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Bacterial Infections in Patients Living with HIV. 艾滋病毒感染者的细菌感染。
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 DOI: 10.1007/978-3-031-62036-2_21
Zin Mar Htun, Muhammad H Gul, Ruxana T Sadikot

Pneumonia, as well as other types of acute and chronic lung injuries, remain the leading causes of death in individuals living with HIV. Individuals with HIV who are on antiretroviral therapy continue to have a greater risk for pneumonia, including bacterial and mycobacterial infections. Alveolar macrophages and lung epithelial cells constitute the first line of host defense against invading pathogens. The predisposition of individuals living with HIV to infections despite ante-retroviral therapy is mechanistically related to HIV pro-viruses integrating into host cells, including airway epithelial cells and alveolar macrophages. Alveolar macrophages harbor latent HIV even when individuals appear to have complete suppression on ART. In parallel, pneumonia can irreversibly impair lung function in HIV-infected individuals. Cells that Macrophages exposed to HIV or HIV-related proteins have been shown to secrete exosomes that contain miRNAs. These exosomes can regulate several innate and acquired immune functions by stimulating cytokine production and inflammatory responses. Furthermore, these secreted exosomal miRNAs can shuttle between cells, causing cellular dysfunction in the case of epithelial cells; they disrupt lung epithelial barrier dysfunction, which leads to a predisposition to bacterial infections. We discuss the common bacterial infections that occur in patients living with HIV and provide mechanistic insights into how the intercellular communication of miRNAs results in cellular dysfunction.

肺炎以及其他类型的急性和慢性肺部损伤仍然是导致艾滋病病毒感染者死亡的主要原因。接受抗逆转录病毒治疗的艾滋病病毒感染者患肺炎(包括细菌和分枝杆菌感染)的风险仍然较高。肺泡巨噬细胞和肺上皮细胞是宿主抵御病原体入侵的第一道防线。艾滋病病毒感染者在接受前逆转录病毒治疗后仍易受感染,从机理上讲,这与艾滋病原病毒整合到宿主细胞(包括气道上皮细胞和肺泡巨噬细胞)有关。即使患者接受抗逆转录病毒疗法后似乎完全抑制了感染,肺泡巨噬细胞仍潜伏着艾滋病毒。与此同时,肺炎会不可逆地损害艾滋病病毒感染者的肺功能。研究表明,暴露于 HIV 或 HIV 相关蛋白的巨噬细胞会分泌含有 miRNA 的外泌体。这些外泌体可通过刺激细胞因子的产生和炎症反应来调节多种先天性和获得性免疫功能。此外,这些分泌的外泌体 miRNA 可在细胞间穿梭,导致上皮细胞的细胞功能紊乱;它们会破坏肺上皮屏障功能障碍,从而导致易受细菌感染。我们讨论了艾滋病病毒感染者常见的细菌感染,并从机理上深入探讨了 miRNA 的细胞间通讯如何导致细胞功能障碍。
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引用次数: 0
Macrophages and the Extracellular Matrix. 巨噬细胞和细胞外基质
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 DOI: 10.1007/978-3-031-65944-7_2
William Meza-Morales, Maria Jimenez-Socha, Donald O Freytes, Camilo Mora

Macrophages are critical to the immune response, serving multiple essential roles in maintaining tissue homeostasis and providing immune protection. These cells also interact with and influence the extracellular matrix (ECM) by sensing and responding to its components. Such interactions between macrophages and the ECM are mediated through the secretion and uptake of various biomacromolecules, such as cytokines and the extracellular vesicles, including exosomes and microvesicles. These vesicles are pivotal in regulating cellular behaviors that affect the organism's overall function. Moreover, macrophages are integral to the repair mechanisms that alter tissue structure and functionality during tissue remodeling. This chapter will delineate how macrophages interact with the ECM and discuss potential therapeutic strategies leveraging these interactions. It will conclude with a discussion of the challenges ahead, highlighting the importance of understanding macrophage-ECM dynamics for advancing basic biology and clinical applications.

巨噬细胞对免疫反应至关重要,在维持组织稳态和提供免疫保护方面发挥着多种重要作用。这些细胞还通过感知细胞外基质(ECM)的成分并对其做出反应,从而与之相互作用并对其产生影响。巨噬细胞与 ECM 之间的这种相互作用是通过分泌和吸收各种生物大分子(如细胞因子和细胞外囊泡,包括外泌体和微囊泡)来实现的。这些囊泡在调节影响生物体整体功能的细胞行为方面起着关键作用。此外,巨噬细胞还是组织重塑过程中改变组织结构和功能的修复机制不可或缺的一部分。本章将阐述巨噬细胞如何与 ECM 相互作用,并讨论利用这些相互作用的潜在治疗策略。最后,本章将讨论未来的挑战,强调了解巨噬细胞-ECM 动态对推进基础生物学和临床应用的重要性。
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引用次数: 0
Intercellular Molecular Transfer Mediated by Extracellular Vesicles in Cancer. 癌症中由细胞外囊泡介导的细胞间分子转移
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 DOI: 10.1007/978-3-031-62036-2_14
Lata Adnani, Janusz Rak

Among multiple pathways of intercellular communication operative in multicellular organisms, the trafficking of extracellular vesicles (EVs) and particles (EP) represents a unique mode of cellular information exchange with emerging roles in health and disease, including cancer. A distinctive feature of EV/EP-mediated cell-cell communication is that it involves simultaneous short- or long-range transfer of numerous molecular constituents (cargo) from donor to recipient cells. EV/EP uptake by donor cells elicits signalling or metabolic responses, or else leads to EV-re-emission or degradation. EVs are heterogeneous membranous structures released from cells via increasingly defined mechanisms involving either formation of multivesicular endosomes (exosomes) or budding from the plasma membrane (ectosomes). EPs (exomeres, supermeres) are membraneless complex particles, smaller than EVs and of less defined biogenesis and function. EVs/EPs carry complex assemblies of proteins, lipids and nucleic acids (RNA, DNA), which they shuttle into intercellular milieu, body fluids and recipient cells, via surface contact, fusion and different forms of internalization (endocytosis, micropinocytosis). While the physiological functions of EVs/EPs communication pathways continue to be investigated, their roles in cancer are increasingly well-defined. For example, EVs are involved in the transmission of cancer-specific molecular cargo, including mutant, oncogenic, transforming, or regulatory macromolecules to indolent, or normal cells, sometimes triggering their quasi-transformation-like states, or phenotypic alterations. Conversely, a reciprocal and avid uptake of stromal EVs by cancer cells may be responsible for modulating their oncogenic repertoire, as exemplified by the angiocrine effects of endothelial EVs influencing cancer cell stemness. EV exchanges during cancer progression have also been implicated in the formation of tumour stroma, angiogenesis and non-angiogenic neovascularization processes, immunosuppression, colonization of metastatic organ sites (premetastatic niche), paraneoplastic and systemic pathologies (thrombosis, diabetes, hepatotoxicity). Thus, an EV/EP-mediated horizontal transfer of cellular content emerges as a new dimension in cancer pathogenesis with functional, diagnostic, and therapeutic implications.

在多细胞生物体细胞间通信的多种途径中,胞外囊泡(EV)和颗粒(EP)的贩运是一种独特的细胞信息交换模式,在健康和疾病(包括癌症)中发挥着新的作用。EV/EP介导的细胞-细胞通讯的一个显著特点是,它涉及大量分子成分(货物)从供体细胞到受体细胞的同时短程或长程转移。EV/EP被供体细胞吸收后会引起信号或代谢反应,否则会导致EV再释放或降解。EV 是一种从细胞中释放出来的异质膜结构,其释放机制日益明确,包括形成多泡内体(外泌体)或从质膜上出芽(外泌体)。EPs(外泌体、超泌体)是无膜的复杂颗粒,比EVs小,其生物发生和功能不太明确。EVs/EPs携带蛋白质、脂类和核酸(RNA、DNA)的复杂组合体,它们通过表面接触、融合和不同形式的内化(内吞、微胞吞)穿梭到细胞间环境、体液和受体细胞中。EVs/EPs通讯途径的生理功能仍在研究之中,而它们在癌症中的作用也越来越明确。例如,EVs 参与了癌症特异性分子货物(包括突变、致癌、转化或调控大分子)向不活跃细胞或正常细胞的传输,有时会引发它们的类转化状态或表型改变。相反,癌细胞对基质 EVs 的相互和热衷吸收可能是调节其致癌物清单的原因,内皮 EVs 影响癌细胞干性的血管内分泌效应就是一例。癌症进展过程中的 EV 交换还与肿瘤基质的形成、血管生成和非血管生成性新生血管过程、免疫抑制、转移器官部位的定植(转移前生态位)、副肿瘤性和全身性病症(血栓形成、糖尿病、肝毒性)有关。因此,EV/EP 介导的细胞内容水平转移成为癌症发病机制的一个新维度,具有功能、诊断和治疗意义。
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引用次数: 0
Intercellular Transfer of Immune Regulatory Molecules Via Trogocytosis. 免疫调节分子通过吞噬细胞进行细胞间转移
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 DOI: 10.1007/978-3-031-62036-2_6
Soyeon Park, Jeonghyun Kim, Jae Hun Shin

Trogocytosis, an active cellular process involving the transfer of plasma membrane and attached cytosol during cell-to-cell contact, has been observed prominently in CD4 T cells interacting with antigen-presenting cells carrying antigen-loaded major histocompatibility complex (MHC) class II molecules. Despite the inherent absence of MHC class II molecules in CD4 T cells, they actively acquire these molecules from encountered antigen-presenting cells, leading to the formation of antigen-loaded MHC class II molecules-dressed CD4 T cells. Subsequently, these dressed CD4 T cells engage in antigen presentation to other CD4 T cells, revealing a dynamic mechanism of immune communication. The transferred membrane proteins through trogocytosis retain their surface localization, thereby altering cellular functions. Concurrently, the donor cells experience a loss of membrane proteins, resulting in functional changes due to the altered membrane properties. This chapter provides a focused exploration into trogocytosis-mediated transfer of immune regulatory molecules and its consequential impact on diverse immune responses.

在与携带抗原的主要组织相容性复合体(MHC)II类分子的抗原递呈细胞相互作用的CD4 T细胞中,可以明显观察到逆行吞噬作用(Trogocytosis),这是一种活跃的细胞过程,涉及细胞间接触过程中质膜和附着胞体的转移。尽管 CD4 T 细胞中本来就没有 MHC II 类分子,但它们会积极地从遇到的抗原递呈细胞中获取这些分子,从而形成装有抗原的 MHC II 类分子的 CD4 T 细胞。随后,这些穿戴好的 CD4 T 细胞向其他 CD4 T 细胞进行抗原呈递,揭示了一种动态的免疫通讯机制。通过逆行吞噬作用转移的膜蛋白保留了其表面定位,从而改变了细胞功能。与此同时,供体细胞也会失去膜蛋白,从而因膜特性的改变而导致功能变化。本章将重点探讨逆行吞噬作用介导的免疫调节分子转移及其对各种免疫反应的影响。
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引用次数: 0
Organelle Interactions in Plant Cells. 植物细胞中的细胞器相互作用
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 DOI: 10.1007/978-3-031-62036-2_3
Maya-Renee Hall, Thomas Kadanthottu Kunjumon, Puja Puspa Ghosh, Laura Currie, Jaideep Mathur

The sequestration of enzymes and associated processes into sub-cellular domains, called organelles, is considered a defining feature of eukaryotic cells. However, what leads to specific outcomes and allows a eukaryotic cell to function singularly is the interactivity and exchanges between discrete organelles. Our ability to observe and assess sub-cellular interactions in living plant cells has expanded greatly following the creation of fluorescent fusion proteins targeted to different organelles. Notably, organelle interactivity changes quickly in response to stress and reverts to a normal less interactive state as homeostasis is re-established. Using key observations of some of the organelles present in a plant cell, this chapter provides a brief overview of our present understanding of organelle interactions in plant cells.

将酶和相关过程封闭在称为细胞器的亚细胞域中,被认为是真核细胞的一个决定性特征。然而,导致特定结果并使真核细胞发挥独特功能的是离散细胞器之间的相互作用和交换。在针对不同细胞器的荧光融合蛋白问世后,我们观察和评估植物活细胞亚细胞相互作用的能力大大提高。值得注意的是,细胞器的相互作用会在应激时迅速发生变化,并在恢复正常平衡后恢复到正常的较少相互作用的状态。本章通过对植物细胞中存在的一些细胞器的关键观察,简要概述了我们目前对植物细胞中细胞器相互作用的理解。
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引用次数: 0
Tunneling Nanotubes in Myeloid Cells: Perspectives for Health and Infectious Diseases. 髓系细胞中的隧道纳米管:健康和传染病的前景。
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 DOI: 10.1007/978-3-031-62036-2_17
Javier Rey-Barroso, Ophélie Dufrançais, Christel Vérollet

Tunneling nanotubes (TNTs) are cellular connections, which represent a novel route for cell-to-cell communication. Strong evidence points to a role for TNTs in the intercellular transfer of signals, molecules, organelles, and pathogens, involving them in many cellular functions. In myeloid cells (e.g., monocytes/macrophages, dendritic cells, and osteoclasts), intercellular communication via TNT contributes to their differentiation and immune functions, by favoring material and pathogen transfer, as well as cell fusion. This chapter addresses the complexity of the definition and characterization of TNTs in myeloid cells, the different processes involved in their formation, their existence in vivo, and finally their function(s) in health and infectious diseases, with the example of HIV-1 infection.

隧道纳米管(TNTs)是一种细胞连接,是细胞间通信的新途径。有确凿证据表明,TNTs 在信号、分子、细胞器和病原体的细胞间传递中发挥作用,并参与许多细胞功能。在骨髓细胞(如单核细胞/巨噬细胞、树突状细胞和破骨细胞)中,通过TNT进行的细胞间通讯有利于物质和病原体的转移以及细胞融合,从而促进了细胞的分化和免疫功能。本章以HIV-1感染为例,阐述了髓细胞中TNT定义和特征的复杂性、TNT形成的不同过程、TNT在体内的存在,以及TNT在健康和传染病中的功能。
{"title":"Tunneling Nanotubes in Myeloid Cells: Perspectives for Health and Infectious Diseases.","authors":"Javier Rey-Barroso, Ophélie Dufrançais, Christel Vérollet","doi":"10.1007/978-3-031-62036-2_17","DOIUrl":"10.1007/978-3-031-62036-2_17","url":null,"abstract":"<p><p>Tunneling nanotubes (TNTs) are cellular connections, which represent a novel route for cell-to-cell communication. Strong evidence points to a role for TNTs in the intercellular transfer of signals, molecules, organelles, and pathogens, involving them in many cellular functions. In myeloid cells (e.g., monocytes/macrophages, dendritic cells, and osteoclasts), intercellular communication via TNT contributes to their differentiation and immune functions, by favoring material and pathogen transfer, as well as cell fusion. This chapter addresses the complexity of the definition and characterization of TNTs in myeloid cells, the different processes involved in their formation, their existence in vivo, and finally their function(s) in health and infectious diseases, with the example of HIV-1 infection.</p>","PeriodicalId":39320,"journal":{"name":"Results and Problems in Cell Differentiation","volume":"73 ","pages":"419-434"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tunneling Nanotubes: Implications for Chemoresistance. 隧道纳米管:对抗药性的影响
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 DOI: 10.1007/978-3-031-62036-2_15
Sanyukta Padmanabhan, Karina Deniz, Akshat Sarkari, Emil Lou

Tunneling nanotubes (TNTs) are thin, membranous protrusions that connect cells and allow for the transfer of various molecules, including proteins, organelles, and genetic material. TNTs have been implicated in a wide range of biological processes, including intercellular communication, drug resistance, and viral transmission. In cancer, they have been investigated more deeply over the past decade for their potentially pivotal role in tumor progression and metastasis. TNTs, as cell contact-dependent protrusions that form at short and long distances, enable the exchange of signaling molecules and cargo between cancer cells, facilitating communication and coordination of their actions. This coordination induces a synchronization that is believed to mediate the TNT-directed evolution of drug resistance by allowing cancer cells to coordinate, including through direct expulsion of chemotherapeutic drugs to neighboring cells. Despite advances in the overall field of TNT biology since the first published report of their existence in 2004 (Rustom A, Saffrich R, Markovic I, Walther P, Gerdes HH, Science. 303:1007-10, 2004), the mechanisms of formation and components vital for the function of TNTs are complex and not yet fully understood. However, several factors have been implicated in their regulation, including actin polymerization, microtubule dynamics, and signaling pathways. The discovery of TNT-specific components that are necessary and sufficient for their formation, maintenance, and action opens a new potential avenue for drug discovery in cancer. Thus, targeting TNTs may offer a promising therapeutic strategy for cancer treatment. By disrupting TNT formation or function, it may be possible to inhibit tumor growth and metastasis and overcome drug resistance.

隧道纳米管(TNTs)是一种薄薄的膜状突起物,可连接细胞并传输各种分子,包括蛋白质、细胞器和遗传物质。TNT 与多种生物过程有关,包括细胞间通信、耐药性和病毒传播。过去十年来,人们对 TNTs 在癌症中的作用进行了更深入的研究,因为 TNTs 在肿瘤进展和转移过程中可能起着关键作用。TNTs 是一种在短距离和长距离形成的依赖细胞接触的突起物,可在癌细胞之间交换信号分子和货物,促进癌细胞之间的交流和行动协调。这种协调可诱导同步化,据信通过让癌细胞进行协调,包括将化疗药物直接排出到邻近细胞,从而介导 TNT 引导的耐药性进化。尽管自 2004 年首次发表关于 TNT 存在的报告(Rustom A, Saffrich R, Markovic I, Walther P, Gerdes HH, Science.303:1007-10,2004)以来,TNTs 的形成机制和对其功能至关重要的成分非常复杂,尚未被完全了解。不过,有几个因素与 TNTs 的调节有关,包括肌动蛋白聚合、微管动力学和信号通路。发现TNT形成、维持和作用所必需和足够的特异性成分,为发现治疗癌症的药物开辟了一条新的潜在途径。因此,靶向 TNT 可为癌症治疗提供一种前景广阔的治疗策略。通过破坏 TNT 的形成或功能,有可能抑制肿瘤的生长和转移,克服耐药性。
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引用次数: 0
The Significance of Repressive Processes in Developmental Regulation. 抑制过程在发育调节中的意义
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 DOI: 10.1007/978-3-031-39027-2_8
Hisato Kondoh

Encountering a developmental process confined to a limited time window or a restricted embryonic area, one may deem that the mechanism to activate the process occurs with such precision in temporal and spatial terms. However, in many instances, the activation mechanism is initiated in a broad time and space, but the mechanism is actuated only when repressive mechanisms are lifted. Thus, the operation of repressive processes is essential for precise developmental regulation. Repressive regulations occur at various levels. The following representative repressive regulations and their consequences at various levels will be discussed: intercellular signaling, epigenetic regulation, transcriptional regulation, and posttranscriptional regulation.

当一个发育过程被限制在有限的时间窗口或有限的胚胎区域时,人们可能会认为启动该过程的机制在时间和空间上是如此精确。然而,在许多情况下,激活机制是在广阔的时间和空间内启动的,但只有当抑制机制解除时才会启动该机制。因此,抑制过程的运行对于精确的发育调控至关重要。抑制性调控发生在不同层面。下面将讨论具有代表性的抑制性调控及其在不同水平上的后果:细胞间信号传导、表观遗传调控、转录调控和转录后调控。
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引用次数: 0
Macrophages, Metabolism, Mitochondria, Circadian Rhythmicity and the Pathogen: The Multidimensional Nature of Tuberculosis. 巨噬细胞、新陈代谢、线粒体、昼夜节律和病原体:结核病的多面性。
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 DOI: 10.1007/978-3-031-65944-7_14
Paula Guzmán-Téllez, Miguel Angel Rivero-Silva, María Maximina Bertha Moreno-Altamirano, Francisco Javier Sánchez-García

Mycobacterium tuberculosis, the causative agent of tuberculosis (TB) was first identified in 1882 by Robert Koch, and it is estimated that this pathogen has been around for as long as 3 million years.The World Health Organization (WHO) reported that in 2022 alone an estimated 10.6 million people developed TB worldwide, making TB the world's second leading cause of death from a single infectious agent, just after coronavirus disease (COVID-19), despite TB being a preventable and usually curable disease.Moreover, epidemiological studies suggest that approximately a quarter of the global population has been infected with TB bacteria, of which 5-10% will eventually develop symptoms and TB disease. Poverty, obesity, diabetes, and alcohol use contribute to the burden of TB.Alveolar macrophages play a pivotal role in the clearance of airborne pathogenic microorganisms and are the primary target of M. tuberculosis.Macrophage activity depend on metabolism and circadian rhythmicity, and mitochondria are a central hub that coordinates the communication between metabolism, circadian rhythmicity, and the immune system.Recent evidence has thrown light on how M. tuberculosis metabolism may regulate macrophage activity and the overall host responses to M. tuberculosis infection.This chapter explores how all these biological domains relate to each other, highlighting the multidimensional nature of TB, and positioning macrophages at center stage.

结核分枝杆菌是肺结核(TB)的病原体,1882 年由罗伯特-科赫(Robert Koch)首次发现,据估计这种病原体已经存在了 300 万年之久。世界卫生组织(WHO)报告称,尽管结核病是一种可预防且通常可治愈的疾病,但仅在 2022 年,全球估计就有 1,060 万人罹患结核病,使结核病成为仅次于冠状病毒病(COVID-19)的全球第二大单一传染病致死病因。肺泡巨噬细胞在清除空气中的病原微生物方面发挥着关键作用,是结核杆菌的主要攻击目标。巨噬细胞的活动取决于新陈代谢和昼夜节律,而线粒体是协调新陈代谢、昼夜节律和免疫系统之间交流的中心枢纽。最近的证据揭示了结核杆菌的新陈代谢如何调节巨噬细胞的活动以及宿主对结核杆菌感染的整体反应。本章探讨了所有这些生物学领域之间的关系,突出了结核病的多维性,并将巨噬细胞置于中心位置。
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引用次数: 0
Macrophage Polarization and Its Impact on Osteoporosis. 巨噬细胞极化及其对骨质疏松症的影响
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 DOI: 10.1007/978-3-031-65944-7_11
Junwei Yan, Chenyu Huang, Dongdong Jiang, Yan Xu, Zhuoli Zhang, Liming Wang, Bin Liang

Owing to its reduced bone density and higher risk for fractures, osteoporosis remains an international public health crisis. Research highlights the essential role played by macrophage polarization in osteoporosis and indicates that the balance between pro-inflammatory M1 macrophages and anti-inflammatory M2 macrophages influences bone metabolism. This review examines how M1 and M2 macrophages contribute to the development of osteoporosis and evaluates existing therapeutic approaches aimed at controlling macrophage polarization. It also describes future study areas that will allow improved management and treatment of osteoporosis.

由于骨密度降低和骨折风险增加,骨质疏松症仍然是一个国际公共卫生危机。研究强调了巨噬细胞极化在骨质疏松症中的重要作用,并指出促炎性 M1 巨噬细胞和抗炎性 M2 巨噬细胞之间的平衡影响着骨代谢。本综述探讨了 M1 和 M2 巨噬细胞如何导致骨质疏松症的发生,并评估了旨在控制巨噬细胞极化的现有治疗方法。它还描述了未来的研究领域,这些领域将有助于改善骨质疏松症的管理和治疗。
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引用次数: 0
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Results and Problems in Cell Differentiation
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