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Activation of lysosomal Ca2+ channels mitigates mitochondrial damage and oxidative stress. 激活溶酶体 Ca2+ 通道可减轻线粒体损伤和氧化应激。
IF 7.4 2区 化学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2025-01-06 Epub Date: 2024-11-05 DOI: 10.1083/jcb.202403104
Xinghua Feng, Weijie Cai, Qian Li, Liding Zhao, Yaping Meng, Haoxing Xu

Elevated levels of plasma-free fatty acids and oxidative stress have been identified as putative primary pathogenic factors in endothelial dysfunction etiology, though their roles are unclear. In human endothelial cells, we found that saturated fatty acids (SFAs)-including the plasma-predominant palmitic acid (PA)-cause mitochondrial fragmentation and elevation of intracellular reactive oxygen species (ROS) levels. TRPML1 is a lysosomal ROS-sensitive Ca2+ channel that regulates lysosomal trafficking and biogenesis. Small-molecule agonists of TRPML1 prevented PA-induced mitochondrial damage and ROS elevation through activation of transcriptional factor EB (TFEB), which boosts lysosome biogenesis and mitophagy. Whereas genetically silencing TRPML1 abolished the protective effects of TRPML1 agonism, TRPML1 overexpression conferred a full resistance to PA-induced oxidative damage. Pharmacologically activating the TRPML1-TFEB pathway was sufficient to restore mitochondrial and redox homeostasis in SFA-damaged endothelial cells. The present results suggest that lysosome activation represents a viable strategy for alleviating oxidative damage, a common pathogenic mechanism of metabolic and age-related diseases.

血浆中游离脂肪酸和氧化应激水平的升高已被确定为内皮功能障碍病因学中可能的主要致病因素,但它们的作用尚不清楚。在人类内皮细胞中,我们发现饱和脂肪酸(SFAs)--包括血浆中占主导地位的棕榈酸(PA)--会导致线粒体破碎和细胞内活性氧(ROS)水平升高。TRPML1 是一种溶酶体 ROS 敏感性 Ca2+ 通道,可调节溶酶体的转运和生物生成。TRPML1的小分子激动剂可通过激活转录因子EB(TFEB)防止PA诱导的线粒体损伤和ROS升高,而转录因子EB可促进溶酶体的生物生成和有丝分裂。基因沉默TRPML1会取消TRPML1激动的保护作用,而过表达TRPML1则会完全抵抗PA诱导的氧化损伤。药物激活 TRPML1-TFEB 通路足以恢复 SFA 损伤的内皮细胞的线粒体和氧化还原平衡。本研究结果表明,溶酶体激活是减轻氧化损伤的一种可行策略,氧化损伤是代谢性疾病和与年龄相关疾病的常见致病机制。
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引用次数: 0
PI(3,5)P2 asymmetry during mitosis is essential for asymmetric vacuolar inheritance. 有丝分裂过程中PI(3,5)P2的不对称性对不对称空泡遗传至关重要。
IF 4.4 2区 化学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2025-01-06 Epub Date: 2024-11-08 DOI: 10.1083/jcb.202406170
Mariam Huda, Mukadder Koyuncu, Cansu Dilege, Ayse Koca Caydasi

Phosphatidylinositol 3,5-bisphosphate (PI(3,5)P2) is a low-abundance signaling lipid that plays crucial roles in various cellular processes, including endolysosomal system structure/function, stress response, and cell cycle regulation. PI(3,5)P2 synthesis increases in response to environmental stimuli, yet its behavior in cycling cells under basal conditions remains elusive. Here, we analyzed spatiotemporal changes in PI(3,5)P2 levels during the cell cycle of S. cerevisiae. We found that PI(3,5)P2 accumulates on the vacuole in the daughter cell while it disappears from the vacuole in the mother cell during mitosis. Concomitant with the changes in PI(3,5)P2 distribution, the daughter vacuole became more acidic, whereas the acidity of the mother vacuole decreased during mitosis. Our data further showed that both PI(3,5)P2 and the PI(3,5)P2 effector protein Atg18 are determinants of vacuolar-pH asymmetry and acidity. Our work, thus, identifies PI(3,5)P2 as a key factor for the establishment of vacuolar-pH asymmetry, providing insights into how the mother cell ages while the daughter cell is rejuvenated.

磷脂酰肌醇 3,5-二磷酸(PI(3,5)P2)是一种低丰度信号脂质,在多种细胞过程中发挥着关键作用,包括内溶酶体系统结构/功能、应激反应和细胞周期调控。PI(3,5)P2的合成会随着环境刺激而增加,但在基础条件下,它在循环细胞中的行为仍然难以捉摸。在这里,我们分析了麦角菌细胞周期中 PI(3,5)P2 水平的时空变化。我们发现,在有丝分裂过程中,PI(3,5)P2 在子细胞的液泡上积累,而在母细胞中则从液泡上消失。随着 PI(3,5)P2 分布的变化,子细胞液泡的酸性增强,而有丝分裂过程中母细胞液泡的酸性降低。我们的数据进一步表明,PI(3,5)P2 和 PI(3,5)P2 效应蛋白 Atg18 都是液泡-pH 不对称和酸度的决定因素。因此,我们的研究发现,PI(3,5)P2 是建立液泡-pH 不对称的关键因素,这为我们深入了解母细胞如何衰老而子细胞如何年轻化提供了线索。
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引用次数: 0
Arrayed CRISPRi library to suppress genes required for Schizosaccharomyces pombe viability. 通过 CRISPRi 文库阵列抑制小鼠酵母生存所需的基因。
IF 7.4 2区 化学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2025-01-06 Epub Date: 2024-10-08 DOI: 10.1083/jcb.202404085
Ken Ishikawa, Saeko Soejima, Takashi Nishimura, Shigeaki Saitoh

The fission yeast, Schizosaccharomyces pombe, is an excellent eukaryote model organism for studying essential biological processes. Its genome contains ∼1,200 genes essential for cell viability, most of which are evolutionarily conserved. To study these essential genes, resources enabling conditional perturbation of target genes are required. Here, we constructed comprehensive arrayed libraries of plasmids and strains to knock down essential genes in S. pombe using dCas9-mediated CRISPRi. These libraries cover ∼98% of all essential genes in fission yeast. We estimate that in ∼60% of these strains, transcription of a target gene was repressed so efficiently that cell proliferation was significantly inhibited. To demonstrate the usefulness of these libraries, we performed metabolic analyses with knockdown strains and revealed flexible interaction among metabolic pathways. Libraries established in this study enable comprehensive functional analyses of essential genes in S. pombe and will facilitate the understanding of essential biological processes in eukaryotes.

裂殖酵母(Schizosaccharomyces pombe)是研究重要生物过程的极佳真核模式生物。它的基因组包含 1200 个对细胞存活至关重要的基因,其中大部分基因在进化过程中保持不变。要研究这些重要基因,需要能对目标基因进行条件扰动的资源。在这里,我们构建了质粒和菌株的综合阵列文库,利用 dCas9 介导的 CRISPRi 敲除 S. pombe 中的重要基因。这些文库涵盖了裂变酵母中98%的重要基因。我们估计,在这些菌株中,有 60% 的目标基因转录被有效抑制,从而显著抑制了细胞增殖。为了证明这些文库的实用性,我们对基因敲除菌株进行了代谢分析,发现代谢途径之间存在灵活的相互作用。这项研究建立的基因库能够对 S. pombe 中的重要基因进行全面的功能分析,并将促进对真核生物重要生物过程的了解。
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引用次数: 0
Kinetochores grip microtubules with directionally asymmetric strength. 动芯以方向不对称的力量抓住微管。
IF 7.4 2区 化学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2025-01-06 Epub Date: 2024-11-01 DOI: 10.1083/jcb.202405176
Joshua D Larson, Natalie A Heitkamp, Lucas E Murray, Andrew R Popchock, Sue Biggins, Charles L Asbury

For accurate mitosis, all chromosomes must achieve "biorientation," with replicated sister chromatids coupled via kinetochores to the plus ends of opposing microtubules. However, kinetochores first bind the sides of microtubules and subsequently find plus ends through a trial-and-error process; accurate biorientation depends on the selective release of erroneous attachments. Proposed mechanisms for error-correction have focused mainly on plus-end attachments. Whether erroneous side attachments are distinguished from correct side attachments is unknown. Here, we show that side-attached kinetochores are very sensitive to microtubule polarity, gripping sixfold more strongly when pulled toward plus versus minus ends. This directionally asymmetric grip is conserved in human and yeast subcomplexes, and it correlates with changes in the axial arrangement of subcomplexes within the kinetochore, suggesting that internal architecture dictates attachment strength. We propose that the kinetochore's directional grip promotes accuracy during early mitosis by stabilizing correct attachments even before both sisters have found plus ends.

为了实现准确的有丝分裂,所有染色体都必须实现 "生物定向",复制的姐妹染色单体通过动核与相对的微管的正端耦合。然而,动核首先与微管的两侧结合,然后通过试错过程找到正端;准确的生物定向取决于选择性地释放错误的连接。所提出的纠错机制主要集中在正端附着上。至于错误的侧附着是否能与正确的侧附着区分开来,目前还不得而知。在这里,我们发现侧附着的动核对微管极性非常敏感,当被拉向正负端时,其抓取力是负端的六倍。这种方向不对称的抓取在人类和酵母亚复合物中是保留的,它与动核内亚复合物轴向排列的变化相关,表明内部结构决定了附着强度。我们认为,在有丝分裂早期,动核的方向性抓握通过稳定正确的附着,甚至在姐妹双方都找到正端之前,就能提高附着的准确性。
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引用次数: 0
Ca2+ tunneling architecture and function are important for secretion. Ca2+ 隧道结构和功能对分泌非常重要。
IF 7.4 2区 化学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2025-01-06 Epub Date: 2024-11-05 DOI: 10.1083/jcb.202402107
Raphael J Courjaret, Larry E Wagner, Rahaf R Ammouri, David I Yule, Khaled Machaca

Ca2+ tunneling requires both store-operated Ca2+ entry (SOCE) and Ca2+ release from the endoplasmic reticulum (ER). Tunneling expands the SOCE microdomain through Ca2+ uptake by SERCA into the ER lumen where it diffuses and is released via IP3 receptors. In this study, using high-resolution imaging, we outline the spatial remodeling of the tunneling machinery (IP3R1; SERCA; PMCA; and Ano1 as an effector) relative to STIM1 in response to store depletion. We show that these modulators redistribute to distinct subdomains laterally at the plasma membrane (PM) and axially within the cortical ER. To functionally define the role of Ca2+ tunneling, we engineered a Ca2+ tunneling attenuator (CaTAr) that blocks tunneling without affecting Ca2+ release or SOCE. CaTAr inhibits Cl- secretion in sweat gland cells and reduces sweating in vivo in mice, showing that Ca2+ tunneling is important physiologically. Collectively our findings argue that Ca2+ tunneling is a fundamental Ca2+ signaling modality.

Ca2+ 隧道需要储存操作的 Ca2+ 进入(SOCE)和内质网(ER)的 Ca2+ 释放。隧道效应通过 SERCA 吸收 Ca2+ 进入 ER 管腔扩大 SOCE 微域,Ca2+ 在 ER 管腔扩散并通过 IP3 受体释放。在这项研究中,我们利用高分辨率成像技术,概述了隧道机制(IP3R1、SERCA、PMCA 和作为效应器的 Ano1)相对于 STIM1 的空间重塑对储存耗竭的响应。我们的研究表明,这些调节器在质膜(PM)的横向和皮质 ER 的轴向重新分布到不同的亚域。为了从功能上确定 Ca2+ 隧道的作用,我们设计了一种 Ca2+ 隧道衰减器(CaTAr),它能阻断隧道而不影响 Ca2+ 释放或 SOCE。CaTAr 可抑制汗腺细胞中 Cl- 的分泌,并减少小鼠体内的出汗量,这表明 Ca2+ 隧道在生理上非常重要。总之,我们的研究结果证明 Ca2+ 隧道是一种基本的 Ca2+ 信号传递方式。
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引用次数: 0
Unveiling the cell biology of hippocampal neurons with dendritic axon origin. 揭示具有树突轴突起源的海马神经元的细胞生物学。
IF 7.4 2区 化学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2025-01-06 Epub Date: 2024-11-04 DOI: 10.1083/jcb.202403141
Yuhao Han, Daniela Hacker, Bronte Catharina Donders, Christopher Parperis, Roland Thuenauer, Christophe Leterrier, Kay Grünewald, Marina Mikhaylova

In mammalian axon-carrying-dendrite (AcD) neurons, the axon emanates from a basal dendrite, instead of the soma, to create a privileged route for action potential generation at the axon initial segment (AIS). However, it is unclear how such unusual morphology is established and whether the structure and function of the AIS in AcD neurons are preserved. By using dissociated hippocampal cultures as a model, we show that the development of AcD morphology can occur prior to synaptogenesis and independently of the in vivo environment. A single precursor neurite first gives rise to the axon and then to the AcD. The AIS possesses a similar cytoskeletal architecture as the soma-derived AIS and similarly functions as a trafficking barrier to retain axon-specific molecular composition. However, it does not undergo homeostatic plasticity, contains lesser cisternal organelles, and receives fewer inhibitory inputs. Our findings reveal insights into AcD neuron biology and underscore AIS structural differences based on axon onset.

在哺乳动物的轴突携带树突(AcD)神经元中,轴突从基部树突而不是从体部发出,从而在轴突起始节段(AIS)为动作电位的产生创造了一条特殊的途径。然而,目前还不清楚这种不寻常的形态是如何形成的,也不清楚AcD神经元的AIS结构和功能是否得以保留。通过使用离体海马培养物作为模型,我们证明 AcD 形态的形成可以发生在突触发生之前,并且不受体内环境的影响。单个前体神经元首先产生轴突,然后产生AcD。AIS具有与源于体细胞的AIS相似的细胞骨架结构,并具有类似的贩运屏障功能,以保留轴突特异性分子组成。但是,它不会发生同态可塑性,含有较少的纤毛细胞器,接受的抑制性输入也较少。我们的研究结果揭示了AcD神经元的生物学特性,并强调了轴突起始阶段的AIS结构差异。
{"title":"Unveiling the cell biology of hippocampal neurons with dendritic axon origin.","authors":"Yuhao Han, Daniela Hacker, Bronte Catharina Donders, Christopher Parperis, Roland Thuenauer, Christophe Leterrier, Kay Grünewald, Marina Mikhaylova","doi":"10.1083/jcb.202403141","DOIUrl":"10.1083/jcb.202403141","url":null,"abstract":"<p><p>In mammalian axon-carrying-dendrite (AcD) neurons, the axon emanates from a basal dendrite, instead of the soma, to create a privileged route for action potential generation at the axon initial segment (AIS). However, it is unclear how such unusual morphology is established and whether the structure and function of the AIS in AcD neurons are preserved. By using dissociated hippocampal cultures as a model, we show that the development of AcD morphology can occur prior to synaptogenesis and independently of the in vivo environment. A single precursor neurite first gives rise to the axon and then to the AcD. The AIS possesses a similar cytoskeletal architecture as the soma-derived AIS and similarly functions as a trafficking barrier to retain axon-specific molecular composition. However, it does not undergo homeostatic plasticity, contains lesser cisternal organelles, and receives fewer inhibitory inputs. Our findings reveal insights into AcD neuron biology and underscore AIS structural differences based on axon onset.</p>","PeriodicalId":7,"journal":{"name":"ACS Applied Polymer Materials","volume":"224 1","pages":""},"PeriodicalIF":7.4,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142568695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Heterogeneity of late endosome/lysosomes shown by multiplexed DNA-PAINT imaging. 多重 DNA-PAINT 成像显示晚期内膜体/溶酶体的异质性。
IF 7.4 2区 化学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2025-01-06 Epub Date: 2024-11-01 DOI: 10.1083/jcb.202403116
Charles Bond, Siewert Hugelier, Jiazheng Xing, Elena M Sorokina, Melike Lakadamyali

Late endosomes/lysosomes (LELs) are crucial for numerous physiological processes and their dysfunction is linked to many diseases. Proteomic analyses have identified hundreds of LEL proteins; however, whether these proteins are uniformly present on each LEL, or if there are cell-type-dependent LEL subpopulations with unique protein compositions is unclear. We employed quantitative, multiplexed DNA-PAINT super-resolution imaging to examine the distribution of seven key LEL proteins (LAMP1, LAMP2, CD63, Cathepsin D, TMEM192, NPC1, and LAMTOR4). While LAMP1, LAMP2, and Cathepsin D were abundant across LELs, marking a common population, most analyzed proteins were associated with specific LEL subpopulations. Our multiplexed imaging approach identified up to eight different LEL subpopulations based on their unique membrane protein composition. Additionally, our analysis of the spatial relationships between these subpopulations and mitochondria revealed a cell-type-specific tendency for NPC1-positive LELs to be closely positioned to mitochondria. Our approach will be broadly applicable to determining organelle heterogeneity with single organelle resolution in many biological contexts.

晚期内体/溶酶体(LELs)对许多生理过程至关重要,其功能障碍与许多疾病有关。蛋白质组学分析已鉴定出数百种 LEL 蛋白;然而,这些蛋白质是否均匀地存在于每个 LEL 上,或者是否存在具有独特蛋白质组成的细胞类型依赖性 LEL 亚群,目前还不清楚。我们采用定量、多重 DNA-PAINT 超分辨率成像技术研究了七种关键 LEL 蛋白(LAMP1、LAMP2、CD63、Cathepsin D、TMEM192、NPC1 和 LAMTOR4)的分布情况。虽然 LAMP1、LAMP2 和 Cathepsin D 在 LEL 中含量丰富,标志着一个共同的群体,但大多数分析的蛋白质都与特定的 LEL 亚群相关。我们的多重成像方法根据 LEL 独特的膜蛋白组成确定了多达八个不同的 LEL 亚群。此外,我们对这些亚群与线粒体之间空间关系的分析表明,NPC1 阳性的 LEL 与线粒体的位置密切相关,这是一种细胞类型特异性趋势。我们的方法将广泛适用于在许多生物环境中以单个细胞器分辨率确定细胞器的异质性。
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引用次数: 0
Postsynaptic BMP signaling regulates myonuclear properties in Drosophila larval muscles. 突触后BMP信号调节果蝇幼虫肌肉的肌核特性。
IF 7.4 2区 化学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2025-01-06 Epub Date: 2024-10-30 DOI: 10.1083/jcb.202404052
Victoria E von Saucken, Stefanie E Windner, Giovanna Armetta, Mary K Baylies

The syncytial mammalian muscle fiber contains a heterogeneous population of (myo)nuclei. At the neuromuscular junction (NMJ), myonuclei have specialized positioning and gene expression. However, it remains unclear how myonuclei are recruited and what regulates myonuclear output at the NMJ. Here, we identify specific properties of myonuclei located near the Drosophila larval NMJ. These synaptic myonuclei have increased size in relation to their surrounding cytoplasmic domain (size scaling), increased DNA content (ploidy), and increased levels of transcription factor pMad, a readout for BMP signaling activity. Our genetic manipulations show that local BMP signaling affects muscle size, nuclear size, ploidy, and NMJ size and function. In support, RNA sequencing analysis reveals that pMad regulates genes involved in muscle growth, ploidy (i.e., E2f1), and neurotransmission. Our data suggest that muscle BMP signaling instructs synaptic myonuclear output that positively shapes the NMJ synapse. This study deepens our understanding of how myonuclear heterogeneity supports local signaling demands to fine tune cellular function and NMJ activity.

哺乳动物的肌纤维中含有大量不同的(肌)核。在神经肌肉接头(NMJ)处,肌核有专门的定位和基因表达。然而,目前仍不清楚肌核是如何被招募的,以及是什么调控肌核在 NMJ 的输出。在这里,我们确定了位于果蝇幼虫 NMJ 附近的肌核的特殊属性。这些突触肌核的大小相对于其周围的细胞质域增大(大小缩放),DNA含量增加(倍性),转录因子pMad的水平增加,而pMad是BMP信号活动的读数。我们的遗传操作表明,局部 BMP 信号影响肌肉大小、核大小、倍性以及 NMJ 大小和功能。作为佐证,RNA 测序分析显示 pMad 可调控涉及肌肉生长、倍性(即 E2f1)和神经传递的基因。我们的数据表明,肌肉 BMP 信号指示突触肌核输出,从而积极塑造 NMJ 突触。这项研究加深了我们对肌核异质性如何支持局部信号需求以微调细胞功能和 NMJ 活动的理解。
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引用次数: 0
Definition of phosphatidylinositol 4,5-bisphosphate distribution by freeze-fracture replica labeling. 通过冷冻断裂复制标记确定磷脂酰肌醇 4,5-二磷酸的分布。
IF 7.4 2区 化学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2025-01-06 Epub Date: 2024-11-04 DOI: 10.1083/jcb.202311067
Takuma Tsuji, Junya Hasegawa, Takehiko Sasaki, Toyoshi Fujimoto

Phosphatidylinositol 4,5-bisphosphate [PtdIns(4,5)P2] is a phospholipid essential for plasma membrane functions, but its two-dimensional distribution is not clear. Here, we compared the result of sodium dodecyl sulfate-treated freeze-fracture replica labeling (SDS-FRL) of quick-frozen cells with the actual PtdIns(4,5)P2 content and the results obtained by fluorescence biosensor and by labeling of chemically-fixed membranes. In yeast, enrichment of PtdIns(4,5)P2 in the membrane compartment of Can1 (MCC)/eisosome, especially in the curved MCC/eisosome, was evident by SDS-FRL, but not by fluorescence biosensor, GFP-PLC1δ-PH. PtdIns(4,5)P2 remaining after acute ATP depletion and in the stationary phase, 30.0% and 56.6% of the control level, respectively, was not detectable by fluorescence biosensor, whereas the label intensity by SDS-FRL reflected the PtdIns(4,5)P2 amount. In PC12 cells, PtdIns(4,5)P2 was observed in a punctate pattern in the formaldehyde-fixed plasma membrane, whereas it was distributed randomly by SDS-FRL and showed clustering after formaldehyde fixation. The results indicate that the distribution of PtdIns(4,5)P2 can be defined most reliably by SDS-FRL of quick-frozen cells.

磷脂酰肌醇4,5-二磷酸[PtdIns(4,5)P2]是一种对质膜功能至关重要的磷脂,但其二维分布并不清楚。在这里,我们比较了十二烷基硫酸钠处理的速冻细胞冻裂复制标记(SDS-FRL)结果与 PtdIns(4,5)P2 的实际含量,以及荧光生物传感器和化学固定膜标记的结果。在酵母菌中,SDS-FRL检测到PtdIns(4,5)P2在Can1 (MCC)/eisosome的膜区,尤其是在弯曲的MCC/eisosome中富集,但荧光生物传感器GFP-PLC1δ-PH的检测结果并不明显。荧光生物传感器检测不到ATP急性耗竭后和静止期剩余的PtdIns(4,5)P2,分别为对照水平的30.0%和56.6%,而SDS-FRL的标记强度反映了PtdIns(4,5)P2的量。在 PC12 细胞中,PtdIns(4,5)P2 在甲醛固定的质膜上呈点状分布,而在 SDS-FRL 中则呈随机分布,甲醛固定后则呈聚集状。结果表明,速冻细胞的 SDS-FRL 能够最可靠地确定 PtdIns(4,5)P2 的分布。
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引用次数: 0
"Lupus Myelitis" Revisited: A Retrospective Single-Center Study of Myelitis Associated With Rheumatologic Disease. "狼疮性脊髓炎 "重新审视:风湿病相关骨髓炎的单中心回顾性研究
IF 7.8 2区 化学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2025-01-01 Epub Date: 2024-10-23 DOI: 10.1212/NXI.0000000000200329
Jonathan D Krett, Angeliki G Filippatou, Paula Barreras, Carlos A Pardo, Allan C Gelber, Elias S Sotirchos

Background and objectives: Previous reports of patients with myelitis associated with rheumatologic disease may have had unrecognized aquaporin-4 (AQP4)-IgG seropositive neuromyelitis optica spectrum disorder (NMOSD) or myelin oligodendrocyte glycoprotein (MOG)-IgG-associated disease (MOGAD). We clinicoradiologically and serologically characterized patients with myelitis associated with rheumatologic disease evaluated in the era of availability of MOG-IgG and more sensitive AQP4-IgG cell-based assays.

Methods: A retrospective cohort (2018-2023) at Johns Hopkins Medicine with diagnoses of myelopathy and rheumatologic comorbidity was identified by electronic medical record (EMR) query. All patients with myelitis unrelated to typical multiple sclerosis (MS) were included and analyzed by chart review.

Results: Of 238 patients identified by EMR query, 197 were excluded (148 not meeting prespecified inclusion criteria, 49 had typical MS), resulting in 41 patients for review. The mean age at myelitis onset was 44 ± 15 years; 39 (95%) were female. Rheumatologic diagnoses included 17 (41.5%) with systemic lupus erythematosus (SLE), 10 (24.3%) Sjögren syndrome (SS), 6 (15%) undifferentiated connective tissue disease (UCTD), 5 (12%) combinations of SLE/SS/UCTD with antiphospholipid antibody syndrome, 1 (2.4%) rheumatoid arthritis, 1 (2.4%) psoriatic arthritis, and 1 (2.4%) Behçet disease. 20 patients (49%) were diagnosed with AQP4-IgG seropositive NMOSD, 3 (7%) with MOGAD, and 18 (44%) had "double-seronegative" myelitis. Of these 18, 3 were diagnosed with AQP4-IgG seronegative NMOSD, 1 neuro-Behçet disease, and 14 other (unclassifiable) myelitis. Excluding 1 patient with neuro-Behçet disease, 18 (90%) of 20 AQP4-IgG seropositive patients had longitudinally extensive cord lesions compared with 5 (29%; p < 0.001) of 17 "double-seronegative" patients and 2 (67%) of 3 with MOGAD. "Double-seronegative" patients more commonly had CSF-restricted oligoclonal bands. Functional outcomes did not differ by diagnosis, and most patients received acute immunotherapy at the time of initial myelitis diagnosis with at least partial recovery over a median follow-up of 38 (interquartile range: 9-74) months.

Discussion: Approximately half of our rheumatologic disease cohort with myelitis unrelated to MS had AQP4-IgG seropositive NMOSD while MOGAD accounted for a small but clinically relevant proportion of patients. Further research is needed to characterize myelitis etiology in patients who are seronegative for both AQP4-IgG and MOG-IgG.

背景和目的:以前报道的与风湿病相关的脊髓炎患者中可能有未被发现的水通道蛋白-4(AQP4)-IgG血清阳性神经脊髓炎视谱系障碍(NMOSD)或髓鞘少突胶质细胞糖蛋白(MOG)-IgG相关疾病(MOGAD)。我们从临床放射学和血清学的角度对与风湿病相关的脊髓炎患者进行了评估,评估是在可以使用MOG-IgG和更灵敏的AQP4-IgG细胞检测的时代进行的:通过电子病历(EMR)查询,确定了约翰霍普金斯医学院诊断为脊髓病和风湿病合并症的回顾性队列(2018-2023 年)。所有与典型多发性硬化症(MS)无关的脊髓炎患者都被纳入其中,并通过病历审查进行分析:在通过电子病历查询确定的 238 名患者中,有 197 人被排除在外(148 人不符合预先确定的纳入标准,49 人患有典型多发性硬化症),最终有 41 名患者接受了复查。脊髓炎发病时的平均年龄为 44 ± 15 岁,其中 39 人(95%)为女性。风湿病诊断包括 17 例(41.5%)系统性红斑狼疮(SLE)、10 例(24.3%)患有斯约格伦综合征(SS),6 人(15%)患有未分化结缔组织病(UCTD),5 人(12%)合并有系统性红斑狼疮/SS/UCTD 和抗磷脂抗体综合征,1 人(2.4%)患有类风湿性关节炎,1 人(2.4%)患有银屑病关节炎,1 人(2.4%)患有白塞病。20名患者(49%)被诊断为AQP4-IgG血清反应阳性的NMOSD,3名患者(7%)被诊断为MOGAD,18名患者(44%)患有 "双酮体阴性 "脊髓炎。在这18人中,3人被诊断为AQP4-IgG血清反应阴性的NMOSD,1人被诊断为神经-贝赫切特病,14人被诊断为其他(无法分类的)脊髓炎。除去1名神经-贝赫切特病患者,20名AQP4-IgG血清反应阳性患者中有18名(90%)有纵向广泛的脊髓病变,而17名 "双克隆阴性 "患者中有5名(29%;p < 0.001)和3名MOGAD患者中有2名(67%)有纵向广泛的脊髓病变。"双克隆阴性 "患者更常出现脑脊液限制性寡克隆带。大多数患者在最初确诊脊髓炎时接受了急性免疫治疗,中位随访时间为38个月(四分位间范围:9-74个月),至少部分康复:讨论:在与多发性硬化症无关的脊髓炎风湿病队列中,约有半数患者的AQP4-IgG血清反应呈NMOSD阳性,而MOGAD患者所占比例虽小,但具有临床意义。对于AQP4-IgG和MOG-IgG血清均阴性的脊髓炎患者,还需要进一步研究其病因。
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引用次数: 0
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ACS Applied Polymer Materials
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