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Post-translational modifications regulating microglial inflammation in central nervous system disorders: a review. 中枢神经系统疾病中调节小胶质细胞炎症的翻译后修饰:综述。
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-11-11 DOI: 10.1007/s00011-025-02123-3
Xueqi Wang, Mei Yang, Yusong Wang, Feng Zhu

Background: Microglia, the primary immune cells of the central nervous system, play a pivotal role in orchestrating neuroinflammatory responses and maintaining neural homeostasis. Post-translational modifications (PTMs) are critical regulators of microglial inflammatory activation, phagocytic capacity, and crosstalk with other neural cells.

Findings: This review highlights seven PTMs-phosphorylation, acetylation, methylation, ubiquitination, succinylation, SUMOylation, and lactylation-that are closely linked to the modulation of microglial inflammation. We discuss how these modifications shape microglial phenotypes during central nervous system diseases, particularly in the context of neuroinflammation, and explore their potential as therapeutic targets for inflammation-driven neuropathologies.

Implications: Understanding the regulatory landscape of PTMs provides valuable insights into microglial biology and the mechanisms underlying neuroinflammatory disorders. This review aims to summarize current evidence and offer a concise overview that may assist future research on PTM-mediated regulation of microglial function and its relevance to neurological diseases.

背景:小胶质细胞是中枢神经系统的初级免疫细胞,在协调神经炎症反应和维持神经稳态方面起着关键作用。翻译后修饰(PTMs)是小胶质细胞炎症激活、吞噬能力和与其他神经细胞串扰的关键调节因子。研究结果:这篇综述强调了七个与小胶质细胞炎症调节密切相关的ptms——磷酸化、乙酰化、甲基化、泛素化、琥珀酰化、sumo酰化和乳酸化。我们讨论这些修饰如何在中枢神经系统疾病中塑造小胶质细胞表型,特别是在神经炎症的背景下,并探索它们作为炎症驱动的神经病变的治疗靶点的潜力。意义:了解ptm的调控景观为小胶质细胞生物学和神经炎症疾病的机制提供了有价值的见解。本文旨在总结目前的证据,并提供一个简明的概述,可能有助于未来研究ptm介导的小胶质细胞功能调节及其与神经系统疾病的相关性。
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引用次数: 0
Arthritogenicity of CD11b + Gr1 + myeloid cells is dependent on dual specificity phosphatase 6 (DUSP6). CD11b + Gr1 +骨髓细胞的关节炎性依赖于双特异性磷酸酶6 (DUSP6)。
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-11-11 DOI: 10.1007/s00011-025-02134-0
Teresina Laragione, Bernardo Gindri Dos Santos, Carolyn Harris, Leigh Goedeke, Percio S Gulko

Objective: The dual specificity phosphatase 6 (DUSP6) was recently implicated in autoimmune arthritis pathogenesis. However, it remains unclear which cell mediates its pathogenic activity in a mouse model of rheumatoid arthritis (RA).

Methods: Bone marrow (BM) CD11b + Gr1 + cells were isolated from DUSP6 +/+ mice and transferred into DUSP6 -/- recipients. Six weeks later mice were administered the KRN serum to induce arthritis (KSIA), and analyzed for arthritis severity clinical scores. The same strategy was used in the opposite direction with cells from DUSP6-/- cells transferred in DUSP6 +/+ mice. BM CD11b + Gr1 + cells from DUSP6 +/+ and DUSP6 -/ - were stimulated with PMA and used for RNA sequencing, and also used for real-time measurements of mitochondrial respiration with the Seahorse XF Analyzer.

Results: Transfer of CD11 + Gr1 + cells DUSP6+/+ mice into DUSP6-/- mice reversed the arthritis protection observed in the knockout mice, and developed severe disease. Transfer of cells from DUSP6-/- into DUSP6+/+ were not protective and mice still developed severe disease. Cells from DUSP6 +/+ mice had a significantly higher oxidative burst, and higher glycolysis, compared with reduced levels in DUSP6-/-. RNA sequencing analyses revealed an enrichment for differentially expressed genes implicated in RA, MAPK signaling, leukocyte differentiation and neutrophil degranulation, among others.

Conclusion: We describe a new arthritogenic role for DUSP6, which is mediated by CD11b + Gr1 + cells and their glycolytic activity and oxidative burst. Our findings also implicate these myeloid cells in arthritis pathogenesis and raise the possibility that DUSP6 may be a good target for the development of new therapies for RA.

目的:双特异性磷酸酶6 (DUSP6)最近与自身免疫性关节炎的发病机制有关。然而,在类风湿性关节炎(RA)小鼠模型中,尚不清楚哪种细胞介导其致病活性。方法:从DUSP6 +/+小鼠中分离骨髓CD11b + Gr1 +细胞,转入DUSP6 -/-受体。6周后给予小鼠KRN血清诱导关节炎(KSIA),并分析关节炎严重程度的临床评分。将DUSP6-/-细胞的细胞转移到DUSP6 +/+小鼠中,采用相同的策略,但方向相反。用PMA刺激来自DUSP6 +/+和DUSP6 -/ -的BM CD11b + Gr1 +细胞,并用于RNA测序,也用于Seahorse XF Analyzer实时测量线粒体呼吸。结果:将CD11 + Gr1 +细胞DUSP6+/+小鼠转入DUSP6-/-小鼠,逆转了敲除小鼠的关节炎保护作用,并发生严重疾病。将细胞从DUSP6-/-转移到DUSP6+/+没有保护作用,小鼠仍然发生严重的疾病。与DUSP6-/-水平降低相比,DUSP6 +/+小鼠的细胞具有明显更高的氧化爆发和更高的糖酵解。RNA测序分析显示,与RA、MAPK信号、白细胞分化和中性粒细胞脱粒等相关的差异表达基因富集。结论:我们描述了DUSP6在CD11b + Gr1 +细胞及其糖酵解活性和氧化爆发介导的关节炎发生中的新作用。我们的发现也暗示这些髓样细胞参与关节炎的发病机制,并提出DUSP6可能是开发RA新疗法的良好靶点的可能性。
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引用次数: 0
RUNX1 promotes NSCLC progression by ACP5/SMAD3-mediated M2 macrophage polarization. RUNX1通过ACP5/ smad3介导的M2巨噬细胞极化促进NSCLC进展。
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-11-06 DOI: 10.1007/s00011-025-02088-3
Changjun He, Yingbin Li, Nianyu Gao, Bicheng Fu, Fucheng Zhou, Boxiong Ni, Jianlong Bu, Junhui Chen, Xianglong Kong, Pengju Li

Objective: Regarding the participation of RUNX1 in lung cancer, we investigated its mechanism in regulating M2 polarization of tumor-associated macrophages in lung cancer.

Methods: The extracted bone marrow cells were differentiated into macrophages (BMDMs), followed by tumor-conditioned medium (CM) stimulation to simulate the impact of tumor cells on macrophages in vivo, and treatment with RUNX1 shRNA, or pCDNA3.1-ACP5 and SIS3. Macrophage polarization and cytokine secretion were assessed by flow cytometry and ELISA, followed by evaluations of RUNX1, ACP5, p-β-catenin, β-catenin and p-SMAD3 levels. The ACP5-β-catenin interaction was detected by Co-IP. BMDMs were co-cultured with Lewis lung carcinoma cells using Transwell. The malignant behaviors of cells were assessed by CCK-8 and Transwell assays. In vivo experiments were conducted to verify roles of RUNX1.

Results: Tumor-CM stimulated BMDM M2 polarization. RUNX1 was up-regulated in tumor-CM-stimulated macrophages and M2-type BMDMs, and was poorly expressed in M1-type BMDMs. RUNX1 knockdown induced M1 marker expression and reduced M2 marker expression, and repressed non-small cell lung cancer (NSCLC) cell malignant behaviors. The effects of RUNX1 silencing were partly abrogated by ACP5 overexpression. ACP5 interacted with β-catenin to promote SMAD3 phosphorylation. Downregulation of SMAD3 phosphorylation partially reversed tumor-CM-promoted BMDM M2 polarization and NSCLC cell malignant behaviors. RUNX1 promoted M2 polarization and NSCLC cell malignant behaviors by promoting ACP5-mediated SMAD3 phosphorylation. RUNX1 knockdown inhibited M2 polarization in LLC mice to suppress tumor growth in vivo.

Conclusion: RUNX1 promoted BMDM M2 polarization by facilitating the interaction between ACP5 and β-catenin to elevate SMAD3 phosphorylation, thus promoting NSCLC progression.

目的:针对RUNX1在肺癌中的参与作用,探讨其在肺癌中调控肿瘤相关巨噬细胞M2极化的机制。方法:将提取的骨髓细胞分化为巨噬细胞(bmdm),在体内用肿瘤条件培养基(tumor-conditioned medium, CM)刺激模拟肿瘤细胞对巨噬细胞的影响,并用RUNX1 shRNA或pCDNA3.1-ACP5和SIS3处理。采用流式细胞术和ELISA检测巨噬细胞极化和细胞因子分泌,检测RUNX1、ACP5、p-β-catenin、β-catenin和p- smad3水平。Co-IP检测ACP5-β-catenin相互作用。采用Transwell与Lewis肺癌细胞共培养BMDMs。CCK-8和Transwell检测细胞的恶性行为。通过体内实验验证RUNX1的作用。结果:肿瘤- cm刺激BMDM M2极化。RUNX1在肿瘤cm刺激的巨噬细胞和m2型BMDMs中表达上调,而在m1型BMDMs中表达较低。RUNX1敲低可诱导M1标记表达,降低M2标记表达,抑制非小细胞肺癌(NSCLC)细胞的恶性行为。ACP5过表达部分消除了RUNX1沉默的影响。ACP5与β-catenin相互作用促进SMAD3磷酸化。SMAD3磷酸化下调部分逆转肿瘤- cm促进的BMDM M2极化和NSCLC细胞恶性行为。RUNX1通过促进acp5介导的SMAD3磷酸化,促进M2极化和NSCLC细胞恶性行为。RUNX1敲低可抑制LLC小鼠体内M2极化,抑制肿瘤生长。结论:RUNX1通过促进ACP5与β-catenin相互作用,提高SMAD3磷酸化水平,促进BMDM M2极化,从而促进NSCLC进展。
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引用次数: 0
PGC1α alleviates M1 macrophage polarization through dual regulation of succinate metabolism and TRAF5 expression to mitigate TLR4/NF-κB-driven inflammatory cascades and myocardial ischemia/reperfusion injury. PGC1α通过双调控琥珀酸代谢和TRAF5表达,缓解M1巨噬细胞极化,减轻TLR4/NF-κ b驱动的炎症级联反应和心肌缺血/再灌注损伤。
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-11-06 DOI: 10.1007/s00011-025-02109-1
Jiajie Leng, Zhenrui Cao, Letai Li, Dingheng Hu, Yuxiang Luo, Bin Tu, Xiaoying Cao, Rui Tao, Yingjiu Jiang, Hongtao Tie

Objective: This study investigates the dual regulatory role of peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC1α) in macrophage polarization and its therapeutic potential for mitigating myocardial ischemia/reperfusion injury (MI/RI).

Methods: By integrating in vivo murine myocardial MI/RI models with macrophage-specific genetic manipulation and multi-omics analyses, including transcriptomics, proteomics, and energy metabolomics, we comprehensively investigated the cardio-protective effects, immune regulation, and potential mechanism of PGC1α. Mechanistic validations were performed using macrophage hypoxia/reoxygenation models combined with gain- and loss-of-function experiments to elucidate the molecular interactions within the PGC1α-mediated signaling network.

Results: PGC1α emerged as a potential regulator of macrophage polarization through coordinated metabolic and protein regulation in MI/RI. It suppresses TLR4/NF-κB-driven inflammation via two prominent parallel pathways: (1) Metabolic control through SUCLG1/succinyl-CoA synthetase-mediated succinate generation; (2) negatively regulates protein by TRAF5 mRNA expression inhibition. This dual-axis regulation effectively dampens M1 macrophage polarization and pro-inflammatory cytokine storms. Furthermore, macrophage-specific PGC1α activation demonstrated cardio-protective effects by preserving cardiac function and reducing cardiomyocyte apoptosis.

Conclusion: Our findings established PGC1α as a potential regulator of macrophage polarization in MI/RI, bridging mitochondrial energy metabolism and protein expression with immune responses. The PGC1α-SUCLG1/succinate axis and PGC1α-TRAF5 axis unveil therapeutic targets and potential mechanisms for modulating inflammation in MI/RI. Future studies should focus on translating these mechanisms into clinical interventions through pharmacological PGC1α activation.

目的:探讨过氧化物酶体增殖物激活受体γ辅助激活因子1- α (PGC1α)在巨噬细胞极化中的双重调节作用及其减轻心肌缺血/再灌注损伤(MI/RI)的治疗潜力。方法:将小鼠心肌MI/RI模型与巨噬细胞特异性基因操作和多组学分析相结合,包括转录组学、蛋白质组学和能量代谢组学,全面研究PGC1α的心脏保护作用、免疫调节作用和潜在机制。通过巨噬细胞缺氧/再氧化模型结合功能增益和功能丧失实验进行机制验证,以阐明pgc1 α-介导的信号网络中的分子相互作用。结果:PGC1α在MI/RI中通过协调代谢和蛋白质调节成为巨噬细胞极化的潜在调节因子。它通过两个突出的平行途径抑制TLR4/NF-κ b驱动的炎症:(1)通过SUCLG1/琥珀酰辅酶a合成酶介导的琥珀酸生成来控制代谢;(2)通过抑制TRAF5 mRNA表达负调控蛋白。这种双轴调节有效地抑制了M1巨噬细胞极化和促炎细胞因子风暴。此外,巨噬细胞特异性PGC1α激活通过维持心功能和减少心肌细胞凋亡显示出心脏保护作用。结论:我们的研究结果表明,PGC1α是心肌梗死/心肌梗死中巨噬细胞极化的潜在调节因子,在线粒体能量代谢和蛋白质表达与免疫反应之间架起了桥梁。PGC1α-SUCLG1/琥珀酸轴和PGC1α-TRAF5轴揭示了MI/RI炎症调节的治疗靶点和潜在机制。未来的研究应侧重于通过药理激活PGC1α将这些机制转化为临床干预措施。
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引用次数: 0
Navigating the complex landscape of DPP4 inhibition in inflammation: from novel mechanisms to unresolved translational challenges. 导航炎症中DPP4抑制的复杂景观:从新机制到未解决的转化挑战。
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-11-06 DOI: 10.1007/s00011-025-02127-z
DuJiang Yang, Zhijun Ye, Junjie Chen, Shuang Wang, GuoYou Wang
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引用次数: 0
Multiple circulating inflammatory proteins are associated with pathological lesions and kidney function decline in IgA nephropathy. 多种循环炎症蛋白与IgA肾病的病理病变和肾功能下降有关。
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-11-06 DOI: 10.1007/s00011-025-02131-3
Hiroki Kobayashi, Yusuke Murata, Yurie Akiya, Tomomi Matsuoka, Hiromasa Otsuka, Akiko Tsunemi, Yoshihiro Nakamura, Masaki Azuma, Masanori Abe

Introduction: The clinical relevance of circulating inflammatory proteins in Immunoglobulin A nephropathy (IgAN) remains incompletely defined. We examined whether serum inflammatory proteins-particularly tumor necrosis factor (TNF) receptor-related markers-track with disease severity and progression in IgAN.

Methods: We enrolled Japanese subjects undergoing native kidney biopsy with newly diagnosed IgAN (n = 134); disease controls with membranous nephropathy (n = 24), minimal change disease (n = 45), or lupus nephritis (n = 23); and healthy controls (n = 88). We measured 10 serum inflammatory proteins before renal biopsy and evaluated their levels in different glomerulonephritis. Additionally, we assessed associations between these proteins and clinical outcomes, including kidney function and histological changes in IgAN.

Results: Inflammatory proteins, especially TNF-R1, TNF-R2, TNF-R3, TNF-R7, and TNF-R27, were elevated in patients with IgAN and were associated with the severity of tubulointerstitial lesions. Among disease controls, membranous nephropathy and lupus nephritis also showed elevated TNF-receptor-related proteins, whereas minimal change disease did not. TNF-R7 showed a significant early increase, suggesting possible involvement in IgAN pathogenesis. Multivariable analysis indicated these proteins could predict kidney function decline.

Conclusions: Specific circulating inflammatory proteins, particularly in the TNF receptor pathway, reflect disease activity and structural injury in IgAN and may help identify patients at higher risk of progression.

免疫球蛋白A肾病(IgAN)中循环炎症蛋白的临床相关性仍然不完全明确。我们研究了血清炎症蛋白——特别是肿瘤坏死因子(TNF)受体相关标志物——是否与IgAN的疾病严重程度和进展有关。方法:我们招募了新诊断为IgAN的日本受试者(n = 134);膜性肾病(n = 24)、微小变化疾病(n = 45)或狼疮性肾炎(n = 23)的疾病对照;健康对照组(n = 88)。我们在肾活检前测定了10种血清炎症蛋白,并评估了它们在不同肾小球肾炎中的水平。此外,我们评估了这些蛋白与临床结果之间的关系,包括IgAN的肾功能和组织学变化。结果:炎性蛋白,尤其是TNF-R1、TNF-R2、TNF-R3、TNF-R7和TNF-R27在IgAN患者中升高,并且与小管间质病变的严重程度相关。在疾病对照组中,膜性肾病和狼疮性肾炎也显示tnf受体相关蛋白升高,而最小变化疾病则没有。TNF-R7早期明显升高,提示可能参与IgAN发病机制。多变量分析表明,这些蛋白可以预测肾功能下降。结论:特异性循环炎症蛋白,特别是TNF受体通路,反映了IgAN的疾病活动性和结构损伤,可能有助于识别进展风险较高的患者。
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引用次数: 0
Systemic sclerosis, main culprits and involved signaling pathways. 系统性硬化症,罪魁祸首和相关的信号通路。
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-11-06 DOI: 10.1007/s00011-025-02126-0
Omid Sadatpour, Amin Azizan, Hoda Kavosi, Mohammad Vodjgani, Elham Farhadi, Mahdi Mahmoudi

Systemic sclerosis is an autoimmune connective tissue disease of unknown cause and diverse clinical manifestations. Vasospastic episodes (Raynaud's phenomenon), often triggered by cold or stress, typically appear at disease onset. Cytokines, particularly TGF-β, act in the inflammatory and hypoxic microenvironment to drive fibrosis, which predominantly develops at inflammatory sites. Several cell types contribute to disease pathogenesis and fibrosis, including vascular endothelial cells, vascular smooth muscle cells, and fibroblasts in the extracellular matrix. Multiple signaling pathways are activated in these cells and promote disease progression. Endothelial and vascular smooth muscle cells respond to diverse ligands through pathways such as AKT, MAPK, and GPCR signaling, which promote fibrosis progression in the profibrotic and proinflammatory milieu. Cytokines are also important mediators of inflammation and fibrosis, particularly by acting on activated monocytes in the ECM and guiding them toward M1 or M2 macrophage polarization. In the early inflammatory stage, M1 macrophages predominate, while the fibrotic stage is characterized by increased M2 macrophage presence. ECM accumulation, resulting from TGF-β signaling in fibroblasts, provides integrins with ligands and promotes enhanced adhesion and migration of these cells. TGF-β, on the other hand, can transactivate the Ras pathway, promoting myofibroblast differentiation and enhancing pro-fibrotic effects.

系统性硬化症是一种病因不明、临床表现多样的自身免疫性结缔组织疾病。血管痉挛发作(雷诺现象),通常由寒冷或压力引起,通常出现在疾病发作时。细胞因子,特别是TGF-β,在炎症和缺氧微环境中起作用,驱动纤维化,纤维化主要发生在炎症部位。几种细胞类型参与疾病的发病和纤维化,包括血管内皮细胞、血管平滑肌细胞和细胞外基质中的成纤维细胞。在这些细胞中,多种信号通路被激活并促进疾病进展。内皮和血管平滑肌细胞通过AKT、MAPK和GPCR等信号通路对多种配体做出反应,从而促进纤维化和促炎环境中的纤维化进程。细胞因子也是炎症和纤维化的重要介质,特别是通过作用于ECM中的活化单核细胞并引导它们向M1或M2巨噬细胞极化。炎症早期以M1巨噬细胞为主,纤维化期以M2巨噬细胞增多为特征。由成纤维细胞中TGF-β信号传导引起的ECM积累,提供了整合素配体,并促进了这些细胞的粘附和迁移。另一方面,TGF-β可反激活Ras通路,促进肌成纤维细胞分化,增强促纤维化作用。
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引用次数: 0
A novel anti-acute lung injury mechanism of astilbin: inhibition of epithelial cells ferroptosis by targeting NRF2 activation via binding Val608 site of NRF2. 一种新的抗急性肺损伤机制:通过结合NRF2的Val608位点靶向NRF2激活抑制上皮细胞铁凋亡。
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-10-30 DOI: 10.1007/s00011-025-02119-z
Cheng Fang, Sainan Pang, Kegong Chen, Gang Wang, Qiaohan Liu, Binger Zhao, Bo Li, Bendong Shi, Yiyuan Guo, Jingzeng Cai, Ziwei Zhang

Objective and design: Astilbin (ATB) is a newly discovered natural compound with anti-inflammatory and immunomodulatory effects. However, its effects and underlying mechanisms in acute lung injury (ALI) remain unclear.

Material or subjects: An ALI model was established by intratracheal injection of lipopolysaccharide (LPS) into the trachea of C57BL/6 mice. In vitro, MLE-12 cells were stimulated with LPS. ATB was administered as a pretreatment to C57BL/6 mice and MLE-12 cells.

Results: ATB significantly alleviated ALI and suppressed the inflammatory response induced by LPS. Further data suggested that ATB inhibited LPS-induced ferroptosis in epithelial cells by increasing GPX4 and xCT expression. Moreover, ATB promoted NRF2 nuclear translocation in the LPS-treated group, while NRF2 inhibition significantly reversed the protective effects of ATB on ferroptosis and inflammation. NRF2 knockout in vivo abolished the protective effects of ATB against ALI and epithelial cell ferroptosis. Mechanistically, ATB increased NRF2 activity by binding to the Val608 amino acid of NRF2. The effect of ATB in improving ALI and ferroptosis was significantly reduced in NRF2 Val608 mutant mice.

Conclusion: ATB mitigated ALI by suppressing epithelial cell ferroptosis and activating the NRF2 pathway via binding to Val608 of NRF2.

目的与设计:Astilbin (ATB)是一种新发现的具有抗炎和免疫调节作用的天然化合物。然而,其在急性肺损伤(ALI)中的作用和潜在机制尚不清楚。材料或实验对象:通过向C57BL/6小鼠气管内注射脂多糖(LPS)建立ALI模型。在体外,LPS刺激MLE-12细胞。ATB作为C57BL/6小鼠和MLE-12细胞的预处理。结果:ATB能明显减轻ALI,抑制LPS诱导的炎症反应。进一步的数据表明,ATB通过增加GPX4和xCT的表达来抑制lps诱导的上皮细胞铁下垂。此外,ATB促进了lps处理组NRF2核易位,而NRF2抑制显著逆转了ATB对铁下垂和炎症的保护作用。体内敲除NRF2可消除ATB对ALI和上皮细胞铁凋亡的保护作用。机制上,ATB通过结合NRF2的Val608氨基酸增加NRF2的活性。在NRF2 Val608突变小鼠中,ATB改善ALI和铁下垂的作用显著降低。结论:ATB通过与NRF2的Val608结合,抑制上皮细胞铁下垂,激活NRF2通路,从而减轻ALI。
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引用次数: 0
Beyond CYP2C19: inflammation and angiogenesis gene variants drive clopidogrel resistance in CAD patients. CYP2C19之外:炎症和血管生成基因变异驱动CAD患者氯吡格雷耐药
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-10-30 DOI: 10.1007/s00011-025-02128-y
Foddha Hajer, Aouadi Malek, Abderrahmane Amani, Omrani Rahma, Ben Hamda Khaldoun, Foddha Abdelhak, Omezzine Asma, Haj Khelil Amel, Chouchene Saoussen

Background: Clopidogrel resistance remains a significant clinical challenge in coronary artery disease (CAD), with traditional explanations focusing on CYP450 polymorphisms. However, emerging evidence highlights the critical role of inflammation and angiogenesis in modulating platelet reactivity and clopidogrel responsiveness. Genetic variants in these pathways may represent under recognized determinants of treatment failure. This pilot study investigated the association between single nucleotide polymorphisms (SNPs) in inflammation- (CCR2, CCL5, CCL2) and angiogenesis-related (KDR, VEGFA) genes and clopidogrel resistance.

Methods: In a cross-sectional study of 135 Tunisian CAD patients on dual antiplatelet therapy, clopidogrel response was assessed using VerifyNow P2Y12 assay (resistance defined as PRU  ≥  208). Nine SNPs were genotyped via PCR-RFLP. Associations were evaluated using logistic regression, adjusting for covariates.

Results: The CCL5 rs2280789-C allele conferred a 3.4-fold increased resistance risk (OR = 3.40 (1.54-7.48), p =  0.002), while the CCR2 rs1799864-A allele was protective (OR =  0.30 (0.10-0.84), p =  0.02). The KDR rs1870377-AA genotype tripled resistance odds (OR =  3.05 (1.05-8.83), p =  0.04). A polygenic model revealed synergistic effects: 53% of non-responders carried  ≥ 2 risk genotypes (CCR2-GG, CCL5-TC, KDR-AA) vs. 15% of responders (OR = 6.51 (2.86-14.83), p < 0.001). No associations were found for VEGFA or CCL2 SNPs.

Conclusion: Beyond CYP450-mediated metabolism, clopidogrel resistance is driven by immuno-vascular mechanisms involving CCL5-mediated thrombo-inflammation, CCR2-dependent monocyte recruitment, and VEGFR2-linked endothelial dysfunction. These findings advocate for precision antiplatelet strategies integrating inflammatory and angiogenic pathways to optimize therapy.

背景:氯吡格雷耐药仍然是冠状动脉疾病(CAD)的一个重大临床挑战,传统的解释集中在CYP450多态性上。然而,新出现的证据强调炎症和血管生成在调节血小板反应性和氯吡格雷反应中的关键作用。这些途径中的遗传变异可能是治疗失败的未知决定因素。本初步研究探讨了炎症基因(CCR2、CCL5、CCL2)和血管生成相关基因(KDR、VEGFA)单核苷酸多态性(snp)与氯吡格雷耐药之间的关系。方法:在一项对135名突尼斯CAD患者进行双重抗血小板治疗的横断研究中,使用VerifyNow P2Y12测定法评估氯吡格雷反应(抗性定义为PRU≥208)。9个snp通过PCR-RFLP进行基因分型。使用逻辑回归评估关联,调整协变量。结果:ccr5 rs2280789-C等位基因使抗性风险增加3.4倍(OR = 3.40 (1.54-7.48), p = 0.002),而CCR2 rs1799864-A等位基因具有保护性(OR = 0.30 (0.10-0.84), p = 0.02)。KDR rs1870377-AA基因型的耐药几率增加了两倍(OR = 3.05 (1.05 ~ 8.83), p = 0.04)。多基因模型显示了协同效应:53%的无应答者携带≥2种风险基因型(CCR2-GG, CCL5-TC, KDR-AA),而应答者为15% (OR = 6.51 (2.86-14.83), p结论:除了cyp450介导的代谢外,氯吡格雷耐药是由免疫血管机制驱动的,包括ccl5介导的血栓炎症,ccr2依赖性单核细胞募集和vegfr2相关的内皮功能障碍。这些发现提倡结合炎症和血管生成途径的精确抗血小板策略来优化治疗。
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引用次数: 0
Antigen-specific reduced IgG inhibits cellular response in rat basophilic leukemia cells activated with multivalent antigen. 抗原特异性降低IgG抑制多价抗原活化大鼠嗜碱性白血病细胞的细胞反应。
IF 5.4 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-10-30 DOI: 10.1007/s00011-025-02122-4
Akemi Iwase, Ruriko Suzuki, Satoru Yokawa, Tadahide Furuno

Objective: The aim of this study was to investigate whether antigen-specific reduced IgG inhibits mast cell activation evoked by the aggregation of the high-affinity IgE receptor (FcεRI) in a manner similar to intact IgG.

Materials: Rat basophilic leukemia (RBL-2H3) cells are used for a mast cell model.

Treatment: Monovalent mouse anti-trinitrophenyl (TNP) IgG1 (75 kDa) was prepared by reducing the disulfide bond between the heavy chains using cysteamine hydrochloride. IgE-sensitized RBL-2H3 cells were stimulated with TNP-OVA, and reduced IgG1 was added 5 min after stimulation.

Methods: Degranulation and IL-4 secretion were measured 30 min and 3 h after TNP-OVA stimulation by β-hexosaminidase assay and ELISA, respectively. The intracellular distribution of SH2-containing inositol 5'-phosphatase 1 (SHIP1) was determined using immunostaining. Group differences were analyzed using the Tukey-Kramer test.

Results: Reduced IgG1 significantly inhibited degranulation and IL-4 secretion in antigen-stimulated RBL-2H3 cells to an extent similar to intact IgG1. Intracellular SHIP1 localized to the plasma membrane 5 min after the addition of reduced IgG1, mirroring the effect of intact IgG1.

Conclusions: These results suggest that antigen-specific reduced IgG1 (monovalent) inhibits antigen-induced mast cell activation by activating SHIP1 through co-ligation of FcεRI and the low-affinity IgG receptor (FcγRIIB).

目的:本研究的目的是探讨抗原特异性减少的IgG是否以类似于完整IgG的方式抑制高亲和力IgE受体(FcεRI)聚集引起的肥大细胞活化。材料:大鼠嗜碱性白血病(RBL-2H3)细胞用于肥大细胞模型。处理方法:用盐酸半胱胺还原重链间二硫键,制备单价小鼠抗三硝基苯(TNP) IgG1 (75 kDa)。用TNP-OVA刺激ige致敏的RBL-2H3细胞,刺激5 min后加入减少的IgG1。方法:采用β-己糖氨酸酶法和ELISA法分别测定TNP-OVA刺激后30min和3h小鼠的脱颗粒和IL-4分泌情况。采用免疫染色法测定含sh2的肌醇5′-磷酸酶1 (SHIP1)在细胞内的分布。采用Tukey-Kramer检验分析组间差异。结果:减少的IgG1显著抑制抗原刺激的RBL-2H3细胞的脱颗粒和IL-4分泌,其程度与完整的IgG1相似。细胞内SHIP1在加入减少的IgG1后5分钟定位到质膜上,反映了完整的IgG1的作用。结论:抗原特异性降低的IgG1(单价)通过FcεRI与低亲和IgG受体FcγRIIB的共连接激活SHIP1,从而抑制抗原诱导的肥大细胞活化。
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Inflammation Research
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