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The Protean Nature of 14-3-3 Proteins in G Protein-Coupled Receptor Signaling: Emphasizing Selectivity and Dynamic Interactions at the Neurokinin Receptor 3 Interface 14-3-3蛋白在G蛋白偶联受体信号传导中的蛋白性质:强调神经激肽受体3界面的选择性和动态相互作用
IF 3.7 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-11-13 DOI: 10.1021/acsptsci.5c00335
Manel Zeghal, , , Danylo Aloshyn, , , Samantha K. Rogers, , , Geneviève Laroche, , and , Patrick M. Giguère*, 

Recent models of GPCR signaling extend beyond the canonical paradigm of ligand-induced activation primarily mediated by G-proteins and β-arrestins. Indeed, the various outcomes of GPCR activation are precisely regulated by several factors, including GPCR-interacting proteins, isoform diversity, and GPCR phosphorylation patterns catalyzed by kinases. One underexplored source contributing to the pleiotropic activities of GPCRs is the dynamic recruitment and dissociation of 14-3-3 proteins, a family of ubiquitously expressed adaptor proteins that modulate key cellular processes. Recent studies have shown that GPCR-14-3-3 protein interactions are isoform-specific and can be modulated in a spatiotemporal manner by ligands; however, an investigation of 14-3-3 dynamics across all seven human isoforms and throughout a large panel of GPCRs has yet to be conducted. Thus, this work provides the first characterization of proximal GPCR-14-3-3 protein interactions at a GPCRome scale, achieved by constructing stable reporter cell lines expressing all human 14-3-3 isoforms and performing cell-based high-throughput screening to probe 82 GPCR interactomes. Among the notable findings from this screen, the NK3 receptor emerged as a promising candidate for an in-depth examination of 14-3-3 protein modulation of GPCR activity, especially given the limited literature regarding NK3 signaling, including its relation to G-proteins or β-arrestins. Our findings suggest that different combinations of hetero- and homodimers of 14-3-3 isoforms result in varying functional outcomes at NK3, such as upregulation of NK3 surface expression by 14-3-3γ. Furthermore, 14-3-3γ was found to modulate canonical signaling pathways by attenuating G-protein dissociation and enhancing β-arrestin recruitment signals.

最近的GPCR信号传导模型超越了主要由g蛋白和β-阻滞蛋白介导的配体诱导激活的典型范式。事实上,GPCR激活的各种结果受到几个因素的精确调控,包括GPCR相互作用蛋白、异构体多样性和激酶催化的GPCR磷酸化模式。gpcr多效性活性的一个未被充分发掘的来源是14-3-3蛋白的动态招募和解离,14-3-3蛋白是一个无处不在表达的调节关键细胞过程的适应蛋白家族。最近的研究表明,GPCR-14-3-3蛋白相互作用具有同型特异性,可以通过配体在时空上进行调节;然而,对所有七种人类同工异构体和大量gpcr的14-3-3动态的调查尚未进行。因此,本研究通过构建表达所有人类14-3-3亚型的稳定报告细胞系,并对82个GPCR相互作用组进行基于细胞的高通量筛选,首次在GPCRome尺度上表征了GPCR-14-3-3蛋白的近端相互作用。在该筛选的显著发现中,NK3受体成为深入研究14-3-3蛋白调控GPCR活性的有希望的候选者,特别是考虑到关于NK3信号传导的文献有限,包括其与g蛋白或β-阻滞蛋白的关系。我们的研究结果表明,14-3-3异型和同型二聚体的不同组合导致不同的NK3功能结果,例如14-3-3γ上调NK3表面表达。此外,14-3-3γ通过减弱g蛋白解离和增强β-阻滞蛋白募集信号来调节典型信号通路。
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引用次数: 0
Fibroblast Activation Protein Inhibitor (FAPI)-Radioligand PET/CT in the Assessment of Nononcological Diseases: A Narrative Review 成纤维细胞活化蛋白抑制剂(FAPI)-放射配体PET/CT在非肿瘤性疾病评估中的应用综述
IF 3.7 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-11-13 DOI: 10.1021/acsptsci.4c00641
Forough Kalantari, , , Anton Amadeus Hörmann, , , Martha Pokarowski, , , Elham Kalantari, , , Theresa Elisabeth Jung, , , Gregor Schweighofer-Zwink, , , Gundula Rendl, , , Christian Pirich, , and , Mohsen Beheshti*, 

This narrative review provides an overview of benign FAPI-PET/CT or PET/MRI findings and studies investigating molecular imaging in nononcological diseases. Although the current focus of [68Ga]Ga-FAPI PET/CT is on oncologic indications, there is growing interest in the potential of FAPI PET/CT for nononcologic applications. Taking into account all-in-one, clinical, and preclinical studies, and the priorities of FAPI imaging over 2-[18F]FDG, the future direction of growing interest in the potential of FAPI tracer PET/CT as a promising technique in targeting fibroblast activation protein can be classified into some main fields for imaging and treatment monitoring. (1) Imaging of fibrotic disease, (2) cardiovascular imaging, (3) inflammatory and infectious diseases, (4) bone disease, (5) neuroimaging, and (6) organ transplantation imaging. The FAPI-radioligand shows promise as a targeted tracer for identifying and monitoring nononcological conditions, but current evidence is mainly based on small, heterogeneous retrospective analyses and case reports. Therefore, prospective studies are needed to reach reliable conclusions.

本文综述了良性FAPI-PET/CT或PET/MRI的发现以及非肿瘤性疾病的分子成像研究。虽然目前[68Ga]Ga-FAPI PET/CT的重点是肿瘤适应症,但人们对FAPI PET/CT在非肿瘤应用方面的潜力越来越感兴趣。考虑到所有的临床和临床前研究,以及FAPI成像比2-[18F]FDG更重要,FAPI示踪剂PET/CT作为靶向成纤维细胞活化蛋白的一种有前途的技术,其潜力越来越受到关注,未来的方向可以分为成像和治疗监测的几个主要领域。(1)纤维化疾病影像学,(2)心血管影像学,(3)炎症和感染性疾病影像学,(4)骨病影像学,(5)神经影像学,(6)器官移植影像学。fapi -放射性配体有望成为识别和监测非肿瘤性疾病的靶向示踪剂,但目前的证据主要基于小型、异质性回顾性分析和病例报告。因此,需要前瞻性研究来得出可靠的结论。
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引用次数: 0
Longitudinal Plasma Multiomics Characterization of Nephrotoxicity in Beagles Following Repeated Dosing of Enteric-Coated Propyl Gallate Tablets 反复给药肠溶没食子酸丙酯片后小猎犬肾毒性的纵向血浆多组学特征
IF 3.7 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-11-12 DOI: 10.1021/acsptsci.5c00499
Nathaly Reyes-Garcés, , , Weiwen Sun, , , B. Timothy Hummer, , , Xuejun Peng, , , Alvaro Sebastian Vaca Jácome, , , Erica Forsberg, , , Matt Willetts, , , Anton I. Rosenbaum*, , and , Kévin Contrepois*, 

Permeation enhancers (PEs) are excipients used in oral biotherapeutic formulations to facilitate the transport of bioactive compounds across the intestinal barrier and prevent their degradation. Concerns associated with the chronic use of PEs demand comprehensive approaches to elucidate their potential toxicity mechanisms. A recent publication from our group reported nephrotoxicity in beagles after daily administration of enteric-coated (EC) tablets containing propyl gallate (PG) as a PE. To further characterize EC–PG-mediated nephrotoxicity mechanisms, we conducted a longitudinal mass spectrometry (MS)-based multiomics analysis of the dog plasma lipidome and proteome. Time-course analyses revealed elevation across multiple lipid classes and, in particular, species containing arachidonic acid, which may reflect EC–PG treatment-induced inflammation. At the protein level, alterations in biological processes associated with coagulation, complement activation, protein degradation and metabolism, and lipid transport and metabolism were observed. Integrative multiomics analyses provided additional insights into toxicity mechanisms at the interface between lipids and proteins. This holistic approach highlighted lipid transport and metabolism, oxidative stress, and inflammation as altered biological processes by EC–PG administration. Altogether, longitudinal multiomics profiling and integrative analysis provided additional mechanistic hypotheses for EC–PG induced renal toxicity, demonstrating the value of such an approach to investigate mechanisms relevant to drug safety.

渗透增强剂(pe)是用于口服生物治疗制剂的赋形剂,以促进生物活性化合物通过肠道屏障的运输并防止其降解。与长期使用聚乙烯相关的问题需要全面的方法来阐明其潜在的毒性机制。我们小组最近发表的一篇文章报道了每日服用含没食子酸丙酯(PG)作为PE的肠溶片(EC)后小猎犬的肾毒性。为了进一步表征ec - pg介导的肾毒性机制,我们对狗的血浆脂质组和蛋白质组进行了纵向质谱(MS)多组学分析。时间过程分析揭示了多种脂质类别的升高,特别是含有花生四烯酸的种类,这可能反映了EC-PG治疗引起的炎症。在蛋白质水平上,观察到与凝血、补体激活、蛋白质降解和代谢以及脂质转运和代谢相关的生物过程的改变。综合多组学分析为脂质和蛋白质界面的毒性机制提供了额外的见解。这种整体方法强调了脂质转运和代谢、氧化应激和炎症是EC-PG给药改变的生物过程。总之,纵向多组学分析和综合分析为EC-PG诱导的肾毒性提供了额外的机制假设,证明了这种方法在研究与药物安全性相关的机制方面的价值。
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引用次数: 0
Metabolism, Pharmacokinetics, and Tissue Distribution of a Selective FK506-Binding Protein 12 F36V Mutant Degrader in Mice 选择性fk506结合蛋白12f36v突变降降剂在小鼠体内的代谢、药代动力学和组织分布
IF 3.7 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-11-11 DOI: 10.1021/acsptsci.5c00643
Shenzhi Zhou, , , Xuan Qin, , , Kevin Tran, , , Jian Wang, , , Xingyu Ji, , , Kevin R. MacKenzie, , , Srinivas Chamakuri, , , Jin Wang, , and , Feng Li*, 

dTAG-13 is a heterobifunctional molecule that induces proteasomal degradation of FKBP12F36V-tagged proteins and is widely used in the dTAG system. To better understand its in vivo behavior, we investigated its metabolism in vitro and its metabolism, pharmacokinetics, and tissue distribution time-course in mice. dTAG-13 was rapidly absorbed within 40 min and distributed to most tissues (although not brain) with a half-life of 3.1 h. We identified 20 metabolites that resulted from demethylation, amide hydrolysis, O-dealkylation, ester cleavage, and hydroxylation products. No phase II metabolites were detected. Demethylation was predominant in the liver, while hydrolysis metabolites were abundant in plasma and widely distributed. Both NADPH-dependent and hydrolysis pathways contributed to its metabolism, with CYP3A playing a moderate role in dTAG-13 degradation. These findings support the suitability of dTAG-13 for short-term protein degradation studies, while its limited brain penetration and rapid clearance highlight the need for improved analogs. This study provides foundational insights into dTAG-13 disposition for rational in vivo use.

dTAG-13是一种异双功能分子,可诱导fkbp12f36v标记蛋白的蛋白酶体降解,广泛应用于dTAG系统。为了更好地了解其在体内的行为,我们研究了其在体外的代谢以及在小鼠体内的代谢、药代动力学和组织分布时间过程。dTAG-13在40分钟内被迅速吸收,并分布到大多数组织(尽管不是大脑),半衰期为3.1小时。我们鉴定了20种代谢物,这些代谢物由去甲基化、酰胺水解、o -脱烷基、酯裂解和羟基化产物产生。未检测到II期代谢物。去甲基化主要发生在肝脏,而水解代谢物在血浆中丰富且分布广泛。nadph依赖性途径和水解途径都参与其代谢,CYP3A在dTAG-13降解中起中等作用。这些发现支持dTAG-13在短期蛋白质降解研究中的适用性,而其有限的脑渗透和快速清除突出了对改进类似物的需求。该研究为dTAG-13在体内的合理使用提供了基础的见解。
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引用次数: 0
Reliable Determination of ATP and Its Metabolites by LC-MS Using Blood Collection Tubes with and without Ectonucleotidase Inhibitors 使用和不使用外核苷酸酶抑制剂的血采集管LC-MS可靠测定ATP及其代谢物
IF 3.7 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-11-07 DOI: 10.1021/acsptsci.5c00446
Riekje Winzer, , , Johanna Hiefner, , , Romy Hackbusch, , , Moritz A. Link, , , Götz Thomalla, , , Eva Tolosa, , and , Anna Worthmann*, 

Adenosine triphosphate (ATP) and its breakdown products, including adenosine, play key roles in regulating immune responses. Altered ATP and adenosine levels in blood may reflect the presence or development of various pathologies; however, their rapid metabolism and clearance makes accurate measurement of their concentrations difficult. Not surprisingly, studies simultaneously monitoring ATP and its breakdown products are sparse and show conflicting results, and the workflows used are difficult to implement in clinical routine. Here, we present the simultaneous measurement of ATP and its metabolites in blood samples from healthy donors by combining a liquid chromatography–mass spectrometry-based quantification method with various procedures of blood sampling. We find that ATP and adenosine are best preserved in an ethylenediaminetetraacetic acid (EDTA) blood collection tube containing ectonucleotidase and nucleoside transporter inhibitors. In contrast, inosine and its downstream metabolites are detected in a serum collection tube without inhibitors. Therefore, we propose the use of these two sampling tubes to obtain a faithful determination of ATP and its degradation products. Overall, our approach provides a valuable and reliable tool to monitor changes in the concentration of ATP metabolites that can be easily implemented for biobanking purposes in the context of clinical trials.

三磷酸腺苷(ATP)及其分解产物,包括腺苷,在调节免疫反应中起关键作用。血液中ATP和腺苷水平的改变可能反映各种病理的存在或发展;然而,它们的快速代谢和清除使得精确测量它们的浓度变得困难。毫不奇怪,同时监测ATP及其分解产物的研究很少,结果相互矛盾,而且所使用的工作流程难以在临床常规中实施。在这里,我们提出了结合液相色谱-质谱为基础的定量方法和各种血液采样程序,同时测量健康献血者血液样本中的ATP及其代谢物。我们发现ATP和腺苷在含有外核苷酸酶和核苷转运蛋白抑制剂的乙二胺四乙酸(EDTA)采血管中保存得最好。相反,肌苷及其下游代谢物在无抑制剂的血清收集管中检测。因此,我们建议使用这两个采样管来获得ATP及其降解产物的忠实测定。总的来说,我们的方法提供了一个有价值和可靠的工具来监测ATP代谢物浓度的变化,可以很容易地在临床试验的背景下实现生物银行的目的。
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引用次数: 0
Asparaginase with Combined Mutations: Optimized Biochemistry and Lowered Allergic Risk 结合突变的天冬酰胺酶:优化生物化学和降低过敏风险
IF 3.7 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-11-06 DOI: 10.1021/acsptsci.5c00547
Tales Costa-Silva, , , Grace V. Ruiz-Lara, , , Iris Munhoz Costa, , , Adalberto Pessoa Jr., , and , Gisele Monteiro*, 

Biotechnology and biomedical advances have driven the development of novel biopharmaceuticals to meet growing clinical demands. Among approved biologics, native Escherichia coli asparaginase has been under continuous optimization to improve thermostability, half-life, resistance to human proteases, and reduce adverse effects, particularly allergenicity. Here, we engineered an antileukemic biobetter by combining the substitutions P40S/S206C─previously identified by our group as less immunogenic and with extended bloodstream activity in mice─with N24S, reported to enhance in vitro stability. The purified triple mutant enzyme was biochemically characterized, and its cytotoxicity against leukemic cell lines and antigenic properties in Balb/c SPF mice were evaluated. TM displayed robust asparaginase activity, a >3-fold reduction in KM for asparagine, superior thermostability, enhanced proteolytic resistance, and a lower in silico immunogenicity score compared to wild-type. In vivo, compared to wild-type, TM showed no apparent toxicity, a lower decrease in platelet counts, reduced induction of antiasparaginase IgE antibodies, and a preserved pharmacokinetic profile. In conclusion, combined mutations conferred substantial biochemical and immunological improvements, supporting the strategy of targeted amino acid substitutions to advance next-generation asparaginase biopharmaceuticals.

生物技术和生物医学的进步推动了新型生物制药的发展,以满足日益增长的临床需求。在已批准的生物制剂中,原生大肠杆菌天冬酰胺酶一直在不断优化,以提高热稳定性、半衰期、对人类蛋白酶的抗性,并减少不良反应,特别是过敏原性。在这里,我们设计了一种抗白血病生物更好药,通过将替代物P40S/S206C(之前被我们的团队鉴定为免疫原性较低且在小鼠中具有较长的血流活性)与N24S结合,据报道可以提高体外稳定性。对纯化的三突变酶进行了生化表征,并对其对Balb/c SPF小鼠的细胞毒性和抗原性进行了评价。与野生型相比,TM显示出强大的天冬酰胺酶活性,天冬酰胺的KM减少了3倍,优越的热稳定性,增强的蛋白水解抗性,以及更低的硅免疫原性评分。在体内,与野生型相比,TM没有明显的毒性,血小板计数下降更低,抗天冬酰胺酶IgE抗体的诱导减少,并且保留了药代动力学特征。总之,联合突变带来了实质性的生化和免疫学改善,支持靶向氨基酸替代策略,以推进下一代天冬酰胺酶生物制药。
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引用次数: 0
Correction to “Sigma-2 Receptor/Transmembrane Protein 97 in Pain Modulation: Tracing Historical Roots and Current Research Directions” 修正“疼痛调节中的Sigma-2受体/跨膜蛋白97:历史根源和当前研究方向”
IF 3.7 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-11-06 DOI: 10.1021/acsptsci.5c00693
Veronica M. Hong, , , Avaneesh Rade, , , Amulya Bhaskara, , , Tarik Ehsan, , , See Hyun Tack, , , Muhammad Saad Yousuf, , , Stephen F. Martin, , , Theodore J. Price, , and , Benedict Kolber*, 
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引用次数: 0
Anti-pyocyanin Antibody Exhibits Cytotoxicity Protective Effects on Macrophages: A Promising Innovative Therapeutic Approach for Pseudomonas aeruginosa Infections 抗花青素抗体对巨噬细胞具有细胞毒性保护作用:铜绿假单胞菌感染的一种有前景的创新治疗方法
IF 3.7 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-11-06 DOI: 10.1021/acsptsci.5c00187
Bárbara Rodríguez-Urretavizcaya, , , Tamás Posvai, , , Lluïsa Vilaplana*, , and , María-Pilar Marco, 

Pseudomonas aeruginosa is considered one of the most threatening pathogens worldwide, due to its high adaptability, which leads to resistance to classical antimicrobials. This fact has driven the development of new therapeutic strategies to reduce multiresistant strains and to minimize infection progression. In this context, the protective effect of a monoclonal antibody (mAb122) specific to pyocyanin (PYO), a key virulence factor of P. aeruginosa, was studied in vitro. Quenching PYO may reduce P. aeruginosa pathogenesis and partially lessen host immune dysregulation by impairing cytokine production. With this aim, murine macrophages were challenged with different PYO concentrations to assess their cytotoxicity by evaluating different cell viability hallmarks. Subsequently, the protective effect of mAb122 was studied on the PYO-treated cells. The addition of mAb122 significantly increased the percentage of viable cells compared to those treated just with the virulence factor (4.34- to 11.07-fold increase in MH-S and RAW 264.7 cells, respectively). Moreover, the PYO immunomodulatory effect and the outcome of mAb122 addition on the host response were also studied by measuring relevant cytokines in cell media. Results showed that mAb122 treatment, rather than reversing PYO impairment in cytokine production, either maintained the levels or triggered an increase, depending on the specific cytokine examined. Thus, the significant rise in cell viability and the nontoxic effect of mAb122 itself in vitro place PYO mAb as a promising candidate for in vivo testing as a potential therapeutic agent. However, its effects on the host immune system should be carefully studied and minimized.

铜绿假单胞菌被认为是世界上最具威胁性的病原体之一,因为它具有高度的适应性,导致对传统抗菌素产生耐药性。这一事实推动了新的治疗策略的发展,以减少多重耐药菌株和尽量减少感染进展。在此背景下,研究了铜绿假单胞菌(P. aeruginosa)关键毒力因子pyocyanin (PYO)单克隆抗体(mAb122)的体外保护作用。猝灭PYO可能减少铜绿假单胞菌的发病机制,并通过损害细胞因子的产生部分减轻宿主免疫失调。为此,我们用不同浓度的PYO刺激小鼠巨噬细胞,通过评估不同的细胞活力特征来评估它们的细胞毒性。随后,我们研究了mAb122对pyo处理细胞的保护作用。与毒力因子处理相比,mAb122显著提高了活细胞的百分比(MH-S和RAW 264.7细胞分别增加了4.34 ~ 11.07倍)。此外,我们还通过测定细胞介质中的相关细胞因子,研究PYO的免疫调节作用以及添加mAb122对宿主反应的影响。结果表明,mAb122治疗,而不是逆转PYO细胞因子产生的损伤,要么维持水平,要么引发增加,这取决于所检测的特定细胞因子。因此,细胞活力的显著提高和mAb122本身在体外的无毒作用使PYO单抗作为一种潜在的治疗药物在体内测试中有希望成为候选药物。然而,它对宿主免疫系统的影响应该仔细研究并尽量减少。
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引用次数: 0
Molecular Repositioning of Celecoxib as a Neurotherapeutic Agent in Fragile X-Associated Tremor/Ataxia Syndrome (FXTAS) 塞来昔布作为脆性x相关性震颤/共济失调综合征(FXTAS)神经治疗剂的分子重新定位
IF 3.7 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-11-05 DOI: 10.1021/acsptsci.5c00326
Soumalya Das, , , Aditi Pramod Kumari, , , Krishna Singh, , , Sakshi Shukla, , , Shubhi Khandelwal, , and , Amit Kumar*, 

Fragile X-associated tremor/ataxia syndrome (FXTAS), a nucleotide repeat expansion disorder, arises from CGG repeat expansions in the 5′ untranslated region (UTR) of the fragile X messenger ribonucleoprotein 1 (FMR1) gene, leading to RNA foci formation and toxic protein aggregation via repeat-associated non-AUG (RAN) translation. These fundamental mechanisms often lead to a series of consequences, including splicing defects, neuroinflammation, mitochondrial dysfunction, impaired autophagy, and cell death. Targeting toxic RNA repeats offers a promising therapeutic strategy. In this study, we identified Celecoxib, a selective cyclooxygenase-2 (COX-2) inhibitor, as a potential treatment for FXTAS. At first, we utilized various biophysical assays and molecular docking to confirm Celecoxib’s strong binding affinity toward the r(CGG)exp RNA. Further studies in the cellular model demonstrated the potency of Celecoxib in reducing toxic protein aggregates and improving splicing defects. Notably, it significantly reduces FMR1PolyG aggregates in the Drosophila FXTAS model, leading to improved locomotor impairments and the mitigation of associated downstream pathological consequences. Moreover, Celecoxib treatment significantly extends the lifespan of the flies. Thus, these results collectively support the therapeutic potential of repurposing Celecoxib for the treatment of FXTAS.

脆性X相关震颤/失调综合征(FXTAS)是一种核苷酸重复扩增障碍,由脆性X信使核糖核蛋白1 (FMR1)基因5 '非翻译区(UTR)的CGG重复扩增引起,通过重复相关非aug (RAN)翻译导致RNA病灶形成和毒性蛋白聚集。这些基本机制通常会导致一系列后果,包括剪接缺陷、神经炎症、线粒体功能障碍、自噬受损和细胞死亡。靶向毒性RNA重复序列提供了一种很有前景的治疗策略。在这项研究中,我们确定了选择性环氧化酶-2 (COX-2)抑制剂塞来昔布(Celecoxib)作为FXTAS的潜在治疗方法。首先,我们利用各种生物物理实验和分子对接来证实塞来昔布对r(CGG)exp RNA的强结合亲和力。细胞模型的进一步研究表明塞来昔布在减少毒性蛋白聚集和改善剪接缺陷方面的效力。值得注意的是,它在果蝇FXTAS模型中显著降低了FMR1PolyG聚集物,从而改善了运动损伤并减轻了相关的下游病理后果。此外,塞来昔布治疗显著延长了果蝇的寿命。因此,这些结果共同支持塞来昔布重新用于治疗FXTAS的治疗潜力。
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引用次数: 0
Advances in Transdermal Drug Delivery Systems for Antithrombotic Therapy: A Systematic Review 抗血栓治疗经皮给药系统的研究进展
IF 3.7 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-11-04 DOI: 10.1021/acsptsci.5c00586
Maria Augusta D. Stersi, , , Giovanna C. Nader-Mota, , , Erika Y. Suzuki, , , Lucio M. Cabral, , , Plínio C. Sathler, , and , Flávia A. do Carmo*, 

Thrombotic diseases, classified as arterial or venous, remain one of the most important global health concerns. Myocardial infarction, ischemic stroke, and venous thromboembolism (VTE), which include deep vein thrombosis and pulmonary embolism, are prominent causes of illness and death. Antithrombotic agents, classified by their sites of action, are essential for preventing and treating thrombus formation. Transdermal drug delivery systems have emerged as promising alternatives for antithrombotic therapy by improving drug bioavailability, patient adherence, and therapeutic efficacy while reducing side effects. This systematic review, conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines, identified 25 relevant articles through structured database searches. An additional search in clinical trial registries revealed no ongoing or completed clinical studies involving transdermal antithrombotic therapy. The literature focuses on transdermal formulations of heparins and acetylsalicylic acid, with fewer reports on direct oral anticoagulants and other agents. The literature search revealed that the most investigated delivery systems were microneedles (13), micro/nanoemulsions (2), ethosomes (1), hydrogels (5), polymeric patches (3), and liposomes (1). The ongoing interest in antithrombotic transdermal formulations highlights both their therapeutic importance and the difficulties still associated with traditional administration methods. While innovative transdermal formulations show promise, further research is necessary to develop scalable, effective, and cost-efficient technologies for clinical applications.

血栓性疾病分为动脉性或静脉性,仍然是全球最重要的健康问题之一。心肌梗死、缺血性中风和静脉血栓栓塞(VTE),包括深静脉血栓形成和肺栓塞,是疾病和死亡的主要原因。抗血栓药物,按其作用部位分类,是预防和治疗血栓形成所必需的。经皮给药系统通过改善药物生物利用度、患者依从性和治疗效果,同时减少副作用,已成为抗血栓治疗的有希望的替代方案。本系统综述按照系统综述和荟萃分析(PRISMA)指南的首选报告项目进行,通过结构化数据库检索确定了25篇相关文章。在临床试验注册的另一个搜索显示,没有正在进行或已完成的临床研究涉及透皮抗血栓治疗。文献集中于肝素和乙酰水杨酸的透皮配方,直接口服抗凝血剂和其他药物的报道较少。文献检索显示,研究最多的递送系统是微针(13)、微/纳米乳液(2)、质体(1)、水凝胶(5)、聚合物贴片(3)和脂质体(1)。对抗血栓透皮制剂的持续兴趣突出了它们的治疗重要性和传统给药方法仍然存在的困难。虽然创新的透皮配方显示出希望,但需要进一步的研究来开发可扩展的、有效的和具有成本效益的临床应用技术。
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