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Retraction notice to “Dencichine ameliorates renal injury by improving oxidative stress, apoptosis and fibrosis in diabetic rats” [Life Sci. 258 (2020) 118146] 丹参碱通过改善糖尿病大鼠的氧化应激、细胞凋亡和纤维化减轻肾损伤》的撤稿通知[生命科学 258 (2020) 118146]。
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-30 DOI: 10.1016/j.lfs.2024.123023
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引用次数: 0
Engineered exosome therapeutics for neurodegenerative diseases 针对神经退行性疾病的工程外泌体疗法
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-28 DOI: 10.1016/j.lfs.2024.123019

An increase in life expectancy comes with a higher risk for age-related neurological and cognitive dysfunctions. Given the psycho-socioeconomic burden due to unhealthy aging in the coming decades, the United Nations has declared 2021–2030 as a decade of healthy aging. In this line, multipotent mesenchymal stromal cell-based therapeutics received special interest from the research community. Based on decades of research on cell therapy, a consensus has emerged that the therapeutic effects of cell therapy are due to the paracrine mechanisms rather than cell replacement. Exosomes, a constituent of the secretome, are nano-sized vesicles that have been a focus of intense research in recent years as a possible therapeutic agent or as a cargo to deliver drugs of interest into the central nervous system to induce neurogenesis, reduce neuroinflammation, confer neuroregeneration/neuroprotection, and improve cognitive and motor functions. In this review, we have discussed the neuroprotective properties of exosomes derived from adult mesenchymal stem cells, with a special focus on the role of exosomal miRNAs. We also reviewed various strategies to improve exosome production and their content for better therapeutic effects. Further, we discussed the utilization of ectomesenchymal stem cells like dental pulp stem cells and their exosomes in treating neurodegenerative diseases.

随着预期寿命的延长,与年龄相关的神经和认知功能障碍的风险也随之增加。鉴于未来几十年不健康老龄化带来的心理社会经济负担,联合国已宣布 2021-2030 年为健康老龄化十年。在这一背景下,基于多能间充质基质细胞的疗法受到了研究界的特别关注。基于数十年的细胞疗法研究,人们已达成共识,即细胞疗法的治疗效果是由旁分泌机制而非细胞替代产生的。外泌体(Exosomes)是分泌组的一种成分,是一种纳米大小的囊泡,近年来一直是研究的热点,它可以作为一种可能的治疗剂,也可以作为一种货物,将感兴趣的药物输送到中枢神经系统,以诱导神经发生、减轻神经炎症、赋予神经再生/神经保护,以及改善认知和运动功能。在这篇综述中,我们讨论了从成体间充质干细胞中提取的外泌体的神经保护特性,并特别关注了外泌体 miRNA 的作用。我们还综述了提高外泌体产量和含量以获得更好治疗效果的各种策略。此外,我们还讨论了牙髓干细胞等外间质干细胞及其外泌体在治疗神经退行性疾病中的应用。
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引用次数: 0
Ablation of Akt2 rescues chronic caloric restriction-provoked myocardial remodeling and dysfunction through a CDK1-mediated regulation of mitophagy 通过 CDK1 介导的有丝分裂调节,消融 Akt2 可挽救慢性热量限制诱发的心肌重塑和功能障碍
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-28 DOI: 10.1016/j.lfs.2024.123021

Chronic caloric restriction triggers unfavorable alterations in cardiac function albeit responsible scenarios remain unclear. This work evaluated the possible involvement of Akt2 in caloric restriction-evoked cardiac geometric and functional changes and responsible processes focusing on autophagy and mitophagy. Akt2 knockout and WT mice were subjected to caloric restriction for 30 weeks prior to assessment of myocardial homeostasis. Caloric restriction compromised echocardiographic parameters (decreased LV wall thickness, LVEDD, stroke volume, cardiac output, ejection fraction, fractional shortening, and LV mass), cardiomyocyte contractile and intracellular Ca2+ capacity, myocardial atrophy, interstitial fibrosis and mitochondrial injury associated with elevated blood glucocorticoids, autophagy (LC3B, p62, Atg7, Beclin-1), and mitophagy (Pink1, Parkin, TOM20), dampened cardiac ATP levels, mitochondrial protein PGC1α and UCP2, anti-apoptotic protein Bcl2, intracellular Ca2+ governing components Na+-Ca2+ exchanger, phosphorylation of SERCA2a, mTOR (Ser2481) and ULK1 (Ser757), and upregulated Bax, phospholamban, phosphorylation of Akt2, AMPK, and ULK1 (Ser555), the responses except autophagy markers (Beclin-1, Atg7), phosphorylation of AMPK, mTOR and ULK1 were negated by Akt2 ablation. Levels of CDK1 and DRP1 phosphorylation were overtly upregulated with caloric restriction, the response was reversed by Akt2 knockout. Caloric restriction-evoked changes in cardiac remodeling and cardiomyocyte function were alleviated by glucocorticoid receptor antagonism, Parkin ablation and Mdivi-1. In vitro experiment indicated that serum deprivation or glucocorticoids evoked GFP-LC3B accumulation and cardiomyocyte dysfunction, which was negated by inhibition of Akt2, CDK1 or DRP1, whereas mitophagy induction reversed Akt2 ablation-evoked cardioprotection. These observations favor a protective role of Akt2 ablation in sustained caloric restriction-evoked cardiac pathological changes via correction of glucocorticoid-induced mitophagy defect in a CDK1-DRP1-dependent manner.

长期热量限制会引发心脏功能的不利改变,但其原因尚不清楚。这项研究评估了 Akt2 在热量限制引起的心脏几何和功能变化中可能的参与作用,以及自噬和有丝分裂的责任过程。在评估心肌稳态之前,对 Akt2 基因敲除小鼠和 WT 小鼠进行为期 30 周的热量限制。热量限制损害了超声心动图参数(左心室壁厚度、左心室容积、每搏量、心输出量、射血分数、分数缩短率和左心室质量下降)、心肌细胞收缩能力和细胞内 Ca2+ 能力、与血液中糖皮质激素升高、自噬(LC3B、p62、Atg7、Beclin-1)和有丝分裂(Pink1、Parkin、TOM20)相关的心肌萎缩、间质纤维化和线粒体损伤、抑制心脏 ATP 水平、线粒体蛋白 PGC1α 和 UCP2、抗凋亡蛋白 Bcl2、细胞内 Ca2+ 调节成分 Na+-Ca2+ 交换器、SERCA2a 磷酸化、mTOR(Ser2481)和 ULK1(Ser757)、自噬标志物(Beclin-1、Atg7)、AMPK、mTOR 和 ULK1 的磷酸化除外。CDK1 和 DRP1 的磷酸化水平在热量限制下明显上调,Akt2 基因敲除可逆转这种反应。糖皮质激素受体拮抗、Parkin消融和Mdivi-1可缓解热量限制引起的心脏重塑和心肌细胞功能变化。体外实验表明,血清剥夺或糖皮质激素会诱发 GFP-LC3B 积累和心肌细胞功能障碍,而抑制 Akt2、CDK1 或 DRP1 则可抵消这种作用,而诱导有丝分裂则可逆转 Akt2 消融诱发的心脏保护作用。这些观察结果表明,Akt2消融可通过CDK1-DRP1依赖方式纠正糖皮质激素诱导的有丝分裂缺陷,从而对持续热量限制诱发的心脏病理变化起到保护作用。
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引用次数: 0
COVID-19-related liver injury: Mechanisms, diagnosis, management; its impact on pre-existing conditions, cancer and liver transplant: A comprehensive review COVID-19相关肝损伤:机制、诊断、管理;对原有疾病、癌症和肝移植的影响:全面综述
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-28 DOI: 10.1016/j.lfs.2024.123022

Aims

This review explores the mechanisms, diagnostic approaches, and management strategies for COVID-19-induced liver injury, with a focus on its impact on patients with pre-existing liver conditions, liver cancer, and those undergoing liver transplantation.

Materials and methods

A comprehensive literature review included studies on clinical manifestations of liver injury due to COVID-19. Key areas examined were direct viral effects, drug-induced liver injury, cytokine storms, and impacts on individuals with chronic liver diseases, liver transplants, and the role of vaccination. Data were collected from clinical trials, observational studies, case reports, and review literature.

Key findings

COVID-19 can cause a spectrum of liver injuries, from mild enzyme elevations to severe hepatic dysfunction. Injury mechanisms include direct viral invasion, immune response alterations, drug toxicity, and hypoxia-reperfusion injury. Patients with chronic liver conditions (such as alcohol-related liver disease, nonalcoholic fatty liver disease, cirrhosis, and hepatocellular carcinoma) face increased risks of severe outcomes. The pandemic has worsened pre-existing liver conditions, disrupted cancer treatments, and complicated liver transplantation. Vaccination remains crucial for reducing severe disease, particularly in chronic liver patients and transplant recipients. Telemedicine has been beneficial in managing patients and reducing cross-infection risks.

Significance

This review discusses the importance of improved diagnostic methods and management strategies for liver injury caused by COVID-19. It emphasizes the need for close monitoring and customized treatment for high-risk groups, advocating for future research to explore long-term effects, novel therapies, and evidence-based approaches to improve liver health during and after the pandemic.

目的本综述探讨了 COVID-19 引发肝损伤的机制、诊断方法和管理策略,重点关注其对原有肝病患者、肝癌患者和接受肝移植的患者的影响。研究的主要领域包括病毒的直接影响、药物引起的肝损伤、细胞因子风暴、对慢性肝病患者的影响、肝移植以及疫苗接种的作用。数据收集自临床试验、观察性研究、病例报告和综述文献。主要发现COVID-19可引起一系列肝损伤,从轻微的酶升高到严重的肝功能障碍。损伤机制包括病毒直接入侵、免疫反应改变、药物毒性和缺氧-再灌注损伤。慢性肝病患者(如酒精相关性肝病、非酒精性脂肪肝、肝硬化和肝细胞癌)出现严重后果的风险更高。大流行使原有的肝脏疾病恶化,扰乱了癌症治疗,并使肝脏移植手术复杂化。接种疫苗对于减少严重疾病,尤其是慢性肝病患者和肝移植受者的病情仍然至关重要。远程医疗在管理患者和降低交叉感染风险方面大有裨益。 重要意义本综述讨论了改进 COVID-19 引起的肝损伤的诊断方法和管理策略的重要性。它强调了对高危人群进行密切监测和定制化治疗的必要性,倡导未来研究探索长期影响、新型疗法和循证方法,以改善大流行期间和之后的肝脏健康。
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引用次数: 0
GBM immunotherapy: Exploring molecular and clinical frontiers GBM 免疫疗法:探索分子和临床前沿
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-28 DOI: 10.1016/j.lfs.2024.123018

GBM is the most common, aggressive, and intracranial primary brain tumor; it originates from the glial progenitor cells, has poor overall survival (OS), and has limited treatment options. In this decade, GBM immunotherapy is in trend and preferred over several conventional therapies, due to their better patient survival outcome. This review explores the clinical trials of several immunotherapeutic approaches (immune checkpoint blockers (ICBs), CAR T-cell therapy, cancer vaccines, and adoptive cell therapy) with their efficacy and safety. Despite significant progress, several challenges (viz., immunosuppressive microenvironment, heterogeneity, and blood-brain barrier (BBB)) were experienced that hamper their immunotherapeutic potential. Furthermore, these challenges were clinically studied to be resolved by multiple combinatorial approaches, discussed in the later part of the review. Thus, this review suggests the clinical use and potential of immunotherapy in GBM and provides the holistic recent knowledge and future perspectives.

GBM是最常见、侵袭性最强的颅内原发性脑肿瘤;它起源于胶质祖细胞,总生存率(OS)低,治疗方案有限。在这十年中,GBM 免疫疗法因其更好的患者生存率而成为趋势,并成为几种传统疗法的首选。本综述探讨了几种免疫治疗方法(免疫检查点阻断剂(ICB)、CAR T 细胞疗法、癌症疫苗和收养细胞疗法)的临床试验及其疗效和安全性。尽管取得了重大进展,但也遇到了一些挑战(即免疫抑制微环境、异质性和血脑屏障(BBB)),这些挑战阻碍了它们的免疫治疗潜力。此外,经临床研究,这些挑战可通过多种组合方法加以解决,本综述的后半部分将对此进行讨论。因此,本综述提出了免疫疗法在 GBM 中的临床应用和潜力,并提供了最新的整体知识和未来展望。
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引用次数: 0
The essential role of MED27 in stabilizing the mediator complex for cardiac development and function MED27 在稳定心脏发育和功能的介质复合物方面发挥着重要作用。
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-28 DOI: 10.1016/j.lfs.2024.123020

Aim

Transcriptional regulation of gene expression plays a crucial role in orchestrating complex morphogenetic and molecular events during heart development and function. Mediator complex is an essential multi-subunit protein complex that governs gene expression in eukaryotic cells. Although Mediator subunits (MEDs) work integrally in the complex, individual MED component displays specialized functions. MED27, categorized as an Upper Tail subunit, possesses an as-yet-uncharacterized function. In this study, we aimed to investigate the physiological role of MED27 in cardiomyocytes.

Materials and methods

we generated a Med27 floxed mouse line, which was further used to generate constitutive (cKO) and inducible (icKO) cardiomyocyte-specific Med27 knockout mouse models. Morphological, histological analysis and cardiac physiological studies were performed in Med27 cKO and icKO mutants. Transcriptional profiles were determined by RNA sequencing (RNAseq) analysis.

Key fundings

Ablation of MED27 in developing mouse cardiomyocytes results in embryonic lethality, while its deletion in adult cardiomyocytes leads to heart failure and mortality. Similar to the ablation of another Upper Tail subunit, MED30 in cardiomyocytes, deletion of MED27 leads to decreased protein levels of most MEDs in cardiomyocytes. Interestingly, overexpression of MED30 fails to restore the protein levels of Mediator subunits in MED27-deficient cardiomyocytes, demonstrating that the role of MED27 in maintaining the integrity and stability of the Mediator complex is independent of MED30.

Significance

Our results revealed an essential role of MED27 in cardiac development and function by maintaining the stability of the Mediator core.

目的:基因表达的转录调控在协调心脏发育和功能过程中复杂的形态发生和分子事件中起着至关重要的作用。介导复合体是真核细胞中调控基因表达的一个重要的多亚基蛋白复合体。虽然 Mediator 亚基(MEDs)在复合物中整体工作,但单个 MED 成分显示出专门的功能。MED27 被归类为上尾亚基,其功能尚未定性。在这项研究中,我们旨在研究MED27在心肌细胞中的生理作用。材料与方法:我们产生了一个Med27基因缺失的小鼠品系,并进一步用于产生组成型(cKO)和诱导型(icKO)心肌细胞特异性Med27基因敲除小鼠模型。对Med27 cKO和icKO突变体进行了形态学、组织学分析和心脏生理研究。通过RNA测序(RNAseq)分析确定了转录谱:在发育中的小鼠心肌细胞中消减MED27会导致胚胎死亡,而在成体心肌细胞中缺失MED27会导致心力衰竭和死亡。与心肌细胞中另一个上尾亚基 MED30 的消减相似,MED27 的缺失会导致心肌细胞中大多数 MED 蛋白水平下降。有趣的是,在缺失 MED27 的心肌细胞中,过表达 MED30 无法恢复 Mediator 亚基的蛋白水平,这表明 MED27 在维持 Mediator 复合物的完整性和稳定性方面的作用与 MED30 无关:我们的研究结果揭示了MED27通过维持Mediator核心的稳定性在心脏发育和功能中的重要作用。
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引用次数: 0
Recent advancements in nanomedicine as a revolutionary approach to treating multiple myeloma 纳米医学作为治疗多发性骨髓瘤的革命性方法的最新进展。
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-27 DOI: 10.1016/j.lfs.2024.122989

Multiple myeloma, the second most common hematological malignancy, remains incurable with a 5-year survival rate of approximately 50 % and recurrence rates near 100 %, despite significant attempts to develop effective medicines. Therefore, there is a pressing demand in the medical field for innovative and more efficient treatments for MM. Currently, the standard approach for treating MM involves administering high-dose chemotherapy, which frequently correlates with improved results; however, one major limiting factor is the significant side effects of these medications. Furthermore, the strategies used to deliver medications to tumors limit their efficacy, whether by rapid clearance from circulation or an insufficient concentration in cancer cells. Cancer treatment has shifted from cytotoxic, nonspecific chemotherapy regimens to molecularly targeted, rationally developed drugs with improved efficacy and fewer side effects. Nanomedicines may provide an effective alternative way to avoid these limits by delivering drugs into the complicated bone marrow microenvironment and efficiently reaching myeloma cells. Putting drugs into nanoparticles can make their pharmacokinetic and pharmacodynamic profiles much better. This can increase the drug's effectiveness in tumors, extend its time in circulation in the blood, and lower its off-target toxicity. In this review, we introduce several criteria for the rational design of nanomedicine to achieve the best anti-tumoral therapeutic results. Next, we discuss recent advances in nanomedicine for MM therapy.

多发性骨髓瘤是第二大最常见的血液恶性肿瘤,尽管在开发有效药物方面做了大量尝试,但它仍然是不治之症,5 年生存率约为 50%,复发率接近 100%。因此,医学界迫切需要创新和更有效的治疗方法。目前,治疗 MM 的标准方法是进行大剂量化疗,这种方法往往能改善疗效;然而,一个主要的限制因素是这些药物的副作用很大。此外,由于药物在血液循环中清除过快或在癌细胞中浓度不足,将药物送入肿瘤的策略也限制了药物的疗效。癌症治疗已从细胞毒性、非特异性化疗方案转向分子靶向、合理开发的药物,这些药物疗效更好、副作用更小。纳米药物可将药物送入复杂的骨髓微环境,并有效地到达骨髓瘤细胞,从而为避免这些限制提供了一种有效的替代方法。将药物放入纳米颗粒中,可以使药物的药代动力学和药效学特征变得更好。这可以提高药物在肿瘤中的有效性,延长药物在血液中的循环时间,并降低药物的脱靶毒性。在这篇综述中,我们介绍了合理设计纳米药物以达到最佳抗肿瘤治疗效果的几个标准。接下来,我们将讨论用于 MM 治疗的纳米药物的最新进展。
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引用次数: 0
Interplay of co-cultured chimeric adipose and gingival tissues exacerbates inflammatory dysfunction relevant to periodontal and metabolic conditions 共同培养的嵌合脂肪组织和牙龈组织之间的相互作用加剧了与牙周和代谢状况相关的炎症功能障碍
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-26 DOI: 10.1016/j.lfs.2024.123009

Adipose tissue dysfunction is a key feature of metabolic syndrome, which increases the risk of periodontitis, an inflammatory disease induced by bacteria that affects the gingiva and other components of periodontal tissue. Recent studies indicate that molecules from inflamed periodontal tissue contribute to adipose tissue dysfunction. However, the cellular mechanisms and interactions between adipose tissue and gingiva driving the progression of metabolic and periodontal conditions remain unclear. To address this, we developed a chimeric (mouse/human) co-culture tissue model (which identifies the origins of species-specific cytokines) to investigate these interactions. Using tissue-specific functional cells and immunocytes, we constructed equivalents of adipose tissue (ATE) and gingiva (GTE), co-cultivating them under inflammatory conditions induced by bacterial endotoxin, lipopolysaccharide (LPS). Our findings showed that exposure to LPS resulted in a notable reduction in lipid accumulation, GLUT4 expression, and adiponectin secretion in ATE, along with increased macrophage colonies forming around lipid droplets, as well as elevated levels of triglyceride, leptin, and IL-6. In GTE, LPS triggered significant inflammatory responses, characterized by increased macrophage accumulation, elevated COX-2 expression, and heightened secretion of inflammatory cytokines. LPS also reduced epithelial thickness and the expression of keratin 19 and collagen IV, indicating impaired barrier function and gingival integrity. Co-culturing ATE with GTE exacerbated these LPS-induced harmful effects in both tissues. In conclusion, our findings suggest that interplay between gingiva and adipose tissue can intensify the inflammatory and dysfunctional changes caused by LPS. This co-culture tissue model offers a valuable tool for future studies on periodontitis and metabolic syndrome.

脂肪组织功能障碍是代谢综合征的一个主要特征,它会增加牙周炎的风险,牙周炎是一种由细菌诱发的炎症性疾病,会影响牙龈和牙周组织的其他成分。最近的研究表明,发炎的牙周组织分子会导致脂肪组织功能障碍。然而,脂肪组织和牙龈之间驱动新陈代谢和牙周病进展的细胞机制和相互作用仍不清楚。为了解决这个问题,我们开发了一种嵌合(小鼠/人类)共培养组织模型(可确定物种特异性细胞因子的来源)来研究这些相互作用。利用组织特异性功能细胞和免疫细胞,我们构建了等效的脂肪组织(ATE)和牙龈(GTE),在细菌内毒素脂多糖(LPS)诱导的炎症条件下对它们进行共培养。我们的研究结果表明,暴露于 LPS 会导致 ATE 中的脂质积累、GLUT4 表达和促脂素分泌明显减少,同时在脂滴周围形成的巨噬细胞集落增多,甘油三酯、瘦素和 IL-6 水平升高。在 GTE 中,LPS 引发了明显的炎症反应,表现为巨噬细胞聚集增加、COX-2 表达升高和炎性细胞因子分泌增多。LPS 还降低了上皮厚度以及角蛋白 19 和胶原蛋白 IV 的表达,表明屏障功能和牙龈完整性受损。将 ATE 与 GTE 共同培养会加剧 LPS 对这两种组织的有害影响。总之,我们的研究结果表明,牙龈和脂肪组织之间的相互作用会加剧 LPS 引起的炎症和功能障碍变化。这种共培养组织模型为今后研究牙周炎和代谢综合征提供了宝贵的工具。
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引用次数: 0
The regulatory mechanisms of N6-methyladenosine modification in ferroptosis and its implications in disease pathogenesis 铁变态反应中 N6-甲基腺苷修饰的调控机制及其对疾病发病机制的影响。
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-23 DOI: 10.1016/j.lfs.2024.123011

Heading aims

Based on the current knowledge of the molecular mechanisms by which m6A influences ferroptosis, our objective is to underscore the intricate and interdependent relationships between m6A and the principal regulatory pathways of ferroptosis, as well as other molecules, emphasizing its relevance to diseases associated with this cell death mode.

Materials and methods

We conducted a literature search using the keywords “m6A and ferroptosis” across PubMed, Web of Science, and Medline. The search was limited to English-language publications from 2017 to 2024. Retrieved articles were managed using Endnote software. Two authors independently screened the search results and reviewed the full texts of selected articles.

Key findings

Abnormal m6A levels are often identified as critical regulators of ferroptosis. Specifically, “writers”, “readers” and “erasers” that dynamically modulate m6A function regulate various pathways in ferroptosis including iron metabolism, lipid metabolism and antioxidant system. Additionally, we provide an overview of the role of m6A-mediated ferroptosis in multiple diseases and summarize the potential applications of m6A-mediated ferroptosis, including its use as a therapeutic target for diseases and as diagnostic as well as prognostic biomarkers.

Significance

N6-methyladenosine (m6A) modification, a prevalent RNA modification in eukaryotic cells, is crucial in regulating various aspects of RNA metabolism. Notably, accumulating evidence has implicated m6A modification in ferroptosis, a form of iron-dependent cell death characterized by elevated iron levels and lipid peroxide accumulation. Overall, this review sheds light on the potential diagnostic and therapeutic applications of m6A regulators in addressing conditions associated with ferroptosis.

标题目的:基于目前对 m6A 影响铁突变的分子机制的了解,我们的目的是强调 m6A 与铁突变的主要调控途径以及其他分子之间错综复杂和相互依存的关系,强调其与这种细胞死亡模式相关疾病的相关性:我们在 PubMed、Web of Science 和 Medline 上以 "m6A 和铁突变 "为关键词进行了文献检索。检索仅限于 2017 年至 2024 年的英文出版物。检索到的文章使用 Endnote 软件进行管理。两位作者独立筛选了检索结果,并审阅了所选文章的全文:异常的 m6A 水平通常被认为是铁氧化的关键调节因子。具体来说,动态调节 m6A 功能的 "写手"、"读者 "和 "擦除者 "调节铁变态反应的各种途径,包括铁代谢、脂代谢和抗氧化系统。此外,我们还概述了 m6A 介导的铁突变在多种疾病中的作用,并总结了 m6A 介导的铁突变的潜在应用,包括将其用作疾病的治疗靶点以及诊断和预后生物标志物:N6-甲基腺苷(m6A)修饰是真核细胞中普遍存在的一种 RNA 修饰,对调节 RNA 代谢的各个方面至关重要。值得注意的是,越来越多的证据表明,m6A修饰与铁突变有关,铁突变是一种以铁水平升高和过氧化脂质积累为特征的铁依赖性细胞死亡形式。总之,本综述揭示了 m6A 调节剂在诊断和治疗与铁变态反应相关的疾病方面的潜在应用。
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引用次数: 0
Treatment of Parkinson's disease model with human umbilical cord mesenchymal stem cell-derived exosomes loaded with BDNF 用载入 BDNF 的人脐带间充质干细胞衍生外泌体治疗帕金森病模型。
IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-23 DOI: 10.1016/j.lfs.2024.123014

Aims

Parkinson's disease (PD) is a common neurodegenerative disease that has received widespread attention; however, current clinical treatments can only relieve its symptoms, and do not effectively protect dopaminergic neurons. The purpose of the present study was to investigate the therapeutic effects of human umbilical cord mesenchymal stem cell-derived exosomes loaded with brain-derived neurotrophic factor (BDNF-EXO) on PD models and to explore the underlying mechanisms of these effects.

Main methods

6-Hydroxydopamine was used to establish in vivo and in vitro PD models. Western blotting, flow cytometry, and immunofluorescence were used to detect the effects of BDNF-EXO on apoptosis and ferroptosis in SH-SY5Y cells. The in vivo biological distribution of BDNF-EXO was detected using a small animal imaging system, and dopaminergic neuron improvements in brain tissue were detected using western blotting, immunofluorescence, immunohistochemistry, and Nissl and Prussian blue staining.

Key findings

BDNF-EXO effectively suppressed 6-hydroxydopamine-induced apoptosis and ferroptosis in SH-SY5Y cells. Following intravenous administration, BDNF-EXO crossed the blood–brain barrier to reach afflicted brain regions in mice, leading to a notable enhancement in neuronal survival. Furthermore, BDNF-EXO modulated microtubule-associated protein 2 and phosphorylated tau expression, thereby promoting neuronal cytoskeletal stability. Additionally, BDNF-EXO bolstered cellular antioxidant defense mechanisms through the activation of the nuclear factor erythroid 2-related factor 2 signaling pathway, thereby conferring neuroprotection against damage.

Significance

The novel drug delivery system, BDNF-EXO, had substantial therapeutic effects in both in vivo and in vitro PD models, and may represent a new treatment strategy for PD.

目的:帕金森病(Parkinson's disease,PD)是一种常见的神经退行性疾病,已受到广泛关注;然而,目前的临床治疗只能缓解其症状,并不能有效保护多巴胺能神经元。本研究旨在探讨人脐带间充质干细胞衍生的外泌体负载脑源性神经营养因子(BDNF-EXO)对多巴胺能症模型的治疗作用,并探索这些作用的内在机制。主要方法:用6-羟基多巴胺建立体内和体外帕金森病模型,采用Western印迹法、流式细胞术和免疫荧光法检测BDNF-EXO对SH-SY5Y细胞凋亡和铁凋亡的影响。利用小动物成像系统检测了BDNF-EXO在体内的生物分布,并利用Western印迹、免疫荧光、免疫组化、Nissl和普鲁士蓝染色检测了脑组织中多巴胺能神经元的改善情况:主要发现:BDNF-EXO能有效抑制6-羟基多巴胺诱导的SH-SY5Y细胞凋亡和铁凋亡。静脉注射BDNF-EXO后,BDNF-EXO可穿过血脑屏障到达小鼠受影响的脑区,从而显著提高神经元的存活率。此外,BDNF-EXO还能调节微管相关蛋白2和磷酸化tau的表达,从而促进神经元细胞骨架的稳定性。此外,BDNF-EXO还通过激活核因子红细胞2相关因子2的信号通路,增强了细胞抗氧化防御机制,从而使神经免受损伤:新型给药系统BDNF-EXO在体内和体外帕金森氏症模型中都有显著的治疗效果,可能代表了一种新的帕金森氏症治疗策略。
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