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Roles of phosphatidyl inositol 3 kinase gamma (PI3Kγ) in respiratory diseases. 磷脂酰肌醇3激酶γ (PI3Kγ)在呼吸系统疾病中的作用
IF 6.4 Q2 CELL BIOLOGY Pub Date : 2021-03-08 DOI: 10.15698/cst2021.04.246
Valentina Sala, Angela Della Sala, Alessandra Ghigo, Emilio Hirsch

Phosphatidyl inositol 3 kinase gamma (PI3Kγ) is expressed in all the cell types that are involved in airway inflammation and disease, including not only leukocytes, but also structural cells, where it is expressed at very low levels under physiological conditions, while is significantly upregulated after stress. In the airways, PI3Kγ behaves as a trigger or a controller, depending on the pathological context. In this review, the contribution of PI3Kγ in a plethora of respiratory diseases, spanning from acute lung injury, pulmonary fibrosis, asthma, cystic fibrosis and response to both bacterial and viral pathogens, will be commented.

磷脂酰肌醇3激酶γ (PI3Kγ)在参与气道炎症和疾病的所有细胞类型中表达,不仅包括白细胞,还包括结构细胞,在生理条件下表达水平非常低,而在应激后显着上调。在气道中,PI3Kγ作为触发器或控制器,取决于病理环境。在这篇综述中,PI3Kγ在多种呼吸系统疾病中的作用,包括急性肺损伤、肺纤维化、哮喘、囊性纤维化和对细菌和病毒病原体的反应,将被评论。
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引用次数: 6
Spermidine supplementation in rare translation-associated disorders. 在罕见的翻译相关疾病中补充精胺。
IF 4.1 Q2 CELL BIOLOGY Pub Date : 2021-03-08 DOI: 10.15698/cst2021.03.243
Andreas Zimmermann, Didac Carmona-Gutierrez, Frank Madeo

The polyamine spermidine is essential for protein translation in eukaryotes, both as a substrate for the hypusination of the translation initiation factor eIF5A as well as general translational fidelity. Dwindling spermidine levels during aging have been implicated in reduced immune cell function through insufficient eIF5A hypusination, which can be restored by external supplementation. Recent findings characterize a group of novel Mendelian disorders linked to EIF5A missense and nonsense variants that cause protein translation defects. In model organisms that recapitulate these mutations, spermidine supplementation was able to alleviate at least some of the concomitant protein translation defects. Here, we discuss the role of spermidine in protein translation and possible therapeutic avenues for translation-associated disorders.

多胺亚精胺对真核生物的蛋白质翻译至关重要,它既是翻译起始因子 eIF5A 低度化的底物,也是一般翻译保真度的底物。在衰老过程中,由于 eIF5A 低通透性不足,导致免疫细胞功能下降,而外部补充可恢复免疫细胞功能。最近的研究结果表明,一组新型孟德尔疾病与导致蛋白质翻译缺陷的 EIF5A 错义和无义变体有关。在重现这些变异的模式生物中,补充亚精胺至少能缓解部分伴随的蛋白质翻译缺陷。在此,我们讨论了亚精胺在蛋白质翻译中的作用以及翻译相关疾病的可能治疗途径。
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引用次数: 0
Targeting FBXO44/SUV39H1 elicits tumor cell-specific DNA replication stress and viral mimicry. 靶向FBXO44/SUV39H1引发肿瘤细胞特异性DNA复制应激和病毒模仿。
IF 6.4 Q2 CELL BIOLOGY Pub Date : 2021-02-18 DOI: 10.15698/cst2021.03.245
Jia Z Shen, Charles Spruck

Repetitive elements (REs) are normally transcriptionally silenced in somatic cells by repressive epigenetic modifications, which are thought to include DNA methylation and histone modifications such as deacetylation, H3K9me3, and H4K20me3. Although, it is unclear how RE silencing is maintained through DNA replication cycles in rapidly growing cancer cells. On the other hand, the reactivation of endogenous retroelements beyond a threshold level of tolerance in cancer cells, such as by treatment with DNA demethylating agents or HDAC or LSD1 inhibitors, can induce viral mimicry responses that augment certain cancer therapies, including immunotherapy. However, these agents can also affect normal cells presenting obvious side effects. Therefore, uncovering cancer cell-specific RE silencing mechanisms could provide a basis for the development of a new generation of cancer immunotherapy drugs. In our study (Shen et al. (2020), Cell, doi: 10.1016/j.cell.2020.11.042), through a high-content RNAi screen we identified FBXO44 as a key regulator of H3K9me3-mediated transcriptional silencing of REs in cancer cells. Inhibition of FBXO44 or its co-factor SUV39H1 stimulated antiviral pathways and interferon (IFN) signaling and induced replication stress and DNA double-strand breaks (DSBs) in cancer cells, leading to restricted tumor growth and synergy with anti-PD-1 therapy (Figure 1). Figure 1FIGURE 1: Graphical representation of this study.FBXO44/SUV39H1 targeting activates REs that elicit DNA replication stress and viral mimicry in cancer cells, leading to tumor growth arrest and enhanced immunotherapy response.

重复元件(REs)通常通过抑制表观遗传修饰在体细胞中转录沉默,这些修饰被认为包括DNA甲基化和组蛋白修饰,如去乙酰化、H3K9me3和H4K20me3。然而,目前尚不清楚在快速生长的癌细胞中,RE沉默是如何通过DNA复制周期维持的。另一方面,癌细胞中超过耐受阈值水平的内源性逆转录因子的再激活,如用DNA去甲基化剂或HDAC或LSD1抑制剂治疗,可以诱导病毒模仿反应,从而增强某些癌症治疗,包括免疫治疗。然而,这些药物也会影响正常细胞,并呈现明显的副作用。因此,揭示癌细胞特异性RE沉默机制可以为开发新一代癌症免疫治疗药物提供基础。在我们的研究中(Shen et al. (2020), Cell, doi: 10.1016/j.c ells. 2020.11.042),通过高含量RNAi筛选,我们发现FBXO44是h3k9me3介导的肿瘤细胞REs转录沉默的关键调节因子。抑制FBXO44或其辅助因子SUV39H1刺激了癌细胞中的抗病毒途径和干扰素(IFN)信号传导,诱导复制应激和DNA双链断裂(DSBs),从而限制了肿瘤生长和与抗pd -1治疗的协同作用(图1)。FBXO44/SUV39H1靶向激活肿瘤细胞中引起DNA复制应激和病毒模仿的REs,导致肿瘤生长停滞和增强免疫治疗反应。
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引用次数: 1
The OFD1 protein is a novel player in selective autophagy: another tile to the cilia/autophagy puzzle. OFD1蛋白是选择性自噬中的一个新角色:这是纤毛/自噬之谜的另一个拼图。
IF 6.4 Q2 CELL BIOLOGY Pub Date : 2021-02-17 DOI: 10.15698/cst2021.03.244
Manuela Morleo, Brunella Franco

The autophagy-lysosomal pathway is one of the main degradative routes which cells use to balance sources of energy. A number of proteins orchestrate the formation of autophagosomes, membranous organelles instrumental in autophagy. Selective autophagy, involving the recognition and removal of specific targets, is mediated by autophagy receptors, which recognize cargos and the autophagosomal membrane protein LC3 for lysosomal degradation. Recently, bidirectional crosstalk has emerged between autophagy and primary cilia, microtubule-based sensory organelles extending from cells and anchored by the basal body, derived from the mother centriole of the centrosome. The molecular mechanisms underlying the direct role of autophagic proteins in cilia biology and, conversely, the impact of this organelle in autophagy remains elusive. Recently, we uncovered the molecular mechanism by which the centrosomal/basal body protein OFD1 controls the LC3-mediated autophagic cascade. In particular, we demonstrated that OFD1 acts as a selective autophagy receptor by regulating the turnover of unc-51-like kinase (ULK1) complex, which plays a crucial role in the initiation steps of autophagosome biogenesis. Moreover, we showed that patients with a genetic condition caused by mutations in OFD1 and associated with cilia dysfunction, display excessive autophagy and we demonstrated that autophagy inhibition significantly ameliorates the renal cystic phenotype in a conditional mouse model recapitulating the features of the disease (Morleo et al. 2020, EMBO J, doi: 10.15252/embj.2020105120). We speculate that abnormal autophagy may underlie some of the clinical manifestations observed in the disorders ascribed to cilia dysfunction.

自噬-溶酶体途径是细胞用来平衡能量来源的主要降解途径之一。许多蛋白质协调自噬体的形成,自噬体是有助于自噬的膜细胞器。选择性自噬涉及特异性靶标的识别和去除,由自噬受体介导,自噬受体识别货物和自噬体膜蛋白LC3进行溶酶体降解。最近,自噬和初级纤毛之间出现了双向串扰,初级纤毛是基于微管的感觉细胞器,从细胞中延伸出来,由基底体锚定,源自中心体的母中心粒。自噬蛋白在纤毛生物学中的直接作用的分子机制,以及相反,这种细胞器在自噬中的影响仍然是难以捉摸的。最近,我们揭示了中心体/基底体蛋白OFD1控制lc3介导的自噬级联的分子机制。特别是,我们证明了OFD1通过调节unc-51样激酶(ULK1)复合物的周转,作为一种选择性自噬受体,在自噬体生物发生的起始步骤中起着至关重要的作用。此外,我们发现,由OFD1突变引起的与纤毛功能障碍相关的遗传病患者表现出过度的自噬,我们发现自噬抑制显著改善了重现该疾病特征的条件小鼠模型中的肾囊表型(Morleo et al. 2020, EMBO J, doi: 10.15252/embj.2020105120)。我们推测异常自噬可能是纤毛功能障碍引起的疾病的一些临床表现的基础。
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引用次数: 7
Innate RIG-I signaling restores antigen presentation in tumors and overcomes T cell resistance. 先天rig - 1信号恢复肿瘤中的抗原呈递并克服T细胞抵抗。
IF 6.4 Q2 CELL BIOLOGY Pub Date : 2021-01-18 DOI: 10.15698/cst2021.02.242
Beatrice Thier, Annette Paschen

In recent years, therapy with immune modulating antibodies, termed immune checkpoint blockade (ICB), has revolutionized the treatment of advanced metastatic melanoma, yielding long-lasting clinical responses in a subgroup of patients. But despite this remarkable progress, resistance to therapy represents a major clinical challenge. ICB efficacy is critically dependent on cytotoxic CD8+ T cells targeting tumor cells in an HLA class I (HLA-I) antigen-dependent manner. Transcriptional suppression of the HLA-I antigen processing and presentation machinery (HLA-I APM) in melanoma cells leads to HLA-I-low/-negative tumor cell phenotypes escaping CD8+ T cell recognition and contributing to ICB resistance. In general, HLA-I-low/-negative tumor cells can be re-sensitized to T cells by interferons (IFN), augmenting HLA-I APM expression. However, this mechanism fails when melanoma cells acquire resistance to IFN, which recently turned out as a key resistance mechanism in ICB, besides HLA-I APM suppression. Seeking for a strategy to overcome these barriers, we identified a novel mechanism that restores HLA-I antigen presentation in tumor cells independent of IFN (Such et al. (2020) J Clin Invest, doi: 10.1172/JCI131572). We demonstrated that tumor cell-intrinsic activation of the cytosolic innate immunoreceptor RIG-I by its synthetic ligand 3pRNA overcomes transcriptional HLA-I APM suppression in patient-derived IFN-resistant melanoma cells. De novo HLA-I APM expression is IRF1/IRF3-dependent and re-sensitizes melanoma cells to autologous cytotoxic CD8+ T cells. Notably, synthetic RIG-I ligands and ICB synergize in T cell activation, suggesting combinational therapy could be an efficient strategy to improve patient outcomes in melanoma.

近年来,免疫调节抗体治疗,称为免疫检查点阻断(ICB),已经彻底改变了晚期转移性黑色素瘤的治疗,在一个亚组患者中产生了持久的临床反应。但是,尽管取得了这些显著的进展,对治疗的耐药性仍然是一个重大的临床挑战。ICB的疗效严重依赖于细胞毒性CD8+ T细胞以HLA-I类(HLA-I)抗原依赖的方式靶向肿瘤细胞。黑色素瘤细胞中HLA-I抗原加工和递呈机制(HLA-I APM)的转录抑制导致HLA-I低/阴性肿瘤细胞表型逃避CD8+ T细胞识别并促进ICB抵抗。一般来说,HLA-I低/阴性肿瘤细胞可以通过干扰素(IFN)对T细胞重新敏感,增加HLA-I APM的表达。然而,当黑色素瘤细胞获得对IFN的耐药性时,这种机制就失效了,IFN最近被证明是除了HLA-I APM抑制外,ICB的关键耐药机制。为了寻找克服这些障碍的策略,我们确定了一种新的机制,可以恢复肿瘤细胞中独立于IFN的hla - 1抗原呈递(Such et al. (2020) J clininvest, doi: 10.1172/JCI131572)。我们证明,在患者源性ifn耐药黑色素瘤细胞中,肿瘤细胞通过其合成配体3pRNA对胞质先天免疫受体RIG-I的内在激活克服了转录HLA-I APM抑制。从头开始hla - 1 APM的表达是IRF1/ irf3依赖性的,并且使黑色素瘤细胞对自体细胞毒性CD8+ T细胞再敏感。值得注意的是,合成RIG-I配体和ICB在T细胞活化中协同作用,表明联合治疗可能是改善黑色素瘤患者预后的有效策略。
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引用次数: 0
Improving glucose and lipids metabolism: drug development based on bile acid related targets. 改善葡萄糖和脂质代谢:基于胆汁酸相关靶点的药物开发。
IF 6.4 Q2 CELL BIOLOGY Pub Date : 2021-01-05 DOI: 10.15698/cst2021.01.239
Hanchen Shen, Lili Ding, Mehdi Baig, Jingyan Tian, Yang Wang, Wendong Huang

Bariatric surgery is one of the most effective treatment options for severe obesity and its comorbidities. However, it is a major surgery that poses several side effects and risks which impede its clinical use. Therefore, it is urgent to develop alternative safer pharmacological approaches to mimic bariatric surgery. Recent studies suggest that bile acids are key players in mediating the metabolic benefits of bariatric surgery. Bile acids can function as signaling molecules by targeting bile acid nuclear receptors and membrane receptors, like FXR and TGR5 respectively. In addition, the composition of bile acids is regulated by either the hepatic sterol enzymes such as CYP8B1 or the gut microbiome. These bile acid related targets all play important roles in regulating metabolism. Drug development based on these targets could provide new hope for patients without the risks of surgery and at a lower cost. In this review, we summarize the most updated progress on bile acid related targets and development of small molecules as drug candidates based on these targets.

减肥手术是治疗严重肥胖及其合并症最有效的方法之一。然而,这是一项大手术,有一些副作用和风险,阻碍了它的临床应用。因此,迫切需要开发替代的更安全的药物方法来模拟减肥手术。最近的研究表明,胆汁酸在减肥手术的代谢益处中起着关键作用。胆汁酸可作为信号分子,分别靶向胆汁酸核受体和胆汁酸膜受体,如FXR和TGR5。此外,胆汁酸的组成受到肝脏固醇酶(如CYP8B1)或肠道微生物组的调节。这些胆汁酸相关靶点都在调节代谢中发挥重要作用。基于这些靶点的药物开发可以为患者提供新的希望,无需手术风险,成本更低。本文综述了胆汁酸相关靶点的最新研究进展,以及基于这些靶点的小分子候选药物的开发。
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引用次数: 8
Mitochondrial dynamics links PINCH-1 signaling to proline metabolic reprogramming and tumor growth. 线粒体动力学将PINCH-1信号与脯氨酸代谢重编程和肿瘤生长联系起来。
IF 6.4 Q2 CELL BIOLOGY Pub Date : 2020-12-10 DOI: 10.15698/cst2021.02.241
Ling Guo, Chuanyue Wu

Proline metabolism is critical for cellular response to microenvironmental stress in living organisms across different kingdoms, ranging from bacteria, plants to animals. In bacteria and plants, proline is known to accrue in response to osmotic and other stresses. In higher organisms such as human, proline metabolism plays important roles in physiology as well as pathological processes including cancer. The importance of proline metabolism in physiology and diseases lies in the fact that the products of proline metabolism are intimately involved in essential cellular processes including protein synthesis, energy production and redox signaling. A surge of protein synthesis in fast proliferating cancer cells, for example, results in markedly increased demand for proline. Proline synthesis is frequently unable to meet the demand in fast proliferating cancer cells. The inadequacy of proline or "proline vulnerability" in cancer may provide an opportunity for therapeutic control of cancer progression. To this end, it is important to understand the signaling mechanism through which proline synthesis is regulated. In a recent study (Guo et al., Nat Commun 11(1):4913, doi: 10.1038/s41467-020-18753-6), we have identified PINCH-1, a component of cell-extracellular matrix (ECM) adhesions, as an important regulator of proline synthesis and cancer progression.

脯氨酸代谢是细胞对微环境应激反应的关键,在不同的生物王国中,从细菌、植物到动物。在细菌和植物中,脯氨酸是在对渗透和其他压力的反应中积累的。在人类等高等生物中,脯氨酸代谢在包括癌症在内的生理和病理过程中起着重要的作用。脯氨酸代谢在生理和疾病中的重要性在于,脯氨酸代谢的产物密切参与包括蛋白质合成、能量产生和氧化还原信号传导在内的基本细胞过程。例如,在快速增殖的癌细胞中,蛋白质合成的激增导致对脯氨酸的需求显著增加。脯氨酸的合成常常不能满足快速增殖癌细胞的需要。癌症中脯氨酸的不足或“脯氨酸易感性”可能为癌症进展的治疗控制提供了机会。为此,了解脯氨酸合成调控的信号机制是很重要的。在最近的一项研究中(Guo et al., Nat comm11 (1):4913, doi: 10.1038/s41467-020-18753-6),我们发现细胞-细胞外基质(ECM)粘附的一个成分PINCH-1是脯氨酸合成和癌症进展的重要调节因子。
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引用次数: 3
To promote or inhibit glioma progression, that is the question for IL-33. 促进或抑制胶质瘤的进展,这是IL-33的问题。
IF 6.4 Q2 CELL BIOLOGY Pub Date : 2020-12-03 DOI: 10.15698/cst2021.01.240
Stephen M Robbins, Donna L Senger

IL-33, a member of the IL-1 cytokine family has been shown to play a dual role within the body. First IL-33, similar to other IL-1 family members, is a secreted cytokine that binds to the cell surface receptor ST2 to induce a number of cell signaling pathways. Second, IL-33 enters the nucleus where it binds chromatin and directs transcriptional control of an array of growth factors and cytokines. Consistent with its complex cellular regulation, IL-33 mediates an array of biological functions by acting on a wide range of innate and adaptive immune cells. Recently, we found that IL-33 is expressed in a large number of human glioma patient specimens where its expression within the tumor correlates with the increased presence of Iba+ cells that include both resident microglia and recruited monocyte and macrophages. Strikingly, glioma derived expression of IL-33 correlates with a dramatic decrease in overall survival of tumor-bearing animals and thus supports its role as an influential factor in gliomagenesis. Notably however, when the nuclear localization function of IL-33 is crippled, the tumor microenvironment is programmed to be anti-tumorigenic and results in prolonged overall survival suggesting that when educated appropriately this could represent a novel therapeutic strategy for glioma (De Boeck et al. (2020), Nat Commun, doi: 10.1038/s41467-020-18569-4).

IL-33是IL-1细胞因子家族的一员,已被证明在体内发挥双重作用。首先,IL-33与其他IL-1家族成员相似,是一种分泌性细胞因子,与细胞表面受体ST2结合,诱导多种细胞信号通路。其次,IL-33进入细胞核,与染色质结合,指导一系列生长因子和细胞因子的转录控制。与其复杂的细胞调控一致,IL-33通过作用于广泛的先天和适应性免疫细胞介导一系列生物学功能。最近,我们发现IL-33在大量人类胶质瘤患者标本中表达,其在肿瘤内的表达与Iba+细胞(包括常驻小胶质细胞和募集的单核细胞和巨噬细胞)的增加相关。引人注目的是,胶质瘤源性IL-33的表达与荷瘤动物总存活率的急剧下降相关,因此支持其作为胶质瘤形成的一个影响因素的作用。然而,值得注意的是,当IL-33的核定位功能被破坏时,肿瘤微环境被编程为抗致瘤性,并导致延长总生存期,这表明,如果教育得当,这可能代表一种新的治疗胶质瘤的策略(De Boeck等人(2020),Nat common, doi: 10.1038/s41467-020-18569-4)。
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引用次数: 0
AMPK maintains TCA cycle through sequential phosphorylation of PDHA to promote tumor metastasis. AMPK通过顺序磷酸化PDHA维持TCA循环,促进肿瘤转移。
IF 6.4 Q2 CELL BIOLOGY Pub Date : 2020-11-25 DOI: 10.15698/cst2020.12.238
Zhen Cai, Danni Peng, Hui-Kuan Lin

Cancer represents the leading public health problem throughout the world. Globally, about one out of six deaths is related to cancer, which is largely due to the metastatic lesions. However, there are no effective strategies for targeting cancer metastasis. Identification of the key druggable targets maintaining metastasis is crucial for cancer treatment. In our recent study (Cai et al. (2020), Mol Cell, doi: 10.1016/j.molcel.2020.09.018), we found that activity of AMPK was enriched in metastatic tumors compared to primary tumors. Depletion of AMPK rendered cancer cells more sensitive to metabolic and oxidative stress, leading to the impairment of breast cancer lung metastasis. Activation of AMPK rewired cancer metabolism towards TCA cycle, which protects disseminated cancer cells from both metabolic and oxidative stress-induced cell death, and facilitates cancer metastasis. Further, AMPK critically maintained the activity of pyruvate dehydrogenase complex (PDH), the rate limiting enzyme involved in TCA cycle, thus favoring the pyruvate metabolism towards TCA cycle rather than converting it to lactate. Mechanistically, AMPK was shown to co-localize with PDHA, the catalytic subunit of PDH, in the mitochondrial matrix and directly triggered the phosphorylation of PDHA on Ser295 and Ser314. Hyper-phosphorylation of Ser295 and Ser314 of PDHA promotes lung metastasis through elevating activity of PDH. Of note, PDHA Ser314 phosphorylation abrogated the interaction between PDHA and PDHKs leading to the dephosphorylation on previously reported S293 site, whose phosphorylation serves as a negative signal for PDH activation, while S295 phosphorylation serves as an intrinsic catalytic site required for pyruvate metabolism. Our study presented the first evidence for the pro-metastatic property of the AMPK-PDH axis and advance our current understanding of how PDH is activated under physiological and pathological conditions.

癌症是全世界最主要的公共卫生问题。在全球范围内,大约六分之一的死亡与癌症有关,这主要是由于转移性病变。然而,目前尚无针对肿瘤转移的有效策略。确定维持转移的关键药物靶点对癌症治疗至关重要。在我们最近的研究中(Cai et al. (2020), Mol Cell, doi: 10.1016/j.molcel.2020.09.018),我们发现与原发肿瘤相比,AMPK在转移性肿瘤中的活性更丰富。AMPK的缺失使癌细胞对代谢和氧化应激更加敏感,导致乳腺癌肺转移受损。AMPK的激活将癌症代谢重新连接到TCA循环,从而保护弥散性癌细胞免受代谢和氧化应激诱导的细胞死亡,并促进癌症转移。此外,AMPK关键地维持了丙酮酸脱氢酶复合物(PDH)的活性,这是参与TCA循环的限速酶,从而有利于丙酮酸向TCA循环代谢,而不是将其转化为乳酸。在机制上,AMPK被证明与PDHA (PDH的催化亚基)在线粒体基质中共定位,并直接触发PDHA在Ser295和Ser314上的磷酸化。PDHA的Ser295和Ser314的超磷酸化通过提高PDH活性促进肺转移。值得注意的是,PDHA Ser314磷酸化消除了PDHA与pdhk之间的相互作用,导致先前报道的S293位点的去磷酸化,其磷酸化是PDH激活的负信号,而S295磷酸化是丙酮酸代谢所需的内在催化位点。我们的研究为AMPK-PDH轴的促转移性提供了第一个证据,并推进了我们目前对PDH在生理和病理条件下如何被激活的理解。
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引用次数: 9
A sympathetic gut connection drives the metabolic benefits of Roux-en-Y gastric bypass. 交感肠连接驱动Roux-en-Y胃旁路术的代谢益处。
IF 6.4 Q2 CELL BIOLOGY Pub Date : 2020-11-24 DOI: 10.15698/cst2020.12.236
Mohammed K Hankir

Surgery is regarded by many as the go-to treatment option for severe obesity; yet how physically altering the gastrointestinal tract produces such striking results on body weight and overall metabolic health is poorly understood. In a recent issue of Cell Reports Ye et al. (2020) compare mouse models of Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG), the two most commonly performed weight loss surgeries in the clinic today, to show that the former reconfiguring procedure selectively increases resting metabolic rate through splanchnic nerve-mediated browning of mesenteric white fat. More significantly, they demonstrate that this effect for RYGB is required for the maintained negative energy balance and improved glycemic control that it confers.

许多人认为手术是治疗严重肥胖的首选方法;然而,在身体上改变胃肠道是如何对体重和整体代谢健康产生如此显著的影响的,人们知之甚少。在最近一期的《细胞报告》(Cell Reports)中,Ye等人(2020)比较了Roux-en-Y胃旁路手术(RYGB)和袖胃切除术(SG)的小鼠模型,这是目前临床上最常用的两种减肥手术,结果表明,前者的重新配置手术通过内脏神经介导的肠系膜白色脂肪褐化选择性地增加静息代谢率。更重要的是,他们证明了RYGB的这种作用是维持负能量平衡和改善血糖控制所必需的。
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引用次数: 2
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