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Cigarette smoke combined with Klebsiella pneumoniae induce damage to the air‑blood barrier in chronic obstructive pulmonary disease rats via the MAPK/NF‑κB/IκBα pathway

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香烟烟雾联合肺炎克雷伯菌通过MAPK/NF - κB/ i - κBα通路诱导慢性阻塞性肺疾病大鼠的气血屏障损伤。
IF 3.5 3区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.3892/mmr.2026.13797
Yange Tian, Kexin Xu, Ruilong Lu, Kangchen Li, Xuejie Shao, Yixi Liao, Yakun Zhao, Zhiguang Qiu, Haoran Dong, Xuefang Liu

Chronic obstructive pulmonary disease (COPD) is a respiratory disorder characterized by progressive dyspnea. Damage to the lung air‑blood barrier is a major cause of progressive dyspnea observed in COPD. Although cigarette smoke inhalation and repetitive bacterial infection cause and exacerbate COPD, their specific effects on the air‑blood barrier remain to be fully elucidated. The present study explored the effects of the air‑blood barrier in a COPD rat model induced by cigarette smoke inhalation and repetitive bacterial infection. From weeks 1‑8, Sprague‑Dawley rats were treated with cigarette smoke inhalation and repeated Klebsiella pneumoniae exposure. At the end of week 8, lung function, pulmonary pathology, mucin content, inflammation, oxidative stress and MAPK/NF‑κB/IκBα pathway indicators were detected in rats. Lung function parameters, including tidal volume, peak expiratory flow and 50% tidal volume expiratory flow showed significant decreases in COPD model rats. The pulmonary organizational structure and ultrastructure of the air‑blood barrier were also markedly damaged in COPD model rats. Due to cigarette smoke and Klebsiella pneumoniae exposure, the expression of IL‑6, malondialdehyde, mucoprotein (MUC)5AC, MUC5B, matrix metallopeptidase‑9 and angiopoietin‑2 increased in COPD rats, while the expression of IL‑10, tissue inhibitor of metalloproteinases‑1, heme oxygenase‑1, zonula occludens‑1, claudin‑5, aquaporin‑5, surfactant protein‑D and superoxide dismutase significantly decreased. Subsequently, cigarette smoke exposure and Klebsiella pneumoniae infection increased the levels of phosphorylated‑(p‑)p38, p‑ERK, p‑JNK, p‑p65 and p‑IκBα. The present study provided notable evidence that cigarette smoke and Klebsiella pneumoniae exposure exacerbated the destruction of the air‑blood barrier in COPD via the MAPK/NF‑κB/IκBα pathway.

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慢性阻塞性肺病(COPD)是一种以进行性呼吸困难为特征的呼吸系统疾病。肺气-血屏障损伤是COPD患者进行性呼吸困难的主要原因。虽然吸入香烟烟雾和反复的细菌感染会导致并加重慢性阻塞性肺病,但它们对空气-血液屏障的具体影响仍有待充分阐明。本研究探讨了吸入香烟烟雾和重复细菌感染诱导的COPD大鼠模型中空气-血液屏障的影响。从第1 - 8周开始,Sprague - Dawley大鼠吸入香烟烟雾并反复暴露肺炎克雷伯菌。第8周末,检测大鼠肺功能、肺病理、粘蛋白含量、炎症、氧化应激及MAPK/NF‑κB/ i‑κB α通路指标。COPD模型大鼠肺功能参数潮气量、峰值呼气流量、50%潮气量呼气流量均明显降低。COPD模型大鼠肺组织结构和气血屏障超微结构也明显受损。由于吸烟和肺炎克雷伯菌暴露,COPD大鼠IL - 6、丙二醛、mucc 5AC、MUC5B、基质金属肽酶- 9和血管生成素- 2的表达升高,IL - 10、组织金属蛋白酶抑制剂- 1、血红素加氧酶- 1、闭塞带- 1、claudin - 5、水通道蛋白- 5、表面活性蛋白- D和超氧化物歧化酶的表达显著降低。随后,香烟烟雾暴露和肺炎克雷伯菌感染增加了磷酸化的(p -)p38、p - ERK、p - JNK、p - p65和p - κ b α的水平。本研究提供了值得注意的证据,表明吸烟和肺炎克雷伯菌暴露通过MAPK/NF - κB/ i - κBα途径加剧了COPD空气-血液屏障的破坏。
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引用次数: 0

Application of extracellular vesicles in the diagnosis and treatment of chronic obstructive pulmonary disease (Review)

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细胞外囊泡在慢性阻塞性肺疾病诊治中的应用(综述)。
IF 3.5 3区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.3892/mmr.2026.13798
Yixin Zhang, Tong Ren, Jianbo Xue, Yan Yu, Xianqiang Zhou, Xiaoyi Hu, Wenyi Yu, Zhancheng Gao, Cuiling Feng

Chronic obstructive pulmonary disease (COPD) is a progressive and irreversible lung condition characterized by airflow limitation. Current treatments primarily aim to alleviate symptoms, especially dyspnea. Extracellular vesicles (EVs), which are nanoscale lipid bilayer particles secreted by living cells, are present in various bodily fluids, including blood, urine and ascites. These vesicles have an important role in intercellular communication and are linked to COPD progression. The present review explores the molecular mechanisms underlying COPD pathogenesis, highlighting the notable involvement of EVs, and also examines the advances that have been made in terms of the diagnostic and therapeutic potential of EVs in COPD management.

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慢性阻塞性肺疾病(COPD)是一种以气流受限为特征的进行性和不可逆的肺部疾病。目前的治疗主要是为了缓解症状,尤其是呼吸困难。细胞外囊泡(EVs)是由活细胞分泌的纳米级脂质双层颗粒,存在于各种体液中,包括血液、尿液和腹水。这些囊泡在细胞间通讯中起重要作用,并与COPD进展有关。本文探讨了COPD发病机制的分子机制,强调了EVs的显著参与,并探讨了EVs在COPD治疗中的诊断和治疗潜力方面取得的进展。
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引用次数: 0
[Retracted] Autophagy flux inhibition mediated by celastrol sensitized lung cancer cells to TRAIL‑induced apoptosis via regulation of mitochondrial transmembrane potential and reactive oxygen species. 【撤回】celastrol介导的自噬通量抑制通过调节线粒体跨膜电位和活性氧使TRAIL诱导的肺癌细胞致敏。
IF 3.5 3区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-23 DOI: 10.3892/mmr.2026.13804
Uddin Md Nazim, Honghua Yin, Sang-Youel Park

Following the publication of the above paper, it was drawn to the Editor's attention by a concerned reader that, regarding the cell morphological images shown in Fig. 3A on p. 988, the second panel on the right (showing the Cela -, TRAIL +, CQ + experiment) was strikingly similar in appearance to a data panel that had been included in a paper published by the same research group 3 years earlier in the journal Oncotarget, although these data were presented in that article in a different scientific context. Moreover, upon assessing the data in this paper independently in the Editorial Office, there were concerns raised about the possible anomalous appearance of the β‑actin blots shown in Fig. 3A, and the Ac‑cas3 blot shown in Fig. 3E. In view of the re‑use of the contentious data in the above paper in a different scientific context, and due to the potentially anomalous appearance of some of the western blot data in this paper, the Editor of Molecular Medicine Reports has decided that this paper should be retracted from the Journal on account of a lack of confidence in the presented data. The authors were asked for an explanation to account for these concerns, but the Editorial Office did not receive a reply. The Editor apologizes to the readership for any inconvenience caused. [Molecular Medicine Reports 19: 984‑993, 2019; DOI: 10.3892/mmr.2018.9757].

在上述论文发表后,一位关心的读者提请编辑注意,关于第988页图3A所示的细胞形态学图像,右侧的第二个面板(显示Cela -, TRAIL +, CQ +实验)在外观上与同一研究小组3年前在《Oncotarget》杂志上发表的一篇论文中的数据面板惊人地相似。尽管这些数据在那篇文章中是在不同的科学背景下提出的。此外,在编辑部独立评估本文的数据后,有人担心图3A所示的β -肌动蛋白印迹和图3E所示的Ac - cas3印迹可能出现异常。鉴于上述论文中有争议的数据在不同的科学背景下被重复使用,并且由于本文中的一些western blot数据可能出现异常,《分子医学报告》的编辑决定,由于对所提交的数据缺乏信心,这篇论文应该从该杂志上撤下。作者被要求对这些担忧作出解释,但编辑部没有收到答复。对于由此给读者带来的不便,本刊编辑深表歉意。分子医学报告19:984 - 993,2019;DOI: 10.3892 / mmr.2018.9757]。
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引用次数: 0
[Retracted] TIPE‑2 suppresses growth and aggressiveness of hepatocellular carcinoma cells through downregulation of the phosphoinositide 3‑kinase/AKT signaling pathway. TIPE‑2通过下调磷酸肌肽3激酶/AKT信号通路抑制肝癌细胞的生长和侵袭性。
IF 3.5 3区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-09 DOI: 10.3892/mmr.2026.13788
Lin Wang, Chen Chen, Shuzhi Feng, Jianli Tian

Following the publication of the above paper, it was drawn to the Editor's attention by a concerned reader that certain of the immunofluorescence data shown in Fig. 1F, cell viability assay data in Fig. 2F, the 'Control' data for the tissue images relating to apoptotic experiments in Fig. 5B and the 'CHOP/TIPE‑2' histological data in Fig. 5E were strikingly similar to data in articles written by different authors at different research institutes that had either already been published previously in other journals, or which were submitted for publication at around the same time (in the interim, one of those articles has been retracted). In addition, western blot data featured in Fig. 2 were rather similar to data appearing in Fig. 3, suggesting that the same data may have been included in these figures to show the results from purportedly differently performed experiments. The Editorial Office were able to draw the same conclusions as the reader based upon an independent analysis of the contentious data in question. Therefore, owing to the fact that some of these data had already been published prior to its submission to Molecular Medicine Reports, the Editor has decided that this paper should be retracted from the Journal. The authors were asked for an explanation to account for these concerns, but the Editorial Office did not receive a reply. The Editor apologizes to the readership for any inconvenience caused. [Molecular Medicine Reports 17: 7017‑7026, 2018; DOI: 10.3892/mmr.2018.8789].

在上述论文发表后,一位关心的读者提请编辑注意,图1F所示的某些免疫荧光数据,图2F所示的细胞活力测定数据,图5B中与凋亡实验相关的组织图像的“对照”数据和图5E中“CHOP/TIPE‑2”组织学数据与不同研究机构的不同作者所写的文章数据惊人地相似,这些文章要么已经在其他期刊上发表,要么在大约同一时间提交发表(在此期间,其中一篇文章已被撤回)。此外,图2中的western blot数据与图3中的数据非常相似,这表明这些图中可能包含了相同的数据,以显示据称不同实验的结果。编辑部根据对争议数据的独立分析得出了与读者相同的结论。因此,由于其中一些数据在提交给《分子医学报告》之前已经发表,编辑决定从该杂志撤回这篇论文。作者被要求对这些担忧作出解释,但编辑部没有收到答复。对于由此给读者带来的不便,本刊编辑深表歉意。[分子医学报告]17:7017‑7026,2018;DOI: 10.3892 / mmr.2018.8789]。
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引用次数: 0

Collagen III regulates the termination of liver regeneration by suppressing hepatocyte proliferation and promoting functional recovery

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III型胶原通过抑制肝细胞增殖和促进功能恢复来调节肝脏再生的终止。
IF 3.5 3区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.3892/mmr.2026.13799
Haiyang Peng, Zhiyong Chen, Qiwei Zhang, Yuezhou Zhang, Peng Yang, Jianping Gong, Andong Zhao

Termination of liver regeneration is important for restoring hepatic function after partial hepatectomy (PHx); however, its regulatory mechanisms remain poorly understood. The present study aimed to investigate the role of collagen III (col3) in terminating liver regeneration and its interaction with the β‑catenin signaling pathway. Initially, a 2/3 PHx mouse model was established, and col3 expression dynamics were examined via immunofluorescence and reverse transcription‑quantitative PCR. Collagenase III, also known as matrix metalloproteinase‑13, was used to degrade col3 during the termination phase of liver regeneration, and the resulting effects on hepatocyte proliferation, β‑catenin signaling and liver function were assessed. Methyl‑sulfonyl AB (MSAB), a β‑catenin inhibitor, was used to explore pathway involvement. The present study demonstrated that col3 expression in the parenchymal areas of the liver was decreased during the proliferation phase and increased during the termination phase. Collagenase‑induced col3 degradation enhanced hepatocyte proliferation, delayed regenerative termination, activated β‑catenin signaling, and impaired hepatocyte differentiation and liver function. Administration of MSAB rescued these effects, partially restoring termination and function. In conclusion, col3 may regulate the termination of liver regeneration by suppressing hepatocyte proliferation and promoting functional recovery. These findings provide new insights into collagen‑induced regulation of liver regeneration and potential therapeutic targets for optimizing hepatic recovery.

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终止肝再生对肝部分切除术(PHx)后肝功能恢复很重要;然而,人们对其监管机制仍知之甚少。本研究旨在探讨III型胶原(col3)在终止肝脏再生中的作用及其与β - catenin信号通路的相互作用。首先,建立2/3 PHx小鼠模型,通过免疫荧光和反转录定量PCR检测col3的表达动态。胶原酶III,也称为基质金属蛋白酶- 13,用于在肝脏再生终止阶段降解col3,并评估其对肝细胞增殖、β -连环蛋白信号传导和肝功能的影响。甲基磺酰基AB (MSAB)是一种β - catenin抑制剂,用于探索途径参与。本研究表明,col3在肝实质区域的表达在增殖期降低,在终止期升高。胶原酶诱导的col3降解增强肝细胞增殖,延迟再生终止,激活β -连环蛋白信号,损害肝细胞分化和肝功能。MSAB的使用挽救了这些影响,部分恢复了终止和功能。综上所述,col3可能通过抑制肝细胞增殖和促进功能恢复来调控肝再生终止。这些发现为胶原诱导的肝脏再生调控和优化肝脏恢复的潜在治疗靶点提供了新的见解。
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引用次数: 0

Prolyl hydroxylase domain proteins: Localization, regulation, function and their role in erythropoiesis (Review)

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脯氨酸羟化酶结构域蛋白:定位、调控、功能及其在红细胞生成中的作用(综述)。
IF 3.5 3区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.3892/mmr.2026.13792
Yan Hou, Zhao-Hua Zhang, Wen-Qian Li, Guo-Xiong Han, Kuo Shen, You-Bang Xie

The present review provided a comprehensive exploration of the subtypes of prolyl hydroxylase domain (PHD) enzymes, with a focus on their localization, regulatory mechanisms and functional roles. Additionally, the development of pharmacological agents targeting PHDs and their crucial involvement in erythropoiesis were examined. Under hypoxic conditions, cells initiate a cascade of adaptive biological responses, numerous of which are governed by the transcriptional complexes of the hypoxia‑inducible factor (HIF) family. The intricate balance among HIF‑1α, HIF‑2α and HIF‑3α plays a fundamental role in orchestrating the transcription of genes involved in red blood cell production, angiogenesis, vascular homeostasis, metabolic regulation, and cellular proliferation and survival. HIF‑1α is rapidly upregulated in response to acute hypoxia and is particularly associated with erythropoietin production, whereas HIF‑2α predominantly regulates adaptive responses to chronic hypoxia. The hydroxylation of HIF‑α at two conserved prolyl residues by PHD1‑3 enables its recognition by the von Hippel‑Lindau tumor suppressor protein E3 ubiquitin ligase complex, leading to its polyubiquitination and subsequent proteasomal degradation. In humans, three PHD isoenzymes (PHD1‑3) and an asparaginyl hydroxylase known as factor‑inhibiting HIF have been identified, each exhibiting distinct substrate specificity and tissue distribution patterns. By modulating the hydroxylation of HIFs, PHDs serve as critical regulators of HIF activity, exerting influence over intracellular metabolism, reactive oxygen species, iron (Fe) bioavailability, nitric oxide signaling and redox equilibrium. These regulatory functions collectively shape a wide range of biological processes under hypoxic conditions. While HIF/PHD inhibitors have been successfully introduced into clinical practice, the development of HIF/PHD activators or functional restorers has faced considerable technical challenges. To date, no studies have reported the discovery of HIF/PHD activators. Nevertheless, targeting the HIF/PHD axis has already shown clinical value in treating anemia associated with chronic kidney disease, and ongoing research may expand its therapeutic potential to other hypoxia‑related disorders. Advancing research in this domain holds promise for pioneering novel therapeutic strategies, particularly for conditions such as polycythemia and chronic mountain sickness, where breakthroughs remain critically needed.

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本文综述了脯氨酸羟化酶结构域(prolyl hydroxylase domain, PHD)酶的亚型,重点介绍了它们的定位、调控机制和功能作用。此外,研究了针对博士的药物的发展及其在红细胞生成中的重要作用。在缺氧条件下,细胞启动一系列适应性生物反应,其中许多是由缺氧诱导因子(HIF)家族的转录复合物控制的。HIF - 1α、HIF - 2α和HIF - 3α之间的复杂平衡在协调参与红细胞生成、血管生成、血管稳态、代谢调节和细胞增殖和存活的基因转录中起着重要作用。HIF - 1α在急性缺氧反应中迅速上调,并与促红细胞生成素的产生特别相关,而HIF - 2α主要调节慢性缺氧的适应性反应。PHD1 - 3羟基化HIF - α的两个保守脯氨酸残基,使其能够被von Hippel - Lindau肿瘤抑制蛋白E3泛素连接酶复合物识别,导致其多泛素化和随后的蛋白酶体降解。在人类中,已经确定了三种PHD同工酶(PHD1‑3)和一种被称为因子抑制HIF的天冬酰胺羟化酶,每种酶都表现出不同的底物特异性和组织分布模式。通过调节HIF的羟基化,博士成为HIF活性的关键调节因子,对细胞内代谢、活性氧、铁(Fe)生物利用度、一氧化氮信号和氧化还原平衡施加影响。这些调节功能共同塑造了缺氧条件下广泛的生物过程。虽然HIF/PHD抑制剂已经成功地引入临床实践,但HIF/PHD激活剂或功能恢复剂的开发面临着相当大的技术挑战。到目前为止,还没有研究报告发现HIF/PHD激活剂。然而,靶向HIF/PHD轴已经在治疗慢性肾脏疾病相关贫血方面显示出临床价值,正在进行的研究可能会将其治疗潜力扩展到其他缺氧相关疾病。推进这一领域的研究有望开拓新的治疗策略,特别是对于诸如红细胞增多症和慢性高原病等疾病,在这些方面仍然迫切需要突破。
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引用次数: 0
[Retracted] 8‑bromo‑7‑methoxychrysin induces apoptosis by regulating Akt/FOXO3a pathway in cisplatin‑sensitive and resistant ovarian cancer cells [撤回]8‑溴‑7‑甲氧基菊素通过调控Akt/FOXO3a通路诱导顺铂敏感和耐药卵巢癌细胞凋亡。
IF 3.5 3区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.3892/mmr.2026.13796
Qing Ding, Yi Chen, Qing Zhang, Yanling Guo, Zhi Huang, Liqing Dai, Sudan Cao

Following the publication of the above paper, it was drawn to the Editor's attention by a concerned reader that certain of the western blot data shown in Fig. 2C on p. 5104 were strikingly similar to data appearing in different form in another article written by different authors at different research institutes that had already been published in the journal Oncogene. An independent analysis of the data in this paper made by the Editorial Office further revealed that other western blot data in the same figure had appeared in a number of other papers written by different authors that had also been published previously; furthermore, there were internally duplicated data among the western blots in Figs. 1‑5, and potential anomalies concerning the assembly of the data in these figures. Owing to the fact that the contentious data mentioned above had already apparently been published previously, the Editor of Molecular Medicine Reports has decided that this paper should be retracted from the Journal. The authors were asked for an explanation to account for these concerns, but the Editorial Office did not receive a reply. The Editor apologizes to the readership for any inconvenience caused. [Molecular Medicine Reports 12: 5100‑5108, 2015; DOI: 10.3892/mmr.2015.4039]

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在上述论文发表后,一位关心的读者提请编辑注意,5104页图2C中显示的某些western blot数据与已经发表在《致癌基因》杂志上的另一篇由不同研究机构的不同作者撰写的文章中以不同形式出现的数据惊人地相似。编辑部对本文中的数据进行的独立分析进一步揭示,其他western blot数据在相同的数字中出现在许多其他由不同作者撰写的论文中,这些论文也曾发表过;此外,图1 - 5中western blots之间存在内部重复数据,并且这些图中数据的组装可能存在异常。由于上述有争议的数据显然已经在以前发表过,《分子医学报告》的编辑决定从该杂志撤回这篇论文。作者被要求对这些担忧作出解释,但编辑部没有收到答复。对于由此给读者带来的不便,本刊编辑深表歉意。分子医学报告12:5100‑5108,2015;DOI: 10.3892 / mmr.2015.4039]。
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引用次数: 0
PDX1 in human cancers: Molecular mechanisms, dual roles and clinical implications (Review). PDX1在人类癌症中的分子机制、双重作用和临床意义(综述)
IF 3.5 3区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-23 DOI: 10.3892/mmr.2026.13806
Chen Zhou, Yifei Wang, Jie Zhao, Yantao Yang, Yuhang Yuan, Xiaochen Hou, Yu Tang, Lianhua Ye

Pancreatic and duodenal homeobox gene 1 (PDX1) is a critical transcription factor involved in pancreatic development and the functionality of mature β‑cells. PDX1 regulates key genes, including insulin and GLUT2, through its DNA‑binding homologous structural domain. In tumors, PDX1 exhibits complex, context‑dependent functions. In pancreatic ductal adenocarcinoma, it transitions from inhibiting follicular cell transformation to promoting tumor proliferation and preventing apoptosis, ultimately inhibiting epithelial‑mesenchymal transition during metastasis. In gastric cancer, PDX1 acts as a tumor suppressor gene, while in esophageal, colorectal, and prostate cancers, it plays a pro‑oncogenic role. Given the dual role of PDX1 in tumorigenesis, its aberrant expression offers potential applications in tumor diagnosis, treatment, and prognosis. The present review explored the structure, function, and mechanisms of PDX1 in tumors, as well as its clinical translational potential, aiming to provide insights for further basic research and pave the way for clinical drug development.

胰腺和十二指肠同源盒基因1 (PDX1)是参与胰腺发育和成熟β细胞功能的关键转录因子。PDX1通过其DNA结合同源结构域调控关键基因,包括胰岛素和GLUT2。在肿瘤中,PDX1表现出复杂的、环境依赖的功能。在胰腺导管腺癌中,它从抑制滤泡细胞转化转变为促进肿瘤增殖和防止细胞凋亡,最终在转移过程中抑制上皮-间质转化。在胃癌中,PDX1作为肿瘤抑制基因,而在食管癌、结直肠癌和前列腺癌中,它起促癌作用。鉴于PDX1在肿瘤发生中的双重作用,其异常表达在肿瘤诊断、治疗和预后方面具有潜在的应用价值。本文综述了PDX1在肿瘤中的结构、功能、机制及其临床转化潜力,旨在为进一步的基础研究提供思路,为临床药物开发铺平道路。
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引用次数: 0

Converting 'cold' to 'hot' hepatocellular carcinoma for improved immunotherapy (Review)

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将“冷”肝癌转化为“热”肝癌以改进免疫治疗(综述)。
IF 3.5 3区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.3892/mmr.2026.13803
Ching-Hua Hsieh, Pei-Chin Chuang

Hepatocellular carcinoma (HCC) often exhibits an immunologically 'cold' tumor microenvironment (TME) characterized by poor T cell infiltration and active immunosuppressive mechanisms, limiting the efficacy of immunotherapies such as immune checkpoint inhibitors (ICIs). Therefore, converting immunologically cold HCC tumors into 'hot', immune‑reactive tumors has emerged as a critical strategy to enhance immunotherapy responsiveness. In the present review, the tumor immune landscape in HCC is summarized, and the mechanisms underlying its immunologically cold phenotype, and current strategies for reprogramming the TME toward an immune‑active state are described. In addition, the roles of various immune cells, cytokines and tumor‑intrinsic pathways in driving immune exclusion and tolerance are discussed. Therapeutic approaches include ICI‑based combinations with anti‑angiogenic agents or locoregional therapies, as well as dual checkpoint blockade. Other strategies involve targeting immunosuppressive cell populations, oncolytic virus therapy, cancer vaccines, adoptive cell therapies and epigenetic modulators. Clinical evidence supports the potential of these strategies, with several combinations demonstrating improved response rates and survival. Research aims to optimize these therapies, identify predictive biomarkers and explore novel immune targets to further improve outcomes. Overall, converting HCC from an immunologically cold‑to‑hot tumor represents a promising paradigm to potentiate immunotherapy efficacy, although additional studies and innovative strategies are required to achieve durable benefits for a broader population of patients with HCC.

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肝细胞癌(HCC)通常表现出免疫“冷”肿瘤微环境(TME),其特征是T细胞浸润不良和主动免疫抑制机制,这限制了免疫疗法(如免疫检查点抑制剂(ICIs))的疗效。因此,将免疫冷的HCC肿瘤转化为“热的”、免疫反应性的肿瘤已成为增强免疫治疗反应性的关键策略。在这篇综述中,作者总结了HCC的肿瘤免疫景观,描述了其免疫冷表型的机制,以及目前将TME重编程为免疫活性状态的策略。此外,还讨论了各种免疫细胞、细胞因子和肿瘤内在通路在驱动免疫排斥和耐受中的作用。治疗方法包括基于ICI的联合抗血管生成药物或局部治疗,以及双检查点阻断。其他策略包括针对免疫抑制细胞群、溶瘤病毒疗法、癌症疫苗、过继细胞疗法和表观遗传调节剂。临床证据支持这些策略的潜力,几种组合显示出改善的反应率和生存率。研究旨在优化这些疗法,识别预测性生物标志物,探索新的免疫靶点,以进一步改善结果。总的来说,将HCC从免疫冷肿瘤转化为热肿瘤代表了增强免疫治疗疗效的有希望的范例,尽管需要额外的研究和创新策略来为更广泛的HCC患者群体实现持久的益处。
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引用次数: 0
HMGN2 induces pyroptosis in tumour cells by modulating the STT3B/PD‑L1/caspase‑1/GSDMD axis. HMGN2通过调节STT3B/PD‑L1/caspase‑1/GSDMD轴诱导肿瘤细胞焦亡。
IF 3.5 3区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-03-01 Epub Date: 2026-01-23 DOI: 10.3892/mmr.2026.13807
Wenwen Han, Hongli Chen, Bomiao Cui, Jiao Chen, Ping Zhang, Yun Feng

High‑mobility group nucleosomal‑binding domain 2 (HMGN2) is an abundant conserved protein that acts as a non‑histone nuclear DNA‑binding protein. HMGN2 can be released by activated peripheral blood mononuclear cells, CD8+ T cells and γδ T cells, and can induce tumour cell apoptosis. In the present study, receptors of HMGN2 were detected on tumour cell membranes and the mechanism by which HMGN2 induces tumour cell apoptosis was examined. Flow cytometry was used to determine the degree of HMGN2‑induced apoptosis. To identify notable HMGN2 receptors on tumour cells, the present study used immunoprecipitation and mass spectrometry (IP/MS) to identify protein complexes. Western blotting and immunofluorescence were used to confirm interactions between HMGN2 and oligosaccharyltransferase subunit STT3B (STT3B), and to elucidate the downstream regulatory mechanism of HMGN2. The predictive tools ZDOCK and AlphaFold3 were used to determine the binding conformation of HMGN2 to STT3B. HMGN2 was shown to bind to the membrane and induce the apoptosis of CAL‑27 tumour cells. STT3B was identified via IP/MS as a receptor of HMGN2 on the CAL‑27 membrane and subsequently identified as an important receptor of HMGN2 via an anti‑STT3B blocking assay. ZDOCK and AlphaFold3 analyses revealed that HMGN2 and STT3B formed a stable protein docking model. After incubation with HMGN2, the expression of programmed cell death 1 ligand 1 (PD‑L1)/caspase‑1/gasdermin D (GSDMD) axis components was significantly increased, and PD‑L1 was translocated into the nucleus from the membrane of CAL‑27 cells. The results of the present study indicated that extracellular HMGN2 induced pyroptosis in tumour cells by modulating the STT3B/PD‑L1/caspase‑1/GSDMD axis.

高迁移率基团核小体结合结构域2 (HMGN2)是一种丰富的保守蛋白,作为非组蛋白核DNA结合蛋白。HMGN2可通过活化的外周血单个核细胞、CD8+ T细胞和γδ T细胞释放,诱导肿瘤细胞凋亡。本研究在肿瘤细胞膜上检测到HMGN2受体,并探讨了HMGN2诱导肿瘤细胞凋亡的机制。流式细胞术检测HMGN2诱导的细胞凋亡程度。为了鉴定肿瘤细胞上显著的HMGN2受体,本研究使用免疫沉淀和质谱(IP/MS)鉴定蛋白质复合物。利用Western blotting和免疫荧光技术确认HMGN2与寡糖转移酶亚基STT3B (STT3B)之间的相互作用,并阐明HMGN2的下游调控机制。使用预测工具ZDOCK和AlphaFold3来确定HMGN2与STT3B的结合构象。HMGN2被证明与细胞膜结合并诱导CAL‑27肿瘤细胞凋亡。STT3B通过IP/MS鉴定为CAL - 27膜上HMGN2的受体,随后通过抗STT3B阻断试验鉴定为HMGN2的重要受体。ZDOCK和AlphaFold3分析显示,HMGN2与STT3B形成了稳定的蛋白对接模型。与HMGN2孵生后,程序性细胞死亡1配体1 (PD - L1)/caspase - 1/gasdermin D (GSDMD)轴组分的表达显著增加,PD - L1从CAL - 27细胞的细胞膜转运到细胞核中。本研究结果表明,细胞外HMGN2通过调节STT3B/PD‑L1/caspase‑1/GSDMD轴诱导肿瘤细胞焦亡。
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Molecular medicine reports
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