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Radiation-Induced Immune Modulation and Inflammatory Responses in Human Cells and Tissues. 人体细胞和组织中辐射诱导的免疫调节和炎症反应。
IF 4.9 2区 生物学 Pub Date : 2026-03-06 DOI: 10.3390/ijms27052441
Ming Chen, Nouman Amjad, Yujian Wu, Zhaojian Sun, Yirong Sun

Radiation exposure from environmental sources, medical procedures, or space exploration poses considerable risks to human health, with profound effects on immune function and inflammatory responses. Radiotherapy (RT) is a cornerstone of modern cancer treatment, leveraging ionizing radiation to induce DNA damage and tumor cell death. However, its biological effects extend beyond direct cytotoxicity, exerting complex and context-dependent influences on both innate and adaptive immunity. Ionizing radiation can enhance antitumor immune responses by promoting tumor antigen release, activating dendritic cells, and augmenting cytotoxic T-cell priming. Conversely, it can also induce immunosuppressive mechanisms, including lymphocyte depletion, regulatory T-cell expansion, immune checkpoint upregulation, and chronic inflammatory signaling, which may limit therapeutic efficacy. These immune effects are critical for optimizing RT protocols, particularly in the era of immunotherapy, where immune modulation plays a pivotal role in treatment efficacy. This review summarizes the current knowledge concerning how radiation induces immune and inflammatory responses in cells and tissues; focuses on key molecular pathways such as the DNA damage response, cGAS-STING signaling, and immune checkpoint modulation; and discusses their clinical implications. These findings provide potential therapeutic strategies for cancer treatment by harnessing the immunomodulatory potential of radiation while reducing adverse effects and for the prevention and treatment of radiation-related diseases.

来自环境源、医疗程序或空间探索的辐射暴露对人类健康构成相当大的风险,对免疫功能和炎症反应产生深远影响。放射治疗(RT)是现代癌症治疗的基石,利用电离辐射诱导DNA损伤和肿瘤细胞死亡。然而,它的生物学效应超出了直接的细胞毒性,对先天免疫和适应性免疫都产生复杂的、依赖于环境的影响。电离辐射可以通过促进肿瘤抗原释放、激活树突状细胞和增强细胞毒性t细胞启动来增强抗肿瘤免疫反应。相反,它也可以诱导免疫抑制机制,包括淋巴细胞耗竭、调节性t细胞扩增、免疫检查点上调和慢性炎症信号,这可能会限制治疗效果。这些免疫效应对于优化RT方案至关重要,特别是在免疫治疗时代,免疫调节在治疗疗效中起着关键作用。本文综述了目前关于辐射如何诱导细胞和组织的免疫和炎症反应的知识;重点关注DNA损伤反应、cGAS-STING信号和免疫检查点调节等关键分子通路;并讨论了它们的临床意义。这些发现为癌症治疗提供了潜在的治疗策略,通过利用辐射的免疫调节潜力,同时减少不良影响,并为预防和治疗辐射相关疾病提供了潜在的治疗策略。
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引用次数: 0
Cerebral Ischemia-Reperfusion Injury: Unraveling the Mitophagy-Oxidative Stress Axis for Neuroprotective Strategies. 脑缺血-再灌注损伤:揭示线粒体自噬-氧化应激轴的神经保护策略。
IF 4.9 2区 生物学 Pub Date : 2026-03-06 DOI: 10.3390/ijms27052448
Yanling Zhou, Baochun Luo, Tong Shang, Zengrong Wei, Wei Zou

Cerebral ischemia-reperfusion (I/R) injury is a major pathological contributor to neurological deterioration following ischemic stroke (IS) and remains a critical barrier to effective neuroprotection. Accumulating evidence indicates that cerebral I/R injury is driven not by isolated stress responses but by coordinated and dynamic interactions among multiple cellular pathways. Among these, the bidirectional crosstalk between mitophagy and oxidative stress has emerged as a central regulatory axis. Moderate oxidative stress can function as an adaptive signal, activating protective mitophagy through key pathways such as AMPK/ULK1 signaling and cardiolipin externalization, thereby facilitating mitochondrial quality control and maintaining cellular homeostasis. Conversely, appropriately regulated mitophagy limits excessive reactive oxygen species (ROS) production by removing dysfunctional mitochondria, forming a negative feedback mechanism. However, dysregulation or excessive activation of either process disrupts this balance, leading to a self-amplifying cycle of mitochondrial dysfunction and oxidative damage that exacerbates neuronal injury. This review systematically summarizes the molecular mechanisms governing the oxidative stress-mitophagy crosstalk in cerebral I/R injury, highlighting key signaling nodes and regulatory pathways that determine protective versus detrimental outcomes. Furthermore, we discuss emerging therapeutic strategies aimed at precisely modulating this axis in a spatiotemporal- and intensity-dependent manner. By integrating mechanistic insights with translational perspectives, this review provides a conceptual framework for developing targeted neuroprotective interventions based on coordinated regulation of mitochondrial quality control and redox homeostasis.

脑缺血再灌注(I/R)损伤是缺血性脑卒中(is)后神经功能恶化的主要病理因素,也是有效神经保护的关键障碍。越来越多的证据表明,脑I/R损伤不是由孤立的应激反应驱动的,而是由多种细胞通路之间协调和动态的相互作用驱动的。其中,有丝分裂和氧化应激之间的双向串扰已成为一个中心调控轴。适度的氧化应激可以作为一种适应性信号,通过AMPK/ULK1信号和心磷脂外化等关键途径激活保护性线粒体自噬,从而促进线粒体质量控制,维持细胞稳态。相反,适当调节的线粒体自噬通过去除功能失调的线粒体来限制过多的活性氧(ROS)产生,形成负反馈机制。然而,任何一个过程的失调或过度激活都会破坏这种平衡,导致线粒体功能障碍和氧化损伤的自我放大循环,从而加剧神经元损伤。本文系统总结了脑I/R损伤中氧化应激-线粒体自噬串扰的分子机制,重点介绍了决定保护与有害结果的关键信号节点和调控途径。此外,我们讨论了旨在以时空和强度依赖的方式精确调节该轴的新兴治疗策略。通过将机制见解与翻译观点相结合,本综述为开发基于线粒体质量控制和氧化还原稳态协调调节的靶向神经保护干预提供了概念框架。
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引用次数: 0
The Contribution of Massively Parallel Sequencing in Disclosing Unusual Tri- and Tetra-Allelic Type Patterns Detected at the Multicopy Loci DYS385a/b and DYF387S1. 大规模平行测序在揭示多拷贝位点DYS385a/b和DYF387S1异常三和四等位基因型模式中的贡献
IF 4.9 2区 生物学 Pub Date : 2026-03-06 DOI: 10.3390/ijms27052434
Chiara Saccardo, Domenico De Leo, Stefania Turrina

Atypical allelic patterns with additional alleles at multicopy Y-short tandem repeats (Y-STRs), such as DYS385a/b and DYF387S1, mainly arise from duplication or gene conversion events occurring in the palindromic regions of the Y chromosome where these markers are located. Although rarely encountered in forensic genetics, these allelic patterns require accurate deconvolution of the single allelic components to ensure correct genotype interpretation. Capillary electrophoresis (CE), the standard method for STR typing, infers multiallelic Y-STR genotypes through intra-locus and intra-color peak height ratios. However, this approach may be insufficient when the pattern includes isoalleles (alleles identical in length but differing in sequence), potentially leading to an underestimation of the number of alleles and therefore the true allelic configuration. Massively parallel sequencing (MPS) technique, through amplicon sequence-based analysis, provides additional information that can overcome ambiguities and interpretative errors arising from CE analysis of complex Y-STR patterns. In this study, analysis of raw MPS sequence data enabled the identification, in two male-derived DNA samples, of complex tri-allelic patterns at DYS385a/b and DYF387S1 loci, classifiable as type 2-B and 2-C, respectively. Furthermore, in a third male-derived DNA sample, a previously undescribed tetra-allelic pattern was detected at DYF387S1, characterized by an isoallele with double read counts.

在多拷贝Y短串联重复序列(Y- strs)上带有额外等位基因的非典型等位基因模式,如DYS385a/b和DYF387S1,主要是由于这些标记所在的Y染色体回文区发生的重复或基因转换事件。虽然在法医遗传学中很少遇到,但这些等位基因模式需要对单个等位基因成分进行准确的反褶积,以确保正确的基因型解释。毛细管电泳(CE)是STR分型的标准方法,通过基因座内和颜色内峰高比推断多等位基因Y-STR基因型。然而,当模式包含等等位基因(长度相同但序列不同的等位基因)时,这种方法可能是不够的,可能导致对等位基因数量的低估,从而导致对真正等位基因配置的低估。大规模平行测序(MPS)技术通过基于扩增子序列的分析,提供了额外的信息,可以克服复杂Y-STR模式的CE分析所产生的歧义和解释错误。在本研究中,对原始MPS序列数据的分析使得在两个男性来源的DNA样本中鉴定出DYS385a/b和DYF387S1位点的复杂三等位基因模式,分别可分类为2-B型和2-C型。此外,在第三个男性来源的DNA样本中,在DYF387S1检测到先前未描述的四等位基因模式,其特征是具有双读计数的等等位基因。
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引用次数: 0
Bovine Lactoferrin Modulates Mononuclear Cell Activity in Human Palatine Tonsils. 牛乳铁蛋白调节人腭扁桃体单核细胞活性。
IF 4.9 2区 生物学 Pub Date : 2026-03-06 DOI: 10.3390/ijms27052442
Takumi Yago, Chisane Kujirai, Hirotsugu Oda, Takahiro Inoue, Hisataka Ominato, Risa Wakisaka, Ryosuke Sato, Michihisa Kono, Hidekiyo Yamaki, Kenzo Ohara, Takumi Kumai, Miyuki Tanaka, Miki Takahara

Lactoferrin (LF) is present in tears, nasal secretions, saliva, and milk and maintains mucosal homeostasis. The palatine tonsils represent the first immune tissue to recognize pathogens invading the oral cavity via Toll-like receptors (TLRs). We aimed to investigate the effects of bovine LF on tonsillar immune cells stimulated with ligands of TLR7 or TLR9, which recognize viral single-stranded RNA or bacterial unmethylated CpG DNA. Mononuclear cells isolated from palatine tonsils of patients with recurrent tonsillitis or immunoglobulin A (IgA) nephropathy were cultured with LF, TLR7, or TLR9 ligands. Under TLR7 stimulation, LF enhanced the activation of plasmacytoid dendritic cells (pDCs), T-killer cells, and B cells without inducing inflammatory cytokines. In contrast, under TLR9 stimulation, LF suppressed the activation of pDCs, myeloid dendritic cells, T-helper cells, T-killer cells, B cells, and natural killer cells, as well as the production of TNF-α and IL-6. Moreover, LF decreased the production of the B-cell activation factor (BAFF), a proliferation-inducing ligand (APRIL), and galactose-deficient IgA1, all of which are risk factors of IgA nephropathy. Overall, LF may enhance the immune response against viruses and contribute to immune tolerance against commensal bacteria in the palatine tonsils, indicating potential benefits in managing cold-like symptoms, recurrent tonsillitis, and IgA nephropathy.

乳铁蛋白(LF)存在于眼泪、鼻分泌物、唾液和牛奶中,并维持粘膜稳态。腭扁桃体是第一个通过toll样受体(TLRs)识别入侵口腔病原体的免疫组织。我们的目的是研究牛LF对识别病毒单链RNA或细菌未甲基化CpG DNA的TLR7或TLR9配体刺激的扁桃体免疫细胞的影响。从复发性扁桃体炎或免疫球蛋白A (IgA)肾病患者的腭扁桃体中分离单个核细胞,用LF、TLR7或TLR9配体培养。在TLR7刺激下,LF增强了浆细胞样树突状细胞(pDCs)、t杀伤细胞和B细胞的活化,但不诱导炎症因子。相反,在TLR9刺激下,LF抑制了pDCs、骨髓树突状细胞、t辅助细胞、t杀伤细胞、B细胞和自然杀伤细胞的活化,以及TNF-α和IL-6的产生。此外,LF降低了b细胞活化因子(BAFF),一种增殖诱导配体(APRIL)和半乳糖缺乏IgA1的产生,这些都是IgA肾病的危险因素。总之,LF可以增强对病毒的免疫反应,促进对腭扁桃体共生细菌的免疫耐受,这表明在治疗感冒样症状、复发性扁桃体炎和IgA肾病方面有潜在的益处。
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引用次数: 0
Combining Yeast Display and Bacterial Genomic Library for the Unbiased Isolation of Novel Polysaccharide-Binding Peptides. 结合酵母展示和细菌基因组文库无偏分离新型多糖结合肽。
IF 4.9 2区 生物学 Pub Date : 2026-03-06 DOI: 10.3390/ijms27052417
Angela Stabile, Gaia Scaramella, Simone Puccio, John Brady, Lise Goltermann, Tim Tolker-Nielsen, Barbara Bellich, Simone De Zotti, Cristina Lagatolla, Fortunato Ferrara, Roberto Rizzo, Paola Cescutti, Daniele Sblattero

Here, we present a novel yeast surface display-based platform for the discovery of biofilm-associated exopolysaccharide-binding peptides. Unlike conventional synthetic libraries, our approach utilizes the genomic diversity of Burkholderia multivorans strain C1576 through open-reading frame-filtered genomic fragment libraries, thereby enriching for naturally encoded carbohydrate-binding domains. By iterative fluorescence-activated cell sorting, we identified 21 peptides with confirmed binding to two structurally distinct rhamnose-rich polysaccharides: the exopolysaccharide Epol C1576 and the capsular polysaccharide CPS KpB-1. Biophysical characterization revealed that these peptides adopt predominantly α-helical or disordered conformations and undergo structural rearrangements upon polysaccharide binding. Functional assays demonstrated that selected peptides modulate biofilm architecture and bacterial viability in a species-specific manner, although they do not have a direct bactericidal effect against planktonic cells. This proof-of-concept study establishes yeast surface display as a powerful tool for the discovery of biofilm-targeting peptides and provides a basis for development of novel diagnostics and therapeutics to combat biofilm-associated infections.

在这里,我们提出了一种新的酵母表面显示平台,用于发现生物膜相关的外多糖结合肽。与传统的合成文库不同,我们的方法通过开放阅读框过滤的基因组片段文库利用了多沃氏伯克霍尔德菌C1576的基因组多样性,从而丰富了自然编码的碳水化合物结合域。通过迭代荧光活化细胞分选,我们鉴定了21个与两种结构不同的富含鼠李糖的多糖结合的肽:胞外多糖Epol C1576和荚膜多糖CPS KpB-1。生物物理表征表明,这些肽主要采用α-螺旋或无序构象,并在多糖结合后发生结构重排。功能分析表明,选定的肽以一种特定的方式调节生物膜结构和细菌活力,尽管它们对浮游细胞没有直接的杀菌作用。这项概念验证研究确立了酵母表面展示作为发现生物膜靶向肽的有力工具,并为开发新的诊断和治疗方法来对抗生物膜相关感染提供了基础。
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引用次数: 0
Functional Differences Between Typical and Multinucleated Endothelial Cells Under Low-Density Lipoprotein Exposure. 低密度脂蛋白暴露下典型和多核内皮细胞的功能差异
IF 4.9 2区 生物学 Pub Date : 2026-03-06 DOI: 10.3390/ijms27052425
Vadim Cherednichenko, Diana Kiseleva, Ulyana Khovantseva, Denis Breshenkov, Rustam Ziganshin, Olga Dymova, Tatiana Kirichenko, Eduard Charchyan, Alexander M Markin

Endothelial cells are key regulators of vascular homeostasis, and their dysfunction plays a central role in the development of atherosclerosis and other cardiovascular diseases. Multinucleated variant endothelial cells (MVECs) have been described in pathological vascular regions; however, their functional properties remain poorly characterized. The aim of the present study was to compare lipid handling, inflammatory activation, barrier-associated features, and secretory profiles of typical endothelial cells (TECs, EA.hy926 line) and MVECs under low-density lipoprotein (LDL) exposure. MVECs were generated by polyethylene glycol-induced fusion of EA.hy926 cells and incubated with LDL under standardized conditions. Intracellular cholesterol accumulation was assessed biochemically, cytokine secretion was quantified by ELISA, gene expression of inflammatory, endothelial, junctional, and vasoactive markers was analyzed by quantitative real-time PCR, and the endothelial secretome was characterized using data-independent acquisition liquid chromatography-tandem mass spectrometry (DIA-LC-MS). MVECs demonstrated enhanced cholesterol accumulation compared with TECs following LDL exposure. At the transcriptional level, MVECs were characterized by elevated basal expression of proinflammatory markers, including IL1B, IL6, and NFKB1, and showed a markedly amplified IL6 and IL8 response to LDL. In parallel, MVECs exhibited reduced expression of genes associated with antioxidant defense (SOD1), barrier integrity (TJP1), and hemostatic function (VWF). Consistent with transcriptional data, mass spectrometry-based secretome analysis revealed decreased secretion of von Willebrand factor (vWF), vascular endothelial growth factor C (VEGFC), and endothelin-1 (EDN1) by MVECs, accompanied by increased secretion of tissue-type plasminogen activator (t-PA). Functional enrichment analysis of secretome-associated proteins highlighted pathways related to extracellular matrix-receptor interaction, focal adhesion, cell adhesion molecules, complement and coagulation cascades, and leukocyte transendothelial migration. In contrast, TECs demonstrated a more pronounced transcriptional response in EDN1, consistent with their role in vascular tone regulation. Immunocytochemical analysis further revealed altered subcellular distribution of the tight junction protein ZO-1 in MVECs, indicating junctional destabilization. Taken together, these results indicate that MVECs represent a distinct endothelial phenotype characterized by enhanced lipid accumulation, sustained proinflammatory activation, altered secretory signaling, and reduced barrier and hemostatic potential. Such features suggest that MVECs may contribute to the maintenance of chronic endothelial dysfunction and vascular inflammation under conditions of lipid overload.

内皮细胞是血管稳态的关键调节因子,其功能障碍在动脉粥样硬化和其他心血管疾病的发生中起着核心作用。多核变异型内皮细胞(MVECs)已在病理血管区域被描述;然而,它们的功能特性仍然没有得到很好的表征。本研究的目的是比较低密度脂蛋白(LDL)暴露下典型内皮细胞(tec, EA.hy926系)和mvec的脂质处理、炎症激活、屏障相关特征和分泌谱。通过聚乙二醇诱导EA.hy926细胞融合生成mvec,并在标准化条件下与LDL孵育。用生化方法评估细胞内胆固醇积累,用ELISA定量检测细胞因子分泌,用实时荧光定量PCR分析炎症、内皮、连接和血管活性标志物的基因表达,用数据独立获取液相色谱-串联质谱(DIA-LC-MS)对内皮分泌组进行表征。与低密度脂蛋白暴露后的tec相比,mvec表现出更高的胆固醇积累。在转录水平上,mvec的特点是促炎标志物(包括IL1B、IL6和NFKB1)的基础表达升高,并且对LDL的IL6和IL8反应明显增强。同时,MVECs表现出与抗氧化防御(SOD1)、屏障完整性(TJP1)和止血功能(VWF)相关的基因表达降低。与转录数据一致,基于质谱的分泌组分析显示,mvec分泌血管性血友病因子(vWF)、血管内皮生长因子C (VEGFC)和内皮素-1 (EDN1)减少,同时组织型纤溶酶原激活物(t-PA)分泌增加。分泌组相关蛋白的功能富集分析强调了与细胞外基质-受体相互作用、局灶黏附、细胞黏附分子、补体和凝血级联以及白细胞跨内皮迁移相关的途径。相比之下,tec在EDN1中表现出更明显的转录反应,这与它们在血管张力调节中的作用一致。免疫细胞化学分析进一步显示mvec中紧密连接蛋白ZO-1的亚细胞分布发生改变,表明连接不稳定。综上所述,这些结果表明mvec代表了一种独特的内皮表型,其特征是脂质积累增强,持续的促炎激活,分泌信号改变,屏障和止血潜力降低。这些特征表明,mvec可能有助于维持脂质过载条件下的慢性内皮功能障碍和血管炎症。
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引用次数: 0
Angiogenic Imbalance in Preeclampsia: Profiling VEGF A, sFlt1, PlGF, and sFlt1/PlGF Ratios. 子痫前期血管生成失衡:分析VEGF A、sFlt1、PlGF和sFlt1/PlGF比率
IF 4.9 2区 生物学 Pub Date : 2026-03-06 DOI: 10.3390/ijms27052438
Alexandru-Dan Assani, Lidia Boldeanu, Marius Bogdan Novac, Mohamed-Zakaria Assani, Isabela Siloși, Mihail Virgil Boldeanu, Anda Lorena Dijmărescu, Maria-Magdalena Manolea, Venera Cristina Dinescu, Constantin-Cristian Văduva

Preeclampsia involves an angiogenic imbalance, but circulating vascular endothelial growth factor A (VEGF A) remains inconsistently described, particularly in relation to maternal adiposity. We studied 90 second-trimester pregnancies, 30 uncomplicated and 60 with preeclampsia, recording maternal body mass index (BMI) and gestational age at sampling. Serum soluble fms-like tyrosine kinase 1 (sFlt1), placental growth factor (PlGF), and VEGF A were measured by enzyme-linked immunosorbent assay (ELISA), and the sFlt1-to-PlGF ratio was calculated. Preeclampsia was associated with higher pre-pregnancy and pregnancy BMI, lower PlGF, and an approximately threefold higher sFlt1-to-PlGF ratio, while sFlt1 alone was only borderline higher. VEGF A was elevated in preeclampsia and rose across higher sFlt1-to-PlGF ratio categories, supporting the interpretation of VEGF A within the integrated sFlt1,PlGF axis rather than as an isolated signal.

子痫前期涉及血管生成失衡,但循环血管内皮生长因子A (VEGF A)的描述仍不一致,特别是与母体肥胖有关。我们研究了90例中期妊娠,其中30例没有并发症,60例有先兆子痫,并在抽样时记录了母亲的体重指数(BMI)和胎龄。采用酶联免疫吸附法(ELISA)检测血清可溶性纤维样酪氨酸激酶1 (sFlt1)、胎盘生长因子(PlGF)、VEGF A,并计算sFlt1 / PlGF比值。先兆子痫与较高的孕前和孕期BMI、较低的PlGF以及约3倍的sFlt1 / PlGF比值相关,而单独的sFlt1仅为边缘性升高。VEGF A在子痫前期升高,并在sFlt1- PlGF比值较高的类别中升高,这支持了VEGF A在sFlt1,PlGF轴内的综合解释,而不是作为一个孤立的信号。
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引用次数: 0
Etrasimod Treatment Modulates Circulating and Lymph Node-Derived Lymphocytes in Crohn's Disease. 伊特拉西莫治疗对克罗恩病循环淋巴细胞和淋巴结源性淋巴细胞的调节作用
IF 4.9 2区 生物学 Pub Date : 2026-03-06 DOI: 10.3390/ijms27052447
Dimitrios Nikolakis, Maarten J Pruijt, Jan Verhoeff, Floris A E de Voogd, Christoph Teichert, Rathi D Ryan, Diogo Branquinho, Catherine Crosby, Marleen G H van de Sande, Joep Grootjans, Geert R D'Haens

Etrasimod is an oral selective sphingosine-1 phosphate receptor modulator, and its anti-inflammatory mechanism of action in inflammatory bowel diseases is not completely understood. It targets pro-inflammatory immune cells expressing sphingosine-1-phosphate receptors during their migration from the lymphatic system to the circulation and intestinal mucosa. Reductions in certain lymphocyte subsets in the peripheral blood have been reported, but its effects in lymph nodes remain unknown. This study investigated changes in leukocyte subpopulations in peripheral lymph nodes and blood in Crohn's disease patients treated with etrasimod. Moderate-to-severe Crohn's disease patients participated in this randomized, double-blind study, within the phase 2 CULTIVATE clinical trial. At baseline and after 14 weeks of etrasimod treatment, peripheral blood and inguinal lymph node biopsies were obtained. Isolated peripheral blood mononuclear cells and lymph node leukocyte populations were analyzed at single cell level using mass cytometry at both timepoints. The immunophenotyping revealed 15 innate and adaptive major immune cell populations, as well as 14 subpopulations of CD4+ and CD8+ T-cells. In peripheral lymph nodes, etrasimod resulted in significant accumulation of naïve, central memory, and effector memory CD4+ T-cells (+10.7%, +4.2%, and +2.3%, respectively; all p = 0.03), as well as naïve CD8+ T-cells (+4.2%; p = 0.03). Conversely, these subsets were reduced in peripheral blood (-6.2%, -6.0%, -2.0%, and -2.2%, respectively; all p = 0.03). Naïve and memory B-cells decreased in the circulation (-1.7%, p = 0.057; -0.6%, p = 0.03, respectively) but were unchanged in the lymph nodes. Innate immune cell populations remained mostly unaffected in both compartments. Our data indicate that etrasimod's pharmacodynamic effect is related primarily with the attenuation of the T-cell mediated inflammation with minor changes in B-cells. However, additional follow-up studies are needed for the validation of these observations in the context of Crohn's disease.

Etrasimod是一种口服选择性鞘氨醇-1磷酸受体调节剂,其在炎症性肠病中的抗炎作用机制尚不完全清楚。它靶向表达鞘氨醇-1-磷酸受体的促炎免疫细胞从淋巴系统迁移到循环和肠粘膜。据报道,外周血中某些淋巴细胞亚群的减少,但其对淋巴结的影响尚不清楚。本研究调查了在外周淋巴结和克罗恩病患者血液中白细胞亚群的变化。中度至重度克罗恩病患者参加了这项随机双盲研究,在2期临床试验中进行。在基线和伊拉西莫治疗14周后,进行外周血和腹股沟淋巴结活检。分离的外周血单核细胞和淋巴结白细胞群在单细胞水平上使用细胞计数仪在两个时间点进行分析。免疫表型分析显示了15个先天性和适应性主要免疫细胞群,以及14个CD4+和CD8+ t细胞亚群。在外周淋巴结中,etrasimod导致naïve、中枢记忆和效应记忆CD4+ t细胞(分别为+10.7%、+4.2%和+2.3%,p = 0.03)以及naïve CD8+ t细胞(+4.2%,p = 0.03)的显著积累。相反,这些亚群在外周血中减少(分别为-6.2%,-6.0%,-2.0%和-2.2%;均p = 0.03)。Naïve和记忆b细胞在循环中减少(分别为-1.7%,p = 0.057; -0.6%, p = 0.03),但在淋巴结中没有变化。先天免疫细胞群在两个区室中基本未受影响。我们的数据表明,伊特拉西莫德的药效学作用主要与t细胞介导的炎症的衰减有关,而b细胞的变化很小。然而,在克罗恩病的背景下,需要进一步的随访研究来验证这些观察结果。
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引用次数: 0
Skipping the Biopsy: Real-World Experience of Whole-Exome Sequencing as First-Tier Testing in Pediatric Muscular Disorders. 跳过活检:全外显子组测序作为儿科肌肉疾病一线检测的真实世界经验。
IF 4.9 2区 生物学 Pub Date : 2026-03-06 DOI: 10.3390/ijms27052446
Chung-Lin Lee, Ya-Hui Chang, Chih-Kuang Chuang, Huei-Ching Chiu, Yuan-Rong Tu, Yun-Ting Lo, Jun-Yi Wu, Hsiang-Yu Lin, Shuan-Pei Lin

Muscle biopsy has long been regarded as the cornerstone for diagnosing pediatric muscular disorders; however, it is invasive and may be limited by sampling error and inconclusive histopathological findings. This study aimed to evaluate whether whole-exome sequencing (WES) can effectively replace muscle biopsy as a first-line diagnostic approach in children with suspected neuromuscular disorders. Between January 2018 and December 2025, we prospectively enrolled 47 pediatric patients presenting with clinical features suggestive of muscular disorders at a tertiary medical center in Taiwan. The cohort included patients with suspected muscular dystrophies (n = 21), congenital myopathies (n = 23), and multiplex ligation-dependent probe amplification (MLPA)-negative Duchenne muscular dystrophy (DMD; n = 3). All patients underwent WES as the initial diagnostic test without prior muscle biopsy. Trio-based analysis using parental samples was performed in 29.8% of cases. Variant interpretation followed the American College of Medical Genetics and Genomics (ACMG) guidelines. WES identified a definitive molecular diagnosis in 72.3% of patients (34/47). Diagnostic yields varied by subgroup: 100% (3/3) in MLPA-negative DMD, 71.4% (15/21) in muscular dystrophies, and 69.6% (16/23) in congenital myopathies. Pathogenic or likely pathogenic variants were detected in 31 distinct genes, including COL6A1 and COL6A3, which are associated with Ullrich congenital muscular dystrophy. Notably, 58.8% of diagnosed patients (20/34) received molecular diagnoses that differed from their initial clinical impression, encompassing conditions such as ZSWIM6-associated neurodevelopmental disorders, GJB2-related hearing loss, OCRL-associated Lowe syndrome, and various metabolic or syndromic disorders. In all three MLPA-negative DMD cases, WES identified point mutations amenable to mutation-specific therapies. No patient required a muscle biopsy for diagnostic confirmation during the study period. First-tier WES demonstrates high diagnostic utility in pediatric muscular disorders while avoiding invasive muscle biopsy. The high rate of diagnostic reclassification underscores the substantial phenotypic overlap between primary neuromuscular diseases and other neurological or systemic conditions. These findings support the early implementation of genetic testing to enable accurate diagnosis and timely initiation of targeted therapies.

长期以来,肌肉活检一直被视为诊断小儿肌肉疾病的基石;然而,它是侵入性的,可能受到抽样误差和不确定的组织病理学结果的限制。本研究旨在评估全外显子组测序(WES)是否可以有效取代肌肉活检作为疑似神经肌肉疾病儿童的一线诊断方法。在2018年1月至2025年12月期间,我们前瞻性地在台湾的一家三级医疗中心招募了47名表现出肌肉疾病临床特征的儿科患者。该队列包括疑似肌营养不良(n = 21)、先天性肌病(n = 23)和多重结扎依赖性探针扩增(MLPA)阴性的杜氏肌营养不良(DMD, n = 3)患者。所有患者在没有事先进行肌肉活检的情况下进行WES作为初始诊断试验。29.8%的病例使用亲本样本进行基于三方的分析。变异解释遵循美国医学遗传学和基因组学学院(ACMG)的指导方针。WES在72.3%(34/47)的患者中确定了明确的分子诊断。诊断率因亚组而异:mlpa阴性DMD为100%(3/3),肌营养不良为71.4%(15/21),先天性肌病为69.6%(16/23)。在31个不同的基因中检测到致病性或可能致病性变异,包括COL6A1和COL6A3,这些基因与乌尔里希先天性肌营养不良症相关。值得注意的是,58.8%的确诊患者(20/34)接受的分子诊断与他们最初的临床印象不同,包括zswim6相关的神经发育障碍、gjb2相关的听力损失、ocl相关的Lowe综合征以及各种代谢或综合征疾病。在所有三个mlpa阴性的DMD病例中,WES发现了适合突变特异性治疗的点突变。在研究期间,没有患者需要进行肌肉活检来确诊。一级WES在避免侵入性肌肉活检的同时,对儿童肌肉疾病具有很高的诊断价值。诊断重分类的高比率强调了原发性神经肌肉疾病和其他神经或系统疾病之间的大量表型重叠。这些发现支持早期实施基因检测,以实现准确诊断和及时启动靶向治疗。
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引用次数: 0
Toward Sustainable Testosterone Manufacturing: Green Chemistry and Microbial Biotransformation Approaches. 迈向可持续睾酮制造:绿色化学和微生物转化方法。
IF 4.9 2区 生物学 Pub Date : 2026-03-06 DOI: 10.3390/ijms27052444
José M Fernández-Cañón, Alejandro Chamizo-Ampudia

Testosterone is a vital steroid hormone with important physiological roles and broad clinical significance, serving as a central molecular precursor in the synthesis of many pharmacologically active steroids. Testosterone is traditionally produced through complex chemical synthesis routes that involve hazardous reagents, harsh conditions, and produce significant toxic waste. In recent decades, growing regulatory requirements and environmental sustainability goals have spurred the development of alternative biotechnological methods that use microbial biotransformation. This review offers a comparative analysis of chemical and biological methods for producing testosterone, focusing on microbial steroid biotransformation pathways and the key enzymatic steps involved in testosterone biosynthesis. It examines key advances in sterol breakdown, pathway engineering, and enzyme driven modifications, including the roles of 17β-hydroxysteroid dehydrogenases and cytochrome P450 monooxygenases. The performance, specificity, and environmental impacts of bacterial and fungal cells as cell factories, especially Mycolicibacterium and Aspergillus species, are critically analyzed within the framework of modern green chemistry principles. Overall, by combining molecular insights with process considerations, this review illustrates how microbial platforms could complement and gradually transform traditional chemical synthesis methods, promoting a shift toward more sustainable steroid hormone production through engineered biocatalysts.

睾酮是一种重要的类固醇激素,具有重要的生理作用和广泛的临床意义,是许多具有药理活性的类固醇合成的中心分子前体。传统上,睾酮是通过复杂的化学合成途径产生的,其中涉及危险的试剂,恶劣的条件,并产生大量的有毒废物。近几十年来,日益增长的监管要求和环境可持续性目标刺激了利用微生物生物转化的替代生物技术方法的发展。本文综述了合成睾酮的化学方法和生物方法的比较分析,重点介绍了微生物类固醇生物转化途径和睾酮生物合成的关键酶步骤。它考察了甾醇分解、途径工程和酶驱动修饰的关键进展,包括17β-羟基类固醇脱氢酶和细胞色素P450单加氧酶的作用。在现代绿色化学原理的框架内,对细菌和真菌细胞作为细胞工厂的性能、特异性和环境影响进行了批判性分析,特别是分枝杆菌和曲霉菌。总的来说,通过结合分子的见解和过程的考虑,这篇综述说明了微生物平台如何补充并逐渐改变传统的化学合成方法,通过工程生物催化剂促进向更可持续的类固醇激素生产的转变。
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引用次数: 0
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