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Inflammatory mechanisms in post-traumatic osteoarthritis: a role for CaMKK2. 创伤后骨关节炎的炎症机制:CaMKK2的作用。
Pub Date : 2023-10-16 eCollection Date: 2023-10-01 DOI: 10.1097/IN9.0000000000000031
Keegan C Riggs, Uma Sankar

Post-traumatic osteoarthritis (PTOA) is a multifactorial disease of the cartilage, synovium, and subchondral bone resulting from direct joint trauma and altered joint mechanics after traumatic injury. There are no current disease-modifying therapies for PTOA, and early surgical interventions focused on stabilizing the joint do not halt disease progression. Chronic pain and functional disability negatively affect the quality of life and take an economic toll on affected patients. While multiple mechanisms are at play in disease progression, joint inflammation is a key contributor. Impact-induced mitochondrial dysfunction and cell death or altered joint mechanics after trauma culminate in inflammatory cytokine release from synoviocytes and chondrocytes, cartilage catabolism, suppression of cartilage anabolism, synovitis, and subchondral bone disease, highlighting the complexity of the disease. Current understanding of the cellular and molecular mechanisms underlying the disease pathology has allowed for the investigation of a variety of therapeutic strategies that target unique apoptotic and/or inflammatory processes in the joint. This review provides a concise overview of the inflammatory and apoptotic mechanisms underlying PTOA pathogenesis and identifies potential therapeutic targets to mitigate disease progression. We highlight Ca2+/calmodulin-dependent protein kinase kinase 2 (CaMKK2), a serine/threonine protein kinase that was recently identified to play a role in murine and human osteoarthritis pathogenesis by coordinating chondrocyte inflammatory responses and apoptosis. Given its additional effects in regulating macrophage inflammatory signaling and bone remodeling, CaMKK2 emerges as a promising disease-modifying therapeutic target against PTOA.

创伤后骨关节炎(PTOA)是一种软骨、滑膜和软骨下骨的多因素疾病,由直接的关节创伤和创伤后关节力学的改变引起。目前还没有针对PTOA的疾病改良疗法,早期专注于稳定关节的手术干预并不能阻止疾病进展。慢性疼痛和功能性残疾会对生活质量产生负面影响,并给受影响的患者带来经济损失。虽然多种机制在疾病进展中发挥作用,但关节炎症是一个关键因素。创伤后,冲击诱导的线粒体功能障碍和细胞死亡或关节力学改变最终导致滑膜细胞和软骨细胞释放炎症细胞因子、软骨分解代谢、软骨合成代谢抑制、滑膜炎和软骨下骨病,凸显了疾病的复杂性。目前对疾病病理学背后的细胞和分子机制的理解已经允许研究针对关节中独特的凋亡和/或炎症过程的各种治疗策略。这篇综述简要概述了PTOA发病机制的炎症和凋亡机制,并确定了缓解疾病进展的潜在治疗靶点。我们强调了Ca2+/钙调蛋白依赖性蛋白激酶2(CaMKK2),这是一种丝氨酸/苏氨酸蛋白激酶,最近被鉴定为通过协调软骨细胞炎症反应和细胞凋亡在小鼠和人类骨关节炎发病机制中发挥作用。鉴于其在调节巨噬细胞炎症信号传导和骨重塑方面的额外作用,CaMKK2成为一种有前途的针对PTOA的疾病修饰治疗靶点。
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引用次数: 0
Macrophage immunometabolism in diabetes-associated atherosclerosis. 糖尿病相关动脉粥样硬化的巨噬细胞免疫代谢。
Pub Date : 2023-10-16 eCollection Date: 2023-10-01 DOI: 10.1097/IN9.0000000000000032
Bernardo Gindri Dos Santos, Leigh Goedeke

Macrophages play fundamental roles in atherosclerotic plaque formation, growth, and regression. These cells are extremely plastic and perform different immune functions depending on the stimuli they receive. Initial in vitro studies have identified specific metabolic pathways that are crucial for the proper function of pro-inflammatory and pro-resolving macrophages. However, the plaque microenvironment, especially in the context of insulin resistance and type 2 diabetes, constantly challenges macrophages with several simultaneous inflammatory and metabolic stimuli, which may explain why atherosclerosis is accelerated in diabetic patients. In this mini review, we discuss how macrophage mitochondrial function and metabolism of carbohydrates, lipids, and amino acids may be affected by this complex plaque microenvironment and how risk factors associated with type 2 diabetes alter the metabolic rewiring of macrophages and disease progression. We also briefly discuss current challenges in assessing macrophage metabolism and identify future tools and possible strategies to alter macrophage metabolism to improve treatment options for diabetes-associated atherosclerosis.

巨噬细胞在动脉粥样硬化斑块的形成、生长和消退中起着重要作用。这些细胞具有极强的可塑性,并根据它们受到的刺激执行不同的免疫功能。初步的体外研究已经确定了对促炎和促分解巨噬细胞的正常功能至关重要的特定代谢途径。然而,斑块微环境,特别是在胰岛素抵抗和2型糖尿病的情况下,不断通过几种同时存在的炎症和代谢刺激来挑战巨噬细胞,这可能解释了糖尿病患者动脉粥样硬化加速的原因。在这篇小型综述中,我们讨论了巨噬细胞线粒体功能和碳水化合物、脂质和氨基酸的代谢如何受到这种复杂斑块微环境的影响,以及与2型糖尿病相关的风险因素如何改变巨噬细胞的代谢重组和疾病进展。我们还简要讨论了评估巨噬细胞代谢的当前挑战,并确定了改变巨噬细胞代谢的未来工具和可能的策略,以改善糖尿病相关动脉粥样硬化的治疗选择。
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引用次数: 0
Dietary cholesterol in alcohol-associated liver disease. 酒精相关肝病中的膳食胆固醇。
Pub Date : 2023-05-03 eCollection Date: 2023-04-01 DOI: 10.1097/IN9.0000000000000026
Lin Jia

There is an increasing prevalence of alcohol-associated liver disease (ALD) worldwide. In addition to excessive alcohol consumption, other nutritional factors have been shown to affect the initiation and progression of ALD. The emerging role of cholesterol in exacerbating ALD has been reported recently and the underlying mechanisms are discussed. In addition, the interplay between dietary cholesterol and alcohol on cholesterol metabolism is reviewed. Furthermore, we highlight the therapeutic potential of cholesterol-lowering drugs in managing the onset and severity of ALD. Finally, we suggest the future mechanistic investigation of the effect of cholesterol on insulin resistance and intestinal inflammation in the exacerbation of alcohol-induced cellular and systemic dysfunction.

酒精相关性肝病(ALD)在全球的发病率越来越高。除过量饮酒外,其他营养因素也被证明会影响 ALD 的发生和发展。最近有报道称,胆固醇在加重 ALD 方面扮演着新的角色,并对其潜在机制进行了讨论。此外,我们还回顾了膳食胆固醇和酒精对胆固醇代谢的相互作用。此外,我们还强调了降低胆固醇药物在控制 ALD 发病和严重程度方面的治疗潜力。最后,我们建议今后从机理上研究胆固醇对胰岛素抵抗和肠道炎症在加剧酒精诱导的细胞和系统功能障碍方面的影响。
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引用次数: 0
Tissue- and temporal-specific roles of extracellular ATP on T cell metabolism and function. 细胞外 ATP 对 T 细胞新陈代谢和功能的作用具有组织和时间特异性。
Pub Date : 2023-05-01 eCollection Date: 2023-04-01 DOI: 10.1097/IN9.0000000000000025
Igor Santiago-Carvalho, Alma Banuelos, Henrique Borges da Silva

The activation and function of T cells is fundamental for the control of infectious diseases and cancer, and conversely can mediate several autoimmune diseases. Among the signaling pathways leading to T cell activation and function, the sensing of extracellular adenosine triphosphate (eATP) has been recently appreciated as an important component. Through a plethora of purinergic receptors, most prominently P2RX7, eATP sensing can induce a wide variety of processes in T cells, such as proliferation, subset differentiation, survival, or cell death. The downstream roles of eATP sensing can vary according to (a) the T cell subset, (b) the tissue where T cells are, and (c) the time after antigen exposure. In this mini-review, we revisit the recent findings on how eATP signaling pathways regulate T-cell immune responses and posit important unanswered questions on this field.

T 细胞的活化和功能是控制传染病和癌症的基础,反之也可介导多种自身免疫性疾病。在导致 T 细胞活化和发挥功能的信号通路中,对细胞外三磷酸腺苷(eATP)的感应最近被认为是一个重要的组成部分。通过大量嘌呤能受体(最主要的是 P2RX7),eATP 可诱导 T 细胞的各种过程,如增殖、亚群分化、存活或细胞死亡。eATP 传感的下游作用会因(a)T 细胞亚群、(b)T 细胞所在的组织以及(c)抗原暴露后的时间而有所不同。在这篇微型综述中,我们将重温有关 eATP 信号通路如何调控 T 细胞免疫反应的最新发现,并提出这一领域的重要未解之谜。
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引用次数: 0
Peptidoglycan-induced modulation of metabolic and inflammatory responses. 肽聚糖诱导的代谢和炎症反应调节。
Pub Date : 2023-04-28 eCollection Date: 2023-04-01 DOI: 10.1097/IN9.0000000000000024
Andrea J Wolf

Bacterial cell wall peptidoglycan is composed of innate immune ligands and, due to its important structural role, also regulates access to many other innate immune ligands contained within the bacteria. There is a growing body of literature demonstrating how innate immune recognition impacts the metabolic functions of immune cells and how metabolic changes are not only important to inflammatory responses but are often essential. Peptidoglycan is primarily sensed in the context of the whole bacteria during lysosomal degradation; consequently, the innate immune receptors for peptidoglycan are primarily intracellular cytosolic innate immune sensors. However, during bacterial growth, peptidoglycan fragments are shed and can be found in the bloodstream of humans and mice, not only during infection but also derived from the abundant bacterial component of the gut microbiota. These peptidoglycan fragments influence cells throughout the body and are important for regulating inflammation and whole-body metabolic function. Therefore, it is important to understand how peptidoglycan-induced signals in innate immune cells and cells throughout the body interact to regulate how the body responds to both pathogenic and nonpathogenic bacteria. This mini-review will highlight key research regarding how cellular metabolism shifts in response to peptidoglycan and how systemic peptidoglycan sensing impacts whole-body metabolic function.

细菌细胞壁肽聚糖由先天性免疫配体组成,由于其重要的结构作用,还能调节细菌内所含的许多其他先天性免疫配体的获取。越来越多的文献表明,先天性免疫识别如何影响免疫细胞的新陈代谢功能,新陈代谢的变化不仅对炎症反应很重要,而且往往是必不可少的。肽聚糖主要是在整个细菌溶酶体降解过程中被感知的;因此,肽聚糖的先天性免疫受体主要是细胞内的细胞膜先天性免疫传感器。然而,在细菌生长过程中,肽聚糖片段会脱落,并可在人和小鼠的血液中发现,这不仅发生在感染期间,也来自肠道微生物群中丰富的细菌成分。这些肽聚糖片段会影响全身细胞,对调节炎症和全身代谢功能非常重要。因此,了解先天性免疫细胞和全身细胞中肽聚糖诱导的信号如何相互作用,以调节机体对致病性和非致病性细菌的反应非常重要。本微型综述将重点介绍有关细胞新陈代谢如何对肽聚糖做出反应以及全身性肽聚糖感应如何影响全身新陈代谢功能的关键研究。
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引用次数: 0
Overview of diet and autoimmune demyelinating optic neuritis: a narrative review. 饮食与自身免疫性脱髓鞘性视神经炎概述:叙述性综述。
Pub Date : 2023-04-27 eCollection Date: 2023-04-01 DOI: 10.1097/IN9.0000000000000022
Scott M Plafker, Tyler Titcomb, Katarzyna Zyla-Jackson, Aneta Kolakowska, Terry Wahls

This review summarizes the cellular and molecular underpinnings of autoimmune demyelinating optic neuritis (ADON), a common sequela of multiple sclerosis and other demyelinating diseases. We further present nutritional interventions tested for people with multiple sclerosis focusing on strategies that have shown efficacy or associations with disease course and clinical outcomes. We then close by discuss the potential dietary guidance for preventing and/or ameliorating ADON.

本综述概述了自身免疫性脱髓鞘性视神经炎(ADON)的细胞和分子基础,这是多发性硬化症和其他脱髓鞘疾病的常见后遗症。我们进一步介绍了为多发性硬化症患者测试的营养干预措施,重点关注已显示出疗效或与病程和临床结果相关的策略。最后,我们将讨论预防和/或改善 ADON 的潜在饮食指导。
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引用次数: 0
Adipose tissue metabolic changes in chronic kidney disease. 慢性肾脏疾病的脂肪组织代谢变化。
Pub Date : 2023-04-01 DOI: 10.1097/IN9.0000000000000023
Eurico Serrano, Prashamsa Shenoy, Maria Paula Martinez Cantarin

Adipose tissue is a complex organ whose functions go beyond being an energy reservoir to sustain proper body energy homeostasis. Functioning as an endocrine organ, the adipose tissue has an active role in the body's metabolic balance regulation through several secreted factors generally termed as adipokines. Thus, adipose tissue dysregulation in chronic kidney disease (CKD) can have a deep impact in the pathophysiology of diseases associated with metabolic dysregulation including metabolic syndrome, insulin resistance (IR), atherosclerosis, and even cachexia. CKD is a progressive disorder linked to increased morbidity and mortality. Despite being characterized by renal function loss, CKD is accompanied by metabolic disturbances such as dyslipidemia, protein energy wasting, chronic low-grade inflammation, IR, and lipid redistribution. Thus far, the mechanisms by which these changes occur and the role of adipose tissue in CKD development and progression are unclear. Further understanding of how these factors develop could have implications for the management of CKD by helping identify pharmacological targets to improve CKD outcomes.

脂肪组织是一个复杂的器官,其功能不仅仅是一个能量库,以维持适当的身体能量稳态。脂肪组织作为一种内分泌器官,通过几种通常被称为脂肪因子的分泌因子,在机体代谢平衡调节中起着积极的作用。因此,慢性肾脏疾病(CKD)的脂肪组织失调可能对代谢失调相关疾病的病理生理学产生深远影响,包括代谢综合征、胰岛素抵抗(IR)、动脉粥样硬化甚至恶病质。CKD是一种进行性疾病,与发病率和死亡率增加有关。尽管以肾功能丧失为特征,CKD还伴有代谢紊乱,如血脂异常、蛋白质能量消耗、慢性低度炎症、IR和脂质再分布。到目前为止,这些变化发生的机制以及脂肪组织在CKD发生和进展中的作用尚不清楚。进一步了解这些因素是如何发展的,可以通过帮助确定改善CKD结果的药理学靶点来影响CKD的管理。
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引用次数: 1
Mechanisms of continual efferocytosis by macrophages and its role in mitigating atherosclerosis. 巨噬细胞持续排泄的机制及其在减轻动脉粥样硬化中的作用。
Pub Date : 2023-01-23 eCollection Date: 2023-01-01 DOI: 10.1097/IN9.0000000000000017
Dhananjay Kumar, Rajan Pandit, Arif Yurdagul

Atherosclerotic cardiovascular disease is the leading cause of death worldwide. Rupture-prone atheromas that give rise to myocardial infarction and stroke are characterized by the presence of a necrotic core and a thin fibrous cap. During homeostasis, cellular debris and apoptotic cells are cleared quickly through a process termed "efferocytosis". However, clearance of apoptotic cells is significantly compromised in many chronic inflammatory diseases, including atherosclerosis. Emerging evidence suggests that impairments in efferocytosis drive necrotic core formation and contribute significantly to plaque vulnerability. Recently, it has been appreciated that successive rounds of efferocytosis, termed "continual efferocytosis", is mechanistically distinct from single efferocytosis and relies heavily on the metabolism and handling of apoptotic cell-derived cargo. In vivo, selective defects in continual efferocytosis drive secondary necrosis, impair inflammation resolution, and worsen atherosclerosis. This Mini Review focuses on our current understanding of the cellular and molecular mechanisms of continual efferocytosis and how dysregulations in this process mediate nonresolving inflammation. We will also discuss possible strategies to enhance efferocytosis when it fails.

动脉粥样硬化性心血管疾病是导致全球死亡的主要原因。易破裂的动脉粥样斑块会导致心肌梗死和中风,其特点是存在一个坏死的核心和一个薄薄的纤维帽。在体内平衡过程中,细胞碎片和凋亡细胞会通过一种被称为 "流出细胞 "的过程被迅速清除。然而,在包括动脉粥样硬化在内的许多慢性炎症性疾病中,凋亡细胞的清除受到严重影响。新的证据表明,凋亡细胞的清除功能障碍会推动坏死核心的形成,并在很大程度上导致斑块的脆弱性。最近,人们认识到,连续几轮的细胞外排(称为 "持续性细胞外排")在机理上有别于单次细胞外排,在很大程度上依赖于凋亡细胞衍生货物的代谢和处理。在体内,持续性排出细胞的选择性缺陷会导致继发性坏死,影响炎症的消退,并加重动脉粥样硬化。这篇微型综述将重点介绍我们目前对持续性排出细胞的细胞和分子机制的理解,以及这一过程中的失调如何介导非化解性炎症。我们还将讨论在流出功能失效时加强流出功能的可能策略。
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引用次数: 0
The role of ApoE-mediated microglial lipid metabolism in brain aging and disease. apoe介导的小胶质脂质代谢在脑衰老和疾病中的作用。
Pub Date : 2023-01-01 DOI: 10.1097/IN9.0000000000000018
Jui-Hung Jimmy Yen, I-Chen Ivorine Yu

Microglia are a unique population of immune cells resident in the brain that integrate complex signals and dynamically change phenotypes in response to the brain microenvironment. In recent years, single-cell sequencing analyses have revealed profound cellular heterogeneity and context-specific transcriptional plasticity of microglia during brain development, aging, and disease. Emerging evidence suggests that microglia adapt phenotypic plasticity by flexibly reprogramming cellular metabolism to fulfill distinct immune functions. The control of lipid metabolism is central to the appropriate function and homeostasis of the brain. Microglial lipid metabolism regulated by apolipoprotein E (ApoE), a crucial lipid transporter in the brain, has emerged as a critical player in regulating neuroinflammation. The ApoE gene allelic variant, ε4, is associated with a greater risk for neurodegenerative diseases. In this review, we explore novel discoveries in microglial lipid metabolism mediated by ApoE. We elaborate on the functional impact of perturbed microglial lipid metabolism on the underlying pathogenesis of brain aging and disease.

小胶质细胞是一种独特的免疫细胞群,存在于大脑中,可以整合复杂的信号,并根据大脑微环境动态改变表型。近年来,单细胞测序分析揭示了小胶质细胞在大脑发育、衰老和疾病过程中的深刻的细胞异质性和环境特异性转录可塑性。新出现的证据表明,小胶质细胞通过灵活地重新编程细胞代谢来适应表型可塑性,以实现不同的免疫功能。脂质代谢的控制对大脑的正常功能和体内平衡至关重要。载脂蛋白E (ApoE)是脑内一种重要的脂质转运体,其调节的小胶质细胞脂质代谢在调节神经炎症中起着关键作用。ApoE基因等位变异ε4与神经退行性疾病的高风险相关。在这篇综述中,我们探索ApoE介导的小胶质脂质代谢的新发现。我们详细阐述了小胶质细胞脂质代谢紊乱对脑衰老和疾病的潜在发病机制的功能影响。
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引用次数: 0
The emerging role of the branched chain aminotransferases, BCATc and BCATm, for anti-tumor T-cell immunity. 支链转氨酶BCATc和BCATm在抗肿瘤t细胞免疫中的新作用。
Pub Date : 2023-01-01 DOI: 10.1097/IN9.0000000000000014
Tanner J Wetzel, Sheila C Erfan, Elitsa A Ananieva

Challenges regarding successful immunotherapy are associated with the heterogeneity of tumors and the complex interactions within the surrounding tumor microenvironment (TME), particularly those between immune and tumor cells. Of interest, T cells receive a myriad of environmental signals to elicit differentiation to effector subtypes, which is accompanied by metabolic reprogramming needed to satisfy the high energy and biosynthetic demands of their activated state. However, T cells are subjected to immunosuppressive signals and areas of oxygen and nutrient depletion in the TME, which causes T-cell exhaustion and helps tumor cells escape immune detection. The cytosolic and mitochondrial branched chain amino transferases, BCATc and BCATm, respectively, are responsible for the first step of the branched chain amino acid (BCAA) degradation, of which, metabolites are shunted into various metabolic processes. In recent years, BCAT isoenzymes have been investigated for their role in a variety of cancers found throughout the body; however, a gap of knowledge exists regarding the role BCAT isoenzymes play within immune cells of the TME. The aim of this review is to summarize recent findings about BCAAs and their catabolism at the BCAT step during T-cell metabolic reprogramming and to discuss the BCAT putative role in the anti-tumor immunity of T cells. Not only does this review acknowledges gaps pertaining to BCAA metabolism in the TME but it also identifies the practical application of BCAA metabolism in T cells in response to cancer and spotlights a potential target for pharmacological intervention.

成功的免疫治疗面临的挑战与肿瘤的异质性和肿瘤周围微环境(TME)内复杂的相互作用有关,特别是免疫细胞和肿瘤细胞之间的相互作用。有趣的是,T细胞接受无数的环境信号来诱导分化为效应亚型,这伴随着代谢重编程,以满足其激活状态的高能量和生物合成需求。然而,T细胞受到免疫抑制信号和TME中氧气和营养消耗区域的影响,这导致T细胞衰竭,帮助肿瘤细胞逃避免疫检测。细胞质和线粒体支链氨基转移酶BCATc和BCATm分别负责支链氨基酸(BCAA)降解的第一步,其代谢产物被分流到各种代谢过程中。近年来,人们研究了BCAT同工酶在全身多种癌症中的作用;然而,关于BCAT同工酶在TME免疫细胞中的作用存在知识空白。本文综述了近年来关于BCAAs及其在T细胞代谢重编程过程中BCAT步骤分解代谢的研究进展,并讨论了BCAT在T细胞抗肿瘤免疫中的作用。这篇综述不仅承认了与TME中BCAA代谢有关的空白,而且还确定了BCAA代谢在T细胞对癌症反应中的实际应用,并强调了药物干预的潜在靶点。
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引用次数: 3
期刊
Immunometabolism (Cobham (Surrey, England))
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