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SLC41A2 Suppresses Colon Cancer Progression by Inhibiting GSK3β Ubiquitin-proteasome Degradation. SLC41A2通过抑制GSK3β泛素蛋白酶体降解抑制结肠癌进展。
IF 2.5 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-07-07 DOI: 10.2174/0115665240397574250630060947
Yueyao Lu, Ying Shen, Jinsong Liu, Jianzhong Deng, Yue Wang, Qian Liu, Wenbin Lu

Background: Colon cancer is a highly prevalent tumor with a high mortality rate worldwide. SLC41A2 is a member of the solute carrier family, but its role in colon cancer is still unclear.

Methods: The relationship between the expression level of SLC41A2 and clinicopathological features in colon cancer was investigated using data from the TCGA database. The differential expression genes of SLC41A2 were identified the potential role of SLC41A2 in colon cancer was analysed through Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis. By transfecting plasmids or siRNA to overexpress or knock down SLC41A2 in colon cancer cells, the effects of SLC41A2 on colon cancer cell proliferation, migration, and apoptosis were detected through EdU, MTT, wound-healing, Transwell, and JC-1 experiments. Western blot and ubiquitination experiments validated the regulation of GSK3β stability by SLC41A2. Rescue experiments and CCK8 assays confirmed the regulatory effect of SLC41A2 on GSK3β.

Results: Compared to normal tissues, SLC41A2 exhibited a lower expression level in colon cancer, and the expression levels of SLC41A2 were correlated with the stage and Tumor Node Metastasis (TNM) classification. GO and KEGG analyses displayed that SLC41A2 primarily affected the growth factor activity and Wnt signaling pathway. Furthermore, elevated expression of SLC41A2 notably decreased the proliferation, migration and invasion of colon cancer cells, along with increased apoptosis. The overexpression of SLC41A2 and rescue experiments confirmed that SLC41A2 enhances the protein stability of GSK3β by inhibiting its ubiquitin-proteasome degradation and causes the upregulation of GSK3β, thereby suppressing the progression of colon cancer.

Conclusion: SLC41A2 was lowly expressed in colon cancer tissues or cells. By inhibiting the ubiquitin-proteasome degradation of GSK3β, SLC41A2 can significantly upregulate the expression of GSK3β, which ultimately suppresses the proliferation and migration of colon cancer cells.

背景:结肠癌是世界范围内发病率高、死亡率高的肿瘤。SLC41A2是溶质载体家族的成员,但其在结肠癌中的作用尚不清楚。方法:利用TCGA数据库的数据,研究SLC41A2表达水平与结肠癌临床病理特征的关系。鉴定SLC41A2的差异表达基因,通过基因本体(GO)和京都基因与基因组百科全书(KEGG)分析SLC41A2在结肠癌中的潜在作用。通过转染质粒或siRNA在结肠癌细胞中过表达或敲低SLC41A2,通过EdU、MTT、创面愈合、Transwell和JC-1实验检测SLC41A2对结肠癌细胞增殖、迁移和凋亡的影响。Western blot和泛素化实验验证了SLC41A2对GSK3β稳定性的调控作用。救援实验和CCK8实验证实了SLC41A2对GSK3β的调节作用。结果:与正常组织相比,SLC41A2在结肠癌中的表达水平较低,且SLC41A2的表达水平与分期及肿瘤淋巴结转移(Tumor Node Metastasis, TNM)分型相关。GO和KEGG分析显示,SLC41A2主要影响生长因子活性和Wnt信号通路。此外,SLC41A2表达升高可显著降低结肠癌细胞的增殖、迁移和侵袭,并增加凋亡。SLC41A2过表达和救援实验证实,SLC41A2通过抑制GSK3β的泛素蛋白酶体降解,增强GSK3β的蛋白稳定性,引起GSK3β的上调,从而抑制结肠癌的进展。结论:SLC41A2在结肠癌组织或细胞中低表达。SLC41A2通过抑制GSK3β的泛素蛋白酶体降解,显著上调GSK3β的表达,最终抑制结肠癌细胞的增殖和迁移。
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引用次数: 0
Gut Microbiota-Induced Long Non-Coding RNA Snhg9 Regulates the Development of Human Malignant Tumors. 肠道微生物诱导的长链非编码RNA Snhg9调控人类恶性肿瘤的发展
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-07-03 DOI: 10.2174/0115665240366916250629064055
Dengke Jia, Yaping He, Qianle Chen, Yawu Zhang

Gut microbes influence the progression of human malignancies through their recognition by the immune system and their effects on numerous metabolic pathways. Long non-coding RNA is a key target of intestinal microbiota involved in the progression of human malignant tumors. Current research shows that there is a close cross-talk between long non-coding RNA Snhg9 and intestinal microorganisms, and it is widely involved in the progression of human malignant tumors. An in-depth study of the interaction between long non-coding RNA and intestinal flora and the intrinsic regulatory mechanism of snhg9 will provide new and powerful therapeutic targets for future research on human malignant tumors.

肠道微生物通过免疫系统的识别及其对多种代谢途径的影响来影响人类恶性肿瘤的进展。长链非编码RNA是参与人类恶性肿瘤进展的肠道微生物群的关键靶点。目前的研究表明,长链非编码RNA Snhg9与肠道微生物之间存在密切的串扰,并广泛参与人类恶性肿瘤的进展。深入研究长链非编码RNA与肠道菌群的相互作用以及snhg9的内在调控机制,将为今后人类恶性肿瘤的研究提供新的有力的治疗靶点。
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引用次数: 0
Pancreatic Elastase Affects Liver Injury by Activating Pro-Inflammatory Cytokines in Kupffer Cells via the JAK2/STAT3 Signaling Pathway. 胰腺弹性蛋白酶通过JAK2/STAT3信号通路激活Kupffer细胞中的促炎性细胞因子影响肝损伤
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-07-01 DOI: 10.2174/0115665240363959250624052201
Ying Feng, Xinxin Jin, Haoyu Xu, Bo Sun, Meixia Guo, Minli Li

Introduction: This study aimed to investigate the role of JAK2 (Janus kinase 2)/STAT3 (signal transducer and activator of transcription 3) signaling in liver injury during severe acute pancreatitis (SAP), focusing on pancreatic elastase- and lipopolysaccharide (LPS)-induced Kupffer cell (KC) activation.

Methods: A rat SAP model was established via retrograde taurocholic acid infusion into the biliopancreatic duct. Inflammatory cytokine levels and JAK2/STAT3 pathway activity were quantified in liver tissues. KCs were treated with elastase/LPS ± AG490 (JAK2 inhibitor). Proinflammatory cytokines, RNA, and protein expression were analyzed.

Results and discussion: SAP rats exhibited elevated TNF-α, IL-6, and IL-18 levels in both serum and liver tissues, with JAK2/STAT3 pathway activation. AG490 administration suppressed JAK2/STAT3 activation, reduced inflammation, and alleviated liver injury. Similarly, KCs treated with elastase and LPS showed increased proinflammatory cytokine levels and JAK2/STAT3 upregulation, which were mitigated by AG490 treatment.

Conclusion: The findings highlighted the pivotal role of the JAK2/STAT3 signaling pathway in SAP-induced liver injury. Selective inhibition of this pathway by AG490 could reduce inflammation and protect against liver damage, suggesting its potential as a therapeutic target for inflammatory liver diseases.

本研究旨在探讨JAK2 (Janus kinase 2)/STAT3 (signal transducer and activator of transcription 3)信号在严重急性胰腺炎(SAP)肝损伤中的作用,重点研究胰腺弹性酶和脂多糖(LPS)诱导的Kupffer细胞(KC)活化。方法:采用胆总管逆行灌注牛磺胆酸法建立大鼠SAP模型。在肝组织中量化炎症细胞因子水平和JAK2/STAT3通路活性。KCs用弹性酶/LPS±AG490 (JAK2抑制剂)处理。分析促炎细胞因子、RNA和蛋白的表达。结果和讨论:SAP大鼠血清和肝组织中TNF-α、IL-6和IL-18水平升高,JAK2/STAT3通路激活。AG490抑制JAK2/STAT3激活,减少炎症,减轻肝损伤。同样,用弹性蛋白酶和LPS处理的KCs显示出促炎细胞因子水平升高和JAK2/STAT3上调,而AG490处理则减轻了这一现象。结论:这些发现强调了JAK2/STAT3信号通路在sap诱导的肝损伤中的关键作用。AG490选择性抑制该途径可减少炎症并保护肝脏免受损害,提示其可能成为炎症性肝病的治疗靶点。
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引用次数: 0
Role of Exosomes from Nucleus Pulposus Cells in Attenuating Intervertebral Disc Degeneration by Inhibiting Nucleus Pulposus Cell Apoptosis via the miR-8485/GSK-3β/Wnt/β-catenin Signaling Axis. 髓核细胞外泌体通过miR-8485/GSK-3β/Wnt/β-catenin信号轴抑制髓核细胞凋亡减轻椎间盘退变的作用
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-06-23 DOI: 10.2174/0115665240370788250617070218
Weiye Zhang, Ping Zhang, Jiawen Zhan, Xu Wei, Yuxuan Du, Ke Zhao, Liguo Zhu, Rong Xie, Hualong Xie, Shuaiqi Zhou, Gewen Wang, Chuhao Cai

Background: Studies have shown that abnormal stress is a significant inducer of Intervertebral Disc Degeneration (IVDD). Although traction force is commonly used to delay IVDD, its effects on Nucleus Pulposus Cells (NPCs) and their secreted exosomes remain unclear. In addition, this study systematically revealed the relationship between miR-8485 and IVDD for the first time.

Methods: Cellular experiments were performed using a Flexcell cell stretching platform to apply traction force to NPCs. After optimizing loading parameters, NPCderived exosomes (NPCs-exo) were isolated and subjected to miRNA high-throughput sequencing. Differentially expressed miRNAs were identified, and their regulatory effects on the Wnt/β-catenin pathway were investigated. Ex vivo rabbit spinal samples were used to validate the cellular experimental results under traction force loading.

Results: NPCs-exo were found to be internalized by NPCs, and traction force promoted NPCs-exo secretion. High-throughput sequencing and differential expression analysis identified miR-8485 as a differentially expressed miRNA in NPCsexo secreted under Cyclic Mechanical Tension (CMT) conditions. Dual-luciferase reporter assays confirmed the targeted regulatory relationship between miR-8485 and GSK-3β, as well as its involvement in the Wnt/β-catenin pathway-mediated regulation of NPCs degeneration. Ex vivo experiments, including morphological and immunofluorescence analyses, revealed that the traction group exhibited better morphology than the pressure group, with a more organized AF, NP, and higher NPCs content, though some loss persisted. Both groups showed significant differences in ECM markers (Collagen II, Aggrecan, MMP3) compared to the control (p < 0.05). Additionally, the traction group had significantly higher Collagen II and Aggrecan levels than the pressure group (p < 0.05).

Conclusion: CMT can promote the secretion of NPCs-exo, which are internalized by the NPCs. Through the delivery of miR-8485, NPCs-exo target and regulate GSK-3β, thereby enhancing Wnt/β-catenin pathway activity. This mechanism increases NPCs viability and extracellular matrix synthesis while suppressing apoptosis, ultimately delaying IVDD progression. Immunofluorescence staining in animal experiments confirmed that traction force effectively improves extracellular matrix expression in the IVD and mitigates stress-induced morphological alterations of the IVD.

背景:研究表明异常应激是椎间盘退变(IVDD)的重要诱因。虽然牵引力通常用于延迟IVDD,但其对髓核细胞(NPCs)及其分泌外泌体的影响尚不清楚。此外,本研究首次系统揭示了miR-8485与IVDD的关系。方法:采用Flexcell细胞拉伸平台对npc施加牵引力,进行细胞实验。优化加载参数后,分离npc衍生外泌体(NPCs-exo)并进行miRNA高通量测序。鉴定了差异表达的mirna,并研究了它们对Wnt/β-catenin通路的调节作用。采用兔离体脊髓标本验证牵引载荷作用下的细胞实验结果。结果:NPCs-exo被NPCs内化,牵引力促进NPCs-exo分泌。高通量测序和差异表达分析发现,miR-8485是循环机械张力(CMT)条件下分泌的NPCsexo中差异表达的miRNA。双荧光素酶报告基因检测证实了miR-8485与GSK-3β之间的靶向调控关系,以及其参与Wnt/β-catenin通路介导的npc变性调控。体外实验,包括形态学和免疫荧光分析,显示牵引组比压力组表现出更好的形态学,AF、NP更有组织,npc含量更高,但仍存在一些损失。两组ECM标志物(Collagen II、Aggrecan、MMP3)与对照组比较差异均有统计学意义(p < 0.05)。牵引组ⅱ型胶原蛋白和聚集蛋白水平显著高于压力组(p < 0.05)。结论:CMT可促进NPCs-exo的分泌,NPCs-exo被NPCs内化。NPCs-exo通过递送miR-8485靶向并调控GSK-3β,从而增强Wnt/β-catenin通路活性。这种机制增加了NPCs的活力和细胞外基质合成,同时抑制细胞凋亡,最终延缓IVDD的进展。动物实验免疫荧光染色证实,牵引力能有效改善IVD细胞外基质的表达,减轻应力诱导的IVD形态学改变。
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引用次数: 0
The Role of the TRIM Family in Lung Cancer Development: An Emerging Player with Therapeutic Potential. TRIM家族在肺癌发展中的作用:一个具有治疗潜力的新兴参与者。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-06-20 DOI: 10.2174/0115665240377498250614100838
Jinxin Li, Yiling Wang, Jinbai Huang, Wei Wang, Dezhou Cheng, Qing Yang, Xiaochun Peng

Lung cancer is one of the most prevalent malignancies and a leading cause of cancer-related deaths worldwide. E3 ubiquitin ligase activity is a common feature of most TRIM proteins, highlighting the family's critical role in regulating the biological behaviors of tumor cells and influencing various cellular physiological activities, including apoptosis, innate immunity, development, and intracellular signaling. In lung cancer, certain TRIM proteins function either as oncoproteins or cancer suppressors. This review explores the unique function of TRIM in lung cancer development, focusing on the molecular processes of TRIM proteins. Finally, we provide an overview of recent advancements in the prognosis and therapeutic strategies for lung cancer involving TRIM proteins.

肺癌是世界上最常见的恶性肿瘤之一,也是癌症相关死亡的主要原因。E3泛素连接酶活性是大多数TRIM蛋白的共同特征,突出了该家族在调节肿瘤细胞生物学行为和影响细胞凋亡、先天免疫、发育和细胞内信号转导等多种细胞生理活动中的关键作用。在肺癌中,某些TRIM蛋白要么作为癌蛋白,要么作为癌抑制因子。本文综述了TRIM在肺癌发展中的独特功能,重点介绍了TRIM蛋白的分子过程。最后,我们概述了与TRIM蛋白相关的肺癌预后和治疗策略的最新进展。
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引用次数: 0
Exploring the Therapeutic Role of Pregnane X Receptor Activation in Acute Kidney Injury: Mechanisms and Clinical Implications. 探索妊娠X受体激活在急性肾损伤中的治疗作用:机制和临床意义。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-06-12 DOI: 10.2174/0115665240381768250607064429
Qiming Fan, Huihui Song, Kexin Zhang, Chengxia Kan, Sufang Sheng, Yujie Ma, Xiaodong Sun, Ruiyan Pan, Zhentao Guo

Acute Kidney Injury (AKI) is a critical condition characterized by a rapid decline in kidney function, often resulting from ischemia-reperfusion, nephrotoxicity, or inflammation. Current treatments primarily rely on renal replacement therapies, which remain limited and controversial. The pregnane X receptor (PXR), a nuclear receptor involved in drug metabolism, immune regulation, and cellular homeostasis, has emerged as a promising target for AKI therapy. Preclinical studies suggest that PXR activation demonstrates protective effects in AKI through multiple mechanisms, including reducing inflammation, oxidative stress, and mitochondrial dysfunction. Specifically, PXR modulates nuclear factor-κB (NF-κB) signaling, supports mitochondrial function, regulates apoptosis, and enhances renal hemodynamics, thus mitigating AKI progression. Furthermore, PXR's role in the gut-liver-kidney axis strengthens intestinal barrier integrity and bile acid homeostasis, contributing to renal protection. Recent advances in research on the PXR agonists rifampicin and tanshinone IIA (TanIIA) highlight the potential of PXR-targeted therapies to mitigate nephrotoxicity and promote kidney recovery. This review provides a comprehensive analysis of PXR's protective mechanisms in AKI, underscoring its therapeutic potential and paving the way for new treatment strategies.

急性肾损伤(AKI)是一种以肾功能迅速下降为特征的危重疾病,通常由缺血-再灌注、肾毒性或炎症引起。目前的治疗主要依靠肾脏替代疗法,这仍然是有限的和有争议的。妊娠X受体(PXR)是一种参与药物代谢、免疫调节和细胞稳态的核受体,已成为AKI治疗的一个有希望的靶点。临床前研究表明,PXR激活通过多种机制显示出对AKI的保护作用,包括减少炎症、氧化应激和线粒体功能障碍。具体来说,PXR调节核因子-κB (NF-κB)信号,支持线粒体功能,调节细胞凋亡,增强肾脏血流动力学,从而减缓AKI的进展。此外,PXR在肠-肝-肾轴中的作用增强了肠屏障的完整性和胆汁酸的稳态,有助于肾脏保护。最近关于PXR激动剂利福平和丹参酮IIA (TanIIA)的研究进展强调了PXR靶向治疗在减轻肾毒性和促进肾脏恢复方面的潜力。本文综述了PXR在AKI中的保护机制,强调了其治疗潜力,并为新的治疗策略铺平了道路。
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引用次数: 0
Hemochromatosis and Hepatic Complications: A Comprehensive Review of Molecular Mechanisms, Diagnostics, and Emerging Therapeutics. 血色素沉着病和肝脏并发症:分子机制、诊断和新兴治疗方法的综合综述。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-06-04 DOI: 10.2174/0115665240371495250505054101
Farhan Ikhtiar, Adil Jamal, Amina Arif, Muhammad Naveed Shahid, Syed M Safeer Mehdi Bokhari

Hemochromatosis is an autosomal recessive iron overload disorder. It occurs due to a failure in the hepcidin response, leading to systemic iron overload. The high iron levels in the plasma stored in various organs cause injury and permanent damage. There are two types of hemochromatosis: primary and secondary. In non- HFE hemochromatosis, mutations in the HJV, HAMP, TRF2, and SLC40A1 genes are implicated, with the associated condition classified as type I hemochromatosis. In contrast, juvenile hemochromatosis (type II hemochromatosis/ HFE II) is linked to mutations in the hemojuvelin gene or the antimicrobial peptide hepcidin. In this study, relevant literature in databases, including PubMed, MEDLINE records, Cochrane Central Register of Controlled Trials (CENTRAL), Google Scholar, and Embase, was searched. Our study inclusion criteria encompassed both experimental and observational studies or a combination of both, with data derived from the human population. The exclusion criteria included animal models, observational studies, and unpublished data. Hepcidin is usually up-regulated in response to high serum iron, but it is unexpectedly low in patients with hemochromatosis because of mutations in HFE, hemojuvelin (JH), and transferrin receptor 2 (TfR2). TfR2, expressed by hepatocytes, is mutated in hemochromatosis type III. Future research directions include exploring the molecular mechanisms underlying the effects of the TFR2 gene variant on iron homeostasis and liver damage and investigating potential therapeutic targets for treating hemochromatosis-related liver disease. Additionally, further epidemiological and modern genetic engineering studies are needed to better understand the prevalence and impact of hemochromatosis on liver health in different populations.

血色素沉着症是一种常染色体隐性铁超载疾病。它的发生是由于hepcidin反应失败,导致全身铁超载。储存在各个器官中的血浆中的高铁水平会造成损伤和永久性损伤。血色素沉着症有两种类型:原发性和继发性。在非HFE血色素沉着症中,涉及HJV、HAMP、TRF2和SLC40A1基因的突变,相关疾病被归类为I型血色素沉着症。相反,青少年血色素沉着症(II型血色素沉着症/ HFE II)与血液少年素基因或抗菌肽hepcidin的突变有关。本研究检索了PubMed、MEDLINE、Cochrane Central Register of Controlled Trials (Central)、谷歌Scholar、Embase等数据库的相关文献。我们的研究纳入标准包括实验研究和观察研究或两者的结合,数据来自人群。排除标准包括动物模型、观察性研究和未发表的数据。Hepcidin通常在高血清铁的情况下上调,但在血色素沉着症患者中,由于HFE、血幼蛋白(JH)和转铁蛋白受体2 (TfR2)的突变,Hepcidin的表达出乎意料地低。肝细胞表达的TfR2在III型血色素沉着症中发生突变。未来的研究方向包括探索TFR2基因变异对铁稳态和肝损伤影响的分子机制,以及研究治疗血色素沉着相关肝病的潜在治疗靶点。此外,需要进一步开展流行病学和现代基因工程研究,以更好地了解血色素沉着症在不同人群中的患病率及其对肝脏健康的影响。
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引用次数: 0
Metabolomic Profiling of Leukemic Hematopoiesis: Effects of BNT162b2 mRNA COVID-19 Vaccine Administration. 白血病造血代谢组学分析:BNT162b2 mRNA对COVID-19疫苗管理的影响
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-06-03 DOI: 10.2174/0115665240361878250601074746
Batuhan Erdoğdu, Ozan Kaplan, Bilge Başak Fidan, Mustafa Çelebier, Ümit Yavuz Malkan, Ibrahim C Haznedaroglu

Background: Leukemia is marked by clonal hematopoietic stem cell expansion and metabolic reprogramming. The BNT162b2 mRNA COVID-19 vaccine has been proven effective, though questions remain about its broader physiological effects. This study investigates metabolomic alterations in leukemic bone marrow potentially associated with BNT162b2 vaccination.

Objective: To compare the bone marrow metabolomic profiles of leukemia patients with and without BNT162b2 vaccination, and healthy unvaccinated controls, to explore potential metabolic differences.

Methods: Bone marrow samples were obtained from three groups: vaccinated leukemia patients (n=7), unvaccinated leukemia patients without COVID-19 history (n=2), and unvaccinated healthy controls (n=7). Untargeted metabolomics was performed using LC-QTOF-MS. Data were analyzed using XCMS and MetaboAnalyst 5.0 to identify statistically significant metabolite differences and affected pathways. Fold change >1.5 and p<0.05 were considered significant.

Results: Distinct metabolic profiles were observed between the leukemia and control groups. Increased glycolysis, pentose phosphate pathway activity, and altered tryptophan, lipid, and heme metabolism were noted in leukemia samples. Metabolic changes in vaccinated patients (ASL) were more similar to unvaccinated leukemia patients (LO) than to healthy controls, with minor vaccine-associated variations. Notable metabolites included 5-methoxyindoleacetate, phosphorylcholine, and tetrahydrofolic acid.

Conclusion: This preliminary study identified altered metabolic pathways in leukemia bone marrow and suggests metabolomic differences associated with BNT162b2 vaccination. While the findings do not support a causal link between mRNA vaccination and leukemia development, they highlight the need for further studies to understand vaccine-induced metabolic modulation in hematological contexts.

背景:白血病以克隆造血干细胞扩增和代谢重编程为特征。BNT162b2 mRNA COVID-19疫苗已被证明是有效的,尽管对其更广泛的生理效应仍存在疑问。本研究调查了可能与BNT162b2疫苗接种相关的白血病骨髓代谢组学改变。目的:比较接种和未接种BNT162b2疫苗的白血病患者与未接种BNT162b2疫苗的健康对照者的骨髓代谢组学特征,探讨潜在的代谢差异。方法:采集三组骨髓样本:接种疫苗的白血病患者(n=7)、未接种疫苗且无COVID-19病史的白血病患者(n=2)和未接种疫苗的健康对照组(n=7)。采用LC-QTOF-MS进行非靶向代谢组学研究。使用XCMS和MetaboAnalyst 5.0对数据进行分析,以确定具有统计学意义的代谢物差异和受影响的途径。结果:在白血病组和对照组之间观察到不同的代谢谱。在白血病样本中,糖酵解、戊糖磷酸途径活性增加,色氨酸、脂质和血红素代谢改变。与健康对照相比,接种疫苗患者(ASL)的代谢变化与未接种疫苗的白血病患者(LO)更相似,只有少量与疫苗相关的变化。主要代谢物包括5-甲氧基吲哚乙酸酯、磷酸胆碱和四氢叶酸。结论:这项初步研究确定了白血病骨髓代谢途径的改变,并提示接种BNT162b2疫苗与代谢组学差异有关。虽然研究结果不支持mRNA接种与白血病发展之间的因果关系,但它们强调需要进一步研究以了解疫苗在血液学背景下诱导的代谢调节。
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引用次数: 0
Association Between Blood Lead Levels and Diabetic Kidney Disease: A Cross-sectional Analysis of NHANES Data (1999-2018). 血铅水平与糖尿病肾病之间的关系:NHANES数据的横断面分析(1999-2018)。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-05-29 DOI: 10.2174/0115665240293441250312133508
Yaxian Ning, Jianqin Wang, Xiaochun Zhou, Gouqin Wang, Lili Zhang

Background: The relationship between heavy metals, particularly lead (Pb), and diabetic kidney disease (DKD) remains unclear, especially regarding exposure thresholds. This study investigates the association between blood Pb levels and DKD risk using data from the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2018.

Methods: A total of 1,343 participants were included, with 508 diagnosed with DKD. Baseline characteristics were compared between DKD and non-DKD groups. Multivariate generalized linear models (GLMs) and weighted logistic regression were used to assess correlations between blood Pb levels and DKD risk. A nomogram was developed to evaluate the predictive power of significant clinical characteristics.

Results: Key clinical characteristics, including age, marital status, and serum Pb levels, differed significantly between DKD and non-DKD groups. Serum Pb was identified as a significant risk factor (ORs: 1.18-1.39, p < 0.01). The nomogram demonstrated good predictive accuracy (AUC = 0.717).

Conclusion: Elevated blood Pb levels are significantly associated with DKD, with a non-linear relationship and a defined threshold. These findings highlight the potential role of Pb exposure in DKD pathogenesis and suggest the utility of blood Pb monitoring in diabetic patients.

背景:重金属,特别是铅(Pb)与糖尿病肾病(DKD)之间的关系尚不清楚,特别是在暴露阈值方面。本研究利用1999年至2018年国家健康与营养检查调查(NHANES)的数据调查了血铅水平与DKD风险之间的关系。方法:共纳入1,343名参与者,其中508名被诊断为DKD。比较DKD组和非DKD组的基线特征。采用多元广义线性模型(GLMs)和加权逻辑回归评估血铅水平与DKD风险之间的相关性。开发了一种nomogram来评估重要临床特征的预测能力。结果:关键临床特征,包括年龄、婚姻状况和血清铅水平,在DKD组和非DKD组之间存在显著差异。血清铅是显著危险因素(or: 1.18 ~ 1.39, p < 0.01)。nomogram具有较好的预测准确度(AUC = 0.717)。结论:血铅水平升高与DKD显著相关,呈非线性关系,且有一定阈值。这些发现强调了铅暴露在DKD发病机制中的潜在作用,并提示了糖尿病患者血铅监测的实用性。
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引用次数: 0
Urinary CFHR2 as a Biomarker for Early Diagnosis and Disease Progression Prediction in Diabetic Kidney Disease. 尿CFHR2作为糖尿病肾病早期诊断和疾病进展预测的生物标志物
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-05-26 DOI: 10.2174/0115665240350524250524065114
Tao Du, Qing Zhang

Aim: The pathogenesis of diabetic kidney disease (DKD) is complex, and the specific biomarkers for detecting early diagnosis and monitoring kidney function deterioration are insufficient, which affects the prognosis of patients. The complement activation in glomeruli and renal interstitium contributes to the aggravation of DKD. Several key complement proteins, such as complement factor 3 (C3), CD59, and complement factor H-related protein 2 (CFHR2) were reported to be potential biomarkers for early diagnosis and prognosis for DKD.

Methods: In the current study, we focus on CFHR2, to investigate its capability and sensitivity as a DKD biomarker. As a non-invasive detection sample, urine has the characteristic of convenient sampling. In the current study, the urine samples were collected from three groups: diabetic patients without albuminuria, with microalbuminuria, and macroalbuminuria, to analyze whether CFHR2 was associated with albuminuria concentration and declined renal function. Meanwhile, the urinary neutrophil gelatinase-associated lipocalin (NGAL), kidney injury molecule-1 (KIM-1), and C3 were also examined by enzyme-linked immunosorbent assay (ELISA) to compare with CFHR2 to determine whether CFHR2 had an advantage in predicting the early detection and progression of DKD. The Spearman correlation analysis was performed for the correlation analysis. The receiver operating characteristic curve was used to analyze the diagnostic efficacy.

Results: CFHR2 had superior diagnostic power to predict the early occurrence of DKD and disease progression, compared with NGAL, microalbumin, and C3 in urine.

Conclusion: CFHR2 has satisfactory potential to be a biomarker for early diagnosis and risk of progression of DKD.

目的:糖尿病肾病(DKD)发病机制复杂,早期发现诊断和监测肾功能恶化的特异性生物标志物不足,影响患者预后。肾小球和肾间质补体活化可导致DKD的加重。一些关键的补体蛋白,如补体因子3 (C3)、CD59和补体因子h相关蛋白2 (CFHR2)被报道为DKD早期诊断和预后的潜在生物标志物。方法:本研究以CFHR2为研究对象,考察其作为DKD生物标志物的能力和敏感性。尿液作为一种无创检测样本,具有采样方便的特点。本研究收集无白蛋白尿、微量白蛋白尿和大量白蛋白尿三组糖尿病患者的尿液样本,分析CFHR2是否与白蛋白尿浓度和肾功能下降相关。同时,采用酶联免疫吸附试验(ELISA)检测尿中性粒细胞明胶酶相关脂钙蛋白(NGAL)、肾损伤分子-1 (KIM-1)和C3,并与CFHR2进行比较,以确定CFHR2在预测DKD早期发现和进展方面是否具有优势。相关性分析采用Spearman相关分析。采用受试者工作特征曲线对诊断效果进行分析。结果:与NGAL、微量白蛋白和尿液中的C3相比,CFHR2在预测DKD的早期发生和疾病进展方面具有更强的诊断能力。结论:CFHR2作为DKD早期诊断和进展风险的生物标志物具有令人满意的潜力。
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Current molecular medicine
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