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KIF1B Regulates NLRP3-Mediated Pyroptosis in Asthma Progression KIF1B调节nlrp3介导的哮喘进展中的焦亡。
IF 4.2 Pub Date : 2025-12-12 DOI: 10.1111/jcmm.70975
Junchao Wang, Yuan Gao, Jing Li, Chiqiu Jiang

Asthma is a chronic inflammatory respiratory disorder triggered by allergens or environmental pollutants, characterised by airway obstruction, increased airway resistance and breathing difficulties. Although substantial progress has been made in elucidating its pathophysiology, the molecular mechanisms underlying asthma progression remain incompletely understood, and no curative therapies are currently available. The present study explored the role of KIF1B (kinesin family member 1B) in asthma pathogenesis using integrated approaches involving human cohort datasets, in vitro airway epithelial cell models and an in vivo ovalbumin (OVA)-induced asthma mouse model. KIF1B knockdown and NLRP3 (NLR family pyrin domain-containing 3) overexpression assays were performed to delineate the molecular mechanisms by which KIF1B modulates pyroptosis. Results showed that KIF1B expression was markedly elevated in bronchial biopsies from asthma patients, OVA-challenged mouse lungs and IL-13–stimulated BEAS-2B cells. Silencing KIF1B significantly attenuated OVA- and IL-13–induced oxidative stress, proinflammatory cytokine release and pulmonary injury. Specifically, KIF1B knockdown reduced the expression of pyroptosis-associated proteins—NLRP3, cleaved caspase-1 and cleaved gasdermin D (GSDMD)—while decreasing TNF-α, IL-1β and IL-18 levels and restoring the anti-inflammatory cytokine IL-10. Mechanistically, NLRP3 overexpression abolished the anti-inflammatory and cytoprotective effects of KIF1B silencing, confirming that KIF1B promotes asthmatic inflammation through activation of the NLRP3 inflammasome. In conclusion, these findings identify KIF1B as a key regulator of airway inflammation and pyroptosis in asthma via NLRP3-dependent signalling. Targeting KIF1B may therefore represent a promising therapeutic strategy for controlling asthma progression.

哮喘是一种由过敏原或环境污染物引发的慢性炎症性呼吸系统疾病,其特征是气道阻塞、气道阻力增加和呼吸困难。尽管在阐明其病理生理学方面取得了实质性进展,但哮喘进展的分子机制仍然不完全清楚,目前尚无治愈性治疗方法。本研究利用人类队列数据集、体外气道上皮细胞模型和体内卵清蛋白(OVA)诱导的哮喘小鼠模型等综合方法,探讨了KIF1B(激酶家族成员1B)在哮喘发病中的作用。通过KIF1B敲低和NLRP3 (NLR家族pyrin结构域3)过表达实验来描述KIF1B调节焦亡的分子机制。结果显示,KIF1B在哮喘患者、ova挑战小鼠肺和il -13刺激的BEAS-2B细胞的支气管活检组织中表达显著升高。沉默KIF1B可显著减轻OVA-和il -13诱导的氧化应激、促炎细胞因子释放和肺损伤。具体来说,KIF1B敲低可降低焦热相关蛋白nlrp3、cleaved caspase-1和cleaved gasdermin D (GSDMD)的表达,同时降低TNF-α、IL-1β和IL-18水平,恢复抗炎细胞因子IL-10。在机制上,NLRP3过表达消除了KIF1B沉默的抗炎和细胞保护作用,证实了KIF1B通过激活NLRP3炎症小体促进哮喘炎症。总之,这些发现确定KIF1B通过nlrp3依赖的信号传导是哮喘气道炎症和焦亡的关键调节因子。因此,靶向KIF1B可能是控制哮喘进展的一种有希望的治疗策略。
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引用次数: 0
Impact of High-Fat Diet on Biochemical Changes Following Experimental Myocardial Infarction 高脂肪饮食对实验性心肌梗死后生化变化的影响
IF 4.2 Pub Date : 2025-12-12 DOI: 10.1111/jcmm.70984
Katarina Bujnova, Andrej Barta, Jan Lakota, Martina Cebova

Myocardial infarction (MI) is a sudden necrosis of cardiomyocytes, often caused by atherosclerosis, with obesity being a significant risk factor. This study aimed to evaluate the effects of a high-fat diet (HFD) on post-MI myocardial remodelling, focusing on inflammatory signalling, nitric oxide synthase (NOS) dysregulation and oxidative stress. Nine-week-old Wistar Kyoto rats fed a control diet or a HFD for 4 weeks, followed by 20 min of left descending coronary artery occlusion and 7 days of reperfusion. Plasma levels of the proinflammatory cytokines TNF-α and IL-6 were measured using a Bioplex kit. NOS activity was assessed via [3H]-l-citrulline production, while the expression of eNOS, iNOS, NFκB and TLR4 in cardiac tissue was analysed by Western blot. Lipid peroxidation was assessed by measuring conjugated diene concentrations in cardiac tissue. MI and HFD both increased proinflammatory cytokine levels, reduced NOS activity and eNOS expression and increased iNOS expression. NFκB was more highly expressed after MI in control-fed animals. Notably, TLR4 expression was reduced by HFD and remained unchanged post-MI. Conjugated dienes were elevated post-MI and further increased by HFD. These findings demonstrate that HFD exacerbates post-MI inflammation and oxidative stress, impairing nitric oxide signalling and promoting adverse cardiac remodelling.

心肌梗死(MI)是心肌细胞的突然坏死,通常由动脉粥样硬化引起,肥胖是一个重要的危险因素。本研究旨在评估高脂肪饮食(HFD)对心肌梗死后心肌重构的影响,重点关注炎症信号、一氧化氮合酶(NOS)失调和氧化应激。9周龄Wistar Kyoto大鼠分别饲喂对照饮食或HFD 4周,随后进行20分钟左降支冠状动脉闭塞和7天再灌注。血浆促炎因子TNF-α和IL-6水平采用Bioplex试剂盒检测。通过[3H]-l-瓜氨酸生成法检测NOS活性,Western blot检测心肌组织eNOS、iNOS、NFκB和TLR4的表达。通过测量心脏组织中共轭二烯的浓度来评估脂质过氧化。MI和HFD均增加促炎细胞因子水平,降低NOS活性和eNOS表达,增加iNOS表达。对照组小鼠心肌梗死后NFκB表达较高。值得注意的是,HFD降低了TLR4的表达,并在心肌梗死后保持不变。偶联二烯在心肌梗死后升高,HFD进一步升高。这些发现表明,HFD会加剧心肌梗死后的炎症和氧化应激,损害一氧化氮信号并促进不良的心脏重构。
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引用次数: 0
Deciphering the Osteoimmune Landscape in Subtalar Arthrodesis: A Single-Cell RNA Sequencing Approach 解读距下关节融合术中的骨免疫景观:单细胞RNA测序方法
IF 4.2 Pub Date : 2025-12-11 DOI: 10.1111/jcmm.70980
Hansong Lee, Kihun Kim, Tae Sik Goh, Suk-Woong Kang, Jung Yun Bae, Su-Yeon Cho, Yujin Kwon, Won Kyu Kim, Jin-Woo Kim, Yun Hak Kim, Seung Hun Woo

Subtalar arthrodesis (SA) is a widely used salvage procedure for posttraumatic subtalar arthritis (PSA), but its underlying healing mechanisms remain poorly understood. The immune system plays a critical role in the union process after arthrodesis; however, the systemic osteoimmunological response has not been clearly defined. In this study, we investigated immune cell dynamics in patients who underwent SA using single-cell RNA sequencing (scRNA-seq). Peripheral blood mononuclear cells (PBMCs) were collected before surgery and 3 months after the operation. The degree of bone fusion was assessed using computed tomography (CT) scans at 3 months, and patients were categorised into early union (EU) and delayed union (DU) groups. scRNA-seq analysis was performed to examine immune cell composition, gene expression and functional pathways. Monocytes in the EU group showed enhanced antigen processing and presentation, whereas those in the DU group demonstrated increased phagocytic activity. NK cells in the DU group exhibited stronger cytotoxicity through Fc-gamma receptor signalling and antibody-dependent cellular cytotoxicity (ADCC) pathways, while NK cells in the EU group showed higher chemokine and cytokine activity. These immune differences persisted postoperatively, suggesting that variations in the systemic immune environment may influence bone healing outcomes. Our findings emphasise the important roles of monocytes and NK cells in bone union and suggest that immunomodulatory approaches could help improve bone repair.

距下关节融合术(SA)是一种广泛应用于创伤后距下关节炎(PSA)的抢救手术,但其潜在的愈合机制尚不清楚。免疫系统在关节融合术后的愈合过程中起关键作用;然而,系统性骨免疫反应尚未明确定义。在这项研究中,我们使用单细胞RNA测序(scRNA-seq)研究了SA患者的免疫细胞动力学。术前及术后3个月采集外周血单个核细胞(PBMCs)。3个月时通过计算机断层扫描(CT)评估骨融合程度,并将患者分为早期愈合(EU)组和延迟愈合(DU)组。scRNA-seq分析检测免疫细胞组成、基因表达和功能通路。EU组单核细胞表现出增强的抗原加工和呈递,而DU组单核细胞表现出增强的吞噬活性。DU组NK细胞通过fc - γ受体信号传导和抗体依赖性细胞毒性(ADCC)途径表现出更强的细胞毒性,而EU组NK细胞表现出更高的趋化因子和细胞因子活性。这些免疫差异在术后持续存在,表明全身免疫环境的变化可能影响骨愈合结果。我们的研究结果强调了单核细胞和NK细胞在骨愈合中的重要作用,并表明免疫调节方法可以帮助改善骨修复。
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引用次数: 0
The Promise of Exosomes in Cardiac Repair: When ‘Best Things Come in Small Packages’ 外泌体在心脏修复中的前景:当“最好的东西出现在小包装中”。
IF 4.2 Pub Date : 2025-12-11 DOI: 10.1111/jcmm.70918
Anthony Yazbeck, Zena Wehbe, Yara Menassa, Alaa Abdelhamid, Assaad A. Eid, Amirhossein Sahebkar, Ali H. Eid

Myocardial ischaemia continues to be a predominant global cause of mortality, leaving survivors with compromised quality of life and significant loss of functional cardiomyocytes. The main therapeutic approach, which attempts to restore heart function, generally involves myocardial reperfusion. However, this intervention is frequently complicated by the occurrence of myocardial reperfusion injury, which undermines its therapeutic benefits. Consequently, there is an increasing focus on alternative regenerative approaches, such as stem and progenitor cell therapies. Since their initial and successful use in oncology, stem cells have emerged as promising tools for mitigating various pathological conditions. Nonetheless, their efficacy in post-ischaemic myocardial environments is questioned due to their rapid degradation following delivery. Interestingly, small extracellular vesicles, particularly exosomes secreted by stem cells, demonstrate reparative properties akin to those of the stem cells themselves. Indeed, evidence strongly shows that exosomes derived from mesenchymal stem cells, cardiac progenitor cells, and induced pluripotent stem cells exert anti-apoptotic and pro-angiogenic effects in post-ischaemic cardiomyocytes while concomitantly offering protection against myocardial reperfusion injury. In this review, we critically appraise the pivotal findings supporting the potential clinical application of stem cell-derived exosomes, and underscore key considerations necessary to optimise their therapeutic efficacy.

心肌缺血仍然是全球主要的死亡原因,使幸存者的生活质量下降,功能心肌细胞显著丧失。主要的治疗方法,试图恢复心脏功能,通常涉及心肌再灌注。然而,这种干预经常因心肌再灌注损伤的发生而复杂化,从而削弱了其治疗效果。因此,有越来越多的关注替代再生方法,如干细胞和祖细胞疗法。自从干细胞最初成功应用于肿瘤学以来,它已成为缓解各种病理状况的有前途的工具。然而,它们在缺血后心肌环境中的有效性受到质疑,因为它们在分娩后会迅速降解。有趣的是,小的细胞外囊泡,特别是干细胞分泌的外泌体,显示出类似于干细胞本身的修复特性。事实上,证据强烈表明,来自间充质干细胞、心脏祖细胞和诱导多能干细胞的外泌体在缺血后心肌细胞中发挥抗凋亡和促血管生成作用,同时对心肌再灌注损伤提供保护。在这篇综述中,我们批判性地评估了支持干细胞衍生外泌体潜在临床应用的关键发现,并强调了优化其治疗效果所必需的关键考虑因素。
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引用次数: 0
Investigation of the Characteristics of Telomere Length in Koreans and Its Association With Chronic Metabolic Disorders: A Comprehensive Study 韩国人端粒长度特征及其与慢性代谢疾病关系的综合研究。
IF 4.2 Pub Date : 2025-12-11 DOI: 10.1111/jcmm.70964
Seung-Beom Chae, Si Nae Park, Ji-Hoon Lee, Jin-Tae Kim, Min-Jung Song

Telomeres are repetitive DNA sequences located at the ends of eukaryotic chromosomes, forming protective caps that prevent chromosomal degradation and inappropriate repair during cell division. Telomere shortening has been linked to ageing and various age-related diseases. In this study, we validated the reference range for telomere length established through the analysis of 1011 Korean individuals to confirm its robustness. Telomere length showed a declining trend with increasing age, with no statistically significant differences observed between sexes. Diabetic and dyslipidaemic groups had shorter telomeres than the control group. These findings suggest that telomere length may be a biomarker of biological ageing and could be linked to metabolic conditions. Future research could build upon these observations to explore telomere dynamics in broader populations and investigate their clinical relevance across diverse health outcomes. Furthermore, longitudinal studies are needed to determine whether telomere shortening is a cause or consequence of these metabolic conditions. Additionally, incorporating advanced methodologies, such as next-generation sequencing, could enhance our understanding of telomere biology and improve the accuracy of telomere-based measurements in both research and clinical settings.

端粒是位于真核生物染色体末端的重复DNA序列,在细胞分裂过程中形成保护帽,防止染色体降解和不适当修复。端粒缩短与衰老和各种与年龄有关的疾病有关。在本研究中,我们通过对1011个韩国人个体的分析,验证了端粒长度的参考范围,以证实其稳健性。端粒长度随年龄增长呈下降趋势,性别间差异无统计学意义。糖尿病和血脂异常组的端粒比对照组短。这些发现表明,端粒长度可能是生物衰老的生物标志物,可能与代谢状况有关。未来的研究可以建立在这些观察的基础上,在更广泛的人群中探索端粒动力学,并研究它们在不同健康结果中的临床相关性。此外,需要纵向研究来确定端粒缩短是这些代谢状况的原因还是结果。此外,结合先进的方法,如下一代测序,可以增强我们对端粒生物学的理解,并提高端粒测量在研究和临床环境中的准确性。
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引用次数: 0
Association Between Nucleated Red Blood Cell Counts and the Mortality in Patients With Liver Diseases: An Analysis of the MIMIC-IV Database 有核红细胞计数与肝病患者死亡率之间的关系:对MIMIC-IV数据库的分析
IF 4.2 Pub Date : 2025-12-11 DOI: 10.1111/jcmm.70982
Yuanyuan Zhu, Danyang Yan, Fang Peng, Run Yao, Ning Li

Liver disease is a leading cause of death worldwide. Nucleated red blood cells (NRBCs) are associated with high mortality and poor outcomes in patients with severe illnesses. However, the relationship between NRBCs and severe liver disease remains unclear. Potential confounding effects were managed using propensity score matching. The association between NRBCs and clinical outcomes in patients with liver disease was clarified using Cox proportional hazards regression analysis and smoothing splines. Differences in NRBCs between 30-day survivors and non-survivors within the pre-matched cohort during the first 30 days after ICU admission were assessed using generalised additive mixed models. Compared to the 30-day survivors, the 30-day non-survivors had significantly higher NRBC counts. Higher NRBC counts were significantly correlated with an augmented risk of 30-day, 90-day and in-hospital mortality, with concurrently decreased hospitalisation durations. Inpatients with liver disease, progressive increases in the 30-day mortality risk were associated with increased NRBC counts. The association between NRBCs and enhanced 30-day mortality rates was consistent across stages and etiologies. Moreover, 30-day non-survivors experienced average daily increases in NRBC counts of 0.31% compared with 30-day survivors. Elevated NRBC counts correlated with increased 30-, 90-day and in-hospital mortality in patients with liver disease.

肝病是世界范围内导致死亡的主要原因。有核红细胞(nrbc)与严重疾病患者的高死亡率和不良预后相关。然而,nrbc与严重肝脏疾病之间的关系尚不清楚。使用倾向评分匹配来管理潜在的混杂效应。通过Cox比例风险回归分析和平滑样条分析,明确了nrbc与肝病患者临床结局之间的关系。在ICU入院后的前30天,使用广义加性混合模型评估预匹配队列中30天幸存者和非幸存者之间nrbc的差异。与30天的幸存者相比,30天的非幸存者的NRBC计数明显更高。较高的NRBC计数与30天、90天和住院死亡率风险增加显著相关,同时住院时间缩短。住院肝病患者,30天死亡风险的进行性增加与NRBC计数增加相关。nrbc与提高的30天死亡率之间的关联在分期和病因上是一致的。此外,与30天幸存者相比,30天非幸存者的NRBC计数平均每天增加0.31%。NRBC计数升高与肝病患者30天、90天和住院死亡率升高相关。
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引用次数: 0
Astragalus Polysaccharide Enhances O-GlcNAcylation Through OGT to Improve Intervertebral Disc Degeneration in Rats 黄芪多糖通过OGT增强o - glcn酰化作用改善大鼠椎间盘退变。
IF 4.2 Pub Date : 2025-12-10 DOI: 10.1111/jcmm.70940
Hao Tan, Cao Fang, Yiyun Tan, Zhi Wang, Yun Zhou, Xing Li

Astragalus polysaccharides (APS) are a crucial bioactive component known for their various pharmacological properties. Abnormal O-linked β-N-acetylglucosamine modification (O-GlcNAcylation) is noted in cases of intervertebral disc degeneration (IVDD). Nonetheless, it remains uncertain whether APS regulates the process of O-GlcNAcylation associated with IVDD. We employed molecular docking, cycloheximide chase assay, immunohistochemistry, and immunoprecipitation to investigate APS-mediated OGT/O-GlcNAcylation regulation of Nrf2. The effects of APS and its role in promoting the O-GlcNAcylation of Nrf2 in IVDD through both in vivo and in vitro studies are discussed. In vitro investigations demonstrated an increase in the levels of OGT and O-GlcNAcylation in nucleus pulposus cells (NPCs) following exposure to tert-butyl hydroperoxide (TBHP). APS further facilitated improvements in OGT expression and O-GlcNAcylation processes, restoring the viability of NPCs inhibited by TBHP and promoting the synthesis of collagen II and aggrecan, while reducing apoptosis. Mechanistically, APS promotes the expression of OGT by targeting it. Furthermore, O-GlcNAcylation mediated by OGT stabilizes the expression of Nrf2 via the ubiquitin-proteasome pathway. Rescue experiments indicated that the disruption of either OGT or Nrf2 expression negated the protective role of APS on NPCs. Ultimately, both in vitro and in vivo studies indicated that APS significantly enhanced OGT expression and O-GlcNAcylation, which subsequently improved Nrf2 expression and contributed to the alleviation of IVDD in rats. APS promotes O-GlcNAcylation through OGT, thereby stabilizing the expression of Nrf2, which in turn contributes to the improvement of IVDD.

黄芪多糖(APS)是一种重要的生物活性成分,以其各种药理特性而闻名。异常的O-linked β- n -乙酰氨基葡萄糖修饰(o - glcn酰化)在椎间盘退变(IVDD)病例中被注意到。然而,APS是否调控与IVDD相关的o - glcnac酰化过程仍不确定。我们采用分子对接、环己亚胺追踪法、免疫组织化学和免疫沉淀法研究aps介导的Nrf2的OGT/ o - glcnac酰化调节。通过体内和体外研究,讨论APS在IVDD中的作用及其在促进Nrf2 o - glcn酰化中的作用。体外研究表明,暴露于过氧化叔丁基(TBHP)后,髓核细胞(NPCs)中OGT和o - glcn酰化水平增加。APS进一步促进了OGT表达和o - glcnac酰化过程的改善,恢复了被TBHP抑制的npc的活力,促进了II型胶原和聚集蛋白的合成,同时减少了细胞凋亡。从机制上讲,APS通过靶向OGT促进其表达。此外,OGT介导的o - glcn酰化通过泛素-蛋白酶体途径稳定Nrf2的表达。救援实验表明,破坏OGT或Nrf2表达均可使APS对npc的保护作用失效。最终,体外和体内研究均表明,APS可显著增强OGT表达和o - glcnac酰化,从而改善Nrf2表达,减轻大鼠IVDD。APS通过OGT促进o - glcnac酰化,从而稳定Nrf2的表达,进而改善IVDD。
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引用次数: 0
RETRACTION: Melatonin Modulates Mitophagy, Innate Immunity and Circadian Clocks in a Model of Viral-Induced Fulminant Hepatic Failure 在病毒诱导的暴发性肝衰竭模型中,褪黑素调节线粒体自噬、先天免疫和生物钟。
IF 4.2 Pub Date : 2025-12-09 DOI: 10.1111/jcmm.70983

RETRACTION: I. Crespo, P. Fernández-Palanca, B. San-Miguel, M. Álvarez, J. González-Gallego, and M.J. Tuñón, “ Melatonin Modulates Mitophagy, Innate Immunity and Circadian Clocks in a Model of Viral-Induced Fulminant Hepatic Failure,” Journal of Cellular and Molecular Medicine 24, no. 13 (2020): 76257636, https://doi.org/10.1111/jcmm.15398.

The above article, published online on 29 May 2020 in Wiley Online Library (http://onlinelibrary.wiley.com/), has been retracted by agreement between the journal Editor-in-Chief, Stefan N. Constantinescu; the Foundation for Cellular and Molecular Medicine; and John Wiley & Sons Ltd. Following publication, concerns were raised by third parties regarding duplications in panels C and F in Figure 1B. Additional concerns of duplication and splicing were also raised for Figures 2C and 3B, which were investigated and confirmed by the publisher; additionally, portions of Figure 4 were duplicated from Figure 3 of an earlier article by some of the same authors (González-Fernández et al. 2018 [https://doi.org/10.3389/fphar.2018.00556]). The authors provided their raw data, but this was not sufficient to resolve the concerns, and the authors were unable to provide a satisfactory explanation. The retraction has been agreed upon because of concerns that portions of the figures were duplicated, affecting the interpretation of the data and results presented.

撤稿:I. Crespo, P. Fernández-Palanca, B. San-Miguel, M. Álvarez, J. González-Gallego,和M.J. Tuñón,“褪黑素调节病毒诱导的暴发性肝衰竭模型中的线粒体自噬、先天免疫和生物钟”,《细胞与分子医学杂志》,第24期。13 (2020): 7625-7636, https://doi.org/10.1111/jcmm.15398。上述文章于2020年5月29日在线发表在Wiley在线图书馆(http://onlinelibrary.wiley.com/)上,经期刊主编Stefan N. Constantinescu;细胞和分子医学基金会;及约翰威利父子有限公司。发表后,第三方对图1B中C和F面板的重复提出了担忧。对图2C和图3B的复制和剪接也提出了额外的担忧,出版商对此进行了调查和确认;此外,图4的部分内容是由一些相同的作者(González-Fernández et al. 2018 [https://doi.org/10.3389/fphar.2018.00556]])从早期文章的图3中复制的。作者提供了他们的原始数据,但这不足以解决问题,作者无法提供令人满意的解释。由于担心部分数字重复,影响对所提供的数据和结果的解释,因此已同意撤回。
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引用次数: 0
Endoplasmic Reticulum Stress: A Novel Target for the Prevention and Treatment of Hypertension and Its Related Diseases 内质网应激:预防和治疗高血压及其相关疾病的新靶点
IF 4.2 Pub Date : 2025-12-08 DOI: 10.1111/jcmm.70977
Xin Ma, Fei Si, Jie Ma, Chuyan Feng, Yingdong Wang, Luosha Wang, Jing Yu

Endoplasmic reticulum stress (ERS) emerges as a critical pathophysiological nexus in hypertension and related cardiovascular diseases. Chronic ERS activation via the IRE1α-XBP1, ATF6, and PERK pathways drives vascular endothelial dysfunction (reduced NO bioavailability, increased ET-1), renin-angiotensin system (RAS) hyperactivation, sympathetic overactivation, and vascular smooth muscle cell (VSMC) maladaptive proliferation/apoptosis, collectively promoting hypertension progression and end-organ damage. Pharmacological targeting of ERS demonstrates therapeutic promise: chemical chaperones 4-phenylbutyric acid (4-PBA) and tauroursodeoxycholic acid (TUDCA) stabilise proteostasis, reduce oxidative stress, and inhibit apoptosis; antioxidants N-acetylcysteine (NAC) and melatonin attenuate ERS-oxidative stress crosstalk. Notably, conventional antihypertensives—ACE inhibitors and angiotensin receptor blockers (ARBs)—exert ancillary benefits by suppressing ERS beyond their primary RAS blockade. Preclinical evidence supports the efficacy of these strategies in reversing hypertensive pathophysiology. Future research must prioritise isoform-selective ERS modulator development, validation in human trials, biomarker discovery, and elucidating ERS roles in therapy-induced hypertension. Targeting ERS represents a transformative mechanotherapeutic paradigm for precision hypertension management.

内质网应激(ERS)在高血压和相关心血管疾病中发挥着重要的病理生理作用。慢性ERS通过IRE1α-XBP1、ATF6和PERK通路激活,导致血管内皮功能障碍(NO生物利用度降低、ET-1升高)、肾素-血管紧张素系统(RAS)过度激活、交感神经过度激活和血管平滑肌细胞(VSMC)不适应增生/凋亡,共同促进高血压进展和终末器官损伤。ERS的药理靶向显示出治疗前景:化学伴侣4-苯基丁酸(4-PBA)和牛磺酸去氧胆酸(TUDCA)稳定蛋白平衡,减少氧化应激,抑制细胞凋亡;抗氧化剂n -乙酰半胱氨酸(NAC)和褪黑素可减弱ers -氧化应激串扰。值得注意的是,传统的抗高血压药物——ace抑制剂和血管紧张素受体阻滞剂(ARBs)——通过抑制ERS而非主要的RAS阻断发挥辅助作用。临床前证据支持这些策略在逆转高血压病理生理方面的有效性。未来的研究必须优先考虑异构体选择性ERS调节剂的开发、人体试验的验证、生物标志物的发现以及阐明ERS在治疗性高血压中的作用。靶向ERS代表了精确高血压管理的一种革命性的机械治疗范式。
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引用次数: 0
Utilises Machine Learning Techniques to Deeply Analyse the Role of Lysosome-Dependent Cell Death in Endometrial Cancer and Its Interactions With the Tumour Microenvironment 利用机器学习技术深入分析溶酶体依赖性细胞死亡在子宫内膜癌中的作用及其与肿瘤微环境的相互作用。
IF 4.2 Pub Date : 2025-12-08 DOI: 10.1111/jcmm.70939
Wu Min, Fang Mo, Tang Yun, Yu Guangyu

By integrating gene expression data, clinical features and multimodal data, we constructed a machine learning model capable of accurately predicting the prognosis of endometrial cancer patients. The study found that key genes related to lysosome-dependent cell death exhibit significant expression pattern heterogeneity in endometrial cancer and are closely associated with immune cell infiltration and metabolic characteristics within the tumour microenvironment. Patients in the high-risk group tend to have lower immune scores and a higher prevalence of immunosuppressive cell types, such as regulatory T cells and M2 macrophages, which may be linked to poorer prognosis and resistance to immunotherapy. Additionally, we discovered that the expression of lysosome-dependent cell death-related genes correlates with patients' sensitivity to chemotherapeutic drugs, providing new perspectives for personalised treatment of endometrial cancer. Through this study, we characterised the prognostic relevance of lysosome-dependent cell death–related genes in endometrial cancer, and identified biomarkers with potential utility for risk assessment and therapeutic stratification.

通过整合基因表达数据、临床特征和多模态数据,我们构建了一个能够准确预测子宫内膜癌患者预后的机器学习模型。研究发现,与溶酶体依赖性细胞死亡相关的关键基因在子宫内膜癌中表现出显著的表达模式异质性,并与肿瘤微环境内免疫细胞浸润和代谢特征密切相关。高危组患者免疫评分较低,调节性T细胞、M2巨噬细胞等免疫抑制性细胞类型患病率较高,这可能与预后较差和免疫治疗耐药有关。此外,我们发现溶酶体依赖性细胞死亡相关基因的表达与患者对化疗药物的敏感性相关,为子宫内膜癌的个性化治疗提供了新的视角。通过这项研究,我们描述了子宫内膜癌中溶酶体依赖性细胞死亡相关基因的预后相关性,并确定了具有潜在效用的生物标志物,用于风险评估和治疗分层。
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引用次数: 0
期刊
JOURNAL OF CELLULAR AND MOLECULAR MEDICINE
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