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Dose-Dependent Cardioprotection of Pterocarpus indicus Extract in Rats With Myocardial Ischemia: Targeting Oxidative Stress, Inflammation, and Apoptosis. 紫檀提取物对心肌缺血大鼠的剂量依赖性心脏保护作用:针对氧化应激、炎症和细胞凋亡。
IF 2.4 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-09 eCollection Date: 2025-10-01 DOI: 10.1177/15593258251404066
Chen Yichun, Du Wen, Jin Weimeng, Fang Xin, Sun Fangyun

Background and aim: This study investigated the dose-dependent cardioprotective effects of Pterocarpus indicus extract (P.indicus; LD: 27, MD: 54, HD: 108 mg/kg) against isoproterenol (ISO)-induced myocardial ischemia in rats, focusing on oxidative stress, apoptosis, inflammation, and fibrosis.

Experimental procedure: Rats were pretreated for 14 days and divided into control, ISO, propranolol, and P.indicus (LD, MD, HD) groups. Myocardial injury was assessed via ECG, histopathology, serum biomarkers (CK-MB, LDH, cTnT, IL-6, IL-1β, TNF-α), oxidative markers (SOD, MDA, GSH-Px), and apoptosis-related proteins (Bax, Bcl-2, Caspase-3). Nrf2/HO-1 expression was analyzed by western blot. Phytochemical profiling was performed via UPLC-MS/MS and HPLC. Pharmacokinetics, safety, and therapeutic-regimen efficacy were also evaluated.

Results: P.indicus at MD and HD significantly attenuated ISO-induced ECG abnormalities, histopathological damage, serum injury markers, inflammatory cytokines, and fibrosis (all P < 0.01). Treatment suppressed oxidative stress (restored SOD/GSH-Px, reduced MDA) via Nrf2/HO-1 activation and inhibited apoptosis via Bax/Bcl-2/Caspase-3 modulation. The efficacy of MD (EC50 ∼50 mg/kg) was confirmed by dose-response analysis. Pharmacological inhibition established that both Nrf2 activation and caspase-3 inhibition are necessary for P.indicus's effects. PK studies showed systemic exposure to key compounds (quercetin-3-O-glucoside, ferulic acid, linoleic acid), and a 14-day safety assessment revealed no hepatorenal toxicity. Post-injury therapeutic administration also conferred significant protection.

Conclusion: P. indicus extract confers dose-dependent cardioprotection against ISO-induced myocardial injury through dual modulation of the Nrf2/HO-1 and Bax/Bcl-2/Caspase-3 pathways, with the medium dose (54 mg/kg) identified as optimally effective and well-tolerated.

背景与目的:本研究探讨了紫杉树提取物(P.indicus; LD: 27, MD: 54, HD: 108 mg/kg)对异丙肾上腺素(ISO)诱导的大鼠心肌缺血的剂量依赖性心脏保护作用,重点研究了氧化应激、细胞凋亡、炎症和纤维化。实验步骤:大鼠预处理14 d,分为对照组、ISO组、心得安组、indicus组(LD组、MD组、HD组)。通过ECG、组织病理学、血清生物标志物(CK-MB、LDH、cTnT、IL-6、IL-1β、TNF-α)、氧化标志物(SOD、MDA、GSH-Px)和凋亡相关蛋白(Bax、Bcl-2、Caspase-3)评估心肌损伤。western blot检测Nrf2/HO-1的表达。通过UPLC-MS/MS和HPLC进行植物化学分析。还对药代动力学、安全性和治疗方案疗效进行了评估。结果:在MD和HD组,indicus可显著减轻iso诱导的ECG异常、组织病理损伤、血清损伤标志物、炎症因子和纤维化(均P < 0.01)。处理通过Nrf2/HO-1激活抑制氧化应激(恢复SOD/GSH-Px,降低MDA),通过Bax/Bcl-2/Caspase-3调节抑制细胞凋亡。剂量反应分析证实了MD (EC50 ~ 50mg /kg)的有效性。药理抑制实验证实,Nrf2的激活和caspase-3的抑制是indicus作用的必要条件。PK研究显示全身暴露于关键化合物(槲皮素-3- o -葡萄糖苷、阿魏酸、亚油酸),14天的安全性评估显示无肝肾毒性。损伤后的治疗也给予显著的保护。结论:indicus提取物通过双重调节Nrf2/HO-1和Bax/Bcl-2/Caspase-3通路,对iso诱导的心肌损伤具有剂量依赖性的心脏保护作用,其中中等剂量(54 mg/kg)效果最佳,耐受性良好。
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引用次数: 0
Dosimetric Effect of Thymus on Radiation-Induced Lymphopenia in Breast Cancer Patients Who Received Adjuvant Radiotherapy. 胸腺对接受辅助放疗的乳腺癌患者放射性淋巴细胞减少的剂量效应。
IF 2.4 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-09 eCollection Date: 2025-10-01 DOI: 10.1177/15593258251406031
Tong Xia, Sisi Zheng, Jianjun Qian, Yinyin Yang, Liyan Jin, Guoqin Jiang, Peifeng Zhao, Yijia Hu, Shicheng Li, Liyuan Zhang, Ye Tian, Shang Cai

Background: Radiation-induced lymphopenia (RIL), particularly severe RIL (G3+), significantly impacts cancer outcomes. This retrospective study aimed to determine the role of irradiation dose to the thymus on RIL in breast cancer (BC) patients who received adjuvant radiotherapy (RT).

Methods: BC patients who received adjuvant RT in 2019 and had available complete blood count data were included. RIL was defined according to CTCAE v5.0 criteria. Logistic regression identified thymic dosimetric and clinical parameters linked to G3+ RIL, ROC analysis determined optimal protective thresholds, and Delong test compared model performance.

Results: The data of a total of 93 consecutive patients were retrospectively retrieved, with 37.6% (35/93) experienced G3+ RIL. Logistic regression analysis identified thymic dosimetric factors (mean dose, V5, V10), baseline ALC, RT technique and IMNI were associated with G3+ RIL. ROC analysis showed that a combined model of baseline clinical and thymic dosimetry parameters had the highest AUC (0.869). The optimal cutoffs for avoiding G3+ RIL were baseline ALC 1.5 × 109/L, thymus V5 52.76%, thymus V10 9.08%, MTD 6.12 Gy, respectively.

Conclusions: Thymic radiation dose correlated with severe lymphopenia in breast cancer radiotherapy. Prospective trials are needed to validate these dose constraints for clinical use.

背景:辐射诱导淋巴细胞减少(RIL),特别是严重的RIL (G3+),显著影响癌症结局。本回顾性研究旨在确定胸腺照射剂量对接受辅助放疗(RT)的乳腺癌(BC)患者RIL的影响。方法:纳入2019年接受辅助RT治疗并有完整血细胞计数数据的BC患者。RIL根据CTCAE v5.0标准定义。Logistic回归确定与G3+ RIL相关的胸腺剂量学和临床参数,ROC分析确定最佳保护阈值,Delong检验比较模型性能。结果:共回顾性检索了93例连续患者的资料,其中37.6%(35/93)经历了G3+ RIL。Logistic回归分析发现胸腺剂量学因素(平均剂量、V5、V10)、基线ALC、RT技术和IMNI与G3+ RIL相关。ROC分析显示,基线临床和胸腺剂量学参数联合模型的AUC最高(0.869)。避免G3+ RIL的最佳临界值分别为基线ALC≤1.5 × 109/L、胸腺V5≤52.76%、胸腺V10≤9.08%、MTD≤6.12 Gy。结论:胸腺放射剂量与乳腺癌放疗中严重淋巴细胞减少有关。需要前瞻性试验来验证这些临床使用的剂量限制。
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引用次数: 0
U-Shaped Dose-Dependent Modulation of Macrophages by Ginkgolide B Mitigates Systemic Inflammation in Septic Rats. 银杏内酯B对脓毒症大鼠巨噬细胞的u型剂量依赖性调节
IF 2.4 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-08 eCollection Date: 2025-10-01 DOI: 10.1177/15593258251406112
Zhaofeng Luo, Lan Ming, Jiamin Ji, Qian Huang

Objectives: This study delineates the U-Shaped Dose-Dependent Modulation of Ginkgolide B (GB) on macrophage function, highlighting its capacity to enhance bacterial phagocytosis and attenuate systemic inflammation in sepsis.

Methods: RAW264.7 cells were co-cultured with GB, and flow cytometry was used to assess macrophage phagocytosis and polarization. Rats were divided into five groups: Healthy, cecal ligation and puncture (CLP), and three GB treatment groups. Survival was monitored over 7 days, and arterial blood was analyzed to assess acidosis. Histological examination was performed to evaluate organ damage, while ELISA measured inflammatory factors in blood and peritoneal lavage fluid (PLF). Finally, bacterial colony counts in the PLF were analyzed to assess peritoneal macrophage bacterial clearance capacity.

Results: GB co-culture enhanced macrophage bacterial phagocytosis. GB treatment alleviated acidosis and improved survival in septic rats. It also reduced pro-inflammatory cytokines TNF-α and IL-6 while increasing anti-inflammatory IL-10 levels. GB injection decreased bacterial load in the PLF, indicating enhanced macrophage bacterial clearance.

Conclusion: GB enhances macrophage phagocytic activity, improves bacterial clearance, increases the survival rate of septic rats, and reduces systemic inflammation.

目的:本研究描述了银杏内酯B (Ginkgolide B, GB)对巨噬细胞功能的u型剂量依赖性调节,强调了银杏内酯B在脓毒症中增强细菌吞噬和减轻全身炎症的能力。方法:RAW264.7细胞与GB共培养,流式细胞术检测巨噬细胞吞噬和极化情况。将大鼠分为健康组、盲肠结扎穿刺组(CLP)和GB治疗组。监测生存期7天,分析动脉血以评估酸中毒。进行组织学检查以评估器官损伤,同时ELISA检测血液和腹膜灌洗液(PLF)中的炎症因子。最后,分析PLF中的细菌菌落计数,以评估腹膜巨噬细胞的细菌清除能力。结果:GB共培养增强了巨噬细胞的吞噬作用。GB可减轻脓毒症大鼠的酸中毒,提高生存期。它还能降低促炎细胞因子TNF-α和IL-6,同时增加抗炎IL-10水平。注射GB降低了PLF中的细菌负荷,表明巨噬细胞的细菌清除能力增强。结论:GB增强巨噬细胞吞噬活性,提高细菌清除率,提高脓毒症大鼠存活率,减轻全身炎症反应。
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引用次数: 0
Growth Restriction in Balb/c Mice Irradiated With X-Rays During Late Gestation: Role of Irradiation Timing, Dose Fractionation and Adaptive Response. 妊娠后期x射线照射Balb/c小鼠的生长限制:照射时间、剂量分级和适应性反应的作用。
IF 2.4 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-07 eCollection Date: 2025-10-01 DOI: 10.1177/15593258251395327
Shayenthiran Sreetharan, Trista King, Christopher Thome, Neelam Khaper, Douglas R Boreham, Sujeenthar Tharmalingam, Simon J Lees, T C Tai

Objectives: Exposure of the developing fetus to high doses of ionizing radiation during prenatal development can result in growth restriction of the fetus, or a reduction in offspring growth. The developmental stage of the offspring at the time of irradiation is of interest, in order to characterize any potential periods of sensitivity for radiation-induced growth restriction effects. The goal of the present study was the development of a mouse model of radiation-induced growth restriction, following X-ray irradiation during late gestation.

Methods: Pregnant BALB/cAnNCrl mice were irradiated with different irradiation conditions from gestational day (GD) 14-17. Treatments included an acute dose of 1.82 Gy X-ray irradiation on GD 14, 15 or 16. The effects of dose fractionation were also studied with one group receiving 0.455 Gy x 4 daily fractions from GD 14-17 (cumulative dose of 1.82 Gy). Another group also received a pre-treatment with 61 mGy X-ray irradiation on GD 14, 24 h prior to the 1.82 Gy on GD 15, to test for the possibility of a radiation-induced adaptive response.

Results: Evidence for growth restriction was observed in all irradiation groups, with the greatest degree of growth restriction observed in the 1.82 Gy on GD 14 group. Evidence for growth restriction was based on a reduced gestational weight gain by pregnant dams and significant decrease in fetal weight and length measurements. Evidence for an adaptive response was not observed in the present study, as the combination group had similar outcomes to the group that only received the 1.82 Gy challenge irradiation dose.

Conclusion: The establishment of a mouse model of radiation-induced growth restriction during late gestation will facilitate the ability for future work into determining the precise cellular and physiological effects on offspring, and the development of future countermeasures to protect against such adverse effects.

目的:胎儿在产前发育期间暴露于高剂量电离辐射可导致胎儿生长受限或后代生长减少。后代在辐照时的发育阶段是有意义的,以便描述辐射引起的生长限制效应的任何潜在敏感期。本研究的目的是在妊娠后期的x射线照射下,建立一种辐射诱导生长受限的小鼠模型。方法:从妊娠期(GD) 14 ~ 17天开始,采用不同的辐照条件对妊娠BALB/ cancrl小鼠进行辐照。治疗包括急性剂量1.82 Gy x射线照射在GD 14, 15或16。还研究了剂量分次的影响,其中一组从GD 14-17每天接受0.455 Gy x 4次分次(累积剂量为1.82 Gy)。另一组也在GD 14前24小时接受61 mGy的x射线照射,在GD 15前24小时接受1.82 Gy的x射线照射,以测试辐射诱导的适应性反应的可能性。结果:所有辐照组均观察到生长受限的证据,以1.82 Gy对GD 14组观察到的生长受限程度最大。生长受限的证据是基于妊娠坝的妊娠体重增加减少和胎儿体重和长度测量的显着减少。在本研究中没有观察到适应性反应的证据,因为联合组与仅接受1.82 Gy激发照射剂量的组的结果相似。结论:建立妊娠后期辐射致生长限制小鼠模型,有助于进一步研究辐射对子代细胞和生理的确切影响,并制定相应的防护措施。
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引用次数: 0
The Value of Using 5T MRI T1ρ and T2 Mapping Sequences in Evaluating Muscle Changes Around Knee Osteoarthritis. 5T MRI T1ρ和T2序列在评估膝关节骨性关节炎周围肌肉变化中的价值。
IF 2.4 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-04 eCollection Date: 2025-10-01 DOI: 10.1177/15593258251401945
Min Fu, Zhaohui Yin, Jie Gan, Tianyu Bai, Hu Li, Zudong Yin, Lei Yu

Objective: To explore the value of 5T magnetic resonance imaging (MRI) T1ρ and T2 mapping sequences in evaluating muscle changes around knee osteoarthritis (KOA).

Methods: 50 KOA patients and 36 healthy volunteers underwent knee MRI and peripheral muscle T1ρ/T2 mapping scans, comparing intergroup differences in each muscle's T1ρ/T2 values and analyzing their correlation with KOA severity.

Results: The T1ρ and T2 values of the vastus medialis, vastus lateralis, biceps femoris, medial head of gastrocnemius, lateral head of gastrocnemius, and popliteus in KOA patients were higher than those in healthy volunteers, as well as the T2 values of the sartorius and semimembranosus. The T1ρ value of the vastus medialis is positively correlated with the whole-organ MRI score (WORMS) for the knee. The T2 values of the vastus medialis, sartorius, semimembranosus, popliteus, medial head of gastrocnemius, lateral head of gastrocnemius, biceps femoris and vastus lateralis are also positively correlated with the WORMS for the knee.

Conclusion: The 5T MRI T1ρ and T2 mapping techniques can sensitively and quantitatively evaluate the changes in peri-articular muscles with KOA, providing important references for the clinical diagnosis and treatment of KOA.

目的:探讨5T磁共振成像(MRI) T1ρ和T2定位序列在评估膝关节骨性关节炎(KOA)周围肌肉变化中的价值。方法:对50例KOA患者和36名健康志愿者进行膝关节MRI和外周肌肉T1ρ/T2图谱扫描,比较各组间各肌肉T1ρ/T2值的差异,并分析其与KOA严重程度的相关性。结果:KOA患者的股内侧肌、股外侧肌、股二头肌、腓肠肌内侧头、腓肠肌外侧头、腘肌的T1ρ和T2值均高于健康志愿者,缝阔肌和半膜肌的T2值也高于健康志愿者。股内侧肌的T1ρ值与膝关节全器官MRI评分(WORMS)呈正相关。股内侧肌、缝阔肌、半膜肌、腘肌、腓肠肌内侧头、腓肠肌外侧头、股二头肌、股外侧肌的T2值也与膝关节的WORMS呈正相关。结论:5T MRI T1ρ和T2测图技术能灵敏、定量地评价KOA关节周围肌肉的变化,为KOA的临床诊断和治疗提供重要参考。
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引用次数: 0
TSN Disrupts Fanconi Anemia Pathway Activation Through JAK/STAT1-Mediated Transcriptional Repression of FA Core Subunits in Bladder Cancer. TSN通过JAK/ stat1介导的膀胱癌FA核心亚基的转录抑制破坏Fanconi贫血途径的激活。
IF 2.4 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-02 eCollection Date: 2025-10-01 DOI: 10.1177/15593258251406039
Wenchao Zhao, Zhiyuan Xie, Liang Zhu, Wenqi Li

Objectives: Resistance to platinum-based chemotherapy in bladder cancer is closely associated with activation of the Fanconi anemia (FA) DNA interstrand crosslink repair pathway. Identifying pharmacological inhibitors of FA signaling may improve therapeutic response. We investigated the effects of the natural compound toosendanin (TSN) on FA pathway regulation in this study.

Methods: Bladder cancer cell lines (T24, RT4, J82) were pretreated with TSN and exposed to ultraviolet C (UVC). FANCI/FANCD2 monoubiquitination, FANCD2 nuclear foci, FA core gene expression, and JAK/STAT1 signaling were quantified. A T24 xenograft model was used to validate FA pathway inhibition in vivo. Statistical analyses were performed using one-way ANOVA followed by Tukey's post-hoc test (mean ± SD; n = 3 independent replicates; Shapiro-Wilk test for normality).

Results: TSN reduced UVC-induced 58% FANCI (P = 0.004, n = 3) and 77% FANCD2 monoubiquitination (P = 0.004, n = 3) in bladder cancer cells, and decreased FANCD2 foci-positive nuclei by 27% (P = 0.015, n = 3). Co-immunoprecipitation assays further revealed that TSN disrupted 56% interaction between the FANCI-FANCD2 complex and the key scaffold protein SLX4 (FANCP) (P = 0.002, n = 6). TSN down-regulated FA core genes (FANCA, FANCC, FANCF, FANCM) by 30 to 65% (all P < 0.05, n = 3) as well as decreased STAT1 phosphorylation by 45% (P = 0.013, n = 3) and the binding capacity of STAT1 on these FA genes' promoter by 33% to 47% (all P < 0.05, n = 3). In xenograft tumors, TSN also reduced 70% FANCI (P = 0.007, n = 3) and 45% FANCD2 monoubiquitination (P = 0.011, n = 3) as well as expression of FANCA, FANCC, FANCF, FANCM by 26% to 38% (all P < 0.05, n = 3). TSN selectively sensitized bladder cancer cells to UVC-induced cytotoxicity (IC50 decreased 35%, P = 0.026, n = 3), without affecting the viability of human urothelial cell SV-HUC-1 cells or lung adenocarcinoma A549 cells (both P > 0.05, n = 3).

Conclusion: TSN inhibits FA DNA repair signaling in bladder cancer by suppressing JAK/STAT1-mediated FA core gene transcription, supporting its potential as a combinatorial agent to overcome cisplatin resistance.

目的:膀胱癌患者对铂类化疗的耐药与Fanconi贫血(FA) DNA链间交联修复通路的激活密切相关。确定FA信号的药理学抑制剂可能会改善治疗反应。本研究探讨了天然化合物toosendanin (TSN)对FA通路的调控作用。方法:用TSN预处理膀胱癌细胞株T24、RT4、J82,并用紫外线C (UVC)照射。量化FANCI/FANCD2单泛素化、FANCD2核病灶、FA核心基因表达和JAK/STAT1信号传导。采用T24异种移植物模型验证体内FA通路的抑制作用。统计学分析采用单因素方差分析和Tukey事后检验(mean±SD; n = 3个独立重复;Shapiro-Wilk检验呈正态)。结果:TSN降低了uvc诱导膀胱癌细胞中58%的FANCI (P = 0.004, n = 3)和77%的FANCD2单泛素化(P = 0.004, n = 3),减少了27%的FANCD2灶阳性核(P = 0.015, n = 3)。共免疫沉淀实验进一步显示,TSN破坏了56%的FANCP - fancd2复合物与关键支架蛋白SLX4 (FANCP)之间的相互作用(P = 0.002, n = 6)。TSN使FA核心基因FANCA、FANCC、FANCF、FANCM下调30 ~ 65%(均P < 0.05, n = 3),使STAT1磷酸化水平降低45% (P = 0.013, n = 3),使STAT1对FA核心基因启动子的结合能力降低33% ~ 47%(均P < 0.05, n = 3)。在异种移植物肿瘤中,TSN还使FANCI减少70% (P = 0.007, n = 3), FANCD2单泛素化减少45% (P = 0.011, n = 3), FANCA、FANCC、FANCF、FANCM的表达减少26% ~ 38%(均P < 0.05, n = 3)。TSN选择性地使膀胱癌细胞对uvc诱导的细胞毒性敏感(IC50降低35%,P = 0.026, n = 3),而不影响人尿路上皮细胞SV-HUC-1细胞和肺腺癌A549细胞的活性(P均为0.05,n = 3)。结论:TSN通过抑制JAK/ stat1介导的FA核心基因转录抑制膀胱癌FA DNA修复信号,支持其作为克服顺铂耐药的联合药物的潜力。
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引用次数: 0
Towards Clinical Translation: Establishing Optimal Dose and Dose-Rate Parameters for the FLASH Skin-Sparing Effect. 迈向临床转化:建立FLASH皮肤保护效果的最佳剂量和剂量率参数。
IF 2.4 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-29 eCollection Date: 2025-10-01 DOI: 10.1177/15593258251401947
Yufeng Shen, Jie Zhou, Jinyi Lang, Lintao Li, Yongjie Li, Chenxi Yang, Shuo Wang, Xiaohua Chen, Siyu Xie, Wei Tang, Shun Lu
<p><strong>Purpose: </strong>FLASH radiotherapy (FLASH-RT) has been reported to spare skin from acute radiation toxicity. However, systematic quantification is needed to determine the dose and dose-rate thresholds necessary for optimal radioprotection in FLASH radiotherapy.</p><p><strong>Materials and methods: </strong>The hind limbs of male C57BL/6J mice were irradiated with a single-fraction dose (18-24 Gy) delivered using either FLASH-RT (ultrahigh dose rate: 250 Gy/s) or conventional radiotherapy (CONV-RT: 0.1 Gy/s) in the dose optimization experiment. Subsequent studies included a dose-rate optimization trial comparing FLASH-RT (40-400 Gy/s) with CONV-RT at 20 Gy; the antitumor efficacy of a single 20 Gy dose delivered via FLASH-RT (300 Gy/s) was compared with that of CONV-RT; and an assessment of the reirradiation response using FLASH-RT (400 Gy/s) or CONV-RT at 20 Gy following a prior hypofractionated CONV-RT regimen (9 Gy × 4). Skin injury scores, tumor volume, and body weight were monitored longitudinally for up to 30 days after irradiation or until the experimental endpoint was reached. Tumor weight and lung metastasis nodules were measured at the endpoint.</p><p><strong>Results: </strong>Dry desquamation, alopecia, moist desquamation, hemorrhage, full-thickness necrosis, and ulceration were observed more frequently in the CONV-RT group than in the FLASH-RT group. Compared with CONV-RT, FLASH-RT resulted in significantly lower acute skin injury scores at doses ≤22 Gy (18 Gy, 20 Gy, 22 Gy, <i>P</i> < 0.001), but this protective effect was absent at doses ≥24 Gy. Dose-rate optimization (40-400 Gy/s) delivering a 20 Gy dose revealed that acute skin injury scores were significantly reduced only at the higher dose-rates (≥300 Gy/s, compared with CONV-RT, <i>P</i> < 0.001), whereas no significant reduction was observed at the lower dose-rates (≤200 Gy/s, <i>P</i> ≥ 0.05). No additional benefit was detected between 300 Gy/s and 400 Gy/s. Although 250 Gy/s provided significant radioprotection compared with CONV-RT (<i>P</i> < 0.01), it was not the minimal rate required for maximal protection, as evidenced by a significantly better outcome at 300 Gy/s at 24 days (<i>P</i> = 0.0296). Finally, in B16/F10 cell-transplanted mouse models, FLASH-RT (300 and 400 Gy/s) achieved tumor control equivalent to that of CONV-RT while also reducing lung metastasis nodules and significantly mitigating acute skin toxicity (<i>P</i> < 0.001) during reirradiation.</p><p><strong>Conclusions: </strong>In this study, a dual-threshold framework was established to guide the clinical implementation of FLASH radiotherapy: a dose ceiling below 24 Gy to preserve the skin-sparing effect and a dose-rate threshold exceeding 200 Gy/s for efficacy, with further optimization achieved at rates above 250 Gy/s. These findings provide ​guidelines for minimizing radiotherapy-induced acute skin toxicity while maintaining comparable antitumor efficacy, thereby outlining a translatable p
目的:据报道,FLASH放射治疗(FLASH- rt)可使皮肤免于急性辐射毒性。然而,需要系统的量化来确定FLASH放疗中最佳放射防护所需的剂量和剂量率阈值。材料与方法:在剂量优化实验中,采用FLASH-RT(超高剂量率:250 Gy/s)或常规放疗(convr - rt: 0.1 Gy/s)对雄性C57BL/6J小鼠后肢进行单次剂量(18-24 Gy)照射。随后的研究包括比较FLASH-RT (40-400 Gy/s)和convr - rt (20 Gy)的剂量率优化试验;通过FLASH-RT (300 Gy/s)单次给药20 Gy的抗肿瘤效果与convr - rt进行比较;在先前的低分割的convrt治疗方案(9 Gy × 4)之后,使用FLASH-RT (400 Gy/s)或20 Gy的convrt评估再照射反应。皮肤损伤评分、肿瘤体积和体重在照射后30天或实验终点前进行纵向监测。在终点测量肿瘤重量和肺转移结节。结果:干性脱屑、脱发、湿性脱屑、出血、全层坏死、溃疡的发生率在convr - rt组高于FLASH-RT组。与convrt相比,FLASH-RT在剂量≤22 Gy时显著降低急性皮肤损伤评分(18 Gy, 20 Gy, 22 Gy, P < 0.001),但在剂量≥24 Gy时不存在这种保护作用。剂量率优化(40-400 Gy/s)显示,只有在较高剂量率(≥300 Gy/s,与convr - rt相比,P < 0.001)下,急性皮肤损伤评分才会显著降低,而在较低剂量率(≤200 Gy/s, P≥0.05)下,急性皮肤损伤评分没有显著降低。在300 Gy/s和400 Gy/s之间没有检测到额外的益处。尽管与convr - rt相比,250 Gy/s提供了显著的放射防护(P < 0.01),但这并不是获得最大防护所需的最小速率,在24天时300 Gy/s的结果明显更好(P = 0.0296)。最后,在B16/F10细胞移植小鼠模型中,FLASH-RT(300和400 Gy/s)达到了与convr - rt相当的肿瘤控制效果,同时也减少了肺转移结节,显著减轻了再照射时的急性皮肤毒性(P < 0.001)。结论:本研究建立了双阈值框架来指导FLASH放疗的临床实施:剂量上限低于24 Gy以保持皮肤保留效果,剂量率阈值超过200 Gy/s以保持疗效,剂量率高于250 Gy/s时进一步优化。这些发现为尽量减少放疗引起的急性皮肤毒性,同时保持相当的抗肿瘤疗效提供了指导,从而概述了FLASH-RT临床翻译的可翻译途径。
{"title":"Towards Clinical Translation: Establishing Optimal Dose and Dose-Rate Parameters for the FLASH Skin-Sparing Effect.","authors":"Yufeng Shen, Jie Zhou, Jinyi Lang, Lintao Li, Yongjie Li, Chenxi Yang, Shuo Wang, Xiaohua Chen, Siyu Xie, Wei Tang, Shun Lu","doi":"10.1177/15593258251401947","DOIUrl":"10.1177/15593258251401947","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;FLASH radiotherapy (FLASH-RT) has been reported to spare skin from acute radiation toxicity. However, systematic quantification is needed to determine the dose and dose-rate thresholds necessary for optimal radioprotection in FLASH radiotherapy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;The hind limbs of male C57BL/6J mice were irradiated with a single-fraction dose (18-24 Gy) delivered using either FLASH-RT (ultrahigh dose rate: 250 Gy/s) or conventional radiotherapy (CONV-RT: 0.1 Gy/s) in the dose optimization experiment. Subsequent studies included a dose-rate optimization trial comparing FLASH-RT (40-400 Gy/s) with CONV-RT at 20 Gy; the antitumor efficacy of a single 20 Gy dose delivered via FLASH-RT (300 Gy/s) was compared with that of CONV-RT; and an assessment of the reirradiation response using FLASH-RT (400 Gy/s) or CONV-RT at 20 Gy following a prior hypofractionated CONV-RT regimen (9 Gy × 4). Skin injury scores, tumor volume, and body weight were monitored longitudinally for up to 30 days after irradiation or until the experimental endpoint was reached. Tumor weight and lung metastasis nodules were measured at the endpoint.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Dry desquamation, alopecia, moist desquamation, hemorrhage, full-thickness necrosis, and ulceration were observed more frequently in the CONV-RT group than in the FLASH-RT group. Compared with CONV-RT, FLASH-RT resulted in significantly lower acute skin injury scores at doses ≤22 Gy (18 Gy, 20 Gy, 22 Gy, &lt;i&gt;P&lt;/i&gt; &lt; 0.001), but this protective effect was absent at doses ≥24 Gy. Dose-rate optimization (40-400 Gy/s) delivering a 20 Gy dose revealed that acute skin injury scores were significantly reduced only at the higher dose-rates (≥300 Gy/s, compared with CONV-RT, &lt;i&gt;P&lt;/i&gt; &lt; 0.001), whereas no significant reduction was observed at the lower dose-rates (≤200 Gy/s, &lt;i&gt;P&lt;/i&gt; ≥ 0.05). No additional benefit was detected between 300 Gy/s and 400 Gy/s. Although 250 Gy/s provided significant radioprotection compared with CONV-RT (&lt;i&gt;P&lt;/i&gt; &lt; 0.01), it was not the minimal rate required for maximal protection, as evidenced by a significantly better outcome at 300 Gy/s at 24 days (&lt;i&gt;P&lt;/i&gt; = 0.0296). Finally, in B16/F10 cell-transplanted mouse models, FLASH-RT (300 and 400 Gy/s) achieved tumor control equivalent to that of CONV-RT while also reducing lung metastasis nodules and significantly mitigating acute skin toxicity (&lt;i&gt;P&lt;/i&gt; &lt; 0.001) during reirradiation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;In this study, a dual-threshold framework was established to guide the clinical implementation of FLASH radiotherapy: a dose ceiling below 24 Gy to preserve the skin-sparing effect and a dose-rate threshold exceeding 200 Gy/s for efficacy, with further optimization achieved at rates above 250 Gy/s. These findings provide ​guidelines for minimizing radiotherapy-induced acute skin toxicity while maintaining comparable antitumor efficacy, thereby outlining a translatable p","PeriodicalId":11285,"journal":{"name":"Dose-Response","volume":"23 4","pages":"15593258251401947"},"PeriodicalIF":2.4,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12665010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145653745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Phenotypic Age Acceleration and Risk of All-Cause and Cardiovascular Mortality in US Adults With Asthma: A Retrospective Cohort Study. 美国成人哮喘患者的表型年龄加速和全因及心血管死亡风险:一项回顾性队列研究
IF 2.4 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-27 eCollection Date: 2025-10-01 DOI: 10.1177/15593258251400064
Huijuan Cheng, Cuili Lin, Yanyan Ye, Feng Lu

Background: Phenotypic age acceleration (PhenoAgeAccel) reflects biological aging, with higher values indicating faster aging. While linked to adverse outcomes in the general population, its relation to mortality in asthma remains unclear.

Methods: We analyzed 3817 adults with physician-diagnosed asthma from NHANES (1999-2010, 2015-2018) with mortality follow-up through 2019. PhenoAgeAccel was calculated from clinical biomarkers, and associations with all-cause and cardiovascular mortality were assessed using weighted Cox models, restricted cubic splines, and subgroup/sensitivity analyses.

Results: During a median follow-up of 13.2 years, higher PhenoAgeAccel was independently associated with greater risks of all-cause mortality (HR = 1.03, 95% CI: 1.03-1.04) and cardiovascular mortality (HR = 1.02, 95% CI: 1.01-1.04). Compared with the lowest quartile, participants in the highest had a 3.42-fold higher all-cause and 2.72-fold higher cardiovascular mortality risk. Associations were nonlinear for all-cause but roughly linear for cardiovascular mortality, and consistent across subgroups and sensitivity tests.

Conclusions: Higher PhenoAgeAccel was independently associated with increased risks of all-cause and cardiovascular mortality among adults with asthma, indicating that biological aging markers may serve as useful tools for risk assessment and individualized care.

背景:表型年龄加速(PhenoAgeAccel)反映生物衰老,值越高表明衰老越快。虽然与一般人群的不良后果有关,但其与哮喘死亡率的关系尚不清楚。方法:我们分析了NHANES(1999-2010年,2015-2018年)中3817名医生诊断为哮喘的成年人,并随访至2019年。根据临床生物标志物计算出PhenoAgeAccel,并使用加权Cox模型、受限三次样条和亚组/敏感性分析评估其与全因死亡率和心血管死亡率的相关性。结果:在中位随访13.2年期间,较高的PhenoAgeAccel与较高的全因死亡率(HR = 1.03, 95% CI: 1.03-1.04)和心血管死亡率(HR = 1.02, 95% CI: 1.01-1.04)独立相关。与最低四分位数的参与者相比,最高四分位数的参与者的全因死亡率高出3.42倍,心血管死亡率高出2.72倍。全因死亡率呈非线性关系,但心血管死亡率呈大致线性关系,并且在亚组和敏感性试验中是一致的。结论:在成人哮喘患者中,较高的PhenoAgeAccel与全因和心血管死亡风险增加独立相关,表明生物衰老标志物可作为风险评估和个体化护理的有用工具。
{"title":"Phenotypic Age Acceleration and Risk of All-Cause and Cardiovascular Mortality in US Adults With Asthma: A Retrospective Cohort Study.","authors":"Huijuan Cheng, Cuili Lin, Yanyan Ye, Feng Lu","doi":"10.1177/15593258251400064","DOIUrl":"10.1177/15593258251400064","url":null,"abstract":"<p><strong>Background: </strong>Phenotypic age acceleration (PhenoAgeAccel) reflects biological aging, with higher values indicating faster aging. While linked to adverse outcomes in the general population, its relation to mortality in asthma remains unclear.</p><p><strong>Methods: </strong>We analyzed 3817 adults with physician-diagnosed asthma from NHANES (1999-2010, 2015-2018) with mortality follow-up through 2019. PhenoAgeAccel was calculated from clinical biomarkers, and associations with all-cause and cardiovascular mortality were assessed using weighted Cox models, restricted cubic splines, and subgroup/sensitivity analyses.</p><p><strong>Results: </strong>During a median follow-up of 13.2 years, higher PhenoAgeAccel was independently associated with greater risks of all-cause mortality (HR = 1.03, 95% CI: 1.03-1.04) and cardiovascular mortality (HR = 1.02, 95% CI: 1.01-1.04). Compared with the lowest quartile, participants in the highest had a 3.42-fold higher all-cause and 2.72-fold higher cardiovascular mortality risk. Associations were nonlinear for all-cause but roughly linear for cardiovascular mortality, and consistent across subgroups and sensitivity tests.</p><p><strong>Conclusions: </strong>Higher PhenoAgeAccel was independently associated with increased risks of all-cause and cardiovascular mortality among adults with asthma, indicating that biological aging markers may serve as useful tools for risk assessment and individualized care.</p>","PeriodicalId":11285,"journal":{"name":"Dose-Response","volume":"23 4","pages":"15593258251400064"},"PeriodicalIF":2.4,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12660662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145647691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
RSM-Based Optimization of Dose Response and Antibacterial Potential of Cannabis sativa (L.) Leaves Using Computational Analysis. 基于rsm的大麻剂量效应及抑菌潜力优化树叶使用计算分析。
IF 2.4 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-26 eCollection Date: 2025-10-01 DOI: 10.1177/15593258251404067
Sara Zahid, Sampath Chinnam, Asma Ahmed, Syed Muzzammil Masaud, Beenish Khurshid, Saira Farman, Sana Rashid, Fatima Zahid

Background: In light of the growing problem of antibiotic resistance, it is imperative to investigate new sources, and plants offer a promising supply of bioactive chemicals. Because of its numerous uses in industry, health, and nutrition as well as its antibacterial qualities, Cannabis sativa (C.sativa) has garnered a lot of study interest. This study sought to determine whether ethanolic extracts from C.sativa leaves have antibacterial properties against six human pathogenic microorganisms.

Methodology: The antibacterial activity of C.sativa ethanolic extract was tested against six bacteria according to design of experiments made by Agar diffusion method accompanied by response surface method (RSM) of Minitab 17 software. The different combinations set were, concentration: 5.0, 7.5, and 10.0, pH: 5.0, 6.5, 8.0 and temperature: 35°C, 37.5°C, 40°C. By using RSM, maximum antibacterial activity has been checked for ethanolic extract of C.sativa against six bacteria by choosing three independent variables, temperature, pH, and concentration. In in-Silico studies, homology, threading approach, structure prediction, ligands designing and docking studies was performed against the antimicrobial target sequences for Beta-Lactamase, GABA Receptor, Lipoteichoic Acid, N-Acetylglucosamine (NAG), Peptidoglycan and Topoisomerase-IV through FASTA format from UniProt for structure prediction.

Results: The results indicated that the three concentrations were effective against tested bacteria. Moreover, effect of pH caused a significant variation in zone of inhibition. The graphs presented in this study indicate the highest zone of inhibition for plant extract; have been achieved at concentration of 10.0, pH 5.1 and temperature 37.5°C. It shows that by keeping the pH low, antibacterial activity will increase. Through the multiple regression analysis on the experimental data, the fitted regression model for the response variable and the test variable x1, x2, x3 are correlated by the second order polymeric equation.

Conclusion: It has been concluded that C.sativa can be considered as an effective drug in curing diseases caused by bacteria. Using the optimized values of temperature and pH analyzed in this experiment.

背景:随着抗生素耐药性问题的日益严重,研究新的抗生素来源势在必行,植物是生物活性化学物质的重要来源。由于其在工业、健康和营养方面的广泛用途以及其抗菌特性,大麻(C.sativa)引起了很多研究兴趣。本研究旨在确定苜蓿叶乙醇提取物是否对六种人类病原微生物具有抗菌作用。方法:采用琼脂扩散法结合Minitab 17软件的响应面法(RSM)设计实验,对苜蓿醇提物对6种细菌的抑菌活性进行检测。不同的组合设置为:浓度:5.0、7.5、10.0,pH: 5.0、6.5、8.0,温度:35℃、37.5℃、40℃。通过选择温度、pH和浓度三个自变量,采用RSM法测定了苜蓿醇提物对6种细菌的最大抑菌活性。通过UniProt的FASTA格式,对β -内酰胺酶、GABA受体、脂质壁酸、n-乙酰氨基葡萄糖(NAG)、肽聚糖和拓扑异构酶- iv的抗菌靶标序列进行了同源性、线法、结构预测、配体设计和对接研究。结果:三种浓度对被试细菌均有较好的抑菌效果。此外,pH的影响使抑制区发生了显著的变化。本研究给出的图显示了植物提取物的最高抑制区;在浓度为10.0,pH为5.1,温度为37.5℃的条件下均可获得。结果表明,保持较低的pH值,抗菌活性会增强。通过对实验数据的多元回归分析,将响应变量与检验变量x1、x2、x3拟合的回归模型用二阶聚合物方程进行相关。结论:芥花可作为治疗细菌性疾病的有效药物。本实验采用优化后的温度和pH值进行分析。
{"title":"RSM-Based Optimization of Dose Response and Antibacterial Potential of <i>Cannabis sativa</i> (L.) Leaves Using Computational Analysis.","authors":"Sara Zahid, Sampath Chinnam, Asma Ahmed, Syed Muzzammil Masaud, Beenish Khurshid, Saira Farman, Sana Rashid, Fatima Zahid","doi":"10.1177/15593258251404067","DOIUrl":"10.1177/15593258251404067","url":null,"abstract":"<p><strong>Background: </strong>In light of the growing problem of antibiotic resistance, it is imperative to investigate new sources, and plants offer a promising supply of bioactive chemicals. Because of its numerous uses in industry, health, and nutrition as well as its antibacterial qualities, <i>Cannabis sativa</i> (<i>C.sativa</i>) has garnered a lot of study interest. This study sought to determine whether ethanolic extracts from <i>C.sativa</i> leaves have antibacterial properties against six human pathogenic microorganisms.</p><p><strong>Methodology: </strong>The antibacterial activity of <i>C.sativa</i> ethanolic extract was tested against six bacteria according to design of experiments made by Agar diffusion method accompanied by response surface method (RSM) of Minitab 17 software. The different combinations set were, concentration: 5.0, 7.5, and 10.0, pH: 5.0, 6.5, 8.0 and temperature: 35°C, 37.5°C, 40°C. By using RSM, maximum antibacterial activity has been checked for ethanolic extract of <i>C.sativa</i> against six bacteria by choosing three independent variables, temperature, pH, and concentration. In in-Silico studies, homology, threading approach, structure prediction, ligands designing and docking studies was performed against the antimicrobial target sequences for Beta-Lactamase, GABA Receptor, Lipoteichoic Acid, N-Acetylglucosamine (NAG), Peptidoglycan and Topoisomerase-IV through FASTA format from UniProt for structure prediction.</p><p><strong>Results: </strong>The results indicated that the three concentrations were effective against tested bacteria. Moreover, effect of pH caused a significant variation in zone of inhibition. The graphs presented in this study indicate the highest zone of inhibition for plant extract; have been achieved at concentration of 10.0, pH 5.1 and temperature 37.5°C. It shows that by keeping the pH low, antibacterial activity will increase. Through the multiple regression analysis on the experimental data, the fitted regression model for the response variable and the test variable x<sub>1</sub>, x<sub>2</sub>, x<sub>3</sub> are correlated by the second order polymeric equation.</p><p><strong>Conclusion: </strong>It has been concluded that <i>C.sativa</i> can be considered as an effective drug in curing diseases caused by bacteria. Using the optimized values of temperature and pH analyzed in this experiment.</p>","PeriodicalId":11285,"journal":{"name":"Dose-Response","volume":"23 4","pages":"15593258251404067"},"PeriodicalIF":2.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12657851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145647671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Piperine Targets the FANCL/UBE2T Complex to Inhibit the FA Pathway and Sensitize Bladder Cancer to Cisplatin. 胡椒碱靶向FANCL/UBE2T复合物抑制FA通路并使膀胱癌对顺铂敏感。
IF 2.4 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-24 eCollection Date: 2025-10-01 DOI: 10.1177/15593258251404060
Chen Li, Guanglin Lv, Ying Yue, Gui Ma, Bing Lu

Objectives: Platinum-based chemotherapy remains a mainstay for bladder cancer treatment, yet resistance often arises through activation of the Fanconi anemia (FA) DNA repair pathway. The monoubiquitination of the FANCI-FANCD2 (ID2) complex by FANCL and UBE2T is a critical step in repairing cisplatin-induced interstrand crosslinks (ICLs). Identifying small molecules that block this process may improve the therapeutic efficacy of cisplatin.

Methods: We investigated the effects of piperine, a natural alkaloid from black pepper, on FA pathway activation in bladder cancer cells. A combination of immunoblotting, immunofluorescence, co-immunoprecipitation, qPCR-blocking assays, dot blot analyses, in vitro ubiquitination/discharge assays, biolayer interferometry (BLI), and differential scanning fluorimetry (DSF) were employed to characterize the molecular mechanism. Xenograft models were used to evaluate in vivo efficacy.

Results: Piperine pretreatment markedly suppressed cisplatin-induced monoubiquitination of FANCI and FANCD2 and reduced FANCD2 foci formation in T24, 5637, and RT4 cells. Co-immunoprecipitation confirmed diminished recruitment of downstream nucleases and repair factors (FANCP, FANCQ, PCNA). qPCR-blocking assays showed delayed ICL repair, while dot blot analyses revealed that intrastrand cisplatin adduct removal was unaffected, indicating selective inhibition of ICL repair. Piperine did not alter mRNA or protein expression of FANCL, UBE2T, USP1, or UAF1, nor did it enhance deubiquitinase activity. Instead, in vitro assays demonstrated that piperine blocked FANCL-mediated ubiquitin transfer from UBE2T∼Ub to the ID2 complex, without impairing E2 charging or FANCL-UBE2T binding. BLI confirmed unaltered binding affinity, whereas DSF revealed a significant ΔTm shift for UBE2T, consistent with allosteric modulation. In xenografts, combined cisplatin and piperine treatment significantly reduced tumor growth and attenuated FANCI/FANCD2 monoubiquitination.

Conclusion: Our findings uncover piperine as a natural compound that allosterically inhibits UBE2T activity within the FA pathway, thereby impairing ID2 monoubiquitination and enhancing cisplatin sensitivity in bladder cancer. This study highlights the therapeutic potential of piperine and provides a rationale for targeting the FA repair axis to overcome platinum resistance.

目的:铂类化疗仍然是膀胱癌治疗的主要手段,但由于Fanconi贫血(FA) DNA修复途径的激活,耐药性经常出现。FANCL和UBE2T对FANCL - fancd2 (ID2)复合体的单泛素化是修复顺铂诱导的链间交联(ICLs)的关键步骤。确定阻断这一过程的小分子可能会提高顺铂的治疗效果。方法:研究黑胡椒中天然生物碱胡椒碱对膀胱癌细胞FA通路激活的影响。结合免疫印迹法、免疫荧光法、共免疫沉淀法、qpcr阻断法、点印迹法、体外泛素化/放电法、生物层干涉法(BLI)和差示扫描荧光法(DSF)来表征其分子机制。采用异种移植物模型评价体内疗效。结果:胡椒碱预处理可显著抑制顺铂诱导的T24、5637和RT4细胞中FANCI和FANCD2的单泛素化,减少FANCD2病灶的形成。共免疫沉淀证实下游核酸酶和修复因子(FANCP, FANCQ, PCNA)募集减少。qpcr阻断实验显示ICL修复延迟,而dot blot分析显示链内顺铂加合物去除不受影响,表明选择性抑制ICL修复。胡椒碱不会改变FANCL、UBE2T、USP1或UAF1 mRNA或蛋白的表达,也不会增强去泛素酶的活性。相反,体外实验表明,胡椒碱阻断了fancl介导的泛素从UBE2T ~ Ub到ID2复合物的转移,而不损害E2充电或FANCL-UBE2T结合。BLI证实了UBE2T的结合亲和力没有改变,而DSF则显示了UBE2T的显著ΔTm变化,与变弹性调节一致。在异种移植物中,顺铂和胡椒碱联合治疗可显著降低肿瘤生长并减弱FANCI/FANCD2单泛素化。结论:我们的研究发现胡椒碱是一种天然化合物,在FA通路中变构抑制UBE2T活性,从而损害ID2单泛素化并增强膀胱癌的顺铂敏感性。这项研究强调了胡椒碱的治疗潜力,并为靶向FA修复轴克服铂耐药提供了理论依据。
{"title":"Piperine Targets the FANCL/UBE2T Complex to Inhibit the FA Pathway and Sensitize Bladder Cancer to Cisplatin.","authors":"Chen Li, Guanglin Lv, Ying Yue, Gui Ma, Bing Lu","doi":"10.1177/15593258251404060","DOIUrl":"https://doi.org/10.1177/15593258251404060","url":null,"abstract":"<p><strong>Objectives: </strong>Platinum-based chemotherapy remains a mainstay for bladder cancer treatment, yet resistance often arises through activation of the Fanconi anemia (FA) DNA repair pathway. The monoubiquitination of the FANCI-FANCD2 (ID2) complex by FANCL and UBE2T is a critical step in repairing cisplatin-induced interstrand crosslinks (ICLs). Identifying small molecules that block this process may improve the therapeutic efficacy of cisplatin.</p><p><strong>Methods: </strong>We investigated the effects of piperine, a natural alkaloid from black pepper, on FA pathway activation in bladder cancer cells. A combination of immunoblotting, immunofluorescence, co-immunoprecipitation, qPCR-blocking assays, dot blot analyses, in vitro ubiquitination/discharge assays, biolayer interferometry (BLI), and differential scanning fluorimetry (DSF) were employed to characterize the molecular mechanism. Xenograft models were used to evaluate in vivo efficacy.</p><p><strong>Results: </strong>Piperine pretreatment markedly suppressed cisplatin-induced monoubiquitination of FANCI and FANCD2 and reduced FANCD2 foci formation in T24, 5637, and RT4 cells. Co-immunoprecipitation confirmed diminished recruitment of downstream nucleases and repair factors (FANCP, FANCQ, PCNA). qPCR-blocking assays showed delayed ICL repair, while dot blot analyses revealed that intrastrand cisplatin adduct removal was unaffected, indicating selective inhibition of ICL repair. Piperine did not alter mRNA or protein expression of FANCL, UBE2T, USP1, or UAF1, nor did it enhance deubiquitinase activity. Instead, in vitro assays demonstrated that piperine blocked FANCL-mediated ubiquitin transfer from UBE2T∼Ub to the ID2 complex, without impairing E2 charging or FANCL-UBE2T binding. BLI confirmed unaltered binding affinity, whereas DSF revealed a significant ΔTm shift for UBE2T, consistent with allosteric modulation. In xenografts, combined cisplatin and piperine treatment significantly reduced tumor growth and attenuated FANCI/FANCD2 monoubiquitination.</p><p><strong>Conclusion: </strong>Our findings uncover piperine as a natural compound that allosterically inhibits UBE2T activity within the FA pathway, thereby impairing ID2 monoubiquitination and enhancing cisplatin sensitivity in bladder cancer. This study highlights the therapeutic potential of piperine and provides a rationale for targeting the FA repair axis to overcome platinum resistance.</p>","PeriodicalId":11285,"journal":{"name":"Dose-Response","volume":"23 4","pages":"15593258251404060"},"PeriodicalIF":2.4,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12644399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145631221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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