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Investigating the Mechanisms of Mitochondrial Dysfunction in Ischemic Stroke and Predicting Therapeutics Through Machine Learning and Integrated Bioinformatics. 通过机器学习和综合生物信息学研究缺血性卒中线粒体功能障碍的机制和预测治疗。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-10 DOI: 10.2174/0109298673371220250809113736
Chao Qi, Feng Dong, Kai Yang, Yanfei Lv

Introduction: Ischemic Stroke (IS) represents the most prevalent subtype of cerebrovascular disease, characterized by complex pathophysiological mechanisms that remain inadequately characterized, particularly concerning mitochondrial dysfunctions. These mitochondrial impairments are increasingly recognized as contributory factors in IS pathogenesis, emphasizing the need for further investigation into the underlying molecular mechanisms involved.

Methods: In this study, we integrated transcriptomic datasets from the Gene Expression Omnibus (GEO) with the comprehensive MitoCarta3.0 mitochondrial proteome inventory to elucidate the role of dysregulated Mitochondrial-Related Genes (MRGs) in IS. We employed an advanced bioinformatics and machine learning pipeline, incorporating differential expression profiling alongside network-based prioritization using CytoHubba. Rigorous feature selection was conducted through LASSO regression, Support Vector Machine (SVM), and Random Forest (RF) algorithms to derive a robust core MRG signature. Our methodology included training and validation cohorts to construct diagnostic models, which were critically evaluated via Receiver Operating Characteristic (ROC) curves, nomograms, and calibration analyses.

Results: Our analysis identified a seven-gene signature comprising DNAJA3, ACSL1, HSDL2, ECHDC2, ECHDC3, ALDH2, and PDK4, which demonstrated significant correlation with activated CD8+ T-cell and natural killer cell infiltration. Furthermore, integrative network analyses revealed intricate regulatory interactions among MRGs, microRNAs, and transcription factors. Notably, drug-target predictions indicated Bezafibrate as a promising therapeutic agent for modulating mitochondrial homeostasis in the context of IS.

Discussion: These findings offer a novel framework for ischemic stroke diagnosis and therapy, yet their computational derivation underscores the need for thorough experimental validation of MRGs and drug candidates, along with the integration of diverse clinical data to confirm their real-world applicability.

Conclusion: Our findings underscore mitochondrial dysfunction not only as a critical factor in IS pathogenesis but also as a viable therapeutic target. The identified MRG signature presents potential for clinical application in diagnostic and pharmacological strategies aimed at ameliorating ischemic injury. This study highlights the translational significance of systems biology approaches within cerebrovascular medicine, warranting further mechanistic exploration of mitochondrial-immune interactions in stroke pathology.

缺血性卒中(IS)是最常见的脑血管疾病亚型,其特征是复杂的病理生理机制,但尚未充分表征,特别是与线粒体功能障碍有关。这些线粒体损伤越来越被认为是IS发病机制的促成因素,强调需要进一步研究所涉及的潜在分子机制。方法:在本研究中,我们将来自基因表达综合(GEO)的转录组数据集与全面的MitoCarta3.0线粒体蛋白质组清单相结合,以阐明线粒体相关基因(MRGs)失调在IS中的作用。我们采用了先进的生物信息学和机器学习管道,结合差异表达谱和基于网络的CytoHubba优先级。通过LASSO回归、支持向量机(SVM)和随机森林(RF)算法进行严格的特征选择,以获得鲁棒的核心MRG签名。我们的方法包括训练和验证队列来构建诊断模型,并通过受试者工作特征(ROC)曲线、norm图和校准分析对模型进行严格评估。结果:我们的分析发现了包括DNAJA3、ACSL1、HSDL2、ECHDC2、ECHDC3、ALDH2和PDK4在内的7个基因特征,它们与活化的CD8+ t细胞和自然杀伤细胞浸润有显著相关性。此外,综合网络分析揭示了MRGs、microrna和转录因子之间复杂的调控相互作用。值得注意的是,药物靶标预测表明,Bezafibrate是一种有前途的治疗药物,可以调节IS背景下的线粒体稳态。讨论:这些发现为缺血性卒中的诊断和治疗提供了一个新的框架,但它们的计算推导强调了对核磁共振图和候选药物进行彻底实验验证的必要性,以及整合各种临床数据以确认其在现实世界中的适用性。结论:我们的研究结果强调线粒体功能障碍不仅是IS发病的关键因素,也是可行的治疗靶点。所确定的MRG特征在临床诊断和旨在改善缺血性损伤的药理学策略方面具有潜在的应用价值。这项研究强调了系统生物学方法在脑血管医学中的翻译意义,需要进一步探索中风病理中线粒体-免疫相互作用的机制。
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引用次数: 0
Synthesis, Cytotoxicity Evaluation, and Molecular Dynamics of 4-Thiazolidinone Derivatives: A Potential Path to EGFR-Targeted Anticancer Therapy. 4-噻唑烷酮衍生物的合成、细胞毒性评价和分子动力学:egfr靶向抗癌治疗的潜在途径。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-10 DOI: 10.2174/0109298673400295250913044755
Tomasz Szostek, Dagmara Otto-Ślusarczyk, Michał A Dobrowolski, Maciej Wiśniewski, Piotr Roszkowski, Daniel Szulczyk

Introduction: Heterocyclic compounds remain cornerstones of contemporary drug discovery because their ring-embedded heteroatoms confer adaptable electronics, conformational flexibility, and a broad spectrum of biological activities. The skeleton structure of 4-thiazolidinone is present in many cytotoxically active compounds and is often used in the design of new antitumor agents. This study aimed to synthesize, characterize, and evaluate the anticancer potential of fifteen new (2-imino-4-oxo-1,3-thiazolidin- 5-yl)acetic acid derivatives.

Method: Compounds were synthesized using a consistent synthetic route involving a reaction between a thiourea derivative and maleic anhydride, which formed the thiazolidin- 4-one ring through cyclization. The compounds were then categorized into three sets based on the attached heterocyclic rings (tryptamine, thiazole, and 1,2,4-triazole). The NMR and X-ray analysis followed the synthesis. Apoptotic effects, cell cycle arrest, IL-6 suppression, docking, and dynamics simulations were conducted. Preliminary cytotoxic activity was tested on metastatic colorectal cancer (SW620) and human breast adenocarcinoma (MDA-MB-231) cell lines using the MTT assay.

Result: Compounds 5, 6, and 7 demonstrated notable selectivity indexes (4.73, 2.42, 4.16, respectively) and were further investigated for their mechanisms of action, revealing pro-apoptotic properties and the ability to induce cell cycle arrest. Additionally, compound 5 inhibited IL-6 secretion by 76%. in silico studies revealed the formation of an energetically stable complex between compound 5 and the EGFR crystal structure (min/- max binding affinities of -9.4|-8.0 kcal/mol, compared to the -7.71 kcal/mol for the native ligand).

Discussion: This preliminary study provides compelling data on synthesized derivatives, but more advanced testing is needed to assess their therapeutic value fully. Compared with earlier reports on related thiazolidinone scaffolds, the present derivatives exhibit improved potency, clearer selectivity, and mechanistic features consistent with EGFR inhibition and cytokine modulation.

Conclusion: These findings validate (2-imino-4-oxo-1,3-thiazolidin-5-yl)acetic acid as a privileged core for cytotoxic lead generation and indicate that strategic substitution with either a tryptamine moiety (compound 5) or a 1,2,4-triazole ring (compound 7) is particularly advantageous. These compounds are promising EGFR-targeting anticancer candidates, warranting further investigation.

杂环化合物仍然是当代药物发现的基石,因为它们的环嵌入杂原子赋予适应性电子,构象灵活性和广泛的生物活性。4-噻唑烷酮的骨架结构存在于许多细胞毒性活性化合物中,常用于设计新的抗肿瘤药物。本研究旨在合成、表征和评价15个新的(2-亚胺-4-氧-1,3-噻唑烷- 5-基)乙酸衍生物的抗癌潜力。方法:采用硫脲衍生物与马来酸酐反应的一致合成路线合成化合物,通过环化形成噻唑烷- 4- 1环。然后根据所附的杂环(色胺、噻唑和1,2,4-三唑)将化合物分为三组。合成后进行核磁共振和x射线分析。凋亡效应、细胞周期阻滞、IL-6抑制、对接和动力学模拟。采用MTT法对转移性结直肠癌(SW620)和人乳腺腺癌(MDA-MB-231)细胞系进行了初步的细胞毒活性测试。结果:化合物5、6、7表现出显著的选择性指数(分别为4.73、2.42、4.16),并进一步研究了其作用机制,揭示了促凋亡特性和诱导细胞周期阻滞的能力。此外,化合物5抑制IL-6分泌76%。硅研究表明,化合物5与EGFR晶体结构之间形成了能量稳定的配合物(最小/最大结合亲和力为-9.4 bb0 -8.0 kcal/mol,而天然配体的结合亲和力为-7.71 kcal/mol)。讨论:这项初步研究提供了合成衍生物的令人信服的数据,但需要更先进的测试来充分评估其治疗价值。与先前报道的相关噻唑烷酮支架相比,该衍生物具有更高的效力,更清晰的选择性,以及与EGFR抑制和细胞因子调节一致的机制特征。结论:这些发现证实(2-亚胺-4-氧-1,3-噻唑烷-5-基)乙酸是细胞毒性铅生成的优越核心,并表明与色胺部分(化合物5)或1,2,4-三唑环(化合物7)的战略取代特别有利。这些化合物是有希望的egfr靶向抗癌候选物,值得进一步研究。
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引用次数: 0
Diabetes and Skin Health: Insights into Autoimmunity, Metals, and AGE-Mediated Disorders. 糖尿病和皮肤健康:对自身免疫、金属和年龄介导的疾病的见解。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-09 DOI: 10.2174/0109298673372197250911050753
Geir Bjørklund, Monica Butnariu, Leonard Gurgas, Tony Hangan

Diabetes mellitus (DM) significantly impacts systemic and skin health, with advanced glycation end-products (AGEs), metal imbalances, and immune dysfunction emerging as central drivers of skin-related complications. Furthermore, dysregulation of essential metals like zinc, copper, and iron exacerbates oxidative damage and immune dysfunction, fostering a detrimental skin environment. Autoimmune processes, increasingly recognized in both type 1 and type 2 DM, contributes towards dermatological conditions such as bullous pemphigoid and vitiligo. Emerging therapeutic strategies, including AGE inhibitors, chelation therapies, antioxidants, RAGE antagonists, and immune modulators, offers promising avenues for intervention. Advances in diagnostic tools, such as LC-MS/MS and ICP-MS, facilitate precise detection of AGEs and metal imbalances, paving the way for innovative therapies. This review underscores the importance of multidisciplinary approaches to address the rising burden of DM-related skin disorders and improve the quality of life of affected individuals.

糖尿病(DM)显著影响全身和皮肤健康,晚期糖基化终产物(AGEs)、金属失衡和免疫功能障碍成为皮肤相关并发症的主要驱动因素。此外,锌、铜和铁等必需金属的失调会加剧氧化损伤和免疫功能障碍,形成有害的皮肤环境。自身免疫过程在1型和2型糖尿病中得到越来越多的认识,有助于皮肤疾病,如大疱性类天疱疮和白癜风。新兴的治疗策略,包括AGE抑制剂、螯合疗法、抗氧化剂、RAGE拮抗剂和免疫调节剂,为干预提供了有希望的途径。LC-MS/MS和ICP-MS等诊断工具的进步有助于精确检测AGEs和金属失衡,为创新疗法铺平了道路。这篇综述强调了多学科方法在解决dm相关皮肤疾病日益增加的负担和改善受影响个体生活质量方面的重要性。
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引用次数: 0
Exploring the Anti-Glioma Mechanisms of Oridonin: Network Pharmacology and Experimental Insights into EMT Pathways. Oridonin抗胶质瘤机制的探索:网络药理学和EMT通路的实验见解。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-09 DOI: 10.2174/0109298673390934250923111917
Shiliang Chen, Yiran Fei, Xiaoli Jin, Cong Wang, Shiyuan Tong, Yibo He, Changjiang Wu, Zhezhong Zhang

Introduction: Gliomas are aggressive brain tumors with a poor prognosis and high recurrence. Oridonin, a traditional Chinese medicine, has shown potential in treating various cancers, but its role in glioma treatment, especially in modulating Epithelial- Mesenchymal Transition (EMT), remains underexplored.

Methods: We identified 371 potential target genes of Oridonin using various bioinformatics databases. Enrichment analyses, including Differential Expression Analysis, Gene Set Enrichment Analysis (GSEA), and Weighted Gene Co-expression Network Analysis (WGCNA), were performed to link these targets to glioma characteristics. in vitro experiments validated Oridonin's impact on EMT-related gene expression in glioma cells.

Results: Enrichment analyses identified 19 common genes between Oridonin and glioma targets, with 12 EMT-related core genes. KEGG enrichment highlighted PI3K-Akt, MAPK pathways, and glioma pathways, while DO enrichment included high-grade gliomas. CCK8 assay showed Oridonin IC50 values of 6.92 μM for H4 and 10.54 μM for SW1783 glioma cell lines. WB results indicated increased E-Cadherin and decreased Vimentin, N-Cadherin, and Snail expression after Oridonin treatment. PPI network and single- cell transcriptome analyses identified key genes linked to glioma progression and immune cell infiltration.

Discussion: Oridonin may inhibit glioma progression by targeting EMT-related pathways like PI3K-Akt and MAPK. The upregulation of E-Cadherin and downregulation of Vimentin, N-Cadherin, and Snail suggest a reversal of the EMT process. Future work should validate these effects in vivo and explore Oridonin's ability to cross the blood- -brain barrier.

Conclusion: Oridonin may provide a novel therapeutic approach for glioma by targeting EMT-related pathways, offering a foundation for further clinical investigation.

胶质瘤是侵袭性脑肿瘤,预后差,复发率高。中药oriidonin已显示出治疗多种癌症的潜力,但其在胶质瘤治疗中的作用,特别是在调节上皮-间充质转化(EMT)方面的作用仍未得到充分研究。方法:利用多种生物信息学数据库,鉴定出371个oriidonin潜在靶基因。富集分析,包括差异表达分析、基因集富集分析(GSEA)和加权基因共表达网络分析(WGCNA),将这些靶点与胶质瘤特征联系起来。体外实验验证了冬凌草甲素对胶质瘤细胞emt相关基因表达的影响。结果:富集分析鉴定出19个oriidonin与胶质瘤靶点之间的共同基因,其中12个与emt相关的核心基因。KEGG富集突出了PI3K-Akt、MAPK通路和胶质瘤通路,而DO富集则包括高级别胶质瘤。CCK8检测显示,Oridonin对H4和SW1783胶质瘤细胞系的IC50值分别为6.92 μM和10.54 μM。WB结果显示,经Oridonin处理后,E-Cadherin表达增加,Vimentin、N-Cadherin和Snail表达降低。PPI网络和单细胞转录组分析确定了与胶质瘤进展和免疫细胞浸润相关的关键基因。讨论:oriidonin可能通过靶向emt相关通路如PI3K-Akt和MAPK来抑制胶质瘤的进展。E-Cadherin的上调和Vimentin、N-Cadherin和Snail的下调提示EMT过程的逆转。未来的工作应该在体内验证这些作用,并探索Oridonin穿越血脑屏障的能力。结论:oriidonin可能通过靶向emt相关通路,为胶质瘤的治疗提供新的途径,为进一步的临床研究奠定基础。
{"title":"Exploring the Anti-Glioma Mechanisms of Oridonin: Network Pharmacology and Experimental Insights into EMT Pathways.","authors":"Shiliang Chen, Yiran Fei, Xiaoli Jin, Cong Wang, Shiyuan Tong, Yibo He, Changjiang Wu, Zhezhong Zhang","doi":"10.2174/0109298673390934250923111917","DOIUrl":"https://doi.org/10.2174/0109298673390934250923111917","url":null,"abstract":"<p><strong>Introduction: </strong>Gliomas are aggressive brain tumors with a poor prognosis and high recurrence. Oridonin, a traditional Chinese medicine, has shown potential in treating various cancers, but its role in glioma treatment, especially in modulating Epithelial- Mesenchymal Transition (EMT), remains underexplored.</p><p><strong>Methods: </strong>We identified 371 potential target genes of Oridonin using various bioinformatics databases. Enrichment analyses, including Differential Expression Analysis, Gene Set Enrichment Analysis (GSEA), and Weighted Gene Co-expression Network Analysis (WGCNA), were performed to link these targets to glioma characteristics. in vitro experiments validated Oridonin's impact on EMT-related gene expression in glioma cells.</p><p><strong>Results: </strong>Enrichment analyses identified 19 common genes between Oridonin and glioma targets, with 12 EMT-related core genes. KEGG enrichment highlighted PI3K-Akt, MAPK pathways, and glioma pathways, while DO enrichment included high-grade gliomas. CCK8 assay showed Oridonin IC50 values of 6.92 μM for H4 and 10.54 μM for SW1783 glioma cell lines. WB results indicated increased E-Cadherin and decreased Vimentin, N-Cadherin, and Snail expression after Oridonin treatment. PPI network and single- cell transcriptome analyses identified key genes linked to glioma progression and immune cell infiltration.</p><p><strong>Discussion: </strong>Oridonin may inhibit glioma progression by targeting EMT-related pathways like PI3K-Akt and MAPK. The upregulation of E-Cadherin and downregulation of Vimentin, N-Cadherin, and Snail suggest a reversal of the EMT process. Future work should validate these effects in vivo and explore Oridonin's ability to cross the blood- -brain barrier.</p><p><strong>Conclusion: </strong>Oridonin may provide a novel therapeutic approach for glioma by targeting EMT-related pathways, offering a foundation for further clinical investigation.</p>","PeriodicalId":10984,"journal":{"name":"Current medicinal chemistry","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145291569","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
Neuroinflammatory Human Brain Organoids Enable Comprehensive Drug Screening Studies: Fingolimod and its Analogues in Focus. 神经炎性人脑类器官使综合药物筛选研究成为可能:重点是芬戈莫德及其类似物。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-08 DOI: 10.2174/0109298673435364251002112630
Busra Acar, Nihan Aktas Pepe, Aleksandra Zivkovic, Holger Stark, Alaattin Sen

Introduction: The absence of physiologically relevant models for neuroinflammatory brain disorders, such as multiple sclerosis (MS), highlights the need for improved drug screening platforms. To bridge this gap, this study aimed to develop a human brain organoid (hBO) model incorporating essential neural cell types, including astrocytes, microglia, and oligodendrocytes.

Methods: hBOs were generated from H9 stem cells, and neuroinflammatory characteristics were elicited by lipopolysaccharide (LPS). The expression of specific neuronal and inflammatory markers was assessed through qRT-PCR, immunofluorescence staining (IFS), and ELISA.

Results: IFS of mature hBOs with anti-SOX2, anti-SATB2, anti-MAPT, anti-GFAP, anti- MBP, and anti-IBA1 antibodies and images collected with the confocal microscope confirmed the differentiation of H9 cells into cortical neurons, astrocytes, microglia, and oligodendrocyte cell types. Elevated GFAP, IBA1, NF-κB, and IL-6 levels, along with reduced CNPase expression with LPS treatment, were considered reflective of MS-like pathology and were used to test fingolimod and its derivatives. Fingolimod and all its derivatives, specifically ST-1505, decreased MAPT (2.1-fold in ELISA, 1.7-fold in IFS), GFAP (1.8-fold in IFS), TNFα (5.4-fold in qRT-PCR), and FABP (1.5-fold in ELISA) levels, and increased IL-10 (11-fold in qRT-PCR) and MBP (2.9-fold in IFS) levels.

Discussion: The present data collectively showed LPS to evoke neuroinflammation in the hBO model, while fingolimod and its derivatives, particularly ST-1505, exhibited significant anti-inflammatory and neuroprotective properties by counteracting these evoked changes in the hBO model.

Conclusion: The findings supported the applicability of brain organoids as a model system for drug screening studies for neuroinflammatory brain diseases.

神经炎性脑疾病(如多发性硬化症(MS))的生理相关模型的缺失,突出了改进药物筛选平台的必要性。为了弥补这一空白,本研究旨在开发一个包含基本神经细胞类型的人脑类器官(hBO)模型,包括星形胶质细胞、小胶质细胞和少突胶质细胞。方法:用H9干细胞生成hBOs,用脂多糖(LPS)诱导神经炎症特征。通过qRT-PCR、免疫荧光染色(IFS)和ELISA检测特异性神经元和炎症标志物的表达。结果:成熟hBOs的抗sox2、抗satb2、抗mapt、抗gfap、抗MBP、抗iba1抗体的IFS和共聚焦显微镜图像证实H9细胞分化为皮质神经元、星形胶质细胞、小胶质细胞和少突胶质细胞类型。LPS处理后GFAP、IBA1、NF-κB和IL-6水平升高以及CNPase表达降低被认为是ms样病理的反映,并用于检测芬戈莫德及其衍生物。Fingolimod及其所有衍生物,特别是ST-1505,降低MAPT (ELISA结果为2.1倍,IFS结果为1.7倍)、GFAP (IFS结果为1.8倍)、TNFα (qRT-PCR结果为5.4倍)和FABP (ELISA结果为1.5倍)水平,升高IL-10 (qRT-PCR结果为11倍)和MBP (IFS结果为2.9倍)水平。讨论:目前的数据共同表明LPS在hBO模型中引起神经炎症,而fingolimod及其衍生物,特别是ST-1505,通过抵消这些在hBO模型中引起的变化而表现出显著的抗炎和神经保护特性。结论:本研究结果支持脑类器官作为神经炎性脑疾病药物筛选研究的模型系统的适用性。
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引用次数: 0
Side Chain Effects on the Lipophilicity-antimicrobial-toxicity Correlation of Greener 4-Alkoxy/Amino-7-Chloroquinolines. 绿色4-烷氧基/氨基-7-氯喹啉类药物亲脂-抗菌-毒性相关性的副链效应。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-08 DOI: 10.2174/0109298673372039250614231629
Gabriela F Fiss, Everton P Silva, Maria F S Madruga, Abraão P Sousa, Helivaldo D S Souza, Rádamis B Castor, Maria H Nascimento, Krystyna G Lira, Petrônio F Athayde-Filho

Background: More robust 4-substituted 7-chloroquinolines have been investigated for their diverse properties. However, there is still no systematic study that correlates the effects of the side chain at the 4-position of chloroquine and hydroxychloroquine derivatives with their lipophilicity, antimicrobial and toxicity properties.

Objective: To this end, a cleaner and facile approach was planned to obtain nineteen 4- substituted 7-chloroquinolines, whose influence of the substituent group and side chain extension at the 4-position on their properties was studied.

Methods: 4-Alkoxy/amino-7-chloroquinolines were prepared by a nucleophilic aromatic substitution (SNAr) reaction between 4,7-dichloroquinoline and alcohols/amines, evaluated for their in silico ADMET test, in vitro antimicrobial activity against Gram-(+) and Gram-(-) bacteria, and Candida albicans fungus, and in vitro toxicity on Artemia salina larvae.

Results: 4-Alkoxy/amino-7-chloroquinolines were obtained in yields ranging from 81 to 100%. The best results showed antimicrobial activity against Pseudomonas aeruginosa for 4-amino-7-chloroquinolines 6-8, with halos greater than 20 mm, and against C. albicans for 4-amino-7-chloroquinolines 1-3, with halos close to 30 mm. A correspondence between Minnow toxicity prediction and in vitro toxicity on A. salina larvae was observed, where compounds 3 and 14, with R = Pent, were both predicted to have high acute toxicity (log LC50 < -0.3) and classified as highly toxic (LC50 < 100 μg mL-1). It seems that increased lipophilicity in the side chain is harmful to A. salina larvae.

Conclusion: Considering the results for compounds 1-3 and 6-8 with greater activity against C. albicans and P. aeruginosa, respectively, especially for 4-amino-7-chloroquinolines 6 and 7, which are slightly toxic on A. salina larvae (LC50 500-1000 μg mL-1), their antimicrobial studies deserve to be continued by the determination of Minimum Inhibitory Concentration (MIC) values.

背景:由于4-取代7-氯喹啉具有不同的性质,人们对它们进行了更强效的研究。然而,氯喹和羟氯喹衍生物的4位侧链对其亲脂性、抗菌性和毒性的影响,目前还没有系统的研究。目的:为获得194 -取代的7-氯喹啉类化合物,研究取代基和4位侧链延伸对其性质的影响。方法:采用4,7-二氯喹啉与醇/胺进行亲核芳香族取代反应制备4-烷氧基/氨基-7-氯喹啉,并对其进行了体外ADMET测试、体外对革兰氏(+)、革兰氏(-)菌和白色念珠菌的抑菌活性以及体外对盐碱蒿(Artemia salina)幼虫的毒性试验。结果:得到4-烷氧基/氨基-7-氯喹啉,收率为81% ~ 100%。结果表明,4-氨基-7-氯喹啉6-8对铜绿假单胞菌有抗菌活性,光晕大于20 mm; 4-氨基-7-氯喹啉1-3对白色念珠菌有抗菌活性,光晕接近30 mm。结果表明,化合物3和化合物14的体外毒性与预测值一致,且R = Pent均为高急性毒性(LC50 < -0.3)和高毒性(LC50 < 100 μg mL-1)。侧链亲脂性的增加似乎对盐藻幼虫有害。结论:化合物1 ~ 3和6 ~ 8分别对白色念珠菌和铜绿假单胞菌具有较强的抑菌活性,特别是4-氨基-7-氯喹啉6和7对盐渍假单胞菌幼虫的LC50为500 ~ 1000 μ mL-1,其抑菌活性较弱,值得进一步测定其最低抑菌浓度(MIC)值。
{"title":"Side Chain Effects on the Lipophilicity-antimicrobial-toxicity Correlation of Greener 4-Alkoxy/Amino-7-Chloroquinolines.","authors":"Gabriela F Fiss, Everton P Silva, Maria F S Madruga, Abraão P Sousa, Helivaldo D S Souza, Rádamis B Castor, Maria H Nascimento, Krystyna G Lira, Petrônio F Athayde-Filho","doi":"10.2174/0109298673372039250614231629","DOIUrl":"https://doi.org/10.2174/0109298673372039250614231629","url":null,"abstract":"<p><strong>Background: </strong>More robust 4-substituted 7-chloroquinolines have been investigated for their diverse properties. However, there is still no systematic study that correlates the effects of the side chain at the 4-position of chloroquine and hydroxychloroquine derivatives with their lipophilicity, antimicrobial and toxicity properties.</p><p><strong>Objective: </strong>To this end, a cleaner and facile approach was planned to obtain nineteen 4- substituted 7-chloroquinolines, whose influence of the substituent group and side chain extension at the 4-position on their properties was studied.</p><p><strong>Methods: </strong>4-Alkoxy/amino-7-chloroquinolines were prepared by a nucleophilic aromatic substitution (SNAr) reaction between 4,7-dichloroquinoline and alcohols/amines, evaluated for their in silico ADMET test, in vitro antimicrobial activity against Gram-(+) and Gram-(-) bacteria, and Candida albicans fungus, and in vitro toxicity on Artemia salina larvae.</p><p><strong>Results: </strong>4-Alkoxy/amino-7-chloroquinolines were obtained in yields ranging from 81 to 100%. The best results showed antimicrobial activity against Pseudomonas aeruginosa for 4-amino-7-chloroquinolines 6-8, with halos greater than 20 mm, and against C. albicans for 4-amino-7-chloroquinolines 1-3, with halos close to 30 mm. A correspondence between Minnow toxicity prediction and in vitro toxicity on A. salina larvae was observed, where compounds 3 and 14, with R = Pent, were both predicted to have high acute toxicity (log LC50 < -0.3) and classified as highly toxic (LC50 < 100 μg mL-1). It seems that increased lipophilicity in the side chain is harmful to A. salina larvae.</p><p><strong>Conclusion: </strong>Considering the results for compounds 1-3 and 6-8 with greater activity against C. albicans and P. aeruginosa, respectively, especially for 4-amino-7-chloroquinolines 6 and 7, which are slightly toxic on A. salina larvae (LC50 500-1000 μg mL-1), their antimicrobial studies deserve to be continued by the determination of Minimum Inhibitory Concentration (MIC) values.</p>","PeriodicalId":10984,"journal":{"name":"Current medicinal chemistry","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145291581","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
Construction of an E3 Ubiquitin Ligase Gene Model to Predict the Prognosis of Idiopathic Pulmonary Fibrosis Patients Using Integrated Bioinformatics Analysis. 利用综合生物信息学分析构建预测特发性肺纤维化患者预后的E3泛素连接酶基因模型
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-07 DOI: 10.2174/0109298673380428250903105810
Junhui Liu, Longfei Zhu, Guirong Li, Jingyu Chen

Introduction: Idiopathic pulmonary fibrosis (IPF) is a deadly lung disease and currently has limited treatment options. E3 ubiquitin ligases play a role in multiple diseases; however, there are few studies involving them in the development of IPF. This study aimed to develop an E3 ubiquitin ligase gene-based risk signature model to predict the prognosis of patients with IPF.

Methods: We downloaded the GSE70866 dataset and the E3 ubiquitin ligase genes from the GEO database and the iUUCD database, respectively. We then used LASSO and multivariate Cox regression analysis to develop a prognostic signature model and validated its efficacy using the GEO dataset. Functional enrichment analysis, immune cell infiltration, and consensus clustering analysis were performed based on the model. Transcription factors associated with the genes in the model were identified using the hTFtarget database. scRNA-seq analysis identified key cell types through the analyses of cell communication and differentiation trajectories. The expression of the E3 genes in the model was detected by Western blot.

Results: A prognostic model based on 5 E3 ubiquitin ligase genes (CDCA3, TRIM47, SH3RF1, SPAG16, LONRF3) was developed. The high expression of CDCA3, TRIM47, and SH3RF1 predicts the poor prognosis of IPF patients. Functional enrichment analysis indicated the functional difference between high- and low-risk groups. And the model is enriched in the signaling pathway related to fibrosis. Immune cell infiltration analysis revealed 22 immune cell types related to the model differed significantly between the two risk groups. Single-cell RNA analysis revealed that alveolar epithelial cells (AEC) have a strong interaction with macrophages, based on the model and the potential role of the 5 E3 ligase genes in IPF. Finally, the western blot results demonstrated that CDCA3, SH3RF1, and TRIM47 were expressed at higher levels in the model with IPF compared to normal, while SPAG16 was expressed at lower levels in IPF.

Discussion: In this study, the prognostic model constructed using the data from the GEO database significantly improved the accuracy of individualized prognosis prediction in patients with pulmonary fibrosis. The high-risk populations identified by this model may benefit from early intervention, providing an objective tool for informed clinical decision-making. In addition, the strong predictive signatures in the model suggest its potential pathological mechanism value, which points out the direction for future targeted research.

Conclusion: Our study highlights the E3 ubiquitin ligase gene-based risk model as a promising tool for enhancing prognostic accuracy in IPF.

特发性肺纤维化(IPF)是一种致命的肺部疾病,目前治疗方案有限。E3泛素连接酶在多种疾病中的作用;然而,涉及它们在IPF发育中的研究却很少。本研究旨在建立基于E3泛素连接酶基因的IPF患者预后预测风险特征模型。方法:分别从GEO数据库和iUUCD数据库下载GSE70866数据集和E3泛素连接酶基因。然后,我们使用LASSO和多变量Cox回归分析来建立预后特征模型,并使用GEO数据集验证其有效性。在此基础上进行功能富集分析、免疫细胞浸润分析和一致聚类分析。利用hTFtarget数据库鉴定与模型中基因相关的转录因子。scRNA-seq分析通过分析细胞通讯和分化轨迹确定了关键的细胞类型。Western blot检测模型中E3基因的表达。结果:建立了基于5个E3泛素连接酶基因(CDCA3、TRIM47、SH3RF1、SPAG16、LONRF3)的预后模型。CDCA3、TRIM47、SH3RF1的高表达预示着IPF患者预后不良。功能富集分析显示高危组和低危组的功能差异。该模型富含与纤维化相关的信号通路。免疫细胞浸润分析显示,与模型相关的22种免疫细胞类型在两个风险组之间存在显著差异。单细胞RNA分析显示,肺泡上皮细胞(AEC)与巨噬细胞有很强的相互作用,基于该模型和5个E3连接酶基因在IPF中的潜在作用。最后,western blot结果显示,在IPF模型中,CDCA3、SH3RF1和TRIM47的表达水平高于正常,而SPAG16在IPF模型中表达水平较低。讨论:在本研究中,使用GEO数据库数据构建的预后模型显著提高了肺纤维化患者个体化预后预测的准确性。该模型确定的高危人群可能受益于早期干预,为知情的临床决策提供客观工具。此外,该模型具有较强的预测特征,提示其潜在的病理机制价值,为今后的针对性研究指明了方向。结论:我们的研究强调了基于E3泛素连接酶基因的风险模型是提高IPF预后准确性的有希望的工具。
{"title":"Construction of an E3 Ubiquitin Ligase Gene Model to Predict the Prognosis of Idiopathic Pulmonary Fibrosis Patients Using Integrated Bioinformatics Analysis.","authors":"Junhui Liu, Longfei Zhu, Guirong Li, Jingyu Chen","doi":"10.2174/0109298673380428250903105810","DOIUrl":"https://doi.org/10.2174/0109298673380428250903105810","url":null,"abstract":"<p><strong>Introduction: </strong>Idiopathic pulmonary fibrosis (IPF) is a deadly lung disease and currently has limited treatment options. E3 ubiquitin ligases play a role in multiple diseases; however, there are few studies involving them in the development of IPF. This study aimed to develop an E3 ubiquitin ligase gene-based risk signature model to predict the prognosis of patients with IPF.</p><p><strong>Methods: </strong>We downloaded the GSE70866 dataset and the E3 ubiquitin ligase genes from the GEO database and the iUUCD database, respectively. We then used LASSO and multivariate Cox regression analysis to develop a prognostic signature model and validated its efficacy using the GEO dataset. Functional enrichment analysis, immune cell infiltration, and consensus clustering analysis were performed based on the model. Transcription factors associated with the genes in the model were identified using the hTFtarget database. scRNA-seq analysis identified key cell types through the analyses of cell communication and differentiation trajectories. The expression of the E3 genes in the model was detected by Western blot.</p><p><strong>Results: </strong>A prognostic model based on 5 E3 ubiquitin ligase genes (CDCA3, TRIM47, SH3RF1, SPAG16, LONRF3) was developed. The high expression of CDCA3, TRIM47, and SH3RF1 predicts the poor prognosis of IPF patients. Functional enrichment analysis indicated the functional difference between high- and low-risk groups. And the model is enriched in the signaling pathway related to fibrosis. Immune cell infiltration analysis revealed 22 immune cell types related to the model differed significantly between the two risk groups. Single-cell RNA analysis revealed that alveolar epithelial cells (AEC) have a strong interaction with macrophages, based on the model and the potential role of the 5 E3 ligase genes in IPF. Finally, the western blot results demonstrated that CDCA3, SH3RF1, and TRIM47 were expressed at higher levels in the model with IPF compared to normal, while SPAG16 was expressed at lower levels in IPF.</p><p><strong>Discussion: </strong>In this study, the prognostic model constructed using the data from the GEO database significantly improved the accuracy of individualized prognosis prediction in patients with pulmonary fibrosis. The high-risk populations identified by this model may benefit from early intervention, providing an objective tool for informed clinical decision-making. In addition, the strong predictive signatures in the model suggest its potential pathological mechanism value, which points out the direction for future targeted research.</p><p><strong>Conclusion: </strong>Our study highlights the E3 ubiquitin ligase gene-based risk model as a promising tool for enhancing prognostic accuracy in IPF.</p>","PeriodicalId":10984,"journal":{"name":"Current medicinal chemistry","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145291586","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
Imidazole-2-thione and Acylhydrazone Derivatives Targeting Carbonic Anhydrase-II: Synthesis, In-Vitro Evaluations, and MM-GBSA Calculation. 靶向碳酸酐酶的咪唑-2-硫酮和酰基腙衍生物:合成、体外评价和MM-GBSA计算。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-06 DOI: 10.2174/0109298673365555250617114928
Muhammad Ibrahim, Sobia Ahsan Halim, Majid Khan, Ajmal Khan, Muhammad Waqas, Manzoor Ahmad, Nazia Akbar, Sajid Ali, Samee Ullah, Jalal Uddin, Abdul Latif, Mumtaz Ali, Ahmed Al-Harrasi

Introduction: Several pathological conditions, including glaucoma, malignant brain tumors, and renal, gastric, and pancreatic carcinomas, are commonly associated with carbonic anhydrase type II (CA-II). Additionally, CA-II plays a critical role in regulating bicarbonate concentration in the eyes. The inhibition of CA-II reduces aqueous humor production and thus lowers intraocular pressure associated with glaucoma.

Objectives: This study aimed to synthesize potent CA-II inhibitors, 5-nitro-1H-benzo[ d]imidazole-2(3H)-thione (5NBIT) and acylhydrazone derivatives (1-13).

Methods: In this study, a new series of potent CA-II inhibitors, 5-nitro-1H-benzo[d]imidazole- 2(3H)-thione (5NBIT) and acylhydrazone derivatives (1-13), were synthesized and characterized by IR, NMR, UV and mass spectroscopy and evaluated against bovine carbonic anhydrase-II (bCA-II).

Results: Interestingly, most of the compounds showed better inhibition than the standard drug, acetazolamide (IC50: 18.2±0.51 μM), such as compounds 1 (IC50: 10.5±0.81 μM), 2 (IC50: 11.3±0.36 μM), 3 (IC50: 16.5±0.53 μM), 4 (IC50: 15.8±1.02 μM), 5 (IC50: 13.7±1.03 μM), and 9 (IC50: 12.2±1.03 μM). Among the synthesized compounds, compound 7 (IC50: 8.2±0.32 μM) exhibited the highest and compound 6 (IC50: 27.6±0.39 μM) showed the lowest inhibition. Structure-activity relationships suggest that the presence of nitro group on the phenyl ring contributed significantly to the overall inhibitory activity. Molecular docking of all the active compounds was performed to predict their binding behavior, which indicated good agreement between docking and experimental findings. Moreover, the MD simulation of compound 7 also showed excellent binding behavior and binding energy within the binding cavity of bCA-II.

Conclusion: These findings suggest that the synthesized 5NBIT and acylhydrazone derivatives exhibited potent CA-II inhibition, with several compounds outperforming the standard drug acetazolamide. These results provide valuable insights for the development of novel CA-II inhibitors with potential therapeutic applications in glaucoma and other related conditions.

几种病理情况,包括青光眼、恶性脑肿瘤、肾癌、胃癌和胰腺癌,通常与II型碳酸酐酶(CA-II)相关。此外,CA-II在调节眼睛内碳酸氢盐浓度方面起着关键作用。抑制CA-II可减少房水生成,从而降低与青光眼相关的眼压。目的:合成有效的CA-II抑制剂,5-硝基- 1h -苯并[d]咪唑-2(3H)-硫酮(5NBIT)和酰基腙衍生物(1-13)。方法:合成了一系列新的有效的CA-II抑制剂,5-硝基- 1h -苯并咪唑- 2(3H)-硫酮(5NBIT)及其酰基腙衍生物(1-13),并用IR、NMR、UV和质谱对其进行了表征,并对其对牛碳酸酐酶(bCA-II)的抑制作用进行了评价。结果:化合物1 (IC50: 10.5±0.81 μM)、2 (IC50: 11.3±0.36 μM)、3 (IC50: 16.5±0.53 μM)、4 (IC50: 15.8±1.02 μM)、5 (IC50: 13.7±1.03 μM)、9 (IC50: 12.2±1.03 μM)对乙酰唑胺(IC50: 18.2±0.51 μM)的抑制效果均优于对照药乙酰唑胺(IC50: 18.2±0.51 μM)。在所合成的化合物中,化合物7 (IC50: 8.2±0.32 μM)的抑制活性最高,化合物6 (IC50: 27.6±0.39 μM)的抑制活性最低。结构-活性关系表明苯基环上硝基的存在对整体抑制活性有显著贡献。对所有活性化合物进行分子对接,预测其结合行为,结果表明对接与实验结果吻合较好。此外,化合物7的MD模拟也显示出在bCA-II的结合腔内具有良好的结合行为和结合能。结论:合成的5NBIT和酰基腙衍生物具有较强的CA-II抑制作用,其中一些化合物的抑制作用优于标准药物乙酰唑胺。这些结果为开发新型CA-II抑制剂提供了有价值的见解,这些抑制剂在青光眼和其他相关疾病中具有潜在的治疗应用。
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引用次数: 0
Boswellic acid derived molecules as SARS-CoV-2 spike protein inhibitors: A comprehensive virtual screening, triplicate molecular dynamic simulation and biochemical validation. boswell酸衍生分子作为SARS-CoV-2刺突蛋白抑制剂:综合虚拟筛选、三重分子动态模拟和生化验证
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-06 DOI: 10.2174/0109298673354901250402143533
Atta Ullah, Muhammad Waqas, Saeed Ullah, Sobia Ahsan Halim, Satya Kumar Avula, Sadeeq Ur Rehman, Najeeb Ur Rehman, Magda H Abdellattif, Ajmal Khan, Ahmed Al-Harrasi

Background: Coronavirus disease (COVID-19) is a highly infective disease caused by SARS-CoV-2. The SARS-CoV-2 spike protein binds with the human ACE2 receptor to facilitate viral entry into the host cell; therefore, spike protein serves as a potential target for drug development.

Objective: Keeping in view the significance of SARS-CoV-2 spike protein for viral replications, in the current study, we identified the potent inhibitors against SARS-CoV-2 spike protein in order to combat the viral infection.

Methods: In the current study, we screened an in-house library of ~900 natural and synthesized compounds against the spike protein receptor binding domain (RBD) using a structure-based virtual approach, followed by an in-vitro inhibition bioassay.

Results: Seven (C1-C7) potent compounds were identified with docking scores ≥ -6.66 Kcal/mol; their drug-likeness, pharmacokinetic, and pharmacodynamic characteristics were excellent with no toxic effect. Those molecules were subjected to a triplicate simulation for 200 ns, which further confirmed their stable binding with RBD. This tight packing of complexes was reflected by calculated binding free energy, which disclosed higher binding free energy of C4, C7 and C6 than C1-C3, while predicted entropic energy demonstrates higher values for C4, C7 and C1 than the rest of the compounds, indicating more thermodynamic stability in protein due to conformational changes in spike protein induced by binding of C4, C7 and C1. These computational analyses were later validated through in-vitro bioassay. Remarkably, C2-C7 displayed significant inhibitory potential with >76 to 89 % inhibition and C3, C4, C6 and C7 demonstrated the highest inhibition of RBD.

Conclusion: The current findings suggest that compounds C3 and C6 effectively disrupt the function of RBD of SARS-CoV-2 spike protein and can serve as potential drug candidates for spike protein.

背景:冠状病毒病(COVID-19)是由SARS-CoV-2引起的高传染性疾病。SARS-CoV-2刺突蛋白与人ACE2受体结合,促进病毒进入宿主细胞;因此,刺突蛋白是药物开发的潜在靶点。目的:考虑到SARS-CoV-2刺突蛋白对病毒复制的重要意义,本研究确定了有效的SARS-CoV-2刺突蛋白抑制剂,以对抗病毒感染。方法:在目前的研究中,我们使用基于结构的虚拟方法筛选了大约900种天然和合成的抗刺突蛋白受体结合域(RBD)的化合物,然后进行了体外抑制生物测定。结果:共鉴定出7个(c1 ~ c7)强效化合物,对接评分≥-6.66 Kcal/mol;它们的药物相似性、药代动力学和药效学特性优良,无毒副作用。这些分子进行了200 ns的三次模拟,进一步证实了它们与RBD的稳定结合。计算的结合自由能反映了配合物的紧密包裹,C4、C7和C6的结合自由能高于C1- c3,而预测的熵能显示C4、C7和C1的值高于其他化合物,表明C4、C7和C1的结合引起了刺突蛋白的构象变化,从而提高了蛋白质的热力学稳定性。这些计算分析后来通过体外生物测定验证。值得注意的是,C2-C7表现出明显的抑制潜力,抑制率为>76 ~ 89%,C3、C4、C6和C7对RBD的抑制作用最高。结论:化合物C3和C6可有效破坏SARS-CoV-2刺突蛋白的RBD功能,可作为刺突蛋白的潜在候选药物。
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引用次数: 0
Genetically Predicted Gastroesophageal Reflux Disease and Common Thyroid Disorders: A Two-sample Mendelian Randomization Study. 遗传预测胃食管反流病和常见甲状腺疾病:一项双样本孟德尔随机研究。
IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-06 DOI: 10.2174/0109298673362752250730045645
Hanxin Lv, Xinyu Yang, Ruting Zhang, Yuyang Xie, Xiaohan Ni, Xiaoqin Yang, Bimin Shi

Introduction: The causality between thyroid disorders and Gastroesophageal Reflux Disease (GERD) remains to be deciphered. This two-sample Mendelian Randomization (MR) study was performed to elucidate the causal association between GERD and thyroid diseases and functions.

Methods: Summary statistics for GERD were retrieved from a published GWAS dataset deposited in the Integrative Epidemiology Unit OpenGWAS database. Thyroid hormone level data were obtained from the ThyroidOmics Consortium, and genetic variants associated with thyroid disorders were sourced from the FinnGen Project. MR statistical analyses used the Inverse Variance Weighted (IVW) algorithm, followed by various sensitivity and reliability analyses. Odds Ratio (OR) and beta coefficient (β) with 95% Confidence Interval (CI) were estimated for categorical and continuous outcomes, respectively. The significant causal association was determined based on a Bonferroni-corrected threshold of p-value < 0.0021 (calculated as 0.05/24 trait pairs).

Results: The findings of MR analysis tend to favor the causality of GERD for hyperthyroidism (IVW: OR = 1.517, 95% CI: 1.164 to 1.978, p = 2.04E-03) but not the other thyroid disorders. The reverse MR estimates suggested that thyroid disorders may not affect the susceptibility of GERD. Moreover, genetic proxied GERD was significantly negatively associated with circulating Thyroid Stimulating Hormone (TSH) level (IVW: β = -0.048, 95% CI: -0.078 to -0.019, p = 1.17E-03), whereas the causality of this enteropathy on Free Triiodothyronine (FT3), Free Thyroxine (FT4), Total Triiodothyronine (TT3), FT3/FT4 ratio, and TT3/FT4 ratio (and vice versa) is unfounded.

Discussion: This MR study indicates that the genetic liability to GERD is significantly detrimental to hyperthyroidism risk and the homeostasis of TSH.

Conclusion: The findings suggest that effective GERD management could mitigate hyperthyroidism risk.

简介:甲状腺疾病与胃食管反流病(GERD)之间的因果关系仍有待研究。这项双样本孟德尔随机化(MR)研究旨在阐明胃食管反流与甲状腺疾病和功能之间的因果关系。方法:从整合流行病学单位OpenGWAS数据库中已发表的GWAS数据集中检索GERD的汇总统计数据。甲状腺激素水平数据来自甲状腺组学联盟,与甲状腺疾病相关的遗传变异来自FinnGen项目。MR统计分析采用逆方差加权(IVW)算法,然后进行各种灵敏度和可靠性分析。分别对分类结局和连续结局进行比值比(OR)和95%置信区间(CI)的β系数(β)估计。根据bonferroni校正阈值p值< 0.0021(计算为0.05/24性状对)确定显著因果关系。结果:MR分析结果倾向于支持GERD与甲亢的因果关系(IVW: OR = 1.517, 95% CI: 1.164 ~ 1.978, p = 2.041 e -03),而不支持其他甲状腺疾病。相反的MR估计表明,甲状腺疾病可能不会影响胃反流的易感性。此外,遗传性GERD与循环促甲状腺激素(TSH)水平呈显著负相关(IVW: β = -0.048, 95% CI: -0.078至-0.019,p = 1.17E-03),而这种肠病与游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、总三碘甲状腺原氨酸(TT3)、FT3/FT4比率和TT3/FT4比率(反之亦然)的因果关系是没有根据的。讨论:这项MR研究表明,对胃食管反流的遗传倾向对甲状腺功能亢进的风险和TSH的稳态明显有害。结论:有效的胃反流治疗可降低甲亢的发病风险。
{"title":"Genetically Predicted Gastroesophageal Reflux Disease and Common Thyroid Disorders: A Two-sample Mendelian Randomization Study.","authors":"Hanxin Lv, Xinyu Yang, Ruting Zhang, Yuyang Xie, Xiaohan Ni, Xiaoqin Yang, Bimin Shi","doi":"10.2174/0109298673362752250730045645","DOIUrl":"https://doi.org/10.2174/0109298673362752250730045645","url":null,"abstract":"<p><strong>Introduction: </strong>The causality between thyroid disorders and Gastroesophageal Reflux Disease (GERD) remains to be deciphered. This two-sample Mendelian Randomization (MR) study was performed to elucidate the causal association between GERD and thyroid diseases and functions.</p><p><strong>Methods: </strong>Summary statistics for GERD were retrieved from a published GWAS dataset deposited in the Integrative Epidemiology Unit OpenGWAS database. Thyroid hormone level data were obtained from the ThyroidOmics Consortium, and genetic variants associated with thyroid disorders were sourced from the FinnGen Project. MR statistical analyses used the Inverse Variance Weighted (IVW) algorithm, followed by various sensitivity and reliability analyses. Odds Ratio (OR) and beta coefficient (β) with 95% Confidence Interval (CI) were estimated for categorical and continuous outcomes, respectively. The significant causal association was determined based on a Bonferroni-corrected threshold of p-value < 0.0021 (calculated as 0.05/24 trait pairs).</p><p><strong>Results: </strong>The findings of MR analysis tend to favor the causality of GERD for hyperthyroidism (IVW: OR = 1.517, 95% CI: 1.164 to 1.978, p = 2.04E-03) but not the other thyroid disorders. The reverse MR estimates suggested that thyroid disorders may not affect the susceptibility of GERD. Moreover, genetic proxied GERD was significantly negatively associated with circulating Thyroid Stimulating Hormone (TSH) level (IVW: β = -0.048, 95% CI: -0.078 to -0.019, p = 1.17E-03), whereas the causality of this enteropathy on Free Triiodothyronine (FT3), Free Thyroxine (FT4), Total Triiodothyronine (TT3), FT3/FT4 ratio, and TT3/FT4 ratio (and vice versa) is unfounded.</p><p><strong>Discussion: </strong>This MR study indicates that the genetic liability to GERD is significantly detrimental to hyperthyroidism risk and the homeostasis of TSH.</p><p><strong>Conclusion: </strong>The findings suggest that effective GERD management could mitigate hyperthyroidism risk.</p>","PeriodicalId":10984,"journal":{"name":"Current medicinal chemistry","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145285252","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}
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Current medicinal chemistry
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