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Bridging the gap: a translational perspective in spinal cord injury. 弥合差距:脊髓损伤的转化视角。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-26 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10266
Omar Imad Hassan, Soichiro Takamiya, Azam Asgarihafshejani, Michael G Fehlings

Traumatic spinal cord injury (SCI) is a devastating and complex condition to treat with no curative options. In the past few decades, rapid advancements in our understanding of SCI pathophysiology as well as the mergence of new treatments has created more optimism. Focusing on clinical translation, this paper provides a comprehensive overview of SCI through its epidemiology, pathophysiology, currently employed management strategies, and emerging therapeutic approaches. Additionally, it emphasizes the importance of addressing the heavy quality of life (QoL) challenges faced by SCI patients and their desires, providing a basis to tailor patient-centric forms of care. Furthermore, this paper discusses the frequently encountered barriers in translation from preclinical models to clinical settings. It also seeks to summarize significant completed and ongoing SCI clinical trials focused on neuroprotective and neuroregenerative strategies. While developing a cohesive regenerative treatment strategy remains challenging, even modest improvements in sensory and motor function can offer meaningful benefits and motivation for patients coping with this highly debilitating condition.

外伤性脊髓损伤(SCI)是一种毁灭性的复杂疾病,目前尚无根治的方法。在过去的几十年里,我们对 SCI 病理生理学的理解突飞猛进,新疗法层出不穷,这让我们对未来更加乐观。本文以临床转化为重点,通过SCI的流行病学、病理生理学、目前采用的管理策略以及新兴的治疗方法,对SCI进行了全面概述。此外,本文还强调了解决 SCI 患者面临的严重生活质量(QoL)挑战及其愿望的重要性,为定制以患者为中心的护理形式提供了依据。此外,本文还讨论了从临床前模型转化到临床环境过程中经常遇到的障碍。本文还试图总结已完成和正在进行的以神经保护和神经再生策略为重点的重要 SCI 临床试验。虽然开发一种具有凝聚力的再生治疗策略仍具有挑战性,但即使是感觉和运动功能的适度改善也能为患者带来有意义的益处和动力,帮助他们应对这种使人高度衰弱的疾病。
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引用次数: 0
Integrated multi-omics profiling reveals the ZZZ3/CD70 axis is a super-enhancer-driven regulator of diffuse large B-cell lymphoma cell-natural killer cell interactions. 综合多组学分析揭示了ZZZ3/CD70轴是弥漫大B细胞淋巴瘤细胞-自然杀伤细胞相互作用的超级增强因子。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-23 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10155
Xi Li, Juya Cui, Liao Wang, Caihong Cao, Hu Liu

Tumor immune microenvironment is crucial for diffuse large B-cell lymphoma (DLBCL) development. However, the mechanisms by which super-enhancers (SEs) regulate the interactions between DLBCL cells and tumor-infiltrating immune cells remains largely unknown. This study aimed to investigate the role of SE-controlled genes in regulating the interactions between DLBCL cells and tumor-infiltrating immune cells. Single-cell RNA-seq, bulk RNA-seq and H3K27ac ChIP-seq data were downloaded from the Heidelberg Open Research Data database and Gene Expression Omnibus database. HOMER algorithm and Seurat package in R were used for bioinformatics analysis. Cell proliferation and lactate dehydrogenase (LDH) release was detected by MTS and LDH release assays, respectively. Interaction between B cell cluster and CD8+ T cell and NK cell cluster was most obviously enhanced in DLBCL, with CD70-CD27, MIF-CD74/CXCR2 complex, MIF-CD74/CD44 complex and CCL3-CCR5 interactions were significantly increased. NK cell sub-cluster showed the strongest interaction with B cell cluster. ZZZ3 upregulated the transcription of CD70 by binding to its SE. Silencing CD70 in DOHH2 cells significantly promoted the proliferation of co-cultured NK92 cells and LDH release from DOHH2 cells, which was counteracted by ZZZ3 overexpression in DOHH2 cells. CD70 silencing combined with PD-L1 blockade promoted LDH release from DOHH2 cells co-cultured with NK92 cells. In conclusion, DLBCL cells inhibited the proliferation and killing of infiltrating NK cells by regulating ZZZ3/CD70 axis. Targeting ZZZ3/CD70 axis combined with PD-L1 blockade is expected to be a promising strategy for DLBCL treatment.

肿瘤免疫微环境对弥漫大B细胞淋巴瘤(DLBCL)的发展至关重要。然而,超级增强子(SE)调控DLBCL细胞与肿瘤浸润免疫细胞之间相互作用的机制在很大程度上仍然未知。本研究旨在探讨SE控制基因在调节DLBCL细胞与肿瘤浸润免疫细胞之间相互作用中的作用。研究人员从海德堡开放研究数据数据库(Heidelberg Open Research Data database)和基因表达总库(Gene Expression Omnibus database)下载了单细胞RNA-seq、批量RNA-seq和H3K27ac ChIP-seq数据。生物信息学分析使用了 HOMER 算法和 R 中的 Seurat 软件包。细胞增殖和乳酸脱氢酶(LDH)释放分别通过 MTS 和 LDH 释放试验检测。在DLBCL中,B细胞集群与CD8+ T细胞和NK细胞集群的相互作用明显增强,其中CD70-CD27、MIF-CD74/CXCR2复合物、MIF-CD74/CD44复合物和CCL3-CCR5的相互作用显著增加。NK细胞亚簇与B细胞簇的相互作用最强。ZZZ3 通过与其 SE 结合上调了 CD70 的转录。在 DOHH2 细胞中沉默 CD70 能明显促进共培养的 NK92 细胞的增殖和 DOHH2 细胞中 LDH 的释放,而在 DOHH2 细胞中过表达 ZZZ3 则能抵消这一作用。CD70沉默联合PD-L1阻断可促进与NK92细胞共培养的DOHH2细胞释放LDH。总之,DLBCL细胞通过调节ZZZ3/CD70轴抑制浸润NK细胞的增殖和杀伤。靶向 ZZZ3/CD70 轴并结合 PD-L1 阻断有望成为一种治疗 DLBCL 的有效策略。
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引用次数: 0
Development of a comprehensive open access "molecules with androgenic activity resource (MAAR)" to facilitate risk assessment of chemicals. 开发全面开放的 "具有雄激素活性的分子资源(MAAR)",以促进化学品风险评估。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-19 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10279
Fan Dong, Barry Hardy, Jie Liu, Tomaz Mohoric, Wenjing Guo, Thomas Exner, Weida Tong, Joh Dohler, Daniel Bachler, Huixiao Hong

The increasing prevalence of endocrine-disrupting chemicals (EDCs) and their potential adverse effects on human health underscore the necessity for robust tools to assess and manage associated risks. The androgen receptor (AR) is a critical component of the endocrine system, playing a pivotal role in mediating the biological effects of androgens, which are male sex hormones. Exposure to androgen-disrupting chemicals during critical periods of development, such as fetal development or puberty, may result in adverse effects on reproductive health, including altered sexual differentiation, impaired fertility, and an increased risk of reproductive disorders. Therefore, androgenic activity data is critical for chemical risk assessment. A large amount of androgenic data has been generated using various experimental protocols. Moreover, the data are reported in different formats and in diverse sources. To facilitate utilization of androgenic activity data in chemical risk assessment, the Molecules with Androgenic Activity Resource (MAAR) was developed. MAAR is the first open-access platform designed to streamline and enhance the risk assessment of chemicals with androgenic activity. MAAR's development involved the integration of diverse data sources, including data from public databases and mining literature, to establish a reliable and versatile repository. The platform employs a user-friendly interface, enabling efficient navigation and extraction of pertinent information. MAAR is poised to advance chemical risk assessment by offering unprecedented access to information crucial for evaluating the androgenic potential of a wide array of chemicals. The open-access nature of MAAR promotes transparency and collaboration, fostering a collective effort to address the challenges posed by androgenic EDCs.

干扰内分泌的化学品(EDCs)的日益普遍及其对人类健康的潜在不利影响突出表明,有必要采用强有力的工具来评估和管理相关风险。雄激素受体(AR)是内分泌系统的重要组成部分,在介导雄激素(即男性性激素)的生物效应方面发挥着关键作用。在胎儿发育或青春期等发育关键时期接触干扰雄激素的化学物质,可能会对生殖健康产生不利影响,包括性分化改变、生育能力受损以及生殖系统疾病风险增加。因此,雄性激素活性数据对于化学品风险评估至关重要。利用各种实验方案已经产生了大量的雄激素数据。此外,这些数据的报告格式和来源也各不相同。为了便于在化学风险评估中利用雄激素活性数据,我们开发了雄激素活性分子资源(MAAR)。MAAR 是首个开放存取平台,旨在简化和加强对具有雄激素活性的化学品的风险评估。MAAR 的开发工作涉及整合各种数据源,包括来自公共数据库和挖掘文献的数据,以建立一个可靠的多功能资源库。该平台采用了用户友好型界面,可实现高效导航和提取相关信息。MAAR 提供了前所未有的信息获取途径,对评估各种化学品的雄激素潜力至关重要,从而有望推动化学品风险评估。MAAR 的开放性促进了透明度和合作,推动了应对雄激素 EDC 带来的挑战的集体努力。
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引用次数: 0
Corrigendum: Genome-wide association study identifying variants related to performance and injury in high-performance athletes. 更正:全基因组关联研究确定与成绩和高水平运动员受伤有关的变异。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-19 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10348
Jay R Ebert, Agnes Magi, Eve Unt, Ele Prans, David J Wood, Sulev Koks

[This corrects the article DOI: 10.1177/15353702231198068.].

[此处更正了文章 DOI:10.1177/15353702231198068]。
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引用次数: 0
Single-cell RNA sequencing data locate ALDH1A2-mediated retinoic acid synthetic pathway to glomerular parietal epithelial cells. 单细胞 RNA 测序数据将 ALDH1A2 介导的视黄酸合成途径定位到肾小球顶叶上皮细胞。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-18 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10167
Wen-Bin Liu, Damian Fermin, An-Long Xu, Jeffrey B Kopp, Qihe Xu

Aldehyde dehydrogenase 1, family member A2, is a retinoic acid-synthesizing enzyme encoded by Aldh1a2 in mice and ALDH1A2 in humans. This enzyme is indispensable for kidney development, but its role in kidney physiology and pathophysiology remains to be fully defined. In this review, we mined single-cell and single-nucleus RNA sequencing databases of mouse and human kidneys and found that glomerular parietal epithelial cells (PECs) express a full set of genes encoding proteins needed for cellular vitamin A uptake, intracellular transport, and metabolism into retinoic acid. In particular, Aldh1a2/ALDH1A2 mRNAs are selectively enriched in mouse and human PECs. Aldh1a2 expression in PECs is greatly increased in a mouse model of anti-glomerular basement membrane glomerulonephritis and moderately induced in a mouse model of ischemia-reperfusion acute kidney injury. Aldh1a2 expression in PECs is substantially repressed in a chronic kidney disease mouse model combining diabetes, hypertension, and partial nephrectomy and is moderately repressed in mouse models of focal segmental glomerulosclerosis and diabetic nephropathy. Single-nucleus RNA sequencing data show that ALDH1A2 mRNA expression in PECs is diminished in patients with chronic kidney disease associated with diabetes, hypertension and polycystic kidney disease. In addition to data mining, we also performed Spearman's rank correlation coefficient analyses and identified gene transcripts correlated with Aldh1a2/ALDH1A2 transcripts in mouse PECs and PEC subtypes, and in human PECs of healthy subjects and patients with AKI or CKD. Furthermore, we conducted Gene Ontology pathway analyses and identified the biological pathways enriched among these Aldh1a2/ALDH1A2-correlated genes. Our data mining and analyses led us to hypothesize that ALDH1A2-mediated retinoic acid synthesis in PECs plays a yet-undefined role in the kidney and that its dysregulation mediates injury. Conditional, PEC-selective Aldh1a2 knockout, RNA silencing and transgenic mouse models will be useful tools to test this hypothesis. Clinical studies on genetics, epigenetics, expression and functions of ALDH1A2 and other genes needed for retinoic acid biosynthesis and signaling are also warranted.

醛脱氢酶 1(Aldehyde dehydrogenase 1,家族成员 A2)是一种视黄酸合成酶,小鼠的编码为 Aldh1a2,人类的编码为 ALDH1A2。这种酶对肾脏的发育不可或缺,但它在肾脏生理和病理生理学中的作用仍未完全明确。在这篇综述中,我们对小鼠和人类肾脏的单细胞和单核 RNA 测序数据库进行了挖掘,发现肾小球顶叶上皮细胞(PECs)表达一整套基因,这些基因编码细胞维生素 A 吸收、细胞内转运和代谢为视黄酸所需的蛋白质。特别是,Aldh1a2/ALDH1A2 mRNA 选择性地富集在小鼠和人的 PECs 中。在抗肾小球基底膜肾小球肾炎小鼠模型中,PECs 中 Aldh1a2 的表达大大增加,而在缺血再灌注急性肾损伤小鼠模型中,Aldh1a2 的表达也中度增加。在结合了糖尿病、高血压和部分肾切除术的慢性肾病小鼠模型中,PECs 中 Aldh1a2 的表达被大幅抑制,而在局灶节段性肾小球硬化症和糖尿病肾病小鼠模型中,PECs 中 Aldh1a2 的表达被中度抑制。单核 RNA 测序数据显示,与糖尿病、高血压和多囊肾相关的慢性肾病患者 PECs 中的 ALDH1A2 mRNA 表达减少。除数据挖掘外,我们还进行了斯皮尔曼秩相关系数分析,在小鼠 PECs 和 PEC 亚型中,以及在健康人和 AKI 或 CKD 患者的人 PECs 中发现了与 Aldh1a2/ALDH1A2 转录本相关的基因转录本。此外,我们还进行了基因本体通路分析,并确定了这些 Aldh1a2/ALDH1A2 相关基因所富集的生物通路。我们通过数据挖掘和分析推测,PECs 中 ALDH1A2 介导的视黄酸合成在肾脏中发挥着尚未明确的作用,其失调介导了损伤。条件性、PEC 选择性 Aldh1a2 基因敲除、RNA 沉默和转基因小鼠模型将成为检验这一假设的有用工具。此外,还需要对 ALDH1A2 和视黄酸生物合成和信号转导所需的其他基因的遗传学、表观遗传学、表达和功能进行临床研究。
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引用次数: 0
Experimental Biology and Medicine: a global journal with rigorous publication standards. 实验生物学与医学》:一本具有严格出版标准的全球性期刊。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-10 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10346
Steven R Goodman
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引用次数: 0
Collagen II enrichment through scAAV6-RNAi-mediated inhibition of matrix-metalloproteinases 3 and 13 in degenerative nucleus-pulposus cells degenerative disc disease and biological treatment strategies. 通过scAAV6-RNAi介导的基质金属蛋白酶3和13抑制退化性髓核细胞中胶原蛋白II的富集退化性椎间盘疾病及生物治疗策略。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-02 DOI: 10.3389/ebm.2024.10048
Demissew Shenegelegn Mern,Claudius Thomé
Intervertebral disc (IVD) degeneration damaging the extracellular matrix (ECM) of IVDs is the main cause of spine-associated disorders. Degenerative disc disease (DDD) is a multifaceted disorder, where environmental factors, inflammatory cytokines and catabolic enzymes act together. DDD starts typically due to imbalance between ECM biosynthesis and degradation within IVDs, especially through unbalanced degradation of aggrecan and collagen II in nucleus pulposus (NP). Current treatment approaches are primarily based on conservative or surgical therapies, which are insufficient for biological regeneration. The disintegrins and metalloproteinases with thrombospondin motifs (ADAMTSs) and matrix metalloproteinases (MMPs) are the key proteolytic enzymes for degradation of aggrecan and collagens. Previously, high expression levels of ADAMTS4, ADAMTS5, MMP3 and MMP13, which are accompanied with low levels of aggrecan and collagen II, were demonstrated in degenerative human NP cells. Moreover, self-complementary adeno-associated virus type 6 (scAAV6) mediated inhibitions of ADAMTS4 and ADAMTS5 by RNA-interference (RNAi) could specifically enhance aggrecan level. Thus, MMPs are apparently the main degrading enzymes of collagen II in NP. Furthermore, scAAV6-mediated inhibitions of MMP3 and MMP13 have not yet been investigated. Therefore, we attempted to enhance the level of collagen II in degenerative NP cells by scAAV6-RNAi-mediated inhibitions of MMP3 and MMP13. MRI was used to determine preoperative grading of IVD degeneration in patients. After isolation and culturing of NP cells, cells were transduced with scAAV6-shRNAs targeting MMP3 or MMP13; and analysed by fluorescence microscopy, FACS, MTT assay, RT-qPCR, ELISA and western blotting. scAAV6-shRNRs have no impact on cell viability and proliferation, despite high transduction efficiencies (98.6%) and transduction units (1383 TU/Cell). Combined knockdown of MMP3 (92.8%) and MMP13 (90.9%) resulted in highest enhancement of collagen II (143.2%), whereby treatment effects were significant over 56 days (p < 0.001). Conclusively, scAAV6-RNAi-mediated inhibitions of MMP3 and MMP13 help to progress less immunogenic and enduring biological treatments in DDD.
损伤椎间盘细胞外基质(ECM)的椎间盘(IVD)退变是脊柱相关疾病的主要原因。椎间盘退行性病变(DDD)是一种多方面的疾病,环境因素、炎症细胞因子和分解酶共同起作用。椎间盘退行性病变的起因通常是椎间盘内 ECM 生物合成和降解失衡,尤其是髓核中 aggrecan 和胶原蛋白 II 的降解失衡。目前的治疗方法主要基于保守疗法或手术疗法,这些疗法不足以实现生物再生。具有血栓软骨素基序的崩解素和金属蛋白酶(ADAMTSs)以及基质金属蛋白酶(MMPs)是降解凝集素和胶原的关键蛋白水解酶。此前,在退行性人类 NP 细胞中,ADAMTS4、ADAMTS5、MMP3 和 MMP13 的表达水平较高,而阿格雷康和胶原蛋白 II 的表达水平较低。此外,自补体腺相关病毒 6 型(scAAV6)介导的 RNA 干扰(RNAi)抑制 ADAMTS4 和 ADAMTS5 可特异性提高凝集素水平。因此,MMPs 显然是 NP 中胶原蛋白 II 的主要降解酶。此外,scAAV6 介导的对 MMP3 和 MMP13 的抑制作用尚未得到研究。因此,我们尝试通过 scAAV6-RNAi- 介导的 MMP3 和 MMP13 抑制来提高变性 NP 细胞中胶原蛋白 II 的水平。核磁共振成像用于确定患者 IVD 退化的术前分级。在分离和培养 NP 细胞后,用靶向 MMP3 或 MMP13 的 scAAV6-shRNA 转导细胞,并通过荧光显微镜、FACS、MTT 检测、RT-qPCR、ELISA 和 Western 印迹法进行分析。联合敲除 MMP3(92.8%)和 MMP13(90.9%)可最大程度地增强胶原蛋白 II(143.2%),治疗效果在 56 天内显著(p < 0.001)。总之,scAAV6-RNAi 介导的 MMP3 和 MMP13 抑制有助于对 DDD 进行免疫原性较低且持久的生物治疗。
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引用次数: 0
Ultrasound-assisted laser therapy for selective removal of melanoma cells. 选择性清除黑色素瘤细胞的超声辅助激光疗法。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-07 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10096
Madhumithra Subramanian Karthikesh, Noraida Martinez-Rivera, Eduardo Rosa-Molinar, Xueding Wang, Xinmai Yang

The current study explores the potential of ultrasound-assisted laser therapy (USaLT) to selectively destroy melanoma cells. The technology was tested on an ex vivo melanoma model, which was established by growing melanoma cells in chicken breast tissue. Ultrasound-only and laser-only treatments were used as control groups. USaLT was able to effectively destroy melanoma cells and selectively remove 66.41% of melanoma cells in the ex vivo tumor model when an ultrasound peak negative pressure of 2 MPa was concurrently applied with a laser fluence of 28 mJ/cm2 at 532 nm optical wavelength for 5 min. The therapeutic efficiency was further improved with the use of a higher laser fluence, and the treatment depth was improved to 3.5 mm with the use of 1,064 nm laser light at a fluence of 150 mJ/cm2. None of the laser-only and ultrasound-only treatments were able to remove any melanoma cells. The treatment outcome was validated with histological analyses and photoacoustic imaging. This study opens the possibility of USaLT for melanoma that is currently treated by laser therapy, but at a much lower laser fluence level, hence improving the safety potential of laser therapy.

本研究探讨了超声辅助激光疗法(USaLT)选择性摧毁黑色素瘤细胞的潜力。该技术在体内外黑色素瘤模型上进行了测试,该模型是通过在鸡乳腺组织中培育黑色素瘤细胞而建立的。对照组采用纯超声波治疗和纯激光治疗。当 2 兆帕的超声峰值负压与 532 nm 光波长、28 mJ/cm2 的激光能量同时作用 5 分钟时,USaLT 能够有效地破坏黑色素瘤细胞,并选择性地清除体内肿瘤模型中 66.41% 的黑色素瘤细胞。使用更高的激光通量可进一步提高治疗效率,使用 150 mJ/cm2 通量的 1,064 nm 激光可将治疗深度提高到 3.5 mm。纯激光治疗和纯超声波治疗都无法清除任何黑色素瘤细胞。组织学分析和光声成像验证了治疗效果。这项研究为目前使用激光治疗的黑色素瘤提供了使用 USaLT 治疗的可能性,但激光能量要低得多,从而提高了激光治疗的安全性。
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引用次数: 0
Modulation of arterial intima stiffness by disturbed blood flow. 血流紊乱对动脉内膜僵硬度的调节。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-07-31 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10090
Briana C Bywaters, Andreea Trache, Gonzalo M Rivera

The intima, comprising the endothelium and the subendothelial matrix, plays a crucial role in atherosclerosis pathogenesis. The mechanical stress arising from disturbed blood flow (d-flow) and the stiffening of the arterial wall contributes to endothelial dysfunction. However, the specific impacts of these physical forces on the mechanical environment of the intima remain undetermined. Here, we investigated whether inhibiting collagen crosslinking could ameliorate the detrimental effects of persistent d-flow on the mechanical properties of the intima. Partial ligation of the left carotid artery (LCA) was performed in C57BL/6J mice, inducing d-flow. The right carotid artery (RCA) served as an internal control. Carotids were collected 2 days and 2 weeks after surgery to study acute and chronic effects of d-flow on the mechanical phenotype of the intima. The chronic effects of d-flow were decoupled from the ensuing arterial wall stiffening by administration of β-aminopropionitrile (BAPN), an inhibitor of collagen crosslinking by lysyl oxidase (LOX) enzymes. Atomic force microscopy (AFM) was used to determine stiffness of the endothelium and the denuded subendothelial matrix in en face carotid preparations. The stiffness of human aortic endothelial cells (HAEC) cultured on soft and stiff hydrogels was also determined. Acute exposure to d-flow caused a slight decrease in endothelial stiffness in male mice but had no effect on the stiffness of the subendothelial matrix in either sex. Regardless of sex, the intact endothelium was softer than the subendothelial matrix. In contrast, exposure to chronic d-flow led to a substantial increase in the endothelial and subendothelial stiffness in both sexes. The effects of chronic d-flow were largely prevented by concurrent BAPN administration. In addition, HAEC displayed reduced stiffness when cultured on soft vs. stiff hydrogels. We conclude that chronic d-flow results in marked stiffening of the arterial intima, which can be effectively prevented by inhibition of collagen crosslinking.

内膜由内皮和内皮下基质组成,在动脉粥样硬化的发病机制中起着至关重要的作用。血流紊乱(d-flow)和动脉壁僵化产生的机械应力会导致内皮功能障碍。然而,这些物理力对内膜机械环境的具体影响仍未确定。在此,我们研究了抑制胶原交联是否能改善持续二流动对内膜机械性能的有害影响。我们对 C57BL/6J 小鼠的左颈动脉(LCA)进行部分结扎,诱导 d-流。右颈动脉(RCA)作为内部对照。术后 2 天和 2 周采集颈动脉,研究 d-流动对内膜机械表型的急性和慢性影响。通过服用β-氨基丙腈(BAPN)(一种赖氨酰氧化酶(LOX)交联胶原的抑制剂),d-流动的慢性效应与随后的动脉壁僵化脱钩。原子力显微镜(AFM)用于测定颈动脉内皮和变性内皮下基质的硬度。此外,还测定了在软水凝胶和硬水凝胶上培养的人主动脉内皮细胞(HAEC)的硬度。雄性小鼠急性暴露于 d-流会导致内皮硬度轻微下降,但对男女小鼠内皮下基质的硬度均无影响。无论性别如何,完整的内皮都比内皮下基质柔软。与此相反,暴露于慢性 d-流动会导致雌雄内皮和内皮下基质的硬度大幅增加。同时服用 BAPN 可在很大程度上防止慢性 d-流动的影响。此外,在软水凝胶和硬水凝胶上培养 HAEC 时,其硬度也有所降低。我们的结论是,慢性直流会导致动脉内膜明显变硬,而抑制胶原交联可有效防止动脉内膜变硬。
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引用次数: 0
Identification of potential biomarkers for cerebral palsy and the development of prediction models. 确定脑瘫的潜在生物标志物并开发预测模型。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-07-09 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10101
Haoyang Zheng, Duo Zhang, Yong Gan, Zesheng Peng, Yuyi Wu, Wei Xiang

Cerebral palsy (CP) is a prevalent motor disorder originating from early brain injury or malformation, with significant variability in its clinical presentation and etiology. Early diagnosis and personalized therapeutic interventions are hindered by the lack of reliable biomarkers. This study aims to identify potential biomarkers for cerebral palsy and develop predictive models to enhance early diagnosis and prognosis. We conducted a comprehensive bioinformatics analysis of gene expression profiles in muscle samples from CP patients to identify candidate biomarkers. Six key genes (CKMT2, TNNT2, MYH4, MYH1, GOT1, and LPL) were validated in an independent cohort, and potential biological pathways and molecular networks involved in CP pathogenesis were analyzed. The importance of processes such as functional regulation, energy metabolism, and cell signaling pathways in the muscles of CP patients was emphasized. Predictive models of muscle sample biomarkers related to CP were developed and visualized. Calibration curves and receiver operating characteristic analysis demonstrated that the predictive models exhibit high sensitivity and specificity in distinguishing individuals at risk of CP. The identified biomarkers and developed prediction models offer significant potential for early diagnosis and personalized management of CP. Future research should focus on validating these biomarkers in larger cohorts and integrating them into clinical practice to improve outcomes for individuals with CP.

脑性瘫痪(CP)是一种常见的运动障碍疾病,源于早期脑损伤或畸形,其临床表现和病因有很大差异。由于缺乏可靠的生物标志物,阻碍了早期诊断和个性化治疗干预。本研究旨在确定脑瘫的潜在生物标志物,并开发预测模型,以提高早期诊断和预后。我们对 CP 患者肌肉样本的基因表达谱进行了全面的生物信息学分析,以确定候选生物标志物。我们在一个独立队列中验证了六个关键基因(CKMT2、TNNT2、MYH4、MYH1、GOT1 和 LPL),并分析了参与 CP 发病机制的潜在生物通路和分子网络。研究强调了功能调节、能量代谢和细胞信号通路等过程在 CP 患者肌肉中的重要性。建立了与 CP 相关的肌肉样本生物标记物预测模型,并将其可视化。校准曲线和接收器操作特征分析表明,预测模型在区分有患心绞痛风险的个体方面具有很高的灵敏度和特异性。已确定的生物标志物和已开发的预测模型为 CP 的早期诊断和个性化管理提供了巨大的潜力。未来的研究应侧重于在更大的群体中验证这些生物标志物,并将其纳入临床实践,以改善 CP 患者的预后。
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