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Glycation and drug binding by serum albumin. 血清白蛋白的糖化和药物结合。
4区 医学 Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 Epub Date: 2024-01-08 DOI: 10.1016/bs.vh.2023.12.001
Anu Jain, Nand Kishore

Accumulation of glycation products in patients with hyperglycaemic conditions can lead to their reaction with the proteins in the human system such as serum albumin, haemoglobin, insulin, plasma lipoproteins, lens proteins and collagen among others which have important biological functions. Therefore, it is important to understand if glycation of these proteins affects their normal action not only qualitatively, but also importantly quantitatively. Glycation of human serum albumin can easily be carried out over period of weeks and its drug transportability may be examined, in addition to characterisation of the amadori products. A combination of ultrasensitive isothermal titration calorimetry, differential scanning calorimetry, spectroscopy and chromatography provides structure-property-energetics correlations which are important to obtain mechanistic aspects of drug recognition, conformation of the protein, and role of amadori products under conditions of glycation. The role of advance glycation end products is important in recognition of antidiabetic drugs. Further, the extent of glycation of the protein and its implication on drug transportability investigated by direct calorimetric methods enables unravelling mechanistic insights into role of functionality on drug molecules in the binding process, and hinderance in the recognition process, if any, as a result of glycation. It is possible that the drug binding ability of the protein under glycation conditions may not be adversely affected, or may even lead to strengthened ability. Rigorous studies on such systems with diverse functionality on the drug molecules is required which is essential in deriving guidelines for improvements in the existing drugs or in the synthesis of new molecular entities directed towards addressing diabetic conditions.

高血糖患者体内糖化产物的积累会导致它们与人体系统中的蛋白质发生反应,如血清白蛋白、血红蛋白、胰岛素、血浆脂蛋白、晶状体蛋白和胶原蛋白等,这些蛋白质具有重要的生物功能。因此,了解这些蛋白质的糖化是否会影响其正常作用非常重要,不仅要从质量上了解,更重要的是要从数量上了解。人血清白蛋白的糖化过程可在数周内轻松完成,除了对amadori产物进行表征外,还可对其药物转运性进行检测。超灵敏等温滴定量热法、差示扫描量热法、光谱法和色谱法的结合提供了结构-性质-能量的相关性,这对了解药物识别的机理、蛋白质的构象以及糖化条件下阿马多尔利产物的作用非常重要。提前糖化终产物的作用对识别抗糖尿病药物非常重要。此外,通过直接量热法研究蛋白质的糖化程度及其对药物运输性的影响,可以从机理上深入了解药物分子在结合过程中的功能性作用,以及糖化对识别过程的阻碍(如果有的话)。在糖化条件下,蛋白质的药物结合能力可能不会受到不利影响,甚至可能得到加强。需要对药物分子上具有不同功能的此类系统进行严格的研究,这对于为改进现有药物或合成用于治疗糖尿病的新分子实体提供指导至关重要。
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引用次数: 0
MicroRNA regulation of adrenal glucocorticoid and androgen biosynthesis. 肾上腺糖皮质激素和雄激素生物合成的微RNA调控。
4区 医学 Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 Epub Date: 2023-11-24 DOI: 10.1016/bs.vh.2023.06.006
Salman Azhar, Wen-Jun Shen, Zhigang Hu, Fredric B Kraemer

Steroid hormones are derived from a common precursor molecule, cholesterol, and regulate a wide range of physiologic function including reproduction, salt balance, maintenance of secondary sexual characteristics, response to stress, neuronal function, and various metabolic processes. Among the steroids synthesized by the adrenal and gonadal tissues, adrenal mineralocorticoids, and glucocorticoids are essential for life. The process of steroidogenesis is regulated at multiple levels largely by transcriptional, posttranscriptional, translational, and posttranslational regulation of the steroidogenic enzymes (i.e., cytochrome P450s and hydroxysteroid dehydrogenases), cellular compartmentalization of the steroidogenic enzymes, and cholesterol processing and transport proteins. In recent years, small noncoding RNAs, termed microRNAs (miRNAs) have been recognized as major post-transcriptional regulators of gene expression with essential roles in numerous biological processes and disease pathologies. Although their role in the regulation of steroidogenesis is still emerging, several recent studies have contributed significantly to our understanding of the role miRNAs play in the regulation of the steroidogenic process. This chapter focuses on the recent developments in miRNA regulation of adrenal glucocorticoid and androgen production in humans and rodents.

类固醇激素来源于一种共同的前体分子--胆固醇,可调节多种生理功能,包括生殖、盐平衡、第二性征的维持、对压力的反应、神经元功能以及各种新陈代谢过程。在肾上腺和性腺组织合成的类固醇中,肾上腺矿物皮质激素和糖皮质激素是生命所必需的。类固醇的生成过程主要通过类固醇生成酶(即细胞色素 P450s 和羟类固醇脱氢酶)的转录、转录后、翻译和翻译后调控、类固醇生成酶的细胞分区以及胆固醇加工和转运蛋白进行多层次调控。近年来,被称为微小 RNA(miRNA)的小型非编码 RNA 被认为是基因表达的主要转录后调控因子,在许多生物过程和疾病病理中发挥着重要作用。尽管它们在类固醇生成调控中的作用仍在不断显现,但最近的一些研究极大地促进了我们对 miRNA 在类固醇生成过程调控中所起作用的了解。本章将重点介绍 miRNA 调控人类和啮齿动物肾上腺糖皮质激素和雄激素生成的最新进展。
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引用次数: 0
MicroRNAs in aldosterone production and action. 醛固酮分泌和作用中的微小核糖核酸
4区 医学 Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 Epub Date: 2023-08-14 DOI: 10.1016/bs.vh.2023.07.001
Scott M MacKenzie, Lara A Birch, Stelios Lamprou, Parisa Rezvanisanijouybari, May Fayad, Maria-Christina Zennaro, Eleanor Davies

Aldosterone is a cardiovascular hormone with a key role in blood pressure regulation, among other processes, mediated through its targeting of the mineralocorticoid receptor in the renal tubule and selected other tissues. Its secretion from the adrenal gland is a highly controlled process subject to regulatory influence from the renin-angiotensin system and the hypothalamic-pituitary-adrenal axis. MicroRNAs are small endogenous non-coding RNA molecules capable of regulating gene expression post-transcriptionally through stimulation of mRNA degradation or suppression of translation. Several studies have now identified that microRNA levels are changed in cases of aldosterone dysregulation and that microRNAs are capable of regulating the expression of various genes involved in aldosterone production and action. In this article we summarise the major studies concerning this topic. We also discuss the potential role for circulating microRNAs as diagnostic biomarkers for primary aldosteronism, a highly treatable form of secondary hypertension, which would be highly desirable given the current underdiagnosis of this condition.

醛固酮是一种心血管激素,在血压调节和其他过程中起着关键作用,它以肾小管和选定的其他组织中的矿质皮质激素受体为靶点。它从肾上腺分泌的过程受到肾素-血管紧张素系统和下丘脑-垂体-肾上腺轴的高度控制。微小 RNA 是一种小型内源性非编码 RNA 分子,能够通过刺激 mRNA 降解或抑制翻译在转录后调节基因表达。目前已有多项研究发现,在醛固酮失调的情况下,microRNA 水平会发生变化,而且 microRNA 能够调节参与醛固酮产生和作用的各种基因的表达。在本文中,我们总结了有关这一主题的主要研究。我们还讨论了循环 microRNA 作为原发性醛固酮增多症诊断生物标志物的潜在作用,原发性醛固酮增多症是一种非常容易治疗的继发性高血压,鉴于目前对这种疾病的诊断不足,这种诊断生物标志物将是非常理想的。
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引用次数: 0
A circadian clock regulates the blood-brain barrier across phylogeny. 昼夜节律钟跨越系统发育调节血脑屏障。
4区 医学 Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 Epub Date: 2024-05-17 DOI: 10.1016/bs.vh.2024.04.004
Ashley Avila, Shirley L Zhang

As the central regulatory system of an organism, the brain is responsible for overseeing a wide variety of physiological processes essential for an organism's survival. To maintain the environment necessary for neurons to function, the brain requires highly selective uptake and elimination of specific molecules through the blood-brain barrier (BBB). As an organism's activities vary throughout the day, how does the BBB adapt to meet the changing needs of the brain? A mechanism is through temporal regulation of BBB permeability via its circadian clock, which will be the focal point of this chapter. To comprehend the circadian clock's role within the BBB, we will first examine the anatomy of the BBB and the transport mechanisms enabling it to fulfill its role as a restrictive barrier. Next, we will define the circadian clock, and the discussion will encompass an introduction to circadian rhythms, the Transcription-Translation Feedback Loop (TTFL) as the mechanistic basis of circadian timekeeping, and the organization of tissue clocks found in organisms. Then, we will cover the role of the circadian rhythms in regulating the cellular mechanisms and functions of the BBB. We discuss the implications of this regulation in influencing sleep behavior, the progression of neurodegenerative diseases, and finally drug delivery for treatment of neurological diseases.

作为生物体的中枢调节系统,大脑负责监督生物体生存所必需的各种生理过程。为了维持神经元发挥功能所需的环境,大脑需要通过血脑屏障(BBB)高度选择性地吸收和排出特定分子。由于生物体一天的活动各不相同,血脑屏障如何适应以满足大脑不断变化的需求?一种机制是通过昼夜节律钟对血脑屏障通透性进行时间调节,这将是本章的重点。为了理解昼夜节律钟在 BBB 中的作用,我们将首先研究 BBB 的解剖结构以及使其能够发挥限制性屏障作用的运输机制。接下来,我们将定义昼夜节律钟,讨论将包括昼夜节律介绍、作为昼夜节律计时机制基础的转录-翻译反馈回路(TTFL)以及生物体内组织时钟的组织。然后,我们将介绍昼夜节律在调节 BBB 的细胞机制和功能方面的作用。我们将讨论这种调节在影响睡眠行为、神经退行性疾病进展以及治疗神经疾病的药物输送方面的意义。
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引用次数: 0
A cholesterol-centric outlook on steroidogenesis. 以胆固醇为中心的类固醇生成观。
4区 医学 Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 Epub Date: 2023-09-12 DOI: 10.1016/bs.vh.2023.05.006
Simarjit Kaur Sidhu, Suresh Mishra

Cholesterol, an essential and versatile lipid, is the precursor substrate for the biosynthesis of steroid hormones, and a key structural and functional component of organelle membranes in eukaryotic cells. Consequently, the framework of steroidogenesis across main steroidogenic cell types is built around cholesterol, including its cellular uptake, mobilization from intracellular storage, and finally, its transport to the mitochondria where steroidogenesis begins. This setup, which is controlled by different trophic hormones in their respective target tissues, allows steroidogenic cells to meet their steroidogenic need of cholesterol effectively without impinging on the basic need for organelle membranes and their functions. However, our understanding of the basal steroidogenesis (i.e., independent of trophic hormone stimulation), which is a cell-intrinsic trait, remains poor. Particularly, the role that cholesterol itself plays in the regulation of steroidogenic factors and events in steroid hormone-producing cells remains largely unexplored. This is likely because of challenges in selectively targeting the steroidogenic intracellular cholesterol pool in studies. New evidence suggests that cholesterol plays a role in steroidogenesis. These new findings have created new opportunities to advance our understanding in this field. In this book chapter, we will provide a cholesterol-centric view on steroidogenesis and emphasize the importance of the interplay between cholesterol and the mitochondria in steroidogenic cells. Moreover, we will discuss a novel mitochondrial player, prohibitin-1, in this context. The overall goal is to provide a stimulating perspective on cholesterol as an important regulator of steroidogenesis (i.e., more than just a substrate for steroid hormones) and present the mitochondria as a potential cell-intrinsic factor in regulating steroidogenic cholesterol homeostasis.

胆固醇是一种重要的多功能脂质,是类固醇激素生物合成的前体底物,也是真核细胞细胞器膜的关键结构和功能成分。因此,各主要类固醇生成细胞的类固醇生成框架都是围绕胆固醇构建的,包括胆固醇的细胞摄取、从细胞内贮存中动员,最后运输到线粒体,在线粒体中开始类固醇生成。这种设置受各自目标组织中不同营养激素的控制,可使类固醇生成细胞有效满足其类固醇生成对胆固醇的需求,而不会影响细胞器膜的基本需求及其功能。然而,我们对基础类固醇生成(即不受营养激素刺激的类固醇生成)这一细胞固有特性的了解仍然不足。尤其是胆固醇本身在调节类固醇激素生成细胞中类固醇生成因子和事件方面所起的作用在很大程度上仍未得到探讨。这很可能是由于在研究中选择性地针对细胞内胆固醇池进行类固醇生成所面临的挑战。新的证据表明,胆固醇在类固醇生成过程中发挥作用。这些新发现为推进我们对这一领域的了解创造了新的机会。在本书的这一章中,我们将从以胆固醇为中心的角度来探讨类固醇的生成,并强调胆固醇与线粒体在类固醇生成细胞中相互作用的重要性。此外,我们还将在此背景下讨论一种新型线粒体参与者--禁止素-1。我们的总体目标是提供一个令人振奋的视角,将胆固醇视为类固醇生成的重要调节因子(即不仅仅是类固醇激素的底物),并将线粒体视为调节类固醇生成胆固醇平衡的潜在细胞内在因素。
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引用次数: 0
Adaptive remodeling of the stimulus-secretion coupling: Lessons from the 'stressed' adrenal medulla. 刺激-分泌耦合的适应性重塑:受压 "肾上腺髓质的启示
4区 医学 Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 Epub Date: 2023-06-08 DOI: 10.1016/bs.vh.2023.05.004
Nathalie C Guérineau

Stress is part of our daily lives and good health in the modern world is offset by unhealthy lifestyle factors, including the deleterious consequences of stress and associated pathologies. Repeated and/or prolonged stress may disrupt the body homeostasis and thus threatens our lives. Adaptive processes that allow the organism to adapt to new environmental conditions and maintain its homeostasis are therefore crucial. The adrenal glands are major endocrine/neuroendocrine organs involved in the adaptive response of the body facing stressful situations. Upon stress episodes and in response to activation of the sympathetic nervous system, the first adrenal cells to be activated are the neuroendocrine chromaffin cells located in the medullary tissue of the adrenal gland. By releasing catecholamines (mainly epinephrine and to a lesser extent norepinephrine), adrenal chromaffin cells actively contribute to the development of adaptive mechanisms, in particular targeting the cardiovascular system and leading to appropriate adjustments of blood pressure and heart rate, as well as energy metabolism. Specifically, this chapter covers the current knowledge as to how the adrenal medullary tissue remodels in response to stress episodes, with special attention paid to chromaffin cell stimulus-secretion coupling. Adrenal stimulus-secretion coupling encompasses various elements taking place at both the molecular/cellular and tissular levels. Here, I focus on stress-driven changes in catecholamine biosynthesis, chromaffin cell excitability, synaptic neurotransmission and gap junctional communication. These signaling pathways undergo a collective and finely-tuned remodeling, contributing to appropriate catecholamine secretion and maintenance of body homeostasis in response to stress.

压力是我们日常生活的一部分,现代社会的健康状况被不健康的生活方式因素所抵消,其中包括压力的有害后果和相关病症。反复和/或长期的压力可能会破坏机体的平衡,从而威胁到我们的生命。因此,让机体适应新的环境条件并保持平衡的适应过程至关重要。肾上腺是主要的内分泌/神经内分泌器官,参与机体面对压力时的适应性反应。在压力发作和交感神经系统激活时,首先被激活的肾上腺细胞是位于肾上腺髓质组织中的神经内分泌嗜铬细胞。肾上腺绒毛膜细胞通过释放儿茶酚胺(主要是肾上腺素,其次是去甲肾上腺素),积极促进适应机制的发展,特别是针对心血管系统,导致血压和心率以及能量代谢的适当调整。具体而言,本章将介绍肾上腺髓质组织在应对压力事件时如何重塑的现有知识,并特别关注绒毛膜促性腺激素细胞刺激-分泌耦合。肾上腺刺激-分泌耦合包括发生在分子/细胞和组织水平的各种因素。在这里,我将重点关注应激驱动的儿茶酚胺生物合成、绒毛膜细胞兴奋性、突触神经传递和间隙连接通信的变化。这些信号通路经历了集体的、微调的重塑,有助于儿茶酚胺的适当分泌,并在应激时维持机体平衡。
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引用次数: 0
The changes in adrenal developmental programming and homeostasis in offspring induced by glucocorticoids exposure during pregnancy. 孕期糖皮质激素暴露对后代肾上腺发育程序和稳态的影响
4区 医学 Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 Epub Date: 2024-02-09 DOI: 10.1016/bs.vh.2023.09.001
Yawen Chen, Hui Wang

Clinically, synthetic glucocorticoids are often used to treat maternal and fetal related diseases, such as preterm birth and autoimmune diseases. Although its clinical efficacy is positive, it will expose the fetus to exogenous glucocorticoids. Adverse environments during pregnancy (e.g., exogenous glucocorticoids exposure, malnutrition, infection, hypoxia, and stress) can lead to fetal overexposure to endogenous maternal glucocorticoids. Basal glucocorticoids levels in utero are crucial in determining fetal tissue maturation and its postnatal fate. As the synthesis and secretion organ of glucocorticoids, the adrenal development is crucial for the growth and development of the body. Studies have found that glucocorticoids exposure during pregnancy could cause abnormal fetal adrenal development, which could last after birth or even adulthood. As the key organ of fetal-originated adult disease, the adrenal developmental programming has a profound impact on the health of offspring, which can lead to many chronic diseases in adulthood. However, the aberrant adrenal development in offspring caused by glucocorticoids exposure during pregnancy and its intrauterine programming mechanism have not been systematically clarified. Therefore, this review summarizes recent research progress on the short and long-term hazards of aberrant adrenal development induced by glucocorticoids exposure during pregnancy, which is of great significance for the analysis of aberrant adrenal development and clarify the intrauterine origin mechanism of fetal-originated adult disease.

临床上,合成糖皮质激素常用于治疗母体和胎儿相关疾病,如早产和自身免疫性疾病。虽然其临床疗效肯定,但会使胎儿暴露于外源性糖皮质激素。孕期的不良环境(如外源性糖皮质激素暴露、营养不良、感染、缺氧和应激)会导致胎儿过度暴露于母体内源性糖皮质激素。宫内基础糖皮质激素水平对决定胎儿组织的成熟及其出生后的命运至关重要。作为糖皮质激素的合成和分泌器官,肾上腺的发育对机体的生长发育至关重要。研究发现,孕期接触糖皮质激素会导致胎儿肾上腺发育异常,这种异常可能持续到出生后甚至成年。作为胎儿引发成人疾病的关键器官,肾上腺发育程序对后代的健康有着深远的影响,可导致成年后多种慢性疾病的发生。然而,妊娠期糖皮质激素暴露导致的后代肾上腺发育异常及其宫内编程机制尚未得到系统阐明。因此,本综述总结了近年来关于妊娠期糖皮质激素暴露诱导肾上腺发育异常的短期和长期危害的研究进展,这对于分析肾上腺发育异常和阐明胎源性成人疾病的宫内起源机制具有重要意义。
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引用次数: 0
Antioxidant and antibrowning properties of Maillard reaction products in food and biological systems. 食品和生物系统中 Maillard 反应产物的抗氧化和抗褐变特性。
4区 医学 Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 Epub Date: 2024-03-19 DOI: 10.1016/bs.vh.2024.01.001
Majid Nooshkam, Mehdi Varidi

Oxidative damage refers to the harm caused to biological systems by reactive oxygen species such as free radicals. This damage can contribute to a range of diseases and aging processes in organisms. Moreover, oxidative deterioration of lipids is a serious problem because it reduces the shelf life of food products, degrades their nutritional value, and produces reaction products that could be toxic. Antioxidants are effective compounds for preventing lipid oxidation, and synthetic antioxidants are frequently added to foods due to their high effectiveness and low cost. However, the safety of these antioxidants is a subject that is being discussed in the public more and more. Synthetic antioxidants have been found to have potential negative effects on health due to their ability to accumulate in tissues and disrupt natural antioxidant systems. During thermal processing and storage, foods containing reducing sugars and amino compounds frequently produce Maillard reaction products (MRPs). Through the chelation of metal ions, scavenging of reactive oxygen species, destruction of hydrogen peroxide, and suppression of radical chain reaction, MRPs exhibit excellent antioxidant properties in a variety of food products and biological systems. Also, the capacity of MRPs to chelate metals makes them as a potential inhibitor of the enzymatic browning in fruits and vegetables. In this book chapter, the methods used for the evaluation of antioxidant activity of MRPs are provided. Moreover, the antioxidant and antibrowning activities of MRPs in food and biological systems is discussed. MRPs can generally be isolated and used as commercial preparations of natural antioxidants.

氧化损伤是指活性氧(如自由基)对生物系统造成的伤害。这种损伤可导致一系列疾病和生物体的衰老过程。此外,脂质的氧化变质也是一个严重的问题,因为它会缩短食品的保质期,降低其营养价值,并产生可能有毒的反应产物。抗氧化剂是防止脂质氧化的有效化合物,合成抗氧化剂因其功效高、成本低而经常被添加到食品中。然而,公众对这些抗氧化剂安全性的讨论越来越多。研究发现,合成抗氧化剂会在组织中蓄积,破坏天然抗氧化系统,从而对健康产生潜在的负面影响。在热加工和储存过程中,含有还原糖和氨基化合物的食品经常会产生马氏反应产物(MRPs)。通过螯合金属离子、清除活性氧、破坏过氧化氢和抑制自由基连锁反应,MRPs 在各种食品和生物系统中表现出卓越的抗氧化特性。此外,MRPs 还具有螯合金属的能力,使其成为抑制水果和蔬菜褐变的潜在酶抑制剂。在本书的这一章中,提供了用于评估 MRPs 抗氧化活性的方法。此外,还讨论了 MRPs 在食品和生物系统中的抗氧化和抗褐变活性。一般来说,MRPs 可作为天然抗氧化剂的商业制剂进行分离和使用。
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引用次数: 0
Functional interaction of Clock genes and bone morphogenetic proteins in the adrenal cortex. 肾上腺皮质中时钟基因和骨形态发生蛋白的功能相互作用
4区 医学 Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 Epub Date: 2023-06-01 DOI: 10.1016/bs.vh.2023.05.002
Yoshiaki Soejima, Koichiro Yamamoto, Yasuhiro Nakano, Atsuhito Suyama, Nahoko Iwata, Fumio Otsuka

The bone morphogenetic protein (BMP) system in the adrenal cortex plays modulatory roles in the control of adrenocortical steroidogenesis. BMP-6 enhances aldosterone production by modulating angiotensin (Ang) II-mitogen-activated protein kinase (MAPK) signaling, whereas activin regulates the adrenocorticotropin (ACTH)-cAMP cascade in adrenocortical cells. A peripheral clock system in the adrenal cortex was discovered and it has been shown to have functional roles in the adjustment of adrenocortical steroidogenesis by interacting with the BMP system. It was found that follistatin, a binding protein of activin, increased Clock mRNA levels, indicating an endogenous function of activin in the regulation of Clock mRNA expression. Elucidation of the interrelationships among the circadian clock system, the BMP system and adrenocortical steroidogenesis regulated by the hypothalamic-pituitary-adrenal (HPA) axis would lead to an understanding of the pathophysiology of adrenal disorders and metabolic disorders and the establishment of better medical treatment from the viewpoint of pharmacokinetics.

肾上腺皮质中的骨形态发生蛋白(BMP)系统在控制肾上腺皮质类固醇生成方面发挥着调节作用。BMP-6通过调节血管紧张素(Ang)Ⅱ-中性粒细胞活化蛋白激酶(MAPK)信号来增强醛固酮的生成,而活化素则调节肾上腺皮质细胞中的促肾上腺皮质激素(ACTH)-cAMP级联。在肾上腺皮质中发现了一个外周时钟系统,该系统通过与 BMP 系统相互作用,在肾上腺皮质类固醇生成的调节过程中发挥着功能性作用。研究发现,活化素的结合蛋白follistatin能提高Clock mRNA的水平,这表明活化素在调节Clock mRNA表达方面具有内源性功能。阐明昼夜节律时钟系统、BMP 系统和由下丘脑-垂体-肾上腺(HPA)轴调控的肾上腺皮质类固醇生成之间的相互关系,将有助于了解肾上腺疾病和代谢紊乱的病理生理学,并从药物动力学的角度制定更好的医疗方法。
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引用次数: 0
Gene therapy targeting the blood-brain barrier. 针对血脑屏障的基因疗法。
4区 医学 Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-01 Epub Date: 2024-04-12 DOI: 10.1016/bs.vh.2024.03.001
Jakob Körbelin, Adriana Arrulo, Markus Schwaninger

Endothelial cells are the building blocks of vessels in the central nervous system (CNS) and form the blood-brain barrier (BBB). An intact BBB limits permeation of large hydrophilic molecules into the CNS. Thus, the healthy BBB is a major obstacle for the treatment of CNS disorders with antibodies, recombinant proteins or viral vectors. Several strategies have been devised to overcome the barrier. A key principle often consists in attaching the therapeutic compound to a ligand of receptors expressed on the BBB, for example, the transferrin receptor (TfR). The fusion molecule will bind to TfR on the luminal side of brain endothelial cells, pass the endothelial layer by transcytosis and be delivered to the brain parenchyma. However, attempts to endow therapeutic compounds with the ability to cross the BBB can be difficult to implement. An alternative and possibly more straight-forward approach is to produce therapeutic proteins in the endothelial cells that form the barrier. These cells are accessible from blood circulation and have a large interface with the brain parenchyma. They may be an ideal production site for therapeutic protein and afford direct supply to the CNS.

内皮细胞是中枢神经系统(CNS)血管的组成部分,并构成血脑屏障(BBB)。完整的血脑屏障可限制亲水性大分子渗透进入中枢神经系统。因此,健康的血脑屏障是用抗体、重组蛋白或病毒载体治疗中枢神经系统疾病的主要障碍。为克服这一障碍,人们设计了多种策略。一个关键的原理通常是将治疗化合物与表达在 BBB 上的受体(例如转铁蛋白受体(TfR))的配体相连接。融合分子将与脑内皮细胞管腔侧的转铁蛋白受体(TfR)结合,通过转囊作用穿过内皮层,并被输送到脑实质。然而,试图赋予治疗化合物穿越 BBB 的能力可能很难实现。另一种可能更直接的方法是在形成屏障的内皮细胞中产生治疗蛋白质。这些细胞可从血液循环中进入,并与脑实质有很大的界面。它们可能是治疗蛋白质的理想生产场所,并可直接供应给中枢神经系统。
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引用次数: 0
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