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Drug-induced senescence of donor dermal fibroblasts enhances revascularization and graft success in skin transplantation 药物诱导的供体真皮成纤维细胞衰老促进皮肤移植的血运重建和移植成功。
IF 4.2 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-15 DOI: 10.1016/j.ejphar.2024.177208
Zhenjiang Li , Yulian Wang , Zhewei Yang , Jiayun Pang , Lin Song , Chunyan Liu , Junfeng Zhang , Lei Dong
Full-thickness skin grafts often face challenges related to inefficient vascularization in clinical settings. Senescent cells, known for secreting various growth factors, have demonstrated excellent effects on angiogenesis. In this study, we induced senescence in a subset of fibroblasts in the donor dermis by co-administering trametinib and palbociclib before harvesting the skin grafts for transplantation. Grafts containing these senescent fibroblasts showed significant promotion of vascularization when surgically transplanted into recipient animals. This approach resulted in a 100% survival rate of the transplanted skin. Additionally, the senescent fibroblasts optimized wound healing and matrix remodeling, subsequently reducing inflammation and scar hyperplasia. Importantly, these senescent fibroblasts disappeared 14 days post-grafting, preventing excessive accumulation of senescent cells. Overall, our study indicates that inducing senescence in the donor dermis prior to transplantation is an effective strategy to enhance vascularization and increase the success rate of skin grafting.
在临床环境中,全层皮肤移植经常面临与低效率血管化相关的挑战。衰老细胞以分泌各种生长因子而闻名,在血管生成中表现出良好的作用。在这项研究中,我们在收获用于移植的皮肤移植物之前,通过联合施用曲美替尼和帕博西尼,诱导供体真皮中一部分成纤维细胞衰老。含有这些衰老成纤维细胞的移植物在手术移植到受体动物体内时显示出明显的血管化促进作用。这种方法使移植皮肤的存活率达到100%。此外,衰老的成纤维细胞优化伤口愈合和基质重塑,随后减少炎症和疤痕增生。重要的是,这些衰老的成纤维细胞在移植后14天消失,防止了衰老细胞的过度积累。总之,我们的研究表明,在移植前诱导供体真皮衰老是增强血管化和提高植皮成功率的有效策略。
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引用次数: 0
Sex differences in gut microbiota, hypertension, and cardiovascular risk 肠道微生物群、高血压和心血管风险的性别差异
IF 4.2 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-15 DOI: 10.1016/j.ejphar.2024.177183
Anish Sharma , Sahil Kapur , Priyal Kancharla , Tao Yang
The intricate ecosystem of the gut microbiome exhibits sex-specific differences, influencing the susceptibility to cardiovascular diseases (CVD). Imbalance within the gut microbiome compromises the gut barrier, activates inflammatory pathways, and alters the production of metabolites, all of which initiate chronic diseases including CVD. In particular, the interplay between lifestyle choices, hormonal changes, and metabolic byproducts uniquely affects sex-specific gut microbiomes, potentially shaping the risk profiles for hypertension and CVD differently in men and women. Understanding the gut microbiome's role in CVD risk offers informative reasoning behind the importance of developing tailored preventative strategies based on sex-specific differences in CVD risk. Furthermore, insight into the differential impact of social determinants and biological factors on CVD susceptibility emphasizes the necessity for more nuanced approaches. This review also outlines specific dietary interventions that may enhance gut microbiome health, offering a glimpse into potential therapeutic avenues for reducing CVD risk that require greater awareness. Imbalance in natural gut microbiomes may explain etiologies of chronic diseases; we advocate for future application to alter the gut microbiome as possible treatment of the aforementioned diseases. This review mentions the idea of altering the gut microbiome through interventions such as fecal microbiota transplantation (FMT), a major application of microbiome-based therapy that is first-line for Clostridium difficile infections and patient-specific probiotics highlights more innovative approaches to hypertension and CVD prevention. Through increased analysis of gut microbiota compositions along with patient-centric probiotics and microbiome transfers, this review advocates for future preventative strategies for hypertension.
肠道微生物群复杂的生态系统表现出性别特异性差异,影响心血管疾病(CVD)的易感性。肠道微生物组的不平衡破坏肠道屏障,激活炎症途径,改变代谢物的产生,所有这些都会引发包括心血管疾病在内的慢性疾病。特别是,生活方式选择、激素变化和代谢副产物之间的相互作用对性别特异性肠道微生物群产生独特影响,可能会影响男性和女性患高血压和心血管疾病的风险。了解肠道微生物组在心血管疾病风险中的作用,为基于心血管疾病风险的性别特异性差异制定量身定制的预防策略的重要性提供了信息推理。此外,深入了解社会决定因素和生物因素对心血管疾病易感性的不同影响,强调了采用更细致入微方法的必要性。本综述还概述了可能增强肠道微生物群健康的特定饮食干预措施,为降低心血管疾病风险提供了潜在的治疗途径,需要更多的认识。天然肠道微生物群的不平衡可能解释慢性病的病因;我们提倡未来应用改变肠道微生物组作为上述疾病的可能治疗方法。这篇综述提到了通过干预改变肠道微生物群的想法,如粪便微生物群移植(FMT),这是基于微生物群的治疗的主要应用,是艰难梭菌感染和患者特异性益生菌的一线治疗,强调了高血压和心血管疾病预防的更多创新方法。通过增加对肠道微生物群组成的分析,以及以患者为中心的益生菌和微生物群转移,本综述倡导未来高血压的预防策略。
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引用次数: 0
SR9009 attenuates TGF-β1-induced renal fibrotic responses by inhibiting the NOX4/p38 signaling pathway in NRK-49F cells SR9009通过抑制NRK-49F细胞NOX4/p38信号通路,减弱TGF-β1诱导的肾纤维化反应。
IF 4.2 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-15 DOI: 10.1016/j.ejphar.2024.177162
Akira Takaguri, Sari Shinohe, Ryuta Noro, Mei Sakuraba, Chihiro Satoh, Runa Ohashi, Kumi Satoh
The circadian clock protein reverse erythroblastosis virus (REV)-ERBα is implicated in the pathogenesis of various diseases, including cancer and myocardial infarction. Emerging evidence suggests that SR9009, an agonist of REV-ERBα, regulates multiple signaling molecules independent or dependent of REV-ERBα. However, the impact of SR9009 on renal fibrosis remains largely unevaluated. In this study, we investigated the effects of SR9009 on transforming growth factor (TGF)-β1-induced fibrotic responses and elucidated the mechanisms involved. Masson's trichome staining revealed that in the unilateral ureteral obstruction groups, there was a decrease in REV-ERBα expression, accompanied by increased levels of the profibrotic factor TGF-β1 and the fibrosis marker α-smooth muscle actin (α-SMA). REV-ERBα knockdown significantly increased α-SMA expression in NRK-49F cells. SR9009 significantly attenuated unilateral ureteral obstruction-induced fibrosis and TGF-β1-induced fibrotic responses in normal rat kidney fibroblasts (NRK-49F cells). Conversely, the REV-ERBα antagonist SR8278 did not affect TGF-β1-induced fibrotic responses. Mechanistic studies revealed that SR9009 significantly inhibited the phosphorylation of ERK and p38, concomitant with reduced α-SMA levels, suppressing TGF-β1-induced NADPH oxidase 4 (NOX4) mRNA expression in NRK-49F cells. Notably, SR9009 did not influence the expression of dual specificity phosphatase 4, which dephosphorylates MAPKs, including p38. Furthermore, REV-ERBα knockdown did not affect the ability of SR9009 to inhibit TGF-β1-induced fibrotic responses and NOX4 expression in NRK-49F cells. In conclusion, SR9009 exerts a protective role against renal fibrosis independent of REV-ERBα. Therefore, SR9009 is a promising therapeutic agent for the prevention and treatment of renal fibrosis associated with renal failure.
昼夜节律时钟蛋白逆转红细胞增生病毒(REV)-ERBα与多种疾病的发病机制有关,包括癌症和心肌梗死。越来越多的证据表明,SR9009是rev - erba的激动剂,可调节多种独立或依赖rev - erba的信号分子。然而,SR9009对肾纤维化的影响在很大程度上仍未得到评估。在本研究中,我们研究了SR9009对转化生长因子(TGF)-β1诱导的纤维化反应的影响,并阐明了其机制。马氏毛状染色显示单侧输尿管梗阻组rev - erba表达降低,促纤维化因子TGF-β1及纤维化标志物α-平滑肌肌动蛋白(α-SMA)水平升高。敲低rev - erba可显著提高NRK-49F细胞中α-SMA的表达。SR9009显著减弱单侧输尿管梗阻诱导的纤维化和TGF-β1诱导的正常大鼠肾成纤维细胞(NRK-49F细胞)的纤维化反应。相反,rev - erba拮抗剂SR8278不影响TGF-β1诱导的纤维化反应。机制研究发现,SR9009显著抑制ERK和p38的磷酸化,同时α-SMA水平降低,抑制TGF-β1诱导的NRK-49F细胞中NADPH氧化酶4 (NOX4) mRNA的表达。值得注意的是,SR9009不影响双特异性磷酸酶4的表达,该酶能使包括p38在内的mapk去磷酸化。此外,REV-ERBα敲低不影响SR9009抑制TGF-β1诱导的纤维化反应和NRK-49F细胞NOX4表达的能力。综上所述,SR9009对肾纤维化具有独立于rev - erba的保护作用。因此,SR9009是预防和治疗肾功能衰竭相关肾纤维化的有前景的治疗剂。
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引用次数: 0
Therapeutic targets of antidiabetic drugs and kidney stones: A druggable mendelian randomization study and experimental study in rats 降糖药和肾结石的治疗靶点:可用药孟德尔随机化研究和大鼠实验研究。
IF 4.2 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-15 DOI: 10.1016/j.ejphar.2024.177197
Maolan Wu , Cheng He , Hao Yu , Youjie Zhang , Liang Tang , Minghui Liu , Meng Gao , Jian Wu , Feng Zeng , Hequn Chen , Shilong Jiang , Zewu Zhu
Diabetes is known to increase the risk of kidney stones, but the influence of antidiabetic drugs on this risk remains uncertain. Genetic instruments for antidiabetic drugs were identified as variants, which were associated with both the expression of genes encoding target proteins of drugs and glycated hemoglobin level (HbA1c). Here, we investigated the effect of antidiabetic drugs on kidney stones in a mendelian randomization (MR) framework, and further explore the potential effect on CaOx stone rat models induced by glyoxylic acid. Genetically proxied thiazolidinediones (PPARG agonists) significantly reduced the risk of kidney stones (OR = 0.42; P=0.004) per 1-SD decrement in HbA1c, while no significant association was noted in sulfonylureas, SGLT2 inhibitors, or GLP-1 analogs. Other antidiabetic drugs were not analyzed due to unclear pharmacological targets or no identified instruments. Additionally, PPARG agonists pioglitazone ameliorated CaOx nephrocalcinosis in glyoxylic acid-induced rats. The summary-data-based MR (SMR) results showed that PPARG mRNA expression in blood or kidney was not associated with kidney stone risk, and thus we performed mediation MR of PPARG agonists, circulating metabolites, and kidney stones. Among 249 circulating metabolites, we identified an indirect effect of PPARG agonists on kidney stones through increasing phospholipids to total lipids ratio in very large VLDL, with a mediated proportion of 6.87% (P = 0.018). Our study provided evidence that PPARG agonists reduced the risk of kidney stones partially via regulating lipid metabolism, and PPARG agonists may be a promising study subject in clinical studies for the prevention of kidney stones.
众所周知,糖尿病会增加患肾结石的风险,但抗糖尿病药物对这种风险的影响仍不确定。抗糖尿病药物遗传工具被鉴定为变异,这些变异与药物靶蛋白编码基因的表达和糖化血红蛋白水平(HbA1c)有关。本研究在孟德尔随机化(MR)框架下研究降糖药物对肾结石的影响,并进一步探讨其对乙醛酸诱导的CaOx结石大鼠模型的潜在影响。遗传代用噻唑烷二酮(PPARG激动剂)显著降低肾结石的风险(OR=0.42;P=0.004),而磺脲类药物、SGLT2抑制剂或GLP-1类似物未发现显著相关性。其他抗糖尿病药物由于药理靶点不明确或没有确定的仪器而未被分析。此外,PPARG激动剂吡格列酮可改善乙醛酸诱导的CaOx肾钙化症大鼠。基于汇总数据的MR (SMR)结果显示,血液或肾脏中的PPARG mRNA表达与肾结石风险无关,因此我们对PPARG激动剂、循环代谢物和肾结石进行了介导MR。在249种循环代谢物中,我们发现PPARG激动剂通过增加非常大的VLDL中磷脂与总脂的比例间接影响肾结石,介导比例为6.87% (P=0.018)。我们的研究证明PPARG激动剂通过调节脂质代谢部分降低肾结石的风险,PPARG激动剂可能是预防肾结石临床研究中有前景的研究对象。
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引用次数: 0
Soluble guanylyl cyclase stimulators and activators: Promising drugs for the treatment of hypertension? 可溶性胍基环化酶刺激剂和激活剂:治疗高血压的有前途的药物?
IF 4.2 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-15 DOI: 10.1016/j.ejphar.2024.177175
Olga Gawrys , Petr Kala , Janusz Sadowski , Vojtěch Melenovský , Peter Sandner , Luděk Červenka
Nitric oxide (NO)-stimulated cyclic guanosine monophosphate (cGMP) is a key regulator of cardiovascular health, as NO-cGMP signalling is impaired in diseases like pulmonary hypertension, heart failure and chronic kidney disease. The development of NO-independent sGC stimulators and activators provide a novel therapeutic option to restore altered NO signalling. sGC stimulators have been already approved for the treatment of pulmonary arterial hypertension (PAH), chronic thromboembolic pulmonary hypertension (CTEPH), and chronic heart failure (HFrEF), while sGC activators are currently in phase-2 clinical trials for CKD.
The best characterized effect of increased cGMP via the NO-sGC-cGMP pathway is vasodilation. However, to date, none of the sGC agonists are in development for hypertension (HTN). According to WHO, the global prevalence of uncontrolled HTN continues to rise, contributing significantly to cardiovascular mortality. While there are effective antihypertensive treatments, many patients require multiple drugs, and some remain resistant to all therapies. Thus, in addition to improved diagnosis and lifestyle changes, new pharmacological strategies remain in high demand.
In this review we explore the potential of sGC stimulators and activators as novel antihypertensive agents, starting with the overview of NO-sGC-cGMP signalling, followed by potential mechanisms by which the increase in cGMP may regulate vascular tone and BP. These effects may encompass not only acute vasodilation, but also mid-term and chronic effects, such as the regulation of salt and water balance, as well as mitigation of vascular ageing and remodelling. The main section summarizes the preclinical and clinical evidence supporting the BP-lowering efficacy of sGC agonists.
一氧化氮(NO)刺激的环鸟苷单磷酸(cGMP)是心血管健康的关键调节剂,因为NO-cGMP信号在肺动脉高压、心力衰竭和慢性肾病等疾病中受损。NO独立的sGC刺激剂和激活剂的发展为恢复改变的NO信号提供了一种新的治疗选择。sGC刺激剂已经被批准用于治疗肺动脉高压(PAH)、慢性血栓栓塞性肺动脉高压(CTEPH)和慢性心力衰竭(HFrEF),而sGC激活剂目前正在CKD的2期临床试验中。通过NO-sGC-cGMP途径增加cGMP的最佳特征效应是血管舒张。然而,迄今为止,还没有一种用于高血压(HTN)的sGC激动剂正在开发中。据世卫组织称,不受控制的HTN的全球流行率继续上升,大大增加了心血管疾病的死亡率。虽然有有效的降压治疗方法,但许多患者需要多种药物治疗,有些患者对所有治疗方法都有耐药性。因此,除了改善诊断和改变生活方式外,新的药理学策略仍有很高的需求。在这篇综述中,我们探讨了sGC刺激剂和激活剂作为新型降压药的潜力,从NO-sGC-cGMP信号传导的概述开始,然后是cGMP增加可能调节血管张力和血压的潜在机制。这些影响可能不仅包括急性血管舒张,还包括中期和慢性影响,如调节盐和水平衡,以及减缓血管老化和重塑。主要部分总结了支持sGC激动剂降血压功效的临床前和临床证据。
{"title":"Soluble guanylyl cyclase stimulators and activators: Promising drugs for the treatment of hypertension?","authors":"Olga Gawrys ,&nbsp;Petr Kala ,&nbsp;Janusz Sadowski ,&nbsp;Vojtěch Melenovský ,&nbsp;Peter Sandner ,&nbsp;Luděk Červenka","doi":"10.1016/j.ejphar.2024.177175","DOIUrl":"10.1016/j.ejphar.2024.177175","url":null,"abstract":"<div><div>Nitric oxide (NO)-stimulated cyclic guanosine monophosphate (cGMP) is a key regulator of cardiovascular health, as NO-cGMP signalling is impaired in diseases like pulmonary hypertension, heart failure and chronic kidney disease. The development of NO-independent sGC stimulators and activators provide a novel therapeutic option to restore altered NO signalling. sGC stimulators have been already approved for the treatment of pulmonary arterial hypertension (PAH), chronic thromboembolic pulmonary hypertension (CTEPH), and chronic heart failure (HFrEF), while sGC activators are currently in phase-2 clinical trials for CKD.</div><div>The best characterized effect of increased cGMP via the NO-sGC-cGMP pathway is vasodilation. However, to date, none of the sGC agonists are in development for hypertension (HTN). According to WHO, the global prevalence of uncontrolled HTN continues to rise, contributing significantly to cardiovascular mortality. While there are effective antihypertensive treatments, many patients require multiple drugs, and some remain resistant to all therapies. Thus, in addition to improved diagnosis and lifestyle changes, new pharmacological strategies remain in high demand.</div><div>In this review we explore the potential of sGC stimulators and activators as novel antihypertensive agents, starting with the overview of NO-sGC-cGMP signalling, followed by potential mechanisms by which the increase in cGMP may regulate vascular tone and <span>BP</span>. These effects may encompass not only acute vasodilation, but also mid-term and chronic effects, such as the regulation of salt and water balance, as well as mitigation of vascular ageing and remodelling. The main section summarizes the preclinical and clinical evidence supporting the BP-lowering efficacy of sGC agonists.</div></div>","PeriodicalId":12004,"journal":{"name":"European journal of pharmacology","volume":"987 ","pages":"Article 177175"},"PeriodicalIF":4.2,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
β-asarone relieves Parkinson's disease through reducing intracellular Ca2+ in PINK1 mutant Drosophila melanogaster β-细辛酮通过降低PINK1突变体黑腹果蝇细胞内Ca2+来缓解帕金森病。
IF 4.2 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-15 DOI: 10.1016/j.ejphar.2024.177155
Lanxiang Yin , Xintong Yuan , Jiahui Yu , Xuemin Ren , Hongqin Zhang , Yunyan Ye , Zixuan Wang , Xiangtao Chen
β-asarone, an effective volatile oil component of Acorus chinensis, has been found to hold beneficial effects on Parkinson's disease (PD), but its mechanism remains incompletely understood. Drosophila melanogaster with PTEN induced kinase 1 (PINK1) mutations, a prototype PD model, was used in this study. We found that calcium chelation profoundly alleviated a spectrum of PD symptoms. Whereas, calcium supplementation made the case worse, suggesting accumulated calcium contributes to progression of PD. β-asarone administration decreased Ca2+ level in PD flies, accompanied by alleviated behavioral and neural defects. Further study demonstrated that β-asarone downregulated L-type Ca2+ channels (Dmca1D), which was increased in PD flies. Besides, β-asarone decreased expression of 1,4,5 - trisphosphate receptor (Itpr), which is responsible for calcium release from endoplasmic reticulum (ER). Knockdown of either Dmca1D or Itpr specifically in dopaminergic neurons alleviated behavioral and neural defects in PD flies. While overexpression of Itpr aggravated PD symptoms. The results indicated that increased intracellular calcium influx and release triggers dysregulation of calcium homeostasis in PD flies. And β-asarone prevents PD by restoring Ca2+ homeostasis. Overall, the study demonstrated that β-asarone can serve as a new prospective medication against PD or other diseases associated with dysregulation of Ca2+ homeostasis.
β-细辛酮是一种有效的挥发油成分,已被发现对帕金森病(PD)有有益的作用,但其机制尚不完全清楚。本研究使用PTEN诱导的激酶1 (PINK1)突变的黑腹果蝇作为PD的原型模型。我们发现钙螯合能显著缓解帕金森病的一系列症状。然而,补钙使情况恶化,提示积累的钙有助于PD的进展。β-细辛酮可降低PD蝇的Ca2+水平,并减轻行为和神经缺陷。进一步的研究表明,β-细丁酮下调l型Ca2+通道(Dmca1D),在PD蝇中增加。此外,β-细辛酮还能降低内质网钙释放调控因子1,4,5 -三磷酸受体(Itpr)的表达。在多巴胺能神经元中特异性敲低Dmca1D或Itpr均可减轻PD果蝇的行为和神经缺陷。而Itpr过表达加重了PD症状。结果表明,细胞内钙的内流和释放增加会引发PD蝇钙稳态失调。β-细辛酮通过恢复Ca2+稳态来预防帕金森病。总的来说,研究表明β-细辛酮可以作为一种新的有前景的药物治疗PD或其他与Ca2+稳态失调相关的疾病。
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引用次数: 0
Illuminating the enigmatic pathogenesis of Kawasaki disease: Unveiling novel therapeutic avenues by targeting FCGR3B-S100A12 pathway 揭示川崎病的神秘发病机制:通过靶向FCGR3B-S100A12通路揭示新的治疗途径。
IF 4.2 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-15 DOI: 10.1016/j.ejphar.2024.177154
Meng Wu , Wenyan Wang , Zhicheng Yang , Guangfeng Long , Yan Zhang , Daheng Yang
Kawasaki disease (KD) primarily affects the pediatric population and exhibits a notable incidence of drug resistance, resulting in coronary artery damage and thrombosis. This study aimed to identify innovative therapeutic targets for KD treatment. By harnessing single-cell data derived from peripheral blood mononuclear cells, we identified differentially expressed genes. Through the integration of eQTL data and Mendelian randomization analysis, we identified FCGR3B and S100A12 were causally linked to KD. The DrugBank database showed their potential as drug target candidates. GSEA further elucidated their roles on coronary artery damage and thrombosis. Furthermore, we have confirmed that the ligand-FCGR3B complex enhances the intracellular calcium concentration (Ca2+) within the cytoplasm, which in turn accelerates the secretion of S100A12, a pro-inflammatory cytokine that targets endothelial cells, from neutrophils. By integrating existing research, we proposed a synergistic effect that FCGR3B-S100A12 pathway positively modulates the development of coronary artery damage and thrombus formation, suggesting their perspectives in clinical treatment.
川崎病(Kawasaki disease, KD)主要影响儿科人群,并表现出显著的耐药发生率,导致冠状动脉损伤和血栓形成。本研究旨在确定KD治疗的创新治疗靶点。通过利用来自外周血单核细胞的单细胞数据,我们确定了差异表达的基因。通过整合eQTL数据和孟德尔随机化分析,我们发现FCGR3B和S100A12与KD存在因果关系。药物银行数据库显示了它们作为候选药物的潜力。GSEA进一步阐明了它们在冠状动脉损伤和血栓形成中的作用。此外,我们已经证实配体- fcgr3b复合物增强细胞质内的细胞内钙浓度(Ca2+),从而加速中性粒细胞分泌S100A12(一种针对内皮细胞的促炎细胞因子)。综合已有研究,我们提出FCGR3B-S100A12通路正调节冠状动脉损伤和血栓形成的协同作用,提示其在临床治疗中的应用前景。
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引用次数: 0
Impact of calcineurin inhibitors on gut microbiota: Focus on tacrolimus with evidence from in vivo and clinical studies 钙调磷酸酶抑制剂对肠道微生物群的影响:从体内和临床研究的证据关注他克莫司。
IF 4.2 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-15 DOI: 10.1016/j.ejphar.2024.177176
Chanon Kunasol , Nipon Chattipakorn , Siriporn C. Chattipakorn
Calcineurin Inhibitors (CNIs), including tacrolimus and cyclosporine A, are the most widely used immunosuppressive drugs in solid organ transplantation. Those drugs play a pivotal role in preventing graft rejection and reducing autoimmunity. However, recent studies indicate that CNIs can disrupt the composition of gut microbiota or result in “gut dysbiosis”. This dysbiosis has been shown to be a significant factor in reducing host immunity by decreasing innate immune cells and impairing metabolic regulation, leading to lipid and glucose accumulation. Several in vivo and clinical studies have demonstrated a mechanistic link between gut dysbiosis and the side effects of CNI. Those studies have unveiled that gut dysbiosis induced by CNIs contributes to adverse effects such as hyperglycemia, nephrotoxicity, and diarrhea. These adverse effects of the induced gut dysbiosis require interventions to restore microbial balance. Probiotics and dietary supplements have emerged as potential interventions to mitigate the side effects of gut dysbiosis caused by CNIs. In this complex relationship between CNI treatment, gut dysbiosis, and interventions, several types of gut microbiota and host immunity are involved. However, the mechanisms underlying these relationships remain elusive. Therefore, the aim of this review is to comprehensively summarize and discuss the major findings from in vivo and clinical data regarding the impact of treatment with CNIs on gut microbiota. This review also explores interventions to mitigate dysbiosis for therapeutic approaches of the side effects of CNIs. The possible underlying mechanisms of CNIs-induced gut dysbiosis with or without interventions are also presented and discussed.
钙调磷酸酶抑制剂(calcalineurin Inhibitors, CNIs)是实体器官移植中应用最广泛的免疫抑制药物,包括他克莫司和环孢素A。这些药物在预防移植物排斥和降低自身免疫方面起着关键作用。然而,最近的研究表明,CNIs可以破坏肠道微生物群的组成或导致“肠道生态失调”。这种生态失调已被证明是降低宿主免疫力的一个重要因素,通过减少先天免疫细胞和损害代谢调节,导致脂质和葡萄糖积累。一些体内和临床研究已经证明了肠道生态失调和CNI副作用之间的机制联系。这些研究揭示了CNIs引起的肠道生态失调会导致高血糖、肾毒性和腹泻等不良反应。这些诱导肠道生态失调的不良影响需要干预来恢复微生物平衡。益生菌和膳食补充剂已成为减轻CNIs引起的肠道生态失调副作用的潜在干预措施。在CNI治疗、肠道生态失调和干预措施之间的复杂关系中,涉及几种类型的肠道微生物群和宿主免疫。然而,这些关系背后的机制仍然难以捉摸。因此,本综述的目的是全面总结和讨论关于CNIs治疗对肠道微生物群影响的体内和临床数据的主要发现。这篇综述还探讨了缓解CNIs副作用治疗方法中生态失调的干预措施。在有或没有干预的情况下,cnis诱导的肠道生态失调的可能潜在机制也被提出和讨论。
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引用次数: 0
Dorzolamide intermediates with potential anti-inflammatory activity 具有潜在抗炎活性的多唑胺中间体。
IF 4.2 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-15 DOI: 10.1016/j.ejphar.2024.177160
Rajat Atre , Alexander G. Obukhov , Chinmay Y. Majmudar , Krishnaprasad Nair , Fletcher A. White , Rahul Sharma , Faaiza Siddiqi , Syed M. Faisal , Vivek P. Varma , Md Imtaiyaz Hassan , Taj Mohammad , Gajanan N. Darwhekar , Mirza S. Baig
Dorzolamide (DZD), a Carbonic anhydrase (CA) inhibitor clinically used to lower intraocular pressure, exhibits anti-inflammatory effects owing to the drug's ability to inhibit the TIR domain-containing adaptor protein (TIRAP)-mediated signalling in macrophages. Here, we investigated whether DZD intermediates also demonstrate any anti-inflammatory property like DZD but with a reduced inhibition of CA. We found that several intermediates of DZD show increased binding to TIRAP at the common interface of kinases, such as Protein kinase C-delta (PKCδ) and Bruton's tyrosine kinase (BTK). Such binding results in a decreased activity of TIRAP, p38 Mitogen-activating protein kinases (MAPK), and p65, which are essential for major inflammatory signaling pathways. Remarkably, the DZD intermediates were more effective than DZD in decreasing the mRNA expression levels of pro-inflammatory cytokines in Lipopolysaccharide (LPS)-stimulated RAW 264.7 cells. The DZD intermediates also exhibit a reduced binding energy to CA II and CA IV, highlighting their improved specificity as anti-inflammatory compounds with decreased unwanted biological effects. Furthermore, we validated the anti-inflammatory effect of the most efficient DZD intermediate, DRZ V, in a model of mouse sepsis. DRZ V-treated septic mice exhibited improved survival compared to DZD-treated septic mice. Our data indicate that the tested DZD intermediates are more effectual in dampening TIRAP-mediated inflammatory signaling as compared to DZD. Thus, DZD intermediates may be a promising option for developing novel anti-inflammatory therapeutics.
Dorzolamide (DZD)是一种碳酸酐酶(CA)抑制剂,临床上用于降低眼压,由于该药物能够抑制巨噬细胞中含TIR结构域的适配蛋白(TIRAP)介导的信号传导,因此具有抗炎作用。在这里,我们研究了DZD中间体是否也像DZD一样具有抗炎特性,但对CA的抑制作用降低。我们发现DZD的一些中间体在激酶的共同界面上与TIRAP的结合增加,如蛋白激酶c - δ (PKCδ)和布鲁顿酪氨酸激酶(BTK)。这种结合导致TIRAP、p38丝裂原激活蛋白激酶(MAPK)和p65活性降低,而这些对于主要的炎症信号通路是必需的。值得注意的是,DZD中间体比DZD更有效地降低脂多糖(LPS)刺激的RAW 264.7细胞中促炎细胞因子的mRNA表达水平。DZD中间体也表现出对CA II和CA IV的结合能降低,突出了它们作为抗炎化合物的特异性提高,减少了不必要的生物效应。此外,我们在小鼠脓毒症模型中验证了最有效的DZD中间体drzv的抗炎作用。与dzd处理的脓毒症小鼠相比,DRZ v处理的脓毒症小鼠表现出更高的存活率。我们的数据表明,与DZD相比,DZD中间体在抑制tirap介导的炎症信号传导方面更有效。因此,DZD中间体可能是开发新型抗炎疗法的一个有希望的选择。
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引用次数: 0
Corrigendum to “Role of the ventral tegmental area in general anesthesia” [986(2025) 177145] “腹侧被盖区在全身麻醉中的作用”的勘误表[986(2025)177145]。
IF 4.2 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-15 DOI: 10.1016/j.ejphar.2024.177209
Jia Li , Yiyong Wei , Jiaxin Xiang , Donghang Zhang
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引用次数: 0
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European journal of pharmacology
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