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Endostatin in disease modulation: From cancer to beyond 内皮抑素在疾病调节中的作用:从癌症到其他疾病。
IF 3.5 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-19 DOI: 10.1016/j.vph.2024.107459
J. Anakha, Yenisetti Rajendra Prasad, Abhay H. Pande
Angiogenesis plays a pivotal role in various pathological conditions, making it a key target in therapeutic development. Anti-angiogenic therapies are gaining traction for their potential in treating a range of angiogenesis-dependent diseases. Among these, endogenous angiogenesis inhibitors, particularly endostatin, have garnered significant attention for their therapeutic potential. While extensively studied for its anti-angiogenic effects in cancer, endostatin also exhibits anti-atherosclerotic and anti-fibrotic properties, broadening its therapeutic scope. Despite the successful clinical use of recombinant human endostatin in China for nearly two decades, its broader therapeutic potential remains underexplored. Thus, this review delves into the multifaceted applications of endostatin, examining its role in ocular diseases, inflammation, reproductive disorders, and tumor angiogenesis. Furthermore, it provides a comprehensive overview of its emerging roles beyond angiogenesis, particularly in the context of atherosclerosis and fibroproliferative conditions.
血管生成在各种病理条件中起着关键作用,使其成为治疗发展的关键靶点。抗血管生成疗法因其治疗一系列血管生成依赖性疾病的潜力而受到关注。其中,内源性血管生成抑制剂,特别是内皮抑素,因其治疗前景而引起了极大的关注。虽然内皮抑素在癌症中的抗血管生成作用被广泛研究,但它也具有抗动脉粥样硬化和抗纤维化的特性,扩大了其治疗范围。尽管重组人内皮抑素在中国的临床应用已经取得了近二十年的成功,但其更广泛的治疗潜力仍未得到充分开发。因此,本文将深入探讨内皮抑素在眼部疾病、炎症、生殖障碍和肿瘤血管生成等方面的应用。此外,它还全面概述了其在血管生成之外的新兴作用,特别是在动脉粥样硬化和纤维增生性疾病的背景下。
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引用次数: 0
Targeting the Ca2+ signaling toolkit as an alternative strategy to mitigate SARS-CoV-2-induced cardiovascular adverse events 靶向Ca2+信号工具箱作为缓解sars - cov -2诱导的心血管不良事件的替代策略
IF 3.5 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-17 DOI: 10.1016/j.vph.2024.107458
Simona Scorza , Valentina Brunetti , Giorgia Scarpellino , Maira Certini , Andrea Gerbino , Francesco Moccia
Ca2+ signaling events are essential for maintaining cardiovascular health, regulating critical functions in both endothelial and cardiac cells. SARS-CoV-2 infection impinges this delicate balance, leading to severe cardiovascular complications. SARS-CoV-2 binds to the ACE2 receptor on endothelial and cardiomyocyte surfaces, triggering abnormal increases in intracellular Ca2+ levels that promote endothelial dysfunction, inflammation, and hypercoagulation. In endothelial cells, this dysregulation activates a pro-inflammatory state and compromises vascular integrity. In cardiomyocytes, SARS-CoV-2-induced Ca2+ imbalances contribute to arrhythmias and heart failure by promoting abnormal Ca2+ cycling and energy metabolism disruptions. Additionally, the cytokine storm associated with COVID-19 amplifies these effects by further altering Ca2+ handling, enhancing inflammatory responses, and promoting thrombosis. Targeting Ca2+ channels, particularly endolysosomal two-pore channels, represents a promising therapeutic approach to counteract SARS-CoV-2’s effects on Ca2+ dynamics. Several FDA-approved drugs that modulate Ca2+ signaling could be repurposed to prevent viral entry and mitigate cardiovascular damage. Understanding these Ca2+-related mechanisms offers valuable insights for developing treatments to reduce cardiovascular risk in COVID-19 and potentially future viral infections impacting the cardiovascular system.
Ca2+信号事件对于维持心血管健康,调节内皮细胞和心脏细胞的关键功能至关重要。SARS-CoV-2感染会破坏这种微妙的平衡,导致严重的心血管并发症。SARS-CoV-2与内皮细胞和心肌细胞表面的ACE2受体结合,引发细胞内Ca2+水平异常升高,从而促进内皮功能障碍、炎症和高凝。在内皮细胞中,这种失调激活了促炎状态,损害了血管完整性。在心肌细胞中,sars - cov -2诱导的Ca2+失衡通过促进异常的Ca2+循环和能量代谢中断而导致心律失常和心力衰竭。此外,与COVID-19相关的细胞因子风暴通过进一步改变Ca2+处理、增强炎症反应和促进血栓形成,放大了这些影响。靶向Ca2+通道,特别是内溶酶体双孔通道,代表了一种有希望的治疗方法来抵消SARS-CoV-2对Ca2+动力学的影响。一些fda批准的调节Ca2+信号的药物可以重新用于防止病毒进入和减轻心血管损伤。了解这些Ca2+相关机制为开发降低COVID-19心血管风险的治疗方法以及潜在的未来影响心血管系统的病毒感染提供了有价值的见解。
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引用次数: 0
The role of Epsins in atherosclerosis: From molecular mechanisms to therapeutic applications epsin在动脉粥样硬化中的作用:从分子机制到治疗应用。
IF 3.5 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-11 DOI: 10.1016/j.vph.2024.107457
Siarhei A. Dabravolski , Alexey V. Churov , Alessio L. Ravani , Amina E. Karimova , Igor G. Luchinkin , Vasily N. Sukhorukov , Alexander N. Orekhov
Atherosclerosis is a multifaceted disease characterised by chronic inflammation and vascular remodelling, leading to plaque formation and cardiovascular complications. Recent evidence highlights the critical role of epsins, a family of endocytic proteins, in the pathogenesis of atherosclerosis. This manuscript explores the multifarious functions of epsins in atherosclerosis, focusing on their involvement in angiogenesis, lymphangiogenesis, and the modulation of key signalling pathways. We discuss how epsins facilitate EndoMT through their interaction with the TGFβ signalling pathway, which contributes to vascular smooth muscle cell-like phenotypes and plaque instability. Additionally, we examine the therapeutic potential of targeting epsins, elucidating their interactions with crucial partners such as LDLR, LRP-1, and TLR 2/4, among others, in mediating lipid metabolism and inflammation. Furthermore, we highlight the promising prospects of epsin-targeting peptides and small interfering RNAs as therapeutic agents for atherosclerosis treatment. Despite these advancements, the research faces limitations, including a reliance on specific mouse models and a need for comprehensive studies on the long-term effects of epsin modulation. Therefore, future investigations should focus on elucidating the detailed mechanisms of epsin function and their implications in cardiovascular health, fostering collaborations to translate basic research into innovative therapeutic strategies. This work underscores the necessity for further exploration of epsins to unlock their full therapeutic potential in combating atherosclerosis and related cardiovascular diseases.
动脉粥样硬化是一种以慢性炎症和血管重构为特征的多方面疾病,可导致斑块形成和心血管并发症。最近的证据强调了epsin(一个内吞蛋白家族)在动脉粥样硬化发病机制中的关键作用。本文探讨了epsin在动脉粥样硬化中的多种功能,重点是它们参与血管生成、淋巴管生成和关键信号通路的调节。我们讨论了ep蛋白酶如何通过与TGFβ信号通路的相互作用促进EndoMT,这有助于血管平滑肌细胞样表型和斑块不稳定性。此外,我们研究了靶向epins的治疗潜力,阐明了它们与LDLR、LRP-1和TLR 2/4等关键伙伴在介导脂质代谢和炎症中的相互作用。此外,我们强调了epsin靶向肽和小干扰rna作为动脉粥样硬化治疗药物的前景。尽管取得了这些进展,但研究仍面临局限性,包括依赖于特定的小鼠模型,以及需要对epsin调节的长期影响进行全面的研究。因此,未来的研究应侧重于阐明epsin功能的详细机制及其在心血管健康中的意义,促进合作,将基础研究转化为创新的治疗策略。这项工作强调了进一步探索epsin的必要性,以释放其在对抗动脉粥样硬化和相关心血管疾病方面的全部治疗潜力。
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引用次数: 0
Unravelling molecular mechanisms in atherosclerosis using cellular models and omics technologies 利用细胞模型和 omics 技术揭示动脉粥样硬化的分子机制。
IF 3.5 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-10 DOI: 10.1016/j.vph.2024.107452
Dimitris Kardassis , Cécile Vindis , Camelia Sorina Stancu , Laura Toma , Anca Violeta Gafencu , Adriana Georgescu , Nicoleta Alexandru-Moise , Filippo Molica , Brenda R. Kwak , Alexandrina Burlacu , Ignacio Fernando Hall , Elena Butoi , Paolo Magni , Junxi Wu , Susana Novella , Luke F. Gamon , Michael J. Davies , Andrea Caporali , Fernando de la Cuesta , Tijana Mitić
Despite the discovery and prevalent clinical use of potent lipid-lowering therapies, including statins and PCSK9 inhibitors, cardiovascular diseases (CVD) caused by atherosclerosis remain a large unmet clinical need, accounting for frequent deaths worldwide. The pathogenesis of atherosclerosis is a complex process underlying the presence of modifiable and non-modifiable risk factors affecting several cell types including endothelial cells (ECs), monocytes/macrophages, smooth muscle cells (SMCs) and T cells. Heterogeneous composition of the plaque and its morphology could lead to rupture or erosion causing thrombosis, even a sudden death. To decipher this complexity, various cell model systems have been developed. With recent advances in systems biology approaches and single or multi-omics methods researchers can elucidate specific cell types, molecules and signalling pathways contributing to certain stages of disease progression. Compared with animals, in vitro models are economical, easily adjusted for high-throughput work, offering mechanistic insights. Hereby, we review the latest work performed employing the cellular models of atherosclerosis to generate a variety of omics data. We summarize their outputs and the impact they had in the field. Challenges in the translatability of the omics data obtained from the cell models will be discussed along with future perspectives.
尽管发现了包括他汀类药物和PCSK9抑制剂在内的有效降脂疗法并广泛应用于临床,但动脉粥样硬化引起的心血管疾病(CVD)仍然是一个巨大的未满足的临床需求,在世界范围内造成了频繁的死亡。动脉粥样硬化的发病机制是一个复杂的过程,存在可改变和不可改变的危险因素,影响几种细胞类型,包括内皮细胞(ECs)、单核细胞/巨噬细胞、平滑肌细胞(SMCs)和T细胞。斑块的不均匀组成及其形态可能导致破裂或侵蚀,引起血栓形成,甚至猝死。为了破译这种复杂性,各种细胞模型系统已经被开发出来。随着系统生物学方法和单组学或多组学方法的最新进展,研究人员可以阐明特定的细胞类型、分子和信号通路,这些细胞类型、分子和信号通路与疾病进展的某些阶段有关。与动物相比,体外模型经济,易于调整以进行高通量工作,并提供机制见解。因此,我们回顾了利用动脉粥样硬化细胞模型产生各种组学数据的最新工作。我们总结了他们的产出和他们在该领域的影响。从细胞模型中获得的组学数据的可翻译性的挑战将与未来的观点一起讨论。
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引用次数: 0
Prevalence of antiphospholipid antibodies in COVID-19 patients: A meta-analysis COVID-19患者抗磷脂抗体患病率:一项荟萃分析
IF 3.5 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-03 DOI: 10.1016/j.vph.2024.107444
Er Jin , Bei Li , Xiaonan Wang , Runlan Yan , Chenhong Yan , Yue Gao

Objective

In some reports, antiphospholipid antibodies (aPL) prevalence is higher in COVID-19 patients. This study intended to compare aPL prevalence between COVID-19 patients and healthy controls, and differences in aPL types using meta-analysis.

Methods

This work retrieved published literature about association between COVID-19 and aPL from Embase, Web of Science, PubMed, and The Cochrane Library databases. The observation group was COVID-19 patients, and the control group was healthy individuals. Outcome measures contained any of following aPLs: classic aPL: anti-cardiolipin antibodies (aCL) and anti-β2-glycoprotein-1 antibodies (Anti-β2GP1); other non-criteria aPL: anti-phosphatidylserine/prothrombin antibodies (aPS/PT) and anti-annexin-V antibodies (AnV). Meta-analysis was done on Review Manager 5.4.

Results

10 studies involving 2288 patients were deemed eligible for inclusion. The results of the meta-analysis showed that the prevalence of Classic aPL and Any aPL in the COVID-19 group was significantly higher than in the healthy group (Classic aPL, RR = 2.55, 95 % CI = 1.83–3.55, P < 0.00001; Any aPL, RR = 2.34, 95 % CI = 1.46–3.77, P = 0.0005). Anti-β2GP1 IgA antibodies were the most common aPL in COVID-19 patients, with a significantly higher prevalence than in the healthy group (RR = 4.26, 95 % CI = 2.84–6.40, P < 0.00001). The prevalence of the four types of IgM aPL was significantly higher in the COVID-19 group compared to the healthy group, while there was no significant difference in aPL IgG between the two groups.

Conclusion

The prevalence of aPL in COVID-19 patients was significantly higher than in the healthy control group. IgM aPL was more easily detectable in the early stages of COVID-19 infection, while IgG aPL may be of more concern in the later time points of the immune epidemiology following SARS-CoV-2 infection.
目的:在一些报道中,抗磷脂抗体(aPL)在COVID-19患者中的患病率较高。本研究旨在通过荟萃分析比较COVID-19患者和健康对照之间的aPL患病率,以及aPL类型的差异。方法:检索Embase、Web of Science、PubMed和The Cochrane Library数据库中关于COVID-19与aPL相关性的已发表文献。观察组为新冠肺炎患者,对照组为健康个体。结果测量包含以下任何一种aPL:经典aPL:抗心磷脂抗体(aCL)和抗β2-糖蛋白-1抗体(anti -β2GP1);其他非标准aPL:抗磷脂酰丝氨酸/凝血酶原抗体(aPS/PT)和抗膜联蛋白- v抗体(AnV)。meta分析在Review Manager 5.4上进行。结果:10项研究纳入2288例患者。meta分析结果显示,COVID-19组的Classic aPL和Any aPL患病率显著高于健康组(Classic aPL, RR = 2.55,95 % CI = 1.83-3.55,P )。结论:COVID-19患者的aPL患病率显著高于健康对照组。IgM aPL在COVID-19感染早期更容易检测到,而IgG aPL可能在SARS-CoV-2感染后免疫流行病学的后期时间点更受关注。
{"title":"Prevalence of antiphospholipid antibodies in COVID-19 patients: A meta-analysis","authors":"Er Jin ,&nbsp;Bei Li ,&nbsp;Xiaonan Wang ,&nbsp;Runlan Yan ,&nbsp;Chenhong Yan ,&nbsp;Yue Gao","doi":"10.1016/j.vph.2024.107444","DOIUrl":"10.1016/j.vph.2024.107444","url":null,"abstract":"<div><h3>Objective</h3><div>In some reports, antiphospholipid antibodies (aPL) prevalence is higher in COVID-19 patients. This study intended to compare aPL prevalence between COVID-19 patients and healthy controls, and differences in aPL types using meta-analysis.</div></div><div><h3>Methods</h3><div>This work retrieved published literature about association between COVID-19 and aPL from Embase, Web of Science, PubMed, and The Cochrane Library databases. The observation group was COVID-19 patients, and the control group was healthy individuals. Outcome measures contained any of following aPLs: classic aPL: anti-cardiolipin antibodies (aCL) and anti-β2-glycoprotein-1 antibodies (Anti-β2GP1); other non-criteria aPL: anti-phosphatidylserine/prothrombin antibodies (aPS/PT) and anti-annexin-V antibodies (AnV). Meta-analysis was done on Review Manager 5.4.</div></div><div><h3>Results</h3><div>10 studies involving 2288 patients were deemed eligible for inclusion. The results of the meta-analysis showed that the prevalence of Classic aPL and Any aPL in the COVID-19 group was significantly higher than in the healthy group (Classic aPL, RR = 2.55, 95 % CI = 1.83–3.55, <em>P</em> &lt; 0.00001; Any aPL, RR = 2.34, 95 % CI = 1.46–3.77, <em>P</em> = 0.0005). Anti-β2GP1 IgA antibodies were the most common aPL in COVID-19 patients, with a significantly higher prevalence than in the healthy group (RR = 4.26, 95 % CI = 2.84–6.40, <em>P</em> &lt; 0.00001). The prevalence of the four types of IgM aPL was significantly higher in the COVID-19 group compared to the healthy group, while there was no significant difference in aPL IgG between the two groups.</div></div><div><h3>Conclusion</h3><div>The prevalence of aPL in COVID-19 patients was significantly higher than in the healthy control group. IgM aPL was more easily detectable in the early stages of COVID-19 infection, while IgG aPL may be of more concern in the later time points of the immune epidemiology following SARS-CoV-2 infection.</div></div>","PeriodicalId":23949,"journal":{"name":"Vascular pharmacology","volume":"158 ","pages":"Article 107444"},"PeriodicalIF":3.5,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patterns of medication use and potential drug-drug interactions in post-PCI patients: A study from Iran 重症介入治疗后患者的用药模式和潜在的药物相互作用:伊朗的一项研究。
IF 3.5 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-01 DOI: 10.1016/j.vph.2024.107441
Reza Golchin Vafa , Hossein Molavi Vardanjani , Javad Kojuri

Background

Post-percutaneous coronary intervention (PCI) patients often require complex medication regimens to prevent adverse cardiovascular events. However, these regimens can lead to potential drug-drug interactions (pDDIs) and polypharmacy, posing significant clinical challenges. This study aims to evaluate the pattern of medication use, prevalence, and correlates of pDDIs and polypharmacy among post-PCI patients in Shiraz, Iran.

Methods

A cross-sectional study was conducted on 9019 PCI patients in Shiraz. Patient data, including demographics, medical history, and medication lists, were collected and analyzed. The Anatomical Therapeutic Chemical (ATC) classification system was applied. pDDIs were identified using the Lexicomp database, and their severity was classified. Factors associated with significant pDDIs and polypharmacy were assessed using multivariable modeling.

Results

The study found that 91.6 % of patients received statin prescriptions and 94.5 % were on antiplatelet therapy. Notably, 82.8 % were identified with at least one pDDI, with 80.4 % having significant interactions (Categories C, D, or X). Common potential interactions included aspirin with clopidogrel and rosuvastatin. Polypharmacy was prevalent in 73.6 % of patients, associated with higher risks of interactions. Factors such as polypharmacy, male gender, diabetes mellitus, and heart failure were significant predictors of pDDIs.

Conclusions

The study underscores the high prevalence of pDDIs and polypharmacy among post-PCI patients, revealing a critical gap between clinical guidelines and drug interaction databases. Updating interaction databases to reflect current clinical practices and enhancing collaboration between database developers and guideline authors are essential for improving medication safety and patient outcomes.
背景:经皮冠状动脉介入治疗(PCI)后的患者通常需要复杂的药物治疗方案来预防不良心血管事件的发生。然而,这些治疗方案可能会导致潜在的药物相互作用(pDDIs)和多重用药,给临床带来巨大挑战。本研究旨在评估伊朗设拉子市做完冠状动脉造影术的患者的用药模式、pDDIs 和多重用药的发生率及相关性:对设拉子的 9019 名 PCI 患者进行了横断面研究。收集并分析了包括人口统计学、病史和药物清单在内的患者数据。应用解剖治疗化学(ATC)分类系统,使用 Lexicomp 数据库识别 pDDIs,并对其严重程度进行分类。使用多变量模型评估了与重大 pDDIs 和多重用药相关的因素:研究发现,91.6%的患者接受了他汀类药物处方,94.5%的患者接受了抗血小板治疗。值得注意的是,82.8%的患者被确认至少有一种 pDDI,其中 80.4%有明显的相互作用(C、D 或 X 类)。常见的潜在相互作用包括阿司匹林与氯吡格雷和洛伐他汀。73.6%的患者普遍使用多种药物,这与较高的相互作用风险有关。多药合用、男性、糖尿病和心力衰竭等因素是预测 pDDIs 的重要因素:该研究强调了PCI术后患者中pDDIs和多种药物的高发病率,揭示了临床指南与药物相互作用数据库之间存在的重要差距。更新相互作用数据库以反映当前的临床实践,加强数据库开发者与指南作者之间的合作,对于改善用药安全和患者预后至关重要。
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引用次数: 0
New insights into the pharmacological inhibition of SRF activity: Key inhibitory targets and mechanisms 药理抑制 SRF 活性的新见解:关键抑制靶点和机制
IF 3.5 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-01 DOI: 10.1016/j.vph.2024.107443
Daniel Wong , Hongyu Qiu
Serum Response Factor (SRF) is a critical regulatory transcription factor widely expressed across cell types and is essential for animal survival. Excessive SRF activity has been linked to various pathological conditions and diseases, including cardiovascular diseases, cancers and neurodegenerative disorders, making the inhibition of SRF hyperactivity a promising therapeutic strategy. This review summarizes recent advancements in the discovery and development of SRF inhibitors, their regulatory mechanisms, and their respective molecular foundations. These insights deepen our understanding of current therapeutic potentials, paving the way for novel approaches to treat diseases associated with SRF hyperactivity.
血清反应因子(SRF)是一种关键的调控转录因子,广泛表达于各种细胞类型,对动物的生存至关重要。SRF 活性过高与心血管疾病、癌症和神经退行性疾病等各种病理状况和疾病有关,因此抑制 SRF 活性过高是一种可行的治疗策略。本综述总结了发现和开发 SRF 抑制剂的最新进展、其调控机制和分子基础。这些见解加深了我们对当前治疗潜力的理解,为治疗与 SRF 过度活跃相关疾病的新方法铺平了道路。
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引用次数: 0
Sotatercept: New drug on the horizon of pulmonary hypertension 索泰特受体:肺动脉高压领域的新药。
IF 3.5 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-19 DOI: 10.1016/j.vph.2024.107442
Rosalinda Madonna, Filippo Biondi
Sotatercept (brand name WINREVAIR, developed by Merck) is an activin receptor type IIA-Fc (ActRIIA-Fc), working by sequestering free activins. Sotatercept restores the balance between the activin proliferative pathway and the bone morphogenic protein (BMP) antiproliferative pathway in the pulmonary arterial cirulation. Sotatercept recently received approval in the USA and in Europe for the treatment of adults with pulmonary arterial hypertension (PAH) Group 1, on top of background PAH therapy to increase exercise capacity, improve WHO functional class and reduce the risk of clinical worsening events. Nevertheless, several studies are ongoing to investigate the potential adverse reactions of the drug especially at the haematological level. We provide an overview of the clinical and preclinical evidence of the targeting the activing pathway through sotatercept on the treatment of PAH. We also discuss what other possibilities there are for the application of sotatercept in the setting of pulmonary hypertension other than PAH Group 1.
索泰特受体(Sotatercept,品牌名 WINREVAIR,由默克公司开发)是一种激活素受体 IIA 型-Fc(ActRIIA-Fc),通过封存游离激活素发挥作用。Sotatercept 可恢复肺动脉盘旋中激活素增殖途径与骨形态发生蛋白(BMP)抗增殖途径之间的平衡。Sotatercept 最近获得了美国和欧洲的批准,用于治疗肺动脉高压(PAH)1 组成人患者,在 PAH 背景治疗的基础上增加运动能力,改善 WHO 功能分级,降低临床恶化事件的风险。然而,目前仍有多项研究在调查该药物的潜在不良反应,尤其是在血液学方面。我们综述了通过索特拉克(sotatercept)靶向作用途径治疗 PAH 的临床和临床前证据。我们还讨论了索泰特受体在 PAH 第 1 组以外的肺动脉高压中应用的其他可能性。
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引用次数: 0
LncRNA MYOSLID contributes to PH via targeting BMPR2 signaling in pulmonary artery smooth muscle cell LncRNA MYOSLID通过靶向肺动脉平滑肌细胞中的BMPR2信号对PH做出了贡献。
IF 3.5 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-15 DOI: 10.1016/j.vph.2024.107439
Yuan Chen , Yuan Li , Bin Leng , Chengrui Cao , Guifu Wu , Shugao Ye , Lin Deng

Background/objective

The pathogenesis and vascular remodeling during pulmonary hypertension (PH) have been associated with dysregulation of bone morphogenetic protein receptor type 2 (BMPR2) and transforming growth factor-β (TGF-β) signaling in pulmonary artery smooth muscle cells (PASMCs). Evidence suggests that the human-specific lncRNA MYOSLID is a transcriptional target of the TGF-β/SMAD pathway. In this study, we investigated the involvement of MYOSLID in the pathogenesis of PH.

Methods

Lung tissues from PH patients and rat PH models were analyzed to assess clinical relevance. RNA-Seq was performed to identify target genes. Pulmonary artery smooth muscle cells (PASMCs) were used to evaluate function and underlying mechanisms.

Results

RNA-Seq analysis of PASMCs stimulated by TGF-β1 revealed significantly dysregulated lncRNAs. MYOSLID expression was markedly elevated in lung tissues from PH patients and in PASMCs stimulated with TGF-β1. Mechanistically, loss of MYOSLID inhibited the TGF-β pathway by reducing SMAD2/3 PHosphorylation and activated the BMPR2 pathway by enhancing SMAD1/5/9 phosphorylation and increasing ID genes expression in PASMCs. DAZAP2, a target gene of MYOSLID, functions as an inhibitor of BMPR2 signaling. Moreover, DAZAP2 expression was significantly elevated in lung tissues from PH patients and rat PH models. Functionally, knockdown of MYOSLID and DAZAP2 reduced proliferation, migration, and apoptosis resistance in PASMCs.

Conclusion

The activation of the MYOSLID-DAZAP2-BMPR2 axis contributes to pulmonary vascular remodeling, and targeting MYOSLID and DAZAP2 may represent novel therapeutic strategies for PH treatment.
背景/目的:肺动脉高压(pH)的发病机制和血管重塑与肺动脉平滑肌细胞(PASMCs)中骨形态发生蛋白受体2型(BMPR2)和转化生长因子-β(TGF-β)信号传导失调有关。有证据表明,人类特异性 lncRNA MYOSLID 是 TGF-β/SMAD 通路的转录靶标。在这项研究中,我们探讨了MYOSLID参与PH发病机制的情况:方法:分析 PH 患者和大鼠 PH 模型的肺组织以评估临床相关性。进行RNA-Seq分析以确定靶基因。肺动脉平滑肌细胞(PASMCs)用于评估功能和潜在机制:结果:对受到 TGF-β1 刺激的肺动脉平滑肌细胞进行 RNA-Seq 分析,发现了显著失调的 lncRNAs。在PH患者的肺组织和受TGF-β1刺激的PASMCs中,MYOSLID的表达明显升高。从机制上讲,MYOSLID的缺失通过降低SMAD2/3 pH磷酸化抑制了TGF-β通路,并通过增强SMAD1/5/9磷酸化和增加PASMCs中ID基因的表达激活了BMPR2通路。MYOSLID的靶基因DAZAP2是BMPR2信号传导的抑制剂。此外,DAZAP2在PH患者和大鼠PH模型肺组织中的表达明显升高。从功能上讲,敲除 MYOSLID 和 DAZAP2 可减少 PASMCs 的增殖、迁移和抗凋亡能力:结论:MYOSLID-DAZAP2-BMPR2 轴的激活有助于肺血管重塑,靶向 MYOSLID 和 DAZAP2 可能是治疗 PH 的新型治疗策略。
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引用次数: 0
Prolonged L-NAME exposure changes the vasodilator factor from NO to H2O2 in human arterioles in response to A23187 长期暴露于 L-NAME 会使人体动脉血管中的血管扩张因子从 NO 转变为 H2O2,从而对 A23187 产生反应。
IF 3.5 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-12 DOI: 10.1016/j.vph.2024.107440
Natalya S. Zinkevich , Kostiantyn Drachuk , David X. Zhang
The Ca2+ ionophore A23187 induces endothelium-dependent and non-receptor-mediated vasodilation in human adipose arterioles (HAAs). The purpose of this study was to determine the mechanism of A23187-induced dilation in HAAs from patients with and without coronary artery disease (CAD). HAAs were freshly isolated from adipose tissues obtained from non-CAD (n = 25) and CAD (n = 14) patients, and vascular reactivity was studied by videomicroscopy. No difference in baseline dose response to A23187 was observed between non-CAD and CAD subjects. However, acute (30 min) incubation with N(omega)-nitro-l-arginine methyl ester (L-NAME), NO synthase inhibitor strongly reduced A23187-induced dilation in non-CAD arterioles, while catalase, an H2O2 scavenger, largely abolished dilation in CAD. Surprising, prolonged (90 min) incubation with L-NAME restored A23187 response in non-CAD subjects, which was subsequently inhibited by catalase. The action of prolonged L-NAME exposure was not reversible after washing with Krebs while the effect of acute L-NAME exposure was largely reversible. To further determine the role of mitochondria-derived ROS in A23187-induced dilation, arterioles were treated with rotenone, an inhibitor of complex I of the electron transport chain. Rotenone abolished A23187 response in CAD patients and in non-CAD arterioles after prolonged L-NAME, but not in non-CAD controls. These data indicate that NO contributes to A23187-induced dilation in HAAs from non-CAD patients and H2O2 contributes to the dilation in CAD patients. Prolonged L-NAME exposure induces a NO-H2O2 switch in the mechanism of dilation in non-CAD subjects. Moreover, the effect of prolonged L-NAME exposure is not readily reversible, while the action of acute L-NAME exposure is reversible.
钙离子拮抗剂 A23187 可诱导内皮依赖性和非受体介导的人体脂肪动脉(HAA)血管扩张。本研究旨在确定 A23187 诱导冠状动脉疾病(CAD)患者和非冠状动脉疾病(CAD)患者 HAAs 血管扩张的机制。研究人员从非冠心病患者(25 人)和冠心病患者(14 人)的脂肪组织中新鲜分离出 HAAs,并通过视频显微镜研究其血管反应性。非 CAD 和 CAD 受试者对 A23187 的基线剂量反应没有差异。然而,NO 合酶抑制剂 N(ω)-硝基-精氨酸甲酯(L-NAME)的急性孵育(30 分钟)强烈减少了 A23187 在非 CAD 动脉中诱导的扩张,而 H2O2 清除剂过氧化氢酶则在很大程度上消除了 CAD 患者的扩张。令人惊讶的是,L-NAME 长时间(90 分钟)孵育可恢复非 CAD 受试者的 A23187 反应,随后过氧化氢酶可抑制这种反应。长时间暴露于 L-NAME 的作用在用 Krebs 冲洗后不可逆,而急性暴露于 L-NAME 的作用在很大程度上是可逆的。为了进一步确定线粒体衍生的 ROS 在 A23187 诱导的扩张中的作用,用鱼藤酮(电子传递链复合物 I 的抑制剂)处理动脉血管。罗替农能消除 CAD 患者和非 CAD 动脉血管在长时间 L-NAME 作用下对 A23187 的反应,但非 CAD 对照组的反应则不明显。这些数据表明,在非 CAD 患者的 HAA 中,NO 对 A23187 诱导的扩张做出了贡献,而在 CAD 患者中,H2O2 对扩张做出了贡献。在非 CAD 受试者中,长期暴露于 L-NAME 会诱导扩张机制中的 NO-H2O2 转换。此外,长期暴露于 L-NAME 的影响不易逆转,而急性暴露于 L-NAME 的作用是可逆的。
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Vascular pharmacology
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