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Decoding the microbiota metabolome in hepatobiliary and pancreatic cancers: Pathways to precision diagnostics and targeted therapeutics 解码肝胆胰癌症中的微生物群代谢组:精准诊断和靶向治疗之路
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-22 DOI: 10.1016/j.phrs.2024.107364

We delve into the critical role of the gut microbiota and its metabolites in the pathogenesis and progression of hepatobiliary and pancreatic (HBP) cancers, illuminating an urgent need for breakthroughs in diagnostic and therapeutic strategies. Given the high mortality rates associated with HBP cancers, which are attributed to aggressive recurrence, metastasis, and poor responses to chemotherapy, exploring microbiome research presents a promising frontier. This research highlights how microbial metabolites, including secondary bile acids, short-chain fatty acids, and lipopolysaccharides, crucially influence cancer cell behaviors such as proliferation, apoptosis, and immune evasion, significantly contributing to the oncogenesis and progression of HBP cancers. By integrating the latest findings, we discuss the association of microbial alterations with HBP cancers, key metabolites, and their implications, and how metabolomics and microbiomics can enhance diagnostic precision. Furthermore, the paper explores strategies for targeted therapies through microbiome metabolomics, including the direct therapeutic effects of microbiome metabolites and potential synergistic effects on conventional therapies. We also recognize that the field of microbial metabolites for the diagnosis and treatment of tumors still has a lot of problems to be solved. The aim of this study is to pioneer microbial metabolite research and provide a reference for HBP cancer diagnosis, treatment, and prognosis.

我们深入研究了肠道微生物群及其代谢产物在肝胆胰(HBP)癌发病和进展过程中的关键作用,揭示了诊断和治疗策略亟需突破的问题。鉴于肝胆胰癌的高死亡率归因于侵袭性复发、转移和对化疗的不良反应,探索微生物组研究是一个前景广阔的前沿领域。这项研究强调了微生物代谢物(包括次级胆汁酸、短链脂肪酸和脂多糖)如何对癌细胞的增殖、凋亡和免疫逃避等行为产生关键性影响,从而显著促进 HBP 癌症的发生和发展。通过整合最新研究成果,我们讨论了微生物改变与 HBP 癌症的关联、关键代谢物及其影响,以及代谢组学和微生物组学如何提高诊断的精确性。此外,本文还探讨了通过微生物组代谢组学进行靶向治疗的策略,包括微生物组代谢物的直接治疗效果和对传统疗法的潜在协同作用。我们也认识到,微生物代谢物在肿瘤诊断和治疗领域仍有许多问题有待解决。本研究旨在开创微生物代谢物研究的先河,为 HBP 癌症的诊断、治疗和预后提供参考。
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引用次数: 0
Clinical trial landscape for ankylosing spondylitis: Current insights and future innovations 强直性脊柱炎的临床试验概况:当前见解与未来创新
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-22 DOI: 10.1016/j.phrs.2024.107365
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引用次数: 0
A novel combinatory treatment against a CDDP-resistant non-small cell lung cancer based on a Ruthenium(II)-cyclopentadienyl compound 基于钌(II)-环戊二烯化合物的抗 CDDP 非小细胞肺癌新型联合疗法。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-17 DOI: 10.1016/j.phrs.2024.107353

The therapeutic approach to many solid tumors, including non-small cell lung cancer (NSCLC), is mainly based on the use of platinum-containing anticancer agents and is often characterized by acquired or intrinsic resistance to the drug. Therefore, the search for safer and more effective drugs is still an open challenge.

Two organometallic ruthenium(II)-cyclopentadienyl compounds [Ru(η5-C5H4CHO)(Me2bipy)(PPh3)]+ (RT150) and [Ru(η5-C5H4CH2OH)(Me2bipy)(PPh3)][CF3SO3] (RT151) were tested against a panel of cisplatin-resistant NSCLC cell lines and xenografts. They were more effective than cisplatin in inducing oxidative stress and DNA damage, affecting the cell cycle and causing apoptosis. Importantly, they were found to be inhibitors of drug efflux transporters. Due to this property, the compounds significantly increased the retention and cytotoxicity of cisplatin within NSCLC cells. Notably, they did not display high toxicity in vitro against non-transformed cells (red blood cells, fibroblasts, bronchial epithelial cells, cardiomyocytes, and endothelial cells). Both compounds induced vasorelaxation and reduced endothelial cell migration, suggesting potential anti-angiogenic properties. RT151 confirmed its efficacy against NSCLC xenografts resistant to cisplatin. Either alone or combined with low doses of cisplatin, RT151 showed a good biodistribution profile in the liver, kidney, spleen, lung, and tumor. Hematochemical analysis and post-mortem organ pathology confirmed the safety of the compound in vivo, also when combined with cisplatin.

To sum up, we have confirmed the effectiveness of a novel class of drugs against cisplatin-resistant NSCLC. Additionally, the compounds have a good biocompatibility and safety profile.

包括非小细胞肺癌(NSCLC)在内的许多实体瘤的治疗方法主要以使用含铂抗癌药为主,而且往往存在获得性或内在耐药性。因此,寻找更安全、更有效的药物仍然是一项挑战。研究人员针对一组顺铂耐药的 NSCLC 细胞系和异种移植体测试了两种有机金属钌(II)环戊二烯化合物[Ru(η5-C5H4CHO)(Me2bipy)(PPh3)]+(RT150)和[Ru(η5-C5H4CH2OH)(Me2bipy) (PPh3)][CF3SO3](RT151)。在诱导氧化应激和 DNA 损伤、影响细胞周期和导致细胞凋亡方面,它们比顺铂更有效。重要的是,研究发现它们是药物外排转运体的抑制剂。由于这种特性,这些化合物大大增加了顺铂在 NSCLC 细胞中的滞留和细胞毒性。值得注意的是,这两种化合物在体外对非转化细胞(红细胞、成纤维细胞、支气管上皮细胞、心肌细胞和内皮细胞)的毒性并不高。这两种化合物都能诱导血管舒张并减少内皮细胞迁移,这表明它们具有潜在的抗血管生成特性。RT151 证实了其对顺铂耐药的 NSCLC 异种移植物的疗效。无论是单独使用还是与低剂量顺铂联合使用,RT151在肝、肾、脾、肺和肿瘤中都显示出良好的生物分布特征。血液生化分析和死后器官病理学证实了该化合物在体内的安全性,与顺铂联用时也是如此。总之,我们证实了一类新型药物对顺铂耐药 NSCLC 的有效性。此外,它们还具有良好的生物相容性和安全性。
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引用次数: 0
Methylation modification of non-histone proteins in breast cancer: An emerging targeted therapeutic strategy 乳腺癌中非组蛋白的甲基化修饰:一种新兴的靶向治疗策略
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-17 DOI: 10.1016/j.phrs.2024.107354

Breast cancer is a major public health concern worldwide, being the most commonly diagnosed cancer among women and a leading cause of cancer-related deaths. Recent studies have highlighted the significance of non-histone methylation in breast cancer, which modulates the activity, interaction, localization, and stability of target proteins. This regulation affects critical processes such as oncogenesis, tumor growth, proliferation, invasion, migration, and immune responses. This review delves into the enzymes responsible for non-histone methylation, such as protein arginine methyltransferases (PRMTs), lysine methyltransferases (KMTs), and demethylases, and explores their roles in breast cancer. By elucidating the molecular mechanisms and functional consequences of non-histone methylation, this review aims to provide insights into novel therapeutic strategies targeting these pathways. The therapeutic potential of targeting non-histone methylation to overcome drug resistance and enhance treatment efficacy in breast cancer is also discussed, highlighting promising avenues for future research and clinical applications.

乳腺癌是全球关注的主要公共卫生问题,是女性最常诊断出的癌症,也是癌症相关死亡的主要原因。最近的研究突显了非组蛋白甲基化在乳腺癌中的重要作用,它可以调节靶蛋白的活性、相互作用、定位和稳定性。这种调节影响着肿瘤发生、肿瘤生长、增殖、侵袭、迁移和免疫反应等关键过程。本综述深入研究了负责非组蛋白甲基化的酶,如蛋白质精氨酸甲基转移酶(PRMTs)、赖氨酸甲基转移酶(KMTs)和去甲基化酶,并探讨了它们在乳腺癌中的作用。通过阐明非组蛋白甲基化的分子机制和功能性后果,本综述旨在为针对这些途径的新型治疗策略提供见解。本综述还讨论了以非组蛋白甲基化为靶点克服乳腺癌耐药性和提高疗效的治疗潜力,强调了未来研究和临床应用的广阔前景。
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引用次数: 0
Gut microbiota-brain bile acid axis orchestrates aging-related neuroinflammation and behavior impairment in mice 肠道微生物群-脑胆汁酸轴协调小鼠衰老相关的神经炎症和行为障碍
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-17 DOI: 10.1016/j.phrs.2024.107361

Emerging evidence shows that disrupted gut microbiota-bile acid (BA) axis is critically involved in the development of neurodegenerative diseases. However, the alterations in spatial distribution of BAs among different brain regions that command important functions during aging and their exact roles in aging-related neurodegenerative diseases are poorly understood. Here, we analyzed the BA profiles in cerebral cortex, hippocampus, and hypothalamus of young and natural aging mice of both sexes. The results showed that aging altered brain BA profiles sex- and region- dependently, in which TβMCA was consistently elevated in aging mice of both sexes, particularly in the hippocampus and hypothalamus. Furthermore, we found that aging accumulated-TβMCA stimulated microglia inflammation in vitro and shortened the lifespan of C. elegans, as well as behavioral impairment and neuroinflammation in mice. In addition, metagenomic analysis suggested that the accumulation of brain TβMCA during aging was partially attributed to reduction in BSH-carrying bacteria. Finally, rejuvenation of gut microbiota by co-housing aged mice with young mice restored brain BA homeostasis and improved neurological dysfunctions in natural aging mice. In conclusion, our current study highlighted the potential of improving aging-related neuro-impairment by targeting gut microbiota-brain BA axis.

新近的证据表明,肠道微生物群-胆汁酸(BA)轴的紊乱与神经退行性疾病的发生密切相关。然而,人们对衰老过程中具有重要功能的胆汁酸在不同脑区的空间分布变化及其在与衰老相关的神经退行性疾病中的确切作用还知之甚少。在这里,我们分析了年轻和自然衰老的雌雄小鼠大脑皮层、海马和下丘脑中 BA 的分布情况。结果表明,衰老改变了大脑 BA 的分布,这与性别和区域有关,其中 TβMCA 在衰老的雌雄小鼠中持续升高,尤其是在海马和下丘脑中。此外,我们还发现,衰老积累的 TβMCA 会刺激体外小胶质细胞炎症,缩短秀丽隐杆线虫的寿命,并导致小鼠行为障碍和神经炎症。此外,元基因组分析表明,衰老过程中脑TβMCA的积累部分归因于携带BSH细菌的减少。最后,通过将老龄小鼠与年轻小鼠共饲养来恢复肠道微生物群,可恢复自然衰老小鼠大脑 BA 的平衡并改善其神经功能障碍。总之,我们目前的研究强调了通过靶向肠道微生物群-脑 BA 轴来改善衰老相关神经损伤的潜力。
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引用次数: 0
Exploring the therapeutic potential of apabetalone in diabetic kidney disease: Bridging preclinical findings with clinical translation 探索阿帕他酮对糖尿病肾病的治疗潜力:衔接临床前研究结果与临床转化。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-17 DOI: 10.1016/j.phrs.2024.107362
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引用次数: 0
Regulation of glycolysis-derived L-lactate production in astrocytes rescues the memory deficits and Aβ burden in early Alzheimer’s disease models 调节星形胶质细胞中糖酵解产生的 L-乳酸可修复早期阿尔茨海默病模型的记忆缺陷和 Aβ 负担。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-17 DOI: 10.1016/j.phrs.2024.107357

Aberrant energy metabolism in the brain is a common pathological feature in the preclinical Alzheimer's Disease (AD). Recent studies have reported the early elevations of glycolysis-involved enzymes in AD brain and cerebrospinal fluid according to a large-scale proteomic analysis. It’s well-known that astrocytes exhibit strong glycolytic metabolic ability and play a key role in the regulation of brain homeostasis. However, its relationship with glycolytic changes and cognitive deficits in early AD patients is unclear. Here, we investigated the mechanisms by which astrocyte glycolysis is involved in early AD and its potential as a therapeutic target. Our results suggest that Aβ-activated microglia can induce glycolytic-enhanced astrocytes in vitro, and that these processes are dependent on the activation of the AKT-mTOR-HIF-1α pathway. In early AD models, the increase in L-lactate produced by enhanced glycolysis of astrocytes leads to spatial cognitive impairment by disrupting synaptic plasticity and accelerating Aβ aggregation. Furthermore, we find rapamycin, the mTOR inhibitor, can rescue the impaired spatial memory and Aβ burden by inhibiting the glycolysis-derived L-lactate in the early AD models. In conclusion, we highlight that astrocytic glycolysis plays a critical role in the early onset of AD and that the modulation of glycolysis-derived L-lactate by rapamycin provides a new strategy for the treatment of AD.

大脑能量代谢异常是临床前阿尔茨海默病(AD)的常见病理特征。最近的研究报告称,根据大规模蛋白质组学分析,AD 大脑和脑脊液中与糖酵解有关的酶出现了早期升高。众所周知,星形胶质细胞具有很强的糖酵解代谢能力,在调节脑平衡中发挥着关键作用。然而,它与糖酵解变化和早期 AD 患者认知障碍的关系尚不清楚。在此,我们研究了星形胶质细胞糖酵解参与早期AD的机制及其作为治疗靶点的潜力。我们的研究结果表明,Aβ激活的小胶质细胞能在体外诱导糖酵解增强的星形胶质细胞,而这些过程依赖于AKT-mTOR-HIF-1α通路的激活。在早期AD模型中,星形胶质细胞糖酵解增强所产生的L-乳酸增加会破坏突触可塑性并加速Aβ聚集,从而导致空间认知障碍。此外,我们还发现雷帕霉素(mTOR 抑制剂)可以通过抑制糖酵解产生的 L-乳酸来挽救早期 AD 模型中受损的空间记忆和 Aβ 负担。总之,我们强调星形胶质细胞糖酵解在AD早期发病中起着关键作用,雷帕霉素对糖酵解衍生的L-乳酸的调节为治疗AD提供了一种新策略。
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引用次数: 0
LIM kinase 2 activates cardiac fibroblasts and exacerbates postinfarction left ventricular remodeling via crosstalk between the canonical and non-canonical Wnt pathways LIM 激酶 2 通过规范和非规范 Wnt 通路之间的串扰激活心脏成纤维细胞并加剧梗死后左心室重塑。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-15 DOI: 10.1016/j.phrs.2024.107347

Ischemic heart failure rates rise despite decreased acute myocardial infarction (MI) mortality. Excessive myofibroblast activation post-MI leads to adverse remodeling. LIM kinases (LIMK1 and LIMK2) regulate cytoskeleton homeostasis and are pro-fibrotic markers in atrial fibrillation. However, their roles and mechanisms in postinfarction fibrosis and ventricular remodeling remain unclear. This study found that the expression of LIMKs elevated in the border zone (BZ) in mice MI models. LIMK1/2 double knockout (DKO) restrained pathological remodeling and reduced mortality by suppressing myofibroblast activation. By using adeno-associated virus (AAV) with a periostin promoter to overexpress LIMK1 or LIMK2, this study found that myofibroblast-specific LIMK2 overexpression diminished these effects in DKO mice, while LIMK1 did not. LIMK2 kinase activity was critical for myofibroblast proliferation by using AAV overexpressing mutant LIMK2 lack of kinase activity. According to phosphoproteome analysis, functional rescue experiments, co-immunoprecipitation, and protein-protein docking, LIMK2 led to the phosphorylation of β-catenin at Ser 552. LIMK2 nuclear translocation also played a role in myofibroblast proliferation after MI with the help of AAV overexpressing mutant LIMK2 without nuclear location signal. Chromatin immunoprecipitation sequencing identified that LIMK2 bound to Lrp6 promoter region in TGF-β treated cardiac fibroblasts, positively regulating Wnt signaling via Wnt receptor internalization. This study demonstrated that LIMK2 promoted myofibroblast proliferation and adverse cardiac remodeling after MI, by enhancing phospho-β-catenin (Ser552) and Lrp6 signaling. This suggested that LIMK2 could be a target for the treatment of postinfarction injury.

尽管急性心肌梗死(MI)死亡率下降,但缺血性心力衰竭的发病率却在上升。心肌梗死后过度的肌成纤维细胞活化会导致不良的重塑。LIM 激酶(LIMK1 和 LIMK2)调节细胞骨架的平衡,是心房颤动的促纤维化标志物。然而,它们在梗塞后纤维化和心室重塑中的作用和机制仍不清楚。本研究发现,在小鼠心肌梗死模型中,LIMKs 在边界区(BZ)的表达升高。LIMK1/2双基因敲除(DKO)可抑制肌成纤维细胞的活化,从而抑制病理重塑并降低死亡率。本研究通过使用带有包膜促性腺激素启动子的腺相关病毒(AAV)过表达 LIMK1 或 LIMK2,发现肌成纤维细胞特异性 LIMK2 的过表达会减弱 DKO 小鼠的上述效应,而 LIMK1 则不会。通过使用缺乏激酶活性的突变体 LIMK2 的 AAV 过表达,LIMK2 的激酶活性对肌成纤维细胞的增殖至关重要。根据磷酸化蛋白组分析、功能拯救实验、共免疫沉淀和蛋白-蛋白对接,LIMK2导致β-catenin在Ser 552处磷酸化。通过过表达无核定位信号的突变体LIMK2的AAV,LIMK2的核转位在MI后的肌成纤维细胞增殖中也发挥了作用。染色质免疫共沉淀测序发现,在TGF-β处理的心成纤维细胞中,LIMK2与Lrp6启动子区域结合,通过Wnt受体内化正向调节Wnt信号转导。该研究表明,LIMK2通过增强磷酸化-β-catenin(Ser552)和Lrp6信号转导,促进了心肌梗死后肌成纤维细胞的增殖和不良心脏重构。这表明LIMK2可能是治疗梗死后损伤的靶点。
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引用次数: 0
Commentary on “Apabetalone, a BET protein inhibitor, inhibits kidney damage in diabetes by preventing pyroptosis via modulating the P300/H3K27ac/PLK1 axis” 关于 "BET蛋白抑制剂阿帕贝他酮通过调节P300/H3K27ac/PLK1轴防止热蛋白沉积抑制糖尿病肾损伤 "的评论
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-15 DOI: 10.1016/j.phrs.2024.107350
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引用次数: 0
Response letter to Kaiqing Li et al.'s Commentary on “Efficacy and safety of Gutong Patch compared with NSAIDs for knee osteoarthritis: A real-world multicenter, prospective cohort study in China” 对李开清等人关于 "古通贴片与非甾体抗炎药治疗膝骨关节炎的疗效和安全性比较 "的评论的回信:中国真实世界多中心前瞻性队列研究 "的评论。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-14 DOI: 10.1016/j.phrs.2024.107351
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引用次数: 0
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