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Topical ATP Application in the Peripheral Swallowing-Related Regions Facilitates Triggering of the Swallowing Reflex Involving P2X3 Receptors. 外周吞咽相关区域局部应用ATP有助于触发涉及P2×3受体的吞咽反射。
IF 5.1 Q2 CELL BIOLOGY Pub Date : 2025-03-24 DOI: 10.1093/function/zqaf010
Mohammad Zakir Hossain, Hiroshi Ando, Rita Rani Roy, Junichi Kitagawa

The swallowing reflex is a critical component of the digestive process, triggered when food or liquids pass from the oral cavity to the oesophagus. Although adenosine triphosphate (ATP) is involved in various physiological processes, its potential to trigger the swallowing reflex has not been fully explored. This study investigated the ability of ATP to induce the swallowing reflex and examined the involvement of the purinoreceptor P2X3 in this process. We observed that the topical application of exogenous ATP to the superior laryngeal nerve (SLN)-innervated swallowing-related regions dose-dependently facilitated the triggering of the swallowing reflex. P2X3 receptors were predominantly localized on nerve fibres within these regions, including intraepithelial and subepithelial nerves and those associated with taste-bud-like structures. In the nodose-petrosal-jugular ganglionic complex, approximately 40% of retrogradely traced SLN-afferent neurons expressed P2X3, with 59% being medium-sized, 30% small, and 11% large. Prior topical application of a P2X3 antagonist in SLN-innervated, swallowing-related regions significantly reduced the number of ATP-induced swallowing reflexes. Furthermore, topical application of a P2X3 receptor agonist more selective than ATP facilitated reflex triggering in a dose-dependent manner. These findings suggest that exogenous ATP facilitates the triggering of the swallowing reflex through the activation of P2X3 receptors. This activation excites afferent neurons that supply peripheral swallowing-related regions, stimulating the swallowing central pattern generator to facilitate the reflex. The current findings suggest the therapeutic potential of ATP or P2X3 agonists for dysphagia treatment and provide valuable physiological insights into the involvement of purinergic signaling in triggering the swallowing reflex.

吞咽反射是消化过程的一个重要组成部分,当食物或液体从口腔进入食道时就会触发吞咽反射。虽然三磷酸腺苷(ATP)参与多种生理过程,但其引发吞咽反射的潜力尚未得到充分探讨。本研究探讨了ATP诱导吞咽反射的能力,并探讨了嘌呤受体P2×3在这一过程中的作用。我们观察到外源性ATP局部应用于喉上神经(SLN)支配的吞咽相关区域,剂量依赖性地促进了吞咽反射的触发。P2×3受体主要分布在这些区域的神经纤维上。在上皮内和上皮下神经以及提供味蕾样结构的神经中观察到P2×3的免疫反应性。在结节-石油-颈静脉神经节复合体中,P2×3受体存在于大约40%的逆行追踪的sln传入神经元的细胞体上。在这些P2×3-immunoreactive sln传入神经元中,约59%为中型,30%为小型,11%为大型。先前在sln神经支配的吞咽相关区域局部应用P2×3拮抗剂可显著减少atp诱导的吞咽反射的数量。此外,局部应用比ATP更具选择性的P2×3受体激动剂以剂量依赖的方式促进反射触发。这些发现表明,外源性ATP通过P2×3受体的激活促进了吞咽反射的触发。这种激活会刺激供应周围吞咽相关区域的传入神经元,刺激吞咽中枢模式发生器促进反射。目前的研究结果表明ATP或P2×3激动剂在吞咽困难治疗中的治疗潜力,并为嘌呤能信号在触发吞咽反射中的参与提供了有价值的生理学见解。
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引用次数: 0
APOE4 Exerts Partial Diet-dependent Effects on Energy Expenditure and Skeletal Muscle Mitochondrial Pathways in a Preclinical Model. APOE4在临床前模型中对能量消耗和骨骼肌线粒体通路施加部分饮食依赖性影响。
IF 5.1 Q2 CELL BIOLOGY Pub Date : 2025-03-24 DOI: 10.1093/function/zqaf017
Chelsea N Johnson, Colton R Lysaker, Elaine C Gast, Colin S McCoin, Riley E Kemna, Kelly N Z Fuller, Benjamin A Kugler, Edziu Franczak, Vivien Csikos, Julie Allen, Casey S John, MaryJane A Wolf, Matthew E Morris, John P Thyfault, Heather M Wilkins, Paige C Geiger, Jill K Morris

Apolipoprotein E4 (APOE4) is the greatest genetic risk factor for Alzheimer's (AD) and is linked to whole-body metabolic dysfunction. However, it is unclear how APOE4 interacts with modifiable factors like diet to impact tissues central to regulating whole-body metabolism. We examined APOE4- and Western diet-driven effects in skeletal muscle using APOE3 (control) and APOE4 targeted replacement mice on a C57BL/6NTac background fed a high-fat diet (HFD, 45% kcal fat) or low-fat diet (LFD, 10% kcal fat) for 4 months (n = 7-8 per genotype/diet/sex combination). We assessed body composition and whole-body outcomes linked to skeletal muscle function including respiratory exchange ratio (RER) and resting energy expenditure (REE). In skeletal muscle, we evaluated the proteome and mitochondrial respiration. In males only, APOE4 drove greater gains in fat mass and lower gains in lean mass on both diets. APOE4 did not affect daily RER but was associated with elevated REE in males and lower REE in HFD females after covarying for body composition. Skeletal muscle proteomics showed APOE4 exerts several diet- and sex-specific effects on mitochondrial pathways, including elevations in branched-chain amino catabolism in HFD males and reductions in oxidative phosphorylation in LFD females. This did not translate to differences in skeletal muscle mitochondrial respiration, suggesting that compensatory mechanisms may sustain mitochondrial function at this age. Our work indicates that genetic risk may mediate early life effects on skeletal muscle mitochondria and energy expenditure that are partially dependent on diet. This has important implications for mitigating ad risk in APOE4 carriers.

载脂蛋白E4 (APOE4)是阿尔茨海默病(AD)最大的遗传风险因素,与全身代谢功能障碍有关。然而,目前尚不清楚APOE4如何与饮食等可调节因素相互作用,从而影响调节全身代谢的组织。我们研究了APOE4和西方饮食驱动对骨骼肌的影响,使用APOE3(对照)和APOE4靶向替代C57BL/6NTac背景的小鼠,喂食高脂肪饮食(HFD, 45%千卡脂肪)或低脂肪饮食(LFD, 10%千卡脂肪)四个月(每个基因型/饮食/性别组合n=7-8)。我们评估了与骨骼肌功能相关的身体组成和全身结果,包括呼吸交换比(RER)和静息能量消耗(REE)。在骨骼肌中,我们评估了蛋白质组和线粒体呼吸。仅在男性中,APOE4在两种饮食中都导致了脂肪量的增加和瘦肉量的增加。APOE4不影响每日RER,但在共变身体组成后,与男性REE升高和高脂肪女性REE降低有关。骨骼肌蛋白质组学显示,APOE4对线粒体通路具有多种饮食和性别特异性影响,包括HFD男性支链氨基分解代谢的升高和LFD女性氧化磷酸化的降低。这并没有转化为骨骼肌线粒体呼吸的差异,这表明代偿机制可能在这个年龄维持线粒体功能。我们的工作表明,遗传风险可能介导早期生活对骨骼肌线粒体和能量消耗的影响,这些影响部分依赖于饮食。这对于降低APOE4携带者的AD风险具有重要意义。
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引用次数: 0
Mapping Organism-wide Single Cell mRNA Expression Linked to Extracellular Vesicle Biogenesis, Secretion, and Cargo. 绘制与细胞外囊泡生物发生、分泌和转运相关的全生物体单细胞mRNA表达图谱。
IF 3.8 Q2 CELL BIOLOGY Pub Date : 2025-03-24 DOI: 10.1093/function/zqaf005
Thomas J LaRocca, Daniel S Lark

Extracellular vesicles (EVs) are functional lipid-bound nanoparticles trafficked between cells and found in every biofluid. It is widely claimed that EVs can be secreted by every cell, but the quantity and composition of these EVs can differ greatly among cell types and tissues. Defining this heterogeneity has broad implications for EV-based communication in health and disease. Recent discoveries have linked single-cell EV secretion to the expression of genes encoding EV machinery and cargo. To gain insight at single-cell resolution across an entire organism, we compared the abundance, variance, and co-expression of 67 genes involved in EV biogenesis and secretion, or carried as cargo, across >44 000 cells obtained from 117 cell populations in the Tabula Muris. Our analysis provides both novel holistic and cell population-specific insight into EV biology. The highest overall expression of EV genes occurs in secretory cells of the pancreas and perhaps more surprisingly, multiple non-neuronal cell populations of the brain. We find that the most abundant EV genes encode the most abundant EV cargo proteins (tetraspanins and syndecans), but these genes are highly differentially expressed across functionally distinct cell populations. Expression variance identifies dynamic and constitutively expressed EV genes while co-expression analysis reveals novel insights into cell population-specific coordination of expression. Results of our analysis illustrate the diverse transcriptional regulation of EV genes which could be useful for predicting how individual cell populations might communicate via EVs to influence health and disease.

细胞外囊泡(EVs)是一种功能性脂质结合纳米颗粒,在细胞之间运输,存在于每种生物流体中。人们普遍认为,每个细胞都可以分泌ev,但这些ev的数量和组成在细胞类型和组织之间存在很大差异。定义这种异质性对基于ev的健康和疾病交流具有广泛意义。最近的发现将单细胞EV分泌与编码EV机制和货物的基因表达联系起来。为了深入了解整个生物体的单细胞分辨率,我们比较了从Tabula Muris的117个细胞群体中获得的44,000个细胞中67个参与EV生物发生和分泌或作为cargo携带的基因的丰度、变异和共表达。
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引用次数: 0
Depletion of Mitochondrial Cyclophilin D in Endothelial and Smooth Muscle Cells Attenuates Vascular Dysfunction and Hypertension. 内皮细胞和平滑肌细胞中线粒体CypD的减少可减轻血管功能障碍和高血压。
IF 5.1 Q2 CELL BIOLOGY Pub Date : 2025-03-24 DOI: 10.1093/function/zqaf006
Anna Dikalova, Mingfang Ao, Louise Lantier, Sergey Gutor, Sergey Dikalov

Hypertension is a major risk factor of cardiovascular disease affecting nearly half of adult population. It is associated with mitochondrial dysfunction and understanding these mechanisms is important to develop new therapies. Cyclophilin D (CypD) promotes mitochondrial swelling and dysfunction. The objective of this study is to test if CypD depletion attenuates vascular dysfunction and hypertension using endothelial and smooth muscle-specific CypD knockout mice in angiotensin II model of vascular dysfunction and hypertension. Our results show that depletion of endothelial CypD prevents angiotensin II-induced impairment of endothelial-dependent vasorelaxation, preserves endothelial nitric oxide and mitochondrial respiration, attenuates hypertension, vascular oxidative stress and vascular metabolic glycolytic-switch. Depletion of smooth muscle CypD slightly reduces angiotensin II-induced hypertension, protects vascular nitric oxide and vasorelaxation, decreases vascular superoxide, diminishes angiotensin II-induced vascular glycolysis, hypertrophy and fibrosis. These data suggest "metabolic" and "redox" crosstalk between endothelial and smooth muscle cells. Endothelial CypD depletion reduces not only endothelial glycolysis but also attenuates smooth muscle cell glycolytic switch. Smooth muscle CypD depletion reduced not only smooth muscle glycolysis, but it also attenuated endothelial glycolysis. Vascular oxidative stress was inhibited both in EcCypDKO and SmcCypDKO mice, therefore, cell-specific CypD depletion had "global" antioxidant effect in vasculature. Our results support a novel function of mitochondrial CypD in regulation of superoxide and metabolism in vascular smooth muscle and endothelial cells which affect endothelial barrier and smooth muscle vascular functions. We suggest that blocking vascular CypD reduces vascular oxidative stress, improves vascular metabolism and vascular function which may be beneficial in cardiovascular disease.

高血压是影响近一半成年人的心血管疾病的主要危险因素,但只有25%的患者血压得到控制。高血压与线粒体功能障碍有关;然而,其分子机制和致病作用尚不清楚。了解这些机制对于开发新疗法非常重要。亲环蛋白D (CypD)促进线粒体肿胀和功能障碍。本研究的目的是测试CypD消耗是否减轻血管功能障碍和高血压。为了验证这一假设,我们在血管紧张素II血管功能障碍和高血压模型中使用内皮特异性和平滑肌特异性CypD敲除小鼠。我们的研究结果表明,与野生型幼崽相比,内皮细胞CypD的消耗可以防止血管紧张素ii诱导的内皮依赖性血管舒张损伤,保持内皮细胞一氧化氮和线粒体呼吸,降低高血压、血管氧化应激和血管代谢糖酵解开关。平滑肌CypD的减少可轻微减轻血管紧张素ii诱导的高血压,部分减轻血管一氧化氮和血管松弛的减少,消除血管超氧化物的过量产生,减轻血管紧张素ii诱导的血管糖酵解、肥大和纤维化。我们的数据显示内皮细胞和平滑肌细胞之间存在有趣的“代谢”和“氧化还原”串扰。内皮细胞CypD的消耗不仅减少血管紧张素ii诱导的内皮糖酵解,而且减弱平滑肌细胞糖酵解开关。有趣的是,平滑肌CypD的消耗也不仅限于对平滑肌糖酵解的影响,而且还会减少内皮细胞糖酵解。在cypdko和SmcCypDKO小鼠中,血管氧化应激均受到抑制,因此,细胞特异性CypD缺失对整个血管系统具有“全局”抗氧化作用。我们的研究结果支持线粒体CypD在调节血管平滑肌和内皮细胞的超氧化物产生和代谢方面的新功能,从而影响内皮屏障和平滑肌血管功能。我们认为,阻断血管CypD可降低血管氧化应激,改善血管代谢和血管功能,可能对心血管疾病有益。
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引用次数: 0
STIMulating Salivary Glands. 刺激唾液腺。
IF 5.1 Q2 CELL BIOLOGY Pub Date : 2025-02-12 DOI: 10.1093/function/zqae055
Karla M Márquez-Nogueras, Ivana Y Kuo
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引用次数: 0
IK Channel Confers Fine-tuning of Rod Bipolar Cell Excitation and Synaptic Transmission in the Retina. IK通道赋予视网膜杆双极细胞兴奋和突触传递的微调。
IF 5.1 Q2 CELL BIOLOGY Pub Date : 2025-02-12 DOI: 10.1093/function/zqae054
Yong Soo Park, Ki-Wug Sung, In-Beom Kim

During retinal visual processing, rod bipolar cells (RBC) transfer scotopic signals from rods to AII amacrine cells as second-order neurons. Elucidation of the RBC's excitation/inhibition is essential for understanding the visual signal transmission. Excitation mechanisms via mGluR6 and voltage-gated Ca2+ channels in the RBCs and GABAergic inhibitory synaptic inputs have been studied in previous studies. However, its intrinsic inhibitory mechanisms like K+ and Cl- channels remain unclear. We focused on RBC's prominent K+ current, which exhibits voltage and Ca2+ dependence. We isolated and confirmed the expression of intermediate-conductance Ca2+-activated K+ channels (IK) in RBCs using the patch-clamp method with IK inhibitors (clotrimazole and TRAM34) and immunohistochemistry. The regulation of the IK channel primarily relies on Ca2+ influx via low-threshold Ca2+ channels during RBC's excitation. Additionally, IK mediates late repolarization and suppresses excessive oscillation of the membrane potential in the RBCs, enabling fast and transient synaptic transmission to AII amacrine cells. Our findings highlight the unique role of the IK channel in RBCs, suggesting that it plays a critical role in the scotopic pathway by fine-tuning RBC activity.

在视网膜视觉处理过程中,视杆双极细胞(rod bipolar cells, RBC)将视杆的暗位信号作为二级神经元传递给AII无突细胞。阐明红细胞的兴奋/抑制是理解视觉信号传递的必要条件。通过mGluR6和电压门控Ca2+通道在红细胞和gaba能抑制性突触输入中的激发机制已经在先前的研究中进行了研究。然而,其内在的抑制机制如K+和Cl-通道仍不清楚。我们专注于RBC突出的K+电流,它表现出电压和Ca2+依赖性。我们使用膜片钳法和K+抑制剂(克曲霉唑和TRAM34)和免疫组织化学分离并证实了红细胞中Ca2+活化K+通道(IK)的表达。在红细胞兴奋期间,IK通道的调节主要依赖于通过低阈值Ca2+通道的Ca2+内流。此外,IK介导晚期复极化,抑制红细胞膜电位的过度振荡,使快速和短暂的突触传递到AII无突细胞。我们的研究结果强调了IK通道在红细胞中的独特作用,表明它通过微调红细胞活性在暗沉通路中起关键作用。
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引用次数: 0
The Core Circadian Clock Factor, Bmal1, Transduces Sex-specific Differences in Both Rhythmic and Nonrhythmic Gene Expression in the Mouse Heart. 核心生物钟因子Bmal1在小鼠心脏中介导节律性和非节律性基因表达的性别特异性差异。
IF 5.1 Q2 CELL BIOLOGY Pub Date : 2025-02-12 DOI: 10.1093/function/zqae053
Xiping Zhang, Spencer B Procopio, Haocheng Ding, Maya G Semel, Elizabeth A Schroder, Mark R Viggars, Tanya S Seward, Ping Du, Kevin Wu, Sidney R Johnson, Abhilash Prabhat, David J Schneider, Isabel G Stumpf, Ezekiel R Rozmus, Zhiguang Huo, Brian P Delisle, Karyn A Esser

It has been well established that cardiovascular diseases exhibit significant differences between sexes in both preclinical models and humans. In addition, there is growing recognition that disrupted circadian rhythms can contribute to the onset and progression of cardiovascular diseases. However, little is known about sex differences between the cardiac circadian clock and circadian transcriptomes in mice. Here, we show that the core clock genes are expressed in common in both sexes, but the cardiac circadian transcriptome is very sex-specific. Hearts from female mice expressed significantly more rhythmically expressed genes (REGs) than male hearts, and the temporal distribution of REGs was distinctly different between sexes. To test the contribution of the circadian clock in sex-specific gene expression in the heart, we knocked out the core circadian clock factor Bmal1 in adult cardiomyocytes. The sex differences in the circadian transcriptomes were significantly diminished with cardiomyocyte-specific loss of Bmal1. Surprisingly, loss of cardiomyocyte Bmal1 also resulted in a roughly 8-fold reduction in the number of all differentially expressed genes between male and female hearts. We highlight sex-specific changes in several cardiac-specific transcription factors, including Gata4, Nkx2-5, and Tbx5. While there is still much to learn, we conclude that cardiomyocyte-specific Bmal1 is vital in conferring sex-specific gene expression in the adult mouse heart.

已经确定的是,心血管疾病在临床前模型和人类中都表现出显著的性别差异。此外,越来越多的人认识到,昼夜节律紊乱可能导致心血管疾病的发生和进展。然而,对于小鼠心脏生物钟和昼夜节律转录组之间的性别差异知之甚少。在这里,我们发现核心时钟基因在两性中是共同表达的,但心脏昼夜节律转录组是非常性别特异性的。雌性小鼠的心脏节律表达基因(REGs)明显多于雄性小鼠,且REGs的时间分布在两性之间存在明显差异。为了测试生物钟在心脏性别特异性基因表达中的作用,我们敲除了成人心肌细胞中的核心生物钟因子Bmal1。随着心肌细胞特异性Bmal1的缺失,昼夜节律转录组的性别差异显著降低。令人惊讶的是,心肌细胞Bmal1的缺失也导致男性和女性心脏之间所有差异表达基因(deg)的数量减少了大约8倍。我们强调了几种心脏特异性转录因子的性别特异性变化,包括Gata4, Nkx2-5和Tbx5。虽然还有很多需要了解,但我们得出结论,心肌细胞特异性Bmal1在赋予成年小鼠心脏性别特异性基因表达方面至关重要。
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引用次数: 0
BMAL1 is a Critical Regulator of Sex-Specific Gene Expression in the Heart. BMAL1是心脏性别特异性基因表达的关键调控因子。
IF 5.1 Q2 CELL BIOLOGY Pub Date : 2025-02-12 DOI: 10.1093/function/zqaf004
Pieterjan Dierickx
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引用次数: 0
Signal Transduction Pathway Mediating Carotid Body Dependent Sympathetic Activation and Hypertension by Chronic Intermittent Hypoxia. 慢性间歇性缺氧介导颈动脉体依赖性交感神经激活和高血压的信号转导通路。
IF 5.1 Q2 CELL BIOLOGY Pub Date : 2025-02-12 DOI: 10.1093/function/zqaf003
Ying-Jie Peng, Jayasri Nanduri, Ning Wang, Xiaoyu Su, Matthew Hildreth, Nanduri R Prabhakar

Patients with obstructive sleep apnea (OSA) experience chronic intermittent hypoxia (CIH). OSA patients and CIH-treated rodents exhibit overactive sympathetic nervous system and hypertension, mediated through hyperactive carotid body (CB) chemoreflex. Activation of olfactory receptor 78 (Olfr78) by hydrogen sulfide (H2S) is implicated in CB activation and sympathetic nerve responses to CIH, but the downstream signaling pathways remain unknown. Given that odorant receptor signaling is coupled to adenylyl cyclase 3 (Adcy3), we hypothesized that Adcy3-dependent cyclic adenosine monophosphate (cAMP) contributes to CB and sympathetic responses to CIH. Our findings show that CIH increases cAMP levels in the CB, a response absent in Adcy3, Cth (encoding CSE), and Olfr78 null mice. CBs from Cth and Olfr78 mutant mice lacked a persulfidation response to CIH, indicating that Adcy3 activation requires Olfr78 activation by H2S in CIH. CIH also enhanced glomus cell Ca2+ influx, an effect absent in Cnga2 (encoding cyclic nucleotide-gated channel alpha2 subunit) and Adcy3 mutants, suggesting that CIH-induced cAMP mediates enhanced Ca2+ responses through cyclic nucleotide-gated channels. Furthermore, Adcy3 null mice did not exhibit either CB activation or sympathetic activation by CIH. These results demonstrate that Adcy3-dependent cAMP is a downstream signaling pathway to H2S/Olfr78, mediating CIH-induced CB activation, sympathetic activity and hypertension.

阻塞性睡眠呼吸暂停(OSA)患者经历慢性间歇性缺氧(CIH)。OSA患者和经cih治疗的啮齿动物表现出交感神经系统过度活跃和高血压,这是通过颈动脉体(CB)化学反射过度活跃介导的。硫化氢(H2S)激活嗅觉受体78 (Olfr78)与cbb激活和交感神经对CIH的反应有关,但下游信号通路尚不清楚。鉴于气味受体信号与腺苷酸环化酶3 (Adcy3)偶联,我们假设Adcy3依赖性cAMP有助于对CIH的CB和交感反应。我们的研究结果表明,CIH增加了CB中的cAMP水平,而在Adcy3、Cth(编码CSE)和Olfr78缺失的小鼠中没有这种反应。来自Cth和Olfr78突变小鼠的CBs对CIH缺乏过硫化反应,表明Adcy3的激活需要H2S激活CIH中的Olfr78。CIH还增强了球囊细胞Ca2+内流,而在Cnga2(编码环核苷酸门控通道alpha2亚基)和Adcy3突变体中没有这种作用,这表明CIH诱导的cAMP通过环核苷酸门控通道介导Ca2+反应的增强。此外,Adcy3缺失小鼠既没有cb激活,也没有CIH激活交感神经。这些结果表明,adcy3依赖性cAMP是H2S/Olfr78的下游信号通路,介导cih诱导的CB激活、交感神经活动和高血压。新的和值得注意的是:目前的研究表明,睡眠呼吸暂停期间血氧水平后的慢性间歇性缺氧模式激活颈动脉体中的腺苷酸环化酶3,涉及H2S通过过硫化激活嗅觉受体78 (Olfr78)。随后过度活跃的颈动脉体化学反射激活交感神经系统,导致高血压。
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引用次数: 0
Molecular and Functional Characterization of the Peritoneal Mesothelium, a Barrier for Solute Transport. 作为溶质运输屏障的腹膜间皮的分子和功能表征。
IF 5.1 Q2 CELL BIOLOGY Pub Date : 2025-02-12 DOI: 10.1093/function/zqae051
Iva Marinovic, Maria Bartosova, Eszter Levai, Rebecca Herzog, Arslan Saleem, Zhiwei Du, Conghui Zhang, Juan Manuel Sacnun, Eleanna Pitaraki, Sotirios Sinis, Ivan Damgov, Damir Krunic, Trim Lajqi, Mohammed Al-Saeedi, J Attila Szabo, Michael Hausmann, Domonkos Pap, Klaus Kratochwill, Susanne M Krug, Sotirios G Zarogiannis, Claus Peter Schmitt

Peritoneal dialysis (PD) is an increasingly needed, life-maintaining kidney replacement therapy; efficient solute transport is critical for patient outcome. While the role of peritoneal perfusion on solute transport in PD has been described, the role of cellular barriers is uncertain, the mesothelium has been considered irrelevant. We calculated peritoneal blood microvascular endothelial surface area (BESA) to mesothelial surface area (MSA) ratio in human peritonea in health, chronic kidney disease, and on PD, and performed molecular transport related gene profiling and single molecule localization microscopy in two mesothelial (MC) and two endothelial cell lines (EC). Molecular-weight dependent transport was studied in-vitro, ex-vivo and in mice. Peritoneal BESA is 1-3-fold higher than MSA across age groups, and increases with PD, while the mesothelium is preserved during the first 2 years of PD. Tight junction, transmembrane and transcytotic transporter expression are cell-type specifically expressed. At nanoscale, tight junction anchoring protein Zonula occludens-1 is more abundant and more continuously expressed along the MC than the EC. Ionic conductance is 3-fold lower across the MC than human microvascular EC, as is the permeability for creatinine, 4- and 10-kDa, but not for 70-kDa dextran. MC removal from sheep peritoneum abolishes ionic barrier function. Short term intraperitoneal LPS exposure in mice selectively affects peritoneal mesothelial integrity and increases transperitoneal solute transport. We provide molecular correlates and consistent functional evidence for the mesothelium as a barrier for peritoneal solute transport, ie, essential information on peritoneal transport modeling, and for interventions to improve PD efficiency and biocompatibility, and beyond.

腹膜透析(PD)是一种越来越需要的维持生命的肾脏替代疗法;有效的溶质转运对患者的预后至关重要。虽然已经描述了腹膜灌注对PD中溶质转运的作用,但细胞屏障的作用尚不确定,间皮被认为是无关紧要的。我们计算了健康人、慢性肾脏病人和PD患者腹膜中微血管内皮(BESA)与间皮表面积(MSA)的比值,并对两种间皮细胞系(MC)和两种内皮细胞系(EC)进行了分子转运相关基因谱分析和单分子定位显微镜检查。在体外、离体和小鼠体内研究了分子量依赖性转运。不同年龄组的腹膜BESA比MSA高1-3倍,并且随着PD的增加而增加,而间皮在PD的前两年被保留。紧密连接、跨膜和跨细胞转运蛋白表达是细胞型特异性表达。在纳米尺度上,紧密连接锚定蛋白Zonula occludens-1比EC更丰富,更连续地沿着MC表达。MC的离子电导率比人体微血管EC低3倍,肌酸酐、4- kda和10-kDa的渗透性也是如此,而70-kDa的葡聚糖则没有。从绵羊腹膜去除MC可消除离子屏障功能。小鼠腹腔内短期LPS暴露选择性地影响腹膜间皮完整性并增加经腹膜溶质运输。我们提供了间皮作为腹膜溶质运输屏障的分子相关性和一致的功能证据,即腹膜运输模型的基本信息,以及提高PD效率和生物相容性的干预措施等。
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