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Skeletal muscle mitochondria: A potential target for postmenopausal hormone replacement therapy 骨骼肌线粒体:绝经后激素替代疗法的潜在目标
IF 6.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-04-17 DOI: 10.1111/apha.14149
Takashi Yokota
<p>In this issue of <i>Acta Physiologica</i>, Kleis-Olsen et al.<span><sup>1</sup></span> investigated the association of postmenopausal hormone replacement therapy (HRT) with skeletal muscle mitochondrial function measured using biopsy samples from human vastus lateralis muscle. They reported that postmenopausal women who received a combination of estradiol and progestin had higher mitochondrial respiratory capacity in the skeletal muscle compared with non-treated postmenopausal women. Since estrogen deficiency due to menopause is associated with skeletal muscle dysfunction characterized by muscle weakness and muscle loss,<span><sup>2</sup></span> it is clinically relevant to examine whether HRT may prevent menopause-related impairment of skeletal muscle energy metabolism.</p><p>Menopause is defined by the permanent cessation of menstruation occurred at an average age around 50 years. It is natural course of reproductive aging for women and the transition into menopause is characterized by a significant reduction in circulating estrogen levels. Menopause may accelerate age-related functional decline with both physiological and psychological symptoms and adversely affect cardiovascular and musculoskeletal health. Because women live longer than men, women are more likely to experience negative changes in skeletal muscle, leading to reduced quality of life with increased morbidity and mortality.<span><sup>3</sup></span></p><p>HRT is a pharmacological therapy that contains ovarian hormones (estrogen with or without progesterone), prescribed to manage menopausal symptoms. Although estrogen alone is enough to treat menopausal symptoms, it may increase the risk of cancer of the uterus (endometrial cancer), and therefore, progesterone is usually added to estrogen to reduce the risk of endometrial cancer back to normal. HRT has multiple health benefits, including reduced risk of cardiovascular diseases and all-cause mortality as well as relief of menopausal symptoms.<span><sup>3</sup></span> Estrogen is considered to be a key regulator of whole-body energy homeostasis.<span><sup>4</sup></span> Compared with other organs, skeletal muscle exhibits higher metabolic flexibility in response to hormone stimulation as well as exercise and environmental factors.<span><sup>5</sup></span> However, the effect of HRT on skeletal muscle mitochondria in postmenopausal women remains fully unclear.</p><p>Previous studies have shown the effects of estrogen on skeletal muscle mitochondria in ovariectomized rodents (animal models of menopause),<span><sup>6, 7</sup></span> but Kleis-Olsen et al. for the first time demonstrated the association of postmenopausal HRT with increased mitochondrial respiratory capacity in the skeletal muscle in human.<span><sup>1</sup></span> Middle-aged postmenopausal women who had received a combination of estradiol and progestin for 3.6 years on average were participated in their cross-sectional study. Compared with matched non-treated postmen
5 虽然雌激素对骨骼肌线粒体有益作用的确切机制仍不十分清楚,但补充雌二醇可能有助于提高线粒体呼吸能力,增加绝经后妇女骨骼肌中线粒体的含量,至少部分是通过肌肉特异性雌二醇实现的。先前的一项研究表明,在培养非绝经期健康妇女肌肉纤维的过程中,在培养基中单独施用黄体酮会降低线粒体的 OXPHOS 能力,但如果在黄体酮中加入雌激素,这种降低作用就会减弱。在 Kleis-Olsen 等人的研究中110 在 Kleis-Olsen 等人的研究中,接受激素治疗的绝经后妇女血浆中雌二醇水平较高,但接受激素治疗和未接受激素治疗的绝经后妇女血浆中孕酮水平相当,这表明接受 HRT 治疗的绝经后妇女肌肉线粒体呼吸能力较高可能主要归因于补充了雌激素而非孕酮。总之,Kleis-Olsen 等人的研究加深了我们对绝经后妇女骨骼肌线粒体适应 HRT 的了解。鉴于这只是一项横断面研究,因此需要进一步开展随机临床试验,以提供更有力的证据证明绝经后激素治疗对骨骼肌线粒体功能的影响:横田隆:构思;撰写-原稿。作者无利益冲突需要披露。
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引用次数: 0
The homeostatic effects of the RE-1 silencing transcription factor on cortical networks are altered under ictogenic conditions in the mouse RE-1沉默转录因子对小鼠大脑皮层网络的平衡作用在致病条件下发生改变
IF 6.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-04-12 DOI: 10.1111/apha.14146
Carmela Vitale, Giulia Natali, Maria Sabina Cerullo, Thomas Floss, Caterina Michetti, Giorgio Grasselli, Fabio Benfenati

Aim

The Repressor Element-1 Silencing Transcription Factor (REST) is an epigenetic master regulator playing a crucial role in the nervous system. In early developmental stages, REST downregulation promotes neuronal differentiation and the acquisition of the neuronal phenotype. In addition, postnatal fluctuations in REST expression contribute to shaping neuronal networks and maintaining network homeostasis. Here we investigate the role of the early postnatal deletion of neuronal REST in the assembly and strength of excitatory and inhibitory synaptic connections.

Methods

We investigated excitatory and inhibitory synaptic transmission by patch-clamp recordings in acute neocortical slices in a conditional knockout mouse model (RestGTi) in which Rest was deleted by delivering PHP.eB adeno-associated viruses encoding CRE recombinase under the control of the human synapsin I promoter in the lateral ventricles of P0-P1 pups.

Results

We show that, under physiological conditions, Rest deletion increased the intrinsic excitability of principal cortical neurons in the primary visual cortex and the density and strength of excitatory synaptic connections impinging on them, without affecting inhibitory transmission. Conversely, in the presence of a pathological excitation/inhibition imbalance induced by pentylenetetrazol, Rest deletion prevented the increase in synaptic excitation and decreased seizure severity.

Conclusion

The data indicate that REST exerts distinct effects on the excitability of cortical circuits depending on whether it acts under physiological conditions or in the presence of pathologic network hyperexcitability. In the former case, REST preserves a correct excitatory/inhibitory balance in cortical circuits, while in the latter REST loses its homeostatic activity and may become pro-epileptogenic.

目的抑制元件-1沉默转录因子(REST)是一种表观遗传主调节因子,在神经系统中发挥着至关重要的作用。在早期发育阶段,REST 的下调会促进神经元的分化和神经元表型的获得。此外,出生后 REST 表达的波动有助于塑造神经元网络并维持网络的平衡。在此,我们研究了出生后早期神经元REST的缺失在兴奋性和抑制性突触连接的组装和强度中的作用。方法我们在一个条件性基因敲除小鼠模型(RestGTi)中通过递送PHP.EB腺相关病毒(PHP.EB adeno-associated virus)在急性新皮质切片中进行贴片钳记录,研究了兴奋性和抑制性突触传递。结果我们发现,在生理条件下,Rest 基因缺失会增加初级视皮层主要皮层神经元的固有兴奋性以及影响它们的兴奋性突触连接的密度和强度,而不影响抑制性传导。相反,在戊四唑诱导的病理性兴奋/抑制失衡的情况下,REST的缺失会阻止突触兴奋的增加,并降低癫痫发作的严重程度。在前一种情况下,REST 可保持大脑皮层回路中正确的兴奋/抑制平衡,而在后一种情况下,REST 会失去其平衡活性,并可能变得有利于致痫。
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引用次数: 0
Amyloid precursor protein induces reactive astrogliosis 淀粉样前体蛋白诱导反应性星形胶质细胞增生
IF 6.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-04-08 DOI: 10.1111/apha.14142
Gretsen Velezmoro Jauregui, Dragana Vukić, Isaac G. Onyango, Carlos Arias, Jan S. Novotný, Kateřina Texlová, Shanshan Wang, Kristina Locker Kovačovicova, Natalie Polakova, Jana Zelinkova, Maria Čarna, Valentina Lacovich, Brian P. Head, Daniel Havas, Martin Mistrik, Robert Zorec, Alexei Verkhratsky, Liam Keegan, Mary A. O'Connell, Robert Rissman, Gorazd B. Stokin

Aim

Astrocytes respond to stressors by acquiring a reactive state characterized by changes in their morphology and function. Molecules underlying reactive astrogliosis, however, remain largely unknown. Given that several studies observed increase in the Amyloid Precursor Protein (APP) in reactive astrocytes, we here test whether APP plays a role in reactive astrogliosis.

Methods

We investigated whether APP instigates reactive astroglios by examining in vitro and in vivo the morphology and function of naive and APP-deficient astrocytes in response to APP and well-established stressors.

Results

Overexpression of APP in cultured astrocytes led to remodeling of the intermediate filament network, enhancement of cytokine production, and activation of cellular programs centered around the interferon (IFN) pathway, all signs of reactive astrogliosis. Conversely, APP deletion abrogated remodeling of the intermediate filament network and blunted expression of IFN-stimulated gene products in response to lipopolysaccharide. Following traumatic brain injury (TBI), mouse reactive astrocytes also exhibited an association between APP and IFN, while APP deletion curbed the increase in glial fibrillary acidic protein observed canonically in astrocytes in response to TBI.

Conclusions

The APP thus represents a candidate molecular inducer and regulator of reactive astrogliosis. This finding has implications for understanding pathophysiology of neurodegenerative and other diseases of the nervous system characterized by reactive astrogliosis and opens potential new therapeutic avenues targeting APP and its pathways to modulate reactive astrogliosis.

目的星形胶质细胞对应激源的反应是获得一种以形态和功能变化为特征的反应状态。然而,反应性星形胶质细胞增生的基础分子在很大程度上仍然未知。方法我们通过在体外和体内检测天真星形胶质细胞和 APP 缺陷星形胶质细胞对 APP 和成熟应激源的形态和功能反应,研究 APP 是否会诱发反应性星形胶质细胞。结果在培养的星形胶质细胞中过表达 APP 会导致中间丝网络的重塑、细胞因子生成的增强以及以干扰素 (IFN) 通路为中心的细胞程序的激活,这些都是反应性星形胶质细胞增多的迹象。相反,APP的缺失会削弱中间丝网络的重塑,并减弱IFN刺激基因产物在脂多糖反应中的表达。在创伤性脑损伤(TBI)后,小鼠反应性星形胶质细胞也表现出 APP 与 IFN 之间的关联,而删除 APP 则会抑制星形胶质细胞在 TBI 反应中典型地观察到的胶质纤维酸性蛋白的增加。这一发现对了解神经退行性疾病和以反应性星形胶质细胞增生为特征的神经系统其他疾病的病理生理学具有重要意义,并为针对 APP 及其通路调节反应性星形胶质细胞增生开辟了潜在的新治疗途径。
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引用次数: 0
The 2-oxoglutarate/malate carrier extends the family of mitochondrial carriers capable of fatty acid and 2,4-dinitrophenol-activated proton transport 2-氧代谷氨酸/苹果酸载体扩展了线粒体载体家族,使其能够进行脂肪酸和 2,4-二硝基苯酚激活的质子转运
IF 6.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-04-05 DOI: 10.1111/apha.14143
Kristina Žuna, Tatyana Tyschuk, Taraneh Beikbaghban, Felix Sternberg, Jürgen Kreiter, Elena E. Pohl

Aims

Metabolic reprogramming in cancer cells has been linked to mitochondrial dysfunction. The mitochondrial 2-oxoglutarate/malate carrier (OGC) has been suggested as a potential target for preventing cancer progression. Although OGC is involved in the malate/aspartate shuttle, its exact role in cancer metabolism remains unclear. We aimed to investigate whether OGC may contribute to the alteration of mitochondrial inner membrane potential by transporting protons.

Methods

The expression of OGC in mouse tissues and cancer cells was investigated by PCR and Western blot analysis. The proton transport function of recombinant murine OGC was evaluated by measuring the membrane conductance (Gm) of planar lipid bilayers. OGC-mediated substrate transport was measured in proteoliposomes using 14C-malate.

Results

OGC increases proton Gm only in the presence of natural (long-chain fatty acids, FA) or chemical (2,4-dinitrophenol) protonophores. The increase in OGC activity directly correlates with the increase in the number of unsaturated bonds of the FA. OGC substrates and inhibitors compete with FA for the same protein binding site. Arginine 90 was identified as a critical amino acid for the binding of FA, ATP, 2-oxoglutarate, and malate, which is a first step towards understanding the OGC-mediated proton transport mechanism.

Conclusion

OGC extends the family of mitochondrial transporters with dual function: (i) metabolite transport and (ii) proton transport facilitated in the presence of protonophores. Elucidating the contribution of OGC to uncoupling may be essential for the design of targeted drugs for the treatment of cancer and other metabolic diseases.

目的癌细胞的代谢重编程与线粒体功能障碍有关。线粒体 2-氧代谷氨酸/苹果酸载体(OGC)被认为是预防癌症进展的潜在靶点。虽然 OGC 参与了苹果酸/天门冬氨酸穿梭,但它在癌症代谢中的确切作用仍不清楚。我们的目的是研究 OGC 是否会通过运输质子来改变线粒体内膜电位。通过测量平面脂质双层膜的膜电导(Gm)评估了重组小鼠 OGC 的质子转运功能。结果OGC仅在存在天然(长链脂肪酸,FA)或化学(2,4-二硝基苯酚)质子载体时才会增加质子Gm。OGC 活性的增加与脂肪酸不饱和键数量的增加直接相关。OGC 底物和抑制剂与 FA 竞争相同的蛋白质结合位点。精氨酸 90 被鉴定为与 FA、ATP、2-氧代戊二酸和苹果酸结合的关键氨基酸,这是了解 OGC 介导的质子转运机制的第一步。阐明 OGC 对解偶联的贡献可能对设计治疗癌症和其他代谢性疾病的靶向药物至关重要。
{"title":"The 2-oxoglutarate/malate carrier extends the family of mitochondrial carriers capable of fatty acid and 2,4-dinitrophenol-activated proton transport","authors":"Kristina Žuna,&nbsp;Tatyana Tyschuk,&nbsp;Taraneh Beikbaghban,&nbsp;Felix Sternberg,&nbsp;Jürgen Kreiter,&nbsp;Elena E. Pohl","doi":"10.1111/apha.14143","DOIUrl":"10.1111/apha.14143","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Metabolic reprogramming in cancer cells has been linked to mitochondrial dysfunction. The mitochondrial 2-oxoglutarate/malate carrier (OGC) has been suggested as a potential target for preventing cancer progression. Although OGC is involved in the malate/aspartate shuttle, its exact role in cancer metabolism remains unclear. We aimed to investigate whether OGC may contribute to the alteration of mitochondrial inner membrane potential by transporting protons.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The expression of OGC in mouse tissues and cancer cells was investigated by PCR and Western blot analysis. The proton transport function of recombinant murine OGC was evaluated by measuring the membrane conductance (<i>G</i><sub>m</sub>) of planar lipid bilayers. OGC-mediated substrate transport was measured in proteoliposomes using <sup>14</sup>C-malate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>OGC increases proton <i>G</i><sub>m</sub> only in the presence of natural (long-chain fatty acids, FA) or chemical (2,4-dinitrophenol) protonophores. The increase in OGC activity directly correlates with the increase in the number of unsaturated bonds of the FA. OGC substrates and inhibitors compete with FA for the same protein binding site. Arginine 90 was identified as a critical amino acid for the binding of FA, ATP, 2-oxoglutarate, and malate, which is a first step towards understanding the OGC-mediated proton transport mechanism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>OGC extends the family of mitochondrial transporters with dual function: (i) metabolite transport and (ii) proton transport facilitated in the presence of protonophores. Elucidating the contribution of OGC to uncoupling may be essential for the design of targeted drugs for the treatment of cancer and other metabolic diseases.</p>\u0000 </section>\u0000 </div>","PeriodicalId":107,"journal":{"name":"Acta Physiologica","volume":"240 6","pages":""},"PeriodicalIF":6.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/apha.14143","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140568281","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
Recent advances in kidney research 肾脏研究的最新进展。
IF 6.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-04-02 DOI: 10.1111/apha.14144
Ralf Mrowka
<p>The kidney, pivotal for maintaining systemic homeostasis, remains one of the crucial target organs of physiological research, which has unveiled the intricate molecular mechanisms governing its function. In the following, we will highlight recent developments in the field of kidney research published in <i>Acta Physiologica</i>. Both original research articles in the field of kidney research and reviews have been considered, providing an overview of some recent breakthroughs in renal physiology, encompassing glomerular filtration dynamics, tubular transport mechanisms, hormonal regulation, and the genetic and environmental determinants of renal health. The general scope of the articles reaches from basic research that helps to understand pathophysiology better to contributions that might have a potential clinical impact in the near future.</p><p>The kidney has several endocrine roles, secreting both hormones and humoral factors of, for example, the renin- angiotensin system (RAS), erythropoietin (EPO), and 1,25 dihydroxy vitamin D3. It is critically involved in vitamin D and phosphate homeostasis, which are both modulated by the by fibroblast growth factor 23 (FGF23).<span><sup>1</sup></span> In this study by Feger et al. the effect of short term fasting on FGF23 were analyzed. The experiments were performed in cell cultures of rat myocytes as well as in mice that were fasted overnight. The authors found higher β-hydroxybutyrate and FGF23 serum levels in fasted mice in contrast to the fed animals. Future studies are needed to decipher whether these observations from short term fasting are of clinical and practical relevance as blood tests of FGF23 become more and more relevant as biomarkers for monitoring diseases. Parathyroid hormone, in an intricately orchestrated interplay, controls calcium, phosphate and vitamin D levels. Alexander and Dimke.<span><sup>2</sup></span> provide an in-depth review of PTH signaling along the renal tubule and its role in normal kidney function and pathophysiology.</p><p>The kidneys play a crucial role in systemic immune response reactions to infectious agents by filtering toxins and waste products from the blood, aiding in the regulation of fluid balance, and maintaining electrolyte equilibrium. In sepsis, the kidneys can be significantly impacted, leading to acute kidney injury (AKI) due to the body's response to infection, impaired blood flow, and the release of inflammatory mediators. Exercise has been suggested to have an protective effect in sepsis-associated organ dysfunction.<span><sup>3</sup></span> In a study by Xu et al.<span><sup>3</sup></span> the authors wanted to test that this effect is related to R-spondin 3. To this end the authors used inducible endothelial cell-specific RSPO3 knock out mice in a LPS-induced acute kidney injury model in trained and untrained mice. The authors find that aerobic exercise-trained mice were more resistant to LPS-induced body weight loss and hypothermia and had a si
肾脏是维持全身平衡的关键器官,仍然是生理学研究的重要目标器官之一,这些研究揭示了支配肾脏功能的复杂分子机制。下面,我们将重点介绍《生理学报》(Acta Physiologica)上发表的肾脏研究领域的最新进展。文章既有肾脏研究领域的原创性研究文章,也有综述,概述了肾脏生理学的一些最新突破,包括肾小球滤过动力学、肾小管转运机制、激素调节以及肾脏健康的遗传和环境决定因素。肾脏具有多种内分泌功能,分泌激素和体液因子,如肾素-血管紧张素系统(RAS)、促红细胞生成素(EPO)和 1,25-二羟基维生素 D3。成纤维细胞生长因子 23(FGF23)1 对维生素 D 和磷酸盐的平衡起着关键作用。实验是在大鼠肌细胞的细胞培养物以及禁食一夜的小鼠体内进行的。作者发现,禁食小鼠血清中的β-羟丁酸和 FGF23 水平高于喂食小鼠。随着血液中 FGF23 的检测越来越多地成为监测疾病的生物标志物,今后还需要进行更多的研究,以弄清这些从短期禁食中观察到的结果是否具有临床和实际意义。甲状旁腺激素在错综复杂的相互作用中控制着钙、磷酸盐和维生素 D 的水平。肾脏通过过滤血液中的毒素和废物、帮助调节体液平衡和维持电解质平衡,在对感染性病原体的全身免疫反应中发挥着至关重要的作用。在败血症中,由于机体对感染的反应、血流受损以及炎症介质的释放,肾脏会受到严重影响,导致急性肾损伤(AKI)。3 在 Xu 等人的一项研究3 中,作者希望测试这种效应是否与 R-spondin 3 有关。为此,作者使用诱导性内皮细胞特异性 RSPO3 基因敲除小鼠在 LPS 诱导的急性肾损伤模型中训练和未训练小鼠。作者发现,受过有氧运动训练的小鼠对 LPS 诱导的体重减轻和低体温有更强的抵抗力,存活率明显高于暴露于 LPS 的久坐小鼠。研究人员得出结论:RSPO3 在肾脏中的表达增加,通过抑制 MMPs 介导的糖萼、紧密连接和粘连连接的破坏,有助于有氧运动诱导的对 LPS 诱导的肾脏内皮高渗透性和 AKI 的保护。败血症也是 Betrie 等人的研究课题之一4 。在这项研究中,研究人员调查了药物 Tempol 在绵羊革兰氏阴性败血症期间如何作用于肾脏。在这项研究中,Tempol 被用作抗氧化剂和抗炎药物。Betie 等人分析了 tempol 对肾功能的影响,发现 tempol 能防止肾髓质灌注不足、缺氧和急性肾损伤。作者声称已发现输注 tempol 对脓毒症急性肾损伤患者产生有益影响的潜在机制,包括防止 TNF-α 在肾皮质的过度表达和抑制 eNOS 在肾髓质的解偶联。一氧化氮的供应量增加,这可能是输注 tempol 后肾功能得到改善的原因之一。要评估这些结果是否也与人类病理生理学相关,还需要进一步的研究。细胞系追踪是肾脏研究中的一项强大技术,可用于阐明肾脏内不同类型细胞的发育起源和系谱关系。通过追踪单个细胞或其后代的命运,研究人员可以深入了解肾脏的发育、再生、疾病进展和治疗干预的效果。在 Nagalakshmi 等人5 的一项有趣研究中,作者希望解决这样一个问题:尿道梗阻期间肾素表达的变化是否会导致肾脏损伤、修复或再生的进展。 作者从他们的研究结果中得出结论,监测肾脏大小与解读由 T1 和 T2 确定的急性肾脏氧合相关,因此,在临床研究中用于氧合测量时,也需要测量肾脏大小。肾脏与心脏和心血管系统在病理生理学中的关系错综复杂,由于共同的风险因素、血流动力学改变和神经荷尔蒙相互作用,一个器官的功能障碍往往会导致另一个器官受到不良影响,从而导致心肾综合征的发生和发展。13 这与人类病理生理学有关,因为心房颤动会增加中风的风险,进而增加残疾的风险,而对心房颤动患者进行结构化管理可降低中风和其他不良事件的风险14。内皮细胞向间充质细胞转变是心血管系统和肾脏之间另一个重叠的病理生理过程,内皮细胞在这一过程中发生分子事件,导致表型向间充质细胞转变。内皮细胞的可塑性和向间充质细胞表型的转变是 Pohl 等人近期研究的重点15 。Layton 等人探讨了 SGLT2 抑制剂在降低心血管疾病死亡率和发病率的同时,如何对慢性肾脏疾病的进展产生有益影响16。首先,17 假设围绕肾小球微循环调节的复杂调节网络有助于肾功能储备,并在生理过程中受到影响,如妊娠期肾功能以及糖尿病和急性肾损伤。间质细胞被认为既能清除肾小球中的病原体,又能沉积肾小球外的物质,有助于肾细胞免疫反应和肾小球细胞间信号转导18 ,是肾小球串联的重要介质19。19 Felten 等人20 研究了重症监护病房病人昼夜节律紊乱的情况,重点是各个器官的作用,以及稳定节律的干预措施在加强和加速临床康复方面的潜力。
{"title":"Recent advances in kidney research","authors":"Ralf Mrowka","doi":"10.1111/apha.14144","DOIUrl":"10.1111/apha.14144","url":null,"abstract":"&lt;p&gt;The kidney, pivotal for maintaining systemic homeostasis, remains one of the crucial target organs of physiological research, which has unveiled the intricate molecular mechanisms governing its function. In the following, we will highlight recent developments in the field of kidney research published in &lt;i&gt;Acta Physiologica&lt;/i&gt;. Both original research articles in the field of kidney research and reviews have been considered, providing an overview of some recent breakthroughs in renal physiology, encompassing glomerular filtration dynamics, tubular transport mechanisms, hormonal regulation, and the genetic and environmental determinants of renal health. The general scope of the articles reaches from basic research that helps to understand pathophysiology better to contributions that might have a potential clinical impact in the near future.&lt;/p&gt;&lt;p&gt;The kidney has several endocrine roles, secreting both hormones and humoral factors of, for example, the renin- angiotensin system (RAS), erythropoietin (EPO), and 1,25 dihydroxy vitamin D3. It is critically involved in vitamin D and phosphate homeostasis, which are both modulated by the by fibroblast growth factor 23 (FGF23).&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; In this study by Feger et al. the effect of short term fasting on FGF23 were analyzed. The experiments were performed in cell cultures of rat myocytes as well as in mice that were fasted overnight. The authors found higher β-hydroxybutyrate and FGF23 serum levels in fasted mice in contrast to the fed animals. Future studies are needed to decipher whether these observations from short term fasting are of clinical and practical relevance as blood tests of FGF23 become more and more relevant as biomarkers for monitoring diseases. Parathyroid hormone, in an intricately orchestrated interplay, controls calcium, phosphate and vitamin D levels. Alexander and Dimke.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; provide an in-depth review of PTH signaling along the renal tubule and its role in normal kidney function and pathophysiology.&lt;/p&gt;&lt;p&gt;The kidneys play a crucial role in systemic immune response reactions to infectious agents by filtering toxins and waste products from the blood, aiding in the regulation of fluid balance, and maintaining electrolyte equilibrium. In sepsis, the kidneys can be significantly impacted, leading to acute kidney injury (AKI) due to the body's response to infection, impaired blood flow, and the release of inflammatory mediators. Exercise has been suggested to have an protective effect in sepsis-associated organ dysfunction.&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; In a study by Xu et al.&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; the authors wanted to test that this effect is related to R-spondin 3. To this end the authors used inducible endothelial cell-specific RSPO3 knock out mice in a LPS-induced acute kidney injury model in trained and untrained mice. The authors find that aerobic exercise-trained mice were more resistant to LPS-induced body weight loss and hypothermia and had a si","PeriodicalId":107,"journal":{"name":"Acta Physiologica","volume":"240 6","pages":""},"PeriodicalIF":6.3,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/apha.14144","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334006","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
Ruxolitinib: A new hope for ventilator-induced diaphragm dysfunction Ruxolitinib:呼吸机诱发膈肌功能障碍的新希望
IF 6.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-03-29 DOI: 10.1111/apha.14128
Alex B. Addinsall, Nicola Cacciani, Noah Moruzzi, Hazem Akkad, Alice Maestri, Per-Olof Berggren, Anna Widegren, Jonas Bergquist, Tamara Tchkonia, James L. Kirkland, Lars Larsson

Aim

Mechanical ventilation (MV) results in diminished diaphragm size and strength, termed ventilator-induced diaphragm dysfunction (VIDD). VID increases dependence, prolongs weaning, and increases discharge mortality rates. The Janus kinase (JAK)/Signal Transducer and Activator of Transcription (STAT) pathway is implicated in VIDD, upregulated following MV. JAK/STAT inhibition alleviates chronic muscle wasting conditions. This study aimed to explore the therapeutic potential of Ruxolitinib, an FDA approved JAK1/2 inhibitor (JI) for the treatment of VIDD.

Methods

Rats were subjected to 5 days controlled MV (CMV) with and without daily Ruxolitinib gavage. Muscle fiber size and function were assessed. RNAseq, mitochondrial morphology, respirometry, and mass spectrometry were determined.

Results

CMV significantly reduced diaphragm size and specific force by 45% (p < 0.01), associated with a two-fold P-STAT3 upregulation (p < 0.001). CMV disrupted mitochondrial content and reduced the oxygen consumption rate (p < 0.01). Expression of the motor protein myosin was unaffected, however CMV alters myosin function via post-translational modifications (PTMs). Daily administration of JI increased animal survival (40% vs. 87%; p < 0.05), restricted P-STAT3 (p < 0.001), and preserved diaphragm size and specific force. JI was associated with preserved mitochondrial content and respiratory function (p < 0.01), and the reversal or augmentation of myosin deamidation PTMs of the rod and head region.

Conclusion

JI preserved diaphragm function, leading to increased survival in an experimental model of VIDD. Functional enhancement was associated with maintenance of mitochondrial content and respiration and the reversal of ventilator-induced PTMs of myosin. These results demonstrate the potential of repurposing Ruxolitinib for treatment of VIDD.

目的:机械通气(MV)会导致横膈膜大小和强度减小,称为呼吸机诱发的横膈膜功能障碍(VIDD)。VIDD 会增加依赖性、延长断奶时间并增加出院死亡率。Janus 激酶(JAK)/信号转导和转录激活因子(STAT)通路与 VIDD 有关,在 MV 之后上调。抑制 JAK/STAT 可减轻慢性肌肉萎缩症状。本研究旨在探索美国 FDA 批准的 JAK1/2 抑制剂(JI)--Ruxolitinib 治疗 VIDD 的潜力:方法:对大鼠进行为期5天的控制性中风(CMV)治疗,每天灌胃Ruxolitinib或不灌胃Ruxolitinib。评估肌肉纤维的大小和功能。对 RNAseq、线粒体形态学、呼吸测定和质谱进行了测定:结果:CMV使膈肌大小和比肌力明显减少45%(p 结论:JI保留了膈肌的大小和比肌力:在 VIDD 的实验模型中,JI 保护了膈肌功能,从而提高了存活率。功能增强与线粒体含量和呼吸的维持以及呼吸机诱导的肌球蛋白 PTMs 逆转有关。这些结果证明了将Ruxolitinib重新用于治疗VIDD的潜力。
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引用次数: 0
Loss of ceramide synthase 5 inhibits the development of experimentally induced aortic valve stenosis 神经酰胺合成酶 5 的缺失可抑制实验性主动脉瓣狭窄的发展。
IF 6.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-03-28 DOI: 10.1111/apha.14140
Laurine Reese, Sven Thomas Niepmann, Philip Düsing, Lea Hänschke, Thomas Beiert, Sebastian Zimmer, Georg Nickenig, Reinhard Bauer, Felix Jansen, Andreas Zietzer

Aim

Inflammation and calcification are hallmarks in the development of aortic valve stenosis (AVS). Ceramides mediate inflammation and calcification in the vascular tissue. The highly abundant d18:1,16:0 ceramide (C16) has been linked to increased cardiovascular mortality and obesity. In this study, we investigate the role of ceramide synthase 5 (CerS5), a critical enzyme for C16 ceramide synthesis, in the development of AVS, particularly in conjunction with a high-fat/high-cholesterol diet (Western diet, WD).

Methods

We used wild-type (WT) and CerS5−/− mice on WD or normal chow in a wire injury model. We measured the peak velocity to determine AVS development and performed histological analysis of the aortic valve area, immune cell infiltration (CD68 staining), and calcification (von Kossa). In vitro experiments involved measuring the calcification of human aortic valvular interstitial cells (VICs) and evaluating cytokine release from THP-1 cells, a human leukemia monocytic-like cell line, following CerS5 knockdown.

Results

CerS5−/− mice showed a reduced peak velocity compared to WT only in the experiment with WD. Likewise, we observed reduced immune cell infiltration and calcification in the aortic valve of CerS5−/− mice, but only on WD. In vitro, calcification was reduced after knockdown of CerS5 in VICs, while THP-1 cells exhibited a decreased inflammatory response following CerS5 knockdown.

Conclusion

We conclude that CerS5 is an important mediator for the development of AVS in mice on WD and regulates critical pathophysiological hallmarks of AVS formation. CerS5 is therefore an interesting target for pharmacological therapy and merits further investigation.

目的:炎症和钙化是主动脉瓣狭窄(AVS)发病的标志。神经酰胺介导血管组织中的炎症和钙化。高含量的 d18:1,16:0 神经酰胺(C16)与心血管死亡率上升和肥胖有关。在这项研究中,我们调查了神经酰胺合成酶 5(CerS5)在 AVS 发病过程中的作用,特别是在高脂肪/高胆固醇饮食(西方饮食,WD)的情况下:方法:我们使用野生型(WT)和 CerS5-/- 小鼠在钢丝损伤模型中食用 WD 或正常饲料。我们测量了峰值速度以确定 AVS 的发展,并对主动脉瓣面积、免疫细胞浸润(CD68 染色)和钙化(von Kossa)进行了组织学分析。体外实验包括测量人主动脉瓣间质细胞(VICs)的钙化情况,以及评估 CerS5 基因敲除后 THP-1 细胞(一种人白血病单核细胞样细胞系)释放细胞因子的情况:结果:仅在WD实验中,CerS5-/-小鼠的峰值速度低于WT小鼠。同样,我们观察到 CerS5-/- 小鼠主动脉瓣的免疫细胞浸润和钙化减少,但仅限于 WD 实验。在体外,VICs 中的 CerS5 被敲除后,钙化减少,而 THP-1 细胞在 CerS5 被敲除后,炎症反应减少:结论:我们得出结论,CerS5 是小鼠在 WD 下发生 AVS 的重要介质,并调节 AVS 形成的关键病理生理特征。因此,CerS5 是一个有趣的药物治疗靶点,值得进一步研究。
{"title":"Loss of ceramide synthase 5 inhibits the development of experimentally induced aortic valve stenosis","authors":"Laurine Reese,&nbsp;Sven Thomas Niepmann,&nbsp;Philip Düsing,&nbsp;Lea Hänschke,&nbsp;Thomas Beiert,&nbsp;Sebastian Zimmer,&nbsp;Georg Nickenig,&nbsp;Reinhard Bauer,&nbsp;Felix Jansen,&nbsp;Andreas Zietzer","doi":"10.1111/apha.14140","DOIUrl":"10.1111/apha.14140","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Inflammation and calcification are hallmarks in the development of aortic valve stenosis (AVS). Ceramides mediate inflammation and calcification in the vascular tissue. The highly abundant d18:1,16:0 ceramide (C16) has been linked to increased cardiovascular mortality and obesity. In this study, we investigate the role of ceramide synthase 5 (CerS5), a critical enzyme for C16 ceramide synthesis, in the development of AVS, particularly in conjunction with a high-fat/high-cholesterol diet (Western diet, WD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used wild-type (WT) and CerS5<sup>−/−</sup> mice on WD or normal chow in a wire injury model. We measured the peak velocity to determine AVS development and performed histological analysis of the aortic valve area, immune cell infiltration (CD68 staining), and calcification (<i>von Kossa</i>). In vitro experiments involved measuring the calcification of human aortic valvular interstitial cells (VICs) and evaluating cytokine release from THP-1 cells, a human leukemia monocytic-like cell line, following CerS5 knockdown.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>CerS5<sup>−/−</sup> mice showed a reduced peak velocity compared to WT only in the experiment with WD. Likewise, we observed reduced immune cell infiltration and calcification in the aortic valve of CerS5<sup>−/−</sup> mice, but only on WD. In vitro, calcification was reduced after knockdown of CerS5 in VICs, while THP-1 cells exhibited a decreased inflammatory response following CerS5 knockdown.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We conclude that CerS5 is an important mediator for the development of AVS in mice on WD and regulates critical pathophysiological hallmarks of AVS formation. CerS5 is therefore an interesting target for pharmacological therapy and merits further investigation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":107,"journal":{"name":"Acta Physiologica","volume":"240 5","pages":""},"PeriodicalIF":6.3,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/apha.14140","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140304034","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
Gestational cholestyramine treatment protects adult offspring of ApoE-deficient mice against maternal-hypercholesterolemia-induced atherosclerosis 妊娠胆碱治疗可保护载脂蛋白E缺陷小鼠的成年后代免受母体高胆固醇血症诱发的动脉粥样硬化的影响。
IF 6.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-03-28 DOI: 10.1111/apha.14133
Marina Habib, Mikael Croyal, Bertrand Kaeffer, Isabelle Grit, Blandine Castellano, Mathilde Gourdel, Cédric Le May, Chantal Thorin, Hassan Nazih, Khadija Ouguerram

Aim

Perinatal hypercholesterolemia exacerbates the development of atherosclerotic plaques in adult offspring. Here, we aimed to study the effect of maternal treatment with cholestyramine, a lipid-lowering drug, on atherosclerosis development in adult offspring of hypercholesterolemic ApoE-deficient (ApoE−/−) mice.

Methods

ApoE−/− mice were treated with 3% cholestyramine (CTY) during gestation (G). After weaning, offspring (CTY-G) were fed control diet until sacrificed at 25weeks of age. Atherosclerosis development in the aortic root of offspring was assessed after oil-red-o staining, along with some of predefined atherosclerosis regulators such as LDL and HDL by high-performance liquid chromatography (HPLC), and bile acids (BA) and trimethylamine N-oxide (TMAO) by liquid chromatography-mass spectrometry (LC–MS/MS).

Results

In pregnant dams, cholestyramine treatment resulted in significantly lower plasma total- and LDL-cholesterol as well as gallbladder total BA levels. In offspring, both males and females born to treated dams displayed reduced atherosclerotic plaques areas along with less lipid deposition in the aortic root. No significant change in plasma total cholesterol or triglycerides was measured in offspring, but CTY-G males had increased HDL-cholesterol and decreased apolipoproteins B100 to A-I ratio. This latter group also showed reduced gallbladder total and specifically tauro-conjugated bile acid pools, whereas for CTY-G females, hydrophilic plasma tauro-conjugated BA pool was significantly higher. They also benefited from lower plasma TMAO.

Conclusion

Prenatal cholestyramine treatment reduces atherosclerosis development in adult offspring of ApoE−/− mice along with modulating the plaques' composition as well as some related biomarkers such as HDL-C, bile acids and TMAO.

目的:围产期高胆固醇血症会加剧成年后代动脉粥样硬化斑块的发展。在此,我们旨在研究高胆固醇载脂蛋白E缺失(ApoE-/-)小鼠的母体使用降脂药物胆色素治疗对其成年后代动脉粥样硬化发育的影响:方法:在妊娠期(G)用3%的胆色素(CTY)治疗载脂蛋白E-/-小鼠。断奶后,给后代(CTY-G)喂食对照组食物,直到 25 周龄处死。后代主动脉根部的动脉粥样硬化发展情况经油-红-O染色后进行了评估,同时采用高效液相色谱法(HPLC)和液相色谱-质谱法(LC-MS/MS)评估了一些预定的动脉粥样硬化调节因子,如低密度脂蛋白(LDL)和高密度脂蛋白(HDL),以及胆汁酸(BA)和三甲胺N-氧化物(TMAO):结果:在妊娠母体中,胆色素治疗可显著降低血浆总胆固醇和低密度脂蛋白胆固醇以及胆囊总胆汁酸水平。在后代中,经治疗的母体所生的雄性和雌性都显示动脉粥样硬化斑块面积缩小,主动脉根部的脂质沉积减少。后代的血浆总胆固醇或甘油三酯没有明显变化,但CTY-G雄鼠的高密度脂蛋白胆固醇增加,脂蛋白B100与A-I的比率降低。后一组还显示胆囊总胆汁酸池和特异性牛磺酸结合胆汁酸池减少,而 CTY-G 雌性的亲水血浆牛磺酸结合胆汁酸池显著增加。结论:产前胆汁淤积可导致胆汁淤积:结论:产前服用胆色素可减少载脂蛋白E-/-小鼠成年后代动脉粥样硬化的发展,同时调节斑块的组成以及一些相关的生物标志物,如高密度脂蛋白胆固醇、胆汁酸和TMAO。
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引用次数: 0
cGMP-dependent kinase 2, Na+/H+ exchanger NHE3, and PDZ-adaptor NHERF2 co-assemble in apical membrane microdomains cGMP 依赖性激酶 2、Na+/H+ 交换子 NHE3 和 PDZ 适配因子 NHERF2 共同组装在顶端膜微域中。
IF 6.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-03-27 DOI: 10.1111/apha.14125
Min Luo, Yongjian Liu, Katerina Nikolovska, Brigitte Riederer, Enrico Patrucco, Franz Hofmann, Ursula Seidler

Aim

Trafficking, membrane retention, and signal-specific regulation of the Na+/H+ exchanger 3 (NHE3) are modulated by the Na+/H+ Exchanger Regulatory Factor (NHERF) family of PDZ-adapter proteins. This study explored the assembly of NHE3 and NHERF2 with the cGMP-dependent kinase II (cGKII) within detergent-resistant membrane microdomains (DRMs, “lipid rafts”) during in vivo guanylate cycle C receptor (Gucy2c) activation in murine small intestine.

Methods

Small intestinal brush border membranes (siBBMs) were isolated from wild type, NHE3-deficient, cGMP-kinase II-deficient, and NHERF2-deficient mice, after oral application of the heat-stable Escherichia coli toxin (STa) analog linaclotide. Lipid raft and non-raft fractions were separated by Optiprep density gradient centrifugation of Triton X-solubilized siBBMs. Confocal microscopy was performed to study NHE3 redistribution after linaclotide application in vivo.

Results

In the WT siBBM, NHE3, NHERF2, and cGKII were strongly raft associated. The raft association of NHE3, but not of cGKII, was NHERF2 dependent. After linaclotide application to WT mice, lipid raft association of NHE3 decreased, that of cGKII increased, while that of NHERF2 did not change. NHE3 expression in the BBM shifted from a microvillar to a terminal web region. The linaclotide-induced decrease in NHE3 raft association and in microvillar abundance was abolished in cGKII-deficient mice, and strongly reduced in NHERF2-deficient mice.

Conclusion

NHE3, cGKII, and NHERF2 form a lipid raft-associated signal complex in the siBBM, which mediates the inhibition of salt and water absorption by Gucy2c activation. NHERF2 enhances the raft association of NHE3, which is essential for its close interaction with the exclusively raft-associated activated cGKII.

目的:Na+/H+交换子3(NHE3)的运输、膜保留和信号特异性调控受Na+/H+交换子调控因子(NHERF)家族PDZ适配蛋白的调控。本研究探讨了小鼠小肠内鸟苷酸循环C受体(Gucy2c)活化过程中,NHE3和NHERF2与cGMP依赖性激酶II(cGKII)在抗清洁剂膜微域(DRMs,"脂筏")内的组装情况:方法:口服热稳定大肠杆菌毒素(STa)类似物利钠肽后,从野生型、NHE3缺陷型、cGMP激酶II缺陷型和NHERF2缺陷型小鼠体内分离小肠刷状缘膜(siBBMs)。通过对Triton X溶解的siBBMs进行Optiprep密度梯度离心分离脂筏和非移植部分。在体内应用利那洛肽后,共聚焦显微镜研究了NHE3的重新分布:结果:在 WT siBBM 中,NHE3、NHERF2 和 cGKII 呈强筏状关联。NHE3 的筏关联依赖于 NHERF2,而 cGKII 则不依赖于 NHERF2。对WT小鼠施用利那洛肽后,NHE3的脂筏关联性降低,cGKII的脂筏关联性增加,而NHERF2的脂筏关联性没有变化。NHE3在BBM中的表达从微绒毛区转移到了末端网状区。在cGKII缺失的小鼠中,亚麻酸钾诱导的NHE3筏联合和微绒毛丰度的减少被取消,而在NHERF2缺失的小鼠中则强烈减少:结论:NHE3、cGKII和NHERF2在siBBM中形成脂筏相关信号复合物,通过激活Gucy2c来介导对盐和水吸收的抑制。NHERF2 增强了 NHE3 的脂筏相关性,这对其与完全脂筏相关的活化 cGKII 密切相互作用至关重要。
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引用次数: 0
Go with the flow: Hemodynamic changes affect liver ultrastructure 顺其自然血流动力学变化影响肝脏超微结构
IF 6.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-03-25 DOI: 10.1111/apha.14141
Peter McCourt
<p>Heart failure (HF) is one of the leading causes of death in the Western world, and it is estimated that in the United States approximately 1 in 4 persons will develop HF in their lifetime.<span><sup>1</sup></span> Among the comorbidities associated with HF, various liver pathologies<span><sup>2</sup></span> will have major consequences for HF patients in the longer term, likely creating a vicious circle further exacerbating the disease. Kamila Wojnar-Lason et al. (2024—this issue of Acta Physiologica) report an interesting effect of chronic HF on liver ultrastructure in Tgαq*44 mice that develop progressive right ventricle dysfunction with aging.<span><sup>3</sup></span> Elegantly using a range of super-resolution microscopy methods including atomic force microscopy (AFM), transmission electron microscopy (TEM), and scanning EM (SEM), Wojnar-Lason et al. show that fenestrated liver sinusoidal endothelial cells (LSEC) in Tgαq*44 mice have reductions in their fenestration frequency and diameter. LSEC fenestrations are patent nanopores that are conduits for the bidirectional transfer of solutes between the plasma and the hepatocytes, and their loss (termed “defenestration”) negatively affects liver function, including the clearance of lipoproteins from the circulation.</p><p>The use of AFM to examine LSEC fenestrations was pioneered by Braet, Wisse et al.<span><sup>4</sup></span> The Chlopicki laboratory, in collaboration with the laboratories of Prof. Marek Szymonski (Jagiellonian University, Poland) and Dr. Bartlomiej Zapotoczny (Institute of Nuclear Physics, Polish Academy of Sciences), took this method on board and have since published numerous elegant AFM studies elucidating the ultrastructure of these nanopores.<span><sup>5-9</sup></span> In the present study, Chlopicki and colleagues also understood the need to include more “classic” methodologies, namely TEM and SEM, to demonstrate LSEC defenestration in situ within Tgαq*44 mice. Using these EM methods, Wojnar-Lason et al. produced clear and thoroughly convincing results, and the use of multiple/difficult methodologies in this study is highly commendable. Worthy of extra mention—the SEM images of liver sinusoids in figure 3 are a pleasure to behold, and clearly demonstrate that chronic HF causes defenestration in the Tgαq*44 model.</p><p>During ageing, age-related LSEC defenestration likely impairs the passage of insulin from the plasma to the hepatocytes contributing to age-related insulin resistance.<span><sup>10</sup></span> In addition, age-related LSEC defenestration is now accepted as a significant factor in age-related hyperlipidaemia.<span><sup>11</sup></span> In concordance with this, Wojnar-Lason et al. also noted prolonged postprandial hypertriglyceridemia in the Tgαq*44 model in 4-month-old mice and elevated LDL levels in the 12-month-old mice. The findings of Wojnar-Lason and colleagues—demonstrating that chronic HF causes LSEC defenestration—suggest that chronic HF-induced L
心力衰竭(HF)是西方国家的主要死因之一,据估计,在美国,大约每 4 个人中就有 1 人在一生中会患上心力衰竭1 。在与心力衰竭相关的并发症中,各种肝脏病变2 将对心力衰竭患者产生长期的重大影响,很可能会造成恶性循环,进一步加重病情。Kamila Wojnar-Lason等人(2024年-本期《生理学报》)报告了慢性高血压对Tgαq*44小鼠肝脏超微结构的有趣影响,这些小鼠会随着年龄增长出现进行性右心室功能障碍3。Wojnar-Lason 等人利用原子力显微镜 (AFM)、透射电子显微镜 (TEM) 和扫描电子显微镜 (SEM) 等一系列超分辨率显微镜方法优雅地显示,Tgαq*44 小鼠肝窦内皮细胞 (LSEC) 的栅栏频率和直径都有所下降。LSEC 的窦道是专利的纳米孔,是溶质在血浆和肝细胞之间双向传输的通道,它们的消失(称为 "脱栅栏")会对肝功能产生负面影响,包括从循环中清除脂蛋白。Chlopicki 实验室与 Marek Szymonski 教授(波兰雅盖隆大学)和 Bartlomiej Zapotoczny 博士(波兰科学院核物理研究所)的实验室合作,采用了这种方法,此后发表了大量精美的原子力显微镜研究报告,阐明了这些纳米孔的超微结构5-9。在本研究中,Chlopicki 及其同事还了解到有必要采用更 "经典 "的方法,即 TEM 和 SEM,以证明 LSEC 在 Tgαq*44 小鼠体内原位脱栅。Wojnar-Lason 等人使用这些电磁学方法得出了清晰而令人信服的结果,这项研究中多种/高难度方法的使用值得高度赞扬。值得特别一提的是,图 3 中肝窦的 SEM 图像令人赏心悦目,它清楚地表明慢性高血脂会导致 Tgαq*44 模型中的胰岛素脱失。此外,与年龄相关的 LSEC 剥脱目前已被认为是导致与年龄相关的高脂血症的一个重要因素。11 与此相一致,Wojnar-Lason 等人也注意到在 Tgαq*44 模型中,4 个月大的小鼠餐后高甘油三酯血症时间延长,12 个月大的小鼠低密度脂蛋白水平升高。Wojnar-Lason 及其同事的研究结果证明,慢性高血脂会导致 LSEC 脱落,这表明慢性高血脂诱导的 LSEC 脱落将发生在与年龄相关的脱落之上,而年龄相关的脱落发生在包括人类在内的多种哺乳动物身上。有趣的是,有些干预措施有可能逆转与年龄有关的脱栅现象,这也可能与高血脂有关。13-15 在本论文中,Wojnar-Lason 等人研究了 LSEC 的其他已知特性,特别是 LSEC 介导的清除废物大分子的作用。16 LSEC 是直径为 200 nm 的废物/胶体的贪婪清除者,而肝脏病学领域在很大程度上忽视了 LSEC 的这一特性。因此,我也赞扬作者对 Tgαq*44 小鼠这方面的研究。有趣的是,作者发现 Tgαq*44 与对照组小鼠的 LSEC 介导的 Ac-LDL 清除能力没有差异,但这很可能是使用微量 Ac-LDL 配体进行荧光检测的结果。容量研究与 Simon-Santamaria 等人的研究类似17使用饱和配体量和更精确的定量方法(如使用放射性标记配体)进行的能力研究,可能会发现两组 LSEC 介导的清除能力存在差异。作者报告了 Tgαq*44 小鼠各种参数的其他一些变化,如白蛋白和胆红素生成、血脂的年龄依赖性差异,以及 12 月龄小鼠γ-谷氨酰转移酶的显著增加,但(在我看来)慢性高频介导的 LSEC 清除是最引人注目的,对生理学的影响也最大。这项研究清楚地表明,慢性高血压引起的血流动力学变化会对 LSEC 的超微结构产生深远的负面影响。因此,它提出了一个问题:其他心脏疾病(如心律失常)是否也会对 LSEC 的结构和功能造成类似的破坏?
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