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The rise of astrocytes: are they guardians or troublemakers of the brain disorder? 星形胶质细胞的兴起:它们是大脑紊乱的守护者还是麻烦制造者?
IF 12.9 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-05 DOI: 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.

大脑是一个高度复杂的多细胞器官,由不同类型的神经元和非神经元细胞组成,它们共同维持中枢神经系统的稳态。在胶质细胞群中,星形胶质细胞是神经元功能的关键调节因子。在生理条件下,星形胶质细胞提供必要的代谢支持,调节神经递质释放,维持神经元健康。传统上,星形胶质细胞被认为是被动和支持细胞,现在被认为是中枢神经系统中动态和反应性的元素。在对病理性损伤的反应中,星形胶质细胞在功能、形态和基因表达方面发生显著变化,这一过程被称为反应性星形胶质细胞形成。反应性星形胶质细胞获得异质性特征,可通过非细胞自主机制促进大脑疾病。然而,这种转变的驱动因素——以及它们从神经元守护者到病理潜在贡献者的转变——仍未完全了解。在这里,我们探索星形胶质细胞的复杂,多维的角色和反应状态如何改变其主要功能。我们关注星形胶质细胞的双重保护和病理作用,特别是从健康到异质反应形式的转变,目的是了解它们对神经退行性疾病进展的总体影响。
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引用次数: 0
Interferon regulatory factor 5 involves the pathogenesis of emphysema through NLRP3 and Ly6C expressing cells. 干扰素调节因子5通过表达NLRP3和Ly6C的细胞参与肺气肿的发病机制。
IF 12.9 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-05 DOI: 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.

干扰素调节因子5 (IRF5)是炎症反应的关键调节因子;然而,其在慢性阻塞性肺疾病中的作用尚不清楚。先前的一项研究表明,香烟烟雾(CS)诱导的肺气肿的肺部IRF5表达增加。我们利用IRF5基因敲除(KO)小鼠研究了IRF5在肺气肿中的功能。评估cs诱导肺气肿的肺泡破坏、炎症细胞浸润、细胞因子水平和热相关基因表达。为了研究免疫细胞在肺气肿小鼠中的作用,我们将来自Irf5-KO小鼠的ly6c++ (Ly6Chigh)单核细胞和Ly6Chigh T细胞引入肺气肿小鼠。还评估了IRF5水平与人类肺气肿之间的相关性。暴露于CS后,Irf5-KO小鼠肺泡破坏减少。在Irf5-KO小鼠中,NLRP3的表达被抑制,gasdermin D的切割被改变,表明其对热腐细胞死亡具有保护作用。此外,CS暴露后,Irf5-KO小鼠肺中ly6high单核细胞和ly6high T细胞含量增加,它们的转移减轻了NLRP3的表达和肺泡损伤。此外,IRF5在患者肺组织中的表达显著升高。我们的研究结果强调IRF5是肺气肿发病的关键调节因子,通过nlrp3介导的焦亡和表达ly6high的免疫细胞。靶向IRF5可能是慢性阻塞性肺疾病的潜在治疗策略。
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引用次数: 0
TFEB, FOXO3 and TLR4 in resveratrol-induced autophagy in a mucopolysaccharidosis IIIB mouse model. TFEB、FOXO3和TLR4参与白藜芦醇诱导的粘多糖病IIIB小鼠自噬。
IF 12.9 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-05 DOI: 10.1038/s12276-026-01643-0
Estera Rintz, Magdalena Podlacha, Lidia Gaffke, Grażyna Jerzemowska, Zuzanna Cyske, Karolina Pierzynowska, Grzegorz Węgrzyn

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.

粘多糖病(MPS) IIIB型是一种中枢神经系统进行性变性。白藜芦醇被认为是一种潜在的治疗分子,可以减轻炎症并改善MPS小鼠的行为。我们在MPS IIIB小鼠模型中研究了自噬与免疫反应的关系。评估了白藜芦醇对小鼠行为的影响以及影响炎症的选定细胞因子的水平。该研究是在雄性和雌性小鼠中进行的,无论是否使用白藜芦醇。行为学、分子和生化实验结果证实,MPS IIIB小鼠的自噬和免疫反应受到干扰。行为障碍与硫酸肝素和TLR4水平之间存在相关性。在MPS IIIB小鼠模型中,FOXO3转录因子被认为是白藜芦醇介导的刺激自噬过程的关键因子之一,尽管它不是该化合物诱导的唯一途径。我们得出结论,白藜芦醇可以调节糖胺聚糖的降解,也可能有助于减少炎症和MPS IIIB模型动物行为的正常化。
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引用次数: 0
Mechanotransduction through T cell receptors: consensus, controversies and future outlooks. 通过T细胞受体的机械转导:共识、争议和未来展望。
IF 12.9 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-05 DOI: 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.

免疫细胞依靠表面免疫受体来感知环境。虽然许多免疫受体的下游信号通路已经被很好地表征,但在配体接合时触发信号的初始分子事件仍然不完全清楚。在这篇综述中,我们以T细胞抗原受体(TCR)为原型,概述了我们目前对免疫受体信号启动问题的理解。我们综合了几十年来对TCR独特功能需求的研究,并探讨了这些特性如何限制潜在的触发机制。我们评估了TCR信号启动的主要模型,并强调了它们各自的优势、局限性、互补方面和正在进行辩论的领域。一个中心焦点是机械力在TCR触发和抗原识别中的作用,我们考虑了TCR- pmhc捕获键的证据,T细胞产生内源性力的能力,以及这些力如何调节受体-配体动力学和构象变化,以增强抗原识别,超越经典的动力学校对模型。通过比较TCR与其他免疫受体(如B细胞受体和Fc受体)的触发,我们讨论了它们的共同原理和受体特异性差异。本综述旨在巩固现有的知识,调和相互矛盾的发现,并确定关键的未解问题,以期为理解免疫受体如何将配体结合转化为细胞反应绘制一条路径。
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引用次数: 0
Progressive neuroinflammation and deficits in motor function in a mouse model with an Epg5 pathogenic variant of Vici syndrome 进行性神经炎症和运动功能缺陷的小鼠模型与Epg5致病性变异体Vici综合征。
IF 12.9 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-30 DOI: 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
Vici综合征(VS)是一种罕见的儿童遗传性疾病,以严重发育迟缓、癫痫发作、免疫缺陷、心肌病和进行性运动功能障碍为特征。这种毁灭性的疾病是由EPG5基因的致病性变异引起的,该基因编码自噬调节因子,导致细胞内有毒物质的积累和广泛的细胞功能障碍。较不严重的EPG5致病变异最近与罕见的家族性帕金森病有关,这表明EPG5功能缺陷驱动了一系列神经退行性疾病。目前,对于任何与EPG5致病变异相关的疾病,都没有有效的治疗方法。驱动VS进行性神经功能衰退的潜在细胞机制仍然知之甚少。先前使用Epg5敲除模型的研究显示出严重的神经表型;然而,这些模型还没有表征中枢神经系统的分子和细胞缺陷。在这里,我们报道了具有Epg5突变的新型基因工程小鼠作为VS模型的产生和分析,包括一个具有截断突变的菌株,该突变概括了患者来源的致病变异,以及一个具有Epg5零等位基因的菌株。这些新的Epg5突变小鼠模型显示出部分围产期死亡率。存活的神经功能缺陷在6周龄时可检测到,并随着时间的推移而恶化。组织学分析显示小胶质细胞和星形胶质细胞在整个中枢神经系统广泛扩张。中枢神经系统组织的转录组学分析揭示了强大的神经炎症特征,与在其他神经疾病和损伤模型中观察到的疾病相关小胶质细胞共享分子特征。这些新的小鼠VS模型的分析表明,神经胶质细胞激活在VS的发病机制中起着关键作用,这些新的体内模型将成为针对先天性自噬疾病和epg5相关神经变性的自噬相关神经变性治疗的临床前评估的重要平台。
{"title":"Progressive neuroinflammation and deficits in motor function in a mouse model with an Epg5 pathogenic variant of Vici syndrome","authors":"Bradley T. Thornton,&nbsp;Alexandra G. Hardinger,&nbsp;Laramie Pence,&nbsp;Priyanka Prem Kumar,&nbsp;Nikolas Connolly,&nbsp;Scott J. Weir,&nbsp;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}
引用次数: 0
Single-immunocyte transcriptomics reveal the role of natural killer cell-dependent exogenous antigen presentation in ankylosing spondylitis severity 单免疫细胞转录组学揭示了自然杀伤细胞依赖性外源性抗原呈递在强直性脊柱炎严重程度中的作用。
IF 12.9 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-28 DOI: 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.
强直性脊柱炎(AS)是一种可导致严重畸形的自身免疫性疾病,与其发病和进展相关的免疫模式尚不清楚。在招募健康供者和不同阶段的患者后,我们对外周血单个核细胞进行了单细胞RNA测序,以研究与AS发病、加重和缓解相关的细胞分类和免疫学标志,并探索导致AS病变的内在规律。结果表明,大多数细胞类型的先天抗菌防御功能在疾病发病时普遍增强,并与AS严重程度呈负相关。以抗原呈递细胞(APC-NK)为特征的自然杀伤(NK)细胞亚群的丰度和外源性抗原呈递评分在疾病加重期间增加,但在缓解期间下降。一般来说,APC-NK丰度及其呈递评分与多种细胞类型的先天防御评分呈负相关。CD4+效应T细胞的丰度和细胞毒性,以及HLA-DRB1+ NK细胞(类似于APC-NK)对CD4+ T细胞反应的增强,与as的严重程度相关。HLA-DRB1+ NK细胞的植入加速了curdlan诱导的SKG模型小鼠as样改变;这被CD4+ T细胞衰竭阻断。NK细胞耗竭可改善as样小鼠的表型。APC-NK中的HLA-DPB1/DPA1通过介导靶向CD4+ T细胞的抗原提呈参与AS加重。总的来说,先天防御抗原呈递偶联驱动AS病变和不同的结果。此外,先天防御和nk依赖性外源性抗原呈递之间的权衡导致CD4+ T细胞活化或失活,从而导致AS加重或缓解;这表明APC-NK是导致强直性畸形的关键因素。
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引用次数: 0
Impaired insulin secretion via the Wnt5a/β-catenin pathway contributes to diabetes development in pancreatic cancer 通过Wnt5a/β-catenin通路的胰岛素分泌受损有助于胰腺癌的糖尿病发展。
IF 12.9 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-28 DOI: 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.
糖尿病在胰腺导管腺癌(PDAC)患者中非常普遍,甚至早于PDAC的诊断;然而,胰腺癌相关血糖恶化的机制在很大程度上仍然未知。在这里,我们构建了一组接受胰腺切除术的患者的前瞻性队列,以研究pdac相关高血糖的潜在机制。共有160名接受胰腺切除术的患者(72名PDAC患者和88名非PDAC患者)在三级保健医院登记。在术前和术后评估口服糖耐量试验下的糖代谢参数,并收集患者来源的血液和胰腺组织样本。与无PDAC的患者相比,PDAC患者术前出现严重高血糖并胰岛素分泌受损。然而,尽管两组胰腺切除术类型相同,但PDAC患者胰切除术后高血糖改善更为显著,胰岛素分泌功能下降较少。PDAC患者血浆Wnt5a和胰岛β-catenin水平较高,且与高血糖和胰岛素缺乏程度相关。PDAC患者血浆Wnt5a水平也与肿瘤大小和胰岛β-catenin表达相关。在啮齿动物胰岛中,Wnt5a处理抑制胰岛素释放,并通过抑制β-catenin恢复胰岛素释放。总的来说,Wnt5a/β-catenin异常激活导致的胰腺胰岛素分泌受损可能是PDAC相关高血糖的基础。我们的发现为胰腺癌相关高血糖的独特分子机制提供了见解,为确定潜在的生物标志物和治疗靶点铺平了道路。
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引用次数: 0
Rgnef regulates bone mass through the activation of RhoA and Rac1 Rgnef通过激活RhoA和Rac1来调节骨量。
IF 12.9 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-23 DOI: 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.
Rho鸟嘌呤核苷酸交换因子(Rgnef/p190RhoGEF)是一种rhoa特异性的鸟嘌呤核苷酸交换因子,与癌症和肌萎缩侧索硬化症有关,但对其在骨骼中的作用知之甚少。在这里,我们用Rgnef缺乏和过表达的小鼠来研究Rgnef在骨代谢中的作用。与同窝野生型小鼠相比,rgnef缺失小鼠的骨量增加,原因是骨溶解减少,成骨量增加,而过表达rgnef的转基因小鼠的骨表型相反。Rgnef缺乏抑制破骨细胞形成和骨吸收功能,促进成骨细胞分化和矿化,而Rgnef过表达则相反。机制上,Rgnef通过RhoA和Rac1的激活,增强核因子κB (NF-κB)、丝裂原活化蛋白激酶和AKT的活性,促进破骨细胞的形成,并通过RhoA/Rac1介导的NF-κB激活,减弱成骨细胞的形成。此外,rgnef缺失小鼠可避免脂多糖诱导的炎症或卵巢切除术引起的骨质流失。因此,Rgnef是骨代谢的重要调节因子,可以作为治疗骨疾病的潜在新靶点。
{"title":"Rgnef regulates bone mass through the activation of RhoA and Rac1","authors":"Jiae Lee,&nbsp;Gong-Rak Lee,&nbsp;Hye In Lee,&nbsp;Minjeong Kwon,&nbsp;Taehee Kim,&nbsp;Jong Ran Lee,&nbsp;Soo Young Lee,&nbsp;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}
引用次数: 0
Switching off CK2-mediated activation of survivin offers new therapeutic opportunities in neuroblastoma 关闭ck2介导的survivin激活为神经母细胞瘤提供了新的治疗机会。
IF 12.9 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-22 DOI: 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.
CK2是一种在多种恶性肿瘤中过度活跃的抗凋亡激酶。在这里,我们表明CK2抑制显著影响神经母细胞瘤的生长在体外和体内。特别是,我们报告了CK2- tn03的鉴定,CK2- tn03是一种CK2抑制剂,具有比silmitasertib更高的选择性和细胞疗效,silmitasertib是唯一可用的临床级CK2抑制剂,在胆管癌和成神经管细胞瘤的临床试验中具有孤儿状态。CK2-TN03通过抑制survivin起作用,survivin在所有高危神经母细胞瘤中过表达。CK2对Survivin磷酸化的直接抑制影响其功能;其信使RNA和蛋白水平通过CK2通过AKT1和BRD4/MYCN调控MDM2/p53平衡而降低。因此,神经母细胞瘤细胞在有丝分裂中持续停滞,然后走向凋亡。最后,CK2-TN03不影响非循环细胞,并显著降低小鼠异种移植物的肿瘤生长,没有任何明显的毒性。
{"title":"Switching off CK2-mediated activation of survivin offers new therapeutic opportunities in neuroblastoma","authors":"Giulia Cazzanelli,&nbsp;Andrea Dalle Vedove,&nbsp;Francesca Broso,&nbsp;Matteo Burigotto,&nbsp;Jacopo Zasso,&nbsp;Giuseppe Aiello,&nbsp;Francesca Zonta,&nbsp;Andrea Astolfi,&nbsp;Maria Letizia Barreca,&nbsp;Maria Ruzzene,&nbsp;Luca Tiberi,&nbsp;Luca L. Fava,&nbsp;Alessandro Quattrone,&nbsp;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}
引用次数: 0
Pyroptosis: mechanism and therapeutic strategies with intervertebral disc degeneration 热下垂:椎间盘退变的机制和治疗策略。
IF 12.9 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-22 DOI: 10.1038/s12276-025-01630-x
Wang Wu, Zhangrong Cheng, Xianglong Chen, Pengzhi Shi, Anran Zhang, Haiyang Gao, Wenbo Wu, Yukun Zhang
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.
椎间盘退变(IDD)是腰痛的主要原因,其特点是炎症、细胞外基质降解和各种细胞死亡模式的复杂相互作用。其中,焦亡,程序性细胞死亡的一种高度炎症形式,最近被认为是一种关键的发病机制。这篇综述系统地阐述了焦亡在IDD中的作用,详细介绍了它在氧化应激、机械负荷和代谢紊乱的反应中通过典型和非典型炎性体途径激活。在这里,我们强调焦亡如何与其他病理过程协同作用,形成加速椎间盘退变的恶性循环。此外,我们批判性地评估了针对焦亡的有前途的治疗策略,包括小分子抑制剂、生物制剂、干细胞衍生的细胞外囊泡和创新的基于生物材料的递送系统,这些系统旨在克服无血管椎间盘微环境的挑战。最后,我们讨论了抗焦亡疗法的转化潜力和未来发展方向,提出了一种治疗IDD的综合方法。
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引用次数: 0
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