Pub Date : 2026-02-05DOI: 10.1038/s12276-025-01627-6
Hee Yeon Kim, Seungchan Kim, Asli Nur Akaydin, Suhyun Kim, Seung Jae Hyeon, Junghee Lee, Hoon Ryu
The brain is a highly complex, multicellular organ composed of diverse neuronal and nonneuronal cell types that function in concert to maintain central nervous system homeostasis. Among the glial populations, astrocytes are critical regulators of neuronal function. Under physiological conditions, astrocytes provide essential metabolic support, modulate neurotransmitter release and maintain neuronal health. Traditionally viewed as passive and supporting cells, astrocytes are now recognized as dynamic and responsive elements within the central nervous system. In response to pathological insults, astrocytes undergo significant changes in function, morphology and gene expression-a process known as reactive astrogliosis. Reactive astrocytes acquire heterogeneous characteristics that can contribute to brain disorders via the non-cell-autonomous mechanisms. However, the drivers of this transformation-and their shift from neuronal guardians to potential contributors to pathology-remain incompletely understood. Here we explore the complex, multidimensional roles of astrocytes and how reactive states alter their primary functions. We focus on the dual protective and pathological roles of astrocytes, particularly the transition from healthy to heterogeneous reactive forms, with the aim of understanding their overall impact on the progression of neurodegenerative diseases.
{"title":"The rise of astrocytes: are they guardians or troublemakers of the brain disorder?","authors":"Hee Yeon Kim, Seungchan Kim, Asli Nur Akaydin, Suhyun Kim, Seung Jae Hyeon, Junghee Lee, Hoon Ryu","doi":"10.1038/s12276-025-01627-6","DOIUrl":"https://doi.org/10.1038/s12276-025-01627-6","url":null,"abstract":"<p><p>The brain is a highly complex, multicellular organ composed of diverse neuronal and nonneuronal cell types that function in concert to maintain central nervous system homeostasis. Among the glial populations, astrocytes are critical regulators of neuronal function. Under physiological conditions, astrocytes provide essential metabolic support, modulate neurotransmitter release and maintain neuronal health. Traditionally viewed as passive and supporting cells, astrocytes are now recognized as dynamic and responsive elements within the central nervous system. In response to pathological insults, astrocytes undergo significant changes in function, morphology and gene expression-a process known as reactive astrogliosis. Reactive astrocytes acquire heterogeneous characteristics that can contribute to brain disorders via the non-cell-autonomous mechanisms. However, the drivers of this transformation-and their shift from neuronal guardians to potential contributors to pathology-remain incompletely understood. Here we explore the complex, multidimensional roles of astrocytes and how reactive states alter their primary functions. We focus on the dual protective and pathological roles of astrocytes, particularly the transition from healthy to heterogeneous reactive forms, with the aim of understanding their overall impact on the progression of neurodegenerative diseases.</p>","PeriodicalId":50466,"journal":{"name":"Experimental and Molecular Medicine","volume":" ","pages":""},"PeriodicalIF":12.9,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-05DOI: 10.1038/s12276-025-01632-9
Sun-Hee Heo, Suk Young Park, Na Hyun Kim, Heeseo Kim, In-Jeoung Baek, Young Hoon Sung, Chiwook Chung, Sei Won Lee
Interferon regulatory factor 5 (IRF5) is a key regulator of inflammatory responses; however, its role in chronic obstructive pulmonary disease remains unknown. A previous study showed increased IRF5 expression in the lungs of cigarette smoke (CS)-induced emphysema. Here we investigated the function of IRF5 in emphysema using Irf5-knockout (KO) mice. Alveolar destruction, inflammatory cell infiltration, cytokine levels and pyroptosis-related gene expression were assessed in CS-induced emphysema. To investigate the role of immune cells, Ly6C++ (Ly6Chigh) monocytes and Ly6Chigh T cells from Irf5-KO mice were introduced into emphysema mice. The correlation between IRF5 levels and emphysema in humans was also evaluated. Irf5-KO mice showed decreased alveolar destruction after CS exposure. NLRP3 expression was suppressed, and gasdermin D cleavage was altered in Irf5-KO mice, suggesting a protective effect against pyroptotic cell death. Moreover, Ly6Chigh monocytes and Ly6Chigh T cells were more abundant in the lungs of Irf5-KO mice after CS exposure, and their transfer attenuated NLRP3 expression and alveolar damage. Furthermore, IRF5 expression was significantly elevated in lung tissues from patients. Our findings highlight IRF5 as a critical regulator of emphysema pathogenesis via NLRP3-mediated pyroptosis and Ly6Chigh-expressing immune cells. Targeting IRF5 may be a potential therapeutic strategy for chronic obstructive pulmonary disease.
{"title":"Interferon regulatory factor 5 involves the pathogenesis of emphysema through NLRP3 and Ly6C expressing cells.","authors":"Sun-Hee Heo, Suk Young Park, Na Hyun Kim, Heeseo Kim, In-Jeoung Baek, Young Hoon Sung, Chiwook Chung, Sei Won Lee","doi":"10.1038/s12276-025-01632-9","DOIUrl":"https://doi.org/10.1038/s12276-025-01632-9","url":null,"abstract":"<p><p>Interferon regulatory factor 5 (IRF5) is a key regulator of inflammatory responses; however, its role in chronic obstructive pulmonary disease remains unknown. A previous study showed increased IRF5 expression in the lungs of cigarette smoke (CS)-induced emphysema. Here we investigated the function of IRF5 in emphysema using Irf5-knockout (KO) mice. Alveolar destruction, inflammatory cell infiltration, cytokine levels and pyroptosis-related gene expression were assessed in CS-induced emphysema. To investigate the role of immune cells, Ly6C<sup>++</sup> (Ly6C<sup>high</sup>) monocytes and Ly6C<sup>high</sup> T cells from Irf5-KO mice were introduced into emphysema mice. The correlation between IRF5 levels and emphysema in humans was also evaluated. Irf5-KO mice showed decreased alveolar destruction after CS exposure. NLRP3 expression was suppressed, and gasdermin D cleavage was altered in Irf5-KO mice, suggesting a protective effect against pyroptotic cell death. Moreover, Ly6C<sup>high</sup> monocytes and Ly6C<sup>high</sup> T cells were more abundant in the lungs of Irf5-KO mice after CS exposure, and their transfer attenuated NLRP3 expression and alveolar damage. Furthermore, IRF5 expression was significantly elevated in lung tissues from patients. Our findings highlight IRF5 as a critical regulator of emphysema pathogenesis via NLRP3-mediated pyroptosis and Ly6C<sup>high</sup>-expressing immune cells. Targeting IRF5 may be a potential therapeutic strategy for chronic obstructive pulmonary disease.</p>","PeriodicalId":50466,"journal":{"name":"Experimental and Molecular Medicine","volume":" ","pages":""},"PeriodicalIF":12.9,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mucopolysaccharidosis (MPS) type IIIB is the progressive degeneration of the central nervous system. Resveratrol is proposed as a potential therapeutic molecule as a drug reducing inflammation and for improving behavior of MPS mice. Here we investigated autophagy in correlation with immune response in an MPS IIIB mouse model. The effects of resveratrol on mouse behavior and the levels of selected cytokines that influence the inflammation were assessed. The study was performed on both male and female mice treated or not with resveratrol. The results of behavioral, molecular and biochemical experiments confirmed that autophagy and immune response are disturbed in MPS IIIB mice. A correlation between behavioral disturbances and levels of heparan sulfate and TLR4 could be observed. The FOXO3 transcription factor was identified as one of the key factors in the resveratrol-mediated stimulation of the autophagy process in the MPS IIIB mouse model, though it was not the sole pathway induced by this compound. We conclude that resveratrol can modulate the degradation of glycosaminoglycans and also may contribute to the reduction of inflammation and the normalization of animal behavior in the MPS IIIB model.
{"title":"TFEB, FOXO3 and TLR4 in resveratrol-induced autophagy in a mucopolysaccharidosis IIIB mouse model.","authors":"Estera Rintz, Magdalena Podlacha, Lidia Gaffke, Grażyna Jerzemowska, Zuzanna Cyske, Karolina Pierzynowska, Grzegorz Węgrzyn","doi":"10.1038/s12276-026-01643-0","DOIUrl":"https://doi.org/10.1038/s12276-026-01643-0","url":null,"abstract":"<p><p>Mucopolysaccharidosis (MPS) type IIIB is the progressive degeneration of the central nervous system. Resveratrol is proposed as a potential therapeutic molecule as a drug reducing inflammation and for improving behavior of MPS mice. Here we investigated autophagy in correlation with immune response in an MPS IIIB mouse model. The effects of resveratrol on mouse behavior and the levels of selected cytokines that influence the inflammation were assessed. The study was performed on both male and female mice treated or not with resveratrol. The results of behavioral, molecular and biochemical experiments confirmed that autophagy and immune response are disturbed in MPS IIIB mice. A correlation between behavioral disturbances and levels of heparan sulfate and TLR4 could be observed. The FOXO3 transcription factor was identified as one of the key factors in the resveratrol-mediated stimulation of the autophagy process in the MPS IIIB mouse model, though it was not the sole pathway induced by this compound. We conclude that resveratrol can modulate the degradation of glycosaminoglycans and also may contribute to the reduction of inflammation and the normalization of animal behavior in the MPS IIIB model.</p>","PeriodicalId":50466,"journal":{"name":"Experimental and Molecular Medicine","volume":" ","pages":""},"PeriodicalIF":12.9,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-05DOI: 10.1038/s12276-026-01639-w
Stefano Travaglino, Yelim Jeon, Yihyung Kim, Cheng Zhu, Hyun-Kyu Choi
Immune cells rely on surface immunoreceptors to sense their environment. While the downstream signaling pathways of many immunoreceptors are well characterized, the initial molecular events that trigger signaling upon ligand engagement remain incompletely understood. Here, in this Review, we outline our current understanding of this immunoreceptor signal initiation problem, using the T cell antigen receptor (TCR) as a prototype. We synthesize decades of research on the TCR's unique functional requirements and explore how these properties constrain potential triggering mechanisms. We evaluate prominent models of TCR signal initiation and highlight their respective strengths, limitations, complementary aspects and areas of ongoing debate. A central focus is the role of mechanical force in TCR triggering and antigen recognition for which we consider evidence for TCR-pMHC catch bonds, the capacity of T cells to generate endogenous forces and how these might modulate receptor-ligand kinetics and conformational changes to enhance antigen discrimination beyond classical kinetic proofreading models. By comparing TCR triggering with that of other immunoreceptors such as B cell receptors and Fc receptors, we discuss both shared principles and receptor-specific differences. This Review aims to consolidate current knowledge, reconcile conflicting findings and identify critical unanswered questions, in hopes of charting a path toward understanding how immunoreceptors convert ligand binding into cellular responses.
{"title":"Mechanotransduction through T cell receptors: consensus, controversies and future outlooks.","authors":"Stefano Travaglino, Yelim Jeon, Yihyung Kim, Cheng Zhu, Hyun-Kyu Choi","doi":"10.1038/s12276-026-01639-w","DOIUrl":"https://doi.org/10.1038/s12276-026-01639-w","url":null,"abstract":"<p><p>Immune cells rely on surface immunoreceptors to sense their environment. While the downstream signaling pathways of many immunoreceptors are well characterized, the initial molecular events that trigger signaling upon ligand engagement remain incompletely understood. Here, in this Review, we outline our current understanding of this immunoreceptor signal initiation problem, using the T cell antigen receptor (TCR) as a prototype. We synthesize decades of research on the TCR's unique functional requirements and explore how these properties constrain potential triggering mechanisms. We evaluate prominent models of TCR signal initiation and highlight their respective strengths, limitations, complementary aspects and areas of ongoing debate. A central focus is the role of mechanical force in TCR triggering and antigen recognition for which we consider evidence for TCR-pMHC catch bonds, the capacity of T cells to generate endogenous forces and how these might modulate receptor-ligand kinetics and conformational changes to enhance antigen discrimination beyond classical kinetic proofreading models. By comparing TCR triggering with that of other immunoreceptors such as B cell receptors and Fc receptors, we discuss both shared principles and receptor-specific differences. This Review aims to consolidate current knowledge, reconcile conflicting findings and identify critical unanswered questions, in hopes of charting a path toward understanding how immunoreceptors convert ligand binding into cellular responses.</p>","PeriodicalId":50466,"journal":{"name":"Experimental and Molecular Medicine","volume":" ","pages":""},"PeriodicalIF":12.9,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1038/s12276-026-01644-z
Bradley T. Thornton, Alexandra G. Hardinger, Laramie Pence, Priyanka Prem Kumar, Nikolas Connolly, Scott J. Weir, Jay L. Vivian
Vici syndrome (VS) is a rare pediatric genetic disorder characterized by profound developmental delay, seizures, immune deficits, cardiomyopathy and progressive motor dysfunction. This devastating condition is caused by pathogenic variants in the EPG5 gene, which encodes a regulator of autophagy, leading to the accumulation of toxic intracellular material and widespread cellular dysfunction. Less-severe EPG5 pathogenic variants have recently been linked to rare familial forms of Parkinson’s disease, suggesting deficits in EPG5 function drive a range of neurodegenerative disorders. Currently, there are no effective treatments for any disorders associated with pathogenic variants of EPG5. The underlying cellular mechanisms driving the progressive neurological decline in VS remain poorly understood. Previous studies using Epg5 knockout models have demonstrated severe neurological phenotypes; however, these models have not been characterized for molecular and cellular deficits within the central nervous system. Here we report the generation and analysis of novel genetically engineered mice with mutations in Epg5 as models of VS, including a strain harboring a truncating mutation that recapitulates a patient-derived pathogenic variant and a strain with an Epg5 null allele. These novel Epg5 mutant mouse models exhibited partial perinatal lethality. Neurological deficits of surviving were detectable by 6 weeks of age, and worsen over time. Histological analysis revealed widespread expansion of microglia and astrocytes throughout the central nervous system. Transcriptomic profiling of central nervous system tissue revealed robust neuroinflammatory signatures, sharing molecular profiles with disease-associated microglia observed in other models of neurological disease and injury. The analysis of these novel mouse models of VS suggest a critical role for neuroglial activation in the pathogenesis of VS. These novel in vivo models will be an essential platform for preclinical evaluation of therapeutics that target autophagy-related neurodegeneration in congenital disorders of autophagy and EPG5-associated neurodegeneration. Vici syndrome is a rare genetic disorder in children affecting multiple body systems, including the brain and heart. It often leads to developmental delays and other severe health issues. Researchers have struggled to understand this condition owing to its rarity and lack of effective models for study, limiting treatment options. Here, researchers aimed to fill this gap by creating new mouse models that mimic the genetic mutations found in patients with Vici syndrome. They used a technique called CRISPR gene editing to introduce specific mutations into mice. These mice showed early signs of neurological problems, similar to those seen in human patients. The study found that these mutations led to increased inflammation in the brain, which is important for brain health. The findings suggest that inflammation may play a key role in the prog
{"title":"Progressive neuroinflammation and deficits in motor function in a mouse model with an Epg5 pathogenic variant of Vici syndrome","authors":"Bradley T. Thornton, Alexandra G. Hardinger, Laramie Pence, Priyanka Prem Kumar, Nikolas Connolly, Scott J. Weir, Jay L. Vivian","doi":"10.1038/s12276-026-01644-z","DOIUrl":"10.1038/s12276-026-01644-z","url":null,"abstract":"Vici syndrome (VS) is a rare pediatric genetic disorder characterized by profound developmental delay, seizures, immune deficits, cardiomyopathy and progressive motor dysfunction. This devastating condition is caused by pathogenic variants in the EPG5 gene, which encodes a regulator of autophagy, leading to the accumulation of toxic intracellular material and widespread cellular dysfunction. Less-severe EPG5 pathogenic variants have recently been linked to rare familial forms of Parkinson’s disease, suggesting deficits in EPG5 function drive a range of neurodegenerative disorders. Currently, there are no effective treatments for any disorders associated with pathogenic variants of EPG5. The underlying cellular mechanisms driving the progressive neurological decline in VS remain poorly understood. Previous studies using Epg5 knockout models have demonstrated severe neurological phenotypes; however, these models have not been characterized for molecular and cellular deficits within the central nervous system. Here we report the generation and analysis of novel genetically engineered mice with mutations in Epg5 as models of VS, including a strain harboring a truncating mutation that recapitulates a patient-derived pathogenic variant and a strain with an Epg5 null allele. These novel Epg5 mutant mouse models exhibited partial perinatal lethality. Neurological deficits of surviving were detectable by 6 weeks of age, and worsen over time. Histological analysis revealed widespread expansion of microglia and astrocytes throughout the central nervous system. Transcriptomic profiling of central nervous system tissue revealed robust neuroinflammatory signatures, sharing molecular profiles with disease-associated microglia observed in other models of neurological disease and injury. The analysis of these novel mouse models of VS suggest a critical role for neuroglial activation in the pathogenesis of VS. These novel in vivo models will be an essential platform for preclinical evaluation of therapeutics that target autophagy-related neurodegeneration in congenital disorders of autophagy and EPG5-associated neurodegeneration. Vici syndrome is a rare genetic disorder in children affecting multiple body systems, including the brain and heart. It often leads to developmental delays and other severe health issues. Researchers have struggled to understand this condition owing to its rarity and lack of effective models for study, limiting treatment options. Here, researchers aimed to fill this gap by creating new mouse models that mimic the genetic mutations found in patients with Vici syndrome. They used a technique called CRISPR gene editing to introduce specific mutations into mice. These mice showed early signs of neurological problems, similar to those seen in human patients. The study found that these mutations led to increased inflammation in the brain, which is important for brain health. The findings suggest that inflammation may play a key role in the prog","PeriodicalId":50466,"journal":{"name":"Experimental and Molecular Medicine","volume":"58 1","pages":"284-295"},"PeriodicalIF":12.9,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s12276-026-01644-z.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28DOI: 10.1038/s12276-025-01619-6
Dianshan Ke, Hanhao Dai, Yibin Su, Hongyi Zhu, Xiaofeng Liu, Xiaochun Bai, Changqing Zhang, Jie Xu, Jinshan Zhang
Ankylosing spondylitis (AS) is an autoimmune disease that can cause severe deformities, and the immunological patterns associated with its onset and progression remain poorly understood. Here, after recruiting healthy donors and patients in different stages, we performed single-cell RNA sequencing for peripheral blood mononuclear cells to investigate the cytotaxonomic and immunological hallmarks associated with AS onset, aggravation and remission and explore the intrinsic laws causing AS lesions. The results showed that innate antibacterial defense functions were generally enhanced in most cell types at disease onset and were negatively associated with AS severity. The abundance and exogenous antigen presentation scores of the natural killer (NK) cell subset characterized as antigen-presenting cells (APC-NK) increased during disease aggravation but decreased during remission. Generally, APC-NK abundance and their presentation scores were negatively correlated with innate defense scores for multiple cell types. CD4+ effector T cell abundance and cytotoxicity, as well as the enhancement of CD4+ T cell responses by HLA-DRB1+ NK cells (similar to APC-NK), were associated with AS severity. The implantation of HLA-DRB1+ NK cells accelerated AS-like alterations in SKG modeling mice with curdlan induction; this was blocked with CD4+ T cell exhaustion. NK cell exhaustion improved the phenotypes of AS-like mice. HLA-DPB1/DPA1 in APC-NK participated in AS aggravation by mediating antigen presentation targeting CD4+ T cells. Overall, innate defense antigen presentation coupling drives AS lesions and different outcomes. Furthermore, the trade-off between innate defense and NK-dependent exogenous antigen presentation results in CD4+ T cell activation or inactivation, thereby contributing to AS aggravation or remission; this reveals that APC-NK is a crucial factor causing ankylosing deformities. Ankylosing spondylitis (AS) is a chronic disease affecting the spine and joints, often leading to disability. Current treatments mainly focus on symptom relief, but understanding the disease’s underlying causes is crucial for better therapies. Researchers aimed to explore the immune processes involved in AS using advanced techniques such as single-cell RNA sequencing. The study involved 14 patients with AS and 3 healthy donors. Researchers collected blood samples and analyzed immune cells to understand their roles in AS. They found that certain immune cells, including T cells and natural killer cells, behave differently in patients with AS compared with healthy individuals. These differences are linked to the disease’s progression and severity. The study revealed that immune responses, particularly those involving NK cells, play a significant role in AS. These findings suggest that targeting specific immune pathways could improve treatment strategies. This summary was initially drafted using artificial intelligence, then revised and fact-checked by the author.
{"title":"Single-immunocyte transcriptomics reveal the role of natural killer cell-dependent exogenous antigen presentation in ankylosing spondylitis severity","authors":"Dianshan Ke, Hanhao Dai, Yibin Su, Hongyi Zhu, Xiaofeng Liu, Xiaochun Bai, Changqing Zhang, Jie Xu, Jinshan Zhang","doi":"10.1038/s12276-025-01619-6","DOIUrl":"10.1038/s12276-025-01619-6","url":null,"abstract":"Ankylosing spondylitis (AS) is an autoimmune disease that can cause severe deformities, and the immunological patterns associated with its onset and progression remain poorly understood. Here, after recruiting healthy donors and patients in different stages, we performed single-cell RNA sequencing for peripheral blood mononuclear cells to investigate the cytotaxonomic and immunological hallmarks associated with AS onset, aggravation and remission and explore the intrinsic laws causing AS lesions. The results showed that innate antibacterial defense functions were generally enhanced in most cell types at disease onset and were negatively associated with AS severity. The abundance and exogenous antigen presentation scores of the natural killer (NK) cell subset characterized as antigen-presenting cells (APC-NK) increased during disease aggravation but decreased during remission. Generally, APC-NK abundance and their presentation scores were negatively correlated with innate defense scores for multiple cell types. CD4+ effector T cell abundance and cytotoxicity, as well as the enhancement of CD4+ T cell responses by HLA-DRB1+ NK cells (similar to APC-NK), were associated with AS severity. The implantation of HLA-DRB1+ NK cells accelerated AS-like alterations in SKG modeling mice with curdlan induction; this was blocked with CD4+ T cell exhaustion. NK cell exhaustion improved the phenotypes of AS-like mice. HLA-DPB1/DPA1 in APC-NK participated in AS aggravation by mediating antigen presentation targeting CD4+ T cells. Overall, innate defense antigen presentation coupling drives AS lesions and different outcomes. Furthermore, the trade-off between innate defense and NK-dependent exogenous antigen presentation results in CD4+ T cell activation or inactivation, thereby contributing to AS aggravation or remission; this reveals that APC-NK is a crucial factor causing ankylosing deformities. Ankylosing spondylitis (AS) is a chronic disease affecting the spine and joints, often leading to disability. Current treatments mainly focus on symptom relief, but understanding the disease’s underlying causes is crucial for better therapies. Researchers aimed to explore the immune processes involved in AS using advanced techniques such as single-cell RNA sequencing. The study involved 14 patients with AS and 3 healthy donors. Researchers collected blood samples and analyzed immune cells to understand their roles in AS. They found that certain immune cells, including T cells and natural killer cells, behave differently in patients with AS compared with healthy individuals. These differences are linked to the disease’s progression and severity. The study revealed that immune responses, particularly those involving NK cells, play a significant role in AS. These findings suggest that targeting specific immune pathways could improve treatment strategies. This summary was initially drafted using artificial intelligence, then revised and fact-checked by the author.","PeriodicalId":50466,"journal":{"name":"Experimental and Molecular Medicine","volume":"58 1","pages":"254-271"},"PeriodicalIF":12.9,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s12276-025-01619-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146068434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28DOI: 10.1038/s12276-025-01625-8
Minyoung Lee, Ho Seon Park, Hyung Sun Kim, ARim Choi, Ji Hae Nahm, Beom Jin Lim, Jong Suk Park, Chul Woo Ahn, Younhee Ko, Dong Ki Lee, Dong Sup Yoon, Joon Seong Park, Shinae Kang
Diabetes is highly prevalent in individuals with pancreatic ductal adenocarcinoma (PDAC) and even precedes diagnosis of PDAC; however, the mechanisms of pancreatic cancer-associated blood glucose deterioration remain largely unknown. Here, we constructed a prospective cohort of patients undergoing pancreatectomy to investigate the underlying mechanism of PDAC-associated hyperglycemia. A total of 160 patients who underwent pancreatectomy (72 patients with PDAC and 88 patients without PDAC) were enrolled at a tertiary care hospital. Glucometabolic parameters under oral glucose tolerance test were assessed in both pre- and postoperative periods, and patient-derived blood and pancreatic tissue samples were collected. Compared with patients without PDAC, patients with PDAC showed severe hyperglycemia with impaired insulin secretion before surgery. However, despite identical type of pancreatectomy in both groups, hyperglycemia improved more significantly and insulin secretory function declined less after pancreatectomy in patients with PDAC. Plasma Wnt5a and pancreatic islet β-catenin levels were higher in patients with PDAC and correlated with the degree of hyperglycemia and insulin deficiency. Plasma Wnt5a levels also correlated with tumor size and pancreatic islet β-catenin expression in patients with PDAC. In rodent islets, Wnt5a treatment suppressed insulin release, which was recovered by inhibition of β-catenin. Collectively, impaired pancreatic insulin secretion by aberrant Wnt5a/β-catenin activation may underlie the hyperglycemia associated with PDAC. Our finding provides insights into the unique molecular mechanism of pancreatic cancer-associated hyperglycemia, paving the way for the identification of potential biomarker and therapeutic targets for this condition. Pancreatic ductal adenocarcinoma (PDAC) is a lethal cancer with low survival. Many patients with PDAC also develop diabetes, but the connection between the two is still unclear. Researchers aimed to explore this link by studying 160 patients, including those with PDAC and those without PDAC, who had surgery to remove part of their pancreas. The study involved measuring blood sugar and insulin levels before and after surgery. Patients with PDAC had higher blood sugar levels and lower insulin production than those without PDAC before surgery. After the surgery, patients with PDAC showed greater improvement in blood sugar control and a smaller decrease in insulin secretion than patients without PDAC. A protein called Wnt5a secreted by cancer was higher in patients with PDAC and might be linked to reduced insulin production. This protein could serve as a marker for early detection of PDAC-related diabetes. This summary was initially drafted using artificial intelligence, then revised and fact-checked by the author.
{"title":"Impaired insulin secretion via the Wnt5a/β-catenin pathway contributes to diabetes development in pancreatic cancer","authors":"Minyoung Lee, Ho Seon Park, Hyung Sun Kim, ARim Choi, Ji Hae Nahm, Beom Jin Lim, Jong Suk Park, Chul Woo Ahn, Younhee Ko, Dong Ki Lee, Dong Sup Yoon, Joon Seong Park, Shinae Kang","doi":"10.1038/s12276-025-01625-8","DOIUrl":"10.1038/s12276-025-01625-8","url":null,"abstract":"Diabetes is highly prevalent in individuals with pancreatic ductal adenocarcinoma (PDAC) and even precedes diagnosis of PDAC; however, the mechanisms of pancreatic cancer-associated blood glucose deterioration remain largely unknown. Here, we constructed a prospective cohort of patients undergoing pancreatectomy to investigate the underlying mechanism of PDAC-associated hyperglycemia. A total of 160 patients who underwent pancreatectomy (72 patients with PDAC and 88 patients without PDAC) were enrolled at a tertiary care hospital. Glucometabolic parameters under oral glucose tolerance test were assessed in both pre- and postoperative periods, and patient-derived blood and pancreatic tissue samples were collected. Compared with patients without PDAC, patients with PDAC showed severe hyperglycemia with impaired insulin secretion before surgery. However, despite identical type of pancreatectomy in both groups, hyperglycemia improved more significantly and insulin secretory function declined less after pancreatectomy in patients with PDAC. Plasma Wnt5a and pancreatic islet β-catenin levels were higher in patients with PDAC and correlated with the degree of hyperglycemia and insulin deficiency. Plasma Wnt5a levels also correlated with tumor size and pancreatic islet β-catenin expression in patients with PDAC. In rodent islets, Wnt5a treatment suppressed insulin release, which was recovered by inhibition of β-catenin. Collectively, impaired pancreatic insulin secretion by aberrant Wnt5a/β-catenin activation may underlie the hyperglycemia associated with PDAC. Our finding provides insights into the unique molecular mechanism of pancreatic cancer-associated hyperglycemia, paving the way for the identification of potential biomarker and therapeutic targets for this condition. Pancreatic ductal adenocarcinoma (PDAC) is a lethal cancer with low survival. Many patients with PDAC also develop diabetes, but the connection between the two is still unclear. Researchers aimed to explore this link by studying 160 patients, including those with PDAC and those without PDAC, who had surgery to remove part of their pancreas. The study involved measuring blood sugar and insulin levels before and after surgery. Patients with PDAC had higher blood sugar levels and lower insulin production than those without PDAC before surgery. After the surgery, patients with PDAC showed greater improvement in blood sugar control and a smaller decrease in insulin secretion than patients without PDAC. A protein called Wnt5a secreted by cancer was higher in patients with PDAC and might be linked to reduced insulin production. This protein could serve as a marker for early detection of PDAC-related diabetes. This summary was initially drafted using artificial intelligence, then revised and fact-checked by the author.","PeriodicalId":50466,"journal":{"name":"Experimental and Molecular Medicine","volume":"58 1","pages":"272-283"},"PeriodicalIF":12.9,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s12276-025-01625-8.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146068369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-23DOI: 10.1038/s12276-025-01631-w
Jiae Lee, Gong-Rak Lee, Hye In Lee, Minjeong Kwon, Taehee Kim, Jong Ran Lee, Soo Young Lee, Woojin Jeong
Rho guanine nucleotide exchange factor (Rgnef/p190RhoGEF), a RhoA-specific guanine nucleotide exchange factor, has been implicated in cancer and amyotrophic lateral sclerosis, but little is known about its role in bone. Here we investigate the roles of Rgnef in bone metabolism using Rgnef-deficient and overexpressing mice. Compared with littermate wildtype mice, Rgnef-deficient mice had increased bone mass owing to lower osteolysis and higher osteogenesis, and Rgnef-overexpressing transgenic mice had the opposite bone phenotype. Rgnef deficiency inhibited osteoclast formation and resorptive function and promoted osteoblast differentiation and mineralization, whereas Rgnef overexpression had the reverse effect. Mechanistically, Rgnef promotes osteoclastogenesis by enhancing the activity of nuclear factor kappa B (NF-κB), mitogen-activated protein kinases and AKT through the activation of RhoA and Rac1 and attenuates osteoblastogenesis through the RhoA/Rac1-mediated NF-κB activation. Moreover, Rgnef-deficient mice were protected from bone loss caused by lipopolysaccharide-induced inflammation or ovariectomy. Thus, Rgnef is a crucial regulator of bone metabolism and could serve as a potential new target for treating bone diseases. Bone health relies on a balance between bone breakdown by cells called osteoclasts and bone building by cells called osteoblasts. Researchers explored the role of a protein called Rgnef in bone health. They found that Rgnef affects both osteoclasts and osteoblasts by controlling proteins called RhoA and Rac1, which are involved in cell movement and structure. In their study, they used mice that either lacked Rgnef or had extra amounts of it. Mice without Rgnef had stronger bones, whereas those with extra Rgnef had weaker bones. This was because Rgnef influences how well osteoclasts break down bone and how well osteoblasts build it. Researchers used various lab techniques to study these effects, including examining bone cells under a microscope and measuring specific proteins. Findings suggest that targeting Rgnef could be a new way to treat bone diseases. This summary was initially drafted using artificial intelligence, then revised and fact-checked by the author.
{"title":"Rgnef regulates bone mass through the activation of RhoA and Rac1","authors":"Jiae Lee, Gong-Rak Lee, Hye In Lee, Minjeong Kwon, Taehee Kim, Jong Ran Lee, Soo Young Lee, Woojin Jeong","doi":"10.1038/s12276-025-01631-w","DOIUrl":"10.1038/s12276-025-01631-w","url":null,"abstract":"Rho guanine nucleotide exchange factor (Rgnef/p190RhoGEF), a RhoA-specific guanine nucleotide exchange factor, has been implicated in cancer and amyotrophic lateral sclerosis, but little is known about its role in bone. Here we investigate the roles of Rgnef in bone metabolism using Rgnef-deficient and overexpressing mice. Compared with littermate wildtype mice, Rgnef-deficient mice had increased bone mass owing to lower osteolysis and higher osteogenesis, and Rgnef-overexpressing transgenic mice had the opposite bone phenotype. Rgnef deficiency inhibited osteoclast formation and resorptive function and promoted osteoblast differentiation and mineralization, whereas Rgnef overexpression had the reverse effect. Mechanistically, Rgnef promotes osteoclastogenesis by enhancing the activity of nuclear factor kappa B (NF-κB), mitogen-activated protein kinases and AKT through the activation of RhoA and Rac1 and attenuates osteoblastogenesis through the RhoA/Rac1-mediated NF-κB activation. Moreover, Rgnef-deficient mice were protected from bone loss caused by lipopolysaccharide-induced inflammation or ovariectomy. Thus, Rgnef is a crucial regulator of bone metabolism and could serve as a potential new target for treating bone diseases. Bone health relies on a balance between bone breakdown by cells called osteoclasts and bone building by cells called osteoblasts. Researchers explored the role of a protein called Rgnef in bone health. They found that Rgnef affects both osteoclasts and osteoblasts by controlling proteins called RhoA and Rac1, which are involved in cell movement and structure. In their study, they used mice that either lacked Rgnef or had extra amounts of it. Mice without Rgnef had stronger bones, whereas those with extra Rgnef had weaker bones. This was because Rgnef influences how well osteoclasts break down bone and how well osteoblasts build it. Researchers used various lab techniques to study these effects, including examining bone cells under a microscope and measuring specific proteins. Findings suggest that targeting Rgnef could be a new way to treat bone diseases. This summary was initially drafted using artificial intelligence, then revised and fact-checked by the author.","PeriodicalId":50466,"journal":{"name":"Experimental and Molecular Medicine","volume":"58 1","pages":"243-253"},"PeriodicalIF":12.9,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s12276-025-01631-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-22DOI: 10.1038/s12276-025-01628-5
Giulia Cazzanelli, Andrea Dalle Vedove, Francesca Broso, Matteo Burigotto, Jacopo Zasso, Giuseppe Aiello, Francesca Zonta, Andrea Astolfi, Maria Letizia Barreca, Maria Ruzzene, Luca Tiberi, Luca L. Fava, Alessandro Quattrone, Graziano Lolli
CK2 is an antiapoptotic kinase overactive in various malignancies. Here we show that CK2 inhibition dramatically affects neuroblastoma growth both in vitro and in vivo. In particular, here we report on the identification of CK2-TN03, a CK2 inhibitor showing greater selectivity and cellular efficacy than silmitasertib, the only available clinical grade CK2 inhibitor with orphan status for cholangiocarcinoma and in clinical trials for medulloblastoma. CK2-TN03 acts by suppressing survivin, which is overexpressed in all high-risk neuroblastomas. Survivin function is affected by direct inhibition of its phosphorylation by CK2; its messenger RNA and protein levels are reduced through CK2 regulation of the MDM2/p53 balance via AKT1 and BRD4/MYCN. Accordingly, neuroblastoma cells persistently stall in mitosis before going to apoptosis. Finally, CK2-TN03 does not affect noncycling cells and significantly reduces tumor growth in mice xenografts without any apparent toxicity. Researchers have been exploring ways to inhibit CK2 to treat cancers such as neuroblastoma, a type of cancer that affects nerve cells. The study addresses the challenge of finding effective CK2 inhibitors. Researchers identified a new CK2 inhibitor called CK2-TN03. They tested its effects on various cancer cell lines, including neuroblastoma cells, using laboratory experiments. The study involved testing the compound’s ability to reduce cancer cell growth and induce cell death. They also examined how CK2-TN03 affects proteins involved in cell division and survival. Results showed CK2-TN03 effectively reduced tumor growth in neuroblastoma cells and was more potent than an existing inhibitor, CX-4945. It worked by disrupting the function of a protein called survivin, which helps cancer cells survive and divide. Researchers concluded that CK2-TN03 has potential as a treatment for neuroblastoma and possibly other cancers. This summary was initially drafted using artificial intelligence, then revised and fact-checked by the author.
{"title":"Switching off CK2-mediated activation of survivin offers new therapeutic opportunities in neuroblastoma","authors":"Giulia Cazzanelli, Andrea Dalle Vedove, Francesca Broso, Matteo Burigotto, Jacopo Zasso, Giuseppe Aiello, Francesca Zonta, Andrea Astolfi, Maria Letizia Barreca, Maria Ruzzene, Luca Tiberi, Luca L. Fava, Alessandro Quattrone, Graziano Lolli","doi":"10.1038/s12276-025-01628-5","DOIUrl":"10.1038/s12276-025-01628-5","url":null,"abstract":"CK2 is an antiapoptotic kinase overactive in various malignancies. Here we show that CK2 inhibition dramatically affects neuroblastoma growth both in vitro and in vivo. In particular, here we report on the identification of CK2-TN03, a CK2 inhibitor showing greater selectivity and cellular efficacy than silmitasertib, the only available clinical grade CK2 inhibitor with orphan status for cholangiocarcinoma and in clinical trials for medulloblastoma. CK2-TN03 acts by suppressing survivin, which is overexpressed in all high-risk neuroblastomas. Survivin function is affected by direct inhibition of its phosphorylation by CK2; its messenger RNA and protein levels are reduced through CK2 regulation of the MDM2/p53 balance via AKT1 and BRD4/MYCN. Accordingly, neuroblastoma cells persistently stall in mitosis before going to apoptosis. Finally, CK2-TN03 does not affect noncycling cells and significantly reduces tumor growth in mice xenografts without any apparent toxicity. Researchers have been exploring ways to inhibit CK2 to treat cancers such as neuroblastoma, a type of cancer that affects nerve cells. The study addresses the challenge of finding effective CK2 inhibitors. Researchers identified a new CK2 inhibitor called CK2-TN03. They tested its effects on various cancer cell lines, including neuroblastoma cells, using laboratory experiments. The study involved testing the compound’s ability to reduce cancer cell growth and induce cell death. They also examined how CK2-TN03 affects proteins involved in cell division and survival. Results showed CK2-TN03 effectively reduced tumor growth in neuroblastoma cells and was more potent than an existing inhibitor, CX-4945. It worked by disrupting the function of a protein called survivin, which helps cancer cells survive and divide. Researchers concluded that CK2-TN03 has potential as a treatment for neuroblastoma and possibly other cancers. This summary was initially drafted using artificial intelligence, then revised and fact-checked by the author.","PeriodicalId":50466,"journal":{"name":"Experimental and Molecular Medicine","volume":"58 1","pages":"227-242"},"PeriodicalIF":12.9,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s12276-025-01628-5.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Intervertebral disc degeneration (IDD) is a major cause of low back pain, characterized by a complex interplay of inflammation, extracellular matrix degradation and various modes of cell death. Among these, pyroptosis, a highly inflammatory form of programmed cell death, has recently emerged as a critical pathogenetic mechanism. This review systematically elaborates on the role of pyroptosis in IDD, detailing its activation via the canonical and noncanonical inflammasome pathways in response to oxidative stress, mechanical load and metabolic disturbances. Here we highlight how pyroptosis synergizes with other pathological processes, creating a vicious cycle that accelerates disc degeneration. Furthermore, we critically evaluate promising therapeutic strategies that target pyroptosis, including small molecule inhibitors, biological agents, stem cell-derived extracellular vesicles and innovative biomaterial-based delivery systems designed to overcome the challenges of the avascular disc microenvironment. Finally, we discuss the translational potential and future directions of antipyroptosis therapies, proposing an integrated approach for managing IDD. Intervertebral disc degeneration (IDD) is a condition that affects the spine, causing pain and reduced quality of life. The study explores how a process called pyroptosis contributes to IDD. Pyroptosis involves the release of inflammatory substances that damage cells and tissues. Researchers reviewed existing studies to understand this process better. The study highlights that pyroptosis is triggered by stress factors like oxidative stress and mechanical stress on the spine. These stresses activate a protein complex called the NLRP3 inflammasome, leading to cell death and inflammation. The researchers used various methods, including reviewing past research and analyzing biological pathways, to understand how pyroptosis affects IDD. The findings suggest that targeting pyroptosis could be a potential treatment strategy for IDD. By inhibiting the NLRP3 inflammasome, it may be possible to reduce inflammation and slow down disc degeneration. This summary was initially drafted using artificial intelligence, then revised and fact-checked by the author.
{"title":"Pyroptosis: mechanism and therapeutic strategies with intervertebral disc degeneration","authors":"Wang Wu, Zhangrong Cheng, Xianglong Chen, Pengzhi Shi, Anran Zhang, Haiyang Gao, Wenbo Wu, Yukun Zhang","doi":"10.1038/s12276-025-01630-x","DOIUrl":"10.1038/s12276-025-01630-x","url":null,"abstract":"Intervertebral disc degeneration (IDD) is a major cause of low back pain, characterized by a complex interplay of inflammation, extracellular matrix degradation and various modes of cell death. Among these, pyroptosis, a highly inflammatory form of programmed cell death, has recently emerged as a critical pathogenetic mechanism. This review systematically elaborates on the role of pyroptosis in IDD, detailing its activation via the canonical and noncanonical inflammasome pathways in response to oxidative stress, mechanical load and metabolic disturbances. Here we highlight how pyroptosis synergizes with other pathological processes, creating a vicious cycle that accelerates disc degeneration. Furthermore, we critically evaluate promising therapeutic strategies that target pyroptosis, including small molecule inhibitors, biological agents, stem cell-derived extracellular vesicles and innovative biomaterial-based delivery systems designed to overcome the challenges of the avascular disc microenvironment. Finally, we discuss the translational potential and future directions of antipyroptosis therapies, proposing an integrated approach for managing IDD. Intervertebral disc degeneration (IDD) is a condition that affects the spine, causing pain and reduced quality of life. The study explores how a process called pyroptosis contributes to IDD. Pyroptosis involves the release of inflammatory substances that damage cells and tissues. Researchers reviewed existing studies to understand this process better. The study highlights that pyroptosis is triggered by stress factors like oxidative stress and mechanical stress on the spine. These stresses activate a protein complex called the NLRP3 inflammasome, leading to cell death and inflammation. The researchers used various methods, including reviewing past research and analyzing biological pathways, to understand how pyroptosis affects IDD. The findings suggest that targeting pyroptosis could be a potential treatment strategy for IDD. By inhibiting the NLRP3 inflammasome, it may be possible to reduce inflammation and slow down disc degeneration. This summary was initially drafted using artificial intelligence, then revised and fact-checked by the author.","PeriodicalId":50466,"journal":{"name":"Experimental and Molecular Medicine","volume":"58 1","pages":"99-109"},"PeriodicalIF":12.9,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s12276-025-01630-x.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}