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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
Ca2+ regulation of constitutive vesicle trafficking. Ca2+对组成型囊泡运输的调节
Pub Date : 2022-03-09 eCollection Date: 2022-01-01 DOI: 10.12703/r/11-6
John Sargeant, Jesse C Hay

Constitutive vesicle trafficking is the default pathway used by all cells for movement of intracellular cargoes between subcellular compartments and in and out of the cell. Classically, constitutive trafficking was thought to be continuous and unregulated, in contrast to regulated secretion, wherein vesicles are stored intracellularly until undergoing synchronous membrane fusion following a Ca2+ signal. However, as shown in the literature reviewed here, many continuous trafficking steps can be up- or down-regulated by Ca2+, including several steps associated with human pathologies. Notably, we describe a series of Ca2+ pumps, channels, Ca2+-binding effector proteins, and their trafficking machinery targets that together regulate the flux of cargo in response to genetic alterations as well as baseline and agonist-dependent Ca2+ signals. Here, we review the most recent advances, organized by organellar location, that establish the importance of these components in trafficking steps. Ultimately, we conclude that Ca2+ regulates an expanding series of distinct mechanistic steps. Furthermore, the involvement of Ca2+ in trafficking is complex. For example, in some cases, the same Ca2+ effectors regulate surprisingly distinct trafficking steps, or even the same trafficking step with opposing influences, through binding to different target proteins.

组成性囊泡运输是所有细胞用于亚细胞区室之间以及进出细胞的细胞内货物运动的默认途径。传统上,组成型运输被认为是连续的和不受调节的,与受调节的分泌相反,其中囊泡在细胞内储存,直到在Ca2+信号后进行同步膜融合。然而,如本文综述的文献所示,许多连续的运输步骤可以被Ca2+上调或下调,包括与人类病理相关的几个步骤。值得注意的是,我们描述了一系列Ca2+泵、通道、Ca2+结合效应蛋白及其运输机制靶点,它们共同调节货物的流量,以响应基因改变以及基线和激动剂依赖性Ca2+信号。在这里,我们回顾了按组织位置组织的最新进展,这些进展确定了这些组成部分在贩运步骤中的重要性。最终,我们得出结论,Ca2+调节一系列不同的机制步骤。此外,Ca2+参与运输是复杂的。例如,在某些情况下,相同的Ca2+效应物通过与不同的靶蛋白结合,调节令人惊讶的不同运输步骤,甚至具有相反影响的相同运输步骤。
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引用次数: 0
We know CBT-I works, now what? 我们知道 CBT-I 有效,现在怎么办?
Pub Date : 2022-02-01 eCollection Date: 2022-01-01 DOI: 10.12703/r/11-4
Alexandria Muench, Ivan Vargas, Michael A Grandner, Jason G Ellis, Donn Posner, Célyne H Bastien, Sean Pa Drummond, Michael L Perlis

Cognitive behavioral therapy for insomnia (CBT-I) has been shown to be efficacious and now is considered the first-line treatment for insomnia for both uncomplicated insomnia and insomnia that occurs comorbidly with other chronic disorders (comorbid insomnia). The purposes of this review are to provide a comprehensive summary of the efficacy data (for example, efficacy overall and by clinical and demographic considerations and by CBT-I formulation) and to discuss the future of CBT-I (for example, what next steps should be taken in terms of research, dissemination, implementation, and practice).

失眠认知行为疗法(CBT-I)已被证明具有疗效,目前被认为是治疗无并发症失眠和合并其他慢性疾病失眠(合并失眠)的一线疗法。本综述的目的是全面总结疗效数据(例如,总体疗效、按临床和人口统计学考虑因素以及按 CBT-I 配方划分的疗效),并讨论 CBT-I 的未来(例如,在研究、传播、实施和实践方面应采取哪些下一步措施)。
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引用次数: 0
Origin of eukaryotes: What can be learned from the first successfully isolated Asgard archaeon. 真核生物的起源:从第一个成功分离的阿斯加德古菌中可以学到什么?
Pub Date : 2022-01-27 eCollection Date: 2022-01-01 DOI: 10.12703/r-01-000005
Sonja Albers, Jonathan Ashmore, Thomas Pollard, Anja Spang, Jizhong Zhou

The origin of cellular complexity characterizing eukaryotic cells remains a central unresolved issue in the study of diversification of cellular life on Earth. The isolation by Imachi et al.1 of a member of the Asgard archaea2 - a contemporary relative of organisms thought to have given rise to eukaryotic cells about 2 billion years ago - now promises new insight. The complete genome sequence of the isolated Lokiarchaeum strain confirms that the eukaryotic signature proteins (ESPs) previously identified in the Lokiarchaeota3 and other Asgard archaea2 are indeed encoded by these archaeal genomes and do not represent contamination from eukaryotes. These ESPs encode homologs of eukaryotic actins, small GTPases and the ESCRT complex proteins and are required for the functioning of complex eukaryotic cells. The new, slowly growing, anaerobic laboratory strain allows a first direct look at these organisms and provides key insights into the morphology and metabolism of an Asgard archaeal organism. The work has provided valuable information for other laboratories that aim to isolate and characterize related organisms from other environments.

真核细胞细胞复杂性的起源仍然是地球上细胞生命多样化研究中一个悬而未决的中心问题。Imachi等人1从阿斯加德古细菌中分离出一名成员——一种被认为在大约20亿年前产生真核细胞的生物体的当代亲戚——现在有望带来新的见解。分离的Lokiarchaeum菌株的全基因组序列证实,先前在Lokiarchaeota3和其他Asgard古细菌a2中发现的真核特征蛋白(ESPs)确实是由这些古细菌基因组编码的,并不代表真核生物的污染。这些ESPs编码真核生物肌动蛋白、小gtpase和ESCRT复合蛋白的同源物,是复杂真核细胞功能所必需的。新的,缓慢生长的厌氧实验室菌株允许第一次直接观察这些生物,并提供了对阿斯加德古菌生物形态和代谢的关键见解。这项工作为其他旨在从其他环境中分离和表征相关生物的实验室提供了有价值的信息。
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引用次数: 1
Emergence of epidemic diseases: zoonoses and other origins. 流行病的出现:人畜共患病和其他起源。
Pub Date : 2022-01-18 eCollection Date: 2022-01-01 DOI: 10.12703/r/11-2
Robin A Weiss, Neeraja Sankaran

Infectious diseases emerge via many routes and may need to overcome stepwise bottlenecks to burgeon into epidemics and pandemics. About 60% of human infections have animal origins, whereas 40% either co-evolved with humans or emerged from non-zoonotic environmental sources. Although the dynamic interaction between wildlife, domestic animals, and humans is important for the surveillance of zoonotic potential, exotic origins tend to be overemphasized since many zoonoses come from anthropophilic wild species (for example, rats and bats). We examine the equivocal evidence of whether the appearance of novel infections is accelerating and relate technological developments to the risk of novel disease outbreaks. Then we briefly compare selected epidemics, ancient and modern, from the Plague of Athens to COVID-19.

传染病通过多种途径出现,可能需要逐步克服瓶颈,才能发展成流行病和流行病。大约60%的人类感染源于动物,而40%的感染源于与人类共同进化或非人畜共患环境。尽管野生动物、家畜和人类之间的动态互动对于监测人畜共患潜力很重要,但由于许多人畜共患病来自亲人类的野生物种(例如老鼠和蝙蝠),因此往往过于强调外来起源。我们研究了新感染的出现是否正在加速的模棱两可的证据,并将技术发展与新疾病爆发的风险联系起来。然后,我们简要比较了从雅典瘟疫到新冠肺炎的古代和现代流行病。
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引用次数: 10
Advances in hair growth. 头发生长的进展。
Pub Date : 2022-01-12 eCollection Date: 2022-01-01 DOI: 10.12703/r/11-1
Dmitri Wall, Nekma Meah, Nicole Fagan, Katherine York, Rodney Sinclair

Hair is a deeply rooted component of identity and culture. Recent articles in this series have focused on scientific evidence relating to hair growth and new insights into the pathogenesis and mechanism of hair loss. This article reviews emerging evidence that has advanced our understanding of hair growth in both of these areas to provide a context for outlining current and emerging therapies. These include finasteride, minoxidil, topical prostaglandins, natural supplements, microneedling, low-level laser light, platelet-rich plasma, fractional lasers, cellular therapy, Wnt activators and SFRP1 antagonism.

头发是身份和文化的一个根深蒂固的组成部分。本系列最近的文章集中在有关头发生长的科学证据和对脱发的发病机制和机制的新见解。这篇文章回顾了新出现的证据,这些证据提高了我们对这两个领域头发生长的理解,为概述当前和新兴的治疗方法提供了一个背景。这些药物包括非那雄胺、米诺地尔、外用前列腺素、天然补充剂、微针、低水平激光、富血小板血浆、分数激光、细胞治疗、Wnt激活剂和SFRP1拮抗剂。
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引用次数: 13
Brief considerations on targeting RNA with small molecules. 小分子靶向RNA的简要思考。
Pub Date : 2022-01-01 DOI: 10.12703/r/11-39
Quentin Vicens, Eric Westhof

For more than three decades, RNA has been known to be a relevant and attractive macromolecule to target but figuring out which RNA should be targeted and how remains challenging. Recent years have seen the confluence of approaches for screening, drug optimization, and target validation that have led to the approval of a few RNA-targeting therapeutics for clinical applications. This focused perspective aims to highlight - but not exhaustively review - key factors accounting for these successes while pointing at crucial aspects worth considering for further breakthroughs.

三十多年来,RNA一直被认为是一种相关的、有吸引力的大分子靶标,但弄清楚应该靶向哪种RNA以及如何靶向仍然具有挑战性。近年来,筛选、药物优化和靶标验证方法的融合已经导致一些rna靶向治疗方法被批准用于临床应用。这种聚焦的视角旨在强调——但不是详尽地回顾——促成这些成功的关键因素,同时指出值得考虑进一步突破的关键方面。
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引用次数: 1
Insects Co-opt Host Genes to Overcome Plant Defences. 昆虫利用寄主基因克服植物防御。
Pub Date : 2022-01-01 DOI: 10.12703/r-01-000007
O. Edwards, G. Jander, H. Ochman, R. Schuurink, Karam B. Singh
Insect pests of plants, such as whiteflies, cause immense economic damage both through direct feeding and by transmitting viruses. In a major breakthrough, a paper by Xia et al.1 shows that some whiteflies have co-opted a gene from their plant host that has helped them neutralize a key component of the plant's defense. Plants produce a range of toxins as part of their defense against insect predation, and Xia et al. 1 show that, through a horizontal gene transfer (HGT) event from plant to insect, some whiteflies have acquired a gene whose original function was to protect the plants themselves from such damaging toxins through chemical modification that converts them to less harmful forms. Targeting of this gene in whiteflies using RNAi technology provided effective resistance in this ground-breaking study, which should lead others interested in crop protection to explore genes that have been transferred from plants to insects.
植物害虫,如白蝇,通过直接取食和传播病毒造成巨大的经济损失。在一项重大突破中,Xia等人发表的一篇论文1表明,一些白蝇从它们的植物宿主那里吸收了一种基因,这种基因帮助它们中和了植物防御的一个关键成分。植物产生一系列毒素作为它们防御昆虫捕食的一部分,Xia等人1表明,通过从植物到昆虫的水平基因转移(HGT)事件,一些白蝇获得了一种基因,其原始功能是通过化学修饰将这些毒素转化为危害较小的形式来保护植物自身免受这些有害毒素的侵害。在这项突破性的研究中,利用RNAi技术在白蝇中定位该基因提供了有效的抗性,这应该会引导其他对作物保护感兴趣的人探索从植物转移到昆虫的基因。
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引用次数: 0
Building synapses: Using a synthetic approach to bridge synaptic membranes. 构建突触:使用合成方法桥接突触膜。
Pub Date : 2022-01-01 DOI: 10.12703/r-01-0000017
Christina K Kim, Alex L Kolodkin, Kang Shen, Garret D Stuber

Synapses are specialized cellular junctions essential for communication between neurons. Synapse loss occurs in many neurodegenerative diseases. Harnessing our molecular knowledge of the development and maintenance of synapses, Suzuki et al. present the first comprehensive attempt to use a synthetic protein to bridge the pre- and postsynaptic membranes1. They show that this powerful approach can stimulate the formation of pre- and postsynaptic specializations in vitro, rescue synaptic deficits of mutant mice in vivo, and ameliorate synapse loss and behavioral abnormalities in both Alzheimer's disease and spinal cord injury mouse models.

突触是神经元间通讯所必需的特化细胞连接。突触丢失发生在许多神经退行性疾病中。利用我们对突触发育和维持的分子知识,Suzuki等人首次全面尝试使用合成蛋白来连接突触前和突触后膜1。他们表明,这种强大的方法可以在体外刺激突触前和突触后特化的形成,在体内拯救突变小鼠的突触缺陷,并改善阿尔茨海默病和脊髓损伤小鼠模型中的突触丧失和行为异常。
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引用次数: 0
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