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Roles of IL-33 in the Pathogenesis of Cardiac Disorders. IL-33在心脏疾病发病机制中的作用。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2023-10-12 DOI: 10.1177/15353702231198075
Chunjie Jiang, Xuemei Jin, Chunlei Li, Luona Wen, Yuqi Wang, Xiaojian Li, Zhi Zhang, Rongshao Tan

Interleukin-33 (IL-33) is a member of the IL-1 cytokine family and is believed to play important roles in different diseases by binding to its specific receptor suppression of tumorigenicity 2 (ST2). In the heart, IL-33 is expressed in different cells including cardiomyocytes, fibroblasts, endothelium, and epithelium. Although many studies have been devoted to investigating the effects of IL-33 on heart diseases, its roles in myocardial injuries remain obscure, and thus further studies are mandatory to unravel the underlying molecular mechanisms. We highlighted the current knowledge of the molecular and cellular characteristics of IL-33 and then summarized its major roles in different myocardial injuries, mainly focusing on infection, heart transplantation, coronary atherosclerosis, myocardial infarction, and diabetic cardiomyopathy. This narrative review will summarize current understanding and insights regarding the implications of IL-33 in cardiac diseases and its diagnostic and therapeutic potential for cardiac disease management.

白细胞介素33(IL-33)是IL-1细胞因子家族的一员,通过与其特异性受体结合抑制致瘤性2(ST2),被认为在不同的疾病中发挥重要作用。在心脏中,IL-33在不同的细胞中表达,包括心肌细胞、成纤维细胞、内皮细胞和上皮细胞。尽管许多研究致力于研究IL-33对心脏病的影响,但它在心肌损伤中的作用仍然不清楚,因此必须进行进一步的研究来揭示潜在的分子机制。我们重点介绍了IL-33的分子和细胞特征,然后总结了其在不同心肌损伤中的主要作用,主要集中在感染、心脏移植、冠状动脉粥样硬化、心肌梗死和糖尿病心肌病。这篇叙述性综述将总结目前对IL-33在心脏病中的意义及其在心脏病管理中的诊断和治疗潜力的理解和见解。
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引用次数: 0
Surface fibrils on the particles of nucleocytoviruses: A review. 核细胞病毒颗粒表面原纤维的研究进展。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2023-11-13 DOI: 10.1177/15353702231208410
Isabella Luiza Martins de Aquino, Matheus Gomes Barcelos, Talita Bastos Machado, Mateus Sá Magalhães Serafim, Jônatas Santos Abrahão

The capsid has a central role in viruses' life cycle. Although one of its major functions is to protect the viral genome, the capsid may be composed of elements that, at some point, promote interaction with host cells and trigger infection. Considering the scenario of multiple origins of viruses along the viral evolution, a substantial number of capsid shapes, sizes, and symmetries have been described. In this context, capsids of giant viruses (GV) that infect protists have drawn the attention of the scientific community, especially in the last 20 years, specifically for having bacterial-like dimensions with hundreds of different proteins and exclusive features. For instance, the surface fibrils present on the mimivirus capsid are one of the most intriguing features of the known virosphere. They are 150-nm-long structures attached to a 450-nm capsid, resulting in a particle with a hairy appearance. Surface fibrils have also been described in the capsids of other nucleocytoviruses, although they may differ substantially among them. In this mini review for non-experts, we compile the most important available information on surface fibrils of nucleocytoviruses, discussing their putative functions, composition, length, organization, and origins.

衣壳在病毒的生命周期中起着核心作用。尽管衣壳的主要功能之一是保护病毒基因组,但在某些时候,衣壳可能由促进与宿主细胞相互作用并引发感染的元素组成。考虑到病毒在进化过程中的多种起源,大量的衣壳形状、大小和对称性已经被描述。在这种背景下,感染原生生物的巨型病毒(GV)衣壳引起了科学界的关注,特别是在过去的20年里,特别是因为它具有类似细菌的尺寸,含有数百种不同的蛋白质和独特的特征。例如,存在于迷你病毒衣壳上的表面原纤维是已知病毒圈中最有趣的特征之一。它们是150nm长的结构,附着在450nm的衣壳上,从而形成毛发状的颗粒。表面原纤维也被描述在其他核细胞病毒的衣壳中,尽管它们之间可能有很大的不同。在这篇针对非专家的小综述中,我们收集了关于核细胞病毒表面原纤维的最重要的现有信息,讨论了它们的假定功能、组成、长度、组织和起源。
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引用次数: 0
Challenges and advances in serological and molecular tests to aid leprosy diagnosis. 帮助麻风病诊断的血清学和分子检测的挑战和进展。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2023-12-07 DOI: 10.1177/15353702231209422
Leonardo Lopes-Luz, Djairo Pastor Saavedra, Matheus Bernardes Torres Fogaça, Samira Bührer-Sékula, Mariane Martins de Araújo Stefani

Leprosy is a neglected chronic infectious disease caused by obligate intracellular bacilli, Mycobacterium leprae and Mycobacterium lepromatosis. Despite multidrug therapy (MDT) success, leprosy accounts for more than 200,000 new cases yearly. Leprosy diagnosis remains based on the dermato-neurologic examination, but histopathology of skin biopsy and bacilloscopy of intradermal scraping are subsidiary diagnostic tests that require expertise and laboratory infrastructure. This minireview summarizes the state of the art of serologic tests to aid leprosy diagnosis, highlighting enzyme-linked immunosorbent assay (ELISA) and point-of-care tests (POCT) biotechnologies. Also, the impact of the postgenomic era on the description of new recombinantly expressed M. leprae-specific protein antigens, such as leprosy Infectious Disease Research Institute (IDRI) diagnostic (LID)-1 is summarized. Highly specific and sensitive molecular techniques to detect M. leprae DNA as the quantitative polymerase chain reaction (qPCR) and the loop-mediated isothermal amplification (LAMP) are briefly reviewed. Serology studies using phenolic glycolipid-I (PGL-I) semi-synthetic antigens, LID-1 fusion antigen, and the single fusion complex natural disaccharide-octyl (NDO)-LID show high sensitivity in multibacillary (MB) patients. However, serology is not applicable to paucibacillary patients, as they have weak humoral response and robust cell-mediated response, requiring tests for cellular biomarkers. Unlike ELISA-based tests, leprosy-specific POCT based on semi-synthetic PGL-I antigens and NDO-LID 1 antigen is easy to perform, cheaper, equipment-free, and can contribute to early diagnosis avoiding permanent incapacities and helping to interrupt M. leprae transmission. Besides its use to help diagnosis of household contacts or at-risk populations in endemic areas, potential applications of leprosy serology include monitoring MDT efficacy, identification of recent infection, especially in young children, as surrogate markers of disease progression to orient adult chemoprophylaxis and as a predictor of type 2 leprosy reactions. Advances in molecular biology techniques have reduced the complexity and execution time of qPCR confirming its utility to help diagnosis while leprosy-specific LAMP holds promise as an adjunct test to detect M. leprae DNA.

麻风是由专性细胞内杆菌、麻风分枝杆菌和麻风分枝杆菌病引起的一种被忽视的慢性传染病。尽管多药治疗(MDT)取得了成功,麻风病每年仍有20多万新病例。麻风病诊断仍以皮肤神经检查为基础,但皮肤活检的组织病理学和皮内刮痧的杆菌镜检查是辅助诊断测试,需要专业知识和实验室基础设施。这篇小型综述总结了帮助麻风病诊断的血清学检测的最新进展,重点介绍了酶联免疫吸附测定(ELISA)和即时检测(POCT)生物技术。此外,本文还总结了后基因组时代对重组表达麻风分枝杆菌特异性蛋白抗原描述的影响,如麻风传染病研究所(IDRI)诊断(LID)-1。本文综述了用于检测麻风分枝杆菌DNA的高特异性和高灵敏度的分子技术,如定量聚合酶链反应(qPCR)和环介导等温扩增(LAMP)。使用酚类糖脂- i (PGL-I)半合成抗原、LID-1融合抗原和单一融合复合物天然双糖-辛基(NDO)-LID进行血清学研究,显示对多杆菌(MB)患者具有高敏感性。然而,血清学不适用于少杆菌患者,因为他们有较弱的体液反应和较强的细胞介导反应,需要检测细胞生物标志物。与基于elisa的检测不同,基于半合成pgl - 1抗原和NDO-LID - 1抗原的麻风特异性POCT易于操作、价格较低、不需要设备,并且有助于早期诊断,避免永久性残疾,并有助于阻断麻风杆菌传播。除了用于帮助诊断流行地区的家庭接触者或高危人群外,麻风血清学的潜在应用还包括监测MDT疗效,确定近期感染,特别是幼儿感染,作为疾病进展的替代标记物,指导成人化学预防,以及作为2型麻风反应的预测指标。分子生物学技术的进步降低了qPCR的复杂性和执行时间,证实了其帮助诊断的实用性,而麻风特异性LAMP有望作为检测麻风分枝杆菌DNA的辅助检测。
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引用次数: 0
A systematic analysis and data mining of opioid-related adverse events submitted to the FAERS database. 对提交至 FAERS 数据库的阿片类药物相关不良事件进行系统分析和数据挖掘。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2023-12-30 DOI: 10.1177/15353702231211860
Huyen Le, Huixiao Hong, Weigong Ge, Henry Francis, Beverly Lyn-Cook, Yi-Ting Hwang, Paul Rogers, Weida Tong, Wen Zou

The opioid epidemic has become a serious national crisis in the United States. An indepth systematic analysis of opioid-related adverse events (AEs) can clarify the risks presented by opioid exposure, as well as the individual risk profiles of specific opioid drugs and the potential relationships among the opioids. In this study, 92 opioids were identified from the list of all Food and Drug Administration (FDA)-approved drugs, annotated by RxNorm and were classified into 13 opioid groups: buprenorphine, codeine, dihydrocodeine, fentanyl, hydrocodone, hydromorphone, meperidine, methadone, morphine, oxycodone, oxymorphone, tapentadol, and tramadol. A total of 14,970,399 AE reports were retrieved and downloaded from the FDA Adverse Events Reporting System (FAERS) from 2004, Quarter 1 to 2020, Quarter 3. After data processing, Empirical Bayes Geometric Mean (EBGM) was then applied which identified 3317 pairs of potential risk signals within the 13 opioid groups. Based on these potential safety signals, a comparative analysis was pursued to provide a global overview of opioid-related AEs for all 13 groups of FDA-approved prescription opioids. The top 10 most reported AEs for each opioid class were then presented. Both network analysis and hierarchical clustering analysis were conducted to further explore the relationship between opioids. Results from the network analysis revealed a close association among fentanyl, oxycodone, hydrocodone, and hydromorphone, which shared more than 22 AEs. In addition, much less commonly reported AEs were shared among dihydrocodeine, meperidine, oxymorphone, and tapentadol. On the contrary, the hierarchical clustering analysis further categorized the 13 opioid classes into two groups by comparing the full profiles of presence/absence of AEs. The results of network analysis and hierarchical clustering analysis were not only consistent and cross-validated each other but also provided a better and deeper understanding of the associations and relationships between the 13 opioid groups with respect to their adverse effect profiles.

在美国,阿片类药物的流行已成为一场严重的全国性危机。对阿片类药物相关不良事件(AEs)进行深入系统的分析可以明确阿片类药物暴露所带来的风险,以及特定阿片类药物的个体风险特征和阿片类药物之间的潜在关系。在这项研究中,从美国食品药品管理局(FDA)批准的所有药物清单中确定了 92 种阿片类药物,并由 RxNorm 进行了注释,将其分为 13 个阿片类药物组:丁丙诺啡、可待因、双氢可待因、芬太尼、氢可酮、氢吗啡酮、美培林、美沙酮、吗啡、羟考酮、羟吗啡酮、他喷他多和曲马多。从美国食品药物管理局不良事件报告系统(FDA Adverse Events Reporting System,FAERS)中检索并下载了 2004 年第 1 季度至 2020 年第 3 季度共 14,970,399 份不良事件报告。数据处理后,应用经验贝叶斯几何平均法 (EBGM),在 13 个阿片类药物组中识别出 3317 对潜在风险信号。在这些潜在安全信号的基础上,进行了比较分析,以提供 FDA 批准的所有 13 组阿片类处方药的阿片相关 AE 的总体概况。然后列出了每类阿片类药物报告最多的前 10 种 AE。为了进一步探究阿片类药物之间的关系,我们进行了网络分析和分层聚类分析。网络分析的结果显示,芬太尼、羟考酮、氢可酮和氢吗啡酮之间存在密切联系,它们共有超过 22 种 AE。此外,双氢可待因、美佩里定、羟吗啡酮和他喷他多之间共用的 AEs 要少得多。相反,分层聚类分析通过比较出现/不出现 AEs 的全部情况,进一步将 13 种阿片类药物分为两组。网络分析和分层聚类分析的结果不仅相互一致、相互验证,而且能更好、更深入地了解 13 个阿片类药物组之间在不良反应特征方面的关联和关系。
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引用次数: 0
Modeling immunity in microphysiological systems. 微生理系统中的免疫建模。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2024-01-02 DOI: 10.1177/15353702231215897
Brian J Kwee, Xiaoqing Li, Xinh-Xinh Nguyen, Courtney Campagna, Johnny Lam, Kyung E Sung

There is a need for better predictive models of the human immune system to evaluate safety and efficacy of immunomodulatory drugs and biologics for successful product development and regulatory approvals. Current in vitro models, which are often tested in two-dimensional (2D) tissue culture polystyrene, and preclinical animal models fail to fully recapitulate the function and physiology of the human immune system. Microphysiological systems (MPSs) that can model key microenvironment cues of the human immune system, as well as of specific organs and tissues, may be able to recapitulate specific features of the in vivo inflammatory response. This minireview provides an overview of MPS for modeling lymphatic tissues, immunity at tissue interfaces, inflammatory diseases, and the inflammatory tumor microenvironment in vitro and ex vivo. Broadly, these systems have utility in modeling how certain immunotherapies function in vivo, how dysfunctional immune responses can propagate diseases, and how our immune system can combat pathogens.

目前需要更好的人体免疫系统预测模型来评估免疫调节药物和生物制剂的安全性和有效性,以便成功进行产品开发和监管审批。目前的体外模型通常在二维(2D)组织培养聚苯乙烯中进行测试,临床前动物模型也无法完全再现人体免疫系统的功能和生理。能模拟人体免疫系统以及特定器官和组织的关键微环境线索的微观生理系统(MPS)或许能再现体内炎症反应的特定特征。本小视图概述了用于体外和体外模拟淋巴组织、组织界面免疫、炎症性疾病和炎症性肿瘤微环境的 MPS。从广义上讲,这些系统在模拟某些免疫疗法如何在体内发挥作用、功能失调的免疫反应如何传播疾病以及我们的免疫系统如何对抗病原体等方面具有实用价值。
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引用次数: 0
The Janus face of antipsychotics in glial cells: Focus on glioprotection. 抗精神病药物在神经胶质细胞中的杰纳斯面孔:关注神经胶质保护。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2024-01-17 DOI: 10.1177/15353702231222027
Izaviany Schmitz, Amanda da Silva, Larissa Daniele Bobermin, Carlos-Alberto Gonçalves, Johann Steiner, André Quincozes-Santos

Antipsychotics are commonly prescribed to treat several neuropsychiatric disorders, including schizophrenia, mania in bipolar disorder, autism spectrum disorder, delirium, and organic or secondary psychosis, for example, in dementias such as Alzheimer's disease. There is evidence that typical antipsychotics such as haloperidol are more effective in reducing positive symptoms than negative symptoms and/or cognitive deficits. In contrast, atypical antipsychotic agents have gained popularity over typical antipsychotics, due to fewer extrapyramidal side effects and their theoretical efficacy in controlling both positive and negative symptoms. Although these therapies focus on neuron-based therapeutic schemes, glial cells have been recognized as important regulators of the pathophysiology of neuropsychiatric disorders, as well as targets to improve the efficacy of these drugs. Glial cells (astrocytes, oligodendrocytes, and microglia) are critical for the central nervous system in both physiological and pathological conditions. Astrocytes are the most abundant glial cells and play important roles in brain homeostasis, regulating neurotransmitter systems and gliotransmission, since they express a wide variety of functional receptors for different neurotransmitters. In addition, converging lines of evidence indicate that psychiatric disorders are commonly associated with the triad neuroinflammation, oxidative stress, and excitotoxicity, and that glial cells may contribute to the gliotoxicity process. Conversely, glioprotective molecules attenuate glial damage by generating specific responses that can protect glial cells themselves and/or neurons, resulting in improved central nervous system (CNS) functioning. In this regard, resveratrol is well-recognized as a glioprotective molecule, including in clinical studies of schizophrenia and autism. This review will provide a summary of the dual role of antipsychotics on neurochemical parameters associated with glial functions and will highlight the potential activity of glioprotective molecules to improve the action of antipsychotics.

抗精神病药物通常用于治疗多种神经精神疾病,包括精神分裂症、双相情感障碍中的躁狂症、自闭症谱系障碍、谵妄以及阿尔茨海默病等痴呆症中的器质性或继发性精神病。有证据表明,氟哌啶醇等典型抗精神病药物在减轻阳性症状方面比减轻阴性症状和/或认知障碍方面更有效。相比之下,非典型抗精神病药物由于锥体外系副作用较少,而且理论上对控制阳性和阴性症状都有效,因此比典型抗精神病药物更受欢迎。虽然这些疗法侧重于以神经元为基础的治疗方案,但神经胶质细胞已被认为是神经精神障碍病理生理学的重要调节因子,也是提高这些药物疗效的靶点。神经胶质细胞(星形胶质细胞、少突胶质细胞和小胶质细胞)在生理和病理状态下对中枢神经系统都至关重要。星形胶质细胞是数量最多的胶质细胞,在大脑平衡、调节神经递质系统和神经胶质传导方面发挥着重要作用,因为它们表达多种不同神经递质的功能受体。此外,越来越多的证据表明,精神疾病通常与神经炎症、氧化应激和兴奋毒性三者有关,而神经胶质细胞可能在神经胶质毒性过程中起了作用。相反,胶质保护分子通过产生特定的反应来减轻胶质损伤,从而保护胶质细胞本身和/或神经元,从而改善中枢神经系统(CNS)的功能。在这方面,白藜芦醇是公认的胶质保护分子,包括在精神分裂症和自闭症的临床研究中。本综述将概述抗精神病药物对与神经胶质功能相关的神经化学参数的双重作用,并将强调胶质保护分子在改善抗精神病药物作用方面的潜在活性。
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引用次数: 0
Arbovirus surveillance in mosquitoes: Historical methods, emerging technologies, and challenges ahead. 蚊虫中的虫媒病毒监测:历史方法、新兴技术和未来挑战。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2024-01-06 DOI: 10.1177/15353702231209415
Luis Janssen Maia, Cirilo Henrique de Oliveira, Arthur Batista Silva, Pedro Augusto Almeida Souza, Nicolas Felipe Drumm Müller, Jader da Cruz Cardoso, Bergmann Morais Ribeiro, Filipe Vieira Santos de Abreu, Fabrício Souza Campos

Arboviruses cause millions of infections each year; however, only limited options are available for treatment and pharmacological prevention. Mosquitoes are among the most important vectors for the transmission of several pathogens to humans. Despite advances, the sampling, viral detection, and control methods for these insects remain ineffective. Challenges arise with the increase in mosquito populations due to climate change, insecticide resistance, and human interference affecting natural habitats, which contribute to the increasing difficulty in controlling the spread of arboviruses. Therefore, prioritizing arbovirus surveillance is essential for effective epidemic preparedness. In this review, we offer a concise historical account of the discovery and monitoring of arboviruses in mosquitoes, from mosquito capture to viral detection. We then analyzed the advantages and limitations of these traditional methods. Furthermore, we investigated the potential of emerging technologies to address these limitations, including the implementation of next-generation sequencing, paper-based devices, spectroscopic detectors, and synthetic biosensors. We also provide perspectives on recurring issues and areas of interest such as insect-specific viruses.

虫媒病毒每年造成数百万人感染,然而,目前只有有限的治疗和药物预防方法。蚊子是向人类传播多种病原体的最重要媒介之一。尽管取得了进步,但针对这些昆虫的采样、病毒检测和控制方法仍然无效。气候变化、杀虫剂抗药性和人类干扰对自然栖息地的影响导致蚊虫数量增加,从而给控制虫媒病毒的传播带来了越来越大的困难。因此,确定虫媒病毒监测的优先次序对于有效防备流行病至关重要。在这篇综述中,我们简明扼要地介绍了从蚊子捕获到病毒检测等发现和监测蚊子中虫媒病毒的历史。然后,我们分析了这些传统方法的优势和局限性。此外,我们还研究了新兴技术解决这些局限性的潜力,包括下一代测序、纸质设备、光谱检测器和合成生物传感器的应用。我们还对经常出现的问题和感兴趣的领域(如昆虫特异性病毒)提出了看法。
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引用次数: 0
An overview of viral chitinases: General properties and biotechnological potential. 病毒几丁质酶综述:一般性质和生物技术潜力。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2023-12-06 DOI: 10.1177/15353702231208408
Ellen Gonçalves de Oliveira, Clécio Alonso da Costa Filho, Rodrigo Araújo Lima Rodrigues

Chitin is a biopolymer profusely present in nature and of pivotal importance as a structural component in cells. It is degraded by chitinases, enzymes naturally produced by different organisms. Chitinases are proteins enrolled in many cellular mechanisms, including the remodeling process of the fungal cell wall, the cell growth process, the autolysis of filamentous fungi, and cell separation of yeasts, among others. These enzymes also have properties with different biotechnological applications. They are used to produce polymers, for biological control, biofilm formation, and as antitumor and anti-inflammatory target molecules. Chitinases are classified into different glycoside hydrolase (GH) families and are widespread in microorganisms, including viruses. Among them, the GH18 family is highly predominant in the viral genomes, being present and active enzymes in baculoviruses and nucleocytoplasmic large DNA viruses (NCLDV), especially chloroviruses from the Phycodnaviridae family. These viral enzymes contain one or more GH domains and seem to be involved during the viral replication cycle. Curiously, only a few DNA viruses have these enzymes, and studying their properties could be a key feature for biological and biotechnological novelties. Here, we provide an overview of viral chitinases and their probable function in viral infection, showing evidence of at least two distinct origins for these enzymes. Finally, we discuss how these enzymes can be applied as biotechnological tools and what one can expect for the coming years on these GHs.

几丁质是一种广泛存在于自然界的生物聚合物,是细胞结构的重要组成部分。它被几丁质酶降解,几丁质酶是由不同的生物体自然产生的。几丁质酶是一种参与多种细胞机制的蛋白质,包括真菌细胞壁的重塑过程、细胞生长过程、丝状真菌的自溶和酵母的细胞分离等。这些酶还具有不同生物技术应用的特性。它们被用于生产聚合物,用于生物防治,生物膜的形成,以及作为抗肿瘤和抗炎靶分子。几丁质酶被分为不同的糖苷水解酶(GH)家族,广泛存在于包括病毒在内的微生物中。其中,GH18家族在病毒基因组中占据高度优势,存在于杆状病毒和核胞质大DNA病毒(NCLDV)中,并具有活性酶,尤其是藻纳病毒科的氯病毒。这些病毒酶含有一个或多个生长激素结构域,似乎与病毒复制周期有关。奇怪的是,只有少数DNA病毒具有这些酶,研究它们的特性可能是生物学和生物技术创新的关键特征。在这里,我们提供了病毒几丁质酶及其在病毒感染中的可能功能的概述,显示这些酶至少有两个不同的起源的证据。最后,我们讨论了这些酶如何作为生物技术工具应用,以及人们对这些GHs未来几年的期望。
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引用次数: 0
Nanocarrier-mediated curcumin delivery: An adjuvant strategy for CNS disease treatment. 纳米载体介导的姜黄素递送:中枢神经系统疾病治疗的辅助策略。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2023-12-06 DOI: 10.1177/15353702231211863
Sandip Godse, Lina Zhou, Swarna Sakshi, Bhupesh Singla, Udai P Singh, Santosh Kumar

Neurological disorders are a major global challenge, which counts for a substantial slice of disease burden around the globe. In these, the challenging landscape of central nervous system (CNS) diseases, including Alzheimer's disease, Parkinson's disease, multiple sclerosis, and neuro-AIDS, demands innovative and novel therapeutic approaches. Curcumin, a versatile natural compound with antioxidant and anti-inflammatory properties, shows great potential as a CNS adjuvant therapy. However, its limited bioavailability and suboptimal permeability to the blood-brain barrier (BBB) hamper the therapeutic efficacy of curcumin. This review explores how nanocarrier facilitates curcumin delivery, which has shown therapeutic efficacy for various non-CNS diseases, for example, cancers, and can also revolutionize the treatment outcomes in patients with CNS diseases. Toward this, intranasal administration of curcumin as a non-invasive CNS drug delivery route can also aid its therapeutic outcomes as an adjuvant therapy for CNS diseases. Intranasal delivery of nanocarriers with curcumin improves the bioavailability of curcumin and its BBB permeability, which is instrumental in promoting its therapeutic potential. Furthermore, curcumin's inhibitory effect on efflux transporters will help to enhance the BBB and cellular permeability of various CNS drugs. The therapeutic potential of curcumin as an adjuvant has the potential to yield synergistic effects with CNS drugs and will help to reduce CNS drug doses and improve their safety profile. Taken together, this approach holds a promise for reshaping CNS disease management by maximizing curcumin's and other drugs' therapeutic benefits.

神经系统疾病是一项重大的全球性挑战,占全球疾病负担的很大一部分。在这些领域,中枢神经系统(CNS)疾病(包括阿尔茨海默病、帕金森氏病、多发性硬化症和神经艾滋病)的挑战性前景需要创新和新颖的治疗方法。姜黄素是一种具有抗氧化和抗炎特性的多功能天然化合物,作为中枢神经系统辅助治疗显示出巨大的潜力。然而,姜黄素有限的生物利用度和对血脑屏障(BBB)的渗透性不佳阻碍了其治疗效果。本文综述了纳米载体如何促进姜黄素的递送,姜黄素在多种非中枢神经系统疾病(如癌症)中显示出治疗效果,并可能彻底改变中枢神经系统疾病患者的治疗结果。为此,姜黄素鼻内给药作为一种无创的中枢神经系统药物递送途径也可以作为中枢神经系统疾病的辅助治疗来改善其治疗效果。含姜黄素的纳米载体鼻内递送可提高姜黄素的生物利用度及其血脑屏障的通透性,这有助于促进其治疗潜力。此外,姜黄素对外排转运体的抑制作用将有助于增强各种中枢神经系统药物的血脑屏障和细胞通透性。姜黄素作为佐剂的治疗潜力有可能与中枢神经系统药物产生协同效应,并有助于减少中枢神经系统药物剂量并提高其安全性。综上所述,这种方法有望通过最大化姜黄素和其他药物的治疗效果来重塑中枢神经系统疾病的管理。
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引用次数: 0
Progress in the contrary effects of glucagon-like peptide-1 and chemerin on obesity development. 胰高血糖素样肽-1和趋化素在肥胖发展中的相反作用的研究进展。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2023-12-06 DOI: 10.1177/15353702231214270
Qilong Zhang, Jianping Ye, Xiaohui Wang

Glucagon-like peptide-1 (GLP-1), secreted by intestinal L-cells, plays a pivotal role in the modulation of β-cell insulin secretion in a glucose-dependent manner, concurrently promoting β-cell survival and β-cell mass. Notably, GLP-1 has emerged as an effective second-line treatment for type 2 diabetes mellitus, gaining further prominence for its pronounced impact on body weight reduction, positioning it as a potent antiobesity agent. However, the mechanism by which GLP-1 improves obesity remains unclear. Some reports suggest that this mechanism may be associated with the regulation of adipokine synthesis within adipose tissue. Chemerin, a multifunctional adipokine and chemokine, has been identified as a pivotal player in adipocyte differentiation and the propagation of systemic inflammation, a hallmark of obesity. This review provides a comprehensive overview of the mechanisms by which GLP-1 and chemerin play crucial roles in obesity and obesity-related diseases. It discusses well-established aspects, such as their effects on food intake and glycolipid metabolism, as well as recent insights, including their influence on macrophage polarization and adipose tissue thermogenesis. GLP-1 has been shown to increase the population of anti-inflammatory M2 macrophages, promote brown adipose tissue thermogenesis, and induce the browning of white adipose tissue. In contrast, chemerin exhibits opposite effects in these processes. In addition, recent research findings have demonstrated the promising potential of GLP-1-based therapies in directly or indirectly regulating chemerin expression. In an intriguing reciprocal relationship, chemerin has also been newly identified as a negative regulator of GLP-1 in vivo. This review delineates the intricate interplay between GLP-1 and chemerin, unraveling their mutual inhibitory interactions. To the best of our knowledge, no previous reviews have focused on this specific topic, making this review particularly valuable in expanding our understanding of the endocrine mechanisms of obesity and providing potential strategies for the treatment of obesity and related diseases.

胰高血糖素样肽-1 (Glucagon-like peptide-1, GLP-1)由肠道l细胞分泌,以葡萄糖依赖的方式调节β细胞胰岛素分泌,同时促进β细胞存活和β细胞质量。值得注意的是,GLP-1已成为2型糖尿病的有效二线治疗药物,其对体重减轻的显著影响使其成为一种有效的抗肥胖药物。然而,GLP-1改善肥胖的机制尚不清楚。一些报道表明,这一机制可能与脂肪组织内脂肪因子合成的调节有关。趋化素是一种多功能脂肪因子和趋化因子,已被确定为脂肪细胞分化和全身性炎症(肥胖的标志)传播的关键角色。本文综述了GLP-1和趋化素在肥胖和肥胖相关疾病中发挥重要作用的机制。它讨论了成熟的方面,如它们对食物摄入和糖脂代谢的影响,以及最近的见解,包括它们对巨噬细胞极化和脂肪组织产热的影响。GLP-1可增加抗炎M2巨噬细胞数量,促进褐色脂肪组织产热,诱导白色脂肪组织褐化。相反,趋化素在这些过程中表现出相反的作用。此外,最近的研究结果表明,基于glp -1的治疗在直接或间接调节趋化素表达方面具有很大的潜力。在一个有趣的互惠关系中,chemerin也被新发现是体内GLP-1的负调节因子。这篇综述描述了GLP-1和趋化素之间复杂的相互作用,揭示了它们相互抑制的相互作用。据我们所知,之前还没有针对这一特定主题的综述,这使得本综述在扩大我们对肥胖内分泌机制的理解以及为肥胖及相关疾病的治疗提供潜在策略方面特别有价值。
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