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A review of the implication of hypoxanthine excess in the physiopathology of Lesch–Nyhan disease 次黄嘌呤过量在Lesch-Nyhan病生理病理中的意义综述
Pub Date : 2016-12-01 DOI: 10.1080/15257770.2016.1147579
R. Torres, C. Prior, M. G. García, J. Puig
ABSTRACT Lesch–Nyhan disease is caused by HGprt deficiency, however, the mechanism by which enzyme deficiency leads to the severe neurological manifestations is still unknown. We hypothesized that hypoxanthine excess leads, directly or indirectly, through its action in adenosine transport, to aberrations in neuronal development. We found that hypoxanthine diminishes adenosine transport and enhances stimulation of adenosine receptors. These effects cause an imbalance between adenosine, dopamine, and serotonin receptors in HGprt deficient cells, and cells differentiated with hypoxanthine showed an increase in dopamine, adenosine and serotonin receptors expression. Hypoxanthine deregulates early neuronal differentiation increasing WNT4 and EN1 gene expression.
Lesch-Nyhan病是由HGprt缺乏引起的,然而,酶缺乏导致严重神经系统症状的机制尚不清楚。我们假设次黄嘌呤过量直接或间接地通过其在腺苷运输中的作用导致神经元发育异常。我们发现次黄嘌呤减少腺苷转运并增强对腺苷受体的刺激。这些作用导致HGprt缺陷细胞中腺苷、多巴胺和5 -羟色胺受体之间的失衡,与次黄嘌呤分化的细胞显示多巴胺、腺苷和5 -羟色胺受体表达增加。次黄嘌呤解除对早期神经元分化的调控,增加WNT4和EN1基因的表达。
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引用次数: 12
Prevalence of URAT1 allelic variants in the Roma population 罗马人群中URAT1等位基因变异的患病率
Pub Date : 2016-12-01 DOI: 10.1080/15257770.2016.1168839
B. Stibůrková, D. Gabriková, P. Čepek, P. Šimek, P. Kristian, E. Córdoba-Lanús, F. Claverie-Martín
ABSTRACT The Roma represents a transnational ethnic group, with a current European population of 8–10 million. The evolutionary process that had the greatest impact on the gene pool of the Roma population is called the founder effect. Renal hypouricemia (RHUC) is a rare heterogenous inherited disorder characterized by impaired renal urate reabsorption. The affected individuals are predisposed to recurrent episodes of exercise-induced nonmyoglobinuric acute kidney injury and nephrolithiasis. To date, more than 150 patients with a loss-of-function mutation for the SLC22A12 (URAT1) gene have been found, most of whom are Asians. However, RHUC 1 patients have been described in a variety of ethnic groups (e.g., Arab Israelis, Iraqi Jews, Caucasians, and Roma) and in geographically noncontiguous countries. This study confirms our previous findings regarding the high frequency of SLC22A12 variants observed. Frequencies of the c.1245_1253del and c.1400C>T variants were found to be 1.92% and 5.56%, respectively, in a subgroup of the Roma population from five regions in three countries: Slovakia, Czech Republic, and Spain. Our findings suggested that the common dysfunction allelic variants of URAT1 exist in the general Roma population and thus renal hypouricemia should be kept in differential diagnostic algorithm on Roma patients with defect in renal tubular urate transport. This leads to confirm that the genetic drift in the Roma have increased the prevalence of hereditary disorders caused by very rare variants in major population.
罗姆人是一个跨国民族,目前在欧洲有800万至1000万人口。对罗姆人基因库影响最大的进化过程被称为奠基人效应。肾性低尿酸血症(RHUC)是一种罕见的异质性遗传性疾病,其特征是肾尿酸再吸收受损。受影响的个体易发生反复发作的运动引起的非肌红蛋白尿急性肾损伤和肾结石。迄今为止,已经发现了150多例SLC22A12 (URAT1)基因功能缺失突变的患者,其中大多数是亚洲人。然而,RHUC 1型患者在不同的种族群体(如阿拉伯以色列人、伊拉克犹太人、高加索人和罗姆人)和地理上不相邻的国家中都有报道。这项研究证实了我们之前关于SLC22A12变异高频率的发现。c.1245_1253del和c.1400C b>t变异的频率分别为1.92%和5.56%,分别来自三个国家:斯洛伐克、捷克共和国和西班牙的五个地区的罗姆人亚群。我们的研究结果表明,在一般罗姆人群中存在常见的URAT1功能障碍等位基因变异,因此对于肾小管尿酸转运缺陷的罗姆患者,应将肾性低尿酸血症保留在鉴别诊断算法中。这证实了罗姆人的遗传漂变增加了主要人群中由非常罕见的变异引起的遗传性疾病的患病率。
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引用次数: 39
Purification, activity, and expression levels of two uridine-cytidine kinase isoforms in neuroblastoma cell lines 两种尿苷-胞苷激酶亚型在神经母细胞瘤细胞系中的纯化、活性和表达水平
Pub Date : 2016-12-01 DOI: 10.1080/15257770.2015.1124998
R. Meinsma, A. V. van Kuilenburg
ABSTRACT Uridine-cytidine kinase (UCK) catalyzes the phosphorylation of uridine, cytidine, and several pyrimidine ribonucleoside analogs. We overexpressed and purified the two known isoforms of human UCK in Escherichia coli, produced a specific antibody against UCK1 and characterized the kinetic properties of UCK1 and 2. The Vmax of purified recombinant UCK2 was 22- and 8-fold higher with uridine and cytidine, respectively, compared to those observed for the purified recombinant UCK1 enzyme. The Km of UCK1 was 39- and 40-fold higher with uridine and cytidine, respectively, compared to those observed for the purified recombinant UCK2 enzyme. The UCK1 antibody showed no cross reactivity against UCK2. Our data showed that UCK1 and 2 are both expressed in several neuroblastoma cell lines, including four MYCN single copy cell lines and five MYCN amplified cell lines, with the exception that UCK1 was not expressed in SJNB8. These results indicate that UCK2 in neuroblastoma might be used as a selective target for chemotherapy using UCK2-dependent pyrimidine analogues.
尿嘧啶-胞苷激酶(UCK)催化尿嘧啶、胞苷和几种嘧啶核糖核苷类似物的磷酸化。我们在大肠杆菌中过表达和纯化了人类UCK的两种已知亚型,制备了针对UCK1的特异性抗体,并对UCK1和2的动力学特性进行了表征。与纯化的重组UCK1酶相比,用尿苷和胞苷纯化的重组UCK2酶的Vmax分别高出22倍和8倍。与纯化的重组UCK2酶相比,尿苷和胞苷的UCK1的Km分别高出39倍和40倍。UCK1抗体与UCK2无交叉反应性。我们的数据显示,UCK1和2在几种神经母细胞瘤细胞系中均有表达,包括4种MYCN单拷贝细胞系和5种MYCN扩增细胞系,但UCK1在sjb8中不表达。这些结果表明,神经母细胞瘤中的UCK2可能作为使用UCK2依赖性嘧啶类似物进行化疗的选择性靶点。
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引用次数: 8
Stably transfected adherent cancer cell models with decreased expression of 5′-nucleotidase cN-II 稳定转染5′-核苷酸酶cN-II表达降低的粘附癌细胞模型
Pub Date : 2016-12-01 DOI: 10.1080/15257770.2016.1163375
G. Bricard, Emeline Cros-Perrial, C. Machon, C. Dumontet, L. Jordheim
ABSTRACT The 5′-nucleotidase cN-II has been shown to be associated with the sensitivity to nucleoside analogues, the survival of cytarabine treated leukemia patients and to cell proliferation. Due to the lack of relevant cell models for solid tumors, we developed four cell lines with low cN-II expression and characterized them concerning their in vitro sensitivity to cancer drugs and their intracellular nucleotide pools. All four cell models had an important decrease of cN-II expression but did not show modified sensitivity, cell proliferation or nucleotide pools. Our cell models will be important for the study of the role of cN-II in human cancer cells.
5 ' -核苷酸酶cN-II已被证明与核苷类似物的敏感性、阿糖胞苷治疗白血病患者的生存和细胞增殖有关。由于实体瘤缺乏相关的细胞模型,我们开发了四种低cN-II表达的细胞系,并对其体外对肿瘤药物的敏感性及其细胞内核苷酸池进行了表征。所有四种细胞模型均显著降低了cN-II的表达,但未表现出敏感性、细胞增殖或核苷酸池的改变。我们的细胞模型将对研究cN-II在人类癌细胞中的作用具有重要意义。
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引用次数: 8
Urat1-Uox double knockout mice are experimental animal models of renal hypouricemia and exercise-induced acute kidney injury Urat1-Uox双敲除小鼠是肾性低尿酸血症和运动性急性肾损伤的实验动物模型
Pub Date : 2016-12-01 DOI: 10.1080/15257770.2016.1143559
M. Hosoyamada, Yu Tsurumi, Hidenori Hirano, N. H. Tomioka, Y. Sekine, T. Morisaki, S. Uchida
ABSTRACT Renal hypouricemia (RHUC) is a hereditary disease characterized by a low level of plasma urate but with normal urinary urate excretion. RHUC type 1 is caused by mutations of the urate transporter URAT1 gene (SLC22A12). However, the plasma urate levels of URAT1 knockout mice are no different from those of wild-type mice. In the present study, a double knockout mouse, in which the URAT1 and uricase (Uox) genes were deleted (Urat1-Uox-DKO), were used as an experimental animal model of RHUC type 1 to investigate RHUC and excise-induced acute kidney injury (EIAKI). Mice were given a variable content of allopurinol for one week followed by HPLC measurement of urate and creatinine concentrations in spot urine and blood from the tail. The urinary excretion of urate in Urat1-Uox-DKO mice was approximately 25 times higher than those of humans. With allopurinol, the plasma urate levels of Urat1-Uox-DKO mice were lower than those of Uox-KO mice. There were no differences in the urinary urate excretions between Urat1-Uox-DKO and Uox-KO mice administered with 9 mg allopurinol /100 g feed. In the absence of allopurinol, plasma creatinine levels of some Urat1-Uox-DKO mice were higher than those of Uox-KO mice. Consequently, hypouricemia and normouricosuria may indicate that the Urat1-Uox-DKO mouse administered with allopurinol may represent a suitable animal model of RHUC type 1. Urat1-Uox-DKO mice without allopurinol exhibited acute kidney injury, thus providing additional benefit as a potential animal model for EIAKI. Finally, our data indicate that allopurinol appears to provide prophylactic effects for EIAKI.
肾性低尿酸血症(RHUC)是一种以血浆尿酸水平低而尿尿酸排泄正常为特征的遗传性疾病。RHUC 1型是由尿酸转运蛋白URAT1基因(SLC22A12)突变引起的。然而,URAT1基因敲除小鼠的血浆尿酸水平与野生型小鼠没有区别。本研究以URAT1和尿酸酶(Uox)基因缺失的双敲除小鼠(URAT1 -Uox- dko)作为RHUC 1型的实验动物模型,研究RHUC和运动诱导的急性肾损伤(EIAKI)。小鼠给予可变含量的别嘌呤醇一周,然后用高效液相色谱法从尾部测量尿样和血液中的尿酸盐和肌酐浓度。Urat1-Uox-DKO小鼠尿尿酸排泄量约为人类的25倍。使用别嘌呤醇后,Urat1-Uox-DKO小鼠血浆尿酸水平低于Uox-KO小鼠。给药9 mg别嘌呤醇/100 g饲料的Urat1-Uox-DKO和Uox-KO小鼠的尿尿酸排泄量没有差异。在不含别嘌呤醇的情况下,部分Urat1-Uox-DKO小鼠血浆肌酐水平高于Uox-KO小鼠。因此,低尿酸血症和正常尿尿可能表明,给药别嘌呤醇的Urat1-Uox-DKO小鼠可能是一种合适的RHUC 1型动物模型。不含别嘌呤醇的Urat1-Uox-DKO小鼠表现出急性肾损伤,因此作为EIAKI的潜在动物模型提供了额外的益处。最后,我们的数据表明别嘌呤醇似乎对EIAKI有预防作用。
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引用次数: 17
Role of genomic factors beyond thymidylate synthase in the prediction of response to 5-fluorouracil 胸苷酸合成酶以外的基因组因素在预测5-氟尿嘧啶反应中的作用
Pub Date : 2016-12-01 DOI: 10.1080/15257770.2016.1218020
G. Peters, K. Smid, E. Meijer, C. V. van Groeningen, L. Leon
ABSTRACT 5-Fluorouracil (5FU) is still a major drug in combinations regimens for the treatment of colorectal cancer (CRC) both in the adjuvant and palliative setting. 5FU or its oral prodrug capecitabine is usually combined with irinotecan/oxaliplatin and the novel agents bevacizumab/cetuximab. Although this improved the outcome, the overall prognosis in patients with metastasized disease is still relatively poor. Although the target for 5FU, thymidylate synthase was shown to have a predictive value, this could only predict response in a subset of patients. Given the heterogeneous and complex nature of CRC, it is likely that other aberrations can affect therapeutic response. As an alternative, we investigated Copy number alterations using oligonucleotide-based high-throughput array-comparative-genomic-hybridization (aCGH) to obtain an unbiased screening of the whole genetic spectrum. Chromosomal aberrations have been identified in 85% of CRC patients and include genomic regions harboring copy number alterations in the DNA. These alterations may change the expression of many genes and might explain the differential response to therapy as shown in recent studies with several 5FU combinations. In order to clarify new predictive parameters for 5FU, we used aCGH in a historical cohort of patients, which received treatment with single agent 5FU, and an unsupervised clustering analysis showed a statistical (p < 0.05) difference between responding and nonresponding patients. We also find that several regions showed differences between responders/non-responders, such as losses in 12p12.3–12q15 and in 18p (where TS is located) in responding patients. Genome-wide analysis may provide an additional tool to discriminate between responders and nonresponders.
5-氟尿嘧啶(5FU)仍然是结肠直肠癌(CRC)联合治疗方案中的主要药物,无论是辅助治疗还是姑息治疗。5FU或其口服前药卡培他滨通常与伊立替康/奥沙利铂和新型药物贝伐单抗/西妥昔单抗合用。虽然这改善了预后,但转移性疾病患者的总体预后仍然相对较差。尽管胸腺苷酸合酶的5FU靶标被证明具有预测价值,但这只能预测一部分患者的反应。考虑到结直肠癌的异质性和复杂性,其他异常可能会影响治疗反应。作为替代方案,我们使用基于寡核苷酸的高通量阵列比较基因组杂交(aCGH)来研究拷贝数改变,以获得整个遗传谱的无偏筛选。在85%的结直肠癌患者中发现了染色体畸变,包括DNA拷贝数改变的基因组区域。这些改变可能会改变许多基因的表达,并可能解释最近研究中几种5FU组合对治疗的不同反应。为了明确5FU的新预测参数,我们在接受单药5FU治疗的历史队列患者中使用aCGH,无监督聚类分析显示,有反应的患者与无反应的患者之间存在统计学差异(p < 0.05)。我们还发现,应答者和非应答者之间的几个区域存在差异,例如应答患者12p12.3-12q15和18p (TS所在的位置)的缺失。全基因组分析可以提供一个额外的工具来区分反应者和无反应者。
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引用次数: 2
Orotate (orotic acid): An essential and versatile molecule 乳香酸:一种重要的多用途分子
Pub Date : 2016-12-01 DOI: 10.1080/15257770.2016.1147580
M. Löffler, E. Carrey, E. Zameitat
ABSTRACT Orotate (OA) is well-known as a precursor in biosynthesis of pyrimidines; in mammals it is released from the mitochondrial dihydroorotate dehydrogenase (DHODH) for conversion to UMP by the cytoplasmic UMP synthase enzyme. OA is also a normal part of the diet, being found in milk and dairy products, and it is converted to uridine for use in the pyrimidine salvage pathway predominantly in liver, kidney and erythrocytes. Early research into nutrition identified orotate as “vitamin B13,” and its use as a complex with organic cations or metal ions was promulgated in body-building, and in assisting therapies of metabolic syndromes. It has recently been established that the amelioration of gout by dairy products arises from the competition of orotate and urate at the hURAT1 transporter. The orotic aciduria that arises in children with defective UMP synthase can be rescued by oral uridine therapy, since UMP is the end-product and also a feedback inhibitor of the de novo pathway. In contrast, Miller (dysmorphology) syndrome is connected with defects in DHODH, and hence in the supply of OA, and cannot be helped by uridine. Other models of dysmorphisms are connected with enzymes early in the pyrimidine de novo pathway. We conclude that the OA molecule is itself required for the regulation of genes that are important in the development of cells, tissues and organisms.
羊角酸酯(OA)是众所周知的生物合成嘧啶的前体;在哺乳动物中,它从线粒体二氢化脱氢酶(DHODH)中释放出来,通过细胞质UMP合成酶转化为UMP。OA也是饮食中正常的一部分,存在于牛奶和乳制品中,它被转化为尿苷,主要用于肝、肾和红细胞中的嘧啶回收途径。早期的营养学研究将牛油果酸确定为“维生素B13”,并将其作为有机阳离子或金属离子的复合物用于健身和辅助代谢综合征的治疗。最近已经确定,乳制品对痛风的改善来自于hURAT1转运体中旋转蛋白和尿酸的竞争。由于UMP是最终产物,同时也是新生途径的反馈抑制剂,因此在有缺陷的UMP合酶的儿童中出现的嗜酸性尿症可以通过口服尿苷治疗来挽救。相反,Miller(畸形)综合征与DHODH缺陷有关,因此与OA供应有关,尿苷无法帮助。其他畸形模型与早期的嘧啶新生途径中的酶有关。我们得出结论,OA分子本身是调节基因所必需的,这些基因在细胞、组织和生物体的发育中很重要。
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引用次数: 48
Ultrasonography in the diagnosis of asymptomatic hyperuricemia and gout 超声检查在无症状高尿酸血症和痛风诊断中的价值
Pub Date : 2016-12-01 DOI: 10.1080/15257770.2015.1124999
J. Puig, L. Beltrán, C. Mejia-Chew, D. Tevar, R. Torres
ABSTRACT Sonography has detected urate deposits in 34%–42% of the patients with asymptomatic hyperuricemia. This may prompt reclassification of asymptomatic hyperuricemia into “asymptomatic gout” and consideration of urate lowering therapy (ULT) to resolve urate deposits. In patients with gout and no visible tophi, sonography has detected urate deposits in half of the patients. This may allow diagnosing “tophaceous gout” and influencing the serum urate target level, prophylaxis to avoid acute gout flares during ULT, and clinical follow-up. Current accessibility to sonography may better classify patients with hyperuricemia and gout and contribute to delineate therapeutic objectives and clinical guidance.
超声检查发现34%-42%的无症状高尿酸血症患者存在尿酸沉积。这可能促使将无症状高尿酸血症重新分类为“无症状痛风”,并考虑采用降尿酸疗法(ULT)来解决尿酸沉积。在痛风患者,没有可见的痛风石,超声检查已检测到尿酸沉积在一半的患者。这可能有助于诊断“风疹性痛风”,影响血清尿酸靶水平,预防ULT期间急性痛风发作,以及临床随访。目前超声检查的可及性可以更好地对高尿酸血症和痛风患者进行分类,并有助于确定治疗目标和临床指导。
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引用次数: 14
Advances in purine and pyrimidine metabolism in health and diseases 嘌呤和嘧啶代谢在健康和疾病中的研究进展
Pub Date : 2016-12-01 DOI: 10.1080/15257770.2016.1218022
M. Hirano, G. Peters
ABSTRACT In June, 2015, the Purine and Pyrimidine Society organized the 16th biennial symposium on Purine and Pyrimidine metabolism at the Faculty House of Columbia University, New York City. This exciting meeting focused on these important molecules, new developments in inborn errors of metabolism; therapeutic analogs. In addition, the biochemistry of mammalian and non-mammalian systems were discussed. Due to significant advances in molecular medicine, the boundaries between clinical and basic sciences have merged into exciting translational research, of which a small portion was highlighted in the presymposium.
2015年6月,嘌呤与嘧啶学会在纽约市哥伦比亚大学学院举办了第16届嘌呤与嘧啶代谢研讨会。这次激动人心的会议聚焦于这些重要的分子,先天性代谢错误的新进展;治疗类似物。此外,还讨论了哺乳动物和非哺乳动物系统的生物化学。由于分子医学的重大进展,临床科学和基础科学之间的界限已经融合为令人兴奋的转化研究,其中一小部分在会前会议上得到了强调。
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引用次数: 10
Mitochondrial purine and pyrimidine metabolism and beyond 线粒体嘌呤和嘧啶代谢及其他
Pub Date : 2016-12-01 DOI: 10.1080/15257770.2015.1125001
Liya Wang
ABSTRACT Carefully balanced deoxynucleoside triphosphate (dNTP) pools are essential for both nuclear and mitochondrial genome replication and repair. Two synthetic pathways operate in cells to produce dNTPs, e.g., the de novo and the salvage pathways. The key regulatory enzymes for de novo synthesis are ribonucleotide reductase (RNR) and thymidylate synthase (TS), and this process is considered to be cytosolic. The salvage pathway operates both in the cytosol (TK1 and dCK) and the mitochondria (TK2 and dGK). Mitochondrial dNTP pools are separated from the cytosolic ones owing to the double membrane structure of the mitochondria, and are formed by the salvage enzymes TK2 and dGK together with NMPKs and NDPK in postmitotic tissues, while in proliferating cells the mitochondrial dNTPs are mainly imported from the cytosol produced by the cytosolic pathways. Imbalanced mitochondrial dNTP pools lead to mtDNA depletion and/or deletions resulting in serious mitochondrial diseases. The mtDNA depletion syndrome is caused by deficiencies not only in enzymes in dNTP synthesis (TK2, dGK, p53R2, and TP) and mtDNA replication (mtDNA polymerase and twinkle helicase), but also in enzymes in other metabolic pathways such as SUCLA2 and SUCLG1, ABAT and MPV17. Basic questions are why defects in these enzymes affect dNTP synthesis and how important is mitochondrial nucleotide synthesis in the whole cell/organism perspective? This review will focus on recent studies on purine and pyrimidine metabolism, which have revealed several important links that connect mitochondrial nucleotide metabolism with amino acids, glucose, and fatty acid metabolism.
精心平衡的三磷酸脱氧核苷(dNTP)池对于细胞核和线粒体基因组的复制和修复都是必不可少的。细胞中有两种合成途径产生dNTPs,即新生途径和挽救途径。从头合成的关键调控酶是核糖核苷酸还原酶(RNR)和胸苷酸合成酶(TS),这一过程被认为是细胞质的。挽救途径在细胞质(TK1和dCK)和线粒体(TK2和dGK)中都起作用。线粒体dNTP池由于线粒体的双膜结构而与胞质池分离,在有丝分裂后组织中由挽救酶TK2和dGK与NMPKs和NDPK一起形成,而在增殖细胞中,线粒体dNTP主要通过胞质途径从胞质中输入。不平衡的线粒体dNTP池导致mtDNA耗尽和/或缺失,导致严重的线粒体疾病。mtDNA缺失综合征不仅是由于dNTP合成酶(TK2、dGK、p53R2和TP)和mtDNA复制酶(mtDNA聚合酶和twinkle - helicase)的缺乏引起的,也是由于其他代谢途径的酶如sucl2和SUCLG1、ABAT和MPV17的缺乏引起的。基本问题是为什么这些酶的缺陷会影响dNTP的合成,以及线粒体核苷酸合成在整个细胞/生物体的角度有多重要?本文将对嘌呤和嘧啶代谢的最新研究进行综述,揭示线粒体核苷酸代谢与氨基酸、葡萄糖和脂肪酸代谢之间的重要联系。
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引用次数: 64
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