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Cardiomyocyte engineering: The meeting point of transcription factors, signaling networks, metabolism and function 心肌细胞工程:转录因子、信号网络、代谢和功能的交汇点。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-01-12 DOI: 10.1111/apha.14271
Oksana O. Piven, Raminta Vaičiulevičiūtė, Eiva Bernotiene, Pawel Dobrzyn

Direct cardiac reprogramming or transdifferentiation is a relatively new and promising area in regenerative therapy, cardiovascular disease modeling, and drug discovery. Effective reprogramming of fibroblasts is limited by their plasticity, that is, their ability to reprogram, and depends on solving several levels of tasks: inducing cardiomyocyte-like cells and obtaining functionally and metabolically mature cardiomyocytes. Currently, in addition to the use of more classical approaches such as overexpression of exogenous transcription factors, activation of endogenous cardiac transcription factors via controlled nucleases, such as CRISPR, represents another interesting way to obtain cardiomyocytes. Therefore, special attention is given to the potential of synthetic biology, in particular the CRISPR system, for the targeted conversion of only certain subpopulations of fibroblasts into cardiomyocytes. However, obtaining functionally and metabolically mature cardiomyocytes remains a challenge despite the range of recently developed approaches. In this review, we summarized current knowledge on the function and diversity of human cardiac fibroblasts and alternative cell sources for in vitro human cardiomyocyte models. We examined in detail the transcription factors that initiate cardiomyogenic reprogramming and their interactions. Additionally, we critically analyzed the strategies used for the metabolic and physiological maturation of induced cardiomyocytes.

直接心脏重编程或转分化在再生治疗、心血管疾病建模和药物发现方面是一个相对较新的和有前途的领域。成纤维细胞的有效重编程受到其可塑性的限制,即它们的重编程能力,并取决于解决几个层面的任务:诱导心肌细胞样细胞和获得功能和代谢成熟的心肌细胞。目前,除了使用外源性转录因子过表达等更经典的方法外,通过控制核酸酶(如CRISPR)激活内源性心脏转录因子是另一种获得心肌细胞的有趣方法。因此,合成生物学,特别是CRISPR系统的潜力被给予了特别的关注,因为它可以将成纤维细胞的某些亚群靶向转化为心肌细胞。然而,尽管最近开发了一系列方法,但获得功能和代谢成熟的心肌细胞仍然是一个挑战。在这篇综述中,我们总结了目前关于人类心脏成纤维细胞的功能和多样性以及体外人类心肌细胞模型的替代细胞来源的知识。我们详细研究了启动心肌重编程的转录因子及其相互作用。此外,我们批判性地分析了用于诱导心肌细胞代谢和生理成熟的策略。
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引用次数: 0
Proteinuria and tubular cells: Plasticity and toxicity 蛋白尿和小管细胞:可塑性和毒性。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-01-10 DOI: 10.1111/apha.14263
Anna Faivre, Thomas Verissimo, Sophie de Seigneux

Aim

Proteinuria is the most robust predictive factors for the progression of chronic kidney disease (CKD), and interventions targeting proteinuria reduction have shown to be the most effective nephroprotective treatments to date. While glomerular dysfunction is the primary source of proteinuria, its consequences extend beyond the glomerulus and have a profound impact on tubular epithelial cells. Indeed, proteinuria induces notable phenotypic changes in tubular epithelial cells and plays a crucial role in driving CKD progression. This comprehensive review aims to elucidate the mechanisms involved in the tubular handling of proteins and explore the potential effects of proteinuria on the function of tubular epithelial cells.

Methods

This paper is a narrative review. Litterature review was performed on PubMed from its inception until 2024, focusing on the effects of proteinuria on tubular cells.

Results

The review highlights the toxic effects of plasma proteins on tubular epithelial cells through signal transduction pathways, as well as endoplasmic reticulum stress activation, oxidative stress, and metabolic alterations. Additionally, it provides an updated understanding of the dynamic phenotypic changes occurring within the nephron in response to proteinuria.

Conclusions

By examining the intricate interplay between proteinuria and tubular epithelial cells, this review sheds light on key factors contributing to CKD progression and unveils potential targets for therapeutic interventions.

目的:蛋白尿是慢性肾脏疾病(CKD)进展最可靠的预测因素,以减少蛋白尿为目标的干预措施已被证明是迄今为止最有效的肾保护治疗方法。虽然肾小球功能障碍是蛋白尿的主要来源,但其后果超出肾小球,并对小管上皮细胞产生深远影响。事实上,蛋白尿诱导小管上皮细胞显著的表型改变,并在驱动CKD进展中起关键作用。本文旨在阐明小管处理蛋白质的机制,并探讨蛋白尿对小管上皮细胞功能的潜在影响。方法:本文为叙述性综述。从PubMed成立到2024年进行文献综述,重点关注蛋白尿对小管细胞的影响。结果:本综述强调了血浆蛋白通过信号转导途径、内质网应激激活、氧化应激和代谢改变对小管上皮细胞的毒性作用。此外,它还提供了对蛋白尿时肾元内发生的动态表型变化的最新理解。结论:通过研究蛋白尿和小管上皮细胞之间复杂的相互作用,本综述揭示了CKD进展的关键因素,并揭示了治疗干预的潜在靶点。
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引用次数: 0
The pleiotropic effects of PCSK9 in cardiovascular diseases beyond cholesterol metabolism 除胆固醇代谢外,PCSK9在心血管疾病中的多效作用
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-01-10 DOI: 10.1111/apha.14272
Gang Liu, Xiatian Yu, Chaochu Cui, Xiao Li, Tianyun Wang, Philip T. Palade, Jawahar L. Mehta, Xianwei Wang

Cardiovascular diseases (CVD) are the leading cause of morbidity and mortality globally, with elevated low-density lipoprotein cholesterol (LDL-C) levels being a major risk factor. Proprotein convertase subtilisin/kexin type 9 (PCSK9) plays a critical role in regulating LDL-C levels by promoting the degradation of hepatic low-density lipoprotein receptors (LDLR) responsible for clearing LDL-C from the circulation. PCSK9 inhibitors are novel lipid-modifying agents that have demonstrated remarkable efficacy in reducing plasma LDL-C levels and decreasing the incidence of CVD. However, the broader clinical impacts of PCSK9 functions beyond cholesterol metabolism, including both desired and undesired effects from therapeutic PCSK9 inhibition, underscore the urgent necessity to elucidate the underlying mechanisms. Recent studies have shown that local PCSK9 in the vascular system can interact with other receptors such as CD36, LRP-1, and ABCA1. This provides new evidence supporting the potential contribution of PCSK9 to CVD through LDLR-independent signaling pathways. Therefore, this review aimed to outline the diverse effects of PCSK9 on CVD and discuss the underlying mechanisms in non-cholesterol-related processes, which will provide a rational basis for its long-term pharmacological inhibition in the clinic.

心血管疾病(CVD)是全球发病率和死亡率的主要原因,低密度脂蛋白胆固醇(LDL-C)水平升高是一个主要的危险因素。蛋白转化酶subtilisin/ keexin type 9 (PCSK9)通过促进肝脏低密度脂蛋白受体(LDLR)的降解在调节LDL-C水平中发挥关键作用,而肝脏低密度脂蛋白受体负责从循环中清除LDL-C。PCSK9抑制剂是一种新型的脂质调节剂,在降低血浆LDL-C水平和降低心血管疾病发病率方面表现出显著的疗效。然而,PCSK9功能在胆固醇代谢之外的更广泛的临床影响,包括治疗性PCSK9抑制的期望和不期望的影响,强调了阐明其潜在机制的迫切必要性。最近的研究表明,血管系统中的局部PCSK9可以与其他受体如CD36、LRP-1和ABCA1相互作用。这提供了新的证据,支持PCSK9通过不依赖ldlr的信号通路对CVD的潜在贡献。因此,本综述旨在概述PCSK9在心血管疾病中的多种作用,并探讨其在非胆固醇相关过程中的潜在机制,为其临床长期药理抑制提供合理依据。
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引用次数: 0
Deuterated water (2H2O) can be used to quantify hemoglobin synthesis and red blood cell lifespan in humans 氘化水(2H2O)可用于定量人体血红蛋白合成和红细胞寿命。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-12-20 DOI: 10.1111/apha.14259
Hilkka Kontro, Chris McGlory, Martin J. MacInnis
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引用次数: 0
Of manuscripts and memories: Passing the pen to Tobias 手稿和记忆:把笔交给托拜厄斯。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-12-19 DOI: 10.1111/apha.14255
Pontus B. Persson
<p>Imagine awarding authors one of the highest honors in scientific publishing, only to receive an insult in response. Picture writing to inform them they've won the US$100000 <i>Acta Physiologica</i> Award, and instead of gratitude, getting a fiery phone call. Initially, the author thought it was a prank. But once the truth sunk in, it was amusing to witness the quick change in tone—scrambling to recover and secure the award.</p><p>Reflecting on 12 years as Editor-in-Chief of <i>Acta Physiologica</i>, the predominant feeling is one of the deep gratitude and pride. The long journey transformed the journal, elevating its readership, recognition, and scientific impact to new heights. This success is due to the unwavering dedication of our authors, the expertise of our reviewers, the editorial team's rigor, and the enthusiasm of our readers. Together, we've shaped <i>Acta Physiologica</i> into an internationally respected journal that pushes the field of physiology ever forward.</p><p>Today, the editorial team and I are thrilled to welcome Professor Tobias Wang as the new Editor-in-Chief. A distinguished physiologist from Aarhus University, Tobias brings a remarkable depth of experience and an impressive record of achievements. His pioneering work in respiratory and comparative physiology, along with his insights into thermoregulation, make the foremost voice in the field, as seen in his acclaimed articles and television appearances. Having collaborated with Tobias on our editorial team, it's clear he has the vision and drive to lead <i>Acta Physiologica</i> to even greater success. He is the force behind our journal's latest developments.</p><p>We are all in great debt to our previous expert editors Joakim Ek, Lena Eliasson, Karl-Heinz Herzig, Tadashi Isa, Sari Lauri, Bridgit Lumb, Mikko Nikinmaa, Mia Phillipson, and Ursula Seidler. Naturally, the true Chief Editor of this term, Carola Neubert is unforgotten. Inside the eye of the tornado, she makes order out of chaos and will stay onboard with Tobias.</p><p>Excuse me Peter (Peter Bie) for being such a pain in the neck at times. You are the one I thank most for providing me with the honor of becoming <i>Acta Physiologica</i>'s Chief Editor and you are the one that bailed me out when my visions got out of hand. Besides that, you were the first expert editor for kidney physiology during my term and a great friend.</p><p>Together, these extraordinary scientists have shaped <i>Acta Physiologica</i> to reflect the very best of physiology across its diverse fields. Alongside our broader community of readers and contributors, they have transformed the journal over the past decade.</p><p>As the official journal of the Scandinavian Physiological Society (SPS), <i>Acta Physiologica</i> fulfills a unique mission. The SPS, a charitable nonprofit, reinvests journal profits back into the physiological community—funding travel grants, symposia, awards, and more. Being part of a journal that prioritizes the growth
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引用次数: 0
Targeting histone deacetylase 6 (HDAC6) in Duchenne muscular dystrophy: New insights into therapeutic potential 靶向组蛋白去乙酰化酶6 (HDAC6)治疗杜氏肌营养不良:治疗潜力的新见解
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-12-16 DOI: 10.1111/apha.14256
Alexis Osseni, Laurent Schaeffer
<p>Rodney and colleagues provide compelling evidence for the therapeutic potential of selective histone deacetylase 6 (HDAC6) inhibition in <i>mdx</i> mice, a widely used model of Duchenne muscular dystrophy (DMD).<span><sup>1</sup></span> Their study reveals that HDAC6 inhibition promotes enhanced autophagy through increased tubulin acetylation, offering new hope for treatment strategies targeting this critical enzyme. This research sheds light on the potential of HDAC6 inhibitors to address some of the key pathological features of DMD.</p><p>Duchenne muscular dystrophy is a severe, progressive neuromuscular disorder caused by mutations in the dystrophin gene on the X chromosome.<span><sup>2</sup></span> Affecting approximately 1 in 3500 male births, DMD leads to the absence of dystrophin, a structural protein that connects muscle fibers to the extracellular matrix. Without dystrophin, muscle cells are vulnerable to damage and progressive degeneration. DMD typically presents in early childhood, with delayed motor milestones, muscle weakness, and difficulty standing. As the disease progresses, children develop a characteristic waddling gait, difficulty climbing stairs, and progressive muscle loss, ultimately leading to wheelchair dependence by age 12. Complications such as skeletal deformities, breathing difficulties, and cardiomyopathy arise, and most patients do not survive beyond their 30s due to respiratory and cardiac failure.</p><p>Despite two decades of research, no cure for DMD exists, and current treatments remain limited to glucocorticoid therapy. Although innovative genetic approaches, such as exon skipping, gene editing with CRISPR/Cas9, and viral vector-mediated dystrophin delivery, show promise, challenges like inconsistent efficacy, off-target effects, and incomplete dystrophin restoration in muscle tissues—especially in the heart—have slowed progress. As a result, a more comprehensive treatment strategy, combining genetic and pharmacological approaches, is likely necessary to address the multifaceted nature of DMD.</p><p>Over the past 20 years, HDAC inhibitors have shown promise in pre-clinical DMD models. Givinostat, a pan-HDAC inhibitor, was recently FDA-approved for its ability to slow disease progression in ambulatory boys with DMD.<span><sup>3</sup></span> However, pan-HDAC inhibitors can have undesirable side effects, including genotoxicity and impaired DNA repair. To mitigate these risks, more selective HDAC inhibitors have been developed, with HDAC6 emerging as a particularly attractive target. HDAC6-specific inhibitors have been shown to have several advantages over pan-HDAC inhibitors, including a lack of severe side effects. For instance, <i>HDAC6 knockout</i> mice do not exhibit significant pathological features, suggesting that selective inhibition of HDAC6 may be safe and beneficial.<span><sup>4</sup></span></p><p>In animal models, HDAC6 inhibition has demonstrated therapeutic effects in a range of disorders, includi
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引用次数: 0
A potential link between enteric glia and the pathophysiology of diet-induced obesity and related metabolic diseases 肠胶质细胞与饮食引起的肥胖和相关代谢疾病的病理生理之间的潜在联系。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-12-06 DOI: 10.1111/apha.14258
Onesmo B. Balemba, Brian D. Gulbransen
<p>Enteric glia are a large population of peripheral neuroglia that accompany neurons in the enteric nervous system. These cells have diverse functions and engage in bidirectional communication with various cell types, including enteric neurons, immune cells, and possibly the gut microbiota.<span><sup>1, 2</sup></span> Enteric glia play important roles in maintaining gastrointestinal (GI) homeostasis, and it is thought that alterations in their functions could be pivotal in the development of GI disorders. For instance, gains or losses in glial functions contribute to abnormal gut barrier function, inflammation, immune activation, and motor control. Understanding mechanisms by which enteric glia serve as “guardians” of the mucosal barrier has been an area of considerable interest; however, their involvement in mucosal barrier dysfunction is still debated.<span><sup>3</sup></span></p><p>Inflammation caused by altered diet–gut microbiome–host interactions is considered an important driver of increased epithelial permeability in the development of obesity; yet the underlying mechanisms remain poorly understood.<span><sup>4, 5</sup></span> A recent study by D'Antongiovanni et al.<span><sup>6</sup></span> in Acta Physiologica Volume 240 addressed this issue by exploring potential contributions of enteric glia in gut barrier dysfunction driven by ingesting a Western (high-fat) diet. This study specifically focused on potential roles of inflammasome activation in glia as a potential contributor to diet-induced inflammation. The investigators approached this question using wild-type C57BL/6J and NLRP3-KO<sup>−/−</sup> mice fed a 60-kcal high-fat diet (HFD) or standard diet for 8 weeks and studied mucosal integrity by histology, immunolabeling, and western blot. Potential reactive gliosis processes and inflammasome activation were assessed by immunolabeling for glial fibrillary acidic protein (GFAP) and co-labeling for inflammasome components.</p><p>The data show that mice consuming a HFD for 8 weeks increased body weight, altered colon mucus composition by decreasing acidic mucins, disrupted epithelial barrier integrity, increased GFAP-positive glial cells (gliosis), and triggered NLRP3 inflammasome activation. Surprisingly, HFD-NLRP3<sup>−/−</sup> mice failed to gain weight on the HFD and did not exhibit signs of enteric gliosis or altered mucus composition and epithelial barrier integrity. Based on these results, the authors suggested that inflammasome activation is involved in causing obesity, impairing the mucosal barrier, and activating gliosis. To test this concept more directly, the investigators turned to in vitro coculture experiments with a rat-transformed cell line used to model enteric glia (CRL-2690) and a rat intestinal epithelial cell (IEC) line. Challenging cultures with a combination of lipopolysaccharide (LPS) and palmitate was then used to broadly test whether dietary saturated fatty acids and endotoxins disrupt the epithelial barrier
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引用次数: 0
Did you know: Kangaroos are resistant to ventricular arrhythmia 你知道吗?袋鼠对室性心律失常有抵抗力。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-12-05 DOI: 10.1111/apha.14257
Kirstine Calloe, Stefan M Sattler, Julie Norup Hertel, Carsten Grøndahl, Stamatios Alan Tahas, Morten B. Thomsen
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引用次数: 0
Chloride fluxes and GABA release sustain inhibition in the CNS: The role for Bestrophin 1 anion channels 氯离子通量和 GABA 释放维持中枢神经系统的抑制作用:Bestrophin 1 阴离子通道的作用。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-11-26 DOI: 10.1111/apha.14254
Alexei Verkhratsky, Verena Untiet, Vladimir V. Matchkov
<p>In the current issue of <i>Acta Physiologica</i>, Di Papma et al.<span><sup>1</sup></span> revealed a widespread brain expression of Ca<sup>2+</sup>-dependent anion (chloride) channel Bestrophin 1 (Best1) in both neurones and neuroglia. Chloride ions (Cl<sup>−</sup>) are indispensable for ionotropic inhibition of neurons in the central nervous system (CNS). This inhibition is mainly mediated by GABA<sub>A</sub> and glycine pentameric receptors, the ligand-gated anion channels. Thus, controlling Cl<sup>−</sup> homeostasis is paramount for balancing inhibition and excitation in the nervous circuits, which is critical for CNS function. An aberrant inhibition in the nervous circuits leads to many neurological and neuropsychiatric diseases, including epilepsy and mood disorders.<span><sup>2, 3</sup></span></p><p>Homeostasis of Cl<sup>−</sup> in the CNS is functionally segregated between neurones and astrocytes. In the mature brain, neurones keep cytoplasmic Cl<sup>−</sup> concentration ([Cl<sup>−</sup>]<sub><i>i</i></sub>) low at around ~5–10 mM, while astrocytes maintain high [Cl<sup>−</sup>]<sub><i>i</i></sub> in the range of 30–60 mM.<span><sup>4</sup></span> This disparity defines the functional outcome of the opening of anion channels: in neurones an opening of anion channels mediates Cl<sup>−</sup> influx (which results in hyperpolarization which inhibits neuronal activity), whereas in astrocytes these channels mediate depolarising Cl<sup>−</sup> efflux. Such an opposite arrangement of the [Cl<sup>−</sup>]<sub><i>i</i></sub> homeostasis is critical for maintaining synaptic and extrasynaptic neuronal inhibition. That is, Cl<sup>−</sup> influx into neurones may deplete Cl<sup>−</sup> from the extracellular space but Cl<sup>-</sup> is replenished by a continuous supply of Cl<sup>−</sup> ions from astrocytes.<span><sup>5</sup></span> This coordinated Cl<sup>−</sup> movement between cells and extracellular space is greatly facilitated by a close synaptic association of neuronal and astrocytic compartments, which form a multipartite synapse and a synaptic cradle.<span><sup>6</sup></span> At the inhibitory synapses, the postsynaptic neuronal specialization, as well as astrocytic perisynaptic leaflets, possess GABA<sub>A</sub> receptors.<span><sup>5</sup></span> Hence, presynaptic GABA release opens anion channels in both neuronal and astrocytic membranes. Considering that extracellular Cl<sup>−</sup> concentration can be less than the presumed 120 mM,<span><sup>7</sup></span> astrocytic Cl<sup>−</sup> supply is critical for sustaining inhibitory synaptic transmission. Indeed, optogenetic manipulations with astrocytic [Cl<sup>−</sup>]<sub><i>i</i></sub> substantially affect neuronal inhibition.<span><sup>4</sup></span></p><p>Another key player in Cl<sup>−</sup> homeostasis in the brain tissue is represented by Ca<sup>2+</sup>-activated Cl<sup>−</sup> channels that link together cells excitation, expressed as an intracellular Ca<sup>2+</sup> raise, an
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引用次数: 0
Correction to “Beneficial effects of MGL-3196 and BAM15 combination in a mouse model of fatty liver disease” 更正 "MGL-3196 和 BAM15 联合疗法在脂肪肝小鼠模型中的益处"。
IF 5.6 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-11-12 DOI: 10.1111/apha.14250

Zhou, M., Li, C., Byrne, F. L., Vancuylenburg, C. S., Olzomer, E. M., Hargreaves, A., Wu, L. E., Shackel, N. A., Santos, W. L., & Hoehn, K. L. Beneficial effects of MGL-3196 and BAM15 combination in a mouse model of fatty liver disease. Acta Physiologica. 2014; 240(10): e14217. https://doi.org/10.1111/apha.14217

In Figure 1A, the compound structure of MGL-3196 is incorrect due to an extra bond between the Cl and N. The corrected structure (below) has the bond between the Cl and N removed.

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引用次数: 0
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