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A Surprising Molecule Not Required for Fatty Acid Handling by Adipocytes 脂肪细胞处理脂肪酸不需要的令人惊讶的分子。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2026-02-19 DOI: 10.1111/apha.70178
Caroline M. Alexander
<p>The aqueous intracellular environment is subdivided into functional domains (organelles) by hydrophobic lipid membranes. Assembly of these lipid barriers requires shuttling of precursor lipids from their sites of synthesis or uptake to sites of oxidation or membrane assembly. Free fatty acids and their coenzyme A (CoA) esters are potent emulsifiers and can damage the cellular environment through generation of reactive oxygen species. Accordingly, the free intracellular concentrations of reactive oxygen species are tightly controlled by binding to carrier proteins, which traffic fatty acids to sites of utilization or storage reservoirs such as lipid droplets.</p><p>Against this backdrop, the recent report by Faergeman and colleagues in <i>Acta Physiologica</i> is surprising [<span>1</span>]. The authors show that adipocyte function and homeostasis in mice in vivo are unaffected by the knockout of acyl-CoA binding protein (ACBP) specifically in adipocytes. ACBP binds medium-, long-, and very-long-chain fatty acyl-CoA esters, and its deletion might therefore have been expected to disrupt lipid handling. Indeed, global knockout of ACBP has dramatic effects on systemic metabolism, including the adaptation of liver function to weaning and pronounced alterations in skin-associated epithelial cells—keratinocytes and sebocytes—leading to marked changes in skin function and energetics [<span>2</span>].</p><p>Given these findings, it would have been reasonable to predict that adipocytes—the ultimate specialists in lipid storage and mobilization—would also depend on ACBP. To test this, Faergeman and colleagues employed two distinct Cre drivers to delete <i>Acbp</i> either selectively in brown adipose tissue, or across all adipose depots. These depots differ profoundly in morphology, regulation, and function (Figure 1). Yet, neither knock-out model displayed changes in systemic energy expenditure, food intake, adipose mass, lipid composition, mitochondrial respiration, or gene expression in white or brown adipose tissue.</p><p>This lack of phenotype is particularly striking in brown adipose tissue (BAT), a highly dynamic depot that repeatedly assembles and dismantles multilocular lipid droplets to fuel mitochondrial heat production. Defects in lipid metabolism often manifest prominently in BAT [<span>3</span>], whether due to impaired endothelial or adipocyte lipid handling [<span>4, 5</span>], or defects in the peripheral tissues that supply substrates for thermogenesis [<span>6</span>]. Such perturbations commonly result in impaired maintenance of body temperature during acute cold exposure. Nevertheless, even under cold stress—when acyl-CoA flux and oxidation rates are maximal—ACBP-deficient adipose tissue showed little evidence of dysfunction.</p><p>Why, then, is ACBP essential for lipid handling in skin but dispensable in adipose tissue? One key distinction lies in lipid storage capacity. The epithelial compartment of skin produces two lipid pools wit
水胞内环境被疏水脂质膜细分为功能域(细胞器)。这些脂质屏障的组装需要前体脂质从它们的合成位点或摄取位点穿梭到氧化或膜组装位点。游离脂肪酸及其辅酶A (CoA)酯是有效的乳化剂,可以通过产生活性氧破坏细胞环境。因此,细胞内活性氧的游离浓度通过与载体蛋白结合而受到严格控制,载体蛋白将脂肪酸运送到利用位点或储存库(如脂滴)。在这种背景下,Faergeman及其同事最近在《生理学学报》上发表的报告令人惊讶。作者表明,脂肪细胞中酰基辅酶a结合蛋白(ACBP)的敲除不影响小鼠体内脂肪细胞的功能和稳态。ACBP结合中链、长链和超长链脂肪酰基辅酶a酯,因此它的缺失可能会破坏脂质处理。事实上,ACBP的全球基因剔除对全身代谢有显著影响,包括肝功能对断奶的适应和皮肤相关上皮细胞(角质形成细胞和皮脂腺细胞)的显著改变,从而导致皮肤功能和能量学的显著变化。鉴于这些发现,我们有理由预测脂肪细胞——脂质储存和动员的终极专家——也依赖于ACBP。为了验证这一点,Faergeman和他的同事们使用了两种不同的Cre驱动因子来选择性地删除棕色脂肪组织或所有脂肪库中的Acbp。这些仓库在形态、调节和功能上有很大的不同(图1)。然而,两种敲除模型均未显示出白色或棕色脂肪组织中系统性能量消耗、食物摄入、脂肪量、脂质组成、线粒体呼吸或基因表达的变化。这种表型的缺乏在棕色脂肪组织(BAT)中尤为突出,棕色脂肪组织是一个高度动态的仓库,反复组装和拆卸多室脂滴,为线粒体产热提供燃料。脂质代谢缺陷通常在BAT[3]中表现突出,无论是由于内皮细胞或脂肪细胞的脂质处理受损[4,5],还是由于为产热[3]提供底物的外周组织的缺陷。这种扰动通常会导致急性低温暴露期间体温的维持受损。然而,即使在冷应激下,当酰基辅酶a通量和氧化速率最大时,缺乏acbp的脂肪组织也几乎没有表现出功能障碍的迹象。那么,为什么ACBP对于皮肤中的脂质处理是必需的,而对于脂肪组织则是可替代性的呢?一个关键的区别在于脂质储存能力。皮肤上皮隔室产生两个具有重叠屏障功能的脂质池:角质形成细胞产生富含神经酰胺的角质层,而脂脂细胞合成蜡酯,覆盖毛发和皮肤[7,8]。然而,与脂肪细胞不同,角质形成细胞缺乏一个大的中性脂质储存库,可能缓冲酰基辅酶a处理的中断。此外,神经酰胺合成需要丰富的长链脂肪酸,而ACBP作为神经酰胺合成酶活性[9]的组成部分,为其在表皮中的重要作用提供了合理的机制解释。在之前的工作中,该小组证明了全局和皮肤特异性ACBP敲除小鼠对饮食诱导的肥胖都有抵抗力。也许仅仅因为皮肤中ACBP的损失就足以产生这种[10]表型,所以在目前的脂肪特异性模型中没有研究饮食应激。除了皮肤,ACBP在哪些方面可能是必不可少的?已知的长链酰基辅酶a物种的功能提示了其结合蛋白的可能作用位点,包括质膜弯曲、髓磷脂形成、类二十烷生物合成、高分泌需求时内质网扩张、线粒体酶活性调节和线粒体脂质合成(如心磷脂)等过程。这些预测为未来的研究提供了路线图,旨在找出酰基辅酶a缓冲真正不可或缺的地方。作者声明无利益冲突。本文链接至Nørremark等人的论文。要查看本文,请访问https://doi.org/10.1111/apha.70159。
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引用次数: 0
Lysosome pH Dynamics in Physiology and Disease: Molecular Mechanisms and Therapeutic Insights 生理和疾病中的溶酶体pH动力学:分子机制和治疗见解。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2026-02-18 DOI: 10.1111/apha.70160
Sonia Infante-Tadeo, Diane L. Barber

Background

An acidic lysosomal lumen (pH ~4.5) is essential for the degradative and signaling functions of this organelle, which serves as a central hub for cellular homeostasis. Lysosome pH (pHlys), however, is not static but dynamically regulated by the coordinated action of the V-ATPase, counterion fluxes, membrane composition, and nutrient-sensitive signaling networks.

Purpose

This review integrates recent advances in the molecular mechanisms regulating pHlys with emerging insights on how dysregulated pHlys contributes to pathologies in neurodegenerative disorders, lysosomal storage diseases, and cancers with changes in lumenal proteolytic activity and macromolecular degradation.

Main Findings

We discuss how pHlys acts as both a sensor and effector in lysosome biology, shaping transcriptional responses, membrane trafficking, and stress adaptation. We also review tools to measure pHlys, ranging from fluorescent dyes to genetically encoded biosensors and nanomaterial-based probes, and evaluate their use in disease-modeling applications.

Conclusions

By highlighting pHlys as a nodal point in cellular functions, this review underscores the relevance of pHlys as a diagnostic marker and therapeutic target. Restoring pHlys in diseases offers translational potential to re-establish proteostasis and limit associated pathologies.

背景:酸性溶酶体管腔(pH ~4.5)对这种细胞器的降解和信号功能至关重要,它是细胞稳态的中心枢纽。然而,溶酶体pH (pHlys)不是静态的,而是由v - atp酶、反离子通量、膜组成和营养敏感信号网络的协调作用动态调节的。目的:本文综述了pHlys调节分子机制的最新进展,以及pHlys失调如何通过改变管腔蛋白水解活性和大分子降解导致神经退行性疾病、溶酶体贮积病和癌症的病理。主要发现:我们讨论了phly如何在溶酶体生物学中作为传感器和效应体,塑造转录反应,膜运输和应激适应。我们还回顾了测量phly的工具,从荧光染料到基因编码生物传感器和基于纳米材料的探针,并评估了它们在疾病建模应用中的应用。结论:通过强调pHlys作为细胞功能的一个节点,本综述强调了pHlys作为诊断标志物和治疗靶点的相关性。在疾病中恢复phys提供了重新建立蛋白质平衡和限制相关病理的翻译潜力。
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引用次数: 0
Maternal Excess Adiposity and Decidual Dyshomeostasis—A New Temporal Target for Intervention 母亲过度肥胖和个体动态失衡-干预的新时间目标。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2026-02-18 DOI: 10.1111/apha.70180
Caroline Dunk
<p>The mechanisms linking maternal metabolic health to adverse pregnancy outcomes are important to understand. The December issue of Acta Physiologica contains an excellent study with an insightful analysis that changes prevailing hypotheses [<span>1</span>]. Bellissimo and colleagues question the long-standing paradigm that structural failure of spiral artery remodeling is the initial pathology that links maternal metabolic dysfunction to adverse outcomes like preeclampsia [<span>2</span>].</p><p>Bellissimo and colleagues found that diet-induced obesity in prepregnant mice induces profound decidual immune and vascular dyshomeostasis at gestational Day 10.5, which is the end of decidualization in the mouse. Yet, the process of spiral artery remodeling was not impaired [<span>1</span>]. The study offers a powerful and nuanced perspective on this critical maternal-fetal interface, and their findings are illuminating when contrasted with the bulk of research on placental insufficiency. Preeclampsia models, for instance, often focus on the ultimate failure of trophoblast-mediated spiral artery remodeling as the central pathology, a structural defect that prevents adequate blood flow and nutrient delivery to the placenta.</p><p>While prior work has established that maternal obesity influences the overall uterine immune environment and compromises endometrial stromal cell decidualization [<span>3</span>], this study delineates the defect in detail. The demonstration that maternal obesity induces significant decidual immune and vascular dyshomeostasis at GD 10.5 <i>before</i> any impairment in spiral artery remodeling provides a vital temporal shift [<span>1</span>]. This refinement redirects attention from late-stage structural failure and supports the contention that an early inflammatory-metabolic imbalance in decidual development is the key initiating event in maternal obesity-driven placental dysfunction.</p><p>By focusing on the decidua, the interface where maternal and fetal tissues first interact, the authors pinpoint a state of early immunological imbalance. While some research observed a net decrease in total decidual immune cells under maternal obesity [<span>4</span>], Bellissimo et al. demonstrate that the key pathology lies in the quality and proportion of the populations. They first observed an increase in total decidual immune cell populations in the High Fat High Sucrose treated mothers compared to controls, which allowed them to control for and recognize the critical increase in Natural Killer (NK) cells of both tissue resident NK and conventional like NK phenotypes and MHCII<sup>+</sup> macrophages essential for immune tolerance and vascular support. The concurrent demonstration of decidual and vascular dyshomeostasis including elevated inflammation, activation, coagulation markers, and angiogenic growth factor levels, distinct from structural remodeling failure, suggests that even subtle shifts in the decidual milieu can compromise t
了解母体代谢健康与不良妊娠结局之间的联系机制非常重要。12月出版的《生理学学报》包含了一项出色的研究,其中有深刻的分析,改变了流行的假设。Bellissimo和他的同事们质疑螺旋动脉重塑的结构失败是将母体代谢功能障碍与子痫前期[2]等不良后果联系起来的初始病理这一长期存在的范式。Bellissimo和他的同事发现,怀孕前小鼠的饮食引起的肥胖在妊娠第10.5天引起了严重的个体免疫和血管失衡,这是小鼠去个体化的结束。然而,螺旋动脉重塑过程并未受损。这项研究为这个关键的母胎界面提供了一个强有力的、细致入微的视角,与大量关于胎盘功能不全的研究相比,他们的发现具有启发性。例如,子痫前期模型通常将滋养细胞介导的螺旋动脉重塑的最终失败作为中心病理,这是一种结构缺陷,可以阻止足够的血液流动和营养物质输送到胎盘。虽然先前的研究已经确定,母亲肥胖会影响子宫整体免疫环境,并损害子宫内膜间质细胞的去个体化,但本研究详细描述了这一缺陷。母体肥胖在妊娠10.5时引起显著的个体免疫和血管稳态失调,而螺旋动脉重塑的任何损伤都提供了一个重要的时间转移bb0。这一改进将人们的注意力从晚期结构衰竭转移到个体发育中的早期炎症代谢失衡是母体肥胖驱动的胎盘功能障碍的关键启动事件。通过关注蜕膜(母体和胎儿组织最初相互作用的界面),作者确定了早期免疫失衡的状态。虽然一些研究观察到母体肥胖时个体免疫细胞总数的净减少,但Bellissimo等人证明,关键病理在于群体的质量和比例。他们首先观察到,与对照组相比,高脂肪高蔗糖处理的母亲的总蜕膜免疫细胞群增加,这使他们能够控制和识别组织常驻NK和常规NK表型的自然杀伤细胞(NK)和MHCII+巨噬细胞的临界增加,这些细胞对免疫耐受和血管支持至关重要。与结构重构失败不同,同时表现出的蜕膜和血管稳态异常包括炎症、激活、凝血标志物和血管生成生长因子水平升高,表明即使蜕膜环境的细微变化也可能破坏成功妊娠所需的蜕膜血管生成的微妙平衡。总之,该研究表明,母体肥胖的不良影响可能不在于母体血管转换的初始失败,而在于早期蜕膜的慢性、低度炎症状态,从而损害后来的胎盘功能。他们提供了结论性的分子和组织学证据,证明胎盘发育不受母体饮食的影响。他们的发现极大地完善了我们对母体代谢健康如何影响妊娠成功的理解,并为临床实践中针对所有蜕膜细胞类型在蜕膜过程中动态相互作用的早期预防策略的发展提供了新的紧迫性和重点。其中一种潜在的治疗方法是每日服用低剂量阿司匹林(LDA)。美国妇产科医师学会建议,对于有任何子痫前期(PE)风险因素的女性,包括肥胖、慢性高血压和有子痫前期妊娠史的女性,应考虑使用LDA。然而,目前关于阿司匹林预防肥胖女性PE有效性的文献尚不清楚,因为有报道称标准剂量的LDA(81或100 mg)在预防血小板聚集[6]方面的有效性降低。英国皇家妇产科学院的指导方针特别建议,对于有一个以上中等风险因素的肥胖女性,建议使用150mg /天的高剂量。最近的ASPREO(阿司匹林用于高危肥胖个体:一项比较有效的开放标签)随机试验发现,在高危肥胖个体中,162毫克阿司匹林与81毫克阿司匹林相比,有78%的获益概率会降低具有严重特征的先兆子痫的发生率。这些作者建议进行进一步的多中心试验来证实这些发现。 在PE中,循环尿和胎盘前列环素(PGI2)水平急剧下降,导致PGI2/血栓素A2 (TXA2)比例失衡,导致血管收缩。低剂量阿司匹林预防PE的主要作用机制被认为是通过抑制TXA2[9]的产生来恢复不成比例的PGI2/TXA2比值。然而,最近的一项研究进一步表明,从妊娠早期到妊娠晚期对PE高风险妇女给予LDA可导致外周血中CD4和CD8细胞,naïve Treg细胞增加,活化炎性Th17细胞减少,并从细胞毒性NK细胞转变为耐受性NK细胞。LDA对个体免疫和血管稳态的影响尚不清楚(图1)。作者声明无利益冲突。数据共享不适用于本文,因为在当前研究中没有生成或分析数据集。
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引用次数: 0
N-Acetylglucosamine Selectively Attenuates Neuroinflammation in a Mouse Model of Mitochondrial Dysfunction n -乙酰氨基葡萄糖选择性减轻线粒体功能障碍小鼠模型中的神经炎症。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2026-02-17 DOI: 10.1111/apha.70179
Laura Jiménez-Sánchez, Paula Ruiz-López, Pilar González-García, Janne Purhonen, Juan Manuel Martínez-Gálvez, Sergio López-Herrador, Julia Corral-Sarasa, María Elena Díaz-Casado, Carmen Venegas, Isaac Santos-Pérez, Enrica Olivieri, Adriana L. Rojas, Luis Carlos López

Aim

Mitochondrial dysfunction plays a central role in multiple neurodegenerative diseases, yet the temporal sequence of cellular events underlying neurodegeneration remains poorly defined. This study aimed to characterize the progression of neurodegeneration in a mouse model of fatal mitochondrial encephalopathy and to evaluate the therapeutic potential of oral N-acetylglucosamine supplementation.

Methods

A mouse model of primary coenzyme Q deficiency was used to examine neurodegeneration at presymptomatic, symptomatic and terminal stages. Neuronal integrity, glial activation, myelination and inflammatory responses were assessed using histological, molecular and ultrastructural approaches, together with behavioral analysis of motor coordination. N acetylglucosamine was administered orally from 1 month of age, and its effects on neuroinflammation, myelin integrity and motor performance were evaluated.

Results

Astrocyte activation and neuronal loss were detected before the onset of clinical symptoms, whereas proinflammatory microglia appeared at later disease stages. Early myelin abnormalities were accompanied by an initial increase in oligodendrocyte precursor cells, suggesting a compensatory response to early myelin stress. Oral N-acetylglucosamine supplementation reduced glial activation and neuroinflammatory markers, likely through modulation of inflammatory signaling pathways. Although treatment did not fully reverse structural damage or restore myelin protein expression, it led to a significant improvement in motor coordination.

Conclusion

These findings define a temporal sequence of early glial activation, neuronal loss, and myelin alterations in mitochondrial encephalopathy. Targeting glial responses and neuroinflammation at early disease stages may mitigate neurodegenerative progression and improve functional outcomes, highlighting a physiologically relevant therapeutic window for mitochondrial disorders.

目的:线粒体功能障碍在多种神经退行性疾病中起着核心作用,但神经退行性疾病背后的细胞事件的时间序列仍然不清楚。本研究旨在描述致死性线粒体脑病小鼠模型中神经变性的进展,并评估口服n -乙酰氨基葡萄糖补充剂的治疗潜力。方法:采用原发性辅酶Q缺乏症小鼠模型,观察症状前期、症状期和终末期的神经退行性变。使用组织学、分子和超微结构方法评估神经元完整性、胶质活化、髓鞘形成和炎症反应,并对运动协调进行行为分析。从1月龄开始口服N乙酰氨基葡萄糖,评估其对神经炎症、髓磷脂完整性和运动表现的影响。结果:星形胶质细胞激活和神经元丢失在临床症状出现前就已检测到,而促炎性小胶质细胞在疾病晚期才出现。早期髓磷脂异常伴随着少突胶质前体细胞的初始增加,提示对早期髓磷脂应激的代偿反应。口服n -乙酰氨基葡萄糖补充剂可能通过调节炎症信号通路降低神经胶质激活和神经炎症标志物。虽然治疗不能完全逆转结构损伤或恢复髓磷脂蛋白表达,但它能显著改善运动协调能力。结论:这些发现确定了线粒体脑病中早期胶质细胞激活、神经元丢失和髓磷脂改变的时间序列。在疾病早期靶向神经胶质反应和神经炎症可能减轻神经退行性进展并改善功能结果,突出了线粒体疾病的生理学相关治疗窗口。
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引用次数: 0
Myophosphorylase Knock Out Prevents the Exaggerated Exercise Pressor Reflex in Rats With Simulated Peripheral Artery Disease 肌磷酸化酶敲除对模拟外周动脉疾病大鼠运动压力反射的抑制作用。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2026-02-16 DOI: 10.1111/apha.70172
Guillaume P. Ducrocq, Laura Anselmi, Victor Ruiz-Velasco, Marc P. Kaufman

Aim

Controversy exists on which metabolites determine the exaggerated exercise pressor reflex (EPR) in peripheral artery disease (PAD). In decerebrated rats, we investigated the role played by lactate and hydrogen ions in a model of PAD, which was simulated by ligating the femoral artery for 72 h before the start of the experiment.

Methods

Production of lactate and hydrogen ions by the contracting hindlimb muscles was manipulated by knocking out the myophosphorylase gene (pygm). In both knockout (pygm−/−; n = 13; 6-females) and wild-type rats (pygm+/+; n = 14; 7-females), the EPR was evoked by statically contracting the triceps-surae muscles. Blood pressure, tension, and renal sympathetic nerve activity were measured. Responsiveness of the metabolic component of the EPR was evaluated by intra-arterial injections of lactic acid and diprotonated phosphate solutions. Responsiveness of the mechanical component of the EPR was evaluated by stretching the calcaneal tendon. In each rat, the pressor responses evoked from the freely perfused triceps-surae muscles were compared to those evoked from the contralateral ischemic triceps-surae muscles.

Results

In pygm+/+ rats whose femoral artery was ligated, static contraction, lactic-acid injection and diprotonated phosphate injection evoked pressor responses that were 88%, 22%, and 58% greater than those evoked from muscles whose femoral arteries were freely perfused. In pygm−/− rats, ligation of the femoral artery for 72 h had no effect. In both groups, 72 h of femoral artery ligation exacerbated the pressor response to passive stretch.

Conclusion

Lactate and hydrogen-ions accumulation in contracting myocytes plays a key role in exaggerating the metabolic component of the EPR evoked from hindlimb muscles with chronically-ligated femoral arteries.

目的:关于外周动脉疾病(PAD)中运动压力反射(EPR)是否由代谢产物决定存在争议。在失觉大鼠中,我们研究了乳酸和氢离子在PAD模型中的作用,在实验开始前通过结扎股动脉72小时来模拟PAD模型。方法:通过敲除肌磷酸化酶基因(pygm)调控后肢收缩肌肉产生乳酸和氢离子。在基因敲除大鼠(pygm-/-; n = 13; 6只雌性)和野生型大鼠(pygm+/+; n = 14; 7只雌性)中,EPR都是通过静态收缩肱三头肌-面肌来激活的。测量血压、紧张和肾交感神经活动。通过动脉内注射乳酸和双质子化磷酸溶液来评估EPR代谢成分的反应性。通过拉伸跟腱来评估EPR机械部件的反应性。在每只大鼠中,将自由灌注的肱三头肌诱发的压力反应与对侧缺血的肱三头肌诱发的压力反应进行比较。结果:在结扎股动脉的pygm+/+大鼠中,静态收缩、注射乳酸和注射双protonated phosphate引起的加压反应比自由灌注股动脉肌肉引起的加压反应高88%、22%和58%。在pygm-/-大鼠中,结扎股动脉72小时没有影响。在两组中,股动脉结扎72h加重了被动牵张的升压反应。结论:收缩肌细胞中乳酸和氢离子的积累在慢性股动脉结扎后肢肌EPR代谢成分的升高中起关键作用。
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引用次数: 0
Alms1 KO Rat: A New Model of Cardiometabolic Syndrome With Spontaneous Hypertension Alms1 KO大鼠:自发性高血压合并心脏代谢综合征的新模型。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2026-02-15 DOI: 10.1111/apha.70174
Ankita B. Jaykumar, Sumit R. Monu, Jiang Xu, Mariela Mendez, Xiao-Ping Yang, Nour-Eddine Rhaleb, Pablo A. Ortiz

Alström syndrome 1 (ALMS1) is a protein linked to Alström syndrome, a rare genetic disorder characterized by obesity, insulin resistance, hyperinsulinemia, and hypertension. Genetic studies have further associated Alms1 with hypertension in human populations. However, the precise mechanisms by which ALMS1 regulates metabolic and cardiovascular function remain unclear.

Aim

In this study, we investigate metabolic and cardiovascular functions regulated by ALMS1.

Methods

To investigate this, we developed and characterized an Alms1 knockout (KO) rat model, which spontaneously develops metabolic syndrome and hypertension.

Results

Our findings reveal that Alms1 KO rats exhibit age-dependent metabolic dysfunction, with hypertension and increased body weight becoming evident by 10–12 weeks of age. Obesity, hyperinsulinemia, and vascular dysfunction emerge later, at 14–16 weeks, suggesting progressive metabolic deterioration. Notably, Alms1 KO rats develop hyperleptinemia as early as 7 weeks, prior to the onset of obesity, implicating ALMS1 in early leptin regulation and metabolic signaling. Moreover, female Alms1 KO rats develop severe metabolic syndrome with hypertension, like males, demonstrating a lack of the typical female cardiovascular protection. Echocardiographic analysis shows progressive cardiac dysfunction, including left ventricular (LV) dilation, increased wall thickness, and impaired contractility. Despite these structural changes, the LV mass/BW ratio remains unchanged, suggesting a shift toward maladaptive eccentric remodeling rather than hypertrophy.

Conclusion

Collectively, these findings establish the Alms1 KO rat as a robust preclinical model of metabolic syndrome. This model closely mimics human disease and provides a powerful tool for studying the mechanisms of metabolic and cardiovascular dysfunction as well as for testing potential therapeutic interventions.

Alström综合征1 (ALMS1)是一种与Alström综合征相关的蛋白质,Alström综合征是一种罕见的遗传疾病,以肥胖、胰岛素抵抗、高胰岛素血症和高血压为特征。遗传学研究进一步将Alms1与人类高血压联系起来。然而,ALMS1调节代谢和心血管功能的确切机制尚不清楚。目的:研究ALMS1对代谢和心血管功能的调控作用。方法:为此,我们建立了Alms1基因敲除(KO)大鼠模型,并对其进行了表征,该模型自发发展为代谢综合征和高血压。结果:我们的研究结果表明,Alms1 KO大鼠表现出年龄依赖性代谢功能障碍,在10-12周龄时,高血压和体重增加变得明显。肥胖、高胰岛素血症和血管功能障碍出现较晚,在14-16周,提示进行性代谢恶化。值得注意的是,Alms1 KO大鼠早在肥胖发病前7周就会出现高瘦素血症,这表明Alms1参与了早期瘦素调节和代谢信号传导。此外,雌性Alms1 KO大鼠与雄性一样出现严重的代谢综合征伴高血压,表明缺乏典型的雌性心血管保护。超声心动图分析显示进行性心功能障碍,包括左室(LV)扩张,壁厚增加,收缩力受损。尽管有这些结构变化,左室质量/体重比保持不变,提示向不适应的偏心重塑转变,而不是肥厚。结论:总的来说,这些发现建立了Alms1 KO大鼠作为代谢综合征的临床前模型。该模型密切模仿人类疾病,为研究代谢和心血管功能障碍的机制以及测试潜在的治疗干预措施提供了有力的工具。
{"title":"Alms1 KO Rat: A New Model of Cardiometabolic Syndrome With Spontaneous Hypertension","authors":"Ankita B. Jaykumar,&nbsp;Sumit R. Monu,&nbsp;Jiang Xu,&nbsp;Mariela Mendez,&nbsp;Xiao-Ping Yang,&nbsp;Nour-Eddine Rhaleb,&nbsp;Pablo A. Ortiz","doi":"10.1111/apha.70174","DOIUrl":"10.1111/apha.70174","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>Alström syndrome 1 (ALMS1) is a protein linked to Alström syndrome, a rare genetic disorder characterized by obesity, insulin resistance, hyperinsulinemia, and hypertension. Genetic studies have further associated <i>Alms1</i> with hypertension in human populations. However, the precise mechanisms by which ALMS1 regulates metabolic and cardiovascular function remain unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>In this study, we investigate metabolic and cardiovascular functions regulated by ALMS1.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>To investigate this, we developed and characterized an <i>Alms1</i> knockout (KO) rat model, which spontaneously develops metabolic syndrome and hypertension.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our findings reveal that <i>Alms1</i> KO rats exhibit age-dependent metabolic dysfunction, with hypertension and increased body weight becoming evident by 10–12 weeks of age. Obesity, hyperinsulinemia, and vascular dysfunction emerge later, at 14–16 weeks, suggesting progressive metabolic deterioration. Notably, <i>Alms1</i> KO rats develop hyperleptinemia as early as 7 weeks, prior to the onset of obesity, implicating ALMS1 in early leptin regulation and metabolic signaling. Moreover, female <i>Alms1</i> KO rats develop severe metabolic syndrome with hypertension, like males, demonstrating a lack of the typical female cardiovascular protection. Echocardiographic analysis shows progressive cardiac dysfunction, including left ventricular (LV) dilation, increased wall thickness, and impaired contractility. Despite these structural changes, the LV mass/BW ratio remains unchanged, suggesting a shift toward maladaptive eccentric remodeling rather than hypertrophy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Collectively, these findings establish the <i>Alms1</i> KO rat as a robust preclinical model of metabolic syndrome. This model closely mimics human disease and provides a powerful tool for studying the mechanisms of metabolic and cardiovascular dysfunction as well as for testing potential therapeutic interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":107,"journal":{"name":"Acta Physiologica","volume":"242 3","pages":""},"PeriodicalIF":5.6,"publicationDate":"2026-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12906849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146197059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cell Type-Specific Loss of SIRT1 in Central Amygdala Leads to Depression-Like Behaviors by Altering Neuronal Excitability in Mice 小鼠中央杏仁核细胞类型特异性SIRT1缺失通过改变神经元兴奋性导致抑郁样行为
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2026-02-12 DOI: 10.1111/apha.70176
Hui Huang, Xiao-Bao Ding, Yu-Wen Lin, Wen-Li Hu, Chen-Rui Zhou, Tian-Qi Chen, Yue Zhou, Wei Dong, Cheng-Hua Zhou, Yu-Qing Wu

Aim

The current understanding of the underlying pathogenesis of depression is still limited. Silent information regulator 1 (SIRT1) has been shown to mediate the development of depression. However, the underlying mechanisms are not well understood.

Methods

SIRT1flox/flox mice were used to observe the effect of selective knockdown of SIRT1 in glutamatergic or GABAergic neurons of the central amygdala (CeA) on depression-like behaviors. Western blot and immunofluorescence staining were used to determine the protein levels. Optogenetic technology was used to manipulate neuronal excitability. Whole cell patch-clamp recordings and c-Fos immunofluorescence staining were used to detect the excitability of different types of neurons.

Results

Our study demonstrated that selective knockdown of SIRT1 in CeA glutamatergic neurons induced depression-like behaviors and increased the excitability of glutamatergic neurons in mice. Optogenetic inhibition of glutamatergic neurons in CeA significantly ameliorated the depression-like behaviors induced by downregulation of SIRT1 in CeA glutamatergic neurons. In addition, selective knockdown of SIRT1 in CeA GABAergic neurons could also induce depression-like behaviors, accompanied by decreased excitability of GABAergic neurons and increased excitability of glutamatergic neurons. Optogenetic activation of GABAergic neurons in CeA significantly alleviated the depression-like behaviors induced by downregulation of SIRT1 in CeA GABAergic neurons.

Conclusion

Our findings indicate that cell-type-specific loss of SIRT1 may mediate the development of depression-like behaviors in mice by divergent changes in the excitability of CeA glutamatergic and GABAergic neurons. These data demonstrate a new mechanism for the development of depression and provide a potential therapeutic target for depression.

目的:目前对抑郁症的潜在发病机制的了解仍然有限。沉默信息调节因子1 (SIRT1)已被证明介导抑郁症的发展。然而,其潜在机制尚不清楚。方法:采用SIRT1flox/flox小鼠,观察选择性下调中央杏仁核谷氨酸能或gaba能神经元SIRT1对抑郁样行为的影响。Western blot和免疫荧光染色检测蛋白水平。利用光遗传学技术控制神经元的兴奋性。采用全细胞膜片钳记录和c-Fos免疫荧光染色检测不同类型神经元的兴奋性。结果:我们的研究表明,选择性敲低CeA谷氨酸能神经元SIRT1可诱导小鼠抑郁样行为,并增加谷氨酸能神经元的兴奋性。光遗传抑制CeA谷氨酸能神经元可显著改善CeA谷氨酸能神经元SIRT1下调诱导的抑郁样行为。此外,选择性敲低CeA gabaergy神经元的SIRT1也可诱导抑郁样行为,并伴有gabaergy神经元兴奋性降低和谷氨酸能神经元兴奋性升高。光遗传学激活CeA gabaergy神经元可显著减轻CeA gabaergy神经元SIRT1下调诱导的抑郁样行为。结论:细胞特异性SIRT1缺失可能通过CeA谷氨酸能神经元和gaba能神经元兴奋性的不同变化介导小鼠抑郁样行为的发生。这些数据为抑郁症的发展提供了一个新的机制,并为抑郁症提供了一个潜在的治疗靶点。
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引用次数: 0
An Overlooked Form of Non-Shivering Thermogenesis in Skeletal Muscle 骨骼肌中一种被忽视的非颤抖产热形式。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2026-02-11 DOI: 10.1111/apha.70175
Shane K. Maloney, Duncan Mitchell
<p>The taxonomic class of mammals is characterized by its ability to produce milk, but several other features distinguish mammals from their reptile ancestors. A debated hallmark that has attracted much attention, shared with birds, is endothermic homeothermy—the capacity to maintain a high and stable body temperature independent of environmental heat sources—which reptiles generally cannot do.</p><p>Endothermy is an expensive undertaking that requires the ability to increase and control the rate of metabolic heat generation [<span>1</span>]. To retain the metabolic heat, mammals also evolved external insulation, notably in the form of fur, and did so before they evolved the ability to give birth to live young, as evidenced by the endothermic monotreme mammals having fur but being egg layers. Reproduction might have been a factor in the evolution of endothermy because some python species [<span>2</span>] and the tegu [<span>3</span>] have some capacity for endothermy, but only in their reproductive phases.</p><p>In unstressed inactive mammals most metabolic heat is the waste heat generated by cellular biochemical processes, the energetics of which is measured as the basal metabolic rate (BMR). BMR of mammals generally is about 10 times that of reptiles. No specific organ or tissue is responsible for that “constitutive” heat production. Ion pumps are ubiquitous and intrinsically inefficient, and their activity releases waste heat in all cells. Leakier membranes in mammalian than in reptile cells, leading to a requirement for elevated activity of ion pumps, can explain much of the elevated BMR of mammals over reptiles [<span>4</span>].</p><p>When a mammal is exposed to cold, the rate that heat is lost from the body to the environment can be alleviated by peripheral vasoconstriction. Many reptiles also seem to adjust their rate of environmental heat gain/loss by adjusting peripheral perfusion [<span>1</span>]. If vasoconstriction fails to arrest the fall in body temperature, mammals increase metabolic heat production to match the rate of heat loss [<span>5, 6</span>]. The “extra” thermogenesis adds to the cost of living, but presumably those costs are outweighed by the advantages of defending the high and stable body temperature. Whether endothermic homeothermy evolved via a selection pressure for the advantages of high and stable body temperature, or a selection pressure that favored some other facet of biology that ended up being correlated to a high body temperature, such as aerobic capacity [<span>1</span>], is still debated. More is known about the mechanisms of thermogenesis, in the form of shivering and non-shivering thermogenesis.</p><p>Shivering thermogenesis does not occur in reptiles but is well characterized in humans and other mammals. Shivering involves rhythmic, involuntary, uncoordinated contraction of skeletal muscle fascicles that are made up of individual muscle cells (myocytes) [<span>7</span>].</p><p>The first type of non-shiver
哺乳动物的分类学分类以产奶能力为特征,但哺乳动物与其爬行动物祖先的其他几个特征也有所不同。一个备受争议的特征引起了人们的广泛关注,这一点与鸟类相同,那就是吸热恒温——一种不受环境热源影响而保持高而稳定体温的能力——爬行动物通常做不到。恒温动物是一项昂贵的工作,需要提高和控制代谢产热率的能力。为了保持新陈代谢的热量,哺乳动物也进化出了外部绝缘,尤其是皮毛,这在它们进化出生育能力之前就已经做到了,这一点可以从有皮毛但会产卵的吸热单目哺乳动物身上得到证明。繁殖可能是恒温动物进化的一个因素,因为一些蟒蛇物种[2]和tegu[3]有一定的恒温能力,但只在繁殖阶段。在无应激的非活动哺乳动物中,大多数代谢热是由细胞生化过程产生的废热,其能量学以基础代谢率(BMR)来测量。哺乳动物的BMR一般是爬行动物的10倍左右。没有特定的器官或组织负责这种“构成”热的产生。离子泵无处不在,本质上效率低下,它们的活动会在所有电池中释放废热。哺乳动物的细胞膜比爬行动物的漏膜更大,导致对离子泵活性的要求更高,这可以解释哺乳动物的BMR高于爬行动物的原因。当哺乳动物暴露在寒冷环境中时,外周血管收缩可以减缓热量从身体散失到环境中的速度。许多爬行动物似乎也通过调节外周灌注[1]来调节其环境热增益/损失率。如果血管收缩不能阻止体温下降,哺乳动物会增加代谢产热以匹配热损失率[5,6]。“额外的”生热作用增加了生活成本,但这些成本可能被保护高而稳定的体温的好处所抵消。吸热恒温是通过选择压力进化而来的,以获得高而稳定的体温优势,还是选择压力有利于生物学的其他方面,最终与高体温相关,如有氧能力[1],目前仍有争议。更多的是关于生热机制的了解,以颤抖和非颤抖的形式生热。寒颤产热并不发生在爬行动物身上,但在人类和其他哺乳动物身上有很好的特征。颤抖涉及到由单个肌肉细胞(肌细胞)组成的骨骼肌束有节奏的、不自主的、不协调的收缩。被发现的第一种类型的非寒颤产热(NST)涉及棕色脂肪组织(BAT)的激活。正常情况下,线粒体利用电子传递链(ETC)蛋白在线粒体内膜上产生的质子梯度将ADP磷酸化为ATP。ATP中的末端磷酸键是细胞的能量货币,为所有细胞活动提供动力。BAT细胞在线粒体中表达一种独特的蛋白,解偶联蛋白-1 (UCP1)。当UCP1被激活时,质子梯度被耗散,ETC产生并储存在质子梯度中的能量不再被ATP捕获,而是以热的形式出现。这种热量可以消除颤抖的需要,尤其是在新生哺乳动物[8]中。过去,人们认为UCP1对NST至关重要。但多年来,人们发现了其他不涉及骨骼肌收缩或UCP1激活的产热过程。除了在寒颤产热中的作用外,骨骼肌还可以通过消耗能量但不产生净功或合成任何产物的无用循环对NST做出重大贡献。当动作电位扫过肌细胞的膜时,连接到肌浆/内质网上的ryanodine受体的二氢吡啶电压传感器的构象发生变化,触发Ca2+离子释放到细胞质中。在细胞质中,这些离子与肌钙蛋白结合,并通过肌动蛋白与肌凝蛋白的相互作用触发肌细胞中的过桥循环。如果有足够的肌细胞被同步激活,肌肉就会变得紧张,然后缩短。当肌/内质网钙atp酶(SERCA)将细胞质中的Ca2+泵回肌浆网时,肌肉就会松弛。在某些情况下,Ca2+可以从肌浆/内质网泄漏,其数量不足以触发跨桥循环,但足以触发SERCA的活性。 所以Ca2+被泵回网状而肌肉的机械状态没有任何变化,但是这个循环在离子泵送[9]的低效过程中产生热量。BAT细胞与肌细胞有共同的胚胎起源,也含有SERCA。SERCA激活也会在它们体内产生热量,并且该过程独立于UCP1[10]。虽然颤抖涉及整个肌肉,但只有单个肌束是异步激活和收缩的;肌肉本身不缩短,也不进行外部运动。肌束的激活消除了松弛,但不是整个肌肉。所有由肌球蛋白ATP酶水解产生的能量,在正常肌肉功能中促进张力的发展和缩短,都表现为热量。肌肉电张力的普遍增加以及导致不协调收缩的去极化通常包括在“颤抖”中,但根据nj<s:1>和Lømo[11]在本期《生理学学报》上的研究,它们来自骨骼肌的不同过程。他们记录了大鼠的核心和外围骨骼肌的电活动,这些大鼠被放置在一个升高的弹簧托盘中,每个角落都有力传感器。传感器可以检测到大鼠的所有运动,并可以用来识别没有明显身体活动的时期,包括颤抖或呼吸。然后将环境温度从32°C降至2°C。在没有任何运动的情况下,外部肌肉的紧张性电活动严格依赖于环境温度,随环境温度的升高而下降。相反,内肌(髂肌和腰肌)的强直性电活动不随环境温度变化,但当大鼠从全身麻醉引起的低温中恢复时,电活动增加。在这些肌肉不做任何外部工作的情况下,肌细胞活动产生多少热量还有待确定。对于恒温动物的体温调节和控制食欲一样重要的过程,已经进化出了多余的机制,我们可能不应该感到惊讶。冗余为生存提供了重要的进化优势,但确实使复杂的过程难以破译。nj<s:1>和Lømo的研究最终将帮助我们理解,当选择高而稳定的体温发生时,进化的复杂过程。作者声明无利益冲突。数据共享不适用于本文,因为在当前研究中没有生成或分析数据集。
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引用次数: 0
Heterogenous Calcium Response in Arterial and Venous Endothelial Cells 动脉和静脉内皮细胞的异质钙反应。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2026-02-08 DOI: 10.1111/apha.70169
Yu-xiang Wang, Qi Chen
<p>Calcium signaling plays a central regulatory role in different types of cells [<span>1</span>]. In a recent issue of Acta Physiologica, Lee and colleagues report that endothelial cells within both arteries and veins display a surprising high degree of heterogeneity and differences in their calcium responses to agonists [<span>2</span>].</p><p>Vascular endothelial cells (VECs) are one of the most fundamental cell types in vertebrates, lining the most inner side of our blood vessels [<span>3</span>]. In VECs, calcium signaling acts as a key mediator for transducing extracellular cues to induce multiple intracellular signal responses and is essential to direct sprouting angiogenesis, modulate inflammatory responses, and to maintain vascular homeostasis. Numerous previous studies have revealed the complexity and functional diversity of calcium signaling in VECs, offering insights to understand the response of VECs during physiological and pathological conditions [<span>4, 5</span>].</p><p>During vascular development and sprouting angiogenesis, calcium signaling plays an instructive role in endothelial cell behavior. Studies using zebrafish models have demonstrated that Piezo1-mediated mechanosensitive calcium activity is crucial for endothelial tip cell navigation. High-frequency calcium transients promote branch retraction through calpain activation, whereas low-frequency transients stimulate branch extension via nitric oxide synthase. This frequency-dependent calcium signaling determines the proper formation of vascular networks. In piezo1 mutants, reduced calcium activity leads to unbalanced branching and disorganized vascular structures, underscoring the integrative role of mechano-chemical mediated calcium signaling during angiogenesis [<span>6</span>]. Similarly, the calcium-permeable channel TRPC1 has been shown to mediate vascular endothelial cell growth factor A induced angiogenesis. Loss of TRPC1 impairs intersegmental vessel sprouting and growth, disrupting filopodia extension, cell migration, and division. These effects are endothelial cell–autonomous and depend on activation of the ERK signaling pathway [<span>7</span>].</p><p>Calcium signaling also exhibits precise spatiotemporal control in the regulation of vascular barrier function and inflammation. Under steady state conditions, endothelial cells maintain low intracellular calcium levels through pumps such as PMCA and SERCA, which preserve barrier integrity. Upon inflammatory stimulation, mediators including thrombin and histamine activate the GPCR–PLC–IP₃ pathway, leading to calcium release and activation of downstream effectors such as CaM/CaMKII. This cascade triggers VE-cadherin disassembly and cytoskeletal remodeling, thereby increasing vascular permeability [<span>8</span>]. During leukocyte transendothelial migration, however, calcium signaling is spatially confined rather than global. The PECAM1 interactions activate TRPC6 channels, inducing localized calcium influx that p
虽然没有明显改变振幅,但在高剂量下,缓激肽显著增加了VECs的钙频率。这些发现表明,动脉和静脉内皮细胞表现出高度异质的、激动剂特异性的钙信号模式。为了探索这些差异背后的机制,Lee等人开发了包含网络分析的数学模型。他们发现内皮细胞的空间分布显著影响了它们的反应性。一些VEC细胞簇对刺激的反应强于随机分布的细胞。这一发现提示细胞间通讯和同步信号可能增强钙对外部激动剂的集体反应。此外,作者还观察到内皮细胞亚群对乙酰胆碱和缓激肽的强烈反应在很大程度上是不同的,只有约5%的内皮细胞对两者都有强烈反应。这一发现证明了内皮亚群中钙信号的异质性。最后,谱图理论分析显示,对两种激动剂都有反应的细胞的一小部分在细胞间信息传递中发挥了关键作用。然而,局部网络连接并没有改变单个VECs的内在钙动力学,这主要是由这些VECs的内在分子表达决定的。在静脉内皮细胞中,钙信号的频率,而不是幅度,似乎是细胞内信号行为的主要决定因素。总之,Lee等人对动脉和静脉内皮细胞如何在激动剂刺激下产生不同的钙信号反应提供了新的见解。通过将实验成像与数学建模相结合,他们揭示了潜在影响内皮钙信号和细胞间通讯的组织和网络原理。作者声明无利益冲突。数据共享不适用于本文,因为在当前研究中没有生成或分析数据集。
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引用次数: 0
Piezo1-Mediated Mechanotransduction: Orchestrating the Dynamic Response of Podocytes and Parietal Epithelial Cells to Mechanical Stress 压电介导的机械转导:协调足细胞和壁上皮细胞对机械应力的动态响应。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2026-02-08 DOI: 10.1111/apha.70173
Maria Elena Melica, Giulia Antonelli, Anna Julie Peired, Laura Lasagni

Aim

The glomerulus is a specialized microvascular unit that filters plasma through the coordinated function of podocytes and parietal epithelial cells (PECs). From this perspective, the glomerulus functions like a living hydrogeological filtration system. This review aims to integrate mechanobiology and hydrogeology, reframing podocytes and PECs as active regulators in a pressure-driven network, with Piezo1 central to glomerular homeostasis, adaptation, and pathology.

Methods

This review integrates existing literature on glomerular biology, mechanosensitive signaling, and epithelial cell function, focusing on podocytes, PECs, and mechanosensitive structures such as the Piezo1 channel.

Results

Podocytes form interdigitating foot processes connected by the slit diaphragm, forming both a selective barrier against protein loss and a mechanosensory interface. Through mechanosensitive structures, such as the Piezo1 channel, podocytes detect variations in hydrostatic pressure and transduce these cues into intracellular signaling that regulates permeability and preserves structural integrity. Sustained mechanical stress, however, can compromise podocyte function and viability. PECs line Bowman capsule, forming an impermeable boundary surrounding the filtration core. Once considered passive, PECs exhibit dynamic properties: some retain progenitor-like potential, contributing to repair, whereas others promote fibrosis in disease conditions. In this analogy, blood flow replaces groundwater while the multilayered filtration barrier mirrors stratified geological formations. Podocytes function as biological piezometers—sensing pressure and modulating filtration—while PECs resemble aquicludes, defining impermeable boundaries that can constrain or reshape the system under mechanical or inflammatory challenges.

Conclusion

By integrating mechanobiology and hydrogeology, this review reframes the glomerulus as a living, pressure-driven filtration system in which podocytes and PECs act as active regulators rather than passive structural elements, with Piezo1 playing a central role in glomerular homeostasis, adaptation, and pathology.

目的:肾小球是一个特殊的微血管单位,通过足细胞和壁上皮细胞(PECs)的协调功能过滤血浆。从这个角度来看,肾小球的功能就像一个活的水文地质过滤系统。这篇综述旨在整合机械生物学和水文地质学,重新定义足细胞和PECs在压力驱动网络中的积极调节作用,其中Piezo1对肾小球内稳态、适应和病理至关重要。方法:本综述整合了肾小球生物学、机械敏感信号和上皮细胞功能方面的现有文献,重点关注足细胞、PECs和机械敏感结构,如Piezo1通道。结果:足细胞形成交错的足突,由狭缝隔膜连接,形成防止蛋白质损失的选择性屏障和机械感觉界面。通过机械敏感结构,如Piezo1通道,足细胞检测静水压力的变化,并将这些信号转导成细胞内信号,从而调节渗透性并保持结构完整性。然而,持续的机械应力会损害足细胞的功能和生存能力。PECs线鲍曼胶囊,形成一个不渗透的边界周围的过滤核心。一旦被认为是被动的,PECs表现出动态特性:一些保留祖细胞样的潜力,有助于修复,而另一些则促进疾病条件下的纤维化。在这个类比中,血流取代了地下水,而多层过滤屏障反映了分层的地质构造。足细胞的功能是生物压力计——感知压力和调节过滤,而PECs类似于水螅体,定义不可渗透的边界,可以在机械或炎症挑战下约束或重塑系统。结论:通过整合力学生物学和水文地质学,本综述将肾小球重新定义为一个活的、压力驱动的过滤系统,其中足细胞和PECs作为主动调节因子而不是被动结构元件,其中Piezo1在肾小球内稳态、适应和病理中发挥核心作用。
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