluded). ('high', 'Var', (26, 30)) ('PD-L1', 'Gene', '29126', (31, 36)) ('thymic carcinoma', 'Disease', (123, 139)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (123, 139)) ('patients', 'Species', '9606', (140, 148)) ('carcinoma', 'Phenotype', 'HP:0030731', (130, 139)) ('expression', 'MPA', (37, 47)) ('PD-L1', 'Gene', (31, 36)) 36697 29702286 Our study also showed no statistically significant differences in survival in patients with high PD-L1 or PD-1 expression. ('PD-1', 'Gene', '5133', (106, 110)) ('high', 'Var', (92, 96)) ('PD-L1', 'Gene', '29126', (97, 102)) ('PD-1', 'Gene', (106, 110)) ('patients', 'Species', '9606', (78, 86)) ('PD-L1', 'Gene', (97, 102)) 36698 29702286 We found that high PD-1 expression was associated with lower histologic grade but found no relationship between either PD-L1 or PD-1 and stage or diagnosis of MG. ('expression', 'MPA', (24, 34)) ('PD-L1', 'Gene', '29126', (119, 124)) ('PD-L1', 'Gene', (119, 124)) ('high', 'Var', (14, 18)) ('lower', 'NegReg', (55, 60)) ('histologic grade', 'CPA', (61, 77)) ('PD-1', 'Gene', (128, 132)) ('PD-1', 'Gene', '5133', (128, 132)) ('MG', 'Disease', 'MESH:D000080343', (159, 161)) ('PD-1', 'Gene', (19, 23)) ('PD-1', 'Gene', '5133', (19, 23)) 36780 29348988 Dysregulation of the immune function in autoimmune diseases like MG can potentially lead to cancer development and can help explain the linking of autoimmune mechanisms with cancer. ('autoimmune diseases', 'Disease', (40, 59)) ('lead to', 'Reg', (84, 91)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (40, 59)) ('cancer', 'Disease', (92, 98)) ('cancer', 'Disease', 'MESH:D009369', (92, 98)) ('Dysregulation', 'Var', (0, 13)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (40, 58)) ('cancer', 'Disease', (174, 180)) ('cancer', 'Disease', 'MESH:D009369', (174, 180)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (40, 59)) ('cancer', 'Phenotype', 'HP:0002664', (92, 98)) ('cancer', 'Phenotype', 'HP:0002664', (174, 180)) 36828 28095872 The sections were incubated overnight at 4 C with the following primary antibodies: CD1alpha (1:100, DAKO), CD3 (1:100, DAKO), CD5 (1:200, DAKO), CD20 (1:100, DAKO), CD99 (1:200, DAKO), CK (Pan) (1:200, DAKO), CK19 (1:200, DAKO), CK20 (1:100, DAKO), Ki-67 (1:200, DAKO), p63 (1:100, DAKO) and TdT (1:100, DAKO). ('1:100', 'Var', (114, 119)) ('p63', 'Gene', (272, 275)) ('CD20', 'Gene', (147, 151)) ('CD1alpha', 'Gene', (85, 93)) ('CK20', 'Gene', (231, 235)) ('p63', 'Gene', '8626', (272, 275)) ('TdT', 'Gene', (294, 297)) ('1:200', 'Var', (197, 202)) ('CD99', 'Gene', (167, 171)) ('CD20', 'Gene', '54474', (147, 151)) ('CK19', 'Gene', (211, 215)) ('1:100', 'Var', (277, 282)) ('1:200', 'Var', (258, 263)) ('1:100', 'Var', (95, 100)) ('CK20', 'Gene', '54474', (231, 235)) ('1:100', 'Var', (237, 242)) ('CK19', 'Gene', '3880', (211, 215)) ('1:100', 'Var', (299, 304)) ('CD99', 'Gene', '4267', (167, 171)) ('CD5', 'Gene', (128, 131)) ('1:200, DAKO', 'Var', (217, 228)) ('CD1alpha', 'Gene', '909', (85, 93)) ('CD3', 'Gene', (109, 112)) ('TdT', 'Gene', '1791', (294, 297)) ('CD5', 'Gene', '921', (128, 131)) 36963 27591911 Pathological examination revealed squamous cell carcinoma invading into the pericardium and lung (Masaoka stage III), pT3N0M0 WHO stage III. ('squamous cell carcinoma', 'Disease', (34, 57)) ('pT3N0M0', 'Var', (118, 125)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (34, 57)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (34, 57)) ('carcinoma', 'Phenotype', 'HP:0030731', (48, 57)) 37036 23709420 In cases of R1 resection, higher WHO histological type (B2, B3), advanced Masaoka stage, larger thymoma size (>=8 cm) and no adjuvant therapy, a higher risk of recurrence was observed. ('thymoma', 'Gene', (96, 103)) ('R1 resection', 'Var', (12, 24)) ('Masaoka', 'Disease', (74, 81)) ('thymoma', 'Phenotype', 'HP:0100522', (96, 103)) ('thymoma', 'Gene', '7063', (96, 103)) 37113 17592498 The frequency of the invasive tumours and the rate of incomplete resection were higher in type B3 and C than other histologic subtypes (P<0.01). ('type B3', 'Var', (90, 97)) ('tumours', 'Phenotype', 'HP:0002664', (30, 37)) ('invasive tumours', 'Disease', (21, 37)) ('invasive tumours', 'Disease', 'MESH:D009361', (21, 37)) ('higher', 'PosReg', (80, 86)) ('tumour', 'Phenotype', 'HP:0002664', (30, 36)) 37129 17592498 It has been also reported that most of type A, AB, B1 and B2 TETs behave in a benign fashion but type B3 and C have to be considered malignant tumours with a potential to metastasize (Truong et al, 1990; Hsu et al, 1994). ('type B3', 'Var', (97, 104)) ('tumour', 'Phenotype', 'HP:0002664', (143, 149)) ('malignant tumours', 'Disease', 'MESH:D009369', (133, 150)) ('malignant tumours', 'Disease', (133, 150)) ('tumours', 'Phenotype', 'HP:0002664', (143, 150)) ('TETs', 'Chemical', '-', (61, 65)) ('metastasize', 'CPA', (171, 182)) 37224 30800305 The administration of both octreotide and diphenhydramine were temporally associated with their own incremental improvements in blood pressure. ('diphenhydramine', 'Var', (42, 57)) ('diphenhydramine', 'Chemical', 'MESH:D004155', (42, 57)) ('improvements', 'PosReg', (112, 124)) ('octreotide', 'Chemical', 'MESH:D015282', (27, 37)) ('blood pressure', 'MPA', (128, 142)) 37285 29249764 Several lines of evidence from animal studies have indicated that only neonatal fully functioning thymus resection negatively affected the immunological tolerance and that the removal of the normal functioning thymus can generate de novo autoimmune disease even in normal young mice. ('generate', 'Reg', (221, 229)) ('autoimmune disease', 'Disease', 'MESH:D001327', (238, 256)) ('negatively', 'NegReg', (115, 125)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (238, 256)) ('affected', 'Reg', (126, 134)) ('mice', 'Species', '10090', (278, 282)) ('removal', 'Var', (176, 183)) ('immunological tolerance', 'CPA', (139, 162)) ('autoimmune disease', 'Disease', (238, 256)) 37467 24765147 Notably, immunohistochemistry revealed that the tissue sections contained a number of CD68+, MUM-1+, CK+ and CD1a+ cells, but there was no detectable anti-S-100 or anti-CD21 staining. ('CK+', 'Var', (101, 104)) ('CD1a', 'Gene', (109, 113)) ('CD68', 'Gene', (86, 90)) ('MUM-1', 'Gene', '84939', (93, 98)) ('CD68', 'Gene', '968', (86, 90)) ('MUM-1', 'Gene', (93, 98)) ('CD21', 'Gene', (169, 173)) ('CD21', 'Gene', '1380', (169, 173)) ('CD1a', 'Gene', '909', (109, 113)) 37484 32513923 Deletion of Bax and Bak1 prevented rapid apoptosis, but treatment with dexamethasone for greater 6 days still led to cell death that was characterized by release of cytochrome c into the cytosol, activation of caspases, and loss of cell membrane integrity. ('Bak1', 'Gene', (20, 24)) ('Bax', 'Gene', (12, 15)) ('cytochrome c', 'Gene', '172582', (165, 177)) ('cell membrane integrity', 'CPA', (232, 255)) ('dexamethasone', 'Chemical', 'MESH:D003907', (71, 84)) ('caspases', 'Gene', (210, 218)) ('caspases', 'Gene', '12371', (210, 218)) ('cell death', 'CPA', (117, 127)) ('activation', 'PosReg', (196, 206)) ('loss', 'NegReg', (224, 228)) ('cytochrome c', 'Gene', (165, 177)) ('Deletion', 'Var', (0, 8)) 37485 32513923 In WEHI7 thymoma cells, this did not occur when Bcl2l11 (Bim) was deleted in addition to Bax and Bak1. ('deleted', 'Var', (66, 73)) ('Bcl2l11', 'Gene', (48, 55)) ('Bcl2l11', 'Gene', '12125', (48, 55)) ('thymoma', 'Phenotype', 'HP:0100522', (9, 16)) 37491 32513923 In sensitive lymphoid cells such as WEHI7 cells, the glucocorticoid Dex induces apoptosis within 24-48 h. When Dex-sensitive cell lines are transfected to over-express Bcl2, or both Bax and Bak1 are mutated in lymphoid cells, they are much more resistant, indicating that the major way Dex induces rapid lymphocyte apoptosis is via activation of BAX and/or BAK1. ('mutated', 'Var', (199, 206)) ('Dex', 'Chemical', 'MESH:D003907', (286, 289)) ('BAK1', 'Gene', (357, 361)) ('Bcl2', 'Gene', (168, 172)) ('BAX', 'Gene', (346, 349)) ('Dex', 'Chemical', 'MESH:D003907', (111, 114)) ('Bcl2', 'Gene', '12043', (168, 172)) ('rapid lymphocyte apoptosis', 'CPA', (298, 324)) ('activation', 'PosReg', (332, 342)) ('Dex', 'Chemical', 'MESH:D003907', (68, 71)) 37494 32513923 In thymocytes, it is clear that BIM plays a major role in triggering Dex-induced apoptosis, because thymocytes from Bim deleted mice are much more resistant to Dex than thymocytes from wild-type mice. ('mice', 'Species', '10090', (195, 199)) ('Dex', 'Chemical', 'MESH:D003907', (69, 72)) ('deleted', 'Var', (120, 127)) ('resistant', 'MPA', (147, 156)) ('Bim', 'Gene', (116, 119)) ('Dex', 'Chemical', 'MESH:D003907', (160, 163)) ('mice', 'Species', '10090', (128, 132)) ('more', 'PosReg', (142, 146)) 37495 32513923 In order to determine the requirements for pro- and anti-apoptotic BCL2 family members in Dex-induced apoptosis of cells of the murine WEHI7 thymoma line, we determined the effect of mutating genes using CrispR/Cas9. ('murine', 'Species', '10090', (128, 134)) ('BCL2', 'Gene', '12043', (67, 71)) ('Dex', 'Chemical', 'MESH:D003907', (90, 93)) ('mutating', 'Var', (183, 191)) ('thymoma', 'Phenotype', 'HP:0100522', (141, 148)) ('BCL2', 'Gene', (67, 71)) 37496 32513923 We were surprised to find that although rapid Dex-induced apoptosis required BAX or BAK1, when Bax-/-Bak1-/- WEHI7 cells were maintained in Dex for longer periods, they were still able to release cytochrome c from the mitochondria, activate the apoptosome, and undergo apoptosis. ('activate', 'PosReg', (232, 240)) ('Dex', 'Chemical', 'MESH:D003907', (140, 143)) ('cytochrome c', 'Gene', '172582', (196, 208)) ('Bax-/-Bak1-/-', 'Var', (95, 108)) ('apoptosome', 'Pathway', (245, 255)) ('undergo', 'Reg', (261, 268)) ('Dex', 'Chemical', 'MESH:D003907', (46, 49)) ('cytochrome c', 'Gene', (196, 208)) ('apoptosis', 'CPA', (269, 278)) 37512 32513923 To determine whether APAF1 was required for Dex-induced death of the Bax-/-Bak1-/- WEHI7 cells, we mutated the genes for APAF1 to generate multiple, independent, Bax-/-Bak1-/-Apaf1-/- WEHI7 clones, treated them with Dex, and assessed their viability by measuring PI uptake. ('Dex', 'Chemical', 'MESH:D003907', (216, 219)) ('APAF1', 'Gene', (121, 126)) ('Apaf1', 'Gene', (175, 180)) ('APAF1', 'Gene', '11783', (21, 26)) ('Dex', 'Chemical', 'MESH:D003907', (44, 47)) ('APAF1', 'Gene', '11783', (121, 126)) ('PI uptake', 'CPA', (263, 272)) ('mutated', 'Var', (99, 106)) ('Apaf1', 'Gene', '11783', (175, 180)) ('APAF1', 'Gene', (21, 26)) 37513 32513923 In these clones, and in Bax-/-Bak1-/-Casp9-/- WEHI7 clones, Dex caused much less PI uptake than in the Bax-/-Bak1-/- WEHI7 cells (Fig. ('less', 'NegReg', (76, 80)) ('Casp9', 'Gene', (37, 42)) ('Dex', 'Var', (60, 63)) ('Dex', 'Chemical', 'MESH:D003907', (60, 63)) ('PI uptake', 'CPA', (81, 90)) ('Casp9', 'Gene', '12371', (37, 42)) 37519 32513923 Although release of Cytc from the mitochondria (and death of the cells) was much slower than in the wild-type WEHI7 cells, Dex was still able to cause the release of Cytc, in the absence of BAX and BAK1. ('Dex', 'Var', (123, 126)) ('Dex', 'Chemical', 'MESH:D003907', (123, 126)) ('release', 'MPA', (155, 162)) ('release', 'MPA', (9, 16)) 37526 32513923 As with the WEHI7 lines, mutation of BIM in addition to BAX and BAK1 in the p53-/- T lymphoma cells also reduced the percentage of cells that took up PI following Dex treatment, although some Bax-/-Bak1-/-Bim-/- cells did take up PI, and this was reduced by treating the cells with QVD (Figs. ('- T lymphoma', 'Phenotype', 'HP:0012190', (81, 93)) ('p53', 'Gene', (76, 79)) ('BAK1', 'Gene', (64, 68)) ('lymphoma', 'Disease', (85, 93)) ('mutation', 'Var', (25, 33)) ('Dex', 'Chemical', 'MESH:D003907', (163, 166)) ('lymphoma', 'Disease', 'MESH:D008223', (85, 93)) ('BIM', 'Gene', (37, 40)) ('lymphoma', 'Phenotype', 'HP:0002665', (85, 93)) ('T lymphoma', 'Phenotype', 'HP:0012190', (83, 93)) ('reduced', 'NegReg', (105, 112)) ('p53', 'Gene', '22060', (76, 79)) 37529 32513923 Cleavage of both caspase 9 and caspase 3 in Dex-treated Bax-/-Bak1-/-Bim-/- p53-/- T lymphoma cells was much less than in the parental Bax-/-Bak1-/- p53-/- T lymphoma cells (Fig. ('p53', 'Gene', (76, 79)) ('lymphoma', 'Disease', (158, 166)) ('- T lymphoma', 'Phenotype', 'HP:0012190', (154, 166)) ('caspase 3', 'Gene', '12367', (31, 40)) ('lymphoma', 'Disease', 'MESH:D008223', (158, 166)) ('p53', 'Gene', '22060', (76, 79)) ('- T lymphoma', 'Phenotype', 'HP:0012190', (81, 93)) ('lymphoma', 'Disease', (85, 93)) ('caspase 9', 'Gene', (17, 26)) ('lymphoma', 'Disease', 'MESH:D008223', (85, 93)) ('Dex', 'Chemical', 'MESH:D003907', (44, 47)) ('Bax-/-Bak1-/-Bim-/-', 'Var', (56, 75)) ('T lymphoma', 'Phenotype', 'HP:0012190', (156, 166)) ('p53', 'Gene', (149, 152)) ('caspase 3', 'Gene', (31, 40)) ('less', 'NegReg', (109, 113)) ('T lymphoma', 'Phenotype', 'HP:0012190', (83, 93)) ('p53', 'Gene', '22060', (149, 152)) ('lymphoma', 'Phenotype', 'HP:0002665', (158, 166)) ('Cleavage', 'MPA', (0, 8)) ('caspase 9', 'Gene', '12371', (17, 26)) ('lymphoma', 'Phenotype', 'HP:0002665', (85, 93)) 37532 32513923 Consistent with the partial protection of the Bax-/-Bak1-/-p53-/- T lymphoma cells afforded by additionally mutating Bim, in the Bax-/-Bak1-/-Bim-/- p53-/- T lymphoma cells release of Cytc into the cytosol was reduced, but not eliminated (Fig. ('p53', 'Gene', (59, 62)) ('p53', 'Gene', (149, 152)) ('lymphoma', 'Disease', (68, 76)) ('mutating', 'Var', (108, 116)) ('reduced', 'NegReg', (210, 217)) ('lymphoma', 'Disease', 'MESH:D008223', (68, 76)) ('lymphoma', 'Disease', (158, 166)) ('- T lymphoma', 'Phenotype', 'HP:0012190', (154, 166)) ('p53', 'Gene', '22060', (59, 62)) ('lymphoma', 'Phenotype', 'HP:0002665', (68, 76)) ('p53', 'Gene', '22060', (149, 152)) ('T lymphoma', 'Phenotype', 'HP:0012190', (66, 76)) ('Bim', 'Gene', (117, 120)) ('lymphoma', 'Disease', 'MESH:D008223', (158, 166)) ('lymphoma', 'Phenotype', 'HP:0002665', (158, 166)) ('T lymphoma', 'Phenotype', 'HP:0012190', (156, 166)) ('release of Cytc into the cytosol', 'MPA', (173, 205)) ('- T lymphoma', 'Phenotype', 'HP:0012190', (64, 76)) 37544 32513923 Altogether, these experiments show that in Dex-treated cells that lack BAX and BAK1, BIM is necessary and sufficient to cause Cytc release and apoptosis. ('cause', 'Reg', (120, 125)) ('BIM', 'Var', (85, 88)) ('lack', 'NegReg', (66, 70)) ('Cytc release', 'MPA', (126, 138)) ('apoptosis', 'CPA', (143, 152)) ('Dex', 'Chemical', 'MESH:D003907', (43, 46)) ('BAK1', 'Gene', (79, 83)) ('BAX', 'Gene', (71, 74)) 37546 32513923 While activation on the apoptosome is necessary for processing of caspase 9, caspase 3, and rapid cell death as indicated by uptake of PI, the point of no return leading to cell death:as indicated by loss of clonagenic capacity:occurs upstream of the apoptosome, prior to, or at the point of, mitochondrial outer membrane permeability and release of cytochrome c. To determine the point at which cells were committed to die, we exposed wild type and mutant cells to dexamethasone, then washed the cells, and cultured them in soft agar to determine their clonagenic potential. ('cytochrome c', 'Gene', '172582', (350, 362)) ('caspase 3', 'Gene', '12367', (77, 86)) ('caspase 9', 'Gene', '12371', (66, 75)) ('mutant', 'Var', (450, 456)) ('caspase 9', 'Gene', (66, 75)) ('caspase 3', 'Gene', (77, 86)) ('cytochrome c', 'Gene', (350, 362)) ('dexamethasone', 'Chemical', 'MESH:D003907', (466, 479)) 37552 32513923 These experiments suggest that in some Dex-treated cells, BIM can act in the absence of BAX and BAK1 to cause cell death, but requires the presence of one or more other Dex-induced proteins. ('Dex', 'Chemical', 'MESH:D003907', (39, 42)) ('Dex', 'Chemical', 'MESH:D003907', (169, 172)) ('cell death', 'CPA', (110, 120)) ('BIM', 'Var', (58, 61)) 37555 32513923 To further exclude the possibility that the BAX-like BH3-only protein BID may play a role in Dex-induced killing in the absence of BAX and BAK1, we mutated BID in the Bax-/-Bak1-/- WEHI7 cells. ('BH3', 'Chemical', 'MESH:C006008', (53, 56)) ('Dex', 'Chemical', 'MESH:D003907', (93, 96)) ('BID', 'Gene', (70, 73)) ('mutated', 'Var', (148, 155)) ('BID', 'Gene', '12122', (70, 73)) ('BID', 'Gene', (156, 159)) ('BID', 'Gene', '12122', (156, 159)) 37561 32513923 In addition, addition of the BCL2-specific inhibitor ABT199 or the BCL2/BCLXL dual inhibitor ABT737 had no influence on the Dex-induced killing of Bax-/-Bak1-/- WEHI7 cells (Supplementary Fig. ('BCL2', 'Gene', '12043', (29, 33)) ('Dex-induced killing', 'CPA', (124, 143)) ('BCL2', 'Gene', '12043', (67, 71)) ('Dex', 'Chemical', 'MESH:D003907', (124, 127)) ('ABT737', 'Var', (93, 99)) ('ABT737', 'Chemical', 'MESH:C501332', (93, 99)) ('BCLXL', 'Gene', (72, 77)) ('BCLXL', 'Gene', '12048', (72, 77)) ('ABT199', 'Var', (53, 59)) ('ABT199', 'Chemical', 'MESH:C579720', (53, 59)) ('BCL2', 'Gene', (29, 33)) ('BCL2', 'Gene', (67, 71)) 37564 32513923 We therefore mutated VDAC2 in the Bax-/-Bak1-/- WEHI7 cells. ('mutated', 'Var', (13, 20)) ('VDAC2', 'Gene', '22334', (21, 26)) ('VDAC2', 'Gene', (21, 26)) 37565 32513923 S7, the absence of VDAC2 had no impact on Dex-induced killing of Bax-/-Bak1-/- WEHI7 cells. ('absence', 'Var', (8, 15)) ('Dex', 'Chemical', 'MESH:D003907', (42, 45)) ('VDAC2', 'Gene', '22334', (19, 24)) ('VDAC2', 'Gene', (19, 24)) 37569 32513923 However, we were not able to identify any of these genes, and were surprized to find that cells with mutations to both BAX and BAK1 could still be induced to undergo apoptosis if exposed to Dex for more than a few days. ('BAX', 'Gene', (119, 122)) ('mutations', 'Var', (101, 110)) ('BAK1', 'Gene', (127, 131)) ('induced', 'Reg', (147, 154)) ('Dex', 'Chemical', 'MESH:D003907', (190, 193)) ('apoptosis', 'CPA', (166, 175)) 37571 32513923 One possibility is that there is some residual BAX or BAK1, that is able to accumulate over several days until it reaches a level sufficient to allow release of cytochrome c. Reasons for discounting this possibility are firstly, that neither BAX nor BAK1 could be detected by western blot in the double-mutant cells at any stage, even after 6 days treatment with Dex; secondly, the monoclonal antibodies against BAX and BAK1 were directed at amino-terminal regions, so any remaining protein would have its antibody binding epitopes preserved; thirdly, if residual BAX or BAK1 were present, deleting BCL2, BCLXL and MCL-1 would have greatly increased the sensitivity of the cells to Dex, but we did not see this; and fourthly, mutation of Bax and Bak1 had similar effects in an independent lymphoid line. ('mutation', 'Var', (726, 734)) ('cytochrome c', 'Gene', (161, 173)) ('MCL-1', 'Gene', (615, 620)) ('Bak1', 'Gene', (746, 750)) ('Bax', 'Gene', (738, 741)) ('MCL-1', 'Gene', '17210', (615, 620)) ('BCLXL', 'Gene', (605, 610)) ('sensitivity', 'MPA', (654, 665)) ('increased', 'PosReg', (640, 649)) ('BCLXL', 'Gene', '12048', (605, 610)) ('Dex', 'Chemical', 'MESH:D003907', (363, 366)) ('Dex', 'Chemical', 'MESH:D003907', (682, 685)) ('BCL2', 'Gene', (599, 603)) ('BCL2', 'Gene', '12043', (599, 603)) ('cytochrome c', 'Gene', '172582', (161, 173)) 37574 32513923 Furthermore, mutation of BID had no impact on Dex-induced killing in Bax-/-Bak1-/- WEHI7 cells. ('BID', 'Gene', '12122', (25, 28)) ('BID', 'Gene', (25, 28)) ('mutation', 'Var', (13, 21)) ('Dex', 'Chemical', 'MESH:D003907', (46, 49)) ('Dex-induced killing', 'MPA', (46, 65)) 37576 32513923 reported that treatment of Bax/Bak1 double KO mouse embryonic fibroblasts with a diterpenoid compound-induced BIM, which migrated to the mitochondria, altered the conformation of BCL2, and together they permeabilized the outer mitochondial membrane to cause release of cytochrome c. However, we do not believe this is happening in our lymphoid cells, as mutation of genes for BCL2, BCLXL or MCL-1, alone or in combination, did not prevent Dex induced, BIM-dependent release of cytochrome c or their death. ('MCL-1', 'Gene', '17210', (391, 396)) ('cytochrome c', 'Gene', (269, 281)) ('BCL2', 'Gene', (179, 183)) ('cytochrome c', 'Gene', (477, 489)) ('cytochrome c', 'Gene', '172582', (269, 281)) ('mutation', 'Var', (354, 362)) ('BCL2', 'Gene', '12043', (179, 183)) ('cytochrome c', 'Gene', '172582', (477, 489)) ('mouse', 'Species', '10090', (46, 51)) ('BCLXL', 'Gene', (382, 387)) ('BCLXL', 'Gene', '12048', (382, 387)) ('Dex', 'Chemical', 'MESH:D003907', (439, 442)) ('BCL2', 'Gene', (376, 380)) ('BCL2', 'Gene', '12043', (376, 380)) ('MCL-1', 'Gene', (391, 396)) 37587 32513923 Antibodies used were to ACTIN (AC-15, Sigma #A1978), MCL-1 (Rockland #600-401-394S), BAX (N-20 Santa Cruz Biotechnology #sc-493), BAK1 (aa23-38, #B5897 Sigma), BCL-2 (#610539, BD Biosciences), Cytochrome c (#556433, BD Biosciences), VDAC2 (M.T. ('#556433', 'Var', (207, 214)) ('BCL-2', 'Gene', (160, 165)) ('VDAC2', 'Gene', (233, 238)) ('MCL-1', 'Gene', '17210', (53, 58)) ('#610539', 'Var', (167, 174)) ('MCL-1', 'Gene', (53, 58)) ('Cytochrome c', 'Gene', '172582', (193, 205)) ('Cytochrome c', 'Gene', (193, 205)) ('BCL-2', 'Gene', '12043', (160, 165)) ('VDAC2', 'Gene', '22334', (233, 238)) 37588 32513923 Ryan, Monash University), Cleaved CASP3 (#9661, Cell Signaling Technology), Cleaved CASP-9 (#9509, Cell Signaling Technology), PUMA (#ab9645, Abcam), VDAC1(Abcam, ab15895), Rabbit polyclonal antibodies raised against amino acids 19-32 of mBOK (gift from Francine Ke, WEHI), BID (BD Biosciences, #559681), BCLXL (#2764, Cell Signaling Technology), BIM, APAF1, BMF, and CASP9 are from in house (L. O'Reilly, WEHI). ('CASP3', 'Gene', (34, 39)) ('BMF', 'Gene', '171543', (359, 362)) ('VDAC1', 'Gene', (150, 155)) ('PUMA', 'Gene', '170770', (127, 131)) ('BMF', 'Gene', (359, 362)) ('CASP9', 'Gene', (368, 373)) ('CASP9', 'Gene', '12371', (368, 373)) ('PUMA', 'Gene', (127, 131)) ('CASP-9', 'Gene', (84, 90)) ('APAF1', 'Gene', '11783', (352, 357)) ('BOK', 'Gene', '51800', (239, 242)) ('VDAC1', 'Gene', '22333', (150, 155)) ('BCLXL', 'Gene', '12048', (305, 310)) ('CASP-9', 'Gene', '12371', (84, 90)) ('BID', 'Gene', (274, 277)) ('CASP3', 'Gene', '12367', (34, 39)) ('APAF1', 'Gene', (352, 357)) ('BOK', 'Gene', (239, 242)) ('BID', 'Gene', '12122', (274, 277)) ('#2764', 'Var', (312, 317)) ('BCLXL', 'Gene', (305, 310)) 37662 28002319 The cells were labeled with anti-CD4, CD8, CD3, propidium iodide, or CFDA-SE, cell cycle, proliferation kinetics, and mutation frequency of T cell receptor, respectively. ('CD3', 'Gene', (43, 46)) ('propidium iodide', 'Chemical', 'MESH:D011419', (48, 64)) ('CD3', 'Gene', '12503', (43, 46)) ('CFDA-SE', 'Chemical', 'MESH:C087165', (69, 76)) ('T cell receptor', 'Protein', (140, 155)) ('mutation', 'Var', (118, 126)) ('CD4', 'Gene', (33, 36)) ('CD4', 'Gene', '12504', (33, 36)) 37695 28002319 The cells were collected by centrifugation and labeled with anti-CD4-PE-CF594 and anti-CD8-PE antibodies (eBioscience). ('CD4', 'Gene', (65, 68)) ('anti-CD8-PE', 'Var', (82, 93)) ('CD4', 'Gene', '12504', (65, 68)) 37698 28002319 Mf of T cell receptor was calculated as follows: where CD3-/CD4+ cells were T cell receptor mutants and CD3+/CD4+ cells were normal cells. ('T cell receptor', 'Gene', (77, 92)) ('CD4', 'Gene', '12504', (61, 64)) ('CD4', 'Gene', (110, 113)) ('mutants', 'Var', (93, 100)) ('CD3', 'Gene', (56, 59)) ('CD3', 'Gene', '12503', (56, 59)) ('CD4', 'Gene', '12504', (110, 113)) ('CD3', 'Gene', (105, 108)) ('CD3', 'Gene', '12503', (105, 108)) ('CD4', 'Gene', (61, 64)) 37702 28002319 Cytometry analysis showed that there were similar proportions of G1 cells in MSCs transfusion and control mice (64.24% vs 69.98%; Table 2), whereas irradiated mice had significantly more G1 cells than the other 2 groups (90.53% vs 64.24% and 69.98%). ('mice', 'Species', '10090', (106, 110)) ('G1 cells', 'CPA', (65, 73)) ('MSCs transfusion', 'Var', (77, 93)) ('mice', 'Species', '10090', (159, 163)) 37743 27957331 Notably, serum levels of the IL-6 and IL-17A cytokines were higher in anti-IL-6 seropositive than:negative APECED patients or healthy controls. ('serum levels of', 'MPA', (9, 24)) ('seropositive', 'Var', (80, 92)) ('higher', 'PosReg', (60, 66)) ('IL-6', 'Gene', (29, 33)) ('APECED', 'Gene', '326', (107, 113)) ('IL-6', 'Gene', '3569', (29, 33)) ('IL-17A', 'Gene', '3605', (38, 44)) ('IL-6', 'Gene', (75, 79)) ('IL-6', 'Gene', '3569', (75, 79)) ('patients', 'Species', '9606', (114, 122)) ('IL-17A', 'Gene', (38, 44)) ('APECED', 'Gene', (107, 113)) 37746 27957331 For instance, neutralizing antibodies against IFN-gamma lead to disseminated mycobacterial infections 1, 2, high-avidity antibodies against IL-6 cause serious staphylococcal infections 3, anti-granulocyte macrophage colony-stimulating factor autoantibodies have been linked to cryptococcal meningitis 4, and anti-IL-12p70 autoantibodies to recurrent Burkholderia gladioli suppurative lymphadenitis 5. ('IFN-gamma', 'Gene', '3458', (46, 55)) ('IFN-gamma', 'Gene', (46, 55)) ('antibodies', 'Var', (121, 131)) ('neutralizing', 'Var', (14, 26)) ('IL-6', 'Gene', '3569', (140, 144)) ('staphylococcal infections', 'Disease', 'MESH:D013203', (159, 184)) ('IL-6', 'Gene', (140, 144)) ('lymphadenitis', 'Phenotype', 'HP:0002840', (384, 397)) ('cryptococcal meningitis', 'Phenotype', 'HP:0032160', (277, 300)) ('cryptococcal meningitis', 'Disease', (277, 300)) ('cryptococcal meningitis', 'Disease', 'MESH:D016919', (277, 300)) ('staphylococcal infections', 'Disease', (159, 184)) ('meningitis', 'Phenotype', 'HP:0001287', (290, 300)) ('linked', 'Reg', (267, 273)) ('lymphadenitis', 'Disease', 'MESH:D008199', (384, 397)) ('anti-IL-12p70', 'Var', (308, 321)) ('staphylococcal infections', 'Phenotype', 'HP:0007499', (159, 184)) ('disseminated mycobacterial infections 1', 'Disease', (64, 103)) ('mycobacterial infections', 'Phenotype', 'HP:0011274', (77, 101)) ('recurrent Burkholderia gladioli', 'Phenotype', 'HP:0002842', (340, 371)) ('Burkholderia gladioli', 'Species', '28095', (350, 371)) ('lymphadenitis', 'Disease', (384, 397)) 37747 27957331 Moreover, autoantibodies neutralizing the T helper (Th)17 cytokines interleukin (IL)-22, IL-17F, and IL-17A are associated with chronic mucocutaneous candidiasis (CMC) in most patients with the rare monogenic disease autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED) and also in a few patients with thymic epithelial cell neoplasia 6, 7. ('neoplasia', 'Disease', (344, 353)) ('APECED', 'Gene', (281, 287)) ('autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy', 'Disease', 'MESH:D016884', (217, 279)) ('patients', 'Species', '9606', (307, 315)) ('IL-17A', 'Gene', '3605', (101, 107)) ('epithelial cell neoplasia', 'Phenotype', 'HP:0031492', (328, 353)) ('APECED', 'Gene', '326', (281, 287)) ('neoplasia', 'Phenotype', 'HP:0002664', (344, 353)) ('IL-17F', 'Gene', (89, 95)) ('interleukin (IL)-22', 'Gene', (68, 87)) ('chronic mucocutaneous candidiasis', 'Disease', (128, 161)) ('chronic mucocutaneous candidiasis', 'Disease', 'MESH:D002178', (128, 161)) ('associated with', 'Reg', (112, 127)) ('CMC', 'Phenotype', 'HP:0002728', (163, 166)) ('IL-17F', 'Gene', '112744', (89, 95)) ('IL-17A', 'Gene', (101, 107)) ('neutralizing', 'Var', (25, 37)) ('chronic mucocutaneous candidiasis', 'Phenotype', 'HP:0002728', (128, 161)) ('patients', 'Species', '9606', (176, 184)) ('neoplasia', 'Disease', 'MESH:D009369', (344, 353)) ('interleukin (IL)-22', 'Gene', '50616', (68, 87)) ('ectodermal dystrophy', 'Phenotype', 'HP:0000968', (259, 279)) 37748 27957331 The obvious connections between these syndromes are aberrations in thymic epithelium 6, 8, 9, the major cell type to express the AIRE gene that is mutated in APECED 10, 11 and often under-expressed in the thymoma epithelial cells 12. ('AIRE', 'Gene', (129, 133)) ('thymoma', 'Phenotype', 'HP:0100522', (205, 212)) ('AIRE', 'Gene', '326', (129, 133)) ('under-expressed', 'NegReg', (182, 197)) ('thymoma', 'Disease', (205, 212)) ('APECED', 'Gene', '326', (158, 164)) ('APECED', 'Gene', (158, 164)) ('thymoma', 'Disease', 'MESH:D013945', (205, 212)) ('mutated', 'Var', (147, 154)) 37754 27957331 The APECED diagnosis was confirmed by mutation analysis of AIRE genes and by the presence of autoantibodies to IFN-omega and IFN-alpha2. ('presence', 'Reg', (81, 89)) ('IFN-alpha2', 'Gene', (125, 135)) ('IFN-alpha2', 'Gene', '3440', (125, 135)) ('AIRE', 'Gene', (59, 63)) ('mutation analysis', 'Var', (38, 55)) ('AIRE', 'Gene', '326', (59, 63)) ('APECED', 'Gene', '326', (4, 10)) ('APECED', 'Gene', (4, 10)) 37775 27957331 But we found autoantibodies to IL-6 in 8 of the 41 APECED (A1, A9, A18, A22, A27, A32, A34, A36) patients' sera (19.5%, Fig. ('IL-6', 'Gene', (31, 35)) ('A34', 'Var', (87, 90)) ('A18', 'Var', (67, 70)) ('A27', 'Var', (77, 80)) ('APECED', 'Gene', (51, 57)) ('A36', 'Var', (92, 95)) ('A32', 'Var', (82, 85)) ('IL-6', 'Gene', '3569', (31, 35)) ('A22', 'Var', (72, 75)) ('APECED', 'Gene', '326', (51, 57)) ('autoantibodies', 'Var', (13, 27)) ('patients', 'Species', '9606', (97, 105)) 37776 27957331 1D; Supporting information Table S1); also in 13 (12.5%) of 104 thymoma patients (T1, T14, T23, T24, T31, T32, T34, T37, T43, T48, T50, T53, T56), though mostly at moderate levels (Fig. ('T56', 'CellLine', 'CVCL:J280', (141, 144)) ('T24', 'Var', (96, 99)) ('T34', 'Var', (111, 114)) ('T32', 'Var', (106, 109)) ('T14', 'Gene', (86, 89)) ('T43', 'Var', (121, 124)) ('T53', 'Var', (136, 139)) ('thymoma', 'Disease', 'MESH:D013945', (64, 71)) ('T31', 'Var', (101, 104)) ('T37', 'Var', (116, 119)) ('T50', 'Var', (131, 134)) ('thymoma', 'Disease', (64, 71)) ('T23', 'Var', (91, 94)) ('thymoma', 'Phenotype', 'HP:0100522', (64, 71)) ('T14', 'Gene', '939', (86, 89)) ('T56', 'Var', (141, 144)) ('T1', 'Var', (82, 84)) ('T48', 'Var', (126, 129)) ('patients', 'Species', '9606', (72, 80)) 37777 27957331 Three of the anti-IL-6 positive thymoma patients also had autoantibodies against IFN-alpha2a, IL-17s, and/ or IL-22. ('IL-6', 'Gene', '3569', (18, 22)) ('IL-22', 'Gene', '50616', (110, 115)) ('IL-17s', 'Protein', (94, 100)) ('thymoma', 'Phenotype', 'HP:0100522', (32, 39)) ('patients', 'Species', '9606', (40, 48)) ('IFN-alpha2', 'Gene', (81, 91)) ('IFN-alpha2', 'Gene', '3440', (81, 91)) ('thymoma', 'Disease', 'MESH:D013945', (32, 39)) ('thymoma', 'Disease', (32, 39)) ('IL-6', 'Gene', (18, 22)) ('autoantibodies', 'Var', (58, 72)) ('IL-22', 'Gene', (110, 115)) 37779 27957331 Similarly, T37 had severe acne at age 25, but we found high-level IL-6 antibodies only >10 years later. ('IL-6', 'Gene', '3569', (66, 70)) ('acne', 'Phenotype', 'HP:0001061', (26, 30)) ('acne', 'Disease', (26, 30)) ('T37', 'Var', (11, 14)) ('IL-6', 'Gene', (66, 70)) 37790 27957331 Further supporting the p40-specific cross-reactivity between IL-12 and IL-23 noted above, these cytokines both strongly blocked binding by the anti-IL-23 antibodies (p < 0.0001 for each), with almost equal potency (p > 0.05) (Fig. ('IL-23', 'Gene', '51561', (71, 76)) ('IL-23', 'Gene', (71, 76)) ('antibodies', 'Var', (154, 164)) ('p40', 'Gene', '3578', (23, 26)) ('blocked', 'NegReg', (120, 127)) ('IL-23', 'Gene', '51561', (148, 153)) ('binding', 'Interaction', (128, 135)) ('IL-23', 'Gene', (148, 153)) ('p40', 'Gene', (23, 26)) 37801 27957331 To help to understand the biological significance of these autoantibodies against IL-6, we next tested their capacity to inhibit signaling from its receptor via phosphorylation of STAT3, which acts downstream in this pathway. ('inhibit', 'NegReg', (121, 128)) ('STAT3', 'Gene', (180, 185)) ('autoantibodies', 'Var', (59, 73)) ('phosphorylation', 'MPA', (161, 176)) ('IL-6', 'Gene', (82, 86)) ('IL-6', 'Gene', '3569', (82, 86)) ('tested', 'Reg', (96, 102)) ('STAT3', 'Gene', '6774', (180, 185)) ('signaling', 'MPA', (129, 138)) 37806 27957331 This finding suggests that IL-6-specific autoantibodies could prolong the half-life of IL-6 in vivo and so indirectly enhance IL-17A production by Th17 cells. ('autoantibodies', 'Var', (41, 55)) ('IL-17A', 'Gene', '3605', (126, 132)) ('enhance', 'PosReg', (118, 125)) ('IL-6', 'Gene', (27, 31)) ('half-life', 'MPA', (74, 83)) ('IL-17A', 'Gene', (126, 132)) ('IL-6', 'Gene', (87, 91)) ('IL-6', 'Gene', '3569', (27, 31)) ('prolong', 'PosReg', (62, 69)) ('IL-6', 'Gene', '3569', (87, 91)) 37814 27957331 Indeed, an autosomal dominant form of hyper-IgE syndrome that is caused by STAT3 mutations is characterized by susceptibility to staphylococcal abscesses and CMC 27. ('abscesses', 'Phenotype', 'HP:0025615', (144, 153)) ('CMC 27', 'Disease', (158, 164)) ('caused', 'Reg', (65, 71)) ('staphylococcal abscesses', 'Disease', (129, 153)) ('STAT3', 'Gene', '6774', (75, 80)) ('hyper-IgE syndrome', 'Disease', 'MESH:D007589', (38, 56)) ('STAT3', 'Gene', (75, 80)) ('hyper-IgE syndrome', 'Disease', (38, 56)) ('mutations', 'Var', (81, 90)) ('CMC', 'Phenotype', 'HP:0002728', (158, 161)) 37815 27957331 In addition, high titer neutralizing autoantibodies to IL-6 have previously been associated with chronic staphylococcal cellulitis and subcutaneous abscesses in one patient 3. ('staphylococcal cellulitis', 'Disease', 'MESH:D002481', (105, 130)) ('IL-6', 'Gene', '3569', (55, 59)) ('cellulitis', 'Phenotype', 'HP:0100658', (120, 130)) ('high titer neutralizing autoantibodies', 'Var', (13, 51)) ('patient', 'Species', '9606', (165, 172)) ('abscesses', 'Phenotype', 'HP:0025615', (148, 157)) ('staphylococcal cellulitis', 'Disease', (105, 130)) ('IL-6', 'Gene', (55, 59)) ('subcutaneous abscesses', 'Disease', (135, 157)) ('associated', 'Reg', (81, 91)) 37840 24959269 Expression and polymorphisms of T cell immunoglobulin domain and mucin domain protein-1 in thymoma with or without myasthenia gravis The present study aimed to investigate the expression and association of the single-nucleotide polymorphism (SNP) -1637A/G in the promoter region of the T cell immunoglobulin domain and mucin domain protein-1 (Tim-1) gene in patients diagnosed with thymoma with or without myasthenia gravis (MG). ('thymoma', 'Disease', (91, 98)) ('thymoma', 'Phenotype', 'HP:0100522', (91, 98)) ('myasthenia gravis', 'Disease', (406, 423)) ('mucin', 'Gene', (65, 70)) ('thymoma', 'Disease', 'MESH:D013945', (382, 389)) ('single-nucleotide', 'Var', (210, 227)) ('mucin', 'Gene', '100508689', (65, 70)) ('mucin', 'Gene', (319, 324)) ('-1637A/G', 'Mutation', 'rs7702919', (247, 255)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (115, 132)) ('thymoma', 'Disease', (382, 389)) ('mucin', 'Gene', '100508689', (319, 324)) ('thymoma', 'Phenotype', 'HP:0100522', (382, 389)) ('Tim-1', 'Gene', '26762', (343, 348)) ('myasthenia', 'Phenotype', 'HP:0003473', (406, 416)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (406, 423)) ('thymoma', 'Disease', 'MESH:D013945', (91, 98)) ('patients', 'Species', '9606', (358, 366)) ('myasthenia gravis', 'Disease', (115, 132)) ('association', 'Interaction', (191, 202)) ('myasthenia', 'Phenotype', 'HP:0003473', (115, 125)) ('Tim-1', 'Gene', (343, 348)) 37842 24959269 The Tim-1 gene -1637A/G polymorphism was detected using the single allele-specific primer polymerase chain reaction. ('Tim-1', 'Gene', (4, 9)) ('-1637A/G', 'Mutation', 'rs7702919', (15, 23)) ('Tim-1', 'Gene', '26762', (4, 9)) ('polymorphism', 'Var', (24, 36)) 37854 24959269 An increasing number of muscle autoantibodies, such as muscle-specific tyrosine kinase, titin and ryanodine receptor (RyR) antibodies, have been found in patients with MG. MG is paraneoplastic in association with thymoma, which is detected in 10-15% of MG patients. ('found', 'Reg', (145, 150)) ('paraneoplastic', 'Disease', 'MESH:D010257', (178, 192)) ('thymoma', 'Disease', 'MESH:D013945', (213, 220)) ('ryanodine receptor', 'Gene', (98, 116)) ('patients', 'Species', '9606', (256, 264)) ('patients', 'Species', '9606', (154, 162)) ('thymoma', 'Disease', (213, 220)) ('RyR', 'Gene', (118, 121)) ('RyR', 'Gene', '6261', (118, 121)) ('titin', 'Gene', '7273', (88, 93)) ('paraneoplastic', 'Disease', (178, 192)) ('tyrosine', 'Chemical', 'MESH:D014443', (71, 79)) ('titin', 'Gene', (88, 93)) ('thymoma', 'Phenotype', 'HP:0100522', (213, 220)) ('ryanodine receptor', 'Gene', '6261', (98, 116)) ('MG. MG', 'Var', (168, 174)) 37863 24959269 It has been reported that Tim-1 polymorphisms are associated with various immune-related diseases, including rheumatoid arthritis, systemic lupus erythematosus, multiple sclerosis, diabetes, tumors and asthma. ('Tim-1', 'Gene', (26, 31)) ('diabetes', 'Disease', 'MESH:D003920', (181, 189)) ('rheumatoid arthritis', 'Disease', 'MESH:D001172', (109, 129)) ('systemic lupus erythematosus', 'Phenotype', 'HP:0002725', (131, 159)) ('tumor', 'Phenotype', 'HP:0002664', (191, 196)) ('tumors', 'Disease', (191, 197)) ('multiple sclerosis', 'Disease', 'MESH:D009103', (161, 179)) ('asthma', 'Disease', 'MESH:D001249', (202, 208)) ('systemic lupus erythematosus', 'Disease', 'MESH:D008180', (131, 159)) ('asthma', 'Phenotype', 'HP:0002099', (202, 208)) ('tumors', 'Disease', 'MESH:D009369', (191, 197)) ('Tim-1', 'Gene', '26762', (26, 31)) ('diabetes', 'Disease', (181, 189)) ('polymorphisms', 'Var', (32, 45)) ('asthma', 'Disease', (202, 208)) ('rheumatoid arthritis', 'Phenotype', 'HP:0001370', (109, 129)) ('arthritis', 'Phenotype', 'HP:0001369', (120, 129)) ('systemic lupus erythematosus', 'Disease', (131, 159)) ('rheumatoid arthritis', 'Disease', (109, 129)) ('multiple sclerosis', 'Disease', (161, 179)) ('tumors', 'Phenotype', 'HP:0002664', (191, 197)) ('associated', 'Reg', (50, 60)) 37865 24959269 The present study aimed to investigate the expression of Tim-1 in thymoma patients with and without MG and to examine whether the single-nucleotide polymorphism (SNP) -1637A/G in the promoter region of the Tim-1 gene contributes to the susceptibility of thymoma with MG. ('Tim-1', 'Gene', '26762', (206, 211)) ('Tim-1', 'Gene', (206, 211)) ('patients', 'Species', '9606', (74, 82)) ('-1637A/G', 'Mutation', 'rs7702919', (167, 175)) ('thymoma', 'Disease', 'MESH:D013945', (66, 73)) ('thymoma', 'Disease', (66, 73)) ('thymoma', 'Disease', 'MESH:D013945', (254, 261)) ('thymoma', 'Disease', (254, 261)) ('single-nucleotide polymorphism', 'Var', (130, 160)) ('Tim-1', 'Gene', '26762', (57, 62)) ('thymoma', 'Phenotype', 'HP:0100522', (66, 73)) ('thymoma', 'Phenotype', 'HP:0100522', (254, 261)) ('Tim-1', 'Gene', (57, 62)) ('susceptibility', 'Reg', (236, 250)) 37882 24959269 Single allele-specific primer polymerase chain reaction was performed on 1637A/G in the promoter region of the TIM-1 gene. ('TIM-1', 'Gene', '26762', (111, 116)) ('1637A/G', 'SUBSTITUTION', 'None', (73, 80)) ('TIM-1', 'Gene', (111, 116)) ('1637A/G', 'Var', (73, 80)) 37907 24959269 The signaling pathways triggered downstream of Tim-1 cross-linking have been investigated using either Tim-1 antibodies or Tim-4 as ligands. ('Tim-1', 'Gene', '26762', (103, 108)) ('cross-linking', 'Var', (53, 66)) ('Tim-1', 'Gene', (103, 108)) ('Tim-4', 'Gene', (123, 128)) ('Tim-1', 'Gene', '26762', (47, 52)) ('Tim-1', 'Gene', (47, 52)) ('Tim-4', 'Gene', '91937', (123, 128)) 37908 24959269 Reporter assays have shown that the overexpression of Tim-1 resulted in increased transcription from the interleukin (IL)-4 promoter and nuclear factor of activated T-cells/activator protein-1 transcriptional activation, dependent on Y276 in the Tim-1 cytoplasmic tail. ('transcription', 'MPA', (82, 95)) ('activator protein-1', 'Gene', (173, 192)) ('increased', 'PosReg', (72, 81)) ('overexpression', 'PosReg', (36, 50)) ('activator protein-1', 'Gene', '2353', (173, 192)) ('Tim-1', 'Gene', (54, 59)) ('Y276', 'Var', (234, 238)) ('activation', 'PosReg', (209, 219)) ('Tim-1', 'Gene', '26762', (246, 251)) ('Tim-1', 'Gene', (246, 251)) ('Tim-1', 'Gene', '26762', (54, 59)) 37915 24959269 Previous studies have aimed to determine whether Tim-1 gene polymorphisms were associated with the incidence of asthma, rheumatoid arthritis and hepatitis A virus infection. ('polymorphisms', 'Var', (60, 73)) ('associated', 'Reg', (79, 89)) ('asthma', 'Phenotype', 'HP:0002099', (112, 118)) ('Tim-1', 'Gene', '26762', (49, 54)) ('hepatitis', 'Phenotype', 'HP:0012115', (145, 154)) ('arthritis', 'Phenotype', 'HP:0001369', (131, 140)) ('rheumatoid arthritis and hepatitis A virus infection', 'Disease', 'MESH:D001172', (120, 172)) ('Tim-1', 'Gene', (49, 54)) ('asthma', 'Disease', (112, 118)) ('rheumatoid arthritis', 'Phenotype', 'HP:0001370', (120, 140)) ('asthma', 'Disease', 'MESH:D001249', (112, 118)) 37917 24959269 To the best of our knowledge, this study is the first to investigate the expression of Tim-1 in thymoma patients with and without MG, and to examine whether the -1637A/G SNP in the promoter region of Tim-1 contributes to the susceptibility of thymoma with MG. ('thymoma', 'Disease', 'MESH:D013945', (243, 250)) ('thymoma', 'Disease', (243, 250)) ('Tim-1', 'Gene', '26762', (87, 92)) ('Tim-1', 'Gene', (87, 92)) ('thymoma', 'Disease', 'MESH:D013945', (96, 103)) ('thymoma', 'Disease', (96, 103)) ('Tim-1', 'Gene', (200, 205)) ('thymoma', 'Phenotype', 'HP:0100522', (243, 250)) ('-1637A/G', 'Mutation', 'rs7702919', (161, 169)) ('Tim-1', 'Gene', '26762', (200, 205)) ('the -1637A/G', 'Var', (157, 169)) ('thymoma', 'Phenotype', 'HP:0100522', (96, 103)) ('patients', 'Species', '9606', (104, 112)) ('susceptibility', 'Reg', (225, 239)) 37922 24959269 The effects of Tim-1 polymorphism on transcription and translation, and whether Tim-1 is involved in thymoma with MG via the TCR signaling pathway, requires further investigation. ('thymoma', 'Disease', (101, 108)) ('effects', 'Reg', (4, 11)) ('thymoma', 'Phenotype', 'HP:0100522', (101, 108)) ('involved', 'Reg', (89, 97)) ('Tim-1', 'Gene', (80, 85)) ('Tim-1', 'Gene', '26762', (80, 85)) ('Tim-1', 'Gene', (15, 20)) ('Tim-1', 'Gene', '26762', (15, 20)) ('thymoma', 'Disease', 'MESH:D013945', (101, 108)) ('transcription', 'MPA', (37, 50)) ('translation', 'MPA', (55, 66)) ('polymorphism', 'Var', (21, 33)) 37931 32884767 Tc 99 m sestamibi showed a main pathologic increased uptake on immediate imaging and a decreased signal on delayed imaging in the anterior mediastinum and a slight uptake at the lower third of left thyroid lobe (Figures 1, 2). ('uptake', 'MPA', (53, 59)) ('left thyroid lobe', 'Disease', (193, 210)) ('decreased', 'NegReg', (87, 96)) ('left thyroid lobe', 'Disease', 'MESH:D013959', (193, 210)) ('Tc 99 m sestamibi', 'Chemical', 'MESH:D017256', (0, 17)) ('Tc 99 m', 'Var', (0, 7)) ('increased', 'PosReg', (43, 52)) ('uptake', 'MPA', (164, 170)) ('signal', 'MPA', (97, 103)) 38020 30949298 Both of them show limited coverage, being higher in DCE-MR compared to PWI. ('higher', 'PosReg', (42, 48)) ('mi', 'Chemical', 'MESH:C011506', (20, 22)) ('DCE', 'Chemical', 'MESH:C024565', (52, 55)) ('DCE-MR', 'Var', (52, 58)) 38108 30949298 As well as thymic NETs, low ADC values suggest aggressiveness and poor differentiation, and DCE-MRI with a TTP > 2 min indicates a high-grade tumor (Figure 3). ('tumor', 'Phenotype', 'HP:0002664', (142, 147)) ('ADC values', 'MPA', (28, 38)) ('mi', 'Chemical', 'MESH:C011506', (14, 16)) ('tumor', 'Disease', (142, 147)) ('DCE', 'Chemical', 'MESH:C024565', (92, 95)) ('aggressiveness', 'Phenotype', 'HP:0000718', (47, 61)) ('mi', 'Chemical', 'MESH:C011506', (115, 117)) ('NETs', 'Phenotype', 'HP:0100634', (18, 22)) ('low', 'Var', (24, 27)) ('aggressiveness', 'Disease', 'MESH:D001523', (47, 61)) ('tumor', 'Disease', 'MESH:D009369', (142, 147)) ('aggressiveness', 'Disease', (47, 61)) 38122 30949298 RECIL criteria are aligned with response evaluation criteria in solid tumors, in as much as it suggests a uni-dimensional measurement method, but introduce tumor metabolic evaluation with 18FDG-PET/CT. ('solid tumors', 'Disease', (64, 76)) ('tumor', 'Phenotype', 'HP:0002664', (70, 75)) ('tumor', 'Disease', 'MESH:D009369', (156, 161)) ('tumor', 'Disease', (70, 75)) ('18FDG-PET/CT', 'Var', (188, 200)) ('tumor', 'Phenotype', 'HP:0002664', (156, 161)) ('solid tumors', 'Disease', 'MESH:D009369', (64, 76)) ('18FDG', 'Chemical', 'MESH:D019788', (188, 193)) ('tumors', 'Phenotype', 'HP:0002664', (70, 76)) ('men', 'Species', '9606', (129, 132)) ('tumor', 'Disease', (156, 161)) ('men', 'Species', '9606', (112, 115)) ('tumor', 'Disease', 'MESH:D009369', (70, 75)) 38127 30949298 The study by Mosavi et al showed a difference in ADC values between indolent NHL, aggressive NHL and HL using whole-body DWI, with ADC values being lower in indolent NHL (597 +- 115 mm2/s) rather than aggressive NHL (822 +- 266 mm2/s) and HL (1020 +- 547 mm2/s) (Figure 5). ('NHL', 'Phenotype', 'HP:0012539', (93, 96)) ('HL', 'Phenotype', 'HP:0012189', (167, 169)) ('mm2', 'Gene', '10687', (255, 258)) ('mm2', 'Gene', '10687', (182, 185)) ('indolent', 'Var', (157, 165)) ('HL', 'Phenotype', 'HP:0012189', (213, 215)) ('mm2', 'Gene', (255, 258)) ('HL', 'Phenotype', 'HP:0012189', (94, 96)) ('mm2', 'Gene', '10687', (228, 231)) ('HL', 'Phenotype', 'HP:0012189', (78, 80)) ('NHL', 'Phenotype', 'HP:0012539', (166, 169)) ('ADC', 'MPA', (131, 134)) ('mm2', 'Gene', (182, 185)) ('NHL', 'Phenotype', 'HP:0012539', (77, 80)) ('lower', 'NegReg', (148, 153)) ('HL', 'Phenotype', 'HP:0012189', (101, 103)) ('mm2', 'Gene', (228, 231)) ('NHL', 'Phenotype', 'HP:0012539', (212, 215)) ('ADC', 'MPA', (49, 52)) 38166 30949298 In addition, DWI has a potential impact on lung cancer differentiation. ('lung cancer', 'Disease', (43, 54)) ('lung cancer', 'Phenotype', 'HP:0100526', (43, 54)) ('cancer', 'Phenotype', 'HP:0002664', (48, 54)) ('DWI', 'Var', (13, 16)) ('lung cancer', 'Disease', 'MESH:D008175', (43, 54)) ('impact', 'Reg', (33, 39)) 38242 28072694 Patients who received HITHOC had significantly longer median survival length compared to the patients without HITHOC (Hedges g = 0.763, P < 0.001). ('Patients', 'Species', '9606', (0, 8)) ('longer', 'PosReg', (47, 53)) ('patients', 'Species', '9606', (93, 101)) ('HITHOC', 'Var', (22, 28)) 38243 28072694 In addition, HITHOC therapy was favored (Hedges g = 0.848, P < 0.001) in terms of median survival length, tumor-free survival rate, with tumor survival rate or Karnofsky performance status (KPS) scale. ('HITHOC', 'Var', (13, 19)) ('tumor', 'Disease', (137, 142)) ('tumor', 'Disease', 'MESH:D009369', (106, 111)) ('median survival length', 'CPA', (82, 104)) ('tumor', 'Phenotype', 'HP:0002664', (106, 111)) ('tumor', 'Disease', 'MESH:D009369', (137, 142)) ('tumor', 'Phenotype', 'HP:0002664', (137, 142)) ('tumor', 'Disease', (106, 111)) 38261 28072694 Results of the quantitative meta-analysis of the 5 RCT articles showed that average of the median survival length was significantly longer in the patients treated with HITHOC compared to the patients without HITHOC therapy (Hedges g = 0.763, P < 0.001, Fig. ('patients', 'Species', '9606', (191, 199)) ('HITHOC', 'Var', (168, 174)) ('survival length', 'CPA', (98, 113)) ('longer', 'PosReg', (132, 138)) ('patients', 'Species', '9606', (146, 154)) 38263 28072694 Of the 22 noncontrolled clinical studies, while 1 study reported that HITHOC did not have advantage compared to non-HITHOC therapy, the rest 21 studies indicated that HITHOC seemed to be able extend patients' life. ('extend', 'PosReg', (192, 198)) ('patients', 'Species', '9606', (199, 207)) ('HITHOC', 'Var', (167, 173)) 38283 28072694 After searching online databases, extracting relevant statistical data and performing meta-analysis, and systematic review, we found that HITHOC has dramatic effect on extending patient's median survival length and 1 to 5 year survival rate, especially in the patients with thymoma. ('patient', 'Species', '9606', (260, 267)) ('thymoma', 'Disease', (274, 281)) ('extending', 'PosReg', (168, 177)) ('patient', 'Species', '9606', (178, 185)) ('HITHOC', 'Var', (138, 144)) ('patients', 'Species', '9606', (260, 268)) ('thymoma', 'Phenotype', 'HP:0100522', (274, 281)) ('median survival length', 'CPA', (188, 210)) ('thymoma', 'Disease', 'MESH:D013945', (274, 281)) 38291 28072694 Thus, the ability of penetration of cytotoxic drugs (such as cisplatin) into the lung tissues may improve the local therapy of residual microscopic tumor cells on the lung surface with the use of HITHOC in patients with malignant pleural tumors after lung-sparing radical tumor resections Kerscher et al reported their experiences of the anesthesia and intensive care management in patients undergoing HITHOC, and they indicated that anesthesia during the procedure of CRS + HITHOC may lead to unexpected side effects including high pressure of intrathoracic and central venous system, and potential risk of systemic hyperthermia. ('tumor', 'Phenotype', 'HP:0002664', (238, 243)) ('malignant pleural tumors', 'Disease', (220, 244)) ('CRS +', 'Var', (469, 474)) ('systemic hyperthermia', 'Disease', 'MESH:D005334', (608, 629)) ('tumor', 'Phenotype', 'HP:0002664', (148, 153)) ('tumor', 'Disease', (272, 277)) ('tumor', 'Disease', 'MESH:D009369', (272, 277)) ('malignant pleural tumors', 'Disease', 'MESH:D016066', (220, 244)) ('cisplatin', 'Chemical', 'MESH:D002945', (61, 70)) ('tumor', 'Disease', (238, 243)) ('hyperthermia', 'Phenotype', 'HP:0001945', (617, 629)) ('high pressure', 'MPA', (528, 541)) ('tumor', 'Phenotype', 'HP:0002664', (272, 277)) ('patients', 'Species', '9606', (382, 390)) ('tumor', 'Disease', 'MESH:D009369', (238, 243)) ('tumor', 'Disease', (148, 153)) ('tumors', 'Phenotype', 'HP:0002664', (238, 244)) ('systemic hyperthermia', 'Disease', (608, 629)) ('patients', 'Species', '9606', (206, 214)) ('tumor', 'Disease', 'MESH:D009369', (148, 153)) 38298 28072694 In this regard, evidence from experimental and clinical studies indicated that malignant cells are selectively killed by hyperthermia in the range of 41 to 42 C. Heat not only inhibits RNA synthesis and mitosis arrest, but also increases the number of unstable lysosomes with increased destructive capacity. ('hyperthermia', 'Disease', 'MESH:D005334', (121, 133)) ('RNA synthesis', 'MPA', (186, 199)) ('hyperthermia', 'Phenotype', 'HP:0001945', (121, 133)) ('destructive capacity', 'CPA', (287, 307)) ('hyperthermia', 'Disease', (121, 133)) ('42 C', 'Gene', '6281', (156, 161)) ('mitosis arrest', 'Disease', 'MESH:D006323', (204, 218)) ('Heat', 'Var', (163, 167)) ('increases', 'PosReg', (229, 238)) ('42 C', 'Gene', (156, 161)) ('mitosis arrest', 'Disease', (204, 218)) ('inhibits', 'NegReg', (177, 185)) ('increased', 'PosReg', (277, 286)) ('number of unstable lysosomes', 'MPA', (243, 271)) 38431 31413632 Sunitinib (oral tyrosine kinase inhibitor of VEGFRs, KIT, and PDGFRs) showed some activity in the treatment of TETs irrespective of histological subtype and presence of KIT mutations with median progression-free survival at 3.7 months and overall survival at 15.4 months. ('mutations', 'Var', (173, 182)) ('Sunitinib', 'Chemical', 'MESH:D000077210', (0, 9)) ('VEGFRs', 'Gene', (45, 51)) ('activity', 'MPA', (82, 90)) ('VEGFRs', 'Gene', '2321;2324;3791', (45, 51)) 38648 27781146 In Japanese study, other autoimmune disorders occurred more often in seropositive MG patients (24.1%), than in MuSK-Ab-positive patients (8.4%) among which ATDs were predominant (Nakata et al., 2013). ('autoimmune disorders', 'Disease', (25, 45)) ('autoimmune disorders', 'Phenotype', 'HP:0002960', (25, 45)) ('ATDs', 'Disease', 'None', (156, 160)) ('autoimmune disorders', 'Disease', 'MESH:D001327', (25, 45)) ('seropositive', 'Var', (69, 81)) ('ATDs', 'Disease', (156, 160)) 38738 15150553 Specifically, HTLV-I sequences were amplified using SG231/SG238 for pol (239 bp product, nucleotide position 2802-3038) (Ehrlich et al, 1990) and SK43/SK44 for tax (161 bp product, nucleotide position 7359-7517) (Saito and Ichijo, 1992; Manca et al, 2002). ('HTLV-I', 'Gene', (14, 20)) ('HTLV-I', 'Species', '11908', (14, 20)) ('SG231/SG238', 'Var', (52, 63)) ('SK43/SK44', 'Var', (146, 155)) 38745 15150553 For HTLV-I, Western blot reactivity was defined as the presence of bands (2+ intensity) for recombinant gp46I and gp21 (env proteins) and p19 and p24 (gag proteins). ('HTLV-I', 'Gene', (4, 10)) ('p19', 'Gene', (138, 141)) ('gp46I', 'Var', (104, 109)) ('p19', 'Gene', '51561', (138, 141)) ('p21', 'Gene', (115, 118)) ('p24', 'Gene', '10959', (146, 149)) ('p21', 'Gene', '644914', (115, 118)) ('p24', 'Gene', (146, 149)) ('HTLV-I', 'Species', '11908', (4, 10)) ('gag', 'Gene', (151, 154)) ('gag', 'Gene', '1491934', (151, 154)) 38746 15150553 For HTLV-II, bands of 2+ intensity for recombinant gp46II (env) and p24 (gag) were considered diagnostic. ('p24', 'Gene', '10959', (68, 71)) ('gag', 'Gene', '1491934', (73, 76)) ('p24', 'Gene', (68, 71)) ('gp46II', 'Var', (51, 57)) ('gag', 'Gene', (73, 76)) ('HTLV-II', 'Species', '11909', (4, 11)) ('HTLV-II', 'Gene', (4, 11)) 38789 15150553 On sequencing, part of the HFV bel1 gene was deleted, suggesting the presence of a replication-incompetent variant of the virus. ('HFV', 'Species', '11641', (27, 30)) ('presence', 'Reg', (69, 77)) ('HFV bel1', 'Gene', (27, 35)) ('deleted', 'Var', (45, 52)) 38833 33889334 PWCA has been commonly associated with mixed type AB thymoma, though our patient's final histological type was B2 thymoma. ('PWCA', 'Var', (0, 4)) ('thymoma', 'Phenotype', 'HP:0100522', (114, 121)) ('thymoma', 'Phenotype', 'HP:0100522', (53, 60)) ('patient', 'Species', '9606', (73, 80)) ('AB thymoma', 'Disease', 'MESH:D013945', (50, 60)) ('thymoma', 'Disease', 'MESH:D013945', (114, 121)) ('AB thymoma', 'Disease', (50, 60)) ('thymoma', 'Disease', (114, 121)) ('associated', 'Reg', (23, 33)) ('thymoma', 'Disease', 'MESH:D013945', (53, 60)) ('thymoma', 'Disease', (53, 60)) 38863 29263700 In terms of the grade of malignancy of thymoma, most studies on 18F-FDG PET for TETs were conducted based on a simplified World Health Organization (WHO) classification: low-risk group (type A, AB, and B1) and high-risk group (type B2 and B3),3,4,8,10,12,13,15,16 or low-risk group (type A, AB, and B1) and high-risk group (type B2, B3, and TC), because patients with type B2 or B3 thymoma or TC have a worse prognosis than those with type A, AB, or B1. ('thymoma', 'Disease', (39, 46)) ('18F-FDG', 'Chemical', 'MESH:D019788', (64, 71)) ('type B2', 'Var', (368, 375)) ('malignancy of thymoma', 'Disease', 'MESH:D013945', (25, 46)) ('thymoma', 'Phenotype', 'HP:0100522', (39, 46)) ('thymoma', 'Disease', 'MESH:D013945', (382, 389)) ('thymoma', 'Disease', (382, 389)) ('patients', 'Species', '9606', (354, 362)) ('thymoma', 'Disease', 'MESH:D013945', (39, 46)) ('malignancy of thymoma', 'Disease', (25, 46)) ('thymoma', 'Phenotype', 'HP:0100522', (382, 389)) 38941 29263700 A recent study demonstrated that type B3 thymoma had worse disease-free and overall survival than the other histological subtypes, and Benveniste et al demonstrated a significant difference in SUVmax between type B3 and the other subtypes. ('disease-free', 'CPA', (59, 71)) ('overall survival', 'CPA', (76, 92)) ('thymoma', 'Disease', 'MESH:D013945', (41, 48)) ('thymoma', 'Disease', (41, 48)) ('type B3', 'Var', (33, 40)) ('SUVmax', 'MPA', (193, 199)) ('worse', 'NegReg', (53, 58)) ('thymoma', 'Phenotype', 'HP:0100522', (41, 48)) 38987 25003519 CTLA4 Variants and Haplotype Contribute Genetic Susceptibility to Myasthenia Gravis in Northern Chinese Population Cytotoxic T lymphocyte-associated antigen-4 (CTLA4), a critical negative regulator of the T-cell response, has been considered a candidate for many autoimmune diseases. ('CTLA4', 'Gene', '1493', (161, 166)) ('Susceptibility', 'Reg', (49, 63)) ('CTLA4', 'Gene', (161, 166)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (264, 283)) ('Cytotoxic', 'Disease', 'MESH:D064420', (116, 125)) ('Variants', 'Var', (7, 15)) ('Myasthenia Gravis', 'Disease', 'MESH:D009157', (67, 84)) ('CTLA4', 'Gene', '1493', (1, 6)) ('autoimmune diseases', 'Disease', (264, 283)) ('Cytotoxic', 'Disease', (116, 125)) ('CTLA4', 'Gene', (1, 6)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (264, 283)) ('Myasthenia Gravis', 'Disease', (67, 84)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (264, 282)) ('Myasthenia', 'Phenotype', 'HP:0003473', (67, 77)) 38989 25003519 To investigate the role of CTLA4 variants in the susceptibility to MG and the contribution to subtypes of MG. Six autoimmune disease-related risk alleles of CTLA4 (rs1863800, rs733618, rs4553808, rs5742909, rs231775, and rs3087243) were investigated for MG in northern Chinese. ('rs231775', 'Var', (207, 215)) ('rs231775', 'DBSNP_MENTION', 'None', (207, 215)) ('rs733618', 'DBSNP_MENTION', 'None', (175, 183)) ('CTLA4', 'Gene', (157, 162)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (114, 132)) ('rs1863800', 'DBSNP_MENTION', 'None', (164, 173)) ('autoimmune disease', 'Disease', 'MESH:D001327', (114, 132)) ('rs5742909', 'DBSNP_MENTION', 'None', (196, 205)) ('rs4553808', 'DBSNP_MENTION', 'None', (185, 194)) ('rs733618', 'Var', (175, 183)) ('rs3087243', 'Var', (221, 230)) ('rs5742909', 'Var', (196, 205)) ('rs3087243', 'DBSNP_MENTION', 'None', (221, 230)) ('rs1863800', 'Var', (164, 173)) ('autoimmune disease', 'Disease', (114, 132)) ('rs4553808', 'Var', (185, 194)) 38991 25003519 rs1863800*C, rs733618*C, and rs231775*G were significantly associated with the whole cohort of patients with MG after permutation correction for multiple-testing adjustment (P = 0.027, 0.001, and 0.032, respectively). ('rs231775*G', 'Var', (29, 39)) ('patients', 'Species', '9606', (95, 103)) ('rs733618*C', 'Var', (13, 23)) ('associated', 'Reg', (59, 69)) ('rs1863800*C', 'Var', (0, 11)) ('men', 'Species', '9606', (168, 171)) 38994 25003519 A predisposing effect of rs1863800*C, rs733618*C, and rs231775*G of CTLA4 gene to general risk of MG in Chinese was demonstrated for the first time, which was likely derived from EOMG, SPMG, MG without thymoma and the female patients. ('patients', 'Species', '9606', (225, 233)) ('rs733618*C', 'Var', (38, 48)) ('CTLA4', 'Gene', (68, 73)) ('thymoma', 'Disease', 'MESH:D013945', (202, 209)) ('thymoma', 'Disease', (202, 209)) ('rs231775*G', 'Var', (54, 64)) ('rs1863800*C', 'Var', (25, 36)) ('EOMG', 'Chemical', '-', (179, 183)) ('thymoma', 'Phenotype', 'HP:0100522', (202, 209)) 39002 25003519 In addition, 80-85% of cases of MG are caused by autoantibodies against muscle acetylcholine receptor (AChR). ('autoantibodies', 'Var', (49, 63)) ('caused by', 'Reg', (39, 48)) ('acetylcholine', 'Chemical', 'MESH:D000109', (79, 92)) ('AChR', 'Gene', (103, 107)) 39010 25003519 Although CTLA4 expressed similarly between MG and control peripheral blood mononuclear cells, rs733618, and rs4553808 could influence the CTLA4 mRNA level. ('rs733618', 'Var', (94, 102)) ('rs4553808', 'Var', (108, 117)) ('CTLA4', 'Gene', (9, 14)) ('CTLA4 mRNA level', 'MPA', (138, 154)) ('rs733618', 'DBSNP_MENTION', 'None', (94, 102)) ('influence', 'Reg', (124, 133)) ('rs4553808', 'DBSNP_MENTION', 'None', (108, 117)) 39011 25003519 In addition, rs733618, and rs4553808 were reported to be associated with MG by influencing the alternative splicing and expression of CTLA4 in Swedish-Caucasians; rs231775 was associated with thymoma manifestations of MG in Swedish-Caucasians and German-Caucasians. ('CTLA4', 'Gene', (134, 139)) ('rs231775', 'Var', (163, 171)) ('thymoma', 'Disease', 'MESH:D013945', (192, 199)) ('rs733618', 'Var', (13, 21)) ('rs4553808', 'Var', (27, 36)) ('expression', 'MPA', (120, 130)) ('influencing', 'Reg', (79, 90)) ('rs231775', 'DBSNP_MENTION', 'None', (163, 171)) ('thymoma', 'Disease', (192, 199)) ('alternative splicing', 'MPA', (95, 115)) ('thymoma', 'Phenotype', 'HP:0100522', (192, 199)) ('associated with', 'Reg', (176, 191)) ('rs4553808', 'DBSNP_MENTION', 'None', (27, 36)) ('rs733618', 'DBSNP_MENTION', 'None', (13, 21)) 39013 25003519 Accordingly, a comprehensive genotyping of six previously identified autoimmune-related candidate variants in CTLA4 (rs1863800, rs733618, rs4553808, rs5742909, rs231775, and rs3087243) was carried out as the largest study in Chinese patients with MG by far. ('rs3087243', 'Var', (174, 183)) ('rs4553808', 'Var', (138, 147)) ('rs5742909', 'DBSNP_MENTION', 'None', (149, 158)) ('rs231775', 'Var', (160, 168)) ('rs231775', 'DBSNP_MENTION', 'None', (160, 168)) ('rs733618', 'DBSNP_MENTION', 'None', (128, 136)) ('rs3087243', 'DBSNP_MENTION', 'None', (174, 183)) ('rs1863800', 'DBSNP_MENTION', 'None', (117, 126)) ('rs4553808', 'DBSNP_MENTION', 'None', (138, 147)) ('rs733618', 'Var', (128, 136)) ('patients', 'Species', '9606', (233, 241)) ('CTLA4', 'Gene', (110, 115)) ('rs5742909', 'Var', (149, 158)) ('rs1863800', 'Var', (117, 126)) 39019 25003519 The six variants in CTLA4 (rs1863800, rs733618, rs4553808, rs5742909, rs231775, rs3087243) were identified following polymerase chain reaction based restriction fragment length polymorphism (PCR-RFLP). ('rs231775', 'Var', (70, 78)) ('men', 'Species', '9606', (165, 168)) ('rs231775', 'DBSNP_MENTION', 'None', (70, 78)) ('rs4553808', 'Var', (48, 57)) ('rs1863800', 'Var', (27, 36)) ('rs733618', 'DBSNP_MENTION', 'None', (38, 46)) ('CTLA4', 'Gene', (20, 25)) ('rs5742909', 'Var', (59, 68)) ('rs5742909', 'DBSNP_MENTION', 'None', (59, 68)) ('rs1863800', 'DBSNP_MENTION', 'None', (27, 36)) ('rs3087243', 'Var', (80, 89)) ('rs733618', 'Var', (38, 46)) ('rs4553808', 'DBSNP_MENTION', 'None', (48, 57)) ('rs3087243', 'DBSNP_MENTION', 'None', (80, 89)) 39024 25003519 Compared to those in HapMap CEU, the minor allele frequencies (MAFs) of rs1863800, rs231775, and rs3087243 were much lower, and the MAFs of rs733618 and rs5742909 were much higher (Table 2). ('rs733618', 'Var', (140, 148)) ('rs231775', 'DBSNP_MENTION', 'None', (83, 91)) ('rs1863800', 'DBSNP_MENTION', 'None', (72, 81)) ('MAF', 'Gene', '4094', (63, 66)) ('lower', 'NegReg', (117, 122)) ('MAF', 'Gene', (63, 66)) ('rs3087243', 'Var', (97, 106)) ('MAF', 'Gene', '4094', (132, 135)) ('rs5742909', 'DBSNP_MENTION', 'None', (153, 162)) ('minor', 'MPA', (37, 42)) ('rs3087243', 'DBSNP_MENTION', 'None', (97, 106)) ('rs231775', 'Var', (83, 91)) ('rs1863800', 'Var', (72, 81)) ('MAF', 'Gene', (132, 135)) ('rs5742909', 'Var', (153, 162)) ('higher', 'PosReg', (173, 179)) ('rs733618', 'DBSNP_MENTION', 'None', (140, 148)) 39025 25003519 The power analysis showed that 94.9% (additive) and 89.3% (allelic) power were required to detect a genotype relative risk of 2.5 at an alpha level of 0.05 for variants with an MAF of 30%, assuming a prevalence of 0.01% of MG in Chinese. ('variants', 'Var', (160, 168)) ('MAF', 'Gene', (177, 180)) ('MAF', 'Gene', '4094', (177, 180)) 39027 25003519 The additive, log-additive and allele contrast model all indicated that the minor alleles of rs1863800, rs733618, rs231775, and rs3087243 distributed differently between MG and controls. ('rs1863800', 'Var', (93, 102)) ('rs733618', 'DBSNP_MENTION', 'None', (104, 112)) ('rs1863800', 'DBSNP_MENTION', 'None', (93, 102)) ('rs3087243', 'Var', (128, 137)) ('rs231775', 'DBSNP_MENTION', 'None', (114, 122)) ('rs733618', 'Var', (104, 112)) ('rs3087243', 'DBSNP_MENTION', 'None', (128, 137)) ('rs231775', 'Var', (114, 122)) 39028 25003519 After a further permutation correction (n = 1000) for multiple-testing adjustment, only rs1863800, rs733618, and rs231775 reached significance (P = 0.027, 0.001 and 0.032, respectively). ('rs733618', 'DBSNP_MENTION', 'None', (99, 107)) ('rs231775', 'Var', (113, 121)) ('rs231775', 'DBSNP_MENTION', 'None', (113, 121)) ('rs733618', 'Var', (99, 107)) ('men', 'Species', '9606', (77, 80)) ('rs1863800', 'Var', (88, 97)) ('rs1863800', 'DBSNP_MENTION', 'None', (88, 97)) 39029 25003519 On the whole, the contribution of rs1863800*C, rs733618*C, and rs231775*G for MG existed more significantly in EOMG, seropositive MG (SPMG), female patients, and MG without thymoma than the respective opposite subgroups. ('rs733618*C', 'Var', (47, 57)) ('patients', 'Species', '9606', (148, 156)) ('rs1863800*C', 'Var', (34, 45)) ('thymoma', 'Phenotype', 'HP:0100522', (173, 180)) ('thymoma', 'Disease', 'MESH:D013945', (173, 180)) ('thymoma', 'Disease', (173, 180)) ('EOMG', 'Disease', (111, 115)) ('rs231775*G', 'Var', (63, 73)) ('EOMG', 'Chemical', '-', (111, 115)) 39031 25003519 Moreover, the distribution of above three risk alleles among subgroups were compared only within the patients with MG according to the age at onset of MG, AChR/MuSK antibody status, thymus status, muscles involved, Osserman type and gender, where an increased 733618*C in EOMG than in LOMG (0.506 vs 0.317) and an increased rs231775*A in patients with thymoma than those without thymoma (0.357 vs 0.214, OR = 2.037, range = 1.099-3.774) were observed (Table S3). ('thymoma', 'Disease', 'MESH:D013945', (352, 359)) ('patients', 'Species', '9606', (101, 109)) ('thymoma', 'Phenotype', 'HP:0100522', (352, 359)) ('MuSK', 'Gene', '4593', (160, 164)) ('733618*C', 'Var', (260, 268)) ('patients', 'Species', '9606', (338, 346)) ('thymoma', 'Disease', 'MESH:D013945', (379, 386)) ('EOMG', 'Chemical', '-', (272, 276)) ('MuSK antibody', 'Phenotype', 'HP:0030210', (160, 173)) ('thymoma', 'Disease', (379, 386)) ('thymoma', 'Disease', (352, 359)) ('rs231775*A', 'Var', (324, 334)) ('MuSK', 'Gene', (160, 164)) ('thymoma', 'Phenotype', 'HP:0100522', (379, 386)) 39032 25003519 Overall, rs1863800*C, rs733618*C, and rs231775*G could confer the general risk of MG, even after the permutation correction and adjustment for covariance. ('rs1863800*C', 'Var', (9, 20)) ('rs733618*C', 'Var', (22, 32)) ('risk', 'Reg', (74, 78)) ('rs231775*G', 'Var', (38, 48)) ('men', 'Species', '9606', (134, 137)) 39033 25003519 A haplotype CCACG, containing rs1863800*C, rs733618*C, and rs231775*G was identified to increase the general risk of MG by 1.535-fold (P = 0.021, after permutation adjustment). ('rs1863800*C', 'Var', (30, 41)) ('increase', 'PosReg', (88, 96)) ('men', 'Species', '9606', (170, 173)) ('rs231775*G', 'Var', (59, 69)) ('rs733618*C', 'Var', (43, 53)) 39035 25003519 In addition, the case-only analysis indicated that rs733618*C and rs231775*A were also associated with EOMG and presence of thymoma, respectively. ('EOMG', 'Chemical', '-', (103, 107)) ('associated', 'Reg', (87, 97)) ('thymoma', 'Disease', 'MESH:D013945', (124, 131)) ('thymoma', 'Disease', (124, 131)) ('EOMG', 'Disease', (103, 107)) ('rs733618*C', 'Var', (51, 61)) ('rs231775*A', 'Var', (66, 76)) ('thymoma', 'Phenotype', 'HP:0100522', (124, 131)) 39036 25003519 There are accumulating evidences to suggest the role of CTLA4 variants to autoimmune diseases including systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), Graves' disease, Hashimoto's thyroiditis, postpartum thyroiditis, Addison's disease, insulin-dependent diabetes mellitus, vitiligo and multiple sclerosis. ('autoimmune diseases', 'Disease', (74, 93)) ('RA', 'Disease', 'MESH:D001172', (162, 164)) ('arthritis', 'Phenotype', 'HP:0001369', (151, 160)) ('vitiligo', 'Phenotype', 'HP:0001045', (289, 297)) ("Hashimoto's thyroiditis", 'Phenotype', 'HP:0000872', (184, 207)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (74, 93)) ("Graves' disease", 'Phenotype', 'HP:0100647', (167, 182)) ('CTLA4', 'Gene', (56, 61)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (74, 92)) ('insulin-dependent diabetes mellitus', 'Disease', 'MESH:D003922', (252, 287)) ('vitiligo', 'Disease', (289, 297)) ('rheumatoid arthritis', 'Disease', (140, 160)) ('multiple sclerosis', 'Disease', 'MESH:D009103', (302, 320)) ('thyroiditis', 'Disease', (196, 207)) ('thyroiditis', 'Disease', (220, 231)) ('systemic lupus erythematosus', 'Phenotype', 'HP:0002725', (104, 132)) ('systemic lupus erythematosus', 'Disease', 'MESH:D008180', (104, 132)) ('rheumatoid arthritis', 'Disease', 'MESH:D001172', (140, 160)) ('vitiligo', 'Disease', 'MESH:D014820', (289, 297)) ('insulin-dependent diabetes mellitus', 'Phenotype', 'HP:0100651', (252, 287)) ("Addison's disease", 'Phenotype', 'HP:0008207', (233, 250)) ('thyroiditis', 'Disease', 'MESH:D013959', (196, 207)) ("Graves' disease", 'Disease', 'MESH:D006111', (167, 182)) ('thyroiditis', 'Disease', 'MESH:D013959', (220, 231)) ("Addison's disease", 'Disease', (233, 250)) ('insulin-dependent diabetes mellitus', 'Disease', (252, 287)) ('SLE', 'Disease', 'MESH:D008180', (134, 137)) ('SLE', 'Disease', (134, 137)) ("Hashimoto's thyroiditis", 'Disease', (184, 207)) ('variants', 'Var', (62, 70)) ("Addison's disease", 'Disease', 'MESH:D000224', (233, 250)) ("Hashimoto's thyroiditis", 'Disease', 'MESH:D050031', (184, 207)) ('diabetes mellitus', 'Phenotype', 'HP:0000819', (270, 287)) ("Graves' disease", 'Disease', (167, 182)) ('thyroiditis', 'Phenotype', 'HP:0100646', (196, 207)) ('multiple sclerosis', 'Disease', (302, 320)) ('rheumatoid arthritis', 'Phenotype', 'HP:0001370', (140, 160)) ('thyroiditis', 'Phenotype', 'HP:0100646', (220, 231)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (74, 93)) ('systemic lupus erythematosus', 'Disease', (104, 132)) 39037 25003519 With regard to MG, the most significant association was reported for two promoter variants (rs733618 and rs4553808) in Swedish-Caucasians. ('rs4553808', 'DBSNP_MENTION', 'None', (105, 114)) ('rs733618', 'Var', (92, 100)) ('rs4553808', 'Var', (105, 114)) ('significant association', 'Reg', (28, 51)) ('rs733618', 'DBSNP_MENTION', 'None', (92, 100)) 39038 25003519 Besides, rs231775*A, which was protective against several autoimmune diseases, was reported to exert a predisposing effect to paraneoplastic MG in thymoma German-Caucasian patients. ('autoimmune diseases', 'Disease', 'MESH:D001327', (58, 77)) ('thymoma', 'Disease', 'MESH:D013945', (147, 154)) ('thymoma', 'Disease', (147, 154)) ('autoimmune diseases', 'Disease', (58, 77)) ('paraneoplastic MG', 'Disease', (126, 143)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (58, 77)) ('thymoma', 'Phenotype', 'HP:0100522', (147, 154)) ('effect', 'Reg', (116, 122)) ('patients', 'Species', '9606', (172, 180)) ('rs231775*A', 'Var', (9, 19)) ('paraneoplastic MG', 'Disease', 'MESH:D000080343', (126, 143)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (58, 76)) 39042 25003519 The subtype analysis also indicated that CTLA4 risk alleles mainly confer the risk of EOMG. ('CTLA4', 'Gene', (41, 46)) ('EOMG', 'Disease', (86, 90)) ('alleles', 'Var', (52, 59)) ('EOMG', 'Chemical', '-', (86, 90)) 39044 25003519 Interestingly, a recently study in German-Caucasians suggested rs231775*G was associated with LOMG, where EOMG was not discussed. ('associated', 'Reg', (78, 88)) ('LOMG', 'Disease', (94, 98)) ('EOMG', 'Chemical', '-', (106, 110)) ('rs231775*G', 'Var', (63, 73)) 39045 25003519 Complementarily, it was found that the rs231775*G was associated with EOMG rather than JMG and LOMG. ('EOMG', 'Chemical', '-', (70, 74)) ('rs231775*G', 'Var', (39, 49)) ('JMG', 'Disease', (87, 90)) ('EOMG', 'Disease', (70, 74)) ('associated', 'Reg', (54, 64)) ('men', 'Species', '9606', (6, 9)) 39048 25003519 The case-only analysis in the present study indicated that rs231775*A was also associated with MG coupled with thymoma (OR = 2.037, range = 1.099-3.774), which is opposite to its protective role reported in other autoimmune diseases. ('associated', 'Reg', (79, 89)) ('thymoma', 'Phenotype', 'HP:0100522', (111, 118)) ('autoimmune diseases', 'Disease', (213, 232)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (213, 232)) ('MG coupled', 'Disease', (95, 105)) ('rs231775*A', 'Var', (59, 69)) ('thymoma', 'Disease', 'MESH:D013945', (111, 118)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (213, 231)) ('thymoma', 'Disease', (111, 118)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (213, 232)) 39049 25003519 The paradox that the gain-of-function rs231775*A in predisposing to paraneoplastic MG could be explained by the nontolerogenic selection of CD4+ T-cells in MG-associated thymomas. ('CD4', 'Gene', (140, 143)) ('thymoma', 'Phenotype', 'HP:0100522', (170, 177)) ('paraneoplastic MG', 'Disease', (68, 85)) ('CD4', 'Gene', '920', (140, 143)) ('gain-of-function', 'PosReg', (21, 37)) ('rs231775*A', 'Var', (38, 48)) ('thymomas', 'Disease', (170, 178)) ('thymomas', 'Disease', 'MESH:D013945', (170, 178)) ('paraneoplastic MG', 'Disease', 'MESH:D000080343', (68, 85)) 39050 25003519 Promoter analysis indicated that rs733618*C might disturb the binding with transcript factor, NF-1, which was validated by chromatin immunoprecipitation assay and gel shift assay. ('rs733618*C', 'Var', (33, 43)) ('disturb', 'NegReg', (50, 57)) ('binding', 'Interaction', (62, 69)) ('NF-1', 'Gene', '4763', (94, 98)) ('NF-1', 'Gene', (94, 98)) 39051 25003519 rs231775*A (aliases: +49, T17A) is a gain-of-function missense mutation associated with altered expression and activation of T-cell. ('T17A', 'Var', (26, 30)) ('activation', 'PosReg', (111, 121)) ('T17A', 'SUBSTITUTION', 'None', (26, 30)) ('gain-of-function', 'PosReg', (37, 53)) ('expression', 'MPA', (96, 106)) ('rs231775*A', 'Var', (0, 10)) ('T-cell', 'CPA', (125, 131)) 39052 25003519 Considering the tight linkage of three risk alleles, rs1863800*C-rs733618*C-rs231775*G might be corresponding to a lower surface expression of CTLA4 and reduced inhibitory function of CTLA4, predisposing to MG without thymoma. ('surface expression', 'MPA', (121, 139)) ('thymoma', 'Disease', (218, 225)) ('reduced', 'NegReg', (153, 160)) ('CTLA4', 'Gene', (143, 148)) ('thymoma', 'Phenotype', 'HP:0100522', (218, 225)) ('inhibitory function', 'MPA', (161, 180)) ('lower', 'NegReg', (115, 120)) ('rs1863800*C-rs733618*C-rs231775*G', 'Var', (53, 86)) ('CTLA4', 'Gene', (184, 189)) ('thymoma', 'Disease', 'MESH:D013945', (218, 225)) 39056 25003519 Third, the gene-specific hypomethylation and noncoding RNAs are also potential mechanisms in many autoimmune diseases such as SLE and RA, suggesting that the epigenetics of CTLA4 might be addressed as well. ('SLE', 'Disease', (126, 129)) ('hypomethylation', 'Var', (25, 40)) ('autoimmune diseases', 'Disease', (98, 117)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (98, 117)) ('noncoding RNAs', 'Var', (45, 59)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (98, 116)) ('RA', 'Disease', 'MESH:D001172', (134, 136)) ('mechanisms', 'Reg', (79, 89)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (98, 117)) ('SLE', 'Disease', 'MESH:D008180', (126, 129)) 39062 23691442 The overall hospitalization and chest tube duration were shorter in the VATS lobectomy group (n=949) than in the open thoracotomy (OT) lobectomy group (n=753). ('VATS', 'Var', (72, 76)) ('chest tube duration', 'CPA', (32, 51)) ('hospitalization', 'MPA', (12, 27)) ('OT', 'Chemical', '-', (131, 133)) ('shorter', 'NegReg', (57, 64)) 39064 23691442 In the thymoma patients, there was no significant difference in the chest tube duration, morbidity rate, mortality rate, and hospital length of stay between the VATS thymectomy group (n=41) and open thymectomy group (n=41). ('patients', 'Species', '9606', (15, 23)) ('thymoma', 'Disease', 'MESH:D013945', (7, 14)) ('thymoma', 'Disease', (7, 14)) ('thymoma', 'Phenotype', 'HP:0100522', (7, 14)) ('VATS', 'Var', (161, 165)) 39102 23691442 The postoperative LOS and chest tube duration were shorter in the VATS lobectomy group than in the OT lobectomy group, comparable with previous reports. ('VATS', 'Var', (66, 70)) ('OT', 'Chemical', '-', (99, 101)) ('shorter', 'NegReg', (51, 58)) 39165 25187234 Primary mutations for Leber's hereditary optic neuropathy of 11778/ND4, 3460/ND1, 14484/ND6 and 4171/ND1 were absent. ('neuropathy', 'Phenotype', 'HP:0009830', (47, 57)) ("Leber's hereditary optic neuropathy", 'Disease', (22, 57)) ('4171/ND1', 'Var', (96, 104)) ('11778/ND4', 'Var', (61, 70)) ('14484/ND6', 'Var', (82, 91)) ('optic neuropathy', 'Phenotype', 'HP:0001138', (41, 57)) ("Leber's hereditary optic neuropathy", 'Disease', 'MESH:D029242', (22, 57)) ('3460/ND1', 'Var', (72, 80)) 39176 25187234 Although rare, thymoma associated with visual symptoms has been reported in association with paraneoplastic autoantibodies, such as cancer-associated retinopathy (CAR) with anti-retinal antibodies, paraneoplastic optic neuropathy (PON) with anti-CRMP5 antibody, or NMO with AQP4-IgG. ('paraneoplastic optic neuropathy', 'Disease', (198, 229)) ('anti-retinal antibodies', 'Var', (173, 196)) ('retinopathy', 'Disease', 'MESH:D012164', (150, 161)) ('visual symptoms', 'Disease', (39, 54)) ('paraneoplastic autoantibodies', 'Disease', (93, 122)) ('CRMP5', 'Gene', (246, 251)) ('retinopathy', 'Phenotype', 'HP:0000488', (150, 161)) ('cancer', 'Disease', 'MESH:D009369', (132, 138)) ('retinopathy', 'Disease', (150, 161)) ('AQP4', 'Gene', (274, 278)) ('thymoma', 'Disease', 'MESH:D013945', (15, 22)) ('neuropathy', 'Phenotype', 'HP:0009830', (219, 229)) ('paraneoplastic autoantibodies', 'Disease', 'MESH:D050031', (93, 122)) ('CRMP5', 'Gene', '56896', (246, 251)) ('thymoma', 'Disease', (15, 22)) ('cancer', 'Disease', (132, 138)) ('paraneoplastic optic neuropathy', 'Disease', 'MESH:D020364', (198, 229)) ('AQP4', 'Gene', '361', (274, 278)) ('thymoma', 'Phenotype', 'HP:0100522', (15, 22)) ('cancer', 'Phenotype', 'HP:0002664', (132, 138)) ('visual symptoms', 'Disease', 'MESH:D014786', (39, 54)) ('optic neuropathy', 'Phenotype', 'HP:0001138', (213, 229)) 39188 25187234 The clinical significance of APQ4-IgG associated with cancer is unclear. ('associated', 'Reg', (38, 48)) ('cancer', 'Disease', 'MESH:D009369', (54, 60)) ('cancer', 'Disease', (54, 60)) ('APQ4-IgG', 'Var', (29, 37)) ('cancer', 'Phenotype', 'HP:0002664', (54, 60)) 39189 25187234 APQ4-IgG was found to be associated with cancer in 0.004% of cases, including 1 thymoma patient screened for paraneoplastic autoantibodies. ('APQ4-IgG', 'Var', (0, 8)) ('patient', 'Species', '9606', (88, 95)) ('paraneoplastic autoantibodies', 'Disease', (109, 138)) ('thymoma', 'Phenotype', 'HP:0100522', (80, 87)) ('cancer', 'Phenotype', 'HP:0002664', (41, 47)) ('associated', 'Reg', (25, 35)) ('paraneoplastic autoantibodies', 'Disease', 'MESH:D050031', (109, 138)) ('cancer', 'Disease', (41, 47)) ('cancer', 'Disease', 'MESH:D009369', (41, 47)) ('thymoma', 'Disease', 'MESH:D013945', (80, 87)) ('thymoma', 'Disease', (80, 87)) 39303 22346015 When the histopathology and clinical outcome was correlated, it was observed that 10 patients (33.3%) with hyperplastic glands achieved complete remission when compared with 2 patients (8.7%) with thymoma, 4 (33.3%) with normal gland, 1 (50%) with involuted thymus, and 2 (66.7%) with thymic cyst (P=0.11). ('patients', 'Species', '9606', (176, 184)) ('thymoma', 'Phenotype', 'HP:0100522', (197, 204)) ('hyperplastic glands', 'Var', (107, 126)) ('patients', 'Species', '9606', (85, 93)) ('thymoma', 'Disease', 'MESH:D013945', (197, 204)) ('thymoma', 'Disease', (197, 204)) 39330 22346015 In our study, 33.3% of patients with hyperplastic thymus glands achieved complete remission in comparison to 8.7% with thymoma, but the difference was not significant. ('thymoma', 'Disease', 'MESH:D013945', (119, 126)) ('patients', 'Species', '9606', (23, 31)) ('thymoma', 'Disease', (119, 126)) ('hyperplastic thymus', 'Phenotype', 'HP:0010516', (37, 56)) ('hyperplastic', 'Var', (37, 49)) ('thymoma', 'Phenotype', 'HP:0100522', (119, 126)) 39402 33786130 Improper handling causes blood loss, obscures the field of vision, and may thus elongate the surgical procedure. ('field of vision', 'MPA', (50, 65)) ('blood loss', 'Disease', (25, 35)) ('elongate', 'Reg', (80, 88)) ('obscures', 'NegReg', (37, 45)) ('surgical procedure', 'CPA', (93, 111)) ('causes', 'Reg', (18, 24)) ('blood loss', 'Disease', 'MESH:D006473', (25, 35)) ('Improper', 'Var', (0, 8)) 39431 32923112 Higher pHSP27 serum concentrations were observed in seropositive MG and those not treated with steroids. ('serum concentrations', 'MPA', (14, 34)) ('HSP27', 'Gene', (8, 13)) ('Higher', 'PosReg', (0, 6)) ('seropositive MG', 'Var', (52, 67)) ('HSP27', 'Gene', '3315', (8, 13)) ('steroids', 'Chemical', 'MESH:D013256', (95, 103)) 39447 32923112 Dysregulated HSPs have already been associated with several autoimmune diseases, such as Rheumatoid Arthritis, Systemic Lupus Erythematosus or Multiple Sclerosis. ('Arthritis', 'Phenotype', 'HP:0001369', (100, 109)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (60, 79)) ('Rheumatoid Arthritis', 'Phenotype', 'HP:0001370', (89, 109)) ('Systemic Lupus Erythematosus', 'Disease', (111, 139)) ('Rheumatoid Arthritis', 'Disease', 'MESH:D001172', (89, 109)) ('Systemic Lupus Erythematosus', 'Disease', 'MESH:D008180', (111, 139)) ('Rheumatoid Arthritis', 'Disease', (89, 109)) ('Multiple Sclerosis', 'Disease', 'MESH:D009103', (143, 161)) ('Multiple Sclerosis', 'Disease', (143, 161)) ('Systemic Lupus Erythematosus', 'Phenotype', 'HP:0002725', (111, 139)) ('Dysregulated', 'Var', (0, 12)) ('HSP', 'Gene', (13, 16)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (60, 78)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (60, 79)) ('associated', 'Reg', (36, 46)) ('autoimmune diseases', 'Disease', (60, 79)) ('HSP', 'Gene', '7190', (13, 16)) 39491 32923112 Patients with TETs had significantly higher HSP90alpha serum concentrations compared to healthy volunteers (HSP90alpha[ng/ml] TETs 13.8 +- 1.0 vs. healthy volunteers 6.2 +- 0.4; p < .001; Figure 2a) and regTs (HSP90alpha[ng/ml] TETs vs. regT 6.2 +- 0.9; p < .001; Figure 2a), respectively. ('HSP90alpha', 'Gene', '3320', (210, 220)) ('HSP90alpha', 'Gene', (44, 54)) ('higher', 'PosReg', (37, 43)) ('regTs', 'Chemical', '-', (203, 208)) ('HSP90alpha', 'Gene', '3320', (108, 118)) ('HSP90alpha', 'Gene', (210, 220)) ('regT', 'Chemical', '-', (203, 207)) ('HSP90alpha', 'Gene', (108, 118)) ('Patients', 'Species', '9606', (0, 8)) ('TETs', 'Var', (14, 18)) ('regT', 'Chemical', '-', (237, 241)) ('HSP90alpha', 'Gene', '3320', (44, 54)) 39512 32923112 High HSP90alpha serum concentrations in patients with thymomas (n = 84); cutoff: 24.9 ng/ml) were associated with significantly worse FFR (p = .008, Figure 2g). ('HSP90alpha', 'Gene', (5, 15)) ('HSP90alpha', 'Gene', '3320', (5, 15)) ('High', 'Var', (0, 4)) ('thymoma', 'Phenotype', 'HP:0100522', (54, 61)) ('patients', 'Species', '9606', (40, 48)) ('worse', 'NegReg', (128, 133)) ('serum concentrations', 'MPA', (16, 36)) ('thymomas', 'Disease', (54, 62)) ('thymomas', 'Disease', 'MESH:D013945', (54, 62)) ('FFR', 'Disease', (134, 137)) 39539 32923112 Also, patients with high HSP90 tumor expression in colon cancer had better OS. ('colon cancer', 'Disease', (51, 63)) ('tumor', 'Phenotype', 'HP:0002664', (31, 36)) ('tumor', 'Disease', (31, 36)) ('high', 'Var', (20, 24)) ('HSP90', 'Gene', (25, 30)) ('patients', 'Species', '9606', (6, 14)) ('HSP90', 'Gene', '3320', (25, 30)) ('colon cancer', 'Disease', 'MESH:D015179', (51, 63)) ('colon cancer', 'Phenotype', 'HP:0003003', (51, 63)) ('cancer', 'Phenotype', 'HP:0002664', (57, 63)) ('tumor', 'Disease', 'MESH:D009369', (31, 36)) 39566 32923112 Secretion of HSP90alpha was dependent upon its up-stream regulator ADAM10 (affecting HSP90 content in exosomes) and plasma HSP90alpha detection by ELISA was particularly effective in patients with high ADAM10 expression. ('HSP90alpha', 'Gene', (13, 23)) ('ADAM10', 'Gene', '102', (67, 73)) ('HSP90', 'Gene', (85, 90)) ('HSP90alpha', 'Gene', (123, 133)) ('ADAM10', 'Gene', (67, 73)) ('HSP90', 'Gene', (123, 128)) ('HSP90alpha', 'Gene', '3320', (13, 23)) ('high', 'Var', (197, 201)) ('HSP90', 'Gene', (13, 18)) ('ADAM10', 'Gene', '102', (202, 208)) ('HSP90', 'Gene', '3320', (85, 90)) ('HSP90', 'Gene', '3320', (13, 18)) ('ADAM10', 'Gene', (202, 208)) ('HSP90', 'Gene', '3320', (123, 128)) ('HSP90alpha', 'Gene', '3320', (123, 133)) ('Secretion', 'MPA', (0, 9)) ('plasma', 'MPA', (116, 122)) ('patients', 'Species', '9606', (183, 191)) 39567 32923112 Western blotting and proteomics may identify ELISA false negative results for HSP90alpha, particularly in patients with low ADAM10 expression and those with hyperphosphorylated HSP90alpha. ('HSP90alpha', 'Gene', (78, 88)) ('HSP90alpha', 'Gene', '3320', (177, 187)) ('expression', 'MPA', (131, 141)) ('low', 'NegReg', (120, 123)) ('patients', 'Species', '9606', (106, 114)) ('ADAM10', 'Gene', '102', (124, 130)) ('HSP90alpha', 'Gene', '3320', (78, 88)) ('hyperphosphorylated', 'Var', (157, 176)) ('ADAM10', 'Gene', (124, 130)) ('HSP90alpha', 'Gene', (177, 187)) ('negative', 'NegReg', (57, 65)) 39757 31895819 Mean surgery time was longer in patients underwent PMC than those without PMC (SMD = 0.41 95%CI: 0.23-0.60, P < .001, Fig. ('PMC', 'Var', (51, 54)) ('patients', 'Species', '9606', (32, 40)) ('longer', 'PosReg', (22, 28)) 39758 31895819 Patients underwent PMC suffered from more blood loss during thymectomy than non-PMC patients (SMD = 0.35 95%CI: 0.16-0.54 P < .001, Fig. ('PMC', 'Var', (19, 22)) ('blood loss', 'Disease', (42, 52)) ('patients', 'Species', '9606', (84, 92)) ('Patients', 'Species', '9606', (0, 8)) ('blood loss', 'Disease', 'MESH:D006473', (42, 52)) 39790 31895819 In our opinion, the large-dose anti-cholinesterase medication was used in MG patients with worse MG situations and higher clinical stages, so large-dose pyridostigmine represents a higher risk of PMC. ('MG', 'Disease', 'MESH:D009157', (97, 99)) ('pyridostigmine', 'Chemical', 'MESH:D011729', (153, 167)) ('MG', 'Disease', 'MESH:D009157', (74, 76)) ('large-dose', 'Var', (142, 152)) ('patients', 'Species', '9606', (77, 85)) ('PMC', 'Disease', (196, 199)) 39895 24646138 This retrospective study was conducted in order to investigate whether the rate of recurrence is significantly different following thymoma resection relative to the extent of Resection. ('thymoma', 'Gene', (131, 138)) ('resection', 'Var', (139, 148)) ('thymoma', 'Phenotype', 'HP:0100522', (131, 138)) ('thymoma', 'Gene', '7063', (131, 138)) 39982 33847622 The thymic adenocarcinoma and type A thymoma both had the mutation of KMT2A, but the mutation sites were different. ('thymic adenocarcinoma', 'Disease', (4, 25)) ('thymoma', 'Phenotype', 'HP:0100522', (37, 44)) ('carcinoma', 'Phenotype', 'HP:0030731', (16, 25)) ('mutation', 'Var', (58, 66)) ('thymic adenocarcinoma', 'Disease', 'MESH:D000230', (4, 25)) ('KMT2A', 'Gene', (70, 75)) ('type A thymoma', 'Disease', (30, 44)) ('KMT2A', 'Gene', '4297', (70, 75)) ('type A thymoma', 'Disease', 'MESH:D013945', (30, 44)) 39983 33847622 KMT2A mutation may be a common genetic change in thymic tumorigenesis. ('tumor', 'Phenotype', 'HP:0002664', (56, 61)) ('tumor', 'Disease', (56, 61)) ('mutation', 'Var', (6, 14)) ('KMT2A', 'Gene', (0, 5)) ('KMT2A', 'Gene', '4297', (0, 5)) ('tumor', 'Disease', 'MESH:D009369', (56, 61)) 40015 33847622 The thymic adenocarcinoma harbored many mutations, including ARID1A c.421del(p.A141Pfs*91) (Fig. ('ARID1A', 'Gene', (61, 67)) ('carcinoma', 'Phenotype', 'HP:0030731', (16, 25)) ('ARID1A', 'Gene', '8289', (61, 67)) ('thymic adenocarcinoma', 'Disease', 'MESH:D000230', (4, 25)) ('thymic adenocarcinoma', 'Disease', (4, 25)) ('p.A141Pfs*91', 'Mutation', 'p.A141PfsX91', (77, 89)) ('c.421del', 'Mutation', 'c.421del', (68, 76)) ('c.421del', 'Var', (68, 76)) 40016 33847622 3A), CTCF c.517G>T(p.G173*) (Fig. ('CTCF', 'Gene', '10664', (5, 9)) ('c.517G>T', 'Mutation', 'c.517G>T', (10, 18)) ('p.G173*', 'Mutation', 'p.G173fsX', (19, 26)) ('CTCF', 'Gene', (5, 9)) ('c.517G>T', 'Var', (10, 18)) 40017 33847622 3B), KMT2A c.2155A>C(p.S719R) (Fig. ('KMT2A', 'Gene', (5, 10)) ('p.S719R', 'Mutation', 'p.S719R', (21, 28)) ('KMT2A', 'Gene', '4297', (5, 10)) ('c.2155A>C', 'Var', (11, 20)) ('c.2155A>C', 'Mutation', 'c.2155A>C', (11, 20)) 40018 33847622 3C), BAP1 c.673G>A(p.D225N), ERBIN c.2900C>G(p.S967C), LZTR1 c.2216C>T(p.S739L), POLE c.52G>C(p.E18Q), and SRC c.1334A>C(p.K445T) (Supplemental Figure 1). ('c.2216C>T', 'Var', (61, 70)) ('c.673G>A', 'Mutation', 'rs1409798282', (10, 18)) ('c.2900C>G', 'Var', (35, 44)) ('p.K445T', 'Mutation', 'p.K445T', (121, 128)) ('c.52G>C', 'Mutation', 'c.52G>C', (86, 93)) ('ERBIN', 'Gene', (29, 34)) ('BAP1', 'Gene', '8314', (5, 9)) ('p.S967C', 'Mutation', 'p.S967C', (45, 52)) ('ERBIN', 'Gene', '55914', (29, 34)) ('p.S739L', 'Mutation', 'rs762991620', (71, 78)) ('c.1334A>C', 'Mutation', 'c.1334A>C', (111, 120)) ('LZTR1', 'Gene', (55, 60)) ('c.2900C>G', 'Mutation', 'c.2900C>G', (35, 44)) ('BAP1', 'Gene', (5, 9)) ('SRC', 'Gene', '6714', (107, 110)) ('p.E18Q', 'Mutation', 'p.E18Q', (94, 100)) ('LZTR1', 'Gene', '8216', (55, 60)) ('p.D225N', 'Mutation', 'rs1409798282', (19, 26)) ('c.2216C>T', 'Mutation', 'rs762991620', (61, 70)) ('c.673G>A', 'Var', (10, 18)) ('SRC', 'Gene', (107, 110)) 40019 33847622 The type A thymoma showed KMT2A c.5343del(p.V1782Yfs*38) and NRAS c.182A>G(p.Q61R) mutations (Fig. ('p.Q61R', 'Mutation', 'rs11554290', (75, 81)) ('type A thymoma', 'Disease', (4, 18)) ('KMT2A', 'Gene', (26, 31)) ('type A thymoma', 'Disease', 'MESH:D013945', (4, 18)) ('c.5343del', 'Mutation', 'c.5343del', (32, 41)) ('p.V1782Yfs*38', 'Mutation', 'p.V1782YfsX38', (42, 55)) ('c.182A>G', 'Mutation', 'rs11554290', (66, 74)) ('KMT2A', 'Gene', '4297', (26, 31)) ('NRAS', 'Gene', (61, 65)) ('thymoma', 'Phenotype', 'HP:0100522', (11, 18)) ('c.5343del', 'Var', (32, 41)) ('NRAS', 'Gene', '4893', (61, 65)) 40020 33847622 The MIA revealed a BRAF c.1405G>A(p.G469R) mutation (Fig. ('p.G469R', 'Mutation', 'rs121913357', (34, 41)) ('BRAF', 'Gene', '673', (19, 23)) ('c.1405G>A', 'Var', (24, 33)) ('c.1405G>A', 'Mutation', 'rs121913357', (24, 33)) ('BRAF', 'Gene', (19, 23)) 40034 33847622 Although the thymic adenocarcinoma and type A thymoma both had the mutation of KMT2A, the mutation sites were different. ('mutation', 'Var', (67, 75)) ('thymoma', 'Phenotype', 'HP:0100522', (46, 53)) ('thymic adenocarcinoma', 'Disease', 'MESH:D000230', (13, 34)) ('type A thymoma', 'Disease', (39, 53)) ('KMT2A', 'Gene', (79, 84)) ('thymic adenocarcinoma', 'Disease', (13, 34)) ('KMT2A', 'Gene', '4297', (79, 84)) ('type A thymoma', 'Disease', 'MESH:D013945', (39, 53)) ('carcinoma', 'Phenotype', 'HP:0030731', (25, 34)) 40036 33847622 Previous studies identified many genetic aberrations in thymic adenocarcinoma, including a homozygous deletion at the HLA locus and KRAS mutation. ('KRAS', 'Gene', (132, 136)) ('HLA', 'Gene', (118, 121)) ('KRAS', 'Gene', '3845', (132, 136)) ('deletion', 'Var', (102, 110)) ('carcinoma', 'Phenotype', 'HP:0030731', (68, 77)) ('thymic adenocarcinoma', 'Disease', 'MESH:D000230', (56, 77)) ('thymic adenocarcinoma', 'Disease', (56, 77)) 40039 33847622 Here, we showed the mutation of KMT2A can occur in thymic adenocarcinoma and type A thymoma, suggesting that KMT2A mutation may not specific to type B2 and B3 thymomas, but a common genetic change in thymic tumorigenesis. ('thymomas', 'Disease', (159, 167)) ('KMT2A', 'Gene', (32, 37)) ('occur', 'Reg', (42, 47)) ('KMT2A', 'Gene', (109, 114)) ('mutation', 'Var', (20, 28)) ('KMT2A', 'Gene', '4297', (32, 37)) ('thymomas', 'Disease', 'MESH:D013945', (159, 167)) ('tumor', 'Disease', 'MESH:D009369', (207, 212)) ('thymoma', 'Phenotype', 'HP:0100522', (84, 91)) ('KMT2A', 'Gene', '4297', (109, 114)) ('tumor', 'Phenotype', 'HP:0002664', (207, 212)) ('thymic adenocarcinoma', 'Disease', 'MESH:D000230', (51, 72)) ('thymic adenocarcinoma', 'Disease', (51, 72)) ('tumor', 'Disease', (207, 212)) ('type A thymoma', 'Disease', (77, 91)) ('carcinoma', 'Phenotype', 'HP:0030731', (63, 72)) ('type A thymoma', 'Disease', 'MESH:D013945', (77, 91)) ('thymoma', 'Phenotype', 'HP:0100522', (159, 166)) 40040 33847622 ARID1A mutation was found in a B2 thymoma previously. ('ARID1A', 'Gene', '8289', (0, 6)) ('thymoma', 'Disease', 'MESH:D013945', (34, 41)) ('ARID1A', 'Gene', (0, 6)) ('thymoma', 'Disease', (34, 41)) ('mutation', 'Var', (7, 15)) ('found', 'Reg', (20, 25)) ('thymoma', 'Phenotype', 'HP:0100522', (34, 41)) 40069 31608320 TMB, which reflects the number of non-synonymous single nucleotide variants (nsSNVs) in a tumor affects the odds of generating antigens that can trigger an anti-tumor immune response and thereby influence the ability of ICIs to generate clinical responses in patients. ('single nucleotide variants', 'Var', (49, 75)) ('patients', 'Species', '9606', (259, 267)) ('tumor', 'Phenotype', 'HP:0002664', (90, 95)) ('tumor', 'Disease', (90, 95)) ('clinical responses', 'CPA', (237, 255)) ('tumor', 'Disease', 'MESH:D009369', (161, 166)) ('influence', 'Reg', (195, 204)) ('ICI', 'Chemical', 'MESH:C481040', (220, 223)) ('tumor', 'Phenotype', 'HP:0002664', (161, 166)) ('antigens', 'MPA', (127, 135)) ('trigger', 'Reg', (145, 152)) ('ICIs', 'CPA', (220, 224)) ('tumor', 'Disease', (161, 166)) ('tumor', 'Disease', 'MESH:D009369', (90, 95)) 40098 31608320 High PD-L1 expression was associated with longer survival (median PFS 24 vs. 2.9 months; median OS not reached vs. 15.5 months). ('High', 'Var', (0, 4)) ('PD-L1', 'Gene', (5, 10)) ('expression', 'MPA', (11, 21)) ('longer', 'PosReg', (42, 48)) ('PD-L1', 'Gene', '29126', (5, 10)) 40102 31608320 Tumors with high PD-L1 expression were more likely to respond to treatment. ('PD-L1', 'Gene', '29126', (17, 22)) ('Tumor', 'Phenotype', 'HP:0002664', (0, 5)) ('respond to treatment', 'MPA', (54, 74)) ('high', 'Var', (12, 16)) ('Tumors', 'Disease', (0, 6)) ('Tumors', 'Disease', 'MESH:D009369', (0, 6)) ('Tumors', 'Phenotype', 'HP:0002664', (0, 6)) ('PD-L1', 'Gene', (17, 22)) ('expression', 'MPA', (23, 33)) 40109 31608320 High PD-L1 expression appears to be associated with a greater likelihood of response and a subset of patients achieve durable responses. ('PD-L1', 'Gene', (5, 10)) ('patients', 'Species', '9606', (101, 109)) ('PD-L1', 'Gene', '29126', (5, 10)) ('High', 'Var', (0, 4)) 40114 31608320 Evaluation of peripheral blood mononuclear cells showed a strong immunologic response to the epitope of mutated CDC73 protein. ('CDC73', 'Gene', '79577', (112, 117)) ('protein', 'Protein', (118, 125)) ('mutated', 'Var', (104, 111)) ('CDC73', 'Gene', (112, 117)) 40139 31608320 The risk of irAEs affecting most other organ systems, such as the lungs, gastrointestinal tract, skin and endocrine organs, does not appear to be substantially higher in TET patients when compared with patients with other cancers. ('TET', 'Var', (170, 173)) ('irAEs', 'Disease', (12, 17)) ('cancers', 'Phenotype', 'HP:0002664', (222, 229)) ('patients', 'Species', '9606', (202, 210)) ('cancers', 'Disease', (222, 229)) ('patients', 'Species', '9606', (174, 182)) ('cancers', 'Disease', 'MESH:D009369', (222, 229)) ('gastrointestinal tract', 'Disease', 'MESH:D005770', (73, 95)) ('cancer', 'Phenotype', 'HP:0002664', (222, 228)) ('gastrointestinal tract', 'Disease', (73, 95)) 40150 31608320 These observations merit further investigation and should prompt consideration of avoiding immunotherapy in thymoma patients with anti-AchR autoantibodies and severe B-cell lymphopenia even in the absence of a clinical history of paraneoplastic autoimmune disease. ('autoimmune disease', 'Phenotype', 'HP:0002960', (245, 263)) ('B-cell lymphopenia', 'Disease', (166, 184)) ('anti-AchR autoantibodies', 'Var', (130, 154)) ('patients', 'Species', '9606', (116, 124)) ('thymoma', 'Disease', 'MESH:D013945', (108, 115)) ('paraneoplastic autoimmune disease', 'Disease', 'MESH:D001327', (230, 263)) ('lymphopenia', 'Phenotype', 'HP:0001888', (173, 184)) ('B-cell lymphopenia', 'Phenotype', 'HP:0010976', (166, 184)) ('thymoma', 'Disease', (108, 115)) ('autoantibodies', 'Var', (140, 154)) ('paraneoplastic autoimmune disease', 'Disease', (230, 263)) ('thymoma', 'Phenotype', 'HP:0100522', (108, 115)) ('B-cell lymphopenia', 'Disease', 'MESH:D008231', (166, 184)) 40406 32341644 MM-or-better status was defined as the goal treatment for TMG patients. ('men', 'Species', '9606', (49, 52)) ('MM-or-better', 'Var', (0, 12)) ('patients', 'Species', '9606', (62, 70)) ('TMG', 'Disease', (58, 61)) 40412 32341644 Myasthenia gravis (MG) is an autoimmune neuromuscular disorder predominantly mediated by antibodies against the acetylcholine receptor (AChR). ('AChR', 'Gene', (136, 140)) ('antibodies', 'Var', (89, 99)) ('Myasthenia gravis', 'Disease', (0, 17)) ('Myasthenia gravis', 'Disease', 'MESH:D009157', (0, 17)) ('autoimmune neuromuscular disorder', 'Disease', (29, 62)) ('mediated by', 'Reg', (77, 88)) ('Myasthenia', 'Phenotype', 'HP:0003473', (0, 10)) ('autoimmune neuromuscular disorder', 'Phenotype', 'HP:0002960', (29, 62)) ('autoimmune neuromuscular disorder', 'Disease', 'MESH:D001327', (29, 62)) ('acetylcholine', 'Chemical', 'MESH:D000109', (112, 125)) 40435 32341644 The myasthenia gravis foundation of America (MGFA) classified post-intervention status (PIS) as complete stable remission (CSR), pharmacologic remission (PR), minimal manifestation (MM), improved (I), unchanged (U), worse (W), exacerbation (E) and died of MG (D of MG). ('exacerbation', 'PosReg', (227, 239)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (4, 21)) ('minimal', 'Var', (159, 166)) ('improved', 'PosReg', (187, 195)) ('myasthenia', 'Phenotype', 'HP:0003473', (4, 14)) ('worse', 'Reg', (216, 221)) ('myasthenia gravis', 'Disease', (4, 21)) 40484 32341644 A Norwegian study showed that patients with high anti-titin Ab levels had a more severe course of MG, but a study on Japanese patients showed the opposite result when controlled for onset age. ('high', 'Var', (44, 48)) ('patients', 'Species', '9606', (30, 38)) ('titin', 'Gene', '7273', (54, 59)) ('patients', 'Species', '9606', (126, 134)) ('titin', 'Gene', (54, 59)) 40486 32341644 The incidence of thymoma in our MG patients was B2 > B1 > AB > B3 > A. ('B2 > B1 > AB > B3 > A', 'Var', (48, 69)) ('thymoma', 'Disease', 'MESH:D013945', (17, 24)) ('thymoma', 'Disease', (17, 24)) ('thymoma', 'Phenotype', 'HP:0100522', (17, 24)) ('patients', 'Species', '9606', (35, 43)) 40593 29416500 A literature review of published reports describing anti-Hu positivity in thymic neoplasms highlighted that a definite autonomic disease due to anti-Hu antibodies is extremely rare in patients with thymoma but without myasthenia gravis, with only one case published so far. ('myasthenia', 'Phenotype', 'HP:0003473', (218, 228)) ('thymic neoplasms', 'Disease', 'MESH:D013953', (74, 90)) ('autonomic disease', 'Disease', (119, 136)) ('autonomic disease', 'Disease', 'MESH:D001342', (119, 136)) ('thymic neoplasms', 'Disease', (74, 90)) ('anti-Hu', 'Var', (144, 151)) ('thymic neoplasm', 'Phenotype', 'HP:0100521', (74, 89)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (218, 235)) ('thymic neoplasms', 'Phenotype', 'HP:0100521', (74, 90)) ('neoplasms', 'Phenotype', 'HP:0002664', (81, 90)) ('autonomic disease', 'Phenotype', 'HP:0012332', (119, 136)) ('Hu positivity', 'Phenotype', 'HP:0030873', (57, 70)) ('neoplasm', 'Phenotype', 'HP:0002664', (81, 89)) ('patients', 'Species', '9606', (184, 192)) ('thymoma', 'Phenotype', 'HP:0100522', (198, 205)) ('myasthenia gravis', 'Disease', (218, 235)) ('due', 'Reg', (137, 140)) ('thymoma', 'Gene', '7063', (198, 205)) ('thymoma', 'Gene', (198, 205)) 40624 29416500 Histological examination of the mass confirmed a pT2N0 thymoma (modified Masaoka clinical staging 2b; Koga et al.,). ('pT2N0', 'Var', (49, 54)) ('thymoma', 'Gene', (55, 62)) ('thymoma', 'Gene', '7063', (55, 62)) ('thymoma', 'Phenotype', 'HP:0100522', (55, 62)) 40633 29416500 Indeed, ANNA-1 are known to produce definite PNS syndrome with chronic gastrointestinal pseudo-obstruction or, less frequently, acute pandysautonomia (Antoine and Camdessanche,). ('dysautonomia', 'Phenotype', 'HP:0012332', (137, 149)) ('chronic gastrointestinal pseudo-obstruction', 'Disease', (63, 106)) ('PNS syndrome', 'Disease', 'MESH:D010523', (45, 57)) ('acute pandysautonomia', 'Disease', 'MESH:D059787', (128, 149)) ('intestinal pseudo-obstruction', 'Phenotype', 'HP:0004389', (77, 106)) ('acute pandysautonomia', 'Disease', (128, 149)) ('chronic gastrointestinal pseudo-obstruction', 'Disease', 'MESH:D007418', (63, 106)) ('ANNA-1', 'Var', (8, 14)) ('PNS syndrome', 'Disease', (45, 57)) 40642 29416500 Furthermore, retrospective screening of ANNA-1 positivity in 172 individuals with thymoma calculated an overall frequency of 3%, corresponding to 5 patients (Vernino et al.,), whose data are also reported in a more recent survey (Vernino and Lennon,). ('patients', 'Species', '9606', (148, 156)) ('ANNA-1', 'Gene', (40, 46)) ('thymoma', 'Phenotype', 'HP:0100522', (82, 89)) ('thymoma', 'Gene', '7063', (82, 89)) ('thymoma', 'Gene', (82, 89)) ('positivity', 'Var', (47, 57)) 40643 29416500 Another case of thymoma with anti-Hu antibodies and PNS was described in a young male patient with myasthenia gravis (Simonelli et al.,). ('anti-Hu', 'Var', (29, 36)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (99, 116)) ('thymoma', 'Phenotype', 'HP:0100522', (16, 23)) ('myasthenia', 'Phenotype', 'HP:0003473', (99, 109)) ('thymoma', 'Gene', '7063', (16, 23)) ('thymoma', 'Gene', (16, 23)) ('patient', 'Species', '9606', (86, 93)) ('myasthenia gravis', 'Disease', (99, 116)) 40843 27347224 Each condition involves a mutation in the dystrophin gene which codes for a large protein that is part of the dystrophin-glycoprotein complex. ('mutation', 'Var', (26, 34)) ('dystrophin', 'Gene', '1756', (110, 120)) ('dystrophin', 'Gene', (42, 52)) ('dystrophin', 'Gene', (110, 120)) ('codes', 'Reg', (64, 69)) ('dystrophin', 'Gene', '1756', (42, 52)) 40846 27347224 DMD is an X-linked recessive disorder whereby mutations in the dystrophin gene disrupt the reading frame and result in absent dystrophin protein, which links cytoplasmic actin to the dystrophin-glycoprotein complex at the cell membrane. ('dystrophin', 'Gene', (183, 193)) ('mutations', 'Var', (46, 55)) ('DMD', 'Disease', 'MESH:D020388', (0, 3)) ('disrupt', 'NegReg', (79, 86)) ('dystrophin', 'Gene', '1756', (63, 73)) ('dystrophin', 'Gene', (126, 136)) ('DMD', 'Disease', (0, 3)) ('absent dystrophin protein', 'Phenotype', 'HP:0030097', (119, 144)) ('dystrophin', 'Gene', '1756', (183, 193)) ('reading frame', 'MPA', (91, 104)) ('X-linked recessive disorder', 'Disease', (10, 37)) ('X-linked recessive disorder', 'Disease', 'MESH:D040181', (10, 37)) ('dystrophin', 'Gene', (63, 73)) ('absent', 'NegReg', (119, 125)) ('dystrophin', 'Gene', '1756', (126, 136)) 40869 27347224 Mutations in the 5' end of the dystrophin gene lead to absence of the M-isoform in the heart and skeletal muscle (though skeletal is protected due to intact exon skipping). ('dystrophin', 'Gene', '1756', (31, 41)) ('Mutations', 'Var', (0, 9)) ('absence', 'NegReg', (55, 62)) ('dystrophin', 'Gene', (31, 41)) ('M-isoform', 'MPA', (70, 79)) 40876 27347224 In X-linked EDMD, mutations are seen in the emerin gene, which produces a protein component of the inner nuclear membrane. ('emerin', 'Gene', (44, 50)) ('X-linked EDMD', 'Disease', 'MESH:C564052', (3, 16)) ('emerin', 'Gene', '2010', (44, 50)) ('X-linked EDMD', 'Disease', (3, 16)) ('mutations', 'Var', (18, 27)) 40881 27347224 Autosomal Dominant Emery-Dreifuss muscular dystrophy (EDMD2) is caused by a mutation in lamin A/C gene. ('Emery-Dreifuss muscular dystrophy', 'Disease', (19, 52)) ('EDMD2', 'Disease', 'MESH:D020389', (54, 59)) ('muscular dystrophy', 'Phenotype', 'HP:0003560', (34, 52)) ('lamin A/C', 'Gene', (88, 97)) ('caused by', 'Reg', (64, 73)) ('lamin A/C', 'Gene', '4000', (88, 97)) ('EDMD2', 'Disease', (54, 59)) ('mutation', 'Var', (76, 84)) ('Emery-Dreifuss muscular dystrophy', 'Disease', 'MESH:D020389', (19, 52)) 40886 27347224 Cardiac abnormalities vary among the subtypes and LGMD1B has clinically significant cardiac findings. ('LGMD', 'Phenotype', 'HP:0006785', (50, 54)) ('LGMD1B', 'Var', (50, 56)) ('Cardiac abnormalities', 'Disease', 'MESH:D006331', (0, 21)) ('cardiac', 'MPA', (84, 91)) ('Cardiac abnormalities', 'Phenotype', 'HP:0001627', (0, 21)) ('Cardiac abnormalities', 'Disease', (0, 21)) 40892 27347224 These result in mutations in proteins of the sarcoglycan complex, part of the dystrophin-glycoprotein complex. ('dystrophin', 'Gene', (78, 88)) ('mutations', 'Var', (16, 25)) ('proteins', 'Protein', (29, 37)) ('result in', 'Reg', (6, 15)) ('dystrophin', 'Gene', '1756', (78, 88)) 40903 27347224 DM1 results from an expansion of the trinucleotide CTG in the 3' untranslated region of the myotonic dystrophy protein kinase (DMPK) gene. ('trinucleotide CTG', 'Chemical', '-', (37, 54)) ('DM1', 'Gene', (0, 3)) ('results from', 'Reg', (4, 16)) ('myotonic dystrophy protein kinase', 'Gene', (92, 125)) ('DMPK', 'Gene', '1760', (127, 131)) ('expansion', 'Var', (20, 29)) ('DMPK', 'Gene', (127, 131)) ('DM1', 'Gene', '1760', (0, 3)) ('myotonic dystrophy protein kinase', 'Gene', '1760', (92, 125)) 40911 27347224 Holter monitoring should be performed in patients with EKG abnormalities as a means for detecting asymptomatic arrhythmias or conduction block. ('conduction block', 'Disease', 'MESH:D054537', (126, 142)) ('arrhythmias', 'Disease', (111, 122)) ('arrhythmias', 'Phenotype', 'HP:0011675', (111, 122)) ('EKG abnormalities', 'Phenotype', 'HP:0003115', (55, 72)) ('patients', 'Species', '9606', (41, 49)) ('arrhythmia', 'Phenotype', 'HP:0011675', (111, 121)) ('conduction block', 'Disease', (126, 142)) ('abnormalities', 'Var', (59, 72)) ('arrhythmias', 'Disease', 'MESH:D001145', (111, 122)) 40921 27347224 Studies have showed that only 5% of patients treated with deflazacort for >3 years had a significantly decreased EF, compared with 58% of untreated patients. ('patients', 'Species', '9606', (148, 156)) ('patients', 'Species', '9606', (36, 44)) ('decreased', 'NegReg', (103, 112)) ('deflazacort', 'Var', (58, 69)) ('deflazacort', 'Chemical', 'MESH:C021988', (58, 69)) 40942 27347224 Based on these, P188 could become an important acute therapy in DMD during times of increased cardiac stress. ('DMD', 'Disease', (64, 67)) ('P188', 'Var', (16, 20)) ('DMD', 'Disease', 'MESH:D020388', (64, 67)) 40945 27347224 Gene therapy offers the promise of a cure by replacing the mutated dystrophin gene in all muscle tissues. ('dystrophin', 'Gene', '1756', (67, 77)) ('dystrophin', 'Gene', (67, 77)) ('mutated', 'Var', (59, 66)) 40947 27347224 The basis of exon-skipping therapy is to use splice-switching oligonucleotides to bypass the mutated exam with a stop codon and continue to translate a smaller, truncated dystrophin protein. ('dystrophin', 'Gene', (171, 181)) ('mutated', 'Var', (93, 100)) ('smaller', 'NegReg', (152, 159)) ('oligonucleotides', 'Chemical', 'MESH:D009841', (62, 78)) ('dystrophin', 'Gene', '1756', (171, 181)) 40952 27347224 Ataluren is an investigational orally administered drug being developed for the treatment of genetic defects caused by nonsense (stop) mutations. ('nonsense', 'Var', (119, 127)) ('genetic defects', 'Disease', 'MESH:D030342', (93, 108)) ('genetic defects', 'Disease', (93, 108)) 40962 27347224 In addition, Ach receptor antibodies react with portions of the autonomic nervous system leading to cardiac arrhythmias or other disturbances of hemodynamics. ('arrhythmias', 'Phenotype', 'HP:0011675', (108, 119)) ('antibodies', 'Var', (26, 36)) ('cardiac arrhythmias', 'Disease', 'MESH:D001145', (100, 119)) ('cardiac arrhythmias', 'Disease', (100, 119)) ('Ach receptor', 'Gene', (13, 25)) ('leading to', 'Reg', (89, 99)) ('cardiac arrhythmia', 'Phenotype', 'HP:0011675', (100, 118)) ('arrhythmia', 'Phenotype', 'HP:0011675', (108, 118)) ('react', 'Reg', (37, 42)) ('cardiac arrhythmias', 'Phenotype', 'HP:0011675', (100, 119)) ('disturbances of hemodynamics', 'MPA', (129, 157)) 40973 27347224 Another series of 650 myasthenic patients reported that myocarditis was clinically suspected in about 12% of those with antibodies to Kv 1.4 but in none of those without. ('patients', 'Species', '9606', (33, 41)) ('antibodies', 'Var', (120, 130)) ('myasthenic', 'Disease', (22, 32)) ('myocarditis', 'Disease', 'MESH:D009205', (56, 67)) ('Kv 1.4', 'Gene', (134, 140)) ('myasthenic', 'Disease', 'MESH:D020294', (22, 32)) ('myocarditis', 'Phenotype', 'HP:0012819', (56, 67)) ('myocarditis', 'Disease', (56, 67)) 40983 27347224 Patients with these ganglionic Ach receptor antibodies can present with cardiac arrhythmia as part of a pan-dysautonomia with abnormalities of gastric motility, othostatic hypotension and sudomotor activity. ('present with', 'Reg', (59, 71)) ('othostatic hypotension', 'Disease', (161, 183)) ('hypotension', 'Phenotype', 'HP:0002615', (172, 183)) ('cardiac arrhythmia', 'Disease', (72, 90)) ('othostatic hypotension', 'Disease', 'MESH:D007022', (161, 183)) ('dysautonomia with abnormalities of gastric motility', 'Disease', 'MESH:D054969', (108, 159)) ('antibodies', 'Var', (44, 54)) ('abnormalities of gastric motility', 'Phenotype', 'HP:0030895', (126, 159)) ('dysautonomia', 'Phenotype', 'HP:0012332', (108, 120)) ('Patients', 'Species', '9606', (0, 8)) ('ganglionic', 'Protein', (20, 30)) ('cardiac arrhythmia', 'Disease', 'MESH:D001145', (72, 90)) ('-dysautonomia', 'Phenotype', 'HP:0012332', (107, 120)) ('sudomotor activity', 'Phenotype', 'HP:0000970', (188, 206)) ('cardiac arrhythmia', 'Phenotype', 'HP:0011675', (72, 90)) ('othostatic hypotension', 'Phenotype', 'HP:0001278', (161, 183)) ('arrhythmia', 'Phenotype', 'HP:0011675', (80, 90)) 40989 27347224 Arrhythmia related to dysautonomia from antiganglionic Ach receptor antibodies will often improve with anticholinesterase or immunomodulatory treatment. ('dysautonomia', 'Phenotype', 'HP:0012332', (22, 34)) ('Arrhythmia', 'Disease', (0, 10)) ('cholinesterase', 'Gene', (107, 121)) ('cholinesterase', 'Gene', '590', (107, 121)) ('Arrhythmia', 'Phenotype', 'HP:0011675', (0, 10)) ('antibodies', 'Var', (68, 78)) ('improve', 'PosReg', (90, 97)) ('dysautonomia', 'Disease', (22, 34)) ('Arrhythmia', 'Disease', 'MESH:D001145', (0, 10)) ('antiganglionic', 'Var', (40, 54)) ('Ach receptor', 'Gene', (55, 67)) ('dysautonomia', 'Disease', 'MESH:D054969', (22, 34)) 41005 26365387 Important examples include autoimmune polyendocrine syndrome type I (APS-1) associated with antibodies against type I interferons and TH17-related cytokines, pulmonary alveolar proteinosis (PAP) caused by antibodies against GM-CSF, and acquired susceptibility to mycobacterial infection associated with antibodies to IFN-gamma. ('IFN-gamma', 'Gene', '3458', (317, 326)) ('IFN-gamma', 'Gene', (317, 326)) ('mycobacterial infection', 'Phenotype', 'HP:0011274', (263, 286)) ('susceptibility to mycobacterial infection', 'Phenotype', 'HP:0011274', (245, 286)) ('TH1', 'Gene', (134, 137)) ('APS-1', 'Gene', '326', (69, 74)) ('associated', 'Reg', (76, 86)) ('antibodies', 'Var', (205, 215)) ('mycobacterial infection', 'Disease', 'MESH:D009165', (263, 286)) ('antibodies', 'Var', (92, 102)) ('alveolar proteinosis', 'Phenotype', 'HP:0006517', (168, 188)) ('TH1', 'Gene', '51497', (134, 137)) ('autoimmune polyendocrine syndrome type I', 'Disease', (27, 67)) ('autoimmune polyendocrine syndrome type I', 'Disease', 'MESH:C538275', (27, 67)) ('pulmonary alveolar proteinosis', 'Disease', 'MESH:D011649', (158, 188)) ('mycobacterial infection', 'Disease', (263, 286)) ('GM-CSF', 'Gene', (224, 230)) ('pulmonary alveolar proteinosis', 'Disease', (158, 188)) ('APS-1', 'Gene', (69, 74)) 41051 26365387 We observed that all 5 patients with APS-1 in the cohort (101B, 096B, 094T, 561T, and 098T) fell within this assignment. ('APS-1', 'Gene', (37, 42)) ('561T', 'CellLine', 'CVCL:N758', (76, 80)) ('patients', 'Species', '9606', (23, 31)) ('561T', 'Var', (76, 80)) ('101B', 'Var', (58, 62)) ('094T', 'Var', (70, 74)) ('APS-1', 'Gene', '326', (37, 42)) 41052 26365387 The other 4 patients with high type I interferon reactivity all had chronic candidiasis, a key clinical feature of APS-1, which in patients with APS-1 has been proposed to be caused by neutralizing ACAAs to the TH17 cytokines IL-17A, IL-17F, and IL-22. ('patients', 'Species', '9606', (131, 139)) ('IL-22', 'Gene', '50616', (246, 251)) ('patients', 'Species', '9606', (12, 20)) ('IL-22', 'Gene', (246, 251)) ('TH1', 'Gene', (211, 214)) ('chronic candidiasis', 'Disease', 'MESH:D002177', (68, 87)) ('chronic candidiasis', 'Disease', (68, 87)) ('IL-17F', 'Gene', '112744', (234, 240)) ('ACAAs', 'Chemical', '-', (198, 203)) ('IL-17A', 'Gene', '3605', (226, 232)) ('neutralizing', 'Var', (185, 197)) ('TH1', 'Gene', '51497', (211, 214)) ('APS-1', 'Gene', '326', (145, 150)) ('IL-17A', 'Gene', (226, 232)) ('APS-1', 'Gene', '326', (115, 120)) ('APS-1', 'Gene', (145, 150)) ('APS-1', 'Gene', (115, 120)) ('IL-17F', 'Gene', (234, 240)) 41053 26365387 Two of these 4 patients (092B and 512B) had coincident thymoma, for which antibodies against type I interferons and TH1 and TH17 cytokines have been described. ('patients', 'Species', '9606', (15, 23)) ('TH1', 'Gene', '51497', (116, 119)) ('092B', 'Var', (25, 29)) ('TH1', 'Gene', '51497', (124, 127)) ('TH1', 'Gene', (116, 119)) ('thymoma', 'Disease', 'MESH:D013945', (55, 62)) ('thymoma', 'Disease', (55, 62)) ('TH1', 'Gene', (124, 127)) ('thymoma', 'Phenotype', 'HP:0100522', (55, 62)) 41055 26365387 Given the specificity of type I interferon ACAAs for APS-1 and the clinical similarity of these patients with those with APS-1, we speculate that these patients might harbor an undescribed mutation in AIRE or a mutation in a gene that might phenocopy APS-1. ('AIRE', 'Gene', '326', (201, 205)) ('APS-1', 'Gene', '326', (53, 58)) ('APS-1', 'Gene', (53, 58)) ('APS-1', 'Gene', '326', (121, 126)) ('harbor', 'Reg', (167, 173)) ('APS-1', 'Gene', '326', (251, 256)) ('mutation', 'Var', (189, 197)) ('APS-1', 'Gene', (251, 256)) ('patients', 'Species', '9606', (152, 160)) ('patients', 'Species', '9606', (96, 104)) ('AIRE', 'Gene', (201, 205)) ('APS-1', 'Gene', (121, 126)) ('ACAAs', 'Chemical', '-', (43, 48)) 41077 26365387 In the presence of sera containing IFN-alphaACAAs but not the presence of sera from healthy control subjects, this synergistic increase in TNF-alpha levels was blocked (Fig 5, B). ('ACAAs', 'Chemical', '-', (44, 49)) ('IFN-alphaACAAs', 'Var', (35, 49)) ('TNF-alpha', 'Gene', (139, 148)) ('TNF-alpha', 'Gene', '7124', (139, 148)) 41096 26365387 Indeed, on both our protein microarrays and bead-based assay, serum samples 092B and 562B were reactive against IL-12 in addition to IL-23. ('IL-23', 'Gene', '51561', (133, 138)) ('562B', 'Var', (85, 89)) ('IL-12', 'Protein', (112, 117)) ('092B', 'Var', (76, 80)) ('IL-23', 'Gene', (133, 138)) 41098 26365387 Using both protein microarrays and our bead-based assay, we successfully detected ACAAs in samples 562B and 092B against the shared IL-12p40 subunit (Fig 2). ('p40', 'Gene', (137, 140)) ('detected', 'Reg', (73, 81)) ('562B', 'Var', (99, 103)) ('p40', 'Gene', '3578', (137, 140)) ('092B', 'Var', (108, 112)) ('ACAAs', 'Disease', (82, 87)) ('ACAAs', 'Chemical', '-', (82, 87)) 41102 26365387 After unblinding, we found that sample 514B was derived from a healthy control subject; however, this sample also demonstrated autoantibodies against the autoantigens PM/Scl-60, PM/Scl-100, and GRP-78, suggesting possible undiagnosed or not yet clinically apparent autoimmunity. ('PM/Scl-100', 'Gene', (178, 188)) ('autoimmunity', 'Disease', 'MESH:D001327', (265, 277)) ('GRP-78', 'Gene', (194, 200)) ('PM/Scl-60', 'Var', (167, 176)) ('GRP-78', 'Gene', '3309', (194, 200)) ('autoimmunity', 'Phenotype', 'HP:0002960', (265, 277)) ('autoimmunity', 'Disease', (265, 277)) ('PM/Scl-100', 'Gene', '5394', (178, 188)) 41104 26365387 The other MIP-1alpha-reactive sample (098B) was obtained from a patient with PAP and contained autoantibodies against GM-CSF and the autoantigens PM/Scl-60 and PM/Scl-100. ('patient', 'Species', '9606', (64, 71)) ('PM/Scl-100', 'Gene', '5394', (160, 170)) ('GM-CSF', 'Gene', (118, 124)) ('PM/Scl-100', 'Gene', (160, 170)) ('PM/Scl-60', 'Var', (146, 155)) ('MIP-1alpha', 'Gene', (10, 20)) ('MIP-1alpha', 'Gene', '6348', (10, 20)) 41147 25663933 Association between polymorphisms in the promoter region of T cell immunoglobulin and mucin domain-3 and myasthenia gravis-associated thymoma Thymoma is a type of benign or low-grade malignant tumor, occurring on the thymic epithelium. ('myasthenia', 'Phenotype', 'HP:0003473', (105, 115)) ('myasthenia', 'Disease', (105, 115)) ('thymoma', 'Disease', (134, 141)) ('Thymoma', 'Disease', 'MESH:D013945', (142, 149)) ('malignant tumor', 'Disease', 'MESH:D018198', (183, 198)) ('T cell immunoglobulin and mucin domain-3', 'Gene', '84868', (60, 100)) ('polymorphisms', 'Var', (20, 33)) ('malignant tumor', 'Disease', (183, 198)) ('thymoma', 'Phenotype', 'HP:0100522', (134, 141)) ('tumor', 'Phenotype', 'HP:0002664', (193, 198)) ('thymoma', 'Disease', 'MESH:D013945', (134, 141)) ('Thymoma', 'Phenotype', 'HP:0100522', (142, 149)) ('myasthenia', 'Disease', 'MESH:D020294', (105, 115)) ('Association', 'Interaction', (0, 11)) ('Thymoma', 'Disease', (142, 149)) 41150 25663933 In order to understand the etiology and pathogenesis of MG-associated thymoma in the Han population of North China, the present study investigated the association between a polymorphism on the -574 locus in the promoter of Tim-3 and the risk of MG-associated thymoma in the Han Chinese population. ('Tim-3', 'Gene', (223, 228)) ('thymoma', 'Disease', (259, 266)) ('association', 'Interaction', (151, 162)) ('thymoma', 'Disease', 'MESH:D013945', (70, 77)) ('thymoma', 'Phenotype', 'HP:0100522', (259, 266)) ('thymoma', 'Disease', (70, 77)) ('polymorphism on the -574', 'Var', (173, 197)) ('thymoma', 'Phenotype', 'HP:0100522', (70, 77)) ('thymoma', 'Disease', 'MESH:D013945', (259, 266)) 41154 25663933 In conclusion, the present study indicated that an association may exist between the polymorphism of the -574 locus in the Tim-3 promoter and MG-associated thymoma. ('thymoma', 'Phenotype', 'HP:0100522', (156, 163)) ('thymoma', 'Disease', (156, 163)) ('thymoma', 'Disease', 'MESH:D013945', (156, 163)) ('Tim-3', 'Gene', (123, 128)) ('polymorphism', 'Var', (85, 97)) 41174 25663933 Tim-3 polymorphism has been demonstrated to alter the interaction between Tim-3 and its ligand, thereby affecting the process that results in certain immune diseases and being actively involved in the pathogenesis of tumors. ('tumor', 'Phenotype', 'HP:0002664', (217, 222)) ('polymorphism', 'Var', (6, 18)) ('results in', 'Reg', (131, 141)) ('tumors', 'Disease', (217, 223)) ('alter', 'Reg', (44, 49)) ('tumors', 'Disease', 'MESH:D009369', (217, 223)) ('involved', 'Reg', (185, 193)) ('tumors', 'Phenotype', 'HP:0002664', (217, 223)) ('immune diseases', 'Disease', (150, 165)) ('Tim-3', 'Gene', (74, 79)) ('interaction', 'Interaction', (54, 65)) ('affecting', 'Reg', (104, 113)) ('Tim-3', 'Gene', (0, 5)) 41205 25663933 Therefore, the present study hypothesized that Tim-3 may be a protective factor of autoimmune diseases (it may protect patients from suffering from autoimmune diseases or decrease the possibility of suffering from autoimmune diseases), while Tim-3 polymorphisms may be closely associated with autoimmune diseases. ('autoimmune diseases', 'Disease', 'MESH:D001327', (214, 233)) ('polymorphisms', 'Var', (248, 261)) ('Tim-3', 'Gene', (47, 52)) ('autoimmune diseases', 'Disease', (214, 233)) ('associated', 'Reg', (277, 287)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (214, 233)) ('decrease', 'NegReg', (171, 179)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (293, 312)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (214, 232)) ('autoimmune diseases', 'Disease', (293, 312)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (293, 312)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (293, 311)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (148, 167)) ('Tim-3', 'Gene', (242, 247)) ('autoimmune diseases', 'Disease', (148, 167)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (148, 167)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (83, 101)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (148, 166)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (83, 102)) ('patients', 'Species', '9606', (119, 127)) ('autoimmune diseases', 'Disease', (83, 102)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (83, 102)) 41210 25663933 A recent study also demonstrated that, following tumor-associated expression of the receptor Tim-3 by dendritic cells, Tim-3 inhibited the antitumor efficacy of DNA vaccines and chemotherapy. ('tumor', 'Disease', 'MESH:D009369', (49, 54)) ('tumor', 'Disease', (143, 148)) ('Tim-3', 'Gene', (93, 98)) ('tumor', 'Phenotype', 'HP:0002664', (49, 54)) ('tumor', 'Disease', (49, 54)) ('chemotherapy', 'CPA', (178, 190)) ('Tim-3', 'Var', (119, 124)) ('inhibited', 'NegReg', (125, 134)) ('tumor', 'Disease', 'MESH:D009369', (143, 148)) ('tumor', 'Phenotype', 'HP:0002664', (143, 148)) 41211 25663933 Therefore, Tim-3 may be a risk factor of tumorigenesis, while Tim-3 polymorphisms may be associated with cancer. ('tumor', 'Phenotype', 'HP:0002664', (41, 46)) ('associated', 'Reg', (89, 99)) ('Tim-3', 'Gene', (11, 16)) ('Tim-3', 'Gene', (62, 67)) ('tumor', 'Disease', (41, 46)) ('cancer', 'Disease', (105, 111)) ('cancer', 'Disease', 'MESH:D009369', (105, 111)) ('polymorphisms', 'Var', (68, 81)) ('risk factor', 'Reg', (26, 37)) ('cancer', 'Phenotype', 'HP:0002664', (105, 111)) ('tumor', 'Disease', 'MESH:D009369', (41, 46)) 41213 25663933 These findings indicated an association between the -574 locus polymorphism and MG-associated thymoma in the Han population of North China. ('thymoma', 'Disease', 'MESH:D013945', (94, 101)) ('thymoma', 'Phenotype', 'HP:0100522', (94, 101)) ('thymoma', 'Disease', (94, 101)) ('the -574 locus polymorphism', 'Var', (48, 75)) 41237 19587811 Active immunization of mice and rabbits with the extracellular domain of MuSK protein led to EAMG and associated changes in neuromuscular junctions. ('rabbits', 'Species', '9986', (32, 39)) ('EAMG', 'Disease', (93, 97)) ('changes', 'Reg', (113, 120)) ('extracellular domain', 'Var', (49, 69)) ('neuromuscular junctions', 'MPA', (124, 147)) ('mice', 'Species', '10090', (23, 27)) 41238 19587811 Passive immunization of mice with IgG from MuSK MG patients induced EAMG and further demonstrated marked reduction of postsynaptic AChR staining by fluorescent-alpha-bungarotoxin. ('induced', 'Reg', (60, 67)) ('mice', 'Species', '10090', (24, 28)) ('EAMG', 'Disease', (68, 72)) ('reduction', 'NegReg', (105, 114)) ('patients', 'Species', '9606', (51, 59)) ('MuSK MG', 'Var', (43, 50)) ('postsynaptic AChR staining', 'MPA', (118, 144)) 41249 19587811 In the present study, thymoma was not seen in any cases of MuSK-MG in contrast to three patients with double seronegative (DSN)-MG and 13 cases of AChR-MG. ('MuSK-MG', 'Var', (59, 66)) ('thymoma', 'Disease', (22, 29)) ('DSN', 'Chemical', '-', (123, 126)) ('patients', 'Species', '9606', (88, 96)) ('thymoma', 'Phenotype', 'HP:0100522', (22, 29)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (59, 66)) ('thymoma', 'Disease', 'MESH:D013945', (22, 29)) 41253 19587811 Both studies emphasized the lack of a germinal center or lymphocytic infiltrates in MuSK-MG, in contrast to the changes typically seen in the majority of AChR-MG patients, and about half the DSN-MG patients had histological changes similar to those in AChR-MG patients. ('patients', 'Species', '9606', (162, 170)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (84, 91)) ('patients', 'Species', '9606', (198, 206)) ('patients', 'Species', '9606', (260, 268)) ('lymphocytic infiltrates', 'CPA', (57, 80)) ('MuSK-MG', 'Var', (84, 91)) ('DSN', 'Chemical', '-', (191, 194)) 41258 19587811 found significant muscle atrophy and fatty replacement in facial and bulbar muscles in MuSK-MG which were not found in AChR-MG patients. ('MuSK-MG', 'Var', (87, 94)) ('muscle atrophy', 'Phenotype', 'HP:0003202', (18, 32)) ('muscle atrophy', 'Disease', (18, 32)) ('patients', 'Species', '9606', (127, 135)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (87, 94)) ('muscle atrophy', 'Disease', 'MESH:D009133', (18, 32)) ('fatty replacement', 'CPA', (37, 54)) 41261 19587811 Similarly, biceps muscle biopsies from eight patients from Japan with MuSK-MG failed to show a significant reduction in AChR or alterations to postsynaptic morphology. ('postsynaptic morphology', 'MPA', (143, 166)) ('MuSK-MG', 'Var', (70, 77)) ('alterations', 'Reg', (128, 139)) ('patients', 'Species', '9606', (45, 53)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (70, 77)) ('AChR', 'Protein', (120, 124)) ('reduction', 'NegReg', (107, 116)) 41262 19587811 These findings suggest that the pathogenic mechanism of neuromuscular transmission defect in MuSK-MG is different from that in AChR-MG and is not through complement-mediated AChR defect. ('MuSK-MG', 'Var', (93, 100)) ('defect', 'NegReg', (83, 89)) ('neuromuscular transmission', 'MPA', (56, 82)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (93, 100)) 41273 19587811 Myasthenic weakness in MuSK-MG tends to be more severe and refractory to treatment than that observed in patients with other forms of generalized MG. An Italian series observed more MuSK-MG patients than DSN-MG patients who were classified as severe by the MG Foundation of America (MGFA) clinical classifications. ('DSN', 'Chemical', '-', (204, 207)) ('MGFA', 'Chemical', '-', (283, 287)) ('patients', 'Species', '9606', (105, 113)) ('patients', 'Species', '9606', (211, 219)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (23, 30)) ('patients', 'Species', '9606', (190, 198)) ('Myasthenic weakness', 'Disease', (0, 19)) ('Myasthenic weakness', 'Phenotype', 'HP:0003473', (0, 19)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (182, 189)) ('MuSK-MG', 'Var', (182, 189)) ('Myasthenic weakness', 'Disease', 'MESH:D018908', (0, 19)) 41280 19587811 There is some evidence that myasthenic crisis is also more common (35-80%) in patients with MuSK-MG (Table 1 and 3). ('myasthenic', 'Disease', 'MESH:D020294', (28, 38)) ('myasthenic crisis', 'Phenotype', 'HP:0003473', (28, 45)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (92, 99)) ('patients', 'Species', '9606', (78, 86)) ('MuSK-MG', 'Var', (92, 99)) ('myasthenic', 'Disease', (28, 38)) 41285 19587811 Three main patterns of generalized disease have been observed in MuSK-MG, two of which may be helpful in distinguishing these patients from AChR-MG patients. ('patients', 'Species', '9606', (148, 156)) ('MuSK-MG', 'Var', (65, 72)) ('generalized disease', 'Disease', (23, 42)) ('patients', 'Species', '9606', (126, 134)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (65, 72)) 41311 19587811 reported that positive edrophonium testing is significantly less common in the MuSK-MG group than in either the AChR-MG or DSN-MG group. ('DSN', 'Chemical', '-', (123, 126)) ('less', 'NegReg', (60, 64)) ('edrophonium testing', 'MPA', (23, 42)) ('MuSK-MG', 'Var', (79, 86)) ('edrophonium', 'Chemical', 'MESH:D004491', (23, 34)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (79, 86)) 41312 19587811 The most striking finding with edrophonium testing in MuSK-MG is that it may worsen patients' myasthenic symptoms (hypersensitivity) or precipitate nicotinic (intolerance) and muscarinic side effects, such as increased weakness, widespread fasciculation, severe stomach cramping, or diarrhea. ('increased weakness', 'Disease', 'MESH:D018908', (209, 227)) ('worsen', 'PosReg', (77, 83)) ('MuSK-MG', 'Var', (54, 61)) ('diarrhea', 'Disease', (283, 291)) ('increased weakness', 'Disease', (209, 227)) ('patients', 'Species', '9606', (84, 92)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (54, 61)) ('testing', 'Var', (43, 50)) ('diarrhea', 'Disease', 'MESH:D003967', (283, 291)) ('edrophonium', 'Gene', (31, 42)) ('edrophonium', 'Chemical', 'MESH:D004491', (31, 42)) ('myasthenic symptoms', 'Phenotype', 'HP:0003473', (94, 113)) ('myasthenic symptoms', 'Disease', 'MESH:D051271', (94, 113)) ('precipitate', 'Reg', (136, 147)) ('hypersensitivity)', 'Disease', 'MESH:D004342', (115, 132)) ('severe stomach cramping', 'Disease', (255, 278)) ('fasciculation', 'Disease', (240, 253)) ('fasciculation', 'Phenotype', 'HP:0002380', (240, 253)) ('fasciculation', 'Disease', 'MESH:D005207', (240, 253)) ('myasthenic symptoms', 'Disease', (94, 113)) ('diarrhea', 'Phenotype', 'HP:0002014', (283, 291)) 41316 19587811 The low percentage of positive edrophonium testing may reflect the poor responsiveness to anticholinesterase treatment which has been reported in MuSK-MG. More than 70% of MuSK-MG patients were nonresponsive to anticholinesterase therapy, a significantly higher proportion than for other MG populations. ('MuSK-MG', 'CellLine', 'CVCL:1698', (146, 153)) ('nonresponsive to anticholinesterase therapy', 'MPA', (194, 237)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (172, 179)) ('edrophonium', 'Chemical', 'MESH:D004491', (31, 42)) ('patients', 'Species', '9606', (180, 188)) ('MuSK-MG', 'Var', (172, 179)) 41322 19587811 For instance, RNS of limb muscles was abnormal in 57% of patients with MuSK-MG versus 78% of DSN-MG patients. ('RNS of limb muscles', 'CPA', (14, 33)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (71, 78)) ('patients', 'Species', '9606', (57, 65)) ('abnormal', 'Reg', (38, 46)) ('MuSK-MG', 'Var', (71, 78)) ('patients', 'Species', '9606', (100, 108)) ('DSN', 'Chemical', '-', (93, 96)) 41334 19587811 In several studies, the percentage of MuSK-MG patients with abnormal jitter on EDC recording was significantly lower than for either AChR-MG or DSN-MG patients. ('patients', 'Species', '9606', (46, 54)) ('MuSK-MG', 'Var', (38, 45)) ('jitter', 'MPA', (69, 75)) ('patients', 'Species', '9606', (151, 159)) ('DSN', 'Chemical', '-', (144, 147)) ('lower', 'NegReg', (111, 116)) ('EDC', 'MPA', (79, 82)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (38, 45)) 41388 19587811 However, the maintenance dose of corticosteroids in one series was significantly higher in MuSK-MG patients (30 mg/48 hours) than in AChR-MG (18 mg for 2 days) or DSN-MG patients (10 mg for 2 days). ('patients', 'Species', '9606', (170, 178)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (91, 98)) ('higher', 'PosReg', (81, 87)) ('patients', 'Species', '9606', (99, 107)) ('MuSK-MG', 'Var', (91, 98)) ('DSN', 'Chemical', '-', (163, 166)) ('steroids', 'Chemical', 'MESH:D013256', (40, 48)) 41390 19587811 In patients with MuSK-MG, the percentage of remission ranged from 10 to 35% (mean, 22%) and was significantly lower than that reported in AChR-MG (24-58%, mean, 38%)(p=0.005). ('lower', 'NegReg', (110, 115)) ('patients', 'Species', '9606', (3, 11)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (17, 24)) ('MuSK-MG', 'Var', (17, 24)) 41568 10992731 His HLA typing was A11, A31, B51, B13, Cw4, Cw6, DR09 and DR12. ('A31', 'Var', (24, 27)) ('Cw6', 'Var', (44, 47)) ('DR09', 'Var', (49, 53)) ('B13', 'Gene', '4698', (34, 37)) ('B51', 'Var', (29, 32)) ('A11', 'Var', (19, 22)) ('B13', 'Gene', (34, 37)) 41657 23956858 Our study revealed the probability of the modified PR in the programmed high-dose steroid treatment group was significantly higher than that in the no preoperative steroid treatment group, and this finding was independent of the previously mentioned prognostic factors in the multivariate analysis. ('programmed', 'Var', (61, 71)) ('steroid', 'Chemical', 'MESH:D013256', (82, 89)) ('steroid', 'Chemical', 'MESH:D013256', (164, 171)) ('modified', 'Var', (42, 50)) ('higher', 'PosReg', (124, 130)) 41666 23956858 We suggest that one of the reasons for the clinical effects of preoperative high-dose steroid treatment is the blockage of pathways by which immunoactivation causes cellular damage and undesirable clinical outcomes at a stretch. ('steroid', 'Chemical', 'MESH:D013256', (86, 93)) ('cellular damage', 'CPA', (165, 180)) ('immunoactivation', 'Var', (141, 157)) 41692 21072172 In contrast, knockdown of MS4a4B accelerated T cell proliferation. ('MS4a4B', 'Gene', '60361', (26, 32)) ('accelerated', 'PosReg', (33, 44)) ('MS4a4B', 'Gene', (26, 32)) ('T cell proliferation', 'CPA', (45, 65)) ('accelerated T cell', 'Phenotype', 'HP:0100828', (33, 51)) ('knockdown', 'Var', (13, 22)) 41703 21072172 Moreover, CD20 has been used as the target of anti-CD20 treatment for B cell lymphoma and autoimmune diseases, which to date has been considered as the most successful antibody-based therapeutics. ('anti-CD20', 'Gene', (46, 55)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (90, 109)) ('anti-CD20', 'Var', (46, 55)) ('lymphoma', 'Phenotype', 'HP:0002665', (77, 85)) ('B cell lymphoma', 'Disease', 'MESH:D016393', (70, 85)) ('autoimmune diseases', 'Disease', (90, 109)) ('B cell lymphoma', 'Disease', (70, 85)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (90, 109)) ('B cell lymphoma', 'Phenotype', 'HP:0012191', (70, 85)) 41707 21072172 In contrast, overexpression of HTm4 in U937 cells inhibits the G1-S transition of cell cycle through interaction with cyclin-dependent kinase-associated (CDK-associated) phosphatase-CDK2 (KAP-CDK2) complexes. ('cyclin', 'Gene', '18538', (118, 124)) ('cyclin', 'Gene', (118, 124)) ('G1-S transition of cell cycle', 'CPA', (63, 92)) ('HTm4', 'Var', (31, 35)) ('interaction', 'Interaction', (101, 112)) ('inhibits', 'NegReg', (50, 58)) ('U937', 'CellLine', 'CVCL:0007', (39, 43)) 41712 21072172 We found that MS4a4B negatively regulates T cell proliferation by interfering with cell cycle progression from G0/G1 phase into S-G2/M phases through inhibition of the Cdk2-Rb pathway, and that silence of MS4a4B in thymoma is, at least partially, responsible for the uncontrollable propagation of tumor T cells. ('MS4a4B', 'Gene', (14, 20)) ('negatively', 'NegReg', (21, 31)) ('inhibition', 'NegReg', (150, 160)) ('T cell proliferation', 'CPA', (42, 62)) ('tumor', 'Disease', (297, 302)) ('thymoma', 'Disease', 'MESH:D013945', (215, 222)) ('cell cycle progression', 'CPA', (83, 105)) ('tumor', 'Disease', 'MESH:D009369', (297, 302)) ('silence', 'Var', (194, 201)) ('Cdk2', 'Gene', '12566', (168, 172)) ('interfering', 'NegReg', (66, 77)) ('thymoma', 'Disease', (215, 222)) ('thymoma', 'Phenotype', 'HP:0100522', (215, 222)) ('tumor', 'Phenotype', 'HP:0002664', (297, 302)) ('MS4a4B', 'Gene', '60361', (205, 211)) ('regulates', 'Reg', (32, 41)) ('Cdk2', 'Gene', (168, 172)) ('MS4a4B', 'Gene', (205, 211)) ('MS4a4B', 'Gene', '60361', (14, 20)) 41719 21072172 Lack of MS4a4B protein in thymoma cells led us to postulate that MS4a4B may be required for appropriate functioning of mature T cells and the absence of this protein may be, at least in part, responsible for the uncontrollable growth of thymoma. ('thymoma', 'Disease', (26, 33)) ('absence', 'Var', (142, 149)) ('MS4a4B', 'Gene', (65, 71)) ('MS4a4B', 'Gene', (8, 14)) ('thymoma', 'Phenotype', 'HP:0100522', (26, 33)) ('thymoma', 'Disease', 'MESH:D013945', (237, 244)) ('thymoma', 'Disease', (237, 244)) ('thymoma', 'Phenotype', 'HP:0100522', (237, 244)) ('MS4a4B', 'Gene', '60361', (65, 71)) ('MS4a4B', 'Gene', '60361', (8, 14)) ('thymoma', 'Disease', 'MESH:D013945', (26, 33)) 41745 21072172 Consistent with the findings from over-expression studies, knockdown of MS4a4B accelerated proliferation of T32 cells (Fig. ('T32', 'CellLine', 'CVCL:E445', (108, 111)) ('MS4a4B', 'Gene', '60361', (72, 78)) ('proliferation', 'CPA', (91, 104)) ('knockdown', 'Var', (59, 68)) ('accelerated', 'PosReg', (79, 90)) ('MS4a4B', 'Gene', (72, 78)) 41751 21072172 The results showed that knockdown of MS4a4B accelerated IL-2-induced proliferation of T32 cells (Fig. ('T32', 'CellLine', 'CVCL:E445', (86, 89)) ('MS4a4B', 'Gene', (37, 43)) ('accelerated', 'PosReg', (44, 55)) ('IL-2', 'Gene', '16183', (56, 60)) ('IL-2', 'Gene', (56, 60)) ('knockdown', 'Var', (24, 33)) ('MS4a4B', 'Gene', '60361', (37, 43)) 41760 21072172 HTm4 was found to prevent cell cycle progression from G0/G1 phase into S-G2/M phase in hematopoeotic cells. ('hematopoeotic', 'Disease', 'None', (87, 100)) ('hematopoeotic', 'Disease', (87, 100)) ('HTm4', 'Var', (0, 4)) ('prevent', 'NegReg', (18, 25)) ('cell cycle progression', 'CPA', (26, 48)) 41771 21072172 Consistent with the observation from over-expression experiments, knockdown of MS4a4B protein promoted cell cycle progression from G0/G1 phase into S-G2/M phase (Fig. ('MS4a4B', 'Gene', (79, 85)) ('cell cycle progression', 'CPA', (103, 125)) ('protein', 'Protein', (86, 93)) ('MS4a4B', 'Gene', '60361', (79, 85)) ('knockdown', 'Var', (66, 75)) ('promoted', 'PosReg', (94, 102)) 41782 21072172 Notably, MS4a4B expression enhanced the production of the calcium/calmodulin-dependent protein kinase (CaM kinase) IIalpha, also known as Camk2a, whose kinase activity is dependent upon its activation by calmodulin (CaM). ('MS4a4B', 'Gene', (9, 15)) ('production', 'MPA', (40, 50)) ('expression', 'Var', (16, 26)) ('enhanced', 'PosReg', (27, 35)) ('Camk2a', 'Gene', '12322', (138, 144)) ('CaM', 'Gene', '12314', (216, 219)) ('CaM', 'Gene', (216, 219)) ('MS4a4B', 'Gene', '60361', (9, 15)) ('calcium', 'Chemical', 'MESH:D002118', (58, 65)) ('calmodulin', 'Gene', '12314', (66, 76)) ('calmodulin', 'Gene', '12314', (204, 214)) ('Camk2a', 'Gene', (138, 144)) ('calmodulin', 'Gene', (66, 76)) ('CaM', 'Gene', (103, 106)) ('CaM', 'Gene', '12314', (103, 106)) ('calmodulin', 'Gene', (204, 214)) 41788 21072172 We further examined whether inhibition of Cdk2 activity subsequently resulted in higher levels of hypophosphorylated retinoblastoma protein (Rb), a crucial suppressor protein for gene transcription, and cell cycle progression. ('hypophosphorylated retinoblastoma', 'Disease', 'MESH:D012175', (98, 131)) ('Cdk2', 'Gene', (42, 46)) ('hypophosphorylated retinoblastoma', 'Disease', (98, 131)) ('higher', 'PosReg', (81, 87)) ('inhibition', 'Var', (28, 38)) ('retinoblastoma', 'Phenotype', 'HP:0009919', (117, 131)) ('activity', 'MPA', (47, 55)) ('cell cycle progression', 'CPA', (203, 225)) ('Cdk2', 'Gene', '12566', (42, 46)) 41800 21072172 HTm4 has been found to bind to cyclin-dependent kinase-associated (CDK-associated) phosphatase-CDK2 (KAP-CDK2) complexes by its C-terminal region and to stimulate the phosphatase activity of KAP, which subsequently causes cell cycle arrest at the G0/G1 phase. ('stimulate', 'PosReg', (153, 162)) ('causes', 'Reg', (215, 221)) ('phosphatase activity', 'MPA', (167, 187)) ('cell cycle arrest at the G0/G1 phase', 'CPA', (222, 258)) ('cell cycle arrest', 'Phenotype', 'HP:0011018', (222, 239)) ('bind', 'Interaction', (23, 27)) ('cyclin', 'Gene', '18538', (31, 37)) ('HTm4', 'Var', (0, 4)) ('cyclin', 'Gene', (31, 37)) ('KAP', 'Enzyme', (191, 194)) 41806 21072172 In contrast, the inhibitory role of MS4a4B on cell cycle and cell proliferation is similar to that of HTm4 in hematopoietic cells, in which overexpression of HTm4 causes cell cycle arrest at the G0/G1 phase. ('MS4a4B', 'Gene', '60361', (36, 42)) ('cell cycle arrest', 'Phenotype', 'HP:0011018', (170, 187)) ('MS4a4B', 'Gene', (36, 42)) ('overexpression', 'PosReg', (140, 154)) ('HTm4', 'Var', (158, 162)) ('cell cycle arrest at the G0/G1 phase', 'CPA', (170, 206)) 41875 30792779 An analysis of lymphocyte subsets was as follows: cells with CD45 surface antigen 83% (N: 90-100), CD3 49% (N: 29-59), CD8 31% (N: 19-48), CD19 2% (N: 11-16) and NK 30% (N: 4-33.5). ('CD19', 'Gene', (139, 143)) ('CD45', 'Gene', '5788', (61, 65)) ('CD8', 'Gene', (119, 122)) ('CD19', 'Gene', '930', (139, 143)) ('CD8', 'Gene', '925', (119, 122)) ('CD3', 'Var', (99, 102)) ('CD45', 'Gene', (61, 65)) 41955 17764580 Genomic DNA from the paraffin embedded 39 thymoma tissues (A 6, AB 11, B1 7, B2 7, B3 8) labeled with Cy-3 was co-hybridized with the reference placenta gDNA labeled with Cy-5. ('paraffin', 'Chemical', 'MESH:D010232', (21, 29)) ('Cy-5', 'Chemical', 'MESH:C085321', (171, 175)) ('Cy-3', 'Var', (102, 106)) ('thymoma tissues', 'Disease', 'MESH:D013945', (42, 57)) ('thymoma tissues', 'Disease', (42, 57)) ('thymoma', 'Phenotype', 'HP:0100522', (42, 49)) ('A 6, AB 11, B1 7, B2 7, B3 8', 'Gene', '28873;4712;56246', (59, 87)) ('Cy-3', 'Chemical', '-', (102, 106)) 41956 17764580 Using the CAMVS software, we investigated the deletions on chromosomes 1, 2, 3, 4, 5, 6, 8, 12, 13 and 18 throughout the thymoma. ('thymoma', 'Gene', '7063', (121, 128)) ('thymoma', 'Phenotype', 'HP:0100522', (121, 128)) ('deletions', 'Var', (46, 55)) ('thymoma', 'Gene', (121, 128)) 41973 17764580 Chromosome 9q gain was identified only in type B1 thymoma, while chromosome 1q gain was present only in type B3 thymoma. ('thymoma', 'Gene', (112, 119)) ('gain', 'PosReg', (14, 18)) ('thymoma', 'Gene', '7063', (50, 57)) ('thymoma', 'Phenotype', 'HP:0100522', (112, 119)) ('thymoma', 'Phenotype', 'HP:0100522', (50, 57)) ('Chromosome', 'Var', (0, 10)) ('thymoma', 'Gene', '7063', (112, 119)) ('thymoma', 'Gene', (50, 57)) 41983 17764580 In type B3, frequent deletions were observed in chromosome 6 open reading frame 10 (C6orf10, 6p21.3), butyrophilin subfamily 3, member A2 (BTN3A2, 6p22.1), and thiopurine s-methyltransferase (TPMT, 6p22.3), with a frequency of 75% (6/8), 87.5% (7/8), 75% (6/8), respectively. ('thiopurine s-methyltransferase', 'Gene', (160, 190)) ('TPMT', 'Gene', '7172', (192, 196)) ('C6orf10', 'Gene', '10665', (84, 91)) ('thiopurine s-methyltransferase', 'Gene', '7172', (160, 190)) ('C6orf10', 'Gene', (84, 91)) ('deletions', 'Var', (21, 30)) ('chromosome 6 open reading frame 10', 'Gene', '10665', (48, 82)) ('chromosome 6 open reading frame 10', 'Gene', (48, 82)) ('BTN3A2', 'Gene', (139, 145)) ('BTN3A2', 'Gene', '11118', (139, 145)) ('TPMT', 'Gene', (192, 196)) ('butyrophilin subfamily 3, member A2', 'Gene', '11118', (102, 137)) 41993 17764580 demonstrated for the first time recurrent chromosomal imbalances in type B3 thymoma with CGH and FISH methods. ('imbalances', 'Phenotype', 'HP:0002172', (54, 64)) ('chromosomal imbalances', 'Var', (42, 64)) ('thymoma', 'Gene', '7063', (76, 83)) ('thymoma', 'Phenotype', 'HP:0100522', (76, 83)) ('CGH', 'Gene', (89, 92)) ('thymoma', 'Gene', (76, 83)) ('CGH', 'Gene', '3342', (89, 92)) 41994 17764580 They identified 16 cases of type B3 that showed chromosomal gains (1q, Xq, and 8p12) and losses (6 and 13q), while 12 cases of type A did not reveal any chromosomal abnormalities, with the exception of one case with a partial loss of 6p. ('chromosomal abnormalities', 'Disease', 'MESH:D002869', (153, 178)) ('gains', 'PosReg', (60, 65)) ('losses', 'NegReg', (89, 95)) ('8p12', 'Var', (79, 83)) ('chromosomal abnormalities', 'Disease', (153, 178)) 41995 17764580 Subsequently, the same group, using CGH and microsatellite analyses, inferred two pathways of thymoma tumorigenesis by demonstrating that type A (3/8 cases) presented with consistent LOH in the region 6p23.3-25.5 only, while type B3 revealed various aberrations such as APC on chromosome 5q21 (3/14 cases), RB on 13q14 (5/14 cases), and p53 gene on 17p13.1 (4/14 cases) loci, as well as LOH in the region 6p23.3-25.5 (5/14 cases). ('thymoma', 'Gene', '7063', (94, 101)) ('CGH', 'Gene', (36, 39)) ('APC', 'Disease', (270, 273)) ('p53', 'Gene', (337, 340)) ('LOH', 'Var', (387, 390)) ('p53', 'Gene', '7157', (337, 340)) ('type', 'Var', (138, 142)) ('thymoma', 'Gene', (94, 101)) ('CGH', 'Gene', '3342', (36, 39)) ('tumor', 'Disease', 'MESH:D009369', (102, 107)) ('thymoma', 'Phenotype', 'HP:0100522', (94, 101)) ('RB', 'Disease', 'MESH:D012175', (307, 309)) ('tumor', 'Phenotype', 'HP:0002664', (102, 107)) ('tumor', 'Disease', (102, 107)) ('APC', 'Disease', 'MESH:D011125', (270, 273)) 42030 17764580 NEDD9 (T61428, neural precursor cell expressed developmentally down regulating 9) and CTNNB (AA442092, cadherin-associated protein beta 1), which are known to be the adhesion-related genes, were deleted in type B3, suggesting increased cell motility for metastasis. ('deleted', 'Var', (195, 202)) ('CTNNB', 'Gene', '1499', (86, 91)) ('CTNNB', 'Gene', (86, 91)) ('down regulating', 'NegReg', (63, 78)) ('NEDD9', 'Gene', (0, 5)) ('cell motility for metastasis', 'CPA', (236, 264)) ('NEDD9', 'Gene', '4739', (0, 5)) ('increased', 'PosReg', (226, 235)) 42051 17764580 Briefly, four mug of placenta and thymoma tissue DNA were fluorescently labeled with Cy3 or Cy5-dUTP (Dupont NEN Life Sciences, Boston, MA, USA), respectively, using BioPrime DNA Labeling System (Invitrogen, Carlsbad, CA, USA). ('thymoma', 'Gene', '7063', (34, 41)) ('thymoma', 'Gene', (34, 41)) ('Cy3', 'Chemical', '-', (85, 88)) ('Cy3', 'Var', (85, 88)) ('thymoma', 'Phenotype', 'HP:0100522', (34, 41)) ('Cy5-dUTP', 'Var', (92, 100)) ('Cy5-dUTP', 'Chemical', 'MESH:C088942', (92, 100)) 42085 33413522 The five-year survival rate among the patients who underwent incomplete resection (71%) was significantly lower than that among those who underwent complete resection (100%), indicating a poorer prognosis in the latter group (p < 0.001) (Fig. ('survival', 'CPA', (14, 22)) ('lower', 'NegReg', (106, 111)) ('incomplete', 'Var', (61, 71)) ('patients', 'Species', '9606', (38, 46)) 42132 20651610 Mutations in the kit gene have been related to response to imatinib in gastrointestinal stromal tumor and one case report of thymic carcinoma. ('thymic carcinoma', 'Disease', (125, 141)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (125, 141)) ('related', 'Reg', (36, 43)) ('gastrointestinal stromal tumor', 'Phenotype', 'HP:0100723', (71, 101)) ('tumor', 'Phenotype', 'HP:0002664', (96, 101)) ('carcinoma', 'Phenotype', 'HP:0030731', (132, 141)) ('response to imatinib', 'MPA', (47, 67)) ('gastrointestinal stromal tumor', 'Disease', (71, 101)) ('Mutations', 'Var', (0, 9)) ('gastrointestinal stromal tumor', 'Disease', 'MESH:D046152', (71, 101)) ('imatinib', 'Chemical', 'MESH:D000068877', (59, 67)) ('kit', 'Gene', (17, 20)) 42148 20651610 c-kit mutations have also been described in several of these tumors. ('tumors', 'Disease', (61, 67)) ('tumors', 'Disease', 'MESH:D009369', (61, 67)) ('described', 'Reg', (31, 40)) ('tumor', 'Phenotype', 'HP:0002664', (61, 66)) ('tumors', 'Phenotype', 'HP:0002664', (61, 67)) ('mutations', 'Var', (6, 15)) ('c-kit', 'Gene', (0, 5)) 42149 20651610 Responsiveness of GISTs to treatment with the kinase inhibitor imatinib depends largely on the exonic location of the c-kit mutation. ('mutation', 'Var', (124, 132)) ('c-kit', 'Gene', (118, 123)) ('imatinib', 'Chemical', 'MESH:D000068877', (63, 71)) ('GISTs', 'Phenotype', 'HP:0100723', (18, 23)) 42150 20651610 Higher objective response rates to imatinib have been described in patients with mutations of exon 11 compared with patients with wild-type receptor or with mutations of exon 9. ('objective response rates', 'MPA', (7, 31)) ('patients', 'Species', '9606', (67, 75)) ('patients', 'Species', '9606', (116, 124)) ('mutations of exon', 'Var', (81, 98)) ('Higher', 'PosReg', (0, 6)) ('imatinib', 'Chemical', 'MESH:D000068877', (35, 43)) 42151 20651610 Mutations have been also described in patients with negative c-kit expression, evaluated by immunohistochemistry (IHC). ('c-kit', 'Protein', (61, 66)) ('Mutations', 'Var', (0, 9)) ('patients', 'Species', '9606', (38, 46)) 42155 20651610 reported two c-kit mutations, of seven thymic carcinomas analyzed. ('c-kit', 'Gene', (13, 18)) ('thymic carcinomas', 'Disease', 'MESH:D013953', (39, 56)) ('carcinoma', 'Phenotype', 'HP:0030731', (46, 55)) ('thymic carcinomas', 'Disease', (39, 56)) ('mutations', 'Var', (19, 28)) ('carcinomas', 'Phenotype', 'HP:0030731', (46, 56)) 42157 20651610 reported a case of poorly differentiated epidermoid carcinoma with V560del kit mutation who responded to imatinib. ('epidermoid carcinoma', 'Disease', 'MESH:D002294', (41, 61)) ('carcinoma', 'Phenotype', 'HP:0030731', (52, 61)) ('V560del', 'DELETION', 'None', (67, 74)) ('imatinib', 'Chemical', 'MESH:D000068877', (105, 113)) ('epidermoid carcinoma', 'Disease', (41, 61)) ('V560del', 'Var', (67, 74)) ('responded to imatinib', 'MPA', (92, 113)) 42158 20651610 In 2009, another case of thymic carcinoma with D820E kit mutation was reported that responded to sorafenib, a multitargeted tyrosine kinase inhibitor, with weak c-kit inhibitory activity. ('D820E', 'Var', (47, 52)) ('sorafenib', 'Chemical', 'MESH:D000077157', (97, 106)) ('carcinoma', 'Phenotype', 'HP:0030731', (32, 41)) ('D820E', 'Mutation', 'rs1057519711', (47, 52)) ('responded', 'MPA', (84, 93)) ('thymic carcinoma', 'Disease', (25, 41)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (25, 41)) ('kit', 'Gene', (53, 56)) 42206 20651610 We observed the previously reported single-nucleotide polymorphism corresponding to M541L in one type A thymoma and in one thymic carcinoma. ('A thymoma', 'Disease', 'MESH:D013945', (102, 111)) ('M541L', 'Mutation', 'rs3822214', (84, 89)) ('thymic carcinoma', 'Disease', (123, 139)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (123, 139)) ('A thymoma', 'Disease', (102, 111)) ('M541L', 'Var', (84, 89)) ('carcinoma', 'Phenotype', 'HP:0030731', (130, 139)) ('thymoma', 'Phenotype', 'HP:0100522', (104, 111)) 42230 20651610 Only a few c-kit mutations have been reported in the literature in TEM and exclusively in thymic carcinomas. ('thymic carcinomas', 'Disease', 'MESH:D013953', (90, 107)) ('carcinoma', 'Phenotype', 'HP:0030731', (97, 106)) ('c-kit', 'Gene', (11, 16)) ('carcinomas', 'Phenotype', 'HP:0030731', (97, 107)) ('TEM', 'Disease', (67, 70)) ('reported', 'Reg', (37, 45)) ('mutations', 'Var', (17, 26)) ('thymic carcinomas', 'Disease', (90, 107)) 42231 20651610 No kit mutations were reported in thymomas among 88 cases sequenced. ('thymomas', 'Disease', (34, 42)) ('thymoma', 'Phenotype', 'HP:0100522', (34, 41)) ('thymomas', 'Disease', 'MESH:D013945', (34, 42)) ('mutations', 'Var', (7, 16)) 42234 20651610 reported a V560del mutation of kit in a case of metastatic poorly differentiated epidermoid carcinoma. ('V560del', 'Var', (11, 18)) ('kit', 'Gene', (31, 34)) ('epidermoid carcinoma', 'Disease', (81, 101)) ('carcinoma', 'Phenotype', 'HP:0030731', (92, 101)) ('V560del', 'Mutation', 'p.560delV', (11, 18)) ('epidermoid carcinoma', 'Disease', 'MESH:D002294', (81, 101)) 42236 20651610 reported a case of an undifferentiated thymic carcinoma carrying mutation D820E encoded by kit exon 17. ('D820E', 'Var', (74, 79)) ('D820E', 'Mutation', 'rs1057519711', (74, 79)) ('carcinoma', 'Phenotype', 'HP:0030731', (46, 55)) ('undifferentiated thymic carcinoma', 'Disease', 'MESH:D002277', (22, 55)) ('undifferentiated thymic carcinoma', 'Disease', (22, 55)) 42238 20651610 The mutation D820E of c-kit activation loop has been previously reported as an acquired resistant mutation to imatinib and sunitinib treatment in GISTs. ('sunitinib', 'Chemical', 'MESH:D000077210', (123, 132)) ('imatinib', 'Chemical', 'MESH:D000068877', (110, 118)) ('GISTs', 'Phenotype', 'HP:0100723', (146, 151)) ('D820E', 'Var', (13, 18)) ('D820E', 'Mutation', 'rs1057519711', (13, 18)) ('c-kit activation loop', 'Gene', (22, 43)) 42241 20651610 H697Y showed higher sensitivity to sunitinib than imatinib in vitro when transfected in Ba/F3 cells. ('H697Y', 'Var', (0, 5)) ('Ba/F3', 'CellLine', 'CVCL:0161', (88, 93)) ('sensitivity', 'MPA', (20, 31)) ('sunitinib', 'Chemical', 'MESH:D000077210', (35, 44)) ('imatinib', 'Chemical', 'MESH:D000068877', (50, 58)) ('higher', 'PosReg', (13, 19)) ('H697Y', 'Mutation', 'rs763308199', (0, 5)) 42242 20651610 These results underline the importance to extend the analysis to regions of kit in thymic carcinomas beyond the most frequent sites of mutations in GISTs: exon 9, 11, 13, and 17. ('carcinoma', 'Phenotype', 'HP:0030731', (90, 99)) ('carcinomas', 'Phenotype', 'HP:0030731', (90, 100)) ('GISTs', 'Phenotype', 'HP:0100723', (148, 153)) ('thymic carcinomas', 'Disease', 'MESH:D013953', (83, 100)) ('thymic carcinomas', 'Disease', (83, 100)) ('exon 9', 'Var', (155, 161)) 42245 20651610 in 2008 identified the L576P kit mutation in exon 17 of a thymic carcinoma. ('carcinoma', 'Phenotype', 'HP:0030731', (65, 74)) ('L576P kit', 'Var', (23, 32)) ('L576P', 'Mutation', 'rs121913513', (23, 28)) ('thymic carcinoma', 'Disease', (58, 74)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (58, 74)) 42247 20651610 In GISTs, kit mutations have been described both in c-kit positive tumors (the majority) and in c-kit negative tumors. ('mutations', 'Var', (14, 23)) ('tumor', 'Phenotype', 'HP:0002664', (111, 116)) ('GISTs', 'Phenotype', 'HP:0100723', (3, 8)) ('tumors', 'Disease', (111, 117)) ('tumors', 'Disease', 'MESH:D009369', (111, 117)) ('tumors', 'Phenotype', 'HP:0002664', (111, 117)) ('tumor', 'Phenotype', 'HP:0002664', (67, 72)) ('tumors', 'Phenotype', 'HP:0002664', (67, 73)) ('tumors', 'Disease', (67, 73)) ('tumors', 'Disease', 'MESH:D009369', (67, 73)) 42248 20651610 Durable responses to imatinib were also observed in patients with exon 11 mutation and a very low expression of c-kit. ('exon 11 mutation', 'Var', (66, 82)) ('c-kit', 'Protein', (112, 117)) ('patients', 'Species', '9606', (52, 60)) ('imatinib', 'Chemical', 'MESH:D000068877', (21, 29)) 42255 20651610 Because of the rarity of thymic carcinomas and that responses have only been described in case reports, and the frequency of reported mutations is probably less than 10% in thymic carcinomas, this represents only approximately five cases potentially diagnosed in the United States every year. ('thymic carcinomas', 'Disease', (173, 190)) ('thymic carcinomas', 'Disease', 'MESH:D013953', (173, 190)) ('carcinoma', 'Phenotype', 'HP:0030731', (180, 189)) ('carcinomas', 'Phenotype', 'HP:0030731', (180, 190)) ('carcinoma', 'Phenotype', 'HP:0030731', (32, 41)) ('carcinomas', 'Phenotype', 'HP:0030731', (32, 42)) ('thymic carcinomas', 'Disease', (25, 42)) ('mutations', 'Var', (134, 143)) ('thymic carcinomas', 'Disease', 'MESH:D013953', (25, 42)) 42256 20651610 This would make a phase II study in thymic carcinomas with c-kit mutations very difficult to accrue. ('c-kit', 'Gene', (59, 64)) ('thymic carcinomas', 'Disease', 'MESH:D013953', (36, 53)) ('carcinoma', 'Phenotype', 'HP:0030731', (43, 52)) ('thymic carcinomas', 'Disease', (36, 53)) ('carcinomas', 'Phenotype', 'HP:0030731', (43, 53)) ('mutations', 'Var', (65, 74)) 42326 32194741 However, it was membranous throughout the neoplastic tissue in type B3 thymomas, and in the invasive front at the periphery of type B2 thymomas (Fig. ('type B3', 'Var', (63, 70)) ('thymomas', 'Disease', 'MESH:D013945', (71, 79)) ('thymoma', 'Phenotype', 'HP:0100522', (135, 142)) ('thymoma', 'Phenotype', 'HP:0100522', (71, 78)) ('thymomas', 'Disease', (135, 143)) ('type B2 thymomas', 'Disease', 'MESH:D013945', (127, 143)) ('type B2 thymomas', 'Disease', (127, 143)) ('thymomas', 'Disease', 'MESH:D013945', (135, 143)) ('neoplastic tissue', 'Phenotype', 'HP:0002664', (42, 59)) ('thymomas', 'Disease', (71, 79)) 42349 32194741 Inactivation of APC as well as Wnt signaling activation blocks the degradation of beta-catenin, and thus increases its concentration in cytoplasm allowing translocation of beta-catenin to nucleus. ('concentration in cytoplasm', 'MPA', (119, 145)) ('APC', 'Gene', '324', (16, 19)) ('degradation', 'MPA', (67, 78)) ('blocks', 'NegReg', (56, 62)) ('beta-catenin', 'Protein', (82, 94)) ('APC', 'Gene', (16, 19)) ('translocation', 'MPA', (155, 168)) ('increases', 'PosReg', (105, 114)) ('Inactivation', 'Var', (0, 12)) 42386 31779680 Thymoma complicated with myasthenia gravis and Good syndrome - a therapeutic conundrum: a case report Thymomas are known to be associated with myasthenia gravis and Good syndrome. ('myasthenia gravis', 'Disease', (25, 42)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (143, 160)) ('associated', 'Reg', (127, 137)) ('Thymoma', 'Phenotype', 'HP:0100522', (102, 109)) ('Thymoma', 'Phenotype', 'HP:0100522', (0, 7)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (25, 42)) ('myasthenia', 'Phenotype', 'HP:0003473', (143, 153)) ('myasthenia', 'Phenotype', 'HP:0003473', (25, 35)) ('Thymomas', 'Var', (102, 110)) ('myasthenia gravis', 'Disease', (143, 160)) ('Good syndrome', 'Disease', (165, 178)) 42593 28744421 Despite two cycles of doxorubicin, cyclophosphamide, and cisplatin, the patient's scans showed progressive disease and she also had worsening symptoms; therefore, we felt surgical intervention was necessary, and waiting for concurrent radiation therapy would have resulted in an unacceptable surgical treatment delay. ('cyclophosphamide', 'Chemical', 'MESH:D003520', (35, 51)) ('doxorubicin', 'Chemical', 'MESH:D004317', (22, 33)) ('cyclophosphamide', 'Var', (35, 51)) ('cisplatin', 'Var', (57, 66)) ('patient', 'Species', '9606', (72, 79)) ('cisplatin', 'Chemical', 'MESH:D002945', (57, 66)) 42596 28744421 Depolarizing neuromuscular blockade anesthetic agents cause unpredictable respiratory failure and post extubation in myasthenia gravis patients, as the available amount of AChR is not consistent because of the presence of the anti-AChR antibodies . ('myasthenia gravis', 'Disease', (117, 134)) ('patients', 'Species', '9606', (135, 143)) ('respiratory failure', 'Phenotype', 'HP:0002878', (74, 93)) ('presence', 'Reg', (210, 218)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (117, 134)) ('myasthenia', 'Phenotype', 'HP:0003473', (117, 127)) ('respiratory failure', 'Disease', 'MESH:D012131', (74, 93)) ('respiratory failure', 'Disease', (74, 93)) ('anti-AChR', 'Var', (226, 235)) 42627 33108502 In negative selection, antigen presentation induces apoptosis of thymocytes expressing TCRs with high affinity for autoantigens. ('antigen presentation', 'Var', (23, 43)) ('TCR', 'Gene', (87, 90)) ('apoptosis', 'CPA', (52, 61)) ('TCR', 'Gene', '6962', (87, 90)) 42644 33108502 Congenital loss-of-function AIRE mutations lead to the severe dysimmune manifestations observed in autoimmune polyendocrine syndrome type 1 (APS-1): hypoparathyroidism, adrenal insufficiency and chronic mucocutaneous candidiasis. ('candidiasis', 'Disease', 'MESH:D002177', (217, 228)) ('adrenal insufficiency', 'Phenotype', 'HP:0000846', (169, 190)) ('adrenal insufficiency', 'Disease', 'MESH:D000309', (169, 190)) ('autoimmune polyendocrine syndrome type 1', 'Gene', '326', (99, 139)) ('hypoparathyroidism', 'Phenotype', 'HP:0000829', (149, 167)) ('adrenal insufficiency', 'Disease', (169, 190)) ('mutations', 'Var', (33, 42)) ('AIRE', 'Gene', (28, 32)) ('loss-of-function', 'NegReg', (11, 27)) ('candidiasis', 'Disease', (217, 228)) ('chronic mucocutaneous candidiasis', 'Phenotype', 'HP:0002728', (195, 228)) ('autoimmune polyendocrine syndrome type 1', 'Gene', (99, 139)) ('hypoparathyroidism', 'Disease', (149, 167)) ('AIRE', 'Gene', '326', (28, 32)) ('APS-1', 'Gene', '326', (141, 146)) ('hypoparathyroidism', 'Disease', 'MESH:D007011', (149, 167)) ('APS-1', 'Gene', (141, 146)) 42647 33108502 Despite the aberrant T cell selection observed in APS-1, it is rare for autoimmune manifestations to affect the CNS beyond the pituitary gland. ('APS-1', 'Gene', '326', (50, 55)) ('aberrant', 'Var', (12, 20)) ('APS-1', 'Gene', (50, 55)) ('aberrant T cell', 'Phenotype', 'HP:0002843', (12, 27)) ('T cell selection', 'CPA', (21, 37)) ('autoimmune manifestations', 'Phenotype', 'HP:0002960', (72, 97)) 42654 33108502 Evidence that T cells can result in CNS immune-mediated damage is provided by either CNS-reactive T cells in patient CNS tissue and/or cerebrospinal fluid (CSF) samples or association between HLA haplotypes and susceptibility to CNS autoimmune disease. ('HLA', 'Gene', '3119', (192, 195)) ('patient', 'Species', '9606', (109, 116)) ('CNS autoimmune disease', 'Disease', (229, 251)) ('HLA', 'Gene', (192, 195)) ('CNS autoimmune disease', 'Disease', 'MESH:D001327', (229, 251)) ('association', 'Reg', (172, 183)) ('haplotypes', 'Var', (196, 206)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (233, 251)) 42658 33108502 In Rasmussen encephalitis, there is demonstrable infiltration of CNS parenchyma by IFNgamma-producing CD8+, CD4+ and gammadelta-T cells, although as of yet without an identifiable autoantigenic target. ('CD8', 'Gene', (102, 105)) ('gammadelta-T cells', 'Var', (117, 135)) ('CD8', 'Gene', '925', (102, 105)) ('encephalitis', 'Phenotype', 'HP:0002383', (13, 25)) ('CD4+', 'Var', (108, 112)) ('IFNgamma', 'Gene', '3458', (83, 91)) ('IFNgamma', 'Gene', (83, 91)) ('encephalitis', 'Disease', 'MESH:D004660', (13, 25)) ('encephalitis', 'Disease', (13, 25)) 42664 33108502 The correlation between levels of circulating anti-PIT 1 antibody and aberrant PIT-1 expression in thymomas supports the role of dysfunctional thymic selection in anti-PIT-1 antibody syndrome. ('expression', 'MPA', (85, 95)) ('thymomas', 'Disease', (99, 107)) ('PIT 1', 'Gene', (51, 56)) ('thymomas', 'Disease', 'MESH:D013945', (99, 107)) ('PIT-1 antibody syndrome', 'Disease', (168, 191)) ('PIT-1', 'Gene', (168, 173)) ('PIT-1', 'Gene', (79, 84)) ('aberrant', 'Var', (70, 78)) ('PIT 1', 'Gene', '5449', (51, 56)) ('thymoma', 'Phenotype', 'HP:0100522', (99, 106)) ('PIT-1', 'Gene', '5449', (168, 173)) ('PIT-1', 'Gene', '5449', (79, 84)) ('PIT-1 antibody syndrome', 'Disease', 'MESH:D000069281', (168, 191)) 42665 33108502 Association of HLA haplotypes with increased risk of CNS autoimmune disease also implicates T cell effects as key drivers of CNS inflammation. ('CNS inflammation', 'Disease', 'MESH:D007249', (125, 141)) ('CNS autoimmune disease', 'Disease', (53, 75)) ('HLA', 'Gene', (15, 18)) ('haplotypes', 'Var', (19, 29)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (57, 75)) ('CNS autoimmune disease', 'Disease', 'MESH:D001327', (53, 75)) ('CNS inflammation', 'Disease', (125, 141)) ('HLA', 'Gene', '3119', (15, 18)) 42685 33108502 Systemic loss of Treg cell function due to mutations in the Treg master regulator, FOXP3, leads to immune dysregulation, polyendocrinopathy, enteropathy, and X-linked (IPEX) syndrome, characterised by severe multi-organ autoimmunity. ('polyendocrinopathy', 'Disease', (121, 139)) ('X-linked (IPEX) syndrome', 'Disease', 'MESH:C580192', (158, 182)) ('Treg', 'Chemical', '-', (60, 64)) ('FOXP3', 'Gene', (83, 88)) ('enteropathy', 'Phenotype', 'HP:0002242', (141, 152)) ('enteropathy', 'Disease', (141, 152)) ('loss', 'NegReg', (9, 13)) ('Treg', 'Chemical', '-', (17, 21)) ('enteropathy', 'Disease', 'MESH:C538273', (141, 152)) ('leads to', 'Reg', (90, 98)) ('autoimmunity', 'Phenotype', 'HP:0002960', (220, 232)) ('mutations', 'Var', (43, 52)) ('immune dysregulation', 'Disease', (99, 119)) ('FOXP3', 'Gene', '50943', (83, 88)) ('polyendocrinopathy', 'Disease', 'MESH:D016884', (121, 139)) ('immune dysregulation', 'Phenotype', 'HP:0002958', (99, 119)) 42690 33108502 Conditional Foxn1 ablation in mice, which accelerates thymic involution, reduces Aire expression and disrupts negative selection, also induces autoimmune infiltration of pro-inflammatory cells in the CNS. ('mice', 'Species', '10090', (30, 34)) ('Aire', 'Protein', (81, 85)) ('reduces', 'NegReg', (73, 80)) ('negative selection', 'MPA', (110, 128)) ('Foxn1', 'Gene', (12, 17)) ('accelerates', 'PosReg', (42, 53)) ('thymic involution', 'CPA', (54, 71)) ('disrupts', 'NegReg', (101, 109)) ('autoimmune infiltration', 'Phenotype', 'HP:0002960', (143, 166)) ('ablation', 'Var', (18, 26)) ('induces', 'Reg', (135, 142)) 42691 33108502 TEC-specific knockout of Map3k14 in mice leads to drastic decrease in thymic development and IL-17 secretion of dendritic epidermal gammadelta T cells, as a result of downstream loss of expression of Rorc and Il23r, genes required for IL-17 synthesis in gammadelta T cells. ('Map3k14', 'Gene', '53859', (25, 32)) ('Il23r', 'Gene', (209, 214)) ('loss', 'NegReg', (178, 182)) ('Rorc', 'Gene', (200, 204)) ('knockout', 'Var', (13, 21)) ('Il23r', 'Gene', '209590', (209, 214)) ('decrease', 'NegReg', (58, 66)) ('Map3k14', 'Gene', (25, 32)) ('IL-17 secretion', 'MPA', (93, 108)) ('mice', 'Species', '10090', (36, 40)) ('Rorc', 'Gene', '19885', (200, 204)) ('thymic development', 'CPA', (70, 88)) 42693 33108502 Finally, Irf8 is part of a transcriptional program that facilitates Aire expression in TECs; thus, Irf8 dysfunction may alter representation of AIRE-regulated CNS autoantigens in the thymus. ('Aire', 'Protein', (68, 72)) ('Irf8', 'Gene', '3394', (9, 13)) ('AIRE', 'Gene', (144, 148)) ('alter', 'Reg', (120, 125)) ('dysfunction', 'Var', (104, 115)) ('AIRE', 'Gene', '326', (144, 148)) ('facilitates', 'PosReg', (56, 67)) ('Irf8', 'Gene', '3394', (99, 103)) ('Irf8', 'Gene', (9, 13)) ('representation of', 'MPA', (126, 143)) ('TECs', 'Chemical', '-', (87, 91)) ('Irf8', 'Gene', (99, 103)) 42694 33108502 CLEC16A, variants of which are associated with susceptibility to MS, is involved in the control of TEC autophagy, a process that regulates MHC-associated thymic presentation of lysosomal, nuclear and mitochondrial peptide antigens. ('CLEC16A', 'Gene', '23274', (0, 7)) ('MHC', 'Gene', (139, 142)) ('CLEC16A', 'Gene', (0, 7)) ('involved', 'Reg', (72, 80)) ('MHC', 'Gene', '3107', (139, 142)) ('variants', 'Var', (9, 17)) 42695 33108502 Silencing of Clec16a protects against autoimmunity by inducing CD4+ T cell hyporeactivity, and CLEC16A expression is upregulated in peripheral APCs of MS patients. ('Clec16a', 'Gene', '23274', (13, 20)) ('expression', 'MPA', (103, 113)) ('CLEC16A', 'Gene', (95, 102)) ('patients', 'Species', '9606', (154, 162)) ('upregulated', 'PosReg', (117, 128)) ('peripheral APCs', 'Disease', (132, 147)) ('CD4+ T cell hyporeactivity', 'MPA', (63, 89)) ('autoimmunity', 'Phenotype', 'HP:0002960', (38, 50)) ('CLEC16A', 'Gene', '23274', (95, 102)) ('inducing', 'Reg', (54, 62)) ('Silencing', 'Var', (0, 9)) ('Clec16a', 'Gene', (13, 20)) 42696 33108502 EAE severity in mice is exacerbated by dysfunction in PRSS16, which encodes a serine protease controlling peptide presentation to developing thymocytes. ('serine', 'Chemical', 'MESH:D012694', (78, 84)) ('EAE', 'Disease', (0, 3)) ('PRSS16', 'Gene', (54, 60)) ('PRSS16', 'Gene', '54373', (54, 60)) ('mice', 'Species', '10090', (16, 20)) ('dysfunction', 'Var', (39, 50)) ('exacerbated', 'PosReg', (24, 35)) 42697 33108502 Like many putative autoimmune diseases, major genetic variants associated with MS occur in the MHC class II subgroup of the HLA complex: HLA-DRB1*15:01-containing haplotypes carry the strongest association with MS risk. ('HLA', 'Gene', '3119', (137, 140)) ('haplotypes', 'Var', (163, 173)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (19, 38)) ('HLA-DRB1', 'Gene', (137, 145)) ('HLA', 'Gene', '3119', (124, 127)) ('HLA-DRB1', 'Gene', '3123', (137, 145)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (19, 37)) ('HLA', 'Gene', (137, 140)) ('MHC', 'Gene', (95, 98)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (19, 38)) ('MHC', 'Gene', '3107', (95, 98)) ('autoimmune diseases', 'Disease', (19, 38)) ('variants', 'Var', (54, 62)) ('association', 'Interaction', (194, 205)) ('HLA', 'Gene', (124, 127)) 42698 33108502 Autoimmunity-associated MHC polymorphisms are typically thought to alter TCR-pMHC complex binding dynamics and may cause extensive TCR-pMHC microcluster formation leading to escape of autoreactive T cells. ('MHC', 'Gene', (24, 27)) ('MHC', 'Gene', '3107', (136, 139)) ('alter', 'Reg', (67, 72)) ('escape', 'CPA', (174, 180)) ('MHC', 'Gene', '3107', (24, 27)) ('binding', 'Interaction', (90, 97)) ('polymorphisms', 'Var', (28, 41)) ('cause', 'Reg', (115, 120)) ('MHC', 'Gene', (78, 81)) ('Autoimmunity', 'Phenotype', 'HP:0002960', (0, 12)) ('MHC', 'Gene', (136, 139)) ('MHC', 'Gene', '3107', (78, 81)) 42699 33108502 Variants in other genes associated with susceptibility to MS or other CNS autoimmune diseases might hence affect central thymic tolerance processes in addition to their presently understood roles in peripheral immunity. ('Variants', 'Var', (0, 8)) ('autoimmune diseases', 'Disease', (74, 93)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (74, 93)) ('CNS autoimmune disease', 'Disease', 'MESH:D001327', (70, 92)) ('central thymic tolerance processes', 'CPA', (113, 147)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (74, 93)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (74, 92)) ('affect', 'Reg', (106, 112)) ('CNS autoimmune disease', 'Disease', (70, 92)) 42701 33108502 The pathological effects of manipulating thymic expression of CNS antigens in murine EAE provide insight into the roles of thymic selection in CNS inflammation. ('CNS inflammation', 'Disease', 'MESH:D007249', (143, 159)) ('CNS inflammation', 'Disease', (143, 159)) ('murine', 'Species', '10090', (78, 84)) ('manipulating', 'Var', (28, 40)) 42704 33108502 Similar protective effects of Mbp and Aqp thymic expression are seen in EAE models induced by MBP and AQP4 respectively, with peripheral expansion of CNS-reactive T cells not seen in wild-type mice. ('Mbp', 'Gene', '17196', (30, 33)) ('AQP4', 'Var', (102, 106)) ('MBP', 'Var', (94, 97)) ('EAE', 'Disease', (72, 75)) ('mice', 'Species', '10090', (193, 197)) ('Mbp', 'Gene', (30, 33)) ('induced', 'Reg', (83, 90)) 42714 33108502 An additional explanation for the rarity of CNS inflammation in the context of thymic dysfunction is that antibodies against pro-inflammatory cytokines may preferentially block peripheral pathogenic processes leading to CNS autoimmunity. ('thymic dysfunction', 'Disease', 'MESH:D013953', (79, 97)) ('thymic dysfunction', 'Disease', (79, 97)) ('preferentially', 'PosReg', (156, 170)) ('antibodies', 'Var', (106, 116)) ('CNS inflammation', 'Disease', 'MESH:D007249', (44, 60)) ('autoimmunity', 'Phenotype', 'HP:0002960', (224, 236)) ('CNS inflammation', 'Disease', (44, 60)) ('block', 'NegReg', (171, 176)) 42722 33108502 Molecular mimicry between AQP4 and Clostridium perfringens has been implicated as an environmental factor in NMOSD. ('NMOSD', 'Disease', (109, 114)) ('AQP4', 'Gene', (26, 30)) ('Clostridium perfringens', 'Species', '1502', (35, 58)) ('Molecular', 'Var', (0, 9)) 42723 33108502 NMO patients can harbour AQP4-specific TH17-polarised cells cross-reactive against C. perfringens antigens, and C. perfringens is overrepresented in their gut microbiome. ('TH1', 'Gene', '51497', (39, 42)) ('C. perfringens', 'Species', '1502', (83, 97)) ('C. perfringens', 'Var', (112, 126)) ('gut microbiome', 'Species', '749906', (155, 169)) ('TH1', 'Gene', (39, 42)) ('NMO', 'Disease', (0, 3)) ('C. perfringens', 'Species', '1502', (112, 126)) ('patients', 'Species', '9606', (4, 12)) 42730 33108502 Nonetheless, several lines of indirect evidence from patient studies point to potentially important roles of dysfunctions in thymic tolerance in human CNS autoimmune disease. ('autoimmune disease', 'Phenotype', 'HP:0002960', (155, 173)) ('dysfunctions', 'Var', (109, 121)) ('human', 'Species', '9606', (145, 150)) ('CNS autoimmune disease', 'Disease', (151, 173)) ('patient', 'Species', '9606', (53, 60)) ('CNS autoimmune disease', 'Disease', 'MESH:D001327', (151, 173)) 42731 33108502 TRECs are circular non-replicating DNA fragments, produced as a result of V(D)J recombination of TCR chain loci during thymocyte development, which can be detected in peripheral blood T cells. ('V(D)J recombination', 'Var', (74, 93)) ('TCR', 'Gene', '6962', (97, 100)) ('TCR', 'Gene', (97, 100)) 42738 33108502 In addition, MS-associated genetic variants of IL7RA, which promotes early thymocyte survival, were associated with an increased frequency of RTEs. ('promotes', 'PosReg', (60, 68)) ('RTEs', 'Disease', (142, 146)) ('variants', 'Var', (35, 43)) ('IL7RA', 'Gene', (47, 52)) ('associated', 'Reg', (100, 110)) ('early thymocyte survival', 'CPA', (69, 93)) ('MS-associated', 'Disease', (13, 26)) ('IL7RA', 'Gene', '3575', (47, 52)) 42770 33108502 As most patients harbour anti-AQP4 antibodies years before thymectomy and disease onset, this risk appears to be independent of CNS-reactive antibody production and may instead reflect direct precipitation of CNS autoimmunity by the abrupt loss of thymopoiesis, possibly due to loss of thymic tTreg cell output. ('Treg', 'Chemical', '-', (294, 298)) ('abrupt loss of thymopoiesis', 'Disease', 'MESH:D000033', (233, 260)) ('autoimmunity', 'Phenotype', 'HP:0002960', (213, 225)) ('abrupt loss of thymopoiesis', 'Disease', (233, 260)) ('antibodies', 'Var', (35, 45)) ('anti-AQP4 antibodies', 'Var', (25, 45)) ('patients', 'Species', '9606', (8, 16)) 42776 33108502 Just as alterations in thymic function can lead to pathophysiological features of CNS autoimmunity, successful therapeutic amelioration of CNS autoimmune disease can be associated with measurable changes in thymic T cell tolerance. ('CNS autoimmune disease', 'Disease', (139, 161)) ('alterations', 'Var', (8, 19)) ('lead to', 'Reg', (43, 50)) ('CNS autoimmune disease', 'Disease', 'MESH:D001327', (139, 161)) ('changes', 'Reg', (196, 203)) ('CNS', 'Disease', (82, 85)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (143, 161)) ('autoimmunity', 'Phenotype', 'HP:0002960', (86, 98)) 42785 33108502 The modulation of thymopoiesis has unique potential as a source of novel therapies for CNS autoimmune diseases. ('autoimmune diseases', 'Phenotype', 'HP:0002960', (91, 110)) ('CNS autoimmune disease', 'Disease', 'MESH:D001327', (87, 109)) ('modulation', 'Var', (4, 14)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (91, 109)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (91, 110)) ('CNS autoimmune disease', 'Disease', (87, 109)) ('autoimmune diseases', 'Disease', (91, 110)) 42791 33108502 Nutritional factors may play a role: both zinc and vitamin D supplementation has been shown to modulate thymopoiesis in mice. ('mice', 'Species', '10090', (120, 124)) ('vitamin D', 'Chemical', 'MESH:D014807', (51, 60)) ('supplementation', 'Var', (61, 76)) ('modulate', 'Reg', (95, 103)) ('thymopoiesis', 'CPA', (104, 116)) 42798 33108502 Moreover, findings in athymic nude mice suggest ATO transplantation can effectively promote central T cell tolerance (i.e. ('ATO', 'Var', (48, 51)) ('ATO', 'Chemical', '-', (48, 51)) ('promote', 'PosReg', (84, 91)) ('central T cell tolerance', 'CPA', (92, 116)) ('nude mice', 'Species', '10090', (30, 39)) 42800 33108502 The potential efficacy of this strategy for CNS autoimmune diseases is supported by a proof-of-concept study in a preclinical model, in which transplantation of embryonic stem cell-derived TEPs engineered to express MOG rendered mice resistant to later EAE induction through deletion of MOG-autoreactive T cells and generation of MOG-specific Treg cells. ('autoimmune diseases', 'Disease', 'MESH:D001327', (48, 67)) ('Treg', 'Chemical', '-', (343, 347)) ('CNS autoimmune disease', 'Disease', (44, 66)) ('autoimmune diseases', 'Disease', (48, 67)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (48, 67)) ('MOG-autoreactive', 'Gene', (287, 303)) ('MOG', 'Gene', (216, 219)) ('CNS autoimmune disease', 'Disease', 'MESH:D001327', (44, 66)) ('deletion', 'Var', (275, 283)) ('mice', 'Species', '10090', (229, 233)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (48, 66)) 42808 33108502 Population-level transcriptomic analysis of peripheral T cell pools allows to identify overrepresentation of specific TCRbeta chain locus rearrangements, which gives an indication of overall clonal diversity in peripheral T cells and allows to detect disease-relevant, clonally expanded T cell populations (e.g. ('TCRbeta', 'Gene', (118, 125)) ('TCRbeta', 'Gene', '6955', (118, 125)) ('rearrangements', 'Var', (138, 152)) 42829 32117321 Furthermore, antibodies against other extracellular or intracellular targets, such as titin, the ryanodine receptor, agrin, collagen Q, Kv1.4 potassium channels and cortactin have been found in some MG patients, which can be useful biomarkers. ('titin', 'Gene', '7273', (86, 91)) ('Kv1.4', 'Gene', (136, 141)) ('agrin', 'Protein', (117, 122)) ('ryanodine receptor', 'Gene', (97, 115)) ('antibodies', 'Var', (13, 23)) ('titin', 'Gene', (86, 91)) ('MG', 'Disease', 'MESH:D009157', (199, 201)) ('patients', 'Species', '9606', (202, 210)) ('Kv1.4', 'Gene', '3739', (136, 141)) ('collagen Q', 'Gene', (124, 134)) ('cortactin', 'Gene', (165, 174)) ('ryanodine receptor', 'Gene', '6261', (97, 115)) ('collagen Q', 'Gene', '8292', (124, 134)) ('found', 'Reg', (185, 190)) ('cortactin', 'Gene', '2017', (165, 174)) 42835 32117321 MG is antibody-mediated, caused by autoantibodies targeting components of the neuromuscular junction (NMJ). ('autoantibodies', 'Var', (35, 49)) ('MG', 'Disease', 'MESH:D009157', (0, 2)) ('caused', 'Reg', (25, 31)) 42844 32117321 Furthermore, antibodies against MuSK are found in approximately 6% of the patients, while relatively recently antibodies against LRP4 have been found in about 2% of MG patients. ('antibodies', 'Var', (13, 23)) ('patients', 'Species', '9606', (74, 82)) ('MG', 'Disease', 'MESH:D009157', (165, 167)) ('patients', 'Species', '9606', (168, 176)) ('LRP4', 'Gene', (129, 133)) ('LRP4', 'Gene', '4038', (129, 133)) 42866 32117321 Finally, an approach based on labeling of the recombinant AChR alpha subunit with Renilla luciferase and measuring the precipitated fluorescence by serum autoantibodies was able to detect AChR antibodies in 32% of MG patients. ('antibodies', 'Var', (193, 203)) ('detect', 'Reg', (181, 187)) ('Renilla luciferase', 'Disease', 'None', (82, 100)) ('MG', 'Disease', 'MESH:D009157', (214, 216)) ('Renilla luciferase', 'Disease', (82, 100)) ('patients', 'Species', '9606', (217, 225)) ('AChR', 'Gene', (188, 192)) 42898 32117321 However, LRP4 antibodies belong mostly to the IgG1 subclass, and they have been shown to cause in vitro complement-mediated cell lysis of C2C12 myotubes, so complement activation could also play a role in MG patients. ('MG', 'Disease', 'MESH:D009157', (205, 207)) ('patients', 'Species', '9606', (208, 216)) ('cause', 'Reg', (89, 94)) ('LRP4', 'Gene', (9, 13)) ('antibodies', 'Var', (14, 24)) ('complement-mediated cell lysis', 'CPA', (104, 134)) ('LRP4', 'Gene', '4038', (9, 13)) 42902 32117321 We found that 19% had LRP4 antibodies, corresponding to 2% of all MG patients, with considerable variability among the various countries (from 7% for Norway and Turkey to 33% for Poland). ('LRP4', 'Gene', '4038', (22, 26)) ('Turkey', 'Species', '9103', (161, 167)) ('antibodies', 'Var', (27, 37)) ('MG', 'Disease', 'MESH:D009157', (66, 68)) ('patients', 'Species', '9606', (69, 77)) ('LRP4', 'Gene', (22, 26)) 42905 32117321 Interestingly, LRP4 antibodies have also been detected in 10-23% of amyotrophic lateral sclerosis (ALS) patients and are thus not exclusively specific for MG. ('LRP4', 'Gene', '4038', (15, 19)) ('ALS', 'Disease', (99, 102)) ('amyotrophic lateral sclerosis', 'Disease', 'MESH:D000690', (68, 97)) ('amyotrophic lateral sclerosis', 'Phenotype', 'HP:0007354', (68, 97)) ('antibodies', 'Var', (20, 30)) ('detected', 'Reg', (46, 54)) ('ALS', 'Disease', 'MESH:D000690', (99, 102)) ('LRP4', 'Gene', (15, 19)) ('MG', 'Disease', 'MESH:D009157', (155, 157)) ('ALS', 'Phenotype', 'HP:0007354', (99, 102)) ('patients', 'Species', '9606', (104, 112)) ('amyotrophic lateral sclerosis', 'Disease', (68, 97)) 42917 32117321 On the other hand, the presence of titin antibodies in all age groups appears to be related with more severe symptom manifestation, although this relation has not been confirmed by all relevant studies. ('titin', 'Gene', (35, 40)) ('titin', 'Gene', '7273', (35, 40)) ('presence', 'Var', (23, 31)) ('related', 'Reg', (84, 91)) 42938 32117321 Importantly, patients with agrin antibodies presented with mild to severe symptoms and moderate response to treatment, thus their early detection could aid in disease management. ('patients', 'Species', '9606', (13, 21)) ('antibodies', 'Var', (33, 43)) ('agrin', 'Protein', (27, 32)) ('aid', 'Reg', (152, 155)) 42939 32117321 Agrin antibodies appear to be pathogenic, since in in vitro studies they were capable of inhibiting MuSK activation by agrin and AChR clustering, while immunization of mice with neural, but not muscle, agrin induced MG-like symptoms. ('agrin', 'Protein', (119, 124)) ('inhibiting', 'NegReg', (89, 99)) ('mice', 'Species', '10090', (168, 172)) ('antibodies', 'Var', (6, 16)) ('AChR', 'Gene', (129, 133)) ('MG', 'Disease', 'MESH:D009157', (216, 218)) ('MuSK', 'CPA', (100, 104)) 42944 32117321 It appears therefore, that only in Japanese populations, the Kv1.4 antibodies are an important biomarker indicating increased risk of myocarditis or cardiac dysfunction among MG patients. ('myocarditis', 'Phenotype', 'HP:0012819', (134, 145)) ('myocarditis', 'Disease', (134, 145)) ('cardiac dysfunction', 'Disease', (149, 168)) ('Kv1.4', 'Gene', (61, 66)) ('Kv1.4', 'Gene', '3739', (61, 66)) ('patients', 'Species', '9606', (178, 186)) ('cardiac dysfunction', 'Disease', 'MESH:D006331', (149, 168)) ('myocarditis', 'Disease', 'MESH:D009205', (134, 145)) ('MG', 'Disease', 'MESH:D009157', (175, 177)) ('antibodies', 'Var', (67, 77)) 42953 32117321 However, cortactin antibodies have also been found in up to 12.5% of patients with other autoimmune diseases and 5.2% of healthy controls, while they have been described as myositis-associated, since they are found in 7.6-26% of patients with polymyositis, dermatomyositis and immune-mediated necrotizing myopathy. ('polymyositis', 'Disease', (243, 255)) ('patients', 'Species', '9606', (229, 237)) ('autoimmune diseases', 'Disease', (89, 108)) ('cortactin', 'Gene', (9, 18)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (89, 108)) ('myositis', 'Disease', (247, 255)) ('dermatomyositis', 'Disease', 'MESH:D003882', (257, 272)) ('found', 'Reg', (209, 214)) ('patients', 'Species', '9606', (69, 77)) ('myositis', 'Disease', (264, 272)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (89, 107)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (89, 108)) ('necrotizing myopathy', 'Phenotype', 'HP:0008978', (293, 313)) ('antibodies', 'Var', (19, 29)) ('myositis', 'Phenotype', 'HP:0100614', (173, 181)) ('cortactin', 'Gene', '2017', (9, 18)) ('myopathy', 'Disease', 'MESH:D009135', (305, 313)) ('myositis', 'Disease', 'MESH:D009220', (173, 181)) ('polymyositis', 'Disease', 'MESH:D017285', (243, 255)) ('myositis', 'Phenotype', 'HP:0100614', (247, 255)) ('myositis', 'Disease', (173, 181)) ('myopathy', 'Disease', (305, 313)) ('dermatomyositis', 'Disease', (257, 272)) ('myopathy', 'Phenotype', 'HP:0003198', (305, 313)) ('myositis', 'Phenotype', 'HP:0100614', (264, 272)) ('myositis', 'Disease', 'MESH:D009220', (247, 255)) ('myositis', 'Disease', 'MESH:D009220', (264, 272)) ('found', 'Reg', (45, 50)) 42956 32117321 Antibodies against AChE have been reported in 5-50% of MG patients. ('Antibodies', 'Var', (0, 10)) ('AChE', 'Gene', (19, 23)) ('AChE', 'Gene', '43', (19, 23)) ('patients', 'Species', '9606', (58, 66)) ('MG', 'Disease', 'MESH:D009157', (55, 57)) 42959 32117321 Recently, antibodies against ColQ were found in a fraction of MG patients (3%) using CBA, including some SNMG patients, although they were also present in a similar fraction of the control cohort used in the study. ('found', 'Reg', (39, 44)) ('CBA', 'Chemical', '-', (85, 88)) ('ColQ', 'Gene', (29, 33)) ('MG', 'Disease', 'MESH:D009157', (62, 64)) ('patients', 'Species', '9606', (65, 73)) ('antibodies', 'Var', (10, 20)) ('ColQ', 'Gene', '8292', (29, 33)) ('MG', 'Disease', 'MESH:D009157', (107, 109)) ('patients', 'Species', '9606', (110, 118)) 42963 32117321 Moreover, these antibodies are not MG specific and have been also associated with Grave's ophthalmopathy. ("Grave's ophthalmopathy", 'Disease', (82, 104)) ('antibodies', 'Var', (16, 26)) ('associated', 'Reg', (66, 76)) ("Grave's ophthalmopathy", 'Disease', 'MESH:D049970', (82, 104)) ('MG', 'Disease', 'MESH:D009157', (35, 37)) 42968 32117321 Patients with MuSK antibodies tend to have more severe symptoms and generalized weakness, whereas treatment withdrawal in these patients can often lead to disease exacerbation. ('antibodies', 'Var', (19, 29)) ('MuSK', 'Gene', (14, 18)) ('generalized weakness', 'Phenotype', 'HP:0003324', (68, 88)) ('Patients', 'Species', '9606', (0, 8)) ('generalized weakness', 'Disease', (68, 88)) ('MuSK antibodies', 'Phenotype', 'HP:0030210', (14, 29)) ('patients', 'Species', '9606', (128, 136)) 42973 32117321 Especially in the case of Japanese patients, the presence of Kv1.4 antibodies has been associated with cardiac dysfunction and severe complications, so they should be monitored accordingly. ('presence', 'Var', (49, 57)) ('Kv1.4', 'Gene', (61, 66)) ('cardiac dysfunction', 'Disease', (103, 122)) ('cardiac dysfunction', 'Disease', 'MESH:D006331', (103, 122)) ('Kv1.4', 'Gene', '3739', (61, 66)) ('associated', 'Reg', (87, 97)) ('antibodies', 'Protein', (67, 77)) ('patients', 'Species', '9606', (35, 43)) 43047 29021446 The pathogenesis linking thymoma and MCD has yet to be delineated, but disturbances in the T-lymphocyte function resulting from a remote effect of thymectomy may induce nephrotic syndrome through the accelerated production of biological mediators, thereby increasing the glomerular permeability. ('increasing', 'PosReg', (256, 266)) ('thymoma', 'Gene', (25, 32)) ('nephrotic syndrome', 'Disease', 'MESH:D009404', (169, 187)) ('disturbances', 'Var', (71, 83)) ('glomerular permeability', 'MPA', (271, 294)) ('nephrotic syndrome', 'Disease', (169, 187)) ('MCD', 'Phenotype', 'HP:0012579', (37, 40)) ('MCD', 'Gene', (37, 40)) ('induce', 'Reg', (162, 168)) ('nephrotic syndrome', 'Phenotype', 'HP:0000100', (169, 187)) ('thymoma', 'Phenotype', 'HP:0100522', (25, 32)) ('production of biological mediators', 'MPA', (212, 246)) ('accelerated', 'PosReg', (200, 211)) ('MCD', 'Gene', '4582', (37, 40)) ('thymoma', 'Gene', '7063', (25, 32)) 43127 27524908 Previous studies demonstrated that negative or low level TS expression benefited more from pemetrexed-based chemotherapy than positive or high levels of TS in NSCLC patients. ('pemetrexed', 'Chemical', 'MESH:D000068437', (91, 101)) ('negative', 'Var', (35, 43)) ('TS', 'Gene', '7298', (57, 59)) ('benefited', 'PosReg', (71, 80)) ('NSCLC', 'Disease', (159, 164)) ('NSCLC', 'Disease', 'MESH:D002289', (159, 164)) ('patients', 'Species', '9606', (165, 173)) ('TS', 'Gene', '7298', (153, 155)) 43176 33236521 Furthermore, multivariate analyses were performed to identify whether the presence of FBs was associated with higher Masaoka stage and poor prognosis in patients with thymoma. ('a', 'Gene', '351', (120, 121)) ('higher', 'PosReg', (110, 116)) ('FBs', 'Gene', (86, 89)) ('thymoma', 'Disease', 'MESH:D013945', (167, 174)) ('a', 'Gene', '351', (127, 128)) ('a', 'Gene', '351', (118, 119)) ('a', 'Gene', '351', (94, 95)) ('a', 'Gene', '351', (173, 174)) ('a', 'Gene', '351', (22, 23)) ('a', 'Gene', '351', (28, 29)) ('thymoma', 'Disease', (167, 174)) ('a', 'Gene', '351', (100, 101)) ('a', 'Gene', '351', (131, 132)) ('thymoma', 'Phenotype', 'HP:0100522', (167, 174)) ('a', 'Gene', '351', (19, 20)) ('a', 'Gene', '351', (91, 92)) ('a', 'Gene', '351', (154, 155)) ('a', 'Gene', '351', (123, 124)) ('patients', 'Species', '9606', (153, 161)) ('presence', 'Var', (74, 82)) ('a', 'Gene', '351', (26, 27)) 43217 33236521 Finally, multivariate analyses were compared to identify whether the presence of FBs was associated with higher Masaoka stage and with poor prognosis in patients with thymoma. ('a', 'Gene', '351', (89, 90)) ('a', 'Gene', '351', (24, 25)) ('a', 'Gene', '351', (15, 16)) ('a', 'Gene', '351', (95, 96)) ('a', 'Gene', '351', (40, 41)) ('a', 'Gene', '351', (126, 127)) ('thymoma', 'Disease', 'MESH:D013945', (167, 174)) ('a', 'Gene', '351', (86, 87)) ('a', 'Gene', '351', (118, 119)) ('a', 'Gene', '351', (173, 174)) ('a', 'Gene', '351', (22, 23)) ('presence', 'Var', (69, 77)) ('thymoma', 'Disease', (167, 174)) ('a', 'Gene', '351', (115, 116)) ('thymoma', 'Phenotype', 'HP:0100522', (167, 174)) ('a', 'Gene', '351', (154, 155)) ('a', 'Gene', '351', (122, 123)) ('a', 'Gene', '351', (3, 4)) ('a', 'Gene', '351', (18, 19)) ('patients', 'Species', '9606', (153, 161)) ('FBs', 'Gene', (81, 84)) ('higher', 'PosReg', (105, 111)) ('a', 'Gene', '351', (113, 114)) 43250 33236521 Although age, sex, tumor diameter, and histology were not significantly associated with higher Masaoka stage, the presence of FBs was significantly associated with higher Masaoka stage (Table 2, odds ratio, 31.32; 95% confidence interval [CI]: 6.308-155.5; P < 0.0001). ('a', 'Gene', '351', (142, 143)) ('a', 'Gene', '351', (96, 97)) ('FBs', 'Disease', (126, 129)) ('a', 'Gene', '351', (72, 73)) ('tumor', 'Disease', (19, 24)) ('a', 'Gene', '351', (78, 79)) ('a', 'Gene', '351', (181, 182)) ('a', 'Gene', '351', (174, 175)) ('tumor', 'Disease', 'MESH:D009369', (19, 24)) ('a', 'Gene', '351', (101, 102)) ('a', 'Gene', '351', (105, 106)) ('A', 'Gene', '351', (0, 1)) ('a', 'Gene', '351', (172, 173)) ('a', 'Gene', '351', (131, 132)) ('tumor', 'Phenotype', 'HP:0002664', (19, 24)) ('a', 'Gene', '351', (187, 188)) ('a', 'Gene', '351', (148, 149)) ('a', 'Gene', '351', (154, 155)) ('a', 'Gene', '351', (98, 99)) ('a', 'Gene', '351', (235, 236)) ('presence', 'Var', (114, 122)) ('a', 'Gene', '351', (27, 28)) ('a', 'Gene', '351', (35, 36)) ('a', 'Gene', '351', (66, 67)) ('a', 'Gene', '351', (9, 10)) ('a', 'Gene', '351', (201, 202)) ('a', 'Gene', '351', (177, 178)) 43266 33236521 18 , 19 , 20 , 21 , 22 , 23 , 24 For example, the presence of FBs has been reportedly associated with poor prognosis in patients with lung squamous cell carcinoma. ('a', 'Gene', '351', (168, 169)) ('carcinoma', 'Phenotype', 'HP:0030731', (160, 169)) ('a', 'Gene', '351', (93, 94)) ('lung squamous cell carcinoma', 'Disease', 'MESH:D002294', (141, 169)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (146, 169)) ('a', 'Gene', '351', (149, 150)) ('patients', 'Species', '9606', (127, 135)) ('lung squamous cell carcinoma', 'Disease', (141, 169)) ('presence', 'Var', (57, 65)) ('a', 'Gene', '351', (128, 129)) ('a', 'Gene', '351', (46, 47)) ('a', 'Gene', '351', (74, 75)) ('FBs', 'Gene', (69, 72)) ('a', 'Gene', '351', (99, 100)) ('a', 'Gene', '351', (161, 162)) 43301 33236521 In conclusion, our results indicated that the presence of FBs in patients with thymoma was associated with higher Masaoka stage, higher recurrence rate, and poorer RFS. ('a', 'Gene', '351', (120, 121)) ('a', 'Gene', '351', (39, 40)) ('a', 'Gene', '351', (32, 33)) ('a', 'Gene', '351', (117, 118)) ('presence', 'Var', (46, 54)) ('thymoma', 'Disease', 'MESH:D013945', (79, 86)) ('higher', 'PosReg', (107, 113)) ('a', 'Gene', '351', (85, 86)) ('a', 'Gene', '351', (115, 116)) ('a', 'Gene', '351', (124, 125)) ('FBs', 'Gene', (58, 61)) ('thymoma', 'Disease', (79, 86)) ('patients', 'Species', '9606', (65, 73)) ('a', 'Gene', '351', (148, 149)) ('a', 'Gene', '351', (91, 92)) ('thymoma', 'Phenotype', 'HP:0100522', (79, 86)) ('a', 'Gene', '351', (66, 67)) ('higher', 'PosReg', (129, 135)) ('a', 'Gene', '351', (97, 98)) ('a', 'Gene', '351', (153, 154)) ('a', 'Gene', '351', (88, 89)) ('RFS', 'CPA', (164, 167)) 43362 30328513 The top 5 listed KEGG signaling pathways were as follows: hsa03320 (PPAR signaling pathway); Hsa04923 (regulation of lipolysis in adipocytes); Hsa04152 (AMPK signaling pathway); Hsa00360 (phenylalanine metabolism) and Hsa00980 (metabolism of xenobiotics by cytochrome P450). ('PPAR', 'Gene', '5465', (68, 72)) ('PPAR', 'Gene', (68, 72)) ('Hsa04152', 'Var', (143, 151)) ('hsa03320', 'Var', (58, 66)) ('phenylalanine', 'Chemical', 'MESH:D010649', (188, 201)) ('Hsa00360', 'Var', (178, 186)) ('Hsa04923', 'Var', (93, 101)) ('Hsa00980', 'Var', (218, 226)) 43406 30328513 In malignant ovarian cancer, changes in SELENBP1 expression are useful indicators of abnormal selenium/androgen pathways, and such changes may reveal prognostic information relating to ovarian cancer (Huang et al.). ('ovarian cancer', 'Phenotype', 'HP:0100615', (185, 199)) ('reveal', 'Reg', (143, 149)) ('cancer', 'Phenotype', 'HP:0002664', (21, 27)) ('malignant ovarian cancer', 'Disease', (3, 27)) ('changes', 'Var', (29, 36)) ('selenium', 'Chemical', 'MESH:D012643', (94, 102)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (13, 27)) ('abnormal selenium', 'Phenotype', 'HP:0031903', (85, 102)) ('ovarian cancer', 'Disease', 'MESH:D010051', (185, 199)) ('ovarian cancer', 'Disease', 'MESH:D010051', (13, 27)) ('expression', 'MPA', (49, 59)) ('malignant ovarian cancer', 'Disease', 'MESH:D010051', (3, 27)) ('ovarian cancer', 'Disease', (185, 199)) ('cancer', 'Phenotype', 'HP:0002664', (193, 199)) ('selenium/androgen', 'MPA', (94, 111)) ('SELENBP1', 'Gene', (40, 48)) ('SELENBP1', 'Gene', '8991', (40, 48)) 43491 29364837 During the follow-up period, an improvement or normalization of neurological status was observed in all dogs in the RT and RT + TMZ arms and in 7/30 of the patients included in the palliation arm. ('patients', 'Species', '9606', (156, 164)) ('neurological status', 'MPA', (64, 83)) ('normalization', 'MPA', (47, 60)) ('dogs', 'Species', '9615', (104, 108)) ('RT + TMZ', 'Var', (123, 131)) ('improvement', 'PosReg', (32, 43)) ('RT + TMZ', 'Chemical', '-', (123, 131)) ('normalization of neurological status', 'Phenotype', 'HP:0002344', (47, 83)) 43492 29364837 A reduction in the frequency and/or intensity of seizures was observed in all dogs in the RT and RT + TMZ arms and in 11/30 of the dogs treated under the palliation protocol. ('RT + TMZ', 'Chemical', '-', (97, 105)) ('seizures', 'Disease', 'MESH:D012640', (49, 57)) ('reduction', 'NegReg', (2, 11)) ('dogs', 'Species', '9615', (131, 135)) ('seizures', 'Disease', (49, 57)) ('seizures', 'Phenotype', 'HP:0001250', (49, 57)) ('dogs', 'Species', '9615', (78, 82)) ('RT + TMZ', 'Var', (97, 105)) ('seizure', 'Phenotype', 'HP:0001250', (49, 56)) 43528 29364837 The localization was C6 on the left side in one dog, C6-T1 (3 left, 1 right) in four dogs, C7-T1 in three dogs (2 right, 1 left) and T1-T2 in two dogs (1 right, 1 left). ('dogs', 'Species', '9615', (106, 110)) ('T1-T2', 'Var', (133, 138)) ('dogs', 'Species', '9615', (85, 89)) ('dog', 'Species', '9615', (146, 149)) ('dog', 'Species', '9615', (85, 88)) ('dogs', 'Species', '9615', (146, 150)) ('dog', 'Species', '9615', (106, 109)) ('C7-T1', 'Var', (91, 96)) ('C6-T1', 'Var', (53, 58)) ('dog', 'Species', '9615', (48, 51)) 43572 29364837 The anemia remained stable during the follow-up period (35.5% hematocrit or HCT) in one case. ('anemia', 'Disease', 'MESH:D000740', (4, 10)) ('anemia', 'Phenotype', 'HP:0001903', (4, 10)) ('anemia', 'Disease', (4, 10)) ('35.5', 'Var', (56, 60)) 43598 29364837 Although one year and two year progression-free survivals were similar in the RT and RT + TMZ groups, median progression-free survival in the RT + TMZ arm (345 days) was significantly longer (p = 0.027) than in the RT arm (255 days). ('RT + TMZ', 'Chemical', '-', (85, 93)) ('RT + TMZ', 'Chemical', '-', (142, 150)) ('RT + TMZ', 'Var', (142, 150)) ('longer', 'PosReg', (184, 190)) ('progression-free survival', 'CPA', (109, 134)) 43599 29364837 This result showed that TMZ can delay disease progression, despite the lack of a change in effective survival time. ('TMZ', 'Chemical', 'MESH:D000077204', (24, 27)) ('disease progression', 'CPA', (38, 57)) ('TMZ', 'Var', (24, 27)) 43673 29364837 The PTV coverage is considered acceptable for the V95% and the V107% levels (respectively, PTV volume receiving less than 95% and more than 107% of the prescribed dose) of 5% and 7%. ('V95%', 'Var', (50, 54)) ('PTV', 'Chemical', '-', (4, 7)) ('V107%', 'Var', (63, 68)) ('less', 'NegReg', (112, 116)) ('PTV', 'Chemical', '-', (91, 94)) 43780 27576953 Thymoma has been most classically associated with MG where antibodies directed toward the acetyl choline receptor (AchR) result in post synaptic membrane destruction at the neuromuscular junction. ('associated', 'Reg', (34, 44)) ('Thymoma', 'Gene', '7063', (0, 7)) ('Thymoma', 'Phenotype', 'HP:0100522', (0, 7)) ('synaptic membrane destruction at the neuromuscular junction', 'Phenotype', 'HP:0003398', (136, 195)) ('antibodies directed', 'Var', (59, 78)) ('result in', 'Reg', (121, 130)) ('Thymoma', 'Gene', (0, 7)) ('AchR', 'Gene', (115, 119)) 43796 27576953 A subsequent MRI confirmed the solitary solid/cystic rim-enhancing lesion in the left posterior frontal lobe with moderate vasogenic odema resulting in a 3.5 cm midline shift (Fig. ('lesion', 'Var', (67, 73)) ('vasogenic odema', 'Phenotype', 'HP:0100665', (123, 138)) ('vasogenic odema', 'Disease', (123, 138)) ('vasogenic odema', 'Disease', 'MESH:D001929', (123, 138)) 44039 25002944 Rarely, pre-operative imaging including 99mTc/ 99mTc-MIBI scintiscan will pick up a concomitant thymoma during evaluation of primary hyperparathyroidism. ('primary hyperparathyroidism', 'Phenotype', 'HP:0008200', (125, 152)) ('99mTc/ 99mTc-MIBI', 'Var', (40, 57)) ('primary hyperparathyroidism', 'Disease', (125, 152)) ('hyperparathyroidism', 'Phenotype', 'HP:0000843', (133, 152)) ('thymoma', 'Disease', 'MESH:D013945', (96, 103)) ('thymoma', 'Disease', (96, 103)) ('thymoma', 'Phenotype', 'HP:0100522', (96, 103)) ('pick up', 'Reg', (74, 81)) ('99mTc-MIBI', 'Chemical', '-', (47, 57)) ('primary hyperparathyroidism', 'Disease', 'MESH:D049950', (125, 152)) 44087 19375665 The precise origin of the autoimmune response in MG is not known, but abnormalities of the thymus gland (hyperplasia and neoplasia) almost certainly play a part in patients with anti-AChR antibodies, and genetic predisposition is also likely to influence which patients develop the disorder. ('anti-AChR', 'Var', (178, 187)) ('influence', 'Reg', (245, 254)) ('neoplasia', 'Phenotype', 'HP:0002664', (121, 130)) ('abnormalities of the thymus', 'Phenotype', 'HP:0000777', (70, 97)) ('patients', 'Species', '9606', (261, 269)) ('patients', 'Species', '9606', (164, 172)) ('autoimmune response', 'Phenotype', 'HP:0002960', (26, 45)) ('abnormalities of the thymus gland (hyperplasia and neoplasia) almost', 'Disease', 'MESH:D013952', (70, 138)) 44116 19375665 The presence of these anti-muscle antibodies, particularly anti-ryanodine receptor antibodies, has been associated with more severe, generalised, or predominantly oropharyngeal weakness, and frequent myasthenic crises. ('generalised', 'Disease', (133, 144)) ('myasthenic crises', 'Phenotype', 'HP:0003473', (200, 217)) ('anti-ryanodine', 'Var', (59, 73)) ('associated', 'Reg', (104, 114)) ('myasthenic crises', 'Disease', (200, 217)) ('weakness', 'Disease', (177, 185)) ('weakness', 'Disease', 'MESH:D018908', (177, 185)) ('presence', 'Var', (4, 12)) ('anti-muscle', 'Protein', (22, 33)) 44121 19375665 Additional paraneoplasia-associated antibodies (and their related syndromes) might occur in thymomatous MG, including anti-voltage-gated K+ and Ca2+ channel, anti-Hu (antineuronal nuclear autoantibody 1), anti-dihydropyrimidinase-related protein 5 (formerly anti-collapsin response mediator protein 5), and anti-glutamic acid decarboxylase antibodies. ('thymomatous MG', 'Disease', (92, 106)) ('anti-Hu', 'Var', (158, 165)) ('collapsin response mediator protein 5', 'Gene', '56896', (263, 300)) ('Ca2+', 'Chemical', 'MESH:D000069285', (144, 148)) ('anti-glutamic acid decarboxylase antibodies', 'Phenotype', 'HP:0025329', (307, 350)) ('collapsin response mediator protein 5', 'Gene', (263, 300)) ('thymoma', 'Phenotype', 'HP:0100522', (92, 99)) ('Additional paraneoplasia', 'Disease', 'MESH:D006938', (0, 24)) ('anti-glutamic acid decarboxylase', 'Protein', (307, 339)) ('neoplasia', 'Phenotype', 'HP:0002664', (15, 24)) ('thymomatous MG', 'Disease', 'MESH:D000080343', (92, 106)) ('antineuronal nuclear autoantibody', 'Phenotype', 'HP:0025353', (167, 200)) ('dihydropyrimidinase-related protein 5', 'Gene', '56896', (210, 247)) ('dihydropyrimidinase-related protein 5', 'Gene', (210, 247)) ('Additional paraneoplasia', 'Disease', (0, 24)) 44126 19375665 Whereas patients with anti-MUSK antibodies can have presentations similar to anti-AChR-positive MG, they commonly have atypical clinical features, such as selective facial, bulbar, neck, and respiratory muscle weakness and marked muscle atrophy, occasionally with relative sparing of ocular muscles. ('antibodies', 'Var', (32, 42)) ('respiratory muscle weakness', 'Phenotype', 'HP:0002747', (191, 218)) ('MUSK', 'Gene', '4593', (27, 31)) ('selective facial', 'Disease', (155, 171)) ('neck', 'Disease', (181, 185)) ('muscle atrophy', 'Disease', 'MESH:D009133', (230, 244)) ('anti-MUSK antibodies', 'Phenotype', 'HP:0030210', (22, 42)) ('respiratory muscle weakness', 'Disease', (191, 218)) ('respiratory muscle weakness', 'Disease', 'MESH:D012131', (191, 218)) ('bulbar', 'Disease', (173, 179)) ('MUSK antibodies', 'Phenotype', 'HP:0030210', (27, 42)) ('muscle weakness', 'Phenotype', 'HP:0001324', (203, 218)) ('muscle atrophy', 'Phenotype', 'HP:0003202', (230, 244)) ('MUSK', 'Gene', (27, 31)) ('muscle atrophy', 'Disease', (230, 244)) ('patients', 'Species', '9606', (8, 16)) 44144 19375665 Although antibodies to the AChR directly result in the destruction of the muscle endplate, the high-affinity, highly mutated nature of the anti-AChR IgGs indicates that the autoantibody response is T-cell dependent, with CD4 T cells helping the B cells to produce the pathogenic antibodies. ('antibodies', 'Var', (9, 19)) ('result in', 'Reg', (41, 50)) ('CD4', 'Gene', (221, 224)) ('CD4', 'Gene', '920', (221, 224)) 44161 19375665 Recent evidence indicates that anti-MUSK antibodies adversely affect the maintenance of AChR clustering at the muscle endplate, leading to reduced numbers of functional AChRs. ('affect', 'Reg', (62, 68)) ('anti-MUSK antibodies', 'Phenotype', 'HP:0030210', (31, 51)) ('MUSK', 'Gene', (36, 40)) ('MUSK antibodies', 'Phenotype', 'HP:0030210', (36, 51)) ('antibodies', 'Var', (41, 51)) ('AChR', 'Protein', (88, 92)) ('reduced', 'NegReg', (139, 146)) ('MUSK', 'Gene', '4593', (36, 40)) 44186 19375665 In disorders of the NMJ, low rates of nerve stimulation (2-5 Hz) produce a progressive decrease or decrement in the amplitude of the compound muscle action potential. ('men', 'Species', '9606', (104, 107)) ('NMJ', 'Gene', (20, 23)) ('amplitude of the compound muscle action potential', 'MPA', (116, 165)) ('decrease', 'NegReg', (87, 95)) ('decrement', 'NegReg', (99, 108)) ('disorders', 'Var', (3, 12)) 44213 19375665 Plasma exchange can also reduce coagulation factors, particularly with repeated treatments, leading to bleeding tendencies. ('leading to', 'Reg', (92, 102)) ('bleeding tendencies', 'Disease', 'MESH:C536965', (103, 122)) ('coagulation factors', 'MPA', (32, 51)) ('reduce', 'NegReg', (25, 31)) ('men', 'Species', '9606', (85, 88)) ('Plasma', 'Var', (0, 6)) ('bleeding tendencies', 'Disease', (103, 122)) ('bleeding tendencies', 'Phenotype', 'HP:0001892', (103, 122)) 44251 19375665 Sustained benefit has been reported in anti-ryanodine-receptor-positive patients, which has been hypothesised to be due to enhancement of ryanodine-receptor-related sarcoplasmic calcium release. ('anti-ryanodine-receptor-positive', 'Var', (39, 71)) ('calcium', 'Chemical', 'MESH:D002118', (178, 185)) ('enhancement', 'PosReg', (123, 134)) ('men', 'Species', '9606', (130, 133)) ('patients', 'Species', '9606', (72, 80)) 44309 9151708 The effect of glucocorticoids (GCs)1 is selective; the immature CD4+CD8+ thymocyte fraction is rapidly killed by GC treatment, whereas both the precursor population (TCR-CD4-CD8-) and mature thymocytes (CD4+ or CD8+) are relatively resistant. ('CD4', 'Gene', '12504', (64, 67)) ('CD4', 'Gene', (203, 206)) ('treatment', 'Var', (116, 125)) ('CD4', 'Gene', '12504', (203, 206)) ('CD4', 'Gene', (170, 173)) ('CD4', 'Gene', (64, 67)) ('CD4', 'Gene', '12504', (170, 173)) 44311 9151708 In addition, antibodies against SWI3 interfere with the ability of rat GR to activate transcription in Drosophila melanogaster nuclear extracts. ('rat', 'Species', '10116', (67, 70)) ('antibodies', 'Var', (13, 23)) ('interfere', 'NegReg', (37, 46)) ('activate transcription', 'MPA', (77, 99)) ('Drosophila melanogaster', 'Species', '7227', (103, 126)) ('SWI3', 'Gene', (32, 36)) 44312 9151708 The other subunits of the SWI-SNF complex so far identified include the SWI1 (ADR6), SWI2 (SNF2), SNF5, SNF6, SNF11, and SWP73. ('SNF11', 'Gene', (110, 115)) ('SNF6', 'Gene', (104, 108)) ('SWI1', 'Gene', (72, 76)) ('SWP73', 'Gene', '855757', (121, 126)) ('SWI2', 'Var', (85, 89)) ('ADR6', 'Gene', (78, 82)) ('SWI1', 'Gene', '856091', (72, 76)) ('SNF6', 'Gene', '856360', (104, 108)) ('ADR6', 'Gene', '856091', (78, 82)) ('SWP73', 'Gene', (121, 126)) ('SNF11', 'Gene', '851645', (110, 115)) ('SNF2', 'Gene', (91, 95)) ('SNF2', 'Gene', '854465', (91, 95)) 44388 9151708 The level of expression of lacZ gene in the SRG3 transformant was only ~22% of the mutant cells transformed with the yeast SWI3 (a positive control), whereas the LacZ expression level in mutant cells transformed only with a vector plasmid was ~20% of the SWI3 transformed cells. ('expression', 'MPA', (13, 23)) ('lacZ', 'Gene', (27, 31)) ('yeast', 'Species', '4932', (117, 122)) ('mutant', 'Var', (83, 89)) 44416 9151708 When the level of SRG3 protein was reduced to ~50-30% of normal level of thymoma cells by expressing anti-sense RNA to the gene, apoptosis induced by GC on these cells was significantly reduced (Fig. ('thymoma', 'Phenotype', 'HP:0100522', (73, 80)) ('anti-sense RNA', 'Var', (101, 115)) ('apoptosis', 'CPA', (129, 138)) ('reduced', 'NegReg', (35, 42)) ('reduced', 'NegReg', (186, 193)) ('thymoma', 'Disease', 'MESH:D013945', (73, 80)) ('thymoma', 'Disease', (73, 80)) 44421 9151708 In yeast, transcriptional activation by GR is blocked by disrupting any one of SWI1, SWI2, and SWI3 genes, suggesting the possibility that the SWI-SNF complex is required for the GC sensitivity of thymocytes. ('SWI1', 'Gene', '856091', (79, 83)) ('SWI1', 'Gene', (79, 83)) ('SWI3 genes', 'Gene', (95, 105)) ('SWI2', 'Gene', (85, 89)) ('yeast', 'Species', '4932', (3, 8)) ('disrupting', 'Var', (57, 67)) 44485 31639039 These results demonstrate anti-tumor activity of PD-L1 inhibition in patients with relapsed thymoma accompanied by a high frequency of immune-related adverse events. ('thymoma', 'Disease', 'MESH:D013945', (92, 99)) ('tumor', 'Phenotype', 'HP:0002664', (31, 36)) ('thymoma', 'Disease', (92, 99)) ('PD-L1', 'Gene', '29126', (49, 54)) ('tumor', 'Disease', (31, 36)) ('thymoma', 'Phenotype', 'HP:0100522', (92, 99)) ('patients', 'Species', '9606', (69, 77)) ('inhibition', 'Var', (55, 65)) ('PD-L1', 'Gene', (49, 54)) ('tumor', 'Disease', 'MESH:D009369', (31, 36)) 44508 31639039 Targets used for identification included: CD3, CD4, CD8 and CD45RO for T cells (helper, cytotoxic and memory T cells); CD3, CD4, and FoxP3 for regulatory T cells (Tregs); CD3, CD20 and CD79 for B and plasma cells; CD3 (negativity) and CD16 for NK cells; and CD68 and CD163 for myeloid cells/macrophages. ('CD4', 'Gene', '920', (47, 50)) ('CD4', 'Gene', '920', (124, 127)) ('CD3', 'Var', (171, 174)) ('CD8', 'Gene', (52, 55)) ('CD4', 'Gene', '920', (60, 63)) ('CD16', 'Gene', '2214', (235, 239)) ('CD4', 'Gene', (47, 50)) ('CD16', 'Gene', '2214', (267, 271)) ('CD4', 'Gene', (124, 127)) ('CD20', 'Gene', (176, 180)) ('CD4', 'Gene', (60, 63)) ('FoxP3', 'Gene', (133, 138)) ('memory T', 'Disease', 'MESH:D008569', (102, 110)) ('CD3', 'Var', (42, 45)) ('CD68', 'Gene', '968', (258, 262)) ('CD16', 'Gene', (235, 239)) ('CD16', 'Gene', (267, 271)) ('CD20', 'Gene', '54474', (176, 180)) ('CD3', 'Var', (119, 122)) ('FoxP3', 'Gene', '50943', (133, 138)) ('CD8', 'Gene', '925', (52, 55)) ('CD68', 'Gene', (258, 262)) ('memory T', 'Disease', (102, 110)) ('N', 'Chemical', 'MESH:D009584', (244, 245)) 44567 31639039 This observation suggests that tumor response was related to avelumab rather than steroids used to treat irAEs. ('tumor', 'Phenotype', 'HP:0002664', (31, 36)) ('tumor', 'Disease', (31, 36)) ('avelumab', 'Var', (61, 69)) ('steroids', 'Chemical', 'MESH:D013256', (82, 90)) ('tumor', 'Disease', 'MESH:D009369', (31, 36)) 44609 31639039 The anti-tumor effect seen in our patients could be related to the known mechanism of action of anti-PD-L1 MAbs, i.e., blockade of the binding of PD-L1 to PD-1 activates antigen-specific T cells that destroy tumor cells bearing target antigens. ('activates', 'PosReg', (160, 169)) ('PD-L1', 'Gene', '29126', (146, 151)) ('tumor', 'Disease', 'MESH:D009369', (9, 14)) ('tumor', 'Disease', 'MESH:D009369', (208, 213)) ('blockade', 'Var', (119, 127)) ('PD-L1', 'Gene', '29126', (101, 106)) ('tumor', 'Phenotype', 'HP:0002664', (9, 14)) ('tumor', 'Phenotype', 'HP:0002664', (208, 213)) ('antigen-specific T cells', 'CPA', (170, 194)) ('PD-1', 'Gene', (155, 159)) ('tumor', 'Disease', (9, 14)) ('patients', 'Species', '9606', (34, 42)) ('tumor', 'Disease', (208, 213)) ('binding', 'Interaction', (135, 142)) ('PD-1', 'Gene', '5133', (155, 159)) ('PD-L1', 'Gene', (146, 151)) ('PD-L1', 'Gene', (101, 106)) 44615 31639039 We hypothesize that under these conditions blockade of the PD-1/PD-L1 pathway results in the disinhibition of effector T cells that are capable of inducing thymic epithelial cell death and overcoming immunological tolerance against normal tissue antigens expressed on thymic epithelium. ('disinhibition', 'NegReg', (93, 106)) ('blockade', 'Var', (43, 51)) ('overcoming', 'PosReg', (189, 199)) ('PD-1', 'Gene', (59, 63)) ('PD-1', 'Gene', '5133', (59, 63)) ('PD-L1', 'Gene', (64, 69)) ('inducing', 'PosReg', (147, 155)) ('immunological tolerance', 'CPA', (200, 223)) ('PD-L1', 'Gene', '29126', (64, 69)) ('disinhibition', 'Phenotype', 'HP:0000734', (93, 106)) ('thymic epithelial cell death', 'CPA', (156, 184)) 44656 24637658 MiR15b, miR122, miR-140-3p, miR185, miR192, miR20b and miR-885-5p were in lower levels in MG patients than in controls. ('miR122', 'Gene', '406906', (8, 14)) ('miR20b', 'Gene', '574032', (44, 50)) ('miR192', 'Gene', '406967', (36, 42)) ('miR-140', 'Gene', '406932', (16, 23)) ('miR-885', 'Gene', '100126334', (55, 62)) ('miR192', 'Gene', (36, 42)) ('MiR15b', 'Gene', '406949', (0, 6)) ('miR20b', 'Gene', (44, 50)) ('MiR15b', 'Gene', (0, 6)) ('miR-140', 'Gene', (16, 23)) ('miR-885', 'Gene', (55, 62)) ('miR185', 'Var', (28, 34)) ('patients', 'Species', '9606', (93, 101)) ('miR122', 'Gene', (8, 14)) 44759 24637658 However, other cells should be contributing to the altered circulating profile of MG, because miR122, miR140-3p, miR192 and miR885-5p were not differentially expressed in PBMCs. ('miR122', 'Gene', '406906', (94, 100)) ('miR192', 'Gene', '406967', (113, 119)) ('miR885', 'Gene', '100126334', (124, 130)) ('miR140-3p', 'Var', (102, 111)) ('miR192', 'Gene', (113, 119)) ('miR122', 'Gene', (94, 100)) ('miR140-3p', 'Chemical', '-', (102, 111)) ('miR885', 'Gene', (124, 130)) 44760 24637658 MiRNA-15b and miR20b are two of the miRNAs found at lower levels in MG patients. ('patients', 'Species', '9606', (71, 79)) ('MiRNA-15b', 'Var', (0, 9)) ('miR20b', 'Gene', '574032', (14, 20)) ('miR', 'Gene', '220972', (14, 17)) ('miR', 'Gene', (14, 17)) ('miR', 'Gene', '220972', (36, 39)) ('miR20b', 'Gene', (14, 20)) ('miR', 'Gene', (36, 39)) 44767 24637658 When B cells have low levels of miR185, cells produce high titers of autoreactive antibodies and lead to autoimmune features in mice. ('autoreactive', 'Protein', (69, 81)) ('mice', 'Species', '10090', (128, 132)) ('miR185', 'Var', (32, 38)) ('titers', 'MPA', (59, 65)) ('autoimmune features', 'Phenotype', 'HP:0002960', (105, 124)) ('autoimmune features', 'CPA', (105, 124)) ('lead to', 'Reg', (97, 104)) 44913 31360225 Small-scale clinical studies have shown significant improvements in respiratory function and muscle strength in thymectomized patients after PLEX. ('improvements', 'PosReg', (52, 64)) ('muscle strength', 'CPA', (93, 108)) ('PLEX', 'Var', (141, 145)) ('men', 'Species', '9606', (59, 62)) ('patients', 'Species', '9606', (126, 134)) ('respiratory function', 'CPA', (68, 88)) 44929 31360225 Thymectomy was indicated in generalized forms of anti-AChR-positive MG, in patients under 55-years old, and in all patients with thymoma, regardless of age. ('patients', 'Species', '9606', (115, 123)) ('thymoma', 'Disease', (129, 136)) ('patients', 'Species', '9606', (75, 83)) ('thymoma', 'Phenotype', 'HP:0100522', (129, 136)) ('anti-AChR-positive', 'Var', (49, 67)) ('thymoma', 'Disease', 'MESH:D013945', (129, 136)) 45040 27816689 The final histopathology confirmed the diagnosis of stage IIA poorly differentiated squamous cell carcinoma p-G3, p-T2, p-N0, p-R0. ('p-N0', 'Var', (120, 124)) ('p-T2', 'Var', (114, 118)) ('p-G3', 'Var', (108, 112)) ('carcinoma', 'Phenotype', 'HP:0030731', (98, 107)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (84, 107)) ('squamous cell carcinoma', 'Disease', (84, 107)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (84, 107)) 45131 25346762 Specific immunohistochemical markers and chromosomal gains and losses might be necessary in some cases to distinguish these tumors from other lung carcinomas. ('tumor', 'Phenotype', 'HP:0002664', (124, 129)) ('lung carcinomas', 'Disease', (142, 157)) ('tumors', 'Disease', 'MESH:D009369', (124, 130)) ('tumors', 'Disease', (124, 130)) ('tumors', 'Phenotype', 'HP:0002664', (124, 130)) ('chromosomal gains', 'Var', (41, 58)) ('lung carcinomas', 'Disease', 'MESH:D008175', (142, 157)) ('carcinoma', 'Phenotype', 'HP:0030731', (147, 156)) ('carcinomas', 'Phenotype', 'HP:0030731', (147, 157)) ('losses', 'NegReg', (63, 69)) 45305 25592632 Overexpression of KIT has been reported in about 80% of thymic carcinomas, and mutations in the gene encoding this receptor are noted in about 10% of these cancers. ('cancers', 'Phenotype', 'HP:0002664', (156, 163)) ('carcinomas', 'Phenotype', 'HP:0030731', (63, 73)) ('KIT', 'Gene', (18, 21)) ('cancers', 'Disease', (156, 163)) ('reported', 'Reg', (31, 39)) ('cancers', 'Disease', 'MESH:D009369', (156, 163)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (56, 73)) ('cancer', 'Phenotype', 'HP:0002664', (156, 162)) ('carcinoma', 'Phenotype', 'HP:0030731', (63, 72)) ('thymic carcinomas', 'Disease', (56, 73)) ('mutations', 'Var', (79, 88)) 45436 25592632 At the same time, findings of clinical trials have validated that blockade of PD-L1/PD-1 signalling and CTLA4 is a meaningful therapeutic regimen in selected cancers. ('PD-L1', 'Gene', (78, 83)) ('cancers', 'Phenotype', 'HP:0002664', (158, 165)) ('cancers', 'Disease', (158, 165)) ('cancers', 'Disease', 'MESH:D009369', (158, 165)) ('blockade', 'Var', (66, 74)) ('PD-L1', 'Gene', '29126', (78, 83)) ('CTLA4', 'Gene', (104, 109)) ('cancer', 'Phenotype', 'HP:0002664', (158, 164)) 45449 25592632 Analyses of existing scientific literature suggest that alterations in KIT, although frequent, might not be a determinant response to sunitinib in thymic carcinoma. ('alterations', 'Var', (56, 67)) ('KIT', 'Gene', (71, 74)) ('carcinoma', 'Phenotype', 'HP:0030731', (154, 163)) ('thymic carcinoma', 'Disease', (147, 163)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (147, 163)) ('sunitinib', 'Chemical', 'MESH:D000077210', (134, 143)) 45461 23444221 Copy number aberrations of genes regulating normal thymus development in thymic epithelial tumors To determine if the deregulation of genes relevant for normal thymus development can contribute to the biology of thymic epithelial tumors. ('tumors', 'Phenotype', 'HP:0002664', (91, 97)) ('thymic epithelial tumors', 'Disease', (212, 236)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (212, 236)) ('tumors', 'Phenotype', 'HP:0002664', (230, 236)) ('tumor', 'Phenotype', 'HP:0002664', (91, 96)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (73, 97)) ('thymic epithelial tumors', 'Disease', (73, 97)) ('tumor', 'Phenotype', 'HP:0002664', (230, 235)) ('Copy number aberrations', 'Var', (0, 23)) 45466 23444221 Immunohistochemistry on a series of 132 thymic epithelial tumors including those evaluated by comparative genomic hybridization, revealed a correlation between protein expression and copy number status only for FOXC1 but not for PBX1. ('PBX1', 'Gene', (229, 233)) ('tumor', 'Phenotype', 'HP:0002664', (58, 63)) ('correlation', 'Interaction', (140, 151)) ('copy number status', 'Var', (183, 201)) ('tumors', 'Phenotype', 'HP:0002664', (58, 64)) ('PBX1', 'Gene', '5087', (229, 233)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (40, 64)) ('FOXC1', 'Gene', (211, 216)) ('protein expression', 'MPA', (160, 178)) ('thymic epithelial tumors', 'Disease', (40, 64)) 45477 23444221 Several cell lineage-specific transcription factors, implicated in organogenesis, have been found to be ectopically reactivated by copy number (CN) aberrations in cancers, including NKX2-1 (TITF) in lung cancer, ESR1 in breast cancer, GATA6 in pancreatic cancer and MITF in melanoma. ('ESR1', 'Gene', (212, 216)) ('copy number', 'Var', (131, 142)) ('pancreatic cancer', 'Disease', 'MESH:D010190', (244, 261)) ('melanoma', 'Disease', 'MESH:D008545', (274, 282)) ('breast cancer', 'Phenotype', 'HP:0003002', (220, 233)) ('lung cancer', 'Disease', (199, 210)) ('cancers', 'Disease', 'MESH:D009369', (163, 170)) ('cancer', 'Phenotype', 'HP:0002664', (255, 261)) ('GATA6', 'Gene', '2627', (235, 240)) ('breast cancer', 'Disease', 'MESH:D001943', (220, 233)) ('pancreatic cancer', 'Disease', (244, 261)) ('breast cancer', 'Disease', (220, 233)) ('lung cancer', 'Disease', 'MESH:D008175', (199, 210)) ('MITF', 'Gene', '4286', (266, 270)) ('aberrations', 'Var', (148, 159)) ('melanoma', 'Phenotype', 'HP:0002861', (274, 282)) ('NKX2-1', 'Gene', '7080', (182, 188)) ('melanoma', 'Disease', (274, 282)) ('cancer', 'Phenotype', 'HP:0002664', (204, 210)) ('lung cancer', 'Phenotype', 'HP:0100526', (199, 210)) ('pancreatic cancer', 'Phenotype', 'HP:0002894', (244, 261)) ('NKX2-1', 'Gene', (182, 188)) ('MITF', 'Gene', (266, 270)) ('cancers', 'Phenotype', 'HP:0002664', (163, 170)) ('GATA6', 'Gene', (235, 240)) ('cancers', 'Disease', (163, 170)) ('cancer', 'Phenotype', 'HP:0002664', (227, 233)) ('cancer', 'Phenotype', 'HP:0002664', (163, 169)) ('ESR1', 'Gene', '2099', (212, 216)) 45498 23444221 Positive controls were stained with anti-FOXC1 and anti-PBX1 antibodies and negative controls using respective isogenic serum instead of the primary antibodies. ('PBX1', 'Gene', '5087', (56, 60)) ('PBX1', 'Gene', (56, 60)) ('anti-FOXC1', 'Var', (36, 46)) 45501 23444221 TY82 thymic carcinoma cell line was purchased from Japan Health Science Foundation (Tokyo), whereas, NIH-H82, NIH-H69, NIH-H23, NIH-H460, NIH-H1355, HEK-293, NIH-3T3 and U2OS were obtained from ATCC (Manassas, VA). ('HEK-293', 'CellLine', 'CVCL:0045', (149, 156)) ('thymic carcinoma', 'Disease', (5, 21)) ('NIH-H23', 'Var', (119, 126)) ('NIH-3T3', 'CellLine', 'CVCL:0594', (158, 165)) ('NIH-H1355', 'CellLine', 'CVCL:1464', (138, 147)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (5, 21)) ('carcinoma', 'Phenotype', 'HP:0030731', (12, 21)) ('NIH-H69', 'CellLine', 'CVCL:0601', (110, 117)) ('NIH-H460', 'Var', (128, 136)) ('NIH-H23', 'CellLine', 'CVCL:0601', (119, 126)) ('NIH-H82', 'CellLine', 'CVCL:0601', (101, 108)) ('U2OS', 'CellLine', 'CVCL:0042', (170, 174)) ('NIH-H82', 'Var', (101, 108)) ('NIH-H460', 'CellLine', 'CVCL:0459', (128, 136)) 45504 23444221 Protein extraction and western blot were performed as previously described using anti-N-terminal-FOXC1 (1:200, overnight 4 C incubation, Santa Cruz biotecgnology, Inc., Santa Cruz CA), anti-PBX1 (1:1000, overnight 4 C incubation, Cell Signaling Technology, Danvers, MA) anti-TBX1 (1:1000, overnight 4 C incubation, Epitomics, Burlingame, CA) and anti-alpha-Tubulin (1:2000, 1-hour room temperature incubation, Cell Signaling) antibodies, respectively. ('PBX1', 'Gene', (190, 194)) ('alpha-Tubulin', 'Gene', (351, 364)) ('PBX1', 'Gene', '5087', (190, 194)) ('alpha-Tubulin', 'Gene', '10376', (351, 364)) ('1:1000', 'Var', (281, 287)) 45511 23444221 The CN loss of chromosome 6p has also been described in another case of A thymoma by Zetel et al.. ('CN loss', 'Var', (4, 11)) ('thymoma', 'Phenotype', 'HP:0100522', (74, 81)) ('A thymoma', 'Disease', 'MESH:D013945', (72, 81)) ('A thymoma', 'Disease', (72, 81)) 45516 23444221 PBX1 CN gain was a more frequent event in aggressive histotypes (B2+B2/B3, B3 and TC) than in A and AB (Fisher exact test p<0.001; Figure 2D), and in relapsed tumors than in primary tumors (chi2 test p=0.027). ('primary tumors', 'Disease', (174, 188)) ('tumors', 'Phenotype', 'HP:0002664', (182, 188)) ('tumor', 'Phenotype', 'HP:0002664', (159, 164)) ('primary tumors', 'Disease', 'MESH:D009369', (174, 188)) ('PBX1', 'Gene', (0, 4)) ('tumors', 'Disease', (182, 188)) ('tumors', 'Disease', 'MESH:D009369', (182, 188)) ('tumors', 'Disease', (159, 165)) ('relapsed', 'Disease', (150, 158)) ('tumors', 'Phenotype', 'HP:0002664', (159, 165)) ('B2+B2/B3', 'Var', (65, 73)) ('tumors', 'Disease', 'MESH:D009369', (159, 165)) ('gain', 'PosReg', (8, 12)) ('tumor', 'Phenotype', 'HP:0002664', (182, 187)) ('PBX1', 'Gene', '5087', (0, 4)) 45521 23444221 Chromosome 6p23.5 (FOXC1) deletion was evaluated in 6 tumors with and 5 without CN loss, according to CGH results. ('tumors', 'Disease', 'MESH:D009369', (54, 60)) ('deletion', 'Var', (26, 34)) ('tumor', 'Phenotype', 'HP:0002664', (54, 59)) ('FOXC1', 'Gene', (19, 24)) ('tumors', 'Disease', (54, 60)) ('tumors', 'Phenotype', 'HP:0002664', (54, 60)) 45533 23444221 No correlation was observed between copy number gain of the PBX1 locus and PBX1 protein expression by immunohistochemistry (p=0.575). ('PBX1', 'Gene', (60, 64)) ('copy number', 'Var', (36, 47)) ('PBX1', 'Gene', (75, 79)) ('protein', 'Protein', (80, 87)) ('PBX1', 'Gene', '5087', (60, 64)) ('PBX1', 'Gene', '5087', (75, 79)) ('expression', 'MPA', (88, 98)) 45537 23444221 More aggressive histotypes (B1/B2, B2, B2/B3, B3 and TC) exhibited higher frequency of PBX1 expression (42.9%; 24/56) than less aggressive ones (A, AB, B1) (13.6%; 8/59; Fisher exact test p=0.001). ('higher', 'PosReg', (67, 73)) ('B2/B3', 'Var', (39, 44)) ('PBX1', 'Gene', '5087', (87, 91)) ('PBX1', 'Gene', (87, 91)) ('expression', 'MPA', (92, 102)) 45539 23444221 Since FOXC1 gene mutations have been shown in endometrial and ovarian cancers, we sequenced the entire FOXC1 coding region in the 59 FFPE TET samples analyzed by CGH and in the three TET cell lines. ('cancer', 'Phenotype', 'HP:0002664', (70, 76)) ('FOXC1', 'Gene', (103, 108)) ('endometrial and ovarian cancers', 'Disease', 'MESH:D016889', (46, 77)) ('shown', 'Reg', (37, 42)) ('ovarian cancers', 'Phenotype', 'HP:0100615', (62, 77)) ('cancers', 'Phenotype', 'HP:0002664', (70, 77)) ('FOXC1', 'Gene', (6, 11)) ('mutations', 'Var', (17, 26)) 45542 23444221 One AB thymoma carried a glycine insertion in another poly-glycine region between amino acid 375 and 380. ('glycine', 'Chemical', 'MESH:D005998', (25, 32)) ('glycine', 'Chemical', 'MESH:D005998', (59, 66)) ('AB thymoma', 'Disease', (4, 14)) ('poly-glycine', 'Chemical', 'MESH:C011080', (54, 66)) ('glycine insertion', 'Var', (25, 42)) ('thymoma', 'Phenotype', 'HP:0100522', (7, 14)) ('AB thymoma', 'Disease', 'MESH:D013945', (4, 14)) 45552 23444221 If FOXC1 is a genuine tumor suppressor gene, reconstitution of FOXC1 into these cells should impede cell growth. ('cell growth', 'CPA', (100, 111)) ('FOXC1', 'Gene', (3, 8)) ('impede', 'NegReg', (93, 99)) ('tumor', 'Disease', 'MESH:D009369', (22, 27)) ('tumor', 'Phenotype', 'HP:0002664', (22, 27)) ('tumor', 'Disease', (22, 27)) ('FOXC1', 'Gene', (63, 68)) ('reconstitution', 'Var', (45, 59)) 45553 23444221 Soft agar assay showed that constitutive expression of FOXC1 in U2OS cells significantly reduced the number of colony outgrowth in comparison to the vector-transfected clones and U2OS parental cells (Figure 4D-E). ('U2OS', 'CellLine', 'CVCL:0042', (179, 183)) ('FOXC1', 'Gene', (55, 60)) ('reduced', 'NegReg', (89, 96)) ('expression', 'Var', (41, 51)) ('U2OS', 'CellLine', 'CVCL:0042', (64, 68)) ('agar', 'Chemical', 'MESH:D000362', (5, 9)) 45558 23444221 Lineage-specific transcription factors, implicated in organogenesis, have been found deregulated by CN aberrations and they have been demonstrated to be able to drive the cancer phenotype. ('aberrations', 'Var', (103, 114)) ('cancer', 'Disease', 'MESH:D009369', (171, 177)) ('drive', 'PosReg', (161, 166)) ('deregulated', 'NegReg', (85, 96)) ('cancer', 'Disease', (171, 177)) ('cancer', 'Phenotype', 'HP:0002664', (171, 177)) 45560 23444221 Subjects carrying the 22q11.2 deletion syndrome present variable pathologic phenotypes at birth including cardiac defects, abnormal faces, thymic hypoplasia, cleft palate and hypocalcaemia. ('thymic hypoplasia', 'Phenotype', 'HP:0000777', (139, 156)) ('cardiac defects', 'Disease', 'MESH:D006331', (106, 121)) ('cleft palate', 'Disease', 'MESH:D002972', (158, 170)) ('abnormal faces', 'Phenotype', 'HP:0000271', (123, 137)) ('cleft palate', 'Phenotype', 'HP:0000175', (158, 170)) ('cardiac defects', 'Disease', (106, 121)) ('hypocalcaemia', 'Phenotype', 'HP:0002901', (175, 188)) ('hypocalcaemia', 'Disease', (175, 188)) ('hypocalcaemia', 'Disease', 'None', (175, 188)) ('deletion syndrome', 'Var', (30, 47)) ('thymic hypoplasia', 'Disease', 'MESH:D013953', (139, 156)) ('abnormal faces', 'Disease', (123, 137)) ('thymic hypoplasia', 'Disease', (139, 156)) ('cleft palate', 'Disease', (158, 170)) 45567 23444221 In vitro, TBX1 expression restores contact inhibition and reduces anchorage-independent cell growth in soft agar. ('anchorage-independent cell growth in soft agar', 'CPA', (66, 112)) ('TBX1', 'Gene', (10, 14)) ('reduces', 'NegReg', (58, 65)) ('expression', 'Var', (15, 25)) ('restores', 'PosReg', (26, 34)) ('agar', 'Chemical', 'MESH:D000362', (108, 112)) ('contact inhibition', 'MPA', (35, 53)) 45568 23444221 In vivo, the ectopic expression of TBX1 suppresses the growth of skin carcinoma cells. ('carcinoma', 'Phenotype', 'HP:0030731', (70, 79)) ('skin carcinoma', 'Disease', (65, 79)) ('skin carcinoma', 'Disease', 'MESH:D012878', (65, 79)) ('suppresses', 'NegReg', (40, 50)) ('TBX1', 'Gene', (35, 39)) ('ectopic expression', 'Var', (13, 31)) 45573 23444221 In contrast, CN gain of PBX1 is involved in a large region of CN gain of the whole chromosome 1q, being 1q CN gain a frequent event in TETs. ('PBX1', 'Gene', '5087', (24, 28)) ('gain', 'PosReg', (65, 69)) ('CN gain', 'Var', (13, 20)) ('PBX1', 'Gene', (24, 28)) 45576 23444221 FOXC1 expression was reduced in TETs with the CN loss, but PBX1 expression was not increased in tumors with CN gain. ('reduced', 'NegReg', (21, 28)) ('PBX1', 'Gene', '5087', (59, 63)) ('tumor', 'Phenotype', 'HP:0002664', (96, 101)) ('CN loss', 'Var', (46, 53)) ('tumors', 'Disease', (96, 102)) ('PBX1', 'Gene', (59, 63)) ('expression', 'MPA', (6, 16)) ('tumors', 'Phenotype', 'HP:0002664', (96, 102)) ('tumors', 'Disease', 'MESH:D009369', (96, 102)) ('FOXC1', 'Gene', (0, 5)) 45582 23444221 The extra-glycine insertions in polyglycine regions (of 6 and 10-glycine) were observed in three tumors and have been previously described as polymorphisms, thus unlikely affecting the protein function. ('glycine', 'Chemical', 'MESH:D005998', (65, 72)) ('glycine', 'Chemical', 'MESH:D005998', (10, 17)) ('tumor', 'Phenotype', 'HP:0002664', (97, 102)) ('6 and 10-glycine', 'Chemical', '-', (56, 72)) ('polyglycine', 'Chemical', 'MESH:C011080', (32, 43)) ('tumors', 'Disease', (97, 103)) ('tumors', 'Phenotype', 'HP:0002664', (97, 103)) ('glycine', 'Chemical', 'MESH:D005998', (36, 43)) ('observed', 'Reg', (79, 87)) ('extra-glycine insertions', 'Var', (4, 28)) ('tumors', 'Disease', 'MESH:D009369', (97, 103)) 45583 23444221 Methylation of FOXC1 promoter is a candidate mechanism for repression of FOXC1 expression in tumors without FOXC1 CN loss, since FOXC1 promoter methylation has been described in other cancer types and correlated with FOXC1 silencing. ('cancer', 'Disease', (184, 190)) ('tumor', 'Phenotype', 'HP:0002664', (93, 98)) ('Methylation', 'Var', (0, 11)) ('methylation', 'Var', (144, 155)) ('tumors', 'Disease', 'MESH:D009369', (93, 99)) ('cancer', 'Phenotype', 'HP:0002664', (184, 190)) ('FOXC1', 'Gene', (129, 134)) ('FOXC1', 'Gene', (73, 78)) ('tumors', 'Phenotype', 'HP:0002664', (93, 99)) ('FOXC1 CN loss', 'Disease', 'MESH:D015431', (108, 121)) ('FOXC1 CN loss', 'Disease', (108, 121)) ('repression', 'NegReg', (59, 69)) ('tumors', 'Disease', (93, 99)) ('cancer', 'Disease', 'MESH:D009369', (184, 190)) ('silencing', 'NegReg', (223, 232)) 45587 23444221 To evaluate the functional significance of FOXC1 deletion in TETs, we reconstituted FOXC1-negative U2OS cells, and demonstrated that ectopic FOXC1 attenuated anchorage-independent growth and motility of U2OS cells in vitro, suggesting that FOXC1 may act as a tumor growth suppressor gene. ('attenuated', 'NegReg', (147, 157)) ('tumor', 'Disease', (259, 264)) ('U2OS', 'CellLine', 'CVCL:0042', (203, 207)) ('anchorage-independent growth', 'CPA', (158, 186)) ('tumor', 'Disease', 'MESH:D009369', (259, 264)) ('ectopic', 'Var', (133, 140)) ('FOXC1', 'Gene', (141, 146)) ('tumor', 'Phenotype', 'HP:0002664', (259, 264)) ('deletion', 'Var', (49, 57)) ('FOXC1', 'Gene', (43, 48)) ('U2OS', 'CellLine', 'CVCL:0042', (99, 103)) 45592 23444221 Ectopic FOXC1 overexpression in breast cancer cell lines increases cell proliferation, invasion and migration. ('breast cancer', 'Disease', (32, 45)) ('breast cancer', 'Phenotype', 'HP:0003002', (32, 45)) ('migration', 'CPA', (100, 109)) ('cancer', 'Phenotype', 'HP:0002664', (39, 45)) ('FOXC1', 'Gene', (8, 13)) ('Ectopic', 'Var', (0, 7)) ('increases', 'PosReg', (57, 66)) ('invasion', 'CPA', (87, 95)) ('breast cancer', 'Disease', 'MESH:D001943', (32, 45)) ('cell proliferation', 'CPA', (67, 85)) ('overexpression', 'PosReg', (14, 28)) 45599 23444221 We evaluated the copy number (CN) aberrations of genes involved in normal thymus development in thymic epithelial tumors, following the intriguing idea that the ectopic deregulation of genes relevant for proliferation and differentiation of embryonic cells, can contribute to tumor growth. ('tumor', 'Disease', 'MESH:D009369', (114, 119)) ('tumor', 'Disease', 'MESH:D009369', (276, 281)) ('tumor', 'Phenotype', 'HP:0002664', (114, 119)) ('tumor', 'Phenotype', 'HP:0002664', (276, 281)) ('copy number', 'Var', (17, 28)) ('tumor', 'Disease', (114, 119)) ('thymic epithelial tumors', 'Disease', (96, 120)) ('tumor', 'Disease', (276, 281)) ('contribute', 'Reg', (262, 272)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (96, 120)) ('tumors', 'Phenotype', 'HP:0002664', (114, 120)) 45698 19604398 B1 to B2, or B2 to B3) may lead to different categorisation, especially in highly biological active tumors such as B3 thymomas. ('tumor', 'Phenotype', 'HP:0002664', (100, 105)) ('B2 to B3', 'Var', (13, 21)) ('thymoma', 'Phenotype', 'HP:0100522', (118, 125)) ('highly biological active', 'MPA', (75, 99)) ('tumors', 'Disease', (100, 106)) ('thymomas', 'Disease', (118, 126)) ('thymomas', 'Disease', 'MESH:D013945', (118, 126)) ('tumors', 'Disease', 'MESH:D009369', (100, 106)) ('tumors', 'Phenotype', 'HP:0002664', (100, 106)) ('lead to', 'Reg', (27, 34)) 45701 19604398 There is a significant difference between cancer-related survival for patients according to WHO classification A-B2 and B3-C. Prognosis is good in patients with type A to B2 thymomas with no tumor related death. ('patients', 'Species', '9606', (70, 78)) ('tumor', 'Disease', 'MESH:D009369', (191, 196)) ('cancer', 'Phenotype', 'HP:0002664', (42, 48)) ('thymomas', 'Disease', 'MESH:D013945', (174, 182)) ('type A', 'Disease', (161, 167)) ('thymoma', 'Phenotype', 'HP:0100522', (174, 181)) ('thymomas', 'Disease', (174, 182)) ('patients', 'Species', '9606', (147, 155)) ('cancer', 'Disease', (42, 48)) ('tumor', 'Disease', (191, 196)) ('cancer', 'Disease', 'MESH:D009369', (42, 48)) ('tumor', 'Phenotype', 'HP:0002664', (191, 196)) ('B3-C.', 'Var', (120, 125)) ('death', 'Disease', 'MESH:D003643', (205, 210)) ('death', 'Disease', (205, 210)) 46009 27684107 An ELISA assay (Kansas City Analytical Services) was used to measure the following vaccination induced and natural protective antibodies in serum: anti-tetanus toxoid IgG, anti-diphtheria toxoid IgG, anti-varicella zoster virus IgG and anti-Epstein Barr virus viral capsid antigen IgG. ('tetanus', 'Disease', 'MESH:D013746', (152, 159)) ('Epstein Barr virus', 'Species', '10376', (241, 259)) ('anti-varicella', 'Var', (200, 214)) ('tetanus', 'Disease', (152, 159)) ('varicella zoster', 'Phenotype', 'HP:0032170', (205, 221)) 46037 27684107 Some investigators have suggested that the potential for an overshoot makes TPE a suboptimal acute therapy in autoimmune diseases compared with IVIg due to the potential for worsening of disease related to the overshoot. ('TPE', 'Var', (76, 79)) ('autoimmune diseases', 'Disease', (110, 129)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (110, 128)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (110, 129)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (110, 129)) 46058 27684107 In this study of patients with AChR MG, we show that TPE rapidly lowers all Igs, including AChR-Ab and protective Abs. ('Igs', 'Disease', (76, 79)) ('AChR-Ab', 'Disease', (91, 98)) ('lowers', 'NegReg', (65, 71)) ('TPE', 'Var', (53, 56)) ('protective Abs', 'Disease', (103, 117)) ('patients', 'Species', '9606', (17, 25)) 46152 28491357 Although not well characterised in cats for this purpose, CD4 and CD8 antibodies are available for use in cats and a study in dogs demonstrated that histologically confirmed cases of thymoma contained at least 10% of cells co-expressing CD4 and CD8, while in almost all cases of mediastinal lymphoma, CD4/CD8 co-expression was limited to <2% of lymphocytes. ('mediastinal lymphoma', 'Disease', (279, 299)) ('CD4', 'Var', (237, 240)) ('thymoma', 'Gene', '7063', (183, 190)) ('mediastinal lymphoma', 'Disease', 'MESH:D008480', (279, 299)) ('thymoma', 'Phenotype', 'HP:0100522', (183, 190)) ('dogs', 'Species', '9615', (126, 130)) ('cats', 'Species', '9685', (106, 110)) ('lymphoma', 'Phenotype', 'HP:0002665', (291, 299)) ('thymoma', 'Gene', (183, 190)) ('CD8', 'Var', (245, 248)) ('cats', 'Species', '9685', (35, 39)) 46192 26358060 Immunohistochemical stains will show positivity for smooth muscle actin and desmin in the majority of cases. ('positivity', 'Var', (37, 47)) ('smooth muscle actin', 'Protein', (52, 71)) ('desmin', 'Gene', '1674', (76, 82)) ('desmin', 'Gene', (76, 82)) 46262 26358060 A recurrent genetic aberration in EHE, including mediastinal cases, is translocation of the CAMTA1 gene on chromosome 1p and fusion with the WWTR1 gene on chromosome 3q. ('WWTR1', 'Gene', (141, 146)) ('CAMTA1', 'Gene', (92, 98)) ('EHE', 'Disease', (34, 37)) ('WWTR1', 'Gene', '25937', (141, 146)) ('EHE', 'Phenotype', 'HP:0032060', (34, 37)) ('fusion', 'Var', (125, 131)) ('CAMTA1', 'Gene', '23261', (92, 98)) ('translocation', 'Var', (71, 84)) 46300 26358060 The differential diagnosis is broad and includes eES/PNET with variant translocations and eES-like tumours unrelated to EWS (small blue round cell tumours), as well as synovial sarcomas and undifferentiated pleomorphic sarcomas with a small cell morphology. ('tumours', 'Phenotype', 'HP:0002664', (99, 106)) ('tumours', 'Phenotype', 'HP:0002664', (147, 154)) ('tumours', 'Disease', 'MESH:D009369', (99, 106)) ('variant translocations', 'Var', (63, 85)) ('tumours', 'Disease', 'MESH:D009369', (147, 154)) ('ES', 'Phenotype', 'HP:0012254', (50, 52)) ('eES/PNET', 'Disease', (49, 57)) ('tumour', 'Phenotype', 'HP:0002664', (99, 105)) ('tumour', 'Phenotype', 'HP:0002664', (147, 153)) ('synovial sarcomas', 'Phenotype', 'HP:0012570', (168, 185)) ('synovial sarcomas', 'Disease', (168, 185)) ('cell tumours', 'Disease', 'MESH:C538614', (142, 154)) ('cell tumours', 'Disease', (142, 154)) ('sarcomas', 'Phenotype', 'HP:0100242', (219, 227)) ('sarcoma', 'Phenotype', 'HP:0100242', (219, 226)) ('undifferentiated pleomorphic sarcomas', 'Disease', 'MESH:D002277', (190, 227)) ('undifferentiated pleomorphic sarcomas', 'Disease', (190, 227)) ('synovial sarcomas', 'Disease', 'MESH:D013584', (168, 185)) ('synovial sarcoma', 'Phenotype', 'HP:0012570', (168, 184)) ('sarcoma', 'Phenotype', 'HP:0100242', (177, 184)) ('ES', 'Phenotype', 'HP:0012254', (91, 93)) ('tumours', 'Disease', (99, 106)) ('tumours', 'Disease', (147, 154)) ('sarcomas', 'Phenotype', 'HP:0100242', (177, 185)) 46329 26358060 Variants of MPNST, which have also been reported in the mediastinum, may show divergent mesenchymal differentiation with components of skeletal muscle (rhabdomyosarcoma, the so-called Triton tumour), osteosarcoma and chondrosarcoma. ('MPNST', 'Phenotype', 'HP:0100697', (12, 17)) ('rhabdomyosarcoma', 'Disease', (152, 168)) ('Variants', 'Var', (0, 8)) ('chondrosarcoma', 'Disease', (217, 231)) ('sarcoma', 'Phenotype', 'HP:0100242', (161, 168)) ('Triton tumour', 'Disease', (184, 197)) ('rhabdomyosarcoma', 'Disease', 'MESH:D012208', (152, 168)) ('sarcoma', 'Phenotype', 'HP:0100242', (224, 231)) ('Triton tumour', 'Disease', 'MESH:D009369', (184, 197)) ('chondrosarcoma', 'Phenotype', 'HP:0006765', (217, 231)) ('sarcoma', 'Phenotype', 'HP:0100242', (205, 212)) ('osteosarcoma', 'Disease', (200, 212)) ('rhabdomyosarcoma', 'Phenotype', 'HP:0002859', (152, 168)) ('tumour', 'Phenotype', 'HP:0002664', (191, 197)) ('osteosarcoma', 'Phenotype', 'HP:0002669', (200, 212)) ('MPNST', 'Gene', (12, 17)) ('osteosarcoma', 'Disease', 'MESH:D012516', (200, 212)) ('chondrosarcoma', 'Disease', 'MESH:D002813', (217, 231)) 46353 26358060 It is conceivable that a number of these tumours may not actually have a normal tissue counterpart but instead reflect the consequence of genetic aberrations in which translocations and other genetic errors culminate in histological patterns, which are not encountered in normal tissue. ('tumour', 'Phenotype', 'HP:0002664', (41, 47)) ('tumours', 'Phenotype', 'HP:0002664', (41, 48)) ('translocations', 'Var', (167, 181)) ('culminate in', 'Reg', (207, 219)) ('tumours', 'Disease', 'MESH:D009369', (41, 48)) ('tumours', 'Disease', (41, 48)) 46396 26358060 The diagnosis was supported by demonstration of a translocation involving the EWSR1 gene by FISH analysis; the partner gene was not identified. ('EWSR1', 'Gene', '2130', (78, 83)) ('EWSR1', 'Gene', (78, 83)) ('translocation', 'Var', (50, 63)) 46460 30932350 revealed alterations of PI3K caused by mutations in a subgroup of thymomas, leading to an effective strategy to treat these tumors by targeting PI3K.6 Enkner et al. ('tumor', 'Phenotype', 'HP:0002664', (124, 129)) ('thymomas', 'Disease', (66, 74)) ('mutations', 'Var', (39, 48)) ('alterations', 'Reg', (9, 20)) ('thymomas', 'Disease', 'MESH:D013945', (66, 74)) ('tumors', 'Disease', (124, 130)) ('tumors', 'Disease', 'MESH:D009369', (124, 130)) ('PI3K', 'Gene', (24, 28)) ('tumors', 'Phenotype', 'HP:0002664', (124, 130)) ('thymoma', 'Phenotype', 'HP:0100522', (66, 73)) 46462 30932350 reported mutations in five tyrosine kinase genes (KIT, DDR2, PDGFRA, ROS1, IGF1R).7 However, there is still limited knowledge of the pathogenesis of thymoma. ('thymoma', 'Gene', '7063', (149, 156)) ('thymoma', 'Phenotype', 'HP:0100522', (149, 156)) ('IGF1R', 'Gene', (75, 80)) ('mutations', 'Var', (9, 18)) ('ROS1', 'Gene', (69, 73)) ('thymoma', 'Gene', (149, 156)) ('ROS1', 'Gene', '6098', (69, 73)) ('DDR2', 'Gene', '4921', (55, 59)) ('IGF1R', 'Gene', '3480', (75, 80)) ('PDGFRA', 'Gene', (61, 67)) ('PDGFRA', 'Gene', '5156', (61, 67)) ('DDR2', 'Gene', (55, 59)) 46501 30932350 In conclusion, we successfully identified novel genetic alterations and provide novel molecular profiles for thymoma. ('thymoma', 'Gene', (109, 116)) ('thymoma', 'Gene', '7063', (109, 116)) ('thymoma', 'Phenotype', 'HP:0100522', (109, 116)) ('genetic alterations', 'Var', (48, 67)) 46505 26649279 Thymic carcinomas have been found to frequently harbor mutations in epigenetic regulatory genes. ('epigenetic regulatory genes', 'Gene', (68, 95)) ('carcinomas', 'Phenotype', 'HP:0030731', (7, 17)) ('carcinomas', 'Disease', (7, 17)) ('carcinomas', 'Disease', 'MESH:D002277', (7, 17)) ('mutations', 'Var', (55, 64)) ('harbor', 'Reg', (48, 54)) ('carcinoma', 'Phenotype', 'HP:0030731', (7, 16)) 46506 26649279 A specific mutation in GTF2I on chromosome 7 is present at a high frequency in World Health Organization (WHO) subtype A and AB thymomas. ('GTF2I', 'Gene', (23, 28)) ('GTF2I', 'Gene', '2969', (23, 28)) ('AB thymomas', 'Disease', 'MESH:D013945', (125, 136)) ('AB thymomas', 'Disease', (125, 136)) ('mutation', 'Var', (11, 19)) ('thymoma', 'Phenotype', 'HP:0100522', (128, 135)) 46617 16784312 In autoimmune polyendocrinopathy syndrome type 1 (APS1; OMIM 240300), recessive AIRE mutations lead to autoimmunity targetting endocrine and other epithelial tissues, although chronic candidiasis usually appears first. ('candidiasis', 'Disease', (184, 195)) ('lead to', 'Reg', (95, 102)) ('APS1', 'Gene', '326', (50, 54)) ('autoimmune polyendocrinopathy syndrome type 1', 'Gene', '326', (3, 48)) ('mutations', 'Var', (85, 94)) ('autoimmune polyendocrinopathy syndrome type 1', 'Gene', (3, 48)) ('candidiasis', 'Disease', 'MESH:D002177', (184, 195)) ('AIRE', 'Gene', (80, 84)) ('autoimmunity', 'Phenotype', 'HP:0002960', (103, 115)) ('APS1', 'Gene', (50, 54)) 46621 16784312 Unexpectedly, in 60/60 Finnish and 16/16 Norwegian APS1 patients with both AIRE alleles mutated, we found high titre neutralising immunoglobulin G autoantibodies to most IFN-alpha subtypes and especially IFN-omega (60% homologous to IFN-alpha):mostly in the earliest samples. ('patients', 'Species', '9606', (56, 64)) ('IFN-alpha', 'Gene', '3439', (170, 179)) ('IFN-alpha', 'Gene', (170, 179)) ('neutralising', 'NegReg', (117, 129)) ('IFN', 'Gene', (170, 173)) ('IFN', 'Gene', (204, 207)) ('APS1', 'Gene', '326', (51, 55)) ('immunoglobulin G', 'Protein', (130, 146)) ('IFN', 'Gene', '3439', (233, 236)) ('high titre', 'Phenotype', 'HP:0010702', (106, 116)) ('IFN', 'Gene', (233, 236)) ('APS1', 'Gene', (51, 55)) ('mutated', 'Var', (88, 95)) ('IFN-alpha', 'Gene', (233, 242)) ('IFN', 'Gene', '3439', (204, 207)) ('IFN-alpha', 'Gene', '3439', (233, 242)) ('IFN', 'Gene', '3439', (170, 173)) 46625 16784312 Anti-type I IFN autoantibodies preceded overt candidiasis (and several of the autoimmune disorders) in the informative patients, and persisted for decades thereafter. ('IFN', 'Gene', (12, 15)) ('candidiasis', 'Disease', 'MESH:D002177', (46, 57)) ('candidiasis', 'Disease', (46, 57)) ('autoimmune disorders', 'Disease', 'MESH:D001327', (78, 98)) ('IFN', 'Gene', '3439', (12, 15)) ('patients', 'Species', '9606', (119, 127)) ('overt candidiasis', 'Phenotype', 'HP:0005411', (40, 57)) ('Anti-type', 'Var', (0, 9)) ('autoimmune disorders', 'Phenotype', 'HP:0002960', (78, 98)) ('autoimmune disorders', 'Disease', (78, 98)) 46637 16784312 Patients with this rare disease characteristically have defects (or mutations) in both copies of a gene called AIRE (for autoimmune regulator). ('autoimmune regulator', 'Gene', (121, 141)) ('autoimmune regulator', 'Gene', '326', (121, 141)) ('defects', 'Var', (56, 63)) ('Patients', 'Species', '9606', (0, 8)) ('AIRE', 'Gene', (111, 115)) ('mutations', 'Var', (68, 77)) 46639 16784312 People carrying AIRE mutations make an autoimmune response against some of their own tissues, typically the endocrine (hormone-producing) tissues that control body metabolism. ('autoimmune response', 'Phenotype', 'HP:0002960', (39, 58)) ('AIRE', 'Gene', (16, 20)) ('People', 'Species', '9606', (0, 6)) ('mutations', 'Var', (21, 30)) 46688 16784312 As healthy and disease controls, we tested sera from ten AIRE-heterozygous unaffected first-degree relatives (six from Finland with R257X allele and four from Norway:two with R257X, one with 12421243insA, and one with 967/979del13 alleles) and from patients with APS2 (n = 9) or sporadic AD (n = 11), HP (n = 2), or CMC (n = 3):all without APS1. ('HP', 'Phenotype', 'HP:0000829', (301, 303)) ('CMC', 'Phenotype', 'HP:0002728', (316, 319)) ('tested', 'Reg', (36, 42)) ('patients', 'Species', '9606', (249, 257)) ('AD', 'Disease', 'MESH:D000544', (288, 290)) ('AD', 'Disease', (288, 290)) ('R257X', 'Mutation', 'rs121434254', (132, 137)) ('APS2', 'Gene', (263, 267)) ('APS1', 'Gene', (340, 344)) ('967/979del13', 'Mutation', 'c.967/979del13', (218, 230)) ('R257X', 'Mutation', 'rs121434254', (175, 180)) ('AD', 'Phenotype', 'HP:0008207', (288, 290)) ('R257X', 'Var', (175, 180)) ('APS2', 'Gene', '170685', (263, 267)) ('APS1', 'Gene', '326', (340, 344)) ('12421243insA', 'Mutation', 'c.12421243insA', (191, 203)) 46689 16784312 Six patients with sporadic AD and eight patients with APS2 were found negative for the two most common APS1 AIRE mutations, R257X and 967/979del13. ('967/979del13', 'Var', (134, 146)) ('AD', 'Phenotype', 'HP:0008207', (27, 29)) ('R257X', 'Mutation', 'rs121434254', (124, 129)) ('patients', 'Species', '9606', (40, 48)) ('APS1', 'Gene', '326', (103, 107)) ('R257X', 'Var', (124, 129)) ('AD', 'Disease', 'MESH:D000544', (27, 29)) ('APS2', 'Gene', (54, 58)) ('APS2', 'Gene', '170685', (54, 58)) ('patients', 'Species', '9606', (4, 12)) ('APS1', 'Gene', (103, 107)) ('967/979del13', 'Mutation', 'c.967/979del13', (134, 146)) ('AD', 'Disease', (27, 29)) 46701 16784312 Buffy coats were collected from an APS1 patient with an R257X mutation in one AIRE allele and 967/979del13 in the other, and from two healthy blood donors; the buffy coats were washed and then cryopreserved in liquid nitrogen. ('patient', 'Species', '9606', (40, 47)) ('R257X mutation', 'Var', (56, 70)) ('967/979del13', 'Mutation', 'c.967/979del13', (94, 106)) ('APS1', 'Gene', '326', (35, 39)) ('nitrogen', 'Chemical', 'MESH:D009584', (217, 225)) ('APS1', 'Gene', (35, 39)) ('R257X', 'Mutation', 'rs121434254', (56, 61)) 46709 16784312 We first screened for anti-IFN autoantibodies in 60 typical Finnish APS1 patients with both AIRE alleles mutated, and then in 16 such patients from Norway (Table 2). ('IFN', 'Gene', '3439', (27, 30)) ('APS1', 'Gene', (68, 72)) ('patients', 'Species', '9606', (134, 142)) ('mutated', 'Var', (105, 112)) ('IFN', 'Gene', (27, 30)) ('APS1', 'Gene', '326', (68, 72)) ('patients', 'Species', '9606', (73, 81)) 46727 16784312 All 60 genotyped APS1 Finnish patients with mutations in both AIRE alleles had at least one R257X allele:which is the predominant Finnish mutation :whereas 12 of the 16 patients from Norway had at least one 967/979del13 mutation (Table 1). ('patients', 'Species', '9606', (169, 177)) ('967/979del13', 'Mutation', 'c.967/979del13', (207, 219)) ('APS1', 'Gene', (17, 21)) ('R257X', 'Mutation', 'rs121434254', (92, 97)) ('patients', 'Species', '9606', (30, 38)) ('mutations', 'Var', (44, 53)) ('APS1', 'Gene', '326', (17, 21)) 46730 16784312 Titres were high in the one patient with only one identified AIRE mutation (Table 1; "x" in Figure 1B) and even in two of the four individuals with no detected AIRE mutations ("y" and "z" in Figure 1B); the other two were completely negative against all IFNs tested, but neither had the full APS1 triad by age 39 (patients E and F; see footnote of Table 3) and one (patient F) is the only affected member of a sibship of 14. ('patient', 'Species', '9606', (366, 373)) ('patients', 'Species', '9606', (314, 322)) ('APS1', 'Gene', '326', (292, 296)) ('AIRE', 'Gene', (61, 65)) ('patient', 'Species', '9606', (28, 35)) ('IFN', 'Gene', '3439', (254, 257)) ('mutation', 'Var', (66, 74)) ('APS1', 'Gene', (292, 296)) ('IFN', 'Gene', (254, 257)) ('patient', 'Species', '9606', (314, 321)) 46755 16784312 Against IL-12, we also found moderate levels of binding autoantibodies in early sera from only five R257X homozygous patients. ('IL-12', 'Gene', (8, 13)) ('patients', 'Species', '9606', (117, 125)) ('R257X', 'Mutation', 'rs121434254', (100, 105)) ('R257X', 'Var', (100, 105)) 46756 16784312 Only in one of patient did the anti-IL-12 antibodies precede the anti-IFN antibodies (patient A; Table 3), and only in one other did they persist (for ~6 y). ('IFN', 'Gene', (70, 73)) ('anti-IL-12', 'Var', (31, 41)) ('patient', 'Species', '9606', (15, 22)) ('patient', 'Species', '9606', (86, 93)) ('IFN', 'Gene', '3439', (70, 73)) 46770 16784312 Normally, these highly specialised APCs play a key role in antibody diversification by retaining and displaying native antigens that select and stimulate germinal centre B cells as their antibodies mutate. ('germinal centre B cells', 'CPA', (154, 177)) ('stimulate', 'PosReg', (144, 153)) ('APC', 'Disease', 'MESH:D011125', (35, 38)) ('APC', 'Disease', (35, 38)) ('mutate', 'Var', (198, 204)) 46782 16784312 It now appears that APS1 is even more variable than previously realised; one or more of the characteristic "APS1 triad" (CMC, HP, and AD) may be missing (e.g., Tables 1 and 2):even in patients with both AIRE alleles mutated. ('CMC', 'Phenotype', 'HP:0002728', (121, 124)) ('HP', 'Phenotype', 'HP:0000829', (126, 128)) ('APS1', 'Gene', '326', (20, 24)) ('patients', 'Species', '9606', (184, 192)) ('AD', 'Disease', 'MESH:D000544', (134, 136)) ('APS1', 'Gene', '326', (108, 112)) ('AD', 'Disease', (134, 136)) ('APS1', 'Gene', (20, 24)) ('AD', 'Phenotype', 'HP:0008207', (134, 136)) ('APS1', 'Gene', (108, 112)) ('mutated', 'Var', (216, 223)) 46785 16784312 In addition, they were clearly negative in two further clinically doubtful cases with no AIRE mutations detected (patients E and F see footnote of Table 3), and in unaffected parents or siblings. ('patients', 'Species', '9606', (114, 122)) ('negative', 'NegReg', (31, 39)) ('AIRE', 'Gene', (89, 93)) ('mutations', 'Var', (94, 103)) 46788 16784312 In theory, the anti-type I IFN antibodies might predispose to candidiasis. ('candidiasis', 'Disease', 'MESH:D002177', (62, 73)) ('IFN', 'Gene', '3439', (27, 30)) ('anti-type', 'Var', (15, 24)) ('candidiasis', 'Disease', (62, 73)) ('IFN', 'Gene', (27, 30)) ('antibodies', 'Var', (31, 41)) ('predispose', 'Reg', (48, 58)) 46791 16784312 If these mutations predispose via parallel pathways to CMC and anti-IFN responses, the latter might hold clues to some even more crucial common defect upstream. ('IFN', 'Gene', '3439', (68, 71)) ('mutations', 'Var', (9, 18)) ('IFN', 'Gene', (68, 71)) ('CMC', 'Disease', (55, 58)) ('predispose', 'Reg', (19, 29)) ('CMC', 'Phenotype', 'HP:0002728', (55, 58)) 46807 16784312 In marked contrast, anti-IL-12 antibodies were much more common in MG/thymoma patients than in patients with APS1, where their very early transient appearance in a few patients suggests that they might be more prevalent before the onset of APS1. ('APS1', 'Gene', '326', (240, 244)) ('APS1', 'Gene', (109, 113)) ('patients', 'Species', '9606', (95, 103)) ('MG/thymoma', 'Disease', 'MESH:D013945', (67, 77)) ('patients', 'Species', '9606', (78, 86)) ('MG/thymoma', 'Disease', (67, 77)) ('common', 'Reg', (57, 63)) ('APS1', 'Gene', '326', (109, 113)) ('APS1', 'Gene', (240, 244)) ('patients', 'Species', '9606', (168, 176)) ('thymoma', 'Phenotype', 'HP:0100522', (70, 77)) ('anti-IL-12', 'Var', (20, 30)) 46825 16784312 If so, the abnormalities in this process in AIRE-mutant patients:or excessive cell death:might somehow lead to autoimmunisation against autoantigens such as type I IFNs that might be even more abundant in the APS1 than the normal thymus; the above hierarchy might be a valuable clue to help to identify the cell types responsible. ('patients', 'Species', '9606', (56, 64)) ('IFN', 'Gene', '3439', (164, 167)) ('AIRE-mutant', 'Var', (44, 55)) ('autoimmunisation', 'MPA', (111, 127)) ('IFN', 'Gene', (164, 167)) ('APS1', 'Gene', (209, 213)) ('lead to', 'Reg', (103, 110)) ('APS1', 'Gene', '326', (209, 213)) 46830 16784312 Because they are so APS1-specific and so consistent in this very variable condition, the autoantibodies against IFN-alpha and especially IFN-omega should be valuable diagnostically, e.g., to identify atypical or prodromal APS1 in patients with isolated candidiasis, AD, or HP, and perhaps also for prognosis, if they subsequently prove to predict onset time of the disease. ('IFN', 'Gene', '3439', (137, 140)) ('atypical', 'Var', (200, 208)) ('IFN', 'Gene', '3439', (112, 115)) ('APS1', 'Gene', '326', (20, 24)) ('IFN-alpha', 'Gene', (112, 121)) ('prodromal', 'Reg', (212, 221)) ('IFN', 'Gene', (137, 140)) ('AD', 'Phenotype', 'HP:0008207', (266, 268)) ('HP', 'Phenotype', 'HP:0000829', (273, 275)) ('isolated candidiasis', 'Disease', 'MESH:D002177', (244, 264)) ('APS1', 'Gene', (222, 226)) ('IFN', 'Gene', (112, 115)) ('AD', 'Disease', (266, 268)) ('AD', 'Disease', 'MESH:D000544', (266, 268)) ('IFN-alpha', 'Gene', '3439', (112, 121)) ('patients', 'Species', '9606', (230, 238)) ('APS1', 'Gene', (20, 24)) ('isolated candidiasis', 'Disease', (244, 264)) ('APS1', 'Gene', '326', (222, 226)) 46940 29455227 Among 15 cases, an elevated CSF protein level without pleocytosis was found in 10 cases (66.7%); reduced nerve conduction was found in 13 cases (86.6%); a positive repetitive nerve stimulation test occurred in 11 cases (73.3%); anti-AChR antibodies were found in 13 cases (86.6%); anti-GQ1b antibodies were found in 6 cases (40%); a positive edrophonium chloride test was present in 10 cases (66.7%); and a co-occurring thymoma or thymectomy occurred in 4 cases (26.6%). ('elevated CSF protein level without pleocytosis', 'Phenotype', 'HP:0012229', (19, 65)) ('anti-GQ1b', 'Var', (281, 290)) ('edrophonium chloride', 'Chemical', 'MESH:D004491', (342, 362)) ('CSF', 'Gene', '1437', (28, 31)) ('reduced nerve conduction', 'Phenotype', 'HP:0000762', (97, 121)) ('thymectomy', 'Disease', (431, 441)) ('thymoma', 'Phenotype', 'HP:0100522', (420, 427)) ('elevated CSF protein', 'Phenotype', 'HP:0002922', (19, 39)) ('elevated', 'PosReg', (19, 27)) ('edrophonium chloride test', 'MPA', (342, 367)) ('CSF', 'Gene', (28, 31)) ('thymoma', 'Disease', 'MESH:D013945', (420, 427)) ('thymoma', 'Disease', (420, 427)) 46946 29455227 Myasthenia gravis (MG) is an autoimmune disorder caused by antibodies against acetylcholine receptors (AchR) targeting the neuromuscular junction, resulting in muscle weakness and fluctuating fatiguability. ('caused by', 'Reg', (49, 58)) ('autoimmune disorder caused by antibodies against acetylcholine receptors', 'Phenotype', 'HP:0030208', (29, 101)) ('MG', 'Disease', 'MESH:D000080343', (19, 21)) ('muscle weakness', 'Phenotype', 'HP:0001324', (160, 175)) ('Myasthenia gravis', 'Disease', (0, 17)) ('autoimmune disorder', 'Disease', (29, 48)) ('fatiguability', 'Disease', 'MESH:D005221', (192, 205)) ('antibodies', 'Var', (59, 69)) ('Myasthenia gravis', 'Disease', 'MESH:D009157', (0, 17)) ('acetylcholine', 'Chemical', 'MESH:D000109', (78, 91)) ('autoimmune disorder', 'Disease', 'MESH:D001327', (29, 48)) ('AchR', 'Gene', (103, 107)) ('muscle weakness', 'Disease', 'MESH:D018908', (160, 175)) ('Myasthenia', 'Phenotype', 'HP:0003473', (0, 10)) ('fatiguability', 'Disease', (192, 205)) ('muscle weakness', 'Disease', (160, 175)) ('autoimmune disorder', 'Phenotype', 'HP:0002960', (29, 48)) 46953 29455227 One of the most common subtype of GBS, MFS is an immune-mediated neuropathy that involves the triad symptoms of acute ophthalmoplegia, ataxia and areflexia in the presence of anti-GQ1b antibodies. ('ophthalmoplegia', 'Phenotype', 'HP:0000602', (118, 133)) ('areflexia', 'Phenotype', 'HP:0001284', (146, 155)) ('anti-GQ1b', 'Var', (175, 184)) ('MFS', 'Disease', (39, 42)) ('neuropathy', 'Disease', 'MESH:D009422', (65, 75)) ('neuropathy', 'Phenotype', 'HP:0009830', (65, 75)) ('ataxia and areflexia', 'Disease', 'MESH:D019846', (135, 155)) ('ataxia', 'Phenotype', 'HP:0001251', (135, 141)) ('acute ophthalmoplegia', 'Disease', 'MESH:D009886', (112, 133)) ('acute ophthalmoplegia', 'Disease', (112, 133)) ('neuropathy', 'Disease', (65, 75)) 46960 29455227 Patients with combined GBS and MG were identified and their clinical data (such as gender, age, nationality, past history, precipitating factors, clinical presentations, laboratory examinations, CSF findings, variants of GBS, anti-AChR antibody presence, anti-GQ1b antibody presence, thymoma, treatment and outcome) were all comprehensively evaluated. ('anti-AChR antibody presence', 'Phenotype', 'HP:0032264', (226, 253)) ('variants', 'Var', (209, 217)) ('thymoma', 'Disease', (284, 291)) ('thymoma', 'Phenotype', 'HP:0100522', (284, 291)) ('GBS', 'Gene', (221, 224)) ('Patients', 'Species', '9606', (0, 8)) ('MG', 'Disease', 'MESH:D000080343', (31, 33)) ('CSF', 'Gene', (195, 198)) ('thymoma', 'Disease', 'MESH:D013945', (284, 291)) ('CSF', 'Gene', '1437', (195, 198)) 46981 29455227 In accessory examinations, the clinical features, from most to least common, were the presence of anti-AchR antibodies (86.6%), a positive nerve conduction test (86.6%), a positive repetitive nerve stimulation test (73.3%), an elevated CSF protein level in the absence of pleocytosis (66.7%), a positive edrophonium chloride test (66.7%), and the presence of anti-GQ1b antibodies (40%). ('CSF', 'Gene', (236, 239)) ('anti-AchR', 'Gene', (98, 107)) ('positive', 'Reg', (130, 138)) ('positive nerve conduction test', 'Phenotype', 'HP:0040129', (130, 160)) ('CSF', 'Gene', '1437', (236, 239)) ('edrophonium chloride test', 'MPA', (304, 329)) ('nerve conduction test', 'CPA', (139, 160)) ('antibodies', 'Var', (108, 118)) ('elevated', 'PosReg', (227, 235)) ('elevated CSF protein', 'Phenotype', 'HP:0002922', (227, 247)) ('anti-GQ1b', 'Protein', (359, 368)) ('edrophonium chloride', 'Chemical', 'MESH:D004491', (304, 324)) 46995 30871151 Multiomics Analysis Reveals that GLS and GLS2 Differentially Modulate the Clinical Outcomes of Cancer Kidney-type glutaminase (GLS) and liver-type glutaminase (GLS2) are dysregulated in many cancers, making them appealing targets for cancer therapy. ('cancer', 'Phenotype', 'HP:0002664', (234, 240)) ('GLS', 'Gene', (160, 163)) ('Cancer', 'Disease', 'MESH:D009369', (95, 101)) ('GLS', 'Gene', (33, 36)) ('GLS', 'Gene', (127, 130)) ('cancer', 'Disease', (191, 197)) ('cancers', 'Phenotype', 'HP:0002664', (191, 198)) ('cancers', 'Disease', (191, 198)) ('dysregulated', 'Var', (170, 182)) ('cancer', 'Disease', 'MESH:D009369', (234, 240)) ('cancer', 'Phenotype', 'HP:0002664', (191, 197)) ('GLS2', 'Gene', '27165', (41, 45)) ('glutaminase', 'Gene', '2744', (147, 158)) ('Cancer', 'Phenotype', 'HP:0002664', (95, 101)) ('glutaminase', 'Gene', '2744', (114, 125)) ('GLS2', 'Gene', '27165', (160, 164)) ('GLS', 'Gene', '2744', (41, 44)) ('GLS2', 'Gene', (41, 45)) ('GLS2', 'Gene', (160, 164)) ('GLS', 'Gene', '2744', (160, 163)) ('Cancer', 'Disease', (95, 101)) ('cancer', 'Disease', 'MESH:D009369', (191, 197)) ('GLS', 'Gene', '2744', (33, 36)) ('cancers', 'Disease', 'MESH:D009369', (191, 198)) ('Cancer Kidney', 'Phenotype', 'HP:0009726', (95, 108)) ('Modulate', 'Reg', (61, 69)) ('glutaminase', 'Gene', (147, 158)) ('GLS', 'Gene', '2744', (127, 130)) ('GLS', 'Gene', (41, 44)) ('cancer', 'Disease', (234, 240)) ('glutaminase', 'Gene', (114, 125)) 46999 30871151 The cross-cancer relationship of glutaminases with mutations and copy number alterations was also investigated. ('glutaminase', 'Gene', (33, 44)) ('mutations', 'Var', (51, 60)) ('cross-cancer', 'Disease', 'MESH:C537866', (4, 16)) ('cancer', 'Phenotype', 'HP:0002664', (10, 16)) ('cross-cancer', 'Disease', (4, 16)) ('copy number alterations', 'Var', (65, 88)) ('glutaminase', 'Gene', '2744', (33, 44)) 47012 30871151 Underlying mechanisms aside, modifications in basal enzymatic activity result in potential susceptibilities that could be targeted in cancer treatment. ('basal enzymatic activity', 'MPA', (46, 70)) ('cancer', 'Disease', (134, 140)) ('cancer', 'Disease', 'MESH:D009369', (134, 140)) ('modifications', 'Var', (29, 42)) ('susceptibilities', 'MPA', (91, 107)) ('cancer', 'Phenotype', 'HP:0002664', (134, 140)) 47015 30871151 It is now recognized that the dysregulation of glutamine metabolism is a prominent phenomenon that results in the proliferation of cancer cells. ('cancer', 'Disease', (131, 137)) ('dysregulation', 'Var', (30, 43)) ('cancer', 'Phenotype', 'HP:0002664', (131, 137)) ('glutamine', 'Chemical', 'MESH:D005973', (47, 56)) ('proliferation', 'CPA', (114, 127)) ('results in', 'Reg', (99, 109)) ('glutamine metabolism', 'MPA', (47, 67)) ('cancer', 'Disease', 'MESH:D009369', (131, 137)) 47042 30871151 In addition, the OncoPrint sub-tool of CBioPortal was used to analyze the integrated status of mutations and CNAs for glutaminases and their functional protein partners. ('glutaminase', 'Gene', '2744', (118, 129)) ('mutations', 'Var', (95, 104)) ('glutaminase', 'Gene', (118, 129)) 47083 30871151 The results showed that the promoter of the GLS gene is significantly hypomethylated in BLCA, BRCA, COAD, ESCA, HNSC, KIRC, KIRP, PRAD, READ, THCA, and UCEC, but it is not statistically significantly hypermethylated in any cancer tissue (Figure 4a). ('hypomethylated', 'Var', (70, 84)) ('READ', 'Disease', 'None', (136, 140)) ('GLS', 'Gene', '2744', (44, 47)) ('cancer', 'Phenotype', 'HP:0002664', (223, 229)) ('COAD', 'Disease', (100, 104)) ('GLS', 'Gene', (44, 47)) ('BRCA', 'Gene', '672', (94, 98)) ('BRCA', 'Gene', (94, 98)) ('cancer', 'Disease', 'MESH:D009369', (223, 229)) ('READ', 'Disease', (136, 140)) ('cancer', 'Disease', (223, 229)) ('COAD', 'Disease', 'MESH:D029424', (100, 104)) 47088 30871151 The N-termini of the GLS variants start with a 16-residue sequence, predicted to confine the proteins to the mitochondria. ('GLS', 'Gene', '2744', (21, 24)) ('variants', 'Var', (25, 33)) ('GLS', 'Gene', (21, 24)) 47103 30871151 In this study, although we selected the STRING to investigate the mutations and CNAs, we have provided the PPI networks obtained by FunRich analysis to show the indirect connections of the proteins found in STRING (and GeneMANIA) to GLS/GLS2 (Supplementary Figure S1). ('mutations', 'Var', (66, 75)) ('GLS2', 'Gene', '27165', (237, 241)) ('proteins', 'Protein', (189, 197)) ('GLS', 'Gene', '2744', (233, 236)) ('GLS', 'Gene', '2744', (237, 240)) ('GLS', 'Gene', (233, 236)) ('GLS', 'Gene', (237, 240)) ('GLS2', 'Gene', (237, 241)) 47104 30871151 One can further note that it is intuitive that functional protein partners of glutaminases would experience various genetic alterations including mutations and CNAs, irrespective of the database. ('mutations', 'Var', (146, 155)) ('experience', 'Reg', (97, 107)) ('glutaminase', 'Gene', (78, 89)) ('glutaminase', 'Gene', '2744', (78, 89)) ('CNAs', 'Disease', (160, 164)) 47105 30871151 We individually examined the genetic alterations of GLS and GLS2 in various types of cancer using cBioPortal and subsequently provided a comparative report with respect to the functional protein partners of glutaminases obtained from the PPI network analysis. ('GLS', 'Gene', (52, 55)) ('GLS2', 'Gene', (60, 64)) ('GLS', 'Gene', '2744', (60, 63)) ('cancer', 'Disease', 'MESH:D009369', (85, 91)) ('GLS', 'Gene', (60, 63)) ('cancer', 'Disease', (85, 91)) ('glutaminase', 'Gene', '2744', (207, 218)) ('GLS2', 'Gene', '27165', (60, 64)) ('GLS', 'Gene', '2744', (52, 55)) ('cancer', 'Phenotype', 'HP:0002664', (85, 91)) ('genetic', 'Var', (29, 36)) ('glutaminase', 'Gene', (207, 218)) 47108 30871151 We also observed that GLS mutation mainly occurred in uterine, lung, and stomach cancer and spans over the glutaminase (located between amino acids 244 and 530) and ankyrin repeat (located between amino acids 557 and 643) domains, with a hotspot in G597=/X597_splice/G597G, where 5 mutations were reported. ('occurred', 'Reg', (42, 50)) ('stomach cancer', 'Disease', 'MESH:D013274', (73, 87)) ('mutation', 'Var', (26, 34)) ('lung', 'Disease', (63, 67)) ('stomach cancer', 'Phenotype', 'HP:0012126', (73, 87)) ('GLS', 'Gene', (22, 25)) ('uterine', 'Disease', (54, 61)) ('glutaminase', 'Gene', '2744', (107, 118)) ('stomach cancer', 'Disease', (73, 87)) ('GLS', 'Gene', '2744', (22, 25)) ('cancer', 'Phenotype', 'HP:0002664', (81, 87)) ('G597=/X597_splice/G597G', 'Var', (249, 272)) ('glutaminase', 'Gene', (107, 118)) 47112 30871151 In GLS2, there were 226 mutations in total, including 175 missense, 46 truncating, and 5 in-frame mutations. ('GLS2', 'Gene', '27165', (3, 7)) ('GLS2', 'Gene', (3, 7)) ('truncating', 'MPA', (71, 81)) ('missense', 'Var', (58, 66)) 47115 30871151 Like GLS, GLS2 mutations also mainly occurred in uterine, lung, and stomach cancer, spanning over the glutaminase (located between amino acids 177 and 463) and Ankyrin repeats (located between amino acids 490 and 575) domains, with a hotspot at E533K (Figure 5b(ii)). ('glutaminase', 'Gene', '2744', (102, 113)) ('GLS', 'Gene', '2744', (5, 8)) ('lung', 'Disease', (58, 62)) ('mutations', 'Var', (15, 24)) ('glutaminase', 'Gene', (102, 113)) ('cancer', 'Phenotype', 'HP:0002664', (76, 82)) ('occurred', 'Reg', (37, 45)) ('GLS', 'Gene', '2744', (10, 13)) ('GLS2', 'Gene', (10, 14)) ('GLS', 'Gene', (5, 8)) ('E533K', 'Mutation', 'rs1298789195', (245, 250)) ('stomach cancer', 'Disease', 'MESH:D013274', (68, 82)) ('uterine', 'Disease', (49, 56)) ('stomach cancer', 'Phenotype', 'HP:0012126', (68, 82)) ('GLS', 'Gene', (10, 13)) ('E533K', 'Var', (245, 250)) ('stomach cancer', 'Disease', (68, 82)) ('GLS2', 'Gene', '27165', (10, 14)) 47120 30871151 The alterations in the GLS-centered-signature-gene occur most dominantly in neuroendocrine prostate cancer (NEPC). ('neuroendocrine prostate cancer', 'Disease', 'MESH:D011471', (76, 106)) ('alterations', 'Var', (4, 15)) ('GLS', 'Gene', '2744', (23, 26)) ('cancer', 'Phenotype', 'HP:0002664', (100, 106)) ('GLS', 'Gene', (23, 26)) ('prostate cancer', 'Phenotype', 'HP:0012125', (91, 106)) ('neuroendocrine prostate cancer', 'Disease', (76, 106)) 47121 30871151 Similarly, the analysis of the integrated status of mutations and CNAs for the GLS2 gene and its functional protein partners (Figure 5c(ii)) resulted in alteration frequency ranges of 20.2% to 44.9%, with a threshold of 60% as a minimum percentage of altered cases. ('mutations', 'Var', (52, 61)) ('alteration', 'Reg', (153, 163)) ('GLS2', 'Gene', '27165', (79, 83)) ('GLS2', 'Gene', (79, 83)) 47123 30871151 Unlike GLS, the alterations in the GLS2-centered-signature-gene occur mainly in lung cancer. ('lung cancer', 'Disease', 'MESH:D008175', (80, 91)) ('alterations', 'Var', (16, 27)) ('GLS2', 'Gene', '27165', (35, 39)) ('GLS', 'Gene', '2744', (7, 10)) ('lung cancer', 'Disease', (80, 91)) ('lung cancer', 'Phenotype', 'HP:0100526', (80, 91)) ('GLS', 'Gene', (7, 10)) ('cancer', 'Phenotype', 'HP:0002664', (85, 91)) ('GLS', 'Gene', '2744', (35, 38)) ('GLS', 'Gene', (35, 38)) ('GLS2', 'Gene', (35, 39)) 47126 30871151 Compared to GLS2-centered gene set, the fluctuation range of genetic alterations is significantly larger in the GLS-centered gene set (Figure 5d(i,ii)). ('GLS2', 'Gene', (12, 16)) ('GLS', 'Gene', '2744', (12, 15)) ('GLS', 'Gene', (12, 15)) ('GLS', 'Gene', '2744', (112, 115)) ('genetic alterations', 'Var', (61, 80)) ('GLS2', 'Gene', '27165', (12, 16)) ('GLS', 'Gene', (112, 115)) ('larger', 'PosReg', (98, 104)) ('fluctuation', 'MPA', (40, 51)) 47129 30871151 It is worth noting that whereas the alteration in GLUL solely occurred due to amplification, the alteration in TP53 largely takes place due to mutations. ('TP53', 'Gene', '7157', (111, 115)) ('TP53', 'Gene', (111, 115)) ('due', 'Reg', (136, 139)) ('GLUL', 'Gene', '2752', (50, 54)) ('GLUL', 'Gene', (50, 54)) ('mutations', 'Var', (143, 152)) 47130 30871151 This result is consistent with the overall integrated status of mutations and CNAs for glutaminases and their functional protein partners, as explained in the preceding paragraph. ('glutaminase', 'Gene', '2744', (87, 98)) ('mutations', 'Var', (64, 73)) ('glutaminase', 'Gene', (87, 98)) 47135 30871151 Also, patients with low GLS expression exhibited a positive correlation with poor OS in bladder, kidney, and lung cancer (Figure 6a(i,viii,xi)). ('lung cancer', 'Disease', (109, 120)) ('lung cancer', 'Phenotype', 'HP:0100526', (109, 120)) ('bladder', 'Disease', (88, 95)) ('cancer', 'Phenotype', 'HP:0002664', (114, 120)) ('lung cancer', 'Disease', 'MESH:D008175', (109, 120)) ('patients', 'Species', '9606', (6, 14)) ('poor OS', 'Disease', (77, 84)) ('low', 'Var', (20, 23)) ('GLS', 'Gene', '2744', (24, 27)) ('kidney', 'Disease', (97, 103)) ('GLS', 'Gene', (24, 27)) 47142 30871151 The underexpression of GLS2 in these types of cancer was, however, positively correlated with high survival. ('cancer', 'Disease', 'MESH:D009369', (46, 52)) ('cancer', 'Disease', (46, 52)) ('GLS2', 'Gene', (23, 27)) ('GLS2', 'Gene', '27165', (23, 27)) ('underexpression', 'Var', (4, 19)) ('high survival', 'CPA', (94, 107)) ('cancer', 'Phenotype', 'HP:0002664', (46, 52)) ('correlated', 'Reg', (78, 88)) 47145 30871151 Moreover, any deviation in GLS2 expression, compared to the expression mark observed in normal tissues, was associated with poor prognosis in bladder and pancreatic cancer in general (Figure 6b(i,ix). ('GLS2', 'Gene', '27165', (27, 31)) ('bladder', 'Disease', (142, 149)) ('expression', 'MPA', (32, 42)) ('pancreatic cancer', 'Disease', 'MESH:D010190', (154, 171)) ('cancer', 'Phenotype', 'HP:0002664', (165, 171)) ('pancreatic cancer', 'Phenotype', 'HP:0002894', (154, 171)) ('GLS2', 'Gene', (27, 31)) ('deviation', 'Var', (14, 23)) ('pancreatic cancer', 'Disease', (154, 171)) 47159 30871151 In the case of other cancers of interest, such as breast, brain, and colon cancer, the non-co-occurrence of GLS/GLS2 (low/low) is associated with a poor prognosis compared to that of co-occurrence (Figure 7a(i-iv,vi-viii)). ('cancer', 'Phenotype', 'HP:0002664', (21, 27)) ('colon cancer', 'Disease', (69, 81)) ('GLS2', 'Gene', (112, 116)) ('non-co-occurrence', 'Var', (87, 104)) ('GLS', 'Gene', '2744', (112, 115)) ('cancer', 'Phenotype', 'HP:0002664', (75, 81)) ('cancers', 'Disease', 'MESH:D009369', (21, 28)) ('cancers', 'Phenotype', 'HP:0002664', (21, 28)) ('GLS', 'Gene', (112, 115)) ('brain', 'Disease', (58, 63)) ('breast', 'Disease', (50, 56)) ('cancers', 'Disease', (21, 28)) ('GLS2', 'Gene', '27165', (112, 116)) ('GLS', 'Gene', '2744', (108, 111)) ('colon cancer', 'Disease', 'MESH:D015179', (69, 81)) ('colon cancer', 'Phenotype', 'HP:0003003', (69, 81)) ('GLS', 'Gene', (108, 111)) 47199 30871151 In this agreement, previous studies demonstrated that DNA methylation is associated with cancer progression and prognosis by regulating gene stability and transcript. ('gene stability', 'MPA', (136, 150)) ('cancer', 'Disease', 'MESH:D009369', (89, 95)) ('associated', 'Reg', (73, 83)) ('methylation', 'Var', (58, 69)) ('regulating', 'Reg', (125, 135)) ('cancer', 'Disease', (89, 95)) ('transcript', 'MPA', (155, 165)) ('cancer', 'Phenotype', 'HP:0002664', (89, 95)) 47204 30871151 Previous studies commonly reported that mutations in oncogenes such as KRAS, PIK3CA, BRAF were associated with clinical outcomes in various cancers. ('PIK3CA', 'Gene', (77, 83)) ('PIK3CA', 'Gene', '5290', (77, 83)) ('BRAF', 'Gene', (85, 89)) ('BRAF', 'Gene', '673', (85, 89)) ('cancers', 'Phenotype', 'HP:0002664', (140, 147)) ('KRAS', 'Gene', (71, 75)) ('mutations', 'Var', (40, 49)) ('cancers', 'Disease', (140, 147)) ('KRAS', 'Gene', '3845', (71, 75)) ('cancers', 'Disease', 'MESH:D009369', (140, 147)) ('cancer', 'Phenotype', 'HP:0002664', (140, 146)) ('associated', 'Reg', (95, 105)) 47208 30871151 GLS mutations mainly occurred in uterine, lung, and stomach cancer, whereas GLS2 mutations were mainly found in uterine, lung, and stomach cancer. ('lung', 'Disease', (42, 46)) ('stomach cancer', 'Disease', (52, 66)) ('stomach cancer', 'Disease', (131, 145)) ('GLS', 'Gene', (0, 3)) ('GLS2', 'Gene', '27165', (76, 80)) ('GLS', 'Gene', '2744', (76, 79)) ('stomach cancer', 'Disease', 'MESH:D013274', (52, 66)) ('found', 'Reg', (103, 108)) ('GLS2', 'Gene', (76, 80)) ('stomach cancer', 'Phenotype', 'HP:0012126', (52, 66)) ('stomach cancer', 'Disease', 'MESH:D013274', (131, 145)) ('stomach cancer', 'Phenotype', 'HP:0012126', (131, 145)) ('occurred', 'Reg', (21, 29)) ('mutations', 'Var', (4, 13)) ('GLS', 'Gene', (76, 79)) ('uterine', 'Disease', (33, 40)) ('cancer', 'Phenotype', 'HP:0002664', (139, 145)) ('GLS', 'Gene', '2744', (0, 3)) ('cancer', 'Phenotype', 'HP:0002664', (60, 66)) 47209 30871151 We also examined the combined status of mutations and CNAs of each glutaminase member and their respective functional protein partners, identified using STRING-based PPI network analysis. ('mutations', 'Var', (40, 49)) ('glutaminase', 'Gene', (67, 78)) ('glutaminase', 'Gene', '2744', (67, 78)) 47212 30871151 Alterations in NEPC and lung cancer were found to occur largely due to amplifications and mutations, respectively. ('amplifications', 'Var', (71, 85)) ('NEPC', 'Disease', (15, 19)) ('mutations', 'Var', (90, 99)) ('cancer', 'Phenotype', 'HP:0002664', (29, 35)) ('lung cancer', 'Disease', (24, 35)) ('lung cancer', 'Phenotype', 'HP:0100526', (24, 35)) ('lung cancer', 'Disease', 'MESH:D008175', (24, 35)) 47213 30871151 Moreover, the expression of combined GLS- and GLS2-centered- signature-gene set regulated clinical prognosis in certain cancers which further predict that the functional partners of GLS and GLS2 contribute to significant CNAs and mutations and subsequently regulate the clinical outcomes in cancers. ('GLS', 'Gene', '2744', (190, 193)) ('GLS2', 'Gene', (190, 194)) ('GLS', 'Gene', '2744', (46, 49)) ('mutations', 'Var', (230, 239)) ('GLS', 'Gene', (182, 185)) ('cancer', 'Phenotype', 'HP:0002664', (120, 126)) ('GLS', 'Gene', (46, 49)) ('GLS', 'Gene', '2744', (37, 40)) ('GLS', 'Gene', (190, 193)) ('cancers', 'Phenotype', 'HP:0002664', (120, 127)) ('cancers', 'Disease', 'MESH:D009369', (291, 298)) ('regulate', 'Reg', (257, 265)) ('cancers', 'Disease', (120, 127)) ('GLS', 'Gene', (37, 40)) ('cancer', 'Phenotype', 'HP:0002664', (291, 297)) ('GLS2', 'Gene', '27165', (190, 194)) ('cancers', 'Phenotype', 'HP:0002664', (291, 298)) ('GLS2', 'Gene', '27165', (46, 50)) ('cancers', 'Disease', (291, 298)) ('GLS', 'Gene', '2744', (182, 185)) ('CNAs', 'MPA', (221, 225)) ('cancers', 'Disease', 'MESH:D009369', (120, 127)) ('GLS2', 'Gene', (46, 50)) 47223 30871151 In general, high GLS expression resulted in poor survival in patients with breast, esophagus, head-and-neck, and blood cancer, and high survival in patients with bladder, kidney, and lung cancer. ('blood cancer', 'Disease', 'MESH:D009369', (113, 125)) ('poor', 'NegReg', (44, 48)) ('patients', 'Species', '9606', (148, 156)) ('lung cancer', 'Disease', 'MESH:D008175', (183, 194)) ('patients', 'Species', '9606', (61, 69)) ('lung cancer', 'Phenotype', 'HP:0100526', (183, 194)) ('blood cancer', 'Disease', (113, 125)) ('breast', 'Disease', (75, 81)) ('cancer', 'Phenotype', 'HP:0002664', (119, 125)) ('kidney', 'Disease', (171, 177)) ('bladder', 'Disease', (162, 169)) ('GLS', 'Gene', '2744', (17, 20)) ('blood cancer', 'Phenotype', 'HP:0001909', (113, 125)) ('cancer', 'Phenotype', 'HP:0002664', (188, 194)) ('esophagus', 'Disease', (83, 92)) ('high', 'Var', (12, 16)) ('head-and-neck', 'Disease', (94, 107)) ('lung cancer', 'Disease', (183, 194)) ('GLS', 'Gene', (17, 20)) 47235 30871151 In addition, the partial-occurrence (low/high) of glutaminases was associated with poor clinical outcomes in lung and gastric cancer. ('cancer', 'Phenotype', 'HP:0002664', (126, 132)) ('glutaminase', 'Gene', (50, 61)) ('gastric cancer', 'Disease', (118, 132)) ('gastric cancer', 'Disease', 'MESH:D013274', (118, 132)) ('glutaminase', 'Gene', '2744', (50, 61)) ('partial-occurrence', 'Var', (17, 35)) ('gastric cancer', 'Phenotype', 'HP:0012126', (118, 132)) ('lung', 'Disease', (109, 113)) 47236 30871151 These results suggest that the co-expression of GLS and GLS2 could also be utilized as a prognostic marker for patients with certain types of cancer. ('GLS', 'Gene', (48, 51)) ('cancer', 'Disease', 'MESH:D009369', (142, 148)) ('GLS', 'Gene', (56, 59)) ('GLS2', 'Gene', '27165', (56, 60)) ('cancer', 'Phenotype', 'HP:0002664', (142, 148)) ('co-expression', 'Var', (31, 44)) ('patients', 'Species', '9606', (111, 119)) ('GLS', 'Gene', '2744', (48, 51)) ('GLS', 'Gene', '2744', (56, 59)) ('GLS2', 'Gene', (56, 60)) ('cancer', 'Disease', (142, 148)) 47239 30871151 The biological basis of the biomarker significance possibly comes in part from the accumulated mutations and CNAs of the glutaminases along with their functional protein partners. ('glutaminase', 'Gene', (121, 132)) ('glutaminase', 'Gene', '2744', (121, 132)) ('mutations', 'Var', (95, 104)) ('CNAs', 'Var', (109, 113)) 47242 30871151 Our analysis shows that the upregulation of GLS with hypomethylation is positively correlated with poor prognosis in patients with breast, colon, and head-and-neck cancers. ('GLS', 'Gene', '2744', (44, 47)) ('cancer', 'Phenotype', 'HP:0002664', (164, 170)) ('head-and-neck cancers', 'Disease', (150, 171)) ('GLS', 'Gene', (44, 47)) ('cancers', 'Phenotype', 'HP:0002664', (164, 171)) ('breast', 'Disease', (131, 137)) ('hypomethylation', 'Var', (53, 68)) ('patients', 'Species', '9606', (117, 125)) ('head-and-neck cancers', 'Disease', 'MESH:D006258', (150, 171)) ('colon', 'Disease', (139, 144)) ('upregulation', 'PosReg', (28, 40)) ('head-and-neck cancer', 'Phenotype', 'HP:0012288', (150, 170)) 47265 30072739 Emerging biomarkers for anti-PD-1 response include the expression level of its ligand PD-L1 , mutation burden or mismatch-repair deficiency , and tumor-infiltrating lymphocytes . ('PD-1', 'Gene', '5133', (29, 33)) ('deficiency', 'Disease', 'MESH:D007153', (129, 139)) ('expression level', 'MPA', (55, 71)) ('tumor', 'Phenotype', 'HP:0002664', (146, 151)) ('PD-L1', 'Gene', '29126', (86, 91)) ('tumor', 'Disease', (146, 151)) ('mismatch-repair', 'MPA', (113, 128)) ('mutation burden', 'Var', (94, 109)) ('deficiency', 'Disease', (129, 139)) ('PD-L1', 'Gene', (86, 91)) ('PD-1', 'Gene', (29, 33)) ('tumor', 'Disease', 'MESH:D009369', (146, 151)) 47267 30072739 Somatic mutations in oncogenes and tumor suppressors represent the most classic biomarkers as they are the main direct drivers of cancer progression . ('tumor', 'Disease', 'MESH:D009369', (35, 40)) ('cancer', 'Disease', 'MESH:D009369', (130, 136)) ('tumor', 'Phenotype', 'HP:0002664', (35, 40)) ('cancer', 'Disease', (130, 136)) ('tumor', 'Disease', (35, 40)) ('oncogenes', 'Gene', (21, 30)) ('cancer', 'Phenotype', 'HP:0002664', (130, 136)) ('Somatic mutations', 'Var', (0, 17)) 47270 30072739 Several other types of non-coding RNAs, such as long-noncoding RNAs (lncRNAs) , enhancer RNAs and circular RNAs have also been implicated in various cancer types . ('circular RNAs', 'Var', (99, 112)) ('cancer', 'Phenotype', 'HP:0002664', (151, 157)) ('enhancer', 'PosReg', (80, 88)) ('implicated', 'Reg', (129, 139)) ('long-noncoding', 'Var', (48, 62)) ('cancer', 'Disease', (151, 157)) ('cancer', 'Disease', 'MESH:D009369', (151, 157)) 47280 30072739 Here we performed a pan-cancer analysis of ~22 nt size-selected small RNA-seq (smRNA-seq) datasets from TCGA, exploring the expression of small RNAs mapping to annotated human snoRNAs in 10,262 patient samples across 32 cancer types. ('patient', 'Species', '9606', (194, 201)) ('small', 'Var', (138, 143)) ('cancer', 'Phenotype', 'HP:0002664', (24, 30)) ('snoRNA', 'Gene', '85390', (176, 182)) ('cancer', 'Phenotype', 'HP:0002664', (220, 226)) ('cancer', 'Disease', (24, 30)) ('cancer', 'Disease', 'MESH:D009369', (24, 30)) ('cancer', 'Disease', 'MESH:D009369', (220, 226)) ('human', 'Species', '9606', (170, 175)) ('cancer', 'Disease', (220, 226)) ('snoRNA', 'Gene', (176, 182)) 47294 30072739 This pan-cancer sdRNA transcriptome is derived from several subtypes of snoRNAs with distinct structures and motifs, such as canonical C/D box snoRNAs, H/ACA box snoRNAs, C/D box small Cajal body RNAs (scaRNAs), H/ACA box scaRNAs, hybrid snoRNAs, and several other subtypes (Figure 1b, Table S1, Table S2). ('snoRNA', 'Gene', '85390', (143, 149)) ('cancer', 'Disease', (9, 15)) ('snoRNA', 'Gene', (162, 168)) ('snoRNA', 'Gene', '85390', (72, 78)) ('snoRNA', 'Gene', '85390', (162, 168)) ('snoRNA', 'Gene', '85390', (238, 244)) ('cancer', 'Phenotype', 'HP:0002664', (9, 15)) ('snoRNA', 'Gene', (143, 149)) ('C/D box', 'Var', (171, 178)) ('snoRNA', 'Gene', (72, 78)) ('cancer', 'Disease', 'MESH:D009369', (9, 15)) ('snoRNA', 'Gene', (238, 244)) 47299 30072739 In the case of C/D snoRNAs, these analyses revealed three classes of read distributions, corresponding to 5' sdRNAs, 3' sdRNAs, or mixed sdRNAs (Figure 1c). ('D snoRNAs', 'Phenotype', 'HP:0025267', (17, 26)) ('C/D', 'Var', (15, 18)) ('snoRNA', 'Gene', (19, 25)) ('mixed', 'Disease', (131, 136)) ('snoRNA', 'Gene', '85390', (19, 25)) ('D snoRNA', 'Phenotype', 'HP:0025267', (17, 25)) 47309 30072739 The sdRNA transcriptome exhibited a wide dynamic range of expression across all cancers (Figure S5a), such that 300.13 +- 4.21 (mean +- s.e.m.) ('300.13 +- 4.21', 'Var', (112, 126)) ('cancers', 'Disease', 'MESH:D009369', (80, 87)) ('cancer', 'Phenotype', 'HP:0002664', (80, 86)) ('cancers', 'Disease', (80, 87)) ('sdRNA', 'Gene', (4, 9)) ('cancers', 'Phenotype', 'HP:0002664', (80, 87)) 47391 30072739 For instance, high expression of sdRNAs derived from SNORA116, an H/ACA snoRNA, was connected to poorer survival in three independent cohorts: lower grade gliomas (LGG), liver hepatocellular carcinoma (LIHC), and uterine corpus endometrial carcinoma (UCEC) (Figure 7b). ('endometrial carcinoma', 'Phenotype', 'HP:0012114', (228, 249)) ('gliomas', 'Phenotype', 'HP:0009733', (155, 162)) ('expression', 'MPA', (19, 29)) ('snoRNA', 'Gene', '85390', (72, 78)) ('corpus endometrial carcinoma', 'Disease', (221, 249)) ('corpus endometrial carcinoma', 'Disease', 'MESH:D016889', (221, 249)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (176, 200)) ('ACA snoRNA', 'Phenotype', 'HP:0025267', (68, 78)) ('carcinoma', 'Phenotype', 'HP:0030731', (191, 200)) ('liver hepatocellular carcinoma', 'Disease', 'MESH:D006528', (170, 200)) ('liver hepatocellular carcinoma', 'Disease', (170, 200)) ('glioma', 'Phenotype', 'HP:0009733', (155, 161)) ('SNORA116', 'Var', (53, 61)) ('poorer', 'NegReg', (97, 103)) ('carcinoma', 'Phenotype', 'HP:0030731', (240, 249)) ('snoRNA', 'Gene', (72, 78)) ('gliomas', 'Disease', (155, 162)) ('gliomas', 'Disease', 'MESH:D005910', (155, 162)) 47392 30072739 As another example, high levels of sdRNAs from SNORD145, a CD snoRNA, were associated with shorter survival times in kidney clear cell carcinoma (KIRC), sarcoma (SARC), and uterine corpus endometrial carcinoma (UCEC) (Figure 7c). ('sarcoma', 'Disease', 'MESH:D012509', (153, 160)) ('corpus endometrial carcinoma', 'Disease', 'MESH:D016889', (181, 209)) ('endometrial carcinoma', 'Phenotype', 'HP:0012114', (188, 209)) ('carcinoma', 'Phenotype', 'HP:0030731', (135, 144)) ('sarcoma', 'Disease', (153, 160)) ('SARC', 'Phenotype', 'HP:0100242', (162, 166)) ('carcinoma', 'Phenotype', 'HP:0030731', (200, 209)) ('kidney clear cell carcinoma', 'Disease', 'MESH:C538614', (117, 144)) ('SNORD145', 'Var', (47, 55)) ('shorter', 'NegReg', (91, 98)) ('sarcoma', 'Phenotype', 'HP:0100242', (153, 160)) ('D snoRNA', 'Phenotype', 'HP:0025267', (60, 68)) ('snoRNA', 'Gene', (62, 68)) ('survival times', 'CPA', (99, 113)) ('corpus endometrial carcinoma', 'Disease', (181, 209)) ('sdRNAs', 'MPA', (35, 41)) ('snoRNA', 'Gene', '85390', (62, 68)) ('kidney clear cell carcinoma', 'Disease', (117, 144)) 47393 30072739 SdRNAs from SNORA116 and SNORD145 thus appear to be indicators of cancers with a more aggressive course. ('cancer', 'Phenotype', 'HP:0002664', (66, 72)) ('SNORA116', 'Var', (12, 20)) ('cancers', 'Phenotype', 'HP:0002664', (66, 73)) ('SNORD145', 'Var', (25, 33)) ('cancers', 'Disease', (66, 73)) ('cancers', 'Disease', 'MESH:D009369', (66, 73)) 47411 30072739 Because the ImmuneSurv score analyses were conducted in a cancer type-specific manner, we then sought a global assessment of sdRNAs and their relationships to cancer immunity regardless of cancer type (PANCAN32), by compiling all sdRNAs that were found to be significant in any of the 5 categories: PD-L1, CD8+ T cell abundance, GZMA, survival, or copy number variation (supplemental results, Figure S9) in any cancer type. ('cancer', 'Phenotype', 'HP:0002664', (58, 64)) ('cancer', 'Disease', 'MESH:D009369', (411, 417)) ('cancer immunity regardless of cancer', 'Disease', 'MESH:D009369', (159, 195)) ('cancer', 'Disease', 'MESH:D009369', (189, 195)) ('CD8', 'Gene', (306, 309)) ('GZMA', 'Gene', '3001', (329, 333)) ('cancer', 'Disease', (159, 165)) ('cancer', 'Phenotype', 'HP:0002664', (159, 165)) ('cancer', 'Disease', 'MESH:D009369', (58, 64)) ('GZMA', 'Gene', (329, 333)) ('PD-L1', 'Gene', (299, 304)) ('PD-L1', 'Gene', '29126', (299, 304)) ('cancer', 'Disease', (411, 417)) ('cancer', 'Disease', 'MESH:D009369', (159, 165)) ('CD8', 'Gene', '925', (306, 309)) ('copy number variation', 'Var', (348, 369)) ('cancer', 'Disease', (189, 195)) ('cancer', 'Phenotype', 'HP:0002664', (411, 417)) ('cancer', 'Phenotype', 'HP:0002664', (189, 195)) ('cancer immunity regardless of cancer', 'Disease', (159, 195)) ('cancer', 'Disease', (58, 64)) 47422 30072739 Of note, SNORD115 has been demonstrated to act as a regulator of alternative splicing , and its deletion is sufficient to cause Prader-Willi syndrome. ('SNORD115', 'Gene', '692218', (9, 17)) ('cause', 'Reg', (122, 127)) ('deletion', 'Var', (96, 104)) ('Prader-Willi syndrome', 'Disease', 'MESH:D011218', (128, 149)) ('Prader-Willi syndrome', 'Disease', (128, 149)) ('alternative splicing', 'MPA', (65, 85)) ('SNORD115', 'Gene', (9, 17)) 47449 30072739 GISTIC 2.0 copy number variation calls were obtained from the GDAC Firehose (http://gdac.broadinstitute.org/) on September 2017. ('copy number variation', 'Var', (11, 32)) ('DAC', 'Gene', (63, 66)) ('DAC', 'Gene', '6468', (63, 66)) 47451 30072739 Raw fastq files for independent smRNA-seq datasets (GSE33858, GSE46622, E-MTAB-3494) were accessed by NCBI GEO (https://www.ncbi.nlm.nih.gov/geo/) or EBI (https://www.ebi.ac.uk/). ('EBI', 'Gene', (150, 153)) ('GSE46622', 'Var', (62, 70)) ('EBI', 'Gene', '6907', (150, 153)) ('GSE33858', 'Var', (52, 60)) ('ebi', 'Gene', '6907', (167, 170)) ('ebi', 'Gene', (167, 170)) 47477 30072739 As these tables report the precise genomic coordinates in which the amplification or deletion was identified, we utilized a q < 0.05 threshold and subsequently intersected the coordinates with the snoRNA annotations . ('deletion', 'Var', (85, 93)) ('snoRNA', 'Gene', (197, 203)) ('snoRNA', 'Gene', '85390', (197, 203)) 47478 30072739 Amplification and deletion calls for individual snoRNAs were then compiled into separate tables. ('deletion', 'Var', (18, 26)) ('snoRNA', 'Gene', (48, 54)) ('snoRNA', 'Gene', '85390', (48, 54)) 47481 30072739 For pan-cancer analysis, we considered all sdRNAs that were found to be significant in at least one cancer type across the following 5 analyses: CD274 correlation, GMZA correlation, CD8+ T cell abundance, copy number variation, and survival. ('cancer', 'Disease', (8, 14)) ('CD8', 'Gene', (182, 185)) ('cancer', 'Phenotype', 'HP:0002664', (100, 106)) ('CD8', 'Gene', '925', (182, 185)) ('CD274', 'Gene', '29126', (145, 150)) ('cancer', 'Phenotype', 'HP:0002664', (8, 14)) ('cancer', 'Disease', (100, 106)) ('cancer', 'Disease', 'MESH:D009369', (100, 106)) ('copy number variation', 'Var', (205, 226)) ('cancer', 'Disease', 'MESH:D009369', (8, 14)) ('CD274', 'Gene', (145, 150)) 47487 30072739 Thus, for the example above (NNSNSN), sdRNAs from snoRNA X were found to be significantly associated with survival and significant for CNV in cancer type Y. ('cancer', 'Disease', 'MESH:D009369', (142, 148)) ('snoRNA', 'Gene', (50, 56)) ('cancer', 'Phenotype', 'HP:0002664', (142, 148)) ('associated with', 'Reg', (90, 105)) ('sdRNAs', 'Var', (38, 44)) ('snoRNA', 'Gene', '85390', (50, 56)) ('cancer', 'Disease', (142, 148)) 47603 32463597 Both datasets showed that high expression of KITLG was significantly associated with type A and AB thymoma. ('type A', 'Disease', (85, 91)) ('high', 'Var', (26, 30)) ('AB thymoma', 'Disease', (96, 106)) ('associated', 'Reg', (69, 79)) ('thymoma', 'Phenotype', 'HP:0100522', (99, 106)) ('AB thymoma', 'Disease', 'MESH:D013945', (96, 106)) ('KITLG', 'Gene', (45, 50)) 47650 32463597 The development of thymoma is a multistep process involving epigenetic alterations. ('epigenetic alterations', 'Var', (60, 82)) ('thymoma', 'Disease', 'MESH:D013945', (19, 26)) ('thymoma', 'Disease', (19, 26)) ('thymoma', 'Phenotype', 'HP:0100522', (19, 26)) 47652 32463597 The level of DNMT1, DNMT3A, and DNMT3L appeared lower in the KITLGhigh group (P < 0.001), which was different from other tumors (Fig 5a). ('DNMT3L', 'Gene', '29947', (32, 38)) ('tumor', 'Phenotype', 'HP:0002664', (121, 126)) ('lower', 'NegReg', (48, 53)) ('tumors', 'Disease', (121, 127)) ('tumors', 'Phenotype', 'HP:0002664', (121, 127)) ('DNMT1', 'Gene', '1786', (13, 18)) ('DNMT3A', 'Gene', (20, 26)) ('DNMT3A', 'Gene', '1788', (20, 26)) ('DNMT1', 'Gene', (13, 18)) ('tumors', 'Disease', 'MESH:D009369', (121, 127)) ('DNMT3L', 'Gene', (32, 38)) ('KITLGhigh', 'Var', (61, 70)) 47662 32463597 In addition, there were no changes in the mRNA levels of BRAF, MEK1/2, and ERK1/2 (P > 0.05) (Fig 7a), while the protein expression of p-BRAF, p-MEK1/2, and p-ERK1/2 was notably upregulated by pcDNA3.1(+)-KITLG plasmid (P < 0.001) (Fig 7b). ('protein expression', 'MPA', (113, 131)) ('mRNA levels', 'MPA', (42, 53)) ('ERK1/2', 'Gene', (159, 165)) ('MEK1/2', 'Gene', '5604;5605', (63, 69)) ('BRAF', 'Gene', '673', (57, 61)) ('MEK1/2', 'Gene', '5604;5605', (145, 151)) ('MEK1/2', 'Gene', (63, 69)) ('BRAF', 'Gene', (137, 141)) ('BRAF', 'Gene', (57, 61)) ('MEK1/2', 'Gene', (145, 151)) ('upregulated', 'PosReg', (178, 189)) ('BRAF', 'Gene', '673', (137, 141)) ('ERK1/2', 'Gene', '5595;5594', (159, 165)) ('ERK1/2', 'Gene', '5595;5594', (75, 81)) ('ERK1/2', 'Gene', (75, 81)) ('pcDNA3.1(+)-KITLG plasmid', 'Var', (193, 218)) 47665 32463597 Fortunately, the TCGA network provides valuable information regarding the genetic changes in critical genes involved in the cancer pathways in different subtypes of thymoma patients. ('cancer', 'Disease', (124, 130)) ('genetic', 'Var', (74, 81)) ('patients', 'Species', '9606', (173, 181)) ('thymoma', 'Disease', 'MESH:D013945', (165, 172)) ('cancer', 'Phenotype', 'HP:0002664', (124, 130)) ('thymoma', 'Disease', (165, 172)) ('thymoma', 'Phenotype', 'HP:0100522', (165, 172)) ('cancer', 'Disease', 'MESH:D009369', (124, 130)) 47669 32463597 The KITLGhigh group contained significantly more patients with the A and AB subtypes, suggesting KITLG might be another independent biomarker of type A and AB thymoma. ('AB thymoma', 'Disease', 'MESH:D013945', (156, 166)) ('KITLG', 'Var', (97, 102)) ('patients', 'Species', '9606', (49, 57)) ('AB thymoma', 'Disease', (156, 166)) ('thymoma', 'Phenotype', 'HP:0100522', (159, 166)) 47672 32463597 Finally, we realized that differentially methylated genes related to KITLGhigh could contribute to the pathogenesis of type A and AB thymoma. ('type A', 'Disease', (119, 125)) ('contribute', 'Reg', (85, 95)) ('thymoma', 'Phenotype', 'HP:0100522', (133, 140)) ('AB thymoma', 'Disease', 'MESH:D013945', (130, 140)) ('KITLGhigh', 'Gene', (69, 78)) ('differentially methylated', 'Var', (26, 51)) ('AB thymoma', 'Disease', (130, 140)) 47676 32463597 As previous studies reported, KITLG can result in the activation of several downstream signaling pathways, such as STAT and PI3K/AKT. ('downstream signaling pathways', 'Pathway', (76, 105)) ('AKT', 'Gene', '207', (129, 132)) ('KITLG', 'Var', (30, 35)) ('activation', 'PosReg', (54, 64)) ('STAT', 'Pathway', (115, 119)) ('AKT', 'Gene', (129, 132)) 47686 32463597 Fortunately, several molecules have been found to be closely related to thymoma, and PI3K pathway inhibitors as a novel therapy for relapsed or refractory thymoma have been in phase II clinical trials.11 Our results support that high expression of KITLG is an important biomarker for type A and AB thymoma. ('type A', 'Disease', (284, 290)) ('thymoma', 'Disease', 'MESH:D013945', (298, 305)) ('thymoma', 'Disease', (298, 305)) ('thymoma', 'Disease', 'MESH:D013945', (155, 162)) ('thymoma', 'Disease', 'MESH:D013945', (72, 79)) ('thymoma', 'Phenotype', 'HP:0100522', (155, 162)) ('thymoma', 'Disease', (72, 79)) ('thymoma', 'Phenotype', 'HP:0100522', (298, 305)) ('AB thymoma', 'Disease', 'MESH:D013945', (295, 305)) ('thymoma', 'Disease', (155, 162)) ('AB thymoma', 'Disease', (295, 305)) ('high', 'Var', (229, 233)) ('thymoma', 'Phenotype', 'HP:0100522', (72, 79)) ('KITLG', 'Gene', (248, 253)) 47690 31394971 The incidence of thymomas in F344/N rats was slightly higher in males than in females, while the incidences in SD and WH rats were higher in females than in males. ('thymomas', 'Disease', (17, 25)) ('thymomas', 'Disease', 'MESH:D013945', (17, 25)) ('higher', 'PosReg', (54, 60)) ('F344/N', 'Var', (29, 35)) ('F344/N', 'Mutation', 'p.F344N', (29, 35)) ('rats', 'Species', '10116', (121, 125)) ('thymoma', 'Phenotype', 'HP:0100522', (17, 24)) ('rats', 'Species', '10116', (36, 40)) 47749 31394971 Of the remaining 28 malignant thymomas that exhibited no metastases, 17 were diagnosed due to unequivocal tissue invasion, and 11 were diagnosed based upon cytological features, such as pleomorphism, cellular atypia, karyomegaly, anisokaryosis, prominent nucleoli, and increased mitoses. ('malignant thymomas', 'Phenotype', 'HP:0100697', (20, 38)) ('increased', 'PosReg', (269, 278)) ('metastases', 'Disease', (57, 67)) ('cellular atypia', 'CPA', (200, 215)) ('malignant thymomas', 'Disease', (20, 38)) ('thymoma', 'Phenotype', 'HP:0100522', (30, 37)) ('metastases', 'Disease', 'MESH:D009362', (57, 67)) ('anisokaryosis', 'CPA', (230, 243)) ('malignant thymomas', 'Disease', 'MESH:D013945', (20, 38)) ('mitoses', 'CPA', (279, 286)) ('karyomegaly', 'CPA', (217, 228)) ('pleomorphism', 'Var', (186, 198)) 47812 31394971 The thymomas in F344/N, SD, WH, and WO rats in this review were variable in microscopic appearance and were divided into 6, 3, 4, and 2 categories, respectively, based upon morphological patterns (see Table 2). ('rats', 'Species', '10116', (39, 43)) ('thymomas', 'Disease', (4, 12)) ('thymomas', 'Disease', 'MESH:D013945', (4, 12)) ('F344/N', 'Var', (16, 22)) ('F344/N', 'Mutation', 'p.F344N', (16, 22)) ('thymoma', 'Phenotype', 'HP:0100522', (4, 11)) 47853 30855492 Immunohistochemical analysis showed a Ki-67 level of 40% to 50%, and was positive for cytokeratin (CK)19, CK5/6, and CK7 in the neoplastic epithelial cells and for leucocyte common antigen, CD3, CD5, CD20, CD99, CD1a, and terminal deoxynucleotidyl transferase in the lymphocytes. ('CD1a', 'Gene', '909', (212, 216)) ('CD99', 'Gene', '4267', (206, 210)) ('CK7', 'Gene', (117, 120)) ('CD5', 'Gene', (195, 198)) ('terminal deoxynucleotidyl transferase', 'Enzyme', (222, 259)) ('Ki-67', 'Var', (38, 43)) ('CK7', 'Gene', '3855', (117, 120)) ('CD99', 'Gene', (206, 210)) ('CD5', 'Gene', '921', (195, 198)) ('CK5/6', 'Gene', '3852', (106, 111)) ('CD1a', 'Gene', (212, 216)) ('positive', 'Reg', (73, 81)) ('CD20', 'Gene', '54474', (200, 204)) ('CD20', 'Gene', (200, 204)) ('CK5/6', 'Gene', (106, 111)) 47987 27247812 Lgi1 antibodies, mainly found in patients with LE or idiopathic epilepsy, are generally not associated with tumors. ('idiopathic epilepsy', 'Disease', (53, 72)) ('Lgi1', 'Gene', (0, 4)) ('patients', 'Species', '9606', (33, 41)) ('tumor', 'Phenotype', 'HP:0002664', (108, 113)) ('antibodies', 'Var', (5, 15)) ('Lgi1', 'Gene', '9211', (0, 4)) ('tumors', 'Disease', (108, 114)) ('tumors', 'Disease', 'MESH:D009369', (108, 114)) ('idiopathic epilepsy', 'Disease', 'MESH:C562694', (53, 72)) ('tumors', 'Phenotype', 'HP:0002664', (108, 114)) ('epilepsy', 'Phenotype', 'HP:0001250', (64, 72)) ('found', 'Reg', (24, 29)) 47988 27247812 Lgi1 antibodies are also associated with hyponatremia secondary to SIADH due to their binding to hypothalamic paraventricular nucleus neurons. ('hyponatremia', 'Disease', (41, 53)) ('Lgi1', 'Gene', (0, 4)) ('SIADH', 'Disease', (67, 72)) ('associated', 'Reg', (25, 35)) ('antibodies', 'Var', (5, 15)) ('Lgi1', 'Gene', '9211', (0, 4)) ('binding', 'Interaction', (86, 93)) ('SIADH', 'Disease', 'MESH:D007177', (67, 72)) ('hyponatremia', 'Phenotype', 'HP:0002902', (41, 53)) ('hyponatremia', 'Disease', 'MESH:D007010', (41, 53)) 47989 27247812 Caspr2 antibodies, found in MoS and NMT, are often associated with thymoma and less often with paraneoplastic LE. ('thymoma', 'Phenotype', 'HP:0100522', (67, 74)) ('paraneoplastic LE', 'Disease', 'MESH:D010257', (95, 112)) ('antibodies', 'Var', (7, 17)) ('paraneoplastic LE', 'Disease', (95, 112)) ('associated', 'Reg', (51, 61)) ('Caspr2', 'Gene', (0, 6)) ('Caspr2', 'Gene', '26047', (0, 6)) ('thymoma', 'Disease', 'MESH:D013945', (67, 74)) ('thymoma', 'Disease', (67, 74)) 47990 27247812 Although our patient technically fulfills the criteria for MoS diagnosis, her central nervous system symptoms were initially attributed to SLE and electrolyte disturbance whereas her mild nerve hyperexcitability and autonomic findings were due to Caspr2 antibody. ('antibody', 'Var', (254, 262)) ('patient', 'Species', '9606', (13, 20)) ('Caspr2', 'Gene', (247, 253)) ('nerve hyperexcitability', 'Disease', 'MESH:D009437', (188, 211)) ('central nervous system symptoms', 'Disease', (78, 109)) ('due to', 'Reg', (240, 246)) ('SLE', 'Disease', 'MESH:D008180', (139, 142)) ('SLE', 'Disease', (139, 142)) ('Caspr2', 'Gene', '26047', (247, 253)) ('SLE', 'Phenotype', 'HP:0002725', (139, 142)) ('attributed', 'Reg', (125, 135)) ('electrolyte disturbance', 'Phenotype', 'HP:0003111', (147, 170)) ('nerve hyperexcitability', 'Disease', (188, 211)) 48012 25780436 Decreased expression of CD4+, CD8+, or CD3+ was present in 71% of the patients. ('CD8', 'Gene', (30, 33)) ('patients', 'Species', '9606', (70, 78)) ('CD8', 'Gene', '925', (30, 33)) ('CD', 'Chemical', 'MESH:D002104', (39, 41)) ('CD3+', 'Var', (39, 43)) ('CD4', 'Gene', (24, 27)) ('Decreased', 'NegReg', (0, 9)) ('CD4', 'Gene', '920', (24, 27)) ('CD', 'Chemical', 'MESH:D002104', (30, 32)) ('expression', 'MPA', (10, 20)) ('CD', 'Chemical', 'MESH:D002104', (24, 26)) 48072 25780436 Patients who were administered pyridinium bromide neostigmine combined with steroid therapy exhibited no early exacerbation of weakness. ('pyridinium', 'Var', (31, 41)) ('Patients', 'Species', '9606', (0, 8)) ('steroid', 'Chemical', 'MESH:D013256', (76, 83)) ('pyridinium bromide neostigmine', 'Chemical', '-', (31, 61)) ('weakness', 'Disease', (127, 135)) ('weakness', 'Disease', 'MESH:D018908', (127, 135)) 48097 25780436 However, follow-up of the Titin-Ab-positive patients was necessary, particularly for diagnosis by enhanced CT. Foreign studies have reported that positive RyR-Ab is associated with GMG, particularly with severe oropharyngeal muscle weakness that often occurs during myasthenic crises; however, no such correlation was found in the 3 positive patients who were followed up. ('RyR', 'Gene', (155, 158)) ('patients', 'Species', '9606', (44, 52)) ('Titin', 'Gene', '7273', (26, 31)) ('associated', 'Reg', (165, 175)) ('patients', 'Species', '9606', (342, 350)) ('Titin', 'Gene', (26, 31)) ('GMG', 'Chemical', 'MESH:C118417', (181, 184)) ('RyR', 'Gene', '6261', (155, 158)) ('GMG', 'Disease', (181, 184)) ('muscle weakness', 'Disease', 'MESH:D018908', (225, 240)) ('muscle weakness', 'Phenotype', 'HP:0001324', (225, 240)) ('positive', 'Var', (146, 154)) ('myasthenic crises', 'Phenotype', 'HP:0003473', (266, 283)) ('muscle weakness', 'Disease', (225, 240)) 48098 25780436 In this group, 71% of patients had abnormal CD series, with the majority displaying decreased CD4+ and CD8+, indicating that immune cells also play a role in the pathogenesis of MG. MG is usually mitigated in the morning and worsens in the evening and patients may experience incomplete paralysis in the later stages. ('CD', 'Chemical', 'MESH:D002104', (94, 96)) ('mitigated', 'NegReg', (196, 205)) ('MG. MG', 'Var', (178, 184)) ('CD series', 'MPA', (44, 53)) ('paralysis', 'Disease', (287, 296)) ('patients', 'Species', '9606', (252, 260)) ('CD4', 'Gene', (94, 97)) ('patients', 'Species', '9606', (22, 30)) ('CD4', 'Gene', '920', (94, 97)) ('CD', 'Chemical', 'MESH:D002104', (44, 46)) ('paralysis', 'Phenotype', 'HP:0003470', (287, 296)) ('paralysis', 'Disease', 'MESH:D010243', (287, 296)) ('CD8', 'Gene', (103, 106)) ('CD8', 'Gene', '925', (103, 106)) ('decreased', 'NegReg', (84, 93)) ('CD', 'Chemical', 'MESH:D002104', (103, 105)) 48159 24459636 Although some studies report enhanced survival after R0 resection relative to patients who do not undergo resection, these reports are small, mainly retrospective, and subject to selection bias. ('enhanced', 'PosReg', (29, 37)) ('R0 resection', 'Var', (53, 65)) ('patients', 'Species', '9606', (78, 86)) ('survival', 'MPA', (38, 46)) 48408 29088744 By combining this cut-off point with that of B10, we used the MGFA classification of MG to evaluate the significance of B10 in MG. We found that in 75 patients with MG, percentage of B10 > 0.55% was mainly about the patients of type II and type III, percentage of B10 < 0.55% was mainly about the patients of type IV and type V (Table 4, Figure 5). ('B10', 'Gene', '5169', (264, 267)) ('B10', 'Gene', (45, 48)) ('B10', 'Gene', (264, 267)) ('B10', 'Gene', '5169', (183, 186)) ('patients', 'Species', '9606', (297, 305)) ('B10', 'Gene', (183, 186)) ('> 0.55%', 'Var', (187, 194)) ('patients', 'Species', '9606', (151, 159)) ('patients', 'Species', '9606', (216, 224)) ('MGFA', 'Chemical', '-', (62, 66)) ('B10', 'Gene', '5169', (120, 123)) ('B10', 'Gene', (120, 123)) ('B10', 'Gene', '5169', (45, 48)) 48428 29088744 Basic research has currently recognized the following Breg phenotypes: CD19+CD24+CD38+, CD19+CD5+CD1d+, CD19+CD24+CD27+, CD19+CD38+CD1d+IgM+CD147+, CD25hiCD71hiCD73lo and CD27intCD38hi. ('CD38', 'Gene', (178, 182)) ('CD24', 'Gene', (109, 113)) ('CD1d', 'Gene', (131, 135)) ('CD25hiCD71hiCD73lo', 'Var', (148, 166)) ('CD38', 'Gene', '952', (126, 130)) ('CD19', 'Gene', (104, 108)) ('CD19', 'Gene', (121, 125)) ('CD38', 'Gene', (81, 85)) ('CD1d', 'Gene', (97, 101)) ('CD19', 'Gene', (88, 92)) ('CD19', 'Gene', '930', (121, 125)) ('CD1d', 'Gene', '912', (131, 135)) ('CD24', 'Gene', (76, 80)) ('CD38', 'Gene', (126, 130)) ('CD19', 'Gene', '930', (104, 108)) ('CD19', 'Gene', (71, 75)) ('CD24', 'Gene', '100133941', (109, 113)) ('CD19', 'Gene', '930', (88, 92)) ('CD38', 'Gene', '952', (178, 182)) ('CD1d', 'Gene', '912', (97, 101)) ('CD38', 'Gene', '952', (81, 85)) ('CD19', 'Gene', '930', (71, 75)) ('CD24', 'Gene', '100133941', (76, 80)) 48488 29088744 The sequences of primers were sense 5'-TCTTCCTCACCCCCATGGAA-3' and antisense 5'- ACTGCAGCACAGCGTTATCT-3' for CD19; sense 5'- TTCCAGTGTCTCGGAGGGAT-3' and antisense 5'- GCTGGCCACAGCTTTCAAGA-3' for IL-10; sense 5'-GAAGGTGAAGGTCGGAGTC-3' and antisense 5'-GGGTGGAATCATATTGGAAC-3' for GAPDH. ('CD19', 'Gene', (109, 113)) ('antisense', 'Var', (238, 247)) ('IL-10', 'Gene', '3586', (195, 200)) ('GAPDH', 'Gene', '2597', (279, 284)) ('CD19', 'Gene', '930', (109, 113)) ('GAPDH', 'Gene', (279, 284)) ('IL-10', 'Gene', (195, 200)) 48496 27823582 Domain-swapped T cell receptors improve the safety of TCR gene therapy T cells engineered to express a tumor-specific alphabeta T cell receptor (TCR) mediate anti-tumor immunity. ('TCR', 'Gene', (145, 148)) ('tumor', 'Phenotype', 'HP:0002664', (103, 108)) ('TCR', 'Gene', '328483', (145, 148)) ('alphabeta T', 'Disease', (118, 129)) ('tumor', 'Disease', (163, 168)) ('safety', 'MPA', (44, 50)) ('T cell receptor', 'Gene', '328483', (15, 30)) ('tumor', 'Disease', 'MESH:D009369', (163, 168)) ('improve', 'PosReg', (32, 39)) ('tumor', 'Disease', (103, 108)) ('tumor', 'Phenotype', 'HP:0002664', (163, 168)) ('TCR', 'Gene', (54, 57)) ('T cell receptor', 'Gene', (128, 143)) ('TCR', 'Gene', '328483', (54, 57)) ('tumor', 'Disease', 'MESH:D009369', (103, 108)) ('Domain-swapped', 'Var', (0, 14)) ('T cell receptor', 'Gene', '328483', (128, 143)) ('T cell receptor', 'Gene', (15, 30)) ('alphabeta T', 'Disease', 'MESH:D001260', (118, 129)) 48509 27823582 More importantly, mispaired T cell receptors may cause the immune cells to attack healthy cells in the body, leading to autoimmune disease. ('mispaired', 'Var', (18, 27)) ('autoimmune disease', 'Disease', (120, 138)) ('leading to', 'Reg', (109, 119)) ('T cell receptor', 'Gene', (28, 43)) ('T cell receptor', 'Gene', '328483', (28, 43)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (120, 138)) ('autoimmune disease', 'Disease', 'MESH:D001327', (120, 138)) ('cause', 'Reg', (49, 54)) 48513 27823582 Like normal T cell receptors, the dsTCRs were exported to the T cell surface and were able to interact with other proteins involved in immune responses. ('T cell receptor', 'Gene', '328483', (12, 27)) ('dsTCRs', 'Var', (34, 40)) ('interact', 'Interaction', (94, 102)) ('T cell receptor', 'Gene', (12, 27)) 48515 27823582 Unlike other cancer-specific receptors, dsTCRs did not mispair with the resident T cell receptors in mouse or human cells, and did not cause autoimmune disease in mice. ('autoimmune disease', 'Disease', 'MESH:D001327', (141, 159)) ('T cell receptor', 'Gene', (81, 96)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (141, 159)) ('cancer', 'Phenotype', 'HP:0002664', (13, 19)) ('mouse', 'Species', '10090', (101, 106)) ('cancer', 'Disease', (13, 19)) ('cancer', 'Disease', 'MESH:D009369', (13, 19)) ('human', 'Species', '9606', (110, 115)) ('autoimmune disease', 'Disease', (141, 159)) ('mice', 'Species', '10090', (163, 167)) ('cause', 'Reg', (135, 140)) ('T cell receptor', 'Gene', '328483', (81, 96)) ('dsTCRs', 'Var', (40, 46)) 48519 27823582 Accordingly, transfer of the alpha and beta genes encoding a tumor-reactive alphabeta TCR can impart anti-tumor reactivity to a cancer patient's T cells. ('cancer', 'Disease', 'MESH:D009369', (128, 134)) ('patient', 'Species', '9606', (135, 142)) ('alphabeta T', 'Disease', (76, 87)) ('transfer', 'Var', (13, 21)) ('tumor', 'Disease', 'MESH:D009369', (61, 66)) ('tumor', 'Disease', 'MESH:D009369', (106, 111)) ('cancer', 'Phenotype', 'HP:0002664', (128, 134)) ('tumor', 'Phenotype', 'HP:0002664', (61, 66)) ('tumor', 'Phenotype', 'HP:0002664', (106, 111)) ('alphabeta T', 'Disease', 'MESH:D001260', (76, 87)) ('tumor', 'Disease', (61, 66)) ('tumor', 'Disease', (106, 111)) ('cancer', 'Disease', (128, 134)) 48522 27823582 Among these is that TCR-transduced alphabeta T cells express two alpha and two beta chains, a non-physiological situation in which the introduced TCR alpha and beta chains can mispair with the endogenous TCR beta and alpha chains, respectively. ('TCR beta', 'Gene', (204, 212)) ('alphabeta T', 'Disease', (35, 46)) ('mispair', 'Var', (176, 183)) ('TCR beta', 'Gene', '21577', (204, 212)) ('TCR alpha', 'Gene', '21473', (146, 155)) ('alphabeta T', 'Disease', 'MESH:D001260', (35, 46)) ('TCR alpha', 'Gene', (146, 155)) 48523 27823582 TCR chain mispairing reduces the level of correctly-paired, tumor-reactive TCR heterodimers expressed on the T cell surface, possibly reducing therapeutic efficacy. ('therapeutic', 'MPA', (143, 154)) ('TCR heterodimers', 'Protein', (75, 91)) ('reducing', 'NegReg', (134, 142)) ('mispairing', 'Var', (10, 20)) ('tumor', 'Disease', 'MESH:D009369', (60, 65)) ('reducing therapeutic efficacy', 'Phenotype', 'HP:0020173', (134, 163)) ('tumor', 'Phenotype', 'HP:0002664', (60, 65)) ('level of', 'MPA', (33, 41)) ('tumor', 'Disease', (60, 65)) ('reduces', 'NegReg', (21, 28)) 48536 27823582 We transfected CD3+ 293T cells with each F5 TCR variant and evaluated A2/MART1 tetramer binding by flow cytometry. ('CD3', 'Gene', '12501', (15, 18)) ('293T', 'CellLine', 'CVCL:0063', (20, 24)) ('F5 TCR', 'Gene', (41, 47)) ('variant', 'Var', (48, 55)) ('A2/MART1', 'Protein', (70, 78)) ('TCR', 'Gene', (44, 47)) ('CD3', 'Gene', (15, 18)) ('binding', 'Interaction', (88, 95)) 48538 27823582 To determine whether dsTCR chains properly assemble CD3 when mispaired with a wtTCR chain, we prepared hybrid constructs in which only the alpha or beta chain of F5 TCR was domain-swapped at the C-cp junction, and tested for expression on the surface of CD3+ 293T (Figure 2C). ('tested', 'Reg', (214, 220)) ('CD3', 'Gene', (254, 257)) ('F5 TCR', 'Gene', (162, 168)) ('CD3', 'Gene', (52, 55)) ('CD3', 'Gene', '12501', (254, 257)) ('293T', 'CellLine', 'CVCL:0063', (259, 263)) ('CD3', 'Gene', '12501', (52, 55)) ('domain-swapped', 'Var', (173, 187)) 48542 27823582 We constructed dsTCRC and hybrid wt/ds variants of two additional clinically relevant human TCRs - HLA-A2/MART1-specific M1 TCR and HLA-A2/NY-ESO-1-specific 1 G4 TCR -as well as the H-2Kb/ovalbumin-specific OTI murine TCR. ('H-2Kb', 'Gene', (182, 187)) ('murine', 'Species', '10090', (211, 217)) ('human', 'Species', '9606', (86, 91)) ('H-2Kb', 'Gene', '14972', (182, 187)) ('ovalbumin', 'Gene', '282665', (188, 197)) ('NY-ESO-1', 'Gene', '246100', (139, 147)) ('NY-ESO-1', 'Gene', (139, 147)) ('variants', 'Var', (39, 47)) ('ovalbumin', 'Gene', (188, 197)) 48544 27823582 Altering the spatial relationship between constant TCR domains could potentially alter the orientation of CD3 chains in the TCR/CD3 complex, impairing its function. ('orientation', 'MPA', (91, 102)) ('CD3', 'Gene', (106, 109)) ('impairing', 'NegReg', (141, 150)) ('Altering', 'Var', (0, 8)) ('alter', 'Reg', (81, 86)) ('CD3', 'Gene', '12501', (106, 109)) ('function', 'MPA', (155, 163)) ('CD3', 'Gene', (128, 131)) ('CD3', 'Gene', '12501', (128, 131)) 48561 27823582 Consistent with multimer staining results, dsTCRs mediated antigen-specific release of IL-2, whereas hybrid wt/dsTCRs simulating mispairing did not (Figure 3G). ('dsTCRs', 'Var', (43, 49)) ('antigen-specific release', 'MPA', (59, 83)) ('IL-2', 'Gene', (87, 91)) ('IL-2', 'Gene', '16183', (87, 91)) 48566 27823582 Nonetheless, T cells transduced with either wtTCR or dsTCRs were functional, secreting IFN-gamma and upregulating cell surface CD25 in an antigen-specific manner when coincubated with target cells (Figure 3I,J). ('IFN-gamma', 'Gene', (87, 96)) ('cell surface CD25', 'MPA', (114, 131)) ('IFN-gamma', 'Gene', '15978', (87, 96)) ('upregulating', 'PosReg', (101, 113)) ('dsTCRs', 'Var', (53, 59)) 48574 27823582 Mice that develop TI-GvHD due to TCR chain mispairing exhibit destruction of the hematopoietic compartment and rapid weight loss, generally necessitating sacrifice within 1-2 days of onset of cachexia. ('weight loss', 'Disease', 'MESH:D015431', (117, 128)) ('cachexia', 'Phenotype', 'HP:0004326', (192, 200)) ('weight loss', 'Disease', (117, 128)) ('weight loss', 'Phenotype', 'HP:0001824', (117, 128)) ('TCR chain', 'Protein', (33, 42)) ('cachexia', 'Disease', (192, 200)) ('mispairing', 'Var', (43, 53)) ('cachexia', 'Disease', 'MESH:D002100', (192, 200)) ('Mice', 'Species', '10090', (0, 4)) ('TI-GvHD', 'Chemical', '-', (18, 25)) ('TI-GvHD', 'Disease', (18, 25)) 48582 27823582 Thus, dsTCRs prevent mispairing and thereby prevent mispairing-related autoimmune complications in a model of TCR gene therapy. ('prevent', 'NegReg', (44, 51)) ('autoimmune complications', 'Disease', 'MESH:D001327', (71, 95)) ('mispairing', 'MPA', (21, 31)) ('dsTCRs', 'Var', (6, 12)) ('autoimmune complications', 'Phenotype', 'HP:0002960', (71, 95)) ('autoimmune complications', 'Disease', (71, 95)) ('mispairing-related', 'Disease', (52, 70)) 48590 27823582 Both wtTCR- and dsTCR-transduced T cells slowed tumor growth when mice were injected with 1 T cell per 500 tumor cells, and prevented tumor growth entirely at higher tested ratios (Figure 4:figure supplement 4). ('dsTCR-transduced', 'Var', (16, 32)) ('tumor', 'Disease', (48, 53)) ('tumor', 'Disease', (107, 112)) ('tumor', 'Phenotype', 'HP:0002664', (107, 112)) ('mice', 'Species', '10090', (66, 70)) ('slowed', 'NegReg', (41, 47)) ('tumor', 'Disease', 'MESH:D009369', (134, 139)) ('prevented', 'NegReg', (124, 133)) ('tumor', 'Disease', 'MESH:D009369', (48, 53)) ('tumor', 'Disease', 'MESH:D009369', (107, 112)) ('tumor', 'Phenotype', 'HP:0002664', (134, 139)) ('tumor', 'Phenotype', 'HP:0002664', (48, 53)) ('tumor', 'Disease', (134, 139)) 48593 27823582 We hypothesized that combining dsTCRs with endogenous TCR knockdown would improve cell surface expression of dsTCRs while also eliminating TI-GvHD entirely. ('TI-GvHD', 'Chemical', '-', (139, 146)) ('improve', 'PosReg', (74, 81)) ('TCR', 'Gene', (54, 57)) ('cell surface expression', 'MPA', (82, 105)) ('eliminating', 'NegReg', (127, 138)) ('TI-GvHD', 'MPA', (139, 146)) ('knockdown', 'Var', (58, 67)) 48597 27823582 However, knockdown greatly improved surface expression and tetramer binding of the P14 dsTCR by reducing competition for assembly with CD3 chains (Figure 5B). ('P14', 'Gene', '20202', (83, 86)) ('improved', 'PosReg', (27, 35)) ('knockdown', 'Var', (9, 18)) ('tetramer binding', 'Interaction', (59, 75)) ('reducing', 'NegReg', (96, 104)) ('surface expression', 'MPA', (36, 54)) ('P14', 'Gene', (83, 86)) ('competition', 'Interaction', (105, 116)) ('CD3', 'Gene', (135, 138)) ('CD3', 'Gene', '12501', (135, 138)) 48602 27823582 In fact, knockdown of both endogenous chains increased mispairing of P14 wtalpha, suggesting the reduction of competing endogenous alpha enabled more mispairing of the weak P14 wtalpha with the remaining endogenous beta chain. ('reduction', 'NegReg', (97, 106)) ('P14', 'Gene', '20202', (69, 72)) ('P14', 'Gene', '20202', (173, 176)) ('knockdown', 'Var', (9, 18)) ('P14', 'Gene', (69, 72)) ('mispairing', 'MPA', (55, 65)) ('P14', 'Gene', (173, 176)) ('mispairing', 'MPA', (150, 160)) 48603 27823582 As allelic exclusion in TCR-transduced HSCs is incomplete, however, there remains a risk that TCR mispairing can precipitate autoimmunity. ('precipitate', 'Reg', (113, 124)) ('autoimmunity', 'Disease', (125, 137)) ('TCR', 'Gene', (94, 97)) ('autoimmunity', 'Disease', 'MESH:D001327', (125, 137)) ('mispairing', 'Var', (98, 108)) ('autoimmunity', 'Phenotype', 'HP:0002960', (125, 137)) 48604 27823582 HSCs transduced with dsTCRs would retain the advantages of wtTCR-engineered HSCs while eliminating the risk of autoimmunity. ('autoimmunity', 'Phenotype', 'HP:0002960', (111, 123)) ('autoimmunity', 'Disease', 'MESH:D001327', (111, 123)) ('autoimmunity', 'Disease', (111, 123)) ('dsTCRs', 'Var', (21, 27)) 48617 27823582 T cells expressing chimeric dsTCRs were activated and secreted IFN-gamma in response to coincubation with cognate antigen-expressing target cells (Figure 7G,H). ('IFN-gamma', 'Gene', (63, 72)) ('chimeric dsTCRs', 'Var', (19, 34)) ('dsTCRs', 'Var', (28, 34)) ('secreted', 'MPA', (54, 62)) ('IFN-gamma', 'Gene', '15978', (63, 72)) 48619 27823582 As observed in Jurkats, chimeric dsalphadelta, dsalphagamma, and dsbetadelta chains did not mispair productively with wild-type alphabeta TCR chains (Figure 7F-H). ('dsalpha', 'Chemical', '-', (33, 40)) ('alphabeta T', 'Disease', (128, 139)) ('Jurkats', 'CellLine', 'CVCL:0065', (15, 22)) ('dsalpha', 'Chemical', '-', (47, 54)) ('dsbeta', 'Chemical', '-', (65, 71)) ('chimeric', 'Var', (24, 32)) ('alphabeta T', 'Disease', 'MESH:D001260', (128, 139)) 48621 27823582 Thus, substitution of constant domains of tumor-specific alphabeta TCRs with corresponding gammadelta TCR domains produces a chimeric receptor that mediates functional, antigen-specific T cell immunity with minimized mispairing risk. ('tumor', 'Disease', (42, 47)) ('alphabeta TCRs', 'Disease', (57, 71)) ('mediates', 'Reg', (148, 156)) ('substitution', 'Var', (6, 18)) ('tumor', 'Disease', 'MESH:D009369', (42, 47)) ('alphabeta TCRs', 'Disease', 'None', (57, 71)) ('tumor', 'Phenotype', 'HP:0002664', (42, 47)) 48623 27823582 However, mispairing between introduced and endogenous TCR chains produces autoreactive human T cells in vitro and causes graft-vs-host disease in mice, indicating that TCR gene transfer poses a non-theoretical risk of autoimmunity. ('autoreactive human T cells', 'CPA', (74, 100)) ('graft-vs-host disease', 'CPA', (121, 142)) ('human', 'Species', '9606', (87, 92)) ('autoimmunity', 'Phenotype', 'HP:0002960', (218, 230)) ('mispairing', 'Var', (9, 19)) ('autoimmunity', 'Disease', (218, 230)) ('mice', 'Species', '10090', (146, 150)) ('autoimmunity', 'Disease', 'MESH:D001327', (218, 230)) ('causes', 'Reg', (114, 120)) 48624 27823582 By swapping constant domains between alpha and beta chains of a clinically-relevant alphabeta TCR, we generated a receptor that retains antigenic specificity and function but does not mispair with endogenous TCRs. ('alphabeta T', 'Disease', 'MESH:D001260', (84, 95)) ('alphabeta T', 'Disease', (84, 95)) ('swapping', 'Var', (3, 11)) ('function', 'MPA', (162, 170)) ('antigenic specificity', 'MPA', (136, 157)) 48625 27823582 neither alpha nor beta self-associate); (2) mispairing between wt and ds chains results in a receptor that incompletely assembles with CD3 chains and is degraded; (3) mispaired wt/dsTCRs that escape degradation and express on the surface with an incomplete complement of CD3 chains will have impaired signaling capacity. ('signaling capacity', 'MPA', (301, 319)) ('CD3', 'Gene', (271, 274)) ('CD3', 'Gene', '12501', (135, 138)) ('CD3', 'Gene', '12501', (271, 274)) ('mispairing', 'Var', (44, 54)) ('CD3', 'Gene', (135, 138)) ('impaired', 'NegReg', (292, 300)) ('mispaired', 'Var', (167, 176)) 48634 27823582 Third, swapping domains closer to the V-C junction would avoid reorienting constant domains with respect to each other, thereby preserving all contacts with CD3. ('CD3', 'Gene', (157, 160)) ('CD3', 'Gene', '12501', (157, 160)) ('swapping', 'Var', (7, 15)) ('contacts', 'MPA', (143, 151)) ('preserving', 'Reg', (128, 138)) ('reorienting constant domains', 'MPA', (63, 91)) 48654 27823582 HLA-A2 and beta2-microglobulin were expressed in E. coli, refolded in the presence of MART126-35(A27L) (ELAGIGILTV) or NY-ESO-1157-165(C165V) (SLLMWITQV) heteroclitic peptides, purified, and biotinylated as previously described. ('MART126-35', 'Var', (86, 96)) ('A27L', 'Mutation', 'p.A27L', (97, 101)) ('NY-ESO-1', 'Gene', '246100', (119, 127)) ('NY-ESO-1', 'Gene', (119, 127)) ('E. coli', 'Species', '562', (49, 56)) ('C165V', 'Mutation', 'p.C165V', (135, 140)) 48698 27823582 Surface expression was assessed by flow cytometry with the following antibodies: anti-CD3epsilon-PE-Cy7 (clone 2 C11), anti-Valpha2-PE (clone B20.1), anti-Vbeta5-FITC (clone MR9-4), and HLA-A2/MART1(ELAGIGILTV) and H-2Kb/ovalbumin(SIINFEKL) dextramers. ('SIINFEKL', 'Disease', 'None', (231, 239)) ('ovalbumin', 'Gene', '282665', (221, 230)) ('ovalbumin', 'Gene', (221, 230)) ('C11', 'Gene', '108083', (113, 116)) ('SIINFEKL', 'Disease', (231, 239)) ('C11', 'Gene', (113, 116)) ('H-2Kb', 'Gene', (215, 220)) ('H-2Kb', 'Gene', '14972', (215, 220)) ('anti-CD3epsilon-PE-Cy7', 'Var', (81, 103)) 48707 27823582 Flow cytometry analysis was performed on 1 x 106 cells per sample, and stained with anti-mouse CD45, HLA-A2/MART1(ELAGIGILTV) multimer, and the following anti-human antibodies: CD45, CD19, CD3, CD4, and CD8. ('CD3', 'Gene', (189, 192)) ('CD8', 'Gene', (203, 206)) ('CD19', 'Var', (183, 187)) ('CD4', 'Gene', (177, 180)) ('CD8', 'Gene', '925', (203, 206)) ('human', 'Species', '9606', (159, 164)) ('CD4', 'Gene', (95, 98)) ('CD3', 'Gene', '12501', (189, 192)) ('CD4', 'Gene', '12504', (177, 180)) ('CD4', 'Gene', (194, 197)) ('CD4', 'Gene', '12504', (194, 197)) ('CD4', 'Gene', '12504', (95, 98)) ('mouse', 'Species', '10090', (89, 94)) 48719 27823582 Mouse splenocytes (2 x 106 cells/well) were activated in 1 mL C10 containing 2 mug/mL concanavalin A and 1 ng/mL IL-7 for 48 hr, then transduced with retroviral supernatant encoding OTI wtTCR, OTI dsTCR, or no TCR as described. ('OTI wtTCR', 'Var', (182, 191)) ('OTI dsTCR', 'Var', (193, 202)) ('IL-7', 'Gene', (113, 117)) ('IL-7', 'Gene', '16196', (113, 117)) ('Mouse', 'Species', '10090', (0, 5)) 48734 27823582 After 72 hr incubation, the supernatant was tested with a commercial ELISA kit for secreted mouse interferon-gamma (BD) and the T cells were tested by flow cytometry for surface expression of Valpha2 TCRalpha, Vbeta5 TCRbeta, H-2Kb/Ova257-264 tetramer-specific TCR, and activation markers (anti-CD25 (clone PC61), anti-CD44 (clone IM7), and CD62L [clone MEL-14]). ('TCRalpha', 'Gene', '21473', (200, 208)) ('TCRalpha', 'Gene', (200, 208)) ('TCRbeta', 'Gene', (217, 224)) ('IM7', 'Gene', '100035768', (331, 334)) ('CD62L', 'Gene', '20343', (341, 346)) ('anti-CD25', 'Var', (290, 299)) ('CD62L', 'Gene', (341, 346)) ('mouse', 'Species', '10090', (92, 97)) ('TCRbeta', 'Gene', '21577', (217, 224)) ('CD44', 'Gene', '12505', (319, 323)) ('IM7', 'Gene', (331, 334)) ('CD44', 'Gene', (319, 323)) ('H-2Kb', 'Gene', (226, 231)) ('H-2Kb', 'Gene', '14972', (226, 231)) 48761 27823582 Thank you for submitting your article "Domain-swapped T cell receptors improve the safety of TCR gene therapy" for consideration by eLife. ('T cell receptor', 'Gene', '328483', (54, 69)) ('TCR', 'Gene', (93, 96)) ('safety', 'MPA', (83, 89)) ('Domain-swapped', 'Var', (39, 53)) ('T cell receptor', 'Gene', (54, 69)) ('improve', 'PosReg', (71, 78)) 48762 27823582 Summary: This interesting manuscript builds and tests domain-swapped chains of the T cell receptor heterodimer to demonstrate that a number of domain-swapped combinations permit reasonable maintenance of assembly and function upon heterologous expression, yet substantially prevent assembly with 'wild-type' endogenous chains and the functional consequences thereof. ('prevent', 'NegReg', (274, 281)) ('domain-swapped combinations', 'Var', (143, 170)) ('combinations', 'Var', (158, 170)) ('T cell receptor', 'Gene', '328483', (83, 98)) ('function', 'MPA', (217, 225)) ('T cell receptor', 'Gene', (83, 98)) ('assembly', 'MPA', (282, 290)) ('assembly', 'MPA', (204, 212)) 48764 27823582 Essential revisions: This is an exciting manuscript, but there are a few concerns we'd like you to address: 1) One concern relates to the somewhat sketchy quantification of the comparative efficiency of the domain-swapped T cell receptors. ('T cell receptor', 'Gene', '328483', (222, 237)) ('domain-swapped', 'Var', (207, 221)) ('T cell receptor', 'Gene', (222, 237)) 48767 27823582 3) A major question in the manuscript is how the successful swapping strategies impact TCR/CD3 architecture on T cells, and what the authors perceive to be the 'loss of stabilizing contacts in the extracellular domains. ('swapping', 'Var', (60, 68)) ('CD3', 'Gene', '12501', (91, 94)) ('stabilizing contacts', 'MPA', (169, 189)) ('impact', 'Reg', (80, 86)) ('CD3', 'Gene', (91, 94)) 48768 27823582 Figure 1 outlines the oft-discussed charges in the TM helices and how they are believed to interact and help align the CD3 chains, but it is not necessarily the case (albeit possible) that swapping these around would lead to a loss of stabilizing contacts in the extracellular parts, given what we know (and don't know) about the structural relationships and the constraints on TCR/CD3 overall architecture. ('loss', 'NegReg', (227, 231)) ('CD3', 'Gene', (119, 122)) ('CD3', 'Gene', '12501', (119, 122)) ('stabilizing contacts', 'MPA', (235, 255)) ('swapping', 'Var', (189, 197)) ('CD3', 'Gene', (382, 385)) ('CD3', 'Gene', '12501', (382, 385)) 48769 27823582 10.7554/eLife.19095.020 [...] Essential revisions: This is an exciting manuscript, but there are a few concerns we'd like you to address: 1) One concern relates to the somewhat sketchy quantification of the comparative efficiency of the domain-swapped T cell receptors. ('T cell receptor', 'Gene', (254, 269)) ('domain-swapped', 'Var', (239, 253)) ('T cell receptor', 'Gene', '328483', (254, 269)) 48770 27823582 Specifically, there are two distinct ultimate functional outcomes in vivo being measured, and are correlatable with two distinct consequences of domain-swapped TCRs (dsTCRs); reduction of pairing with endogenous TCR chains correlatable with loss of GVH induction activity, and reduction of cell-surface dsTCR levels potentially correlatable with possible quantitative reduction of anti-tumor activity. ('loss', 'NegReg', (241, 245)) ('tumor', 'Disease', (386, 391)) ('pairing', 'MPA', (188, 195)) ('cell-surface dsTCR levels', 'MPA', (290, 315)) ('GVH', 'Gene', '110063', (249, 252)) ('tumor', 'Disease', 'MESH:D009369', (386, 391)) ('reduction', 'NegReg', (277, 286)) ('reduction', 'NegReg', (175, 184)) ('tumor', 'Phenotype', 'HP:0002664', (386, 391)) ('activity', 'MPA', (263, 271)) ('domain-swapped', 'Var', (145, 159)) ('GVH', 'Gene', (249, 252)) ('reduction', 'NegReg', (368, 377)) 48841 26308738 AChR acetylcholine receptor CI confidence interval MG myasthenia gravis Acquired myasthenia gravis (MG) is an antibody-mediated autoimmune disease in which skeletal muscle weakness occurs as a result of impaired neuromuscular transmission because of loss of nicotinic acetylcholine receptors (AChRs) at the neuromuscular junction and disruption of postsynaptic membrane morphology.1 Acquired MG is a relatively common neuromuscular disease in dogs,2 but is less frequent in cats.3 The most common clinical signs of MG in cats include generalized weakness without megaesophagus and generalized weakness associated with a cranial mediastinal mass.2 Autoantibodies to AChRs are found in most human patients with acquired MG and rarely seen in healthy humans or patients with other diseases.4 A similar specificity of AChR antibodies is also present in dogs and cats with acquired MG.5 The presence of pathogenic AChR antibodies proves an autoimmune response against AChRs, which is not detected with other causes of muscle weakness. ('AChR', 'Gene', (0, 4)) ('AChR', 'Gene', (666, 670)) ('autoimmune disease', 'Disease', 'MESH:D001327', (128, 146)) ('generalized weakness', 'Phenotype', 'HP:0003324', (534, 554)) ('loss of nicotinic acetylcholine receptors', 'Phenotype', 'HP:0030208', (250, 291)) ('AChR', 'Gene', (293, 297)) ('myasthenia gravis', 'Disease', (81, 98)) ('human', 'Species', '9606', (749, 754)) ('cats', 'Species', '9685', (474, 478)) ('dogs', 'Species', '9615', (850, 854)) ('patients', 'Species', '9606', (759, 767)) ('antibodies', 'Var', (915, 925)) ('AChR', 'Gene', '751106', (0, 4)) ('AChR', 'Gene', '751106', (666, 670)) ('generalized weakness', 'Phenotype', 'HP:0003324', (581, 601)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (128, 146)) ('AChR', 'Gene', (910, 914)) ('muscle weakness', 'Phenotype', 'HP:0001324', (1014, 1029)) ('myasthenia', 'Phenotype', 'HP:0003473', (81, 91)) ('acetylcholine', 'Chemical', 'MESH:D000109', (268, 281)) ('AChR', 'Gene', '751106', (293, 297)) ('neuromuscular disease', 'Disease', (418, 439)) ('patients', 'Species', '9606', (696, 704)) ('cats', 'Species', '9685', (521, 525)) ('myasthenia gravis', 'Disease', (54, 71)) ('acetylcholine', 'Chemical', 'MESH:D000109', (5, 18)) ('neuromuscular disease', 'Disease', 'MESH:D009468', (418, 439)) ('AChR', 'Gene', (815, 819)) ('AChR', 'Gene', (964, 968)) ('AChR', 'Gene', '751106', (910, 914)) ('muscle weakness', 'Phenotype', 'HP:0001324', (165, 180)) ('dogs', 'Species', '9615', (443, 447)) ('muscle weakness', 'Disease', (1014, 1029)) ('human', 'Species', '9606', (690, 695)) ('pathogenic', 'Reg', (899, 909)) ('AChR', 'Gene', '751106', (815, 819)) ('AChR', 'Gene', '751106', (964, 968)) ('cats', 'Species', '9685', (859, 863)) ('autoimmune response', 'Phenotype', 'HP:0002960', (936, 955)) ('muscle weakness', 'Disease', 'MESH:D018908', (1014, 1029)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (81, 98)) ('humans', 'Species', '9606', (749, 755)) ('muscle weakness', 'Disease', (165, 180)) ('myasthenia', 'Phenotype', 'HP:0003473', (54, 64)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (54, 71)) ('muscle weakness', 'Disease', 'MESH:D018908', (165, 180)) ('autoimmune disease', 'Disease', (128, 146)) 49071 30607194 The white blood cells count found normochromic normocytic anaemia with Hb at 10.3 g/dl, WBC count 12 G/L without peripheral blasts, platelet count was at 35 G/L. ('anaemia', 'Disease', 'MESH:D000740', (58, 65)) ('35 G/L', 'SUBSTITUTION', 'None', (154, 160)) ('anaemia', 'Disease', (58, 65)) ('35 G/L', 'Var', (154, 160)) ('12 G/L', 'SUBSTITUTION', 'None', (98, 104)) ('normocytic anaemia', 'Phenotype', 'HP:0001897', (47, 65)) ('12 G/L', 'Var', (98, 104)) ('normochromic normocytic anaemia', 'Phenotype', 'HP:0001895', (34, 65)) ('anaemia', 'Phenotype', 'HP:0001903', (58, 65)) 49093 30607194 NOTCH1 is the best-characterised member and was discovered from cases of human T-lymphoblastic lymphoma/leukaemia harbouring t(7; 9)(q34; q34.4), which juxtaposes B enhancer/promoter elements on chromosome 7. ('T-lymphoblastic lymphoma/leukaemia', 'Disease', (79, 113)) ('lymphoma', 'Phenotype', 'HP:0002665', (95, 103)) ('T-lymphoblastic lymphoma/leukaemia', 'Phenotype', 'HP:0005517', (79, 113)) ('human', 'Species', '9606', (73, 78)) ('NOTCH1', 'Gene', '4851', (0, 6)) ('NOTCH1', 'Gene', (0, 6)) ('T-lymphoblastic lymphoma/leukaemia', 'Disease', 'MESH:D054218', (79, 113)) ('t(7; 9)(q34; q34.4', 'Var', (125, 143)) 49172 28872098 Some papers have shown that patients with incomplete resection can achieve an overall survival comparable to those with complete resection, while others have shown that incomplete resection is associated with increased recurrence and worsening survival. ('worsening', 'NegReg', (234, 243)) ('incomplete', 'Var', (169, 179)) ('recurrence', 'CPA', (219, 229)) ('patients', 'Species', '9606', (28, 36)) ('survival', 'MPA', (244, 252)) 49243 24872711 All rheumatologic tests were normal (urinalysis, collected 24-hour urine for calculation of creatinine, quantities of proteinuria and protein/creatinine ratios, antinuclear antibodies, anti-double stranded DNA, antiphospholide antibody, anti-Smith antibodies, and C3 and C4). ('protein/creatinine ratios', 'MPA', (134, 159)) ('antinuclear antibodies', 'Phenotype', 'HP:0003493', (161, 183)) ('proteinuria', 'Disease', (118, 129)) ('proteinuria', 'Phenotype', 'HP:0000093', (118, 129)) ('creatinine', 'MPA', (92, 102)) ('proteinuria', 'Disease', 'MESH:D011507', (118, 129)) ('anti-double', 'Var', (185, 196)) ('antinuclear', 'Protein', (161, 172)) ('creatinine', 'Chemical', 'MESH:D003404', (142, 152)) ('creatinine', 'Chemical', 'MESH:D003404', (92, 102)) ('antiphospholide', 'Protein', (211, 226)) 49288 22824515 Graves disease (GD) is an autoimmune disease caused by self-reactive plasma cells which produce antibodies to the thyrotropin receptor that stimulate thyroid-stimulating hormone receptors and increase the production of thyroid hormone. ('Graves disease', 'Phenotype', 'HP:0100647', (0, 14)) ('autoimmune disease', 'Disease', (26, 44)) ('Graves disease', 'Disease', (0, 14)) ('GD', 'Disease', 'MESH:D005776', (16, 18)) ('thyrotropin receptor', 'Gene', (114, 134)) ('autoimmune disease', 'Disease', 'MESH:D001327', (26, 44)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (26, 44)) ('stimulate', 'PosReg', (140, 149)) ('Graves disease', 'Disease', 'MESH:D006111', (0, 14)) ('thyroid-stimulating hormone receptors', 'MPA', (150, 187)) ('antibodies', 'Var', (96, 106)) ('thyrotropin receptor', 'Gene', '7253', (114, 134)) ('increase', 'PosReg', (192, 200)) ('production of thyroid hormone', 'MPA', (205, 234)) ('GD', 'Phenotype', 'HP:0100647', (16, 18)) 49295 22824515 The immunophenotyping by flow cytometry revealed a predominance of T lymphoblasts (CD1a+, CD2+, CD4+, CD8+, sCD3-, TdT+) consistent with T-lymphoblastic leukemia/lymphoma (T-LBL/L). ('lymphoma', 'Phenotype', 'HP:0002665', (162, 170)) ('T lymphoblasts', 'CPA', (67, 81)) ('T-LBL', 'Chemical', '-', (172, 177)) ('lymphoblastic leukemia', 'Phenotype', 'HP:0005526', (139, 161)) ('CD4+', 'Var', (96, 100)) ('CD1a', 'Gene', '909', (83, 87)) ('T-lymphoblastic leukemia/lymphoma', 'Disease', (137, 170)) ('TdT', 'Gene', (115, 118)) ('CD8+', 'Var', (102, 106)) ('T-lymphoblastic leukemia/lymphoma', 'Disease', 'MESH:D054218', (137, 170)) ('TdT', 'Gene', '1791', (115, 118)) ('-lymphoblastic leukemia/lymphoma', 'Phenotype', 'HP:0005531', (138, 170)) ('CD1a', 'Gene', (83, 87)) ('leukemia', 'Phenotype', 'HP:0001909', (153, 161)) 49391 29387212 Subsequent to transfection, thymoma Wnt4 and JNK mRNA and protein expression were significantly decreased in shRNA-treated groups, with the strongest inhibition being 52.37%. ('JNK', 'Gene', '5599', (45, 48)) ('decreased', 'NegReg', (96, 105)) ('Wnt4', 'Gene', (36, 40)) ('transfection', 'Var', (14, 26)) ('thymoma', 'Disease', 'MESH:D013945', (28, 35)) ('thymoma', 'Disease', (28, 35)) ('Wnt4', 'Gene', '54361', (36, 40)) ('thymoma', 'Phenotype', 'HP:0100522', (28, 35)) ('JNK', 'Gene', (45, 48)) 49475 29387212 Notably, shRNA transfection produced a large number of apoptotic (Hoechst 33342++/PI+) and necrotic (Hoechst 33342+/PI++) cells (Fig. ('Hoechst 33342+/PI++', 'Var', (101, 120)) ('Hoechst 33342++/PI+', 'Var', (66, 85)) ('necrotic', 'Disease', (91, 99)) ('Hoechst 33342', 'Chemical', 'MESH:C017807', (66, 79)) ('apoptotic', 'CPA', (55, 64)) ('Hoechst 33342', 'Chemical', 'MESH:C017807', (101, 114)) ('necrotic', 'Disease', 'MESH:D009336', (91, 99)) ('transfection', 'Var', (15, 27)) 49477 29387212 The apoptosis rate following shRNA transfection was 14.70+-0.62%, which was significant compared with controls (Fig. ('shRNA', 'Gene', (29, 34)) ('transfection', 'Var', (35, 47)) ('apoptosis', 'CPA', (4, 13)) ('rat', 'Species', '10116', (14, 17)) 49484 29387212 In addition, Wnt4 and JNK expression and apoptosis changes were observed in thymoma cells subsequent to Wnt4 gene silencing. ('thymoma', 'Disease', (76, 83)) ('Wnt4', 'Gene', (104, 108)) ('JNK', 'Gene', (22, 25)) ('Wnt4', 'Gene', '54361', (104, 108)) ('thymoma', 'Phenotype', 'HP:0100522', (76, 83)) ('observed', 'Reg', (64, 72)) ('gene silencing', 'Var', (109, 123)) ('JNK', 'Gene', '5599', (22, 25)) ('apoptosis changes', 'CPA', (41, 58)) ('thymoma', 'Disease', 'MESH:D013945', (76, 83)) ('Wnt4', 'Gene', (13, 17)) ('Wnt4', 'Gene', '54361', (13, 17)) 49492 29387212 Studies have shown that inhibition of Wnt signaling induces apoptosis and suppresses cell proliferation. ('rat', 'Species', '10116', (97, 100)) ('cell proliferation', 'CPA', (85, 103)) ('apoptosis', 'CPA', (60, 69)) ('suppresses', 'NegReg', (74, 84)) ('Wnt', 'Protein', (38, 41)) ('inhibition', 'Var', (24, 34)) 49508 27603335 In current clinical practice, daily fever and arthromyalgias are almost mandatory and in vast majority of the patients these symptoms are accompanied by elevated acute phase reactants, included hyperferritinemia (>5000 mug/L) on absence of specific markers of disease. ('myalgias', 'Phenotype', 'HP:0003326', (52, 60)) ('arthromyalgias', 'Disease', (46, 60)) ('acute phase reactants', 'MPA', (162, 183)) ('arthromyalgias', 'Disease', 'None', (46, 60)) ('fever', 'Disease', 'MESH:D005334', (36, 41)) ('elevated', 'PosReg', (153, 161)) ('fever', 'Disease', (36, 41)) ('fever', 'Phenotype', 'HP:0001945', (36, 41)) ('hyperferritinemia', 'Disease', 'MESH:C538137', (194, 211)) ('hyperferritinemia', 'Disease', (194, 211)) ('man', 'Species', '9606', (72, 75)) ('hyperferritinemia', 'Phenotype', 'HP:0003281', (194, 211)) ('>5000 mug/L', 'Var', (213, 224)) ('patients', 'Species', '9606', (110, 118)) ('daily fever', 'Phenotype', 'HP:0001954', (30, 41)) 49521 27603335 resulted in a gradual subside of the symptoms; 1 month later, in the subsequent rheumatological control, CRP was 0.07 mg/dL, ferritin 487 ng/mL, and ESR 20 mm/h. ('CRP', 'Gene', (105, 108)) ('0.07 mg/dL', 'Var', (113, 123)) ('ferritin', 'Protein', (125, 133)) ('CRP', 'Gene', '1401', (105, 108)) 49648 30216434 They have recently been linked to mutations in the thymoma-specific transcription factor regulating growth factor signalling GTF2I and, to a lesser extent, HRAS, NRAS and TP53 1, 2. ('TP53', 'Gene', (171, 175)) ('thymoma', 'Gene', '7063', (51, 58)) ('GTF2I', 'Gene', '2969', (125, 130)) ('thymoma', 'Phenotype', 'HP:0100522', (51, 58)) ('thymoma', 'Gene', (51, 58)) ('HRAS', 'Gene', '3265', (156, 160)) ('NRAS', 'Gene', '4893', (162, 166)) ('HRAS', 'Gene', (156, 160)) ('GTF2I', 'Gene', (125, 130)) ('linked', 'Reg', (24, 30)) ('NRAS', 'Gene', (162, 166)) ('mutations', 'Var', (34, 43)) ('TP53', 'Gene', '7157', (171, 175)) 49652 30216434 anti-acetylcholine receptor antibodies in myasthenia gravis (occurring in 17-40% of patients with thymoma); anti-glutamic acid decarboxylase (GAD65) and anti-glycine receptor antibodies in Stiff-person syndrome; anti-Kv1 Voltage-Gated K+ Channels (VGKC) or anti-Contactin-associated protein-like 2 (Caspr2) antibodies in acquired neuromyotonia and autoimmune encephalitis; and anti-P/Q-type Voltage-Gated Calcium Channels (VGCC) antibodies in Lambert-Eaton syndrome and autoimmune encephalitis 6. ('encephalitis', 'Phenotype', 'HP:0002383', (359, 371)) ('myasthenia gravis', 'Disease', (42, 59)) ('Lambert-Eaton syndrome', 'Disease', 'MESH:D015624', (443, 465)) ('neuromyotonia', 'Disease', 'MESH:D020386', (330, 343)) ('myasthenia', 'Phenotype', 'HP:0003473', (42, 52)) ('Stiff-person syndrome', 'Disease', (189, 210)) ('autoimmune encephalitis', 'Disease', 'MESH:C535841', (470, 493)) ('neuromyotonia', 'Disease', (330, 343)) ('autoimmune encephalitis', 'Disease', (470, 493)) ('patients', 'Species', '9606', (84, 92)) ('thymoma', 'Phenotype', 'HP:0100522', (98, 105)) ('VGCC', 'Gene', (423, 427)) ('acetylcholine receptor antibodies', 'Phenotype', 'HP:0030208', (5, 38)) ('thymoma', 'Gene', '7063', (98, 105)) ('Caspr2', 'Gene', (299, 305)) ('thymoma', 'Gene', (98, 105)) ('autoimmune encephalitis', 'Disease', 'MESH:C535841', (348, 371)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (42, 59)) ('autoimmune encephalitis', 'Disease', (348, 371)) ('person', 'Species', '9606', (195, 201)) ('Caspr2', 'Gene', '26047', (299, 305)) ('encephalitis', 'Phenotype', 'HP:0002383', (481, 493)) ('GAD65', 'Gene', (142, 147)) ('GAD65', 'Gene', '2572', (142, 147)) ('Lambert-Eaton syndrome', 'Disease', (443, 465)) ('anti-P/Q-type', 'Var', (377, 390)) 49802 34011098 Dysfunction in the baroreflex mechanism may leads to dizziness, syncope, atrioventricular block, and even lethal atrial fibrillation. ('Dysfunction', 'Var', (0, 11)) ('atrioventricular block', 'Disease', (73, 95)) ('syncope', 'Disease', (64, 71)) ('dizziness', 'Disease', 'MESH:D004244', (53, 62)) ('atrioventricular block', 'Phenotype', 'HP:0001678', (73, 95)) ('atrial fibrillation', 'Disease', (113, 132)) ('atrial fibrillation', 'Disease', 'MESH:D001281', (113, 132)) ('atrial fibrillation', 'Phenotype', 'HP:0005110', (113, 132)) ('syncope', 'Disease', 'MESH:D013575', (64, 71)) ('dizziness', 'Disease', (53, 62)) ('atrioventricular block', 'Disease', 'MESH:D054537', (73, 95)) ('dizziness', 'Phenotype', 'HP:0002321', (53, 62)) ('syncope', 'Phenotype', 'HP:0001279', (64, 71)) ('leads to', 'Reg', (44, 52)) ('lethal atrial fibrillation', 'Phenotype', 'HP:0004754', (106, 132)) 49842 34011098 Anti-Kv1.4 antibodies were found to be associated with myocarditis in MG patients. ('associated with', 'Reg', (39, 54)) ('myocarditis', 'Disease', 'MESH:D009205', (55, 66)) ('Kv1.4', 'Gene', '3739', (5, 10)) ('antibodies', 'Var', (11, 21)) ('myocarditis', 'Phenotype', 'HP:0012819', (55, 66)) ('myocarditis', 'Disease', (55, 66)) ('patients', 'Species', '9606', (73, 81)) ('Kv1.4', 'Gene', (5, 10)) 49843 34011098 Suzuki et al found that 10% of 650 MG patients were seropositive for anti-Kv1.4 antibodies, and eight patients who were clinically diagnosed with myocarditis were all anti-Kv1.4 antibody positive. ('myocarditis', 'Disease', 'MESH:D009205', (146, 157)) ('Kv1.4', 'Gene', '3739', (74, 79)) ('patients', 'Species', '9606', (102, 110)) ('Kv1.4', 'Gene', (172, 177)) ('myocarditis', 'Disease', (146, 157)) ('myocarditis', 'Phenotype', 'HP:0012819', (146, 157)) ('patients', 'Species', '9606', (38, 46)) ('Kv1.4', 'Gene', (74, 79)) ('antibodies', 'Var', (80, 90)) ('Kv1.4', 'Gene', '3739', (172, 177)) 50122 29670572 Moreover, an animal-model experiment has shown that acetylcholine mediates the conduction of information between gustatory bud recipient cells and increases the activities of gustatory afferent neurofibers. ('increases', 'PosReg', (147, 156)) ('acetylcholine', 'Var', (52, 65)) ('conduction of information between gustatory', 'MPA', (79, 122)) ('acetylcholine', 'Chemical', 'MESH:D000109', (52, 65)) ('gustatory', 'Protein', (175, 184)) ('activities', 'MPA', (161, 171)) 50156 29670572 For example, azathioprine, methotrexate, and nifedipine can induce dysgeusia, the drug-induced gustatory function disorder. ('nifedipine', 'Chemical', 'MESH:D009543', (45, 55)) ('dysgeusia', 'Disease', (67, 76)) ('gustatory function disorder', 'Disease', (95, 122)) ('azathioprine', 'Chemical', 'MESH:D001379', (13, 25)) ('dysgeusia', 'Phenotype', 'HP:0031249', (67, 76)) ('dysgeusia', 'Disease', 'MESH:D004408', (67, 76)) ('azathioprine', 'Var', (13, 25)) ('gustatory function disorder', 'Disease', 'MESH:D012640', (95, 122)) ('induce', 'Reg', (60, 66)) ('methotrexate', 'Chemical', 'MESH:D008727', (27, 39)) 50399 27794397 Tissue samples from patients with histologically confirmed, unresectable advanced (Masaoka stage III or stage IV) TETs enrolled in clinical trials at the National Cancer Institute (NCI) between December 2007 and December 2012 (ClinicalTrials.gov Identifier: NCT 00965250, NCT00589290, NCT01100944, NCT01621568) were included in this analysis. ('NCT00589290', 'Var', (272, 283)) ('NCT01621568', 'Var', (298, 309)) ('NCT01100944', 'Var', (285, 296)) ('Cancer', 'Phenotype', 'HP:0002664', (163, 169)) ('patients', 'Species', '9606', (20, 28)) ('Cancer', 'Disease', 'MESH:D009369', (163, 169)) ('Cancer', 'Disease', (163, 169)) 50440 27794397 Among patients with thymic carcinoma (n=34), those with high mesothelin expression, defined as mesothelin expression in > 50% cells (n=19), had a significantly improved overall survival over patients with either no or low mesothelin expression (n=15) [median not reached vs. 1.60 years (95% CI: 1.24-4.94 years); HR=4.46, 95% CI: 1.55-12.80; P=0.0026] (Figure 3B). ('overall survival', 'MPA', (169, 185)) ('carcinoma', 'Phenotype', 'HP:0030731', (27, 36)) ('patients', 'Species', '9606', (191, 199)) ('mesothelin', 'Gene', (222, 232)) ('mesothelin', 'Gene', (61, 71)) ('mesothelin', 'Gene', (95, 105)) ('patients', 'Species', '9606', (6, 14)) ('thymic carcinoma', 'Disease', (20, 36)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (20, 36)) ('improved', 'PosReg', (160, 168)) ('mesothelin', 'Gene', '10232', (222, 232)) ('mesothelin', 'Gene', '10232', (61, 71)) ('mesothelin', 'Gene', '10232', (95, 105)) ('high', 'Var', (56, 60)) 50463 27794397 Partial responses to DMOT4039A, an antibody-drug conjugate targeting mesothelin have also been observed in advanced pancreatic cancer and platinum-resistant ovarian cancer. ('DMOT4039A', 'Var', (21, 30)) ('DMOT4039A', 'Chemical', '-', (21, 30)) ('cancer', 'Phenotype', 'HP:0002664', (127, 133)) ('platinum-resistant ovarian cancer', 'Disease', 'MESH:D010051', (138, 171)) ('cancer', 'Phenotype', 'HP:0002664', (165, 171)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (157, 171)) ('mesothelin', 'Gene', '10232', (69, 79)) ('platinum-resistant ovarian cancer', 'Disease', (138, 171)) ('pancreatic cancer', 'Phenotype', 'HP:0002894', (116, 133)) ('pancreatic cancer', 'Disease', (116, 133)) ('mesothelin', 'Gene', (69, 79)) ('pancreatic cancer', 'Disease', 'MESH:D010190', (116, 133)) 50472 27794397 Mesothelin expression was prognostic in thymic carcinoma with high mesothelin expression being associated with significantly prolonged survival. ('Mesothelin', 'Gene', '10232', (0, 10)) ('thymic carcinoma', 'Disease', (40, 56)) ('mesothelin', 'Gene', (67, 77)) ('Mesothelin', 'Gene', (0, 10)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (40, 56)) ('carcinoma', 'Phenotype', 'HP:0030731', (47, 56)) ('prolonged', 'PosReg', (125, 134)) ('mesothelin', 'Gene', '10232', (67, 77)) ('high', 'Var', (62, 66)) 50477 27794397 High mesothelin expression in thymic carcinoma is associated with longer survival. ('mesothelin', 'Gene', '10232', (5, 15)) ('High', 'Var', (0, 4)) ('carcinoma', 'Phenotype', 'HP:0030731', (37, 46)) ('mesothelin', 'Gene', (5, 15)) ('thymic carcinoma', 'Disease', (30, 46)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (30, 46)) ('expression', 'MPA', (16, 26)) 50525 32506527 As some therapeutic decisions are based on groupings of thymoma subtypes, we performed a subclassification of thymomas according to the ESMO clinical practice guidelines for diagnosis, treatment and follow-up into groups including (B2, B3) versus (A, AB, B1) and (B3) versus (A, AB, B1, B2). ('thymoma', 'Gene', '7063', (110, 117)) ('B3', 'Var', (264, 266)) ('thymoma', 'Gene', '7063', (56, 63)) ('thymomas', 'Disease', (110, 118)) ('thymomas', 'Disease', 'MESH:D013945', (110, 118)) ('thymoma', 'Gene', (56, 63)) ('thymoma', 'Gene', (110, 117)) ('B2', 'Var', (232, 234)) ('thymoma', 'Phenotype', 'HP:0100522', (110, 117)) ('thymoma', 'Phenotype', 'HP:0100522', (56, 63)) 50532 32506527 In this respect, alterations of GTF2I, which has a high mutation frequency in type A and AB thymomas when compared to other thymoma subtypes and thymic carcinomas, is a good example. ('carcinoma', 'Phenotype', 'HP:0030731', (152, 161)) ('thymoma', 'Gene', '7063', (124, 131)) ('thymic carcinomas', 'Disease', (145, 162)) ('GTF2I', 'Gene', (32, 37)) ('AB thymomas', 'Disease', (89, 100)) ('AB thymomas', 'Disease', 'MESH:D013945', (89, 100)) ('type A', 'Disease', (78, 84)) ('thymic carcinomas', 'Disease', 'MESH:D013953', (145, 162)) ('thymoma', 'Phenotype', 'HP:0100522', (92, 99)) ('GTF2I', 'Gene', '2969', (32, 37)) ('thymoma', 'Gene', (124, 131)) ('carcinomas', 'Phenotype', 'HP:0030731', (152, 162)) ('thymoma', 'Gene', '7063', (92, 99)) ('alterations', 'Var', (17, 28)) ('thymoma', 'Phenotype', 'HP:0100522', (124, 131)) ('thymoma', 'Gene', (92, 99)) 50533 32506527 18 , 19 Other examples are mutations in KIT or TP53 in thymic carcinomas. ('KIT', 'Gene', (42, 45)) ('TP53', 'Gene', '7157', (49, 53)) ('TP53', 'Gene', (49, 53)) ('thymic carcinomas', 'Disease', 'MESH:D013953', (57, 74)) ('mutations', 'Var', (29, 38)) ('thymic carcinomas', 'Disease', (57, 74)) ('carcinoma', 'Phenotype', 'HP:0030731', (64, 73)) ('KIT', 'Gene', '3815', (42, 45)) ('carcinomas', 'Phenotype', 'HP:0030731', (64, 74)) 50567 29983810 The biopsy response consulted by a group anatomopathologists was: lobular neoplasia consisting of solid neoplasms of polygonal epithelial elements (CK19+, CD117-, CD20-, CD5-) mixed with immature T elements (TdT +). ('neoplasms', 'Phenotype', 'HP:0002664', (104, 113)) ('CD117-', 'Var', (155, 161)) ('neoplasm', 'Phenotype', 'HP:0002664', (104, 112)) ('neoplasms', 'Disease', 'MESH:D009369', (104, 113)) ('neoplasms', 'Disease', (104, 113)) ('CD5', 'Gene', (170, 173)) ('CK19+', 'Var', (148, 153)) ('CD20', 'Gene', '54474', (163, 167)) ('CD20', 'Gene', (163, 167)) ('neoplasia', 'Phenotype', 'HP:0002664', (74, 83)) ('TdT', 'Gene', (208, 211)) ('CD5', 'Gene', '921', (170, 173)) ('lobular neoplasia', 'Disease', (66, 83)) ('lobular neoplasia', 'Phenotype', 'HP:0030076', (66, 83)) ('TdT', 'Gene', '1791', (208, 211)) ('lobular neoplasia', 'Disease', 'MESH:D009369', (66, 83)) 50604 29403543 Although patients with autoantibodies to muscle-specific tyrosine kinase (anti-MuSK positive) are more likely to become treatment refractory than those with autoantibodies to the acetylcholine receptor (anti-AChR positive), each of these serotypes is substantially represented in the refractory MG population. ('patients', 'Species', '9606', (9, 17)) ('AChR', 'Chemical', '-', (208, 212)) ('anti-MuSK positive', 'Phenotype', 'HP:0030210', (74, 92)) ('men', 'Species', '9606', (125, 128)) ('autoantibodies', 'Var', (23, 37)) ('treatment', 'Disease', (120, 129)) ('MuSK', 'Gene', (79, 83)) ('MuSK', 'Gene', '4593', (79, 83)) 50613 29403543 However, recent work has demonstrated heterogeneity in disease course and treatment response based on patient antibody profile: patients with antibodies to muscle-specific tyrosine kinase (anti-MuSK positive) appear to be less responsive to conventional treatment than those with antibodies to the acetylcholine receptor (anti-AChR positive) or those without anti-MuSK or anti-AChR antibodies. ('men', 'Species', '9606', (79, 82)) ('MuSK', 'Gene', '4593', (194, 198)) ('responsive to conventional treatment', 'MPA', (227, 263)) ('patient', 'Species', '9606', (102, 109)) ('MuSK', 'Gene', (364, 368)) ('MuSK', 'Gene', '4593', (364, 368)) ('less', 'NegReg', (222, 226)) ('men', 'Species', '9606', (259, 262)) ('AChR', 'Chemical', '-', (377, 381)) ('anti-MuSK positive', 'Phenotype', 'HP:0030210', (189, 207)) ('patient', 'Species', '9606', (128, 135)) ('patients', 'Species', '9606', (128, 136)) ('AChR', 'Chemical', '-', (327, 331)) ('antibodies', 'Var', (142, 152)) ('MuSK', 'Gene', (194, 198)) 50646 29403543 Patients who were anti-MuSK positive also had more severe disease at onset, with 60.1% exhibiting bulbar dysfunction compared with 35.2% of patients who were anti-AChR positive and 23.8% of those who were DN (p < 0.001). ('MuSK', 'Gene', (23, 27)) ('MuSK', 'Gene', '4593', (23, 27)) ('Patients', 'Species', '9606', (0, 8)) ('positive', 'Var', (28, 36)) ('anti-MuSK positive', 'Phenotype', 'HP:0030210', (18, 36)) ('patients', 'Species', '9606', (140, 148)) ('DN', 'Chemical', '-', (205, 207)) ('bulbar dysfunction', 'Disease', (98, 116)) ('AChR', 'Chemical', '-', (163, 167)) 50647 29403543 These differences continued to be pronounced at maximal worsening, with 83.6% of patients who were anti-MuSK positive exhibiting bulbar symptoms compared with 58.6% and 43.8% in the anti-AChR-positive and DN groups, respectively. ('positive', 'Var', (109, 117)) ('anti-MuSK positive', 'Phenotype', 'HP:0030210', (99, 117)) ('bulbar symptoms', 'Disease', (129, 144)) ('bulbar symptoms', 'Phenotype', 'HP:0002483', (129, 144)) ('patients', 'Species', '9606', (81, 89)) ('MuSK', 'Gene', (104, 108)) ('MuSK', 'Gene', '4593', (104, 108)) ('DN', 'Chemical', '-', (205, 207)) ('AChR', 'Chemical', '-', (187, 191)) 50654 29403543 Taken together, the Suh and Baggi studies show that MG associated with anti-MuSK antibodies tends toward a more severe form of MG that is more resistant to treatment with more severe symptomatology (e.g. ('antibodies', 'Var', (81, 91)) ('anti-MuSK antibodies', 'Phenotype', 'HP:0030210', (71, 91)) ('MuSK', 'Gene', (76, 80)) ('MuSK', 'Gene', '4593', (76, 80)) ('men', 'Species', '9606', (161, 164)) 50656 29403543 Although the reasons for the severity of anti-MuSK-positive MG remain unclear, evidence exists that anti-MuSK antibodies do not bind complement and may disrupt multiple components of the NMJ, including those that help to anchor and stabilize the AChR molecular scaffold of the postsynaptic membrane. ('MuSK', 'Gene', '4593', (46, 50)) ('MuSK', 'Gene', '4593', (105, 109)) ('anti-MuSK antibodies', 'Phenotype', 'HP:0030210', (100, 120)) ('anti-MuSK-positive', 'Phenotype', 'HP:0030210', (41, 59)) ('AChR', 'Chemical', '-', (246, 250)) ('men', 'Species', '9606', (139, 142)) ('disrupt', 'NegReg', (152, 159)) ('antibodies', 'Var', (110, 120)) ('MuSK', 'Gene', (46, 50)) ('MuSK', 'Gene', (105, 109)) 50660 29403543 In the case series analyzed by Baggi and colleagues, approximately 70%, 46%, and 50% of patients with anti-AChR-positive, anti-MuSK-positive, and DN MG, respectively, had undergone thymic surgery. ('MuSK', 'Gene', (127, 131)) ('thymic surgery', 'Disease', (181, 195)) ('MuSK', 'Gene', '4593', (127, 131)) ('patients', 'Species', '9606', (88, 96)) ('DN', 'Chemical', '-', (146, 148)) ('anti-AChR-positive', 'Protein', (102, 120)) ('anti-MuSK-positive', 'Phenotype', 'HP:0030210', (122, 140)) ('DN MG', 'Var', (146, 151)) ('AChR', 'Chemical', '-', (107, 111)) 50661 29403543 Although most patients who underwent thymic surgery demonstrated some degree of thymic abnormality (involuted thymus histology or thymic hyperplasia), progression to frank thymoma was much more common in the anti-AChR-positive group (~30%) than in the anti-MuSK-positive and DN groups (0 and 2%, respectively). ('thymic hyperplasia', 'Disease', 'MESH:D013952', (130, 148)) ('DN', 'Chemical', '-', (275, 277)) ('MuSK', 'Gene', '4593', (257, 261)) ('frank thymoma', 'Disease', (166, 179)) ('MuSK', 'Gene', (257, 261)) ('AChR', 'Chemical', '-', (213, 217)) ('anti-MuSK-positive', 'Phenotype', 'HP:0030210', (252, 270)) ('thymoma', 'Phenotype', 'HP:0100522', (172, 179)) ('thymic hyperplasia', 'Disease', (130, 148)) ('thymic hyperplasia', 'Phenotype', 'HP:0010516', (130, 148)) ('frank thymoma', 'Disease', 'MESH:D013945', (166, 179)) ('patients', 'Species', '9606', (14, 22)) ('anti-AChR-positive', 'Var', (208, 226)) ('thymic abnormality', 'Phenotype', 'HP:0000777', (80, 98)) 50719 29403543 The primary endpoint did not differ significantly between patients treated with eculizumab versus placebo; however, eculizumab treatment significantly improved the assessed secondary efficacy outcomes compared with placebo. ('improved', 'PosReg', (151, 159)) ('eculizumab', 'Var', (116, 126)) ('eculizumab', 'Chemical', 'MESH:C481642', (80, 90)) ('men', 'Species', '9606', (132, 135)) ('eculizumab', 'Chemical', 'MESH:C481642', (116, 126)) ('patients', 'Species', '9606', (58, 66)) 50779 22937421 Vimentin positivity and smooth muscle actin, desmin, epithelial membrane antigen, CD 45, CD 30, and CD 3 negativity as in our case made the final diagnosis. ('Vimentin', 'Gene', '7431', (0, 8)) ('desmin', 'Gene', (45, 51)) ('CD 30', 'Gene', (89, 94)) ('negativity', 'NegReg', (105, 115)) ('positivity', 'Var', (9, 19)) ('desmin', 'Gene', '1674', (45, 51)) ('smooth muscle actin', 'Protein', (24, 43)) ('epithelial membrane antigen, CD 45', 'Gene', '5788', (53, 87)) ('CD 30', 'Gene', '943', (89, 94)) ('Vimentin', 'Gene', (0, 8)) 50808 30568129 After irradiation and chemotherapy, the thymoma was successfully resected, and additional immunoabsorption therapy alleviated the symptoms of MG. MG was subsequently controlled well with 10 mg of prednisolone. ('prednisolone', 'Chemical', 'MESH:D011239', (196, 208)) ('thymoma', 'Disease', (40, 47)) ('alleviated', 'NegReg', (115, 125)) ('thymoma', 'Phenotype', 'HP:0100522', (40, 47)) ('MG. MG', 'Var', (142, 148)) ('thymoma', 'Disease', 'MESH:D013945', (40, 47)) 50820 30568129 In addition to antibodies to the neuromuscular junction, anti-neuronal antibodies may also provoke depression, anxiety, dementia, and autonomic failure. ('anxiety', 'Disease', 'MESH:D001007', (111, 118)) ('depression', 'Phenotype', 'HP:0000716', (99, 109)) ('depression', 'Disease', (99, 109)) ('dementia', 'Phenotype', 'HP:0000726', (120, 128)) ('anxiety', 'Disease', (111, 118)) ('dementia', 'Disease', (120, 128)) ('anxiety', 'Phenotype', 'HP:0000739', (111, 118)) ('autonomic failure', 'Disease', 'MESH:D006333', (134, 151)) ('provoke', 'Reg', (91, 98)) ('autonomic failure', 'Phenotype', 'HP:0012332', (134, 151)) ('dementia', 'Disease', 'MESH:D003704', (120, 128)) ('autonomic failure', 'Disease', (134, 151)) ('anti-neuronal antibodies', 'Var', (57, 81)) ('depression', 'Disease', 'MESH:D000275', (99, 109)) 50824 30568129 Anti-striational antibodies, such as anti-titin, anti-ryanodine receptor, and anti-Kv1.4, are often detected in some MG patients. ('titin', 'Gene', '7273', (42, 47)) ('titin', 'Gene', (42, 47)) ('Anti-striational', 'Protein', (0, 16)) ('anti-ryanodine', 'Var', (49, 63)) ('Kv1.4', 'Gene', (83, 88)) ('patients', 'Species', '9606', (120, 128)) ('Kv1.4', 'Gene', '3739', (83, 88)) ('detected', 'Reg', (100, 108)) 50842 30568129 In particular, the subtype thymoma-associated MG can generate various immunological disturbances, including effects on non-motor systems due to T cell malfunctions, which are highly influenced by thymoma. ('immunological disturbances', 'Phenotype', 'HP:0002715', (70, 96)) ('thymoma', 'Disease', 'MESH:D013945', (196, 203)) ('subtype', 'Var', (19, 26)) ('effects', 'Reg', (108, 115)) ('generate', 'Reg', (53, 61)) ('immunological disturbances', 'MPA', (70, 96)) ('thymoma', 'Disease', (196, 203)) ('thymoma', 'Disease', 'MESH:D013945', (27, 34)) ('thymoma', 'Disease', (27, 34)) ('thymoma', 'Phenotype', 'HP:0100522', (196, 203)) ('thymoma', 'Phenotype', 'HP:0100522', (27, 34)) ('non-motor systems', 'MPA', (119, 136)) 50904 28632791 For patients with thymomas, incomplete resection (including R1 or R2 resection) was the predisposing factor for thymoma recurrence. ('thymoma', 'Phenotype', 'HP:0100522', (18, 25)) ('thymoma', 'Disease', 'MESH:D013945', (112, 119)) ('thymoma', 'Disease', (112, 119)) ('thymomas', 'Disease', (18, 26)) ('thymomas', 'Disease', 'MESH:D013945', (18, 26)) ('thymoma', 'Phenotype', 'HP:0100522', (112, 119)) ('thymoma', 'Disease', 'MESH:D013945', (18, 25)) ('R2 resection', 'Var', (66, 78)) ('patients', 'Species', '9606', (4, 12)) ('thymoma', 'Disease', (18, 25)) 50905 28632791 In our study, we also found that patients with R1 or R2 resection of thymoma had worse prognosis and higher recurrence rates than patients with R0 resection. ('thymoma', 'Phenotype', 'HP:0100522', (69, 76)) ('patients', 'Species', '9606', (33, 41)) ('thymoma', 'Disease', (69, 76)) ('patients', 'Species', '9606', (130, 138)) ('thymoma', 'Disease', 'MESH:D013945', (69, 76)) ('recurrence rates', 'CPA', (108, 124)) ('R2 resection', 'Var', (53, 65)) 50971 12709261 Six of the peptides generated specific CTL responses after immunization, but only two of these peptides (RAD23-31 and RAD24-31) were capable of generating a weak vaccination-induced protection against adoptive tumor growth. ('tumor', 'Phenotype', 'HP:0002664', (210, 215)) ('RAD24-31', 'Var', (118, 126)) ('tumor', 'Disease', (210, 215)) ('RAD23-31', 'Var', (105, 113)) ('CTL', 'MPA', (39, 42)) ('tumor', 'Disease', 'MESH:D009369', (210, 215)) 50973 12709261 However, prophylactic vaccination with RAD23-31 and RAD24-31 peptides combined with anti-CTLA4 Ab treatment and did not improve tumor resistance. ('tumor', 'Disease', 'MESH:D009369', (128, 133)) ('CTLA4', 'Gene', (89, 94)) ('RAD24-31', 'Var', (52, 60)) ('tumor', 'Phenotype', 'HP:0002664', (128, 133)) ('RAD23-31', 'Var', (39, 47)) ('CTLA4', 'Gene', '12477', (89, 94)) ('tumor', 'Disease', (128, 133)) 50990 12709261 Only two of the RAD50 peptides, RAD23-31 and RAD24-31, with KD values of 280 and 70 NM respectively, induced a CTL response (Fig. ('RAD24-31', 'Var', (45, 53)) ('RAD23-31', 'Var', (32, 40)) ('RAD50', 'Gene', '19360', (16, 21)) ('RAD50', 'Gene', (16, 21)) ('CTL response', 'MPA', (111, 123)) ('induced', 'Reg', (101, 108)) 51000 12709261 Groups of 7-8 mice were vaccinationated three times with a pool of the six RAD50 peptides or a mixture of the two immunogenic RAD23-31 and RAD24-31 peptides. ('RAD50', 'Gene', (75, 80)) ('mice', 'Species', '10090', (14, 18)) ('RAD50', 'Gene', '19360', (75, 80)) ('RAD24-31', 'Var', (139, 147)) 51003 12709261 A significant protection against tumor take was obtained in mice vaccinated with a mixture of RAD23-31 and RAD24-31 peptides (p < 0.03). ('tumor', 'Disease', 'MESH:D009369', (33, 38)) ('RAD24-31 peptides', 'Var', (107, 124)) ('RAD23-31', 'Var', (94, 102)) ('tumor', 'Phenotype', 'HP:0002664', (33, 38)) ('tumor', 'Disease', (33, 38)) ('mice', 'Species', '10090', (60, 64)) 51015 12709261 However, neither RAD23-31 and RAD24-31 peptide vaccination alone nor combined with anti-CTLA4 Ab treatment did delay tumor take in this experiment. ('tumor', 'Phenotype', 'HP:0002664', (117, 122)) ('delay tumor', 'Disease', 'MESH:D009369', (111, 122)) ('CTLA4', 'Gene', '12477', (88, 93)) ('delay tumor', 'Disease', (111, 122)) ('RAD24-31', 'Var', (30, 38)) ('CTLA4', 'Gene', (88, 93)) 51016 12709261 Vaccination with a mixture of two immunogenic RAD50-peptides, RAD23-31 and RAD24-31, detected among six H-2b binding ones, had some protective capacity in mice against tumor take following a subcutaneous inoculation of 106 SM7 thymoma cells. ('RAD23-31', 'Var', (62, 70)) ('tumor', 'Disease', (168, 173)) ('RAD50', 'Gene', '19360', (46, 51)) ('RAD50', 'Gene', (46, 51)) ('SM7', 'CellLine', 'CVCL:D159', (223, 226)) ('thymoma', 'Disease', 'MESH:D013945', (227, 234)) ('mice', 'Species', '10090', (155, 159)) ('thymoma', 'Disease', (227, 234)) ('tumor', 'Disease', 'MESH:D009369', (168, 173)) ('thymoma', 'Phenotype', 'HP:0100522', (227, 234)) ('RAD24-31', 'Var', (75, 83)) ('tumor', 'Phenotype', 'HP:0002664', (168, 173)) 51029 12709261 Thirdly, CTLA4 blockade, which suppresses inhibitory costimulatory signals in responder T cells, tended to delay the rejection of inoculated SM7 tumor cells in naive mice (Fig. ('blockade', 'Var', (15, 23)) ('tumor', 'Disease', 'MESH:D009369', (145, 150)) ('rejection', 'CPA', (117, 126)) ('CTLA4', 'Gene', '12477', (9, 14)) ('tumor', 'Phenotype', 'HP:0002664', (145, 150)) ('delay', 'NegReg', (107, 112)) ('tumor', 'Disease', (145, 150)) ('mice', 'Species', '10090', (166, 170)) ('CTLA4', 'Gene', (9, 14)) ('SM7', 'CellLine', 'CVCL:D159', (141, 144)) ('suppresses', 'NegReg', (31, 41)) ('inhibitory costimulatory signals', 'MPA', (42, 74)) 51030 12709261 However, CTLA4 blockage failed to improve survival in RAD23-31 and RAD24-31 vaccinated mice, although a protective collaboration between vaccination and CTLA4 blocking has been demonstrated previously. ('CTLA4', 'Gene', '12477', (9, 14)) ('blockage', 'Var', (15, 23)) ('CTLA4', 'Gene', '12477', (153, 158)) ('mice', 'Species', '10090', (87, 91)) ('CTLA4', 'Gene', (9, 14)) ('CTLA4', 'Gene', (153, 158)) 51033 12709261 Finally, the observation that only three of five vaccinated and protected mice developed memory for tumor rejection after a second tumor challenge, suggests that the RAD23-31 and RAD24-31 peptides are at best weak rejection epitopes which would be assumed to result in generation of weak memory. ('weak memory', 'Phenotype', 'HP:0002354', (283, 294)) ('tumor', 'Phenotype', 'HP:0002664', (100, 105)) ('tumor', 'Disease', 'MESH:D009369', (131, 136)) ('tumor', 'Disease', (100, 105)) ('RAD23-31', 'Var', (166, 174)) ('tumor', 'Phenotype', 'HP:0002664', (131, 136)) ('tumor', 'Disease', (131, 136)) ('mice', 'Species', '10090', (74, 78)) ('tumor', 'Disease', 'MESH:D009369', (100, 105)) ('RAD24-31', 'Var', (179, 187)) 51034 12709261 It is unclear why vaccination with the two immunogenic peptides (RAD23-31, RAD24-31) alone showed protection, but lacked protection in the present study when mixed with the four non-immunogenic peptides in the RAD50 peptide mixture. ('RAD50', 'Gene', (210, 215)) ('RAD24-31', 'Var', (75, 83)) ('lacked', 'NegReg', (114, 120)) ('RAD50', 'Gene', '19360', (210, 215)) 51074 12709261 The percentage of specific lysis (SL) was calculated from the following formula: Groups of 7-10 C57BL/6J mice were vaccinated three times s.c. at weekly intervals with a mixture of six RAD50, a mixture of RAD23-31 and RAD24-31 peptides and a mixture of four immunogenic peptides derived from other potentially upregulated SM7 proteins (see Table 1). ('RAD50', 'Gene', (185, 190)) ('SM7', 'CellLine', 'CVCL:D159', (322, 325)) ('RAD23-31', 'Var', (205, 213)) ('RAD24-31', 'Var', (218, 226)) ('mice', 'Species', '10090', (105, 109)) ('RAD50', 'Gene', '19360', (185, 190)) 51087 31817988 Additionally, knockdown of RASSF10 or ASPP2 induced constitutive phosphorylation of SMAD2 (Smad family member 2). ('ASPP2', 'Gene', (38, 43)) ('RASSF10', 'Gene', (27, 34)) ('constitutive phosphorylation', 'MPA', (52, 80)) ('SMAD2', 'Gene', (84, 89)) ('knockdown', 'Var', (14, 23)) ('phospho', 'Chemical', 'MESH:C033601', (65, 72)) 51088 31817988 Moreover, we found that epigenetic reduction of RASSF10 levels correlates with tumor progression and poor survival in human cancers. ('tumor', 'Phenotype', 'HP:0002664', (79, 84)) ('tumor', 'Disease', (79, 84)) ('epigenetic reduction', 'Var', (24, 44)) ('cancer', 'Phenotype', 'HP:0002664', (124, 130)) ('RASSF10', 'Gene', (48, 55)) ('cancers', 'Phenotype', 'HP:0002664', (124, 131)) ('human', 'Species', '9606', (118, 123)) ('tumor', 'Disease', 'MESH:D009369', (79, 84)) ('cancers', 'Disease', (124, 131)) ('cancers', 'Disease', 'MESH:D009369', (124, 131)) 51089 31817988 This data suggests that epigenetic loss of RASSF10 contributes to tumorigenesis by promoting EMT induced by TGFbeta. ('tumor', 'Phenotype', 'HP:0002664', (66, 71)) ('promoting', 'PosReg', (83, 92)) ('RASSF10', 'Gene', (43, 50)) ('tumor', 'Disease', (66, 71)) ('contributes', 'Reg', (51, 62)) ('EMT', 'Gene', (93, 96)) ('EMT', 'Gene', '3702', (93, 96)) ('epigenetic loss', 'Var', (24, 39)) ('tumor', 'Disease', 'MESH:D009369', (66, 71)) 51090 31817988 Cancer is caused by a multistep genetic and epigenetic transformation of normal cells into highly invasive and immortal tumor cells. ('Cancer', 'Phenotype', 'HP:0002664', (0, 6)) ('Cancer', 'Disease', (0, 6)) ('epigenetic', 'Var', (44, 54)) ('tumor', 'Disease', 'MESH:D009369', (120, 125)) ('Cancer', 'Disease', 'MESH:D009369', (0, 6)) ('tumor', 'Phenotype', 'HP:0002664', (120, 125)) ('tumor', 'Disease', (120, 125)) 51093 31817988 Different genetic and epigenetic alterations have been identified that are associated with EMT. ('rat', 'Species', '10116', (37, 40)) ('EMT', 'Gene', '3702', (91, 94)) ('epigenetic alterations', 'Var', (22, 44)) ('EMT', 'Gene', (91, 94)) ('associated', 'Reg', (75, 85)) 51094 31817988 Epithelial cadherin (CDH1) is a master mediator of cell-cell adherens junctions and loss of CDH1 expression is associated with disruption of apical-basal polarity and integrity of epithelial cells. ('apical-basal polarity', 'CPA', (141, 162)) ('CDH1', 'Gene', '999', (21, 25)) ('associated', 'Reg', (111, 121)) ('CDH1', 'Gene', (92, 96)) ('expression', 'Species', '29278', (97, 107)) ('loss', 'Var', (84, 88)) ('CDH1', 'Gene', (21, 25)) ('CDH1', 'Gene', '999', (92, 96)) ('integrity of epithelial', 'CPA', (167, 190)) 51103 31817988 Epigenetic inactivation of RASSF10 through promoter hypermethylation has been reported in various tumor entities including lung cancer, thyroid cancer, melanoma and several others. ('thyroid cancer', 'Disease', 'MESH:D013964', (136, 150)) ('melanoma', 'Phenotype', 'HP:0002861', (152, 160)) ('melanoma', 'Disease', (152, 160)) ('cancer', 'Phenotype', 'HP:0002664', (144, 150)) ('melanoma', 'Disease', 'MESH:D008545', (152, 160)) ('lung cancer', 'Disease', (123, 134)) ('lung cancer', 'Phenotype', 'HP:0100526', (123, 134)) ('tumor entities', 'Disease', (98, 112)) ('RASSF10', 'Gene', (27, 34)) ('thyroid cancer', 'Disease', (136, 150)) ('tumor', 'Phenotype', 'HP:0002664', (98, 103)) ('tumor entities', 'Disease', 'MESH:D009369', (98, 112)) ('lung cancer', 'Disease', 'MESH:D008175', (123, 134)) ('cancer', 'Phenotype', 'HP:0002664', (128, 134)) ('thyroid cancer', 'Phenotype', 'HP:0002890', (136, 150)) ('promoter', 'MPA', (43, 51)) ('Epigenetic inactivation', 'Var', (0, 23)) ('reported', 'Reg', (78, 86)) 51108 31817988 Furthermore, we found that RASSF10, but not ASPP2, is frequently hypermethylated in human cancers and the loss of RASSF10 is associated with advanced tumor stages and impaired survival of cancer patients. ('cancers', 'Disease', (90, 97)) ('cancer', 'Phenotype', 'HP:0002664', (90, 96)) ('RASSF10', 'Gene', (27, 34)) ('cancer', 'Disease', 'MESH:D009369', (188, 194)) ('tumor', 'Phenotype', 'HP:0002664', (150, 155)) ('RASSF10', 'Gene', (114, 121)) ('associated', 'Reg', (125, 135)) ('patients', 'Species', '9606', (195, 203)) ('cancer', 'Disease', 'MESH:D009369', (90, 96)) ('cancers', 'Disease', 'MESH:D009369', (90, 97)) ('impaired', 'NegReg', (167, 175)) ('human', 'Species', '9606', (84, 89)) ('cancer', 'Disease', (188, 194)) ('tumor', 'Disease', (150, 155)) ('loss', 'Var', (106, 110)) ('cancer', 'Phenotype', 'HP:0002664', (188, 194)) ('tumor', 'Disease', 'MESH:D009369', (150, 155)) ('cancers', 'Phenotype', 'HP:0002664', (90, 97)) ('survival', 'CPA', (176, 184)) ('cancer', 'Disease', (90, 96)) 51109 31817988 We studied human cancer cell lines (CCLE, cancer cell line encyclopedia, Broad Institute, n = 917,) and found that expression of RASSF10 (238755_at) significantly correlated with the expression of genes associated with the GO (gene ontology) terms cell periphery, plasma membrane (apical), epidermal/epithelial cell differentiation and cell-cell junction (Table 1). ('238755_at', 'Var', (138, 147)) ('cancer', 'Phenotype', 'HP:0002664', (42, 48)) ('correlated', 'Reg', (163, 173)) ('human', 'Species', '9606', (11, 16)) ('cancer', 'Disease', 'MESH:D009369', (17, 23)) ('expression', 'Species', '29278', (115, 125)) ('expression', 'Species', '29278', (183, 193)) ('cancer', 'Disease', (17, 23)) ('cancer', 'Disease', (42, 48)) ('expression', 'MPA', (183, 193)) ('cancer', 'Disease', 'MESH:D009369', (42, 48)) ('RASSF10', 'Gene', (129, 136)) ('cancer', 'Phenotype', 'HP:0002664', (17, 23)) 51113 31817988 Therefore, we generated a RASSF10 knockout in the prototypic epithelial cell line A549 by CRISPR/Cas9 (Figure 1c; frameshift deletion mutation). ('rat', 'Species', '10116', (18, 21)) ('A549', 'CellLine', 'CVCL:0023', (82, 86)) ('frameshift deletion mutation', 'Var', (114, 142)) ('RASSF10', 'Gene', (26, 33)) 51116 31817988 In contrast, RASSF10 re-expression in HeLa cells with epigenetically inactivated endogenous RASSF10 halted cell proliferation (G1/G0 induction) measured by flow cytometry (Figure 1h). ('expression', 'Species', '29278', (24, 34)) ('RASSF10', 'Gene', (92, 99)) ('rat', 'Species', '10116', (119, 122)) ('cell proliferation', 'CPA', (107, 125)) ('halted', 'NegReg', (100, 106)) ('HeLa', 'CellLine', 'CVCL:0030', (38, 42)) ('epigenetically inactivated', 'Var', (54, 80)) 51121 31817988 We assumed that loss of the tumor-suppressor RASSF10 in cancer contributes to the transition of epithelial to mesenchymal cell phenotypes. ('tumor', 'Disease', (28, 33)) ('RASSF10', 'Gene', (45, 52)) ('cancer', 'Phenotype', 'HP:0002664', (56, 62)) ('loss', 'Var', (16, 20)) ('tumor', 'Disease', 'MESH:D009369', (28, 33)) ('cancer', 'Disease', (56, 62)) ('cancer', 'Disease', 'MESH:D009369', (56, 62)) ('tumor', 'Phenotype', 'HP:0002664', (28, 33)) 51123 31817988 However, this induction was not significant (p-value >= 0.14) in the wtRASSF10 cells suggesting that depletion of RASSF10 enhances significantly the ability of A549 cells to invade an ECM. ('depletion', 'Var', (101, 110)) ('A549', 'CellLine', 'CVCL:0023', (160, 164)) ('RASSF10', 'Gene', (114, 121)) ('enhances', 'PosReg', (122, 130)) 51124 31817988 RASSF10 knockdown revealed that RASSF10 inhibits induced TGFbeta-target gene expression associated with extracellular matrix (COL5A1) and matrix metallopeptidase 2 (MMP2) or direct induction of EMT (SNAI2 and SPOCK1) (Figure 3a). ('SNAI2', 'Gene', '6591', (199, 204)) ('SNAI2', 'Gene', (199, 204)) ('TGFbeta-target gene', 'Gene', (57, 76)) ('CO', 'Chemical', 'MESH:D002245', (126, 128)) ('EMT', 'Gene', '3702', (194, 197)) ('inhibits', 'NegReg', (40, 48)) ('EMT', 'Gene', (194, 197)) ('RASSF10', 'Var', (32, 39)) ('expression', 'Species', '29278', (77, 87)) 51126 31817988 Interestingly, we observed that CDH1 levels are reduced by RASSF10 knockdown (Figure 3b,c) and CDH1 expression is significantly positively correlated with RASSF10 expression (CCLE correlation analysis; Figure 3g). ('CDH1', 'Gene', '999', (95, 99)) ('knockdown', 'Var', (67, 76)) ('reduced', 'NegReg', (48, 55)) ('RASSF10', 'Gene', (59, 66)) ('expression', 'Species', '29278', (100, 110)) ('CDH1', 'Gene', (32, 36)) ('expression', 'Species', '29278', (163, 173)) ('expression', 'MPA', (100, 110)) ('expression', 'MPA', (163, 173)) ('correlated', 'Interaction', (139, 149)) ('CDH1', 'Gene', (95, 99)) ('CDH1', 'Gene', '999', (32, 36)) 51127 31817988 RASSF10 deletion by CRISPR/Cas9 further reduced TGFbeta driven CDH1 repression (Figure 3d). ('CDH1', 'Gene', (63, 67)) ('RASSF10', 'Gene', (0, 7)) ('CDH1', 'Gene', '999', (63, 67)) ('reduced', 'NegReg', (40, 47)) ('TGFbeta', 'Gene', (48, 55)) ('deletion', 'Var', (8, 16)) 51134 31817988 RASSF10 co-localized with ASPP1 and ASPP2, whereas the latter was altered in its localization by RASSF10 (Figure S2). ('altered', 'Reg', (66, 73)) ('RASSF10', 'Gene', (0, 7)) ('ASPP1', 'Gene', '21981', (26, 31)) ('RASSF10', 'Var', (97, 104)) ('ASPP1', 'Gene', (26, 31)) 51139 31817988 We used CRISPR/Cas9 to generate three RASSF10 negative clones in A549 ( RX-A,B,C), which we controlled by PCR and sequencing the deletion within the coding region of RASSF10 (Figure 1). ('RX-A,B,C', 'Chemical', 'MESH:C096849', (72, 80)) ('A549', 'CellLine', 'CVCL:0023', (65, 69)) ('RASSF10', 'Gene', (38, 45)) ('deletion', 'Var', (129, 137)) ('RASSF10', 'Gene', (166, 173)) ('rat', 'Species', '10116', (27, 30)) 51140 31817988 Using three A549 RASSF10-negative clones and three RASSF10-positive wt clones (wt-A,B,C), we could show that knockout of endogenous RASSF10 abolishes its co-precipitation with ASPP2 (Figure 4f). ('co-precipitation', 'MPA', (154, 170)) ('knockout', 'Var', (109, 117)) ('abolishes', 'NegReg', (140, 149)) ('RASSF10', 'Gene', (132, 139)) ('A549', 'CellLine', 'CVCL:0023', (12, 16)) 51148 31817988 Induction of RASSF10 strongly increased endogenous ASPP2 protein levels (Figure 5b), which was not due to increased ASPP2 RNA expression (Figure 5c). ('expression', 'Species', '29278', (126, 136)) ('RASSF10', 'Gene', (13, 20)) ('N', 'Chemical', 'MESH:D009584', (123, 124)) ('endogenous ASPP2 protein levels', 'MPA', (40, 71)) ('increased', 'PosReg', (30, 39)) ('Induction', 'Var', (0, 9)) 51152 31817988 We only found minimal genomic alterations of RASSF10 (2.4%) and ASPP2 (4.7%) compared to 62% of TP53 mutations in cancer cell lines (n = 881; Broad CCLE/Cancer Cell Line Encyclopedia; analyzed using). ('cancer', 'Disease', 'MESH:D009369', (114, 120)) ('Cancer', 'Disease', 'MESH:D009369', (153, 159)) ('mutations', 'Var', (101, 110)) ('TP53', 'Gene', (96, 100)) ('RASSF10', 'Var', (45, 52)) ('cancer', 'Phenotype', 'HP:0002664', (114, 120)) ('rat', 'Species', '10116', (34, 37)) ('Cancer', 'Phenotype', 'HP:0002664', (153, 159)) ('Cancer', 'Disease', (153, 159)) ('cancer', 'Disease', (114, 120)) 51157 31817988 In summary, we are not convinced that mutations of RASSF10 and ASPP2 are likely to contribute to tumorigenesis, whereas occurrence of TP53 mutations in cancer is consistent with literature. ('tumor', 'Disease', 'MESH:D009369', (97, 102)) ('cancer', 'Disease', (152, 158)) ('cancer', 'Disease', 'MESH:D009369', (152, 158)) ('ASPP2', 'Gene', (63, 68)) ('tumor', 'Phenotype', 'HP:0002664', (97, 102)) ('RASSF10', 'Gene', (51, 58)) ('tumor', 'Disease', (97, 102)) ('rat', 'Species', '10116', (182, 185)) ('cancer', 'Phenotype', 'HP:0002664', (152, 158)) ('mutations', 'Var', (38, 47)) ('contribute', 'Reg', (83, 93)) 51172 31817988 In breast cancer we can show that high RASSF10 methylation is associated with reduced RASSF10 expression, we observed that loss of RASSF10 expression correlates with progressed breast cancer grade and reduced overall survival of breast cancer patients (Figure 8e-g, Table S2). ('breast cancer', 'Disease', (177, 190)) ('cancer', 'Phenotype', 'HP:0002664', (184, 190)) ('expression', 'Species', '29278', (94, 104)) ('reduced', 'NegReg', (201, 208)) ('loss', 'NegReg', (123, 127)) ('breast cancer', 'Disease', 'MESH:D001943', (229, 242)) ('RASSF10', 'Gene', (131, 138)) ('breast cancer', 'Disease', (229, 242)) ('patients', 'Species', '9606', (243, 251)) ('cancer', 'Phenotype', 'HP:0002664', (10, 16)) ('methylation', 'Var', (47, 58)) ('expression', 'Species', '29278', (139, 149)) ('RASSF10', 'Gene', (86, 93)) ('breast cancer', 'Phenotype', 'HP:0003002', (229, 242)) ('breast cancer', 'Phenotype', 'HP:0003002', (3, 16)) ('reduced', 'NegReg', (78, 85)) ('expression', 'MPA', (94, 104)) ('cancer', 'Phenotype', 'HP:0002664', (236, 242)) ('RASSF10', 'Gene', (39, 46)) ('overall survival', 'CPA', (209, 225)) ('breast cancer', 'Phenotype', 'HP:0003002', (177, 190)) ('progressed', 'PosReg', (166, 176)) ('breast cancer', 'Disease', 'MESH:D001943', (3, 16)) ('breast cancer', 'Disease', (3, 16)) ('breast cancer', 'Disease', 'MESH:D001943', (177, 190)) 51175 31817988 Supplementary Table S2 summarizes that low RASSF10 expression is associated with reduced 5 year survival rates of cancers: kidney cancer, 24% (papillary, significant) and 12% (clear cell, significant); head and neck cancer, 18% (significant); lymphoma, 22% (mantle cell, significant) and 5% (B-cell); thymoma, 8%; liver cancer, 34% (significant); lung cancer, 18% (significant); gastric cancer, 7%; and breast cancer, 21% (significant). ('cancers', 'Phenotype', 'HP:0002664', (114, 121)) ('cancers', 'Disease', (114, 121)) ('cancer', 'Phenotype', 'HP:0002664', (320, 326)) ('lung cancer', 'Disease', (347, 358)) ('cancer', 'Phenotype', 'HP:0002664', (114, 120)) ('liver cancer', 'Disease', 'MESH:D006528', (314, 326)) ('cancer', 'Phenotype', 'HP:0002664', (352, 358)) ('reduced', 'NegReg', (81, 88)) ('lymphoma', 'Disease', (243, 251)) ('thymoma', 'Disease', 'MESH:D013945', (301, 308)) ('breast cancer', 'Phenotype', 'HP:0003002', (403, 416)) ('gastric cancer', 'Disease', (379, 393)) ('lymphoma', 'Disease', 'MESH:D008223', (243, 251)) ('RASSF10', 'Gene', (43, 50)) ('head and neck cancer', 'Phenotype', 'HP:0012288', (202, 222)) ('kidney cancer', 'Phenotype', 'HP:0009726', (123, 136)) ('cancer', 'Phenotype', 'HP:0002664', (216, 222)) ('kidney cancer', 'Disease', (123, 136)) ('liver cancer', 'Phenotype', 'HP:0002896', (314, 326)) ('breast cancer', 'Disease', 'MESH:D001943', (403, 416)) ('liver cancer', 'Disease', (314, 326)) ('breast cancer', 'Disease', (403, 416)) ('lung cancer', 'Disease', 'MESH:D008175', (347, 358)) ('thymoma', 'Disease', (301, 308)) ('cancers', 'Disease', 'MESH:D009369', (114, 121)) ('thymoma', 'Phenotype', 'HP:0100522', (301, 308)) ('gastric cancer', 'Disease', 'MESH:D013274', (379, 393)) ('lung cancer', 'Phenotype', 'HP:0100526', (347, 358)) ('expression', 'Species', '29278', (51, 61)) ('head and neck cancer', 'Disease', 'MESH:D006258', (202, 222)) ('rat', 'Species', '10116', (105, 108)) ('lymphoma', 'Phenotype', 'HP:0002665', (243, 251)) ('low', 'Var', (39, 42)) ('gastric cancer', 'Phenotype', 'HP:0012126', (379, 393)) ('cancer', 'Phenotype', 'HP:0002664', (130, 136)) ('kidney cancer', 'Disease', 'MESH:D007680', (123, 136)) 51179 31817988 Interestingly, we found an enhanced phosphorylation of SMAD2 after TGFbeta treatment and knockdown of ASPP2. ('TGFbeta', 'Gene', (67, 74)) ('ASPP2', 'Gene', (102, 107)) ('phospho', 'Chemical', 'MESH:C033601', (36, 43)) ('enhanced', 'PosReg', (27, 35)) ('SMAD2', 'Protein', (55, 60)) ('knockdown', 'Var', (89, 98)) ('phosphorylation', 'MPA', (36, 51)) 51181 31817988 However, YAP1 levels were rather unaffected after RASSF10 or ASPP2 knockdown. ('knockdown', 'Var', (67, 76)) ('rat', 'Species', '10116', (26, 29)) ('YAP1 levels', 'MPA', (9, 20)) ('ASPP2', 'Gene', (61, 66)) ('RASSF10', 'Gene', (50, 57)) 51184 31817988 These data indicated that loss of RASSF10 or ASPP2 induced constitutive activation of TGFbeta signaling and EMT. ('activation', 'PosReg', (72, 82)) ('ASPP2', 'Gene', (45, 50)) ('RASSF10', 'Gene', (34, 41)) ('EMT', 'Gene', (108, 111)) ('EMT', 'Gene', '3702', (108, 111)) ('TGFbeta signaling', 'Pathway', (86, 103)) ('loss', 'Var', (26, 30)) 51191 31817988 Loss of RASSF10 altered the TGFbeta gene expression profile and induced expression of COL5A1, MMP2, SNAI2 and SPOCK1 (Figure 3a) and constitutive SMAD2 phosphorylation (Figure 9a), suggesting that RASSF10 plays a suppressive role in TGFbeta signaling and EMT. ('phospho', 'Chemical', 'MESH:C033601', (152, 159)) ('altered', 'Reg', (16, 23)) ('COL5A1', 'Gene', (86, 92)) ('phosphorylation', 'MPA', (152, 167)) ('EMT', 'Gene', (255, 258)) ('EMT', 'Gene', '3702', (255, 258)) ('induced', 'Reg', (64, 71)) ('expression', 'MPA', (72, 82)) ('RASSF10', 'Gene', (8, 15)) ('SPOCK1', 'Gene', (110, 116)) ('SNAI2', 'Gene', (100, 105)) ('Loss', 'Var', (0, 4)) ('expression', 'Species', '29278', (41, 51)) ('expression', 'Species', '29278', (72, 82)) ('SNAI2', 'Gene', '6591', (100, 105)) ('MMP2', 'Gene', (94, 98)) ('TGFbeta gene', 'Gene', (28, 40)) ('expression profile', 'MPA', (41, 59)) ('CO', 'Chemical', 'MESH:D002245', (86, 88)) 51193 31817988 Additionally, we observed that depletion of RASSF10 significantly promotes TGFbeta induced invasion of A549 cells in an extracellular matrix (Table 2). ('invasion of A549 cells in an extracellular matrix', 'CPA', (91, 140)) ('A549', 'CellLine', 'CVCL:0023', (103, 107)) ('promotes', 'PosReg', (66, 74)) ('depletion', 'Var', (31, 40)) ('RASSF10', 'Gene', (44, 51)) ('TGFbeta', 'Gene', (75, 82)) 51195 31817988 Interestingly, we observed that RASSF10 induced E-cadherin (CDH1) levels and loss of RASSF10 expression reduced CDH1 levels (Figure 3). ('RASSF10', 'Gene', (85, 92)) ('induced', 'Reg', (40, 47)) ('reduced', 'NegReg', (104, 111)) ('CDH1', 'Gene', '999', (60, 64)) ('expression', 'Species', '29278', (93, 103)) ('expression', 'MPA', (93, 103)) ('CDH1', 'Gene', (112, 116)) ('CDH1', 'Gene', (60, 64)) ('RASSF10', 'Gene', (32, 39)) ('loss', 'Var', (77, 81)) ('CDH1', 'Gene', '999', (112, 116)) 51202 31817988 Our data indicate that knockdown of ASPP2 induces beta-Catenin levels and phospho-SMAD2 under TGFbeta treatment (Figure 9a). ('phospho-SMAD2', 'MPA', (74, 87)) ('induces', 'PosReg', (42, 49)) ('phospho', 'Chemical', 'MESH:C033601', (74, 81)) ('knockdown', 'Var', (23, 32)) ('beta-Catenin levels', 'MPA', (50, 69)) ('ASPP2', 'Gene', (36, 41)) 51208 31817988 We found that knockdown and knockout of RASSF10 increased mitosis and increased cell proliferation (Figure 1) and significantly promotes TGFbeta induced ECM invasion (Table 2), as well as RASSF10 re-expression halted proliferation (Figure 1). ('increased', 'PosReg', (48, 57)) ('expression', 'Species', '29278', (199, 209)) ('increased', 'PosReg', (70, 79)) ('TGFbeta', 'Gene', (137, 144)) ('rat', 'Species', '10116', (92, 95)) ('cell proliferation', 'CPA', (80, 98)) ('halted', 'NegReg', (210, 216)) ('mitosis', 'CPA', (58, 65)) ('knockout', 'Var', (28, 36)) ('promotes', 'PosReg', (128, 136)) ('rat', 'Species', '10116', (224, 227)) ('RASSF10', 'Gene', (40, 47)) 51209 31817988 As RASSF10 and ASPP2 are both linked to the cell polarity network, their presence would negatively regulate the mitotic/proliferative potential. ('presence', 'Var', (73, 81)) ('RASSF10', 'Gene', (3, 10)) ('regulate', 'Reg', (99, 107)) ('negatively', 'NegReg', (88, 98)) ('ASPP2', 'Gene', (15, 20)) ('mitotic/proliferative potential', 'CPA', (112, 143)) ('rat', 'Species', '10116', (127, 130)) 51210 31817988 Loss of the RASSF10-ASPP2 complex would lead to disturbance of cell polarity and thereby would interfere with the coordination of mitosis, as it is known that the positioning of the spindle apparatus is coordinated with polarity signals at the cell cortex. ('coordination of mitosis', 'Disease', (114, 137)) ('cell polarity', 'CPA', (63, 76)) ('disturbance', 'MPA', (48, 59)) ('lead to', 'Reg', (40, 47)) ('rat', 'Species', '10116', (194, 197)) ('interfere', 'NegReg', (95, 104)) ('RASSF10-ASPP2', 'Gene', (12, 25)) ('Loss', 'Var', (0, 4)) ('coordination of mitosis', 'Disease', 'MESH:D001259', (114, 137)) 51212 31817988 In our study we found a significant epigenetic silencing of RASSF10, but not ASPP2 in different tumor entities (Figure 6 and Figure 7). ('RASSF10', 'Gene', (60, 67)) ('tumor', 'Phenotype', 'HP:0002664', (96, 101)) ('tumor entities', 'Disease', 'MESH:D009369', (96, 110)) ('epigenetic silencing', 'Var', (36, 56)) ('tumor entities', 'Disease', (96, 110)) 51213 31817988 Promoter hypermethylation of tumor suppressor genes is an established mechanism of their silencing in carcinogenesis. ('carcinogenesis', 'Disease', 'MESH:D063646', (102, 116)) ('tumor', 'Disease', 'MESH:D009369', (29, 34)) ('carcinogenesis', 'Disease', (102, 116)) ('tumor', 'Phenotype', 'HP:0002664', (29, 34)) ('tumor', 'Disease', (29, 34)) ('silencing', 'NegReg', (89, 98)) ('Promoter hypermethylation', 'Var', (0, 25)) 51217 31817988 Our clinical data set revealed that hypermethylation of the CpG island of RASSF10 is a common and general event in human tumorigenesis (Figure 7 and Figure 8). ('RASSF10', 'Gene', (74, 81)) ('tumor', 'Phenotype', 'HP:0002664', (121, 126)) ('tumor', 'Disease', (121, 126)) ('hypermethylation', 'Var', (36, 52)) ('human', 'Species', '9606', (115, 120)) ('tumor', 'Disease', 'MESH:D009369', (121, 126)) 51218 31817988 We could broadly show that in independent data sets loss of RASSF10 correlated not only with reduced patient survival rates in various tumor types (kidney cancer, thymoma, lymphoma, breast cancer, colon carcinoma, head and neck cancer, liver cancer, lung cancer and gastric cancer), but also with tumor stage/grade (thymoma, breast cancer) and tumor types (kidney cancer, melanoma and colon carcinoma) (Figure 8 and Table S2). ('RASSF10', 'Gene', (60, 67)) ('liver cancer', 'Disease', 'MESH:D006528', (236, 248)) ('lung cancer', 'Phenotype', 'HP:0100526', (250, 261)) ('thymoma', 'Phenotype', 'HP:0100522', (163, 170)) ('breast cancer', 'Phenotype', 'HP:0003002', (325, 338)) ('tumor', 'Phenotype', 'HP:0002664', (135, 140)) ('colon carcinoma', 'Disease', 'MESH:D015179', (385, 400)) ('breast cancer', 'Phenotype', 'HP:0003002', (182, 195)) ('tumor', 'Disease', (297, 302)) ('breast cancer', 'Disease', 'MESH:D001943', (325, 338)) ('gastric cancer', 'Phenotype', 'HP:0012126', (266, 280)) ('liver cancer', 'Phenotype', 'HP:0002896', (236, 248)) ('patient survival rates', 'CPA', (101, 123)) ('breast cancer', 'Disease', (325, 338)) ('melanoma', 'Phenotype', 'HP:0002861', (372, 380)) ('cancer', 'Phenotype', 'HP:0002664', (255, 261)) ('liver cancer', 'Disease', (236, 248)) ('rat', 'Species', '10116', (118, 121)) ('breast cancer', 'Disease', 'MESH:D001943', (182, 195)) ('head and neck cancer', 'Disease', 'MESH:D006258', (214, 234)) ('tumor', 'Disease', (344, 349)) ('breast cancer', 'Disease', (182, 195)) ('tumor', 'Disease', 'MESH:D009369', (297, 302)) ('thymoma, lymphoma', 'Disease', 'MESH:D013945', (163, 180)) ('thymoma', 'Disease', 'MESH:D013945', (316, 323)) ('colon carcinoma', 'Disease', (197, 212)) ('lung cancer', 'Disease', (250, 261)) ('tumor', 'Disease', 'MESH:D009369', (344, 349)) ('kidney cancer', 'Disease', 'MESH:D007680', (357, 370)) ('loss', 'Var', (52, 56)) ('kidney cancer', 'Disease', 'MESH:D007680', (148, 161)) ('tumor', 'Disease', (135, 140)) ('gastric cancer', 'Disease', (266, 280)) ('cancer', 'Phenotype', 'HP:0002664', (228, 234)) ('thymoma', 'Disease', 'MESH:D013945', (163, 170)) ('tumor', 'Phenotype', 'HP:0002664', (297, 302)) ('thymoma', 'Disease', (316, 323)) ('melanoma and colon carcinoma', 'Disease', 'MESH:D015179', (372, 400)) ('patient', 'Species', '9606', (101, 108)) ('colon carcinoma', 'Disease', 'MESH:D015179', (197, 212)) ('thymoma', 'Phenotype', 'HP:0100522', (316, 323)) ('carcinoma', 'Phenotype', 'HP:0030731', (203, 212)) ('tumor', 'Disease', 'MESH:D009369', (135, 140)) ('kidney cancer', 'Phenotype', 'HP:0009726', (357, 370)) ('cancer', 'Phenotype', 'HP:0002664', (155, 161)) ('gastric cancer', 'Disease', 'MESH:D013274', (266, 280)) ('lung cancer', 'Disease', 'MESH:D008175', (250, 261)) ('colon carcinoma', 'Disease', (385, 400)) ('kidney cancer', 'Disease', (357, 370)) ('reduced', 'NegReg', (93, 100)) ('cancer', 'Phenotype', 'HP:0002664', (189, 195)) ('tumor', 'Phenotype', 'HP:0002664', (344, 349)) ('kidney cancer', 'Phenotype', 'HP:0009726', (148, 161)) ('kidney cancer', 'Disease', (148, 161)) ('carcinoma', 'Phenotype', 'HP:0030731', (391, 400)) ('head and neck cancer', 'Phenotype', 'HP:0012288', (214, 234)) ('lymphoma', 'Phenotype', 'HP:0002665', (172, 180)) ('cancer', 'Phenotype', 'HP:0002664', (242, 248)) ('thymoma', 'Disease', (163, 170)) 51220 31817988 Our present comprehensive work is the finalization of our previous research in smaller data sets in which we have shown that the promoter of RASSF10 is methylated in patient tumors samples of the adrenal gland, head and neck, sarcoma, pancreas carcinoma and Merkel cell carcinoma. ('sarcoma', 'Phenotype', 'HP:0100242', (226, 233)) ('tumors', 'Disease', (174, 180)) ('tumors', 'Disease', 'MESH:D009369', (174, 180)) ('pancreas carcinoma', 'Disease', 'MESH:D010190', (235, 253)) ('RASSF10', 'Gene', (141, 148)) ('Merkel cell carcinoma', 'Disease', 'MESH:D015266', (258, 279)) ('pancreas carcinoma', 'Disease', (235, 253)) ('sarcoma', 'Disease', 'MESH:D012509', (226, 233)) ('carcinoma', 'Phenotype', 'HP:0030731', (270, 279)) ('tumor', 'Phenotype', 'HP:0002664', (174, 179)) ('Merkel cell carcinoma', 'Disease', (258, 279)) ('methylated', 'Var', (152, 162)) ('patient', 'Species', '9606', (166, 173)) ('sarcoma', 'Disease', (226, 233)) ('carcinoma', 'Phenotype', 'HP:0030731', (244, 253)) ('tumors', 'Phenotype', 'HP:0002664', (174, 180)) 51221 31817988 We showed the epigenetic inactivation of RASSF10 in thyroid cancer, lung cancer, skin cancer, breast cancer and showed that RASSF10 inhibited growth of breast cancer, pancreas carcinoma and sarcoma cell lines. ('thyroid cancer', 'Disease', (52, 66)) ('sarcoma', 'Disease', 'MESH:D012509', (190, 197)) ('lung cancer', 'Phenotype', 'HP:0100526', (68, 79)) ('sarcoma', 'Disease', (190, 197)) ('epigenetic inactivation', 'Var', (14, 37)) ('breast cancer', 'Phenotype', 'HP:0003002', (94, 107)) ('skin cancer', 'Disease', (81, 92)) ('inhibited', 'NegReg', (132, 141)) ('pancreas carcinoma', 'Disease', 'MESH:D010190', (167, 185)) ('pancreas carcinoma', 'Disease', (167, 185)) ('thyroid cancer', 'Disease', 'MESH:D013964', (52, 66)) ('RASSF10', 'Gene', (41, 48)) ('cancer', 'Phenotype', 'HP:0002664', (73, 79)) ('cancer', 'Phenotype', 'HP:0002664', (159, 165)) ('sarcoma', 'Phenotype', 'HP:0100242', (190, 197)) ('breast cancer', 'Disease', 'MESH:D001943', (94, 107)) ('breast cancer', 'Disease', (94, 107)) ('skin cancer', 'Phenotype', 'HP:0008069', (81, 92)) ('thyroid cancer', 'Phenotype', 'HP:0002890', (52, 66)) ('lung cancer', 'Disease', (68, 79)) ('cancer', 'Phenotype', 'HP:0002664', (86, 92)) ('growth', 'CPA', (142, 148)) ('breast cancer', 'Phenotype', 'HP:0003002', (152, 165)) ('skin cancer', 'Disease', 'MESH:D012878', (81, 92)) ('breast cancer', 'Disease', 'MESH:D001943', (152, 165)) ('RASSF10', 'Gene', (124, 131)) ('cancer', 'Phenotype', 'HP:0002664', (101, 107)) ('breast cancer', 'Disease', (152, 165)) ('lung cancer', 'Disease', 'MESH:D008175', (68, 79)) ('cancer', 'Phenotype', 'HP:0002664', (60, 66)) ('carcinoma', 'Phenotype', 'HP:0030731', (176, 185)) 51224 31817988 It is obvious to measure methylated tumor DNA instead of RNA due to its superior stability in cells and body fluids (circulating DNA). ('N', 'Chemical', 'MESH:D009584', (43, 44)) ('N', 'Chemical', 'MESH:D009584', (130, 131)) ('methylated', 'Var', (25, 35)) ('tumor', 'Disease', 'MESH:D009369', (36, 41)) ('N', 'Chemical', 'MESH:D009584', (58, 59)) ('tumor', 'Phenotype', 'HP:0002664', (36, 41)) ('tumor', 'Disease', (36, 41)) 51226 31817988 However, in DNA, we observed that already low levels of methylation inactivated RASSF10 and therefore a common threshold level could abrogate RASSF10 expression irrespective of the tissue. ('expression', 'MPA', (150, 160)) ('abrogate', 'NegReg', (133, 141)) ('N', 'Chemical', 'MESH:D009584', (13, 14)) ('RASSF10', 'Gene', (142, 149)) ('methylation', 'Var', (56, 67)) ('RASSF10', 'Gene', (80, 87)) ('expression', 'Species', '29278', (150, 160)) ('inactivated', 'NegReg', (68, 79)) 51229 31817988 Liquid biopsies are FDA approved for lung cancer EGFR mutation tests as companion diagnostic. ('lung cancer', 'Disease', (37, 48)) ('lung cancer', 'Phenotype', 'HP:0100526', (37, 48)) ('cancer', 'Phenotype', 'HP:0002664', (42, 48)) ('EGFR', 'Gene', (49, 53)) ('mutation tests', 'Var', (54, 68)) ('lung cancer', 'Disease', 'MESH:D008175', (37, 48)) 51247 31817988 The following antibodies were used: a-GAPDH (FL335, sc-25778 from Santa Cruz), a-GFP from Rainer Renkawitz (Giessen, Germany), a-RASSF10 (AP12444c-ev2020, Abgent, San Diego, United States), a-p65 (610868, BD Biosciences, Heidelberg, Germany), a-ASPP1 (sc50890, Santa Cruz, Santa Cruz, United States), a-ASPP2 (sc53861, Santa Cruz), a-YAP1 (sc15407, Santa Cruz), a-ss-Catenin (9562S, Cell Signaling), a-phospho-SMAD2 ser465/467 (3101, Cell signaling), a-Flag (M2, Sigma), a-GST (B-14 sc138, Santa Cruz), a-V5 Tag (ab9116, Abcam, Cambridge, United Kingdom), HRP-coupled secondary antibodies anti-rabbit (sc2004, sc2357, Santa Cruz), anti-mouse (sc2005, sc516102, Santa Cruz) and anti-goat (sc2021, Santa Cruz), alexafluor568 (Thermo Fisher Scientific). ('GAPDH', 'Gene', (38, 43)) ('sc-25778', 'Chemical', 'MESH:D012538', (52, 60)) ('sc2004', 'Var', (602, 608)) ('BD Biosciences', 'Disease', 'MESH:D001528', (205, 219)) ('sc2021', 'Var', (688, 694)) ('ASPP1', 'Gene', '21981', (245, 250)) ('p65', 'Gene', '19697', (192, 195)) ('sc2005', 'Var', (643, 649)) ('p65', 'Gene', (192, 195)) ('alexafluor568', 'Chemical', 'MESH:C107873', (709, 722)) ('9562S', 'CellLine', 'CVCL:Z231', (376, 381)) ('ASPP1', 'Gene', (245, 250)) ('phospho', 'Chemical', 'MESH:C033601', (402, 409)) ('mouse', 'Species', '10090', (636, 641)) ('BD Biosciences', 'Disease', (205, 219)) ('GAPDH', 'Gene', '14433', (38, 43)) 51257 31817988 RASSF10's coding sequence was amplified from genomic DNA, ASPP1 (IRAVp968F02130D) and ASPP2 (IRATp970A06136D) were obtained from the former Deutschen Ressourcenzentrum fur Genomforschung (RZPD) now THE I.M.A.G.E. ('IRATp970A06136D', 'Var', (93, 108)) ('ASPP1', 'Gene', (58, 63)) ('N', 'Chemical', 'MESH:D009584', (54, 55)) ('ASPP1', 'Gene', '21981', (58, 63)) ('IRAVp968F02130D', 'Var', (65, 80)) ('IRAVp968F02130D', 'Chemical', 'MESH:C000900', (65, 80)) 51260 31817988 Susanne Maaz cloned p53 (IRALp962F088Q) into pCDNA3.1/nV5-DEST (Thermo Fisher Scientific) and YAP1 (IRAKp961L0779) was cloned into EYFP (Clontech) by Desiree Block and A.J. ('IRALp962F088Q', 'Var', (25, 38)) ('N', 'Chemical', 'MESH:D009584', (48, 49)) ('p53', 'Gene', '2768677', (20, 23)) ('p53', 'Gene', (20, 23)) 51262 31817988 Deletion mutants and domain mutants of RASSF10 were generated by site directed mutations as above. ('rat', 'Species', '10116', (56, 59)) ('RASSF10', 'Gene', (39, 46)) ('Deletion', 'Var', (0, 8)) 51266 31817988 For the evaluation of the invasion capacity of A549 wildtype and RASSF10 deletion clones transwell extracellular matrix (ECM) invasion assays were performed. ('deletion', 'Var', (73, 81)) ('RASSF10', 'Gene', (65, 72)) ('A549', 'CellLine', 'CVCL:0023', (47, 51)) 51271 31817988 We are now showing that RASSF10 expression inhibits signs of EMT in cancer cell lines, but we are also reporting its mode of action as a tumor suppressor. ('EMT', 'Gene', '3702', (61, 64)) ('cancer', 'Phenotype', 'HP:0002664', (68, 74)) ('tumor', 'Disease', (137, 142)) ('expression', 'Var', (32, 42)) ('RASSF10', 'Gene', (24, 31)) ('cancer', 'Disease', 'MESH:D009369', (68, 74)) ('expression', 'Species', '29278', (32, 42)) ('cancer', 'Disease', (68, 74)) ('tumor', 'Disease', 'MESH:D009369', (137, 142)) ('inhibits', 'NegReg', (43, 51)) ('tumor', 'Phenotype', 'HP:0002664', (137, 142)) ('EMT', 'Gene', (61, 64)) 51274 31817988 We show that RASSF10 induces the protein levels of ASPP2 that is also an inhibitor of EMT. ('EMT', 'Gene', (86, 89)) ('RASSF10', 'Var', (13, 20)) ('induces', 'Reg', (21, 28)) ('EMT', 'Gene', '3702', (86, 89)) ('protein levels', 'MPA', (33, 47)) ('ASPP2', 'Protein', (51, 56)) 51275 31817988 In human cancers, RASSF10, but not ASPP2, is epigenetically inactivated by promoter hypermethylation. ('cancers', 'Disease', 'MESH:D009369', (9, 16)) ('cancers', 'Phenotype', 'HP:0002664', (9, 16)) ('cancers', 'Disease', (9, 16)) ('human', 'Species', '9606', (3, 8)) ('cancer', 'Phenotype', 'HP:0002664', (9, 15)) ('promoter hypermethylation', 'Var', (75, 100)) ('RASSF10', 'Gene', (18, 25)) 51278 31817988 The following are available online at , Figure S1: Structure of RASSF10., Figure S2: RASSF10 (RX) localizes with overexpressed ASPP1/2 (A1/A2) and induces endogenous ASPP2, Figure S3: Characterization of RASSF10 binding to ASPP1/2 and competition; Figure S4: ASPP2 is not epigenetically regulated in human cancers; Figure S5: No SMAD2 and SMAD3 binding at the RASSF10 promoter. ('cancers', 'Phenotype', 'HP:0002664', (306, 313)) ('RASSF10', 'Var', (85, 92)) ('SMAD3', 'Gene', '4088', (339, 344)) ('cancers', 'Disease', (306, 313)) ('binding', 'Interaction', (212, 219)) ('N', 'Chemical', 'MESH:D009584', (326, 327)) ('cancers', 'Disease', 'MESH:D009369', (306, 313)) ('RASSF10', 'Gene', (360, 367)) ('SMAD3', 'Gene', (339, 344)) ('human', 'Species', '9606', (300, 305)) ('cancer', 'Phenotype', 'HP:0002664', (306, 312)) ('binding', 'Interaction', (345, 352)) 51282 31817988 Figure 8: Methylation Expression Correlation: RASSF10, Dataset Project: TCGA, Data Type: 450k Methylation Array 450k Infinium chip, Select: cg05817758, beta value and log2 (normalized rsem+1) of RASSF10, Correlation method: Spearman, Fit linear regression, for Breast invasive carcinoma. ('Breast invasive carcinoma', 'Disease', 'MESH:D001943', (261, 286)) ('carcinoma', 'Phenotype', 'HP:0030731', (277, 286)) ('cg05817758', 'Var', (140, 150)) ('Breast invasive carcinoma', 'Disease', (261, 286)) ('Expression', 'Species', '29278', (22, 32)) 51455 22974165 It has been reported that different subtypes of thymoma have different genetic characteristics, recent studies indicated that chromosomal 1 gain plays an important role in molecular genetic mechanism of thymic epithelium tumors. ('thymoma', 'Phenotype', 'HP:0100522', (48, 55)) ('tumors', 'Phenotype', 'HP:0002664', (221, 227)) ('tumor', 'Phenotype', 'HP:0002664', (221, 226)) ('thymic epithelium tumors', 'Disease', 'MESH:D013953', (203, 227)) ('thymoma', 'Disease', (48, 55)) ('thymoma', 'Disease', 'MESH:D013945', (48, 55)) ('chromosomal', 'Var', (126, 137)) ('thymic epithelium tumors', 'Disease', (203, 227)) 51470 22974165 Mutational ras protein can affect cell proliferation, cell cycle regulation and anti-apoptotic signal by decreasing the activity of endogenous GTPase, or transcriptional decreasing the expression of Fas receptor and regulating the last time of the p38 activity of Jun N-terminal protein kinase (JNK) by Ral-GEF (Ras related GTPase-guanine exchange factor) pathway Meanwhile, N-ras has different function to the generation of cancer in different individuals. ('expression', 'MPA', (185, 195)) ('cell proliferation', 'CPA', (34, 52)) ('Mutational', 'Var', (0, 10)) ('cancer', 'Disease', 'MESH:D009369', (425, 431)) ('JNK', 'Gene', (295, 298)) ('activity', 'MPA', (120, 128)) ('JNK', 'Gene', '5599', (295, 298)) ('Ral-GEF', 'Gene', (303, 310)) ('N-ras', 'Gene', '4893', (375, 380)) ('N-ras', 'Gene', (375, 380)) ('affect', 'Reg', (27, 33)) ('p38', 'Gene', (248, 251)) ('Ras related GTPase-guanine exchange factor', 'Gene', '5900', (312, 354)) ('decreasing', 'NegReg', (105, 115)) ('Ral-GEF', 'Gene', '5900', (303, 310)) ('decreasing', 'NegReg', (170, 180)) ('cancer', 'Disease', (425, 431)) ('activity', 'MPA', (252, 260)) ('Fas', 'Protein', (199, 202)) ('cell cycle', 'CPA', (54, 64)) ('cancer', 'Phenotype', 'HP:0002664', (425, 431)) ('Ras related GTPase-guanine exchange factor', 'Gene', (312, 354)) ('regulating', 'Reg', (216, 226)) ('p38', 'Gene', '1432', (248, 251)) 51494 22974165 It was also revealed that the molecular change of type B2, B3 thymoma might be similar with thymic carcinoma, and differ from other types of thymoma. ('thymic carcinoma', 'Disease', (92, 108)) ('thymoma', 'Disease', 'MESH:D013945', (62, 69)) ('thymoma', 'Disease', 'MESH:D013945', (141, 148)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (92, 108)) ('type B2', 'Var', (50, 57)) ('thymoma', 'Disease', (62, 69)) ('thymoma', 'Disease', (141, 148)) ('carcinoma', 'Phenotype', 'HP:0030731', (99, 108)) ('thymoma', 'Phenotype', 'HP:0100522', (62, 69)) ('thymoma', 'Phenotype', 'HP:0100522', (141, 148)) 51495 22974165 Considering previous research results of our group that p53 protein positive expression increased in type B3 thymoma, it can be inferred that p73 and p53 protein mutants might embrace a synergistic effect in thymoma. ('thymoma', 'Disease', 'MESH:D013945', (208, 215)) ('thymoma', 'Disease', (208, 215)) ('p73', 'Gene', '7161', (142, 145)) ('thymoma', 'Disease', (109, 116)) ('p53', 'Gene', (56, 59)) ('p73', 'Gene', (142, 145)) ('thymoma', 'Phenotype', 'HP:0100522', (208, 215)) ('mutants', 'Var', (162, 169)) ('thymoma', 'Phenotype', 'HP:0100522', (109, 116)) ('p53', 'Gene', '7157', (56, 59)) ('increased', 'PosReg', (88, 97)) ('p53', 'Gene', (150, 153)) ('p53', 'Gene', '7157', (150, 153)) ('thymoma', 'Disease', 'MESH:D013945', (109, 116)) 51769 30787364 Most studies tried to address the tumorigenesis by characterizing genetic alteration on a single gene level, and only a few systematic researches have been demonstrated. ('genetic alteration', 'Var', (66, 84)) ('tumor', 'Phenotype', 'HP:0002664', (34, 39)) ('tumor', 'Disease', (34, 39)) ('tumor', 'Disease', 'MESH:D009369', (34, 39)) 51793 30787364 Earlier researches show that changes in certain genes appear to be involved in thymic tumorigenesis. ('tumor', 'Phenotype', 'HP:0002664', (86, 91)) ('involved', 'Reg', (67, 75)) ('changes', 'Var', (29, 36)) ('tumor', 'Disease', (86, 91)) ('genes', 'Gene', (48, 53)) ('thymic', 'Disease', (79, 85)) ('tumor', 'Disease', 'MESH:D009369', (86, 91)) 51794 30787364 Our data demonstrate that some gene mutations might play an important role in the pathogenesis of thymomas. ('thymomas', 'Disease', 'MESH:D013945', (98, 106)) ('thymoma', 'Phenotype', 'HP:0100522', (98, 105)) ('mutations', 'Var', (36, 45)) ('thymomas', 'Disease', (98, 106)) ('play', 'Reg', (52, 56)) 51837 25738169 Antibodies to LGI1 are associated with limbic encephalitis previously attributed to voltage-gated potassium channels (VGKC). ('Antibodies', 'Var', (0, 10)) ('encephalitis', 'Disease', 'MESH:D004660', (46, 58)) ('encephalitis', 'Disease', (46, 58)) ('LGI1', 'Gene', (14, 18)) ('associated', 'Reg', (23, 33)) ('encephalitis', 'Phenotype', 'HP:0002383', (46, 58)) 51862 25738169 These 2 patients had been previously reported as having limbic encephalitis associated with VGKC antibodies and shared similarities with our patient, including subacute onset of cognitive and memory deficits associated with thymoma recurrence or residual thymoma, coexistence of LGI1 or Caspr2 antibodies with GABAA receptor antibody, and remarkable brain MRI abnormalities, which are strikingly similar to those reported in other patients with GABAA receptor encephalitis. ('encephalitis', 'Disease', 'MESH:D004660', (63, 75)) ('patient', 'Species', '9606', (431, 438)) ('Caspr2', 'Gene', '26047', (287, 293)) ('thymoma', 'Disease', 'MESH:D013945', (224, 231)) ('thymoma', 'Disease', 'MESH:D013945', (255, 262)) ('encephalitis', 'Phenotype', 'HP:0002383', (460, 472)) ('encephalitis', 'Phenotype', 'HP:0002383', (63, 75)) ('patient', 'Species', '9606', (8, 15)) ('brain MRI abnormalities', 'Disease', (350, 373)) ('patient', 'Species', '9606', (141, 148)) ('thymoma', 'Disease', (255, 262)) ('memory deficits', 'Phenotype', 'HP:0002354', (192, 207)) ('LGI1', 'Gene', (279, 283)) ('brain MRI abnormalities', 'Disease', 'MESH:D025063', (350, 373)) ('thymoma', 'Disease', (224, 231)) ('thymoma', 'Phenotype', 'HP:0100522', (255, 262)) ('thymoma', 'Phenotype', 'HP:0100522', (224, 231)) ('antibodies', 'Var', (97, 107)) ('cognitive and memory deficits', 'Disease', 'MESH:D003072', (178, 207)) ('patients', 'Species', '9606', (431, 439)) ('associated', 'Reg', (76, 86)) ('patients', 'Species', '9606', (8, 16)) ('encephalitis', 'Disease', (460, 472)) ('Caspr2', 'Gene', (287, 293)) ('encephalitis', 'Disease', (63, 75)) ('VGKC', 'Gene', (92, 96)) ('encephalitis', 'Disease', 'MESH:D004660', (460, 472)) 51874 33188420 Six years prior, he had received curative treatment for a 8x9 cm pT1N0M0 type AB thymoma by radical surgical resection (Figure 1A-B). ('thymoma', 'Phenotype', 'HP:0100522', (81, 88)) ('pT1N0M0 type', 'Var', (65, 77)) ('AB thymoma', 'Disease', 'MESH:D013945', (78, 88)) ('AB thymoma', 'Disease', (78, 88)) 51964 29720797 Acetylcholinesterase inhibitors produce improvement in autonomic functions, just as in motor weakness, i.e., in pupillary dysfunction, all changes were seen to reverse with the administration of acetylcholine inhibitors; Shukla et al. ('acetylcholine', 'Chemical', 'MESH:D000109', (195, 208)) ('pupillary dysfunction', 'Disease', (112, 133)) ('autonomic functions', 'MPA', (55, 74)) ('weakness', 'Disease', (93, 101)) ('pupillary dysfunction', 'Disease', 'MESH:D011681', (112, 133)) ('inhibitors', 'Var', (21, 31)) ('weakness', 'Disease', 'MESH:D018908', (93, 101)) ('improvement', 'PosReg', (40, 51)) ('Acetylcholinesterase', 'Gene', (0, 20)) ('Acetylcholinesterase', 'Gene', '43', (0, 20)) 52003 29720797 The analyzed parameters included female sex (odds ratio [OR] 1.11 [0.13-9.41], P = 0.92), AChR antibody positivity (OR 2.77 [0.44-17.62], P = 0.29), invasive thymoma (OR 1.39 [0.40-4.71], P = 0.57), and young age of onset (OR 1.11 [0.67-1.82], P = 0.64). ('invasive thymoma', 'Disease', 'MESH:D013945', (149, 165)) ('invasive thymoma', 'Disease', (149, 165)) ('thymoma', 'Phenotype', 'HP:0100522', (158, 165)) ('positivity', 'Var', (104, 114)) ('AChR antibody', 'Gene', (90, 103)) 52007 29720797 Myasthenia Gravis is an antibody-mediated autoimmune disease where pathogenic antibodies to alpha-3 ganglionic acetylcholine receptor subunits cause autonomic dysfunction. ('Myasthenia Gravis', 'Disease', (0, 17)) ('antibodies', 'Var', (78, 88)) ('acetylcholine', 'Chemical', 'MESH:D000109', (111, 124)) ('autonomic dysfunction', 'Disease', 'MESH:D001342', (149, 170)) ('autonomic dysfunction', 'Disease', (149, 170)) ('autoimmune disease', 'Disease', (42, 60)) ('cause', 'Reg', (143, 148)) ('autonomic dysfunction', 'Phenotype', 'HP:0012332', (149, 170)) ('Myasthenia', 'Phenotype', 'HP:0003473', (0, 10)) ('alpha-3 ganglionic', 'Protein', (92, 110)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (42, 60)) ('Myasthenia Gravis', 'Disease', 'MESH:D009157', (0, 17)) ('autoimmune disease', 'Disease', 'MESH:D001327', (42, 60)) 52018 29720797 Cardiac dysfunction in myasthenic crises has also been reported in association with antivoltage-gated potassium channel Kv 1.4 antibodies. ('Cardiac dysfunction', 'Disease', (0, 19)) ('Cardiac dysfunction', 'Disease', 'MESH:D006331', (0, 19)) ('myasthenic crises', 'Phenotype', 'HP:0003473', (23, 40)) ('antibodies', 'Var', (127, 137)) ('myasthenic crises', 'Disease', (23, 40)) 52026 29720797 Sluggish bowel motility resulting in bacterial overgrowth and deconjugation of bile acids can produce diarrhea and malabsorption. ('malabsorption', 'Phenotype', 'HP:0002024', (115, 128)) ('produce', 'Reg', (94, 101)) ('diarrhea', 'Disease', (102, 110)) ('overgrowth', 'Phenotype', 'HP:0001548', (47, 57)) ('bile acids', 'Chemical', 'MESH:D001647', (79, 89)) ('diarrhea', 'Disease', 'MESH:D003967', (102, 110)) ('malabsorption', 'Disease', (115, 128)) ('malabsorption', 'Disease', 'MESH:D008286', (115, 128)) ('bacterial', 'CPA', (37, 46)) ('deconjugation', 'Var', (62, 75)) ('bowel motility', 'Disease', (9, 23)) ('overgrowth', 'PosReg', (47, 57)) ('bowel motility', 'Disease', 'MESH:D015835', (9, 23)) ('diarrhea', 'Phenotype', 'HP:0002014', (102, 110)) 52083 28454444 However, the 24-h urine protein, KAP, LAM and beta2-microglobulin levels were 3.54 g/24 h, 27.94 mg/h, 2948 mg/h and 33.40 mg/l, respectively, indicating no significant change compared with the levels prior to treatment. ('KAP', 'MPA', (33, 36)) ('beta2-microglobulin', 'Gene', '567', (46, 65)) ('LAM', 'Chemical', '-', (38, 41)) ('beta2-microglobulin', 'Gene', (46, 65)) ('urine protein', 'MPA', (18, 31)) ('2948 mg/h', 'Var', (103, 112)) ('urine protein', 'Phenotype', 'HP:0000093', (18, 31)) 52087 28454444 In the 24-h urine analysis, the KAP and LAM levels were 40.30 mg/h and 748.80 mg/h, respectively, indicating a 68% decrease in comparison to the values prior to treatment. ('decrease', 'NegReg', (115, 123)) ('LAM', 'Chemical', '-', (40, 43)) ('748.80', 'Var', (71, 77)) 52124 28331834 ECT resulted in improved local control and should be considered among the available adjuvant treatments in pets carrying visceral tumors. ('local control', 'CPA', (25, 38)) ('ECT', 'Var', (0, 3)) ('tumor', 'Phenotype', 'HP:0002664', (130, 135)) ('visceral tumors', 'Disease', 'MESH:D059265', (121, 136)) ('improved', 'PosReg', (16, 24)) ('tumors', 'Phenotype', 'HP:0002664', (130, 136)) ('visceral tumors', 'Disease', (121, 136)) 52172 22309880 After the evacuation of pericardial hemorrhagic fluid (550 cc), the collapse disappeared, and the patient's symptoms were relieved entirely. ('disappeared', 'NegReg', (77, 88)) ('550 cc', 'Var', (55, 61)) ('patient', 'Species', '9606', (98, 105)) ('collapse', 'MPA', (68, 76)) ('pericardial hemorrhagic', 'Disease', (24, 47)) ('pericardial hemorrhagic fluid', 'Phenotype', 'HP:0001698', (24, 53)) ('pericardial hemorrhagic', 'Disease', 'MESH:D006470', (24, 47)) 52312 31293579 PF skin lesions showed more CD4+GATA-3+ Th2 cells than CD3+T-Bet+ compared to the Th1-dominated GVHD-like skin lesions which inversely showed a stronger presence of CD3+T-Bet+ Th1 cells than CD4+GATA-3+ Th2 cells (Figures 3A,B). ('Th1', 'Gene', '51497', (176, 179)) ('GVHD-like skin lesions', 'Disease', 'MESH:D012871', (96, 118)) ('Th1', 'Gene', (176, 179)) ('Th1', 'Gene', '51497', (82, 85)) ('GVHD-like skin lesions', 'Disease', (96, 118)) ('CD3+T-Bet+', 'Var', (165, 175)) ('GATA-3', 'Gene', '2625', (32, 38)) ('GATA-3', 'Gene', (32, 38)) ('GATA-3', 'Gene', '2625', (195, 201)) ('Th1', 'Gene', (82, 85)) ('GATA-3', 'Gene', (195, 201)) 52329 31293579 Anti-laminin 332 antibodies are pathogenic autoantibodies in anti-laminin 332 mucous membrane pemphigoid, a distinct subepidermal autoimmune bullous disorder showing predominant mucosal lesions. ('autoimmune bullous disorder', 'Disease', (130, 157)) ('pathogenic', 'Reg', (32, 42)) ('mucosal lesions', 'Disease', 'MESH:D009059', (178, 193)) ('autoimmune bullous disorder', 'Disease', 'MESH:D001327', (130, 157)) ('mucosal lesions', 'Disease', (178, 193)) ('anti-laminin', 'Var', (61, 73)) ('Anti-laminin', 'Protein', (0, 12)) 52349 31293579 reported on a patient with thymoma and associated proteinuria due to minimal change glomerulonephritis, in which antitumoral therapy with belinostat, cisplatin, doxorubicin, and cyclophosphamide resulted in a complete resolution of the tumor, reduction of proteinuria and increase in the Th1/Th2 ratio. ('minimal change glomerulonephritis', 'Phenotype', 'HP:0012579', (69, 102)) ('glomerulonephritis', 'Phenotype', 'HP:0000099', (84, 102)) ('proteinuria', 'Disease', (256, 267)) ('proteinuria', 'Disease', (50, 61)) ('reduction', 'NegReg', (243, 252)) ('thymoma', 'Disease', (27, 34)) ('doxorubicin', 'Chemical', 'MESH:D004317', (161, 172)) ('tumor', 'Disease', 'MESH:D009369', (236, 241)) ('thymoma', 'Phenotype', 'HP:0100522', (27, 34)) ('proteinuria', 'Disease', 'MESH:D011507', (256, 267)) ('proteinuria', 'Disease', 'MESH:D011507', (50, 61)) ('tumor', 'Phenotype', 'HP:0002664', (117, 122)) ('cisplatin', 'Var', (150, 159)) ('tumor', 'Phenotype', 'HP:0002664', (236, 241)) ('cyclophosphamide', 'Chemical', 'MESH:D003520', (178, 194)) ('proteinuria', 'Phenotype', 'HP:0000093', (50, 61)) ('proteinuria', 'Phenotype', 'HP:0000093', (256, 267)) ('cisplatin', 'Chemical', 'MESH:D002945', (150, 159)) ('glomerulonephritis', 'Disease', 'MESH:D005921', (84, 102)) ('tumor', 'Disease', (236, 241)) ('patient', 'Species', '9606', (14, 21)) ('Th1', 'Gene', (288, 291)) ('rat', 'Species', '10116', (296, 299)) ('increase', 'PosReg', (272, 280)) ('belinostat', 'Chemical', 'MESH:C487081', (138, 148)) ('minimal', 'Disease', (69, 76)) ('Th1', 'Gene', '51497', (288, 291)) ('tumor', 'Disease', (117, 122)) ('thymoma', 'Disease', 'MESH:D013945', (27, 34)) ('glomerulonephritis', 'Disease', (84, 102)) ('tumor', 'Disease', 'MESH:D009369', (117, 122)) 52365 29479559 Additionally, serum studies revealed presence of systemic antibodies to thyroperoxidase (37.8 kIU/L, reference range 0-5.5 kIU/L), thyroglobulin (372.2 kIU/L, reference range 0-5 kIU/L), Ro/SSA (6.8 AI, reference range < 1 AI), and an ANA titer of 80 (reference range 0-40) with a nucleolar pattern. ('372.2 kIU/L', 'Var', (146, 157)) ('thyroperoxidase', 'Enzyme', (72, 87)) ('Ro/SSA', 'Gene', (187, 193)) ('Ro/SSA', 'Gene', '6737', (187, 193)) 52380 29479559 It has been proven that the antibodies to VGKC actually target the associated proteins LGI1 and Caspr2, and not the channel itself, therefore rendering the term, "antibodies to VGKC" obsolete. ('LGI1', 'Gene', '9211', (87, 91)) ('VGKC', 'Gene', (42, 46)) ('antibodies', 'Var', (28, 38)) ('LGI1', 'Gene', (87, 91)) ('Caspr2', 'Gene', (96, 102)) ('target', 'Reg', (56, 62)) ('Caspr2', 'Gene', '26047', (96, 102)) 52422 24824976 In three patients with chest MRI, the signal intensity on T1- and T2-weighted images of the intrathymic cyst was evaluated in reference to the skeletal muscle (hyperintense, isointense, or hypointense) in consensus. ('patients', 'Species', '9606', (9, 17)) ('hypointense', 'Var', (189, 200)) ('hyperintense', 'Var', (160, 172)) ('isointense', 'Var', (174, 184)) 52478 24824976 The small number of cases with MRI or PET/CT is another limitation, which is also likely due to the skewed population with high suspicion of neoplasm therefore undergoing surgical resection. ('neoplasm', 'Disease', (141, 149)) ('neoplasm', 'Disease', 'MESH:D009369', (141, 149)) ('MRI', 'Var', (31, 34)) ('neoplasm', 'Phenotype', 'HP:0002664', (141, 149)) 52515 24321421 Patients with severe MG status, including MGFA IIB or more were likely to have ph-PSL therapy after obtaining the patients' consent. ('ph-PSL therapy', 'Disease', (79, 93)) ('PSL', 'Chemical', 'MESH:D011239', (82, 85)) ('Patients', 'Species', '9606', (0, 8)) ('MGFA', 'Chemical', '-', (42, 46)) ('MGFA IIB', 'Var', (42, 50)) ('patients', 'Species', '9606', (114, 122)) 52531 24321421 At study entry, MG disease severity was significantly greater in the ph-PSL group compared to the control group (MGFA Class >= IIB, 42 [60.0%] versus 7 [11.3%], respectively; P < 0.001). ('greater', 'PosReg', (54, 61)) ('ph-PSL', 'Var', (69, 75)) ('PSL', 'Chemical', 'MESH:D011239', (72, 75)) ('MGFA', 'Chemical', '-', (113, 117)) 52541 24321421 Overall, anticholinesterase therapy was withdrawn significantly more frequently in the ph-PSL group than in the control group during both the preoperative phase (P < 0.001) and the postoperative phase (P = 0.002). ('withdrawn', 'MPA', (40, 49)) ('ph-PSL', 'Var', (87, 93)) ('PSL', 'Chemical', 'MESH:D011239', (90, 93)) ('cholinesterase', 'Gene', (13, 27)) ('cholinesterase', 'Gene', '590', (13, 27)) 52548 24321421 The rates of patients improved at three and five years were 92% and 96%, respectively, in the ph-PSL group compared to 57% and 76%, respectively, in the control group (P < 0.001) (Figure 4a). ('ph-PSL', 'Var', (94, 100)) ('patients', 'Species', '9606', (13, 21)) ('improved', 'PosReg', (22, 30)) ('PSL', 'Chemical', 'MESH:D011239', (97, 100)) 52549 24321421 MG status among patients in the ph-PSL group improved more rapidly compared to the control group. ('improved', 'PosReg', (45, 53)) ('patients', 'Species', '9606', (16, 24)) ('MG status', 'MPA', (0, 9)) ('PSL', 'Chemical', 'MESH:D011239', (35, 38)) ('ph-PSL', 'Var', (32, 38)) 52565 24321421 In turn, discontinuation of anti-cholinesterase revives and stabilizes the function of AchR. ('revives', 'PosReg', (48, 55)) ('function', 'MPA', (75, 83)) ('discontinuation', 'Var', (9, 24)) ('cholinesterase', 'Gene', (33, 47)) ('stabilizes', 'NegReg', (60, 70)) ('AchR', 'Gene', (87, 91)) ('cholinesterase', 'Gene', '590', (33, 47)) 52646 31379720 Repeated antibody tests in the follow-up 2 weeks showed reduced titers of AChR-Ab, titin-Ab anti-M7, SMA-Ab, and CAE-Ab. ('AChR-Ab', 'Gene', (74, 81)) ('CAE', 'Chemical', '-', (113, 116)) ('reduced', 'NegReg', (56, 63)) ('titin', 'Gene', (83, 88)) ('titers', 'MPA', (64, 70)) ('titin', 'Gene', '7273', (83, 88)) ('anti-M7', 'Var', (92, 99)) 52652 31379720 The thymus is a central immune organ and its dysfunction leads to many autoimmune diseases. ('autoimmune diseases', 'Phenotype', 'HP:0002960', (71, 90)) ('dysfunction', 'Var', (45, 56)) ('man', 'Species', '9606', (66, 69)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (71, 90)) ('autoimmune diseases', 'Disease', (71, 90)) ('leads to', 'Reg', (57, 65)) 52662 31379720 However, the presence of anti-M7 in patients with MG and myocarditis, as well as its relationship with thymoma has not yet been reported. ('patients', 'Species', '9606', (36, 44)) ('anti-M7', 'Var', (25, 32)) ('myocarditis', 'Disease', 'MESH:D009205', (57, 68)) ('thymoma', 'Disease', 'MESH:D013945', (103, 110)) ('myocarditis', 'Phenotype', 'HP:0012819', (57, 68)) ('thymoma', 'Disease', (103, 110)) ('myocarditis', 'Disease', (57, 68)) ('MG', 'Disease', 'MESH:D000080343', (50, 52)) ('thymoma', 'Phenotype', 'HP:0100522', (103, 110)) 52665 31379720 In conclusion, we predict that the thymoma-associated autoantibodies (titin-Ab, SMA-Ab, and CAE-Ab) and anti-M7 may play an important role in concurrent of MG and myositis and myocarditis. ('CAE', 'Chemical', '-', (92, 95)) ('titin', 'Gene', '7273', (70, 75)) ('myositis', 'Phenotype', 'HP:0100614', (163, 171)) ('anti-M7', 'Var', (104, 111)) ('titin', 'Gene', (70, 75)) ('thymoma', 'Disease', 'MESH:D013945', (35, 42)) ('myositis and myocarditis', 'Disease', 'MESH:D009205', (163, 187)) ('myocarditis', 'Phenotype', 'HP:0012819', (176, 187)) ('thymoma', 'Disease', (35, 42)) ('thymoma', 'Phenotype', 'HP:0100522', (35, 42)) ('MG', 'Disease', 'MESH:D000080343', (156, 158)) 52678 30519470 Change in hydrostatic pressure gradient across the diaphragm by thoracentesis triggered a sudden onset of dyspnoea caused by the influx of a large volume of ascites into the pleural cavity through a hole in the diaphragm. ('pleural', 'Disease', (174, 181)) ('hydrostatic pressure gradient', 'MPA', (10, 39)) ('ascites', 'Disease', (157, 164)) ('ascites', 'Phenotype', 'HP:0001541', (157, 164)) ('dyspnoea', 'Disease', (106, 114)) ('dyspnoea', 'Disease', 'MESH:D004417', (106, 114)) ('ascites', 'Disease', 'MESH:D001201', (157, 164)) ('Change', 'Var', (0, 6)) ('influx of', 'MPA', (129, 138)) ('pleural', 'Disease', 'MESH:D010995', (174, 181)) 52711 30442178 The rationale behind such molecular reclassifications is that genetic alterations underlying cancer pathology predict response to therapy and may therefore offer a more precise view on cancer than histology. ('cancer', 'Disease', (93, 99)) ('cancer', 'Disease', 'MESH:D009369', (93, 99)) ('predict', 'Reg', (110, 117)) ('cancer', 'Phenotype', 'HP:0002664', (185, 191)) ('cancer', 'Phenotype', 'HP:0002664', (93, 99)) ('genetic alterations', 'Var', (62, 81)) ('cancer', 'Disease', 'MESH:D009369', (185, 191)) ('cancer', 'Disease', (185, 191)) ('response to therapy', 'MPA', (118, 137)) 52712 30442178 The use of individual actionable mutations to select cancers for treatment across histotypes is already being tested in the so-called basket trials with variable success rates. ('cancers', 'Phenotype', 'HP:0002664', (53, 60)) ('cancers', 'Disease', (53, 60)) ('cancers', 'Disease', 'MESH:D009369', (53, 60)) ('mutations', 'Var', (33, 42)) ('cancer', 'Phenotype', 'HP:0002664', (53, 59)) 52714 30442178 To determine effects of oncogenic mutations on protein profiles, we used the energy distance, which compares the Euclidean distances of protein profiles in tumors with an oncogenic mutation (inner distance) to that in tumors without the mutation (outer distance) and performed Monte Carlo simulations for the significance analysis. ('tumors', 'Disease', (156, 162)) ('tumor', 'Phenotype', 'HP:0002664', (156, 161)) ('tumor', 'Phenotype', 'HP:0002664', (218, 223)) ('mutation', 'Var', (181, 189)) ('tumors', 'Phenotype', 'HP:0002664', (156, 162)) ('tumors', 'Phenotype', 'HP:0002664', (218, 224)) ('tumors', 'Disease', 'MESH:D009369', (156, 162)) ('tumors', 'Disease', (218, 224)) ('tumors', 'Disease', 'MESH:D009369', (218, 224)) 52720 30442178 Next-generation sequencing has facilitated comprehensive mutational profiling of all major cancers and has led to the discovery of oncogenic driver mutations, many of which can be targeted therapeutically. ('mutations', 'Var', (148, 157)) ('cancers', 'Phenotype', 'HP:0002664', (91, 98)) ('cancers', 'Disease', 'MESH:D009369', (91, 98)) ('cancers', 'Disease', (91, 98)) ('cancer', 'Phenotype', 'HP:0002664', (91, 97)) 52722 30442178 However, sequencing data has shown that actionable mutations, albeit with different frequencies, occur across cancers, which has raised the question about histotype-independent therapies and novel ways of tumor classifications no longer relying on histology but on genetic profiles. ('cancers', 'Disease', (110, 117)) ('mutations', 'Var', (51, 60)) ('tumor', 'Disease', 'MESH:D009369', (205, 210)) ('cancer', 'Phenotype', 'HP:0002664', (110, 116)) ('tumor', 'Phenotype', 'HP:0002664', (205, 210)) ('tumor', 'Disease', (205, 210)) ('cancers', 'Phenotype', 'HP:0002664', (110, 117)) ('cancers', 'Disease', 'MESH:D009369', (110, 117)) 52725 30442178 That targeted therapies against the same single molecular alteration can be effective across cancers, as shown, for instance, by the efficacy of anti-Her2 therapy in both gastric and breast cancers or the clinical benefit from inhibition of mutated cKIT in gastrointestinal stromal tumors (GIST) and melanoma or mastocytosis. ('gastric and breast cancers', 'Disease', 'MESH:D013274', (171, 197)) ('melanoma or mastocytosis', 'Disease', (300, 324)) ('cancers', 'Disease', 'MESH:D009369', (190, 197)) ('Her2', 'Gene', '2064', (150, 154)) ('cancers', 'Disease', 'MESH:D009369', (93, 100)) ('gastrointestinal stromal tumors', 'Disease', (257, 288)) ('GIST', 'Phenotype', 'HP:0100723', (290, 294)) ('tumors', 'Phenotype', 'HP:0002664', (282, 288)) ('Her2', 'Gene', (150, 154)) ('cancer', 'Phenotype', 'HP:0002664', (190, 196)) ('mutated', 'Var', (241, 248)) ('melanoma', 'Phenotype', 'HP:0002861', (300, 308)) ('cancers', 'Phenotype', 'HP:0002664', (190, 197)) ('cKIT', 'Gene', '3815', (249, 253)) ('tumor', 'Phenotype', 'HP:0002664', (282, 287)) ('cancers', 'Disease', (190, 197)) ('cancers', 'Phenotype', 'HP:0002664', (93, 100)) ('cancers', 'Disease', (93, 100)) ('melanoma or mastocytosis', 'Disease', 'MESH:D008415', (300, 324)) ('gastrointestinal stromal tumors', 'Phenotype', 'HP:0100723', (257, 288)) ('gastrointestinal stromal tumors', 'Disease', 'MESH:D046152', (257, 288)) ('cancer', 'Phenotype', 'HP:0002664', (93, 99)) ('breast cancers', 'Phenotype', 'HP:0003002', (183, 197)) ('inhibition', 'Var', (227, 237)) ('mastocytosis', 'Phenotype', 'HP:0100495', (312, 324)) ('cKIT', 'Gene', (249, 253)) ('breast cancer', 'Phenotype', 'HP:0003002', (183, 196)) 52726 30442178 However, the fact that inhibition of BRAF mutated at V600 is effective in melanoma but not in colorectal cancer is a prominent example against the general transferability of knowledge on a single actionable mutation from one histological tumor type to another. ('tumor', 'Disease', 'MESH:D009369', (238, 243)) ('colorectal cancer', 'Disease', 'MESH:D015179', (94, 111)) ('BRAF', 'Gene', '673', (37, 41)) ('tumor', 'Phenotype', 'HP:0002664', (238, 243)) ('rectal cancer', 'Phenotype', 'HP:0100743', (98, 111)) ('BRAF', 'Gene', (37, 41)) ('mutated at V600', 'Var', (42, 57)) ('melanoma', 'Disease', 'MESH:D008545', (74, 82)) ('melanoma', 'Disease', (74, 82)) ('melanoma', 'Phenotype', 'HP:0002861', (74, 82)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (94, 111)) ('tumor', 'Disease', (238, 243)) ('cancer', 'Phenotype', 'HP:0002664', (105, 111)) ('colorectal cancer', 'Disease', (94, 111)) ('ran', 'Gene', (156, 159)) ('ran', 'Gene', '5901', (156, 159)) 52728 30442178 Using mutational profiles or just single genetic aberrations, as is the case in the current basket trials, is unlikely to cover the full scope of (tissue-specific) molecular effects including epigenetic mechanisms and downstream regulation such as post-translational modifications. ('mutational', 'Var', (6, 16)) ('ran', 'Gene', (254, 257)) ('ran', 'Gene', '5901', (254, 257)) 52743 30442178 To address the question of how mutational differences between two classes affect protein expressions in more than one histotype in the same way, we performed a cross-cancer effect analysis. ('mutational', 'Var', (31, 41)) ('affect', 'Reg', (74, 80)) ('protein expressions', 'MPA', (81, 100)) ('cross-cancer', 'Disease', (160, 172)) ('cancer', 'Phenotype', 'HP:0002664', (166, 172)) ('cross-cancer', 'Disease', 'MESH:C537866', (160, 172)) 52758 30442178 At this point, it is unclear whether the reason for this inconsistency between genetic and protein profiles is the differential translation of genetic profiles into protein levels in different cancer types, or organ- and tissue-specific protein base levels that are modulated by mutations:or a combination of both. ('ran', 'Gene', (129, 132)) ('cancer', 'Disease', 'MESH:D009369', (193, 199)) ('mutations', 'Var', (279, 288)) ('ran', 'Gene', '5901', (129, 132)) ('cancer', 'Disease', (193, 199)) ('modulated', 'Reg', (266, 275)) ('cancer', 'Phenotype', 'HP:0002664', (193, 199)) 52772 30442178 In the proposal by Ciriello et al., tumors are classified by the presence of somatic mutations and copy number alterations in cancer-related pathways. ('cancer', 'Phenotype', 'HP:0002664', (126, 132)) ('tumors', 'Disease', 'MESH:D009369', (36, 42)) ('cancer', 'Disease', (126, 132)) ('cancer', 'Disease', 'MESH:D009369', (126, 132)) ('copy number alterations', 'Var', (99, 122)) ('tumor', 'Phenotype', 'HP:0002664', (36, 41)) ('tumors', 'Disease', (36, 42)) ('tumors', 'Phenotype', 'HP:0002664', (36, 42)) 52784 30442178 The least pronounced but still significant class discriminability is achieved for classes C12 and C5 in breast cancer (sdis = - 0.31, p = 4.4e-3; srand = - 8.0e-5). ('ran', 'Gene', (147, 150)) ('sdis', 'Chemical', '-', (119, 123)) ('ran', 'Gene', '5901', (147, 150)) ('C12', 'Var', (90, 93)) ('cancer', 'Phenotype', 'HP:0002664', (111, 117)) ('breast cancer', 'Disease', 'MESH:D001943', (104, 117)) ('breast cancer', 'Disease', (104, 117)) ('breast cancer', 'Phenotype', 'HP:0003002', (104, 117)) 52803 30442178 With CES = 2%, the overall classification effectivity score of this classification is the lowest among all tested classifications indicating that global comparisons based on somatic mutations only are not effective in classifying tumors in a meaningful way if the available protein profiles are considered relevant. ('CES', 'Chemical', '-', (5, 8)) ('tumors', 'Disease', 'MESH:D009369', (230, 236)) ('tumors', 'Disease', (230, 236)) ('tumors', 'Phenotype', 'HP:0002664', (230, 236)) ('CES', 'Var', (5, 8)) ('lowest', 'NegReg', (90, 96)) ('tumor', 'Phenotype', 'HP:0002664', (230, 235)) 52806 30442178 For this classification, class discriminability sdis is highest between class toLGG (cases that are most similar to low-grade glioma cases by their mutation profile) and class toPRAD for low-grade glioma (LGG) (sdis = - 3.26; p = 0.0; srand = - 6.1e-5; characteristic protein profiles increased in toLGG: p70S6K_pT389; increased in ToPRAD: YAP_pS127, HER2_pY1248, HER2, EGFR_pY1068, EGFR_pY1173, Src_pY416, and Cyclin_D1). ('glioma', 'Phenotype', 'HP:0009733', (126, 132)) ('EGFR', 'Gene', (370, 374)) ('HER2', 'Gene', '2064', (351, 355)) ('increased', 'PosReg', (285, 294)) ('sdis', 'Chemical', '-', (48, 52)) ('glioma', 'Phenotype', 'HP:0009733', (197, 203)) ('p70S6K', 'Gene', '6198', (305, 311)) ('Cyclin_D1', 'Gene', (411, 420)) ('EGFR', 'Gene', (383, 387)) ('sdis', 'Chemical', '-', (211, 215)) ('EGFR', 'Gene', '1956', (370, 374)) ('HER2', 'Gene', '2064', (364, 368)) ('HER2', 'Gene', (351, 355)) ('ran', 'Gene', (236, 239)) ('glioma', 'Disease', (126, 132)) ('ran', 'Gene', '5901', (236, 239)) ('increased', 'PosReg', (319, 328)) ('glioma', 'Disease', 'MESH:D005910', (126, 132)) ('p70S6K', 'Gene', (305, 311)) ('EGFR', 'Gene', '1956', (383, 387)) ('glioma', 'Disease', (197, 203)) ('Src_pY416', 'Var', (396, 405)) ('HER2', 'Gene', (364, 368)) ('Cyclin_D1', 'Gene', '595', (411, 420)) ('glioma', 'Disease', 'MESH:D005910', (197, 203)) 52829 30442178 Using the same approach as above, we are systematically evaluating all major actionable somatic mutations and copy number alterations against which drugs are approved for clinical use or which are currently tested in clinical trials with respect to their effects on proteins across cancers. ('cancers', 'Disease', (282, 289)) ('cancer', 'Phenotype', 'HP:0002664', (282, 288)) ('cancers', 'Disease', 'MESH:D009369', (282, 289)) ('copy number alterations', 'Var', (110, 133)) ('cancers', 'Phenotype', 'HP:0002664', (282, 289)) ('mutations', 'Var', (96, 105)) 52834 30442178 Overall, our analysis showed for all analyzed 12 actionable genes (OncoKB evidence levels 1-3) that the mutational status is associated with significant differences in protein profiles in histotypes for which the respective targeted drugs are approved or currently being clinically tested and showed additional mutation-associated protein profiles in 9 histological tumor types. ('tumor', 'Disease', (366, 371)) ('mutational', 'Var', (104, 114)) ('associated', 'Reg', (125, 135)) ('protein profiles', 'MPA', (168, 184)) ('tumor', 'Phenotype', 'HP:0002664', (366, 371)) ('tumor', 'Disease', 'MESH:D009369', (366, 371)) ('differences', 'Reg', (153, 164)) 52836 30442178 Only KRAS/NRAS mutations in colorectal cancer do not result in discriminable protein profiles comparing wild-type and mutated cases, whereas an effect can be observed for thyroid cancer and melanoma. ('result', 'Reg', (53, 59)) ('NRAS', 'Gene', '4893', (10, 14)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (28, 45)) ('melanoma', 'Phenotype', 'HP:0002861', (190, 198)) ('melanoma', 'Disease', (190, 198)) ('rectal cancer', 'Phenotype', 'HP:0100743', (32, 45)) ('cancer', 'Phenotype', 'HP:0002664', (179, 185)) ('mutations', 'Var', (15, 24)) ('colorectal cancer', 'Disease', (28, 45)) ('KRAS', 'Gene', (5, 9)) ('melanoma', 'Disease', 'MESH:D008545', (190, 198)) ('KRAS', 'Gene', '3845', (5, 9)) ('cancer', 'Phenotype', 'HP:0002664', (39, 45)) ('thyroid cancer', 'Disease', (171, 185)) ('thyroid cancer', 'Phenotype', 'HP:0002890', (171, 185)) ('NRAS', 'Gene', (10, 14)) ('colorectal cancer', 'Disease', 'MESH:D015179', (28, 45)) ('thyroid cancer', 'Disease', 'MESH:D013964', (171, 185)) 52839 30442178 Our results demonstrate that in addition to confirming known druggable genes in the available cell line data, protein profile discriminability in between presence or absence of oncogenic mutations is predictive of drug response in cell line data across cancers (p = 0.048, Table 2). ('cancers', 'Phenotype', 'HP:0002664', (253, 260)) ('cancers', 'Disease', (253, 260)) ('cancers', 'Disease', 'MESH:D009369', (253, 260)) ('mutations', 'Var', (187, 196)) ('protein', 'MPA', (110, 117)) ('cancer', 'Phenotype', 'HP:0002664', (253, 259)) 52840 30442178 BRAF mutations are actionable in melanomas (OncoKB level 1). ('melanomas', 'Disease', 'MESH:D008545', (33, 42)) ('melanoma', 'Phenotype', 'HP:0002861', (33, 41)) ('melanomas', 'Phenotype', 'HP:0002861', (33, 42)) ('mutations', 'Var', (5, 14)) ('BRAF', 'Gene', '673', (0, 4)) ('BRAF', 'Gene', (0, 4)) ('melanomas', 'Disease', (33, 42)) 52841 30442178 Mutations of BRAF are frequent enough in our data for melanoma (46% cases with mutation) and thyroid carcinoma (not yet reported by OncoKB, 56% cases with mutation) for further analysis. ('thyroid carcinoma', 'Phenotype', 'HP:0002890', (93, 110)) ('thyroid carcinoma', 'Disease', (93, 110)) ('carcinoma', 'Phenotype', 'HP:0030731', (101, 110)) ('BRAF', 'Gene', '673', (13, 17)) ('melanoma', 'Disease', 'MESH:D008545', (54, 62)) ('melanoma', 'Phenotype', 'HP:0002861', (54, 62)) ('BRAF', 'Gene', (13, 17)) ('melanoma', 'Disease', (54, 62)) ('Mutations', 'Var', (0, 9)) ('mutation', 'Var', (79, 87)) ('thyroid carcinoma', 'Disease', 'MESH:D013964', (93, 110)) 52842 30442178 The actionable mutations create discriminable groups of cases for thyroid carcinoma (sdis = - 2.07; p = 0.0; srand = - 1.0e-4) and melanoma (sdis = - 0.10; p = 4.7e-3; srand = - 1.1e-4). ('melanoma', 'Phenotype', 'HP:0002861', (131, 139)) ('thyroid carcinoma', 'Phenotype', 'HP:0002890', (66, 83)) ('melanoma', 'Disease', (131, 139)) ('thyroid carcinoma', 'Disease', (66, 83)) ('sdis', 'Chemical', '-', (85, 89)) ('melanoma', 'Disease', 'MESH:D008545', (131, 139)) ('mutations', 'Var', (15, 24)) ('carcinoma', 'Phenotype', 'HP:0030731', (74, 83)) ('ran', 'Gene', (110, 113)) ('ran', 'Gene', '5901', (110, 113)) ('sdis', 'Chemical', '-', (141, 145)) ('ran', 'Gene', (169, 172)) ('thyroid carcinoma', 'Disease', 'MESH:D013964', (66, 83)) ('ran', 'Gene', '5901', (169, 172)) 52846 30442178 CDK4 amplification is actionable for differentiated sarcomas (OncoKB level 2). ('sarcomas', 'Disease', 'MESH:D012509', (52, 60)) ('amplification', 'Var', (5, 18)) ('sarcomas', 'Phenotype', 'HP:0100242', (52, 60)) ('sarcoma', 'Phenotype', 'HP:0100242', (52, 59)) ('sarcomas', 'Disease', (52, 60)) ('CDK4', 'Gene', (0, 4)) ('CDK4', 'Gene', '1019', (0, 4)) 52848 30442178 For sarcoma, 36% of the cases show CDK4 amplification and protein profiles are discriminable (sdis = - 0.34; p = 0.0; srand = - 6.0e-5) with E-Cadherin, Caveolin-1, Akt_pS473, Cyclin_B1, ER-alpha, Akt_pT308, YAP_pS127, S6_pS240_S244, and Cyclin_E1 decreased and HSP70, Syk, Lck, Src_pY416, and Src_pY527 increased in CDK4 amplified cases. ('CDK4', 'Gene', '1019', (317, 321)) ('Cyclin_B1', 'Gene', (176, 185)) ('decreased', 'NegReg', (248, 257)) ('Lck', 'Gene', (274, 277)) ('ER-alpha', 'Gene', (187, 195)) ('E-Cadherin', 'Gene', '999', (141, 151)) ('ER-alpha', 'Gene', '2099', (187, 195)) ('increased', 'PosReg', (304, 313)) ('sdis', 'Chemical', '-', (94, 98)) ('sarcoma', 'Disease', 'MESH:D012509', (4, 11)) ('Syk', 'Gene', '6850', (269, 272)) ('Cyclin_B1', 'Gene', '891', (176, 185)) ('CDK4', 'Gene', (35, 39)) ('HSP70', 'Gene', (262, 267)) ('ran', 'Gene', (119, 122)) ('sarcoma', 'Disease', (4, 11)) ('ran', 'Gene', '5901', (119, 122)) ('Syk', 'Gene', (269, 272)) ('Cyclin_E1', 'Gene', '898', (238, 247)) ('E-Cadherin', 'Gene', (141, 151)) ('Caveolin-1', 'Gene', (153, 163)) ('CDK4', 'Gene', (317, 321)) ('CDK4', 'Gene', '1019', (35, 39)) ('sarcoma', 'Phenotype', 'HP:0100242', (4, 11)) ('Src_pY416', 'Var', (279, 288)) ('Caveolin-1', 'Gene', '857', (153, 163)) ('Src_pY527', 'Var', (294, 303)) ('Cyclin_E1', 'Gene', (238, 247)) ('HSP70', 'Gene', '3308', (262, 267)) ('Lck', 'Gene', '3932', (274, 277)) 52850 30442178 EGFR mutations are actionable in non-small cell lung cancer (OncoKB level 1). ('EGFR', 'Gene', (0, 4)) ('non-small cell lung cancer', 'Disease', (33, 59)) ('small cell lung cancer', 'Phenotype', 'HP:0030357', (37, 59)) ('mutations', 'Var', (5, 14)) ('cancer', 'Phenotype', 'HP:0002664', (53, 59)) ('lung cancer', 'Phenotype', 'HP:0100526', (48, 59)) ('non-small cell lung cancer', 'Phenotype', 'HP:0030358', (33, 59)) ('EGFR', 'Gene', '1956', (0, 4)) ('non-small cell lung cancer', 'Disease', 'MESH:D002289', (33, 59)) 52852 30442178 Lung adenocarcinoma (LUAD) cases with actionable mutation of EGFR are discriminable from those without by protein profile (sdis = - 0.44; p = 5.9e-4; srand = 3.1e-5). ('sdis', 'Chemical', '-', (123, 127)) ('LUAD', 'Phenotype', 'HP:0030078', (21, 25)) ('ran', 'Gene', (151, 154)) ('ran', 'Gene', '5901', (151, 154)) ('mutation', 'Var', (49, 57)) ('carcinoma', 'Phenotype', 'HP:0030731', (10, 19)) ('Lung adenocarcinoma', 'Phenotype', 'HP:0030078', (0, 19)) ('Lung adenocarcinoma', 'Disease', (0, 19)) ('Lung adenocarcinoma', 'Disease', 'MESH:D000077192', (0, 19)) ('EGFR', 'Gene', '1956', (61, 65)) ('EGFR', 'Gene', (61, 65)) 52853 30442178 EGFR_pY1068 levels are increased for cases with the respective mutations, and Claudin-7 levels are decreased among those cases. ('mutations', 'Var', (63, 72)) ('decreased', 'NegReg', (99, 108)) ('EGFR', 'Gene', (0, 4)) ('Claudin-7', 'Gene', '1366', (78, 87)) ('increased', 'PosReg', (23, 32)) ('EGFR', 'Gene', '1956', (0, 4)) ('Claudin-7', 'Gene', (78, 87)) 52854 30442178 ERBB2/HER2 amplification is actionable in breast cancer and gastric cancer (level 1 evidence, FDA-approved). ('cancer', 'Phenotype', 'HP:0002664', (68, 74)) ('ERBB2', 'Gene', '2064', (0, 5)) ('cancer', 'Phenotype', 'HP:0002664', (49, 55)) ('ERBB2', 'Gene', (0, 5)) ('gastric cancer', 'Disease', (60, 74)) ('breast cancer', 'Disease', 'MESH:D001943', (42, 55)) ('breast cancer', 'Phenotype', 'HP:0003002', (42, 55)) ('gastric cancer', 'Disease', 'MESH:D013274', (60, 74)) ('breast cancer', 'Disease', (42, 55)) ('HER2', 'Gene', (6, 10)) ('HER2', 'Gene', '2064', (6, 10)) ('gastric cancer', 'Phenotype', 'HP:0012126', (60, 74)) ('amplification', 'Var', (11, 24)) 52864 30442178 Two histological tumor types in which ERBB2 amplification has a similar impact on proteins are breast (BRCA) and gastric (STAD) cancers (p = 2.3e-3). ('cancers', 'Phenotype', 'HP:0002664', (128, 135)) ('tumor', 'Disease', (17, 22)) ('BRCA', 'Gene', '672', (103, 107)) ('BRCA', 'Gene', (103, 107)) ('gastric (STAD) cancers', 'Disease', 'MESH:D013274', (113, 135)) ('amplification', 'Var', (44, 57)) ('ERBB2', 'Gene', (38, 43)) ('proteins', 'MPA', (82, 90)) ('ERBB2', 'Gene', '2064', (38, 43)) ('cancer', 'Phenotype', 'HP:0002664', (128, 134)) ('tumor', 'Disease', 'MESH:D009369', (17, 22)) ('impact', 'Reg', (72, 78)) ('tumor', 'Phenotype', 'HP:0002664', (17, 22)) 52869 30442178 For FGFR1 amplification, clinical evidence (OncoKB level 3) exists on its actionability in lung squamous cell carcinomas. ('carcinoma', 'Phenotype', 'HP:0030731', (110, 119)) ('FGFR1', 'Gene', (4, 9)) ('carcinomas', 'Phenotype', 'HP:0030731', (110, 120)) ('lung squamous cell carcinomas', 'Disease', (91, 120)) ('FGFR1', 'Gene', '2260', (4, 9)) ('amplification', 'Var', (10, 23)) ('squamous cell carcinomas', 'Phenotype', 'HP:0002860', (96, 120)) ('lung squamous cell carcinomas', 'Disease', 'MESH:D002294', (91, 120)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (96, 119)) 52870 30442178 Our analysis shows that besides lung squamous cell carcinoma, protein expression of amplified cases is discriminable from non-amplified cases in renal clear cell carcinoma, testicular germ cell tumors, lung adenocarcinoma, endometrial carcinoma, breast cancer, and thymoma (all currently not reported by OncoKB). ('endometrial carcinoma', 'Disease', 'MESH:D016889', (223, 244)) ('breast cancer', 'Phenotype', 'HP:0003002', (246, 259)) ('renal clear cell carcinoma', 'Disease', 'MESH:C538614', (145, 171)) ('renal clear cell carcinoma', 'Disease', (145, 171)) ('thymoma', 'Disease', (265, 272)) ('thymoma', 'Phenotype', 'HP:0100522', (265, 272)) ('breast cancer', 'Disease', 'MESH:D001943', (246, 259)) ('breast cancer', 'Disease', (246, 259)) ('lung adenocarcinoma', 'Disease', (202, 221)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (37, 60)) ('carcinoma', 'Phenotype', 'HP:0030731', (212, 221)) ('tumors', 'Phenotype', 'HP:0002664', (194, 200)) ('lung squamous cell carcinoma', 'Disease', 'MESH:D002294', (32, 60)) ('lung squamous cell carcinoma', 'Disease', (32, 60)) ('lung adenocarcinoma', 'Disease', 'MESH:D000077192', (202, 221)) ('endometrial carcinoma', 'Disease', (223, 244)) ('carcinoma', 'Phenotype', 'HP:0030731', (235, 244)) ('tumor', 'Phenotype', 'HP:0002664', (194, 199)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (202, 221)) ('tumors', 'Disease', (194, 200)) ('cancer', 'Phenotype', 'HP:0002664', (253, 259)) ('carcinoma', 'Phenotype', 'HP:0030731', (162, 171)) ('protein expression', 'MPA', (62, 80)) ('thymoma', 'Disease', 'MESH:D013945', (265, 272)) ('testicular', 'Disease', (173, 183)) ('amplified', 'Var', (84, 93)) ('endometrial carcinoma', 'Phenotype', 'HP:0012114', (223, 244)) ('tumors', 'Disease', 'MESH:D009369', (194, 200)) ('carcinoma', 'Phenotype', 'HP:0030731', (51, 60)) 52873 30442178 A cross-cancer effect is found between breast cancer and lung adenocarcinoma with HER2, HER2_pY1248, and EGFR_pY1068 levels decrease and 4E-BP1 levels increase associated with FGFR1 amplification for both histological tumor types. ('breast cancer', 'Phenotype', 'HP:0003002', (39, 52)) ('A cross-cancer', 'Disease', 'MESH:C537866', (0, 14)) ('increase', 'PosReg', (151, 159)) ('HER2', 'Gene', '2064', (88, 92)) ('4E-BP1', 'Gene', (137, 143)) ('decrease', 'NegReg', (124, 132)) ('EGFR', 'Gene', (105, 109)) ('breast cancer', 'Disease', 'MESH:D001943', (39, 52)) ('tumor', 'Disease', (218, 223)) ('breast cancer', 'Disease', (39, 52)) ('A cross-cancer', 'Disease', (0, 14)) ('tumor', 'Disease', 'MESH:D009369', (218, 223)) ('lung adenocarcinoma', 'Disease', (57, 76)) ('HER2', 'Gene', (82, 86)) ('cancer', 'Phenotype', 'HP:0002664', (8, 14)) ('FGFR1', 'Gene', '2260', (176, 181)) ('HER2', 'Gene', (88, 92)) ('EGFR', 'Gene', '1956', (105, 109)) ('tumor', 'Phenotype', 'HP:0002664', (218, 223)) ('cancer', 'Phenotype', 'HP:0002664', (46, 52)) ('lung adenocarcinoma', 'Disease', 'MESH:D000077192', (57, 76)) ('4E-BP1', 'Gene', '1978', (137, 143)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (57, 76)) ('carcinoma', 'Phenotype', 'HP:0030731', (67, 76)) ('FGFR1', 'Gene', (176, 181)) ('HER2', 'Gene', '2064', (82, 86)) ('levels', 'MPA', (144, 150)) ('amplification', 'Var', (182, 195)) 52874 30442178 Certain FGFR3 mutations are actionable in bladder cancer (OncoKB level 3). ('bladder cancer', 'Phenotype', 'HP:0009725', (42, 56)) ('FGFR3', 'Gene', '2261', (8, 13)) ('cancer', 'Phenotype', 'HP:0002664', (50, 56)) ('actionable', 'Reg', (28, 38)) ('bladder cancer', 'Disease', 'MESH:D001749', (42, 56)) ('bladder cancer', 'Disease', (42, 56)) ('mutations', 'Var', (14, 23)) ('FGFR3', 'Gene', (8, 13)) 52875 30442178 Targetable FGFR3 mutations are only frequent enough in urothelial and bladder carcinoma for our analysis. ('frequent', 'Reg', (36, 44)) ('bladder carcinoma', 'Phenotype', 'HP:0002862', (70, 87)) ('FGFR3', 'Gene', '2261', (11, 16)) ('carcinoma', 'Phenotype', 'HP:0030731', (78, 87)) ('bladder carcinoma', 'Disease', 'MESH:D001749', (70, 87)) ('FGFR3', 'Gene', (11, 16)) ('bladder carcinoma', 'Disease', (70, 87)) ('urothelial', 'Disease', (55, 65)) ('mutations', 'Var', (17, 26)) 52876 30442178 The protein profiles of cases with at least one of these mutations are discriminable from the profiles of those without (sdis = - 0.76; p = 2.7e-3; srand = - 1.3e-5). ('ran', 'Gene', '5901', (149, 152)) ('mutations', 'Var', (57, 66)) ('sdis', 'Chemical', '-', (121, 125)) ('ran', 'Gene', (149, 152)) 52877 30442178 E-Cadherin, beta-Catenin, HER2, Ku80, PTEN, IRS1, and 53BP1 are increased among cases having one or more specific FGF3 mutation. ('53BP1', 'Gene', (54, 59)) ('53BP1', 'Gene', '7158', (54, 59)) ('FGF3', 'Gene', (114, 118)) ('mutation', 'Var', (119, 127)) ('Ku80', 'Gene', '7520', (32, 36)) ('beta-Catenin', 'Gene', '1499', (12, 24)) ('PTEN', 'Gene', '5728', (38, 42)) ('Ku80', 'Gene', (32, 36)) ('HER2', 'Gene', (26, 30)) ('E-Cadherin', 'Gene', (0, 10)) ('FGF3', 'Gene', '2248', (114, 118)) ('IRS1', 'Gene', '3667', (44, 48)) ('IRS1', 'Gene', (44, 48)) ('HER2', 'Gene', '2064', (26, 30)) ('increased', 'PosReg', (64, 73)) ('E-Cadherin', 'Gene', '999', (0, 10)) ('PTEN', 'Gene', (38, 42)) ('beta-Catenin', 'Gene', (12, 24)) 52878 30442178 IDH1 mutations are actionable in acute myeloid leukemia, cholangiocarcinoma, and glioma (OncoKB level 3). ('leukemia', 'Phenotype', 'HP:0001909', (47, 55)) ('cholangiocarcinoma', 'Disease', 'MESH:D018281', (57, 75)) ('carcinoma', 'Phenotype', 'HP:0030731', (66, 75)) ('glioma', 'Phenotype', 'HP:0009733', (81, 87)) ('cholangiocarcinoma', 'Phenotype', 'HP:0030153', (57, 75)) ('acute myeloid leukemia', 'Disease', (33, 55)) ('myeloid leukemia', 'Phenotype', 'HP:0012324', (39, 55)) ('mutations', 'Var', (5, 14)) ('glioma', 'Disease', (81, 87)) ('acute myeloid leukemia', 'Disease', 'MESH:D015470', (33, 55)) ('glioma', 'Disease', 'MESH:D005910', (81, 87)) ('acute myeloid leukemia', 'Phenotype', 'HP:0004808', (33, 55)) ('IDH1', 'Gene', (0, 4)) ('cholangiocarcinoma', 'Disease', (57, 75)) ('IDH1', 'Gene', '3417', (0, 4)) 52879 30442178 Specific IDH1 mutations lead to discriminable protein profiles for low-grade glioma (sdis = - 0.47; p = 0.0; srand = - 3.1e-6) and glioblastoma (sdis = - 1.59; p = 5.0e-4; srand = - 1.0e-5). ('glioma', 'Disease', 'MESH:D005910', (77, 83)) ('IDH1', 'Gene', (9, 13)) ('glioblastoma', 'Phenotype', 'HP:0012174', (131, 143)) ('sdis', 'Chemical', '-', (85, 89)) ('IDH1', 'Gene', '3417', (9, 13)) ('ran', 'Gene', (110, 113)) ('ran', 'Gene', '5901', (110, 113)) ('glioma', 'Disease', (77, 83)) ('ran', 'Gene', (173, 176)) ('protein profiles', 'MPA', (46, 62)) ('ran', 'Gene', '5901', (173, 176)) ('sdis', 'Chemical', '-', (145, 149)) ('mutations', 'Var', (14, 23)) ('glioblastoma', 'Disease', (131, 143)) ('glioma', 'Phenotype', 'HP:0009733', (77, 83)) ('glioblastoma', 'Disease', 'MESH:D005909', (131, 143)) 52881 30442178 For glioblastoma IGFBP2, EGFR_pY1068, HER2_pY1248, Caveolin-1, Akt_pT308, Fibronectin, Collagen_VI, and EGFR_pY1173 are decreased in the group of mutated cases. ('decreased', 'NegReg', (120, 129)) ('Fibronectin', 'Gene', (74, 85)) ('HER2', 'Gene', (38, 42)) ('EGFR', 'Gene', (25, 29)) ('mutated', 'Var', (146, 153)) ('EGFR', 'Gene', (104, 108)) ('Caveolin-1', 'Gene', '857', (51, 61)) ('glioblastoma', 'Disease', (4, 16)) ('glioblastoma', 'Disease', 'MESH:D005909', (4, 16)) ('Caveolin-1', 'Gene', (51, 61)) ('Fibronectin', 'Gene', '2335', (74, 85)) ('glioblastoma', 'Phenotype', 'HP:0012174', (4, 16)) ('IGFBP2', 'Gene', '3485', (17, 23)) ('IGFBP2', 'Gene', (17, 23)) ('EGFR', 'Gene', '1956', (25, 29)) ('HER2', 'Gene', '2064', (38, 42)) ('EGFR', 'Gene', '1956', (104, 108)) 52882 30442178 Therefore, IGFBP2, EGFR_pY1068, HER2_pY1248, and EGFR_pY1173 are affected in the same way by IDH1 mutations in low-grade glioma and glioblastoma, and we report a cross-cancer effect for those groups. ('HER2', 'Gene', '2064', (32, 36)) ('EGFR', 'Gene', (19, 23)) ('glioblastoma', 'Disease', (132, 144)) ('glioma', 'Disease', (121, 127)) ('cancer', 'Phenotype', 'HP:0002664', (168, 174)) ('glioblastoma', 'Phenotype', 'HP:0012174', (132, 144)) ('EGFR', 'Gene', (49, 53)) ('glioma', 'Disease', 'MESH:D005910', (121, 127)) ('cross-cancer', 'Disease', 'MESH:C537866', (162, 174)) ('IDH1', 'Gene', (93, 97)) ('HER2', 'Gene', (32, 36)) ('EGFR', 'Gene', '1956', (19, 23)) ('glioma', 'Phenotype', 'HP:0009733', (121, 127)) ('cross-cancer', 'Disease', (162, 174)) ('IGFBP2', 'Gene', '3485', (11, 17)) ('EGFR', 'Gene', '1956', (49, 53)) ('IDH1', 'Gene', '3417', (93, 97)) ('mutations', 'Var', (98, 107)) ('affected', 'Reg', (65, 73)) ('glioblastoma', 'Disease', 'MESH:D005909', (132, 144)) ('IGFBP2', 'Gene', (11, 17)) 52883 30442178 KIT mutations are actionable in gastrointestinal stromal tumors (OncoKB level 1). ('gastrointestinal stromal tumors', 'Disease', (32, 63)) ('tumor', 'Phenotype', 'HP:0002664', (57, 62)) ('tumors', 'Phenotype', 'HP:0002664', (57, 63)) ('mutations', 'Var', (4, 13)) ('gastrointestinal stromal tumors', 'Disease', 'MESH:D046152', (32, 63)) ('KIT', 'Gene', (0, 3)) ('gastrointestinal stromal tumors', 'Phenotype', 'HP:0100723', (32, 63)) 52884 30442178 For the tested KIT mutations, only testicular germ cell tumors (TGCT) had enough mutated cases sufficient for our analysis. ('tumor', 'Phenotype', 'HP:0002664', (56, 61)) ('KIT', 'Gene', (15, 18)) ('mutations', 'Var', (19, 28)) ('tumors', 'Disease', (56, 62)) ('tumors', 'Disease', 'MESH:D009369', (56, 62)) ('tumors', 'Phenotype', 'HP:0002664', (56, 62)) 52885 30442178 The protein profiles of the mutated and wild-type cases are discriminable (sdis = - 0.90; p = 4.5e-3; srand = - 2.6e-4) with decreased E-Cadherin and Fibronectin expression in wildtype cases and increased c-Kit, STAT5-alpha, and Syk expression levels. ('Fibronectin', 'Gene', '2335', (150, 161)) ('mutated', 'Var', (28, 35)) ('c-Kit', 'Gene', (205, 210)) ('Fibronectin', 'Gene', (150, 161)) ('E-Cadherin', 'Gene', '999', (135, 145)) ('expression levels', 'MPA', (233, 250)) ('sdis', 'Chemical', '-', (75, 79)) ('c-Kit', 'Gene', '3815', (205, 210)) ('decreased', 'NegReg', (125, 134)) ('Syk', 'Gene', '6850', (229, 232)) ('STAT5-alpha', 'Gene', '6776', (212, 223)) ('expression', 'MPA', (162, 172)) ('ran', 'Gene', (103, 106)) ('ran', 'Gene', '5901', (103, 106)) ('Syk', 'Gene', (229, 232)) ('STAT5-alpha', 'Gene', (212, 223)) ('increased', 'PosReg', (195, 204)) ('E-Cadherin', 'Gene', (135, 145)) 52887 30442178 KRAS/NRAS mutations are therapeutically relevant for melanomas, colorectal cancer, and thyroid cancer (OncoKB level 3). ('melanomas', 'Disease', (53, 62)) ('KRAS', 'Gene', '3845', (0, 4)) ('colorectal cancer', 'Disease', (64, 81)) ('NRAS', 'Gene', (5, 9)) ('cancer', 'Phenotype', 'HP:0002664', (95, 101)) ('thyroid cancer', 'Disease', 'MESH:D013964', (87, 101)) ('melanoma', 'Phenotype', 'HP:0002861', (53, 61)) ('melanomas', 'Phenotype', 'HP:0002861', (53, 62)) ('NRAS', 'Gene', '4893', (5, 9)) ('colorectal cancer', 'Disease', 'MESH:D015179', (64, 81)) ('melanomas', 'Disease', 'MESH:D008545', (53, 62)) ('rectal cancer', 'Phenotype', 'HP:0100743', (68, 81)) ('cancer', 'Phenotype', 'HP:0002664', (75, 81)) ('mutations', 'Var', (10, 19)) ('KRAS', 'Gene', (0, 4)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (64, 81)) ('thyroid cancer', 'Phenotype', 'HP:0002890', (87, 101)) ('thyroid cancer', 'Disease', (87, 101)) 52888 30442178 Specific KRAS/NRAS mutations are correlated with differences in protein profiles for melanomas and thyroid cancer and also for testicular germ cell tumors, endometrial carcinoma, and lung adenocarcinoma (in conformity with OncoKB level 4 data). ('melanomas', 'Disease', (85, 94)) ('carcinoma', 'Phenotype', 'HP:0030731', (193, 202)) ('thyroid cancer', 'Disease', (99, 113)) ('differences', 'Reg', (49, 60)) ('endometrial carcinoma', 'Phenotype', 'HP:0012114', (156, 177)) ('carcinoma', 'Phenotype', 'HP:0030731', (168, 177)) ('NRAS', 'Gene', '4893', (14, 18)) ('tumor', 'Phenotype', 'HP:0002664', (148, 153)) ('endometrial carcinoma', 'Disease', 'MESH:D016889', (156, 177)) ('KRAS', 'Gene', '3845', (9, 13)) ('melanomas', 'Phenotype', 'HP:0002861', (85, 94)) ('tumors', 'Phenotype', 'HP:0002664', (148, 154)) ('thyroid cancer', 'Disease', 'MESH:D013964', (99, 113)) ('protein profiles', 'MPA', (64, 80)) ('lung adenocarcinoma', 'Disease', (183, 202)) ('KRAS', 'Gene', (9, 13)) ('thyroid cancer', 'Phenotype', 'HP:0002890', (99, 113)) ('melanoma', 'Phenotype', 'HP:0002861', (85, 93)) ('tumors', 'Disease', (148, 154)) ('NRAS', 'Gene', (14, 18)) ('cancer', 'Phenotype', 'HP:0002664', (107, 113)) ('lung adenocarcinoma', 'Disease', 'MESH:D000077192', (183, 202)) ('mutations', 'Var', (19, 28)) ('melanomas', 'Disease', 'MESH:D008545', (85, 94)) ('tumors', 'Disease', 'MESH:D009369', (148, 154)) ('endometrial carcinoma', 'Disease', (156, 177)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (183, 202)) 52891 30442178 For melanoma (sdis = - 0.16; p = 1.0e-3; and = 5.2e-6) E-Cadherin, Caveolin-1, and c-Kit expression levels are decreased for mutated cases, and MAPK_pT202_Y204 is increased. ('E-Cadherin', 'Gene', '999', (55, 65)) ('mutated', 'Var', (125, 132)) ('MAPK_pT202_Y204', 'Var', (144, 159)) ('decreased', 'NegReg', (111, 120)) ('sdis', 'Chemical', '-', (14, 18)) ('expression levels', 'MPA', (89, 106)) ('Caveolin-1', 'Gene', '857', (67, 77)) ('c-Kit', 'Gene', (83, 88)) ('c-Kit', 'Gene', '3815', (83, 88)) ('E-Cadherin', 'Gene', (55, 65)) ('melanoma', 'Phenotype', 'HP:0002861', (4, 12)) ('melanoma', 'Disease', (4, 12)) ('Caveolin-1', 'Gene', (67, 77)) ('melanoma', 'Disease', 'MESH:D008545', (4, 12)) 52892 30442178 For thyroid carcinoma (sdis = - 1.53; p = 0.0; srand = - 3.0e-4), the level of Fibronectin is decreased in mutated cases. ('sdis', 'Chemical', '-', (23, 27)) ('carcinoma', 'Phenotype', 'HP:0030731', (12, 21)) ('mutated', 'Var', (107, 114)) ('ran', 'Gene', (48, 51)) ('ran', 'Gene', '5901', (48, 51)) ('thyroid carcinoma', 'Disease', 'MESH:D013964', (4, 21)) ('decreased', 'NegReg', (94, 103)) ('Fibronectin', 'Gene', '2335', (79, 90)) ('Fibronectin', 'Gene', (79, 90)) ('thyroid carcinoma', 'Phenotype', 'HP:0002890', (4, 21)) ('thyroid carcinoma', 'Disease', (4, 21)) 52893 30442178 For lung adenocarcinoma and endometrial carcinoma, we observed a cross-cancer effect for KRAS/NRAS-mutated cases as ATM levels are decreased, and MAPK_pT202_Y204, Claudin-7, S6_pS235_S236, and MEK1_pS217_S221 are increased in both histological tumor types consistently. ('S6_pS235_S236', 'Var', (174, 187)) ('endometrial carcinoma', 'Disease', (28, 49)) ('Claudin-7', 'Gene', '1366', (163, 172)) ('lung adenocarcinoma', 'Disease', (4, 23)) ('tumor', 'Phenotype', 'HP:0002664', (244, 249)) ('endometrial carcinoma', 'Phenotype', 'HP:0012114', (28, 49)) ('NRAS', 'Gene', '4893', (94, 98)) ('carcinoma', 'Phenotype', 'HP:0030731', (40, 49)) ('cancer', 'Phenotype', 'HP:0002664', (71, 77)) ('MEK', 'Gene', '5609', (193, 196)) ('ATM', 'Gene', '472', (116, 119)) ('carcinoma', 'Phenotype', 'HP:0030731', (14, 23)) ('KRAS', 'Gene', '3845', (89, 93)) ('endometrial carcinoma', 'Disease', 'MESH:D016889', (28, 49)) ('lung adenocarcinoma', 'Disease', 'MESH:D000077192', (4, 23)) ('cross-cancer', 'Disease', 'MESH:C537866', (65, 77)) ('MEK', 'Gene', (193, 196)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (4, 23)) ('MAPK_pT202_Y204', 'Var', (146, 161)) ('KRAS', 'Gene', (89, 93)) ('NRAS', 'Gene', (94, 98)) ('tumor', 'Disease', (244, 249)) ('cross-cancer', 'Disease', (65, 77)) ('decreased', 'NegReg', (131, 140)) ('ATM', 'Gene', (116, 119)) ('Claudin-7', 'Gene', (163, 172)) ('tumor', 'Disease', 'MESH:D009369', (244, 249)) ('increased', 'PosReg', (213, 222)) 52894 30442178 MDM2 amplification is actionable in liposarcoma (OncoKB level 3). ('liposarcoma', 'Disease', (36, 47)) ('amplification', 'Var', (5, 18)) ('liposarcoma', 'Phenotype', 'HP:0012034', (36, 47)) ('liposarcoma', 'Disease', 'MESH:D008080', (36, 47)) ('MDM2', 'Gene', '4193', (0, 4)) ('MDM2', 'Gene', (0, 4)) ('sarcoma', 'Phenotype', 'HP:0100242', (40, 47)) 52895 30442178 Besides sarcoma, the protein profiles of cases with MDM2 amplification are discriminable from those with normal copy numbers for renal clear cell carcinoma, lung adenocarcinoma, thyroid carcinoma, breast cancer, ovarian carcinoma, and low-grade glioma (all currently not reported by OncoKB). ('carcinoma', 'Phenotype', 'HP:0030731', (167, 176)) ('sarcoma', 'Phenotype', 'HP:0100242', (8, 15)) ('MDM2', 'Gene', (52, 56)) ('renal clear cell carcinoma', 'Disease', 'MESH:C538614', (129, 155)) ('glioma', 'Phenotype', 'HP:0009733', (245, 251)) ('lung adenocarcinoma', 'Disease', 'MESH:D000077192', (157, 176)) ('renal clear cell carcinoma', 'Disease', (129, 155)) ('breast cancer', 'Phenotype', 'HP:0003002', (197, 210)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (157, 176)) ('thyroid carcinoma', 'Disease', 'MESH:D013964', (178, 195)) ('MDM2', 'Gene', '4193', (52, 56)) ('carcinoma', 'Phenotype', 'HP:0030731', (220, 229)) ('breast cancer', 'Disease', 'MESH:D001943', (197, 210)) ('thyroid carcinoma', 'Disease', (178, 195)) ('breast cancer', 'Disease', (197, 210)) ('amplification', 'Var', (57, 70)) ('cancer', 'Phenotype', 'HP:0002664', (204, 210)) ('ovarian carcinoma', 'Disease', 'MESH:D010051', (212, 229)) ('ovarian carcinoma', 'Disease', (212, 229)) ('thyroid carcinoma', 'Phenotype', 'HP:0002890', (178, 195)) ('carcinoma', 'Phenotype', 'HP:0030731', (146, 155)) ('sarcoma', 'Disease', 'MESH:D012509', (8, 15)) ('carcinoma', 'Phenotype', 'HP:0030731', (186, 195)) ('sarcoma', 'Disease', (8, 15)) ('glioma', 'Disease', (245, 251)) ('ovarian carcinoma', 'Phenotype', 'HP:0025318', (212, 229)) ('lung adenocarcinoma', 'Disease', (157, 176)) ('glioma', 'Disease', 'MESH:D005910', (245, 251)) 52896 30442178 Protein levels of sarcoma cases with MDM2 amplifications are discriminable from those without, with a dissimilarity score of sdis = - 0.41 (p = 0.0; srand = - 8.9e-5). ('sarcoma', 'Disease', 'MESH:D012509', (18, 25)) ('ran', 'Gene', '5901', (150, 153)) ('sarcoma', 'Disease', (18, 25)) ('MDM2', 'Gene', '4193', (37, 41)) ('sarcoma', 'Phenotype', 'HP:0100242', (18, 25)) ('MDM2', 'Gene', (37, 41)) ('amplifications', 'Var', (42, 56)) ('sdis', 'Chemical', '-', (125, 129)) ('ran', 'Gene', (150, 153)) ('Protein levels', 'MPA', (0, 14)) 52897 30442178 Amplified cases show decreased levels of E-Cadherin, Akt_pS473, Akt_pT308, ER-alpha, Caveolin-1, S6_pS240_S244, S6_pS235_S236, and Cyclin_B1 and increased levels of HSP70, Syk, and Lck. ('Lck', 'Gene', (181, 184)) ('Akt_pT308', 'Gene', (64, 73)) ('HSP70', 'Gene', '3308', (165, 170)) ('Cyclin_B1', 'Gene', '891', (131, 140)) ('Caveolin-1', 'Gene', (85, 95)) ('E-Cadherin', 'Gene', (41, 51)) ('Caveolin-1', 'Gene', '857', (85, 95)) ('S6_pS240_S244', 'Var', (97, 110)) ('levels', 'MPA', (155, 161)) ('ER-alpha', 'Gene', (75, 83)) ('increased', 'PosReg', (145, 154)) ('ER-alpha', 'Gene', '2099', (75, 83)) ('Syk', 'Gene', '6850', (172, 175)) ('HSP70', 'Gene', (165, 170)) ('S6_pS235_S236', 'Var', (112, 125)) ('Syk', 'Gene', (172, 175)) ('decreased', 'NegReg', (21, 30)) ('Cyclin_B1', 'Gene', (131, 140)) ('Lck', 'Gene', '3932', (181, 184)) ('Akt_pS473', 'Protein', (53, 62)) ('E-Cadherin', 'Gene', '999', (41, 51)) 52900 30442178 In addition to these histotypes, we found 11 other histological tumor types (renal clear cell carcinoma, low-grade glioma, renal papillary cell carcinoma, colon carcinoma, thyroid carcinoma, thymoma, sarcoma, lung adenocarcinoma, testicular germ cell tumors, prostate adenocarcinoma, glioblastoma, breast and ovarian carcinoma) where MET amplification is associated with a significant change in protein expression. ('glioma', 'Disease', (115, 121)) ('tumor', 'Disease', (251, 256)) ('breast and ovarian carcinoma', 'Disease', 'MESH:D001943', (298, 326)) ('glioblastoma', 'Phenotype', 'HP:0012174', (284, 296)) ('protein expression', 'MPA', (395, 413)) ('sarcoma', 'Phenotype', 'HP:0100242', (200, 207)) ('MET amplification', 'Var', (334, 351)) ('glioma', 'Disease', 'MESH:D005910', (115, 121)) ('carcinoma', 'Phenotype', 'HP:0030731', (144, 153)) ('tumor', 'Disease', 'MESH:D009369', (251, 256)) ('lung adenocarcinoma', 'Disease', (209, 228)) ('thyroid carcinoma', 'Disease', 'MESH:D013964', (172, 189)) ('thymoma', 'Disease', 'MESH:D013945', (191, 198)) ('tumor', 'Phenotype', 'HP:0002664', (64, 69)) ('thyroid carcinoma', 'Disease', (172, 189)) ('renal papillary cell carcinoma', 'Disease', (123, 153)) ('tumors', 'Phenotype', 'HP:0002664', (251, 257)) ('glioma', 'Phenotype', 'HP:0009733', (115, 121)) ('lung adenocarcinoma', 'Disease', 'MESH:D000077192', (209, 228)) ('thymoma', 'Disease', (191, 198)) ('tumor', 'Phenotype', 'HP:0002664', (251, 256)) ('thyroid carcinoma', 'Phenotype', 'HP:0002890', (172, 189)) ('thymoma', 'Phenotype', 'HP:0100522', (191, 198)) ('carcinoma', 'Phenotype', 'HP:0030731', (94, 103)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (209, 228)) ('carcinoma', 'Phenotype', 'HP:0030731', (180, 189)) ('prostate adenocarcinoma', 'Disease', (259, 282)) ('tumors', 'Disease', (251, 257)) ('colon carcinoma', 'Disease', (155, 170)) ('change', 'Reg', (385, 391)) ('renal clear cell carcinoma', 'Disease', 'MESH:C538614', (77, 103)) ('ovarian carcinoma', 'Phenotype', 'HP:0025318', (309, 326)) ('renal clear cell carcinoma', 'Disease', (77, 103)) ('renal papillary cell carcinoma', 'Disease', 'MESH:C538614', (123, 153)) ('carcinoma', 'Phenotype', 'HP:0030731', (219, 228)) ('tumor', 'Disease', (64, 69)) ('glioblastoma', 'Disease', 'MESH:D005909', (284, 296)) ('sarcoma', 'Disease', 'MESH:D012509', (200, 207)) ('tumors', 'Disease', 'MESH:D009369', (251, 257)) ('colon carcinoma', 'Disease', 'MESH:D015179', (155, 170)) ('sarcoma', 'Disease', (200, 207)) ('prostate adenocarcinoma', 'Disease', 'MESH:D011471', (259, 282)) ('tumor', 'Disease', 'MESH:D009369', (64, 69)) ('carcinoma', 'Phenotype', 'HP:0030731', (161, 170)) ('glioblastoma', 'Disease', (284, 296)) 52903 30442178 MET amplification is present in renal clear cell carcinoma cases, and protein profiles of amplified and non-amplified cases can be discriminated (sdis = - 0.18; p = 0.0; srand = - 2.0e-5; Src_pY527, Bcl-2, beta-Catenin, PTEN, MAPK_pT202_Y204 are decreased in amplified cases and ACC1, Cyclin_B1, ASNS, ACC_pS79, and Transglutaminase are increased). ('Cyclin_B1', 'Gene', '891', (285, 294)) ('ran', 'Gene', (171, 174)) ('ran', 'Gene', '5901', (171, 174)) ('beta-Catenin', 'Gene', '1499', (206, 218)) ('ASNS', 'Gene', (296, 300)) ('Src_pY527', 'Var', (188, 197)) ('PTEN', 'Gene', '5728', (220, 224)) ('carcinoma', 'Phenotype', 'HP:0030731', (49, 58)) ('increased', 'PosReg', (337, 346)) ('ACC_pS79', 'MPA', (302, 310)) ('ACC1', 'Gene', (279, 283)) ('renal clear cell carcinoma', 'Disease', 'MESH:C538614', (32, 58)) ('beta-Catenin', 'Gene', (206, 218)) ('MAPK_pT202_Y204', 'Gene', (226, 241)) ('renal clear cell carcinoma', 'Disease', (32, 58)) ('decreased', 'NegReg', (246, 255)) ('ACC1', 'Gene', '597', (279, 283)) ('Cyclin_B1', 'Gene', (285, 294)) ('ran', 'Gene', (317, 320)) ('ran', 'Gene', '5901', (317, 320)) ('sdis', 'Chemical', '-', (146, 150)) ('Bcl-2', 'Gene', (199, 204)) ('ASNS', 'Gene', '440', (296, 300)) ('PTEN', 'Gene', (220, 224)) ('Bcl-2', 'Gene', '596', (199, 204)) 52905 30442178 PIK3CA activating mutations are actionable for breast cancer (OncoKB evidence level 3). ('breast cancer', 'Disease', (47, 60)) ('activating', 'PosReg', (7, 17)) ('breast cancer', 'Phenotype', 'HP:0003002', (47, 60)) ('PIK3CA', 'Gene', (0, 6)) ('PIK3CA', 'Gene', '5290', (0, 6)) ('cancer', 'Phenotype', 'HP:0002664', (54, 60)) ('breast cancer', 'Disease', 'MESH:D001943', (47, 60)) ('mutations', 'Var', (18, 27)) 52907 30442178 OncoKB level 4 data lists all available histological tumor types as possibly actionable for PIK3CA activating mutations. ('mutations', 'Var', (110, 119)) ('PIK3CA', 'Gene', '5290', (92, 98)) ('tumor', 'Disease', 'MESH:D009369', (53, 58)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('tumor', 'Disease', (53, 58)) ('PIK3CA', 'Gene', (92, 98)) 52909 30442178 Breast cancer cases with PIK3CA-activating mutations are discriminable from those without (sdis = - 0.52; p = 0.0; srand = 6.2e-6) with specific proteins (increased levels) PR, ER-alpha, MAPK_pT202_Y204, Fibronectin, AR, and GATA3 in mutated cases and Cyclin_B1, Cyclin_E1, ASNS, and HER2 being decreased. ('ran', 'Gene', (116, 119)) ('ran', 'Gene', '5901', (116, 119)) ('Breast cancer', 'Phenotype', 'HP:0003002', (0, 13)) ('Cyclin_B1', 'Gene', '891', (252, 261)) ('PIK3CA', 'Gene', '5290', (25, 31)) ('increased', 'PosReg', (155, 164)) ('HER2', 'Gene', '2064', (284, 288)) ('Cyclin_E1', 'Gene', '898', (263, 272)) ('ASNS', 'Gene', '440', (274, 278)) ('cancer', 'Phenotype', 'HP:0002664', (7, 13)) ('mutated', 'Var', (234, 241)) ('GATA3', 'Gene', '2625', (225, 230)) ('PIK3CA', 'Gene', (25, 31)) ('Cyclin_E1', 'Gene', (263, 272)) ('Fibronectin', 'Gene', '2335', (204, 215)) ('Cyclin_B1', 'Gene', (252, 261)) ('sdis', 'Chemical', '-', (91, 95)) ('ASNS', 'Gene', (274, 278)) ('ER-alpha', 'Gene', (177, 185)) ('GATA3', 'Gene', (225, 230)) ('HER2', 'Gene', (284, 288)) ('Breast cancer', 'Disease', 'MESH:D001943', (0, 13)) ('mutations', 'Var', (43, 52)) ('ER-alpha', 'Gene', '2099', (177, 185)) ('Breast cancer', 'Disease', (0, 13)) ('Fibronectin', 'Gene', (204, 215)) 52913 30442178 However, many open questions remain because apart from mutations with unknown functional effects, it is often not possible even for oncogenic mutations with established clinical relevance in one cancer type to transfer knowledge of actionability to another cancer type. ('mutations', 'Var', (142, 151)) ('cancer', 'Phenotype', 'HP:0002664', (257, 263)) ('cancer', 'Disease', (195, 201)) ('cancer', 'Disease', 'MESH:D009369', (195, 201)) ('cancer', 'Disease', 'MESH:D009369', (257, 263)) ('ran', 'Gene', (211, 214)) ('ran', 'Gene', '5901', (211, 214)) ('cancer', 'Disease', (257, 263)) ('cancer', 'Phenotype', 'HP:0002664', (195, 201)) 52919 30442178 This indicates that identical genetic alterations are not translated into protein profiles in the same way in different histotypes. ('ran', 'Gene', '5901', (59, 62)) ('ran', 'Gene', (59, 62)) ('genetic alterations', 'Var', (30, 49)) 52923 30442178 In addition to showing that our analysis identifies protein-level effects for known actionable genes and corresponding cancer types, our approach also identified protein-level alterations indicative of potential novel actionable gene:cancer combinations that are so far unknown according to OncoKB including level 4 evidence (biological information). ('cancer', 'Phenotype', 'HP:0002664', (234, 240)) ('cancer', 'Disease', 'MESH:D009369', (119, 125)) ('cancer', 'Disease', (119, 125)) ('combinations', 'Var', (241, 253)) ('cancer', 'Disease', 'MESH:D009369', (234, 240)) ('cancer', 'Disease', (234, 240)) ('cancer', 'Phenotype', 'HP:0002664', (119, 125)) 52924 30442178 This includes ERBB2/HER2 amplification in endometrial carcinoma, renal papillary carcinoma, testicular germ cell tumors, urothelial carcinoma, renal clear cell carcinoma, colon carcinoma, ovarian carcinoma, thymoma, thyroid carcinoma, cervical carcinoma, and head and neck squamous cell carcinoma. ('colon carcinoma', 'Disease', 'MESH:D015179', (171, 186)) ('tumors', 'Disease', (113, 119)) ('carcinoma', 'Phenotype', 'HP:0030731', (160, 169)) ('carcinoma', 'Phenotype', 'HP:0030731', (177, 186)) ('carcinoma', 'Phenotype', 'HP:0030731', (81, 90)) ('HER2', 'Gene', (20, 24)) ('thymoma', 'Disease', 'MESH:D013945', (207, 214)) ('renal papillary carcinoma', 'Disease', (65, 90)) ('cervical carcinoma', 'Disease', (235, 253)) ('tumors', 'Disease', 'MESH:D009369', (113, 119)) ('carcinoma', 'Phenotype', 'HP:0030731', (54, 63)) ('endometrial carcinoma', 'Disease', (42, 63)) ('thyroid carcinoma', 'Disease', 'MESH:D013964', (216, 233)) ('ERBB2', 'Gene', (14, 19)) ('urothelial carcinoma', 'Disease', 'MESH:D014526', (121, 141)) ('thyroid carcinoma', 'Disease', (216, 233)) ('thymoma', 'Disease', (207, 214)) ('renal clear cell carcinoma', 'Disease', 'MESH:C538614', (143, 169)) ('cervical carcinoma', 'Disease', 'MESH:D002575', (235, 253)) ('renal clear cell carcinoma', 'Disease', (143, 169)) ('thymoma', 'Phenotype', 'HP:0100522', (207, 214)) ('neck squamous cell carcinoma', 'Disease', (268, 296)) ('ovarian carcinoma', 'Disease', 'MESH:D010051', (188, 205)) ('ERBB2', 'Gene', '2064', (14, 19)) ('ovarian carcinoma', 'Disease', (188, 205)) ('endometrial carcinoma', 'Phenotype', 'HP:0012114', (42, 63)) ('neck squamous cell carcinoma', 'Disease', 'MESH:D000077195', (268, 296)) ('thyroid carcinoma', 'Phenotype', 'HP:0002890', (216, 233)) ('HER2', 'Gene', '2064', (20, 24)) ('amplification', 'Var', (25, 38)) ('tumors', 'Phenotype', 'HP:0002664', (113, 119)) ('renal papillary carcinoma', 'Disease', 'MESH:D007681', (65, 90)) ('endometrial carcinoma', 'Disease', 'MESH:D016889', (42, 63)) ('colon carcinoma', 'Disease', (171, 186)) ('carcinoma', 'Phenotype', 'HP:0030731', (132, 141)) ('ovarian carcinoma', 'Phenotype', 'HP:0025318', (188, 205)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (273, 296)) ('tumor', 'Phenotype', 'HP:0002664', (113, 118)) ('urothelial carcinoma', 'Disease', (121, 141)) 52928 30442178 Interestingly, actionable genes with copy number alterations showed effects on protein expression for more histotypes than those with simple somatic mutations (10.2 affected tumor types on average for amplifications vs. 2.14 for simple somatic mutations). ('tumor', 'Disease', (174, 179)) ('protein expression', 'MPA', (79, 97)) ('tumor', 'Disease', 'MESH:D009369', (174, 179)) ('effects', 'Reg', (68, 75)) ('tumor', 'Phenotype', 'HP:0002664', (174, 179)) ('copy number alterations', 'Var', (37, 60)) 52932 30442178 With respect to the actionable gene analysis, our approach may underestimate the number of potentially druggable genes, but the fact that it readily identifies many well-established actionable gene, cancer combinations, such as, for instance, HER2 amplification in breast and gastric cancer, indicates its validity. ('cancer', 'Phenotype', 'HP:0002664', (199, 205)) ('cancer', 'Disease', 'MESH:D009369', (284, 290)) ('cancer', 'Disease', (284, 290)) ('HER2', 'Gene', (243, 247)) ('cancer', 'Disease', 'MESH:D009369', (199, 205)) ('cancer', 'Phenotype', 'HP:0002664', (284, 290)) ('HER2', 'Gene', '2064', (243, 247)) ('cancer', 'Disease', (199, 205)) ('gastric cancer', 'Phenotype', 'HP:0012126', (276, 290)) ('breast and gastric cancer', 'Disease', 'MESH:D013274', (265, 290)) ('amplification', 'Var', (248, 261)) 52939 30442178 By evaluating protein-level effects of genetic aberrations, our approach facilitates the identification of functionally relevant mutations and may therefore contribute to predicting actionable mutations across cancers and to guide basket trial design. ('cancer', 'Phenotype', 'HP:0002664', (210, 216)) ('mutations', 'Var', (129, 138)) ('facilitates', 'PosReg', (73, 84)) ('cancers', 'Disease', 'MESH:D009369', (210, 217)) ('cancers', 'Phenotype', 'HP:0002664', (210, 217)) ('cancers', 'Disease', (210, 217)) 53083 20814442 Aortic body tumors have been described rarely in horses and have differentiating neuroendocrine, histologic, and immunohistochemical features including negativity for cytokeratin, a marker for which the neoplastic cells in this case were strongly positive. ('horses', 'Species', '9796', (49, 55)) ('body tumors', 'Disease', (7, 18)) ('tumor', 'Phenotype', 'HP:0002664', (12, 17)) ('body tumors', 'Disease', 'MESH:D002345', (7, 18)) ('tumors', 'Phenotype', 'HP:0002664', (12, 18)) ('negativity', 'Var', (152, 162)) 53127 33467055 An additional patient showed a monoclonal rearrangement of B-cell receptor genes but no morphological features of lymphoma. ('men', 'Species', '9606', (51, 54)) ('B-cell receptor', 'Protein', (59, 74)) ('patient', 'Species', '9606', (14, 21)) ('lymphoma', 'Disease', (114, 122)) ('lymphoma', 'Disease', 'MESH:D008223', (114, 122)) ('lymphoma', 'Phenotype', 'HP:0002665', (114, 122)) ('monoclonal rearrangement', 'Var', (31, 55)) 53140 33467055 A third patient presented with non-myasthenic neurological deficits and showed anti-muscle-specific kinase (MuSK) antibodies. ('anti-muscle-specific', 'Var', (79, 99)) ('non-myasthenic neurological deficits', 'Disease', 'MESH:D009461', (31, 67)) ('myasthenic neurological deficits', 'Phenotype', 'HP:0003473', (35, 67)) ('non-myasthenic neurological deficits', 'Disease', (31, 67)) ('patient', 'Species', '9606', (8, 15)) ('MuSK', 'Gene', '4593', (108, 112)) ('neurological deficits', 'Phenotype', 'HP:0000707', (46, 67)) ('MuSK', 'Gene', (108, 112)) ('antibodies', 'Var', (114, 124)) 53151 33467055 Since the age of the lymphoma-free patients with LESA-like TH in the current series averaged 52 years, while the average age of patients with thymic MALT lymphoma was slightly higher (58 and 56 years, in our and other studies, respectively), we hypothesize that LESA-like TH could be a precursor lesion in at least a subset of thymic MALT lymphomas. ('TH', 'Phenotype', 'HP:0010516', (59, 61)) ('thymic MALT lymphomas', 'Disease', 'MESH:D018442', (327, 348)) ('LESA-like', 'Var', (49, 58)) ('lymphoma-free', 'Disease', (21, 34)) ('thymic MALT lymphoma', 'Disease', 'MESH:D018442', (327, 347)) ('lymphomas', 'Phenotype', 'HP:0002665', (339, 348)) ('thymic MALT lymphoma', 'Disease', (142, 162)) ('lymphoma', 'Phenotype', 'HP:0002665', (154, 162)) ('lymphoma', 'Phenotype', 'HP:0002665', (21, 29)) ('thymic MALT lymphoma', 'Disease', 'MESH:D018442', (142, 162)) ('lymphoma', 'Phenotype', 'HP:0002665', (339, 347)) ('lymphoma-free', 'Disease', 'MESH:D008569', (21, 34)) ('patients', 'Species', '9606', (35, 43)) ('thymic MALT lymphomas', 'Disease', (327, 348)) ('patients', 'Species', '9606', (128, 136)) ('TH', 'Phenotype', 'HP:0010516', (272, 274)) 53172 33467055 Apart from these two patients, LOMG and anti-MuSK-MG typically do not emerge in the context of thymic pathology but have been thought to reflect a loss of peripheral tolerance. ('peripheral tolerance', 'CPA', (155, 175)) ('LOMG', 'Disease', (31, 35)) ('MG', 'Chemical', 'MESH:D008274', (33, 35)) ('anti-MuSK-MG', 'Var', (40, 52)) ('MG', 'Chemical', 'MESH:D008274', (50, 52)) ('patients', 'Species', '9606', (21, 29)) ('MuSK-MG', 'CellLine', 'CVCL:1698', (45, 52)) 53202 30894954 The affected patients are most commonly between 40 and 70 years of age and have a thymoma, fewer or no B cells in the peripheral blood, hypogammaglobulinemia, inversion of the CD4-to-CD8 ratio, and defects in cell-mediated immunity. ('hypogammaglobulinemia', 'Disease', (136, 157)) ('hypogammaglobulinemia', 'Disease', 'MESH:D000361', (136, 157)) ('thymoma', 'Disease', (82, 89)) ('patients', 'Species', '9606', (13, 21)) ('CD4', 'Gene', (176, 179)) ('thymoma', 'Phenotype', 'HP:0100522', (82, 89)) ('cell-mediated immunity', 'CPA', (209, 231)) ('defects', 'Reg', (198, 205)) ('hypogammaglobulinemia', 'Phenotype', 'HP:0004313', (136, 157)) ('inversion', 'Var', (159, 168)) ('CD4', 'Gene', '920', (176, 179)) ('CD8', 'Gene', (183, 186)) ('CD8', 'Gene', '925', (183, 186)) ('thymoma', 'Disease', 'MESH:D013945', (82, 89)) 53208 30894954 A primary HSV-1 infection in oral and perioral sites usually manifests as gingivostomatitis, whereas reactivation of the virus in the trigeminal sensory ganglion gives rise to mild cutaneous and mucocutaneous disease, which is often termed as recurrent herpes labialis. ('gingivostomatitis', 'Phenotype', 'HP:0010280', (74, 91)) ('HSV-1 infection', 'Disease', 'MESH:C536395', (10, 25)) ('trigeminal sensory ganglion', 'Phenotype', 'HP:0100661', (134, 161)) ('mucocutaneous disease', 'Disease', (195, 216)) ('reactivation', 'Var', (101, 113)) ('gingivostomatitis', 'Disease', 'MESH:D013283', (74, 91)) ('recurrent herpes labialis', 'Phenotype', 'HP:0410028', (243, 268)) ('man', 'Species', '9606', (61, 64)) ('herpes labialis', 'Phenotype', 'HP:0410028', (253, 268)) ('recurrent herpes', 'Phenotype', 'HP:0005353', (243, 259)) ('gives rise to', 'Reg', (162, 175)) ('mucocutaneous disease', 'Disease', 'MESH:D007897', (195, 216)) ('HSV-1 infection', 'Disease', (10, 25)) ('gingivostomatitis', 'Disease', (74, 91)) ('infection in oral', 'Phenotype', 'HP:0100649', (16, 33)) 53261 29774108 High pretreatment Fibrinogen serum concentration (>=452.5 mg/dL) was significantly associated with worse cause specific survival (CSS; p = 0.001) and freedom from recurrence (FFR; p = 0.043), high NLR (>=4.0) with worse FFR (p = 0.008), and high PLR (>=136.5) with worse CSS (p = 0.032). ('high', 'Var', (192, 196)) ('Fibrinogen', 'Gene', (18, 28)) ('cause specific survival', 'CPA', (105, 128)) ('freedom', 'CPA', (150, 157)) ('FFR', 'Gene', (175, 178)) ('FFR', 'Gene', (220, 223)) ('CSS', 'Chemical', '-', (130, 133)) ('CSS', 'Chemical', '-', (271, 274)) ('Fibrinogen', 'Gene', '2244', (18, 28)) ('FFR', 'Gene', '738', (175, 178)) ('FFR', 'Gene', '738', (220, 223)) ('worse', 'NegReg', (99, 104)) 53279 29774108 To date, only one study has investigated the roles of pretreatment NLR and PLR in patients with TCs, demonstrating that high pretreatment NLR was associated with larger tumor size and worse outcome. ('tumor', 'Disease', 'MESH:D009369', (169, 174)) ('patients', 'Species', '9606', (82, 90)) ('high', 'Var', (120, 124)) ('tumor', 'Phenotype', 'HP:0002664', (169, 174)) ('NLR', 'Gene', (138, 141)) ('tumor', 'Disease', (169, 174)) 53295 29774108 Fibrinogen serum concentrations were significantly higher in patients with TETs (390.2 +- 11.4 mg/dL) compared to healthy volunteers (314.8 +- 10.7 mg/dL; p < 0.001). ('Fibrinogen', 'Gene', (0, 10)) ('TETs', 'Var', (75, 79)) ('patients', 'Species', '9606', (61, 69)) ('Fibrinogen', 'Gene', '2244', (0, 10)) ('higher', 'PosReg', (51, 57)) 53297 29774108 We also detected significantly elevated NLR and PLR in patients with TETs (3.4 +- 0.3 and 179.8 +- 12.1, respectively) compared to controls (1.8 +- 0.1 and 133.4 +- 7.1; p < 0.001 and p = 0.001, respectively). ('NLR', 'MPA', (40, 43)) ('patients', 'Species', '9606', (55, 63)) ('TETs', 'Var', (69, 73)) ('elevated', 'PosReg', (31, 39)) ('PLR', 'MPA', (48, 51)) 53317 29774108 By calculating the Youden Index, we identified 452.5 mg/dL as an optimal cut-off value for discriminating between low and high Fibrinogen. ('Fibrinogen', 'Gene', (127, 137)) ('high Fibrinogen', 'Phenotype', 'HP:0011899', (122, 137)) ('low', 'MPA', (114, 117)) ('Fibrinogen', 'Gene', '2244', (127, 137)) ('452.5 mg/dL', 'Var', (47, 58)) 53363 29774108 Moreover, associations between high PLR and NLR and worse prognosis are reported in several malignancies, including paranasal sinus carcinomas, laryngeal SCC, esophageal carcinoma, colorectal cancer, and lymphomas. ('colorectal cancer', 'Phenotype', 'HP:0003003', (181, 198)) ('lymphomas', 'Disease', 'MESH:D008223', (204, 213)) ('lymphomas', 'Phenotype', 'HP:0002665', (204, 213)) ('esophageal carcinoma', 'Phenotype', 'HP:0011459', (159, 179)) ('paranasal sinus carcinomas', 'Disease', 'MESH:D010255', (116, 142)) ('paranasal sinus carcinomas', 'Disease', (116, 142)) ('cancer', 'Phenotype', 'HP:0002664', (192, 198)) ('associations', 'Interaction', (10, 22)) ('high', 'Var', (31, 35)) ('colorectal cancer', 'Disease', 'MESH:D015179', (181, 198)) ('laryngeal SCC', 'Disease', (144, 157)) ('paranasal sinus carcinomas', 'Phenotype', 'HP:0030072', (116, 142)) ('lymphomas', 'Disease', (204, 213)) ('colorectal cancer', 'Disease', (181, 198)) ('esophageal carcinoma', 'Disease', 'MESH:D004938', (159, 179)) ('malignancies', 'Disease', 'MESH:D009369', (92, 104)) ('carcinoma', 'Phenotype', 'HP:0030731', (170, 179)) ('malignancies', 'Disease', (92, 104)) ('carcinoma', 'Phenotype', 'HP:0030731', (132, 141)) ('esophageal carcinoma', 'Disease', (159, 179)) ('carcinomas', 'Phenotype', 'HP:0030731', (132, 142)) 53380 29774108 Notably, after exclusion of TCs, Fibrinogen serum concentrations did not significantly differ in MG-positive compared to MG-negative thymomas (p = 0.051). ('thymomas', 'Disease', 'MESH:D013945', (133, 141)) ('MG-positive', 'Var', (97, 108)) ('Fibrinogen', 'Gene', (33, 43)) ('thymoma', 'Phenotype', 'HP:0100522', (133, 140)) ('thymomas', 'Disease', (133, 141)) ('Fibrinogen', 'Gene', '2244', (33, 43)) 53563 26809342 Over 95 %, of HIV-negative patients who developed CMVR were found, ultimately, to have one or more factors contributing to a relative decline in immune function, such as advanced age, an underlying malignancy, an autoimmune disease or organ/bone transplantation requiring systemic immunosuppression, administration of periocular or intraocular corticosteroids, diabetes mellitus, or, less commonly, an inherited or acquired immune disorder, such as Good syndrome. ('CMVR', 'Var', (50, 54)) ('diabetes mellitus', 'Phenotype', 'HP:0000819', (361, 378)) ('HIV', 'Species', '12721', (14, 17)) ('Good syndrome', 'Disease', 'MESH:D013577', (449, 462)) ('diabetes mellitus', 'Disease', (361, 378)) ('autoimmune disease', 'Disease', (213, 231)) ('immune disorder', 'Disease', 'MESH:D007154', (424, 439)) ('patients', 'Species', '9606', (27, 35)) ('diabetes mellitus', 'Disease', 'MESH:D003920', (361, 378)) ('malignancy', 'Disease', 'MESH:D009369', (198, 208)) ('decline in immune function', 'Phenotype', 'HP:0002721', (134, 160)) ('autoimmune disease', 'Phenotype', 'HP:0002960', (213, 231)) ('immune function', 'MPA', (145, 160)) ('malignancy', 'Disease', (198, 208)) ('Good syndrome', 'Disease', (449, 462)) ('decline', 'NegReg', (134, 141)) ('autoimmune disease', 'Disease', 'MESH:D001327', (213, 231)) ('immune disorder', 'Disease', (424, 439)) 53567 26101855 Here, we generated K5-DeltaN64Ctnnb1/ERT2 transgenic mice, which express an N-terminal deletion mutant of beta-catenin fused to a mutated ligand-binding domain of estrogen receptor (ERT2) under the control of the bovine cytokeratin 5 (K5) promoter. ('cytokeratin 5', 'Gene', '281268', (220, 233)) ('K5-DeltaN64Ctnnb1/ERT2', 'Var', (19, 41)) ('ERT2', 'Gene', (182, 186)) ('bovine', 'Species', '9913', (213, 219)) ('cytokeratin 5', 'Gene', (220, 233)) ('transgenic mice', 'Species', '10090', (42, 57)) 53569 26101855 Forced expression of DeltaN64Ctnnb1/ERT2 in the Tg1 and Tg4 mice developed small thymoma lesions in response to tamoxifen treatment. ('small thymoma lesions', 'Disease', 'MESH:D013945', (75, 96)) ('tamoxifen', 'Chemical', 'MESH:D013629', (112, 121)) ('Tg1', 'Gene', '493101', (48, 51)) ('thymoma', 'Phenotype', 'HP:0100522', (81, 88)) ('small thymoma lesions', 'Disease', (75, 96)) ('Tg', 'Chemical', '-', (56, 58)) ('DeltaN64Ctnnb1/ERT2', 'Var', (21, 40)) ('mice', 'Species', '10090', (60, 64)) ('Tg', 'Chemical', '-', (48, 50)) ('Tg1', 'Gene', (48, 51)) 53579 26101855 In addition, mTECs express p63, AIRE and UEA-1, whereas cTECs express beta5t and Ly51; these additional markers can be used to further sub-classify EpCAM+ TEC populations in the physiological or pathological thymus. ('EpCAM', 'Gene', (148, 153)) ('Ly51', 'Gene', '13809', (81, 85)) ('EpCAM', 'Gene', '17075', (148, 153)) ('Ly51', 'Gene', (81, 85)) ('p63', 'Var', (27, 30)) ('cTECs', 'Chemical', '-', (56, 61)) 53587 26101855 The type B1 thymoma is a lymphocyte-rich tumor, and the type B2 thymoma exhibits an increased number of clustered or scattered neoplastic epithelial cells among a large population of infiltrated lymphocytes. ('tumor', 'Phenotype', 'HP:0002664', (41, 46)) ('thymoma', 'Gene', '7063', (12, 19)) ('tumor', 'Disease', (41, 46)) ('type B2', 'Var', (56, 63)) ('thymoma', 'Phenotype', 'HP:0100522', (12, 19)) ('thymoma', 'Phenotype', 'HP:0100522', (64, 71)) ('thymoma', 'Gene', '7063', (64, 71)) ('thymoma', 'Gene', (12, 19)) ('tumor', 'Disease', 'MESH:D009369', (41, 46)) ('thymoma', 'Gene', (64, 71)) 53594 26101855 Previous molecular genetic studies have identified loss of heterozygosity (LOH) at the adenomatous polyposis coli (APC) locus was associated with the type B thymomas. ('thymomas', 'Disease', (157, 165)) ('thymomas', 'Disease', 'MESH:D013945', (157, 165)) ('adenomatous polyposis coli', 'Phenotype', 'HP:0005227', (87, 113)) ('adenomatous polyposis coli', 'Disease', 'MESH:D011125', (87, 113)) ('adenomatous polyposis coli', 'Disease', (87, 113)) ('loss of heterozygosity', 'Var', (51, 73)) ('thymoma', 'Phenotype', 'HP:0100522', (157, 164)) ('APC', 'Phenotype', 'HP:0005227', (115, 118)) 53595 26101855 The critical role of APC-mediated signaling in thymic epithelial differentiation and carcinogenesis was further explored in mice by conditional ablation of the Apc gene using K14-Cre. ('conditional ablation', 'Var', (132, 152)) ('carcinogenesis', 'Disease', 'MESH:D063646', (85, 99)) ('APC', 'Phenotype', 'HP:0005227', (21, 24)) ('Apc', 'Gene', (160, 163)) ('mice', 'Species', '10090', (124, 128)) ('Apc', 'Gene', '11789', (160, 163)) ('carcinogenesis', 'Disease', (85, 99)) ('K14', 'Gene', '16664', (175, 178)) ('K14', 'Gene', (175, 178)) 53596 26101855 Interestingly, loss of Apc in K14-expressing TECs caused thymic atrophy and squamous metaplasia, suggesting that Apc is required for thymic epithelial differentiation and development. ('thymic atrophy', 'Disease', (57, 71)) ('K14', 'Gene', '16664', (30, 33)) ('Apc', 'Gene', (23, 26)) ('thymic atrophy', 'Disease', 'MESH:D013953', (57, 71)) ('Apc', 'Gene', (113, 116)) ('loss', 'Var', (15, 19)) ('K14', 'Gene', (30, 33)) ('Apc', 'Gene', '11789', (23, 26)) ('Apc', 'Gene', '11789', (113, 116)) ('squamous metaplasia', 'Disease', (76, 95)) ('squamous metaplasia', 'Phenotype', 'HP:0002860', (76, 95)) ('squamous metaplasia', 'Disease', 'MESH:D008679', (76, 95)) 53607 26101855 These mice harbor an N-terminal, 64-amino-acid truncation of beta-catenin fused to the tamoxifen (Tam)-inducible ligand-binding domain of estrogen receptor (ERT2) driven by a bovine K5 promoter (Figure 1A). ('bovine', 'Species', '9913', (175, 181)) ('mice', 'Species', '10090', (6, 10)) ('truncation', 'Var', (47, 57)) ('Tam', 'Chemical', 'MESH:D013629', (98, 101)) ('beta-catenin', 'Protein', (61, 73)) ('tamoxifen', 'Chemical', 'MESH:D013629', (87, 96)) ('ERT2', 'Gene', (157, 161)) 53608 26101855 The expression of DeltaN64Ctnnb1/ERT2 in various organs of transgenic mouse lines 1, 4, and 10 (hereafter referred to Tg1, Tg4, and Tg10) were detected using an anti-beta-Catenin antibody for western blot analysis. ('beta-Catenin', 'Gene', (166, 178)) ('transgenic', 'Species', '10090', (59, 69)) ('Tg1', 'Gene', '493101', (132, 135)) ('Tg1', 'Gene', '493101', (118, 121)) ('Tg', 'Chemical', '-', (132, 134)) ('Tg', 'Chemical', '-', (118, 120)) ('mouse', 'Species', '10090', (70, 75)) ('Tg', 'Chemical', '-', (123, 125)) ('beta-Catenin', 'Gene', '12387', (166, 178)) ('Tg1', 'Gene', (118, 121)) ('Tg1', 'Gene', (132, 135)) ('DeltaN64Ctnnb1/ERT2', 'Var', (18, 37)) 53609 26101855 We found that Tg1 and Tg4 exhibited comparable amounts of the DeltaN64Ctnnb1/ERT2 fusion protein in the skin, whereas skin from Tg10 expressed lower levels of DeltaN64Ctnnb1/ERT2 fusion protein (Figure 1B). ('Tg', 'Chemical', '-', (14, 16)) ('Tg', 'Chemical', '-', (128, 130)) ('Tg', 'Chemical', '-', (22, 24)) ('DeltaN64Ctnnb1/ERT2', 'Var', (62, 81)) ('Tg1', 'Gene', '493101', (128, 131)) ('Tg1', 'Gene', '493101', (14, 17)) ('Tg1', 'Gene', (128, 131)) ('Tg1', 'Gene', (14, 17)) 53610 26101855 In the thymus and the esophagus, we observed higher DeltaN64Ctnnb1/ERT2 protein levels in the Tg1 mice than in Tg4 or Tg10 mice (Figure 1B). ('Tg1', 'Gene', '493101', (118, 121)) ('Tg', 'Chemical', '-', (111, 113)) ('Tg', 'Chemical', '-', (118, 120)) ('Tg', 'Chemical', '-', (94, 96)) ('Tg1', 'Gene', '493101', (94, 97)) ('DeltaN64Ctnnb1/ERT2', 'Var', (52, 71)) ('higher', 'PosReg', (45, 51)) ('Tg1', 'Gene', (94, 97)) ('Tg1', 'Gene', (118, 121)) ('mice', 'Species', '10090', (98, 102)) ('mice', 'Species', '10090', (123, 127)) 53611 26101855 In general, DeltaN64Ctnnb1/ERT2 expression of Tg10 was lowest among three transgenic lines (Figure 1B). ('Tg1', 'Gene', '493101', (46, 49)) ('DeltaN64Ctnnb1/ERT2', 'Var', (12, 31)) ('Tg1', 'Gene', (46, 49)) ('transgenic', 'Species', '10090', (74, 84)) ('lowest', 'NegReg', (55, 61)) ('expression', 'MPA', (32, 42)) 53615 26101855 Furthermore, we characterized DeltaN64Ctnnb1/ERT2 expression and activation in the TECs of the Tg1 mice at 8 weeks of age. ('mice', 'Species', '10090', (99, 103)) ('Tg1', 'Gene', '493101', (95, 98)) ('Tg1', 'Gene', (95, 98)) ('DeltaN64Ctnnb1/ERT2', 'Var', (30, 49)) ('activation', 'MPA', (65, 75)) 53619 26101855 Using RT-qPCR, we found that DeltaN64Ctnnb1/ERT2 expression detected by the transgene-specific primers (Myc-NLS or ERT2) was significantly enriched in CD45-EpCAM+UEA1+ mTECs (Figure 1C). ('DeltaN64Ctnnb1/ERT2', 'Var', (29, 48)) ('Myc', 'Gene', (104, 107)) ('Myc', 'Gene', '17869', (104, 107)) ('EpCAM', 'Gene', '17075', (156, 161)) ('EpCAM', 'Gene', (156, 161)) 53622 26101855 These data suggest that the DeltaN64Ctnnb1/ERT2 transgene, driven by K5 promoter, is restricted and can be induced by Tam to activate its target genes in mTECs. ('Tam', 'Chemical', 'MESH:D013629', (118, 121)) ('DeltaN64Ctnnb1/ERT2', 'Var', (28, 47)) ('activate', 'PosReg', (125, 133)) 53627 26101855 We performed K5/K8 co-immunostaining on the thymic sections of non-Tg control, Tg1, and Tg4 mice after vehicle or Tam treatment for 3 or 28 days. ('Tg4', 'Var', (88, 91)) ('Tg', 'Chemical', '-', (79, 81)) ('Tg', 'Chemical', '-', (67, 69)) ('Tg', 'Chemical', '-', (88, 90)) ('Tg1', 'Gene', '493101', (79, 82)) ('Tg1', 'Gene', (79, 82)) ('Tam', 'Chemical', 'MESH:D013629', (114, 117)) ('mice', 'Species', '10090', (92, 96)) 53628 26101855 In the non-Tg control, we observed K5- and K8-expressing cells predominately in the medulla and cortex, respectively (Figure 1E). ('Tg', 'Chemical', '-', (11, 13)) ('K8-expressing', 'Var', (43, 56)) ('K5-', 'Var', (35, 38)) 53633 26101855 In agreement with these reports, we observed that hair follicles had grown into deeper layers of the dermis, with marked expansion of outer root sheet (ORS) cells, in Tg1 and Tg4 mice that received Tam compared to those that received vehicle (EtOH) only (Supplementary Figure 3A). ('expansion', 'PosReg', (121, 130)) ('mice', 'Species', '10090', (179, 183)) ('Tam', 'Chemical', 'MESH:D013629', (198, 201)) ('Tg4', 'Var', (175, 178)) ('Tg', 'Chemical', '-', (167, 169)) ('Tg1', 'Gene', '493101', (167, 170)) ('Tg1', 'Gene', (167, 170)) ('hair follicles', 'CPA', (50, 64)) ('EtOH', 'Chemical', 'MESH:D000431', (243, 247)) ('Tg', 'Chemical', '-', (175, 177)) 53634 26101855 We also examined potential leakage activation of DeltaN64Ctnnb1/ERT2 fusion protein in the absence of Tam. ('DeltaN64Ctnnb1/ERT2', 'Var', (49, 68)) ('Tam', 'Chemical', 'MESH:D013629', (102, 105)) ('leakage activation', 'MPA', (27, 45)) 53635 26101855 We observed darker skin, indicating hair follicles in growing state, on the back skin of shaved Tg1 and Tg4 mice compared to non-Tg controls without Tam treatment for 16-20 days (Supplemental Figure 3B), suggesting possible leaky expression and activity of beta-catenin. ('Tg', 'Chemical', '-', (104, 106)) ('Tg', 'Chemical', '-', (129, 131)) ('mice', 'Species', '10090', (108, 112)) ('activity', 'MPA', (245, 253)) ('Tg4', 'Var', (104, 107)) ('Tg1', 'Gene', '493101', (96, 99)) ('Tg1', 'Gene', (96, 99)) ('darker skin', 'Phenotype', 'HP:0000953', (12, 23)) ('Tg', 'Chemical', '-', (96, 98)) ('Tam', 'Chemical', 'MESH:D013629', (149, 152)) 53636 26101855 Taken together, our data suggest that DeltaN64Ctnnb1/ERT2 can be induced by Tam treatment in both TECs and hair follicles in Tg mice, although leaky expression of active DeltaN64Ctnnb1/ERT2 may be present. ('Tam', 'Chemical', 'MESH:D013629', (76, 79)) ('mice', 'Species', '10090', (128, 132)) ('DeltaN64Ctnnb1/ERT2', 'Var', (38, 57)) ('induced', 'Reg', (65, 72)) ('Tg', 'Chemical', '-', (125, 127)) 53638 26101855 We found manifest thymic tumors specifically in Tg1 and Tg4 mice but not in the non-Tg littermates (Figure 2A and 2B). ('tumor', 'Phenotype', 'HP:0002664', (25, 30)) ('Tg', 'Chemical', '-', (84, 86)) ('tumors', 'Disease', (25, 31)) ('Tg1', 'Gene', '493101', (48, 51)) ('tumors', 'Phenotype', 'HP:0002664', (25, 31)) ('tumors', 'Disease', 'MESH:D009369', (25, 31)) ('Tg', 'Chemical', '-', (56, 58)) ('Tg4', 'Var', (56, 59)) ('mice', 'Species', '10090', (60, 64)) ('Tg', 'Chemical', '-', (48, 50)) ('Tg1', 'Gene', (48, 51)) 53640 26101855 Also, one of five Tg4 mice developed manifest thymomas at late onset (18 months) (Figure 2B). ('Tg', 'Chemical', '-', (18, 20)) ('thymoma', 'Phenotype', 'HP:0100522', (46, 53)) ('thymomas', 'Disease', (46, 54)) ('Tg4', 'Var', (18, 21)) ('thymomas', 'Disease', 'MESH:D013945', (46, 54)) ('mice', 'Species', '10090', (22, 26)) 53641 26101855 The low incidence of thymoma development in Tg4 mice might reflect the lower expression of DeltaN64Ctnnb1/ERT2 in the Tg4 thymus overall (Figure 1B). ('thymoma', 'Gene', (21, 28)) ('expression', 'MPA', (77, 87)) ('Tg', 'Chemical', '-', (118, 120)) ('mice', 'Species', '10090', (48, 52)) ('DeltaN64Ctnnb1/ERT2', 'Var', (91, 110)) ('Tg', 'Chemical', '-', (44, 46)) ('thymoma', 'Phenotype', 'HP:0100522', (21, 28)) ('thymoma', 'Gene', '7063', (21, 28)) ('lower', 'NegReg', (71, 76)) 53642 26101855 These data suggest that a leaky expression of activated beta-catenin cause thymoma development in the Tg1 and Tg4 mice without Tam treatment. ('Tg', 'Chemical', '-', (110, 112)) ('Tg1', 'Gene', '493101', (102, 105)) ('thymoma', 'Gene', '7063', (75, 82)) ('Tg1', 'Gene', (102, 105)) ('thymoma', 'Phenotype', 'HP:0100522', (75, 82)) ('leaky', 'Var', (26, 31)) ('Tam', 'Chemical', 'MESH:D013629', (127, 130)) ('cause', 'Reg', (69, 74)) ('mice', 'Species', '10090', (114, 118)) ('Tg', 'Chemical', '-', (102, 104)) ('thymoma', 'Gene', (75, 82)) ('activated beta-catenin', 'Protein', (46, 68)) 53648 26101855 The K5-expressing lesions accumulated and formed a sheet-like pattern at 6 months that seemed to correspond to the pre-lesions of Tg1 thymomas at 10 and 12 months (Figure 2D). ('thymomas', 'Disease', (134, 142)) ('thymomas', 'Disease', 'MESH:D013945', (134, 142)) ('thymoma', 'Phenotype', 'HP:0100522', (134, 141)) ('Tg1', 'Gene', '493101', (130, 133)) ('Tg1', 'Gene', (130, 133)) ('K5-expressing', 'Var', (4, 17)) 53657 26101855 Therefore, it is possible that the sustained K5+ and UEA1+Ly51- subsets in Tg1 thymomas arising from the mTECs, where the DeltaN64Ctnnb1/ERT2 transgene was expressed, maintained the differentiation characteristics of mTECs during thymoma progression. ('thymoma', 'Gene', '7063', (79, 86)) ('thymoma', 'Gene', (230, 237)) ('Ly51', 'Gene', '13809', (58, 62)) ('Tg1', 'Gene', '493101', (75, 78)) ('Tg1', 'Gene', (75, 78)) ('thymomas', 'Disease', (79, 87)) ('thymomas', 'Disease', 'MESH:D013945', (79, 87)) ('thymoma', 'Gene', (79, 86)) ('Ly51', 'Gene', (58, 62)) ('DeltaN64Ctnnb1/ERT2', 'Var', (122, 141)) ('thymoma', 'Phenotype', 'HP:0100522', (230, 237)) ('differentiation characteristics', 'CPA', (182, 213)) ('thymoma', 'Phenotype', 'HP:0100522', (79, 86)) ('thymoma', 'Gene', '7063', (230, 237)) 53658 26101855 To examine whether the Wnt/beta-catenin canonical pathway is activated in DeltaN64Ctnnb1/ERT2 thymomas in the absence of Tam, we introduced the TOP-Gal transgene to allow the measurement of Wnt/beta-catenin activation. ('Gal', 'Gene', (148, 151)) ('Gal', 'Gene', '14419', (148, 151)) ('DeltaN64Ctnnb1/ERT2', 'Var', (74, 93)) ('activated', 'PosReg', (61, 70)) ('thymomas', 'Disease', (94, 102)) ('thymomas', 'Disease', 'MESH:D013945', (94, 102)) ('Tam', 'Chemical', 'MESH:D013629', (121, 124)) ('thymoma', 'Phenotype', 'HP:0100522', (94, 101)) ('Wnt/beta-catenin canonical pathway', 'Pathway', (23, 57)) 53661 26101855 We next examined several targeted genes of Wnt/beta-catenin canonical pathway, which should be activated if the DeltaN64Ctnnb1/ERT2 transgene is functional during thymoma progression. ('Wnt/beta-catenin canonical pathway', 'Pathway', (43, 77)) ('thymoma', 'Phenotype', 'HP:0100522', (163, 170)) ('thymoma', 'Gene', '7063', (163, 170)) ('DeltaN64Ctnnb1/ERT2', 'Var', (112, 131)) ('thymoma', 'Gene', (163, 170)) 53670 26101855 Furthermore, the Ctnnb1K5-fx/fx thymic phenotype, including the decreased frequency of proliferating thymocytes (total, CD4-CD8-DN and CD4+CD8+DP; Figure 4D) and the increased percentage of annexin V-labeled apoptotic cells (total and CD4+CD8+DP; Figure 4E), was significantly reversed by the transgenic expression of stabilized beta-catenin in K5-expressing cells. ('CD4', 'Gene', (120, 123)) ('CD8-DN', 'Chemical', '-', (124, 130)) ('DP', 'Chemical', '-', (243, 245)) ('DP', 'Chemical', '-', (143, 145)) ('transgenic', 'Var', (293, 303)) ('transgenic', 'Species', '10090', (293, 303)) ('proliferating thymocytes', 'CPA', (87, 111)) ('Ctnnb1K5-fx/fx', 'Var', (17, 31)) ('annexin V', 'Gene', (190, 199)) ('CD4', 'Gene', '12504', (120, 123)) ('annexin V', 'Gene', '11747', (190, 199)) ('CD4', 'Gene', (135, 138)) ('CD4', 'Gene', '12504', (235, 238)) ('CD4', 'Gene', (235, 238)) ('CD4', 'Gene', '12504', (135, 138)) ('decreased', 'NegReg', (64, 73)) 53681 26101855 Furthermore, one potential target gene of p53/p63 is p21WAF1/cip1, which can be suppressed by increasing levels of DeltaNp63 isoforms. ('p21WAF1/cip1', 'Gene', (53, 65)) ('p53/p63', 'Var', (42, 49)) ('p21WAF1/cip1', 'Gene', '12575', (53, 65)) 53686 26101855 In 2-month-old Tg1 thymi, beta5t was expressed in the cortical area similarly to non-Tg thymi and was weakly detected in focal microscopic lesions in medullary area (Figure 6A). ('beta5t', 'Var', (26, 32)) ('Tg1', 'Gene', '493101', (15, 18)) ('Tg1', 'Gene', (15, 18)) ('Tg', 'Chemical', '-', (15, 17)) ('Tg', 'Chemical', '-', (85, 87)) 53697 26101855 In this study, the transgenic mice expressing DeltaN64Ctnnb1/ERT2 under the control of K5 promoter enable us to monitor thymoma progression from early lesions to manifest thymomas. ('thymoma', 'Gene', (171, 178)) ('thymomas', 'Disease', (171, 179)) ('thymomas', 'Disease', 'MESH:D013945', (171, 179)) ('DeltaN64Ctnnb1/ERT2', 'Var', (46, 65)) ('transgenic mice', 'Species', '10090', (19, 34)) ('thymoma', 'Phenotype', 'HP:0100522', (120, 127)) ('thymoma', 'Gene', '7063', (171, 178)) ('thymoma', 'Phenotype', 'HP:0100522', (171, 178)) ('thymoma', 'Gene', '7063', (120, 127)) ('thymoma', 'Gene', (120, 127)) 53702 26101855 Both K10 and loricrin were focally expressed in some neoplastic cells in Tg1 thymomas, suggesting that over-expression of the DeltaN64Ctnnb1/ERT2 fusion protein in TECs may adopt squamous cell-fate differentiation. ('loricrin', 'Gene', (13, 21)) ('squamous cell-fate differentiation', 'CPA', (179, 213)) ('thymomas', 'Disease', (77, 85)) ('adopt', 'Reg', (173, 178)) ('thymoma', 'Phenotype', 'HP:0100522', (77, 84)) ('over-expression', 'PosReg', (103, 118)) ('K10', 'Gene', (5, 8)) ('K10', 'Gene', '16661', (5, 8)) ('DeltaN64Ctnnb1/ERT2', 'Var', (126, 145)) ('loricrin', 'Gene', '16939', (13, 21)) ('Tg1', 'Gene', '493101', (73, 76)) ('Tg1', 'Gene', (73, 76)) ('thymomas', 'Disease', 'MESH:D013945', (77, 85)) 53703 26101855 Although the molecular genetics of human thymomas are largely unclear, the presence of APC mutations has been linked to pathogenesis of type B3 thymomas. ('thymomas', 'Disease', (41, 49)) ('thymomas', 'Disease', (144, 152)) ('thymomas', 'Disease', 'MESH:D013945', (144, 152)) ('thymomas', 'Disease', 'MESH:D013945', (41, 49)) ('human', 'Species', '9606', (35, 40)) ('linked', 'Reg', (110, 116)) ('APC', 'Gene', (87, 90)) ('APC', 'Phenotype', 'HP:0005227', (87, 90)) ('mutations', 'Var', (91, 100)) ('thymoma', 'Phenotype', 'HP:0100522', (41, 48)) ('thymoma', 'Phenotype', 'HP:0100522', (144, 151)) 53708 26101855 In our study, the transgenic mice expressing the DeltaN64Ctnnb1/ERT2 fusion protein exhibited leaky beta-catenin activation in K5-expressing cells, but this phenotype did not lead to early lethality, thus enabling us to monitor thymoma development as the transgenic animals aged. ('transgenic mice', 'Species', '10090', (18, 33)) ('transgenic', 'Species', '10090', (18, 28)) ('thymoma', 'Phenotype', 'HP:0100522', (228, 235)) ('thymoma', 'Gene', '7063', (228, 235)) ('leaky beta-catenin activation', 'MPA', (94, 123)) ('thymoma', 'Gene', (228, 235)) ('DeltaN64Ctnnb1/ERT2', 'Var', (49, 68)) ('transgenic', 'Species', '10090', (255, 265)) 53710 26101855 The thymomas that developed in the Tg1 and Tg4 mice reflect the expression levels of the DeltaN64Ctnnb1/ERT2 transgene and share histological appearance (e.g. ('thymomas', 'Disease', (4, 12)) ('thymomas', 'Disease', 'MESH:D013945', (4, 12)) ('Tg', 'Chemical', '-', (43, 45)) ('DeltaN64Ctnnb1/ERT2', 'Var', (89, 108)) ('Tg1', 'Gene', '493101', (35, 38)) ('expression levels', 'MPA', (64, 81)) ('Tg1', 'Gene', (35, 38)) ('thymoma', 'Phenotype', 'HP:0100522', (4, 11)) ('mice', 'Species', '10090', (47, 51)) ('Tg', 'Chemical', '-', (35, 37)) 53715 26101855 Previously, SV40 T-antigen, driven by its own viral early region elements, which include an enhancer and a promoter, caused thymic epithelial carcinomas in transgenic mice. ('epithelial carcinomas', 'Disease', 'MESH:D002277', (131, 152)) ('caused', 'Reg', (117, 123)) ('transgenic mice', 'Species', '10090', (156, 171)) ('carcinomas', 'Phenotype', 'HP:0030731', (142, 152)) ('epithelial carcinomas', 'Disease', (131, 152)) ('SV40 T-antigen', 'Var', (12, 26)) ('carcinoma', 'Phenotype', 'HP:0030731', (142, 151)) 53719 26101855 These transgenic mouse models suggest that dysregulated cell cycle control can be the critical determinant for thymoma development. ('dysregulated cell cycle', 'Phenotype', 'HP:0011018', (43, 66)) ('mouse', 'Species', '10090', (17, 22)) ('thymoma', 'Phenotype', 'HP:0100522', (111, 118)) ('thymoma', 'Gene', '7063', (111, 118)) ('cell cycle control', 'CPA', (56, 74)) ('thymoma', 'Gene', (111, 118)) ('dysregulated', 'Var', (43, 55)) ('transgenic', 'Species', '10090', (6, 16)) 53720 26101855 Consistently, the levels of cell cycle regulators p21, p27, and p53 have been examined in encapsulated thymomas in a clinical study. ('thymomas', 'Disease', (103, 111)) ('p53', 'Var', (64, 67)) ('thymomas', 'Disease', 'MESH:D013945', (103, 111)) ('p27', 'Var', (55, 58)) ('thymoma', 'Phenotype', 'HP:0100522', (103, 110)) 53721 26101855 Increased p53 and decreased p21 and p27 in thymoma tissue correlated with poor prognosis for shorter disease-free survival, suggesting that aberrant regulation of cell-cycle progression contributes to the clinical outcomes of the patients with thymomas. ('thymoma', 'Gene', (43, 50)) ('aberrant', 'Var', (140, 148)) ('thymoma', 'Gene', '7063', (244, 251)) ('p21', 'Protein', (28, 31)) ('thymoma', 'Gene', (244, 251)) ('thymomas', 'Disease', (244, 252)) ('decreased', 'NegReg', (18, 27)) ('thymomas', 'Disease', 'MESH:D013945', (244, 252)) ('thymoma', 'Phenotype', 'HP:0100522', (43, 50)) ('patients', 'Species', '9606', (230, 238)) ('Increased', 'PosReg', (0, 9)) ('p27', 'Protein', (36, 39)) ('thymoma', 'Gene', '7063', (43, 50)) ('p53', 'Protein', (10, 13)) ('contributes', 'Reg', (186, 197)) ('thymoma', 'Phenotype', 'HP:0100522', (244, 251)) 53745 26101855 Expression of DeltaN64Ctnnb1/ERT2 was detected by the transgene-specific Myc-NLS primers (5'-GAG CAA AAG CTC ATT TCT GAA-3'and 5'-TAC TTG CTC TTG CGT GAA GG-3') or ERT2 primers (5'-CTT GCT CTT GGA CAG GAA CC-3' and 5'-CGA GAT GAT GTA GCC AGC AG-3'). ('Myc', 'Gene', (73, 76)) ('GCC', 'Gene', (234, 237)) ('GAA', 'Gene', '14387', (201, 204)) ('GAA', 'Gene', (150, 153)) ('GCC', 'Gene', '14917', (234, 237)) ('TTG', 'Gene', (134, 137)) ('GAA', 'Gene', '14387', (150, 153)) ('TTG', 'Gene', '21817', (134, 137)) ('GAA', 'Gene', '14387', (117, 120)) ('TTG', 'Gene', '21817', (142, 145)) ('TTG', 'Gene', (142, 145)) ('Myc', 'Gene', '17869', (73, 76)) ('DeltaN64Ctnnb1/ERT2', 'Var', (14, 33)) ('GAA', 'Gene', (117, 120)) ('GAA', 'Gene', (201, 204)) 53817 25722666 Immunohistochemical analysis revealed positivity for pan-cytokeratin AE1/AE3 in the tumor cells, and positivity for TdT and CD99 in the immature T lymphocytes. ('AE3', 'Gene', '6508', (73, 76)) ('tumor', 'Disease', 'MESH:D009369', (84, 89)) ('TdT', 'Gene', '1791', (116, 119)) ('CD99', 'Gene', '4267', (124, 128)) ('positivity', 'Var', (38, 48)) ('AE1', 'Gene', '6521', (69, 72)) ('AE3', 'Gene', (73, 76)) ('tumor', 'Phenotype', 'HP:0002664', (84, 89)) ('AE1', 'Gene', (69, 72)) ('tumor', 'Disease', (84, 89)) ('CD99', 'Gene', (124, 128)) ('positivity', 'Var', (101, 111)) ('TdT', 'Gene', (116, 119)) 53830 25722666 Thymic epithelial cells are an essential component of the thymic stromal microenvironment, and dysfunction of the thymic stromal microenvironment can cause autoimmune diseases. ('autoimmune diseases', 'Phenotype', 'HP:0002960', (156, 175)) ('cause', 'Reg', (150, 155)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (156, 175)) ('autoimmune diseases', 'Disease', (156, 175)) ('dysfunction', 'Var', (95, 106)) 53850 24348669 To define the cause of thrombogenic states, laboratory tests including antinuclear antibody, anticardiolipin antibody, lupus coagulant, protein C and protein S activities, antithrombin III, factor V Leiden mutation, human leukocyte antigen-B51 and skin pathergy test were performed, but all results were normal. ('protein C', 'MPA', (136, 145)) ('human', 'Species', '9606', (216, 221)) ('antithrombin III', 'Phenotype', 'HP:0001976', (172, 188)) ('factor V Leiden', 'Gene', (190, 205)) ('mutation', 'Var', (206, 214)) ('antithrombin III', 'Gene', (172, 188)) ('antinuclear antibody', 'Phenotype', 'HP:0003493', (71, 91)) ('factor V Leiden', 'Gene', '2153', (190, 205)) ('antithrombin III', 'Gene', '462', (172, 188)) ('lupus coagulant', 'Phenotype', 'HP:0025343', (119, 134)) ('protein', 'Protein', (150, 157)) ('lupus coagulant', 'Disease', (119, 134)) ('lupus coagulant', 'Disease', 'MESH:D025861', (119, 134)) 54009 31462247 The final staging diagnosis of the tumor was pT1aN0M0 pStage I. ('tumor', 'Disease', 'MESH:D009369', (35, 40)) ('pT1aN0M0 pStage I', 'Var', (45, 62)) ('tumor', 'Phenotype', 'HP:0002664', (35, 40)) ('tumor', 'Disease', (35, 40)) 54078 30697185 (2) An edrophonium test involves injections of edrophonium chloride to briefly relieve weakness in people with MG. Edrophonium chloride blocks the breakdown of acetylcholine and temporarily increases the levels of acetylcholine at neuromuscular junctions. ('blocks', 'NegReg', (136, 142)) ('edrophonium chloride', 'Chemical', 'MESH:D004491', (47, 67)) ('Edrophonium chloride', 'Chemical', 'MESH:D004491', (115, 135)) ('weakness', 'Disease', (87, 95)) ('levels of acetylcholine at neuromuscular junctions', 'MPA', (204, 254)) ('breakdown of acetylcholine', 'MPA', (147, 173)) ('edrophonium', 'Chemical', 'MESH:D004491', (47, 58)) ('increases', 'PosReg', (190, 199)) ('weakness', 'Disease', 'MESH:D018908', (87, 95)) ('acetylcholine', 'Chemical', 'MESH:D000109', (160, 173)) ('Edrophonium chloride', 'Var', (115, 135)) ('acetylcholine', 'Chemical', 'MESH:D000109', (214, 227)) ('edrophonium', 'Chemical', 'MESH:D004491', (7, 18)) ('people', 'Species', '9606', (99, 105)) 54245 25482724 Mutations of epigenetic regulatory genes are common in thymic carcinomas Genetic alterations and etiology of thymic epithelial tumors (TETs) are largely unknown, hampering the development of effective targeted therapies for patients with TETs. ('tumor', 'Phenotype', 'HP:0002664', (127, 132)) ('thymic carcinomas', 'Disease', (55, 72)) ('thymic epithelial tumors', 'Disease', (109, 133)) ('hampering', 'NegReg', (162, 171)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (109, 133)) ('carcinomas', 'Phenotype', 'HP:0030731', (62, 72)) ('tumors', 'Phenotype', 'HP:0002664', (127, 133)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (116, 132)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (55, 72)) ('Mutations', 'Var', (0, 9)) ('patients', 'Species', '9606', (224, 232)) ('carcinoma', 'Phenotype', 'HP:0030731', (62, 71)) 54247 25482724 Comparative sequence analysis of 78 TET/blood paired samples obtained from 47 thymic carcinoma (TC) and 31 thymoma patients revealed a total of 86 somatic non-synonymous sequence variations across 39 different genes in 33 (42%) TETs. ('thymoma', 'Phenotype', 'HP:0100522', (107, 114)) ('non-synonymous sequence variations', 'Var', (155, 189)) ('patients', 'Species', '9606', (115, 123)) ('thymic carcinoma', 'Disease', (78, 94)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (78, 94)) ('carcinoma', 'Phenotype', 'HP:0030731', (85, 94)) ('thymoma', 'Disease', 'MESH:D013945', (107, 114)) ('thymoma', 'Disease', (107, 114)) 54258 25482724 Although the next generation sequencing (NGS) approach has shed light on the cancer genome of several common cancer types, efforts on mapping the genetic makeup of rare tumors such as TETs has lagged behind, and the knowledge of TETs at the genomic level is limited to the sporadic reports of TP53 and KIT mutations. ('KIT', 'Gene', (302, 305)) ('cancer', 'Disease', 'MESH:D009369', (109, 115)) ('mutations', 'Var', (306, 315)) ('cancer', 'Disease', (77, 83)) ('cancer', 'Disease', 'MESH:D009369', (77, 83)) ('TP53', 'Gene', (293, 297)) ('cancer', 'Disease', (109, 115)) ('TP53', 'Gene', '7157', (293, 297)) ('tumors', 'Disease', 'MESH:D009369', (169, 175)) ('tumor', 'Phenotype', 'HP:0002664', (169, 174)) ('TETs', 'Disease', (184, 188)) ('tumors', 'Phenotype', 'HP:0002664', (169, 175)) ('cancer', 'Phenotype', 'HP:0002664', (77, 83)) ('cancer', 'Phenotype', 'HP:0002664', (109, 115)) ('tumors', 'Disease', (169, 175)) 54261 25482724 By whole genome and transcriptome sequencing, we previously demonstrated that common cancer-associated gene mutations were rare in an aggressive B3 thymoma. ('mutations', 'Var', (108, 117)) ('cancer', 'Disease', 'MESH:D009369', (85, 91)) ('cancer', 'Disease', (85, 91)) ('thymoma', 'Disease', 'MESH:D013945', (148, 155)) ('thymoma', 'Disease', (148, 155)) ('cancer', 'Phenotype', 'HP:0002664', (85, 91)) ('thymoma', 'Phenotype', 'HP:0100522', (148, 155)) 54262 25482724 Very recently, we identified a unique somatic missense mutation in the GTF2I gene that is prevalent in indolent early stage TETs and associated with good prognosis. ('prevalent', 'Reg', (90, 99)) ('GTF2I', 'Gene', (71, 76)) ('missense mutation', 'Var', (46, 63)) ('GTF2I', 'Gene', '2969', (71, 76)) ('associated', 'Reg', (133, 143)) 54271 25482724 As the 197 cancer-gene panel was selected independently of the mutations found in our recent exome sequencing study of TETs, the results are in line with our previous data and further confirm that somatic mutations are more prevalent in TCs than thymomas. ('cancer', 'Phenotype', 'HP:0002664', (11, 17)) ('thymoma', 'Phenotype', 'HP:0100522', (246, 253)) ('mutations', 'Var', (205, 214)) ('TCs', 'Disease', (237, 240)) ('cancer', 'Disease', 'MESH:D009369', (11, 17)) ('cancer', 'Disease', (11, 17)) ('thymomas', 'Disease', (246, 254)) ('prevalent', 'Reg', (224, 233)) ('thymomas', 'Disease', 'MESH:D013945', (246, 254)) 54273 25482724 Thirty-seven (43%) of those somatic variations were previously reported in COSMIC and 12 in dbSNP137 and ESP6500 polymorphism databases (Table S2). ('ESP6500', 'Gene', (105, 112)) ('dbSNP137', 'Chemical', '-', (92, 100)) ('variations', 'Var', (36, 46)) ('dbSNP137', 'Gene', (92, 100)) 54275 25482724 The tumor that carried the highest number of mutations was a TC with 13 mutations affecting 12 genes (Table S2), which was probably due to the presence of mutations of the DNA repair genes MLH1 and XRCC1. ('tumor', 'Disease', (4, 9)) ('mutations', 'Var', (72, 81)) ('mutations', 'Var', (45, 54)) ('XRCC1', 'Gene', (198, 203)) ('mutations', 'Var', (155, 164)) ('tumor', 'Disease', 'MESH:D009369', (4, 9)) ('MLH1', 'Gene', '4292', (189, 193)) ('XRCC1', 'Gene', '7515', (198, 203)) ('MLH1', 'Gene', (189, 193)) ('tumor', 'Phenotype', 'HP:0002664', (4, 9)) 54278 25482724 Similarly, recurrent mutations of BAP1, CDKN2A, CYLD and TP53 were also found in TCs of our recent study. ('found', 'Reg', (72, 77)) ('TCs', 'Disease', (81, 84)) ('BAP1', 'Gene', (34, 38)) ('CDKN2A', 'Gene', (40, 46)) ('CYLD', 'Gene', (48, 52)) ('CDKN2A', 'Gene', '1029', (40, 46)) ('CYLD', 'Gene', '1540', (48, 52)) ('TP53', 'Gene', '7157', (57, 61)) ('TP53', 'Gene', (57, 61)) ('BAP1', 'Gene', '8314', (34, 38)) ('mutations', 'Var', (21, 30)) 54279 25482724 To examine the potential impact of the mutations on gene function, we employed SIFT and Polyphen2 algorithms and found that 51 of 58 SIFT- and Polyphen2-predictable somatic variations (88%) are likely to affect the gene functions based on at least one of the two prediction models (Table S2). ('SIFT', 'Disease', 'None', (133, 137)) ('gene functions', 'MPA', (215, 229)) ('affect', 'Reg', (204, 210)) ('Polyphen2 algorithms', 'Disease', 'None', (88, 108)) ('SIFT', 'Disease', 'None', (79, 83)) ('Polyphen2 algorithms', 'Disease', (88, 108)) ('SIFT', 'Disease', (133, 137)) ('variations', 'Var', (173, 183)) ('SIFT', 'Disease', (79, 83)) 54280 25482724 Consistent with previous reports, TP53 mutations were found in 17% (13/78) of TETs, 26% (12/47) being in TCs and 3% (1/31) in thymomas (Chi square test, p = 0.0097), and KIT mutations in 9% (4/47) TCs and none in thymomas (p = 0.1471) (Figure 1B and 1C). ('thymomas', 'Disease', (126, 134)) ('thymomas', 'Disease', (213, 221)) ('TCs', 'Disease', (197, 200)) ('thymomas', 'Disease', 'MESH:D013945', (126, 134)) ('TP53', 'Gene', (34, 38)) ('thymomas', 'Disease', 'MESH:D013945', (213, 221)) ('mutations', 'Var', (39, 48)) ('found', 'Reg', (54, 59)) ('thymoma', 'Phenotype', 'HP:0100522', (126, 133)) ('thymoma', 'Phenotype', 'HP:0100522', (213, 220)) ('mutations', 'Var', (174, 183)) ('TP53', 'Gene', '7157', (34, 38)) 54281 25482724 A KIT L576P mutation identified in a TC (Table S2) was previously reported in melanomas that responded to imatinib treatment. ('melanomas', 'Disease', (78, 87)) ('L576P', 'Mutation', 'rs121913513', (6, 11)) ('L576P', 'Var', (6, 11)) ('melanomas', 'Phenotype', 'HP:0002861', (78, 87)) ('KIT', 'Gene', (2, 5)) ('reported', 'Reg', (66, 74)) ('melanomas', 'Disease', 'MESH:D008545', (78, 87)) ('imatinib', 'Chemical', 'MESH:D000068877', (106, 114)) 54285 25482724 Combined together, a total of 9 CYLD mutations (3 frameshift, 1 nonsense, 1 splice-site error and 4 missenses) were found in 11% (7 of 63) TCs and none in 69 thymomas (Fisher's exact test, p < 0.001). ('TCs', 'Disease', (139, 142)) ('thymomas', 'Disease', (158, 166)) ('thymomas', 'Disease', 'MESH:D013945', (158, 166)) ('frameshift', 'Var', (50, 60)) ('thymoma', 'Phenotype', 'HP:0100522', (158, 165)) ('found', 'Reg', (116, 121)) ('CYLD', 'Gene', (32, 36)) ('CYLD', 'Gene', '1540', (32, 36)) 54289 25482724 Intriguingly, 9 out of the 39 mutated genes identified in this study encode epigenetic regulatory proteins (chromatin remodeling, histone modification and DNA methylation) and were found mutated with significantly higher incidence in TCs (18/47, 38%) than thymomas (3/31, 10%) (p = 0.0081, Fisher's exact test; Figure 2C), within which 7 were recurrently mutated in TCs (16/47) but not in thymomas (0/31) (Fisher's exact tests; p = 0.0001; Figure 2D). ('encode', 'Reg', (69, 75)) ('thymomas', 'Disease', (389, 397)) ('mutated', 'Var', (187, 194)) ('thymomas', 'Disease', 'MESH:D013945', (389, 397)) ('TCs', 'Disease', (366, 369)) ('thymoma', 'Phenotype', 'HP:0100522', (256, 263)) ('TCs', 'Disease', (234, 237)) ('thymomas', 'Disease', 'MESH:D013945', (256, 264)) ('thymoma', 'Phenotype', 'HP:0100522', (389, 396)) ('thymomas', 'Disease', (256, 264)) 54291 25482724 Six TCs (13%) showed BAP1 mutations (Table S2) of which three were frameshift indels (A378fs, G560fs, G132fs), one nonsense (E200*), one exon 2 splice site error and one inframe insertion (M231IWins). ('G560fs', 'Mutation', 'p.G560fsX', (94, 100)) ('A378fs', 'Var', (86, 92)) ('BAP1', 'Gene', (21, 25)) ('G132fs', 'Var', (102, 108)) ('E200*', 'Var', (125, 130)) ('G132fs', 'Mutation', 'p.G132fsX', (102, 108)) ('E200*', 'SUBSTITUTION', 'None', (125, 130)) ('G560fs', 'Var', (94, 100)) ('A378fs', 'Mutation', 'p.A378fsX', (86, 92)) ('BAP1', 'Gene', '8314', (21, 25)) 54292 25482724 Similar loss-of-function mutations of BAP1 have been documented in renal clear cell carcinoma. ('mutations', 'Var', (25, 34)) ('BAP1', 'Gene', (38, 42)) ('carcinoma', 'Phenotype', 'HP:0030731', (84, 93)) ('loss-of-function', 'NegReg', (8, 24)) ('renal clear cell carcinoma', 'Disease', 'MESH:C538614', (67, 93)) ('renal clear cell carcinoma', 'Disease', (67, 93)) ('BAP1', 'Gene', '8314', (38, 42)) 54293 25482724 Loss-of-function germline mutations of BAP1 also predispose to uveal and cutaneous melanomas, mesothelioma, clear cell renal cancer and atpical cutaneous melanocytic proliferation. ('renal cancer', 'Phenotype', 'HP:0009726', (119, 131)) ('Loss-of-function', 'NegReg', (0, 16)) ('mesothelioma', 'Disease', 'MESH:D008654', (94, 106)) ('clear cell renal cancer', 'Phenotype', 'HP:0006770', (108, 131)) ('cutaneous melanomas', 'Phenotype', 'HP:0012056', (73, 92)) ('cutaneous melanocytic proliferation', 'Phenotype', 'HP:0100814', (144, 179)) ('cancer', 'Phenotype', 'HP:0002664', (125, 131)) ('cutaneous melanomas', 'Disease', 'MESH:C562393', (73, 92)) ('germline mutations', 'Var', (17, 35)) ('clear cell renal cancer', 'Disease', 'MESH:C538614', (108, 131)) ('cutaneous melanomas', 'Disease', (73, 92)) ('atpical cutaneous melanocytic proliferation', 'Disease', 'MESH:D059545', (136, 179)) ('BAP1', 'Gene', '8314', (39, 43)) ('mesothelioma', 'Disease', (94, 106)) ('clear cell renal cancer', 'Disease', (108, 131)) ('atpical cutaneous melanocytic proliferation', 'Disease', (136, 179)) ('melanomas', 'Phenotype', 'HP:0002861', (83, 92)) ('BAP1', 'Gene', (39, 43)) 54294 25482724 Two ASXL1 nonsense mutations (C594* and Y700*) were identified in two TCs and one missense (D756A) in a B2 thymoma (Figure 3A and Tables S2). ('thymoma', 'Phenotype', 'HP:0100522', (107, 114)) ('Y700*', 'SUBSTITUTION', 'None', (40, 45)) ('thymoma', 'Disease', 'MESH:D013945', (107, 114)) ('ASXL1', 'Gene', '171023', (4, 9)) ('C594*', 'Var', (30, 35)) ('Y700*', 'Var', (40, 45)) ('D756A', 'Mutation', 'rs768821774', (92, 97)) ('ASXL1', 'Gene', (4, 9)) ('C594*', 'SUBSTITUTION', 'None', (30, 35)) ('thymoma', 'Disease', (107, 114)) 54295 25482724 A nonsense mutation of ASXL1 has been recently reported in a cytogenetically normal B3 thymoma. ('thymoma', 'Phenotype', 'HP:0100522', (87, 94)) ('ASXL1', 'Gene', '171023', (23, 28)) ('nonsense mutation', 'Var', (2, 19)) ('ASXL1', 'Gene', (23, 28)) ('thymoma', 'Disease', 'MESH:D013945', (87, 94)) ('thymoma', 'Disease', (87, 94)) 54296 25482724 Recurrent somatic ASXL1 mutations also occur in myelodysplastic syndrome, myeloproliferative neoplasms, and acute myeloid leukemia, and are associated with adverse outcome. ('acute myeloid leukemia', 'Disease', (108, 130)) ('associated', 'Reg', (140, 150)) ('leukemia', 'Phenotype', 'HP:0001909', (122, 130)) ('myelodysplastic syndrome', 'Phenotype', 'HP:0002863', (48, 72)) ('myelodysplastic syndrome', 'Disease', (48, 72)) ('acute myeloid leukemia', 'Disease', 'MESH:D015470', (108, 130)) ('myelodysplastic syndrome', 'Disease', 'MESH:D009190', (48, 72)) ('myeloid leukemia', 'Phenotype', 'HP:0012324', (114, 130)) ('acute myeloid leukemia', 'Phenotype', 'HP:0004808', (108, 130)) ('myeloproliferative neoplasms', 'Disease', (74, 102)) ('ASXL1', 'Gene', '171023', (18, 23)) ('myeloproliferative neoplasms', 'Phenotype', 'HP:0005547', (74, 102)) ('mutations', 'Var', (24, 33)) ('neoplasms', 'Phenotype', 'HP:0002664', (93, 102)) ('occur', 'Reg', (39, 44)) ('myeloproliferative neoplasms', 'Disease', 'MESH:D009196', (74, 102)) ('ASXL1', 'Gene', (18, 23)) 54298 25482724 Six SEDT2 missense mutations (G1672E, M1526I, E464Q, D1351N, K2028E and L1776R) and one frameshift deletion (H143 fs) were found in four TCs and one B2 thymoma (Figure 3A and Table S2). ('K2028E', 'Mutation', 'rs267601017', (61, 67)) ('thymoma', 'Phenotype', 'HP:0100522', (152, 159)) ('E464Q', 'Var', (46, 51)) ('L1776R', 'Var', (72, 78)) ('K2028E', 'Var', (61, 67)) ('D1351N', 'Var', (53, 59)) ('E464Q', 'Mutation', 'rs1460453950', (46, 51)) ('M1526I', 'Var', (38, 44)) ('G1672E', 'Mutation', 'p.G1672E', (30, 36)) ('thymoma', 'Disease', 'MESH:D013945', (152, 159)) ('H143 fs', 'Mutation', 'p.H143fsX', (109, 116)) ('G1672E', 'Var', (30, 36)) ('SEDT2', 'Gene', (4, 9)) ('M1526I', 'Mutation', 'p.M1526I', (38, 44)) ('D1351N', 'Mutation', 'rs1318154109', (53, 59)) ('L1776R', 'Mutation', 'p.L1776R', (72, 78)) ('thymoma', 'Disease', (152, 159)) 54299 25482724 In clear cell renal carcinoma and pediatric glioma, SETD2 loss-of-function mutations have been observed. ('pediatric glioma', 'Disease', 'MESH:D005910', (34, 50)) ('pediatric glioma', 'Disease', (34, 50)) ('loss-of-function', 'NegReg', (58, 74)) ('clear cell renal carcinoma', 'Disease', (3, 29)) ('clear cell renal carcinoma', 'Phenotype', 'HP:0006770', (3, 29)) ('mutations', 'Var', (75, 84)) ('SETD2', 'Gene', '29072', (52, 57)) ('glioma', 'Phenotype', 'HP:0009733', (44, 50)) ('carcinoma', 'Phenotype', 'HP:0030731', (20, 29)) ('SETD2', 'Gene', (52, 57)) ('clear cell renal carcinoma', 'Disease', 'MESH:C538614', (3, 29)) ('renal carcinoma', 'Phenotype', 'HP:0005584', (14, 29)) 54300 25482724 Whether the SETD2 mutations, the majority of which (6/7) are missense in TETs, may disrupt its tumor suppressor function remains to be investigated. ('SETD2', 'Gene', '29072', (12, 17)) ('missense', 'Var', (61, 69)) ('SETD2', 'Gene', (12, 17)) ('disrupt', 'NegReg', (83, 90)) ('tumor', 'Disease', 'MESH:D009369', (95, 100)) ('tumor', 'Phenotype', 'HP:0002664', (95, 100)) ('tumor', 'Disease', (95, 100)) ('mutations', 'Var', (18, 27)) 54302 25482724 Four potential loss-of-function mutations of TET2 (E452 del, L1816fs, F662fs and exon 8 splice donor site error) were found in two TCs and one AB thymoma (Figure 3A and Table S2). ('L1816fs', 'Var', (61, 68)) ('TET2', 'Gene', (45, 49)) ('thymoma', 'Phenotype', 'HP:0100522', (146, 153)) ('F662fs', 'Var', (70, 76)) ('F662fs', 'Mutation', 'p.F662fsX', (70, 76)) ('AB thymoma', 'Disease', (143, 153)) ('donor', 'Species', '9606', (95, 100)) ('E452 del', 'Var', (51, 59)) ('TET2', 'Gene', '54790', (45, 49)) ('L1816fs', 'Mutation', 'p.L1816fsX', (61, 68)) ('E452 del', 'Mutation', 'p.452delE', (51, 59)) ('loss-of-function', 'NegReg', (15, 31)) ('AB thymoma', 'Disease', 'MESH:D013945', (143, 153)) 54303 25482724 TET2 inactivation mutations have been associated with lymphoid and myeloid malignancies. ('TET2', 'Gene', (0, 4)) ('associated', 'Reg', (38, 48)) ('lymphoid and myeloid malignancies', 'Disease', 'MESH:D008223', (54, 87)) ('TET2', 'Gene', '54790', (0, 4)) ('inactivation mutations', 'Var', (5, 27)) 54304 25482724 Three TCs showed four DNMT3A mutations including one TC with S827fs and Y683D mutations, two other TCs with L723F and exon 23 splice acceptor site mutations respectively (Figure 3A and Table S2). ('Y683D', 'Mutation', 'p.Y683D', (72, 77)) ('DNMT3A', 'Gene', (22, 28)) ('DNMT3A', 'Gene', '1788', (22, 28)) ('S827fs', 'Var', (61, 67)) ('Y683D mutations', 'Var', (72, 87)) ('S827fs', 'Mutation', 'p.S827fsX', (61, 67)) ('L723F', 'Mutation', 'p.L723F', (108, 113)) 54305 25482724 All DNMT3A mutations occurred in the catalytic domain (Figure 3A), which may result in impairment of enzymatic activity. ('mutations', 'Var', (11, 20)) ('enzymatic activity', 'MPA', (101, 119)) ('occurred', 'Reg', (21, 29)) ('DNMT3A', 'Gene', (4, 10)) ('DNMT3A', 'Gene', '1788', (4, 10)) 54306 25482724 Similar DNMT3A mutations with high frequency spreading around the catalytic domain were also found in T-cell lymphomas, acute myeloid leukemia and recently a B2 thymoma. ('DNMT3A', 'Gene', (8, 14)) ('acute myeloid leukemia', 'Phenotype', 'HP:0004808', (120, 142)) ('DNMT3A', 'Gene', '1788', (8, 14)) ('lymphomas', 'Phenotype', 'HP:0002665', (109, 118)) ('leukemia', 'Phenotype', 'HP:0001909', (134, 142)) ('thymoma', 'Disease', 'MESH:D013945', (161, 168)) ('T-cell lymphomas', 'Disease', 'MESH:D016399', (102, 118)) ('T-cell lymphomas', 'Disease', (102, 118)) ('mutations', 'Var', (15, 24)) ('acute myeloid leukemia', 'Disease', (120, 142)) ('myeloid leukemia', 'Phenotype', 'HP:0012324', (126, 142)) ('thymoma', 'Disease', (161, 168)) ('T-cell lymphomas', 'Phenotype', 'HP:0012190', (102, 118)) ('thymoma', 'Phenotype', 'HP:0100522', (161, 168)) ('acute myeloid leukemia', 'Disease', 'MESH:D015470', (120, 142)) ('found', 'Reg', (93, 98)) 54307 25482724 Although all patients with thymoma enrolled in this study had advanced-stage disease (stage IVA/IVB) (Table 2), the mutation frequency among thymomas was significantly lower than that observed in TCs. ('mutation', 'Var', (116, 124)) ('IVA', 'Disease', 'MESH:C538167', (92, 95)) ('lower', 'NegReg', (168, 173)) ('patients', 'Species', '9606', (13, 21)) ('thymoma', 'Disease', 'MESH:D013945', (141, 148)) ('thymoma', 'Disease', 'MESH:D013945', (27, 34)) ('thymomas', 'Disease', (141, 149)) ('thymoma', 'Disease', (27, 34)) ('thymomas', 'Disease', 'MESH:D013945', (141, 149)) ('thymoma', 'Disease', (141, 148)) ('thymoma', 'Phenotype', 'HP:0100522', (27, 34)) ('thymoma', 'Phenotype', 'HP:0100522', (141, 148)) ('IVA', 'Disease', (92, 95)) 54309 25482724 Interestingly patients with tumors harboring mutant TP53 displayed poorer overall survival than those with wild-type TP53 (median survival 19 months vs. 106 months; Log-rank Mantel-Cox Test, p = 0.0003; 95% CI of ratio 2.234-22.39; Figure 4B). ('mutant', 'Var', (45, 51)) ('TP53', 'Gene', '7157', (52, 56)) ('TP53', 'Gene', '7157', (117, 121)) ('tumors', 'Disease', (28, 34)) ('TP53', 'Gene', (117, 121)) ('tumors', 'Disease', 'MESH:D009369', (28, 34)) ('Cox', 'Gene', '1351', (181, 184)) ('overall survival', 'MPA', (74, 90)) ('tumors', 'Phenotype', 'HP:0002664', (28, 34)) ('TP53', 'Gene', (52, 56)) ('Cox', 'Gene', (181, 184)) ('poorer', 'NegReg', (67, 73)) ('patients', 'Species', '9606', (14, 22)) ('tumor', 'Phenotype', 'HP:0002664', (28, 33)) 54312 25482724 Six TET patients with epigenetic gene mutations received PACB treatment and all patients showed stable disease except a patient with a SETD2 (G1672E)-mutant B2 thymoma who achieved a partial response (Table 2). ('thymoma', 'Disease', (160, 167)) ('SETD2', 'Gene', (135, 140)) ('G1672E', 'Mutation', 'p.G1672E', (142, 148)) ('patients', 'Species', '9606', (8, 16)) ('patients', 'Species', '9606', (80, 88)) ('PACB', 'Chemical', '-', (57, 61)) ('thymoma', 'Phenotype', 'HP:0100522', (160, 167)) ('patient', 'Species', '9606', (120, 127)) ('G1672E)-mutant', 'Var', (142, 156)) ('stable disease', 'Disease', (96, 110)) ('patient', 'Species', '9606', (8, 15)) ('thymoma', 'Disease', 'MESH:D013945', (160, 167)) ('SETD2', 'Gene', '29072', (135, 140)) ('patient', 'Species', '9606', (80, 87)) ('stable disease', 'Disease', 'MESH:D060050', (96, 110)) ('epigenetic gene mutations', 'Var', (22, 47)) 54318 25482724 In addition to the previously reported TP53 and KIT mutations, here we showed that chromatin remodeling, histone modification, and DNA methylation genes are frequently mutated in advanced-stage TCs. ('mutated', 'Var', (168, 175)) ('TCs', 'Disease', (194, 197)) ('chromatin remodeling', 'Gene', (83, 103)) ('TP53', 'Gene', '7157', (39, 43)) ('histone', 'MPA', (105, 112)) ('TP53', 'Gene', (39, 43)) 54319 25482724 Recent NGS projects revealed high frequency of clusters of epigenetic regulatory gene mutations in kidney carcinoma, metastasizing uveal melanomas and pediatric high grade glioma, medulloblastoma, and T-lineage acute lymphoblastic leukaemia. ('glioma', 'Disease', 'MESH:D005910', (172, 178)) ('T-lineage acute lymphoblastic leukaemia', 'Disease', (201, 240)) ('acute lymphoblastic leukaemia', 'Phenotype', 'HP:0006721', (211, 240)) ('epigenetic regulatory gene mutations', 'Var', (59, 95)) ('glioma', 'Phenotype', 'HP:0009733', (172, 178)) ('uveal melanomas', 'Disease', (131, 146)) ('medulloblastoma', 'Disease', 'MESH:D008527', (180, 195)) ('uveal melanomas', 'Phenotype', 'HP:0007716', (131, 146)) ('medulloblastoma', 'Phenotype', 'HP:0002885', (180, 195)) ('medulloblastoma', 'Disease', (180, 195)) ('melanomas', 'Phenotype', 'HP:0002861', (137, 146)) ('T-lineage acute lymphoblastic leukaemia', 'Phenotype', 'HP:0006727', (201, 240)) ('kidney carcinoma', 'Disease', (99, 115)) ('kidney carcinoma', 'Disease', 'MESH:C538614', (99, 115)) ('T-lineage acute lymphoblastic leukaemia', 'Disease', 'MESH:D015456', (201, 240)) ('carcinoma', 'Phenotype', 'HP:0030731', (106, 115)) ('kidney carcinoma', 'Phenotype', 'HP:0005584', (99, 115)) ('glioma', 'Disease', (172, 178)) ('uveal melanomas', 'Disease', 'MESH:C536494', (131, 146)) 54321 25482724 Whole exome sequencing of more patient samples will be required to clarify the frequency of the epigenetic regulatory gene mutations in TETs, especially in TCs. ('patient', 'Species', '9606', (31, 38)) ('mutations', 'Var', (123, 132)) ('TCs', 'Disease', (156, 159)) 54322 25482724 The seven epigenetic regulatory genes (BAP1, ASXL1, SETD2, SMARCA4, DNMT3A, TET2, and WT1) have been previously categorized as drivers when mutated in other cancers and were found recurrently mutated only in TCs but not thymomas. ('TCs', 'Disease', (208, 211)) ('thymomas', 'Disease', 'MESH:D013945', (220, 228)) ('cancers', 'Disease', 'MESH:D009369', (157, 164)) ('BAP1', 'Gene', '8314', (39, 43)) ('SETD2', 'Gene', '29072', (52, 57)) ('ASXL1', 'Gene', '171023', (45, 50)) ('thymomas', 'Disease', (220, 228)) ('TET2', 'Gene', (76, 80)) ('DNMT3A', 'Gene', (68, 74)) ('SMARCA4', 'Gene', '6597', (59, 66)) ('mutated', 'Var', (140, 147)) ('BAP1', 'Gene', (39, 43)) ('ASXL1', 'Gene', (45, 50)) ('WT1', 'Gene', (86, 89)) ('cancers', 'Phenotype', 'HP:0002664', (157, 164)) ('cancers', 'Disease', (157, 164)) ('TET2', 'Gene', '54790', (76, 80)) ('cancer', 'Phenotype', 'HP:0002664', (157, 163)) ('SMARCA4', 'Gene', (59, 66)) ('WT1', 'Gene', '7490', (86, 89)) ('DNMT3A', 'Gene', '1788', (68, 74)) ('thymoma', 'Phenotype', 'HP:0100522', (220, 227)) ('SETD2', 'Gene', (52, 57)) 54323 25482724 SIFT and Polyphen2 algorithms predicted the damaging nature of most of the mutations in these seven genes (Table S2), implicating the potential importance of these mutations in TCs. ('Polyphen2 algorithms', 'Disease', 'None', (9, 29)) ('SIFT', 'Disease', 'None', (0, 4)) ('Polyphen2 algorithms', 'Disease', (9, 29)) ('mutations', 'Var', (75, 84)) ('SIFT', 'Disease', (0, 4)) 54324 25482724 The most prevalent epigenetic gene mutation was in the BAP1 tumor suppressor gene, that has histone deubiquitinase activity. ('prevalent', 'Reg', (9, 18)) ('BAP1', 'Gene', (55, 59)) ('tumor', 'Disease', 'MESH:D009369', (60, 65)) ('tumor', 'Phenotype', 'HP:0002664', (60, 65)) ('tumor', 'Disease', (60, 65)) ('epigenetic gene mutation', 'Var', (19, 43)) ('BAP1', 'Gene', '8314', (55, 59)) 54325 25482724 BAP1 mutation in clear cell renal carcinoma correlated with high tumor grade and worse prognosis. ('BAP1', 'Gene', (0, 4)) ('clear cell renal carcinoma', 'Disease', 'MESH:C538614', (17, 43)) ('tumor', 'Phenotype', 'HP:0002664', (65, 70)) ('clear cell renal carcinoma', 'Disease', (17, 43)) ('high tumor', 'Disease', (60, 70)) ('clear cell renal carcinoma', 'Phenotype', 'HP:0006770', (17, 43)) ('carcinoma', 'Phenotype', 'HP:0030731', (34, 43)) ('BAP1', 'Gene', '8314', (0, 4)) ('renal carcinoma', 'Phenotype', 'HP:0005584', (28, 43)) ('mutation', 'Var', (5, 13)) ('high tumor', 'Disease', 'MESH:D009369', (60, 70)) 54326 25482724 All BAP1 mutations affected stage IVB TCs. ('affected', 'Reg', (19, 27)) ('BAP1', 'Gene', (4, 8)) ('mutations', 'Var', (9, 18)) ('stage IVB TCs', 'Disease', (28, 41)) ('BAP1', 'Gene', '8314', (4, 8)) 54327 25482724 However, given the relatively small sample size and variability of therapies, we have not been able to establish the prognostic values of BAP1 mutations in TCs. ('BAP1', 'Gene', '8314', (138, 142)) ('TCs', 'Disease', (156, 159)) ('mutations', 'Var', (143, 152)) ('BAP1', 'Gene', (138, 142)) 54330 25482724 ASXL1 and BAP1 mutations were mutually exclusive and together accounted for 17% of TCs. ('BAP1', 'Gene', (10, 14)) ('ASXL1', 'Gene', '171023', (0, 5)) ('mutations', 'Var', (15, 24)) ('ASXL1', 'Gene', (0, 5)) ('TCs', 'Disease', (83, 86)) ('accounted for', 'Reg', (62, 75)) ('BAP1', 'Gene', '8314', (10, 14)) 54331 25482724 Mutations of de-novo cytosine methyltransferase DNMT3A have been reported in T-cell lymphomas which are often accompanied with mutations of TET2 cytosine dioxymethyltransferase, an enzyme acting at an intermediate step toward methylcytosine demethylation. ('reported', 'Reg', (65, 73)) ('accompanied', 'Reg', (110, 121)) ('T-cell lymphomas', 'Disease', 'MESH:D016399', (77, 93)) ('T-cell lymphomas', 'Disease', (77, 93)) ('DNMT3A', 'Gene', (48, 54)) ('DNMT3A', 'Gene', '1788', (48, 54)) ('Mutations', 'Var', (0, 9)) ('TET2', 'Gene', '54790', (140, 144)) ('T-cell lymphomas', 'Phenotype', 'HP:0012190', (77, 93)) ('lymphomas', 'Phenotype', 'HP:0002665', (84, 93)) ('mutations', 'Var', (127, 136)) ('TET2', 'Gene', (140, 144)) 54333 25482724 As the mutated epigenetic regulatory genes identified in this study function at different levels of epigenetic regulations (chromatin remodeling, histone modification and DNA methylation), it is not surprising that patients with epigenetic regulatory gene mutations may not respond to chemotherapy and HDAC inhibitor combination therapy (Table 2). ('patients', 'Species', '9606', (215, 223)) ('HDAC', 'Gene', (302, 306)) ('epigenetic regulatory gene', 'Gene', (229, 255)) ('HDAC', 'Gene', '9734', (302, 306)) ('mutations', 'Var', (256, 265)) 54334 25482724 Understanding how and whether the mutated epigenetic regulatory genes may play a role in thymic epithelial cell transformation will help to tailor specific drugs to tumors with specific epigenetic alterations, as piloted in non-small cell lung cancer and leukemia studies. ('leukemia', 'Phenotype', 'HP:0001909', (255, 263)) ('leukemia', 'Disease', 'MESH:D007938', (255, 263)) ('lung cancer', 'Phenotype', 'HP:0100526', (239, 250)) ('cancer', 'Phenotype', 'HP:0002664', (244, 250)) ('tumors', 'Disease', (165, 171)) ('leukemia', 'Disease', (255, 263)) ('play', 'Reg', (74, 78)) ('tumors', 'Disease', 'MESH:D009369', (165, 171)) ('tumors', 'Phenotype', 'HP:0002664', (165, 171)) ('non-small cell lung cancer', 'Phenotype', 'HP:0030358', (224, 250)) ('small cell lung cancer', 'Phenotype', 'HP:0030357', (228, 250)) ('non-small cell lung cancer', 'Disease', 'MESH:D002289', (224, 250)) ('tumor', 'Phenotype', 'HP:0002664', (165, 170)) ('non-small cell lung cancer', 'Disease', (224, 250)) ('mutated', 'Var', (34, 41)) 54335 25482724 Future work requires the determination of the mutation impact on the functions of the encoded proteins and the epigenetic landscape of the tumor cells. ('tumor', 'Disease', 'MESH:D009369', (139, 144)) ('functions', 'MPA', (69, 78)) ('tumor', 'Phenotype', 'HP:0002664', (139, 144)) ('tumor', 'Disease', (139, 144)) ('impact', 'Reg', (55, 61)) ('mutation', 'Var', (46, 54)) 54336 25482724 TP53 mutations correlated with poorer patient survival, reflecting the high mutation frequency in stage IVB TCs. ('stage IVB TCs', 'Disease', (98, 111)) ('TP53', 'Gene', '7157', (0, 4)) ('TP53', 'Gene', (0, 4)) ('poorer', 'NegReg', (31, 37)) ('mutations', 'Var', (5, 14)) ('patient', 'Species', '9606', (38, 45)) 54338 25482724 However the prognostic role of mutant P53 remains controversial, probably mainly because most studies are based only on immunohistochemistry analysis. ('P53', 'Gene', '7157', (38, 41)) ('mutant', 'Var', (31, 37)) ('P53', 'Gene', (38, 41)) 54339 25482724 CYLD activates NFKB signaling through deubiquitination of NFKB upstream regulators ubiquitylated by cIAP ubiquitin E3 ligase, and inhibition of cIAP by cIAP antagonist blocks NFKB activation. ('NFKB signaling', 'Pathway', (15, 29)) ('inhibition', 'Var', (130, 140)) ('CYLD', 'Gene', (0, 4)) ('NFKB', 'Gene', (175, 179)) ('activates', 'PosReg', (5, 14)) ('CYLD', 'Gene', '1540', (0, 4)) ('ubiquitylated', 'MPA', (83, 96)) ('NFKB', 'Gene', (58, 62)) ('deubiquitination', 'MPA', (38, 54)) 54340 25482724 Five of the 9 mutations in TETs were framshift, nonsense and splice-site error (Figure 3B), which are probably non-functional, in line with the tumor suppressor role of CYLD. ('tumor', 'Disease', (144, 149)) ('tumor', 'Phenotype', 'HP:0002664', (144, 149)) ('TETs', 'Gene', (27, 31)) ('tumor', 'Disease', 'MESH:D009369', (144, 149)) ('splice-site error', 'Var', (61, 78)) ('framshift', 'Var', (37, 46)) ('CYLD', 'Gene', (169, 173)) ('nonsense', 'Var', (48, 56)) ('mutations', 'Var', (14, 23)) ('CYLD', 'Gene', '1540', (169, 173)) 54341 25482724 Anti-inflammation drugs aspirin and prostaglandin A1 were used in a phase I trial to block NFKB signaling in cylindromatosis patients with CYLD mutations. ('patients', 'Species', '9606', (125, 133)) ('CYLD', 'Gene', '1540', (139, 143)) ('cylindromatosis', 'Disease', 'MESH:C536611', (109, 124)) ('cylindromatosis', 'Disease', (109, 124)) ('aspirin', 'Chemical', 'MESH:D001241', (24, 31)) ('NFKB', 'Protein', (91, 95)) ('mutations', 'Var', (144, 153)) ('CYLD', 'Gene', (139, 143)) ('prostaglandin A1', 'Chemical', 'MESH:C100573', (36, 52)) ('block', 'NegReg', (85, 90)) 54342 25482724 In conclusion, our study shows that chromatin remodeling, histone modification and DNA methylation regulatory genes are frequently mutated in TCs, and that the genetic architecture of thymoma is different from that of TCs. ('chromatin remodeling', 'Gene', (36, 56)) ('thymoma', 'Phenotype', 'HP:0100522', (184, 191)) ('mutated', 'Var', (131, 138)) ('DNA methylation regulatory genes', 'Gene', (83, 115)) ('TCs', 'Disease', (142, 145)) ('histone modification', 'Gene', (58, 78)) ('thymoma', 'Disease', 'MESH:D013945', (184, 191)) ('thymoma', 'Disease', (184, 191)) 54352 25482724 A panel of 197 cancer-associated genes (Table S1) were selected for targeted exome capture based on their known frequency of mutations in most common tumor types, in particular: (1) variations were reported in the Catalogue of Somatic Mutations in Cancer (COSMIC) Cancer Gene Census or (2) were known or drivers of solid tumors not yet listed in the COSMIC census at the time this reagent was designed or (3) were in pathways under investigation within NCI for other projects. ('cancer', 'Disease', 'MESH:D009369', (15, 21)) ('tumor', 'Phenotype', 'HP:0002664', (150, 155)) ('tumor', 'Disease', (321, 326)) ('solid tumors', 'Disease', (315, 327)) ('tumor', 'Disease', 'MESH:D009369', (321, 326)) ('Cancer', 'Phenotype', 'HP:0002664', (248, 254)) ('Cancer', 'Phenotype', 'HP:0002664', (264, 270)) ('tumors', 'Phenotype', 'HP:0002664', (321, 327)) ('variations', 'Var', (182, 192)) ('cancer', 'Disease', (15, 21)) ('tumor', 'Phenotype', 'HP:0002664', (321, 326)) ('Cancer', 'Disease', (264, 270)) ('solid tumors', 'Disease', 'MESH:D009369', (315, 327)) ('Cancer', 'Disease', (248, 254)) ('cancer', 'Phenotype', 'HP:0002664', (15, 21)) ('tumor', 'Disease', (150, 155)) ('Mutations', 'Var', (235, 244)) ('tumor', 'Disease', 'MESH:D009369', (150, 155)) ('Cancer', 'Disease', 'MESH:D009369', (264, 270)) ('Cancer', 'Disease', 'MESH:D009369', (248, 254)) 54356 25482724 SIFT scores range from 0 to 1, and scores < 0.05 suggest that the amino acid change is damaging (sift.jcvi.org/www/SIFT_help.html). ('amino acid change', 'Var', (66, 83)) ('SIFT', 'Disease', 'None', (0, 4)) ('SIFT', 'Disease', (115, 119)) ('SIFT', 'Disease', 'None', (115, 119)) ('SIFT', 'Disease', (0, 4)) 54455 23937886 In the present study, the total recurrence rates had no significant decrease in patients with S + R compared with S alone, though adjuvant RT had a trend of reducing local recurrence (P = 0.09). ('local recurrence', 'CPA', (166, 182)) ('S + R', 'Var', (94, 99)) ('patients', 'Species', '9606', (80, 88)) 54486 22554706 Thorough analyses of cohorts of patients with unusual susceptibility to chronic mucocutaneous candidiasis (CMC) resulting from Th17 deficiency has confirmed the role of Th17 cells and Th17 cytokines in human host defense against Candida and has provided valuable insight into the complex process of Th17 cell development. ('mucocutaneous candidiasis', 'Disease', (80, 105)) ('patients', 'Species', '9606', (32, 40)) ('CMC', 'Phenotype', 'HP:0002728', (107, 110)) ('human', 'Species', '9606', (202, 207)) ('resulting', 'Reg', (112, 121)) ('mucocutaneous candidiasis', 'Disease', 'MESH:D002178', (80, 105)) ('Th17', 'Gene', (127, 131)) ('Candida', 'Species', '5476', (229, 236)) ('deficiency', 'Var', (132, 142)) ('chronic mucocutaneous candidiasis', 'Phenotype', 'HP:0002728', (72, 105)) 54494 22554706 Identification of novel mutations in genes that impair T cell differentiation and function in immune deficient patients will expand our knowledge of the role of specific T cell subsets in host defense against pathogens. ('genes', 'Gene', (37, 42)) ('T cell differentiation', 'CPA', (55, 77)) ('impair', 'NegReg', (48, 54)) ('immune deficient', 'Phenotype', 'HP:0002721', (94, 110)) ('mutations', 'Var', (24, 33)) ('patients', 'Species', '9606', (111, 119)) 54496 22554706 The recent descriptions of infectious susceptibility to CMC in patients with defects in Th17 development and function resulting from single gene mutations or as part of a syndrome have served to clearly define the role of Th17 T cells in human host defense. ('CMC', 'Phenotype', 'HP:0002728', (56, 59)) ('defects', 'NegReg', (77, 84)) ('mutations', 'Var', (145, 154)) ('Th17', 'Gene', (88, 92)) ('patients', 'Species', '9606', (63, 71)) ('CMC', 'Disease', (56, 59)) ('human', 'Species', '9606', (238, 243)) ('function', 'MPA', (109, 117)) 54499 22554706 This review will summarize the clinical aspects of patients with genetic defects that result in Th17 deficiency. ('result', 'Reg', (86, 92)) ('patients', 'Species', '9606', (51, 59)) ('genetic defects', 'Disease', 'MESH:D030342', (65, 80)) ('genetic defects', 'Disease', (65, 80)) ('deficiency', 'Var', (101, 111)) ('Th17', 'Gene', (96, 100)) 54523 22554706 In contrast, IL12p40 and IL12Rbeta1-deficient patients, both of whom have impaired IL-23 signaling, have reduced populations of Th17 cells. ('patients', 'Species', '9606', (46, 54)) ('impaired', 'NegReg', (74, 82)) ('IL-23', 'Gene', '51561', (83, 88)) ('IL12Rbeta1-deficient', 'Disease', 'MESH:D007153', (25, 45)) ('IL-23', 'Gene', (83, 88)) ('IL12p40', 'Var', (13, 20)) ('reduced', 'NegReg', (105, 112)) ('IL12Rbeta1-deficient', 'Disease', (25, 45)) 54524 22554706 IL12p40 and IL23p19 form heterodimers to make active IL-23, while IL12Rbeta1 and IL23R heterodimerize to form the active IL-23 receptor. ('IL-23', 'Gene', (53, 58)) ('23R', 'Species', '1040604', (83, 86)) ('IL23R', 'Var', (81, 86)) ('IL-23', 'Gene', '51561', (121, 126)) ('IL12p40', 'Var', (0, 7)) ('IL12Rbeta1', 'Gene', (66, 76)) ('IL-23', 'Gene', (121, 126)) ('IL23p19', 'Var', (12, 19)) ('IL12Rbeta1', 'Gene', '3594', (66, 76)) ('23p', 'Species', '1040607', (14, 17)) ('heterodimers', 'MPA', (25, 37)) ('IL-23', 'Gene', '51561', (53, 58)) 54525 22554706 The reduction in Th17 populations in IL12p40 and IL12Rbeta1-deficient patients is not as severe as in STAT3 deficient patients, suggesting that IL-23 is important for Th17 development and/or maintenance, but some redundancy may exist to allow reduced Th17 development. ('patients', 'Species', '9606', (70, 78)) ('IL12Rbeta1-deficient', 'Disease', (49, 69)) ('IL-23', 'Gene', '51561', (144, 149)) ('IL12p40', 'Var', (37, 44)) ('IL-23', 'Gene', (144, 149)) ('STAT3', 'Gene', '6774', (102, 107)) ('IL12Rbeta1-deficient', 'Disease', 'MESH:D007153', (49, 69)) ('STAT3', 'Gene', (102, 107)) ('patients', 'Species', '9606', (118, 126)) ('Th17 development', 'CPA', (251, 267)) 54526 22554706 Since candidal infections in IL12p40 and IL12Rbeta1-deficient patients are not common, it is likely that the majority of these patients retain adequate Th17 function to prevent susceptibility to CMC. ('IL12p40', 'Var', (29, 36)) ('candidal infections', 'Disease', (6, 25)) ('CMC', 'Disease', (195, 198)) ('IL12Rbeta1-deficient', 'Disease', 'MESH:D007153', (41, 61)) ('patients', 'Species', '9606', (127, 135)) ('patients', 'Species', '9606', (62, 70)) ('candidal infections', 'Disease', 'MESH:D007239', (6, 25)) ('IL12Rbeta1-deficient', 'Disease', (41, 61)) ('CMC', 'Phenotype', 'HP:0002728', (195, 198)) 54528 22554706 Since the IL12p40 and IL12Rbeta1-deficient patients are obviously deficient in IL-12 responses, which accounts for their susceptibility to mycobacterial infections, identification of IL-23R or IL23p19 deficient patients would likely provide more specific insight into the importance of IL-23 in human Th17 differentiation and host defense against Candida. ('mycobacterial infections', 'Disease', (139, 163)) ('IL-1', 'Gene', (79, 83)) ('IL-1', 'Gene', '3553', (79, 83)) ('IL12p40', 'Var', (10, 17)) ('susceptibility to mycobacterial infections', 'Phenotype', 'HP:0011274', (121, 163)) ('human', 'Species', '9606', (295, 300)) ('IL-23R', 'Gene', (183, 189)) ('patients', 'Species', '9606', (211, 219)) ('deficient', 'NegReg', (66, 75)) ('IL-23R', 'Gene', '149233', (183, 189)) ('IL23p19', 'Gene', (193, 200)) ('patients', 'Species', '9606', (43, 51)) ('IL12Rbeta1-deficient', 'Disease', (22, 42)) ('23p', 'Species', '1040607', (195, 198)) ('IL-23', 'Gene', (286, 291)) ('IL-23', 'Gene', '51561', (286, 291)) ('IL-23', 'Gene', (183, 188)) ('IL-23', 'Gene', '51561', (183, 188)) ('bacterial infections', 'Phenotype', 'HP:0002718', (143, 163)) ('Candida', 'Species', '5476', (347, 354)) ('IL12Rbeta1-deficient', 'Disease', 'MESH:D007153', (22, 42)) ('mycobacterial infections', 'Disease', 'MESH:D009165', (139, 163)) 54530 22554706 In immunocompromised individuals, however, C albicans can cause chronic mucocutaneous and sometimes fatal invasive infections. ('C albicans', 'Var', (43, 53)) ('invasive infections', 'Disease', (106, 125)) ('cause', 'Reg', (58, 63)) ('invasive infections', 'Disease', 'MESH:D009362', (106, 125)) ('mucocutaneous', 'Disease', (72, 85)) 54531 22554706 Neutrophil defects are associated with systemic candidiasis and susceptibility to a wide variety of bacteria. ('Neutrophil defects', 'Var', (0, 18)) ('systemic candidiasis', 'Disease', (39, 59)) ('systemic candidiasis', 'Disease', 'MESH:C536777', (39, 59)) ('associated', 'Reg', (23, 33)) 54532 22554706 CMC disease and invasive candidiasis has also been described in a large Iranian family with a homozygous nonsense mutation in CARD9, a signaling protein that along with Syk tyrosine kinase is downstream of the anti-fungal receptors Dectin-1, Dectin-2, and Mincle (Fig. ('Dectin-1', 'Gene', (232, 240)) ('Syk', 'Gene', '6850', (169, 172)) ('CMC disease', 'Disease', 'MESH:C535816', (0, 11)) ('described', 'Reg', (51, 60)) ('CARD9', 'Gene', (126, 131)) ('invasive candidiasis', 'Disease', 'MESH:D058365', (16, 36)) ('CARD9', 'Gene', '64170', (126, 131)) ('Mincle', 'Gene', '26253', (256, 262)) ('Dectin-1', 'Gene', '64581', (232, 240)) ('invasive candidiasis', 'Disease', (16, 36)) ('Mincle', 'Gene', (256, 262)) ('large Iranian', 'Phenotype', 'HP:0000256', (66, 79)) ('Syk', 'Gene', (169, 172)) ('CMC disease', 'Disease', (0, 11)) ('CMC', 'Phenotype', 'HP:0002728', (0, 3)) ('Dectin-2', 'Gene', (242, 250)) ('Dectin-2', 'Gene', '93978', (242, 250)) ('nonsense mutation', 'Var', (105, 122)) 54536 22554706 These include autosomal dominant hyper IgE syndrome (AD-HIES) with mutations in signal transducer and activator of transcription-3 (STAT3) and autosomal recessive (AR)-HIES with mutations in dedicator of cytokinesis gene-8 (DOCK8). ('AD-HIES', 'Disease', (53, 60)) ('autosomal dominant hyper IgE syndrome', 'Disease', 'MESH:D007589', (14, 51)) ('STAT3', 'Gene', '6774', (132, 137)) ('DOCK8', 'Gene', '81704', (224, 229)) ('AD-HIES', 'Disease', 'MESH:D000544', (53, 60)) ('signal transducer and activator of transcription-3', 'Gene', '6774', (80, 130)) ('STAT3', 'Gene', (132, 137)) ('mutations', 'Var', (67, 76)) ('mutations', 'Var', (178, 187)) ('DOCK8', 'Gene', (224, 229)) ('autosomal dominant hyper IgE syndrome', 'Disease', (14, 51)) 54539 22554706 AD-HIES due to mutations in STAT3 is a multisystem immune deficiency characterized by highly elevated serum levels of IgE, local and invasive infections with S. aureus that result in cold abscesses and recurrent pneumonia with pneumatocele formation, skeletal abnormalities, and coarse facial features. ('result in', 'Reg', (173, 182)) ('skeletal abnormalities', 'Disease', (251, 273)) ('AD-HIES', 'Disease', (0, 7)) ('skeletal abnormalities', 'Disease', 'MESH:C538496', (251, 273)) ('cold abscesses', 'Disease', (183, 197)) ('serum levels', 'MPA', (102, 114)) ('coarse facial features', 'Phenotype', 'HP:0000280', (279, 301)) ('IgE', 'Gene', (118, 121)) ('immune deficiency', 'Phenotype', 'HP:0002721', (51, 68)) ('abscesses', 'Phenotype', 'HP:0025615', (188, 197)) ('multisystem immune deficiency', 'Disease', (39, 68)) ('mutations', 'Var', (15, 24)) ('invasive infections', 'Disease', 'MESH:D009362', (133, 152)) ('recurrent pneumonia', 'Phenotype', 'HP:0006532', (202, 221)) ('STAT3', 'Gene', (28, 33)) ('pneumatocele formation', 'CPA', (227, 249)) ('AD-HIES', 'Disease', 'MESH:D000544', (0, 7)) ('IgE', 'Gene', '3497', (118, 121)) ('pneumonia with pneumatocele', 'Phenotype', 'HP:0025419', (212, 239)) ('pneumonia', 'Phenotype', 'HP:0002090', (212, 221)) ('multisystem immune deficiency', 'Disease', 'MESH:D007154', (39, 68)) ('pneumonia', 'Disease', 'MESH:D011014', (212, 221)) ('STAT3', 'Gene', '6774', (28, 33)) ('invasive infections', 'Disease', (133, 152)) ('skeletal abnormalities', 'Phenotype', 'HP:0000924', (251, 273)) ('pneumonia', 'Disease', (212, 221)) ('S. aureus', 'Species', '1280', (158, 167)) ('elevated', 'PosReg', (93, 101)) 54543 22554706 Since patients with AD-HIES due to STAT3 mutations are susceptible to CMC disease and STAT3 is essential for Th17 cell development and Th17 cells play an important role in mucosal immunity against Candida, Ma et al evaluated these patients for potential defects in Th17 development. ('mutations', 'Var', (41, 50)) ('AD-HIES', 'Disease', 'MESH:D000544', (20, 27)) ('STAT3', 'Gene', (35, 40)) ('STAT3', 'Gene', '6774', (35, 40)) ('STAT3', 'Gene', (86, 91)) ('patients', 'Species', '9606', (231, 239)) ('CMC', 'Phenotype', 'HP:0002728', (70, 73)) ('CMC disease', 'Disease', 'MESH:C535816', (70, 81)) ('STAT3', 'Gene', '6774', (86, 91)) ('AD-HIES', 'Disease', (20, 27)) ('Candida', 'Species', '5476', (197, 204)) ('patients', 'Species', '9606', (6, 14)) ('CMC disease', 'Disease', (70, 81)) ('susceptible', 'Reg', (55, 66)) 54547 22554706 Furthermore, sorted naive CD4+ T cells from AD-HIES patients failed to differentiate into Th17 T cells when stimulated with anti-CD2 and anti-CD3 plus anti-CD28 in the presence of IL-1beta plus IL-6 or IL-23, confirming the requirement for STAT3 in Th17 differentiation. ('CD28', 'Gene', (156, 160)) ('STAT3', 'Gene', (240, 245)) ('AD-HIES', 'Disease', (44, 51)) ('CD28', 'Gene', '940', (156, 160)) ('IL-6', 'Gene', (194, 198)) ('CD4', 'Gene', '920', (26, 29)) ('STAT3', 'Gene', '6774', (240, 245)) ('IL-23', 'Gene', '51561', (202, 207)) ('IL-6', 'Gene', '3569', (194, 198)) ('IL-23', 'Gene', (202, 207)) ('CD2', 'Gene', (156, 159)) ('AD-HIES', 'Disease', 'MESH:D000544', (44, 51)) ('CD4', 'Gene', (26, 29)) ('CD2', 'Gene', '914', (156, 159)) ('CD2', 'Gene', (129, 132)) ('anti-CD3', 'Var', (137, 145)) ('patients', 'Species', '9606', (52, 60)) ('CD2', 'Gene', '914', (129, 132)) 54549 22554706 Thus, analysis of T cells from patients with STAT3 mutations has clearly demonstrated an essential role for STAT3 in Th17 differentiation and mucosal and epithelial immunity against Candida and S aureus (Fig. ('STAT3', 'Gene', '6774', (108, 113)) ('mutations', 'Var', (51, 60)) ('S aureus', 'Species', '1280', (194, 202)) ('STAT3', 'Gene', (45, 50)) ('STAT3', 'Gene', (108, 113)) ('Th17 differentiation', 'CPA', (117, 137)) ('epithelia', 'Disease', 'None', (154, 163)) ('epithelia', 'Disease', (154, 163)) ('patients', 'Species', '9606', (31, 39)) ('Candida', 'Species', '5476', (182, 189)) ('STAT3', 'Gene', '6774', (45, 50)) 54552 22554706 AR-HIES due to mutations in DOCK8 is characterized by highly elevated serum IgE levels, hypereosinophilia, recurrent sinopulmonary infections, unusual susceptibility to herpesvirus infections, candidal dermatitis, and atopy. ('hypereosinophilia', 'Disease', (88, 105)) ('herpesvirus infections', 'Disease', 'MESH:D006566', (169, 191)) ('dermatitis', 'Phenotype', 'HP:0011123', (202, 212)) ('elevated', 'PosReg', (61, 69)) ('DOCK8', 'Gene', (28, 33)) ('sinopulmonary infections', 'Disease', (117, 141)) ('candidal dermatitis', 'Phenotype', 'HP:0005411', (193, 212)) ('mutations', 'Var', (15, 24)) ('sinopulmonary infections', 'Disease', 'MESH:C536718', (117, 141)) ('hypereosinophilia', 'Disease', 'MESH:D004802', (88, 105)) ('DOCK8', 'Gene', '81704', (28, 33)) ('elevated serum IgE', 'Phenotype', 'HP:0003212', (61, 79)) ('hypereosinophilia', 'Phenotype', 'HP:0032061', (88, 105)) ('IgE', 'Gene', (76, 79)) ('dermatitis', 'Disease', 'MESH:D003872', (202, 212)) ('dermatitis', 'Disease', (202, 212)) ('herpesvirus infections', 'Disease', (169, 191)) ('susceptibility', 'Reg', (151, 165)) ('susceptibility to herpesvirus', 'Phenotype', 'HP:0005353', (151, 180)) ('atopy', 'Disease', (218, 223)) ('recurrent', 'Disease', (107, 116)) ('recurrent sinopulmonary infections', 'Phenotype', 'HP:0005425', (107, 141)) ('IgE', 'Gene', '3497', (76, 79)) 54553 22554706 In addition, DOCK8 deficient patients tend to be T cell lymphopenic with poor T cell proliferation after activation with anti-CD3 and anti-CD28. ('T cell lymphopenic', 'Disease', (49, 67)) ('DOCK8', 'Gene', '81704', (13, 18)) ('patients', 'Species', '9606', (29, 37)) ('anti-CD3', 'Protein', (121, 129)) ('T cell proliferation', 'CPA', (78, 98)) ('CD28', 'Gene', '940', (139, 143)) ('anti-CD3', 'Var', (121, 129)) ('DOCK8', 'Gene', (13, 18)) ('T cell lymphopenic', 'Disease', 'MESH:C565427', (49, 67)) ('CD28', 'Gene', (139, 143)) ('poor', 'NegReg', (73, 77)) ('deficient', 'Var', (19, 28)) 54555 22554706 Previous analysis of a cohort of AR-HIES patient, some of whom were later confirmed to have DOCK8 deficiency, revealed that these patients have defects in Th17 differentiation. ('deficiency', 'Var', (98, 108)) ('patient', 'Species', '9606', (130, 137)) ('DOCK8', 'Gene', (92, 97)) ('Th17 differentiation', 'CPA', (155, 175)) ('patient', 'Species', '9606', (41, 48)) ('patients', 'Species', '9606', (130, 138)) ('DOCK8', 'Gene', '81704', (92, 97)) ('defects', 'NegReg', (144, 151)) 54556 22554706 RORgammat expression, which is critical for Th17 differentiation, was markedly reduced in peripheral T cells from patients with AD-HIES due to STAT3 mutations, as well as in AR-HIES patients. ('STAT3', 'Gene', (143, 148)) ('mutations', 'Var', (149, 158)) ('reduced', 'NegReg', (79, 86)) ('AD-HIES', 'Disease', 'MESH:D000544', (128, 135)) ('STAT3', 'Gene', '6774', (143, 148)) ('patients', 'Species', '9606', (182, 190)) ('RORgammat expression', 'Protein', (0, 20)) ('patients', 'Species', '9606', (114, 122)) ('AD-HIES', 'Disease', (128, 135)) 54559 22554706 IL-17 production was impaired in both groups of HIES patients, although the impairment was more severe in the patients with STAT3 mutations. ('STAT3', 'Gene', '6774', (124, 129)) ('patients', 'Species', '9606', (53, 61)) ('STAT3', 'Gene', (124, 129)) ('mutations', 'Var', (130, 139)) ('impaired', 'NegReg', (21, 29)) ('IL-17', 'Gene', '3605', (0, 5)) ('patients', 'Species', '9606', (110, 118)) ('IL-17', 'Gene', (0, 5)) 54560 22554706 Thus, defective Th17 differentiation occurs by a different mechanism in AR-HIES versus AD-HIES due to STAT3 mutations. ('AR-HIES versus AD-HIES', 'Disease', 'MESH:D007589', (72, 94)) ('AR-HIES versus AD-HIES', 'Disease', (72, 94)) ('mutations', 'Var', (108, 117)) ('STAT3', 'Gene', '6774', (102, 107)) ('Th17 differentiation', 'CPA', (16, 36)) ('STAT3', 'Gene', (102, 107)) 54561 22554706 It is likely that impaired Th17 differentiation and IL-17 production contributes to the susceptibility of AR-HIES patients with DOCK8 mutations to candidal dermatitis. ('IL-17', 'Gene', '3605', (52, 57)) ('Th17 differentiation', 'CPA', (27, 47)) ('dermatitis', 'Disease', 'MESH:D003872', (156, 166)) ('IL-17', 'Gene', (52, 57)) ('candidal dermatitis', 'Phenotype', 'HP:0005411', (147, 166)) ('dermatitis', 'Disease', (156, 166)) ('dermatitis', 'Phenotype', 'HP:0011123', (156, 166)) ('mutations', 'Var', (134, 143)) ('DOCK8', 'Gene', '81704', (128, 133)) ('patients', 'Species', '9606', (114, 122)) ('impaired', 'NegReg', (18, 26)) ('DOCK8', 'Gene', (128, 133)) 54564 22554706 In a search for genetic causes of AD-CMC disease, two groups of investigators independently identified heterozygous mutations in STAT1 as a novel cause of deficiency of Th17 differentiation and AD-CMC. ('AD-CMC disease', 'Disease', 'MESH:C535816', (34, 48)) ('heterozygous mutations', 'Var', (103, 125)) ('AD-CMC disease', 'Disease', (34, 48)) ('CMC', 'Phenotype', 'HP:0002728', (197, 200)) ('Th17 differentiation', 'CPA', (169, 189)) ('CMC', 'Phenotype', 'HP:0002728', (37, 40)) ('STAT1', 'Gene', (129, 134)) ('cause', 'Reg', (146, 151)) ('AD-CMC', 'Disease', (194, 200)) ('deficiency', 'NegReg', (155, 165)) ('STAT1', 'Gene', '6772', (129, 134)) 54571 22554706 This analysis identified heterozygous mutations within highly conserved residues in exon 10 of STAT1, which lies within coiled-coil domain. ('mutations', 'Var', (38, 47)) ('STAT1', 'Gene', (95, 100)) ('STAT1', 'Gene', '6772', (95, 100)) 54578 22554706 Thus, STAT1 mutations within the coiled-coil domain appeared to be gain of function mutations. ('STAT1', 'Gene', (6, 11)) ('gain of function', 'PosReg', (67, 83)) ('mutations', 'Var', (12, 21)) ('STAT1', 'Gene', '6772', (6, 11)) 54579 22554706 Stimulation of EBV-immortalized B cells and fibroblasts from patients with gain of function mutations in STAT1 resulted in augmented responses to IFNalpha, IFNgamma, and IL-27, cytokines known to be antagonistic to Th17 development. ('augmented', 'PosReg', (123, 132)) ('IL-27', 'Gene', (170, 175)) ('STAT1', 'Gene', '6772', (105, 110)) ('patients', 'Species', '9606', (61, 69)) ('gain of function', 'PosReg', (75, 91)) ('IL-27', 'Gene', '246778', (170, 175)) ('mutations', 'Var', (92, 101)) ('STAT1', 'Gene', (105, 110)) ('IFNalpha', 'Gene', (146, 154)) ('IFNalpha', 'Gene', '3439', (146, 154)) 54580 22554706 Interestingly, cellular responses to predominantly STAT3 activating cytokines that promote Th17 differentiation, like IL-6 and IL-21, also resulted in increased STAT1 phosphorylation in EBV B cells from patients with gain of function STAT1 mutations compared to healthy controls. ('STAT3', 'Gene', '6774', (51, 56)) ('increased', 'PosReg', (151, 160)) ('STAT1', 'Gene', '6772', (161, 166)) ('IL-21', 'Gene', (127, 132)) ('STAT3', 'Gene', (51, 56)) ('IL-6', 'Gene', (118, 122)) ('STAT1', 'Gene', '6772', (234, 239)) ('IL-6', 'Gene', '3569', (118, 122)) ('patients', 'Species', '9606', (203, 211)) ('gain of function', 'PosReg', (217, 233)) ('IL-21', 'Gene', '59067', (127, 132)) ('Th17 differentiation', 'CPA', (91, 111)) ('mutations', 'Var', (240, 249)) ('STAT1', 'Gene', (161, 166)) ('STAT1', 'Gene', (234, 239)) 54582 22554706 Finally, percentages of IL17A+, IL17F+, and IL-22+ T cells, as well as production of IL-17A and IL-22 in patients with gain of function STAT1 mutations were significantly lower than healthy controls and patients with loss of function STAT1 mutations, providing the molecular basis for CMC disease in these patients. ('IL-17A', 'Gene', '3605', (85, 91)) ('STAT1', 'Gene', '6772', (234, 239)) ('CMC disease', 'Disease', 'MESH:C535816', (285, 296)) ('IL-22', 'Gene', '50616', (96, 101)) ('IL-22', 'Gene', (96, 101)) ('STAT1', 'Gene', (136, 141)) ('CMC', 'Phenotype', 'HP:0002728', (285, 288)) ('mutations', 'Var', (142, 151)) ('production', 'MPA', (71, 81)) ('IL17A', 'Gene', '3605', (24, 29)) ('patients', 'Species', '9606', (203, 211)) ('IL-17A', 'Gene', (85, 91)) ('STAT1', 'Gene', '6772', (136, 141)) ('patients', 'Species', '9606', (306, 314)) ('patients', 'Species', '9606', (105, 113)) ('IL17A', 'Gene', (24, 29)) ('gain of function', 'PosReg', (119, 135)) ('IL17F', 'Gene', (32, 37)) ('STAT1', 'Gene', (234, 239)) ('IL-22', 'Gene', '50616', (44, 49)) ('IL-22', 'Gene', (44, 49)) ('CMC disease', 'Disease', (285, 296)) ('IL17F', 'Gene', '112744', (32, 37)) ('lower', 'NegReg', (171, 176)) 54584 22554706 A fascinating aspect of the role of STAT1 in human immune deficiencies is that mutations in one gene can lead to three very different phenotypes: CMC disease, mycobacterial disease, or susceptibility to viral disease. ('STAT1', 'Gene', '6772', (36, 41)) ('mycobacterial disease', 'Disease', 'MESH:C567070', (159, 180)) ('mycobacterial disease', 'Disease', (159, 180)) ('lead to', 'Reg', (105, 112)) ('viral disease', 'Disease', 'MESH:D001102', (203, 216)) ('CMC', 'Phenotype', 'HP:0002728', (146, 149)) ('CMC disease', 'Disease', 'MESH:C535816', (146, 157)) ('viral disease', 'Disease', (203, 216)) ('human', 'Species', '9606', (45, 50)) ('immune deficiencies', 'Disease', (51, 70)) ('immune deficiencies', 'Disease', 'MESH:D007153', (51, 70)) ('STAT1', 'Gene', (36, 41)) ('immune deficiencies', 'Phenotype', 'HP:0002721', (51, 70)) ('CMC disease', 'Disease', (146, 157)) ('mutations', 'Var', (79, 88)) 54590 22554706 Neutralizing antibodies against cytokines, in particular type 1 interferons and Th17 cytokines, are the most prevalent autoantibodies in APECED patients (reviewed in). ('patients', 'Species', '9606', (144, 152)) ('APECED', 'Gene', '326', (137, 143)) ('Neutralizing', 'Var', (0, 12)) ('APECED', 'Gene', (137, 143)) 54592 22554706 Autoantibodies against IL-17A, IL-17F, and IL-22 appear to be more prevalent in APECED patients with CMC than those without CMC, suggesting a causal role in CMC (Fig. ('APECED', 'Gene', (80, 86)) ('IL-22', 'Gene', '50616', (43, 48)) ('CMC', 'Phenotype', 'HP:0002728', (124, 127)) ('IL-17A', 'Gene', '3605', (23, 29)) ('CMC', 'Phenotype', 'HP:0002728', (101, 104)) ('IL-17F', 'Gene', '112744', (31, 37)) ('CMC', 'Disease', (157, 160)) ('IL-22', 'Gene', (43, 48)) ('prevalent', 'Reg', (67, 76)) ('CMC', 'Disease', (101, 104)) ('IL-17A', 'Gene', (23, 29)) ('CMC', 'Phenotype', 'HP:0002728', (157, 160)) ('patients', 'Species', '9606', (87, 95)) ('Autoantibodies', 'Var', (0, 14)) ('APECED', 'Gene', '326', (80, 86)) ('IL-17F', 'Gene', (31, 37)) 54595 22554706 These observations suggest that AIRE mutations in APECED may contribute to impaired innate responses to Candida, which could subsequently impair IL-17 and IL-22 production, although this remains to be formally evaluated. ('Candida', 'Species', '5476', (104, 111)) ('AIRE', 'Gene', '326', (32, 36)) ('APECED', 'Gene', '326', (50, 56)) ('IL-17', 'Gene', '3605', (145, 150)) ('innate responses to Candida', 'MPA', (84, 111)) ('IL-17', 'Gene', (145, 150)) ('APECED', 'Gene', (50, 56)) ('impaired', 'NegReg', (75, 83)) ('mutations', 'Var', (37, 46)) ('impair', 'NegReg', (138, 144)) ('IL-22', 'Gene', '50616', (155, 160)) ('IL-22', 'Gene', (155, 160)) ('AIRE', 'Gene', (32, 36)) 54598 22554706 Thymomas are associated with autoimmune manifestations, most notably with antibodies against muscle acetylcholine receptors that cause myasthenia gravis. ('cause', 'Reg', (129, 134)) ('Thymomas', 'Disease', 'MESH:D013945', (0, 8)) ('antibodies', 'Var', (74, 84)) ('myasthenia gravis', 'Disease', (135, 152)) ('muscle acetylcholine receptors', 'Protein', (93, 123)) ('Thymomas', 'Disease', (0, 8)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (135, 152)) ('myasthenia', 'Phenotype', 'HP:0003473', (135, 145)) ('autoimmune manifestations', 'Phenotype', 'HP:0002960', (29, 54)) 54607 22554706 Evaluation of an infant who was the product of a consanguineous union that presented with candidal dermatitis and subsequent Staphylococcus aureus dermatitis resulted in the first description of autosomal recessive CMC disease due to a homozygous nonsense mutation in the IL-17RA gene (Q248X/Q248X). ('Staphylococcus aureus dermatitis', 'Phenotype', 'HP:0002726', (125, 157)) ('dermatitis', 'Phenotype', 'HP:0011123', (147, 157)) ('Q248X', 'Var', (292, 297)) ('CMC', 'Phenotype', 'HP:0002728', (215, 218)) ('candidal dermatitis', 'Phenotype', 'HP:0005411', (90, 109)) ('Q248X', 'SUBSTITUTION', 'None', (292, 297)) ('IL-17RA', 'Gene', '23765', (272, 279)) ('autosomal recessive CMC disease', 'Disease', (195, 226)) ('Q248X', 'Mutation', 'p.Q248X', (286, 291)) ('autosomal recessive CMC disease', 'Disease', 'MESH:C535816', (195, 226)) ('due to', 'Reg', (227, 233)) ('dermatitis', 'Disease', 'MESH:D003872', (99, 109)) ('dermatitis', 'Disease', 'MESH:D003872', (147, 157)) ('dermatitis', 'Disease', (99, 109)) ('Q248X', 'Mutation', 'p.Q248X', (292, 297)) ('dermatitis', 'Disease', (147, 157)) ('infant', 'Species', '9606', (17, 23)) ('IL-17RA', 'Gene', (272, 279)) ('Q248X', 'Var', (286, 291)) ('Staphylococcus aureus', 'Species', '1280', (125, 146)) ('Q248X', 'SUBSTITUTION', 'None', (286, 291)) ('dermatitis', 'Phenotype', 'HP:0011123', (99, 109)) 54608 22554706 The Q248X/Q248X mutation resulted in absent expression of IL-17RA on the patient's blood cells and fibroblasts and a complete absence of responsiveness to IL-17A/F. ('IL-17A', 'Gene', (155, 161)) ('IL-17RA', 'Gene', (58, 65)) ('Q248X', 'Var', (4, 9)) ('expression', 'MPA', (44, 54)) ('Q248X', 'Var', (10, 15)) ('absence', 'NegReg', (126, 133)) ('IL-17RA', 'Gene', '23765', (58, 65)) ('patient', 'Species', '9606', (73, 80)) ('IL-17A', 'Gene', '3605', (155, 161)) ('absent', 'NegReg', (37, 43)) ('Q248X', 'SUBSTITUTION', 'None', (4, 9)) ('Q248X', 'Mutation', 'p.Q248X', (4, 9)) ('Q248X', 'Mutation', 'p.Q248X', (10, 15)) ('Q248X', 'SUBSTITUTION', 'None', (10, 15)) 54609 22554706 Responsiveness to IL-17 cytokines was restored to the patient's fibroblasts by transfection with wild type IL-17RA, confirming the lack of IL-17RA expression as the cause the patient's CMC disease. ('patient', 'Species', '9606', (54, 61)) ('IL-17', 'Gene', (18, 23)) ('IL-17', 'Gene', '3605', (107, 112)) ('IL-17RA', 'Gene', '23765', (107, 114)) ('CMC disease', 'Disease', 'MESH:C535816', (185, 196)) ('IL-17', 'Gene', '3605', (18, 23)) ('IL-17', 'Gene', (107, 112)) ('cause', 'Reg', (165, 170)) ('patient', 'Species', '9606', (175, 182)) ('IL-17', 'Gene', '3605', (139, 144)) ('IL-17RA', 'Gene', '23765', (139, 146)) ('lack', 'Var', (131, 135)) ('IL-17', 'Gene', (139, 144)) ('IL-17RA', 'Gene', (107, 114)) ('CMC disease', 'Disease', (185, 196)) ('Responsiveness', 'MPA', (0, 14)) ('CMC', 'Phenotype', 'HP:0002728', (185, 188)) ('IL-17RA', 'Gene', (139, 146)) 54610 22554706 Additionally, Puel et al evaluated a multiplex family with autosomal dominant inheritance of CMC disease, identifying a heterozygous missense mutation in the IL-17F gene. ('IL-17F', 'Gene', '112744', (158, 164)) ('CMC', 'Phenotype', 'HP:0002728', (93, 96)) ('IL-17F', 'Gene', (158, 164)) ('CMC disease', 'Disease', 'MESH:C535816', (93, 104)) ('missense mutation', 'Var', (133, 150)) ('CMC disease', 'Disease', (93, 104)) 54611 22554706 The mutation resulted in the substitution of the serine residue at position 65 of the protein with a leucine residue (S65L). ('substitution', 'Var', (29, 41)) ('resulted in', 'Reg', (13, 24)) ('serine', 'Chemical', 'MESH:D012694', (49, 55)) ('leucine', 'Chemical', 'MESH:D007930', (101, 108)) ('S65L', 'Mutation', 'rs748486078', (118, 122)) 54612 22554706 The S65 residue is conserved across all mammalian species and is believed to be involved in ligand-receptor interaction. ('involved', 'Reg', (80, 88)) ('mammalian', 'Species', '9606', (40, 49)) ('interaction', 'Interaction', (108, 119)) ('S65', 'Var', (4, 7)) 54613 22554706 The production of inflammatory cytokines by normal fibroblasts and blood cells elicited by mutant IL-17F(S65L) homodimers was severely impaired. ('IL-17F', 'Gene', '112744', (98, 104)) ('impaired', 'NegReg', (135, 143)) ('IL-17F', 'Gene', (98, 104)) ('production of inflammatory cytokines', 'MPA', (4, 40)) ('homodimers', 'Protein', (111, 121)) ('mutant', 'Var', (91, 97)) ('S65L', 'Mutation', 'rs748486078', (105, 109)) 54619 22554706 In the cases of STAT1, STAT3, IL12Rbeta1, DOCK8, IL-17RA, and IL-17F mutations, thorough analyses of the molecular mechanisms that underlie these disorders has revealed defective Th17 cell development or effector function that results in susceptibility to CMC disease. ('STAT3', 'Gene', (23, 28)) ('defective', 'NegReg', (169, 178)) ('effector function', 'CPA', (204, 221)) ('IL-17RA', 'Gene', '23765', (49, 56)) ('STAT3', 'Gene', '6774', (23, 28)) ('IL12Rbeta1', 'Gene', (30, 40)) ('DOCK8', 'Gene', (42, 47)) ('STAT1', 'Gene', (16, 21)) ('mutations', 'Var', (69, 78)) ('CMC disease', 'Disease', (256, 267)) ('IL12Rbeta1', 'Gene', '3594', (30, 40)) ('CMC disease', 'Disease', 'MESH:C535816', (256, 267)) ('IL-17F', 'Gene', (62, 68)) ('STAT1', 'Gene', '6772', (16, 21)) ('susceptibility', 'Reg', (238, 252)) ('DOCK8', 'Gene', '81704', (42, 47)) ('IL-17RA', 'Gene', (49, 56)) ('IL-17F', 'Gene', '112744', (62, 68)) ('CMC', 'Phenotype', 'HP:0002728', (256, 259)) ('Th17 cell development', 'CPA', (179, 200)) 54623 22554706 Analysis of Th17 cell populations in MyD88 and IRAK-4 deficient patients was worthwhile because although they do not suffer CMC disease, the finding of normal Th17 cell populations in these patients demonstrated that IL-1beta is not absolutely required for Th17 cell development in humans. ('CMC', 'Phenotype', 'HP:0002728', (124, 127)) ('patients', 'Species', '9606', (64, 72)) ('patients', 'Species', '9606', (190, 198)) ('IRAK-4', 'Gene', (47, 53)) ('CMC disease', 'Disease', 'MESH:C535816', (124, 135)) ('MyD88', 'Gene', (37, 42)) ('MyD88', 'Gene', '4615', (37, 42)) ('IRAK-4', 'Gene', '51135', (47, 53)) ('humans', 'Species', '9606', (282, 288)) ('deficient', 'Var', (54, 63)) ('CMC disease', 'Disease', (124, 135)) 54624 22554706 In rare cases, oral candidiasis has been observed in patients with mutations in NEMO/IKKgamma, who have reduced NFkappaB activation. ('NFkappaB', 'Protein', (112, 120)) ('reduced', 'NegReg', (104, 111)) ('patients', 'Species', '9606', (53, 61)) ('oral candidiasis', 'Disease', (15, 31)) ('IKKgamma', 'Gene', (85, 93)) ('activation', 'MPA', (121, 131)) ('IKKgamma', 'Gene', '8517', (85, 93)) ('mutations', 'Var', (67, 76)) ('oral candidiasis', 'Disease', 'MESH:D002180', (15, 31)) ('NEMO', 'Gene', (80, 84)) ('NEMO', 'Gene', '8517', (80, 84)) 54629 22554706 Analysis of STAT1 mutations reveals great phenotypic variation: CMC disease, mycobacterial disease, or viral disease. ('CMC disease', 'Disease', (64, 75)) ('viral disease', 'Disease', 'MESH:D001102', (103, 116)) ('mycobacterial disease', 'Disease', 'MESH:C567070', (77, 98)) ('mycobacterial disease', 'Disease', (77, 98)) ('CMC', 'Phenotype', 'HP:0002728', (64, 67)) ('STAT1', 'Gene', (12, 17)) ('viral disease', 'Disease', (103, 116)) ('CMC disease', 'Disease', 'MESH:C535816', (64, 75)) ('STAT1', 'Gene', '6772', (12, 17)) ('mutations', 'Var', (18, 27)) 54673 18699992 By immunoprecipitation, target antigens (in decreasing order of incidence) include desmoglein 3, desmoglein 1, envoplakin (210 kd), periplakin (190 kd), desmoplakin I (250 kd), desmoplakin II (210 kd) and bullous pemphigoid antigen I (230 kd). ('desmoplakin I', 'Disease', (153, 166)) ('envoplakin', 'Gene', (111, 121)) ('desmoglein 3', 'Gene', (83, 95)) ('desmoplakin I', 'Disease', 'MESH:D020754', (177, 190)) ('desmoplakin II', 'Disease', 'MESH:C537730', (177, 191)) ('desmoplakin I', 'Disease', 'MESH:D020754', (153, 166)) ('envoplakin', 'Gene', '2125', (111, 121)) ('bullous pemphigoid antigen', 'Disease', (205, 231)) ('desmoplakin II', 'Disease', (177, 191)) ('desmoglein 3', 'Gene', '1830', (83, 95)) ('desmoglein 1', 'Gene', (97, 109)) ('210 kd', 'Var', (123, 129)) ('desmoglein 1', 'Gene', '1828', (97, 109)) 54739 31644609 Lesions may also affect the nasopharynx, oropharynx, and larynx, leading to odynophagia, dysphagia, and hoarseness that require assessment by an ear, nose, and throat specialist. ('dysphagia', 'Phenotype', 'HP:0002015', (89, 98)) ('hoarseness', 'Disease', (104, 114)) ('odynophagia, dysphagia', 'Disease', 'MESH:D003680', (76, 98)) ('hoarseness', 'Phenotype', 'HP:0001609', (104, 114)) ('affect', 'Reg', (17, 23)) ('odynophagia', 'Phenotype', 'HP:0032043', (76, 87)) ('leading to', 'Reg', (65, 75)) ('Lesions', 'Var', (0, 7)) 54786 31644609 Autoantibodies against these intercellular and intracellular adhesion glycoproteins trigger bronchial epithelial desquamation and sloughing into the airway lumen, resulting in epithelial inflammation and subsequent fibrosis. ('inflammation', 'Disease', 'MESH:D007249', (187, 199)) ('trigger', 'Reg', (84, 91)) ('inflammation', 'Disease', (187, 199)) ('sloughing into the', 'CPA', (130, 148)) ('bronchial epithelial desquamation', 'Disease', (92, 125)) ('desquamation', 'Phenotype', 'HP:0040189', (113, 125)) ('Autoantibodies', 'Var', (0, 14)) ('fibrosis', 'Disease', 'MESH:D005355', (215, 223)) ('fibrosis', 'Disease', (215, 223)) 54791 31644609 Anti-epiplakin antibodies injected into mice induce a disruption of bronchial epithelium integrity and mononuclear cell inflammation, providing evidence of its pathogenic role in bronchiolitis obliterans. ('bronchiolitis obliterans', 'Disease', (179, 203)) ('bronchiolitis', 'Phenotype', 'HP:0011950', (179, 192)) ('disruption', 'NegReg', (54, 64)) ('Anti-epiplakin', 'Protein', (0, 14)) ('bronchiolitis obliterans', 'Disease', 'MESH:D001989', (179, 203)) ('inflammation', 'Disease', 'MESH:D007249', (120, 132)) ('bronchiolitis obliterans', 'Phenotype', 'HP:0011946', (179, 203)) ('mice', 'Species', '10090', (40, 44)) ('antibodies', 'Var', (15, 25)) ('inflammation', 'Disease', (120, 132)) 54877 31757999 Within the past years, a deregulation or mutation of the activin signaling axis was found in numerous malignancies. ('deregulation', 'Var', (25, 37)) ('malignancies', 'Disease', 'MESH:D009369', (102, 114)) ('found', 'Reg', (84, 89)) ('mutation', 'Var', (41, 49)) ('malignancies', 'Disease', (102, 114)) ('activin', 'Gene', (57, 64)) ('activin', 'Gene', '83729', (57, 64)) 54928 31757999 In particular, low number of immature tumor vessels showed a 35-fold higher risk for tumor recurrence compared to TETs with high number of immature tumor vessels (HR 35.3; p = 0.021). ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('tumor', 'Disease', (38, 43)) ('tumor', 'Disease', (85, 90)) ('low', 'Var', (15, 18)) ('tumor', 'Phenotype', 'HP:0002664', (148, 153)) ('tumor', 'Disease', 'MESH:D009369', (148, 153)) ('immature tumor', 'Disease', (139, 153)) ('TETs', 'Disease', 'MESH:C536905', (114, 118)) ('immature tumor', 'Disease', (29, 43)) ('tumor', 'Disease', (148, 153)) ('TETs', 'Disease', (114, 118)) ('tumor', 'Disease', 'MESH:D009369', (85, 90)) ('tumor', 'Disease', 'MESH:D009369', (38, 43)) ('immature tumor', 'Disease', 'MESH:D013724', (29, 43)) ('tumor', 'Phenotype', 'HP:0002664', (85, 90)) ('immature tumor', 'Disease', 'MESH:D013724', (139, 153)) 54935 31757999 In particular, high Follistatin serum levels were associated with shorter overall survival (OS) and poor prognosis in hepatocellular carcinoma, emergence of bone metastases in prostate cancer or tumor proliferation of lung adenocarcinoma cells. ('high', 'Var', (15, 19)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (218, 237)) ('shorter', 'NegReg', (66, 73)) ('bone metastases in prostate cancer', 'Disease', 'MESH:D011471', (157, 191)) ('serum levels', 'MPA', (32, 44)) ('cancer', 'Phenotype', 'HP:0002664', (185, 191)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (118, 142)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (118, 142)) ('overall survival', 'MPA', (74, 90)) ('tumor proliferation of lung adenocarcinoma', 'Disease', 'MESH:C538231', (195, 237)) ('carcinoma', 'Phenotype', 'HP:0030731', (133, 142)) ('carcinoma', 'Phenotype', 'HP:0030731', (228, 237)) ('hepatocellular carcinoma', 'Disease', (118, 142)) ('Follistatin', 'MPA', (20, 31)) ('tumor proliferation of lung adenocarcinoma', 'Disease', (195, 237)) ('bone metastases in prostate cancer', 'Disease', (157, 191)) ('prostate cancer', 'Phenotype', 'HP:0012125', (176, 191)) ('tumor', 'Phenotype', 'HP:0002664', (195, 200)) 54939 31757999 demonstrated that cultured lung adenocarcinoma cells secreted Follistatin, and that inhibition of Follistatin led to significantly augmented Activin A induced apoptosis. ('Activin', 'Gene', (141, 148)) ('augmented', 'PosReg', (131, 140)) ('carcinoma', 'Phenotype', 'HP:0030731', (37, 46)) ('lung adenocarcinoma', 'Disease', 'MESH:C538231', (27, 46)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (27, 46)) ('Activin', 'Gene', '83729', (141, 148)) ('inhibition', 'Var', (84, 94)) ('lung adenocarcinoma', 'Disease', (27, 46)) ('Follistatin', 'Gene', (98, 109)) ('apoptosis', 'CPA', (159, 168)) 54941 31757999 In accordance to that, inhibition of p21 increased endothelial cell proliferation and resistance to Activin A mediated growth inhibition. ('endothelial cell proliferation', 'CPA', (51, 81)) ('increased', 'PosReg', (41, 50)) ('inhibition', 'Var', (23, 33)) ('Activin', 'Gene', (100, 107)) ('resistance to', 'CPA', (86, 99)) ('p21', 'Gene', (37, 40)) ('Activin', 'Gene', '83729', (100, 107)) ('p21', 'Gene', '644914', (37, 40)) 54963 31757999 Similar, in HeLa cells, nuclear expression of Follistatin delayed glucose deprivation-induced apoptosis by attenuating RNA synthesis, which represents a key process of cellular energy homeostasis and cell survival. ('attenuating', 'NegReg', (107, 118)) ('HeLa', 'CellLine', 'CVCL:0030', (12, 16)) ('nuclear expression', 'Var', (24, 42)) ('Follistatin', 'Gene', (46, 57)) ('glucose deprivation-induced', 'Disease', (66, 93)) ('RNA synthesis', 'MPA', (119, 132)) ('glucose', 'Chemical', 'MESH:D005947', (66, 73)) 55313 32985506 Thymic abnormalities often affect T-cell homeostasis and function, and have been thought to be a main cause of autoimmune diseases such as MG in patients. ('patients', 'Species', '9606', (145, 153)) ('function', 'MPA', (57, 65)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (111, 130)) ('cause', 'Reg', (102, 107)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (111, 130)) ('T-cell homeostasis', 'MPA', (34, 52)) ('Thymic abnormalities', 'Var', (0, 20)) ('Thymic abnormalities', 'Phenotype', 'HP:0000777', (0, 20)) ('autoimmune diseases', 'Disease', (111, 130)) ('affect', 'Reg', (27, 33)) 55319 32985506 Consistently, we observed more CD31+ naive CD4+ T cells in thymoma patients compared to patients with other thymic tumors including thymic cysts, thymic carcinomas, teratomas, and lymphomas (Supplementary Fig. ('teratomas', 'Phenotype', 'HP:0009792', (165, 174)) ('carcinoma', 'Phenotype', 'HP:0030731', (153, 162)) ('carcinomas', 'Phenotype', 'HP:0030731', (153, 163)) ('lymphomas', 'Disease', 'MESH:D008223', (180, 189)) ('thymoma', 'Disease', (59, 66)) ('lymphomas', 'Phenotype', 'HP:0002665', (180, 189)) ('thymoma', 'Phenotype', 'HP:0100522', (59, 66)) ('teratoma', 'Phenotype', 'HP:0009792', (165, 173)) ('more', 'PosReg', (26, 30)) ('teratomas', 'Disease', 'MESH:D013724', (165, 174)) ('CD31+', 'Var', (31, 36)) ('tumors', 'Phenotype', 'HP:0002664', (115, 121)) ('CD4', 'Gene', '920', (43, 46)) ('thymic carcinomas', 'Disease', (146, 163)) ('tumor', 'Phenotype', 'HP:0002664', (115, 120)) ('lymphomas', 'Disease', (180, 189)) ('patients', 'Species', '9606', (67, 75)) ('teratomas', 'Disease', (165, 174)) ('thymic carcinomas', 'Disease', 'MESH:D013953', (146, 163)) ('CD4', 'Gene', (43, 46)) ('lymphoma', 'Phenotype', 'HP:0002665', (180, 188)) ('thymic tumors', 'Disease', (108, 121)) ('thymoma', 'Disease', 'MESH:D013945', (59, 66)) ('patients', 'Species', '9606', (88, 96)) ('thymic tumors', 'Disease', 'MESH:D013953', (108, 121)) ('thymic tumor', 'Phenotype', 'HP:0100521', (108, 120)) 55329 32985506 In-line with findings in the discovery set, CD31+ naive T cells were increased in patients with thymomas (Supplementary Fig. ('thymomas', 'Disease', (96, 104)) ('CD31+', 'Var', (44, 49)) ('increased', 'PosReg', (69, 78)) ('patients', 'Species', '9606', (82, 90)) ('thymomas', 'Disease', 'MESH:D013945', (96, 104)) ('thymoma', 'Phenotype', 'HP:0100522', (96, 103)) 55397 32985506 Our study shows more borderline cases in IL-8 assay in patients aged 40 years and younger, compared to patients aged over 40 years. ('assay', 'Var', (46, 51)) ('IL-8', 'Gene', '3576', (41, 45)) ('IL-8', 'Gene', (41, 45)) ('patients', 'Species', '9606', (55, 63)) ('patients', 'Species', '9606', (103, 111)) 55503 19381821 EGFR mutation analysis was performed on five tumor blocks. ('tumor', 'Phenotype', 'HP:0002664', (45, 50)) ('EGFR', 'Gene', (0, 4)) ('tumor', 'Disease', (45, 50)) ('EGFR', 'Gene', '1956', (0, 4)) ('mutation', 'Var', (5, 13)) ('tumor', 'Disease', 'MESH:D009369', (45, 50)) 55504 19381821 None of the tumor blocks subjected to genomic analyses demonstrated presence of EGFR or KRAS mutations. ('mutations', 'Var', (93, 102)) ('tumor', 'Disease', 'MESH:D009369', (12, 17)) ('EGFR', 'Gene', '1956', (80, 84)) ('EGFR', 'Gene', (80, 84)) ('tumor', 'Phenotype', 'HP:0002664', (12, 17)) ('KRAS', 'Gene', (88, 92)) ('KRAS', 'Gene', '3845', (88, 92)) ('tumor', 'Disease', (12, 17)) 55571 31116133 Several recent case reports of unusual presentations of patients with neutralizing autoantibodies to IFN-gamma and granulocyt macrophage colony-stimulating factor and expand the spectrum of clinical manifestations and suggest that anticytokine-mediated acquired immunodeficiency causing susceptibility to infection may be underdiagnosed. ('infection', 'Disease', (305, 314)) ('acquired immunodeficiency', 'Disease', (253, 278)) ('patients', 'Species', '9606', (56, 64)) ('infection', 'Disease', 'MESH:D007239', (305, 314)) ('immunodeficiency', 'Phenotype', 'HP:0002721', (262, 278)) ('granulocyt macrophage colony-stimulating factor', 'Gene', '1437', (115, 162)) ('IFN-gamma', 'Gene', '3458', (101, 110)) ('IFN-gamma', 'Gene', (101, 110)) ('man', 'Species', '9606', (199, 202)) ('acquired immunodeficiency', 'Disease', 'MESH:D000163', (253, 278)) ('granulocyt macrophage colony-stimulating factor', 'Gene', (115, 162)) ('neutralizing', 'Var', (70, 82)) ('susceptibility to infection', 'Phenotype', 'HP:0002719', (287, 314)) 55573 31116133 The spectrum of identified infections in patients with neutralizing antibodies to IFN-gamma has a strong endemic component. ('infection', 'Disease', (27, 36)) ('patients', 'Species', '9606', (41, 49)) ('IFN-gamma', 'Gene', (82, 91)) ('IFN-gamma', 'Gene', '3458', (82, 91)) ('infection', 'Disease', 'MESH:D007239', (27, 36)) ('neutralizing antibodies', 'Var', (55, 78)) 55586 31116133 Autoantibodies to cytokines have been identified as an emerging alternative pathological mechanism leading to a compromised immune response and susceptibility to infection and may be considered as autoimmune phenocopies of primary immunodeficiencies. ('susceptibility to infection', 'Phenotype', 'HP:0002719', (144, 171)) ('autoimmune phenocopies of primary immunodeficiencies', 'Disease', 'MESH:C580174', (197, 249)) ('immunodeficiencies', 'Phenotype', 'HP:0002721', (231, 249)) ('infection', 'Disease', (162, 171)) ('Autoantibodies', 'Var', (0, 14)) ('infection', 'Disease', 'MESH:D007239', (162, 171)) ('compromised immune response', 'Phenotype', 'HP:0002721', (112, 139)) ('immune response', 'CPA', (124, 139)) 55595 31116133 Neutralizing autoantibodies to IFN-gamma (AIGA) are the autoimmune correlate to primary Mendelian defects in the IFN-gamma signalling pathway. ('IFN-gamma', 'Gene', '3458', (31, 40)) ('IFN-gamma', 'Gene', (31, 40)) ('Mendelian defects', 'Disease', (88, 105)) ('Neutralizing', 'Var', (0, 12)) ('Mendelian defects', 'Disease', 'MESH:D005128', (88, 105)) ('IFN-gamma', 'Gene', '3458', (113, 122)) ('IFN-gamma', 'Gene', (113, 122)) 55622 31116133 Auto-antibodies to GM-CSF are the autoimmune correlate of the much rarer primary GM-CSF-Receptor deficiency causing pulmonary alveolar proteinosis (PAP) by impairing the alveolar macrophage mediated surfactant lipid and protein metabolism and leading to accumulation and respiratory insufficiency. ('pulmonary alveolar proteinosis', 'Disease', 'MESH:D011649', (116, 146)) ('respiratory insufficiency', 'Phenotype', 'HP:0002093', (271, 296)) ('GM-CSF', 'Gene', '1437', (19, 25)) ('alveolar proteinosis', 'Phenotype', 'HP:0006517', (126, 146)) ('GM-CSF', 'Gene', '1437', (81, 87)) ('pulmonary alveolar proteinosis', 'Disease', (116, 146)) ('accumulation', 'MPA', (254, 266)) ('causing', 'Reg', (108, 115)) ('alveolar', 'Disease', (170, 178)) ('lipid', 'Chemical', 'MESH:D008055', (210, 215)) ('alveolar', 'Disease', 'MESH:D002282', (126, 134)) ('respiratory insufficiency', 'Disease', (271, 296)) ('impairing', 'NegReg', (156, 165)) ('alveolar', 'Disease', 'MESH:D002282', (170, 178)) ('GM-CSF', 'Gene', (19, 25)) ('GM-CSF', 'Gene', (81, 87)) ('leading to', 'Reg', (243, 253)) ('respiratory insufficiency', 'Disease', 'MESH:D012131', (271, 296)) ('alveolar', 'Disease', (126, 134)) ('deficiency', 'Var', (97, 107)) 55647 31116133 Auto immune regulator (AIRE) deficiency causes autoimmune polyglandular syndrome type I (APS1), which is a complex autoimmune syndrome with CMC as its only infectious manifestation. ('AIRE', 'Gene', (23, 27)) ('causes', 'Reg', (40, 46)) ('APS1', 'Gene', '326', (89, 93)) ('AIRE', 'Gene', '326', (23, 27)) ('autoimmune syndrome', 'Disease', (115, 134)) ('man', 'Species', '9606', (167, 170)) ('autoimmune polyglandular syndrome type I', 'Disease', 'MESH:D016884', (47, 87)) ('autoimmune polyglandular syndrome type I', 'Disease', (47, 87)) ('APS1', 'Gene', (89, 93)) ('autoimmune syndrome', 'Phenotype', 'HP:0002960', (115, 134)) ('CMC', 'Phenotype', 'HP:0002728', (140, 143)) ('deficiency', 'Var', (29, 39)) ('autoimmune syndrome', 'Disease', 'MESH:D001327', (115, 134)) 55651 31116133 presented a patient with chronic variable immunodeficiency caused by a heterozygous NFKB2 mutation. ('NFKB2', 'Gene', (84, 89)) ('immunodeficiency', 'Phenotype', 'HP:0002721', (42, 58)) ('immunodeficiency', 'Disease', (42, 58)) ('immunodeficiency', 'Disease', 'MESH:D007153', (42, 58)) ('NFKB2', 'Gene', '4791', (84, 89)) ('caused by', 'Reg', (59, 68)) ('patient', 'Species', '9606', (12, 19)) ('mutation', 'Var', (90, 98)) 55656 31116133 In line with this are findings in hypomorphic recombination activation gene deficient patients and Thymoma patients where the incidence and complexity of the patients anticytokine patterns where positively correlated with increased susceptibilities to infections. ('infection', 'Disease', (252, 261)) ('patients', 'Species', '9606', (107, 115)) ('infection', 'Disease', 'MESH:D007239', (252, 261)) ('anticytokine', 'MPA', (167, 179)) ('Thymoma', 'Disease', (99, 106)) ('Thymoma', 'Phenotype', 'HP:0100522', (99, 106)) ('susceptibilities', 'MPA', (232, 248)) ('susceptibilities to infections', 'Phenotype', 'HP:0002719', (232, 262)) ('Thymoma', 'Disease', 'MESH:D013945', (99, 106)) ('patients', 'Species', '9606', (158, 166)) ('deficient', 'Var', (76, 85)) ('correlated', 'Reg', (206, 216)) ('patients', 'Species', '9606', (86, 94)) 55661 31116133 One patient with complete gp130 deficiency presented early onset severe recurrent bacterial infections including Staphylococcus aureus, Streptococcus milleri and GrpA Streptococci, but not fungal infections and an impaired acute phase response. ('gp130', 'Gene', '3572', (26, 31)) ('Staphylococcus aureus', 'Species', '1280', (113, 134)) ('Streptococcus milleri', 'Species', '33040', (136, 157)) ('bacterial infections', 'Disease', 'MESH:D001424', (82, 102)) ('Staphylococcus aureus', 'Disease', (113, 134)) ('patient', 'Species', '9606', (4, 11)) ('impaired acute phase response', 'Phenotype', 'HP:0031404', (214, 243)) ('recurrent bacterial infections', 'Phenotype', 'HP:0002718', (72, 102)) ('bacterial infections', 'Phenotype', 'HP:0002718', (82, 102)) ('gp130', 'Gene', (26, 31)) ('bacterial infections', 'Disease', (82, 102)) ('fungal infections', 'Disease', (189, 206)) ('fungal infections', 'Phenotype', 'HP:0002841', (189, 206)) ('deficiency', 'Var', (32, 42)) ('fungal infections', 'Disease', 'MESH:D009181', (189, 206)) 55672 31116133 Autoantibodies to cytokines may cause acquired susceptibility to infection. ('susceptibility to infection', 'Phenotype', 'HP:0002719', (47, 74)) ('infection', 'Disease', (65, 74)) ('Autoantibodies', 'Var', (0, 14)) ('infection', 'Disease', 'MESH:D007239', (65, 74)) ('acquired susceptibility', 'MPA', (38, 61)) ('cause', 'Reg', (32, 37)) 55690 20859134 None of 5 samples evaluated by DNA sequencing showed evidence of EGFR or KRAS mutations. ('KRAS', 'Gene', (73, 77)) ('EGFR', 'Gene', '1956', (65, 69)) ('KRAS', 'Gene', '3845', (73, 77)) ('EGFR', 'Gene', (65, 69)) ('mutations', 'Var', (78, 87)) 55706 20859134 This patient harbored an activating mutation in exon 11 of the KIT gene (V5660del). ('patient', 'Species', '9606', (5, 12)) ('V5660del', 'Var', (73, 81)) ('activating', 'PosReg', (25, 35)) ('V5660del', 'Mutation', 'p.5660delV', (73, 81)) ('KIT', 'Gene', (63, 66)) 55719 20859134 HDAC inhibition can alter gene expression and induce apoptosis. ('HDAC', 'Gene', (0, 4)) ('apoptosis', 'CPA', (53, 62)) ('HDAC', 'Gene', '9734', (0, 4)) ('gene expression', 'MPA', (26, 41)) ('inhibition', 'Var', (5, 15)) ('alter', 'Reg', (20, 25)) ('induce', 'Reg', (46, 52)) 55734 20859134 In one case a patient was found to have a missense mutation in exon 17 (D820E) of the c-KIT gene that was detected by direct sequencing. ('D820E', 'Mutation', 'rs1057519711', (72, 77)) ('c-KIT', 'Gene', (86, 91)) ('missense mutation in', 'Var', (42, 62)) ('patient', 'Species', '9606', (14, 21)) ('c-KIT', 'Gene', '3815', (86, 91)) ('D820E', 'Var', (72, 77)) 55770 20859134 SU014813 is an orally administered multi-kinase inhibitor that targets VEGFRs, PDGFRs, KIT and FLT-3. ('SU014813', 'Chemical', '-', (0, 8)) ('VEGFRs', 'Gene', (71, 77)) ('KIT', 'Gene', (87, 90)) ('FLT-3', 'Gene', '2322', (95, 100)) ('SU014813', 'Var', (0, 8)) ('PDGFR', 'Gene', (79, 84)) ('VEGFRs', 'Gene', '2321;3791', (71, 77)) ('PDGFR', 'Gene', '5159', (79, 84)) ('FLT-3', 'Gene', (95, 100)) 55780 20859134 PHA-848125 is an orally administered potent inhibitor of the CDK2/Cyclin A complex and TRKA. ('Cyclin A', 'Gene', (66, 74)) ('PHA-848125', 'Var', (0, 10)) ('CDK2', 'Gene', (61, 65)) ('TRKA', 'Gene', (87, 91)) ('CDK2', 'Gene', '1017', (61, 65)) ('Cyclin A', 'Gene', '890', (66, 74)) ('TRKA', 'Gene', '4914', (87, 91)) 55782 20859134 Based on these results an ongoing multicenter phase II study is evaluating PHA-848125-AC in patients with thymic carcinoma (ClinicalTrials.gov Identifier: NCT01011439). ('PHA-848125-AC', 'Var', (75, 88)) ('patients', 'Species', '9606', (92, 100)) ('thymic carcinoma', 'Disease', (106, 122)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (106, 122)) ('carcinoma', 'Phenotype', 'HP:0030731', (113, 122)) 55802 17498299 Strong CD57 positivity in thymomas may suggest a concomitant neuromuscular disorder, notably myasthenia gravis. ('neuromuscular disorder', 'Disease', (61, 83)) ('thymomas', 'Disease', (26, 34)) ('myasthenia gravis', 'Disease', (93, 110)) ('thymomas', 'Disease', 'MESH:D013945', (26, 34)) ('neuromuscular disorder', 'Disease', 'MESH:D009468', (61, 83)) ('thymoma', 'Phenotype', 'HP:0100522', (26, 33)) ('CD57', 'Gene', (7, 11)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (93, 110)) ('CD57', 'Gene', '27087', (7, 11)) ('positivity', 'Var', (12, 22)) ('myasthenia', 'Phenotype', 'HP:0003473', (93, 103)) 55831 17498299 The majority of non-neoplastic lymphocytes showed an immunophenotype characteristic of immature T cells (CD3+, CD5+, CD1a+, CD99+; Ki67 proliferation index > 80%). ('CD1a', 'Gene', (117, 121)) ('CD99', 'Gene', '4267', (124, 128)) ('CD3+', 'Var', (105, 109)) ('CD1a', 'Gene', '909', (117, 121)) ('CD5', 'Gene', (111, 114)) ('CD99', 'Gene', (124, 128)) ('CD5', 'Gene', '921', (111, 114)) 55833 17498299 The lymphocytes in foci of medullary differentiation showed a mature T cell phenotype (CD3+, CD5+, CD1a-, CD99-; Ki67 proliferation index <10%) and contained a large number of CD20+ B lymphocytes. ('CD1a', 'Gene', '909', (99, 103)) ('CD99', 'Gene', (106, 110)) ('CD5', 'Gene', (93, 96)) ('CD1a', 'Gene', (99, 103)) ('CD20', 'Gene', '54474', (176, 180)) ('CD20', 'Gene', (176, 180)) ('CD5', 'Gene', '921', (93, 96)) ('CD3+', 'Var', (87, 91)) ('CD99', 'Gene', '4267', (106, 110)) 55836 17498299 Admixed T lymphocytes were CD3+, CD5+, CD1a+, CD99+, with high Ki67 proliferation index (>80%), whereas lymphocytes in the medullary islands were mature T cells (CD3+, CD5+, CD1a-, CD99-; Ki67 proliferation index <10%) and CD20+ B cells. ('CD5', 'Gene', (168, 171)) ('CD1a', 'Gene', '909', (174, 178)) ('CD5', 'Gene', '921', (168, 171)) ('CD99', 'Gene', (181, 185)) ('CD20', 'Gene', '54474', (223, 227)) ('CD20', 'Gene', (223, 227)) ('CD1a', 'Gene', (39, 43)) ('CD99', 'Gene', '4267', (46, 50)) ('CD1a', 'Gene', (174, 178)) ('CD5', 'Gene', (33, 36)) ('CD1a', 'Gene', '909', (39, 43)) ('CD99', 'Gene', '4267', (181, 185)) ('CD99', 'Gene', (46, 50)) ('CD3+', 'Var', (162, 166)) ('CD5', 'Gene', '921', (33, 36)) 55838 17498299 Type B2 and B3 thymomas showed a similar immunophenotype with a variable CK7 expression, and immature intratumoral non-neoplastic T lymphocytes (CD3+, CD5+, CD1a+, CD99+; Ki67 proliferation index >80%). ('CD99', 'Gene', '4267', (164, 168)) ('CD5', 'Gene', (151, 154)) ('expression', 'MPA', (77, 87)) ('CD3+', 'Var', (145, 149)) ('CD1a', 'Gene', '909', (157, 161)) ('tumor', 'Phenotype', 'HP:0002664', (107, 112)) ('tumor', 'Disease', (107, 112)) ('CD5', 'Gene', '921', (151, 154)) ('thymoma', 'Phenotype', 'HP:0100522', (15, 22)) ('CD99', 'Gene', (164, 168)) ('CK7', 'Gene', '3855', (73, 76)) ('CD1a', 'Gene', (157, 161)) ('thymomas', 'Disease', (15, 23)) ('thymomas', 'Disease', 'MESH:D013945', (15, 23)) ('tumor', 'Disease', 'MESH:D009369', (107, 112)) ('CK7', 'Gene', (73, 76)) 55840 17498299 Small stromal lymphoid aggregates containing mature T lymphocytes (CD3+, CD5+, CD1a-, CD99-, Ki67 proliferation index <10%) and CD20+ B lymphocytes were observed in all B2 and B3 thymomas. ('thymomas', 'Disease', (179, 187)) ('thymomas', 'Disease', 'MESH:D013945', (179, 187)) ('CD3+', 'Var', (67, 71)) ('CD1a', 'Gene', '909', (79, 83)) ('CD99', 'Gene', '4267', (86, 90)) ('CD5', 'Gene', (73, 76)) ('CD20', 'Gene', '54474', (128, 132)) ('CD20', 'Gene', (128, 132)) ('CD5', 'Gene', '921', (73, 76)) ('thymoma', 'Phenotype', 'HP:0100522', (179, 186)) ('CD99', 'Gene', (86, 90)) ('CD1a', 'Gene', (79, 83)) 55848 17498299 The stroma contained large lymphocytic aggregates containing a predominant cell population of CD20 B lymphocytes and mature T cells (CD3+, CD5+, CD1a-, CD99-, Ki67 proliferation index <10%). ('CD1a', 'Gene', (145, 149)) ('CD99', 'Gene', '4267', (152, 156)) ('CD3+', 'Var', (133, 137)) ('CD1a', 'Gene', '909', (145, 149)) ('CD20', 'Gene', '54474', (94, 98)) ('CD20', 'Gene', (94, 98)) ('CD5', 'Gene', (139, 142)) ('CD99', 'Gene', (152, 156)) ('CD5', 'Gene', '921', (139, 142)) 55862 17498299 Only few studies have addressed the prevalence of neuroendocrine differentiation in human thymic neoplasms and demonstrated reactivity for synaptophysin, neuron-specific enolase, and/or chromogranin in 58% thymic carcinomas and atypical thymomas. ('neuroendocrine differentiation', 'CPA', (50, 80)) ('synaptophysin', 'Gene', '6855', (139, 152)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (206, 223)) ('neoplasms', 'Disease', (97, 106)) ('thymomas', 'Disease', 'MESH:D013945', (237, 245)) ('thymic carcinomas', 'Disease', (206, 223)) ('thymomas', 'Disease', (237, 245)) ('thymic neoplasms', 'Phenotype', 'HP:0100521', (90, 106)) ('carcinoma', 'Phenotype', 'HP:0030731', (213, 222)) ('carcinomas', 'Phenotype', 'HP:0030731', (213, 223)) ('neoplasms', 'Phenotype', 'HP:0002664', (97, 106)) ('neoplasm', 'Phenotype', 'HP:0002664', (97, 105)) ('thymoma', 'Phenotype', 'HP:0100522', (237, 244)) ('reactivity', 'Var', (124, 134)) ('human', 'Species', '9606', (84, 89)) ('neuron-specific enolase', 'Gene', (154, 177)) ('synaptophysin', 'Gene', (139, 152)) ('neoplasms', 'Disease', 'MESH:D009369', (97, 106)) ('neuron-specific enolase', 'Gene', '2026', (154, 177)) 55865 17498299 In their excellent study, Pan et al reported CD57 positivity in 76% short-spindled and 80% long-spindled variants. ('CD57', 'Gene', (45, 49)) ('short-spindled', 'Disease', (68, 82)) ('positivity', 'Var', (50, 60)) ('CD57', 'Gene', '27087', (45, 49)) 55881 17498299 In agreement with previous reports, in this study, the stromal lymphoid cell population in the MNT contained numerous CD20+ B cells and mature T cells, whereas intratumoral lymphocytes showed an immature T cell phenotype (CD3+, CD1a+, CD99+, Ki67 proliferation index >80%). ('CD99', 'Gene', (235, 239)) ('CD1a', 'Gene', (228, 232)) ('CD3+', 'Var', (222, 226)) ('CD99', 'Gene', '4267', (235, 239)) ('tumor', 'Disease', 'MESH:D009369', (165, 170)) ('tumor', 'Phenotype', 'HP:0002664', (165, 170)) ('CD1a', 'Gene', '909', (228, 232)) ('Ki67 proliferation index', 'CPA', (242, 266)) ('CD20', 'Gene', '54474', (118, 122)) ('CD20', 'Gene', (118, 122)) ('tumor', 'Disease', (165, 170)) 55893 17498299 Strong CD57 positivity in neoplastic epithelial cells in thymomas may suggest a concomitant neuromuscular disorder, notably myasthenia gravis. ('neuromuscular disorder', 'Disease', 'MESH:D009468', (92, 114)) ('myasthenia', 'Phenotype', 'HP:0003473', (124, 134)) ('myasthenia gravis', 'Disease', (124, 141)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (124, 141)) ('CD57', 'Gene', (7, 11)) ('thymoma', 'Phenotype', 'HP:0100522', (57, 64)) ('thymomas', 'Disease', 'MESH:D013945', (57, 65)) ('CD57', 'Gene', '27087', (7, 11)) ('positivity', 'Var', (12, 22)) ('neuromuscular disorder', 'Disease', (92, 114)) ('thymomas', 'Disease', (57, 65)) 55919 33923771 Detection of modulating and blocking AChR-Ab through RIPA is commercially available but adds little diagnostic value, although others recently emphasized their significance. ('modulating', 'Var', (13, 23)) ('AChR-Ab', 'Gene', (37, 44)) ('blocking', 'NegReg', (28, 36)) ('ACh', 'Chemical', 'MESH:D000109', (37, 40)) 55924 33923771 The technique detects autoantibodies to clustered AChR in about 15% of RIPA-seronegative MG patients. ('clustered AChR', 'Protein', (40, 54)) ('patients', 'Species', '9606', (92, 100)) ('autoantibodies', 'Var', (22, 36)) ('ACh', 'Chemical', 'MESH:D000109', (50, 53)) ('RIPA-seronegative MG', 'Disease', (71, 91)) ('detects', 'Reg', (14, 21)) 56018 32337145 We found out that rates of remission were better in post thymectomy patients than patients on various medical treatment options including corticosteroids, immunosuppressants, intravenous immunoglobulins and acetylcholinesterase inhibitors alone. ('patients', 'Species', '9606', (82, 90)) ('better', 'PosReg', (42, 48)) ('men', 'Species', '9606', (115, 118)) ('acetylcholinesterase', 'Gene', (207, 227)) ('post thymectomy', 'Var', (52, 67)) ('patients', 'Species', '9606', (68, 76)) ('steroids', 'Chemical', 'MESH:D013256', (145, 153)) ('acetylcholinesterase', 'Gene', '43', (207, 227)) 56031 32337145 It is proposed that anti-acetylcholine receptor antibodies cause damage to the postsynaptic membrane. ('acetylcholine', 'Chemical', 'MESH:D000109', (25, 38)) ('antibodies', 'Var', (48, 58)) ('damage', 'MPA', (65, 71)) ('anti-acetylcholine receptor', 'Protein', (20, 47)) ('acetylcholine receptor antibodies', 'Phenotype', 'HP:0030208', (25, 58)) 56033 32337145 Depletion of AchR hinders myofiber's response to acetylcholine. ('hinders', 'NegReg', (18, 25)) ('acetylcholine', 'Chemical', 'MESH:D000109', (49, 62)) ('response to acetylcholine', 'MPA', (37, 62)) ('Depletion', 'Var', (0, 9)) ('AchR', 'Protein', (13, 17)) ('myofiber', 'CPA', (26, 34)) 56051 32337145 In about half of patients with seronegative myasthenia gravis, antibody to muscle-specific kinase is positive. ('myasthenia', 'Phenotype', 'HP:0003473', (44, 54)) ('patients', 'Species', '9606', (17, 25)) ('positive', 'Reg', (101, 109)) ('myasthenia gravis', 'Disease', (44, 61)) ('antibody', 'Var', (63, 71)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (44, 61)) 56075 32337145 And he found out that before landmark analysis, the thymectomy group had a higher cumulative incidence of pharmacologic remission (p = 0.009) and complete stable remission (p = 0.022) than the medical treatment group. ('thymectomy', 'Var', (52, 62)) ('higher', 'PosReg', (75, 81)) ('pharmacologic remission', 'MPA', (106, 129)) ('men', 'Species', '9606', (206, 209)) 56120 31193429 Thoracoscopic thymectomy in comparison with thymectomy from open surgical approach contributes to a significant decrease in the length of patients' stay in the intensive care unit and hospital, and the duration of analgesia with narcotic analgesics in the postoperative period. ('decrease', 'NegReg', (112, 120)) ('Thoracoscopic', 'Var', (0, 13)) ('analgesia', 'Disease', (214, 223)) ('analgesia', 'Disease', 'MESH:D000699', (214, 223)) ('patients', 'Species', '9606', (138, 146)) 56294 28506287 Kaplan-Meier analysis and log-rank tests showed that DFS rates were higher in patients with WHO type A + AB and type B1 thymoma than in those with type B2 thymoma (P < 0.001 and P = 0.014, respectively) and type B3 thymoma (P < 0.001 and P = 0.011, respectively) (Fig. ('DFS', 'MPA', (53, 56)) ('thymoma', 'Disease', (215, 222)) ('thymoma', 'Disease', 'MESH:D013945', (120, 127)) ('thymoma', 'Disease', (120, 127)) ('higher', 'PosReg', (68, 74)) ('thymoma', 'Disease', 'MESH:D013945', (155, 162)) ('patients', 'Species', '9606', (78, 86)) ('thymoma', 'Phenotype', 'HP:0100522', (215, 222)) ('thymoma', 'Phenotype', 'HP:0100522', (155, 162)) ('thymoma', 'Phenotype', 'HP:0100522', (120, 127)) ('type B2 thymoma', 'Disease', (147, 162)) ('type B3 thymoma', 'Disease', (207, 222)) ('thymoma', 'Disease', (155, 162)) ('type B1', 'Var', (112, 119)) ('thymoma', 'Disease', 'MESH:D013945', (215, 222)) ('type B2 thymoma', 'Disease', 'MESH:D013945', (147, 162)) ('type B3 thymoma', 'Disease', 'MESH:D013945', (207, 222)) 56298 28506287 Subsequent analysis using the Cox multivariate model revealed the following independent predictors of OS: Masaoka stage (stage IVa vs. stage I, P = 0.048) and WHO histological classification (type B1 and type B3 vs. type A + B, P = 0.016 and P = 0.004, respectively) (Table 3). ('Cox', 'Gene', '1351', (30, 33)) ('Cox', 'Gene', (30, 33)) ('type B1', 'Var', (192, 199)) ('Masaoka stage', 'Disease', (106, 119)) 21452 22312479 The presence of striational antibodies is associated with more severe disease in all MG subgroups. ('severe disease', 'Disease', (63, 77)) ('associated with', 'Reg', (42, 57)) ('presence', 'Var', (4, 12)) ('severe disease', 'Disease', 'MESH:D056729', (63, 77)) ('striational antibodies', 'Protein', (16, 38)) 56374 22312479 Some disease mechanisms which may occur in MG, such as the presence of matrix metalloproteinase-3 (MMP-3), may also have a specific pathogenetic effect. ('matrix metalloproteinase-3', 'Gene', '4314', (71, 97)) ('matrix metalloproteinase-3', 'Gene', (71, 97)) ('MMP-3', 'Gene', '4314', (99, 104)) ('MMP-3', 'Gene', (99, 104)) ('presence', 'Var', (59, 67)) 56390 22312479 Logistic regression analyses revealed that female gender and mild ocular symptoms were independently predictive of headache associated with MG. MG is characterized by reduced muscle endurance and is often accompanied by respiratory complications. ('headache', 'Disease', 'MESH:D006261', (115, 123)) ('respiratory complications', 'Phenotype', 'HP:0011947', (220, 245)) ('mild ocular symptoms', 'Phenotype', 'HP:0032037', (61, 81)) ('MG. MG', 'Var', (140, 146)) ('headache', 'Disease', (115, 123)) ('headache', 'Phenotype', 'HP:0002315', (115, 123)) ('reduced', 'NegReg', (167, 174)) ('muscle endurance', 'CPA', (175, 191)) 56452 21861913 Irregularities are usually the signs of local invasion and aggressive carcinomas. ('Irregularities', 'Var', (0, 14)) ('local invasion', 'CPA', (40, 54)) ('carcinoma', 'Phenotype', 'HP:0030731', (70, 79)) ('carcinomas', 'Phenotype', 'HP:0030731', (70, 80)) ('aggressive carcinomas', 'Disease', 'MESH:D001523', (59, 80)) ('aggressive carcinomas', 'Disease', (59, 80)) 56551 32489444 In this study, one of the four patients with combination B2-B3 showed gross infiltration of mediastinal structures at recurrence and died. ('combination B2-B3', 'Var', (45, 62)) ('B2-B3', 'Var', (57, 62)) ('died', 'Disease', (133, 137)) ('patients', 'Species', '9606', (31, 39)) ('died', 'Disease', 'MESH:D003643', (133, 137)) 56571 32373124 The subgroup that is associated with thymoma and almost consistently with anti-acetylcholine receptor (AChR) antibodies, is termed thymoma-associated MG (TAMG). ('TAMG', 'Chemical', '-', (154, 158)) ('acetylcholine', 'Chemical', 'MESH:D000109', (79, 92)) ('thymoma', 'Disease', 'MESH:D013945', (37, 44)) ('thymoma', 'Phenotype', 'HP:0100522', (131, 138)) ('thymoma', 'Disease', (37, 44)) ('associated', 'Reg', (21, 31)) ('thymoma', 'Phenotype', 'HP:0100522', (37, 44)) ('AChR', 'Gene', (103, 107)) ('anti-acetylcholine', 'Var', (74, 92)) ('thymoma', 'Disease', 'MESH:D013945', (131, 138)) ('thymoma', 'Disease', (131, 138)) 56574 32373124 Besides, the polymorphism of the non-MHC gene, CTLA4 that affects T cell receptor signaling appears to correlate with TAMG. ('polymorphism', 'Var', (13, 25)) ('CTLA4', 'Gene', (47, 52)) ('TAMG', 'Chemical', '-', (118, 122)) ('affects', 'Reg', (58, 65)) ('T cell receptor signaling', 'MPA', (66, 91)) ('correlate', 'Reg', (103, 112)) ('TAMG', 'Disease', (118, 122)) ('CTLA4', 'Gene', '1493', (47, 52)) 56597 32373124 When focusing on functional pathways derived from the KEGG database (N = 310), 19 functional pathways (6%) showed an MG association in AB thymomas: ten pathways, such as those related to Oxidative phosphorylation, Parkinson disease, and Alzheimer disease, were significantly upregulated, while nine pathways, such as those related to Adherens junction, AGE-RAGE signaling, and TGF-beta signaling, were significantly downregulated in MG+ compared to MG- type AB thymomas. ('TGF-beta', 'Gene', '7039', (377, 385)) ('downregulated', 'NegReg', (416, 429)) ('Parkinson disease', 'Disease', (214, 231)) ('upregulated', 'PosReg', (275, 286)) ('AB thymomas', 'Disease', (135, 146)) ('thymoma', 'Phenotype', 'HP:0100522', (138, 145)) ('TGF-beta', 'Gene', (377, 385)) ('AB thymomas', 'Disease', 'MESH:D013945', (458, 469)) ('AB thymomas', 'Disease', 'MESH:D013945', (135, 146)) ('type AB thymomas', 'Disease', (453, 469)) ('RAGE', 'Gene', (357, 361)) ('Alzheimer disease', 'Phenotype', 'HP:0002511', (237, 254)) ('Parkinson disease', 'Disease', 'MESH:D010300', (214, 231)) ('RAGE', 'Gene', '177', (357, 361)) ('thymoma', 'Phenotype', 'HP:0100522', (461, 468)) ('Oxidative', 'MPA', (187, 196)) ('Alzheimer disease', 'Disease', 'MESH:D000544', (237, 254)) ('Alzheimer disease', 'Disease', (237, 254)) ('type AB thymomas', 'Disease', 'MESH:D013945', (453, 469)) ('MG+', 'Var', (433, 436)) 56598 32373124 In type B2 thymoma, only eight functional pathways showed an MG association: the pathway related to Olfactory transduction was significantly upregulated in MG+ cases, while seven pathways, such as Protein processing, Metabolism, and DNA replication, were downregulated in MG+ B2 thymomas (Table 1). ('thymomas', 'Disease', (279, 287)) ('thymomas', 'Disease', 'MESH:D013945', (279, 287)) ('thymoma', 'Disease', 'MESH:D013945', (11, 18)) ('thymoma', 'Disease', 'MESH:D013945', (279, 286)) ('pathway', 'Pathway', (81, 88)) ('downregulated', 'NegReg', (255, 268)) ('thymoma', 'Disease', (11, 18)) ('thymoma', 'Disease', (279, 286)) ('upregulated', 'PosReg', (141, 152)) ('thymoma', 'Phenotype', 'HP:0100522', (11, 18)) ('MG+', 'Var', (156, 159)) ('thymoma', 'Phenotype', 'HP:0100522', (279, 286)) 56603 32373124 In contrast, five pathways, such as those related to T cell cluster, MacTh1 cluster, and LCK median, were significantly upregulated in MG+ type B2 thymoma (Table 2). ('LCK', 'Gene', '3932', (89, 92)) ('thymoma', 'Disease', 'MESH:D013945', (147, 154)) ('upregulated', 'PosReg', (120, 131)) ('thymoma', 'Disease', (147, 154)) ('thymoma', 'Phenotype', 'HP:0100522', (147, 154)) ('MG+ type B2', 'Var', (135, 146)) ('LCK', 'Gene', (89, 92)) 56605 32373124 Vice versa, the Olfactory transduction pathway that was significantly upregulated in MG+ type B2 thymomas, was downregulated in MG+ type AB thymomas, although the difference was significant only in the TdT-low subset (and with a minor trend in the TdT-high subset) (Figure 2 and Table S1). ('thymomas', 'Disease', (140, 148)) ('thymomas', 'Disease', 'MESH:D013945', (140, 148)) ('Olfactory transduction pathway', 'Pathway', (16, 46)) ('TdT', 'Gene', (202, 205)) ('thymoma', 'Phenotype', 'HP:0100522', (97, 104)) ('TdT', 'Gene', (248, 251)) ('TdT', 'Gene', '1791', (202, 205)) ('thymomas', 'Disease', (97, 105)) ('TdT', 'Gene', '1791', (248, 251)) ('type AB thymomas', 'Disease', (132, 148)) ('downregulated', 'NegReg', (111, 124)) ('thymomas', 'Disease', 'MESH:D013945', (97, 105)) ('thymoma', 'Phenotype', 'HP:0100522', (140, 147)) ('type AB thymomas', 'Disease', 'MESH:D013945', (132, 148)) ('upregulated', 'PosReg', (70, 81)) ('MG+ type B2', 'Var', (85, 96)) 56692 31681579 The numbers of thymomas according to each WHO type were as follows: 16 (10.1%) type A; 47 (29.5%) type AB; 16 (10.1%) type B1; 45 (28.3%) type B2; 35 (22.0%) type B3. ('thymoma', 'Phenotype', 'HP:0100522', (15, 22)) ('type B1', 'Var', (118, 125)) ('type A', 'Var', (79, 85)) ('type AB', 'Var', (98, 105)) ('thymomas', 'Disease', 'MESH:D013945', (15, 23)) ('thymomas', 'Disease', (15, 23)) 56699 31681579 The numbers of thymomas according to each WHO type were as follows: 11 (12.4%) type A; 28 (31.5%) type AB; 14 (15.7%) type B1; 20 (22.4%) type B2; 16 (18.0%) type B3. ('thymoma', 'Phenotype', 'HP:0100522', (15, 22)) ('B1; 20', 'Gene', '8289', (123, 129)) ('B1; 20', 'Gene', (123, 129)) ('type AB', 'Var', (98, 105)) ('thymomas', 'Disease', 'MESH:D013945', (15, 23)) ('thymomas', 'Disease', (15, 23)) 56716 31681579 Contour (OR = 3.711, P = 0.005), abutment >=50% (OR = 4.277, P = 0.02), and adjacent lung abnormalities (OR = 3.916, P = 0.031) were risk factors for postoperative recurrence or metastasis. ('lung abnormalities', 'Disease', (85, 103)) ('>=50', 'Var', (42, 46)) ('lung abnormalities', 'Disease', 'MESH:C567034', (85, 103)) ('lung abnormalities', 'Phenotype', 'HP:0002088', (85, 103)) ('men', 'Species', '9606', (37, 40)) ('metastasis', 'CPA', (178, 188)) ('postoperative recurrence', 'CPA', (150, 174)) 56773 29940999 The origin of autoimmune dysfunction in patients with MG is unknown, but thymic abnormalities and defects in immune regulation play important roles in patients with anti-AChR antibodies. ('thymic abnormalities and defects', 'Disease', 'MESH:D000014', (73, 105)) ('autoimmune dysfunction', 'Disease', 'MESH:D001327', (14, 36)) ('thymic abnormalities', 'Phenotype', 'HP:0000777', (73, 93)) ('anti-AChR antibodies', 'Var', (165, 185)) ('patients', 'Species', '9606', (40, 48)) ('patients', 'Species', '9606', (151, 159)) ('autoimmune dysfunction', 'Disease', (14, 36)) ('autoimmune dysfunction', 'Phenotype', 'HP:0002960', (14, 36)) 56799 29940999 The average dose of prednisone required was also lower in the surgical group as compared to the non-surgical group (44 mg vs. 60 mg, p < 0.001). ('prednisone', 'Chemical', 'MESH:D011241', (20, 30)) ('lower', 'NegReg', (49, 54)) ('surgical', 'Var', (62, 70)) ('dose of prednisone', 'MPA', (12, 30)) 56880 28514294 TNFAIP3 gene rs7749323 polymorphism is associated with late onset myasthenia gravis In this study, we intended to genotype 2 single nucleotide polymorphisms (SNPs) of tumor necrosis factor alpha-induced protein 3 (TNFAIP3) genes and explore an association of TNFAIP3 genetic polymorphism with the patients of myasthenia gravis (MG) at clinical level. ('rs7749323 polymorphism', 'Var', (13, 35)) ('myasthenia gravis', 'Disease', (66, 83)) ('associated', 'Reg', (39, 49)) ('myasthenia', 'Phenotype', 'HP:0003473', (66, 76)) ('tumor necrosis factor alpha-induced protein 3', 'Gene', '7128', (167, 212)) ('myasthenia gravis', 'Disease', (309, 326)) ('rs7749323', 'Mutation', 'rs7749323', (13, 22)) ('myasthenia', 'Phenotype', 'HP:0003473', (309, 319)) ('TNFAIP3', 'Gene', '7128', (0, 7)) ('TNFAIP3', 'Gene', (0, 7)) ('TNFAIP3', 'Gene', '7128', (214, 221)) ('patients', 'Species', '9606', (297, 305)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (66, 83)) ('TNFAIP3', 'Gene', (214, 221)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (309, 326)) ('TNFAIP3', 'Gene', '7128', (259, 266)) ('tumor necrosis factor alpha-induced protein 3', 'Gene', (167, 212)) ('TNFAIP3', 'Gene', (259, 266)) ('tumor', 'Phenotype', 'HP:0002664', (167, 172)) ('polymorphism', 'Var', (23, 35)) 56883 28514294 The distribution of TNFAIP3 gene rs7749323*A allele of late onset MG (LOMG, with positive acetylcholine receptor antibody and without thymoma) subgrouped patients was also significantly higher than that of gender- and age-matched healthy controls (7.4% vs 2.4%, odds ratio [OR] = 3.27, 95% confidence interval [CI] 1.01-10.6, P = .04). ('TNFAIP3', 'Gene', (20, 27)) ('thymoma', 'Disease', (134, 141)) ('positive acetylcholine receptor antibody', 'Phenotype', 'HP:0030208', (81, 121)) ('thymoma', 'Phenotype', 'HP:0100522', (134, 141)) ('patients', 'Species', '9606', (154, 162)) ('late onset MG', 'Disease', (55, 68)) ('acetylcholine', 'Chemical', 'MESH:D000109', (90, 103)) ('rs7749323*A', 'Var', (33, 44)) ('TNFAIP3', 'Gene', '7128', (20, 27)) ('rs7749323', 'Mutation', 'rs7749323', (33, 42)) ('higher', 'PosReg', (186, 192)) ('thymoma', 'Disease', 'MESH:D013945', (134, 141)) 56886 28514294 Therefore, it is suggested that the SNPs in the 3' flanking region (rs7749323) of TNFAIP3 gene and the genetic variations of TNFAIP3 gene may take an important role in the susceptibility of LOMG. ('TNFAIP3', 'Gene', '7128', (125, 132)) ('rs7749323', 'Var', (68, 77)) ('rs7749323', 'Mutation', 'rs7749323', (68, 77)) ('TNFAIP3', 'Gene', '7128', (82, 89)) ('TNFAIP3', 'Gene', (125, 132)) ('LOMG', 'Disease', (190, 194)) ('TNFAIP3', 'Gene', (82, 89)) 56893 28514294 From the human genetic studies, it is known that the polymorphisms in the TNFAIP3 gene may associate with the susceptibility of multiple autoimmune diseases, including systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), psoriasis, Crohn disease, as well as other autoimmune diseases. ('Crohn disease', 'Phenotype', 'HP:0100280', (242, 255)) ('Crohn disease', 'Disease', 'MESH:D003424', (242, 255)) ('autoimmune diseases', 'Disease', (137, 156)) ('psoriasis', 'Phenotype', 'HP:0003765', (231, 240)) ('TNFAIP3', 'Gene', '7128', (74, 81)) ('human', 'Species', '9606', (9, 14)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (137, 156)) ('rheumatoid arthritis', 'Disease', (204, 224)) ('TNFAIP3', 'Gene', (74, 81)) ('psoriasis', 'Disease', 'MESH:D011565', (231, 240)) ('systemic lupus erythematosus', 'Phenotype', 'HP:0002725', (168, 196)) ('Crohn disease', 'Disease', (242, 255)) ('psoriasis', 'Disease', (231, 240)) ('RA', 'Phenotype', 'HP:0001370', (226, 228)) ('systemic lupus erythematosus', 'Disease', 'MESH:D008180', (168, 196)) ('rheumatoid arthritis', 'Disease', 'MESH:D001172', (204, 224)) ('SLE', 'Disease', 'MESH:D008180', (198, 201)) ('SLE', 'Disease', (198, 201)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (274, 293)) ('SLE', 'Phenotype', 'HP:0002725', (198, 201)) ('polymorphisms', 'Var', (53, 66)) ('RA', 'Disease', 'MESH:D001172', (226, 228)) ('autoimmune diseases', 'Disease', (274, 293)) ('rheumatoid arthritis', 'Phenotype', 'HP:0001370', (204, 224)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (274, 293)) ('associate with', 'Reg', (91, 105)) ('systemic lupus erythematosus', 'Disease', (168, 196)) ('arthritis', 'Phenotype', 'HP:0001369', (215, 224)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (137, 156)) 56895 28514294 We hypothesized that the generic variants in the TNFAIP3 gene may have an association with the MG, and in the current report, we performed a research to explore the association of polymorphisms in the TNFAIP3 gene with MG, and furthermore examine the relationship between the generic variations of TNFAIP3 gene and clinical manifestations for this disease. ('TNFAIP3', 'Gene', '7128', (201, 208)) ('TNFAIP3', 'Gene', (49, 56)) ('association', 'Interaction', (165, 176)) ('association', 'Reg', (74, 85)) ('TNFAIP3', 'Gene', (201, 208)) ('TNFAIP3', 'Gene', '7128', (298, 305)) ('polymorphisms', 'Var', (180, 193)) ('TNFAIP3', 'Gene', '7128', (49, 56)) ('TNFAIP3', 'Gene', (298, 305)) ('variants', 'Var', (33, 41)) 56905 28514294 According to previous publication on genome-wide association studies (GWAS), 2 types of single nucleotide polymorphisms (SNPs) (rs5029939 and rs7749323) are believed to have positive associations with the immune-mediated disease. ('rs5029939', 'Mutation', 'rs5029939', (128, 137)) ('positive', 'PosReg', (174, 182)) ('rs7749323', 'Var', (142, 151)) ('associations', 'Reg', (183, 195)) ('rs7749323', 'Mutation', 'rs7749323', (142, 151)) ('rs5029939', 'Var', (128, 137)) ('immune-mediated disease', 'Disease', (205, 228)) 56906 28514294 In this case, both the rs5029939 and rs7749323 were selected to perform the experiments and the results were listed in Table 2. ('rs7749323', 'Mutation', 'rs7749323', (37, 46)) ('rs5029939', 'Var', (23, 32)) ('rs5029939', 'Mutation', 'rs5029939', (23, 32)) ('rs7749323', 'Var', (37, 46)) 56925 28514294 The distributions of 2 SNPs in the MG subjects and healthy controls are listed in Table 3, showing that there is no significant statistical difference in the rs5029939 and rs7749323 frequency of allele and genotype between the MG subjects and healthy controls (Table 3). ('rs7749323', 'Mutation', 'rs7749323', (172, 181)) ('rs7749323', 'Var', (172, 181)) ('rs5029939', 'Var', (158, 167)) ('rs5029939', 'Mutation', 'rs5029939', (158, 167)) 56928 28514294 It is noticed from Table 3 that the distribution of TNFAIP3 gene rs7749323*A allele was significantly higher in the LOMG group in comparison with that of age-matched healthy control group (age >= 50 years old) (7.4% vs 2.4%, odds ratio [OR] = 3.27, 95% confidence interval [CI] 1.01-10.6, P = .04). ('TNFAIP3', 'Gene', '7128', (52, 59)) ('rs7749323*A', 'Var', (65, 76)) ('TNFAIP3', 'Gene', (52, 59)) ('higher', 'PosReg', (102, 108)) ('rs7749323', 'Mutation', 'rs7749323', (65, 74)) 56929 28514294 Further analysis to the genotype frequencies indicates a close association of the rs7749323 with the LOMG group. ('association', 'Interaction', (63, 74)) ('LOMG group', 'Disease', (101, 111)) ('rs7749323', 'Mutation', 'rs7749323', (82, 91)) ('rs7749323', 'Var', (82, 91)) 56930 28514294 Carriers of rs7749323*A allele are found to be more frequent in the LOMG group than that in the age-matched healthy control group (14.9% vs 4.8%, OR = 3.47, 95% CI 1.04-11.6, dominant model: P = .03). ('rs7749323*A', 'Var', (12, 23)) ('rs7749323', 'Mutation', 'rs7749323', (12, 21)) ('LOMG', 'Disease', (68, 72)) 56934 28514294 2 indicating that the Rs5029939 and rs7749323 were linked closely each other (D' = 1, r2 = 0.81) resulting in a haplotype block. ('Rs5029939', 'Mutation', 'Rs5029939', (22, 31)) ('Rs5029939', 'Var', (22, 31)) ('rs7749323', 'Mutation', 'rs7749323', (36, 45)) ('rs7749323', 'Var', (36, 45)) 56936 28514294 In this study, the rs7749323 (locates in 3' flanking region) of TNFAIP3 gene is found to have an associate with the LOMG (with positive AChR Ab and without thymoma) in the northern Han Chinese population. ('AChR Ab', 'Chemical', '-', (136, 143)) ('thymoma', 'Phenotype', 'HP:0100522', (156, 163)) ('associate', 'Reg', (97, 106)) ('rs7749323', 'Mutation', 'rs7749323', (19, 28)) ('thymoma', 'Disease', 'MESH:D013945', (156, 163)) ('TNFAIP3', 'Gene', '7128', (64, 71)) ('rs7749323', 'Var', (19, 28)) ('TNFAIP3', 'Gene', (64, 71)) ('LOMG', 'Disease', (116, 120)) ('thymoma', 'Disease', (156, 163)) 56937 28514294 On the other hand, there is still lack of evidence supporting the presence of an association of the MG subjects with the TNFAIP3 gene polymorphism. ('association', 'Interaction', (81, 92)) ('TNFAIP3', 'Gene', (121, 128)) ('polymorphism', 'Var', (134, 146)) ('TNFAIP3', 'Gene', '7128', (121, 128)) 56938 28514294 In fact, the autoantibodies against AChR in an MG subject might impair a neuromuscular transmission and furthermore bring up a muscle weakness. ('muscle weakness', 'Disease', (127, 142)) ('neuromuscular transmission', 'MPA', (73, 99)) ('AChR', 'Gene', (36, 40)) ('muscle weakness', 'Disease', 'MESH:D018908', (127, 142)) ('bring up', 'Reg', (116, 124)) ('autoantibodies', 'Var', (13, 27)) ('muscle weakness', 'Phenotype', 'HP:0001324', (127, 142)) ('impair', 'NegReg', (64, 70)) 56940 28514294 In this study, the rs7749323 is found to closely associate with the LOMG subjects that have positive AChR Ab expression. ('associate', 'Reg', (49, 58)) ('AChR Ab', 'Gene', (101, 108)) ('LOMG', 'Disease', (68, 72)) ('AChR Ab', 'Chemical', '-', (101, 108)) ('rs7749323', 'Var', (19, 28)) ('rs7749323', 'Mutation', 'rs7749323', (19, 28)) 56941 28514294 On the other hand, although the rs5029939 is reported to associate with SLE in the GWAS, there is no significant difference for the allele or genotype frequency of rs5029939 in the TNFAIP3 susceptibility genes between the positive AChR Ab group and healthy control. ('TNFAIP3', 'Gene', (181, 188)) ('rs5029939', 'Var', (164, 173)) ('rs5029939', 'Mutation', 'rs5029939', (32, 41)) ('SLE', 'Disease', 'MESH:D008180', (72, 75)) ('SLE', 'Disease', (72, 75)) ('rs5029939', 'Mutation', 'rs5029939', (164, 173)) ('associate', 'Reg', (57, 66)) ('SLE', 'Phenotype', 'HP:0002725', (72, 75)) ('TNFAIP3', 'Gene', '7128', (181, 188)) ('AChR Ab', 'Chemical', '-', (231, 238)) ('rs5029939', 'Var', (32, 41)) 56942 28514294 This viewpoint may be supported by the observations on the cytotoxic T-lymphocyte antigen 4 (CTLA-4) and human lymphocyte antigen (HLA)-DQA1 polymorphism which are regarded as independent risk factors in the susceptibility of MG disease. ('cytotoxic T-lymphocyte antigen 4', 'Gene', '1493', (59, 91)) ('MG disease', 'Disease', (226, 236)) ('cytotoxic T-lymphocyte antigen 4', 'Gene', (59, 91)) ('MG disease', 'Disease', 'MESH:D000080343', (226, 236)) ('polymorphism', 'Var', (141, 153)) ('CTLA-4', 'Gene', (93, 99)) ('lymphocyte antigen (HLA)-DQA1', 'Gene', (111, 140)) ('lymphocyte antigen (HLA)-DQA1', 'Gene', '3117', (111, 140)) ('human', 'Species', '9606', (105, 110)) 56943 28514294 So far, there are reports supporting the strong associations of LOMG with the tumor necrosis factor Receptor Superfamily Member 11a (TNFRSF11A) rs4574025 (OR = 1.42 [1.24-1.63], P = 3.91 x 10-7), zinc figer- and BTB domin containing 10 (ZBTB10) rs6998967 (OR = 0.53 [0.42-0.65], P = 8.86 x 10-10), and HLA region rs111945767 (OR = 0.52 [0.44-0.61], P = 3.13 x 10-17) in the European population, as well as with the protein tyrosine phosphatase nonreceptor 22 gene (PTPN22) R62W (OR = 3.1 [1.2-8.2], P = .03) and the HLA region rs111256513 (OR = 2.22 [1.2-8.2], P = 2.48 x 10-6) in the Turkey population. ('PTPN22', 'Gene', '100539686', (465, 471)) ('tumor', 'Phenotype', 'HP:0002664', (78, 83)) ('R62W', 'Var', (473, 477)) ('rs111256513', 'Mutation', 'rs111256513', (527, 538)) ('tumor necrosis', 'Disease', 'MESH:D009336', (78, 92)) ('rs6998967', 'Mutation', 'rs6998967', (245, 254)) ('R62W', 'Mutation', 'p.R62W', (473, 477)) ('tumor necrosis', 'Disease', (78, 92)) ('HLA', 'Gene', (516, 519)) ('HLA', 'Gene', (302, 305)) ('rs111945767', 'Mutation', 'rs111945767', (313, 324)) ('rs111256513', 'Var', (527, 538)) ('associations', 'Interaction', (48, 60)) ('Turkey', 'Species', '9103', (585, 591)) ('PTPN22', 'Gene', (465, 471)) ('rs4574025', 'Mutation', 'rs4574025', (144, 153)) ('HLA', 'Gene', '3123', (516, 519)) ('HLA', 'Gene', '3123', (302, 305)) ('rs111945767', 'Var', (313, 324)) ('rs4574025', 'Var', (144, 153)) ('ZBTB10', 'Gene', '100549819', (237, 243)) ('ZBTB10', 'Gene', (237, 243)) ('TNFRSF11A', 'Gene', (133, 142)) ('TNFRSF11A', 'Gene', '100545473', (133, 142)) 56944 28514294 There are also reports on a significant association of EOMG with the HLA region rs113519545 (OR = 5.71 [3.77-8.88], P = 2.24 x 10-16) in the Turkey population and the CTLA-4 gene in the Han population of northern China. ('rs113519545', 'Mutation', 'rs113519545', (80, 91)) ('Turkey', 'Species', '9103', (141, 147)) ('rs113519545', 'Var', (80, 91)) ('CTLA-4', 'Gene', (167, 173)) ('HLA', 'Gene', '3123', (69, 72)) ('EOMG', 'Disease', (55, 59)) ('HLA', 'Gene', (69, 72)) ('association', 'Interaction', (40, 51)) ('EOMG', 'Chemical', '-', (55, 59)) 56950 28514294 Particularly, there is no significant evidence to support an association of rs7749323 with the TAMG, although the AChR Abs were found to express in 94% of TAMG subjects. ('TAMG', 'Disease', (95, 99)) ('TAMG', 'Chemical', '-', (155, 159)) ('AChR Ab', 'Chemical', '-', (114, 121)) ('rs7749323', 'Var', (76, 85)) ('rs7749323', 'Mutation', 'rs7749323', (76, 85)) ('TAMG', 'Chemical', '-', (95, 99)) 56951 28514294 The results indicate that the rs7749323 gene may play an important role only in the susceptibility of LOMG. ('LOMG', 'Disease', (102, 106)) ('rs7749323', 'Var', (30, 39)) ('rs7749323', 'Mutation', 'rs7749323', (30, 39)) 56953 28514294 Thus, to better evaluate the results from the present study and clarify the substantial role of TNFAIP3 gene polymorphism with the susceptibility of MG, a further study is suggested to perform with a larger number of cohort and more candidates of SNP. ('TNFAIP3', 'Gene', '7128', (96, 103)) ('TNFAIP3', 'Gene', (96, 103)) ('polymorphism', 'Var', (109, 121)) 56957 28514294 On the other hand, although patients' cells show increased expression of NF-kappaB-mediated proinflammatory cytokines, the TNFAIP3 mutant truncated proteins are likely to act by haplosufficiency since they do not exert a dominant-negative effect in overexpression experiment. ('mutant', 'Var', (131, 137)) ('increased', 'PosReg', (49, 58)) ('proteins', 'Protein', (148, 156)) ('NF-kappaB', 'Gene', '4790', (73, 82)) ('TNFAIP3', 'Gene', '7128', (123, 130)) ('patients', 'Species', '9606', (28, 36)) ('expression', 'MPA', (59, 69)) ('NF-kappaB', 'Gene', (73, 82)) ('TNFAIP3', 'Gene', (123, 130)) 56958 28514294 In summary, this study demonstrates that the rs7749323 in the TNFAIP3 gene is strongly associated with the LOMG (with positive AChR Ab but without thymoma). ('TNFAIP3', 'Gene', (62, 69)) ('AChR Ab', 'Chemical', '-', (127, 134)) ('LOMG', 'Disease', (107, 111)) ('thymoma', 'Disease', 'MESH:D013945', (147, 154)) ('thymoma', 'Disease', (147, 154)) ('rs7749323', 'Var', (45, 54)) ('associated', 'Reg', (87, 97)) ('thymoma', 'Phenotype', 'HP:0100522', (147, 154)) ('rs7749323', 'Mutation', 'rs7749323', (45, 54)) ('TNFAIP3', 'Gene', '7128', (62, 69)) 56960 28514294 It is also suggested to perform a furthermore study with a large number of cohort as well as more candidates of SNP to elucidate the effect of variation in the genes of TNFAIP3 pathway on the susceptibility of MG. ('TNFAIP3', 'Gene', '7128', (169, 176)) ('TNFAIP3', 'Gene', (169, 176)) ('variation', 'Var', (143, 152)) 56961 27770408 A case of atypical type A thymoma variant An atypical type A thymoma variant was newly added to the WHO classification of type A thymoma family in 2015. ('thymoma', 'Disease', (26, 33)) ('thymoma', 'Disease', 'MESH:D013945', (61, 68)) ('type A thymoma', 'Disease', 'MESH:D013945', (54, 68)) ('type A thymoma', 'Disease', 'MESH:D013945', (122, 136)) ('thymoma', 'Disease', (129, 136)) ('thymoma', 'Phenotype', 'HP:0100522', (26, 33)) ('thymoma', 'Disease', (61, 68)) ('atypical type A thymoma', 'Disease', (45, 68)) ('atypical type A thymoma', 'Disease', 'MESH:D013945', (45, 68)) ('atypical type A thymoma', 'Disease', (10, 33)) ('atypical type A thymoma', 'Disease', 'MESH:D013945', (10, 33)) ('thymoma', 'Phenotype', 'HP:0100522', (129, 136)) ('thymoma', 'Phenotype', 'HP:0100522', (61, 68)) ('variant', 'Var', (34, 41)) ('type A thymoma', 'Disease', 'MESH:D013945', (19, 33)) ('type A thymoma', 'Disease', (122, 136)) ('thymoma', 'Disease', 'MESH:D013945', (129, 136)) ('thymoma', 'Disease', 'MESH:D013945', (26, 33)) 57003 27770408 In that report, Ki-67 LI in type A thymoma was 0.3-11.0 % (median 3.0) and in thymic carcinoma was 12.2-43.3 % (median 23.2 %). ('type A thymoma', 'Disease', (28, 42)) ('type A thymoma', 'Disease', 'MESH:D013945', (28, 42)) ('thymic carcinoma', 'Disease', (78, 94)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (78, 94)) ('carcinoma', 'Phenotype', 'HP:0030731', (85, 94)) ('Ki-67', 'Var', (16, 21)) ('thymoma', 'Phenotype', 'HP:0100522', (35, 42)) 57025 22174595 However, a repeat CD55/59 flow cytometry confirmed a new diagnosis of paroxysmal nocturnal hemoglobinuria (PNH), with over 80% CD55/59-deficient red cells and granulocytes (Fig. ('paroxysmal nocturnal hemoglobinuria', 'Phenotype', 'HP:0004818', (70, 105)) ('paroxysmal nocturnal hemoglobinuria', 'Disease', 'MESH:D006457', (70, 105)) ('paroxysmal nocturnal hemoglobinuria', 'Disease', (70, 105)) ('CD55/59-deficient', 'Var', (127, 144)) ('hemoglobinuria', 'Phenotype', 'HP:0003641', (91, 105)) ('PNH', 'Phenotype', 'HP:0004818', (107, 110)) 57031 22174595 The pathogenesis of this disorder involves a somatic mutation in the PIG-A gene with consequent deficiency in glycosylphosphatidylinositol(GPI)-anchored membrane proteins, such as surface complement deactivators CD55 (decay-accelerating factor) and CD59 (protectin). ('CD55', 'Gene', (212, 216)) ('mutation', 'Var', (53, 61)) ('CD59', 'Gene', (249, 253)) ('deficiency in glycosylphosphatidylinositol(GPI)-anchored', 'Disease', 'MESH:C537277', (96, 152)) ('PIG-A', 'Gene', (69, 74)) ('PIG-A', 'Gene', '100156880', (69, 74)) ('CD59', 'Gene', '397347', (249, 253)) 57051 22174595 In the majority of patients with a detectable mutant population, the proportion of PNH cells ultimately decreased after immunosuppressive therapy. ('patients', 'Species', '9606', (19, 27)) ('decreased', 'NegReg', (104, 113)) ('mutant', 'Var', (46, 52)) ('PNH', 'Disease', (83, 86)) ('PNH', 'Phenotype', 'HP:0004818', (83, 86)) 57054 22174595 It is hypothesized that while PIG-A mutations occur sporadically in healthy population, impaired immune surveillance or autoattack against normal progenitors is critical for expansion and hematopoietic dominance of the PNH clone. ('PNH', 'Phenotype', 'HP:0004818', (219, 222)) ('PIG-A', 'Gene', '100156880', (30, 35)) ('mutations', 'Var', (36, 45)) ('PIG-A', 'Gene', (30, 35)) 57055 22174595 The mutant population has the ability to restore hematopoiesis:in our patient ironically leading to remission from severe aplastic anemia unresponsive to standard treatment. ('hematopoiesis', 'Disease', 'MESH:C536227', (49, 62)) ('aplastic anemia', 'Phenotype', 'HP:0001915', (122, 137)) ('mutant', 'Var', (4, 10)) ('aplastic anemia', 'Disease', 'MESH:D000741', (122, 137)) ('anemia', 'Phenotype', 'HP:0001903', (131, 137)) ('patient', 'Species', '9606', (70, 77)) ('hematopoiesis', 'Disease', (49, 62)) ('aplastic anemia', 'Disease', (122, 137)) 57111 31591867 After multivariate analysis, high dose remained independently associated with improved OS (hazard ratio [HR] = 0.32; 95% confidence interval [CI], 0.10-0.98; p = 0.046), while type C thymoma remained independently associated with poor OS (HR = 6.70; 95% CI, 2.05-21.8; p = 0.002). ('improved', 'PosReg', (78, 86)) ('thymoma', 'Phenotype', 'HP:0100522', (183, 190)) ('type C thymoma', 'Disease', (176, 190)) ('type C thymoma', 'Disease', 'MESH:D013945', (176, 190)) ('high dose', 'Var', (29, 38)) 57112 31591867 High dose also remained independently associated with improved PFS (HR = 0.35; 95% CI, 0.16-0.75; p = 0.007), and type C thymoma remained independently associated with poor PFS (HR = 3.82; 95% CI, 1.76-8.26; p = 0.001) (Table 5). ('type C thymoma', 'Disease', 'MESH:D013945', (114, 128)) ('thymoma', 'Phenotype', 'HP:0100522', (121, 128)) ('High dose', 'Var', (0, 9)) ('PFS', 'MPA', (63, 66)) ('type C thymoma', 'Disease', (114, 128)) ('improved', 'PosReg', (54, 62)) ('PFS', 'MPA', (173, 176)) ('poor', 'NegReg', (168, 172)) 57224 26273355 Thy0517 cells were seeded into a six-well plate, at 2 x 105 cells per well, in an antibiotic-free normal-growth medium supplemented with 10% FBS, and incubated until 70% confluency was achieved. ('FBS', 'Disease', 'MESH:D005198', (141, 144)) ('FBS', 'Disease', (141, 144)) ('Thy0517', 'Var', (0, 7)) 57236 26273355 Immunoblot analysis was conducted on untreated total cell lysates or lysates from Thy0517 cells treated with FOXN1 siRNA, BCA1 siRNA or control siRNA. ('FOXN1', 'Gene', '8456', (109, 114)) ('FOXN1', 'Gene', (109, 114)) ('BCA1', 'Var', (122, 126)) 57244 26273355 To assess the effect of FOXN1 and BCA1 on thymoma cell growth and viability, Thy0517 cells were treated with FOXN1 siRNA, BCA1 siRNA and control siRNA, and their proliferation was measured using the MTT [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide] assay. ('FOXN1', 'Gene', '8456', (109, 114)) ('3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide', 'Chemical', 'MESH:C022616', (204, 264)) ('BCA1', 'Var', (122, 126)) ('thymoma', 'Disease', 'MESH:D013945', (42, 49)) ('FOXN1', 'Gene', '8456', (24, 29)) ('thymoma', 'Disease', (42, 49)) ('FOXN1', 'Gene', (109, 114)) ('thymoma', 'Phenotype', 'HP:0100522', (42, 49)) ('FOXN1', 'Gene', (24, 29)) ('MTT', 'Chemical', '-', (199, 202)) 57255 26273355 Western blot results also showed that the expression of both FOXN1 and BCA1 were significantly higher in Thy0517 cells than in CRL7660 cells (P = 0.000; Fig 4). ('FOXN1', 'Gene', '8456', (61, 66)) ('CRL', 'Gene', (127, 130)) ('higher', 'PosReg', (95, 101)) ('BCA1', 'Gene', (71, 75)) ('expression', 'MPA', (42, 52)) ('FOXN1', 'Gene', (61, 66)) ('CRL', 'Gene', '133396', (127, 130)) ('Thy0517', 'Var', (105, 112)) 57257 26273355 Following transfection of Thy0517 cells with FOXN1 siRNA, the expression of FOXN1 mRNA and BCA1 mRNA was 0.230 +- 0.028 and 0.418 +- 0.015, respectively, and was reduced compared with the expression in cells transfected with control siRNA and control cells without siRNA (Table 4). ('FOXN1', 'Gene', (45, 50)) ('FOXN1', 'Gene', (76, 81)) ('reduced', 'NegReg', (162, 169)) ('0.230 +- 0.028', 'Var', (105, 119)) ('expression', 'MPA', (62, 72)) ('BCA1', 'Gene', (91, 95)) ('0.418 +- 0.015', 'Var', (124, 138)) ('FOXN1', 'Gene', '8456', (45, 50)) ('FOXN1', 'Gene', '8456', (76, 81)) 57259 26273355 After transfection of Thy0517 cells with FOXN1 siRNA, the expression of FOXN1 and BCA1 was 0.096 +- 0.001 and 0.117 +- 0.007, respectively, and was significantly reduced compared with the expression in cells transfected with control siRNA and control cells without siRNA (P = 0.000). ('FOXN1', 'Gene', (41, 46)) ('FOXN1', 'Gene', (72, 77)) ('FOXN1', 'Gene', '8456', (41, 46)) ('expression', 'MPA', (58, 68)) ('reduced', 'NegReg', (162, 169)) ('BCA1', 'Gene', (82, 86)) ('0.096 +- 0.001', 'Var', (91, 105)) ('FOXN1', 'Gene', '8456', (72, 77)) ('0.117 +- 0.007', 'Var', (110, 124)) 57260 26273355 However, BCA1 siRNA could not reduce the expression of FOXN1 (0.583 +- 0.030, P > 0.05), but did reduce that of BCA1 (0.112 +- 0.002, P = 0.000) compared with the expression in cells transfected with control siRNA and control cells without siRNA. ('FOXN1', 'Gene', (55, 60)) ('BCA1', 'Gene', (9, 13)) ('siRNA', 'Var', (14, 19)) ('FOXN1', 'Gene', '8456', (55, 60)) ('reduce', 'NegReg', (97, 103)) 57261 26273355 To determine the biological significance of FOXN1 and BCA1 in the Thy0517 cell line, MTT cell proliferation assays were performed with and without FOXN1/BCA1 silencing. ('FOXN1', 'Gene', '8456', (44, 49)) ('FOXN1', 'Gene', '8456', (147, 152)) ('MTT', 'Chemical', '-', (85, 88)) ('FOXN1', 'Gene', (44, 49)) ('silencing', 'Var', (158, 167)) ('FOXN1', 'Gene', (147, 152)) 57270 26273355 This causes an alymphoid thymus, severe primary T cell immunodeficiency in nude mice and humans, congenital alopecia, and defective immunity, which all lead to death in early childhood from severe infection. ('immunodeficiency', 'Phenotype', 'HP:0002721', (55, 71)) ('causes', 'Reg', (5, 11)) ('severe primary T cell immunodeficiency', 'Phenotype', 'HP:0005352', (33, 71)) ('alymphoid thymus', 'Disease', 'MESH:C536288', (15, 31)) ('alopecia', 'Phenotype', 'HP:0001596', (108, 116)) ('congenital alopecia', 'Disease', (97, 116)) ('nude mice', 'Species', '10090', (75, 84)) ('primary T cell immunodeficiency', 'Disease', (40, 71)) ('humans', 'Species', '9606', (89, 95)) ('severe infection', 'Phenotype', 'HP:0032169', (190, 206)) ('infection', 'Disease', 'MESH:D007239', (197, 206)) ('congenital alopecia', 'Phenotype', 'HP:0005597', (97, 116)) ('congenital alopecia', 'Disease', 'MESH:C535981', (97, 116)) ('alymphoid thymus', 'Disease', (15, 31)) ('infection', 'Disease', (197, 206)) ('primary T cell immunodeficiency', 'Disease', 'MESH:C536780', (40, 71)) ('defective', 'Var', (122, 131)) 57280 26273355 Molecular therapy using siRNA has shown great potential for diseases caused by abnormal gene over-expression or mutation, such as various cancers, viral infections, and genetic disorders. ('abnormal', 'Var', (79, 87)) ('mutation', 'Var', (112, 120)) ('genetic disorders', 'Disease', (169, 186)) ('viral infections', 'Disease', (147, 163)) ('viral infections', 'Disease', 'MESH:D001102', (147, 163)) ('over-expression', 'PosReg', (93, 108)) ('genetic disorders', 'Disease', 'MESH:D030342', (169, 186)) ('cancers', 'Phenotype', 'HP:0002664', (138, 145)) ('cancers', 'Disease', (138, 145)) ('cancers', 'Disease', 'MESH:D009369', (138, 145)) 57284 26273355 The RT-PCR and Western blot results showed that the expression of both FOXN1 and BCA1 was higher in Thy0517 cells than in CRL7660 cells. ('FOXN1', 'Gene', '8456', (71, 76)) ('Thy0517', 'Var', (100, 107)) ('CRL', 'Gene', (122, 125)) ('expression', 'MPA', (52, 62)) ('BCA1', 'Gene', (81, 85)) ('FOXN1', 'Gene', (71, 76)) ('CRL', 'Gene', '133396', (122, 125)) ('higher', 'PosReg', (90, 96)) 57285 26273355 Following transfection of Thy0517 cells with FOXN1 siRNA and BCA1 siRNA, RT-PCR and Western blot showed that the inhibition of FOXN1 expression downregulated the expression of BCA1, while the inhibition of BCA1 did not induce the same effect on FOXN1. ('expression', 'MPA', (133, 143)) ('FOXN1', 'Gene', (45, 50)) ('BCA1', 'Gene', (176, 180)) ('FOXN1', 'Gene', (245, 250)) ('downregulated', 'NegReg', (144, 157)) ('inhibition', 'Var', (113, 123)) ('FOXN1', 'Gene', '8456', (127, 132)) ('expression', 'MPA', (162, 172)) ('FOXN1', 'Gene', '8456', (45, 50)) ('FOXN1', 'Gene', (127, 132)) ('FOXN1', 'Gene', '8456', (245, 250)) 57289 26273355 In this study, MTT assays showed that in the Thy0517 cell line, the inhibition of FOXN1 and BCA1 suppressed the proliferation of thymoma cells. ('FOXN1', 'Gene', '8456', (82, 87)) ('thymoma', 'Disease', (129, 136)) ('BCA1', 'Gene', (92, 96)) ('inhibition', 'Var', (68, 78)) ('thymoma', 'Phenotype', 'HP:0100522', (129, 136)) ('FOXN1', 'Gene', (82, 87)) ('MTT', 'Chemical', '-', (15, 18)) ('suppressed', 'NegReg', (97, 107)) ('thymoma', 'Disease', 'MESH:D013945', (129, 136)) 57336 23554796 Postoperative morbidity was 26.7% and 33.3%, respectively, for the VATS and T3b group and respiratory complications (mainly including prolonged intubation, pneumonia and pleural effusion) were common, but they were no significant differences between the two groups. ('pneumonia', 'Phenotype', 'HP:0002090', (156, 165)) ('T3b', 'Var', (76, 79)) ('pneumonia', 'Disease', (156, 165)) ('pneumonia', 'Disease', 'MESH:D011014', (156, 165)) ('respiratory complications', 'Phenotype', 'HP:0011947', (90, 115)) ('pleural effusion', 'Disease', 'MESH:D010996', (170, 186)) ('prolonged intubation', 'Disease', (134, 154)) ('pleural effusion', 'Disease', (170, 186)) ('pleural effusion', 'Phenotype', 'HP:0002202', (170, 186)) 57340 23554796 Only 1 patient was lost to follow-up and 1 patient died from myasthenic crisis 1 year postoperatively in the T3b group. ('myasthenic crisis', 'Phenotype', 'HP:0003473', (61, 78)) ('patient', 'Species', '9606', (7, 14)) ('patient', 'Species', '9606', (43, 50)) ('myasthenic', 'Disease', (61, 71)) ('T3b', 'Var', (109, 112)) ('myasthenic', 'Disease', 'MESH:D020294', (61, 71)) 57403 32051728 Additionally, anti-GQ1b antibodies lead to impaired neuromuscular transmission in a mouse diaphragm model. ('anti-GQ1b antibodies', 'Var', (14, 34)) ('impaired', 'NegReg', (43, 51)) ('neuromuscular transmission', 'MPA', (52, 78)) ('antibodies', 'Var', (24, 34)) ('mouse', 'Species', '10090', (84, 89)) 57405 32051728 Furthermore, some clinical evidence also supports the presence of molecular mimicry between gangliosides and antecedent infectious agents in patients with GBS. ('gangliosides', 'Protein', (92, 104)) ('molecular mimicry', 'Var', (66, 83)) ('GBS', 'Disease', 'MESH:D020275', (155, 158)) ('patients', 'Species', '9606', (141, 149)) ('GBS', 'Disease', (155, 158)) 57418 30863491 The down-regulation of CA9 transcription in TC cell lines by small interfering RNAs significantly inhibited CA9 expression, which inhibited proliferation and increased sensitivity to irradiation. ('small interfering', 'Var', (61, 78)) ('proliferation', 'CPA', (140, 153)) ('increased sensitivity to irradiation', 'Phenotype', 'HP:0011133', (158, 194)) ('sensitivity to', 'MPA', (168, 182)) ('inhibited', 'NegReg', (98, 107)) ('CA9', 'Gene', '768', (23, 26)) ('inhibited', 'NegReg', (130, 139)) ('CA9', 'Gene', (108, 111)) ('RNAs', 'Protein', (79, 83)) ('transcription', 'MPA', (27, 40)) ('CA9', 'Gene', '768', (108, 111)) ('down-regulation', 'NegReg', (4, 19)) ('CA9', 'Gene', (23, 26)) ('increased', 'PosReg', (158, 167)) ('expression', 'MPA', (112, 122)) 57427 30863491 Several molecularly-targeted therapies developed using gene expression studies and analysis of mutations include a KIT inhibitor, epidermal growth factor receptor tyrosine kinase inhibitors, a histone deacetylase inhibitor, and an anti-insulin like growth factor 1 receptor antibody. ('insulin like growth factor 1 receptor', 'Gene', (236, 273)) ('epidermal growth factor receptor', 'Gene', '1956', (130, 162)) ('KIT inhibitor', 'Gene', (115, 128)) ('mutations', 'Var', (95, 104)) ('epidermal growth factor receptor', 'Gene', (130, 162)) ('insulin like growth factor 1 receptor', 'Gene', '3480', (236, 273)) 57453 30863491 Interestingly, cell proliferation, specifically under hypoxia, was significantly suppressed by the knockdown of CA9 expression by Ty-82 cells. ('CA9', 'Gene', '768', (112, 115)) ('hypoxia', 'Disease', (54, 61)) ('suppressed', 'NegReg', (81, 91)) ('Ty-82', 'Chemical', '-', (130, 135)) ('hypoxia', 'Disease', 'MESH:D000860', (54, 61)) ('knockdown', 'Var', (99, 108)) ('cell proliferation', 'CPA', (15, 33)) ('CA9', 'Gene', (112, 115)) 57477 30863491 Moreover, CA9 expression was significantly associated with shorter RFS. ('expression', 'Var', (14, 24)) ('CA9', 'Gene', (10, 13)) ('shorter', 'NegReg', (59, 66)) ('CA9', 'Gene', '768', (10, 13)) ('RFS', 'Disease', (67, 70)) 57484 30863491 Here we show that inhibition of CA9 expression reduced the proliferation of TC cells, suggesting that inhibition of CA9 exerts an antitumor effect on TC. ('proliferation', 'CPA', (59, 72)) ('CA9', 'Gene', '768', (116, 119)) ('inhibition', 'Var', (102, 112)) ('tumor', 'Disease', 'MESH:D009369', (134, 139)) ('CA9', 'Gene', (32, 35)) ('tumor', 'Phenotype', 'HP:0002664', (134, 139)) ('inhibition', 'Var', (18, 28)) ('reduced', 'NegReg', (47, 54)) ('CA9', 'Gene', '768', (32, 35)) ('tumor', 'Disease', (134, 139)) ('CA9', 'Gene', (116, 119)) 57485 30863491 Moreover, inhibition of CA9 expression enhanced the radiosensitivity of a TC cell line, suggesting that the combination of radiation and a CA9 inhibitor may synergize to more potently inhibit the growth of TC cells. ('inhibit', 'NegReg', (184, 191)) ('radiosensitivity', 'MPA', (52, 68)) ('CA9', 'Gene', (24, 27)) ('growth', 'MPA', (196, 202)) ('CA9', 'Gene', '768', (24, 27)) ('a TC', 'CellLine', 'CVCL:B035', (72, 76)) ('inhibition', 'Var', (10, 20)) ('CA9', 'Gene', '768', (139, 142)) ('CA9', 'Gene', (139, 142)) ('enhanced', 'PosReg', (39, 47)) 57487 30863491 Although we have to confirm the effect using other TC cell lines in detail, inhibition of CA9 expression might have other synergic effect to improve radiosensitivity of TC cells even in normoxic condition. ('CA9', 'Gene', (90, 93)) ('CA9', 'Gene', '768', (90, 93)) ('improve', 'PosReg', (141, 148)) ('radiosensitivity', 'CPA', (149, 165)) ('inhibition', 'Var', (76, 86)) 57507 30863491 Physiologic thymic specimens were collected simultaneously from the surgically resected thymic tissue corresponding to TETs (TH25N, TH37N, TH41N, and TH42N were collected with TH25, TH37, TH41, and TH42, respectively). ('TH37N', 'Var', (132, 137)) ('TH42N', 'Chemical', '-', (150, 155)) ('TH25N', 'Chemical', '-', (125, 130)) ('TH41N', 'Var', (139, 144)) ('TH41N', 'Chemical', '-', (139, 144)) ('TH37N', 'Chemical', '-', (132, 137)) 57522 30863491 Total proteins were extracted from Ty-82 cells using PRO-PREP (iNtRON Biotechnology, Kyungki-Do, Korea) and from MP57 cells using lysis buffer [10% Glycerol, 10mM Tris-HCl (pH7.5), 1mM EDTA, 400 mM NaCl, 0.5% NP40, 4 mg/mL aprotonin, PMSF, proteasome inhibitor MG-132 and 1mM DTT], separated using SDS-PAGE (12.5% gels), electrophoretically transferred to membranes that were then incubated overnight at 4 C with the antibodies against CA9 (ab15086, 1:2000) (Abcam, Tokyo, Japan), HIF1a (CST #3716, 1:1000) (Cell Signaling Technology, MA, USA), beta-actin (CST #3700, 1:1000) (Cell Signaling Technology, MA, USA), and Hsc70 (1:4000) (Sigma, St. Louis, MO, USA). ('CA9', 'Gene', '768', (437, 440)) ('Hsc70', 'Gene', '3312', (619, 624)) ('HIF1a', 'Gene', (482, 487)) ('CA9', 'Gene', (437, 440)) ('beta-actin', 'Gene', '728378', (546, 556)) ('HIF1a', 'Gene', '3091', (482, 487)) ('Ty-82', 'Chemical', '-', (35, 40)) ('CST #3716', 'Var', (489, 498)) ('Hsc70', 'Gene', (619, 624)) ('beta-actin', 'Gene', (546, 556)) ('CST #3700', 'Var', (558, 567)) 57524 30863491 CA9-specific small interfering RNAs (siRNA) (ON-TARGET plus Human CA9 siRNAs J-005244-05 [siRNA1] and J-005244-06 [siRNA2]) were purchased from Dharmacon (GE Healthcare, Japan). ('J-005244-05', 'Var', (77, 88)) ('CA9', 'Gene', (66, 69)) ('CA9', 'Gene', '768', (0, 3)) ('CA9', 'Gene', (0, 3)) ('CA9', 'Gene', '768', (66, 69)) ('J-005244-06', 'Var', (102, 113)) ('Human', 'Species', '9606', (60, 65)) 57533 30863491 Proliferation rates were calculated using the absorbance at each time compared with those of the plates at 0 h. Ty-82 cells (4.0 x 103 cells/well), MP57 cells (2.0 x 103 cells/well) were plated in 96-well plates in 10% FBS-RPMI-1640 for 24 h (Ty-82) or 72 h (MP57) after siRNA transfection, cultured under hypoxia or normoxia for 6 h (Ty-82) or 24 h (MP57) and then irradiated. ('hypoxia', 'Disease', (306, 313)) ('Ty-82', 'Chemical', '-', (112, 117)) ('hypoxia', 'Disease', 'MESH:D000860', (306, 313)) ('transfection', 'Var', (277, 289)) ('Ty-82', 'Chemical', '-', (335, 340)) ('Ty-82', 'Chemical', '-', (243, 248)) ('siRNA', 'Gene', (271, 276)) ('RPMI-1640', 'Chemical', '-', (223, 232)) 57551 29631544 Progressive multifocal leukoencephalopathy (PML) is a rare and potentially fatal demyelinating disease of the central nervous system caused by reactivation of the JC virus (JCV). ('Progressive multifocal leukoencephalopathy', 'Disease', 'MESH:D007968', (0, 42)) ('demyelinating disease of the central nervous system', 'Disease', 'MESH:D020278', (81, 132)) ('demyelinating disease of the central nervous system', 'Phenotype', 'HP:0007305', (81, 132)) ('caused by', 'Reg', (133, 142)) ('reactivation', 'Var', (143, 155)) ('leukoencephalopathy', 'Phenotype', 'HP:0002352', (23, 42)) ('Progressive multifocal leukoencephalopathy', 'Disease', (0, 42)) 57574 29631544 Lymphocyte subgroups were as follows: CD4, 14.9% (normal range 25.0%-54.0%); CD8, 25.0% (normal range 2.0%-56.0%); CD4/CD8 ratio, 0.6; CD19, 0.4% (normal range 5.0%-24.0%); and CD20, 1.1% (normal range 3.0%-20.0%). ('CD8', 'Gene', (77, 80)) ('CD4', 'Gene', (38, 41)) ('CD8', 'Gene', '925', (77, 80)) ('CD8', 'Gene', (119, 122)) ('CD8', 'Gene', '925', (119, 122)) ('CD4', 'Gene', '920', (38, 41)) ('CD4', 'Gene', (115, 118)) ('CD20', 'Var', (177, 181)) ('CD19', 'Var', (135, 139)) ('CD4', 'Gene', '920', (115, 118)) 57581 29631544 Brain MRI showed hyperintense lesions in the left frontal white matter on T2-weighted images and fluid-attenuated inversion recovery images (Fig. ('age', 'Gene', '5973', (135, 138)) ('age', 'Gene', '5973', (88, 91)) ('hyperintense lesions', 'Var', (17, 37)) ('age', 'Gene', (135, 138)) ('age', 'Gene', (88, 91)) 57597 29631544 Our patient had CD4+, CD8+, and CD19+ lymphopenia, and hypogammaglobulinemia, which are characteristics of GS. ('hypogammaglobulinemia', 'Disease', (55, 76)) ('patient', 'Species', '9606', (4, 11)) ('lymphopenia', 'Disease', (38, 49)) ('CD4', 'Gene', (16, 19)) ('hypogammaglobulinemia', 'Disease', 'MESH:D000361', (55, 76)) ('lymphopenia', 'Phenotype', 'HP:0001888', (38, 49)) ('CD19+', 'Var', (32, 37)) ('CD4', 'Gene', '920', (16, 19)) ('CD8', 'Gene', (22, 25)) ('GS', 'Disease', 'MESH:D011125', (107, 109)) ('hypogammaglobulinemia', 'Phenotype', 'HP:0004313', (55, 76)) ('CD8', 'Gene', '925', (22, 25)) ('lymphopenia', 'Disease', 'MESH:D008231', (38, 49)) 57601 29631544 Chemotherapeutic agents, such as cyclophosphamide, doxorubicin, vincristine, and methotrexate, can cause lymphopenia, including decreases in CD19+ B cells, CD4+ and CD8+ T cells, and decreased IgM levels with normal IgG levels. ('doxorubicin', 'Var', (51, 62)) ('vincristine', 'Chemical', 'MESH:D014750', (64, 75)) ('CD4', 'Gene', '920', (156, 159)) ('decreased IgM', 'Phenotype', 'HP:0002850', (183, 196)) ('doxorubicin', 'Chemical', 'MESH:D004317', (51, 62)) ('decreased', 'NegReg', (183, 192)) ('CD4', 'Gene', (156, 159)) ('IgG levels', 'MPA', (216, 226)) ('CD8', 'Gene', '925', (165, 168)) ('vincristine', 'Var', (64, 75)) ('age', 'Gene', (17, 20)) ('lymphopenia', 'Disease', (105, 116)) ('lymphopenia', 'Phenotype', 'HP:0001888', (105, 116)) ('cyclophosphamide', 'Var', (33, 49)) ('CD19+', 'MPA', (141, 146)) ('cyclophosphamide', 'Chemical', 'MESH:D003520', (33, 49)) ('decreases', 'NegReg', (128, 137)) ('CD8', 'Gene', (165, 168)) ('methotrexate', 'Var', (81, 93)) ('age', 'Gene', '5973', (17, 20)) ('IgM levels', 'MPA', (193, 203)) ('lymphopenia', 'Disease', 'MESH:D008231', (105, 116)) ('methotrexate', 'Chemical', 'MESH:D008727', (81, 93)) 57693 29087033 We observed better survival in the TMM group (98.7 vs. 88.4%; P = 0.022); however, there was no significant difference in DFS between the groups (97.3 vs. 93.0%; P = 0.250). ('survival', 'CPA', (19, 27)) ('TMM', 'Chemical', '-', (35, 38)) ('TMM', 'Var', (35, 38)) ('better', 'PosReg', (12, 18)) 57812 24439931 The test reagents (antibodies pairs) for both IGF-1 and IGF-1R (DY291 and DYC305-2 respectively) were obtained from R&D Systems. ('IGF-1', 'Gene', (46, 51)) ('IGF-1R', 'Gene', '3480', (56, 62)) ('IGF-1', 'Gene', '3479', (46, 51)) ('DYC305-2', 'Var', (74, 82)) ('IGF-1', 'Gene', '3479', (56, 61)) ('IGF-1R', 'Gene', (56, 62)) ('IGF-1', 'Gene', (56, 61)) 57870 24439931 The most frequently detected pre-treatment antibody was anti-IFNalpha (54%) followed by anti-IL12, anti-IL17A, and anti-IL22 in 39%, 4%, and 2% samples respectively. ('IFNalpha', 'Gene', '3439', (61, 69)) ('IL17A', 'Gene', (104, 109)) ('IFNalpha', 'Gene', (61, 69)) ('anti-IL12', 'Var', (88, 97)) ('IL17A', 'Gene', '3605', (104, 109)) ('IL22', 'Gene', (120, 124)) ('IL22', 'Gene', '50616', (120, 124)) 57897 24439931 In our study anti-IFNalpha and anti-IL12 autoantibodies were identified most frequently and this is consistent with previous reports. ('anti-IL12', 'Var', (31, 40)) ('IFNalpha', 'Gene', (18, 26)) ('IFNalpha', 'Gene', '3439', (18, 26)) 57903 24439931 This suggests that cixutumumab may be modulating the immune system in the milieu of a disease like thymoma that is already prone to development of autoimmunity. ('autoimmunity', 'Disease', 'MESH:D001327', (147, 159)) ('modulating', 'Reg', (38, 48)) ('cixutumumab', 'Var', (19, 30)) ('cixutumumab', 'Chemical', 'MESH:C557414', (19, 30)) ('autoimmunity', 'Phenotype', 'HP:0002960', (147, 159)) ('thymoma', 'Gene', '7063', (99, 106)) ('thymoma', 'Phenotype', 'HP:0100522', (99, 106)) ('autoimmunity', 'Disease', (147, 159)) ('thymoma', 'Gene', (99, 106)) 57926 23577124 The lack of common cancer-associated mutations in this patient suggests that thymomas may evolve through mechanisms distinctive from other tumor types, and supports the rationale for additional high-throughput sequencing screens to better understand the somatic genetic architecture of thymoma. ('tumor', 'Disease', 'MESH:D009369', (139, 144)) ('thymoma', 'Disease', (77, 84)) ('thymomas', 'Disease', (77, 85)) ('cancer', 'Disease', 'MESH:D009369', (19, 25)) ('thymoma', 'Phenotype', 'HP:0100522', (286, 293)) ('thymoma', 'Phenotype', 'HP:0100522', (77, 84)) ('cancer', 'Disease', (19, 25)) ('tumor', 'Phenotype', 'HP:0002664', (139, 144)) ('tumor', 'Disease', (139, 144)) ('mutations', 'Var', (37, 46)) ('thymoma', 'Disease', 'MESH:D013945', (286, 293)) ('patient', 'Species', '9606', (55, 62)) ('cancer', 'Phenotype', 'HP:0002664', (19, 25)) ('thymoma', 'Disease', 'MESH:D013945', (77, 84)) ('thymoma', 'Disease', (286, 293)) ('thymomas', 'Disease', 'MESH:D013945', (77, 85)) 57942 23577124 Here we describe the characterization of thymoma specific mutations from the complete genome and transcriptome sequencing of a case of B3 thymoma. ('mutations', 'Var', (58, 67)) ('thymoma', 'Disease', 'MESH:D013945', (41, 48)) ('thymoma', 'Disease', (41, 48)) ('thymoma', 'Disease', 'MESH:D013945', (138, 145)) ('thymoma', 'Disease', (138, 145)) ('thymoma', 'Phenotype', 'HP:0100522', (41, 48)) ('thymoma', 'Phenotype', 'HP:0100522', (138, 145)) 57958 23577124 Candidate mutations were evaluated in the sequence of tumor and normal DNA using Macvector (MacVector, Cary, NC). ('mutations', 'Var', (10, 19)) ('tumor', 'Disease', 'MESH:D009369', (54, 59)) ('tumor', 'Disease', (54, 59)) ('tumor', 'Phenotype', 'HP:0002664', (54, 59)) 57986 23577124 On the contrary, chromosomes affected by CN loss presented 24% more SNPs in normal than in tumor DNA (standard deviation 11%). ('tumor', 'Disease', 'MESH:D009369', (91, 96)) ('tumor', 'Phenotype', 'HP:0002664', (91, 96)) ('more', 'PosReg', (63, 67)) ('tumor', 'Disease', (91, 96)) ('CN loss', 'Var', (41, 48)) ('SNPs', 'MPA', (68, 72)) 57990 23577124 Mutations affecting UTRs, ncRNA (different from miRNA) and highly conserved regions defined according to the non-repeat masked regions available in UCSC genome browser website (n = 52). ('ncRNA', 'Gene', (26, 31)) ('Mutations', 'Var', (0, 9)) ('ncRNA', 'Gene', '54719', (26, 31)) ('UTRs', 'Gene', (20, 24)) 57996 23577124 RT-PCR demonstrated the presence of the junction transcript in this t(11:X) B3 thymoma but absence in another thymoma without the t(11;X) translocation (Figure 2B). ('t(11:X) B3', 'Var', (68, 78)) ('thymoma', 'Disease', 'MESH:D013945', (79, 86)) ('thymoma', 'Disease', 'MESH:D013945', (110, 117)) ('thymoma', 'Disease', (79, 86)) ('thymoma', 'Disease', (110, 117)) ('thymoma', 'Phenotype', 'HP:0100522', (79, 86)) ('thymoma', 'Phenotype', 'HP:0100522', (110, 117)) 58000 23577124 Our data showed the mutations (single nucleotide variation and insertion/deletion), copy number aberrations and the translocation of a case of B3 thymoma. ('thymoma', 'Phenotype', 'HP:0100522', (146, 153)) ('single nucleotide variation', 'Var', (31, 58)) ('translocation', 'CPA', (116, 129)) ('copy number aberrations', 'Var', (84, 107)) ('thymoma', 'Disease', 'MESH:D013945', (146, 153)) ('insertion/deletion', 'Var', (63, 81)) ('thymoma', 'Disease', (146, 153)) 58004 23577124 Although, some reports described mutations in thymic carcinomas such as KIT and TP53 mutations, for example, only sporadic mutations have been described in thymomas. ('thymoma', 'Phenotype', 'HP:0100522', (156, 163)) ('KIT', 'Gene', (72, 75)) ('TP53', 'Gene', '7157', (80, 84)) ('TP53', 'Gene', (80, 84)) ('mutations', 'Var', (85, 94)) ('thymomas', 'Disease', (156, 164)) ('thymomas', 'Disease', 'MESH:D013945', (156, 164)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (46, 63)) ('carcinomas', 'Phenotype', 'HP:0030731', (53, 63)) ('thymic carcinomas', 'Disease', (46, 63)) 58005 23577124 Despite the less aggressive behavior of thymomas, compared to carcinomas and leukemias, our high-throughput screening revealed a similar mutation rate 0.72/Mb (single nucleotide variations and insertion/deletions) of that observed in neoplasms such as breast cancer (1/Mb) and myelogenous leukemias (0.56/Mb). ('leukemias', 'Disease', (289, 298)) ('carcinomas', 'Disease', (62, 72)) ('neoplasms', 'Phenotype', 'HP:0002664', (234, 243)) ('leukemias', 'Disease', 'MESH:D007938', (77, 86)) ('breast cancer', 'Phenotype', 'HP:0003002', (252, 265)) ('leukemias', 'Phenotype', 'HP:0001909', (77, 86)) ('breast cancer', 'Disease', 'MESH:D001943', (252, 265)) ('neoplasms', 'Disease', 'MESH:D009369', (234, 243)) ('breast cancer', 'Disease', (252, 265)) ('carcinomas', 'Phenotype', 'HP:0030731', (62, 72)) ('carcinomas', 'Disease', 'MESH:D002277', (62, 72)) ('leukemia', 'Phenotype', 'HP:0001909', (77, 85)) ('thymoma', 'Phenotype', 'HP:0100522', (40, 47)) ('leukemia', 'Phenotype', 'HP:0001909', (289, 297)) ('leukemias', 'Disease', (77, 86)) ('leukemias', 'Disease', 'MESH:D007938', (289, 298)) ('thymomas', 'Disease', 'MESH:D013945', (40, 48)) ('aggressive behavior', 'Phenotype', 'HP:0000718', (17, 36)) ('cancer', 'Phenotype', 'HP:0002664', (259, 265)) ('neoplasms', 'Disease', (234, 243)) ('myelogenous leukemias', 'Disease', 'MESH:D007951', (277, 298)) ('leukemias', 'Phenotype', 'HP:0001909', (289, 298)) ('0.72/Mb', 'Var', (151, 158)) ('myelogenous leukemias', 'Disease', (277, 298)) ('myelogenous leukemias', 'Phenotype', 'HP:0012324', (277, 298)) ('thymomas', 'Disease', (40, 48)) 58006 23577124 However, a higher average number of mutations was reported for lung cancer (8/Mb) and melanoma (up to 111/Mb). ('melanoma', 'Disease', 'MESH:D008545', (86, 94)) ('lung cancer', 'Disease', 'MESH:D008175', (63, 74)) ('melanoma', 'Phenotype', 'HP:0002861', (86, 94)) ('melanoma', 'Disease', (86, 94)) ('cancer', 'Phenotype', 'HP:0002664', (68, 74)) ('mutations', 'Var', (36, 45)) ('lung cancer', 'Disease', (63, 74)) ('lung cancer', 'Phenotype', 'HP:0100526', (63, 74)) 58015 23577124 Indeed, chromosomes with CN loss had fewer SNPs in tumor than in normal DNA (average difference 24%). ('tumor', 'Phenotype', 'HP:0002664', (51, 56)) ('tumor', 'Disease', (51, 56)) ('fewer', 'NegReg', (37, 42)) ('SNPs in', 'MPA', (43, 50)) ('CN loss', 'Var', (25, 32)) ('tumor', 'Disease', 'MESH:D009369', (51, 56)) 58016 23577124 On the contrary, in chromosomes without CN loss, the number of SNPs in tumor and normal was similar (average 2% more SNPs in normal with a standard deviation of 2%). ('tumor', 'Disease', (71, 76)) ('tumor', 'Phenotype', 'HP:0002664', (71, 76)) ('tumor', 'Disease', 'MESH:D009369', (71, 76)) ('CN loss', 'Var', (40, 47)) 58022 23577124 However, the CN loss of chromosome 13 is intriguing because this affects the loci of well-characterized tumor suppressor genes such as RB1 and BRCA2. ('BRCA2', 'Gene', '675', (143, 148)) ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('RB1', 'Gene', (135, 138)) ('tumor', 'Disease', (104, 109)) ('affects', 'Reg', (65, 72)) ('loci', 'MPA', (77, 81)) ('CN loss', 'Var', (13, 20)) ('RB1', 'Gene', '5925', (135, 138)) ('BRCA2', 'Gene', (143, 148)) ('tumor', 'Disease', 'MESH:D009369', (104, 109)) 58028 23577124 This result was expected, because the poly-A tail capture strategy, adopted for mRNA enrichment, was not expected to capture the C11orf73-ODZ1 fusion transcript, since the nature of their tail-to-tail (3'-3') fusion was doomed to lose the poly-A tails of both genes. ('ODZ1', 'Gene', (138, 142)) ('C11orf73', 'Gene', (129, 137)) ('poly-A tails', 'MPA', (239, 251)) ('tail-to-tail', 'Var', (188, 200)) ('C11orf73', 'Gene', '51501', (129, 137)) ('lose', 'NegReg', (230, 234)) ('poly-A', 'Chemical', 'MESH:D011061', (239, 245)) ('ODZ1', 'Gene', '10178', (138, 142)) ('poly-A', 'Chemical', 'MESH:D011061', (38, 44)) 58037 23577124 LDB3 mutation was localized in a splicing site but RNA sequencing data did not show any mis-spliced transcripts. ('mutation', 'Var', (5, 13)) ('LDB3', 'Gene', '11155', (0, 4)) ('LDB3', 'Gene', (0, 4)) 58042 23577124 According to the literature, PHF15 and BCOR mutations can be related to the neoplastic phenotype. ('PHF15', 'Gene', (29, 34)) ('PHF15', 'Gene', '23338', (29, 34)) ('related', 'Reg', (61, 68)) ('BCOR', 'Gene', (39, 43)) ('mutations', 'Var', (44, 53)) ('BCOR', 'Gene', '54880', (39, 43)) 58052 23577124 Interestingly, BCOR mutated allele was preferentially expressed, accounting for 90% of the RNA sequencing reads (Table 3). ('BCOR', 'Gene', '54880', (15, 19)) ('BCOR', 'Gene', (15, 19)) ('mutated', 'Var', (20, 27)) 58054 23577124 Germline BCOR mutations cause Oculofaciocardiodental syndrome, an inherited X-linked syndrome characterized by cardiac defects and dysmorphic appearance. ('Oculofaciocardiodental syndrome', 'Disease', (30, 61)) ('BCOR', 'Gene', (9, 13)) ('cause', 'Reg', (24, 29)) ('X-linked syndrome', 'Disease', (76, 93)) ('cardiac defects', 'Disease', 'MESH:D006331', (111, 126)) ('BCOR', 'Gene', '54880', (9, 13)) ('Oculofaciocardiodental syndrome', 'Disease', 'MESH:C537465', (30, 61)) ('X-linked syndrome', 'Disease', 'MESH:C564486', (76, 93)) ('dysmorphic', 'Disease', (131, 141)) ('dysmorphic', 'Disease', 'None', (131, 141)) ('dysmorphic appearance', 'Phenotype', 'HP:0001999', (131, 152)) ('mutations', 'Var', (14, 23)) ('cardiac defects', 'Disease', (111, 126)) 58055 23577124 Similar genetic inherited malformations are also observed in the presence of the 22q11.2 deletion that is responsible for a group of syndromes such as the Di George or the velo-cardio-facial syndrome frequently associated with thymic aplasia or hypoplasia. ('inherited malformations', 'Disease', (16, 39)) ('cardio-facial syndrome', 'Disease', 'MESH:D059347', (177, 199)) ('thymic aplasia or hypoplasia', 'Disease', 'MESH:C536288', (227, 255)) ('thymic aplasia or hypoplasia', 'Disease', (227, 255)) ('inherited malformations', 'Disease', 'MESH:D000014', (16, 39)) ('cardio-facial syndrome', 'Disease', (177, 199)) ('deletion', 'Var', (89, 97)) ('22q11.2', 'Gene', (81, 88)) ('associated', 'Reg', (211, 221)) ('Di George', 'Disease', (155, 164)) ('thymic aplasia or hypoplasia', 'Phenotype', 'HP:0010515', (227, 255)) 58056 23577124 The 22q11.2 deletion syndromes are linked to the loss of TBX1, a gene necessary for normal thymus development. ('loss', 'NegReg', (49, 53)) ('deletion syndromes', 'Var', (12, 30)) ('TBX1', 'Gene', '6899', (57, 61)) ('TBX1', 'Gene', (57, 61)) ('22q11.2', 'Gene', (4, 11)) 58058 23577124 Recently, BCOR has been described as mutated in a subset of acute myeloid leukemia patients; about 50% of which present with both BCOR and DNMT3A mutations suggesting a potential cooperation of the two genes, possibly through an epigenetic mechanisms. ('acute myeloid leukemia', 'Phenotype', 'HP:0004808', (60, 82)) ('mutations', 'Var', (146, 155)) ('BCOR', 'Gene', '54880', (10, 14)) ('acute myeloid leukemia', 'Disease', (60, 82)) ('cooperation', 'Interaction', (179, 190)) ('BCOR', 'Gene', (10, 14)) ('BCOR', 'Gene', (130, 134)) ('acute myeloid leukemia', 'Disease', 'MESH:D015470', (60, 82)) ('myeloid leukemia', 'Phenotype', 'HP:0012324', (66, 82)) ('patients', 'Species', '9606', (83, 91)) ('BCOR', 'Gene', '54880', (130, 134)) ('DNMT3A', 'Gene', (139, 145)) ('DNMT3A', 'Gene', '1788', (139, 145)) ('leukemia', 'Phenotype', 'HP:0001909', (74, 82)) 58059 23577124 BCOR was significantly mutated in medulloblastoma such as other nuclear co-repressor (N-CoR) complex genes. ('medulloblastoma', 'Disease', 'MESH:D008527', (34, 49)) ('BCOR', 'Gene', '54880', (0, 4)) ('medulloblastoma', 'Phenotype', 'HP:0002885', (34, 49)) ('medulloblastoma', 'Disease', (34, 49)) ('mutated', 'Var', (23, 30)) ('BCOR', 'Gene', (0, 4)) 58063 23577124 Perhaps whole exome sequencing is a more cost effective strategy to address this question than a targeted re-sequencing of all the exons of tier 1 genes, allowing the identification of other recurrent non-synonymous mutations in thymic epithelial tumors besides these 12 genes. ('tumor', 'Phenotype', 'HP:0002664', (247, 252)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (229, 253)) ('thymic epithelial tumors', 'Disease', (229, 253)) ('tumors', 'Phenotype', 'HP:0002664', (247, 253)) ('epithelial tumor', 'Phenotype', 'HP:0031492', (236, 252)) ('non-synonymous mutations', 'Var', (201, 225)) 58065 23577124 It is also conceivable that genetic alterations other than mutations are of importance in the causation and progression of thymomas, such as epigenetic changes, or miRNA alterations, as described in other tumor types. ('miRNA alterations', 'Var', (164, 181)) ('tumor', 'Disease', 'MESH:D009369', (205, 210)) ('thymoma', 'Phenotype', 'HP:0100522', (123, 130)) ('tumor', 'Disease', (205, 210)) ('tumor', 'Phenotype', 'HP:0002664', (205, 210)) ('epigenetic changes', 'Var', (141, 159)) ('thymomas', 'Disease', (123, 131)) ('thymomas', 'Disease', 'MESH:D013945', (123, 131)) 58068 23577124 Whole genome sequencing and accompanying transcriptome sequencing describe for the first time the mutations of a thymoma on a genome wide scale and offer an unprecedented view of those events responsible for the growth of these tumors. ('thymoma', 'Disease', 'MESH:D013945', (113, 120)) ('thymoma', 'Disease', (113, 120)) ('tumor', 'Phenotype', 'HP:0002664', (228, 233)) ('thymoma', 'Phenotype', 'HP:0100522', (113, 120)) ('mutations', 'Var', (98, 107)) ('tumors', 'Disease', (228, 234)) ('tumors', 'Phenotype', 'HP:0002664', (228, 234)) ('tumors', 'Disease', 'MESH:D009369', (228, 234)) 58069 23577124 The absence of mutations affecting the most common cancer genes suggests a possible thymoma specific pattern of mutations indicating the necessity of additional genome wide screenings rather than to determine the mutation frequency of a panel of common cancer genes. ('cancer', 'Disease', 'MESH:D009369', (253, 259)) ('thymoma', 'Phenotype', 'HP:0100522', (84, 91)) ('cancer', 'Phenotype', 'HP:0002664', (51, 57)) ('mutations', 'Var', (112, 121)) ('cancer', 'Disease', (253, 259)) ('cancer', 'Disease', (51, 57)) ('cancer', 'Disease', 'MESH:D009369', (51, 57)) ('thymoma', 'Disease', 'MESH:D013945', (84, 91)) ('cancer', 'Phenotype', 'HP:0002664', (253, 259)) ('thymoma', 'Disease', (84, 91)) 58077 22481857 Immunohistochemical staining was performed on sections from the thymus using antibodies against cytokeratin (34betaE12; Dako, Denmark, dilution 1:50), CD3 (1F4; Serotec, UK, dilution 1:20), CD79alpha (HM57; Dako, Denmark, dilution 1:50) and Ki-67 (MIB-5; Dako, Denmark, dilution 1:100). ('Ki-67', 'Gene', (241, 246)) ('CD79alpha', 'Gene', '100913063', (190, 199)) ('CD3', 'Var', (151, 154)) ('CD79alpha', 'Gene', (190, 199)) ('cytokeratin', 'Protein', (96, 107)) 58158 20740204 However, it is well known that irradiation therapy can cause transient lymphocytopenia due to raised lymphocyte turnover. ('raised', 'PosReg', (94, 100)) ('transient lymphocytopenia', 'Phenotype', 'HP:0005510', (61, 86)) ('lymphocytopenia', 'Phenotype', 'HP:0001888', (71, 86)) ('irradiation therapy', 'Var', (31, 50)) ('raised lymphocyte', 'Phenotype', 'HP:0100827', (94, 111)) ('lymphocytopenia', 'Disease', 'MESH:D008231', (71, 86)) ('lymphocytopenia', 'Disease', (71, 86)) ('lymphocyte', 'MPA', (101, 111)) 58190 32926538 We also identified that PD-L1 expression could be an independent prognostic factor for OS in thymoma patients through multivariate analysis (HR 1.89, 95% CI: 1.09-3.28, P = 0.023). ('thymoma', 'Phenotype', 'HP:0100522', (93, 100)) ('patients', 'Species', '9606', (101, 109)) ('expression', 'Var', (30, 40)) ('thymoma', 'Disease', 'MESH:D013945', (93, 100)) ('PD-L1', 'Gene', (24, 29)) ('thymoma', 'Disease', (93, 100)) ('PD-L1', 'Gene', '29126', (24, 29)) 58202 32926538 11 Thus, blocking PD-L1 makes effective immunotherapy possible. ('blocking', 'Var', (10, 18)) ('PD-L1', 'Gene', (19, 24)) ('PD-L1', 'Gene', '29126', (19, 24)) 58216 32722121 Primary Driver Mutations in GTF2I Specific to the Development of Thymomas Thymomas are rare mediastinal tumors that are difficult to treat and pose a major public health concern. ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('Mutations', 'Var', (15, 24)) ('Thymomas Thymomas', 'Phenotype', 'HP:0100522', (65, 82)) ('Thymoma', 'Phenotype', 'HP:0100522', (65, 72)) ('tumors', 'Phenotype', 'HP:0002664', (104, 110)) ('tumors', 'Disease', (104, 110)) ('tumors', 'Disease', 'MESH:D009369', (104, 110)) ('GTF2I', 'Gene', (28, 33)) ('Thymomas', 'Disease', (65, 73)) ('GTF2I', 'Gene', '2969', (28, 33)) ('Thymoma', 'Phenotype', 'HP:0100522', (74, 81)) 58217 32722121 Type A thymomas possess a missense mutation in GTF2I (chromosome 7 c.74146970T>A) with high frequency. ('A thymomas', 'Disease', (5, 15)) ('GTF2I', 'Gene', (47, 52)) ('c.74146970T>A', 'Mutation', 'c.74146970T>A', (67, 80)) ('GTF2I', 'Gene', '2969', (47, 52)) ('A thymomas', 'Disease', 'MESH:D013945', (5, 15)) ('A thymomas', 'Phenotype', 'HP:0100522', (5, 15)) ('thymoma', 'Phenotype', 'HP:0100522', (7, 14)) ('c.74146970T>A', 'Var', (67, 80)) ('missense', 'Var', (26, 34)) 58219 32722121 We aimed to detect this missense mutation in GTF2I in other thymoma subtypes (types B). ('thymoma', 'Disease', 'MESH:D013945', (60, 67)) ('thymoma', 'Disease', (60, 67)) ('missense mutation', 'Var', (24, 41)) ('GTF2I', 'Gene', '2969', (45, 50)) ('thymoma', 'Phenotype', 'HP:0100522', (60, 67)) ('GTF2I', 'Gene', (45, 50)) 58222 32722121 Subsequently, we performed targeted sequencing to detect mutant GTF2I coupled with molecular barcoding. ('mutant', 'Var', (57, 63)) ('GTF2I', 'Gene', (64, 69)) ('GTF2I', 'Gene', '2969', (64, 69)) 58223 32722121 We used PyClone analysis to determine the fraction of tumor cells harboring mutant GTF2I. ('C', 'Chemical', 'MESH:D003596', (10, 11)) ('tumor', 'Disease', 'MESH:D009369', (54, 59)) ('mutant', 'Var', (76, 82)) ('tumor', 'Phenotype', 'HP:0002664', (54, 59)) ('tumor', 'Disease', (54, 59)) ('GTF2I', 'Gene', (83, 88)) ('GTF2I', 'Gene', '2969', (83, 88)) 58224 32722121 We detected the missense mutation (chromosome 7 c.74146970T>A) in GTF2I in 14 thymomas among the 22 samples (64%). ('thymomas', 'Disease', 'MESH:D013945', (78, 86)) ('GTF2I', 'Gene', '2969', (66, 71)) ('thymomas', 'Disease', (78, 86)) ('thymoma', 'Phenotype', 'HP:0100522', (78, 85)) ('c.74146970T>A', 'Var', (48, 61)) ('GTF2I', 'Gene', (66, 71)) ('missense', 'Var', (16, 24)) ('c.74146970T>A', 'Mutation', 'c.74146970T>A', (48, 61)) 58226 32722121 The allele fraction for the tumors containing the mutations was variable, primarily owing to the coexistence of normal lymphocytes in the tumors, especially in type B thymomas. ('mutations', 'Var', (50, 59)) ('tumors', 'Disease', (28, 34)) ('tumors', 'Disease', 'MESH:D009369', (28, 34)) ('tumors', 'Phenotype', 'HP:0002664', (28, 34)) ('thymoma', 'Phenotype', 'HP:0100522', (167, 174)) ('tumors', 'Disease', (138, 144)) ('type B thymomas', 'Disease', (160, 175)) ('tumors', 'Disease', 'MESH:D009369', (138, 144)) ('tumors', 'Phenotype', 'HP:0002664', (138, 144)) ('type B thymomas', 'Disease', 'MESH:D013945', (160, 175)) ('tumor', 'Phenotype', 'HP:0002664', (28, 33)) ('tumor', 'Phenotype', 'HP:0002664', (138, 143)) 58227 32722121 PyClone analysis revealed a high cellular prevalence of mutant GTF2I in tumor cells. ('tumor', 'Phenotype', 'HP:0002664', (72, 77)) ('tumor', 'Disease', (72, 77)) ('mutant', 'Var', (56, 62)) ('GTF2I', 'Gene', (63, 68)) ('tumor', 'Disease', 'MESH:D009369', (72, 77)) ('C', 'Chemical', 'MESH:D003596', (2, 3)) ('GTF2I', 'Gene', '2969', (63, 68)) 58228 32722121 Mutant GTF2I was not detected in other carcinomas (lung, gastric, colorectal, or hepatocellular carcinoma) or lymphomas. ('carcinoma', 'Phenotype', 'HP:0030731', (96, 105)) ('GTF2I', 'Gene', '2969', (7, 12)) ('GTF2I', 'Gene', (7, 12)) ('lymphomas', 'Disease', (110, 119)) ('lymphomas', 'Disease', 'MESH:D008223', (110, 119)) ('carcinomas', 'Disease', 'MESH:D009369', (39, 49)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (81, 105)) ('carcinoma', 'Phenotype', 'HP:0030731', (39, 48)) ('lymphomas', 'Phenotype', 'HP:0002665', (110, 119)) ('colorectal', 'Disease', 'MESH:D015179', (66, 76)) ('hepatocellular carcinoma', 'Disease', (81, 105)) ('carcinomas', 'Disease', (39, 49)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (81, 105)) ('Mutant', 'Var', (0, 6)) ('carcinomas', 'Phenotype', 'HP:0030731', (39, 49)) ('colorectal', 'Disease', (66, 76)) ('lymphoma', 'Phenotype', 'HP:0002665', (110, 118)) ('gastric', 'Disease', (57, 64)) 58229 32722121 In conclusion, the majority of thymomas harbor mutations in GTF2I that can be potentially used as a novel therapeutic target in patients with thymomas. ('thymomas', 'Disease', (31, 39)) ('thymomas', 'Disease', 'MESH:D013945', (31, 39)) ('GTF2I', 'Gene', (60, 65)) ('thymomas', 'Disease', (142, 150)) ('thymomas', 'Disease', 'MESH:D013945', (142, 150)) ('mutations', 'Var', (47, 56)) ('thymoma', 'Phenotype', 'HP:0100522', (31, 38)) ('GTF2I', 'Gene', '2969', (60, 65)) ('patients', 'Species', '9606', (128, 136)) ('thymoma', 'Phenotype', 'HP:0100522', (142, 149)) 58235 32722121 Recent studies showed a missense mutation (chromosome 7 c.74146970T>A) in GTF2I (GTF: general transcription factor) present with high frequency in type A thymomas. ('c.74146970T>A', 'Mutation', 'c.74146970T>A', (56, 69)) ('GTF2I', 'Gene', (74, 79)) ('type A thymomas', 'Disease', 'MESH:D013945', (147, 162)) ('type A thymomas', 'Disease', (147, 162)) ('c.74146970T>A', 'Var', (56, 69)) ('GTF2I', 'Gene', '2969', (74, 79)) ('thymoma', 'Phenotype', 'HP:0100522', (154, 161)) ('A thymomas', 'Phenotype', 'HP:0100522', (152, 162)) 58238 32722121 Thus, it seemed unreasonable to hypothesize that mutations in GTF2I account for the development of the type A component, with other mechanisms responsible for the development of the type B component. ('mutations', 'Var', (49, 58)) ('account', 'Reg', (68, 75)) ('GTF2I', 'Gene', (62, 67)) ('type A component', 'MPA', (103, 119)) ('GTF2I', 'Gene', '2969', (62, 67)) 58239 32722121 Thus, we focused on the importance of mutations in GTF2I in the development of type B thymomas using targeted sequencing coupled with techniques in molecular barcoding: more sensitive and specific assays than the whole-exome sequencing approach used in previous studies. ('type B thymomas', 'Disease', (79, 94)) ('GTF2I', 'Gene', '2969', (51, 56)) ('type B thymomas', 'Disease', 'MESH:D013945', (79, 94)) ('thymoma', 'Phenotype', 'HP:0100522', (86, 93)) ('mutations', 'Var', (38, 47)) ('GTF2I', 'Gene', (51, 56)) 58251 32722121 We detected point mutations in GTF2I in all the type A and AB thymomas; several type B thymomas were also positive for these GTF2I mutations. ('thymoma', 'Phenotype', 'HP:0100522', (87, 94)) ('GTF2I', 'Gene', '2969', (125, 130)) ('GTF2I', 'Gene', '2969', (31, 36)) ('positive', 'Reg', (106, 114)) ('type B thymomas', 'Disease', (80, 95)) ('AB thymomas', 'Disease', 'MESH:D013945', (59, 70)) ('AB thymomas', 'Disease', (59, 70)) ('type B thymomas', 'Disease', 'MESH:D013945', (80, 95)) ('thymoma', 'Phenotype', 'HP:0100522', (62, 69)) ('GTF2I', 'Gene', (125, 130)) ('type', 'Disease', (48, 52)) ('GTF2I', 'Gene', (31, 36)) ('point mutations', 'Var', (12, 27)) ('detected', 'Reg', (3, 11)) 58252 32722121 The type A and B portions of the type AB thymomas harbored mutant GTF2I. ('GTF2I', 'Gene', '2969', (66, 71)) ('type AB thymomas', 'Disease', 'MESH:D013945', (33, 49)) ('mutant', 'Var', (59, 65)) ('thymoma', 'Phenotype', 'HP:0100522', (41, 48)) ('type AB thymomas', 'Disease', (33, 49)) ('GTF2I', 'Gene', (66, 71)) ('harbored', 'Reg', (50, 58)) 58253 32722121 The allele fraction with the mutant GTF2I was lower in type B thymomas compared to in type A thymomas; this could be attributed to the presence of normal cells in the tumor specimens. ('type B thymomas', 'Disease', (55, 70)) ('thymoma', 'Phenotype', 'HP:0100522', (93, 100)) ('GTF2I', 'Gene', (36, 41)) ('mutant', 'Var', (29, 35)) ('type B thymomas', 'Disease', 'MESH:D013945', (55, 70)) ('tumor', 'Disease', 'MESH:D009369', (167, 172)) ('GTF2I', 'Gene', '2969', (36, 41)) ('type A thymomas', 'Disease', (86, 101)) ('lower', 'NegReg', (46, 51)) ('type A thymomas', 'Disease', 'MESH:D013945', (86, 101)) ('tumor', 'Phenotype', 'HP:0002664', (167, 172)) ('A thymomas', 'Phenotype', 'HP:0100522', (91, 101)) ('thymoma', 'Phenotype', 'HP:0100522', (62, 69)) ('tumor', 'Disease', (167, 172)) 58254 32722121 Mutations in GTF2I were detected in 14 out of 22 patients with thymomas (64%). ('thymomas', 'Disease', (63, 71)) ('detected', 'Reg', (24, 32)) ('thymomas', 'Disease', 'MESH:D013945', (63, 71)) ('Mutations', 'Var', (0, 9)) ('GTF2I', 'Gene', (13, 18)) ('patients', 'Species', '9606', (49, 57)) ('GTF2I', 'Gene', '2969', (13, 18)) ('thymoma', 'Phenotype', 'HP:0100522', (63, 70)) 58255 32722121 Mutant GTF2I was detected in at least one sample from all the subtypes of thymomas (A, AB, B1, B2, and B3). ('GTF2I', 'Gene', '2969', (7, 12)) ('AB, B1, B2, and B3', 'Gene', '28905;2925;680', (87, 105)) ('thymoma', 'Phenotype', 'HP:0100522', (74, 81)) ('Mutant', 'Var', (0, 6)) ('thymomas', 'Disease', (74, 82)) ('thymomas', 'Disease', 'MESH:D013945', (74, 82)) ('GTF2I', 'Gene', (7, 12)) ('detected', 'Reg', (17, 25)) 58256 32722121 Thus, the GTF2I mutation may well be called a prevalent mutation in thymomas in general. ('mutation', 'Var', (16, 24)) ('thymoma', 'Phenotype', 'HP:0100522', (68, 75)) ('GTF2I', 'Gene', (10, 15)) ('thymomas', 'Disease', (68, 76)) ('GTF2I', 'Gene', '2969', (10, 15)) ('thymomas', 'Disease', 'MESH:D013945', (68, 76)) 58259 32722121 Mutant GTF2I was harbored in ~20%-90% of the tumor cells among all the thymomas (Figure 1), suggesting a high cellular prevalence of mutant GTF2I. ('GTF2I', 'Gene', '2969', (7, 12)) ('tumor', 'Phenotype', 'HP:0002664', (45, 50)) ('GTF2I', 'Gene', (7, 12)) ('thymomas', 'Disease', 'MESH:D013945', (71, 79)) ('thymoma', 'Phenotype', 'HP:0100522', (71, 78)) ('tumor', 'Disease', (45, 50)) ('GTF2I', 'Gene', (140, 145)) ('Mutant', 'Var', (0, 6)) ('GTF2I', 'Gene', '2969', (140, 145)) ('mutant', 'Var', (133, 139)) ('thymomas', 'Disease', (71, 79)) ('tumor', 'Disease', 'MESH:D009369', (45, 50)) 58260 32722121 This GTF2I mutation appeared to trigger clonal expansion and is retained ubiquitously within the tumors of the same clone. ('GTF2I', 'Gene', (5, 10)) ('tumor', 'Phenotype', 'HP:0002664', (97, 102)) ('GTF2I', 'Gene', '2969', (5, 10)) ('tumors', 'Disease', (97, 103)) ('tumors', 'Phenotype', 'HP:0002664', (97, 103)) ('mutation', 'Var', (11, 19)) ('tumors', 'Disease', 'MESH:D009369', (97, 103)) 58261 32722121 PD-L1 expression was evaluated immunohistochemically in thymomas with the GTF2I mutation (GTF2I+) and without (GTF2I-; Figure 2A,B). ('GTF2I', 'Gene', '2969', (111, 116)) ('GTF2I', 'Gene', (74, 79)) ('GTF2I', 'Gene', '2969', (90, 95)) ('mutation', 'Var', (80, 88)) ('thymomas', 'Disease', (56, 64)) ('GTF2I', 'Gene', '2969', (74, 79)) ('thymomas', 'Disease', 'MESH:D013945', (56, 64)) ('PD-L1', 'Gene', (0, 5)) ('GTF2I', 'Gene', (111, 116)) ('PD-L1', 'Gene', '29126', (0, 5)) ('GTF2I', 'Gene', (90, 95)) ('thymoma', 'Phenotype', 'HP:0100522', (56, 63)) 58264 32722121 The staining intensity of PD-L1 was significantly higher in the GTF2I+ group compared to in the GTF2I- group (Figure 2C), which suggests the mutually exclusive presence of PD-L1 expression and the GTF2I mutation in tumor cells. ('GTF2I', 'Gene', '2969', (96, 101)) ('PD-L1', 'Gene', '29126', (172, 177)) ('GTF2I', 'Gene', '2969', (64, 69)) ('higher', 'PosReg', (50, 56)) ('GTF2I', 'Gene', (197, 202)) ('PD-L1', 'Gene', '29126', (26, 31)) ('tumor', 'Disease', 'MESH:D009369', (215, 220)) ('PD-L1', 'Gene', (26, 31)) ('GTF2I', 'Gene', (64, 69)) ('GTF2I', 'Gene', '2969', (197, 202)) ('tumor', 'Phenotype', 'HP:0002664', (215, 220)) ('mutation', 'Var', (203, 211)) ('C', 'Chemical', 'MESH:D003596', (118, 119)) ('GTF2I', 'Gene', (96, 101)) ('tumor', 'Disease', (215, 220)) ('staining intensity', 'MPA', (4, 22)) ('PD-L1', 'Gene', (172, 177)) 58265 32722121 The age, sex, smoking habits, tumor size, histological type, Masaoka stage, and PD-L1 expression were assessed using multivariate analysis to identify factors affecting the mutation status of GTF2I. ('PD-L1', 'Gene', (80, 85)) ('age', 'Gene', (4, 7)) ('PD-L1', 'Gene', '29126', (80, 85)) ('tumor', 'Disease', 'MESH:D009369', (30, 35)) ('mutation', 'Var', (173, 181)) ('age', 'Gene', '5973', (71, 74)) ('GTF2I', 'Gene', (192, 197)) ('tumor', 'Phenotype', 'HP:0002664', (30, 35)) ('age', 'Gene', '5973', (4, 7)) ('tumor', 'Disease', (30, 35)) ('GTF2I', 'Gene', '2969', (192, 197)) ('age', 'Gene', (71, 74)) 58266 32722121 Based on a Cox proportional hazards model, the histology and PD-L1 expression were factors that determined the presence of mutations in GTF2I; sex (p = 0.41), age (p = 0.43), smoking habit (p = 0.68), tumor size (p = 0.97), and tumor stage (p = 0.46) did not correlate with the mutation status of GTF2I. ('C', 'Chemical', 'MESH:D003596', (11, 12)) ('GTF2I', 'Gene', (297, 302)) ('tumor', 'Disease', 'MESH:D009369', (228, 233)) ('PD-L1', 'Gene', (61, 66)) ('age', 'Gene', '5973', (236, 239)) ('tumor', 'Disease', 'MESH:D009369', (201, 206)) ('GTF2I', 'Gene', (136, 141)) ('age', 'Gene', '5973', (159, 162)) ('age', 'Gene', (159, 162)) ('GTF2I', 'Gene', '2969', (297, 302)) ('tumor', 'Phenotype', 'HP:0002664', (228, 233)) ('tumor', 'Phenotype', 'HP:0002664', (201, 206)) ('PD-L1', 'Gene', '29126', (61, 66)) ('tumor', 'Disease', (228, 233)) ('GTF2I', 'Gene', '2969', (136, 141)) ('tumor', 'Disease', (201, 206)) ('age', 'Gene', (236, 239)) ('mutations', 'Var', (123, 132)) 58267 32722121 In essence, mutant GTF2I was detected at a higher extent in type A and AB thymomas compared to in types B1-B3. ('type A', 'Disease', (60, 66)) ('GTF2I', 'Gene', (19, 24)) ('detected', 'Reg', (29, 37)) ('thymoma', 'Phenotype', 'HP:0100522', (74, 81)) ('GTF2I', 'Gene', '2969', (19, 24)) ('mutant', 'Var', (12, 18)) ('AB thymomas', 'Disease', 'MESH:D013945', (71, 82)) ('AB thymomas', 'Disease', (71, 82)) 58268 32722121 PD-L1-negative thymomas harbored mutant GTF2I significantly more frequently when compared to PD-L1-positive thymomas (HR: 12.60, 95% CI: 1.19-133.89). ('thymoma', 'Phenotype', 'HP:0100522', (15, 22)) ('GTF2I', 'Gene', (40, 45)) ('PD-L1-negative thymomas harbored', 'Disease', (0, 32)) ('PD-L1-positive thymomas', 'Disease', 'MESH:D010300', (93, 116)) ('GTF2I', 'Gene', '2969', (40, 45)) ('mutant', 'Var', (33, 39)) ('PD-L1-positive thymomas', 'Disease', (93, 116)) ('C', 'Chemical', 'MESH:D003596', (133, 134)) ('thymoma', 'Phenotype', 'HP:0100522', (108, 115)) ('PD-L1-negative thymomas harbored', 'Disease', 'MESH:D010300', (0, 32)) 58270 32722121 The pre-surgery blood exam data were analyzed, which revealed that serum LDH levels were significantly higher in thymomas with mutant GTF2I than those with wildtype GTF2I (thymomas with mutant GTF2I, 224.3 +- 13.3; thymomas with wildtype GTF2I, 183.7 +- 12.1; p < 0.05). ('higher', 'PosReg', (103, 109)) ('thymomas', 'Disease', 'MESH:D013945', (172, 180)) ('GTF2I', 'Gene', '2969', (193, 198)) ('thymoma', 'Phenotype', 'HP:0100522', (113, 120)) ('thymomas', 'Disease', 'MESH:D013945', (113, 121)) ('serum LDH levels', 'MPA', (67, 83)) ('mutant', 'Var', (127, 133)) ('GTF2I', 'Gene', (193, 198)) ('thymomas', 'Disease', (172, 180)) ('GTF2I', 'Gene', '2969', (238, 243)) ('thymoma', 'Phenotype', 'HP:0100522', (215, 222)) ('GTF2I', 'Gene', '2969', (134, 139)) ('thymomas', 'Disease', 'MESH:D013945', (215, 223)) ('GTF2I', 'Gene', '2969', (165, 170)) ('thymomas', 'Disease', (113, 121)) ('GTF2I', 'Gene', (238, 243)) ('GTF2I', 'Gene', (134, 139)) ('GTF2I', 'Gene', (165, 170)) ('thymomas', 'Disease', (215, 223)) ('thymoma', 'Phenotype', 'HP:0100522', (172, 179)) 58271 32722121 In addition, the PLR was significantly higher in thymomas with mutant GTF2I than those with wildtype GTF2I (thymomas with mutant GTF2I, 137.2 +- 13.1; thymomas with wildtype GTF2I, 97.0 +- 15.7; p < 0.05). ('thymomas', 'Disease', (151, 159)) ('higher', 'PosReg', (39, 45)) ('thymomas', 'Disease', 'MESH:D013945', (108, 116)) ('GTF2I', 'Gene', '2969', (129, 134)) ('GTF2I', 'Gene', (129, 134)) ('thymomas', 'Disease', (108, 116)) ('GTF2I', 'Gene', (101, 106)) ('thymoma', 'Phenotype', 'HP:0100522', (49, 56)) ('mutant', 'Var', (63, 69)) ('thymomas', 'Disease', 'MESH:D013945', (49, 57)) ('PLR', 'MPA', (17, 20)) ('GTF2I', 'Gene', '2969', (174, 179)) ('thymoma', 'Phenotype', 'HP:0100522', (151, 158)) ('thymomas', 'Disease', 'MESH:D013945', (151, 159)) ('GTF2I', 'Gene', '2969', (70, 75)) ('GTF2I', 'Gene', '2969', (101, 106)) ('thymomas', 'Disease', (49, 57)) ('GTF2I', 'Gene', (174, 179)) ('mutant', 'Var', (122, 128)) ('GTF2I', 'Gene', (70, 75)) ('thymoma', 'Phenotype', 'HP:0100522', (108, 115)) 58274 32722121 Mutant GTF2I was not detected in other carcinomas, such as brain cancer, lung cancer, gastric cancer, colorectal cancer, hepatocellular carcinoma, and breast cancer, or in lymphomas (n = 20 for each, Table 3), indicating the specificity of mutant GTF2I in thymomas. ('breast cancer', 'Phenotype', 'HP:0003002', (151, 164)) ('hepatocellular carcinoma', 'Disease', (121, 145)) ('brain cancer', 'Phenotype', 'HP:0030692', (59, 71)) ('carcinoma', 'Phenotype', 'HP:0030731', (136, 145)) ('gastric cancer', 'Disease', (86, 100)) ('cancer', 'Phenotype', 'HP:0002664', (113, 119)) ('lung cancer', 'Disease', 'MESH:D008175', (73, 84)) ('lymphomas', 'Disease', 'MESH:D008223', (172, 181)) ('brain cancer', 'Disease', 'MESH:D001932', (59, 71)) ('lymphomas', 'Phenotype', 'HP:0002665', (172, 181)) ('mutant', 'Var', (240, 246)) ('thymoma', 'Phenotype', 'HP:0100522', (256, 263)) ('carcinomas', 'Disease', 'MESH:D009369', (39, 49)) ('breast cancer', 'Disease', 'MESH:D001943', (151, 164)) ('cancer', 'Phenotype', 'HP:0002664', (65, 71)) ('carcinoma', 'Phenotype', 'HP:0030731', (39, 48)) ('colorectal cancer', 'Disease', 'MESH:D015179', (102, 119)) ('breast cancer', 'Disease', (151, 164)) ('carcinomas', 'Phenotype', 'HP:0030731', (39, 49)) ('lung cancer', 'Phenotype', 'HP:0100526', (73, 84)) ('GTF2I', 'Gene', '2969', (247, 252)) ('cancer', 'Phenotype', 'HP:0002664', (158, 164)) ('gastric cancer', 'Disease', 'MESH:D013274', (86, 100)) ('colorectal cancer', 'Disease', (102, 119)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (121, 145)) ('cancer', 'Phenotype', 'HP:0002664', (94, 100)) ('GTF2I', 'Gene', (247, 252)) ('Mutant', 'Var', (0, 6)) ('cancer', 'Phenotype', 'HP:0002664', (78, 84)) ('brain cancer', 'Disease', (59, 71)) ('thymomas', 'Disease', 'MESH:D013945', (256, 264)) ('lymphomas', 'Disease', (172, 181)) ('GTF2I', 'Gene', '2969', (7, 12)) ('gastric cancer', 'Phenotype', 'HP:0012126', (86, 100)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (121, 145)) ('carcinomas', 'Disease', (39, 49)) ('lung cancer', 'Disease', (73, 84)) ('lymphoma', 'Phenotype', 'HP:0002665', (172, 180)) ('GTF2I', 'Gene', (7, 12)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (102, 119)) ('thymomas', 'Disease', (256, 264)) 58275 32722121 In this study, we investigated the presence of point mutations in GTF2I in thymomas using targeted sequencing coupled with molecular barcoding to validate previous findings obtained by whole-exome sequencing. ('GTF2I', 'Gene', '2969', (66, 71)) ('point mutations', 'Var', (47, 62)) ('thymoma', 'Phenotype', 'HP:0100522', (75, 82)) ('thymomas', 'Disease', (75, 83)) ('GTF2I', 'Gene', (66, 71)) ('thymomas', 'Disease', 'MESH:D013945', (75, 83)) 58276 32722121 We demonstrated a widespread distribution of mutant GTF2I in all types of thymomas, including type B. ('GTF2I', 'Gene', '2969', (52, 57)) ('mutant', 'Var', (45, 51)) ('thymoma', 'Phenotype', 'HP:0100522', (74, 81)) ('thymomas', 'Disease', 'MESH:D013945', (74, 82)) ('thymomas', 'Disease', (74, 82)) ('GTF2I', 'Gene', (52, 57)) 58277 32722121 The SIFT and Polyphen 2 algorithms predicted that the GTF2I mutation (p.L424H) was somatic and altered protein structure and function. ('p.L424H', 'Var', (70, 77)) ('GTF2I', 'Gene', (54, 59)) ('GTF2I', 'Gene', '2969', (54, 59)) ('altered', 'Reg', (95, 102)) ('p.L424H', 'Mutation', 'p.L424H', (70, 77)) ('function', 'MPA', (125, 133)) ('protein structure', 'MPA', (103, 120)) 58278 32722121 Mutant GTF2I did not induce anchorage-independent growth but accelerated cell proliferation in vitro. ('GTF2I', 'Gene', '2969', (7, 12)) ('GTF2I', 'Gene', (7, 12)) ('age', 'Gene', (34, 37)) ('accelerated', 'PosReg', (61, 72)) ('cell proliferation in vitro', 'CPA', (73, 100)) ('age', 'Gene', '5973', (34, 37)) ('Mutant', 'Var', (0, 6)) 58280 32722121 The presence of mutant GTF2I in type B thymomas, in addition to type A thymomas, in this study, unlike previous studies, can be attributed to three reasons. ('GTF2I', 'Gene', (23, 28)) ('type A thymomas', 'Disease', 'MESH:D013945', (64, 79)) ('type A thymomas', 'Disease', (64, 79)) ('thymoma', 'Phenotype', 'HP:0100522', (71, 78)) ('type B thymomas', 'Disease', (32, 47)) ('GTF2I', 'Gene', '2969', (23, 28)) ('thymoma', 'Phenotype', 'HP:0100522', (39, 46)) ('A thymomas', 'Phenotype', 'HP:0100522', (69, 79)) ('mutant', 'Var', (16, 22)) ('type B thymomas', 'Disease', 'MESH:D013945', (32, 47)) 58284 32722121 Contamination with normal cells reduces the probability of detecting mutations in tumor cells. ('mutations', 'Var', (69, 78)) ('tumor', 'Disease', 'MESH:D009369', (82, 87)) ('tumor', 'Phenotype', 'HP:0002664', (82, 87)) ('tumor', 'Disease', (82, 87)) ('C', 'Chemical', 'MESH:D003596', (0, 1)) 58285 32722121 We used laser-capture microdissection to select tumor cells to maximize the chances of detecting the point mutation. ('tumor', 'Phenotype', 'HP:0002664', (48, 53)) ('point', 'Var', (101, 106)) ('tumor', 'Disease', (48, 53)) ('tumor', 'Disease', 'MESH:D009369', (48, 53)) 58286 32722121 The sequence coverage was more extensive in our study compared to that in previous studies, and thus the sensitivity and specificity of detecting mutant GTF2I were theoretically much higher in our study. ('age', 'Gene', '5973', (18, 21)) ('GTF2I', 'Gene', (153, 158)) ('higher', 'PosReg', (183, 189)) ('GTF2I', 'Gene', '2969', (153, 158)) ('age', 'Gene', (18, 21)) ('mutant', 'Var', (146, 152)) 58287 32722121 Third, we excluded the influence of pseudogenes and manually counted the DNA strands harboring the mutation in the real GTF2I gene. ('GTF2I', 'Gene', '2969', (120, 125)) ('GTF2I', 'Gene', (120, 125)) ('mutation', 'Var', (99, 107)) 58288 32722121 The pseudogenes could have potentially biased the measurement, thereby reducing the chance of detecting GTF2I since the heterozygous mutations were present in 1 out 6 (17%) of the amplicons. ('reducing', 'NegReg', (71, 79)) ('GTF2I', 'Gene', '2969', (104, 109)) ('pseudogenes', 'Var', (4, 15)) ('measurement', 'MPA', (50, 61)) ('biased', 'Reg', (39, 45)) ('GTF2I', 'Gene', (104, 109)) 58289 32722121 Thus, by eliminating such bias, we increased the chances of detecting mutations in GTF2I by approximately six-fold. ('GTF2I', 'Gene', (83, 88)) ('increased', 'PosReg', (35, 44)) ('GTF2I', 'Gene', '2969', (83, 88)) ('mutations', 'Var', (70, 79)) 58290 32722121 demonstrated that the GTF2I mutation was detected by quantitative real time PCR and the fraction of mutant GTF2I was the highest in type A and AB thymomas, followed by type B1, B2, and B3, consistent with our results. ('GTF2I', 'Gene', '2969', (107, 112)) ('thymoma', 'Phenotype', 'HP:0100522', (146, 153)) ('AB thymomas', 'Disease', 'MESH:D013945', (143, 154)) ('highest', 'Reg', (121, 128)) ('AB thymomas', 'Disease', (143, 154)) ('GTF2I', 'Gene', (22, 27)) ('mutant', 'Var', (100, 106)) ('GTF2I', 'Gene', '2969', (22, 27)) ('type A', 'Disease', (132, 138)) ('GTF2I', 'Gene', (107, 112)) ('C', 'Chemical', 'MESH:D003596', (77, 78)) 58298 32722121 Thus, the GTF2I point mutation may serve as a neoantigen for use as a therapeutic target. ('GTF2I', 'Gene', (10, 15)) ('GTF2I', 'Gene', '2969', (10, 15)) ('point mutation', 'Var', (16, 30)) 58300 32722121 In this study, PD-L1 expression and the presence of mutant GTF2I were inversely correlated; very few patients were positive for both PD-L1 and mutant GTF2I. ('patients', 'Species', '9606', (101, 109)) ('PD-L1', 'Gene', (15, 20)) ('mutant', 'Var', (52, 58)) ('PD-L1', 'Gene', (133, 138)) ('GTF2I', 'Gene', (150, 155)) ('GTF2I', 'Gene', (59, 64)) ('PD-L1', 'Gene', '29126', (15, 20)) ('PD-L1', 'Gene', '29126', (133, 138)) ('GTF2I', 'Gene', '2969', (150, 155)) ('GTF2I', 'Gene', '2969', (59, 64)) 58301 32722121 In addition, blood marker data (serum LDH and PLR) in our study suggested that thymomas without the GTF2I mutation exhibited a higher response rate to immunotherapy. ('GTF2I', 'Gene', '2969', (100, 105)) ('thymomas', 'Disease', (79, 87)) ('thymomas', 'Disease', 'MESH:D013945', (79, 87)) ('mutation', 'Var', (106, 114)) ('thymoma', 'Phenotype', 'HP:0100522', (79, 86)) ('response', 'CPA', (134, 142)) ('higher', 'PosReg', (127, 133)) ('GTF2I', 'Gene', (100, 105)) 58312 32722121 The GeneRead DNA FFPE Kit (Qiagen, Hilden, Germany) was used according to the manufacturer's instructions, and the DNA quality was checked using primers against ribonuclease P. There were two pseudogenes with 99.4% sequence homology within approximately 500 base pairs upstream and downstream of the mutation site in GTF2I that limited the detection of GTF2I mutations. ('GTF2I', 'Gene', '2969', (317, 322)) ('Kit', 'Gene', (22, 25)) ('age', 'Gene', '5973', (29, 32)) ('GTF2I', 'Gene', (353, 358)) ('mutation', 'Var', (300, 308)) ('Kit', 'Gene', '3815', (22, 25)) ('GTF2I', 'Gene', (317, 322)) ('GTF2I', 'Gene', '2969', (353, 358)) ('age', 'Gene', (29, 32)) 58321 32722121 We manually counted the GTF2I DNA strands with C at the site of the single nucleotide variation. ('GTF2I', 'Gene', (24, 29)) ('GTF2I', 'Gene', '2969', (24, 29)) ('C', 'Chemical', 'MESH:D003596', (47, 48)) ('single nucleotide', 'Var', (68, 85)) 58322 32722121 In such DNA strands, the substitution of T>adenine (A) at the hotspot (c.74146970) was considered as a true mutation in GTF2I and used for analysis (Figure 3). ('GTF2I', 'Gene', (120, 125)) ('substitution of T>adenine', 'Var', (25, 50)) ('adenine', 'Chemical', 'MESH:D000225', (43, 50)) ('GTF2I', 'Gene', '2969', (120, 125)) ('c.74146970', 'Var', (71, 81)) 58324 32722121 In this study, PyClone analysis was performed to estimate the fraction of cancer cells harboring mutant GTF2I. ('C', 'Chemical', 'MESH:D003596', (17, 18)) ('GTF2I', 'Gene', '2969', (104, 109)) ('cancer', 'Disease', 'MESH:D009369', (74, 80)) ('mutant', 'Var', (97, 103)) ('cancer', 'Disease', (74, 80)) ('cancer', 'Phenotype', 'HP:0002664', (74, 80)) ('GTF2I', 'Gene', (104, 109)) 58330 32722121 After obtaining signed informed consent, their sample tissues were analyzed for the presence of the GTF2I mutation. ('GTF2I', 'Gene', (100, 105)) ('GTF2I', 'Gene', '2969', (100, 105)) ('mutation', 'Var', (106, 114)) 58334 32722121 A missense mutation in GTF2I was detected with high prevalence in and specific to thymomas. ('GTF2I', 'Gene', (23, 28)) ('GTF2I', 'Gene', '2969', (23, 28)) ('thymomas', 'Disease', 'MESH:D013945', (82, 90)) ('thymoma', 'Phenotype', 'HP:0100522', (82, 89)) ('missense mutation', 'Var', (2, 19)) ('thymomas', 'Disease', (82, 90)) 58352 30949123 For patients with anti-Hu antibodies, treatment of the cancer was the only factor associated with the stabilization of neurological symptoms. ('antibodies', 'Var', (26, 36)) ('cancer', 'Phenotype', 'HP:0002664', (55, 61)) ('anti-Hu', 'Protein', (18, 25)) ('patients', 'Species', '9606', (4, 12)) ('cancer', 'Disease', 'MESH:D009369', (55, 61)) ('stabilization of neurological symptoms', 'Phenotype', 'HP:0002344', (102, 140)) ('cancer', 'Disease', (55, 61)) 58554 31681591 PD-L1high was designated as >=50% of tumor proportion score; PD-1high and CD8high were defined as >=5% and 1% of tumoral immune cells, respectively. ('tumor', 'Disease', (113, 118)) ('CD8', 'Gene', '925', (74, 77)) ('tumor', 'Disease', 'MESH:D009369', (37, 42)) ('tumoral', 'Disease', (113, 120)) ('tumoral', 'Disease', 'MESH:D009369', (113, 120)) ('tumor', 'Phenotype', 'HP:0002664', (37, 42)) ('tumor', 'Disease', (37, 42)) ('tumor', 'Disease', 'MESH:D009369', (113, 118)) ('tumor', 'Phenotype', 'HP:0002664', (113, 118)) ('PD-L1high', 'Var', (0, 9)) ('CD8', 'Gene', (74, 77)) 58558 31681591 The PD-L1high thymoma group was correlated with high Masaoka-Koga stage (p < 0.001), type B3 histology (p < 0.001), and myasthenia gravis (p < 0.001). ('myasthenia gravis', 'Disease', 'MESH:D009157', (120, 137)) ('type B3 histology', 'CPA', (85, 102)) ('myasthenia', 'Phenotype', 'HP:0003473', (120, 130)) ('thymoma', 'Disease', 'MESH:D013945', (14, 21)) ('thymoma', 'Disease', (14, 21)) ('myasthenia gravis', 'Disease', (120, 137)) ('thymoma', 'Phenotype', 'HP:0100522', (14, 21)) ('PD-L1high', 'Var', (4, 13)) 58560 31681591 Multivariate analysis revealed that PD-L1high expression was an independent poor prognostic factor (p = 0.047, HR 2.087, 95% CI, 1.009-4.318) in thymomas. ('PD-L1high expression', 'Var', (36, 56)) ('thymomas', 'Disease', (145, 153)) ('thymomas', 'Disease', 'MESH:D013945', (145, 153)) ('thymoma', 'Phenotype', 'HP:0100522', (145, 152)) 58619 31681591 However, other parameters, including tumor size (p = 0.138), lymph node metastasis (p = 0.083), and distant metastasis (p = 0.164), were not correlated with PD-L1high classification. ('tumor', 'Disease', 'MESH:D009369', (37, 42)) ('lymph node metastasis', 'CPA', (61, 82)) ('tumor', 'Phenotype', 'HP:0002664', (37, 42)) ('tumor', 'Disease', (37, 42)) ('PD-L1high', 'Var', (157, 166)) ('distant metastasis', 'CPA', (100, 118)) 58624 31681591 In thymomas, the PD-L1high group exhibited poorer DFS (p = 0.042, log-rank test, Figure 4A) and OS (p = 0.003, log-rank test, Figure 4B) than the PD-L1low group; no differences in DFS (p = 0.444, log-rank test, Figure 4C) and OS (p = 0.190, log-rank test, Figure 4D) were observed between the two groups in TC. ('thymomas', 'Disease', 'MESH:D013945', (3, 11)) ('thymomas', 'Disease', (3, 11)) ('thymoma', 'Phenotype', 'HP:0100522', (3, 10)) ('poorer', 'NegReg', (43, 49)) ('PD-L1high', 'Var', (17, 26)) 58626 31681591 Analysis of the PD-L1 and PD-1 expression combinations in thymomas revealed that PD-L1low/PD-1high groups exhibited good OS (p = 0.009, log-rank, Supplemental Figure 1B) compared to PD-L1high/PD-1low group; however, no differences in DFS were observed (p = 0.082, log-rank, Supplemental Figure 1A). ('PD-L1low/PD-1high', 'Var', (81, 98)) ('thymomas', 'Disease', 'MESH:D013945', (58, 66)) ('thymomas', 'Disease', (58, 66)) ('thymoma', 'Phenotype', 'HP:0100522', (58, 65)) 58629 31681591 However, in the multivariate analysis, PD-L1high was an independent poor prognostic factor for OS (p = 0.047, HR 2.09, 95% CI, 1.009-4.318) of thymomas. ('thymomas', 'Disease', 'MESH:D013945', (143, 151)) ('thymomas', 'Disease', (143, 151)) ('thymoma', 'Phenotype', 'HP:0100522', (143, 150)) ('PD-L1high', 'Var', (39, 48)) 58633 31681591 High PD-L1 expression was correlated with higher Masaoka-Koga staging in six studies and associated with WHO classification of type B and/or thymic carcinoma in eight publications. ('Masaoka-Koga staging', 'CPA', (49, 69)) ('associated', 'Reg', (89, 99)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (141, 157)) ('High', 'Var', (0, 4)) ('carcinoma', 'Phenotype', 'HP:0030731', (148, 157)) ('PD-L1', 'Gene', (5, 10)) ('expression', 'MPA', (11, 21)) ('higher', 'PosReg', (42, 48)) ('thymic carcinoma', 'Disease', (141, 157)) 58639 31681591 We found that high PD-1 expression was correlated with lower Masaoka-Koga stage (p = 0.012) and absence of MG (p < 0.001) in thymoma, but, as in previous studies, no correlations with parameters were observed in TC. ('thymoma', 'Phenotype', 'HP:0100522', (125, 132)) ('expression', 'MPA', (24, 34)) ('Masaoka-Koga stage', 'CPA', (61, 79)) ('absence', 'NegReg', (96, 103)) ('high', 'Var', (14, 18)) ('lower', 'NegReg', (55, 60)) ('thymoma', 'Disease', 'MESH:D013945', (125, 132)) ('PD-1', 'Gene', (19, 23)) ('thymoma', 'Disease', (125, 132)) 58643 31681591 Several studies have shown that high PD-L1 expression is correlated with a better response to anti-PD-L1 therapy in NSCLC. ('NSCLC', 'Disease', 'MESH:D002289', (116, 121)) ('high', 'Var', (32, 36)) ('PD-L1', 'Gene', (37, 42)) ('NSCLC', 'Phenotype', 'HP:0030358', (116, 121)) ('expression', 'MPA', (43, 53)) ('NSCLC', 'Disease', (116, 121)) 58644 31681591 In TETs, it may be expected that high PD-L1 expression would lead to a better response to anti-PD-L1 treatment, such as in NSCLC; however, the limited clinical trials of anti-PD-L1 therapy in TETs have shown controversial results. ('high', 'Var', (33, 37)) ('NSCLC', 'Disease', (123, 128)) ('NSCLC', 'Disease', 'MESH:D002289', (123, 128)) ('expression', 'Var', (44, 54)) ('response', 'MPA', (78, 86)) ('NSCLC', 'Phenotype', 'HP:0030358', (123, 128)) ('PD-L1', 'Gene', (38, 43)) 58645 31681591 As the cutoff of SP263 is not yet proven by clinical trials in TETs, we determined the cut-off as 50% because it is more highly expressed in TETs than in NSCLC. ('NSCLC', 'Disease', 'MESH:D002289', (154, 159)) ('SP263', 'Var', (17, 22)) ('NSCLC', 'Phenotype', 'HP:0030358', (154, 159)) ('TETs', 'Disease', (141, 145)) ('highly', 'PosReg', (121, 127)) ('NSCLC', 'Disease', (154, 159)) 58646 31681591 We found that the average TPS of 753 patients with NSCLC for SP263 was 25.02 +- 33.14 (data not shown), whereas it was 38.06 +- 32.35 in TETs. ('patients', 'Species', '9606', (37, 45)) ('NSCLC', 'Disease', (51, 56)) ('NSCLC', 'Disease', 'MESH:D002289', (51, 56)) ('SP263', 'Var', (61, 66)) ('NSCLC', 'Phenotype', 'HP:0030358', (51, 56)) 58649 31681591 Interestingly, SP263 IHC was deemed to be superior due to its strong staining intensity and higher sensitivity compared to E1L3N in NSCLC. ('SP263 IHC', 'Var', (15, 24)) ('NSCLC', 'Phenotype', 'HP:0030358', (132, 137)) ('staining intensity', 'MPA', (69, 87)) ('NSCLC', 'Disease', (132, 137)) ('NSCLC', 'Disease', 'MESH:D002289', (132, 137)) ('sensitivity', 'MPA', (99, 110)) 58650 31681591 We chose SP263 for the following reasons: first, we were unable to purchase the 22C3 antibody for research use because, at the time of our study, 22C3 was permitted only for use in companion diagnosis support by a global drug company in Korea; second, the positive rate for SP142 was very low in NSCLC; third, we considered it useful to choose a clinically validated and druggable antibody. ('NSCLC', 'Disease', (296, 301)) ('NSCLC', 'Disease', 'MESH:D002289', (296, 301)) ('SP142', 'Var', (274, 279)) ('NSCLC', 'Phenotype', 'HP:0030358', (296, 301)) 58663 31681591 In addition, the median PD-L1 mRNA level was higher in type B3 and TC than in the other thymomas, supporting the result that PD-L1high expression by IHC correlated with type B3 in thymoma. ('thymoma', 'Disease', 'MESH:D013945', (88, 95)) ('thymoma', 'Phenotype', 'HP:0100522', (180, 187)) ('thymoma', 'Disease', 'MESH:D013945', (180, 187)) ('type B3', 'Var', (55, 62)) ('thymoma', 'Disease', (88, 95)) ('thymoma', 'Phenotype', 'HP:0100522', (88, 95)) ('thymomas', 'Disease', (88, 96)) ('thymomas', 'Disease', 'MESH:D013945', (88, 96)) ('higher', 'PosReg', (45, 51)) ('PD-L1 mRNA level', 'MPA', (24, 40)) ('PD-L1high expression', 'Var', (125, 145)) ('thymoma', 'Disease', (180, 187)) 58724 26295375 Refined diagnostic criteria for type A, AB, B1-B3 thymomas and thymic squamous cell carcinoma are given and will hopefully improve the reproducibility of the classification and its clinical relevance. ('B1-B3', 'Var', (44, 49)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (70, 93)) ('squamous cell carcinoma', 'Disease', (70, 93)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (70, 93)) ('improve', 'PosReg', (123, 130)) ('thymoma', 'Phenotype', 'HP:0100522', (50, 57)) ('carcinoma', 'Phenotype', 'HP:0030731', (84, 93)) ('thymomas', 'Disease', 'MESH:D013945', (50, 58)) ('thymomas', 'Disease', (50, 58)) ('type A', 'Disease', (32, 38)) 58750 26295375 The latter show mutations of epigenetic regulatory genes, methylation patterns and expression profiles of anti-apoptotic genes that clearly distinguish them from thymomas. ('methylation', 'MPA', (58, 69)) ('thymoma', 'Phenotype', 'HP:0100522', (162, 169)) ('thymomas', 'Disease', (162, 170)) ('epigenetic regulatory genes', 'Gene', (29, 56)) ('mutations', 'Var', (16, 25)) ('thymomas', 'Disease', 'MESH:D013945', (162, 170)) ('expression', 'MPA', (83, 93)) ('anti-apoptotic genes', 'Gene', (106, 126)) 58751 26295375 On the other hand, the identification of a highly recurrent point mutation in the GTF2I oncogene in all major thymoma subtypes and thymic carcinomas is a seminal finding that underlines the unique tumor biology of thymic epithelial tumors and lends strong support to the WHO-based subtyping of thymic tumors. ('tumor', 'Disease', 'MESH:D009369', (197, 202)) ('carcinomas', 'Phenotype', 'HP:0030731', (138, 148)) ('thymic tumors', 'Disease', (294, 307)) ('GTF2I', 'Gene', '2969', (82, 87)) ('tumor', 'Phenotype', 'HP:0002664', (301, 306)) ('thymic tumors', 'Disease', 'MESH:D013953', (294, 307)) ('thymic epithelial tumors', 'Disease', 'MESH:C536905', (214, 238)) ('GTF2I', 'Gene', (82, 87)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (131, 148)) ('tumor', 'Phenotype', 'HP:0002664', (197, 202)) ('tumor', 'Disease', (232, 237)) ('thymic carcinomas', 'Disease', (131, 148)) ('thymoma subtypes', 'Disease', (110, 126)) ('tumor', 'Disease', 'MESH:D009369', (232, 237)) ('tumor', 'Disease', (301, 306)) ('tumor', 'Disease', (197, 202)) ('tumors', 'Phenotype', 'HP:0002664', (232, 238)) ('thymoma', 'Phenotype', 'HP:0100522', (110, 117)) ('thymoma subtypes', 'Disease', 'MESH:D013945', (110, 126)) ('thymic epithelial tumors', 'Disease', (214, 238)) ('point mutation', 'Var', (60, 74)) ('carcinoma', 'Phenotype', 'HP:0030731', (138, 147)) ('tumor', 'Disease', 'MESH:D009369', (301, 306)) ('tumor', 'Phenotype', 'HP:0002664', (232, 237)) ('tumors', 'Phenotype', 'HP:0002664', (301, 307)) 58785 26295375 Translocation of the MAML2 gene is characteristic of almost all low-grade MECs and many high-grade MECs of salivary glands, bronchi and lung. ('MAML2', 'Gene', '84441', (21, 26)) ('MAML2', 'Gene', (21, 26)) ('bronchi', 'Disease', (124, 131)) ('Translocation', 'Var', (0, 13)) 58791 26295375 These tumors are now known to occur at all ages, outside the thorax (and rarely outside the midline) in ~40%, and to show variant NUT (nuclear protein in testis) translocations in ~30% of cases. ('NUT', 'Gene', '256646', (130, 133)) ('tumors', 'Phenotype', 'HP:0002664', (6, 12)) ('NUT', 'Gene', (130, 133)) ('tumors', 'Disease', (6, 12)) ('tumors', 'Disease', 'MESH:D009369', (6, 12)) ('variant', 'Var', (122, 129)) ('tumor', 'Phenotype', 'HP:0002664', (6, 11)) ('translocations', 'Var', (162, 176)) 58802 26295375 In advanced stage refractory disease, KIT mutations have exclusively been reported to occur in thymic carcinomas, but their potential role as biomarkers needs further studies; meanwhile, targeting angiogenesis using multikinase inhibitors is of higher relevance in carcinomas irrespective of their KIT mutational status. ('carcinomas', 'Disease', 'MESH:D002277', (102, 112)) ('carcinomas', 'Phenotype', 'HP:0030731', (265, 275)) ('carcinomas', 'Disease', (265, 275)) ('thymic carcinomas', 'Disease', (95, 112)) ('carcinomas', 'Disease', 'MESH:D002277', (265, 275)) ('occur', 'Reg', (86, 91)) ('carcinoma', 'Phenotype', 'HP:0030731', (102, 111)) ('thymic carcinomas', 'Disease', 'MESH:D013945', (95, 112)) ('mutations', 'Var', (42, 51)) ('carcinomas', 'Phenotype', 'HP:0030731', (102, 112)) ('carcinoma', 'Phenotype', 'HP:0030731', (265, 274)) ('carcinomas', 'Disease', (102, 112)) 58812 26295375 The progressive increase and overlap of genetic gains and losses from typical carcinoids through atypical carcinoids to LCNECs and small cell carcinomas lends support to the WHO classification. ('carcinoid', 'Phenotype', 'HP:0100570', (106, 115)) ('LCNECs', 'Disease', (120, 126)) ('carcinoids', 'Phenotype', 'HP:0100570', (78, 88)) ('carcinoids', 'Phenotype', 'HP:0100570', (106, 116)) ('carcinomas', 'Phenotype', 'HP:0030731', (142, 152)) ('small cell carcinomas', 'Disease', 'MESH:D018288', (131, 152)) ('carcinoma', 'Phenotype', 'HP:0030731', (142, 151)) ('small cell carcinomas', 'Phenotype', 'HP:0030357', (131, 152)) ('small cell carcinomas', 'Disease', (131, 152)) ('carcinoid', 'Phenotype', 'HP:0100570', (78, 87)) ('losses', 'NegReg', (58, 64)) ('genetic', 'Var', (40, 47)) ('small cell carcinoma', 'Phenotype', 'HP:0030357', (131, 151)) ('gains', 'PosReg', (48, 53)) 58826 26295375 Among the novel genetic alterations reported since 2004, the following are of special interest from a biological and potentially immunotherapeutic perspective: translocations of the HLA class II transactivator CIITA at 16p13.13 associated with down-regulation of HLA class II molecules; and the almost specific amplification and/or translocation of the 9p24.1 region including the loci coding for the immune checkpoint molecules PD-L1 and PD-L2, which are overexpressed and helpful immunohistochemical markers in PMBL. ('PD-L1', 'Gene', '29126', (429, 434)) ('HLA class II molecules', 'Protein', (263, 285)) ('translocations', 'Var', (160, 174)) ('PD-L1', 'Gene', (429, 434)) ('CIITA', 'Gene', (210, 215)) ('CIITA', 'Gene', '4261', (210, 215)) ('PD-L2', 'Gene', (439, 444)) ('PD-L2', 'Gene', '80380', (439, 444)) ('translocation', 'Var', (332, 345)) ('down-regulation', 'NegReg', (244, 259)) 58830 26295375 Among many novel genetic alterations detected, mutations of NOTCH1/FXBW are associated with a favourable outcome, while loss of heterozygocity (LOH) at 6q has a negative impact on prognosis. ('NOTCH1', 'Gene', '4851', (60, 66)) ('NOTCH1', 'Gene', (60, 66)) ('mutations', 'Var', (47, 56)) 58835 26295375 Recognition that genetic and transcriptomic variation of the tumor cells, and tumor-associated T cells and macrophages have prognostic relevance is also new. ('variation', 'Var', (44, 53)) ('tumor', 'Disease', 'MESH:D009369', (78, 83)) ('tumor', 'Disease', 'MESH:D009369', (61, 66)) ('tumor', 'Phenotype', 'HP:0002664', (78, 83)) ('tumor', 'Phenotype', 'HP:0002664', (61, 66)) ('tumor', 'Disease', (78, 83)) ('tumor', 'Disease', (61, 66)) 58849 26295375 A new finding is the detection of BRAF mutations in about 50% of all cases of Langerhans cell histiocytosis, including mediastinal cases. ('histiocytosis', 'Phenotype', 'HP:0100727', (94, 107)) ('mutations', 'Var', (39, 48)) ('BRAF', 'Gene', '673', (34, 38)) ('mediastinal cases', 'Disease', (119, 136)) ('Langerhans cell histiocytosis', 'Disease', (78, 107)) ('detection', 'Reg', (21, 30)) ('BRAF', 'Gene', (34, 38)) 58869 25585350 Developmental Exposure To 2,3,7,8 Tetrachlorodibenzo-p-Dioxin Attenuates Later-Life Notch1-Mediated T Cell Development and Leukemogenesis Over half of T-cell acute lymphoblastic leukemia (T-ALL) patients have activating mutations in the Notch gene. ('T-cell acute lymphoblastic leukemia', 'Phenotype', 'HP:0006727', (151, 186)) ('Leukemogenesis', 'CPA', (123, 137)) ('ALL', 'Phenotype', 'HP:0006721', (190, 193)) ('Notch', 'Gene', (237, 242)) ('T-ALL', 'Phenotype', 'HP:0006727', (188, 193)) ('lymphoblastic leukemia', 'Phenotype', 'HP:0005526', (164, 186)) ('Notch1', 'Gene', (84, 90)) ('Notch1', 'Gene', '18128', (84, 90)) ('2,3,7,8 Tetrachlorodibenzo-p-Dioxin', 'Chemical', 'MESH:D000072317', (26, 61)) ('acute lymphoblastic leukemia', 'Phenotype', 'HP:0006721', (158, 186)) ('patients', 'Species', '9606', (195, 203)) ('activating mutations', 'Var', (209, 229)) ('Attenuates', 'NegReg', (62, 72)) ('T-cell acute lymphoblastic leukemia', 'Disease', 'MESH:D054218', (151, 186)) ('T-cell acute lymphoblastic leukemia', 'Disease', (151, 186)) ('leukemia', 'Phenotype', 'HP:0001909', (178, 186)) 58875 25585350 We found that the vehicle-exposed NotchICN-TG offspring have a peripheral T-cell pool heavily biased toward the CD4 lineage, while TCDD-exposed NotchICN-TG offspring were biased toward the CD8 lineage. ('NotchICN-TG', 'Var', (34, 45)) ('TCDD', 'Chemical', 'MESH:D000072317', (131, 135)) ('ICN', 'Chemical', '-', (39, 42)) ('CD8', 'Gene', (189, 192)) ('CD8', 'Gene', '925', (189, 192)) ('ICN', 'Chemical', '-', (149, 152)) 58882 25585350 For example, early mutations in hematopoietic stem cells can increase the risk for development of leukemia. ('early mutations', 'Var', (13, 28)) ('leukemia', 'Disease', (98, 106)) ('leukemia', 'Disease', 'MESH:D007938', (98, 106)) ('leukemia', 'Phenotype', 'HP:0001909', (98, 106)) 58883 25585350 Moreover, 60% of all cases of T cell acute lymphoblastic leukemia (T-ALL) are associated with activating genetic mutations in Notch1, a transmembrane receptor required for T cell development and function and regulation of CD4 vs. CD8 lineage commitment. ('T-ALL', 'Phenotype', 'HP:0006727', (67, 72)) ('T cell acute lymphoblastic leukemia', 'Phenotype', 'HP:0006727', (30, 65)) ('Notch1', 'Gene', '18128', (126, 132)) ('lymphoblastic leukemia', 'Phenotype', 'HP:0005526', (43, 65)) ('CD8', 'Gene', (230, 233)) ('CD8', 'Gene', '925', (230, 233)) ('mutations', 'Var', (113, 122)) ('T cell acute lymphoblastic leukemia', 'Disease', (30, 65)) ('ALL', 'Phenotype', 'HP:0006721', (69, 72)) ('acute lymphoblastic leukemia', 'Phenotype', 'HP:0006721', (37, 65)) ('leukemia', 'Phenotype', 'HP:0001909', (57, 65)) ('Notch1', 'Gene', (126, 132)) ('T cell acute lymphoblastic leukemia', 'Disease', 'MESH:D054218', (30, 65)) 58889 25585350 This potential of developmental Notch1-AHR crosstalk during hematopoietic system disease initiation warrants further consideration given the genetic link to Notch1 mutations in T-ALL and continued production and persistence of TCDD and other environmental combustion by-products that act on the AHR, particularly in many developing countries undergoing rapid industrialization. ('T-ALL', 'Phenotype', 'HP:0006727', (177, 182)) ('hematopoietic system disease initiation', 'Disease', (60, 99)) ('Notch1', 'Gene', (157, 163)) ('Notch1', 'Gene', '18128', (157, 163)) ('ALL', 'Phenotype', 'HP:0006721', (179, 182)) ('hematopoietic system disease', 'Phenotype', 'HP:0001871', (60, 88)) ('Notch1', 'Gene', (32, 38)) ('Notch1', 'Gene', '18128', (32, 38)) ('mutations', 'Var', (164, 173)) ('hematopoietic system disease initiation', 'Disease', 'MESH:D019337', (60, 99)) ('TCDD', 'Chemical', 'MESH:D000072317', (227, 231)) 58893 25585350 We hypothesized that developmental activation of AHR would produce a more severe form of Notch1- influenced thymoma in transgenic mice prone to disease than in unexposed control transgenic mice. ('AHR', 'Gene', (49, 52)) ('Notch1', 'Gene', (89, 95)) ('Notch1', 'Gene', '18128', (89, 95)) ('transgenic mice', 'Species', '10090', (178, 193)) ('thymoma', 'Disease', 'MESH:D013945', (108, 115)) ('developmental activation', 'Var', (21, 45)) ('transgenic mice', 'Species', '10090', (119, 134)) ('thymoma', 'Disease', (108, 115)) ('thymoma', 'Phenotype', 'HP:0100522', (108, 115)) ('produce', 'Reg', (59, 66)) 58899 25585350 C57BL/6-Tg(LckNotch1)9E mice, hereafter referred to as Notch1ICN-TG mice, were offspring of original pups that were a generous gift from B.J. ('mice', 'Species', '10090', (68, 72)) ('mice', 'Species', '10090', (24, 28)) ('Notch1ICN-TG', 'Gene', '18128', (55, 67)) ('Notch1', 'Gene', (55, 61)) ('Notch1', 'Gene', '18128', (55, 61)) ('Notch1ICN-TG', 'Gene', (55, 67)) ('Notch1', 'Gene', (14, 20)) ('C57BL/6-Tg', 'Var', (0, 10)) ('Notch1', 'Gene', '18128', (14, 20)) 58920 25585350 CD5+ tumor cells were identified by first gating on CD3+ populations, then CD4+ and CD8+. ('CD4+', 'Var', (75, 79)) ('CD8', 'Gene', '925', (84, 87)) ('CD5', 'Gene', '12507', (0, 3)) ('tumor', 'Disease', 'MESH:D009369', (5, 10)) ('tumor', 'Phenotype', 'HP:0002664', (5, 10)) ('CD3', 'Gene', (52, 55)) ('tumor', 'Disease', (5, 10)) ('CD3', 'Gene', '12503', (52, 55)) ('CD8', 'Gene', (84, 87)) ('CD5', 'Gene', (0, 3)) 58929 25585350 Following exposure to TCDD, both C57BL/6 and Notch1ICN-TG mice showed a significant decrease in thymic weight and cellularity (Fig. ('decrease', 'NegReg', (84, 92)) ('Notch1ICN-TG', 'Gene', (45, 57)) ('Notch1ICN-TG', 'Gene', '18128', (45, 57)) ('cellularity', 'CPA', (114, 125)) ('TCDD', 'Var', (22, 26)) ('TCDD', 'Chemical', 'MESH:D000072317', (22, 26)) ('mice', 'Species', '10090', (58, 62)) ('C57BL/6', 'Var', (33, 40)) ('thymic weight', 'CPA', (96, 109)) 58942 25585350 Moreover, 30mug/kg TCDD produces an excess of CD8 cells compared to DP cells thus yielding a ratio of CD8+ to CD4+CD8+ cells that is greater than one, indicating an increase in CD8 conversion efficiency in Notch1ICN-TG mice (Fig 1H; p <= 0.05). ('increase', 'PosReg', (165, 173)) ('CD8', 'Gene', '925', (46, 49)) ('Notch1ICN-TG', 'Gene', '18128', (206, 218)) ('DP', 'Chemical', '-', (68, 70)) ('CD8', 'Gene', (102, 105)) ('mice', 'Species', '10090', (219, 223)) ('TCDD', 'Var', (19, 23)) ('CD8', 'Gene', '925', (102, 105)) ('Notch1ICN-TG', 'Gene', (206, 218)) ('TCDD', 'Chemical', 'MESH:D000072317', (19, 23)) ('CD8', 'Gene', '925', (114, 117)) ('CD8', 'Gene', (114, 117)) ('CD8', 'Gene', (46, 49)) ('CD8', 'Gene', (177, 180)) ('CD8', 'Gene', '925', (177, 180)) 58950 25585350 No significant difference was found between treatments at any time point in either C57BL/6 or Notch1ICN-TG mice in the percentage of macrophages and granulocytes, as evidenced by percent of CD11b+ or Gr1+CD11b+ cells, respectively (Fig. ('C57BL/6', 'Var', (83, 90)) ('CD11b+', 'Var', (190, 196)) ('mice', 'Species', '10090', (107, 111)) ('Notch1ICN-TG', 'Gene', '18128', (94, 106)) ('Notch1ICN-TG', 'Gene', (94, 106)) 58960 25585350 4A), we found no significant difference in CD4 to CD8 ratios or percent of CD4+CD8+ cells at either 8 weeks or 12 weeks in C57BL/6 or in Notch1ICN-TG thymi (Supp. ('CD8', 'Gene', (50, 53)) ('Notch1ICN-TG', 'Gene', (137, 149)) ('CD8', 'Gene', '925', (50, 53)) ('CD8', 'Gene', (79, 82)) ('CD8', 'Gene', '925', (79, 82)) ('Notch1ICN-TG', 'Gene', '18128', (137, 149)) ('C57BL/6', 'Var', (123, 130)) 58999 25585350 The moderate protection against splenomegaly by developmental TCDD is similar to autoimmune and inflammatory amelioration following AHR activation. ('developmental', 'Var', (48, 61)) ('TCDD', 'Gene', (62, 66)) ('splenomegaly', 'Disease', (32, 44)) ('splenomegaly', 'Disease', 'MESH:D013163', (32, 44)) ('splenomegaly', 'Phenotype', 'HP:0001744', (32, 44)) ('TCDD', 'Chemical', 'MESH:D000072317', (62, 66)) 59011 25585350 We found that Notch1ICN-TG mice developmentally exposed to TCDD showed a persistently lower CD4+ to CD8+ ratio in peripheral blood, suggesting a less favorable response to disease treatment. ('mice', 'Species', '10090', (27, 31)) ('Notch1ICN-TG', 'Gene', '18128', (14, 26)) ('lower', 'NegReg', (86, 91)) ('CD8', 'Gene', (100, 103)) ('Notch1ICN-TG', 'Gene', (14, 26)) ('CD8', 'Gene', '925', (100, 103)) ('TCDD', 'Chemical', 'MESH:D000072317', (59, 63)) ('TCDD', 'Var', (59, 63)) 59013 25585350 Future research to identify epigenetic changes influenced by exogenous stimulation of the AHR during development may facilitate identification of secondary stressors beyond Notch1 that vulnerable populations are burdened with that increase their propensity for later-life hematological and other immune deficiencies. ('Notch1', 'Gene', (173, 179)) ('exogenous', 'Var', (61, 70)) ('immune deficiencies', 'Disease', (296, 315)) ('Notch1', 'Gene', '18128', (173, 179)) ('immune deficiencies', 'Phenotype', 'HP:0002721', (296, 315)) ('immune deficiencies', 'Disease', 'MESH:D007153', (296, 315)) ('AHR', 'Gene', (90, 93)) 59033 22475440 Histological examination showed a thymoma [B1 according to the World Health Organization (WHO) classification, CD3(+), CD5(+), CD1(+), keratine(+), CD20(-) and CD30(-)]. ('CD5', 'Gene', '921', (119, 122)) ('keratine(+', 'Var', (135, 145)) ('CD30', 'Gene', (160, 164)) ('CD1', 'Gene', '911', (127, 130)) ('thymoma', 'Disease', 'MESH:D013945', (34, 41)) ('CD30', 'Gene', '943', (160, 164)) ('CD1', 'Gene', (127, 130)) ('CD20', 'Gene', '54474', (148, 152)) ('thymoma', 'Disease', (34, 41)) ('CD20', 'Gene', (148, 152)) ('thymoma', 'Phenotype', 'HP:0100522', (34, 41)) ('CD3(+', 'Var', (111, 116)) ('CD5', 'Gene', (119, 122)) 59114 33907842 miR-525-5p inhibited the expression of HSPA9 protein by targeting the 3'-untranslated region (UTR) of HSPA9 mRNA. ('miR-525-5p', 'Var', (0, 10)) ('protein', 'Protein', (45, 52)) ('expression', 'MPA', (25, 35)) ('miR-525-5p', 'Chemical', '-', (0, 10)) ('HSPA9', 'Gene', (39, 44)) ('HSPA9', 'Gene', (102, 107)) ('inhibited', 'NegReg', (11, 20)) 59116 33907842 Animal experiment results also showed that knockdown of miR-525-5p promoted cancer by promoting the expression of HSPA9. ('miR-525-5p', 'Var', (56, 66)) ('HSPA9', 'Protein', (114, 119)) ('promoted', 'PosReg', (67, 75)) ('promoting', 'PosReg', (86, 95)) ('miR-525-5p', 'Chemical', '-', (56, 66)) ('knockdown', 'Var', (43, 52)) ('cancer', 'Phenotype', 'HP:0002664', (76, 82)) ('expression', 'MPA', (100, 110)) ('cancer', 'Disease', (76, 82)) ('cancer', 'Disease', 'MESH:D009369', (76, 82)) 59117 33907842 In conclusion, LOXL1-AS1 and HSPA9 are highly expressed in thymoma and thymic carcinoma; miR-525-5p is expressed at low levels in thymoma and thymic carcinoma; and downregulation of miR-525-5p is associated with poor prognosis. ('miR-525-5p', 'Chemical', '-', (89, 99)) ('thymoma', 'Phenotype', 'HP:0100522', (59, 66)) ('miR-525-5p', 'Chemical', '-', (182, 192)) ('LOXL1', 'Gene', (15, 20)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013953', (59, 87)) ('carcinoma', 'Phenotype', 'HP:0030731', (78, 87)) ('carcinoma', 'Phenotype', 'HP:0030731', (149, 158)) ('HSPA9', 'Gene', (29, 34)) ('thymoma', 'Phenotype', 'HP:0100522', (130, 137)) ('downregulation', 'NegReg', (164, 178)) ('miR-525-5p', 'Var', (89, 99)) ('miR-525-5p', 'Var', (182, 192)) ('AS1', 'Gene', '5729', (21, 24)) ('AS1', 'Gene', (21, 24)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013953', (130, 158)) ('LOXL1', 'Gene', '4016', (15, 20)) 59130 33907842 TCGA data and clinical results revealed that LOXL1-AS1 and HSPA9 were highly expressed, miR-525-5p was expressed at low levels, and these findings were associated with the prognosis of TET patients. ('miR-525-5p', 'Var', (88, 98)) ('HSPA9', 'Protein', (59, 64)) ('TET', 'Chemical', '-', (185, 188)) ('TET', 'Disease', (185, 188)) ('miR-525-5p', 'Chemical', '-', (88, 98)) ('associated with', 'Reg', (152, 167)) ('LOXL1', 'Gene', (45, 50)) ('patients', 'Species', '9606', (189, 197)) ('AS1', 'Gene', '5729', (51, 54)) ('AS1', 'Gene', (51, 54)) ('LOXL1', 'Gene', '4016', (45, 50)) 59136 33907842 The relationships between the levels of LOXL1-AS1, miR-525-5p, HSPA9 and the 5-year survival rate were analysed. ('miR-525-5p', 'Var', (51, 61)) ('LOXL1', 'Gene', '4016', (40, 45)) ('AS1', 'Gene', '5729', (46, 49)) ('AS1', 'Gene', (46, 49)) ('miR-525-5p', 'Chemical', '-', (51, 61)) ('LOXL1', 'Gene', (40, 45)) 59160 33907842 Through the TCGA database, we found that thymoma patients with low miR-525-5p levels had a lower 5-year survival rate (Fig. ('lower', 'NegReg', (91, 96)) ('miR-525-5p levels', 'Var', (67, 84)) ('5-year', 'MPA', (97, 103)) ('thymoma', 'Disease', 'MESH:D013945', (41, 48)) ('thymoma', 'Disease', (41, 48)) ('low', 'NegReg', (63, 66)) ('thymoma', 'Phenotype', 'HP:0100522', (41, 48)) ('patients', 'Species', '9606', (49, 57)) ('miR-525-5p', 'Chemical', '-', (67, 77)) 59163 33907842 Ty-82 and Thy0517 cells were divided into 4 groups: Mimic-NC, mimic-miR-525-5p, inhibitor-NC and inhibitor-miR-525-5p. ('inhibitor-NC', 'Var', (80, 92)) ('miR-525-5p', 'Chemical', '-', (68, 78)) ('miR-525-5p', 'Chemical', '-', (107, 117)) ('Ty', 'Chemical', '-', (0, 2)) ('mimic-miR-525-5p', 'Var', (62, 78)) ('inhibitor-miR-525-5p', 'Var', (97, 117)) 59166 33907842 The results showed that the cell viability of the mimic-miR-525-5p group was significantly decreased, and the cell viability of the inhibitor-miR-525-5p group was significantly increased (Fig. ('cell viability', 'CPA', (28, 42)) ('miR-525-5p', 'Chemical', '-', (56, 66)) ('cell viability', 'CPA', (110, 124)) ('increased', 'PosReg', (177, 186)) ('miR-525-5p', 'Chemical', '-', (142, 152)) ('decreased', 'NegReg', (91, 100)) ('inhibitor-miR-525-5p', 'Var', (132, 152)) ('mimic-miR-525-5p', 'Var', (50, 66)) 59167 33907842 In addition, the upregulation of miR-525-5p levels inhibited cell invasion, while the downregulation of miR-525-5p levels promoted cell invasion (Fig. ('miR-525-5p', 'Var', (33, 43)) ('miR-525-5p', 'Chemical', '-', (33, 43)) ('promoted', 'PosReg', (122, 130)) ('cell invasion', 'CPA', (131, 144)) ('miR-525-5p', 'Chemical', '-', (104, 114)) ('downregulation', 'NegReg', (86, 100)) ('upregulation', 'PosReg', (17, 29)) ('inhibited', 'NegReg', (51, 60)) ('cell invasion', 'CPA', (61, 74)) 59168 33907842 These results suggested that miR-525-5p exerted a tumour suppressor effect on thymoma and thymic carcinoma. ('tumour', 'Disease', 'MESH:D009369', (50, 56)) ('carcinoma', 'Phenotype', 'HP:0030731', (97, 106)) ('tumour', 'Disease', (50, 56)) ('miR-525-5p', 'Var', (29, 39)) ('thymoma', 'Phenotype', 'HP:0100522', (78, 85)) ('miR-525-5p', 'Chemical', '-', (29, 39)) ('tumour', 'Phenotype', 'HP:0002664', (50, 56)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013953', (78, 106)) 59170 33907842 Further studies showed that the level of HSPA9 protein in the mimic-miR-525-5p group was significantly lower than that in the mimic-NC group, while the level of HSPA9 protein in the inhibitor-miR-525-5p group was significantly higher than that in the inhibitor-NC group (Fig. ('miR-525-5p', 'Chemical', '-', (68, 78)) ('miR-525-5p', 'Chemical', '-', (192, 202)) ('lower', 'NegReg', (103, 108)) ('higher', 'PosReg', (227, 233)) ('mimic-miR-525-5p', 'Var', (62, 78)) ('level', 'MPA', (32, 37)) ('HSPA9', 'Protein', (41, 46)) 59171 33907842 This indicated that miR-525-5p could inhibit the level of HSPA9 protein by targeting HSPA9 mRNA. ('level of', 'MPA', (49, 57)) ('miR-525-5p', 'Chemical', '-', (20, 30)) ('targeting', 'Reg', (75, 84)) ('inhibit', 'NegReg', (37, 44)) ('HSPA9', 'Protein', (85, 90)) ('HSPA9 protein', 'Protein', (58, 71)) ('miR-525-5p', 'Var', (20, 30)) 59172 33907842 To analyse the clinical significance of miR-525-5p targeting HSPA9 in TET, we analysed the transcriptional characteristics of HSPA9 in the TCGA database. ('miR-525-5p', 'Chemical', '-', (40, 50)) ('TET', 'Chemical', '-', (70, 73)) ('miR-525-5p', 'Var', (40, 50)) ('HSPA9', 'Gene', (61, 66)) 59175 33907842 In the TET tissues, the levels of miR-525-5p and HSPA9 were negatively correlated (Fig. ('miR-525-5p', 'Chemical', '-', (34, 44)) ('TET', 'Chemical', '-', (7, 10)) ('miR-525-5p', 'Var', (34, 44)) ('negatively', 'NegReg', (60, 70)) ('HSPA9', 'Protein', (49, 54)) 59176 33907842 In addition, we detected the levels of LOXL1-AS1, miR-525-5p and HSPA9 mRNA and protein in the human embryonic thymocyte line HBT8810 and the thymoma cell lines Thy0517 and Ty-82. ('human', 'Species', '9606', (95, 100)) ('Ty', 'Chemical', '-', (173, 175)) ('LOXL1', 'Gene', '4016', (39, 44)) ('LOXL1', 'Gene', (39, 44)) ('miR-525-5p', 'Var', (50, 60)) ('thymoma', 'Phenotype', 'HP:0100522', (142, 149)) ('HSPA9', 'Protein', (65, 70)) ('thymoma', 'Disease', 'MESH:D013945', (142, 149)) ('thymoma', 'Disease', (142, 149)) ('AS1', 'Gene', '5729', (45, 48)) ('AS1', 'Gene', (45, 48)) ('miR-525-5p', 'Chemical', '-', (50, 60)) ('HBT8810', 'CellLine', 'CVCL:D281', (126, 133)) 59178 33907842 This suggested that HSPA9 played a cancer-promoting role in TET, and its role may be targeted regulation by miR-525-5p. ('miR-525-5p', 'Var', (108, 118)) ('TET', 'Chemical', '-', (60, 63)) ('TET', 'Disease', (60, 63)) ('cancer', 'Phenotype', 'HP:0002664', (35, 41)) ('miR-525-5p', 'Chemical', '-', (108, 118)) ('HSPA9', 'Protein', (20, 25)) ('cancer', 'Disease', 'MESH:D009369', (35, 41)) ('cancer', 'Disease', (35, 41)) 59179 33907842 To demonstrate that miR-525-5p targeted HSPA9 in regulating the biological behaviour of thymoma and thymic carcinoma cells, Thy0517 and Ty-82 cells were divided into 4 groups: Inhibitor-NC+sh-NC, inhibitor-miR-525-5p+sh-NC, inhibitor-miR-525-5p+sh-HSPA9 and inhibitor-NC+sh-HSPA9. ('carcinoma', 'Phenotype', 'HP:0030731', (107, 116)) ('inhibitor-miR-525-5p+sh-NC', 'Var', (196, 222)) ('Ty', 'Chemical', '-', (136, 138)) ('miR-525-5p', 'Chemical', '-', (20, 30)) ('miR-525-5p', 'Chemical', '-', (206, 216)) ('miR-525-5p', 'Chemical', '-', (234, 244)) ('thymoma', 'Phenotype', 'HP:0100522', (88, 95)) ('biological', 'MPA', (64, 74)) ('inhibitor-miR-525-5p+sh-HSPA9', 'Var', (224, 253)) ('inhibitor-NC+sh-HSPA9', 'Var', (258, 279)) ('Inhibitor-NC+sh-NC', 'Var', (176, 194)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013953', (88, 116)) 59183 33907842 In addition, the apoptosis rate of the inhibitor-miR-525-5p+sh-HSPA9 group was significantly higher than that of the inhibitor-miR-525-5p+sh-NC group, and the invasive ability was significantly lower than that of the inhibitor-miR-525-5p+sh-NC group (Fig. ('higher', 'PosReg', (93, 99)) ('invasive ability', 'CPA', (159, 175)) ('inhibitor-miR-525-5p+sh-HSPA9', 'Var', (39, 68)) ('miR-525-5p', 'Chemical', '-', (227, 237)) ('miR-525-5p', 'Chemical', '-', (127, 137)) ('miR-525-5p', 'Chemical', '-', (49, 59)) ('apoptosis rate', 'CPA', (17, 31)) ('lower', 'NegReg', (194, 199)) 59184 33907842 This suggested that downregulating HSPA9 reversed the inhibition of apoptosis and the promotion of invasion by downregulating miR-525-5p. ('miR-525-5p', 'Chemical', '-', (126, 136)) ('downregulating', 'NegReg', (111, 125)) ('promotion', 'PosReg', (86, 95)) ('apoptosis', 'CPA', (68, 77)) ('miR-525-5p', 'MPA', (126, 136)) ('invasion', 'CPA', (99, 107)) ('downregulating', 'Var', (20, 34)) ('HSPA9', 'Protein', (35, 40)) 59185 33907842 This suggested that HSPA9 had a role in promoting the growth and metastasis of thymoma and thymic carcinoma, and miR-525-5p inhibited the progression of thymoma and thymic carcinoma by targeting HSPA9. ('miR-525-5p', 'Chemical', '-', (113, 123)) ('metastasis of thymoma and thymic carcinoma', 'Disease', 'MESH:D009362', (65, 107)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013953', (79, 107)) ('carcinoma', 'Phenotype', 'HP:0030731', (98, 107)) ('promoting', 'PosReg', (40, 49)) ('miR-525-5p', 'Var', (113, 123)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013953', (153, 181)) ('HSPA9', 'Gene', (195, 200)) ('growth', 'CPA', (54, 60)) ('thymoma', 'Phenotype', 'HP:0100522', (79, 86)) ('inhibited', 'NegReg', (124, 133)) ('carcinoma', 'Phenotype', 'HP:0030731', (172, 181)) ('thymoma', 'Phenotype', 'HP:0100522', (153, 160)) 59190 33907842 The results showed that downregulation of miR-525-5p levels promoted tumour growth, downregulating HSPA9 inhibited tumour growth and reversed the effect of the miR-525-5p inhibitor (Fig. ('tumour', 'Disease', (69, 75)) ('miR-525-5p', 'Chemical', '-', (42, 52)) ('promoted', 'PosReg', (60, 68)) ('inhibited', 'NegReg', (105, 114)) ('HSPA9', 'Protein', (99, 104)) ('tumour', 'Phenotype', 'HP:0002664', (115, 121)) ('downregulating', 'NegReg', (84, 98)) ('downregulation', 'NegReg', (24, 38)) ('tumour', 'Phenotype', 'HP:0002664', (69, 75)) ('tumour', 'Disease', 'MESH:D009369', (69, 75)) ('tumour', 'Disease', 'MESH:D009369', (115, 121)) ('miR-525-5p', 'Var', (42, 52)) ('miR-525-5p', 'Chemical', '-', (160, 170)) ('tumour', 'Disease', (115, 121)) 59191 33907842 Moreover, the HSPA9 protein level in the tumour tissues of the inhibitor-miR-525-5p+sh-NC group was significantly higher than that in the inhibitor-NC+sh-NC group. ('inhibitor-miR-525-5p+sh-NC', 'Var', (63, 89)) ('HSPA9 protein level', 'MPA', (14, 33)) ('tumour', 'Phenotype', 'HP:0002664', (41, 47)) ('tumour', 'Disease', 'MESH:D009369', (41, 47)) ('miR-525-5p', 'Chemical', '-', (73, 83)) ('tumour', 'Disease', (41, 47)) ('higher', 'PosReg', (114, 120)) 59192 33907842 The level of HSPA9 protein in the inhibitor-miR-525-5p+sh-HSPA9 group was lower than that in the inhibitor-miR-525-5p+sh-NC group (Fig. ('HSPA9 protein', 'Protein', (13, 26)) ('miR-525-5p', 'Chemical', '-', (107, 117)) ('inhibitor-miR-525-5p+sh-HSPA9', 'Var', (34, 63)) ('lower', 'NegReg', (74, 79)) ('miR-525-5p', 'Chemical', '-', (44, 54)) ('level of', 'MPA', (4, 12)) 59199 33907842 RT-qPCR was applied to detect LOXL1-AS1 and miR-525-5p. ('AS1', 'Gene', '5729', (36, 39)) ('AS1', 'Gene', (36, 39)) ('LOXL1', 'Gene', '4016', (30, 35)) ('LOXL1', 'Gene', (30, 35)) ('miR-525-5p', 'Var', (44, 54)) ('miR-525-5p', 'Chemical', '-', (44, 54)) 59200 33907842 The results showed that LOXL1-AS1 reduced the level of miR-525-5p, and the overexpression of miR-525-5p also reduced the level of LOXL1-AS1 (Fig. ('miR-525-5p', 'Var', (93, 103)) ('reduced', 'NegReg', (34, 41)) ('LOXL1', 'Gene', '4016', (130, 135)) ('level of miR-525-5p', 'MPA', (46, 65)) ('AS1', 'Gene', '5729', (30, 33)) ('AS1', 'Gene', (30, 33)) ('LOXL1', 'Gene', (130, 135)) ('miR-525-5p', 'Chemical', '-', (55, 65)) ('miR-525-5p', 'Chemical', '-', (93, 103)) ('LOXL1', 'Gene', '4016', (24, 29)) ('LOXL1', 'Gene', (24, 29)) ('reduced', 'NegReg', (109, 116)) ('AS1', 'Gene', '5729', (136, 139)) ('AS1', 'Gene', (136, 139)) 59202 33907842 This suggested that the process by which miR-525-5p inhibited HSPA9 expression may be regulated by LOXL1-AS1. ('expression', 'MPA', (68, 78)) ('miR-525-5p', 'Chemical', '-', (41, 51)) ('AS1', 'Gene', '5729', (105, 108)) ('AS1', 'Gene', (105, 108)) ('LOXL1', 'Gene', '4016', (99, 104)) ('LOXL1', 'Gene', (99, 104)) ('miR-525-5p', 'Var', (41, 51)) ('inhibited', 'NegReg', (52, 61)) ('HSPA9', 'Gene', (62, 67)) 59204 33907842 Silencing LOXL1-AS1 caused an increase in miR-525-5p and a decrease in HSPA9 mRNA/protein. ('AS1', 'Gene', '5729', (16, 19)) ('AS1', 'Gene', (16, 19)) ('miR-525-5p', 'Chemical', '-', (42, 52)) ('HSPA9 mRNA/protein', 'MPA', (71, 89)) ('decrease', 'NegReg', (59, 67)) ('LOXL1', 'Gene', '4016', (10, 15)) ('increase', 'PosReg', (30, 38)) ('LOXL1', 'Gene', (10, 15)) ('miR-525-5p', 'MPA', (42, 52)) ('Silencing', 'Var', (0, 9)) 59205 33907842 Inhibition of miR-525-5p also caused increases in LOXL1-AS1 and HSPA9 mRNA/protein (Fig. ('AS1', 'Gene', '5729', (56, 59)) ('AS1', 'Gene', (56, 59)) ('LOXL1', 'Gene', '4016', (50, 55)) ('LOXL1', 'Gene', (50, 55)) ('miR-525-5p', 'Gene', (14, 24)) ('miR-525-5p', 'Chemical', '-', (14, 24)) ('increases', 'PosReg', (37, 46)) ('HSPA9 mRNA/protein', 'MPA', (64, 82)) ('Inhibition', 'Var', (0, 10)) 59206 33907842 The results showed that for Ty-82 cells, silencing LOXL1-AS1 inhibited cell viability and invasion and promoted apoptosis, and downregulated miR-525-5p reversed the inhibition of LOXL1-AS1 on cell growth and invasion (Fig. ('invasion', 'CPA', (208, 216)) ('inhibited', 'NegReg', (61, 70)) ('silencing', 'Var', (41, 50)) ('apoptosis', 'CPA', (112, 121)) ('LOXL1', 'Gene', '4016', (179, 184)) ('miR-525-5p', 'Chemical', '-', (141, 151)) ('AS1', 'Gene', (57, 60)) ('downregulated', 'NegReg', (127, 140)) ('AS1', 'Gene', '5729', (57, 60)) ('Ty', 'Chemical', '-', (28, 30)) ('LOXL1', 'Gene', (179, 184)) ('promoted', 'PosReg', (103, 111)) ('LOXL1', 'Gene', '4016', (51, 56)) ('LOXL1', 'Gene', (51, 56)) ('cell viability', 'CPA', (71, 85)) ('AS1', 'Gene', '5729', (185, 188)) ('AS1', 'Gene', (185, 188)) ('invasion', 'CPA', (90, 98)) 59207 33907842 This indicated that LOXL1-AS1 affected the inhibition of HSPA9 by miR-525-5p by targeting miR-525-5p, thereby exerting a cancer-promoting effect in thymoma and thymic carcinoma. ('miR-525-5p', 'MPA', (90, 100)) ('inhibition', 'NegReg', (43, 53)) ('AS1', 'Gene', (26, 29)) ('LOXL1', 'Gene', '4016', (20, 25)) ('cancer', 'Phenotype', 'HP:0002664', (121, 127)) ('HSPA9', 'Protein', (57, 62)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013953', (148, 176)) ('miR-525-5p', 'Chemical', '-', (66, 76)) ('AS1', 'Gene', '5729', (26, 29)) ('carcinoma', 'Phenotype', 'HP:0030731', (167, 176)) ('LOXL1', 'Gene', (20, 25)) ('miR-525-5p', 'Chemical', '-', (90, 100)) ('cancer', 'Disease', 'MESH:D009369', (121, 127)) ('targeting', 'Var', (80, 89)) ('cancer', 'Disease', (121, 127)) ('thymoma', 'Phenotype', 'HP:0100522', (148, 155)) 59208 33907842 In this study, LOXL1-AS1 regulated the expression of HSPA9 by targeting miR-525-5p and regulated the cell growth, apoptosis and invasion of thymoma and thymic carcinoma cells. ('carcinoma', 'Phenotype', 'HP:0030731', (159, 168)) ('LOXL1', 'Gene', (15, 20)) ('cell growth', 'CPA', (101, 112)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013953', (140, 168)) ('miR-525-5p', 'MPA', (72, 82)) ('AS1', 'Gene', (21, 24)) ('HSPA9', 'Gene', (53, 58)) ('miR-525-5p', 'Chemical', '-', (72, 82)) ('thymoma', 'Phenotype', 'HP:0100522', (140, 147)) ('AS1', 'Gene', '5729', (21, 24)) ('expression', 'MPA', (39, 49)) ('targeting', 'Var', (62, 71)) ('regulated', 'Reg', (87, 96)) ('invasion', 'CPA', (128, 136)) ('apoptosis', 'CPA', (114, 123)) ('LOXL1', 'Gene', '4016', (15, 20)) 59217 33907842 An in vitro experiment confirmed that miR-195a-5p inhibits the proliferation of medullary thymic epithelial cells by directly targeting Smad7. ('miR-195a-5p', 'Var', (38, 49)) ('proliferation of medullary thymic epithelial cells', 'CPA', (63, 113)) ('targeting', 'Reg', (126, 135)) ('Smad7', 'Gene', (136, 141)) ('Smad7', 'Gene', '4092', (136, 141)) ('inhibits', 'NegReg', (50, 58)) 59219 33907842 miR-525-5p is a newly identified tumour-associated miRNA, and miR-525-5p can block the UBE2C/ZEB1/2 signal axis by targeting the inhibition of UBE2C expression, impairing the invasive ability of cervical cancer cells. ('cancer', 'Disease', 'MESH:D009369', (204, 210)) ('ZEB1/2', 'Gene', (93, 99)) ('UBE2C', 'Gene', '11065', (143, 148)) ('block', 'NegReg', (77, 82)) ('ZEB1/2', 'Gene', '6935;9839', (93, 99)) ('tumour', 'Phenotype', 'HP:0002664', (33, 39)) ('tumour', 'Disease', 'MESH:D009369', (33, 39)) ('cancer', 'Disease', (204, 210)) ('tumour', 'Disease', (33, 39)) ('UBE2C', 'Gene', (87, 92)) ('cancer', 'Phenotype', 'HP:0002664', (204, 210)) ('expression', 'MPA', (149, 159)) ('UBE2C', 'Gene', '11065', (87, 92)) ('miR-525-5p', 'Chemical', '-', (0, 10)) ('UBE2C', 'Gene', (143, 148)) ('miR-525-5p', 'Chemical', '-', (62, 72)) ('inhibition', 'NegReg', (129, 139)) ('miR-525-5p', 'Var', (62, 72)) ('impairing', 'NegReg', (161, 170)) 59220 33907842 miR-525-5p may also be used as a new prognostic biomarker and therapeutic target for lung squamous cell carcinoma. ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (90, 113)) ('lung squamous cell carcinoma', 'Disease', (85, 113)) ('carcinoma', 'Phenotype', 'HP:0030731', (104, 113)) ('miR-525-5p', 'Chemical', '-', (0, 10)) ('miR-525-5p', 'Var', (0, 10)) ('lung squamous cell carcinoma', 'Disease', 'MESH:D002294', (85, 113)) 59221 33907842 Moreover, miR-525-5p has a cancer-promoting effect in colorectal cancer. ('cancer', 'Phenotype', 'HP:0002664', (27, 33)) ('colorectal cancer', 'Disease', 'MESH:D015179', (54, 71)) ('cancer', 'Disease', (65, 71)) ('cancer', 'Phenotype', 'HP:0002664', (65, 71)) ('miR-525-5p', 'Chemical', '-', (10, 20)) ('cancer', 'Disease', 'MESH:D009369', (65, 71)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (54, 71)) ('cancer', 'Disease', (27, 33)) ('cancer', 'Disease', 'MESH:D009369', (27, 33)) ('colorectal cancer', 'Disease', (54, 71)) ('miR-525-5p', 'Var', (10, 20)) 59223 33907842 It has also been found that miR-525-5p may be carcinogenic in laryngeal squamous cell carcinoma. ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (72, 95)) ('carcinoma', 'Phenotype', 'HP:0030731', (86, 95)) ('miR-525-5p', 'Chemical', '-', (28, 38)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (72, 95)) ('squamous cell carcinoma', 'Disease', (72, 95)) ('carcinogenic', 'Disease', 'MESH:D063646', (46, 58)) ('miR-525-5p', 'Var', (28, 38)) ('carcinogenic', 'Disease', (46, 58)) 59225 33907842 It was also found through clinical trials that miR-525-5p was underexpressed in thymic carcinoma tissues, and high levels of miR-525-5p predicted a better prognosis. ('thymic carcinoma', 'Disease', 'MESH:D013953', (80, 96)) ('miR-525-5p', 'Var', (125, 135)) ('carcinoma', 'Phenotype', 'HP:0030731', (87, 96)) ('miR-525-5p', 'Chemical', '-', (125, 135)) ('better', 'PosReg', (148, 154)) ('miR-525-5p', 'Chemical', '-', (47, 57)) ('thymic carcinoma', 'Disease', (80, 96)) 59226 33907842 That preliminary study suggested the anticancer effects of miR-525-5p in thymic carcinoma. ('miR-525-5p', 'Var', (59, 69)) ('carcinoma', 'Phenotype', 'HP:0030731', (80, 89)) ('cancer', 'Phenotype', 'HP:0002664', (41, 47)) ('miR-525-5p', 'Chemical', '-', (59, 69)) ('cancer', 'Disease', (41, 47)) ('cancer', 'Disease', 'MESH:D009369', (41, 47)) ('thymic carcinoma', 'Disease', (73, 89)) ('thymic carcinoma', 'Disease', 'MESH:D013953', (73, 89)) 59227 33907842 Subsequently, thymoma and thymic carcinoma cells with low expression and overexpression of miR-525-5p were constructed, and the results showed that miR-525-5p inhibited cell growth and invasion and promoted apoptosis. ('promoted', 'PosReg', (198, 206)) ('apoptosis', 'CPA', (207, 216)) ('cell growth', 'CPA', (169, 180)) ('miR-525-5p', 'Var', (148, 158)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013953', (14, 42)) ('carcinoma', 'Phenotype', 'HP:0030731', (33, 42)) ('invasion', 'CPA', (185, 193)) ('thymoma', 'Phenotype', 'HP:0100522', (14, 21)) ('miR-525-5p', 'Chemical', '-', (148, 158)) ('miR-525-5p', 'Chemical', '-', (91, 101)) ('inhibited', 'NegReg', (159, 168)) 59228 33907842 This indicated that miR-525-5p exerted a tumour suppressor effect in thymoma and thymic carcinoma. ('miR-525-5p', 'Chemical', '-', (20, 30)) ('tumour', 'Phenotype', 'HP:0002664', (41, 47)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013953', (69, 97)) ('tumour', 'Disease', 'MESH:D009369', (41, 47)) ('carcinoma', 'Phenotype', 'HP:0030731', (88, 97)) ('miR-525-5p', 'Var', (20, 30)) ('tumour', 'Disease', (41, 47)) ('thymoma', 'Phenotype', 'HP:0100522', (69, 76)) 59229 33907842 To further investigate the mechanism by which miR-525-5p exerted a tumour suppressor effect in thymoma and thymic carcinoma, we predicted and verified that miR-525-5p directly targeted inhibition of HSPA9 expression. ('tumour', 'Phenotype', 'HP:0002664', (67, 73)) ('miR-525-5p', 'Chemical', '-', (46, 56)) ('miR-525-5p', 'Var', (156, 166)) ('tumour', 'Disease', (67, 73)) ('carcinoma', 'Phenotype', 'HP:0030731', (114, 123)) ('thymoma', 'Phenotype', 'HP:0100522', (95, 102)) ('HSPA9', 'Protein', (199, 204)) ('inhibition', 'NegReg', (185, 195)) ('miR-525-5p', 'Chemical', '-', (156, 166)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013953', (95, 123)) ('expression', 'MPA', (205, 215)) ('tumour', 'Disease', 'MESH:D009369', (67, 73)) 59234 33907842 In the present study, cell experiments also showed that silencing HSPA9 inhibited thymoma and thymic carcinoma cell growth and invasion and promoted apoptosis, and silencing HSPA9 reversed the effects of the miR-525-5p inhibitor on cell growth, invasion and apoptosis. ('silencing', 'Var', (56, 65)) ('apoptosis', 'CPA', (149, 158)) ('carcinoma', 'Phenotype', 'HP:0030731', (101, 110)) ('promoted', 'PosReg', (140, 148)) ('invasion', 'CPA', (127, 135)) ('HSPA9', 'Gene', (174, 179)) ('thymoma', 'Phenotype', 'HP:0100522', (82, 89)) ('miR-525-5p', 'Chemical', '-', (208, 218)) ('inhibited', 'NegReg', (72, 81)) ('silencing', 'Var', (164, 173)) ('HSPA9', 'Protein', (66, 71)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013953', (82, 110)) 59235 33907842 This indicated that miR-525-5p could inhibit growth and invasion and promote apoptosis of thymoma and thymic carcinoma cells by targeting the inhibition of HSPA9 expression. ('inhibition', 'NegReg', (142, 152)) ('miR-525-5p', 'Chemical', '-', (20, 30)) ('apoptosis', 'CPA', (77, 86)) ('HSPA9', 'Protein', (156, 161)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013953', (90, 118)) ('inhibit', 'NegReg', (37, 44)) ('carcinoma', 'Phenotype', 'HP:0030731', (109, 118)) ('expression', 'MPA', (162, 172)) ('miR-525-5p', 'Var', (20, 30)) ('promote', 'PosReg', (69, 76)) ('thymoma', 'Phenotype', 'HP:0100522', (90, 97)) 59237 33907842 Kong et al found that MALAT can target miR-338-3p as a sponge and promote the expression of MSL2, which may become a new therapeutic target for myasthenia gravis with thymoma. ('thymoma', 'Disease', 'MESH:D013945', (167, 174)) ('expression', 'MPA', (78, 88)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (144, 161)) ('miR-338-3p', 'Var', (39, 49)) ('MSL2', 'Gene', (92, 96)) ('thymoma', 'Disease', (167, 174)) ('MSL2', 'Gene', '55167', (92, 96)) ('promote', 'PosReg', (66, 73)) ('myasthenia', 'Phenotype', 'HP:0003473', (144, 154)) ('thymoma', 'Phenotype', 'HP:0100522', (167, 174)) ('myasthenia gravis', 'Disease', (144, 161)) 59241 33907842 Similar results were obtained by testing clinical samples, and high levels of LOXL1-AS1 predicted a worse prognosis. ('LOXL1', 'Gene', '4016', (78, 83)) ('LOXL1', 'Gene', (78, 83)) ('AS1', 'Gene', '5729', (84, 87)) ('AS1', 'Gene', (84, 87)) ('high', 'Var', (63, 67)) 59243 33907842 Cellular experiments also demonstrated that in Thy0517 and Ty-82 cells, silencing LOXL1-AS1 inhibited cell growth and invasion and promoted apoptosis by targeting miR-525-5p. ('inhibited', 'NegReg', (92, 101)) ('silencing', 'Var', (72, 81)) ('LOXL1', 'Gene', '4016', (82, 87)) ('LOXL1', 'Gene', (82, 87)) ('AS1', 'Gene', '5729', (88, 91)) ('AS1', 'Gene', (88, 91)) ('apoptosis', 'CPA', (140, 149)) ('Ty', 'Chemical', '-', (59, 61)) ('miR-525-5p', 'Chemical', '-', (163, 173)) ('miR-525-5p', 'Protein', (163, 173)) ('targeting', 'Reg', (153, 162)) ('promoted', 'PosReg', (131, 139)) 59244 33907842 In conclusion, LOXL1-AS1 and HSPA9 are highly expressed in thymoma and thymic carcinoma, miR-525-5p is expressed at low levels in thymoma and thymic carcinoma, and these expression levels are associated with poor prognosis. ('miR-525-5p', 'Chemical', '-', (89, 99)) ('thymoma', 'Phenotype', 'HP:0100522', (59, 66)) ('carcinoma', 'Phenotype', 'HP:0030731', (149, 158)) ('LOXL1', 'Gene', (15, 20)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013953', (59, 87)) ('carcinoma', 'Phenotype', 'HP:0030731', (78, 87)) ('thymoma', 'Phenotype', 'HP:0100522', (130, 137)) ('HSPA9', 'Gene', (29, 34)) ('miR-525-5p', 'Var', (89, 99)) ('AS1', 'Gene', '5729', (21, 24)) ('AS1', 'Gene', (21, 24)) ('thymoma and thymic carcinoma', 'Disease', 'MESH:D013953', (130, 158)) ('LOXL1', 'Gene', '4016', (15, 20)) 59304 33103369 In our analysis restricted to monotherapies, disease relapse was markedly lower in rituximab-treated patients (6.1%) compared with other immunotherapeutic agent groups in the Cox proportional hazards model (hazard ratio [HR] = 0.18, 95% confidence interval [CI] 0.06 to 0.56, P = .0030). ('patients', 'Species', '9606', (101, 109)) ('rituximab', 'Chemical', 'MESH:D000069283', (83, 92)) ('rituximab-treated', 'Var', (83, 100)) ('disease relapse', 'CPA', (45, 60)) ('lower', 'NegReg', (74, 79)) 59312 33103369 Anti-MuSK positive patients had a higher risk of relapse (52.6%) than the anti-AChR sero-positive cohort (21.4%) (HR = 2.75, 95% CI 1.72 to 4.39, P < .0001); moreover, they also had a poor response to drug maintenance (34.2%) compared to anti-AChR positive patients (60.2%) (HR = 1.94, 95% CI 1.25 to 2.85, P = .0024). ('MuSK', 'Gene', (5, 9)) ('MuSK', 'Gene', '4593', (5, 9)) ('patients', 'Species', '9606', (19, 27)) ('positive', 'Var', (10, 18)) ('relapse', 'MPA', (49, 56)) ('Anti-MuSK positive', 'Phenotype', 'HP:0030210', (0, 18)) ('patients', 'Species', '9606', (257, 265)) 59321 33103369 Likewise, monotherapy of azathioprine did not reduce the risk of relapses in the subgroup of patients with A/AB/B1 thymoma types and without thymoma (HR = 2.48, 95% CI 1.49 to 4.10, P = .0004). ('azathioprine', 'Chemical', 'MESH:D001379', (25, 37)) ('thymoma', 'Phenotype', 'HP:0100522', (115, 122)) ('A/AB/B1', 'Var', (107, 114)) ('thymoma', 'Disease', 'MESH:D013945', (141, 148)) ('thymoma', 'Phenotype', 'HP:0100522', (141, 148)) ('thymoma', 'Disease', (141, 148)) ('thymoma', 'Disease', 'MESH:D013945', (115, 122)) ('thymoma', 'Disease', (115, 122)) ('patients', 'Species', '9606', (93, 101)) 59349 33103369 Most patients in our cohort who received rituximab were over 50 years old, and the efficacy of rituximab also contributed to reducing the risk of other concomitant immunotherapy in late-onset MG patients. ('rituximab', 'Chemical', 'MESH:D000069283', (95, 104)) ('patients', 'Species', '9606', (5, 13)) ('rituximab', 'Chemical', 'MESH:D000069283', (41, 50)) ('reducing', 'NegReg', (125, 133)) ('patients', 'Species', '9606', (195, 203)) ('rituximab', 'Var', (95, 104)) 59430 30042722 IL-4Ralpha Polymorphism Is Associated With Myasthenia Gravis in Chinese Han Population Interleukin-4 (IL-4) is a potent growth and differentiation factor for B cells which play a vital role in the pathogenesis of myasthenia gravis (MG). ('Myasthenia', 'Phenotype', 'HP:0003473', (43, 53)) ('Associated', 'Reg', (27, 37)) ('myasthenia gravis', 'Disease', 'MESH:D009157', (213, 230)) ('IL-4Ralpha', 'Gene', (0, 10)) ('IL-4Ralpha', 'Gene', '3566', (0, 10)) ('myasthenia', 'Phenotype', 'HP:0003473', (213, 223)) ('Polymorphism', 'Var', (11, 23)) ('Interleukin-4', 'Gene', '3565', (87, 100)) ('Myasthenia Gravis', 'Disease', 'MESH:D009157', (43, 60)) ('Interleukin-4', 'Gene', (87, 100)) ('myasthenia gravis', 'Disease', (213, 230)) ('Myasthenia Gravis', 'Disease', (43, 60)) 59433 30042722 We hypothesize that polymorphism of IL-4Ralpha gene may be associated with the susceptibility and severity of MG. A Chinese cohort of 480 MG patients and 487 healthy controls were recruited. ('IL-4Ralpha', 'Gene', '3566', (36, 46)) ('patients', 'Species', '9606', (141, 149)) ('polymorphism', 'Var', (20, 32)) ('IL-4Ralpha', 'Gene', (36, 46)) 59435 30042722 Rs2107356 and rs1805010 were found to be associated with adult thymoma associated MG, and rs1801275 was found to be associated with adult non-thymoma AChR-Ab positive MG. We did not found association between IL-4Ralpha polymorphism and the severity of MG. Genetic variations of IL-4Ralpha were found associated with the susceptibility of MG in Chinese Han population. ('IL-4Ralpha', 'Gene', (278, 288)) ('rs1801275', 'Mutation', 'rs1801275', (90, 99)) ('rs1805010', 'Mutation', 'rs1805010', (14, 23)) ('associated', 'Reg', (300, 310)) ('IL-4Ralpha', 'Gene', '3566', (278, 288)) ('thymoma', 'Disease', 'MESH:D013945', (63, 70)) ('adult thymoma', 'Disease', (57, 70)) ('Genetic variations', 'Var', (256, 274)) ('IL-4Ralpha', 'Gene', (208, 218)) ('thymoma', 'Disease', (63, 70)) ('thymoma', 'Disease', 'MESH:D013945', (142, 149)) ('thymoma', 'Disease', (142, 149)) ('IL-4Ralpha', 'Gene', '3566', (208, 218)) ('adult thymoma', 'Disease', 'MESH:C536905', (57, 70)) ('thymoma', 'Phenotype', 'HP:0100522', (63, 70)) ('Rs2107356', 'Mutation', 'Rs2107356', (0, 9)) ('thymoma', 'Phenotype', 'HP:0100522', (142, 149)) 59437 30042722 Interleukin-4 (IL-4) is one of the Th2 cytokines which plays a vital role in the pathogenesis of MG. IL-4 is a potent growth and differentiation factor for B cells and stimulates class-switching and autoantibody production. ('Interleukin-4', 'Gene', '3565', (0, 13)) ('class-switching', 'MPA', (179, 194)) ('IL-4', 'Var', (101, 105)) ('Interleukin-4', 'Gene', (0, 13)) ('autoantibody', 'CPA', (199, 211)) ('stimulates', 'PosReg', (168, 178)) 59439 30042722 In mice genetically deficient in IL-4, long-lasting muscle weakness developed after a single immunization with acetylcholine receptor (AChR). ('muscle weakness', 'Disease', 'MESH:D018908', (52, 67)) ('muscle weakness', 'Phenotype', 'HP:0001324', (52, 67)) ('mice', 'Species', '10090', (3, 7)) ('deficient', 'Var', (20, 29)) ('acetylcholine receptor', 'MPA', (111, 133)) ('muscle weakness', 'Disease', (52, 67)) ('-lasting muscle weakness', 'Phenotype', 'HP:0003323', (43, 67)) ('IL-4', 'Gene', (33, 37)) 59447 30042722 In experimental MG, IL-4R is upregulated in the myocytes following exposure to anti-AChR antibody, and demonstrated an increased responsiveness to IL-4, which implies the role of IL-4R in disease progression of experimental MG. Till now, there was no evidence on the association of IL-4 gene polymorphism with MG. Polymorphisms of IL-4Ralpha were found to be associated with the susceptibility of autoimmune or inflammatory diseases such as rheumatoid arthritis, systemic lupus erythematosus, Graves' disease, eczema and asthma, and with the severity and treatment effects of some of the diseases. ('asthma', 'Phenotype', 'HP:0002099', (521, 527)) ("Graves' disease", 'Phenotype', 'HP:0100647', (493, 508)) ('IL-4R', 'Gene', '3566', (20, 25)) ('IL-4R', 'Gene', '3566', (179, 184)) ('systemic lupus erythematosus', 'Disease', 'MESH:D008180', (463, 491)) ('rheumatoid arthritis', 'Disease', (441, 461)) ('asthma', 'Disease', (521, 527)) ('IL-4R', 'Gene', (331, 336)) ('eczema', 'Disease', 'MESH:D004485', (510, 516)) ('rheumatoid arthritis', 'Disease', 'MESH:D001172', (441, 461)) ('IL-4R', 'Gene', (20, 25)) ('IL-4R', 'Gene', (179, 184)) ("Graves' disease", 'Disease', 'MESH:D006111', (493, 508)) ('IL-4Ralpha', 'Gene', (331, 341)) ('systemic lupus erythematosus', 'Disease', (463, 491)) ('IL-4Ralpha', 'Gene', '3566', (331, 341)) ('rheumatoid arthritis', 'Phenotype', 'HP:0001370', (441, 461)) ('eczema', 'Disease', (510, 516)) ("Graves' disease", 'Disease', (493, 508)) ('eczema', 'Phenotype', 'HP:0000964', (510, 516)) ('associated', 'Reg', (359, 369)) ('asthma', 'Disease', 'MESH:D001249', (521, 527)) ('IL-4R', 'Gene', '3566', (331, 336)) ('arthritis', 'Phenotype', 'HP:0001369', (452, 461)) ('Polymorphisms', 'Var', (314, 327)) ('systemic lupus erythematosus', 'Phenotype', 'HP:0002725', (463, 491)) 59448 30042722 reported the frequency of rs1805010 GG genotype was significantly higher in MG patients than in healthy controls. ('rs1805010', 'Mutation', 'rs1805010', (26, 35)) ('rs1805010 GG', 'Var', (26, 38)) ('higher', 'PosReg', (66, 72)) ('patients', 'Species', '9606', (79, 87)) 59449 30042722 The association between the polymorphism of IL-4Ralpha and MG remains to be confirmed independently. ('IL-4Ralpha', 'Gene', '3566', (44, 54)) ('polymorphism', 'Var', (28, 40)) ('IL-4Ralpha', 'Gene', (44, 54)) 59450 30042722 In the current study, we explore the potential association between polymorphism of IL-4Ralpha and the susceptibility and severity of MG in a Chinese cohort. ('IL-4Ralpha', 'Gene', '3566', (83, 93)) ('polymorphism', 'Var', (67, 79)) ('IL-4Ralpha', 'Gene', (83, 93)) 59458 30042722 Based on previous reports till July, 2013 and Pubmed SNP database, six SNPs (rs2107356, rs1805010, rs1805011, rs1805015, rs1801275, and rs8832) were selected in IL-4Ralpha gene. ('rs1801275', 'Mutation', 'rs1801275', (121, 130)) ('rs2107356', 'Mutation', 'rs2107356', (77, 86)) ('IL-4Ralpha', 'Gene', (161, 171)) ('rs1805010', 'Var', (88, 97)) ('rs1805011', 'Var', (99, 108)) ('IL-4Ralpha', 'Gene', '3566', (161, 171)) ('rs2107356', 'Var', (77, 86)) ('rs1805011', 'Mutation', 'rs1805011', (99, 108)) ('rs1805015', 'Mutation', 'rs1805015', (110, 119)) ('rs1805015', 'Var', (110, 119)) ('rs8832', 'Mutation', 'rs8832', (136, 142)) ('rs8832', 'Var', (136, 142)) ('rs1805010', 'Mutation', 'rs1805010', (88, 97)) ('rs1801275', 'Var', (121, 130)) 59467 30042722 Frequency of rs1801275 G allele was higher in MG than that in HC (P = 0.036, OR = 1.293, 95%CI 1.017-1.643, PBon = 0.216). ('higher', 'PosReg', (36, 42)) ('rs1801275 G', 'Var', (13, 24)) ('rs1801275', 'Mutation', 'rs1801275', (13, 22)) 59469 30042722 Frequencies of rs2107356 T allele and rs1805010 A allele were significantly higher in thymoma (+) subgroup than those in HC and in thymoma (-) subgroup both after Bonferonni correction. ('thymoma', 'Phenotype', 'HP:0100522', (131, 138)) ('rs2107356 T', 'Var', (15, 26)) ('rs1805010', 'Mutation', 'rs1805010', (38, 47)) ('rs1805010 A', 'Var', (38, 49)) ('thymoma', 'Disease', 'MESH:D013945', (86, 93)) ('thymoma', 'Disease', (86, 93)) ('thymoma', 'Disease', 'MESH:D013945', (131, 138)) ('thymoma', 'Phenotype', 'HP:0100522', (86, 93)) ('higher', 'PosReg', (76, 82)) ('rs2107356', 'Mutation', 'rs2107356', (15, 24)) ('thymoma', 'Disease', (131, 138)) 59470 30042722 There were significant differences in genotype frequencies of rs2107356 and rs1805010 between thymoma (+) subgroup and HC and between thymoma (+) and thymoma (-) subgroups under codominant and additives models. ('rs1805010', 'Var', (76, 85)) ('thymoma', 'Disease', 'MESH:D013945', (150, 157)) ('thymoma', 'Disease', (150, 157)) ('thymoma', 'Disease', (134, 141)) ('thymoma', 'Phenotype', 'HP:0100522', (94, 101)) ('thymoma', 'Phenotype', 'HP:0100522', (150, 157)) ('thymoma', 'Phenotype', 'HP:0100522', (134, 141)) ('thymoma', 'Disease', 'MESH:D013945', (94, 101)) ('rs2107356', 'Mutation', 'rs2107356', (62, 71)) ('rs1805010', 'Mutation', 'rs1805010', (76, 85)) ('thymoma', 'Disease', (94, 101)) ('thymoma', 'Disease', 'MESH:D013945', (134, 141)) ('rs2107356', 'Var', (62, 71)) 59471 30042722 There were no significant differences in frequencies of rs2107356 T allele and rs1805010 A allele between thymoma (-) subgroup and HC (Table 3). ('rs2107356 T', 'Var', (56, 67)) ('thymoma', 'Disease', 'MESH:D013945', (106, 113)) ('thymoma', 'Disease', (106, 113)) ('rs1805010', 'Mutation', 'rs1805010', (79, 88)) ('thymoma', 'Phenotype', 'HP:0100522', (106, 113)) ('rs2107356', 'Mutation', 'rs2107356', (56, 65)) ('rs1805010 A', 'Var', (79, 90)) 59472 30042722 Frequency of rs1801275 G allele was significantly higher in AChR-Ab (+) subgroup than that in HC after Bonferonni correction. ('higher', 'PosReg', (50, 56)) ('rs1801275 G', 'Var', (13, 24)) ('rs1801275', 'Mutation', 'rs1801275', (13, 22)) 59473 30042722 There were significant differences in genotype frequencies of rs1801275 between AChR-Ab (+) subgroup and HC under codominant and additive models of inheritance. ('AChR-Ab', 'Gene', (80, 87)) ('rs1801275', 'Mutation', 'rs1801275', (62, 71)) ('rs1801275', 'Var', (62, 71)) ('differences', 'Reg', (23, 34)) 59474 30042722 Frequency of rs1801275 G allele was significantly higher in male MG patients than that in male controls (P = 0.017, OR = 1.531, 95%CI 1.086-2.160), and higher in AChR-Ab (+) subgroup than that in AChR-Ab (-) subgroup (P = 0.039, OR = 1.522, 95%CI 1.020-2.271). ('higher', 'PosReg', (152, 158)) ('higher', 'PosReg', (50, 56)) ('AChR-Ab', 'Disease', (162, 169)) ('rs1801275 G', 'Var', (13, 24)) ('patients', 'Species', '9606', (68, 76)) ('rs1801275', 'Mutation', 'rs1801275', (13, 22)) 59475 30042722 Logistic regression analysis was performed with thymoma (+-) as dependent variables, and with onset age (<15/15-50/ > 50 years, <15 as reference), gender (male/female), AChR-Ab (+-), muscle involvement at onset (ocular/generalized) and genotypes of rs2107356 or rs1805010 separately (under codominant or additives model) as independent variables. ('thymoma', 'Phenotype', 'HP:0100522', (48, 55)) ('rs2107356', 'Var', (249, 258)) ('rs1805010', 'Mutation', 'rs1805010', (262, 271)) ('thymoma', 'Disease', (48, 55)) ('rs1805010 separately', 'Var', (262, 282)) ('thymoma', 'Disease', 'MESH:D013945', (48, 55)) ('AChR-Ab', 'Gene', (169, 176)) ('rs2107356', 'Mutation', 'rs2107356', (249, 258)) 59476 30042722 Onset age, AChR-Ab (+) and genotypes of rs2107356 and rs1805010 were found as independent risk factors for the presence of thymoma (Tables 4). ('rs1805010', 'Var', (54, 63)) ('rs2107356', 'Mutation', 'rs2107356', (40, 49)) ('thymoma', 'Disease', 'MESH:D013945', (123, 130)) ('rs2107356', 'Var', (40, 49)) ('thymoma', 'Disease', (123, 130)) ('AChR-Ab', 'Gene', (11, 18)) ('thymoma', 'Phenotype', 'HP:0100522', (123, 130)) ('rs1805010', 'Mutation', 'rs1805010', (54, 63)) 59478 30042722 Thymoma, ocular presenting and rs1801275 genotypes were found as independent risk factors for AChR-Ab positivity (Table 5). ('rs1801275', 'Mutation', 'rs1801275', (31, 40)) ('Thymoma', 'Phenotype', 'HP:0100522', (0, 7)) ('Thymoma', 'Disease', (0, 7)) ('AChR-Ab', 'Gene', (94, 101)) ('ocular presenting', 'Disease', (9, 26)) ('Thymoma', 'Disease', 'MESH:D013945', (0, 7)) ('rs1801275', 'Var', (31, 40)) 59485 30042722 Frequencies of rs2107356 T allele and rs1805010 A allele in adult thymoma subgroup was significantly higher than those in HC and in adult non-thymoma subgroup after Bonferonni correction. ('higher', 'PosReg', (101, 107)) ('rs2107356 T', 'Var', (15, 26)) ('adult thymoma', 'Disease', (60, 73)) ('rs1805010', 'Mutation', 'rs1805010', (38, 47)) ('rs1805010 A', 'Var', (38, 49)) ('thymoma', 'Disease', 'MESH:D013945', (66, 73)) ('thymoma', 'Disease', (66, 73)) ('thymoma', 'Disease', 'MESH:D013945', (142, 149)) ('rs2107356', 'Mutation', 'rs2107356', (15, 24)) ('thymoma', 'Disease', (142, 149)) ('thymoma', 'Phenotype', 'HP:0100522', (66, 73)) ('adult thymoma', 'Disease', 'MESH:C536905', (60, 73)) ('thymoma', 'Phenotype', 'HP:0100522', (142, 149)) 59486 30042722 There were significant differences in genotype frequencies of rs2107356 and rs1805010 between adult thymoma subgroup and HC and between adult thymoma subgroup and adult non-thymoma subgroup under codominant and additive models (p < 0.05, Table 6). ('rs1805010', 'Var', (76, 85)) ('adult thymoma', 'Disease', 'MESH:C536905', (94, 107)) ('adult thymoma', 'Disease', (94, 107)) ('adult thymoma', 'Disease', (136, 149)) ('adult thymoma', 'Disease', 'MESH:C536905', (136, 149)) ('thymoma', 'Phenotype', 'HP:0100522', (142, 149)) ('rs2107356', 'Mutation', 'rs2107356', (62, 71)) ('thymoma', 'Disease', 'MESH:D013945', (100, 107)) ('thymoma', 'Phenotype', 'HP:0100522', (173, 180)) ('thymoma', 'Disease', (142, 149)) ('rs1805010', 'Mutation', 'rs1805010', (76, 85)) ('thymoma', 'Disease', 'MESH:D013945', (142, 149)) ('thymoma', 'Disease', 'MESH:D013945', (173, 180)) ('thymoma', 'Disease', (100, 107)) ('thymoma', 'Disease', (173, 180)) ('thymoma', 'Phenotype', 'HP:0100522', (100, 107)) ('rs2107356', 'Var', (62, 71)) 59488 30042722 Frequency of rs1801275 G allele was significantly higher in adult non-thymoma AChR-Ab positive subgroup than that in HC after Bonferonni correction. ('higher', 'PosReg', (50, 56)) ('thymoma', 'Disease', 'MESH:D013945', (70, 77)) ('rs1801275 G', 'Var', (13, 24)) ('thymoma', 'Disease', (70, 77)) ('thymoma', 'Phenotype', 'HP:0100522', (70, 77)) ('rs1801275', 'Mutation', 'rs1801275', (13, 22)) 59489 30042722 There were significant differences in genotype frequencies of rs1801275 between adult non-thymoma AChR-Ab positive subgroup and HC group under codominant and additive models (Table 6). ('rs1801275', 'Mutation', 'rs1801275', (62, 71)) ('differences', 'Reg', (23, 34)) ('thymoma', 'Disease', 'MESH:D013945', (90, 97)) ('thymoma', 'Disease', (90, 97)) ('thymoma', 'Phenotype', 'HP:0100522', (90, 97)) ('rs1801275', 'Var', (62, 71)) 59490 30042722 Frequency of rs1801275 G allele was significantly higher in adult non-thymoma AChR-Ab positive MG than in adult non-thymoma AChR-Ab negative MG (P = 0.023). ('higher', 'PosReg', (50, 56)) ('thymoma', 'Disease', 'MESH:D013945', (116, 123)) ('thymoma', 'Disease', (116, 123)) ('thymoma', 'Disease', 'MESH:D013945', (70, 77)) ('rs1801275 G', 'Var', (13, 24)) ('thymoma', 'Disease', (70, 77)) ('thymoma', 'Phenotype', 'HP:0100522', (116, 123)) ('thymoma', 'Phenotype', 'HP:0100522', (70, 77)) ('rs1801275', 'Mutation', 'rs1801275', (13, 22)) 59491 30042722 There were no significantly difference in rs1801275 G allele and genotype frequencies between adult non-thymoma AChR-Ab negative subgroup and HC group. ('rs1801275', 'Mutation', 'rs1801275', (42, 51)) ('thymoma', 'Disease', 'MESH:D013945', (104, 111)) ('thymoma', 'Disease', (104, 111)) ('thymoma', 'Phenotype', 'HP:0100522', (104, 111)) ('rs1801275 G', 'Var', (42, 53)) 59492 30042722 Frequency of rs1801275 G allele was higher in EOMG, LOMG, ocular presenting and generalized presenting subgroups than those in HC, but there were no allelic differences between EOMG subgroup and LOMG subgroup, and between ocular presenting subgroup and generalized presenting subgroup (Table 6). ('EOMG', 'Disease', (46, 50)) ('higher', 'PosReg', (36, 42)) ('EOMG', 'Chemical', '-', (46, 50)) ('LOMG', 'Disease', (52, 56)) ('EOMG', 'Chemical', '-', (177, 181)) ('rs1801275 G', 'Var', (13, 24)) ('generalized', 'Disease', (80, 91)) ('ocular presenting', 'Disease', (58, 75)) ('rs1801275', 'Mutation', 'rs1801275', (13, 22)) 59493 30042722 Significant association was found between rs2107356 and rs1805010 and thymoma subgroup, and between rs1801275 and AChR-Ab positivie subgroup. ('rs1801275', 'Var', (100, 109)) ('AChR-Ab', 'Disease', (114, 121)) ('rs1801275', 'Mutation', 'rs1801275', (100, 109)) ('thymoma', 'Disease', 'MESH:D013945', (70, 77)) ('rs1805010', 'Mutation', 'rs1805010', (56, 65)) ('rs2107356', 'Mutation', 'rs2107356', (42, 51)) ('thymoma', 'Phenotype', 'HP:0100522', (70, 77)) ('thymoma', 'Disease', (70, 77)) ('rs1805010', 'Var', (56, 65)) ('rs2107356', 'Var', (42, 51)) 59494 30042722 We found the association of rs2107356 and rs1805010 with thymoma and association of rs1801275 with AChR-Ab positivity. ('thymoma', 'Disease', 'MESH:D013945', (57, 64)) ('thymoma', 'Disease', (57, 64)) ('rs1801275', 'Var', (84, 93)) ('rs1805010', 'Mutation', 'rs1805010', (42, 51)) ('rs2107356', 'Mutation', 'rs2107356', (28, 37)) ('rs1801275', 'Mutation', 'rs1801275', (84, 93)) ('thymoma', 'Phenotype', 'HP:0100522', (57, 64)) ('association', 'Reg', (13, 24)) ('rs2107356', 'Var', (28, 37)) ('rs1805010', 'Var', (42, 51)) 59495 30042722 We found association of rs2107356 and rs1805010 with adult thymoma associated MG; and found association of rs1801275 with adult non-thymoma AChR-Ab positivie MG. ('thymoma', 'Phenotype', 'HP:0100522', (132, 139)) ('thymoma', 'Disease', (132, 139)) ('rs1801275', 'Mutation', 'rs1801275', (107, 116)) ('thymoma', 'Phenotype', 'HP:0100522', (59, 66)) ('rs1805010', 'Mutation', 'rs1805010', (38, 47)) ('thymoma', 'Disease', 'MESH:D013945', (59, 66)) ('rs2107356', 'Mutation', 'rs2107356', (24, 33)) ('adult thymoma', 'Disease', (53, 66)) ('adult thymoma', 'Disease', 'MESH:C536905', (53, 66)) ('thymoma', 'Disease', (59, 66)) ('rs1805010', 'Var', (38, 47)) ('thymoma', 'Disease', 'MESH:D013945', (132, 139)) ('association', 'Interaction', (9, 20)) ('rs2107356', 'Var', (24, 33)) ('rs1801275', 'Var', (107, 116)) ('association', 'Interaction', (92, 103)) 59496 30042722 Although allele and genotype frequencies of rs2107356 and rs1805010 were significantly higher in the adult thymoma MG subgroup than those in HC and in adult non-thymoma MG subgroup, there was no difference between adult non-thymoma MG subgroup and HC. ('thymoma', 'Phenotype', 'HP:0100522', (107, 114)) ('non-thymoma MG', 'Disease', 'MESH:D013945', (220, 234)) ('rs2107356', 'Mutation', 'rs2107356', (44, 53)) ('non-thymoma MG', 'Disease', (220, 234)) ('adult thymoma', 'Disease', (101, 114)) ('rs1805010', 'Mutation', 'rs1805010', (58, 67)) ('thymoma', 'Phenotype', 'HP:0100522', (161, 168)) ('adult thymoma', 'Disease', 'MESH:C536905', (101, 114)) ('rs2107356', 'Var', (44, 53)) ('rs1805010', 'Var', (58, 67)) ('non-thymoma MG', 'Disease', 'MESH:D013945', (157, 171)) ('thymoma', 'Phenotype', 'HP:0100522', (224, 231)) ('non-thymoma MG', 'Disease', (157, 171)) ('higher', 'PosReg', (87, 93)) 59500 30042722 Rs2107356 is a promoter SNP which might increase the expression of IL-4R, which should be studied in the future. ('IL-4R', 'Gene', '3566', (67, 72)) ('increase', 'PosReg', (40, 48)) ('IL-4R', 'Gene', (67, 72)) ('Rs2107356', 'Var', (0, 9)) ('expression', 'MPA', (53, 63)) ('Rs2107356', 'Mutation', 'Rs2107356', (0, 9)) 59501 30042722 Rs2107356 was also found associated with gastric cancer and multiple myeloma. ('associated', 'Reg', (25, 35)) ('gastric cancer', 'Phenotype', 'HP:0012126', (41, 55)) ('cancer', 'Phenotype', 'HP:0002664', (49, 55)) ('Rs2107356', 'Var', (0, 9)) ('multiple myeloma', 'Disease', 'MESH:D009101', (60, 76)) ('multiple myeloma', 'Phenotype', 'HP:0006775', (60, 76)) ('gastric cancer', 'Disease', (41, 55)) ('Rs2107356', 'Mutation', 'Rs2107356', (0, 9)) ('multiple myeloma', 'Disease', (60, 76)) ('gastric cancer', 'Disease', 'MESH:D013274', (41, 55)) 59502 30042722 Rs1805010 is a gain-of-function mutation in the extracellular domain of IL-4Ralpha subunit. ('Rs1805010', 'Mutation', 'Rs1805010', (0, 9)) ('gain-of-function', 'PosReg', (15, 31)) ('IL-4Ralpha', 'Gene', (72, 82)) ('IL-4Ralpha', 'Gene', '3566', (72, 82)) ('Rs1805010', 'Var', (0, 9)) 59503 30042722 This variant enhances IL-4 signaling by keeping STAT6 transcription factor abnormally active, which was thought not due to modulation of intracellular mechanisms. ('IL-4 signaling', 'MPA', (22, 36)) ('STAT6', 'Gene', '6778', (48, 53)) ('active', 'MPA', (86, 92)) ('variant', 'Var', (5, 12)) ('enhances', 'PosReg', (13, 21)) ('STAT6', 'Gene', (48, 53)) ('abnormally active', 'Phenotype', 'HP:0000752', (75, 92)) 59504 30042722 Rs1805010 was also found associated with renal cell cancer and cervical cancer. ('Rs1805010', 'Mutation', 'Rs1805010', (0, 9)) ('cancer', 'Phenotype', 'HP:0002664', (52, 58)) ('associated', 'Reg', (25, 35)) ('renal cell cancer', 'Phenotype', 'HP:0005584', (41, 58)) ('cancer', 'Phenotype', 'HP:0002664', (72, 78)) ('cervical cancer', 'Disease', 'MESH:D002583', (63, 78)) ('renal cell cancer', 'Disease', (41, 58)) ('cervical cancer', 'Disease', (63, 78)) ('renal cell cancer', 'Disease', 'MESH:C538614', (41, 58)) ('Rs1805010', 'Var', (0, 9)) 59511 30042722 In our study, frequency of G allele in rs1801275 was higher in MG patients than that in HC group, especially in adult non-thymoma AChR-Ab positive MG subgroup. ('higher', 'PosReg', (53, 59)) ('rs1801275', 'Var', (39, 48)) ('thymoma', 'Disease', 'MESH:D013945', (122, 129)) ('thymoma', 'Disease', (122, 129)) ('rs1801275', 'Mutation', 'rs1801275', (39, 48)) ('thymoma', 'Phenotype', 'HP:0100522', (122, 129)) ('patients', 'Species', '9606', (66, 74)) 59512 30042722 Genotypes of rs1801275 were found to be independent factors for the presence of AChR-Ab in MG. ('rs1801275', 'Var', (13, 22)) ('AChR-Ab', 'Gene', (80, 87)) ('presence', 'Reg', (68, 76)) ('rs1801275', 'Mutation', 'rs1801275', (13, 22)) 59513 30042722 The rs1801275 is another gain-of-function mutation in the intracellular domain of IL-4Ralpha, which enhancs IL-4Ralpha signal transduction via STAT6 pathway, which has important effects on immune modulating. ('IL-4Ralpha', 'Gene', (82, 92)) ('enhancs', 'PosReg', (100, 107)) ('STAT6', 'Gene', '6778', (143, 148)) ('IL-4Ralpha', 'Gene', '3566', (82, 92)) ('gain-of-function', 'PosReg', (25, 41)) ('IL-4Ralpha', 'Gene', (108, 118)) ('IL-4Ralpha', 'Gene', '3566', (108, 118)) ('rs1801275', 'Var', (4, 13)) ('rs1801275', 'Mutation', 'rs1801275', (4, 13)) ('STAT6', 'Gene', (143, 148)) 59514 30042722 This variant was also found associated with IL-4-directed and IL-6-dependent subversion of Treg cells into Th17-like cells. ('associated', 'Reg', (28, 38)) ('variant', 'Var', (5, 12)) ('IL-6', 'Gene', (62, 66)) ('subversion of Treg cells into', 'CPA', (77, 106)) ('IL-6', 'Gene', '3569', (62, 66)) 59516 30042722 We did not enroll thymoma patients without MG, therefore, the association between IL-4Ralpha gene polymorphism and thymoma should be further confirmed. ('IL-4Ralpha', 'Gene', (82, 92)) ('thymoma', 'Phenotype', 'HP:0100522', (18, 25)) ('thymoma', 'Phenotype', 'HP:0100522', (115, 122)) ('IL-4Ralpha', 'Gene', '3566', (82, 92)) ('patients', 'Species', '9606', (26, 34)) ('thymoma', 'Disease', 'MESH:D013945', (18, 25)) ('polymorphism', 'Var', (98, 110)) ('thymoma', 'Disease', 'MESH:D013945', (115, 122)) ('thymoma', 'Disease', (115, 122)) ('thymoma', 'Disease', (18, 25)) 59519 30042722 In conclusion, in Chinese Han population, rs2107356 and rs1805010 were found to be associated with adult thymoma associated MG, and rs1801275 was found to be associated with adult non-thymoma AChR-Ab positive MG. ('thymoma', 'Disease', 'MESH:D013945', (105, 112)) ('thymoma', 'Disease', (105, 112)) ('rs1801275', 'Var', (132, 141)) ('thymoma', 'Phenotype', 'HP:0100522', (184, 191)) ('associated', 'Reg', (158, 168)) ('adult thymoma', 'Disease', 'MESH:C536905', (99, 112)) ('rs1801275', 'Mutation', 'rs1801275', (132, 141)) ('rs1805010', 'Mutation', 'rs1805010', (56, 65)) ('thymoma', 'Phenotype', 'HP:0100522', (105, 112)) ('rs2107356', 'Mutation', 'rs2107356', (42, 51)) ('associated', 'Reg', (83, 93)) ('adult thymoma', 'Disease', (99, 112)) ('rs1805010', 'Var', (56, 65)) ('thymoma', 'Disease', 'MESH:D013945', (184, 191)) ('rs2107356', 'Var', (42, 51)) ('thymoma', 'Disease', (184, 191)) 59570 29245252 Only necrotic keratinocytes were thinly scattered in the epidermis, but the immunohistochemical evaluation showed infiltration of more CD8+ than CD4+ T cells and a marked decrease in CD1a+ Langerhans cells in the epidermis, which correspond to observed characteristics of TAMA in our case. ('decrease', 'NegReg', (171, 179)) ('CD1a', 'Gene', '909', (183, 187)) ('CD8+', 'Var', (135, 139)) ('necrotic keratinocytes', 'Phenotype', 'HP:0005540', (5, 27)) ('TAMA', 'Chemical', '-', (272, 276)) ('necrotic', 'Disease', (5, 13)) ('necrotic', 'Disease', 'MESH:D009336', (5, 13)) ('CD1a', 'Gene', (183, 187)) 59730 23279873 To facilitate the statistical analysis, and since the original report did not give any percentage of different histotypes, combined histologies were re-classified according to the worst histotype (for example B2-B3, were considered B3 thymomas). ('thymomas', 'Disease', 'MESH:D013945', (235, 243)) ('B2-B3', 'Var', (209, 214)) ('thymoma', 'Phenotype', 'HP:0100522', (235, 242)) ('thymomas', 'Disease', (235, 243)) 59732 23279873 Paraneoplastic syndromes were observed in 33/129 (26%) cases: in 17 type B3, 5 type B2, 5 type B1, 5 type AB, and 1 type A. ('Paraneoplastic syndromes', 'Disease', (0, 24)) ('Paraneoplastic syndromes', 'Disease', 'MESH:D010257', (0, 24)) ('observed', 'Reg', (30, 38)) ('type B3', 'Var', (68, 75)) 59734 23279873 Briefly in most of the cases (9/23, 39%) the diagnostic difficulty rested in the proper recognition of type B thymomas; in this setting overlap between B1 and B2 was the most frequent occurrence (6/9). ('type B thymomas', 'Disease', (103, 118)) ('thymoma', 'Phenotype', 'HP:0100522', (110, 117)) ('overlap', 'Var', (136, 143)) ('type B thymomas', 'Disease', 'MESH:D013945', (103, 118)) 59736 23279873 In 7/23 (30%) cases the discrepancy involved fairly different histological subtypes: in four cases thymic carcinoma vs. type B3; in two cases type B3 vs. type A; and in one case thymic carcinoma vs. type A. ('type B3', 'Var', (142, 149)) ('thymic carcinoma', 'Disease', (99, 115)) ('thymic carcinoma', 'Disease', (178, 194)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (99, 115)) ('carcinoma', 'Phenotype', 'HP:0030731', (106, 115)) ('thymic carcinoma', 'Disease', 'MESH:D013945', (178, 194)) ('carcinoma', 'Phenotype', 'HP:0030731', (185, 194)) ('involved', 'Reg', (36, 44)) 59774 26401511 Expression levels of the apoptosis inhibitor cellular FLICE-like inhibitory protein (c-FLIP) in blood T cells and intratumorous thymocytes were higher in TAMG(+) than in MG(-) thymomas and non-neoplastic thymic remnants. ('TAMG(+', 'Var', (154, 160)) ('tumor', 'Disease', (119, 124)) ('TAMG', 'Chemical', '-', (154, 158)) ('neoplastic thymic remnants', 'Phenotype', 'HP:0100521', (193, 219)) ('Expression levels', 'MPA', (0, 17)) ('cellular FLICE-like inhibitory protein', 'Gene', (45, 83)) ('thymomas', 'Disease', (176, 184)) ('thymomas', 'Disease', 'MESH:D013945', (176, 184)) ('higher', 'PosReg', (144, 150)) ('tumor', 'Disease', 'MESH:D009369', (119, 124)) ('c-FLIP', 'Gene', '8837', (85, 91)) ('c-FLIP', 'Gene', (85, 91)) ('tumor', 'Phenotype', 'HP:0002664', (119, 124)) ('cellular FLICE-like inhibitory protein', 'Gene', '8837', (45, 83)) ('thymoma', 'Phenotype', 'HP:0100522', (176, 183)) 59821 26401511 Treatment of PBMCs from nine thymoma patients (four with AB, two with B2, and three B3 subtypes) with EF24 alone had little effect on survival, while EF24 pretreatment sensitized PBMCs in a dose-dependent manner for subsequent FASLG treatment with decreased survival (Fig.8A). ('FASLG', 'Gene', '356', (227, 232)) ('thymoma', 'Phenotype', 'HP:0100522', (29, 36)) ('patients', 'Species', '9606', (37, 45)) ('EF24', 'Var', (150, 154)) ('decreased', 'NegReg', (248, 257)) ('thymoma', 'Gene', '7063', (29, 36)) ('FASLG', 'Gene', (227, 232)) ('thymoma', 'Gene', (29, 36)) ('survival', 'MPA', (258, 266)) 59823 26401511 Again, EF24 pretreatment lead to comparable apoptosis in PBMCs of blood donors and thymoma patients on subsequent FASLG treatment (Fig.8B). ('FASLG', 'Gene', (114, 119)) ('patients', 'Species', '9606', (91, 99)) ('thymoma', 'Gene', '7063', (83, 90)) ('apoptosis', 'CPA', (44, 53)) ('thymoma', 'Gene', (83, 90)) ('FASLG', 'Gene', '356', (114, 119)) ('EF24', 'Var', (7, 11)) ('thymoma', 'Phenotype', 'HP:0100522', (83, 90)) 59826 26401511 Nuclear expression was slightly higher in PBMCs of TAMG(+) than MG(-) thymoma patients (Fig. ('thymoma', 'Gene', '7063', (70, 77)) ('TAMG', 'Chemical', '-', (51, 55)) ('thymoma', 'Gene', (70, 77)) ('higher', 'PosReg', (32, 38)) ('patients', 'Species', '9606', (78, 86)) ('thymoma', 'Phenotype', 'HP:0100522', (70, 77)) ('Nuclear expression', 'MPA', (0, 18)) ('TAMG', 'Var', (51, 55)) 59830 26401511 TAMG was previously shown to be uniquely associated with the +49A/A CTLA4 genotype that confers protection in a variety of other autoimmune diseases. ('autoimmune diseases', 'Disease', (129, 148)) ('CTLA4', 'Gene', '1493', (68, 73)) ('associated', 'Reg', (41, 51)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (129, 148)) ('CTLA4', 'Gene', (68, 73)) ('protection', 'NegReg', (96, 106)) ('+49A/A', 'Var', (61, 67)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (129, 148)) ('TAMG', 'Chemical', '-', (0, 4)) 59831 26401511 In the present cohort of patients, we confirm this finding, since the CTLA4+49A/A genotype was significantly more prevalent in TAMG(+) than MG(-) thymoma patients (P = 0.0003 by chi2 Test; Table2). ('thymoma', 'Phenotype', 'HP:0100522', (146, 153)) ('TAMG(+', 'Var', (127, 133)) ('CTLA4', 'Gene', '1493', (70, 75)) ('thymoma', 'Gene', '7063', (146, 153)) ('prevalent', 'Reg', (114, 123)) ('thymoma', 'Gene', (146, 153)) ('CTLA4', 'Gene', (70, 75)) ('patients', 'Species', '9606', (154, 162)) ('patients', 'Species', '9606', (25, 33)) ('TAMG', 'Chemical', '-', (127, 131)) 59832 26401511 Surprisingly, cFLIP mRNA levels in thymoma tissue extracts were higher in TAMG patients with the +49A/A genotype than in TAMG with other genotypes, while no such association was obvious in MG(-) thymoma patients (Fig. ('thymoma', 'Gene', (195, 202)) ('TAMG', 'Chemical', '-', (121, 125)) ('thymoma', 'Gene', (35, 42)) ('higher', 'PosReg', (64, 70)) ('+49A/A', 'Var', (97, 103)) ('patients', 'Species', '9606', (203, 211)) ('patients', 'Species', '9606', (79, 87)) ('cFLIP mRNA levels', 'MPA', (14, 31)) ('TAMG', 'Chemical', '-', (74, 78)) ('thymoma', 'Gene', '7063', (195, 202)) ('thymoma', 'Phenotype', 'HP:0100522', (35, 42)) ('thymoma', 'Gene', '7063', (35, 42)) ('thymoma', 'Phenotype', 'HP:0100522', (195, 202)) 59833 26401511 Export of CD4+ CD45RA+ effector T cells from thymomas to the blood is typical of TAMG(+) but not MG(-) thymomas, while export of CD8(+) T cells from MG(-) and TAMG(+) thymomas is similar. ('CD8', 'Gene', (129, 132)) ('CD4+ CD45RA+', 'Var', (10, 22)) ('thymomas', 'Disease', (45, 53)) ('CD8', 'Gene', '925', (129, 132)) ('thymomas', 'Disease', 'MESH:D013945', (45, 53)) ('thymoma', 'Phenotype', 'HP:0100522', (45, 52)) ('Export', 'MPA', (0, 6)) ('thymomas', 'Disease', (103, 111)) ('TAMG', 'Chemical', '-', (159, 163)) ('thymomas', 'Disease', 'MESH:D013945', (167, 175)) ('thymomas', 'Disease', 'MESH:D013945', (103, 111)) ('thymoma', 'Phenotype', 'HP:0100522', (167, 174)) ('TAMG', 'Chemical', '-', (81, 85)) ('thymoma', 'Phenotype', 'HP:0100522', (103, 110)) ('thymomas', 'Disease', (167, 175)) 59834 26401511 The reason for the export of CD4+CD45RA+ T cells from TAMG(+) thymomas is poorly understood. ('thymomas', 'Disease', 'MESH:D013945', (62, 70)) ('CD4+CD45RA+', 'Var', (29, 40)) ('thymomas', 'Disease', (62, 70)) ('TAMG', 'Chemical', '-', (54, 58)) ('thymoma', 'Phenotype', 'HP:0100522', (62, 69)) 59842 26401511 The reason for the latter observation is not clear; since cFLIP expression levels are increased in both CD8+ and CD4+ SP thymocytes of thymomas (Fig.4). ('increased', 'PosReg', (86, 95)) ('CD4+ SP', 'Var', (113, 120)) ('thymoma', 'Phenotype', 'HP:0100522', (135, 142)) ('thymomas', 'Disease', (135, 143)) ('CD8', 'Gene', (104, 107)) ('thymomas', 'Disease', 'MESH:D013945', (135, 143)) ('CD8', 'Gene', '925', (104, 107)) ('cFLIP expression levels', 'MPA', (58, 81)) 59844 26401511 Interestingly, CD40 deficiency has recently been observed in thymomas. ('deficiency', 'Var', (20, 30)) ('CD40 deficiency', 'Phenotype', 'HP:0031384', (15, 30)) ('CD40', 'Gene', (15, 19)) ('thymoma', 'Phenotype', 'HP:0100522', (61, 68)) ('thymomas', 'Disease', (61, 69)) ('observed', 'Reg', (49, 57)) ('thymomas', 'Disease', 'MESH:D013945', (61, 69)) 59849 26401511 Our data now suggest that overexpression of cFLIP in TAMG(+) thymocytes during "priming" could be a mechanism to counteract negative selection and allow "primed" T cells to escape from the thymoma to the blood. ('overexpression', 'PosReg', (26, 40)) ('thymoma', 'Gene', (189, 196)) ('cFLIP', 'Var', (44, 49)) ('thymoma', 'Phenotype', 'HP:0100522', (189, 196)) ('TAMG', 'Chemical', '-', (53, 57)) ('thymoma', 'Gene', '7063', (189, 196)) 59866 26401511 The fact that cFLIP expression was highest in CD4+CD45RA+ blood T cells at the time of surgery and dropped thereafter hints to their derivation from the thymoma and shows that the cFLIPhigh phenotype is tumor dependent. ('CD4+CD45RA+', 'Var', (46, 57)) ('tumor', 'Disease', (203, 208)) ('tumor', 'Phenotype', 'HP:0002664', (203, 208)) ('thymoma', 'Gene', '7063', (153, 160)) ('thymoma', 'Gene', (153, 160)) ('tumor', 'Disease', 'MESH:D009369', (203, 208)) ('cFLIP expression', 'MPA', (14, 30)) ('thymoma', 'Phenotype', 'HP:0100522', (153, 160))