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Role of the Choroid Plexus Kir7.1 Channel in the Regulation of Mouse Cerebrospinal Fluid K+ Concentration 脉络膜丛Kir7.1通道在小鼠脑脊液K+浓度调节中的作用
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-11-10 DOI: 10.1111/apha.70129
Juan Carlos Henao, Johanna Burgos, Erwin Vera, Iván Ruminot, L. Pablo Cid, Isabel Cornejo, Francisco V. Sepúlveda

Aim

K+ channel Kir7.1 is prominently expressed at the apical membrane of the choroid plexus epithelium (CPE) together with the Na+-K+-ATPase pump and cotransporter NKCC1. Its unusual independence of extracellular K+ ([K+]o) suggests a key role in regulating cerebrospinal fluid (CSF) K+ concentration ([K+]CSF). We tested this hypothesis by exploring the effect of Kir7.1 inactivation or modification of its K+-dependence in mice.

Methods

We generate conditional Kir7.1 knockout (cKO) and knockin mice carrying the M125R mutation altering Kir7.1 K+-dependence. We study the electrical properties of CPE cells in vitro as well as in vivo CSF secretion and [K+]CSF. CPE NKCC1 activity, expression and phosphorylation status were also evaluated.

Results

Kir7.1 identified as the primary [K+]o-independent conductance in CPE cells, critically contributes to their membrane potential. CPE cells from Kir7.1-M125R mice exhibited a K+ conductance with direct dependence on [K+]o. While CSF secretion rates were unaltered in both cKO Kir7.1 and M125R animals, [K+]CSF was significantly decreased in cKO mice and increased in M125R mutants. Unexpectedly, NKCC1 activity was strongly inhibited in Kir7.1 cKO CPE despite unaltered expression and phosphorylation levels, but remained unaffected in M125R cells.

Conclusions

Kir7.1 imparts high K+ permeability and defines the membrane potential of CPE cells. Its unusual [K+]o-independent conductance underpins its important role in the regulation of [K+]CSF. Moreover, Kir7.1 appears crucial for NKCC1 function, likely these two proteins forming part of an apical complex with the Na+-K+-ATPase. Given the continuity of CSF with brain interstitial space, Kir7.1-mediated control of [K+]CSF might influence neuronal excitability.

目的:K+通道Kir7.1与Na+-K+- atp酶泵和共转运体NKCC1在脉络膜丛上皮(CPE)的顶膜上显著表达。它对细胞外K+ ([K+]o)的异常独立性表明它在调节脑脊液(CSF) K+浓度([K+]CSF)中起关键作用。我们通过在小鼠中探索Kir7.1失活或其K+依赖性修饰的影响来验证这一假设。方法:制备条件Kir7.1基因敲除(cKO)和敲入小鼠,小鼠携带改变Kir7.1 K+依赖性的M125R突变。我们在体外研究了CPE细胞的电学特性以及体内CSF分泌和[K+]CSF。并对CPE NKCC1活性、表达和磷酸化状态进行了评价。结果:Kir7.1被鉴定为CPE细胞中主要的[K+]o非依赖性电导,对CPE细胞的膜电位起关键作用。Kir7.1-M125R小鼠CPE细胞表现出K+电导,直接依赖于[K+]o。虽然cKO Kir7.1和M125R动物的脑脊液分泌率没有改变,但cKO小鼠的[K+]脑脊液分泌率显著降低,而M125R突变体的[K+]脑脊液分泌率显著升高。出乎意料的是,NKCC1活性在Kir7.1 cKO CPE中被强烈抑制,尽管表达和磷酸化水平没有改变,但在M125R细胞中不受影响。结论:Kir7.1具有较高的K+通透性,决定了CPE细胞的膜电位。其不寻常的[K+]o无关电导支持其在[K+]CSF调节中的重要作用。此外,Kir7.1似乎对NKCC1的功能至关重要,可能这两种蛋白质与Na+-K+- atp酶形成了一个顶端复合物的一部分。考虑到脑脊液与脑间隙的连续性,kir7.1介导的[K+]脑脊液的调控可能会影响神经元的兴奋性。
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引用次数: 0
Unique Role of Proximal Tubule Dipeptidyl Peptidase 4 on Blood Pressure, Renal Sodium Handling, and Na+/H+ Exchanger Isoform 3 Phosphorylation 近端小管二肽基肽酶4对血压、肾脏钠处理和Na+/H+交换物异构体3磷酸化的独特作用。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-11-04 DOI: 10.1111/apha.70127
Flavia L. Martins, Joao Carlos Ribeiro-Silva, Erika Fernandes de Jesus, Ravi Nistala, Adriana C. C. Girardi

Background

Dipeptidyl peptidase 4 (DPP4) is a transmembrane serine exopeptidase highly expressed in the proximal tubule (PT). While its enzymatic role is well characterized, its non-enzymatic functions remain unclear. DPP4 physically associates with the Na+/H+ exchanger isoform 3 (NHE3), and DPP4 inhibitors promote natriuresis; however, the mechanisms by which DPP4 regulates NHE3 and its role in blood pressure (BP) regulation remain controversial. We hypothesized that PT DPP4 promotes sodium reabsorption and attenuates pressure–natriuresis by preventing NHE3 phosphorylation at serine 552 (pS552).

Methods

We generated PT-specific Dpp4 knockout mice (Dpp4ΔPT) and examined the effects of PT-specific and global Dpp4 deletion (Dpp4−/−) on systolic blood pressure (SBP), natriuresis, and NHE3 phosphorylation at baseline and following acute angiotensin II (Ang II) infusion in male and female mice.

Results

Both Dpp4ΔPT and Dpp4−/− showed enhanced diuretic and natriuretic responses to saline loading, with higher renal pS552-NHE3, and unchanged baseline SBP. Ang II elevated DPP4 activity in controls but not in Dpp4ΔPT mice, suggesting that PT DPP4, rather than DPP4 in other nephron segments, is regulated by Ang II under these experimental conditions. Ang II increased SBP in all groups, but the pressor response was significantly attenuated in both Dpp4ΔPT and Dpp4−/− mice, paralleling sustained pS552-NHE3 elevation.

Conclusion

These findings demonstrate that DPP4 modulates NHE3 activity by preventing pS552-NHE3 accumulation, promoting an anti-natriuretic effect. In the absence of PT DPP4, these mechanisms are disrupted, reducing Ang II sensitivity, maintaining high pS552-NHE3 levels, and likely enhancing pressure–natriuresis, underscoring the role of PT DPP4 in modulating signaling mechanisms governing renal function.

背景:二肽基肽酶4 (DPP4)是一种在近端小管(PT)中高度表达的跨膜丝氨酸外肽酶。虽然其酶促作用已被很好地表征,但其非酶功能仍不清楚。DPP4与Na+/H+交换物异构体3 (NHE3)物理结合,DPP4抑制剂促进钠尿;然而,DPP4调控NHE3的机制及其在血压(BP)调节中的作用仍存在争议。我们假设PT DPP4通过阻止NHE3丝氨酸552 (pS552)磷酸化促进钠重吸收和减轻压力钠尿症。方法:我们生成了pt特异性Dpp4敲除小鼠(Dpp4ΔPT),并检测了pt特异性和全局Dpp4缺失(Dpp4-/-)对雄性和雌性小鼠基线和急性血管紧张素II (Ang II)输注后收缩压(SBP)、尿钠和NHE3磷酸化的影响。结果:Dpp4ΔPT和Dpp4-/-均对生理盐水负荷表现出增强的利尿和利钠反应,肾脏pS552-NHE3升高,基线收缩压不变。在对照组中,Ang II提高了DPP4的活性,但在Dpp4ΔPT小鼠中没有,这表明在这些实验条件下,Ang II调节的是PT DPP4,而不是其他肾细胞段的DPP4。Ang II在所有组中均升高收缩压,但Dpp4ΔPT和Dpp4-/-小鼠的升压反应均显著减弱,与持续的pS552-NHE3升高平行。结论:DPP4通过抑制pS552-NHE3的积累而调节NHE3活性,促进抗利钠作用。在缺乏PT DPP4的情况下,这些机制被破坏,降低Ang II敏感性,维持高pS552-NHE3水平,并可能增强压力钠尿,强调PT DPP4在调节肾功能信号机制中的作用。
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引用次数: 0
Mechanisms That Prevent Vascular Leakage During Leukocyte Extravasation 白细胞外渗过程中防止血管渗漏的机制。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-11-02 DOI: 10.1111/apha.70126
Siem J. de Haan, Jaap D. van Buul

Background

Inflammation is the response of the immune system against harmful stimuli in tissues. Leukocyte extravasation or TransEndothelial Migration (TEM) is a crucial step during inflammation, in which leukocytes migrate over the endothelial barrier toward the damaged tissue.

Objective

Historically, it was believed that leukocyte TEM directly causes excessive vascular leakage, resulting in tissue edema. However, it is now clear that leukocyte TEM and vascular leakage are uncoupled events with different spatiotemporal regulation. Moreover, several mechanisms have been identified that prevent vascular leakage during leukocyte TEM.

Conclusion

Here we summarize the different mechanisms that are responsible for limiting the leakage during the transmigration event and explore their clinical relevance in developing targeted therapeutics for controlling vascular leakage in inflammatory diseases.

背景:炎症是免疫系统对组织中有害刺激的反应。白细胞外渗或跨内皮迁移(TEM)是炎症过程中的关键步骤,白细胞越过内皮屏障向受损组织迁移。目的:历史上认为,白细胞透射电镜直接导致血管过度渗漏,导致组织水肿。然而,现在清楚的是,白细胞透射电镜和血管渗漏是具有不同时空调节的不耦合事件。此外,已经确定了几种防止白细胞透射电镜血管渗漏的机制。结论:本文总结了在血管转运过程中限制血管渗漏的不同机制,并探讨了它们在开发靶向治疗方法以控制炎症性疾病血管渗漏中的临床意义。
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引用次数: 0
Mitochondrial Dysfunction Contributes to Decompensation in a Zebrafish Model of Isoproterenol-Induced Heart Failure 线粒体功能障碍有助于异丙肾上腺素诱导的斑马鱼心力衰竭模型的失代偿
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-10-31 DOI: 10.1111/apha.70128
Manuel Vicente, Aaron García-Blázquez, Antonio Martínez-Sielva, Jussep Salgado-Almario, Joaquín Jordán, Beatriz Domingo, Juan Llopis

Aim

Heart failure is a clinical syndrome where the heart's structural or functional impairment leads to inadequate blood flow to meet the body's metabolic demands. Mitochondrial dysfunction is increasingly recognized as a central contributor underlying the contractile impairment observed in the failing heart. This study aimed to explore the interplay between calcium dynamics, cardiac mechanical performance, and mitochondrial ATP production during the progression of heart failure in zebrafish larvae exposed to chronic isoproterenol stimulation.

Methods

Heart failure was induced by treating zebrafish larvae with 100 μM isoproterenol from 3 to 14 days postfertilization (dpf). Cardiac calcium transients, contractility, and mitochondrial ATP levels were assessed in vivo using transgenic lines expressing specific fluorescent biosensors. Additionally, transcriptomic analysis by RNA sequencing was performed on hearts collected at 14 dpf following prolonged isoproterenol exposure.

Results

After 4 days of isoproterenol treatment (7 dpf), larvae exhibited ventricular dilation, reduced calcium levels, and diminished contractile force (p < 0.0001), although cardiac output remained intact. In contrast, extended treatment (11 days; 14 dpf) led to decompensated heart failure, characterized by a significant decline in cardiac output (p < 0.0001). Mitochondrial ATP levels were preserved at 7 dpf but dropped markedly at 14 dpf (p < 0.0001). Transcriptomic profiling at this later stage revealed downregulation of key functions (p < 0.05) involved in mitochondrial energy metabolism and energy transfer.

Conclusion

In this model, heart dysfunction was initially evidenced by cardiac dilation. At 4 days of isoproterenol treatment, calcium levels and contractility decreased. Subsequently, decompensation coincided with a collapse in mitochondrial ATP production.

目的心力衰竭是一种临床综合征,心脏的结构或功能损伤导致血液流量不足,无法满足身体的代谢需求。线粒体功能障碍越来越被认为是在心力衰竭中观察到的收缩损伤的核心贡献者。本研究旨在探讨慢性异丙肾上腺素刺激下斑马鱼幼体心力衰竭进展过程中钙动力学、心脏机械性能和线粒体ATP产生之间的相互作用。方法在斑马鱼受精后3 ~ 14天,用100 μM异丙肾上腺素处理斑马鱼幼体诱导心力衰竭。使用表达特定荧光生物传感器的转基因细胞系在体内评估心脏钙瞬变、收缩力和线粒体ATP水平。此外,通过RNA测序对长时间异丙肾上腺素暴露后14 dpf采集的心脏进行转录组学分析。结果异丙肾上腺素处理4天后(7 dpf),幼虫表现出心室扩张、钙水平降低和收缩力减弱(p < 0.0001),但心输出量保持不变。相比之下,延长治疗(11天;14 dpf)导致失代偿性心力衰竭,其特征是心输出量显著下降(p < 0.0001)。线粒体ATP水平在7 dpf时保持不变,但在14 dpf时显著下降(p < 0.0001)。后期转录组学分析显示,参与线粒体能量代谢和能量转移的关键功能下调(p < 0.05)。结论在该模型中,心功能障碍最初表现为心脏扩张。异丙肾上腺素治疗第4天,钙水平和收缩力下降。随后,失代偿与线粒体ATP产生的崩溃同时发生。
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引用次数: 0
Estrogen and Estrogen Receptors in Cardioimmunology: Implications in Physiology, Pathophysiology, and Therapeutic Strategies 雌激素和雌激素受体在心脏免疫学中的作用:生理学、病理生理学和治疗策略。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-10-30 DOI: 10.1111/apha.70124
Hongjian Hou, Gabriel K. Adzika

Estrogen (E2) and estrogen receptors (ERs) play vital roles in conferring cardioprotection by modulating several immunological homeostatic responses in cardiovascular tissues. Over the recent decades, the role of inflammatory responses as a tangential component impacting cardiac function and disease are being appreciated and investigated to elucidate the underlying pathomechanisms, identify and develop therapeutic strategies; thus, the emergence of the multi-disciplinary field—cardioimmunology. Here, after summarizing expressions and functionalities of ERs in cellular constituents of the cardiovascular system, we discuss synergistic estrogenic signaling mechanisms preserving cardiovascular function and immune homeostasis. Next, we review studies implicating E2 and ERs in inflammation-driven cardiovascular disease initiation and progression and highlight therapeutic strategies and clinical implications to foster further research into promoting cardiovascular health.

雌激素(E2)和雌激素受体(er)通过调节心血管组织中的多种免疫稳态反应,在赋予心脏保护作用中发挥重要作用。近几十年来,炎症反应作为影响心功能和疾病的切线成分的作用正在得到重视和研究,以阐明潜在的病理机制,确定和制定治疗策略;因此,出现了多学科领域——心脏免疫学。在总结了内质网在心血管系统细胞成分中的表达和功能后,我们讨论了维持心血管功能和免疫稳态的协同雌激素信号传导机制。接下来,我们回顾了E2和er在炎症驱动的心血管疾病的发生和发展中的研究,并强调了治疗策略和临床意义,以促进进一步研究促进心血管健康。
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引用次数: 0
Caloric Restriction Substantially Improves Glucose Regulation in Mice With Hnf1a-Deficient Beta-Cells 热量限制大大改善了hnf1a缺陷β细胞小鼠的葡萄糖调节。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-10-30 DOI: 10.1111/apha.70121
Shayla Sharmine, Thomas Aga Legøy, Lucas Unger, Joao A. Paulo, Luiza Ghila, Simona Chera

Aim

HNF1A-MODY, the most prevalent form of monogenic diabetes, displays incomplete penetrance, indicating the involvement of other environmental and genetic factors in the disease etiology. Currently, it is largely unknown what the influence of environmental factors, such as toxins or diet, is on HNF1A-MODY onset and progression. Here we address this issue by exploring the impact of diet on islet and insulin-secreting beta-cells in the context of HNF1A mutation.

Methods

Transgenic mice allowing the specific Hnf1a mutation in insulin-secreting beta-cells were exposed to four distinct dietary regimens including combinations of high-fat diet and caloric restriction. In vitro stem cell islets bearing the HNF1AP291fsinsC heterozygous mutation and their isogenic controls were used for validation in humans. The readouts included physiological tests, immunofluorescence, proteomics, bulk, and single-cell transcriptomics.

Results

Hnf1a-deficient beta-cells exhibited high sensitivity to dietary cues. Exposure to a high-fat diet exacerbated the glucose regulation defects, while caloric restriction significantly improved blood glucose levels in vivo, without perturbing islet architecture. The high-throughput methods identified changes in the Hnf1a-deficient beta-cells proteome landscape, involving conserved critical regulators of metabolic and growth processes, such as the Carbohydrate Response Element Binding Protein (Chrebp/Mlxipl) and ATP citrate lyase (Acly) among others.

Conclusions

This study hallmarks the important impact of diet on Hnf1a-deficient beta-cells, stemming new therapeutic perspectives, such as future diet management approaches.

目的:HNF1A-MODY是最常见的单基因糖尿病形式,其表现为不完全外显,表明其他环境和遗传因素参与了该疾病的病因学。目前,环境因素(如毒素或饮食)对HNF1A-MODY发病和进展的影响在很大程度上是未知的。在这里,我们通过探讨饮食对HNF1A突变背景下胰岛和胰岛素分泌β细胞的影响来解决这个问题。方法:在胰岛素分泌β细胞中允许特异性Hnf1a突变的转基因小鼠暴露于四种不同的饮食方案中,包括高脂肪饮食和热量限制的组合。携带HNF1AP291fsinsC杂合突变的体外干细胞胰岛及其等基因对照用于人类验证。读数包括生理测试、免疫荧光、蛋白质组学、批量和单细胞转录组学。结果:缺乏hnf1a的β细胞对饮食线索表现出高度敏感性。暴露于高脂肪饮食加剧了葡萄糖调节缺陷,而热量限制显著改善了体内血糖水平,而不会扰乱胰岛结构。高通量方法确定了hnf1a缺陷β细胞蛋白质组的变化,涉及代谢和生长过程的保守关键调节因子,如碳水化合物反应元件结合蛋白(Chrebp/Mlxipl)和ATP柠檬酸裂解酶(Acly)等。结论:该研究标志着饮食对hnf1a缺陷β细胞的重要影响,开辟了新的治疗前景,如未来的饮食管理方法。
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引用次数: 0
Immunological Protein Signature During Acute Exercise 急性运动中的免疫蛋白特征。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-10-29 DOI: 10.1111/apha.70125
Charlotte Wenzel, David Walzik, Tiffany Wences, Sina Trebing, Klaus Meyer, Andreas Groll, Philipp Zimmer, Niklas Joisten
{"title":"Immunological Protein Signature During Acute Exercise","authors":"Charlotte Wenzel,&nbsp;David Walzik,&nbsp;Tiffany Wences,&nbsp;Sina Trebing,&nbsp;Klaus Meyer,&nbsp;Andreas Groll,&nbsp;Philipp Zimmer,&nbsp;Niklas Joisten","doi":"10.1111/apha.70125","DOIUrl":"10.1111/apha.70125","url":null,"abstract":"","PeriodicalId":107,"journal":{"name":"Acta Physiologica","volume":"241 12","pages":""},"PeriodicalIF":5.6,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145399170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring Desmin as a Potential Modifier in Duchenne Muscular Dystrophy–Associated Cardiomyopathy 探索Desmin作为杜氏肌营养不良相关心肌病的潜在调节剂。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-10-29 DOI: 10.1111/apha.70117
Brice-Emmanuel Guennec, Yeranuhi Hovhannisyan, Gaëlle Revet, Sila Polat, Medhi Hassani, Nathalie Mougenot, Inès Barthelemy, Stephane Blot, Caroline Cieniewski-Bernard, Arnaud Ferry, Ekaterini Kordeli, Zhenlin Li, Onnik Agbulut

Aim

Duchenne muscular dystrophy (DMD), a rare X-linked genetic disorder, is affecting skeletal and cardiac muscles due to the loss of the dystrophin protein. Modifier proteins, whose expression is altered in DMD patients, may influence disease progression. Desmin, a muscle-specific intermediate filament protein, is increased in the skeletal muscle of mdx mice, a murine model of DMD with a mild phenotype. Here, we inquired whether desmin acts as a modifier in DMD-associated cardiomyopathy.

Methods

Soluble and insoluble desmin levels were quantified in the hearts of two mdx mouse models (B10.mdx and D2.mdx), and GRMD dystrophic dogs. The expression of desmin-regulatory proteins was also assessed in mdx mice. To assess the impact of desmin levels on the phenotype, we generated mdx mice either desmin-deficient (mdx-Des−/−) or with reduced levels of desmin by introducing a heterozygous desmin knock-out allele (mdx-Des+/−). Phenotypic analyses included cardiac function assessment and histological evaluation.

Results

In mdx mice, desmin was elevated in its insoluble, phosphorylated, and presumably filamentous form, while GRMD dogs with a severe DMD-like phenotype showed no such increase. Desmin deficiency in mdx mice led to severely aggravated dystrophic features, including cardiac dysfunction and increased fibrosis. Moreover, partial desmin reduction in mdx-Des+/− mice led to the abrogation of insoluble desmin increase and worsened the mild mdx dystrophic phenotype.

Conclusion

Increased filamentous desmin appears to be protective in mdx mouse hearts and may modulate the severity of DMD cardiomyopathy. These findings support a modifier role for desmin and highlight this protein as a potential therapeutic target for DMD.

目的:杜氏肌营养不良症(DMD)是一种罕见的x连锁遗传疾病,由于肌营养不良蛋白的缺失而影响骨骼肌和心肌。修饰蛋白,其表达在DMD患者中改变,可能影响疾病进展。Desmin是一种肌肉特异性的中间纤维蛋白,在mdx小鼠骨骼肌中增加,mdx小鼠是一种轻度表型的DMD小鼠模型。在这里,我们探讨了desmin是否作为dmd相关心肌病的调节剂。方法:定量测定两种mdx小鼠模型(B10;mdx和D2。mdx)和GRMD营养不良犬。mdx小鼠中desmin调节蛋白的表达也被评估。为了评估desmin水平对表型的影响,我们通过引入杂合desmin敲除等位基因(mdx- des +/-),产生了desmin缺乏(mdx- des -/-)或desmin水平降低的mdx小鼠。表型分析包括心功能评估和组织学评估。结果:在mdx小鼠中,desmin以其不溶性,磷酸化和可能的丝状形式升高,而具有严重dmd样表型的GRMD犬则没有这种增加。mdx小鼠的Desmin缺乏导致严重加重的营养不良特征,包括心功能障碍和纤维化增加。此外,mdx- des +/-小鼠的部分desmin减少导致不溶性desmin增加的消除,加重了轻度mdx营养不良表型。结论:mdx小鼠心肌丝状蛋白增加具有保护作用,并可能调节DMD心肌病的严重程度。这些发现支持desmin的修饰作用,并强调该蛋白是DMD的潜在治疗靶点。
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引用次数: 0
Is Predisposition to T2D Impacted by Polymorphisms in Genes Involved in Insulin Signaling and Cellular Bioenergetics? 胰岛素信号和细胞生物能量学相关基因的多态性是否会影响糖尿病的易感性?
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-10-29 DOI: 10.1111/apha.70122
Benudhara Pati, Martin Jastroch, Naresh Chandra Bal

Background

Type 2 diabetes (T2D) represents a growing global health challenge, with its prevalence and associated metabolic complications rising sharply over the past two decades. Although the pathogenesis of T2D is complex and influenced by lifestyle and (micro)environmental factors, genetic constituents have been considered major predisposing factors. Recent literature shows significant individual variations in both the progression of T2D and the efficacy of antidiabetic drugs. These individual variations are expected to emanate from the inherent genetic make-up and potential epigenetic modifications by environmental factors.

Hypothesis

It has been proposed that altered metabolism (including cellular bioenergetic mechanisms) provides protection from T2D. Moreover, several researchers have proposed that proteins regulating cellular bioenergetics, for example, involved in adaptive thermogenesis, represent good targets to counter T2D. Therefore, we thoroughly searched the literature on genetic variability associated with T2D in this review.

Results

We could only find genes involved in (1) insulin secretion (INS, PDX1, ABCC8, KCNJ11, KCNQ1, CDKAL1, IGFBP2) and (2) cellular bioenergetics in insulin-responsive tissues (INSR, IRS, AKT, SLC2A4, TBC1D4, PPP1R3A, LEP, LEPR, ADIPOQ, TCF7L2, PPAR-γ, SLC30A8). Specific attention is given to diverse ethnic populations, in particular Indian subgroups where these genetic factors may display clearer association to T2D.

Conclusion

By emphasizing genetic predispositions, this review highlights the lack of studies on the genetic association of cellular bioenergetics proteins in T2D pathogenesis. It also underscores the potential for early detection, personalized management, and the development of targeted therapies for individuals with T2D across different genetic profiles.

背景:2型糖尿病(T2D)是一个日益严重的全球健康挑战,其患病率和相关代谢并发症在过去二十年中急剧上升。虽然T2D的发病机制复杂,受生活方式和(微)环境因素的影响,但遗传成分被认为是主要的易感因素。最近的文献显示,t2dm的进展和降糖药物的疗效存在显著的个体差异。这些个体差异预计来自内在的基因构成和潜在的表观遗传修饰的环境因素。假设:已经提出改变代谢(包括细胞生物能量机制)提供对T2D的保护。此外,一些研究人员提出,调节细胞生物能量学的蛋白质,例如,参与适应性产热的蛋白质,是对抗T2D的良好靶点。因此,我们在本综述中全面检索了与T2D相关的遗传变异文献。结果:我们只发现了参与胰岛素分泌的基因(INS、PDX1、ABCC8、KCNJ11、KCNQ1、CDKAL1、IGFBP2)和参与胰岛素应答组织细胞生物能量学的基因(INSR、IRS、AKT、SLC2A4、TBC1D4、PPP1R3A、LEP、LEPR、ADIPOQ、TCF7L2、PPAR-γ、SLC30A8)。特别关注不同种族人群,特别是印度亚群,这些遗传因素可能显示出与T2D更清晰的关联。结论:本文通过强调遗传易感性,强调了细胞生物能量学蛋白在T2D发病机制中的遗传关联研究的缺乏。它还强调了早期发现、个性化管理和针对不同基因谱的T2D患者开发靶向治疗的潜力。
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引用次数: 0
Twenty-Four Hour Rhythms in Cardiovascular Physiology 心血管生理学中的24小时节律。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-10-17 DOI: 10.1111/apha.70116
Morten B. Thomsen

Many physiological parameters, such as heart rate and blood pressure, display pronounced daily rhythms, with significant differences between day and night levels. The ability to anticipate the 24 h cycle of ambient light confers an adaptive advantage, allowing organisms to prepare for periods of activity and rest. Considering chronophysiology is essential when designing, conducting, and interpreting laboratory experiments because of the often considerable amplitude of the rhythms. This review introduces a straightforward mathematical tool to detect 24 h rhythms in physiological datasets. Next, the review examines 24-h diurnal rhythms in heart rate, QT interval, and blood pressure, based on telemetry recordings from conscious, freely moving mice. These examples illustrate how long-term, continuous monitoring of physiological parameters enables precise characterization of daily cycles when present. Furthermore, the large datasets obtained through methods such as telemetry make it possible to determine whether the observed rhythms are dependent on heart rate. Circadian and diurnal rhythms play an essential role in cardiovascular physiology, influencing key parameters such as heart rate and blood pressure. Considering chronophysiology is therefore essential when designing, conducting, and interpreting physiological studies.

许多生理参数,如心率和血压,显示出明显的昼夜节律,在白天和晚上的水平上有显著差异。预测环境光24小时周期的能力赋予了生物体适应性优势,使其能够为活动和休息做好准备。在设计、指导和解释实验室实验时,考虑时间生理学是必不可少的,因为通常节律的幅度相当大。这篇综述介绍了一种简单的数学工具来检测生理数据集中的24小时节律。接下来,根据有意识、自由活动的小鼠的遥测记录,研究了24小时的心率、QT间期和血压的昼夜节律。这些例子说明了长期、连续监测生理参数如何能够在存在时精确描述每日周期。此外,通过遥测等方法获得的大数据集使得确定观察到的节律是否依赖于心率成为可能。昼夜节律在心血管生理中起着至关重要的作用,影响心率和血压等关键参数。因此,在设计、实施和解释生理学研究时,考虑时间生理学是必不可少的。
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引用次数: 0
期刊
Acta Physiologica
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