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Vitamin D as a modulator of molecular pathways involved in CVDs: Evidence from preclinical studies 维生素 D 作为心血管疾病分子通路的调节剂:临床前研究的证据。
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-16 DOI: 10.1016/j.lfs.2024.123062
Vitamin D deficiency (VDD) is a widespread global health issue, affecting nearly a billion individuals worldwide, and mounting evidence links it to an increased risk of cardiovascular diseases like hypertension, atherosclerosis, and heart failure. The discovery of vitamin D receptors and metabolizing enzymes in cardiac and vascular cells, coupled with experimental studies, underscores the complex relationship between vitamin D and cardiovascular health. This review aims to synthesize and critically evaluate the preclinical evidence elucidating the role of vitamin D in cardiovascular health. We examined diverse preclinical in vitro (cardiomyocyte cell line) models and in vivo models, including knockout mice, diet-induced deficiency, and disease-specific animal models (hypertension, hypertrophy and myocardial infarction). These studies reveal that vitamin D modulates vascular tone, and prevents fibrosis and hypertrophy through effects on major signal transduction pathways (NF-kB, Nrf2, PI3K/AKT/mTOR, Calcineurin/NFAT, TGF-β/Smad, AMPK) and influences epigenetic mechanisms governing inflammation, oxidative stress, and pathological remodeling. In vitro studies elucidate vitamin D's capacity to promote cardiomyocyte differentiation and inhibit pathological remodeling. In vivo studies further uncovered detrimental cardiac effects of VDD, while supplementation with vitamin D in cardiovascular disease (CVD) models demonstrated its protective effects by decreasing inflammation, attenuating hypertrophy, reduction in plaque formation, and improving cardiac function. Hence, this comprehensive review emphasizes the critical role of vitamin D in cardiovascular health and its potential as a preventive/therapeutic strategy in CVDs. However, further research is needed to translate these findings into clinical applications as there are discrepancies between preclinical and clinical studies.
维生素 D 缺乏症(VDD)是一个普遍的全球性健康问题,影响着全球近十亿人,越来越多的证据表明,维生素 D 缺乏症与高血压、动脉粥样硬化和心力衰竭等心血管疾病的风险增加有关。在心脏和血管细胞中发现的维生素 D 受体和代谢酶以及实验研究都强调了维生素 D 与心血管健康之间的复杂关系。本综述旨在综合并严格评估阐明维生素 D 在心血管健康中作用的临床前证据。我们研究了各种临床前体外(心肌细胞系)模型和体内模型,包括基因敲除小鼠、饮食诱导的缺乏症和特定疾病动物模型(高血压、心肌肥厚和心肌梗塞)。这些研究表明,维生素 D 可调节血管张力,通过影响主要信号转导途径(NF-kB、Nrf2、PI3K/AKT/mTOR、钙神经蛋白酶/NFAT、TGF-β/Smad、AMPK)防止纤维化和肥厚,并影响支配炎症、氧化应激和病理重塑的表观遗传机制。体外研究阐明了维生素 D 促进心肌细胞分化和抑制病理重塑的能力。体内研究进一步揭示了维生素 DD 对心脏的有害影响,而在心血管疾病(CVD)模型中补充维生素 D 则可通过减少炎症、减轻肥厚、减少斑块形成和改善心脏功能来证明其保护作用。因此,本综述强调了维生素 D 在心血管健康中的关键作用及其作为心血管疾病预防/治疗策略的潜力。然而,由于临床前研究与临床研究之间存在差异,因此还需要进一步的研究才能将这些发现转化为临床应用。
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引用次数: 0
An anti-neoplastic tale of metformin through its transport 二甲双胍通过运输抗肿瘤的故事
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-14 DOI: 10.1016/j.lfs.2024.123060

Metformin is an attractive candidate drug among all the repurposed drugs for cancer. Extensive preclinical and clinical research has evaluated its efficacy in cancer therapy, revealing a mixed outcome in clinical settings. To fully exploit metformin's therapeutic potential, understanding cellular factors relevant to its transport and accumulation in cancer cells needs to be understood. This review highlights the relevance of metformin transporter status towards its anti-cancer potential. Metformin transporters are regulated at pre-transcriptional, transcriptional, and post-translational levels. Moreover, the tumour microenvironment can also influence metformin accumulation in cancer cells. Also, Metformin treatment can regulate its transporters by altering global DNA methylation, protein acetylation, and transcription factors. Importantly, metformin transporters not only influence chemotherapeutic drug toxicity but are also associated with the prognosis and survival of individuals having cancer. Strategic decisions based on the expression and regulation of metformin transporters holds promise for its therapeutic implications and relevance.

二甲双胍是所有癌症再治疗药物中颇具吸引力的候选药物。广泛的临床前和临床研究评估了二甲双胍在癌症治疗中的疗效,结果显示临床治疗效果参差不齐。要充分挖掘二甲双胍的治疗潜力,就必须了解与二甲双胍在癌细胞中的转运和蓄积有关的细胞因素。本综述强调了二甲双胍转运体状态与其抗癌潜力的相关性。二甲双胍转运体受转录前、转录和翻译后水平的调控。此外,肿瘤微环境也会影响二甲双胍在癌细胞中的积累。此外,二甲双胍治疗可通过改变全局 DNA 甲基化、蛋白质乙酰化和转录因子来调节其转运体。重要的是,二甲双胍转运体不仅影响化疗药物的毒性,还与癌症患者的预后和存活率有关。基于二甲双胍转运体的表达和调控而做出的战略决策具有治疗意义和相关性。
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引用次数: 0
Unconventional p65/p52 NF-κB module regulates key tumor microenvironment-related genes in breast tumor-associated macrophages (TAMs) 非常规 p65/p52 NF-κB 模块调控乳腺肿瘤相关巨噬细胞(TAMs)中与肿瘤微环境有关的关键基因
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-13 DOI: 10.1016/j.lfs.2024.123059

The complex heterogeneity of tumor microenvironment (TME) of triple-negative breast cancer (TNBC) presents a significant obstacle to cytotoxic immune response and successful treatment, building up one of the most hostile oncological phenotypes. Among the most abundant TME components, tumor-associated macrophages (TAMs) have pivotal pro-tumoral functions, involving discordant roles for the nuclear factor kappa-B (NF-κB) transcription factors and directing to higher levels of pathway complexity.

In both resting macrophages and TAMs, we recently revealed the existence of the uncharacterized NF-κB p65/p52 dimer. In the present study, we demonstrated its enhanced active nuclear localization in TAMs and validated selected immune target genes as directly regulated by dimer binding on DNA sequences.

We demonstrated by ChIP-qPCR that p65/p52 enrichment on HSPG2 and CSF-1 regulatory regions is strictly dependent on macrophage polarization and tumor environment.

Our data provide novel mechanisms of transcriptional regulation in TAMs, orchestrated by the varied and dynamic nature of NF-κB combinations, which needs to be considered when targeting this pathway in cancer therapies.

Our results offer p65/p52, together with identified regulatory regions on genes impacting macrophage behavior and tumor biology, as novel molecular targets for TNBC, aimed at modulating TAMs functions towards anti-tumoral phenotypes and thus improving cancer treatment outcomes.

三阴性乳腺癌(TNBC)的肿瘤微环境(TME)具有复杂的异质性,是细胞毒性免疫反应和成功治疗的重大障碍,是最恶劣的肿瘤表型之一。在最丰富的TME成分中,肿瘤相关巨噬细胞(TAMs)具有关键的促肿瘤功能,涉及核因子卡巴-B(NF-κB)转录因子的不和谐作用,并导致通路的更高复杂性。在本研究中,我们证明了二聚体在TAMs中增强的核定位活性,并验证了二聚体与DNA序列结合直接调控的免疫靶基因。我们通过ChIP-qPCR证明了p65/p52在HSPG2和CSF-1调控区的富集严格依赖于巨噬细胞的极化和肿瘤环境。我们的研究结果为 p65/p52 以及影响巨噬细胞行为和肿瘤生物学的基因上已确定的调控区提供了新的分子靶点,可用于 TNBC 的治疗,目的是调节 TAMs 的功能,使其趋向于抗肿瘤表型,从而改善癌症治疗效果。
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引用次数: 0
P2Y12-targeted modulation of microglial phenotypes: A novel therapeutic strategy for enhanced axonal regeneration post-spinal cord injury P2Y12 靶向调节小胶质细胞表型:增强脊髓损伤后轴突再生的新型治疗策略
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-12 DOI: 10.1016/j.lfs.2024.123057

Aims

Microglia activation after spinal cord injury (SCI) is a double-edged sword, modulation of the activated microglia populations toward pro-regenerative phenotypes highlights the potential therapeutic implications. P2Y12, a microglia-specific marker, remains underexplored in its capacity to polarize microglial activation populations in SCI repair. We aimed to explore the effects of modulating P2Y12 on microglia function after spinal cord injury, and further on axonal regeneration and motor recovery after spinal cord injury.

Materials and methods

The study employed both in vitro and in vivo models, using BV2 cells and a mouse model of SCI, respectively. Ticagrelor, a P2Y12 antagonist, was administered via a collagen scaffold to ensure stable and sustained release. Transcriptome sequencing analysis, immunofluorescence staining, and Basso Mouse Scale (BMS) scores were used to assess microglial activation, axonal regeneration, and functional recovery.

Key findings

Herein, we observed P2Y12+ microglia localized predominantly at the lesion periphery within 3 days post injury (dpi), manifesting a pro-inflammatory phenotype, but not anti-inflammatory phenotype. In vitro investigations revealed that P2Y12 inhibition of the activated microglia curtailed pro-inflammatory differentiation while augmenting anti-inflammatory differentiation.

Significance

Leveraging this insight, we engineered a collagen scaffold-based delivery system for sustained release of the P2Y12 antagonist, ticagrelor, at the injury site in a mouse complete SCI model. Notably, P2Y12 suppression markedly enhanced axonal regeneration within the injured site and ameliorated lower limb motor functions in SCI mice. Collectively, our findings illuminate P2Y12-targeted microglial modulation as a promising therapeutic approach for SCI.

目的脊髓损伤(SCI)后的小胶质细胞活化是一把双刃剑,将活化的小胶质细胞群调控为促进再生的表型凸显了潜在的治疗意义。P2Y12是一种小胶质细胞特异性标记物,它在SCI修复中极化小胶质细胞活化群体的能力仍未得到充分探索。我们旨在探索调节 P2Y12 对脊髓损伤后小胶质细胞功能的影响,以及进一步对脊髓损伤后轴突再生和运动恢复的影响。P2Y12拮抗剂替卡格雷通过胶原支架给药,以确保稳定和持续释放。主要发现在损伤后 3 天(dpi)内,我们观察到 P2Y12+小胶质细胞主要定位在病变周边,表现出促炎症表型,而不是抗炎症表型。体外研究表明,抑制活化的小胶质细胞的 P2Y12 可抑制促炎分化,同时增强抗炎分化。重要意义利用这一见解,我们在小鼠完全性 SCI 模型中设计了一种基于胶原支架的递送系统,用于在损伤部位持续释放 P2Y12 拮抗剂替卡格雷。值得注意的是,抑制 P2Y12 能明显促进损伤部位的轴突再生,并改善 SCI 小鼠的下肢运动功能。总之,我们的研究结果表明,以 P2Y12 为靶点的小胶质细胞调节是一种很有前景的 SCI 治疗方法。
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引用次数: 0
Nrf2 pathways in neuroprotection: Alleviating mitochondrial dysfunction and cognitive impairment in aging 神经保护中的 Nrf2 通路:缓解衰老过程中的线粒体功能障碍和认知障碍
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-12 DOI: 10.1016/j.lfs.2024.123056

Mitochondrial dysfunction and cognitive impairment are widespread phenomena among the elderly, being crucial factors that contribute to neurodegenerative diseases. Nuclear factor erythroid 2–related factor 2 (Nrf2) is an important regulator of cellular defense systems, including that against oxidative stress. As such, increased Nrf2 activity may serve as a strategy to avert mitochondrial dysfunction and cognitive decline. Scientific data on Nrf2-mediated neuroprotection was collected from PubMed, Google Scholar, and Science Direct, specifically addressing mitochondrial dysfunction and cognitive impairment in older people. Search terms included “Nrf2”, “mitochondrial dysfunction,” “cognitive impairment,” and “neuroprotection.” Studies focusing on in vitro and in vivo models and clinical investigations were included to review Nrf2's therapeutic potential comprehensively. The relative studies have demonstrated that increased Nrf2 activity could improve mitochondrial performance, decrease oxidative pressure, and mitigate cognitive impairment. To a large extent, this is achieved through the modulation of critical cellular signalling pathways such as the Keap1/Nrf2 pathway, mitochondrial biogenesis, and neuroinflammatory responses. The present review summarizes the recent progress in comprehending the molecular mechanisms regarding the neuroprotective benefits mediated by Nrf2 through its substantial role against mitochondrial dysfunction and cognitive impairment. This review also emphasizes Nrf2-target pathways and their contribution to cognitive function improvement and rescue from mitochondria-related abnormalities as treatment strategies for neurodegenerative diseases that often affect elderly individuals.

线粒体功能障碍和认知障碍是老年人中普遍存在的现象,也是导致神经退行性疾病的关键因素。核因子红细胞 2 相关因子 2(Nrf2)是细胞防御系统的重要调节因子,其中包括抗氧化压力系统。因此,提高 Nrf2 的活性可作为避免线粒体功能障碍和认知能力下降的一种策略。我们从 PubMed、Google Scholar 和 Science Direct 收集了有关 Nrf2 介导的神经保护的科学数据,特别是有关线粒体功能障碍和老年人认知障碍的数据。搜索关键词包括 "Nrf2"、"线粒体功能障碍"、"认知障碍 "和 "神经保护"。这些研究侧重于体外和体内模型以及临床调查,以全面审查 Nrf2 的治疗潜力。相关研究表明,提高 Nrf2 的活性可以改善线粒体的性能,降低氧化压力,减轻认知障碍。这在很大程度上是通过调节关键的细胞信号通路实现的,如 Keap1/Nrf2 通路、线粒体生物生成和神经炎症反应。本综述总结了最近在理解 Nrf2 通过对线粒体功能障碍和认知障碍的实质性作用而介导的神经保护益处的分子机制方面取得的进展。本综述还强调了 Nrf2 靶点通路及其对改善认知功能和挽救线粒体相关异常的贡献,并将其作为治疗常影响老年人的神经退行性疾病的策略。
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引用次数: 0
The potential therapeutic effect of human umbilical cord mesenchymal stem cell-derived exosomes in bronchopulmonary dysplasia 人脐带间充质干细胞衍生的外泌体对支气管肺发育不良的潜在治疗作用
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-12 DOI: 10.1016/j.lfs.2024.123047

Bronchopulmonary dysplasia (BPD) is a chronic lung disease of preterm infants, with its incidence rising due to improved survival rates of these infants. BPD results from a combination of prenatal and postnatal factors, such as mechanical ventilation, oxygen toxicity, and infections, all of which significantly impact the prognosis and growth of affected infants. Current treatment options for BPD are largely supportive and do not address the underlying pathology. Exosomes are cell-derived bilayer-enclosed membrane structures enclosing proteins, lipids, RNAs, growth factors, cytokines and metabolites. They have become recognized as crucial regulators of intercellular communication in various physiological and pathological processes. Previous studies have revealed the therapeutic potential of human umbilical cord mesenchymal stem cells-derived exosomes (HUCMSCs-Exos) in promoting tissue repair and regeneration. Therefore, HUCMSCs-Exos maybe a promising and effective therapeutic modality for BPD. In this review, we firstly provide a comprehensive overview of BPD, including its etiology and the mechanisms of lung injury. Then we detail the isolation, characterization, and contents of HUCMSCs-Exos, and discuss their potential mechanisms of HUCMSCs-Exos in BPD treatment. Additionally, we summarize current clinical trials and discuss the challenges in translating these findings from bench to bedside. This review aims to lay the groundwork for future clinical applications of HUCMSCs-Exos in treating BPD.

支气管肺发育不良(BPD)是早产儿的一种慢性肺部疾病,随着早产儿存活率的提高,其发病率也在不断上升。BPD 是产前和产后因素(如机械通气、氧中毒和感染)共同作用的结果,所有这些因素都会严重影响患儿的预后和生长。目前治疗 BPD 的方法主要是支持性治疗,并不能解决潜在的病理问题。外泌体是细胞衍生的双层封闭膜结构,内含蛋白质、脂质、RNA、生长因子、细胞因子和代谢物。外泌体被认为是各种生理和病理过程中细胞间通信的关键调节因子。先前的研究揭示了人脐带间充质干细胞衍生的外泌体(HUCMSCs-Exos)在促进组织修复和再生方面的治疗潜力。因此,人脐带间充质干细胞外泌体可能是治疗 BPD 的一种有前景且有效的方法。在这篇综述中,我们首先全面概述了 BPD,包括其病因和肺损伤机制。然后,我们详细介绍了 HUCMSCs-Exos 的分离、表征和内容,并讨论了 HUCMSCs-Exos 治疗 BPD 的潜在机制。此外,我们还总结了当前的临床试验,并讨论了将这些研究成果从实验室转化到临床所面临的挑战。本综述旨在为 HUCMSCs-Exos 治疗 BPD 的未来临床应用奠定基础。
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引用次数: 0
Sex-dependent differential increase of specialized pro-resolving mediators in extracellular vesicles secreted by human primary conjunctival goblet cells during allergic inflammation 过敏性炎症期间人原代结膜上皮细胞分泌的细胞外小泡中特化的促溶解介质的增加与性别有关
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-12 DOI: 10.1016/j.lfs.2024.123058

Aims

Conjunctival epithelium lines the inside of the eyelids and covers the sclera, thus providing stability to the eye surface. Goblet cells in conjunctival epithelium (CjGCs) are well known for their mucin-secretion function, which wet and protect the ocular surface, but other aspects are still not well understood. To expand our understanding beyond their mucin-secreting function, we investigated CjGC-secreted extracellular vesicles (EVs) and lipid mediators therein.

Materials and methods

Using histamine-mediated allergic inflammation in human primary CjGCs (HCjGCs) as a disease model, we quantified using ELISA a proinflammatory mediator PGE2 and two specialized pro-resolving mediators (SPMs) LXA4 and RvD1 in EVs secreted during allergic inflammation.

Key findings

At 18 h post histamine stimulation, the amount of LXA4 and RvD1 in EVs was notably higher compared to those in unstimulated. Interestingly, this increase was only observed in female EVs but not in males. The mean fold increase of LXA4 and RvD1 in female EVs was 3.9 and 3.4, respectively, but it was only 0.9 and 1.0 in male EVs. Supplying docosahexaenoic acid (DHA, the source of RvD1 and other SPMs) to the culture medium during the allergic inflammation resulted in even higher mean fold increase of 5.3 and 6.9 for LXA4 and RvD1 in female EVs, respectively, but it was only 0.5 and 0.8 in male EVs.

Significance

We conclude that HCjGCs show a clear sex difference in allergic response. Our results may also provide a new insight into the male predisposition to severe forms of allergic conjunctivitis and potential improvement in disease care in the clinic.

目的:结膜上皮覆盖眼睑内侧和巩膜,从而为眼表提供稳定性。结膜上皮细胞中的小管细胞(CjGCs)以其分泌粘蛋白的功能而闻名,这种功能可以湿润和保护眼球表面,但对其他方面的功能仍不甚了解。为了扩展我们对其分泌粘蛋白功能以外的了解,我们研究了 CjGC 分泌的细胞外囊泡 (EV) 及其中的脂质介质。材料与方法以组胺介导的人原代 CjGCs(HCjGCs)过敏性炎症为疾病模型,我们用 ELISA 定量了过敏性炎症期间分泌的 EVs 中的一种促炎介质 PGE2 和两种特殊的促溶解介质(SPMs)LXA4 和 RvD1。有趣的是,只有在雌性 EV 中观察到这种增加,而在雄性 EV 中则没有。雌性 EV 中 LXA4 和 RvD1 的平均增加倍数分别为 3.9 和 3.4,而雄性 EV 中仅为 0.9 和 1.0。在过敏性炎症期间向培养基中添加二十二碳六烯酸(DHA,RvD1 和其他 SPMs 的来源)会导致雌性 EVs 中 LXA4 和 RvD1 的平均增加倍数更高,分别为 5.3 和 6.9,但雄性 EVs 中的增加倍数仅为 0.5 和 0.8。我们的结论是,HCjGCs 在过敏反应中表现出明显的性别差异。我们的研究结果还可能为男性易患严重过敏性结膜炎提供了新的见解,并有可能改善临床中的疾病护理。
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引用次数: 0
Deletion of the foxO1 gene reduces hypoxia tolerance in zebrafish embryos by influencing erythropoiesis 缺失 foxO1 基因会影响红细胞生成,从而降低斑马鱼胚胎对缺氧的耐受性。
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-11 DOI: 10.1016/j.lfs.2024.123048
FoxO1 (Forkhead box O1) belongs to the evolutionarily conserved FoxO subfamily and is involved in diverse physiologic processes, including apoptosis, cell cycle, DNA damage repair, oxidative stress and cell differentiation. FoxO1 plays an important role in regulating the hypoxia microenvironment such as cancers, but its role in hypoxia adaptation remains unclear in animals. To understand the function of foxO1 in hypoxia response, we constructed foxO1a and foxO1b mutant zebrafish using CRISPR/Cas9 technology. It was found that foxO1a and foxO1b destruction affected the hematopoietic system in the early zebrafish embryos. Specifically, FoxO1a and FoxO1b were found to affect the transcriptional activity of runx1, a marker gene for hematopoietic stem cells (HSCs). Moreover, foxO1a and foxO1b had complementary features in hypoxia response, and foxO1a or/and foxO1b destruction resulted in tolerance of zebrafish becoming weakened in hypoxia due to insufficient hemoglobin supply. Additionally, the transcriptional activity of these two genes was demonstrated to be regulated by Hif1α. In conclusion, foxO1a and foxO1b respond to Hif1α-mediated hypoxia response by participating in zebrafish erythropoiesis. These results will provide a theoretical basis for further exploring the function of FoxO1 in hematopoiesis and hypoxia response.
FoxO1(叉头盒 O1)属于进化保守的 FoxO 亚家族,参与多种生理过程,包括细胞凋亡、细胞周期、DNA 损伤修复、氧化应激和细胞分化。FoxO1 在调节癌症等缺氧微环境中发挥着重要作用,但其在动物缺氧适应中的作用仍不清楚。为了了解 foxO1 在低氧反应中的功能,我们利用 CRISPR/Cas9 技术构建了 foxO1a 和 foxO1b 突变体斑马鱼。研究发现,FoxO1a和FoxO1b的破坏会影响斑马鱼早期胚胎的造血系统。具体来说,研究发现FoxO1a和FoxO1b会影响造血干细胞(HSCs)的标记基因runx1的转录活性。此外,FoxO1a和FoxO1b在缺氧反应中具有互补性,破坏FoxO1a或/和FoxO1b会导致斑马鱼因血红蛋白供应不足而对缺氧的耐受性减弱。此外,这两个基因的转录活性还受到 Hif1α 的调控。总之,foxO1a 和 foxO1b 通过参与斑马鱼的红细胞生成,对 Hif1α 介导的缺氧反应做出了响应。这些结果将为进一步探索 FoxO1 在造血和低氧反应中的功能提供理论依据。
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引用次数: 0
Vitamin B1 and calcitriol enhance glibenclamide suppression of diabetic nephropathy: Role of HMGB1/TLR4/NF-κB/TNF-α/Nrf2/α-SMA trajectories 维生素 B1 和钙三醇能增强格列本脲对糖尿病肾病的抑制作用HMGB1/TLR4/NF-κB/TNF-α/Nrf2/α-SMA轨迹的作用
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-08 DOI: 10.1016/j.lfs.2024.123046

Glibenclamide is one of the most prescribed insulin secretagogues in diabetes due to its low cost, but its efficacy on suppressing diabetic complications is limited. Here, we examine whether addition of either vitamin B1 or calcitriol to glibenclamide could produce more suppression of diabetic nephropathy. Type 2 diabetes was induced by high fructose (10 % in drinking water), high salt (3 % in diet), and high fat diet (25 % in diet) for 3 weeks, followed by single dose of STZ (40 mg/kg, i.p.). Diabetic rats were treated with either glibenclamide (0.6 mg/kg), vitamin B1 (70 mg/kg), glibenclamide/vitamin B1, calcitriol (0.1 μg/kg), or glibenclamide/calcitriol. Addition of either vitamin B1 or calcitriol to glibenclamide therapy enabled more suppression of diabetic nephropathy development as evidenced by more preserved creatinine clearance and less renal damage scores. Combination therapy resulted in mild enhancement in the effect of glibenclamide on glucose tolerance without affecting the area under the curve. Combination therapy was associated with more suppression of inflammatory cascades as evidenced by reducing the expression of high mobility group box-1 (HMGB1), toll-like receptor-4 (TLR4), nuclear factor-kappa B (NF-κB), and tumor necrosis factor-α (TNF-α). In addition, combination therapy enhanced the antioxidant mechanisms as evidenced by increased expression of nuclear factor erythroid 2-related factor 2 (Nrf2) and glutathione content and reducing malondialdehyde and nitric oxide levels. Furthermore, combination therapy provided more suppression of fibrotic pathways as appear from reducing collagen deposition and the expression of α- smooth muscle actin (α-SMA). In conclusion, addition of vitamin B1 or calcitriol to glibenclamide therapy can enhance the therapeutic efficiency of glibenclamide in suppressing diabetic nephropathy progression to the same extend, the protective effect is mediated through modulating HMGB1/TLR4/NF-κB/TNF-α/Nrf2/α-SMA trajectories.

格列本脲因价格低廉而成为糖尿病患者处方最多的胰岛素促泌剂之一,但其抑制糖尿病并发症的效果有限。在此,我们研究了在格列本脲中添加维生素 B1 或钙三醇是否能更有效地抑制糖尿病肾病。通过高果糖(在饮用水中占 10%)、高盐(在饮食中占 3%)和高脂肪饮食(在饮食中占 25%)诱导 2 型糖尿病大鼠 3 周,然后单剂量 STZ(40 毫克/千克,静脉注射)。用格列本脲(0.6 毫克/千克)、维生素 B1(70 毫克/千克)、格列本脲/维生素 B1、钙三醇(0.1 微克/千克)或格列本脲/钙三醇治疗糖尿病大鼠。在格列本脲治疗的基础上添加维生素 B1 或钙三醇,能更有效地抑制糖尿病肾病的发展,这体现在肌酐清除率更高,肾损害评分更低。联合疗法可轻度增强格列本脲对葡萄糖耐量的影响,但不影响曲线下面积。联合疗法对炎症级联的抑制作用更强,这体现在高迁移率组盒-1(HMGB1)、类收费受体-4(TLR4)、核因子-卡巴B(NF-κB)和肿瘤坏死因子-α(TNF-α)的表达减少。此外,联合疗法还增强了抗氧化机制,这体现在核因子红细胞 2 相关因子 2(Nrf2)和谷胱甘肽含量的增加,以及丙二醛和一氧化氮水平的降低。此外,从减少胶原沉积和α-平滑肌肌动蛋白(α-SMA)的表达来看,联合疗法对纤维化途径的抑制作用更大。总之,在格列本脲治疗中添加维生素 B1 或钙三醇可提高格列本脲在抑制糖尿病肾病进展方面的疗效,其保护作用是通过调节 HMGB1/TLR4/NF-κB/TNF-α/Nrf2/α-SMA 的轨迹来实现的。
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引用次数: 0
Research progress of traditional Chinese medicine in the treatment of ischemic stroke by regulating mitochondrial dysfunction 中药调节线粒体功能障碍治疗缺血性中风的研究进展
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-07 DOI: 10.1016/j.lfs.2024.123045

Ischemic stroke (IS) is a severe cerebrovascular disease with increasing incidence and mortality rates in recent years. The pathogenesis of IS is highly complex, with mitochondrial dysfunction playing a critical role in its onset and progression. Thus, preserving mitochondrial function is a pivotal aspect of treating ischemic brain injury. In response, there has been growing interest among scholars in the regulation of mitochondrial function through traditional Chinese medicine (TCM), including herb-derived compounds, individual herbs, and herbal prescriptions. This article reviews recent research on the mechanisms of mitochondrial dysfunction in IS and explores the potential of TCM in treating this condition by targeting mitochondrial dysfunction.

缺血性脑卒中(IS)是一种严重的脑血管疾病,近年来发病率和死亡率不断上升。缺血性脑卒中的发病机制非常复杂,线粒体功能障碍在其发病和进展过程中起着至关重要的作用。因此,保护线粒体功能是治疗缺血性脑损伤的关键。为此,学者们对通过传统中药(包括草药衍生化合物、单味草药和草药处方)调节线粒体功能的兴趣日益浓厚。本文回顾了有关 IS 线粒体功能障碍机制的最新研究,并探讨了中医药通过针对线粒体功能障碍治疗该疾病的潜力。
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