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Metabolic and epigenetic regulation of macrophage polarization in atherosclerosis: Molecular mechanisms and targeted therapies 动脉粥样硬化中巨噬细胞极化的代谢和表观遗传调控:分子机制和靶向治疗。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107588
Pinglian Yang , Xiaoling Rong , Zhechang Gao , Jiaojiao Wang , Zhiping Liu
Atherosclerosis, a multifactorial progressive inflammatory disease, is the common pathology underlying cardiovascular and cerebrovascular diseases. The macrophage plasticity is involved in the pathogenesis of atherosclerosis. With the advance of metabolomics and epigenetics, metabolites/metabolic and epigenetic modification such as DNA methylation, histone modification and noncoding RNA, play a crucial role in macrophage polarization and the progression of atherosclerosis. Herein, we provide a comprehensive review of the essential role of metabolic and epigenetic regulation, as well as the crosstalk between the two in regulating macrophage polarization in atherosclerosis. We also highlight the potential therapeutic strategies of regulating macrophage polarization via epigenetic and metabolic modifications for atherosclerosis, and offer recommendations to advance our knowledge of the roles of metabolic-epigenetic crosstalk in macrophage polarization in the context of atherosclerosis. Fundamental studies that elucidate the mechanisms by which metabolic and epigenetic regulation of macrophage polarization influence atherosclerosis will pave the way for novel therapeutic approaches.
动脉粥样硬化是一种多因素进行性炎症性疾病,是心脑血管疾病的常见病理基础。巨噬细胞可塑性参与动脉粥样硬化的发病机制。随着代谢组学和表观遗传学的发展,DNA甲基化、组蛋白修饰和非编码RNA等代谢物/代谢和表观遗传修饰在巨噬细胞极化和动脉粥样硬化的进展中起着至关重要的作用。在此,我们就代谢和表观遗传调控在动脉粥样硬化中巨噬细胞极化调控中的重要作用以及两者之间的相互作用进行了综述。我们还强调了通过表观遗传和代谢修饰调节巨噬细胞极化对动脉粥样硬化的潜在治疗策略,并提出了建议,以提高我们对动脉粥样硬化背景下巨噬细胞极化中代谢-表观遗传串扰的作用的认识。阐明巨噬细胞极化代谢和表观遗传调控影响动脉粥样硬化机制的基础研究将为新的治疗方法铺平道路。
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引用次数: 0
Erratum to the ‘Long non-coding RNAs-sphingolipid metabolism nexus: Potential targets for cancer treatment’ Pharmacol. Res. 210 (December) (2024) 107539
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107629
Yan Chen , Jing Dai , Peng Chen , Quan Dai , Ya Chen , Yuying Li , Man Lu , Shugang Qin , Qiuju Wang
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引用次数: 0
Ginsenosides Rg1, Rb1 and rare ginsenosides: Promising candidate agents for Parkinson's disease and Alzheimer's disease and network pharmacology analysis 人参皂苷Rg1, Rb1和稀有人参皂苷:帕金森病和阿尔茨海默病的有希望的候选药物和网络药理学分析。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107578
Mingchun Jiang , Jiaxin Chi , Yifan Qiao , Jinpeng Wang , Zhixin Zhang , Jia Liu , Xinhao Sheng , Liangjie Yuan
Ginseng has been commonly used as a traditional Chinese medicine in Asian countries for thousands of years. Ginsenosides are the main pharmacologically active ingredients isolated from ginseng and have neuroprotective effects in the treatment of neurodegenerative disorders, such as Parkinson's disease (PD) and Alzheimer's disease (AD). To summarise and investigate the protective roles of ginsenosides and their underlying mechanisms in PD and AD, we used ‘‘Ginsenoside”, ‘‘Parkinson's disease”, ‘‘Alzheimer's disease”, ‘‘anti-inflammatory”, ‘‘antioxidant”, and ‘‘apoptosis” as keywords to search and extract relevant literature information from scientific databases such as Elsevier, PubMed, and Google Scholar databases. In particular, we used network pharmacology to identify the potential targets of ginsenosides Rg1 and Rb1 in PD and AD. By analysing the existing research advances and network pharmacology results, we found that the neuroprotective effects of ginsenosides, primarily mediated through anti-inflammation, anti-apoptosis and anti-oxidative stress, etc, may be associated with the PI3K/Akt, BDNF/TrkB, MAPKs, NF-κB, Nrf2 and Wnt/β-catenin signalling pathways. This review systematically summarises the different roles and mechanisms of ginsenosides Rg1, Rb1, and rare ginsenosides in PD and AD and provides new strategies for the treatment of neurodegenerative disorders. Network pharmacology provides a new research paradigm for the treatment of PD and AD using Rg1 and Rb1.
人参作为一种传统中药在亚洲国家被广泛使用了数千年。人参皂苷是从人参中分离出来的主要药理活性成分,在治疗神经退行性疾病,如帕金森病(PD)和阿尔茨海默病(AD)中具有神经保护作用。为了总结和探讨人参皂苷在PD和AD中的保护作用及其机制,我们以“人参皂苷”、“帕金森病”、“阿尔茨海默病”、“抗炎”、“抗氧化”和“细胞凋亡”为关键词,从Elsevier、PubMed、谷歌Scholar等科学数据库中检索并提取相关文献信息。特别是,我们使用网络药理学来确定人参皂苷Rg1和Rb1在PD和AD中的潜在靶点。通过分析已有研究进展和网络药理学结果,我们发现人参皂苷主要通过抗炎症、抗凋亡、抗氧化应激等途径发挥神经保护作用,可能与PI3K/Akt、BDNF/TrkB、MAPKs、NF-κB、Nrf2和Wnt/β-catenin信号通路有关。本文系统综述了人参皂苷Rg1、Rb1和稀有人参皂苷在PD和AD中的不同作用和机制,并为神经退行性疾病的治疗提供新的策略。网络药理学为Rg1和Rb1治疗PD和AD提供了新的研究范式。
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引用次数: 0
Scutellarin inhibits pyroptosis via selective autophagy degradation of p30/GSDMD and suppression of ASC oligomerization 黄芩苷通过选择性自噬降解p30/GSDMD和抑制ASC寡聚来抑制焦亡。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107605
Danyue Li , Weilv Xu , Suhui He , Xinyue Li , Yumeng Wang , Qian Lv , Nan Chen , Lu Dong , Feng Guo , Fushan Shi
Most of the pyroptosis inhibitors targeted Gasdermin D (GSDMD) are functioning by restraining GSDMD-N (p30) oligomerization. For the first time, this work discovered a pyroptosis inhibitor taking effect by degrading p30 and GSDMD. As the principal bioactive constituent in Erigeron breviscapus, scutellarin (SCU) assumes a pivotal role in the realm of anti-inflammatory processes. In this study, SCU demonstrated efficacy in hindering pyroptosis mediated by the NOD-like receptor protein 3 (NLRP3) inflammasome, absent in melanoma 2 (AIM2) inflammasome, NLR-family CARD-containing protein 4 (NLRC4) inflammasome, and that activated through the non-canonical pathway. The inhibitory effect is achieved by thwarting apoptosis-associated speck-like protein containing CARD (ASC) oligomerization and inducing the ubiquitin-dependent selective autophagy of p30/GSDMD. Throughout the autophagic process, SCU facilitates selective autophagy of the pyroptosis executor p30/GSDMD through K33-linked polyubiquitination at Lys51 catalyzed by the E3 ligase tripartite motif-containing 21 (TRIM21). This process contributes to the recognition of p30/GSDMD by the cargo receptor sequestosome 1 (SQSTM1)/p62. The characteristic positions SCU as a prospective clinical intervention for a broader spectrum of inflammatory-related disorders.
大多数针对GSDMD的焦亡抑制剂是通过抑制GSDMD- n (p30)寡聚化来起作用的。本工作首次发现了一种通过降解p30和GSDMD起作用的焦亡抑制剂。作为灯盏花中的主要生物活性成分,灯盏花苷(SCU)在抗炎过程中起着举足轻重的作用。在本研究中,SCU显示出阻碍由nod样受体蛋白3 (NLRP3)炎症体介导的焦亡的有效性,该炎症体在黑色素瘤2 (AIM2)炎症体中缺失,nlr家族含card蛋白4 (NLRC4)炎症体中缺失,并通过非规范途径激活。抑制作用是通过抑制凋亡相关的含有CARD (ASC)的斑点样蛋白寡聚化和诱导p30/GSDMD的泛素依赖性选择性自噬来实现的。在整个自噬过程中,SCU通过E3连接酶tripartite motif-containing 21 (TRIM21)催化的Lys51位点K33-linked多泛素化,促进了焦亡执行子p30/GSDMD的选择性自噬。这个过程有助于货物受体sequestosome 1 (SQSTM1)/p62识别p30/GSDMD。这一特征使SCU成为更广泛的炎症相关疾病的前瞻性临床干预手段。
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引用次数: 0
Genetic and pharmacological targeting of HINT2 promotes OXPHOS to alleviate inflammatory responses and cell necrosis in acute pancreatitis
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107620
Jiaqi Yao , Yuhong Jiang , Pengcheng Zhang , Yifan Miao , Xiajia Wu , Hang Lei , Zhijun Xie , Yong Tian , Xianlin Zhao , Juan Li , Lv Zhu , Meihua Wan , Wenfu Tang
The necrosis of pancreatic acinar cells is a key molecular event in the progression of acute pancreatitis (AP), with disturbances in mitochondrial energy metabolism considered to be a direct causative factor of acinar cell necrosis. Histidine triad nucleotide-binding protein 2 (HINT2) has been implicated in the development of various diseases, whereas its involvement in the progression of AP remains unclear. This study aims to investigate the role of HINT2 in AP. HINT2 expression in pancreatic tissues was significantly downregulated after AP. The results of glutathione-S-transferase (GST) pull-down and proteomics analyses revealed the involvement of HINT2 in regulating mitochondrial oxidative phosphorylation (OXPHOS) in AP mice. Moreover, lentivirus-mediated HINT2 overexpression not only alleviated AP-induced ATP depletion, but also relieved inflammatory responses and cell necrosis. Mechanistically, HINT2 interacted with cytochrome C oxidase II (MTCO2) to promote mitochondrial OXPHOS, thereby reducing ROS accumulation and inhibiting the activation of inflammatory signaling pathway. Besides, HINT2 act as a direct pharmacological target of Emo to elicit protective effects on AP. Importantly, Emo upregulates the expression of HINT2 and OXPHOS complex proteins and enhances the interaction between HINT2 and MTCO2. Furthermore, CRISPR/Cas9-mediated HINT2 knockout significantly impaired the protective effects of Emo against AP-induced mitochondrial energy metabolism disorders, inflammatory responses, and acinar cell necrosis. Overall, these results uncover a previously unexplored role for HINT2 in maintaining mitochondrial energy metabolism in pancreatic acinar cells and reveals novel mechanism and target for Emo-mediated AP remission.
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引用次数: 0
Correspondence: Improved glycemic and weight control with Dulaglutide addition in SGLT2 inhibitor treated obese type 2 diabetic patients at high cardiovascular risk in a real-world setting. The AWARE-2 study.
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107639
Chang-Yuan Hsu, Che-Wei Chang, Su-Boon Yong, Chin-Yuan Yii
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引用次数: 0
Unraveling the pathogenesis of bone marrow hematopoietic injury and the therapeutic potential of natural products 揭示骨髓造血损伤的发病机制和天然产物的治疗潜力。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107589
Jing Long , Hengzhou Lai , Yuqing Huang , Fengming You , Yifang Jiang , Qixuan Kuang
Bone marrow hematopoietic injury encompasses a range of pathological conditions that disrupt the normal function of the hematopoietic system, primarily through the impaired production and differentiation of bone marrow hematopoietic cells. Key pathogenic mechanisms include aging, radiation damage, chemical induction, infection and inflammation, and cross-talk with non-hematopoietic diseases. These pathological factors often lead to myelosuppression and myeloid skewing. Furthermore, we explored the potential and application prospects of natural products in the treatment of bone marrow hematopoietic injury. Natural products, particularly those derived from Chinese herbal medicines and other natural sources, have emerged as promising therapeutic options due to their distinctive mechanisms and minimal side effects. A deeper understanding of the underlying mechanisms of bone marrow hematopoietic injury could illuminate how natural products exert their effects, thereby optimizing treatment strategies and offering safer, more effective options for patients. Future research should leverage emerging technologies to further elucidate the composition and interactions within the bone marrow microenvironment, as well as the specific pathways through which natural products modulate hematopoietic dysfunction.
骨髓造血损伤包括一系列破坏造血系统正常功能的病理状况,主要是通过骨髓造血细胞的产生和分化受损。主要致病机制包括衰老、辐射损伤、化学诱导、感染炎症、与非造血疾病的串扰等。这些病理因素常导致骨髓抑制和骨髓歪斜。此外,我们还探讨了天然产物在骨髓造血损伤治疗中的潜力和应用前景。天然产品,特别是来自中草药和其他天然来源的产品,由于其独特的机制和最小的副作用,已成为有希望的治疗选择。深入了解骨髓造血损伤的潜在机制可以阐明天然产物如何发挥其作用,从而优化治疗策略,为患者提供更安全、更有效的选择。未来的研究应利用新兴技术进一步阐明骨髓微环境的组成和相互作用,以及天然产物调节造血功能障碍的具体途径。
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引用次数: 0
Muribaculum intestinale-derived 3-hydroxybutyric acid from Heterophyllin B attenuated pulmonary fibrosis through IDO1-mediated ferroptosis 从异茶碱B中提取的3-羟基丁酸通过ido1介导的铁下垂减轻肺纤维化。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107587
Ce Chen , Jialin Wang , Mengqin Cheng , Haifeng Xie , Wei Li , Chaofeng Zhang
Pulmonary fibrosis (PF) is a fatal disease with increasing incidence, poor prognosis, and unclear pathogenesis. Our previous research demonstrated the beneficial effects of the natural cyclopeptide Heterophyllin B (HB) in PF. However, the precise mechanism by which HB exerts its effects in PF remains unclear. Our study revealed HB's beneficial effects in alleviating PF symptoms and restoring the intestinal mucosal barrier. Subsequently, the microbiota-dependent antifibrotic efficacy of HB was verified using various delivery routes, antibiotic treatments, and faecal microbiota transplantation. Functionally, 16S rRNA sequencing, untargeted metabolomics, and co-incubation experiments revealed that the antifibrotic efficacy of HB was primarily contingent on the enrichment of Muribaculum intestinale and its metabolite, 3-hydroxybutyric acid. Mechanistically, indoleamine 2,3- dioxygenase 1 (IDO1)-mediated ferroptosis was identified as a pivotal process in initiating PF, and the anti-fibrotic efficacy of HB relies on suppressing IDO1-mediated ferroptosis. Conversely, IDO1 deficiency alleviated the symptoms of bleomycin-induced PF and ferroptosis in mice. Coincidentally, both IDO1 overexpression and ferroptosis were observed in the pulmonary tissue of patients with idiopathic PF. Collectively, this study revealed that HB alleviates PF by eliminating intestinal microecology and metabolism and highlights the feasibility of targeting IDO1 for PF treatment.
肺纤维化(PF)是一种发病率高、预后差、发病机制不明确的致命疾病。我们之前的研究证实了天然环肽异茶碱B (HB)对PF的有益作用,但HB在PF中发挥作用的确切机制尚不清楚。我们的研究揭示了HB在缓解PF症状和恢复肠黏膜屏障方面的有益作用。随后,通过各种递送途径、抗生素治疗和粪便微生物群移植,验证了HB依赖微生物群的抗纤维化功效。功能上,16S rRNA测序、非靶向代谢组学和共孵育实验显示,HB的抗纤维化功效主要取决于肠道菌及其代谢物3-羟基丁酸的富集。在机制上,吲哚胺2,3-双加氧酶1 (IDO1)介导的铁下沉被认为是启动PF的关键过程,而HB的抗纤维化功效依赖于抑制IDO1介导的铁下沉。相反,缺乏IDO1可减轻博莱霉素诱导的PF和铁下垂小鼠的症状。巧合的是,在特发性PF患者的肺组织中均观察到IDO1过表达和铁上沉。本研究揭示了HB通过消除肠道微生态和代谢来缓解PF,突出了IDO1靶向治疗PF的可行性。
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引用次数: 0
Noncoding RNAs in sepsis-associated acute liver injury: Roles, mechanisms, and therapeutic applications 脓毒症相关急性肝损伤中的非编码 RNA:非编码 RNA 在败血症相关急性肝损伤中的作用、机制和治疗应用。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107596
Jialian Wang , Xingyu Tao , Zhengyang Liu , Yuan Yan , Peifeng Cheng , Bin Liu , Huimin Du , Bailin Niu
Sepsis is a life-threatening syndrome characterized by organ dysfunction caused by a dysregulated host response to infection. Sepsis-associated acute liver injury (SA-ALI) is a frequent and serious complication of sepsis that considerably impacts both short-term and long-term survival outcomes. In intensive care units (ICUs), the mortality rate of patients with SA-ALI remains high, mostly due to the absence of effective early diagnostic markers and suitable therapeutic strategies. Recent studies have demonstrated the importance of non-coding RNAs (ncRNAs) in the development and progression of SA-ALI. This review focuses on the critical roles of ncRNAs, including microRNAs (miRNAs), long non-coding RNAs (lncRNAs), and circular RNAs (circRNAs), in regulating “cytokine storms”, oxidative stress, mitochondrial dysfunction, and programmed cell death in SA-ALI, and summarizes the current state and limitations of existing studies on lncRNAs and circRNAs in SA-ALI. By integrating advancements in high-throughput sequencing technologies, this review provides novel insights into the dual potential of ncRNAs as diagnostic biomarkers and therapeutic targets, offers new ideas for SA-ALI diagnosis and treatment research and highlights potential challenges in clinical translation.
脓毒症是一种危及生命的综合征,其特征是由宿主对感染反应失调引起的器官功能障碍。脓毒症相关急性肝损伤(SA-ALI)是脓毒症常见且严重的并发症,严重影响短期和长期生存结果。在重症监护病房(icu), SA-ALI患者的死亡率仍然很高,主要是由于缺乏有效的早期诊断标志物和合适的治疗策略。最近的研究已经证明了非编码rna (ncRNAs)在SA-ALI的发生和发展中的重要性。本文综述了包括microRNAs (miRNAs)、长链非编码rna (lncRNAs)和环状rna (circRNAs)在内的ncRNAs在SA-ALI中调控“细胞因子风暴”、氧化应激、线粒体功能障碍和程序性细胞死亡等方面的关键作用,并对SA-ALI中lncRNAs和circRNAs的现有研究现状和局限性进行了总结。通过整合高通量测序技术的进展,本综述对ncRNAs作为诊断生物标志物和治疗靶点的双重潜力提供了新的见解,为SA-ALI的诊断和治疗研究提供了新的思路,并强调了临床转化中的潜在挑战。
{"title":"Noncoding RNAs in sepsis-associated acute liver injury: Roles, mechanisms, and therapeutic applications","authors":"Jialian Wang ,&nbsp;Xingyu Tao ,&nbsp;Zhengyang Liu ,&nbsp;Yuan Yan ,&nbsp;Peifeng Cheng ,&nbsp;Bin Liu ,&nbsp;Huimin Du ,&nbsp;Bailin Niu","doi":"10.1016/j.phrs.2025.107596","DOIUrl":"10.1016/j.phrs.2025.107596","url":null,"abstract":"<div><div>Sepsis is a life-threatening syndrome characterized by organ dysfunction caused by a dysregulated host response to infection. Sepsis-associated acute liver injury (SA-ALI) is a frequent and serious complication of sepsis that considerably impacts both short-term and long-term survival outcomes. In intensive care units (ICUs), the mortality rate of patients with SA-ALI remains high, mostly due to the absence of effective early diagnostic markers and suitable therapeutic strategies. Recent studies have demonstrated the importance of non-coding RNAs (ncRNAs) in the development and progression of SA-ALI. This review focuses on the critical roles of ncRNAs, including microRNAs (miRNAs), long non-coding RNAs (lncRNAs), and circular RNAs (circRNAs), in regulating “cytokine storms”, oxidative stress, mitochondrial dysfunction, and programmed cell death in SA-ALI, and summarizes the current state and limitations of existing studies on lncRNAs and circRNAs in SA-ALI. By integrating advancements in high-throughput sequencing technologies, this review provides novel insights into the dual potential of ncRNAs as diagnostic biomarkers and therapeutic targets, offers new ideas for SA-ALI diagnosis and treatment research and highlights potential challenges in clinical translation.</div></div>","PeriodicalId":19918,"journal":{"name":"Pharmacological research","volume":"212 ","pages":"Article 107596"},"PeriodicalIF":9.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Targeting MYCN upregulates L1CAM tumor antigen in MYCN-dysregulated neuroblastoma to increase CAR T cell efficacy 靶向MYCN上调MYCN失调神经母细胞瘤中的L1CAM肿瘤抗原,提高CAR - T细胞疗效。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107608
Laura Grunewald , Lena Andersch , Konstantin Helmsauer , Silke Schwiebert , Anika Klaus , Anton G. Henssen , Teresa Straka , Marco Lodrini , Sebastian G. Wicha , Steffen Fuchs , Falk Hertwig , Frank Westermann , Alice Vitali , Carlotta Caramel , Gabriele Büchel , Martin Eilers , Kathy Astrahantseff , Angelika Eggert , Uta E. Höpken , Johannes H. Schulte , Annette Künkele
Current treatment protocols have limited success against MYCN-amplified neuroblastoma. Adoptive T cell therapy presents an innovative strategy to improve cure rates. However, L1CAM-targeting CAR T cells achieved only limited response against refractory/relapsed neuroblastoma so far. We investigated how oncogenic MYCN levels influence tumor cell response to CAR T cells, as one possible factor limiting clinical success. A MYCN-inducible neuroblastoma cell model was created. L1CAM-CAR T cell effector function was assessed (activation markers, cytokine release, tumor cytotoxicity) after coculture with the model or MYCN-amplified neuroblastoma cell lines. RNA sequencing datasets characterizing the model were compared to publicly available RNA/proteomic datasets. MYCN-directed L1CAM regulation was explored using public ChIP-sequencing datasets. Synergism between CAR T cells and the indirect MYCN inhibitor, MLN8237, was assessed in vitro using the Bliss model and in vivo in an immunocompromised mouse model. Inducing high MYCN levels in the neuroblastoma cell model reduced L1CAM expression and, consequently, L1CAM-CAR T cell effector function in vitro. Primary neuroblastomas possessing high MYCN levels expressed lower levels of both the L1CAM transcript and L1CAM tumor antigen. MLN8237 treatment restored L1CAM tumor expression and L1CAM-CAR T cell effector function. Combining MLN8237 and L1CAM-CAR T cell treatment synergistically enhanced MYCN-overexpressing tumor cytotoxicity in vitro and in vivo concomitant with severe in vivo toxicity. We identify target antigen downregulation as source of resistance against L1CAM-CAR T cells in MYCN-driven neuroblastoma cells. These data suggest that L1CAM-CAR T cell therapy combined with pharmacological MYCN inhibition may benefit patients with MYCN-amplified neuroblastoma.
目前的治疗方案对mycn扩增的神经母细胞瘤的疗效有限。过继T细胞疗法提出了一个创新的策略,以提高治愈率。然而,到目前为止,靶向l1cam的CAR - T细胞对难治性/复发性神经母细胞瘤的疗效有限。我们研究了致癌MYCN水平如何影响肿瘤细胞对CAR - T细胞的反应,作为限制临床成功的一个可能因素。建立mycn诱导的神经母细胞瘤细胞模型。在与模型或mycn扩增的神经母细胞瘤细胞系共培养后,评估L1CAM-CAR - T细胞效应功能(激活标志物、细胞因子释放、肿瘤细胞毒性)。将表征该模型的RNA测序数据集与公开可用的RNA/蛋白质组学数据集进行比较。使用公共chip测序数据集探索mycn导向的L1CAM调控。CAR - T细胞与间接MYCN抑制剂MLN8237之间的协同作用在体外使用Bliss模型和体内免疫功能低下小鼠模型中进行了评估。在神经母细胞瘤细胞模型中诱导高MYCN水平降低了L1CAM的表达,从而降低了L1CAM- car - T细胞在体外的效应功能。具有高MYCN水平的原发性神经母细胞瘤表达较低水平的L1CAM转录物和L1CAM肿瘤抗原。MLN8237治疗恢复了L1CAM肿瘤表达和L1CAM- car - T细胞效应功能。MLN8237联合L1CAM-CAR - T细胞治疗在体外和体内协同增强mycn过表达的肿瘤细胞毒性,并伴有严重的体内毒性。我们发现靶抗原下调是mycn驱动的神经母细胞瘤细胞抵抗L1CAM-CAR - T细胞的来源。这些数据表明,L1CAM-CAR - T细胞疗法联合药物抑制MYCN可能使MYCN扩增的神经母细胞瘤患者受益。
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引用次数: 0
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Pharmacological research
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