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Role of NAD metabolism-related genes in diabetic nephropathy: subtype classification, biomarker identification, and association with renal function. NAD代谢相关基因在糖尿病肾病中的作用:亚型分类、生物标志物鉴定以及与肾功能的关联
IF 2.7 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-26 eCollection Date: 2025-01-01 DOI: 10.3389/ebm.2025.10601
Shengnan Zeng, Yuhong Tao, Hui Guo

Diabetic nephropathy (DN) remains a major complication of diabetes, significantly impacting renal function. Emerging evidence suggests that NAD metabolism plays a crucial role in DN pathogenesis. This study investigates the roles of NAD metabolism-related genes in DN and how there are associated with different disease subtypes. We analyzed gene expression data from DN-associated datasets (GSE30528 and GSE30529) to identify differences in NAD metabolism-related genes between normal and DN samples. We classified DN into subtypes based on NAD gene expression and evaluated NAD scores using ssGSEA. Immune cell infiltration and pathway analyses were assessed using ssGSEA, Microenvironment Cell Populations-counter (MCPcounter), and Gene Set Variation Analysis (GSVA). Key biomarker genes were identified using machine learning algorithms and validated across multiple datasets. We further explored the relationship between gene expression and kidney function using the Nephroseq V5 tool. Thirteen differentially expressed NAD metabolism-related genes were identified, with distinctive expression patterns observed between normal and DN samples. Two distinct NAD-related subtypes were classified, demonstrating significant differences in gene expression, immune cell infiltration, and pathway activities. Immune-related pathways and cellular processes exhibited varied enrichment between subtypes. Six key NAD metabolism-related genes (FMO3, ALDH1A3, FMO5, TKT, LBR, HPGD) were identified as potential biomarkers. Higher levels of FMO3, ALDH1A3, TKT, and LBR were linked to worse kidney function, while FMO5 and HPGD were associated with better kidney function. The study highlights the significant involvement of NAD metabolism-related genes in DN pathogenesis and their association with disease subtypes and renal function. The identified biomarkers could be targets for new treatments and provide insight for future DN research.

糖尿病肾病(DN)仍然是糖尿病的主要并发症,严重影响肾功能。越来越多的证据表明,NAD代谢在DN的发病机制中起着至关重要的作用。本研究探讨NAD代谢相关基因在DN中的作用及其与不同疾病亚型的关系。我们分析了来自DN相关数据集(GSE30528和GSE30529)的基因表达数据,以确定正常和DN样本之间NAD代谢相关基因的差异。我们根据NAD基因表达将DN划分为亚型,并使用ssGSEA评估NAD评分。使用ssGSEA、微环境细胞群计数器(MCPcounter)和基因集变异分析(GSVA)评估免疫细胞浸润和途径分析。使用机器学习算法识别关键生物标志物基因,并在多个数据集上进行验证。我们使用Nephroseq V5工具进一步探讨了基因表达与肾功能的关系。鉴定出13个差异表达的NAD代谢相关基因,在正常和DN样本中观察到不同的表达模式。两种不同的nad相关亚型被分类,显示出基因表达、免疫细胞浸润和途径活性的显著差异。免疫相关途径和细胞过程在不同亚型之间表现出不同的富集。6个关键的NAD代谢相关基因(FMO3、ALDH1A3、FMO5、TKT、LBR、HPGD)被确定为潜在的生物标志物。较高水平的FMO3、ALDH1A3、TKT和LBR与肾功能恶化有关,而FMO5和HPGD与肾功能改善有关。该研究强调了NAD代谢相关基因在DN发病机制中的重要参与及其与疾病亚型和肾功能的关联。鉴定的生物标志物可能成为新的治疗靶点,并为未来的DN研究提供见解。
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引用次数: 0
Pulmonary injury following exposure to amorphous silicon dioxide nanoparticles in Golden Syrian Hamsters. 金色叙利亚仓鼠暴露于无定形二氧化硅纳米颗粒后的肺损伤。
IF 2.7 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-26 eCollection Date: 2026-01-01 DOI: 10.3389/ebm.2026.10793
Rachel P Renda, Joseph M Cerreta

Amorphous silicon dioxide nanoparticles (SiO2 NPs) are abundant within the earth's crust and can be released into the air through industrial and manufacturing activities. Such materials are often used in industrial processes, in pharmaceutical and in the cosmetic industries. Amorphous SiO2 NPs are pulmonary toxicants; however, the mechanism of toxicity is uncertain. In the current study, toxicity of SiO2 NPs was assessed using inhalation exposure in an in vivo system to study a possible mechanism of pulmonary injury. Golden Syrian Hamsters were divided into 4 groups: 1- room air control, 2- vehicle control, 3- low concentration (6 mg/m3) and 4- high concentration (12 mg/m3). Hamsters were treated for 4 h a day for 8 days. Bronchoalveolar Lavage Fluid (BALF) analysis found increases in total cell counts (p < 0.0001), neutrophils (p < 0.0001), lymphocytes (p < 0.001), eosinophils (p < 0.01), multinucleated macrophages (p < 0.01), total protein (p < 0.0001), alkaline phosphatase (p < 0.0001), and lactate dehydrogenase (p < 0.001) in the high concentration group. Histopathological analysis found an increase in air space, quantified by Mean Linear Intercept (p < 0.0001), and a significant increase in TUNEL positive cells (p < 0.001), in the high concentration group. SEM and TEM found structural alterations to the lung tissue including increase in the number holes in the alveolar walls and in apoptotic bodies within tissue. Caspase 3 (p < 0.05), and 8 (p < 0.05), were significantly increased along with cellular inflammation markers TNF-α (p < 0.05), and HSP70 (p < 0.05) in the high concentration group. Results of the study indicate exposure to SiO2 NPs may induce extrinsic apoptotic pathway, leading to tissue damage and significant airspace enlargement.

非晶二氧化硅纳米颗粒(SiO2 NPs)在地壳中含量丰富,可通过工业和制造活动释放到空气中。这类材料通常用于工业生产、制药和化妆品行业。无定形SiO2 NPs是肺毒性物质;然而,其毒性机制尚不明确。在本研究中,通过在体内系统中吸入暴露来评估SiO2 NPs的毒性,以研究肺损伤的可能机制。将金叙利亚仓鼠分为4组:1室空气控制组、2车控制组、3低浓度组(6 mg/m3)和4高浓度组(12 mg/m3)。仓鼠每天治疗4小时,连续8天。支气管肺泡灌洗液(BALF)分析发现,高浓度组细胞总数(p < 0.0001)、中性粒细胞(p < 0.0001)、淋巴细胞(p < 0.001)、嗜酸性粒细胞(p < 0.01)、多核巨噬细胞(p < 0.01)、总蛋白(p < 0.0001)、碱性磷酸酶(p < 0.0001)和乳酸脱氢酶(p < 0.001)增加。组织病理学分析发现,在高浓度组中,空气空间增加,用平均线性截距(p < 0.0001)量化(p < 0.001), TUNEL阳性细胞显著增加(p < 0.001)。扫描电镜和透射电镜发现肺组织的结构改变,包括肺泡壁孔数量增加和组织内凋亡小体数量增加。高浓度组Caspase 3 (p < 0.05)、Caspase 8 (p < 0.05)与细胞炎症标志物TNF-α (p < 0.05)、HSP70 (p < 0.05)均显著升高。研究结果表明,暴露于SiO2 NPs可能诱发外源性凋亡通路,导致组织损伤和明显的空域扩张。
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引用次数: 0
Cyanide is an endogenous stimulator of endothelial cell proliferation, migration and differentiation. 氰化物是内皮细胞增殖、迁移和分化的内源性刺激物。
IF 2.7 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-23 eCollection Date: 2026-01-01 DOI: 10.3389/ebm.2026.10856
Anna Kieronska-Rudek, Maria Petrosino, Karim Zuhra, Csaba Szabo

Cyanide is generally considered a cytotoxic molecule. However, recent studies have shown that mammalian cells - including endothelial cells - can produce cyanide from glycine via a lysosomal pathway. Studies in hepatocytes indicated that cyanide, when administered at low concentrations, or when generated from endogenous sources, exerts regulatory, rather than cytotoxic effects. Here we show that human umbilical vein endothelial cells produce detectable levels of cyanide (∼0.1 nmoles/mg protein/h), and this is enhanced by administration of glycine (1 mM). Glycine stimulates endothelial cell proliferation, migration and tube formation. Low concentrations of the cyanide releasing molecules amygdalin or mandelonitrile (100 µM) exert similar effects. On one hand, cyanide induces the upregulation of VEGF protein in endothelial cells, while on the other hand, VEGF stimulates the generation of cyanide by endothelial cells, suggesting a positive feedback. VEGF-stimulated endothelial cell ATP generation, proliferation and migration is inhibited by the cyanide scavenger hydroxycobalamin (10 µM) as well as by pharmacological agents that prevent lysosomal acidification and thus inhibit cyanide formation by the endothelial cells. In conclusion, cyanide, at low concentrations, generated by endothelial cells, acts as a proangiogenic mediator, via stimulation of the VEGF pathway and the maintenance of cellular bioenergetics.

氰化物通常被认为是一种细胞毒性分子。然而,最近的研究表明,哺乳动物细胞-包括内皮细胞-可以通过溶酶体途径从甘氨酸产生氰化物。对肝细胞的研究表明,低浓度的氰化物或由内源性来源产生的氰化物发挥调节作用,而不是细胞毒性作用。在这里,我们表明人脐静脉内皮细胞产生可检测水平的氰化物(~ 0.1 nmol /mg蛋白/h),并且通过给药甘氨酸(1 mM)增强。甘氨酸刺激内皮细胞增殖、迁移和小管形成。低浓度的氰化物释放分子苦杏仁苷或扁桃腈(100µM)也有类似的效果。氰化物一方面诱导内皮细胞中VEGF蛋白表达上调,另一方面VEGF刺激内皮细胞生成氰化物,形成正反馈。vegf刺激的内皮细胞ATP生成、增殖和迁移被氰化物清除剂羟钴胺素(10µM)以及阻止溶酶体酸化从而抑制内皮细胞氰化物形成的药物所抑制。综上所述,内皮细胞产生的低浓度氰化物可通过刺激VEGF通路和维持细胞生物能量学而起到促进血管生成的中介作用。
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引用次数: 0
Altered MCF2L-AS1 expression and correlation with the prognosis of diabetic nephropathy. MCF2L-AS1表达改变与糖尿病肾病预后的关系
IF 2.7 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-22 eCollection Date: 2025-01-01 DOI: 10.3389/ebm.2025.10771
Nastaran Injinari, Morteza Hadizadeh, Nasim Namiranian, Seyed Mehdi Kalantar, Ali Dehghani Firoozabadi, Samira Asadollahi

Although diabetic nephropathy (DN) stands as a prominent complication in individuals with diabetes, the specific molecular mechanisms remain unclear. In this study, we focused on one newly discovered lncRNA, MCF2L-AS1, and its target gene, BCOR, in individuals with various levels of DN. Twenty-eight participants with different stages of DN (14 early stage and 14 late stage), 12 non-diabetic individuals, and 12 with T2DM without microvascular complications were selected. The qPCR was done, and one-way ANOVA assessed gene expression. ROC curves analysis and Spearman correlations between levels of expression and clinicopathological parameters were explored. The expression of MCF2L-AS1 decreased in the early and late DN groups compared to the type 2 diabetes (T2DM) (P = 0.01 and P = 0.03, respectively) and non-diabetic groups (P = 0.01 and P = 0.03, respectively). However, BCOR gene expression analysis revealed that there was no significant difference between the groups (P = 0.27). MCF2L-AS1 levels negatively correlated with microalbuminuria (P = 0.003, r = -0.41), but not with creatinine (Cr) (P = 0.058, r = -0.29). Moreover, there was no correlation between BCOR and microalbumin (P = 0.85, r = 0.02) and Cr (P = 0.49, r = 0.10). ROC curves underscored significant diagnostic accuracy for MCF2L-AS1 in distinguishing DN from people without kidney diseases (P < 0.05). This study introduces MCF2L-AS1 as a potential key player in the molecular landscape of DN, shedding light on its multifaceted interactions. The results provide a basis for further exploration and therapeutic interventions in the management of DN.

虽然糖尿病肾病(DN)是糖尿病患者的重要并发症,但其具体的分子机制尚不清楚。在这项研究中,我们重点研究了一种新发现的lncRNA MCF2L-AS1及其靶基因BCOR在不同DN水平个体中的作用。选择不同阶段DN患者28例(早期14例,晚期14例),非糖尿病患者12例,无微血管并发症的T2DM患者12例。qPCR检测,单因素方差分析评估基因表达。探讨表达水平与临床病理参数之间的ROC曲线分析和Spearman相关性。与2型糖尿病(T2DM)和非糖尿病组(P = 0.01和P = 0.03)相比,早期和晚期DN组MCF2L-AS1表达降低(P = 0.01和P = 0.03)。但BCOR基因表达分析显示,两组间差异无统计学意义(P = 0.27)。MCF2L-AS1水平与微量白蛋白尿呈负相关(P = 0.003, r = -0.41),但与肌酐(Cr)不相关(P = 0.058, r = -0.29)。此外,BCOR与微量白蛋白(P = 0.85, r = 0.02)和Cr (P = 0.49, r = 0.10)无相关性。ROC曲线强调MCF2L-AS1在区分DN与无肾脏疾病患者方面具有显著的诊断准确性(P < 0.05)。本研究介绍了MCF2L-AS1在DN分子格局中的潜在关键作用,揭示了其多方面的相互作用。研究结果为进一步探索和干预治疗DN提供了依据。
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引用次数: 0
HIV-HPV interactions via extracellular vesicles among tobacco smokers and nonsmokers. 吸烟者和非吸烟者之间通过细胞外囊泡的HIV-HPV相互作用。
IF 2.7 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-21 eCollection Date: 2025-01-01 DOI: 10.3389/ebm.2025.10687
Namita Sinha, Laree Hiser, Sandip Godse, Lina Zhou, Zhanserik Shynykul, Carolann Risley, Theodore Cory, Santosh Kumar

Human Immunodeficiency Virus (HIV) and Human Papillomavirus (HPV) co-infections are significantly prevalent, especially among African Americans (AA), a situation further compounded by the prevalence of tobacco smoking. Extracellular vesicles (EVs) are integral to the mechanisms of viral pathogenesis, as they are pivotal in the modulation of immune responses and the inflammatory process. This research study examines the varying concentrations of EVs, their associated biomarkers, and the cytokine/chemokine profiles present in plasma obtained from individuals infected with HIV and those coinfected with HIV and HPV, with particular emphasis on the ramifications of smoking behavior. Our findings revealed that HIV infection markedly elevates EV formation and modifies their protein composition, whereas HPV co-infection does not significantly augment EV levels but does influence the specific cytokine packaging. Notably, monocyte chemoattractant protein-1 (MCP-1 or CCL2) and Regulated upon Activation, Normal T cell Expressed and presumably Secreted (RANTES or CCL5) exhibited substantial enrichment in EVs derived from individuals coinfected with HIV and HPV, implying a potential role of EVs in immune modulation related to viral persistence. Importantly, smoking was found to affect EV characteristics, resulting in an increase in EV size and the packaging of inflammatory mediators, such as MCP-1 and interleukin-18 (IL-18), from plasma into EVs in HIV- and/or HIV+HPV-infected samples. This observation suggests that oxidative stress induced by smoking may intensify immune dysregulation through modifications in EV-mediated cytokine signaling pathways. Nevertheless, smoking did not exhibit a significant impact on the expression of EV marker proteins or the overall levels of EVs. These outcomes underscore the intricate interactions between HIV, HPV, and/or smoking in influencing the immune milieu via EVs. Further comprehensive understanding of the role of EVs in the context of these viral infections could yield valuable insights into potential biomarkers for disease progression and new therapeutic strategies.

人类免疫缺陷病毒(HIV)和人类乳头瘤病毒(HPV)合并感染非常普遍,特别是在非洲裔美国人(AA)中,吸烟的流行进一步加剧了这种情况。细胞外囊泡(EVs)是病毒发病机制中不可或缺的一部分,因为它们在调节免疫反应和炎症过程中起着关键作用。本研究检测了HIV感染者和HIV / HPV合并感染者血浆中不同浓度的ev、相关生物标志物和细胞因子/趋化因子谱,特别强调了吸烟行为的后果。我们的研究结果表明,HIV感染显著提高了EV的形成并改变了它们的蛋白质组成,而HPV合并感染不会显著增加EV水平,但会影响特定的细胞因子包装。值得注意的是,单核细胞趋化蛋白-1 (MCP-1或CCL2)和激活后正常T细胞表达和推测分泌(RANTES或CCL5)在来自HIV和HPV合并感染个体的EVs中表现出大量富集,这意味着EVs在与病毒持久性相关的免疫调节中可能发挥作用。重要的是,研究发现吸烟会影响EV特征,导致HIV和/或HIV+ hpv感染样本中EV大小和炎症介质(如MCP-1和白细胞介素-18 (IL-18))从血浆进入EV的包装增加。这一观察结果表明,吸烟诱导的氧化应激可能通过改变ev介导的细胞因子信号通路而加剧免疫失调。然而,吸烟对EV标记蛋白的表达或EV的总体水平没有显著影响。这些结果强调了HIV、HPV和/或吸烟之间通过ev影响免疫环境的复杂相互作用。进一步全面了解ev在这些病毒感染背景下的作用,可以为疾病进展的潜在生物标志物和新的治疗策略提供有价值的见解。
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引用次数: 0
Functional roles of Keratin 6A in disease pathogenesis across cancer and skin disorders. 角蛋白6A在癌症和皮肤疾病发病机制中的功能作用
IF 2.7 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-21 eCollection Date: 2026-01-01 DOI: 10.3389/ebm.2026.10845
Yanyan Su, Shudong Su, Min Li, Zhixia Zhang, Shiyi Zhang, Caixia Fan, Wei Luo, Shuming Guo

Keratin 6A (KRT6A) is an epithelial-specific type II keratin localized within cytoskeletal intermediate filaments and functions in cooperation with KRT16/17 to maintain epidermal homeostasis and tissue repair. Accumulating evidence highlights its multifaceted roles in cancer. Aberrant KRT6A expression promotes cell cycle progression, epithelial-mesenchymal transition, migration, and invasion, thereby driving tumor initiation and metastasis, although tumor-suppressive effects have been observed in specific contexts. Mechanistically, KRT6A regulates adhesion, cytoskeletal remodeling, and critical signaling pathways, thereby reshaping tumor immunity and metabolism to facilitate immune evasion and metabolic dysregulation. Elevated KRT6A expression is strongly associated with resistance to chemotherapy, targeted therapy, and radiotherapy. Therapeutic approaches targeting KRT6A include nucleic acid-based interventions, protein degradation strategies, inhibition of upstream regulatory pathways, and combinatorial regimens to overcome drug resistance. Clinically, KRT6A has emerged as both a diagnostic and prognostic biomarker, supporting treatment monitoring and enhancing predictive models for risk stratification and individualized outcome evaluation. Beyond oncology, mutations in KRT6A underlie pachyonychia congenita, and its dysregulation contributes to epidermal hyperproliferative disorders such as psoriasis. Overall, systematic elucidation of the structure-function-pathway-clinical axis of KRT6A offers new opportunities for precision medicine and supports its potential as a therapeutic target in cancer management.

角蛋白6A (KRT6A)是一种定位于细胞骨架中间丝的上皮特异性II型角蛋白,与KRT16/17合作维持表皮稳态和组织修复。越来越多的证据表明,它在癌症中起着多方面的作用。异常的KRT6A表达促进细胞周期进程、上皮-间质转化、迁移和侵袭,从而驱动肿瘤的发生和转移,尽管在特定情况下观察到肿瘤抑制作用。在机制上,KRT6A调节粘附、细胞骨架重塑和关键信号通路,从而重塑肿瘤免疫和代谢,促进免疫逃避和代谢失调。KRT6A表达升高与化疗、靶向治疗和放疗的耐药密切相关。针对KRT6A的治疗方法包括基于核酸的干预、蛋白质降解策略、抑制上游调控途径以及克服耐药性的联合方案。在临床上,KRT6A已成为一种诊断和预后生物标志物,支持治疗监测,增强风险分层和个性化结果评估的预测模型。除肿瘤学外,KRT6A突变是先天性肿甲病的基础,其失调有助于表皮增生性疾病,如牛皮癣。总的来说,系统阐明KRT6A的结构-功能-通路-临床轴为精准医学提供了新的机会,并支持其作为癌症治疗靶点的潜力。
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引用次数: 0
Liposomes as carriers for garlic oil delivery to increase anti-inflammatory and antioxidant activities in mice with ALI. 脂质体作为大蒜油递送载体提高ALI小鼠抗炎和抗氧化活性。
IF 2.7 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-21 eCollection Date: 2026-01-01 DOI: 10.3389/ebm.2026.10800
Ruilin Hou, Xiaowei Zhang, Jiaming Zhang, Wenping Zhang

ALI/ARDS are clinical syndromes with diverse etiological origins and are characterized by high mortality rates and a lack of specific therapeutic options. Garlic oil (GO) has been utilized in both culinary and medicinal applications for millennia. However, its complex chemical composition and inherent instability have limited further development and clinical application. We aimed to encapsulate GO within liposomes to increase its solubility and stability. The therapeutic efficacy of GO-loaded liposomes (GO-lips) against LPS-induced ALI was subsequently evaluated in vivo. A novel GO-lip formulation was developed, and its preparation process was optimized to ensure its stability and bioavailability. A murine model of LPS-induced ALI was established. The animals were randomly assigned to the normal control, LPS model, GO treatment, or GO-lip treatment group. Therapeutic outcomes were evaluated by lung tissue histopathology, inflammatory cytokine quantification and oxidative stress biomarker measurement. PCR and molecular dynamics simulations were used to verify the ALI treatment-related pathways influenced by GO-lips. We successfully developed GO-lips using a novel fabrication method. GO-lips demonstrated favorable physicochemical characteristics, with a mean particle diameter of 175 ± 3 nm, a PDI of 0.27 ± 0.02, and an encapsulation efficiency of 70.74 ± 2.11%. Compared with the LPS model group, the GO-lip treatment group exhibited significant protection against LPS-induced ALI. GO-lips demonstrated greater efficacy than free GO, as evidenced by the improved lung histopathology, reduced pulmonary edema, decreased inflammatory responses, and attenuated oxidative stress. PCR analysis demonstrated that GO-lips significantly protect mice primarily via Nrf2 pathway activation. These findings suggest that liposomal encapsulation of GO increases its anti-inflammatory and antioxidant activities, protecting against LPS-induced ALI. This research offers a novel clinical therapeutic approach for ALI and contributes to foundational knowledge supporting the development and utilization of GO-derived formulations.

急性呼吸窘迫综合征/急性呼吸窘迫综合征是具有多种病因的临床综合征,其特点是死亡率高和缺乏特定的治疗选择。大蒜油(GO)已经在烹饪和医疗应用中使用了数千年。但其复杂的化学成分和固有的不稳定性限制了其进一步的开发和临床应用。我们的目标是将氧化石墨烯封装在脂质体中,以增加其溶解度和稳定性。随后在体内评估了氧化石墨烯负载脂质体(氧化石墨烯唇)对脂多糖诱导的ALI的治疗效果。研制了一种新型氧化石墨烯唇形制剂,并对其制备工艺进行了优化,以保证其稳定性和生物利用度。建立lps诱导的小鼠ALI模型。将动物随机分为正常对照组、LPS模型组、氧化石墨烯治疗组和氧化石墨烯唇部治疗组。通过肺组织病理学、炎症细胞因子定量和氧化应激生物标志物测定来评估治疗效果。PCR和分子动力学模拟验证了GO-lips对ALI治疗相关通路的影响。我们使用一种新颖的制造方法成功地开发了GO-lips。GO-lips具有良好的物理化学特性,平均粒径为175±3 nm, PDI为0.27±0.02,包封效率为70.74±2.11%。与LPS模型组比较,GO-lip治疗组对LPS诱导的ALI有明显的保护作用。氧化石墨烯唇比游离氧化石墨烯更有效,这可以通过改善肺组织病理学、减少肺水肿、减少炎症反应和减轻氧化应激来证明。PCR分析表明,GO-lips主要通过激活Nrf2通路来显著保护小鼠。这些研究结果表明,氧化石墨烯脂质体包封可增强其抗炎和抗氧化活性,防止脂多糖诱导的ALI。本研究为ALI提供了一种新的临床治疗方法,并为支持氧化石墨烯衍生制剂的开发和利用提供了基础知识。
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引用次数: 0
The gut-eye axis in age-related macular degeneration: from microbial dysbiosis to targeted intervention strategies. 年龄相关性黄斑变性的肠眼轴:从微生物失调到有针对性的干预策略。
IF 2.7 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-20 eCollection Date: 2026-01-01 DOI: 10.3389/ebm.2026.10876
Nan Wang, Lin Luo, Xiaolan Yang

Age-related macular degeneration (AMD) represents a leading cause of irreversible blindness among the older persons. Characterized by a complex pathogenesis and multiple risk factors, AMD poses substantial challenges for treatment and has emerged as a significant public health concern. The gut microbiota constitutes a vast and dynamically evolving ecosystem, with a healthy microbial community playing an essential role in maintaining host homeostasis through its involvement in digestion and immune defense. However, alterations in microbial composition or function can compromise intestinal barrier integrity, trigger systemic inflammation, and contribute to disease pathogenesis. Evidence now underscores the influence of gut microbiota on the development and progression of AMD. This review examines the mechanisms by which gut microbes may contribute to AMD pathogenesis and evaluates the therapeutic potential of interventions targeting the gut microbiome-including dietary modifications, Pharmacological and Biological Agents, probiotics, prebiotics, and fecal microbiota transplantation-for AMD management.

年龄相关性黄斑变性(AMD)是老年人不可逆失明的主要原因。由于其复杂的发病机制和多种危险因素,AMD给治疗带来了巨大的挑战,并已成为一个重大的公共卫生问题。肠道菌群构成了一个巨大的动态进化的生态系统,健康的微生物群落通过参与消化和免疫防御,在维持宿主体内平衡方面发挥着重要作用。然而,微生物组成或功能的改变会损害肠道屏障的完整性,引发全身性炎症,并有助于疾病的发病机制。现在的证据强调了肠道微生物群对AMD的发展和进展的影响。这篇综述探讨了肠道微生物可能导致AMD发病的机制,并评估了针对肠道微生物群的干预措施的治疗潜力,包括饮食调整、药物和生物制剂、益生菌、益生元和粪便微生物群移植。
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引用次数: 0
Machine learning-based comprehensive analysis of m6A RNA methylation regulators in colorectal cancer: implications for prognosis, immune microenvironment, and immunotherapy response. 基于机器学习的m6A RNA甲基化调控因子在结直肠癌中的综合分析:对预后、免疫微环境和免疫治疗反应的影响
IF 2.7 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-14 eCollection Date: 2025-01-01 DOI: 10.3389/ebm.2025.10776
Feifei Kong, Jiawei Feng, Haixia Shan, Youlong Zhu, Ling-Jun Zhu

N6-methyladenosine (m6A) RNA methylation regulators have been implicated in colorectal cancer (CRC) progression. However, systematic evaluation using multiple machine learning approaches for prognostic prediction remains limited. This study aimed to develop and validate machine learning models for CRC prognosis based on m6A regulators and assess their potential for immunotherapy response prediction. We analyzed 1,047 CRC patients from TCGA and GEO databases (70% training, 30% validation). Twenty machine learning algorithms were systematically evaluated, with LASSO regression selecting optimal features from 27 m6A regulators. SHAP analysis provided model interpretability. Immune microenvironment characterization and immunotherapy response prediction were performed using established computational methods. LASSO regression selected eight m6A regulators (IGF2BP2, METTL3, HNRNPA2B1, METTL14, YTHDF2, VIRMA, FTO, ALKBH5) for model construction. Among 20 algorithms tested, Random Forest achieved optimal performance (training AUC = 0.895, validation AUC = 0.847). SHAP analysis identified IGF2BP2 (mean |SHAP| = 0.42) and METTL3 (mean |SHAP| = 0.36) as primary contributors to risk prediction. Risk stratification showed significant survival differences (HR = 2.41, 95% CI: 1.73-3.36, p < 0.001). Low-risk patients demonstrated enhanced immune infiltration with higher CD8+ T cells (17.8% vs. 10.2%, p < 0.001) and better predicted immunotherapy response rates (36.5% vs. 20.3%, p = 0.006). Our systematic machine learning analysis demonstrates that m6A regulators can effectively predict CRC prognosis and immunotherapy response. The eight-gene signature provides a practical tool for clinical risk assessment and treatment decision-making.

n6 -甲基腺苷(m6A) RNA甲基化调节因子与结直肠癌(CRC)进展有关。然而,使用多种机器学习方法进行预测的系统评估仍然有限。本研究旨在开发和验证基于m6A调节因子的CRC预后机器学习模型,并评估其在免疫治疗反应预测方面的潜力。我们分析了来自TCGA和GEO数据库的1,047例CRC患者(70%训练,30%验证)。系统地评估了20种机器学习算法,使用LASSO回归从27个m6A调节器中选择最优特征。SHAP分析提供了模型的可解释性。使用已建立的计算方法进行免疫微环境表征和免疫治疗反应预测。LASSO回归选择8个m6A调节因子(IGF2BP2、METTL3、HNRNPA2B1、METTL14、YTHDF2、VIRMA、FTO、ALKBH5)进行模型构建。在被测试的20种算法中,Random Forest的性能最优(训练AUC = 0.895,验证AUC = 0.847)。SHAP分析发现IGF2BP2(平均|SHAP| = 0.42)和METTL3(平均|SHAP| = 0.36)是预测风险的主要因素。危险分层显示生存差异显著(HR = 2.41, 95% CI: 1.73 ~ 3.36, p < 0.001)。低危患者免疫浸润增强,CD8+ T细胞增多(17.8% vs. 10.2%, p < 0.001),预测免疫治疗应答率更好(36.5% vs. 20.3%, p = 0.006)。我们的系统机器学习分析表明,m6A调节因子可以有效预测CRC预后和免疫治疗反应。八基因签名为临床风险评估和治疗决策提供了实用的工具。
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引用次数: 0
The correlation between pro- and anti-inflammatory cytokines and anti-spike IgG antibody responses induced by the SARS-CoV-2 coronavirus vaccine. 前抗炎因子和抗炎因子与SARS-CoV-2冠状病毒疫苗诱导的抗刺突IgG抗体应答的相关性
IF 2.7 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-14 eCollection Date: 2025-01-01 DOI: 10.3389/ebm.2025.10849
Mustafa Abdulkareem Salman, Thowiba Yousif Jameel, Abdurrahman Ayvaz, Ahmed Rushdi Abdullah

Even with the development of the Pfizer-BioNTech BNT162b2 vaccine, which provides protection against COVID-19 and demonstrates high efficacy in generating immune responses, the complexities of the dynamics linking pro- and anti-inflammatory cytokine profiles with anti-spike IgG production remain unclear. The study aims to elucidate these immune dynamics after vaccination. This prospective cohort research was done at the University of Diyala from January 2022 to January 2023, evaluating the immunological response to the Pfizer-BNT162b2 mRNA vaccine in 180 healthy students. Pro- and anti-inflammatory cytokines and anti-spike IgG antibodies were measured before vaccination, 1 month after the second dose, and 4 months after the second dose. Biomarkers were analyzed via ELISA and CRP assays. The study involved 180 healthy participants (80 males, 100 females; median age, 21 years; BMI, 25.7 kg/m2). After the first Pfizer-BNT162b2 vaccine dose, the level of anti-spike IgG increased by 330-fold, and the levels of pro- and anti-inflammatory markers, such as IL-1β, IL-10, and CRP, increased significantly. Four months after the second dose, anti-spike IgG levels were 136-fold above baseline. Significant correlations emerged between cytokine and IgG levels, with anti-spike IgG/IL-10 ratios elevated and sustained over the long term. Pfizer-BNT162b2 vaccine elicits a significant immune response associated with changes in pro-inflammatory cytokines, and the interaction between these cytokines and anti-spike IgG suggests a potential role for immune regulation in enhancing humoral immunity. Based on these findings, the IgG/IL-17 ratio may serve as a viable exploratory biomarker for assessing short- and medium-term vaccination efficacy.

尽管辉瑞- biontech公司开发的BNT162b2疫苗可以预防COVID-19,并在产生免疫反应方面表现出高效率,但亲炎性和抗炎性细胞因子谱与抗刺突IgG产生之间的动力学复杂性仍不清楚。本研究旨在阐明疫苗接种后这些免疫动力学。这项前瞻性队列研究于2022年1月至2023年1月在迪亚拉大学进行,评估了180名健康学生对辉瑞- bnt162b2 mRNA疫苗的免疫反应。分别在接种前、第二次接种后1个月和第二次接种后4个月测定促炎性和抗炎性细胞因子和抗刺突IgG抗体。通过ELISA和CRP检测生物标志物。该研究涉及180名健康参与者(80名男性,100名女性,中位年龄21岁,BMI 25.7 kg/m2)。第一次接种辉瑞- bnt162b2疫苗后,抗刺突IgG水平增加了330倍,IL-1β、IL-10、CRP等促炎和抗炎标志物水平显著升高。第二次注射后4个月,抗刺突IgG水平比基线高136倍。细胞因子与IgG水平之间存在显著相关性,抗尖峰IgG/IL-10比值升高并持续较长时间。辉瑞- bnt162b2疫苗引起与促炎细胞因子变化相关的显著免疫应答,这些细胞因子与抗刺突IgG之间的相互作用提示免疫调节在增强体液免疫中的潜在作用。基于这些发现,IgG/IL-17比值可作为评估中短期疫苗接种效果的一种可行的探索性生物标志物。
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引用次数: 0
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