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[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
[Retracted] miR‑124‑3p inhibits the viability and motility of glioblastoma multiforme by targeting RhoG. miR - 124 - 3p通过靶向RhoG抑制多形性胶质母细胞瘤的活力和运动。
IF 5.8 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-30 DOI: 10.3892/ijmm.2026.5743
Shan Cai, Chao-Jia Shi, Jian-Xiang Lu, Yan-Pei Wang, Tian Yuan, Xiang-Peng Wang

Following the publication of this paper, a concerned reader drew to the Editor's attention that, according to a study published by Kristin Entrop and colleagues in the journal Cell Death & Disease in 2024, an unspecific anti‑Bax antibody (sc‑7480) had been used in the above study, which was shown to bind to an unrelated protein at the correct molecular weight (20‑25 kDa). Furthermore, it also came to light that, for the cell migration and invasion assay data shown in Fig. 8B on p. 10, at least four pairs of data panels were shown to feature overlapping sections, such that data which were intended to show the results of differently performed experiments had apparently been derived from a smaller number of original sources. After having performed an independent review of the data in the Editorial Office, the Editor of International Journal of Molecular Medicine has decided that this paper should be retracted from the Journal on account of a lack of confidence in the presented data. 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 47: 69, 2021; DOI: 10.3892/ijmm.2021.4902].

在这篇论文发表后,一位关心此事的读者提请编辑注意,根据Kristin Entrop及其同事于2024年在《细胞死亡与疾病》杂志上发表的一项研究,在上述研究中使用了一种非特异性抗Bax抗体(sc - 7480),该抗体被证明能以正确的分子量(20 - 25 kDa)与一种不相关的蛋白质结合。此外,我们还发现,对于第10页图8B所示的细胞迁移和侵袭试验数据,至少有四对数据面板显示出重叠部分,这样,旨在显示不同实验结果的数据显然来自较少的原始来源。在编辑部对数据进行了独立审查后,《国际分子医学杂志》的编辑决定,由于对所提供的数据缺乏信心,这篇论文应该从该杂志上撤下。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47:69,2021;DOI: 10.3892 / ijmm.2021.4902]。
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引用次数: 0
Ginkgolide C alleviates atherosclerosis via activating Nrf2 to inhibit ROS‑dependent NLRP3 inflammasome activation. 银杏内酯C通过激活Nrf2抑制ROS依赖性NLRP3炎性体激活来缓解动脉粥样硬化。
IF 5.8 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-30 DOI: 10.3892/ijmm.2026.5746
Rui Zhang

Atherosclerosis (AS), a chronic vascular pathology characterized by endothelial dysfunction, arises from the interplay of lipid dysregulation, oxidative stress, and inflammatory activation. Reactive oxygen species (ROS) overproduction triggers Nod‑like receptor protein 3 (NLRP3) inflammasome signaling, exacerbating inflammatory cascades that drive plaque progression. The nuclear factor erythroid 2‑related factor 2 (Nrf2)‑mediated antioxidant pathway serves as a critical counterbalance to ROS/NLRP3 axis dysregulation, positioning pharmacological Nrf2 activation as a promising therapeutic strategy. The present study investigated the anti‑atherosclerotic potential of ginkgolide C (GC), a terpene lactone from Ginkgo biloba with established anti‑inflammatory and anti‑ischemia/reperfusion injury properties, through coordinated modulation of redox‑inflammatory pathways. Complementary in vivo (high‑fat diet/vitamin D3‑treated ApoE-/- mice) and in vitro (oxidized‑low density lipoprotein‑stimulated aortic endothelial cells) models were established. Comprehensive analyses included histopathological characterization, lipid profiling, ultrastructural examination, redox‑inflammatory biomarker quantification, and molecular pathway validation. GC significantly attenuated hyperlipidemia and plaque progression while preserving vascular ultrastructure. Mechanistically, GC enhanced endothelial survival through dual pathway modulation: i) Nrf2 nuclear translocation upregulated antioxidant enzymes [heme oxygenase‑1/NAD(P)H quinone oxidoreductase 1/glutamate‑cysteine ligase modifier subunit], restoring redox homeostasis; ii) NLRP3 inflammasome inhibition via Caspase‑1 suppression mitigated inflammatory cytokine release. The present study demonstrated GC's dual‑target therapeutic efficacy against AS through Nrf2‑mediated oxidative stress resolution and NLRP3 inflammasome inactivation, offering new insights into phytochemical‑based cardiovascular interventions.

动脉粥样硬化(AS)是一种以内皮功能障碍为特征的慢性血管病理,是由脂质失调、氧化应激和炎症激活相互作用引起的。活性氧(ROS)的过量产生会触发Nod样受体蛋白3 (NLRP3)炎症小体信号,加剧炎症级联反应,推动斑块进展。核因子红系2相关因子2 (Nrf2)介导的抗氧化途径是ROS/NLRP3轴失调的关键平衡,将Nrf2药理激活定位为一种有前景的治疗策略。银杏内酯C (ginkgolide C, GC)是一种来自银杏叶的萜烯内酯,具有抗炎症和抗缺血/再灌注损伤的特性,通过协调调节氧化还原炎症途径,本研究探讨了银杏内酯C (ginkgolide C, GC)的抗动脉粥样硬化潜力。在体内(高脂肪饮食/维生素D3处理的ApoE-/-小鼠)和体外(氧化低密度脂蛋白刺激的主动脉内皮细胞)建立了互补模型。综合分析包括组织病理学表征、脂质谱、超微结构检查、氧化还原炎症生物标志物量化和分子途径验证。GC可显著降低高脂血症和斑块进展,同时保留血管超微结构。在机制上,GC通过双通路调节提高内皮细胞存活:i) Nrf2核易位上调抗氧化酶[血红素加氧酶1/NAD(P)H醌氧化还原酶1/谷氨酸半胱氨酸连接酶修饰子亚基],恢复氧化还原稳态;ii)通过抑制Caspase‑1抑制NLRP3炎性小体可减轻炎症细胞因子的释放。本研究通过Nrf2介导的氧化应激解决和NLRP3炎性体失活证明了GC对AS的双靶点治疗效果,为基于植物化学的心血管干预提供了新的见解。
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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)

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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.

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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
[Retracted] DDAH2 alleviates myocardial fibrosis in diabetic cardiomyopathy through activation of the DDAH/ADMA/NOS/NO pathway in rats. 【回缩】DDAH2通过激活大鼠DDAH/ADMA/NOS/NO通路减轻糖尿病性心肌病心肌纤维化。
IF 5.8 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-23 DOI: 10.3892/ijmm.2026.5734
Zhen-Dong Zhu, Ji-Ming Ye, Xue-Mei Fu, Xue-Chang Wang, Ji-Yun Ye, Xin-Ran Wu, Peng Hua, Yu-Qiong Liao, Wei Xuan, Jin-Lan Duan, Wei-Yuan Li, Hui Fu, Zhong-Hua Xia, Xuan Zhang

Following the publication of this paper, it was drawn to the Editor's attention by a concerned reader that a pair of the data panels shown for the Masson staining experiments in Fig. 3A were overlapping, such that data which were intended to show the results from differently performed experiments had apparently been derived from the same original source. Upon performing an independent analysis of the data in this paper in the Editorial Office, it came to light that a pair of the panels in Fig. 4A also contained overlapping sections of data, and moreover, the data in Fig. 3A were strikingly similar to data which had appeared in a number of other articles that were written by different authors at different research institutes, several of which have been retracted, including one that had been published prior to the reciept of the above paper to International Journal of Molecular Medicine. Owing to the fact that the contentious data in the above article were found to be strikingly similar to data that had already been published elsewhere, the Editor of International Journal of Molecular Medicine has decided that this paper 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: 49‑760, 2019; DOI: 10.3892/ijmm.2018.4034].

在本文发表后,一位关心的读者提请编辑注意,图3A中马松染色实验的一对数据面板重叠,因此,旨在显示不同实验结果的数据显然来自同一原始来源。在编辑部对本文的数据进行独立分析后,发现图4A中的一对面板也包含重叠的数据部分,而且,图3A中的数据与其他一些由不同研究机构的不同作者撰写的文章中的数据惊人地相似,其中一些已经被撤回。包括一篇在收到上述论文之前发表在《国际分子医学杂志》上的论文。由于上述文章中有争议的数据被发现与已经在其他地方发表的数据惊人地相似,《国际分子医学杂志》的编辑决定从该杂志撤回这篇论文。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43:49‑760,2019;DOI: 10.3892 / ijmm.2018.4034]。
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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
[Expression of Concern] Long non‑coding RNA SNHG20 promotes bladder cancer via activating the Wnt/β‑catenin signalling pathway. [关注表达]长链非编码RNA SNHG20通过激活Wnt/β - catenin信号通路促进膀胱癌。
IF 5.8 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-23 DOI: 10.3892/ijmm.2026.5737
Qingsong Zhao, Saiyue Gao, Qingyan Du, Ye Liu

Following the publication of this paper, it was drawn to the Editor's attention by a concerned reader that the control GAPDH western blots featured in Fig. 5A and B on p. 2845 were apparently the same (even though it is possible that the experiments portrayed in these figure parts were performed under the same experimental conditions). The authors have been contacted by the Editorial Office to offer an explanation for the matter described above, although up to this time no response from them has been forthcoming. Owing to the fact that the Editorial Office has been made aware of potential issues surrounding the scientific integrity of this paper, we are issuing an Expression of Concern to notify readers of this potential problem while the Editorial Office continues to investigate this matter further. [International Journal of Molecular Medicine 42: 2839‑2848, 2018; DOI: 10.3892/ijmm.2018.3819].

在本文发表后,一位关心的读者提请编辑注意,图5A和B在2845页上的对照GAPDH western blots显然是相同的(尽管这些图中描绘的实验可能是在相同的实验条件下进行的)。编辑部已经联系了作者,要求他们对上述问题作出解释,但到目前为止,他们还没有任何回应。由于编辑部已经意识到围绕本文科学完整性的潜在问题,在编辑部继续进一步调查此事的同时,我们发出一份关注表达,通知读者这一潜在问题。[j]国际分子医学杂志42:2839‑2848,2018;DOI: 10.3892 / ijmm.2018.3819]。
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引用次数: 0
MicroRNA‑microbiome cross‑kingdom networks drive inflammatory bowel disease through dynamic regulatory ecosystems (Review). MicroRNA -微生物组跨界网络通过动态调控生态系统驱动炎症性肠病(综述)。
IF 5.8 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-30 DOI: 10.3892/ijmm.2026.5745
Liping Liang, Xiaoyan Liu, Bang Li, Huyi Lei, Zibo Tang, Shijie Mai, Chenghai Yang, Yongjian Zhou, Shaoheng Zhang, Le Liu

Inflammatory bowel disease (IBD) pathogenesis reflects complex interactions between host immunity and gut microbiome dynamics, with microRNAs (miRNAs) functioning as key mediators of cross‑kingdom communication. Host‑derived miRNAs modulate bacterial gene expression and reshape microbial communities, while gut microbiota influences host miRNA expression through microbial metabolites and multiple immune signaling. In IBD, dysregulated miRNAs disrupt immune homeostasis by affecting inflammatory responses, lymphocyte differentiation and epithelial barrier integrity. Yet many miRNAs exhibit context‑dependent dual functions, complicating therapeutic targeting. Despite their biomarker potential for distinguishing IBD subtypes and tracking disease activity, clinical validation faces substantial obstacles including methodological inconsistencies, patient heterogeneity and temporal expression variability. Single-target miRNA therapeutics have yielded modest clinical outcomes, exposing the resilience of regulatory networks and compensatory mechanisms that limit intervention efficacy. The bidirectional architecture of miRNA‑microbiome communication argues against reductionist approaches. Effective IBD management requires integrated strategies that address multiple regulatory nodes rather than isolated pathways. Advancing this field demands deeper investigation of temporal dynamics, spatial organization and network‑level interactions. Such understanding will inform precision medicine strategies that restore regulatory equilibrium without compromising the adaptive capacity of host‑microbiome systems. Progress depends on recognizing the integrated nature of these regulatory networks rather than treating components in isolation.

炎症性肠病(IBD)的发病机制反映了宿主免疫和肠道微生物组动力学之间复杂的相互作用,其中microrna (mirna)是跨界通讯的关键介质。宿主来源的miRNA调节细菌基因表达并重塑微生物群落,而肠道微生物群通过微生物代谢物和多种免疫信号影响宿主miRNA表达。在IBD中,失调的mirna通过影响炎症反应、淋巴细胞分化和上皮屏障完整性来破坏免疫稳态。然而,许多mirna表现出环境依赖的双重功能,使治疗靶向复杂化。尽管它们具有区分IBD亚型和追踪疾病活动的生物标志物潜力,但临床验证面临着包括方法学不一致、患者异质性和时间表达变异性在内的实质性障碍。单靶点miRNA治疗已经产生了适度的临床结果,暴露了限制干预效果的调节网络和补偿机制的弹性。miRNA -微生物组通信的双向结构反对简化方法。有效的IBD管理需要解决多个调控节点的综合策略,而不是孤立的途径。推进这一领域需要对时间动态、空间组织和网络级相互作用进行更深入的研究。这种理解将为精准医疗策略提供信息,在不损害宿主-微生物组系统适应能力的情况下恢复调节平衡。进展取决于认识到这些监管网络的综合性质,而不是孤立地处理各个组成部分。
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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
期刊
International journal of molecular medicine
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