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Circadian rhythms and their roles in the pathogenesis and treatment of depression. 生理节律及其在抑郁症发病机制和治疗中的作用。
Q3 Medicine Pub Date : 2025-08-25 DOI: 10.13294/j.aps.2025.0067
William Kojo Smith, Zhao-Min Zhong, Willow Tsanzi Wang, Najm Ul Hassan, Moheb Khan, Han Wang

Major depressive disorder (MDD) affects people all over the world, and yet, its etiology is complex and remains incompletely understood. In this review, we aim to assess recent advances in understanding depression and its regulation, as well as its interaction with circadian rhythms. Circadian rhythms are internalized representations of the periodic daily light and dark cycles. Accumulating evidence has shown that MDD and the related mental disorders are associated with disrupted circadian rhythms. In particular, depression has often been linked to abnormalities in circadian rhythms because dysregulation of the circadian system increases susceptibility to MDD. The fact that several rhythms are disrupted in depressed patients suggests that these disruptions are not restricted to any one rhythm but rather involve the molecular circadian clock core machinery. The sleep-wake cycle is one rhythm that is often disrupted in depression, which often leads to disturbances in other rhythms. The circadian disruptions manifested in depressed patients and the effectiveness and fast action of chronobiologically based treatments highlight the circadian system as a key therapeutic target in the treatment of depression. This review assesses the evidence on rising depression rates and examines their contributing factors, including circadian misalignment. We discuss key hypotheses underlying depression pathogenesis, potential etiology, and relevant animal models, and underscore potential mechanisms driving depression's growing burden and how understanding these factors is critical for improving prevention and treatment strategies.

重度抑郁症(MDD)影响世界各地的人们,然而,其病因复杂,仍未完全了解。在这篇综述中,我们旨在评估了解抑郁症及其调控及其与昼夜节律的相互作用的最新进展。昼夜节律是每日周期性的光和暗循环的内化表示。越来越多的证据表明,重度抑郁症和相关的精神障碍与昼夜节律紊乱有关。特别是,抑郁症通常与昼夜节律异常有关,因为昼夜节律系统失调会增加对重度抑郁症的易感性。抑郁症患者的几种节律被打乱的事实表明,这些打乱并不局限于任何一种节律,而是涉及到分子昼夜节律钟的核心机制。睡眠-觉醒周期是一种经常在抑郁症中被打乱的节律,而这又常常导致其他节律的紊乱。抑郁症患者的昼夜节律紊乱以及基于时间生物学的治疗的有效性和快速作用突出了昼夜节律系统作为抑郁症治疗的关键治疗靶点。这篇综述评估了抑郁症发病率上升的证据,并检查了其影响因素,包括昼夜节律失调。我们讨论了抑郁症发病机制、潜在病因和相关动物模型的关键假设,并强调了抑郁症日益加重的潜在机制,以及了解这些因素对改善预防和治疗策略的重要性。
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引用次数: 0
[Advances in molecular mechanisms and neuronal circuits underlying circadian rhythms in Drosophila]. [果蝇昼夜节律的分子机制和神经回路研究进展]。
Q3 Medicine Pub Date : 2025-08-25 DOI: 10.13294/j.aps.2025.0066
Wu-Yan Xu, Chun-Xue Qiao, Fei-Xiang Li, Ding-Bang Ma

Circadian rhythms are core regulatory mechanisms that evolved to align biological functions with the Earth's rotation. These rhythms are conserved across organisms from unicellular life to multicellular species and play essential roles in metabolism, immune responses, and sleep-wake cycle. Circadian disruptions are strongly associated with various diseases. Over the past decades, genetic studies in Drosophila and mice have identified key conserved clock genes and uncovered transcription-translation feedback loops governing circadian regulation. Additionally, rhythmic neurons in the brain integrate complex neural circuits to precisely regulate physiological and behavioral rhythms. This review highlights recent advances in understanding the neuronal circuit mechanisms of rhythmic neurons in the Drosophila brain and discusses future directions for translating circadian rhythm research into chronomedicine and precision therapies.

昼夜节律是核心的调节机制,进化使生物功能与地球自转保持一致。从单细胞生物到多细胞生物,这些节律都是保守的,在新陈代谢、免疫反应和睡眠-觉醒周期中起着重要作用。昼夜节律紊乱与多种疾病密切相关。在过去的几十年里,对果蝇和小鼠的遗传研究已经确定了关键的保守时钟基因,并揭示了控制昼夜节律调节的转录-翻译反馈回路。此外,大脑中的节律神经元整合复杂的神经回路来精确调节生理和行为节律。本文综述了最近在理解果蝇大脑节律神经元的神经回路机制方面的进展,并讨论了将昼夜节律研究转化为时间医学和精确治疗的未来方向。
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引用次数: 0
[Circadian and non-circadian regulation of the male reproductive system and reproductive damage: advances in the role and mechanisms of clock genes]. [男性生殖系统的昼夜节律和非昼夜节律调节与生殖损伤:生物钟基因的作用和机制研究进展]。
Q3 Medicine Pub Date : 2025-08-25 DOI: 10.13294/j.aps.2025.0060
Meng-Chao He, Ying-Zhong Dai, Yi-Meng Wang, Qin-Ru Li, Si-Wen Luo, Xi Ling, Tong Wang, Jia Cao, Qing Chen

Recently, male reproductive health has attracted extensive attention, with the adverse effects of circadian disruption on male fertility gradually gaining recognition. However, the mechanism by which circadian disruption leads to damage to male reproductive system remains unclear. In this review, we first summarized the dual regulatory roles of circadian clock genes on the male reproductive system: (1) circadian regulation of testosterone synthesis via the hypothalamic-pituitary-testicular (HPT) and hypothalamic-pituitary-adrenal (HPA) axes; (2) non-circadian regulation of spermatogenesis. Next, we further listed the possible mechanisms by which circadian disruption impairs male fertility, including interference with the oscillatory function of the reproductive system, i.e., synchronization of the HPT axis, crosstalk between the HPT axis and the HPA axis, as well as direct damage to germ cells by disturbing the non-oscillatory function of the reproductive system. Future research using spatiotemporal omics, epigenomic assays, and neural circuit mapping in studying the male reproductive system may provide new clues to systematically unravel the mechanisms by which circadian disruption affects male reproductive system through circadian clock genes.

近年来,男性生殖健康受到广泛关注,昼夜节律紊乱对男性生育能力的不利影响逐渐得到认识。然而,昼夜节律紊乱导致男性生殖系统受损的机制尚不清楚。本文首先综述了生物钟基因在男性生殖系统中的双重调节作用:(1)通过下丘脑-垂体-睾丸(HPT)轴和下丘脑-垂体-肾上腺(HPA)轴对睾酮合成进行昼夜调节;(2)精子发生的非昼夜节律调节。接下来,我们进一步列出了昼夜节律中断损害男性生育能力的可能机制,包括干扰生殖系统的振荡功能,即HPT轴的同步,HPT轴和HPA轴之间的串扰,以及通过干扰生殖系统的非振荡功能直接损害生殖细胞。未来利用时空组学、表观基因组学和神经回路图谱等方法研究男性生殖系统,可能为系统地揭示昼夜节律中断通过生物钟基因影响男性生殖系统的机制提供新的线索。
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引用次数: 0
[Space magnetic environment and circadian rhythm]. [空间磁环境与昼夜节律]。
Q3 Medicine Pub Date : 2025-08-25 DOI: 10.13294/j.aps.2025.0072
Bing-Xin Gao, Cao Wang, Rui-Xian Jiang, Wei-Ming Tian

In recent years, China's manned space program has advanced rapidly, with deep space exploration missions such as manned lunar landing steadily progressing, leading to a significant extension of astronauts' duration in outer space. In this context, the impact of the space magnetic field environment on astronaut health has become increasingly conspicuous. Characterized by its complexity, the spatial magnetic field indirectly regulates the circadian rhythm system by interfering with mitochondrial functions, such as electron transport chain activity, ATP synthesis efficiency, and reactive oxygen species (ROS) balance. This disruption can lead to circadian misalignment, sleep disorders, metabolic dysregulation, and other issues, severely compromising astronauts' physical and mental well-being, as well as mission performance. Currently, researchers have carried out extensive investigations into the influence of the space magnetic environment on circadian rhythms. Nevertheless, due to disparities in magnetic field parameters, exposure durations, and the model organisms employed in experiments, the results have been inconsistent. This review systematically elaborates on ground-based simulation technologies for spatial magnetic field environments and their applications, summarizes the effects of magnetic fields with varying intensities and types on core circadian rhythm biomarkers in model organisms and humans, and explores the underlying molecular and physiological mechanisms of magnetic field-induced circadian rhythm perturbation. This work aims to deepen the understanding of the mechanisms of the space magnetic environment on biological rhythms, and establish a scientific basis for formulating adaptive protective strategies centered on circadian regulation for astronauts, thereby ensuring the successful implementation of long-term deep-space missions.

近年来,中国载人航天事业快速发展,载人登月等深空探测任务稳步推进,航天员在外太空停留时间大幅延长。在此背景下,空间磁场环境对航天员健康的影响日益突出。空间磁场以其复杂性为特征,通过干扰线粒体功能,如电子传递链活性、ATP合成效率和活性氧(ROS)平衡,间接调节昼夜节律系统。这种破坏会导致昼夜节律失调、睡眠障碍、代谢失调和其他问题,严重影响宇航员的身心健康以及任务绩效。目前,研究人员对空间磁环境对昼夜节律的影响进行了广泛的研究。然而,由于磁场参数、暴露时间和实验中使用的模式生物的差异,结果并不一致。本文系统阐述了空间磁场环境的地面模拟技术及其应用,总结了不同强度和类型的磁场对模式生物和人类核心昼夜节律生物标志物的影响,探讨了磁场诱导昼夜节律扰动的分子和生理机制。本研究旨在加深对空间磁环境对生物节律的影响机制的认识,为航天员制定以昼夜节律调节为中心的适应性保护策略奠定科学基础,从而保障长期深空任务的顺利实施。
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引用次数: 0
[Research advances in the mechanisms of circadian regulation in heart failure]. [心力衰竭昼夜节律调节机制的研究进展]。
Q3 Medicine Pub Date : 2025-08-25 DOI: 10.13294/j.aps.2025.0063
Qiong Wang, Jia-Yang Zhang, Le-Jia Qiu, Li-Hong Chen

The circadian clock is an endogenous time-keeping system that maintains physiological homeostasis by integrating environmental and genetic interactions. Heart failure is a complex clinical syndrome characterized by structural abnormalities and/or functional impairment of the heart. Growing evidence suggests that core circadian components, such as BMAL1 and REV-ERBα, play important roles in modulating myocardial energy metabolism, inflammatory responses, and oxidative stress, contributing to myocardial structural and metabolic remodeling during heart failure progression. Notably, circadian disruption is closely associated with heart failure, with aberrant blood pressure rhythms and disturbances in the sleep-wake cycle in patients. The time-dependent efficacy of heart failure medications further supports the potential of chronotherapy-based strategies to improve clinical outcomes. Here, we summarize the multifaceted regulatory roles of the circadian clock, particularly core clock genes, in heart failure pathogenesis, providing a theoretical framework for developing personalized chronotherapeutic strategies for heart failure management.

生物钟是一种内源性计时系统,通过整合环境和基因的相互作用来维持生理稳态。心衰是一种以心脏结构异常和/或功能损害为特征的复杂临床综合征。越来越多的证据表明,核心昼夜节律成分,如BMAL1和rev - erba,在调节心肌能量代谢、炎症反应和氧化应激中发挥重要作用,有助于心力衰竭进展过程中心肌结构和代谢重塑。值得注意的是,昼夜节律紊乱与心力衰竭密切相关,患者的血压节律异常和睡眠-觉醒周期紊乱。心力衰竭药物的时间依赖性疗效进一步支持了以时间治疗为基础的策略改善临床结果的潜力。在这里,我们总结了生物钟,特别是核心时钟基因在心力衰竭发病机制中的多方面调节作用,为制定心力衰竭管理的个性化时间治疗策略提供理论框架。
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引用次数: 0
[Advances in the role of protein post-translational modifications in circadian rhythm regulation]. [蛋白质翻译后修饰在昼夜节律调节中的作用研究进展]。
Q3 Medicine Pub Date : 2025-08-25 DOI: 10.13294/j.aps.2024.0092
Zi-Di Zhao, Qi-Miao Hu, Zi-Yi Yang, Peng-Cheng Sun, Bo-Wen Jing, Rong-Xi Man, Yuan Xu, Ru-Yu Yan, Si-Yao Qu, Jian-Fei Pei

The circadian clock plays a critical role in regulating various physiological processes, including gene expression, metabolic regulation, immune response, and the sleep-wake cycle in living organisms. Post-translational modifications (PTMs) are crucial regulatory mechanisms to maintain the precise oscillation of the circadian clock. By modulating the stability, activity, cell localization and protein-protein interactions of core clock proteins, PTMs enable these proteins to respond dynamically to environmental and intracellular changes, thereby sustaining the periodic oscillations of the circadian clock. Different types of PTMs exert their effects through distincting molecular mechanisms, collectively ensuring the proper function of the circadian system. This review systematically summarized several major types of PTMs, including phosphorylation, acetylation, ubiquitination, SUMOylation and oxidative modification, and overviewed their roles in regulating the core clock proteins and the associated pathways, with the goals of providing a theoretical foundation for the deeper understanding of clock mechanisms and the treatment of diseases associated with circadian disruption.

生物钟在调节生物体内各种生理过程中起着至关重要的作用,包括基因表达、代谢调节、免疫反应和睡眠-觉醒周期。翻译后修饰(ptm)是维持生物钟精确振荡的关键调控机制。通过调节核心时钟蛋白的稳定性、活性、细胞定位和蛋白-蛋白相互作用,PTMs使这些蛋白能够动态响应环境和细胞内的变化,从而维持生物钟的周期性振荡。不同类型的ptm通过不同的分子机制发挥作用,共同确保昼夜节律系统的正常功能。本文系统总结了PTMs的几种主要类型,包括磷酸化、乙酰化、泛素化、sumo化和氧化修饰,并概述了它们在调节核心时钟蛋白及其相关途径中的作用,旨在为深入了解时钟机制和治疗与昼夜节律紊乱相关的疾病提供理论基础。
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引用次数: 0
[Circadian rhythm disturbances and neurodevelopmental disorders]. [昼夜节律紊乱和神经发育障碍]。
Q3 Medicine Pub Date : 2025-08-25 DOI: 10.13294/j.aps.2025.0065
Deng-Feng Liu, Yi-Chun Zhang, Jia-Da Li

Neurodevelopmental disorders (NDDs), including autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), and intellectual developmental disorder (IDD), are highly prevalent and lack effective treatments, posing significant health challenges. These disorders are frequently comorbid with disruptions in sleep rhythms, and sleep-related indicators are often used to assess disease severity and treatment efficacy. Recent evidence has highlighted the crucial roles of circadian rhythm disturbances and circadian clock gene mutations in the pathogenesis of NDDs. This review focuses on the mechanisms by which circadian rhythm disruptions and circadian clock gene mutations contribute to cognitive, behavioral, and emotional disorders associated with NDDs, particularly through the dysregulation of dopamine system. Additionally, we discussed the potential of targeting the circadian system as novel therapeutic strategies for the treatment of NDDs.

神经发育障碍(ndd),包括自闭症谱系障碍(ASD)、注意缺陷多动障碍(ADHD)和智力发育障碍(IDD),非常普遍且缺乏有效的治疗,给健康带来了重大挑战。这些疾病通常与睡眠节律紊乱合并症,睡眠相关指标常用于评估疾病严重程度和治疗效果。最近的证据强调了昼夜节律紊乱和生物钟基因突变在ndd发病机制中的关键作用。本文综述了昼夜节律中断和生物钟基因突变导致与ndd相关的认知、行为和情绪障碍的机制,特别是通过多巴胺系统失调。此外,我们讨论了靶向昼夜节律系统作为治疗ndd的新治疗策略的潜力。
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引用次数: 0
[Misaligned light entrainment causes metabolic disorders in Chrono knockout mice]. [错位的光夹带导致Chrono基因敲除小鼠代谢紊乱]。
Q3 Medicine Pub Date : 2025-08-25 DOI: 10.13294/j.aps.2025.0061
Ruo-Han Wang, Shao-Ying Lan, Bo-Yuan Cao, Xi-Ming Qin

Most of the life forms on Earth have gradually evolved an endogenous biological clock under the long-term influence of periodic daily light-dark cycles. This biological clock system plays a crucial role in the orderly progression of life activities. In mammals, central circadian clock is located in the suprachiasmatic nucleus of the hypothalamus and the function of the biological clock relies on a transcription-translation negative feedback loop. As a negative regulator in this loop, the function of CHRONO is less known. To deeply explore the role of the Chrono gene in rhythm entrainment and physiology, we constructed a Chrono gene knockout mouse strain using the CRISPR/Cas9 technology and analyzed its entrainment ability under different T cycles. Running wheel tests and glucose tolerance tests were also performed. The results showed that the period of the endogenous biological clock of Chrono knockout mice was prolonged, and the entrainment rate under the T21 cycle was decreased. In addition, metabolic abnormalities, including weight gain and impaired glucose tolerance, were observed in the non-entrained mice. Overall, this study reveals a crucial role of the Chrono gene in maintaining circadian rhythms and metabolic balance, providing a new perspective for understanding the relationship between the biological clock and metabolism. Further research is needed to fully understand the underlying molecular mechanisms.

地球上的大多数生命形式在每日周期性的光暗循环的长期影响下逐渐进化出了内源性生物钟。这种生物钟系统在生命活动的有序进行中起着至关重要的作用。哺乳动物的中央生物钟位于下丘脑视交叉上核,其功能依赖于转录-翻译负反馈回路。作为该回路中的负调节器,CHRONO的作用鲜为人知。为了深入探讨Chrono基因在节律夹带和生理中的作用,我们利用CRISPR/Cas9技术构建了一个Chrono基因敲除小鼠品系,并分析了其在不同T周期下的夹带能力。还进行了跑轮试验和葡萄糖耐量试验。结果表明,Chrono基因敲除小鼠内源性生物钟周期延长,T21周期下的夹带率降低。此外,代谢异常,包括体重增加和糖耐量受损,在未携带的小鼠中被观察到。总的来说,本研究揭示了Chrono基因在维持昼夜节律和代谢平衡中的重要作用,为理解生物钟与代谢的关系提供了新的视角。需要进一步的研究来充分了解潜在的分子机制。
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引用次数: 0
[Advances in the function and mechanisms of stearoyl-CoA desaturase 1 in metabolic diseases]. 硬脂酰辅酶a去饱和酶1在代谢性疾病中的作用及机制研究进展
Q3 Medicine Pub Date : 2025-06-25 DOI: 10.13294/j.aps.2025.0001
Qin Sun, Xiao-Rui Xing, Cheng Liu, Dan-Dan Jia, Ru Wang

Metabolic diseases characterized by an imbalance in energy homeostasis represent a significant global health challenge. Individuals with metabolic diseases often suffer from complications related to disorders in lipid metabolism, such as obesity and non-alcoholic fatty liver disease (NAFLD). Understanding core genes involved in lipid metabolism can advance strategies for the prevention and treatment of these conditions. Stearoyl-CoA desaturase 1 (SCD1) is a key enzyme in lipid metabolism that converts saturated fatty acids into monounsaturated fatty acids. SCD1 plays a crucial regulatory role in numerous physiological and pathological processes, including energy homeostasis, glycolipid metabolism, autophagy, and inflammation. Abnormal transcription and epigenetic activation of Scd1 contribute to abnormal lipid accumulation by regulating multiple signaling axes, thereby promoting the development of obesity, NAFLD, diabetes, and cancer. This review comprehensively summarizes the key role of SCD1 as a metabolic hub gene in various (patho)physiological contexts. Further it explores potential translational avenues, focusing on the development of novel SCD1 inhibitors across interdisciplinary fields, aiming to provide new insights and approaches for targeting SCD1 in the prevention and treatment of metabolic diseases.

以能量稳态失衡为特征的代谢性疾病是一项重大的全球健康挑战。患有代谢性疾病的个体经常遭受与脂质代谢紊乱相关的并发症,如肥胖和非酒精性脂肪性肝病(NAFLD)。了解参与脂质代谢的核心基因可以促进预防和治疗这些疾病的策略。硬脂酰辅酶a去饱和酶1 (SCD1)是脂质代谢过程中将饱和脂肪酸转化为单不饱和脂肪酸的关键酶。SCD1在许多生理和病理过程中起着至关重要的调节作用,包括能量稳态、糖脂代谢、自噬和炎症。Scd1的异常转录和表观遗传激活通过调节多个信号轴导致脂质异常积累,从而促进肥胖、NAFLD、糖尿病和癌症的发生。这篇综述全面总结了SCD1作为代谢中枢基因在各种(病理)生理环境中的关键作用。进一步探索潜在的转化途径,重点关注跨学科领域的新型SCD1抑制剂的开发,旨在为靶向SCD1预防和治疗代谢性疾病提供新的见解和方法。
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引用次数: 0
[Inhibition of the mitochondrial metabolic enzyme OGDC affects erythroid development]. [抑制线粒体代谢酶OGDC影响红细胞发育]。
Q3 Medicine Pub Date : 2025-06-25 DOI: 10.13294/j.aps.2025.0053
Bin Hu, Mao-Hua Li, Han Gong, Lu Han, Jing Liu

Mitochondrial metabolism is crucial for providing energy and heme precursors during erythroid development. Oxoglutarate dehydrogenase complex (OGDC) is a key enzyme in the mitochondrial tricarboxylic acid (TCA) cycle, and its level gradually increases during erythroid development, indicating its significant role in erythroid development. The aim of the present study was to explore the role and mechanism of OGDC in erythroid development. In this study, we treated erythroid progenitor cells with CPI-613, a novel lipoic acid analog that competitively inhibits OGDC. The results showed that CPI-613 inhibited erythropoietin (EPO)-induced differentiation and enucleation of human CD34+ hematopoietic stem cells into erythroid cells, suppressed cell proliferation, and induced apoptosis. The results of in vivo experiments showed that CPI-613 also hindered the recovery of mice from acute hemolytic anemia. Further mechanism research results showed that CPI-613 increased reactive oxygen species (ROS) in erythroid progenitor cells, inhibited mitochondrial respiration, caused mitochondrial damage, and suppressed heme synthesis, thereby inhibiting erythroid differentiation. Clinical research results showed that oxoglutarate dehydrogenase (OGDH) protein expression levels were up-regulated in bone marrow cells of polycythemia vera (PV) patients. Treatment with CPI-613 significantly inhibited the excessive proliferation and differentiation of erythroid progenitor cells of the PV patients. These findings demonstrates the critical role of OGDC in normal erythroid development, suggesting that inhibiting its activity could be a novel therapeutic strategy for treating PV.

在红细胞发育过程中,线粒体代谢对提供能量和血红素前体至关重要。OGDC (Oxoglutarate dehydrogenase complex)是线粒体三羧酸(tricarboxylic acid, TCA)循环中的关键酶,其水平在红细胞发育过程中逐渐升高,在红细胞发育过程中具有重要作用。本研究旨在探讨OGDC在红细胞发育中的作用及其机制。在这项研究中,我们用CPI-613处理红系祖细胞,CPI-613是一种新型硫辛酸类似物,可以竞争性地抑制OGDC。结果表明,CPI-613能抑制EPO诱导的人CD34+造血干细胞向红细胞的分化和去核,抑制细胞增殖,诱导细胞凋亡。体内实验结果表明,CPI-613还能阻碍小鼠急性溶血性贫血的恢复。进一步的机制研究结果表明,CPI-613增加红系祖细胞活性氧(ROS),抑制线粒体呼吸,造成线粒体损伤,抑制血红素合成,从而抑制红系分化。临床研究结果显示真性红细胞增多症(PV)患者骨髓细胞中OGDH蛋白表达水平上调。CPI-613治疗可明显抑制PV患者红细胞祖细胞的过度增殖和分化。这些发现证明了OGDC在正常红细胞发育中的关键作用,表明抑制其活性可能是治疗PV的一种新的治疗策略。
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引用次数: 0
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