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The Nose Knows: Olfaction as a Metabolic Gatekeeper in Health and Disease. 鼻子知道:嗅觉是健康和疾病的代谢看门人。
IF 10.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-05-23 DOI: 10.1152/physiol.00007.2025
Diogo Manoel, Eman Abou Moussa, Asma Al-Naama, Luis R Saraiva

Long regarded as an accessory sense, olfaction is now emerging as a metabolic architect, an active agent in energy homeostasis, appetite regulation, and systemic physiology. This review explores the converging lines of evidence positioning the olfactory system not as a passive enhancer of flavor but as a dynamic mediator between environment, behavior, and internal metabolic state. Food odors engage specific olfactory receptors (ORs), which are embedded in neural circuits that project to hypothalamic, limbic, and reward regions. These circuits modulate insulin release, lipid metabolism, thermogenesis, and feeding behavior, often before a single bite is taken. This sensory-metabolic dialogue is continuously tuned by hormonal signals (e.g., leptin, ghrelin, insulin) and deeply shaped by genetic variation across the ∼400 human OR genes, where individual differences in perception carry metabolic consequences. Yet this ancient sensory system now operates in a radically altered chemical landscape. Synthetic volatiles, industrial food aromas, and urban pollutants desensitize olfactory pathways, potentially contributing to overeating and metabolic disease. In parallel, a new therapeutic frontier is emerging: targeted modulation of olfactory pathways, via intranasal hormones, neuromodulation, sensory retraining, and personalized interventions informed by OR genotypes, offers a compelling strategy for precision metabolic care. Revisiting Sydney Whiting's 1853 satire, in which "Smell" was cast as a meddling underling at the digestive gates, we now find this once-overlooked sentinel wielding remarkable authority. The nose, it turns out, knows and may yet hold the key to rebalancing metabolism in a world that smells very different from the one we evolved to navigate.

长期以来,嗅觉被认为是一种辅助感觉,而现在,它正在成为一种代谢建筑师——一种能量平衡、食欲调节和全身生理的活跃因子。这篇综述探讨了将嗅觉系统定位为环境、行为和内部代谢状态之间的动态中介而不是被动的风味增强者的证据。食物气味与特定的嗅觉感受器(ORs)有关,这些感受器嵌入到下丘脑、边缘和奖励区域的神经回路中。这些回路调节胰岛素释放、脂质代谢、产热和摄食行为——通常是在咬一口之前。这种感觉-代谢对话由激素信号(如瘦素、胃饥饿素、胰岛素)不断调节,并受到约400个人类OR基因的遗传变异的深刻影响,其中感知的个体差异会带来代谢后果。然而,这个古老的感官系统现在在一个彻底改变的化学环境中运作。合成挥发物、工业食品香气和城市污染物使嗅觉通路失去敏感性,可能导致暴饮暴食和代谢疾病。与此同时,一个新的治疗前沿正在出现:嗅觉通路的靶向调节——通过鼻内激素、神经调节、感觉再训练和由OR基因型通知的个性化干预——为精确代谢护理提供了一个令人信服的策略。重读悉尼·怀廷(Sydney Whiting) 1853年的讽刺作品,我们发现这个曾经被忽视的哨兵拥有非凡的权威。在这部作品中,“气味”被塑造成一个在消化系统门口爱管闲事的下属。事实证明,鼻子知道并可能掌握着平衡新陈代谢的关键,因为这个世界的气味与我们进化出来的世界截然不同。
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引用次数: 0
Harnessing Computational Strategies to Overcome Challenges in mRNA Vaccines. 利用计算策略克服mRNA疫苗中的挑战。
IF 10.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-03-10 DOI: 10.1152/physiol.00047.2024
Siyu Zhao, Jingjing Chen, Tian Dai, Guohong Li, Letao Huang, Jinxiu Xin, Yupei Zhang, Yuting Chen, Xi He, Hai Huang, Xiaoling Yin, Shengbin Liu, Mengran Guo, Hu Zhang, Shugang Qin, Min Wu, Xiangrong Song

In recent years, the introduction of mRNA vaccines for SARS-CoV2 and respiratory syncytial virus (RSV) has highlighted the success of the mRNA technology platform. Designing mRNA sequences involves multiple components and requires balancing several parameters, including enhancing transcriptional efficiency, boosting antigenicity, and minimizing immunogenicity. Moreover, changes in the composition and properties of delivery vehicles can also affect vaccine performance. Traditional methods of experimentally testing these conditions are time-consuming, labor-intensive, and costly, necessitating advanced optimization strategies. Recently, the rapid development of computational tools has significantly accelerated the optimization process for mRNA vaccines. In this review, we systematically examine computation-aided approaches for optimizing mRNA components, including coding and noncoding regions, and for improving the efficiency of lipid nanoparticle (LNP) delivery systems by focusing on their composition, ratios, and characterization. The use of computational tools can significantly accelerate mRNA vaccine development, enabling rapid responses to emerging infectious diseases and supporting the development of precise, personalized therapies. These approaches may guide the future direction of mRNA vaccine development. Our review aims to provide integrated constructive support for computer-aided mRNA vaccine design.

近年来,SARS-CoV2和RSV mRNA疫苗的推出凸显了mRNA技术平台的成功。设计mRNA序列涉及多个成分,需要平衡多个参数,包括提高转录效率、增强抗原性和最小化免疫原性。此外,运载工具的组成和性质的变化也会影响疫苗的性能。传统的实验测试这些条件的方法耗时、费力且昂贵,需要先进的优化策略。近年来,计算工具的快速发展大大加快了mRNA疫苗的优化过程。在这篇综述中,我们系统地研究了优化mRNA成分的计算辅助方法,包括编码区和非编码区,以及通过关注脂质纳米颗粒(LNP)的组成、比例和表征来提高其递送系统的效率。计算工具的使用可以显著加快mRNA疫苗的开发,从而能够对新出现的传染病做出快速反应,并支持开发精确、个性化的疗法。这些方法可能指导未来mRNA疫苗开发的方向。本综述旨在为计算机辅助mRNA疫苗设计提供综合的建设性支持。
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引用次数: 0
Targeting the Hippo Pathway for Cardiac Regeneration. 靶向Hippo通路的心脏再生。
IF 10.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-05-13 DOI: 10.1152/physiol.00003.2025
Rich Gang Li, Fansen Meng, James F Martin

Ischemic heart disease, which affects more than 200 million people worldwide, is caused by reduced blood flow to the heart and leads to widespread cardiomyocyte death. Due to the limited regenerative potential of cardiomyocytes, the lost tissue is replaced by a fibrotic scar, resulting in reduced cardiac function and progression to heart failure. Current therapeutic interventions aim to improve blood flow but cannot address the inability of cardiomyocytes to renew after injury. However, multiple studies have shown that modulating the Hippo signaling pathway to activate Yes-associated protein (YAP), a transcription coactivator, in adult murine and porcine cardiomyocytes induces robust cardiomyocyte proliferation. Here, we discuss the therapeutic potential of YAP activation in the context of cardiac renewal, with a focus on both cardiomyocyte intrinsic mechanisms and the role of the microenvironment. These findings provide important insights into cardiac regeneration and strategies for developing therapies for human patients.

缺血性心脏病影响到全世界2亿多人,它是由流向心脏的血流量减少引起的,并导致广泛的心肌细胞死亡。由于心肌细胞的再生潜力有限,失去的组织被纤维化疤痕所取代,导致心功能降低并进展为心力衰竭。目前的治疗干预旨在改善血液流动,但不能解决心肌细胞损伤后无法更新的问题。然而,多项研究表明,在成年小鼠和猪心肌细胞中,调节Hippo信号通路以激活YAP(一种转录辅激活因子)可诱导心肌细胞强劲增殖。在这里,我们讨论了在心脏更新的背景下YAP激活的治疗潜力,重点是心肌细胞的内在机制和微环境的作用。这些发现为心脏再生和开发人类患者治疗策略提供了重要的见解。
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引用次数: 0
Beyond Clathrin: Decoding the Mechanism of Ultrafast Endocytosis. 超越网格蛋白:解码超快内吞作用机制。
IF 10.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-09-01 Epub Date: 2025-03-10 DOI: 10.1152/physiol.00041.2024
Yuuta Imoto, Shigeki Watanabe

Endocytosis in nonneuronal cells requires gradual recruitment of proteins to endocytic sites for inducing membrane curvature and forming scaffolds around the neck of endocytic pits. This recruitment process is thought to be rate-limiting, requiring tens of seconds. In contrast, a form of endocytosis in neurons called ultrafast endocytosis is much faster, requiring only 100 ms. In this review, we compare the mechanisms of protein recruitment during clathrin-mediated endocytosis in nonneuronal cells and ultrafast endocytosis in neurons and discuss how endocytosis can complete within 100 ms. We then discuss the potential clinical relevance of this endocytic pathway.

非神经元细胞的内吞作用需要蛋白质逐渐募集到内吞部位,以诱导膜弯曲并在内吞坑颈部周围形成可收缩的支架。这个招募过程被认为是有速率限制的,需要几十秒。相比之下,神经元内吞作用的一种称为超快内吞作用的形式要快得多,突触囊泡蛋白的内吞作用只需要100毫秒。在这篇综述中,我们比较了网格蛋白介导的非神经元细胞内吞作用和神经元超快内吞作用中蛋白质募集的机制,并讨论了如何在100毫秒内完成内吞作用。然后我们讨论了这种内吞途径的潜在临床意义。
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引用次数: 0
MFSD2A in Focus: the Molecular Mechanism of Omega-3 Fatty Acid Transport. MFSD2A聚焦:omega-3脂肪酸转运的分子机制。
IF 5.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-09-01 Epub Date: 2025-03-24 DOI: 10.1152/physiol.00068.2024
Farrah Blades, Aysenur Torun Yazici, Rosemary Jane Cater, Filippo Mancia

Omega-3 fatty acids, such as docosahexaenoic acid (DHA), are essential nutrients required to support the growth, maintenance, and function of the central nervous system (CNS). While the brain has a high demand for DHA, it cannot synthesize it de novo and thus relies on its uptake from the bloodstream. Circulating DHA is primarily obtained from dietary sources and is transported across the blood-brain barrier (BBB) in the form of lysophosphatidylcholine (LPC-DHA) by the transmembrane transporter major facilitator superfamily domain containing 2A (MFSD2A) in a sodium-dependent manner. Here we provide a comprehensive analysis of recent insights gained from structural, functional, and computational studies of MFSD2A. We focus on the mechanism by which this transporter mediates sodium-dependent uptake of LPC-DHA, and lysolipids more broadly, highlighting different conformational states, substrate entry and release pathways, and the ligand binding sites. This review presents a detailed overview of the molecular mechanism that enables MFSD2A to supply the brain with this essential nutrient, while simultaneously providing biophysical insights into how lysolipids are transported across biological membranes.

Omega-3脂肪酸,如二十二碳六烯酸(DHA),是支持中枢神经系统(CNS)生长、维持和功能所必需的营养素。虽然大脑对DHA有很高的需求,但它不能从头合成,因此依赖于从血液中摄取。循环DHA主要从膳食来源获得,并通过含2A的跨膜转运体主要促进剂超家族结构域(MFSD2A)以溶血磷脂酰胆碱(LPC-DHA)的形式通过血脑屏障(BBB)以钠依赖的方式运输。在这里,我们提供了从MFSD2A的结构、功能和计算研究中获得的最新见解的综合分析。我们重点研究了这种转运体介导LPC-DHA钠依赖性摄取的机制,以及更广泛的溶脂,强调了不同的构象状态、底物进入和释放途径以及配体结合位点。这篇综述详细概述了MFSD2A为大脑提供这种必需营养素的分子机制,同时提供了溶脂如何跨生物膜运输的生物物理学见解。
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引用次数: 0
Utilizing Omic Data to Understand Integrative Physiology. 利用组学数据理解综合生理学。
IF 10.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-09-01 Epub Date: 2025-02-12 DOI: 10.1152/physiol.00045.2024
Mark A Knepper

Over the past several decades, physiological research has undergone a progressive shift toward greater and greater reductionism, culminating in the rise of "molecular physiology." The introduction of omic techniques, chiefly protein mass spectrometry and next-generation DNA sequencing (NGS), has further accelerated this trend, adding massive amounts of information about individual genes, mRNA transcripts, and proteins. However, the long-term goal of understanding physiological and pathophysiological processes at a whole organism level has not been fully realized. This review summarizes the major protein mass spectrometry and NGS techniques relevant to physiology and explores the challenges of merging data from omic methodologies with data from traditional hypothesis-driven research to broaden the understanding of physiological mechanisms. It summarizes recent progress in large-scale data integration through 1) creation of online user-friendly omic data resources with cross-indexing across datasets to democratize access to omic data; 2) application of Bayesian methods to combine data from multiple omic datasets with knowledge from hypothesis-driven studies to address specific physiological and pathophysiological questions; and 3) application of concepts from natural language processing to probe the literature and to create user-friendly causal graphs representing physiological mechanisms. Progress in development of so-called large language models, e.g. ChatGPT, for knowledge integration is also described, along with a discussion of the shortcomings of large language models with regard to management and integration of physiological data.

在过去的几十年里,生理学研究经历了一个越来越多的还原论的渐进转变,最终导致了“分子生理学”的兴起。基因组学技术的引入,主要是蛋白质质谱法和下一代DNA测序(NGS),进一步加速了这一趋势,增加了大量关于个体基因、mRNA转录物和蛋白质的信息。然而,在整个生物体水平上理解生理和病理生理过程的长期目标尚未完全实现。本文总结了与生理学相关的主要蛋白质质谱和NGS技术,并探讨了将基因组学方法的数据与传统假设驱动研究的数据相结合以扩大对生理机制的理解的挑战。它总结了大规模数据集成的最新进展:1)创建在线用户友好的Omic数据资源,跨数据集进行交叉索引,使对Omic数据的访问民主化;2)应用贝叶斯方法将来自多个基因组数据集的数据与假设驱动研究的知识相结合,以解决特定的生理和病理生理问题;3)应用自然语言处理的概念,探索文献,创建用户友好的生理机制因果图。本文还描述了用于知识整合的所谓“大型语言模型”(如ChatGPT)的发展进展,并讨论了大型语言模型在管理和整合生理数据方面的缺点。
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引用次数: 0
Undernutrition-Associated Diabetes Mellitus: Pathophysiology of a Global Problem. 营养不良相关的糖尿病:一个全球性问题的病理生理学。
IF 10.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-09-01 Epub Date: 2025-03-06 DOI: 10.1152/physiol.00065.2024
Pradnyashree Wadivkar, Nihal Thomas, Felix Jebasingh, Valjean Raiden Bacot-Davis, Rohan Maini, Meredith Hawkins

Early-life undernutrition is known to be a potentially important risk factor for the development of diabetes mellitus in adult life. Additionally, some literature suggests that undernutrition during later life or adulthood may lead to metabolic consequences, including diabetes, despite an individual's normal nutritional status earlier in life. Notably, individuals with diabetes and undernutrition show some unique features that do not fit the usual phenotype of type 2 diabetes mellitus, such as a low body mass index of <18.5 kg/m2, resistance to ketosis, and low serum C-peptide levels. Many global descriptions of this unique phenotype have led to a controversy that "undernutrition-associated diabetes mellitus" is a distinct form of diabetes, deserving a separate diabetes category in the WHO classification of diabetes. However, a few investigators argue that undernutrition-associated diabetes mellitus is one of the variants of the classical forms of diabetes. The second controversy is whether adult undernutrition is independently associated with metabolic abnormalities. Its pathophysiology has been difficult to determine, given confounding factors such as infections that can complicate the direct effects of malnutrition. Studies have shown that insulin deficiency due to pancreatic β-cell impairment is likely to contribute to the development of undernutrition-associated diabetes. To examine these controversies, further research is warranted to understand the role of undernutrition in the pathogenesis of undernutrition-associated diabetes. This review aims to shed more light on these controversies, focusing on whether diabetes in malnourished individuals represents a distinct diabetes category and the association between malnutrition and diabetes in adults.

众所周知,早期营养不良是成年后发展为糖尿病的一个潜在的重要危险因素。此外,一些文献表明,尽管一个人在生命早期的营养状况正常,但晚年或成年期的营养不良可能导致代谢后果,包括糖尿病。值得注意的是,患有糖尿病和营养不良的个体表现出一些独特的特征,这些特征不符合2型糖尿病的通常表型-例如低体重指数2,对酮症的抵抗力和低血清c肽水平。全球对这一独特表型的许多描述引发了一场争论,即“营养不良相关性糖尿病”是糖尿病的一种独特形式,应在世卫组织糖尿病分类中单独列入糖尿病类别。然而,一些研究人员认为,营养不良相关的糖尿病是糖尿病经典形式的一种变体。第二个争议是成人营养不良是否与代谢异常独立相关。由于感染等混杂因素会使营养不良的直接影响复杂化,其病理生理学一直难以确定。研究表明,胰腺β细胞损伤引起的胰岛素缺乏可能导致营养不良相关糖尿病的发展。为了检验这些争议,有必要进一步研究营养不良在营养不良相关糖尿病发病机制中的作用。这篇综述旨在进一步阐明这些争议,重点关注营养不良个体的糖尿病是否代表一个独特的糖尿病类别以及成人营养不良与糖尿病之间的关系。
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引用次数: 0
Hypoxia-Inducible Factor 2α: at the Interface between Oxygen Sensing Systems in Physiology and Pathology. HIF2α:生理和病理中氧传感系统之间的接口。
IF 10.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-09-01 Epub Date: 2025-02-13 DOI: 10.1152/physiol.00043.2024
Tammie Bishop, Peter J Ratcliffe

More than 100 years after the original descriptions of altitude adaptation, it is now clear that many of these responses are mediated by a specific isoform of the transcription factor hypoxia-inducible factor (HIF)-2α. Here, we review this work, including connectivity with the oxygen chemosensitive response itself and with paraganglioma, a tumor often affecting chemosensitive tissues.

在海拔适应最初描述的100多年后,现在很清楚,许多这些反应是由转录因子缺氧诱导因子(HIF-2α)的特定亚型介导的。在这里,我们回顾了这项工作,包括与氧化学敏感反应本身的联系,以及与副神经节瘤(一种经常影响化学敏感组织的肿瘤)的联系。
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引用次数: 0
SCRaMbLE: a Versatile Tool for Genome Manipulation. SCRaMbLE:基因组操作的多功能工具。
IF 5.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-09-01 Epub Date: 2025-02-12 DOI: 10.1152/physiol.00049.2024
Li Cheng, Jielin Li, Yaojun Chen, Junbiao Dai

Genomic rearrangements play an important role in shaping genetic diversity, as they enable the generation of novel structural variations through specific genome manipulation tools. These variations contribute to phenotypic differences among individuals within a population, thereby serving as the foundation for natural selection and driving evolutionary processes. In recent years, synthetic chromosome rearrangement and modification by LoxP-mediated evolution (SCRaMbLE) has emerged as a promising tool for studying genomic rearrangements. SCRaMbLE utilizes site-specific recombination mediated by loxPsym sites to induce targeted chromosomal rearrangements in yeast cells. In this review, we provide a comprehensive overview of recent advancements in optimization strategies of the SCRaMbLE system and discuss influential factors that affect its performance based on recent research findings. We demonstrate how the SCRaMbLE system can be employed for pathway engineering, phenotype improvement, genome minimization, and dissection of genotype-to-phenotype relationships. We highlight both the advantages and challenges associated with SCRaMbLE and envision its potential applications beyond yeast genetics.

基因组重排在塑造遗传多样性方面发挥着重要作用,因为它们能够通过特定的基因组操作工具产生新的结构变异。这些变异导致了种群中个体之间的表型差异,从而成为自然选择和推动进化过程的基础。近年来,通过loxp介导的进化合成染色体重排和修饰(SCRaMbLE)已成为研究基因组重排的一种很有前途的工具。SCRaMbLE利用loxPsym位点介导的位点特异性重组来诱导酵母细胞中的靶向染色体重排。在这篇综述中,我们全面概述了SCRaMbLE系统优化策略的最新进展,并根据最近的研究成果讨论了影响其性能的影响因素。我们展示了SCRaMbLE系统如何用于途径工程、表型改进、基因组最小化和基因型-表型关系的解剖。我们强调了与SCRaMbLE相关的优势和挑战,并展望了它在酵母遗传学之外的潜在应用。
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引用次数: 0
The Impact of Climate Change on Plant Physiology and Health. 气候变化对植物生理和人类健康的影响。
IF 5.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2025-09-01 Epub Date: 2025-03-13 DOI: 10.1152/physiol.00067.2024
Lewis H Ziska

There is a fundamental need to consider plant physiology in relation to human health as it encompasses a number of often overlooked issues, from plant-based medicines to nutrition. The goal here is to provide a historical narrative of plant physiological and biological responses to rising CO2 and climate variability while addressing current controversies and finally a "next steps" overview of current links between plants and human health and crucial, unmet research needs.

考虑与人类健康有关的植物生理学是一种根本的需要,因为它包括从植物性药物到营养等许多经常被忽视的问题。这里的目标是提供植物对二氧化碳上升和气候变化的生理和生物反应的历史叙述,同时解决当前的争议。最后,“下一步”概述了目前植物与人类健康之间的联系,以及关键的、未得到满足的研究需求。
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引用次数: 0
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