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First Report of Oculocutaneous Albinism Type I Among Baka Pygmies From Cameroon 喀麦隆巴卡俾格米人1型皮肤白化病首例报道。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-11 DOI: 10.1111/pcmr.70073
Alain Froment, Paul Verdu, Claudio Plaisant, Eulalie Lasseaux, Robert Aquaron, Benoit Arveiler

Oculocutaneous albinism type 1 (OCA1) caused by pathogenic variants of the TYR gene is an autosomal recessive disorder of pigmentation characterized by reduced biosynthesis of melanin pigment in skin, hair, and eyes. We had the opportunity to examine five East Cameroon Baka rainforest hunter-gatherers (historically called “Pygmies”) with albinism and belonging to three different families. Screening of known albinism genes revealed a homozygous missense variant in the TYR gene, NM_000372.5: c.1109T>C; p.Met370Thr. In addition, one patient was also hemizygous for a variant in GPR143, the gene involved in ocular albinism (OA1). Another patient was also heterozygous for the common African and Afro-American 2.7-kb deletion in the OCA2 gene indicating admixture of one parent with neighboring Nzimé Bantu-speaking farmers. This is the first report of the occurrence of OCA1 in African rainforest hunter-gatherers.

1型眼皮肤白化病(OCA1)由TYR基因的致病变异引起,是一种常染色体隐性遗传病,其特征是皮肤、头发和眼睛中黑色素的生物合成减少。我们有机会研究了五个东喀麦隆巴卡雨林狩猎采集者(历史上被称为“俾格米人”),他们患有白化病,属于三个不同的家庭。筛选已知的白化病基因,发现TYR基因的纯合错义变体NM_000372.5: C . 1109t >C;p.Met370Thr。此外,一名患者也是GPR143基因变异的半合子,GPR143基因与眼白化病(OA1)有关。另一名患者也是非洲和非裔美国人常见的2.7 kb OCA2基因缺失杂合,这表明父母一方与邻近的nzim班图语农民混合。这是首次报道在非洲雨林狩猎采集者中出现OCA1。
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引用次数: 0
Chicken Shank Color Determined by Inhibition of Dermal Melanin (ID) is Mediated by a Structural Variation Regulating CDKN2A Expression 抑制皮肤黑色素(ID)决定鸡腿颜色是由调节CDKN2A表达的结构变异介导的。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-07 DOI: 10.1111/pcmr.70072
Jingyi Li, Lei Wang, Sendong Yang, Xin Zhou, Qinli Gou, Jinping Cai, Hongrui Yang, Qiaohua Wang, Shijun Li

Shank color in chickens is a classic quantitative trait governed by four genetic loci. Among these, the Inhibition of dermal melanin (ID) locus, which suppresses dermal melanogenesis in the shank, is the sole sex-linked mutation and its molecular mechanisms remain elusive. To identify the causal mutation, we established a resource population segregating for shank colors. A genome-wide association study utilizing FarmCPU software identified a top-associated SNP on the Z chromosome. Linkage mapping subsequently narrowed the candidate region, within which we discovered a candidate structural variant associated with the yellow shank phenotype. This variant is characterized by a 143 bp deletion coupled with a 2 bp insertion. CDKN2A was the only gene within the same topologically associating domain to exhibit differential expression. Functional validation via CRISPR/Cas9-edited cells demonstrated that this mutation regulates CDKN2A transcription and is responsible for the ID shank color in chickens. We propose that the resulting absence of melanocytes is likely due to apoptosis. This work resolves the molecular basis of the ID locus, thereby completing the genetic puzzle of chicken shank color. This discovery enables the development of molecular markers for auto-sexing of day-old chicks, a tool with significant potential for the poultry industry.

鸡的小腿颜色是一个经典的数量性状,由四个遗传位点决定。其中,抑制小腿皮肤黑色素形成的真皮黑色素(ID)位点的抑制是唯一的性别连锁突变,其分子机制尚不清楚。为了确定致病突变,我们建立了小腿颜色的资源群体分离。利用FarmCPU软件进行的全基因组关联研究发现了Z染色体上的顶部相关SNP。随后,连锁图谱缩小了候选区域,在该区域内,我们发现了与黄柄表型相关的候选结构变异。该变异的特征是143 bp的缺失和2 bp的插入。CDKN2A是唯一在相同拓扑相关结构域中表现出差异表达的基因。通过CRISPR/ cas9编辑细胞的功能验证表明,该突变调节CDKN2A转录,并负责鸡的ID小腿颜色。我们认为黑素细胞的缺失可能是由于细胞凋亡。本工作解决了ID位点的分子基础,从而完成了鸡腿颜色的遗传谜题。这一发现使日龄雏鸡自动性别标记的开发成为可能,这是一种对家禽业具有重大潜力的工具。
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引用次数: 0
Comparative Efficacy of Cryosurgery Versus Alternative Techniques for Intraoral Depigmentation: A Systematic Review and Meta-Analysis 冷冻手术与其他技术治疗口腔内色素沉着的疗效比较:系统回顾和荟萃分析。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-06 DOI: 10.1111/pcmr.70070
Shiva Shirazian, Mehdi Vatanpour, Maryam Tahmasebinasab

Various factors influence the color of the gingiva, and physiological gingiva pigmentation can affect self-image without causing systemic issues. This study aimed to systematically review all articles that compare the effectiveness of cryosurgery with other techniques, such as laser, abrasion, and blade, in treating physiological gingival pigmentation. This systematic review included all clinical trials that met these criteria: All human studies, including randomized controlled (RCTs) and non-randomized CT. Studies specifically focusing on intraoral depigmentation. Articles with full-text availability. The search was carried out in MEDLINE/PubMed, Scopus, Web of Science (ISI), Embase, and Google Scholar without language limitation up to 2023. Two independent researchers did a quality assessment of the articles by the Cochrane Quality Assessment Tool. Risk of Bias assessment was carried out by ROB2 and ROBINS-I. The Random model was used for meta-analysis (using CAM2 software). From 1853 articles found in the initial search, 6 studies entered the data extraction phase. The six studies compared cryosurgery with laser, blade, and abrasion methods for gingival depigmentation. Statistical analysis showed that laser and scalpel treatments had better therapeutic outcomes than cryotherapy (p = 0.004). The subject of investigation exhibits numerous variations, necessitating further research to attain results with a high level of evidence. However, preliminary findings indicate that the scalpel depigmentation, abrasion, and laser treatment demonstrate greater efficacy than cryosurgery.

Trial Registration: PROSPERO number: CRD42023434081

各种因素影响牙龈的颜色,生理牙龈色素沉着可以影响自我形象,而不会引起全身问题。本研究旨在系统地回顾所有比较冷冻手术与其他技术(如激光、磨损和刀片)治疗生理性牙龈色素沉着的有效性的文章。本系统综述纳入了所有符合以下标准的临床试验:所有人类研究,包括随机对照(rct)和非随机CT。专门针对口腔内色素沉着的研究。全文可用的文章。检索在MEDLINE/PubMed, Scopus, Web of Science (ISI), Embase和谷歌Scholar中进行,截至2023年,没有语言限制。两位独立研究人员通过Cochrane质量评估工具对文章进行了质量评估。偏倚风险评估采用ROB2和ROBINS-I进行。meta分析采用Random模型(CAM2软件)。从最初检索到的1853篇文章中,有6篇研究进入了数据提取阶段。这六项研究比较了冷冻手术与激光、刀片和磨损治疗牙龈色素沉着的方法。经统计学分析,激光和手术刀治疗效果优于冷冻治疗(p = 0.004)。调查的主题表现出许多变化,需要进一步研究以获得高水平证据的结果。然而,初步研究结果表明,手术刀脱色、磨损和激光治疗比冷冻手术更有效。试验注册:PROSPERO号:CRD42023434081。
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引用次数: 0
Melanomas and Mesenchymal Tumors Arising in Giant Congenital Melanocytic Nevi: Clinico-Pathological and Molecular Characterization of a Case Series 巨大的先天性黑素细胞痣引起的黑素瘤和间充质肿瘤:临床病理和分子特征的病例系列。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-05 DOI: 10.1111/pcmr.70071
Sabrina Rossi, Sabina Barresi, Isabella Giovannoni, Silvia Genovese, Valentino Costabile, Alessandra Stracuzzi, Silvia Vallese, Chantal Tancredi, Andrea Diociaiuti, Giuseppe M. Milano, Andrea Ferrari, Patrizia Bertolini, Stefano Chiaravalli, Emanuele Agolini, Gemma D'Elia, Giorgia Catino, Licia Martucci, Marta Cajozzo, Fabio Dell'Otto, Gianni Bisogno, Alessandro Crocoli, Evelina Miele, Giovanna Zambruno, Maria Debora De Pasquale, Mario Zama, Antonio Novelli, May El Hachem, Viola Alesi, Rita Alaggio

Giant congenital melanocytic nevi (GCMN) are benign mosaic disorders that may give rise to various tumor types through incompletely understood mechanisms. We characterized a series of two melanomas and four mesenchymal tumors (two embryonal rhabdomyosarcomas, one small round cell sarcoma, one low-grade mesenchymal tumor) arising in GCMN. Median onset age was 3.5 years and 3 months for melanoma and mesenchymal tumor patients, respectively. Both melanoma patients succumbed within 27 months from diagnosis, whereas no patients progressed in the mesenchymal group (median follow-up 46 months). NRAS Q61, BRAF V600E mutation, and a novel in frame BIN1::BRAF fusion were detected in four, one, and one cases, respectively, with a higher variant allele frequency in the tumors compared with the matched GCMN. Copy number alterations and/or copy-neutral loss of heterozygosity were exclusively found in the tumors in all cases. An inactivating ASXL1 variant and an in-frame KDM5B::LPGAT1 fusion were identified in one melanoma; paternal disomy of 11p15.5 in both embryonal rhabdomyosarcomas. Mesenchymal tumors and melanomas showed distinct transcriptional profiles enriched in muscle and synapse organization and epidermal differentiation genes, respectively.

巨大先天性黑素细胞痣(GCMN)是一种良性马赛克疾病,可能通过不完全了解的机制引起各种类型的肿瘤。我们在GCMN中发现了2例黑色素瘤和4例间充质肿瘤(2例胚胎横纹肌肉瘤,1例小圆细胞肉瘤,1例低级别间充质肿瘤)。黑色素瘤和间充质瘤患者的中位发病年龄分别为3.5岁和3个月。两名黑色素瘤患者在诊断后27个月内死亡,而间充质组没有患者进展(中位随访46个月)。NRAS Q61、BRAF V600E突变和框架内的新基因BIN1::BRAF融合分别在4例、1例和1例中检测到,与匹配的GCMN相比,肿瘤中的变异等位基因频率更高。拷贝数改变和/或拷贝中性的杂合性缺失在所有病例的肿瘤中均有发现。在一个黑色素瘤中发现了失活的ASXL1变体和框架内的KDM5B::LPGAT1融合;两种胚胎性横纹肌肉瘤父系染色体均为11p15.5。间充质瘤和黑色素瘤分别表现出丰富的肌肉和突触组织以及表皮分化基因的转录谱。
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引用次数: 0
Genetic Features of Albinism: A Comprehensive Analysis in the Russian Population 白化病的遗传特征:俄罗斯人群的综合分析。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-12-22 DOI: 10.1111/pcmr.70069
Sofya Ionova, Andrey Marakhonov, Vitaliy Kadyshev, Svetlana Kuznetsova, Tatyana Vasilyeva, Anna Stepanova, Olga Shchagina, Konstantin Severinov, Nikolay Chekanov, Evgeniya Osipova, Alexandra Filatova, Mikhail Skoblov, Sergey Kutsev, Rena Zinchenko

We present a comprehensive molecular and epidemiological analysis of albinism in a Russian cohort, comprising 177 probands with isolated (OCA1, OCA2, OCA3, OCA4, and OA) and syndromic (HPS-associated) forms of the disease. The comparative analysis of population frequencies between the National Genetic Initiative “100,000 + Me” (NGI) project and GnomAD (v3.1.2) revealed variants in the TYR gene (NM_000372.5):c.650G>A and c.1037-7 T>A, which are specifically prevalent in the Russian population. The functional analysis was provided for variants in the TYR gene, which can probably affect splicing. Based on the population frequency in the NGI project, we calculated the minimal estimated disease frequencies for isolated forms of albinism. Using molecular genetic results, functional analysis, and ACMG classification, the diagnosis was confirmed in 71.8% (127/177) of the cases in the Russian cohort.

我们提出了一项全面的白化病分子和流行病学分析在俄罗斯队列,包括177先证分离(OCA1, OCA2, OCA3, OCA4和OA)和综合征(hps相关)形式的疾病。国家遗传计划“100,000 + Me”(NGI)项目与GnomAD (v3.1.2)的群体频率比较分析显示TYR基因(NM_000372.5)的变异:c。650G>A和c.1037- 7t >A,这在俄罗斯人群中特别普遍。对可能影响剪接的TYR基因变异进行了功能分析。根据NGI项目中的人口频率,我们计算了孤立形式白化病的最小估计疾病频率。通过分子遗传学结果、功能分析和ACMG分类,俄罗斯队列中71.8%(127/177)的病例确诊。
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引用次数: 0
Updated Analysis of Albinism in Japan: 290 Families With Novel Pathological Variants 日本白化病最新分析:290个具有新病理变异的家庭
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-11-25 DOI: 10.1111/pcmr.70066
Ken Okamura, Toru Saito, Naoki Oiso, Akiko Sekiguchi, Sei-Ichiro Motegi, Yoshiaki Hara, Mayumi Komine, Kyoko Kudo, Atsushi Noguchi, Tomoko Oshimo, Mami Shibuya, Kyohei Miyano, Takayuki Hoshina, Mari Itokawa, Yuri Masui, Kaoru Otaki, Yutaka Hozumi, Tamio Suzuki

We present an updated analysis of albinism in Japan, encompassing both oculocutaneous albinism (OCA) and ocular albinism (OA), based on 290 families, which expands our previous study by 100 additional families. The overall frequency distribution of major subtypes remained consistent with our previous findings: OCA4 remains the most prevalent subtype (67 patients, 23.1%), followed by OCA1 (57 patients, 19.7%), Hermansky–Pudlak syndrome (HPS) 1 (35 patients, 12.1%), and OCA2 (30 patients, 10.3%). Notably, our expanded analysis identified patients with rare subtypes, including OCA3, OCA6, HPS2, HPS3, HPS5, and HPS6, as well as OA, further demonstrating the genetic diversity of albinism in the Japanese population. Through comprehensive genetic screening of the additional 100 families, we identified 17 patients harboring previously unreported pathological variants across multiple albinism subtypes. These findings expand the variant spectrum of albinism in Japan, provide valuable insights for genetic counseling, and underscore the critical importance of comprehensive clinical evaluation and long-term multidisciplinary follow-up for patients with albinism, particularly those with HPS subtypes.

我们提出了日本白化病的最新分析,包括眼皮肤白化病(OCA)和眼白化病(OA),基于290个家庭,扩大了我们之前的研究,增加了100个家庭。主要亚型的总体频率分布与我们之前的研究结果一致:OCA4仍然是最常见的亚型(67例,23.1%),其次是OCA1(57例,19.7%),Hermansky-Pudlak综合征(HPS) 1(35例,12.1%)和OCA2(30例,10.3%)。值得注意的是,我们的扩展分析确定了罕见亚型患者,包括OCA3, OCA6, HPS2, HPS3, HPS5和HPS6,以及OA,进一步证明了白化病在日本人群中的遗传多样性。通过对另外100个家庭的全面遗传筛查,我们确定了17名患者在多种白化病亚型中携带以前未报道的病理变异。这些发现扩大了日本白化病的变异谱,为遗传咨询提供了有价值的见解,并强调了对白化病患者,特别是HPS亚型患者进行全面临床评估和长期多学科随访的重要性。
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引用次数: 0
SASH1 Modulates Melanin Synthesis and Melanoma Cell Metastasis via Suppression of the TGF-β Signaling Pathway SASH1通过抑制TGF-β信号通路调节黑色素合成和黑色素瘤细胞转移。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-11-24 DOI: 10.1111/pcmr.70064
Hongzhou Cui, Jianhua Hao, Qiong Wang, Jie Han, Honggang Liang, Yingjie Zhang, Bo Liang, Shanshan Ge, Hongxia He, Xiaoli Ren, Shuping Guo

Dyschromatosis universalis hereditaria (DUH) is characterized by autosomal dominant inheritance and widespread involvement of hyperpigmentation and depigmentation. In our previous study, we identified mutations in the SH3 domain-containing protein 1 (SASH1) associated with the DUH phenotype in Chinese families and predicted that the SASH1/THBS1/TGF-β1 signaling pathway mediates melanin production and melanocyte transport. However, the molecular regulatory mechanisms remain unclear. By modulating the expression of SASH1 and THBS1, we assessed the expression of genes within the SASH1/THBS1/TGF-β1 pathway and evaluated cell phenotypes and melanin synthesis in the A375 and PIG1 cell lines. Through in vivo subcutaneous injection of SASH1 knockdown A375 cells into nude mice, we tested whether SASH1-TGF-β1 signaling may regulate cancer growth. Our findings demonstrated that SASH1 inhibits proliferation, migration, invasion, epithelial–mesenchymal transition, and promotes melanin synthesis through TGF-β1 signaling, while THBS1 counteracts the increase in TGF-β1 levels induced by SASH1 knockdown. We further showed that SASH1 suppresses TGF-β1 through its regulatory effect on THBS1, thereby inhibiting melanin metastasis and promoting melanin synthesis, which offers potential therapeutic insights into the modulation of TGF-β1.

普遍遗传性色素沉着症(DUH)的特点是常染色体显性遗传和广泛涉及色素沉着和脱色。在我们之前的研究中,我们在中国家庭中发现了与DUH表型相关的SH3结构域蛋白1 (SASH1)突变,并预测SASH1/THBS1/TGF-β1信号通路介导黑色素产生和黑素细胞运输。然而,分子调控机制尚不清楚。通过调节SASH1和THBS1的表达,我们评估了SASH1/THBS1/TGF-β1通路内基因的表达,并评估了A375和PIG1细胞系的细胞表型和黑色素合成。我们通过在裸鼠体内皮下注射SASH1敲低A375细胞,检测SASH1- tgf -β1信号是否可调节肿瘤生长。我们的研究结果表明,SASH1通过TGF-β1信号传导抑制增殖、迁移、侵袭、上皮-间质转化,促进黑色素合成,而THBS1抵消了SASH1敲低导致的TGF-β1水平升高。我们进一步发现SASH1通过对THBS1的调控作用抑制TGF-β1,从而抑制黑色素转移,促进黑色素合成,这为TGF-β1调控提供了潜在的治疗见解。
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引用次数: 0
PD-1/PD-L1 Checkpoint Dysfunction in Vitiligo: Novel Pathogenic Insights and Therapeutic Innovation 白癜风的PD-1/PD-L1检查点功能障碍:新的致病见解和治疗创新
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-11-14 DOI: 10.1111/pcmr.70067
Heba Ahmed, Hanan R. Nada, Ahmed Mourad, Laila A. Rashed, Ghada M. El-Hanafy, Nermeen M. A. Abdallah, Mohamed M. Abdelhady

Vitiligo, a chronic autoimmune disorder characterized by progressive melanocyte destruction, remains challenging to treat due to an incomplete understanding of underlying immune mechanisms. Recent clinical observations from cancer immunotherapy have revealed an unexpected connection between vitiligo and immune checkpoint pathways. The development of vitiligo-like depigmentation in up to 25% of cancer patients receiving anti-PD-1/PD-L1 therapy provides compelling evidence that checkpoint dysfunction drives melanocyte autoimmunity. This review synthesizes emerging evidence demonstrating that vitiligo is characterized by a cascade of interconnected checkpoint failures: elevated PD-1 expression on chronically activated T cells, profound PD-L1 deficiency in melanocytes, compromised regulatory T cell function, and critically, the failure of vitiligo melanocytes to upregulate protective PD-L1 in response to interferon-gamma. This creates a vicious cycle where inflammatory cytokines drive melanocyte destruction without triggering natural protective responses. We propose a novel pathogenic framework positioning vitiligo as a disease of multiple simultaneous checkpoint failures affecting effector control, target protection, and regulatory oversight. This understanding reveals rational therapeutic strategies using checkpoint agonists to restore immune tolerance. Preclinical evidence demonstrates that PD-L1 fusion proteins can reverse depigmentation in mouse models, while next-generation melanocyte-targeted therapies promise localized effects with minimal systemic immunosuppression. These insights reframe vitiligo pathogenesis and provide mechanistic rationale for novel immunomodulatory treatments targeting checkpoint restoration.

白癜风是一种以进行性黑素细胞破坏为特征的慢性自身免疫性疾病,由于对潜在免疫机制的不完全了解,治疗白癜风仍然具有挑战性。最近癌症免疫治疗的临床观察揭示了白癜风和免疫检查点途径之间意想不到的联系。在接受抗pd -1/PD-L1治疗的癌症患者中,高达25%的患者出现白癜风样色素沉着,这为检查点功能障碍驱动黑素细胞自身免疫提供了令人信服的证据。本综述综合了新出现的证据,证明白癜风的特征是一系列相互关联的检查点失败:慢性活化T细胞上PD-1表达升高,黑色素细胞中PD-L1严重缺乏,调节性T细胞功能受损,以及白癜风黑色素细胞在干扰素γ反应中上调保护性PD-L1的失败。这就形成了一个恶性循环,炎症细胞因子驱动黑素细胞破坏,而不触发自然保护反应。我们提出了一种新的致病框架,将白癜风定位为影响效应控制、靶标保护和监管监督的多个同时检查点失效的疾病。这一认识揭示了使用检查点激动剂恢复免疫耐受的合理治疗策略。临床前证据表明,PD-L1融合蛋白可以逆转小鼠模型中的色素沉着,而下一代黑色素细胞靶向治疗有望在最小的全身免疫抑制的情况下产生局部效果。这些见解重新定义了白癜风的发病机制,并为针对检查点恢复的新型免疫调节治疗提供了机制基础。
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引用次数: 0
Combination of the Novel RAF Dimer Inhibitor Brimarafenib With the MEK Inhibitor Mirdametinib Is Effective Against NRAS Mutant Melanoma 新型RAF二聚体抑制剂Brimarafenib与MEK抑制剂Mirdametinib联合治疗NRAS突变型黑色素瘤有效
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-11-06 DOI: 10.1111/pcmr.70062
Flavia L. Tellenbach, Luzia Seiler, Mark Johnson, Hubert Rehrauer, Prachi Schukla, Julia Martinez-Gomez, Corinne I. Stoffel, Adeela Kamal, Reinhard Dummer, Mitchell P. Levesque, Ossia M. Eichhoff

Metastatic melanoma, the most aggressive form of skin cancer, accounts for the majority of skin cancer-related deaths. While targeted kinase inhibitors have improved outcomes for patients with BRAF-mutated melanomas, their efficacy is often short-lived, and effective treatments for other mutations, such as NRAS, remain scarce. To address this clinical need, we investigated the combination of the novel panRAF inhibitor, brimarafenib, and the MEK inhibitor, mirdametinib, both of which target the MAPK pathway downstream of NRAS. This study demonstrates the efficacy of this combination in NRAS-mutated melanoma and is currently also investigated in a phase I/IIa clinical study. In vitro, the brimarafenib and mirdametinib combination exhibited synergistic effects, significantly inhibiting the growth of patient-derived NRAS-mutated melanoma cell lines. A colony formation assay showed that this combination prevented the emergence of drug-resistant clones, suggesting a strong potential to reduce disease relapse. Transcriptional and proteomic analyses revealed that the observed growth inhibition was due to modulation of MAPK signaling and induction of apoptosis. In vivo studies further validated these findings, showing that the combination treatment inhibited tumor growth and significantly prolonged survival in mouse models bearing patient-derived NRAS-mutated melanoma tumors. Given the tolerability of this combination in vivo, our results suggest that brimarafenib and mirdametinib represent a promising therapeutic strategy for patients with NRAS-mutated melanomas and potentially other RAS-mutated solid tumors.

转移性黑色素瘤是最具侵袭性的皮肤癌,占皮肤癌相关死亡的大部分。虽然靶向激酶抑制剂改善了braf突变黑素瘤患者的预后,但它们的疗效往往是短暂的,而且对其他突变(如NRAS)的有效治疗仍然很少。为了满足这一临床需求,我们研究了新型panRAF抑制剂brimarafenib和MEK抑制剂mirdametinib的组合,这两种药物都靶向NRAS下游的MAPK通路。该研究证明了该联合治疗nras突变黑色素瘤的疗效,目前正在进行I/IIa期临床研究。在体外实验中,布马拉非尼和米达美替尼联合用药表现出协同效应,显著抑制患者源性nras突变黑色素瘤细胞系的生长。菌落形成试验表明,这种组合阻止了耐药克隆的出现,这表明它具有减少疾病复发的强大潜力。转录和蛋白质组学分析显示,观察到的生长抑制是由于MAPK信号的调节和细胞凋亡的诱导。体内研究进一步验证了这些发现,表明联合治疗抑制肿瘤生长,显著延长了患者源性nras突变黑色素瘤小鼠模型的生存期。鉴于这种组合在体内的耐受性,我们的研究结果表明,brimarafenib和mirdametinib对于nras突变的黑色素瘤和其他潜在的ras突变实体瘤患者来说是一种很有前景的治疗策略。
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引用次数: 0
CPT1B-Mediated Fatty Acid Oxidation Induces Pigmentation in Solar Lentigo cpt1b介导的脂肪酸氧化诱导太阳斑色素沉着。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-10-27 DOI: 10.1111/pcmr.70063
Yueun Choi, Uijeong Nam, Jihan Kim, Soo-Young Yoon, Nahyun Lee, Hanseul Cho, Seoyeon Kim, Sanghyeon Yu, Junghyun Kim, Hae-Na Moon, Bark-Lynn Lew, Yoonsung Lee, Man S. Kim, Soon-Hyo Kwon

Cellular senescence is associated with altered lipid metabolism, including increased cellular lipid uptake, upregulated lipid biosynthesis, and deregulated lipid breakdown. Previous studies have reported that carnitine palmitoyltransferase (CPT), the rate-limiting enzyme in fatty acid oxidation that catalyzes the conversion of acyl-CoA to acylcarnitine, is involved in various senescence-related diseases. Although solar lentigo (SL) is an age-related pigmentary disorder characterized by the accumulation of senescent cells, its role in metabolic dysregulation has rarely been investigated. Integrated transcriptomic profiling of SL skin samples, combining mRNA sequencing, differential gene expression, pathway enrichment analyses, metabolic flux simulations, and protein–protein interaction analysis, was conducted to demonstrate the molecular alterations in SL compared to perilesional normal skin. We found transcriptomic alterations in mitochondrial energy metabolism-associated genes. Metabolic flux simulations revealed that carnitine-associated reactions involved in fatty acid oxidation were upregulated. Using a multi-omics approach, CPT1B was selected as a potential marker for SL. Using a zebrafish model, CPT1B was implicated in melanogenesis. CPT1B-mediated metabolic alteration is a key driver of SL pathogenesis. Targeting CPT1B and the associated lipid metabolism pathways is a novel therapeutic approach for managing SL and age-related pigmentation disorders.

细胞衰老与脂质代谢改变有关,包括细胞脂质摄取增加、脂质生物合成上调和脂质分解失控。以前的研究报道,肉碱棕榈酰基转移酶(CPT)是脂肪酸氧化中的限速酶,催化酰基辅酶a转化为酰基肉碱,参与多种衰老相关疾病。尽管太阳色素体(solar lentigo, SL)是一种以衰老细胞积累为特征的与年龄相关的色素紊乱,但其在代谢失调中的作用却很少被研究。结合mRNA测序、差异基因表达、途径富集分析、代谢通量模拟和蛋白质相互作用分析,对SL皮肤样本进行了综合转录组学分析,以证明与病变周围正常皮肤相比,SL的分子变化。我们发现线粒体能量代谢相关基因的转录组改变。代谢通量模拟显示,涉及脂肪酸氧化的肉毒碱相关反应被上调。利用多组学方法,CPT1B被选为SL的潜在标记物。在斑马鱼模型中,CPT1B与黑色素形成有关。cpt1b介导的代谢改变是SL发病的关键驱动因素。靶向CPT1B和相关的脂质代谢途径是治疗SL和年龄相关性色素沉着障碍的一种新的治疗方法。
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Pigment Cell & Melanoma Research
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