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Hypothalamic SIRT1-mediated regulation of the hormonal trigger of ovulation and its repression in energy deficit 下丘脑sirt1介导的激素触发排卵的调节及其在能量不足中的抑制。
IF 10.8 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-12-29 DOI: 10.1016/j.metabol.2024.156125
María J. Vazquez , Silvia Daza-Dueñas , Inmaculada Velasco , Francisco Ruiz-Pino , María J. Sanchez-Tapia , María Manfredi-Lozano , Carmen Torres-Granados , Alexia Barroso , Juan Roa , Miguel A. Sánchez-Garrido , Carlos Dieguez , Alejandro Lomniczi , Rubén Nogueiras , Manuel Tena-Sempere
Female reproduction is highly sensitive to body energy stores; persistent energy deficit, as seen in anorexia or strenuous exercise, is known to suppress ovulation via ill-defined mechanisms. We report herein that hypothalamic SIRT1, a key component of the epigenetic machinery that links nutritional status and puberty onset via modulation of Kiss1, plays a critical role in the control of the preovulatory surge of gonadotropins, i.e., the hormonal trigger of ovulation, and its repression by conditions of energy deficit. Kiss1 neurons in the preoptic area, with proven roles in the control of ovulation, express Sirt1 mRNA. Reciprocal changes in hypothalamic SIRT1 content and Kiss1 expression were observed during the pre-ovulatory phase in adult female rats. Central activation of SIRT1 reduced Kiss1 expression in the rostral hypothalamus, and attenuated the preovulatory surge, while blockade of central SIRT1 augmented it. Conditions of energy deficit enhanced hypothalamic SIRT1 activity and caused suppression of the pre-ovulatory surge and ovulation, which could be rescued by central SIRT1 inhibition. In turn, virogenetic induction of SIRT1 in rostral hypothalamic Kiss1 neurons in adult female mice disrupted ovarian cyclicity and suppressed reproductive indices, despite preserved body weight. Our data document the prominent function of hypothalamic SIRT1 as a key modulator of Kiss1 neurons and the hormonal surge driving ovulation in adulthood, with a major role in its inhibition during conditions of energy insufficiency.
女性生殖对身体能量储存高度敏感;持续的能量不足,如厌食症或剧烈运动,已知通过不明确的机制抑制排卵。我们在此报道,下丘脑SIRT1是表观遗传机制的一个关键组成部分,通过调节Kiss1将营养状况和青春期的发生联系起来,在控制促性腺激素(即排卵的激素触发器)的排卵前激增以及能量不足条件下的抑制中起着关键作用。视前区的Kiss1神经元表达Sirt1 mRNA,已被证实在控制排卵中起作用。在成年雌性大鼠排卵期,下丘脑SIRT1含量和Kiss1表达发生了相互变化。中枢激活SIRT1降低了下丘脑吻侧的Kiss1表达,并减弱了排卵前的高潮,而中枢阻断SIRT1则增强了它。能量不足的情况下,下丘脑SIRT1活性增强,导致排卵前高潮和排卵受到抑制,可通过中枢SIRT1抑制来挽救。反过来,成年雌性小鼠下丘脑吻侧Kiss1神经元中SIRT1的病毒诱导破坏了卵巢周期并抑制了生殖指数,尽管保持了体重。我们的数据证明下丘脑SIRT1作为Kiss1神经元和成年期激素激增驱动排卵的关键调节剂的突出功能,在能量不足的情况下发挥其抑制作用。
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引用次数: 0
Identifying proteins and pathways associated with multimorbidity in 53,026 adults 在53026名成人中鉴定与多病相关的蛋白质和途径。
IF 10.8 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-12-29 DOI: 10.1016/j.metabol.2024.156126
Yi-Lin Chen , Jia You , Yu Guo , Yi Zhang , Bing-Ran Yao , Ji-Jing Wang , Shi-Dong Chen , Yi-Jun Ge , Liu Yang , Xin-Rui Wu , Bang-Sheng Wu , Ya-Ru Zhang , Qiang Dong , Jian-Feng Feng , Mei Tian , Wei Cheng , Jin-Tai Yu

Background and aims

Multimorbidity, the coexistence of multiple chronic diseases, is a rapidly expanding global health challenge, carrying profound implications for patients, caregivers, healthcare systems, and society. Investigating the determinants and drivers underlying multiple chronic diseases is a priority for disease management and prevention.

Method

This prospective cohort study analyzed data from the 53,026 participants in the UK Biobank from baseline (2006 to 2010) across 13.3 years of follow-up. Using Cox proportional hazards regression model, we characterized shared and unique associations across 38 incident outcomes (31 chronic diseases, 6 system mortality and all-cause mortality). Furthermore, ordinal regression models were used to assess the association between protein levels and multimorbidity (0–1, 2, 3–4, or ≥ 5 chronic diseases). Functional and tissue enrichment analysis were employed for multimorbidity-associated proteins. The upstream regulators of above proteins were identified.

Results

We demonstrated 972 (33.3 %) proteins were shared across at least two incident chronic diseases after Bonferroni correction (P < 3.42 × 10−7, 93.3 % of those had consistent effects directions), while 345 (11.8 %) proteins were uniquely linked to a single chronic disease. Remarkably, GDF15, PLAUR, WFDC2 and AREG were positively associated with 20–24 incident chronic diseases (hazards ratios: 1.21–3.77) and showed strong associations with multimorbidity (odds ratios: 1.33–1.89). We further identified that protein levels are explained by common risk factors, especially renal function, liver function, inflammation, and obesity, providing potential intervention targets. Pathway analysis has underscored the pivotal role of the immune response, with the top three transcription factors associated with proteomics being NFKB1, JUN and RELA.

Conclusions

Our results enhance the understanding of the biological basis underlying multimorbidity, offering biomarkers for disease identification and novel targets for therapeutic intervention.
背景和目的:多重发病,即多种慢性疾病的共存,是一项迅速扩大的全球卫生挑战,对患者、护理人员、卫生保健系统和社会产生深远影响。调查多种慢性疾病的决定因素和驱动因素是疾病管理和预防的重点。方法:这项前瞻性队列研究分析了英国生物银行从基线(2006年至2010年)的53026名参与者的数据,随访时间为13.3 年。使用Cox比例风险回归模型,我们描述了38种事件结局(31种慢性疾病,6种系统死亡率和全因死亡率)之间的共同和独特关联。此外,使用有序回归模型评估蛋白质水平与多发病(0- 1,2,3 -4或 ≥ 5种慢性疾病)之间的关系。对多发病相关蛋白进行功能和组织富集分析。鉴定了上述蛋白的上游调控因子。结果:我们证实,在Bonferroni校正后,972个(33.3% %)蛋白在至少两种慢性疾病中共享(P -7,其中93.3 %具有一致的影响方向),而345个(11.8 %)蛋白与单一慢性疾病唯一相关。值得注意的是,GDF15、PLAUR、WFDC2和AREG与20-24种慢性疾病的发生呈正相关(危险比:1.21-3.77),与多发病有很强的相关性(优势比:1.33-1.89)。我们进一步发现蛋白质水平可以由常见的危险因素解释,特别是肾功能、肝功能、炎症和肥胖,提供了潜在的干预目标。通路分析强调了免疫应答的关键作用,与蛋白质组学相关的三大转录因子是NFKB1、JUN和RELA。结论:我们的研究结果增强了对多重发病的生物学基础的理解,为疾病识别提供了生物标志物,并为治疗干预提供了新的靶点。
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引用次数: 0
A3AR antagonism mitigates metabolic dysfunction-associated steatotic liver disease by exploiting monocyte-derived Kupffer cell necroptosis and inflammation resolution A3AR拮抗剂通过利用单核细胞源性库普弗细胞坏死下垂和炎症消退来减轻代谢功能障碍相关的脂肪变性肝病。
IF 10.8 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-12-26 DOI: 10.1016/j.metabol.2024.156114
Jeong-Su Park , Yuan-Qiang Ma , Feng Wang , Hwan Ma , Guoyan Sui , Nodir Rustamov , Minyeong Han , Yejin Son , Chun-Woong Park , Sang-Bae Han , Jin Tae Hong , Lak Shin Jeong , Jin Lee , Yoon Seok Roh

Background & aims

Metabolic dysfunction-associated steatotic liver (MASLD) progression is driven by chronic inflammation and fibrosis, largely influenced by Kupffer cell (KC) dynamics, particularly replenishment of pro-inflammatory monocyte-derived KCs (MoKCs) due to increased death of embryo-derived KCs. Adenosine A3 receptor (A3AR) plays a key role in regulating metabolism and immune responses, making it a promising therapeutic target. This study aimed to investigate the impact of selective A3AR antagonism for regulation of replenished MoKCs, thereby improving MASLD.

Approach & results

A3AR expression was significantly elevated in KCs from both patients with MASLD and fast-food diet (FFD)-fed mice. A3AR knockout (KO) mice displayed marked improvements in hepatic inflammation and fibrosis along with a reduction in CLEC4F-positive KCs. The spatial transcriptomics of these KCs revealed disrupted mitochondrial integrity, increased oxidative stress, and enhanced cell death due to A3AR deletion. Similarly, in vivo FM101 treatment, a highly potent and selective antagonist of A3AR with a truncated 4′-thioadenosine structure, mitigated FFD-induced MASLD in mice. Mechanistically, FM101 induces β-arrestin2-mediated A3AR degradation, leading to mitochondrial dysfunction-mediated necroptosis in KCs. Consistently, A3AR was highly expressed in monocyte-derived macrophages in MASLD patients, with strong correlations with macrophage activation and monocyte chemoattractant gene sets. Thus, FM101 induced necroptosis in pro-inflammatory MoKCs, facilitating anti-inflammatory effects.

Conclusions

This study demonstrated that inhibiting A3AR via FM101 or genetic deletion alleviates MASLD by inducing mitochondrial dysfunction and subsequent necroptosis in MoKCs, establishing FM101 as a promising therapeutic strategy for MASLD.
背景与目的:代谢功能障碍相关的脂肪变性肝(MASLD)的进展是由慢性炎症和纤维化驱动的,在很大程度上受到KC动力学的影响,特别是由于胚胎源性KCs死亡增加而导致的促炎单核细胞源性KCs (MoKCs)的补充。腺苷A3受体(Adenosine A3 receptor, A3AR)在调节机体代谢和免疫应答中起着关键作用,是一个很有前景的治疗靶点。本研究旨在探讨选择性A3AR拮抗剂对补充的MoKCs调控的影响,从而改善MASLD。方法与结果:在MASLD患者和快餐饮食(FFD)喂养小鼠的KCs中,A3AR表达均显著升高。A3AR敲除(KO)小鼠显示肝脏炎症和纤维化的显著改善,同时clec4f阳性KCs的减少。这些KCs的空间转录组学显示,由于A3AR缺失,线粒体完整性被破坏,氧化应激增加,细胞死亡增加。同样,体内治疗FM101,一种具有截断4'-硫腺苷结构的A3AR的高效选择性拮抗剂,减轻了ffd诱导的小鼠MASLD。在机制上,FM101诱导β-阻滞蛋白2介导的A3AR降解,导致线粒体功能障碍介导的KCs坏死。与此一致的是,A3AR在MASLD患者的单核细胞源性巨噬细胞中高度表达,与巨噬细胞活化和单核细胞趋化基因集密切相关。因此,FM101诱导促炎MoKCs的坏死下垂,促进抗炎作用。结论:本研究表明,通过FM101或基因缺失抑制A3AR可通过诱导MoKCs线粒体功能障碍和随后的坏死性坏死来缓解MASLD,从而证明FM101是一种有前景的MASLD治疗策略。
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引用次数: 0
Retraction notice “to Loss of mitochondrial adaptation associates with deterioration of mitochondrial turnover and structure in metabolic dysfunction-associated steatotic liver disease” [Metabolism 151 (2024) 155762] “线粒体适应性丧失与代谢功能障碍相关的脂肪变性肝病的线粒体转换和结构恶化有关”[Metabolism, 151(2024): 155762]。
IF 10.8 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-12-24 DOI: 10.1016/j.metabol.2024.156107
Theresia Sarabhai , Sabine Kahl , Sofiya Gancheva , Lucia Mastrototaro , Bedair Dewidar , Dominik Pesta , Jacqueline M. Ratter-Rieck , Pavel Bobrov , Kay Jeruschke , Irene Esposito , Matthias Schlensak , Michael Roden
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引用次数: 0
Effect of glucagon-like peptide-1 receptor agonists and co-agonists on body composition: Systematic review and network meta-analysis 胰高血糖素样肽-1受体激动剂和协同激动剂对机体组成的影响:系统综述和网络荟萃分析。
IF 10.8 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-12-22 DOI: 10.1016/j.metabol.2024.156113
Paschalis Karakasis , Dimitrios Patoulias , Nikolaos Fragakis , Christos S. Mantzoros

Background and aims

While glucagon-like peptide-1 receptor agonists (GLP-1RAs) effectively reduce body weight, their impact on lean mass remains uncertain. This meta-analysis evaluated the effects of GLP-1RAs and GLP-1/GIP receptor dual agonists (GLP-1/GIP-RAs) on body composition, focusing on total weight, fat mass, and lean mass in adults with diabetes and/or overweight/obesity.

Methods

A systematic search of Medline, Embase, and the Cochrane Library was conducted through November 12, 2024. Data were analyzed using random-effects pairwise and network meta-analyses to compare interventions with placebo or active comparators.

Results

Twenty-two randomized controlled trials (2258 participants) were included. GLP-1RAs significantly reduced total body weight (MD -3.55 kg, 95 %-CI [−4.81, −2.29]), fat mass (MD -2.95 kg, 95 %-CI [−4.11, −1.79]), and lean mass (MD -0.86 kg, 95 %-CI [−1.30, −0.42]), with lean mass loss comprising approximately 25 % of the total weight loss. However, the relative lean mass, defined as percentage change from baseline, was unaffected. Liraglutide, at 3.0 mg weekly or 1.8 mg daily, was the only GLP-1RA to achieve significant weight reduction without significantly reducing lean mass. Tirzepatide (15 mg weekly) and semaglutide (2.4 mg weekly) were the most effective for weight and fat mass reduction but were among the least effective in preserving lean mass.

Conclusions

Potent GLP-1 RAs, such as tirzepatide and semaglutide, demonstrate greater overall weight loss but are associated with a significant reduction in lean mass.
背景和目的:虽然胰高血糖素样肽-1受体激动剂(GLP-1RAs)能有效减轻体重,但其对瘦体重的影响尚不确定。本荟萃分析评估了GLP-1RAs和GLP-1/GIP受体双激动剂(GLP-1/GIP- ras)对身体组成的影响,重点关注糖尿病和/或超重/肥胖成人的总体重、脂肪质量和瘦质量。方法:系统检索Medline、Embase和Cochrane图书馆,检索时间截止到2024年11月12日。数据分析采用随机效应两两和网络荟萃分析来比较干预措施与安慰剂或活性比较物。结果:纳入22项随机对照试验(2258名受试者)。GLP-1RAs显著降低了总体重(MD -3.55 kg, 95 %-CI[-4.81, -2.29])、脂肪量(MD -2.95 kg, 95 %-CI[-4.11, -1.79])和瘦体重(MD -0.86 kg, 95 %-CI[-1.30, -0.42]),瘦体重损失约占总体重损失的25% %。然而,相对瘦质量,定义为从基线变化的百分比,不受影响。利拉鲁肽,3.0 mg /周或1.8 mg /天,是唯一的GLP-1RA在没有显著降低瘦质量的情况下实现显著体重减轻。替西帕肽(每周15 毫克)和西马鲁肽(每周2.4 毫克)对减轻体重和脂肪质量最有效,但在保持瘦体重方面效果最差。结论:有效的GLP-1 RAs,如替西帕肽和西马鲁肽,显示出更大的总体体重减轻,但与瘦体重的显著减少有关。
{"title":"Effect of glucagon-like peptide-1 receptor agonists and co-agonists on body composition: Systematic review and network meta-analysis","authors":"Paschalis Karakasis ,&nbsp;Dimitrios Patoulias ,&nbsp;Nikolaos Fragakis ,&nbsp;Christos S. Mantzoros","doi":"10.1016/j.metabol.2024.156113","DOIUrl":"10.1016/j.metabol.2024.156113","url":null,"abstract":"<div><h3>Background and aims</h3><div>While glucagon-like peptide-1 receptor agonists (GLP-1RAs) effectively reduce body weight, their impact on lean mass remains uncertain. This meta-analysis evaluated the effects of GLP-1RAs and GLP-1/GIP receptor dual agonists (GLP-1/GIP-RAs) on body composition, focusing on total weight, fat mass, and lean mass in adults with diabetes and/or overweight/obesity.</div></div><div><h3>Methods</h3><div>A systematic search of Medline, Embase, and the Cochrane Library was conducted through November 12, 2024. Data were analyzed using random-effects pairwise and network meta-analyses to compare interventions with placebo or active comparators.</div></div><div><h3>Results</h3><div>Twenty-two randomized controlled trials (2258 participants) were included. GLP-1RAs significantly reduced total body weight (MD -3.55 kg, 95 %-CI [−4.81, −2.29]), fat mass (MD -2.95 kg, 95 %-CI [−4.11, −1.79]), and lean mass (MD -0.86 kg, 95 %-CI [−1.30, −0.42]), with lean mass loss comprising approximately 25 % of the total weight loss. However, the relative lean mass, defined as percentage change from baseline, was unaffected. Liraglutide, at 3.0 mg weekly or 1.8 mg daily, was the only GLP-1RA to achieve significant weight reduction without significantly reducing lean mass. Tirzepatide (15 mg weekly) and semaglutide (2.4 mg weekly) were the most effective for weight and fat mass reduction but were among the least effective in preserving lean mass.</div></div><div><h3>Conclusions</h3><div>Potent GLP-1 RAs, such as tirzepatide and semaglutide, demonstrate greater overall weight loss but are associated with a significant reduction in lean mass.</div></div>","PeriodicalId":18694,"journal":{"name":"Metabolism: clinical and experimental","volume":"164 ","pages":"Article 156113"},"PeriodicalIF":10.8,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
NRH, a potent NAD+ enhancer, improves glucose homeostasis and lipid metabolism in diet-induced obese mice through an active adenosine kinase pathway NRH是一种有效的NAD+增强剂,通过活跃的腺苷激酶途径改善饮食诱导的肥胖小鼠的葡萄糖稳态和脂质代谢。
IF 10.8 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-12-20 DOI: 10.1016/j.metabol.2024.156110
Xinliu Zeng , Yongjie Wang , Karina Farias , Andrew Rappa , Christine Darko , Anthony Sauve , Qingxia Huang , Laura C. Alonso , Yue Yang

Aims

NAD+ deficiency underlies obesity-induced metabolic disturbances. This study evaluated dihydronicotinamide riboside (NRH), a potent NAD+ enhancer, in lean and obese mice and explored whether NRH operates through a unique mechanism involving adenosine kinase (ADK), an enzyme critical for NRH-driven NAD+ synthesis.

Methods

Pharmacokinetic and pharmacodynamic analyses were performed following a single 250 mg/kg intraperitoneal injection of NRH in healthy mice. In long-term studies, lean and high-fat diet-induced obese mice were treated with 250 mg/kg NRH thrice weekly for 7 weeks. Blood NAD+ levels, body composition, energy expenditure, and glucose and lipid metabolism were monitored. To test ADK's role, the ADK inhibitor ABT702 was co-administered with NRH in obese mice.

Results

NRH entered tissues unassisted and was rapidly metabolized for NAD+ biosynthesis, while ADK inhibition blocked its phosphorylation, leading to NRH accumulation in all examined tissues and possible release back into circulation. The 7-week NRH administration was well-tolerated in both lean and obese mice. In obese mice, NRH improved glucose homeostasis by boosting insulin secretion, enhancing muscle insulin signaling, and reducing hepatic gluconeogenesis. It also lowered fat mass, decreased serum lipids, and improved white adipose function. These benefits were linked to elevated tissue NAD+ levels, enhanced Sirtuin activities, and increased mitochondrial antioxidant defenses. ADK inhibition abolished these effects, confirming that NRH's direct entry into tissues and subsequent phosphorylation is essential for its full benefits.

Conclusion

This study establishes NRH as a promising therapeutic agent for obesity-induced metabolic dysfunction, correcting glucose intolerance and hyperlipidemia through ADK-dependent NAD+ enhancement.
目的:NAD+缺乏是肥胖引起的代谢紊乱的基础。本研究评估了瘦小鼠和肥胖小鼠的二氢烟酰胺核苷(NRH),一种有效的NAD+增强剂,并探讨了NRH是否通过一种涉及腺苷激酶(ADK)的独特机制起作用,腺苷激酶是一种对NRH驱动的NAD+合成至关重要的酶。方法:健康小鼠单次腹腔注射250 mg/kg NRH,进行药代动力学和药效学分析。在长期研究中,瘦和高脂肪饮食诱导的肥胖小鼠每周三次接受250 mg/kg NRH治疗,持续7 周。监测血液NAD+水平、身体成分、能量消耗和糖脂代谢。为了测试ADK的作用,在肥胖小鼠中,ADK抑制剂ABT702与NRH共同给药。结果:NRH在没有辅助的情况下进入组织并被快速代谢为NAD+生物合成,而ADK抑制阻止其磷酸化,导致NRH在所有被检测组织中积累并可能释放回循环。7周的NRH给药在瘦小鼠和肥胖小鼠中均具有良好的耐受性。在肥胖小鼠中,NRH通过促进胰岛素分泌、增强肌肉胰岛素信号和减少肝脏糖异生来改善葡萄糖稳态。它还能降低脂肪量,降低血清脂质,改善白色脂肪功能。这些益处与组织NAD+水平升高、Sirtuin活性增强和线粒体抗氧化防御能力增强有关。ADK抑制消除了这些影响,证实了NRH直接进入组织并随后磷酸化对其全部益处至关重要。结论:本研究确定了NRH是一种有前景的治疗肥胖诱导代谢功能障碍的药物,通过adk依赖性的NAD+增强来纠正葡萄糖耐受不良和高脂血症。
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引用次数: 0
NORAD exacerbates metabolic dysfunction-associated steatotic liver disease development via the miR-511-3p/Rock2 axis and inhibits ubiquitin-mediated degradation of ROCK2 NORAD通过miR-511-3p/Rock2轴加剧代谢功能障碍相关的脂肪变性肝病的发展,并抑制泛素介导的Rock2降解。
IF 10.8 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-12-20 DOI: 10.1016/j.metabol.2024.156111
Xu Zhang , Tianxing Chen , Zhenhan Li , Lingfeng Wan , Zhihang Zhou , Ying Xu , Dong Yan , Wei Zhao , Hao Chen

Background & aims

Abnormal regulation of lncRNA is strongly linked to metabolic dysfunction-associated steatotic liver disease (MASLD). However, the precise molecular mechanisms remain unclear. This study explores the roles of noncoding RNA activated by DNA damage (NORAD)/miR-511-3p/Rho-associated protein kinase 2 (Rock2) axis and the NORAD/ROCK2 interaction in the development of MASLD.

Methods

In vitro and in vivo models of MASLD were created using high-fat diet-fed mice and free fatty acid (FFA)-treated hepatocytes. To examine the relationships between NORAD, miR-511-3p, and ROCK2, we employed bioinformatics, luciferase assays, RNA immunoprecipitation, and biotinylated NORAD pull-down assays. MASLD progression was assessed based on food intake, energy expenditure, insulin resistance, hepatic steatosis, inflammation, white fat growth, and liver fibrosis.

Results

NORAD and ROCK2 were upregulated, while miR-511-3p was downregulated in MASLD liver tissues and FFA-treated hepatocytes. Mechanistically, NORAD competitively interacted with miR-511-3p to modulate Rock2 mRNA expression, and directly stabilized ROCK2 protein by abrogating its ubiquitination degradation. Functionally, liver-specific knockdown of NORAD or overexpression of miR-511-3p significantly slowed MASLD progression. Overexpression of NORAD or ROCK2 partially reversed miR-511-3p-induced inhibition of MASLD. Additionally, ROCK2 knockdown attenuated NORAD-induced worsening of MASLD. Moreover, overexpressing NORAD or ROCK2 or interfering miR-511-3p influenced resmetirom treatment to suppress MASLD development. Finally, metabolic changes in liver driven by the NORAD/miR-511-3p/Rock2 axis and NORAD/ROCK2 interaction also influenced white adipose growth, pancreatic β-cell dedifferentiation, and liver fibrosis.

Conclusions

The NORAD/miR-511-3p/Rock2 axis and the NORAD/ROCK2 interaction play critical roles in MASLD progression, identifying potential therapeutic targets for its treatment.
背景与目的:长链非编码rna的异常表达与代谢功能障碍相关的脂肪变性肝病(MASLD)密切相关。然而,确切的分子机制尚不清楚。本研究探讨了DNA损伤激活的非编码RNA (NORAD)/miR-511-3p/ rho相关蛋白激酶2 (Rock2)轴和NORAD/ Rock2相互作用在MASLD发展中的作用。方法:采用高脂饲料喂养小鼠和游离脂肪酸(FFA)处理的肝细胞建立MASLD体外和体内模型。为了检验NORAD、miR-511-3p和ROCK2之间的关系,我们采用了生物信息学、荧光素酶测定、RNA免疫沉淀和生物素化NORAD拉下测定。根据食物摄入、能量消耗、胰岛素抵抗、肝脂肪变性、炎症、白色脂肪生长和肝纤维化来评估MASLD的进展。结果:在MASLD肝组织和fa处理的肝细胞中,NORAD和ROCK2上调,miR-511-3p下调。在机制上,NORAD与miR-511-3p竞争性地相互作用以调节Rock2 mRNA的表达,并通过消除其泛素化降解直接稳定Rock2蛋白。功能上,肝脏特异性敲低NORAD或过表达miR-511-3p可显著减缓MASLD的进展。NORAD或ROCK2的过表达部分逆转了mir -511-3p诱导的MASLD抑制。此外,ROCK2的敲除可以减轻norad引起的MASLD恶化。此外,过表达NORAD或ROCK2或干扰miR-511-3p会影响resmetin治疗抑制MASLD的发展。最后,由NORAD/miR-511-3p/Rock2轴和NORAD/ Rock2相互作用驱动的肝脏代谢变化也影响白色脂肪生长、胰腺β细胞去分化和肝纤维化。结论:NORAD/miR-511-3p/Rock2轴和NORAD/ Rock2相互作用在MASLD进展中发挥关键作用,确定其治疗的潜在治疗靶点。
{"title":"NORAD exacerbates metabolic dysfunction-associated steatotic liver disease development via the miR-511-3p/Rock2 axis and inhibits ubiquitin-mediated degradation of ROCK2","authors":"Xu Zhang ,&nbsp;Tianxing Chen ,&nbsp;Zhenhan Li ,&nbsp;Lingfeng Wan ,&nbsp;Zhihang Zhou ,&nbsp;Ying Xu ,&nbsp;Dong Yan ,&nbsp;Wei Zhao ,&nbsp;Hao Chen","doi":"10.1016/j.metabol.2024.156111","DOIUrl":"10.1016/j.metabol.2024.156111","url":null,"abstract":"<div><h3>Background &amp; aims</h3><div>Abnormal regulation of lncRNA is strongly linked to metabolic dysfunction-associated steatotic liver disease (MASLD). However, the precise molecular mechanisms remain unclear. This study explores the roles of noncoding RNA activated by DNA damage (NORAD)/miR-511-3p/Rho-associated protein kinase 2 (<em>Rock2</em>) axis and the NORAD/ROCK2 interaction in the development of MASLD.</div></div><div><h3>Methods</h3><div><em>In vitro</em> and <em>in vivo</em> models of MASLD were created using high-fat diet-fed mice and free fatty acid (FFA)-treated hepatocytes. To examine the relationships between NORAD, miR-511-3p, and ROCK2, we employed bioinformatics, luciferase assays, RNA immunoprecipitation, and biotinylated NORAD pull-down assays. MASLD progression was assessed based on food intake, energy expenditure, insulin resistance, hepatic steatosis, inflammation, white fat growth, and liver fibrosis.</div></div><div><h3>Results</h3><div>NORAD and ROCK2 were upregulated, while miR-511-3p was downregulated in MASLD liver tissues and FFA-treated hepatocytes. Mechanistically, NORAD competitively interacted with miR-511-3p to modulate <em>Rock2</em> mRNA expression, and directly stabilized ROCK2 protein by abrogating its ubiquitination degradation. Functionally, liver-specific knockdown of NORAD or overexpression of miR-511-3p significantly slowed MASLD progression. Overexpression of NORAD or ROCK2 partially reversed miR-511-3p-induced inhibition of MASLD. Additionally, ROCK2 knockdown attenuated NORAD-induced worsening of MASLD. Moreover, overexpressing NORAD or ROCK2 or interfering miR-511-3p influenced resmetirom treatment to suppress MASLD development. Finally, metabolic changes in liver driven by the NORAD/miR-511-3p/<em>Rock2</em> axis and NORAD/ROCK2 interaction also influenced white adipose growth, pancreatic β-cell dedifferentiation, and liver fibrosis.</div></div><div><h3>Conclusions</h3><div>The NORAD/miR-511-3p/<em>Rock2</em> axis and the NORAD/ROCK2 interaction play critical roles in MASLD progression, identifying potential therapeutic targets for its treatment.</div></div>","PeriodicalId":18694,"journal":{"name":"Metabolism: clinical and experimental","volume":"164 ","pages":"Article 156111"},"PeriodicalIF":10.8,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Shared genetic architecture of type 2 diabetes with muscle mass and function and frailty reveals comorbidity etiology and pleiotropic druggable targets 2型糖尿病与肌肉质量、功能和虚弱的共同遗传结构揭示了共病病因和多效药物靶点。
IF 10.8 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-12-20 DOI: 10.1016/j.metabol.2024.156112
Chun Dou , Dong Liu , Lijie Kong, Mingling Chen, Chaojie Ye, Zheng Zhu, Jie Zheng, Min Xu, Yu Xu, Mian Li, Zhiyun Zhao, Jieli Lu, Yuhong Chen, Guang Ning, Weiqing Wang, Yufang Bi, Tiange Wang

Background

Delineating the shared genetic architecture of type 2 diabetes with muscle mass and function and frailty is essential for unraveling the common etiology and developing holistic therapeutic strategies for these co-existing conditions.

Methods

In this genome-wide pleiotropic association study, we performed multi-level pairwise trait pleiotropic analyses using genome-wide association study summary statistics from up to 461,026 European ancestry individuals to dissect the shared genetic factors and causal relationships of type 2 diabetes and seven glycemic traits with four muscle mass- and function-related phenotypes and the frailty index.

Results

We first identified 27 pairs with significant genetic correlations through the linkage disequilibrium score regression and high-definition likelihood analysis. Then we determined 79 pleiotropic loci and 109 pleiotropic genes across linkage pairs via the pleiotropic analysis under the composite null hypothesis (PLACO), the colocalization, and the Multi-marker Analysis of GenoMic Annotation (MAGMA) analyses. We subsequently performed transcriptome-wide association study (TWAS) analyses using joint-tissue imputation, refined by gene-based integrative fine-mapping through a conditional TWAS approach, and identified 44 unique causal shared genes across 13 tissues in linkage pairs, including eight druggable genes (ABO, AOC1, FTO, GCKR, MTOR, POLK, PPARG, and APEH), with MTOR and PPARG categorized as clinically actionable. Two-sample Mendelian randomization analysis supported bidirectional causality between diabetes and frailty index and unidirectional causal effects of muscle phenotypes on glycemic profiles.

Conclusions

Our findings highlight the common genetic underpinnings between type 2 diabetes and muscle loss and frailty and inform drug targets with pleiotropic effects on both of these aging-related challenges.
背景:描述具有肌肉量、功能和虚弱的2型糖尿病的共同遗传结构对于揭示共同病因和制定针对这些共存疾病的整体治疗策略至关重要。方法:在这项全基因组多效性关联研究中,我们使用多达461,026名欧洲血统个体的全基因组关联研究汇总统计数据进行了多效性性状的多效性分析,以剖析2型糖尿病和7种血糖性状与4种肌肉质量和功能相关表型以及脆弱指数的共同遗传因素和因果关系。结果:通过连锁不平衡评分回归和高清晰度似然分析,首次鉴定出27对具有显著遗传相关性的亲本。通过复合零假设多效性分析(PLACO)、共定位和基因组注释多标记分析(MAGMA)分析,确定了79个多效性位点和109个多效性基因。随后,我们使用关节组织植入进行了转录组全关联研究(TWAS)分析,并通过条件TWAS方法通过基于基因的整合精细定位进行了改进,确定了13个组织中44个独特的因果共享基因,包括8个可药物基因(ABO、AOC1、FTO、GCKR、MTOR、POLK、PPARG和APFH),其中MTOR和PPARG被归类为临床可操作基因。双样本孟德尔随机化分析支持糖尿病与虚弱指数之间的双向因果关系以及肌肉表型对血糖谱的单向因果关系。结论:我们的研究结果强调了2型糖尿病与肌肉损失和虚弱之间的共同遗传基础,并为针对这两种衰老相关挑战具有多效性作用的药物靶点提供了信息。
{"title":"Shared genetic architecture of type 2 diabetes with muscle mass and function and frailty reveals comorbidity etiology and pleiotropic druggable targets","authors":"Chun Dou ,&nbsp;Dong Liu ,&nbsp;Lijie Kong,&nbsp;Mingling Chen,&nbsp;Chaojie Ye,&nbsp;Zheng Zhu,&nbsp;Jie Zheng,&nbsp;Min Xu,&nbsp;Yu Xu,&nbsp;Mian Li,&nbsp;Zhiyun Zhao,&nbsp;Jieli Lu,&nbsp;Yuhong Chen,&nbsp;Guang Ning,&nbsp;Weiqing Wang,&nbsp;Yufang Bi,&nbsp;Tiange Wang","doi":"10.1016/j.metabol.2024.156112","DOIUrl":"10.1016/j.metabol.2024.156112","url":null,"abstract":"<div><h3>Background</h3><div>Delineating the shared genetic architecture of type 2 diabetes with muscle mass and function and frailty is essential for unraveling the common etiology and developing holistic therapeutic strategies for these co-existing conditions.</div></div><div><h3>Methods</h3><div>In this genome-wide pleiotropic association study, we performed multi-level pairwise trait pleiotropic analyses using genome-wide association study summary statistics from up to 461,026 European ancestry individuals to dissect the shared genetic factors and causal relationships of type 2 diabetes and seven glycemic traits with four muscle mass- and function-related phenotypes and the frailty index.</div></div><div><h3>Results</h3><div>We first identified 27 pairs with significant genetic correlations through the linkage disequilibrium score regression and high-definition likelihood analysis. Then we determined 79 pleiotropic loci and 109 pleiotropic genes across linkage pairs via the pleiotropic analysis under the composite null hypothesis (PLACO), the colocalization, and the Multi-marker Analysis of GenoMic Annotation (MAGMA) analyses. We subsequently performed transcriptome-wide association study (TWAS) analyses using joint-tissue imputation, refined by gene-based integrative fine-mapping through a conditional TWAS approach, and identified 44 unique causal shared genes across 13 tissues in linkage pairs, including eight druggable genes (<em>ABO</em>, <em>AOC1</em>, <em>FTO</em>, <em>GCKR</em>, <em>MTOR</em>, <em>POLK</em>, <em>PPARG</em>, and <em>APEH</em>), with <em>MTOR</em> and <em>PPARG</em> categorized as clinically actionable. Two-sample Mendelian randomization analysis supported bidirectional causality between diabetes and frailty index and unidirectional causal effects of muscle phenotypes on glycemic profiles.</div></div><div><h3>Conclusions</h3><div>Our findings highlight the common genetic underpinnings between type 2 diabetes and muscle loss and frailty and inform drug targets with pleiotropic effects on both of these aging-related challenges.</div></div>","PeriodicalId":18694,"journal":{"name":"Metabolism: clinical and experimental","volume":"164 ","pages":"Article 156112"},"PeriodicalIF":10.8,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
PRR14 mediates mechanotransduction and regulates myofiber identity via MEF2C in skeletal muscle PRR14在骨骼肌中通过MEF2C介导机械转导并调节肌纤维身份。
IF 10.8 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-12-18 DOI: 10.1016/j.metabol.2024.156109
Mei Yang , Jiajie Wang , Zhongyue Liu , Zhihong Li
Skeletal muscle is a crucial tissue for physical activity and energy metabolism. Muscle atrophy, characterized by the loss of muscle mass and strength, contributes to adverse outcomes among individuals. This study elucidated the involvement of the nuclear lamina component PRR14 in transmitting mechanical signals and mediating the impact of exercise on skeletal muscle. The expression of PRR14 demonstrated a positive correlation with exercise, while a decline in adult skeletal muscle is evident in disuse muscle conditions. Genetically, multiple single nucleotide polymorphisms (SNPs) within PRR14's genomic locus were linked with muscle mass and function. Specific knockout (KO) of skeletal muscle Prr14 in mice lead to muscle atrophy, validating the genetic association. By employing biochemical analysis and high-throughput sequencing techniques, including transcriptome profile and epigenome investigations such as Cleavage Under Targets and Tagmentation sequencing (CUT&Tag-seq) and Transposase-Accessible Chromatin sequencing (ATAC-seq), we discovered that PRR14's deficiency altered chromatin structure, regulated MEF2C's activity, and disrupted myofiber identity maintenance, ultimately causing muscle atrophy. Our finding highlights the crucial role of PRR14 in mechanotransduction and epigenetic regulation, offering new therapeutic avenues for skeletal muscle pathologies related to these mechanisms.
骨骼肌是身体活动和能量代谢的重要组织。肌肉萎缩,其特征是肌肉质量和力量的损失,有助于个人的不良后果。本研究阐明了核层成分PRR14参与传递机械信号和介导运动对骨骼肌的影响。PRR14的表达与运动呈正相关,而在废用肌肉状态下,成人骨骼肌的下降很明显。遗传上,PRR14基因组位点内的多个单核苷酸多态性(snp)与肌肉质量和功能有关。小鼠骨骼肌Prr14的特异性敲除(KO)导致肌肉萎缩,证实了遗传关联。通过生化分析和高通量测序技术,包括转录组谱和表观基因组研究,如靶下切割和标记测序(CUT&Tag-seq)和转座酶可及染色质测序(ATAC-seq),我们发现PRR14的缺失改变了染色质结构,调节了MEF2C的活性,破坏了肌纤维的身份维持,最终导致肌肉萎缩。我们的发现强调了PRR14在机械转导和表观遗传调控中的关键作用,为与这些机制相关的骨骼肌病变提供了新的治疗途径。
{"title":"PRR14 mediates mechanotransduction and regulates myofiber identity via MEF2C in skeletal muscle","authors":"Mei Yang ,&nbsp;Jiajie Wang ,&nbsp;Zhongyue Liu ,&nbsp;Zhihong Li","doi":"10.1016/j.metabol.2024.156109","DOIUrl":"10.1016/j.metabol.2024.156109","url":null,"abstract":"<div><div>Skeletal muscle is a crucial tissue for physical activity and energy metabolism. Muscle atrophy, characterized by the loss of muscle mass and strength, contributes to adverse outcomes among individuals. This study elucidated the involvement of the nuclear lamina component PRR14 in transmitting mechanical signals and mediating the impact of exercise on skeletal muscle. The expression of PRR14 demonstrated a positive correlation with exercise, while a decline in adult skeletal muscle is evident in disuse muscle conditions. Genetically, multiple single nucleotide polymorphisms (SNPs) within PRR14's genomic locus were linked with muscle mass and function. Specific knockout (KO) of skeletal muscle Prr14 in mice lead to muscle atrophy, validating the genetic association. By employing biochemical analysis and high-throughput sequencing techniques, including transcriptome profile and epigenome investigations such as Cleavage Under Targets and Tagmentation sequencing (CUT&amp;Tag-seq) and Transposase-Accessible Chromatin sequencing (ATAC-seq), we discovered that PRR14's deficiency altered chromatin structure, regulated MEF2C's activity, and disrupted myofiber identity maintenance, ultimately causing muscle atrophy. Our finding highlights the crucial role of PRR14 in mechanotransduction and epigenetic regulation, offering new therapeutic avenues for skeletal muscle pathologies related to these mechanisms.</div></div>","PeriodicalId":18694,"journal":{"name":"Metabolism: clinical and experimental","volume":"164 ","pages":"Article 156109"},"PeriodicalIF":10.8,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HDAC6 mediates NLRP3 inflammasome activation in the pathogenesis of diabetic retinopathy HDAC6介导NLRP3炎性体激活参与糖尿病视网膜病变的发病机制。
IF 10.8 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-12-15 DOI: 10.1016/j.metabol.2024.156108
Jun-Sik Kim , Jae Hyun Jun , Jeongmi Lee , Sunyoung Park , Eunae Kim , Su Jung Hwang , Heesu Moon , Seung Hyun Baek , Hark Kyun Kim , Jinsu Park , Yoonsuk Cho , Jihoon Han , Chanhee Kim , Jongho Kim , Hyun-Mo Yang , Changsik Lee , Yeonseok Chung , Hyo-Jong Lee , Dong-Gyu Jo

Background

Diabetic retinopathy (DR), a major blindness cause in developed countries, is intricately linked to diabetes management and its duration. Here, we demonstrate that HDAC6 mediates NLRP3 inflammasome activation under diabetic conditions, leading to retinal inflammation and degeneration.

Methods

This study demonstrated the therapeutic effects of HDAC6 genetic ablation, pharmacological inhibition, and HDAC6-deficient bone marrow transplantation in a diabetes model induced by streptozotocin and a high-fat diet. The therapeutic potential was evaluated from a metabolic perspective, including ocular pathologies such as retinal lesions, neovascularization, and vascular leakage.

Results

We discovered that inhibition or genetic ablation of HDAC6 markedly alleviates DR symptoms by dampening NLRP3 inflammasome activation and mitigating retinal damage. Moreover, bone marrow transplantation from HDAC6-deficient mice into wild-type counterparts reversed DR symptoms, underscoring the significance of HDAC6 in systemic immune regulation. The study introduces a novel HDAC6 inhibitor, noted for superior bioavailability and blood-retinal barrier permeability, further highlights the therapeutic promise of targeting HDAC6 in DR.

Conclusions

Our findings not only underscore the crucial role of HDAC6 in the immune regulatory mechanisms underlying DR pathogenesis through NLRP3 inflammasome activation but also position HDAC6 inhibition as a promising strategy for addressing diabetic complications beyond DR.
背景:糖尿病视网膜病变(DR)是发达国家的一个主要致盲原因,与糖尿病管理及其病程密切相关。在这里,我们证明了HDAC6在糖尿病条件下介导NLRP3炎性体激活,导致视网膜炎症和变性。方法:本研究证实了HDAC6基因消融、药物抑制和HDAC6缺失骨髓移植对链脲佐菌素和高脂饮食诱导的糖尿病模型的治疗作用。从代谢角度评估治疗潜力,包括视网膜病变、新生血管和血管渗漏等眼部病变。结果:我们发现抑制或基因消融HDAC6可通过抑制NLRP3炎性体激活和减轻视网膜损伤显著缓解DR症状。此外,将HDAC6缺陷小鼠的骨髓移植到野生型小鼠中,可以逆转DR症状,强调HDAC6在全身免疫调节中的重要性。结论:我们的研究结果不仅强调了HDAC6通过NLRP3炎性体激活在DR发病机制的免疫调节机制中发挥的关键作用,而且将HDAC6抑制作为解决DR以外糖尿病并发症的一种有希望的策略。
{"title":"HDAC6 mediates NLRP3 inflammasome activation in the pathogenesis of diabetic retinopathy","authors":"Jun-Sik Kim ,&nbsp;Jae Hyun Jun ,&nbsp;Jeongmi Lee ,&nbsp;Sunyoung Park ,&nbsp;Eunae Kim ,&nbsp;Su Jung Hwang ,&nbsp;Heesu Moon ,&nbsp;Seung Hyun Baek ,&nbsp;Hark Kyun Kim ,&nbsp;Jinsu Park ,&nbsp;Yoonsuk Cho ,&nbsp;Jihoon Han ,&nbsp;Chanhee Kim ,&nbsp;Jongho Kim ,&nbsp;Hyun-Mo Yang ,&nbsp;Changsik Lee ,&nbsp;Yeonseok Chung ,&nbsp;Hyo-Jong Lee ,&nbsp;Dong-Gyu Jo","doi":"10.1016/j.metabol.2024.156108","DOIUrl":"10.1016/j.metabol.2024.156108","url":null,"abstract":"<div><h3>Background</h3><div>Diabetic retinopathy (DR), a major blindness cause in developed countries, is intricately linked to diabetes management and its duration. Here, we demonstrate that HDAC6 mediates NLRP3 inflammasome activation under diabetic conditions, leading to retinal inflammation and degeneration.</div></div><div><h3>Methods</h3><div>This study demonstrated the therapeutic effects of HDAC6 genetic ablation, pharmacological inhibition, and HDAC6-deficient bone marrow transplantation in a diabetes model induced by streptozotocin and a high-fat diet. The therapeutic potential was evaluated from a metabolic perspective, including ocular pathologies such as retinal lesions, neovascularization, and vascular leakage.</div></div><div><h3>Results</h3><div>We discovered that inhibition or genetic ablation of HDAC6 markedly alleviates DR symptoms by dampening NLRP3 inflammasome activation and mitigating retinal damage. Moreover, bone marrow transplantation from HDAC6-deficient mice into wild-type counterparts reversed DR symptoms, underscoring the significance of HDAC6 in systemic immune regulation. The study introduces a novel HDAC6 inhibitor, noted for superior bioavailability and blood-retinal barrier permeability, further highlights the therapeutic promise of targeting HDAC6 in DR.</div></div><div><h3>Conclusions</h3><div>Our findings not only underscore the crucial role of HDAC6 in the immune regulatory mechanisms underlying DR pathogenesis through NLRP3 inflammasome activation but also position HDAC6 inhibition as a promising strategy for addressing diabetic complications beyond DR.</div></div>","PeriodicalId":18694,"journal":{"name":"Metabolism: clinical and experimental","volume":"164 ","pages":"Article 156108"},"PeriodicalIF":10.8,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
期刊
Metabolism: clinical and experimental
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