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Establishing COVID-19 trials at scale and pace: Experience from the RECOVERY trial 以规模和速度建立COVID-19试验:来自康复试验的经验
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-12-01 DOI: 10.1016/j.jbior.2022.100901
Leon Peto , Peter Horby , Martin Landray

The Randomised Evaluation of COVID-19 Therapy (RECOVERY) Trial was set up in March 2020 to evaluate treatments for people hospitalised with COVID-19. To maximise recruitment it was designed to fit into routine clinical care throughout the UK, and as a result it has enrolled more patients than any other COVID-19 treatment trial. RECOVERY has shown four drugs to be life-saving – dexamethasone, tocilizumab, baricitinib and casirivimab-imdevimab – and a further six have been shown to be of little or no benefit. In each case, results from RECOVERY were clear enough to rapidly influence global practice. Some of the reasons for this success relate to its particular setting in the UK during the SARS-CoV-2 pandemic, but many are generalisable to other contexts. In particular, its focus on recruiting large numbers of patients to identify or rule out moderate but worthwhile benefits of treatment, and the design decisions that followed from this. Similar large streamlined trials could produce similarly clear answers about the treatment of many other common diseases.

2019冠状病毒病治疗(康复)随机评估试验于2020年3月启动,旨在评估COVID-19住院患者的治疗方法。为了最大限度地招募患者,该试验旨在适应整个英国的常规临床护理,因此,它招募的患者比任何其他COVID-19治疗试验都多。康复研究表明,有四种药物可以挽救生命——地塞米松、托珠单抗、巴西替尼和卡西维单抗-伊德维单抗——另外六种药物被证明几乎没有益处。在每一个案例中,《复苏》的结果都足够清晰,足以迅速影响全球实践。这一成功的一些原因与它在SARS-CoV-2大流行期间在英国的特殊环境有关,但许多原因可以推广到其他情况。特别是,它的重点是招募大量患者,以确定或排除适度但有价值的治疗益处,以及由此产生的设计决策。类似的大型简化试验也可以为许多其他常见疾病的治疗提供类似的明确答案。
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引用次数: 9
Gaining insight into the role of FoxO1 in the progression of disuse-induced skeletal muscle atrophy 深入了解fox01在废用性骨骼肌萎缩进展中的作用
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-08-01 DOI: 10.1016/j.jbior.2022.100903
Natalia Vilchinskaya , Erzhena Altaeva , Yulia Lomonosova

Expression of FoxO transcription factors increases during certain forms of atrophy. In a dephosphorylated state, FoxOs participate in ubiquitin-mediated proteasomal degradation through the transcriptional activation of E3-ubiquitin ligases such as MAFbx/atrogin-1 and MuRF1. There is exhaustive research demonstrating that FoxO3a is sufficient to induce MAFbx/atrogin-1 and MuRF-1 expressions. In contrast, the data are conflicting on the requirement of FoxO1 signaling in the activation of the E3-ubiquitin ligases. Moreover, no reports currently exist on the particular role of FoxO1 in the molecular mechanisms involved in the progression of physiological muscle wasting. Here, we have applied the most extensively used rodent model of microgravity/functional unloading to stimulate disuse-induced skeletal muscle atrophy such as rat hindlimb suspension (HS). We showed that inhibition of FoxO1 activity by a selective inhibitor AS1842856 completely reversed an increase in expression of MuRF-1, but not MAFbx/atrogin-1, observed upon HS. Furthermore, we demonstrated that FoxO1 induced upregulation of another E3-ubiquitin-ligase of a MuRF protein family MuRF-2 in skeletal muscle subjected to disuse. Prevention of the MuRF increase upon HS impeded upregulation of transcript expression of a negative regulator of NFATc1 pathway calsarcin-2, which was associated with a partial reversion of MyHC-IId/x and MyHC-IIb mRNA expressions. Importantly, FoxO1 inhibition induced a marked increase in p70S6k phosphorylation, an important stage in the initiation of protein translation, concomitant with the restoration of global protein synthesis in the skeletal muscle of the HS rats. Examination of eIF3f expression and the eEF2k/eEF2 pathway, other factors controlling translation initiation and elongation respectively, did not reveal any impact of FoxO1 on their activity. Lastly, we observed a decrease in transcript levels of Sesn3, but not Sesn1 and Sesn2, upon disuse, which was completely reversed by FoxO1 inhibition. These data demonstrate that FoxO1 signaling contributes to the development of disuse-induced skeletal muscle atrophy, including slow to fast MyHC isoform shift, mostly through upregulation of MuRF-1 and MuRF-2 expression. Furthermore, FoxO1 inhibition is required to recover Sesn3 mRNA expression in atrophic conditions, which likely contributes to the enhanced p70S6k activity and restoration of the protein synthesis rate.

FoxO转录因子的表达在某些形式的萎缩中增加。在去磷酸化状态下,FoxOs通过转录激活e3 -泛素连接酶(如MAFbx/atrogin-1和MuRF1)参与泛素介导的蛋白酶体降解。有详尽的研究表明FoxO3a足以诱导MAFbx/atrogin-1和MuRF-1的表达。相反,在e3 -泛素连接酶激活过程中fox01信号的要求上,数据是相互矛盾的。此外,目前还没有关于fox01在参与生理性肌肉萎缩进展的分子机制中的特殊作用的报道。在这里,我们采用了最广泛使用的微重力/功能卸载啮齿动物模型来刺激废弃性骨骼肌萎缩,如大鼠后肢悬吊(HS)。我们发现,选择性抑制剂AS1842856对FoxO1活性的抑制完全逆转了MuRF-1表达的增加,但在HS上观察到的MAFbx/atrogin-1却没有。此外,我们证明FoxO1诱导骨骼肌中MuRF蛋白家族MuRF-2的另一个e3泛素连接酶的上调。预防HS时MuRF的增加阻碍了NFATc1途径calsarcin-2负调节因子转录本表达的上调,这与MyHC-IId/x和MyHC-IIb mRNA表达的部分逆转有关。重要的是,FoxO1抑制诱导p70S6k磷酸化显著增加,这是蛋白翻译起始的一个重要阶段,伴随着HS大鼠骨骼肌整体蛋白合成的恢复。检测eIF3f表达和eEF2k/eEF2通路,以及其他分别控制翻译起始和延伸的因素,没有发现fox01对它们的活性有任何影响。最后,我们观察到Sesn3的转录水平下降,而Sesn1和Sesn2的转录水平没有下降,这被FoxO1抑制完全逆转。这些数据表明FoxO1信号通路主要通过上调MuRF-1和MuRF-2的表达,促进废用性骨骼肌萎缩的发生,包括MyHC亚型从慢到快的转变。此外,在萎缩条件下,需要抑制FoxO1来恢复Sesn3 mRNA的表达,这可能有助于增强p70S6k活性和恢复蛋白质合成速率。
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引用次数: 6
Sphingolipids and their role in health and disease in the central nervous system 鞘脂及其在中枢神经系统健康和疾病中的作用
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-08-01 DOI: 10.1016/j.jbior.2022.100900
Andrés Felipe Leal , Diego A. Suarez , Olga Yaneth Echeverri-Peña , Sonia Luz Albarracín , Carlos Javier Alméciga-Díaz , Ángela Johana Espejo-Mojica

Sphingolipids (SLs) are lipids derived from sphingosine, and their metabolism involves a broad and complex network of reactions. Although SLs are widely distributed in the body, it is well known that they are present in high concentrations within the central nervous system (CNS). Under physiological conditions, their abundance and distribution in the CNS depend on brain development and cell type. Consequently, SLs metabolism impairment may have a significant impact on the normal CNS function, and has been associated with several disorders, including sphingolipidoses, Parkinson's, and Alzheimer's. This review summarizes the main SLs characteristics and current knowledge about synthesis, catabolism, regulatory pathways, and their role in physiological and pathological scenarios in the CNS.

鞘脂(SLs)是鞘磷脂衍生的脂质,其代谢涉及广泛而复杂的反应网络。虽然SLs在体内广泛分布,但众所周知,它们在中枢神经系统(CNS)中以高浓度存在。在生理条件下,它们在中枢神经系统中的丰度和分布取决于大脑发育和细胞类型。因此,SLs代谢障碍可能对正常的中枢神经系统功能产生重大影响,并与多种疾病有关,包括鞘脂病、帕金森病和阿尔茨海默病。本文综述了SLs的主要特性、合成、分解代谢、调控途径及其在中枢神经系统生理和病理中的作用。
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引用次数: 6
Phosphoregulation of the ATP synthase beta subunit stimulates mitochondrial activity for G2/M progression ATP合成酶β亚基的磷酸化调控刺激G2/M进展的线粒体活性
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-08-01 DOI: 10.1016/j.jbior.2022.100905
Ana Cláudia Leite , Telma Silva Martins , Ana Campos , Vítor Costa , Clara Pereira

Mitochondrial ATP synthase is a multifunctional enzyme complex involved in ATP production. We previously reported that the ATP synthase catalytic beta subunit (Atp2p in yeast) is regulated by the 2A-like protein phosphatase Sit4p, which targets Atp2p at T124/T317 impacting on ATP synthase levels and mitochondrial respiration.

Here we report that Atp2-T124/T317 is also potentially regulated by Cdc5p, a polo-like mitotic kinase. Since both Cdc5p and Sit4p have established roles in cell cycle regulation, we investigated whether Atp2-T124/T317 phosphorylation was cell cycle-related. We present evidence that Atp2p levels and phosphorylation vary during cell cycle progression, with an increase at G2/M phase. Atp2-T124/T317 phosphorylation stimulates mitochondrial membrane potential, respiration and ATP levels at G2/M phase, indicating that dynamic Atp2p phosphorylation contributes to mitochondrial activity at this specific cell cycle phase. Preventing Atp2p phosphorylation delays G2/M to G1 transition, suggesting that enhanced bioenergetics at G2/M may help meet the energetic demands of cell cycle progression. However, mimicking constitutive T124/T317 phosphorylation or overexpressing Atp2p leads to mitochondrial DNA instability, indicating that reversible Atp2p phosphorylation is critical for homeostasis.

These results indicate that transient phosphorylation of Atp2p, a protein at the core of the ATP production machinery, impacts on mitochondrial bioenergetics and supports cell cycle progression at G2/M.

线粒体ATP合成酶是一种参与ATP生产的多功能酶复合体。我们之前报道了ATP合成酶催化β亚基(酵母中的Atp2p)受2a样蛋白磷酸酶Sit4p的调控,它在T124/T317位点靶向Atp2p,影响ATP合成酶水平和线粒体呼吸。在这里,我们报道了Atp2-T124/T317也可能受到Cdc5p(一种polo样有丝分裂激酶)的调控。由于Cdc5p和Sit4p都在细胞周期调节中发挥作用,我们研究了Atp2-T124/T317磷酸化是否与细胞周期有关。我们提供的证据表明,Atp2p水平和磷酸化在细胞周期进程中发生变化,在G2/M期增加。Atp2-T124/T317磷酸化在G2/M期刺激线粒体膜电位、呼吸和ATP水平,表明动态Atp2p磷酸化有助于线粒体在这一特定细胞周期阶段的活性。阻止Atp2p磷酸化会延迟G2/M向G1的转变,这表明G2/M的生物能量增强可能有助于满足细胞周期进程的能量需求。然而,模仿组成型T124/T317磷酸化或过表达Atp2p会导致线粒体DNA不稳定,这表明可逆的Atp2p磷酸化对体内平衡至关重要。这些结果表明,ATP生产机制核心蛋白Atp2p的瞬时磷酸化影响线粒体生物能量学,并支持G2/M的细胞周期进程。
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引用次数: 2
Phosphorylation-mediated regulation of the Nem1-Spo7/Pah1 phosphatase cascade in yeast lipid synthesis 酵母脂质合成中Nem1-Spo7/Pah1磷酸酶级联磷酸化介导的调控
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-05-01 DOI: 10.1016/j.jbior.2022.100889
Shoily Khondker, Gil-Soo Han, George M. Carman

The PAH1-encoded phosphatidate phosphatase, which catalyzes the dephosphorylation of phosphatidate to produce diacylglycerol, controls the divergence of phosphatidate into triacylglycerol synthesis and phospholipid synthesis. Pah1 is inactive in the cytosol as a phosphorylated form and becomes active on the nuclear/endoplasmic reticulum membrane as a dephosphorylated form by the Nem1-Spo7 protein phosphatase complex. The phosphorylation of Pah1 by protein kinases, which include casein kinases I and II, Pho85-Pho80, Cdc28-cyclin B, and protein kinases A and C, controls its cellular location, catalytic activity, and susceptibility to proteasomal degradation. Nem1 (catalytic subunit) and Spo7 (regulatory subunit), which form a protein phosphatase complex catalyzing the dephosphorylation of Pah1 for its activation, are phosphorylated by protein kinases A and C. In this review, we discuss the functions and interrelationships of the protein kinases in the control of the Nem1-Spo7/Pah1 phosphatase cascade and lipid synthesis.

pah1编码的磷脂酸磷酸酶催化磷脂酸去磷酸化生成二酰基甘油,控制磷脂酸分化为三酰基甘油合成和磷脂合成。Pah1以磷酸化形式在细胞质中无活性,并通过Nem1-Spo7蛋白磷酸酶复合物以去磷酸化形式在核/内质网膜上变得活跃。蛋白激酶(包括酪蛋白激酶I和II、Pho85-Pho80、Cdc28-cyclin B和蛋白激酶A和C)磷酸化Pah1,控制其细胞位置、催化活性和对蛋白酶体降解的易感性。Nem1(催化亚基)和Spo7(调节亚基)形成一个蛋白磷酸酶复合物,催化Pah1的去磷酸化并激活,被蛋白激酶a和c磷酸化。本文综述了蛋白激酶在Nem1-Spo7/Pah1磷酸酶级联和脂质合成控制中的功能和相互关系。
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引用次数: 6
CARD11 signaling in regulatory T cell development and function CARD11信号在调节性T细胞发育和功能中的作用
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-05-01 DOI: 10.1016/j.jbior.2022.100890
Nicole M. Carter, Joel L. Pomerantz

Regulatory T cells (Tregs) are a critical subset of CD4 T cells that modulate the immune response to prevent autoimmunity and chronic inflammation. CARD11, a signaling hub and scaffold protein that links antigen receptor engagement to activation of NF-κB and other downstream signaling pathways, is essential for the development and function of thymic Tregs. Mouse models with deficiencies in CARD11 and CARD11-associated signaling components generally have Treg defects, but some mouse models develop overt autoimmunity and inflammatory disease whereas others do not. Inhibition of CARD11 signaling in Tregs within the tumor microenvironment can potentially promote anti-tumor immunity. In this review, we summarize evidence for the involvement of CARD11 signaling in Treg development and function and discuss key unanswered questions and future research opportunities.

调节性T细胞(Tregs)是CD4 T细胞的一个重要亚群,它调节免疫反应以预防自身免疫和慢性炎症。CARD11是一种信号中枢和支架蛋白,将抗原受体结合与NF-κB和其他下游信号通路的激活联系起来,对胸腺Tregs的发育和功能至关重要。缺乏CARD11和CARD11相关信号成分的小鼠模型通常存在Treg缺陷,但一些小鼠模型会出现明显的自身免疫和炎症性疾病,而另一些则不会。抑制肿瘤微环境中treg中的CARD11信号传导可以潜在地促进抗肿瘤免疫。在这篇综述中,我们总结了CARD11信号参与Treg发育和功能的证据,并讨论了未解决的关键问题和未来的研究机会。
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引用次数: 1
Erratum regarding missing Declaration of Competing Interest statements in previously published articles 关于先前发表的文章中缺少竞争利益声明的勘误表
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-05-01 DOI: 10.1016/j.jbior.2021.100855
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引用次数: 0
Erratum regarding missing Declaration of Competing Interest statements in previously published articles 关于先前发表的文章中缺少竞争利益声明的勘误表
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-05-01 DOI: 10.1016/j.jbior.2021.100856
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引用次数: 0
New strategies for combating fungal infections: Inhibiting inositol lipid signaling by targeting Sec14 phosphatidylinositol transfer proteins 抗真菌感染的新策略:通过靶向Sec14磷脂酰肌醇转移蛋白抑制肌醇脂质信号传导
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-05-01 DOI: 10.1016/j.jbior.2022.100891
Vytas A. Bankaitis , Ashutosh Tripathi , Xiao-Ru Chen , Tatyana I. Igumenova

Virulent fungi represent a particularly difficult problem in the infectious disease arena as these organisms are eukaryotes that share many orthologous activities with their human hosts. The fact that these activities are often catalyzed by conserved proteins places additional demands on development of pharmacological strategies for specifically inhibiting target fungal activities without imposing undesirable secondary effects on the host. While deployment of a limited set of anti-mycotics has to date satisfied the clinical needs for treatment of fungal infections, the recent emergence of multi-drug resistant fungal ‘superbugs’ now poses a serious global health threat with rapidly diminishing options for treatment. This escalating infectious disease problem emphasizes the urgent need for development of new classes of anti-mycotics. In that regard, Sec14 phosphatidylinositol transfer proteins offer interesting possibilities for interfering with fungal phosphoinositide signaling with exquisite specificity and without targeting the highly conserved lipid kinases responsible for phosphoinositide production. Herein, we review the establishment of proof-of-principle that demonstrates the feasibility of such an approach. We also describe the lead compounds of four chemotypes that directly target fungal Sec14 proteins. The rules that pertain to the mechanism(s) of Sec14 inhibition by validated small molecule inhibitors, and the open questions that remain, are discussed – as are the challenges that face development of next generation Sec14-directed inhibitors.

毒真菌在传染病领域是一个特别困难的问题,因为这些生物是真核生物,与它们的人类宿主共享许多同源活动。这些活性通常由保守蛋白催化,这一事实对开发特异性抑制目标真菌活性的药理学策略提出了额外的要求,而不会对宿主造成不良的继发性影响。虽然迄今为止,一套有限的抗真菌药的部署已经满足了治疗真菌感染的临床需要,但最近出现的耐多药真菌“超级细菌”现在构成了严重的全球健康威胁,治疗选择正在迅速减少。这种不断升级的传染病问题强调了开发新型抗真菌药的迫切需要。在这方面,Sec14磷脂酰肌醇转移蛋白提供了有趣的可能性,以精细的特异性干扰真菌磷酸肌醇信号传导,而不针对负责磷酸肌醇生产的高度保守的脂质激酶。在此,我们回顾了证明这种方法可行性的原理证明的建立。我们还描述了直接靶向真菌Sec14蛋白的四种化学型的先导化合物。本文讨论了与经验证的小分子抑制剂抑制Sec14的机制有关的规则,以及仍然存在的开放性问题,以及下一代Sec14定向抑制剂开发面临的挑战。
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引用次数: 4
CCAAT enhancer binding protein gamma (C/EBP-γ): An understudied transcription factor CCAAT增强子结合蛋白γ (C/EBP-γ):一种未被充分研究的转录因子
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-05-01 DOI: 10.1016/j.jbior.2022.100861
Zachary Renfro , Bryan E. White , Kimberly E. Stephens

The CCAAT enhancer binding protein (C/EBP) family of transcription factors are important transcriptional mediators of a wide range of physiologic processes. C/EBP-γ is the shortest C/EBP protein and lacks a canonical activation domain for the recruitment of transcriptional machinery. Despite its ubiquitous expression and ability to dimerize with other C/EBP proteins, C/EBP-γ has been studied far less than other C/EBP proteins, and, to our knowledge, no review of its functions has been written. This review seeks to integrate the current knowledge about C/EBP-γ and its physiologic roles, especially in cell proliferation, the integrated stress response, oncogenesis, hematopoietic and nervous system development, and metabolism, as well as to identify areas for future research.

CCAAT增强子结合蛋白(C/EBP)家族转录因子是一系列重要的生理过程的转录介质。C/EBP-γ是最短的C/EBP蛋白,缺乏用于募集转录机制的典型激活域。尽管C/EBP-γ具有广泛的表达和与其他C/EBP蛋白二聚化的能力,但对C/EBP-γ的研究远远少于其他C/EBP蛋白,而且据我们所知,还没有关于其功能的综述。本文旨在整合目前关于C/EBP-γ及其生理作用的知识,特别是在细胞增殖,综合应激反应,肿瘤发生,造血和神经系统发育以及代谢方面,并确定未来研究的领域。
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引用次数: 5
期刊
Advances in biological regulation
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