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Small open reading frame-encoded peptides (SEPs) as hidden treasures: a review. 小的开放阅读框编码肽(sep)作为隐藏的宝藏:综述。
IF 4.9 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 Epub Date: 2026-01-04 DOI: 10.1080/17460441.2025.2603517
Xing Ren, Zhonghua Liu, Peng Zhang

Introduction: Small open reading frame-encoded peptides (SEPs) are short peptides translated from small open reading frames (sORFs) that were previously overlooked in genome annotations. SEPs have relatively small molecular sizes, fewer than 100 amino acids, some SEPs can be as short as a dozen amino acids. Recent studies have revealed their widespread presence across plants, animals, and microorganisms, as well as their diverse biological functions and potential applications.

Areas covered: This review introduces the characteristics and biogenesis of SEPs, the processes and methods for their identification and validation, and their functional roles and target sites, highlighting the significant potential of SEPs in biological research and therapeutic development. Relevant literature was identified on PubMed (2010-2025) by searching for 'SEP,' 'sORF,' and 'Microprotein.'

Expert opinion: The revolutionary advances in high-throughput omics technologies - particularly mass spectrometry and ribosome profiling - combined with computational prediction methods such as machine learning, have enabled the discovery of an increasing number of SEPs. Research on SEP is currently in a phase of rapid development, and this suggests that the field of peptide drugs may gain many promising molecular candidate.

小开放阅读框编码肽(sep)是从小开放阅读框(sorf)翻译的短肽,以前在基因组注释中被忽视。sep具有相对较小的分子大小,少于100个氨基酸,有些sep可短至12个氨基酸。近年来的研究表明,它们广泛存在于植物、动物和微生物中,具有多种生物学功能和潜在的应用前景。涵盖领域:本文介绍了sepp的特点和生物发生,鉴定和验证的过程和方法,以及它们的功能作用和靶点,强调了sepp在生物学研究和治疗开发中的巨大潜力。在PubMed(2010-2025)检索“SEP”、“sORF”和“Microprotein”等相关文献。“专家意见:高通量组学技术的革命性进步-特别是质谱和核糖体分析-与机器学习等计算预测方法相结合,使越来越多的sep得以发现。SEP的研究目前正处于快速发展的阶段,这表明肽药物领域可能会有许多有前途的分子候选药物。
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引用次数: 0
Integrative computational approaches in the quest for novel Ebolavirus therapeutics. 寻求新型埃博拉病毒治疗的综合计算方法。
IF 4.9 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.1080/17460441.2025.2605348
Sinosh Skariyachan, Vidya Niranjan, Anagha S Setlur, Swathi Vijayan, Denoj Sebastian

Introduction: Ebolavirus (EBOV) is a highly pathogenic member of the Filoviridae family, causing severe hemorrhagic fever with high mortality rates and is persistent threat to global health with recurrent outbreaks. Although advances, including vaccine and monoclonal antibody therapeutic development, have improved survival chances, challenges such as cost and availability remain as well as potential viral evolution. Consequently, there is an urgent need for alternative, cost-effective and scalable therapeutics, which has driven interest in computational drug discovery as rapid response strategies.

Area covered: This review synthesizes structural and functional insights into EBOV's key molecular targets and explores their roles in viral entry, replication, and immune evasion. The authors also discuss host-pathogen interactions as potential therapeutic routes of entry and present the most recent computational advances for hit identification and optimization. There is also coverage given to case studies highlighting successful in silico discovery efforts. Literature identified via PubMed, Scopus, and Web of Science were utilized to compose this manuscript with the authors focusing on on recently published studies, while also utilizing their own experience and insight.

Expert opinion: While promising, translation of Ebola viral research remains limited by incomplete structural coverage, small and imbalanced datasets, and a gap between computational prediction and experimental validation. Hybrid in silico workflows are embedded within standardized, data-driven, and experimentally anchored pipelines, and are essential to bridge this gap. By uniting computational precision with laboratory validation, integrative strategies can accelerate the development of robust, deployable EBOV therapeutics and serve as a model for pandemic preparedness against other high-risk pathogens.

埃博拉病毒(EBOV)是丝状病毒科的一种高致病性成员,可引起死亡率高的严重出血热,并通过反复暴发对全球卫生构成持续威胁。尽管包括疫苗和单克隆抗体治疗发展在内的进步提高了生存机会,但成本和可获得性等挑战以及潜在的病毒进化仍然存在。因此,迫切需要替代的、具有成本效益的和可扩展的治疗方法,这已经推动了对计算药物发现作为快速反应策略的兴趣。涵盖领域:本文综述了EBOV关键分子靶点的结构和功能,并探讨了它们在病毒进入、复制和免疫逃避中的作用。作者还讨论了宿主-病原体相互作用作为潜在的治疗途径,并介绍了命中识别和优化的最新计算进展。也有报道给予案例研究突出成功的硅发现努力。通过PubMed, Scopus和Web of Science检索到的文献被用于撰写此手稿,作者专注于最近发表的研究,同时也利用了他们自己的经验和见解。专家意见:尽管有希望,但埃博拉病毒研究的翻译仍然受到结构覆盖不完整、数据集小而不平衡以及计算预测与实验验证之间的差距的限制。混合硅工作流嵌入到标准化、数据驱动和实验锚定的管道中,对于弥合这一差距至关重要。通过将计算精度与实验室验证结合起来,综合战略可以加速开发强大的、可部署的EBOV治疗方法,并可作为针对其他高风险病原体的大流行防范模式。
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引用次数: 0
Utility of fluorinated α-amino acids in development of therapeutic peptides. 氟化α-氨基酸在治疗肽开发中的应用。
IF 4.9 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 Epub Date: 2025-12-18 DOI: 10.1080/17460441.2025.2601105
Paul Richardson

Introduction: Fluorinated amino acids are at the focal point of two key current strategic areas within drug discovery being both important for the design/development of new small molecule drugs as well as having the potential to be exploited in the rapidly expanding area of peptide-based therapeutics. While the challenges of developing therapeutic peptides are relatively well understood and strategies have been developed to overcome these, the utilization of fluorinated amino acids for this purpose appears to be relatively sparse, particularly in progressing peptide derivatives into clinical development.

Areas covered: This review discusses the applications of fluorinated amino acid (FAA) derivatives in modern drug discovery with a specific focus on their incorporation into therapeutic peptide derivatives, based on the currently available literature.

Expert opinion: While only one naturally occurring and fluorinated amino acid (FAA) is known, the use of this class of compounds is prevalent in drug discovery campaigns. Synthetic advances have allowed ready access to a diverse range of compounds featuring this structural motif, and the bifunctional modularity of the amino and carboxylic acid moiety typically allows their ready incorporation into novel molecular entities through well-precedented chemistries. However, caution should be exercised when FAAs are utilized in solid-phase peptide synthesis (SPPS) as the electronegativity of the fluorine substation often mitigates the reactivity of the system leading to poor yields. Future efforts should look toward developing a more reliable understanding of the impact of these changes to enable a robust platform for therapeutic peptides to be designed based on the incorporation of fluorinated amino acids.

导语:氟化氨基酸是药物发现中两个关键战略领域的焦点,这两个领域对于设计/开发新的小分子药物非常重要,并且在迅速扩大的肽类疗法领域具有开发潜力。虽然人们对开发治疗性肽的挑战有了较好的了解,并制定了克服这些挑战的策略,但用于这一目的的氟化氨基酸的利用似乎相对较少,特别是在将肽衍生物推进临床开发方面。涵盖领域:本综述讨论了氟化氨基酸(FAA)衍生物在现代药物发现中的应用,并根据现有文献特别关注其与治疗性肽衍生物的结合。专家意见:虽然只知道一种天然存在的氟化氨基酸(FAA),但这类化合物的使用在药物发现活动中很普遍。合成技术的进步已经使得具有这种结构基序的各种化合物可以随时获得,而氨基酸和羧酸部分的双功能模块化通常允许它们通过良好的化学反应随时结合到新的分子实体中。然而,在固相肽合成(SPPS)中使用FAAs时应谨慎,因为氟变电所的电负性通常会降低系统的反应性,导致收率低。未来的努力应该着眼于对这些变化的影响有一个更可靠的了解,以建立一个强大的平台,设计基于氟化氨基酸掺入的治疗肽。
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引用次数: 0
Enhancing structural insights for advanced drug discovery by mitigating protein crystal damage. 通过减轻蛋白质晶体损伤来增强对高级药物发现的结构见解。
IF 4.9 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 Epub Date: 2025-12-26 DOI: 10.1080/17460441.2025.2605354
Michał Markiewicz, Michał Gucwa, Jerzy Bazak, Wojciech Dec, Wladek Minor, Krzysztof Murzyn

Introduction: Structural biology has become a cornerstone of modern drug discovery, enabling atomic-level insights into protein - ligand interactions and guiding rational therapeutic design. As the field evolves, it faces growing demands for accuracy, reproducibility, and integration with computational and pharmacological data.

Areas covered: This article explores the impact of sample heterogeneity and radiation damage on macromolecular crystallography, emphasizing how these factors can compromise structural integrity. It reviews current strategies for mitigating crystal damage, including optimized cooling, dose-aware data collection, and emerging technologies such as serial crystallography and advanced detectors. The manuscript also discusses the limitations of existing validation tools and the need for improved metadata reporting to ensure reliable structural models. Cryo-electron tomography is highlighted as a promising technique for studying drug - target interactions in native cellular environments, offering complementary insights to traditional crystallographic methods.

Expert opinion: To advance drug discovery, the structural biology community must adopt unified standards for data validation and experimental documentation. High-quality, reproducible structures are essential for minimizing artifacts and supporting AI-driven modeling and screening. A coordinated effort to integrate damage-aware practices and metadata standards will enhance the fidelity of structural data and its utility in therapeutic innovation.

结构生物学已经成为现代药物发现的基石,能够在原子水平上洞察蛋白质与配体的相互作用,并指导合理的治疗设计。随着该领域的发展,它面临着对准确性,可重复性以及与计算和药理学数据集成的日益增长的需求。涵盖领域:本文探讨了样品非均质性和辐射损伤对大分子晶体学的影响,强调了这些因素如何损害结构完整性。它回顾了当前减轻晶体损伤的策略,包括优化冷却,剂量感知数据收集,以及诸如串行晶体学和先进探测器等新兴技术。手稿还讨论了现有验证工具的局限性,以及改进元数据报告以确保可靠的结构模型的必要性。低温电子断层扫描是研究天然细胞环境中药物-靶标相互作用的一种有前途的技术,为传统的晶体学方法提供了补充见解。专家意见:为了推进药物发现,结构生物学社区必须采用统一的数据验证和实验文件标准。高质量、可复制的结构对于最小化人工制品和支持人工智能驱动的建模和筛选至关重要。整合损伤感知实践和元数据标准的协调努力将提高结构数据的保真度及其在治疗创新中的实用性。
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引用次数: 0
E protein inhibitors and host-directed therapies in dengue virus infection: perspectives on combination and complementary antiviral strategies. 登革热病毒感染的E蛋白抑制剂和宿主定向治疗:联合和互补抗病毒策略的观点
IF 4.9 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 Epub Date: 2025-12-29 DOI: 10.1080/17460441.2025.2601880
Ricardo Jiménez-Camacho, Carlos Noe Farfan-Morales, José De Jesús Bravo-Silva, Magda Lizbeth Benítez-Vega, Marcos Pérez-García, Jonathan Hernández-Castillo, Carlos Daniel Cordero-Rivera, Rosa María Del Ángel

Introduction: Dengue virus (DENV) remains a significant global health threat, causing millions of infections and substantial morbidity each year. The viral E protein is a key target for neutralizing antibodies and vaccine design; however, antibody-dependent enhancement (ADE) complicates safe immunization. Currently licensed vaccines offer only partial and serotype-dependent protection, highlighting the urgent necessity for additional therapeutic strategies.

Areas covered: This review summarizes advances in direct-acting antivirals (DAAs) targeting the E protein and host-directed therapies (HDTs). It discusses DAAs that block E-mediated viral entry and HDTs that modulate lipid metabolism, nucleotide biosynthesis, protein folding, translation, and immune pathways. Promising preclinical candidates and experimental DAAs-HDTs combinations with synergistic activity are highlighted, alongside persistent challenges related to viral diversity, ADE risk, host toxicity, and translational limitations. Relevant literature was identified through PubMed, Scopus, Web of Science, ClinicalTrials.gov, and WHO databases, including recent and foundational studies up to September 2025.

Expert opinion: Combining DAAs with HDTs represents a rational strtategy to enhance antiviral efficacy, broaden serotype coverage, reduce resistence, and pontentially limit toxicity. Although clinical evidence remains limited, expandend preclinical and clinical evaluation of these approaches, incorporating serotype-specific testing and sex-based analyses will be essential for advancing effective dengue therapeutics.

登革热病毒(DENV)仍然是一个重大的全球健康威胁,每年造成数百万人感染和大量发病率。病毒E蛋白是中和抗体和疫苗设计的关键靶点;然而,抗体依赖性增强(ADE)使安全免疫复杂化。目前许可的疫苗仅提供部分和血清型依赖的保护,突出了迫切需要额外的治疗策略。涵盖领域:本文综述了靶向E蛋白的直接作用抗病毒药物(DAAs)和宿主定向治疗(HDTs)的进展。它讨论了阻断e介导的病毒进入的DAAs和调节脂质代谢、核苷酸生物合成、蛋白质折叠、翻译和免疫途径的HDTs。有前景的临床前候选药物和具有协同活性的实验性DAAs-HDTs组合,以及与病毒多样性、ADE风险、宿主毒性和翻译限制相关的持续挑战。通过PubMed、Scopus、Web of Science、ClinicalTrials.gov和WHO数据库确定了相关文献,包括截至2025年9月的最新研究和基础研究。专家意见:DAAs与HDTs联合使用是一种合理的策略,可提高抗病毒疗效,扩大血清型覆盖率,减少耐药性,并可能限制毒性。尽管临床证据仍然有限,但扩大对这些方法的临床前和临床评估,包括血清型特异性检测和基于性别的分析,对于推进有效的登革热治疗至关重要。
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引用次数: 0
Advancing obesity treatments through innovations in the design and manufacturing of therapeutic peptides. 通过创新治疗肽的设计和制造,推进肥胖治疗。
IF 4.9 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 Epub Date: 2025-12-18 DOI: 10.1080/17460441.2025.2601113
Søren Østergaard

Introduction: In recent years, progress in developing peptide-based therapeutics from natural peptide hormones has significantly advanced obesity treatment. By harnessing the body's natural peptide hormonal mechanisms, these GLP-1-based therapies have achieved impressive weight loss of 15-25%, once thought impossible, while also demonstrating excellent safety. Such weight loss levels were previously believed to be only achievable through bariatric surgery, marking a significant shift in managing diabetes, obesity, and related health issues.

Areas covered: This review explores how the emergence of second-generation peptide therapeutics was driven by advances in fatty acid technology combined with backbone engineering to achieve once-weekly dosing intervals, as well as by unimolecular dual and poly-agonists targeting pathways beyond GLP-1 receptor signaling.

Expert opinion: Although these innovations offer renewed hope in the fight against obesity, they also pose challenges. Barriers to widespread adoption and access still exist, especially in manufacturing peptide therapeutics, which need significant investments in production infrastructure to reach more than hundreds of millions of patients worldwide.

近年来,从天然肽激素中开发基于肽的治疗方法的进展显著地推进了肥胖治疗。通过利用人体的天然肽激素机制,这些基于glp -1的疗法已经取得了15-25%的令人印象深刻的减肥效果,这曾经被认为是不可能的,同时也证明了出色的安全性。以前人们认为只有通过减肥手术才能达到这样的减肥水平,这标志着糖尿病、肥胖和相关健康问题管理的重大转变。涵盖的领域:本综述探讨了第二代肽疗法的出现是如何受到脂肪酸技术的进步和骨干工程的推动,以实现每周一次的给药间隔,以及单分子双激动剂和多激动剂靶向glp - 1r信号通路之外的途径。专家意见:尽管这些创新为对抗肥胖带来了新的希望,但它们也带来了挑战。广泛采用和获取的障碍仍然存在,特别是在制造多肽疗法方面,这需要对生产基础设施进行大量投资,以覆盖全球数亿患者。
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引用次数: 0
In silico structural analysis of carbapenemase variants in Klebsiella pneumoniae: insights for precision drug discovery against multidrug-resistant strains. 肺炎克雷伯菌碳青霉烯酶变异的硅结构分析:针对多重耐药菌株的精确药物发现的见解。
IF 4.9 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.1080/17460441.2025.2605356
Emad Abada, Abdullah Mashraqi, Norah S Alothman, Asmaa A Alharbi, Amani Alhejely

Background: Carbapenemase-producing Klebsiella pneumoniae severely limits treatment options by inactivating carbapenem and other β-lactam antibiotics. To support precision drug discovery, this study investigates how structural and dynamic differences among major carbapenemase families shape their interaction with carbapenem drugs.

Research design and methods: The authors performed an in-silico analysis of five key Klebsiella pneumoniae carbapenemases (KPC, NDM, VIM, IMP, OXA-48) using multiple sequence alignment, homology modeling, molecular docking, and 50-ns molecular dynamics simulations.

Results: Sequence identity between variants was low (33.8-48.5%), indicating deep evolutionary divergence. SWISS-MODEL homology models showed high stereochemical quality, supporting reliable active-site interpretation. Docking suggested stronger binding of meropenem and imipenem to KPC and NDM, mediated by conserved catalytic residues in class A (Ser70, Lys73, Glu166) and class B (His120, His122, Asp124). MD simulations indicated more rigid, compact complexes for KPC and NDM, contrasted with higher flexibility in OXA-48.

Conclusions: These results reinforce that Klebsiella pneumoniae carbapenemases are not interchangeable targets and that inhibitor design must account for family-specific active-site geometries and dynamics. Integrating such structural insight with future virtual screening and experimental validation could enable variant-tailored inhibitors rather than relying on a single broad-spectrum carbapenemase blocker.

背景:产碳青霉烯酶肺炎克雷伯菌通过灭活碳青霉烯和其他β-内酰胺类抗生素严重限制了治疗选择。为了支持精准药物发现,本研究调查了主要碳青霉烯酶家族之间的结构和动态差异如何影响它们与碳青霉烯类药物的相互作用。研究设计和方法:采用多序列比对、同源性建模、分子对接和50-ns分子动力学模拟等方法,对5种关键的肺炎克雷伯菌碳青霉烯酶(KPC、NDM、VIM、IMP、OXA-48)进行了计算机分析。结果:变异间序列同源性较低(33.8% ~ 48.5%),表明存在较深的进化差异。SWISS-MODEL同源模型显示出高立体化学质量,支持可靠的活性位点解释。对接表明美罗培南和亚胺培南与KPC和NDM的结合更强,这是由A类(Ser70、Lys73、Glu166)和B类(His120、His122、Asp124)的保守催化残基介导的。MD模拟表明,KPC和NDM的配合物更坚硬、紧凑,而OXA-48的灵活性更高。结论:这些结果强化了肺炎克雷伯菌碳青霉烯酶不是可互换的靶点,抑制剂设计必须考虑家族特异性活性位点的几何形状和动力学。将这种结构洞察力与未来的虚拟筛选和实验验证相结合,可以实现针对变量的抑制剂,而不是依赖单一的广谱碳青霉烯酶阻滞剂。
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引用次数: 0
Using biophysical techniques to enhance early-stage drug discovery: the impact and challenges. 利用生物物理技术加强早期药物发现:影响和挑战。
IF 4.9 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 Epub Date: 2025-12-14 DOI: 10.1080/17460441.2025.2601876
Natalie Fuchs, Hossam Nada, Moustafa T Gabr
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引用次数: 0
Recent advances in the discovery of ALKBH 1-8 inhibitors. alkbh1 -8抑制剂的最新发现。
IF 4.9 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-01 Epub Date: 2025-11-04 DOI: 10.1080/17460441.2025.2582541
Claudia Silva, Valentina Zuliani, Gabriella Nicolini, Alessio Malacrida, Mirko Rivara

Introduction: The AlkB family is a class of Fe(II) and α-ketoglutarate-dependent dioxygenases involved in the dealkylation of nucleobases of both DNA and RNA. The proteins belonging to this family share a common mechanism of action and participate in different pathways, from DNA repair to epigenetic regulation. Human cells have nine homologues, ALKBH1 - 8 and FTO.

Area covered: This review gives focus to the discovery and development of ALKBH1 - 8 inhibitors. The authors discuss, from a medicinal chemistry point of view, the path that led to the discovery itself and the eventual structure-activity relationship emerged. The article is based on relevant literature published from 2021 to 2025 using PubMed.

Expert opinion: The inhibition of ALKBH is of growing interest. These enzymes are involved in epigenetic regulation and in numerous pathologies, with compelling evidence of their involvement in many tumors, and we think that they represent a great therapeutic opportunity. Two critical difficulties must be faced in their developement: subtype selectivity and pharmacokinetic profile. Targeting the right subtype at a specific site of action is the most important goal for reaching their desired effect limiting epigenetic interference. To accomplish this, a better understanding of the molecular structures and mechanism of the ALKBH family is required.

简介:AlkB家族是一类依赖铁(II)和α-酮戊二酸的双加氧酶,主要参与DNA和RNA核碱基的脱烷基。属于这个家族的蛋白质具有共同的作用机制,参与从DNA修复到表观遗传调控的不同途径。人类细胞有9个同源物,ALKBH1 - 8和FTO。涵盖领域:本综述重点介绍了自2021年以来发表的ALKBH1 - 8抑制剂的发现和开发。作者从药物化学的角度讨论了导致发现本身和最终的构效关系出现的路径。本文基于PubMed在2021 - 2025年间发表的相关文献。专家意见:对ALKBH的抑制越来越引起人们的兴趣。由于这些酶参与表观遗传调控和许多病理,有令人信服的证据表明它们参与许多肿瘤,我们认为它们代表了一个巨大的治疗机会。如果要开发它们,必须面临两个关键的困难:它们的亚型选择性和药代动力学特征。在特定的作用位点靶向正确的亚型是达到限制表观遗传干扰的预期效果的最重要目标。为了实现这一目标,需要更好地了解ALKBH家族的分子结构和机制,因为这可能有助于靶向这些非常有趣的酶的过程。
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引用次数: 0
Animal models of lean metabolic dysfunction-associated steatotic liver disease (MASLD): bridging pathogenesis and novel drug discovery. 瘦代谢功能障碍相关脂肪变性肝病(MASLD)的动物模型:桥接发病机制和新药发现
IF 4.9 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-01 Epub Date: 2025-10-24 DOI: 10.1080/17460441.2025.2579124
Stavros P Papadakos, Chara Georgiadou, Eva Kassi, Rallia-Iliana Velliou, Antonios Chatzigeorgiou

Introduction: Lean metabolic dysfunction - associated steatotic liver disease (MASLD) occurs in individuals with normal BMI and is linked to progressive liver injury, fibrosis, hepatocellular carcinoma, and adverse metabolic outcomes. Its distinct clinical and biological features underscore the need for tailored diagnostic and therapeutic strategies.

Areas covered: Herein, the authors review the dietary, genetic, and bile acid - focused animal models that recapitulate lean MASLD mechanisms. Literature was identified in PubMed and Scopus (January 2000-June 2025) using the terms lean MASLD, non-obese MASLD, MASH, and animal models, with reference lists screened for additional studies. Utilization of Methionine - choline-deficient (MCD) and choline-deficient (CD) diets can help reveal mechanisms pertinent to oxidative stress, macrophage activation, and fibrogenesis, whereas cholesterol- and bile acid - enriched diets more closely reproduce the steatohepatitis and fibrosis observed in lean human contexts. Genetic models (e.g. Pemt-/-, cGas-/-) reveal roles for autophagy, microbial DNA sensing, and metabolic rewiring. These platforms have been used to test candidate therapies, including GLP-1 analogues (exendin-4, liraglutide), kinsenoside, silibinin, and bile-acid modulators, and to interrogate gut - liver axis disruption that supports microbiota-targeted strategies.

Expert opinion: Lean MASLD is mechanistically distinct from obesity-related MASLD. Animal models have advanced our understanding of their unique drivers, including bile acid dysregulation, leptin signaling, and oxidative stress. These insights may guide the development of targeted therapies tailored to lean patients and improve clinical outcomes through individualized approaches.

瘦代谢功能障碍相关的脂肪变性肝病(MASLD)发生在BMI正常的个体中,与进行性肝损伤、纤维化、肝细胞癌和不良代谢结局有关。其独特的临床和生物学特征强调了量身定制的诊断和治疗策略的必要性。涵盖的领域:在这里,作者回顾了饮食、遗传和胆汁酸聚焦的动物模型,这些模型概括了精益MASLD的机制。文献在PubMed和Scopus(2000年1月- 2025年6月)中被确定,使用术语精益MASLD、非肥胖MASLD、MASH和动物模型,并筛选了参考文献列表以进行其他研究。利用蛋氨酸-胆碱缺乏(MCD)和胆碱缺乏(CD)饮食可以帮助揭示氧化应激、巨噬细胞激活和纤维形成的相关机制,而胆固醇和胆汁酸丰富的饮食更接近地再现了在瘦肉人环境中观察到的脂肪性肝炎和纤维化。遗传模型(例如ppt -/-, cGas-/-)揭示了自噬,微生物DNA传感和代谢重布线的作用。这些平台已用于测试候选疗法,包括GLP-1类似物(exendin-4、利拉鲁肽)、人参皂苷、水飞蓟宾和胆汁酸调节剂,并询问支持微生物群靶向策略的肠-肝轴破坏。专家意见:精益型MASLD在机制上不同于肥胖相关的MASLD。动物模型提高了我们对其独特驱动因素的理解,包括胆酸失调、瘦素信号传导和氧化应激。这些见解可以指导针对精益患者量身定制的靶向治疗的发展,并通过个性化方法改善临床结果。
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引用次数: 0
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Expert Opinion on Drug Discovery
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