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Considerations for the application of polygenic scores to clinical care of individuals with substance use disorders. 将多基因评分应用于药物使用障碍患者临床治疗的考虑因素。
Pub Date : 2024-10-15 DOI: 10.1172/jci172882
Rachel L Kember,Christal N Davis,Kyra L Feuer,Henry R Kranzler
Substance use disorders (SUDs) are highly prevalent and associated with excess morbidity, mortality, and economic costs. Thus, there is considerable interest in the early identification of individuals who may be more susceptible to developing SUDs and in improving personalized treatment decisions for those who have SUDs. SUDs are known to be influenced by both genetic and environmental factors. Polygenic scores (PGSs) provide a single measure of genetic liability that could be used as a biomarker in predicting disease development, progression, and treatment response. Although PGSs are rapidly being integrated into clinical practice, there is little information to guide clinicians in their responsible use and interpretation. In this Review, we discuss the potential benefits and pitfalls of the use of PGSs in the clinical care of SUDs, highlighting current research. We also provide suggestions for important considerations prior to implementing the clinical use of PGSs and recommend future directions for research.
药物使用失调症(SUDs)的发病率很高,并且与过高的发病率、死亡率和经济成本有关。因此,人们非常关注如何及早发现更容易患上药物滥用症的人群,以及如何改进针对药物滥用症患者的个性化治疗决策。众所周知,SDD 受遗传和环境因素的双重影响。多基因评分(PGSs)提供了一种单一的遗传责任测量方法,可用作预测疾病发展、进展和治疗反应的生物标志物。虽然 PGSs 正在迅速融入临床实践,但指导临床医生负责任地使用和解释 PGSs 的信息却很少。在本综述中,我们将讨论在 SUD 临床治疗中使用 PGS 的潜在益处和陷阱,并重点介绍当前的研究。我们还就临床使用 PGS 之前的重要注意事项提出了建议,并推荐了未来的研究方向。
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引用次数: 0
Deficiency of parkin causes neurodegeneration and accumulation of pathological α-synuclein in monkey models. 在猴子模型中,缺乏 parkin 会导致神经退行性变和病理性 α-突触核蛋白的积累。
Pub Date : 2024-10-15 DOI: 10.1172/jci179633
Rui Han,Qi Wang,Xin Xiong,Xiusheng Chen,Zhuchi Tu,Bang Li,Fei Zhang,Chunyu Chen,Mingtian Pan,Ting Xu,Laiqiang Chen,Zhifu Wang,Yanting Liu,Dajian He,Xiangyu Guo,Feng He,Peng Wu,Peng Yin,Yunbo Liu,Xiaoxin Yan,Shihua Li,Xiao-Jiang Li,Weili Yang
Parkinson's disease (PD) is characterized by age-dependent neurodegeneration and the accumulation of toxic phosphorylated α-synuclein (pS129-α-syn). The mechanisms underlying these crucial pathological changes remain unclear. Mutations in parkin RBR E3 ubiquitin protein ligase (PARK2), the gene encoding parkin that is phosphorylated by PTEN-induced putative kinase 1 (PINK1) to participate in mitophagy, cause early onset PD. However, current parkin-KO mouse and pig models do not exhibit neurodegeneration. In the current study, we utilized CRISPR/Cas9 technology to establish parkin-deficient monkey models at different ages. We found that parkin deficiency leads to substantia nigra neurodegeneration in adult monkey brains and that parkin phosphorylation decreases with aging, primarily due to increased insolubility of parkin. Phosphorylated parkin is important for neuroprotection and the reduction of pS129-α-syn. Consistently, overexpression of WT parkin, but not a mutant form that cannot be phosphorylated by PINK1, reduced the accumulation of pS129-α-syn. These findings identify parkin phosphorylation as a key factor in PD pathogenesis and suggest it as a promising target for therapeutic interventions.
帕金森病(PD)的特征是年龄依赖性神经变性和毒性磷酸化α-突触核蛋白(pS129-α-syn)的积累。这些关键病理变化的机制仍不清楚。parkin RBR E3泛素蛋白连接酶(PARK2)是编码parkin的基因,它被PTEN诱导的假定激酶1(PINK1)磷酸化以参与有丝分裂,该基因突变会导致早发性帕金森病。然而,目前的 parkin-KO 小鼠和猪模型并未表现出神经变性。在本研究中,我们利用CRISPR/Cas9技术建立了不同年龄的parkin缺陷猴模型。我们发现,parkin 缺乏会导致成年猴脑黑质神经变性,而且随着年龄的增长,parkin 的磷酸化程度会降低,这主要是由于 parkin 的不溶性增加所致。磷酸化的 parkin 对神经保护和 pS129-α-syn 的减少非常重要。一致的是,过量表达 WT parkin(而不是不能被 PINK1 磷酸化的突变体形式)可减少 pS129-α-syn 的积累。这些发现确定了parkin磷酸化是帕金森病发病机制中的一个关键因素,并建议将其作为一个有希望的治疗干预靶点。
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引用次数: 0
The Nr4a family regulates intrahepatic Treg proliferation and liver fibrosis in MASLD models. Nr4a家族调控MASLD模型中肝内Treg的增殖和肝纤维化。
Pub Date : 2024-10-15 DOI: 10.1172/jci175305
Daisuke Aki,Taeko Hayakawa,Tanakorn Srirat,Shigeyuki Shichino,Minako Ito,Shin-Ichiroh Saitoh,Setsuko Mise-Omata,Akihiko Yoshimura
Nonalcoholic steatohepatitis (NASH) is a chronic progressive liver disease and highly prevalent worldwide. NASH is characterized by hepatic steatosis, inflammation, fibrosis and liver damage, which eventually results in liver dysfunction due to cirrhosis or hepatocellular carcinoma. However, the cellular and molecular mechanisms underlying NASH progression remain largely unknown. Here, we found an increase of Nr4a family of orphan nuclear receptors expression in intrahepatic T cells from mice with diet-induced NASH. Loss of Nr4a1 and Nr4a2 in T cell (dKO) ameliorated liver cell death and fibrosis, thereby mitigating liver dysfunction in NASH mice. dKO resulted in reduction of infiltrated macrophages and Th1/Th17 cells, whereas massive accumulation of T regulatory (Treg) cells in the liver of NASH mice. Combined single-cell RNA transcriptomic and TCR sequencing analysis revealed that intrahepatic dKO Tregs exhibited enhanced TIGIT and IL10 expression and were clonally expanded during NASH progression. Mechanistically, we found that dKO Tregs expressed high levels of Batf which promotes Treg cell proliferation and function upon TCR stimulation. Collectively, our findings not only provide an insight into the impact of intrahepatic Treg cells on NASH pathogenesis, but also suggest a therapeutic potential of targeting of Nr4a family to treat the disease.
非酒精性脂肪性肝炎(NASH)是一种慢性进展性肝病,在全球范围内发病率很高。非酒精性脂肪性肝炎以肝脂肪变性、炎症、纤维化和肝损伤为特征,最终导致肝硬化或肝细胞癌,造成肝功能异常。然而,NASH 进展的细胞和分子机制在很大程度上仍然未知。在这里,我们发现饮食诱导的 NASH 小鼠肝内 T 细胞中孤儿核受体 Nr4a 家族表达增加。T细胞中Nr4a1和Nr4a2的缺失(dKO)可改善肝细胞死亡和肝纤维化,从而缓解NASH小鼠的肝功能障碍。dKO导致NASH小鼠肝脏中浸润的巨噬细胞和Th1/Th17细胞减少,而T调节(Treg)细胞大量聚集。结合单细胞RNA转录组和TCR测序分析发现,肝内dKO Treg表现出TIGIT和IL10表达增强,并在NASH进展过程中克隆扩增。从机理上讲,我们发现 dKO Tregs 表达高水平的 Batf,而 Batf 在 TCR 刺激下可促进 Treg 细胞的增殖和功能。总之,我们的研究结果不仅揭示了肝内Treg细胞对NASH发病机制的影响,还提示了靶向Nr4a家族治疗该病的潜力。
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引用次数: 0
Transcript splicing optimizes the thymic self-antigen repertoire to suppress autoimmunity. 转录本剪接可优化胸腺自身抗原库,从而抑制自身免疫。
Pub Date : 2024-10-15 DOI: 10.1172/jci179612
Ryunosuke Muro,Takeshi Nitta,Sachiko Nitta,Masayuki Tsukasaki,Tatsuo Asano,Kenta Nakano,Tadashi Okamura,Tomoki Nakashima,Kazuo Okamoto,Hiroshi Takayanagi
Immunological self-tolerance is established in the thymus by the expression of virtually all self-antigens, including tissue-restricted antigens (TRAs) and cell-type-restricted antigens (CRAs). Despite a wealth of knowledge about the transcriptional regulation of TRA genes, posttranscriptional regulation remains poorly understood. Here, we show that protein arginine methylation plays an essential role in central immune tolerance by maximizing the self-antigen repertoire in medullary thymic epithelial cells (mTECs). Protein arginine methyltransferase-5 (Prmt5) was required for pre-mRNA splicing of certain key genes in tolerance induction, including Aire as well as various genes encoding TRAs. Mice lacking Prmt5 specifically in thymic epithelial cells exhibited an altered thymic T cell selection, leading to the breakdown of immune tolerance accompanied by both autoimmune responses and enhanced antitumor immunity. Thus, arginine methylation and transcript splicing are essential for establishing immune tolerance and may serve as a therapeutic target in autoimmune diseases as well as cancer immunotherapy.
胸腺中几乎所有自身抗原(包括组织限制性抗原(TRA)和细胞类型限制性抗原(CRA))的表达都建立了免疫自身耐受。尽管人们对 TRA 基因的转录调控有丰富的了解,但对其转录后的调控仍然知之甚少。在这里,我们发现蛋白精氨酸甲基化在中枢免疫耐受中发挥着重要作用,它能最大限度地增加髓质胸腺上皮细胞(mTECs)的自身抗原库。精氨酸甲基转移酶-5(Prmt5)是某些诱导耐受的关键基因(包括 Aire 和各种编码 TRAs 的基因)的前核糖核酸剪接所必需的。胸腺上皮细胞中特异性缺乏 Prmt5 的小鼠表现出胸腺 T 细胞选择的改变,导致免疫耐受的破坏,同时伴有自身免疫反应和抗肿瘤免疫的增强。因此,精氨酸甲基化和转录本剪接是建立免疫耐受的关键,可作为自身免疫性疾病和癌症免疫疗法的治疗靶点。
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引用次数: 0
Cannabis use disorder: from neurobiology to treatment. 大麻使用障碍:从神经生物学到治疗。
Pub Date : 2024-10-15 DOI: 10.1172/jci172887
Bernard Le Foll,Victor M Tang,Sergio Rueda,Leanne V Trick,Isabelle Boileau
Cannabis has been legalized for medical and recreational purposes in multiple countries. A large number of people are using cannabis and some will develop cannabis use disorder (CUD). There is a growing recognition that CUD requires specific interventions. This Review will cover this topic from a variety of perspectives, with a particular emphasis on neurobiological findings and innovative treatment approaches that are being pursued. We will first describe the epidemiology and burden of disease of CUD, including risk factors associated with CUD (both in terms of general risk and genetic risk variants). Neurobiological alterations identified in brain imaging studies will be presented. Several psychosocial interventions that are useful for the management of CUD, including motivational enhancement therapy, behavioral and cognitive therapy, and contingency management, will be covered. Although no pharmacological interventions are yet approved for CUD, we present the most promising pharmacological interventions being tested.
多个国家已将大麻合法化,用于医疗和娱乐目的。很多人都在使用大麻,有些人会患上大麻使用障碍(CUD)。越来越多的人认识到,大麻使用障碍需要特定的干预措施。本综述将从多个角度阐述这一主题,特别强调神经生物学研究结果和正在研究的创新治疗方法。首先,我们将介绍 CUD 的流行病学和疾病负担,包括与 CUD 相关的风险因素(包括一般风险和遗传风险变异)。我们还将介绍脑成像研究中发现的神经生物学改变。此外,还将介绍有助于治疗 CUD 的几种社会心理干预措施,包括动机增强疗法、行为和认知疗法以及应急管理。虽然目前还没有药物干预措施被批准用于治疗 CUD,但我们将介绍正在测试的最有前景的药物干预措施。
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引用次数: 0
Adipocyte lipin 1 expression associates with human metabolic health and regulates systemic metabolism in mice. 脂肪细胞脂蛋白 1 的表达与人类代谢健康有关,并能调节小鼠的全身代谢。
Pub Date : 2024-10-15 DOI: 10.1172/jci169722
Andrew LaPoint,Jason M Singer,Daniel Ferguson,Trevor M Shew,M Katie Renkemeyer,Hector H Palacios,Rachael L Field,Sireeesha Yerrathota,Roshan Kumari,Mahalakshmi Shankaran,Gordon I Smith,Jun Yoshino,Mai He,Gary J Patti,Marc K Hellerstein,Samuel Klein,E Matthew Morris,Jonathan R Brestoff,Brian N Finck,Andrew Lutkewitte
Dysfunctional adipose tissue is believed to promote the development of hepatic steatosis and systemic insulin resistance, but many of the mechanisms involved are still unclear. Lipin 1 catalyzes the conversion of phosphatidic acid to diacylglycerol (DAG), the penultimate step of triglyceride synthesis, which is essential for lipid storage. Herein we found that adipose tissue LPIN1 expression is decreased in people with obesity compared to lean subjects, and low LPIN1 expression correlated with multi-tissue insulin resistance and increased rates of hepatic de novo lipogenesis. Comprehensive metabolic and multi-omic phenotyping demonstrated that adipocyte-specific Lpin1-/- mice had a metabolically-unhealthy phenotype, including liver and skeletal muscle insulin resistance, hepatic steatosis, increased hepatic de novo lipogenesis, and transcriptomic signatures of metabolically associated steatohepatitis that was exacerbated by high-fat diets. We conclude that adipocyte lipin 1-mediated lipid storage is vital for preserving adipose tissue and systemic metabolic health, and its loss predisposes mice to metabolically associated steatohepatitis.
功能失调的脂肪组织被认为会促进肝脏脂肪变性和全身性胰岛素抵抗的发展,但其中涉及的许多机制仍不清楚。脂蛋白 1 催化磷脂酸向二酰基甘油(DAG)的转化,这是甘油三酯合成的倒数第二步,对脂质储存至关重要。我们在研究中发现,与瘦人相比,肥胖症患者脂肪组织 LPIN1 的表达量减少,LPIN1 的低表达量与多组织胰岛素抵抗和肝脏新脂肪生成率增加有关。全面的代谢和多组学表型分析表明,脂肪细胞特异性 Lpin1-/- 小鼠具有代谢不健康的表型,包括肝脏和骨骼肌胰岛素抵抗、肝脂肪变性、肝新生脂肪生成增加,以及代谢相关性脂肪性肝炎的转录组特征,高脂饮食会加剧这种情况。我们的结论是,脂肪细胞脂蛋白 1 介导的脂质储存对保持脂肪组织和全身代谢健康至关重要,而脂蛋白 1 的缺失使小鼠易患代谢相关性脂肪性肝炎。
{"title":"Adipocyte lipin 1 expression associates with human metabolic health and regulates systemic metabolism in mice.","authors":"Andrew LaPoint,Jason M Singer,Daniel Ferguson,Trevor M Shew,M Katie Renkemeyer,Hector H Palacios,Rachael L Field,Sireeesha Yerrathota,Roshan Kumari,Mahalakshmi Shankaran,Gordon I Smith,Jun Yoshino,Mai He,Gary J Patti,Marc K Hellerstein,Samuel Klein,E Matthew Morris,Jonathan R Brestoff,Brian N Finck,Andrew Lutkewitte","doi":"10.1172/jci169722","DOIUrl":"https://doi.org/10.1172/jci169722","url":null,"abstract":"Dysfunctional adipose tissue is believed to promote the development of hepatic steatosis and systemic insulin resistance, but many of the mechanisms involved are still unclear. Lipin 1 catalyzes the conversion of phosphatidic acid to diacylglycerol (DAG), the penultimate step of triglyceride synthesis, which is essential for lipid storage. Herein we found that adipose tissue LPIN1 expression is decreased in people with obesity compared to lean subjects, and low LPIN1 expression correlated with multi-tissue insulin resistance and increased rates of hepatic de novo lipogenesis. Comprehensive metabolic and multi-omic phenotyping demonstrated that adipocyte-specific Lpin1-/- mice had a metabolically-unhealthy phenotype, including liver and skeletal muscle insulin resistance, hepatic steatosis, increased hepatic de novo lipogenesis, and transcriptomic signatures of metabolically associated steatohepatitis that was exacerbated by high-fat diets. We conclude that adipocyte lipin 1-mediated lipid storage is vital for preserving adipose tissue and systemic metabolic health, and its loss predisposes mice to metabolically associated steatohepatitis.","PeriodicalId":520097,"journal":{"name":"The Journal of Clinical Investigation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142443760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
TSC/mTORC1 mediates mTORC2/AKT1 signaling in c-MYC-induced murine hepatocarcinogenesis via centromere protein M. TSC/mTORC1通过中心粒蛋白M在c-MYC诱导的小鼠肝癌发生过程中介导mTORC2/AKT1信号传导。
Pub Date : 2024-09-26 DOI: 10.1172/jci174415
Yi Zhou,Shu Zhang,Guoteng Qiu,Xue Wang,Andrew Yonemura,Hongwei Xu,Guofei Cui,Shanshan Deng,Joanne Chun,Nianyong Chen,Meng Xu,Xinhua Song,Jingwen Wang,Zijing Xu,Youping Deng,Matthias Evert,Diego F Calvisi,Shumei Lin,Haichuan Wang,Xin Chen
Activated mTORC2/AKT signaling plays a role in hepatocellular carcinoma (HCC). Research has shown that TSC/mTORC1 and FOXO1 are distinct downstream effectors of AKT signaling in liver regeneration and metabolism. However, the mechanisms by which these pathways mediate mTORC2/AKT activation in HCC are not yet fully understood. Amplification and activation of c-MYC is a key molecular event in HCC. In this study, we explored the roles of TSC/mTORC1 and FOXO1 as downstream effectors of mTORC2/AKT1 in c-MYC-induced hepatocarcinogenesis. Using various genetic approaches in mice, we found that manipulating the FOXO pathway had minimal impact on c-MYC-induced HCC. In contrast, loss of mTORC2 inhibited c-MYC-induced HCC, an effect that was completely reversed by ablating TSC2, which activated mTORC1. Additionally, we discovered that p70/RPS6 and 4EBP1/eIF4E act downstream of mTORC1, regulating distinct molecular pathways. Notably, the 4EBP1/eIF4E cascade is crucial for cell proliferation and glycolysis in c-MYC-induced HCC. We also identified centromere protein M (CENPM) as a downstream target of the TSC2/mTORC1 pathway in c-MYC-driven hepatocarcinogenesis, and its ablation entirely inhibited c-MYC-dependent HCC formation. Our findings demonstrate that the TSC/mTORC1/CENPM pathway, rather than the FOXO cascade, is the primary signaling pathway regulating c-MYC-driven hepatocarcinogenesis. Targeting CENPM holds therapeutic potential for treating c-MYC-driven HCC.
激活的 mTORC2/AKT 信号在肝细胞癌(HCC)中发挥着作用。研究表明,TSC/mTORC1 和 FOXO1 是 AKT 信号在肝脏再生和新陈代谢中的不同下游效应器。然而,这些途径在 HCC 中介导 mTORC2/AKT 激活的机制尚未完全明了。c-MYC 的扩增和激活是 HCC 中的一个关键分子事件。在本研究中,我们探讨了 TSC/mTORC1 和 FOXO1 作为 mTORC2/AKT1 的下游效应器在 c-MYC 诱导的肝癌发生中的作用。通过在小鼠中使用各种遗传方法,我们发现操纵 FOXO 通路对 c-MYC 诱导的 HCC 影响甚微。相反,缺失 mTORC2 可抑制 c-MYC 诱导的 HCC,而通过消减 TSC2(TSC2 激活 mTORC1)可完全逆转这种影响。此外,我们还发现 p70/RPS6 和 4EBP1/eIF4E 作用于 mTORC1 下游,调节不同的分子通路。值得注意的是,在 c-MYC 诱导的 HCC 中,4EBP1/eIF4E 级联对细胞增殖和糖酵解至关重要。我们还发现中心粒蛋白M(CENPM)是TSC2/mTORC1通路在c-MYC驱动的肝癌发生中的下游靶点,消减该蛋白可完全抑制c-MYC依赖性HCC的形成。我们的研究结果表明,TSC/mTORC1/CENPM通路而非FOXO级联是调控c-MYC驱动的肝癌发生的主要信号通路。以 CENPM 为靶点具有治疗 c-MYC 驱动的 HCC 的潜力。
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引用次数: 0
YTHDF1 loss in dendritic cells potentiates radiation-induced antitumor immunity via STING-dependent type I IFN production. 树突状细胞中 YTHDF1 的缺失可通过 STING 依赖性 IFN 的产生增强辐射诱导的抗肿瘤免疫。
Pub Date : 2024-09-26 DOI: 10.1172/jci181612
Chuangyu Wen,Liangliang Wang,András Piffkó,Dapeng Chen,Xianbin Yu,Katarzyna Zawieracz,Jason Bugno,Kaiting Yang,Emile Z Naccasha,Fei Ji,Jiaai Wang,Xiaona Huang,Stephen Y Luo,Lei Tan,Bin Shen,Cheng Luo,Megan E McNerney,Steven J Chmura,Ainhoa Arina,Sean P Pitroda,Chuan He,Hua Liang,Ralph R Weichselbaum
RNA N6-methyladenosine (m6A) reader YTHDF1 is implicated in cancer etiology and progression. We discovered that radiotherapy (RT) increased YTHDF1 expression in dendritic cells (DCs) of PBMCs from cancer patients, but not in other immune cells tested. Elevated YTHDF1 expression of DCs was associated with poor outcomes in patients receiving RT. We found that loss of Ythdf1 in DCs enhanced the antitumor effects of ionizing radiation (IR) via increasing the cross-priming capacity of DCs across multiple murine cancer models. Mechanistically, IR upregulated YTHDF1 expression in DCs through STING-IFN-I signaling. YTHDF1 in turn triggered STING degradation by increasing lysosomal cathepsins, thereby reducing IFN-I production. We created a YTHDF1 deletion/inhibition prototype DC vaccine, significantly improving the therapeutic effect of RT and radio-immunotherapy in a murine melanoma model. Our findings reveal a new layer of regulation between YTHDF1/m6A and STING in response to IR, which opens new paths for the development of YTHDF1-targeting therapies.
RNA的N6-甲基腺苷(m6A)阅读器YTHDF1与癌症的病因和进展有关。我们发现,放疗(RT)会增加癌症患者 PBMC 的树突状细胞(DC)中 YTHDF1 的表达,但不会增加其他免疫细胞中 YTHDF1 的表达。DC中YTHDF1表达的升高与接受RT治疗患者的不良预后有关。我们发现,在多种小鼠癌症模型中,DCs 中 Ythdf1 的缺失会通过提高 DCs 的交叉刺激能力来增强电离辐射(IR)的抗肿瘤效果。从机理上讲,IR通过STING-IFN-I信号转导上调DC中YTHDF1的表达。YTHDF1反过来又通过增加溶酶体酪蛋白引发STING降解,从而减少IFN-I的产生。我们创建了一种YTHDF1缺失/抑制原型DC疫苗,显著提高了RT和放射免疫疗法在小鼠黑色素瘤模型中的治疗效果。我们的研究结果揭示了YTHDF1/m6A和STING之间对IR反应的新的调控层,这为开发YTHDF1靶向疗法开辟了新的道路。
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引用次数: 0
Stimulation of an entorhinal-hippocampal extinction circuit facilitates fear extinction in a post-traumatic stress disorder model. 在创伤后应激障碍模型中,刺激内侧-海马消减回路可促进恐惧消减。
Pub Date : 2024-09-24 DOI: 10.1172/jci181095
Ze-Jie Lin,Xue Gu,Wan-Kun Gong,Mo Wang,Yan-Jiao Wu,Qi Wang,Xin-Rong Wu,Xin-Yu Zhao,Michael X Zhu,Lu-Yang Wang,Quanying Liu,Ti-Fei Yuan,Wei-Guang Li,Tian-Le Xu
Effective psychotherapy of post-traumatic stress disorder (PTSD) remains challenging due to the fragile nature of fear extinction, for which ventral hippocampal CA1 (vCA1) region is considered as a central hub. However, neither the core pathway nor the cellular mechanisms involved in implementing extinction are known. Here, we unveil a direct pathway, where layer 2a fan cells in the lateral entorhinal cortex (LEC) target parvalbumin-expressing interneurons (PV-INs) in the vCA1 region to propel low gamma-band synchronization of the LEC-vCA1 activity during extinction learning. Bidirectional manipulations of either hippocampal PV-INs or LEC fan cells sufficed fear extinction. Gamma entrainment of vCA1 by deep brain stimulation (DBS) or noninvasive transcranial alternating current stimulation (tACS) of LEC persistently enhanced the PV-IN activity in vCA1, thereby promoting fear extinction. These results demonstrate that the LEC-vCA1 pathway forms a top-down motif to empower low gamma-band oscillations that facilitate fear extinction. Finally, application of low gamma DBS and tACS to a mouse model with persistent PTSD showed potent efficacy, suggesting that the dedicated LEC-vCA1 pathway can be stimulated for therapy to remove traumatic memory trace.
创伤后应激障碍(PTSD)的有效心理治疗仍然具有挑战性,因为恐惧消退的过程非常脆弱,而腹侧海马 CA1(vCA1)区被认为是恐惧消退的中心枢纽。然而,实施恐惧消退的核心途径和细胞机制均不为人所知。在这里,我们揭示了一条直接通路,即外侧内侧皮层(LEC)的2a层扇形细胞以vCA1区的副发光素表达中间神经元(PV-INs)为目标,在绝迹学习过程中推动LEC-vCA1活动的低伽马波段同步。对海马PV-INs或LEC扇形细胞的双向操作都足以使恐惧消退。通过脑深部刺激(DBS)或无创经颅交变电流刺激(tACS)对LEC进行伽马夹带vCA1,可持续增强vCA1中的PV-IN活动,从而促进恐惧的消退。这些结果表明,LEC-vCA1通路形成了一种自上而下的模式,赋予低γ波段振荡以力量,从而促进恐惧的消退。最后,应用低伽马DBS和tACS对持续性创伤后应激障碍小鼠模型进行治疗显示出了强大的疗效,这表明专用的LEC-vCA1通路可用于刺激治疗,以消除创伤记忆痕迹。
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引用次数: 0
Modeling primary microcephaly with human brain organoids reveals fundamental roles of CIT kinase activity. 用人脑器官模拟原发性小头畸形揭示 CIT 激酶活性的基本作用
Pub Date : 2024-09-24 DOI: 10.1172/jci175435
Gianmarco Pallavicini,Amanda Moccia,Giorgia Iegiani,Roberta Parolisi,Emily R Peirent,Gaia Elena Berto,Martina Lorenzati,Rami Y Tshuva,Alessia Ferraro,Fiorella Balzac,Emilia Turco,Shachi U Salvi,Hedvig F Myklebust,Sophia Wang,Julia Eisenberg,Maushmi Chitale,Navjit S Girgla,Enrica Boda,Orly Reiner,Annalisa Buffo,Ferdinando Di Cunto,Stephanie L Bielas
Brain size and cellular heterogeneity are tightly regulated by species-specific proliferation and differentiation of multipotent neural progenitor cells (NPCs). Errors in this process are among the mechanisms of primary hereditary microcephaly (MCPH), a group of disorders characterized by reduced brain size and intellectual disability. Biallelic CIT missense variants that disrupt kinase function (CITKI/KI) and frameshift loss-of-function variants (CITFS/FS) are the genetic basis for MCPH17; however, the function of CIT catalytic activity in brain development and NPC cytokinesis is unknown. Therefore, we created the CitKI/KI mouse model and found that it does not phenocopy human microcephaly, unlike biallelic CitFS/FS animals. Nevertheless, both Cit models exhibited binucleation, DNA damage, and apoptosis. To investigate human-specific mechanisms of CIT microcephaly, we generated CITKI/KI and CITFS/FS human forebrain organoids. We found that CITKI/KI and CITFS/FS organoids lose cytoarchitectural complexity, transitioning from pseudostratified to simple neuroepithelium. This change was associated with defects that disrupt polarity of NPC cytokinesis, in addition to elevating apoptosis. Together, our results indicate that both CIT catalytic and scaffolding functions in NPC cytokinesis are critical for human corticogenesis. Species differences in corticogenesis and the dynamic 3D features of NPC mitosis underscore the utility of human forebrain organoid models for understanding human microcephaly.
大脑的大小和细胞的异质性受到多能神经祖细胞(NPC)物种特异性增殖和分化的严格调控。这一过程中的错误是原发性遗传性小头畸形(MCPH)的发病机制之一,MCPH 是一组以脑尺寸缩小和智力障碍为特征的疾病。破坏激酶功能的双叶 CIT 错义变体(CITKI/KI)和框移功能缺失变体(CITFS/FS)是 MCPH17 的遗传基础;然而,CIT 催化活性在大脑发育和 NPC 细胞分裂中的功能尚不清楚。因此,我们创建了 CitKI/KI 小鼠模型,并发现它与双倍拷贝的 CitFS/FS 动物不同,不会表现出人类小头畸形。然而,两种 Cit 模型都表现出双核、DNA 损伤和细胞凋亡。为了研究 CIT 小头畸形的人类特异性机制,我们生成了 CITKI/KI 和 CITFS/FS 人类前脑器官组织。我们发现,CITKI/KI 和 CITFS/FS 器官组织失去了细胞结构的复杂性,从假增生过渡到简单的神经上皮。这种变化除了与细胞凋亡增加有关外,还与破坏 NPC 细胞分裂极性的缺陷有关。我们的研究结果表明,CIT 在 NPC 细胞发生过程中的催化和支架功能对人类皮质的发生至关重要。皮质发生的物种差异和NPC有丝分裂的动态三维特征凸显了人类前脑类器官模型在了解人类小头畸形方面的实用性。
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The Journal of Clinical Investigation
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