Pub Date : 2026-01-20DOI: 10.1016/j.ejphar.2026.178581
Raafat A. Abdel-Aal , Fatma Y. Meligy , Gehad Kamel , Israa El-Sayed Mohamed Ashry
The strong relationship between Alzheimer's Disease (AD) and diabetes mellitus (DM) is described by the term “type 3 diabetes”. Canagliflozin (CAN), a sodium-glucose co-transporter 2 inhibitor (SGLT2i), is an antidiabetic agent under investigation as a potential new treatment for AD due to its acetylcholinesterase (AChE) inhibitory properties. We aimed to examine the effect of CAN on the efficacy of the anti-acetylcholinesterase, rivastigmine (RIV), against aluminum chloride (AlCl3)-induced AD rat model. The efficacy of CAN, RIV, and CAN plus RIV against abnormal behavioral, biochemical, and histological changes in AlCl3-induced AD in rats was examined. Three weeks of treatment with CAN partially reversed the AlCl3-induced behavioral dysfunction, along with significantly elevated levels of brain-derived neurotrophic factor (BDNF) and decreased levels of AChE, glycogen synthase kinase-3β (GSK3β), amyloid beta (Aβ) deposits, and inducible nitric oxide synthase (iNOS) expression. Histological examination revealed that CAN administration significantly increased RIV's efficacy by protecting neurons in rats' hippocampal tissues from AlCl3-induced damage. Interestingly, the RIV + CAN combination exhibited a more pronounced inhibitory effect on Aβ plaque formation, iNOS activity, and neurodegeneration compared to either RIV or CAN alone. However, this combination did not show any additive benefits for behavior, AChE activity, BDNF, or GSK3β concentrations compared with RIV alone. Our research indicates that CAN has potential benefits for AD, as evidenced by improvements in cognitive abilities, cholinergic activity, and neurogenesis in rats with AD. This is attributed to the upregulation of BDNF/GSK3β signaling, reduced neuroinflammation, and Aβ deposition.
{"title":"Cognitive enhancing effect of Canagliflozin in aluminum-induced rat model of Alzheimer's-like disease: Cross-talk between Amyloid-Β and BDNF/GSK-3β signaling","authors":"Raafat A. Abdel-Aal , Fatma Y. Meligy , Gehad Kamel , Israa El-Sayed Mohamed Ashry","doi":"10.1016/j.ejphar.2026.178581","DOIUrl":"10.1016/j.ejphar.2026.178581","url":null,"abstract":"<div><div>The strong relationship between Alzheimer's Disease (AD) and diabetes mellitus (DM) is described by the term “type 3 diabetes”. Canagliflozin (CAN), a sodium-glucose co-transporter 2 inhibitor (SGLT2i), is an antidiabetic agent under investigation as a potential new treatment for AD due to its acetylcholinesterase (AChE) inhibitory properties. We aimed to examine the effect of CAN on the efficacy of the anti-acetylcholinesterase, rivastigmine (RIV), against aluminum chloride (AlCl<sub>3</sub>)-induced AD rat model. The efficacy of CAN, RIV, and CAN plus RIV against abnormal behavioral, biochemical, and histological changes in AlCl<sub>3</sub>-induced AD in rats was examined. Three weeks of treatment with CAN partially reversed the AlCl<sub>3</sub>-induced behavioral dysfunction, along with significantly elevated levels of brain-derived neurotrophic factor (BDNF) and decreased levels of AChE, glycogen synthase kinase-3β (GSK3β), amyloid beta (Aβ) deposits, and inducible nitric oxide synthase (iNOS) expression. Histological examination revealed that CAN administration significantly increased RIV's efficacy by protecting neurons in rats' hippocampal tissues from AlCl<sub>3</sub>-induced damage. Interestingly, the RIV + CAN combination exhibited a more pronounced inhibitory effect on Aβ plaque formation, iNOS activity, and neurodegeneration compared to either RIV or CAN alone. However, this combination did not show any additive benefits for behavior, AChE activity, BDNF, or GSK3β concentrations compared with RIV alone. Our research indicates that CAN has potential benefits for AD, as evidenced by improvements in cognitive abilities, cholinergic activity, and neurogenesis in rats with AD. This is attributed to the upregulation of BDNF/GSK3β signaling, reduced neuroinflammation, and Aβ deposition.</div></div>","PeriodicalId":12004,"journal":{"name":"European journal of pharmacology","volume":"1015 ","pages":"Article 178581"},"PeriodicalIF":4.7,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146028593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chronic kidney disease (CKD) refers to a pathological change characterized by the progressive and irreversible loss of renal function. Renal fibrosis is the final pathological outcome of CKD without effective treatment. Persistent inflammation is one of the most important factors in the occurrence and development of fibrosis. FK2, a 9-amino-acid-residue peptide originating from the silk of Zea mays L., was reported to have anti-inflammatory effects on mice. In this study, we verified for the first time that FK2 has an inhibitory effect on the process of renal fibrosis both in vivo and in vitro. Mechanistically, we identified IKKβ as a direct target of FK2. By binding to IKKβ, FK2 concurrently suppresses the IKKβ/NF-κB and TGF-β1/Smad2/3 signaling axes, thereby effectively mitigating the associated inflammatory response and key cellular processes including macrophage-to-myofibroblast transition (MMT) and epithelial-mesenchymal transition (EMT). Our research provides a promising candidate molecule for the development of anti-renal fibrosis drugs, and targeting IKKβ presents a viable strategy for treating kidney fibrosis.
{"title":"Peptide FK2 attenuates inflammation and pro-fibrotic cellular transitions via targeting the IKKβ/NF-κB/TGF-β1 axis in renal fibrosis","authors":"Runling Yang, Xiaocui Feng, Jianfeng Zhang, Tianyi Chen, Wenqian Wang, Yangrui Liu, Wanru Chen, Jingya Bai, Bangzhi Zhang","doi":"10.1016/j.ejphar.2026.178567","DOIUrl":"10.1016/j.ejphar.2026.178567","url":null,"abstract":"<div><div>Chronic kidney disease (CKD) refers to a pathological change characterized by the progressive and irreversible loss of renal function. Renal fibrosis is the final pathological outcome of CKD without effective treatment. Persistent inflammation is one of the most important factors in the occurrence and development of fibrosis. FK2, a 9-amino-acid-residue peptide originating from the silk of <em>Zea mays L</em>., was reported to have anti-inflammatory effects on mice. In this study, we verified for the first time that FK2 has an inhibitory effect on the process of renal fibrosis both in vivo and in vitro. Mechanistically, we identified IKKβ as a direct target of FK2. By binding to IKKβ, FK2 concurrently suppresses the IKKβ/NF-κB and TGF-β1/Smad2/3 signaling axes, thereby effectively mitigating the associated inflammatory response and key cellular processes including macrophage-to-myofibroblast transition (MMT) and epithelial-mesenchymal transition (EMT). Our research provides a promising candidate molecule for the development of anti-renal fibrosis drugs, and targeting IKKβ presents a viable strategy for treating kidney fibrosis.</div></div>","PeriodicalId":12004,"journal":{"name":"European journal of pharmacology","volume":"1015 ","pages":"Article 178567"},"PeriodicalIF":4.7,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146017867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-17DOI: 10.1016/j.ejphar.2026.178570
Stephanie Pain , Núria Nadal-Gratacós , Morgane De Macedo , Virginie Lardeux , Sandra Mata , Pol Puigseslloses , Fu-Hua Wang , Liselott Källsten , David Pubill , Xavier Berzosa , Jan Kehr , Jorge Camarasa , Elena Escubedo , Raul López-Arnau , Nathalie Thiriet , Marcello Solinas
Synthetic cathinones constitute a major class of New Psychoactive Substances (NPS) with significant abuse potential. Within this class, 3F-N-ethylbuphedrone (3F-NEB or 2-(ethylamino)-1-(3-fluorophenyl)butan-1-one), a novel N-ethyl buphedrone derivative, has recently emerged in recreational drug markets. However, its pharmacological properties and abuse liability remain uncharacterized.
The present study aimed to evaluate the neurochemical mechanisms and behavioral effects of 3F-NEB to assess its potential for abuse and addiction. To this end, we conducted in vitro monoamine uptake inhibition assays and in mice we performed locomotor activity and conditioned place preference tests. In rats, we conducted in vivo microdialysis in the nucleus accumbens, intravenous self-administration, and assessed neuroadaptive changes by ΔFosB immunohistochemistry following chronic self-administration.
Our results demonstrate that 3F-NEB acts as a potent dopamine transporter (DAT) inhibitor, with more than 100-fold selectivity over the serotonin transporter (SERT). Acute administration (3 mg/kg) rapidly increased extracellular dopamine levels in the nucleus accumbens of rats. At the behavioral level, 3F-NEB induced dose-dependent locomotor increases (10–30 mg/kg), with anxiety-like effects at the highest doses, and conditioned place preference at all tested doses (3–30 mg/kg) in mice. 3F-NEB was readily self-administered by rats under both fixed-ratio and progressive-ratio schedules. Furthermore, chronic self-administration significantly increased ΔFosB expression in dorsomedial and dorsolateral striatum, mirroring patterns observed with methamphetamine.
Taken together, these results demonstrate that 3F-NEB exhibits potent dopaminergic activity and high abuse liability through selective dopamine transporter inhibition. The compound's robust reinforcing properties and induction of addiction-related molecular adaptations suggest significant public health risks warranting immediate regulatory control.
{"title":"Neurochemical and behavioral evidence of high abuse liability of 3F-NEB, a novel synthetic cathinone","authors":"Stephanie Pain , Núria Nadal-Gratacós , Morgane De Macedo , Virginie Lardeux , Sandra Mata , Pol Puigseslloses , Fu-Hua Wang , Liselott Källsten , David Pubill , Xavier Berzosa , Jan Kehr , Jorge Camarasa , Elena Escubedo , Raul López-Arnau , Nathalie Thiriet , Marcello Solinas","doi":"10.1016/j.ejphar.2026.178570","DOIUrl":"10.1016/j.ejphar.2026.178570","url":null,"abstract":"<div><div>Synthetic cathinones constitute a major class of New Psychoactive Substances (NPS) with significant abuse potential. Within this class, 3F-N-ethylbuphedrone (3F-NEB or 2-(ethylamino)-1-(3-fluorophenyl)butan-1-one), a novel N-ethyl buphedrone derivative, has recently emerged in recreational drug markets. However, its pharmacological properties and abuse liability remain uncharacterized.</div><div>The present study aimed to evaluate the neurochemical mechanisms and behavioral effects of 3F-NEB to assess its potential for abuse and addiction. To this end, we conducted <em>in vitro</em> monoamine uptake inhibition assays and in mice we performed locomotor activity and conditioned place preference tests. In rats, we conducted in vivo microdialysis in the nucleus accumbens, intravenous self-administration, and assessed neuroadaptive changes by ΔFosB immunohistochemistry following chronic self-administration.</div><div>Our results demonstrate that 3F-NEB acts as a potent dopamine transporter (DAT) inhibitor, with more than 100-fold selectivity over the serotonin transporter (SERT). Acute administration (3 mg/kg) rapidly increased extracellular dopamine levels in the nucleus accumbens of rats. At the behavioral level, 3F-NEB induced dose-dependent locomotor increases (10–30 mg/kg), with anxiety-like effects at the highest doses, and conditioned place preference at all tested doses (3–30 mg/kg) in mice. 3F-NEB was readily self-administered by rats under both fixed-ratio and progressive-ratio schedules. Furthermore, chronic self-administration significantly increased ΔFosB expression in dorsomedial and dorsolateral striatum, mirroring patterns observed with methamphetamine.</div><div>Taken together, these results demonstrate that 3F-NEB exhibits potent dopaminergic activity and high abuse liability through selective dopamine transporter inhibition. The compound's robust reinforcing properties and induction of addiction-related molecular adaptations suggest significant public health risks warranting immediate regulatory control.</div></div>","PeriodicalId":12004,"journal":{"name":"European journal of pharmacology","volume":"1015 ","pages":"Article 178570"},"PeriodicalIF":4.7,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146003328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-17DOI: 10.1016/j.ejphar.2026.178578
Yujie Wu , Zhilun Niu , Shoufeng Zhu , Wenli Huang , Jianan Wang , Wenhui Tao , Bingqian Fan , Li Zhang , Xianwen Hu
Hemorrhagic shock resuscitation (HSR) induces cognitive impairment. Sevoflurane postconditioning (SPC) exerts neuroprotection, partially via Sirt1 activation. N6-methyladenosine (m6A), a crucial eukaryotic mRNA modification regulated by methyltransferase METTL3, influences brain function. However, METTL3's role in SPC-mediated neuroprotection against HSR remains unclear. Using HSR mouse models and HT22 cells subjected to oxygen-glucose deprivation/reoxygenation (OGD/R), we administered SPC. Mice received METTL3-overexpressing adeno-associated virus injection into the CA1 region prior to HSR induction. Cognitive function was assessed via novel object recognition and Morris water maze tests, and cerebral infarction was evaluated by TTC staining. SPC alleviated HSR-induced cognitive deficits and cerebral infarction, concurrently reduced elevated m6A levels and METTL3 expression. Crucially, METTL3 overexpression reversed SPC's beneficial effects, reinstating cognitive impairment and infarction. In vitro, METTL3 overexpression in SPC-treated OGD/R cells exacerbated oxidative stress, inflammation, and apoptosis. Mechanistically, SPC downregulated METTL3, reducing m6A modification and degradation of Sirt1 mRNA, thereby enhancing Sirt1 expression. Furthermore, SPC inhibited HSR-triggered microglial inflammation, an effect also negated by METTL3 overexpression. These results demonstrate that SPC protects against HSR-induced cognitive impairment by suppressing METTL3-mediated m6A modification of Sirt1 mRNA, revealing a novel epigenetic mechanism for SPC and identifying METTL3/m6A/Sirt1 as a potential diagnostic and therapeutic target for HSR.
{"title":"Sevoflurane postconditioning mitigates cognitive impairment induced by hemorrhagic shock resuscitation through inhibition of METTL3-mediated m6A modification of Sirt1 mRNA","authors":"Yujie Wu , Zhilun Niu , Shoufeng Zhu , Wenli Huang , Jianan Wang , Wenhui Tao , Bingqian Fan , Li Zhang , Xianwen Hu","doi":"10.1016/j.ejphar.2026.178578","DOIUrl":"10.1016/j.ejphar.2026.178578","url":null,"abstract":"<div><div>Hemorrhagic shock resuscitation (HSR) induces cognitive impairment. Sevoflurane postconditioning (SPC) exerts neuroprotection, partially via Sirt1 activation. N6-methyladenosine (m6A), a crucial eukaryotic mRNA modification regulated by methyltransferase METTL3, influences brain function. However, METTL3's role in SPC-mediated neuroprotection against HSR remains unclear. Using HSR mouse models and HT22 cells subjected to oxygen-glucose deprivation/reoxygenation (OGD/R), we administered SPC. Mice received METTL3-overexpressing adeno-associated virus injection into the CA1 region prior to HSR induction. Cognitive function was assessed via novel object recognition and Morris water maze tests, and cerebral infarction was evaluated by TTC staining. SPC alleviated HSR-induced cognitive deficits and cerebral infarction, concurrently reduced elevated m6A levels and METTL3 expression. Crucially, METTL3 overexpression reversed SPC's beneficial effects, reinstating cognitive impairment and infarction. In vitro, METTL3 overexpression in SPC-treated OGD/R cells exacerbated oxidative stress, inflammation, and apoptosis. Mechanistically, SPC downregulated METTL3, reducing m6A modification and degradation of Sirt1 mRNA, thereby enhancing Sirt1 expression. Furthermore, SPC inhibited HSR-triggered microglial inflammation, an effect also negated by METTL3 overexpression. These results demonstrate that SPC protects against HSR-induced cognitive impairment by suppressing METTL3-mediated m6A modification of Sirt1 mRNA, revealing a novel epigenetic mechanism for SPC and identifying METTL3/m6A/Sirt1 as a potential diagnostic and therapeutic target for HSR.</div></div>","PeriodicalId":12004,"journal":{"name":"European journal of pharmacology","volume":"1015 ","pages":"Article 178578"},"PeriodicalIF":4.7,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146003341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-17DOI: 10.1016/j.ejphar.2026.178534
Mingyang Sun , Xiaoling Wang , Zhongyuan Lu , Yitian Yang , Shuang Lv , Mengrong Miao , Wan-Ming Chen , Szu-Yuan Wu , Jiaqiang Zhang
Background
Diabetes-related delirium markedly impairs cognitive function in older adults with type 2 diabetes mellitus (T2DM) and may precede dementia. Metformin, a first-line antidiabetic drug, has shown potential neuroprotective effects, but its impact on dementia risk among patients with T2DM and delirium remains unclear.
Research design and methods
We conducted a nationwide cohort study of individuals aged ≥65 years with T2DM and a history of hospitalization for delirium. Participants were categorized as metformin users or active comparators based on medication patterns. Propensity score matching balanced key variables, and Cox regression models assessed dementia and all-cause mortality risks. Metformin exposure was quantified by cumulative defined daily doses (cDDDs).
Results
Among 66,050 patients, metformin use was associated with a 27 % lower dementia risk (adjusted HR, 0.72; 95 % CI, 0.68–0.76; P < 0.0001) and a 52 % lower all-cause mortality risk (adjusted HR, 0.48; 95 % CI, 0.46–0.51; P < 0.0001). A clear dose-response relationship was observed, with higher cDDDs corresponding to greater dementia risk reduction.
Conclusion
Metformin use in older adults with T2DM and delirium is linked to significantly lower risks of dementia and mortality, supporting its potential neuroprotective role in this high-risk population.
背景:糖尿病相关性谵妄显著损害老年2型糖尿病(T2DM)患者的认知功能,并可能是痴呆的前兆。二甲双胍是一种一线降糖药,已显示出潜在的神经保护作用,但其对T2DM和谵妄患者痴呆风险的影响尚不清楚。研究设计和方法:我们对年龄≥65岁且有谵妄住院史的2型糖尿病患者进行了一项全国性队列研究。参与者根据用药模式被分类为二甲双胍使用者或活跃比较者。倾向评分匹配平衡关键变量,Cox回归模型评估痴呆和全因死亡率风险。二甲双胍暴露量通过累积限定日剂量(cDDDs)进行量化。结果:在66,050例患者中,二甲双胍的使用与痴呆风险降低27%(校正HR, 0.72; 95% CI, 0.68-0.76; P < 0.0001)和全因死亡风险降低52%(校正HR, 0.48; 95% CI, 0.46-0.51; P < 0.0001)相关。观察到明显的剂量-反应关系,较高的cDDDs对应较大的痴呆风险降低。结论:二甲双胍用于老年T2DM合并谵妄患者可显著降低痴呆和死亡风险,支持其在这一高危人群中潜在的神经保护作用。
{"title":"Metformin use and reduced dementia risk in older adults with type 2 diabetes and delirium","authors":"Mingyang Sun , Xiaoling Wang , Zhongyuan Lu , Yitian Yang , Shuang Lv , Mengrong Miao , Wan-Ming Chen , Szu-Yuan Wu , Jiaqiang Zhang","doi":"10.1016/j.ejphar.2026.178534","DOIUrl":"10.1016/j.ejphar.2026.178534","url":null,"abstract":"<div><h3>Background</h3><div>Diabetes-related delirium markedly impairs cognitive function in older adults with type 2 diabetes mellitus (T2DM) and may precede dementia. Metformin, a first-line antidiabetic drug, has shown potential neuroprotective effects, but its impact on dementia risk among patients with T2DM and delirium remains unclear.</div></div><div><h3><strong>Research design and methods</strong></h3><div>We conducted a nationwide cohort study of individuals aged ≥65 years with T2DM and a history of hospitalization for delirium. Participants were categorized as metformin users or active comparators based on medication patterns. Propensity score matching balanced key variables, and Cox regression models assessed dementia and all-cause mortality risks. Metformin exposure was quantified by cumulative defined daily doses (cDDDs).</div></div><div><h3>Results</h3><div>Among 66,050 patients, metformin use was associated with a 27 % lower dementia risk (adjusted HR, 0.72; 95 % CI, 0.68–0.76; P < 0.0001) and a 52 % lower all-cause mortality risk (adjusted HR, 0.48; 95 % CI, 0.46–0.51; P < 0.0001). A clear dose-response relationship was observed, with higher cDDDs corresponding to greater dementia risk reduction.</div></div><div><h3>Conclusion</h3><div>Metformin use in older adults with T2DM and delirium is linked to significantly lower risks of dementia and mortality, supporting its potential neuroprotective role in this high-risk population.</div></div>","PeriodicalId":12004,"journal":{"name":"European journal of pharmacology","volume":"1015 ","pages":"Article 178534"},"PeriodicalIF":4.7,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146003357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-17DOI: 10.1016/j.ejphar.2026.178565
Xiaorui Wan , Huanchen Wu , Jie Xue, Haidong Xu, Jing Wang, Jiani Huang, Weilong Wu, Ruihan Zhang, Zhongqin Liang, Zhenyu Xuan, Yan Wang
This study investigates the mechanisms by which histone deacetylase (HDAC) inhibitors induce epithelial-mesenchymal transition (EMT) in non-small cell lung cancer (NSCLC), focusing on the role of Cathepsin B. Lung cancer cell lines A549 and H1975 were treated with HDAC inhibitors SAHA and SB939, and various assays were conducted to assess cell viability, apoptosis, migration, invasion, and cytoskeletal changes. The expression of EMT-related proteins and Cathepsin B was analyzed using Western blotting, immunofluorescence, and quantitative PCR. The results demonstrated that HDAC inhibitors reduced cell viability and increased apoptosis while promoting EMT phenotypes, enhancing migration and invasion. Cathepsin B was identified as a key mediator of the HDAC inhibitor-induced EMT, which it promotes by interacting with and upregulating the transcription factor Slug. These findings suggest that Cathepsin B is a crucial factor in HDAC inhibitor-induced EMT in NSCLC, indicating that targeting this enzyme may provide a novel therapeutic strategy to counteract invasiveness in lung cancer.
{"title":"Cathepsin B mediates HDAC inhibitor-induced epithelial-mesenchymal transition in lung cancer cells","authors":"Xiaorui Wan , Huanchen Wu , Jie Xue, Haidong Xu, Jing Wang, Jiani Huang, Weilong Wu, Ruihan Zhang, Zhongqin Liang, Zhenyu Xuan, Yan Wang","doi":"10.1016/j.ejphar.2026.178565","DOIUrl":"10.1016/j.ejphar.2026.178565","url":null,"abstract":"<div><div>This study investigates the mechanisms by which histone deacetylase (HDAC) inhibitors induce epithelial-mesenchymal transition (EMT) in non-small cell lung cancer (NSCLC), focusing on the role of Cathepsin B. Lung cancer cell lines A549 and H1975 were treated with HDAC inhibitors SAHA and SB939, and various assays were conducted to assess cell viability, apoptosis, migration, invasion, and cytoskeletal changes. The expression of EMT-related proteins and Cathepsin B was analyzed using Western blotting, immunofluorescence, and quantitative PCR. The results demonstrated that HDAC inhibitors reduced cell viability and increased apoptosis while promoting EMT phenotypes, enhancing migration and invasion. Cathepsin B was identified as a key mediator of the HDAC inhibitor-induced EMT, which it promotes by interacting with and upregulating the transcription factor Slug. These findings suggest that Cathepsin B is a crucial factor in HDAC inhibitor-induced EMT in NSCLC, indicating that targeting this enzyme may provide a novel therapeutic strategy to counteract invasiveness in lung cancer.</div></div>","PeriodicalId":12004,"journal":{"name":"European journal of pharmacology","volume":"1015 ","pages":"Article 178565"},"PeriodicalIF":4.7,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146003330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-16DOI: 10.1016/j.ejphar.2026.178569
Shaocong Sang , Huiming Han , Mingyue Liu , Nan Zhang , Yanrui Cui , Kaidong Liu , Kai Xiong , Haihai Liang , Lifang Lv , Yunyan Gu
Background
Immune checkpoint inhibitor (ICI) has revolutionized cancer treatment but can trigger severe immune-related adverse events (irAEs). Among these, cardiovascular irAEs (CV-irAEs) are rare yet associated with particularly high morbidity and mortality. This study aims to characterize the clinical features and underlying molecular mechanisms of CV-irAEs using pharmacovigilance and single-cell RNA sequencing data.
Methods
CV-irAEs are identified in the FDA Adverse Event Reporting System (FAERS) database through disproportionality analysis using reporting odds ratios. Onset times are compared across clinical variables using non-parametric tests. Factors associated with fatal outcomes are evaluated by Fisher's exact test, whereas logistic regression is employed to identify predictors of CV-irAEs occurrence. Finally, single-cell RNA sequencing explores sex differences in myocarditis irAEs.
Results
Twenty-six cardiovascular toxicity events are identified as CV-irAEs. Over 55 % of patients with CV-irAEs are diagnoses with lung or skin cancer. Additionally, CV-irAEs have a 43.91% fatality rate, and 51.82% of patients experience CV-irAEs within one month of ICI therapy initiation. Notably, patients over 75 years of age and those receiving anti-PD-1 monotherapy or combination therapy with anti-CTLA-4 are more susceptible to developing CV-irAEs. Furthermore, males experience more severe CV-irAEs. Accordingly, single-cell analysis reveals enhanced MIF and CD99 signaling between dendritic cells and effector memory T cells in male myocarditis irAEs patients, potentially explaining their greater susceptibility to severe CV-irAEs compared to females.
Conclusions
We identify key clinical risk factors and a male-specific immune signature in CV-irAEs, providing a foundation for personalized risk assessment and further mechanistic studies.
{"title":"Unraveling sex-related cardiovascular toxicity of immune checkpoint inhibitors by pharmacovigilance and single-cell transcriptomic analysis","authors":"Shaocong Sang , Huiming Han , Mingyue Liu , Nan Zhang , Yanrui Cui , Kaidong Liu , Kai Xiong , Haihai Liang , Lifang Lv , Yunyan Gu","doi":"10.1016/j.ejphar.2026.178569","DOIUrl":"10.1016/j.ejphar.2026.178569","url":null,"abstract":"<div><h3>Background</h3><div>Immune checkpoint inhibitor (ICI) has revolutionized cancer treatment but can trigger severe immune-related adverse events (irAEs). Among these, cardiovascular irAEs (CV-irAEs) are rare yet associated with particularly high morbidity and mortality. This study aims to characterize the clinical features and underlying molecular mechanisms of CV-irAEs using pharmacovigilance and single-cell RNA sequencing data.</div></div><div><h3>Methods</h3><div>CV-irAEs are identified in the FDA Adverse Event Reporting System (FAERS) database through disproportionality analysis using reporting odds ratios. Onset times are compared across clinical variables using non-parametric tests. Factors associated with fatal outcomes are evaluated by Fisher's exact test, whereas logistic regression is employed to identify predictors of CV-irAEs occurrence. Finally, single-cell RNA sequencing explores sex differences in myocarditis irAEs.</div></div><div><h3>Results</h3><div>Twenty-six cardiovascular toxicity events are identified as CV-irAEs. Over 55 % of patients with CV-irAEs are diagnoses with lung or skin cancer. Additionally, CV-irAEs have a 43.91% fatality rate, and 51.82% of patients experience CV-irAEs within one month of ICI therapy initiation. Notably, patients over 75 years of age and those receiving anti-PD-1 monotherapy or combination therapy with anti-CTLA-4 are more susceptible to developing CV-irAEs. Furthermore, males experience more severe CV-irAEs. Accordingly, single-cell analysis reveals enhanced MIF and CD99 signaling between dendritic cells and effector memory T cells in male myocarditis irAEs patients, potentially explaining their greater susceptibility to severe CV-irAEs compared to females.</div></div><div><h3>Conclusions</h3><div>We identify key clinical risk factors and a male-specific immune signature in CV-irAEs, providing a foundation for personalized risk assessment and further mechanistic studies.</div></div>","PeriodicalId":12004,"journal":{"name":"European journal of pharmacology","volume":"1015 ","pages":"Article 178569"},"PeriodicalIF":4.7,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145997529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-16DOI: 10.1016/j.ejphar.2026.178563
Huajie Li , Huangming Zhuang , Panghu Zhou
Background
Osteoarthritis (OA) is a prevalent degenerative joint disease characterized by disruption of articular cartilage homeostasis, with ferroptosis of chondrocytes playing a crucial role. Cerium oxide nanoparticles (CeONPs), a class of inorganic nanozymes, exhibit potent antioxidant and anti-inflammatory properties. However, their effects on OA chondrocytes remain poorly understood.
Methods: mPEG2k-DSPE was employed to facilitate the transfer of CeONPs into the aqueous phase, resulting in PEG-CeONPs. Primary chondrocytes were isolated and subjected to erastin treatment to induce ferroptosis. The impact of PEG-CeONPs on oxidative stress, Fe2+ concentrations, mitochondrial dysfunction, ferroptosis-associated proteins, and OA-related catabolic phenotypes was evaluated. Additionally, the involvement of NRF2 in ferroptosis and its chondroprotective effects were investigated using NRF2-siRNA. An experimental OA model was established in rats through anterior cruciate ligament transection.
Results
Our study demonstrated that PEG-CeONPs attenuated erastin-induced cytotoxicity and reduced oxidative stress in chondrocytes. Moreover, PEG-CeONPs inhibited erastin-induced ferroptosis and promoted collagen matrix synthesis and secretion. The protective effects of PEG-CeONPs were mediated by the NRF2 pathway, as NRF2 silencing via siRNA significantly diminished the anti-ferroptosis and chondroprotective effects of PEG-CeONPs in vitro. These findings were further validated in OA rat models, where PEG-CeONPs treatment led to a reduction in ferroptosis-related gene expression and significantly alleviated cartilage degradation.
Conclusions
This study elucidates the previously unexplored relationship between PEG-CeONPs and ferroptosis in OA chondrocytes. PEG-CeONPs demonstrate anti-ferroptosis and chondroprotective effects by activating the NRF2 pathway, suggesting their potential as therapeutic agents for OA.
{"title":"PEGylated cerium oxide nanoparticles alleviate osteoarthritis progression by inhibiting chondrocyte ferroptosis and maintaining cartilage homeostasis","authors":"Huajie Li , Huangming Zhuang , Panghu Zhou","doi":"10.1016/j.ejphar.2026.178563","DOIUrl":"10.1016/j.ejphar.2026.178563","url":null,"abstract":"<div><h3>Background</h3><div>Osteoarthritis (OA) is a prevalent degenerative joint disease characterized by disruption of articular cartilage homeostasis, with ferroptosis of chondrocytes playing a crucial role. Cerium oxide nanoparticles (CeONPs), a class of inorganic nanozymes, exhibit potent antioxidant and anti-inflammatory properties. However, their effects on OA chondrocytes remain poorly understood.</div><div>Methods: mPEG<sub>2k</sub>-DSPE was employed to facilitate the transfer of CeONPs into the aqueous phase, resulting in PEG-CeONPs. Primary chondrocytes were isolated and subjected to erastin treatment to induce ferroptosis. The impact of PEG-CeONPs on oxidative stress, Fe<sup>2+</sup> concentrations, mitochondrial dysfunction, ferroptosis-associated proteins, and OA-related catabolic phenotypes was evaluated. Additionally, the involvement of NRF2 in ferroptosis and its chondroprotective effects were investigated using NRF2-siRNA. An experimental OA model was established in rats through anterior cruciate ligament transection.</div></div><div><h3>Results</h3><div>Our study demonstrated that PEG-CeONPs attenuated erastin-induced cytotoxicity and reduced oxidative stress in chondrocytes. Moreover, PEG-CeONPs inhibited erastin-induced ferroptosis and promoted collagen matrix synthesis and secretion. The protective effects of PEG-CeONPs were mediated by the NRF2 pathway, as NRF2 silencing via siRNA significantly diminished the anti-ferroptosis and chondroprotective effects of PEG-CeONPs <em>in vitro</em>. These findings were further validated in OA rat models, where PEG-CeONPs treatment led to a reduction in ferroptosis-related gene expression and significantly alleviated cartilage degradation.</div></div><div><h3>Conclusions</h3><div>This study elucidates the previously unexplored relationship between PEG-CeONPs and ferroptosis in OA chondrocytes. PEG-CeONPs demonstrate anti-ferroptosis and chondroprotective effects by activating the NRF2 pathway, suggesting their potential as therapeutic agents for OA.</div></div>","PeriodicalId":12004,"journal":{"name":"European journal of pharmacology","volume":"1015 ","pages":"Article 178563"},"PeriodicalIF":4.7,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-16DOI: 10.1016/j.ejphar.2026.178561
Ying-Qi Liu , Yi Zhang , Yu Song , Qin Yang , Guo-Wei He
Heart failure (HF) is often a result of cardiac hypertrophy, and it is still the main public health challenge. Although vericiguat has been proved to be effective in treating heart failure through soluble guanylate cyclase (sGC), its potential preventive effects on myocardial hypertrophy and the exact related mechanisms are still unclear. We aimed to investigate the mechanism of the effectiveness of vericiguat in treating HF, focusing on its multi-targets of therapeutic effect. Echocardiographic assessments performed after treatment of vericiguat revealed significant improvements in cardiac function compared to untreated controls (TAC + SS). Biochemically, vericiguat effectively reversed the decrease of cGMP levels observed in hypertrophic mice hearts. Histological analysis showed that hypertrophy and fibrosis were reduced, myofibril arrangement, mitochondrial function and autophagy were improved, and the swelling of the sarcoplasmic reticulum was reduced. This study for the first time demonstrates that in addition to the direct effect of cGMP signaling, vericiguat may target and regulate HDAC1 expression and may repair sarcoplasmic reticulum swelling and enhance autophagy in hypertrophic hearts. We conclude that the preventive effect of vericiguat on the HF through multiple mechanisms and the results emphasize the potential clinical usefulness of vericiguat in the prevention of the progress of HF.
{"title":"Vericiguat inhibits the progress of cardiac hypertrophy and prevents hypertrophy-induced heart failure by multiple mechanisms","authors":"Ying-Qi Liu , Yi Zhang , Yu Song , Qin Yang , Guo-Wei He","doi":"10.1016/j.ejphar.2026.178561","DOIUrl":"10.1016/j.ejphar.2026.178561","url":null,"abstract":"<div><div>Heart failure (HF) is often a result of cardiac hypertrophy, and it is still the main public health challenge. Although vericiguat has been proved to be effective in treating heart failure through soluble guanylate cyclase (sGC), its potential preventive effects on myocardial hypertrophy and the exact related mechanisms are still unclear. We aimed to investigate the mechanism of the effectiveness of vericiguat in treating HF, focusing on its multi-targets of therapeutic effect. Echocardiographic assessments performed after treatment of vericiguat revealed significant improvements in cardiac function compared to untreated controls (TAC + SS). Biochemically, vericiguat effectively reversed the decrease of cGMP levels observed in hypertrophic mice hearts. Histological analysis showed that hypertrophy and fibrosis were reduced, myofibril arrangement, mitochondrial function and autophagy were improved, and the swelling of the sarcoplasmic reticulum was reduced. This study for the first time demonstrates that in addition to the direct effect of cGMP signaling, vericiguat may target and regulate HDAC1 expression and may repair sarcoplasmic reticulum swelling and enhance autophagy in hypertrophic hearts. We conclude that the preventive effect of vericiguat on the HF through multiple mechanisms and the results emphasize the potential clinical usefulness of vericiguat in the prevention of the progress of HF.</div></div>","PeriodicalId":12004,"journal":{"name":"European journal of pharmacology","volume":"1015 ","pages":"Article 178561"},"PeriodicalIF":4.7,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145997507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-16DOI: 10.1016/j.ejphar.2026.178545
Min Xia , Bin Wang , Jincheng Lu , Yuan Liu , Tianyu Wang , Jinnian Duan , Zuodong Wang , Lingchao Li , Shao Li , Dongbai Li
Perioperative neurocognitive disorder (PND), a major contributor to poor postoperative outcomes and excessive healthcare costs, has been associated with isoflurane inhalation, although the underlying mechanisms remain poorly defined. Voltage-gated sodium channels (VGSCs or Nav) have been implicated in mediating the anesthetic effects of isoflurane. We previously reported that the Nav1.6 subtype modulates neural network activity and cognitive function. Here we investigated whether Nav1.6-mediated network disturbances contribute to isoflurane-induced PND. In the present study, we observed an increase in hippocampal Nav1.6 expression, accompanied by abnormal neural network excitability characterized by decreased β- and γ-band power on electroencephalogram (EEG) recordings. This dysfunction led to excessive glutamate release and subsequent cognitive impairment. Correspondingly, downregulation of Nav1.6 by lidocaine abolished both the abnormal network excitability and excessive glutamate release in isoflurane-exposed mice. In parallel, changes in excitatory synaptic proteins and excitatory amino acid transporters contributed to improved cognitive performance in isoflurane-inhaled mice. Taken together, isoflurane-induced increase in Nav1.6 evokes the abnormal network excitability, leading to excessive glutamate release and eventually cognitive decline. Our study offers a novel potential mechanism linking Nav1.6 to isoflurane-induced PND and suggests lidocaine as a potential therapeutic candidate.
{"title":"Sodium channel Nav1.6 involved in modulating isoflurane-induced perioperative cognitive disorder of mice","authors":"Min Xia , Bin Wang , Jincheng Lu , Yuan Liu , Tianyu Wang , Jinnian Duan , Zuodong Wang , Lingchao Li , Shao Li , Dongbai Li","doi":"10.1016/j.ejphar.2026.178545","DOIUrl":"10.1016/j.ejphar.2026.178545","url":null,"abstract":"<div><div>Perioperative neurocognitive disorder (PND), a major contributor to poor postoperative outcomes and excessive healthcare costs, has been associated with isoflurane inhalation, although the underlying mechanisms remain poorly defined. Voltage-gated sodium channels (VGSCs or Na<sub>v</sub>) have been implicated in mediating the anesthetic effects of isoflurane. We previously reported that the Na<sub>v</sub>1.6 subtype modulates neural network activity and cognitive function. Here we investigated whether Na<sub>v</sub>1.6-mediated network disturbances contribute to isoflurane-induced PND. In the present study, we observed an increase in hippocampal Na<sub>v</sub>1.6 expression, accompanied by abnormal neural network excitability characterized by decreased β- and γ-band power on electroencephalogram (EEG) recordings. This dysfunction led to excessive glutamate release and subsequent cognitive impairment. Correspondingly, downregulation of Na<sub>v</sub>1.6 by lidocaine abolished both the abnormal network excitability and excessive glutamate release in isoflurane-exposed mice. In parallel, changes in excitatory synaptic proteins and excitatory amino acid transporters contributed to improved cognitive performance in isoflurane-inhaled mice. Taken together, isoflurane-induced increase in Na<sub>v</sub>1.6 evokes the abnormal network excitability, leading to excessive glutamate release and eventually cognitive decline. Our study offers a novel potential mechanism linking Na<sub>v</sub>1.6 to isoflurane-induced PND and suggests lidocaine as a potential therapeutic candidate.</div></div>","PeriodicalId":12004,"journal":{"name":"European journal of pharmacology","volume":"1015 ","pages":"Article 178545"},"PeriodicalIF":4.7,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145997509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}