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Kurelac, I.

Publications and source records attributed to Kurelac, I..

7 recordsLinked to original sources

Abolishing respiratory complex I decreases in vivo growth of high grade serous ovarian cancer cells and sensitizes to anti-angiogenic therapy

Targeting mitochondrial Complex I (CI) is a currently emerging anti-cancer strategy, with several enzyme inhibitors entering clinical trials. Among others, aggressive high-grade serous tubo-ovarian cancer (HGSOC) may particularly benefit from this therapeutic approach due to the scarce response to first- and second-line treatments, with consequent high mortality, such as the anti-angiogenic bevacizumab. We here show that CI represents a vulnerability in HGSOC, which can be exploited for therapeutic intervention. Indeed, ablating CI function in OV-90 HGSOC cells led to significant in vivo tumor growth decrease, smaller masses, and lower KI-67 proliferative index. This was confirmed in a switch-off system in which CI deprivation was induced during tumor progression to mimic pharmacologic treatment, suggesting this result can be achieved in growing neoplasms. We also show that abolishing CI in HGSOC cells leads to failure in stabilizing the hypoxia inducible factor-1a and to respond to hypoxia through the transcriptional activation of its target genes, ultimately lowering vascular endothelial growth factor (VEGF) and generating an immature intratumor vascular system accompanied by a decreased blood flow. Last, we demonstrate that targeting CI sets the biological basis for increased sensitivity to anti-angiogenics, as CI-deprived tumors displayed growth arrest when bevacizumab was administered, unlike their CI-competent counterpart. Our findings point to CI inhibition as a booster for anti-VEGF therapies and pave the way for combined protocols in treatment of HGSOC.

cancer biology↗

Impact of Image Representation on Deep Learning-Based Single-Cell Classification by Holographic Imaging Flow Cytometry

Accurate cell type classification is essential for a wide range of biomedical applications, including disease diagnosis, drug discovery, and the study of cellular processes. Holographic imaging flow cytometry (HIFC) provides label-free quantitative phase imaging (QPI) of individual cells, enabling classification based on phase images. However, reconstructing holograms into phase images involves multi-step image processing, which introduces substantial computational overhead. The availability of diverse image representations across holographic reconstruction stages allows for flexible analytical strategies, enabling the optimization of trade-off between classification accuracy and computational efficiency. Moreover, deep learning offers an efficient alternative, accelerating the reconstruction process while performing accurate classification. However, despite its importance, this optimization challenge remains largely unexplored in the current literature. Here, we present the first systematic evaluation aimed at balancing classification accuracy with computational efficiency, highlighting how different image representations affect overall performance. We focus on a binary classification task discriminating natural killer cells from breast cancer cells. Six distinct classification pipelines are evaluated: direct processing of raw holograms, analysis of demodulated complex fields (CFs), refocused CFs, unwrapped phase images, and two deep learning-based methods that either replace the automatic refocusing stage or perform end-to-end hologram-to-phase reconstruction. For each strategy, we assess both computational cost and classification performance. Our results reveal a clear trade-off: reconstructed phase images provide the highest accuracy, whereas simpler representations or accelerated reconstruction methods significantly reduce processing time with minimal loss of accuracy. A Pareto analysis identifies the optimal set of strategies, offering practical guidelines for selecting image representations and processing pipelines based on available hardware and desired performance. Thus, this work offers a systematic framework for high-throughput deep learning classification in HIFC, serving as a potential reference for future biomedical applications.

biophysics↗

Combining circulating tumor cell and circulating cell free DNA analyses enhances liquid biopsy sensitivity in detecting high grade serous tubo-ovarian carcinoma

BackgroundLiquid biopsy is a promising strategy for detecting and monitoring neoplastic diseases, with circulating tumor cells (CTCs) and circulating tumor DNA (ctDNA) being the most common objects of investigation. Most analyses have focused on these biomarkers separately, and simultaneous detection has not yet been attempted in high grade serous tubo-ovarian carcinoma (HGSOC). The aim of our study was to assess whether the tandem CTC/ctDNA approach increases HGSOC detection efficiency of peripheral blood liquid biopsy. MethodsFor CTC detection, by using healthy donor samples spiked with known cancer cell numbers, we tested gene expression assays and TP53 next-generation sequencing (NGS). The latter was also applied for ctDNA detection where analytical validity was ensured by calculating the optimal variant allele frequency (VAF) threshold for mutation calling. The clinical validity of the assays was then verified on two HGSOC cohorts and respective controls. Standard 2x2 contingency tables and Wilson method were used to evaluate clinical validity, by calculating specificity, sensitivity, and accuracy with 95% confidence intervals (CI). ResultsHigh analytical sensitivity and specificity were found for both gene expression and TP53 NGS based CTC detection, as these assays specifically detected as few as five cancer cells spiked in control sample. Regarding clinical validity, the gene expression-based CTC detection showed 0.48 accuracy, 13.3% sensitivity, and 100% specificity, whereas TP53 sequencing demonstrated better assay performance (0.77 accuracy, 46.7% sensitivity, 100% specificity). For circulating cell-free DNA (cfDNA) analysis, we first identified 0.31% VAF cut-off for accurate ctDNA TP53 mutation calling. Subsequent clinical validity assessment showed solid performance efficiency of the ctDNA based liquid biopsy (0.71 accuracy, 60% sensitivity, and 100% specificity), outperforming the CTC detection methods. Importantly, the tandem ctDNA/CTC analysis improved disease detection rate in both HGSOC cohorts, allowing to achieve, respectively, 73.3% and 93.3% sensitivity. Interestingly, TP53 NGS revealed CTC private variants, and shared ctDNA/CTC mutations undetected in the primary tissue, highlighting the ability of the dual-analyte approach to capture tumor heterogeneity and allow mutation cross-validation. ConclusionsOur study reveals the complementary value of simultaneous CTC and cfDNA analysis in HGSOC, advancing the translational potential of liquid biopsy integration for the management of this disease.

cancer biology↗

miR-6850 Drives Phenotypic Changes and Signaling in High Grade Serous Ovarian Cancer

MicroRNAs (miRNAs) are key post-transcriptional regulators of gene expression, and their dysregulation is closely linked to cancer development. Ovarian cancer (OC), particularly the high-grade serous ovarian carcinoma (HGSOC) subtype, is the most lethal gynecological malignancy, primarily due to late-stage diagnosis and limited treatment options. Among the miRNAs encoded at the often amplified 8q24.3 region, miR-6850 has emerged as a potential candidate target owing to its genomic positioning inside this hotspot and its unexpectedly low expression in HGSOC tissues and cell lines. In silico investigations indicated that, despite the gain in MIR6850 copy number, its mature products, miR-6850-5p and miR-6850-3p, were expressed at low levels; notably, MIR6850 gene amplification was associated with enhanced disease-specific survival. Functional studies revealed that ectopic production of both isoforms in SKOV-3 and NIH:OVCAR3 cells inhibited proliferation, compromised clonogenic capacity, and disturbed cell cycle progression. Moreover, miR-6850 altered cell phenotype by facilitating mesenchymal-to-epithelial transition (MET), as shown by the overexpression of E-cadherin and {beta}-catenin and the downregulation of Slug and Vimentin. It also regulated cell adhesion and migration while reducing global protein synthesis via the downregulation of the PI3K/Akt/mTOR pathway. Our results together identify miR-6850 as a tumor-suppressive miRNA in HGSOC, demonstrating its diverse anti-oncogenic actions and underscoring its potential as a prognostic biomarker and therapeutic target in ovarian cancer.

cancer biology↗

Holotomography-driven learning for in-silico staining of single cells in flow cytometry avoiding co-registration

Virtual staining is the current state-of-the-art computational technique to cleverly enhance intracellular specificity in unstained biological samples by using convolutional neural networks (CNNs) trained on co-registered pairs of unstained/stained images. While effective, this approach suffers from unpredictable biases inherent to fluorescence microscopy and encounters challenges when applied to flow cytometry data as it would require accurate co-registration on a huge number of images. Here, we present a novel method that exploits for the first time a Holotomography-driven learning to completely eliminate the need for co-registration. We demonstrate that training a CNN on a stain-free dataset of 3D refractive index tomograms of flowing cells elegantly unlocks stain-free intracellular specificity in quantitative phase imaging flow cytometry. This breakthrough, by circumventing the critical co-registration bottleneck, opens unprecedented perspectives for label-free, high-throughput imaging flow cytometry, offering a powerful new paradigm for advanced 2D and 3D single-cell analysis.

biophysics↗

Lipid droplets 3D full measurement by holographic in-flow tomography

The most recent discoveries in the biochemical field are highlighting the increasingly important role of lipid droplets (LDs) in several regulatory mechanisms in living cells. LDs are dynamic organelles and therefore their complete characterization in terms of number, size, spatial positioning and relative distribution in the cell volume can shed light on the roles played by LDs. Until now, fluorescence microscopy and transmission electron microscopy are assessed as the gold standard methods for identifying LDs due to their high sensitivity and specificity. However, such methods generally only provide 2D assays and partial measurements. Furthermore, both can be destructive and with low productivity, thus limiting analysis of large cell numbers in a sample. Here we demonstrate for the first time the capability of 3D visualization and the full LD characterization in high-throughput with a tomographic phase-contrast flow-cytometer, by using ovarian cancer cells and monocyte cell lines as models. A strategy for retrieving significant parameters on spatial correlations and LD 3D positioning inside each cell volume is reported. The information gathered by this new method could allow more in depth understanding and lead to new discoveries on how LDs are correlated to cellular functions.

biophysics↗

Biogenesis of NDUFS3-less complex I indicates TMEM126A/OPA7 as an assembly factor of the ND4-module

Complex I (CI) is the largest enzyme of the mitochondrial respiratory chain and its defects are the main cause of mitochondrial disease. To understand the mechanisms regulating the extremely intricate biogenesis of this fundamental bioenergetic machine, we analyzed the structural and functional consequences of the ablation of NDUFS3, a non-catalytic core subunit. We prove that in diverse mammalian cell types a small amount of functional CI can still be detected in the complete absence of NDUFS3. In addition, we have determined the dynamics of CI disassembly when the amount of NDUFS3 is gradually decreased. The process of degradation of the complex occurs in a hierarchical and modular fashion where the ND4-module remains stable and bound to TMEM126A. We have thus, uncovered the function of TMEM126A, the product of a disease gene causing recessive optic atrophy, as a factor necessary for the correct assembly and function of CI.

biochemistry↗