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HVEM as a tumor-intrinsic regulator in non-small cell lung cancer: Suppression of metastasis via glycolysis inhibition and modulation of macrophage polarization HVEM在非小细胞肺癌中的肿瘤内在调节作用:通过糖酵解抑制和巨噬细胞极化抑制转移。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-18 DOI: 10.1016/j.phrs.2025.107604
Yuanshan Yao , Bin Li , Chunji Chen , Jing Wang , Feng Yao , Zhigang Li
Herpes virus entry mediator (HVEM) is a novel costimulatory molecule which mediates stimulatory or inhibitory signals in immune responses which makes it an attractive target in cancer therapeutics. However, the role of tumor cell intrinsic HVEM on tumor biology remains largely unknown. In this study, We demonstrated that CK+HVEM+ tumor correlates with better survival using Multiplex immuno histochemistry (mIHC) in Human Lung Adenocarcinoma Tissue microarray. Next, we showed that HVEM knockdown promoted NSCLC cell invasion and metastasis in vitro whereas exhibited no effect on proliferation. Conversely, HVEM overexpression results in the opposite phenotype. Meanwhile, the conclusion were further confirmed in vivo experiment that overexpression of HVEM reduced the invasion and metastasis of NSCLC whereas no effect on tumor mass. Besides, vivo experiment showed that M1 TAMs in the HVEM overxrpression group was increased and the proportion of M2 macrophages was decreased compared to the vector group. Mechanistically, The C-terminal 228–283 amino acid segment of HVEM protein interacts with the N-terminal 1–383 amino acid segment of MPRIP protein, inhibiting its downstream glycolysis signaling pathway and suppressing NSCLC cells progression. In addition, macrophage coculture assay suggested that HVEM overexpression inhibited M2 macrophage polarization through GM-CSF/GM-CSFRα axis. In summary, our study has demonstrated that tumor cell intrinsic HVEM is a potential tumour metastasis suppressor, which may serve as a potential target for immunotherapy.
疱疹病毒进入介质(HVEM)是一种新型的共刺激分子,在免疫反应中介导刺激或抑制信号,使其成为癌症治疗中一个有吸引力的靶点。然而,肿瘤细胞内生性HVEM在肿瘤生物学中的作用仍不甚清楚。在这项研究中,我们使用人肺腺癌组织芯片的多重免疫组织化学(mIHC)证明了CK+HVEM+肿瘤与更好的生存率相关。接下来,我们发现HVEM敲低促进了NSCLC细胞的侵袭和转移,而对增殖没有影响。相反,HVEM过表达导致相反的表型。同时,体内实验进一步证实,过表达HVEM可降低NSCLC的侵袭转移,而对肿瘤体积无影响。此外,体内实验显示,与载体组相比,HVEM过表达组M1巨噬细胞增多,M2巨噬细胞比例降低。机制上,HVEM蛋白c端228-283氨基酸段与MPRIP蛋白n端1-383氨基酸段相互作用,抑制其下游糖酵解信号通路,抑制NSCLC细胞进展。此外,巨噬细胞共培养实验表明,HVEM过表达通过GM-CSF/GM-CSFRα轴抑制M2巨噬细胞极化。综上所述,我们的研究表明肿瘤细胞内生性HVEM是一种潜在的肿瘤转移抑制因子,可能作为免疫治疗的潜在靶点。
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引用次数: 0
Preclinical development of a standardized extract of Ilex paraguariensis A.St.-Hil for the treatment of obesity and metabolic syndrome 巴拉圭冬青标准提取物的临床前开发。-用于治疗肥胖和代谢综合征。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-15 DOI: 10.1016/j.phrs.2025.107607
Sara E.L. Tolouei , Rodrigo Marcon , Fabiana Cardoso Vilela, Cristina Setim Freitas, Melina Heller, Edineia Lemos de Andrade, Sergio José Macedo Júnior, Adara Áurea dos Santos, Ruth Fernandes Rocha, Guilherme Pasetto Fadanni, Naiani Ferreira Marques, Jarbas Mota Siqueira Júnior, João B. Calixto
Obesity is a global epidemic often associated with serious medical complications such as diabetes, hypertension and metabolic dysfunction-associated steatohepatitis. Considering the multifactorial nature of these diseases, medicinal plants could be a valuable therapeutic strategy as their phytoconstituents interact with multiple and relevant biological targets. In this context, Ilex paraguariensis emerges as a potential alternative to treat obesity and associated metabolic diseases since several studies have demonstrated its anti-inflammatory, anti-obesity and anti-diabetic effects. We present a comprehensive and complete non-clinical investigation of the efficacy, safety and putative mechanisms of action of a standardized aqueous extract of I. paraguariensis (TI-076). We also describe a scalable preparation of TI-076 and demonstrate its long-term stability. TI-076 exhibits long-term stability and its major constituents are well absorbed orally in mice and rats. The five in vivo proofs of concept studies revealed that TI-076 reduced obesity, hyperglycaemia, blood pressure, liver fat accumulation, levels of serum insulin, leptin and cholesterol, food intake, inflammation and increased GLP-1 levels. The mechanisms through which TI-076 acts seem to involve the modulation of several genes associated with inflammation (Il1b, Nlrp3, Pparα and Pparγ), white adipose and liver metabolism (Cartpt, Mgll, Ramp3, Faah, Cck, Clps, Pparα and Pparγ), liver damage and fibrosis (Creb1, Col1a1 and Col3a1). Finally, TI-076 did not interact with CYP3A4 in vivo and proved to be safe. These findings strongly suggest that TI-076 holds great potential for clinical trials aimed at developing a safe phytomedicine for treating obesity and related metabolic diseases.
肥胖是一种全球性流行病,通常与严重的医学并发症,如糖尿病、高血压和代谢功能障碍相关的脂肪性肝炎有关。考虑到这些疾病的多因子性质,药用植物可能是一种有价值的治疗策略,因为它们的植物成分与多种相关的生物靶点相互作用。在这种情况下,巴拉圭冬青作为治疗肥胖和相关代谢疾病的潜在替代品出现,因为一些研究已经证明了它的抗炎、抗肥胖和抗糖尿病作用。我们提出了一个全面的和完整的非临床研究的有效性,安全性和推测的作用机制的标准化水提取物巴拉圭菊(TI-076)。我们还描述了TI-076的可扩展制备方法,并证明了其长期稳定性。TI-076具有长期稳定性,其主要成分在小鼠和大鼠中口服吸收良好。五项体内概念验证研究表明,TI-076可降低肥胖、高血糖、血压、肝脏脂肪堆积、血清胰岛素、瘦素和胆固醇水平、食物摄入、炎症和GLP-1水平升高。TI-076的作用机制似乎涉及与炎症(Il1b, Nlrp3, Pparα和Pparγ),白色脂肪和肝脏代谢(carpt, mll, Ramp3, Faah, Cck, Clps, Pparα和Pparγ),肝损伤和纤维化(Creb1, Col1a1和Col3a1)相关的几个基因的调节。最后,TI-076在体内不与CYP3A4相互作用,证明是安全的。这些发现强烈表明TI-076具有巨大的临床试验潜力,旨在开发一种治疗肥胖和相关代谢疾病的安全植物药。
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引用次数: 0
From Ca2+ dysregulation to heart failure: β-adrenoceptor activation by RKIP postpones molecular damages and subsequent cardiac dysfunction in mice carrying mutant PLNR9C by correction of aberrant Ca2+-handling 从Ca2+失调到心力衰竭:通过纠正异常Ca2+处理,RKIP激活β-肾上腺素能受体延缓携带突变体PLNR9C的小鼠的分子损伤和随后的心功能障碍。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1016/j.phrs.2024.107558
Theresa Brand , Bettina Tanitha Baumgarten , Sabrina Denzinger , Yvonne Reinders , Miriam Kleindl , Constanze Schanbacher , Florian Funk , Nilgün Gedik , Mahmood Jabbasseh , Petra Kleinbongard , Jan Dudek , Julia Szendroedi , Elen Tolstik , Kai Schuh , Martina Krüger , Dobromir Dobrev , Friederike Cuello , Albert Sickmann , Joachim P. Schmitt , Kristina Lorenz
Impaired cardiomyocyte Ca2+ handling is a central hallmark of heart failure (HF), which causes contractile dysfunction and arrhythmias. However, the underlying molecular mechanisms and the precise contribution of defects in Ca2+-cycling regulation in the development of HF are still not completely resolved. Here, we used transgenic mice that express a human mutation in the cardiomyocyte Ca2+-regulator phospholamban (PLNR9C-tg) causing severe HF due to a reduction in Ca2+ reuptake into the sarco(endo)plasmic reticulum (SR). PLNR9C-induced HF is a rapidly progressing condition characterized by prominent Ca2+ cycling and relaxation defects and premature death of mutation carriers. We found that endoplasmic reticulum (ER) and mitochondrial function are affected even before transition to overt HF. Early correction of aberrant Ca2+ cycling by cardiac expression of the Raf kinase inhibitor protein (RKIP), an endogenous activator of β-adrenoceptors (βAR), delayed the cellular alterations, functional failure and prolonged lifespan. Our study highlights the importance of early and persistent correction of Ca2 + dynamics, not only for excitation/contraction coupling, but also for the prevention of rather irreparable events on cardiac energetics and ER stress adaptations. The latter may even impede with later onset of Ca2+-related therapeutic interventions and should gain more focus for HF treatment.
心肌细胞Ca2+处理受损是心力衰竭(HF)的中心标志,心力衰竭导致收缩功能障碍和心律失常。然而,潜在的分子机制和Ca2+循环调节缺陷在HF发展中的精确贡献仍未完全解决。在这里,我们使用转基因小鼠表达人类心肌细胞Ca2+调节剂磷蛋白(PLNR9C-tg)突变,由于Ca2+再摄取减少到sarco(内do)质网(SR),导致严重的HF。plnr9c诱导的HF是一种进展迅速的疾病,其特征是Ca2+循环和松弛缺陷突出,突变携带者过早死亡。我们发现内质网(ER)和线粒体功能甚至在转变为显性HF之前就受到影响。通过心脏表达Raf激酶抑制剂蛋白(RKIP),一种内源性β-肾上腺素受体(βAR)的激活剂,早期纠正异常的Ca2+循环,延迟细胞改变,功能衰竭和延长寿命。我们的研究强调了早期和持续纠正Ca2+动力学的重要性,不仅对于兴奋/收缩耦合,而且对于预防心脏能量学和内质网应激适应方面不可修复的事件。后者甚至可能阻碍Ca2+相关治疗干预的晚起,应该得到更多的心力衰竭治疗的关注。
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引用次数: 0
IUPHAR themed review: The gut microbiome in schizophrenia IUPHAR主题综述:精神分裂症的肠道微生物组。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1016/j.phrs.2024.107561
Srinivas Kamath , Elysia Sokolenko , Kate Collins , Nicole S.L. Chan , Natalie Mills , Scott R. Clark , Francine Z. Marques , Paul Joyce
Gut microbial dysbiosis or altered gut microbial consortium, in schizophrenia suggests a pathogenic role through the gut-brain axis, influencing neuroinflammatory and neurotransmitter pathways critical to psychotic, affective, and cognitive symptoms. Paradoxically, conventional psychotropic interventions may exacerbate this dysbiosis, with antipsychotics, particularly olanzapine, demonstrating profound effects on microbial architecture through disruption of bacterial phyla ratios, diminished taxonomic diversity, and attenuated short-chain fatty acid synthesis. To address these challenges, novel therapeutic strategies targeting the gut microbiome, encompassing probiotic supplementation, prebiotic compounds, faecal microbiota transplantation, and rationalised co-pharmacotherapy, show promise in attenuating antipsychotic-induced metabolic disruptions while enhancing therapeutic efficacy. Harnessing such insights, precision medicine approaches promise to transform antipsychotic prescribing practices by identifying patients at risk of metabolic side effects based on their microbial profiles. This IUPHAR review collates the current literature landscape of the gut-brain axis and its intricate relationship with schizophrenia while advocating for integrating microbiome assessments and therapeutic management. Such a fundamental shift in proposing microbiome-informed psychotropic prescriptions to optimise therapeutic efficacy and reduce adverse metabolic impacts would align antipsychotic treatments with microbiome safety, prioritising 'gut-neutral' or gut-favourable drugs to safeguard long-term patient outcomes in schizophrenia therapy.
精神分裂症患者肠道微生物失调或肠道微生物联合体改变提示其通过肠-脑轴致病,影响对精神病、情感和认知症状至关重要的神经炎症和神经递质通路。矛盾的是,传统的精神药物干预可能会加剧这种生态失调,抗精神病药物,特别是奥氮平,通过破坏细菌门比例,减少分类多样性和减少短链脂肪酸合成,对微生物结构产生深远影响。为了应对这些挑战,针对肠道微生物群的新治疗策略,包括益生菌补充、益生元化合物、粪便微生物群移植和合理的联合药物治疗,有望减轻抗精神病药物引起的代谢紊乱,同时提高治疗效果。利用这些见解,精准医学方法有望通过根据微生物谱识别有代谢副作用风险的患者,从而改变抗精神病药物的处方做法。这篇IUPHAR综述整理了目前关于肠-脑轴及其与精神分裂症的复杂关系的文献景观,同时提倡整合微生物组评估和治疗管理。这样一个根本性的转变,在提出基于微生物组的精神药物处方以优化治疗效果和减少不良代谢影响方面,将使抗精神病药物治疗与微生物组安全性保持一致,优先考虑“肠道中性”或肠道有利的药物,以保障精神分裂症治疗的长期患者结果。
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引用次数: 0
Modulation of the endocannabinoid system by (S)-ketamine in an animal model of depression 在抑郁症动物模型中,(S)-氯胺酮对内源性大麻素系统的调节作用。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1016/j.phrs.2024.107545
Nicole R. Silva , Shokouh Arjmand , Luana B. Domingos , Adriano M. Chaves-Filho , Melina Mottin , Caroline C. Real , Anna L. Waszkiewicz , Pedro H. Gobira , Alessio Nicola Ferraro , Anne M. Landau , Carolina H. Andrade , Heidi K. Müller , Gregers Wegener , Sâmia R.L. Joca
Ketamine (KET) is recognized as rapid-acting antidepressant, but its mechanisms of action remain elusive. Considering the role of endocannabinoids (eCB) in stress and depression, we investigated if S-KET antidepressant effects involve the regulation of the eCB system using an established rat model of depression based on selective breeding: the Flinders Sensitive Line (FSL) and their controls, the Flinders Resistant Line (FRL). S-KET (15 mg/kg) effects were assessed in rats exposed to the open field and forced swimming test (FST), followed by analysis of the eCB signaling in the rat prefrontal cortex (PFC), a brain region involved in depression neurobiology. Changes in eCB receptors and enzymes were assessed at mRNA and protein levels (qPCR and western blot), CB1 binding ([3H]SR141716A autoradiography) and endocannabinoid content (lipidomics). The results demonstrated that the depressive behavior in FSL was negatively correlated with 2-AG levels, which were restored upon acute S-KET treatment. Although S-KET decreased CB1 and FAAH gene expression in FSL, there were no significant changes at protein levels. [3H]SR141716A binding to CB1 receptors was increased by S-KET and in silico analysis suggested that it binds to CB1, CB2, GPR55 and FAAH. Overall, S-KET effects correlated with an increased endocannabinoid signaling in the PFC, but systemic treatment with rimonabant failed to block its behavioral effects. Altogether, our results indicate that S-KET facilitates eCB signaling in the PFC of FSL. The inability of rimonabant to block the antidepressant effect of S-KET highlights the complexity of its interaction with the ECS, warranting further investigation into the molecular pathways.
氯胺酮是公认的速效抗抑郁药,但其作用机制尚不明确。考虑到内源性大麻素(eCB)在应激和抑郁中的作用,我们研究了S-KET抗抑郁作用是否涉及eCB系统的调节,使用基于选择性育种的大鼠抑郁模型:弗林德斯敏感系(FSL)和它们的对照,弗林德斯抗性系(FRL)。S-KET (15mg/kg)对暴露于野外和强迫游泳试验(FST)的大鼠的影响进行了评估,随后分析了大鼠前额叶皮层(PFC)的eCB信号传导,PFC是参与抑郁症神经生物学的大脑区域。通过mRNA和蛋白水平(qPCR和western blot)、CB1结合([3H]SR141716A放射自显影)和内源性大麻素含量(脂质组学)评估eCB受体和酶的变化。结果表明,FSL抑郁行为与2-AG水平呈负相关,急性S-KET治疗后2-AG水平恢复。虽然S-KET降低了FSL中CB1和FAAH基因的表达,但在蛋白水平上没有明显变化。[3H] S-KET增加了SR141716A与CB1受体的结合,硅分析表明它与CB1、CB2、GPR55和FAAH结合。总体而言,S-KET效应与PFC中内源性大麻素信号的增加相关,但全身利莫那班治疗未能阻断其行为效应。总之,我们的研究结果表明,S-KET促进了FSL PFC中的eCB信号传导。利莫那班无法阻断S-KET的抗抑郁作用,这凸显了其与ECS相互作用的复杂性,需要进一步研究其分子途径。
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引用次数: 0
Intercellular Mitochondrial transfer: Therapeutic implications for energy metabolism in heart failure 线粒体转移:对心力衰竭能量代谢的治疗意义。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1016/j.phrs.2024.107555
Huan He , Weiwei Huang , Zigang Pan , Lingjun Wang , Zhongqi Yang , Zixin Chen
Heart failure (HF) remains one of the leading causes of high morbidity and mortality globally. Impaired cardiac energy metabolism plays a critical role in the pathological progression of HF. Various forms of HF exhibit marked differences in energy metabolism, particularly in mitochondrial function and substrate utilization. Recent studies have increasingly highlighted that improving energy metabolism in HF patients as a crucial treatment strategy. Mitochondrial transfer is emerging as a promising and precisely regulated therapeutic strategy for treating metabolic disorders. This paper specifically reviews the characteristics of mitochondrial energy metabolism across different types of HF and explores the modes and mechanisms of mitochondrial transfer between different cell types in the heart, such as cardiomyocytes, fibroblasts, and immune cells. We focused on the therapeutic potential of intercellular mitochondrial transfer in improving energy metabolism disorders in HF. We also discuss the role of signal transduction in mitochondrial transfer, highlighting that mitochondria not only function as energy factories but also play crucial roles in intercellular communication, metabolic regulation, and tissue repair. This study provides new insights into improving energy metabolism in heart failure patients and proposes promising new therapeutic strategies.
心力衰竭(HF)仍然是全球高发病率和死亡率的主要原因之一。心肌能量代谢障碍在心衰的病理进展中起关键作用。各种形式的HF在能量代谢方面表现出明显的差异,特别是在线粒体功能和底物利用方面。近年来的研究越来越强调,改善心衰患者的能量代谢是一项重要的治疗策略。线粒体转移正在成为一种有前途的和精确调节的治疗代谢紊乱的治疗策略。本文重点综述了不同类型HF的线粒体能量代谢特点,探讨了心肌细胞、成纤维细胞和免疫细胞等不同类型心脏细胞之间线粒体转移的模式和机制。我们关注内源性线粒体转移在改善心力衰竭患者能量代谢紊乱方面的治疗潜力。我们还讨论了信号转导在线粒体转移中的作用,强调线粒体不仅作为能量工厂,而且在细胞间通讯,代谢调节和组织修复中发挥重要作用。本研究为改善心力衰竭患者的能量代谢提供了新的见解,并提出了有希望的新治疗策略。
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引用次数: 0
Sex-dependent efficacy of sphingosine-1-phosphate receptor agonist FTY720 in mitigating Huntington’s disease 鞘氨醇-1-磷酸受体激动剂FTY720减轻亨廷顿病的性别依赖性疗效。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1016/j.phrs.2024.107557
Jingyun Wu , Irene Santos-Garcia , Ivan Eiriz , Thomas Brüning , Aleš Kvasnička , David Friedecký , Tuula A. Nyman , Jens Pahnke
Huntington's disease (HD) is a debilitating neurodegenerative disorder characterized by severe motor deficits, cognitive decline and psychiatric disturbances. An early and significant morphological hallmark of HD is the activation of astrocytes triggered by mutant huntingtin, leading to the release of inflammatory mediators.
Fingolimod (FTY), an FDA-approved sphingosine-1-phosphate (S1P) receptor agonist is used to treat multiple sclerosis (MS), a neuroinflammatory disease, and has shown therapeutic promise in other neurological conditions.
Our study aimed to investigate the therapeutic potential of FTY for treating HD by utilizing a well-characterized mouse model of HD (zQ175dn) and wild-type littermates.
The study design included a crossover, long-term oral treatment with 1 mg/kg to 2 mg/kg FTY from the age of 15–46 weeks (n = 128). Different motor behavior and physiological parameters were assessed throughout the study.
The findings revealed that FTY rescued disease-related body weight loss in a sex-dependent manner, indicating its potential to regulate metabolic disturbances and to counteract neurodegenerative processes in HD. FTY intervention also rescued testicular atrophy, restored testis tissue structure in male mice suggesting a broader impact on peripheral tissues affected by huntingtin pathology. Histological analyses of the brain revealed delayed accumulation of activated astrocytes contributing to the preservation of the neural microenvironment by reducing neuroinflammation.
The extent of FTY-related disease improvement was sex-dependent. Motor functions and body weight improved mostly in female mice with sustained estrogen levels, whereas males had to compensate for the ongoing, disease-related testis atrophy and the loss of androgen production.
Our study underscores the beneficial therapeutic effects of FTY on HD involving endogenous steroid hormones and their important anabolic effects. It positions FTY as a promising candidate for therapeutic interventions targeting various aspects of HD pathology. Further studies are needed to fully evaluate its therapeutic potential in patients.
亨廷顿氏病(HD)是一种使人衰弱的神经退行性疾病,其特征是严重的运动缺陷、认知能力下降和精神障碍。HD的一个早期和重要的形态学特征是突变的亨廷顿蛋白触发星形胶质细胞的激活,导致炎症介质的释放。Fingolimod (FTY)是一种fda批准的鞘氨醇-1-磷酸(S1P)受体激动剂,用于治疗多发性硬化症(MS),这是一种神经炎症疾病,并且在其他神经系统疾病中显示出治疗前景。我们的研究旨在通过利用具有良好特征的HD小鼠模型(zQ175dn)和野生型幼崽来研究FTY治疗HD的治疗潜力。研究设计包括交叉,长期口服1mg/kg至2mg/kg的FTY治疗,从15周龄到46周龄(n = 128)。在整个研究过程中评估了不同的运动行为和生理参数。研究结果显示,FTY以一种性别依赖的方式挽救了疾病相关的体重减轻,这表明它有可能调节代谢紊乱和对抗HD的神经退行性过程。在雄性小鼠中,FTY干预也挽救了睾丸萎缩,恢复了睾丸组织结构,这表明受亨廷顿蛋白病理影响的外周组织有更广泛的影响。大脑的组织学分析显示,激活的星形胶质细胞的延迟积累有助于通过减少神经炎症来保护神经微环境。fty相关疾病的改善程度是性别依赖的。维持雌激素水平的雌性小鼠的运动功能和体重大多得到改善,而雄性小鼠必须补偿与疾病相关的持续睾丸萎缩和雄激素产生的丧失。我们的研究强调了FTY对HD的有益治疗作用,涉及内源性类固醇激素及其重要的合成代谢作用。它将FTY定位为针对HD病理各方面的治疗干预的候选药物。需要进一步的研究来充分评估其在患者中的治疗潜力。
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引用次数: 0
Beyond metabolic messengers: Bile acids and TGR5 as pharmacotherapeutic intervention for psychiatric disorders 超越代谢信使:胆汁酸和TGR5作为精神疾病的药物治疗干预。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1016/j.phrs.2024.107564
Arief Gunawan Darmanto , Ting-Lin Yen , Jing-Shiun Jan , Tran Thanh Duy Linh , Rajeev Taliyan , Chih-Hao Yang , Joen-Rong Sheu
Psychiatric disorders pose a significant global health challenge, exacerbated by the COVID-19 pandemic and insufficiently addressed by the current treatments. This review explores the emerging role of bile acids and the TGR5 receptor in the pathophysiology of psychiatric conditions, emphasizing their signaling within the gut-brain axis. We detail the synthesis and systemic functions of bile acids, their transformation by gut microbiota, and their impact across various neuropsychiatric disorders, including major depressive disorder, general anxiety disorder, schizophrenia, autism spectrum disorder, and bipolar disorder. The review highlights how dysbiosis and altered bile acid metabolism contribute to the development and exacerbation of these neuropsychiatric disorders through mechanisms involving inflammation, oxidative stress, and neurotransmitter dysregulation. Importantly, we detail both pharmacological and non-pharmacological interventions that modulate TGR5 signaling, offering potential breakthroughs in treatment strategies. These include dietary adjustments to enhance beneficial bile acids production and the use of specific TGR5 agonists that have shown promise in preclinical and clinical settings for their regulatory effects on critical pathways such as cAMP-PKA, NRF2-mediated antioxidant responses, and neuroinflammation. By integrating findings from the dynamics of gut microbiota, bile acids metabolism, and TGR5 receptor related signaling events, this review underscores cutting-edge therapeutic approaches poised to revolutionize the management and treatment of psychiatric disorders.
精神疾病是一项重大的全球卫生挑战,COVID-19大流行加剧了这一挑战,目前的治疗方法未能充分解决这一问题。这篇综述探讨了胆汁酸和TGR5受体在精神疾病病理生理中的新作用,强调了它们在肠-脑轴中的信号传导。我们详细介绍了胆汁酸的合成和系统功能,它们在肠道微生物群中的转化,以及它们对各种神经精神疾病的影响,包括重度抑郁症、一般焦虑症、精神分裂症、自闭症谱系障碍和双相情感障碍。该综述强调了生态失调和胆汁酸代谢改变如何通过炎症、氧化应激和神经递质失调等机制促进这些神经精神疾病的发展和恶化。重要的是,我们详细介绍了调节TGR5信号的药物和非药物干预措施,为治疗策略提供了潜在的突破。这些措施包括调整饮食以提高有益胆汁酸的产生,以及使用特定的TGR5激动剂,这些激动剂在临床前和临床环境中显示出对cAMP-PKA、nrf2介导的抗氧化反应和神经炎症等关键途径的调节作用。通过整合肠道微生物群、胆汁酸代谢和TGR5受体相关信号事件的动态研究结果,本综述强调了即将彻底改变精神疾病管理和治疗的尖端治疗方法。
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引用次数: 0
The AβA2V paradigm: From molecular insights to therapeutic strategies in Alzheimer’s disease and primary tauopathies a - β a2v范式:从阿尔茨海默病和原发性牛头病变的分子洞察到治疗策略。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1016/j.phrs.2024.107563
Luisa Diomede , Andrea Conz , Michele Mosconi , Tatiana Stoilova , Matteo Paloni , Matteo Salvalaglio , Alfredo Cagnotto , Laura Colombo , Marcella Catania , Giuseppe Di Fede , Fabrizio Tagliavini , Mario Salmona
Alzheimer’s disease, the leading cause of dementia globally, represents an unresolved clinical challenge due to its complex pathogenesis and the absence of effective treatments. Considering the multifactorial etiology of the disease, mainly characterized by the accumulation of amyloid β plaques and neurofibrillary tangles of tau protein, we discuss the A673V mutation in the gene coding for the amyloid precursor protein, which is associated with the familial form of Alzheimer’s disease in a homozygous state. The mutation offers new insights into the molecular mechanisms of the disease, particularly regarding the contrasting roles of the A2V and A2T mutations in amyloid β peptide aggregation and toxicity. This review aims to describe relevant studies on A2V-mutated variants of the amyloid β peptide, revealing a protective effect against amyloid-β and tau pathology. Notably, special attention is given to the development of the peptide Aβ1–6A2V(D), which shows significant neuroprotective activity through inhibition of the assembly of amyloid β into amyloid fibrils. The therapeutic potential of this peptide emerges from its ability to reduce amyloid β-induced toxicity, with promising results from studies in human neuroblastoma cells and transgenic animal models.
阿尔茨海默病是全球痴呆症的主要病因,由于其复杂的发病机制和缺乏有效的治疗方法,是一个尚未解决的临床挑战。考虑到该疾病的多因素病因学,主要以淀粉样蛋白β斑块和tau蛋白的神经原纤维缠结的积累为特征,我们讨论了淀粉样蛋白前体蛋白编码基因的A673V突变,该突变与家族性阿尔茨海默病的纯合子状态相关。该突变为该疾病的分子机制提供了新的见解,特别是关于A2V和A2T突变在淀粉样蛋白β肽聚集和毒性中的对比作用。本文综述了淀粉样蛋白β肽a2v突变变体的相关研究,揭示了其对淀粉样蛋白β和tau病理的保护作用。值得注意的是,特别关注肽Aβ1-6A2V(D)的发育,它通过抑制淀粉样蛋白β组装成淀粉样蛋白原纤维而显示出显著的神经保护活性。这种肽的治疗潜力来自于其降低淀粉样蛋白β诱导的毒性的能力,在人类神经母细胞瘤细胞和转基因动物模型的研究中取得了令人鼓舞的结果。
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引用次数: 0
Epigenetic modifications and emerging therapeutic targets in cardiovascular aging and diseases 心血管衰老和疾病中的表观遗传修饰和新兴治疗靶点。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1016/j.phrs.2024.107546
Yurou Qiu , Qing Xu , Peichen Xie , Chenshuang He , Qiuchan Li , Xin Yao , Yang Mao , Xiaoqian Wu , Tiejun Zhang
The complex mechanisms underlying the development of cardiovascular diseases remain not fully elucidated. Epigenetics, which modulates gene expression without DNA sequence changes, is shedding light on these mechanisms and their heritable effects. This review focus on epigenetic regulation in cardiovascular aging and diseases, detailing specific epigenetic enzymes such as DNA methyltransferases (DNMTs), histone acetyltransferases (HATs), and histone deacetylases (HDACs), which serve as writers or erasers that modify the epigenetic landscape. We also discuss the readers of these modifications, such as the 5-methylcytosine binding domain proteins, and the erasers ten-eleven translocation (TET) proteins. The emerging role of RNA methylation, particularly N6-methyladenosine (m6A), in cardiovascular pathogenesis is also discussed. We summarize potential therapeutic targets, such as key enzymes and their inhibitors, including DNMT inhibitors like 5-azacytidine and decitabine, HDAC inhibitors like belinostat and givinotide, some of which have been approved by the FDA for various malignancies, suggesting their potential in treating cardiovascular diseases. Furthermore, we highlight the role of novel histone modifications and their associated enzymes, which are emerging as potential therapeutic targets in cardiovascular diseases. Thus, by incorporating the recent studies involving patients with cardiovascular aging and diseases, we aim to provide a more detailed and updated review that reflects the advancements in the field of epigenetic modification in cardiovascular diseases.
心血管疾病发病的复杂机制仍未完全阐明。表观遗传学在不改变 DNA 序列的情况下调节基因表达,它正在揭示这些机制及其遗传效应。这篇综述重点探讨了心血管衰老和疾病中的表观遗传调控,详细介绍了特定的表观遗传酶,如 DNA 甲基转移酶(DNMTs)、组蛋白乙酰转移酶(HATs)和组蛋白去乙酰化酶(HDACs),它们是改变表观遗传结构的写手。我们还讨论了这些修饰的读者,如 5-甲基胞嘧啶结合域蛋白和十-十一易位(TET)蛋白。我们还讨论了 RNA 甲基化,尤其是 N6-甲基腺苷(m6A)在心血管发病机制中新出现的作用。我们总结了潜在的治疗靶点,如关键酶及其抑制剂,包括 DNMT 抑制剂(如 5-azacytidine 和 decitabine)、HDAC 抑制剂(如 belinostat 和 givinotide),其中一些已被 FDA 批准用于治疗各种恶性肿瘤,这表明它们在治疗心血管疾病方面具有潜力。此外,我们还强调了新型组蛋白修饰及其相关酶的作用,它们正在成为心血管疾病的潜在治疗靶点。因此,通过纳入涉及心血管衰老和疾病患者的最新研究,我们旨在提供更详细、更新的综述,以反映表观遗传修饰在心血管疾病领域的进展。
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Pharmacological research
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