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Benchmarking porcine pancreatic ductal organoids for drug screening applications. 猪胰腺导管类器官药物筛选应用的标杆研究。
IF 8.3 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-01 Epub Date: 2025-11-04 DOI: 10.1038/s44321-025-00330-3
Christos Karampelias, Kaiyuan Yang, Falk J Farkas, Michael Sterr, Mireia Molina van Den Bosch, Simone Renner, Janina Fuß, Christine von Toerne, Sören Franzenburg, Tatsuya Kin, Eckhard Wolf, Elisabeth Kemter, Heiko Lickert

Primary human pancreatic ductal organoids (HPDO) have emerged as a model to study pancreas biology and model disease like pancreatitis and pancreatic cancer. Yet, donor material availability, genetic variability and a lack of extensive benchmarking to healthy and disease pancreas limits the range of applications. To address this gap, we established porcine pancreatic ductal organoids (PPDO) as a system from a reliable, genetically defined and easily obtainable source to model pancreatic ductal/progenitor biology. We benchmarked PPDO to HPDO and primary porcine pancreas using single-cell RNA sequencing (scRNA-Seq). We observed no overt phenotypic differences in PPDO derived from distinct developmental stages using extensive proteomics profiling, with a WNT/basal cell signaling enriched population characterizing PPDO. PPDO exhibited differentiation potential towards mature ductal cells and limited potential towards endocrine lineages. We used PPDO as a chemical screening platform to assess the safety of FDA-approved drugs and showed conserved toxicity of statins and α-adrenergic receptor inhibitors between PPDO and HPDO cultures. Overall, our results highlight the PPDO as a model for mammalian duct/progenitor applications.

原发性人胰导管类器官(human pancreatic ductal organoids, HPDO)已成为研究胰腺生物学和胰腺炎、胰腺癌等疾病的模型。然而,供体材料的可用性、遗传变异以及缺乏对健康和疾病胰腺的广泛基准限制了应用范围。为了解决这一空白,我们建立了猪胰腺导管类器官(PPDO)作为一个可靠的、遗传定义的、容易获得的系统来模拟胰腺导管/祖细胞生物学。我们使用单细胞RNA测序(scRNA-Seq)将PPDO与HPDO和原代猪胰腺进行比较。通过广泛的蛋白质组学分析,我们观察到PPDO在不同发育阶段没有明显的表型差异,WNT/基底细胞信号富集的群体是PPDO的特征。PPDO表现出向成熟导管细胞分化的潜力,向内分泌谱系分化的潜力有限。我们使用PPDO作为化学筛选平台来评估fda批准的药物的安全性,并显示PPDO和HPDO培养之间他汀类药物和α-肾上腺素受体抑制剂的毒性保守。总的来说,我们的结果突出了PPDO作为哺乳动物导管/祖细胞应用的模型。
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引用次数: 0
RBMS1 orchestrates cardiac hypertrophy by facilitating CTTN splice-switching and sarcomere dynamics. RBMS1通过促进CTTN剪接开关和肌节动力学来协调心脏肥厚。
IF 8.3 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-01 Epub Date: 2025-11-10 DOI: 10.1038/s44321-025-00334-z
Liangliang Li, Tianyu Li, Bin Wang, Jiayue Feng, Nan Zhang, Jing Zhang, Zhihui Niu, Wei Li, Huiying Gao, Qianqian Wang, Yang Liu, Yi Chen, Yixin Zhang, Yu Bian, Tengfei Pan, Siqi Sheng, Xuelian Li, Jinping Liu, Baofeng Yang, Haihai Liang

Cardiac hypertrophy is one of the significant causes of heart failure and is closely related to the rising rate of hospitalization and readmissions. Given the diverse regulatory roles of alternative splicing in cardiovascular diseases, RNA-binding proteins have attracted increasing research attention. Here, for the first time, we discovered elevated expression of RBMS1 in heart tissues of patients with dilated cardiomyopathy and in mice with cardiac hypertrophy. We demonstrated that RBMS1 activated the PI3K/AKT signaling pathway by promoting the splicing CTTN to generate CTTN-Δe11 splicing isoform, resulting in cytoskeleton and sarcomere damage in cardiomyocytes. Additionally, pharmacological inhibition of RBMS1 by nortriptyline alleviated cardiac hypertrophy and heart failure. These results provide a new perspective for developing novel therapeutic approaches for cardiac hypertrophy and establish a theoretical basis for targeting RBMS1 in the clinical treatment of cardiac hypertrophy.

心脏肥厚是心衰的重要原因之一,与住院和再入院率的上升密切相关。鉴于选择性剪接在心血管疾病中的多种调控作用,rna结合蛋白引起了越来越多的研究关注。在此,我们首次发现RBMS1在扩张型心肌病患者和心肌肥厚小鼠的心脏组织中表达升高。我们证明RBMS1通过促进CTTN剪接产生CTTN-Δe11剪接异构体,激活PI3K/AKT信号通路,导致心肌细胞的细胞骨架和肌节损伤。此外,去甲替林对RBMS1的药理抑制可减轻心脏肥厚和心力衰竭。这些结果为开发心脏肥厚的新治疗方法提供了新的视角,并为靶向RBMS1治疗心脏肥厚的临床治疗奠定了理论基础。
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引用次数: 0
Evidence that G-quadruplexes form in pathogenic fungi and represent promising antifungal targets. 证据表明g -四联体在病原真菌中形成,并代表有希望的抗真菌靶点。
IF 8.3 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-01 Epub Date: 2025-11-17 DOI: 10.1038/s44321-025-00340-1
Georgie Middleton, Fuad O Mahamud, Isabelle S R Storer, Abigail Williams-Gunn, Finn Wostear, Alireza Abdolrasouli, Elaine Barclay, Alice Bradford, Oliver Steward, Silke Schelenz, James McColl, Bertrand Lézé, Norman van Rhijn, Alessandra da Silva Dantas, Takanori Furukawa, Derek Warren, Zoë A E Waller, Stefan Bidula

Fungi are estimated to cause the death of almost 4 million people annually, and we urgently need new drug targets to overcome antifungal resistance. We found that four-stranded nucleic acid structures called G-quadruplexes (G4s) could form within the critical priority fungal pathogen Aspergillus fumigatus. Sequences with the potential to form G4s could be found in genes involved in fungal growth, virulence, and drug resistance. This included cyp51A, which encodes the target of azoles. Notably, we observed the formation of both canonical and unusual acid-stabilised G4s in these sequences. We found that PhenDC3 (a G4-stabilising ligand) could refold DNA into antiparallel G4 structures in cyp51A that were associated with decreased transcription. PhenDC3 also had potent fungistatic activity, prevented germination, synergised with the antifungal amphotericin B in vitro and in vivo, and displayed low genotoxicity and cytotoxicity towards human cells. Interestingly, PhenDC3 had greater antifungal activity towards the pan-azole-resistant A. fumigatus TR34/L98H isolate, and another G4-stabiliser, pyridostatin, killed multi-drug-resistant Candida auris. Taken together, G4s represent a promising target for the development of antifungals with novel mechanisms of action.

据估计,真菌每年造成近400万人死亡,我们迫切需要新的药物靶点来克服抗真菌耐药性。我们发现,被称为g -四链(G4s)的四链核酸结构可以在关键优先真菌病原体烟曲霉(Aspergillus fumigatus)中形成。有可能形成G4s的序列可以在真菌生长、毒力和耐药性相关的基因中发现。这包括cyp51A,它编码唑的靶标。值得注意的是,我们在这些序列中观察到典型的和不寻常的酸稳定G4s的形成。我们发现PhenDC3(一种G4稳定配体)可以在cyp51A中将DNA折叠成与转录减少相关的反平行G4结构。PhenDC3在体外和体内均与抗真菌两性霉素B具有协同作用,对人体细胞具有较低的遗传毒性和细胞毒性。有趣的是,PhenDC3对pan-azole-resistant A. fumigatus TR34/L98H具有更强的抗真菌活性,而另一种g4稳定剂pyridostatin则能杀死多重耐药的Candida auris。综上所述,G4s代表了开发具有新型作用机制的抗真菌药物的有希望的靶点。
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引用次数: 0
The canonical ER stress IRE1α/XBP1 pathway mediates skeletal muscle wasting during pancreatic cancer cachexia. 典型内质网应激IRE1α/XBP1通路介导胰腺癌恶病质期间骨骼肌萎缩。
IF 8.3 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-01 Epub Date: 2025-11-17 DOI: 10.1038/s44321-025-00337-w
Aniket S Joshi, Meiricris Tomaz da Silva, Anh Tuan Vuong, Bowen Xu, Ravi K Singh, Ashok Kumar

Cancer cachexia is a debilitating syndrome characterized by the progressive loss of skeletal muscle mass with or without fat loss. Recent studies have implicated dysregulation of the endoplasmic reticulum (ER) stress-induced unfolded protein response (UPR) pathways in skeletal muscle under various conditions, including cancer. In this study, we demonstrate that the IRE1α/XBP1 branch of the UPR promotes activation of the ubiquitin-proteasome system, autophagy, JAK-STAT3 signaling, and fatty acid metabolism in the skeletal muscle of the KPC mouse model of pancreatic cancer cachexia. Moreover, we show that the IRE1α/XBP1 pathway is a key contributor to muscle wasting. Skeletal muscle-specific deletion of the XBP1 transcription factor significantly attenuates tumor-induced muscle atrophy. Mechanistically, transcriptionally active XBP1 binds to the promoter regions of genes such as Map1lc3b, Fbxo32, and Il6, which encode proteins known to drive muscle proteolysis. Pharmacological inhibition of IRE1α using 4µ8C in KPC tumor-bearing mice attenuates cachexia-associated molecular changes and improves muscle mass and strength. Collectively, our findings suggest that targeting IRE1α/XBP1 pathway may offer a therapeutic strategy to counteract muscle wasting during pancreatic cancer-induced cachexia.

癌症恶病质是一种衰弱综合征,其特征是骨骼肌质量的进行性损失,伴有或不伴有脂肪损失。最近的研究表明,在包括癌症在内的各种情况下,骨骼肌内质网(ER)应激诱导的未折叠蛋白反应(UPR)通路失调。在这项研究中,我们证明了UPR的IRE1α/XBP1分支促进了胰腺癌恶病质KPC小鼠模型骨骼肌中泛素-蛋白酶体系统的激活、自噬、JAK-STAT3信号传导和脂肪酸代谢。此外,我们发现IRE1α/XBP1通路是肌肉萎缩的关键因素。骨骼肌特异性缺失XBP1转录因子可显著减轻肿瘤诱导的肌肉萎缩。从机制上讲,具有转录活性的XBP1与Map1lc3b、Fbxo32和Il6等基因的启动子区域结合,这些基因编码已知的驱动肌肉蛋白水解的蛋白质。4µ8C对KPC荷瘤小鼠IRE1α的药理抑制可减轻恶病质相关的分子变化,提高肌肉质量和力量。总之,我们的研究结果表明,靶向IRE1α/XBP1通路可能提供一种治疗策略,以抵消胰腺癌诱导的恶病质期间的肌肉萎缩。
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引用次数: 0
Enhanced Notch dependent gliogenesis and delayed physiological maturation underlie neurodevelopmental defects in Lowe syndrome. 增强Notch依赖性胶质形成和延迟生理成熟是Lowe综合征神经发育缺陷的基础。
IF 8.3 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-01 Epub Date: 2025-11-11 DOI: 10.1038/s44321-025-00327-y
Yojet Sharma, Priyanka Bhatia, Gagana Rangappa, Sankhanil Saha, Padinjat Raghu

Coordination of cellular and physiological development by signaling is required for normal brain structure and function. Mutations in OCRL, a phosphatidylinositol 4,5 bisphosphate [PI(4,5)P2], 5-phosphatase leads to Lowe Syndrome (LS). However, the mechanism by which mutations in OCRL leads to the neurodevelopmental phenotypes of LS is not understood. We find that on differentiation of LS patient iPSC, neural cultures show reduced excitability and enhanced GFAP levels. Multiomic single-nucleus RNA and ATACseq analysis of neural stem cells revealed enhanced numbers of cells with a gliogenic cell state. Analysis of snRNA seq revealed increased levels of DLK1, a Notch ligand in LS patient NSC associated increased levels of cleaved Notch and elevation of its transcriptional target HES5, indicating upregulated Notch signaling. Treatment of iPSC derived brain organoid with an inhibitor of PIP5K, the lipid kinase that synthesizes PI(4,5)P2, was able to restore neuronal excitability and rescue Notch signaling defects in OCRL deficient organoids. Overall, our results demonstrate a role for PI(4,5)P2 dependent regulation of Notch signaling, cell fate specification and neuronal excitability regulated by OCRL.

正常的大脑结构和功能需要通过信号来协调细胞和生理发育。磷脂酰肌醇4,5二磷酸[PI(4,5)P2], 5-磷酸酶ocl突变可导致Lowe综合征(LS)。然而,ocl突变导致LS神经发育表型的机制尚不清楚。我们发现,在LS患者iPSC分化过程中,神经培养表现出兴奋性降低和GFAP水平升高。神经干细胞的多组单核RNA和ATACseq分析显示,胶质细胞状态的细胞数量增加。snRNA序列分析显示,LS患者的Notch配体DLK1水平升高,与NSC中切割的Notch水平升高及其转录靶点HES5的升高有关,表明Notch信号传导上调。用PIP5K(合成PI(4,5)P2的脂质激酶)抑制剂治疗iPSC衍生的脑类器官,能够恢复神经元的兴奋性,并挽救ocl缺陷类器官的Notch信号缺陷。总之,我们的研究结果证明了PI(4,5)P2依赖于Notch信号、细胞命运规范和ocl调节的神经元兴奋性的调节作用。
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引用次数: 0
Closing the loop on EGFR therapy: decoding cetuximab response through circ-EGFR. EGFR治疗的闭环:通过circ-EGFR解码西妥昔单抗反应。
IF 8.3 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-01 Epub Date: 2025-11-10 DOI: 10.1038/s44321-025-00332-1
Camilla Pilati, Pierre Laurent-Puig
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引用次数: 0
Inhibiting cholesterol synthesis halts rhabdomyosarcoma growth via ER stress and cell cycle arrest. 抑制胆固醇合成通过内质网应激和细胞周期阻滞阻止横纹肌肉瘤生长。
IF 8.3 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-01 Epub Date: 2025-11-17 DOI: 10.1038/s44321-025-00336-x
Nebeyu Yosef Gizaw, Kalle Kolari, Pauliina Kallio, Kari Alitalo, Riikka Kivelä

Rhabdomyosarcoma (RMS) is the most common pediatric soft tissue sarcoma, with poor outcomes in high-risk and relapsed patients. Here, we identify de novo cholesterol biosynthesis as a critical metabolic vulnerability in RMS. The transcription factor PROX1, previously implicated in RMS growth, acts as an upstream regulator of cholesterol biosynthesis, promoting expression of key pathway genes. Inhibition of cholesterol biosynthesis, either genetically or pharmacologically, impaired RMS cell proliferation, caused a broad halt of cell cycle progression, and activated ER stress-mediated apoptosis through the PERK-ATF4-CHOP axis. Notably, RMS cells could not be rescued by exogenous LDL cholesterol, indicating a unique reliance on endogenous cholesterol production, whereas normal cells, including myoblasts and astrocytes, largely relied on extracellular cholesterol uptake. Clinical and single-cell RNA-seq analyses further revealed that high expression of cholesterol biosynthesis genes correlate with poor survival and enrichment of cell cycle-related gene signatures across RMS subtypes. Together, these findings mechanistically link cholesterol biosynthesis to proliferative signaling and ER stress response in RMS and highlight this pathway as a promising, non-redundant therapeutic target.

横纹肌肉瘤(Rhabdomyosarcoma, RMS)是最常见的儿童软组织肉瘤,在高危和复发患者中预后较差。在这里,我们确定从头开始的胆固醇生物合成是RMS的一个关键代谢脆弱性。转录因子PROX1,先前与RMS生长有关,作为胆固醇生物合成的上游调节剂,促进关键途径基因的表达。抑制胆固醇生物合成,无论是遗传上还是药理学上,都会损害RMS细胞的增殖,导致细胞周期进程的广泛停止,并通过PERK-ATF4-CHOP轴激活内质膜应激介导的凋亡。值得注意的是,RMS细胞不能被外源性LDL胆固醇拯救,这表明其独特的依赖于内源性胆固醇产生,而正常细胞,包括成肌细胞和星形胶质细胞,主要依赖于细胞外胆固醇摄取。临床和单细胞RNA-seq分析进一步揭示,胆固醇生物合成基因的高表达与RMS亚型的低存活率和细胞周期相关基因特征的富集相关。总之,这些发现将胆固醇生物合成与RMS中的增殖信号和内质网应激反应机制联系起来,并强调了这一途径是一个有希望的、非冗余的治疗靶点。
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引用次数: 0
Dynamics of checkpoint receptors in γδ T cell subsets are associated with clinical response during anti-PD-1 immunotherapies. 在抗pd -1免疫治疗期间,γδ T细胞亚群中检查点受体的动态变化与临床反应有关。
IF 11.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-11-27 DOI: 10.1038/s44321-025-00338-9
Elisa Catafal-Tardos,Lola Dachicourt,Maria Virginia Baglioni,Marcelo Gregorio Filho Fares da Silva,Davide Secci,Marco Donia,Anders Handrup Kverneland,Inge Marie Svane,Vasileios Bekiaris
Gamma delta (γδ) T cells are innate-like lymphocytes with potent anti-tumor properties. Herein, we show that immune checkpoint receptors (ICRs) display differential expression and regulation by the JAK-STAT pathway in Vδ1 and Vδ2 cells and identify constitutive (e.g. TIGIT, PD-1) and inducible (e.g. TIM-3, LAG-3, CTLA-4) ICRs. In melanoma, all γδ T cell subsets downregulated AP-1 transcription factors, but Vδ1 cells specifically expressed high levels of ICR, TOX and inhibitory killer Ig-like receptor (KIR) transcripts, reminiscent of exhaustion. However, patient-derived cells were functionally competent, although induction of LAG-3 and CTLA-4 was impaired. During anti-PD-1 monotherapy, Vδ1 cells specifically bound high levels of therapeutic antibody but only in patients who responded to treatment, revealing a potential new prognostic marker for evaluating the efficacy of IC blockade (ICB) therapy. Finally, expression of KIR genes in Vδ1 cells was downregulated in response to successful ICB therapy. Collectively, our data indicate an intricate relationship between ICRs and γδ T cells and reveal novel approaches by which these cells can be harnessed in order to discern or improve cancer immunotherapy.
γδ (γδ) T细胞是具有有效抗肿瘤特性的先天性淋巴细胞。本研究表明,免疫检查点受体(ICRs)在Vδ1和Vδ2细胞中通过JAK-STAT通路表现出差异表达和调控,并鉴定出构成型(如TIGIT、PD-1)和诱导型(如TIM-3、LAG-3、CTLA-4) ICRs。在黑色素瘤中,所有γδ T细胞亚群都下调AP-1转录因子,但Vδ1细胞特异性表达高水平的ICR、TOX和抑制性杀伤igg样受体(KIR)转录物,这让人联想到衰竭。然而,尽管LAG-3和CTLA-4的诱导受损,患者来源的细胞在功能上是有能力的。在抗pd -1单药治疗期间,Vδ1细胞特异性结合高水平的治疗性抗体,但仅在对治疗有反应的患者中,这揭示了评估IC阻断(ICB)治疗效果的潜在新预后标志物。最后,在成功的ICB治疗后,Vδ1细胞中KIR基因的表达下调。总的来说,我们的数据表明ICRs和γδ T细胞之间存在复杂的关系,并揭示了利用这些细胞来识别或改善癌症免疫治疗的新方法。
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引用次数: 0
Isomeranzin activates Gnas-AMPK signaling to drive white adipose browning and curb obesity in mice. 异omeranzin激活Gnas-AMPK信号,促进白色脂肪褐化,抑制小鼠肥胖。
IF 11.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-11-26 DOI: 10.1038/s44321-025-00335-y
Menghao Shi,Yinsong Ye,Lizhi Hu,Yibo Yan,Shushu Jiang,Pengchao Wang,Fengcen Li,Mingfa Ai,Jinhui Huang,Ling Yang,Kai Huang,Minglu Liang
Obesity is a major global health challenge, and promoting the browning of white adipose tissue (WAT) represents a promising therapeutic strategy. However, pharmacological approaches to induce adipose thermogenesis remain limited. Through a Connectivity Map-based screen, we identified isomeranzin (ISM) as a potent small-molecule activator of WAT browning. ISM enhances thermogenesis in adipocytes by activating the AMP-activated protein kinase (AMPK) pathway. Integrated limited proteolysis-mass spectrometry, cellular thermal shift assays, and molecular docking identified guanine nucleotide-binding protein G(s) alpha subunit (Gnas) as the direct binding target of ISM. Mechanistic studies further revealed that ISM induces WAT browning through the Gnas-dependent activation of cAMP-AMPK signaling cascade. These findings elucidate the molecular mechanism underlying ISM activity and highlight its potential as a lead compound for enhancing energy expenditure and combating obesity.
肥胖是一个主要的全球健康挑战,促进白色脂肪组织褐变(WAT)是一个很有前途的治疗策略。然而,诱导脂肪产热的药理学方法仍然有限。通过基于连接图的筛选,我们确定了异omeranzin (ISM)是一种有效的WAT褐变小分子激活剂。ISM通过激活amp激活的蛋白激酶(AMPK)途径增强脂肪细胞的产热作用。综合有限蛋白水解-质谱,细胞热移分析和分子对接鉴定鸟嘌呤核苷酸结合蛋白G(s) α亚基(Gnas)是ISM的直接结合靶点。机制研究进一步揭示,ISM通过gnas依赖性激活cAMP-AMPK信号级联诱导WAT褐变。这些发现阐明了ISM活性的分子机制,并强调了其作为促进能量消耗和对抗肥胖的先导化合物的潜力。
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引用次数: 0
Vascular malformations: from genetics to therapeutics. 血管畸形:从遗传学到治疗学。
IF 11.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-11-21 DOI: 10.1038/s44321-025-00344-x
Gabriel Morin,Ilaria Galasso,Guillaume Canaud
Vascular malformations (VMs) are congenital disorders characterized by structurally abnormal blood and lymphatic vessels. Advances in genetics have revealed that most sporadic VMs result from post-zygotic variants in genes involved in key endothelial signaling pathways, including the phosphoinositide-3-kinase (PI3K) and the mitogen-associated proliferation kinase (MAPK) pathways. As these variants are shared with cancer, genetics now have theragnostic impact by helping predict relevant targeted therapies. mTOR and PI3Kα inhibitors such as sirolimus and alpelisib have shown promising efficacy in slow-flow VMs, while reports have suggested that MAPK inhibitors such as trametinib may improve arteriovenous malformations. Despite these advances, several challenges remain, including obtaining accurate genetic diagnosis, enhancing treatment efficacy while mitigating drug-related toxicities, and personalizing multimodal treatment strategies. Emerging approaches such as mutant-selective inhibitors, proteolysis-targeting chimeras, and gene therapy hold promises for improving treatment specificity and minimizing adverse effects. This review provides an overview of the genetic bases of VMs, recent advances in targeted therapies, and future directions in the field, highlighting the ongoing evolution of precision medicine for VMs.
血管畸形是一种以血管和淋巴管结构异常为特征的先天性疾病。遗传学的进展表明,大多数散发性vm是由涉及关键内皮信号通路的基因的合子后变异引起的,包括磷酸肌醇激酶(PI3K)和丝裂原相关增殖激酶(MAPK)通路。由于这些变异与癌症共有,遗传学现在通过帮助预测相关的靶向治疗而具有治疗作用。mTOR和PI3Kα抑制剂如西罗莫司和alpelisib在慢血流vm中显示出有希望的疗效,而报告表明,MAPK抑制剂如曲美替尼可能改善动静脉畸形。尽管取得了这些进展,但仍存在一些挑战,包括获得准确的基因诊断,在减轻药物相关毒性的同时提高治疗效果,以及个性化多模式治疗策略。诸如突变选择性抑制剂、蛋白水解靶向嵌合体和基因治疗等新兴方法有望提高治疗特异性并将不良反应降至最低。本文综述了VMs的遗传基础,靶向治疗的最新进展,以及该领域的未来发展方向,重点介绍了VMs精准医疗的持续发展。
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引用次数: 0
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