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The hypothyroid brain 甲状腺功能减退
Pub Date : 2016-09-05 DOI: 10.14800/RCI.1408
J. S. Souza, R. Conceição, K. C. Oliveira, R. Maciel, G. Giannocco
The thyroid gland is controlled by a feedback system, the hypothalamus-pituitary-thyroid axis, and produces thyroid hormone (TH), which plays a critical role in growth, development and cellular metabolism. Diseases of the thyroid are well defined clinically and biochemically and diseases affecting thyroid function can cause both clinical hypothyroidisms, the most common cause of thyroid dysfunction, occurs when there is a decrease in the production of thyroid hormones, and hyperthyroidism, when there is an increase in hormone production. Common systemic manifestations of hypothyroidism include fatigue, dry skin, weight gain, hair loss, cold intolerance, hoarseness and constipation. Patients affected by this condition present a number of central and peripheral signs in the nervous system that may be neurological manifestations that occur along with the systemic disease. The conversion of thyroid hormone in the target tissue is done by three distinct deiodinases: type I, type II and type III. Each deiodinase has a different function in order to maintain thyroid hormone homeostasis in the tissues. Other proteins important for thyroid state are the TH transporters. MCT8, OATP1C1 and LAT1 and 2 transporters regulate T4 and T3 flow in the cells. The action of THs depends on the interaction of several proteins that are specialized in the control of thyroid hormone homeostasis not only in the brain but also in various tissues. THs are important for the maturation of the brain from the intrauterine period and remain important to adulthood. When there is some disturbance in the control mechanisms for the state of thyroid hormone, the consequences to the tissues, especially the CNS, can range from mild damage to severe impairment in neuronal development.
甲状腺受下丘脑-垂体-甲状腺轴(hypothalamus-pituitary-thyroid axis)这一反馈系统控制,产生甲状腺激素(thyroid hormone, TH),在生长发育和细胞代谢中起关键作用。甲状腺疾病在临床上和生物化学上都有明确的定义,影响甲状腺功能的疾病可导致临床甲状腺功能减退,这是甲状腺功能障碍的最常见原因,发生在甲状腺激素分泌减少的时候,发生在激素分泌增加的时候。甲状腺功能减退症常见的全身性表现包括疲劳、皮肤干燥、体重增加、脱发、不耐寒、声音嘶哑和便秘。受这种疾病影响的患者在神经系统中表现出许多中枢和外周体征,这些体征可能是与全身性疾病一起发生的神经学表现。甲状腺激素在靶组织中的转化是由三种不同的脱碘酶完成的:ⅰ型、ⅱ型和ⅲ型。为了维持甲状腺激素在组织中的稳态,每种脱碘酶都有不同的功能。其他对甲状腺状态重要的蛋白质是TH转运蛋白。MCT8、OATP1C1和LAT1和2转运蛋白调节细胞内T4和T3的流动。甲状腺激素的作用依赖于几种蛋白质的相互作用,这些蛋白质不仅在大脑中,而且在各种组织中专门控制甲状腺激素的稳态。这对从子宫内开始的大脑成熟很重要,对成年也很重要。当甲状腺激素状态的控制机制受到干扰时,对组织特别是中枢神经系统的影响可从轻微损害到严重损害神经元发育。
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引用次数: 4
Down regulation of acrolein on corticosterone secretion in male rats 丙烯醛对雄性大鼠皮质酮分泌的下调作用
Pub Date : 2016-08-29 DOI: 10.14800/RCI.1401
J. Chou, Ting-Chun Weng, C. Soong, Sindy Hu, F. Lieu, G. Idova, Paulus S. Wang, Shyi-Wu Wang
Acrolein is a small unsaturated aldehyde and can be found in a wide range of resources including all types of smoke and exhaust gases from gasoline engines. Although the toxicity and damage of acrolein have been recognized, the action mechanisms of acrolein, especially that of acrolein on the response of stresshormones are still unclear. The present study hypothesized that administration of acrolein altered the secretion of both adrenocorticotropin (ACTH) and corticosterone via the regulation of steroid biosynthetic pathway in rat zona fasciculata-reticularis (ZFR) cells. Both in vivo and in vitro approaches were uased. In the in vivo study, intraperitonal injection of acrolein (2 mg/ml/kg) once daily for 1 or 3 days resulted in a reduction of plasma levels of ACTH and corticosterone as well as the intracellular cAMP and ACTH-induced secretion of corticosterone. The protein expression of ACTH receptor (ACTHR) in rat ZFR cells was also reduced by 40-60% after treatment of acrolein for 1 day and 3 days, respectively. In the in vitro study, rat ZFR cells were prepared and chanllenged with ACTH (10 -9 M), forskolin (an adenylyl cyclase activitior, 10 -5 M), 8-Br-cAMP (a permeable synthetic cAMP, 5x10 -5 M), 25-OH-cholesterol (10 -5 M) ± trilostane (an inhibitor of 3β-hydroxysteroid dehydrogenase, 3β-HSD, 10 -5 M). The evoked release of corticosterone by ACTH, forskolin, 8-Br-cAMP and the induced release of pregnenolone in response to 25-OH-cholesterol plus triolostane were decreased. Since the accumulation of pregnenolone after blocking 3β-HSD by trilostane represents the activity of P450 scc, therate-limiting step of steroid biosynthesis, we suggest that not only the cAMP pathway was inhibited, but also the enzyme activity of P450 scc was attenuated following administration of acrolein. Although insignificant, the protein expression of steroidogenic acute regulatory protein (StAR) was decreased by 40% in ZFR cells after treatment of acrolein in vivo . Incubation of ZFR cells with acrolein (10 -9 ~10 -7 M) also decreased the in vitro release of corticosterone. These results suggest that administration of acrolein inhibited corticosterone production via the attenuation of cAMP pathway, StAR protein expression, and the enzyme activity of P450 scc. The attenuation of protein expression of ACTHR (also named melanocortin 2 receptor, MC2R) and reduced secrection of ACTH indicated that the hypothalamus-pituitary-adrenal (H-P-A) axis was also down- regulated by the administration of acrolein.
丙烯醛是一种小的不饱和醛,可以在广泛的资源中找到,包括所有类型的烟雾和汽油发动机的废气。虽然丙烯醛的毒性和损伤性已被认识,但其作用机制,特别是对应激激素的作用机制尚不清楚。本研究假设丙烯醛通过调节大鼠束状网状带(ZFR)细胞的类固醇生物合成途径改变促肾上腺皮质激素(ACTH)和皮质酮的分泌。采用了体内和体外两种方法。在体内研究中,每日一次腹腔注射丙烯醛(2mg /ml/kg),持续1或3天,可降低血浆ACTH和皮质酮水平,以及细胞内cAMP和ACTH诱导的皮质酮分泌。丙烯醛处理1天和3天后,大鼠ZFR细胞中ACTH受体(ACTHR)的蛋白表达也分别降低了40-60%。在体外实验中,制备大鼠ZFR细胞,用ACTH (10 -9 M)、forskolin(腺苷酸环化酶活性,10 -5 M)、8-Br-cAMP(可渗透合成cAMP, 5 × 10 -5 M)、25- oh -胆固醇(10 -5 M)±trilostane (3β-羟基类固醇脱氢酶抑制剂,3β-HSD, 10 -5 M)刺激。ACTH、forskolin、8-Br-cAMP诱导皮质酮释放量和25- oh -胆固醇+三olostane诱导孕烯醇酮释放量均降低。由于三叶烷阻断3β-HSD后孕烯醇酮的积累代表了P450 scc的活性,P450 scc是类固醇生物合成的限速步骤,我们认为丙烯醛不仅抑制了cAMP途径,而且降低了P450 scc的酶活性。体内丙烯醛处理后,ZFR细胞中类固醇急性调节蛋白(StAR)的表达降低了40%。丙烯醛(10 -9 ~10 -7 M)对ZFR细胞的体外释放也有抑制作用。这些结果表明,丙烯醛通过抑制cAMP通路、StAR蛋白表达和P450 scc酶活性来抑制皮质酮的产生。ACTHR(又称黑素皮质素2受体,MC2R)蛋白表达的减弱和ACTH分泌的减少表明丙烯醛也下调了下丘脑-垂体-肾上腺(H-P-A)轴。
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引用次数: 0
Protein surface recognition with targeted fluorescent molecular probes 靶向荧光分子探针的蛋白质表面识别
Pub Date : 2016-08-08 DOI: 10.14800/RCI.1381
D. Margulies, Yael Nissinkorn, Leila Motiei
Protein surface recognition by fluorescent molecular sensors poses an immense challenge in supramolecular recognition chemistry owing to the immense difficulty of selectively targeting these large, relatively flat and non-contiguous domains. The fact that protein surfaces can exhibit different charges, topologies, and posttranslational modifications that can be found in other proteins in the mixture is an additional factor that complicates targeting and therefore, sensing specific protein surface modifications. A recent report, however, shows that the difficulty of sensing changes that occur on the surface of specific proteins could be circumvented by attaching a relatively non-specific synthetic receptor to a specific protein binder. The latter brings the receptor near the target protein and enhances its affinity toward its surface. Modifying the synthetic receptor with an environmentally sensitive fluorescent reporter along with suitable recognition elements enables such systems to target specific regions on protein surfaces and consequently, track modifications that result from conformational changes or binding interactions.
荧光分子传感器对蛋白质表面的识别在超分子识别化学中提出了巨大的挑战,因为有选择地靶向这些大的、相对平坦的和不连续的结构域非常困难。蛋白质表面可以表现出与混合物中其他蛋白质不同的电荷、拓扑结构和翻译后修饰,这一事实是使靶向和感知特定蛋白质表面修饰复杂化的另一个因素。然而,最近的一份报告表明,通过将相对非特异性的合成受体附着在特定的蛋白质粘合剂上,可以避免感知特定蛋白质表面发生的变化的困难。后者使受体靠近靶蛋白并增强其对其表面的亲和力。用环境敏感的荧光报告因子和合适的识别元件修饰合成受体,使这种系统能够靶向蛋白质表面的特定区域,从而跟踪构象变化或结合相互作用引起的修饰。
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引用次数: 0
Pioglitazone improves pelvic ganglion neuronal survival 吡格列酮提高盆腔神经节神经元存活率
Pub Date : 2016-08-02 DOI: 10.14800/RCI.1371
D. Heidenberg, K. DeLay, E. G. Katz, W. Hellstrom
Cavernosal nerve injury is a common complication after radical prostatectomy and causes erectile dysfunction (ED). Our recent publication established that pioglitazone (PGZ) improves cavernosal nerve function after crush injury in the rat model by both neural protection and neuroregeneration. This result is clinically significant for the many men who undergo treatment for localized prostate cancer. A better understanding of the effects of PGZ on pelvic ganglion neurons after cavernosal nerve injury is warranted. In this Research Highlight, we discuss the implications of our investigation from a molecular and clinical perspective.
海绵体神经损伤是根治性前列腺切除术后常见的并发症,可引起勃起功能障碍。我们最近发表的文章证实,吡格列酮(PGZ)通过神经保护和神经再生改善大鼠挤压损伤后海绵体神经功能。这一结果对许多接受局限性前列腺癌治疗的男性具有重要的临床意义。为了更好地了解PGZ对海绵体神经损伤后盆腔神经节神经元的影响是有必要的。在本研究重点中,我们从分子和临床角度讨论了我们研究的意义。
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引用次数: 0
SNARE-associated proteins and receptor trafficking 陷阱相关蛋白和受体运输
Pub Date : 2016-08-02 DOI: 10.14800/RCI.1377
H. Inoue, K. Tani, M. Tagaya
A wide variety of receptors that function on the cell surface are regulated, at least in part, through intracellular membrane trafficking including endocytosis, recycling and subsequent degradation. Soluble N-ethylmaleimide sensitive factor (NSF) attachment protein (SNAP) receptors (SNAREs) are essential molecules for the final step of intracellular membrane trafficking, i.e. fusion of transport vesicles with the target membrane. SNAREs on two opposing membranes form a trans -SNARE complex consisting of a four-helical bundle and drive a membrane fusion. The resultant cis -SNARE complex is disassembled through a process mediated by NSF and SNAPs. Cells contain families of SNAREs, and the interaction of cognate SNAREs at least contributes to the specificity of membrane fusion. The SNARE complex formation and dissociation are modulated by many SNARE-associated proteins at multiple steps including tethering, assembly and disassembly. Diverse molecular mechanisms, such as scaffolding, phosphorylation and ubiquitylation of SNARE proteins, and phosphoinositide production, are utilized for the modulation. In this review, we summarize recent progress in understanding the role of SNARE-associated proteins required for the endocytic recycling and degradation of epidermal growth factor receptor, transferrin receptor and integrins. We also discuss the physiological and pathological relevance of SNAREs and SNARE-associated proteins in the receptor trafficking.
在细胞表面起作用的多种受体至少部分地通过细胞膜内运输(包括内吞作用、再循环和随后的降解)受到调节。可溶性n -乙基马酰亚胺敏感因子(NSF)附着蛋白(SNAP)受体(SNAREs)是细胞膜内运输的最后一步,即运输囊泡与靶膜融合的必需分子。两个相对膜上的snare形成由四螺旋束组成的跨snare复合体,并驱动膜融合。由此产生的顺式-SNARE复合体通过NSF和SNAPs介导的过程被分解。细胞中含有SNAREs家族,同源SNAREs的相互作用至少有助于膜融合的特异性。SNARE复合体的形成和解离是由许多SNARE相关蛋白在多个步骤(包括系结、组装和拆卸)中调节的。多种分子机制,如支架,SNARE蛋白的磷酸化和泛素化,以及磷酸肌苷的产生,被用于调节。在这篇综述中,我们总结了最近在理解表皮生长因子受体、转铁蛋白受体和整合素的内吞循环和降解所需的snare相关蛋白的作用方面的进展。我们还讨论了SNAREs和SNAREs相关蛋白在受体运输中的生理和病理相关性。
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引用次数: 3
How missense mutations in receptors tyrosine kinases impact constitutive activity and alternate drug sensitivity: insights from molecular dynamics simulations 受体酪氨酸激酶的错义突变如何影响组成活性和替代药物敏感性:来自分子动力学模拟的见解
Pub Date : 2016-07-21 DOI: 10.14800/RCI.1372
Isaure Chauvot de Beauchêne, L. Tchertanov
The fundamental oncology-related research is required for a deeper understanding of the molecular mechanisms associated with the normal and/or abnormal protein functions, which are closely related with structure and dynamics of the macromolecules involved in these process. The most common origin of oncogenic events is related to missense mutations. Mutation-induced structural effects promoted by oncogenic mutations in receptor tyrosine kinases (RTKs), are not yet fully characterized. Computational biology completes and enriches experimental data, producing a novel vision of molecular mechanisms governing RTKs activity. In series of our papers, we studied the structural and dynamical features of native and mutated RTKs from III family (KIT and CSF-1R), yielding a detailed description of their mechanisms of activation, ligand-depend for the native proteins and constitutive for the distinct mutants. The mechanisms of RTKs activation are described in terms of allosteric regulation between coupled regulating fragments of the protein, juxta-membrane region (JMR) and activation (A-) loop. As some mutations promote resistance to the clinically-used drugs, we analyzed the affinity of imatinib to these therapeutic targets. The computationally-obtained ( in silico ) data were correlated with in vivo and in vitro observations, thus validating our numerically-based accounts. Going forward, clinical validation of cancer-related models and simulations are cornerstones key of translation of in silico data into biomedical research, at clinical and pharmacological levels.
为了更深入地了解与正常和/或异常蛋白质功能相关的分子机制,这些机制与参与这些过程的大分子的结构和动力学密切相关,需要开展肿瘤相关的基础研究。最常见的致癌事件的起源与错义突变有关。由受体酪氨酸激酶(RTKs)的致癌突变促进的突变诱导的结构效应尚未完全表征。计算生物学完善并丰富了实验数据,为调控RTKs活性的分子机制提供了新的视角。在我们的一系列论文中,我们研究了III家族的天然rtk和突变rtk (KIT和CSF-1R)的结构和动力学特征,详细描述了它们的激活机制,依赖于天然蛋白的配体和不同突变体的组成。RTKs的激活机制描述为蛋白质的偶联调节片段、近膜区(JMR)和激活(A-)环之间的变构调节。由于一些突变促进了对临床使用药物的耐药性,我们分析了伊马替尼对这些治疗靶点的亲和力。计算获得的(计算机)数据与体内和体外观察相关联,从而验证了我们基于数值的计算。展望未来,癌症相关模型和模拟的临床验证是将计算机数据转化为临床和药理学水平的生物医学研究的基石。
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引用次数: 1
Right coronary artery with multiple giant aneurysms fistulizing into left ventricle 右冠状动脉并发多个巨大动脉瘤向左心室爆裂
Pub Date : 2016-07-05 DOI: 10.14800/RCI.1361
J. Lu, Heshui Shi
Coronary computed tomography angiography (CCTA) was performed to further identify the abnormality, which revealed the enlargement of the opening in approximately 3cm and diffusely dilated of RCA. The distribution of RCA could be showed graphically by the volume rendering technique (VRT) (Fig 3), which was travelling tortuously into the LV. A saccular aneurysm was found in size of about 12cm × 12cm and located in its proximal portion (Fig 4). Another giant fusiform aneurysm could be found next to the fistula. The fistula was about 2cm in diameter. Right atrium and ventricle were crushed obviously. Pericardial effusion was observed. The LCA was normal.
冠状动脉ct血管造影(CCTA)进一步发现异常,显示开口扩大约3cm, RCA弥漫性扩张。通过体积绘制技术(VRT)可以图形化地显示RCA的分布(图3),RCA迂回地进入左室。在其近端发现约12cm × 12cm的囊状动脉瘤(图4)。在瘘旁发现另一个巨大的梭状动脉瘤。瘘管直径约2cm。右心房、右心室明显挤压。观察到心包积液。LCA正常。
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引用次数: 0
Promiscuous signaling of ligands via mutant ALK2 in fibrodysplasia ossificans progressiva 进行性骨化性纤维发育不良中通过突变ALK2介导的配体混杂信号
Pub Date : 2016-06-28 DOI: 10.14800/RCI.1356
D. J. J. Gorter, G. Sánchez-Duffhues, P. Dijke
Fibrodysplasia ossificans progressiva (FOP) is a rare hereditary disorder characterized by successive heterotopic bone formation, for which at present there is no therapy. Mutations in the bone morphogenetic protein (BMP) type I receptor Activin receptor-like kinase 2 (ACVR1/ALK2) are the main trigger for FOP and inflammation is thought to be the secondary hit. The single nucleotide mutation at position 617 in the cDNA ALK2 sequence, which is found in 98% of FOP patients, results in a R206H change in the intracellular juxtamembrane region of ALK2. Previous studies had revealed that this mutation perturbs the interaction with the negative regulator FKBP12, thereby sensitising cells expressing this mutant receptor to BMPs, which are potent inducers of cartilage and bone formation. Recently, however, a twist in the underlying mechanism of FOP was revealed. Mutant ALK2 was found to respond to Activin-A, whereas wild type ALK2 function is inhibited by Activin-A. The latter cytokine is induced locally upon tissue damage and inflammation. Moreover, therapeutic targeting of Activin-A was found to inhibit heterotopic ossification in a mutant ALK2 knock-in mouse model that is highly reminiscent to human FOP. This review will focus on these latest surprising findings and discuss the implication for treatment of FOP patients.
进行性骨化纤维发育不良(FOP)是一种罕见的遗传性疾病,其特征是连续异位骨形成,目前尚无治疗方法。骨形态发生蛋白(BMP) I型受体激活素受体样激酶2 (ACVR1/ALK2)的突变是FOP的主要触发因素,炎症被认为是次要打击。在98%的FOP患者中发现的cDNA ALK2序列617位单核苷酸突变导致ALK2细胞内近膜区R206H改变。先前的研究表明,这种突变干扰了与负调节因子FKBP12的相互作用,从而使表达这种突变受体的细胞对bmp敏感,而bmp是软骨和骨形成的有效诱导剂。然而,最近揭示了FOP的潜在机制的一个转折。突变型ALK2对激活素- a有反应,而野生型ALK2的功能被激活素- a抑制。后一种细胞因子在组织损伤和炎症时被局部诱导。此外,在ALK2敲入突变小鼠模型中发现,靶向治疗激活素a可以抑制异位骨化,这与人类FOP非常相似。这篇综述将集中在这些最新的令人惊讶的发现,并讨论对FOP患者治疗的意义。
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引用次数: 3
New mechanism leading to alleviation of salt-sensitive hypertension by a powerful angiotensin receptor blocker, azilsartan 强有力的血管紧张素受体阻滞剂阿齐沙坦缓解盐敏感性高血压的新机制
Pub Date : 2016-06-21 DOI: 10.14800/RCI.1352
J. Kaimori, M. Hatanaka, Satoko Yamamoto, N. Ichimaru, S. Takahara, Y. Isaka, H. Rakugi
Hypertension is one of the most life-threatening health problems in the modern world. Particularly, salt-sensitive hypertension is often associated with cardiovascular disease and defects in the circadian rhythm of the blood pressure. To date, the effects of angiotensin receptor blocker (ARB) against salt sensitivity and the blood pressure’s circadian rhythm have been obscure. A strong ARB, azilsartan, was previously reported to improve the circadian rhythm of blood pressure in hypertensive patients. In a recently published study, we investigated the mechanism by which azilsartan brought about this reaction. We speculated that azilsartan modulated sodium transporters located in the renal tubules because the circadian rhythm of blood pressure is linked to salt handling in the kidney. We discovered that one sodium transporter, NHE3 protein, in the proximal tubules was greatly attenuated in the kidneys of 5/6 nephrectomized mice that had been treated with azilsartan, although the expression of other sodium transporter proteins remained unchanged. The genetic expression of NHE3, however, was not changed by azilsartan. In a subsequent in vitro study using OKP cells, we found that NHE3 protein reduction was induced by enhanced protein degradation by proteasomes, not lysosomes, leading to enhanced sodium excretion. It is suggested that diminished salt sensitivity in the 5/6 nephrectomized mice treated with azilsartan was due to a change in sodium handling induced by the reduction of NHE3 protein in the proximal tubules. These mechanisms underlying the decreased salt sensitivity by azilsartan treatment may lead to totally new drug discoveries.
高血压是当今世界最威胁生命的健康问题之一。特别是,盐敏感性高血压通常与心血管疾病和血压昼夜节律缺陷有关。迄今为止,血管紧张素受体阻滞剂(ARB)对盐敏感性和血压昼夜节律的影响尚不清楚。阿兹沙坦是一种强效ARB,以前曾报道可改善高血压患者的血压昼夜节律。在最近发表的一项研究中,我们调查了阿兹沙坦引起这种反应的机制。我们推测阿齐沙坦调节位于肾小管的钠转运蛋白,因为血压的昼夜节律与肾脏中的盐处理有关。我们发现,在阿齐沙坦治疗的5/6肾切除小鼠的肾脏中,近端小管中的一种钠转运蛋白NHE3蛋白大大减弱,尽管其他钠转运蛋白的表达保持不变。而阿齐沙坦对NHE3基因表达没有影响。在随后使用OKP细胞进行的体外研究中,我们发现NHE3蛋白的还原是由蛋白酶体而非溶酶体的蛋白质降解增强引起的,从而导致钠排泄增强。我们认为,阿齐沙坦治疗的5/6肾切除小鼠的盐敏感性降低是由于近端小管中NHE3蛋白的减少引起了钠处理的改变。阿齐沙坦治疗降低盐敏感性的这些机制可能会导致全新药物的发现。
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引用次数: 0
Blocking the receptor EP3 to PGE2 as a way to safely prevent atherothrombosis 阻断受体EP3到PGE2作为一种安全预防动脉粥样硬化血栓形成的方法
Pub Date : 2016-06-13 DOI: 10.14800/RCI.1343
M. Mawhin, J. Fabre
Aspirin inhibits the platelet production of thromboxane A2 and its beneficial effect on myocardial infarction was demonstrated more than two decades ago. This result validated the strategy aimed at targeting platelet function to prevent myocardial infarction. Since then, numerous drugs targeting various activators of platelets have been developed to further improve prevention. However, the beneficial effect of all these drugs on atherothrombosis is limited by an increased risk of bleeding, because they target thrombosis effectors which are also key players in hemostasis. Since aspirin blocks the generation of numerous prostanoids, including inhibitors of platelet activation, targeting one of them might allow the antithrombotic activity to be maintained without promoting bleeding. In examining the roles of various arachidonic acid metabolites on atherothrombosis, we studied the prostaglandin E2 (PGE2). In vivo , PGE2 facilitates the responses of platelets to all their various activators through its receptor EP3. PGE2 is produced in relatively high amounts in the context of chronic inflammation such as atherosclerosis, and aggravates murine atherothrombosis. Conversely, PGE2 is not involved in hemostasis. As expected, blocking EP3 strikingly reduced atherothrombosis in mice without impacting bleeding tests. In a recent paper published in Prostaglandins & Other Lipid Mediators, we reviewed literature data about the effect of PGE2 and its receptor EP3 on platelet thrombosis and hemostasis in mice and humans. We concluded that cumulated data now justifies validating the role of EP3 blockers with phase III trials to safely improve the prevention of myocardial infarction.
阿司匹林抑制血小板生成血栓素A2,其对心肌梗死的有益作用早在二十多年前就已被证实。这一结果验证了以血小板功能为目标预防心肌梗死的策略。从那时起,许多针对各种血小板激活剂的药物被开发出来,以进一步改善预防。然而,所有这些药物对动脉粥样硬化血栓形成的有益作用受到出血风险增加的限制,因为它们针对的是血栓形成效应物,而血栓形成效应物也是止血的关键因素。由于阿司匹林阻断多种前列腺素的生成,包括血小板活化抑制剂,靶向其中一种可能使抗血栓活性得以维持,而不会促进出血。在研究各种花生四烯酸代谢物在动脉粥样硬化血栓形成中的作用时,我们研究了前列腺素E2 (PGE2)。在体内,PGE2通过其受体EP3促进血小板对各种活化剂的反应。PGE2在慢性炎症如动脉粥样硬化的情况下产生相对较高的量,并加重小鼠动脉粥样硬化血栓形成。相反,PGE2不参与止血。正如预期的那样,阻断EP3显著减少了小鼠动脉粥样硬化血栓形成,而不影响出血试验。在前列腺素和其他脂质介质最近发表的一篇论文中,我们回顾了关于PGE2及其受体EP3对小鼠和人血小板血栓形成和止血作用的文献数据。我们的结论是,累积的数据现在证明了EP3阻滞剂在III期试验中安全改善心肌梗死预防的作用。
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引用次数: 0
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Receptors and clinical investigation
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