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Combinatorial islet protective therapeutic approaches in β-cell transplantation: Rationally designed solutions using a target product profile β细胞移植中的组合胰岛保护治疗方法:使用目标产品配置文件合理设计解决方案
IF 2.7 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-06-02 DOI: 10.1096/fba.2023-00029
Katie Lu, Timothy Brauns, Ann E. Sluder, Mark C. Poznansky, Fatma Dogan

While progress has been made in the development of islet cell transplantation (ICT) as a viable alternative to the use of exogenous insulin therapy in the treatment of type 1 diabetes, it has not yet achieved its full potential in clinical studies. Ideally, ICT would enable lifelong maintenance of euglycemia without the need for exogenous insulin, blood glucose monitoring or systemic immune suppression. To achieve such an optimal result, therapeutic approaches should simultaneously promote long-term islet viability, functionality, and localized immune protection. In practice, however, these factors are typically tackled individually. Furthermore, while the requirements of optimal ICT are implicitly acknowledged across numerous publications, the literature contains few comprehensive articulations of the target product profile (TPP) for an optimal ICT product, including key characteristics of safety and efficacy. This review aims to provide a novel TPP for ICT and presents promising tried and untried combinatorial approaches that could be used to achieve the target product profile. We also highlight regulatory barriers to the development and adoption of ICT, particularly in the United States, where ICT is only approved for use in academic clinical trials and is not reimbursed by insurance carriers. Overall, this review argues that the clear definition of a TPP in addition to the use of combinatorial approaches could help to overcome the clinical barriers to the widespread adoption of ICT for the treatment of type 1 diabetes.

虽然胰岛细胞移植(ICT)作为一种可行的替代外源性胰岛素治疗1型糖尿病的方法已经取得了进展,但在临床研究中尚未充分发挥其潜力。理想情况下,ICT将使终生维持血糖正常,而不需要外源性胰岛素、血糖监测或全身免疫抑制。为了达到这样的最佳结果,治疗方法应同时促进长期胰岛活力、功能和局部免疫保护。然而,在实践中,这些因素通常是单独处理的。此外,虽然许多出版物都含蓄地承认了最佳ICT的要求,但文献中很少有对最佳ICT产品的目标产品概况(TPP)的全面阐述,包括安全性和有效性的关键特征。本综述旨在为ICT提供一种新的TPP,并提出了可用于实现目标产品概况的有前途的经过尝试和未经尝试的组合方法。我们还强调了发展和采用信息和通信技术的监管障碍,特别是在美国,信息和通信技术只被批准用于学术临床试验,而且不由保险公司报销。总体而言,本综述认为,TPP的明确定义以及组合方法的使用可能有助于克服广泛采用ICT治疗1型糖尿病的临床障碍。
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引用次数: 0
Comprehensive analysis of circRNAs for N7-methylguanosine methylation modification in human oral squamous cell carcinoma 人口腔鳞状细胞癌中n7 -甲基鸟苷甲基化修饰环状rna的综合分析
IF 2.7 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-06-01 DOI: 10.1096/fba.2023-00036
Dongyuan Sun, Ning Song, Minmin Li, Xi Chen, Xinyue Zhang, Yang Yu, Jicheng Ying, Mengqi Xu, Wentian Zheng, Chengbing Han, Honghai Ji, Yingying Jiang

N7-methylguanosine (m7G) modification is closely related to the occurrence of tumors. However, the m7G modification of circRNAs in oral squamous cell carcinoma (OSCC) remains to be investigated. Methylated RNA immunoprecipitation sequencing (MeRIP-seq) was used to measure the methylation levels of m7G and identify m7G sites in circRNAs in human OSCC and normal tissues. The host genes of differentially methylated and differentially expressed circRNAs were analyzed by Gene Ontology (GO) enrichment and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses, and circRNA–miRNA–mRNA networks were predicted using the miRanda and miRDB databases. The analysis identified 2348 m7G peaks in 624 circRNAs in OSCC tissues. In addition, the source of m7G-methylated circRNAs in OSCC was mainly the sense overlap region compared with normal tissues. The most conserved m7G motif in OSCC tissues was CCUGU, whereas the most conserved motif in normal tissues was RCCUG (R = G/A). Importantly, GO enrichment and KEGG pathway analysis showed that the host genes of differentially methylated and differentially expressed circRNAs were involved in many cellular biological functions. Furthermore, the significantly differentially expressed circRNAs were analyzed to predict the circRNA–miRNA–mRNA networks. This study revealed the whole profile of circRNAs of differential m7G methylation in OSCC and suggests that m7G-modified circRNAs may impact the development of OSCC.

n7 -甲基鸟苷(m7G)修饰与肿瘤的发生密切相关。然而,口腔鳞状细胞癌(OSCC)中环状rna的m7G修饰仍有待研究。甲基化RNA免疫沉淀测序(MeRIP-seq)用于测量人OSCC和正常组织中m7G的甲基化水平,并鉴定环状RNA中的m7G位点。通过基因本体(GO)富集和京都基因与基因组百科全书(KEGG)途径分析分析了差异甲基化和差异表达的circrna的宿主基因,并使用miRanda和miRDB数据库预测了circRNA-miRNA-mRNA网络。该分析在OSCC组织中的624个circrna中发现了2348个m7G峰。此外,与正常组织相比,OSCC中m7g甲基化环状rna的来源主要是感觉重叠区。在OSCC组织中最保守的m7G基序是CCUGU,而在正常组织中最保守的基序是RCCUG (R = G/A)。重要的是,GO富集和KEGG通路分析表明,差异甲基化和差异表达的circrna的宿主基因参与了许多细胞生物学功能。此外,我们分析了显著差异表达的circrna,以预测circRNA-miRNA-mRNA网络。本研究揭示了OSCC中m7G甲基化差异的环状rna的整体特征,并提示m7G修饰的环状rna可能影响OSCC的发展。
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引用次数: 0
Post-inflammatory administration of N-acetylcysteine reduces inflammation and alters receptor levels in a cellular model of Parkinson's disease 炎症后给予N-乙酰半胱氨酸可减少帕金森病细胞模型中的炎症并改变受体水平
IF 2.7 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-05-16 DOI: 10.1096/fba.2022-00145
Zeynep Bengisu Kaya, Elif Karakoc, Pamela J. McLean, Esen Saka, Pergin Atilla

Parkinson's disease (PD) is a complex, multifactorial neurodegenerative disease with a prevalence of 1% over the age of 55. Neuropathological hallmarks of PD include the loss of dopaminergic neurons in the substantia nigra pars compacta and the accumulation of Lewy bodies that contain a variety of proteins and lipids including alpha-synuclein (α-syn). Although the formation of α-syn occurs intracellularly, it can also be found in the extracellular space where it can be taken up by neighboring cells. Toll-like receptor 2 (TLR2) is an immune system receptor that has been shown to recognize extracellular α-syn and modulate its uptake by other cells. Lymphocyte-activation gene 3 (LAG3), an immune checkpoint receptor, has also been proposed to play a role in extracellular α-syn internalization; however, a recent study has disputed this role. Internalized α-syn can trigger expression and secretion of inflammatory cytokines such as tumor necrosis factor alpha (TNF-α), interleukin (IL)-1β, IL-2, and IL-6 and induce neuroinflammation, apoptosis, and mitophagy that results in cellular death. In this study, we tested if N-acetylcysteine (NAC), an anti-inflammatory and anti-carcinogenic drug, can circumvent the detrimental effects of neuroinflammation and induce an anti-inflammatory response by modulating transcription and expression of TLR2 and LAG3 receptors. Cells overexpressing wild-type α-syn were treated with TNF-α to induce inflammation followed by NAC to inhibit the deleterious effects of TNF-α-induced inflammation and apoptosis. SNCA gene transcription and α-syn protein expression were validated by q-PCR and Western blot (WB), respectively. Cell viability was measured, and apoptosis was evaluated by WB and terminal deoxynucleotidyl transferase nick end labeling methods. Alterations in LAG3 and TLR2 receptor levels were evaluated by immunofluorescent labeling, WB, and q-PCR. TNF-α not only increased inflammation but also increased endogenous and overexpressed α-syn levels. NAC treatment decreased expression of TLR2 and increased transcription of LAG3 receptor and diminished inflammation-mediated toxicity and cell death. Here, we demonstrate that NAC can reduce neuroinflammation that occurs as a result of alpha-synuclein overexpression, via a TLR2-associated pathway, making it a promising candidate for therapeutic intervention. Further studies are needed to elucidate molecular mechanisms and pathways related to neuroinflammation in PD and to develop possible new therapeutic approaches to slow the clinical progression of PD.

帕金森病(PD)是一种复杂的、多因素的神经退行性疾病,55岁以上的患病率为1%。帕金森病的神经病理学特征包括黑质致密部多巴胺能神经元的丧失和路易体的积聚,路易体含有多种蛋白质和脂质,包括α-突触核蛋白(α-syn)。尽管α-syn的形成发生在细胞内,但它也可以在细胞外空间被相邻细胞吸收。Toll样受体2(TLR2)是一种免疫系统受体,已被证明可以识别细胞外α-syn并调节其被其他细胞摄取。淋巴细胞活化基因3(LAG3)是一种免疫检查点受体,也被认为在细胞外α-突触内化中发挥作用;然而,最近的一项研究对这一角色提出了质疑。内化的α-syn可以触发炎症细胞因子如肿瘤坏死因子α(TNF-α)、白细胞介素-1β、IL-2和IL-6的表达和分泌,并诱导神经炎症、细胞凋亡和线粒体自噬,导致细胞死亡。在这项研究中,我们测试了N-乙酰半胱氨酸(NAC),一种抗炎和抗癌药物,是否可以通过调节TLR2和LAG3受体的转录和表达来规避神经炎症的有害影响,并诱导抗炎反应。用TNF-α处理过表达野生型α-syn的细胞以诱导炎症,然后用NAC抑制TNF-α诱导的炎症和细胞凋亡的有害作用。通过q-PCR和蛋白质印迹(WB)分别验证了SNCA基因的转录和α-syn蛋白的表达。通过WB和末端脱氧核苷酸转移酶缺口末端标记法测定细胞活力,并评估细胞凋亡。通过免疫荧光标记、WB和q-PCR评估LAG3和TLR2受体水平的变化。TNF-α不仅增加炎症,而且增加内源性和过表达的α-syn水平。NAC治疗降低了TLR2的表达,增加了LAG3受体的转录,减少了炎症介导的毒性和细胞死亡。在这里,我们证明NAC可以通过TLR2相关途径减少因α-突触核蛋白过度表达而发生的神经炎症,使其成为治疗干预的有希望的候选者。需要进一步的研究来阐明与帕金森病神经炎症相关的分子机制和途径,并开发可能的新治疗方法来减缓帕金森病的临床进展。
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引用次数: 0
Bilateral transcranial direct-current stimulation promotes migration of subventricular zone-derived neuroblasts toward ischemic brain 双侧经颅直流电刺激促进脑室下区源性神经母细胞向缺血性脑迁移
IF 2.7 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-05-15 DOI: 10.1096/fba.2023-00017
Ruixue Lei, Shu Wang, Anchun Liu, Jing Cheng, Zhifeng Zhang, Jinyang Ren, Xujin Yao, Xiangyi Kong, Wenlong Ma, Fengyuan Che, Juan Chen, Qi Wan

Ischemic insult stimulates proliferation of neural stem cells (NSCs) in the subventricular zone (SVZ) after stroke. However, only a fraction of NSC-derived neuroblasts from SVZ migrate toward poststroke brain region. We have previously reported that direct-current stimulation guides NSC migration toward the cathode in vitro. Accordingly, we set up a new method of transcranial direct-current stimulation (tDCS), in which the cathodal electrode is placed on the ischemic hemisphere and anodal electrode on the contralateral hemisphere of rats subjected to ischemia–reperfusion injury. We show that the application of this bilateral tDCS (BtDCS) promotes the migration of NSC-derived neuroblasts from SVZ toward the cathode direction into poststroke striatum. Reversing the position of the electrodes blocks the effect of BtDCS on the migration of neuroblasts from SVZ. BtDCS protects against neuronal death and improves the functional recovery of stroke animals. Thus, the migration of NSC-derived neuroblasts from SVZ toward poststroke brain region contributes to the effect of BtDCS against ischemia-induced neuronal death, supporting a potential development of noninvasive BtDCS as an endogenous neurogenesis-based stroke therapy.

缺血性损伤刺激脑卒中后脑室下区(SVZ)神经干细胞(NSCs)的增殖。然而,只有一小部分来自SVZ的nsc来源的神经母细胞向卒中后脑区迁移。我们以前报道过,在体外,直流电刺激引导NSC向阴极迁移。为此,我们建立了一种新的经颅直流电刺激(tDCS)方法,将阴极电极置于缺血半脑,阳极电极置于对侧半脑。我们发现这种双侧tDCS (BtDCS)的应用促进了nsc来源的神经母细胞从SVZ向阴极方向迁移到脑卒中后纹状体。逆转电极位置可阻断BtDCS对SVZ神经母细胞迁移的影响。BtDCS可防止脑卒中动物神经元死亡,促进功能恢复。因此,nsc来源的神经母细胞从SVZ向脑卒中后脑区迁移有助于BtDCS对抗缺血诱导的神经元死亡,支持无创BtDCS作为内源性神经发生为基础的卒中治疗的潜在发展。
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引用次数: 1
Anti-science conspiracies pose new threats to US biomedicine in 2023 2023年,反科学阴谋对美国生物医学构成新的威胁
IF 2.7 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-05-02 DOI: 10.1096/fba.2023-00032
Peter Hotez
<p>As America enters its fourth pandemic year, the full toll of COVID-19 on the public health of the country is coming into view. Even beyond our staggering 1.1 million deaths are the many millions of hospitalizations and the ensuing prolonged rehabilitations expected for long COVID cases. Newer data indicate that long COVID is more likely to occur after a severe bout of the infection.<span><sup>1</sup></span></p><p>The University of Washington Institute for Health Metrics employs a metric known as disability-adjusted life years or DALYs<span><sup>2</sup></span> which roughly refers to the years of life lost either from premature death or disability. On both fronts we will soon have numbers assigned to the DALYs lost from COVID-19, and they will be eye-wateringly high.</p><p>Tragically, many of these COVID-19 deaths and DALYs in America could have been averted with better acceptance of vaccines, especially during the deadly delta variant wave in the last half of 2021, and omicron BA.1 wave in the first quarter of 2022. In the months just prior to the onset of delta wave the Biden Administration had announced that any American who wanted a vaccine would have access to one.<span><sup>3</sup></span> During delta, COVID-19 vaccinations exhibited over 90% protective immunity versus death,<span><sup>4</sup></span> and yet an estimated 40,000 Texans died because they declined to get immunized.<span><sup>5</sup></span> Nationally, that number of unnecessary deaths was approximately four to five-fold higher.<span><sup>6</sup></span></p><p>The analyses from <i>The New York Times</i> and healthcare data specialist, Charles Gaba, reports that those deaths overwhelmingly occurred in conservative or Republican-majority states.<span><sup>7, 8</sup></span> Moreover, the “redder” the state in terms of voters, the lower the immunization rates, and the higher deaths climbed. This observation was so striking that David Leonhardt at <i>The New York Times</i> invoked the term, “red Covid”.<span><sup>7, 8</sup></span></p><p>The phenomenon of red Covid was not a random occurrence but instead an expected outcome of predation linked to extremist politics.<span><sup>9</sup></span> Some members of the House Freedom Caucus and even US senators sought to discredit the effectiveness and safety of COVID-19 vaccinations during the delta and omicron waves. They kicked this off at the July 2021 CPAC (Conservative Political Action) conference held in Dallas, Texas, claiming they will vaccinate you and then take away your guns and bibles,<span><sup>10</sup></span> while highlighting prominent antivaccine activists.<span><sup>11</sup></span> This was preceded and followed by multiple public statements by both House and Senate members discrediting vaccines.<span><sup>12-16</sup></span> In parallel, both the watchdog Media Matters and a social science group based at ETH Zurich, the Swiss Federal Institute of Technology in Europe, documented how evening Fox News broadcasts disparaged va
随着美国进入第四个大流行年,COVID-19对美国公共卫生造成的全部损失正在显现。除了令人震惊的110万人死亡之外,还有数百万人住院治疗,预计长期COVID病例将随后长期康复。最新数据表明,在严重感染后更有可能出现长冠状病毒。华盛顿大学健康计量研究所采用了一种被称为残疾调整生命年(DALYs2)的指标,它大致指的是因过早死亡或残疾而失去的生命年数。在这两条战线上,我们很快就会确定因COVID-19而失去的伤残调整生命年的数字,这些数字将高得令人瞠目。可悲的是,如果更好地接受疫苗,特别是在2021年下半年致命的德尔塔型变异波和2022年第一季度的欧米克1型变异波期间,美国的许多COVID-19死亡和伤残调整生命期本可以避免。就在三角波爆发前的几个月,拜登政府宣布,任何想要接种疫苗的美国人都可以获得疫苗在三角洲地区,COVID-19疫苗对死亡的保护性免疫力超过90%,但估计有4万名德克萨斯人因拒绝接种疫苗而死亡在全国范围内,这一不必要的死亡人数大约高出四到五倍。《纽约时报》和医疗数据专家查尔斯·加巴的分析报告称,这些死亡绝大多数发生在保守或共和党占多数的州。此外,一个州的选民越“红”,免疫率就越低,死亡率就越高。这一观察结果非常引人注目,以至于《纽约时报》的大卫·莱昂哈特(David Leonhardt)援引了“红色新冠”(red Covid)一词。红色新冠肺炎不是偶然发生的,而是与极端主义政治有关的掠夺的预期结果在三角洲波和欧微米波期间,一些众议院自由核心小组成员甚至美国参议员试图质疑COVID-19疫苗的有效性和安全性。他们在2021年7月在德克萨斯州达拉斯举行的CPAC(保守派政治行动)会议上拉开了序幕,声称他们会给你接种疫苗,然后拿走你的枪和圣经,同时强调了著名的反疫苗活动家在此之前和之后,参众两院议员发表了多次公开声明,对疫苗表示怀疑。12-16与此同时,监督机构“媒体事务”和位于苏黎世联邦理工学院(ETH Zurich)的一个社会科学小组记录了在2021年可怕的夏秋两季,在美国毁灭性的三角洲变异波期间,福克斯新闻(Fox News)的晚间广播是如何贬低疫苗的。他们成了反科学侵略行动的牺牲品。它的三大要素包括联邦和州民选官员的反疫苗和反科学言论,以及福克斯新闻(和其他新闻媒体)每晚的放大报道,以及一些大学和极端主义智库的学术掩护。乔治·华盛顿在1799年从弗农山庄写的一封信中提出:“……进攻行动,即使不是(在某些情况下)唯一的防御手段,也常常是最可靠的”,或者简单地说,“最好的防御就是进攻”就在新年前夕,众议院知名议员和新任众议院议长凯文·麦卡锡宣布,他们将成立一个特别小组委员会,或就COVID-19的起源和疫苗授权举行调查听证会。2023年1月,特别小组委员会成员、众议员马乔里·泰勒·格林(Marjorie Taylor Greene)在推特上写道:“我要求立即调查Covid疫苗和突然死亡人数急剧增加的情况!”然而,正如美国疾病控制与预防中心(CDC)在2022年底告诉路透社的那样:“到目前为止,CDC还没有发现任何异常或意外的免疫后死亡模式,这些模式表明COVID疫苗正在导致或促成死亡。”在2022年10月共和党参议院的一份中期报告中,29,30声称COVID-19起源于中国武汉的“与研究相关的事件”,可能是由于“作为冠状病毒研究的一部分的基因重组实验”,包括插入“furin切割位点”,众议院司法委员会和监督委员会的共和党成员宣布,他们将调查新冠病毒的出现是因为美国国立卫生研究院(NIH)资助了包括武汉病毒学研究所在内的美国和中国研究机构的研究,或者这一信息被NIH领导层掩盖的证据。 25,26事实是,他们的断言与主流的著名病毒学家和其他美国生物医学科学家背道而驰,他们否认病毒是在实验室中制造的,而是为COVID-19的自然或人畜共患起源提供有力证据,31-34就像本世纪头两次主要的冠状病毒流行或大流行——严重急性呼吸综合征(SARS)和中东呼吸综合征(MERS)——由蝙蝠通过哺乳动物中间宿主传播给人类一样。33,34第三种可能性——SARS-2冠状病毒意外从冠状病毒研究实验室泄露——不能完全排除,特别是美国情报机构在这个问题上存在分歧然而,累积的关于自然或人畜共患起源的已发表数据提供了一个更完整的故事,并且与2002年SARS在中国南方出现的方式一致。如果中国政府与国际社会一样迫切需要允许对中国中部地区的冠状病毒起源进行公开的流行病学和病毒学调查,那么围绕这一问题的一些困惑可能会得到解决。对美国生物医学科学家的攻击也发生在州一级。其中包括毫无根据的说法,即COVID-19死亡是由于疫苗造成的。2022年12月,佛罗里达州州长罗恩·德桑蒂斯呼吁大陪审团调查COVID-19疫苗他还提议成立一个在疫苗或疫苗接种方面几乎没有专业知识的“公共卫生诚信委员会”,并于2023年1月对他所谓的“生物医学安全国家”进行了抨击在德克萨斯州,参议院卫生与公众服务委员会于2022年底发布了一份中期报告,其中充满了疫苗的虚假信息,并包括两位著名的反疫苗活动家的证词。我们应该预料到不利的和可能持久的后果。首先,针对COVID-19疫苗的攻击可能最终扩大到所有儿童疫苗接种。凯撒家庭基金会的一份报告发现,家长对疫苗接种要求的反对已经大大增加,35%的家长反对要求孩子上学时进行常规免疫接种YouGov.com的另一份报告也发现了类似的反对儿童接种疫苗的政治原因令人担忧的是,儿童免疫接种率的下降可能会使我们曾经通过高疫苗接种覆盖率消除的疾病卷土重来,包括麻疹、百日咳或脊髓灰质炎。我们刚刚在纽约州的一名未接种疫苗的男子身上发现了多年来的首例麻痹性脊髓灰质炎病例,在俄亥俄州未接种疫苗的儿童中爆发了麻疹。42从历史上看,我们经常在冬春的最后几个月看到麻疹流行。43有人担心,这些袭击会使全国的生物医学科学家士气低落。《科学杂志》在2021年报道说,许多生物医学科学家生活在恐惧的气氛中,我们现在面临着通过电子邮件和社交媒体在线以及身体对抗的"雪崩虐待"45 .皮尤研究中心和美国医学院协会都报告说,人们对科学家的不信任达到了前所未有的程度这些活动可能会对美国国立卫生研究院或其他生物医学研究机构的联邦支持产生长期影响,或者它们可能会阻碍大学生追求科学事业。我经常通过社交媒体和电子邮件,以及电话,甚至面对面的对抗,在网上成为攻击目标。佛罗里达州州长在福克斯新闻上贬低我,尽管我对他所在州的COVID-19做出了正确的预测,而关于安东尼·福奇博士,他说他希望把“那个小精灵”扔到“波托马克河对岸”。鉴于此类威胁可能破坏美国生物医学科学的未来,拜登政府及其科技政策办公室(Office of science and Technology Policy, OSTP)都有必要做出回应。48 .没有任命或提交参议院确认NIH的常任主任也于事无补攻击生物医学科学和科学家的政治动机尚不清楚,但它们类似于十年前开始的针对气候科学和科学家的攻击。在20世纪,科学和科学家被攻击为苏联和其他地方更大的独裁控制野心的一部分动机可能是相似的。最终,白宫可能会通过OSTP和相关机构,与国家科学院一起考虑启动一项联邦计划,以保护科学和美国科学家。与此同时,我们必
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引用次数: 0
Healthcare is not about health 医疗保健与健康无关
IF 2.7 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-04-25 DOI: 10.1096/fba.2023-00007
James O. Woolliscroft, Larry D. Gruppen, Jasna Markovac, Edward F. Meehan

Initiatives designed to reduce the disease burden and improve the health of the US population that focus on increasing access to health care have been disappointing. Progress requires multifaceted change. We must first acknowledge that the healthcare system is focused on reversing or modifying disease, not enhancing health. Our conceptualization of the development of ill health and disease must also change. Scientific advances are clarifying the complex interactions among the development of ill health and disease and an individual's behaviors, their microbiota, and their physical, social, and emotional environments. A person's genetic makeup predisposes them to a wide array of disease conditions but is rarely deterministic in and of itself. Factors extrinsic to the individual, including the social determinants of health, play a major role in disease development, often decades later. The complexity of health and disease requires a “team” accountable for the health of our populations, and these teams must be expanded beyond the medical professions. Governmental officials, architects, business leaders, civic organizations, social and neighborhood groups are among the key stakeholders on the health side of the equation. If and when disease does become manifest, then the care part of the healthcare system assumes the larger role. This has major implications for the education of our clinically focused health science students, but also of professional disciplines previously deemed peripheral to health. Simply redoubling our efforts and focusing on our current healthcare system is insufficient to make progress in the health of the populace. One example of a multipronged approach in Allentown, PA is explored in depth.

旨在减轻疾病负担和改善美国人口健康的举措侧重于增加获得医疗保健的机会,但结果令人失望。进步需要多方面的变革。我们必须首先承认,医疗保健系统的重点是逆转或改变疾病,而不是增进健康。我们对不健康和疾病发展的概念也必须改变。科学进步正在阐明不良健康和疾病的发展与个人行为、其微生物群以及其身体、社会和情感环境之间复杂的相互作用。一个人的基因构成使他们易患多种疾病,但其本身很少是决定性的。个人外在因素,包括健康的社会决定因素,往往在几十年后才在疾病发展中发挥重要作用。卫生和疾病的复杂性要求有一个对人民健康负责的"小组",而这些小组必须扩大到医疗专业之外。政府官员、建筑师、商界领袖、民间组织、社会和社区团体是健康方面的关键利益相关者。如果疾病确实表现出来,那么医疗保健系统的护理部分就会承担更大的作用。这对我们临床关注的健康科学学生的教育有重大影响,而且对以前被认为是健康外围的专业学科也有重大影响。仅仅加倍努力和关注我们现有的医疗保健系统不足以在民众的健康方面取得进展。一个多管齐下的例子,在阿伦敦,PA深入探讨。
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引用次数: 0
Local fat content determines global and local stiffness in livers with simple steatosis 局部脂肪含量决定了单纯性脂肪变性患者肝脏的整体和局部硬度
IF 2.7 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-04-24 DOI: 10.1096/fba.2022-00134
David Li, Paul A. Janmey, Rebecca G. Wells

Fat accumulation during liver steatosis precedes inflammation and fibrosis in fatty liver diseases, and is associated with disease progression. Despite a large body of evidence that liver mechanics play a major role in liver disease progression, the effect of fat accumulation by itself on liver mechanics remains unclear. Thus, we conducted ex vivo studies of liver mechanics in rodent models of simple steatosis to isolate and examine the mechanical effects of intrahepatic fat accumulation, and found that fat accumulation softens the liver. Using a novel adaptation of microindentation to permit association of local mechanics with microarchitectural features, we found evidence that the softening of fatty liver results from local softening of fatty regions rather than uniform softening of the liver. These results suggest that fat accumulation itself exerts a softening effect on liver tissue. This, along with the localized heterogeneity of softening within the liver, has implications in what mechanical mechanisms are involved in the progression of liver steatosis to more severe pathologies and disease. Finally, the ability to examine and associate local mechanics with microarchitectural features is potentially applicable to the study of the role of heterogeneous mechanical microenvironments in both other liver pathologies and other organ systems.

脂肪变性期间的脂肪积累先于脂肪性肝病的炎症和纤维化,并与疾病进展相关。尽管大量证据表明肝脏力学在肝脏疾病进展中起主要作用,但脂肪积累本身对肝脏力学的影响尚不清楚。因此,我们在单纯性脂肪变性的啮齿动物模型中进行了肝脏力学的离体研究,分离并检验了肝内脂肪堆积的力学效应,发现脂肪堆积软化了肝脏。利用微压痕的新适应性,允许局部力学与微结构特征相关联,我们发现脂肪肝的软化是由于脂肪区域的局部软化而不是肝脏的均匀软化。这些结果表明,脂肪积累本身对肝组织有软化作用。这一点,以及肝脏软化的局部异质性,暗示了肝脂肪变性发展为更严重的病理和疾病所涉及的机械机制。最后,检查和将局部力学与微建筑特征联系起来的能力可能适用于研究异质力学微环境在其他肝脏病理和其他器官系统中的作用。
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引用次数: 0
GPX2 promotes EMT and metastasis in non-small cell lung cancer by activating PI3K/AKT/mTOR/Snail signaling axis GPX2通过激活PI3K/AKT/mTOR/Snail信号轴促进非小细胞肺癌的EMT和转移
IF 2.7 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-03-05 DOI: 10.1096/fba.2022-00045
Fang Peng, Qiushi Xu, Xiaomeng Jing, Xinming Chi, Zheming Zhang, Xiangpeng Meng, Xinyuan Liu, Jiao Yan, Xuefeng Liu, Shujuan Shao

Lung cancer, with non-small cell lung cancer (NSCLC) being the main subtype, is the leading cause of cancer death worldwide, which is mainly due to the cancer metastasis. Glutathione peroxidase 2 (GPX2), an antioxidant enzyme, is involved in tumor progression and metastasis. Nevertheless, the role of GPX2 in NSCLC metastasis has not been clarified. In this study, we found that GPX2 expression was elevated in NSCLC tissues and high GPX2 expression was correlated with poor prognosis in patients with NSCLC. In addtion, GPX2 expression was related to the patient's clinicopathological features, including lymph node metastasis, tumor size, and TNM stage. Overexpression of GPX2 promoted epithelial–mesenchymal transition (EMT), migration, and invasion of NSCLC cells in vitro. Knockdown of GPX2 showed the opposite effects in vitro and inhibited the metastasis of NSCLC cells in nude mice. Furthermore, GPX2 reduced reactive oxygen species (ROS) accumulation and activated the PI3K/AKT/mTOR/Snail signaling axis. Therefore, our results indicate that GPX2 promotes EMT and metastasis of NSCLC cells by activating the PI3K/AKT/mTOR/Snail signaling axis via the removal of ROS. GPX2 may be an effective diagnostic and prognostic biomarker for NSCLC.

肺癌是世界范围内导致癌症死亡的主要原因,非小细胞肺癌(NSCLC)是主要亚型,主要原因是癌症转移。谷胱甘肽过氧化物酶2 (gtathione peroxidase 2, GPX2)是一种抗氧化酶,参与肿瘤的进展和转移。然而,GPX2在NSCLC转移中的作用尚未明确。本研究中,我们发现GPX2在NSCLC组织中表达升高,且GPX2高表达与NSCLC患者预后不良相关。此外,GPX2的表达与患者的临床病理特征有关,包括淋巴结转移、肿瘤大小、TNM分期。GPX2的过表达促进了非小细胞肺癌细胞的上皮-间质转化(EMT)、迁移和侵袭。GPX2的敲低在体外显示相反的作用,抑制裸鼠NSCLC细胞的转移。此外,GPX2减少活性氧(ROS)积累,激活PI3K/AKT/mTOR/Snail信号轴。因此,我们的研究结果表明,GPX2通过去除ROS激活PI3K/AKT/mTOR/Snail信号轴,从而促进NSCLC细胞的EMT和转移。GPX2可能是非小细胞肺癌的有效诊断和预后生物标志物。
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引用次数: 3
Targeting XBP1 mRNA splicing sensitizes glioblastoma to chemotherapy 靶向XBP1 mRNA剪接使胶质母细胞瘤对化疗增敏
IF 2.7 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-02-24 DOI: 10.1096/fba.2022-00141
Amiee Dowdell, Mark Marsland, Sam Faulkner, Craig Gedye, James Lynam, Cassandra P. Griffin, Joanne Marsland, Chen Chen Jiang, Hubert Hondermarck

Glioblastoma (GBM) is the most frequent and deadly primary brain tumor in adults. Temozolomide (TMZ) is the standard systemic therapy in GBM but has limited and restricted efficacy. Better treatments are urgently needed. The role of endoplasmic reticulum stress (ER stress) is increasingly described in GBM pathophysiology. A key molecular mediator of ER stress, the spliced form of the transcription factor x-box binding protein 1 (XBP1s) may constitute a novel therapeutic target; here we report XBP1s expression and biological activity in GBM. Tumor samples from patients with GBM (n = 85) and low-grade glioma (n = 20) were analyzed by immunohistochemistry for XBP1s with digital quantification. XBP1s expression was significantly increased in GBM compared to low-grade gliomas. XBP1s mRNA showed upregulation by qPCR analysis in a panel of patient-derived GBM cell lines. Inhibition of XBP1 splicing using the small molecular inhibitor MKC-3946 significantly reduced GBM cell viability and potentiated the effect of TMZ in GBM cells, particularly in those with methylated O6-methylguanine-DNA methyl transferase gene promoter. GBM cells resistant to TMZ were also responsive to MKC-3946 and the long-term inhibitory effect of MKC-3946 was confirmed by colony formation assay. In conclusion, this data reveals that XBP1s is overexpressed in GBM and contributes to cancer cell growth. XBP1s warrants further investigation as a clinical biomarker and therapeutic target in GBM.

胶质母细胞瘤(GBM)是成人中最常见和最致命的原发性脑肿瘤。替莫唑胺(TMZ)是GBM的标准全身治疗,但疗效有限。迫切需要更好的治疗方法。内质网应激(ER应激)在GBM病理生理中的作用越来越多地被描述。作为内质网应激的关键分子介质,转录因子x-box结合蛋白1 (XBP1s)的剪接形式可能构成一个新的治疗靶点;这里我们报道了XBP1s在GBM中的表达和生物活性。采用免疫组织化学方法对85例GBM和20例低级别胶质瘤患者的肿瘤样本进行XBP1s数字定量分析。与低级别胶质瘤相比,GBM中XBP1s的表达显著增加。通过qPCR分析,XBP1s mRNA在患者来源的GBM细胞系中表达上调。使用小分子抑制剂MKC-3946抑制XBP1剪接可显著降低GBM细胞活力,增强TMZ在GBM细胞中的作用,特别是在那些甲基化o6 -甲基鸟嘌呤- dna甲基转移酶基因启动子的细胞中。对TMZ有抗性的GBM细胞对MKC-3946也有反应,通过菌落形成实验证实了MKC-3946的长期抑制作用。综上所述,这些数据揭示了XBP1s在GBM中过表达,并有助于癌细胞的生长。XBP1s作为GBM的临床生物标志物和治疗靶点值得进一步研究。
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引用次数: 0
The RNA-binding protein Snd1/Tudor-SN regulates hypoxia-responsive gene expression rna结合蛋白Snd1/Tudor-SN调节缺氧反应基因的表达
IF 2.7 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-02-12 DOI: 10.1096/fba.2022-00115
Juha Saarikettu, Saara Lehmusvaara, Marko Pesu, Ilkka Junttila, Juha Partanen, Petra Sipilä, Matti Poutanen, Jie Yang, Teemu Haikarainen, Olli Silvennoinen

Snd1 is an evolutionarily conserved RNA-binding protein implicated in several regulatory processes in gene expression including activation of transcription, mRNA splicing, and microRNA decay. Here, we have investigated the outcome of Snd1 gene deletion in the mouse. The knockout mice are viable showing no gross abnormalities apart from decreased fertility, organ and body size, and decreased number of myeloid cells concomitant with decreased expression of granule protein genes. Deletion of Snd1 affected the expression of relatively small number of genes in spleen and liver. However, mRNA expression changes in the knockout mouse liver showed high similarity to expression profile in adaptation to hypoxia. MicroRNA expression in liver showed upregulation of the hypoxia-induced microRNAs miR-96 and -182. Similar to Snd1 deletion, mimics of miR-96/182 enhanced hypoxia-responsive reporter activity. To further elucidate the function of SND1, BioID biotin proximity ligation assay was performed in HEK-293T cells to identify interacting proteins. Over 50% of the identified interactors were RNA-binding proteins, including stress granule proteins. Taken together, our results show that in normal growth conditions, Snd1 is not a critical factor for mRNA transcription in the mouse, and describe a function for Snd1 in hypoxia adaptation through negatively regulating hypoxia-related miRNAs and hypoxia-induced transcription consistent with a role as stress response regulator.

Snd1是一种进化上保守的rna结合蛋白,参与基因表达的几个调控过程,包括转录激活、mRNA剪接和microRNA衰变。在这里,我们研究了Snd1基因缺失在小鼠中的结果。除生育力、器官和体型下降、髓细胞数量减少以及颗粒蛋白基因表达减少外,敲除小鼠存活无明显异常。Snd1的缺失影响了脾脏和肝脏中相对少数基因的表达。然而,敲除小鼠肝脏中的mRNA表达变化与适应缺氧的表达谱高度相似。肝脏中低氧诱导的MicroRNA miR-96和-182表达上调。与Snd1缺失类似,miR-96/182的模拟物增强了缺氧反应报告基因的活性。为了进一步阐明SND1的功能,我们在HEK-293T细胞中进行了BioID生物素邻近连接实验,以鉴定相互作用的蛋白。鉴定的相互作用物中超过50%是rna结合蛋白,包括应激颗粒蛋白。综上所述,我们的研究结果表明,在正常生长条件下,Snd1不是小鼠mRNA转录的关键因子,并且描述了Snd1在缺氧适应中的功能,通过负调控缺氧相关的mirna和缺氧诱导的转录,与应激反应调节剂的作用一致。
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引用次数: 1
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