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TSG-6 Activated MSC-derived Extracellular Vesicles Present Altered micro-RNA Contents and Ameliorate the Inflammatory Phenotype of Macrophages in Vitro. TSG-6激活的msc来源的细胞外囊泡在体外改变了巨噬细胞的微rna含量并改善了炎症表型
IF 5 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-13 DOI: 10.1007/s10753-025-02398-y
Iker Martinez-Zalbidea, Alyssa Rzasa, Varun Puvanesarajah, Wolfgang Hitzl, Karin Wuertz-Kozak

Mesenchymal stem cell-derived extracellular vesicles (MSC-EVs) have shown promising immunomodulatory properties; however, strategies to enhance their therapeutic potential remain limited. Here, we employed CRISPR activation of the gene TSG-6 in MSCs to evaluate the impact of elevated TSG-6 on EV cargo and immunomodulatory function in an in vitro macrophage model. CRISPR-mediated gene activation was confirmed by RT-qPCR, demonstrating more than an 1800 fold increase in TSG-6 mRNA compared to controls. EVs were isolated from TSG-6 overexpressing MSCs and thoroughly characterized by nanoparticle tracking analysis, transmission electron microscopy, and Western blot, confirming their typical size distribution, morphology, and surface markers. Small RNA sequencing of these EVs revealed 15 differentially expressed miRNAs relative to EVs from control MSCs. When THP-1-derived macrophages were stimulated with LPS and treated with TSG-6-overexpressing MSC-EVs (Standard dosage: 1000 particle/cell, n = 11; Alternative dosages: 500, 1000, or 2000 particles/cell, n = 6), a marked reduction in pro-inflammatory cytokine gene expression (IL-1β, CCL2, CXCL10, and TNF-α) and secreted protein levels (CCL2, TNF-α, CXCL1, and MIP-3α) was observed. Taken together, these findings demonstrate that CRISPR-based TSG-6 activation reprograms MSC-EV miRNA cargo (as well as their protein cargo, as previously shown), which can boost their anti-inflammatory effects. These findings underscore the promise of CRISPR-activation as a novel platform for boosting the bioactive properties of MSC-EVs and enhancing immunotherapeutic efficacy.

间充质干细胞衍生的细胞外囊泡(msc - ev)具有良好的免疫调节特性;然而,提高其治疗潜力的策略仍然有限。在体外巨噬细胞模型中,我们采用CRISPR激活MSCs中的TSG-6基因来评估TSG-6升高对EV载货量和免疫调节功能的影响。RT-qPCR证实了crispr介导的基因激活,与对照组相比,TSG-6 mRNA增加了1800倍以上。从TSG-6过表达的MSCs中分离出ev,并通过纳米颗粒跟踪分析、透射电子显微镜和Western blot对其进行了全面表征,确认了其典型的大小分布、形态和表面标记。这些ev的小RNA测序显示,与来自对照MSCs的ev相比,有15个表达差异的mirna。用LPS刺激thp -1来源的巨噬细胞,并用过表达tsg -6的MSC-EVs处理(标准剂量:1000粒/细胞,n = 11;替代剂量:500、1000或2000粒/细胞,n = 6),观察到促炎细胞因子基因表达(IL-1β、CCL2、CXCL10和TNF-α)和分泌蛋白水平(CCL2、TNF-α、CXCL1和MIP-3α)显著降低。综上所述,这些发现表明,基于crispr的TSG-6激活重新编程了MSC-EV miRNA货物(以及它们的蛋白质货物,如前所述),这可以增强它们的抗炎作用。这些发现强调了crispr激活作为提高msc - ev生物活性特性和增强免疫治疗效果的新平台的前景。
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引用次数: 0
HSP60 Mediates NLRP3 Inflammasome-Dependent Microglial Pyroptosis Via the TLR4/MyD88/NF-κB Signaling Axis After Subarachnoid Hemorrhage. HSP60通过TLR4/MyD88/NF-κB信号轴介导蛛网膜下腔出血后NLRP3炎性小胶质细胞凋亡
IF 5 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-12 DOI: 10.1007/s10753-025-02442-x
Zheng-Qing Hu, Ruijie Ma, Hang Zhang, Jiahao Miao, Jia-Qing Sun, Jinlong Yuan, Jiaqiang Liu, Zihuan Zhang, Dayong Xia

This study aims to elucidate the mechanism by which Heat Shock Protein 60 (HSP60) mediates microglial pyroptosis in the context of early brain injury (EBI) following subarachnoid hemorrhage (SAH), and to investigate the effects of HSP60 inhibition on EBI after SAH. A mouse subarachnoid hemorrhage (SAH) model was established using prechiasmatic cistern blood injection. In vitro, microglia were stimulated with 25 µmol/L oxyhemoglobin (OxyHB) to simulate the SAH pathological environment. In vivo, mice received 100 mg/kg Mizoribine, while in vitro, 80 µmol/L Mizoribine was used to suppress SAH-induced HSP60 upregulation. Techniques including Western blotting, immunofluorescence, immunohistochemistry, transmission electron microscopy, ELISA, modified Garcia neurological scoring, beam walking, brain water content measurement, Morris water maze, TUNEL staining, and Nissl staining were employed to systematically investigate the role of HSP60 inhibition in neuroinflammation and microglial pyroptosis after SAH. Compared to the sham group, both in vivo and in vitro studies with blinded, random sampling of six groups demonstrated a significant increase in HSP60 expression post-SAH. In vivo, 100 mg/kg Mizoribine alleviated blood-brain barrier disruption, cerebral edema, neuronal apoptosis/necrosis, and improved neurological deficits and cognitive impairment. In vitro, 80 µmol/L Mizoribine markedly attenuated microglial activation and pyroptosis, downregulated pro-inflammatory cytokines, and mitigated neuroinflammation. The upregulation of HSP60 after SAH promotes NLRP3 inflammasome assembly by activating the TLR4/MyD88/NF-κB signaling pathway, thereby inducing microglial pyroptosis and exacerbating the progression of early brain injury. Inhibition of HSP60 represents a potential therapeutic strategy for ameliorating EBI after SAH.

本研究旨在阐明热休克蛋白60 (HSP60)在蛛网膜下腔出血(SAH)后早期脑损伤(EBI)中介导小胶质细胞焦亡的机制,并探讨抑制HSP60对SAH后EBI的影响。采用交叉前池注血法建立小鼠蛛网膜下腔出血模型。体外用25µmol/L氧合血红蛋白(OxyHB)刺激小胶质细胞,模拟SAH病理环境。小鼠体内注射米佐利滨100 mg/kg,体外注射米佐利滨80µmol/L抑制sah诱导的HSP60上调。采用Western blotting、免疫荧光、免疫组织化学、透射电镜、ELISA、改良Garcia神经评分、束行走、脑含水量测定、Morris水迷宫、TUNEL染色、Nissl染色等技术,系统探讨HSP60抑制在SAH后神经炎症和小胶质细胞焦凋亡中的作用。与假手术组相比,体内和体外盲法随机抽样的6组小鼠sah后HSP60表达均显著升高。在体内,100 mg/kg米佐比滨可缓解血脑屏障破坏、脑水肿、神经元凋亡/坏死,改善神经功能缺损和认知功能障碍。在体外,80µmol/L米佐利滨显著减弱小胶质细胞的活化和焦亡,下调促炎细胞因子,减轻神经炎症。SAH后HSP60的上调通过激活TLR4/MyD88/NF-κB信号通路促进NLRP3炎性小体的组装,从而诱导小胶质细胞焦亡,加重早期脑损伤的进展。抑制HSP60是一种改善SAH后EBI的潜在治疗策略。
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引用次数: 0
HDAC3 Mediates Hippocampal Microglial Pyroptosis Via the STING/NLRP3 Pathway and Contributes To Cognitive Impairment in Sepsis-Associated Encephalopathy. HDAC3通过STING/NLRP3通路介导海马小胶质细胞凋亡并参与败血症相关脑病的认知障碍
IF 5 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-10 DOI: 10.1007/s10753-025-02360-y
Meng Cai, Hua Shao, Shan Xu, He Wang, Meng-Jie Yang, Tong Zhu, Jiang Chen, Gui-Zhou Li, Shuai-Fei Lu, Yan-Yu Zang, Mu-Huo Ji, Jin-Chun Shen, Min Jia, Jian-Jun Yang

Microglial pyroptosis-mediated neuroinflammation emerges as a critical pathogenic mechanism underlying sepsis-associated encephalopathy (SAE). Epigenetic modifications, especially histone acetylation states, exert fundamental regulatory effects on microglial pyroptosis. Among these, histone deacetylase 3 (HDAC3) has been identified as a central epigenetic regulator orchestrating these processes. This study investigates the functional role of HDAC3 in microglial pyroptosis and its underlying mechanisms contributing to SAE-related cognitive impairment. To explore this, male C57BL/6 mice subjected to cecal ligation and puncture (CLP) served as the SAE model. We employed RGFP966, a selective HDAC3 inhibitor, administered at 20 mg/kg/day via daily subcutaneous injections for 14 days starting 2 h prior to CLP surgery. To specifically examine HDAC3's role in microglia, we bilaterally injected recombinant adeno-associated virus (rAAV)-expressing rEGFP under the control of a DIO promoter into the hippocampus of Cx3cr1-Cre mice to achieve selective overexpression. Our data demonstrate that HDAC3 in microglia activates pyroptosis through the STING/NLRP3 pathway, exacerbating oxidative stress responses and impairing neural activity, ultimately leading to cognitive deficits in SAE. Furthermore, HDAC3 overexpression in microglia recapitulates these pathological changes, underscoring its central role in driving disease progression. Conversely, RGFP966 treatment effectively attenuates these abnormalities by suppressing HDAC3 expression and downstream inflammatory pathways. These findings highlight the therapeutic potential of targeting microglial HDAC3 to mitigate neuroinflammation and cognitive dysfunction in SAE, offering a novel direction for future clinical applications.

小胶质细胞热休克介导的神经炎症是脓毒症相关脑病(SAE)的关键致病机制。表观遗传修饰,特别是组蛋白乙酰化状态,对小胶质细胞焦亡起着基础性的调节作用。其中,组蛋白去乙酰化酶3 (HDAC3)已被确定为协调这些过程的中心表观遗传调节因子。本研究探讨了HDAC3在小胶质细胞焦亡中的功能作用及其导致sae相关认知障碍的潜在机制。为了探讨这一点,我们将雄性C57BL/6小鼠进行盲肠结扎穿刺(CLP)作为SAE模型。我们使用RGFP966,一种选择性HDAC3抑制剂,从CLP手术前2小时开始,每天皮下注射20mg /kg/天,持续14天。为了专门研究HDAC3在小胶质细胞中的作用,我们在DIO启动子的控制下,将表达rEGFP的重组腺相关病毒(rAAV)注射到Cx3cr1-Cre小鼠的海马中,以实现选择性过表达。我们的数据表明,小胶质细胞中的HDAC3通过STING/NLRP3通路激活焦亡,加剧氧化应激反应,损害神经活动,最终导致SAE的认知缺陷。此外,HDAC3在小胶质细胞中的过表达概括了这些病理变化,强调了其在驱动疾病进展中的核心作用。相反,RGFP966治疗通过抑制HDAC3表达和下游炎症途径有效地减轻了这些异常。这些发现突出了靶向小胶质细胞HDAC3减轻SAE神经炎症和认知功能障碍的治疗潜力,为未来的临床应用提供了新的方向。
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引用次数: 0
Comparative Analysis of Hypothalamic Responses to Stress and Glutamine Supplementation in Diet-Induced Obese Mice: A Study of Sex Differences. 饮食诱导肥胖小鼠下丘脑对应激和谷氨酰胺补充反应的比较分析:性别差异的研究。
IF 5 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-10 DOI: 10.1007/s10753-025-02428-9
Virginie Dreux, Candice Lefebvre, Charles-Edward Breemeersch, Adam Tiffay, Pierre Déchelotte, Alexis Goichon, Ludovic Langlois, Moïse Coëffier

Hypothalamic inflammation plays a key pathophysiological mechanism linking chronic consumption of a high fat diet (HFD) to the development of obesity and associated metabolic complications. Pilot studies report that oral glutamine (Gln) supplementation might reduce waist circumference and improve metabolic and inflammatory status in obesity patients. Although Gln metabolism plays a key role in intercellular communication in the central nervous system, its potential beneficial effects remain unexplored in these contexts. Here, we aimed to evaluate how stress and glutamine supplementation can modulate the hypothalamic response to HFD in mice using a chronic-restraint stress (CRS) model, which mimics IBS symptoms. From week 12 to week 14, mice received or not Gln diluted in drinking water (2 g/kg/day) and were placed in restraint tubes (2 h/day) for the last four consecutive days of protocol. Male and female obese mice showed a difference in vulnerability to CRS-induced effects. Moreover, mice responded to Gln supplementation in a sex-dependent manner, especially in stress conditions. Hypothalamic pathways regulating energy homeostasis were more impacted in male mice, whereas factors involved in neuroinflammation were more affected in female mice. Gln supplementation led to an increase in Mc4r and Bdnf mRNA levels and GFAP expression in male mice, while upregulated Iba1 and Il6 mRNA levels as well as signs of microgliosis were observed in stressed females. In conclusion, mice with obesity showed sex-specific hypothalamic response to glutamine supplementation and stress. Further investigations should be done to decipher underlying mechanisms.

下丘脑炎症在慢性高脂肪饮食(HFD)与肥胖及相关代谢并发症的发展之间起着关键的病理生理机制。初步研究报告,口服谷氨酰胺(Gln)补充剂可能会减少腰围,改善肥胖患者的代谢和炎症状态。尽管谷氨酰胺代谢在中枢神经系统的细胞间通讯中起着关键作用,但其潜在的有益作用在这些背景下仍未被探索。在这里,我们旨在通过模拟IBS症状的慢性抑制应激(CRS)模型来评估应激和谷氨酰胺补充剂如何调节小鼠下丘脑对HFD的反应。从第12周到第14周,小鼠分别接受或不接受Gln饮用水稀释(2 g/kg/天),并连续4天置于约束管中(2 h/天)。雄性和雌性肥胖小鼠对crs诱导作用的易感性存在差异。此外,小鼠以性别依赖的方式对Gln补充作出反应,特别是在应激条件下。调节能量稳态的下丘脑通路在雄性小鼠中受到的影响更大,而与神经炎症有关的因素在雌性小鼠中受到的影响更大。补充Gln导致雄性小鼠Mc4r和Bdnf mRNA水平和GFAP表达增加,而应激雌性小鼠Iba1和Il6 mRNA水平上调,并观察到小胶质细胞增生的迹象。综上所述,肥胖小鼠对谷氨酰胺补充和应激表现出性别特异性的下丘脑反应。应该做进一步的调查来破译潜在的机制。
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引用次数: 0
Intestinal Sclerostin Deficiency Links Gut Dysbiosis to Altered Serotonin Homeostasis in Axial Spondyloarthritis. 轴型脊椎关节炎患者肠道硬化蛋白缺乏与肠道生态失调与血清素稳态改变有关。
IF 5 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-10 DOI: 10.1007/s10753-025-02393-3
Daniele Mauro, Anne-Sophie Bergot, Giuliana Guggino, Alessia Salzillo, Giulio Forte, Antonio Ciancio, Aroldo Rizzo, Stefania Raimondo, Luca Lentini, Saviana Gandolfo, Soohyun P Kim, Chi Wong, Barbara De Marino, Simon Milling, Riccardo Alessandro, Iacopo Panarese, Ryan C Riddle, Mario M Zaiss, Dennis McGonagle, Ranjeny Thomas, Francesco Ciccia

Background: Sclerostin regulates bone formation via Wnt/β-catenin signaling inhibition and contributes to intestinal epithelial homeostasis. Circulating sclerostin levels are reduced in axial spondyloarthritis (axSpA) and correlate with structural damage. LRP5, a receptor inhibited by sclerostin, also controls bone formation by regulating gut-derived serotonin synthesis, indicating a hormonal link between the intestine and bone. We hypothesized that gut dysbiosis-dependent downregulation of sclerostin alters intestinal serotonin production, contributing to disease-specific gut-bone signaling in axSpA.

Methods: We quantified sclerostin and the serotonin-synthesizing enzyme TPH1 by qRT-PCR, and assessed serotonin protein levels by immunohistochemistry in ileal biopsies from treatment-naïve axSpA patients (n = 25) and healthy controls (n = 20), alongside measurement of circulating serotonin in peripheral blood platelets. We evaluated TPH1 expression in BON-1 cells following sclerostin and WNT3a treatment. Findings were validated in HLA-B27 transgenic rats, SKG mice, and Sost⁻/⁻ mice. Serotonin receptor expression in spinal entheseal cells was analyzed by RT-PCR, and LPS-induced HTR2B modulation was examined.

Results: In healthy controls, sclerostin modulated TPH1 expression and serotonin synthesis in enterochromaffin cells. In axSpA patients, intestinal sclerostin downregulation coincided with increased numbers of serotonin-positive enterochromaffin cells and elevated platelet serotonin levels. Broad-spectrum antibiotics restored intestinal sclerostin expression and normalized serotonin production in HLA-B27 transgenic rats. Sost⁻/⁻ mice exhibited increased intestinal Tph1 expression, while SKG mice showed reduced sclerostin and elevated Tph1 following curdlan-induced colitis-an effect dependent on the presence of intestinal microbiota. Human spinal entheses expressed HTR1B, HTR2A, and HTR2B, with LPS selectively inducing HTR2B expression.

Conclusions: We identify a gut microbiota-dependent sclerostin-serotonin axis that regulates serotonin production and may contribute to gut-bone pathology in axSpA. These findings reveal novel mechanisms linking gut dysbiosis to bone disease and suggest potential therapeutic targets within the gut-bone-immune axis.

背景:硬化蛋白通过Wnt/β-catenin信号抑制调节骨形成,并有助于肠上皮稳态。轴性脊柱炎(axSpA)患者循环硬化蛋白水平降低,并与结构损伤相关。LRP5是一种被硬化蛋白抑制的受体,它也通过调节肠道衍生的血清素合成来控制骨的形成,这表明肠道和骨骼之间存在激素联系。我们假设肠道生态失调依赖的硬化蛋白下调改变了肠道血清素的产生,促进了axSpA中疾病特异性的肠道骨信号传导。方法:采用qRT-PCR定量检测treatment-naïve axSpA患者(n = 25)和健康对照(n = 20)回肠活检组织中血清素和血清素合成酶TPH1的含量,并通过免疫组化检测血清素蛋白水平,同时检测外周血血小板循环血清素水平。我们评估了硬化蛋白和WNT3a治疗后BON-1细胞中TPH1的表达。研究结果在HLA-B27转基因大鼠、SKG小鼠和蛇毒毒血症中得到了验证。RT-PCR检测脊髓内隐细胞血清素受体的表达,并检测脂多糖诱导的HTR2B调节。结果:在健康对照中,硬化蛋白可调节肠嗜铬细胞中TPH1的表达和血清素的合成。在axSpA患者中,肠硬化蛋白下调与血清素阳性肠嗜铬细胞数量增加和血小板血清素水平升高相一致。广谱抗生素恢复了HLA-B27转基因大鼠肠道硬化蛋白的表达和血清素的正常产生。Sost(毒血症)/⁻(毒血症)小鼠表现出肠道Tph1表达增加,而SKG(毒血症)小鼠在curdlan诱导的结肠炎后表现出硬化蛋白减少和Tph1升高——这种效果取决于肠道微生物群的存在。人脊柱椎体表达HTR1B、HTR2A和HTR2B, LPS选择性诱导HTR2B表达。结论:我们确定了一个肠道微生物依赖的硬化-血清素轴,它调节血清素的产生,并可能有助于axSpA的肠道骨病理。这些发现揭示了将肠道生态失调与骨病联系起来的新机制,并提出了肠-骨-免疫轴内的潜在治疗靶点。
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引用次数: 0
Programmed death-ligand 1 (PD-L1) Modulates Chemokine Production Via the TLR4/TRAF6 Signaling Axis During LPS + IFN-γ-Induced Endotoxemia-mimicked Sepsis. 程序性死亡配体1 (PD-L1)在LPS + IFN-γ诱导的内毒素血症模拟脓毒症中通过TLR4/TRAF6信号轴调节趋化因子的产生
IF 5 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-10 DOI: 10.1007/s10753-025-02394-2
Mu Yuan, Tong Jin, Luoquan Ao, Junyu Zhu, Weijun Wan, Quan Chen, Yuchuan Yuan, Qing Zhao, Xiang Xu, Lixing Tian

As a pivotal immune checkpoint molecule, programmed death-ligand 1 (PD-L1) is anchored primarily on the membrane surface of immune cells, where it exerts immunosuppressive effects, thereby facilitating tumor immune evasion. Macrophages, which serve as essential sentinels of the innate immune system, play dual regulatory roles in inflammatory pathologies, particularly during sepsis progression. While their secreted chemokines mediate inflammatory cell recruitment for pathogen clearance, excessive chemokine production can paradoxically induce organ damage and immune cell exhaustion, necessitating precise regulatory mechanisms. Conventional understanding suggests that PD-L1 on macrophages engages with programmed cell death protein 1 (PD-1) on T lymphocytes to suppress T-cell proliferation, cytokine secretion (e.g., IFN-γ and IL-2), and cytotoxic functions, thereby negatively modulating adaptive immunity. However, emerging evidence also suggests that PD-L1 has context-dependent proinflammatory functions. Given this context, we hypothesized that macrophage-intrinsic PD-L1 plays a poorly understood role in directly regulating chemokine production during sepsis. Our integrative analysis incorporating clinical database mining and RNA sequencing (RNA-seq) revealed a less defined proinflammatory property of PD-L1 under septic conditions-an ability to increase CCL8 and CXCL9 chemokine expression in inflammatory macrophages. Through combinatorial approaches, including immunoprecipitation‒mass spectrometry (IP‒MS), molecular docking, and site-directed mutagenesis, we preliminarily elucidated that PD-L1 likely governs the chemotactic mediators CCL8 and CXCL9 via the TLR4/TRAF6 signaling axis. These findings collectively establish the previously unappreciated regulatory capacity of macrophage-intrinsic PD-L1 in chemokine modulation during sepsis, potentially informing the development of innovative therapeutic strategies targeting immune dysregulation in critical care settings.

程序性死亡配体1 (programmed death-ligand 1, PD-L1)作为一种关键的免疫检查点分子,主要锚定在免疫细胞的膜表面,发挥免疫抑制作用,促进肿瘤免疫逃逸。巨噬细胞作为先天免疫系统的重要哨兵,在炎症病理,特别是败血症进展过程中发挥双重调节作用。虽然它们分泌的趋化因子介导炎症细胞募集以清除病原体,但过度的趋化因子产生可能矛盾地诱导器官损伤和免疫细胞衰竭,需要精确的调节机制。传统的理解认为,巨噬细胞上的PD-L1与T淋巴细胞上的程序性细胞死亡蛋白1 (PD-1)结合,抑制T细胞增殖、细胞因子分泌(如IFN-γ和IL-2)和细胞毒性功能,从而负向调节适应性免疫。然而,新出现的证据也表明PD-L1具有情境依赖性的促炎功能。在这种背景下,我们假设巨噬细胞内生性PD-L1在脓毒症期间直接调节趋化因子的产生中起着鲜为人知的作用。我们的综合分析结合了临床数据库挖掘和RNA测序(RNA-seq),揭示了脓毒症条件下PD-L1的促炎特性——在炎症巨噬细胞中增加CCL8和CXCL9趋化因子表达的能力。通过免疫沉淀-质谱(IP-MS)、分子对接和定点诱变等组合方法,我们初步阐明了PD-L1可能通过TLR4/TRAF6信号轴调控趋化介质CCL8和CXCL9。这些发现共同确立了巨噬细胞内生性PD-L1在脓毒症期间趋化因子调节中的调节能力,可能为开发针对重症监护环境中免疫失调的创新治疗策略提供信息。
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引用次数: 0
Autophagy in Rheumatoid Arthritis: Molecular Mechanisms, Diagnostic Biomarkers, and Emerging Therapeutic Strategies. 类风湿性关节炎的自噬:分子机制、诊断生物标志物和新兴治疗策略。
IF 5 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-09 DOI: 10.1007/s10753-025-02406-1
Amir Nasrollahizadeh, Soheil Rahmati, Mohammad Sadra Gholami Chahkand, Fatemeh Esmaeilpour Moallem, Eftekhar Azarm, Parisa Alsadat Dadkhah, Mehdi Karimi, Ehsan Amini-Salehi, Mohammad Amin Karimi

Rheumatoid arthritis (RA) is a chronic autoimmune disorder marked by persistent synovial inflammation, joint destruction, and systemic complications. Recent research has revealed the complex involvement of autophagy, a cellular degradation and recycling process, in the pathogenesis and progression of RA. This review provides a comprehensive analysis of autophagy's multifaceted roles across immune regulation, synovial hyperplasia, osteoclastogenesis, and antigen presentation. Particular attention is given to the dualistic nature of autophagy, which may exert both protective and pathogenic effects depending on the cellular context and disease stage. We explore key molecular pathways regulating autophagy, including the mTOR, AMPK, and ULK1 axes, and detail how these are modulated by cytokines and signaling molecules characteristic of the RA inflammatory milieu. Epigenetic and genetic factors, including polymorphisms in ATG and BECN1 genes, microRNA regulation, and histone modifications, are also examined for their impact on autophagic flux and immune dysregulation. The diagnostic potential of autophagy-related biomarkers is discussed through transcriptomic and bioinformatics studies that stratify RA subtypes and correlate autophagic activity with disease severity. Additionally, we review therapeutic strategies targeting autophagy, encompassing conventional DMARDs, biologics, small molecules, nanoparticles, and phytochemicals. While modulating autophagy shows clinical promise, challenges remain regarding safety, specificity, and long-term efficacy. The integration of high-throughput omics technologies with artificial intelligence presents new opportunities to refine diagnostic precision and develop personalized therapeutic interventions. This review underscores the necessity of further translational research to define context-specific roles of autophagy in RA and to harness its potential in advancing precision medicine.

类风湿性关节炎(RA)是一种慢性自身免疫性疾病,以持续滑膜炎症、关节破坏和全身并发症为特征。最近的研究揭示了自噬的复杂参与,细胞降解和循环过程,在RA的发病和进展。这篇综述全面分析了自噬在免疫调节、滑膜增生、破骨细胞发生和抗原呈递等多方面的作用。特别关注自噬的二元性,根据细胞环境和疾病阶段,自噬可能发挥保护和致病作用。我们探索了调节自噬的关键分子途径,包括mTOR、AMPK和ULK1轴,并详细介绍了这些途径是如何被细胞因子和RA炎症环境特征的信号分子调节的。表观遗传和遗传因素,包括ATG和BECN1基因的多态性、microRNA调控和组蛋白修饰,也研究了它们对自噬通量和免疫失调的影响。通过转录组学和生物信息学研究讨论了自噬相关生物标志物的诊断潜力,这些研究对RA亚型进行了分层,并将自噬活性与疾病严重程度联系起来。此外,我们回顾了针对自噬的治疗策略,包括传统的dmard、生物制剂、小分子、纳米颗粒和植物化学物质。虽然调节自噬显示出临床前景,但在安全性、特异性和长期疗效方面仍存在挑战。高通量组学技术与人工智能的结合为提高诊断精度和开发个性化治疗干预提供了新的机会。这篇综述强调了进一步的转化研究的必要性,以确定自噬在RA中的具体作用,并利用其在推进精准医学方面的潜力。
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引用次数: 0
Free Fatty Acids and LPS Synergistically Promote Macrophage M1 Polarization and Insulin Resistance Via FTO-Mediated CSF1 Degradation. 游离脂肪酸和LPS通过fto介导的CSF1降解协同促进巨噬细胞M1极化和胰岛素抵抗。
IF 5 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-08 DOI: 10.1007/s10753-025-02369-3
Xiaohui Xiao, Junhao Zhao, Guiwen Ye, Hui Li, Xiuji Huang

Free fatty acids (FFA) and lipopolysaccharide (LPS) synergistically exacerbate metabolic inflammation, but the underlying mechanisms remain unclear. This study investigates how FFA and LPS cooperatively promote macrophage M1 polarization and insulin resistance (IR). In vivo models (HFD-fed and LPS-treated mice) and in vitro macrophage assays were employed. Flow cytometry, RNA-seq, m6A methylation analysis, and AAV-mediated gene modulation of FTO or CSF1 were used to dissect mechanisms. Metabolic phenotypes in mice were assessed via fasting blood glucose and HOMA-IR index. Combined FFA and LPS treatment synergistically increased M1 macrophage polarization and IR, correlating with elevated FTO expression. FTO upregulated by FFA/LPS reduced m6A modification of CSF1 mRNA, promoting its degradation via impaired IGF2BP2 binding. Depleting FTO or restoring CSF1 attenuated M1 polarization and improved insulin sensitivity in vivo. The FTO-m6A-CSF1 axis drives FFA/LPS-induced metabolic inflammation, offering therapeutic targets for IR.

游离脂肪酸(FFA)和脂多糖(LPS)协同作用加剧代谢性炎症,但其潜在机制尚不清楚。本研究探讨FFA和LPS如何共同促进巨噬细胞M1极化和胰岛素抵抗(insulin resistance, IR)。采用体内模型(hfd喂养和lps处理的小鼠)和体外巨噬细胞测定。利用流式细胞术、RNA-seq、m6A甲基化分析和aav介导的FTO或CSF1基因调控来剖析其机制。通过空腹血糖和HOMA-IR指数评估小鼠的代谢表型。FFA和LPS联合处理可协同增加M1巨噬细胞极化和IR,与FTO表达升高相关。FFA/LPS上调FTO可降低CSF1 mRNA的m6A修饰,通过破坏IGF2BP2结合促进其降解。在体内,消耗FTO或恢复CSF1可减弱M1极化并改善胰岛素敏感性。FTO-m6A-CSF1轴驱动FFA/ lps诱导的代谢性炎症,为IR提供治疗靶点。
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引用次数: 0
Astrocytic SIRT3 Alleviates Neuroinflammatory Responses After Cerebral Ischemia/reperfusion by Inhibiting the cGAS-STING Pathway. 星形胶质细胞SIRT3通过抑制cGAS-STING通路减轻脑缺血/再灌注后的神经炎症反应。
IF 5 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-07 DOI: 10.1007/s10753-025-02388-0
Wen Lei, Yang Dong, Hao Zhuang, Qiang Wu, Xiaoxuan Zhang, XueWen Wu, Jingjing Zhao, Weiyi Huang, Junfei Shao, Jun Sun

Ischemic stroke triggers detrimental neuroinflammatory responses where astrocytes play a pivotal role. This study investigates whether Sirtuin 3 (SIRT3), a key cellular regulator, mitigates astrocyte-mediated neuroinflammation by modulating the cGAS-STING pathway. Using in vivo ischemic stroke models and in vitro astrocyte cultures subjected to ischemic-like injury, we demonstrate that SIRT3 expression is significantly suppressed post-injury, coinciding with pronounced activation of the cGAS-STING signaling cascade and elevated release of pro-inflammatory cytokines. Pharmacological activation of SIRT3 or its genetic overexpression effectively reduced cerebral damage, improved neurological outcomes, and suppressed cGAS-STING pathway activation. Conversely, targeted knockdown of cGAS or STING similarly attenuated inflammatory responses. Transcriptomic analysis revealed that SIRT3 overexpression alters genes associated with DNA sensing and innate immune pathways. These findings establish that SIRT3 alleviates post-stroke neuroinflammation in astrocytes by inhibiting the cGAS-STING pathway, highlighting SIRT3 as a promising therapeutic target for ischemic stroke treatment.

缺血性中风触发有害的神经炎症反应,其中星形胶质细胞起关键作用。本研究探讨Sirtuin 3 (SIRT3)是否通过调节cGAS-STING通路减轻星形胶质细胞介导的神经炎症。通过体内缺血性脑卒中模型和体外缺血性脑损伤星形胶质细胞培养,我们发现SIRT3的表达在损伤后被显著抑制,与cGAS-STING信号级联的明显激活和促炎细胞因子的释放升高相一致。药理激活SIRT3或其基因过表达可有效减少脑损伤,改善神经预后,抑制cGAS-STING通路激活。相反,靶向敲除cGAS或STING类似地减轻了炎症反应。转录组学分析显示SIRT3过表达改变了与DNA感知和先天免疫途径相关的基因。这些发现表明SIRT3通过抑制cGAS-STING通路减轻脑卒中后星形胶质细胞的神经炎症,突出SIRT3是缺血性脑卒中治疗的一个有希望的治疗靶点。
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引用次数: 0
Indole-3-aldehyde Preserves Gingival Epithelial Barrier Structure and Function Via AhR/Nrf2 Signaling Pathway. 吲哚-3-醛通过AhR/Nrf2信号通路保护牙龈上皮屏障结构和功能。
IF 5 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-07 DOI: 10.1007/s10753-025-02371-9
Lingzhi Wu, Shiwen Wu, Yuquan Deng, Jinyu Li, Chi Zhang, Yan Wang, Chuanjiang Zhao, Li Gao

Indole-3-aldehyde (IAld), an indole derivative of tryptophan metabolized by microorganisms, has been observed to improve epithelial barriers in multiple chronic inflammatory diseases through the aryl hydrocarbon receptor (AhR). This study aimed to elucidate the role and underlying mechanism of IAld in preserving the gingival epithelium via AhR activation in periodontitis. An experimental mouse model of periodontitis was established to assess the anti-periodontitis effect of IAld by using micro-computed tomography (Micro-CT), hematoxylin-eosin staining, immunohistochemical staining and 16S rRNA amplicon sequencing. Subsequently, CCK-8 assays, FITC-FD4 flux measurements, western blotting, and immunofluorescence staining were performed to confirm the protective effect of IAld on P. gingivalis-treated human gingival epithelial cells (hGECs) in vitro. Finally, RNA sequencing, immunofluorescence and immunohistochemical staining were used to thoroughly explore the underlying mechanism. We observed that in periodontitis mice, IAld treatment inhibited alveolar bone loss and periodontal tissue inflammation; activated the AhR pathway; increased the expression levels of E-cadherin, Claudin1, Occludin and ZO-1; and reshaped the oral microbial composition. In vitro, P. gingivalis-stimulated hGECs treated with IAld exhibited decreased FITC-FD4 permeability and upregulated expression of CYP1A1, E-cadherin and Claudin1 compared to the P. gingivalis group. Kyoto Encyclopedia of Genes and Genomes (KEGG) and Gene Ontology (GO) analyses revealed downregulation of oxidative stress pathways and overexpression of the antioxidants NrF2 and Hmox1. In vitro, IAld treatment reduced reactive oxygen species (ROS) production and upregulated the expression of Nrf2 and HO-1. Overall, our study demonstrated that IAld improved the function and integrity of the gingival epithelial barrier via the AhR/Nrf2 signaling pathway, thus providing a potential strategy for periodontitis treatment.

吲哚-3-醛(IAld)是由微生物代谢的色氨酸的吲哚衍生物,已被观察到通过芳烃受体(AhR)改善多种慢性炎症性疾病的上皮屏障。本研究旨在阐明IAld在牙周炎中通过激活AhR来保护牙龈上皮的作用及其潜在机制。采用显微计算机断层扫描(Micro-CT)、苏木精-伊红染色、免疫组织化学染色、16S rRNA扩增子测序等方法,建立实验性牙周炎小鼠模型,评价IAld的抗牙周炎作用。随后,通过CCK-8测定、FITC-FD4通量测定、western blotting和免疫荧光染色来证实IAld对体外处理的牙龈上皮细胞(hGECs)的保护作用。最后,利用RNA测序、免疫荧光和免疫组织化学染色深入探讨其潜在机制。我们观察到,在牙周炎小鼠中,IAld治疗抑制了牙槽骨丢失和牙周组织炎症;激活AhR通路;E-cadherin、claudin、Occludin、ZO-1表达水平升高;重塑了口腔微生物的组成。在体外,与牙龈卟啉组相比,经IAld处理的牙龈卟啉刺激的hgec表现出FITC-FD4通透性降低,CYP1A1、E-cadherin和Claudin1表达上调。京都基因和基因组百科全书(KEGG)和基因本体(GO)分析显示氧化应激途径下调,抗氧化剂NrF2和Hmox1过表达。在体外,IAld处理降低了活性氧(ROS)的产生,上调了Nrf2和HO-1的表达。总之,我们的研究表明,IAld通过AhR/Nrf2信号通路改善了牙龈上皮屏障的功能和完整性,从而为牙周炎的治疗提供了一种潜在的策略。
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引用次数: 0
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Inflammation
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