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GPR68, A Proton-sensing GPCR, Mediates Acid-induced Visceral Nociception GPR68是一种质子感应GPCR,介导酸诱导的内脏伤害感受。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcmgh.2025.101671
Luke W. Paine , Rohit Gupta , James P. Higham , Javier Aguilera-Lizarraga , Anne Ritoux , Thomas Pritchard , Samuel Nicholson , James R.F. Hockley , Tim Raine , Martin Hausmann , Kyle Bednar , Gerhard Rogler , Fraser Welsh , Ewan St John Smith , David C. Bulmer

Background & Aims

Localised acidification from immune cell infiltration and heightened glycolysis contributes to colitis pathology by activating acid-sensing receptors such as G protein-coupled receptor 68 (GPR68), a proton-sensing G protein-coupled receptor (GPCR) expressed on immune and stromal cells. Single-cell RNA sequencing (RNA-seq) analysis revealed GPR68 is also expressed in colonic sensory neurons, prompting us to investigate its role in acid-induced colonic nociception.

Methods

Expression of GPR68 in colonic nociceptors and tissue from people with colitis was confirmed by in silico analysis of our RNA-seq databases. Its contribution to disease activity was assessed using the acute dextran sulphate sodium (DSS) model of colitis. Acid-evoked sensory signalling was evaluated via colonic afferent recordings and Ca2+ imaging in DRG neurons from wild-type and GPR68-/- mice, supported by pharmacological studies using Ogerin (a GPR68 positive allosteric modulator) and Ogremorphin (a GPR68 antagonist).

Results

RNA-seq analysis showed GPR68 is robustly expressed in Trpv1+ colonic nociceptors and upregulated in tissue from people with inflammatory bowel disease, consistent with reduced disease activity in DSS-treated GPR68-/- mice. Genetic deletion of GPR68 abolished colonic afferent responses to acid, which were also attenuated by Ogremorphin and enhanced by Ogerin. In Ca2+-free buffer, dorsal root ganglion neurons from GPR68-/- mice or those pretreated with Ogremorphin showed significantly reduced acid-evoked intracellular Ca2+ responses. By contrast, the colonic afferent and dorsal root ganglion Ca2+ response (in Ca2+-containing buffer) to capsaicin was comparable between tissue from wild-type and GPR68-/- mice highlighting the involvement of divergent proton-dependent cellular signaling cascades.

Conclusions

These findings identify GPR68 as a key mediator of acid-induced colonic nociception and highlight its potential as a therapeutic target for the treatment of pain in colitis.
背景与目的:免疫细胞浸润引起的局部酸化和糖酵解升高通过激活酸敏感受体(如GPR68,一种在免疫细胞和基质细胞上表达的质子敏感GPCR)有助于结肠炎病理。单细胞RNAseq分析显示GPR68也在结肠感觉神经元中表达,提示我们研究其在酸诱导的结肠伤害感觉中的作用。方法:通过对我们的RNAseq数据库进行计算机分析,证实GPR68在结肠炎患者结肠伤害感受器和组织中的表达。使用急性葡聚糖硫酸钠(DSS)结肠炎模型评估其对疾病活动性的贡献。通过野生型和GPR68-/-小鼠DRG神经元的结肠传入记录和Ca2+成像来评估酸诱发的感觉信号,并使用Ogerin (GPR68阳性变构调节剂)和Ogremorphin (GPR68拮抗剂)进行药理学研究。结果:RNAseq分析显示,GPR68在Trpv1+结肠伤害感受器中强烈表达,在炎症性肠病患者的组织中表达上调,这与dss治疗的GPR68-/-小鼠的疾病活动性降低一致。GPR68的基因缺失消除了结肠对酸的传入反应,奥格雷莫芬也减弱了这种反应,奥格雷莫芬增强了这种反应。在无Ca2+缓冲液中,GPR68-/-小鼠或Ogremorphin预处理的DRG神经元显示酸诱发的细胞内Ca2+反应显着降低。相比之下,结肠传入和DRG Ca2+反应(在含Ca2+缓冲液中)对辣椒素的反应在野生型和GPR68-/-小鼠的组织中是相似的,突出了不同质子依赖性细胞信号级联反应的参与。结论:这些发现确定GPR68是酸诱导的结肠伤害感受的关键介质,并强调其作为治疗结肠炎疼痛的治疗靶点的潜力。
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引用次数: 0
Liver Sinusoidal Endothelial Cells Promote Metabolic Dysfunction-associated Steatohepatitis Progression via Interleukin-1R1-mediated Chemokine Production Induced by Macrophage-derived Interleukin-1β LSECs通过巨噬细胞来源的IL-1β诱导的il - 1r1介导的趋化因子产生促进MASH进展。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcmgh.2025.101698
Kenji Fukumoto , Hayato Hikita , Yoshinobu Saito , Yuki Makino , Kazumasa Soma , Seiya Kato , Yoichi Sasaki , Yuta Myojin , Katsuhiko Sato , Sadatsugu Sakane , Kazuhiro Murai , Yuki Tahata , Takahiro Kodama , Tomohide Tatsumi , Daisuke Motooka , Yoshiaki Kubota , Shogo Kobayashi , Hidetoshi Eguchi , Tetsuo Takehara

Background & Aims

Interleukin (IL)-1β is a key cytokine in hepatitis-related inflammation, but its role in metabolic dysfunction-associated steatotic liver disease (MASLD) or steatohepatitis (MASH) remains unclear. This study investigated IL-1β-mediated interactions in nonparenchymal liver cells to elucidate their contributions to pathological MASH progression.

Methods

We used the THP-1 monocyte-derived macrophage line and TMNK-1 liver sinusoidal endothelial cell (LSEC) line for in vitro assays. Endothelial cell-specific Il1r1-knockout (Il1r1ΔEC) and systemic Cxcl10-knockout (Cxcl10-/-) mice were subjected to a Western diet (WD) to establish a MASH model. An additional WD-fed cohort received the IL1R1 antagonist anakinra during the final 4 weeks. RNA sequencing data from liver tissues from patients with MASLD and spatial transcriptomic analyses focusing on nontumor regions of MASH-related hepatocellular carcinoma samples were evaluated.

Results

Liver levels of mature IL-1β were elevated in WD-fed mice compared with ND-fed mice. Il1r1 was highly expressed in LSECs, and Ccl2 and Cxcl10 expression were upregulated in LSECs under WD conditions. Palmitic acid inhibited autophagy in THP-1 macrophages, increasing IL-1β secretion. IL-1β enhanced CCL2 and CXCL10 expression in TMNK-1 LSECs via JNK activation. In Il1r1ΔEC and Cxcl10-/- mice, WD-induced inflammatory cell infiltration and fibrosis were attenuated, and anakinra produced similar effects. In human datasets, CCL2 and CXCL10 were upregulated in MASH livers and correlated with NAFLD activity scores. Spatial transcriptomics revealed a dominant periportal macrophage-to-LSEC IL1B–IL1R1 interaction that generates chemokine-enriched LSECs, forming inflammatory–fibrotic niches that facilitate immune cell recruitment.

Conclusions

Macrophage-derived IL-1β promotes hepatic inflammation and fibrosis through IL1R1-dependent chemokine induction in LSECs, highlighting IL1R1 signaling as a therapeutic target in MASH.
背景与目的:IL-1β是肝炎相关炎症的关键细胞因子,但其在代谢功能障碍相关脂肪性肝病(MASLD)或脂肪性肝炎(MASH)中的作用尚不清楚。本研究研究了非实质肝细胞中il -1β介导的相互作用,以阐明它们对病理性MASH进展的贡献。方法:采用THP-1单核细胞源性巨噬细胞细胞系和TMNK-1肝窦内皮细胞(LSEC)细胞系进行体外检测。内皮细胞特异性il1r1敲除(Il1r1ΔEC)和系统性Cxcl10敲除(Cxcl10-/-)小鼠采用西式饮食(WD)建立MASH模型。在最后4周,另一个wd喂养的队列接受了IL1R1拮抗剂阿那金。对来自MASLD患者肝组织的RNA测序数据和专注于MASLD相关HCC样本非肿瘤区域的空间转录组学分析进行了评估。结果:与nd喂养小鼠相比,wd喂养小鼠肝脏中成熟IL-1β水平升高。WD条件下,Il1r1在LSECs中高表达,Ccl2和Cxcl10在LSECs中表达上调。棕榈酸抑制THP-1巨噬细胞自噬,增加IL-1β分泌。IL-1β通过JNK激活增强TMNK-1 LSECs中CCL2和CXCL10的表达。在Il1r1ΔEC和Cxcl10-/-小鼠中,wd诱导的炎症细胞浸润和纤维化减弱,阿那白那也有类似的效果。在人类数据集中,CCL2和CXCL10在MASH肝脏中上调,并与NAFLD活性评分相关。空间转录组学揭示了门静脉周围巨噬细胞与lsec之间主要的IL1B-IL1R1相互作用,产生富含趋化因子的lsec,形成炎症纤维化小生境,促进免疫细胞募集。结论:巨噬细胞来源的IL-1β在LSECs中通过IL1R1依赖性趋化因子诱导促进肝脏炎症和纤维化,突出了IL1R1信号作为MASH的治疗靶点。
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引用次数: 0
Cover 封面
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/S2352-345X(25)00251-6
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引用次数: 0
Cilk1 Is Essential for Mesenchymal Cilia Maintenance and Epithelial-mesenchymal Crosstalk in Intestinal Villus Morphogenesis Cilk1对间充质纤毛维持和肠绒毛形态发生中的上皮-间充质串扰至关重要。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcmgh.2025.101672
Jieun Song , Suyeon Je , Bawool Lee , Hyuk Wan Ko
<div><h3>Background & Aims</h3><div>Intestinal development is intricately governed by epithelial-mesenchymal crosstalk, with Hedgehog (Hh) signaling playing a pivotal role. The formation of mesenchymal clusters, driven by epithelial Hh signals, is critical for villus morphogenesis. However, the specific role of primary cilia within the mesenchyme during this process remains insufficiently understood. Ciliogenesis-associated kinase 1 (Cilk1) is crucial for maintaining primary cilia required for Hh signal transduction. This study examines the role of Cilk1 in mesenchymal ciliogenesis and cluster formation during intestinal development.</div></div><div><h3>Methods</h3><div>We used both Cilk1 knockout (<em>Cilk1</em><sup><em>KO</em></sup>) and tissue-specific Cilk1 deletion models, along with conditional Ift88 knockout mice, to examine the role of primary cilia in intestinal development. Immunohistochemistry, in situ hybridization, quantitative real-time PCR (qRT-PCR), and bulk RNA sequencing (RNA-seq) were employed to evaluate the presence of primary cilia, mesenchymal cluster formation, and the expression of signaling pathway activity. The tissue-specific deletion of primary cilia was achieved by crossing Ift88 floxed mice with Cre driver lines targeting the intestinal epithelium (Villin<sup>Cre</sup>) and mesenchyme (Gli1<sup>CreERT2</sup>). Postnatal deletion experiments validated Hh responsiveness in postnatal intestinal mesenchyme.</div></div><div><h3>Results</h3><div>Our findings demonstrate that, although Cilk1 is not required for the initial formation of primary cilia in both the epithelium and mesenchyme at embryonic day 12.5 (E12.5), it is crucial for maintaining mesenchymal cilia beyond E14.5—a critical stage for villus morphogenesis. Deletion of Cilk1 led to the loss of mesenchymal cilia, resulting in impaired Hh signaling, defective mesenchymal clustering, and abnormal villus formation. Transcriptomic analysis revealed disruption of multiple signaling pathways including marked downregulation of BMP ligands, significant enrichment of Wnt pathway alterations (NES = 1.52; false discovery rate [FDR] q = 0.0038), and changes in retinoic acid signaling, whereas fibroblast growth factor (FGF) signaling remained unaffected. Tissue-specific deletion of Ift88 further confirmed the necessity of mesenchymal cilia for proper cluster formation and Hh signal transduction. Activation of Hh signaling through administration of the agonist SAG partially restored mesenchymal cluster formation in <em>Cilk1</em><sup><em>KO</em></sup> intestines, consistent with the multi-pathway disruption identified by RNA-seq. Postnatal deletion experiments confirmed that Cilk1 is required for Hh responsiveness in postnatal intestinal mesenchyme.</div></div><div><h3>Conclusions</h3><div>Cilk1 is essential for maintaining mesenchymal primary cilia and ensuring effective signaling required for intestinal villus morphogenesis. Disruption of Cilk1 impairs Hh-mediated mesen
背景与目的:肠道发育受上皮-间质串扰的复杂调控,而Hedgehog (Hh)信号在其中起着关键作用。由上皮Hh信号驱动的间充质团簇的形成对绒毛的形态发生至关重要。然而,在这一过程中,初级纤毛在间质中的具体作用尚不清楚。纤毛发生相关激酶1 (Cilk1)对于维持Hh信号转导所需的初级纤毛至关重要。本研究探讨了Cilk1在肠发育过程中间充质纤毛发生和簇状形成中的作用。方法:我们使用Cilk1敲除(Cilk1KO)和组织特异性Cilk1缺失模型,以及条件Ift88敲除小鼠,来研究初级纤毛在肠道发育中的作用。采用免疫组织化学、原位杂交、定量实时PCR (qRT-PCR)和大量rna测序来评估原发性纤毛的存在、间质团簇的形成以及信号通路活性的表达。通过将Ift88固定小鼠与靶向肠上皮(VillinCre)和间质(Gli1CreERT2)的Cre驱动系杂交,实现了原纤毛的组织特异性缺失。出生后缺失实验证实了Hh在出生后肠间质中的反应性。结果:我们的研究结果表明,虽然在胚胎12.5天(E12.5)时,Cilk1并不是上皮和间充质初级纤毛形成所必需的,但在胚胎14.5天后,它对于维持间充质纤毛至关重要,这是绒毛形态发生的关键阶段。Cilk1的缺失导致间充质纤毛的缺失,导致Hh信号传导受损,间充质聚集缺陷,绒毛形成异常。转录组学分析揭示了多种信号通路的破坏,包括BMP配体的显著下调,Wnt通路的显著富集改变(NES = 1.52, FDR q = 0.0038),维甲酸信号通路的变化,而FGF信号通路未受影响。Ift88的组织特异性缺失进一步证实了间充质纤毛对正常簇形成和Hh信号转导的必要性。通过给药激动剂SAG激活Hh信号,部分恢复了Cilk1KO肠道间充质团簇的形成,这与RNA-seq鉴定的多途径破坏一致。出生后缺失实验证实了Cilk1是出生后肠间质Hh反应所必需的。结论:Cilk1对于维持间充质初级纤毛和确保肠绒毛形态发生所需的有效信号传递至关重要。Cilk1的破坏会损害hh介导的间质聚集,并对BMP和Wnt通路产生额外影响,从而导致发育缺陷。这些发现证实了肠道发育过程中依赖cilk1的间充质纤毛发生在上皮-间充质通讯中的关键作用。
{"title":"Cilk1 Is Essential for Mesenchymal Cilia Maintenance and Epithelial-mesenchymal Crosstalk in Intestinal Villus Morphogenesis","authors":"Jieun Song ,&nbsp;Suyeon Je ,&nbsp;Bawool Lee ,&nbsp;Hyuk Wan Ko","doi":"10.1016/j.jcmgh.2025.101672","DOIUrl":"10.1016/j.jcmgh.2025.101672","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background &amp; Aims&lt;/h3&gt;&lt;div&gt;Intestinal development is intricately governed by epithelial-mesenchymal crosstalk, with Hedgehog (Hh) signaling playing a pivotal role. The formation of mesenchymal clusters, driven by epithelial Hh signals, is critical for villus morphogenesis. However, the specific role of primary cilia within the mesenchyme during this process remains insufficiently understood. Ciliogenesis-associated kinase 1 (Cilk1) is crucial for maintaining primary cilia required for Hh signal transduction. This study examines the role of Cilk1 in mesenchymal ciliogenesis and cluster formation during intestinal development.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We used both Cilk1 knockout (&lt;em&gt;Cilk1&lt;/em&gt;&lt;sup&gt;&lt;em&gt;KO&lt;/em&gt;&lt;/sup&gt;) and tissue-specific Cilk1 deletion models, along with conditional Ift88 knockout mice, to examine the role of primary cilia in intestinal development. Immunohistochemistry, in situ hybridization, quantitative real-time PCR (qRT-PCR), and bulk RNA sequencing (RNA-seq) were employed to evaluate the presence of primary cilia, mesenchymal cluster formation, and the expression of signaling pathway activity. The tissue-specific deletion of primary cilia was achieved by crossing Ift88 floxed mice with Cre driver lines targeting the intestinal epithelium (Villin&lt;sup&gt;Cre&lt;/sup&gt;) and mesenchyme (Gli1&lt;sup&gt;CreERT2&lt;/sup&gt;). Postnatal deletion experiments validated Hh responsiveness in postnatal intestinal mesenchyme.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Our findings demonstrate that, although Cilk1 is not required for the initial formation of primary cilia in both the epithelium and mesenchyme at embryonic day 12.5 (E12.5), it is crucial for maintaining mesenchymal cilia beyond E14.5—a critical stage for villus morphogenesis. Deletion of Cilk1 led to the loss of mesenchymal cilia, resulting in impaired Hh signaling, defective mesenchymal clustering, and abnormal villus formation. Transcriptomic analysis revealed disruption of multiple signaling pathways including marked downregulation of BMP ligands, significant enrichment of Wnt pathway alterations (NES = 1.52; false discovery rate [FDR] q = 0.0038), and changes in retinoic acid signaling, whereas fibroblast growth factor (FGF) signaling remained unaffected. Tissue-specific deletion of Ift88 further confirmed the necessity of mesenchymal cilia for proper cluster formation and Hh signal transduction. Activation of Hh signaling through administration of the agonist SAG partially restored mesenchymal cluster formation in &lt;em&gt;Cilk1&lt;/em&gt;&lt;sup&gt;&lt;em&gt;KO&lt;/em&gt;&lt;/sup&gt; intestines, consistent with the multi-pathway disruption identified by RNA-seq. Postnatal deletion experiments confirmed that Cilk1 is required for Hh responsiveness in postnatal intestinal mesenchyme.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Cilk1 is essential for maintaining mesenchymal primary cilia and ensuring effective signaling required for intestinal villus morphogenesis. Disruption of Cilk1 impairs Hh-mediated mesen","PeriodicalId":55974,"journal":{"name":"Cellular and Molecular Gastroenterology and Hepatology","volume":"20 3","pages":"Article 101672"},"PeriodicalIF":7.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endogenous Glucocorticoids Moderate the Gastric Inflammatory Response to Helicobacter Infection and Protect from Autoimmunity 内源性糖皮质激素调节胃对幽门螺杆菌感染的炎症反应并保护自身免疫。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcmgh.2025.101699
Sara R. Druffner , Benjamin C. Duncan , Maeve T. Morris , Jordan L. Pascoe , Tyler M. Abner , Salik Hussain , M. Blanca Piazuelo , Richard M. Peek Jr. , Melody Zhang , Richard J. DiPaolo , Jonathan T. Busada

Background & Aims

Immune responses to infection must balance pathogen clearance with minimizing tissue damage and autoimmunity. Chronic gastric inflammation caused by Heliobactor pylori damages the gastric mucosa and promotes carcinogenesis. Glucocorticoids are immunoregulatory hormones that limit immune activation in the stomach. This study aimed to determine how endogenous glucocorticoids regulate the gastric immune response to Helicobacter infection and their impact on preneoplastic lesion development.

Methods

We examined the role of endogenous glucocorticoids in shaping the gastric immune response to Helicobacter felis colonization. Gastric immune cell infiltration, atrophy, metaplasia, and preneoplastic lesion development were evaluated in adrenal-intact and adrenalectomized (ADX) mice. Auto-reactive immunoglobulin G antibodies were assessed using a mouse self-antigen array and by measuring their binding to healthy gastric tissue.

Results

Loss of endogenous glucocorticoids led to significantly increased H felis-induced gastric T cell infiltration and proinflammatory cytokine expression compared with intact-infected controls. Although all intact mice maintained chronic infection for up to 12 months post-colonization, nearly all ADX mice eradicated H felis within 2 to 3 weeks. Despite bacterial clearance, ADX mice continued to exhibit chronic gastric inflammation and developed dysplasia. Autoantibody profiling showed that both intact and ADX groups generated self-reactive immunoglobulin G during active infection. However, only ADX mice sustained autoantibody production following bacterial eradication.

Conclusions

Endogenous glucocorticoids attenuate gastric inflammation during Helicobacter infection, supporting bacterial persistence while maintaining immune tolerance. These findings suggest that heightened immune responses to H pylori may trigger autoimmune gastritis development, which can persist after H pylori clearance and continue to drive gastric cancer risk.
背景和目的:对感染的免疫反应必须平衡病原体清除与最小化组织损伤和自身免疫。幽门螺旋杆菌引起的慢性胃炎损害胃黏膜,促进癌变。糖皮质激素是限制胃免疫激活的免疫调节激素。本研究旨在确定内源性糖皮质激素如何调节胃对幽门螺杆菌感染的免疫反应及其对肿瘤前病变发展的影响。方法:我们研究了内源性糖皮质激素在塑造胃对幽门螺杆菌定植的免疫反应中的作用。在肾上腺完整和肾上腺切除(ADX)小鼠中评估胃免疫细胞浸润、萎缩、化生和瘤前病变的发展。使用小鼠自身抗原阵列和通过测量其与健康胃组织的结合来评估自身反应性IgG抗体。结果:与未受感染的对照组相比,内源性糖皮质激素的缺失导致H. felis诱导的胃T细胞浸润和促炎细胞因子表达显著增加。虽然所有完整的小鼠在定植后保持慢性感染长达12个月,但几乎所有ADX小鼠在2-3周内根除了狐猴。尽管细菌清除,ADX小鼠继续表现出慢性胃炎症并发展为发育不良。自身抗体分析显示,在活动性感染期间,完整组和ADX组都产生了自身反应性IgG。然而,只有ADX小鼠在细菌根除后仍能产生自身抗体。结论:内源性糖皮质激素可减轻幽门螺杆菌感染时的胃炎症,在维持免疫耐受的同时支持细菌的持续存在。这些发现表明,对幽门螺杆菌的免疫反应增强可能引发自身免疫性胃炎(AIG)的发展,这种发展可能在幽门螺杆菌清除后持续存在,并继续推动胃癌的风险。
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引用次数: 0
Role of Innate Oral Immunity and the Salivary Fluid in Inflammatory Bowel Disease 先天口腔免疫和唾液在炎症性肠病中的作用。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcmgh.2025.101713
Joydeep Aoun , Ahmed Kabrah , Malini Ahuja , Benjamin Leblanc , Changyu Zhang , Li Li , Yan Wang , Shmuel Muallem

Background & Aims

Oral and gut health are tightly connected through their microbiome and immunity, including in disease states. The oral adaptive immunity contributes to the severity of inflammatory bowel disease (IBD). However, the role of oral innate immunity, and more specifically the saliva, in gut microbiome and IBD is poorly understood.

Methods

We used 2 mouse models with reduced saliva, nonobese diabetic (NOD) and aquaporin 5 (Aqp5)-/- mice, and recovery of salivation in the NOD mice by treatment with a cystic fibrosis transmembrane regulator corrector to examine the role of salivation in oral and gut microbiome, IBD, and survival.

Results

Analysis of the oral microbiome at various conditions revealed that the saliva has a minimal role in shaping the oral microbiome. However, salivation affected the composition of the gut microbiome. Moreover, the lack of saliva significantly delayed development of dextran sodium sulphate-induced colitis, but resulted in a later, age-dependent, rapidly developed weight loss and death. The dual roles of the saliva were caused by 2 immunomodulatory peptides secreted by salivary glands. Fractionation and mass spectroscopy analysis identified trefoil factor 2 (TFF2) as a protective component and the cytokine macrophage migration inhibitory factor (MIF) as the damaging component of the saliva. The effects of the salivary fluid, TFF2, and MIF were primarily due to control of the gut barrier, rather than the gut microbiome. Scavenging salivary TFF2 and MIF with antibodies resulted in exacerbating and protection, respectively, of IBD.

Conclusions

The oral innate immunity has a major role in shaping the gut microbiome through secretion of MIF and TFF2. Control of MIF and TFF2 can benefit the treatment of colitis.
背景与目的:口腔和肠道健康通过它们的微生物群和免疫紧密相连,包括在疾病状态下。口腔适应性免疫与炎症性肠病(IBD)的严重程度有关。然而,口腔先天免疫,更具体地说是唾液在肠道微生物群和IBD中的作用,人们知之甚少。方法:我们使用两种唾液减少的小鼠模型,NOD和Aqp5-/-小鼠,以及通过CFTR校正剂治疗NOD小鼠的唾液分泌恢复,来研究唾液分泌在口腔和肠道微生物组、IBD和生存中的作用。结果:对不同条件下口腔微生物组的分析表明,唾液在口腔微生物组的形成中起着最小的作用。然而,唾液分泌会影响肠道微生物群的组成。此外,唾液的缺乏显著延缓了dss诱导的结肠炎的发展,但导致了较晚的、年龄依赖性的、迅速发展的体重下降和死亡。唾液的双重作用是由唾液腺分泌的两种免疫调节肽引起的。分离和质谱分析鉴定三叶因子2 (TFF2)为唾液的保护成分,细胞因子巨噬细胞迁移抑制因子(MIF)为唾液的损害成分。唾液液、TFF2和MIF的作用主要是由于肠道屏障的控制,而不是肠道微生物群。用抗体清除唾液TFF2和MIF分别导致IBD的恶化和保护。结论:口腔先天免疫通过分泌MIF和TFF2对肠道微生物群的形成起重要作用。控制MIF和TFF2有利于结肠炎的治疗。
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引用次数: 0
Ubiquitination of Rhomboid 5 Homolog 2 by Constitutive Photomorphogenic 1 Alleviates Hepatic Ischemia-reperfusion Injury by Regulating the Transforming Growth Factor-β Activating Kinase 1-C-Jun N-terminal Kinase/p38 Signaling Pathway Cop1使Rhbdf2泛素化,通过调控TAK1- JNK/p38信号通路减轻肝缺血再灌注损伤。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcmgh.2025.101695
Wendong Li , Tongtong Wu , Hao Li , Zhenyu Guan , Mingjie Ding , Wenzhi Guo

Background & Aims

Hepatic ischemia-reperfusion injury (HIRI) is one of the common complications of liver transplantation. Rhomboid 5 homolog 2 (Rhbdf2) plays a crucial role in apoptosis, inflammation, and liver injury, but its role and regulatory mechanism in HIRI remain unclear. The aim of this study was to investigate the role of Rhbdf2 in HIRI and elucidate its molecular mechanism.

Methods

Rhbdf2 expression levels were detected in pre-ischemia–reperfusion (Pre) and post-ischemia–reperfusion (Post) livers. Western blot analysis, flow cytometry, quantitative real-time polymerase chain reaction, and immunofluorescence staining were used to investigate the effects of Rhbdf2 on hepatic ischemia-reperfusion (HI/R). The potential molecular mechanisms of the effects of Rhbdf2 on HI/R were investigated by combining RNA sequencing and mass spectrometry analysis, as well as co-immunoprecipitation and in vitro ubiquitination assays.

Results

The level of Rhbdf2 protein was significantly increased in HI/R. Overexpression of Rhbdf2 in mice exacerbated HI/R-induced liver injury, apoptosis, and the inflammatory response, whereas knockdown of Rhbdf2 produced the opposite results. Mechanistically, overexpression of Rhbdf2 promoted the phosphorylation of mitogen-activated protein kinase kinase kinase 7 (MAP3K7, also known as TAK1), thereby activating the JNK/p38 signaling pathway and ultimately exacerbating HIRI. Mass spectrometry analysis, co-immunoprecipitation, and in vitro ubiquitination assays revealed that the E3 ubiquitin ligase constitutive photomorphogenic 1 (Cop1) interacts with Rhbdf2 and mediates its degradation through K48-linked ubiquitination, thereby inhibiting the TAK1- JNK/p38 axis and reducing HIRI.

Conclusions

This study revealed that Rhbdf2 exacerbates HIRI by activating the TAK1- JNK/p38 axis, whereas Cop1-mediated Rhbdf2 ubiquitination and degradation can significantly inhibit this process. These findings provide potential therapeutic targets and insights for the clinical treatment of HIRI.
背景与目的:肝缺血再灌注损伤(HIRI)是肝移植的常见并发症之一。Rhomboid 5 homolog 2 (Rhbdf2)在细胞凋亡、炎症和肝损伤中起重要作用,但其在HIRI中的作用和调控机制尚不清楚。本研究旨在探讨Rhbdf2在HIRI中的作用并阐明其分子机制。方法:检测Rhbdf2在缺血再灌注前(Pre)和缺血再灌注后(Post)肝脏中的表达水平。采用Western blot、流式细胞术、实时荧光定量PCR、免疫荧光染色等方法观察Rhbdf2对肝缺血再灌注(HI/R)的影响。结合RNA测序、质谱分析、免疫共沉淀和体外泛素化实验,探讨Rhbdf2对HI/R影响的潜在分子机制。结果:HI/R组Rhbdf2蛋白水平明显升高。小鼠中过度表达Rhbdf2加重了HI/ r诱导的肝损伤、细胞凋亡和炎症反应,而敲低Rhbdf2则产生相反的结果。机制上,Rhbdf2的过表达促进了丝裂原活化蛋白激酶激酶激酶7 (MAP3K7,也称为Tak1)的磷酸化,从而激活JNK/p38信号通路,最终加重HIRI。质谱分析、Co-IP和体外泛素化分析显示,E3泛素连接酶组成型光形态形成1 (Cop1)与Rhbdf2相互作用,并通过k48连接的泛素化介导其降解,从而抑制TAK1- JNK/p38轴并降低HIRI。结论:本研究发现Rhbdf2通过激活TAK1- JNK/p38轴而加重HIRI,而cop1介导的Rhbdf2泛素化和降解可显著抑制这一过程。这些发现为HIRI的临床治疗提供了潜在的治疗靶点和见解。
{"title":"Ubiquitination of Rhomboid 5 Homolog 2 by Constitutive Photomorphogenic 1 Alleviates Hepatic Ischemia-reperfusion Injury by Regulating the Transforming Growth Factor-β Activating Kinase 1-C-Jun N-terminal Kinase/p38 Signaling Pathway","authors":"Wendong Li ,&nbsp;Tongtong Wu ,&nbsp;Hao Li ,&nbsp;Zhenyu Guan ,&nbsp;Mingjie Ding ,&nbsp;Wenzhi Guo","doi":"10.1016/j.jcmgh.2025.101695","DOIUrl":"10.1016/j.jcmgh.2025.101695","url":null,"abstract":"<div><h3>Background &amp; Aims</h3><div>Hepatic ischemia-reperfusion injury (HIRI) is one of the common complications of liver transplantation. Rhomboid 5 homolog 2 (Rhbdf2) plays a crucial role in apoptosis, inflammation, and liver injury, but its role and regulatory mechanism in HIRI remain unclear. The aim of this study was to investigate the role of Rhbdf2 in HIRI and elucidate its molecular mechanism.</div></div><div><h3>Methods</h3><div>Rhbdf2 expression levels were detected in pre-ischemia–reperfusion (Pre) and post-ischemia–reperfusion (Post) livers. Western blot analysis, flow cytometry, quantitative real-time polymerase chain reaction, and immunofluorescence staining were used to investigate the effects of Rhbdf2 on hepatic ischemia-reperfusion (HI/R). The potential molecular mechanisms of the effects of Rhbdf2 on HI/R were investigated by combining RNA sequencing and mass spectrometry analysis, as well as co-immunoprecipitation and in vitro ubiquitination assays.</div></div><div><h3>Results</h3><div>The level of Rhbdf2 protein was significantly increased in HI/R. Overexpression of Rhbdf2 in mice exacerbated HI/R-induced liver injury, apoptosis, and the inflammatory response, whereas knockdown of Rhbdf2 produced the opposite results. Mechanistically, overexpression of Rhbdf2 promoted the phosphorylation of mitogen-activated protein kinase kinase kinase 7 (MAP3K7, also known as TAK1), thereby activating the JNK/p38 signaling pathway and ultimately exacerbating HIRI. Mass spectrometry analysis, co-immunoprecipitation, and in vitro ubiquitination assays revealed that the E3 ubiquitin ligase constitutive photomorphogenic 1 (Cop1) interacts with Rhbdf2 and mediates its degradation through K48-linked ubiquitination, thereby inhibiting the TAK1- JNK/p38 axis and reducing HIRI.</div></div><div><h3>Conclusions</h3><div>This study revealed that Rhbdf2 exacerbates HIRI by activating the TAK1- JNK/p38 axis, whereas Cop1-mediated Rhbdf2 ubiquitination and degradation can significantly inhibit this process. These findings provide potential therapeutic targets and insights for the clinical treatment of HIRI.</div></div>","PeriodicalId":55974,"journal":{"name":"Cellular and Molecular Gastroenterology and Hepatology","volume":"20 4","pages":"Article 101695"},"PeriodicalIF":7.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CREB Fuels Tumorigenesis in Alcoholic Pancreatitis CREB促进酒精性胰腺炎的肿瘤发生
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcmgh.2025.101660
Urvinder Kaur Sardarni, Jennifer M. Bailey-Lundberg
{"title":"CREB Fuels Tumorigenesis in Alcoholic Pancreatitis","authors":"Urvinder Kaur Sardarni,&nbsp;Jennifer M. Bailey-Lundberg","doi":"10.1016/j.jcmgh.2025.101660","DOIUrl":"10.1016/j.jcmgh.2025.101660","url":null,"abstract":"","PeriodicalId":55974,"journal":{"name":"Cellular and Molecular Gastroenterology and Hepatology","volume":"20 2","pages":"Article 101660"},"PeriodicalIF":7.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145338286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intestinal Epithelial Cell-derived Osteopontin Protects Against Metabolic Dysfunction–associated Steatohepatitis by Modulating Bile Acid Composition and the Gut Microbiome 肠上皮细胞来源的骨桥蛋白通过调节胆汁酸组成和肠道微生物群来预防代谢功能障碍相关的脂肪性肝炎。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcmgh.2025.101678
Hui Han , Jeongwoo Park , Rui Zhang , Nithyananthan Subramaniyam , Sukanta Das , Xiaodong Ge , Sai Santosh Babu Komakula , Chao Wang , Romain Desert , Wei Chen , Zhuolun Song , Dipti Athavale , Abid Anwar , Daniel Lantvit , Grace Guzman , María Dolores Frutos , Bruno Ramos-Molina , Natalia Nieto

Background & Aims

The gut-liver axis plays a critical role in metabolic dysfunction-associated steatohepatitis (MASH). Osteopontin (OPN, encoded by SPP1) is implicated in chronic liver disease; however, its expression in intestinal epithelial cells (IECs) and role in MASH remain unclear.

Methods

We evaluated intestinal OPN expression during MASH progression in patients. To determine the function of IEC-derived OPN, we generated Spp1 knock-in (Spp1KI IEC) and knock-out (Spp1ΔIEC) mice and fed them a high-fat, high-fructose, high-cholesterol diet to induce MASH.

Results

IEC OPN expression decreased with MASH progression and was inversely associated with liver injury. Loss of Spp1 in IECs exacerbated MASH, whereas overexpression or oral OPN administration was protective. Spp1ΔIEC mice exhibited increased hepatic inflammation, disrupted IEC morphology, elevated IEC apoptosis, reduced epithelial cell turnover, and heightened intestinal permeability. They also showed hepatic 16s rRNA presence and elevated conjugated bile acids (BAs), particularly taurocholic acid and taurodeoxycholic acid, in portal serum. These BAs promoted hepatocyte injury and activated liver macrophages, enhancing inflammation both in vitro and in vivo. Fecal microbiome analysis revealed reduced abundance of bile salt hydrolase-expressing bacteria. Fecal microbiota transplantation from Spp1ΔIEC mice or treatment with a bile salt hydrolase inhibitor further worsened MASH.

Conclusions

IEC-derived OPN protects against MASH by modulating BA composition and shaping the gut microbiome.
背景与目的:肠肝轴在代谢功能障碍相关性脂肪性肝炎(MASH)中起关键作用。由SPP1编码的骨桥蛋白(OPN)与慢性肝病有关;然而,其在肠上皮细胞(IECs)中的表达及其在MASH中的作用尚不清楚。方法:我们评估了患者在MASH进展过程中的肠道OPN表达。为了确定IEC衍生的OPN的功能,我们制造了Spp1敲入(Spp1KI IEC)和敲除(Spp1ΔIEC)小鼠,并给它们喂食高脂肪、高果糖、高胆固醇的饮食来诱导MASH。结果:iecopn表达随MASH进展而降低,与肝损伤呈负相关。IECs中Spp1的缺失加重了MASH,而过表达或口服OPN则具有保护作用。Spp1ΔIEC小鼠表现出肝脏炎症增加、IEC形态破坏、IEC凋亡升高、上皮细胞周转减少和肠通透性增加。它们还显示肝脏16s rRNA的存在和门脉血清中共轭胆汁酸(BAs)的升高,特别是牛磺胆酸(TCA)和牛磺去氧胆酸(TDCA)。这些BAs促进肝细胞损伤,激活肝巨噬细胞,增强体外和体内炎症。粪便微生物组分析显示,表达胆汁盐水解酶(BSH)的细菌丰度降低。Spp1ΔIEC小鼠的粪便微生物群移植或BSH抑制剂治疗进一步恶化了MASH。结论:iec衍生的OPN通过调节BA组成和塑造肠道微生物群来预防MASH。
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引用次数: 0
Metabolic Signatures of Acinetobacter baumannii and Klebsiella pneumoniae Infections in Acute-on-chronic Liver Failure 急性慢性肝衰竭患者鲍曼不动杆菌和肺炎克雷伯菌感染的代谢特征。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcmgh.2025.101707
Camilla Cadoli , Sania Arif , Wibke Ballhorn , Angela Brieger , Maximilian Joseph Brol , Florence Castelli , Hans-Peter Erasmus , Julia Fischer , Robert Gurke , Lisa Hahnefeld , Christophe Junot , Nico Kraus , Cristina Ortiz , Robert Schierwagen , Sara Garcia Torres , Frank Erhard Uschner , Volker Müller , Jonel Trebicka , Christoph Welsch , Volkhard A.J. Kempf

Background & Aims

Acute-on-chronic liver failure (ACLF) is a life-threatening syndrome of acute hepatic decompensation (AD) that leads to multiorgan failure and high mortality. Bacterial infections are often implicated in ACLF pathogenesis; however, their underlying molecular mechanisms remain poorly understood. This study employed a combined in vitro-ex vivo metabolomics approach to investigate infection-associated metabolic alterations relevant to ACLF.

Methods

Gut (Caco-2) cells were infected with Acinetobacter baumannii and Klebsiella pneumoniae strains. Metabolite profiling was conducted on cell culture supernatants, and selected metabolites were tested for hepatotoxicity in vitro using liver (HepG2) cells. Metabolomic analysis of sera from 2 independent patient cohorts (AD and ACLF) was conducted to validate in vitro findings and to assess their clinical relevance.

Results

Distinct metabolic signatures were identified in A baumannii (19 metabolites) and K pneumoniae (15 metabolites)-infected Caco-2 cells. Four key metabolites from each bacterial species were prioritized for further experiments: α-ketoglutarate, indoleacetic acid, p-coumaric acid, uridine (A baumannii), desthiobiotin, N8-acetylspermidine, N-acetylglutamine, and β-pinene (K pneumoniae). Hepatotoxicity was demonstrated in liver (HepG2) cells exposed to Caco-2 infected cell-derived supernatants, infection-associated metabolites, and metabolite mixtures (in all conditions, P < .0001). Increased levels of α-ketoglutarate (P = .0002), N-acetylglutamine (P = .0153), indoleacetic acid (P < .05), and N8-acetylspermidine (P < .01) have been confirmed in the sera of patients with AD and ACLF.

Conclusions

Our findings suggest that metabolites associated with bacterial infections and hepatotoxic potential are significantly elevated in patients with AD and ACLF. These compounds may contribute to disease-related metabolic disturbances, representing promising candidates as early diagnostic biomarkers and targeted therapeutic strategies for ACLF.
背景与目的:急性伴慢性肝衰竭(ACLF)是一种危及生命的急性肝失代偿(AD)综合征,可导致多器官衰竭和高死亡率。细菌感染常与ACLF的发病机制有关;然而,其潜在的分子机制仍然知之甚少。本研究采用体外体外代谢组学方法研究与ACLF相关的感染相关代谢改变。方法:分别用鲍曼不动杆菌和肺炎克雷伯菌感染肠道Caco-2细胞。对细胞培养上清进行代谢物谱分析,并使用肝(HepG2)细胞体外检测所选代谢物的肝毒性。对两个独立患者队列(AD和ACLF)的血清进行代谢组学分析,以验证体外研究结果并评估其临床相关性。结果:在鲍曼不动杆菌(19种代谢物)和肺炎克雷伯菌(15种代谢物)感染的Caco-2细胞中鉴定出不同的代谢特征。每种细菌的四种主要代谢物分别为α-酮戊二酸、吲哚乙酸、对香豆酸、尿苷(鲍曼杆菌)、去硫代生物素、n8 -乙酰亚精胺、n -乙酰谷氨酰胺和β-蒎烯(肺炎克雷伯菌)。在所有情况下,暴露于Caco-2感染细胞衍生的上清液、感染相关代谢物和代谢物混合物的肝脏(HepG2)细胞均显示出肝毒性。结论:我们的研究结果表明,与细菌感染和肝毒性潜在相关的代谢物在AD和ACLF患者中显著升高。这些化合物可能与疾病相关的代谢紊乱有关,代表着作为ACLF早期诊断生物标志物和靶向治疗策略的有希望的候选者。
{"title":"Metabolic Signatures of Acinetobacter baumannii and Klebsiella pneumoniae Infections in Acute-on-chronic Liver Failure","authors":"Camilla Cadoli ,&nbsp;Sania Arif ,&nbsp;Wibke Ballhorn ,&nbsp;Angela Brieger ,&nbsp;Maximilian Joseph Brol ,&nbsp;Florence Castelli ,&nbsp;Hans-Peter Erasmus ,&nbsp;Julia Fischer ,&nbsp;Robert Gurke ,&nbsp;Lisa Hahnefeld ,&nbsp;Christophe Junot ,&nbsp;Nico Kraus ,&nbsp;Cristina Ortiz ,&nbsp;Robert Schierwagen ,&nbsp;Sara Garcia Torres ,&nbsp;Frank Erhard Uschner ,&nbsp;Volker Müller ,&nbsp;Jonel Trebicka ,&nbsp;Christoph Welsch ,&nbsp;Volkhard A.J. Kempf","doi":"10.1016/j.jcmgh.2025.101707","DOIUrl":"10.1016/j.jcmgh.2025.101707","url":null,"abstract":"<div><h3>Background &amp; Aims</h3><div>Acute-on-chronic liver failure (ACLF) is a life-threatening syndrome of acute hepatic decompensation (AD) that leads to multiorgan failure and high mortality. Bacterial infections are often implicated in ACLF pathogenesis; however, their underlying molecular mechanisms remain poorly understood. This study employed a combined in vitro-ex vivo metabolomics approach to investigate infection-associated metabolic alterations relevant to ACLF.</div></div><div><h3>Methods</h3><div>Gut (Caco-2) cells were infected with <em>Acinetobacter baumannii</em> and <em>Klebsiella pneumoniae</em> strains. Metabolite profiling was conducted on cell culture supernatants, and selected metabolites were tested for hepatotoxicity in vitro using liver (HepG2) cells. Metabolomic analysis of sera from 2 independent patient cohorts (AD and ACLF) was conducted to validate in vitro findings and to assess their clinical relevance.</div></div><div><h3>Results</h3><div>Distinct metabolic signatures were identified in <em>A</em> <em>baumannii</em> (19 metabolites) and <em>K</em> <em>pneumoniae</em> (15 metabolites)-infected Caco-2 cells. Four key metabolites from each bacterial species were prioritized for further experiments: α-ketoglutarate, indoleacetic acid, p-coumaric acid, uridine (<em>A</em> <em>baumannii</em>), desthiobiotin, N8-acetylspermidine, N-acetylglutamine, and β-pinene (<em>K</em> <em>pneumoniae</em>). Hepatotoxicity was demonstrated in liver (HepG2) cells exposed to Caco-2 infected cell-derived supernatants, infection-associated metabolites, and metabolite mixtures (in all conditions, <em>P</em> &lt; .0001). Increased levels of α-ketoglutarate (<em>P</em> = .0002), N-acetylglutamine (<em>P</em> = .0153), indoleacetic acid (<em>P</em> &lt; .05), and N8-acetylspermidine (<em>P</em> &lt; .01) have been confirmed in the sera of patients with AD and ACLF.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that metabolites associated with bacterial infections and hepatotoxic potential are significantly elevated in patients with AD and ACLF. These compounds may contribute to disease-related metabolic disturbances, representing promising candidates as early diagnostic biomarkers and targeted therapeutic strategies for ACLF.</div></div>","PeriodicalId":55974,"journal":{"name":"Cellular and Molecular Gastroenterology and Hepatology","volume":"20 4","pages":"Article 101707"},"PeriodicalIF":7.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145752469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Cellular and Molecular Gastroenterology and Hepatology
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