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Concordance of claudin-18.2 expression in biopsy, resection, and recurrent specimens: implications for zolbetuximab therapy in pancreatic ductal adenocarcinoma. 活检、切除和复发标本中claudin-18.2表达的一致性:唑贝昔单抗治疗胰腺导管腺癌的意义
IF 3.6 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-07-22 DOI: 10.1080/21688370.2025.2535047
Daisuke Kyuno, Kazuhiko Yanazume, Akira C Saito, Yusuke Ono, Tatsuya Ito, Masafumi Imamura, Makoto Osanai

Claudin-18.2 is a promising therapeutic target for gastrointestinal cancer. However, its expression pattern in pancreatic ductal adenocarcinoma, especially the concordance between biopsy and resection specimens, is unknown. This study aimed to evaluate the consistency of claudin-18.2 positivity across different specimen types using the clinically validated antibody clone 43-14A employed in ongoing zolbetuximab trials. Immunohistochemical analysis for claudin-18 was conducted on 211 resected pancreatic cancer tissues, 133 matched preoperative biopsy samples, and 60 samples from recurrent lesions. The concordance between the biopsy and resection specimens was 92.5% using a 75% staining threshold. However, this high concordance likely reflects the large proportion of claudin-18.2-negative cases, as the biopsy sensitivity for detecting claudin-18.2-positive tumors was only 54.6%. This raises concerns about underdiagnosis and suggests that biopsy alone may miss patients eligible for zolbetuximab therapy. Receiver operating characteristic analysis showed that lowering the threshold to 20% in biopsy samples improved the sensitivity to 100%. However, patients meeting this threshold would still not qualify for therapy under the current trial criteria, highlighting a potential clinical dilemma. Claudin-18.2 expression was generally preserved in recurrent lesions (83.3% concordance with primary tumors), although reductions were noted in local recurrence and liver metastasis. These findings suggest that although biopsy-based assessments may be a practical initial tool, they should be interpreted with caution. Confirmatory studies on resection specimens using the same clinical trial protocol may be necessary to ensure the accurate identification of patients eligible for claudin-18.2-targeted therapy.

Claudin-18.2是一个很有前景的治疗胃肠道肿瘤的靶点。然而,其在胰腺导管腺癌中的表达模式,特别是活检和切除标本之间的一致性尚不清楚。本研究旨在利用正在进行的zolbetuximab试验中临床验证的抗体克隆43-14A,评估不同标本类型间claudin-18.2阳性的一致性。对211例切除的胰腺癌组织、133例匹配的术前活检样本和60例复发病变样本进行了claudin-18的免疫组化分析。采用75%的染色阈值,活检和切除标本的一致性为92.5%。然而,这种高一致性可能反映了claudin-18.2阴性病例的比例很大,因为claudin-18.2阳性肿瘤的活检灵敏度仅为54.6%。这引起了对诊断不足的担忧,并表明单独活检可能会错过适合唑贝昔单抗治疗的患者。受试者工作特征分析表明,将活检样本的阈值降低到20%可将灵敏度提高到100%。然而,在目前的试验标准下,达到这个阈值的患者仍然没有资格接受治疗,这凸显了一个潜在的临床困境。Claudin-18.2在复发性病变中普遍保留表达(与原发肿瘤的一致性为83.3%),尽管在局部复发和肝转移中也有表达减少。这些发现表明,尽管基于活检的评估可能是一种实用的初始工具,但应谨慎解释。使用相同临床试验方案对切除标本进行验证性研究可能是必要的,以确保准确识别有资格接受claudin-18.2靶向治疗的患者。
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引用次数: 0
Effect of local versus systemic exosomes administration on both testes in rat model of testicular ischemic reperfusion injury: shedding light on blood testis barrier. 局部与全身外泌体给药对大鼠睾丸缺血再灌注损伤模型双睾丸的影响:对血睾丸屏障的研究。
IF 3.6 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-07-21 DOI: 10.1080/21688370.2025.2532195
Manar Fouli Gaber Ibrahim, Elshymaa A Abdel-Hakeem, Heba A Shawky, Soha Abdelkawy Abdelwahab, Sahar A Mokhemer

Exosomes, (EXs) competence in reproductive medicine has been proven, particularly in cases of ischemia reperfusion (IR) injury models. Testicular torsion is a major clinical concern affecting male fertility and results in ischemic reperfusion injury. To the best of our knowledge, up to date, comparative studies using different routes of EXs application have not been investigated. Thus, we aimed to investigate the effect of local versus systemic EXs administration on both testes; ipsilaterally and contralaterally and to explore the involved underlying mechanisms. Rats were allocated into four groups; the control, the ischemia reperfusion group (IR group) in which unilateral testicular IR was performed, then rats were subdivided equally into two subgroups; IR-ipsi group; in which the ipsilateral testes were investigated and the IR-contra group in which the contralateral testes were examined. Group III and group IV in which unilateral IR was performed, then injected intravenously or intratesticularly consequently with EXs and finally divided in to two subgroups IR-ipsi and IR-contra. The results revealed that testicular IR resulted in functional and structural disorders with reduction in serum testosterone and sperm indices. Interestingly, both testes showed structural histopathological changes and defects in blood testis barrier. There was also an increase in oxidative stress, inflammatory, and apoptosis markers. EXs administration improved the affected parameters probably via modulation of TLR4/MyD88/NF-κB signaling pathway. In conclusion, EXs defended against testicular IR injury. Intratesticular administration had better effects on the ipsilateral testes, whereas Intravenous route had more obvious better effects on the contralateral ones.

外泌体(EXs)在生殖医学中的作用已得到证实,特别是在缺血再灌注(IR)损伤模型中。睾丸扭转是影响男性生育能力的主要临床问题,可导致缺血再灌注损伤。据我们所知,迄今为止,尚未对不同途径的EXs应用进行比较研究。因此,我们的目的是研究局部给药和系统给药对双睾丸的影响;同侧和对侧,并探讨相关的潜在机制。将大鼠分为四组;对照组为单侧睾丸缺血再灌注组(IR组),再将大鼠平均分为2个亚组;IR-ipsi组;其中同侧睾丸被检查,而ir -对照组对侧睾丸被检查。III组和IV组分别进行单侧IR,然后静脉或腹腔内注射EXs,最后分为IR-ipsi和IR-对照两个亚组。结果显示,睾丸IR导致功能和结构紊乱,血清睾酮和精子指数降低。有趣的是,两个睾丸都表现出结构性的组织病理学改变和血睾丸屏障的缺陷。氧化应激、炎症和细胞凋亡标志物也有所增加。EXs可能通过调节TLR4/MyD88/NF-κB信号通路改善了这些影响参数。综上所述,EXs对睾丸IR损伤具有防御作用。睾丸内给药对同侧睾丸效果更好,而静脉给药对侧睾丸效果更明显。
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引用次数: 0
Centella asiatica phytochemical Madecassoside enhances skin wound healing and protects against UVB-induced keratinocyte damage. 积雪草植物化学成分马尾皂苷促进皮肤伤口愈合,防止uvb诱导的角质细胞损伤。
IF 3.6 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-07-16 DOI: 10.1080/21688370.2025.2532229
Tadhi Sucharitakul, Pimngeon Chatkul, Wilasinee Satianrapapong, Apiwan Arinno, Wanapas Wachiradejkul, Suticha Kittayaruksakul, Jaturon Kwanthongdee, Saimai Chatree, Anyamanee Chatsirisupachai, Pawin Pongkorpsakol

Madecassoside, one of the main bioactive compounds found in Centella asiatica extract, has long been used in the cosmetic regime for skin care with doubtful effects. The main objectives of this study are to investigate the effects of Madecassoside on skin wound healing, UVB-induced keratinocyte damages, and to search for its pharmacological mechanism. Here, using fully differentiated keratinocyte-like HaCaT cell monolayers as an in vitro model, we found that Madecassoside enhanced wound healing and protected against UVB-induced keratinocyte apoptosis and reduction of cell viability. Indeed, these pharmacological effects of Madecassoside were completely abolished by pretreatment of an intracellular Ca2+ chelator (BAPTA), inhibitors of AMP-activated protein kinase (AMPK), mammalian target of rapamycin (mTOR), and extracellular signal-regulated kinase (ERK). In addition, our Western blotting analyses strongly indicated that Madecassoside-induced ERK phosphorylation was suppressed by pretreatment of BAPTA, inhibitors of AMPK and mTOR signaling. Collectively, these data suggested that Madecassoside promotes wound healing and reduces keratinocyte apoptosis after being damaged by UVB radiation, at least in part, via Ca2+/AMPK- and mTOR-dependent ERK phosphorylation.

积雪草皂苷是积雪草提取物中发现的主要生物活性化合物之一,长期以来一直用于护肤美容,效果可疑。本研究的主要目的是研究麻花皂苷对皮肤创面愈合、uvb诱导的角质细胞损伤的影响,并探讨其药理机制。在这里,我们使用完全分化的角化细胞样HaCaT细胞单层作为体外模型,我们发现麻花皂苷可以促进伤口愈合,防止uvb诱导的角化细胞凋亡和细胞活力降低。事实上,madecasoside的这些药理作用通过细胞内Ca2+螯合剂(BAPTA)、amp活化蛋白激酶(AMPK)抑制剂、哺乳动物雷帕霉素靶点(mTOR)和细胞外信号调节激酶(ERK)的预处理完全消除。此外,我们的Western blotting分析强烈表明,madecassoside诱导的ERK磷酸化被BAPTA预处理、AMPK和mTOR信号抑制剂抑制。总的来说,这些数据表明,madecas皂苷促进伤口愈合,减少受UVB辐射损伤后角质细胞凋亡,至少部分是通过Ca2+/AMPK-和mtor依赖性ERK磷酸化。
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引用次数: 0
Antagonists of the N-cadherin/Fibroblast growth factor receptor tyrosine kinase complex. n -钙粘蛋白/成纤维细胞生长因子受体酪氨酸激酶复合物的拮抗剂。
IF 3.6 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-07-11 DOI: 10.1080/21688370.2025.2532160
Orest W Blaschuk

This review describes similarities between the biological actions of cell adhesion molecule antagonists and pan-growth factor receptor tyrosine kinase (GF-RTK) antagonists. In particular, the biological consequences of the interaction between the cell adhesion molecule, neural (N)-cadherin (CDH2) and the fibroblast GF-RTK (FGF-RTK) are discussed. Intercellular adhesion mediated by N-cadherin stimulates FGF-RTK activity triggering intracellular signaling pathways (e.g. PI3/Akt/mTOR pathway) that regulate various morphogenetic processes (e.g. apoptosis). Antagonists of either N-cadherin or GF-RTKs modulate these processes. N-cadherin antagonists can be regarded as a previously unappreciated class of FGF-RTK inhibitors. These antagonists, similar to GF-RTK antagonists should be capable of serving as therapeutics for treating a variety of fibrotic diseases and cancers.

本文综述了细胞粘附分子拮抗剂与泛生长因子受体酪氨酸激酶(GF-RTK)拮抗剂生物学作用的相似之处。特别是,讨论了细胞粘附分子,神经(N)-钙粘蛋白(CDH2)和成纤维细胞GF-RTK (FGF-RTK)之间相互作用的生物学后果。N-cadherin介导的细胞间粘附刺激FGF-RTK活性,触发细胞内信号通路(如PI3/Akt/mTOR通路),调节各种形态发生过程(如细胞凋亡)。n -钙粘蛋白或gf - rtk拮抗剂可调节这些过程。n -钙粘蛋白拮抗剂可被视为以前未被重视的一类FGF-RTK抑制剂。这些拮抗剂,类似于GF-RTK拮抗剂,应该能够作为治疗多种纤维化疾病和癌症的治疗药物。
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引用次数: 0
Involvement of claudins 6 and 9 in epithelial-mesenchymal transition and the metastatic process. claudin 6和9参与上皮-间质转化和转移过程。
IF 3.6 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-07-04 DOI: 10.1080/21688370.2025.2529091
Naresh E Diego, Luis F Montaño, Erika P Rendón-Huerta

Claudins are essential components of tight junctions, and their abnormal expression is linked to cancer development. Claudin-6 (CLDN6) and Claudin-9 (CLDN9) are claudins whose expression is suppressed post-development but reinduced in various malignancies. This review highlights the distinct yet complementary roles of CLDN6 and CLDN9 during epithelial-mesenchymal transition (EMT) and their contributions to cell migration and invasion in cancer. CLDN9 primarily enhances cell migration by inducing cytoskeletal rearrangement and activating pathways, including MAPK and Tyk2/STAT3. Moreover, CLDN9 overexpression is associated with pseudopodia formation, glycolytic remodeling, and immune evasion. Conversely, CLDN6 is more strongly linked to cell invasiveness and matrix degradation, primarily through the induction of MMPs via the EGFR/mTOR and PI3K/AKT pathways. CLDN6 also plays a role in stemness and therapy resistance in specific cancers. While CLDN6 and CLDN9 can function independently, their co-expression is connected with aggressive tumor behavior and poor prognosis, suggesting a synergistic process that promotes migration and invasion.

claudin是紧密连接的重要组成部分,其异常表达与癌症的发展有关。Claudin-6 (CLDN6)和Claudin-9 (CLDN9)是在各种恶性肿瘤中表达被抑制但又被诱导的claudin。这篇综述强调了CLDN6和CLDN9在上皮-间质转化(EMT)过程中不同但互补的作用,以及它们对癌症细胞迁移和侵袭的贡献。CLDN9主要通过诱导细胞骨架重排和激活包括MAPK和Tyk2/STAT3在内的通路来促进细胞迁移。此外,CLDN9过表达与假足形成、糖酵解重塑和免疫逃避有关。相反,CLDN6与细胞侵袭性和基质降解密切相关,主要通过EGFR/mTOR和PI3K/AKT途径诱导MMPs。CLDN6也在特定癌症的干细胞和治疗抵抗中发挥作用。虽然CLDN6和CLDN9可以独立发挥作用,但它们的共表达与肿瘤的侵袭性行为和不良预后有关,提示其具有促进迁移和侵袭的协同过程。
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引用次数: 0
Advanced glycation endproducts induce cytokine dysregulation and weaken lung epithelial and endothelial barrier integrity. 晚期糖基化终产物诱导细胞因子失调,削弱肺上皮和内皮屏障的完整性。
IF 3.6 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-06-20 DOI: 10.1080/21688370.2025.2521136
Abdulaziz H Alanazi, Mohamed S Selim, Yin Zhu, Duo Zhang, S Priya Narayanan, Payaningal R Somanath

Diabetes mellitus is a systemic disease characterized by chronic hyperglycemia, persistent inflammation, and oxidative stress. While the vascular complications of diabetes are well-documented, their impact on lung barrier integrity remains underexplored. In this study, we investigated the molecular mechanisms by which advanced glycation end-products (AGE) compromise the integrity of lung endothelial and epithelial barriers. Using human lung microvascular endothelial cells and epithelial (A549) cells, we assessed the impact of AGE on the tight junction protein claudin-5, adherens junction protein VE-cadherin, and key signaling molecules including the receptor for AGE (RAGE), phosphorylated Akt, and p38 MAPK as well as a panel of pro-inflammatory cytokines. Our findings demonstrated that AGE exposure (50 μg/mL) significantly activated Akt and p38 MAPK, upregulated Claudin-5 and RAGE, and downregulated VE-cadherin, correlating with reduced transendothelial electrical resistance in vitro. Notably, we observed similar effects on lung epithelial cells. Moreover, AGE-treated conditioned media from THP-1 macrophages induced a pronounced increase in inflammatory cytokines, amplifying the disruption of lung barrier integrity. These findings reveal a potential mechanism linking diabetes-induced vascular dysfunction and immune activation to compromised lung barrier function, emphasizing the need for further research into diabetes-associated lung complications.

糖尿病是一种以慢性高血糖、持续性炎症和氧化应激为特征的全身性疾病。虽然糖尿病的血管并发症有充分的文献记载,但它们对肺屏障完整性的影响仍未得到充分探讨。在这项研究中,我们研究了晚期糖基化终产物(AGE)破坏肺内皮和上皮屏障完整性的分子机制。利用人肺微血管内皮细胞和上皮细胞(A549),我们评估了AGE对紧密连接蛋白cladin -5、粘附连接蛋白VE-cadherin、AGE受体(RAGE)、磷酸化Akt和p38 MAPK等关键信号分子以及一组促炎细胞因子的影响。我们的研究结果表明,AGE暴露(50 μg/mL)可显著激活Akt和p38 MAPK,上调cladin -5和RAGE,下调VE-cadherin,并与体外跨内皮电阻降低相关。值得注意的是,我们在肺上皮细胞上观察到类似的作用。此外,经age处理的THP-1巨噬细胞条件培养基诱导炎症细胞因子显著增加,放大了肺屏障完整性的破坏。这些发现揭示了糖尿病诱导的血管功能障碍和免疫激活与肺屏障功能受损之间的潜在机制,强调了对糖尿病相关肺并发症的进一步研究的必要性。
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引用次数: 0
Intestinal epithelial cells in health and disease. 肠上皮细胞在健康和疾病中的作用。
IF 3.6 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-05-22 DOI: 10.1080/21688370.2025.2504744
Chenchen An, Chonggui Jiang, Wangxiang Pei, Ao Li, Minghui Wang, Yufei Wang, Hua Wang, Li Zuo

This comprehensive review delves into the pivotal role of intestinal epithelial cells in the context of various diseases. It provides an in-depth analysis of the diverse types and functions of these cells, explores the influence of multiple signaling pathways on their differentiation, and elucidates their critical roles in a spectrum of diseases. The significance of the gastrointestinal tract in maintaining overall health is extremely important and cannot be exaggerated. This complex and elongated organ acts as a crucial link between the internal and external environments, making it vulnerable to various harmful influences. Preserving the normal structure and function of the gut is essential for well-being. Intestinal epithelial cells serve as the primary defense mechanism within the gastrointestinal tract and play a crucial role in preventing harmful substances from infiltrating the body. As the main components of the digestive system, they not only participate in the absorption and secretion of nutrients and the maintenance of barrier function but also play a pivotal role in immune defense. Therefore, the health of intestinal epithelial cells is of vital importance for overall health.

这篇综述深入探讨了肠上皮细胞在各种疾病中的关键作用。它深入分析了这些细胞的不同类型和功能,探索了多种信号通路对其分化的影响,并阐明了它们在一系列疾病中的关键作用。胃肠道在维持整体健康方面的意义是极其重要的,不能夸大。这个复杂而细长的器官是连接内部和外部环境的关键环节,使其容易受到各种有害影响。保持肠道的正常结构和功能对健康至关重要。肠上皮细胞是胃肠道内的主要防御机制,在防止有害物质渗入机体中起着至关重要的作用。它们作为消化系统的主要组成部分,不仅参与营养物质的吸收、分泌和屏障功能的维持,而且在免疫防御中起着举足轻重的作用。因此,肠道上皮细胞的健康对整体健康至关重要。
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引用次数: 0
Paracrine signaling mediators of vascular endothelial barrier dysfunction in sepsis: implications for therapeutic targeting. 脓毒症中血管内皮屏障功能障碍的旁分泌信号介质:治疗靶向的意义。
IF 3.6 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-05-16 DOI: 10.1080/21688370.2025.2503523
Shahid Puthiyottil, Tom Skaria

Vascular endothelial barrier disruption is a critical determinant of morbidity and mortality in sepsis. Whole blood represents a key source of paracrine signaling molecules inducing vascular endothelial barrier disruption in sepsis. This study analyzes whole-genome transcriptome data from sepsis patients' whole blood available in the NCBI GEO database to identify paracrine mediators of vascular endothelial barrier dysfunction, uncovering novel insights that may guide drug repositioning strategies. This study identifies the regulated expression of paracrine signaling molecules TFPI, MMP9, PROS1, JAG1, S1PR1, and S1PR5 which either disrupt or protect vascular endothelial barrier function in sepsis and could serve as potential targets for repositioning existing drugs. Specifically, TFPI (barrier protective), MMP9 (barrier destructive), PROS1 (barrier protective), and JAG1 (barrier destructive) are upregulated, while S1PR1 (barrier protective) and S1PR5 (barrier protective) are downregulated. Our observations highlight the importance of considering both protective and disruptive mediators in the development of therapeutic strategies to restore endothelial barrier integrity in septic patients. Identifying TFPI, MMP9, PROS1, JAG1, S1PR1, and S1PR5 as druggable paracrine regulators of vascular endothelial barrier function in sepsis could pave the way for precision medicine approaches, enabling personalized treatments that target specific mediators of endothelial barrier disruption to improve patient outcomes in sepsis.

血管内皮屏障破坏是脓毒症发病率和死亡率的关键决定因素。全血是脓毒症中诱导血管内皮屏障破坏的旁分泌信号分子的关键来源。本研究分析了NCBI GEO数据库中脓毒症患者全血的全基因组转录组数据,以确定血管内皮屏障功能障碍的旁分泌介质,揭示了可能指导药物重新定位策略的新见解。本研究发现了旁分泌信号分子TFPI、MMP9、PROS1、JAG1、S1PR1和S1PR5的调控表达,这些信号分子在脓毒症中破坏或保护血管内皮屏障功能,可以作为现有药物重新定位的潜在靶点。其中,TFPI(屏障保护性)、MMP9(屏障破坏性)、PROS1(屏障保护性)和JAG1(屏障破坏性)上调,S1PR1(屏障保护性)和S1PR5(屏障保护性)下调。我们的观察结果强调了在制定恢复脓毒症患者内皮屏障完整性的治疗策略时考虑保护性和破坏性介质的重要性。确定TFPI、MMP9、PROS1、JAG1、S1PR1和S1PR5是脓毒症中血管内皮屏障功能的可药物旁分泌调节因子,可以为精准医学方法铺平道路,使针对内皮屏障破坏的特定介质的个性化治疗能够改善脓毒症患者的预后。
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引用次数: 0
Deubiquitinating enzymes at the crossroads of blood-brain barrier integrity and neurodegeneration: mechanistic insights, therapeutic targeting and future directions. 血脑屏障完整性和神经变性十字路口的去泛素化酶:机制见解,治疗靶向和未来方向。
IF 3.6 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-05-13 DOI: 10.1080/21688370.2025.2504738
Fahima Munavar-K, Nibedita Lenka

The ubiquitin-proteasome system (UPS) carries immense significance concerning cellular homeostasis that encompasses both ubiquitination and deubiquitination as key facets for maintaining protein stability. The deubiquitinating enzymes (DUBs) have emerged as critical regulators of proteostasis, neuroinflammation and blood-brain barrier (BBB) integrity by controlling the fate of crucial proteins associated with barrier architectures in CNS and neurodegenerative disorders (NDs) alike. However, a concrete understanding of their specific neurodevelopmental and neuroprotective functions is yet to be discerned. This article discusses the multifaceted roles of DUBs in the maintenance of BBB integrity, neuroprotection and various NDs and also underscores the therapeutic prospects targeting the same. While DUBs like USP7, USP9X, USP27X, UCHL1, etc. participate in neural stem cell maintenance and neurogenesis, including BBB function, USP13, USP14, USP25, BRCC3 and CYLD, among others, are associated with BBB dysfunction and NDs. The mechanistic underpinning concerning their hitherto unexplored mode of action, DUB-substrate interactions and specificity would facilitate developing the therapeutic agonists and small-molecule inhibitors to prevent or reverse neuroinflammation, BBB impairment and developmental disorders. Recent innovations concerning DUB-targeting chimaeras (DUBTACs) and proteolysis-targeting chimaeras (PROTACs) can be explored further for their plausible administration via nanoparticle-based delivery approaches to alleviate the progressive neurodegeneration.

泛素-蛋白酶体系统(UPS)对细胞稳态具有重要意义,其中泛素化和去泛素化是维持蛋白质稳定性的关键方面。去泛素化酶(DUBs)通过控制中枢神经系统和神经退行性疾病(NDs)中与屏障结构相关的关键蛋白的命运,已成为蛋白质平衡、神经炎症和血脑屏障(BBB)完整性的关键调节剂。然而,对其特定的神经发育和神经保护功能的具体理解尚未明确。本文讨论了DUBs在维持血脑屏障完整性、神经保护和各种ndds中的多方面作用,并强调了针对DUBs的治疗前景。dub如USP7、USP9X、USP27X、UCHL1等参与神经干细胞维持和神经发生,包括血脑屏障功能,USP13、USP14、USP25、BRCC3和CYLD等与血脑屏障功能障碍和nd相关。迄今为止尚未探索的作用模式、dub -底物相互作用和特异性的机制基础将有助于开发治疗性激动剂和小分子抑制剂,以预防或逆转神经炎症、血脑屏障损伤和发育障碍。最近关于dub靶向嵌合体(dubtac)和蛋白水解靶向嵌合体(PROTACs)的创新可以进一步探索它们通过基于纳米颗粒的给药方法来减轻进行性神经变性的可行性。
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引用次数: 0
Hyperglycaemia perturbs blood-brain barrier integrity through its effects on endothelial cell characteristics and function. 高血糖通过影响内皮细胞的特征和功能,扰乱血脑屏障的完整性。
IF 4 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-01-02 Epub Date: 2024-05-07 DOI: 10.1080/21688370.2024.2350821
Arshad Hashmat, Jingyuan Ya, Rais Kadir, Mansour Alwjwaj, Ulvi Bayraktutan

Breakdown of blood-brain barrier (BBB) represents a key pathology in hyperglycemia-mediated cerebrovascular damage after an ischemic stroke. As changes in the level and nature of vasoactive agents released by endothelial cells (ECs) may contribute to BBB dysfunction, this study first explored the specific impact of hyperglycemia on EC characteristics and secretome. It then assessed whether secretome obtained from ECs subjected to normoglycaemia or hyperglycemia might regulate pericytic cytokine profile differently. Using a triple cell culture model of human BBB, composed of brain microvascular EC (BMEC), astrocytes and pericytes, this study showed that exposure to hyperglycemia (25 mM D-glucose) for 72 h impaired the BBB integrity and function as evidenced by decreases in transendothelial electrical resistance and increases in paracellular flux of sodium fluorescein. Dissolution of zonula occludens-1, a tight junction protein, and appearance of stress fibers appeared to play a key role in this pathology. Despite elevations in angiogenin, endothelin-1, interleukin-8 and basic fibroblast growth factor levels and a decrease in placental growth factor levels in BMEC subjected to hyperglycemia vs normoglycaemia (5.5 mM D-glucose), tubulogenic capacity of BMECs remained similar in both settings. Similarly, pericytes subjected to secretome obtained from hyperglycemic BMEC released higher quantities of macrophage migration inhibitory factor and serpin and lower quantities of monocyte chemoattractant protein-1, intercellular adhesion molecule, interleukin-6 and interleukin-8. Taken together these findings indicate the complexity of the mechanisms leading to BBB disruption in hyperglycemic settings and emphasize the importance of endothelial cell-pericyte axis in the development of novel therapeutic strategies.

血脑屏障(BBB)的破坏是缺血性脑卒中后高血糖介导的脑血管损伤的关键病理机制。由于内皮细胞(EC)释放的血管活性物质的水平和性质的变化可能会导致 BBB 功能障碍,本研究首先探讨了高血糖对 EC 特征和分泌物的具体影响。然后,研究评估了从正常血糖或高血糖状态下的内皮细胞获得的分泌物是否会以不同的方式调节周细胞因子谱。该研究利用由脑微血管内皮细胞(BMEC)、星形胶质细胞和周细胞组成的人类 BBB 三重细胞培养模型显示,暴露于高血糖状态(25 mM D-葡萄糖)72 小时会损害 BBB 的完整性和功能,表现为跨内皮电阻的下降和荧光素钠旁通量的增加。封闭带-1(一种紧密连接蛋白)的溶解和应力纤维的出现似乎在这一病理过程中起了关键作用。尽管在高血糖与正常血糖(5.5 mM D-葡萄糖)情况下,BMEC 的血管生成素、内皮素-1、白细胞介素-8 和碱性成纤维细胞生长因子水平升高,胎盘生长因子水平降低,但在这两种情况下,BMEC 的成管能力仍然相似。同样,周细胞受高血糖 BMEC 分泌物的影响,会释放较多的巨噬细胞迁移抑制因子和丝裂蛋白,而释放较少的单核细胞趋化蛋白-1、细胞间粘附分子、白细胞介素-6 和白细胞介素-8。总之,这些研究结果表明了在高血糖情况下导致BBB破坏的机制的复杂性,并强调了内皮细胞-冰细胞轴在开发新型治疗策略中的重要性。
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引用次数: 0
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