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Stem Cell Therapy Market Trends and Growth, Outlook, Research, Trends and Forecast to 2025 – Instant Tech News

Posted: February 9, 2020 at 7:50 pm

Stem Cell Therapy Market: Snapshot

Of late, there has been an increasing awareness regarding the therapeutic potential of stem cells for management of diseases which is boosting the growth of the stem cell therapy market. The development of advanced genome based cell analysis techniques, identification of new stem cell lines, increasing investments in research and development as well as infrastructure development for the processing and banking of stem cell are encouraging the growth of the global stem cell therapy market.

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One of the key factors boosting the growth of this market is the limitations of traditional organ transplantation such as the risk of infection, rejection, and immunosuppression risk. Another drawback of conventional organ transplantation is that doctors have to depend on organ donors completely. All these issues can be eliminated, by the application of stem cell therapy. Another factor which is helping the growth in this market is the growing pipeline and development of drugs for emerging applications. Increased research studies aiming to widen the scope of stem cell will also fuel the growth of the market. Scientists are constantly engaged in trying to find out novel methods for creating human stem cells in response to the growing demand for stem cell production to be used for disease management.

It is estimated that the dermatology application will contribute significantly the growth of the global stem cell therapy market. This is because stem cell therapy can help decrease the after effects of general treatments for burns such as infections, scars, and adhesion. The increasing number of patients suffering from diabetes and growing cases of trauma surgery will fuel the adoption of stem cell therapy in the dermatology segment.

Global Stem Cell Therapy Market: Overview

Also called regenerative medicine, stem cell therapy encourages the reparative response of damaged, diseased, or dysfunctional tissue via the use of stem cells and their derivatives. Replacing the practice of organ transplantations, stem cell therapies have eliminated the dependence on availability of donors. Bone marrow transplant is perhaps the most commonly employed stem cell therapy.

Osteoarthritis, cerebral palsy, heart failure, multiple sclerosis and even hearing loss could be treated using stem cell therapies. Doctors have successfully performed stem cell transplants that significantly aid patients fight cancers such as leukemia and other blood-related diseases.

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Global Stem Cell Therapy Market: Key Trends

The key factors influencing the growth of the global stem cell therapy market are increasing funds in the development of new stem lines, the advent of advanced genomic procedures used in stem cell analysis, and greater emphasis on human embryonic stem cells. As the traditional organ transplantations are associated with limitations such as infection, rejection, and immunosuppression along with high reliance on organ donors, the demand for stem cell therapy is likely to soar. The growing deployment of stem cells in the treatment of wounds and damaged skin, scarring, and grafts is another prominent catalyst of the market.

On the contrary, inadequate infrastructural facilities coupled with ethical issues related to embryonic stem cells might impede the growth of the market. However, the ongoing research for the manipulation of stem cells from cord blood cells, bone marrow, and skin for the treatment of ailments including cardiovascular and diabetes will open up new doors for the advancement of the market.

Global Stem Cell Therapy Market: Market Potential

A number of new studies, research projects, and development of novel therapies have come forth in the global market for stem cell therapy. Several of these treatments are in the pipeline, while many others have received approvals by regulatory bodies.

In March 2017, Belgian biotech company TiGenix announced that its cardiac stem cell therapy, AlloCSC-01 has successfully reached its phase I/II with positive results. Subsequently, it has been approved by the U.S. FDA. If this therapy is well- received by the market, nearly 1.9 million AMI patients could be treated through this stem cell therapy.

Another significant development is the granting of a patent to Israel-based Kadimastem Ltd. for its novel stem-cell based technology to be used in the treatment of multiple sclerosis (MS) and other similar conditions of the nervous system. The companys technology used for producing supporting cells in the central nervous system, taken from human stem cells such as myelin-producing cells is also covered in the patent.

Global Stem Cell Therapy Market: Regional Outlook

The global market for stem cell therapy can be segmented into Asia Pacific, North America, Latin America, Europe, and the Middle East and Africa. North America emerged as the leading regional market, triggered by the rising incidence of chronic health conditions and government support. Europe also displays significant growth potential, as the benefits of this therapy are increasingly acknowledged.

Asia Pacific is slated for maximum growth, thanks to the massive patient pool, bulk of investments in stem cell therapy projects, and the increasing recognition of growth opportunities in countries such as China, Japan, and India by the leading market players.

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Global Stem Cell Therapy Market: Competitive Analysis

Several firms are adopting strategies such as mergers and acquisitions, collaborations, and partnerships, apart from product development with a view to attain a strong foothold in the global market for stem cell therapy.

Some of the major companies operating in the global market for stem cell therapy are RTI Surgical, Inc., MEDIPOST Co., Ltd., Osiris Therapeutics, Inc., NuVasive, Inc., Pharmicell Co., Ltd., Anterogen Co., Ltd., JCR Pharmaceuticals Co., Ltd., and Holostem Terapie Avanzate S.r.l.

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Stem Cell Therapy Market Trends and Growth, Outlook, Research, Trends and Forecast to 2025 - Instant Tech News

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Molecular ‘switch’ reverses chronic inflammation and aging – UC Berkeley

Posted: February 9, 2020 at 6:46 am

The NLRP3 receptor protein is responsible for detecting potential pathogens in the body and launching an immune response. (Image by MLGProGamer123 via Wikimedia Commons)

Chronic inflammation, which results when old age, stress or environmental toxins keep the bodys immune system in overdrive, can contribute to a variety of devastating diseases, from Alzheimers and Parkinsons to diabetes and cancer.

Now, scientists at the University of California, Berkeley, have identified a molecular switch that controls the immune machinery responsible for chronic inflammation in the body. The finding, which appears online Feb. 6 in the journal Cell Metabolism, could lead to new ways to halt or even reverse many of these age-related conditions.

My lab is very interested in understanding the reversibility of aging, said senior author Danica Chen, associate professor of metabolic biology, nutritional sciences and toxicology at UC Berkeley. In the past, we showed that aged stem cells can be rejuvenated. Now, we are asking: to what extent can aging be reversed? And we are doing that by looking at physiological conditions, like inflammation and insulin resistance, that have been associated with aging-related degeneration and diseases.

In the study, Chen and her team show that a bulky collection of immune proteins called the NLRP3 inflammasome responsible for sensing potential threats to the body and launching an inflammation response can be essentially switched off by removing a small bit of molecular matter in a process called deacetylation.

Overactivation of the NLRP3 inflammasome has been linked to a variety of chronic conditions, including multiple sclerosis, cancer, diabetes and dementia. Chens results suggest that drugs targeted toward deacetylating, or switching off, this NLRP3 inflammasome might help prevent or treat these conditions and possibly age-related degeneration in general.

This acetylation can serve as a switch, Chen said. So, when it is acetylated, this inflammasome is on. When it is deacetylated, the inflammasome is off.

By studying mice and immune cells called macrophages, the team found that a protein called SIRT2 is responsible for deacetylating the NLRP3 inflammasome. Mice that were bred with a genetic mutation that prevented them from producing SIRT2 showed more signs of inflammation at the ripe old age of two than their normal counterparts. These mice also exhibited higher insulin resistance, a condition associated with type 2 diabetes and metabolic syndrome.

The team also studied older mice whose immune systems had been destroyed with radiation and then reconstituted with blood stem cells that produced either the deacetylated or the acetylated version of the NLRP3 inflammasome. Those who were given the deacetylated, or off, version of the inflammasome had improved insulin resistance after six weeks, indicating that switching off this immune machinery might actually reverse the course of metabolic disease.

I think this finding has very important implications in treating major human chronic diseases, Chen said. Its also a timely question to ask, because in the past year, many promising Alzheimers disease trials ended in failure. One possible explanation is that treatment starts too late, and it has gone to the point of no return. So, I think its more urgent than ever to understand the reversibility of aging-related conditions and use that knowledge to aid a drug development for aging-related diseases.

Co-authors of the study include Ming He, Hou-Hsien Chiang and Hanzhi Luo, previously at UC Berkeley where the research was carried out; Zhifang Zheng, Mingdian Tan, Rika Ohkubo and Wei-Chieh Mu at UC Berkeley; Qi Qiao, Li Wang and Hao Wu at Harvard Medical School; and Shimin Zhao at Fudan University.

This research was supported in part by the National Institutes of Health under grants R01DK117481, R01DK101885, R01AG063404, R01AG 063389, DP1HD087988 and R01Al124491; the National Institute of Food and Agriculture; the France-Berkeley Fund, a Glenn/AFAR Scholarship; the Dr. and Mrs. James C.Y. Soong Fellowship; the Government Scholarship for Study Abroad (GSSA) from Taiwan; the ITO Foundation Scholarship and the Honjo International Scholarship.

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Chromatin accessibility analysis reveals regulatory dynamics of developing human retina and hiPSC-derived retinal organoids – Science Advances

Posted: February 9, 2020 at 6:46 am

INTRODUCTION

The process of vision starts from the retina, a part of the central nervous system (CNS) that processes both image- and nonimage-forming visual information (1, 2). The retina, composed of multiple types of neurons (photoreceptors, horizontal cells, bipolar cells, amacrine cells, and retinal ganglion cells) and a single type of glial cells (Mller cells) differentiated from retinal progenitor cells (RPCs), is an excellent system for studying the regulation of neurogenesis in the CNS (3, 4). Tremendous progress has been made in deciphering the complex molecular mechanisms underlying retinal neurogenesis in rodents (57). In contrast, knowledge regarding the molecular mechanisms underlying human retinogenesis remains scarce. Recent advances in human retinal studies provide valuable gene expression and epigenetic profiles of the developing human retina (8, 9). However, the transcriptional regulatory network, which can provide insight into the regulation of interactional transcription factors (TFs), remains poorly understood during human retinal development. The assay for transposase-accessible chromatin with high-throughput sequencing (ATAC-seq) has emerged as a sensitive and robust method for open chromatin assays, nucleosome site mapping, and TF occupancy analysis (10, 11). Moreover, ATAC-seq is also applicable for establishing the transcriptional regulatory network during development, as integration of known TF motifs with chromatin accessibility data from ATAC-seq can predict a genome-wide regulatory network (10). Therefore, systematic ATAC-seq analysis will be a powerful tool to decipher the epigenetic features and transcriptional regulatory network during human retinal development.

Studies on the underlying regulatory mechanisms of human retinal development have been hampered by the impossibility of direct molecular and genetic manipulation of human retinae in vivo. Retinal organoids (ROs) derived from human induced pluripotent stem cells (hiPSCs) are three-dimensional retinal-like structures grown in vitro, which contain the main cell types and proper apical-basal polarity of retinae (12). Thus, ROs provide an opportunity to study human retinal development and disorders with additional flexibility for molecular and genetic manipulations. Previous studies have applied ROs to mimic disease processes and cell transplantation for retinal regeneration (1315). However, advances in clinical studies using ROs have been hindered by our limited understanding of the molecular and functional differences between the developing human retina and ROs. Furthermore, it is unclear to what extent ROs recapitulate the development of the human retinae in epigenetic modifications. Therefore, it is critical to establish the epigenetic correlations between the developing human retina and ROs.

The dynamics of chromatin accessibility play an important role in regulating human development, including cell fate determination, cell differentiation, and diseases occurrence (16, 17). Recent studies have shown that rod and cone photoreceptors display distinct chromatin accessibility landscapes during fate determination in mice, suggesting that cellular epigenomic states are crucial for retinal neurogenesis (18). In this study, using ATAC-seq and RNA sequencing (RNA-seq) analysis, we explored the chromatin accessibility and transcriptional changes in human retinae and ROs over long-term retinal development. Our results showed that the developing human retina exhibited a complex pattern of chromatin dynamics accompanying retinogenesis. Further analysis indicated that ROs recapitulated the human retinogenesis to a great extent, but divergent epigenetic signatures were found. Moreover, we identified two TFs [nuclear factor I B (NFIB) and thyroid hormone receptor alpha (THRA)] as essential regulators in human retinal development and validated their functions via gene manipulation in ROs. The transcriptional regulatory networks were reconstructed in human and RO, and signaling pathways were analyzed in human and murine retinal development, providing an invaluable data source for future molecular mechanism studies. The chromatin modifications during human and murine retinal development were cross-analyzed and revealed that a bivalent domain of H3K4me3 and H3K27me3 modifications enriched in human only, suggesting a unique and more dedicated epigenetic regulation on human genome. Together, our systematic profiling and integrative analyses of epigenetic and transcriptional changes provide a comprehensive view of the chromatin landscapes that accompany the murine, human retinal, and RO development; establish a developmental temporal-correlation roadmap between the human retinae and ROs; and present a data source for modifying RO culture under the guidance of in vivo human retinal development.

To determine the chromatin accessibility in developing human retina and ROs, the developing human retina from gestational week 6 (GW6) to GW25 at nine time points (GW6, GW10, GW11, GW12, GW14, GW15, GW20, GW24, and GW25; two biological replicates at GW11, GW15, GW20, GW24, and GW25; n = 1 at GW6, GW10, GW12, and GW14), which spanned the key human retinal developmental stages (8), and hiPSC-derived ROs from week 0 to week 30 (w0, w2, w4, w6, w10, w15, w23, and w30; two biological replicates at all stages) were collected for ATAC-seq analysis (Fig. 1A). Each ATAC-seq library was sequenced to obtain, on average, more than 50 million total raw reads per sample. ROs were differentiated as per previous protocols (15). We also conducted RNA-seq for w0, w2, w6, w10, w15, and w23 ROs (n = 1 at all stages). RNA-seq data of the developing human retina were obtained from previous study (8). Here, we stained the developmentally regulated gene RECOVERIN (RCVRN) and nuclear receptor subfamily 2 group E member 3 (NR2E3) in developing human retina and ROs as indicators of differentiation from RPCs to photoreceptors (Fig. 1, B and C, and fig. S1, D and E). Our data revealed that RCVRN protein expression emerged at GW14 and w10 in the human retinae and ROs, respectively, with the expression sustained to GW25 and w30. Like RCVRN, the rod photoreceptor marker NR2E3 was shown at GW20 and w15, respectively. These similar expression trends of the photoreceptor markers indicated that RO culture exhibited progressive retinal neurogenesis, as found in the human retinae.

(A) Schematic illustration of the overall experimental designs. Whole human neural retinae and ROs were collected for ATAC-seq (two replicates labeled with asterisk) and RNA-seq (inverted triangle). Development of human retinae and ROs was grouped into early, middle, and late stages and color coded. Immunostaining of GNAT1 in human retinae GW25 and ROs w30 is shown. Nuclei were stained with 4,6-diamidino-2-phenylindole (DAPI). Undiff, undifferentiated; Early, early developmental stage; Mid, middle developmental stage; Late, late developmental stage. Scale bars, 500 m (bright-field images) and 10 m (fluorescence images). PC1, principal component 1; PC2, principal component 2. (B and C) Immunostaining of RCVRN in human retinae (B) and ROs (C). Nuclei were stained with DAPI. NBL, neuroblastic layer; ONL, outer nuclear layer; INL, inner nuclear layer; GCL, ganglion cell layer. Scale bars, 20 m. (D) Heat map of Pearson correlations across all samples using all ATAC-seq peak signals. Relevant developmental stages are labeled with distinct colors as in (A). (E) PCA of chromatin accessibility during human retinal (blue) and RO (red) development in two dimensions. The black dotted arrow indicates the development process of retinogenesis. (F and G) Normalized epigenetic and expression profiles at the RCVRN loci during human retinal development (F) and RO differentiation (G). All signals were obtained from the University of California, Santa Cruz (UCSC) genome browser. (H) qRT-PCR analysis of the expression level of RCVRN (n = 3) during RO differentiation. Data are means SEM. One-way analysis of variance (ANOVA) was performed. ****P < 0.0001.

The ATAC-seq data were analyzed using the ATAC-pipe (19) to obtain the chromatin accessible sites in the developing human retina and RO. Transcription starting site (TSS) enrichment from all samples, aligned fragment length distribution of all samples, and correlation analysis of all the replicate samples indicated high-quality data and excellent reproducibility between replicates (fig. S1, A to C). We also performed correlation analysis of the ATAC-seq peak intensities to define the similarities in chromatin accessibility between the human retinae and ROs (Fig. 1D). The sample replicates were strongly clustered with each other, confirming the high reproducibility of the experiments. Here, except w0 (the undifferentiated hiPSCs), the entire retinal development process can be grouped into three time periods, that is, the early (GW6; w2 to w6), middle (GW10 to GW14; w10 to w15), and late (GW15 to GW25; w23 to w30) stages (color coded in Fig. 1, A and D, and fig. S1F), indicating that human retinae and ROs were developmentally correlated in chromatin accessibility. In addition, the ATAC-seq peaks were also clustered with deoxyribonuclease I (DNase I) hypersensitive site sequencing (DHS-seq) data in day 74 (D74) (DHS-GW11) and D125 (DHS-GW18) retinae produced by the encyclopedia of DNA elements (ENCODE, http://www.encodeproject.org/) project (Fig. 1D). Principal components analysis (PCA) revealed that the development trajectories of the human retinae and ROs were temporally related in two dimensions. Similar results were found by uniform manifold approximation and projection (UMAP) analysis (Fig. 1E and fig. S1F). Together, these findings suggested the developmental relevance between human retinae and ROs. However, note that although ROs and human retinae were clustered together in the middle stage, the two groups were split apart (fig. S1F, light yellow coded with white dot line), suggesting that the epigenetic signatures might be slightly different between human retinae and ROs at this stage.

We next investigated whether chromatin accessibility was related to gene expression changes. As a positive control, we found elevated enrichment of the ATAC-seq and DHS-seq signals at putative promoters and enhancers at the RCVRN gene locus, consistent with the stages when the gene was expressed (Fig. 1, F and G). Moreover, quantitative real-time polymerase chain reaction (qRT-PCR) quantified the expression level of RCVRN in ROs during the differentiation process (Fig. 1H), confirming consistency between the enrichment of RCVRN expression and chromatin dynamics obtained from the ATAC-seq data. In addition, NR2E3 also showed consistency in chromatin accessibility and gene expression dynamics during human retinal and RO development (fig. S1, G and H). Collectively, our data suggested that RO differentiation recapitulated human retinal development to a great extent. On the basis of the chromatin accessibility profile of developing human retina and ROs, we established the maps of the temporal correlation between the human retinae and ROs.

To delineate how epigenomic dynamics governs human retinal development, we applied pairwise comparisons of the ATAC-seq signals of human retinae and ROs at different developmental time points. We discovered 10,563 differential DNA accessible sites across the genome (8805 elements from human retinae and 10,160 elements from ROs) and identified five distinct regulatory element clusters (C1 to C5) via unsupervised hierarchical clustering (Fig. 2A). To understand the functions of these notable differential peaks, we applied Gene Ontology (GO) term enrichment analysis using GREAT v3.0.0 (20). GO analysis of the C1 to C5 cluster peaks revealed three main functional groups for the differential accessible sites: The first functional group included C1 and C2, which were composed of 1636 and 2759 elements, respectively. These peaks were highly accessible in the beginning (GW6 and w0 to w6) but progressively declined with human retinal and RO development. GO analysis identified that these peaks were associated with early retinal development, such as neural tube formation (P < 1 105), neural tube closure (P < 1 105), regulation of neuron differentiation (P < 1 107), and neural precursor cell proliferation (P < 1 106) (fig. S2, A and B). Because C3 consisted of only 478 peaks and showed no enriched GO terms, peaks in C3 were not further analyzed. The second major functional group was C4, which was composed of 3065 peaks. These C4 peaks were accessible from the middle developmental stage (GW10) and sustained to the late stage (GW25) in the human retinae. Strikingly, the C4 peaks were accessible only in the late RO developmental stage (w23 to w30). GO analysis revealed that the peaks in C4 were strongly enriched in nervous system development, including neurogenesis (P < 1 1060) and neuron differentiation (P < 1 1042) (Fig. 2B), suggesting their key roles in retinal neurogenesis. The third functional group was C5, which included peaks that were not accessible in the beginning but were gradually established during the late developmental stage of both human retinae and ROs (GW15 to GW25 and w10 to w30). The C5 group included 2624 peaks enriched in sensory perception of light stimulus (P < 1 108), visual perception (P < 1 107), and photoreceptor cell differentiation (P < 1 106), which represented the functional maturation of the human retinae, especially the photoreceptors (Fig. 2C). Thus, the GO terms from these three functional groups represented the sequential retinogenesis in human retinae, and the classification of chromatin accessibility provided the possibility to define the timing of key developmental events during human retinal and RO development. From the chromatin accessibility data, we observed that in vitro RO differentiation recapitulated the in vivo human retinal development to a great extent. However, note that the peaks in C4 opened later in RO differentiation than those in human retinal development. It is likely that the distinct pattern of C4 provided possible clues to direct RO differentiation closer to human retinae by genetic manipulation of the regulators related to the C4 peaks.

(A) Heat map of 10,563 differential regulatory elements during human retinal and RO development. Each column is a sample, and each row is a peak. Color scale shows the relative ATAC-seq peak intensity centered at the summit of each peak. Distance of cluster peaks to their nearest gene promoters is shown on the right. (B and C) Significant GO terms enriched in C4 (B) and C5 (C) cluster peaks using GREAT v3.0.0. The number of genes enriched in GO terms is shown in the parentheses. (D) Comparison of open-ended DTW analysis between human retinae and ROs. There were 3235 DEGs in humans. Gene expression data were subjected to open-ended DTW analysis, with results plotted as a heat map. (E to H) Violin plot representing the expression level of genes closest to the top 1000 peaks in C1 (E), C2 (F), C4 (G), and C5 (H) during human retinal development showing a variable but positive correlation between chromatin accessibility and gene expression. GREAT was used to annotate peaks to genes. Statistical significance was analyzed with one-way ANOVA. ***P < 0.001, ****P < 0.0001.

We also performed pairwise comparisons of RNA-seq analysis of developing human retina and ROs (fig. S2C). We identified distinct G1 to G4 clusters in the RNA-seq data. Genes in the G1 cluster were associated with early developmental processes, such as cell division, DNA replication, and mitotic cell cycle. G2 genes were associated with axon guidance and regulation of neuron projection development. Genes in G3 were related to visual perception and phototransduction. G4 genes exhibited nonspecific biological processes with retinal development; thus, G4 was not used for further analysis. Therefore, the GO terms (G1 to G3) of RNA-seq data revealed similar sequential retinal development between human retinae and ROs. To further compare the human retinal and RO transcriptome during retinal development, we performed open-ended dynamic time-warping (OE-DTW) analysis (21) of 3235 differentially expressed genes (DEGs) from human retinae (Fig. 2D). We observed a tight temporal correlation between human retinae (GW7 to GW20) and ROs (w0 to w23), confirming that human retinae and ROs shared considerable similarities in gene expression changes. We next examined whether the chromatin signatures in different clusters (C1 to C5) were correlated with the corresponding gene expressions. We chose the top 1000 peaks in each cluster and then applied GREAT to obtain a list of genes regulated by the ATAC-seq peaks and correlated their expression values. By combining the ATAC-seq profiles with the RNA-seq data during retinal development, genes near the loci that gained chromatin accessibility showed significant increases in gene expression levels, whereas genes near the loci that lost chromatin accessibility exhibited decreased expression (Fig. 2, E to H, and fig. S2, D to G), indicating a high correlation between epigenetic and RNA profiling. The correlation between epigenetic and RNA profiling was further analyzed on cell lineage markers, such as PAX6 (retinal progenitor marker), GNAT1 (rod marker), GNGT2 (cone marker), GLUL (Mller cell marker), PROX1 (horizontal cell marker), TFAP2A (amacrine cell marker), and VSX1 (bipolar cell marker) (fig. S3, A to G). Most of the markers showed the similar trends in chromatin accessibility and gene expression during retinal development, suggesting that the chromatin accessibility may govern the gene expression. Together, we observed sequential chromatin changes associated with retinogenesis and correlated with gene transcription; thus, the developmental transitions during retinogenesis can be reflected in the epigenome dynamics.

To identify potential TFs involved in human retinal development, we searched for TFs enriched at accessible sites in C1, C2, C4, and C5 using HOMER v4.8. As accessible DNA sites are often obligated if TFs bind to their cognate DNA motifs, the integration of TF motifs and DNA accessibility data from ATAC-seq can predict TF occupancy on chromatin and thus create regulatory networks (16, 17, 22, 23). Our data revealed distinct patterns of TFs in different clusters. The TFs enriched in the C1 and C2 peaks were identified as potential regulators of early retinal development (fig. S4, A and B). For example, PAX6 is a key regulator for maintaining the multipotency of RPCs (24). SOX3 and RUNX are well known for self-renewal maintenance and morphogenesis (25, 26).

The TFs enriched from C4 and C5 ATAC-seq peaks were identified as critical regulators for neuronal and photoreceptor differentiation, respectively (Fig. 3, A and B). For instance, cluster C4 was enriched with VSX2, SMAD2, and NEUROD1, which are important for retinal neurogenesis (2729). C5 was enriched with OTX2, CRX, and NR2E3, which are key regulators of photoreceptor differentiation. OTX2 is required for RPC differentiation and cell fate determination (30, 31). CRX is a key regulator for the survival and differentiation of photoreceptors (32). NR2E3 is a direct target of NRL involved in rod and cone photoreceptor differentiation in rodents (33). Therefore, the TFs predicted from the ATAC-seq data were highly associated with retinogenesis and differentiation.

(A and B) TF motifs enriched in C4 (A) and C5 (B) peaks, with P values estimated from HOMER v4.8. (C) Predictions of TFs that may regulate human retinal development (left) and RO differentiation (right). TFs known to be involved in regulating retinal development are shown on top (red). The color of each circle represents expression level of genes that encode corresponding TFs, and the size of the circle represents the enrichment of the motifs. Relevant developmental stages are labeled with distinct colors as in Fig. 1A. (D) Visualization of ATAC-seq footprint for motifs of ASCL1, CRX, NFIB, and THRA in four developmental stages of human retinae. ATAC-seq signals across all motif binding sites in the C4 and C5 genome regions were aligned on the motifs and averaged.

Since C4 and C5 peaks were associated with the middle and late stages of retinal development, which were important for neurogenesis and phototransduction, we focused on C4 and C5 to search for previously unknown neurogenesis regulators. One caveat of only using motif analysis for TF prediction is that TFs or TF families can share the same motif; therefore, we integrated motif enrichment analysis by ATAC-seq data and gene expression profiles from the RNA-seq data to better predict the TF occupancy on accessible sites of C4 and C5. At each time point, we plotted the expression value and motif enrichment score on the same figure (Fig. 3C), which showed that many well-known photoreceptor development TFs were highly expressed, and their motifs were enriched at the middle and late stages (GW10 to GW20 and w10 to w23), including CRX, OTX2, ASCL1, and NR2E1. We found TFs NFIB and THRA, which showed similar high expression and motif enrichment at the middle and late retinal developmental stages. NFIB and THRA have not been reported in photoreceptor differentiation. Therefore, to evaluate their involvement in retinal development, we studied all differentially expressed downstream genes containing the binding motifs of NFIB and THRA together with two well-known retinal development regulators (ASCL1 and CRX) as the control (fig. S4C). GO analysis indicated that up-regulated downstream targets of all four factors were involved in retinal development, including visual perception and phototransduction. Thus, NFIB and THRA may participate in the regulation of retinal development.

To further refine our prediction of the potential regulators of retinal development, TF footprint analysis of the ATAC-seq data, which provides evidence of direct occupancy of TF candidates on genomic DNA, was performed. DNA sequences directly occupied by DNA binding proteins are protected from transposition during library construction in ATAC-seq, and therefore, the resulting sequence footprint reveals the presence of a DNA binding protein at its binding sites, analogous to DNase digestion footprints. We illustrated the footprints of two known regulators, ASCL1 and CRX, and observed deeper footprints and higher DNA accessibility flanking their motifs in the late stage compared with the early stage of human retinal and RO development (Fig. 3D and fig. S4D). Notably, the footprints of NFIB and THRA were also deeper and more accessible at the late stage, suggesting that the motifs of these two TFs were not only enriched at stage-specific peaks but also most likely physically bonded to the chromatin accessible sites, indicating that they were possible functional regulators of human retinal and RO development. Collectively, the orthogonal footprint results were consistent with the motif enrichment results, indicating that NFIB and THRA were potential previously unidentified regulators of retinal development.

As ROs were similar to human retinae in gene expression and chromatin accessibility, we used ROs as a model to investigate the potential role of NFIB and THRA during retinal development. We established an electroporation method to efficiently overexpress or knock down target genes in ROs. The outer regions of bright neuroretinal epithelium in ROs were cut into ~500-m (diameter) pieces and placed into cuvettes for electroporation (Fig. 4A). Electroporated RO samples were collected for qRT-PCR or RNA-seq analysis on D10 after electroporation (Fig. 4B). We investigated the function of three genes, CRX, NFIB, and THRA, in retinal development. As a positive control and to test our electroporation system, CRX was knocked down in ROs around w14 and overexpressed around w7. The qRT-PCR results indicated that CRX knockdown (CRX_KD) reduced the expressions of NRL and RAX2, which were targets of CRX related to photoreceptor differentiation (fig. S5A). Conversely, overexpression of CRX (CRX_OE) markedly elevated the expressions of NRL, ARR3, and OPN1SW (fig. S5, B and C). Both CRX_KD and CRX_OE experiments suggested that our system can successfully manipulate gene expression in RO for studying retinal development. GO analysis of down- and up-regulated DEGs of CRX_OE samples suggested that CRX is involved in visual perception (fig. S5, D and E). Thus, these results indicated that we established a reliable gene manipulation system in ROs. Next, specific short hairpin RNA (shRNA) vectors for NFIB or THRA knockdown were electroporated into ROs at ~w14, a time point when NFIB and THRA were expressed. We revealed significantly decreased expression of NFIB and THRA by qRT-PCR or RNA-seq analysis (Fig. 4C and fig. S5, F and G), respectively. To validate the functional knockdown of these two TFs, we next analyzed the expression level of EZH2, a known target of NFIB, and ARNTL, a potential target of THRA. Results revealed that the expressions of EZH2 and ARNTL decreased significantly due to loss of NFIB and THRA, respectively (Fig. 4C and fig. S5G). Notably, we found that a set of photoreceptor-associated genes were down-regulated, including CRX, RHO, and GNAT1, under knockdown of NFIB and THRA, suggesting that NFIB and THRA may be involved in regulating photoreceptor differentiation (Fig. 4, C and D, and fig. S5G). NFIB is highly expressed in fetal cerebral cortex neural progenitor and glial cells and is required for neuronal and glial differentiation in the fetal cerebral cortex (34). Considering that neurogenesis regulation in the CNS is conserved, we selected NFIB for further functional studies. The RNA-seq of NFIB knockdown (NFIB_KD) ROs revealed many down-regulated retinogenesis genes, including GNAT1, NR2E3, and GNGT2 (Fig. 4D). GO analysis of down- and up-regulated genes in NFIB_KD RNA-seq strongly suggested that NFIB was required for retinal development, especially for photoreceptor differentiation (Fig. 4, E and F). In addition, we further used immunohistochemistry to detect the NFIB_KD effect on highly expressed photoreceptor-related protein, RCVRN, between w14 and w15 (Fig. 4G). The quantification results of the relative intensity of RCVRN implied that NFIB_KD reduced the protein expression of RCVRN (Fig. 4H). Similarly, the percentage of RCVRN-positive cells also reduced accordingly in NFIB_KD ROs (Fig. 4I). Together, these data demonstrated that NFIB and THRA were involved in human retinal and RO development. It is possible that NFIB and THRA affected the self-renewal and differentiation ability of RPC to photoreceptors and Mller cells. However, the hypothesis needs to be further investigated.

(A) Schematic illustration of ROs split into small sheets for electroporation. Dotted line represents clipping path. (B) Representative images of RO sheets transfected with reported plasmids 10 days after electroporation. Scale bar, 500 m. (C) qRT-PCR analysis of expression levels of genes after knockdown of NFIB (n = 5). Data are means SEM. (D) Plot representing DEGs between control and NFIB_KD groups. Significantly up- and down-regulated genes (fold change >1.5) are highlighted in red and blue, respectively. (E and F) Significant GO terms enriched in down- (E) and (F) up-regulated genes, respectively, in the NFIB_KD experiment. The number of genes enriched in GO terms is shown in the parentheses. (G) Immunostaining of RCVRN in NFIB_KD ROs and control ROs, respectively. Scale bars, 20 m. (H) Relative intensity of RCVRN signals in the control (n = 366 cells from five independent ROs) and NFIB_KD (n = 135 cells from four independent ROs) groups. (I) Percentage of RCVRN-positive cells in the control (n = 5 independent ROs) and NFIB_KD (n = 4 independent ROs) groups. All statistics by two-tailed Students t test. *P < 0.05, **P < 0.01, ***P < 0.001, and ****P < 0.0001.

To further understand the molecular mechanism underlying NFIB-regulated retinal development, we analyzed the potential NFIB-regulated pathways and related functions by ingenuity pathway analysis (IPA) via comparing the gene expression between NFIB_KD ROs and their control (fig. S6A). The results revealed that phototransduction-associated pathways/functions were enriched in down-regulation genes, further confirming the regulation of NFIB of photoreceptors. Moreover, we examined the potential binding of NFIB to retinal developmentrelated genes. We selected the genes enriched in the highlighted pathways in fig. S6A. We then searched for the binding sites of NFIB in the peak region around these genes. To better determine the possibility of these genes bonded by NFIB motifs, we then define their binding affinities using their signals of footprint flank divided by footprint depth signaling (fig. S6B). The results showed that PROM1 and NR2E3 had high affinity with NFIB motifs. NFIB motifs occupying the gene PROM1 and NR2E3 loci also showed opening chromatin states (fig. S6, C and D); therefore, PROM1 and NR2E3 were potential target genes of NFIB. Overall, NFIB is highly possibly involved in retinal development by regulating photoreceptor-related targets.

TFs often work in a network by cross-talking with each other to regulate gene transcriptions. To establish the potential connection of enriched TFs, we reconstructed a global picture of the TF regulatory networks during human retinal and RO development. First, we used HOMER v4.8 to identify the enriched TFs bound to the C1 to C5 peaks (P < 1 1020). The connections (edges) between TFs were defined as follows: If TF-Xs motif were on the promoter of TF-Y, then TF-X regulated TF-Y, thereby drawing an arrow from TF-X to TF-Y. Here, only TFs distinctly expressed at this time point were considered. On the basis of this rule, we constructed the transcriptional regulatory networks of human retinae (GW6, GW10, and GW20) and ROs (w6, w10, and w23) at the early, middle, and late stages, respectively (Fig. 5, A and B, and fig. S7, A to D). The regulatory networks at the different time points were highly dynamic. For example, the TFs in the GW6 network, including LHX2 and ISL1, which are required for early retinal development (3537), were initially highly expressed. However, during development, the expression and enrichment levels of these TFs were reduced. In contrast, in the GW20 network, many known TFs, such as CRX, NR2E3, and VSX2, were increasingly enriched, confirming their important roles in photoreceptor maturation at the late stage. NFIB and THRA were also enriched in the TF network in the late stage and had connections with other TFs involved in retinal development (Fig. 5, A and B). Since TFs interact with different specific TFs to expand their regulatory repertoire and perform regulatory functions, the edge (connection) counts of each TF may represent its importance in regulating retinal development. To better represent the importance of TFs in a network, we defined the connection score of each node in the network as its edge counts multiplied by the SD of its expression (Fig. 5, C and D, and fig. S7, E to H). For example, TFs with the top connection score, such as VSX2, NR2E3, and CRX, are well-known regulators in retinal development. NFIB and THRA were also observed with high connection score, suggesting that NFIB and THRA are also important in retinal development. The TF networks from the human retinae and ROs were highly correlated from early to late developmental time points (Fig. 5E). However, the TF networks in the middle stage showed relatively lower correlations, which may be due to the distinct C4 chromatin accessibility (Fig. 2A) between human retinae and ROs.

(A and B) Cis-regulatory networks of TFs (nodes) in human retinae GW20 (A) and ROs w23 (B). Circle groups from inner to outer represent different time points. Arrow on edge from node X to node Y indicates that TF-X regulates TF-Y by binding to the promoter site of the latter. Size of each node indicates TF enrichment, and color of each node indicates TF expression levels in that stage. Connection types indicate Pearson correlation between gene expression profiles of connected TFs. (C and D) Ranking of the connection score in human retinae GW20 (C) and ROs w23 (D) networks. The connection score of each node was defined as SD of its expression multiplied by its degree. (E) Similarity of human retinal and RO networks in different developmental stages. We selected GW6/w6, GW10/w10, and GW20/w23 to represent the early, middle, and late stages of retinal development and calculated their similarity score, respectively.

To determine the distinct epigenetic modifications during human and murine retinal development, mouse DHS-seq data at three time points [embryonic day (E14.5), postnatal day 0 (P0) and P7] were downloaded from ENCODE, which can be clustered into five clusters (MC1 to MC5) (fig. S8A). There was no GO term enriched in MC1. The GO terms of MC2 and MC3 showed that they were involved in stem cell proliferation and regulation of cell development, similar to C1 and C2 in Fig. 2A. MC4 was involved in neurogenesis similar to C4, and MC5 was required for visual perception similar to C5. To decipher the similarity between human and murine retinal development in chromatin accessibility, we chose the top 500 peaks in each cluster and then applied GREAT to obtain a list of genes regulated by these ATAC-seq or DHS-seq peaks. The ratio of overlapping genes from human and mouse clusters was calculated (fig. S8B). The results indicated that genes in C1 and C2 were highly overlapped with MC2 and MC3, and genes in C4 and C5 were overlapped with MC4 and MC5.

Then, we coanalyzed human ATAC-seq data or mouse DHS-seq data with chromatin immunoprecipitation sequencing (ChIP-seq) data in the study by AlDiri et al. (9) during retinal development. Eleven chromatin hidden Markov modeling (chromHMM) states (9) were copy used to systematically annotate the epigenetic states across the C1 to C5 (except C3) and MC2 to MC5 regions during retinogenesis (Fig. 6, A and B). State 1 has active epigenetic marks, states 2 and 3 are predominantly enhancers, and state 4 marks bivalent promoters. State 5 is defined by PolII binding, and states 6 and 7 are consistent with gene bodies (H3K36me3). State 8 is a polycomb-repressed chromatin (H3K27me3) outside of the promoter or enhancers. State 9 is empty chromatin, and state 10 marks the H3K9me3-repressed chromatin. State 11 is marked by the insulator protein CCCTC-Binding Factor (CTCF). The results revealed that in murine retinal development, the chromatin accessible sites were mainly regulated by the active promoter/enhancer marks (state 2), whereas the modifications on human genome were diverse. In human retinal development, the active promoter/enhancer marks (states 2 and 3) were involved in C1 and C2 regulation, which progressively decreased during development. States 1 and 4 highly marked C4, and C5 was mainly marked by state 2. It was likely that active epigenetic states were highly associated with chromatin accessibility during both human and murine retinal development. A similar phenomenon was also detected in cell type markers, such as retinal progenitor marker RAX, rod photoreceptor marker NR2E3, cone photoreceptor marker RXRG, and Mller cell marker GLUL (fig. S8C). The peaks from either ATAC-seq or DHS-seq in these markers were mainly modified by active states, such as states 1 and 2, during both human and murine retinal development.

(A and B) Heat map of different ChromHMM state enrichment in each cluster during human (A) and murine (B) retinal development. Each column is a sample, and each row is a ChromHMM state. Color scale shows the relative enrichment. Each state is used to represent the ChromHMM states (rectangle on the right). (C and D) Heat map of H3K4me1, H3K4me3, and H3K27me3 signals for differential regulatory elements in each cluster during human (C) and murine (D) retinal development. Each column is a sample, and each row is a peak region. Color scale shows the relative ChIP-seq peak intensity centered at the summit of each peak. (E) Significant GO terms enriched in bivalent subgroup and H4K4me3-only subgroup peaks using GREAT v3.0.0. The number of genes enriched in GO terms is shown in the parentheses. (F) Violin plot representing H3K4me1 ChIP-seq peak intensity in bivalent subgroup peaks and H4K4me3 subgroup peaks. (G) TF motifs enriched in bivalent subgroup peaks, with P values estimated from HOMER v4.8. (H) Normalized H3K4me3 and H3K27me3 profiles at NFIB and THRA loci during human retinal development. All signals were obtained from the UCSC genome browser.

The bivalent modifications (state 4) marked C4 peak regions specifically in human retinal neurogenesis but not in mouse MC4. To clearly present the dynamic changes of different histone modifications during both human and murine retinal development, we calculated the signals of histone modifications in each cluster (Fig. 6, C and D). The histone modification signals of H3K4me3 and H3K27me3 were enriched in C4 open regions. However, no such notable bivalency modifications were enriched in mouse MC4. These data suggested that the bivalent H3K4me3 and H3K27me3 modifications are distinguished between human and mouse during retinal neurogenesis, which indicate that developing human retina had a more dedicated epigenetic regulation than mouse due to the co-operation of these histone modifications on genome. The bivalent domains were considered to poise the expression of developmental genes, which allowed timely activation while maintaining repression in the absence of differentiation signals (38), matching the critical role of C4 in neurogenesis.

Next, we divided C4 into two subgroups, namely, bivalent subgroup (H3K4me3 and H3K27me3) and H3K4me3-only subgroup, according to the enrichment of different histone modifications in peak regions (Fig. 6E). GO analysis found that the bivalent subgroup was significantly associated with organ development, generation of neurons, and developmental process, suggesting the important role of bivalency in neurogenesis. The H3K4me3-only subgroup was enriched in phosphorylation and guanosine triphosphatase (GTPase)mediated signal transduction, which were involved in general biological process. As expected, we observed H3K4me3-only enrichment in wildly expressed gene PDK2, which functions as a mechanotransducer that stimulates an increase in intracellular calcium in response to fluid flow (39), whereas the bivalent domain of H3K4me3 and H3K27me3 was detected on the developmental gene BMP8B (fig. S8, D and E), further confirming the important role of bivalent domains in neurogenesis. H3K4me1 is one of the critical modifications for neurogenesis (9). Consistent with this, the C4 bivalent subgroup had more H3K4me1 signals than the C4 H3K4me3-only subgroup (Fig. 6F), further confirming the key role of the C4 bivalent subgroup in neurogenesis. Using motif analysis, we predicted the TFs that regulated the motif with bivalency domains (Fig. 6G). Well-known developmental TFs (OTX2/CRX) and proliferation TFs (c-Myc) were enriched in the bivalent subgroup, which are crucial for various regulations of retinal neurogenesis. Since we determined the role of NFIB and THRA in retinal development, we further investigated the histone modifications around their chromatin regions (Fig. 6H). As expected, NFIB and THRA were bivalently modified with H3K4me3 and H3K27me3, further confirming that these factors were involved in retinal neurogenesis. Together, the bivalent histone modifications in C4 were highly associated human retinal neurogenesis but were relatively weak or missing in mice.

We next used GREAT to decipher the key signaling pathways that were differentially activated during human and murine retinal development (fig. S9, A and B). In early human retinal development, the heparan sulfate proteoglycan (HSPG)/fibroblast growth factor (FGF) signaling pathway was enriched. In agreement, the FGF pathway played a number of roles in eye development, including patterning of the optic vesicle, proliferation and differentiation of progenitor cells, and survival of neurons and photoreceptors. Cell surface heparan sulfate (HS) acts as a co-factor for FGF signaling, forming a trimeric complex with FGF and the FGF receptor. It is therefore expected that the HSPG/FGF pathway was discovered in human retinal development. In the early murine development, several known pathways were identified to be involved in retinal development, including Notch, Wnt and E-cadherin pathways. Notch signaling is an important component of RPC maintenance and Mller cell specification during development. Wnt signaling pathway is a known key regulator of optic vesicle establishment, cornea and lens development, and maintenance of retinal stem cell and neuronal specification. Here, histone deacetylase (HDAC) pathway was also emerging as an important regulator for early retinal development in our pathway analysis. Histone acetylation is a posttranslational modification that leads to changes in chromatin structure and transcription repression, which can regulate retinal fate determination. The roles of HDACs in retinal development need further study. In the middle stage of retinal development, pathways including neuronal system, axon guide, and adenylate cyclase activating were enriched. In the late retinal development, we identified a visual transduction pathway, an Na+/Cl-dependent neurotransmitter transporter pathway, and so on, which related with phototransduction or synaptogenesis. The chromatin accessibilities of the genes involved in different signaling pathways matched with their role in retinal development (fig. S9, C and D). The average expression levels of the genes in each pathway were shown, which matched with their functions in retinal development (fig. S9E). Combined, we were able to generate robust genomic, transcriptomic, and epigenomic datasets, which provided a foundation for future studies for retinal development.

Here, we performed a comprehensive assessment of chromatin accessibility and transcriptional changes during human retinogenesis in vivo and in RO differentiation in vitro and revealed stage-specific chromatin dynamics, which regulate human retinogenesis in line with global transcriptional changes. We reconstructed the transcriptional regulatory network and signal pathways regulating human retinogenesis. Notably, we also identified TFs, NFIB, and THRA involved in retinal development, validated by in vitro gene manipulation in the ROs. Therefore, our study provides valuable data for studying human retinal and RO development and a viable framework to optimize in vitro RO differentiation. Moreover, we showed the difference in epigenetic regulation between human and mice. This kind of difference probably contributes gene expression pattern and timing, giving the species difference in retinal development. Therefore, this study gives valuable information to understand species-specific epigenomic regulation.

In our study, we established a temporal-correlation relationship between human retinal and RO development according to epigenetic and transcriptomic profiles (Figs. 1D and 2D). ROs recapitulated the time courses of retinal morphogenesis, retinal neurogenesis, and photoreceptor differentiation of human retinae in the early, middle, and late stages. Hence, our study provided a correlation time frame for the study of stage-specific human retinal development in the RO system. The high transcriptome and chromatic accessibility similarities between human retinae and ROs indicate that ROs are a good model to study human retinal development. Likewise, the human retinal epigenomic and transcriptomic data provide molecular insights for the further improvement of RO differentiation. It is worth noting that the distinct C4 pattern in developing human retina could be related to the complexities of cell types and differential processes in human retinae. Thus, to improve the RO culture, further studies should focus on the DEGs related to C4 particularly.

The transcriptional regulatory networks were reconstructed in both human retinae and ROs. In these networks, we observed many known key TFs for human retinal development, such as OTX2, NR2E3, and ASCL1, which are also critical for retinogenesis in murine. Therefore, the TFs regulating retinal development are conserved among humans, murine, and ROs. We also observed that the TF networks were highly correlated between the developing human retina and ROs, further confirming that the RO system is a good model to study retinal development. Moreover, NFIB and THRA were identified as potential regulators involved in retinogenesis. Thus, the transcriptional regulatory network expands our understanding of molecular regulation during human retinal development. Previous studies have demonstrated that NFIB plays an important role in regulating neural progenitor cell proliferation and differentiation in the cortex (40). Nfib function was very recently verified in regulating cell cycle and the differentiation of late-born retinal progenitors in mice, further supporting our prediction of the function of NFIB, and suggested the reliability of our data analysis (41). In our study, loss of NFIB at the middle retinal differentiation stage reduced the expression of photoreceptor-associated genes. From pathways and motif analysis, we identified that PROM1 and NR2E3 might be the potential targets of NFIB, partially explaining how NFIB regulates human retinogenesis. The thyroid hormone receptors TR1 and TR are encoded by the genes THRA and THRB, respectively. THRB plays important roles in cone photoreceptor development (42, 43). However, whether THRA is also involved in human retinal development remains unclear. In our transcriptional regulatory network, we found that THRA may interact with NR2E3, VSX1, and CRX, which are well-known regulators in retinal development. We also demonstrated the role of THRA in retinal development via RO molecular manipulations. The function of THRA in retinal development, which has not been reported previously, may be due to the compensatory effects of THRB. The genesis of Mller cells and photoreceptors in ROs detected by immunostaining started after w14, around w17 (15). Here, we knocked down NFIB and THRA at ~14-week-old ROs, which mainly contained retinal progenitors but limited cell numbers of Mller cells (RLBP+) and photoreceptors (GNAT1+ or RHO+). Therefore, it is highly possible that NFIB and THRA mainly function in regulating retinal progenitor differentiation, thereby affecting both the photoreceptor and Mller differentiation.

Histone modifications are crucial for the control of gene expression, cell fate decisions, and differentiation. Many chromatin regions in embryonic stem cells and early embryonic development harbor a distinctive histone modification signature that combines the active H3K4me3 and the repressive H3K27me3 marks (44). These bivalent domains are considered to poise the expression of developmental genes, allowing timely activation while maintaining repression in the absence of differentiation signals. Here, in human retinal development, C4 is bivalently modified and associated with human retinal neurogenesis only, demonstrating a fine-tuning on the gene expression that associated human neurogenesis. Thus, these bivalent features in C4 may facilitate neurogenesis via timely gene activation and silencing. Moreover, cross-analysis with ATAC-seq, RNA-seq, and pathway analysis highlighted numerous signaling pathways, which seemed to be differentially activated in retinal development. The differential activation of these pathways is consistent with changes in the expression of key genes in long retinal development, providing potential regulators involved in retinal development. Thus, our data provided a large scope of data sources for further molecular study underlying retinal development.

In summary, we provided a comprehensive view of the chromatin landscapes that accompany human retinal and RO development; established a comprehensive resource for temporal and molecular correlations between human retinal and RO development; discovered TFs for human retinal development; and reconstructed the transcription regulatory network and signaling pathways, which greatly expand our understanding of human retinal development and provide a roadmap for further studies.

Human embryo collection was approved by the Reproductive Study Ethics Committee of Beijing Anzhen Hospital (2014012x). All embryos were obtained with written informed consent signed by the patient who had made the decision to legally terminate her pregnancy. Informed consent confirmed that the patients were voluntarily donating embryos for research on human embryonic development mechanisms with no financial payment. The deidentified fetal retinae were collected with patient informed consent in strict observance of the legal and institutional ethical regulation approved by the Institutional Review Board (ethics committee) at the Institute of Biophysics, Chinese Academy of Sciences. All samples used in these studies had never been involved in previous procedures (drugs or other tests). All protocols followed the Interim Measures for the Administration of Human Genetic Resources administered by the Chinese Ministry of Health.

Fetal retinae were collected in ice-cold artificial cerebrospinal fluid, which included 125.0 mM NaCl, 26.0 mM NaHCO3, 2.5 mM KCl, 2.0 mM CaCl2, 1.0 mM MgCl2, and 1.25 mM NaH2PO4 (pH 7.4), bubbled with carbogen (95% O2 and 5% CO2). Retinae were gently cut into small pieces, and tissue samples were centrifuged for 5 min at 500g at room temperature (RT). The supernatant was removed followed by the addition of 900 l of 0.25% trypsin-EDTA (Thermo Fisher Scientific, 25200114) with 5 l of DNase I (Thermo Fisher Scientific, EN0521) for digestion for 15 min at 37C. Shaking and gentle pipetting were performed at 5-min intervals. We added 100 l of fetal bovine serum (FBS; Thermo Fisher Scientific, 10270) to stop digestion. Samples were centrifuged and washed with 1 ml of Dulbeccos phosphate-buffered saline (DPBS; Thermo Fisher Scientific, 14190250). We collected ~50,000 cells for ATAC-seq and ~1 million cells for RNA-seq.

The BC1eGFP (enhanced green fluorescent protein) (45) hiPSC line was obtained from L. Cheng (Johns Hopkins University, Baltimore, MD, USA), with verified normal karyotype and was contamination free. hiPSCs were maintained on Geltrex-coated plates (Thermo Fisher Scientific, A1413302) with TeSR-E8 medium (STEMCELL Technologies, 05940) in a 37C, 5% CO2 humidified incubator. Cells were passaged with ACCUTASE (STEMCELL Technologies, 07920) every 4 to 5 days at ~70% confluence, and autodifferentiated cells were marked and mechanically removed before passaging. We added 10 M Y-27632 (STEMCELL Technologies, 72304) into the TeSR-E8 medium on the first day after passaging.

The hiPSC line was induced to differentiate into ROs, as described previously (15). Briefly, on D0, hiPSCs were treated with dispase (STEMCELL Technologies, 07923) until the edges of the clones began to curl, after which they were scraped into small pieces and cultured in suspension with mTeSR1 medium (STEMCELL Technologies, 05850) and 10 M blebbistatin (Sigma-Aldrich, B0560) to induce aggregate formation. Aggregates were gradually transitioned into neural induction medium (NIM) containing Dulbeccos Modified Eagle Medium/Nutrient Mixture F-12 (DMEM/F-12) (Thermo Fisher Scientific, 11330), 1% N2 supplement (Thermo Fisher Scientific, 17502), 1 MEM Non-Essential Amino Acids Solution (NEAA) (Thermo Fisher Scientific, 11140), heparin (2 g/ml; Sigma-Aldrich, H3149), and 1% antibiotic-antimycotic (Thermo Fisher Scientific, 15240) by replacing the medium with a 3:1 ratio of mTeSR1/NIM on D1, 1:1 on D2, and 100% NIM on D3. On D7, aggregates (average size of 250 50 m) were seeded onto Geltrex-coated dishes containing NIM at an approximate density of 10 aggregates/cm2 and switched to retinal differentiation medium (RDM) on D16 containing 70% Dulbeccos Modified Eagle Medium (DMEM) (Thermo Fisher Scientific, 11965) and 30% Hams F-12 Nutrient Mixture (F-12) (Thermo Fisher Scientific, 11765) supplemented with 2% B27 supplement (Thermo Fisher Scientific, 12587010), 1 NEAA, and 1% antibiotic-antimycotic. On D28, the neural retina domains were manually detached with a sharpened Tungsten needle under an inverted microscope and then collected and cultured in suspension in RDM. On D42, RDM was transitioned into retinal maturation medium (RMM) containing 60% DMEM, 25% F-12, supplemented with 10% FBS (Thermo Fisher Scientific), 100 M taurine (Sigma-Aldrich, T0625), 2% B27, 1 NEAA, 1 GlutaMAX supplement (Thermo Fisher Scientific, 35050), and 1% antibiotic-antimycotic. We freshly added 1 M retinoic acid (Sigma-Aldrich, R2625) to the RMM when the medium was changed twice a week.

Human retinae were fixed in 4% paraformaldehyde (PFA; Sigma-Aldrich, 16005) for 2 hours at RT, and ROs were fixed in 4% PFA for 30 min at RT. All samples were washed in DPBS (three times for 10 min), dehydrated with a sucrose gradient (15% for 30 min at RT and 30% overnight at 4C), and embedded in Tissue-Tek OCT Compound (Sakura, 4583) for freezing. Samples were sectioned (10 m unless otherwise stated), air dried for 1 hour, washed in DPBS (three times for 10 min), blocked in 10% bovine serum albumin (BSA; Sigma-Aldrich, B2064) in DPBS with 0.25% Triton X-100 (Sigma-Aldrich, T9284) for 1 hour at RT, and incubated with a primary antibody in 10% BSA in DPBS with 0.25% Triton X-100 at 4C overnight. The next day, slides were washed in DPBS (three times for 10 min) and incubated with corresponding species-specific Alexa Fluor 568 or Alexa Fluor 647conjugated secondary antibodies (1:500; Thermo Fisher Scientific, A-11036 and A-21245, respectively) in DPBS for 2 hours at RT. The slides were incubated in 4,6-diamidino-2-phenylindole (DAPI) (1:1000; Thermo Fisher Scientific, D1306) in DPBS for 5 min, washed in DPBS (three times for 10 min), and cover slipped. Primary antibodies against the following proteins were used at the indicated dilutions: GNAT1 (1:200; Santa Cruz Biotechnology, sc-389), RCVRN (1:100; Millipore, AB5585), and NR2E3 (1:100; R&D Systems, PP-H7223-00). Fluorescence images were acquired with an LSM 800 confocal microscope (Zeiss).

shRNA sequences of targeted genes (table S1) were synthesized by Tsingke Biological Technology and cloned into shRNA expression vector pAAV-U6-shRNA-CMV-mKate2-SV40, and pAAV-U6-shRLuc-CMV-mKate2-SV40 vector with luciferase shRNA (gtgcgttgctagtaccaacttcaagagagttggtactagcaacgcactttttt) was used as control. The complementary DNA (cDNA) of the CRX gene for overexpression was cloned into the pEF1-cDNA-IRES2-mKate2 vector, and the pEF1-IRES2-mKate2 vector without CRX cDNA was used as control. Primers used are listed in table S1. High-quality vectors were extracted using the NucleoBond Xtra Maxi EF Kit (Macherey-Nagel, 740424.50), with a final concentration of 1 g/l used for electroporation. In all experiments, electroporation was performed on both control and experimental groups. ROs for electroporation were manually cut into ~500-m (diameter) pieces under an inverted microscope, equally distributed to both control and experimental groups, and resuspended in the Human Stem Cell Nucleofector Kit 1 (Lonza, VPH-5012). Ten pulses of electroporation were performed on both sides of the small balls under the following parameters: square wave, 35 V, 1 Hz, and 5% duty.

Total RNA was isolated from samples with TRIzol (Thermo Fisher Scientific, 15596018) and converted into cDNA with a PrimeScript RT Master Mix (TaKaRa, RR036A). FastStart Essential DNA Green Master (Roche, 06924204001) was then used for qRT-PCR analysis, with RNA-seq performed on an Illumina HiSeqXten-PE150. Primer sequences for qRT-PCR are shown in table S1.

ATAC-seq was performed as described previously (11, 46). Briefly, a total of 50,000 cells were washed twice with 50 l of cold DPBS and resuspended in 50 l of lysis buffer [10 mM tris-HCl (pH 7.4), 10 mM NaCl, 3 mM MgCl2, and 0.1% (v/v) NP-40 substitute (Sigma-Aldrich, 11332473001)]. The suspension of nuclei was then centrifuged for 10 min at 500g at 4C, followed by the addition of 50 l of transposition reaction mix (10 l of 5 TTBL buffer, 4 l of TTE mix, and 36 l of nuclease-free H2O) of TruePrep DNA Library Prep Kit V2 for Illumina (Vazyme Biotech, TD501). Samples were then incubated at 37C for 30 min. DNA was isolated using the QIAquick PCR Purification Kit (QIAGEN, 28106). ATAC-seq libraries were first subjected to five cycles of preamplification using NEBNext High-Fidelity 2X PCR Master Mix (New England Biolabs, M0541S). To determine the suitable number of cycles required for the second round of PCR, the library was assessed by qPCR as described previously (11) using NEBNext High-Fidelity 2X PCR Master Mix with SYBR Green I Nucleic Acid Gel Stain (Thermo Fisher Scientific, S7563) and then PCR amplified for the appropriate number of cycles. Libraries were purified with the QIAquick PCR Purification Kit. Library quality was checked using the High Sensitivity DNA Analysis Kit (Agilent, 5067-4626). Last, 2 150 paired-end sequencing was performed on an Illumina HiSeq X-10.

FASTQ files were evaluated for quality control using FastQC (v0.11.5) (www.bioinformatics.babraham.ac.uk/projects/fastqc/). Sequence alignment was performed using STAR (v2.5.2a) with reference assembly hg19. We estimated gene expression levels using reads per kilobase of transcript per million mapped reads (RPKM) values. DEGs were filtered by an RPKM value of >5 for one stage and an absolute value of log2 fold change >1 between any two groups. GO analysis was performed using David v6.8. The RNA-seq data of the developing human retina were obtained from the previous study (8), and we defined D52/D54, D57, D67, D80, D94, D105, D115, D125, D132, and D136 as GW7, GW8, GW10, GW11, GW13, GW15, GW16, GW18, GW19, and GW20.

Primary data were processed as described previously (19). In simple terms, we removed adapter sequences and then mapped reads to hg19 using Bowtie2. The PCR duplicates and chromosome M were removed. The uniquely mapped reads were shifted +4/5 base pair (bp) according to the strand of the read. All mapped reads were then extended to 50 bp centered through the cleavage position. Peak calling was performed using MACS2 with options - f BED -g hs, -q 0.01, --nomodel, --shift 0.

ATAC-seq data quality was comprehensively studied in the previous work (17). Briefly, we used several parameters to evaluate data quality, including number of raw reads, overall alignment rate, final mapped reads, final mapped rate, percentage of reads mapped to chromosome M, percentage of reads mapped to repeat regions (black list), percentage of reads filtered out by low MAPQ score, percentage of PCR duplicates, TSS enrichment score (reads enriched at 2 kb around TSS versus background), and read length distribution.

Peak calling was performed using MACS2 from all sample reads. The number of raw reads mapped to each peak at each condition was quantified using the intersectBed function in BedTools. Raw counts in peaks were normalized using the DESeq package in R. Peak intensity was defined as the log2 of the normalized counts. Samples were then grouped into 17 categories (30 samples; RO: w0, w2, w4, w6, w10, w15, w23, and w30; human retina: GW6, GW10, GW11, GW12, GW14, GW15, GW20, GW24, and GW25). First, to remove the genomic regions dominated by hiPSCs, we compared peaks between RO w0 and other time points (w2 to w30) to remove peaks with log2 fold change >1 on w0 and SD <1 on other time points. Significance analysis was then performed by pairwise comparison with eight categories of RO samples and nine categories of human retinal samples using DESeq with P < 0.01, false discovery rate (FDR) < 0.01, log2 fold change >1, and intrinsic analysis with z score >1. We lastly obtained 10,563 differential accessible peaks. We used the long-distance peaks (located 1 kb outside the TSS of the gene) to calculate the correlation between samples. Unsupervised clustering was performed using Cluster 3.0 and visualized in Treeview. GO and other enriched functions of cis-regulatory regions were performed with GREAT.

Intrinsic analysis followed the steps described in the previous research (10). We defined correlation matrix C, where Cp,q is the Pearson correlation between samples p and q where all peaks were included. Similarly, we defined correlation matrix Ci, where Cip,q is the Pearson correlation between samples p and q where all peaks except for peak i were excluded. We defined delta matrix, deltaCi = C Ci. We defined wbScorei = average (deltaCireplicates) average (deltaCinonreplicates). Replicates were defined as samples at the same time point, and nonreplicates otherwise. For peak i, the greater the wbScorei, the less variance the peak intensity was within the replicates and the greater variance within nonreplicates. We then calculated the average and SD of all wbScore (from I = 1 to N). We defined z score = (wbScorei average (wbScorei=1,N))/SD (wbScorei=1,N).

Details of protocols and standards for DHS-seq are described by ENCODE (www.encodeproject.org/). All replicates of DHS-seq samples were combined before analysis for the D74 (DHS-GW11) and D125 (DHS-GW18) time points. The Bowtie2 algorithm was implemented to align the reads to the human (hg19) reference genome (with option --very-sensitive). PCR duplicates, reads mapped to repeated regions, and chromosome M were removed.

To correlate the developmental stages between human retina and RO, we applied OE-DTW analysis (21). DTW is a popular technique for comparing time series. The rationale behind DTW is that given two time series, they should be stretched or compressed locally to make one resemble the other as much as possible. We used the R package DTW on expression profiles of human retinal development spanning from GW6 to GW25. The analysis was performed on the 3235 genes from the human RNA-seq data to find an optimal alignment between the human retinal and RO development.

The TF motif enrichment analysis was performed using HOMER with options: findmotifs.pl input.fa fasta output. To obtain genes that may be regulated by a certain TF, we overlapped all the binding site of TFs with the open sites. Genes with TF binding sites in the promoter region were then considered to be possible regulated genes.

For footprint, we adjusted the read start sites to represent the center of the transposons binding. Previous descriptions of the Tn5 transposase show that the transposon binds as a dimer and inserts two adaptors separated by 9 bp. Therefore, we modified the reads aligned file in the SAM format by offsetting +4 bp for all the reads aligned to the forward strand and 5 bp for all the reads aligned to the reverse strand. We then converted a shifted base SAM file to the BAM format and had the BAM file sorted using SAMtools. We overlaid TF binding sites with reads in each sample of the C4 and C5 peak regions. We then averaged the overlaid read counts of a 150-bp genomic region centered by the motif sites for motif footprints.

To study the regulatory mechanisms of TF NFIB, we predicted the potentiality of NFIB to bind to retinal-related genes. First, we selected a total of 35 genes enriched in the highlighted term in fig. S6A. We expanded each gene with the upstream of TSS by 10 kb and the downstream of gene transcription termination site by 5 kb. Next, we overlapped the binding site of NFIB in the peak regions of our ATAC-seq with extended gene regions. To better compare the possibility of these genes bonded by the NFIB motif, we calculated the flanking accessibility and the footprint depth of the motif binding regions. This is based on previous work (47). We first defined two key relative positions: (i) The footprint base is the region encompassing the very center of the motif and is defined as a motif binding site, and (ii) the footprint flank is the region immediately adjacent to the TF binding site and is defined as the region between the end of the footprint base and 100 bp away from the motif end. The accessibility of the motif region and the flank region was calculated. The higher value for footprint depth and the lower value for flanking accessibility indicate strong factor occupancy. We defined binding potential = flanking accessibility/footprint depth to characterize the binding potential of a gene region.

To map the regulatory network throughout the retinal developmental process, we selected human GW6, GW10, and GW20 and RO w6, w10, and w23 to represent the early, middle, and late stages of retinal development, respectively. According to Fig. 2A, we assigned motifs enriched in the C1 and C2 to the early stage and motifs enriched in C4 and C5 to the late stage. Because the development of ROs in the middle stage appeared to be slower than that of the human retina in C4, we assigned motifs enriched in C2 and C4 to the human middle stage and motifs enriched in C2 to the RO middle stage. First, we used HOMER to find the TFs that were bound to each cluster (P < 1 1020). A TF with a higher gene expression level on a time point than the average expression of all time points was considered as a member of the regulatory network of this time point, and then we constructed a transcriptional regulatory network. We defined the promoter region of TF-Y as going from the upstream 10 kb to the downstream 1 kb of TSS. If TF-X binds to the promoter of TF-Y, then we assumed that TF-X regulates TF-Y. The size of each node indicates the TF enrichment in that stage, and the color of each node indicates the TF expression in that stage. The correlation between TF-X and TF-Y expression (CX,Y) was calculated: CX,Y > 0.5, positive correlation; CX,Y < 0.5, negative correlation; 0.5 < CX,Y < 0.5, no correlation. We defined the connection score of each node in the network as its edge counts multiplied by the SD of its expression. To measure the extent of consistency between human retinae and ROs, we compared the similarities of their regulatory networks. We defined similarity score: S = 1 D (D = 0.5 N/M + 0.5 (I 0.5)/J), where D values represent differences between human retinae and ROs over the same time period. The differences in regulatory networks come from two aspects. One is that the two regulatory networks share some common TFs, so we used the ratio of the different connections (N) and all connections (M) in the same TF to represent this difference. The other is derived from the different TFs. We divided half the number of different TFs (I) by the number of all TFs (J). We assumed that they may share the same contribution to differences in regulatory networks; therefore, we multiplied the respective coefficients by 0.5.

DHS-seq data for mouse retinae (E14.5, P1, and P7) from ENCODE (www.encodeproject.org/) were analyzed. The Bowtie2 algorithm was implemented to align the reads to the mouse (mm9) reference genome (with option --very-sensitive). PCR duplicates, reads mapped to repeated regions, and chromosome M were removed. After peak calling and DESeq normalization, significance analysis was then performed on adjacent time points with P < 0.01, FDR < 0.01, log2 fold change >2. We lastly obtained 8967 differential peaks. Unsupervised clustering was performed using Cluster 3.0 and visualized in Treeview. GO and other enriched functions of cis-regulatory regions were performed with GREAT. To identify chromatin states, we used the ChromHMM software (v.1.06) according to the previous paper (48). Neighborhood enrichment command was used to calculate the enrichment of different chromatin states in cluster peak regions.

We calculated the signals of H3K4me3 and H3K27me3 modifications in each peak of C4 at GW13 and GW14. We defined average signals of a modification (m) in one peak region (g) as S (mg). If S (mg) > 1, then the peak region g enriched modification m. We divided the peaks of C4 into two subgroups, namely, H3K4me3-only subgroup and bivalent subgroup according to the enrichment of different histone modifications in peak region. If a peak region simultaneously enriched with both modifications of H3K4me3 and H3K27me3, then the peak is in a bivalent state, and if enriched with the H3K4me3 but not H3K27me3 modification, then the peak is H3K4me3-only state.

We extracted the fluorescence intensity of RCVRN by ImageJ software, following the ImageJ User Guide. Corrected total cell fluorescence (CTCF) of each calculated cell (mKate2+ cells and mKate2-RCVRN+ cells) in the same slice was compared with the mean CTCF of mKate2-RCVRN+ cells to normalize the CTCF between different slices. The normalized CTCF of mKate2+ cells in both the control and NFIB_KD groups was compared with the mean of the normalized CTCF of mKate2+ cells in the control group, and then the relative intensity of the RCVRN in each cell was obtained.

Statistical significance was analyzed with unpaired two-tailed t tests or one-way analysis of variance (ANOVA). A value of P < 0.05 was considered statistically significant. *P < 0.05, **P < 0.01, ***P < 0.001, and ****P < 0.0001. Data are presented as means SEM as indicated in the figure legends. All statistical analyses were performed in GraphPad Prism v7.00.

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What will the US look like in 2030? | Articles – telegraphherald.com

Posted: February 9, 2020 at 6:43 am

Having written for various publications for the past 30 years, I have for the most part avoided extending predictions or trends beyond the coming year or two.

But as we close out the decade and move into the new, Ive taken some time to reflect on the past 10 years and look ahead to what I believe are exciting things to come.

Making predictions might be best summarized by being either naive or foolish. Perhaps today, you get a bit of both. But I believe these technological advancements will significantly impact our lives during the next decade.

AI is growing at a pace perhaps not previously seen in human history.

Not only will AI impact the obvious areas predictive analytics and computer-assisted living devices in the home and workplace but even more critically in the field of medicine.

Humans, by 2030, will be helped through computer-assisted living.

Just as contact lenses can monitor diabetic insulin levels, AI will lead to a host of invasive and non-invasive sensors to collect and interpret tens of thousands of human body data points. The information can be shared against a database of millions of other patients to detect anomalies (while never compromising individual privacy).

The shared economy taking root in health care will enable AI to make determinations faster and more mobile.

AI will detect potential issues long before the patient feels sick. And it also will enable providers to create custom treatment plans specific to each patient and his or her symptoms based on the best outcome of treatment by aggregating the non-identifiable data of millions of other individuals.

Lab-grown meat is a dangerous prediction, being both from Iowa and personally loving a quality steak.

That said, with a population that could reach almost 9 billion by 2030, lab-grown meat (from the stem cells of real animals) has the chance to:

Reduce the environmental impact of raising animals.

Reduce the energy input required to raise a pound of fresh meat.

Use tiny spaces to grow significantly large quantities that can feed the world especially calorie-rich food products in countries where raising animals is not a viable option.

The U.S. could be a laggard in this regard, but lab-grown meat has the potential to play a significant role in feeding the world.

The smartphone, or the smart device we carry, will become the go-to for all things technology.

During the next 10 years, we will continue to see the mass deployment of thousands, if not tens of thousands, of micro-satellites that will enable individuals to be as connected to the web as if they were at their desktop at the office regardless of world locale.

The phone will continue to play a less and less significant role in the device. Added features will help run the household, collect volumes of health-related data points and, coupled with AI, suggest products, services and appointments based on complex algorithms.

By 2030, we will indeed have a significant time-saving device at our disposal. Think Siri and Alexa to a power of 10.

Higher education will see a considerable shift in delivery during the upcoming decade.

Some futurists predict as many as 50% of all higher education schools could close, merge or reinvent themselves before 2030. While I believe this prediction is high, I see higher education undergoing the most radical reinvention it has endured since its modern-day existence.

School debt is not sustainable. And some large countries are reporting wages for new graduates to be marginally better than the monthly earnings of unskilled labor.

The upcoming decade will press higher education to deliver knowledge and skills that are immediately transferable to the workplace, and job-training programs will continue to expand. Four-year brick and mortars will continue to be challenged by three-year online programs and, in some cases, 2.5-year programs.

Open-source education will gain increased value with employers by 2030. The cost will put downward pressure on the amount of time necessary to obtain an undergraduate, graduate and terminal degree.

Finally, be prepared to say goodbye to dozens of Fortune 500 companies.

The staying power of a Fortune 500 company has never been shorter. We are in a period of massive disruption.

A dozen or more of the top 100 companies in 2030 have yet to form as a company. And some of the names we trust and hold dear will quietly work their way into obsolescence.

Change is constant, and these predictions highlight the speed at which businesses, organizations and people are expected to change.

Todd Link is Senior Vice President of Risk Management and Remote Delivery at Dupaco Community Credit Union in Dubuque.

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Is this what farmers have been waiting for? – Country Guide

Posted: February 9, 2020 at 6:42 am

In the past 25 years, the agricultural landscape has seen several significant changes, from the advent of herbicide-tolerant crops to precision agriculture systems and soil supplements. Many were dubbed game changers when they were introduced, and were glad to have them all, but they also met with unexpected issues like weed resistance, or they didnt evolve as fast as expected for other reasons.

The science of genetic alterations RNAi silencing or CRISPR (Clustered Regularly Interspaced Short Palindromic Repeats) technology has also come with great potential for improving plant breeding and enhanced traits. But it too has its challenges, including regulatory agencies in Canada.

The field of genomics is still in a state of growth as it searches for the best ways to enhance plant performance and productivity. At the same time, regulatory agencies are still haggling over definitions and applications. When is a genetic manipulation a plant novel trait (PNT)? When is the precautionary principle impairing scientific discovery to its detriment?

Epigenetics has been around for decades but its only been recently that researchers have started to manipulate it for field crop advantages, including the development of plants capable of withstanding stress such as drought, heat or cold.

Although there are questions surrounding the reaction of Health Canada or the Canadian Food Inspection Agency (CFIA), one U.S. researcher has uncovered a world of potential for this form of genetic manipulation.

Epigenetics is defined as the study of heritable changes in gene expression that do not involve changes to the underlying DNA sequence. In effect, it changes gene expression without altering the genetic makeup of the plant. These changes occur naturally and often in an organism. In humans, as we know, genes can be silent during childhood, then be activated as a person ages, and vice versa.

Another example is that some genes are active in an eye cell, for example, yet are completely silent in a kidney cell. Epigenetics is the vehicle for different tissues taking on specialized functions.

In plants, epigenetics can oversee alterations that shift reactions from normal growing conditions to ones that adapt to more stressful conditions, such as drought or cold tolerance. A control point for influencing these epigenetic traits was recently discovered in the plant gene MSH1, a discovery made by Dr. Sally Mackenzie and her colleagues in 2012. Mackenzie had been studying the role of the mitochondria that are responsible for respiration and energy generation in plant cells, trying to understand their influence on plant fertility and their ability to disrupt pollen development.

It was only later that we found out that MSH1 operates not just in mitochondria but in a different compartment: the chloroplasts, says Mackenzie, a professor of biology and plant science at Penn State University. That compartment has an ability to trigger epigenetic changes, and it was purely serendipitous that we discovered this, and we were off and running in a totally different direction.

Dr. Sally Mackenzie (right) with PhD candidate Hardik Kundariya (centre) and Dr. Xiaodong Yang (left) at work in the laboratory.photo: Courtesy Dr. Sally Mackenzie, Penn State University

In effect, her method silences the MSH1 gene in plants growing under normal conditions. Because of this, the plant behaves as though its growing under stressful conditions and it activates compensatory mechanisms that allow it to cope with temperature, drought and pathogen stress.

Manipulating these reprogrammed plants through crossing or grafting results in higher yields and greater resilience.

In a one-year trial with an elite tomato variety, Mackenzie saw a 29 per cent yield boost under ideal conditions. Researchers have also seen striking gains in tomato plant resilience under heat stress conditions in the field.

Mackenzie believes that genetic enhancements under less-than-ideal conditions will result not only in better yield stability, but also enhanced resilience in the plant.

Although the MSH1 gene was originally cloned in 2003 for mitochondrial research, it wasnt until 2011 that Mackenzie and her lab colleagues made the discovery about its influence on chloroplasts. Since then, shes successfully applied the MSH1 method to sorghum, tomato and soybeans for enhanced field performance, and has begun greenhouse work in canola and strawberries. Shed also like to test alfalfa for increasing above-ground biomass, as well as grapes, various tree crops, cotton and potatoes, although for that she requires more funding.

Theres an urgency to Mackenzies work, as she believes agriculture isnt adjusting rapidly enough to really address climate change.

In the next 30 years, its clear that crop production strategies will have to adapt, but there isnt a lot invested in what that process should look like, Mackenzie says. Im hoping that people will reflect on the idea that epigenetics is one tool that we havent had in our toolbox that might offer, not a full solution, but at least one potential remedy. I worry that were going to keep our strategies the same and were going to get caught with larger losses each year when that flood or that drought comes, and we havent come up with crops that have a level of resilience to tolerate those changes.

The method by which these genetic manipulations can occur allows for two different breeding approaches. The first and the fastest is to graft an MSH1-modified line as rootstock to an unmodified line and harvest the seed from that combination. The modification has been introduced already, so imparting a genetic enhancement occurs by the next generation. The second approach is through conventional crossbreeding.

In crops that can be grafted, which would apply to soybeans, tomatoes and any dicot species as well as grapes and tree crops, it works wonderfully, and thats the most rapid way to introduce the method, says Mackenzie. There are lots of crops that offer something valuable to our studies as we find out how much impact this system can have on any individual crop that has the cultivation properties. Potatoes would be great because theyre vegetatively propagated, so once you carry out the manipulation and find the perfect crop features, you can propagate that in perpetuity because they never go through seed.

If breeders dont get serious about climate change, the losses in crops like soybeans may be catastrophic, Mackenzie says.photo: Supplied

Although shed like to work with wheat and corn, the two crops present different challenges, over and above sufficient funding. The wheat genome is a polyploidy, so it is unclear how effectively the current gene silencing method would work. On the corn side, she concedes theres reluctance within the sectors research and breeding efforts to focus on much aside from yield and the current F1 hybrid model. She notes that recent yield improvements in corn have been largely due to increased plant densities.

To me, that is not a long-term strategy, but as long as the industry is fixated on that, I dont see them looking for innovations in other areas, says Mackenzie. And because theyre so recalcitrant to change, weve been slower to move into corn.

The one constraint to introducing methods designed to stabilize yield in the face of climate instability (instead of just increasing yield) is that the industry is not yet open to novel, out-of-the-ordinary breeding strategies for stability. Newer methods, like MSH1, must conform to the standard breeding protocols within each crop. If the tomato sector uses a hybrid, then the method has to be hybrid-ready; if its a plant that breeders dont want to graft, then Mackenzie has to shift to crossing.

Often, they will only consider a method that gives them a predetermined yield gain, which doesnt consider yield stability as equally valuable, she says. While this is certainly the decision of an industry partner, it does imply that there is not yet a true sense of urgency regarding climate change.

The good news on epigenetic discovery is in its acceptance from a regulatory standpoint. According to Mackenzie, the standard practice when dealing with an agency such as the Animal and Plant Health Inspection Service (USDA-APHIS) is to fill out a submission form, send it in and await a decision. With her epigenetics method, APHIS representatives asked her to address their officers in person.

The technology we were using was so distinctly different from anything theyd ever evaluated that they needed to make sure they understood what we were doing, explains Mackenzie. I was in front of that panel for more than two hours, with question after question.

The ultimate question was, What exactly would we regulate? Mackenzies response was, Precisely.

Epigenetic changes in plants are constant. The only difference is the way Mackenzie induces it. The modified plant would be indistinguishable from a plant thats under extreme stress.

This isnt something you could regulate even if you wanted to, insofar as there isnt a genetic change that occurs, and although gene expression is altered, many of the alterations naturally occur in a plant thats under stress, Mackenzie says. How do you say that a plant undergoing these gene expression changes under stress is compositionally different from a plant where were creating that stress using this manipulation?

Its why the panel concluded there wasnt anything to regulate, since there hasnt been a tangible change in the crop to follow. Mackenzie reasons that if that same conversation played itself out in Canada, regulators might come to the same conclusion.

But it will take leadership, says Mackenzie. Part of the regulatory terrain has been complicated by the fact that various aspects of CRISPR and other cisgenic technologies are just now coming out, and until the dust settles on all of that, were kind of in limbo also.

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Failed pivotal study? You can still have breakthrough therapy status FDA signals to Resverlogix – Endpoints News

Posted: February 9, 2020 at 6:42 am

A small Canadian biotechnology company has convinced the FDA to reward its sole experimental drug breakthrough therapy status as a preventative therapy for major adverse cardiac events, despite a failed late-stage study.

Last September, Calgary, Alberta-based Resverlogix Corp said its investigational apabetalone did not meet the main pivotal study goal of reducing major adverse cardiovascular events (MACE) defined as cardiovascular death, non-fatal myocardial infarction, and stroke when added to standard care in patients with type II diabetes, recent acute coronary syndrome, and low HDL cholesterol.

Apabetalone is a selective inhibitor of the BET family of proteins that play a role in the regulation of cell growth, differentiation, and inflammation. BET inhibition is an epigenetic mechanism and the drug is designed to restore biological functions, altered by serious illnesses, back to a healthy state.

If DNA is the hardware, epigenetics is the software. DNA contains the code that dictates what cells do while epigenetic changes modulate the effect of those messages, like a dimmer switch telling cells which proteins to make more of and where to limit protein production.

Detailed data from the 2,425-patient, placebo-controlled Phase III trial dubbed BETonMACE were disclosed in November. The results showed the MACE findings on the apabetalone arm were 10.3%, while the placebo patients chalked up 12.4% (p = 0.11). All other secondary goals, apart from stroke, favored the drug but did not induce a statistically significant effect.

Kausik Ray, the BETonMACE study chair and professor of public health and consultant cardiologist at Imperial College London, suggested that while apabetalone was not found superior to placebo the drug only just missed statistical significance and it appeared that the trial was a bit underpowered to show a benefit due to lower than expected event rates.

Given the promising signswe think this (drug) holds considerable promise, and perhaps a slightly larger study with a few more events would allow us to assess more robustly whether this drug will provide a 20% treatment effect in this patient population, he said in an interview with the American Heart Association.

As for Resverlogix, it is convinced the experimental therapy works. On its website the company says:

From data collected in our clinical trials, we now know that apabetalone through its effects on epigenetics benefits multiple processes which contribute to the onset and worsening of disease. This is consistent with observed reductions in major adverse cardiac events (MACE) in study participants. Patients who take apabetalone have fewer heart attacks, strokes, and cardiac-related deaths.

On Monday, the FDA granted the drug breakthrough status in combination with standard care for the secondary prevention of major adverse cardiac events in patients with type II diabetes mellitus and recent acute coronary syndrome.

Heart disease the leading killer in developed nations (although cancer is catching up) is a lucrative battleground for drugmakers big and small, although the field is littered with failure.

Resverlogix is also testing apabetalone in patients with Fabry disease.

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The power of prayers – The New Indian Express

Posted: February 9, 2020 at 6:42 am

Express News Service

There is so much we can do beyond medicine for our health and well-being. Let medicines do their work but, there are plenty of other tools that can improve our quality of life. One such tool is prayer, provided it is done the right way. Neither do you have to be a religious person nor do you need to visit a religious place to do a prayer. This is about honest spirituality and true prayer is free from all of this.

How do prayers work: Everything is energy. The food you eat, the water you drink, the air you breathe. We ourselves are a bundle of energy. We can create bad or good energy. Prayer done with a clean heart and intentions helps generate good energy or change the bad energy into good energy. So, imagine the amount of good energy you can create by praying and how that can be channelised for healing.

Prayers can affect us at a genetic level: They have the ability to awaken certain emotions in our system that has the ability to turn on and turn off certain genes. Our lifestyles have a huge role to play here. While clean lifestyle habits can turn on genes that have the ability to repair and heal you, unhealthy lifestyle habits can turn on genes that can bring about sickness and diseases. This is called epigenetics, where epi stands for the environment and how it can control the functionality of a certain gene. For example: watching a clip of a funny video, movie or a good laugh with friends can turn on over 700 genes that are related to our immune system. But a drag, anxious and angry lifestyle can also turn off those same 700 genes thereby dampening your immunity. Prayers work in a similar way, by evoking positive emotions in us that has the capacity to activate the good genes.

Why do most patients who have gone through their journey of cancer turn to spirituality? There are some who never ever prayed in their life but have now come down to praying heavily. What changes? Well, as the mysteries of life unfold and the journey gets challenging, most individuals tend to go through intense emotions of love, lost love, relationship issues, unforgiveness, anger and shifting their focus towards spirituality and prayer asking for safety and recovery. And it doesnt take a disease to lead to this. As kids and teens, visiting holy places disinterest us, then as we grow older, we gradually move to read holy books and spend time chanting. Some people experience this transition early in life and some later.

We go wrong when spirituality is practiced as a fad and we add more complexity to it. Prayers are not any other to-do list activity in your day. If you pray, let those prayers and their teachings slip into your daily life. The three most essentials when it comes to prayers is Faith, Belief, and Surrendering. So many of us pray fervently almost daily, visit different religious places, but are still anxious and worried about the very problems they prayed for. Instead, pray with utmost faith and belief and just surrender the outcome. Above all, keep practicing your prayers till you build so much faith that there is no room for fear.

The simplest prayer: The simplest one could be to offer gratitude and count your blessings. It doesnt have to be a prayer for God. Prayer in any form, if done with faith and belief, counts. For example: Thank you for blessing the air that we breathe, the food that we eat and the water that we drink. Just because the results of prayers arent immediate doesnt mean its not powerful. The power of this simple act is immense, free and we mustnt take for granted what is free. Sometimes when life hits us through any challenge, financial, emotional, physicalall we need to do is step back, pray and ask for help. Teach this to your kids too.

The author is a Mumbai-based holistic lifestyle coach

Luke Coutinho

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Nostalgia and its male icons overpower purpose and sadvertising at the Super Bowl – The Drum

Posted: February 8, 2020 at 4:50 pm

As the backdrop of geopolitical uncertainty gets another coat of paint, the majority of the Super Bowls advertisers relinquished their obsession with purposeful advertising in favor of pure, often familiar entertainment. But the problem with nostalgia is the past tends to skew male.

Every client is putting out briefs about saving the world right now, one agency chief told me early last week, as we were predicted what last nights commercial breaks would look like.

Wed already had a peek at spots from Audi (saving the climate), Google, (saving memories) and the NFL (saving lives) and it looked like we were in for another night of somberly purposeful marketing, complete with slow-motion shots, violin-heavy orchestration and home movie archive footage.

But as the ads rolled out in order last night, we were proven wrong. Its advertisers appeared to have realized they might have an easier job of cheering up the world rather than saving it.

Whats the surest way of raising a smile? Bill Murray. Jeep waited until the last minute to throw down its A-list ace a genius 1994 Groundhog Day throwback predicated on casting one of Hollywoods most irreverent stars.

But the 20th century nostalgia kicked off well before the fourth quarter break.

Cheetos had resurrected MC Hammer in the form of an anthropomorphic picnic blanket, Snickers had (kind of) modernized Cokes Hilltop for the era of the deathly selfie and Mountain Dew recreated The Shining with an aspartame-laden substitute for blood.

Squaresquare inexplicably had poor Winona Ryder lying prostrate in the Minnesota snow.

But Ryder, who played the absurd weirdo against her spots reliable cop antagonist, was an anomaly of solo female talent in a year dominated by throwbacks. Sure, 90% of ads included women up from 74% last year but the problem with throwing back to the past is the past tended to relegate women to supporting parts.

So, when the industry compiles its top 10 creative, it shines a spotlight on the joy brought by Bill Murray and Bryan Cranston and MC Hammer and Martin Scorsese and Sam Elliott and and Jimmy Fallon and Sly Stallone.

And because the power of memory is a shortcut to emotion, we hold those stars and their ads in higher esteem to the modern ubiquity of Chrissy Teigen, Maisie Williams, Sofia Vergara and Busy Phillips.

There were exceptions, of course. Ellen DeGeneres, who effortlessly blurs the lines of throwback and contemporary female talent, added star quality to an already well-scripted, well-conceived and well-produced Amazon Alexa ad. Rachel Dratch was arguably the secret comic weapon in Hyundais much-praised Smaht Pahk.

And then there was Microsoft, an advertiser that stuck with sincerity and won. It wrote its entire commercial around Katie Sowers, the NFL's first female and first openly gay coach who spoke straightforwardly about her dreams and challenges.

In a sea of funny testosterone, the authentic story stood out of the pack to be named the most emotionally effective ad of last nights commercialpalooza, according to System1. It was complete with slow-motion shots, violin-heavy orchestration and home movie archive footage, and proved that in harder times, audiences do not want to merely be entertained.

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8 States Are Trying to Make the Medical Treatment of Trans Kids a Crime – VICE

Posted: February 8, 2020 at 4:50 pm

Getting puberty blockers wasnt easy for Quinncy Parke. After first coming out to their parents as gay before they came to terms with being nonbinary, Parkea high school student in Sioux Falls, South Dakotahad to see a specialized psychiatrist in order to be diagnosed with gender dysphoria. It took at least five long visits before Parke received a referral to an endocrinologist.

Parke and their family met with the endocrinologist several times to discuss treatment options for gender dysphoria, including whether puberty blockers were appropriate. Puberty blockers are a medication that delays the onset of puberty until a young transgender or nonbinary person is old enough to make their own decisions about their lived gender. The drug suppresses the flow of hormones that aid in sex development, and it allows more time for transgender youth to consult with doctors and medical experts about who they are, without permanent changes to their bodies.

Parke was certain that puberty blockers were what they wanted, which meant they had to undergo all these tests to move forward with the medication. I think I got blood drawn, like, three times, Parke recalled. This may seem like a small thing, but for Parke, this was huge. According to their mother Kim, Parke has absolutely hated needles ever since they were very young. Quinncy used to hide under the chair when we would go to the doctor to get your normal shots, Kim said.

A mishap with insurance created yet another roadblock, but finally Parke got their medication after six months of constant hoop-jumping. Every step was drawn out, and every time it seemed like we had to go through somebody else, Parke said.

A new bill in South Dakota is poised to make that ordeal even more difficult. Introduced in the legislature on January 14, House Bill 1057 would make it illegal for licensed physicians in the state to provide gender-affirming care for transgender youth; this includes including prescribing puberty blockers or performing medically necessary surgeries in consultation with the patients parents and in accordance with existing best standards of care. The charge would be classified as a Class 1 misdemeanor which could result in a maximum sentence of up to one year in prison and a fine of $2,000.

The South Dakota House of Representatives approved the legislation last Thursday, and H.B. 1057 is expected to receive a hearing in front of the Senate Health and Human Services Committee. It could end up being voted on by the full Senate as soon as next week. Should the GOP-controlled Senate approve the bill, its headed to the desk of Republican Gov. Kristi Noem, who has not said whether or not she would sign the bill.

If H.B. 1057 passes, South Dakota would be the first state to restrict the type of medical care to trans and nonbinary youth. But South Dakota is not an outlier: According to the LGBTQ advocacy group Freedom for All Americans, at least seven other states have introduced legislation that would either criminalize medical providers or subject them to loss of licensure for providing medication or surgery to treat gender dysphoria for minors. These include Colorado, Florida, Illinois, Oklahoma, and South Carolina. Proposed bills in Missouri and New Hampshire go so far as to classify gender-affirming care as child abuse.

Supporters of the legislation say these proposals are necessary to ensure that young people do not make decisions that are too big for them to comprehend. Republican Fred Deutsch, the author of South Dakotas bill, characterized his legislation as protection from criminal acts against vulnerable children who are too young to understand the impact. He also compared gender-affirming surgeries on trans kids to Nazi experiments.

Im the son of a Holocaust survivor, he told the anti-LGBTQ advocacy group Family Research Council in a radio interview. Ive had family killed in Auschwitz, and Ive seen the pictures of the bizarre medical experiments. I dont want that to happen to our kids. And thats whats going on right now.

Deutsch later apologized for the comments, but opponents of the bill say his remarks exemplify the disinformation being spread about medical care for transgender and nonbinary youth. Research shows trans children know their gender from a very young age, typically between 18 months and three years, said Dr. Colt Meier St. Amand, a licensed psychologist and an adjunct assistant professor at the University of Houston. This is why the American Academy of Pediatrics and several other medical groups support gender-affirming care for trans kids as a safe, effective method of treatment.

This is a very core, early developmental piece of a person, St. Amand said. This is not like when people say, Oh, this is a teenager and everything's a phase.

While conducting the research for his 2013 dissertation at the University of Houston, St. Amand surveyed more than 100 people between the ages of 16 and 54 who had recently started taking testosterone and asked if they had any regrets related to their transition. Nearly every single respondent told him there wasnt anything they would have done differently, except for a small handful who expressed some remorse. When St. Amand followed up to ask the outliers why they felt that way, they said they wished they knew that gender-affirming care was an option for them earlier. One called it the best decision of his life, St. Amand said.

Parents with trans and nonbinary kids say having access to medical treatments like puberty blockers is critical for their childrens wellbeing. Debi Jackson, a mother in Kansas City, Missouri, said that her 12-year-old daughter, Avery, cried tears of joy the day she was able to begin taking the medication. I'm so relieved that I don't have to be afraid to look in the mirror every single day to see if I'm growing facial hair, Jackson remembered her daughter saying. I don't have to see if my Adam's apple is growing.

Jackson said the difference in her daughter was like night and day. The emotional trauma she was going through just in anticipation of puberty and what her body might do was so overwhelming that getting the blockers lifted that weight off her, she recalled. The release was beautiful to see.

Avery has since started hormone therapy to go through puberty with her female peers, and Jackson said she has only continued to blossom. It's just this confidence about her, Jackson said. I know a lot of people are afraid. They think kids at this age aren't mature enough to make these decisions for the rest of their lives, but it really did make her a stronger and more proud person.

In addition to being a lifeline for kids like Avery, medications like puberty blockers have been used for decades to treat gender dysphoria with extremely few side effects, said Dr. Jack Turban, a resident physician in psychiatry at the Massachusetts General Hospital. Among the most common is loss of some bone density, which is why he says that doctors usually recommend after a few years that patients begin medically transitioning by taking prescribed estrogen or testosterone so that the bones can develop further. If a young person decides that option isnt right for them, the blockers can be stopped, and the adolescent would continue developing in accordance with the gender they were assigned at birth.

Turbanwho studies the mental health of transgender youthsaid studies overwhelmingly indicate the benefits of affirming the gender identity of trans adolescents. In a groundbreaking report published in the journal Pediatrics last month, his team surveyed 20,619 people and found that access to treatment options like puberty blockers greatly reduced an individuals risk of suicidal ideation.

In medicine, there is broad consensus that affirming transgender youth results in good mental health and trying to force children to be cisgender results in bad mental health, Turban said. Unfortunately, this message doesnt seem to have made it to all of the state legislators in our country.

So while Deutsch insists that his bill intends to protect young people from harm, parents and LGBTQ+ advocates worry these bills would have the opposite effect. Susan Williams, executive director of the youth advocacy group Transformation Project, commissioned a survey earlier this year on the rate of suicidal ideation among trans and nonbinary young people in South Dakota. Nationally, around 40 percent of this population say they have attempted to take their own lives, and in South Dakota, it was even higher: 50 percent. If [Gov. Roem] signs this bill, its pretty obvious that rate will go up, Williams said .

Even if the bill fails in the Senate, Williams said the legislatures perennial obsession with trans bodies is still damaging. Last year, South Dakota came perilously close to passing a bill to force transgender student-athletes to play on sports teams in accordance with the gender they were assigned at birth, rather than their lived identity. The legislation died by just one vote in the state Senate. In 2016, former Gov. Dennis Daugaard vetoed an anti-trans bathroom bill after it passed both the state House and Senate.

Williams says these close calls weigh heavily on the young people she works withincluding her son, who is 13. I run the support group for these trans youth and their families, she said. We see higher depression and anxiety [during the winter legislative session]. Even my own son, I thought he was holding it together OK, and a few days into [the session], he just broke down sobbing and saying, Why? Why does this happen every year?

Jackson said the impact of a bill like South Dakotas in her home state of Missouri would be devastating. She predicted that preventing doctors from treating trans young people is going to cause a black market and an underground system for parents desperate to make sure their children get the care they need. Jackson and her husband have already discussed getting an apartment over state lines in Kansas to avoid being labeled child abusers under Missouris version of the bill. A charge of child abuse or neglect is a class D felony in her state, punishable by up to seven years in prison.

Were really worried about depression kicking in again, as she was so relieved to be able to have puberty blockers and to know that she would be able to have hormone therapy, Jackson said. Now all of that is in question again and she almost feels powerless to stop it.

Its unclear, for now, what will happen next, but its telling that Noem, who said she would have signed the bathroom bill that Daugaard vetoed, has expressed a few concerns about HB 1057. When you take public policy and try to fill parenting gaps with more government, you have to be very careful about the precedent youre setting, she told the Argus Leader, a Sioux Falls newspaper, on Friday. Thats really the viewpoint Im looking at it through.

Although Parke wont be directly affected by the fate of South Dakotas bill because hes over the age cutoff, they testified last week before lawmakers to help demystify the fear and misinformation surrounding puberty blockers. If theres one drawback about the medication, aside from the occasional hot flash, its that Parke has to continually confront that nagging fear of needles. Because its an injection, not a pill, Parke has to go to the doctor every month to get a shot. The first time Parke received the injection, they recalled full-on [passing] out on the floor, but its gotten better over time.

During the last doctors visit, Parke admitted they jumped a little bit when the needle was being injected, though. It's not as bad once you get used to it, Parke said. I knew it was going to be unpleasant because I hate needles so much. It still is unpleasant, but its a second of discomfort for a months worth of happiness.

Parke has been taking the medication for just nearly four months but said theyre already feeling so much better. Before beginning treatment, Parke could only go an hour, or maybe two, without experiencing the anxiety and stress that commonly accompany gender dysphoria; now Parke can go days at a time without old feelings resurfacing.

The emotional change has been noticeableit's hard to describe, they said. My body finally feels like my body.

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Birds of Prey is the first good female superhero movie – The Week Magazine

Posted: February 8, 2020 at 4:50 pm

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A movie like Birds of Prey is no longer a novelty. Female-fronted action films have been par for the course for years now, with more on the way: Wonder Woman 1984, Black Widow, even a lady James Bond movie. Finding a way to market each installment as a historic "first" has, consequently, meant getting creative: Birds of Prey, for example, is described as "[DC's] first live-action and R-rated female-driven team-up title."

But even if it's safe to say that female superheroes have arrived, it's been a clumsy landing. Both DC and Marvel have fallen into the trap of presuming that a movie is feminist just by virtue of having a woman superhero's name in the title, failing to put in the work that takes a movie beyond mere pandering. Studios shouldn't get brownie points just because they're finally realizing that women can be comic book fans, too. That's why Birds of Prey, out Friday, is different than the rest of the crop: Unlike the movies that paved its way, it doesn't pander or condescend. It simply performs.

Functioning as a loose sequel to 2016's notoriously bad Suicide Squad (you don't need to have watched it first), Birds of Prey and the Fantabulous Emancipation of Harley Quinn is the pet project of actress Margot Robbie, who also produced the film and has said in interviews that she kickstarted the movie because the franchise's initial film failed to give her character, Harley, her due. With only the briefest of references to the first film, Birds of Prey begins with Harley torn up over her breakup with the Joker and suddenly vulnerable as his protection over her lifts. At once, all the baddies in Gotham have a bone to pick with Harley, who manages to save her neck from the wrath of one, the Black Mask (Ewan McGregor), only by promising to retrieve a diamond that serves as a key to an offshore fortune. There's just one problem: The diamond has been ingested by a 13-year-old master pickpocket named Cassandra Cain (Ella Jay Basco).

Harley may only be the latest in a long line of female superheroes and villains to grace the big screen, but Birds of Prey feels like the first of these films to truly respect its audience. Historically, these women tended to be written and portrayed in all their impossible proportions and impractical outfits for male eyes. More recent "badass" protagonists, like Lara Croft or Catwoman, still relied on appealing to men: "Calling a woman ... 'badass' is a way to signify that she's cool or relevant because she's acting like a man (specifically, an aggressive, swaggering one)," journalist Charlotte Druckman once put it to NPR. For decades, this has been the case; female superheroes have been "super" because they're "not like other girls." But why can't they be?

Today's female-fronted action movies have attempted to distance themselves from the decades that were spent sexualizing the characters: Wonder Woman's Diana is a somewhat nerdy girl-next-door, and the lady Avengers are hyper-competent. But gestures toward "feminism" usually run out there, even in films like Captain Marvel and Wonder Woman, which are celebrated as the standard-bearers of the genre. As Thrillest's Emma Stefansky writes in her essential piece on the topic: "It's not that Captain Marvel presents itself as such an inexorably, overwhelmingly female experience, but the 'female' experiences it addresses are little more than #MeToo buzzwords." At worst, such attempts to pander to women become downright insulting; of Captain Marvel, Vulture wrote "when it comes to gender politics, the film doesn't say much that couldn't fit in a shoe commercial." But when critics have dared to point out that such movies are simplistic and not very good, they've been accused of being bad allies, or worse, lumped in with the sexist fanboys who decry anything that doesn't meet their testosterone threshold.

Truth be told, Birds of Prey would have been the last movie I'd expect to get female-fronted action right, in part because Harley Quinn was initially the epitome of male fantasy. In Suicide Squad, director David Ayer leaned into using Robbie as a hyper-sexualized version of the Batman universe villainess, replete with shots of her bending over in bikini bottoms or shimmying out of a T-shirt. "She oozed sex, fully embodying a disturbing trope the crazy hot chick," wrote Syfy Wire. Birds of Prey reels back that image. Harley still has zany outfits and mismatched shoes, but one needs to look no further than the promotional images to see the difference; most often she is shown in a gold romper that goes down to her ankles, with a hot pink crop top beneath. The rest of her squad are also basically fully clothed; the Huntress (Mary Elizabeth Winstead) even wears what looks like a practical sports bra (notice that only one character in the promotional picture used at the top of this article even has cleavage). To explain this dramatic departure from Suicide Squad, Birds of Prey's costume designer, Erin Benach, simply told Vogue: "That's what happens when you have a female producer, director, writer."

Additionally, while many superhero movies still ground their female protagonists in romantic partnerships, Birds of Prey is all the more radical because Harley Quinn doesn't end up with a lover. In fact, she isn't romantically involved with anyone in the entire 109-minute runtime. Also unusual, Birds of Prey is "the only female-led superhero film [in the modern era] that isn't a prequel or a period piece," notes Polygon, suggesting that part of the reason might be because movies about characters like Captain Marvel and Black Widow "are still an afterthought. Their movies don't push the overall storyline forward, but instead are made to fit into gaps [in male characters' sagas] where they won't affect anyone else." On the contrary, Birds of Prey lives up to the emancipation suggested in its full title by going so far as to definitively establish that the Joker isn't needed for the franchise to continue (somewhere, Jared Leto is weeping).

The movie instead centers on Harley's relationship both with the women around her she isn't a woman on a team of men, like so many of her forebears, but a woman on a team of women as well as her relationship with the women in the audience. Birds of Prey is narrated in a direct address, and while it never singles out who it's talking to, it has a chatty, confessional tone that assumes female camaraderie. And in other ways, the writing and directing is regularly on a frequency that excludes male viewers. That can be subtle, like the way Dinah (Jurnee Smollett-Bell) watches out of the corner of her eye as a man takes interest in an inebriated Harley. Other times it's explicit: Harley, when pondering what the Black Mask's grievance with her might be, wonders if it's simply because she has a "vagina." Harley's team also pointedly looks nothing like, say, the women Avengers or Charlie's Angels; one actress is 13, while Rosie Perez, who plays Gotham City Police Detective Renee Montoya, is 55. Still, even Renee gets an equal standing on the team, complete with a sexy bulletproof corset obviously a rarity for a woman in an action movie who is any older than about 35.

Birds of Prey isn't perfect. At times, it still falls into the trap of confusing "badass" with "feminist." Harley still fights in a very traditionally "macho" way, even if the canisters she fires from her gun are loaded with glitter. And despite the female director, screenwriter, and producer, Harley can on occasion be brushed by the male gaze, including the way a running motif of her eating a ham and cheese breakfast sandwich plays into the "fetishization of thin women eating total garbage food."

What Birds of Prey is, though, is the only time I've not felt talked down to by a comic book movie that purports to be feminist.

That's a big first. And it won't be the last.

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