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Guggulsterone, a Classical Lipid-Lowering Phytosteroidal FXR Antagonist, as a Modulator of Lipid Signaling and Metabolic Reprogramming in Cancer. Guggulsterone是一种经典的降脂植物甾体FXR拮抗剂,可调节肿瘤中的脂质信号和代谢重编程。
IF 1.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-12-01 DOI: 10.1002/lipd.70030
Nila Ganamurali, Mohanapriya Devarajan, Sarvesh Sabarathinam

Dysregulated lipid metabolism fuels cancer progression through enhanced lipogenesis, cholesterol synthesis, and fatty acid oxidation. Herbal bioactives provide multi-targeted molecular interventions capable of restoring lipid homeostasis while minimizing toxicity. Guggulsterone (GS), a plant-derived steroidal compound from Commiphora mukul, exemplifies this paradigm by modulating key regulators such as ATP citrate lyase (ACLY), acetyl-CoA carboxylase (ACC), farnesoid X receptor (FXR), and AMP-activated protein kinase (AMPK). Through these actions, it suppresses oncogenic lipid signaling, reprograms the tumor microenvironment, and enhances apoptotic sensitivity. This article outlines the molecular underpinnings of GS's lipid-lowering and antitumor effects, emphasizing its potential as a pharmacological scaffold for metabolic reprogramming in cancer.

脂质代谢失调通过增强脂肪生成、胆固醇合成和脂肪酸氧化加速癌症进展。草药生物活性提供多靶向分子干预,能够恢复脂质稳态,同时最小化毒性。Guggulsterone (GS)是一种从植物中提取的甾体化合物,通过调节ATP柠檬酸裂解酶(ACLY)、乙酰辅酶a羧化酶(ACC)、法尼松X受体(FXR)和amp活化蛋白激酶(AMPK)等关键调节因子来证明这一范例。通过这些作用,它抑制致瘤性脂质信号,重编程肿瘤微环境,增强凋亡敏感性。本文概述了GS降脂和抗肿瘤作用的分子基础,强调了其作为癌症代谢重编程的药理支架的潜力。
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引用次数: 0
Patient Characteristics Across Lipoprotein(a) Levels: Insights From a Retrospective Study. 患者脂蛋白(a)水平的特征:来自回顾性研究的见解。
IF 1.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-30 DOI: 10.1002/lipd.70025
Clara M Howell, Liv Hald Nyhave, Bent Raungaard, Aase Handberg, Claus Gyrup Nielsen, Christian Bork, Stine Krogh Venø

Elevated plasma lipoprotein(a) (Lp(a)) (> 125 nmol/L) is highly prevalent and a causal risk factor for atherosclerotic cardiovascular disease (ASCVD) that may contribute significantly to plasma levels of low-density lipoprotein-cholesterol (LDL-C). This study aimed to describe clinical characteristics across Lp(a) levels and to estimate the proportion of individuals with normal, moderately elevated, or elevated LDL-C earlier in life according to levels of Lp(a), to assess whether LDL-C levels are a reliable marker for an underlying elevated Lp(a) level. In this retrospective study, detailed information on clinical characteristics was collected through medical records, while biochemical data was retrieved from the North Denmark Region Clinical Laboratory System (LABKA) I and II between January 2021 and August 2024. A total of 1346 individuals were included of whom 28.5% had elevated Lp(a) levels ≥ 125 nmol/L. A history of ASCVD was found in 57.7% of patients with Lp(a) levels ≥ 400 nmol/L compared to 21.1% of patients with Lp(a) levels < 100 nmol/L and the median age of onset of ASCVD was 51 years and 56 years, respectively. Furthermore, in individuals with Lp(a) levels ≥ 300 nmol/L, we found that 7.6% had LDL-C < 3.0 mmol/L and 9.1% had LDL-C between 3.0 and 3.5 mmol/L when measured for the first time, respectively. This study highlights distinct clinical characteristics across Lp(a) levels. With increasing Lp(a) levels, the prevalence of ASCVD increased, while the age at onset of ASCVD decreased. Furthermore, we found that LDL-C within the normal range cannot be used to rule out highly elevated Lp(a) levels.

血浆脂蛋白(a) (Lp(a))升高(bb0 125 nmol/L)非常普遍,是动脉粥样硬化性心血管疾病(ASCVD)的一个因果危险因素,可能显著影响血浆低密度脂蛋白-胆固醇(LDL-C)水平。本研究旨在描述Lp(a)水平的临床特征,并根据Lp(a)水平估计生命早期LDL-C正常、中度升高或升高的个体比例,以评估LDL-C水平是否为潜在的Lp(a)水平升高的可靠标志。在这项回顾性研究中,通过医疗记录收集了临床特征的详细信息,同时从北丹麦地区临床实验室系统(LABKA) I和II检索了2021年1月至2024年8月期间的生化数据。共纳入1346例个体,其中28.5%的个体Lp(A)水平升高≥125 nmol/L。Lp(A)水平≥400 nmol/L的患者中有57.7%有ASCVD病史,而Lp(A)水平的患者中有21.1%有ASCVD病史
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引用次数: 0
Association Between Non-High-Density Lipoprotein Cholesterol and High-Density Lipoprotein Cholesterol Ratio With Albuminuria: A Cross-Sectional NHANES Study. 非高密度脂蛋白胆固醇和高密度脂蛋白胆固醇比例与蛋白尿之间的关系:一项横断面NHANES研究。
IF 1.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-25 DOI: 10.1002/lipd.70026
Meihan Chen, Shuling Fan, Xiao Huang, Guangqi Chen, Dayong Hu, Wei Wang

The non-high-density lipoprotein cholesterol (non-HDL-c) to high-density lipoprotein cholesterol (HDL-c) ratio (NHHR) is an emerging and valuable biomarker for cardiovascular disease risk. Nevertheless, robust evidence regarding its relationship with both the prevalence and severity of albuminuria remains incompletely elucidated. This cross-sectional study analyzed data from the 1999 to 2018 US National Health and Nutrition Examination Survey to investigate the association between NHHR and albuminuria, assessed via the urinary albumin-to-creatinine ratio (uACR). Multivariate logistic and linear regression models, restricted cubic spline analysis, subgroup analyses and receiver-operating characteristic curve analysis were employed. Among the 14,376 participants included, the prevalence of microalbuminuria and macroalbuminuria was 6.83% and 1.06%, respectively. The adjusted odds ratios (95% confidence intervals) for each one-unit increase in NHHR were 1.09 (1.04-1.15) for any albuminuria, 1.06 (1.01-1.12) for microalbuminuria, and 1.23 (1.11-1.37) for macroalbuminuria. NHHR was positively correlated with uACR (β = 4.08, 95% confidence interval 1.11-7.04). Restricted cubic spline analysis revealed a positive association, which became more pronounced at NHHR levels exceeding 2.77. Subgroup analyses further demonstrated that this association was stronger in individuals with a body mass index ≥ 30 kg/m2 or an estimated glomerular filtration rate ≥ 90 mL/min/1.73 m2. Receiver-operating characteristic curve analysis confirmed that NHHR possessed superior discriminative power for albuminuria compared to conventional lipid parameters of total cholesterol, HDL-c, non-HDL-c, triglycerides, and apolipoprotein B. We concluded that elevated NHHR is positively and independently associated with an increased risk and severity of albuminuria, highlighting its clinical relevance as a potential biomarker, particularly among individuals with obesity and preserved renal function.

非高密度脂蛋白胆固醇(non-HDL-c)与高密度脂蛋白胆固醇(HDL-c)之比(NHHR)是一种新兴的、有价值的心血管疾病风险生物标志物。然而,关于其与蛋白尿患病率和严重程度的关系的有力证据仍未完全阐明。这项横断面研究分析了1999年至2018年美国国家健康与营养调查的数据,通过尿白蛋白与肌酐比值(uACR)来调查NHHR与蛋白尿之间的关系。采用多元logistic和线性回归模型、受限三次样条分析、亚组分析和受者-工作特征曲线分析。在14376名参与者中,微量白蛋白尿和大量白蛋白尿的患病率分别为6.83%和1.06%。NHHR每增加一个单位的校正优势比(95%置信区间)为:任何蛋白尿1.09(1.04-1.15),微量蛋白尿1.06(1.01-1.12),大量蛋白尿1.23(1.11-1.37)。NHHR与uACR呈正相关(β = 4.08, 95%可信区间1.11 ~ 7.04)。限制三次样条分析显示,NHHR水平超过2.77时,二者呈显著正相关。亚组分析进一步表明,在体重指数≥30 kg/m2或肾小球滤过率≥90 mL/min/1.73 m2的个体中,这种关联更强。受体工作特征曲线分析证实,与传统的总胆固醇、HDL-c、非HDL-c、甘油三酯和载脂蛋白b等脂质参数相比,NHHR对蛋白尿具有更好的鉴别能力。我们得出结论,NHHR升高与蛋白尿的风险和严重程度增加呈正相关且独立,突出了其作为潜在生物标志物的临床相关性。特别是在肥胖和保留肾功能的个体中。
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引用次数: 0
Integrative Network Analysis of Antioxidant Nutrients Targeting 7-Ketocholesterol-Induced Lipotoxicity via Sterol Metabolism and Organelle Protection Pathways. 抗氧化营养素通过固醇代谢和细胞器保护途径靶向7-酮胆固醇诱导的脂肪毒性的综合网络分析。
IF 1.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-20 DOI: 10.1002/lipd.70024
Nila Ganamurali, Sarvesh Sabarathinam

7-Ketocholesterol (7-KC), a cytotoxic oxysterol, contributes to atherosclerosis, neurodegeneration, and metabolic disorders by promoting oxidative stress, inflammation, and dysfunction of organelles including mitochondria, peroxisomes, lysosomes, and the endoplasmic reticulum, ultimately leading to cell death. Nutritional biomedicine offers potential strategies to counteract these effects using antioxidant nutrients and probiotics. In this study, genes associated with 7-KC toxicity were retrieved from GeneCards, and targets of quercetin, luteolin, butyrate, Docosahexaenoic Acid (DHA), and vitamin E were predicted using SwissTargetPrediction. Overlapping targets were identified via an interactive Venn tool and analyzed through STRING protein-protein interaction networks, CytoHubba hub ranking, and Gene Ontology (GO)/ClueGO pathway enrichment. Twenty shared genes were identified, with Peroxisome Proliferator-Activated Receptor Gamma (PPARG), AKT Serine/Threonine Kinase 1 (AKT1), Amyloid Precursor Protein (APP), and Matrix Metalloproteinase-9 (MMP9) as key hubs. Enriched processes included sterol metabolism, cholesterol efflux, inflammatory regulation, and organelle protection, indicating multi-target modulation. These findings support that combinatorial nutrient interventions can restore sterol homeostasis, mitigate oxidative stress, and attenuate 7-KC-induced pathologies.

7-酮胆固醇(7-KC)是一种细胞毒性氧固醇,通过促进氧化应激、炎症和细胞器功能障碍,包括线粒体、过氧化物酶体、溶酶体和内质网,最终导致细胞死亡,从而导致动脉粥样硬化、神经变性和代谢紊乱。营养生物医学提供了使用抗氧化营养素和益生菌来抵消这些影响的潜在策略。在这项研究中,从GeneCards中检索与7-KC毒性相关的基因,并使用SwissTargetPrediction预测槲皮素、木草素、丁酸盐、二十二碳六烯酸(DHA)和维生素E的靶标。通过交互式Venn工具确定重叠靶点,并通过STRING蛋白相互作用网络、CytoHubba枢纽排序和基因本体(GO)/ClueGO途径富集分析。共鉴定出20个共享基因,其中过氧化物酶体增殖物激活受体γ (PPARG)、AKT丝氨酸/苏氨酸激酶1 (AKT1)、淀粉样蛋白前体蛋白(APP)和基质金属蛋白酶9 (MMP9)为关键枢纽。富集过程包括固醇代谢、胆固醇外排、炎症调节和细胞器保护,表明多靶点调节。这些发现支持组合营养干预可以恢复固醇稳态,减轻氧化应激,并减弱7- kc诱导的病理。
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引用次数: 0
Dietary Lard at 25% Fat Energy Level Enhances Adipose Tissue Browning and Gut Microbiota Remodeling in Mice Relative to Soybean Oil. 与大豆油相比,25%脂肪能量水平的饲粮猪油可促进小鼠脂肪组织褐变和肠道微生物群重塑。
IF 1.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-17 DOI: 10.1002/lipd.70023
Fangrui Guo, Liu Xu, Xiangyan Liu, Xiaoran Wu, Yuanyuan Zhu, Lixin Wen, Ji Wang

To examine the disparities in adipose tissue browning between diets rich in lard and soybean oil under low and recommended caloric intake conditions. In this study, sixty 8-week-old male C57BL/6J mice were randomly divided into four groups fed purified diets with 15% and 25% energy provided as lard or soybean oil. After 20 weeks, the mice were dissected and the tissues were collected. Only at the 25% level was there a significant difference in the brown adipose tissue between the two groups of mice fed different oils. The expression of mRNA related to the BAT was tested by qPCR methods. Diversity of microbiota in cecal content was evaluated by the 16S rRNA sequencing. Compared with soybean oil, the BAT weight of the lard group was significantly increased (p < 0.05), and the protein expression of UCP1 in iWAT was significantly higher (p < 0.05). The expression levels of adipose browning, thermogenesis and mitochondria genes were significantly increased in the lard group, and lipogenesis-related genes were significantly decreased (p < 0.05). The proportions of Akkermansia, Romboutsia, Lactobacillus, and Streptococcus were significantly increased in the lard group (p < 0.05). This study suggests that at the dietary fat energy level of 25%, feeding with lard could promote the browning of fat, improve lipid metabolism, and increase the abundance of beneficial bacteria in the gut.

研究在低热量摄入和推荐热量摄入条件下,富含猪油和大豆油的饮食在脂肪组织褐变方面的差异。试验选用8周龄雄性C57BL/6J小鼠60只,随机分为4组,分别饲喂猪油和大豆油分别提供15%和25%能量的纯化饲料。20周后,解剖小鼠,收集组织。只有在25%的水平上,两组喂食不同油脂的老鼠的棕色脂肪组织才有显著差异。采用qPCR方法检测BAT相关mRNA的表达。通过16S rRNA测序评估盲肠内容物中微生物群的多样性。与大豆油组相比,猪油组的BAT重量显著提高(p
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引用次数: 0
Ginger (Zingiber officinale) and Black Pepper (Piper nigrum) Fixed Oil Sustain Hepatic and Renal Function: Insight From a Metabolic Disorder Rat Model. 姜(Zingiber officinale)和黑胡椒(Piper nigrum)固定油维持肝肾功能:来自代谢紊乱大鼠模型的见解。
IF 1.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-12 DOI: 10.1002/lipd.70022
Manasa Hassan Yashwanthkumar, Megha Manmohan Raj, Sai Kumar Somashekher, Ajay Tumaney, Ramaprasad Ravichandra Talahalli

We report hepatic and renal parameters affected by fixed oil from ginger (Zingiber officinale) and black pepper (Piper nigrum) in male Wistar rats. Dyslipidaemia (hyperlipidemia) and diabetes were induced by feeding 35% saturated fat for 30 days, followed by the administration of streptozotocin (28 mg/kg bw). Rats were grouped into: DD (dyslipidaemia with diabetes), DD + M + O [metformin (20 mg/kg bw) + orlistat (10 mg/kg bw)], DD + G-FO [ginger fixed oil (50 mg/kg bw)], DD + P-FO [black pepper fixed oil (50 mg/kg bw)] and control with 60-days feeding. The DD group had significantly elevated lipids (total cholesterol, LDL + VLDL cholesterol, and triglycerides), glycaemic parameters (FBS, insulin, HbA1c, and HOMA-IR), organ function enzyme markers (ALP, CK-MB, CK-NAC, SGOT, and SGPT) compared to control (p < 0.05), whereas experimental groups (DD + G-FO and DD + P-FO) showed a significant decrease compared to DD (p < 0.05). The hepatic levels of caspase-3, cytochrome c, and p53 were increased significantly in DD compared to the control and experimental groups (p < 0.05). Similarly, kidney injury molecule-1 (KIM-1), in both serum and kidney, was significantly increased in DD compared to the control and experimental groups. The hepatic (bilirubin) and renal (urea, uric acid, and creatinine) markers were elevated significantly in DD compared to the control and experimental groups (p < 0.05). Liver and kidney histology indicated that DD enhanced lipid accumulation, resulting in tissue damage compared to the control and experimental groups. Thus, we established that fixed oil from ginger and black pepper sustained hepatic and renal function in metabolic abnormalities like hyperlipidemia and diabetes in the experimental rat model.

我们报道了生姜(Zingiber officinale)和黑胡椒(Piper nigrum)固定油对雄性Wistar大鼠肝脏和肾脏参数的影响。通过饲喂35%饱和脂肪30 d,然后给予链脲佐菌素(28 mg/kg bw)诱导血脂异常(高脂血症)和糖尿病。将大鼠分为:DD(伴有糖尿病的血脂异常)、DD + M + O[二甲双胍(20 mg/kg bw) +奥利司他(10 mg/kg bw)]、DD + G-FO[生姜固定油(50 mg/kg bw)]、DD + P-FO[黑胡椒固定油(50 mg/kg bw)]和对照组,饲喂60 d。与对照组相比,DD组的血脂(总胆固醇、LDL + VLDL胆固醇和甘油三酯)、血糖参数(FBS、胰岛素、HbA1c和HOMA-IR)、器官功能酶标志物(ALP、CK-MB、CK-NAC、SGOT和SGPT)显著升高(p < 0.05)
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引用次数: 0
Changes in Plasma Sphingolipid Metabolites Following Roux-En-Y Gastric Bypass in Women With Obesity and Type 2 Diabetes: A Pilot Metabolomic Cohort Study. 肥胖和2型糖尿病妇女Roux-En-Y胃分流术后血浆鞘脂代谢物的变化:一项前期代谢组学队列研究
IF 1.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-12 DOI: 10.1002/lipd.70019
Gabriela de Oliveira Lemos, Raquel Susana Torrinhas, Natasha Mendonça Machado, Dan Linetzky Waitzberg

Although sphingolipids are key players in lipotoxicity and metabolic diseases, their response to bariatric surgery and their relation to metabolic improvement remain unclear. This pilot study investigated plasma sphingolipid remodeling after Roux-en-Y gastric bypass (RYGB) and its associations with clinical and biochemical markers of postoperative metabolic improvement in women with obesity and type 2 diabetes (T2DM). Plasma samples, anthropometric, body composition, and biochemical data (glucose, HbA1c, insulin, C-peptide, and lipid profile) were collected from 30 participants before and 3 months after surgery. T2DM remission was defined according to ADA 2021 criteria. Plasma sphingolipids were identified using untargeted metabolomics, which involved ultra-performance liquid chromatography coupled with mass spectrometry. Univariate and multivariate analyses were performed using Jamovi (version 2.2.5) and MetaboAnalyst (versions 5.0 and 6.0). RYGB led to reductions in body weight and anthropometric measures, with improved body composition. Patients demonstrated glycemic improvement, with 18 achieving remission of T2DM. The lipid profile also improved, with a decline in total cholesterol driven by reductions in pro-atherogenic fractions. Among 32 plasma sphingolipids identified, 21 changed significantly after surgery. Sphingolipids showed strong-to-robust correlations with the lipid profile, particularly SM(d18:1/20:0) and SM(d18:1/22:0) with total cholesterol and LDL-c after surgery, but moderate and poor correlations with body composition, and glycemic markers, respectively. Plasma sphingolipids underwent significant remodeling after RYGB, with strong associations with plasma cholesterol, particularly with SM(d18:1/20:0) and SM(d18:1/22:0). These findings suggest that specific sphingolipid species may contribute to or reflect plasma lipid adaptations to surgery and warrant further investigation as potential metabolic biomarkers. Trial Registration: This protocol is part of a broader umbrella study registered at www.clinicaltrials.gov under the identifier NCT01251016.

尽管鞘脂是脂肪毒性和代谢性疾病的关键因素,但它们对减肥手术的反应及其与代谢改善的关系尚不清楚。这项初步研究探讨了Roux-en-Y胃旁路术(RYGB)后血浆鞘脂重塑及其与肥胖和2型糖尿病(T2DM)女性术后代谢改善的临床和生化指标的关系。在手术前和手术后3个月收集30名参与者的血浆样本、人体测量、身体成分和生化数据(葡萄糖、糖化血红蛋白、胰岛素、c肽和血脂)。根据ADA 2021标准定义T2DM缓解。采用超高效液相色谱-质谱联用的非靶向代谢组学方法对血浆鞘脂进行鉴定。采用Jamovi(2.2.5版本)和MetaboAnalyst(5.0和6.0版本)进行单因素和多因素分析。RYGB减少了体重和人体测量,改善了身体成分。患者表现出血糖改善,其中18例达到T2DM缓解。脂质谱也有所改善,总胆固醇的下降是由促动脉粥样硬化部分的减少所驱动的。在鉴定的32个血浆鞘脂中,有21个在手术后发生了显著变化。鞘脂显示出与脂质谱的强相关性,尤其是SM(d18:1/20:0)和SM(d18:1/22:0)与手术后总胆固醇和LDL-c的相关性,但与身体成分和血糖指标的相关性分别为中等和较差。RYGB后血浆鞘脂发生了明显的重塑,与血浆胆固醇,特别是SM(d18:1/20:0)和SM(d18:1/22:0)有很强的相关性。这些发现表明,特定的鞘脂种类可能有助于或反映手术对血浆脂质的适应,值得进一步研究作为潜在的代谢生物标志物。试验注册:该方案是在www.clinicaltrials.gov注册的一项更广泛的总式研究的一部分,编号为NCT01251016。
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引用次数: 0
Association Between the TyG Index and Liver Fat Content Measured by Quantitative CT in Individuals With T2DM: A Cross-Sectional Study. T2DM患者定量CT测量的TyG指数与肝脏脂肪含量的相关性:一项横断面研究
IF 1.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-11 DOI: 10.1002/lipd.70020
Jie Zhang, Yan Ye, Xiangwei Li, Suyuan Wang, Shuyao Sun, Mingxia Li, Chenghui Zhang

The triglyceride glucose (TyG) index is increasingly recognized as a simple yet reliable surrogate marker of insulin resistance. This study aimed to explore the relationship between the TyG index and liver fat content (LFC) quantified via quantitative computed tomography (QCT) in individuals with type 2 diabetes mellitus (T2DM). This cross-sectional analysis included patients with T2DM who underwent QCT examinations at our institution between January and December 2024. QCT was used to measure tissue components at the mid-L2 vertebral level, including subcutaneous fat area (SFA), visceral fat area (VFA), and LFC. A multiple linear regression model was employed to assess the independent association between the TyG index and LFC. The study enrolled 168 participants, comprising 112 males and 56 females. Subjects in the highest TyG index tertile exhibited a more adverse cardiometabolic risk profile and higher LFC compared to those in the lowest tertile. Correlation analyses indicated that the TyG index was significantly associated with both SFA and LFC. After adjusting for age and gender, multiple linear regression confirmed that the TyG index remained independently and positively associated with LFC (β = 1.73, 95% CI: 0.08-3.38, p = 0.042). Stratified analyses revealed that the positive association between the TyG index and LFC was consistent across all strata, with no significant interactions observed for age, gender, duration of T2DM, and body mass index. Our findings suggest that the TyG index may serve as a reliable, noninvasive surrogate marker for evaluating LFC in individuals with T2DM.

甘油三酯葡萄糖(TyG)指数越来越被认为是胰岛素抵抗的一个简单而可靠的替代标志物。本研究旨在探讨2型糖尿病(T2DM)患者TyG指数与定量计算机断层扫描(QCT)量化的肝脏脂肪含量(LFC)之间的关系。本横断面分析纳入了2024年1月至12月在我院接受QCT检查的T2DM患者。QCT用于测量l2椎体中部水平的组织成分,包括皮下脂肪区(SFA)、内脏脂肪区(VFA)和LFC。采用多元线性回归模型评估TyG指数与LFC之间的独立相关性。该研究招募了168名参与者,其中包括112名男性和56名女性。与TyG指数最低的受试者相比,TyG指数最高的受试者表现出更多的不良心脏代谢风险概况和更高的LFC。相关分析表明,TyG指数与SFA和LFC均显著相关。在调整年龄和性别后,多元线性回归证实TyG指数与LFC保持独立正相关(β = 1.73, 95% CI: 0.08-3.38, p = 0.042)。分层分析显示,TyG指数和LFC之间的正相关在所有阶层中都是一致的,没有观察到年龄、性别、T2DM病程和体重指数之间的显著相互作用。我们的研究结果表明,TyG指数可以作为评估T2DM患者LFC的可靠、无创的替代指标。
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引用次数: 0
Long-Chain Fatty Acid Beta-Oxidation Defects: A Case Series and Literature Review. 长链脂肪酸β -氧化缺陷:一个案例系列和文献综述。
IF 1.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-11 DOI: 10.1002/lipd.70021
Juan Politei, Andrés Berardo, Esteban Calabrese, Gonzalo Nieto, Luciano Recchia

Fatty acid beta-oxidation defects (FAOD) are a subgroup of lipid myopathies with heterogeneous presentations. Clinical presentation may manifest as muscular weakness, cramps, postexercise myalgias, and episodic rhabdomyolysis in children or adults. Our objective was to describe the clinical manifestations, biochemical, anatomopathological, and molecular results in a series of adult patients diagnosed with FAOD during adolescence or adulthood at five centers in Argentina. A total of seven patients with carnitine palmitoyltransferase-2 (CPT II), very-long-chain acyl-CoA dehydrogenase (VLCAD), and long-chain 3-hydroxyacyl-CoA dehydrogenase LCHAD deficiency were reported. The definite diagnosis of metabolic myopathies due to FAOD requires an understanding of clinical, biochemical, neurophysiological, and muscular imaging/biopsy patterns. All patients in this series consulted pediatricians, general practitioners, rheumatologists, and orthopedists for years, underscoring the need to disseminate these presentation patterns across various medical specialties. Early diagnosis and treatment using traditional diets and new pharmacological strategies not only enhance the quality of life, but also improve survival in these patients.

脂肪酸-氧化缺陷(FAOD)是脂质性肌病的一个亚组,具有异质性的表现。临床表现可表现为肌肉无力、痉挛、运动后肌痛和儿童或成人发作性横纹肌溶解。我们的目的是描述阿根廷五个中心诊断为青春期或成年期FAOD的一系列成年患者的临床表现、生化、解剖病理学和分子结果。报告了7例肉碱棕榈酰基转移酶-2 (CPT II)、超长链酰基辅酶A脱氢酶(VLCAD)和长链3-羟基酰基辅酶A脱氢酶LCHAD缺乏症。明确诊断由FAOD引起的代谢性肌病需要了解临床、生化、神经生理学和肌肉成像/活检模式。本系列的所有患者多年来都咨询了儿科医生、全科医生、风湿病学家和骨科医生,强调了在不同医学专业传播这些表现模式的必要性。采用传统饮食和新的药物策略进行早期诊断和治疗不仅可以提高患者的生活质量,而且可以提高患者的生存率。
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引用次数: 0
ACSL1 Contributes to Metabolic-Associated Fatty Liver Disease by Mediating Arachidonic Acid Metabolism. ACSL1通过介导花生四烯酸代谢参与代谢相关的脂肪肝疾病。
IF 1.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-05 DOI: 10.1002/lipd.70016
Meiao Tan, Zunming Zhou, Chong Peng, Xuehong Ke, Qi Long, Keer Huang

The precise involvement of ACSL1 in metabolic-associated fatty liver disease (MAFLD) pathogenesis remains unclear. To this end, we analyzed the effects of long-chain acyl-CoA synthase (ACSL1) on MAFLD. Analysis of GEO datasets showed that ACSL1 was downregulated in MAFLD. To elucidate its mechanistic role, we generated BRL hepatocyte cell lines with stable ACSL1 knockdown or overexpression. These engineered cells were cultured with a lipid mixture containing 300 μM oleic acid, 150 μM palmitic acid, and 100 μM linoleic acid (OPL) to mimic MAFLD pathophysiology in vitro. Lipidomic profiling identified 195 upregulated and 357 downregulated lipid metabolites in OPL-treated ACSL1-knockdown cells (OPL-shACSL1). Notably, the OPL-shACSL1 group exhibited marked elevations in free fatty acids, including linoleic acid, arachidonic acid (AA), FA20:3, FA22:5, and FA22:2, accompanied by enhanced AA metabolism. Western blotting demonstrated that ACSL1 knockdown significantly upregulated key enzymes in AA metabolic pathways, including ELOVL5, COX1, and LOX5. Consistent with these in vitro findings, mice with high-fat diet-induced MAFLD showed reduced hepatic ACSL1 expression with concurrent elevation of COX1 protein levels. Co-immunoprecipitation assays showed that ACSL1 did not interact with LOX5 or COX1. Our findings demonstrate that ACSL1 knockdown enhances AA metabolism, evidenced by elevated levels of AA-related metabolites and upregulated expression of key enzymes (ELOVL5, COX1, LOX5), and suggest that ACSL1 may represent a potential therapeutic target for MAFLD.

ACSL1在代谢相关脂肪肝(MAFLD)发病机制中的确切参与尚不清楚。为此,我们分析了长链酰基辅酶a合成酶(ACSL1)对MAFLD的影响。GEO数据分析显示,ACSL1在MAFLD中下调。为了阐明其机制作用,我们产生了稳定的ACSL1敲低或过表达的BRL肝细胞系。用含有300 μM油酸、150 μM棕榈酸和100 μM亚油酸(OPL)的脂质混合物培养这些工程细胞,体外模拟MAFLD的病理生理。脂质组学分析发现,在opl处理的acsl1敲低细胞(OPL-shACSL1)中,195种脂质代谢物上调,357种下调。值得注意的是,OPL-shACSL1组的游离脂肪酸(包括亚油酸、花生四烯酸(AA)、FA20:3、FA22:5和FA22:2)显著升高,并伴有AA代谢增强。Western blotting结果显示,ACSL1敲低可显著上调AA代谢途径中的关键酶,包括ELOVL5、COX1和LOX5。与这些体外研究结果一致,高脂肪饮食诱导的mald小鼠肝脏ACSL1表达降低,同时COX1蛋白水平升高。共免疫沉淀实验显示ACSL1不与LOX5或COX1相互作用。我们的研究结果表明,ACSL1敲低可增强AA代谢,AA相关代谢物水平升高,关键酶(ELOVL5、COX1、LOX5)表达上调,表明ACSL1可能是MAFLD的潜在治疗靶点。
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