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The clinicopathologic features of fulminant myocarditis 暴发性心肌炎的临床病理特点
IF 13 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-01 Epub Date: 2025-06-18 DOI: 10.1016/j.jare.2025.06.040
Guanglin Cui , Jiali Nie , Huihui Li, Luyun Wang, Kun Miao, Chunxia Zhao, Jiangang Jiang, Dao Wen Wang

Background

Fulminant myocarditis (FM) is the most severe form of myocarditis, characterized by rapid clinical progression and circulatory instability. However, its pathological features and their relationship to clinical presentation are not well understood.

Objectives

This study aims to provide an overview of the clinicopathologic features of FM.

Methods

A total of 80 patients with FM were enrolled between January 2021 and September 2022 in Wuhan, China. Endomyocardial biopsies and subsequent histochemical staining were performed on all patients who were followed up for 3 months. The pathological features of the myocardium were described. The relationship between myocardial inflammatory cell infiltration and clinical presentation was analyzed.

Results

According to hematoxylin and eosin staining, 76 out of 80 patients with FM were diagnosed with lymphocytic myocarditis, while 4 were diagnosed with eosinophilic myocarditis. Microscopically, various forms of cell degeneration were observed, especially myocardial edema and cardiomyocyte necrosis. Histochemical analysis indicated that innate immune cells (primarily macrophages and neutrophils) predominated in the acute stage of FM. Proper treatment with immunomodulatory agents, such as glucocorticoids and immunoglobulin, promoted macrophage polarization into the M2 subtype. A high density of total inflammatory cell infiltration was associated with elevated levels of inflammatory biomarkers (hs-CRP and ESR) and more severe circulatory deterioration, which necessitated more frequent use of IABP, ECMO, and pacemakers.

Conclusions

To date, this largest cohort of histochemical analyses of FM, based on endomyocardial biopsy samples, has revealed dominant infiltration of innate immune cells in the early stage, followed by lymphocytes. This finding suggests that the activation of innate immunity is the initial mechanism triggering the cytokine storm in FM. The results also support the beneficial effects of immunomodulatory therapy using glucocorticoids and immunoglobulins rather than immunosuppression by promoting M2 macrophage polarization. This study was registered at https://clinicaltrials.gov/study/NCT03268642.
暴发性心肌炎(FM)是最严重的心肌炎形式,其特点是临床进展迅速和循环不稳定。然而,其病理特征及其与临床表现的关系尚不清楚。目的本研究旨在概述FM的临床病理特征。方法于2021年1月至2022年9月在中国武汉招募80例FM患者。所有患者随访3 个月,行心内膜活检及组织化学染色。描述了心肌的病理特征。分析心肌炎症细胞浸润与临床表现的关系。结果苏木精和伊红染色显示,80例FM患者中有76例诊断为淋巴细胞性心肌炎,4例诊断为嗜酸性心肌炎。显微镜下观察到多种形式的细胞变性,尤其是心肌水肿和心肌细胞坏死。组织化学分析表明,先天性免疫细胞(主要是巨噬细胞和中性粒细胞)在急性期FM中占主导地位。适当的免疫调节剂治疗,如糖皮质激素和免疫球蛋白,可促进巨噬细胞向M2亚型极化。总炎症细胞浸润的高密度与炎症生物标志物(hs-CRP和ESR)水平升高和更严重的循环恶化相关,这就需要更频繁地使用IABP、ECMO和起搏器。迄今为止,基于心内膜心肌活检样本对FM进行的最大规模的组织化学分析显示,早期以先天免疫细胞浸润为主,其次是淋巴细胞浸润。这一发现提示先天免疫的激活是FM中触发细胞因子风暴的初始机制。这些结果也支持糖皮质激素和免疫球蛋白的免疫调节治疗的有益作用,而不是通过促进M2巨噬细胞极化的免疫抑制。本研究注册于https://clinicaltrials.gov/study/NCT03268642。
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引用次数: 0
From scaffold to effector: reframing GFAP in neurodegeneration 从支架到效应器:神经退行性变中GFAP的重构
IF 10.7 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-01 DOI: 10.1016/j.jare.2026.02.051
Yong-Heng Lu, Xiu-Ping Zhu, Song Li, Feng-Ning Zhang, Chuan-Bin Cai, Mao Tian, Yu-Hang Zhu, Ling-Hui Zeng, Jun Tan, Chang-Yin Yu, Jiang Chen

Background

Neurodegenerative disorders impose a growing global burden, yet disease-modifying therapies remain limited. Glial fibrillary acidic protein (GFAP) has shifted from a passive astrocytic marker to an active effector shaping neurodegenerative pathology.

Aim

of Review: This review synthesizes mechanistic and translational evidence that defines GFAP as a proteoform-governed hub and highlights its value for biomarker-guided precision intervention.Key Scientific Concepts of Review: An extensive literature search across major databases was conducted using predefined keywords and strict inclusion criteria, covering mechanistic, pathological, and clinical studies. Evidence supports a GFAP proteoform code in which alternative splicing generates functionally distinct isoforms and PTMs encode context-dependent assembly dynamics and signaling outputs. We summarize how GFAP proteoforms integrate cytoskeletal remodeling with inflammatory transcriptional programs (notably STAT3 and NF-κB), proteostasis stress, and mitochondrial dysfunction, thereby coupling astrocyte state transitions to neuronal vulnerability and synaptic impairment. Disease trajectories are context specific: GFAP dysfunction drives primary toxicity in Alexander disease (AxD); in Alzheimer’s disease (AD), isoform-specific mechanisms intersect with amyloidogenic machinery and track early preclinical astrocyte activation; and in frontotemporal dementia (FTD), Parkinson’s disease (PD) and amyotrophic lateral sclerosis (ALS), GFAP reflects inflammatory–metabolic coupling during progression. Translationally, ultrasensitive plasma assays reveal GFAP elevation years to decades before symptom onset, complementing NfL and amyloid/tau within AT(N)-oriented diagnostic frameworks. Therapeutically, we evaluate precision strategies beyond global suppression, including ASO-based modulation, targeting STAT3/NF-κB-driven reactive programs, and restoring proteostasis via chaperone/autophagy pathways. Future progress hinges on isoform-/PTM-specific probes, conformational sensors, and spatial proteomic atlases validated in prospective longitudinal cohorts. In conclusion, GFAP represents both a mechanistic driver and a scalable biomarker, offering a translationally actionable axis to advance precision medicine in neurodegeneration.
背景:神经退行性疾病给全球带来了越来越大的负担,但改善疾病的治疗方法仍然有限。胶质原纤维酸性蛋白(GFAP)已经从一个被动的星形细胞标志物转变为一个积极的影响神经退行性病理。综述目的:本综述综合了将GFAP定义为蛋白质形态控制中心的机制和转化证据,并强调了其在生物标志物引导的精确干预中的价值。综述的关键科学概念:使用预定义的关键词和严格的纳入标准,在主要数据库中进行了广泛的文献检索,涵盖了机制、病理和临床研究。证据支持GFAP蛋白形式代码,其中可选剪接产生功能不同的同种异构体,而PTMs编码依赖于上下文的组装动态和信号输出。我们总结了GFAP蛋白形态如何将细胞骨架重塑与炎症转录程序(特别是STAT3和NF-κB)、蛋白稳态应激和线粒体功能障碍结合起来,从而将星形细胞状态转变与神经元易感性和突触损伤结合起来。疾病轨迹是特定环境的:GFAP功能障碍驱动亚历山大病(AxD)的原发性毒性;在阿尔茨海默病(AD)中,异构体特异性机制与淀粉样蛋白形成机制交叉,并跟踪早期临床前星形细胞激活;在额颞叶痴呆(FTD)、帕金森病(PD)和肌萎缩性侧索硬化症(ALS)中,GFAP反映了进展过程中的炎症-代谢耦合。超灵敏血浆检测可在症状出现前数年至数十年揭示GFAP升高,补充了AT(N)导向诊断框架中的NfL和淀粉样蛋白/tau蛋白。在治疗方面,我们评估了除全局抑制之外的精确策略,包括基于aso的调节,靶向STAT3/NF-κ b驱动的反应程序,以及通过伴侣/自噬途径恢复蛋白质稳态。未来的进展取决于异构体/ ptm特异性探针、构象传感器和在前瞻性纵向队列中验证的空间蛋白质组学图谱。总之,GFAP既是一种机制驱动因素,也是一种可扩展的生物标志物,为推进神经退行性疾病的精准医学提供了可翻译的可操作轴。
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引用次数: 0
Characterization of immune features and discovery of potential biomarkers for ankylosing spondylitis using deep plasma proteomics 利用深度血浆蛋白质组学研究强直性脊柱炎的免疫特征和潜在生物标志物的发现
IF 13 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-01 Epub Date: 2025-05-26 DOI: 10.1016/j.jare.2025.05.052
Xiaohan Xu , Wanlin Liu , Bo Pang , Yu Wang , Hongying Zhen , Quan Jiang , Yuening Chen , Kun Yang , Jinjie Shi , Jie Ma , Hongxiao Liu

Introduction

Ankylosing spondylitis (AS) is a systemic inflammatory disorder that predominantly involves the axial skeleton, often leading to irreversible structural damage and disability. Although several therapeutic measurements are available, limitations in efficacy and long-term outcomes remain significant. Therefore, identifying novel biomarkers and therapeutic targets is of critical importance for optimizing clinical management and prognostic evaluation in AS patients.

Objectives

This study aims to elucidate the immune features and discover potential biomarkers for AS by the integration of deep plasma proteomics and deep learning strategies.

Methods

The deep quantitative proteomics was applied to analyze the plasma samples from 104 participants of AS patients with active and stable stages, along with healthy controls. The immune and functional features of AS patients in different stages were assessed. By integrating random forest (RF) with orthogonal partial least squares discriminant analysis (OPLS-DA), a machine learning model-based score matrix was constructed to identify biomarkers. ELISA experiments were performed on an independent cohort of 79 participants to confirm the potential biomarkers for AS.

Results

Patients with AS exhibit significant dysregulation in the distributions and characteristics of immune cells. Several key proteins involved in integrin signaling pathway were significantly differentially expressed in patients with AS, highlighting the pathway’s role in the pathogenesis of AS. Four proteins including SAA1, FERMT3, ILK, and TLN1, were identified as potential biomarkers for AS and further verified by ELISA experiments.

Conclusions

By integrating the machine learning-based method with deep proteomics analysis, we explored the pathological mechanism and identified biomarkers for AS. Our study provides insights into the distinct protein expression patterns and pathogenesis of AS and may contribute to diagnosis, long-term monitoring, and therapy for this disease.
强直性脊柱炎(AS)是一种主要累及中轴骨骼的全身性炎症性疾病,常导致不可逆的结构损伤和残疾。虽然有几种治疗方法可用,但疗效和长期结果的局限性仍然很明显。因此,识别新的生物标志物和治疗靶点对于优化AS患者的临床管理和预后评估至关重要。目的通过深度血浆蛋白质组学和深度学习策略的结合,阐明AS的免疫特征并发现潜在的生物标志物。方法应用深度定量蛋白质组学方法对104例AS活动性和稳定期患者及健康对照者的血浆样本进行分析。评估不同分期AS患者的免疫和功能特征。通过将随机森林(RF)与正交偏最小二乘判别分析(OPLS-DA)相结合,构建了基于机器学习模型的评分矩阵来识别生物标志物。在79名参与者的独立队列中进行了ELISA实验,以确认AS的潜在生物标志物。结果AS患者免疫细胞的分布和特征明显失调。整合素信号通路中涉及的几个关键蛋白在AS患者中显著差异表达,突出了该通路在AS发病中的作用。SAA1、FERMT3、ILK和TLN1 4种蛋白被确定为as的潜在生物标志物,并通过ELISA实验进一步验证。结论将机器学习方法与深度蛋白质组学分析相结合,探索了AS的病理机制并鉴定了AS的生物标志物。我们的研究提供了对AS的独特蛋白表达模式和发病机制的见解,并可能有助于这种疾病的诊断、长期监测和治疗。
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引用次数: 0
A comprehensive examination of the impact of environmental pollution on lung cancer: A review 环境污染对肺癌影响的综合研究综述
IF 13 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-01 Epub Date: 2025-06-05 DOI: 10.1016/j.jare.2025.06.006
Hongyan Zhang , Hongyi Wei , Sijia Han , Lufeng Zheng , Xiaodong Chen , Ziwei Li , Lanbo Wang

Background

Lung cancer is a leading cause of death worldwide, with environmental factors playing critical roles in its development and progression. Respirable and food-borne contaminants are major contributors to lung cancer onset, influencing various physiological pathways that lead to lung injury and tumor formation.

Aim of Review

This review aims to examine the effects of common environmental pollutants on lung cancer development, highlighting the role of specific contaminants, such as PM2.5 (particulate matter with aerodynamic diameter less than 2.5  µm) and nitrogen oxides, and warning people to pay more attention to environmental pollutants.

Key Scientific Concepts of Review

Environmental pollutants play a significant role in increasing the susceptibility to lung cancer by triggering various biological mechanisms that lead to lung injury and tumorigenesis. Excessive PM2.5 exposure contributes to the overall burden of lung cancer via Wnt/β-catenin, Reactive oxygen species-DNA methyltransferases (ROS-DNMT), phosphatidylinositol 3-kinase (PI3K)/protein kinase B (PKB/Akt), Janus kinase/signal transducers and activators of transcription (JAK/STAT) signalling pathways. The primary mechanisms by which NO contributes to the occurrence and development of pulmonary neoplasm revolve around the production and regulation of ROS. Occupational exposure and ecosystem pollution to hazardous substances, including microplastics, pesticides, asbestos, cadmium, and nickel, are the well-established risk factors for the development of lung cancer via DNA damage, oxidative stress, and inflammation pathways. This review emphasizes the importance of effective prevention strategies for lung cancer by reducing environmental pollution levels.
肺癌是世界范围内死亡的主要原因,环境因素在其发展和进展中起着关键作用。可呼吸性和食源性污染物是肺癌发病的主要因素,影响导致肺损伤和肿瘤形成的各种生理途径。综述目的本综述旨在探讨常见环境污染物对肺癌发展的影响,强调PM2.5(空气动力学直径小于2.5µm的颗粒物)和氮氧化物等特定污染物的作用,并提醒人们更加关注环境污染物。环境污染物通过触发多种导致肺损伤和肿瘤发生的生物学机制,在增加肺癌易感性方面发挥着重要作用。过量的PM2.5暴露会通过Wnt/β-catenin、活性氧物种- dna甲基转移酶(ROS-DNMT)、磷脂酰肌醇3-激酶(PI3K)/蛋白激酶B (PKB/Akt)、Janus激酶/信号转导和转录激活因子(JAK/STAT)信号通路增加肺癌的总体负担。NO参与肺肿瘤发生发展的主要机制与ROS的产生和调控有关。有害物质的职业暴露和生态系统污染,包括微塑料、农药、石棉、镉和镍,是通过DNA损伤、氧化应激和炎症途径发展肺癌的公认危险因素。这篇综述强调了通过降低环境污染水平来有效预防肺癌的重要性。
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引用次数: 0
Cytoskeletal-related genes function as checkpoints for the maintenance of VSMC contractile phenotype and prevent pathological remodeling in arterial diseases 在动脉疾病中,细胞骨架相关基因是维持VSMC收缩表型和预防病理性重塑的检查点
IF 13 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-01 Epub Date: 2025-06-12 DOI: 10.1016/j.jare.2025.05.065
Yunchang Liu , Liping Zeng , Qi Cai , Yunfei Zeng , Shuo Zheng , Xue Gong , Lu Zhou , Miao Tian , Lianglong Chen , Gengze Wu , Chunyu Zeng

Introduction

Arterial pathological remodeling, central to arterial diseases including atherosclerosis and aortic aneurysms, is characterized by vascular smooth muscle cell (VSMC) phenotypic switching with concomitant loss of contractile markers. Uncovering the molecular changes initiating phenotypic transition may advance the understanding of vascular pathogenesis and provide new therapeutic strategies.

Objectives

To construct a cross-species integrative model of VSMC transition in arterial diseases including atherosclerosis and aortic aneurysm, identify key genes regulating phenotypic switching in the trajectory from contractile to other phenotypes, and further validate their function in arterial remodeling models.

Methods

Public single-cell RNA-seq datasets were analyzed to map VSMC transcriptional dynamics and identify regulated gene expression patterns during transition. The changes were further checked using experimental animal aneurysm samples and PDGF-BB treated VSMCs. Functional validation included in vitro siRNA-mediated knockdown using primary VSMCs and in vivo gene-manipulated (AAv-shRNA/Adv-overexpression) wire-injury models.

Results

Dysregulation of cytoskeletal-related genes (Fblim1, Tns1, and Synpo2) may cause disarrangement of actin cytoskeleton, and were identified as checkpoint process before VSMCs transition initiation. Knockdown of target genes suppressed contractile markers, enhanced proliferation, migration, and disrupted cytoskeleton architecture in VSMCs. In animal models, gene down-regulation exacerbated pathological remodeling while over-expression partially reverted these effects.

Conclusion

The findings highlight the critical role of cytoskeleton-related genes in arterial diseases that function as a critical checkpoint in preventing VSMC pathological phenotypic switching.
动脉病理性重构是动脉粥样硬化和主动脉瘤等动脉疾病的核心,其特征是血管光滑。
{"title":"Cytoskeletal-related genes function as checkpoints for the maintenance of VSMC contractile phenotype and prevent pathological remodeling in arterial diseases","authors":"Yunchang Liu ,&nbsp;Liping Zeng ,&nbsp;Qi Cai ,&nbsp;Yunfei Zeng ,&nbsp;Shuo Zheng ,&nbsp;Xue Gong ,&nbsp;Lu Zhou ,&nbsp;Miao Tian ,&nbsp;Lianglong Chen ,&nbsp;Gengze Wu ,&nbsp;Chunyu Zeng","doi":"10.1016/j.jare.2025.05.065","DOIUrl":"10.1016/j.jare.2025.05.065","url":null,"abstract":"<div><h3>Introduction</h3><div>Arterial pathological remodeling, central to arterial diseases including atherosclerosis and aortic aneurysms, is characterized by vascular smooth muscle cell (VSMC) phenotypic switching with concomitant loss of contractile markers. Uncovering the molecular changes initiating phenotypic transition may advance the understanding of vascular pathogenesis and provide new therapeutic strategies.</div></div><div><h3>Objectives</h3><div>To construct a cross-species integrative model of VSMC transition in arterial diseases including atherosclerosis and aortic aneurysm, identify key genes regulating phenotypic switching in the trajectory from contractile to other phenotypes, and further validate their function in arterial remodeling models.</div></div><div><h3>Methods</h3><div>Public single-cell RNA-seq datasets were analyzed to map VSMC transcriptional dynamics and identify regulated gene expression patterns during transition. The changes were further checked using experimental animal aneurysm samples and PDGF-BB treated VSMCs. Functional validation included <em>in vitro</em> siRNA-mediated knockdown using primary VSMCs and <em>in vivo</em> gene-manipulated (AAv-shRNA/Adv-overexpression) wire-injury models.</div></div><div><h3>Results</h3><div>Dysregulation of cytoskeletal-related genes (<em>Fblim1</em>, <em>Tns1</em>, and <em>Synpo2</em>) may cause disarrangement of actin cytoskeleton, and were identified as checkpoint process before VSMCs transition initiation. Knockdown of target genes suppressed contractile markers, enhanced proliferation, migration, and disrupted cytoskeleton architecture in VSMCs. In animal models, gene down-regulation exacerbated pathological remodeling while over-expression partially reverted these effects.</div></div><div><h3>Conclusion</h3><div>The findings highlight the critical role of cytoskeleton-related genes in arterial diseases that function as a critical checkpoint in preventing VSMC pathological phenotypic switching.</div></div>","PeriodicalId":14952,"journal":{"name":"Journal of Advanced Research","volume":"81 ","pages":"Pages 689-707"},"PeriodicalIF":13.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144269039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Burden of bacterial antimicrobial resistance in China: a systematic analysis from 1990 to 2021 and projections to 2050 中国细菌抗微生物药物耐药性负担:1990 - 2021年的系统分析和2050年的预测
IF 13 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-01 Epub Date: 2025-06-11 DOI: 10.1016/j.jare.2025.06.021
Jian Xu , Jingyu Liu , Xiaowei Li, Liang Zhao, Jianzhong Shen, Xi Xia

Introduction

Antimicrobial resistance (AMR) has emerged as a critical health challenge; however, there is a paucity of in-depth reports outlining its burden and trends in China.

Objectives

This study aimed to systematically assess the burden of bacterial AMR in China from 1990 to 2021 and project future trends up to 2050, providing critical insights for AMR control and policy-making.

Methods

We analyzed data from the Global Burden of Disease Study 2021, encompassing 12 infectious syndromes, 64 pathogens (including 22 with AMR), and 84 pathogen-drug combinations. The burden was quantified by deaths and disability-adjusted life years under two counterfactual scenarios: those associated with AMR and those attributable to AMR. Trends were assessed using joinpoint regression analysis, and future projections up to 2050 were modeled using an autoregressive integrated moving average approach.

Results

In 2021, AMR was attributable to approximately 160,268 (95% uncertainty intervals [UI]: 132,375–188,160) deaths in China, with up to 711,852 (95% UI: 586,447–837,256) fatalities associated with AMR. The most lethal infectious syndrome was bloodstream infections, with key pathogen-drug combinations including methicillin-resistant Staphylococcus aureus (MRSA), carbapenem-resistant Streptococcus pneumoniae, and carbapenem-resistant Acinetobacter baumannii. Between 1990 and 2021, there was a substantial decrease in the burden among children under the age of five, primarily due to a decline in fatalities caused by carbapenem-resistant S. pneumoniae. In contrast, the burden increased among individuals aged 45 and older, with MRSA identified as the principal contributor. Projections indicate that by 2050, AMR could be associated with 769,432 deaths in China, of which 180,123 directly attributable to AMR.

Conclusion

Our findings provide a comprehensive evaluation of AMR burden in China, highlighting the urgent need for targeted interventions to prevent and control resistant infections, particularly among older adults.
抗菌素耐药性(AMR)已成为一项严重的卫生挑战;然而,关于其在中国的负担和趋势的深入报道却很少。本研究旨在系统评估1990 - 2021年中国细菌抗菌素耐药性负担,并预测到2050年的未来趋势,为抗菌素耐药性控制和决策提供重要见解。方法我们分析了来自2021年全球疾病负担研究的数据,包括12种感染综合征、64种病原体(包括22种AMR)和84种病原体-药物组合。在两种反事实情景下:分别与AMR相关的死亡和可归因于AMR的死亡,以死亡和残疾调整生命年来量化负担。使用连接点回归分析评估趋势,并使用自回归综合移动平均方法模拟到2050年的未来预测。结果2021年,中国约有160,268例(95%不确定区间[UI]: 132,375-188,160)死亡病例与AMR相关,其中711,852例(95%不确定区间[UI]: 586,447-837,256)死亡病例与AMR相关。最致命的感染综合征是血流感染,主要病原体-药物组合包括耐甲氧西林金黄色葡萄球菌(MRSA)、耐碳青霉烯肺炎链球菌和耐碳青霉烯鲍曼不动杆菌。1990年至2021年期间,5岁以下儿童的负担大幅减少,这主要是由于耐碳青霉烯类肺炎链球菌造成的死亡人数下降。相比之下,45岁及以上人群的负担增加,MRSA被确定为主要贡献者。预测表明,到2050年,AMR可能与中国769,432人死亡有关,其中180123人直接归因于AMR。我们的研究结果提供了中国AMR负担的综合评估,强调了迫切需要有针对性的干预措施来预防和控制耐药感染,特别是在老年人中。
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引用次数: 0
S-sulfhydration: Novel insights into the antioxidant and antiinflammation in age-related diseases s -巯基水化:抗氧化和抗炎症在年龄相关疾病中的新见解
IF 13 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-01 Epub Date: 2025-06-16 DOI: 10.1016/j.jare.2025.06.038
Fei Liu , Lan Li , Longhui Yuan , Jingchao Yang , Xi Tang , Jingping Liu , Shuyun Liu , Younan Chen , Yanrong Lu , Jingqiu Cheng , Yujia Yuan

Background

Hydrogen sulfide (H2S) and hydrogen polysulfide-induced S-sulfhydration are critical posttranslational modifications that specifically target cysteine residues within proteins. Degenerative diseases are often characterized by oxidative stress and inflammaging, ultimately leading to progressive organ dysfunction. Emerging evidence underscores the essential role of S-sulfhydration in modulating mitochondrial synthesis, energy metabolism, and cellular homeostasis during aging. However, the intricate pathways and molecular regulators that connect S-sulfhydration to degenerative pathologies remain insufficiently elucidated.

Aim of review

This review aims to delineate the biological significance of S-sulfhydration in the context of age-associated degenerative disorders especially in redox balance and inflammatory response, including neurodegenerative diseases, osteoarthrosis, osteoporosis, and age-related renal pathologies. In addition, the redox-adaptive S-sulfhydration and clinical applications based on S-sulfhydration-related delivery strategies are proposed, which may reveal novel therapeutic interventions in combating aging.

Key scientific concepts of review

This review provides a detailed synthesis of the cellular and molecular mechanisms by which S-sulfhydrated target proteins mitigate senescence phenotypes through antioxidative and anti-inflammatory pathways. Nonetheless, the dual role of S-sulfhydration highly depends on threshold-dependent signaling correlated with H2S synthetase. Moreover, the dynamic compensatory mechanism of S-sulfhydration plays a critical role in the interaction between oxidative stress and inflammatory stress during the aging process, which identifies S-sulfhydration-mediated redox homeostasis as a promising avenue for therapeutic interventions aimed at mitigating the progression of degenerative diseases.
硫化氢(H2S)和多硫化氢诱导的s -巯基化是关键的翻译后修饰,专门针对蛋白质中的半胱氨酸残基。退行性疾病通常以氧化应激和炎症为特征,最终导致进行性器官功能障碍。新出现的证据强调了s -巯基水化在衰老过程中调节线粒体合成、能量代谢和细胞稳态中的重要作用。然而,将s -巯基化与退行性病理联系起来的复杂途径和分子调节因子仍未充分阐明。本综述旨在描述s -巯基化在年龄相关退行性疾病,特别是氧化还原平衡和炎症反应中的生物学意义,包括神经退行性疾病、骨关节病、骨质疏松症和年龄相关肾脏病变。此外,还提出了氧化还原适应性s -巯基化及其相关递送策略的临床应用,这可能为抗衰老提供新的治疗干预措施。本文综述了s -巯基水合靶蛋白通过抗氧化和抗炎途径减轻衰老表型的细胞和分子机制。尽管如此,硫酸化的双重作用高度依赖于与H2S合成酶相关的阈值依赖性信号。此外,s -巯基水化的动态补偿机制在衰老过程中氧化应激和炎症应激之间的相互作用中起着关键作用,这表明s -巯基水化介导的氧化还原稳态是缓解退行性疾病进展的有希望的治疗干预途径。
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引用次数: 0
Crotonylation driving Streptococcus pneumoniae adaption and virulence 巴豆酰化驱动肺炎链球菌的适应和毒力
IF 13 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-01 Epub Date: 2025-06-19 DOI: 10.1016/j.jare.2025.06.045
Nan Li , Jianpeng Zhuang , Jiayi Wu, Zhuoti Xue, Jiayi Xu, Zuye Fang, Yundan Zheng, Yun Liu, Yunpeng Yang, Xinyu Ye, Qing-Yu He, Xuesong Sun

Introduction

To cope with the host’s stressful environment and immune clearance, some drug-resistant bacteria have reduced their virulence. Protein post-translational modifications (PTMs) are known to regulate numerous critical biological processes; however, their specific role in modulating bacterial virulence remains poorly understood.

Objective

This study seeks to elucidate the mechanistic role of lysine crotonylation (Kcr) in modulating Streptococcus pneumoniae virulence and adaptive survival.

Methods

This study employed quantitative differential proteomics combined with animal models to delineate the critical role of Kcr in the adaptive survival of clinically multidrug-resistant bacterial strains. A crotonyltransferase was identified via knockout/overexpression screening, and its regulatory role was characterized using multi-omics characterization methods, including biochemical and molecular biology assays. Antibody-based enrichment coupled with proteomic techniques was utilized to map the enzyme-substrate network of the crotonyltransferase while comprehensive biochemical analyses-including isothermal titration calorimetry (ITC), hemolysis assays, immunoblotting, circular dichroism (CD) spectroscopy and molecular docking, deciphered its mechanism in modulating the virulence effector pneumolysin (PLY).

Results

Our results reveal that mice infected with clinically multidrug-resistant S.pn strains exhibit enhanced invasiveness but attenuated virulence. Quantitative proteomics reveal that Kcr serves as a critical regulator of bacterial virulence and host adaptation. SPD_0839 functions as a crotonyltransferase in S.pn, with Phe93 as its critical catalytic residue. SPD_0839 upregulates 205 Kcr sites on 153 substrates, enhancing the Kcr levels of key enzymes involved in energy metabolism, thereby regulating ATP production. Notably, SPD_0839 modulates the function of the key virulence factor PLY by catalyzing Kcr at Lys171 and Lys442, increases its pore-forming activity and ultimately enhances bacterial hemolysis activity and virulence.

Conclusion

Our findings shed light on the molecular mechanisms underlying PLY hemolytic activity regulated by Kcr, revealing its importance in bacterial survival and virulence. Overall, this research provides valuable insights into the important biological roles of Kcr in S.pn and offers potential theoretical foundations for developing new antibacterial drugs.
为了应对宿主的应激环境和免疫清除,一些耐药细菌降低了它们的毒力。已知蛋白质翻译后修饰(PTMs)调节许多关键的生物过程;然而,它们在调节细菌毒力中的具体作用仍然知之甚少。目的探讨赖氨酸巴丁酰化(lysine crotonylation, Kcr)在调节肺炎链球菌毒力和适应性生存中的作用机制。方法采用定量差异蛋白质组学方法结合动物模型,研究Kcr在临床耐多药菌株适应性生存中的关键作用。通过基因敲除/过表达筛选鉴定出一种巴豆基转移酶,并利用包括生化和分子生物学分析在内的多组学表征方法对其调控作用进行了表征。利用基于抗体的富集结合蛋白质组学技术绘制了巴豆基转移酶的酶-底物网络,而综合生化分析,包括等温滴定量热法(ITC)、溶血试验、免疫印迹法、圆二色(CD)光谱和分子对接,揭示了其调节毒力效应物气溶素(PLY)的机制。结果临床多药耐药sppn菌株感染小鼠,侵袭性增强,毒力减弱。定量蛋白质组学表明,Kcr是细菌毒力和宿主适应的关键调节因子。SPD_0839在sppn中起巴豆基转移酶的作用,其中Phe93是其关键催化残基。SPD_0839上调153个底物上205个Kcr位点,提高参与能量代谢的关键酶的Kcr水平,从而调节ATP的产生。值得注意的是,SPD_0839通过在Lys171和Lys442位点催化Kcr调控关键毒力因子PLY的功能,提高其成孔活性,最终增强细菌溶血活性和毒力。结论本研究揭示了Kcr调控PLY溶血活性的分子机制,揭示了其在细菌生存和毒力中的重要作用。总之,本研究对Kcr在sppn中的重要生物学作用提供了有价值的见解,并为开发新的抗菌药物提供了潜在的理论基础。
{"title":"Crotonylation driving Streptococcus pneumoniae adaption and virulence","authors":"Nan Li ,&nbsp;Jianpeng Zhuang ,&nbsp;Jiayi Wu,&nbsp;Zhuoti Xue,&nbsp;Jiayi Xu,&nbsp;Zuye Fang,&nbsp;Yundan Zheng,&nbsp;Yun Liu,&nbsp;Yunpeng Yang,&nbsp;Xinyu Ye,&nbsp;Qing-Yu He,&nbsp;Xuesong Sun","doi":"10.1016/j.jare.2025.06.045","DOIUrl":"10.1016/j.jare.2025.06.045","url":null,"abstract":"<div><h3>Introduction</h3><div>To cope with the host’s stressful environment and immune clearance, some drug-resistant bacteria have reduced their virulence. Protein post-translational modifications (PTMs) are known to regulate numerous critical biological processes; however, their specific role in modulating bacterial virulence remains poorly understood.</div></div><div><h3>Objective</h3><div>This study seeks to elucidate the mechanistic role of lysine crotonylation (Kcr) in modulating <em>Streptococcus pneumoniae</em> virulence and adaptive survival.</div></div><div><h3>Methods</h3><div>This study employed quantitative differential proteomics combined with animal models to delineate the critical role of Kcr in the adaptive survival of clinically multidrug-resistant bacterial strains. A crotonyltransferase was identified via knockout/overexpression screening, and its regulatory role was characterized using multi-omics characterization methods, including biochemical and molecular biology assays. Antibody-based enrichment coupled with proteomic techniques was utilized to map the enzyme-substrate network of the crotonyltransferase while comprehensive biochemical analyses-including isothermal titration calorimetry (ITC), hemolysis assays, immunoblotting, circular dichroism (CD) spectroscopy and molecular docking, deciphered its mechanism in modulating the virulence effector pneumolysin (PLY).</div></div><div><h3>Results</h3><div>Our results reveal that mice infected with clinically multidrug-resistant <em>S.pn</em> strains exhibit enhanced invasiveness but attenuated virulence. Quantitative proteomics reveal that Kcr serves as a critical regulator of bacterial virulence and host adaptation. SPD_0839 functions as a crotonyltransferase in <em>S.pn</em>, with Phe93 as its critical catalytic residue. SPD_0839 upregulates 205 Kcr sites on 153 substrates, enhancing the Kcr levels of key enzymes involved in energy metabolism, thereby regulating ATP production. Notably, SPD_0839 modulates the function of the key virulence factor PLY by catalyzing Kcr at Lys171 and Lys442, increases its pore-forming activity and ultimately enhances bacterial hemolysis activity and virulence.</div></div><div><h3>Conclusion</h3><div>Our findings shed light on the molecular mechanisms underlying PLY hemolytic activity regulated by Kcr, revealing its importance in bacterial survival and virulence. Overall, this research provides valuable insights into the important biological roles of Kcr in <em>S.pn</em> and offers potential theoretical foundations for developing new antibacterial drugs.</div></div>","PeriodicalId":14952,"journal":{"name":"Journal of Advanced Research","volume":"81 ","pages":"Pages 453-468"},"PeriodicalIF":13.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144329421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exogenous melatonin alleviates abnormal glucose metabolism in the breast muscle under long-term light exposure through the parasympathetic pathway 褪黑素调节副交感神经通路外源性褪黑素通过副交感神经通路缓解长期光照射下乳房肌肉糖代谢异常
IF 13 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-01 Epub Date: 2025-05-29 DOI: 10.1016/j.jare.2025.05.046
Miao Yu , Mengjie Xu , Guangju Wang , Jinghai Feng , Minhong Zhang

Introduction

Human beings and animals have been exposed to long-term artificial lighting environments to induce glucose metabolism disorder. Melatonin (MT) is involved in the regulation of glucolipid metabolism, and can prevent skeletal muscle wasting as well as sarcopenia-associated diseases. However, the effect of exogenous MT on skeletal muscle glucose metabolism and the involvement of the parasympathetic pathway have not been clarified. Objectives: To investigate the role of parasympathetic regulatory pathway in the mediating the effects of exogenous MT on skeletal muscle glucose metabolism following long-term light exposure. Methods: This study established rapid growth period broiler models, while characterized muscle histological analysis, glucose metabolism indexes and related genes expression through parasympathetic activation, exogenous MT administration and exogenous MT with parasympathetic inhibition experiments. Results: Long-term light exposure inhibited muscle glycogen synthesis, promoted muscle glycogen decomposition, increased anaerobic glycolysis, decreased aerobic respiration and induced the injury in breast muscle. Parasympathetic activation and exogenous MT caused a marked improvement in muscle glycogen accumulation, aerobic glycolysis and the injury in breast muscle. The exogenous MT beneficial functions were alleviated by parasympathetic inhibition. Furthermore, parasympathetic activation and exogenous MT administration protected cecal microbiota homeostasis, by improving stability of the gut microbiota community and increasing the relative abundance of Lactobacillus. Lactobacillus abundance was positively associated with muscle glycogen accumulation. Conclusion: Taken together, this study highlighted the role of the novel parasympathetic regulatory pathway in the effects of exogenous MT in maintaining glucose metabolism homeostasis and restoring the damage in skeletal muscle with long-term light exposure. The results indicate that gut microbiota are involved in the MT-parasympathetic regulatory network. This study filles the gap in autonomic nervous-endocrine regulation under long light exposure, and provides a new insight to alleviate long light exposure-induced glucose metabolism disorders to improve the growth and health of humans and animals.
人类和动物长期暴露在人工照明环境中,会诱发葡萄糖代谢紊乱。褪黑素(MT)参与调节糖脂代谢,可以预防骨骼肌萎缩以及肌肉减少相关疾病。然而,外源性MT对骨骼肌葡萄糖代谢的影响以及副交感神经通路的参与尚不清楚。目的:探讨副交感神经调节通路在外源性MT对长期光照射后骨骼肌糖代谢影响中的作用。方法:本研究建立快速生长期肉鸡模型,通过激活副交感神经、外源MT和外源MT结合副交感神经抑制实验,对肌肉组织学、糖代谢指标及相关基因表达进行表征。结果:长期光照抑制肌糖原合成,促进肌糖原分解,增加无氧糖酵解,减少有氧呼吸,引起胸肌损伤。副交感神经激活和外源性MT可显著改善肌糖原积累、有氧糖酵解和胸肌损伤。副交感神经抑制可减轻外源性MT的有益功能。此外,副交感神经激活和外源性MT通过提高肠道微生物群落的稳定性和增加乳酸杆菌的相对丰度来保护盲肠微生物群的稳态。乳酸杆菌丰度与肌糖原积累呈正相关。综上所述,本研究强调了新的副交感神经调节通路在外源性MT维持葡萄糖代谢稳态和恢复长期光照射骨骼肌损伤中的作用。结果表明,肠道微生物群参与了mt -副交感神经调节网络。本研究填补了长时间光照射下自主神经-内分泌调节的空白,为缓解长时间光照射引起的糖代谢紊乱,改善人类和动物的生长和健康提供了新的视角。
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引用次数: 0
Adaptation of plateau frog peptide: From antimicrobial to angiogenic and proliferative functions 高原蛙肽的适应性:从抗菌到血管生成和增殖功能
IF 13 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-01 Epub Date: 2025-06-07 DOI: 10.1016/j.jare.2025.06.013
Kaixun Cao , Liting Zhang , Min Yang , Jinai Gao , Congshuang Deng , Xiaoshan Huang , Qian Chen , Qiumin Lu , Yizhe Cheng , Shaoyang Gao , Hui Cao , Ren Lai

Introduction

Amphibian skin peptides, particularly defensins, play important roles in environmental adaptation, but often exhibit functional redundancy. SC17-2, a novel peptide from the high altitude frog Nanorana parkeri, exhibits unique angiogenesis and cell migration promoting activities, allowing adaptation to the extreme environment of the Tibetan Plateau with high UV radiation and low microbial diversity.

Objectives

This study aimed to investigate the adaptive role of SC17-2 in high-UV environments, its functional differences from typical defensins, and its potential biomedical applications in wound healing and angiogenesis.

Methods

Bioinformatics analyses, including sequence alignment and ancestral reconstruction, identified positively selected amino acid sites in SC17-2. Molecular docking examined its interaction with the epidermal growth factor receptor (EGFR). In vitro and in vivo experiments, using mouse and zebrafish models, assessed its wound healing and angiogenic properties.

Results

SC17-2 exhibited no antimicrobial activity, but it demonstrated antioxidant activity and potent wound healing and angiogenic properties. Molecular docking indicated that SC17-2 interacts with EGFR, potentially activating downstream signalling pathways. In vivo experiments showed that SC17-2 significantly accelerated wound healing by promoting collagen regeneration and angiogenesis, in some aspects outperforming VEGF.

Conclusion

SC17-2 represents a unique functional divergence in amphibian peptides, driven by ecological adaptation rather than microbial pressure. Its ability to promote angiogenesis and cell migration highlights its potential as a novel therapeutic agent for regenerative medicine, shaped by the extreme conditions of the Tibetan Plateau.
两栖动物皮肤肽,特别是防御素,在环境适应中起着重要作用,但往往表现出功能冗余。SC17-2是一种来自高原蛙(Nanorana parkeri)的新型肽,具有独特的促进血管生成和细胞迁移的活性,可以适应青藏高原高紫外线辐射和低微生物多样性的极端环境。目的探讨SC17-2在高紫外线环境下的适应性作用、与典型防御素的功能差异及其在创面愈合和血管生成中的潜在生物医学应用。方法生物信息学分析,包括序列比对和祖先重建,确定SC17-2阳性选择的氨基酸位点。分子对接研究了其与表皮生长因子受体(EGFR)的相互作用。采用小鼠和斑马鱼模型进行体外和体内实验,评估其伤口愈合和血管生成特性。结果sc17 -2无抗菌活性,但具有抗氧化活性,具有较强的创面愈合和血管生成活性。分子对接表明SC17-2与EGFR相互作用,可能激活下游信号通路。体内实验表明,SC17-2通过促进胶原再生和血管生成,显著加速创面愈合,在某些方面优于VEGF。结论sc17 -2在两栖动物多肽中具有独特的功能分化,受生态适应而非微生物压力驱动。它促进血管生成和细胞迁移的能力突出了它作为再生医学的新型治疗剂的潜力,这是由青藏高原的极端条件形成的。
{"title":"Adaptation of plateau frog peptide: From antimicrobial to angiogenic and proliferative functions","authors":"Kaixun Cao ,&nbsp;Liting Zhang ,&nbsp;Min Yang ,&nbsp;Jinai Gao ,&nbsp;Congshuang Deng ,&nbsp;Xiaoshan Huang ,&nbsp;Qian Chen ,&nbsp;Qiumin Lu ,&nbsp;Yizhe Cheng ,&nbsp;Shaoyang Gao ,&nbsp;Hui Cao ,&nbsp;Ren Lai","doi":"10.1016/j.jare.2025.06.013","DOIUrl":"10.1016/j.jare.2025.06.013","url":null,"abstract":"<div><h3>Introduction</h3><div>Amphibian skin peptides, particularly defensins, play important roles in environmental adaptation, but often exhibit functional redundancy. SC17-2, a novel peptide from the high altitude frog Nanorana parkeri, exhibits unique angiogenesis and cell migration promoting activities, allowing adaptation to the extreme environment of the Tibetan Plateau with high UV radiation and low microbial diversity.</div></div><div><h3>Objectives</h3><div>This study aimed to investigate the adaptive role of SC17-2 in high-UV environments, its functional differences from typical defensins, and its potential biomedical applications in wound healing and angiogenesis.</div></div><div><h3>Methods</h3><div>Bioinformatics analyses, including sequence alignment and ancestral reconstruction, identified positively selected amino acid sites in SC17-2. Molecular docking examined its interaction with the epidermal growth factor receptor (EGFR). <em>In vitro</em> and <em>in vivo</em> experiments, using mouse and zebrafish models, assessed its wound healing and angiogenic properties.</div></div><div><h3>Results</h3><div>SC17-2 exhibited no antimicrobial activity, but it demonstrated antioxidant activity and potent wound healing and angiogenic properties. Molecular docking indicated that SC17-2 interacts with EGFR, potentially activating downstream signalling pathways. <em>In vivo</em> experiments showed that SC17-2 significantly accelerated wound healing by promoting collagen regeneration and angiogenesis, in some aspects outperforming VEGF.</div></div><div><h3>Conclusion</h3><div>SC17-2 represents a unique functional divergence in amphibian peptides, driven by ecological adaptation rather than microbial pressure. Its ability to promote angiogenesis and cell migration highlights its potential as a novel therapeutic agent for regenerative medicine, shaped by the extreme conditions of the Tibetan Plateau.</div></div>","PeriodicalId":14952,"journal":{"name":"Journal of Advanced Research","volume":"81 ","pages":"Pages 287-300"},"PeriodicalIF":13.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144237485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of Advanced Research
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