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The GPR124‑Wnt‑PPARγ regulatory axis: Molecular mechanisms and therapeutic implications in chronic inflammatory diseases (Review). GPR124 - Wnt - PPARγ调控轴:慢性炎性疾病的分子机制和治疗意义(综述)
IF 5.8 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-02 DOI: 10.3892/ijmm.2025.5724
Ming-Wang Cui, Si-Yu Tao, Tao Wen, Zhu-Ling Guo

G protein‑coupled receptor 124 (GPR124) and peroxisome proliferator‑activated receptor γ (PPARγ) constitute two mechanistically distinct signaling molecules that exhibit functional convergence through their opposing regulation of the canonical Wnt/β‑catenin pathway, thereby establishing a critical regulatory network governing inflammatory homeostasis and tissue repair responses. The present comprehensive review elucidates the molecular architecture and pathophysiological significance of the GPR124‑Wnt‑PPARγ regulatory axis, with particular emphasis on its therapeutic implications in chronic inflammatory diseases. GPR124, originally identified as an adhesion G protein‑coupled receptor essential for central nervous system angiogenesis and blood‑brain barrier integrity, functions as a context‑dependent co‑activator of Wnt7a/Wnt7b signaling. By contrast, PPARγ, a ligand‑activated nuclear receptor and master regulator of metabolism and inflammation, exerts potent antagonistic effects on Wnt/β‑catenin signaling through direct β‑catenin degradation mechanisms. The opposing regulation of Wnt signaling by these two receptors establishes a molecular framework that critically influences disease progression in atherosclerosis, diabetic complications, neuroinflammation and cancer‑associated inflammation, with its function being fine‑tuned by tissue‑specific expression patterns and diverse mechanisms. Understanding the GPR124‑Wnt‑PPARγ axis provides novel therapeutic opportunities for combination targeting strategies in chronic inflammatory conditions, where the balance between pro‑angiogenic Wnt activation and anti‑inflammatory PPARγ signaling determines disease outcomes. The present review examines the molecular architecture of GPR124‑PPARγ crosstalk, analyzes pathophysiological implications across multiple organ systems, and evaluates emerging therapeutic strategies for targeting this regulatory network in chronic inflammatory diseases.

G蛋白偶联受体124 (GPR124)和过氧化物酶体增殖物激活受体γ (PPARγ)构成了两种机制不同的信号分子,它们通过对典型Wnt/β - catenin通路的相反调控表现出功能趋同,从而建立了一个控制炎症稳态和组织修复反应的关键调控网络。本文综述了GPR124 - Wnt - PPARγ调控轴的分子结构和病理生理意义,特别强调了其在慢性炎症性疾病中的治疗意义。GPR124最初被认为是一种粘附G蛋白偶联受体,对中枢神经系统血管生成和血脑屏障完整性至关重要,可作为Wnt7a/Wnt7b信号传导的环境依赖性共激活因子。相比之下,PPARγ是一种配体激活的核受体,是代谢和炎症的主要调节剂,通过β - catenin的直接降解机制对Wnt/β - catenin信号传导产生有效的拮抗作用。这两种受体对Wnt信号的相反调控建立了一个分子框架,该框架对动脉粥样硬化、糖尿病并发症、神经炎症和癌症相关炎症的疾病进展具有重要影响,其功能受到组织特异性表达模式和多种机制的微调。了解GPR124 - Wnt - PPARγ轴为慢性炎症的联合靶向策略提供了新的治疗机会,其中促血管生成Wnt激活和抗炎PPARγ信号传导之间的平衡决定了疾病结局。本综述研究了GPR124 - PPARγ串扰的分子结构,分析了多器官系统的病理生理影响,并评估了针对慢性炎症性疾病的这种调节网络的新兴治疗策略。
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引用次数: 0
Environmental exposure to air pollution and climate: Intersecting the impact on ear and nose health and chemosensory function (Review). 环境暴露于空气污染和气候:交叉影响耳鼻健康和化学感觉功能(综述)。
IF 5.8 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-02 DOI: 10.3892/ijmm.2025.5726
Yu-Chen Zhang, Lei Zhang, Ping-Ting Zhou, Zi-Hui Xie, Wen-Jie Zhang, Min Fan, Yan-Xun Han, Ye-Hai Liu, Yu-Chen Liu

Air pollution, an emerging global environmental issue, alongside extreme meteorological conditions exacerbated by climate change, threaten the sustainability of modern society and contribute to the onset and progression of various ear and nose diseases. Nonetheless, the impact of these environmental factors on ear and nose diseases and related dysfunctions remain inadequately explored. The present review involved a comprehensive search of PubMed, Web of Science, the Cochrane Library and Embase for relevant epidemiological and experimental data. How environmental factors contribute to olfactory and auditory system dysfunctions as well as the potential underlying mechanisms from the perspectives of immunity and inflammation were examined in the present review. It was found that air pollution and meteorological factors significantly influence the prevalence of major ear and nose diseases, including allergic rhinitis, otitis media and sudden sensorineural hearing loss. Of note, the present review also provides an examination of the interaction between severe acute respiratory syndrome coronavirus 2 and environmental factors in ear and nose diseases, highlighting how environmental stressors may worsen disease progression. In conclusion, the present review underscores the burden of multimorbidity caused by air pollution and extreme weather and emphasizes the need for more targeted prevention and management strategies for ear and nose diseases.

空气污染是一个新出现的全球环境问题,与气候变化加剧的极端气象条件一道,威胁着现代社会的可持续性,并导致各种耳鼻喉疾病的发生和发展。然而,这些环境因素对耳鼻疾病和相关功能障碍的影响仍未得到充分探讨。本综述对PubMed、Web of Science、Cochrane Library和Embase进行了全面的检索,以获取相关的流行病学和实验数据。本文从免疫和炎症的角度探讨了环境因素对嗅觉和听觉系统功能障碍的影响及其潜在机制。研究发现,空气污染和气象因素对变应性鼻炎、中耳炎和突发性感音神经性听力损失等主要耳鼻病的患病率有显著影响。值得注意的是,本综述还研究了严重急性呼吸综合征冠状病毒2与耳鼻病中环境因素之间的相互作用,强调了环境压力因素如何加剧疾病进展。总之,本综述强调了由空气污染和极端天气引起的多种疾病的负担,并强调需要更有针对性的耳鼻病预防和管理策略。
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引用次数: 0

Harnessing MSC‑derived exosomes to modulate the pathophysiology of ASD: Recent advances and therapeutic implications (Review)

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利用MSC衍生的外泌体调节ASD的病理生理:最新进展和治疗意义(综述)。
IF 5.8 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.3892/ijmm.2026.5731
Zhaojian Sun, Nouman Amjad, Majid Muhammad, Zhiyuan Li

Autism spectrum disorder (ASD) is a complex neurodevelopmental condition characterized by marked genetic heterogeneity and diverse environmental influences. Current treatment approaches focus on symptom management, with only a limited number of effective interventions targeting the underlying causes. Recently, mesenchymal stem cells (MSCs) and their derived exosomes (MSC‑Exos) have emerged as promising candidates for ASD therapy owing to their potent immunomodulatory, neuroprotective and targeted delivery properties. The present review discusses the functions of MSC‑Exos and their potential use in ASD. MSC‑Exos improve neuroinflammation, enhance synaptic plasticity and restore neural network function by delivering bioactive molecules. Moreover, MSC‑Exos exhibit a low immunogenicity, a favorable safety profile and scalability for clinical production. Despite promising results however, clinical trials continue to face challenges, particularly in standardizing the isolation, characterization, dosing and administration routes of exosomes. In addition, significant challenges persist in production processes, quality control and the elucidation of the mechanisms of action. In conclusion, MSC‑Exos represent a groundbreaking, cell‑free therapeutic strategy with substantial potential to target the core pathophysiology of ASD. In the future, multicenter randomized controlled trials and interdisciplinary collaborations will be crucial for translating preclinical findings into the development of effective and transformative therapies for ASD. 

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自闭症谱系障碍(ASD)是一种复杂的神经发育疾病,具有显著的遗传异质性和多种环境影响。目前的治疗方法侧重于症状管理,针对根本原因的有效干预措施数量有限。最近,间充质干细胞(MSCs)及其衍生外泌体(MSC - Exos)因其强大的免疫调节、神经保护和靶向递送特性而成为ASD治疗的有希望的候选者。本文综述了MSC - Exos的功能及其在ASD中的潜在应用。MSC‑Exos通过传递生物活性分子改善神经炎症、增强突触可塑性和恢复神经网络功能。此外,MSC - Exos具有低免疫原性、良好的安全性和临床生产的可扩展性。然而,尽管取得了令人鼓舞的结果,临床试验仍然面临挑战,特别是在外泌体的分离、表征、给药和给药途径的标准化方面。此外,在生产过程、质量控制和阐明作用机制方面仍然存在重大挑战。总之,MSC - Exos代表了一种突破性的无细胞治疗策略,具有针对ASD核心病理生理的巨大潜力。在未来,多中心随机对照试验和跨学科合作将是将临床前研究结果转化为有效和变革性治疗ASD的关键。
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引用次数: 0
Role of cuproptosis in digestive system tumors (Review). 铜凸在消化系统肿瘤中的作用(综述)。
IF 5.8 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-02 DOI: 10.3892/ijmm.2026.5727
Li Zhang, Yongpeng Cheng, Lulu Tang, Jiaxing Zhu, Biguang Tuo

In cells, copper levels are tightly regulated because copper deficiency leads to Menkes disease, anemia and neurodegeneration, whereas copper overload is associated with Wilson disease, liver injury, neurodegeneration and several cancers. Cuproptosis, a form of regulated cell death, depends on the intracellular accumulation of excessive copper. This process induces mitochondrial dysfunction and cell death by disrupting the stability of mitochondrial lipoylated proteins and iron‑sulfur cluster proteins. The present review aimed to summarize the mechanisms underlying cuproptosis in gastrointestinal cancer, with a focus on the relationship between copper metabolism imbalance and tumor initiation and progression, as well as the potential therapeutic applications of cuproptosis‑associated agents in oncology. The application prospects of cuproptosis in gastrointestinal tumor therapy are broad, offering novel therapeutic options that may improve prognosis in patients and survival outcomes.

在细胞中,铜水平受到严格调控,因为铜缺乏会导致门克斯病、贫血和神经变性,而铜超载与威尔逊病、肝损伤、神经变性和几种癌症有关。铜增生是一种受调控的细胞死亡形式,依赖于细胞内过量铜的积累。这一过程通过破坏线粒体脂酰化蛋白和铁硫簇蛋白的稳定性,诱导线粒体功能障碍和细胞死亡。本文综述了胃肠道肿瘤铜增生的机制,重点讨论了铜代谢失衡与肿瘤发生和发展的关系,以及铜增生相关药物在肿瘤中的潜在治疗应用。cuprotosis在胃肠道肿瘤治疗中的应用前景广阔,为改善患者预后和生存结局提供了新的治疗选择。
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引用次数: 0

[Retracted] Mechanism of cell death induced by silica nanoparticles in hepatocyte cells is by apoptosis

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【撤回】纳米二氧化硅诱导肝细胞死亡的机制是细胞凋亡。
IF 5.8 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.3892/ijmm.2026.5730
Ye Yang, Xinjing Du, Qiang Wang, Jianwei Liu, Enguo Zhang, Linlin Sai, Cheng Peng, Martin F Lavin, Abrey Jie Yeo, Xu Yang, Hua Shao, Zhongjun Du

Following the publication of this article, a concerned reader drew to the Editor's attention that the image showing silica nanoparticles in Fig. 1 on p. 906 had also been used to show the same data in another paper published by the same research group in International Journal of Molecular Medicine. Upon performing a separate investigation of the data in this paper in the Editorial Office, it also came to light that flow cytometric plots featured in Fig. 3 on p. 908 had originally been included in a paper featuring some of the same authors that had already been published in International Journal of Nanomedicine, and western blot data featured in Fig. 7 on p. 910 were originally included in another paper featuring some of the same authors in the journal Stem Cell Research & Therapy. Given the apparent re‑use of the abovementioned data in this article from previously published papers, the Editor of International Journal of Molecular Medicine has decided that this article should be retracted from the Journal. The authors were asked for an explanation to account for these concerns, but the Editorial Office did not receive a reply. The Editor apologizes to the readership for any inconvenience caused. [International Journal of Molecular Medicine 44: 903‑912, 2019; DOI: 10.3892/ijmm.2019.4265]

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在这篇文章发表之后,一位关心的读者提请编辑注意,906页图1中显示二氧化硅纳米颗粒的图像也被用于显示同一研究小组发表在《国际分子医学杂志》上的另一篇论文中的相同数据。在执行一个单独的调查数据的摘要在编辑部,它还曝光,流仪情节出现在图3 p。908最初被包含在一篇论文中某些相同的作者已经发表在国际期刊的纳米和免疫印迹数据出现在图7 p。910年最初是包含在另一篇论文具有一些相同的作者在《干细胞研究和治疗。鉴于这篇文章中提到的数据明显重复使用了以前发表的论文,《国际分子医学杂志》的编辑决定从该杂志撤回这篇文章。作者被要求对这些担忧作出解释,但编辑部没有收到答复。对于由此给读者带来的不便,本刊编辑深表歉意。国际分子医学杂志44:903 - 912,2019;DOI: 10.3892 / ijmm.2019.4265]。
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引用次数: 0
[Retracted] Silica nanoparticles induce cardiomyocyte apoptosis via the mitochondrial pathway in rats following intratracheal instillation. 【缩回】二氧化硅纳米颗粒经气管内灌注后通过线粒体途径诱导大鼠心肌细胞凋亡。
IF 5.8 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-09 DOI: 10.3892/ijmm.2026.5728
Zhongjun Du, Shangya Chen, Guanqun Cui, Ye Yang, Enguo Zhang, Qiang Wang, Martin F Lavin, Abrey J Yeo, Cunxiang Bo, Yu Zhang, Chao Li, Xiaoshan Liu, Xu Yang, Cheng Peng, Hua Shao

Following the publication of this article, a concerned reader drew to the Editor's attention that the image showing silica nanoparticles in Fig. 1 on p. 1232 had also been used to show the same data in another paper published by the same research group in International Journal of Molecular Medicine. Upon performing a separate investigation of the data in this paper in the Editorial Office, it also came to light that, concerning the immunohistochemical images shown in Fig. 8A on p. 1236, five pairs of data panels out of a total of 12 panels included in this figure contained overlapping sections of data, occasionally in different orientations with respect to other panels, such that data which were intended to show the results from differently performed experiments had apparently been derived from a smaller number of original sources. Given the large number of panels in this figure that were revealed to have overlapping sections, the Editor of International Journal of Molecular Medicine has decided that this article should be retracted from the Journal. The authors were asked for an explanation to account for these concerns, but the Editorial Office did not receive a reply. The Editor apologizes to the readership for any inconvenience caused. [International Journal of Molecular Medicine 43: 1229‑1240, 2019; DOI: 10.3892/ijmm.2018.4045].

在这篇文章发表之后,一位关心的读者提请编辑注意,第1232页图1中显示二氧化硅纳米颗粒的图像也被用于显示同一研究小组发表在《国际分子医学杂志》上的另一篇论文中的相同数据。在编辑部对本文的数据进行单独调查后,我们也发现,在第1236页Fig. 8A所示的免疫组织化学图像中,在该图所包含的12个数据面板中,有5对数据面板包含重叠的数据部分,偶尔与其他面板的方向不同。因此,那些旨在显示不同实验结果的数据显然是从少数原始来源获得的。鉴于图中显示的大量面板有重叠部分,《国际分子医学杂志》的编辑决定从该杂志撤回这篇文章。作者被要求对这些担忧作出解释,但编辑部没有收到答复。对于由此给读者带来的不便,本刊编辑深表歉意。[j]国际分子医学杂志43:1229‑1240,2019;DOI: 10.3892 / ijmm.2018.4045]。
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引用次数: 0
Role and mechanisms of ferroptosis in cognitive impairment: From molecular pathways to therapeutic targets (Review). 铁下垂在认知障碍中的作用和机制:从分子途径到治疗靶点(综述)。
IF 5.8 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-02 DOI: 10.3892/ijmm.2025.5725
Shenghui Ge, Deyue Kong, Shuyue Fan, Yi Luo, Xiao Yin, Zehua Jin, Wenqing Xia, Jianhua Ma

Cognitive impairment remains an important global health concern, with the molecular mechanisms regulating its progression being a primary research focus. Ferroptosis, a unique form of programmed cell death characterized by iron‑dependent lipid peroxidation, has been increasingly recognized for its essential role in the progression of various neurodegenerative diseases and diabetes‑associated cognitive impairment. The present review summarizes current evidence on how ferroptosis contributes to cognitive decline and outlines its regulation through lipid, iron and glutathione metabolism; it further discusses how diverse upstream pathologies converge on ferroptosis as a shared mechanism underlying cognitive dysfunction. In addition, recent advances in ferroptosis‑related biomarkers and therapeutic strategies are highlighted, with the aim of providing a clearer framework for understanding its pathogenic roles and guiding future clinical translation.

认知障碍仍然是一个重要的全球健康问题,调节其进展的分子机制是主要的研究重点。铁凋亡是一种以铁依赖性脂质过氧化为特征的独特的程序性细胞死亡形式,它在各种神经退行性疾病和糖尿病相关认知障碍的进展中发挥着重要作用,已被越来越多地认识到。本文综述了目前关于铁下垂如何导致认知能力下降的证据,并概述了其通过脂质、铁和谷胱甘肽代谢的调节;它进一步讨论了不同的上游病理如何汇聚到铁下垂作为认知功能障碍的共同机制。此外,本文还重点介绍了铁下垂相关生物标志物和治疗策略的最新进展,旨在为了解其致病作用提供更清晰的框架,并指导未来的临床翻译。
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引用次数: 0

Beyond hepatic stellate cell heterogeneity: Resolving fibrosis, restoring regeneration (Review)

.
超越肝星状细胞异质性:解决纤维化,恢复再生(综述)。
IF 5.8 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.3892/ijmm.2026.5733
Chang Gao, Guiqing Chen, Hongyan Jia, Hong Zhu, Yun Cai, Dakai Yang, Kai Zhao

Hepatic stellate cells (HSCs), specialized liver‑resident pericytes, play pivotal roles in both liver fibrogenesis and regeneration. Following hepatic injury, quiescent HSCs undergo activation and transdifferentiation into myofibroblasts, which drive tissue remodeling and scar formation. Recent advances have uncovered notable phenotypic and functional heterogeneity within HSC populations, with distinct subsets displaying context‑dependent activation states and specialized functions across diverse liver pathologies. The present review synthesizes current insights into the dynamic spectrum of HSC phenotypes and the molecular mechanisms governing their plasticity, emphasizing the mechanisms through which niche‑specific signaling, epigenetic regulation and metabolic reprogramming coordinate their functional diversity. The present review further discuss emerging therapeutic strategies that leverage this heterogeneity to selectively target pathogenic HSC subsets, while preserving their homeostatic roles, thereby opening new avenues for precision anti‑fibrotic therapies and liver regeneration.

.

肝星状细胞(HSCs)是特化的肝驻留周细胞,在肝纤维化和肝再生中起着关键作用。肝损伤后,静止的造血干细胞被激活并转分化为肌成纤维细胞,从而驱动组织重塑和瘢痕形成。最近的进展揭示了HSC群体中显着的表型和功能异质性,不同的亚群在不同的肝脏病理中表现出环境依赖的激活状态和专门的功能。本文综合了目前对HSC表型的动态谱和控制其可塑性的分子机制的见解,强调了生态位特异性信号传导、表观遗传调控和代谢重编程协调其功能多样性的机制。本综述进一步讨论了利用这种异质性选择性靶向致病性HSC亚群的新兴治疗策略,同时保留其稳态作用,从而为精确抗纤维化治疗和肝脏再生开辟了新的途径。
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引用次数: 0
ZG16B: A key regulator of tumor progression and immune microenvironment modulation in cancer (Review). ZG16B:肿瘤进展和免疫微环境调节的关键调控因子(综述)
IF 5.8 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.3892/ijmm.2026.5729
Xing-Ming Chen, Yu-Bo Liang, Jin-Xiang Zuo, Zi-Sheng Yang, Le-Yu Zhang, Xin-Yu Zhang, Ping Wan, Yang Ke

Zymogen granule protein 16B (ZG16B), also known as pancreatic adenocarcinoma upregulated factor, is a secretory lectin‑like glycoprotein that serves a crucial role in tumorigenesis and immune regulation. The present review summarizes the latest research progress on the molecular characteristics, biological functions, signaling pathway regulation and clinical importance of ZG16B. Structurally, ZG16B contains an N‑terminal hydrophobic signal peptide, a jacalin‑related lectin domain and a C‑terminal extension. Functionally, ZG16B promotes tumor cell proliferation, migration, invasion and angiogenesis, and increases vascular permeability by activating the Toll‑like receptor, C‑X‑C chemokine receptor type 4, β‑catenin and focal adhesion kinase signaling pathways. In the tumor microenvironment, ZG16B can modulate immune responses, enhance the immunosuppressive functions of myeloid‑derived suppressor cells and M2 macrophages, and also promote the maturation of dendritic cells. Clinically, ZG16B expression is upregulated in pancreatic cancer, ovarian cancer, colorectal cancer, gastric cancer and oral cancer, and its upregulation is associated with a worse prognosis in these malignancies. Several ZG16B‑specific therapeutic strategies, including monoclonal antibodies, RNA aptamers and trans‑splicing ribozymes, have shown preclinical efficacy against malignant tumors. Furthermore, a clinical trial is currently testing the efficacy and safety of PBP1510, a humanized ZG16B antibody, for the treatment of advanced pancreatic cancer. In conclusion, ZG16B may be considered a novel target for cancer diagnosis, prognosis and therapy.

Zymogen颗粒蛋白16B (ZG16B),也被称为胰腺腺癌上调因子,是一种分泌性凝集素样糖蛋白,在肿瘤发生和免疫调节中起重要作用。现就ZG16B的分子特性、生物学功能、信号通路调控及临床意义等方面的最新研究进展进行综述。在结构上,ZG16B含有一个N端疏水信号肽、一个与jacalin相关的凝集素结构域和一个C端延伸。在功能上,ZG16B通过激活Toll样受体、C - X - C趋化因子受体4型、β -连环蛋白和局灶黏附激酶信号通路,促进肿瘤细胞增殖、迁移、侵袭和血管生成,增加血管通透性。在肿瘤微环境中,ZG16B可调节免疫应答,增强髓源性抑制细胞和M2巨噬细胞的免疫抑制功能,促进树突状细胞成熟。在临床上,ZG16B在胰腺癌、卵巢癌、结直肠癌、胃癌和口腔癌中表达上调,其表达上调与这些恶性肿瘤预后较差有关。几种ZG16B特异性治疗策略,包括单克隆抗体、RNA适体和反式剪接核酶,已经显示出对恶性肿瘤的临床前疗效。此外,一项临床试验目前正在测试PBP1510(一种人源化ZG16B抗体)治疗晚期胰腺癌的有效性和安全性。综上所述,ZG16B可能是癌症诊断、预后和治疗的新靶点。
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引用次数: 0
Advances in RPGR gene therapy for X‑linked retinitis pigmentosa: From preclinical insights to clinical application (Review). RPGR基因治疗X连锁视网膜色素变性的进展:从临床前观察到临床应用(综述)
IF 5.8 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-02 DOI: 10.3892/ijmm.2025.5723
Yushan Long, Jia Qi, Wenliang Zhang, Huan Qin, Kai Yao

X‑linked retinitis pigmentosa, primarily caused by mutations in the retinitis pigmentosa GTPase regulator (RPGR) gene, represents one of the most severe forms of inherited retinal degeneration, with early onset and rapid progression. Conventional interventions, such as vitamin A or docosahexaenoic acid supplementation, offer limited benefits and fail to halt disease progression. By contrast, gene therapy has emerged as a promising approach to alter the disease course. The present review summarizes the clinical phenotypes and pathogenic mechanisms associated with RPGR mutations, focusing on their disruption of ciliary transport and metabolic homeostasis. The present review further discusses advances in preclinical models, including mice, dogs, zebrafish and induced pluripotent stem cell‑derived organoids, that have facilitated the development of RPGR‑targeted therapies. Adeno‑associated virus‑based gene replacement has shown efficacy in restoring retinal structure and function, and several approaches have progressed to early‑phase clinical trials. Despite encouraging outcomes, challenges such as RPGR coding sequence instability, vector delivery efficiency and long‑term safety remain. The present review integrates current mechanistic understanding and therapeutic progress, providing a translational perspective for precision treatment of RPGR‑associated retinal diseases.

X连锁色素性视网膜炎主要由色素性视网膜炎GTPase调节因子(RPGR)基因突变引起,是遗传性视网膜变性最严重的形式之一,发病早,进展快。常规干预措施,如维生素A或二十二碳六烯酸补充,提供有限的好处,并不能阻止疾病进展。相比之下,基因疗法已经成为一种有希望改变疾病进程的方法。本文综述了与RPGR突变相关的临床表型和致病机制,重点介绍了RPGR突变对纤毛运输和代谢稳态的破坏。本综述进一步讨论了临床前模型的进展,包括小鼠、狗、斑马鱼和诱导多能干细胞衍生的类器官,这些模型促进了RPGR靶向治疗的发展。基于腺相关病毒的基因替代已显示出恢复视网膜结构和功能的有效性,并且有几种方法已进入早期临床试验阶段。尽管取得了令人鼓舞的成果,但RPGR编码序列不稳定、载体传递效率和长期安全性等挑战依然存在。本文综述了目前的机制理解和治疗进展,为RPGR相关视网膜疾病的精确治疗提供了翻译视角。
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引用次数: 0
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International journal of molecular medicine
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