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A nomogram based on radiomic features from peri-prostatic adipose tissue for predicting bone metastasis in first-time diagnosed prostate cancer patients. 基于前列腺周围脂肪组织放射学特征预测首次诊断前列腺癌患者骨转移的影像学研究。
IF 3.5 4区 生物学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-01 Epub Date: 2025-06-19 DOI: 10.1080/21623945.2025.2517583
Bohao Liu, Qian Cai, Xiao Zhao, Huabin Su, Zhengxu Lin, Jialin Wu, Xiaoyang Li, Weian Zhu, Chen Zou, Yun Luo

Purpose: To evaluate a radiomics-based nomogram using peri-prostatic adipose tissue (PPAT) features for predicting bone metastasis (BM) in newly diagnosed prostate cancer (PCa) patients.

Methods: A retrospective study of 151 PCa patients (October 2010-November 2022) was conducted. Radiomic features were extracted from axial T2-weighted MRI of PPAT, and normalized PPAT was calculated as the ratio of PPAT volume to prostate volume. A radiomics score (Radscore) was developed using logistic regression with 16 features selected via LASSO regression. Independent predictors identified through univariate and multivariate logistic regression were used to construct a nomogram. Predictive performance was assessed using ROC curves, and internal validation involved 1000 bootstrapped iterations.

Results: The Radscore, based on 16 features, showed significant association with BM and outperformed normalized PPAT in predictive value. Independent predictors of BM included Radscore, alkaline phosphatase (ALP), and clinical N stage (cN). A nomogram integrating these factors demonstrated strong discrimination (C-index: 0.908; 95% CI: 0.851-0.966) and calibration, with consistent results in validation (C-index: 0.903; 95% CI: 0.897-0.916). Decision curve analysis confirmed its clinical utility.

Conclusions: Radscore, cN, and ALP were identified as independent BM predictors. The developed nomogram enables accurate risk stratification and personalized BM predictions for newly diagnosed PCa patients.

目的:评价基于放射组学的前列腺周围脂肪组织(PPAT)特征放射组学成像对新诊断前列腺癌(PCa)患者骨转移(BM)的预测作用。方法:对151例PCa患者(2010年10月- 2022年11月)进行回顾性研究。从PPAT的轴向t2加权MRI中提取放射学特征,并计算归一化PPAT体积与前列腺体积之比。放射组学评分(Radscore)采用逻辑回归,通过LASSO回归选择16个特征。通过单变量和多变量逻辑回归确定的独立预测因子被用来构建一个正态图。使用ROC曲线评估预测性能,内部验证涉及1000次自举迭代。结果:基于16个特征的Radscore与BM有显著相关性,在预测值上优于标准化PPAT。BM的独立预测因子包括Radscore、碱性磷酸酶(ALP)和临床N分期(cN)。综合这些因素的nomogram显示出较强的判别性(C-index: 0.908;95% CI: 0.851-0.966)和校准,验证结果一致(C-index: 0.903;95% ci: 0.897-0.916)。决策曲线分析证实了其临床应用价值。结论:Radscore、cN和ALP被确定为独立的脑梗死预测因子。开发的nomogram能够对新诊断的PCa患者进行准确的风险分层和个性化的BM预测。
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引用次数: 0
Development of vascularized adipose organoids from PBMSCs and their application in evaluating Celastrol's effects. PBMSCs血管化脂肪类器官的开发及其在Celastrol疗效评价中的应用。
IF 3.1 4区 生物学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-01 Epub Date: 2025-08-29 DOI: 10.1080/21623945.2025.2548787
Sen Li, Fangming Kan, Shuhui Ji, Dingding Cao, Haiyang Liu, Jianxin Wu

Obesity lacks physiologically relevant human models, which constrains in-depth investigation into its underlying mechanisms and hampers the development of effective therapeutic strategies for obesity and its associated comorbidities. Here, we developed vascularized adipose organoids (VAOs) from peripheral blood mesenchymal stem cells (PBMSCs) using a standardized three-dimensional dynamic culture system that sequentially induces angiogenesis and adipogenesis. These VAOs mimic native adipose tissue with coexisting adipocytes and endothelial cells. Transcriptomic analysis shows that vascularization alters genes linked to inflammation and redox homoeostasis, yielding distinct metabolic and inflammatory profiles in VAOs versus non-vascularized controls. Notably, upon TNF-α stimulation, VAOs exhibit markedly reduced IL-6 secretion relative to non-vascularized adipose organoids (NVAOs). Importantly, Celastrol simultaneously inhibits angiogenesis and adipogenesis in VAOs and broadly modulates the expression of genes associated with mitochondrial metabolic processes. This study establishes PBMSC-derived VAOs as a scalable, patient-accessible model for investigating adipose development, metabolism, and inflammation. The system also provides a platform for mechanistic research and high-throughput drug screening in obesity and related metabolic diseases.

肥胖缺乏与生理相关的人体模型,这限制了对其潜在机制的深入研究,并阻碍了肥胖及其相关合并症的有效治疗策略的发展。在这里,我们使用标准化的三维动态培养系统从外周血间充质干细胞(PBMSCs)中培养血管化脂肪类器官(VAOs),该系统依次诱导血管生成和脂肪生成。这些VAOs与共存的脂肪细胞和内皮细胞模拟天然脂肪组织。转录组学分析表明,血管化改变了与炎症和氧化还原平衡相关的基因,在VAOs与非血管化对照中产生了不同的代谢和炎症谱。值得注意的是,在TNF-α刺激下,相对于非血管化脂肪类器官(NVAOs), VAOs表现出明显减少的IL-6分泌。重要的是,Celastrol同时抑制VAOs中的血管生成和脂肪生成,并广泛调节与线粒体代谢过程相关的基因表达。本研究建立了pbmsc衍生的VAOs,作为研究脂肪发育、代谢和炎症的可扩展的、患者可访问的模型。该系统还为肥胖及相关代谢疾病的机理研究和高通量药物筛选提供了平台。
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引用次数: 0
Electroacupuncture pretreatment alleviates myocardial ischemia injury via brown adipose tissue and BMP3b/Smad1/5 pathway in mice. 电针预处理通过棕色脂肪组织和BMP3b/Smad1/5通路减轻小鼠心肌缺血损伤。
IF 3.1 4区 生物学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-01 Epub Date: 2025-11-09 DOI: 10.1080/21623945.2025.2586870
Yuhang Yan, Danying Qian, Xiaohan Lu, Xiaoer Liu, Meiling Yu, Shengfeng Lu

Acute myocardial infarction (AMI) is a critical condition that induces myocardial ischaemic injury and necrosis, requiring timely intervention to improve outcomes. Emerging evidence suggests that brown adipose tissue (BAT) plays a crucial role in cardiac protection by releasing bone morphogenetic protein 3b (BMP3b), which targets the Smad1/5 pathway in the heart. Here, we investigated whether Electroacupuncture (EA) pretreatment alleviates myocardial injury by activating BAT in AMI mice. The AMI model was established by left coronary artery ligation in male C57BL/6J mice, and EA was applied before AMI model establishment. Comprehensive assessments included morphological and molecular analyses of BAT, cardiac function evaluation, and infarct area measurements. The BMP3b/Smad1/5 signalling pathway was detected in BAT and the heart. Finally, we used mice with scapular BAT removed to verify the pivotal role of BAT in reducing myocardial injury caused by EA. The results showed that EA at ST25 enhanced BAT activation, upregulated BMP3b expression, promoted Smad1/5 phosphorylation, and increased the anti-apoptotic factor Bcl-xL, reducing myocardial damage. However, the protective effect of EA was not observed in the BAT-deficient mice. These findings suggest that EA at ST25 is a promising approach to reduce myocardial injury via the BAT and BMP3b/Smad1/5 pathways.

急性心肌梗死(Acute myocardial infarction, AMI)是一种诱发心肌缺血损伤和坏死的危重疾病,需要及时干预以改善预后。新出现的证据表明,棕色脂肪组织(BAT)通过释放骨形态发生蛋白3b (BMP3b)在心脏保护中起着至关重要的作用,BMP3b靶向心脏中的Smad1/5通路。在此,我们研究电针预处理是否通过激活BAT来减轻AMI小鼠的心肌损伤。采用左冠状动脉结扎法建立雄性C57BL/6J小鼠AMI模型,AMI模型建立前应用EA。综合评估包括BAT形态学和分子分析、心功能评估和梗死面积测量。在BAT和心脏中检测到BMP3b/Smad1/5信号通路。最后,我们用去除肩关节BAT的小鼠验证了BAT在减轻EA引起的心肌损伤中的关键作用。结果表明,ST25 EA增强了BAT的激活,上调了BMP3b的表达,促进了Smad1/5的磷酸化,增加了抗凋亡因子Bcl-xL,减轻了心肌损伤。然而,在bat缺陷小鼠中未观察到EA的保护作用。这些发现表明,ST25处EA是一种通过BAT和BMP3b/Smad1/5途径减少心肌损伤的有希望的方法。
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引用次数: 0
A compendium of adipocyte morphologies across different breast pathologies. 不同乳腺病理的脂肪细胞形态纲要。
IF 3.1 4区 生物学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-01 Epub Date: 2025-10-07 DOI: 10.1080/21623945.2025.2568540
Abigail Dodson, Katie Hanna, Kerri Palmer, Hafeez Ibrahim, Katharina Kusserow, Rasha Abu-Eid, Gerald Lip, Nicola Spence, Ehab Husain, Beatrix Elsberger, Justin J Rochford, Valerie Speirs

Adipocytes are abundant in the breast tissue microenvironment. In breast cancer, they can change morphologically according to their proximity to tumour cells, with the closest becoming cancer-associated adipocytes (CAAs). It remains unclear whether breast cancer risk factors, including menopausal status, body mass index (BMI), and mammographic density (MD), influence CAAs morphology in breast carcinogenesis. This study aimed to quantify morphological differences in adipocytes across breast cancer pathologies and associated risk factors. Whole slide images of haematoxylin and eosin stained cancer (n = 149) and normal (n = 182) breast tissue samples were analysed. Parameters representative of adipocyte morphology: perimeter, area, concavity, and aspect ratio, were measured using ImageJ. Adipocytes were considered close (≤2 mm) or distant ( > 2 mm) to cancer cells in cancer samples or breast epithelial cells in normal samples. Close adipocytes in cancer samples were designated CAAs. CAAs decreased in size compared to distant adipocytes (p≤0.0001). A similar trend was observed between close and distant adipocytes in normal (p≤0.0001). CAAs size increased post menopause (p ≤ 0.0001). CAAs size positively correlated with BMI (p ≤ 0.0001). In cancer cases, distant adipocyte size increased and concavity decreased with increasing MD (p ≤ 0.01). Smaller CAAs were associated with poorer survival (p≤0.05). Morphological differences were identified in adipocytes dependent on location within the breast, tissue, pathology and risk factors. Understanding what drives these morphological differences could provide mechanistic insight into whether risk factor-induced alterations in adipocytes influence their role in breast carcinogenesis.

乳腺组织微环境中脂肪细胞丰富。在乳腺癌中,它们可以根据与肿瘤细胞的接近程度改变形态,最接近的成为癌症相关脂肪细胞(CAAs)。目前尚不清楚乳腺癌的危险因素,包括绝经状态、身体质量指数(BMI)和乳房x线摄影密度(MD),是否会影响CAAs在乳腺癌发生中的形态。本研究旨在量化乳腺癌病理和相关危险因素中脂肪细胞的形态学差异。对149例肿瘤(n = 149)和182例正常乳腺组织标本进行全片切片分析。使用ImageJ测量代表脂肪细胞形态的参数:周长、面积、凹凸度和纵横比。在癌症样本中,脂肪细胞被认为与癌细胞近(≤2mm)或远(> 2mm),在正常样本中,脂肪细胞被认为与乳腺上皮细胞远(> 2mm)。癌样中的闭合脂肪细胞被称为CAAs。与远端脂肪细胞相比,CAAs的大小减小(p≤0.0001)。在正常的近端和远端脂肪细胞之间观察到类似的趋势(p≤0.0001)。绝经后CAAs大小增加(p≤0.0001)。CAAs大小与BMI呈正相关(p≤0.0001)。肿瘤患者随着MD的增加,远端脂肪细胞大小增大,凹陷度减小(p≤0.01)。caa越小,生存率越低(p≤0.05)。形态学差异被确定在脂肪细胞依赖于乳房内的位置,组织,病理和危险因素。了解驱动这些形态差异的原因,可以为风险因素诱导的脂肪细胞改变是否影响其在乳腺癌发生中的作用提供机制见解。
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引用次数: 0
Pharmacological inhibition of SUMOylation with TAK-981 mimics genetic HypoSUMOylation in murine perigonadal white adipose tissue. TAK-981在小鼠性腺周围白色脂肪组织中模拟基因低SUMOylation的药理抑制作用。
IF 3.5 4区 生物学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-01 Epub Date: 2025-03-06 DOI: 10.1080/21623945.2025.2474107
Damien Dufour, Xu Zhao, Florian Chaleil, Patrizia Maria Christiane Nothnagel, Magnar Bjørås, Anne-Marie Lefrançois-Martinez, Antoine Martinez, Pierre Chymkowitch

Post-translational modification by the small ubiquitin-like modifier (SUMO) is essential for cellular differentiation and homeostasis. Here, we investigate the role of SUMOylation in adipose tissue development using TAK-981, a pharmacological inhibitor of SUMOylation. Administration of TAK-981 to mice resulted in significant defect in weight gain and adipocyte atrophy in perigonadal white adipose tissue (gWAT) depots. Gene expression analyses revealed a marked downregulation of adipogenic genes, including Pparg, Cebpa, and Fasn. Our data thus indicate that TAK-981 treatment impaired adipogenesis in gWAT, consistent with prior findings that SUMOylation supports transcriptional regulation of adipogenesis and lipid metabolism. We also found significant infiltration of immune cells and efferocytosis in gWAT. Our results thus indicate that SUMOylation inhibition using a small molecule phenocopies genetic hypoSUMOylation models, highlighting its critical role in maintaining adipocyte functionality and immune environment. These findings provide evidence that SUMOylation is essential for fat accumulation in vivo. Furthermore, given that TAK-981 is currently under clinical evaluation for the treatment of solid tumors, our results underscore the importance of considering the potential unintended effects of SUMOylation inhibition on adipose tissue in patients.

小泛素样修饰物(SUMO)的翻译后修饰对细胞分化和稳态至关重要。在这里,我们使用SUMOylation的药理学抑制剂TAK-981来研究SUMOylation在脂肪组织发育中的作用。TAK-981给药后小鼠的体重增加和腹股沟周围白色脂肪组织(gWAT)储存库脂肪细胞萎缩明显。基因表达分析显示脂肪生成基因显著下调,包括Pparg、Cebpa和Fasn。因此,我们的数据表明,TAK-981治疗会损害gWAT的脂肪形成,这与先前的研究结果一致,即SUMOylation支持脂肪形成和脂质代谢的转录调节。我们还发现在gWAT中有明显的免疫细胞浸润和efferocytosis。因此,我们的研究结果表明,使用小分子表型显示遗传低summoylation模型的summoylation抑制,突出其在维持脂肪细胞功能和免疫环境中的关键作用。这些发现提供了证据,表明summoylation是体内脂肪积累的必要条件。此外,鉴于TAK-981目前正处于治疗实体瘤的临床评估阶段,我们的研究结果强调了考虑SUMOylation抑制对患者脂肪组织潜在的意外影响的重要性。
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引用次数: 0
Adipogenic dedifferentiation enhances survival of human umbilical cord-derived mesenchymal stem cells under oxidative stress. 脂肪源性去分化增强氧化应激下人脐带间充质干细胞的存活。
IF 3.5 4区 生物学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-01 Epub Date: 2025-02-20 DOI: 10.1080/21623945.2025.2467150
Yin Yuan, Meina Kuang, Tengye Yu, Sirui Huang, Fujie Jiang, Biyi Lu, Mingen Cai, Xin Lu

Mesenchymal stem cells (MSCs) serve as ideal candidates for a broad range of cell-based therapies. However, cell ageing caused by long-term in vitro expansion and poor survival after in vivo delivery greatly limits their success in preclinical and clinical applications. Dedifferentiation represents a potential strategy for enhancing the retention and function of MSCs in hostile environments. In this study, we evaluated the cell phenotype, proliferation, and differentiation potential, as well as the anti-oxidative stress ability of human umbilical cord-derived MSCs (hMSCs) manipulated with adipogenic priming and subsequent dedifferentiation. After an in vitro differentiation and dedifferentiation procedure, the resultant dedifferentiated hMSCs (De-hMSCs) displayed properties similar to their original counterparts, including immunophenotype and mesodermal potential. Upon re-induction, De-hMSCs exhibited a significantly higher adipogenic differentiation capability than unmanipulated hMSCs. Importantly, De-hMSCs showed a significantly enhanced ability to resist tert-butyl hydroperoxide (t-BHP) induced apoptosis compared to undifferentiated hMSCs. Mechanisms involving bcl-2 family proteins and autophagy may contribute to the demonstrated advantages of dedifferentiation-reprogrammed hMSCs. These results indicate that adipogenic dedifferentiation promotes adipogenesis and cell persistence, as well as preserves the stemness of human umbilical cord-derived MSCs that have been committed to the adipocytic lineage. As a unique stem cell population, dedifferentiated MSCs may represent an attractive and promising candidate for MSC-based therapy.

间充质干细胞(MSCs)是广泛的基于细胞的治疗的理想候选者。然而,长期体外扩增导致的细胞老化和体内给药后的生存能力差,极大地限制了其临床前和临床应用的成功。去分化是一种潜在的策略,可以增强MSCs在恶劣环境中的保留和功能。在这项研究中,我们评估了人类脐带源性间充质干细胞(hMSCs)的细胞表型、增殖和分化潜力,以及抗氧化应激能力。经过体外分化和去分化过程,得到的去分化hMSCs (De-hMSCs)显示出与其原始对偶物相似的特性,包括免疫表型和中胚层电位。再诱导后,De-hMSCs表现出比未处理的hMSCs更高的成脂分化能力。重要的是,与未分化的hMSCs相比,De-hMSCs显示出显著增强的抵抗叔丁基过氧化氢(t-BHP)诱导的细胞凋亡的能力。涉及bcl-2家族蛋白和自噬的机制可能有助于脱分化重编程hMSCs的优势。这些结果表明,成脂性去分化促进了脂肪形成和细胞持久性,并保持了人类脐带源性间充质干细胞的干性,这些干细胞一直致力于脂肪细胞谱系。作为一种独特的干细胞群体,去分化的间充质干细胞可能是一种有吸引力和有前途的基于间充质干细胞的治疗候选者。
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引用次数: 0
Association of adipose tissue infiltration with cardiac function: scoping review. 脂肪组织浸润与心脏功能的关系:范围回顾。
IF 3.5 4区 生物学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-01 Epub Date: 2025-04-10 DOI: 10.1080/21623945.2025.2489467
Mansour M Alotaibi, Naif Z Alrashdi, Marzouq K Almutairi Pt, Mohammed M Alqahtani, Anwar B Almutairi, Sami M Alqahtani, Hamoud M Alajel, Amani K Bajunayd

Evidence suggests that adipose tissue (AT) infiltration in skeletal muscles may negatively influence cardiac function, yet its use as a biomarker remains unclear. This scoping review examined the relationship between AT infiltration and cardiac function in adults. A systematic search of PubMed, CINAHL and SCOPUS identified peer-reviewed studies reporting AT infiltration and cardiac function measures. Excluded were review-type studies, animal studies, abstracts and case series. Study quality was assessed using the Study Quality Assessment Tool (SQAT). Three good-quality studies were included. Findings demonstrated a negative association between AT infiltration and cardiac function parameters, including exercise capacity, left ventricular ejection fraction (LVEF) and heart failure events, in cancer survivors and healthy individuals. There is evidence supporting an association between increased AT infiltration of skeletal muscles and impaired cardiac function, highlighting the need for further research to validate AT infiltration as a potential biomarker. Despite the limited available studies, our findings highlight a distinct association between skeletal muscle AT infiltration and cardiac dysfunction, independent of general obesity.

有证据表明,骨骼肌中的脂肪组织(AT)浸润可能对心功能产生负面影响,但其作为生物标志物的用途尚不清楚。本综述研究了成人AT浸润与心功能之间的关系。对PubMed、CINAHL和SCOPUS进行系统搜索,确定了同行评审的研究报告AT浸润和心功能测量。排除综述型研究、动物研究、摘要和病例系列。使用研究质量评估工具(SQAT)评估研究质量。纳入了三项高质量的研究。研究结果表明,在癌症幸存者和健康个体中,AT浸润与心功能参数(包括运动能力、左心室射血分数(LVEF)和心力衰竭事件)呈负相关。有证据支持骨骼肌AT浸润增加与心功能受损之间的关联,强调需要进一步研究以验证AT浸润作为潜在的生物标志物。尽管现有的研究有限,但我们的研究结果强调了骨骼肌AT浸润与心功能障碍之间的明显关联,与一般肥胖无关。
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引用次数: 0
Bioactive peptides PDBSN improve mitochondrial function and suppression the oxidative stress in human adiposity cells. 生物活性肽PDBSN改善人类脂肪细胞的线粒体功能并抑制氧化应激。
IF 3.5 4区 生物学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-01 Epub Date: 2025-06-17 DOI: 10.1080/21623945.2023.2278213
Huiping Shen, Yong Lei, Wen Xie, Tieliang Ma, Li Bao, Qin Gao, Bingyu Chen, Biao Dai, Dani Qin

Mitochondria are essential for generating cellular energy and are significant in the pathogenesis of obesity. Human visceral and subcutaneous preadipocytes (HPA-v and HPA-s) were cultured into mature adipocytes. Intracellular triglyceride (TG) content was assessed using oil-red O staining and tissue triglyceride determination. Mitochondrial membrane potential (MMP) and reactive oxygen species (ROS) levels were measured with fluorescent indicators. Gene and protein expression related to mitochondrial biogenesis were analyzed by real-time quantitative PCR and Western blotting. Morphological changes were observed via electron microscopy. Results show that PDBSN significantly increased MMP while decreasing TG and ROS levels. The transcription and protein levels of PGC1-α and MTFA were upregulated, and mitochondrial fusion and fission markers (MFN1, MFN2, NRF1, DRP1) were elevated. Additionally, PDBSN enhanced maximum respiratory capacity and reduced ROS. These findings suggest that PDBSN improves mitochondrial function, providing insights for obesity treatment and metabolic disease management.

引言:线粒体对产生细胞能量至关重要,在肥胖的发病机制中具有重要意义。肽PDBSN已被证明在体外抑制脂肪细胞的成脂分化,并在体内改善代谢平衡。因此,在本研究中,我们进一步研究了PDBSN对脂肪细胞线粒体形态、合成和功能的影响。方法:将人内脏和皮下原代前脂肪细胞(HPA-v和HPA-s)培养成成熟脂肪细胞。使用油红O染色和组织甘油三酯测定来评估细胞内甘油三酯含量。使用实时定量聚合酶链反应和蛋白质印迹检测与线粒体合成相关的基因和蛋白质水平。使用荧光指示剂检测线粒体膜电位和ROS。电镜观察其形态学变化。结果:PDBSN显著提高线粒体膜电位(MMP),同时降低细胞内甘油三酯(TG)和细胞内活性氧(ROS)水平。另一方面,遗传标记基因PGC1-α和MTFA的转录和蛋白质水平在PDBSN给药后显著上调。进一步的研究表明,线粒体融合和分裂遗传标记MFN1、MFN2、NRF1和DRP1的转录和蛋白质水平增加。结论:PDBSN能显著降低细胞内TG和ROS水平,增加MMP。PDBSN给药后,成人的最大呼吸能力显著增加,ROS水平显著降低。这表明PDBSN在一定程度上改善了线粒体功能,这不仅为肥胖的病理生理学提供了必要的基础,而且为开发治疗肥胖和代谢性疾病的新药提供了见解。
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引用次数: 0
Identification of SDC4 as a potential target for obesity via integrated analysis of the lncRNA-miRNA-mRNA network in visceral adipose tissue. 通过对内脏脂肪组织中lncRNA-miRNA-mRNA网络的综合分析,鉴定SDC4作为肥胖的潜在靶点。
IF 3.1 4区 生物学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-01 Epub Date: 2025-11-06 DOI: 10.1080/21623945.2025.2583542
Yuancheng Shao, Feng Ju, Jun Qian, Liming Tang, Shuai Chen

Obesity is a major global health issue. This study aimed to elucidate its molecular mechanisms by analysing the expression of lncRNAs, miRNAs, and mRNAs in visceral adipose tissue. Through integrated transcriptome sequencing and bioinformatics analysis of obese and normal groups, we observed 118, 92 and 227 differentially expressed lncRNAs, miRNAs and mRNAs, respectively. Functional enrichment analysis revealed these genes were primarily involved in immune response and inflammation-related pathways. A competing endogenous RNA (ceRNA) network was constructed, identifying key interactions among five target genes, including SDC4. Validation confirmed SDC4 was significantly upregulated in obese subjects, and this expression level positively correlated with body mass index and triglyceride. These findings suggest that SDC4 offers the possibility of being a therapeutic target for obesity.

肥胖是一个主要的全球健康问题。本研究旨在通过分析内脏脂肪组织中lncRNAs、miRNAs和mrna的表达,阐明其分子机制。通过对肥胖组和正常组的整合转录组测序和生物信息学分析,我们分别观察到118、92和227个lncrna、mirna和mrna的差异表达。功能富集分析显示,这些基因主要参与免疫应答和炎症相关途径。构建了竞争性内源RNA (ceRNA)网络,确定了包括SDC4在内的5个靶基因之间的关键相互作用。验证证实SDC4在肥胖受试者中显著上调,且其表达水平与体重指数和甘油三酯呈正相关。这些发现表明,SDC4提供了成为肥胖治疗靶点的可能性。
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引用次数: 0
One-year metreleptin in Colombian sisters with congenital leptin deficiency. 患有先天性瘦素缺乏症的哥伦比亚姐妹服用一年的美曲瘦素。
IF 3.1 4区 生物学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-01 Epub Date: 2025-05-26 DOI: 10.1080/21623945.2025.2508188
Hernan Yupanqui-Lozno, Jancy Andrea Huertas-Quintero, Maria E Yupanqui-Velazco, Rocío A Salinas-Osornio, Carlos M Restrepo, Adriana Gonzalez, Edna J Nava-Gonzalez, Luis G Celis-Regalado, Constanza Neri Morales, Victor M Hernandez-Escalante, Julio Licinio, Hugo A Laviada-Molina, Ernesto Rodriguez-Ayala, Carlos Arango, Raul A Bastarrachea

We discovered two adult sisters in Colombia, lineally consanguineous, with severe obesity and undetectable serum leptin levels despite markedly elevated body fat. Their clinical profile included childhood-onset extreme weight gain, intense hunger, hyperphagia, hypogonadotropic hypogonadism, and family history of obesity. Direct sequencing of the LEP gene revealed a novel homozygous missense mutation in exon 3 (c.350G>T [p.C117F]). The presence of this mutation, undetectable leptin, and severe obesity confirmed a diagnosis of monogenic leptin deficiency. Here we describe the clinical outcomes of a 12-month treatment with recombinant human leptin (metreleptin). Metabolic and endocrine assessments were conducted before and after therapy. Metreleptin therapy significantly reduced BMI: from 59 to 38 kg/m2 (OBX1, age 27) and 60 to 48 kg/m2 (OBX2, age 24). Total body fat mass decreased, serum lipids normalized, and insulin sensitivity improved. Hypogonadotropic hypogonadism reversed, and menstruation resumed. Thus, metreleptin reversed the major metabolic and endocrine abnormalities associated with leptin deficiency in these sisters. Limitations include the small sample size, absence of a control group, and lack of anti-metreleptin antibody measurements. Nevertheless, our findings support that leptin replacement with metreleptin is currently the only effective hormonal treatment for this monogenic form of human obesity.

我们在哥伦比亚发现了两个成年姐妹,直系血亲,严重肥胖和血清瘦素水平检测不到,尽管体脂明显升高。他们的临床特征包括儿童期体重急剧增加、极度饥饿、贪食、促性腺功能减退和肥胖家族史。对LEP基因的直接测序显示,外显子3上有一个新的纯合错义突变(c.350G>T [p.C117F])。这种突变的存在、无法检测到的瘦素和严重的肥胖证实了单基因瘦素缺乏症的诊断。在这里,我们描述了用重组人瘦素(美乐瘦素)治疗12个月的临床结果。治疗前后分别进行代谢和内分泌评估。美曲瘦素治疗显著降低BMI:从59降至38 kg/m2 (OBX1, 27岁)和60降至48 kg/m2 (OBX2, 24岁)。总脂肪量减少,血脂正常化,胰岛素敏感性提高。促性腺激素减退症逆转,月经恢复。因此,美瘦素逆转了这些姐妹中与瘦素缺乏相关的主要代谢和内分泌异常。局限性包括样本量小,缺乏对照组,缺乏抗美拉瘦素抗体测量。然而,我们的研究结果支持用美曲瘦素替代瘦素是目前治疗这种单基因型人类肥胖唯一有效的激素疗法。
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