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When the JCI went rogue. 当JCI叛变时。
IF 6.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-09 DOI: 10.1172/jci.insight.202107
Howard A Rockman
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引用次数: 0
14-3-3ε-dependent deubiquitination and translocation of NLRP3 activates the inflammasome during sepsis. 14-3-3ε依赖的NLRP3去泛素化和易位在脓毒症期间激活炎症小体。
IF 6.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-09 DOI: 10.1172/jci.insight.192970
Xingyu Li, Siqi Ming, Can Cao, Yating Xu, Jingxian Shu, Ning Tan, Xi Huang, Yongjian Wu

The activation of the NLRP3 inflammasome is a pivotal step in hyperinflammation in sepsis; however, the regulatory mechanisms underlying its activation are not fully understood. In this study, we found that 14-3-3ε facilitates NLRP3 inflammasome activation by enhancing NLRP3 K63 deubiquitination and promoting its translocation to the mitochondria-associated ER membranes (MAMs) for full activation. Mass spectrometry revealed that 14-3-3ε binds to NLRP3 in macrophages during sepsis. Plasma 14-3-3ε levels were elevated in patients with sepsis and were positively associated with disease severity. 14-3-3ε promoted NLRP3 inflammasome activation by facilitating NLRP3 aggregation and NLRP3-ASC assembly. The interaction between 14-3-3ε and NLRP3 was dependent on phosphorylation at the S194 site of NLRP3 NACHT domain. The NLRP3-14-3-3ε interaction promoted K63 deubiquitination and enhanced the translocation of NLRP3 to MAMs, which is necessary for full activation of NLRP3 inflammasome. Furthermore, macrophage-conditional KO of 14-3-3ε or treatment with BV02, a 14-3-3 inhibitor, improved the survival rate and alleviated organ injuries in septic mice. Taken together, our data indicate that 14-3-3ε functions as a positive regulator of the NLRP3 inflammasome and could be a target for sepsis treatment.

NLRP3炎性小体的激活是脓毒症中高炎症的关键步骤;然而,其激活的调控机制尚不完全清楚。在本研究中,我们发现14-3-3ε通过增强NLRP3 K63去泛素化并促进其转运到线粒体相关内质网膜(MAMs)以实现完全激活,从而促进NLRP3炎性体的激活。质谱分析显示,败血症时巨噬细胞中的14-3-3ε与NLRP3结合。败血症患者血浆14-3-3ε水平升高,且与疾病严重程度呈正相关。14-3-3ε通过促进NLRP3聚集和NLRP3- asc组装促进NLRP3炎性小体活化。14-3-3ε与NLRP3的相互作用依赖于NLRP3 NACHT结构域S194位点的磷酸化。NLRP3-14-3-3 -3ε相互作用促进K63去泛素化,增强NLRP3向MAMs的易位,这是NLRP3炎性小体完全激活所必需的。此外,巨噬细胞条件下的14-3-3ε或14-3-3抑制剂BV02均可提高脓毒症小鼠的存活率并减轻器官损伤。综上所述,我们的数据表明14-3-3ε作为NLRP3炎症小体的正调节因子,可能成为脓毒症治疗的靶点。
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引用次数: 0
Corrigendum to Neutrophil extracellular traps potentiate effector T cells via endothelial senescence in uveitis. 中性粒细胞胞外陷阱在葡萄膜炎中通过内皮细胞衰老增强效应T细胞。
IF 6.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-09 DOI: 10.1172/jci.insight.202699
Zuoyi Li, Zhuang Li, Yunwei Hu, Yanyan Xie, Yuxun Shi, Guanyu Chen, Jun Huang, Zhiqiang Xiao, Wenjie Zhu, Haixiang Huang, Minzhen Wang, Jianping Chen, Xiaoqing Chen, Dan Liang
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引用次数: 0
Celebrating a decade of JCI Insight - reflections from a former Editor in Chief. 庆祝《JCI洞察》成立十周年——一位前主编的反思。
IF 6.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-09 DOI: 10.1172/jci.insight.202108
Kathleen Collins
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引用次数: 0
Prepare for slingshot. 准备弹弓。
IF 6.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-09 DOI: 10.1172/jci.insight.203333
Oliver Eickelberg
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引用次数: 0
An integrated single-cell and spatial transcriptomic atlas of thyroid cancer progression identifies prognostic fibroblast subpopulations. 甲状腺癌进展的综合单细胞和空间转录组图谱识别预后成纤维细胞亚群。
IF 6.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-09 DOI: 10.1172/jci.insight.191990
Matthew A Loberg, George J Xu, Sheau-Chiann Chen, Hua-Chang Chen, Claudia C Wahoski, Kailey P Caroland, Megan L Tigue, Heather A Hartmann, Jean-Nicolas Gallant, Courtney J Phifer, Andres A Ocampo, Dayle K Wang, Reilly G Fankhauser, Kirti A Karunakaran, Chia-Chin Wu, Maxime Tarabichi, Sophia M Shaddy, James L Netterville, Sarah L Rohde, Carmen C Solórzano, Lindsay A Bischoff, Naira Baregamian, Barbara A Murphy, Jennifer H Choe, Jennifer R Wang, Eric C Huang, Quanhu Sheng, Luciane T Kagohara, Elizabeth M Jaffee, Ryan H Belcher, Ken S Lau, Fei Ye, Ethan Lee, Vivian L Weiss

Although well-differentiated thyroid carcinoma (WDTC) is characterized by a robust treatment response, aggressive subtypes, such as anaplastic thyroid carcinoma (ATC), remain highly lethal. To understand thyroid cancer evolution in both children and adults, we analyzed single-cell transcriptomes of 423,733 cells from 81 samples and spatially resolved key tumor and microenvironment populations across 28 tumors with spatial transcriptomics, including rare and unique composite WDTC/ATC tumors and pediatric diffuse sclerosing thyroid carcinomas. Additionally, we identified gene signatures of stromal cell populations in 5 large thyroid cancer bulk RNA-sequencing cohorts. Through this multi-institutional effort, we defined a population of POSTN+ myofibroblast cancer-associated fibroblasts (myCAFs) that are intimately associated with invasive tumor cells and correlate with poor prognosis, lymph node metastasis, and disease progression in thyroid carcinoma. We also revealed a population of inflammatory CAFs that are distant to tumor cells and are found in the inflammatory stromal microenvironment of autoimmune thyroiditis. Together, our study provides spatial profiling of thyroid cancer evolution in samples with mixed WDTC/ATC histopathology and identifies a prognostic myCAF subtype with potential clinical utility in predicting aggressive disease in both children and adults.

虽然分化良好的甲状腺癌(WDTC)具有很强的治疗反应,但侵袭性亚型,如间变性甲状腺癌(ATC),仍然是高度致命的。为了了解儿童和成人甲状腺癌的演变,我们分析了来自81个样本的423,733个细胞的单细胞转录组,并利用空间转录组学分析了28个肿瘤的关键肿瘤和微环境群体,包括罕见和独特的复合WDTC/ATC肿瘤和儿童弥漫性硬化性甲状腺癌。此外,我们在5个大型甲状腺癌群体的rna测序队列中鉴定了基质细胞群体的基因特征。通过这项多机构的努力,我们定义了一个与侵袭性肿瘤细胞密切相关的POSTN+肌成纤维细胞癌症相关成纤维细胞(myCAFs)群体,它们与甲状腺癌的不良预后、淋巴结转移和疾病进展相关。我们还发现在自身免疫性甲状腺炎的炎症间质微环境中发现了远离肿瘤细胞的炎性CAFs群体。总之,我们的研究提供了WDTC/ATC混合组织病理学样本中甲状腺癌演变的空间谱,并确定了一种预后myCAF亚型,在预测儿童和成人侵袭性疾病方面具有潜在的临床应用价值。
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引用次数: 0
SRSF3-TRIM28-MDC1 prevents DNA damage caused by R-loops in fatty liver disease in mice. SRSF3-TRIM28-MDC1可预防小鼠脂肪肝r环引起的DNA损伤。
IF 6.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-09 DOI: 10.1172/jci.insight.188629
Panyisha Wu, Manasi Das, Yanting Wang, Yichun Ji, Yuli Wu, Deepak Kumar, Lily J Jih, Nicholas Jg Webster

Serine-rich splicing factor 3 (SRSF3) is crucial for the metabolic functions of the liver. The genetic deletion of SRSF3 in mouse hepatocytes impairs hepatic lipid and glucose metabolism and leads to fibrosis and formation of hepatocellular adenoma that progresses to hepatocellular carcinoma. SRSF3 protein is proteosomally degraded in metabolic-dysfunction associated fatty liver disease (MAFLD) and metabolic-dysfunction-associated steatohepatitis (MASH). We show here that depleting SRSF3 protein in hepatocytes promoted R-loop accumulation and increased DNA damage in the liver. Prevention of SRSF3 degradation in vivo protected hepatocytes from DNA double-strand breaks in mice with MASH. This protection extended to other DNA-damaging agents such as camptothecin, palmitic acid, or hydrogen peroxide when tested on HepG2 cells in vitro. SRSF3 interacted with TRIM28 and MDC1, which are components of the ATM DNA-damage repair complex, and knockdown of any of these 3 proteins reduced the expression of the other 2 proteins, suggesting they form a functional complex. Lastly, by preventing degradation of SRSF3, we were able to reduce tumors in a diethyl-nitrosamine-induced (DEN-induced) model of cirrhotic HCC. These findings suggest that maintenance of SRSF3 protein stability is crucial for preventing DNA damage and protecting liver from early metabolic liver disease and progression to HCC.

富丝氨酸剪接因子3 (SRSF3)对肝脏的代谢功能至关重要。小鼠肝细胞中SRSF3的基因缺失会损害肝脏脂质和糖代谢,导致纤维化和肝细胞腺瘤的形成,进而发展为肝细胞癌。SRSF3蛋白在代谢功能障碍相关脂肪性肝病(MAFLD)和代谢功能障碍相关脂肪性肝炎(MASH)中蛋白体降解。我们在这里表明,肝细胞中SRSF3蛋白的消耗促进了r -环的积累,并增加了肝脏中的DNA损伤。体内防止SRSF3降解可保护小鼠肝细胞免受DNA双链断裂。当对HepG2细胞进行体外实验时,这种保护作用扩展到其他dna损伤剂,如喜树碱、棕榈酸或过氧化氢。SRSF3与ATM dna损伤修复复合体的组成部分TRIM28和MDC1相互作用,敲低这3种蛋白中的任何一种都会降低其他2种蛋白的表达,表明它们形成了一个功能性复合体。最后,通过阻止SRSF3的降解,我们能够减少二乙基亚硝胺诱导(den诱导)的肝硬化HCC模型中的肿瘤。这些发现表明,维持SRSF3蛋白的稳定性对于防止DNA损伤和保护肝脏免受早期代谢性肝病和进展为HCC至关重要。
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引用次数: 0
The native human glomerulus features a slit diaphragm resembling a densely interwoven fishnet. 天然人类肾小球的特征是一个狭缝隔膜,类似于一个紧密交织的渔网。
IF 6.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-09 DOI: 10.1172/jci.insight.200658
Deborah Moser, Alexandra N Birtasu, Lilli Skaer, Pauline Roth, Lisa Rehm, Mike Wenzel, Julia Bein, Jens Köllermann, Mbuso S Mantanya, Felix Kh Chun, Margot P Scheffer, Achilleas S Frangakis

The native human glomerulus features a slit diaphragm resembling a densely interwoven fishnet.

天然人类肾小球的特征是一个狭缝隔膜,类似于一个紧密交织的渔网。
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引用次数: 0
PAD4+ neutrophils promote hepatic stellate cell activation and accelerate MASH fibrosis progression viaNET-DNA/TAOK1/MAPK pathways. PAD4+中性粒细胞通过anet - dna /TAOK1/MAPK通路促进肝星状细胞活化并加速MASH纤维化进程。
IF 6.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-09 DOI: 10.1172/jci.insight.191479
Jiajia Shen, Shanshan Huang, Yaohui Wang, Qingyuan Wang, Shibo Lin, Wei Guan, Yingyun Gong, Yiming Si, Ming Zhao, Hongwen Zhou, Hui Liang

Neutrophils play a pivotal role in the progression of metabolic dysfunction-associated steatohepatitis (MASH) by mediating inflammatory responses. However, the heterogeneity of neutrophil subsets in MASH and their specific contributions to disease progression remain unclear. In this study, analysis of liver biopsies from 265 patients revealed a strong association between elevated neutrophil counts and MASH severity, particularly fibrosis. Five distinct neutrophil subsets were identified in human liver tissue, with PAD4+ neutrophils serving as key drivers in MASH progression. Mechanistically, PAD4+ neutrophils generate neutrophil extracellular traps (NETs) and activate hepatic stellate cells via the TAOK1-dependent MAPK signaling pathway. Inhibition of PAD4+ neutrophils in vivo attenuated the progression of liver fibrosis without exacerbating liver injury. Collectively, these findings elucidate the pivotal involvement of PAD4+ neutrophils in MASH progression and identify them as promising therapeutic targets for mitigating fibrosis and inflammation.

中性粒细胞通过介导炎症反应在代谢功能障碍相关脂肪性肝炎(MASH)的进展中发挥关键作用。然而,中性粒细胞亚群在MASH中的异质性及其对疾病进展的具体贡献仍不清楚。在这项研究中,对265名患者的肝活检分析显示,中性粒细胞计数升高与MASH严重程度,特别是纤维化之间存在很强的相关性。在人肝组织中鉴定出五种不同的中性粒细胞亚群,其中PAD4+中性粒细胞在MASH进展中起关键驱动作用。在机制上,PAD4+中性粒细胞通过taok1依赖的MAPK信号通路产生中性粒细胞胞外陷阱(NETs)并激活肝星状细胞。体内抑制PAD4+中性粒细胞可减轻肝纤维化的进展,而不会加重肝损伤。总的来说,这些发现阐明了PAD4+中性粒细胞在MASH进展中的关键作用,并确定它们是减轻纤维化和炎症的有希望的治疗靶点。
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引用次数: 0
Endothelial PROX1 induces blood-brain barrier disruption in the central nervous system. 内皮PROX1诱导中枢神经系统血脑屏障破坏。
IF 6.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-09 DOI: 10.1172/jci.insight.187716
Sara González-Hernández, Ryo Sato, Yuya Sato, Chang Liu, Wenling Li, Zulfeqhar A Syed, Chengyu Liu, Sadhana Jackson, Yoshiaki Kubota, Yoh-Suke Mukouyama

The central nervous system (CNS) parenchyma has conventionally been believed to lack lymphatic vasculature, likely owing to a non-permissive microenvironment that hinders the formation and growth of lymphatic endothelial cells (LECs). Recent findings of ectopic expression of LEC markers including prospero homeobox 1 (PROX1), a master regulator of lymphatic differentiation, and the vascular permeability marker plasmalemma vesicle-associated protein (PLVAP) in certain glioblastomas (GBM) and brain arteriovenous malformations have prompted investigation into their roles in cerebrovascular malformations, tumor environments, and blood-brain barrier (BBB) abnormalities. To explore the relationship between ectopic LEC properties and BBB disruption, we used endothelial cell-specific Prox1 overexpression mutants. When induced during embryonic stages of BBB formation, endothelial Prox1 expression induces hybrid blood-lymphatic phenotypes in the developing CNS vasculature. This effect is not observed when Prox1 is overexpressed during postnatal BBB maturation. Ectopic Prox1 expression leads to significant vascular malformations and enhanced vascular leakage, resulting in BBB disruption when induced during both embryonic and postnatal stages. Mechanistically, PROX1 downregulates critical BBB-associated genes, including β-catenin and claudin-5, which are essential for BBB development and maintenance. These findings suggest that PROX1 compromises BBB integrity by negatively regulating BBB-associated gene expression and Wnt/β-catenin signaling.

传统上认为,中枢神经系统(CNS)薄壁组织缺乏淋巴血管,可能是由于不允许的微环境阻碍了淋巴内皮细胞(LECs)的形成和生长。最近在某些胶质母细胞瘤(GBM)和脑动静脉畸形中发现的LEC标志物包括PROX1(淋巴分化的主要调节因子)和血管通透性标志物质膜囊泡相关蛋白(PLVAP)的异位表达,促使人们研究它们在脑血管畸形、肿瘤环境和血脑屏障(BBB)异常中的作用。为了探索异位LEC特性与血脑屏障破坏之间的关系,我们使用内皮细胞特异性Prox1过表达突变体。当在血脑屏障形成的胚胎阶段诱导时,内皮Prox1表达在发育中的中枢神经系统血管中诱导混合型血淋巴表型。当Prox1在出生后血脑屏障成熟过程中过度表达时,没有观察到这种效应。异位Prox1的表达会导致明显的血管畸形和血管渗漏增加,在胚胎和出生后诱导时导致血脑屏障破坏。从机制上讲,PROX1下调血脑屏障相关的关键基因,包括β-catenin和claudin-5,这些基因对血脑屏障的形成和维持至关重要。这些发现表明PROX1通过负性调节血脑屏障相关基因表达和Wnt/β-catenin信号通路来损害血脑屏障的完整性。
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