Hypothesized molecular mechanism of formation of membrano-cystic lesions

IF 0.8 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Medical hypotheses Pub Date : 2025-02-01 Epub Date: 2024-12-31 DOI:10.1016/j.mehy.2024.111561
Toshitsugu Nakamura
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Abstract

Membrano-cystic lesions (MCLs) are characterized by undulating lipomembranous changes of lipid droplets and usually found in atherosclerotic lesions of aorta/arteries or in adipose tissues associated with panniculitis. MCLs are composed of lipid-carbohydrate-protein complexes (LCPCs), stable even in paraffin-embedded tissue sections, and are histochemically similar, but not identical, to lipofuscin and ceroid. Lipid peroxides damage carbohydrates and proteins, generating advanced glycation end products and advanced oxidative protein products that may play an important role in the formation of MCLs and lipofuscin/ceroid; MCLs are formed by deposition of oxidative LCPCs into lipid droplet membranes. The author proposes a speculative hypothesis that these deposits may change membrane stiffness/fluidity and impair lipid efflux/influx in various kinds of degree by a part, resulting in deformation of lipid droplets and MCL formation. As membrane stiffness/fluidity in unaffected cells varies according to cholesterol concentration or saturated/unsaturated form of lipids, qualitive/quantitative variety of molecular components of the droplets may contribute to the deformability to lipid droplets.
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膜囊性病变形成的假设分子机制
膜囊性病变(MCLs)的特征是脂滴呈波动状的脂膜性改变,通常见于主动脉/动脉粥样硬化病变或脂膜性炎相关的脂肪组织。mcl由脂质-碳水化合物-蛋白质复合物(lcpc)组成,即使在石蜡包埋的组织切片中也是稳定的,并且在组织化学上与脂褐蛋白和蜡质相似,但不完全相同。脂质过氧化物破坏碳水化合物和蛋白质,产生晚期糖基化终产物和晚期氧化蛋白产物,这些产物可能在mcl和脂褐素/ceroid的形成中起重要作用;mcl是由氧化lcpc沉积到脂滴膜上形成的。作者提出推测性假设,这些沉积可能部分改变膜的刚度/流动性,不同程度地影响脂质外排/内流,导致脂滴变形,形成MCL。由于未受影响细胞的膜刚度/流动性随胆固醇浓度或脂质饱和/不饱和形式而变化,液滴分子成分的定性/定量变化可能有助于脂滴的可变形性。
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来源期刊
Medical hypotheses
Medical hypotheses 医学-医学:研究与实验
CiteScore
10.60
自引率
2.10%
发文量
167
审稿时长
60 days
期刊介绍: Medical Hypotheses is a forum for ideas in medicine and related biomedical sciences. It will publish interesting and important theoretical papers that foster the diversity and debate upon which the scientific process thrives. The Aims and Scope of Medical Hypotheses are no different now from what was proposed by the founder of the journal, the late Dr David Horrobin. In his introduction to the first issue of the Journal, he asks ''what sorts of papers will be published in Medical Hypotheses? and goes on to answer ''Medical Hypotheses will publish papers which describe theories, ideas which have a great deal of observational support and some hypotheses where experimental support is yet fragmentary''. (Horrobin DF, 1975 Ideas in Biomedical Science: Reasons for the foundation of Medical Hypotheses. Medical Hypotheses Volume 1, Issue 1, January-February 1975, Pages 1-2.). Medical Hypotheses was therefore launched, and still exists today, to give novel, radical new ideas and speculations in medicine open-minded consideration, opening the field to radical hypotheses which would be rejected by most conventional journals. Papers in Medical Hypotheses take a standard scientific form in terms of style, structure and referencing. The journal therefore constitutes a bridge between cutting-edge theory and the mainstream of medical and scientific communication, which ideas must eventually enter if they are to be critiqued and tested against observations.
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