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Restoring partial vision to a blind patient. 恢复失明病人的部分视力
Pub Date : 2022-06-27 eCollection Date: 2022-01-01 DOI: 10.12703/r-01-0000012
Larry I Benowitz, John E Dowling, Roman J Giger, Thomas V Johnson, Donald J Zack

This paper reports an important breakthrough in partially restoring sight to a man who had lost his vision due to retinitis pigmentosa (RP), a heritable retinal degenerative disease that affects approximately 1 in 4000 people. Long considered an insurmountable challenge, a stellar team of vision scientists, engineers, basic biologists, and others, working together for many years, has enabled a man who had been legally blind for decades to begin distinguishing objects and navigating his environment1.

视网膜色素变性(RP)是一种遗传性视网膜变性疾病,大约每 4000 人中就有 1 人患此病,本文报道了在使一名因视网膜色素变性而丧失视力的男子部分恢复视力方面取得的重大突破。由视觉科学家、工程师、基础生物学家和其他人员组成的明星团队经过多年的共同努力,终于使一名失明数十年的男子能够开始辨别物体并在周围环境中导航1。
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引用次数: 0
Anti-type I interferon antibodies as a cause of severe COVID-19. 抗 I 型干扰素抗体是导致严重 COVID-19 的原因之一。
Pub Date : 2022-06-10 eCollection Date: 2022-01-01 DOI: 10.12703/r-01-0000010
David C Fajgenbaum, Adrian C Hayday, Angela J Rogers, Greg J Towers, Andreas Wack, Ivan Zanoni

COVID-19 ranges from asymptomatic through to respiratory failure and death. Although specific pre-existing conditions such as age and male sex have been associated with poor outcomes, we remain largely ignorant of the mechanisms predisposing to severe disease. In this study, the authors discovered that approximately 10% of 987 patients with life-threatening COVID-19 harbored neutralizing antibodies to Type I interferons (IFNs)1. They demonstrated that these antibodies could neutralize high concentrations of the corresponding IFN and could rescue SARS-CoV-2 infection from inhibition by IFN in vitro. Importantly, anti-IFN antibodies were associated with low levels of serum IFN. These observations suggest that disease severity in these individuals results from a failure to control SARS-CoV-2 replication because of antibody-mediated IFN inhibition. The study suggests specific treatments and diagnostics for this class of severe COVID-19.

COVID-19 的发病范围从无症状到呼吸衰竭和死亡。虽然年龄和男性等特定的先天条件与不良预后有关,但我们对导致严重疾病的机制仍然知之甚少。在这项研究中,作者发现,在 987 名危及生命的 COVID-19 患者中,约有 10%的患者体内含有 I 型干扰素(IFNs)1 的中和抗体。他们证明,这些抗体能中和高浓度的相应 IFN,并能在体外挽救 SARS-CoV-2 感染,使其免受 IFN 的抑制。重要的是,抗 IFN 抗体与低水平的血清 IFN 有关。这些观察结果表明,这些人的疾病严重程度是由于抗体介导的 IFN 抑制未能控制 SARS-CoV-2 复制所致。这项研究为这类严重的 COVID-19 提出了具体的治疗和诊断方法。
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引用次数: 0
Recent advances in connexin gap junction biology 连接蛋白间隙连接生物学研究进展
Pub Date : 2022-05-27 DOI: 10.12703/r/11-14
P. Lampe, D. Laird
Connexins are assembled into dodecamer intercellular channels, a collection of which is termed a gap junction, and their canonical function allowing direct exchange of ions and metabolites has been unequivocally established. When initially assembled into undocked cell surface connexin hemichannels, healthy cells may also engage in cell signaling via a regulated small-molecule release. Recent advances in the field have led to an expanded view of the functional roles of intercellular channels and hemichannels in both physiology and pathology. As more of the 21-member human connexin family is intensely interrogated, mounting evidence points to the biological uniqueness of each member, and no longer can we confidently refer to all connexins engaging in the same cellular processes. Innovations in high-resolution cryo-electron microscopy have revealed important insights into the structure of functionally important domains of both hemichannels and channels. These and other studies have established a foundation of knowledge that should allow inhibitory smart drug design for situations where enhanced intercellular or hemichannel activity is at the root of a connexin-linked disease. Assessment of the connexin interactome, which varies widely for each connexin subtype, continues to provide regulatory insights into the assembly and function of connexins that exhibit a short half-life. As the most intensely studied, Cx43 is found in about 50% of all human cell types and is extensively regulated by multiple inhibitory and enhancing phosphorylation events that have direct implications on tissue function and outcomes of disease, including cancer. Here, we briefly discuss these advances and give our thoughts on where the field is headed.
连接蛋白被组装成十二聚体细胞间通道,其集合被称为间隙连接,其允许离子和代谢物直接交换的经典功能已经明确确立。当最初组装成未对接的细胞表面连接蛋白半通道时,健康细胞也可以通过调节的小分子释放参与细胞信号传导。该领域的最新进展使人们对细胞间通道和半通道在生理学和病理学中的功能作用有了更广泛的认识。随着越来越多的21个成员的人类连接蛋白家族受到强烈质疑,越来越多的证据表明每个成员的生物学独特性,我们再也不能自信地提及参与相同细胞过程的所有连接蛋白。高分辨率冷冻电子显微镜的创新揭示了对半通道和通道功能重要结构域的重要见解。这些和其他研究已经奠定了知识基础,应该允许在细胞间或半通道活性增强是连接蛋白相关疾病根源的情况下设计抑制性智能药物。对连接蛋白相互作用组的评估,每种连接蛋白亚型差异很大,继续为显示短半衰期的连接蛋白的组装和功能提供调节见解。作为最深入的研究,Cx43在约50%的人类细胞类型中发现,并受到多种抑制和增强磷酸化事件的广泛调节,这些事件对组织功能和疾病(包括癌症)的结果具有直接影响。在这里,我们简要讨论了这些进展,并就该领域的发展方向提出了我们的想法。
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引用次数: 12
Dissecting cellular diversity of cortical GABAergic cells across multiple modalities: A turning point in neuronal taxonomy. 跨多种方式解剖皮层gaba能细胞的细胞多样性:神经元分类学的一个转折点。
Pub Date : 2022-05-11 eCollection Date: 2022-01-01 DOI: 10.12703/r-01-000009
Paola Arlotta, Fei Chen, Simona Lodato, Troy W Margrie, Tomasz J Nowakowski, Thoru Pederson, Beatriz Rico

Decoding the complexity of the brain requires an understanding of the architecture, function, and development of its neuronal circuits. Neuronal classifications that group neurons based on specific features/behaviors have become essential to further analyze the different subtypes in a systematic and reproducible way. A comprehensive taxonomic framework, accounting for multiple defining and quantitative features, will provide the reference to infer generalized rules for cells ascribed to the same neuronal type, and eventually predict cellular behaviors, even in the absence of experimental measures. Technologies that enable cell-type classification in the nervous system are rapidly evolving in scalability and resolution. While these approaches depict astonishing diversity in neuronal morphology, electrophysiology, and gene expression, a robust metric of the coherence between different profiling modalities leading to a unified classification is still largely missing. Focusing on GABAergic neurons of the cerebral cortex, Gouwens et al.1 pioneered the first integrated cell-type classification based on the simultaneous analysis of the transcriptional networks, the recording of intrinsic electrophysiological properties, and the reconstruction of 3D morphologies of the same cell. Their comprehensive and high-quality data provide a new framework to shed light on what may be considered a "neuronal cell type."

破解大脑的复杂性需要了解其神经元回路的结构、功能和发展。基于特定特征/行为对神经元进行分组的神经元分类已经成为以系统和可重复的方式进一步分析不同亚型的必要条件。一个综合的分类框架,考虑到多种定义和定量特征,将为推断属于同一神经元类型的细胞的广义规则提供参考,并最终预测细胞行为,即使没有实验测量。神经系统细胞类型分类的技术在可扩展性和分辨率方面正在迅速发展。虽然这些方法描述了神经元形态、电生理和基因表达方面惊人的多样性,但在很大程度上仍然缺乏不同分析模式之间一致性的可靠度量,从而导致统一的分类。Gouwens等人以大脑皮层的gabaergy神经元为研究对象,首创了基于同时分析转录网络、记录固有电生理特性和重建同一细胞的3D形态的综合细胞类型分类方法。他们的全面和高质量的数据提供了一个新的框架来阐明什么可能被认为是“神经元细胞类型”。
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引用次数: 0
ConducTORs of a Signaling Symphony: Metabolic and Hormone Responses Converge on TOR and EIN2 in plants. 信号交响乐的指挥者:植物的代谢和激素反应集中在TOR和EIN2上。
Pub Date : 2022-05-10 eCollection Date: 2022-01-01 DOI: 10.12703/r-01-000008
Jacob O Brunkard, Caren Chang, Bruce J Mayer, Christian Meyer, Jen Sheen

Development is coordinated by dozens of signals that act in overlapping pathways to orchestrate multicellular growth. Understanding how signaling pathways intersect and diverge at a molecular level is critical to predicting how organisms will react to dynamic environmental conditions. In plants, two antagonistic signaling hubs are strictly required to sense and respond to many nutrients and hormones: TARGET OF RAPAMYCIN (TOR) and ETHYLENE INSENSITIVE 2 (EIN2). In this Landmark report, Fu et al. discover that TOR and EIN2 directly interact to choreograph growth and define an unexpected molecular mechanism at the intersection of hormonal and metabolic signaling networks1.

发育是由几十个信号协调的,这些信号在重叠的途径中起作用,协调多细胞生长。了解信号通路如何在分子水平上相交和分化,对于预测生物体如何对动态环境条件作出反应至关重要。在植物中,两个拮抗信号中枢被严格要求来感知和响应许多营养物质和激素:雷帕霉素靶蛋白(TOR)和乙烯不敏感2 (EIN2)。在这篇具有里程碑意义的报告中,Fu等人发现TOR和EIN2直接相互作用来编排生长,并在激素和代谢信号网络的交叉点定义了一种意想不到的分子机制1。
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引用次数: 0
Scientists and journals must work together to protect the integrity of the scientific literature 科学家和期刊必须共同努力保护科学文献的完整性
Pub Date : 2022-05-10 DOI: 10.12703/r-01-0000011
B. Alberts, M. Robertson
The scientific literature has for some years reflected serious concerns over the irreproducibility of many published scientific results; yet the problem persists. We review here how the prevailing culture contributes to this problem and suggest what needs to change to address it. We build on the evaluation of Buonarati et al. (1) in (2) to illustrate some of the general concerns over current publishing practices – focusing on questionable incentives for authors, editors and publishers of research journals. We then suggest some ways that the integrity of the scientific literature might be strengthened.
几年来,科学文献反映了对许多已发表的科学成果不可复制性的严重关切;但问题依然存在。我们在这里回顾了主流文化是如何导致这个问题的,并提出了解决这个问题需要改变的地方。我们以Buonarati等人的评估为基础。(1)在(2)中阐述了对当前出版实践的一些普遍担忧,重点是对研究期刊的作者、编辑和出版商的可疑激励。然后,我们提出了一些加强科学文献完整性的方法。
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引用次数: 0
Recent advances in understanding/management of premenstrual dysphoric disorder/premenstrual syndrome 经前烦躁不安障碍/经前综合征的认识和治疗的最新进展
Pub Date : 2022-04-28 DOI: 10.12703/r/11-11
L. Tiranini, R. Nappi
Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) are common disorders of the luteal phase of the menstrual cycle and are characterized by moderate to severe physical, affective, or behavioral symptoms that impair daily activities and quality of life. PMS and PMDD have recently raised great interest in the research community for their considerable global prevalence. The etiology of PMS/PMDD is complex. Ovarian reproductive steroids (estradiol and progesterone) are considered pathogenetic effectors, but the key feature seems to be an altered sensitivity of the GABAergic central inhibitory system to allopregnanolone, a neurosteroid derived from progesterone produced after ovulation. Also, a reduced availability of serotonin seems to be involved. New insights point to a role for genetic and epigenetic modifications of hormonal and neurotransmitter pathways, and inflammation is the potential link between peripheral and neurological integrated responses to stressors. Thus, new therapeutic approaches to PMS/PMDD include inhibition of progesterone receptors in the brain (i.e., with ulipristal acetate), reduced conversion of progesterone to its metabolite allopregnanolone with dutasteride, and possible modulation of the action of allopregnanolone on the brain GABAergic system with sepranolone. Further research is needed to better understand the interaction between peripheral inflammatory molecules (cytokines, interleukins, C-reactive protein, and reactive oxygen species) and the brain neurotransmitter systems in women with PMS/PMDD. If confirmed, neuroinflammation could lead both to develop targeted anti-inflammatory therapies and to define prevention strategies for the associated chronic inflammatory risk in PMS/PMDD. Finally, the observed association between premenstrual disorders and psychological diseases may guide prompt and adequate interventions to achieve a better quality of life.
经前综合症(PMS)和经前烦躁不安障碍(PMDD)是月经周期黄体期常见的疾病,其特征是中度至重度身体、情感或行为症状,损害日常活动和生活质量。经前症候群和经前不悦症最近在研究界引起了极大的兴趣,因为它们在全球相当普遍。经前综合症/经前不悦症的病因是复杂的。卵巢生殖类固醇(雌二醇和黄体酮)被认为是致病效应物,但关键特征似乎是gaba能中枢抑制系统对异孕酮的敏感性改变,异孕酮是排卵后产生的黄体酮衍生的神经类固醇。此外,血清素的减少似乎也与此有关。新的见解指出了激素和神经递质通路的遗传和表观遗传修饰的作用,炎症是外周和神经系统对压力源的综合反应之间的潜在联系。因此,新的治疗PMS/PMDD的方法包括抑制大脑中的孕酮受体(即,用醋酸乌普利司妥),用杜他雄胺减少孕酮向其代谢物异孕酮的转化,以及用舍普诺酮可能调节异孕酮对脑gaba能系统的作用。需要进一步的研究来更好地了解外周炎症分子(细胞因子、白细胞介素、c反应蛋白和活性氧)与经前症候群/经前不悦症女性脑神经递质系统之间的相互作用。如果得到证实,神经炎症可能会导致开发靶向抗炎疗法,并确定PMS/PMDD相关慢性炎症风险的预防策略。最后,观察到的经前紊乱和心理疾病之间的联系可以指导及时和充分的干预措施,以实现更好的生活质量。
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引用次数: 18
Recent advances in understanding pancreatic cancer. 了解胰腺癌的最新进展
Pub Date : 2022-04-20 eCollection Date: 2022-01-01 DOI: 10.12703/r/11-9
Martyn C Stott, Lucy Oldfield, Jessica Hale, Eithne Costello, Christopher M Halloran

Pancreatic ductal adenocarcinoma (PDAC) is an intractable cancer and a leading cause of cancer deaths worldwide. Over 90% of patients die within 1 year of diagnosis. Deaths from PDAC are increasing and it remains a cancer of substantial unmet need. A number of factors contribute to its poor prognosis: namely, late presentation, early metastases and limited systemic therapy options because of chemoresistance. A variety of research approaches underway are aimed at improving patient survival. Here, we review high-risk groups and efforts for early detection. We examine recent developments in the understanding of complex molecular and metabolic alterations which accompany PDAC. We explore artificial intelligence and biological targets for therapy and examine the role of tumour stroma and the immune microenvironment. We also review recent developments with respect to the PDAC microbiome. It is hoped that current research efforts will translate into earlier diagnosis, improvements in treatment and better outcomes for patients.

胰腺导管腺癌(PDAC)是一种难治性癌症,也是全球癌症死亡的主要原因。超过90%的患者在诊断后1年内死亡。PDAC的死亡人数正在增加,它仍然是一种大量未满足需求的癌症。许多因素导致其预后不良:即,晚出现,早期转移和有限的全身治疗选择,因为化疗耐药。正在进行的各种研究方法都旨在提高患者的生存率。在这里,我们回顾了高危人群和早期发现的努力。我们研究了伴随PDAC的复杂分子和代谢改变的理解的最新发展。我们探索人工智能和治疗的生物靶点,并检查肿瘤基质和免疫微环境的作用。我们还回顾了PDAC微生物组的最新进展。希望目前的研究成果将转化为早期诊断,改善治疗和更好的结果。
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引用次数: 0
The contribution of bacteriophages to the aetiology and treatment of the bacterial vaginosis syndrome 噬菌体对细菌性阴道病综合征病因及治疗的贡献
Pub Date : 2022-04-19 DOI: 10.12703/r/11-8
Amaan Ali, J. S. Jørgensen, R. F. Lamont
Bacteriophages are obligate intracellular viruses that parasitize bacteria, making use of the host biosynthetic machinery. Bacterial vaginosis (BV) causes serious adverse sequelae, such as sexually transmitted infections, seroconversion to HIV positivity, and preterm birth. The aetiology of BV is multifactorial, and the vaginal microbiota, the response to antibiotics, and the phenotypic outcomes differ between cases. The choice of antibiotics to treat BV depends on the clinician’s personal experience, which contributes to the poor outcome of BV treatment and high recurrence rate. In this review, we classify BV into two subtypes based on whether or not the BV case is sexually associated (potentially phage-related). An appropriate antibiotic can be selected on the basis of this BV-typing to optimise the short- and long-term effects of treatment. Not all Lactobacillus spp. are helpful or protective and some may sequestrate metronidazole, which mitigates its therapeutic efficacy. Phages, used therapeutically, could contribute to eubiosis by sparing beneficial species of Lactobacilli. However, Lactobacilli have an important role in maintaining vaginal eubiosis, so conventional wisdom has been that treatment of BV may benefit from metronidazole that conserves lactobacilli rather than clindamycin, which destroys lactobacilli. Furthermore, if the quality and quantity of vaginal lactobacilli are compromised by phage colonisation, as in the sexually transmitted subtype, eradication of lactobacilli with clindamycin followed by replacement by probiotics may be better therapeutically than metronidazole and reduce recurrence rates. Accordingly, the subtype of BV may provide a more scientific approach to antibiotic selection, which is absent in current clinical guidelines. We provide support for the role of bacteriophages in the aetiology, recurrence or failure to cure BV following treatment, through parasitic colonisation of lactobacilli that may be sexually transmitted and may be enhanced by other risk factors like smoking, a factor associated with BV.
噬菌体是专性细胞内病毒,寄生在细菌上,利用宿主的生物合成机制。细菌性阴道病(BV)会引起严重的不良后遗症,如性传播感染、血清转化为HIV阳性和早产。细菌性阴道炎的病因是多因素的,阴道微生物群、对抗生素的反应和表型结果因病例而异。治疗细菌性阴道炎的抗生素选择取决于临床医生的个人经验,这导致细菌性阴道炎治疗效果差,复发率高。在这篇综述中,我们根据BV病例是否与性相关(可能与噬菌体相关)将BV分为两种亚型。可以根据这种细菌性病毒分型选择适当的抗生素,以优化治疗的短期和长期效果。并非所有的乳酸菌都有帮助或保护作用,有些乳酸菌可能会隔离甲硝唑,从而降低其治疗效果。用于治疗的噬菌体可以通过保留有益的乳酸菌种类来促进益生菌。然而,乳酸菌在维持阴道益生菌中起着重要作用,因此传统观点认为细菌性阴道炎的治疗可能受益于甲硝唑,甲硝唑可以保存乳酸菌,而克林霉素可以破坏乳酸菌。此外,如果阴道乳酸菌的质量和数量受到噬菌体定植的影响,如在性传播亚型中,用克林霉素根除乳酸菌,然后用益生菌替代,可能比甲硝唑治疗效果更好,并降低复发率。因此,BV亚型可能为目前临床指南中缺乏的抗生素选择提供更科学的方法。我们通过乳酸菌的寄生定植,为噬菌体在细菌性感染的病因学、复发或治疗后无法治愈提供了支持。乳酸菌的寄生定植可能是性传播的,也可能因吸烟等其他危险因素而增强,吸烟是细菌性感染的一个相关因素。
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引用次数: 3
Recent advances in understanding the roles of the enteric nervous system 了解肠神经系统作用的最新进展
Pub Date : 2022-03-24 DOI: 10.12703/r/11-7
A. Chanpong, O. Borrelli, N. Thapar
The enteric nervous system (ENS), the intrinsic innervation of the gastrointestinal (GI) tract, is a vast, mesh-like network of neurons and glia embedded within the bowel wall. Through its complex circuitry and neuronal diversity, the ENS is capable of functioning autonomously but is modulated by inputs from the central nervous system (CNS). The communication between the ENS and CNS is bidirectional and, together with crosstalk of these systems with microbiota housed within the GI tract, underpins the so-called microbiota-gut-brain axis. The ENS functions as a master regulator and coordinates many of the essential functions of the body, including GI motility, sensation and secretion. It is also capable of interacting with other cells, including intestinal epithelial, neuroendocrine and immune cells, to regulate their development as well as structural and functional integrity. Disruption of these ENS interactions, especially during early life, is likely to contribute to the aetiopathogenesis of disorders of the GI tract as well as elsewhere in the body, including neurodegenerative diseases. In this article, we highlight recent advances in our understanding of the roles of the ENS, especially in its complex and reciprocal interactions that influence GI motility, sensation, intestinal epithelial integrity, immunity and neuroendocrine function, particularly focusing on the influence of the ENS in early life and early life programming.
肠神经系统(ENS)是胃肠道的内在神经支配,是嵌入肠壁内的神经元和神经胶质的巨大网状网络。通过其复杂的电路和神经元多样性,ENS能够自主运作,但受到中枢神经系统(CNS)输入的调节。ENS和CNS之间的通信是双向的,再加上这些系统与胃肠道内微生物群的串扰,构成了所谓的微生物群-肠-脑轴。ENS作为主要调节因子,协调身体的许多基本功能,包括胃肠道运动、感觉和分泌。它还能够与其他细胞相互作用,包括肠上皮细胞、神经内分泌细胞和免疫细胞,以调节它们的发育以及结构和功能的完整性。这些ENS相互作用的破坏,特别是在生命早期,可能导致胃肠道和身体其他部位疾病的病因,包括神经退行性疾病。在这篇文章中,我们强调了我们对ENS作用的理解的最新进展,特别是在其影响胃肠道运动、感觉、肠上皮完整性、免疫和神经内分泌功能的复杂和相互作用中,特别是关注ENS在早期生活和早期生活规划中的影响。
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引用次数: 5
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