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Orphan drug development: Challenges, regulation, and success stories. 孤儿药开发:挑战、监管和成功案例。
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-01-01
Narendra Chirmule, Huije Feng, Esha Cyril, Vihang Vivek Ghalsasi, Mohua Chakraborty Choudhury

Rare diseases, also known as orphan diseases, are diseases with low occurrence in the population. Developing orphan drugs is challenging because of inadequate financial and scientific resources and insufficient subjects to run clinical trials. With advances in genome sequencing technologies, emergence of cell and gene therapies, and the latest developments in regulatory pathways, some orphan drugs that have curative potential have been approved. In India, due to its large population and resource crunch, developing orphan drugs is phenomenally challenging. After adopting the Orphan Drug Act, the US-FDA has continuously made advances in regulatory pathways for orphan drugs. Particularly, n-of-one clinical trials have been successful in some cases. India has recently adopted policies that have impacted the long-neglected rare-disease ecosystem; however, there is no clear regulatory path for orphan drug development in India. We have proposed a multi-pronged approach involving close collaboration between the government, regulatory bodies, industries, and patient advocacy groups to boost orphan drug development in India. We believe that rapidly evolving technologies and business models can enable better and faster development of novel orphan drugs in India and other resource-constrained countries.

罕见病又称孤儿病,是指在人群中发病率较低的疾病。由于财政和科学资源不足,以及没有足够的受试者进行临床试验,开发孤儿药具有挑战性。随着基因组测序技术的进步、细胞和基因疗法的出现以及监管途径的最新发展,一些具有治疗潜力的孤儿药已经获得批准。在印度,由于人口众多、资源紧张,开发孤儿药具有极大的挑战性。在通过《孤儿药法案》之后,美国食品及药物管理局在孤儿药的监管途径方面不断取得进展。特别是在某些情况下,"n-of-one "临床试验取得了成功。印度最近通过的政策对长期被忽视的罕见病生态系统产生了影响;然而,印度在孤儿药开发方面还没有明确的监管途径。我们提出了一种多管齐下的方法,涉及政府、监管机构、行业和患者权益组织之间的密切合作,以促进印度的孤儿药开发。我们相信,快速发展的技术和商业模式可以帮助印度和其他资源有限的国家更好、更快地开发新型孤儿药。
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引用次数: 0
Understanding pathophysiology of GNE myopathy and current progress towards drug development. 了解 GNE 肌病的病理生理学和药物研发的最新进展。
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-01-01
Fluencephila Mashangva, Shagun Singh, Jyoti Oswalia, Ranjana Arya

GNE myopathy is a rare genetic neuromuscular disease that is caused due to mutations in the GNE gene responsible for sialic acid biosynthesis. Foot drop is the most common initial symptom observed in GNE myopathy patients. There is slow progressive muscle weakness in the lower and upper extremities while the quadriceps muscles are usually spared. The exact pathophysiology of the disease is unknown. Besides sialic acid biosynthesis, recent studies suggest either direct or indirect involvement of GNE in other cellular functions such as protein aggregation, apoptosis, ER stress, cell migration, HSP70 chaperone activity, autophagy, muscle atrophy, and myogenesis. Both animal and in vitro cell-based model systems are generated to elucidate the mechanism of GNE myopathy and evaluate the efficacy of therapies. The many therapeutic avenues explored include supplementation with sialic acid derivatives or precursors and gene therapy. Recent studies suggest other therapeutic options such as modulators of HSP70 chaperone (BGP-15), cofilin activator (CGA), and ligands like IGF-1 that may help to rescue cellular defects due to GNE dysfunction. This review provides an overview of the pathophysiology associated with GNE function in the cell and promising therapeutic leads to be explored for future drug development.

GNE 肌病是一种罕见的遗传性神经肌肉疾病,是由于负责硅酸生物合成的 GNE 基因发生突变所致。足下垂是 GNE 肌病患者最常见的初期症状。患者的下肢和上肢会出现缓慢进行性肌无力,而股四头肌通常不受影响。该病的确切病理生理学尚不清楚。除了硅酸的生物合成外,最近的研究表明,GNE 直接或间接参与了其他细胞功能,如蛋白质聚集、细胞凋亡、ER 应激、细胞迁移、HSP70 伴侣活性、自噬、肌肉萎缩和肌生成。为了阐明 GNE 肌病的机理并评估疗法的疗效,我们建立了基于动物和体外细胞的模型系统。已探索出的多种治疗途径包括补充硅烷酸衍生物或前体以及基因治疗。最近的研究提出了其他治疗方案,如 HSP70 合子的调节剂(BGP-15)、cofilin 激活剂(CGA)和配体(如 IGF-1),它们可能有助于挽救 GNE 功能障碍导致的细胞缺陷。本综述概述了与细胞中 GNE 功能相关的病理生理学,以及未来药物开发中有望探索到的治疗线索。
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引用次数: 0
From sequence to consequence: Deciphering the complex cisregulatory landscape. 从序列到结果:解密复杂的顺式调控格局。
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-01-01
Greg Jude Dsilva, Sanjeev Galande

Cell type-specific expression of genes plays a pivotal role in the development and evolution of multicellular organisms over millions of years. The majority of regulatory control resides within the non-coding regions of the genome, referred to as 'dark matter', which contains cis-regulatory modules. These cis-regulatory modules function collectively and can impact gene expression even when located far from the target gene, exhibiting context-specific behaviour. Consequently, the cis-regulatory code governing gene expression patterns is intricate, in contrast to the universally understood genetic code. This overview centres on the current knowledge regarding cis-regulatory elements, primarily enhancers and their role in governing the spatiotemporal gene expression patterns, and how they have evolved and adapted across different species.

基因的细胞特异性表达在多细胞生物数百万年的发展和进化过程中起着举足轻重的作用。大部分调控控制存在于基因组的非编码区,即 "暗物质",其中包含顺式调控模块。这些顺式调控模块具有集体功能,即使远离目标基因,也能影响基因表达,表现出特定环境行为。因此,与人们普遍理解的遗传密码不同,支配基因表达模式的顺式调节密码错综复杂。本综述主要介绍顺式调控元件(主要是增强子)及其在调控时空基因表达模式方面的作用,以及它们如何在不同物种间进化和适应。
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引用次数: 0
Role of mitochondria and chloroplasts during stomatal closure: Subcellular location of superoxide and H2O2 production in guard cells of Arabidopsis thaliana. 线粒体和叶绿体在气孔关闭过程中的作用:拟南芥保卫细胞中产生超氧化物和 H2O2 的亚细胞位置。
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-01-01
Shashibhushan Gahir, Pulimamidi Bharath, Deepak Saini, Gudipalli Padmaja, Agepati S Raghavendra

Stomatal guard cells are unique in that they have more mitochondria than chloroplasts. Several reports emphasized the importance of mitochondria as the major energy source during stomatal opening. We re-examined their role during stomatal closure. The marked sensitivity of stomata to both menadione (MD) and methyl viologen (MV) demonstrated that both mitochondria and chloroplasts helped to promote stomatal closure in Arabidopsis. As in the case of abscisic acid (ABA), a plant stress hormone, MD and MV induced stomatal closure at micromolar concentration. All three compounds generated superoxide and H2O2, as indicated by fluorescence probes, BES-So-AM and CM-H2DCFDA, respectively. Results from tiron (a superoxide scavenger) and catalase (an H2O2 scavenger) confirmed that both the superoxide and H2O2 were requisites for stomatal closure. Co-localization of the superoxide and H2O2 in mitochondria and chloroplasts using fluorescent probes revealed that exposure to MV initially triggered higher superoxide and H2O2 generation in mitochondria. In contrast, MD elevated superoxide/H2O2 levels in chloroplasts. However, with prolonged exposure, MD and MV induced ROS production in other organelles. We conclude that ROS production in mitochondria and chloroplasts leads to stomatal closure. We propose that stomatal guard cells can be good models for examining inter-organellar interactions.

气孔防护细胞的独特之处在于线粒体多于叶绿体。一些报道强调了线粒体作为气孔开放期间主要能量来源的重要性。我们重新研究了线粒体在气孔关闭过程中的作用。气孔对甲萘醌(MD)和甲基紫精(MV)的明显敏感性表明,线粒体和叶绿体都有助于促进拟南芥气孔的关闭。与植物胁迫激素脱落酸(ABA)一样,MD 和 MV 在微摩尔浓度下也能诱导气孔关闭。这三种化合物都会产生超氧化物和 H2O2,分别通过荧光探针 BES-So-AM 和 CM-H2DCFDA 来显示。铁(一种超氧化物清除剂)和过氧化氢酶(一种 H2O2 清除剂)的研究结果证实,超氧化物和 H2O2 都是气孔关闭的必要条件。使用荧光探针对线粒体和叶绿体中的超氧化物和 H2O2 进行共定位后发现,暴露于 MV 后,线粒体中产生的超氧化物和 H2O2 较多。相比之下,MD 提高了叶绿体中的超氧化物/H2O2 水平。然而,随着暴露时间的延长,MD 和 MV 会诱导其他细胞器产生 ROS。我们的结论是,线粒体和叶绿体中产生的 ROS 会导致气孔关闭。我们认为,气孔防护细胞是研究细胞器间相互作用的良好模型。
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引用次数: 0
NMR-based comparative metabolomics of quiescent muscle cells. 基于核磁共振的静止肌肉细胞比较代谢组学。
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-01-01
Gunjan Purohit, Akila Ramesh, Anant B Patel, Jyotsna Dhawan

Adult muscle tissue largely comprised of differentiated myofibers also harbors quiescent muscle-resident stem cells (MuSCs) that are responsible for its maintenance, repair and regeneration. Emerging evidence suggests that quiescent MuSCs exhibit a specific metabolic state, which is regulated during physiological and pathological alterations. However, a detailed understanding of the metabolic state of quiescent MuSCs and its alteration during activation and repair is lacking. Direct profiling of MuSCs in vivo is challenging because the cells are rare and dispersed, while isolation and enrichment leads to their activation and loss of quiescence. In this study, we employed 1H-nuclear magnetic resonance (NMR) spectroscopy to profile metabolites in an established culture model of quiescent MuSC-derived myoblasts and compared with activated, proliferative and differentiated muscle cells to determine the state-specific metabolome. We report that the proliferating and differentiated cells are highly enriched in metabolites involved in energy generation, the quiescent state is enriched in metabolites related to phospholipid catabolism (glycerophosphocholine and choline) and depleted for phosphocholine which is enriched in proliferating cells. We propose that the ratio of these metabolites may be useful as a biomarker of MuSC quiescence.

成人肌肉组织主要由已分化的肌纤维组成,其中也蕴藏着静止的肌肉驻留干细胞(MuSCs),它们负责肌肉组织的维护、修复和再生。新的证据表明,静止的肌肉干细胞表现出一种特定的新陈代谢状态,这种状态在生理和病理变化过程中受到调节。然而,目前还缺乏对静止期造血干细胞代谢状态及其在激活和修复过程中的变化的详细了解。直接分析体内的MuSCs具有挑战性,因为细胞稀少且分散,而分离和富集会导致其活化和失去静止状态。在这项研究中,我们采用 1H 核磁共振 (NMR) 光谱法分析了静止状态 MuSC 衍生肌母细胞既定培养模型中的代谢物,并与活化、增殖和分化的肌肉细胞进行了比较,以确定特定状态的代谢组。我们发现,增殖细胞和分化细胞高度富集了与能量生成有关的代谢物,而静止状态的细胞则富集了与磷脂分解有关的代谢物(甘油磷酸胆碱和胆碱),而增殖细胞富集的磷酸胆碱则被消耗殆尽。我们认为,这些代谢物的比例可作为 MuSC 静止状态的生物标记。
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引用次数: 0
Collaborative action between noradrenergic and serotoninergic systems in peripheral antinociception in mice. 去甲肾上腺素能系统和血清素能系统在小鼠外周抗痛觉中的协同作用
IF 2.1 4区 生物学 Q2 BIOLOGY Pub Date : 2024-01-01
Danielle Diniz Aguiar, Cristina DA Costa Oliveira, Julia Alvarenga Petrocchi, Marina Gomes Miranda E Castor, Andrea Castro Perez, Igor Dimitri Gama Duarte, Thiago Roberto Lima Romero

Noradrenaline (NA) and serotonin (5-HT) induce nociception and antinociception. This antagonistic effect can be explained by the dose and type of activated receptors. We investigated the existence of synergism between the noradrenergic and serotonergic systems during peripheral antinociception. The paw pressure test was performed in mice that had increased sensitivity by intraplantar injection of prostaglandin E2 (PGE2). Noradrenaline (80 ng) administered intraplantarly induced an antinociceptive effect, that was reversed by the administration of selective antagonists of serotoninergic receptors 5-HT1B isamoltan, 5-HT1D BRL15572, 5-HT2A ketanserin, 5-HT3 ondansetron, but not by selective receptor antagonist 5-HT7 SB-269970. The administration of escitalopram, a serotonin reuptake inhibitor, potentiated the antinociceptive effect at a submaximal dose of NA. These results, indicate the existence of synergism between the noradrenergic and serotonergic systems in peripheral antinociception in mice.

去甲肾上腺素(NA)和血清素(5-HT)可诱发痛觉和抗痛觉。这种拮抗作用可以用激活受体的剂量和类型来解释。我们研究了去甲肾上腺素能系统和血清素能系统在外周抗痛过程中是否存在协同作用。小鼠跖内注射前列腺素 E2 (PGE2)后,爪压试验的敏感性增加。鞘内注射去甲肾上腺素(80 毫微克)可诱导抗痛觉作用,但注射 5-HT1B isamoltan、5-HT1D BRL15572、5-HT2A ketanserin、5-HT3 ondansetron 等血清素能受体选择性拮抗剂可逆转这种作用,而注射 5-HT7 SB-269970 则不能。服用羟色胺再摄取抑制剂艾司西酞普兰(escitalopram)后,NA的抗痛觉效应在亚极限剂量下得到增强。这些结果表明,在小鼠的外周抗痛作用中,去甲肾上腺素能系统和血清素能系统之间存在协同作用。
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引用次数: 0
Cell membrane proteome analysis in HEK293T cells challenged with α-synuclein amyloids. 用α-突触核蛋白淀粉样蛋白挑战 HEK293T 细胞的细胞膜蛋白质组分析。
IF 2.1 4区 生物学 Q2 BIOLOGY Pub Date : 2024-01-01
Harshit Vaish, Shemin Mansuri, Aanchal Jain, Swasti Raychaudhuri

Amyloids interact with plasma membranes. Extracellular amyloids cross the plasma membrane barrier. Internalized extracellular amyloids are reported to trigger amyloidogenesis of endogenous proteins in recipient cells. To what extent these extracellular and intracellular amyloids perturb the plasma membrane proteome is not investigated. Using α-synuclein as a model amyloid protein, we performed membrane shaving followed by mass spectrometry experiments to identify the conformational changes in cell surface proteins after extracellular amyloid challenge. We also performed membrane proteomics after the biogenesis of intracellular α-synuclein amyloids. Our results suggest that promiscuous interactions with extracellular amyloids stochastically alter the conformation of plasma membrane proteins. This affects the biological processes through the plasma membrane and results in loss of cell viability. Cells that survive the extracellular amyloid shock can grow normally and gradually develop intracellular amyloids which do not directly impact the plasma membrane proteome and associated biological processes. Thus, our results suggest that α-synuclein amyloids can damage the plasma membrane and related processes during cell-to-cell transfer and not during their intracellular biogenesis.

淀粉样蛋白与质膜相互作用。细胞外的淀粉样蛋白可穿过质膜屏障。据报道,内化的细胞外淀粉样蛋白会引发受体细胞中内源性蛋白质的淀粉样蛋白生成。至于这些细胞外和细胞内的淀粉样蛋白在多大程度上扰乱了质膜蛋白质组,目前尚无研究。我们以α-突触核蛋白为淀粉样蛋白模型,进行了膜切片和质谱分析实验,以确定细胞外淀粉样蛋白挑战后细胞表面蛋白的构象变化。我们还在细胞内α-突触核蛋白淀粉样蛋白生物生成后进行了膜蛋白质组学研究。我们的研究结果表明,与细胞外淀粉样蛋白的杂乱相互作用会随机改变质膜蛋白的构象。这影响了通过质膜的生物过程,导致细胞失去活力。在细胞外淀粉样蛋白冲击中存活下来的细胞可以正常生长,并逐渐形成细胞内淀粉样蛋白,而细胞内淀粉样蛋白不会直接影响质膜蛋白质组和相关的生物过程。因此,我们的研究结果表明,α-突触核蛋白淀粉样蛋白在细胞间转移过程中会损害质膜和相关过程,而不是在细胞内生物生成过程中。
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引用次数: 0
Science for the people, of the people and by the people: The potential of citizen science. 科学为民、科学为民、科学由民:公民科学的潜力。
IF 2.1 4区 生物学 Q2 BIOLOGY Pub Date : 2024-01-01
Renee M Borges

Ever since language and script evolved, humans have documented their own lives, their business transactions, the lives of animals and of plants, and the movements of the stars. The earliest recorded diary was kept by Merer, who lived at the time of the construction of the Great Pyramid of Giza; Merer writes about the Tura limestone that he loaded on his boat to take down the Nile to the site of pyramid construction. This was nearly 4500 years ago. Before this, and since then, besides written documentation, oral traditions in the form of stories have served to provide a sense of the times, and have given us, our ancestors' descendants, the history of their experimentation with food, medicine, clothing and shelter.

自从语言和文字进化以来,人类就开始记录自己的生活、商业交易、动物和植物的生活以及星星的运行。最早有记载的日记是生活在吉萨大金字塔建造时期的梅勒所写的日记;梅勒写下了他将图拉石灰石装船,沿尼罗河运往金字塔建造地点的经过。那是将近 4500 年前的事了。在此之前,以及从那时起,除了书面文献,以故事为形式的口头传统也提供了时代感,并为我们--我们祖先的后代--提供了他们尝试食物、药物、衣服和住所的历史。
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引用次数: 0
Lafora progressive myoclonus epilepsy: Disease mechanism and therapeutic attempts. 拉弗拉进行性肌阵挛癫痫:疾病机制与治疗尝试。
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-01-01
Rashmi Parihar, Subramaniam Ganesh

Lafora disease (LD) is a life-threatening autosomal recessive and progressive neurodegenerative disorder that primarily affects adolescents, resulting in mortality within a decade of onset. The symptoms of LD include epileptic seizures, ataxia, dementia, and psychosis. The underlying pathology involves the presence of abnormal glycogen inclusions in neurons and other tissues, which may contribute to neurodegeneration. LD is caused by loss-of-function mutations in either the EPM2A gene or the NHLRC1 gene. These two genes, respectively, code for laforin phosphatase and malin ubiquitin ligase, and are thought to function, as a functional complex, in diverse cellular pathways. One of the major pathways affected in LD is glycogen metabolism; defects here lead to abnormally higher levels of glycogen and its hyperphosphorylation and aggregation, resulting in the formation of Lafora inclusion bodies. Currently, there is no effective therapy for LD. Studies, particularly from animal models, provide distinct insights into the fundamental mechanisms of diseases and potential avenues for therapeutic interventions. The purpose of this review is to present a comprehensive overview of our current knowledge regarding the disease, its genetics, the animal models that have been developed, and the therapeutic strategies that are being developed based on an understanding of the disease mechanism.

拉弗拉病(Lafora disease,LD)是一种威胁生命的常染色体隐性进行性神经退行性疾病,主要影响青少年,导致患者在发病后十年内死亡。LD 的症状包括癫痫发作、共济失调、痴呆和精神病。其病理基础是神经元和其他组织中存在异常的糖原内含物,这可能会导致神经变性。LD 由 EPM2A 基因或 NHLRC1 基因的功能缺失突变引起。这两个基因分别编码laforin磷酸酶和malin泛素连接酶,被认为作为一个功能复合体在多种细胞通路中发挥作用。糖原代谢是受 LD 影响的主要途径之一;糖原代谢缺陷会导致糖原水平异常升高、过度磷酸化和聚集,从而形成拉弗拉包涵体。目前,LD 还没有有效的治疗方法。研究,尤其是动物模型的研究,为了解疾病的基本机制和治疗干预的潜在途径提供了独特的见解。本综述旨在全面概述我们目前对该疾病、其遗传学、已开发的动物模型以及基于对疾病机理的了解而正在开发的治疗策略的了解。
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引用次数: 0
Rare genetic diseases in India: Steps toward a nationwide mission program. 印度的罕见遗传病:迈向全国性任务计划的步骤。
IF 2.9 4区 生物学 Q2 BIOLOGY Pub Date : 2024-01-01
Anjana Kar, Sundaravadivel P, Ashwin Dalal

Rare genetic diseases are rare by themselves with prevalence of 1 in 25,000, but collectively they are a significant cause of morbidity and mortality. Till date, collectively there are more than 9,000 rare diseases documented, which impose a devastating impact on patients, their families, and the healthcare system, including enormous societal burden. Obtaining a conclusive diagnosis for a patient with a rare genetic disease can be long and gruelling. For some patients it takes months or years to receive a definite diagnosis, and around 50% of the patients remain undiagnosed even with expert clinical and advanced high-end laboratory investigations. Owing to the large population and practice of consanguinity the Indian population is a pool of indigenous variants and unreported phenotypes or diseases. A mission program on pediatric rare diseases is an unparalleled initiative to study unique clinical conditions via the use of latest state-of-art technologies and with the combination of a mulit-omics approach. Our initiative will not only provide diagnosis to patients with rare disease but also build a platform for translational research for rare disease screening, management, and treatment.

罕见遗传病本身并不常见,发病率仅为 25,000 例中的 1 例,但它们却是导致发病和死亡的重要原因。迄今为止,共有 9,000 多种罕见病记录在案,这些疾病对患者、其家庭和医疗系统造成了毁灭性的影响,包括巨大的社会负担。为罕见遗传病患者获得确诊可能是漫长而艰难的。有些患者需要花费数月或数年的时间才能得到确诊,约有 50%的患者即使经过专家临床和先进的高端实验室检查仍无法确诊。由于人口众多和近亲结婚的习俗,印度人口中存在大量本土变异和未报告的表型或疾病。儿科罕见病任务计划是一项无与伦比的举措,通过使用最先进的技术并结合多种组学方法来研究独特的临床病症。我们的计划不仅能为罕见病患者提供诊断,还能为罕见病筛查、管理和治疗的转化研究搭建平台。
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引用次数: 0
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