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Splicing, Signaling, and Survival: The Role of RBM39 in Cholangiocarcinoma Progression 剪接、信号转导与生存:RBM39 在胆管癌进展中的作用
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.jcmgh.2024.101419
Meng Xu, Diego F. Calvisi, Xin Chen
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引用次数: 0
Cover
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-01-01 DOI: 10.1016/S2352-345X(25)00008-6
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引用次数: 0
Sphingosine Kinase 1 – A Therapeutic Opportunity for Alleviating Liver Fibrosis? 鞘氨醇激酶1 -缓解肝纤维化的治疗机会?
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.jcmgh.2024.101430
Jia Ming Nickolas Teo, Guang Sheng Ling
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引用次数: 0
Early Onset Colorectal Cancer: Molecular Underpinnings Accelerating Occurrence 早发结直肠癌:加速发病的分子基础。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.jcmgh.2024.101425
Atehkeng Zinkeng , F. Lloyd Taylor , Samuel H. Cheong , Heyu Song , Juanita L. Merchant
The onset of colorectal cancer (CRC) in patients younger than 50 continues to rapidly increase. This study highlights the epidemiologic changes, risk factors, clinical characteristics, and molecular profiles prevalent in early onset CRC patients, and identifies key areas for future research. It has been noted that only a small fraction of early onset CRC cases is attributed to known hereditary mutations and fit the canonical pathway of late-onset colorectal cancer development. To highlight this, we review the genetic and epigenetic modifications specific to early onset CRC. We also discuss the synergetic effect of single-nucleotide polymorphisms and environmental factors on the early onset of CRC. Additionally, we discuss the potential of noninvasive biomarker assays to enhance early detection, screening, diagnosis, and prognostic outcome predictions.
50 岁以下患者罹患结直肠癌(CRC)的人数持续快速增长。本研究强调了早发结直肠癌(EO-CRC)患者的流行病学变化、风险因素、临床特征和分子特征,并确定了未来研究的关键领域。人们注意到,EO-CRC 病例中只有一小部分归因于已知的遗传突变,并符合晚发结直肠癌(LOCRC)的典型发展途径。为了强调这一点,我们回顾了 EO-CRC 特有的遗传和表观遗传修饰。我们还讨论了单核苷酸多态性(SNPs)和环境因素对 CRC 早期发病的协同作用。此外,我们还讨论了非侵入性生物标志物检测在加强早期检测、筛查、诊断和预后结果预测方面的潜力。
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引用次数: 0
Chronic Gastroesophageal Reflux Dysregulates Proteostasis in Esophageal Epithelial Cells 慢性胃食管反流调节食管上皮细胞的蛋白酶平衡失调。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.jcmgh.2024.101434
Kodisundaram Paulrasu , Ravindran Caspa Gokulan , Wael El-Rifai , Zhibin Chen , Jianwen Que , Timothy C. Wang , Olivier G. Boutaud , Karoline Briegel , Sergey I. Dikalov , Monica T. Garcia-Buitrago , Alexander I. Zaika

Background & aims

Gastroesophageal reflux disease (GERD) is a common digestive disorder that is characterized by esophageal tissue damage produced by exposure of the esophageal lining to the gastric refluxate. GERD can raise the risk of multiple serious complications including esophageal tumors. At the molecular levels, GERD-affected tissues are characterized by strong oxidative stress and the formation of reactive isolevuglandins (isoLGs). These products of lipid peroxidation rapidly interact with cellular proteins forming protein adducts. Here, we investigated the interrelationship between isoLG adduction and aggregation of cellular proteins.

Methods

Protein misfolding and aggregation were analyzed using multiple protein misfolding and aggregation assays. Pathologic consequences of protein adduction and aggregation were studied using human and murine esophageal tissues. Surgical model of esophageal reflux injury and L2-IL1β transgenic mice were used to investigate the mechanisms of protein misfolding and aggregation.

Results

Our studies demonstrate that gastroesophageal reflux causes protein misfolding and aggregation that is associated with severity of GERD. Dysregulation of proteostasis induces ferroptotic cell death and is mediated by modification of cellular proteins with reactive isoLGs that can be prevented by isoLG scavengers.

Conclusions

GERD causes dysregulation of cellular proteostasis, accumulation of isoLG protein adducts, misfolded, and aggregated proteins that promote ferroptotic cell death. Taken together, this study suggests that GERD has similarities to other known pathologic conditions that are characterized by protein misfolding and aggregation.
背景和目的:胃食管反流病(GERD)是一种常见的消化系统疾病,其特征是食管内膜暴露于胃反流物而导致食管组织损伤。反流可增加包括食管肿瘤在内的多种严重并发症的风险。在分子水平上,受gerd影响的组织表现为强烈的氧化应激和反应性异重素(isolg)的形成。这些脂质过氧化的产物迅速与细胞蛋白相互作用,形成蛋白质加合物。在这里,我们研究了isoLG内聚和细胞蛋白聚集之间的相互关系。方法:采用多种蛋白质错误折叠和聚集试验分析蛋白质错误折叠和聚集。用人和鼠食管组织研究了蛋白质内聚和聚集的病理后果。采用食管反流损伤手术模型和l2 - il - 1β转基因小鼠研究其蛋白错误折叠和聚集的机制。结果:我们的研究表明,胃食管反流导致蛋白质错误折叠和聚集,这与胃食管反流的严重程度有关。蛋白质平衡失调可诱导铁致细胞死亡,并通过反应性isoLG修饰细胞蛋白介导,而这种修饰可被isoLG清除剂阻止。结论:胃食管反流导致细胞蛋白平衡失调,isoLG蛋白加合物的积累,错误折叠和聚集的蛋白促进了铁致细胞死亡。综上所述,本研究表明GERD与其他已知的以蛋白质错误折叠和聚集为特征的病理状况相似。
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引用次数: 0
New Molecular Player In Colitis and Colitis-Associated Cancer 结肠炎和结肠炎相关癌症的新分子参与者。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.jcmgh.2024.101441
Kim E. Barrett
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引用次数: 0
Dysregulated Proteostasis-induced Ferroptosis in Gastroesophageal Reflux Disease: Hero or Villain? 胃食管反流病中蛋白稳态失调诱导的铁蛋白沉积:英雄还是恶棍?
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.jcmgh.2024.101445
David H. Wang
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引用次数: 0
Deriving Human Intestinal Organoids with Functional Tissue-Resident Macrophages All From Pluripotent Stem Cells 用功能性组织驻留巨噬细胞从多能干细胞中获得人肠道类器官。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.jcmgh.2024.101444
Kentaro Tominaga , Daniel O. Kechele , J. Guillermo Sanchez , Simon Vales , Ingrid Jurickova , Lizza Roman , Akihiro Asai , Jacob R. Enriquez , Heather A. McCauley , Keishi Kishimoto , Kentaro Iwasawa , Akaljot Singh , Yuko Horio , Jorge O. Múnera , Takanori Takebe , Aaron M. Zorn , Michael A. Helmrath , Lee A. Denson , James M. Wells

Background & Aims

Organs of the gastrointestinal tract contain tissue-resident immune cells that function during tissue development, homeostasis, and disease. However, most published human organoid model systems lack resident immune cells, thus limiting their potential as disease avatars. For example, human intestinal organoids (HIOs) derived from pluripotent stem cells contain epithelial and various mesenchymal cell types but lack immune cells. In this study, we aimed to develop an HIO model with functional tissue-resident macrophages.

Methods

HIOs and macrophages were generated separately through the directed differentiation of human pluripotent stem cells and combined in vitro. Following 2 weeks of coculture, the organoids were used for transcriptional profiling, functional analysis of macrophages, or transplanted into immunocompromised mice and matured in vivo for an additional 10–12 weeks.

Results

Macrophages were incorporated into developing HIOs and persisted for 2 weeks in vitro HIOs and for at least 12 weeks in HIOs in vivo. These cocultured macrophages had a transcriptional signature that resembled those in the human fetal intestine, indicating that they were acquiring the features of tissue-resident macrophages. HIO macrophages could phagocytose bacteria and produced inflammatory cytokines in response to proinflammatory signals, such as lipopolysaccharide, which could be reversed with interleukin-10.

Conclusions

We generated an HIO system containing functional tissue-resident macrophages for an extended period. This new organoid system can be used to investigate the molecular mechanisms involved in inflammatory bowel disease.
背景与目的:胃肠道器官包含组织驻留免疫细胞,在组织发育、体内平衡和疾病过程中发挥作用。然而,大多数已发表的人类类器官模型系统缺乏常驻免疫细胞,因此限制了它们作为疾病化身的潜力。例如,来自多能干细胞的人类肠道类器官(HIOs)含有上皮细胞和各种间充质细胞类型,但缺乏免疫细胞。在这项研究中,我们的目的是建立一个具有功能的组织驻留巨噬细胞的HIO模型。方法:通过人多能干细胞定向分化分别生成HIOs和巨噬细胞,并在体外结合。共培养两周后,类器官用于转录谱分析、巨噬细胞功能分析,或移植到免疫功能低下的小鼠体内,并在体内成熟10-12周。结果:巨噬细胞被纳入正在形成的HIOs,并在体外HIOs中持续2周,在体内HIOs中持续至少12周。这些共培养的巨噬细胞具有类似于人胎儿肠的转录特征,表明它们正在获得组织内巨噬细胞的特征。HIO巨噬细胞对脂多糖等促炎信号能够吞噬细菌,产生炎性细胞因子,IL-10可以逆转这一过程。结论:我们产生了一个长时间含有功能性组织巨噬细胞的HIO系统。这种新的类器官系统可用于研究炎症性肠病的分子机制。
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引用次数: 0
Single-cell Profiling of Intrahepatic Immune Cells Reveals an Expansion of Tissue-resident Cytotoxic CD4+ T Lymphocyte Subset Associated With Pathogenesis of Alcoholic-associated Liver Diseases 肝内免疫细胞的单细胞图谱分析表明,组织驻留细胞毒性 CD4+ T 淋巴细胞亚群的扩增与酒精相关肝病的发病机制有关。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.jcmgh.2024.101411
Chao Gao , Shiguan Wang , Xiaoyu Xie , Pierluigi Ramadori , Xinying Li , Xiaoyu Liu , Xue Ding , Jinyuan Liang , Bowen Xu , Yawei Feng , Xueying Tan , Haoran Wang , Yan Zhang , Haiyan Zhang , Tingguo Zhang , Ping Mi , Shiyang Li , Cuijuan Zhang , Detian Yuan , Mathias Heikenwalder , Peng Zhang

Background & Aims

The immunological mechanisms underpinning the pathogenesis of alcoholic-associated liver disease (ALD) remain incompletely elucidated. This study aims to explore the transcriptomic profiles of hepatic immune cells in ALD compared with healthy individuals and those with metabolic dysfunction-associated steatotic liver disease (MASLD).

Methods

We utilized single-cell RNA sequencing to analyze liver samples from healthy subjects and patients with MASLD and ALD, focusing on the immune cell landscapes within the liver. Key alterations in immune cell subsets were further validated using liver biopsy samples from additional patient cohorts.

Results

We observed a significant accumulation of CD4+ T cells in livers of patients with ALD, surpassing the prevalence of CD8+ T cells, in contrast to patients with MASLD and healthy counterparts, whereas natural killer (NK) cells and γδT cells exhibited reduced intrahepatic infiltration. In-depth transcriptional and developmental trajectory analyses unveiled that a distinct CD4+ subset characterized by granzyme K (GZMK) expression, displaying a tissue-resident signature and terminal effector state, prominently enriched among CD4+ T cells infiltrating the livers of patients with ALD. Subsequent examination of an independent ALD patient cohort corroborated the substantial enrichment of GZMK+CD4+ T lymphocytes, primarily within liver fibrotic zones, suggesting their potential involvement in disease progression. Additionally, we noted shifts in myeloid populations, with expanded APOE+ macrophage and FCGR3B+ monocyte subsets in ALD samples relative to MASLD and healthy tissues.

Conclusions

In summary, this study unravels the intricate cellular diversity within hepatic immune cell populations, highlighting the pivotal immune pathogenic role of the GZMK+CD4+ T lymphocyte subset in ALD pathogenesis.
背景与目的:酒精相关性肝病(ALD)发病机制的免疫学机制仍未完全阐明。本研究旨在探索与健康人和代谢功能障碍相关性脂肪性肝病(MASLD)患者相比,ALD患者肝脏免疫细胞的转录组特征:我们利用单细胞 RNA 测序技术分析了健康人、MASLD 和 ALD 患者的肝脏样本,重点研究了肝脏内的免疫细胞景观。利用其他患者队列的肝活检样本进一步验证了免疫细胞亚群的关键改变:结果:我们观察到 ALD 患者肝脏中 CD4+ T 细胞明显增多,超过了 CD8+ T 细胞的数量,这与 MASLD 和健康患者形成了鲜明对比,而自然杀伤(NK)细胞和 γδT 细胞的肝内浸润则有所减少。深入的转录和发育轨迹分析揭示了一种以颗粒酶K(GZMK)表达为特征的独特CD4+亚群,该亚群显示出组织驻留特征和终末效应状态,在ALD患者肝脏浸润的CD4+T细胞中明显富集。随后对一个独立的 ALD 患者队列进行的检查证实了 GZMK+CD4+ T 淋巴细胞的大量富集,主要是在肝纤维化区,这表明它们可能参与了疾病的进展。此外,我们还注意到髓系细胞群的变化,ALD样本中的APOE+巨噬细胞和FCGR3B+单核细胞亚群相对于MASLD和健康组织有所扩大:总之,本研究揭示了肝脏免疫细胞群中错综复杂的细胞多样性,突出了GZMK+CD4+ T淋巴细胞亚群在ALD发病机制中的关键免疫致病作用。
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引用次数: 0
Normalization of Cystic Fibrosis Immune System Reverses Intestinal Neutrophilic Inflammation and Significantly Improves the Survival of Cystic Fibrosis Mice CF免疫系统正常化可逆转肠道中性粒细胞炎症并显著提高CF小鼠的存活率
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.jcmgh.2024.101424
Callie E. Scull , Yawen Hu , Scott Jennings, Guoshun Wang

Background & Aims

Cystic fibrosis (CF) is an autosomal recessive genetic disorder, affecting multiple organ systems. CF intestinal disease develops early, manifesting as intestinal bacterial overgrowth/dysbiosis, neutrophilic inflammation, and obstruction. As unresolvable infection and inflammation reflect host immune deficiency, we sought to determine if the CF-affected immune system plays any significant role in CF intestinal disease pathogenesis.

Methods

CF and sibling wild-type (WT) mice underwent reciprocal bone marrow transplantation. After immune reconstitution, their mortality, intestinal transit, fecal inflammatory markers, and mucosal immune cell composition were assessed. Moreover, reciprocal neutrophil transfusion was conducted to determine if neutrophil function affects intestinal movement. Furthermore, expression of induced nitric oxide synthase (iNOS) and production of nitric oxide (NO) in CF and WT neutrophils were compared. Lastly, specific iNOS inhibitor 1400W was tested to prevent CF intestinal obstruction.

Results

Immune restoration in CF mice reversed the intestinal neutrophilic inflammation, improved the intestinal dysmotility, and rescued the mice from mortality. Transfusion of WT neutrophils into CF mice ameliorated the retarded bowel movement. CF neutrophils expressed significantly more iNOS and produced significantly more NO. Pharmaceutical blocking of iNOS significantly improved intestinal transit and survival of CF mice.

Conclusions

CF immune defect plays a critical role in CF intestinal disease development. Activation of iNOS in inflammatory cells produces excessive NO, slows the bowel movement, and facilitates intestinal paralysis and obstruction in CF. Thus, normalization of the CF immune system may offer a novel therapy to treat CF intestinal disease.
背景与目的:囊性纤维化(CF)是一种常染色体隐性遗传疾病,影响多个器官系统。CF肠道疾病发病较早,表现为肠道细菌过度生长/菌群失调、中性粒细胞炎症和阻塞。由于无法解决的感染和炎症反映了宿主免疫缺陷,我们试图确定受CF影响的免疫系统在CF肠道疾病发病机制中是否扮演重要角色:方法:CF 小鼠和同胞野生型(WT)小鼠进行了骨髓相互移植。方法:CF 小鼠和同胞野生型(WT)小鼠接受了互补骨髓移植,免疫重建后,对它们的死亡率、肠道转运、粪便炎症标志物和粘膜免疫细胞组成进行了评估。此外,还进行了中性粒细胞相互输血,以确定中性粒细胞功能是否会影响肠道运动。此外,还比较了CF和WT中性粒细胞中诱导一氧化氮合酶(iNOS)的表达和一氧化氮(NO)的产生。最后,测试了特异性 iNOS 抑制剂 1400W 对预防 CF 肠梗阻的作用:结果:CF小鼠的免疫恢复逆转了肠道中性粒细胞炎症,改善了肠道运动障碍,并使小鼠免于死亡。向CF小鼠输注WT中性粒细胞可改善肠道运动迟缓。CF 中性粒细胞表达的 iNOS 明显更多,产生的 NO 也明显更多。药物阻断 iNOS 能明显改善 CF 小鼠的肠蠕动和存活率:结论:CF 免疫缺陷在 CF 肠道疾病的发展中起着关键作用。结论:CF 免疫缺陷在 CF 肠道疾病的发生发展中起着关键作用。炎症细胞中的 iNOS 被激活后会产生过量的 NO,从而减缓肠道蠕动,促进 CF 肠道麻痹和阻塞。因此,使 CF 免疫系统恢复正常可能是治疗 CF 肠道疾病的一种新疗法。
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引用次数: 0
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Cellular and Molecular Gastroenterology and Hepatology
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