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Potential Role of Neuroactive Tryptophan Metabolites in Central Fatigue: Establishment of the Fatigue Circuit. 神经活性色氨酸代谢物在中枢疲劳中的潜在作用:疲劳回路的建立。
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2020-06-29 eCollection Date: 2020-01-01 DOI: 10.1177/1178646920936279
Masatoshi Yamashita

Central fatigue leads to reduced ability to perform mental tasks, disrupted social life, and impaired brain functions from childhood to old age. Regarding the neurochemical mechanism, neuroactive tryptophan metabolites are thought to play key roles in central fatigue. Previous studies have supported the "tryptophan-serotonin enhancement hypothesis" in which tryptophan uptake into extensive brain regions enhances serotonin production in the rat model of exercise-induced fatigue. However, serotonin was transiently released after 30 minutes of treadmill running to exhaustion, but this did not reflect the duration of fatigue. In addition, as the vast majority of tryptophan is metabolized along the kynurenine pathway, possible involvement of the tryptophan-kynurenine pathway in the mechanism of central fatigue induction has been pointed out. More recently, our study demonstrated that uptake of tryptophan and kynurenine derived from the peripheral circulation into the brain enhances kynurenic acid production in rat brain in sleep deprivation-induced central fatigue, but without change in serotonin activity. In particular, dynamic change in glial-neuronal interactive processes within the hypothalamus-hippocampal circuit causes central fatigue. Furthermore, increased tryptophan-kynurenine pathway activity in this circuit causes reduced memory function. This indicates a major potential role for the endogenous tryptophan-kynurenine pathway in central fatigue, which supports the "tryptophan-kynurenine enhancement hypothesis." Here, we review research on the basic neuronal mechanism underlying central fatigue induced by neuroactive tryptophan metabolites. Notably, these basic findings could contribute to our understanding of latent mental problems associated with central fatigue.

中枢性疲劳会导致执行智力任务的能力下降,社交生活中断,从童年到老年大脑功能受损。在神经化学机制方面,神经活性色氨酸代谢物被认为在中枢疲劳中起关键作用。先前的研究已经支持了“色氨酸-血清素增强假说”,该假说认为,在运动引起的疲劳大鼠模型中,色氨酸被广泛摄取到大脑区域会增强血清素的产生。然而,在跑步机跑步30分钟后,血清素会短暂释放,但这并不能反映疲劳的持续时间。此外,由于绝大多数色氨酸是通过犬尿氨酸途径代谢的,因此有人指出色氨酸-犬尿氨酸途径可能参与中枢疲劳诱导机制。最近,我们的研究表明,在睡眠剥夺引起的中枢性疲劳中,大鼠大脑摄取来自外周循环的色氨酸和犬尿氨酸可以增强犬尿酸的产生,但血清素活性没有变化。特别是,下丘脑-海马回路中胶质-神经元相互作用过程的动态变化导致中枢性疲劳。此外,该回路中色氨酸-犬尿氨酸途径活性的增加会导致记忆功能的降低。这表明内源性色氨酸-犬尿氨酸途径在中枢性疲劳中具有重要的潜在作用,这支持了“色氨酸-犬尿氨酸增强假说”。本文就神经活性色氨酸代谢物诱发中枢性疲劳的基本神经机制进行综述。值得注意的是,这些基本发现有助于我们理解与中枢性疲劳相关的潜在精神问题。
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引用次数: 20
Tryptophan Metabolites Along the Microbiota-Gut-Brain Axis: An Interkingdom Communication System Influencing the Gut in Health and Disease. 微生物-肠-脑轴上的色氨酸代谢物:影响肠道健康和疾病的跨界通讯系统。
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2020-06-11 eCollection Date: 2020-01-01 DOI: 10.1177/1178646920928984
Annalisa Bosi, Davide Banfi, Michela Bistoletti, Cristina Giaroni, Andreina Baj

The 'microbiota-gut-brain axis' plays a fundamental role in maintaining host homeostasis, and different immune, hormonal, and neuronal signals participate to this interkingdom communication system between eukaryota and prokaryota. The essential aminoacid tryptophan, as a precursor of several molecules acting at the interface between the host and the microbiota, is fundamental in the modulation of this bidirectional communication axis. In the gut, tryptophan undergoes 3 major metabolic pathways, the 5-HT, kynurenine, and AhR ligand pathways, which may be directly or indirectly controlled by the saprophytic flora. The importance of tryptophan metabolites in the modulation of the gastrointestinal tract is suggested by several preclinical and clinical studies; however, a thorough revision of the available literature has not been accomplished yet. Thus, this review attempts to cover the major aspects on the role of tryptophan metabolites in host-microbiota cross-talk underlaying regulation of gut functions in health conditions and during disease states, with particular attention to 2 major gastrointestinal diseases, such as irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD), both characterized by psychiatric disorders. Research in this area opens the possibility to target tryptophan metabolism to ameliorate the knowledge on the pathogenesis of both diseases, as well as to discover new therapeutic strategies based either on conventional pharmacological approaches or on the use of pre- and probiotics to manipulate the microbial flora.

“微生物-肠-脑轴”在维持宿主体内平衡中起着重要作用,不同的免疫、激素和神经元信号参与真核生物和原核生物之间的界间通信系统。必需氨基酸色氨酸,作为在宿主和微生物群之间的界面上起作用的几个分子的前体,是调节这种双向通信轴的基础。在肠道中,色氨酸经过5-HT、犬尿氨酸和AhR配体3条主要代谢途径,这些途径可能直接或间接受到腐生菌群的控制。一些临床前和临床研究表明,色氨酸代谢物在胃肠道调节中的重要性;然而,对现有文献的彻底修订尚未完成。因此,本文试图涵盖色氨酸代谢物在健康状况和疾病状态下肠道功能调节中宿主-微生物群串扰的主要方面,特别关注两种主要的胃肠道疾病,如肠易激综合征(IBS)和炎症性肠病(IBD),这两种疾病都以精神障碍为特征。这一领域的研究开启了以色氨酸代谢为目标的可能性,以改善对这两种疾病发病机制的认识,并发现基于传统药理学方法或使用预益生菌和益生菌来操纵微生物菌群的新治疗策略。
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引用次数: 101
Plasma Serotonin in Laying Hens (Gallus gallus domesticus) With and Without Foot pad Dermatitis. 有无足垫皮炎的蛋鸡血浆血清素的研究。
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2020-06-11 eCollection Date: 2020-01-01 DOI: 10.1177/1178646920927380
Daniela Alberghina, Vito Biondi, Annamaria Passantino, Fabiola Giunta, Michele Panzera

The aim of this study was to investigate whether plasma serotonin (5-hydroxytryptamine [5-HT]) was associated with the presence of foot pad dermatitis (FPD) in laying hens. FPD birds (n = 20) and healthy individuals (n = 22) were included. Plasma 5-HT was investigated. FPD laying hens showed significantly higher 5-HT levels (median = 6 µmol/L) compared with healthy individuals (median = 4.28 µmol/L, P < .001). When present, FPD were scored as either 1 (n = 12) indicating mildly to moderately abnormal or 2 indicating severely abnormal (n = 8). The subjects whose lesions scored 2 had higher plasma 5-HT levels than those whose lesions scored 1. Inflammatory mechanisms seem to be related to plasma 5-HT levels in laying hens. Assessing plasma 5-HT could be useful to evaluate chicken welfare.

本研究旨在探讨蛋鸡血浆血清素(5-羟色胺[5-HT])是否与足底皮炎(FPD)的存在相关。包括FPD鸟类(n = 20)和健康个体(n = 22)。检测血浆5-羟色胺。FPD蛋鸡的5-羟色胺水平(中位数= 6µmol/L)显著高于健康个体(中位数= 4.28µmol/L, P
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引用次数: 4
Nicotinamide N-Methyltransferase: Genomic Connection to Disease. 烟酰胺 N-甲基转移酶:基因组与疾病的联系
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2020-06-04 eCollection Date: 2020-01-01 DOI: 10.1177/1178646920919770
David B Ramsden, Rosemary H Waring, Richard B Parsons, David J Barlow, Adrian C Williams

Single-nucleotide polymorphisms (SNPs) in and around the nicotinamide N-methyltransferase (NNMT) gene are associated with a range of cancers and other diseases and conditions. The data on these associations have been assembled, and their strength discussed. There is no evidence that the presence of either the major or minor base in any SNP affects the expression of nicotinamide N-methyltransferase. Nevertheless, suggestions have been put forward that some of these SNPs do affect NNMT expression and thus homocysteine metabolism. An alternative idea involving non-coding messenger RNAs (mRNAs) is suggested as a possible mechanism whereby health is influenced. It is postulated that these long, non-coding NNMT mRNAs may exert deleterious effects by interfering with the expression of other genes. Neither hypothesis, however, has experimental proof, and further work is necessary to elucidate NNMT genetic interactions.

烟酰胺 N-甲基转移酶(NNMT)基因及其周围的单核苷酸多态性(SNPs)与一系列癌症及其他疾病和病症有关。我们收集了这些关联的数据,并对其强度进行了讨论。没有证据表明任何 SNP 中主要碱基或次要碱基的存在会影响烟酰胺 N-甲基转移酶的表达。不过,有人认为其中一些 SNP 确实会影响 NNMT 的表达,从而影响同型半胱氨酸的代谢。另一种观点认为,非编码信使核糖核酸(mRNA)是影响健康的一种可能机制。据推测,这些长的非编码 NNMT mRNA 可能会通过干扰其他基因的表达而产生有害影响。不过,这两种假设都没有得到实验证明,因此有必要进一步开展工作,阐明 NNMT 基因之间的相互作用。
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引用次数: 0
Tryptophan as a Central Hub for Host/Microbial Symbiosis. 色氨酸作为宿主/微生物共生的中心枢纽。
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2020-05-11 eCollection Date: 2020-01-01 DOI: 10.1177/1178646920919755
Monica Borghi, Matteo Puccetti, Marilena Pariano, Giorgia Renga, Claudia Stincardini, Maurizio Ricci, Stefano Giovagnoli, Claudio Costantini, Luigina Romani

Amino acid catabolism occurs during inflammation and regulates innate and adaptive immunity. The role of commensal bacteria in amino acid catabolism and the production of metabolites able to regulate the development and function of the innate immune system is increasingly being recognized. Therefore, commensal bacteria are key players in the maintenance of immune homeostasis. However, the intestinal microbiota also contributes to susceptibility and response to infectious diseases. This is self-evident for fungal infections known to occur as a consequence of weakened immune system and broad-spectrum antibiotic use or abuse. Thus, diseases caused by opportunistic fungi can no longer be viewed as dependent only on a weakened host but also on a disrupted microbiota. Based on these premises, the present review focuses on the role of amino acid metabolic pathways in the dialogue between the mammalian host and its microbiota and the potential implications in fungal commensalism and infectivity.

氨基酸分解代谢发生在炎症和调节先天和适应性免疫。共生菌在氨基酸分解代谢和代谢产物的产生中所起的作用,能够调节先天免疫系统的发育和功能,这一点越来越被认识到。因此,共生菌在维持免疫稳态中起着关键作用。然而,肠道微生物群也有助于对传染病的易感性和反应。对于已知由于免疫系统减弱和广谱抗生素使用或滥用而发生的真菌感染来说,这是不言而喻的。因此,由机会真菌引起的疾病不能再被视为仅仅依赖于衰弱的宿主,而且还依赖于被破坏的微生物群。基于这些前提,本综述主要关注氨基酸代谢途径在哺乳动物宿主及其微生物群之间的对话中的作用以及真菌共生和感染性的潜在影响。
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引用次数: 13
The 4 D's of Pellagra and Progress. Pellagra和Progress的4D。
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2020-04-16 eCollection Date: 2020-01-01 DOI: 10.1177/1178646920910159
Adrian C Williams, Lisa J Hill

Nicotinamide homeostasis is a candidate common denominator to explain smooth transitions, whether demographic, epidemiological or economic. This 'NAD world', dependent on hydrogen-based energy, is not widely recognised as it is neither measured nor viewed from a sufficiently multi-genomic or historical perspective. Reviewing the importance of meat and nicotinamide balances during our co-evolution, recent history suggests that populations only modernise and age well with low fertility on a suitably balanced diet. Imbalances on the low meat side lead to an excess of infectious disease, short lives and boom-bust demographics. On the high side, meat has led to an excess of degenerative, allergic and metabolic disease and low fertility. A 'Goldilocks' diet derived from mixed and sustainable farming (preserving the topsoil) allows for high intellectual capital, height and good health with controlled population growth resulting in economic growth and prosperity. Implementing meat equity worldwide could lead to progress for future generations on 'spaceship' earth by establishing control over population quality, thermostat and biodiversity, if it is not already too late.

烟酰胺稳态是解释平稳过渡的一个候选公分母,无论是人口统计学、流行病学还是经济学。这种依赖于氢能源的“NAD世界”并没有得到广泛认可,因为它既没有从足够多的基因组或历史角度进行测量,也没有从足够的角度进行看待。回顾肉类和烟酰胺平衡在我们共同进化过程中的重要性,最近的历史表明,只有在适当平衡的饮食下,人口才能在低生育率的情况下实现现代化和衰老。低肉方面的不平衡导致了传染病的泛滥、生命的缩短和人口的繁荣与萧条。从高的方面来说,肉类导致了过度的退行性、过敏性和代谢性疾病以及低生育能力。源自混合和可持续农业(保护表层土)的“金发姑娘”饮食可以获得高智力资本、身高和良好的健康,并控制人口增长,从而实现经济增长和繁荣。如果还不算太晚的话,在全球范围内实施肉类公平可以通过控制人口质量、恒温器和生物多样性,为子孙后代在“宇宙飞船”地球上带来进步。
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引用次数: 11
Inhibition of Indoleamine 2,3 Dioxygenase Does Not Improve Cancer-Related Symptoms in a Murine Model of Human Papilloma Virus–Related Head and Neck Cancer 抑制吲哚胺2,3双加氧酶不能改善人乳头瘤病毒相关头颈癌小鼠模型的癌症相关症状
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2019-08-01 DOI: 10.1177/1178646919872508
E. Vichaya, D. Vermeer, D. Budac, A. Lee, A. Grossberg, P. Vermeer, John H. Lee, R. Dantzer
The expression of indoleamine 2,3 dioxygenase (IDO) by tumors can contribute to immunotolerance, and IDO induced by inflammation can also increase risk for the development of behavioral alterations. Thus, this study was initiated to determine whether IDO inhibition, intended to facilitate tumor clearance in response to treatment, attenuates behavioral alterations associated with tumor growth and treatment. We used a murine model of human papilloma virus–related head and neck cancer. We confirmed that tumor cells express IDO and expression was increased by radiotherapy. Interestingly, inhibition of IDO activation by the competitive inhibitor 1-methyl tryptophan mildly exacerbated treatment-associated burrowing deficits (burrowing is a sensitive index of sickness in tumor-bearing mice). Genetic deletion of IDO worsened tumor outcomes and had no effect on the behavioral response as by decreased burrowing or reduced voluntary wheel running. In contrast, oral administration of a specific inhibitor of IDO1 provided no apparent benefit on the tumor response to cancer therapy, yet decreased voluntary wheel-running activity independent of treatment. These results indicate that, independent of its potential effect on tumor clearance, inhibition of IDO does not improve cancer-related symptoms.
肿瘤中吲哚胺2,3双加氧酶(IDO)的表达可促进免疫耐受,炎症诱导的IDO也可增加行为改变发生的风险。因此,本研究旨在确定IDO抑制是否会减弱与肿瘤生长和治疗相关的行为改变,IDO抑制旨在促进肿瘤对治疗的清除。我们使用了人类乳头瘤病毒相关头颈癌的小鼠模型。我们证实肿瘤细胞表达IDO,且放疗后表达增加。有趣的是,竞争性抑制剂1-甲基色氨酸对IDO激活的抑制轻度加重了治疗相关的挖洞缺陷(挖洞是荷瘤小鼠疾病的一个敏感指标)。IDO基因缺失使肿瘤预后恶化,并且对行为反应没有影响,如减少挖洞或减少自主跑动。相比之下,口服特定的IDO1抑制剂对肿瘤对癌症治疗的反应没有明显的益处,但减少了独立于治疗的自主跑轮活动。这些结果表明,除了对肿瘤清除的潜在作用外,抑制IDO并不能改善癌症相关症状。
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引用次数: 2
Nicotinamide and Demographic and Disease transitions: Moderation is Best. 烟酰胺与人口结构和疾病转变:适度是最好的。
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2019-07-03 eCollection Date: 2019-01-01 DOI: 10.1177/1178646919855940
Adrian C Williams, Lisa J Hill

Good health and rapid progress depend on an optimal dose of nicotinamide. Too little meat triggers the neurodegenerative condition pellagra and tolerance of symbionts such as tuberculosis (TB), risking dysbioses and impaired resistance to acute infections. Nicotinamide deficiency is an overlooked diagnosis in poor cereal-dependant economies masquerading as 'environmental enteropathy' or physical and cognitive stunting. Too much meat (and supplements) may precipitate immune intolerance and autoimmune and allergic disease, with relative infertility and longevity, via the tryptophan-nicotinamide pathway. This switch favours a dearth of regulatory T (Treg) and an excess of T helper cells. High nicotinamide intake is implicated in cancer and Parkinson's disease. Pro-fertility genes, evolved to counteract high-nicotinamide-induced infertility, may now be risk factors for degenerative disease. Moderation of the dose of nicotinamide could prevent some common diseases and personalised doses at times of stress or, depending on genetic background or age, may treat some other conditions.

良好的健康和快速的进步取决于烟酰胺的最佳剂量。太少的肉会引发神经退行性疾病,引发对结核病(TB)等共生体的耐受,从而有生物失调和急性感染抵抗力受损的风险。在依赖谷物的贫困经济体中,烟酰胺缺乏症是一个被忽视的诊断,它伪装成“环境肠病”或身体和认知发育迟缓。过多的肉类(和补充剂)可能会通过色氨酸烟酰胺途径引发免疫不耐受、自身免疫和过敏性疾病,并导致相对不孕和寿命延长。这种转变有利于调节性T(Treg)的缺乏和T辅助细胞的过度。烟酰胺摄入量高与癌症和帕金森病有关。促进生育的基因,进化来对抗高烟酰胺诱导的不孕,现在可能是退行性疾病的风险因素。适度的烟酰胺剂量可以预防一些常见疾病,在压力时可以个性化剂量,或者根据遗传背景或年龄,可以治疗其他一些疾病。
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引用次数: 3
Serotonin Syndrome: Pathophysiology, Clinical Features, Management, and Potential Future Directions. 血清素综合征:病理生理学、临床特征、管理和潜在的未来方向。
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2019-01-01 DOI: 10.1177/1178646919873925
William J Scotton, Lisa J Hill, Adrian C Williams, Nicholas M Barnes

Serotonin syndrome (SS) (also referred to as serotonin toxicity) is a potentially life-threatening drug-induced toxidrome associated with increased serotonergic activity in both the peripheral (PNS) and central nervous systems (CNS). It is characterised by a dose-relevant spectrum of clinical findings related to the level of free serotonin (5-hydroxytryptamine [5-HT]), or 5-HT receptor activation (predominantly the 5-HT1A and 5-HT2A subtypes), which include neuromuscular abnormalities, autonomic hyperactivity, and mental state changes. Severe SS is only usually precipitated by the simultaneous initiation of 2 or more serotonergic drugs, but the syndrome can also occur after the initiation of a single serotonergic drug in a susceptible individual, the addition of a second or third agent to long-standing doses of a maintenance serotonergic drug, or after an overdose. The combination of a monoamine oxidase inhibitor (MAOI), in particular MAO-A inhibitors that preferentially inhibit the metabolism of 5-HT, with serotonergic drugs is especially dangerous, and may lead to the most severe form of the syndrome, and occasionally death. This review describes our current understanding of the pathophysiology, clinical presentation and management of SS, and summarises some of the drugs and interactions that may precipitate the condition. We also discuss the newer novel psychoactive substances (NPSs), a growing public health concern due to their increased availability and use, and their potential risk to evoke the syndrome. Finally, we discuss whether the inhibition of tryptophan hydroxylase (TPH), in particular the neuronal isoform (TPH2), may provide an opportunity to pharmacologically target central 5-HT synthesis, and so develop new treatments for severe, life-threatening SS.

5 -羟色胺综合征(也称为5 -羟色胺毒性)是一种可能危及生命的药物引起的毒副反应,与外周神经系统(PNS)和中枢神经系统(CNS)的5 -羟色胺能活性增加有关。其特点是与游离血清素(5-羟色胺[5-HT])或5-HT受体激活(主要是5-HT1A和5-HT2A亚型)水平相关的剂量相关临床表现谱,包括神经肌肉异常、自主神经多动和精神状态改变。严重的SS通常只在同时服用2种或更多5 -羟色胺能药物时才会发生,但在易感个体服用单一5 -羟色胺能药物后,在长期服用维持5 -羟色胺能药物的基础上添加第二种或第三种药物,或服用过量后,也会发生这种综合征。这篇综述描述了我们目前对SS的病理生理、临床表现和治疗的理解,并总结了一些可能导致这种疾病的药物和相互作用。我们还讨论了较新的新型精神活性物质(nps),由于其可获得性和使用量的增加而日益引起公共卫生关注,以及它们引起综合征的潜在风险。最后,我们讨论了抑制色氨酸羟化酶(TPH),特别是神经元异构体(TPH2),是否可能为药物靶向中枢5-羟化酶合成提供机会,从而为严重的、危及生命的SS开发新的治疗方法。
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引用次数: 99
Tryptophan Metabolism as Source of New Prognostic Biomarkers for FAP Patients 色氨酸代谢作为FAP患者新的预后生物标志物的来源
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2019-01-01 DOI: 10.1177/1178646919890293
S. Crotti, C. Bedin, A. Bertazzo, M. Digito, M. Zuin, E. Urso, M. Agostini
Familial adenomatous polyposis (FAP), a common inherited form of colorectal cancer (CRC), causes the development of hundreds to thousands of colonic adenomas in the colorectum beginning in early adolescence. In absence of a prophylactic surgery, FAP patients almost inevitably develop CRC by the age of 40 to 50. The lack of valuable prognostic biomarkers for FAP patients makes it difficult to predict when the progression from adenoma to malignant carcinoma occurs. Decreased tryptophan (TRP) plasma levels and increased indoleamine 2,3-dioxygenase 1 (IDO1) and tryptophan hydroxylase 1 (TPH1) enzymatic activities have been associated to tumour progression in CRC. In the present study, we aimed at investigating whether an altered TRP metabolism might also exist in FAP patients. Our results highlighted that plasma levels of TRP and its main catabolites are comparable between FAP patients and healthy subject. On the contrary, FAP patients presented significantly higher TRP levels with respect to high-grade adenoma (ADE) subjects and CRC patients. Obtained data lead us to evaluate IDO1 and TPH1 enzymes activity in the study groups. For both enzymes, it was possible to discriminate correctly between FAP subject and ADE/CRC patients with high sensitivities and specificities. By receiver operating characteristic (ROC) curve analysis, the cut-off values of IDO1 and TPH1 enzymatic activities associated to the presence of an active malignant transformation have been calculated as >38 and >5.5, respectively. When these cut-off values are employed, the area under the curve (AUC) is > 0.8 for both, indicating that TRP metabolism in patients with FAP may be used to monitor and predict the tumorigenic evolution.
家族性腺瘤性息肉病(FAP)是一种常见的遗传性结直肠癌(CRC),从青春期早期开始,在结直肠中导致数百至数千个结肠腺瘤的发展。在没有预防性手术的情况下,FAP患者几乎不可避免地在40至50岁时发展为结直肠癌。由于FAP患者缺乏有价值的预后生物标志物,因此很难预测何时从腺瘤进展为恶性癌。色氨酸(TRP)血浆水平的降低和吲哚胺2,3-双加氧酶1 (IDO1)和色氨酸羟化酶1 (TPH1)酶活性的升高与结直肠癌的肿瘤进展有关。在本研究中,我们旨在研究是否在FAP患者中也存在TRP代谢的改变。我们的研究结果强调,血浆中TRP及其主要分解代谢物的水平在FAP患者和健康人之间具有可比性。相反,FAP患者的TRP水平明显高于高级别腺瘤(ADE)患者和CRC患者。获得的数据使我们评估了研究组中IDO1和TPH1酶的活性。对于这两种酶,可以正确区分FAP患者和ADE/CRC患者,具有高敏感性和特异性。通过受试者工作特征(ROC)曲线分析,计算出与活动性恶性转化存在相关的IDO1和TPH1酶活性的临界值分别为>38和>5.5。当采用这些截断值时,两者的曲线下面积(AUC)均> 0.8,表明FAP患者的TRP代谢可用于监测和预测其致瘤进展。
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引用次数: 4
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International Journal of Tryptophan Research
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