Table of contents


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Editorial

New Year's resolutions p1

doi:10.1038/nm0109-1

Here are a few of the things that Nature Medicine is looking forward to during 2009.


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News

Challenges anticipated in removal of stem cell restrictions p3

Stu Hutson

doi:10.1038/nm0109-3



A pipe dream becomes reality p4

doi:10.1038/nm0109-4b


HPV researchers set sights on preventing skin cancers p5

Simon Grose

doi:10.1038/nm0109-5a


Report details scientific self-censoring p5

Genevive Bjorn

doi:10.1038/nm0109-5b


News in brief pp6 - 7

doi:10.1038/nm0109-6


Straight talk with...Mervyn Turner pp8 - 9

Prashant Nair

doi:10.1038/nm0109-8

In recent years, pharmaceutical giants have overcome challenges to innovation by collaborating with small biotechnology firms. These partnerships not only accelerate drug discovery but also help large companies survive competition in the market for generic drugs. Last month, New Jersey–based Merck & Co. announced that the company is launching its own division, Merck BioVentures, to develop generic versions of 'biologics', drugs commonly produced by living cells. Merck acquired some of the technology for the new division by fostering precisely such ties with smaller firms.

Merck's newly appointed chief strategy officer, Mervyn Turner, has overseen many of those partnerships during his 23 years at the company. Turner, who holds a doctorate in stereochemistry from Sheffield University, UK, joined the pharmaceutical giant in 1985 as director of its biochemical parasitology unit. He has since led part of Merck's basic and applied research and supervised all of the licensing of research conducted outside the company. Turner spoke with Prashant Nair about the future promise of drug development and about how pharmaceutical companies can cope with the current economic downturn.


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News Feature

Mended Armor pp10 - 13

Laura Spinney

doi:10.1038/nm0109-10

A growing body of evidence supports the idea that some infectious diseases have a heritable component, a notion put forth by none other than Louis Pasteur. As scientists begin to catalog the genetic changes that predispose people to specific illnesses, they are also exploring how to prevent sickness by replacing the missing parts of the immune system's defensive armor. Laura Spinney reports.


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Book Review

A chemical physicist in biology p15

Judith Goodstein reviews Max Perutz and the Secret of Life by Georgina Ferry

doi:10.1038/nm0109-15


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News and Views

Moving neurons back into place pp17 - 18

Geraldine Kerjan & Joseph G Gleeson

doi:10.1038/nm0109-17

Mental retardation and epilepsy can result from the aberrant migration of neurons during development. An experimental treatment in prenatal mice restores normal patterns of migration and eases symptoms (pages 84–90).

See also: Article by Manent et al.


Mesenchymal stem cells combat sepsis pp18 - 20

Alan Tyndall & Vito Pistoia

doi:10.1038/nm0109-18

A new approach to the treatment of sepsis relies on the infusion of mesenchymal stem cells, multipotent cells used experimentally to treat a range of medical conditions. In mouse models, the cells seem to reprogram immune cells that can contribute to sepsis (pages 42–49).

See also: Article by Németh et al.


bold gamma-secretase inhibitors: Notch so bad pp20 - 21

Gerard C Grosveld

doi:10.1038/nm0109-20

gamma-secretase inhibitors inhibit Notch, a transmembrane receptor that drives many cases of T cell acute lymphoblastic leukemia—but there are safety concerns with such drugs. Combining these inhibitors with glucocorticoids could provide a more effective and safer approach (pages 50–58).

See also: Article by Real et al.


Fixing a failed vaccine pp21 - 22

Steven M Varga

doi:10.1038/nm0109-21

A trial of a childhood vaccine against a common respiratory virus went terribly wrong in the early 1960s. Instead of protecting children, the vaccine exacerbated disease in response to infection. We now have a better understanding as to why (pages 34–41).

See also: Article by Delgado et al.


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Community Corner

Cancer stem cells are everywhere p23

doi:10.1038/nm0109-23


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Between Bedside and Bench

Rescuing a failing heart: putting on the squeeze pp24 - 25

David A Kass

doi:10.1038/nm0109-24

Numerous drugs have been invented to counteract heart failure, but some have not lived up to their initial promise. As David Kass explains, the development of drugs to increase cardiac contractility has been particularly frustrating—but failure is also leading to new biological insights and new experimental approaches. Mark Anderson and Peter Mohler explore new ways of targeting calcium-mediated signaling in the heart—with a focus on combating heart failure by targeting 'local' forms of signaling in heart muscle.


Rescuing a failing heart: think globally, treat locally pp25 - 26

Mark E Anderson & Peter J Mohler

doi:10.1038/nm0109-25


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Research Highlights

Research Highlights pp28 - 29

doi:10.1038/nm0109-28


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Brief Communication

Decreased levels of microRNA miR-122 in individuals with hepatitis C responding poorly to interferon therapy pp31 - 33

Magdalena Sarasin-Filipowicz, Jacek Krol, Ilona Markiewicz, Markus H Heim & Witold Filipowicz

doi:10.1038/nm.1902

Studies of hepatitis C virus replication in cell culture have suggested that certain microRNAs are required for efficient virus replication and that they may be involved in the antiviral effect of interferon. A study in humans infected with the virus provides a new perspective.


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Articles

Lack of antibody affinity maturation due to poor Toll-like receptor stimulation leads to enhanced respiratory syncytial virus disease pp34 - 41

Maria Florencia Delgado, Silvina Coviello, A Clara Monsalvo, Guillermina A Melendi, Johanna Zea Hernandez, Juan P Batalle, Leandro Diaz, Alfonsina Trento, Herng-Yu Chang, Wayne Mitzner, Jeffrey Ravetch, José A Melero, Pablo M Irusta & Fernando P Polack

doi:10.1038/nm.1894

A formalin-inactivated vaccine from the 1960s against respiratory syncytial virus (RSV) failed to protect children. Although scientists thought that its failure resulted from formalin disruption of protective antigens, it is now shown that it resulted from low antibody avidity for protective epitopes after poor Toll-like receptor (TLR) stimulation. RSV vaccines could therefore become effective by including TLR agonists in their formulation (pages 21–22).

See also: News and Views by Varga


Bone marrow stromal cells attenuate sepsis via prostaglandin E2–dependent reprogramming of host macrophages to increase their interleukin-10 production pp42 - 49

Krisztián Németh, Asada Leelahavanichkul, Peter S T Yuen, Balázs Mayer, Alissa Parmelee, Kent Doi, Pamela G Robey, Kantima Leelahavanichkul, Beverly H Koller, Jared M Brown, Xuzhen Hu, Ivett Jelinek, Robert A Star & Éva Mezey

doi:10.1038/nm.1905

Mesenchymal stem cells have therapeutic effects in various different models of disease, but how they work is not always clear. Eva Mezey and her colleagues now propose that such cells may prove beneficial in sepsis—and they work by reprogramming innate immune cells (pages 18–20).

See also: News and Views by Tyndall & Pistoia


bold gamma-secretase inhibitors reverse glucocorticoid resistance in T cell acute lymphoblastic leukemia pp50 - 58

Pedro J Real, Valeria Tosello, Teresa Palomero, Mireia Castillo, Eva Hernando, Elisa de Stanchina, Maria Luisa Sulis, Kelly Barnes, Catherine Sawai, Irene Homminga, Jules Meijerink, Iannis Aifantis, Giuseppe Basso, Carlos Cordon-Cardo, Walden Ai & Adolfo Ferrando

doi:10.1038/nm.1900

Notch signaling has a crucial role in T cell acute lymphoblastic leukemia (T-ALL), but gamma-secretase inhibitors (GSIs), which block the Notch pathway, cause intestinal toxicity that limits their use. Adolfo Ferrando and his colleagues now report that glucocorticoids can reverse the gut toxicity of GSIs, and GSIs can restore sensitivity of T-ALL cells to glucocorticoids, suggesting that this combination may have clinical utility in T-ALL and other diseases (pages 20–21).

See also: News and Views by Grosveld


MACC1, a newly identified key regulator of HGF-MET signaling, predicts colon cancer metastasis pp59 - 67

Ulrike Stein, Wolfgang Walther, Franziska Arlt, Holger Schwabe, Janice Smith, Iduna Fichtner, Walter Birchmeier & Peter M Schlag

doi:10.1038/nm.1889

Early identification of individuals with colorectal cancer who are at high risk of metastasis might help guide treatment choice and improve outcome. Stein et al. now report that MACC1, a previously undescribed gene, is a prognostic indicator of colorectal cancer and describe its role as a transcriptional regulator of MET, which encodes the hepatocyte growth factor receptor and promotes metastasis of a variety of cancers.


A stroma-related gene signature predicts resistance to neoadjuvant chemotherapy in breast cancer pp68 - 74

Pierre Farmer, Hervé Bonnefoi, Pascale Anderle, David Cameron, Pratyakasha Wirapati, Véronique Becette, Sylvie André, Martine Piccart, Mario Campone, Etienne Brain, Gaëtan MacGrogan, Thierry Petit, Jacek Jassem, Frédéric Bibeau, Emmanuel Blot, Jan Bogaerts, Michel Aguet, Jonas Bergh, Richard Iggo & Mauro Delorenzi

doi:10.1038/nm.1908

Identifying factors that influence response to cancer chemotherapy is crucial for improving its efficacy. Mauro Delorenzi and his colleagues report that a stromal gene expression signature predicts resistance to a commonly used chemotherapy regimen in individuals with estrogen receptor–negative breast tumors. These findings underline the potential of the tumor microenvironment to modulate tumor phenotype and the clinical response to treatment.


A new type of ERK1/2 autophosphorylation causes cardiac hypertrophy pp75 - 83

Kristina Lorenz, Joachim P Schmitt, Eva M Schmitteckert & Martin J Lohse

doi:10.1038/nm.1893

Mitogen-activated protein (MAP) kinases are known to promote cardiac hypertrophy, but how upstream hypertrophic signals induce these kinases to cause hypertrophy has not been clear. Lorenz et al. now uncover a new mechanism of MAP kinase activation and demonstrate the crucial role that this mechanism has in the hypertrophic response.


Dcx reexpression reduces subcortical band heterotopia and seizure threshold in an animal model of neuronal migration disorder pp84 - 90

Jean-Bernard Manent, Yu Wang, YoonJeung Chang, Murugan Paramasivam & Joseph J LoTurco

doi:10.1038/nm.1897

Aberrant neuronal migration during development leads to defects in cortical development and to an increased seizure susceptibility. Now, Joseph LoTurco and his colleagues show that it is possible to re-invoke neuronal migration perinatally in rodents and reposition neurons into their correct cortical location (pages 17–18).

See also: News and Views by Kerjan & Gleeson


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Letters

Neurotoxic autoantibodies mediate congenital cortical impairment of offspring in maternal lupus pp91 - 96

Ji Y Lee, Patricio T Huerta, Jie Zhang, Czeslawa Kowal, Eva Bertini, Bruce T Volpe & Betty Diamond

doi:10.1038/nm.1892

Children born to mothers with lupus have a higher rate of learning disorders. Now, in mouse studies, Betty Diamond and her colleagues show that neurotoxic antibodies found in mothers with lupus are transferred to the brains of their offspring. This leads to abnormalities in cortical formation during development and in cognitive function when the pups become adults.


Disrupting functional interactions between platelet chemokines inhibits atherosclerosis in hyperlipidemic mice pp97 - 103

Rory R Koenen, Philipp von Hundelshausen, Irina V Nesmelova, Alma Zernecke, Elisa A Liehn, Alisina Sarabi, Birgit K Kramp, Anna M Piccinini, Søren R Paludan, M Anna Kowalska, Andreas J Kungl, Tilman M Hackeng, Kevin H Mayo & Christian Weber

doi:10.1038/nm.1898

The chemokines CCL5 and CXCL4 promote monocyte recruitment to atherosclerotic plaques. Recent findings in vitro have shown that heteromerization of CCL5 and CXCL4 increases their potency in stimulating monocyte adhesion and chemotaxis. Koenen et al. now show that this heteromerization has functional consequences in vivo. Treatment of atherosclerotic mice with a cyclic peptide that specifically disrupts the CCL5-CXCL4 interaction inhibited monocyte recruitment to atherosclerotic plaques. Moreover, selective inhibition of heteromer formation may offer therapeutic advantages compared to complete blockade of chemokine function.


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Technical Reports

Selective molecular imaging of viable cancer cells with pH-activatable fluorescence probes pp104 - 109

Yasuteru Urano, Daisuke Asanuma, Yukihiro Hama, Yoshinori Koyama, Tristan Barrett, Mako Kamiya, Tetsuo Nagano, Toshiaki Watanabe, Akira Hasegawa, Peter L Choyke & Hisataka Kobayashi

doi:10.1038/nm.1854

A goal of cancer research is to develop specific and sensitive tumor-imaging techniques for early detection while minimizing background signals from nontarget, 'normal' tissues. The authors have designed a 'pH-activatable' probe, consisting of a targeted macromolecule (monoclonal antibody) and a fluorescence probe, which is activated after internalization in the lysosomes of targeted cancer cells. The utility of this approach for imaging HER2-positive lung cancer cells in mice is shown.


Development of a novel mouse glioma model using lentiviral vectors pp110 - 116

Tomotoshi Marumoto, Ayumu Tashiro, Dinorah Friedmann-Morvinski, Miriam Scadeng, Yasushi Soda, Fred H Gage & Inder M Verma

doi:10.1038/nm.1863

There is a need for mouse tumor models that more closely recapitulate the pathophysiology of human cancers. Here, a mouse model of glioblastoma multiforme (GBM) is generated with Cre-loxP controlled, lentiviral-mediated delivery of the oncogenes H-Ras and AKT. Transduction of the oncogenes in a small number of cells in adult immunocompetent mice led to the formation of GBM-like tumors, particularly when combined with loss of p53.


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Erratum

Erratum: BMP type I receptor inhibition reduces heterotopic ossification p117

Paul B Yu, Donna Y Deng, Carol S Lai, Charles C Hong, Gregory D Cuny, Mary L Bouxsein, Deborah W Hong, Patrick M McManus, Takenobu Katagiri, Chetana Sachidanandan, Nobuhiro Kamiya, Tomokazu Fukuda, Yuji Mishina, Randall T Peterson & Kenneth D Bloch

doi:10.1038/nm0109-117a


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Corrigendum

Corrigendum: Eradication of acute promyelocytic leukemia-initiating cells through PML-RARA degradation p117

Rihab Nasr, Marie-Claude Guillemin, Omar Ferhi, Hassan Soilihi, Laurent Peres, Caroline Berthier, Philippe Rousselot, Macarena Robledo-Sarmiento, Valérie Lallemand-Breitenbach, Bernard Gourmel, Dominique Vitoux, Pier Paolo Pandolfi, Cécile Rochette-Egly, Jun Zhu & Hugues de Thé

doi:10.1038/nm0109-117b


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