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The power of mouse models in the diagnostic odyssey of patients with rare congenital anomalies. 小鼠模型在罕见先天性异常患者诊断中的作用。
IF 2.7 4区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-06-01 Epub Date: 2025-03-18 DOI: 10.1007/s00335-025-10114-2
Stephen R F Twigg, Nicholas D E Greene, Deborah J Henderson, Pleasantine Mill, Karen J Liu

Congenital anomalies are structural or functional abnormalities present at birth, which can be caused by genetic or environmental influences. The availability of genome sequencing has significantly increased our understanding of congenital anomalies, but linking variant identification to functional relevance and definitive diagnosis remains challenging. Many genes have unknown or poorly understood functions, and with a lack of clear genotype-to-phenotype correlations, it can be difficult to move from variant discovery to diagnosis. Thus, for most congenital anomalies, there still exists a "diagnostic odyssey" which presents a significant burden to patients, families and society. Animal models are essential in the gene discovery process because they allow researchers to validate candidate gene function and disease progression within intact organisms. However, use of advanced model systems continues to be limited due to the complexity of efficiently generating clinically relevant animals. Here we focus on the use of precisely engineered mice in variant-to-function studies for resolving molecular diagnoses and creating powerful preclinical models for congenital anomalies, covering advances in genomics, genome editing and phenotyping approaches as well as the necessity for future initiatives aligning animal modelling to deep patient multimodal datasets.

先天性畸形是指出生时存在的结构或功能异常,可由遗传或环境影响引起。基因组测序的可用性大大增加了我们对先天性异常的了解,但将变异鉴定与功能相关性和明确诊断联系起来仍然具有挑战性。许多基因具有未知或知之甚少的功能,并且由于缺乏明确的基因型与表型之间的相关性,因此很难从变异发现转向诊断。因此,对于大多数先天性异常,仍然存在一个“诊断的奥德赛”,这给患者、家庭和社会带来了巨大的负担。动物模型在基因发现过程中是必不可少的,因为它们允许研究人员在完整的生物体中验证候选基因的功能和疾病进展。然而,由于有效生成临床相关动物的复杂性,先进模型系统的使用仍然受到限制。在这里,我们重点关注精确工程小鼠在变异到功能研究中的使用,以解决分子诊断和创建先天性异常的强大临床前模型,涵盖基因组学,基因组编辑和表型方法的进展,以及未来倡议将动物建模与深度患者多模态数据集相结合的必要性。
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引用次数: 0
Selection signatures detection in Nelore, Gir, and Red Sindhi cattle breeds. Nelore, Gir和Red Sindhi牛品种的选择特征检测。
IF 2.7 4区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-06-01 Epub Date: 2025-04-02 DOI: 10.1007/s00335-025-10125-z
Maria Victória Henrique Genuíno, Ayrton Fernandes de Oliveira Bessa, Roney Teixeira da Silva, Giovanna Maria Dos Santos Câmara, João Cláudio do Carmo Panetto, Marco Antônio Machado, Sabrina Luzia Caetano, Salvador Boccaletti Ramos, Danísio Prado Munari, Tad Sonstegard, Marcos Vinícius Gualberto Barbosa da Silva, Marcos Eli Buzanskas

Technological advances in genomics and bioinformatics made it possible to study the genetic structure of breeds and understand genome changes caused by selection over generations. Our objective was to evaluate selection signatures (SS) in Nelore, Gir, and Red Sindhi cattle from Brazil and the Asian continent to identify divergent variants due to the history of formation and selection of populations, with a focus on the SS of animals from Brazil. Extended haplotype homozygosities between populations (XP-EHH), the ratio of site-specific extended haplotype homozygosity between populations (Rsb), and the allelic fixation index (Fst) were used to detect SS. Considering a window size of 50-kb, a non-sliding window approach was used to define SS regions. A total of 62, 57, and 72 genes were co-located within SS regions for Nelore, Gir, and Red Sindhi, respectively, and used to perform functional analyses per breed. Most genes were associated with productive and reproductive traits, while others were related to thermotolerance, the immune system, temperament, and coat color. The identified SS demonstrate how animal breeding programs shape the genetic makeup of these breeds to meet production system requirements, given that animals from Brazil and the Asian continent have undergone different selection processes. The identification of genes related to thermotolerance, temperament, and the immune system suggests specific alleles have enabled animals to adapt to environmental conditions and selection criteria in Brazil. Understanding SS can support breeding strategies for Nelore, Gir, and Red Sindhi cattle, contributing to enhanced resistance, adaptation, and productivity to meet food production demands.

基因组学和生物信息学的技术进步使研究品种的遗传结构和了解世代选择引起的基因组变化成为可能。我们的目标是评估来自巴西和亚洲大陆的内洛雷牛、吉尔牛和红信德牛的选择特征(SS),以确定由于种群形成和选择的历史而产生的不同变异,重点关注巴西动物的选择特征。采用群体间扩展单倍型纯合子(XP-EHH)、群体间位点特异性扩展单倍型纯合子比率(Rsb)和等位基因固定指数(Fst)检测SS区域。考虑到窗口大小为50 kb,采用非滑动窗口法定义SS区域。在nore、Gir和Red Sindhi的SS区域内共定位了62个、57个和72个基因,并对每个品种进行了功能分析。大多数基因与生产和生殖性状有关,而其他基因则与耐热性、免疫系统、气质和毛色有关。确定的SS展示了动物育种计划如何塑造这些品种的基因组成,以满足生产系统的要求,因为来自巴西和亚洲大陆的动物经历了不同的选择过程。与耐热性、性情和免疫系统相关的基因鉴定表明,特定的等位基因使动物能够适应巴西的环境条件和选择标准。了解SS可以支持Nelore、Gir和Red Sindhi牛的育种策略,有助于增强抵抗力、适应性和生产力,以满足粮食生产需求。
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引用次数: 0
CTNNB1 syndrome mouse models. CTNNB1综合征小鼠模型。
IF 2.7 4区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-06-01 Epub Date: 2025-01-20 DOI: 10.1007/s00335-025-10105-3
Duško Lainšček, Vida Forstnerič, Špela Miroševič

CTNNB1 syndrome is a rare neurodevelopmental disorder, affecting children worldwide with a prevalence of 2.6-3.2 per 100,000 births and often misdiagnosed as cerebral palsy. De novo loss-of-function mutations in the Ctnnb1 gene result in dysfunction of the β-catenin protein, disrupting the canonical Wnt signaling pathway, which plays a key role in cell proliferation, differentiation, and tissue homeostasis. Additionally, these mutations impair the formation of cell junctions, adversely affecting tissue architecture. Motor and speech deficits, cognitive impairment, cardiovascular and visual problems are just some of the key symptoms that occur in CTNNB1 syndrome patients. There is currently no effective treatment option available for patients with CTNNB1 syndrome, with support largely focused on the management of symptoms and physiotherapy, yet recently some therapeutic approaches are being developed. Animal testing is still crucial in the process of new drug development, and mouse models are particularly important. These models provide researchers with new understanding of the disease mechanisms and are invaluable for testing the efficacy and safety of potential treatments. The development of various mouse models with β-catenin loss- and gain-of-function mutations successfully replicates key features of intellectual disability, autism-like behaviors, motor deficits, and more. These models provide a valuable platform for studying disease mechanisms and offer a powerful tool for testing the therapeutic potential and effectiveness of new drug candidates, paving the way for future clinical trials.

CTNNB1综合征是一种罕见的神经发育障碍,影响全球儿童,患病率为每10万新生儿2.6-3.2例,经常被误诊为脑瘫。Ctnnb1基因的新生功能缺失突变导致β-连环蛋白功能障碍,破坏典型的Wnt信号通路,而Wnt信号通路在细胞增殖、分化和组织稳态中起关键作用。此外,这些突变破坏细胞连接的形成,对组织结构产生不利影响。运动和语言缺陷、认知障碍、心血管和视力问题只是CTNNB1综合征患者出现的一些关键症状。目前对CTNNB1综合征患者没有有效的治疗选择,支持主要集中在症状管理和物理治疗上,但最近正在开发一些治疗方法。动物实验在新药开发过程中仍然是至关重要的,而小鼠模型尤为重要。这些模型为研究人员提供了对疾病机制的新认识,对于测试潜在治疗方法的有效性和安全性具有不可估量的价值。各种具有β-连环蛋白缺失和功能获得突变的小鼠模型的开发成功地复制了智力残疾、自闭症样行为、运动缺陷等的关键特征。这些模型为研究疾病机制提供了有价值的平台,为测试新药的治疗潜力和有效性提供了有力的工具,为未来的临床试验铺平了道路。
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引用次数: 0
Rat models of musculoskeletal lysosomal storage disorders and their role in pre-clinical evaluation of gene therapy approaches. 肌肉骨骼溶酶体贮积症大鼠模型及其在基因治疗方法临床前评估中的作用。
IF 2.7 4区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-06-01 Epub Date: 2025-03-18 DOI: 10.1007/s00335-025-10121-3
Sara Marcó, Sergio Muñoz, Fatima Bosch, Veronica Jimenez

Mice have been a cornerstone of biomedical research for decades for studying a wide range of biological processes, disease mechanisms, and the assessment of therapies. Moreover, mice present several practical advantages such as small size, low cost and ease of genetic manipulation. While mice offer numerous benefits, for certain disease areas, rat models provide a closer representation of human disease progression, offering better insights for translational research and therapeutic development. This closer resemblance is particularly important for research focusing on diseases involving the cardiovascular and musculoskeletal system. In rats, the pathophysiology of these diseases mirrors the clinical alterations observed in humans. This review focuses on the key phenotypic differences between mouse and rat models of lysosomal storage disorders that specifically manifest with cardiac, skeletal muscle, and bone and joint involvement (Pompe and Danon diseases, and Maroteaux-Lamy and Morquio A syndromes). Furthermore, we discuss the therapeutic potential of various adeno-associated viral vector-mediated gene therapies that have been evaluated in these rat models, highlighting their contributions to advancing treatment options for these debilitating conditions.

几十年来,小鼠一直是生物医学研究的基石,用于研究广泛的生物过程、疾病机制和治疗评估。此外,小鼠还具有体积小、成本低、易于基因操作等实用优势。虽然小鼠提供了许多好处,但对于某些疾病领域,大鼠模型提供了更接近人类疾病进展的代表,为转化研究和治疗开发提供了更好的见解。这种更接近的相似性对于关注心血管和肌肉骨骼系统疾病的研究尤为重要。在大鼠中,这些疾病的病理生理学反映了在人类中观察到的临床变化。这篇综述的重点是小鼠和大鼠溶酶体贮积障碍模型之间的关键表型差异,这些疾病特别表现为心脏、骨骼肌和骨骼和关节受损伤(Pompe和Danon病,以及Maroteaux-Lamy和Morquio A综合征)。此外,我们讨论了各种腺相关病毒载体介导的基因疗法的治疗潜力,这些疗法已经在这些大鼠模型中进行了评估,强调了它们对推进这些衰弱性疾病的治疗选择的贡献。
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引用次数: 0
Alpha-synuclein pathology and Parkinson's disease-related olfactory dysfunctions: an update on preclinical models and therapeutic approaches. α -突触核蛋白病理学和帕金森病相关嗅觉功能障碍:临床前模型和治疗方法的最新进展
IF 2.7 4区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-06-01 Epub Date: 2025-04-28 DOI: 10.1007/s00335-025-10128-w
Jancy Nixon Abraham, Devesh Rawat, Priyadharshini Srikanth, Lisni P Sunny, Nixon M Abraham

Olfactory dysfunction (OD) is considered one of the early signs of Parkinson's disease (PD), affecting over 90% of PD patients. OD often appears several years before the onset of motor symptoms and is therefore considered an early biomarker of PD. Recent studies have shown that COVID-19 infection might lead to worsening of symptoms and acceleration of disease progression in neurodegenerative disorders, where OD is a common symptom to both. Hence, it is essential to accurately monitor olfactory fitness in clinical settings using any of the currently available olfactory function tests. Even after a quarter of a century of the discovery of α-synuclein (α-syn) pathogenesis in PD, many aspects related to the α-syn pathogenesis in OD remain unknown. Currently, there is no definitive cure for PD; the disease management options include dopaminergic medications, deep brain stimulations, stem cells, and immunotherapy. Generating reliable PD animal models is critical for understanding the molecular pathways and neural circuits affected by disease conditions. This might contribute to the development and validation of new therapeutic approaches. This review discusses the known mechanisms of α-syn aggregated forms causing neuronal death, the recent developments in the PD preclinical models with ODs, and the treatment strategies employed.

嗅觉功能障碍(OD)被认为是帕金森病(PD)的早期症状之一,影响超过90%的PD患者。药物过量通常在运动症状出现前几年出现,因此被认为是帕金森病的早期生物标志物。最近的研究表明,COVID-19感染可能导致神经退行性疾病的症状恶化和疾病进展加速,而吸毒过量是这两种疾病的常见症状。因此,使用任何目前可用的嗅觉功能测试,在临床环境中准确监测嗅觉适应性是至关重要的。即使在发现α-突触核蛋白(α-syn)在PD中的发病机制的四分之一世纪之后,与α-syn在OD中的发病机制相关的许多方面仍然未知。目前,PD还没有确切的治愈方法;疾病管理选择包括多巴胺能药物、深部脑刺激、干细胞和免疫治疗。生成可靠的PD动物模型对于理解受疾病条件影响的分子通路和神经回路至关重要。这可能有助于开发和验证新的治疗方法。本文综述了α-syn聚集形式引起神经元死亡的已知机制,PD伴ODs临床前模型的最新进展,以及采用的治疗策略。
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引用次数: 0
Fluorescent reporter mouse models for genome editing: choices and challenges. 用于基因组编辑的荧光报告小鼠模型:选择与挑战。
IF 2.7 4区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-06-01 Epub Date: 2024-10-28 DOI: 10.1007/s00335-024-10079-8
Christopher J Walkey
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引用次数: 0
Understanding PACS2 syndrome's pathomechanism by studying E209K and E211K mutations. 通过研究E209K和E211K突变了解PACS2综合征的发病机制。
IF 2.7 4区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-06-01 Epub Date: 2024-12-30 DOI: 10.1007/s00335-024-10098-5
Arkadiusz Zbikowski, Tomasz Kowalczyk, Petr Kasparek, Jan Prohazka, Radislav Sedlacek, Michał Ciborowski, Dominik Cysewski, Kacper Łukasiewicz

Phosphofurin acidic cluster sorting protein 2 (PACS2) plays a vital role in maintaining cellular homeostasis by regulating protein trafficking between cellular membranes. This function impacts crucial processes like apoptosis, mitochondria-endoplasmic reticulum interaction, and subsequently Ca2+ flux, lipid biosynthesis, and autophagy. Missense mutations, particularly E209K and E211K, are linked to developmental and epileptic encephalopathy-66 (DEE66), known as PACS2 syndrome. Individuals with this syndrome exhibit neurodevelopmental delay, seizures, facial dysmorphism, hypotonia, and delayed motor skills.Understanding the impact of these missense mutations on molecular processes is crucial. Studies suggest that E209K mutation decreases phosphorylation, increases the survival time of protein, and modifies protein-protein interaction, consequently leading to disruption of calcium flux and lower resistance to apoptosis induction. Unfortunately, to date, only a limited number of research groups have investigated the effects of mutations in the PACS2 gene. Current research on PACS2 syndrome is hampered by the lack of suitable models. While in vitro models using transfected cell lines offer insights, they cannot fully capture the disease's complexity.To address this, utilizing cells from individuals with PACS2 syndrome, specifically induced pluripotent stem cells (iPSCs), holds promise for understanding phenotypic diversity and developing personalized therapies. However, iPSC models may not fully capture tissue-specific effects of the E209K/E211K mutation. In vivo studies using animal models, particularly mice, could overcome these limitations.This review summarizes current knowledge about PACS2 structure and functions, explores the cellular consequences of E209K and E211K mutations, and highlights the potential of iPSC and mouse models in advancing our understanding of PACS2 syndrome.

磷酸氢呋喃酸性簇分选蛋白2 (PACS2)通过调节细胞膜间的蛋白质转运,在维持细胞稳态中起着至关重要的作用。这种功能影响细胞凋亡、线粒体-内质网相互作用以及随后的Ca2+通量、脂质生物合成和自噬等关键过程。错义突变,特别是E209K和E211K,与发育性和癫痫性脑病-66 (DEE66),即PACS2综合征有关。患有该综合征的个体表现为神经发育迟缓、癫痫发作、面部畸形、张力低下和运动技能延迟。了解这些错义突变对分子过程的影响是至关重要的。研究表明,E209K突变降低了磷酸化,增加了蛋白的存活时间,改变了蛋白-蛋白相互作用,从而导致钙通量被破坏,对诱导凋亡的抵抗力降低。不幸的是,到目前为止,只有少数研究小组研究了PACS2基因突变的影响。目前对PACS2综合征的研究由于缺乏合适的模型而受到阻碍。虽然使用转染细胞系的体外模型提供了一些见解,但它们不能完全捕捉这种疾病的复杂性。为了解决这个问题,利用来自PACS2综合征个体的细胞,特异性诱导多能干细胞(iPSCs),有望了解表型多样性并开发个性化治疗。然而,iPSC模型可能无法完全捕获E209K/E211K突变的组织特异性效应。使用动物模型,特别是小鼠进行体内研究,可以克服这些限制。本文综述了目前关于PACS2结构和功能的知识,探讨了E209K和E211K突变的细胞后果,并强调了iPSC和小鼠模型在促进我们对PACS2综合征的理解方面的潜力。
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引用次数: 0
Gut metabolites and functional recovery after ischemic stroke: a genetic perspective. 缺血性脑卒中后肠道代谢物和功能恢复:遗传学观点。
IF 2.7 4区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-06-01 Epub Date: 2025-03-08 DOI: 10.1007/s00335-025-10120-4
Wenpeng Wu, Luwen Zhu, Jiongliang Zhang, Xinyue Li, Donghui Yu, Yuting Wang, Yumeng Su, Xiangyu Wei, Hanwen Ma, Wenjing Song, Jinting Li, Lili Teng, Qiang Tang, Minmin Wu

The current study explores the relationship between genetically predicted gut metabolites and functional outcomes following ischemic stroke, utilizing the Mendelian Randomization (MR) framework. Genetic information regarding gut microbiota-derived metabolites was sourced from 2076 participants of European descent participating in the Framingham Heart Study. Data on functional outcomes 90 days post-ischemic stroke were acquired from the Genetics of Ischemic Stroke Functional Outcomes Network (n = 6,021). Genetic proxies for gut microbiota were identified from a large-scale GWAS study by the MiBioGen consortium, encompassing 18,340 samples across 24 distinct cohorts. The inverse variance weighting method served as the primary analytical approach. Host gene-influenced gut microbiota was linked to both favorable and unfavorable functional outcomes post-ischemic stroke, involving nine and two specific microbiomes, respectively. Moreover, genetically predicted metabolites of gut microbiota showed associations with functional outcomes post-ischemic stroke, exhibiting one positive and five negative correlations. Sensitivity analyses employing alternative methods and models, not adjusted for baseline stroke severity, consistently supported these findings. This research provides genetic substantiation of the influence of specific gut microbiota and metabolites on the recovery process following ischemic stroke, suggesting a potential causal relationship. This insight offers valuable perspectives on the trajectory of post-stroke recovery and prognostic development.

本研究利用孟德尔随机化(Mendelian Randomization,MR)框架,探讨了遗传预测的肠道代谢物与缺血性中风后功能预后之间的关系。有关肠道微生物群衍生代谢物的遗传信息来自参与弗雷明汉心脏研究的 2076 名欧洲裔参与者。缺血性中风后 90 天的功能结果数据来自缺血性中风功能结果遗传学网络(n = 6,021)。肠道微生物群的遗传替代物是从 MiBioGen 联盟的一项大规模 GWAS 研究中确定的,该研究涵盖了 24 个不同队列的 18,340 个样本。反方差加权法是主要的分析方法。受宿主基因影响的肠道微生物群与缺血性中风后有利和不利的功能性结局有关,分别涉及九个和两个特定的微生物群。此外,基因预测的肠道微生物群代谢物也与缺血性中风后的功能预后有关,呈现出一种正相关和五种负相关。采用其他方法和模型进行的敏感性分析(未对基线中风严重程度进行调整)一致支持这些发现。这项研究从遗传学角度证实了特定肠道微生物群和代谢物对缺血性中风后恢复过程的影响,表明两者之间存在潜在的因果关系。这一见解为中风后的恢复轨迹和预后发展提供了宝贵的视角。
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引用次数: 0
TCR CDR3 chemical complementarity to HPV epitopes is associated with a better outcome for cervical cancer. TCR CDR3与HPV表位的化学互补与宫颈癌更好的预后相关。
IF 2.7 4区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-06-01 Epub Date: 2025-04-11 DOI: 10.1007/s00335-025-10127-x
Deo Rei L Agnila, Rahul Jain, Michael J Diaz, Tabitha R Hudlock, Rachel A Eakins, Andrea Chobrutskiy, Boris I Chobrutskiy, George Blanck

Despite the fact that HPV vaccines are likely to lead to a significant reduction in cervical cancer occurrence, there remains cervical cancer incidence independent of the vaccine and cervical cancer arising in the absence of vaccination. Thus, continued efforts are needed to address the potential parameters of cervical cancer that could impact therapy and could lead to additional ways of reducing cervical cancer death rates. Adaptive immune receptor recombinations were obtained from the cancer genome atlas (TCGA) cervical cancer database through tumor exome and RNAseq files as well as from the independent Cancer Genome Characterization Initiative (CGCI) cervical cancer dataset. T-cell receptor (TCR) complementarity determining region-3's (CDR3s) were then assessed, based on chemical complementarity to human papillomavirus (HPV) T-cell epitopes. Results indicated increased overall survival probabilities consistently across the three TCR datasets with TCR CDR3 chemical complementarity to the same HPV epitopes, specifically immune epitope database (IEDB) designations: IEDB-1625373, IEDB-174148, and IEDB-110943. Among other potential applications of these results, the results may indicate HPV epitopes that could be useful targets for immunotherapy.

尽管人乳头瘤病毒疫苗可能会显著减少子宫颈癌的发生,但仍然存在与疫苗无关的子宫颈癌发病率,以及在没有接种疫苗的情况下发生的子宫颈癌。因此,需要继续努力解决宫颈癌的潜在参数,这些参数可能影响治疗,并可能导致其他降低宫颈癌死亡率的方法。适应性免疫受体重组通过肿瘤外显子组和RNAseq文件从癌症基因组图谱(TCGA)宫颈癌数据库以及独立的癌症基因组表征倡议(CGCI)宫颈癌数据集获得。然后根据与人乳头瘤病毒(HPV) t细胞表位的化学互补性,评估t细胞受体(TCR)互补决定区3 (CDR3s)。结果表明,在三个TCR数据集中,TCR CDR3与相同的HPV表位具有化学互补,特别是免疫表位数据库(IEDB)指定:IEDB-1625373, IEDB-174148和IEDB-110943,总体生存率一致增加。在这些结果的其他潜在应用中,结果可能表明HPV表位可能是免疫治疗的有用靶点。
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引用次数: 0
Preclinical research (on rare diseases): we need to talk about health equity. 临床前研究(罕见病):我们需要讨论健康公平问题。
IF 2.7 4区 生物学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-06-01 Epub Date: 2024-10-26 DOI: 10.1007/s00335-024-10080-1
Andy Greenfield

There is a thriving, worldwide, biomedical research community working to understand the molecular bases of diseases of all types, continuously driving improved diagnostics and therapies. Developments in genetics and experimental medicine are yielding novel genetic therapies that were hardly dreamt of 40 years ago. But along with these scientific achievements, there exist challenges in ensuring that 21st century medical interventions are accessible to all who need them. This perspective will discuss how preclinical research, with a focus on rare diseases, can better contribute to healthcare ecosystems that are oriented towards greater health equity. This contribution may require changes to the prevailing scientific research culture that will need support from relevant institutions and the wider community.

全世界的生物医学研究界正在蓬勃发展,致力于了解各类疾病的分子基础,不断推动诊断和治疗方法的改进。遗传学和实验医学的发展正在产生 40 年前难以想象的新型基因疗法。但是,在取得这些科学成就的同时,如何确保所有有需要的人都能获得 21 世纪的医疗干预措施也面临着挑战。本视角将讨论以罕见病为重点的临床前研究如何才能更好地促进以提高健康公平性为导向的医疗生态系统。这种贡献可能需要改变当前的科研文化,而这需要相关机构和更广泛社会的支持。
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引用次数: 0
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