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Prognostic and Immune Infiltration Analysis in ESCC Using a Ferroptosis-EMT Biomarker Signature. 利用铁凋亡- emt生物标志物特征分析ESCC的预后和免疫浸润。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-16 DOI: 10.2174/0109298673402007251029113128
Zhidong Wang, Cheng Gong, Ce Chao, Youpu Zhang, Yiongxiang Qian, Min Wang, Bin Wang, Yang Liu

Introduction: Limited studies have explored how ferroptosis and Epithelial- Mesenchymal Transition (EMT) jointly affect the prognosis of Esophageal Squamous Cell Carcinoma (ESCC). This study aimed to develop a clinical prognostic model based on the combined impact of ESCC.

Methods: Gene expression levels and clinical data of ESCC patients were obtained from the Gene Expression Omnibus (GEO) and the Cancer Genome Atlas (TCGA) database. Using Cox regression analysis and Least Absolute Shrinkage and Selection Operator (LASSO) regression analysis, we identified nine prognostic genes to build a predictive model. Immune cell infiltration was evaluated using CIBERSORT and single-sample Gene Set Enrichment Analysis methods. Finally, in vitro experiments were conducted to assess the oncogenic effects of ACSL3 and VIM.

Results: We developed a Ferroptosis-EMT Integrated Score (FEIS) based on nine key genes. High-FEIS patients had worse survival, increased immune infiltration, and higher expression of immune checkpoints. A nomogram was built for prognosis prediction, and in vitro studies confirmed the tumor-promoting roles of ACSL3 and VIM.

Discussion: The FEIS model robustly predicts ESCC prognosis by integrating ferroptosis and EMT, offering novel biomarkers for personalized immunotherapy, though further validation is warranted.

Conclusion: Our study introduced a novel prognostic tool that integrates ferroptosis and EMT-related biomarkers and offers valuable insights for developing personalized treatment strategies for ESCC patients.

导读:关于铁下垂和上皮-间充质转化(EMT)如何共同影响食管鳞状细胞癌(ESCC)预后的研究有限。本研究旨在建立一个基于ESCC综合影响的临床预后模型。方法:从Gene expression Omnibus (GEO)和Cancer Genome Atlas (TCGA)数据库中获取ESCC患者的基因表达水平和临床资料。通过Cox回归分析和最小绝对收缩和选择算子(LASSO)回归分析,我们确定了9个预后基因,并建立了预测模型。采用CIBERSORT和单样本基因集富集分析方法评估免疫细胞浸润。最后进行体外实验,评估ACSL3和VIM的致瘤作用。结果:我们建立了基于9个关键基因的铁凋亡- emt综合评分(FEIS)。高feis患者生存率较差,免疫浸润增加,免疫检查点表达较高。建立了预测预后的nomogram,体外实验证实了ACSL3和VIM的促瘤作用。讨论:FEIS模型通过整合铁下垂和EMT来可靠地预测ESCC预后,为个性化免疫治疗提供了新的生物标志物,但需要进一步验证。结论:我们的研究引入了一种新的预后工具,将铁下垂和emt相关的生物标志物结合起来,为ESCC患者制定个性化的治疗策略提供了有价值的见解。
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引用次数: 0
RTK AXL and its Isoforms: Regulation and Implications in Cancer. RTK AXL及其异构体:在癌症中的调控及其意义。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-16 DOI: 10.2174/0109298673382005250828124053
Ilona Malikova, Aizhan Syzdykova, Nazia Islam, Marina Kriajevskaia, Eugene Tulchinsky

As a member of the TAM family of receptor kinases, the AXL protein plays an essential role in biological processes that maintain tissue homeostasis. Deregulated AXL signalling in tumour cells is linked to cancer progression, poor prognosis, metastasis, and reduced sensitivity to anti-cancer therapies. The underlying mechanisms are the activation of downstream signalling routes that promote cell survival, invasion and epithelial-mesenchymal transition. Two major AXL isoforms are expressed in human and rodent cells due to alternative splicing. Despite extensive research on AXL in cancer, little is known regarding the functional differences between these isoforms and whether they contribute to cancer differently. This review paper first outlines the structural and functional aspects of TAM biology with a particular focus on AXL. Next, we discuss the different levels of AXL regulation in tumour cells, including proteolytic cleavage, which leads to the formation of both extracellular and nuclear forms of AXL. Finally, we review articles investigating the variations in the function of AXL isoforms and report their associations with cancer. Notably, the formation of isoform 1 is likely to determine the presence of soluble AXL, elevated levels of which have been correlated with cancer progression in several tumour types. The review identifies areas deserving further investigation, such as how changes in isoform expression impact levels of soluble AXL in cancer. Additionally, isoform-specific downstream signalling effects and their impact on metastasis and drug resistance warrant more in-depth investigation.

作为TAM受体激酶家族的一员,AXL蛋白在维持组织稳态的生物过程中起着重要作用。肿瘤细胞中失调的AXL信号与癌症进展、预后不良、转移和抗癌治疗敏感性降低有关。潜在的机制是激活下游信号通路,促进细胞存活、侵袭和上皮-间质转化。由于选择性剪接,两种主要的AXL亚型在人和啮齿动物细胞中表达。尽管对AXL在癌症中的作用进行了广泛的研究,但对于这些同工异构体之间的功能差异以及它们对癌症的影响是否不同,人们知之甚少。这篇综述文章首先概述了TAM生物学的结构和功能方面,特别关注AXL。接下来,我们讨论肿瘤细胞中不同水平的AXL调控,包括蛋白水解裂解,这导致AXL的细胞外和核形式的形成。最后,我们回顾了研究AXL异构体功能变化的文章,并报道了它们与癌症的关系。值得注意的是,异构体1的形成可能决定了可溶性AXL的存在,其水平升高与几种肿瘤类型的癌症进展有关。该综述确定了值得进一步研究的领域,例如,亚型表达的变化如何影响癌症中可溶性AXL的水平。此外,亚型特异性下游信号效应及其对肿瘤转移和耐药的影响值得进一步深入研究。
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引用次数: 0
New SufA Protease Inhibitors and Activity-based Probes: Design, Synthesis, and Antibacterial Activity Assessment. 新的SufA蛋白酶抑制剂和基于活性的探针:设计、合成和抗菌活性评估。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-16 DOI: 10.2174/0109298673418188251128105425
Ewa Burchacka, Karol Postawa, Paweł Pięta

Background: The growing threat of bacterial drug resistance compels researchers to pursue new therapeutic strategies. Finegoldia magna secretes SufA, a subtilisin- like protease that plays a critical role in virulence by degrading host defense molecules such as fibrinogen and LL-37. This study aimed to investigate the stereoselective inhibition of SufA by pure diastereoisomers of peptidyl 1-aminoalkylphosphonate diaryl esters and to evaluate their ability to reduce bacterial virulence and growth.

Methods: We synthesized and purified the diastereoisomers and assessed their ability to inhibit SufA using a fluorescent enzymatic assay. Antibacterial activity was evaluated against Gram-positive and Gram-negative bacteria. SDS-PAGE was used to examine the inhibition of SufA-mediated degradation of fibrinogen and LL-37. Molecular docking was performed, and binding was confirmed via Western blot.

Results: Diastereoisomer XIIIA inhibited SufA activity by 63% at 50 μM, protected fibrinogen and LL-37 from degradation, and significantly suppressed the growth of F. magna and E. coli. In contrast, XIIIB showed minimal activity. Molecular docking revealed key binding interactions between XIIIA and the SufA active site, which was further confirmed by Western blot analysis.

Discussion: These results demonstrate that stereochemistry critically influences SufA inhibition, with XIIIA showing superior potency and functional protection of host defense molecules. This supports its potential as an antivirulence agent. The validated probe also provides a tool for identifying serine protease targets in other pathogens.

Conclusion: Compound XIIIA exhibits potent stereoselective inhibition of SufA and notable antimicrobial effects, supporting its development as a novel therapeutic targeting bacterial virulence.

背景:细菌耐药性的威胁越来越大,迫使研究人员寻求新的治疗策略。大细荆分泌SufA,一种枯草菌素样蛋白酶,通过降解宿主防御分子,如纤维蛋白原和LL-37,在毒力中起关键作用。本研究旨在研究肽基1-氨基烷基膦酸二芳酯的纯非对映异构体对SufA的立体选择性抑制作用,并评估其降低细菌毒力和生长的能力。方法:我们合成并纯化了非对映异构体,并使用荧光酶法评估了它们抑制SufA的能力。对革兰氏阳性菌和革兰氏阴性菌进行抑菌活性评价。SDS-PAGE检测了sufa介导的纤维蛋白原和LL-37降解的抑制作用。进行分子对接,并通过Western blot证实结合。结果:非对构异体XIIIA在50 μM下抑制SufA活性63%,保护纤维蛋白原和LL-37不被降解,显著抑制F. magna和E. coli的生长。相比之下,XIIIB表现出最小的活性。分子对接揭示了XIIIA与SufA活性位点之间的关键结合相互作用,Western blot分析进一步证实了这一点。讨论:这些结果表明,立体化学对SufA抑制有重要影响,XIIIA表现出优越的效力和宿主防御分子的功能保护。这支持了其作为抗毒剂的潜力。经过验证的探针也为鉴定其他病原体中的丝氨酸蛋白酶靶点提供了工具。结论:化合物XIIIA对SufA具有较强的立体选择性抑制作用和显著的抗菌作用,支持其作为一种新的靶向细菌毒力治疗药物的发展。
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引用次数: 0
CXCL5/CXCR2 Axis Related to Neutrophilic Inflammation in Ulcerative Colitis: A Comprehensive Analysis Integrating eQTL, pQTL, and Transcriptome Data. 溃疡性结肠炎中与中性粒细胞炎症相关的CXCL5/CXCR2轴:整合eQTL、pQTL和转录组数据的综合分析
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-16 DOI: 10.2174/0109298673381624251020065846
Yiyi Feng, Yichuan Xv, Jingyi Shan, Enjia Guo, Jiang Lin, Hong Pan, Miaoxia Dong, Jianling Mo

Background: An excessive inflammatory response plays a central role in the pathogenesis of ulcerative colitis (UC), but the specific cytokines involved remain unclear. This study aimed to identify inflammatory factors associated with UC and explore the possible mechanisms of the identified targets.

Methods: Protein quantitative trait loci (pQTLs) and expression quantitative trait loci (eQTLs) for inflammatory cytokines were obtained from a genome-wide pQTL study and the eQTL consortium, respectively. Summary data for UC from the exploration and validation cohorts were derived from a genome-wide association study and the Finngen cohort. MR and colocalization analyses were conducted to identify causal associations between inflammatory cytokines and UC. Bioinformatics analyses were employed to explore the involved biological processes of candidate targets. Immunohistochemistry was used to validate the expression of these candidate targets in colon tissues.

Results: Among all inflammatory cytokines, a significant causal association was identified between C-X-C motif chemokine ligand 5 (CXCL5) and UC. Using eQTL data, a significant genetic association was established between the mRNA expression of CXCL5 and its receptor, C-X-C motif chemokine receptor 2 (CXCR2), with UC. Colocalization analysis further supported these identified links. Differential expression analysis confirmed the dysregulation of the CXCL5/CXCR2 axis in UC patients. Enrichment and immune infiltration analysis indicated that the CXCL5/CXCR2 axis was involved in neutrophil chemotaxis and immune activation in UC. Moreover, CXCL5 expression was found to correlate with neutrophil extracellular trap (NET) formation in UC. Immunohistochemistry further confirmed the dysregulation of the CXCL5/CXCR2 axis in colon tissues of UC patients.

Discussion: The CXCL5/CXCR2 axis has been implicated to play a significant role within a broader inflammatory network that includes Interleukin (IL)-17, NF-κB, and Tumor Necrosis Factor (TNF) signaling pathways. Additionally, this axis interacts with macrophages and T cells, further contributing to the complexity of inflammatory responses in UC.

Conclusion: There is a significant association between CXCL5/CXCR2 and UC under the MR assumption, which is potentially linked with colonic chemotaxis and activation of neutrophils. These findings highlight the potential of CXCL5/CXCR2 as a therapeutic target for UC. However, future functional studies are needed to validate these findings and explore the exact mechanisms by which CXCL5/CXCR2 influences immune cell crosstalk in UC.

背景:过度的炎症反应在溃疡性结肠炎(UC)的发病机制中起着核心作用,但具体的细胞因子参与尚不清楚。本研究旨在确定与UC相关的炎症因子,并探讨确定的靶点的可能机制。方法:分别从全基因组pQTL研究和eQTL联盟中获得炎性细胞因子的蛋白数量性状位点(pQTL)和表达数量性状位点(eQTL)。探索和验证队列中UC的汇总数据来自一项全基因组关联研究和Finngen队列。进行MR和共定位分析以确定炎症细胞因子和UC之间的因果关系。利用生物信息学分析探讨候选靶点的相关生物学过程。免疫组织化学用于验证这些候选靶点在结肠组织中的表达。结果:在所有炎症细胞因子中,C-X-C基序趋化因子配体5 (CXCL5)与UC之间存在显著的因果关系。利用eQTL数据,我们在CXCL5及其受体C-X-C基序趋化因子受体2 (CXCR2)的mRNA表达与UC之间建立了显著的遗传关联。共定位分析进一步支持了这些已确定的链接。差异表达分析证实了UC患者中CXCL5/CXCR2轴的失调。富集和免疫浸润分析表明,CXCL5/CXCR2轴参与UC中性粒细胞趋化和免疫激活。此外,CXCL5的表达与UC中中性粒细胞胞外陷阱(NET)的形成有关。免疫组织化学进一步证实了UC患者结肠组织中CXCL5/CXCR2轴的失调。讨论:CXCL5/CXCR2轴在包括白细胞介素(IL)-17、NF-κB和肿瘤坏死因子(TNF)信号通路在内的更广泛的炎症网络中发挥重要作用。此外,该轴与巨噬细胞和T细胞相互作用,进一步促进UC炎症反应的复杂性。结论:MR假设下,CXCL5/CXCR2与UC存在显著关联,可能与结肠趋化性和中性粒细胞活化有关。这些发现突出了CXCL5/CXCR2作为UC治疗靶点的潜力。然而,未来的功能研究需要验证这些发现,并探索CXCL5/CXCR2影响UC免疫细胞串扰的确切机制。
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引用次数: 0
Development of New Drugs from the Iminosugar Class. 亚氨基糖类新药的开发。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-15 DOI: 10.2174/0109298673407144251024112651
Bo Luo, Li Shen, Yongmin Zhang
{"title":"Development of New Drugs from the Iminosugar Class.","authors":"Bo Luo, Li Shen, Yongmin Zhang","doi":"10.2174/0109298673407144251024112651","DOIUrl":"https://doi.org/10.2174/0109298673407144251024112651","url":null,"abstract":"","PeriodicalId":10984,"journal":{"name":"Current medicinal chemistry","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146046217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Atranorin Triggers Intrinsic and Extrinsic Apoptosis and Suppresses Migration in Human Melanoma Cells. atanorin触发内源性和外源性细胞凋亡并抑制人类黑色素瘤细胞的迁移。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-15 DOI: 10.2174/0109298673415871251125105259
Mine Ensoy, Demet Cansaran-Duman

Introduction: Malignant melanoma is a highly aggressive skin malignancy characterised by metastatic properties and resistance to conventional therapies. This indicates a necessity to explore novel, efficacious treatment modalities. Atranorin, a secondary metabolite derived from lichen, has demonstrated a diverse range of bioactivities. However, the antineoplastic mechanisms of atranorin in melanoma remain underexplored.

Methods: Human melanoma cancer cell lines (A-375, G-361, and MDA-MB-435) and normal human melanocytes were treated with various concentrations of atranorin. Cell viability and proliferation were evaluated by MTT assay, apoptosis was assessed using Annexin V-FITC/PI flow cytometry, and cell cycle distribution was determined by PI staining and flow cytometry. Gene expression of apoptosis-related markers was quantified by qRT-PCR, and protein levels were analyzed by western blot. Cell migration was evaluated by the wound healing assay.

Results: Atranorin demonstrated selective toxicity in human melanoma cancer cells, exhibiting minimal effect on normal human melanocytes. In a study on human malignant melanoma A-375 cells, it was found that atranorin, at an IC50 concentration of 12 μM, significantly increased the number of apoptotic cells by approximately 11-fold. Furthermore, the results of the study indicated that atranorin induced G1 phase arrest and inhibited migratory capacity by around 60%. Molecular profiling revealed the upregulation of the intrinsic (APAF1, BAX, and CASP9) and extrinsic (FAS, FADD, and CASP10) apoptotic pathways, and the downregulation of the anti-apoptotic genes BCL2, MCL1, and BIRC5. In line with these observations, protein analyses revealed increased levels of cleaved caspase-3, caspase-9, and PARP, thereby providing evidence for the activation of apoptotic cascades.

Discussion: In this study, the therapeutic effect of atranorin was comprehensively evaluated for the first time on A-375 melanoma cells, and it was highlighted as a natural compound with strong anti-cancer potential.

Conclusion: This study is the first to demonstrate the potent anti-melanoma effect of atranorin. This demonstrates the natural compounds' effects on cell proliferation, cell cycle progression, and the suppression of metastasis. These findings emphasize the potential of atranorin as a novel natural compound for use in adjunctive or targeted melanoma therapy, and highlight the need for further preclinical and clinical evaluation.

恶性黑色素瘤是一种高度侵袭性的皮肤恶性肿瘤,其特征是转移性和对常规治疗的耐药性。这表明有必要探索新的、有效的治疗方式。地衣素是地衣的次生代谢物,具有多种生物活性。然而,atanorin在黑色素瘤中的抗肿瘤机制尚不清楚。方法:用不同浓度的atanorin处理人黑色素瘤癌细胞(A-375、G-361和MDA-MB-435)和正常人黑色素细胞。MTT法检测细胞活力和增殖,Annexin V-FITC/PI流式细胞术检测细胞凋亡,PI染色和流式细胞术检测细胞周期分布。采用qRT-PCR法检测细胞凋亡相关标志物的基因表达,western blot法检测细胞凋亡相关蛋白表达水平。通过伤口愈合试验评估细胞迁移。结果:Atranorin在人类黑色素瘤癌细胞中表现出选择性毒性,对正常人类黑色素细胞的影响最小。在对人恶性黑色素瘤a -375细胞的研究中发现,在IC50浓度为12 μM时,atranorin可使凋亡细胞数量显著增加约11倍。此外,研究结果表明,atranorin诱导G1期阻滞,并抑制约60%的迁移能力。分子分析显示,细胞凋亡的内在通路(APAF1、BAX和CASP9)和外在通路(FAS、FADD和CASP10)上调,抗凋亡基因BCL2、MCL1和BIRC5下调。与这些观察结果一致,蛋白质分析显示,裂解的caspase-3、caspase-9和PARP水平升高,从而为凋亡级联的激活提供了证据。讨论:本研究首次全面评价了atranorin对a -375黑色素瘤细胞的治疗效果,强调其是一种具有较强抗癌潜力的天然化合物。结论:本研究首次证实了atanorin抗黑色素瘤的有效作用。这证明了天然化合物对细胞增殖、细胞周期进展和抑制转移的作用。这些发现强调了atanorin作为一种新型天然化合物用于辅助或靶向黑色素瘤治疗的潜力,并强调了进一步的临床前和临床评估的必要性。
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引用次数: 0
Novel Metabolic Reprogramming and Circadian Rhythm Related Molecular Subtyping and Prognostic Signature for Ovarian Cancer. 卵巢癌新的代谢重编程和昼夜节律相关的分子分型和预后特征。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-15 DOI: 10.2174/0109298673392695251124162548
Qingyuan Zeng, Yan Wang, Yanzi Wang, Yang Yu, Yumei Lv, Mingyi Wang, Zhu Huang

Introduction: Ovarian cancer (OC), characterized by high mortality and lacking early diagnostic markers, poses a significant health threat. This study investigated the expression of metabolic reprogramming and circadian rhythm-related genes (MRCRRGs) in OC and their association with clinical features.

Methods: OC datasets and MRCRRG lists were sourced from TCGA, GEO, and Gene- Cards. Comprehensive bioinformatics analyses included calculating Metabolic Reprogramming and Circadian Rhythm Scores (MRCR.Score), identifying MRCR score-related genes (MRCRSRGs), building a Cox regression model, performing clustering for subtype identification, analyzing immune cell infiltration and immune checkpoint gene expression, conducting differential expression analysis, and performing Gene Set Enrichment Analysis (GSEA).

Results: We identified 138 MRCRRGs. MRCR. Score differed significantly between OC and controls. Thirty-four MRCRSRGs were identified, and a Cox model based on four genes was developed. Clustering revealed two distinct OC subtypes with significant overall survival differences. Immune infiltration analysis showed significant expression differences in 26 immune cell types, and immune checkpoint genes differed between subtypes. Differential expression identified 89 genes (88 upregulated, 1 downregulated). A six-gene predictive model demonstrated moderate accuracy. GSEA revealed significant enrichment of key pathways, notably Fcgr3a-mediated IL-10 synthesis.

Discussion: Findings demonstrate strong links between MRCRRGs, OC subtypes, patient survival, and the tumor immune microenvironment. Enrichment of pathways like Fcgr3a-mediated IL10 synthesis suggests novel OC mechanisms. Reliant on bioinformatics, the study provides insights into OC heterogeneity.

Conclusion: This study establishes a foundation for understanding MRCRRG molecular mechanisms in OC. The identified subtypes, prognostic model, immune landscape alterations, and enriched pathways offer valuable insights for future experimental validation and potential diagnostic/therapeutic strategies.

卵巢癌(OC)具有高死亡率和缺乏早期诊断标志物的特点,对健康构成重大威胁。本研究探讨了代谢重编程和昼夜节律相关基因(MRCRRGs)在OC中的表达及其与临床特征的关系。方法:OC数据集和MRCRRG列表来源于TCGA、GEO和Gene- Cards。综合生物信息学分析包括计算代谢重编程和昼夜节律评分(MRCR)。评分),鉴定MRCR评分相关基因(MRCRSRGs),建立Cox回归模型,聚类进行亚型鉴定,分析免疫细胞浸润和免疫检查点基因表达,进行差异表达分析,进行基因集富集分析(GSEA)。结果:我们鉴定出138个MRCRRGs。MRCR。OC组与对照组评分差异显著。共鉴定出34个MRCRSRGs,并建立了基于4个基因的Cox模型。聚类揭示了两种不同的OC亚型,总体生存差异显著。免疫浸润分析显示,26种免疫细胞类型表达差异显著,免疫检查点基因在亚型之间存在差异。差异表达鉴定出89个基因(88个上调,1个下调)。六基因预测模型显示出中等的准确性。GSEA显示关键通路显著富集,特别是fcgr3a介导的IL-10合成。讨论:研究结果表明,MRCRRGs、OC亚型、患者生存和肿瘤免疫微环境之间存在密切联系。像fcgr3a介导的IL10合成等途径的富集提示了新的OC机制。依靠生物信息学,该研究提供了对OC异质性的见解。结论:本研究为了解MRCRRG在OC中的分子机制奠定了基础。确定的亚型、预后模型、免疫景观改变和丰富的通路为未来的实验验证和潜在的诊断/治疗策略提供了有价值的见解。
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引用次数: 0
Clinical Features of Hypo- and Hypervitaminosis of Fat-Soluble Vitamins in Pediatric Patients. 小儿脂溶性维生素缺乏症和维生素缺乏症的临床特点。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-15 DOI: 10.2174/0109298673390797251124111338
Roberto Paparella, Fabiola Panvino, Debora Rasio, Francesca Tarani, Marcello Niceta, Lucia Leonardi, Ida Pucarelli, Rouzha Pancheva, Marco Fiore, Luigi Tarani

Fat-soluble vitamins (A, D, E, and K) are crucial for pediatric health, contributing to normal cellular function, growth, immune defense, and development. Unlike water-soluble vitamins, they are absorbed with dietary fats and stored in the liver and adipose tissue, leading to risks of deficiency (hypovitaminosis) and toxicity (hypervitaminosis) in certain physiological and pathological conditions. This narrative review aimed to summarize the clinical manifestations, diagnostic considerations, and management of hypo- and hypervitaminosis of fat-soluble vitamins in pediatric populations. A comprehensive literature review was conducted, highlighting the physiological roles, symptoms of deficiency and toxicity, diagnostic strategies, and treatment options, with particular focus on high-risk groups, including neonates and children with malabsorption or dietary restrictions. Pediatric patients are especially vulnerable to vitamin imbalances due to rapid growth and specific developmental needs. Deficiencies can result in vision problems, bone disorders, immune dysfunction, and coagulation issues, while excess intake can lead to toxicity. Management strategies include clinical assessment, biochemical testing, supplementation, dietary counseling, and public health interventions. Early detection and preventive measures are essential. Future research is needed to explore non-classical roles of these vitamins and optimize supplementation guidelines.

脂溶性维生素(A、D、E和K)对儿童健康至关重要,有助于正常的细胞功能、生长、免疫防御和发育。与水溶性维生素不同,它们被膳食脂肪吸收并储存在肝脏和脂肪组织中,在某些生理和病理条件下会导致维生素缺乏(维生素缺乏症)和毒性(维生素缺乏症)的风险。本文综述了小儿脂溶性维生素缺乏症的临床表现、诊断要点和处理方法。进行了全面的文献综述,强调了生理作用、缺乏症状和毒性、诊断策略和治疗方案,特别关注高危人群,包括新生儿和吸收不良或饮食限制的儿童。由于快速生长和特殊的发育需要,儿科患者特别容易受到维生素失衡的影响。缺乏会导致视力问题、骨骼紊乱、免疫功能障碍和凝血问题,而过量摄入会导致中毒。管理策略包括临床评估、生化检测、补充、饮食咨询和公共卫生干预。早期发现和预防措施至关重要。未来的研究需要探索这些维生素的非经典作用并优化补充指南。
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引用次数: 0
Synthesis and Biological Evaluation of Rigid Benztropine Analogues with Potential DAT Inhibition Activity: A Prospect in Parkinson's Disease Treatment. 具有潜在DAT抑制活性的刚性苯托品类似物的合成和生物学评价:在帕金森病治疗中的前景。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-15 DOI: 10.2174/0109298673405492251015050308
Edson D Hernández-Velázquez, Adán Hernández-Cortés, Luis Chacón-García, Rafael Ortíz-Alvarado, Luis A Segura-Quezada, Deisy Gasca-Martínez, Clara Alba-Betancourt, César R Solorio-Alvarado

Introduction: The pharmacological treatment of Parkinson's, an incurable disease, consists of palliative drug combinations, generally including a Dopamine Transporter (DAT) inhibitor and an exogenous source of dopamine. Benztropine has been described as a commonly used DAT inhibitor. However, the ever-increasing secondary effects led to its substitution with other, more suitable drugs. It has been described that the tropine moiety of the molecule generates most of the interaction with DAT, while other relevant interactions correspond to the benzhydryl aromatic moiety with several degrees of freedom due to the rotation of the phenyl rings.

Methods: Through organic chemistry synthesis, NMR, and other techniques, compounds are obtained and then, using in silico analysis, the interaction of DAT and the newly obtained analogs is assessed. Finally, a hemiparkinsonian animal model is generated by 6-OHDA injections and then treated with pharmaceutical concentrations of the main compound, to measure its ability to mitigate symptoms using several behavioral tests.

Results: An eight-member family of fluorenatropines was generated, and compound 9, the simplest of them, was tested in silico to see its direct interaction with DAT. Results suggest a positive and benztropine-like interaction. Behavioral results statistically demonstrated that compound 9 showed activity as a psychostimulant.

Discussion: Compound 9, with its more rigid structure, behaves as a psychostimulant, mitigating Parkinson's disease symptoms with the same efficiency as benztropine but with a quarter of the original dose.

Conclusion: The rigid aromatic sections in fluorenatropine analogs grant a superior activity over DAT, allowing motor symptom mitigation at lower concentrations.

帕金森氏症是一种不治之症,其药物治疗由姑息性药物组合组成,通常包括多巴胺转运蛋白(DAT)抑制剂和外源性多巴胺来源。苯托品是一种常用的DAT抑制剂。然而,不断增加的副作用导致它被其他更合适的药物替代。据描述,分子的托氨酸部分产生了与DAT的大部分相互作用,而其他相关的相互作用对应于苯基环的旋转,具有几个自由度的苯基芳香部分。方法:通过有机化学合成、核磁共振等技术,获得化合物,然后利用硅分析,评估DAT与新获得的类似物的相互作用。最后,通过注射6-羟色胺生成一个半帕金森动物模型,然后用药物浓度的主要化合物治疗,通过几项行为测试来衡量其缓解症状的能力。结果:合成了一个由8个成员组成的氟雷诺阿托品家族,其中最简单的化合物9通过计算机测试了其与DAT的直接相互作用。结果表明这是一种类似苯托品的正相互作用。行为学结果统计显示化合物9具有精神兴奋剂的活性。讨论:化合物9具有更刚性的结构,作为一种精神兴奋剂,减轻帕金森病的症状,其效果与苯托品相同,但只有原始剂量的四分之一。结论:氟雷诺阿托品类似物的刚性芳香部分比DAT具有更好的活性,可以在较低浓度下缓解运动症状。
{"title":"Synthesis and Biological Evaluation of Rigid Benztropine Analogues with Potential DAT Inhibition Activity: A Prospect in Parkinson's Disease Treatment.","authors":"Edson D Hernández-Velázquez, Adán Hernández-Cortés, Luis Chacón-García, Rafael Ortíz-Alvarado, Luis A Segura-Quezada, Deisy Gasca-Martínez, Clara Alba-Betancourt, César R Solorio-Alvarado","doi":"10.2174/0109298673405492251015050308","DOIUrl":"https://doi.org/10.2174/0109298673405492251015050308","url":null,"abstract":"<p><strong>Introduction: </strong>The pharmacological treatment of Parkinson's, an incurable disease, consists of palliative drug combinations, generally including a Dopamine Transporter (DAT) inhibitor and an exogenous source of dopamine. Benztropine has been described as a commonly used DAT inhibitor. However, the ever-increasing secondary effects led to its substitution with other, more suitable drugs. It has been described that the tropine moiety of the molecule generates most of the interaction with DAT, while other relevant interactions correspond to the benzhydryl aromatic moiety with several degrees of freedom due to the rotation of the phenyl rings.</p><p><strong>Methods: </strong>Through organic chemistry synthesis, NMR, and other techniques, compounds are obtained and then, using in silico analysis, the interaction of DAT and the newly obtained analogs is assessed. Finally, a hemiparkinsonian animal model is generated by 6-OHDA injections and then treated with pharmaceutical concentrations of the main compound, to measure its ability to mitigate symptoms using several behavioral tests.</p><p><strong>Results: </strong>An eight-member family of fluorenatropines was generated, and compound 9, the simplest of them, was tested in silico to see its direct interaction with DAT. Results suggest a positive and benztropine-like interaction. Behavioral results statistically demonstrated that compound 9 showed activity as a psychostimulant.</p><p><strong>Discussion: </strong>Compound 9, with its more rigid structure, behaves as a psychostimulant, mitigating Parkinson's disease symptoms with the same efficiency as benztropine but with a quarter of the original dose.</p><p><strong>Conclusion: </strong>The rigid aromatic sections in fluorenatropine analogs grant a superior activity over DAT, allowing motor symptom mitigation at lower concentrations.</p>","PeriodicalId":10984,"journal":{"name":"Current medicinal chemistry","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146046222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Ubiquitination-based Classification and a Prognostic Signature Identify the Role of TRIM21 in Sarcoma Progression. 基于泛素化的分类和预后特征确定TRIM21在肉瘤进展中的作用。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-15 DOI: 10.2174/0109298673388379251113061745
Lin Zhang, Weihao Lin, Jinhui Liu, Yuheng Hong, Zheng Cao, Zhentao Yu, Xiaoli Feng, Yibo Gao

Introduction: Sarcomas are heterogeneous mesenchymal tumors with poor responses to systemic therapies. Ubiquitination is a post-translational modification that regulates various physiological processes and cancer growth.

Methods: We analyzed the transcriptomic data of 256 sarcoma patients from The Cancer Genome Atlas (TCGA) to define the network and prognostic value of predefined ubiquitination-related genes and performed subgroup analyses. Additionally, the role of TRIM21 in sarcoma progression was explored using cellular experiments.

Results: We identified two ubiquitination-related clusters, and patients in the two clusters were characterized by different survival outcomes, enriched pathways, and characteristics of the tumor microenvironment. A ubiquitination-related signature involving LRRC41, RNF125, TRIM21, and UBE3D was identified to predict prognoses. The signature was associated with patient prognoses in the public sarcoma cohorts and our independent cohort. Immunohistochemistry analyses revealed that the risk score and CD8 could distinguish patients with different survival outcomes in our cohort. Mechanistically, different risk groups were also characterized by distinct enriched pathways and characteristics of the tumor microenvironment. Cellular experiments revealed that TRIM21 overexpression could suppress tumor progression in sarcomas.

Discussion: This study provided a novel classification for sarcoma patients based on expressions of ubiquitination-related genes. The classification and the prognostic model may facilitate the understanding of sarcoma pathogenesis, the prediction of prognosis and immunotherapy response for sarcoma patients. Meanwhile, it was confirmed that TRIM21 suppressed sarcoma progression and identified it as a potential target for therapeutic interventions.

Conclusions: The classification and signature stratify sarcoma patients for prognosis and immunotherapy response, with TRIM21 representing a promising therapeutic target.

肉瘤是异质间充质肿瘤,对全身治疗反应差。泛素化是一种调节多种生理过程和肿瘤生长的翻译后修饰。方法:分析来自癌症基因组图谱(TCGA)的256例肉瘤患者的转录组数据,确定预定义泛素化相关基因的网络和预后价值,并进行亚组分析。此外,我们还通过细胞实验探讨了TRIM21在肉瘤进展中的作用。结果:我们确定了两个泛素化相关的集群,两个集群中的患者具有不同的生存结局,丰富的通路和肿瘤微环境特征。我们发现了一个泛素化相关的信号,包括LRRC41、RNF125、TRIM21和UBE3D,以预测预后。在公共肉瘤队列和我们的独立队列中,该特征与患者预后相关。免疫组织化学分析显示,在我们的队列中,风险评分和CD8可以区分不同生存结局的患者。在机制上,不同的风险组也具有不同的富集途径和肿瘤微环境特征。细胞实验显示TRIM21过表达可抑制肉瘤的肿瘤进展。讨论:本研究基于泛素化相关基因的表达为肉瘤患者提供了一种新的分类方法。分类和预后模型有助于了解肉瘤的发病机制,预测肉瘤患者的预后和免疫治疗反应。同时,TRIM21抑制了肉瘤的进展,并将其确定为治疗干预的潜在靶点。结论:肉瘤患者的分类和特征分层对预后和免疫治疗反应具有重要意义,TRIM21是一个有希望的治疗靶点。
{"title":"Ubiquitination-based Classification and a Prognostic Signature Identify the Role of TRIM21 in Sarcoma Progression.","authors":"Lin Zhang, Weihao Lin, Jinhui Liu, Yuheng Hong, Zheng Cao, Zhentao Yu, Xiaoli Feng, Yibo Gao","doi":"10.2174/0109298673388379251113061745","DOIUrl":"https://doi.org/10.2174/0109298673388379251113061745","url":null,"abstract":"<p><strong>Introduction: </strong>Sarcomas are heterogeneous mesenchymal tumors with poor responses to systemic therapies. Ubiquitination is a post-translational modification that regulates various physiological processes and cancer growth.</p><p><strong>Methods: </strong>We analyzed the transcriptomic data of 256 sarcoma patients from The Cancer Genome Atlas (TCGA) to define the network and prognostic value of predefined ubiquitination-related genes and performed subgroup analyses. Additionally, the role of TRIM21 in sarcoma progression was explored using cellular experiments.</p><p><strong>Results: </strong>We identified two ubiquitination-related clusters, and patients in the two clusters were characterized by different survival outcomes, enriched pathways, and characteristics of the tumor microenvironment. A ubiquitination-related signature involving LRRC41, RNF125, TRIM21, and UBE3D was identified to predict prognoses. The signature was associated with patient prognoses in the public sarcoma cohorts and our independent cohort. Immunohistochemistry analyses revealed that the risk score and CD8 could distinguish patients with different survival outcomes in our cohort. Mechanistically, different risk groups were also characterized by distinct enriched pathways and characteristics of the tumor microenvironment. Cellular experiments revealed that TRIM21 overexpression could suppress tumor progression in sarcomas.</p><p><strong>Discussion: </strong>This study provided a novel classification for sarcoma patients based on expressions of ubiquitination-related genes. The classification and the prognostic model may facilitate the understanding of sarcoma pathogenesis, the prediction of prognosis and immunotherapy response for sarcoma patients. Meanwhile, it was confirmed that TRIM21 suppressed sarcoma progression and identified it as a potential target for therapeutic interventions.</p><p><strong>Conclusions: </strong>The classification and signature stratify sarcoma patients for prognosis and immunotherapy response, with TRIM21 representing a promising therapeutic target.</p>","PeriodicalId":10984,"journal":{"name":"Current medicinal chemistry","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146046270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
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Current medicinal chemistry
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