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Overcoming stromal resistance in solid tumors with MMP2-engineered CAR-T cells. 用mmp2修饰的CAR-T细胞克服实体瘤的基质耐药。
IF 10.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-03-13 DOI: 10.1016/j.phrs.2026.108163
Jiaxin Tu, Yuge Zhu, Xinyu Li, Shance Li, Guanyu Zhang, You He, Zheming Lu, Chaoting Zhang

Chimeric antigen receptor (CAR) T-cell therapy remains ineffective in most solid tumors due to extracellular matrix (ECM)-mediated stromal barriers. While prior ECM-remodeling strategies using multiple matrix metalloproteinases (MMPs) improved tumor infiltration, they increased vector complexity and raised translational concerns; conversely, single MMP7 overexpression enhanced infiltration without improving tumor control. Here, we identify matrix metalloproteinase-2 (MMP2) as a single ECM-degrading enzyme that simultaneously enhances CAR-T cell infiltration and antitumor efficacy. Mesothelin- and B7H3-targeted CAR-T cells co-expressing MMP2 preserved T-cell fitness while exhibiting superior ECM traversal and cytotoxicity in vitro, and these effects were abolished by the pan-MMP inhibitor GM6001. In a physiologically relevant, cancer-associated fibroblast (CAF)-enriched xenograft model, MMP2-engineered CAR-T cells displayed increased intratumoral accumulation and durable tumor control. These findings establish MMP2-based single-enzyme ECM remodeling as a simple, scalable, and clinically translatable strategy to overcome stromal resistance and advance CAR-T therapy for solid tumors.

由于细胞外基质(ECM)介导的间质屏障,嵌合抗原受体(CAR) t细胞治疗在大多数实体瘤中仍然无效。虽然先前使用多种基质金属蛋白酶(MMPs)的ecm重塑策略改善了肿瘤浸润,但它们增加了载体的复杂性并引起了翻译问题;相反,单个MMP7过表达增强了浸润,但没有改善肿瘤控制。在这里,我们确定基质金属蛋白酶-2 (MMP2)作为一个单一的ecm降解酶,同时增强CAR-T细胞浸润和抗肿瘤功效。靶向间皮素和b7h3的CAR-T细胞共表达MMP2,在体外表现出优越的ECM穿越和细胞毒性的同时,保留了t细胞的适应性,这些作用被泛mmp抑制剂GM6001所消除。在一个生理相关的,癌症相关成纤维细胞(CAF)富集的异种移植模型中,mmp2工程CAR-T细胞显示出增加的瘤内积聚和持久的肿瘤控制。这些发现表明,基于mmp2的单酶ECM重塑是一种简单、可扩展和临床可翻译的策略,可克服基质耐药并推进实体肿瘤的CAR-T治疗。
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引用次数: 0
Mitochondrial Dysfunction as a Driver of Chronic Pain: New Insights and Therapeutic Prospects. 线粒体功能障碍作为慢性疼痛的驱动因素:新的见解和治疗前景。
IF 10.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-21 DOI: 10.1016/j.phrs.2026.108170
Yi-Lin Fan, Fang-Yu Dai, Jia-Yi Wang, Xin-Yi Dai, Wen-Lu Song, Hong Wu, Shao-Jie Gao, Mei Tao, Long-Qing Zhang, Tian-Zhu Liu, Shu-Guang Yang, Dai-Qiang Liu, Ya-Qun Zhou, Wei Mei

Chronic pain is a significant global health burden often resistant to conventional analgesics. Evidence implicates that mitochondrial dysfunction is not only a cellular consequence of injury, but also a fundamental driver of pain chronification. This review synthesizes current insights into how mitochondrial impairment contributes to pain chronification across diverse pathological contexts. Bioenergetic failure marked by ATP depletion and electron transport chain defects plays a central role. This energy crisis converges with oxidative stress, calcium overload, and neuroinflammation to promote neuronal hyperexcitability. Meanwhile, impaired mitophagy, suppressed biogenesis, and abnormal dynamics all contribute to the disrupted mitochondrial quality control, which further perpetuates cellular stress. Crucially, the efficacy of multiple mitochondria-targeted therapeutic strategies was summarized in this review. Despite gaps in current research, we emphasize that developments in biomarker and exploration of neuro-glial immune interactions could advance mitochondria-based precision medicine for pain management.

慢性疼痛是一项重大的全球健康负担,通常对常规镇痛药具有耐药性。证据表明,线粒体功能障碍不仅是损伤的细胞后果,也是疼痛慢性化的基本驱动因素。这篇综述综合了目前关于线粒体损伤如何在不同病理背景下促进疼痛慢性化的见解。以ATP耗竭和电子传递链缺陷为标志的生物能量衰竭起着核心作用。这种能量危机与氧化应激、钙超载和神经炎症汇合,促进神经元的高兴奋性。同时,线粒体自噬受损、生物发生抑制和动力学异常都导致线粒体质量控制中断,进一步使细胞应激持续存在。至关重要的是,本综述总结了多种线粒体靶向治疗策略的疗效。尽管目前的研究存在空白,但我们强调生物标志物的发展和神经胶质免疫相互作用的探索可以推进基于线粒体的疼痛管理精准医学。
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引用次数: 0
Endothelial Hippo pathway regulates the neutrophil niche and lung fibrosis. 内皮Hippo通路调节中性粒细胞生态位和肺纤维化。
IF 10.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-21 DOI: 10.1016/j.phrs.2026.108169
Chuan Wu, Xiangqi Chen, Jingyue Zhou, Han Wang, Xiaojuan Huang, Xiaoqiang Tang, Zhongwei Cao, Bi-Sen Ding

Lung fibrosis is a severe disease with limited therapeutic options. The vascular niche is critical for lung function and fibrotic diseases, but the mechanisms by which endothelial cells (ECs) are regulated during lung injury and fibrosis remain largely unknown. As a critical regulatory pathway in lung development, regeneration, and fibrosis, the role of Hippo/YAP1 in the endothelial niche remains elusive. Here, we provide evidence that endothelial Hippo facilitates lung fibrosis via regulating the neutrophil niche. The YAP1 is activated in ECs of fibrotic lungs in mice and humans. Activating YAP1 via depleting the upstream repressor SAV1 in ECs promotes bleomycin-induced lung fibrosis, while endothelial YAP1 deficiency reverses lung fibrosis. Mechanism study reveals that endothelial YAP1 regulates the expression of CXCL1, which recruits CXCR2+ neutrophil in injured lungs. Blocking neutrophil recruitment via CXCR2 antagonist reduces lung fibrosis and blocks the effects of endothelial YAP1 activation. Therapeutically, inhibition of YAP1 with verteporfin reduces endothelial CXCL1 expression, neutrophil recruitment and lung fibrosis. Collectively, these findings demonstrate the roles of Hippo/YAP1 in regulating endothelial-neutrophil niche to participate in lung fibrosis.

肺纤维化是一种严重的疾病,治疗选择有限。血管生态位对肺功能和纤维化疾病至关重要,但内皮细胞(ECs)在肺损伤和纤维化过程中的调节机制仍不清楚。作为肺发育、再生和纤维化的关键调控途径,Hippo/YAP1在内皮生态位中的作用尚不明确。在这里,我们提供的证据表明内皮Hippo通过调节中性粒细胞生态位促进肺纤维化。YAP1在小鼠和人类纤维化肺的内皮细胞中被激活。通过在ECs中消耗上游抑制因子SAV1激活YAP1可促进博莱霉素诱导的肺纤维化,而内皮细胞YAP1缺乏可逆转肺纤维化。机制研究表明,内皮细胞YAP1调节CXCL1的表达,从而在损伤肺中募集CXCR2+中性粒细胞。通过CXCR2拮抗剂阻断中性粒细胞募集可减少肺纤维化并阻断内皮细胞YAP1激活的作用。在治疗上,用维替泊芬抑制YAP1可减少内皮细胞CXCL1表达、中性粒细胞募集和肺纤维化。总之,这些发现证明Hippo/YAP1在调节内皮-中性粒细胞生态位参与肺纤维化中的作用。
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引用次数: 0
MDA-9/Syntenin small molecule inhibitor IVMT-Rx-4 blocks prostate cancer bone metastasis. MDA-9/Syntenin小分子抑制剂IVMT-Rx-4阻断前列腺癌骨转移。
IF 10.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-20 DOI: 10.1016/j.phrs.2026.108164
Santanu Maji, Amit Kumar, Padmanabhan Mannangatti, Jinkal Modi, Madeline Gunawardena, Marion Q LoPresti, Nitai Mukhopadhyay, Anne M Brown, Rudra Pangeni, Qingguo Xu, Webster L Santos, Jiong Li, Swadesh K Das, Paul B Fisher

Bone metastasis is a frequent and incurable consequence of advanced prostate cancer (PC). This process originates through an interplay between disseminated tumor cells and heterogeneous bone resident cells in the metastatic niche. Melanoma differentiation associated gene-9 (mda-9/Syntenin) is a pro-metastatic gene expressed in multiple organs, including bone marrow-derived mesenchymal stromal cells (BM-MSCs), under both physiological and pathological conditions. MDA-9/Syntenin coordinates the interactions between tumor cells and BM-MSCs, which promote establishment of metastatic tumors in the bone niche. Considering the importance of protein-protein interactions in regulating MDA-9/Syntenin functions, we focused on developing small molecule inhibitors of these interactions. We describe the translational potential of IVMT-Rx-4, an intermediate synthesis product of PDZ1i, in inhibiting PC bone metastasis. IVMT-Rx-4 has similar bioactivity as PDZ1i but with improved druggable properties, e.g., higher solubility and lower efflux. It promotes potent anti-invasive and anti-metastatic effects by inhibiting the MDA-9/Syntenin dependent tumor-derived platelet derived growth factor, PDGF-AA, and its related signalling in BM-MSCs. In addition, the combination of IVMT-Rx-4 and docetaxel enhances survival in experimental bone metastasis models. These observations reinforce the concept that together with metastasis suppression, IVMT-Rx-4 can boost the effectiveness of standard-of-care treatment. Collectively, the present work provides a framework for translational strategies to ameliorate health complications and morbidity associated with advanced PC.

骨转移是晚期前列腺癌(PC)常见且无法治愈的结果。这一过程起源于弥散性肿瘤细胞和转移性骨龛中异质骨驻留细胞之间的相互作用。黑色素瘤分化相关基因-9 (mda-9/Syntenin)是一种在生理和病理条件下在包括骨髓间充质基质细胞(BM-MSCs)在内的多个器官中表达的促转移基因。MDA-9/Syntenin协调肿瘤细胞与BM-MSCs之间的相互作用,促进骨生态位转移性肿瘤的建立。考虑到蛋白-蛋白相互作用在调节MDA-9/Syntenin功能中的重要性,我们专注于开发这些相互作用的小分子抑制剂。我们描述了IVMT-Rx-4 (PDZ1i的中间合成产物)在抑制PC骨转移中的翻译潜力。IVMT-Rx-4具有与PDZ1i相似的生物活性,但具有更好的药物特性,例如更高的溶解度和更低的外排。它通过抑制MDA-9/Syntenin依赖性肿瘤源性血小板源性生长因子PDGF-AA及其在BM-MSCs中的相关信号传导,促进有效的抗侵袭和抗转移作用。此外,IVMT-Rx-4联合多西他赛可提高实验性骨转移模型的生存率。这些观察结果加强了IVMT-Rx-4与转移抑制一起可以提高标准治疗效果的概念。总的来说,目前的工作为改善与晚期PC相关的健康并发症和发病率的转化策略提供了一个框架。
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引用次数: 0
Tribbles Pseudokinases in Cardiovascular Diseases: Molecular Mechanisms, Genetic Insights, and Therapeutic Prospects. Tribbles假激酶在心血管疾病中的作用:分子机制,遗传见解和治疗前景。
IF 10.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-19 DOI: 10.1016/j.phrs.2026.108168
Wenkang Zhang, Minhao Zhang, Ziqi Sha, Gaoliang Yan, Chengchun Tang, Mingkang Li

Cardiovascular disease (CVD) represents a significant global public health challenge, with its high incidence and mortality rates imposing a substantial socioeconomic burden. Tribbles family proteins (TRIB1, TRIB2, and TRIB3), functioning as pseudokinases, play a pivotal role in the pathogenesis and progression of various CVDs, including coronary heart disease, heart failure, hypertension, cardiomyopathy, and pulmonary hypertension. The progression of CVD is modulated by the tribbles family proteins through key mechanisms such as the regulation of inflammatory responses, apoptosis, endoplasmic reticulum stress, and insulin signaling pathways. Furthermore, polymorphisms within the tribbles family genes are strongly associated with genetic susceptibility to CVDs, thereby influencing disease risk and clinical manifestations. Multiple therapeutic strategies targeting the tribbles family have demonstrated potential in improving cardiac and vascular function, offering novel avenues for CVD treatment. This review provides an in-depth analysis of the structural characteristics of tribbles family proteins and elucidates the mechanisms of tribbles in CVDs and their potential as therapeutic targets.

心血管疾病(CVD)是一项重大的全球公共卫生挑战,其高发病率和死亡率造成了沉重的社会经济负担。Tribbles家族蛋白(TRIB1, TRIB2和TRIB3)作为假激酶,在各种心血管疾病的发病和进展中起关键作用,包括冠心病,心力衰竭,高血压,心肌病和肺动脉高压。tribbles家族蛋白通过调节炎症反应、细胞凋亡、内质网应激和胰岛素信号通路等关键机制调节CVD的进展。此外,tribbles家族基因的多态性与cvd的遗传易感性密切相关,从而影响疾病风险和临床表现。针对tribbles家族的多种治疗策略已显示出改善心脏和血管功能的潜力,为CVD治疗提供了新的途径。本文对tribbles家族蛋白的结构特征进行了深入的分析,并阐明了tribbles在心血管疾病中的作用机制及其作为治疗靶点的潜力。
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引用次数: 0
Impact of vitamin D deficiency on defective endometrial decidualization and the repressive role of vitamin D receptor (VDR) in the epigenomic network. 维生素D缺乏对子宫内膜脱个体化缺陷的影响以及维生素D受体(VDR)在表观基因组网络中的抑制作用。
IF 10.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-17 DOI: 10.1016/j.phrs.2026.108162
MyeongJin Yi, Skylar G Montague Redecke, Tianyuan Wang, Austin Bell-Hensley, Shuyun Li, Abdull J Massri, Anne Marie Z Jukic, Francesco J DeMayo

Identifying the factors that regulate female reproduction is crucial to understanding how the environment affects female reproductive health. The vitamin D receptor (VDR) and its ligands (primarily 1,25(OH)2D3) have a recognized role in calcium homeostasis; however, their broader impact on female reproduction remains underexplored. We demonstrate that the VDR and its ligands are involved in the hormonal induction of uterine decidualization. Mice fed a vitamin D-deficient diet displayed an impaired hormonally induced decidual response. In a human telomerase reverse transcriptase-immortalized human endometrial stromal cell line (T-HESC), VDR decreased during in vitro decidualization. Small interfering RNA (siRNA) knockdown of VDR in T-HESC enhanced in vitro decidualization, while overexpression of VDR inhibited it. Chromatin accessibility and histone modification analyses revealed that VDR functions as a chromatin regulator, restricting accessibility and repressing transcription in specific genomic regions. Transcriptomic analyses confirmed that VDR broadly modulates gene expression, with most ligand-mediated effects occurring through the VDR. These findings identify VDR as a key regulator of transcriptional and chromatin landscapes in human endometrial stromal cells, offering novel insights into vitamin D signaling in reproduction. This study highlights the potential of targeting vitamin D pathways to treat uterine disorders associated with impaired decidualization and reduced fertility.

确定调节女性生殖的因素对于了解环境如何影响女性生殖健康至关重要。维生素D受体(VDR)及其配体(主要是1,25(OH)2D3)在钙稳态中起着公认的作用;然而,它们对女性生殖的更广泛影响仍未得到充分研究。我们证明了VDR及其配体参与子宫脱个体化的激素诱导。喂食缺乏维生素d的小鼠表现出激素诱导的个体反应受损。在人端粒酶逆转录永生化的人子宫内膜基质细胞系(T-HESC)中,VDR在体外脱体细胞过程中降低。小干扰RNA (Small interfering RNA, siRNA)敲低VDR可增强T-HESC的体外去个化,而过表达VDR可抑制体外去个化。染色质可及性和组蛋白修饰分析显示,VDR作为染色质调节剂,在特定基因组区域限制可及性和抑制转录。转录组学分析证实,VDR广泛调节基因表达,大多数配体介导的作用是通过VDR发生的。这些发现确定了VDR是人类子宫内膜基质细胞转录和染色质景观的关键调节剂,为维生素D在生殖中的信号传导提供了新的见解。这项研究强调了靶向维生素D途径治疗与去胎化受损和生育能力降低相关的子宫疾病的潜力。
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引用次数: 0
Self-organizing neural network-based generative AI with embedded error inflation control enhances effective knowledge extraction from preclinical studies with reduced sample size. 基于自组织神经网络的生成式人工智能嵌入误差膨胀控制,通过减少样本量,提高了临床前研究的有效知识提取。
IF 10.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-13 DOI: 10.1016/j.phrs.2026.108159
Jörn Lötsch, Benjamin Mayer, Natasja de Bruin, Alfred Ultsch

Small sample sizes in preclinical research limit the extraction of reliable knowledge and hinder translational progress. We propose genESOM, a generative artificial intelligence method based on emergent self‑organizing maps. genESOM is designed to augment small biomedical datasets while controlling α‑error inflation. It separates structure learning from data synthesis and integrates error propagation mitigation through dimensionality modulation, enabling safe and interpretable data augmentation. Using lipid signaling data from a preclinical multiple sclerosis study employing the experimental autoimmune encephalomyelitis (EAE) model (26 female SJL/J mice, three treatment groups, and 62 lipid mediators), we intentionally reduced the sample size from 26 to 18 animals. This reduction abolished detectable group differences by both statistical and machine learning analyses. Augmenting the reduced dataset with AI‑generated cases restored treatment‑specific segregation and recovered the original key lipid mediators. genESOM achieved consistent fidelity without introducing false positives. In contrast, Gaussian mixture and conditional GAN models failed under comparable constraints. These results demonstrate that genESOM provides a robust, error‑controlled framework for enhancing knowledge extraction from limited preclinical samples. While synthetic augmentation cannot substitute for biological replication, it can support exploratory analyses and help reduce the need for additional animal experimentation.

临床前研究的小样本量限制了可靠知识的提取,阻碍了转化的进展。我们提出了一种基于紧急自组织地图的生成式人工智能方法genESOM。genESOM旨在增强小型生物医学数据集,同时控制α误差膨胀。它将结构学习与数据合成分离开来,并通过维度调制集成了错误传播缓解,从而实现了安全和可解释的数据增强。采用实验性自身免疫性脑脊髓炎(EAE)模型(26只雌性SJL/J小鼠,三个治疗组和62种脂质介质)的临床前多发性硬化症研究的脂质信号数据,我们有意将样本量从26只减少到18只。通过统计和机器学习分析,这种减少消除了可检测的组差异。用人工智能生成的病例增加减少的数据集,恢复了治疗特异性分离,并恢复了原始的关键脂质介质。genESOM在不引入假阳性的情况下实现了一致的保真度。相比之下,高斯混合和条件GAN模型在可比约束下失败。这些结果表明,genESOM为从有限的临床前样本中增强知识提取提供了一个强大的、错误控制的框架。虽然合成扩增不能替代生物复制,但它可以支持探索性分析,并有助于减少对额外动物实验的需求。
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引用次数: 0
Gut microbiota drives dietary lignans to improve perimenopausal depression via activating hippocampal ERβ/GluN2A/PSD95 pathway. 肠道微生物群通过激活海马ERβ/GluN2A/PSD95通路,驱动膳食木脂素改善围绝经期抑郁症。
IF 10.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-13 DOI: 10.1016/j.phrs.2026.108161
Chao Yang, Xun Zhang, Jindi Bie, Wenwen Kang, Guiju Sun, Qing Zhao, Lihua Li, Qiaosheng Hu

Dietary lignans (Diet-LIG) are a class of estrogenic plant polyphenols whose improve potential for perimenopausal depression (PMD), a condition driven by estrogen deficiency, remains unexplored. This study aims to investigate whether Diet-LIG intake can alleviate perimenopausal depressive symptoms and to explore the underlying mechanisms. The randomized controlled trial conducted in the study revealed that one-month supplementation significantly alleviated depressive and anxiety symptoms and elevated serum estradiol in perimenopausal women. This clinical benefit was associated with increased fecal levels of gut bacterial metabolites (enterolactone and enterodiol) the enzyme β-glucuronidase, and the enrichment of specific bacteria, notably Bacteroides ovatus. Animal studies showed that Diet-LIG upregulated ERβ protein expression in the hippocampal tissue of PMD mice. KEGG analysis of hippocampal proteomics showed that differentially expressed proteins between the Diet-LIG intervention and PMD groups were primarily enriched in the glutamatergic synapse pathway. Golgi staining and Western blot analysis confirmed that Diet-LIG supplementation improved neuronal plasticity, with significantly increased expression of GluN2A and PSD95 proteins. Humanized fecal microbiota transplantation experiments and in vitro cell interventions with Bacteroides ovatus monoculture medium revealed that the antidepressant effects of Diet-LIG are not directly mediated solely by the modulated gut microbiota, but instead rely on the bioactivity of metabolites produced through gut microbiota-driven conversion. In vitro validation experiments, the knockdown of ERβ in HT22 cells significantly suppressed GluN2A and PSD95 expression and blocked their induction by Diet-LIG metabolites. In conclusion, gut microbiota drives Diet-LIG to activate hippocampal ERβ, which regulates the GluN2A/PSD95 pathway and enhances hippocampal neuronal plasticity, thereby ameliorating perimenopausal depressive symptoms. (Chinese Clinical Trial Registry [ChiCTR], ID Number: ChiCTR2400082537.).

膳食木脂素(Diet-LIG)是一类雌激素性植物多酚,其改善围绝经期抑郁症(PMD)的潜力仍未被探索,PMD是一种由雌激素缺乏引起的疾病。本研究旨在探讨Diet-LIG摄入是否能减轻围绝经期抑郁症状,并探讨其机制。该研究中进行的随机对照试验显示,一个月的补充剂可显著缓解围绝经期妇女的抑郁和焦虑症状以及血清雌二醇升高。这种临床益处与肠道细菌代谢产物(肠内酯和肠二醇)、酶β-葡萄糖醛酸酶的粪便水平增加以及特定细菌(特别是卵泡拟杆菌)的富集有关。动物实验表明,饮食- lig可上调PMD小鼠海马组织中ERβ蛋白的表达。海马蛋白质组学KEGG分析显示,饮食- lig干预组和PMD组之间差异表达的蛋白质主要富集于谷氨酸突触通路。高尔基染色和Western blot分析证实,添加Diet-LIG可改善神经元的可塑性,显著增加GluN2A和PSD95蛋白的表达。人源化粪便微生物群移植实验和卵形拟杆菌单一培养基的体外细胞干预实验表明,Diet-LIG的抗抑郁作用不是由调节的肠道微生物群直接介导的,而是依赖于肠道微生物群驱动转化产生的代谢物的生物活性。在体外验证实验中,敲低ERβ可显著抑制HT22细胞GluN2A和PSD95的表达,并阻断其被Diet-LIG代谢物诱导。综上所述,肠道菌群驱动饮食- lig激活海马ERβ,从而调节GluN2A/PSD95通路,增强海马神经元可塑性,从而改善围绝经期抑郁症状。(中国临床试验注册中心[ChiCTR], ID号:ChiCTR2400082537.)
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引用次数: 0
Targeting Acod1/itaconate in cancer therapy: Mechanisms and opportunities 靶向Acod1/衣康酸治疗癌症:机制和机遇。
IF 10.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2026-02-13 DOI: 10.1016/j.phrs.2026.108139
Tianlin Deng , Xiuyan Li , Shuodong Wu , Jing Kong , Xiaodong Wu
Globally, cancer claims nearly 10 million lives annually, where tumor heterogeneity, the immunosuppressive microenvironment, and therapeutic resistance constitute fundamental clinical challenges. In recent years, immunometabolic reprogramming has emerged as a cutting-edge research frontier, revealing novel mechanisms by which metabolites orchestrate immune responses. Itaconate—an immunometabolite primarily synthesized by macrophages—serves as a pivotal molecular hub bridging metabolic stress and anti-tumor immunity. This review systematically traces the evolution of itaconate from an industrial chemical to a key immunometabolite; comprehensively elucidates its dual roles (pro-tumorigenic vs. anti-tumorigenic) within the tumor microenvironment; synthesizes preclinical evidence of itaconate and its derivatives across diverse tumor systems; and consolidates emerging adjuvant therapeutic strategies targeting the Acod1/itaconate pathway. Collectively, this work aims to provide innovative immunometabolic perspectives for overcoming current barriers in cancer therapy.
在全球范围内,癌症每年夺去近1000万人的生命,其中肿瘤异质性、免疫抑制微环境和治疗耐药性构成了基本的临床挑战。近年来,免疫代谢重编程已成为一个前沿的研究前沿,揭示了代谢物协调免疫反应的新机制。itaconate是一种主要由巨噬细胞合成的免疫代谢物,是连接代谢应激和抗肿瘤免疫的关键分子枢纽。本综述系统地追溯衣康酸从工业化学品到关键免疫代谢物的演变;全面阐明其在肿瘤微环境中的双重作用(促瘤性和抗瘤性);衣康酸及其衍生物在不同肿瘤系统中的临床前证据综合;并巩固了针对Acod1/itaconate通路的新兴辅助治疗策略。总的来说,这项工作旨在为克服目前癌症治疗中的障碍提供创新的免疫代谢视角。
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引用次数: 0
Chronic caffeine consumption prevents obesity-induced cognitive and memory impairments by reducing neuroinflammation and enhancing neuronal activity in the hippocampus 长期摄入咖啡因可以通过减少神经炎症和增强海马体中的神经元活动来预防肥胖引起的认知和记忆障碍。
IF 10.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2026-02-13 DOI: 10.1016/j.phrs.2026.108140
Adriana M. Capucho , José Ponce de Leão , Karine Correa Flor , Gonçalo M. Melo , Marcos Vinicius Fernandes , Joana F. Sacramento , Sílvia V. Conde
Obesity and its associated metabolic disturbances increase the risk of cognitive decline, dementia, and anxiety-related disorders. Chronic caffeine consumption was suggested to prevent synaptic and cognitive deficits, but the underlying mechanisms remain unclear. Here, we investigated whether caffeine protects against cognitive and memory deficits and anxiety induced by a hypercaloric diet, and explored the molecular mechanisms involved. Ten-week-old male Wistar rats were assigned to three groups: normal chow (control), high-fat high-sucrose (HFHSu, 25 weeks), and HFHSu plus caffeine (HFHSuCaff, 1 g/L last 11 weeks). Insulin sensitivity and glucose tolerance were assessed at weeks 14 and 25. Behavioral tests (open field, novel object recognition (NOR), Y-maze, block test, elevated plus maze (EPM)) evaluated memory, cognition, and anxiety. Hippocampal tissues were analyzed by Western blot and immunohistochemistry for insulin signaling, neuronal activity and microglia activation. HFHSu feeding promoted obesity, insulin resistance, and glucose intolerance, accompanied by impaired memory and cognition (reductions in Y-maze, NOR, and block test), increased anxiety (54.5 % time in EPM open arms), reduced hippocampal glutamatergic (41.1 % VGlut) and adenosinergic signaling (22.4 %, 11.1 %, 22.6 % in A1, A2A, A2B receptors), and elevated neuroinflammation (elevated GFAP, IBA-1, IL-6 receptor levels; altered microglial morphology) compared with control. Caffeine intake ameliorated metabolic, cognitive, and neuroinflammatory alterations, except for anxiety. Notably, caffeine increased hippocampal neuronal activity by 25.22, 94.84 and 61.51 % in CA1, CA2 and CA3 areas. In conclusion, chronic caffeine consumption mitigates obesity-induced cognitive and memory deficits via modulation of hippocampal glutamatergic and adenosinergic signaling and reduced neuroinflammation, highlighting its potential as a neuroprotective intervention.
肥胖及其相关的代谢紊乱会增加认知能力下降、痴呆和焦虑相关疾病的风险。长期摄入咖啡因被认为可以预防突触和认知缺陷,但潜在的机制尚不清楚。在这里,我们研究了咖啡因是否能预防高热量饮食引起的认知、记忆缺陷和焦虑,并探讨了其中的分子机制。将10周龄雄性Wistar大鼠分为正常食物(对照组)、高脂高糖(HFHSu, 25周)和HFHSu加咖啡因(HFHSuCaff, 11周后1g/L)三组。在第14周和第25周评估胰岛素敏感性和葡萄糖耐量。行为测试(开放领域,新物体识别(NOR), y形迷宫,障碍测试,升高加迷宫(EPM))评估记忆,认知和焦虑。采用Western blot和免疫组化方法分析海马组织中胰岛素信号、神经元活性和小胶质细胞活化情况。与CTL相比,HFHSu喂养促进肥胖、胰岛素抵抗和葡萄糖耐受不良,并伴有记忆和认知功能受损(y迷宫、NOR和阻滞试验减少)、焦虑增加(EPM张开的54.5%时间)、海马谷氨酸能(41.1% VGlut)和腺苷能信号传导减少(A1、A2A、A2B受体22.4%、11.1%、22.6%)和神经炎症升高(GFAP、IBA-1、IL-6受体水平升高;小胶质细胞形态改变)。咖啡因的摄入改善了代谢、认知和神经炎症的改变,除了焦虑。值得注意的是,咖啡因使海马CA1、CA2和CA3区的神经元活性分别增加25.22%、94.84%和61.51%。综上所述,慢性咖啡因摄入通过调节海马谷氨酸能和腺苷能信号和减少神经炎症来减轻肥胖引起的认知和记忆缺陷,突出了其作为神经保护干预的潜力。
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