IntechOpen Book Series will also publish a program of research-driven Thematic Edited Volumes that focus on specific areas and allow for a more in-depth overview of a particular subject.
\\n\\n
IntechOpen Book Series will be launching regularly to offer our authors and editors exciting opportunities to publish their research Open Access. We will begin by relaunching some of our existing Book Series in this innovative book format, and will expand in 2022 into rapidly growing research fields that are driving and advancing society.
With the desire to make book publishing more relevant for the digital age and offer innovative Open Access publishing options, we are thrilled to announce the launch of our new publishing format: IntechOpen Book Series.
\n\n
Designed to cover fast-moving research fields in rapidly expanding areas, our Book Series feature a Topic structure allowing us to present the most relevant sub-disciplines. Book Series are headed by Series Editors, and a team of Topic Editors supported by international Editorial Board members. Topics are always open for submissions, with an Annual Volume published each calendar year.
\n\n
After a robust peer-review process, accepted works are published quickly, thanks to Online First, ensuring research is made available to the scientific community without delay.
\n\n
Our innovative Book Series format brings you:
\n\n
\n\t
Topic Focused Publications - Each topic showcases high impact subject areas
\n\t
Renowned Editorial Expertise - Series Editors, Topic Editors, and a team of international Board Members that permanently support each Book Series
\n\t
Fast Publishing - quick turnaround which is unique for book publishing
\n\t
The benefit of ISSN and ISBN for increased citation and indexing possibilities
\n
\n\n\n\n
IntechOpen Book Series will also publish a program of research-driven Thematic Edited Volumes that focus on specific areas and allow for a more in-depth overview of a particular subject.
\n\n
IntechOpen Book Series will be launching regularly to offer our authors and editors exciting opportunities to publish their research Open Access. We will begin by relaunching some of our existing Book Series in this innovative book format, and will expand in 2022 into rapidly growing research fields that are driving and advancing society.
We invite you to explore our IntechOpen Book Series, find the right publishing program for you and reach your desired audience in record time.
\n\n
Note: Edited in October 2021
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Nutrients in the brain can either fuel brain cells, contribute to tissue architecture, or initiate signaling pathways through their derivatives. Nutrients ultimately participate in brain development, cognitive and emotional behaviors, and can influence the susceptibility to develop brain pathologies. This book is a selection of current research on the impact of diet on brain function. Chapters include the role of lipids and glucose on the brain, nutrition and autophagy, and consequences of enteral feeding on brain-gut interactions. Taken together, this book targets all scientists, clinicians, teachers, and students eager to learn more about the impact of nutrition on brain function.",isbn:"978-1-83962-511-4",printIsbn:"978-1-78985-582-1",pdfIsbn:"978-1-83962-512-1",doi:"10.5772/intechopen.73436",price:119,priceEur:129,priceUsd:155,slug:"feed-your-mind-how-does-nutrition-modulate-brain-function-throughout-life-",numberOfPages:112,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"91a663d09b6d6e80db3a69fca11e5b68",bookSignature:"Clémentine Bosch-Bouju, Sophie Layé and Véronique Pallet",publishedDate:"October 23rd 2019",coverURL:"https://cdn.intechopen.com/books/images_new/6907.jpg",numberOfDownloads:5347,numberOfWosCitations:8,numberOfCrossrefCitations:13,numberOfCrossrefCitationsByBook:1,numberOfDimensionsCitations:20,numberOfDimensionsCitationsByBook:1,hasAltmetrics:1,numberOfTotalCitations:41,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"July 4th 2018",dateEndSecondStepPublish:"September 6th 2018",dateEndThirdStepPublish:"November 5th 2018",dateEndFourthStepPublish:"January 24th 2019",dateEndFifthStepPublish:"March 25th 2019",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"265901",title:"Dr.",name:"Clémentine",middleName:null,surname:"Bosch-Bouju",slug:"clementine-bosch-bouju",fullName:"Clémentine Bosch-Bouju",profilePictureURL:"https://mts.intechopen.com/storage/users/265901/images/system/265901.jpeg",biography:"Dr. Clémentine Bosch-Bouju is a neuroscientist expert in the\nimpact of nutrition on neurophysiology. She did her PhD in\nthe Collège De France, Paris, and her postdoc at the University\nof Otago, New Zealand, on the physiopathology of Parkinson’s\ndisease, with electrophysiology and optogenetics approaches.\nShe joined the NutriNeuro lab in 2014 where she specialized in\nthe impact of nutrition on brain function. Her work shows the\ndeleterious impact of an omega-3-deficient diet on endocannabinoid-dependent\nsynaptic plasticity. Since 2016, Dr. Bosch-Bouju has been an assistant professor at\nBordeaux INP and she is studying the role of vitamin A metabolism in the pathophysiology of Parkinson’s disease.",institutionString:"NutriNeuro / INRA / University of Bordeaux / Bordeaux INP",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"1",totalChapterViews:"0",totalEditedBooks:"1",institution:null}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:{id:"178351",title:"Dr.",name:"Sophie",middleName:null,surname:"Layé",slug:"sophie-laye",fullName:"Sophie Layé",profilePictureURL:"https://mts.intechopen.com/storage/users/178351/images/system/178351.jpg",biography:"Sophie Layé, PhD, is a research director at the Institut National\nde la Recherche en Agronomie (INRA), France. She is the acting\nhead of the NutriNeuro Institute (UMR1286 INRA/University\nof Bordeaux) and co-acting head of the International Associated\nLaboratory OptiNutriBrain. She is a renowned scientist in the\nfield of psychoneuroimmunology. She was the first to demonstrate that dietary omega-3 impacts on the endocannabinoid\nsystem to modulate emotional behaviors. She has authored more than 105 original\nscientific articles and 14 book chapters. She is reviewer for more than 15 international scientific journals. She has organized more than 30 international congresses\nand conferences, given more than 110 conferences, and participated in more than\n80 press releases in the media. She received the prestigious Scientific Breakthrough\nAward, Laurier de l’INRA, in 2015.",institutionString:"NutriNeuro / INRA / University of Bordeaux / Bordeaux INP",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"1",totalChapterViews:"0",totalEditedBooks:"0",institution:{name:"University of Bordeaux",institutionURL:null,country:{name:"France"}}},coeditorTwo:{id:"265907",title:"Dr.",name:"Véronique",middleName:null,surname:"Pallet",slug:"veronique-pallet",fullName:"Véronique Pallet",profilePictureURL:"https://mts.intechopen.com/storage/users/265907/images/system/265907.jpeg",biography:"Véronique Pallet, PhD, is a professor at the Bordeaux Institute of\nTechnology and co-head of the NutriNeuro Institute (UMR1286\nINRA/University of Bordeaux). She is a renowned scientist in the\nfield of nutrition and its impact on age-related cognitive decline\nand neurodegenerative processes. She is recognized in the field\nof vitamin A and cognition, and her team has demonstrated the\nrole of this liposoluble vitamin in maintaining cognitive abilities\nduring aging. She is also investigating the role of polyphenol in memory processes\nin the Neurophenols Project. She recently conducted two clinical trials, conducted\nin France and Québec, investigating the beneficial impact of nutritional supplementations on cognitive abilities and well-being assessed in aged subjects. She has\nauthored more than 60 scientific articles and reviews in high-impact journals.",institutionString:"NutriNeuro/ INRA/ University of Bordeaux/Bordeaux INP",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"0",totalChapterViews:"0",totalEditedBooks:"0",institution:null},coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"213",title:"Neurobiology",slug:"life-sciences-neuroscience-neurobiology"}],chapters:[{id:"69232",title:"Introductory Chapter: Feed Your Mind - How Does Nutrition Modulate Brain Function throughout Life?",doi:"10.5772/intechopen.89349",slug:"introductory-chapter-feed-your-mind-how-does-nutrition-modulate-brain-function-throughout-life-",totalDownloads:475,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:null,signatures:"Clémentine Bosch-Bouju",downloadPdfUrl:"/chapter/pdf-download/69232",previewPdfUrl:"/chapter/pdf-preview/69232",authors:[{id:"265901",title:"Dr.",name:"Clémentine",surname:"Bosch-Bouju",slug:"clementine-bosch-bouju",fullName:"Clémentine Bosch-Bouju"}],corrections:null},{id:"68423",title:"Polyunsaturated Fatty Acid Metabolism in the Brain and Brain Cells",doi:"10.5772/intechopen.88232",slug:"polyunsaturated-fatty-acid-metabolism-in-the-brain-and-brain-cells",totalDownloads:1173,totalCrossrefCites:9,totalDimensionsCites:11,hasAltmetrics:1,abstract:"Dietary polyunsaturated fatty acids (PUFAs) have gained more importance these last decades since they regulate the level of long-chain PUFAs (LC-PUFAs) in all cells and especially in brain cells. Because LC-PUFAs, especially those of the n-3 family, display both anti-inflammatory and pro-resolution properties, they play an essential role in neuroinflammation. Neuroinflammation is a hallmark of neurological disorders and requires to be tightly controlled or at least limited otherwise it can have functional consequences and negatively impact the quality of life and well-being of patients. LC-PUFAs exert these beneficial properties in part through the synthesis of specialized pro-resolving mediators (SPMs) that are involved in the resolution of inflammation and to the return of homeostasis. SPMs are promising relevant candidates to resolve brain inflammation and to contribute to neuroprotective functions and lead to novel therapeutics for brain inflammatory diseases. Here we present an overview of the origin and accumulation of PUFAs in the brain and brain cells and their conversion into SPMs that are involved in neuroinflammation and how nutrition induces variations in LC-PUFA and SPM levels in the brain and in brain cells.",signatures:"Corinne Joffre",downloadPdfUrl:"/chapter/pdf-download/68423",previewPdfUrl:"/chapter/pdf-preview/68423",authors:[{id:"281107",title:"Dr.",name:"Corinne",surname:"Joffre",slug:"corinne-joffre",fullName:"Corinne Joffre"}],corrections:null},{id:"68362",title:"Carbohydrates and the Brain: Roles and Impact",doi:"10.5772/intechopen.88366",slug:"carbohydrates-and-the-brain-roles-and-impact",totalDownloads:1451,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:1,abstract:"Even if its size is fairly small (about 2% of body weight), the brain consumes around 20% of the total body energy. Whereas organs such as muscles and liver may use several sources of energy, under physiological conditions, the brain mainly depends on glucose for its energy needs. This involves the need for blood glucose level to be tightly regulated. Thus, in addition to its fueling role, glucose plays a role as signaling molecule informing the brain of any slight change in blood level to ensure glucose homeostasis. In this chapter, we will describe the fueling and sensing properties of glucose and other carbohydrates on the brain and present some physiological brain functions impacted by these sugars. We will also highlight the scientific questions that need to be answered in order to better understand the impact of sugars on the brain.",signatures:"Xavier Fioramonti and Luc Pénicaud",downloadPdfUrl:"/chapter/pdf-download/68362",previewPdfUrl:"/chapter/pdf-preview/68362",authors:[{id:"281112",title:"Ph.D.",name:"Xavier",surname:"Fioramonti",slug:"xavier-fioramonti",fullName:"Xavier Fioramonti"},{id:"281113",title:"Dr.",name:"Luc",surname:"Pénicaud",slug:"luc-penicaud",fullName:"Luc Pénicaud"}],corrections:null},{id:"66223",title:"Dietary Impact on Neuronal Autophagy Control and Brain Health",doi:"10.5772/intechopen.85228",slug:"dietary-impact-on-neuronal-autophagy-control-and-brain-health",totalDownloads:1192,totalCrossrefCites:2,totalDimensionsCites:6,hasAltmetrics:1,abstract:"Autophagy is the major intracellular system which is critical for the removal of harmful protein aggregates and malfunctioning organelles. Dysfunctional autophagy is associated with a multitude of human diseases, such as protein aggregation in Alzheimer’s disease and non-successful aging. Major interest exists in the dietary manipulation of the autophagy pathway activity, so as to tune the cell’s protein degradation capabilities and to prevent cell death onset. It has recently become clear that the machinery required to degrade protein cargo has a distinct activity level which can be altered through specific dietary modulation. Moreover, this activity may differ from that of the proteinaceous cargo. Overall, brain health and successful aging are characterized by limited protein aggregation, with a distinct molecular signature of maintained autophagy function. However, it is largely unclear how to control autophagy through dietary interventions with a precision that would allow to maintain minimal levels of toxic proteins, preserving neuronal cell viability and proteostasis. In this chapter, we carefully dissect the relationship between autophagy-modulating drugs, including caloric restriction mimetics and their impact on neuronal autophagy, in the context of preserving brain health.",signatures:"Claudia Ntsapi, Andre du Toit and Ben Loos",downloadPdfUrl:"/chapter/pdf-download/66223",previewPdfUrl:"/chapter/pdf-preview/66223",authors:[{id:"148642",title:"Dr.",name:"Ben",surname:"Loos",slug:"ben-loos",fullName:"Ben Loos"},{id:"187297",title:"Mrs.",name:"Claudia",surname:"Ntsapi",slug:"claudia-ntsapi",fullName:"Claudia Ntsapi"},{id:"295702",title:"Dr.",name:"Andre",surname:"du Toit",slug:"andre-du-toit",fullName:"Andre du Toit"}],corrections:null},{id:"65073",title:"Enteral Feeding: Brain-Visceral Interactions in the Processing of Nutrients",doi:"10.5772/intechopen.82824",slug:"enteral-feeding-brain-visceral-interactions-in-the-processing-of-nutrients",totalDownloads:1056,totalCrossrefCites:1,totalDimensionsCites:2,hasAltmetrics:1,abstract:"Enteral nutrition is often mandatory, especially for patients in vegetative or minimally conscious state. However, its application is nonviable in certain cases due to various adverse effects. Some of these are explained by absence of the cephalic phase of digestion, during which exocrine, endocrine, and motor physiological responses prepare the digestive system to receive, digest, transform, and utilize ingested nutrients. These responses result from the stimulation by nutrients of cephalic sensory systems, mainly in the oropharyngeal cavity, and can also be elicited by food-related thoughts or expectations. The digestive system appears able to rapidly assess the suitability of food and transmit this information to the brain. The vagus nerve and its brainstem relays in the caudal nucleus of the solitary tract (NST) and parabrachial complex appear to participate in the anatomic pathway responsible for this rapid processing. Thus, blockade of the vagus nerve, NST, or external lateral parabrachial region (LPBe) interrupts expression of conditioned taste preferences induced by administration of “predigested” food, while LPBe activation by electric stimulation generates similar preferences to those observed after cephalic food administration. This review may help design enteral diets better adapted to digestive physiology and develop pharmacological interventions against adverse effects of enteral nutrition.",signatures:"María Angeles Zafra Palma, Javier Mahía, María J. Simón, Filomena Molina and Amadeo Puerto",downloadPdfUrl:"/chapter/pdf-download/65073",previewPdfUrl:"/chapter/pdf-preview/65073",authors:[{id:"202078",title:"Dr.",name:"Javier",surname:"Mahía",slug:"javier-mahia",fullName:"Javier Mahía"},{id:"202079",title:"Dr.",name:"Amadeo",surname:"Puerto",slug:"amadeo-puerto",fullName:"Amadeo Puerto"},{id:"272834",title:"Dr.",name:"María Ángeles",surname:"Zafra Palma",slug:"maria-angeles-zafra-palma",fullName:"María Ángeles Zafra Palma"},{id:"284925",title:"Dr.",name:"María J.",surname:"Simón",slug:"maria-j.-simon",fullName:"María J. Simón"},{id:"284926",title:"Dr.",name:"Filomena",surname:"Molina",slug:"filomena-molina",fullName:"Filomena Molina"}],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"6991",title:"Neurons",subtitle:"Dendrites and Axons",isOpenForSubmission:!1,hash:"696489f55e1077935f47087fa3829b5f",slug:"neurons-dendrites-and-axons",bookSignature:"Gonzalo Emiliano Aranda Abreu and María Elena Hernández Aguilar",coverURL:"https://cdn.intechopen.com/books/images_new/6991.jpg",editedByType:"Edited by",editors:[{id:"72314",title:"Dr.",name:"Gonzalo Emiliano",surname:"Aranda Abreu",slug:"gonzalo-emiliano-aranda-abreu",fullName:"Gonzalo Emiliano Aranda Abreu"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"6808",title:"Autonomic Nervous System",subtitle:null,isOpenForSubmission:!1,hash:"d95e7c43f124d1a6e39b88862a917fc1",slug:"autonomic-nervous-system",bookSignature:"Pavol Svorc",coverURL:"https://cdn.intechopen.com/books/images_new/6808.jpg",editedByType:"Edited by",editors:[{id:"169212",title:"Prof.",name:"Pavol",surname:"Svorc",slug:"pavol-svorc",fullName:"Pavol Svorc"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"6899",title:"Chronobiology",subtitle:"The Science of Biological Time Structure",isOpenForSubmission:!1,hash:"521dfb38a216470da6f8f7d02469832c",slug:"chronobiology-the-science-of-biological-time-structure",bookSignature:"Pavol Svorc",coverURL:"https://cdn.intechopen.com/books/images_new/6899.jpg",editedByType:"Edited by",editors:[{id:"169212",title:"Prof.",name:"Pavol",surname:"Svorc",slug:"pavol-svorc",fullName:"Pavol Svorc"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"6786",title:"Optic Nerve",subtitle:null,isOpenForSubmission:!1,hash:"b21864e6a0b3b316480d18efda1e18ee",slug:"optic-nerve",bookSignature:"Felicia M. 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\n
1. Introduction
\n
The word cancer defines a group of diverse diseases, which share unique traits. Tumor cells display mechanisms of sustained proliferation, replicative immortality, evasion of growth suppression and apoptotic signals, angiogenesis, invasion, metastasis, evasion of immune destruction and metabolic re-wiring [1]. These characteristics represent a great challenge to cancer treatment being both a cause and a consequence of an abnormal gene expression profile. Efforts to understand the consequences of these different expression profiles and the mechanisms underlying them contribute to clarify cancer biology and, consequently, to predict response to and optimization of therapeutic approaches [2, 3, 4].
\n
There are several layers of gene expression modulation including epigenetics, transcriptional modulation, RNA expression control, translational regulation and post-translational modifications. All these mechanisms work in an orchestrated manner leading to specific expression signatures and phenotypes. In this chapter, we focus on RNA expression control mechanisms, which take place after RNA polymerase recognition of the gene promoter and start of RNA synthesis, discussing their implications to malignant transformation and cancer progression.
\n
\n
\n
2. mRNA processing
\n
RNA processing takes place after the start of transcription, resulting in a mature mRNA which is able to fulfill its function. This process comprises: 5′-Cap addition, splicing and poly(A) addition. RNA splicing is a process in which portions of the pre-RNA, denominated introns, are excised and the remaining portions (exons) are bound to form the mature RNA. Both cis and trans elements act to recognize exon/intron boundaries and/or to orchestrate the splicing machinery, the spliceosome, a complex of five small nuclear ribonucleoprotein particles (snRNP) and 100–200 non-snRNP proteins which catalyze the splicing reaction [5, 6, 7]. Recognition of the intron/exon boundaries is context-dependent; as a result, a single gene can originate several mature RNAs and, therefore, several proteins with independent or even opposite functions. This alternative splicing (AS) occurs by recognition of the alternative donor or acceptor splice sites, exon inclusion or exclusion, intron incorporation or combinatory mechanisms as mutually exclusive exons and so on. AS stands out as a major source for transcripts and proteins variability, occurring in approximately 59% of human genes [8] and almost 95% of the multi-exon genes [9]. Splicing factor genes are commonly mutated in different types of cancer and several splice variants have already been implicated in cancer development [10].
\n
The splicing profile of a certain tissue changes dramatically when compared with malignant cells with their normal counterparts [11, 12, 13]. This difference may result from mutations or single-nucleotide polymorphisms (SNPs) on acceptor, donor splice sites, enhancing or silencing sequences which lead to alterations in the exon/intron boundary recognition; or due to deregulated expression or change of function mutation in a trans regulator (reviewed in [14, 15]). Serine-rich protein (SRP) and heterologous nuclear ribonuclear particle (hnRNP) are two protein families which are classically involved in splicing modulation by interacting with intronic or exonic enhancer or silencer sequences [16, 17]. The SRSF1 member of the SRP family is one of the most well characterized splice factor, being described as up-regulated in lung [18] and breast cancers [19, 20]. In the breast cancer model, SRSF1 association to a sequence near to a donor splice site usually promotes exon inclusion, while its association in the vicinities of an acceptor splice site leads to exon skipping or inclusion [20]. Important cancer-related gene transcripts, such as Casp9 [21], CD44 [22] and VEGF [23], are among SRSF1 known targets.
\n
Cell survival outcome is a perfect example of the influence of AS in basic cellular mechanisms, with alternative isoforms of several apoptotic-related gene transcripts displaying opposite roles, when compared to their canonical variant, shifting the cell status from apoptosis-prone to the survival state (reviewed in [24]). Upon an apoptotic stimulus, cytochrome C is released from the mitochondria and forms a complex with Apaf-1. The N-terminal portion of Apaf-1 interacts with the N-terminal pro-domain of pro-caspase-9, leading to Caspase-9 activation, which, in turn, activates the Caspase-3 and -7 effector proteases (reviewed in [25]). Caspase-9, a key player in this process, has an alternative-splicing variant in which exclusion of the exon cassette 3, 4, 5 and 6 leads to a protein isoform which lacks part of its large subunit. This Caspase-9b isoform retains the domain which interacts with Apaf-1, but lacks the Caspase-9 catalytic site, thus acting like a dominant negative and inhibiting the apoptotic pathway [26, 27]. The ratio between these two isoforms modulates the propensity of the cells to respond to death stimuli, altering their chemo-sensitivity and, potentially, the treatment’s outcome. Interestingly, while Akt mediates exclusion of the exon cassette via phosphorylation of the RNA splicing factor SRp30a [28]; in this case, SRSF1 interacts with an intronic enhancer site at intron 6 favoring the exon cassette inclusion, which renders the cells more sensitive to chemotherapeutic agents as the combined therapy with daunorubicin and erlotinib [21]. Taking into account that SRSF1 is upregulated in non-small cell lung cancer cells, this case exemplifies the complexity of splicing as an expression regulator and how it can be explored to optimize therapy efficacy.
\n
Another great source of transcripts variability is alternative polyadenylation (APA), since approximately 30% of human mRNAs display alternative polyadenylation sites [29]. Polyadenylation occurs in almost every mammalian transcript, a process in which an endonucleolytic cleavage is catalyzed by polyadenylation machinery proteins, immediately followed by polyadenylation (200–300 nucleotides, on average, in humans) of the 3′-end by poly(A) polymerases (reviewed in [30]). The resulting alternative transcripts will have different sizes, depending on the localization of the alternative poly(A) site, originating alternative 3′-untranslated regions (3′-UTR). Also, more rarely, when polyadenylation occurs inside the open reading frame region, it may originate truncated forms of the translated protein [31]. The 3′-UTR is extremely important to transcripts stability, localization and regulation by trans elements (such as miRNAs and RNA binding proteins), topics to be further discussed in this chapter and which have great implications for cancer development.
\n
A shift in the polyadenylation global pattern occurs in tumor cells, with the proximal poly(A) sites being favored, when compared to their normal counterparts [29]. Also, highly proliferative murine T lymphocytes favor shorter 3′-UTRs, which is also observed in colorectal cancer, but only for certain groups of genes, including those involved in cell cycle, nucleic acid-binding and processing factors. It has been proposed that such shortening would restrict miRNA modulation over the transcripts, increasing their expression [32, 33]. Such a mechanism is observed upon treatment of ER+ breast cancer cells with the proliferation stimulant 17β-estradiol. This treatment leads to APA of the CD6 transcript, which is essential for the start of DNA replication, originating a shorter 3′-UTR. The generated CD6 variant is resistant to repression dependent on its 3′-UTR and is more efficiently translated, correlating with a higher rate of BrdU incorporation by the cells [34].
\n
Curiously, mammalian RNAs can also be post-transcriptionally modified through a process called RNA editing. Well-known cases are the RNA editing enzymes adenosine and cytidine deaminases, which catalyze the conversion of adenine into inosine and of cytosine into uracil, respectively [35]. Adenosine deaminases acting on RNA (ADAR) enzymes act on double-stranded RNA regions, usually the secondary structure of a single mRNA molecule. Through a hydrolytic deamination at C6, ADAR enzymes catalyze adenine conversion into inosine, which pairs with cytosine. Cytidine deaminases are much more specific and different members of the APOBEC3 family are transcriptionally regulated by p53 [36]. Altered RNA editing signatures were found in different types of tumors, such as glioblastoma [37], breast [38] and gastric cancers [39, 40]. If located at a coding region, these editing events may cause a missense mutation. One example is ADAR-1 editing of the Antizyme Inhibitor 1 (AZIN1), which leads to a serine-to-glycine substitution at residue 367 [41]. AZIN1 is an inactive homolog of ornithine decarboxylase (ODC) that competitively binds to antizymes [42]. ADAR-1 editing increases AZIN1 affinity to antizyme, leading to a decrease in ODC antizyme-mediated degradation and promoting polyamines biosynthesis, with consequent cell proliferation and a more aggressive behavior in hepatocellular carcinoma cells [41]. Although editing on consensus splicing sites are rare, ADAR enzymes alter the global splicing pattern of the cell by editing splicing regulatory cis elements and, possibly, indirectly, by altering the activity of trans elements [43, 44].
\n
The interaction of transcripts with long non-coding RNAs (lncRNAs) and microRNAs are important post-transcriptional regulatory mechanisms which will be further addressed in this chapter. RNA edition adds a layer of complexity to this apparatus. It is estimated that over 70% of potential editing sites within long non-coding RNAs may lead to changes in their secondary structure, a feature which is crucial for its target recognition [45]. If the editing takes place in a precursor miRNA, it can lead to alterations in its biosynthesis and target recognition, increasing their range of action [46, 47, 48]. Alterations in the mRNA 3′-UTR may alter its recognition by a specific miRNA or lncRNA [37, 40, 47]. Furthermore, RNA editing may also modulate RNA expression by regulating RNA decay. This is exemplified by the ADAR-1 interaction with the RNA binding protein HuR, which promotes HuR binding to the target transcript, increasing its stability [49].
\n
\n
\n
3. miRNAs
\n
Several RNA-based mechanisms evolved in eukaryotes to modulate gene expression or suppress invading material. In animals, the small non-coding RNAs (18–30 nucleotides) are subdivided into three major classes, namely microRNA (miRNA), small interfering RNA (siRNA) and PIWI-interacting RNA (piRNA). The main purpose of piRNAs are suggested to be silencing of transposable elements in germline cells [45], siRNAs and miRNAs seem to have evolved from an antiviral defense system into an ubiquitous gene expression modulation mechanism [46, 47]. Originally identified in Caenorhabditis elegans [48], miRNAs are the dominating class of small RNAs in most somatic tissues, being highly conserved and repressing the expression of target genes by inhibiting mRNAs translation and/or stability [49, 50]. The latest update of the human miRNA database lists 2588 mature miRNAs, processed out of 1881 precursors [51]. miRNA genes are originally transcribed by RNA polymerase II (Pol II) as a long (typically over 1 kb) primary transcript (pri-miRNA) bearing hairpins, in which miRNA sequences are embedded [52]. Hairpins are cropped by the Drosha nuclear RNase III liberating the stem-loop shaped ~65 nucleotide long precursor miRNA (pre-miRNA) [53]. Upon exporting to the cytoplasm through Exportin 5 (EXP5), pre-miRNAs are cleaved by DICER near the terminal loop, liberating a small RNA duplex [54]. This duplex is subsequently loaded onto RNA-induced silencing complex (RISC), RNP effector complexes containing Argonaut (AGO) proteins. Finally, unwinding of the RNA duplex allows the final single-stranded miRNA to act as a guide for the effector complex [55]. Specific targeting is accomplished by base pairing between mRNA and miRNA, as miRNAs usually guide RISC to 3′UTR regions in target protein-coding transcripts [56], recruiting proteins that lead to target RNA degradation, deadenylation or decay [53]. However, miRNAs may also interact with 5′UTR and coding sequence (CDS) regions, culminating in a range of effects, from translational activation to repression.
\n
More than 60% of human protein-coding genes contain at least one conserved miRNA-binding site [57], encompassing every major cellular functional pathway. Therefore, miRNAs biogenesis needs to be under tight temporal and spatial control, and their deregulation is evidently associated with a wide range of human diseases, including cancer [58]. The first instance of the direct involvement of a miRNA in cancer was uncovered in 2002. A critical region at chromosome 13q14, frequently deleted in chronic lymphocytic leukemia (CLL), was shown to harbor miRNA genes miR-15a and miR-16-1. About 70% of CLL cases have null or reduced expression of these miRNAs, which normally control apoptosis by targeting BCL-2 [59, 60]. The following years revealed a remarkable number of additional examples, establishing the association of miRNAs and cancer to be the norm, rather than the exception. Currently, hundreds of human miRNAs are associated to the onset and progression of several malignancies, including lymphomas, colorectal carcinoma, breast cancer, lung cancer, thyroid cancer and hepatocellular carcinomas [61].
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Several miRNAs may be differentially expressed in cancer patients, when compared to normal samples, acting either as oncogenes or tumor suppressors [62] (\nTable 1\n). Most often, miRNAs are detected as tumor suppressors, with reduced expression in tumors when compared to normal tissues [63, 64]. These miRNAs have commonly been shown to negatively regulate protein-coding oncogenes. Thus, HER2 and HER3, two oncogenes which are significantly correlated with decreased disease-specific survival in breast cancer patients [65], are suppressed by miR-125a or miR-125b [66]. Additionally, the let-7 family of miRNAs targets several genes associated with cell cycle and cell division, including the RAS oncogene [67]. Inhibition of epidermal growth factor receptor by miR-128b in non-small cell lung cancer (NSCLC) [68] and miR-7 in glioma [69] are additional pertinent examples of miRNAs acting as tumor suppressors. However, several miRNAs have also been found to be overexpressed in cancer, being classified as oncomiRs, often repressing known tumor suppressors. Thus, overexpression of miR-155 and miR-21 is sufficient to induce lymphomagenesis in mice [70, 71].
List of miRNAs involved in cancer and their respective mRNA targets.
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Mapping efforts have revealed that many miRNAs are located in fragile regions of the genome, which are deleted, amplified or translocated in cancer, directly altering miRNAs genes expression, hence leading to aberrant expression of downstream target mRNAs [59]. In addition to genomic alterations, miRNA expression is also modulated by tumor suppressor or oncogenic factors, which function as transcriptional activators or repressors to control pre-miRNA transcription. One of the first examples of this interaction is the transcriptional upregulation of the miR-17/92 cluster by the c-myc oncogene product, counterbalancing the apoptotic activity of E2F1 and allowing c-Myc mediated-proliferation [72]. Likewise, p53 stimulates transcription of the miR-34 family, inducing apoptosis and senescence. Loss of p53 function induces downregulation of the miR-34 family in a very high percentage of ovarian cancer patients with a p53 mutation [73]. The expression of miRNA genes may also be indirectly modulated. Aberrant epigenetic changes, such as DNA hypermethylation of tumor suppressor genes, extensive genomic DNA hypomethylation and alteration of histone modification patterns, are a well-known feature of cancer cells. In fact, epigenetic modifications represent another common mechanism related to the alteration of miRNA expression in cancer. Tumor-suppressing miRNAs are usually found to be hypermethylated in cancer, which, in turn, allows overexpression of their oncogenic targets [74]. Thus, epigenetic repression of the tumor-suppressor miR-127 in primary prostate cancer [75] and bladder tumor causes upregulation of its target transcripts, including that of the proto-oncogene BCL6 [76]. A cancer-driving alteration may arise early in the biogenesis of miRNAs, during transcription of the pri-miRNA. For example, a point mutation in miR-128b gene blocks processing of pri-miR-128b and reduces the levels of mature miR-128b, thus leading to glucocorticoid resistance in acute lymphoblastic leukemia (ALL) [77]. Another mechanism which can lead to an aberrant expression of miRNAs and, thus, to cancer, is the altered expression and/or function of the enzymes involved in the biogenesis of microRNAs, such as DROSHA and DICER. Aberrant expression of these proteins affects the biogenesis of all miRNAs in the cell, influencing the regulation of a multitude of genes. Thus, the first heterozygous germline mutations in DICER1 were identified as causing pleuropulmonary blastoma (PPB), a rare pediatric lung tumor that arises during fetal lung development [78]. Likewise, decreased expression of DROSHA and DICER has been found in 39% of ovarian cancer patients [79]. miRNA biogenesis may also be modulated during nuclear translocation by exportin 5 (XPO5). XPO5 mutations in some tumors generate pre-miRNA accumulation in the nucleus, reducing miRNA maturation and availability in the cytoplasm [80]. miRNA processing is orchestrated by a large number of proteins assisting the basic machinery. Several of these modulatory proteins, such as DDX5 and DDX17, were shown to be either directly mutated or to serve as targets for oncoproteins or tumor suppressors, modulating miRNA biogenesis [81].
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The functional outcomes of miRNAs deregulation coincide with the hallmarks of malignant cells, namely: (1) self-sufficiency in growth signals (let-7 family), (2) insensitivity to anti-growth signals (miR-17-92 cluster), (3) apoptosis evasion (miR-34a), (4) limitless replicative potential (miR-372/373 cluster), (5) angiogenesis (miR-210) and (6) invasion and metastases (miR-10b). miRNAs have also been shown to regulate the generation of cancer stem cells (CSCs) [82, 83] and epithelial-mesenchymal transition (EMT), paramount for the metastatic process [84]. Thus, as breast cancer cells metastasize, expression of miR-126 and miR-335 is lost. Overexpressing these miRNAs in cancer cells decreases lung and bone metastasis in vivo [85].
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The high number of human miRNAs, regulating a wide range of cancer-related processes, renders these small non-coding RNAs an ideal profiling tool. miRNA expression profiles can distinguish not only between normal and cancerous tissue, but also help to discriminate different subtypes of a particular cancer, or even specific oncogenic abnormalities [86], increasing the accuracy of tumor classification. These expression profiles were able to classify tumors according to their tissue of origin with accuracy higher than 90%. miRNAs regulation of cancer progression also allows these molecules to serve as efficient predictors of prognosis, tumor metastasis and therapy selection. Specific miRNA signatures have recently been shown to correlate to metastatic breast and colon tumors, arising as potent biomarkers to predict metastatic outcome. miRNA profiles may also be applied to select for more personalized and efficient therapies and to adjust the therapeutic scheme during treatment to achieve a better outcome. Noteworthy, in ovarian cancer, miRNA signatures are able to predict chemo-resistant tumors, while a polymorphism (SNP34091), which creates a new binding site for miR-191, was suggested as a modulator of tumor chemosensitivity [75].
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miRNAs are highly stable molecules present in body fluids including plasma, blood, serum, urine, saliva and milk, being potential cancer biomarkers which may be found in different phases of the tumoral process [87, 88]. Although understanding of how miRNAs are selectively released from cells and how circulating miRNAs are related to disease remains largely unclear, circulating miRNAs may serve as novel diagnostic and prognostic biomarkers for human diseases, including cancer [89].
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\n
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4. Long non-coding RNAs
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Recent studies based on the Encyclopedia of DNA elements (ENCODE) project indicate that more than 80% of the human genome contains functional DNA that includes protein coding genes, non-protein coding regulatory DNA elements and non-coding RNAs (ncRNAs) [90]. Non-coding RNAs is a class of genetic regulators, containing short (<200 nucleotides) and long (>200 nucleotides) transcripts with novel abilities to be used as biomarkers due to their role in disease development and their implications for genomic organization [91, 92]. Short ncRNAs include ribosomal RNAs (rRNAs), transfer RNAs (tRNAs), small nuclear RNAs (snRNAs) and small nucleolar RNAs (snoRNAs). Regulatory long non-coding RNAs (lncRNAs) have been found in a large variety of organisms, ranging from yeasts to mammals, including mice and humans [93]. lncRNAs have emerged as a fundamental molecular class whose members play critical roles in genome regulation and in tissue development and maintenance [92]. Based on their positions relative to the protein coding genes in the genome, lncRNAs can be classified into natural antisense transcripts (NATs), long intronic ncRNAs and long intergenic ncRNAs (lincRNAs) [93].
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Recent transcriptional profiling of multiple human tissues, including both normal and tumor samples, has led to the assumption that misregulation of lncRNAs could disrupt these delicate processes and lead to tumorigenesis [94, 95, 96, 97]. These studies have validated the tissue-specific expression of lncRNAs in normal tissues, and have identified large sets of lncRNAs which are aberrantly expressed in either a specific cancer or multiple types of cancer, suggesting these RNAs act as master regulators of gene expression [98, 99]. Differential expression of lncRNAs is increasingly recognized as a hallmark feature in cancer [100]. lncRNAs are a novel class of mRNA-like transcripts, which contribute to cancer development and progression, accelerating cancer cells proliferation, apoptosis, invasion and metastasis [101] (\nTable 2\n).
\n
\n
\n
\n
\n
\n
\n\n
\n
LncRNA
\n
Cancer phenotype
\n
Molecular mechanism
\n
Cancer association
\n
References
\n
\n\n\n
\n
\nHOTAIR\n
\n
Oncogenic, promotes metastasis and invasion
\n
Interacts with PRC2 and LSD1 complex, promotes silencing of HOX genes in trans epigenetically
\n
Overexpressed in liver, breast, lung and pancreatic tumors
List of lncRNAs involved in cancer with their proposed functions.
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General mechanisms of lncRNA function implicated in cancer progression are associated with a wide-repertoire of biological processes. Among the main biological pathways, lncRNAs may be involved in epigenetic silencing, splicing regulation, translational control, regulation of apoptosis and cell cycle control [102]. Like protein-coding genes, lncRNAs can function as oncogenes or tumor suppressors. Many lncRNAs shuttle between the nucleus and the cytoplasm, suggesting that they may have dual functions, while others are restricted to the nucleus [103]. In the nucleus, lncRNAs are often part of the nuclear architecture and, in some cases, are critical for maintenance of sub-nuclear structures [104].
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lncRNAs bind to and target chromatin regulators allowing connection between RNA and chromatin, acting on the control of gene expression at the transcriptional level [105]. Moreover, several lncRNAs mechanistic themes have emerged, both at the transcriptional and post-transcriptional levels, such as decoys, scaffolds and guides [106]. Examples of the mechanisms of action of some lncRNAs on the control of gene expression and mammalian cells regulation are described below.
\n
\nHOTAIR (Hox transcript antisense intergenic RNA) is expressed from the HOXC locus and was the first lncRNA shown to be acting in trans. HOTAIR binds to and targets the PRC2 complex to the HOXD locus [107], functioning as an RNA scaffold containing two main functional domains. The 5′ domain of HOTAIR binds PRC2, whereas a 3′ domain binds the LSD1/CoREST/REST H3K4 demethylase complex [108], thus bridging two repressive complexes in order to coordinate their functions in gene silencing. Ectopic HOTAIR expression in epithelial cancer cells induces genome-wide retargeting of PRC2, leading to widespread changes in repressive (H3K27me3) and active (H3K4me3) chromatin markers, resembling those found in embryonic fibroblasts. This results in more invasive and metastatic cells and HOTAIR expression is predictive of cancer survival [109].
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lncRNAs can also participate in global cellular behavior by controlling cell growth. The growth-arrest-specific 5 (GAS5) lncRNA sensitizes the cell to apoptosis by regulating the activity of glucocorticoids in response to nutrient starvation [110]. GAS5 binds to the DNA-binding domain (DBD) of the glucocorticoid receptor (GR), where it acts as a decoy, preventing GR interaction with cognate glucocorticoid response elements (GRE). Under normal conditions, GR target genes are involved in apoptosis suppression, such as cellular inhibitor of apoptosis 2 (cIAP2) and inhibit the cell-death executioners caspases 3, 7 and 9 [111]. However, upon growth arrest, GAS5 activation compromises GR ability to bind to the cIAP2 GRE, reducing cIAP2 expression levels, thereby removing its suppressive effect on caspases [110]. GAS5 has also been associated with breast cancer because its transcript levels are significantly reduced, when compared to unaffected normal breast epithelium [110]. Therefore, GAS5 could act as a tumor suppressor if reduced levels of this lncRNA are unable to maintain sufficient caspase activity to activate an appropriate apoptotic response in disease-compromised cells.
\n
\nH19 is an imprinted gene expressed exclusively from the maternal allele, which maintains silencing of IGF2. H19 is highly expressed in a wide variety of solid tumors. The majority of cancers express high levels of H19 when compared to normal tissues. H19 is generally overexpressed in stromal cells, rarely in tumor epithelial cells and has been found to be associated with the presence of estrogen receptor (ER) and progesterone receptor (PR) [112]. Data indicating both oncogenic and tumor suppressive roles for H19 in different cancers are available [113]. In cancer cell lines, H19 RNA expression is directly regulated by E2F1, promoting cell cycle progression [114].
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The lncRNA MALAT1 (metastasis associated in lung adenocarcinoma transcript) was identified in an attempt to characterize transcripts associated with early stage non-small cell lung cancer (NSCLC) [115]. Some studies found that MALAT1 regulates alternative splicing through its interaction with the serine/arginine-rich (SR) family of nuclear phosphoproteins, which are involved in the splicing machinery [116, 117]. Because the SR family of proteins affects the alternative splicing patterns of many pre-mRNAs, its activity must be tightly regulated. Small changes in SR protein concentration or phosphorylation status can upset the fragile balance that controls mRNA variability among different cells and tissue types [118]. Therefore, the lncRNA MALAT1 has been suggested to serve as a fine-tuning mechanism to modulate the activity of SR proteins.
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The maternally expressed gene 3 (MEG3) is an imprinted lncRNA located on chromosome 14q32 is expressed exclusively from the maternal allele. MEG3 has been shown to activate p53 and facilitate p53 signaling, including enhancement of p53 binding to target genes [119]. Furthermore, MEG3 regulates genes of the TGF-β pathway through formation of RNA-DNA triplex structures [120]. MEG3 overexpression in meningioma, hepatocellular carcinoma and breast cancer cell lines leads to suppression of cell proliferation [121, 122, 123].
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The PTEN (phosphatase and tensin homolog) gene encodes a tumor suppressor that functions by negatively regulating the AKT/PKB signaling pathway [124, 125]. Mutations of this gene constitute a step into the development of many cancers and it is one of the most commonly lost tumor suppressors in human cancer [126]. A highly homologous processed of PTENP1 (phosphatase and tensin Homolog pseudogene 1) is a pseudogene which is associated with the lncRNA class found on chromosome 9, regulating PTEN by both sense and antisense RNAs. This long non-coding RNA acts as a decoy for PTEN, targeting microRNAs and exerting a tumor suppressive activity [125, 127].
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The lncRNA Zfas1 (Znfx1 antisense 1) is a transcript antisense to the 5′ end of the protein-coding gene Znfx1, which has functions in epithelial cells and was identified in large-scale studies aimed at isolating differentially expressed genes during mammary development [128]. Zfas1 intronically hosts three C/D box snoRNAs (Snord12, Snord12b and Snord12c) [128] and recently has been associated with ribosomes cancer cells [129].
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The highly specific lncRNA expression signatures render them as attractive markers for accurate disease diagnosis and patients prognosis. In addition, advancement of RNA-based therapeutics opens new avenues for lncRNAs as new targets for cancer therapy.
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5. mRNA decay
\n
mRNA degradation is an important mechanism for post-transcriptional control of gene expression, controlling both the quality and the abundance of cellular mRNAs. Deadenylation of the mRNA is the default process, often representing a rate-limiting step in cytoplasmic mRNA decay, in which the poly(A) tail of the transcript is degraded through recruitment of deadenylase complexes [130, 131, 132]. In the literature, different deadenylases or poly(A)-specific ribonucleases have been described, namely PARN (poly(A)-specific ribonuclease), Pan2/Pan3 (poly(A) nuclease 2/3) complex and CCR4–NOT (carbon catabolite repression 4) complex [131, 133]. The PARN deadenylase is involved in destabilization of different transcripts related to cell cycle progression and cell proliferation [133, 134], as well as in degradation of oncogenic miRNAs, such as miR-21 [135]. In addition, its expression is altered in different tumors, such as gastric tumors [136] and acute leukemias [137].
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Different proteins are able to interact with each other and promote the recruitment of deadenylases to the mRNA poly(A) tail. Members of BTG/Tob family, associated with anti-proliferative activities [138], are able to associate with both Caf1a and Caf1b (enzymatic subunits of the CCR4-NOT complex) [139], and, also, with PABPC1 (cytoplasmic poly(A)-binding protein) [139, 140], promoting mRNA poly(A) tail removal and cytoplasmic mRNA decay. Expression of the BTG/Tob proteins is classically associated with inhibition of cell cycle progression [138]. The Tob/Caf1 complex is also involved in the negative regulation of c-myc proto-oncogene expression by accelerating deadenylation and decay of its mRNA [141]. In addition, BTG2 has been characterized as a p53 transcriptional-target, being an essential component for suppression of Ras-induced transformation by p53 [142]. In agreement, reduced expression of BTG2 and TOB proteins are observed in human samples derived from different types of tumor [143, 144, 145, 146]. On the other hand, interaction of Tob1 with Caf1a (but not with Caf1b) was recently associated with the metastatic phenotype in mouse mammary carcinoma model and the deadenylase activity of Caf1a was shown to be required for promotion of metastatic disease [147]. Using a human breast cancer model, it has also been shown that high expression of either TOB1 or CNOT1 (the scaffold subunit of the CCR4-NOT complex) correlated with poor survival [147] and was associated with poor distant metastasis free survival in breast cancer patients [148]. Interestingly, PABPC1 has also been described as an oncogenic protein in gastric carcinoma. Zhu and collaborators showed that PABPC1 is upregulated in gastric carcinoma tissues, predicting poor survival and inhibits apoptosis by targeting miR-34c [149]. Following shortening of the poly(A) tail, mRNA can either be degraded through the 3′ pathway, by the eukaryotic exosome complex, or, alternatively, by removal of the cap by Dcp2 and exonuclease decay through the 5′ pathway, promoted by exonuclease Xrn1 [130, 131].
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AU-rich elements (ARE) are critical cis-acting elements in the 3′-UTRs of a variety of short-lived transcripts. Tristetraprolin (TTP) and human antigen R (HuR) are two important RNA-binding proteins which can bind to AREs in their target mRNAs. TTP promotes deadenylation and degradation of target mRNAs, whereas HuR, as already mentioned, is involved in stabilization of target mRNAs. It has been extensively described that TTP expression is significantly decreased in different types of tumors [150] and that it is involved in cell cycle control, angiogenesis and tumor metastasis [151]. Recently, it has been reported that TTP inhibits the epithelial-mesenchymal transition (EMT) of cancer cells through mRNA degradation of the EMT inducers, specifically, Twist1 and Snail1, and inhibits cell proliferation through downregulation of c-fos, CDC34 and VEGF [152]. Interestingly, TTP appears to bind to AREs and interact with proteins involved in mRNA decay, such as the PM-scl75 exosome component, Xrn1 5′–3′ exonuclease, CCR4deadenylase and Dcp1 decapping enzyme [153], supporting a model in which TTP promotes mRNA decay through the ability to recruit components of the cellular mRNA decay machinery to the target mRNAs. In recent publications, high expression levels of HuR have been correlated with tumor progression and aggressiveness by affecting cell cycle progression, migration, invasion, metastasis and apoptosis in different tumor models [154, 155, 156, 157]. HuR enhances the stability of the human epidermal growth factor receptor 2 (ERBB2/HER-2) mRNA, modulating the estrogen receptor-alpha-positive (ER+) breast cancer cells responsiveness to tamoxifen [158].
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In addition, deadenylase complexes could be recruited to the mRNA poly(A) tail through the action of miRNAs. GW182 proteins, which participate of the miRNA-induced silencing complex (miRISC), directly interact with PAN3 and NOT1 subunits, leading to recruitment of the PAN2-PAN3 and CCR4-CAF1-NOT deadenylase complexes to the 3′-UTR of target mRNAs [159]. Also, it has been described that PARN deadenylase binds to the 3′ UTR of p53 mRNA through recruitment mediated by miR-125b-loaded miRISC, promoting p53 mRNA decay [134]. Interestingly, this effect can be reverted by HuR proteins, which bind to the p53 AREs and increase p53 mRNA stability [134].
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The deadenylation machinery is also an important target for antitumor agents and anticancer therapy. Cantharidin (an inhibitor of protein phosphatase 2A) inhibits the invasive ability of pancreatic cancer cells, with concomitant deadenylation-dependent degradation of MMP2 mRNA [20]. Resveratrol (3,5,4′-trihydroxystilbene), a naturally occurring compound, induces TPP expression in U87MG human glioma cells and leads to the decay of urokinase plasminogen activator (uPA) and urokinase plasminogen activator receptor (uPAR) mRNAs, promoting suppression of cell growth and inducing apoptosis [160].
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Additionally, several mature mRNAs surveillance mechanisms guarantee quality and fidelity to encode a functional protein in a translation-dependent manner. The nonsense-mediated decay (NMD) pathway is the best understood surveillance mechanism; detecting and degrading transcripts which contain premature termination codons (PTCs), avoiding the expression of semi-functional and truncated proteins [161]. The UPF-1 (up-frameshift1) protein, a key component of the NMD mechanism, interacts with both Dcp2 and PARP, linking NMD with the decapping and deadenylation processes [162]. Low expression levels of UPF-1 protein as well as inactivation of UPF-1 function were described in several types of human cancer, suggesting that NMD downregulation is related to tumorigenesis. Decreased levels of UPF-1 were detected in lung adenocarcinoma in comparison to normal tissues, and its downregulation was correlated to poor prognosis and higher histological grade [163]. The pancreatic adenosquamous carcinoma (ASC) is an aggressive tumor which is associated with high metastatic potential and poor prognosis. In these tumors, a mutation that promotes UPF-1 alternative splicing and results in a non-functional UPF-1 protein, has been observed. Inactivation of the NMD pathway promotes selective accumulation of a p53 isoform, which acts in a dominant-negative manner, contributing to tumorigenesis [164].
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NMD can also be inhibited by a wide variety of cellular stresses, some of which are associated to the tumoral context [165]. In response to stress events, phosphorylation of the alpha-subunit of the eukaryotic initiation factor 2 (eIF2α) is able to inhibit NMD. It has been described that phospho-eIF2α is necessary for oncogene c-myc-mediated NMD inhibition [106]. Inhibition of NMD by cellular stress promotes stabilization of the SLC7A11 mRNA, which encodes a subunit of the cystine/glutamate aminoacid transport system, leading to increased intracellular levels of cysteine, accelerating the production of glutathione. SLC7A11 is upregulated in hypoxic cells, promotes tumorigenesis and chemotherapy resistance, suggesting that it could be an adaptive response that protects tumor cells against oxidative stress [166]. It has recently been described that NMD regulates the epithelial-mesenchymal transition (EMT) in the lung adenocarcinoma model, by targeting the TGF-β signaling pathway [163]. In addition, the NMD mechanism controls the expression of a novel human E-cadherin variant mRNA produced by alternative splicing. Overexpression of this alternatively spliced E-cadherin variant in MCF-7, breast cancer cells was able to induce EMT by promoting higher expression levels of Twist, Snail, Zeb1 and Slug, with a concomitant decrease in the wild type E-cadherin mRNA levels [167].
\n
Several promising NMD targets mRNAs for cancer therapy have been proposed. The MDM4 protein, which is undetectable in normal tissues, is frequently upregulated in cancer cells, acting by inhibiting the p53 tumor-suppressor function [168]. The abundance of the MDM4 protein is controlled, at least in part, by alternative splicing mechanisms and the NMD pathway. In most normal adult tissues, the lack of exon 6 in the Mdm4-spliced variant leads to the production of an unstable transcript (Mdm4-S), which contains a PTC and is targeted to NMD [168]. On the other hand, the oncogenic splicing-factor SRSF3 supports exon 6 inclusion in the Mdm4 mRNA transcript (full-length Mdm4 variant), which is not efficiently degraded by NMD. Therapeutic strategies which lead to antisense oligonucleotide-mediated (ASO-mediated) Mdm4 exon 6 skipping efficiently decreases MDM4 abundance and inhibits tumor cell growth in melanoma and diffuse large B cell lymphoma models, as well as increases sensitivity to MAPK-targeting therapies [169].
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6. Final considerations
\n
Different post-transcriptional mechanisms have been associated with gene expression control, leading to complex transcriptional signatures in cancer. The mechanisms presented in this chapter constitute fine regulators of gene expression which influence multiple and highly relevant pathways in cancer development (summarized in \nFigure 1\n). Several splicing variants, miRNAs and lncRNAs, have been shown to act as possible oncoRNAs or as tumor suppressors. The functional roles of these RNAs are only beginning to be elucidated providing an uncharted resource for the development of diagnostic methods and novel cancer therapies.
\n
Figure 1.
Schematic representation and key roles of different RNA species in the control of gene expression in mammalian cells. This scheme represents a genomic locus and the main molecular mechanisms associated with the control of gene expression pattern. Proximal control elements are located close to the promoter, while distal elements (called enhancers) may be far away from a gene or even located in an intron. Alternative splicing (AS) generates transcriptome diversity. During AS, cis-acting regulatory elements, present in the pre-mRNA sequence, determine which exons are retained and which exons are spliced out. For an individual pre-mRNA, several alternative exons show different types of alternative-splicing patterns. Addition of 5’ Cap and Poly(A) tail are controlled events which are extremely important for the stability of the mRNA and its transport from the cytoplasm to the nucleus. Non-coding RNAs (ncRNAs) with regulatory functions can act in multiple pathways during the transcription process by controlling specific events which culminate in synthesis of different proteins. Long non-coding RNAs (lncRNAs) target protein complexes to specific genomic loci affecting transcription patterns (transcriptional interference), leading to chromatin modifications (interplay between epigenetic marks, such as DNA methylation and histone acetylation) and DNA polymerase II activity. Advances in transcriptomics have resulted in the discovery of large numbers of ncRNAs (miRNAs e lncRNAs), many of which display the capacity to regulate gene expression at the levels of transcription (control of AS), post-transcription (mRNA editing, mRNA decay and mRNA stability) and translation (translation initiation).
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Abbreviations
ADAR
Adenosine deaminases acting on RNA
AGO
Argonaut
Akt/PKB
Protein kinase B
Apaf-1
Apoptotic protease activating factor 1
APOBEC
Apolipoprotein B Mrna editing enzyme, catalytic polypeptide-like
ARE
AU-rich elements
AS
Alternative splicing
ASC
Pancreatic adenosquamous carcinoma
ASO
Antisense oligonucleotide
AZIN1
Antizyme inhibitor 1
BCL
B cell lymphoma gene family
BrdU
Bromodeoxyuridine (5-bromo-2′-deoxyuridine)
BTG
BTG anti-proliferation factor
Caf1
Chromatin assembly factor-1 complex
Casp
Caspase
CCR4
C-C motif chemokine receptor 4
CCR4–NOT
Carbon catabolite repression 4 complex
CD44
CD44 molecule (Indian blood group)
CD6
Cluster of differentiation 6
CDC34
Cell division cycle 34
CDS
Coding DNA sequence
c-fos
Proto-oncogene c-Fos
cIAP2
Cellular inhibitor of apoptosis 2
CLL
Chronic lymphocytic leukemia
c-Myc
Myc proto-oncogene
CNOT1
CCR4-NOT transcription complex subunit 1
CoREST
REST corepressor 1
CSCs
Cancer stem cells
DBD
DNA-binding domain
Dcp1
Decapping protein 1
DDX
DEAD-box helixases
DICER
Dicer 1, ribonuclease III
DROSHA
Drosha ribonuclease III
E2F1
E2F transcription factor 1
eIF2α
Eukaryotic initiation factor 2
EMT
Epithelial-mesenchymal transition
ENCODE
Encyclopedia of DNA elements
ER
Estrogen receptor
ER+\n
Estrogen receptor-alpha-positive
ERBB2/HER
Human epidermal growth factor receptor 2
EXP5
Exportin 5
GAS5
Growth-arrest-specific 5
GR
Glucocorticoid receptor
GRE
Glucocorticoid response elements
H19
H19, imprinted maternally expressed transcript
H3K4
Histone H3 lysine 4
hnRNP
Heterologous nuclear ribonuclear particle
HOTAIR
Hox transcript antisense intergenic RNA
HOXC
Homeobox C cluster
HuR
Human antigen R
IGF2
Insulin-like growth factor 2
lincRNAs
Long intergenic ncRNAs
lncRNAs
long non-coding RNAs
LSD1
Lysine-specific histone demethylase 1
MALAT1
Metastasis associated in lung adenocarcinoma transcript
MAPK
mitogen-activated kinase-like protein
MDM4
MDM4, p53 regulator
MEG3
Maternally expressed gene 3
miRISC
miRNA-induced silencing complex
miRNA/miR
microRNA
MMP2
Matrix metalloproteinase 2
NATs
Natural antisense transcripts
ncRNAs
Non-coding RNAs
NMD
Nonsense-mediated decay
NSCLC
Non-small cell lung cancer
ODC
Ornithine decarboxylase
p53
Tumor protein p53
PABPC1
Cytoplasmic poly(A)-binding protein
PABPC1
Poly(A) binding protein cytoplasmic 1
Pan2/Pan3
Poly(A) nuclease 2/3 complex
PARN
Poly(A)-specific ribonuclease
piRNA
PIWI-interacting RNA
Pol II
RNA polymerase II
PPB
Pleuropulmonary blastoma
PR
Progesterone receptor
PRC2
Polycomb repressive complex 2
Pri-miRNA
miRNA primary transcript
PTCs
Premature termination codons
PTEN
Phosphatase and tensin homolog
PTENP1
Phosphatase and tensin homolog pseudogene 1
Ras
HRas proto-oncogene, GTPase
REST
RE1-silencing transcription factor
RISC
RNA-induced silencing complex
rRNAs
Ribosomal RNAs
siRNA
Small interfering RNA
SLC7A11
Solute carrier family 7 member 11
Slug
Snail family transcriptional repressor 2
Snail1
Snail family transcriptional repressor 1
snoRNAs
Small nucleolar RNAs
SNPs
Single-nucleotide polymorphisms
snRNAs
Small nuclear RNAs
snRNP
Small nuclear ribonucleoprotein particles
SRP
Serine-rich protein
SRSF1
Serine and arginine-rich splicing factor 1
TGF-β
Transforming growth factor beta 1
Tob
Transducer of ERBB2
tRNAs
Transfer RNAs
TTP
Tristetraprolin
Twist1
Twist family BHLH transcription factor 1
uPA
Urokinase plasminogen activator
uPAR
Urokinase plasminogen activator receptor
UPF-1
Up-frameshift1 protein
UTR
Untranslated region
VEGF
Vascular endothelial growth factor
XPO5
Exportin 5
Xrn1
5′–3′ exoribonuclease 1
Zeb1
Zinc finger E-box binding homeobox 1
Zfas1
Znfx1 sntisense 1
Znfx1
Zinc finger NFX1-type containing 1
\n',keywords:"post-transcriptional control, splicing, microRNAs, long non-coding RNAs, mRNA decay",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/57916.pdf",chapterXML:"https://mts.intechopen.com/source/xml/57916.xml",downloadPdfUrl:"/chapter/pdf-download/57916",previewPdfUrl:"/chapter/pdf-preview/57916",totalDownloads:1463,totalViews:527,totalCrossrefCites:1,totalDimensionsCites:2,totalAltmetricsMentions:0,introChapter:null,impactScore:1,impactScorePercentile:58,impactScoreQuartile:3,hasAltmetrics:0,dateSubmitted:"July 19th 2017",dateReviewed:"October 23rd 2017",datePrePublished:null,datePublished:"February 21st 2018",dateFinished:"November 30th 2017",readingETA:"0",abstract:"Approximately 80% of the human genome contains functional DNA, including protein coding genes, non-protein coding regulatory DNA elements and non-coding RNAs (ncRNAs). An altered transcriptional signature is not only a cause, but also a consequence of the characteristics known as the hallmarks of cancer, such as sustained proliferation, replicative immortality, evasion of growth suppression and apoptotic signals, angiogenesis, invasion, metastasis, evasion of immune destruction and metabolic re-wiring. Post-transcriptional events play a major role in determining this signature, which is evidenced by the fact that alternative RNA splicing takes place in more than half of the human genes, and, among protein coding genes, more than 60% contain at least one conserved miRNA-binding site. In this chapter, we will discuss the involvement of post-transcriptional events, such as RNA processing, the action of non-coding RNAs and RNA decay in cancer development, and how their machinery may be used in cancer diagnosis and treatment.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/57916",risUrl:"/chapter/ris/57916",book:{id:"6435",slug:"gene-expression-and-regulation-in-mammalian-cells-transcription-from-general-aspects"},signatures:"Carlos DeOcesano-Pereira, Fernando Janczur Velloso, Ana Claudia\nOliveira Carreira, Carolina Simões Pires Ribeiro, Sheila Maria\nBrochado Winnischofer, Mari Cleide Sogayar and Marina\nTrombetta-Lima",authors:[{id:"217772",title:"Prof.",name:"Mari",middleName:null,surname:"Sogayar",fullName:"Mari Sogayar",slug:"mari-sogayar",email:"mcsoga@iq.usp.br",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:{name:"Instituto Nacional de Ciência e Tecnologia de Processos Redox em Biomedicina",institutionURL:null,country:{name:"Brazil"}}},{id:"217856",title:"Dr.",name:"Marina",middleName:null,surname:"Trombetta-Lima",fullName:"Marina Trombetta-Lima",slug:"marina-trombetta-lima",email:"marinatlima@gmail.com",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"222764",title:"Dr.",name:"Carlos",middleName:null,surname:"DeOcesano-Pereira",fullName:"Carlos DeOcesano-Pereira",slug:"carlos-deocesano-pereira",email:"cardeo@gmail.com",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"222765",title:"Dr.",name:"Fernando",middleName:null,surname:"Velloso",fullName:"Fernando Velloso",slug:"fernando-velloso",email:"fernandojv@gmail.com",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"222766",title:"Dr.",name:"Ana",middleName:null,surname:"Carreira",fullName:"Ana Carreira",slug:"ana-carreira",email:"ancoc@iq.usp.br",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:{name:"Instituto Nacional de Ciência e Tecnologia de Processos Redox em Biomedicina",institutionURL:null,country:{name:"Brazil"}}},{id:"222767",title:"Ms.",name:"Carolina",middleName:null,surname:"Ribeiro",fullName:"Carolina Ribeiro",slug:"carolina-ribeiro",email:"carolinaspribeiro@gmail.com",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"222769",title:"Prof.",name:"Sheila",middleName:null,surname:"Winnischofer",fullName:"Sheila Winnischofer",slug:"sheila-winnischofer",email:"sheilambw@ufpr.br",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:{name:"Federal University of Paraná",institutionURL:null,country:{name:"Brazil"}}}],sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. mRNA processing",level:"1"},{id:"sec_3",title:"3. miRNAs",level:"1"},{id:"sec_4",title:"4. Long non-coding RNAs",level:"1"},{id:"sec_5",title:"5. mRNA decay",level:"1"},{id:"sec_6",title:"6. Final considerations",level:"1"},{id:"sec_9",title:"Abbreviations",level:"1"}],chapterReferences:[{id:"B1",body:'\nHanahan D, Weinberg RA. Hallmarks of cancer: The next generation. Cell. 2011;144(5):646-674\n'},{id:"B2",body:'\nZhang L, Zhou W, Velculescu VE, Kern SE, Hruban RH, Hamilton SR, et al. Gene expression profiles in normal and cancer cells. Science. 1997;276(5316):1268-1272\n'},{id:"B3",body:'\nBouska A, Bi C, Lone W, Zhang W, Kedwaii A, Heavican T, et al. Adult high grade B-cell lymphoma with Burkitt lymphoma signature: Genomic features and potential therapeutic targets. Blood. 2017\n'},{id:"B4",body:'\nKuang M, Cheng J, Zhang C, Feng L, Xu X, Zhang Y, et al. 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Journal of Molecular Endocrinology. 2012;48(3):R45-R53\n'},{id:"B185",body:'\nPoliseno L, Marranci A, Pandolfi PP. Pseudogenes in human cancer. Frontiers in Medicine. 2015;2:68\n'},{id:"B186",body:'\nPoliseno L, Salmena L, Zhang J, Carver B, Haveman WJ, Pandolfi PP. A coding-independent function of gene and pseudogene mRNAs regulates tumour biology. Nature. 2010;465(7301):1033-1038\n'},{id:"B187",body:'\nPoliseno L, Haimovic A, Christos PJ, Vega YSMEC, Shapiro R, Pavlick A, et al. Deletion of PTENP1 pseudogene in human melanoma. The Journal of Investigative Dermatology. 2011;131(12):2497-2500\n'},{id:"B188",body:'\nLiu F, Gao H, Li S, Ni X, Zhu Z. Long non-coding RNA ZFAS1 correlates with clinical progression and prognosis in cancer patients. Oncotarget. 2017;8(37):61561-61569\n'}],footnotes:[],contributors:[{corresp:null,contributorFullName:"Carlos DeOcesano-Pereira",address:null,affiliation:'
NUCEL-NETCEM, Internal Medicine Department, Medical School, University of São Paulo, Brazil
Centre of Excellence in New Target Discovery (CENTD), Butantan Institute, Brazil
NUCEL-NETCEM, Internal Medicine Department, Medical School, University of São Paulo, Brazil
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1. Introduction
“Despite the diversity among NPOs, there is one thing that they have in common–public trust is their most valuable asset” ([1]: 265). In that, scholars have highlighted the nonprofit organization’s dependency on the public’s trust for legitimacy and support, and ultimately for fostering their organizational goals and missions [2, 3]. Notwithstanding the high importance of public trust for the continuation of nonprofit organizations [4, 5], corresponding research is scattered, and disparate associations have been found. For example, in a recent meta-analysis on trust and giving in the nonprofit domain, Chapman et al. [6] investigate to what extent trust is a prerequisite for giving to nonprofits. The authors confirmed a positive association between both concepts across diverse measures considering 69 effect sizes from 42 studies sampling 81,604 people in 31 countries. Although trust and giving are positively associated, the overall relationship is relatively modest in size, varying by the form of trust, e.g. organizational and sectoral trust are more important compared to generalized and institutional trust. As another point, the authors highlight the lack of experimental and longitudinal research, still leaving open “whether trust really is a prerequisite for or consequence of charitable giving” ([6], p. 18).
Moreover, most studies conceptualize the public’s trust in nonprofit organizations primarily according to a “narrow” relationship management perspective. This perspective equates the general public with nonprofit stakeholders such as donors, volunteers, or public authorities that are directly related to the organization through actual experiences and transactions, and stronger relationships respectively. Bryce [2], for example, argues that “[t]he public’s positive or negative experiences in core transactions with an organization may be the principal bases for the impairment or improvement of the public trust”. To restore and improve public trust in nonprofit organizations, he accordingly suggests the use of relationship marketing concepts. Similarly, Sargeant and Lee [7] put public’s trust at the core of a relational fundraising approach, even though the authors find empirical evidence that “trust may operate at two levels distinguishing donors from non-donors”. However, the very same approaches to address both donor and public trust may not be reasonable.
This chapter calls into question former relationship-focused conceptualizations of public trust. The aim of this chapter is hence to move beyond the narrow trust perspective to conceptualize and operationalize public’s trust in nonprofit organizations in accordance with a broader perspective. That is, the larger public had no or few actual transactions with the organization yet, and rather vague assumptions or interests based on initial points of contact such as through the media, word-of-mouth, or the organization’s fundraising activities. In the case of a series of positive contact points, a stronger relationship might evolve subsequently at a later stage [8]. The nature of public’s trust in nonprofit organizations hence depends upon few contact points between the public and the organization, which are embedded in a comparatively loose connection between those involved. To directly address these contact points, the current chapter suggests that nonprofit organizations can send signals through the implementation of branding and accountability strategies, rather than through relationship management approaches. These strategies arise from the broad trust perspective, and from recent trends in nonprofit trust literature that turned out to be most promising, also as strategies for restoring public’s trust in the case of a scandal as we have seen them repetitively in the nonprofit domain over the past years. As such, they have ability to directly influence the mechanisms that are related to public’s trust in nonprofit organizations.
To fully evolve, this chapter claims public trust to be associated with five mechanisms, including 1) promise of mission and values, 2) organizational reputation, 3) transparency and accountability, 4) performance and social impact, and 5) use of contributions. It follows that public trust depends on how well the organization performs relating to each of these fields that act as mechanisms for strengthening trust. In contrary, if the nonprofit organization blocks one or more of these mechanisms, it impairs this trust; and at its worst, a corresponding scandal is likely to be provoked. Both for the improvement and impairment of public’s trust in nonprofit organizations, this chapter provides nonprofit scholars and managers with insights into the mechanisms behind it, and provides strategies to successfully build, maintain, and restore public trust.
2. Perspectives and definition of public trust in nonprofit organizations
The nonprofit organizations’ very existence is assumed to be based on their greater trustworthiness. Nonprofit organizations are prohibited by law from distributing profits to private parties, and unlike their commercial counterparts, they do not have legal owners with residual claims [5, 9]. The nonprofit character accordingly provides signals of trust that help the public and other nonprofit stakeholders to overcome uncertainty caused by agency problems regarding the organizations’ behavior and quality [4, 5, 10]. In view of some of the most recent nonprofit scandals (e.g. SOS-Children Villages or Oxfam’s scandals of misconduct), scholars yet question the effectiveness of Hansmann’s [9] nondistribution constraint alone to mitigate these scandals’ effects [10]. Where the nonprofit character by itself cannot offer assurance regarding the organizations’ good intentions, and the public has difficulties assessing the organizations trustworthiness, additional trust signals are vital [2, 11, 12].
According to the narrow perspective, these signals primarily refer to relationship-based management, marketing, and fundraising measures that are suitable to target stakeholders such as donors, or volunteers within a stronger relationship. Bryce [2] suggests sending a series of relationship messages, for example, with the purpose of affirming the ability to make discretionary decisions regarding the use of contributions, or communicating realizable future performances. As such, the narrow perspective assumes a stronger transactional relationship between the public and the organization, expecting the public to be susceptible to these messages. Although someone who has already donated to an organization is expected to value messages on how his or her donation is used, this chapter questions the larger public to be susceptible to corresponding messages. According to the broad perspective, the larger public rather relies on general cues or signals that may be derived from an organization’s self-assessments, statements relating to the organizational mission and values as well as fundraising activities, annual reports, or websites. Third-party organizations such as watchdogs and funding agencies, or even word-of-mouth, and the media can provide additional signals to inform the public’s assessments of the organization’s trustworthiness [13, 14]. It follows that nonprofit organizations, in turn, must be able to identify and communicate trust building signals to stakeholders and the larger public to cultivate trust within their network of relationships [12]. See Table 1 for a comparison of both perspectives on public’s trust in nonprofit organizations.
Table 1.
Perspectives on public Trust in Nonprofit Organizations.
Within this context, scholars have defined public’s trust in nonprofit organizations mainly in accordance with a rather narrow trust perspective, and relating to strong stakeholder relationships (e.g., [1, 2, 7]). They accordingly refer to trust as a two-dimensional construct. The first dimension refers to generally positive trust-related expectations, or specific characteristics of the trustee (the nonprofit organization), such as its ability, benevolence, and integrity. Considering the special features of organizations from the nonprofit sector, the benevolence dimension is particularly dominant in this domain [16, 17]. The second dimension refers to the (nonprofit) stakeholder’s willingness to accept vulnerability, which comes with an element of risk [18]. According to the broad perspective, public trust, however, evolves in the context of weak relationships between organizations and the larger public, based on initial points of contact. Such contact points may sufficiently inform the public’s assessments of the organization’s general trustworthiness, yet, do not contain major elements of risk. For example, if an individual from the larger public derives information from an organization’s website, this may shape the individual’s first opinion on the organization’s trustworthiness but he or she does rather face no or a weak risk at this point of (weak) relational involvement with the organization. Therefore, this chapter draws on a definition highlighted by Becker et al. [15], that builds on Morgan and Hunt’s conceptualization ([19]: 23) to explicitly focus on the first dimension, and conceptualize public trust as “existing when one party has confidence in an exchange partner’s reliability and integrity”. Public trust is hence considered an aggregate of each interaction between an individual and the organization, which further reflects the overall public attitude towards an organization [15, 20].
3. Five mechanisms associated with public trust
Based on an extensive literature review as well as former trust conceptualizations (e.g., [2]), this chapter presents five mechanisms that are associated with public’s trust in nonprofit organizations. The mechanisms relate to fundamental principles and special features of nonprofit organizations, and corresponding processes in the sector. Following all five mechanisms are explained in detail. That is, the mechanisms’ bases for the development of public trust as well as managerial actions that potentially impair public trust are presented. Table 2 illustrates the mechanisms in an overview.
Mechanism
Basis for public trust
Managerial action impairing public trust
Strategies to build, maintain, and restore public trust
Nonprofit branding
Voluntary nonprofit accountability
1. Promise of mission and values
Adherence to act according to organizational mission and values
Violation
Misrepresentation
Lack of clarity
Ability to signal the organization’s mission and core values
Ability to signal adherence to the organization’s mission and core values
2. Organizational reputation
High organizational reputation (competence and likeability)
Incompetence
Non-likeability
Ability to enhance organizational reputation through shaping single brand images
Ability to contribute to the organizational reputation through joining high-reputational initiatives
3. Transparency and accountability
Compliance with transparency and accountability standards
Lack of transparency
Below legal requirements
Ability to signal integrity and accountability
Ability to strengthen compliance with transparency and accountability standards
4. Performance and social impact
Financial, stakeholder, market, and mission performance, mission impact
Mal-performance
No impact
Ability to signal quality regarding performance and impact
Ability to signal quality regarding performance and impact (e.g., performance and impact seals)
5. Use of contributions
Mission-based use, discretion, preservation
Misuse
Misrepresentation
Negligence
Imprudence
Ability to signal the adequate use of contributions
Ability to (externally) certify the adequate use of contributions
Table 2.
Five Mechanisms that are Associated with Public Trust in Nonprofit Organizations.
3.1 Promise of mission and values
Promise of mission and values is the first mechanism that is associated with public’s trust in nonprofit organizations. An organization’s mission refers to the organization’s long-term objective and determines its strategic direction [21], and is thus also relevant to public trust [2, 7, 22]. Values further range from ethical responsibilities to competitive values, and specify how an organization conducts its activities and strategies [23]. In the nonprofit sector values such as altruism, humanity, equality, helpfulness, but also trustworthiness and honesty are prominent [23, 24], having distinct impacts of public’s trust. Both missions and values can vary considerably across organizations, with substantially different meanings and relevance for the larger public as well as other stakeholders [14, 25]. For example, Oxfam states its organizational mission, as follows “We fight inequality to end poverty and injustice.”, and “commit[s] to living [their] values [in particular, equality, empowerment, solidarity, inclusiveness, accountability, courage] so that [they] can be known for [their] integrity. This means transforming [their] governance, management, and operational structures, and nurturing a culture of continuous learning and reflection” [26]. The principal basis for public trust relates to the organization’s adherence to act according to its organizational mission and values. If organizations, however, violate or misrepresent these, public trust is impaired [2]. Also, a lack of clarity in expressions of mission statements and values may impair public trust such that the public perceive nonprofit managers as insincere about their true goals, and therefore assess the organization’s trustworthiness as significantly lower [27].
3.2 Organizational reputation
The organizational reputation constitutes the second mechanism that is associated with public’s trust in nonprofit organizations. Organizational reputation, namely the collectively held mental image of the organization [28, 29], is considered a highly important intangible asset in nonprofit organizations [30]. It consists of different mental images across various stakeholder groups that can vary highly depending on which assessments are gathered. In view of recent nonprofit scandals, the reputation of nonprofit organizations has been tremendously threatened because it is influenced through monitoring problems. According to Prakash and Gugerty [10], “[i]t is not an exaggeration to say that the negative reputational effects of a few ‘bad apples’ are beginning to undermine the reputation of the sector as a whole”, and the organizational reputation has distinct impacts on public trust [31]. In the nonprofit sector, reputation is conceptualized primarily with respect to the organization’s competences and its likeability that accordingly acts as a basis for public trust [29]. If an organization, in turn, cannot maintain its images as sufficiently competent and likeable across a variety of people, public trust is impaired.
3.3 Transparency and accountability
Transparency and accountability represent the third mechanism that is related to public trust. Its importance is based on the fact that in the nonprofit domain organizations are – dependent on the home countries’ varying regulations – are more or less not obliged to comprehensively report financial and non-financial information publicly. However, we know about the importance of transparency and accountability standards in the sector that is vital to improve public trust [32, 33, 34]. That is, nonprofit stakeholders and the larger public face uncertainty because they cannot easily observe the organization’s project and operational expenses, and so its behavior and the quality of services [10]. It follows that high transparency and compliance with transparency and accountability standards build an essential basis for public trust [10, 34, 35]. This basis is threatened through organizations that lack transparency, or (at its worst) do not comply with legal accountability standards and requirements.
3.4 Performance and social impact
The organization’s performance and social impact represent the fourth mechanism that improves public trust. Nonprofit organizations often provide services that are highly intangible and of which the quality is difficult to observe [16]. The organization’s performance in the form of financial, stakeholder, market, and mission performance is hence difficult to verify both for contributors and beneficiaries, and even more so, for the larger public [14]. Achieving and measuring actual impacts has been found to be increasingly important for organizations and their contributors; yet, social impact measurement is still in its infancy, and few organizations have capacities for accordant evaluations [36]. Despite agency problems regarding the organizations’ performances and social impacts, they form the basis to ultimately further the mission. It follows that organizational performance (and to a growing extent, also social impact) are particularly relevant for public’s trust. Impairments of public trust accordingly include organizational mal-performance [2], and no social impact.
3.5 Use of contributions
The use of contributions is the fifth mechanism that is associated to public’s trust in nonprofit organizations. That is, the majority of nonprofit organizations rely on external funding (for example, from private and corporate donors, or public authorities and foundations) to finance the organization’s project and operating expenses, to ultimately ensure the organization’s continuation. The principal basis for improving public trust according to this mechanism is the mission-based use as well as discretion in the handling of contributions, and its preservation. On the other hand, trust is impaired through managerial actions such as misuse, misrepresentation, negligence, and imprudence in the handling of donations and other contributions [2, 37]. In the past, the unreasonable use of contributions have been particular serious in some cases, and subsequently resulted in a nonprofit scandal that affected not only involved organizations, but questioned the legitimacy also of other organizations in the nonprofit sector. For example, in 2014, Greenpeace International’s use of contributions created a scandal because an employee of the organization used large amounts of donated funds for foreign exchange trading [38]. In contrary, it is assumed that nonprofits clearly stating their use of contributions exhibit higher levels of trustworthiness. Some organizations recently started to develop new marketing and fundraising models around this topic. For example, the nonprofit organization charity: water, committed to bring clean and safe drinking water to people in developing countries, relies on private donors to fund all overhead costs, so 100% of public donations go directly to fund clean water projects [39].
4. Operationalization of public trust
Pursuant to conceptualizations of the narrow relationship management perspective, scholars rarely distinguish between the larger public and other external stakeholder groups in their operationalizations of public trust. In their study on public’s trust in nonprofit organizations, Sargeant and Lee [7] yet found empirical evidence indicating that donors place significantly more trust in charitable organizations than non-donors. Because only few operationalizations and measurement approaches explicitly focus on public trust, this chapter involves also those focusing on donor trust. Table 3 shows the prevailing trust measurement scales in the nonprofit sector.
First category: Second-order construct operationalizations
First-order dimensions and measurement items (7-point scale; anchored at 1 = strongly disagree to 7 = strongly agree)
1. Relationship investment
2. Mutual influence
3. Forbearance from opportunism
4. Communication acceptance
1. I read all the materials (this NPO) sends to me. 2. Supporting (this NPO) is very important to me. 3. I would not encourage others to support (this NPO). 1. I share the views espoused by (this NPO). 2. (This NPO) does not reflect my views. 3. I feel I can influence policy in (this NPO). 4. I find myself influenced by (this NPO). 1. I am very loyal to (this NPO). 2. (This NPO) is one of my favorite charities to support. 3. My giving to (this NPO) is not very important to me. 4. My giving to (this NPO) is high on my list of priorities. 1. I look forward to receiving communications from (this NPO). 2. I do not enjoy the content of communications from (this NPO). 3. Communications from (this NPO) are always informative.
.88
.82
.85
.76
.65
.61
.63
.56
Second category: Scale measurement approaches
Donor trust
MacMillan et al. [30] (7-point scale; anchored at 1 = strongly agree to 7 = strongly disagree)
.87
.53
1. The NPO are very unpredictable. I never know how they are going to act from one day to the next. 2. I can never be sure what the NPO are going to surprise us with next. 3. I am confident that the NPO will be thoroughly dependable, especially when it comes to things that are important to my organization. 4. In my opinion, the NPO will be reliable in the future. 5. The NPO would not let us down, even if they found themselves in an unforeseen situation (e.g., competition from other funders, changes in government policy).
Naskrent & Siebelt [33] (5-point scale; anchored at 1 = strongly disagree to 7 = strongly agree)
Ability
Willingness
1. In my opinion, the NPO is competent. 2. I have the feeling that the NPO knows its business. 3. I believe that the NPO is able to achieve the goals, which it commits itself to. 4. I am convinced that the NPO is able to keep its promises. 5. In my opinion, the NPO has the skills and the qualification to act reliably. 1. In my opinion, the NPO is trustworthy. 2. I think that the NPO is honest to its donors. 3. I can rely on the NPO. 4. I am convinced of the NPO’s willingness to keep its promises. 5. The NPO acts altruistically.
.88
.87
.68
.65
Public and donor trust
Sargeant, Ford & West, [43] (7-point scale; anchored at 1 = strongly disagree to 7 = strongly agree)
.94
n.r.
1. I would trust this NPO to always act in the best interest of the cause. 2. I would trust this NPO to conduct their operations ethically. 3. I would trust this NPO to use donated funds appropriately. 4. I would trust this NPO not to exploit their donors. 5. I would trust this NPO to use fundraising techniques that are appropriate and sensitive.
Sargeant & Lee [44] (7-point scale; anchored at 1 = strongly disagree to 7 = strongly agree)
.92
n.r.
1. To always act in the best interests of the cause. 2. To conduct their operations ethically. 3. To use donated funds appropriately. 4. Not to exploit their donors. 5. To use fundraising techniques that are appropriate and sensitive.
Sargeant & Woodliffe [47]; Becker [4]; Becker, Boenigk and Willems [5] (7-point scale; anchored at 1 = strongly disagree to 7 = strongly agree)
.89 .94 .93
n.r. n.r. 0.82
1. I trust this NPO to always act in the best interests of the cause. 2. I trust this NPO to conduct its operations ethically. 3. I trust this NPO to use donated funds appropriately.
Table 3.
Operationalizations and measurement approaches of public Trust in Nonprofit Organizations.
Note. α = Cronbach’s alpha; AVE = average variance extracted; n.r. = values not reported.
The existing operationalizations and measurement approaches relating to (public) trust in nonprofit organizations can be divided into two categories. The first category refers to second-order trust operationalizations, and few scholars operationalize trust in the nonprofit sector by means of second-order-constructs (e.g., [40, 41]). Corresponding operationalizations come from the narrow relationship management perspective such that they focus on trust emerging from stronger relationships between donors and nonprofit organizations. For example, Sargeant and Lee [40, 41] operationalize donor trust with respect to four components: 1) relationship investment, 2) mutual influence, 3) forbearance from opportunism, and 4) communication acceptance. The authors claim this operationalization of trust only to be relevant “in the context of a donor’s relationship with a specific organization” ([40]: 618) as the dimensions are based on an existing donor-organization-relationship. The respective first-order dimensions show sufficient high values of Cronbach’s alpha, and average variance extracted, exceeding the respective thresholds of .70, and of .50 respectively [44, 45]. It is important to note that the four dimensions do not include any of the two trust dimensions (trustworthiness of NPO and risk for donors), given that the authors rather identified “key behaviors indicative of the presence [of trust]” ([7]: 616).
The second category relates to scale measurement approaches of trust in the nonprofit sector that directly address the trust concept as outlined in this chapter. Most studies fall into this category, and either measure trust according to a narrow or a broad perspective (e.g., [8, 17, 42, 46]). That is, most measurement scales seek to measure donor trust, whereas one prevailing measurement scale is used both in the context of donor and public trust. All scales exhibit sufficient psychometric properties. The measures explicitly focusing on donor trust emerge from the narrow perspective, such that they include the first dimension of trust, measuring the organization’s trustworthiness; to a lesser extent, they also include the risk dimension [17, 42]. The measures to operationalize both donor and public trust have been used in two ways: They include either the measurement items (1)–(3) [46], or all items (1)–(5), which specify additional donor and fundraising aspects [7, 8]. The latter rather emerges from a narrow perspective, and more strongly focuses on trust in the context of donor and fundraising issues. As such, the measure also refers to the potential risk of donors [7, 8]. In contrast, Sargeant and Woodliffe’s [46] scale includes the measurement items (1)–(3). The scale explicitly focuses on the first trust dimension, such that corresponding items target the nonprofit organization’s trustworthiness, and relate to weaker relationships between organizations and the public. Against this background, and in accordance with the broader perspective, this chapter suggests that Sargeant and Woodliffe’s scale is particularly suitable for operationalizing public trust. However, these items still do not address all mechanisms that are associated with public’s trust, and the accordant measurement scale is therefore capable of improvement (see future research ideas).
5. Nonprofit management strategies to improve public trust
To build and maintain public’s trust in nonprofit organizations, this chapter claims strategies from the field of nonprofit branding as well as nonprofit accountability to be of great significance. They are also suitable for restoring public trust, if managerial action has led to its impairment. Of particular importance are these strategies in the case of nonprofit scandals. One the one hand, they can help involved nonprofit organizations to recover from scandals. On the other hand, they have great ability to protect other nonprofit organizations from negative spillover effects in the sector. The underlying rationale of the functioning of these strategies is that external stakeholders face uncertainty regarding the organization’s trustworthiness [10], and they “seek assurances beyond those provided by public regulations that organizations are behaving responsibly, following societal expectations and norms of behavior” ([13]: 1). This is where strategies of nonprofit branding and nonprofit accountability provide assurance for the public, attesting the organization’s trustworthiness [47, 48].
The first strategy of improving public’s trust in nonprofit organizations refers to the field of nonprofit branding. Precisely, the nonprofit brand equals a “shortcut” that provides the general public with valuable information about the nonprofit organization ([49]: 22). In particular, the brand’s signaling function enables organizations to spread signals relating to the organization’s mission and core values [49, 50]. It thus has the ability to clearly inform the public’s assessments of the organization’s trustworthiness with respect to its mission and values as well as its performance. Moreover, branding strategies can effectively target the various mental images of nonprofit stakeholders, to successfully build up a high organizational reputation. A strong brand ultimately has the potential to act as an additional safeguard and reinforcement to the public along with the nondistribution constraint, which may represent a seal of trust [51]. For Sargeant [8], nonprofit brands “are in essence a promise to the public that an organization possesses certain features or will behave in certain ways”. In this line, Laidler-Kylander and Stenzel [49] “believe that the brand is the vehicle for building this trust”. A strong nonprofit brand can accordingly protect the respective organization against negative spillover effects caused by other nonprofit organizations, and they are less susceptible to risk [51]. In their prominent article “The Role of Brand in the Nonprofit Sector”, Kylander and Stone [52] share their results evaluating the brand of one of the biggest nonprofit organizations worldwide, the World Wildlife Fund (WWF), citing Marsh, COO of the WWF, as follows “Our brand is the single greatest asset that our network has, and it’s what keeps everyone together” ([52], p. 5).
The second strategy of improving public’s trust in nonprofit organizations arises from the field of nonprofit accountability. Nonprofit accountability and governance programs and initiatives aim to develop common standards across nonprofit organizations to support good governance in nonprofit sectors worldwide. In particular, voluntary nonprofit accountability in the form of various codes of conduct, self-regulation mechanisms, and certification and accreditation schemes has great potential to improve and restore public’s trust in nonprofit organizations [10, 32, 35, 48, 53]. Slatten et al. [48] argue that “the adoption of standards for ethical and accountable behavior may provide the solution [to the climate of shaken public trust in the non-profit sector]”. First empirical evidence shows that voluntary accountability, and externally certified accountability (including accreditation systems), can enhance public trust in nonprofit organizations [32, 53]. It follows that organizations increasingly devote efforts to demonstrating their trustworthiness with various seals and certifications [2, 34, 51]. Precisely, voluntary nonprofit accountability strategies address the trust-driving mechanisms by their ability to signal adherence to the organization’s mission and core values, and regarding the quality of organizational performance [32]. These strategies further contribute to the organizational reputation by joining high-reputational initiatives [13], and they particularly strengthen compliance with certain transparency and accountability standards, also through (external) certifications that attest the organization’s adequate use of contributions [37, 53].
6. Future research ideas
This chapter also suggests directions for further research regarding public trust in nonprofit organizations. First, although a number of scholars agree that public’s trust in (charitable) nonprofit organizations is under increasing pressure (mainly caused by public scandals and commercialization issues) [54, 55], other scholars find no empirical evidence for decreased public trust and confidence in the nonprofit sector (e.g., [56]). When related to the important component of giving behavior, a recent meta-analysis by Chapman et al. [6] showed that even though trust is often assumed to affect giving, the body of evidence available for their analysis was rather small. Against this background, a first research idea relates to investigations of public trust among different nonprofit organizations based on, for example, the ICNPO categories, organizational mission categories, or other classifications. Precisely, public trust may be high relating to cultural organizations, but lower in the health sector, and thus vary among the different organizations. Evidence also confirms the link between people’s trust and the organizations’ mission category. Considering the organizational diversity in the nonprofit sector, scholars, such as Kearns [1] and O’Neill [56], propose a more differentiated perspective to distinguish between several nonprofit industries. Further research should take the organizational diversity in the nonprofit sector into account.
Second, few operationalizations and measurement approaches focus explicitly on the public’s trust in nonprofit organizations. Given the high importance of the public’s trust for nonprofits and corresponding ways to measure it, the second future research idea relates to scale development processes for public trust. These processes should accordingly be based on the broader trust perspective, such that they relate to weaker relationships between organizations and the general public. On the one hand, scholars could build on Sargeant and Woodliffe’s [46] measurement scale, and include additional items that address the five trust driving mechanisms. On the other hand, scholars could operationalize public trust as a second-order construct. The five mechanisms accordingly provide the basis for first-order dimensions, and corresponding measurement items respectively.
Third, nonprofit branding and nonprofit accountability strategies are first attempts to improve and restore public’s trust in nonprofit organizations. However, conceptual and empirical research on the link between public trust and accordant research fields and strategies still is limited. Yet, both nonprofit branding and nonprofit accountability have gained increasing importance over the past few years, and scholars have found them to be very promising, in particular in the context of trust research [8, 10, 32, 48, 49]. Another future research idea accordingly refers to this topic, to further investigate the link between these research fields and public’s trust. Findings could be used to provide nonprofit managers with more specific recommendations to further improve public’s trust in nonprofit organizations. This chapter thus points to the overall need to further the public trust discussion.
\n',keywords:"public trust, nonprofit organization, nonprofit branding, nonprofit accountability",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/79335.pdf",chapterXML:"https://mts.intechopen.com/source/xml/79335.xml",downloadPdfUrl:"/chapter/pdf-download/79335",previewPdfUrl:"/chapter/pdf-preview/79335",totalDownloads:141,totalViews:0,totalCrossrefCites:0,dateSubmitted:"June 17th 2021",dateReviewed:"September 24th 2021",datePrePublished:"November 14th 2021",datePublished:null,dateFinished:"November 14th 2021",readingETA:"0",abstract:"Trust in the nonprofit domain has been subject to a large interest both among scholars and practitioners over the past few years. Today, we differentiate between a range of different forms of trust, namely, organizational and sectoral trust as well as more generalized and institutional trust. Another differentiation in nonprofit literature relates to the subject that forms trust towards a nonprofit organization, reflected by the strength of the individual-organizational-relationship. In that, two forms of trust, namely, a narrow form of relational trust and broader trust among the public have evolved. While previous research provides varying conceptual approaches for explaining public’s trust in the nonprofit sector, most scholars, however, approach public trust from a rather narrow relationship management perspective. This chapter conceptualizes and operationalizes public trust from a broader perspective and emphasizes that to get public support to ultimately further their missions, nonprofit organizations should strive for building, maintaining, and restoring public’s trust. This chapter accordingly presents five mechanisms that are associated with public’s trust in nonprofit organizations: 1) promise of mission and values, 2) organizational reputation, 3) transparency and accountability, 4) performance and social impact, and 5) use of contributions. Thereby, recent trends in academic literature are identified—nonprofit branding and nonprofit accountability—that have great ability to address these mechanisms to successfully improve public trust. Results from this chapter provide nonprofit scholars with insights into a broader conceptualization and operationalization of public trust in nonprofit organizations, and with future research ideas. Nonprofit managers may benefit by gaining insights into how to sustainably improve trust among the general public by focusing on nonprofit branding and accountability strategies.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/79335",risUrl:"/chapter/ris/79335",signatures:"Annika Becker",book:{id:"10673",type:"book",title:"The Psychology of Trust",subtitle:null,fullTitle:"The Psychology of Trust",slug:null,publishedDate:null,bookSignature:"Dr. Martha Peaslee Levine",coverURL:"https://cdn.intechopen.com/books/images_new/10673.jpg",licenceType:"CC BY 3.0",editedByType:null,isbn:"978-1-83969-873-6",printIsbn:"978-1-83969-872-9",pdfIsbn:"978-1-83969-874-3",isAvailableForWebshopOrdering:!0,editors:[{id:"186919",title:"Dr.",name:"Martha",middleName:null,surname:"Peaslee Levine",slug:"martha-peaslee-levine",fullName:"Martha Peaslee Levine"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}},authors:null,sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. Perspectives and definition of public trust in nonprofit organizations",level:"1"},{id:"sec_3",title:"3. Five mechanisms associated with public trust",level:"1"},{id:"sec_3_2",title:"3.1 Promise of mission and values",level:"2"},{id:"sec_4_2",title:"3.2 Organizational reputation",level:"2"},{id:"sec_5_2",title:"3.3 Transparency and accountability",level:"2"},{id:"sec_6_2",title:"3.4 Performance and social impact",level:"2"},{id:"sec_7_2",title:"3.5 Use of contributions",level:"2"},{id:"sec_9",title:"4. Operationalization of public trust",level:"1"},{id:"sec_10",title:"5. Nonprofit management strategies to improve public trust",level:"1"},{id:"sec_11",title:"6. Future research ideas",level:"1"}],chapterReferences:[{id:"B1",body:'Kearns KP. 2014. Ethical challenges in nonprofit organizations: Maintaining public trust. In: Frederickson HG, Ghere RK, editors. Ethics in Public Management. London/New York: Routledge; 265-292'},{id:"B2",body:'Bryce HJ. 2007. The public’s trust in nonprofit organizations: The role of relationship marketing and management. California Management Review 49(4): 112-131'},{id:"B3",body:'Burt CD. 2014. Managing the Public’s Trust in Non-Profit Organizations. New York, NY: Springer'},{id:"B4",body:'Ortmann A, Schlesinger M. 2003. Trust, repute, and the role of nonprofit enterprise. In: Anheier HK, Ben-Ner A, editors. The Study of the Nonprofit Enterprise. New York, NY: US Springer. pp. 77-114'},{id:"B5",body:'Rose-Ackerman S. 1996. Altruism, nonprofits, and economic theory. Journal of Economic Literature. 34(2):701-728'},{id:"B6",body:'Chapman CM, Hornsey MJ, Gillespie N. 2021. To what extent is trust a prerequisite for charitable giving? A systematic review and meta-analysis. Nonprofit and Voluntary Sector Quarterly. DOI: 08997640211003250'},{id:"B7",body:'Sargeant A, Lee S. 2002. Improving public trust in the voluntary sector: An empirical analysis. International Journal of Nonprofit and Voluntary Sector Marketing. 7(1):68-83'},{id:"B8",body:'Sargeant A. 2009. Marketing Management for Nonprofit Organizations. 3rd ed. Oxford University Press: Oxford'},{id:"B9",body:'Hansmann H. 1980. The role of nonprofit enterprise. The Yale Law Journal. 89(5):835-902'},{id:"B10",body:'Prakash A, Gugerty MK. 2010. Trust but verify? Voluntary regulation programs in the nonprofit sector. Regulation & Governance. 4(1):22-47'},{id:"B11",body:'Brady MK, Bourdeau BL, Heskel J. 2005. The importance of brand cues in intangible service industries: An application to investment services. Journal of Services Marketing. 19(6):401-410'},{id:"B12",body:'Venable BT, Rose GM, Bush VD, Gilbert FW. 2005. The role of brand personality in charitable giving: An assessment and validation. Journal of the Academy of Marketing. 33(3):295-312'},{id:"B13",body:'Tremblay-Boire J, Prakash A, Gugerty MK. 2016. Regulation by reputation: Monitoring and sanctioning in nonprofit accountability clubs. Public Administration Review. 76(5): 712-722'},{id:"B14",body:'Willems J, Jegers M, Faulk L. 2016. Organizational effectiveness reputation in the nonprofit sector. Public Performance and Management Review. 39(2):476-497'},{id:"B15",body:'Becker A, Boenigk S, Willems J. 2020. In nonprofits we trust? A large-scale study on the public’s trust in nonprofit organizations. Journal of Nonprofit & Public Sector Marketing. 32(2):189-216'},{id:"B16",body:'Bourassa MA, Stang AC. 2016. Knowledge is power: Why public knowledge matters to charities. International Journal of Nonprofit and Voluntary Sector Marketing. 21(1):13-30'},{id:"B17",body:'Naskrent J, Siebelt P. 2011. The influence of commitment, trust, satisfaction, and involvement on donor retention. VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations. 22(4):757-778'},{id:"B18",body:'Edmondson AC. 2004. Psychological safety, trust and learning: A group-level lens. In: Kramer R, Cook K, editors. Trust and Distrust in Organizations: Dilemmas and Approaches. New York: Russell Sage; pp. 239-272'},{id:"B19",body:'Morgan RM, Hunt SD. 1994. The commitment–trust theory of relationship marketing. Journal of Marketing. 58(3):20-38'},{id:"B20",body:'Feldheim MA, Wang X. 2004. Ethics and public trust: Results from a national survey. Public Integrity. 6(1):63-75'},{id:"B21",body:'McDonald RE. 2007. An investigation of innovation in nonprofit organizations: The role of organizational mission. Nonprofit and Voluntary Sector Quarterly. 36(2):256-281'},{id:"B22",body:'Wiepking P, Bekkers R. 2012. Who gives? A literature review of predictors of charitable giving. Part Two: Gender, family composition and income. Voluntary Sector Review. 3(2):217-245'},{id:"B23",body:'Helmig B, Hinz V, Ingerfurth S. 2015. Valuing organizational values: Assessing the uniqueness of nonprofit values. VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations. 26(6):2554-2580'},{id:"B24",body:'Aaker J, Vohs KD, Mogilner C. 2010. Nonprofits are seen as warm and for-profits as competent: Firm stereotypes matter. Journal of Consumer Research. 37(2):224-237'},{id:"B25",body:'Frumkin P. 2009. On Being Nonprofit: A Conceptual and Policy Primer. Cambridge, MA: Harvard University Press'},{id:"B26",body:'Oxfam. 2021 (ed.). What we believe. Retrieved from: https://www.oxfam.org/en/what-we-do/about/what-we-believe.'},{id:"B27",body:'Rainey HG, Steinbauer P. 1999. Galloping elephants: Developing elements of a theory of effective government organizations. Journal of Public Administration Research and Theory. 9(1):1-32'},{id:"B28",body:'Lange D, Lee PM, Dai Y. 2011. Organizational reputation: A review. Journal of Management. 37(1):153-184'},{id:"B29",body:'Sarstedt M, Schloderer MP. 2010. Developing a measurement approach for reputation of non-profit organizations. International Journal of Nonprofit and Voluntary Sector Marketing. 15(3):276-299'},{id:"B30",body:'Shahid S, Becker A, Kundi YM. 2021. Do reputational signals matter for nonprofit organizations? Management Decision: An experimental study; DOI: 10.1108/MD-12-2020-1670'},{id:"B31",body:'Ali R, Jin Z, Wu K, Melewar TC. 2016. How does reputation win trust? A customer-based mediation analysis. International Studies of Management and Organization47(3): 220-239'},{id:"B32",body:'Becker A. 2018. An experimental study of voluntary nonprofit accountability and effects on public trust, reputation, perceived quality, and donation behavior. Nonprofit and Voluntary Sector Quarterly. 47(3):562-582'},{id:"B33",body:'Greiling D. 2007. Trust and performance management in non-profit organizations. The Innovation Journal: Public Sector Innovation Journal. 12(3):9-32'},{id:"B34",body:'Schnackenberg AK, Tomlinson EC. 2014. Organizational transparency: A new perspective on managing trust in organization-stakeholder relationships. Journal of Management. 42(7):1784-1810'},{id:"B35",body:'Gugerty MK. 2009. Signaling virtue: Voluntary accountability programs among nonprofit organizations. Policy Sciences. 42(3):243-273'},{id:"B36",body:'Arvidson M, Lyon F. 2014. Social impact measurement and non-profit organisations: Compliance, resistance, and promotion. VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations. 25(4):869-886'},{id:"B37",body:'Bekkers R. 2003. Trust, accreditation, and philanthropy in the Netherlands. Nonprofit and Voluntary Sector Quarterly. 32(4):596-615'},{id:"B38",body:'Schiessl M. 2014. Financial scandal: Organizational change has led to chaos in Greenpeace. http://www.spiegel.de/international/business/greenpeace-financial-scandal-how-the-organization-lost-millions-a-976868.html [24 May 2016].'},{id:"B39",body:'charity: water. 2021 (ed.). The 100% Model. Retrieved from https://www.charitywater.org/our-approach/100-percent-model.'},{id:"B40",body:'Sargeant A, Lee S. 2004. Trust and relationship commitment in the United Kingdom voluntary sector: Determinants of donor behavior. Psychology & Marketing. 21(8):613-635'},{id:"B41",body:'Sargeant A, Lee S. 2004b. Donor trust and relationship commitment in the U.K. charity sector: The impact on behavior. Nonprofit and Voluntary Sector Quarterly. 33(2):185-202'},{id:"B42",body:'MacMillan K, Money K, Money A, Downing S. 2005. Relationship marketing in the not-for-profit sector: an extension and application of the commitment–trust theory. Journal of Business Research. 58(6):806-818'},{id:"B43",body:'Sargeant A, Ford JB, West DC. 2006. Perceptual determinants of nonprofit giving behavior. Journal of Business Research 59(2): 155-165'},{id:"B44",body:'Fornell C, Larcker DF. 1981. Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research. 18(1):39-50'},{id:"B45",body:'Nunnally JC, Bernstein IH. 1994. Psychometric Theory. 3rd ed. McGrawHill: New York, NY'},{id:"B46",body:'Sargeant A, Woodliffe L. 2007. Building donor loyalty: The antecedents and role of commitment in the context of charity giving. Journal of Nonprofit & Public Sector Marketing. 18(2):47-68'},{id:"B47",body:'Bies A. 2010. Evolution of nonprofit self-regulation in Europe. Nonprofit and Voluntary Sector Quarterly. 39(6):1057-1086'},{id:"B48",body:'Slatten LAD, Guidry BN, Austin W. 2011. Accreditation and certification in the non-profit sector: Organizational and economic implications. Organization Management Journal. 8(2):112-127'},{id:"B49",body:'Laidler-Kylander N, Stenzel JS. 2013. The Brand IDEA: Managing Nonprofit Brands with Integrity, Democracy, and Affinity. San Francisco: John Wiley'},{id:"B50",body:'Sargeant A, Ford JB, Hudson J. 2008. Charity brand personality: The relationship with giving behavior. Nonprofit and Voluntary Sector Quarterly. 37(3):468-491'},{id:"B51",body:'Boenigk S, Becker A. 2016. Toward the importance of nonprofit brand equity: Results from a study of German nonprofit organizations. Nonprofit Management and Leadership. 27(2):181-198'},{id:"B52",body:'Kylander N, Stone C. 2012. The role of brand in the nonprofit sector. Stanford Social Innovation Review 10(2): 35-41'},{id:"B53",body:'Chun Feng N, Gordon Neely D, Slatten LA. 2015. Accountability standards for nonprofit organizations: Do organizations benefit from certification programs? International Journal of Public Administration; 39(6):470-479'},{id:"B54",body:'Herzlinger RE. 1996. Can public trust in nonprofits and governments be restored? Harvard Business Review. 74(2):97-107'},{id:"B55",body:'Light PC. 2008. How Americans View Charities: A Report on Charitable Confidence. Washington, DC: Brookings Institution'},{id:"B56",body:'O’Neill M. 2009. Public confidence in charitable nonprofits. Nonprofit and Voluntary Sector Quarterly. 38(2):237-269'}],footnotes:[],contributors:[{corresp:"yes",contributorFullName:"Annika Becker",address:"annika.becker@hslu.ch",affiliation:'
Lucerne University of Applied Sciences and Arts, School of Business, Institute of Management and Economics, Competence Center Public and Nonprofit Management, Lucerne, Switzerland
'}],corrections:null},book:{id:"10673",type:"book",title:"The Psychology of Trust",subtitle:null,fullTitle:"The Psychology of Trust",slug:null,publishedDate:null,bookSignature:"Dr. Martha Peaslee Levine",coverURL:"https://cdn.intechopen.com/books/images_new/10673.jpg",licenceType:"CC BY 3.0",editedByType:null,isbn:"978-1-83969-873-6",printIsbn:"978-1-83969-872-9",pdfIsbn:"978-1-83969-874-3",isAvailableForWebshopOrdering:!0,editors:[{id:"186919",title:"Dr.",name:"Martha",middleName:null,surname:"Peaslee Levine",slug:"martha-peaslee-levine",fullName:"Martha Peaslee Levine"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}}},profile:{item:{id:"213754",title:"Dr.",name:"Won-Bo",middleName:null,surname:"Shim",email:"wbshim75@gist.ac.kr",fullName:"Won-Bo Shim",slug:"won-bo-shim",position:null,biography:null,institutionString:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",totalCites:0,totalChapterViews:"0",outsideEditionCount:0,totalAuthoredChapters:"1",totalEditedBooks:"0",personalWebsiteURL:null,twitterURL:null,linkedinURL:null,institution:{name:"Gwangju Institute of Science and Technology",institutionURL:null,country:{name:"Korea, South"}}},booksEdited:[],chaptersAuthored:[{id:"58299",title:"Development of HRPzyme-Integrated PCR Platform for Colorimetric Detection of Foodborne Pathogens",slug:"development-of-hrpzyme-integrated-pcr-platform-for-colorimetric-detection-of-foodborne-pathogens",abstract:"In recent years, foodborne illnesses have become the most significant public health issue in both developed and developing countries. The World Health Organization (WHO) reported that in 2010, around 1.8 million people died due to foodborne illness. Therefore, the development of a cost-effective, sensitive, and selective detection method for identifying and monitoring foodborne pathogens is necessary for improved public health. Here, we describe a simple and ultrasensitive colorimetric method for the detection of foodborne pathogens based on HRPzyme-integrated PCR using PC-based ImageJ software. We present insights into different aspects of this method such as the importance of 16S rRNA detection, the modification of traditional PCR primers with a unique functional sequence for generating a color signal, and the application of ImageJ in colorimetric image data acquisition. The performance of the proposed strategy in detecting various foodborne pathogens is comparable to that of the commercial UV-Vis spectrophotometer Tecan Infinite 200 Pro. This detection platform exhibits linearity over wide range, high sensitivity, and high selectivity. The diagnostic capability of this colorimetric system to detect foodborne pathogens was demonstrated with spiked fruit and vegetable samples. This low-cost and effective colorimetric method can be conveniently employed for the analysis of DNA sequences arising from pathogenic bacteria.",signatures:"Bhagwan S. Batule, Seong U. Kim, Hyoyoung Mun, Won-Bo Shim\nand Min-Gon Kim",authors:[{id:"213265",title:"Prof.",name:"Min-Gon",surname:"Kim",fullName:"Min-Gon Kim",slug:"min-gon-kim",email:"mkim@gist.ac.kr"},{id:"213749",title:"Dr.",name:"Bhagwan S",surname:"Batule",fullName:"Bhagwan S Batule",slug:"bhagwan-s-batule",email:"bhagwanbatule@gmail.com"},{id:"213752",title:"Mr.",name:"Seong U",surname:"Kim",fullName:"Seong U Kim",slug:"seong-u-kim",email:"m7gppp@gist.ac.kr"},{id:"213753",title:"Mr.",name:"Hyoyoung",surname:"Mun",fullName:"Hyoyoung Mun",slug:"hyoyoung-mun",email:"lok103@gist.ac.kr"},{id:"213754",title:"Dr.",name:"Won-Bo",surname:"Shim",fullName:"Won-Bo Shim",slug:"won-bo-shim",email:"wbshim75@gist.ac.kr"}],book:{id:"6319",title:"Biosensing Technologies for the Detection of Pathogens",slug:"biosensing-technologies-for-the-detection-of-pathogens-a-prospective-way-for-rapid-analysis",productType:{id:"1",title:"Edited Volume"}}}],collaborators:[{id:"68491",title:"Dr.",name:"Elizabeth",surname:"Hong-Geller",slug:"elizabeth-hong-geller",fullName:"Elizabeth Hong-Geller",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Los Alamos National Laboratory",institutionURL:null,country:{name:"United States of America"}}},{id:"98539",title:"Prof.",name:"Jean-François",surname:"Bodart",slug:"jean-francois-bodart",fullName:"Jean-François Bodart",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/98539/images/2957_n.jpg",biography:null,institutionString:null,institution:{name:"Lille 1 University",institutionURL:null,country:{name:"France"}}},{id:"211459",title:"Prof.",name:"Alejandro",surname:"Dinamarca",slug:"alejandro-dinamarca",fullName:"Alejandro Dinamarca",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Valparaiso University",institutionURL:null,country:{name:"United States of America"}}},{id:"211467",title:"Ms.",name:"Natalia",surname:"Romo",slug:"natalia-romo",fullName:"Natalia Romo",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:null},{id:"211474",title:"Dr.",name:"Claudia",surname:"Ibacache-Quiroga",slug:"claudia-ibacache-quiroga",fullName:"Claudia Ibacache-Quiroga",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Valparaíso",institutionURL:null,country:{name:"Chile"}}},{id:"212390",title:"B.Sc.",name:"Karolina",surname:"Dziąbowska",slug:"karolina-dziabowska",fullName:"Karolina Dziąbowska",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:null},{id:"212521",title:"Dr.",name:"Elżbieta",surname:"Czaczyk",slug:"elzbieta-czaczyk",fullName:"Elżbieta Czaczyk",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:null},{id:"212524",title:"Dr.",name:"Dawid",surname:"Nidzworski",slug:"dawid-nidzworski",fullName:"Dawid Nidzworski",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:null},{id:"230663",title:"Dr.",name:"Rodrigo",surname:"Díaz-Viciedo",slug:"rodrigo-diaz-viciedo",fullName:"Rodrigo Díaz-Viciedo",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Valparaíso",institutionURL:null,country:{name:"Chile"}}},{id:"231328",title:"Mrs.",name:"Samantha",surname:"Adikari",slug:"samantha-adikari",fullName:"Samantha Adikari",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Los Alamos National Laboratory",institutionURL:null,country:{name:"United States of America"}}}]},generic:{page:{slug:"open-access-funding",title:"Open Access Funding",intro:"
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In order to help Authors identify appropriate funding agencies and institutions, we have created a list, based on extensive research on various OA resources (including ROARMAP and SHERPA/JULIET) of organizations that have funds available. Before consulting our list we encourage you to petition your own institution or organization for Open Access funds or check the specifications of your grant with your funder to ascertain if publication costs are included. Where you are in receipt of a grant you should clarify:
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Please be aware that you must be a member, or grantee, of the institutions/funders listed in order to apply for their Open Access publication funds.
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\r\n\tTransforming our World: the 2030 Agenda for Sustainable Development endorsed by United Nations and 193 Member States, came into effect on Jan 1, 2016, to guide decision making and actions to the year 2030 and beyond. Central to this Agenda are 17 Goals, 169 associated targets and over 230 indicators that are reviewed annually. The vision envisaged in the implementation of the SDGs is centered on the five Ps: People, Planet, Prosperity, Peace and Partnership. This call for renewed focused efforts ensure we have a safe and healthy planet for current and future generations.
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\r\n\tThis Series focuses on covering research and applied research involving the five Ps through the following topics:
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\r\n\t1. Sustainable Economy and Fair Society that relates to SDG 1 on No Poverty, SDG 2 on Zero Hunger, SDG 8 on Decent Work and Economic Growth, SDG 10 on Reduced Inequalities, SDG 12 on Responsible Consumption and Production, and SDG 17 Partnership for the Goals
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\r\n\t2. Health and Wellbeing focusing on SDG 3 on Good Health and Wellbeing and SDG 6 on Clean Water and Sanitation
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\r\n\t3. Inclusivity and Social Equality involving SDG 4 on Quality Education, SDG 5 on Gender Equality, and SDG 16 on Peace, Justice and Strong Institutions
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\r\n\t
\r\n
\r\n\t4. Climate Change and Environmental Sustainability comprising SDG 13 on Climate Action, SDG 14 on Life Below Water, and SDG 15 on Life on Land
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\r\n\t
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\r\n\t5. Urban Planning and Environmental Management embracing SDG 7 on Affordable Clean Energy, SDG 9 on Industry, Innovation and Infrastructure, and SDG 11 on Sustainable Cities and Communities.
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\r\n\tThe series also seeks to support the use of cross cutting SDGs, as many of the goals listed above, targets and indicators are all interconnected to impact our lives and the decisions we make on a daily basis, making them impossible to tie to a single topic.
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Radiotherapy and Nuclear Medicine Technology has always been my aspiration and my life. As years passed I accumulated a tremendous amount of skills and knowledge in Radiotherapy and Nuclear Medicine, Conventional Radiology, Radiation Protection, Bioinformatics Technology, PACS, Image processing, clinically and lecturing that will enable me to provide a valuable service to the community as a Researcher and Consultant in this field. My method of translating this into day to day in clinical practice is non-exhaustible and my habit of exchanging knowledge and expertise with others in those fields is the code and secret of success.",institutionString:null,institution:{name:"Majmaah University",country:{name:"Saudi Arabia"}}},{id:"313277",title:"Dr.",name:"Bartłomiej",middleName:null,surname:"Płaczek",slug:"bartlomiej-placzek",fullName:"Bartłomiej Płaczek",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/313277/images/system/313277.jpg",biography:"Bartłomiej Płaczek, MSc (2002), Ph.D. (2005), Habilitation (2016), is a professor at the University of Silesia, Institute of Computer Science, Poland, and an expert from the National Centre for Research and Development. His research interests include sensor networks, smart sensors, intelligent systems, and image processing with applications in healthcare and medicine. He is the author or co-author of more than seventy papers in peer-reviewed journals and conferences as well as the co-author of several books. He serves as a reviewer for many scientific journals, international conferences, and research foundations. Since 2010, Dr. Placzek has been a reviewer of grants and projects (including EU projects) in the field of information technologies.",institutionString:"University of Silesia",institution:{name:"University of Silesia",country:{name:"Poland"}}},{id:"35000",title:"Prof.",name:"Ulrich H.P",middleName:"H.P.",surname:"Fischer",slug:"ulrich-h.p-fischer",fullName:"Ulrich H.P Fischer",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/35000/images/3052_n.jpg",biography:"Academic and Professional Background\nUlrich H. P. has Diploma and PhD degrees in Physics from the Free University Berlin, Germany. He has been working on research positions in the Heinrich-Hertz-Institute in Germany. Several international research projects has been performed with European partners from France, Netherlands, Norway and the UK. He is currently Professor of Communications Systems at the Harz University of Applied Sciences, Germany.\n\nPublications and Publishing\nHe has edited one book, a special interest book about ‘Optoelectronic Packaging’ (VDE, Berlin, Germany), and has published over 100 papers and is owner of several international patents for WDM over POF key elements.\n\nKey Research and Consulting Interests\nUlrich’s research activity has always been related to Spectroscopy and Optical Communications Technology. Specific current interests include the validation of complex instruments, and the application of VR technology to the development and testing of measurement systems. He has been reviewer for several publications of the Optical Society of America\\'s including Photonics Technology Letters and Applied Optics.\n\nPersonal Interests\nThese include motor cycling in a very relaxed manner and performing martial arts.",institutionString:null,institution:{name:"Charité",country:{name:"Germany"}}},{id:"341622",title:"Ph.D.",name:"Eduardo",middleName:null,surname:"Rojas Alvarez",slug:"eduardo-rojas-alvarez",fullName:"Eduardo Rojas Alvarez",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/341622/images/15892_n.jpg",biography:null,institutionString:null,institution:{name:"University of Cuenca",country:{name:"Ecuador"}}},{id:"215610",title:"Prof.",name:"Muhammad",middleName:null,surname:"Sarfraz",slug:"muhammad-sarfraz",fullName:"Muhammad Sarfraz",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/215610/images/system/215610.jpeg",biography:"Muhammad Sarfraz is a professor in the Department of Information Science, Kuwait University. His research interests include computer graphics, computer vision, image processing, machine learning, pattern recognition, soft computing, data science, intelligent systems, information technology, and information systems. Prof. Sarfraz has been a keynote/invited speaker on various platforms around the globe. He has advised various students for their MSc and Ph.D. theses. He has published more than 400 publications as books, journal articles, and conference papers. He is a member of various professional societies and a chair and member of the International Advisory Committees and Organizing Committees of various international conferences. Prof. Sarfraz is also an editor-in-chief and editor of various international journals.",institutionString:"Kuwait University",institution:{name:"Kuwait University",country:{name:"Kuwait"}}},{id:"32650",title:"Prof.",name:"Lukas",middleName:"Willem",surname:"Snyman",slug:"lukas-snyman",fullName:"Lukas Snyman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/32650/images/4136_n.jpg",biography:"Lukas Willem Snyman received his basic education at primary and high schools in South Africa, Eastern Cape. He enrolled at today's Nelson Metropolitan University and graduated from this university with a BSc in Physics and Mathematics, B.Sc Honors in Physics, MSc in Semiconductor Physics, and a Ph.D. in Semiconductor Physics in 1987. After his studies, he chose an academic career and devoted his energy to the teaching of physics to first, second, and third-year students. After positions as a lecturer at the University of Port Elizabeth, he accepted a position as Associate Professor at the University of Pretoria, South Africa.\r\n\r\nIn 1992, he motivates the concept of 'television and computer-based education” as means to reach large student numbers with only the best of teaching expertise and publishes an article on the concept in the SA Journal of Higher Education of 1993 (and later in 2003). The University of Pretoria subsequently approved a series of test projects on the concept with outreach to Mamelodi and Eerste Rust in 1993. In 1994, the University established a 'Unit for Telematic Education ' as a support section for multiple faculties at the University of Pretoria. In subsequent years, the concept of 'telematic education” subsequently becomes well established in academic circles in South Africa, grew in popularity, and is adopted by many universities and colleges throughout South Africa as a medium of enhancing education and training, as a method to reaching out to far out communities, and as a means to enhance study from the home environment.\r\n\r\nProfessor Snyman in subsequent years pursued research in semiconductor physics, semiconductor devices, microelectronics, and optoelectronics.\r\n\r\nIn 2000 he joined the TUT as a full professor. Here served for a period as head of the Department of Electronic Engineering. Here he makes contributions to solar energy development, microwave and optoelectronic device development, silicon photonics, as well as contributions to new mobile telecommunication systems and network planning in SA.\r\n\r\nCurrently, he teaches electronics and telecommunications at the TUT to audiences ranging from first-year students to Ph.D. level.\r\n\r\nFor his research in the field of 'Silicon Photonics” since 1990, he has published (as author and co-author) about thirty internationally reviewed articles in scientific journals, contributed to more than forty international conferences, about 25 South African provisional patents (as inventor and co-inventor), 8 PCT international patent applications until now. Of these, two USA patents applications, two European Patents, two Korean patents, and ten SA patents have been granted. A further 4 USA patents, 5 European patents, 3 Korean patents, 3 Chinese patents, and 3 Japanese patents are currently under consideration.\r\n\r\nRecently he has also published an extensive scholarly chapter in an internet open access book on 'Integrating Microphotonic Systems and MOEMS into standard Silicon CMOS Integrated circuitry”.\r\n\r\nFurthermore, Professor Snyman recently steered a new initiative at the TUT by introducing a 'Laboratory for Innovative Electronic Systems ' at the Department of Electrical Engineering. The model of this laboratory or center is to primarily combine outputs as achieved by high-level research with lower-level system development and entrepreneurship in a technical university environment. Students are allocated to projects at different levels with PhDs and Master students allocated to the generation of new knowledge and new technologies, while students at the diploma and Baccalaureus level are allocated to electronic systems development with a direct and a near application for application in industry or the commercial and public sectors in South Africa.\r\n\r\nProfessor Snyman received the WIRSAM Award of 1983 and the WIRSAM Award in 1985 in South Africa for best research papers by a young scientist at two international conferences on electron microscopy in South Africa. He subsequently received the SA Microelectronics Award for the best dissertation emanating from studies executed at a South African university in the field of Physics and Microelectronics in South Africa in 1987. In October of 2011, Professor Snyman received the prestigious Institutional Award for 'Innovator of the Year” for 2010 at the Tshwane University of Technology, South Africa. This award was based on the number of patents recognized and granted by local and international institutions as well as for his contributions concerning innovation at the TUT.",institutionString:null,institution:{name:"University of South Africa",country:{name:"South Africa"}}},{id:"317279",title:"Mr.",name:"Ali",middleName:"Usama",surname:"Syed",slug:"ali-syed",fullName:"Ali Syed",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/317279/images/16024_n.png",biography:"A creative, talented, and innovative young professional who is dedicated, well organized, and capable research fellow with two years of experience in graduate-level research, published in engineering journals and book, with related expertise in Bio-robotics, equally passionate about the aesthetics of the mechanical and electronic system, obtained expertise in the use of MS Office, MATLAB, SolidWorks, LabVIEW, Proteus, Fusion 360, having a grasp on python, C++ and assembly language, possess proven ability in acquiring research grants, previous appointments with social and educational societies with experience in administration, current affiliations with IEEE and Web of Science, a confident presenter at conferences and teacher in classrooms, able to explain complex information to audiences of all levels.",institutionString:null,institution:{name:"Air University",country:{name:"Pakistan"}}},{id:"75526",title:"Ph.D.",name:"Zihni Onur",middleName:null,surname:"Uygun",slug:"zihni-onur-uygun",fullName:"Zihni Onur Uygun",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/75526/images/12_n.jpg",biography:"My undergraduate education and my Master of Science educations at Ege University and at Çanakkale Onsekiz Mart University have given me a firm foundation in Biochemistry, Analytical Chemistry, Biosensors, Bioelectronics, Physical Chemistry and Medicine. After obtaining my degree as a MSc in analytical chemistry, I started working as a research assistant in Ege University Medical Faculty in 2014. In parallel, I enrolled to the MSc program at the Department of Medical Biochemistry at Ege University to gain deeper knowledge on medical and biochemical sciences as well as clinical chemistry in 2014. In my PhD I deeply researched on biosensors and bioelectronics and finished in 2020. Now I have eleven SCI-Expanded Index published papers, 6 international book chapters, referee assignments for different SCIE journals, one international patent pending, several international awards, projects and bursaries. In parallel to my research assistant position at Ege University Medical Faculty, Department of Medical Biochemistry, in April 2016, I also founded a Start-Up Company (Denosens Biotechnology LTD) by the support of The Scientific and Technological Research Council of Turkey. Currently, I am also working as a CEO in Denosens Biotechnology. The main purposes of the company, which carries out R&D as a research center, are to develop new generation biosensors and sensors for both point-of-care diagnostics; such as glucose, lactate, cholesterol and cancer biomarker detections. My specific experimental and instrumental skills are Biochemistry, Biosensor, Analytical Chemistry, Electrochemistry, Mobile phone based point-of-care diagnostic device, POCTs and Patient interface designs, HPLC, Tandem Mass Spectrometry, Spectrophotometry, ELISA.",institutionString:null,institution:{name:"Ege University",country:{name:"Turkey"}}},{id:"267434",title:"Dr.",name:"Rohit",middleName:null,surname:"Raja",slug:"rohit-raja",fullName:"Rohit Raja",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/267434/images/system/267434.jpg",biography:"Dr. Rohit Raja received Ph.D. in Computer Science and Engineering from Dr. CVRAMAN University in 2016. His main research interest includes Face recognition and Identification, Digital Image Processing, Signal Processing, and Networking. Presently he is working as Associate Professor in IT Department, Guru Ghasidas Vishwavidyalaya (A Central University), Bilaspur (CG), India. He has authored several Journal and Conference Papers. He has good Academics & Research experience in various areas of CSE and IT. He has filed and successfully published 27 Patents. He has received many time invitations to be a Guest at IEEE Conferences. He has published 100 research papers in various International/National Journals (including IEEE, Springer, etc.) and Proceedings of the reputed International/ National Conferences (including Springer and IEEE). He has been nominated to the board of editors/reviewers of many peer-reviewed and refereed Journals (including IEEE, Springer).",institutionString:"Guru Ghasidas Vishwavidyalaya",institution:{name:"Guru Ghasidas Vishwavidyalaya",country:{name:"India"}}},{id:"246502",title:"Dr.",name:"Jaya T.",middleName:"T",surname:"Varkey",slug:"jaya-t.-varkey",fullName:"Jaya T. Varkey",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/246502/images/11160_n.jpg",biography:"Jaya T. Varkey, PhD, graduated with a degree in Chemistry from Cochin University of Science and Technology, Kerala, India. She obtained a PhD in Chemistry from the School of Chemical Sciences, Mahatma Gandhi University, Kerala, India, and completed a post-doctoral fellowship at the University of Minnesota, USA. She is a research guide at Mahatma Gandhi University and Associate Professor in Chemistry, St. Teresa’s College, Kochi, Kerala, India.\nDr. Varkey received a National Young Scientist award from the Indian Science Congress (1995), a UGC Research award (2016–2018), an Indian National Science Academy (INSA) Visiting Scientist award (2018–2019), and a Best Innovative Faculty award from the All India Association for Christian Higher Education (AIACHE) (2019). She Hashas received the Sr. Mary Cecil prize for best research paper three times. She was also awarded a start-up to develop a tea bag water filter. \nDr. Varkey has published two international books and twenty-seven international journal publications. She is an editorial board member for five international journals.",institutionString:"St. Teresa’s College",institution:null},{id:"250668",title:"Dr.",name:"Ali",middleName:null,surname:"Nabipour Chakoli",slug:"ali-nabipour-chakoli",fullName:"Ali Nabipour Chakoli",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/250668/images/system/250668.jpg",biography:"Academic Qualification:\r\n•\tPhD in Materials Physics and Chemistry, From: Sep. 2006, to: Sep. 2010, School of Materials Science and Engineering, Harbin Institute of Technology, Thesis: Structure and Shape Memory Effect of Functionalized MWCNTs/poly (L-lactide-co-ε-caprolactone) Nanocomposites. Supervisor: Prof. Wei Cai,\r\n•\tM.Sc in Applied Physics, From: 1996, to: 1998, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Determination of Boron in Micro alloy Steels with solid state nuclear track detectors by neutron induced auto radiography, Supervisors: Dr. M. Hosseini Ashrafi and Dr. A. Hosseini.\r\n•\tB.Sc. in Applied Physics, From: 1991, to: 1996, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Design of shielding for Am-Be neutron sources for In Vivo neutron activation analysis, Supervisor: Dr. M. Hosseini Ashrafi.\r\n\r\nResearch Experiences:\r\n1.\tNanomaterials, Carbon Nanotubes, Graphene: Synthesis, Functionalization and Characterization,\r\n2.\tMWCNTs/Polymer Composites: Fabrication and Characterization, \r\n3.\tShape Memory Polymers, Biodegradable Polymers, ORC, Collagen,\r\n4.\tMaterials Analysis and Characterizations: TEM, SEM, XPS, FT-IR, Raman, DSC, DMA, TGA, XRD, GPC, Fluoroscopy, \r\n5.\tInteraction of Radiation with Mater, Nuclear Safety and Security, NDT(RT),\r\n6.\tRadiation Detectors, Calibration (SSDL),\r\n7.\tCompleted IAEA e-learning Courses:\r\nNuclear Security (15 Modules),\r\nNuclear Safety:\r\nTSA 2: Regulatory Protection in Occupational Exposure,\r\nTips & Tricks: Radiation Protection in Radiography,\r\nSafety and Quality in Radiotherapy,\r\nCourse on Sealed Radioactive Sources,\r\nCourse on Fundamentals of Environmental Remediation,\r\nCourse on Planning for Environmental Remediation,\r\nKnowledge Management Orientation Course,\r\nFood Irradiation - Technology, Applications and Good Practices,\r\nEmployment:\r\nFrom 2010 to now: Academic staff, Nuclear Science and Technology Research Institute, Kargar Shomali, Tehran, Iran, P.O. Box: 14395-836.\r\nFrom 1997 to 2006: Expert of Materials Analysis and Characterization. Research Center of Agriculture and Medicine. Rajaeeshahr, Karaj, Iran, P. O. Box: 31585-498.",institutionString:"Atomic Energy Organization of Iran",institution:{name:"Atomic Energy Organization of Iran",country:{name:"Iran"}}},{id:"248279",title:"Dr.",name:"Monika",middleName:"Elzbieta",surname:"Machoy",slug:"monika-machoy",fullName:"Monika Machoy",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/248279/images/system/248279.jpeg",biography:"Monika Elżbieta Machoy, MD, graduated with distinction from the Faculty of Medicine and Dentistry at the Pomeranian Medical University in 2009, defended her PhD thesis with summa cum laude in 2016 and is currently employed as a researcher at the Department of Orthodontics of the Pomeranian Medical University. She expanded her professional knowledge during a one-year scholarship program at the Ernst Moritz Arndt University in Greifswald, Germany and during a three-year internship at the Technical University in Dresden, Germany. She has been a speaker at numerous orthodontic conferences, among others, American Association of Orthodontics, European Orthodontic Symposium and numerous conferences of the Polish Orthodontic Society. She conducts research focusing on the effect of orthodontic treatment on dental and periodontal tissues and the causes of pain in orthodontic patients.",institutionString:"Pomeranian Medical University",institution:{name:"Pomeranian Medical University",country:{name:"Poland"}}},{id:"252743",title:"Prof.",name:"Aswini",middleName:"Kumar",surname:"Kar",slug:"aswini-kar",fullName:"Aswini Kar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/252743/images/10381_n.jpg",biography:"uploaded in cv",institutionString:null,institution:{name:"KIIT University",country:{name:"India"}}},{id:"204256",title:"Dr.",name:"Anil",middleName:"Kumar",surname:"Kumar Sahu",slug:"anil-kumar-sahu",fullName:"Anil Kumar Sahu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/204256/images/14201_n.jpg",biography:"I have nearly 11 years of research and teaching experience. I have done my master degree from University Institute of Pharmacy, Pt. Ravi Shankar Shukla University, Raipur, Chhattisgarh India. I have published 16 review and research articles in international and national journals and published 4 chapters in IntechOpen, the world’s leading publisher of Open access books. I have presented many papers at national and international conferences. I have received research award from Indian Drug Manufacturers Association in year 2015. My research interest extends from novel lymphatic drug delivery systems, oral delivery system for herbal bioactive to formulation optimization.",institutionString:null,institution:{name:"Chhattisgarh Swami Vivekanand Technical University",country:{name:"India"}}},{id:"253468",title:"Dr.",name:"Mariusz",middleName:null,surname:"Marzec",slug:"mariusz-marzec",fullName:"Mariusz Marzec",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/253468/images/system/253468.png",biography:"An assistant professor at Department of Biomedical Computer Systems, at Institute of Computer Science, Silesian University in Katowice. Scientific interests: computer analysis and processing of images, biomedical images, databases and programming languages. He is an author and co-author of scientific publications covering analysis and processing of biomedical images and development of database systems.",institutionString:"University of Silesia",institution:{name:"University of Silesia",country:{name:"Poland"}}},{id:"212432",title:"Prof.",name:"Hadi",middleName:null,surname:"Mohammadi",slug:"hadi-mohammadi",fullName:"Hadi Mohammadi",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/212432/images/system/212432.jpeg",biography:"Dr. Hadi Mohammadi is a biomedical engineer with hands-on experience in the design and development of many engineering structures and medical devices through various projects that he has been involved in over the past twenty years. Dr. Mohammadi received his BSc. and MSc. degrees in Mechanical Engineering from Sharif University of Technology, Tehran, Iran, and his PhD. degree in Biomedical Engineering (biomaterials) from the University of Western Ontario. He was a postdoctoral trainee for almost four years at University of Calgary and Harvard Medical School. He is an industry innovator having created the technology to produce lifelike synthetic platforms that can be used for the simulation of almost all cardiovascular reconstructive surgeries. He’s been heavily involved in the design and development of cardiovascular devices and technology for the past 10 years. He is currently an Assistant Professor with the University of British Colombia, Canada.",institutionString:"University of British Columbia",institution:{name:"University of British Columbia",country:{name:"Canada"}}},{id:"254463",title:"Prof.",name:"Haisheng",middleName:null,surname:"Yang",slug:"haisheng-yang",fullName:"Haisheng Yang",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/254463/images/system/254463.jpeg",biography:"Haisheng Yang, Ph.D., Professor and Director of the Department of Biomedical Engineering, College of Life Science and Bioengineering, Beijing University of Technology. He received his Ph.D. degree in Mechanics/Biomechanics from Harbin Institute of Technology (jointly with University of California, Berkeley). Afterwards, he worked as a Postdoctoral Research Associate in the Purdue Musculoskeletal Biology and Mechanics Lab at the Department of Basic Medical Sciences, Purdue University, USA. He also conducted research in the Research Centre of Shriners Hospitals for Children-Canada at McGill University, Canada. Dr. Yang has over 10 years research experience in orthopaedic biomechanics and mechanobiology of bone adaptation and regeneration. He earned an award from Beijing Overseas Talents Aggregation program in 2017 and serves as Beijing Distinguished Professor.",institutionString:null,institution:{name:"Beijing University of Technology",country:{name:"China"}}},{id:"89721",title:"Dr.",name:"Mehmet",middleName:"Cuneyt",surname:"Ozmen",slug:"mehmet-ozmen",fullName:"Mehmet Ozmen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/89721/images/7289_n.jpg",biography:null,institutionString:null,institution:{name:"Gazi University",country:{name:"Turkey"}}},{id:"265335",title:"Mr.",name:"Stefan",middleName:"Radnev",surname:"Stefanov",slug:"stefan-stefanov",fullName:"Stefan Stefanov",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/265335/images/7562_n.jpg",biography:null,institutionString:null,institution:{name:"Medical University Plovdiv",country:{name:"Bulgaria"}}},{id:"242893",title:"Ph.D. Student",name:"Joaquim",middleName:null,surname:"De Moura",slug:"joaquim-de-moura",fullName:"Joaquim De Moura",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/242893/images/7133_n.jpg",biography:"Joaquim de Moura received his degree in Computer Engineering in 2014 from the University of A Coruña (Spain). In 2016, he received his M.Sc degree in Computer Engineering from the same university. He is currently pursuing his Ph.D degree in Computer Science in a collaborative project between ophthalmology centers in Galicia and the University of A Coruña. His research interests include computer vision, machine learning algorithms and analysis and medical imaging processing of various kinds.",institutionString:null,institution:{name:"University of A Coruña",country:{name:"Spain"}}},{id:"294334",title:"B.Sc.",name:"Marc",middleName:null,surname:"Bruggeman",slug:"marc-bruggeman",fullName:"Marc Bruggeman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/294334/images/8242_n.jpg",biography:"Chemical engineer graduate, with a passion for material science and specific interest in polymers - their near infinite applications intrigue me. \n\nI plan to continue my scientific career in the field of polymeric biomaterials as I am fascinated by intelligent, bioactive and biomimetic materials for use in both consumer and medical applications.",institutionString:null,institution:null},{id:"255757",title:"Dr.",name:"Igor",middleName:"Victorovich",surname:"Lakhno",slug:"igor-lakhno",fullName:"Igor Lakhno",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/255757/images/system/255757.jpg",biography:"Igor Victorovich Lakhno was born in 1971 in Kharkiv (Ukraine). \nMD – 1994, Kharkiv National Medical Univesity.\nOb&Gyn; – 1997, master courses in Kharkiv Medical Academy of Postgraduate Education.\nPh.D. – 1999, Kharkiv National Medical Univesity.\nDSC – 2019, PL Shupik National Academy of Postgraduate Education \nProfessor – 2021, Department of Obstetrics and Gynecology of VN Karazin Kharkiv National University\nHead of Department – 2021, Department of Perinatology, Obstetrics and gynecology of Kharkiv Medical Academy of Postgraduate Education\nIgor Lakhno has been graduated from international training courses on reproductive medicine and family planning held at Debrecen University (Hungary) in 1997. Since 1998 Lakhno Igor has worked as an associate professor in the department of obstetrics and gynecology of VN Karazin National University and an associate professor of the perinatology, obstetrics, and gynecology department of Kharkiv Medical Academy of Postgraduate Education. Since June 2019 he’s been a professor in the department of obstetrics and gynecology of VN Karazin National University and a professor of the perinatology, obstetrics, and gynecology department. He’s affiliated with Kharkiv Medical Academy of Postgraduate Education as a Head of Department from November 2021. Igor Lakhno has participated in several international projects on fetal non-invasive electrocardiography (with Dr. J. A. Behar (Technion), Prof. D. Hoyer (Jena University), and José Alejandro Díaz Méndez (National Institute of Astrophysics, Optics, and Electronics, Mexico). He’s an author of about 200 printed works and there are 31 of them in Scopus or Web of Science databases. Igor Lakhno is a member of the Editorial Board of Reproductive Health of Woman, Emergency Medicine, and Technology Transfer Innovative Solutions in Medicine (Estonia). He is a medical Editor of “Z turbotoyu pro zhinku”. Igor Lakhno is a reviewer of the Journal of Obstetrics and Gynaecology (Taylor and Francis), British Journal of Obstetrics and Gynecology (Wiley), Informatics in Medicine Unlocked (Elsevier), The Journal of Obstetrics and Gynecology Research (Wiley), Endocrine, Metabolic & Immune Disorders-Drug Targets (Bentham Open), The Open Biomedical Engineering Journal (Bentham Open), etc. He’s defended a dissertation for a DSc degree “Pre-eclampsia: prediction, prevention, and treatment”. Three years ago Igor Lakhno has participated in a training course on innovative technologies in medical education at Lublin Medical University (Poland). Lakhno Igor has participated as a speaker in several international conferences and congresses (International Conference on Biological Oscillations April 10th-14th 2016, Lancaster, UK, The 9th conference of the European Study Group on Cardiovascular Oscillations). His main scientific interests: are obstetrics, women’s health, fetal medicine, and cardiovascular medicine. \nIgor Lakhno is a consultant at Kharkiv municipal perinatal center. He’s graduated from training courses on endoscopy in gynecology. He has 28 years of practical experience in the field.",institutionString:null,institution:null},{id:"244950",title:"Dr.",name:"Salvatore",middleName:null,surname:"Di Lauro",slug:"salvatore-di-lauro",fullName:"Salvatore Di Lauro",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0030O00002bSF1HQAW/ProfilePicture%202021-12-20%2014%3A54%3A14.482",biography:"Name:\n\tSALVATORE DI LAURO\nAddress:\n\tHospital Clínico Universitario Valladolid\nAvda Ramón y Cajal 3\n47005, Valladolid\nSpain\nPhone number: \nFax\nE-mail:\n\t+34 983420000 ext 292\n+34 983420084\nsadilauro@live.it\nDate and place of Birth:\nID Number\nMedical Licence \nLanguages\t09-05-1985. Villaricca (Italy)\n\nY1281863H\n474707061\nItalian (native language)\nSpanish (read, written, spoken)\nEnglish (read, written, spoken)\nPortuguese (read, spoken)\nFrench (read)\n\t\t\nCurrent position (title and company)\tDate (Year)\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. Private practise.\t2017-today\n\n2019-today\n\t\n\t\nEducation (High school, university and postgraduate training > 3 months)\tDate (Year)\nDegree in Medicine and Surgery. University of Neaples 'Federico II”\nResident in Opthalmology. Hospital Clinico Universitario Valladolid\nMaster in Vitreo-Retina. IOBA. University of Valladolid\nFellow of the European Board of Ophthalmology. Paris\nMaster in Research in Ophthalmology. University of Valladolid\t2003-2009\n2012-2016\n2016-2017\n2016\n2012-2013\n\t\nEmployments (company and positions)\tDate (Year)\nResident in Ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl.\nFellow in Vitreo-Retina. IOBA. University of Valladolid\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. \n\t2012-2016\n2016-2017\n2017-today\n\n2019-Today\n\n\n\t\nClinical Research Experience (tasks and role)\tDate (Year)\nAssociated investigator\n\n' FIS PI20/00740: DESARROLLO DE UNA CALCULADORA DE RIESGO DE\nAPARICION DE RETINOPATIA DIABETICA BASADA EN TECNICAS DE IMAGEN MULTIMODAL EN PACIENTES DIABETICOS TIPO 1. Grant by: Ministerio de Ciencia e Innovacion \n\n' (BIO/VA23/14) Estudio clínico multicéntrico y prospectivo para validar dos\nbiomarcadores ubicados en los genes p53 y MDM2 en la predicción de los resultados funcionales de la cirugía del desprendimiento de retina regmatógeno. Grant by: Gerencia Regional de Salud de la Junta de Castilla y León.\n' Estudio multicéntrico, aleatorizado, con enmascaramiento doble, en 2 grupos\nparalelos y de 52 semanas de duración para comparar la eficacia, seguridad e inmunogenicidad de SOK583A1 respecto a Eylea® en pacientes con degeneración macular neovascular asociada a la edad' (CSOK583A12301; N.EUDRA: 2019-004838-41; FASE III). Grant by Hexal AG\n\n' Estudio de fase III, aleatorizado, doble ciego, con grupos paralelos, multicéntrico para comparar la eficacia y la seguridad de QL1205 frente a Lucentis® en pacientes con degeneración macular neovascular asociada a la edad. (EUDRACT: 2018-004486-13). Grant by Qilu Pharmaceutical Co\n\n' Estudio NEUTON: Ensayo clinico en fase IV para evaluar la eficacia de aflibercept en pacientes Naive con Edema MacUlar secundario a Oclusion de Vena CenTral de la Retina (OVCR) en regimen de tratamientO iNdividualizado Treat and Extend (TAE)”, (2014-000975-21). Grant by Fundacion Retinaplus\n\n' Evaluación de la seguridad y bioactividad de anillos de tensión capsular en conejo. Proyecto Procusens. Grant by AJL, S.A.\n\n'Estudio epidemiológico, prospectivo, multicéntrico y abierto\\npara valorar la frecuencia de la conjuntivitis adenovírica diagnosticada mediante el test AdenoPlus®\\nTest en pacientes enfermos de conjuntivitis aguda”\\n. National, multicenter study. Grant by: NICOX.\n\nEuropean multicentric trial: 'Evaluation of clinical outcomes following the use of Systane Hydration in patients with dry eye”. Study Phase 4. Grant by: Alcon Labs'\n\nVLPs Injection and Activation in a Rabbit Model of Uveal Melanoma. Grant by Aura Bioscience\n\nUpdating and characterization of a rabbit model of uveal melanoma. Grant by Aura Bioscience\n\nEnsayo clínico en fase IV para evaluar las variantes genéticas de la vía del VEGF como biomarcadores de eficacia del tratamiento con aflibercept en pacientes con degeneración macular asociada a la edad (DMAE) neovascular. Estudio BIOIMAGE. IMO-AFLI-2013-01\n\nEstudio In-Eye:Ensayo clínico en fase IV, abierto, aleatorizado, de 2 brazos,\nmulticçentrico y de 12 meses de duración, para evaluar la eficacia y seguridad de un régimen de PRN flexible individualizado de 'esperar y extender' versus un régimen PRN según criterios de estabilización mediante evaluaciones mensuales de inyecciones intravítreas de ranibizumab 0,5 mg en pacientes naive con neovascularización coriodea secunaria a la degeneración macular relacionada con la edad. CP: CRFB002AES03T\n\nTREND: Estudio Fase IIIb multicéntrico, randomizado, de 12 meses de\nseguimiento con evaluador de la agudeza visual enmascarado, para evaluar la eficacia y la seguridad de ranibizumab 0.5mg en un régimen de tratar y extender comparado con un régimen mensual, en pacientes con degeneración macular neovascular asociada a la edad. CP: CRFB002A2411 Código Eudra CT:\n2013-002626-23\n\n\n\nPublications\t\n\n2021\n\n\n\n\n2015\n\n\n\n\n2021\n\n\n\n\n\n2021\n\n\n\n\n2015\n\n\n\n\n2015\n\n\n2014\n\n\n\n\n2015-16\n\n\n\n2015\n\n\n2014\n\n\n2014\n\n\n\n\n2014\n\n\n\n\n\n\n\n2014\n\nJose Carlos Pastor; Jimena Rojas; Salvador Pastor-Idoate; Salvatore Di Lauro; Lucia Gonzalez-Buendia; Santiago Delgado-Tirado. Proliferative vitreoretinopathy: A new concept of disease pathogenesis and practical\nconsequences. Progress in Retinal and Eye Research. 51, pp. 125 - 155. 03/2016. DOI: 10.1016/j.preteyeres.2015.07.005\n\n\nLabrador-Velandia S; Alonso-Alonso ML; Di Lauro S; García-Gutierrez MT; Srivastava GK; Pastor JC; Fernandez-Bueno I. Mesenchymal stem cells provide paracrine neuroprotective resources that delay degeneration of co-cultured organotypic neuroretinal cultures.Experimental Eye Research. 185, 17/05/2019. DOI: 10.1016/j.exer.2019.05.011\n\nSalvatore Di Lauro; Maria Teresa Garcia Gutierrez; Ivan Fernandez Bueno. Quantification of pigment epithelium-derived factor (PEDF) in an ex vivo coculture of retinal pigment epithelium cells and neuroretina.\nJournal of Allbiosolution. 2019. ISSN 2605-3535\n\nSonia Labrador Velandia; Salvatore Di Lauro; Alonso-Alonso ML; Tabera Bartolomé S; Srivastava GK; Pastor JC; Fernandez-Bueno I. Biocompatibility of intravitreal injection of human mesenchymal stem cells in immunocompetent rabbits. Graefe's archive for clinical and experimental ophthalmology. 256 - 1, pp. 125 - 134. 01/2018. DOI: 10.1007/s00417-017-3842-3\n\n\nSalvatore Di Lauro, David Rodriguez-Crespo, Manuel J Gayoso, Maria T Garcia-Gutierrez, J Carlos Pastor, Girish K Srivastava, Ivan Fernandez-Bueno. A novel coculture model of porcine central neuroretina explants and retinal pigment epithelium cells. Molecular Vision. 2016 - 22, pp. 243 - 253. 01/2016.\n\nSalvatore Di Lauro. Classifications for Proliferative Vitreoretinopathy ({PVR}): An Analysis of Their Use in Publications over the Last 15 Years. Journal of Ophthalmology. 2016, pp. 1 - 6. 01/2016. DOI: 10.1155/2016/7807596\n\nSalvatore Di Lauro; Rosa Maria Coco; Rosa Maria Sanabria; Enrique Rodriguez de la Rua; Jose Carlos Pastor. Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study. Journal of Ophthalmology. 2015:821864, 2015. DOI: 10.1155/2015/821864\n\nIvan Fernandez-Bueno; Salvatore Di Lauro; Ivan Alvarez; Jose Carlos Lopez; Maria Teresa Garcia-Gutierrez; Itziar Fernandez; Eva Larra; Jose Carlos Pastor. Safety and Biocompatibility of a New High-Density Polyethylene-Based\nSpherical Integrated Porous Orbital Implant: An Experimental Study in Rabbits. Journal of Ophthalmology. 2015:904096, 2015. DOI: 10.1155/2015/904096\n\nPastor JC; Pastor-Idoate S; Rodríguez-Hernandez I; Rojas J; Fernandez I; Gonzalez-Buendia L; Di Lauro S; Gonzalez-Sarmiento R. Genetics of PVR and RD. Ophthalmologica. 232 - Suppl 1, pp. 28 - 29. 2014\n\nRodriguez-Crespo D; Di Lauro S; Singh AK; Garcia-Gutierrez MT; Garrosa M; Pastor JC; Fernandez-Bueno I; Srivastava GK. Triple-layered mixed co-culture model of RPE cells with neuroretina for evaluating the neuroprotective effects of adipose-MSCs. Cell Tissue Res. 358 - 3, pp. 705 - 716. 2014.\nDOI: 10.1007/s00441-014-1987-5\n\nCarlo De Werra; Salvatore Condurro; Salvatore Tramontano; Mario Perone; Ivana Donzelli; Salvatore Di Lauro; Massimo Di Giuseppe; Rosa Di Micco; Annalisa Pascariello; Antonio Pastore; Giorgio Diamantis; Giuseppe Galloro. Hydatid disease of the liver: thirty years of surgical experience.Chirurgia italiana. 59 - 5, pp. 611 - 636.\n(Italia): 2007. ISSN 0009-4773\n\nChapters in books\n\t\n' Salvador Pastor Idoate; Salvatore Di Lauro; Jose Carlos Pastor Jimeno. PVR: Pathogenesis, Histopathology and Classification. Proliferative Vitreoretinopathy with Small Gauge Vitrectomy. Springer, 2018. ISBN 978-3-319-78445-8\nDOI: 10.1007/978-3-319-78446-5_2. \n\n' Salvatore Di Lauro; Maria Isabel Lopez Galvez. Quistes vítreos en una mujer joven. Problemas diagnósticos en patología retinocoroidea. Sociedad Española de Retina-Vitreo. 2018.\n\n' Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor Jimeno. iOCT in PVR management. OCT Applications in Opthalmology. pp. 1 - 8. INTECH, 2018. DOI: 10.5772/intechopen.78774.\n\n' Rosa Coco Martin; Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor. amponadores, manipuladores y tinciones en la cirugía del traumatismo ocular.Trauma Ocular. Ponencia de la SEO 2018..\n\n' LOPEZ GALVEZ; DI LAURO; CRESPO. OCT angiografia y complicaciones retinianas de la diabetes. PONENCIA SEO 2021, CAPITULO 20. (España): 2021.\n\n' Múltiples desprendimientos neurosensoriales bilaterales en paciente joven. Enfermedades Degenerativas De Retina Y Coroides. SERV 04/2016. \n' González-Buendía L; Di Lauro S; Pastor-Idoate S; Pastor Jimeno JC. Vitreorretinopatía proliferante (VRP) e inflamación: LA INFLAMACIÓN in «INMUNOMODULADORES Y ANTIINFLAMATORIOS: MÁS ALLÁ DE LOS CORTICOIDES. RELACION DE PONENCIAS DE LA SOCIEDAD ESPAÑOLA DE OFTALMOLOGIA. 10/2014.",institutionString:null,institution:null},{id:"243698",title:"Dr.",name:"Xiaogang",middleName:null,surname:"Wang",slug:"xiaogang-wang",fullName:"Xiaogang Wang",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/243698/images/system/243698.png",biography:"Dr. Xiaogang Wang, a faculty member of Shanxi Eye Hospital specializing in the treatment of cataract and retinal disease and a tutor for postgraduate students of Shanxi Medical University, worked in the COOL Lab as an international visiting scholar under the supervision of Dr. David Huang and Yali Jia from October 2012 through November 2013. Dr. Wang earned an MD from Shanxi Medical University and a Ph.D. from Shanghai Jiao Tong University. 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The applications of this research cover many related fields, such as biotechnology and medicine, where, for example, Bioinformatics contributes to faster drug design, DNA analysis in forensics, and DNA sequence analysis in the field of personalized medicine. Personalized medicine is a type of medical care in which treatment is customized individually for each patient. Personalized medicine enables more effective therapy, reduces the costs of therapy and clinical trials, and also minimizes the risk of side effects. Nevertheless, advances in personalized medicine would not have been possible without bioinformatics, which can analyze the human genome and other vast amounts of biomedical data, especially in genetics. The rapid growth of information technology enabled the development of new tools to decode human genomes, large-scale studies of genetic variations and medical informatics. 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Main aspects of the topic are: Applying bioinformatics in drug discovery and development; Bioinformatics in clinical diagnostics (genetic variants that act as markers for a condition or a disease); Blockchain and Artificial Intelligence/Machine Learning in personalized medicine; Customize disease-prevention strategies in personalized medicine; Big data analysis in personalized medicine; Translating stratification algorithms into clinical practice of personalized medicine.",annualVolume:11403,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/7.jpg",editor:{id:"351533",title:"Dr.",name:"Slawomir",middleName:null,surname:"Wilczynski",fullName:"Slawomir Wilczynski",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000035U1loQAC/Profile_Picture_1630074514792",institutionString:null,institution:{name:"Medical University of Silesia",institutionURL:null,country:{name:"Poland"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"5886",title:"Dr.",name:"Alexandros",middleName:"T.",surname:"Tzallas",fullName:"Alexandros Tzallas",profilePictureURL:"https://mts.intechopen.com/storage/users/5886/images/system/5886.png",institutionString:"University of Ioannina, Greece & Imperial College London",institution:{name:"University of Ioannina",institutionURL:null,country:{name:"Greece"}}},{id:"257388",title:"Distinguished Prof.",name:"Lulu",middleName:null,surname:"Wang",fullName:"Lulu Wang",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRX6kQAG/Profile_Picture_1630329584194",institutionString:"Shenzhen Technology University",institution:{name:"Shenzhen Technology University",institutionURL:null,country:{name:"China"}}},{id:"225387",title:"Prof.",name:"Reda R.",middleName:"R.",surname:"Gharieb",fullName:"Reda R. Gharieb",profilePictureURL:"https://mts.intechopen.com/storage/users/225387/images/system/225387.jpg",institutionString:"Assiut University",institution:{name:"Assiut University",institutionURL:null,country:{name:"Egypt"}}}]},{id:"8",title:"Bioinspired Technology and Biomechanics",keywords:"Bioinspired Systems, Biomechanics, Assistive Technology, Rehabilitation",scope:'Bioinspired technologies take advantage of understanding the actual biological system to provide solutions to problems in several areas. Recently, bioinspired systems have been successfully employing biomechanics to develop and improve assistive technology and rehabilitation devices. The research topic "Bioinspired Technology and Biomechanics" welcomes studies reporting recent advances in bioinspired technologies that contribute to individuals\' health, inclusion, and rehabilitation. Possible contributions can address (but are not limited to) the following research topics: Bioinspired design and control of exoskeletons, orthoses, and prostheses; Experimental evaluation of the effect of assistive devices (e.g., influence on gait, balance, and neuromuscular system); Bioinspired technologies for rehabilitation, including clinical studies reporting evaluations; Application of neuromuscular and biomechanical models to the development of bioinspired technology.',annualVolume:11404,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/8.jpg",editor:{id:"144937",title:"Prof.",name:"Adriano",middleName:"De Oliveira",surname:"Andrade",fullName:"Adriano Andrade",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRC8QQAW/Profile_Picture_1625219101815",institutionString:null,institution:{name:"Federal University of Uberlândia",institutionURL:null,country:{name:"Brazil"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"49517",title:"Prof.",name:"Hitoshi",middleName:null,surname:"Tsunashima",fullName:"Hitoshi Tsunashima",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYTP4QAO/Profile_Picture_1625819726528",institutionString:null,institution:{name:"Nihon University",institutionURL:null,country:{name:"Japan"}}},{id:"425354",title:"Dr.",name:"Marcus",middleName:"Fraga",surname:"Vieira",fullName:"Marcus Vieira",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003BJSgIQAX/Profile_Picture_1627904687309",institutionString:null,institution:{name:"Universidade Federal de Goiás",institutionURL:null,country:{name:"Brazil"}}},{id:"196746",title:"Dr.",name:"Ramana",middleName:null,surname:"Vinjamuri",fullName:"Ramana Vinjamuri",profilePictureURL:"https://mts.intechopen.com/storage/users/196746/images/system/196746.jpeg",institutionString:"University of Maryland, Baltimore County",institution:{name:"University of Maryland, Baltimore County",institutionURL:null,country:{name:"United States of America"}}}]},{id:"9",title:"Biotechnology - Biosensors, Biomaterials and Tissue Engineering",keywords:"Biotechnology, Biosensors, Biomaterials, Tissue Engineering",scope:"The Biotechnology - Biosensors, Biomaterials and Tissue Engineering topic within the Biomedical Engineering Series aims to rapidly publish contributions on all aspects of biotechnology, biosensors, biomaterial and tissue engineering. We encourage the submission of manuscripts that provide novel and mechanistic insights that report significant advances in the fields. Topics can include but are not limited to: Biotechnology such as biotechnological products and process engineering; Biotechnologically relevant enzymes and proteins; Bioenergy and biofuels; Applied genetics and molecular biotechnology; Genomics, transcriptomics, proteomics; Applied microbial and cell physiology; Environmental biotechnology; Methods and protocols. Moreover, topics in biosensor technology, like sensors that incorporate enzymes, antibodies, nucleic acids, whole cells, tissues and organelles, and other biological or biologically inspired components will be considered, and topics exploring transducers, including those based on electrochemical and optical piezoelectric, thermal, magnetic, and micromechanical elements. Chapters exploring biomaterial approaches such as polymer synthesis and characterization, drug and gene vector design, biocompatibility, immunology and toxicology, and self-assembly at the nanoscale, are welcome. Finally, the tissue engineering subcategory will support topics such as the fundamentals of stem cells and progenitor cells and their proliferation, differentiation, bioreactors for three-dimensional culture and studies of phenotypic changes, stem and progenitor cells, both short and long term, ex vivo and in vivo implantation both in preclinical models and also in clinical trials.",annualVolume:11405,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/9.jpg",editor:{id:"126286",title:"Dr.",name:"Luis",middleName:"Jesús",surname:"Villarreal-Gómez",fullName:"Luis Villarreal-Gómez",profilePictureURL:"https://mts.intechopen.com/storage/users/126286/images/system/126286.jpg",institutionString:null,institution:{name:"Autonomous University of Baja California",institutionURL:null,country:{name:"Mexico"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"35539",title:"Dr.",name:"Cecilia",middleName:null,surname:"Cristea",fullName:"Cecilia Cristea",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYQ65QAG/Profile_Picture_1621007741527",institutionString:null,institution:{name:"Iuliu Hațieganu University of Medicine and Pharmacy",institutionURL:null,country:{name:"Romania"}}},{id:"40735",title:"Dr.",name:"Gil",middleName:"Alberto Batista",surname:"Gonçalves",fullName:"Gil Gonçalves",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYRLGQA4/Profile_Picture_1628492612759",institutionString:null,institution:{name:"University of Aveiro",institutionURL:null,country:{name:"Portugal"}}},{id:"211725",title:"Associate Prof.",name:"Johann F.",middleName:null,surname:"Osma",fullName:"Johann F. 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