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Cannabinoids in preclinical research of sepsis: a scoping review. 大麻素在败血症的临床前研究:范围综述。
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-09-16 DOI: 10.1007/s00011-025-02090-9
Carolina Henkes Inamassu, Regina Sordi, Camila Marchioni

Background: Sepsis is a global health problem that ends millions of lives and costs billions of dollars in treatment and management every year. This disease is responsible for one in every five deaths worldwide, and is the third leading cause of death in hospitals. Despite decades of research, no current specific treatment or cure are available, only supportive and symptomatic care, and few preclinical studies reach human trials. Since the discovery of the endocannabinoid system (ECS), cannabinoids have been researched as a potential treatment for various diseases, including sepsis. Our review aimed to summarize what is known about the endocannabinoid system research in preclinical sepsis.

Methods: A scoping search was conducted in the databases Pubmed, Scopus and Web of Science. Articles were selected in case they studied a cannabinoid or the ECS in preclinical sepsis or septic shock, with no time limit. Data regarding animals species, model os sepsis, treatments, cannabinoids utilized and main outcomes were analyzed.

Results: We found that the most commonly used animal species was both Mus musculus and Rattus norvegicus, and the most frequently performed sepsis model was the endotoxemia induced by lipopolysaccharide (LPS). The most studied receptor was cannabinoid receptor type 2 (CB2) and among all cannabinoid types, synthetic cannabinoids were researched in the majority of the studies. We also discuss the evaluated outcomes, as well as their involvement with the endocannabinoid system and underlying molecular mechanisms. We highlight the main promising results and explore the limitations and future challenges in the field.

Conclusion: Cannabinoids are promising therapeutic targets in the treatment of sepsis, as they improved survival, and reduced inflammation and organ injury. However, deleterious adverse effects were reported, with the underlying molecular mechanisms still unknown, and further research is needed to evaluate their benefits and future use in clinical research.

背景:败血症是一个全球性的健康问题,每年夺去数百万人的生命,花费数十亿美元用于治疗和管理。全世界每五例死亡中就有一例是由这种疾病造成的,它是医院死亡的第三大原因。尽管经过数十年的研究,目前还没有具体的治疗或治愈方法,只有支持性和对症治疗,很少有临床前研究能达到人体试验。自从内源性大麻素系统(ECS)被发现以来,大麻素已被研究作为各种疾病的潜在治疗方法,包括败血症。我们的综述旨在总结内源性大麻素系统在临床前败血症中的研究进展。方法:在Pubmed、Scopus和Web of Science数据库中进行检索。文章选择的情况下,他们研究大麻素或ECS在临床前败血症或感染性休克,没有时间限制。分析了动物种类、脓毒症模型、治疗方法、大麻素使用和主要结局的数据。结果:我们发现最常用的动物种类是小家鼠和褐家鼠,最常用的脓毒症模型是脂多糖(LPS)诱导的内毒素血症。研究最多的受体是大麻素受体2型(CB2),在所有大麻素类型中,合成大麻素的研究居多。我们还讨论了评估结果,以及它们与内源性大麻素系统和潜在分子机制的关系。我们强调了主要的有希望的结果,并探讨了该领域的局限性和未来的挑战。结论:大麻素可以提高脓毒症患者的存活率,减少炎症和器官损伤,是治疗脓毒症的理想靶点。然而,有害的不良反应已被报道,其潜在的分子机制尚不清楚,需要进一步的研究来评估其益处和未来在临床研究中的应用。
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引用次数: 0
The impact of aspirin on PD-L1 expression and alteration of M2 polarization in non-small cell lung cancer. 阿司匹林对非小细胞肺癌中PD-L1表达及M2极化改变的影响。
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-09-16 DOI: 10.1007/s00011-025-02091-8
Nese Unver, Sila Uluturk, Ece Tavukcuoglu, Elif Duymaz Yilmaz, Yasin Kaymaz, Gunes Esendagli

Although aspirin is one of the best characterized drugs for the therapeutic effects on coagulation and inflammation, there are clues that it may also have a significant impact on cancer immunity. In this study, IFNg, a pro-inflammatory cytokine, has been demonstrated to increase the protein expression of PD-L1 in non-small cell lung carcinoma cells. In the molecular modeling of stimulated and/or aspirin-treated cancer secretome and macrophage interaction, CD38 (M1 macrophage marker) and CD209 (M2 macrophage marker) expressions confirmed that peripheral blood mononuclear cells differentiated into M1 or M2 macrophages afterwards polarization. Transcriptomic profiling was performed after 48 h of culture with differentiated M2-polarized macrophages in the presence of lung cancer cell secretomes. In contrast to the EGFR mutant aspirin-treated HCC827 cell line, the findings revealed that factors produced by the non-EGFR mutant aspirin-treated IFNg-induced H838 cancer cell secretome can alter M2 macrophage dynamics. Furthermore, significant patterns were obtained in gene expression profiles related to "Hematopoietic Cell Lineage" and "Antigen Processing and Presentation" between groups in M2-polarized macrophages established with these secretomes. However, aspirin treatment had different effects on cancer cell lines that expressed endogenous and induced PD-L1. As a result, flow cytometry analysis demonstrated that administering aspirin to HCC827 cancer cells boosted the expression of PD-L1 on their surface. Analysis of EGFR mutations, aspirin resistance, and PD-L1 levels, as well as M2 macrophage infiltration in the non-small cell lung cancer microenvironment and immune phenotyping of M2 macrophage subtypes, will assist in developing lung cancer therapy approaches that combine EGFR inhibitors and aspirin.

虽然阿司匹林是治疗凝血和炎症的最佳特征药物之一,但有线索表明它也可能对癌症免疫有重大影响。在本研究中,促炎细胞因子IFNg已被证实可增加非小细胞肺癌细胞中PD-L1的蛋白表达。在刺激和/或阿司匹林治疗的肿瘤分泌组与巨噬细胞相互作用的分子模型中,CD38 (M1巨噬细胞标志物)和CD209 (M2巨噬细胞标志物)的表达证实了外周血单核细胞极化后分化为M1或M2巨噬细胞。在肺癌细胞分泌组存在的情况下,用分化的m2极化巨噬细胞培养48小时后进行转录组学分析。与EGFR突变体阿司匹林处理的HCC827细胞系相反,研究结果显示,非EGFR突变体阿司匹林处理的ifng诱导的H838癌细胞分泌组产生的因子可以改变M2巨噬细胞动力学。此外,在用这些分泌组建立的m2极化巨噬细胞中,在与“造血细胞谱系”和“抗原加工和呈递”相关的基因表达谱中,获得了显著的模式。然而,阿司匹林治疗对表达内源性和诱导的PD-L1的癌细胞系有不同的影响。结果,流式细胞术分析表明,给予HCC827癌细胞阿司匹林可提高其表面PD-L1的表达。分析EGFR突变、阿司匹林耐药和PD-L1水平,以及M2巨噬细胞在非小细胞肺癌微环境中的浸润和M2巨噬细胞亚型的免疫表型,将有助于开发结合EGFR抑制剂和阿司匹林的肺癌治疗方法。
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引用次数: 0
Mechanism of action of M-XQLD treatment for asthma: role of STARD13 in Th17 suppression. M-XQLD治疗哮喘的作用机制:STARD13在Th17抑制中的作用
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-09-16 DOI: 10.1007/s00011-025-02094-5
Mingyue Ren, Mengmeng Sun, Bingxue Zhang, Minghao Peng, Guihua Song

Objective: Xiaoqinglong Decoction (XQLD) is a traditional oriental medicine. Modified- Xiaoqinglong Decoction (M-XQLD) was established by adding astragalus membranaceus and codonopsis pilosula on the basis of XQLD. M-XQLD has been shown to be effective in therapying asthma in clinical trials, but the mechanism of M-XQLD in asthma is currently unknown.

Methods: Mice were sensitized by ovalbumin (OVA) to induce asthma. M-XQLD were administered by oral gavage. Label-free proteomics was conducted to identify the downstream target of M-XQLD. Histopathological assessment, multiple cytokine examination in bronchoalveolar lavage fluid (BALF) were conducted. In vitro, we isolated Naïve CD4 + T cells for analysis.

Results: OVA stimulation decreased the expression of StAR Related Lipid Transfer Domain Containing 13 (STARD13), while M-XQLD treatment increased it. STARD13 overexpression reduced the inflammatory cell infiltration and goblet cells. STARD13 overexpression reduced the levels of OVA-specific IgE, IL-4, and IL-5 in serum and BALF. STARD13 overexpression inhibited the expression of IL-1β, IL-17A, and IL-22, and reduced Th17 differentiation. STARD13 overexpression inhibited the RhoA/ROCK2, while knockdown of STARD13 resulted in continuous activation of RhoA. Furthermore, STARD13 overexpression decreased p38 phosphorylation level. SB203580 treatment further inhibited the RORC expression and p38 phosphorylation. More importantly, the therapeutic efficacy of M-XQLD in OVA-induced mice was significantly reduced by STARD13 knockdown.

Conclusions: This study revealed that M-XQLD targets to STARD13, and highlighted that STARD13 alleviated asthma by reducing Th17 differentiation via inhibiting the RhoA/ROCK2/p38 signaling.

目的:小青龙汤是一种中药。在小青龙汤的基础上,加入黄芪、党参,建立了小青龙汤的加减配方。M-XQLD已在临床试验中显示出治疗哮喘的有效性,但M-XQLD治疗哮喘的机制目前尚不清楚。方法:用卵清蛋白致敏小鼠诱导哮喘。M-XQLD灌胃给药。利用无标签蛋白质组学技术鉴定M-XQLD的下游靶点。进行组织病理学评估和支气管肺泡灌洗液(BALF)多种细胞因子检测。我们在体外分离Naïve CD4 + T细胞进行分析。结果:卵细胞刺激降低了StAR相关脂质转移域13 (StAR Related脂质转移域13,STARD13)的表达,而M-XQLD使其表达升高。STARD13过表达可减少炎症细胞浸润和杯状细胞。STARD13过表达降低了ova特异性IgE、IL-4和IL-5在血清和BALF中的水平。STARD13过表达抑制IL-1β、IL-17A、IL-22的表达,抑制Th17的分化。STARD13过表达抑制RhoA/ROCK2,而STARD13的下调导致RhoA持续激活。此外,STARD13过表达降低了p38磷酸化水平。SB203580处理进一步抑制RORC表达和p38磷酸化。更重要的是,敲低STARD13显著降低M-XQLD对ova诱导小鼠的治疗效果。结论:本研究发现M-XQLD靶向STARD13,并强调STARD13通过抑制RhoA/ROCK2/p38信号通路减少Th17分化,从而减轻哮喘。
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引用次数: 0
Tuberculosis-infected macrophage exosomal miR-125b-5p induces osteoporosis by targeting IGF2 through the PI3K/AKT pathway. 结核感染巨噬细胞外泌体miR-125b-5p通过PI3K/AKT通路靶向IGF2诱导骨质疏松。
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-09-16 DOI: 10.1007/s00011-025-02096-3
Chenhao Zhao, Qiuwei Li, PeiLin Jin, Cailiang Shen

Background: Tuberculosis (TB) is a major infectious disease that can lead to systemic complications, including osteoporosis, particularly in immunocompromised individuals. Exosomal miRNAs derived from TB-infected macrophages have been implicated in various pathophysiological processes, including bone metabolism. This study investigates how exosomal miR-125b-5p from TB-infected macrophages contributes to osteoporosis by targeting insulin-like growth factor 2 (IGF2) and modulating the PI3K/AKT signaling pathway.

Methods: We analyzed NHANES data to compare bone mineral density in TB patients and healthy controls. In vitro experiments were conducted with Mycobacterium tuberculosis-infected peritoneal macrophages from C57BL/6 mice, isolating exosomes and using Western blot, flow cytometry, and bioinformatics tools to assess the role of miR-125b-5p in regulating osteogenic markers. In vivo studies in mouse models were performed to evaluate the impact of exosomal miR-125b-5p on bone density and structure.

Results: Exosomes from TB-infected macrophages were found to contain elevated levels of miR-125b-5p, which targeted IGF2 and inhibited the PI3K/AKT pathway, leading to impaired osteoblast function and reduced bone formation. Knockdown of miR-125b-5p partially restored osteogenic markers and bone density. Furthermore, IGF2 silencing exacerbated bone loss, confirming the critical role of IGF2 in TB-induced osteoporosis.

Conclusion: This study demonstrates that miR-125b-5p from TB-infected macrophages promotes osteoporosis by disrupting the IGF2/PI3K/AKT signaling axis. Targeting this pathway could provide a potential therapeutic strategy for managing TB-induced osteoporosis. Further clinical studies are necessary to validate these findings and explore additional therapeutic options.

背景:结核病(TB)是一种主要的传染病,可导致全身并发症,包括骨质疏松症,特别是在免疫功能低下的个体中。来自结核病感染巨噬细胞的外泌体mirna与多种病理生理过程有关,包括骨代谢。本研究探讨结核感染巨噬细胞外泌体miR-125b-5p如何通过靶向胰岛素样生长因子2 (IGF2)和调节PI3K/AKT信号通路促进骨质疏松。方法:我们分析NHANES数据,比较结核患者和健康对照者的骨密度。体外实验采用感染结核分枝杆菌的C57BL/6小鼠腹膜巨噬细胞,分离外泌体,使用Western blot、流式细胞术和生物信息学工具评估miR-125b-5p在调节成骨标志物中的作用。在小鼠模型中进行体内研究,以评估外泌体miR-125b-5p对骨密度和结构的影响。结果:tb感染巨噬细胞的外泌体中发现miR-125b-5p水平升高,miR-125b-5p靶向IGF2,抑制PI3K/AKT通路,导致成骨细胞功能受损,骨形成减少。敲低miR-125b-5p可部分恢复成骨标志物和骨密度。此外,IGF2沉默加剧了骨质流失,证实了IGF2在结核病诱导的骨质疏松症中的关键作用。结论:本研究表明来自tb感染巨噬细胞的miR-125b-5p通过破坏IGF2/PI3K/AKT信号轴促进骨质疏松症。以这一途径为靶点可能为结核性骨质疏松症的治疗提供潜在的治疗策略。需要进一步的临床研究来验证这些发现并探索其他治疗方案。
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引用次数: 0
Retraction Note: Silencing circANKRD36 inhibits streptozotocin-induced insulin resistance and inflammation in diabetic rats by targeting miR-145 via XBP1. 注:沉默circANKRD36可通过XBP1靶向miR-145抑制链脲霉素诱导的糖尿病大鼠胰岛素抵抗和炎症。
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-09-13 DOI: 10.1007/s00011-025-02093-6
Jinger Lu, Linrong Pang, Bo Zhang, Zhigang Gong, Chunhui Song
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引用次数: 0
Histamine regulates the activity and the expression of the Na+/H+ exchanger (NHE)3 in human epithelial HK-2 cells. 组胺调节人上皮细胞HK-2中Na+/H+交换器(NHE)3的活性和表达。
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-09-12 DOI: 10.1007/s00011-025-02095-4
Chiara Gerbino, Federica Foglietta, Daniele Corsi, Patrizia Nardini, Luigi Cangemi, Elisa Benetti, Arianna Carolina Rosa

Objective and design: Investigate the potential role of histamine and its receptors on the functional expression of the sodium/hydrogen (Na+/H+) exchanger (NHE)3.

Material: The human epithelial kidney (HK-2) cells were used as an in vitro model of the renal proximal tubule.

Treatment: HK-2 cells were exposed to histamine 0-1000 nM alone or in combination with chlorphenamine (10 μM) and JNJ-7777120 (1 μM) for 0-48 h. MAPK involvement was determined using the selective inhibitors SB202190 (p38 MAPK), PD98059 (ERK1/2), and SP600125 (SAPK/JNK).

Methods: Gene and protein expression were evaluated by qPCR and immunoblotting. The activity of NHE3 was measured by the BCECF-AM-based method.

Results: Histamine (100 nM) induced a concentration-dependent NHE3 gene transcription with a peak 16 h after the treatment, followed by protein translation at 48 h after. A Consistent increase in NHE3 activity was observed at 48 h, but also at 60 min, when both p38 MAPK and ERK1/2 were phosphorylated. JNJ-7777120 blunted the activation and expression of NHE3. Chlorpheniramine was effective only on NHE3 activity.

Conclusions: Histamine shows early (within 60 min) and late (48 h) effects on NHE3 expression. The histamine H1 and H4 receptors are shown to contribute to these effects differentially. The findings of this study extends the evidence for a direct contribution of histamine on the renal reabsorptive machinery.

目的与设计:探讨组胺及其受体对钠/氢(Na+/H+)交换剂(NHE)3功能表达的潜在作用。材料:人上皮肾(HK-2)细胞作为肾近端小管的体外模型。处理:HK-2细胞单独暴露于0-1000 nM组胺或联合氯非那明(10 μM)和JNJ-7777120 (1 μM) 0-48 h。使用选择性抑制剂SB202190 (p38 MAPK), PD98059 (ERK1/2)和SP600125 (SAPK/JNK)来确定MAPK的参与情况。方法:采用qPCR和免疫印迹法检测基因和蛋白表达。采用bcecf - am法测定NHE3活性。结果:组胺(100 nM)诱导的NHE3基因转录呈浓度依赖性,在处理后16 h达到峰值,48 h出现蛋白翻译。当p38 MAPK和ERK1/2都被磷酸化时,NHE3活性在48 h和60 min时一致增加。JNJ-7777120抑制NHE3的激活和表达。氯苯那敏仅对NHE3活性有效。结论:组胺对NHE3表达有早期(60 min内)和晚期(48 h)的影响。组胺H1和H4受体对这些作用的贡献是不同的。本研究的发现进一步证明了组胺对肾脏重吸收机制的直接作用。
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引用次数: 0
Mechanistic study on the inhibition of triple-negative breast cancer progression by LncRNA TFAP2A-AS1 through the regulation of miR-6892/PHGDH. LncRNA TFAP2A-AS1通过调控miR-6892/PHGDH抑制三阴性乳腺癌进展的机制研究
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-09-10 DOI: 10.1007/s00011-025-02092-7
Li Yuan, Jie Yuan, Shuqi Zhang, Changsheng Wei, Chengyu Luo

Background: The roles of long non-coding RNAs (lncRNAs) in the progression of various human tumors have been extensively studied. However, their specific mechanisms and therapeutic potential in Triple-Negative Breast Cancer (TNBC) remain to be fully elucidated.

Materials and methods: The qRT-PCR assay was utilized to assess the relative mRNA levels of TFAP2A-AS1, PHGDH, and miR-6892. To investigate the impact of TFAP2A-AS1, we conducted various assays, including CCK-8, Transwell, flow cytometry, and clonal formation assays, to analyze cell viability, invasion, apoptosis, and proliferation capabilities of TNBC cells. Additionally, the effects of TFAP2A-AS1 on tumor growth were evaluated through in vivo xenograft models. To explore and confirm the interactions between TFAP2A-AS1 and miR-6892, as well as between miR-6892 and PHGDH, we employed bioinformatics analysis and dual-luciferase reporter assays. Lastly, Western blot analysis and immunohistochemistry (IHC) were performed to determine the protein expression levels of PHGDH and EMT-related markers in treated TNBC cells and xenograft tissues.

Results: Our study revealed that TFAP2A-AS1 was notably downregulated in TNBC cell lines, whereas PHGDH was upregulated. High PHGDH expression correlated with poorer survival outcomes, suggesting its oncogenic role in TNBC. Functional assays demonstrated that overexpression of TFAP2A-AS1 suppressed proliferation, clonal formation, migration, and invasion, while promoting apoptosis in TNBC cells. Conversely, overexpression of PHGDH had the opposite effects, promoting tumorigenic traits. Mechanistically, TFAP2A-AS1 was found to act as a sponge for miR-6892, thereby upregulating its expression and subsequently inhibiting the target gene PHGDH. In vivo experiments confirmed that TFAP2A-AS1 overexpression inhibited tumor growth, an effect that was partially reversed by the inhibition of miR-6892 or overexpression of PHGDH.

Conclusion: Our study demonstrates that lncRNA TFAP2A-AS1 inhibits TNBC progression by modulating the miR-6892/PHGDH axis. These findings reveal that TFAP2A-AS1 suppresses key malignant characteristics of TNBC, such as proliferation, migration, and invasion. These insights suggest that targeting this pathway could offer a potential therapeutic strategy for TNBC, a subtype known for its limited targeted treatment options.

背景:长链非编码rna (lncRNAs)在各种人类肿瘤进展中的作用已经被广泛研究。然而,它们在三阴性乳腺癌(TNBC)中的具体机制和治疗潜力仍有待充分阐明。材料和方法:采用qRT-PCR法检测TFAP2A-AS1、PHGDH、miR-6892 mRNA的相对表达水平。为了研究TFAP2A-AS1的影响,我们进行了各种检测,包括CCK-8、Transwell、流式细胞术和克隆形成检测,以分析TNBC细胞的细胞活力、侵袭、凋亡和增殖能力。此外,通过体内异种移植模型评估TFAP2A-AS1对肿瘤生长的影响。为了探索和确认TFAP2A-AS1与miR-6892之间以及miR-6892与PHGDH之间的相互作用,我们采用了生物信息学分析和双荧光素酶报告基因检测。最后,采用Western blot分析和免疫组化(IHC)检测经处理的TNBC细胞和异种移植组织中PHGDH和emt相关标志物的蛋白表达水平。结果:我们的研究表明,TFAP2A-AS1在TNBC细胞系中明显下调,而PHGDH上调。高PHGDH表达与较差的生存结果相关,提示其在TNBC中的致癌作用。功能分析表明,TFAP2A-AS1过表达抑制TNBC细胞的增殖、克隆形成、迁移和侵袭,同时促进TNBC细胞凋亡。相反,过表达PHGDH具有相反的作用,促进致瘤特性。在机制上,TFAP2A-AS1被发现作为miR-6892的海绵,从而上调其表达,进而抑制靶基因PHGDH。体内实验证实,TFAP2A-AS1过表达可抑制肿瘤生长,抑制miR-6892或过表达PHGDH可部分逆转这一作用。结论:我们的研究表明,lncRNA TFAP2A-AS1通过调节miR-6892/PHGDH轴抑制TNBC进展。这些发现表明,TFAP2A-AS1抑制TNBC的关键恶性特征,如增殖、迁移和侵袭。这些见解表明,靶向这一途径可能为TNBC提供一种潜在的治疗策略,TNBC是一种以有限的靶向治疗选择而闻名的亚型。
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引用次数: 0
The role of absent in melanoma 2 (AIM2) in cardiovascular diseases. 黑色素瘤2 (AIM2)缺失在心血管疾病中的作用
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-09-10 DOI: 10.1007/s00011-025-02078-5
Jiesong Pan, Yikai Zhao, Maocheng Gu, Shuqin Chen, Yuxiao Wang, Wen Gao, Jian Li

Cardiovascular diseases (CVDs) are a group of conditions that significantly affect human health and are among the leading causes of death and disability worldwide. Clinical trials and basic research have demonstrated that inflammation plays a pivotal role in the development of CVDs. The inflammasome is a critical component of the innate immune system, involved in various inflammatory responses to pathogens and tissue damage. Absent in melanoma2(AIM2), which belongs to the PYHIN Family, is a receptor for intracellular DNA pattern recognition. AIM2 inflammasomes are implicated in the onset and progression of CVDs, activated in atherosclerotic plaques, aortic aneurysms, and damaged myocardium. This review summarizes recent advances in AIM2 research in CVDs, exploring its interactions with other inflammasomes and emphasizing its central role in immune and inflammatory responses. Specifically, the review summarizes the progress of AIM2 inhibitors, in order to critically evaluate the translational potential of such concepts into clinical practices.

心血管疾病(cvd)是一组严重影响人类健康的疾病,是全世界死亡和残疾的主要原因之一。临床试验和基础研究表明,炎症在心血管疾病的发展中起着关键作用。炎性小体是先天免疫系统的重要组成部分,参与对病原体和组织损伤的各种炎症反应。黑色素瘤a2(AIM2)缺失,属于PYHIN家族,是细胞内DNA模式识别的受体。AIM2炎性小体参与心血管疾病的发生和发展,在动脉粥样硬化斑块、主动脉瘤和受损心肌中被激活。本文综述了近年来AIM2在心血管疾病中的研究进展,探讨了其与其他炎症小体的相互作用,并强调了其在免疫和炎症反应中的核心作用。具体来说,本文总结了AIM2抑制剂的进展,以便批判性地评估这些概念转化为临床实践的潜力。
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引用次数: 0
Sigma-1 receptor activation by PRE-084 attenuates sepsis-associated encephalopathy by targeting microglial p38 MAPK-mediated neuroinflammation and neuronal endoplasmic reticulum stress. 通过靶向小胶质p38 mapk介导的神经炎症和神经元内质网应激,PRE-084激活Sigma-1受体可减轻败血症相关脑病。
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-09-04 DOI: 10.1007/s00011-025-02086-5
Xin Zeng, Wen Kang, Qin Zhou, Xia Pan, Long Wang

Background: Sepsis-Associated Encephalopathy (SAE) is a severe neurological complication of sepsis, where neuroinflammation plays a critical pathogenic role, leading to cognitive dysfunction. The Sigma-1 receptor (Sigma-1R), a chaperone protein, is implicated in neuroprotection, including the crucial modulation of neuroinflammation and endoplasmic reticulum stress (ERS). This study aimed to investigate the therapeutic potential of the Sigma-1R agonist, PRE-084, in specifically targeting SAE-associated neuroinflammation and its downstream neuropathology.

Methods: A cecal ligation and puncture (CLP) murine model of sepsis was established. Mice received the Sigma-1R agonist PRE-084 or saline. Neurological function (SHIRPA), survival rates, and cognitive performance (Morris Water Maze) were assessed. Hippocampal and cortical tissues were analyzed for Sigma-1R expression and localization, ERS markers (BiP, p-eIF2α), synaptic protein levels (PSD95, Synaptophysin), glial cell activation (Iba-1, GFAP), pro-inflammatory cytokine levels (TNF-α, IL-6), and p38 Mitogen-Activated Protein Kinase (p38 MAPK) pathway activation using Western blotting, immunofluorescence, and ELISA.

Result: CLP surgery induced neurological deficits, reduced survival, and upregulated neuronal Sigma-1R in the hippocampus. PRE-084 administration significantly improved survival rates, ameliorated neurological impairments, and attenuated cognitive dysfunction in CLP mice. Mechanistically, PRE-084 treatment directly mitigated neuronal CLP-induced ERS (reduced BiP expression and eIF2α phosphorylation) and preserved hippocampal postsynaptic density protein 95 (PSD95) levels. Crucially, these primary neuroprotective effects on neurons translated into a profound suppression of neuroinflammation, evidenced by reduced microglial (Iba-1) and astrocyte (GFAP) activation, decreased brain levels of pro-inflammatory cytokines TNF-α and IL-6, and specific inhibition of microglial p38 MAPK activation. This indicates an indirect but potent anti-inflammatory effect stemming from primary neuronal Sigma-1R engagement.

Conclusion: Our findings demonstrate that activation of neuronal Sigma-1R by PRE-084 confers protection against SAE. This protection involves primary mitigation of neuronal ERS, which is pivotal in subsequently dampening the detrimental microglial p38 MAPK-mediated neuroinflammatory cascade. This multifaceted action, culminating in reduced neuroinflammation, improves neurological outcomes and cognitive function. Targeting Sigma-1R to control neuroinflammation offers a promising therapeutic strategy for SAE.

背景:脓毒症相关脑病(SAE)是一种严重的脓毒症神经系统并发症,其中神经炎症起关键的致病作用,导致认知功能障碍。Sigma-1受体(Sigma-1R)是一种伴侣蛋白,参与神经保护,包括神经炎症和内质网应激(ERS)的关键调节。本研究旨在探讨Sigma-1R激动剂PRE-084特异性靶向sae相关神经炎症及其下游神经病理的治疗潜力。方法:建立盲肠结扎穿刺(CLP)小鼠脓毒症模型。小鼠接受Sigma-1R激动剂PRE-084或生理盐水。评估神经功能(SHIRPA)、生存率和认知能力(Morris水迷宫)。采用Western blotting、免疫荧光和ELISA分析海马和皮质组织中Sigma-1R的表达和定位、ERS标志物(BiP、p-eIF2α)、突触蛋白水平(PSD95、Synaptophysin)、胶质细胞活化(Iba-1、GFAP)、促炎细胞因子水平(TNF-α、IL-6)和p38丝裂原活化蛋白激酶(p38 MAPK)通路的活化。结果:CLP手术导致神经功能缺损,降低存活率,海马神经元Sigma-1R上调。084前给药显著提高了CLP小鼠的存活率,改善了神经损伤,并减轻了认知功能障碍。在机制上,PRE-084治疗直接减轻了clp诱导的神经元内质电休克(降低了BiP表达和eIF2α磷酸化),并保持了海马突触后密度蛋白95 (PSD95)的水平。至关重要的是,这些对神经元的初级神经保护作用转化为对神经炎症的深刻抑制,这可以通过降低小胶质细胞(Iba-1)和星形胶质细胞(GFAP)的激活,降低脑内促炎细胞因子TNF-α和IL-6的水平以及特异性抑制小胶质细胞p38 MAPK的激活来证明。这表明初级神经元Sigma-1R参与具有间接但有效的抗炎作用。结论:我们的研究结果表明,PRE-084激活神经元Sigma-1R对SAE具有保护作用。这种保护涉及神经元内质网的初级缓解,这在随后抑制有害的小胶质细胞p38 mapk介导的神经炎症级联反应中至关重要。这种多方面的作用最终减少了神经炎症,改善了神经预后和认知功能。靶向Sigma-1R控制神经炎症为SAE提供了很有前景的治疗策略。
{"title":"Sigma-1 receptor activation by PRE-084 attenuates sepsis-associated encephalopathy by targeting microglial p38 MAPK-mediated neuroinflammation and neuronal endoplasmic reticulum stress.","authors":"Xin Zeng, Wen Kang, Qin Zhou, Xia Pan, Long Wang","doi":"10.1007/s00011-025-02086-5","DOIUrl":"10.1007/s00011-025-02086-5","url":null,"abstract":"<p><strong>Background: </strong>Sepsis-Associated Encephalopathy (SAE) is a severe neurological complication of sepsis, where neuroinflammation plays a critical pathogenic role, leading to cognitive dysfunction. The Sigma-1 receptor (Sigma-1R), a chaperone protein, is implicated in neuroprotection, including the crucial modulation of neuroinflammation and endoplasmic reticulum stress (ERS). This study aimed to investigate the therapeutic potential of the Sigma-1R agonist, PRE-084, in specifically targeting SAE-associated neuroinflammation and its downstream neuropathology.</p><p><strong>Methods: </strong>A cecal ligation and puncture (CLP) murine model of sepsis was established. Mice received the Sigma-1R agonist PRE-084 or saline. Neurological function (SHIRPA), survival rates, and cognitive performance (Morris Water Maze) were assessed. Hippocampal and cortical tissues were analyzed for Sigma-1R expression and localization, ERS markers (BiP, p-eIF2α), synaptic protein levels (PSD95, Synaptophysin), glial cell activation (Iba-1, GFAP), pro-inflammatory cytokine levels (TNF-α, IL-6), and p38 Mitogen-Activated Protein Kinase (p38 MAPK) pathway activation using Western blotting, immunofluorescence, and ELISA.</p><p><strong>Result: </strong>CLP surgery induced neurological deficits, reduced survival, and upregulated neuronal Sigma-1R in the hippocampus. PRE-084 administration significantly improved survival rates, ameliorated neurological impairments, and attenuated cognitive dysfunction in CLP mice. Mechanistically, PRE-084 treatment directly mitigated neuronal CLP-induced ERS (reduced BiP expression and eIF2α phosphorylation) and preserved hippocampal postsynaptic density protein 95 (PSD95) levels. Crucially, these primary neuroprotective effects on neurons translated into a profound suppression of neuroinflammation, evidenced by reduced microglial (Iba-1) and astrocyte (GFAP) activation, decreased brain levels of pro-inflammatory cytokines TNF-α and IL-6, and specific inhibition of microglial p38 MAPK activation. This indicates an indirect but potent anti-inflammatory effect stemming from primary neuronal Sigma-1R engagement.</p><p><strong>Conclusion: </strong>Our findings demonstrate that activation of neuronal Sigma-1R by PRE-084 confers protection against SAE. This protection involves primary mitigation of neuronal ERS, which is pivotal in subsequently dampening the detrimental microglial p38 MAPK-mediated neuroinflammatory cascade. This multifaceted action, culminating in reduced neuroinflammation, improves neurological outcomes and cognitive function. Targeting Sigma-1R to control neuroinflammation offers a promising therapeutic strategy for SAE.</p>","PeriodicalId":13550,"journal":{"name":"Inflammation Research","volume":"74 1","pages":"117"},"PeriodicalIF":5.4,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bridging worlds: a narrative review of IL-17 at the crossroads of inflammation and thrombosis. 桥接世界:IL-17在炎症和血栓形成的十字路口的叙述性回顾。
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-09-04 DOI: 10.1007/s00011-025-02081-w
Gustavo Gomes Resende, Lirlândia Pires Sousa, Mauro Martins Teixeira

Interleukin-17 (IL-17) has emerged as a key cytokine at the intersection of inflammation and thrombosis, potentially playing a pivotal role in thromboinflammation. This review explores the mechanistic contributions of IL-17 to endothelial dysfunction, platelet activation, monocytes activation, and neutrophil extracellular trap (NET) formation, which collectively promotes a pro-thrombotic state. We summarize findings from experimental models and clinical studies linking IL-17 to thrombosis in autoimmune diseases, atherosclerosis, and infectious diseases such sepsis and COVID-19. Additionally, we discuss the therapeutic implications of IL-17 inhibition in mitigating thromboinflammatory complications. Understanding the role of IL-17 in this process may provide new avenues for targeted interventions in thromboinflammatory disorders.

白细胞介素-17 (IL-17)已成为炎症和血栓形成的关键细胞因子,可能在血栓炎症中发挥关键作用。这篇综述探讨了IL-17对内皮功能障碍、血小板激活、单核细胞激活和中性粒细胞胞外陷阱(NET)形成的机制贡献,这些机制共同促进了促血栓形成状态。我们总结了IL-17与自身免疫性疾病、动脉粥样硬化和感染性疾病(如败血症和COVID-19)血栓形成相关的实验模型和临床研究结果。此外,我们讨论了IL-17抑制在减轻血栓炎性并发症中的治疗意义。了解IL-17在这一过程中的作用可能为血栓炎性疾病的靶向干预提供新的途径。
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引用次数: 0
期刊
Inflammation Research
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