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Breakdown and Repair of Peripheral Immune Tolerance in Type 1 Diabetes 1 型糖尿病患者外周免疫耐受的破坏与修复
IF 5.4 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-05-01 DOI: 10.1101/cshperspect.a041596
Gerald T. Nepom
Failures in peripheral immune tolerance mechanisms create a permissive environment for autoimmune diabetes initiation and disease progression. Biomarker analyses provide tools that allow recognition of this loss of tolerance, reflecting a serial acquisition of pathogenic characteristics causally linked to islet β-cell dysfunction and death. Autoimmune effector cell activation and expansion, ineffective immune regulation, and tissue response to injury during active disease each represent challenges to homeostasis; however, they also represent targets for therapeutic intervention, with the potential for restoration of tolerance. Limited success in recent clinical trials demonstrates that tolerance in type 1 diabetes (T1D) is achievable, but currently occurs in few subjects and is not durable in most. Combining therapeutic agents to rebuild multiple immune components to restore tolerance, particularly addressing both effector and regulatory T-cell dysfunction, is needed.
外周免疫耐受机制的失效为自身免疫性糖尿病的发病和病情发展创造了有利环境。生物标志物分析提供了可识别这种耐受性丧失的工具,反映了与胰岛β细胞功能障碍和死亡有因果关系的致病特征的连续获得。自身免疫效应细胞的激活和扩张、无效的免疫调节以及疾病活动期间组织对损伤的反应都是对体内平衡的挑战;然而,它们也是治疗干预的目标,有可能恢复耐受性。近期临床试验的有限成功表明,1 型糖尿病(T1D)患者的耐受性是可以实现的,但目前只有少数受试者可以实现,而且大多数人的耐受性并不持久。我们需要结合治疗药物来重建多种免疫成分,以恢复耐受性,特别是解决效应T细胞和调节T细胞的功能障碍。
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引用次数: 0
Vascular Organization: Lessons from Development and Disease 血管组织:发育与疾病的启示
IF 5.4 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-05-01 DOI: 10.1101/cshperspect.a041160
Steve Spurgin, Ondine Cleaver
Organ formation requires tight coordination with vascular growth. Intricate networks of blood vessels course through all organs and tissues and are composed of both endothelial cells (ECs) and associated mural cells. Despite decades of research into the biology of blood vessel formation and homeostasis, little is known about how the vasculature ensures its properly coordinated growth and intimate development with the cells of different organs. Even more mystifying is how a highly dynamic endothelium quiesces to differentiate into mature vessels, and how disruption of this mature quiescence results in pathological conditions. Interestingly, both intra- and interorgan vascular architecture hold critical importance to the maintenance of blood vessels, as the rate of flow and supply of supportive angiogenic factors can be altered with deleterious effects. In this article, we review the basic mechanisms of blood vessel formation and maintenance with an emphasis on organ-specific vascular development, and we examine the case of transient pulmonary arteriovenous malformations as a case study of vascular homeostatic mechanisms.
器官的形成需要与血管的生长紧密配合。错综复杂的血管网络贯穿所有器官和组织,由内皮细胞(EC)和相关壁细胞组成。尽管对血管形成和平衡的生物学研究已有数十年历史,但人们对血管如何确保与不同器官细胞的适当协调生长和密切发育知之甚少。更令人费解的是,高度动态的血管内皮如何静止分化为成熟的血管,以及这种成熟静止状态的破坏如何导致病理状态。有趣的是,器官内和器官间的血管结构对血管的维持至关重要,因为血管的流速和支持性血管生成因子的供应可被改变,从而产生有害影响。本文以器官特异性血管发育为重点,回顾了血管形成和维持的基本机制,并以一过性肺动静脉畸形作为血管平衡机制的案例研究。
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引用次数: 0
Mitochondria and Cancer 线粒体与癌症
IF 5.4 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-05-01 DOI: 10.1101/cshperspect.a041534
Timothy C. Kenny, Kıvanç Birsoy
Mitochondria are semiautonomous organelles with diverse metabolic and cellular functions including anabolism and energy production through oxidative phosphorylation. Following the pioneering observations of Otto Warburg nearly a century ago, an immense body of work has examined the role of mitochondria in cancer pathogenesis and progression. Here, we summarize the current state of the field, which has coalesced around the position that functional mitochondria are required for cancer cell proliferation. In this review, we discuss how mitochondria influence tumorigenesis by impacting anabolism, intracellular signaling, and the tumor microenvironment. Consistent with their critical functions in tumor formation, mitochondria have become an attractive target for cancer therapy. We provide a comprehensive update on the numerous therapeutic modalities targeting the mitochondria of cancer cells making their way through clinical trials.
线粒体是半自主细胞器,具有多种代谢和细胞功能,包括通过氧化磷酸化进行合成代谢和能量生产。近一个世纪前,奥托-沃伯格(Otto Warburg)进行了开创性的观察,随后大量研究工作对线粒体在癌症发病和进展中的作用进行了探讨。在此,我们总结了这一领域的现状,即线粒体的功能是癌细胞增殖所必需的。在这篇综述中,我们将讨论线粒体是如何通过影响合成代谢、细胞内信号传导和肿瘤微环境来影响肿瘤发生的。线粒体在肿瘤形成过程中发挥着关键作用,因此已成为具有吸引力的癌症治疗靶点。我们将全面介绍正在进行临床试验的针对癌细胞线粒体的多种治疗方法的最新进展。
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引用次数: 0
Diet and Cancer Metabolism 饮食与癌症代谢
IF 5.4 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-04-15 DOI: 10.1101/cshperspect.a041549
Jason W. Locasale, Marcus D. Goncalves, Maira Di Tano, Guillermo Burgos-Barragan
Diet and exercise are modifiable lifestyle factors known to have a major influence on metabolism. Clinical practice addresses diseases of altered metabolism such as diabetes or hypertension by altering these factors. Despite enormous public interest, there are limited defined diet and exercise regimens for cancer patients. Nevertheless, the molecular basis of cancer has converged over the past 15 years on an essential role for altered metabolism in cancer. However, our understanding of the molecular mechanisms that underlie the impact of diet and exercise on cancer metabolism is in its very early stages. In this work, we propose conceptual frameworks for understanding the consequences of diet and exercise on cancer cell metabolism and tumor biology and also highlight recent developments. By advancing our mechanistic understanding, we also discuss actionable ways that such interventions could eventually reach the mainstay of both medical oncology and cancer control and prevention.
饮食和运动是可改变的生活方式因素,已知对新陈代谢有重大影响。临床实践通过改变这些因素来治疗糖尿病或高血压等新陈代谢改变的疾病。尽管公众对此非常关注,但针对癌症患者的明确饮食和运动方案却非常有限。然而,在过去 15 年中,癌症的分子基础已趋于一致,即新陈代谢的改变在癌症中起着至关重要的作用。然而,我们对饮食和运动影响癌症新陈代谢的分子机制的了解还处于早期阶段。在这项工作中,我们提出了理解饮食和运动对癌细胞代谢和肿瘤生物学影响的概念框架,并重点介绍了最新进展。通过推进我们对机理的理解,我们还讨论了此类干预措施最终成为肿瘤内科学和癌症控制与预防的主流的可行方法。
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引用次数: 0
Harnessing Antitumor Immunity in Ovarian Cancer 利用卵巢癌的抗肿瘤免疫力
IF 5.4 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-04-15 DOI: 10.1101/cshperspect.a041336
Katherine C. Kurnit, Kunle Odunsi
Despite progress in other tumor types, immunotherapy is not yet part of the standard of care treatment for high-grade serous ovarian cancer patients. Although tumor infiltration by T cells is frequently observed in patients with ovarian cancer, clinical responses to immunotherapy remain low. Mechanisms for immune resistance in ovarian cancer have been explored and may provide insight into future approaches to improve response to immunotherapy agents. In this review, we discuss what is known about the immune landscape in ovarian cancer, review the available data for immunotherapy-based strategies in these patients, and provide possible future directions.
尽管在其他肿瘤类型中取得了进展,但免疫疗法尚未成为高级别浆液性卵巢癌患者的标准治疗方法之一。虽然在卵巢癌患者中经常观察到 T 细胞浸润肿瘤的现象,但免疫疗法的临床反应仍然很低。人们对卵巢癌免疫耐受的机制进行了探索,这可能会为未来改善免疫治疗药物反应的方法提供启示。在这篇综述中,我们将讨论卵巢癌免疫环境的已知情况,回顾这些患者基于免疫疗法策略的现有数据,并提供未来可能的发展方向。
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引用次数: 0
Prostanoids Regulate Angiogenesis and Lymphangiogenesis in Pathological Conditions 前列腺素调节病理情况下的血管生成和淋巴管生成
IF 5.4 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-04-02 DOI: 10.1101/cshperspect.a041182
Masataka Majima, Yasuhiro Matsuda, Shin-Ichi Watanabe, Yasuaki Ohtaki, Kanako Hosono, Yoshiya Ito, Hideki Amano
Angiogenesis, the formation of new blood vessels from the preexistent microvasculature, is an essential component of wound repair and tumor growth. Nonsteroidal anti-inflammatory drugs that suppress prostanoid biosynthesis are known to suppress the incidence and progression of malignancies including colorectal cancers, and also to delay the wound healing. However, the precise mechanisms are not fully elucidated. Accumulated results obtained from prostanoid receptor knockout mice indicate that a prostaglandin E-type receptor signaling EP3 in the host microenvironment is critical in tumor angiogenesis inducing vascular endothelial growth factor A (VEGF-A). Further, lymphangiogenesis was also enhanced by EP signaling via VEGF-C/D inductions in pathological settings. These indicate the importance of EP receptor to facilitate angiogenesis and lymphangiogenesis in vivo. Prostanoids act beyond their commonly understood activities in smooth muscle contraction and vasoactivity, both of which are quick responses elicited within several seconds on stimulations. Prostanoid receptor signaling will be a potential therapeutic target for disease conditions related to angiogenesis and lymphangiogenesis.
血管生成是指在原有微血管的基础上形成新的血管,是伤口修复和肿瘤生长的重要组成部分。众所周知,抑制前列腺素生物合成的非甾体类抗炎药物能抑制包括结直肠癌在内的恶性肿瘤的发病率和恶化,还能延缓伤口愈合。然而,其确切机制尚未完全阐明。前列腺素受体基因敲除小鼠的累积结果表明,宿主微环境中的前列腺素 E 型受体信号 EP3 在诱导血管内皮生长因子 A(VEGF-A)的肿瘤血管生成中起着关键作用。此外,在病理环境中,EP 信号通过诱导 VEGF-C/D 也可促进淋巴管生成。这表明 EP 受体在促进体内血管生成和淋巴管生成方面的重要性。类前列腺素在平滑肌收缩和血管活性方面的作用超出了人们通常理解的范围,这两种作用都是在刺激后几秒钟内引起的快速反应。类固醇受体信号转导将成为血管生成和淋巴管生成相关疾病的潜在治疗靶点。
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引用次数: 0
Oncogenic Control of Metabolism 代谢的致癌控制
IF 5.4 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-04-02 DOI: 10.1101/cshperspect.a041531
Natalya N. Pavlova, Craig B. Thompson
A cell committed to proliferation must reshape its metabolism to enable robust yet balanced production of building blocks for the assembly of proteins, lipids, nucleic acids, and other macromolecules, from which two functional daughter cells can be produced. The metabolic remodeling associated with proliferation is orchestrated by a number of pro-proliferative signaling nodes, which include phosphatidylinositol-3 kinase (PI3K), the RAS family of small GTPases, and transcription factor c-myc. In metazoan cells, these signals are activated in a paracrine manner via growth factor–mediated activation of receptor (or receptor-associated) tyrosine kinases. Such stimuli are limited in duration and therefore allow the metabolism of target cells to return to the resting state once the proliferation demands have been satisfied. Cancer cells acquire activating genetic alterations within common pro-proliferative signaling nodes. These alterations lock cellular nutrient uptake and utilization into a perpetual progrowth state, leading to the aberrant accumulation and spread of cancer cells.
一个致力于增殖的细胞必须重塑其新陈代谢,以便能够稳健而均衡地生产用于组装蛋白质、脂类、核酸和其他大分子的构件,并从中产生两个功能性子细胞。与增殖相关的新陈代谢重塑是由一些促增殖信号节点协调的,其中包括磷脂酰肌醇-3 激酶(PI3K)、RAS 家族小 GTP 酶和转录因子 c-myc。在后生动物细胞中,这些信号通过生长因子介导的受体(或受体相关)酪氨酸激酶激活以旁分泌方式被激活。这种刺激持续时间有限,因此一旦增殖需求得到满足,靶细胞的新陈代谢就会恢复到静止状态。癌细胞在常见的促增殖信号节点内获得激活性基因改变。这些改变将细胞的营养摄取和利用锁定在一种永久的增殖状态,导致癌细胞的异常积累和扩散。
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引用次数: 0
Osteosarcoma through the Lens of Bone Development, Signaling, and Microenvironment 从骨骼发育、信号传导和微环境的角度看骨肉瘤
IF 5.4 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-04-02 DOI: 10.1101/cshperspect.a041635
Elizabeth P. Young, Amanda E. Marinoff, Eunice Lopez-Fuentes, E. Alejandro Sweet-Cordero
In this work, we review the multifaceted connections between osteosarcoma (OS) biology and normal bone development. We summarize and critically analyze existing research, highlighting key areas that merit further exploration. The review addresses several topics in OS biology and their interplay with normal bone development processes, including OS cell of origin, genomics, tumor microenvironment, and metastasis. We examine the potential cellular origins of OS and how their roles in normal bone growth may contribute to OS pathogenesis. We survey the genomic landscape of OS, highlighting the developmental roles of genes frequently altered in OS. We then discuss the OS microenvironment, emphasizing the transformation of the bone niche in OS to facilitate tumor growth and metastasis. The role of stromal and immune cells is examined, including their impact on tumor progression and therapeutic response. We further provide insights into potential development-informed opportunities for novel therapeutic strategies.
在这项工作中,我们回顾了骨肉瘤(OS)生物学与正常骨骼发育之间的多方面联系。我们对现有研究进行了总结和批判性分析,强调了值得进一步探索的关键领域。综述涉及骨肉瘤生物学及其与正常骨骼发育过程相互作用的几个主题,包括骨肉瘤起源细胞、基因组学、肿瘤微环境和转移。我们研究了OS的潜在细胞起源,以及它们在正常骨骼生长中的作用如何导致OS发病。我们调查了OS的基因组图谱,强调了在OS中经常发生改变的基因的发育作用。然后,我们讨论了OS的微环境,强调了OS中骨生态位的转变对肿瘤生长和转移的促进作用。我们还研究了基质细胞和免疫细胞的作用,包括它们对肿瘤进展和治疗反应的影响。我们进一步深入探讨了新型治疗策略的潜在发展机遇。
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引用次数: 0
Retinal Disorders 视网膜疾病
IF 5.4 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-04-02 DOI: 10.1101/cshperspect.a041728
José-Alain Sahel, Eyal Banin, Jean Bennett, Jacque L. Duncan, Botond Roska
Retinal disorders caused by genetic or environmental factors cause severe visual impairment and often result in blindness. The past ten years have seen rapid progress in our understanding of the biological basis of these conditions, as well as significant advances towards gene and cell-based therapies. Regulatory challenges remain, but there is reason to hope that creative approaches will lead to safe and effective breakthrough treatments for these conditions in the near future.
由遗传或环境因素引起的视网膜疾病会造成严重的视力损伤,并常常导致失明。过去十年间,我们对这些疾病的生物学基础的认识取得了飞速进步,基因和细胞疗法也取得了重大进展。监管方面的挑战依然存在,但我们有理由希望,创造性的方法将在不久的将来为这些疾病带来安全有效的突破性疗法。
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引用次数: 0
Geroscience and Its Promise 老年科学及其前景
IF 5.4 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-04-02 DOI: 10.1101/cshperspect.a041725
S. Jay Olshansky, James L. Kirkland
Why we age and whether our lifespan can be extended have intrigued scientists for centuries. Meanwhile public health advances mean humanity is having to confront the realities of an aging and increasingly frail population. The nascent field of geroscience offers hope that healthspan not just lifespan can be extended. It has spawned a vibrant scientific community that includes researchers studying fundamental biology, translational approaches, economics, and research funding. The knowledge gained from work in this area has the potential to influence the lives of most people alive today.
几个世纪以来,我们为什么会衰老以及我们的寿命是否可以延长一直困扰着科学家。与此同时,公共卫生的进步意味着人类不得不面对人口老龄化和日益虚弱的现实。新生的地球科学领域为人们带来了希望,即不仅可以延长寿命,还可以延长健康。它催生了一个充满活力的科学界,包括研究基础生物学、转化方法、经济学和研究经费的研究人员。从这一领域的工作中获得的知识有可能影响当今大多数人的生活。
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引用次数: 0
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Cold Spring Harbor perspectives in medicine
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