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Long Noncoding RNA uc173 is a Novel Regulator of Mitochondrial Metabolism Driving Intestinal Mucosal Growth 长链非编码RNA uc173是一种新的线粒体代谢调节因子,驱动肠粘膜生长。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-09-29 DOI: 10.1016/j.jcmgh.2025.101653
Lan Xiao , Song Ah Chae , Dongyoon Yoo , Hee K. Chung , Min S. Kwon , Amy VanderStoep , Ting-Xi Yu , Bridgette Warner , Myriam Gorospe , Jian-Ying Wang

Background & Aims

Long noncoding RNA uc.173, transcribed from ultraconserved regions, modulates many cell processes central to human pathologies, but the mechanism underlying uc.173 in the homeostasis of the intestinal epithelium is underexplored. Here, we investigated the role of uc.173 in regulating mitochondrial metabolism and defined the implication of altered mitochondrial activity by uc.173 in renewal of the intestinal mucosa.

Methods

Studies were conducted in CRISPR-Cas9 knock-in mice, primary enterocytes, and Caco-2 cells. Mitochondrial structure and function were elucidated by measuring mitochondria-associated proteins and mitochondrial respiratory capacity. Intestinal mucosal growth was measured by Ki67 immunostaining or BrdU incorporation assays.

Results

Transient and specific deletion of uc.173 in the intestinal epithelium of mice by CRISPR-Cas9 knock-in using small guide RNA decreased the levels of several mitochondria-associated proteins including PGC-1α, along with disrupted mucosal growth. Decreasing the levels of uc.173 in cultured intestinal epithelial cells also decreased mitochondrial proteins and caused defects in the mitochondrial respiratory capacity. Reinforcing mitochondrial activity by using a mitochondrial activator or by overexpressing PGC-1α rescued growth of uc.173-deficient intestinal organoids. Mechanistic studies revealed that uc.173 increased PGC-1α expression by acting as a molecular decoy for miR-29b, thereby preventing the repressive interaction of miR-29b with PGC-1α mRNA.

Conclusions

These findings indicate that uc.173 is a novel regulator of mitochondrial metabolism in the intestinal epithelium and highlight a role of deregulation of uc.173, miR-29b, and PGC-1α in the suppressed renewal of intestinal mucosa in patients with critical illnesses.
背景与目的:长链非编码RNA。173从超保守区域转录,调节许多对人类病理至关重要的细胞过程,但uc的潜在机制。173在肠上皮内稳态中的作用尚不清楚。在这里,我们研究了uc的作用。173在调节线粒体代谢中的作用,并定义了uc改变线粒体活性的意义。173在肠粘膜的更新。方法:在CRISPR-Cas9敲入小鼠、原代肠细胞和Caco-2细胞中进行研究。通过测定线粒体相关蛋白和线粒体呼吸能力来阐明线粒体结构和功能。采用Ki67免疫染色法或BrdU掺入法测定肠黏膜生长。结果:uc的瞬时特异性缺失。使用小向导RNA通过CRISPR-Cas9敲入小鼠肠上皮中的173,降低了包括PGC-1α在内的几种线粒体相关蛋白的水平,同时破坏了粘膜生长。降低uc的水平。173在培养的肠上皮细胞中也降低了线粒体蛋白,导致线粒体呼吸能力缺陷。通过使用线粒体激活剂或过表达PGC-1α来增强线粒体活性可挽救uc的生长。173缺乏肠道类器官。机理研究表明,uc。173通过作为miR-29b的分子诱饵增加PGC-1α的表达,从而阻止miR-29b与PGC-1α mRNA的抑制性相互作用。结论:这些发现提示uc。173是一种新的肠上皮线粒体代谢调节因子,并在uc的解除管制中发挥重要作用。173、miR-29b和PGC-1α在危重症患者肠黏膜更新抑制中的作用。
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引用次数: 0
How First Foods Promote Intestinal Epithelial Maturation: Lessons Learned From Suckling Rabbits 初食如何促进肠上皮细胞成熟:从乳兔身上得到的经验教训。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-09-29 DOI: 10.1016/j.jcmgh.2025.101649
Vanesa Muncan
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引用次数: 0
HIF-2α-driven Lipogenesis and Inflammation in Metabolic Dysfunction-associated Steatotic Liver Disease: Role of ATF4 Signaling hif -2α驱动的脂肪生成和MASLD中的炎症:ATF4信号的作用。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-09-29 DOI: 10.1016/j.jcmgh.2025.101651
Zhe Yang , Niujian Wu , Xin Li , Yun Li , Zhanjin Lu , Taoping Sun , Zhixing Cao , Xianghong Wang , Chen Yang , Shisong Han , Hongyun Lu

Background & Aims

Metabolic dysfunction-associated steatotic liver disease (MASLD) is characterized by an imbalance of lipid metabolism and chronic inflammation. Emerging evidence suggests a role for hypoxia-inducible factor 2α (HIF-2α) in MASLD progression. However, the mechanistic linkage between HIF-2α and steatohepatitis progression remains largely elusive.

Methods

Here, hepatocyte-specific HIF-2α knockout mice were used to investigate the pathophysiological role of HIF-2α in MASLD. Multiple gain- and loss-of-function experiments in primary hepatocytes and established human hepatocyte cell lines were performed to elucidate the molecular mechanisms by which HIF-2α contributes to MASLD progression.

Results

Compared with their wild-type littermates, hepatocyte-specific HIF-2α knockout mice exhibited a substantial reduction in high-fat diet-induced hepatic steatosis and inflammatory signaling. Furthermore, HIF-2ɑ deficiency in primary hepatocytes and both L02 and MIHA cell lines markedly inhibited the lipid accumulation, inflammation, and endoplasmic reticulum stress in vitro upon free fatty acids challenge. Mechanistically, HIF-2 directly bound to the promoter region of protein kinase RNA-like ER kinase, leading to the activation of the activating transcription factor 4 signaling under metabolic stress, thereby aggravating lipogenesis while inhibiting lipid oxidation in hepatocytes.

Conclusions

These data indicate that HIF-2α acts as a contributing factor to MASLD progression via activating transcription factor 4 signaling.
背景与目的:代谢功能障碍相关的脂肪变性肝病(MASLD)以脂质代谢失衡和慢性炎症为特征。新出现的证据表明缺氧诱导因子2α (HIF-2α)在MASLD进展中的作用。然而,HIF-2α与脂肪性肝炎进展之间的机制联系在很大程度上仍然难以捉摸。方法:采用肝细胞特异性HIF-2α敲除小鼠,研究HIF-2α在MASLD中的病理生理作用。在原代肝细胞和已建立的人肝细胞系中进行了多次功能增益和功能丧失实验,以阐明HIF-2α促进MASLD进展的分子机制。结果:与野生型小鼠相比,肝细胞特异性HIF-2α敲除小鼠表现出hfd诱导的肝脏脂肪变性和炎症信号的显著减少。此外,原代肝细胞、L02和MIHA细胞系的HIF-2缺乏显著抑制体外FFAs攻击下的脂质积累、炎症和内质网应激。在机制上,HIF-2直接结合到蛋白激酶rna样ER激酶(PERK)的启动子区域,导致代谢应激下激活激活转录因子4 (ATF4)信号,从而在抑制肝细胞脂质氧化的同时加剧脂肪生成。结论:这些数据表明HIF-2α通过ATF4信号通路促进了MASLD的进展。
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引用次数: 0
Etomidate Improves Antitumor Immunity by Suppressing PD-L1 Expression in Hepatocellular Carcinoma Cells 依托咪酯通过抑制肝癌细胞中PD-L1的表达来提高抗肿瘤免疫。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-09-29 DOI: 10.1016/j.jcmgh.2025.101652
Jiali Xu , Qing Ji , Yining Chen , Yu Xu , Zhihui Wang , Zhenyu Yuan , Dapeng Gao , Lidong Zhang , Cunming Liu , Qing Li , Liren Zhang , Jingjing Dai

Background & Aims

Etomidate, a prevalent intravenous anesthetic agent, has been implicated in the attenuation of tumorigenesis. Our recent investigations elucidated its capacity to impede the malignant progression of hepatocellular carcinoma (HCC). This study aims to elucidate how etomidate modulates the immunosuppressive tumor microenvironment in HCC.

Methods

To investigate the multifaceted effects and underlying molecular mechanisms of etomidate, we employed an integrative approach encompassing in vitro and in vivo systems, including patient-derived HCC organoids, 3-dimensional co-culture platforms, patient-derived xenografts, and orthotopic HCC models. A suite of advanced methodologies such as single-cell cytometry by time-of-flight (CyTOF), multiplex immunohistochemistry, and flow cytometric analyses were applied.

Results

Our data reveal that etomidate suppresses programmed death-ligand 1 (PD-L1) expression in HCC cells, thereby potentiating antitumor immunity. Mechanistically, etomidate inhibits the Janus kinase 2/signal transducer and activator of transcription 3 axis in tumor cells, leading to reduced PD-L1 transcription and increased infiltration and activation of cytotoxic CD8+ T lymphocytes.

Conclusions

These findings support the hypothesis that etomidate enhances antitumor immunity and boosts the therapeutic efficacy of immune checkpoint blockade, thereby laying a theoretical foundation for precision immunotherapy in HCC.
背景与目的:依托咪酯是一种常用的静脉麻醉药,与肿瘤发生的衰减有关。我们最近的研究阐明了其阻碍肝细胞癌(HCC)恶性进展的能力。本研究旨在阐明依托咪酯如何调节HCC中免疫抑制的肿瘤微环境。方法:为了研究依托咪酯的多方面作用和潜在的分子机制,我们采用了一种包括体外和体内系统的综合方法,包括患者来源的肝细胞癌类器官、三维共培养平台、患者来源的异种移植物和原位肝细胞癌模型。一套先进的方法,如单细胞细胞术飞行时间(CyTOF),多重免疫组织化学和流式细胞术分析应用。结果:我们的数据显示依托咪酯抑制HCC细胞中PD-L1的表达,从而增强抗肿瘤免疫。在机制上,依托咪酯抑制肿瘤细胞的JAK2/STAT3轴,导致PD-L1转录减少,细胞毒性CD8+ T淋巴细胞浸润和活化增加。结论:本研究结果支持依托咪酯增强抗肿瘤免疫,提高免疫检查点阻断治疗效果的假说,为HCC的精准免疫治疗奠定理论基础。
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引用次数: 0
Cell Adhesion Molecule 1 Emerges as a Biomarker and Therapeutic Opportunity in Inflammatory Bowel Disease CADM1成为炎症性肠病的生物标志物和治疗机会
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-09-26 DOI: 10.1016/j.jcmgh.2025.101648
Randy S. Longman
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引用次数: 0
R-Spondin1 Regulates Fate of Enteric Neural Progenitors via Differential LGR4/5/6 Expression in Mice and Humans R-Spondin1通过lgr4 /5/6在小鼠和人中的差异表达调控肠神经祖细胞的命运。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-09-24 DOI: 10.1016/j.jcmgh.2025.101642
Melanie Scharr , Simon Scherer , Jörg Fuchs , Bernhard Hirt , Peter H. Neckel

Background & Aims

Regeneration and cytodifferentiation of various adult epithelial stem cell compartments are controlled by the WNT agonist R-Spondin1 (RSPO1) and the Leucin-rich-repeat-containing G-protein-coupled receptors (LGR4/5/6). We hypothesized that RSPO1-LGR signaling is also involved in regulating neuroregeneration and homeostasis of the postnatal enteric nervous system (ENS).

Methods

We isolated neural crest-derived ENS cells from wnt1-tomato mice and patient samples, which were evaluated using pharmacological in vitro studies under RSPO1 stimulation. We use proliferation assays (BrdU incorporation, Ki67 staining), as well as neuronal differentiation screenings. We performed fluorescence-activated cell sorting-based in vitro assays to stratify human ENS cells for LGR receptor expression, and to characterize them by immunofluorescence colabeling studies in vivo.

Results

If applied to murine and human ENS progenitors, RSPO1 led to an increased proliferation (P = .002), followed by enhanced enteric neurogenesis (P < .001). This coincided with an upregulation of LGR4 expression during ENS progenitor proliferation (P ≤ .001) in vitro. In contrast, we observed a reduced proliferation in ENS progenitors expressing LGR5 (P ≤ .001), whereas LGR6 was not expressed by proliferative ENS progenitors (P ≤ .05). Instead, LGR5 and LGR6 expression increased over the course of induced neuronal differentiation (LGR5: P ≤ .001 and LGR6: P ≤ .05), consistent with the in vivo expression.

Conclusions

LGR receptor expression therefore might represent a previously unknown mechanism influencing the fate decision of ENS progenitor cells between proliferation and neuronal differentiation. Thus, our study is essential for our understanding of regenerative aspects of the postnatal ENS in health and disease.
背景与目的:各种成体上皮干细胞区室的再生和细胞分化受wnt激动剂R-Spondin1 (RSPO1)和富含亮素的含重复g蛋白偶联受体(LGR4/5/6)的调控。我们假设rspo1 - lgr信号也参与调节出生后肠神经系统(ENS)的神经再生和体内平衡。方法:我们从wnt1-番茄小鼠和患者样本中分离神经嵴源性ens细胞,在RSPO1刺激下进行体外药理学研究。我们使用增殖试验(brdu掺入,ki67染色),以及神经元分化筛选。我们进行了基于facs的体外实验,对人ens细胞进行分层,分析lgr受体的表达,并在体内通过免疫荧光共标记研究对其进行表征。结果:如果将RSPO1应用于小鼠和人类ens -祖细胞,RSPO1导致增殖增加(P= 0.002),随后肠内神经发生增强(P结论:因此lgr受体表达可能代表了一种以前未知的机制,影响ens -祖细胞在增殖和神经元分化之间的命运决定。因此,我们的研究对于我们理解出生后ENS在健康和疾病方面的再生方面至关重要。
{"title":"R-Spondin1 Regulates Fate of Enteric Neural Progenitors via Differential LGR4/5/6 Expression in Mice and Humans","authors":"Melanie Scharr ,&nbsp;Simon Scherer ,&nbsp;Jörg Fuchs ,&nbsp;Bernhard Hirt ,&nbsp;Peter H. Neckel","doi":"10.1016/j.jcmgh.2025.101642","DOIUrl":"10.1016/j.jcmgh.2025.101642","url":null,"abstract":"<div><h3>Background &amp; Aims</h3><div>Regeneration and cytodifferentiation of various adult epithelial stem cell compartments are controlled by the WNT agonist R-Spondin1 (RSPO1) and the Leucin-rich-repeat-containing G-protein-coupled receptors (LGR4/5/6). We hypothesized that RSPO1-LGR signaling is also involved in regulating neuroregeneration and homeostasis of the postnatal enteric nervous system (ENS).</div></div><div><h3>Methods</h3><div>We isolated neural crest-derived ENS cells from wnt1-tomato mice and patient samples, which were evaluated using pharmacological in vitro studies under RSPO1 stimulation. We use proliferation assays (BrdU incorporation, Ki67 staining), as well as neuronal differentiation screenings. We performed fluorescence-activated cell sorting-based in vitro assays to stratify human ENS cells for LGR receptor expression, and to characterize them by immunofluorescence colabeling studies in vivo.</div></div><div><h3>Results</h3><div>If applied to murine and human ENS progenitors, RSPO1 led to an increased proliferation (<em>P</em> = .002), followed by enhanced enteric neurogenesis (<em>P</em> &lt; .001). This coincided with an upregulation of LGR4 expression during ENS progenitor proliferation (<em>P ≤</em> .001) in vitro. In contrast, we observed a reduced proliferation in ENS progenitors expressing LGR5 (<em>P</em> ≤ .001), whereas LGR6 was not expressed by proliferative ENS progenitors (<em>P</em> ≤ .05). Instead, LGR5 and LGR6 expression increased over the course of induced neuronal differentiation (LGR5: <em>P</em> ≤ .001 and LGR6: <em>P</em> ≤ .05), consistent with the in vivo expression.</div></div><div><h3>Conclusions</h3><div>LGR receptor expression therefore might represent a previously unknown mechanism influencing the fate decision of ENS progenitor cells between proliferation and neuronal differentiation. Thus, our study is essential for our understanding of regenerative aspects of the postnatal ENS in health and disease.</div></div>","PeriodicalId":55974,"journal":{"name":"Cellular and Molecular Gastroenterology and Hepatology","volume":"20 2","pages":"Article 101642"},"PeriodicalIF":7.1,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145152129","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
Targeting LOXL1-expressing Hepatic Stellate Cell Inhibits Fibrogenesis and Sinusoid Angiogenesis via LOXL1/RUNX1/VEGFA Axis During Progression of Liver Fibrosis 靶向表达LOXL1的肝星状细胞在肝纤维化过程中通过LOXL1/RUNX1/VEGFA轴抑制纤维生成和窦状血管生成。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-09-24 DOI: 10.1016/j.jcmgh.2025.101637
Xuzhen Yan , Qi Han , Yiwen Wang , Weiyu Li , Ning Zhang , Xu Fan , Wei Chen , Hong You , Aiting Yang

Background & Aims

Hepatic stellate cells (HSCs) are the major source of excessive production of extracellular matrix (ECM) proteins and act as a hub for intrahepatic fibrosis signaling. Although extensive crosstalk between HSCs and liver sinusoidal endothelial cells (LSECs) significantly influences disease progression, the detailed mechanisms remain poorly understood. Here, we investigated the role of lysyl oxidase-like 1 (LOXL1), a pivotal enzyme in ECM cross-linking, in crosstalk between HSCs and LSECs during liver fibrosis.

Methods

Coculture systems (EA.hy926/LX2 or LSECs/HSCs) were used to investigate signaling crosstalk. HSC-specific Loxl1 knockout mice were generated, and experimental liver fibrosis was induced using a high-fat choline-deficient amino acid-defined (HFCDAA) diet or chronic carbon tetrachloride (CCl4) exposure. Liver samples were assessed by histology, scanning electron microscopy, immunostaining, and quantitative polymerase chain reaction (qPCR). Liver tissue and HSCs were analyzed by RNA sequencing to study LOXL1’s mechanisms regulating liver fibrosis.

Results

LOXL1 in HSCs modulated ECM composition changes in endothelial cells in coculture studies. LOXL1 loss in HSCs suppressed HSC activation, LSEC capillarization, and macrophage infiltration, improved ECM remodeling, and attenuated liver fibrosis in HFCDAA-fed and CCl4-exposed mice. Our RNA sequencing data, corroborated by public database analyses, indicated RUNX family transcription factor 1 (RUNX1) was implicated in HSC activation and LOXL1-mediated angiogenesis. We propose that LOXL1 enhances HSC activation and LSEC capillarization through the RUNX 1/vascular endothelial growth factor A signaling axis

Conclusions

Our study reveals novel mechanistic insights into liver fibrosis, highlighting HSC-derived LOXL1 as a central modulator of disease initiation and progression. Targeting the LOXL1/RUNX1/vascular endothelial growth factor A axis offers a promising therapeutic strategy for liver fibrosis.
背景与目的:肝星状细胞(HSCs)是过量产生细胞外基质(ECM)蛋白的主要来源,并作为肝内纤维化信号传导的枢纽。虽然造血干细胞和肝窦内皮细胞(LSECs)之间的广泛串扰显著影响疾病进展,但其详细机制尚不清楚。在这里,我们研究了LOXL1 (ECM交联中的关键酶)在肝纤维化期间hsc和LSECs之间的串扰中的作用。方法:采用共培养体系(EA.hy926/LX2或LSECs/ hsc)研究信号串扰。产生hsc特异性Loxl1敲除小鼠,并使用高脂肪胆碱缺乏氨基酸(hfdaa)饮食或慢性四氯化碳(CCl4)暴露诱导实验性肝纤维化。肝脏样本通过组织学、扫描电镜、免疫染色和qPCR进行评估。通过RNA测序分析肝组织和造血干细胞,研究LOXL1调节肝纤维化的机制。结果:在共培养研究中,造血干细胞中的LOXL1调节内皮细胞ECM组成的变化。在hfdaa喂养和ccl4暴露的小鼠中,HSC中LOXL1的缺失抑制了HSC活化、LSEC毛细血管化和巨噬细胞浸润,改善了ECM重塑,减轻了肝纤维化。我们的RNA测序数据,通过公共数据库分析证实,表明RUNX1参与HSC激活和loxl1介导的血管生成。我们提出LOXL1通过RUNX1/VEGFA信号轴增强HSC激活和LSEC毛细血管化结论:我们的研究揭示了肝纤维化的新机制,突出了HSC衍生的LOXL1作为疾病发生和进展的中心调节剂。靶向LOXL1/RUNX1/VEGFA轴为肝纤维化提供了一种有前景的治疗策略。
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引用次数: 0
Prostanoids in Liver Repair and Regeneration: Biosynthesis, Receptors, and Intercellular Communication 类前列腺素在肝脏修复和再生中的作用:生物合成、受体和细胞间通讯。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-09-23 DOI: 10.1016/j.jcmgh.2025.101645
Xinzhi Li , Xiaobing Xu , Wenjie Lai , Ai Jiang , Na Zhou , Ying Yu
Prostanoids typically refer to prostaglandins, prostacyclin, and thromboxane, and are a series of bioactive lipid mediators primarily derived from arachidonic acid. Prostanoids play pivotal roles in various physiological processes, including liver repair and regeneration. Liver cells can produce different prostanoids, which can regulate multifaced functions in metabolic homeostasis, liver regeneration, and injury protection, through autocrine and paracrine mechanisms, preferably with the activation of specific receptors. Prostanoids orchestrate a complex network of cellular responses that promote liver repair and regeneration while modulating DNA replication, cellular proliferation, and hepatic inflammation. We reviewed prostanoid biosynthesis and intercellular interactions mediated by prostanoid receptors in the liver, focusing on their involvements in key signaling pathways that govern liver regeneration in response to partial hepatectomy, ischemia/reperfusion injury, and hepatotoxin/immunogen-induced damages. This review underscores the importance of prostanoids in liver homeostasis and highlights potential strategies for manipulating these pathways to improve clinical outcomes in liver repair and regeneration.
类前列腺素通常指前列腺素、前列环素和凝血素,是一系列主要来源于花生四烯酸的生物活性脂质介质。前列腺素在包括肝脏修复和再生在内的各种生理过程中起着关键作用。肝细胞可产生不同的前列腺素,通过自分泌和旁分泌的机制,在特定受体的激活下,可以调节代谢稳态、肝脏再生和损伤保护等多方面的功能。前列腺素协调一个复杂的细胞反应网络,促进肝脏修复和再生,同时调节DNA复制、细胞增殖和肝脏炎症。我们回顾了肝脏中前列腺素的生物合成和由前列腺素受体介导的细胞间相互作用,重点研究了它们在部分肝切除术、缺血/再灌注损伤和肝毒素/免疫原诱导损伤时控制肝脏再生的关键信号通路中的作用。这篇综述强调了前列腺素在肝脏稳态中的重要性,并强调了操纵这些途径以改善肝脏修复和再生临床结果的潜在策略。
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引用次数: 0
A Myeloid Lineage Signifying Anti-tumor Necrosis Factor Resistance in Crohn’s Disease 一种髓系谱系表明克罗恩病抗肿瘤坏死因子抵抗。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-09-23 DOI: 10.1016/j.jcmgh.2025.101636
Sachith Munasinghe , Duke Geem , Kodhai Duraiarasan , Sushma C. Maddipatla , Shanta Murthy , Yeonjoo Hwang , Ranjit S. Pelia , Murugadas Anbazhagan , Garima Sharma , Vikram Koti , Irina Geiculescu , Barbara J. Niklinsa-Schirtz , Cary Sauer , Raghavan Chinnadurai , Vasantha L. Kolachala , Jason D. Matthews , Subra Kugathasan

Background & Aims

Although anti-tumor necrosis factor (TNF) therapy has improved Crohn’s disease (CD) management, the development of a refractory phenotype having resistance to the drug is not uncommon. The mechanisms behind this anti-TNF nonresponse are unknown but are likely multifactorial. Here, we examined myeloid cells expressing signal regulatory protein α (SIRPα) for their potential role in refractory CD.

Methods

Response to anti-TNF was defined as having reached endoscopic and histological healing, whereas nonresponders did not. Isolated cells from peripheral blood and mucosal biopsies were analyzed by high dimensional flow cytometry, single-cell and bulk RNA sequencing, and Luminex. Ileal organoids were also challenged with secretomes from stimulated SIRPα+ cells.

Results

Among the CD phenotypes, patients with anti-TNF refractory CD had the highest levels of CD33+HLA-DR+CD11c+SIRPα+ cells in their intestinal mucosa, but the levels in peripheral blood were unchanged. SIRPα+ cells from the gut displayed a higher proinflammatory transcriptome, with increased levels of interleukin (IL)-6, TNFα, p40, and IL-1β expression. When isolated and stimulated in vitro with flagellin, these SIRPα+ cells showed a more pro-inflammatory transcriptome during CD47 ligation than with an IgG control. Moreover, the secretomes of flagellin/CD47-stimulated SIRPα+ cells from patients with refractory CD increased cell death and promoted gene expression associated with Rho GTPase and innate immune responses in epithelial cells, while downregulating their gene expression involved in RNA, lipid metabolism, and adaptive response signaling.

Conclusions

Increased levels of myeloid lineage expressing CD33+HLA-DR+CD11c+SIRPα+ cells in the intestinal mucosa negatively impact epithelial cell function, possibly explaining one mechanism for anti-TNF resistance. The abundance of mucosal SIRPα+ cells should be further explored as a biomarker and therapeutic target.
背景:虽然抗肿瘤坏死因子治疗改善了克罗恩病(CD)的管理,但对药物耐药的难治性表型的发展并不罕见。这种抗tnf无反应的机制尚不清楚,但可能是多因素的。在这里,我们检测了表达信号调节蛋白α (SIRPα)的骨髓细胞在难治性cd中的潜在作用。方法:对抗tnf的反应被定义为已经达到内窥镜和组织学愈合,而无反应则没有。采用高维流式细胞术、单细胞和大体积RNA测序和Luminex对外周血和粘膜活检的分离细胞进行分析。回肠类器官也受到来自受刺激的SIRPα+细胞的分泌体的攻击。结果:在CD表型中,抗tnf难治性CD患者的肠黏膜CD33+HLA-DR+CD11c+SIRPα+细胞水平最高,但外周血CD33+HLA-DR+CD11c+SIRPα+细胞水平不变。来自肠道的SIRPα+细胞显示出更高的促炎转录组,IL-6、TNFα、p40和IL-1β表达水平升高。当分离和鞭毛蛋白体外刺激时,这些SIRPα+细胞在CD47连接过程中表现出比IgG对照更强的促炎转录组。此外,来自难治性CD患者的鞭毛蛋白/ cd47刺激的SIRPα+细胞分泌组增加了细胞死亡,促进了上皮细胞中与Rho GTPase和先天免疫应答相关的基因表达,同时下调了与RNA、脂质代谢和适应性反应信号相关的基因表达。结论:肠黏膜中表达CD33+HLA-DR+CD11c+SIRPα+细胞的髓系水平升高会对上皮细胞功能产生负面影响,这可能解释了抗tnf耐药的一种机制。粘膜SIRPα+细胞的丰度应进一步探索作为生物标志物和治疗靶点。
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引用次数: 0
Diverse Misfolding Mutant Digestive Enzymes Cause Chronic Pancreatitis Through Common Pathways 多种错误折叠突变消化酶通过共同途径引起慢性胰腺炎。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-09-22 DOI: 10.1016/j.jcmgh.2025.101638
Steven J. Wilhelm , Grace E. Curry , Neel Matiwala , Jianguo Lin , Tran Quach , Mark.E. Lowe , Miklós Sahin-Tóth , Xunjun K. Xiao

Background & Aims

Increasing evidence suggests that protein misfolding and proteotoxicity is an important mechanism of chronic pancreatitis (CP) in patients with genetic variants. Two mouse models carrying misfolding digestive enzyme variants, CPA1 N256K and PNLIP T221M, recapitulate the human CP phenotype. We hypothesized that both models develop CP through similar disease mechanisms.

Methods

We conducted a comprehensive analysis of mice aged 1 to 6 months using histology, immunohistochemistry, protein immunoblotting, quantitative polymerase chain reaction (qPCR), transmission electron microscopy (TEM), and RNA sequencing (RNA-seq) analysis to characterize pancreatic pathological changes.

Results

Both homozygous models exhibited CP hallmarks, including progressive acinar cell loss, inflammation, fibrosis, and fatty replacement. CP progression was slower and less severe in Cpa1 N256K mice compared with Pnlip T221M mice, and heterozygous mice showed slower CP development than homozygotes. Both mutant proteins misfolded in the pancreas, inducing endoplasmic reticulum stress and activating the unfolded protein response. RNA-seq analysis revealed slight differences in altered pathways at 1 month, but these differences disappeared by 3 months. Notably, apoptosis pathways were among the top upregulated pathways, confirmed by qPCR and immunohistochemistry. Differential expression and pathway analyses indicated early activation of both intrinsic and extrinsic apoptosis pathways elicited through multiple mechanisms.

Conclusions

Our study demonstrates that Cpa1 N256K and Pnlip T221M mice develop CP through similar mechanisms with slight differences in progression and severity. Both models could serve as invaluable tools for developing and testing CP therapies. Targeting cell death pathways for therapy may be unfeasible given their redundancy. Instead, effective therapeutic strategies should focus on reducing the burden of misfolded digestive enzymes in the pancreas.
背景与目的:越来越多的证据表明,蛋白质错误折叠和蛋白质毒性是遗传变异患者慢性胰腺炎(CP)的重要机制。携带错误折叠消化酶变体CPA1 N256K和PNLIP T221M的两种小鼠模型再现了人类CP表型。我们假设两种模型通过相似的疾病机制发展CP。方法:采用组织学、免疫组织化学、蛋白免疫印迹、qPCR、透射电镜(TEM)、RNA-Seq等方法对1 ~ 6月龄小鼠胰腺病理变化进行综合分析。结果:两种纯合子模型均表现出CP特征,包括进行性腺泡细胞丢失、炎症、纤维化和脂肪替代。与Pnlip T221M小鼠相比,Cpa1 N256K小鼠的CP进展较慢且较轻,杂合子小鼠的CP发展比纯合子小鼠慢。两种突变蛋白在胰腺中错误折叠,诱导内质网应激并激活未折叠蛋白反应。RNA-Seq分析显示,1个月时改变的通路有轻微差异,但这些差异在3个月时消失。值得注意的是,qPCR和免疫组织化学证实,凋亡途径是上调最多的途径之一。差异表达和通路分析表明,内在和外在凋亡通路的早期激活通过多种机制引起。结论:我们的研究表明Cpa1 N256K和Pnlip T221M小鼠发生CP的机制相似,在进展和严重程度上略有差异。这两种模型都可以作为开发和测试CP治疗的宝贵工具。考虑到细胞死亡途径的冗余性,靶向细胞死亡途径进行治疗可能是不可行的。相反,有效的治疗策略应该集中于减少胰腺中错误折叠的消化酶的负担。
{"title":"Diverse Misfolding Mutant Digestive Enzymes Cause Chronic Pancreatitis Through Common Pathways","authors":"Steven J. Wilhelm ,&nbsp;Grace E. Curry ,&nbsp;Neel Matiwala ,&nbsp;Jianguo Lin ,&nbsp;Tran Quach ,&nbsp;Mark.E. Lowe ,&nbsp;Miklós Sahin-Tóth ,&nbsp;Xunjun K. Xiao","doi":"10.1016/j.jcmgh.2025.101638","DOIUrl":"10.1016/j.jcmgh.2025.101638","url":null,"abstract":"<div><h3>Background &amp; Aims</h3><div>Increasing evidence suggests that protein misfolding and proteotoxicity is an important mechanism of chronic pancreatitis (CP) in patients with genetic variants. Two mouse models carrying misfolding digestive enzyme variants, <em>CPA1</em> N256K and <em>PNLIP</em> T221M, recapitulate the human CP phenotype. We hypothesized that both models develop CP through similar disease mechanisms.</div></div><div><h3>Methods</h3><div>We conducted a comprehensive analysis of mice aged 1 to 6 months using histology, immunohistochemistry, protein immunoblotting, quantitative polymerase chain reaction (qPCR), transmission electron microscopy (TEM), and RNA sequencing (RNA-seq) analysis to characterize pancreatic pathological changes.</div></div><div><h3>Results</h3><div>Both homozygous models exhibited CP hallmarks, including progressive acinar cell loss, inflammation, fibrosis, and fatty replacement. CP progression was slower and less severe in <em>Cpa1</em> N256K mice compared with <em>Pnlip</em> T221M mice, and heterozygous mice showed slower CP development than homozygotes. Both mutant proteins misfolded in the pancreas, inducing endoplasmic reticulum stress and activating the unfolded protein response. RNA-seq analysis revealed slight differences in altered pathways at 1 month, but these differences disappeared by 3 months. Notably, apoptosis pathways were among the top upregulated pathways, confirmed by qPCR and immunohistochemistry. Differential expression and pathway analyses indicated early activation of both intrinsic and extrinsic apoptosis pathways elicited through multiple mechanisms.</div></div><div><h3>Conclusions</h3><div>Our study demonstrates that <em>Cpa1</em> N256K and <em>Pnlip</em> T221M mice develop CP through similar mechanisms with slight differences in progression and severity. Both models could serve as invaluable tools for developing and testing CP therapies. Targeting cell death pathways for therapy may be unfeasible given their redundancy. Instead, effective therapeutic strategies should focus on reducing the burden of misfolded digestive enzymes in the pancreas.</div></div>","PeriodicalId":55974,"journal":{"name":"Cellular and Molecular Gastroenterology and Hepatology","volume":"20 2","pages":"Article 101638"},"PeriodicalIF":7.1,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139453","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}
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Cellular and Molecular Gastroenterology and Hepatology
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