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Peptide Aldehydes Incorporating Thiazol-4-yl Alanine Are Potent In Vitro Inhibitors of SARS-CoV-2 Main Protease 含有噻唑-4-基丙氨酸的肽醛是 SARS-CoV-2 主要蛋白酶的强效体外抑制剂
IF 3.5 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-11-03 DOI: 10.1021/acsmedchemlett.4c0044410.1021/acsmedchemlett.4c00444
Jenson R. Feys, Kyle Edwards, Michael A. Joyce, Holly A. Saffran, Justin A. Shields, Kassandra Garcia, D. Lorne Tyrrell and Conrad Fischer*, 

The main protease of SARS-CoV-2 is an essential enzyme required for polyprotein cleavage during viral replication and thus is an excellent target for development of direct-acting antiviral compounds. Continued research efforts have elucidated several peptidic small molecules like GC376, boceprevir, and nirmatrelvir with potent anticoronaviral activity bearing optimized amino acid side chain residues. To reduce synthetic complexity and cost, we used simple chemical surrogates that were commercially readily available to develop new inhibitors that mimic the potency of these drug compounds. We synthesized and tested several analogue chimeras of GC376 and boceprevir that have surrogate residues at the P1 and/or P2 position in order to further improve target binding. Both P1 variants with either a nonpolar cyclobutyl or polar thiazol-4-yl alanine resulted in low-micromolar to submicromolar Mpro inhibitors with strong antiviral activity in cell assays.

SARS-CoV-2 的主要蛋白酶是病毒复制过程中多蛋白裂解所需的重要酶,因此是开发直接作用抗病毒化合物的绝佳靶点。通过持续的研究工作,我们已经阐明了几种多肽小分子(如 GC376、boceprevir 和 nirmatrelvir),它们具有强效的抗oronaviral 活性,并具有优化的氨基酸侧链残基。为了降低合成的复杂性和成本,我们利用市场上容易买到的简单化学代用品来开发新的抑制剂,以模仿这些药物化合物的效力。我们合成并测试了几种 GC376 和 boceprevir 的类似嵌合体,这些嵌合体在 P1 和/或 P2 位置具有代用残基,以进一步改善靶标结合。这两种 P1 变体都带有非极性环丁基或极性噻唑-4-基丙氨酸,从而产生了低微摩至亚微摩尔的 Mpro 抑制剂,在细胞实验中具有很强的抗病毒活性。
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引用次数: 0
A critical review of coordination chemistry of pyrimidine and pyridazine compounds: Bonding, chelation and corrosion inhibition 嘧啶和哒嗪化合物配位化学综述:键合、螯合和腐蚀抑制
IF 20.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-11-02 DOI: 10.1016/j.ccr.2024.216285
Taiwo W. Quadri , Ekemini D. Akpan , Saheed E. Elugoke , Omar Dagdag , Nnaemeka J. Nnaji , Chandrabhan Verma , Lukman O. Olasunkanmi , Akram AlFantazi , Valentine Chikaodili Anadebe , Rakesh Chandra Barik , Eno E. Ebenso
Metallic deterioration remains a formidable challenge in numerous industrial sectors, necessitating the continuous, intense search for effective, sustainable and non-toxic chemical inhibitors. Pyrimidines and pyridazines belong to a class of heterocycles that have garnered significant attention as potential corrosion inhibitors due to their versatile chemical configuration and promising protection performances. Notably, the nitrogen atoms in the six-membered heterocyclic ring of pyrimidine (C4H4N2), pyridazine (C4H4N2), and their derivatives are well known for their capacity to form coordination bonds with metal surfaces. Pyrimidine, pyridazine, and their derivatives form corrosion-inhibitive hydrophobic layers through their adsorption on the metal surfaces. The widespread conjugation of π-electrons enhances the durability and efficacy of the hydrophobic film. They demonstrate excellent inhibition efficiencies ranging from 70 to 100 % at low concentrations (<1 mM) for different metal/electrolyte systems. This review provides an overview of the properties and application of these heterocyclic compounds in chelation and coordination. Furthermore, their potential applications as aqueous phase inhibitors for different metal/electrolyte systems were comprehensively covered. Using experimental and computational tools, emphasis was placed on the coordination chemistry of pyrimidine and pyridazine, and its adsorption behaviour against metallic degradation in diverse corrosive environments was highlighted. Finally, patent literature on the effectiveness of pyrimidine and pyridazine and future perspectives were presented.
金属老化仍然是众多工业领域面临的严峻挑战,因此需要不断努力寻找有效、可持续和无毒的化学抑制剂。嘧啶和哒嗪属于一类杂环化合物,由于其化学结构多变、保护性能良好,作为潜在的缓蚀剂受到了广泛关注。值得注意的是,嘧啶(C4H4N2)、哒嗪(C4H4N2)及其衍生物的六元杂环中的氮原子因能与金属表面形成配位键而闻名。嘧啶、哒嗪及其衍生物通过在金属表面的吸附作用形成腐蚀抑制性疏水层。π电子的广泛共轭增强了疏水膜的耐久性和功效。在不同的金属/电解质体系中,它们在低浓度(1 mM)时的抑制效率从 70% 到 100% 不等。本综述概述了这些杂环化合物在螯合和配位方面的特性和应用。此外,还全面介绍了它们作为水相抑制剂在不同金属/电解质体系中的潜在应用。利用实验和计算工具,重点研究了嘧啶和哒嗪的配位化学,并强调了它们在不同腐蚀环境中防止金属降解的吸附行为。最后,介绍了有关嘧啶和哒嗪有效性的专利文献以及未来展望。
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引用次数: 0
ZIF-67 derivatives in electrocatalysis 电催化中的 ZIF-67 衍生物
IF 20.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-11-02 DOI: 10.1016/j.ccr.2024.216296
Guoliang Gao , Chengzhi Xiao , Rongrong Zhang , Wangwei Chen , Conghu Liu , Guang Zhu , Bowen Sun , Lei Dai , Andreu Cabot , Zixu Sun
ZIF-67-derived materials, obtained by processes such as annealing, electrochemical reconstruction, and ion exchange, effectively overcome the limitations of low conductivity and stability that are inherent in ZIF-67, all while preserving their porous structure and high specific surface area. These derivatives not only address these issues but also offer the flexibility to modulate the component structure, rendering them promising candidates for electrocatalytic applications. This review delves into the novel application of ZIF-67 derivatives in conventional electrocatalysis, filling a crucial gap in the existing literature. The review begins by elucidating common strategies for catalyst modification, providing a foundation for understanding the subsequent sections. It then offers a detailed overview of the methods used to synthesize ZIF-67 derivatives, followed by a comprehensive examination of their application in electrocatalysis. This exploration covers a range of applications, including water splitting, CO2 reduction, fuel cells, and metal-air batteries. Furthermore, the review analyzes how the modification and synthesis of MOF derivatives impact the microstructure and catalytic performance of these materials. Finally, the review critically assesses the challenges encountered in the integration of MOF derivatives into electrocatalytic systems and offers insights into potential future research directions. By exploring these aspects, this work aims to inspire and guide researchers in overcoming existing obstacles, thereby unlocking the full potential of MOF derivatives in the field of electrocatalysis.
通过退火、电化学重构和离子交换等工艺获得的 ZIF-67 衍生材料有效地克服了 ZIF-67 固有的低导电性和稳定性的限制,同时保留了其多孔结构和高比表面积。这些衍生物不仅能解决这些问题,还能灵活调节成分结构,使其成为电催化应用的理想候选材料。本综述深入探讨了 ZIF-67 衍生物在传统电催化中的新应用,填补了现有文献中的一个重要空白。综述首先阐明了催化剂改性的常见策略,为理解后续章节奠定了基础。然后详细概述了用于合成 ZIF-67 衍生物的方法,随后全面考察了这些衍生物在电催化中的应用。这一探讨涵盖了一系列应用,包括水分离、二氧化碳还原、燃料电池和金属空气电池。此外,综述还分析了 MOF 衍生物的修饰和合成如何影响这些材料的微观结构和催化性能。最后,综述对将 MOF 衍生物整合到电催化系统中所遇到的挑战进行了批判性评估,并对未来潜在的研究方向提出了见解。通过对这些方面的探讨,本研究旨在启发和指导研究人员克服现有障碍,从而释放 MOF 衍生物在电催化领域的全部潜力。
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引用次数: 0
Tryptophan 2,3-dioxygenase-positive matrix fibroblasts fuel breast cancer lung metastasis via kynurenine-mediated ferroptosis resistance of metastatic cells and T cell dysfunction. 色氨酸-2,3-二氧合酶阳性基质成纤维细胞通过犬尿氨酸介导的转移细胞铁蛋白沉积抗性和 T 细胞功能障碍助长乳腺癌肺转移。
IF 3.5 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-11-01 Epub Date: 2024-09-02 DOI: 10.1002/cac2.12608
Yongcan Liu, Shanchun Chen, Xueying Wan, Rui Wang, Haojun Luo, Chao Chang, Peijin Dai, Yubi Gan, Yuetong Guo, Yixuan Hou, Yan Sun, Yong Teng, Xiaojiang Cui, Manran Liu

Background: Tumor metastasis is a major threat to cancer patient survival. The organ-specific niche plays a pivotal role in tumor organotropic metastasis. Fibroblasts serve as a vital component of the metastatic microenvironment, but how heterogeneous metastasis-associated fibroblasts (MAFs) promote organotropic metastasis is poorly characterized. Here, we aimed to decipher the heterogeneity of MAFs and elucidate the distinct roles of these fibroblasts in pulmonary metastasis formation in breast cancer.

Methods: Mouse models of breast cancer pulmonary metastasis were established using an in vivo selection method of repeated injections of metastatic cells purified from the mouse lung. Single-cell RNA-sequencing (scRNA-seq) was employed to investigate the heterogeneity of MAFs. Transgenic mice were used to examine the contribution of tryptophan 2,3-dioxygenase-positive matrix fibroblasts (TDO2+ MFs) in lung metastasis.

Results: We uncovered 3 subtypes of MAFs in the lung metastatic microenvironment, and their transcriptome profiles changed dynamically as lung metastasis evolved. As the predominant subtype, MFs were exclusively marked by platelet-derived growth factor receptor alpha (PDGFRA) and mainly located on the edge of the metastasis, and T cells were enriched around MFs. Notably, high MF signatures were significantly associated with poor survival in breast cancer patients. Lung metastases were markedly diminished, and the suppression of T cells was dramatically attenuated in MF-depleted experimental metastatic mouse models. We found that TDO2+ MFs controlled pulmonary metastasis by producing kynurenine (KYN), which upregulated ferritin heavy chain 1 (FTH1) level in disseminated tumor cells (DTCs), enabling DTCs to resist ferroptosis. Moreover, TDO2+ MF-secreted chemokines C-C motif chemokine ligand 8 (CCL8) and C-C motif chemokine ligand 11 (CCL11) recruited T cells. TDO2+ MF-derived KYN induced T cell dysfunction. Conditional knockout of Tdo2 in MFs diminished lung metastasis and enhanced immune activation.

Conclusions: Our study reveals crucial roles of TDO2+ MFs in promoting lung metastasis and DTCs' immune evasion in the metastatic niche. It suggests that targeting the metabolism of lung-specific stromal cells may be an effective treatment strategy for breast cancer patients with lung metastasis.

背景:肿瘤转移是癌症患者生存的主要威胁:肿瘤转移是癌症患者生存的主要威胁。器官特异性生态位在肿瘤器官转移中起着关键作用。成纤维细胞是转移微环境的重要组成部分,但异质性转移相关成纤维细胞(MAFs)是如何促进器官转移的还不清楚。在此,我们旨在破译MAFs的异质性,并阐明这些成纤维细胞在乳腺癌肺转移形成中的不同作用:方法:通过反复注射从小鼠肺部纯化的转移细胞的体内选择方法,建立了乳腺癌肺转移小鼠模型。采用单细胞 RNA 测序(scRNA-seq)研究 MAFs 的异质性。利用转基因小鼠研究色氨酸-2,3-二氧合酶阳性基质成纤维细胞(TDO2+ MFs)在肺转移中的贡献:结果:我们在肺转移微环境中发现了三种亚型的基质成纤维细胞,它们的转录组特征随着肺转移的发展而发生动态变化。作为最主要的亚型,MFs完全以血小板衍生生长因子受体α(PDGFRA)为标志,主要位于转移灶边缘,T细胞富集在MFs周围。值得注意的是,高MF特征与乳腺癌患者的低生存率密切相关。在MF缺失的实验性转移小鼠模型中,肺转移明显减少,T细胞的抑制作用也显著减弱。我们发现,TDO2+中频因子通过产生犬尿氨酸(KYN)控制肺转移,而犬尿氨酸能上调播散性肿瘤细胞(DTCs)中铁蛋白重链1(FTH1)的水平,使DTCs能抵抗铁蛋白沉积。此外,TDO2+ MF分泌的趋化因子C-C基团趋化因子配体8(CCL8)和C-C基团趋化因子配体11(CCL11)可招募T细胞。TDO2+ MF衍生的KYN诱导T细胞功能障碍。有条件地敲除MF中的Tdo2可减少肺转移并增强免疫激活:我们的研究揭示了TDO2+ MFs在促进肺转移和DTCs在转移龛中的免疫逃避中的关键作用。结论:我们的研究揭示了 TDO2+ MFs 在促进肺转移和 DTCs 在转移龛中免疫逃避中的关键作用,这表明针对肺特异性基质细胞的代谢可能是乳腺癌肺转移患者的一种有效治疗策略。
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引用次数: 0
Machine Learning to Predict Potential Energy Surface of Resveratrol Drug: A Quantum-Level Calculation 机器学习预测白藜芦醇药物的势能面:量子级计算
IF 3.5 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-11-01 DOI: 10.1021/acsmedchemlett.4c0038210.1021/acsmedchemlett.4c00382
Hossein Shirani*,  and , Seyed Majid Hashemianzadeh*, 

The ANI-1x neural network potential, trained on the density functional theory data set, as a quantum-level machine learning calculation has been investigated to forecast the potential energy surfaces of the Resveratrol (3,5,4′-trihydroxy-trans-stilbene) antiparkinsonian drug in a very short computing time. A comprehensive validation of the ANI-1x deep learning technique was provided on the Resveratrol molecule using density functional theory at the wB97X/6-31G(d) level of theory. The results showcased in this study will offer significant insights into pharmaceutical computational research, medicinal chemistry, drug discovery and design, thereby making a valuable contribution.

我们研究了在密度泛函理论数据集上训练的 ANI-1x 神经网络势能,它是一种量子级机器学习计算方法,可在极短的计算时间内预测白藜芦醇(3,5,4′-三羟基-反式二苯乙烯)抗帕金森病药物的势能面。在 wB97X/6-31G(d) 理论水平上,使用密度泛函理论对白藜芦醇分子进行了 ANI-1x 深度学习技术的全面验证。本研究展示的结果将为制药计算研究、药物化学、药物发现和设计提供重要见解,从而做出宝贵贡献。
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引用次数: 0
Recent advances in BiFeO₃-based nanostructures: Properties and applications 基于 BiFeO₃ 的纳米结构的最新进展:特性与应用
IF 20.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-11-01 DOI: 10.1016/j.ccr.2024.216297
Ali Khorsand Zak , Abdul Manaf Hashim
Bismuth Ferrite (BiFeO₃) is a widely researched multiferroic material that exhibits ferroelectric, antiferromagnetic, and piezoelectric properties at room temperature, making it an exceptional candidate for a range of applications across multiple fields. This review explores the fundamental properties of BiFeO₃-based nanostructures, including their high Curie temperature, significant piezoelectric and photovoltaic responses, and magnetoelectric coupling. The combination of these properties enables BiFeO₃ nanostructures to be utilized in various devices, such as energy harvesting systems, optoelectronic components, and sensors. Applications in photovoltaic devices and light-emitting diodes (LEDs) further demonstrate the material's versatility and potential for innovation. Moreover, advances in thin-film fabrication techniques and interface engineering have led to improved performance and stability in BiFeO₃-based devices. Despite challenges related to carrier mobility, leakage currents, and fabrication complexity, ongoing research continues to enhance the functionality of BiFeO₃ nanostructured materials, driving their adoption in next-generation technologies. This article reviews the current state of research on BiFeO₃ nanostructures, highlighting their properties and optical applications while providing insights into their future potential in both scientific and commercial domains.
铁氧体铋(BiFeO₃)是一种被广泛研究的多铁性材料,在室温下具有铁电性、反铁磁性和压电性,因此成为多个领域一系列应用的理想候选材料。本综述探讨了基于 BiFeO₃的纳米结构的基本特性,包括高居里温度、显著的压电和光电响应以及磁电耦合。结合这些特性,BiFeO₃ 纳米结构可用于各种设备,如能量收集系统、光电元件和传感器。在光伏设备和发光二极管(LED)中的应用进一步证明了这种材料的多功能性和创新潜力。此外,薄膜制造技术和界面工程的进步也提高了基于 BiFeO₃ 器件的性能和稳定性。尽管在载流子迁移率、漏电流和制造复杂性方面存在挑战,但当前的研究仍在继续增强 BiFeO₃ 纳米结构材料的功能,推动其在下一代技术中的应用。本文回顾了有关 BiFeO₃纳米结构的研究现状,重点介绍了它们的特性和光学应用,同时深入探讨了它们在科学和商业领域的未来潜力。
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引用次数: 0
Color-conversion displays: current status and future outlook 色彩转换显示器:现状与未来展望
3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-11-01 DOI: 10.1038/s41377-024-01618-8
Guijun Li, Man-Chun Tseng, Yu Chen, Fion Sze-Yan Yeung, Hangyu He, Yuechu Cheng, Junhu Cai, Enguo Chen, Hoi-Sing Kwok

The growing focus on enhancing color quality in liquid crystal displays (LCDs) and organic light-emitting diodes (OLEDs) has spurred significant advancements in color-conversion materials. Furthermore, color conversion is also important for the development and commercialization of Micro-LEDs. This article provides a comprehensive review of different types of color conversion methods as well as different types of color conversion materials. We summarize the current status of patterning process, and discuss key strategies to enhance display performance. Finally, we speculate on the future prospects and roles that color conversion will play in ultra-high-definition micro- and projection displays.

人们越来越重视提高液晶显示器(LCD)和有机发光二极管(OLED)的色彩质量,这促使色彩转换材料取得了重大进展。此外,色彩转换对于 Micro-LED 的开发和商业化也很重要。本文全面回顾了不同类型的色彩转换方法以及不同类型的色彩转换材料。我们总结了图案化工艺的现状,并讨论了提高显示性能的关键策略。最后,我们推测了色彩转换在超高清微型和投影显示中的未来前景和作用。
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引用次数: 0
Partial hepatectomy versus interventional treatment in patients with hepatitis B virus-related hepatocellular carcinoma and clinically significant portal hypertension: a randomized comparative clinical trial. 乙型肝炎病毒相关肝细胞癌和临床明显门脉高压症患者的部分肝切除术与介入治疗:随机比较临床试验。
IF 3.5 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-11-01 Epub Date: 2024-09-25 DOI: 10.1002/cac2.12614
Yichuan Yuan, Hong Peng, Wei He, Yun Zheng, Jiliang Qiu, Bin Chen, Ruhai Zou, Chenwei Wang, Wan Yee Lau, Binkui Li, Yunfei Yuan

Background: The widely accepted view that portal hypertension (PHT) is a contraindication to hepatectomy for patients with hepatocellular carcinoma (HCC) is being increasingly challenged. The long-term survival outcomes and safety of partial hepatectomy versus interventional treatment using ablation with or without pre-ablation transarterial chemoembolization (TACE) in patients with HBV-related HCC within the Milan criteria and with clinically significant PHT were compared in this study.

Methods: This open-label randomized clinical trial was conducted on consecutive patients with clinically PHT and hepatitis B virus (HBV)-related HCC with tumors which were within the Milan criteria. These patients were randomized 1:1 to receive either partial hepatectomy or interventional treatment between December 2012 and June 2018. The primary endpoint was overall survival (OS); secondary endpoints included recurrence-free survival (RFS) and therapeutic safety.

Results: Each of the 2 groups had 80 patients. The 1-, 3- and 5-year OS rates in the partial hepatectomy group and the interventional treatment group were 95.0%, 86.2%, 69.5% versus 93.8%, 77.5%, 64.9%, respectively (P = 0.325). The corresponding RFS rates were 78.8%, 55.0%, 46.2% versus 71.3%, 52.5%, 45.0%, respectively (P = 0.783). The partial hepatectomy group had a higher complication rate compared to the interventional group (67.5% vs. 20%, P < 0.001). However, the differences were mainly in Clavien-Dindo Grade I complications (P < 0.001), while not significant in Grade II/III/IV/V (All P > 0.05).

Conclusions: This study shows that partial hepatectomy treatment did not meet prespecified significance for improved OS and RFS compared to interventional treatment for patients with HBV-related HCC within the Milan criteria and with clinically significant PHT. However, partial hepatectomy is still a safe procedure and should be considered as a treatment option rather than a contraindication.

背景:门静脉高压(PHT)是肝细胞癌(HCC)患者肝切除术的禁忌症,这一被广泛接受的观点正受到越来越多的质疑。本研究比较了对符合米兰标准的 HBV 相关 HCC 患者进行肝部分切除术与使用消融术(或不使用消融术前经动脉化疗栓塞术(TACE))进行介入治疗的长期生存效果和安全性:这项开放标签随机临床试验的对象是符合米兰标准的临床PHT和乙型肝炎病毒(HBV)相关HCC患者。这些患者在2012年12月至2018年6月期间以1:1的比例随机接受肝部分切除术或介入治疗。主要终点是总生存期(OS);次要终点包括无复发生存期(RFS)和治疗安全性:两组各有80名患者。肝部分切除术组和介入治疗组的1年、3年和5年OS率分别为95.0%、86.2%和69.5%,而介入治疗组分别为93.8%、77.5%和64.9%(P = 0.325)。相应的 RFS 率分别为 78.8%、55.0%、46.2% 与 71.3%、52.5%、45.0%(P = 0.783)。与介入治疗组相比,肝部分切除术组的并发症发生率更高(67.5% 对 20%,P < 0.001)。然而,差异主要体现在 Clavien-Dindo I 级并发症上(P < 0.001),而 II/III/IV/V 级并发症的差异并不显著(所有 P > 0.05):本研究表明,与介入治疗相比,对符合米兰标准的HBV相关HCC患者进行肝部分切除术治疗并不能显著改善OS和RFS。不过,肝部分切除术仍是一种安全的手术,应被视为一种治疗选择而非禁忌症。
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引用次数: 0
Uncovering specific genetic-respiratory disease endotypes for rheumatoid arthritis risk. 揭示类风湿性关节炎风险的特定遗传-呼吸系统疾病内型。
IF 20.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-11-01 DOI: 10.1136/ard-2024-226391
Vanessa L Kronzer, Katrina A Williamson, Keigo Hayashi, Elizabeth J Atkinson, Cynthia S Crowson, Xiaosong Wang, Jing Cui, James R Cerhan, Jennifer A Sletten, Gregory C McDermott, Elena K Joerns, Robert Vassallo, John M Davis, Jeffrey A Sparks

Objective: We aimed to identify specific genetic-respiratory disease endotypes for rheumatoid arthritis (RA) risk.

Methods: This case-control study used the Mass General Brigham (MGB) and Mayo Clinic (MC) Biobanks for discovery and replication, respectively. We matched criteria-confirmed incident RA cases to four non-RA controls on age, sex and health record history. Genetic exposures included the top 11 RA risk alleles, and a validated human leucocyte antigen (HLA) genetic risk score (GRS). We identified seven respiratory diseases by codes. Using logistic regression models adjusting for potential confounders, we estimated Rs with 95% CIs for the interactions between genetic and respiratory exposures for RA risk.

Results: We identified 653 RA cases and 2607 controls in MGB, and 428 incident RA cases and 1712 non-RA controls in MC (mean age 64, 69% female). Respiratory diseases were associated with an increased risk of RA (OR 1.34, 95% CI 1.05, 1.71). Six out of 11 non-HLA RA risk alleles interacted strongly with specific respiratory diseases for RA risk, including NFKBIE and sinusitis (OR 5.49, 95% CI 1.56, 19.4 MGB; 5.26, 95% CI 2.00, 13.86 MC) and FAM167A and acute sinusitis for seronegative RA (OR 6.00, 95% CI 2.09, 17.24 MGB; 4.90, 95% CI 1.71, 14.1 MC). The RA HLA GRS interacted synergistically with interstitial lung disease for RA risk (OR 5.41, 95% CI 2.71, 10.8 in MC), with DPB1*02:01, DRB1*16:01 and DRB1*04:04 best predicting RA (positive predictive value 61%).

Conclusion: Several genetic-respiratory disease interactions strongly drive RA onset. If confirmed, these novel associations may reflect RA endotypes that can facilitate individualised prevention, diagnosis and treatment.

目的:我们旨在确定类风湿性关节炎(RA)风险的特定遗传-呼吸系统疾病内型:我们旨在确定类风湿性关节炎(RA)风险的特定遗传-呼吸系统疾病内型:这项病例对照研究分别利用麻省总布里格姆医院(MGB)和梅奥诊所(MC)的生物库进行发现和复制。我们根据年龄、性别和健康记录史将标准确诊的RA病例与4名非RA对照者进行了配对。遗传风险包括前 11 个 RA 风险等位基因和经过验证的人类白细胞抗原(HLA)遗传风险评分(GRS)。我们通过代码确定了七种呼吸系统疾病。利用调整潜在混杂因素的逻辑回归模型,我们估算了遗传和呼吸系统暴露对 RA 风险的交互作用的 Rs 值及 95% CIs:我们在 MGB 中发现了 653 例 RA 病例和 2607 例对照,在 MC 中发现了 428 例 RA 病例和 1712 例非 RA 对照(平均年龄 64 岁,69% 为女性)。呼吸系统疾病与 RA 风险增加有关(OR 1.34,95% CI 1.05,1.71)。在 11 个非 HLA RA 风险等位基因中,有 6 个与特定呼吸系统疾病的 RA 风险有强烈的相互作用,包括 NFKBIE 与鼻窦炎(OR 5.49,95% CI 1.56,19.4 MGB;5.26,95% CI 2.00,13.86 MC),以及血清阴性 RA 的 FAM167A 与急性鼻窦炎(OR 6.00,95% CI 2.09,17.24 MGB;4.90,95% CI 1.71,14.1 MC)。RA HLA GRS与间质性肺病对RA风险有协同作用(OR 5.41,95% CI 2.71,10.8,MC),其中DPB1*02:01、DRB1*16:01和DRB1*04:04对RA的预测效果最好(阳性预测值为61%):结论:几种遗传与呼吸系统疾病的相互作用强烈地推动了 RA 的发病。如果得到证实,这些新的关联可能反映出 RA 的内型,有助于个体化预防、诊断和治疗。
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引用次数: 0
Alzheimer Disease-What's in a Name? 阿尔茨海默病--名字里有什么?
IF 20.4 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-11-01 DOI: 10.1001/jamaneurol.2024.3766
Ronald C Petersen, Elizabeth Mormino, Julie A Schneider
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引用次数: 0
期刊
ACS Medicinal Chemistry Letters
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