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Heat stress sensitizes zebrafish embryos to neurological and cardiac toxicity. 热应激使斑马鱼胚胎对神经和心脏毒性敏感。
Pub Date : 2024-09-04 DOI: 10.1101/2024.09.03.609146
Anna-Mari Haapanen-Saaristo, Noora Virtanen, Elena Tcarenkova, Katri Mataleena Vaparanta, Minna Ampuja, Eeva-Riikka Vehniäinen, Ilkka Paatero
Global warming increases the risk of dangerous heat waves, which may have deleterious effects on humans and wildlife. Here, we have utilized zebrafish embryos as a model to analyse heat stress and effect of chemical compounds on responses to heat stress. The temperature adaptation limit of zebrafish embryos was 37°C in behavioural test and 38°C in cardiac test. Polyaromatic hydrocarbon phenanthrene completely blocked the behavioural adaptation to heat stress. Interestingly, the cardiotoxic effects of lapatinib, phenanthrene and paclitaxel were induced by heat stress. Taken together, our data indicates that motility and cardiac function of zebrafish embryos can be utilized as a model to analyze modulatory effects of compounds on heat-stress.
全球变暖增加了危险热浪的风险,可能对人类和野生动物造成有害影响。在此,我们以斑马鱼胚胎为模型,分析热应激和化合物对热应激反应的影响。斑马鱼胚胎行为测试的温度适应极限为 37°C,心脏测试的温度适应极限为 38°C。多芳烃菲完全阻断了斑马鱼对热应激的行为适应。有趣的是,拉帕替尼、菲类和紫杉醇的心脏毒性作用都是由热应激诱导的。综上所述,我们的数据表明,斑马鱼胚胎的运动和心脏功能可用作分析化合物对热应激调节作用的模型。
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引用次数: 0
Discerning Specific Thrombolytic Activities and Blood Clot Degradomes of Diverse Snake Venoms with Untargeted Peptidomics 用非靶向肽组学鉴别不同蛇毒的特异性溶栓活性和血凝块降解基因组
Pub Date : 2024-09-02 DOI: 10.1101/2024.08.30.610527
Cara F. Smith, Mamadou Alpha Balde, Lilyrose Bahrabadi, Merilyn Amponsah-Asamoah, Keira Y. Larson, Sean P. Maroney, David Ceja-Galindo, Martin Millimouno, Naby Camara, Jordan Benjamin, Nicklaus P. Brandehoff, Cassandra M. Modahl, Maxwell C. McCabe, Mitchell J. Cohen, Todd A. Castoe, Cellou Balde, Kate Jackson, Stephen P. Mackessy, Kirk C. Hansen, Anthony J. Saviola
Identification and characterization of snake venom toxins that interfere with hemostasis have important implications for the treatment of snake envenomation, the bioprospecting of therapeutically useful molecules, and the development of research tools for investigating hematologic disorders. Many venoms have been shown to possess thrombolytic activity. However, it remains unclear if actions on other clot-stabilizing proteins beyond fibrin chains contribute significantly to venom-induced thrombolysis because the clot-wide targets of venom proteases and the mechanisms responsible for thrombolysis are not well understood. Here, we utilize a high-throughput time-based thrombolysis assay in combination with untargeted peptidomics to provide comprehensive insight into the effects of venom from six snake species on blood clot degradation. We compare thrombolytic profiles across venoms with variable levels of proteases and generate venom-specific fingerprints of cleavage specificity. We also compare the specific effects of venoms that possess a range of thrombolytic activity on fibrin subunits and other clot-bound proteins involved in clot structure. Venoms with higher thrombolytic activity demonstrated an enhanced ability to target multiple sites across fibrin chains critical to clot stability and structure, as well as clot-stabilizing proteins including fibronectin and vitronectin. Collectively, this study significantly expands our understanding of the thrombolytic and fibrinolytic effects of snake venom by determining the full suite of clot-specific venom targets that are involved in clot formation and stability.
鉴定和描述干扰止血的蛇毒毒素对治疗蛇毒中毒、生物勘探治疗有用的分子以及开发研究血液病的研究工具具有重要意义。许多毒液已被证明具有溶栓活性。然而,除了纤维蛋白链之外,毒液对其他凝块稳定蛋白的作用是否对毒液诱导的溶栓起重要作用仍不清楚,因为毒液蛋白酶的凝块范围靶点和溶栓机制尚不十分清楚。在这里,我们利用一种基于时间的高通量溶栓试验,结合非靶向肽组学,全面了解了六种蛇的毒液对血凝块降解的影响。我们比较了不同蛋白酶含量的毒液的溶栓情况,并生成了毒液特异性裂解指纹。我们还比较了具有不同溶栓活性的毒液对纤维蛋白亚基和其他参与血凝块结构的血凝块结合蛋白的特异性影响。溶栓活性较高的毒液表现出更强的靶向能力,可靶向对血凝块稳定性和结构至关重要的纤维蛋白链上的多个位点,以及包括纤连蛋白和玻璃连蛋白在内的血凝块稳定蛋白。总之,这项研究通过确定参与凝块形成和稳定性的全套凝块特异性毒液靶点,极大地扩展了我们对蛇毒溶栓和纤维蛋白溶解作用的认识。
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引用次数: 0
Suspect screening-data independent analysis workflow for the identification of arsenolipids in marine standard reference materials 用于鉴定海洋标准参考材料中砷脂的疑似筛选--数据独立分析工作流程
Pub Date : 2024-09-02 DOI: 10.1101/2024.08.31.610588
Shubhra Bhattacharjee, Miguel A Chacon-Teran, Michael Findlater, Stacey M Louie, Jeremy D Bailoo, Amrika Deonarine
There has been limited research into arsenolipid toxicological risks and health-related outcomes due to challenges with their separation, identification, and quantification within complex biological matrices (e.g., fish, seaweed). Analytical approaches for arsenolipid identification such as suspect screening have not been well documented and there are no certified standard reference materials, leading to issues with reproducibility and uncertainty regarding the accuracy of results. In this study, a detailed workflow for the identification of arsenolipids utilizing suspect screening coupled with data independent analysis is presented and applied to three commercially available standard reference materials (Hijiki seaweed, dogfish liver, and tuna). Hexane and dichloromethane/methanol extraction, followed by reversed-phase high-performance liquid chromatography-inductively coupled plasma mass spectrometry and liquid chromatography-electrospray ionization-quadrupole time-of-flight mass spectrometry. Using the workflow developed, mass fragmentation matching, mass error calculations, and retention time matching were performed to identify suspect arsenolipids. Arseno-fatty acids (AsFAs), arsenohydrocarbons (AsHCs), and arsenosugar phospholipids (AsSugPLs) were identified with high confidence; AsHC332, AsHC360, and AsSugPL720 in seaweed, AsHC332 in tuna, and AsFA474 and AsFA502 in the dogfish liver. AsHC332, AsHC360, and AsFA502 were identified as promising candidates for further work on synthesis, quantification using MS/MS, and toxicity testing.
由于砷脂在复杂的生物基质(如鱼类、海藻)中的分离、鉴定和定量面临挑战,因此对砷脂的毒理学风险和健康相关结果的研究十分有限。疑似筛选等砷脂鉴定分析方法尚未得到充分记录,也没有经过认证的标准参考材料,这导致了结果准确性方面的可重复性和不确定性问题。本研究介绍了利用疑似筛选和数据独立分析鉴定砷脂的详细工作流程,并将其应用于三种市售标准参考材料(Hijiki 海藻、狗鱼肝脏和金枪鱼)。首先进行正己烷和二氯甲烷/甲醇提取,然后进行反相高效液相色谱-电感耦合等离子体质谱法和液相色谱-电喷雾离子化-四极杆飞行时间质谱法分析。利用所开发的工作流程,进行了质量碎片匹配、质量误差计算和保留时间匹配,以确定可疑的砷脂。高置信度鉴定出了砷脂肪酸(AsFAs)、砷碳氢化合物(AsHCs)和砷糖磷脂(AsSugPLs);海藻中的 AsHC332、AsHC360 和 AsSugPL720,金枪鱼中的 AsHC332,以及狗鱼肝脏中的 AsFA474 和 AsFA502。AsHC332、AsHC360 和 AsFA502 被确定为有希望的候选物质,可进一步开展合成、使用 MS/MS 定量和毒性测试等工作。
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引用次数: 0
Method for determining of cytotoxicity based on the release of fluorescent proteins 根据荧光蛋白的释放确定细胞毒性的方法
Pub Date : 2024-09-02 DOI: 10.1101/2024.08.31.610658
Dmitry Lifanov, Dulamsuren Zorigt, Evgenya Shabalina, Abdullah Khalil, Konstantin Gorbunov, Elena Petersen
This paper describes a method for determining the cytotoxicity of chemical compounds based on the detection of fluorescent proteins - in this case, green fluorescent protein (GFP) and red fluorescent protein (RFP), which are released into the medium from dead cells. This method is similar in principle to the lactate dehydrogenase test (LDH test), but it does not require a reaction with a chromogenic substrate. This method also makes it possible to independently determine the viability of different lines when used in cocultures. Experiments were preformed on a classical monolayer, spheroids and 3D cultures in alginate hydrogel. Capecitabine was used as a model cytotoxic agent. We included liver cells (Huh7) in a coculture model and determined changes in the cytotoxicity levels of capecitabine against NCI-H1299 cells. The experimental part also found that there were differences in sensitivity to capecitabine depending on the type of 3D cultures used.
本文介绍了一种通过检测荧光蛋白(本例中为绿色荧光蛋白(GFP)和红色荧光蛋白(RFP))来确定化学物质细胞毒性的方法。这种方法的原理与乳酸脱氢酶检测(LDH 检测)相似,但不需要与发色底物发生反应。这种方法还能独立测定不同品系共培养时的存活率。实验在传统单层、球形和藻酸盐水凝胶三维培养物上进行。卡培他滨被用作细胞毒剂模型。我们将肝细胞(Huh7)纳入共培养模型,并测定了卡培他滨对 NCI-H1299 细胞的细胞毒性水平变化。实验部分还发现,所使用的三维培养物类型不同,对卡培他滨的敏感性也不同。
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引用次数: 0
A Systematic Analysis of Read-Across Adaptations in Testing Proposal Evaluations by the European Chemicals Agency 系统分析欧洲化学品管理局测试建议评估中的读取-交叉适应性
Pub Date : 2024-08-30 DOI: 10.1101/2024.08.29.610278
Hannah Roe, Han-Hsuan D Tsai, Nicholas Ball, Fred A Wright, Weihsueh Chiu, Ivan Rusyn
An important element of the European Unions Registration, Evaluation, Authorisation and Restriction of Chemicals (REACH) regulation is the evaluation by the European Chemicals Agency (ECHA) of testing proposals submitted by the registrants to address data gaps in standard REACH information requirements. The registrants may propose adaptations, and ECHA evaluates the reasoning and issues a written decision. Read-across is a common adaptation type, yet it is widely assumed that ECHA often does not agree that the justifications are adequate to waive standard testing requirements. From 2008 to August 2023, a total of 2,630 Testing Proposals were submitted to ECHA; of these, 1,538 had published decisions that were systematically evaluated in this study. Each document was manually reviewed, and information extracted for further analyses. Read-across hypotheses were standardized into 17 assessment elements (AEs); each submission was classified as to the AEs relied upon by the registrants and by ECHA. Data was analyzed for patterns and associations. Testing Proposal Evaluations (TPEs) with adaptations comprised 23% (353) of the total; analogue (168) or group (136) read-across adaptations were most common. Of 304 read-across-containing TPEs, 49% were accepted; the odds of acceptance were significantly greater for group read-across submissions. The data was analyzed by Annex (i.e., tonnage), test guideline study, read-across hypothesis AEs, as well as target and source substance types and their structural similarity. While most ECHA decisions with both positive and negative decisions on whether the proposed read-across was adequate were context-specific, a number of significant associations were identified that influence the odds of acceptance. Overall, this analysis provides an unbiased overview of 15 years of experience with testing proposal-specific read-across adaptations by both registrants and ECHA. These data will inform future submissions as they identify most critical AEs to increase the odds of read-across acceptance.
欧盟《化学品注册、评估、许可和限制》(REACH)法规的一项重要内容是由欧洲化学品管理局(ECHA)对注册人提交的测试建议进行评估,以解决 REACH 标准信息要求中的数据缺口。注册人可提出调整建议,欧洲化学品管理局会对理由进行评估,并发布书面决定。读过是一种常见的适应类型,但人们普遍认为,欧洲化学品管理局往往不同意这些理由足以免除标准测试要求。从 2008 年到 2023 年 8 月,共向欧洲化学品管理局提交了 2,630 份测试提案;其中 1,538 份已发布决定,本研究对其进行了系统评估。每份文件都经过人工审核,并提取信息进行进一步分析。交叉阅读假设被标准化为 17 个评估要素 (AE);每份提交的文件都根据注册人和 ECHA 所依赖的 AE 进行了分类。对数据进行了模式和关联分析。有改编的测试建议评估(TPE)占总数的 23%(353 项);最常见的是模拟改编(168 项)或分组改编(136 项)。在 304 份含有改编的 TPE 中,49% 的 TPE 被接受;小组改编的 TPE 被接受的几率明显更大。数据按附件(即吨位)、测试准则研究、读取交叉假设 AE 以及目标物质和源物质类型及其结构相似性进行了分析。虽然欧洲化学品管理局的大多数决定都是针对具体情况做出的,其中既有肯定的决定,也有否定的决定,以确定拟议的 "解读-交叉 "是否充分,但也发现了一些影响接受几率的重要关联。总之,这项分析对注册人和欧洲化学品管理局 15 年来在测试特定提案的读取对照适应性方面的经验进行了公正的概述。这些数据将为今后提交的申请提供参考,因为它们可以确定最关键的预期效果,从而提高接受可读性的几率。
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引用次数: 0
Bisphenol A Disrupts Mitochondrial Functionality Leading to Senescence and Apoptosis in Human Amniotic Mesenchymal Stromal Cells 双酚 A 破坏线粒体功能,导致人羊膜间充质基质细胞衰老和凋亡
Pub Date : 2024-08-30 DOI: 10.1101/2024.08.29.610279
Sara Ficai, Andrea Papait, Marta Magatti, Alice Masserdotti, Michael Gasik, Antonietta Rosa Silini, Ornella Parolini
In today's context, microplastics pollution has become an increasingly pressing issue not only for the environmental fallout but also for the assumed negative effects on human health. It is now well-established that microplastics (>1 mm in size) can enter the human body through ingestion, inhalation, dermal contact and also maternal-fetal transmission. Alarming was the recent findings of microplastics within the human term placenta. Among the degradation by-products of microplastics, Bisphenol A (BPA) has emerged as a hazardous chemical, with potential toxicity at multisystemic level, particularly on the earliest stages of human development. Based on these findings, our study focuses on assessing the impact of BPA on properties and functions of mesenchymal stromal cells isolated from the amniotic membrane (hAMSC) of the human term placenta. The amniotic membrane surrounds the fetus, playing a fundamental protective role toward toxic chemicals and pollutants that the mother may encounter. Our research revealed how exposure to increasing concentrations of BPA compromise mitochondrial functionality in hAMSC, resulting in enhanced production of reactive oxygen species at mitochondrial level (mtROS). This, in turn, leads to the stabilization of p53, which triggers an increased expression of p21 and p27 encoding genes and an imbalance in the genetic expression of Bax and Bcl-2. Additionally, we observed upregulated expression of cytokines and chemokines associated with the senescence-associated secretory phenotype (SASP). The increased oxidative stress, which plays a central role in BPA-mediated toxicity, can trigger the activation of the senescence pathways, or culminate in cell death, due to the overwhelming stress conditions. Therefore, our results provide novel insights into the mechanism of action of BPA and elucidates its impact on the functionality of hAMSC. This underscores the pressing need to reconsider the use of BPA as a plastic additive, mitigating the potential adverse effects on babies.
在当今背景下,微塑料污染已成为一个日益紧迫的问题,这不仅是因为其对环境造成的影响,还因为其可能对人类健康造成的负面影响。微塑料(1 毫米大小)可通过摄入、吸入、皮肤接触和母胎传播进入人体,这一点现已得到充分证实。令人震惊的是,最近在人类胎盘中发现了微塑料。在微塑料的降解副产品中,双酚 A(BPA)已成为一种危险化学品,在多系统水平上具有潜在毒性,尤其是在人类发育的最初阶段。基于这些发现,我们的研究重点是评估双酚 A 对从人类足月胎盘羊膜中分离出来的间充质基质细胞(hAMSC)的特性和功能的影响。羊膜包围着胎儿,对母亲可能遇到的有毒化学物质和污染物起着基本的保护作用。我们的研究揭示了暴露于浓度不断增加的双酚 A 如何损害羊膜间充质干细胞线粒体的功能,从而导致线粒体水平活性氧(mtROS)的产生增加。这反过来又导致 p53 的稳定,从而引发 p21 和 p27 编码基因表达的增加以及 Bax 和 Bcl-2 基因表达的失衡。此外,我们还观察到与衰老相关分泌表型(SASP)有关的细胞因子和趋化因子的表达上调。氧化应激在双酚 A 介导的毒性中起着核心作用,氧化应激的增加会触发衰老通路的激活,或在压倒性应激条件下最终导致细胞死亡。因此,我们的研究结果提供了有关双酚 A 作用机制的新见解,并阐明了它对 hAMSC 功能的影响。这凸显了重新考虑使用双酚 A 作为塑料添加剂、减轻其对婴儿的潜在不利影响的迫切需要。
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引用次数: 0
NRH, a potent NAD+ booster, improves glucose homeostasis and lipid metabolism in diet-induced obese mice though an active adenosine kinase pathway. NRH 是一种有效的 NAD+ 促进剂,它通过活跃的腺苷激酶途径改善饮食诱导肥胖小鼠的葡萄糖稳态和脂质代谢。
Pub Date : 2024-08-30 DOI: 10.1101/2024.08.29.610289
Xinliu Zeng, Yongjie Wang, Karina Gisselle Farias, Andrew Rappa, Christine Darko, Anthony A Sauve, Yue Yang
NAD+ deficiency underlies obesity-induced metabolic disturbances. Here we evaluated the treatment effect of a new and potent NAD+ enhancer, dihydronicotinamide riboside (NRH), in diet-induced obese mice with hyperglycemia and hyperlipidemia. Administering NRH for 7 weeks improved glucose homeostasis by enhancing pancreatic beta-cell functional mass, increasing muscle insulin sensitivity, and reducing hepatic gluconeogenesis. NRH treatment also mobilized fat deposition, reduced circulating lipid, and improved white adipose function. Significant elevation in multi-tissue NAD+ levels and sirtuin (SIRT) activities, especially SIRT3, mediated these metabolic improvements. Inhibiting adenosine kinase (ADK), a newly recognized enzyme in the NRH-induced NAD+ synthesis pathway, blocked NRH effect in improving glucose and lipid metabolism. ADK inhibition also reduced tissue NAD+ elevation and the subsequent activation of SIRT3, suggesting an active ADK pathway is necessary for NRH-induced metabolic benefits. These observations, for the first time, establish NRH as a promising intervention for correcting obesity-induced metabolic syndrome.
NAD+ 缺乏是肥胖诱发代谢紊乱的基础。在这里,我们评估了一种新型强效 NAD+ 增强剂--二氢烟酰胺核糖甙(NRH)--对饮食诱导的高血糖和高脂血症肥胖小鼠的治疗效果。连续 7 周服用 NRH 可增强胰岛β细胞功能、提高肌肉对胰岛素的敏感性并减少肝脏葡萄糖生成,从而改善葡萄糖稳态。NRH 治疗还能动员脂肪沉积、降低循环血脂并改善白色脂肪功能。多组织 NAD+ 水平和 sirtuin(SIRT)活性(尤其是 SIRT3)的显著提高促成了这些代谢改善。腺苷激酶(ADK)是新发现的 NRH 诱导 NAD+ 合成途径中的一种酶,它的抑制阻断了 NRH 在改善葡萄糖和脂质代谢方面的作用。抑制 ADK 还降低了组织 NAD+ 的升高和随后 SIRT3 的激活,这表明活跃的 ADK 途径是 NRH 诱导代谢益处的必要条件。这些观察结果首次证明,NRH 是纠正肥胖引起的代谢综合征的一种很有前景的干预措施。
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引用次数: 0
Development of ketobenzothiazole-based peptidomimetic TMPRSS13 inhibitors with low nanomolar potency 开发具有低纳摩尔效力的基于酮苯并噻唑的拟肽 TMPRSS13 抑制剂
Pub Date : 2024-08-29 DOI: 10.1101/2024.08.28.609965
Alexandre Joushomme, Antoine Désilets, William Champagne, Malihe Hassanzadeh, Gabriel Lemieux, Alice Gravel-Trudeau, Matthieu Lepage, Sabrina Lafrenière, Ulrike Froehlich, Karin List, Pierre-Luc Boudreault, Richard Leduc
TMPRSS13, a member of the Type II Transmembrane Serine Proteases (TTSP) family, is involved in cancer progression and in cell entry of respiratory viruses. To date, no inhibitors have been specifically developed toward this protease. In this study, a chemical library of 65 ketobenzothiazole-based peptidomimetic molecules was screened against a proteolytically active form of recombinant TMPRSS13 to identify novel inhibitors. Following an initial round of screening, subsequent synthesis of additional derivatives supported by molecular modelling, uncovered important molecular determinants involved in TMPRSS13 inhibition. One inhibitor, N-0430, achieved low nanomolar affinity towards TMPRSS13 activity in a cellular context. Using a SARS-CoV-2 pseudovirus cell entry model, we further show the ability of N-0430 to block TMPRSS13-dependent entry of the pseudovirus. The identified peptidomimetic inhibitors and the molecular insights of their potency gained from this study will aid in the development of specific TMPRSS13 inhibitors.
TMPRSS13 是 II 型跨膜丝氨酸蛋白酶 (TTSP) 家族的成员,它参与癌症进展和呼吸道病毒的细胞进入。迄今为止,尚未开发出专门针对这种蛋白酶的抑制剂。在这项研究中,针对重组 TMPRSS13 的蛋白水解活性形式,筛选了一个由 65 个基于酮苯并噻唑的拟肽分子组成的化学库,以确定新型抑制剂。经过第一轮筛选,在分子建模的支持下合成了更多的衍生物,发现了参与 TMPRSS13 抑制作用的重要分子决定因素。其中一种名为 N-0430 的抑制剂在细胞环境中对 TMPRSS13 的活性具有低纳摩尔的亲和力。通过使用 SARS-CoV-2 伪病毒细胞进入模型,我们进一步证明了 N-0430 阻断 TMPRSS13 依赖性伪病毒进入细胞的能力。通过本研究发现的拟肽抑制剂及其效力的分子见解将有助于开发特异性 TMPRSS13 抑制剂。
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引用次数: 0
Gene expression responses of CF airway epithelial cells exposed to elexacaftor/tezacaftor/ivacaftor (ETI) suggest benefits beyond improved CFTR channel function 暴露于 elexacaftor/tezacaftor/ivacaftor (ETI) 的 CF 气道上皮细胞的基因表达反应表明,除了改善 CFTR 通道功能外,还能带来其他益处
Pub Date : 2024-08-29 DOI: 10.1101/2024.08.28.610162
Thomas H. Hampton, Roxanna Barnaby, Carolyn Roche, Amanda Nymon, Kiyoshi Ferreira Fukutani, Todd A. MacKenzie, Bruce A. Stanton
The combination of elexacaftor/tezacaftor/ivacaftor (ETI, Trikafta) reverses the primary defect in Cystic Fibrosis (CF) by improving CFTR mediated Cl- and HCO3- secretion by airway epithelial cells (AEC), leading to improved lung function and less frequent exacerbations and hospitalizations. However, studies have shown that CFTR modulators like ivacaftor, a component of ETI, has numerous effects on CF cells beyond improved CFTR channel function. Because little is known about the effect of ETI on CF AEC gene expression we exposed primary human AEC to ETI for 48 hours and interrogated the transcriptome by RNA-seq and qPCR. ETI increased defensin gene expression (DEFB1) an observation consistent with reports of decreased bacterial burden in the lungs of people with CF (pwCF). ETI also decreased MMP10 and MMP12 gene expression, suggesting that ETI may reduce proteolytic induced lung destruction in CF. ETI also reduced the expression of the stress response gene heme oxygenase (HMOX1). qPCR analysis confirmed DEFB1, HMOX1, MMP10 and MMP12 gene expression results observed by RNA-seq. Gene pathway analysis revealed that ETI decreased inflammatory signaling, cellular proliferation and MHC Class II antigen presentation. Collectively, these findings suggest that the clinical observation that ETI reduces lung infections in pwCF is related in part to drug induced increases in DEFB1, and that ETI may reduce lung damage by reducing MMP10 and MMP12 gene expression, which is predicted to reduce matrix metalloprotease activity. Moreover, pathway analysis also identified several genes responsible for the ETI induced reduction in inflammation observed in people with CF
eplexacaftor/tezacaftor/ivacaftor(ETI,Trikafta)联合疗法通过改善气道上皮细胞(AEC)在CFTR介导下分泌Cl-和HCO3-的情况,逆转了囊性纤维化(CF)的主要缺陷,从而改善了肺功能,减少了病情恶化和住院次数。然而,研究表明,CFTR 调节剂(如 ETI 的成分 ivacaftor)除了改善 CFTR 通道功能外,还对 CF 细胞有许多影响。由于人们对 ETI 对 CF AEC 基因表达的影响知之甚少,因此我们将原代人类 AEC 暴露于 ETI 48 小时,并通过 RNA-seq 和 qPCR 分析转录组。ETI 增加了防御素基因(DEFB1)的表达,这一观察结果与有关减少 CF 患者(pwCF)肺部细菌负担的报道一致。ETI 还降低了 MMP10 和 MMP12 基因的表达,这表明 ETI 可能会减少蛋白水解引起的 CF 患者肺部破坏。qPCR 分析证实了 RNA-seq 观察到的 DEFB1、HMOX1、MMP10 和 MMP12 基因表达结果。基因通路分析表明,ETI 减少了炎症信号传导、细胞增殖和 MHC II 类抗原呈递。总之,这些研究结果表明,临床观察发现 ETI 可减少 pwCF 的肺部感染,这在一定程度上与药物诱导 DEFB1 的增加有关,而且 ETI 可能会通过减少 MMP10 和 MMP12 基因表达来减轻肺部损伤,而 MMP10 和 MMP12 基因表达预计会降低基质金属蛋白酶的活性。此外,通路分析还确定了几个基因,它们对 ETI 诱导的 CF 患者炎症反应的减轻负有责任。
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引用次数: 0
Renal outcomes of combination therapy with sodium-glucose cotransporter 2 inhibitors plus renin-angiotensin system blockers in patients with type 2 diabetes mellitus: A population-based cohort study 2型糖尿病患者接受钠-葡萄糖共转运体2抑制剂加肾素-血管紧张素系统阻断剂联合疗法的肾脏疗效:基于人群的队列研究
Pub Date : 2024-08-28 DOI: 10.1101/2024.08.28.610101
Ming-Hsien Tsai, Ming-chih Chen, Yen-Chun Huang, Wei-Shan Chang, Kai-Yuan Hsiao, Hung-Hsiang Liou, Yu-Wei Fang
Background: Sodium-glucose cotransporter 2 inhibitors (SGLT2i) can benefit patients with type 2 diabetes mellitus by reducing hazardous renal outcomes. This study aimed to evaluate whether the combination of sodium-glucose cotransporter 2 inhibitors (SGLT2i) and conventional renin-angiotensin system blockers (RASB) provides a synergistic effect on renal outcomes in patients with type 2 diabetes mellitus, compared to the combination of RASB and dipeptidyl peptidase 4 inhibitors (DPP4i).Methods: This is a retrospective cohort study. The study utilized data from the Taiwan National Health Insurance Research Database (NHIRD), including patients with type 2 diabetes mellitus enrolled between January 1, 2016, and December 31, 2016. Participants were divided into two groups: the case group (n = 3,622) receiving RASB plus SGLT2i and the comparison group (n = 3,622) receiving RASB plus DPP4i. The groups were matched 1:1 based on gender, age, and Charlson comorbidity index. Additionally, TriNetX was used for external validation.Results: Prior to matching, unadjusted hazard ratios (HRs) showed significant differences favoring the SGLT2i group for chronic kidney disease (CKD) (HR: 0.66; 95% CI, 0.58–0.74), advanced kidney failure (HR: 0.64; 95% CI, 0.44–0.93), and initiation of long-term dialysis (HR: 0.61; 95% CI, 0.38–0.97). These differences remained significant post-matching: CKD (HR: 0.74; 95% CI, 0.65–0.84), advanced kidney failure (HR: 0.62; 95% CI, 0.42–0.92), and commencement of long-term dialysis (HR: 0.53; 95% CI, 0.32–0.87). The renal benefits of the combination therapy were consistently observed in the TriNetX dataset.Limitations: NHIRD lacks key clinical factors (e.g., physical features, lab data), potential baseline disparities due to retrospective design, and limited generalizability beyond Taiwanese patients, despite TriNexT validation.Conclusions: In patients with type 2 diabetes mellitus, combination therapy with SGLT2i and RASB yielded better renal outcomes.
背景:钠-葡萄糖共转运体2抑制剂(SGLT2i)可降低对肾脏的危害,从而使2型糖尿病患者受益。本研究旨在评估钠-葡萄糖共转运体 2 抑制剂(SGLT2i)与传统的肾素-血管紧张素系统阻断剂(RASB)联用,与 RASB 和二肽基肽酶 4 抑制剂(DPP4i)联用相比,是否能对 2 型糖尿病患者的肾脏预后产生协同效应:这是一项回顾性队列研究。研究利用了台湾国民健康保险研究数据库(NHIRD)的数据,包括2016年1月1日至2016年12月31日期间入组的2型糖尿病患者。参与者被分为两组:病例组(n = 3622 人)接受 RASB 加 SGLT2i 治疗,对比组(n = 3622 人)接受 RASB 加 DPP4i 治疗。两组根据性别、年龄和 Charlson 合并症指数进行 1:1 匹配。此外,还使用 TriNetX 进行外部验证:匹配前,未经调整的危险比(HRs)显示,在慢性肾病(CKD)(HR:0.66;95% CI,0.58-0.74)、晚期肾衰竭(HR:0.64;95% CI,0.44-0.93)和开始长期透析(HR:0.61;95% CI,0.38-0.97)方面,SGLT2i 组与对照组存在显著差异。这些差异在配对后仍然显著:CKD(HR:0.74;95% CI,0.65-0.84)、晚期肾衰竭(HR:0.62;95% CI,0.42-0.92)和开始长期透析(HR:0.53;95% CI,0.32-0.87)。在TriNetX数据集中持续观察到了联合疗法对肾脏的益处:局限性:NHIRD缺乏关键的临床因素(如身体特征、实验室数据),回顾性设计可能导致基线差异,尽管TriNexT进行了验证,但其在台湾患者之外的推广性有限:结论:在2型糖尿病患者中,SGLT2i和RASB联合治疗可获得更好的肾脏疗效。
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bioRxiv - Pharmacology and Toxicology
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