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CD71+ erythroid cells promote multiple myeloma progression and impair anti-bacterial immune response. CD71+ 红细胞会促进多发性骨髓瘤的发展并损害抗菌免疫反应。
IF 5.1 2区 医学 Q1 HEMATOLOGY Pub Date : 2024-11-20 DOI: 10.1111/bjh.19914
K Czubak, T M Grzywa, K Sidor-Dzitkowska, Z Pilch, K Bielak, G Hoser, O Gewartowska, M Malecka-Gieldowska, J Barankiewicz, F Garbicz, O Ciepiela, P Juszczynski, A Owczarek, M Wegrzynowicz, T Skirecki, J Golab, D Nowis

Multiple myeloma (MM), one of the most frequent haematological malignancies, significantly increases the risk of bacterial infections due to treatment-related side effects, comorbidities and cancer-induced immune deficiencies. Recently, CD71+ erythroid cells (CECs) have been identified as key immunomodulators in neonates and cancer patients, but their role in MM progression remains unclear. Using a murine MM model, closely resembling human disease, we observed that MM progression is associated with anaemia and an increase in immature CECs, which are characterized by elevated arginase 2 (ARG2) expression. These MM-associated CECs suppress T-cell proliferation, contributing to impaired immune responses. Notably, ARG2 deficiency in mice led to slower MM progression and improved survival. Furthermore, MM-bearing mice exhibited higher susceptibility to Listeria monocytogenes infections, mirroring the increased infection risk in MM patients. Our findings suggest that ARG2-expressing CECs play a critical role in MM-associated immune suppression and infection susceptibility, pointing out ARG2 as a potential therapeutic target to enhance immune function and reduce infection risks in MM patients.

多发性骨髓瘤(MM)是最常见的血液恶性肿瘤之一,由于与治疗相关的副作用、合并症和癌症引起的免疫缺陷,它大大增加了细菌感染的风险。最近,CD71+红细胞(CECs)被确认为新生儿和癌症患者的关键免疫调节剂,但它们在 MM 进展中的作用仍不清楚。利用与人类疾病非常相似的小鼠 MM 模型,我们观察到 MM 的发展与贫血和未成熟 CECs 的增加有关,而未成熟 CECs 的特点是精氨酸酶 2(ARG2)表达升高。这些与 MM 相关的 CECs 会抑制 T 细胞增殖,从而导致免疫反应受损。值得注意的是,小鼠缺乏 ARG2 会减缓 MM 的进展并提高存活率。此外,携带ARG2的小鼠对李斯特菌感染表现出更高的易感性,这与MM患者感染风险增加的情况如出一辙。我们的研究结果表明,ARG2表达的CECs在MM相关的免疫抑制和感染易感性中起着关键作用,这表明ARG2是增强MM患者免疫功能和降低感染风险的潜在治疗靶点。
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引用次数: 0
The Influence of Cyanine 5.5 and Doxorubicin on Cell Cycle Arrest, Magnetic Resonance, and Near-Infrared Fluorescence Optical Imaging for Fe3O4-Encapsulated PLA-TPGS Nanoparticles. 氰基 5.5 和多柔比星对 Fe3O4 包封聚乳酸-TPGS 纳米粒子的细胞周期停滞、磁共振和近红外荧光光学成像的影响
IF 3.6 4区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-11-20 DOI: 10.1002/cmdc.202400586
Ke Son Phan, Huu Nghi Do, Bich Thuy Doan, Thi Thu Huong Le, Thi Thu Trang Mai, Quynh Bao Ngoc Nguyen, Thi Nham Dong, Ha Bao Hung Bui, Viet Dung Dang, Le Hang Dang, Ngoc Quyen Tran, Phuong Thu Ha

The combination of magnetic resonance imaging (MRI)/near-infrared (NIR) fluorescence signals and chemotherapy agents has been developed for cancer diagnosis and treatment. In this work, we investigated the impacts of NIR Cyanine 5.5 fluorescence and Doxorubicin on cell cycle arrest, magnetic resonance, and NIR fluorescence optical imaging for Fe3O4-encapsulated nanosystems based on poly(lactide)-tocopheryl polyethylene glycol succinate (PLA-TPGS) copolymer. Although Cyanine 5.5 and Fe3O4 nanoparticles (NPs) are less cytotoxic than Doxorubicin, they present a cytostatic effect, inducing cell cycle arrest at the G2/M phase in human brain adenocarcinoma (CCF-STTG1) cells. For MRI applications, the permeability of the PLA-TPGS copolymer coating layer to water molecules might lengthen the translational diffusion time (τD), causing the high relaxivity ratio (r2/r1) in Fe3O4 bare NPs under an applied magnetic field (7 Tesla). Astonishingly, the chemical structures of Cyanine 5.5 and Doxorubicin significantly contribute to the enhancement of the T2 relaxivities of Fe3O4 NPs through π-π and p-π conjugation. Furthermore, the radiance ratio and signal-to-noise ratio enhancement and a slight blue shift in the optimal excitation and emission wavelengths were recorded. These findings show the potential for in vivo MRI and NIR bioimaging experiments of the nanoparticles.

磁共振成像(MRI)/近红外(NIR)荧光信号与化疗药物的结合已被开发用于癌症诊断和治疗。在这项工作中,我们研究了近红外青花素 5.5 荧光和多柔比星对基于聚乳酸-生育酚聚乙二醇琥珀酸酯(PLA-TPGS)共聚物的 Fe3O4 封装纳米系统的细胞周期停滞、磁共振和近红外荧光光学成像的影响。虽然 Cyanine 5.5 和 Fe3O4 纳米粒子(NPs)的细胞毒性低于多柔比星,但它们具有细胞抑制作用,能诱导人脑腺癌(CCF-STTG1)细胞的细胞周期停滞在 G2/M 阶段。在磁共振成像应用中,PLA-TPGS 共聚物涂层对水分子的渗透性可能会延长平移扩散时间(τD),从而导致 Fe3O4 裸 NPs 在外加磁场(7 特斯拉)下具有较高的弛豫比(r2/r1)。令人惊讶的是,氰基 5.5 和多柔比星的化学结构通过 π-π 和 p-π 共轭作用显著提高了 Fe3O4 NPs 的 T2 弛豫度。此外,还记录到辐射比和信噪比的提高以及最佳激发和发射波长的轻微蓝移。这些研究结果表明了纳米粒子在体内磁共振成像和近红外生物成像实验中的潜力。
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引用次数: 0
Association of childhood obesity with pubertal development in boys: A systematic review and meta-analysis. 儿童肥胖与男孩青春期发育的关系:系统回顾和荟萃分析。
IF 8 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-11-20 DOI: 10.1111/obr.13869
Jia-Shuan Huang, Chang Gao, Wan-Qing Xiao, Xuan-Yu Zhang, Xiao-Wen Zhong, Yi-Qi Qin, Min-Shan Lu, Cheng-Hao Zhang, Kun Yang, Jia-Min Liang, Chi Chiu Wang, Ronald Ching Wan Ma, Jian-Rong He, Xiu Qiu

Childhood obesity leads to early puberty development in girls, but its effect in boys remains unclear. We conducted a systematic review and meta-analysis to study the association between childhood obesity and puberty development in boys. We included 14 cohort studies with 114,822 boys. Meta-analysis showed that childhood overweight (RR, 1.44; 95%CI, 1.08-1.93; the number of studies [N] = 4) and obesity (RR, 1.35; 95%CI, 1.11-1.64; N = 5) were associated with the earlier occurrence of testicular volume ≥4 mL (Tanner stage 2). Age reaching Tanner stage 2 in overweight boys was earlier than normal-weight boys (mean difference: -0.23 years, 95% CI: -0.37 to -0.08; N = 2); a similar trend was observed in obese boys, but the effect estimate did not reach significance level (mean difference: -0.27 years, 95% CI: -0.59 to 0.05; N = 3). Similarly, the age at pubarche in boys with overweight/obesity was earlier than those with normal weight. Qualitative analysis shows first nocturnal emission; change in voice and peak height velocity in boys with overweight/obesity appeared to develop earlier than those with normal weight. These findings suggest overweight/obesity is associated with earlier pubertal development in boys. Due to the limited number of studies identified in this review, further studies are warranted to confirm these associations.

儿童期肥胖会导致女孩提前进入青春期,但对男孩的影响尚不清楚。我们进行了一项系统回顾和荟萃分析,研究儿童肥胖与男孩青春期发育之间的关系。我们共纳入了 14 项队列研究,涉及 114822 名男孩。荟萃分析表明,儿童期超重(RR,1.44;95%CI,1.08-1.93;研究数 [N] = 4)和肥胖(RR,1.35;95%CI,1.11-1.64;N = 5)与睾丸体积≥4 mL(Tanner 2期)的提前出现有关。超重男孩达到坦纳2期的年龄早于正常体重男孩(平均差异:-0.23岁,95%CI:-0.37至-0.08;N = 2);肥胖男孩也有类似趋势,但效应估计值未达到显著性水平(平均差异:-0.27岁,95%CI:-0.59至0.05;N = 3)。同样,超重/肥胖男孩的初潮年龄也早于体重正常的男孩。定性分析显示,超重/肥胖男孩的首次夜间遗精、声音变化和身高峰值速度似乎早于体重正常的男孩。这些发现表明,超重/肥胖与男孩青春期发育提前有关。由于本综述中发现的研究数量有限,因此需要进一步研究来证实这些关联。
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引用次数: 0
Thrombopoietic agents enhance bone healing in mice, rats, and pigs. 血小板生成剂可促进小鼠、大鼠和猪的骨愈合。
IF 5.1 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-11-20 DOI: 10.1093/jbmr/zjae191
Paul J Childress, Jeffery J Nielsen, Thomas Bemenderfer, Ushashi C Dadwal, Nabarun Chakraborty, Jonathan S Harris, Monique Bethel, Marta Alvarez, Aamir Tucker, Alexander R Wessel, Patrick D Millikan, Jonathan H Wilhite, Andrew Engle, Alexander Brinker, Jeffrey Rytlewski, David C Scofield, Kaitlyn S Griffin, W Christopher Shelley, Kelli J Manikowski, Krista L Jackson, Stacy Ann Miller, Ying-Hua Cheng, Joydeep Ghosh, Patrick L Mulcrone, Edward F Srour, Mervin C Yoder, Roman M Natoli, Karl D Shively, Aarti Gautam, Rasha Hammamieh, Stewart A Low, Philip S Low, Todd O McKinley, Jeffrey O Anglen, Jonathan W Lowery, Tien-Min G Chu, Melissa A Kacena

Achieving bone union remains a significant clinical dilemma. The use of osteoinductive agents, specifically bone morphogenetic proteins (BMPs), has gained wide attention. However, multiple side effects, including increased incidence of cancer, has renewed interest in investigating alternatives that provide safer, yet effective bone regeneration. Here we demonstrate the robust bone healing capabilities of the main megakaryocyte growth factor, thrombopoietin (TPO) and second generation TPO agents using multiple animal models including mice, rats, and pigs. This bone healing activity is shown in two fracture models (critical sized defect [CSD] and closed fracture) and with local or systemic administration. Our transcriptomic analyses, cellular studies, and protein arrays demonstrate that TPO enhances multiple cellular processes important to fracture healing, particularly angiogenesis, which is required for bone union. Finally, the therapeutic potential of thrombopoietic agents is high since they are used in the clinic for other indications (e.g., thrombocytopenia) with established safety profiles and act upon a narrowly defined population of cells.

实现骨结合仍然是一个重大的临床难题。骨诱导剂,特别是骨形态发生蛋白(BMPs)的使用受到广泛关注。然而,包括癌症发病率增加在内的多种副作用重新激发了人们研究更安全有效的骨再生替代品的兴趣。在这里,我们利用包括小鼠、大鼠和猪在内的多种动物模型,证明了主要巨核细胞生长因子--血小板生成素(TPO)和第二代 TPO 制剂具有强大的骨愈合能力。在两种骨折模型(临界大小缺损 [CSD] 和闭合性骨折)中以及在局部或全身给药的情况下,都显示了这种骨愈合活性。我们的转录组分析、细胞研究和蛋白质阵列表明,TPO 可增强对骨折愈合非常重要的多个细胞过程,尤其是骨结合所需的血管生成。最后,造血制剂具有很高的治疗潜力,因为它们在临床上用于其他适应症(如血小板减少症),具有既定的安全性,并作用于狭义的细胞群。
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引用次数: 0
Exposure-response modeling of liver fat imaging endpoints in non-alcoholic fatty liver disease populations administered ervogastat alone and co-administered with clesacostat. 非酒精性脂肪肝患者单独服用依维莫司他和与氯沙考曲他联合用药时肝脏脂肪成像终点的暴露-反应模型。
IF 3.1 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-20 DOI: 10.1002/psp4.13275
Jim H Hughes, Neeta B Amin, Jessica Wojciechowski, Manoli Vourvahis

Non-alcoholic fatty liver disease and non-alcoholic steatohepatitis describe a collection of liver conditions characterized by the accumulation of liver fat. Despite biopsy being the reference standard for determining the severity of disease, non-invasive measures such as magnetic resonance imaging proton density fat fraction (MRI-PDFF) and FibroScan® controlled attenuation parameter (CAP™) can be used to understand longitudinal changes in steatosis. The aim of this work was to describe the exposure-response relationship of ervogastat with or without clesacostat on steatosis, through population pharmacokinetic/pharmacodynamic (PK/PD) modeling of both liver fat measurements simultaneously. Population pharmacokinetic and exposure-response models using individual predictions of average concentrations were used to describe ervogastat/clesacostat PKPD. Due to both liver fat endpoints being continuous-bounded outcomes on different scales, a dynamic transform-both-sides approach was used to link a common latent factor representing liver fat to each endpoint. Simultaneous modeling of both MRI-PDFF and CAP™ was successful with both measurements being adequately described by the model. The clinical trial simulation was able to adequately predict the results of a recent Phase 2 study, where subjects given ervogastat/clesacostat 300/10 mg BID for 6 weeks had a LS means and model-predicted median (95% confidence intervals) percent change from baseline MRI-PDFF of -45.8% and -45.6% (-61.6% to -31.8%), respectively. Simultaneous modeling of both MRI-PDFF and CAP™ was successful with both measurements being adequately described. By describing the underlying changes of steatosis with a latent variable, this model may be extended to describe biopsy results from future studies.

非酒精性脂肪肝和非酒精性脂肪性肝炎是以肝脏脂肪堆积为特征的一系列肝病。尽管活检是确定疾病严重程度的参考标准,但磁共振成像质子密度脂肪分数(MRI-PDFF)和 FibroScan® 控制衰减参数(CAP™)等非侵入性测量方法可用于了解脂肪变性的纵向变化。这项工作的目的是通过同时对两种肝脏脂肪测量结果进行群体药代动力学/药效学(PK/PD)建模,描述厄伐司他与氯沙考司他对脂肪变性的暴露-反应关系。群体药代动力学和暴露-反应模型使用个体预测的平均浓度来描述依伐司他/氯沙考司他的 PKPD。由于两个肝脏脂肪终点都是不同尺度上连续受限的结果,因此采用了动态变换-双侧方法,将代表肝脏脂肪的共同潜在因子与每个终点联系起来。MRI-PDFF 和 CAP™ 的同时建模取得了成功,模型充分描述了两种测量结果。临床试验模拟能够充分预测最近一项2期研究的结果,受试者连续6周服用依沃加司他/依沙考司他300/10 mg BID后,MRI-PDFF与基线相比的LS平均值和模型预测中值(95%置信区间)百分比变化分别为-45.8%和-45.6%(-61.6%至-31.8%)。同时对 MRI-PDFF 和 CAP™ 进行建模是成功的,两种测量结果都得到了充分的描述。通过用一个潜变量来描述脂肪变性的潜在变化,该模型可扩展用于描述未来研究中的活检结果。
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引用次数: 0
Basic-functionalized Ionic Porous Organic Polymers: Triple Roles in One for Highly Efficient and Recyclable Carboxylative Cyclization of CO2 under Mild Conditions. 碱性官能化离子多孔有机聚合物:在温和条件下实现 CO2 的高效、可循环羧基环化的三合一作用。
IF 3.9 2区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-20 DOI: 10.1002/chem.202403476
Han Tao, Weiqi Mao, Lili Jiang, Qiaoxin Xiao, Zhenyu Zhao, Kaili Wang, Zhaowei Zhang, Jiayi Bai, Haoran Li, Congmin Wang

The transformation of carbon dioxide (CO2) into high-value chemicals is a significant step towards achieving the goal of "carbon neutrality". α-methylene cyclic carbonate, as an intermediate for the synthesis of many important organic compounds, is widely employed in industrial productions. In this work, a series of ionic porous organic polymers (IPOPs) with different basic-functionalized anions were successfully synthesized and adjusted to have certain BET surface areas and high contents of ion sites by post-modification. These basic-functionalized IPOPs could exhibit excellent catalytic performance for carboxylative cyclization of CO2 at 30 oC and 1 bar in presence of silver salts, eliminating the use of extra organic bases. In the whole catalytic reaction, the basic-functionalized anions could play triple roles: enriching CO2 for further transformation, activating the hydroxyl groups of substrates to improve the catalytic performance, while coordinating with Ag atom to stabilize and regenerate catalyst. Notably, the catalytic system of DCX-4-Tet/Ag2O exhibited excellent recyclability, and the yield of α-alkylidene cyclic carbonate was well maintained at 99% after 5 cycles. To the best of our knowledge, the catalytic system was the first example of basic-functionalized IPOPs that played multiple roles for highly efficient CO2 cyclization under mild conditions without any extra organic bases.

将二氧化碳(CO2)转化为高价值化学品是实现 "碳中和 "目标的重要一步。α-亚甲基环碳酸酯作为合成许多重要有机化合物的中间体,被广泛应用于工业生产中。本研究成功合成了一系列具有不同碱性官能化阴离子的离子多孔有机聚合物(IPOPs),并通过后改性使其具有一定的 BET 表面积和较高的离子位点含量。这些碱官能化的 IPOP 在银盐存在下,于 30 oC 和 1 bar 条件下对 CO2 的羧基环化反应具有优异的催化性能,无需使用额外的有机碱。在整个催化反应过程中,碱性官能团阴离子可发挥三重作用:富集 CO2 以供进一步转化;激活底物的羟基以提高催化性能;与银原子配位以稳定和再生催化剂。值得注意的是,DCX-4-Tet/Ag2O 催化体系具有良好的可回收性,5 次循环后α-亚烷基环碳酸酯的产率仍能保持在 99%。据我们所知,该催化体系是碱性官能化 IPOPs 在温和条件下高效实现 CO2 环化的首个实例,无需额外的有机碱。
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引用次数: 0
How Should we Teach Medicinal Chemistry in Higher Education to Prepare Students for a Future Career as Medicinal Chemists and Drug Designers? - A Teacher's Perspective. 我们应该如何在高等教育中教授药物化学,为学生将来成为药物化学家和药物设计师做好准备?- 教师的视角。
IF 3.6 4区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-11-20 DOI: 10.1002/cmdc.202400791
Philipp Klahn

In the recent two decades, the multidisciplinary field of medicinal chemistry has undergone several conceptual and technology-driven paradigm changes with significant impact on the skill set medicinal chemists need to acquire during their education. Considering the need for academic medicinal chemistry teaching, this article aims at identifying important skills, competences, and basic knowledge as general learning outcomes based on an analysis of the relevant stakeholders and concludes effective teaching strategies preparing students for a future career as medicinal chemists and drug designers.

近二十年来,药物化学这一多学科领域经历了多次概念和技术驱动的范式变革,对药物化学家在接受教育期间需要掌握的技能产生了重大影响。考虑到药物化学学术教学的需要,本文旨在基于对相关利益方的分析,确定作为一般学习成果的重要技能、能力和基础知识,并总结出有效的教学策略,为学生将来成为药物化学家和药物设计师做好准备。
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引用次数: 0
How the Kinetic Balance Between Charge-Transfer and Mass-Transfer Influences Zinc Anode Stability: An Ultramicroelectrode Study. 电荷转移和质量转移之间的动力学平衡如何影响锌阳极的稳定性:超微电极研究。
IF 10.7 2区 材料科学 Q1 CHEMISTRY, PHYSICAL Pub Date : 2024-11-20 DOI: 10.1002/smtd.202401021
Ashutosh Rana, Md Arif Faisal, Kingshuk Roy, James H Nguyen, Saptarshi Paul, Jeffrey E Dick

Aqueous zinc-metal batteries (AZMBs) represent a promising frontier in battery technology, offering sustainable and safe alternatives to traditional non-aqueous batteries. Despite their potential, understanding the kinetics of zinc electrodeposition-a critical factor in AZMB performance-remains underexplored. Utilizing voltammetry on ultramicroelectrodes, we investigate how scan rate influences key processes of nucleation and growth during Zn2+ electrodeposition. The findings highlight the efficacy of the Butler-Volmer formulation in capturing electron-transfer kinetics, contrasting with complex electron transfer kinetic models used for non-aqueous battery chemistries. We clearly demonstrate that there is a strong dependence of scan rate on the measured value of kinetic parameters (exchange current). To accurately probe the charge transfer kinetics, it is essential to apply fast scan voltammetry to decouple the influence of mass transfer, ensuring that the measured current is independent of the scan rate. Furthermore, by studying a model electrolyte additive, the intricate balance between charge transfer and mass transfer dynamics is unveiled, and this information is crucial for enhancing the stability of zinc metal anodes. These insights pave the way for developing advanced electrolyte and current collector formulations, promising enhanced cyclability and sustainability in zinc metal batteries.

锌金属水溶液电池(AZMB)是电池技术中前景广阔的前沿领域,为传统的非水溶液电池提供了可持续和安全的替代品。尽管其潜力巨大,但对锌电沉积动力学--AZMB 性能的关键因素--的了解仍然不足。利用超微电极上的伏安法,我们研究了扫描速率如何影响 Zn2+ 电沉积过程中成核和生长的关键过程。研究结果凸显了巴特勒-沃尔默公式在捕捉电子转移动力学方面的功效,这与非水电池化学中使用的复杂电子转移动力学模型形成了鲜明对比。我们清楚地证明,扫描速率与动力学参数(交换电流)的测量值有很大关系。为了准确探测电荷转移动力学,必须采用快速扫描伏安法来消除质量转移的影响,确保测量的电流与扫描速率无关。此外,通过对电解质添加剂模型的研究,揭示了电荷转移和质量转移动力学之间错综复杂的平衡关系,这些信息对于提高锌金属阳极的稳定性至关重要。这些见解为开发先进的电解质和集流剂配方铺平了道路,有望提高锌金属电池的循环性和可持续性。
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引用次数: 0
Genetic Characteristics of Cutaneous, Acral, and Mucosal Melanoma in Japan 日本皮肤、口腔和粘膜黑色素瘤的遗传特征
IF 2.9 2区 医学 Q2 ONCOLOGY Pub Date : 2024-11-20 DOI: 10.1002/cam4.70360
Tokimasa Hida, Masashi Idogawa, Junji Kato, Yukiko Kiniwa, Kohei Horimoto, Sayuri Sato, Masahide Sawada, Shoichiro Tange, Masae Okura, Ryuhei Okuyama, Takashi Tokino, Hisashi Uhara

Background

Acral and mucosal melanomas are more prevalent in Asians than in Caucasians, unlike cutaneous melanomas, which are predominant in Caucasians. Recent studies have suggested that non-Caucasian cutaneous melanomas responded less to immune checkpoint inhibitors, highlighting the need for genetic profiling across ethnicities. This study aimed to elucidate the genetic characteristics of Japanese melanomas, which is an under-researched topic.

Methods

Single-nucleotide variants, indels, and copy number alterations in 104 Japanese melanoma patients (37 cutaneous, 52 acral, and 15 mucosal) were analyzed using custom panel sequencing.

Results

Driver events were detected in 94% of the cases. Among cutaneous melanoma cases, 76% had BRAF mutations, and 8% had NRAS mutations. In acral melanoma, BRAF (9%), NRAS (17%), KRAS (8%), KIT (19%), and NF1 (7%) mutations were detected. Major driver mutations in mucosal melanoma were detected in NRAS, KRAS, NF1, PTEN, GNAQ, and KIT. The median tumor mutational burden across all melanoma types was 4.6 mutations/Mb, with no significant difference between the cutaneous and acral/mucosal types. Of the 21 patients with both primary and metastatic lesions, 11 showed distinct mutations in each. Potentially actionable mutations were detected in 58 patients in addition to BRAF V600E/K mutations in 31.

Conclusions

This study highlights distinct genetic abnormalities and actionable alterations in Japanese melanoma patients. This suggests a lower tumor mutational burden in East Asian cutaneous melanoma, which may affect the efficacy of immune checkpoint inhibitors. The heterogeneity of driver mutations across and within individuals highlights the need for personalized treatment approaches.

背景 口腔和粘膜黑色素瘤在亚洲人中的发病率高于白种人,这与皮肤黑色素瘤主要发生在白种人中不同。最近的研究表明,非白种人皮肤黑色素瘤对免疫检查点抑制剂的反应较小,这凸显了跨种族基因分析的必要性。本研究旨在阐明日本人黑色素瘤的遗传特征,这是一个研究不足的课题。 方法 采用定制面板测序法分析了 104 例日本黑色素瘤患者(37 例皮肤癌、52 例尖锐湿疣和 15 例粘膜癌)的单核苷酸变异、嵌合体和拷贝数改变。 结果 94% 的病例检测到了驱动基因事件。在皮肤黑色素瘤病例中,76%有BRAF突变,8%有NRAS突变。在口腔黑色素瘤中,发现了BRAF(9%)、NRAS(17%)、KRAS(8%)、KIT(19%)和NF1(7%)突变。粘膜黑色素瘤的主要驱动基因突变在NRAS、KRAS、NF1、PTEN、GNAQ和KIT中均有检测到。所有黑色素瘤类型的肿瘤突变负荷中位数为4.6个突变/Mb,皮肤型和口腔/粘膜型之间没有明显差异。在21名同时患有原发性和转移性病灶的患者中,有11名患者的两种病灶都出现了不同的突变。除了 31 例患者的 BRAF V600E/K 基因突变外,58 例患者还检测到了可能具有可操作性的基因突变。 结论 本研究强调了日本黑色素瘤患者的不同基因异常和可作用变异。这表明东亚皮肤黑色素瘤的肿瘤突变负荷较低,可能会影响免疫检查点抑制剂的疗效。个体间和个体内驱动基因突变的异质性凸显了个性化治疗方法的必要性。
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引用次数: 0
Lycium barbarum Extract Enhanced Neuroplasticity and Functional Recovery in 5xFAD Mice via Modulating Microglial Status of the Central Nervous System 枸杞提取物通过调节中枢神经系统的小胶质细胞状态增强 5xFAD 小鼠的神经可塑性和功能恢复能力
IF 4.8 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-11-20 DOI: 10.1111/cns.70123
Zhongqing Sun, Jinfeng Liu, Zihang Chen, Kwok-Fai So, Yong Hu, Kin Chiu

Objective

Alzheimer's disease (AD) is the most prevalent neurodegenerative disease with limited treatment options. This study aimed to investigate the effects of Lycium barbarum extract (LBE), a Chinese herb, on the central nervous system (CNS)—including the retina, brain, and spinal cord—in 5xFAD transgenic mice after the onset of AD.

Methods

Starting at 6 months of age, 5xFAD mice received daily intragastric gavage of LBE (2 g/kg) for 2 months. At 8 months, behavioral tests were conducted to assess cognition, motor function, and visual function. These included the Morris water maze, novel object recognition, and Y-maze tests for cognition; the beam walking balance and clasping tests for motor function; and electroretinogram (ERG) for visual function. Immunohistochemistry, western blotting, and ELISA were used to evaluate Aβ deposition, microglial morphology, neuroinflammation, and neuroprotective signaling pathways. Primary microglia and the IMG cell line were used to study LBE's effects on Aβ uptake and degradation in vitro.

Results

After 2 months of LBE treatment, the decline in cognition, motor, and visual functions in 5xFAD mice was significantly slowed. Microglia in the brain, spinal cord, and retina exhibited a neuroprotective state, with reduced Aβ deposition, decreased inflammatory cytokine levels (e.g., TNF-α, IL-1β, IL-6), increased Arg-1/iNOS ratio, and enhanced phagocytic capacity. LBE also promoted Aβ uptake and degradation in primary microglia and the IMG cell line. Neuroprotective signals such as p-Akt, p-Erk1/2, and p-CREB were elevated. Additionally, LBE treatment restored synaptic protein expression and enhanced neuroplasticity.

Conclusion

The findings suggest that LBE treatment can enhance neuroplasticity, reduce systemic inflammation, and improve phagocyte clearance of Aβ deposition via inducing a neuroprotective microglial phenotype throughout CNS. As an upper-class Chinese medicine, appropriate intake of LBE may serve as a beneficial antiaging strategy for AD.

目的 阿尔茨海默病(Alzheimer's disease,AD)是最普遍的神经退行性疾病,但治疗方法有限。本研究旨在探讨中草药枸杞提取物(LBE)对 5xFAD 转基因小鼠中枢神经系统(CNS)(包括视网膜、大脑和脊髓)的影响。 方法 从 5xFAD 小鼠 6 个月大开始,每天灌胃 2 克/千克的 LBE,持续 2 个月。8个月大时,进行行为测试以评估认知、运动功能和视觉功能。这些测试包括针对认知的莫里斯水迷宫、新物体识别和Y迷宫测试;针对运动功能的横梁行走平衡和紧握测试;以及针对视觉功能的视网膜电图(ERG)。免疫组化、Western 印迹和 ELISA 被用来评估 Aβ 沉积、小胶质细胞形态、神经炎症和神经保护信号通路。原代小胶质细胞和 IMG 细胞系被用来研究 LBE 对体外 Aβ 吸收和降解的影响。 结果 LBE 治疗 2 个月后,5xFAD 小鼠认知、运动和视觉功能的下降明显减缓。大脑、脊髓和视网膜中的小胶质细胞表现出神经保护状态,Aβ沉积减少,炎性细胞因子水平(如 TNF-α、IL-1β、IL-6)降低,Arg-1/iNOS 比率增加,吞噬能力增强。LBE 还能促进原代小胶质细胞和 IMG 细胞系对 Aβ 的摄取和降解。神经保护信号(如 p-Akt、p-Erk1/2 和 p-CREB)升高。此外,LBE 治疗还能恢复突触蛋白表达并增强神经可塑性。 结论 LBE 治疗可通过诱导中枢神经系统的神经保护性小胶质细胞表型,增强神经可塑性,减轻全身炎症反应,改善吞噬细胞对 Aβ 沉积的清除。作为一种上等中药,适当摄入枸杞子可作为一种有益的抗衰老策略,用于治疗AD。
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