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Atherosclerosis originating from childhood: Specific features. 源自童年的动脉粥样硬化:具体特征。
IF 2.3 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-05-22 DOI: 10.7555/JBR.37.20230198
Anastasia V Poznyak, Alexey A Yakovlev, Mikhail А Popov, Elena B Zhigmitova, Vasily N Sukhorukov, Alexander N Orekhov

Atherosclerosis is extremely widespread. Traditionally, it is considered a disease of older people, who most often experience problems with the heart and blood vessels. While much attention from the scientific community has been paid to studying the association between aging and atherosclerosis, as well as its consequences, there is evidence that atherosclerosis occurs at an early age. Atherosclerosis may form both during intrauterine development and in childhood. Nutrition plays an important role in childhood atherosclerosis, along with previous infectious diseases and excess weight of both the child and the mother. In the present review, we examined the development of atherosclerosis and the prerequisites in childhood.

动脉粥样硬化非常普遍。传统上,动脉粥样硬化被认为是老年人的疾病,因为老年人的心脏和血管最容易出现问题。虽然科学界非常关注研究衰老与动脉粥样硬化之间的关系及其后果,但有证据表明,动脉粥样硬化在幼年时就已发生。动脉粥样硬化可在宫内发育和儿童时期形成。营养在儿童期动脉粥样硬化中扮演着重要角色,此外,既往感染性疾病以及儿童和母亲体重超标也会导致动脉粥样硬化。在本综述中,我们研究了儿童期动脉粥样硬化的发展和先决条件。
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引用次数: 0
RNA-sequencing expression profile and functional analysis of retinal pigment epithelium in atrophic age-related macular degeneration. 萎缩性老年性黄斑变性患者视网膜色素上皮细胞的 RNA 序列表达谱和功能分析。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-04-25 DOI: 10.7555/JBR.37.20230320
Miao Xu, Yan Gao, Wenjie Yin, Qinghuai Liu, Songtao Yuan

The retinal pigment epithelium (RPE) is fundamental to sustaining retinal homeostasis. RPE abnormality leads to visual defects and blindness, including age-related macular degeneration (AMD). Although breakthroughs have been made in the treatment of neovascular AMD, effective intervention for atrophic AMD is largely absent. The inadequate knowledge of RPE pathology is hindered by a lack of patient RPE datasets, especially at the single-cell resolution. In this study, we delved into a large-scale single-cell resource of AMD donors in which RPE cells were occupied in a substantial proportion. Bulk RNA-seq datasets of atrophic AMD were integrated to extract molecular characteristics of RPE in the pathogenesis of atrophic AMD. Both in vivo and in vitro models revealed that carboxypeptidase X, M14 family member 2 (CPXM2) was specifically expressed in the RPE cells of atrophic AMD, which might be induced by oxidative stress and involved in the epithelial-mesenchymal transition of RPE cells. Additionally, silencing of CPXM2 inhibited the mesenchymal phenotype of RPE cells in an oxidative stress cell model. Thus, our results demonstrate that CPXM2 plays a crucial role in regulating atrophic AMD and may serve as a potential therapeutic target for atrophic AMD.

视网膜色素上皮(RPE)是维持视网膜平衡的基础。RPE 异常会导致视觉缺陷和失明,包括老年性黄斑变性(AMD)。虽然在治疗新生血管性黄斑变性方面取得了突破性进展,但对萎缩性黄斑变性的有效干预措施却基本缺失。由于缺乏患者 RPE 数据集,尤其是单细胞分辨率的数据集,人们对 RPE 病理学的认识不足。在本研究中,我们深入研究了 AMD 供体的大规模单细胞资源,其中 RPE 细胞占据了相当大的比例。我们整合了萎缩性AMD的大量RNA-seq数据集,以提取RPE在萎缩性AMD发病机制中的分子特征。体内和体外模型均显示,羧肽酶X,M14家族成员2(CPXM2)在萎缩性AMD的RPE细胞中特异性表达,这可能是由氧化应激诱导的,并参与了RPE细胞的上皮-间质转化。此外,在氧化应激细胞模型中,沉默 CPXM2 可抑制 RPE 细胞的间充质表型。因此,我们的研究结果表明 CPXM2 在调节萎缩性黄斑变性中起着关键作用,可作为萎缩性黄斑变性的潜在治疗靶点。
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引用次数: 0
The role of pericyte in ocular vascular diseases. 眼周膜在眼部血管疾病中的作用。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-04-25 DOI: 10.7555/JBR.37.20230314
Lian Jun Shi, HuiMin Ge, Fan Ye, Xiumiao Li, Qin Jiang

Pericytes are located in the stromal membrane of the capillary outer wall and contain endothelial cells (ECs). They are pivotal in regulating blood flow, enhancing vascular stability, and maintaining the integrity of the blood-retina barrier (BRB)/blood-brain barrier (BBB). The pluripotency of pericytes allows them to differentiate into various cell types, highlighting their significance in vascular disease pathogenesis, as demonstrated by previous studies. This potential enables pericytes to be a potential biomarker for the diagnosis and a target for treatment of vascular disorders. The retina, an essential part of the eyeball, is an extension of cerebral tissue with a transparent refractive medium. It offers a unique window for assessing systemic microvascular lesions. Routine fundus examination is necessary for patients with diabetes and hypertension. Manifestations, such as retinal artery tortuosity, dilation, stenosis, and abnormal arteriovenous anastomosis, serve as typical hallmarks of retinal vasculopathy. Therefore, studies of ocular vascular diseases significantly facilitate the exploration of systemic vascular diseases.

周细胞位于毛细血管外壁的基质膜中,内含内皮细胞(EC)。它们在调节血流、增强血管稳定性和维持血液-视网膜屏障(BRB)/血脑屏障(BBB)的完整性方面起着关键作用。周细胞的多能性使其能分化成各种类型的细胞,这凸显了它们在血管疾病发病机制中的重要作用,之前的研究也证明了这一点。这种潜力使周细胞成为诊断血管疾病的潜在生物标志物和治疗目标。视网膜是眼球的重要组成部分,是脑组织的延伸,具有透明的折射介质。它为评估全身微血管病变提供了一个独特的窗口。糖尿病和高血压患者必须进行常规眼底检查。视网膜动脉迂曲、扩张、狭窄和动静脉吻合异常等表现是视网膜血管病变的典型标志。因此,对眼部血管疾病的研究极大地促进了对全身血管疾病的探索。
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引用次数: 0
Mouse KL2 is a unique MTSE involved in chromosome-based spindle organization and regulated by multiple kinases during female meiosis. 小鼠 KL2 是一种独特的 MTSE,参与基于染色体的纺锤体组织,在雌性减数分裂过程中受多种激酶调控。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-04-25 DOI: 10.7555/JBR.37.20230290
Shi-Ya Xie, Yan-Jie Yang, Zhen Jin, Xiao-Cong Liu, Shu-Ping Zhang, Ning Su, Jia-Qi Liu, Cong-Rong Li, Dong Zhang, Lei-Lei Gao, Zhi-Xia Yang

Microtubule-severing enzymes (MTSEs) play important roles in mitosis and meiosis of the primitive organisms. However, no studies have assessed their roles in mammalian meiosis of females, whose abnormality accounts for over 80% of the cases of gamete-originated human reproductive disease. In the current study, we reported that katanin-like 2 (KL2) was the only MTSE concentrating at chromosomes. Furthermore, the knockdown of KL2 significantly reduced chromosome-based increase in the microtubule (MT) polymer, increased aberrant kinetochore-MT (K-MT) attachment, delayed meiosis, and severely affected normal fertility. Importantly, we demonstrated that the inhibition of aurora B, a key kinase for correcting aberrant K-MT attachment, eliminated KL2 from chromosomes completely. KL2 also interacted with phosphorylated eukaryotic elongation factor-2 kinase; they competed for chromosome binding. We also observed that the phosphorylated KL2 was localized at spindle poles, and that KL2 phosphorylation was regulated by extracellular signal-regulated kinase 1/2. In summary, our study reveals a novel function of MTSEs in mammalian female meiosis and demonstrates that multiple kinases coordinate to regulate the levels of KL2 at chromosomes.

微管分裂酶(MTSEs)在原始生物的有丝分裂和减数分裂过程中发挥着重要作用。然而,目前还没有研究评估它们在哺乳动物雌性减数分裂中的作用,而在配子引起的人类生殖疾病中,80%以上的病例都是由雌性减数分裂异常引起的。在目前的研究中,我们发现卡塔宁样 2(KL2)是唯一集中在染色体上的 MTSE。此外,敲除 KL2 能显著减少染色体上微管(MT)聚合物的增加,增加动点核-MT(K-MT)的异常附着,延迟减数分裂,并严重影响正常生育能力。重要的是,我们证实,抑制极光 B(一种纠正 K-MT 附着异常的关键激酶)可完全消除染色体上的 KL2。KL2 还与磷酸化的真核细胞伸长因子-2 激酶相互作用;它们竞相与染色体结合。我们还观察到,磷酸化的 KL2 定位于纺锤体两极,KL2 磷酸化受细胞外信号调节激酶 1/2调节。总之,我们的研究揭示了MTSEs在哺乳动物雌性减数分裂过程中的新功能,并证明多种激酶协调调节染色体上的KL2水平。
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引用次数: 0
Coronary atherosclerotic plaque regression strategies. 冠状动脉粥样硬化斑块消退策略。
IF 2.3 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-04-25 DOI: 10.7555/JBR.37.20230223
Anastasia V Poznyak, Alexey Aleksandrovich Yakovlev, Mikhail А Popov, Alexander D Zhuravlev, Vasily N Sukhorukov, Alexander N Orekhov

Atherosclerosis poses a significant and widespread problem at the population level. Consequently, there is a pressing need to develop effective methods to reduce the risk associated with this condition, which holds a prominent position in cardiology research. The primary manifestation of atherosclerosis involves plaque formation on the walls of coronary arteries. These plaques not only disrupt blood flow but also raise the likelihood of thrombosis and subsequent cardiovascular events. Unfortunately, atherosclerosis itself is usually asymptomatic, resulting in challenges with diagnosis and a delayed initiation of treatment. Hence, strategies focusing on the regression of existing plaques within blood vessels play a crucial role. The present review encompasses comprehensive data on the regression of coronary atherosclerotic plaques, examining both the underlying mechanisms and a range of regression strategies, encompassing lifestyle modifications to medical interventions.

动脉粥样硬化是一个严重而普遍的人口问题。因此,迫切需要开发有效的方法来降低与这种疾病相关的风险,这在心脏病学研究中占有重要地位。动脉粥样硬化的主要表现是冠状动脉壁上形成斑块。这些斑块不仅会破坏血流,还会增加血栓形成的可能性,进而引发心血管事件。不幸的是,动脉粥样硬化本身通常没有症状,这给诊断带来了挑战,也延误了治疗时机。因此,针对血管内现有斑块的消退策略起着至关重要的作用。本综述涵盖了有关冠状动脉粥样硬化斑块消退的全面数据,研究了其基本机制和一系列消退策略,包括生活方式调整和医疗干预。
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引用次数: 0
Ferroptosis: Iron-mediated cell death linked to disease pathogenesis. 铁变态反应:铁介导的细胞死亡与疾病发病机制有关。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-03-25 DOI: 10.7555/JBR.37.20230224
Xiangyu Zhang, Yingchao Hu, Bingwei Wang, Shuo Yang

Ferroptosis is an iron-mediated regulatory cell death pattern characterized by oxidative damage. The molecular regulating mechanisms are related to iron metabolism, lipid peroxidation, and glutathione metabolism. Additionally, some immunological signaling pathways, such as the cyclic GMP-AMP synthase-stimulator ofinterferon genes axis, Janus kinase-signal transducer and activator of transcription 1 axis, and transforming growth factor beta 1-Smad3 axis may also participate in the regulation of ferroptosis. Studies have shown that ferroptosis is closely related to many diseases such as cancer, neurodegenerative diseases, inflammatory diseases, and autoimmune diseases. Considering the pivotal role of ferroptosis-regulating signaling in the pathogenesis of diverse diseases, the development of ferroptosis inducers or inhibitors may have significant clinical potential for the treatment of the aforementioned conditions.

铁变态反应是一种以氧化损伤为特征的铁介导的调节性细胞死亡模式。其分子调节机制与铁代谢、脂质过氧化和谷胱甘肽代谢有关。此外,一些免疫信号通路,如环 GMP-AMP 合成酶-干扰素基因刺激器轴、Janus 激酶-信号转导和转录激活因子 1 轴、转化生长因子β1-Smad3 轴等,也可能参与调控铁变态反应。研究表明,铁氧化与癌症、神经退行性疾病、炎症性疾病和自身免疫性疾病等多种疾病密切相关。考虑到调节铁蛋白生成的信号在多种疾病发病机制中的关键作用,开发铁蛋白生成诱导剂或抑制剂可能对治疗上述疾病具有重要的临床潜力。
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引用次数: 0
Evaluating short-term and long-term liver fibrosis improvement in hepatitis C patients post-DAA treatment. 评估 DAA 治疗后丙型肝炎患者肝纤维化的短期和长期改善情况。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-03-21 DOI: 10.7555/JBR.37.20230284
Yifan Wang, Xinyan Ma, Yanzheng Zou, Ming Yue, Meiling Zhang, Rongbin Yu, Hongbo Chen, Peng Huang

Despite achieving a high cure rate with direct-acting antivirals (DAAs) in hepatitis C treatment, further research is needed to identify additional benefits of the DAA therapy. The current study evaluated liver fibrosis improvement in 848 hepatitis C patients treated with DAAs, who also achieved sustained virologic response (SVR). Using the fibrosis-4 (FIB-4) index, patients were categorized based on their baseline fibrosis level, and improvements in fibrosis were analyzed in both the short-term (9-26 weeks) and long-term (≥ 36 weeks) follow-up. The results showed a significant decrease in the FIB-4 index, indicating an improvement in liver fibrosis, in 63.00% of the patients during the short-term follow-up and 67.56% during the long-term follow-up. Short-term improvement was associated with factors including ribavirin (RBV) usage, blood cholinesterase levels, alanine transaminase levels, albumin levels, and the baseline FIB-4 index. Additionally, long-term improvement was associated with factors such as aspartate transaminase levels, total protein level, and the baseline FIB-4 index. The current study emphasizes the importance of continuous assessment and post-treatment monitoring of liver fibrosis, providing crucial insights for enhancing patient care in hepatitis C management.

尽管直接作用抗病毒药物(DAAs)在丙型肝炎治疗中取得了很高的治愈率,但仍需进一步研究以确定DAAs疗法的其他益处。目前的研究评估了848名接受DAAs治疗并获得持续病毒学应答(SVR)的丙肝患者的肝纤维化改善情况。研究采用纤维化-4(FIB-4)指数,根据基线纤维化水平对患者进行分类,并在短期(9-26 周)和长期(≥ 36 周)随访中分析纤维化的改善情况。结果显示,63.00%的患者在短期随访期间的FIB-4指数明显下降,67.56%的患者在长期随访期间的FIB-4指数明显下降,表明肝纤维化有所改善。短期改善与利巴韦林(RBV)使用情况、血液胆碱酯酶水平、丙氨酸转氨酶水平、白蛋白水平和基线 FIB-4 指数等因素有关。此外,长期改善与天门冬氨酸转氨酶水平、总蛋白水平和基线 FIB-4 指数等因素有关。本研究强调了对肝纤维化进行持续评估和治疗后监测的重要性,为加强丙型肝炎治疗中的患者护理提供了重要启示。
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引用次数: 0
Functional aspects of the brain lymphatic drainage system in aging and neurodegenerative diseases. 脑淋巴引流系统在衰老和神经退行性疾病中的功能。
IF 2.3 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-03-02 DOI: 10.7555/JBR.37.20230264
Yan Chen, Xiaoxin He, Jiachen Cai, Qian Li

The phenomenon of an aging population is advancing at a precipitous rate. Alzheimer's disease (AD) and Parkinson's disease (PD) are two of the most common age-associated neurodegenerative diseases, both of which are primarily characterized by the accumulation of toxic proteins and the progressive demise of neuronal structures. Recent discoveries about the brain lymphatic drainage system have precipitated a growing body of investigations substantiating its novel roles, including the clearance of macromolecular waste and the trafficking of immune cells. Notably, aquaporin 4-mediated glymphatic transport, crucial for maintaining neural homeostasis, becomes disrupted during the aging process and is further compromised in the pathogenesis of AD and PD. Functional meningeal lymphatic vessels, which facilitate the drainage of cerebrospinal fluid into the deep cervical lymph nodes, are integral in bridging the central nervous system with peripheral immune responses. Dysfunction in these meningeal lymphatic vessels exacerbates pathological trajectory of the age-related neurodegenerative disease. This review explores modulatory influence of the glymphatic system and meningeal lymphatic vessels on the aging brain and its associated neurodegenerative disorders. It also encapsulates the insights of potential mechanisms and prospects of the targeted non-pharmacological interventions.

人口老龄化现象正以惊人的速度发展。阿尔茨海默病和帕金森病是两种最常见的与年龄相关的神经退行性疾病,这两种疾病的主要特征都是有毒蛋白质的积累和神经元结构的逐渐衰亡。最近对脑淋巴引流系统的发现促使越来越多的研究证实了它的新作用,包括清除大分子废物和运输免疫细胞。值得注意的是,水汽素 4 介导的脑淋巴运输对维持神经平衡至关重要,但在衰老过程中会受到破坏,并在阿尔茨海默氏症和帕金森氏症的发病过程中进一步受到影响。功能性脑膜淋巴管可促进脑脊液排入颈深淋巴结,是连接中枢神经系统与外周免疫反应的重要桥梁。这些脑膜淋巴管的功能障碍会加剧与年龄相关的神经退行性疾病的病理轨迹。这篇综述细致地探讨了淋巴系统和脑膜淋巴管对衰老大脑及其相关神经退行性疾病的调节作用。它还概括了潜在机制的见解和有针对性的非药物干预措施的前景。
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引用次数: 0
Drug resistance mechanisms in cancers: Execution of pro-survival strategies. 癌症的耐药机制:执行有利于生存的策略。
IF 2.3 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-02-28 DOI: 10.7555/JBR.37.20230248
Pavan Kumar Dhanyamraju

One of the quintessential challenges in cancer treatment is drug resistance. Several mechanisms of drug resistance have been described to date, and new modes of drug resistance continue to be discovered. The phenomenon of cancer drug resistance is now widespread, with approximately 90% of cancer-related deaths associated with drug resistance. Despite significant advances in the drug discovery process, the emergence of innate and acquired mechanisms of drug resistance has impeded the progress in cancer therapy. Therefore, understanding the mechanisms of drug resistance and the various pathways involved is integral to treatment modalities. In the present review, I discuss the different mechanisms of drug resistance in cancer cells, including DNA damage repair, epithelial to mesenchymal transition, inhibition of cell death, alteration of drug targets, inactivation of drugs, deregulation of cellular energetics, immune evasion, tumor-promoting inflammation, genome instability, and other contributing epigenetic factors. Furthermore, I highlight available treatment options and conclude with future directions.

抗药性的产生是癌症治疗面临的主要挑战之一。迄今为止,已经描述了几种耐药机制,而且新的耐药模式仍在不断被发现。目前,癌症耐药现象十分普遍,大约 90% 的癌症相关死亡与耐药有关。尽管在药物发现过程中取得了重大进展,但先天和后天耐药机制的发展阻碍了癌症治疗的进展。因此,了解耐药机制和涉及的各种途径是治疗方法不可或缺的一部分。在本综述中,我将讨论癌细胞的不同耐药机制,包括 DNA 损伤修复、上皮细胞向间质转化、细胞死亡抑制、药物靶点改变、药物失活、细胞能量失调、免疫逃避、肿瘤促发炎症、基因组不稳定性以及其他表观遗传因素。此外,我还重点介绍了现有的治疗方案,并以未来的发展方向作为结束语。
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引用次数: 0
Piezo1 as a potential player in intracranial hemorrhage: from perspectives on biomechanics and hematoma metabolism. Piezo1 是颅内出血的潜在参与者:从生物力学和血肿代谢的角度看问题。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-02-25 DOI: 10.7555/JBR.37.20230241
Tianle Jin, Maoxing Fei, Shiqiao Luo, Handong Wang

Intracranial hemorrhage (ICH) causes numerous neurological deficits and deaths worldwide each year, leaving a significant health burden on the public. The pathophysiology of ICH is complicated, and involves both primary and secondary injury. Hematoma, as the prime pathology of ICH, undergoes metabolism and triggers biochemical and biomechanical alterations in the brain, leading to secondary injury. Past endeavors mainly aimed at biochemical-initiated mechanisms for causing secondary injury have made limited progress in recent years, although ICH itself is also highly biomechanics-related. The discovery of the mechanical-activated cation channel Piezo1 provides a new avenue to further explore underlying mechanisms of secondary injury. The current article reviews the structure and gating mechanisms of Piezo1, its roles in the physiology/pathophysiology of neurons, astrocytes, microglia, and bone-marrow-derived macrophages, and especially its roles in erythrocytic turnover and iron metabolism, revealing a potential interplay between the biomechanics and biochemistry of hematoma in ICH. Collectively, these advances provide deeper insights into the secondary injury of ICH and lay the foundations for future research.

颅内出血(ICH)每年在全球范围内造成大量神经功能缺损和死亡,给公众健康带来沉重负担。ICH 的病理生理学非常复杂,涉及原发性和继发性损伤。血肿作为 ICH 的主要病理变化,会发生新陈代谢,引发脑部生化和生物力学改变,导致继发性损伤。尽管 ICH 本身也与生物力学高度相关,但过去主要针对引起继发性损伤的生化机制的研究近年来进展有限。机械激活阳离子通道 Piezo1 的发现为进一步探索继发性损伤的潜在机制提供了新的途径。本文回顾了 Piezo1 的结构和门控机制,它在神经元、星形胶质细胞、小胶质细胞和骨髓衍生巨噬细胞的生理/病理生理学中的作用,特别是它在红细胞周转和铁代谢中的作用,揭示了 ICH 血肿的生物力学和生物化学之间的潜在相互作用。总之,这些进展为深入了解 ICH 的继发性损伤提供了思路,并为未来的研究奠定了基础。
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引用次数: 0
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