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Nasal mucosal secretory immunoglobulin A but not serum antibodies is resistant to Omicron evasion 鼻粘膜分泌型 IgA(而非血清抗体)可抵御 Omicron 的侵袭
Pub Date : 2024-09-01 DOI: 10.1016/j.hlife.2024.05.004
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引用次数: 0
Recent advances in surgical management strategies for hepatocellular carcinoma 肝细胞癌外科治疗策略的最新进展
Pub Date : 2024-09-01 DOI: 10.1016/j.hlife.2024.06.007
Zhen-Bin Ding , Ying-Hong Shi , Jia-Feng Chen , Jia Fan , Jian Zhou
Hepatocellular carcinoma (HCC) is a significant global health challenge, requiring innovative methods to improve patient survival. Due to different disease backgrounds, different HCC management guidelines have been developed, especially in the field of surgical treatment, with the aim of reducing the risk of incidence and enhancing the therapeutic effect. Focusing on the progress and challenges in the development of surgical management strategies for HCC in recent years, this article systematically elaborates on the research and clinical application of precision surgical treatment, including improvement of the surgical evaluation system, breakthroughs in surgical techniques, and updates in perioperative treatment concepts. In addition, clinical research on surgical treatment for HCC has received unprecedented attention. The conclusions of innovative clinical trials in surgery will provide important guidance for the development of practice guidelines and the selection of appropriate treatment strategies for HCC patients.
肝细胞癌(HCC)是全球健康面临的重大挑战,需要创新方法来提高患者的生存率。由于疾病背景不同,人们制定了不同的 HCC 管理指南,特别是在外科治疗领域,目的是降低发病风险和提高治疗效果。本文围绕近年来 HCC 外科治疗策略发展的进展与挑战,系统阐述了精准外科治疗的研究与临床应用,包括外科评估体系的完善、外科技术的突破以及围手术期治疗理念的更新。此外,HCC 的外科治疗临床研究也受到了前所未有的关注。外科创新性临床试验的结论将为 HCC 患者制定实践指南和选择合适的治疗策略提供重要指导。
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引用次数: 0
Discovering broader antiviral strategies: Role of interferon-induced transmembrane proteins in virus infection 探索更广泛的抗病毒策略:干扰素诱导的跨膜蛋白在病毒感染中的作用
Pub Date : 2024-08-01 DOI: 10.1016/j.hlife.2024.07.002
Zi-Ying Jiang , Chu Xie , Pei-Huang Wu , Zhi-Xuan Li , Mu-Sheng Zeng , Cong Sun
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引用次数: 0
BCMA-CD19 bispecific CAR-T therapy in refractory chronic inflammatory demyelinating polyneuropathy 治疗难治性慢性炎症性脱髓鞘性多发性神经病的 BCMA-CD19 双特异性 CAR-T 疗法
Pub Date : 2024-08-01 DOI: 10.1016/j.hlife.2024.05.005
Wei Zhang , Dan Liu , Tao Zhang , Jiang Cao , Gang Wang , Huizhong Li , Su Zhou , Ruixue Zhang , Yuqiao Wang , Jinyu Li , Zixuan Zhang , Hao Chen , Yong Zhang , Shenyang Zhang , Jie Zu , Xiaopeng Wang , Chuanying Xu , Manli Zhou , Ming Shi , Guiyun Cui , Junnian Zheng
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引用次数: 0
Why is the Omicron main protease of SARS-CoV-2 less stable than its wild-type counterpart? A crystallographic, biophysical, and theoretical study 为什么 SARS-CoV-2 的 Omicron 主蛋白酶不如野生型蛋白酶稳定?晶体学、生物物理和理论研究
Pub Date : 2024-08-01 DOI: 10.1016/j.hlife.2024.06.003
Mohamed Ibrahim , Xinyuanyuan Sun , Vinicius Martins de Oliveira , Ruibin Liu , Joseph Clayton , Haifa El Kilani , Jana Shen , Rolf Hilgenfeld

During the continuing evolution of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the Omicron variant of concern emerged in the second half of 2021 and has been dominant since November of that year. Along with its sublineages, it has maintained a prominent role ever since. The Nsp5 main protease (Mpro) of the Omicron virus is characterized by a single dominant mutation, P132H. Here we determined the X-ray crystal structures of the P132H mutant (or O-Mpro) as a free enzyme and in complex with the Mpro inhibitor, the alpha-ketoamide 13b-K, and we conducted enzymological, biophysical, as well as theoretical studies to characterize the O-Mpro. We found that O-Mpro has a similar overall structure and binding with 13b-K; however, it displays lower enzymatic activity and lower thermal stability compared to the WT-Mpro (with “WT” referring to the prototype strain). Intriguingly, the imidazole ring of His132 and the carboxylate plane of Glu240 are in a stacked configuration in the X-ray structures determined here. Empirical folding free energy calculations suggest that the O-Mpro dimer is destabilized relative to the WT-Mpro due to less favorable van der Waals interactions and backbone conformations in the individual protomers. All-atom continuous constant-pH molecular dynamics (MD) simulations reveal that His132 and Glu240 display coupled titration. At pH 7, His132 is predominantly neutral and in a stacked configuration with respect to Glu240 which is charged. In order to examine whether the Omicron mutation eases the emergence of further Mpro mutations, we also analyzed the P132H+T169S double mutant, which is characteristic of the BA.1.1.2 lineage. However, we found little evidence of a correlation between the two mutation sites.

在严重急性呼吸系统综合症冠状病毒 2(SARS-CoV-2)的持续演化过程中,令人担忧的 Omicron 变种于 2021 年下半年出现,并自当年 11 月以来一直占据主导地位。从那时起,它与它的亚系一起,一直保持着突出的作用。奥米克隆病毒的 Nsp5 主蛋白酶(Mpro)具有单一显性突变 P132H 的特征。在这里,我们测定了 P132H 突变体(或 O-Mpro)作为自由酶以及与 Mpro 抑制剂--α-酮酰胺 13b-K 复合物的 X 射线晶体结构,并进行了酶学研究、生物物理研究以及理论研究,以确定 O-Mpro 的特征。我们发现,O-Mpro 与 13b-K 具有相似的整体结构和结合力;但与 WT-Mpro("WT "指原型菌株)相比,它的酶活性较低,热稳定性也较低。有趣的是,在这里确定的 X 射线结构中,His132 的咪唑环和 Glu240 的羧基平面呈堆叠构型。经验折叠自由能计算表明,与 WT-Mpro 二聚体相比,O-Mpro 二聚体由于范德华相互作用和单个原生体的骨架构象较差而不稳定。全原子连续恒定 pH 值分子动力学(MD)模拟显示,His132 和 Glu240 显示出耦合滴定作用。在 pH 值为 7 时,相对于带电的 Glu240,His132 主要呈中性和堆叠构型。为了研究 Omicron 突变是否会缓解 Mpro 突变的进一步出现,我们还分析了 P132H+T169S 双突变体,这是 BA.1.1.2 系的特征。然而,我们几乎没有发现这两个突变位点之间存在关联的证据。
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引用次数: 0
Boosting CAR-T cell therapy with CRISPR technology 利用 CRISPR 技术促进 CAR-T 细胞疗法
Pub Date : 2024-08-01 DOI: 10.1016/j.hlife.2024.06.002

Chimeric antigen receptor (CAR)-T cell therapy has made remarkable breakthroughs in treating cancers, especially hematologic malignancies, yet its broader application in cancer treatment is hindered by multiple challenges. Meanwhile, the development of clustered regularly interspaced short palindromic repeats (CRISPR) and its derived technologies has provided unprecedentedly efficient tools for genomic and cellular reprogramming, offering potential advantages for developing CAR-T cell therapy. There is hence a rapidly increasing interest in applying CRISPR to engineer CAR-T cells. Here, we present a review of recent research utilizing CRISPR to boost CAR-T cell therapy by enhancing its safety or effectiveness. We first provide an overview of CAR-T cell therapy and CRISPR technology, followed by discussions on how CRISPR and its related technologies can be adopted to tackle various issues associated with CAR-T cell therapy, either via knockout/knockin of specific genes or CRISPR-based screening. We also summarize clinical trials involving CRISPR-edited CAR-T cells. Lastly, we address the potential risks of applying CRISPR in CAR-T cell engineering.

嵌合抗原受体(CAR)-T 细胞疗法在治疗癌症,尤其是血液系统恶性肿瘤方面取得了显著突破,但其在癌症治疗中的广泛应用却受到多重挑战的阻碍。与此同时,聚类规则间隔短回文重复序列(CRISPR)及其衍生技术的发展为基因组和细胞重编程提供了前所未有的高效工具,为开发 CAR-T 细胞疗法提供了潜在的优势。因此,人们对应用 CRISPR 改造 CAR-T 细胞的兴趣迅速增加。在此,我们将综述近期利用 CRISPR 提高 CAR-T 细胞疗法安全性或有效性的研究。我们首先概述了CAR-T细胞疗法和CRISPR技术,然后讨论了如何通过敲除/敲入特定基因或基于CRISPR的筛选,采用CRISPR及其相关技术解决与CAR-T细胞疗法相关的各种问题。我们还总结了涉及 CRISPR 编辑 CAR-T 细胞的临床试验。最后,我们探讨了在 CAR-T 细胞工程中应用 CRISPR 的潜在风险。
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引用次数: 0
Dysregulated STAT1 gain-of-function: Pathogen-free autoimmunity and fungal infection 功能失调的 STAT1 增益:无病原体自身免疫和真菌感染
Pub Date : 2024-08-01 DOI: 10.1016/j.hlife.2024.03.002

Inborn errors of the signal transducer and activator of transcription 1 (STAT1) result in four types of immunodeficiency disease with varying degrees of impaired STAT1 function: autosomal recessive (AR) complete STAT1 deficiency, AR partial STAT1 deficiency, autosomal dominant (AD) STAT1 deficiency, and AD STAT1 gain-of-function (STAT1-GOF). Of which, the STAT1-GOF mutations promote a clinical syndrome of immune dysregulation characterized by recurrent infections, especially chronic mucocutaneous candidiasis (CMC) and Talaromyces marneffei infection and predisposition to humoral autoimmunity. STAT1-GOF mutations lead to enhanced phosphorylation of STAT1 (pSTAT1), delayed dephosphorylation, and impaired nuclear dephosphorylation. As a result, the development of T helper (Th) 17 cells is impaired, limiting the production of interleukin (IL)-17, which plays an important role in antifungal immunity. Additionally, mutations can also cause a decrease in the proportion of CD4+, CD8+, and natural killer (NK) cells. Recent research demonstrated that in the absence of overt infection, STAT-GOF mice can disrupt naïve CD4+ T cell homeostasis and promote expansion and differentiation of abnormal T-follicular helper/T-helper 1-like (Tfh/Th1-like) T cells and germinal center-like (GC-like) B cells, and thus reminds us of the complex molecular mechanism of autoimmune disease with/without fungal infection, which may further involve specific clinical treatment including antifungal and anti-autoimmunity therapies. In addition, sex and location of mutation were also associated with the clinical phenotype. Individuals with DNA binding domain (DBD) mutations had a higher prevalence of autoimmunity and aberrant B cell activation. Disrupted CD4+ T cell homeostasis occurred sooner and more robustly in females, highlighting the importance of specific treatment to normalize STAT1 expression and restore immune tolerance in patients with STAT1-GOF syndrome. Herein, we provide a comprehensive review of STAT1-GOF aiming to further clarify the regulatory mechanism of cellular and humoral immune deficiency in patients with fungal infection with or without autoimmunity.

信号转导子和转录激活子 1(STAT1)的先天性错误导致四种不同程度的 STAT1 功能受损的免疫缺陷病:常染色体隐性(AR)STAT1 完全缺乏症、AR STAT1 部分缺乏症、常染色体显性(AD)STAT1 缺乏症和 AD STAT1 功能增益(STAT1-GOF)。其中,STAT1-GOF 基因突变会导致以反复感染(尤其是慢性皮肤粘膜念珠菌病(CMC)和马拉色菌(Talaromyces marneffei)感染)和易患体液自身免疫为特征的免疫失调临床综合征。STAT1-GOF 突变会导致 STAT1(pSTAT1)磷酸化增强、去磷酸化延迟和核去磷酸化受损。因此,T辅助(Th)17细胞的发育受到阻碍,限制了在抗真菌免疫中发挥重要作用的白细胞介素(IL)-17的产生。此外,突变还会导致 CD4+、CD8+ 和自然杀伤(NK)细胞比例下降。最近的研究表明,在没有明显感染的情况下,STAT-GOF 小鼠能破坏幼稚 CD4+ T 细胞的稳态,并促进异常 T 滤泡辅助细胞/T 辅助细胞 1 样(Tfh/Th1-like)T 细胞和生殖中心样(GC-like)B 细胞的扩增和分化,从而提醒我们注意真菌感染/非真菌感染自身免疫性疾病的复杂分子机制,这可能进一步涉及特定的临床治疗,包括抗真菌和抗自身免疫疗法。此外,性别和突变位置也与临床表型有关。DNA结合域(DBD)突变个体的自身免疫和B细胞异常活化发生率较高。CD4+ T细胞稳态紊乱在女性中发生得更早,也更严重,这凸显了对STAT1-GOF综合征患者进行特殊治疗以恢复STAT1表达正常和免疫耐受的重要性。在此,我们对 STAT1-GOF 进行了全面综述,旨在进一步阐明真菌感染伴或不伴自身免疫患者细胞和体液免疫缺陷的调节机制。
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引用次数: 0
Ism1 deficiency in mice exacerbates bleomycin-induced pulmonary fibrosis with enhanced cellular senescence and delayed fibrosis resolution 小鼠缺乏 Ism1 会加剧博莱霉素诱导的肺纤维化,并导致细胞衰老和纤维化消退延迟
Pub Date : 2024-07-01 DOI: 10.1016/j.hlife.2024.05.006
Mahalakshmi Shanmugasundaram, Simin Xu, Yujie Yang, Jong Huat Tee, Terence Yin Weng Lam, Ruowen Ge

Idiopathic pulmonary fibrosis (IPF) is a progressive fibrosing interstitial lung disease with high morbidity and mortality but unclear etiology and incomplete pathophysiological understandings, making the discovery of effective therapeutics arduous. Currently, two drugs, nintedanib and pirfenidone, are available for IPF treatment which can slow down the fibrotic scarring in the lung but are unable to provide disease resolution. Hence, further revelation of the molecular mechanisms of IPF is critical for the development of novel therapeutics. Isthmin-1 (ISM1) is a secreted anti-inflammatory protein highly expressed in the mouse and human lung. Ism1−/− mice presented spontaneous and progressive lung emphysema, as well as heightened acute lung injury (ALI) upon lipopolysaccharide (LPS) treatment with an accompanied increase of post-LPS-ALI pulmonary fibrosis. ISM1 is important for lung homeostasis with airway-delivered recombinant ISM1 (rISM1) suppressing cigarette smoke-induced emphysema, LPS-ALI, and house-dust mites (HDM)-induced asthma-like symptoms in mice. However, the role of ISM1 in pulmonary fibrosis is yet to be clearly understood. In this work, we show that Ism1−/− mice presented heightened bleomycin-induced pulmonary fibrosis (BIPF), with enhanced immune cell infiltration, myofibroblast accumulation, and collagen deposition. ISM1 deficiency also led to increased cellular senescence in mouse lungs, isolated primary alveolar type II epithelial cells, and primary lung fibroblasts upon bleomycin treatment. Ism1−/− mice also showed delayed resolution of pulmonary fibrosis with reduced lipofibroblasts and downregulation of lipid synthesis-related genes. These results are in congruence with the RNA-seq data which demonstrated gene expression alterations in Ism1−/− lung that are linked to predisposition to pulmonary fibrosis and dysregulation of lipid metabolism pathways. Gene expression analyses showed that Ism1 is similarly dysregulated in the lungs of BIPF and human IPF patients. These findings reveal an anti-fibrotic role of ISM1 in mouse lungs and provide the foundation to further investigate possible therapeutic applications of ISM1 for pulmonary fibrosis in the future.

特发性肺纤维化(IPF)是一种进行性纤维化间质性肺病,发病率和死亡率都很高,但由于病因不清、病理生理学认识不全面,因此寻找有效治疗方法的工作十分艰巨。目前,用于治疗 IPF 的药物有宁替尼(nintedanib)和吡非尼酮(pirfenidone)两种,这两种药物可以减缓肺部纤维化瘢痕的形成,但无法解决疾病问题。因此,进一步揭示 IPF 的分子机制对于开发新型疗法至关重要。Isthmin-1(ISM1)是一种在小鼠和人类肺部高表达的分泌型抗炎蛋白。ISM1-/-小鼠会出现自发性和进行性肺气肿,并且在脂多糖(LPS)处理后急性肺损伤(ALI)会加重,LPS-ALI后肺纤维化也会随之加重。ISM1对肺稳态非常重要,气道给药重组ISM1(rISM1)可抑制香烟烟雾诱发的肺气肿、LPS-ALI和屋尘螨(HDM)诱发的小鼠哮喘样症状。然而,ISM1 在肺纤维化中的作用尚不清楚。在这项研究中,我们发现 Ism1-/- 小鼠出现了博莱霉素诱导的肺纤维化(BIPF),免疫细胞浸润、肌成纤维细胞聚集和胶原沉积均有所增强。缺乏 ISM1 还会导致小鼠肺、离体原代肺泡 II 型上皮细胞和原代肺成纤维细胞在接受博莱霉素处理后细胞衰老加剧。Ism1-/-小鼠还表现出肺纤维化消退延迟,脂成纤维细胞减少,脂质合成相关基因下调。这些结果与RNA-seq数据一致,RNA-seq数据显示Ism1-/-小鼠肺部的基因表达改变与肺纤维化易感性和脂质代谢途径失调有关。基因表达分析表明,在 BIPF 和人类 IPF 患者的肺中,Ism1 也存在类似的失调。这些发现揭示了ISM1在小鼠肺中的抗纤维化作用,为今后进一步研究ISM1在肺纤维化治疗中的应用奠定了基础。
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引用次数: 0
Single-cell omics in tracing cellular heterogeneity of drug-induced liver injury: Technological landscape and prospective application 追踪药物性肝损伤细胞异质性的单细胞全息技术:技术前景与应用展望
Pub Date : 2024-07-01 DOI: 10.1016/j.hlife.2024.01.004

Drug-induced liver injury (DILI) remains a serious problem in clinics for both diagnoses and treatment decisions. It is a result of accumulated drugs in human bodies metabolized into toxic constituents generating reactive metabolites, and then arise initial consequences of oxidative stress, organelle stress responses, and lethal consequences (liver necrosis or apoptosis). However, the idiosyncratic nature of DILI complexes its mechanistic studies and still little is known of its potential etiopathogenesis for certain. Single-cell omics technology and approaches serve as powerful tools for investigating cellular heterogeneity and relationships from measurements of up to millions of individual cells at an unprecedented resolution, which are achieved by advances in genome, epigenome, transcriptome, proteome, and metabolism technologies. As liver contains heterogeneous cell types of distinct spatial, molecular, and functional properties, they interact with each other to precede cell type-specific omics reprogramming and play an irreplaceable role in liver cells with heterogeneous properties upon encountering toxic insults. Single-cell omics, especially single-cell transcriptomics and single-cell proteomics, have been utilized for exploring the mechanisms of DILI and prediction for risk factors. In this review, we discuss the recent development and future perspectives of single-cell omics-based technologies for DILI-related research.

药物性肝损伤(DILI)仍然是临床诊断和治疗决策中的一个严重问题。它是人体内累积的药物代谢成有毒成分产生反应性代谢产物的结果,然后产生氧化应激、细胞器应激反应和致命后果(肝坏死或凋亡)等初始后果。然而,DILI 复杂性的特殊性质阻碍了其机理研究,人们对其潜在的发病机制仍然知之甚少。基因组、表观基因组、转录组、蛋白质组和新陈代谢技术的进步使单细胞全息技术和方法成为研究细胞异质性和细胞间关系的强大工具。由于肝脏含有不同空间、分子和功能特性的异质细胞类型,它们在细胞类型特异性 omics 重编程之前相互影响,并在具有异质特性的肝细胞遇到毒性损伤时发挥不可替代的作用。单细胞全局组学,尤其是单细胞转录组学和单细胞蛋白质组学,已被用于探索DILI的机制和预测风险因素。在这篇综述中,我们将讨论基于单细胞组学的 DILI 相关研究技术的最新发展和未来展望。
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引用次数: 0
A cholangiocyte organoid system for Cryptosporidium parvum cultivation and transcriptomic studies of biliary cryptosporidiosis 用于副隐孢子虫培养和胆道隐孢子虫病转录组研究的胆管细胞类器官系统
Pub Date : 2024-07-01 DOI: 10.1016/j.hlife.2024.05.001

Biliary cryptosporidiosis caused by Cryptosporidium is life-threatening in immunocompromised individuals, particularly those with acquired immune deficiency syndrome (AIDS), resulting in AIDS cholangiopathy. However, studies of biliary cryptosporidiosis have lagged due to the lack of in vitro models that allow complete pathogen development. Here we describe procedures for the generation of mouse cholangiocyte organoids (Chol-orgs). The Chol-orgs, which expressed stem and biliary cell markers, could be clonally expanded for three months and stored in liquid nitrogen for more than one year. Combined with cell differentiation using the air-liquid interface (ALI) approach, we established a culture system for C. parvum. ALI cultures using Chol-orgs have supported ∼50-fold amplification of the pathogen and generated viable oocysts in vitro. In addition, we analyzed the transcriptome of Chol-ALI cultures infected with the IId subtype of C. parvum to characterize host cell responses. RNA-seq analysis revealed that C. parvum upregulated immune and inflammatory responses and downregulated metabolic and cell proliferation signaling pathways in Chol-orgs. A similar system using bovine cholangiocytes also supported the complete development of C. parvum in vitro. These in vitro models provide convenient methods to study biliary cryptosporidiosis and other hepatic infections and to develop effective therapies for AIDS cholangiopathy.

由隐孢子虫引起的胆道隐孢子虫病对免疫力低下的人有生命危险,尤其是那些患有获得性免疫缺陷综合征(艾滋病)的人,会导致艾滋病胆道病。然而,由于缺乏可使病原体完全发育的体外模型,对胆道隐孢子虫病的研究一直滞后。在此,我们介绍了小鼠胆管细胞器官组织(Chol-orgs)的生成过程。Chol-orgs 表达干细胞和胆道细胞标记,可克隆扩增三个月,并在液氮中储存一年以上。结合使用气液界面(ALI)方法进行细胞分化,我们建立了一种副猪嗜血杆菌培养系统。使用 Chol-orgs 进行的 ALI 培养支持病原体扩增 50 倍,并在体外产生了有活力的卵囊。此外,我们还分析了感染了副猪嗜血杆菌 IId 亚型的 Chol-ALI 培养物的转录组,以确定宿主细胞反应的特征。RNA-seq分析显示,C. parvum上调了胆汁瘤的免疫和炎症反应,下调了代谢和细胞增殖信号通路。使用牛胆管细胞的类似系统也支持副猪嗜血杆菌在体外完全发育。这些体外模型为研究胆道隐孢子虫病和其他肝脏感染以及开发艾滋病胆道病的有效疗法提供了方便的方法。
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引用次数: 0
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