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Introduction: Transition Metals and Sulfur. 简介:过渡金属和硫。
Pub Date : 2020-03-23 DOI: 10.1515/9783110589757-007
Martha E Sosa Torres, Peter M H Kroneck

The number of transition metal ions which are essential to life - also often called trace elements - increased steadily over the years. In parallel, the list of biological functions in which transition metals are involved, has grown, and is still growing tremendously. Significant progress has been made in understanding the chemistry operating at the biological sites where metal ions have been discovered. Early on, based on the application of physical, chemical, and biological techniques, it became likely that numerous of these metal centers carry sulfur ligands in their coordination sphere, such as sulfide (S2-), cysteine (RS-), or methionine (RSCH3). Notably, the structure and the reactivity of the metal active sites turned out to be quite different from anything previously observed in simple coordination complexes. Consequently, the prediction of active-site structures, based on known properties of transition metal ion complexes, turned out to be difficult and incorrect in many cases. Yet, biomimetic inorganic chemistry, via synthesis and detailed structural and electronic characterization of synthetic analogues, became an important factor and helped to understand the properties of the metal active sites. Striking advances came from molecular biology techniques and protein crystallography, as documented by the publication of the first high-resolution structures of iron-sulfur proteins and the blue copper protein plastocyanin approximately five decades ago. In this volume of METAL IONS IN LIFE SCIENCES the focus will be on some of the most intriguing, in our view, transition metal-sulfur sites discovered in living organisms. These include the type 1 Cu mononuclear center, the purple mixed-valent [Cu1.5+-(Cys)2-Cu1.5+] CuA, the tetranuclear copper-sulfide catalytic center of nitrous oxide reductase, the heme-thiolate site in cytochrome P450, the iron-sulfur proteins with bound inorganic (S2-) and organic (Cys-) sulfur, the pterin dithiolene cofactor (Moco) coordinated to either molybdenum or tungsten, the [8Fe-7S] P-cluster and the [Mo-7Fe-9S-C]-homocitrate catalytic site of nitrogenase, the siroheme-[4Fe-4S] center involved in the reduction of sulfite (SO32-) to hydrogen sulfide (H2S), the NiFeS sites of hydrogenases and CO dehydrogenase, and the zinc finger domains. We apologize to all researchers and their associates who have made tremendous contributions to our current knowledge of the steadily increasing transition metal sulfur sites in proteins and enzymes but are not mentioned here. These omissions are by no means intentional but merely the consequence of time and space. We are fully aware of the excellent books and authoritative reviews on various aspects of the subject, however, it is our motivation to cover in one single volume this exciting domain of bioinorganic chemistry.

对生命至关重要的过渡金属离子(也常被称为微量元素)的数量逐年稳步增加。与此同时,过渡金属所涉及的生物功能也在不断增加,而且还在不断增加。在了解金属离子被发现的生物场所的化学作用方面取得了重大进展。早期,基于物理、化学和生物技术的应用,很可能许多这些金属中心在它们的配位球中携带硫配体,如硫化物(S2-)、半胱氨酸(RS-)或蛋氨酸(RSCH3)。值得注意的是,金属活性位点的结构和反应性与以前在简单配位配合物中观察到的完全不同。因此,在许多情况下,基于已知过渡金属离子配合物性质的活性位点结构预测是困难和不正确的。然而,仿生无机化学,通过合成和详细的结构和电子表征的合成类似物,成为一个重要的因素,并有助于了解金属活性位点的性质。分子生物学技术和蛋白质晶体学取得了惊人的进步,大约50年前,铁硫蛋白和蓝铜蛋白质体青素的第一个高分辨率结构的发表就证明了这一点。在《生命科学中的金属离子》这本书中,重点将放在一些最有趣的,在我们看来,在生物体中发现的过渡金属-硫位点上。其中包括1型Cu单核中心、紫色混合价[Cu1.5+-(Cys)2-Cu1.5+] CuA、氧化亚氮还原酶的四核铜硫催化中心、细胞色素P450中的血红素硫酸盐位点、结合无机(S2-)和有机(Cys-)硫的铁硫蛋白、与钼或钨配合的蝶呤二硫烯辅因子(Moco)、氮酶的[8Fe-7S] p簇和[Mo-7Fe-9S-C]-高柠檬酸盐催化位点。siroheme-[4Fe-4S]中心参与亚硫酸盐(SO32-)还原为硫化氢(H2S)、氢化酶和CO脱氢酶的NiFeS位点以及锌指结构域。我们向所有研究人员和他们的同事道歉,他们为我们目前对蛋白质和酶中稳定增长的过渡金属硫位点的知识做出了巨大贡献,但在这里没有提及。这些遗漏绝不是有意的,而仅仅是时间和空间的结果。我们完全了解该主题各个方面的优秀书籍和权威评论,然而,我们的动机是在一卷中涵盖这一令人兴奋的生物无机化学领域。
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引用次数: 1
The Siroheme-[4Fe-4S] Coupled Center. Siroheme-[4Fe-4S]偶联中心。
Pub Date : 2020-03-23 DOI: 10.1515/9783110589757-016
Isabel Askenasy, M Elizabeth Stroupe

In nature, sulfur exists in a range of oxidation states and the two-electron reduced form is the most commonly found in biomolecules like the sulfur-containing amino acids cysteine and methionine, some cofactors, and polysaccharides. Sulfur is reduced through two pathways: dissimilation, where sulfite (SO2-3) is used as terminal electron acceptor; and assimilation, where sulfite is reduced to sulfide (S2-) for incorporation into biomass. The pathways are independent, but share the sulfite reductase function, in which a single enzyme reduces sulfite by six electrons to make sulfide. With few exceptions, sulfite reductases from either pathway are iron metalloenzymes with structurally diverse configurations that range from monomers to tetramers. The hallmark of sulfite reductase is its catalytic center made of an iron-containing porphyrinoid called siroheme that is covalently coupled to a [4Fe-4S] cluster through a shared cysteine ligand. The substrate evolves through a push-pull mechanism, where electron transfer is coupled to three dehydration steps. Siroheme is an isobacteriochlorin that is more readily oxidized than protoporphyin IX-derived hemes. It is synthesized from uroporphyrinogen III in three steps (methylation, a dehydrogenation, and ferrochelation) that are performed by enzymes with homology to those involved in cobalamin synthesis. Future research will need to address how the siroheme-[4Fe-4S] clusters are assembled into apo-sulfite and nitrite reductases. The chapter will discuss how environmental microbes use sulfite reductase to survive in a range of ecosystems; how atomic-resolution structures of dissimilatory and assimilatory sulfite reductases reveal their ancient homology; how the siroheme-[4Fe-4S] cluster active site catalyzes the six-electron reduction of sulfite to sulfide; and how siroheme is synthesized across diverse microrganisms.

在自然界中,硫以多种氧化态存在,双电子还原形式是生物分子中最常见的,如含硫氨基酸半胱氨酸和蛋氨酸,一些辅因子和多糖。硫通过两种途径还原:异化,其中亚硫酸盐(SO2-3)被用作终端电子受体;和同化,亚硫酸盐被还原成硫化物(S2-)并入生物量。这些途径是独立的,但共享亚硫酸盐还原酶的功能,其中一个酶通过6个电子还原亚硫酸盐生成硫化物。除了少数例外,来自这两种途径的亚硫酸盐还原酶都是铁金属酶,具有从单体到四聚体的不同结构。亚硫酸盐还原酶的标志是其催化中心由一种称为siroheme的含铁卟啉类物质组成,该物质通过共享的半胱氨酸配体与[4Fe-4S]簇共价偶联。衬底通过推拉机制演变,其中电子转移与三个脱水步骤相耦合。siro血红素是一种比原卟啉ix衍生的血红素更容易被氧化的同菌氯。它是由uroporphyrinogen III通过三步(甲基化,脱氢和铁螯合)合成的,这些步骤是由与钴胺素合成相关的酶同源的酶完成的。未来的研究将需要解决如何将siroheme-[4Fe-4S]簇组装成载亚硫酸盐和亚硝酸盐还原酶。本章将讨论环境微生物如何利用亚硫酸盐还原酶在一系列生态系统中生存;异化亚硫酸盐还原酶和同化亚硫酸盐还原酶的原子分辨结构如何揭示它们的古代同源性siroheme-[4Fe-4S]簇活性位点如何催化亚硫酸盐六电子还原为硫化物;以及西罗血红素是如何在不同微生物中合成的。
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引用次数: 3
Cobalt-Schiff Base Complexes: Preclinical Research and Potential Therapeutic Uses. 钴-希夫碱复合物:临床前研究和潜在的治疗用途。
Pub Date : 2019-01-14 DOI: 10.1515/9783110527872-017
Elizabeth A Bajema, Kaleigh F Roberts, Thomas J Meade

The use of metals in medicine has grown impressively in recent years as a result of greatly advanced understanding of biologically active metal complexes and metal-containing proteins. One landmark in this area was the introduction of cisplatin and related derivatives as anticancer drugs. As the body of literature continues to expand, it is necessary to inspect sub-classes of this group with more acute detail. This chapter will review preclinical research of cobalt complexes coordinated by Schiff base ligands. Cobalt-Schiff base complexes have a wide variety of potential therapeutic functions, including as antimicrobials, anticancer agents, and inhibitors of protein aggregation. While providing a broad introduction to this class of agents, this chapter will pay particular attention to agents for which mechanisms of actions have been studied. Appropriate methods to assess activity of these complexes will be reviewed, and promising preclinical complexes in each of the following therapeutic areas will be highlighted: antimicrobial, antiviral, cancer therapy, and Alzheimer's disease.

近年来,由于对生物活性金属配合物和含金属蛋白质的深入了解,金属在医学中的应用取得了令人印象深刻的增长。这一领域的一个里程碑是顺铂及其衍生物作为抗癌药物的引入。随着文献的不断扩展,有必要以更敏锐的细节来考察这一群体的子类。本章将回顾希夫碱配体钴配合物的临床前研究。钴希夫碱配合物具有多种潜在的治疗功能,包括抗菌剂、抗癌剂和蛋白质聚集抑制剂。在对这类代理进行广泛介绍的同时,本章将特别关注已经研究过其作用机制的代理。本文将回顾评估这些复合物活性的适当方法,并重点介绍以下治疗领域中有前景的临床前复合物:抗菌、抗病毒、癌症治疗和阿尔茨海默病。
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引用次数: 10
Small Molecules: The Past or the Future in Drug Innovation? 小分子:药物创新的过去还是未来?
Pub Date : 2019-01-14 DOI: 10.1515/9783110527872-008
Anne Robert, Françoise Benoit-Vical, Yan Liu, Bernard Meunier

With the impressive development of molecular life sciences, one may have the feeling that biopharmaceuticals will dominate the world of drug design and production. This is partly due to the evolution of pharmaceutical industry, especially since the 1980s. As a matter of fact, small molecules are still dominating the field of drug innovation, in contradiction with claims predicting their downfall and the exponential raise of biopharmaceuticals. The strong association of chemistry with biochemistry and pharmacology has been the scientific base of the establishment and the success of strong powerful pharmaceutical companies throughout the twentieth century. To meet the needs of new therapeutic agents, it is necessary to assess the role and future position of medicinal chemistry. In fact, the reasonable balance between small molecules and biopharmaceuticals will depend on scientific and economic factors, including the goal of having highly efficient drugs to cure the largest possible number of patients, at a cost that is compatible with the limits of national health budgets. In the present chapter, we would like to emphasize the future important role of small molecules based on new chemicals, to build a new portfolio of efficient, safe and affordable drugs to solve major therapeutic challenges. Two examples are then given. In the blood parasitic diseases such as malaria and schistosomiasis, the iron of heme is an "old" and relevant therapeutic target to kill the parasite. Investigations on the mechanism of action of the antimalarial endoperoxide sesquiterpene artemisinin, have paved the way to the design of new efficient synthetic endoperoxide drugs. In the case of Alzheimer's disease, the loss of copper homeostasis in patient brain is one of the key features of neurodegeneration. The development of small copper specific ligands able to retrieve copper from its pathological sinks to reintroduce it into physiological circulation is a challenging but promising approach to effective therapy.

随着分子生命科学令人印象深刻的发展,人们可能会有一种感觉,生物制药将主导药物设计和生产的世界。这部分是由于制药工业的发展,特别是自20世纪80年代以来。事实上,小分子药物仍在药物创新领域占据主导地位,这与预测小分子药物衰落和生物制药呈指数级增长的说法相矛盾。整个20世纪,化学与生物化学和药理学的紧密联系一直是强大的制药公司建立和成功的科学基础。为了满足新型治疗剂的需要,有必要对药物化学的作用和未来地位进行评估。事实上,小分子和生物制药之间的合理平衡将取决于科学和经济因素,包括以与国家卫生预算限制相适应的费用获得高效率药物以治愈尽可能多的病人的目标。在本章中,我们想强调基于新化学物质的小分子在未来的重要作用,以建立一个高效、安全、负担得起的新药物组合,以解决重大的治疗挑战。然后给出了两个例子。在疟疾、血吸虫病等血液寄生虫病中,血红素铁是杀死寄生虫的“老”而相关的治疗靶点。研究抗疟内过氧化物倍半萜青蒿素的作用机制,为设计新的高效合成内过氧化物药物铺平了道路。在阿尔茨海默病的情况下,铜稳态在患者大脑的损失是神经变性的关键特征之一。开发小的铜特异性配体,能够从其病理水槽中回收铜并将其重新引入生理循环,这是一种具有挑战性但有希望的有效治疗方法。
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引用次数: 17
Iron Chelation for Iron Overload in Thalassemia. 铁螯合治疗地中海贫血中的铁超载。
Pub Date : 2019-01-14 DOI: 10.1515/9783110527872-009
Guido Crisponi, Valeria M Nurchi, Joanna I Lachowicz

This chapter is devoted to the chelation treatment of transfusion-dependent thalassemia patients. After a brief overview on the pathophysiology of iron overload and on the methods to quantify it in different organs, the chelation therapy is discussed, giving particular attention to the chemical and biomedical requisites. The main tasks of an iron chelator should be the scavenging of excess iron, allowing an equilibrium between iron supplied by transfusions and that removed with chelation, and protection of the individual from the poisonous effects of circulating iron. The chelating agents in clinical use are presented, illustrating the main chemical and pharmacological features, together with a comparative cost analysis of their treatments. As a final section, an overview is provided on chelators undergoing clinical trials, and on research in progress.

本章专门讨论输血依赖性地中海贫血患者的螯合治疗。在简要概述了铁超载的病理生理和在不同器官中量化铁超载的方法后,讨论了螯合治疗,特别注意化学和生物医学上的要求。铁螯合剂的主要任务应该是清除多余的铁,使输血提供的铁与螯合去除的铁之间达到平衡,并保护个体免受循环铁的毒性影响。介绍了临床使用的螯合剂,说明了其主要的化学和药理学特征,并对其治疗方法进行了比较成本分析。作为最后一节,概述提供了螯合剂进行临床试验,并在研究进展。
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引用次数: 22
Iron Oxide Nanoparticle Formulations for Supplementation. 补充氧化铁纳米颗粒配方。
Pub Date : 2019-01-14 DOI: 10.1515/9783110527872-012
Amy Barton Pai

Intravenous (IV) iron is widely used to provide supplementation when oral iron is ineffective or not tolerated. All commercially available intravenous iron formulations are comprised of iron oxyhydroxide cores coated with carbohydrates of varying structure and branch characteristics. The diameter of the iron-carbohydrate complexes ranges from 5-100 nm and meets criteria for nanoparticles. Clinical use of IV iron formulations entered clinical practice beginning of the late 1950s, which preceded the nanomedicine exploration frontier. Thus, these agents were approved without full exploration of labile iron release profiles or comprehensive biodistribution studies. The hypothesis for the pathogenesis of acute oxidative stress induced by intravenous iron formulations is the release of iron from the iron-carbohydrate structure, resulting in transient concentrations of labile plasma iron and induction of the Fenton chemistry and the Haber-Weiss reaction promoting formation of highly reactive free radicals such as the hydroxyl radical. Among available IV iron formulations, products with smaller carbohydrate shells are more labile and more likely to release labile iron directly into the plasma (i.e., before metabolism by the reticuloendothelial system). The proposed biologic targets of labile-iron-induced oxidative stress include nearly all systemic cellular components including endothelial cells, myocardium, liver as well as low density lipoprotein and other plasma proteins. Most studies have relied on plasma pharmacokinetic analyses that require many model assumptions to estimate contribution of the iron-carbohydrate complex to elevations in serum iron indices and hemoglobin. Additionally, the commercially available formulations have not been well studied with regard to optimal dosing regimens, long-term safety and comparative efficacy. The IV iron formulations fall into a class defined by the Food and Drug Administration as "Complex Drugs" and thus present considerable challenges for bioequivalence evaluation.

当口服铁无效或不耐受时,静脉注射(IV)铁被广泛用于提供补充。所有市售的静脉注射铁制剂都是由涂有不同结构和分支特征的碳水化合物的氧化铁核心组成。铁-碳水化合物配合物的直径在5-100纳米之间,符合纳米颗粒的标准。临床使用IV铁制剂进入临床实践始于20世纪50年代末,这早于纳米医学的探索前沿。因此,这些药物在没有充分探索不稳定铁释放谱或全面的生物分布研究的情况下被批准。静脉注射铁制剂引起急性氧化应激的发病机制的假设是铁从铁碳水化合物结构中释放,导致不稳定的血浆铁瞬间浓度升高,并诱导芬顿化学和Haber-Weiss反应,促进高活性自由基如羟基自由基的形成。在现有的IV铁制剂中,碳水化合物外壳较小的产品更不稳定,更有可能将不稳定的铁直接释放到血浆中(即在网状内皮系统代谢之前)。提出的不稳定铁诱导的氧化应激的生物学靶点包括几乎所有的系统细胞成分,包括内皮细胞、心肌、肝脏以及低密度脂蛋白和其他血浆蛋白。大多数研究依赖于血浆药代动力学分析,需要许多模型假设来估计铁-碳水化合物复合物对血清铁指数和血红蛋白升高的贡献。此外,在最佳给药方案、长期安全性和相对疗效方面,尚未对市售制剂进行充分研究。IV铁制剂属于食品和药物管理局定义为“复杂药物”的一类,因此对生物等效性评估提出了相当大的挑战。
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引用次数: 12
Building a Trojan Horse: Siderophore-Drug Conjugates for the Treatment of Infectious Diseases. 构建特洛伊木马:用于治疗传染病的铁载体-药物偶联物。
Pub Date : 2019-01-14 DOI: 10.1515/9783110527872-013
Elzbieta Gumienna-Kontecka, Peggy L Carver

Antimicrobial resistance is a major global health problem, and novel approaches to solving this crisis are urgently required. The 'Trojan Horse' approach to solving this problem capitalizes on the innate need for iron by pathogens. Siderophores are low-molecular-weight iron chelators secreted extracellularly by pathogens to scavenge iron. Once bound to iron, the iron-siderophore complex returns to the pathogen to deliver its iron treasure. "Smuggling" antimicrobials into the pathogen is accomplished by linking them to siderophores for transport. While simple in concept, it has taken many decades of work to accomplish the difficult hurdle of transporting antimicrobials across the cell membranes of pathogens. This review discusses information learned about siderophore structure, production, and transport, and lessons learned from the successes and failures of siderophore-conjugate drugs evaluated during the development of novel agents using the 'Trojan horse' approach.

抗菌素耐药性是一个重大的全球卫生问题,迫切需要解决这一危机的新方法。解决这个问题的“特洛伊木马”方法利用了病原体对铁的先天需求。铁载体是由病原体在细胞外分泌的低分子量铁螯合剂,用于清除铁。一旦与铁结合,铁-铁载体复合体就会返回病原体,运送铁宝藏。将抗菌剂“走私”到病原体中是通过将它们与铁载体连接以进行运输来实现的。虽然概念上很简单,但要跨越病原体细胞膜运输抗菌剂这一困难的障碍,需要数十年的努力。这篇综述讨论了关于铁载体结构、生产和运输的信息,以及在使用“特洛伊木马”方法开发新型药物的过程中,从铁载体偶联药物的成功和失败中获得的经验教训。
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引用次数: 4
Manganese: Its Role in Disease and Health. 锰:它在疾病和健康中的作用。
Pub Date : 2019-01-14 DOI: 10.1515/9783110527872-016
Keith M Erikson, Michael Aschner

Manganese is an essential dietary element that functions primarily as a coenzyme in several biological processes. These processes include, but are not limited to, macronutrient metabolism, bone formation, free radical defense systems, and in the brain, ammonia clearance and neurotransmitter synthesis. It is a critical component in dozens of proteins and enzymes, and is found in all tissues. Concentrated levels of Mn are found in tissues rich in mitochondria and melanin, with both, liver, and pancreas having the highest concentrations under normal conditions. However, overexposure to environmental Mn via industrial occupation or contaminated drinking water can lead to toxic brain Mn accumulation that has been associated with neurological impairment. The objective of this chapter is to address the biological importance of Mn (essentiality), routes of exposure, factors dictating Mn status, a brief discussion of Mn neurotoxicity, and proposed methods for neurotoxicity remediation.

锰是一种必需的膳食元素,在几个生物过程中主要作为辅酶起作用。这些过程包括但不限于宏量营养素代谢,骨骼形成,自由基防御系统,以及在大脑中,氨清除和神经递质合成。它是几十种蛋白质和酶的关键成分,存在于所有组织中。高浓度的锰存在于富含线粒体和黑色素的组织中,在正常情况下,肝脏和胰腺的锰浓度最高。然而,通过工业职业或受污染的饮用水过度暴露于环境锰可导致毒性脑锰积累,这与神经损伤有关。本章的目的是解决Mn的生物学重要性(必要性),暴露途径,决定Mn状态的因素,Mn神经毒性的简要讨论,以及提出的神经毒性修复方法。
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引用次数: 68
Infections Associated with Iron Administration. 与服用铁剂有关的感染。
Pub Date : 2019-01-14 DOI: 10.1515/9783110527872-011
Manfred Nairz, Guenter Weiss

A dynamic interplay between the host and pathogen determines the course and outcome of infections. A central venue of this interplay is the struggle for iron, a micronutrient essential to both the mammalian host and virtually all microbes. The induction of the ironregulatory hormone hepcidin is an integral part of the acute phase response. Hepcidin switches off cellular iron export via ferroportin-1 and sequesters the metal mainly within macrophages, which limits the transfer of iron to the serum to restrict its availability for extracellular microbes. When intracellular microbes are present within macrophages though, the opposite regulation is initiated because infected cells respond with increased ferroportin-1 expression and enhanced iron export as a strategy of iron withdrawal from engulfed bacteria. Given these opposing regulations, it is not surprising that disturbances of mammalian iron homeostasis, be they attributable to genetic alterations, hematologic conditions, dietary iron deficiency or unconsidered iron supplementation, may affect the risk and course of infections. Therefore, acute, chronic or latent infections need to be adequately controlled by antimicrobial therapy before iron is administered to correct deficiency. Iron deficiency per se may negatively affect growth and development of children as well as cardiovascular performance and quality of life of patients. Of note, mild iron deficiency in regions with a high endemic burden of infections is associated with a reduced prevalence and a milder course of certain infections which may be traced back to effects of iron on innate and adaptive immune function as well as to restriction of iron for pathogens. Finally, absolute and functional causes of iron deficiency need to be differentiated, because in the latter form, oral iron supplementation is inefficient and intravenous application may adversely affect the course of the underlying disease such as a chronic infection. This chapter summarizes our current knowledge on the regulation of iron metabolism and the interactions between iron and the immune response against microbes. Moreover, some of the unanswered questions on the association of iron administration and infections are addressed.

宿主和病原体之间的动态相互作用决定了感染的过程和结果。这种相互作用的中心场所是对铁的争夺,铁是一种对哺乳动物宿主和几乎所有微生物都必不可少的微量营养素。铁调节激素hepcidin的诱导是急性期反应的一个组成部分。Hepcidin通过铁转运蛋白-1关闭细胞铁输出,并将金属主要隔离在巨噬细胞内,这限制了铁向血清的转移,从而限制了其对细胞外微生物的利用。然而,当细胞内微生物存在于巨噬细胞中时,相反的调控被启动,因为受感染的细胞以增加铁转运蛋白-1表达和增强铁输出作为从被吞噬的细菌中提取铁的策略。鉴于这些相反的规律,哺乳动物铁稳态的紊乱,无论是由于遗传改变、血液学状况、饮食铁缺乏还是未考虑的铁补充,都可能影响感染的风险和过程,这并不奇怪。因此,急性、慢性或潜伏性感染需要通过抗菌治疗得到充分控制,然后再给铁以纠正缺乏症。缺铁本身会对儿童的生长发育、心血管功能和患者的生活质量产生负面影响。值得注意的是,在地方性感染负担高的地区,轻度缺铁与某些感染的患病率降低和病程较轻有关,这可追溯到铁对先天和适应性免疫功能的影响,以及对病原体的铁限制。最后,需要区分铁缺乏的绝对原因和功能性原因,因为在后一种情况下,口服补铁效率低下,静脉注射铁可能对潜在疾病(如慢性感染)的病程产生不利影响。本章总结了我们目前对铁代谢的调控以及铁与微生物免疫反应之间的相互作用的了解。此外,一些未解决的问题,铁的管理和感染的关系是解决。
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引用次数: 5
Copper Depletion as a Therapeutic Strategy in Cancer. 缺铜作为癌症的治疗策略。
Pub Date : 2019-01-14 DOI: 10.1515/9783110527872-018
Jay Lopez, Divya Ramchandani, Linda Vahdat

Copper is an essential trace element that plays a critical role in a variety of basic biological functions, and serves as a key component in a number of copper-dependent enzymes that regulate such processes as cell proliferation, angiogenesis, and motility. A growing body of preclinical work has demonstrated that copper is essential to metastatic cancer progression, and may have a role in tumor growth, epithelial-mesenchymal transition, and the formation of the tumor microenvironment and pre-metastatic niche. As a result, copper depletion has emerged as a novel therapeutic strategy in the treatment of metastatic cancer. We present a review of the physiologic role of copper with a discussion of relevant enzymes of the copper proteome in both normal tissue and in cancer. We conducted a comprehensive review of the available preclinical data of several copper chelation agents, including penicillamine, trientine, disulfiram, clioquinol, and tetrathiomolybdate (TM), across a variety of tumor types. We also present the existing early phase clinical trial data for the use of the copper chelator TM in the treatment of breast cancer and other malignancies.

铜是一种重要的微量元素,在多种基本生物功能中起着至关重要的作用,并且是许多铜依赖酶的关键成分,这些酶调节细胞增殖、血管生成和运动等过程。越来越多的临床前研究表明,铜对转移性癌症的进展至关重要,可能在肿瘤生长、上皮-间质转化、肿瘤微环境和转移前生态位的形成中发挥作用。因此,铜耗尽已成为治疗转移性癌症的一种新的治疗策略。我们介绍了铜的生理作用,并讨论了正常组织和癌症中铜蛋白质组的相关酶。我们对几种铜螯合剂的临床前数据进行了全面的回顾,包括青霉胺、曲entine、双硫仑、clioquinol和四硫钼酸盐(TM),用于各种肿瘤类型。我们还提出了现有的早期临床试验数据,使用铜螯合剂TM治疗乳腺癌和其他恶性肿瘤。
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引用次数: 47
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Metal ions in life sciences
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