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Screening strategy using a filamentous fungus model to repurpose drugs for mitochondrial complex I deficiencies. 利用丝状真菌模型筛选线粒体复合体I缺陷药物的策略。
IF 5.1 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-03 DOI: 10.1016/j.lfs.2026.124251
Carole H Sellem, Nolwenn Bounaix, Mathilde Logerais, Aurélie Renaud, Marc Alexandre d'Elia, Jeremy Richard, Claire Almyre, Guillaume Becker, Jordan Rivron, Anaïs Hoarau, Naïg Gueguen, Valérie Desquiret-Dumas, Aurore Inisan, Sophie Belal, Adélie Mellinger, François Godard, Véronique Paquis-Flucklinger, Olivier R Baris, Stéphane Azoulay, Agnès Delahodde, Déborah Tribouillard-Tanvier, Nathalie Bonnefoy, Vincent Procaccio

Aim: This study aimed to repurpose FDA-approved drugs for the treatment of mitochondrial complex I diseases.

Materials and methods: The NUO-51 protein of the filamentous fungus Podospora anserina is the homolog of the human key catalytic subunit of complex I, NDUFV1. By introducing a pathogenic mutation into P. anserina NUO-51 we created a novel model of complex I deficiency targeting the NDUFV1 subunit. The thermosensitive phenotype of the fungal mutant enabled us to screen a library of nearly one thousand FDA-approved molecules. We have implemented various techniques such as growth analysis, oxygen consumption measurements, complex I activity assays and western blotting on Podospora, Caenorhabditis elegans and human on equivalent NDUFV1 mutant models, treated or untreated with the most effective drugs found during the screen.

Key findings: We isolated a series of compounds able to rescue the growth defect of the Podospora nuo-51 mutant, including ligands of serotonin receptors or transporters. Among the selected drugs, alverine citrate (ALV) and dapoxetine hydrochloride (DAP) emerged as the most active drugs. Both drugs enhanced respiration and complex I activity, not only in the Podospora mutant, but also in Caenorhabditis elegans worms deficient for the NDUFV1 ortholog and in fibroblasts from patient carrying NDUFV1 mutations.

Significance: Together, our work demonstrates the usefulness of Podospora anserina as fungal model for identifying promising therapeutic candidates for complex I diseases, paving the way for future clinical trials.

目的:本研究旨在重新利用fda批准的药物治疗线粒体复合体I疾病。材料与方法:丝状真菌鹅脚孢(Podospora anserina)的no -51蛋白是人类关键催化亚基复合物I NDUFV1的同源物。通过将致病突变引入猪弓形虫NUO-51,我们建立了一种针对NDUFV1亚基的复合物I缺陷的新模型。真菌突变体的热敏表型使我们能够筛选近1000个fda批准的分子库。我们已经实施了各种技术,如生长分析、耗氧量测量、复合物I活性测定和western blotting对足孢子虫、秀丽隐杆线虫和人类等效的NDUFV1突变模型,治疗或未治疗的最有效的药物在筛选过程中发现。主要发现:我们分离了一系列能够修复Podospora no -51突变体生长缺陷的化合物,包括5 -羟色胺受体或转运体的配体。在所选药物中,柠檬酸阿尔弗林(ALV)和盐酸达泊西汀(DAP)是活性最高的药物。这两种药物不仅在Podospora突变体中,而且在缺乏NDUFV1同源物的秀丽隐杆线虫和携带NDUFV1突变的患者的成纤维细胞中,都增强了呼吸和复合物I的活性。意义:总之,我们的工作证明了鹅足孢子虫作为真菌模型的有效性,可以识别复杂I疾病的有希望的治疗候选者,为未来的临床试验铺平道路。
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引用次数: 0
STC-1 improves scar remodeling and is associated with PI3K/AKT signaling and immune modulation STC-1改善疤痕重塑,并与PI3K/AKT信号传导和免疫调节有关。
IF 5.1 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-03 DOI: 10.1016/j.lfs.2026.124253
Xiao-Ying Lin , Zhang-Rui Wu , Yi Wang , Fa-Wei Xu , Chun-Ye Chen , Zi-Xuan Feng , Tao Zhang , Xin-Cao Zhong , Ming-Yuan Jin , Ze-Ming Zhuang , Yong Wang , Wei-Qiang Tan

Background

Dysregulation of the wound remodeling phase can lead to excessive scar formation, which may cause functional impairment and aesthetic distress. However, effective strategies to improve tissue repair outcomes remain limited. Stanniocalcin-1 (STC-1), a secreted glycoprotein, has recently attracted attention for its roles in tissue repair and inflammation, yet its involvement in skin scar remodeling remains unknown.

Methods

A combination of clinical sample analysis, in vitro experiments using NIH-3T3 fibroblasts and macrophage co-culture models, RNA sequencing, and an in vivo murine full-thickness wound model was employed. The effects of recombinant STC-1 protein and STC-1 overexpression were evaluated on fibroblast function, extracellular matrix (ECM) remodeling, inflammatory response, and scar remodeling.

Results

STC-1 was highly expressed in keloid tissues, primarily in fibroblasts, and its expression was elevated under hypoxic conditions in a HIF-1α-associated manner. In vitro, STC-1 suppressed fibroblast proliferation, migration, and LPS-induced inflammation, while alleviating oxidative stress and mitochondrial dysfunction. STC-1 promoted angiogenesis and M2-like macrophage polarization. In vivo, STC-1 treatment reduced scar size, improved collagen organization, and modulated immune cell infiltration, accompanied by enhanced PI3K/AKT signaling.

Conclusions

During scar formation, STC-1 modulates fibroblast activity, immune responses, angiogenesis, and ECM remodeling through coordinated regulation of multiple signaling pathways. Collectively, these effects may contribute to STC-1's ability to improve the quality of tissue repair and scar remodeling in vivo. The PI3K/AKT pathway represents one downstream pathway associated with STC-1 activity. However, its efficacy in treating established pathological scars, including keloids, remains to be validated in future studies using more clinically relevant models.
背景:创伤重塑阶段的失调可导致过度疤痕形成,这可能导致功能损伤和审美困扰。然而,改善组织修复结果的有效策略仍然有限。斯坦钙素-1 (STC-1)是一种分泌糖蛋白,近年来因其在组织修复和炎症中的作用而受到关注,但其在皮肤疤痕重塑中的作用尚不清楚。方法:结合临床样品分析,体外实验采用NIH-3 T3成纤维细胞与巨噬细胞共培养模型,RNA测序,以及小鼠体内全层创面模型。评估重组STC-1蛋白和STC-1过表达对成纤维细胞功能、细胞外基质(ECM)重塑、炎症反应和疤痕重塑的影响。结果:STC-1在瘢痕疙瘩组织中高表达,主要在成纤维细胞中表达,并且在缺氧条件下以hif -1α-相关方式表达升高。在体外,STC-1抑制成纤维细胞增殖、迁移和lps诱导的炎症,同时减轻氧化应激和线粒体功能障碍。STC-1促进血管生成和m2样巨噬细胞极化。在体内,STC-1治疗可减少疤痕大小,改善胶原组织,调节免疫细胞浸润,并伴有PI3K/AKT信号的增强。结论:在瘢痕形成过程中,STC-1通过多种信号通路协调调节成纤维细胞活性、免疫反应、血管生成和ECM重塑。总的来说,这些作用可能有助于STC-1提高体内组织修复和疤痕重塑质量的能力。PI3K/AKT通路是与STC-1活性相关的一条下游通路。然而,其治疗已建立的病理性疤痕(包括瘢痕疙瘩)的有效性仍有待于在未来的研究中使用更多临床相关的模型来验证。
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引用次数: 0
Dapagliflozin ameliorates myocardial ischemia/reperfusion injury by modulating EGFR signaling and targeting NCOA4-mediated ferritinophagy. 达格列净通过调节EGFR信号和靶向ncoa4介导的铁蛋白吞噬来改善心肌缺血/再灌注损伤。
IF 5.1 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-03 DOI: 10.1016/j.lfs.2026.124254
Peng Yu, Jitao Ling, Feng Chen, Zhou Xu, Kaibo Hu, Fuwei Liu, Deju Zhang, Yixuan Chen, Xiao Liu, Panpan Xia, Yuting Wu, Jing Zhang, Tieqiu Huang, Yuliang Zhan

Background: SGLT2 inhibitor dapagliflozin (Dapa) has gained increasing attention in the treatment of myocardial ischemia-reperfusion injury (IRI). However, the mechanism of action of the cardiovascular benefits of Dapa is unclear. The present study aimed to investigate the effects of Dapa on myocardial IRI and the underlying molecular mechanisms.

Methods: The effects of Dapa on myocardial IRI were investigated using the in vitro perfusion Langendorf model and the in vitro hypoxia/reoxygenation (H/R) cell model. Histological changes, myocardial enzymes, oxidative stress and mitochondrial structure/function were assessed. Mechanistic studies involved various molecular biology methods such as ELISA, immunoprecipitation, western blot, immunofluorescence and Bioinformatics.

Results: Our findings demonstrate that Dapa upregulates EGFR phosphorylation, suppresses NHE1 expression in myocardial tissues, modulates NCOA4-mediated ferritinophagy to enhance mitochondrial function, reduces ROS expression, and mitigates myocardial IRI. In the Langendorf model, Dapa effectively attenuates cardiac dysfunction, myocardial injury, mitochondrial damage, and oxidative imbalance induced by ischemia-reperfusion. In vitro experiments revealed that blocking EGFR or autophagy with inhibitors (AG and Baf, respectively) or inducing ferroptosis with Era promotes ROS release, exacerbates mitochondrial injury, and diminishes the protective effects of Dapa. Notably, Era did not affect NCOA4-mediated ferritinophagy. Conversely, the EGFR agonist NSC counteracted these effects, underscoring that Dapa confers cardioprotection by modulating mitochondrial function through EGFR-mediated regulation of NCOA4-mediated ferritinophagy.

Conclusion: In summary, Dapa activates EGFR phosphorylation, regulates NCOA4-mediated ferritinophagy, modulates mitochondrial function, and effectively mitigates myocardial IRI. These findings provide a robust theoretical foundation for the clinical application of Dapa in treating cardiovascular conditions.

背景:SGLT2抑制剂dapagliflozin (Dapa)在心肌缺血再灌注损伤(IRI)的治疗中越来越受到关注。然而,Dapa的心血管益处的作用机制尚不清楚。本研究旨在探讨Dapa对心肌IRI的影响及其分子机制。方法:采用体外灌注Langendorf模型和体外缺氧/再氧化(H/R)细胞模型研究Dapa对心肌IRI的影响。观察组织学变化、心肌酶、氧化应激和线粒体结构/功能。机制研究涉及各种分子生物学方法,如ELISA、免疫沉淀、免疫印迹、免疫荧光和生物信息学。结果:我们的研究结果表明,Dapa上调EGFR磷酸化,抑制心肌组织中NHE1的表达,调节ncoa4介导的铁蛋白吞噬,增强线粒体功能,降低ROS表达,减轻心肌IRI。在Langendorf模型中,Dapa可有效减轻心肌缺血再灌注引起的心功能障碍、心肌损伤、线粒体损伤和氧化失衡。体外实验显示,用抑制剂(AG和Baf分别)阻断EGFR或自噬或用Era诱导铁下垂可促进ROS释放,加重线粒体损伤,减弱Dapa的保护作用。值得注意的是,Era不影响ncoa4介导的铁蛋白自噬。相反,EGFR激动剂NSC抵消了这些作用,强调了Dapa通过EGFR介导的ncoa4介导的铁蛋白吞噬调节线粒体功能来提供心脏保护。结论:综上所述,Dapa激活EGFR磷酸化,调节ncoa4介导的铁蛋白吞噬,调节线粒体功能,有效减轻心肌IRI。这些发现为Dapa治疗心血管疾病的临床应用提供了坚实的理论基础。
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引用次数: 0
Estrogen receptors α/β exhibit distinct intermolecular interactions to mediate gene regulatory events 雌激素受体α/β表现出不同的分子间相互作用,介导基因调控事件。
IF 5.1 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-30 DOI: 10.1016/j.lfs.2026.124249
Ayushi Chhabra, Sheeba Rizvi, Sudhir Kumar, Anjali Tripathi, Rakesh K. Tyagi

Aim

Estrogen receptors (ERα and ERβ) are intracellular transcription factors that regulate gene expression when bound by estrogens. Although their roles in cellular functions and the onset of disease are relatively well-documented, their interactions with mitotic chromatin in the context of ‘mitotic bookmarking’ remain largely unexplored. The current study revealed distinct mechanisms underlying mitotic chromatin retention of ERα and ERβ, emphasizing structural and functional determinants of ER-chromatin association. We further assessed how diverse modulatory ligands impact ER-chromatin interactions during mitosis with potential implications in endocrine therapy.

Materials and methods

The study was conducted primarily using live-cell imaging, chromatin immunoprecipitation assays, and site-directed mutagenesis.

Key findings

We discovered that ERα associates with chromatin in a ligand-dependent manner through a critical RK amino acid stretch in its nuclear localization signal. On the contrary, ERβ binds mitotic chromatin constitutively without ligand involvement. Moreover, ERβ influenced ERα's chromatin association via heterodimeric interactions. Diverse modulatory ligands differentially altered ER dynamics; agonists increased ERα's chromatin binding, whereas antagonists did not. However, only SERMs modulated ERβ's constitutive association with mitotic chromatin. ChIP results indicated that 17β-estradiol-bound ERα and unliganded ERβ associate with their target gene promoters during mitosis, suggesting a role in mitotic bookmarking.

Significance

The study advances our understanding of ER-mediated epigenetic regulation and offers a framework for evaluating ER-associated disease states and improving endocrine therapeutic strategies.
目的:雌激素受体(ERα和ERβ)是与雌激素结合后调控基因表达的细胞内转录因子。尽管它们在细胞功能和疾病发病中的作用已被详细记载,但它们在“有丝分裂书签”背景下与有丝分裂染色质的相互作用在很大程度上仍未被探索。目前的研究揭示了ERα和ERβ有丝分裂染色质保留的不同机制,强调了er -染色质关联的结构和功能决定因素。我们进一步评估了不同的调节配体如何影响有丝分裂过程中er -染色质的相互作用,并对内分泌治疗有潜在的影响。材料和方法:该研究主要使用活细胞成像、染色质免疫沉淀测定和定点诱变。主要发现:我们发现ERα通过核定位信号中的关键RK氨基酸延伸以配体依赖的方式与染色质结合。相反,ERβ结合有丝分裂染色质组成性没有配体参与。此外,ERβ通过异源二聚体相互作用影响ERα的染色质结合。不同的调节配体对改变的内质网动力学有不同的影响;激动剂增加了ERα的染色质结合,而拮抗剂则没有。然而,只有SERMs调节ERβ与有丝分裂染色质的构成性关联。ChIP结果表明,17β-雌二醇结合的ERα和未配体的ERβ在有丝分裂过程中与其靶基因启动子结合,提示其在有丝分裂书签中起作用。意义:该研究促进了我们对er介导的表观遗传调控的理解,并为评估er相关疾病状态和改善内分泌治疗策略提供了一个框架。
{"title":"Estrogen receptors α/β exhibit distinct intermolecular interactions to mediate gene regulatory events","authors":"Ayushi Chhabra,&nbsp;Sheeba Rizvi,&nbsp;Sudhir Kumar,&nbsp;Anjali Tripathi,&nbsp;Rakesh K. Tyagi","doi":"10.1016/j.lfs.2026.124249","DOIUrl":"10.1016/j.lfs.2026.124249","url":null,"abstract":"<div><h3>Aim</h3><div>Estrogen receptors (ERα and ERβ) are intracellular transcription factors that regulate gene expression when bound by estrogens. Although their roles in cellular functions and the onset of disease are relatively well-documented, their interactions with mitotic chromatin in the context of ‘mitotic bookmarking’ remain largely unexplored. The current study revealed distinct mechanisms underlying mitotic chromatin retention of ERα and ERβ, emphasizing structural and functional determinants of ER-chromatin association. We further assessed how diverse modulatory ligands impact ER-chromatin interactions during mitosis with potential implications in endocrine therapy.</div></div><div><h3>Materials and methods</h3><div>The study was conducted primarily using live-cell imaging, chromatin immunoprecipitation assays, and site-directed mutagenesis.</div></div><div><h3>Key findings</h3><div>We discovered that ERα associates with chromatin in a ligand-dependent manner through a critical RK amino acid stretch in its nuclear localization signal. On the contrary, ERβ binds mitotic chromatin constitutively without ligand involvement. Moreover, ERβ influenced ERα's chromatin association via heterodimeric interactions. Diverse modulatory ligands differentially altered ER dynamics; agonists increased ERα's chromatin binding, whereas antagonists did not. However, only SERMs modulated ERβ's constitutive association with mitotic chromatin. ChIP results indicated that 17β-estradiol-bound ERα and unliganded ERβ associate with their target gene promoters during mitosis, suggesting a role in mitotic bookmarking.</div></div><div><h3>Significance</h3><div>The study advances our understanding of ER-mediated epigenetic regulation and offers a framework for evaluating ER-associated disease states and improving endocrine therapeutic strategies.</div></div>","PeriodicalId":18122,"journal":{"name":"Life sciences","volume":"389 ","pages":"Article 124249"},"PeriodicalIF":5.1,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ezrin (EZR) promotes breast cancer progression and drug resistance: Molecular mechanisms involving STAT3 activation and TPM3 interaction. Ezrin (EZR)促进乳腺癌进展和耐药:涉及STAT3激活和TPM3相互作用的分子机制
IF 5.1 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-30 DOI: 10.1016/j.lfs.2026.124250
Hongshan Huang

Aims: To define the clinical relevance and mechanistic role of Ezrin (EZR) in breast cancer progression, metastasis, and paclitaxel resistance.

Materials and methods: We integrated public expression/survival datasets with tissue immunohistochemistry, and used stable EZR silencing in MDA-MB-231 cells combined with phenotypic assays, phospho-kinase profiling with immunoblot validation and STAT3 activation rescue, plus orthotopic xenograft and experimental lung colonization models; paclitaxel-resistant sublines were generated to test chemoresistance.

Key findings: EZR was overexpressed in breast cancer and correlated with poorer overall survival (HR = 1.21, p = 0.048), with high EZR detected in 55.6% (20/36) of tumours in our cohort. EZR depletion reduced proliferation and migration/invasion while inducing apoptosis, and suppressed tumour growth and lung metastasis in vivo. Mechanistically, EZR sustained STAT3 Tyr705 phosphorylation and downstream pro-survival outputs, and physically interacted with TPM3, implicating cytoskeletal coupling; STAT3 activation partially rescued EZR-loss phenotypes. EZR was elevated in paclitaxel-resistant cells, and EZR knockdown increased paclitaxel sensitivity.

Significance: EZR links cytoskeletal remodeling to STAT3 signalling to drive metastatic competence and paclitaxel resistance, nominating EZR as a potential therapeutic vulnerability in treatment-refractory breast cancer.

目的:明确Ezrin (EZR)在乳腺癌进展、转移和紫杉醇耐药中的临床意义和机制作用。材料和方法:我们将公开表达/生存数据集与组织免疫组织化学相结合,并在MDA-MB-231细胞中使用稳定的EZR沉默,结合表型分析,磷酸化激酶谱与免疫印迹验证和STAT3激活拯救,加上原位异种移植和实验性肺定植模型;生成紫杉醇耐药亚组以检测化学耐药。主要发现:EZR在乳腺癌中过表达,并与较差的总生存率相关(HR = 1.21,p = 0.048),在我们的队列中55.6%(20/36)的肿瘤中检测到高EZR。在体内实验中,EZR缺失可抑制肿瘤增殖和迁移/侵袭,诱导细胞凋亡,抑制肿瘤生长和肺转移。在机制上,EZR维持STAT3 Tyr705磷酸化和下游促生存输出,并与TPM3物理相互作用,暗示细胞骨架偶联;STAT3激活部分挽救了ezr缺失表型。EZR在紫杉醇耐药细胞中升高,EZR敲低增加紫杉醇敏感性。意义:EZR将细胞骨架重塑与STAT3信号联系起来,驱动转移能力和紫杉醇耐药性,这表明EZR是难治性乳腺癌的潜在治疗脆弱性。
{"title":"Ezrin (EZR) promotes breast cancer progression and drug resistance: Molecular mechanisms involving STAT3 activation and TPM3 interaction.","authors":"Hongshan Huang","doi":"10.1016/j.lfs.2026.124250","DOIUrl":"https://doi.org/10.1016/j.lfs.2026.124250","url":null,"abstract":"<p><strong>Aims: </strong>To define the clinical relevance and mechanistic role of Ezrin (EZR) in breast cancer progression, metastasis, and paclitaxel resistance.</p><p><strong>Materials and methods: </strong>We integrated public expression/survival datasets with tissue immunohistochemistry, and used stable EZR silencing in MDA-MB-231 cells combined with phenotypic assays, phospho-kinase profiling with immunoblot validation and STAT3 activation rescue, plus orthotopic xenograft and experimental lung colonization models; paclitaxel-resistant sublines were generated to test chemoresistance.</p><p><strong>Key findings: </strong>EZR was overexpressed in breast cancer and correlated with poorer overall survival (HR = 1.21, p = 0.048), with high EZR detected in 55.6% (20/36) of tumours in our cohort. EZR depletion reduced proliferation and migration/invasion while inducing apoptosis, and suppressed tumour growth and lung metastasis in vivo. Mechanistically, EZR sustained STAT3 Tyr705 phosphorylation and downstream pro-survival outputs, and physically interacted with TPM3, implicating cytoskeletal coupling; STAT3 activation partially rescued EZR-loss phenotypes. EZR was elevated in paclitaxel-resistant cells, and EZR knockdown increased paclitaxel sensitivity.</p><p><strong>Significance: </strong>EZR links cytoskeletal remodeling to STAT3 signalling to drive metastatic competence and paclitaxel resistance, nominating EZR as a potential therapeutic vulnerability in treatment-refractory breast cancer.</p>","PeriodicalId":18122,"journal":{"name":"Life sciences","volume":" ","pages":"124250"},"PeriodicalIF":5.1,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Macrophages, fibrosis, and intrauterine adhesions: Cellular interactions and pathophysiological implications 巨噬细胞、纤维化和宫内粘连:细胞相互作用和病理生理意义。
IF 5.1 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-30 DOI: 10.1016/j.lfs.2026.124242
Xingyu Jia , Yunfei Zhang , Huihua Cai
Intrauterine Adhesion (IUA) is a pathological condition caused by damage to the basal layer of the endometrium, often triggered by uterine surgeries such as curettage or intrauterine infections. It is primarily characterized that the normal endometrial tissue is replaced by intrauterine fibrosis and adhesion formation, leading to menorrhagia, amenorrhea, infertility, and recurrent pregnancy loss. Emerging evidence underscores macrophages as central orchestrators of fibrotic progression in IUA, modulating cytokine cascades (e.g., TGF-β/Smad) and ECM remodeling through dynamic polarization shifts (M1/M2). In the early stages of IUA, M1 macrophages are activated by pro-inflammatory signals and secrete cytokines such as TNF-α and IL-1β. These factors amplify the inflammatory response, aggravate tissue damage, and impede endometrial repair. Conversely, during the repair phase, M2 macrophages are activated in response to anti-inflammatory signals. M2 macrophages secrete TGF-β, IL-10, and other pro-repair mediators, which promote fibroblast activation and their myofibroblast transdifferentiation, key cells responsible for ECM production. However, overactivation of M2 macrophages and excessive production of TGF-β result in uncontrolled ECM accumulation, driving progressive fibrosis and adhesion formation. This review aims to explore the mechanistic link between macrophage activation and fibrotic pathways in IUA. Emerging therapeutic strategies targeting macrophage plasticity including nanoparticle-mediated polarization modulation and cytokine axis inhibition, offer promising avenues for reducing fibrosis and improving clinical outcomes in patients with IUA.
宫内粘连(IUA)是一种由子宫内膜基底层损伤引起的病理状态,通常由子宫手术如刮宫或宫内感染引起。其主要特征是正常子宫内膜组织被宫内纤维化和粘连形成所取代,导致月经过多、闭经、不孕症和反复流产。新出现的证据强调巨噬细胞是IUA纤维化进展的中心协调者,通过动态极化移位(M1/M2)调节细胞因子级联反应(如TGF-β/Smad)和ECM重塑。在IUA的早期阶段,M1巨噬细胞被促炎信号激活,分泌TNF-α和IL-1β等细胞因子。这些因素放大炎症反应,加重组织损伤,阻碍子宫内膜修复。相反,在修复阶段,M2巨噬细胞响应抗炎信号被激活。M2巨噬细胞分泌TGF-β、IL-10和其他促修复介质,促进成纤维细胞活化及其肌成纤维细胞转分化,这是产生ECM的关键细胞。然而,M2巨噬细胞的过度激活和TGF-β的过度产生导致ECM积累不受控制,驱动进行性纤维化和粘连形成。本文旨在探讨IUA中巨噬细胞活化与纤维化途径之间的机制联系。针对巨噬细胞可塑性的新兴治疗策略,包括纳米颗粒介导的极化调节和细胞因子轴抑制,为减少IUA患者的纤维化和改善临床结果提供了有希望的途径。
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引用次数: 0
Lactate promotes cuproptosis in acute kidney injury by activating H3K18 lactylation-dependent upregulation of HSPA6 expression 乳酸通过激活H3K18乳酸化依赖的HSPA6表达上调,促进急性肾损伤中的铜肾病
IF 5.1 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-29 DOI: 10.1016/j.lfs.2026.124244
Mingxing Sui , Jiazhao Fu , Yuhong Li , Junhao Yu , Hanlan Lu , Li Zeng , Yanhua Li , Wenyu Zhao

Aims

The present study aims to investigate the role and mechanism of lactate-induced histone lactylation in regulating cuproptosis during renal IRI.

Materials and methods

We employed both in vivo (mouse IRI) and in vitro (HK-2 cell oxygen-glucose deprivation/reperfusion, OGD/R) models. Multi-omics analyses (proteomics, CUT&Tag, RNA-seq) were integrated with molecular techniques (Western blot, transmission electron microscopy, biochemical assays, ChIP-qPCR, RT-qPCR) to examine histone lactylation and cuproptosis.

Key findings

Renal IRI led to significant lactate accumulation and a global increase in histone lactylation, with the H3K18 site being most prominently modified. Proteomics indicated significant enrichment of cuproptosis-related pathways, alongside copper dysmetabolism, mitochondrial damage, and elevated oxidative stress. Inhibition of lactate dehydrogenase (LDHA) reduced H3K18la levels and alleviated cuproptosis. Integrated multi-omics analysis identified HSPA6 (heat shock protein family A member 6) as a direct downstream target of H3K18la, linked to MAPK (mitogen-activated protein kinase) signaling. Lactate stimulation or inhibition reciprocally regulated HSPA6 expression via H3K18la, confirmed by ChIP-qPCR. Knockdown of HSPA6 effectively suppressed OGD/R-induced cuproptosis.

Significance

The present study unveils a previously unidentified epigenetic pathway in AKI, whereby lactate-driven H3K18 lactylation transcriptionally activates HSPA6, consequently promoting cuproptosis and exacerbating renal damage. The “lactate-H3K18la-HSPA6” axis has been identified as a promising new target for therapeutic intervention in AKI.
目的探讨乳酸诱导组蛋白乳酸化在肾IRI过程中铜沉降的调控作用及机制。材料和方法采用小鼠体内(IRI)和体外(HK-2细胞氧糖剥夺/再灌注(OGD/R)模型。多组学分析(蛋白质组学、CUT&;Tag、RNA-seq)与分子技术(Western blot、透射电镜、生化分析、ChIP-qPCR、RT-qPCR)相结合,检测组蛋白乳酸化和铜沉淀。主要发现:肾IRI导致显著的乳酸积累和组蛋白乳酸化的全球增加,其中H3K18位点的改变最为显著。蛋白质组学显示铜中毒相关途径显著富集,同时伴有铜代谢异常、线粒体损伤和氧化应激升高。乳酸脱氢酶(LDHA)的抑制降低了H3K18la水平,减轻了铜变形。综合多组学分析发现HSPA6(热休克蛋白家族A成员6)是H3K18la的直接下游靶点,与MAPK(丝裂原活化蛋白激酶)信号通路相关。ChIP-qPCR证实,乳酸刺激或抑制通过H3K18la相互调节HSPA6的表达。敲低HSPA6可有效抑制OGD/ r诱导的铜变形。本研究揭示了AKI中一种先前未被发现的表观遗传途径,即乳酸驱动的H3K18乳酸化转录激活HSPA6,从而促进铜肾病和加重肾损害。“乳酸- h3k18la - hspa6”轴已被确定为AKI治疗干预的一个有希望的新靶点。
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引用次数: 0
LEAP2 modulates β-adrenergic triggered cardiac responses and provokes antihypertensive effects. Leap2调节β-肾上腺素能引发的心脏反应并引起降压作用。
IF 5.1 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-29 DOI: 10.1016/j.lfs.2026.124243
Sixta Isabel Atencio Berrio, Jhulle Horrane Carvalho, João Batista Dutra, Marcos Eliezeck, Sergio Scalzo, Juliana Vila Verde Ribeiro, Michelle Mendanha Mendonça, Rodrigo Mello Gomes, Gustavo Rodrigues Pedrino, Eduardo Colombari, Daniel Castrogiovanni, Sisti Maria Milagros, Maria Florencia Racioppi, Martin Vila Petroff, Sonia Cantel, Jean-Alain Fehrentz, Silvia Guatimosim, Mario Perelló, Carlos Henrique de Castro, Carlos Henrique Xavier

Receptors for orexigenic hormones are broadly expressed in different tissues. Growth hormone secretagogue receptor (GHSR) is the receptor for the gastric peptide hormone ghrelin, although it further displays an intrinsic ligand-independent activity. The liver-expressed antimicrobial peptide 2 (LEAP2) has been recently identified as GHSR endogenous antagonist and inverse agonist. To understand LEAP2 effects on cardiac performance, we assessed (in-vivo) Wistar (WT) and spontaneously hypertensive rats (SHR), isolated hearts (ex-vivo) and cardiomyocytes (in-vitro). Intravenous LEAP2 injection reduced arterial pressure, with a greater effect in SHR. LEAP2 also reduced cardiac inotropism in both WT and SHR, whereas a negative chronotropy was observed only in SHR. LEAP2 perfusion reduced intraventricular pressure in isolated SHR hearts and attenuated the responses to isoproterenol on coronary flow, whereas responses to acetylcholine were almost unaffected by LEAP2. Fluorescent LEAP2 or ghrelin labeled cardiomyocytes. LEAP2 or the synthetic inverse agonist PF04628935 produced an equipotent reduction in maximum contraction speed, reduced cardiomyocyte shortening area, and attenuated the responses to isoproterenol, but not to acetylcholine. Plasma levels of ghrelin and LEAP2 were not different between strains, but higher GHSR levels were found in SHR hearts. In conclusion, LEAP2 exerted marked cardiovascular effects, reducing arterial pressure and left ventricular systolic performance in both WT and SHR, with a greater impact in hypertensive animals. However, GHSR involvement in SHR cardiac abnormalities is unrelated to the circulating levels of its endogenous ligands and instead seems to depend on altered cardiac GHSR expression and function. The cardiac LEAP2 interaction with β-adrenergic receptors reveals an important cardioprotective potential.

促氧激素受体在不同组织中广泛表达。生长激素促分泌素受体(GHSR)是胃肽激素ghrelin的受体,尽管它进一步显示出内在的不依赖于配体的活性。肝脏表达的抗菌肽2 (LEAP2)最近被确定为GHSR内源性拮抗剂和逆激动剂。为了了解LEAP2对心脏功能的影响,我们评估了(体内)Wistar (WT)和自发性高血压大鼠(SHR)、离体心脏(离体)和心肌细胞(体外)。静脉注射LEAP2可降低动脉压,对SHR的影响更大。LEAP2也降低了WT和SHR的心肌肌力,而仅在SHR中观察到负性时变性。LEAP2灌注降低了离体SHR心脏的室内压,并减弱了异丙肾上腺素对冠状动脉血流的反应,而对乙酰胆碱的反应几乎不受LEAP2的影响。荧光LEAP2或生长素标记的心肌细胞。LEAP2或合成的逆激动剂PF04628935对最大收缩速度和心肌细胞缩短面积产生等效降低,并减弱对异丙肾上腺素的反应,但对乙酰胆碱没有作用。血浆ghrelin和LEAP2水平在菌株之间没有差异,但SHR心脏的GHSR水平较高。综上所述,LEAP2具有明显的心血管作用,可以降低WT和SHR动物的动脉压和左心室收缩性能,其中对高血压动物的影响更大。然而,GHSR参与SHR心脏异常与其内源性配体的循环水平无关,而似乎取决于心脏GHSR表达和功能的改变。心脏LEAP2与β-肾上腺素能受体的相互作用揭示了重要的心脏保护潜力。
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引用次数: 0
Endothelial NLRP3 inflammasome activation drives immunothrombosis in Streptococcus pyogenes infection 内皮NLRP3炎性体激活驱动化脓性链球菌感染的免疫血栓形成。
IF 5.1 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-29 DOI: 10.1016/j.lfs.2026.124239
Yi-Hsin Lai , Ya-Hui Liu , Jyun-You Chen , Chung-Ta Lee , Shu-Ying Wang , Chuan Chiang-Ni , Yueh-Hsia Luo , Chia-Yu Chi , Takeshi Noda , Shiou-Ling Lu , Yau-Sheng Tsai , Jiunn-Jong Wu , Pei-Jane Tsai
Streptococcus pyogenes (Strep A), a formidable human pathogen, is notorious for causing life-threatening diseases such as necrotizing fasciitis and streptococcal toxic shock syndrome, often complicated by thrombosis and coagulation abnormalities. While macrophage inflammasome activation has been widely studied in Strep A pathogenesis, the contribution of vascular endothelial cells-key regulators of immunity and coagulation-remains largely unexplored. This study aimed to determine whether endothelial NLRP3 inflammasome activation drives immunothrombosis during invasive Strep A infection and to define the roles of streptolysin O (SLO) and streptolysin S (SLS) in this mechanism. Using a murine intramuscular infection model in wild-type and NOD-like receptor family pyrin domain-containing 3 (NLRP3)-deficient mice together with infection of human microvascular endothelial cells with wild-type or toxin-deficient Strep A strains, we found that Strep A robustly activated the endothelial NLRP3 inflammasome, leading to caspase-1 activation, IL-1β secretion, endothelial pyroptosis, and a cascade of immunothrombotic events. Genetic ablation of NLRP3 or pharmacological inhibition of caspase-1 significantly attenuated inflammasome activation, immunothrombosis, and tissue injury. Both SLO and SLS were essential for these pathogenic effects. These findings illuminate a hitherto unrecognized endothelial inflammasome-mediated axis in Strep A infection and pave the way for innovative therapeutic strategies targeting endothelial immune responses to combat invasive streptococcal diseases.
化脓性链球菌(链球菌A)是一种可怕的人类病原体,以引起危及生命的疾病而臭名昭著,如坏死性筋膜炎和链球菌中毒性休克综合征,通常伴有血栓形成和凝血异常。虽然巨噬细胞炎性体活化在甲型链球菌发病机制中已被广泛研究,但血管内皮细胞(免疫和凝血的关键调节因子)的作用仍未得到充分研究。本研究旨在确定浸润性甲型链球菌感染过程中内皮NLRP3炎性小体激活是否驱动免疫血栓形成,并确定溶血素O (SLO)和溶血素S (SLS)在这一机制中的作用。利用野生型和nod样受体家族pyrin - domain-containing 3 (NLRP3)缺陷小鼠肌内感染模型,以及野生型或毒素缺陷链球菌a菌株感染人微血管内皮细胞,我们发现链球菌a强烈激活内皮NLRP3炎性体,导致caspase-1激活、IL-1β分泌、内皮细胞凋亡和一系列免疫血栓形成事件。基因消融NLRP3或药物抑制caspase-1可显著减轻炎性体活化、免疫血栓形成和组织损伤。SLO和SLS对这些致病作用都是必需的。这些发现阐明了迄今为止尚未认识到的a型链球菌感染中内皮炎性小体介导的轴,并为针对内皮免疫反应对抗侵袭性链球菌疾病的创新治疗策略铺平了道路。
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引用次数: 0
Dose-dependent effects of vildagliptin (DPP-4 inhibitor) in a scopolamine-induced memory impairment model in rats 维格列汀(DPP-4抑制剂)在东莨菪碱诱导的大鼠记忆损伤模型中的剂量依赖性作用。
IF 5.1 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-29 DOI: 10.1016/j.lfs.2026.124245
Fazilet Şen Metin , Elif Aksöz

Aims

Cognitive decline and dementia are closely linked with metabolic disorders such as type 2 diabetes mellitus, sharing common pathophysiological mechanisms including insulin resistance, inflammation, and oxidative stress. This study investigated the neuroprotective potential of vildagliptin, an antidiabetic medication, in a rat model of scopolamine-induced acute memory impairment, focusing on its effects on learning and memory as well as its association with cholinergic activity, inflammatory responses, and lipid peroxidation as an indicator of oxidative stress.

Materials and methods

Male Wistar Albino rats were orally administered vildagliptin (0.5, 5, or 50 mg/kg/day) or physiological saline for 4 weeks. Spatial learning and memory were assessed using the Morris water maze (MWM) test. Memory impairment was induced by intraperitoneal injection of scopolamine (1 mg/kg, i.p.) before the probe trial of the MWM. Following behavioral testing, rats were sacrificed, and hippocampal tissues were isolated for biochemical analysis.

Key findings

Vildagliptin significantly enhanced spatial learning performance in a dose-dependent manner during the acquisition phase of the MWM. Scopolamine administration markedly impaired memory performance in rats. Pretreatment with vildagliptin at all tested doses prevented these memory deficits during the MWM probe trial. In addition, vildagliptin robustly prevented scopolamine-induced increases in hippocampal acetylcholinesterase (AChE) activity and elevated levels of interleukin-1 beta (IL-1β), interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α), and malondialdehyde (MDA).

Significance

These findings suggest that vildagliptin may exert protective effects against cognitive impairment by modulating cholinergic activity, inflammatory responses, and lipid peroxidation.
目的:认知能力下降和痴呆与2型糖尿病等代谢性疾病密切相关,具有胰岛素抵抗、炎症和氧化应激等共同的病理生理机制。本研究研究了抗糖尿病药物维格列汀在东莨菪碱诱导的急性记忆损伤大鼠模型中的神经保护潜力,重点研究了它对学习和记忆的影响,以及它与胆碱能活性、炎症反应和脂质过氧化(氧化应激的一个指标)的关联。材料和方法:雄性Wistar Albino大鼠口服维格列汀(0.5、5或50 mg/kg/天)或生理盐水4 周。空间学习记忆采用Morris水迷宫(MWM)测试。在MWM探针试验前,腹腔注射东莨菪碱(1 mg/kg, i.p)诱导记忆损伤。行为学测试结束后,处死大鼠,分离海马组织进行生化分析。主要发现:在MWM的习得阶段,维格列汀以剂量依赖性的方式显著增强了空间学习表现。东莨菪碱显著损害了大鼠的记忆表现。在MWM探针试验期间,所有测试剂量的维格列汀预处理均可防止这些记忆缺陷。此外,维格列汀可有效阻止东莨菪碱诱导的海马乙酰胆碱酯酶(AChE)活性升高和白细胞介素-1β (IL-1β)、白细胞介素-6 (IL-6)、肿瘤坏死因子-α (TNF-α)和丙二醛(MDA)水平升高。意义:这些发现提示维格列汀可能通过调节胆碱能活性、炎症反应和脂质过氧化来发挥对认知障碍的保护作用。
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引用次数: 0
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