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Discovery of a novel tetrapeptide as glucose homeostasis modulator with bifunctionalities of targeting DPP-IV and microbiota 发现一种新的四肽作为葡萄糖稳态调节剂,具有靶向DPP-IV和微生物群的双重功能
IF 23.7 Q1 MICROBIOLOGY Pub Date : 2025-08-11 DOI: 10.1002/imt2.70072
Haihong Chen, Wei Li, Wei Hu, Junyu Liu, Canyang Zhang, Yi Wang, Chong Zhang, Xizhen Zhang, Shuo Chen, Qixing Nie, Xinhui Xing

AI-driven and computation-based high-throughput methods were developed to mine novel dipeptidyl peptidase IV (DPP-IV) inhibitory peptides from hemp seed proteins. The identified peptide VAMP demonstrates a glucose-lowering effect through dual mechanisms: inhibition of DPP-IV activity and selective promotion of intestinal Akkermansia muciniphila growth.

开发了基于人工智能和计算的高通量方法,从大麻籽蛋白中提取新型二肽基肽酶IV (DPP-IV)抑制肽。所鉴定的肽VAMP通过抑制DPP-IV活性和选择性促进肠道嗜黏液阿克曼氏菌生长的双重机制显示出降血糖作用。
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引用次数: 0
RRM2-targeted nanocarrier enhances radiofrequency ablation efficacy in hepatocellular carcinoma through ferroptosis amplification and immune remodeling rrm2靶向纳米载体通过上落铁扩增和免疫重塑增强肝癌射频消融疗效
IF 23.7 Q1 MICROBIOLOGY Pub Date : 2025-08-06 DOI: 10.1002/imt2.70067
Weiliang Hou, Weifeng Hong, Songhua Cai, Dandan Guo, Zhiping Yan, Jinyu Zhu, Yang Shen, Juncheng Wan, Xudong Qu, Wen Zhang, Runkang Zhao, Zhao Xie, Zhongji Chen, Tong Jiang, Yaling Lin, Wenlong Jia, Ling Wang, Zhao Huang, Xuexin Li, Bufu Tang

Hepatocellular carcinoma (HCC) is associated with high mortality rates despite the widespread application of radiofrequency ablation (RFA), which has limited therapeutic efficacy as a monotherapy. This study investigated ribonucleotide reductase M2 (RRM2) upregulation in post-RFA HCC tissues and developed a targeted nanoco-delivery system (red blood cell membrane/cRGD-modified pH-sensitive liposomes [sS@RBCM/cRGD-phLips]) to increase RFA efficacy through specific RRM2 knockout. RRM2 knockout synergistically amplified RFA-induced tumor cell death by promoting ferroptosis and immunogenic cell death. Mechanistically, RRM2 knockout upregulated the STAT1–IRF1–ACSL4 axis, which potentiated lipid peroxidation and ferroptosis. Furthermore, the nanocarrier system enhanced dendritic cell maturation and cytotoxic T cell infiltration, thereby remodeling the tumor immune microenvironment. In vivo experiments revealed that the combination of RFA and RRM2-targeted nanoparticles significantly suppressed tumor growth and prolonged survival in HCC-bearing mice with minimal systemic toxicity. Notably, the dual-loaded nanoparticles also enhanced the efficacy of anti-programmed cell death protein 1 therapy, suggesting a promising combinatorial approach for HCC treatment. This study presents a novel therapeutic strategy that integrates RRM2-targeted gene editing with RFA, offering a robust and synergistic approach for improving HCC outcomes.

尽管射频消融术(RFA)广泛应用于肝细胞癌(HCC),但其作为单一疗法的治疗效果有限,但仍与高死亡率相关。本研究研究了RFA后HCC组织中核糖核苷酸还原酶M2 (RRM2)的上调,并开发了一种靶向纳米共递送系统(红细胞膜/ crgd修饰的ph敏感脂质体[sS@RBCM/cRGD-phLips]),通过特异性敲除RRM2来提高RFA疗效。RRM2敲除通过促进铁凋亡和免疫原性细胞死亡,协同放大rfa诱导的肿瘤细胞死亡。机制上,RRM2敲除上调STAT1-IRF1-ACSL4轴,从而增强脂质过氧化和铁凋亡。此外,纳米载体系统促进树突状细胞成熟和细胞毒性T细胞浸润,从而重塑肿瘤免疫微环境。体内实验显示,RFA和rrm2靶向纳米颗粒联合使用可显著抑制肝癌小鼠的肿瘤生长,延长生存期,且系统毒性最小。值得注意的是,双负载纳米颗粒还增强了抗程序性细胞死亡蛋白1治疗的疗效,这表明HCC治疗的联合方法很有前景。本研究提出了一种新的治疗策略,将rrm2靶向基因编辑与RFA相结合,为改善HCC预后提供了一种强大的协同方法。
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引用次数: 0
Functional metagenomics reveals novel antibiotic resistomes in polar soils 功能宏基因组学揭示极地土壤中新的抗生素抗性组
IF 23.7 Q1 MICROBIOLOGY Pub Date : 2025-08-03 DOI: 10.1002/imt2.70069
Xiuqin Xie, Weibin Cheng, Zhaohong Li, Rong He, Ke Yuan, Qinghua Zhang, Ruiqiang Yang, LiLi Ming, Ke Yu, Tiangang Luan, Baowei Chen

Using a robust functional metagenomics approach, we demonstrated that polar environments are important reservoirs of novel antibiotic resistance genes (ARGs). DNA was initially extracted from cultured bacterial consortia in the polar soils and recombined into plasmid vectors and then transformed into Escherichia coli (E. coli) for the subsequent screening of antibiotic resistance. Consequently, we identified 671 novel polar ARGs with experimentally verified resistance against multiple clinical antibiotics (cefotaxime, folate synthesis inhibitors, and clindamycin). Bioinformatics analysis revealed that novel polar ARGs had limited mobility and dissemination potential and were seldom carried by human bacterial pathogens. Overall, this study offers a comprehensive perspective on previously overlooked novel ARGs in polar regions, advancing our understanding of environmental resistomes.

利用强大的功能宏基因组学方法,我们证明了极地环境是新型抗生素耐药基因(ARGs)的重要储存库。首先从极地土壤中培养的细菌群落中提取DNA,重组成质粒载体,然后转化为大肠杆菌,用于随后的抗生素耐药性筛选。因此,我们鉴定出671种新型极性ARGs,实验证实它们对多种临床抗生素(头孢噻肟、叶酸合成抑制剂和克林霉素)具有耐药性。生物信息学分析表明,新型极性ARGs具有有限的移动性和传播潜力,很少被人类细菌病原体携带。总的来说,这项研究为以前被忽视的极地地区的新型ARGs提供了一个全面的视角,促进了我们对环境抗性的理解。
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引用次数: 0
Akkermansia muciniphila-derived hypoacylated rough-type lipopolysaccharides alleviate diet-induced obesity via activation of TLR4−IL-23−IL-22 immune axis 通过激活TLR4 - IL-23 - IL-22免疫轴,Akkermansia muciniphila衍生的低酰化粗脂多糖减轻饮食诱导的肥胖
IF 23.7 Q1 MICROBIOLOGY Pub Date : 2025-07-17 DOI: 10.1002/imt2.70066
Li Sun, Yuting Zhang, Wang Dong, Jingzu Sun, Tao Wang, Fei Shao, Huanqin Dai, Junjie Han, Wenzhao Wang, Shuo Wang, Tong Zhao, Liangliang Wang, Chang Liu, Shuangjiang Liu, Hongwei Liu

Lipopolysaccharides (LPS) derived from intestinal symbionts plays a critical role in modulating and maintaining mucosal immunity. In this study, we investigated the chemical characteristics and antiobesity properties of Akkermansia muciniphila HW07 LPS (ALPS). ALPS was identified as hypo-acylated, mono/bis-phosphorylated, rough-type LPS. Compared to Escherichia coli LPS (ELPS), ALPS functions as a weak agonist of TLR4/TLR2. Intraperitoneal administration of ALPS in diet-induced obese (DIO) mice suppressed weight gain, improved metabolic parameters, restored gut barrier integrity, and modulated the gut microbiota. Notably, ALPS treatment significantly increased plasma interleukin (IL)-22 levels. Furthermore, neutralizing IL-22 with an antibody eliminated the antiobesity effects of ALPS in DIO mice. Mechanistically, ALPS upregulated the expression of both IL-22 and its upstream cytokine IL-23 in a TLR4-dependent manner. These findings confirm that activation of the TLR4−IL-23−IL-22 immune axis is a key mechanism underlying the antiobesity effect of ALPS. In acute toxicity assessment, no fatalities were observed in ALPS-treated mice, whereas ELPS treatment led to a 40% mortality rate. Collectively, our results demonstrate that hypo-acylated LPS from A. muciniphila functions as a metabolically beneficial immune modulator that exerts immunomodulatory effects through the TLR4−IL-22 axis and suggests ALPS as a promising novel therapeutic strategy for metabolic disorders.

来自肠道共生体的脂多糖(LPS)在调节和维持黏膜免疫中起着至关重要的作用。本研究研究了嗜muciniphila Akkermansia muciniphila HW07 LPS (ALPS)的化学特性和抗肥胖特性。ALPS被鉴定为低酰化、单/双磷酸化、粗糙型LPS。与大肠杆菌LPS (ELPS)相比,ALPS是TLR4/TLR2的弱激动剂。饮食性肥胖(DIO)小鼠腹腔注射ALPS可抑制体重增加,改善代谢参数,恢复肠道屏障完整性,调节肠道微生物群。值得注意的是,ALPS治疗显著提高了血浆白细胞介素(IL)-22水平。此外,用抗体中和IL-22消除了DIO小鼠中ALPS的抗肥胖作用。在机制上,ALPS以tlr4依赖的方式上调IL-22及其上游细胞因子IL-23的表达。这些发现证实了TLR4 - IL-23 - IL-22免疫轴的激活是ALPS抗肥胖作用的关键机制。在急性毒性评估中,未观察到alps治疗小鼠的死亡,而ELPS治疗导致40%的死亡率。总之,我们的研究结果表明,来自嗜muciniphila的低酰基化LPS作为一种代谢有益的免疫调节剂,通过TLR4 - IL-22轴发挥免疫调节作用,并表明ALPS是一种有希望的代谢紊乱的新治疗策略。
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引用次数: 0
Gut microbial-derived 3,4-dihydroxyphenylacetic acid ameliorates reproductive phenotype of polycystic ovary syndrome 肠道微生物衍生的3,4-二羟基苯乙酸改善多囊卵巢综合征的生殖表型
IF 23.7 Q1 MICROBIOLOGY Pub Date : 2025-07-15 DOI: 10.1002/imt2.70065
Pan Li, Li Xie, Huimin Zheng, Yinglin Feng, Feihong Mai, Wenli Tang, Jiajia Wang, Zixin Lan, Shuaijun Lv, Thisun Jayawardana, Sabrina Koentgen, Shuangbin Xu, Zhengwei Wan, Yunjie Chen, Haiyan Xu, Sj Shen, Fan Zhang, Yuanhao Yang, Georgina Hold, Fangjie He, Emad M. El-Omar, Guangchuang Yu, Xia Chen

Polycystic ovary syndrome (PCOS) is a prevalent endocrine and reproductive disorder affecting women of reproductive age. While the gut microbiota has been implicated in PCOS pathophysiology, the role of microbial-derived metabolites as mediators of host–microbe interactions remains poorly defined. Here, we integrated untargeted gut metabolomics with metagenomic profiling in patients with PCOS and identified a marked depletion of 3,4-dihydroxyphenylacetic acid (DHPAA), a flavonoid-derived microbial catabolite. Oral administration of DHPAA ameliorated PCOS-like phenotypes in two mouse models by suppressing bone morphogenetic protein signaling and reducing anti-Müllerian hormone (AMH) levels. We found that DHPAA production depends on gut microbial degradation of dietary flavonoids. We further identified a bacterial species, Streptococcus thermophilus, consistently depleted in PCOS across two human cohorts and a mouse model, restored DHPAA levels and improved reproductive outcomes in mice. Conversely, a β-galactosidase-deficient mutant of S. thermophilus failed to confer these benefits, highlighting β-galactosidase as a critical enzyme in DHPAA biosynthesis. Our findings establish DHPAA as a key microbial metabolite linking diet, microbiota, and reproductive health, and propose its potential as a novel therapeutic candidate for PCOS.

多囊卵巢综合征(PCOS)是一种影响育龄妇女的常见内分泌和生殖疾病。虽然肠道微生物群与多囊卵巢综合征的病理生理有关,但微生物衍生代谢物作为宿主-微生物相互作用介质的作用仍不明确。在这里,我们将PCOS患者的非靶向肠道代谢组学与宏基因组学分析结合起来,发现了3,4-二羟基苯基乙酸(DHPAA)的明显消耗,DHPAA是一种类黄酮衍生的微生物分解代谢物。口服DHPAA通过抑制骨形态发生蛋白信号传导和降低抗勒氏杆菌激素(AMH)水平,改善两种小鼠模型的pcos样表型。我们发现DHPAA的产生取决于肠道微生物对膳食类黄酮的降解。我们进一步鉴定了一种细菌,嗜热链球菌,在两个人类队列和一个小鼠模型中PCOS中持续减少,恢复了DHPAA水平,改善了小鼠的生殖结果。相反,嗜热葡萄球菌的β-半乳糖苷酶缺陷突变体没有获得这些益处,突出表明β-半乳糖苷酶是DHPAA生物合成中的关键酶。我们的研究结果表明DHPAA是联系饮食、微生物群和生殖健康的关键微生物代谢物,并提出了其作为多囊卵巢综合征新治疗候选药物的潜力。
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引用次数: 0
A gut microbiota-bile acid axis inhibits the infection of an emerging coronavirus by targeting its cellular receptor aminopeptidase N 肠道微生物群-胆汁酸轴通过靶向其细胞受体氨基肽酶N抑制新冠病毒的感染
IF 23.7 Q1 MICROBIOLOGY Pub Date : 2025-07-03 DOI: 10.1002/imt2.70061
Ya-Qing Zhang, Bin Wang, Yong-Le Yang, Jin-Xin Meng, Meng-Di Zhang, Yi-Ke Li, Bo Dong, Yanan Zhang, Bo-Wen Liu, Dong Yang, Chun-Miao Ji, Yao-Wei Huang, Shu Jeffrey Zhu

Porcine deltacoronavirus (PDCoV) is a significant pathogen of swine with a global distribution, leading to severe gastrointestinal disease and substantial economic losses. Furthermore, PDCoV poses a potential threat to human health, as evidenced by the recent identification of three cases of infection in Haitian children. This study aimed to investigate the effects of PDCoV infection on host intestinal microbiota and bile acid metabolism, as well as the antiviral effects of lithocholic acid (LCA) in vitro and in vivo. Our results revealed that PDCoV infection caused microbiota dysbiosis in piglets, significantly reducing the intestinal abundance of Bacteroides fragilis (B. fragilis), a reduction that correlated with disruptions in bile acid metabolism. Colonization with bile salt hydrolase (BSH)-producing B. fragilis increased the levels of unconjugated bile acids and inhibited PDCoV infection, highlighting the role of microbiota-associated bile acid metabolism in viral pathogenesis. LCA, a prominent unconjugated bile acid, was shown to effectively inhibit PDCoV infection in porcine small intestinal epithelial cells and porcine intestinal enteroids. Notably, LCA inhibited PDCoV replication independently of bile acid receptor signaling and innate immune modulation. Mechanistic studies indicated that LCA prevents PDCoV infection by disrupting the viral entry process, specifically inhibiting the binding between the PDCoV spike protein and its cellular receptor, aminopeptidase N. In vivo experiments further confirmed that LCA significantly inhibited PDCoV infection in piglets. These results collectively highlight the potential of LCA as a therapeutic agent against PDCoV by targeting and disrupting the viral entry process, providing a novel strategy to control zoonotic PDCoV infections.

猪三角冠状病毒(PDCoV)是一种全球分布的重要猪病原体,可导致严重的胃肠道疾病和巨大的经济损失。此外,PDCoV对人类健康构成潜在威胁,最近在海地儿童中发现的三例感染病例证明了这一点。本研究旨在探讨PDCoV感染对宿主肠道菌群和胆汁酸代谢的影响,以及石胆酸(LCA)在体外和体内的抗病毒作用。我们的研究结果显示,PDCoV感染引起仔猪微生物群失调,显着降低肠道脆弱拟杆菌(B. fragilis)的丰度,这种减少与胆汁酸代谢的中断有关。产胆汁盐水解酶(BSH)的脆弱芽孢杆菌定植增加了非共轭胆汁酸水平,抑制了PDCoV感染,突出了微生物群相关胆汁酸代谢在病毒发病机制中的作用。LCA是一种重要的非共轭胆汁酸,可有效抑制猪小肠上皮细胞和肠样细胞的PDCoV感染。值得注意的是,LCA可以独立于胆汁酸受体信号和先天免疫调节来抑制PDCoV的复制。机制研究表明,LCA通过破坏病毒进入过程,特异性抑制PDCoV刺突蛋白与其细胞受体氨基肽酶n的结合,从而阻止PDCoV感染。体内实验进一步证实了LCA对仔猪PDCoV感染的显著抑制作用。这些结果共同强调了LCA通过靶向和破坏病毒进入过程作为PDCoV治疗剂的潜力,为控制人畜共患PDCoV感染提供了一种新的策略。
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引用次数: 0
SynCom-mediated herbicide degradation activates microbial carbon metabolism in soils syncom介导的除草剂降解激活土壤微生物碳代谢
IF 23.7 Q1 MICROBIOLOGY Pub Date : 2025-07-03 DOI: 10.1002/imt2.70058
Yuxiao Zhang, Jack A. Gilbert, Xuan Liu, Li Nie, Xiyuan Xu, Guifeng Gao, Lihui Lyu, Yuying Ma, Kunkun Fan, Teng Yang, Yumeng Zhang, Jiabao Zhang, Haiyan Chu

Extensive herbicide residues in the black soil of northeastern China are considered a significant agricultural pollution threat, yet effective bioremediation of this complex and persistent mixture remains a challenge. We identified 16 bacterial species that associated with these herbicide residues in situ, nine of which were culturable and could degrade multiple herbicides. From these strains, we constructed a four-member synthetic microbial community (SynCom) that degrades multiple herbicides, stabilizes colonization, increases soil bacterial biodiversity, and alters soil enzyme activity. Under laboratory conditions, the SynCom degraded eight herbicides within 48 h with >60% efficiency, and accumulated carbon on the cell surface of the constituent species. In black soil microcosm trials, the SynCom achieved 60%−99% degradation efficiency of the endogenous herbicides over 35 days and was able to consistently maintain biomass above 104 cfu/g soil. Additionally, SynCom application resulted in an accumulation of carbohydrate-active enzymes and microbial necromass-associated carbon, which suggests activation of soil microbial carbon metabolism. In support of this, metagenomic analyses identified a significant increase in the abundance of genes involved in the tricarboxylic acid cycle, pyruvate metabolism, and glycolysis. This SynCom represents a compelling bioremediation solution that simultaneously improves soil microbial carbon metabolism activity in polluted soils.

中国东北黑土中大量的除草剂残留被认为是严重的农业污染威胁,但有效的生物修复这种复杂而持久的混合物仍然是一个挑战。我们原位鉴定出16种与这些除草剂残留相关的细菌,其中9种是可培养的,可以降解多种除草剂。从这些菌株中,我们构建了一个四成员合成微生物群落(SynCom),该群落降解多种除草剂,稳定定植,增加土壤细菌多样性,并改变土壤酶活性。在实验室条件下,SynCom在48 h内降解8种除草剂的效率为60%,并在组成物种的细胞表面积累碳。在黑土微观环境试验中,在35天内,SynCom对内源除草剂的降解效率达到60% ~ 99%,并能将生物量保持在104 cfu/g以上。此外,施用SynCom导致碳水化合物活性酶和微生物坏死团相关碳的积累,这表明激活了土壤微生物碳代谢。为了支持这一观点,宏基因组分析发现,参与三羧酸循环、丙酮酸代谢和糖酵解的基因丰度显著增加。该SynCom代表了一种令人信服的生物修复解决方案,同时提高了污染土壤中土壤微生物的碳代谢活性。
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引用次数: 0
Probiotics restore enteric HDL3 secretion and improve prognosis in patients with end-stage renal disease 益生菌恢复肠内HDL3分泌,改善终末期肾病患者预后
IF 23.7 Q1 MICROBIOLOGY Pub Date : 2025-07-01 DOI: 10.1002/imt2.70062
Xiaoxue Liu, Yuan Huang, Yixuan Li, Juan Chen, Xifan Wang, Xiaobin Wang, Liang Zhao, Yongting Luo, Peng An, Liwei Zhang, Chengying Zhang, Weijing Bian, Xingen Lei, Xiang Gao, Yinghua Liu, Yanling Hao, Huiyuan Guo, Xiaoxu Zhang, Pengjie Wang, Ran Wang, Hao Zhang, Bing Fang, Xiaolin Zhang, Longjiao Wang, Qinglu Qiu, Yuchan Zhang, Jingyi Qi, Songtao Yang, Yulong Yin, Fazheng Ren, Xiaoyu Wang

Randomized double-blind trials have shown that probiotic mixtures significantly increase high-density lipoprotein (HDL) levels and reduce the risk of cardiovascular disease mortality in end-stage renal disease (ESRD) patients. Meta-analysis with prospective cohort studies further confirms that elevated HDL is a protective factor for ESRD outcomes. In severe renal injury models, including 5/6 nephrectomy and apolipoprotein E-deficient (ApoE−/−) mice, probiotics restored cardiac function, mirroring the cardioprotective effects seen in humans. Mechanistic studies indicate that probiotics enhance intestinal HDL3 production through the insulin-mediated SP1(P)-CYP27A-LXRα/β-ABCA1 pathway, thereby maintaining HDL metabolic homeostasis. This study reveals a novel link between probiotic intervention and host cholesterol metabolism, offering a previously unexplored strategy for reducing cardiovascular risk in ESRD patients.

随机双盲试验表明,益生菌混合物可显著提高终末期肾病(ESRD)患者的高密度脂蛋白(HDL)水平,降低心血管疾病死亡风险。前瞻性队列研究的荟萃分析进一步证实,HDL升高是ESRD结局的保护因素。在严重肾损伤模型中,包括5/6肾切除术和载脂蛋白e缺陷(ApoE−/−)小鼠,益生菌恢复心脏功能,反映了在人类中看到的心脏保护作用。机制研究表明,益生菌通过胰岛素介导的SP1(P)-CYP27A-LXRα/β-ABCA1途径促进肠道HDL3生成,从而维持HDL代谢稳态。本研究揭示了益生菌干预与宿主胆固醇代谢之间的新联系,为降低ESRD患者心血管风险提供了一种以前未被探索的策略。
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引用次数: 0
PMAT2: An efficient graphical assembly toolkit for comprehensive organellar genomes PMAT2:一个高效的综合细胞体基因组图形组装工具包
IF 23.7 Q1 MICROBIOLOGY Pub Date : 2025-07-01 DOI: 10.1002/imt2.70064
Fuchuan Han, Changwei Bi, Yicun Chen, Xiaogang Dai, Zefu Wang, Huaitong Wu, Ning Sun, Yanshu Qu, Yang Yang, Yangdong Wang, Tongming Yin

We developed PMAT2, an advanced toolkit for lineage-specific de novo assembly of plant, animal, and fungal mitochondrial genomes, as well as plant chloroplast genome. PMAT2 leverages optimized graph-based strategies tailored to organelle genome complexity, enabling complete and accurate assemblies, even with approximately 1 × highly accurate PacBio high-fidelity (HiFi) reads. By assembling 150 organellar genomes across diverse lineages, PMAT2 outperformed existing tools in assembly completeness. The source code for PMAT2 is publicly available at https://github.com/aiPGAB/PMAT2.

我们开发了PMAT2,这是一个先进的工具包,用于植物、动物和真菌线粒体基因组以及植物叶绿体基因组的谱系特异性从头组装。PMAT2利用针对细胞器基因组复杂性量身定制的优化的基于图的策略,即使具有大约1倍的高精度PacBio高保真度(HiFi)读取,也能实现完整和准确的组装。通过在不同谱系中组装150个细胞器基因组,PMAT2在组装完整性方面优于现有工具。PMAT2的源代码可在https://github.com/aiPGAB/PMAT2上公开获得。
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引用次数: 0
Neoadjuvant immunotherapy driven bladder preservation for muscle invasive bladder cancer 新辅助免疫治疗对肌肉浸润性膀胱癌膀胱保存的影响
IF 23.7 Q1 MICROBIOLOGY Pub Date : 2025-06-30 DOI: 10.1002/imt2.70063
Jiao Hu, Luzhe Yan, Jinhui Liu, Minfeng Chen, Yunbo He, Benyi Fan, Bo Peng, Long Wang, Weibin Hou, Chao Li, Bosen You, Meng Zhang, Wenze Li, Jiaxing Wang, Hongzhou Cai, Shenglin Gao, Yang Liu, Dingshan Deng, Huihuang Li, Guanghui Gong, Jiansheng Tang, Chengyong Wang, Xiaofeng Yang, Liang Wei, Guangzheng Lin, Ruizhe Wang, Xiao Guan, Shiyu Tong, Yangle Li, Wei He, Zhiyong Cai, Peihua Liu, Yu Gan, Yu Cui, Yuanqing Dai, Yi Cai, Zefu Liu, Jiatong Xiao, Zhenyu Nie, Zhenyu Ou, Jinbo Chen, Xi Guo, Xiongbing Zu

The study included 163 patients with muscle-invasive bladder cancer (MIBC) from 14 hospitals, categorized into the neoadjuvant immunotherapy-combined-modality therapy (Neoimmu-CMT), trimodal therapy (TMT), and neoadjuvant chemotherapy-combined-modality therapy (NAC-CMT) subgroups. Propensity score matching (PSM) was utilized to mitigate baseline variability. Univariate and multivariate Cox analyses were used to identify potential prognostic factors. Biomarker assessment comprised immunohistochemistry and single-cell RNA sequencing. After PSM, Neoimmu-CMT demonstrated superior efficacy over NAC-CMT and comparability to TMT. A clinical complete response to neoadjuvant treatment and lower clinical T stage were positive prognostic factors for Neoimmu-CMT. Biomarker analysis showed that the immune phenotype of the tumor microenvironment (TME) was closely associated with bladder preservation outcomes. We assessed the potential relationship between various cell types in the TME and bladder preservation outcomes using single-cell RNA sequencing. The results showed that the dynamic distribution of fibroblast and NK/T cell subclusters was associated with bladder preservation outcomes. In the future, the development of Neoimmu-CMT will substantially expand its application in bladder preservation therapies.

该研究纳入了来自14家医院的163例肌肉浸润性膀胱癌(MIBC)患者,分为新辅助免疫治疗联合模式治疗(neoimmune - cmt)、三模式治疗(TMT)和新辅助化疗联合模式治疗(NAC-CMT)亚组。倾向得分匹配(PSM)被用来减轻基线变异性。采用单因素和多因素Cox分析来确定潜在的预后因素。生物标志物评估包括免疫组织化学和单细胞RNA测序。经PSM后,neoimmune - cmt的疗效优于NAC-CMT,与TMT具有可比性。对新辅助治疗的临床完全缓解和较低的临床T期是neoimmune - cmt的积极预后因素。生物标志物分析显示,肿瘤微环境(TME)的免疫表型与膀胱保存结果密切相关。我们使用单细胞RNA测序评估了TME中各种细胞类型与膀胱保存结果之间的潜在关系。结果表明,成纤维细胞和NK/T细胞亚群的动态分布与膀胱保存结果相关。在未来,neoimmune - cmt的发展将大大扩大其在膀胱保存治疗中的应用。
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引用次数: 0
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