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Resveratrol and Astaxanthin Protect Primary Human Nasal Epithelial Cells Cultured at an Air-liquid Interface from an Acute Oxidant Exposure. 白藜芦醇和虾青素保护在气液界面培养的人鼻上皮细胞免受急性氧化剂暴露。
Pub Date : 2022-01-01 DOI: 10.33696/signaling.3.084
Ayaho Yamamoto, Peter D Sly, Nelufa Begum, Abrey J Yeo, Emmanuelle Fantino

Oxidative stress (OS) in the airway epithelium is associated with cell damage, inflammation, and mitochondrial dysfunction that may initiate or worsen respiratory disease. However, it is unclear whether exogenous antioxidants can provide protection to the airway epithelium from OS. Resveratrol and astaxanthin are nutritional compounds that have shown diverse benefits including protection against OS and inflammation in various situations. The aim of this study was to examine the utility of pre-treatment with resveratrol and astaxanthin to prevent the negative effects of oxidant exposure and restore redox homeostasis in a well-differentiated epithelium grown from primary human nasal epithelial cells (NECs) at the air-liquid interface. Fully differentiated NECs were pretreated with the antioxidants for 24 hours and the cultured epithelia was subsequently exposed to hydrogen peroxide (H2O2) for 1 hour to induce an acute OS. Responses measured included mitochondrial reactive oxygen species (mtROS) generation, redox status (GSH/GSSG ratio), cellular ATP, and signaling pathways (SIRT1, FOXO3, p21, PINK1, PARKIN, NRF2). Following H2O2 exposure, mtROS production increased by 4-fold compared with control (p<0.01) and pre-treatment with resveratrol or astaxanthin reduced this by 50% (p<0.05). H2O2 exposure reduced GSH/GSSG ratio and this decline was prevented by antioxidants pre-treatment. H2O2 exposure caused 2.5-fold increase in p21 mRNA expression compared with control (p<0.05), while a slight decrease in p21 mRNA expression was observed when cells were pre-treated with resveratrol or astaxanthin. Our results demonstrate that antioxidants, resveratrol, and astaxanthin were able to protect cells from an acute OS. These agents show promise that encourages further research.

气道上皮氧化应激(OS)与细胞损伤、炎症和线粒体功能障碍相关,可引发或加重呼吸道疾病。然而,外源性抗氧化剂是否能保护气道上皮免受OS的侵害尚不清楚。白藜芦醇和虾青素是营养化合物,在各种情况下显示出多种益处,包括防止OS和炎症。本研究的目的是研究白藜芦醇和虾青素预处理的效用,以防止氧化暴露的负面影响,并恢复由原代人鼻上皮细胞(NECs)在气液界面生长的良好分化上皮的氧化还原稳态。将完全分化的NECs用抗氧化剂预处理24小时,然后将培养的上皮细胞暴露于过氧化氢(H2O2)中1小时以诱导急性OS。测量的反应包括线粒体活性氧(mtROS)生成、氧化还原状态(GSH/GSSG比率)、细胞ATP和信号通路(SIRT1、FOXO3、p21、PINK1、PARKIN、NRF2)。H2O2暴露后,与对照组相比,mtROS产量增加了4倍(pp2O2暴露降低了GSH/GSSG比率,这种下降可以通过抗氧化剂预处理来防止。H2O2暴露导致p21 mRNA表达量较对照增加2.5倍(p . 442)
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引用次数: 2
Ethanol Consumption and Sepsis: Mechanisms of Organ Damage 酒精消耗和败血症:器官损伤机制
Pub Date : 2021-12-31 DOI: 10.33696/signaling.2.056
A. O. Silva, C. Prohaska, C. S. Ceron
Alessandra Oliveira Silva1, Clare C. Prohaska2, Carla Speroni Ceron3* 1Departamento de Alimentos e Medicamentos, Universidade Federal de Alfenas (UNIFAL-MG), Minas Gerais, Brasil 2Division of Pulmonary, Critical Care, Occupational and Sleep Medicine, Indiana University, Indianapolis, IN, USA 3Departamento de Ciências Biológicas, Universidade Federal de Ouro Preto (UFOP), Minas Gerais, Brasil *Correspondence should be addressed to Carla Speroni Ceron; carla.ceron@ufop.edu.br
亚历山德拉·Silva1克莱尔·卡拉Prohaska2,正要Ceron3 * 1联邦食品和药物管理局,大学Alfenas (UNIFAL竞技),巴西米纳斯吉拉斯。2 Pulmonary分工,关键护理职业和睡眠医学,印第安纳波利斯,印第安纳大学,用三金联邦大学生物科学系,黑色(UFOP),巴西米纳斯吉拉斯。*通信应该addressed卡拉正要Ceron;carla.ceron@ufop.edu.br
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引用次数: 0
Aberrant Signaling Pathways in Cancer Cells: Application of Nanomaterials 肿瘤细胞异常信号通路:纳米材料的应用
Pub Date : 2021-12-31 DOI: 10.33696/signaling.2.061
Several signaling pathways trigger normal cellular activities. Few membrane proteins such as receptor tyrosine kinases (RTKs) bind extracellular messenger molecules such as hormones or growth factors (called ligands) and undergo a conformational change relaying the signal across the membrane to the receptor’s cytoplasmic domain. Subsequently, the membrane-bound protein is activated (by phosphorylation), for example, Ras in its active GTP-bound state. GTPase-activating proteins such as neurofibromin-1 (NF-1) deactivate (dephosphorylation) Ras by converting it to an inactive GDP-bound state. The activated protein interacts with several downstream effectors initiating cascades of enzymic activities through one of the pathways to regulate cellular activities, like cell division and growth, repair of damaged DNA, glycolysis, and apoptosis [2,3]. Dysregulation in these signal transduction pathways boons the cell’s capacity to proliferate independently of exogenous growthpromoting or growth-inhibitory signals, invade surrounding tissues and metastasize to distant sites, to resist apoptosis and other forms of cell death, metabolic activities in hypoxia, sustain with genetic instability, and to induce angiogenesis [4]. Proteins associated with these dysregulated pathways are currently under investigation as possible targets of various drugs to develop cancer therapy. In this article, we have reviewed three cell signaling pathways triggered by Ras and Wnt proteins and the NF-2 genes in connection with different Abstract
几种信号通路触发正常的细胞活动。一些膜蛋白,如受体酪氨酸激酶(RTKs)结合细胞外信使分子,如激素或生长因子(称为配体),并经历构象变化,将信号传递到受体的细胞质区域。随后,膜结合蛋白被激活(通过磷酸化),例如,Ras处于活性gtp结合状态。gtpase激活蛋白,如神经纤维蛋白-1 (NF-1)通过将Ras转化为不活跃的gdp结合状态而使其失活(去磷酸化)。被激活的蛋白与几个下游效应物相互作用,通过一条途径启动酶活性级联,调节细胞活动,如细胞分裂和生长、受损DNA修复、糖酵解和凋亡[2,3]。这些信号转导通路的失调使细胞能够独立于外源性生长促进或生长抑制信号而增殖,侵袭周围组织并转移到远处,抵抗凋亡和其他形式的细胞死亡,在缺氧条件下进行代谢活动,在遗传不稳定的情况下维持,并诱导血管生成[4]。目前正在研究与这些失调通路相关的蛋白质,以作为开发癌症治疗的各种药物的可能靶点。在本文中,我们综述了Ras和Wnt蛋白以及NF-2基因在不同Abstract中引发的三种细胞信号通路
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引用次数: 0
ZBP1, a dsRNA Sensor for Cell Death and Inflammation 细胞死亡和炎症的dsRNA传感器ZBP1
Pub Date : 2021-12-31 DOI: 10.33696/signaling.2.057
W. Mo, Jiahuai Han
TNFs promote programmed cell death (PCD), including apoptosis and necroptosis under certain circumstance [14]. Evidence showed that TNF-induced cell death is the pathology of certain inflammatory diseases [4]. However, some inflammation caused by cell death are TNF-independent. Recently, several groups reported that ZBP1, once thought to be a DNA sensor, triggers PCD and inflammation upon virus infection or endogenous retrovirus activation [5-8]. Understanding the pathologic role of ZBP1 may contribute to the treatment of incurable inflammation in clinic.
tnf在一定情况下促进细胞程序性死亡(PCD),包括细胞凋亡和坏死凋亡[14]。有证据表明,tnf诱导的细胞死亡是某些炎性疾病的病理过程[4]。然而,一些由细胞死亡引起的炎症与tnf无关。最近有研究小组报道,ZBP1曾被认为是一种DNA传感器,在病毒感染或内源性逆转录病毒激活时触发PCD和炎症[5-8]。了解ZBP1的病理作用,有助于临床治疗不治之症。
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引用次数: 0
Guanylin Peptides Signaling: Insights into Guanylate Cyclase C Dependent and Independent Signaling Pathways 观音肽信号传导:观音酸环化酶C依赖和独立信号通路的见解
Pub Date : 2021-12-31 DOI: 10.33696/signaling.2.059
Ivan Strinić, Nikola Habek, Aleksandra Dugandžić
Guanylin peptides (GPs), guanylin (GN) and uroguanylin (UGN) belong to the family of natriuretic peptides (NPs), which includes atrial natriuretic peptide (ANP), brain natriuretic peptide (BNP) and C-type natriuretic peptide (CNP). NPs activate membrane guanylate cyclases (GC), also called particulate GCs, and lead to the production of their second messenger cyclic guanosine monophosphate (cGMP), which acts on cGMP dependent protein kinases (PKG), cGMPregulated phosphodiesterases (PDE) and cGMP–gated channels.
观音肽(gp)、观音肽(GN)和尿观音肽(UGN)属于尿钠肽(NPs)家族,包括心钠肽(ANP)、脑钠肽(BNP)和c型利钠肽(CNP)。NPs激活膜鸟苷酸环化酶(GC),也称为颗粒GCs,并导致其第二信使环鸟苷单磷酸(cGMP)的产生,其作用于cGMP依赖性蛋白激酶(PKG), cGMP调节的磷酸二酯酶(PDE)和cGMP门控通道。
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引用次数: 0
Anti-tumor Mechanisms of Short-chain Fatty Acids, and the Relationship between the Gut Microbiome, Carcinogenesis, Tumor Growth, and Proliferation in Colorectal Carcinoma 短链脂肪酸的抗肿瘤机制以及肠道微生物群与结直肠癌癌变、肿瘤生长和增殖的关系
Pub Date : 2021-12-31 DOI: 10.33696/signaling.2.060
T. Ohara, Y. Taki
Short-chain fatty acids (SCFAs) produced by the gut microbiome have been reported to have anti-tumor effects in several experimental systems [1-3]. Previously, we investigated the inhibitory effects of SCFAs (butyric acid, isobutyric acid, and acetic acid) on cell growth and proliferation in cultured human colorectal carcinoma (CRC) cell lines (DLD-1 cells, WirDr cells), and found that butyric acid displayed the strongest inhibitory effect [4]; however, the underlying mechanisms have not yet been elucidated. To investigate the anti-tumor mechanisms of SCFAs, we performed an in silico analysis of their inhibitory mechanism on tumor cell growth and proliferation in an experimental system in which SCFAs were added to cultured human CRC cell lines [5]; the results revealed that SCFAs suppress genes and transcription factors that participate in tumor cell growth, proliferation, and turnover, but do not affect genes involved in carcinogenesis, or genomes and factors associated with carcinogenic pathways.
据报道,肠道微生物组产生的短链脂肪酸(SCFAs)在几个实验系统中具有抗肿瘤作用[1-3]。此前,我们研究了SCFAs(丁酸、异丁酸和乙酸)对培养的人结直肠癌(CRC)细胞系(DLD-1细胞、WirDr细胞)细胞生长和增殖的抑制作用,发现丁酸的抑制作用最强[4];然而,潜在的机制尚未阐明。为了研究SCFAs的抗肿瘤机制,我们在实验系统中对SCFAs对肿瘤细胞生长和增殖的抑制机制进行了计算机分析,该实验系统将SCFAs添加到培养的人CRC细胞系中[5];结果显示,SCFAs抑制参与肿瘤细胞生长、增殖和更新的基因和转录因子,但不影响致癌基因,也不影响与致癌途径相关的基因组和因子。
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引用次数: 0
Novel Treatments Targeting the Dysregulated Cell Signaling Pathway during Sepsis. 针对败血症期间失调细胞信号通路的新疗法。
Pub Date : 2021-12-01
Justin H Franco, Xiaohuan Chen, Zhixing K Pan

Previously characterized as a purely immune mediated disease, sepsis is now recognized as a dysregulated multisystem response against a pathogen. Recognition of the infectious agent by pathogen recognition receptors (PRRs) can initiate activation of the NF-κB signaling pathway and promote the secretion of proinflammatory cytokines. During sepsis, the activation of NF-κB is dysregulated and results in cytokine storm, or the pathologic release of cytokines. Current treatments for sepsis rely on broad spectrum antimicrobial medications and fluid replacement therapy, to neutralize the inciting pathogen and maintain adequate blood pressure. The addition of vasopressor therapy is also utilized when sepsis progresses to septic shock, which is defined by treatment resistant hypotension. Even though modern treatment guidelines have improved clinical outcomes, the mortality rate of sepsis and septic shock is still 15-20% and 20-50%, respectively. To reduce mortality, recent sepsis treatment research has focused on investigating novel therapeutics that can attenuate the dysregulated NF-κB signaling pathway. Antioxidants, such as Retinoic acid and Oxytocin, can reduce activation of the NF-κB pathway by neutralizing stimulatory reactive oxygen species (ROS). Likewise, anti-inflammatory agents can also affect the NF-κB pathway by decreasing the secretion of proinflammatory cytokines, such as TNFα and IL-6. Novel anti-inflammatory cytokines, such as IL-37 and IL-38, have recently been characterized and shown to reduce inflammation in mice with bacterial sepsis. Separately, antioxidants and anti-inflammatory cytokines show promise as potential therapies for sepsis, however, a combined therapy including both agents may prove more beneficial in further improving clinical outcomes.

脓毒症以前被认为是一种纯粹由免疫介导的疾病,现在则被认为是一种针对病原体的多系统反应失调。病原体识别受体(PRR)识别感染病原体可启动 NF-κB 信号通路的激活,并促进促炎细胞因子的分泌。在败血症期间,NF-κB 的激活失调,导致细胞因子风暴或细胞因子的病理性释放。目前治疗败血症的方法主要是使用广谱抗菌药物和液体补充疗法,以中和诱发败血症的病原体并保持足够的血压。当脓毒症发展到脓毒性休克(即耐药性低血压)时,还需要使用血管加压疗法。尽管现代治疗指南改善了临床治疗效果,但败血症和脓毒性休克的死亡率仍分别为 15-20% 和 20-50%。为了降低死亡率,近期的脓毒症治疗研究主要集中在研究可减轻失调的 NF-κB 信号通路的新型疗法。抗氧化剂,如维甲酸和催产素,可以通过中和刺激性活性氧(ROS)来减少 NF-κB 通路的激活。同样,抗炎药物也能通过减少 TNFα 和 IL-6 等促炎细胞因子的分泌来影响 NF-κB 通路。新的抗炎细胞因子,如 IL-37 和 IL-38,最近已被证实能减轻细菌性败血症小鼠的炎症反应。抗氧化剂和抗炎细胞因子可分别作为脓毒症的潜在疗法,但是,包括这两种药物在内的综合疗法可能更有利于进一步改善临床疗效。
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引用次数: 0
Chronic IL-1 Exposed AR+ PCa Cell Lines Show Conserved Loss of IL-1 Sensitivity and Evolve Both Conserved and Unique Differential Gene Expression Profiles. 慢性IL-1暴露的AR+ PCa细胞系显示保守的IL-1敏感性丧失,并进化出保守的和独特的差异基因表达谱。
Pub Date : 2021-12-01
Shayna E Thomas-Jardin, Mohammed S Kanchwala, Haley Dahl, Vivian Liu, Rohan Ahuja, Reshma Soundharrajan, Nicole Roos, Sydney Diep, Amrit Sandhu, Chao Xing, Nikki A Delk

Introduction: Inflammation drives prostate cancer (PCa) progression. While inflammation is a cancer hallmark, the underlying mechanisms mediating inflammation-induced PCa are still under investigation. Interleukin-1 (IL-1) is an inflammatory cytokine that promotes cancer progression, including PCa metastasis and castration resistance. We previously found that acute IL-1 exposure represses PCa androgen receptor (AR) expression concomitant with the upregulation of pro-survival proteins, causing de novo accumulation of castration-resistant PCa cells. However, acute inflammation is primarily anti-tumorigenic, while chronic inflammation is pro-tumorigenic. Thus, using the LNCaP PCa cell line as model, we found that PCa cells can evolve insensitivity to chronic IL-1 exposure, restoring AR and AR activity and acquiring castration resistance. In this paper we expanded our chronic IL-1 model to include the MDA-PCa-2b PCa cell line to investigate the response to acute versus chronic IL-1 exposure and to compare the gene expression patterns that evolve in the LNCaP and MDA-PCa-2b cells chronically exposed to IL-1.

Methods: We chronically exposed MDA-PCa-2b cells to IL-1α or IL-1β for several months to establish sublines. Once established, we determined subline sensitivity to exogenous IL-1 using cell viability assay, RT-qPCR and western blot. RNA sequencing was performed for parental and subline cells and over representation analysis (ORA) for geneset enrichment of biological process/pathway was performed.

Results: MDA-PCa-2b cells repress AR and AR activity in response to acute IL-1 exposure and evolve insensitivity to chronic IL-1 exposure. While cell biological and molecular response to acute IL-1 signaling is primarily conserved in LNCaP and MDA-PCa-2b cells, including upregulation of NF-κB signaling and downregulation of cell proliferation, the LNCaP and MDA-PCa-2b cells evolve conserved and unique molecular responses to chronic IL-1 signaling that may promote or support tumor progression.

Conclusions: Our chronic IL-1 subline models can be used to identify underlying molecular mechanisms that mediate IL-1-induced PCa progression.

简介:炎症驱动前列腺癌(PCa)的进展。虽然炎症是癌症的标志,但介导炎症诱导的PCa的潜在机制仍在研究中。白细胞介素-1 (IL-1)是一种炎症细胞因子,促进癌症进展,包括前列腺癌转移和去势抵抗。我们之前发现,急性IL-1暴露会抑制前列腺癌雄激素受体(AR)的表达,并伴有促生存蛋白的上调,导致去势抵抗性前列腺癌细胞的重新积累。然而,急性炎症主要是抗肿瘤的,而慢性炎症是促肿瘤的。因此,以LNCaP PCa细胞系为模型,我们发现PCa细胞可以进化为对慢性IL-1暴露不敏感,恢复AR和AR活性并获得去势抗性。在本文中,我们将慢性IL-1模型扩展到MDA-PCa-2b PCa细胞系,以研究急性和慢性IL-1暴露的反应,并比较长期暴露于IL-1的LNCaP和MDA-PCa-2b细胞中进化的基因表达模式。方法:将MDA-PCa-2b细胞长期暴露于IL-1α或IL-1β中数月,建立亚群。一旦建立,我们使用细胞活力测定,RT-qPCR和western blot来确定亚系对外源性IL-1的敏感性。对亲代和亚系细胞进行RNA测序,并对生物过程/途径的基因集进行过代表性分析(ORA)。结果:MDA-PCa-2b细胞在急性IL-1暴露时抑制AR和AR活性,而对慢性IL-1暴露不敏感。虽然细胞对急性IL-1信号的生物学和分子反应主要在LNCaP和MDA-PCa-2b细胞中保守,包括NF-κB信号的上调和细胞增殖的下调,但LNCaP和MDA-PCa-2b细胞对慢性IL-1信号的保守和独特的分子反应可能促进或支持肿瘤进展。结论:我们的慢性IL-1亚群模型可用于确定介导IL-1诱导PCa进展的潜在分子机制。
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引用次数: 0
Chronic IL-1 Exposed AR+ PCa Cell Lines Show Conserved Loss of IL-1 Sensitivity and Evolve Both Conserved and Unique Differential Gene Expression Profiles 慢性IL-1暴露的AR+ PCa细胞系显示保守的IL-1敏感性丧失,并进化出保守的和独特的差异基因表达谱
Pub Date : 2021-11-14 DOI: 10.33696/signaling.2.058
S. E. Thomas-Jardin, M. Kanchwala, Haley Dahl, Vivian M Liu, Rohan Ahuja, Reshma Soundharrajan, Nicole Roos, Sydney Diep, Amrit Sandhu, Chao Xing, N. Delk
Introduction: Inflammation drives prostate cancer (PCa) progression. While inflammation is a cancer hallmark, the underlying mechanisms mediating inflammation-induced PCa are still under investigation. Interleukin-1 (IL-1) is an inflammatory cytokine that promotes cancer progression, including PCa metastasis and castration resistance. We previously found that acute IL-1 exposure represses PCa androgen receptor (AR) expression concomitant with the upregulation of pro-survival proteins, causing de novo accumulation of castration-resistant PCa cells. However, acute inflammation is primarily anti-tumorigenic, while chronic inflammation is pro-tumorigenic. Thus, using the LNCaP PCa cell line as model, we found that PCa cells can evolve insensitivity to chronic IL-1 exposure, restoring AR and AR activity and acquiring castration resistance. In this paper we expanded our chronic IL-1 model to include the MDA-PCa-2b PCa cell line to investigate the response to acute versus chronic IL-1 exposure and to compare the gene expression patterns that evolve in the LNCaP and MDA-PCa-2b cells chronically exposed to IL-1. Methods: We chronically exposed MDA-PCa-2b cells to IL-1α or IL-1β for several months to establish sublines. Once established, we determined subline sensitivity to exogenous IL-1 using cell viability assay, RT-qPCR and western blot. RNA sequencing was performed for parental and subline cells and over representation analysis (ORA) for geneset enrichment of biological process/pathway was performed. Results: MDA-PCa-2b cells repress AR and AR activity in response to acute IL-1 exposure and evolve insensitivity to chronic IL-1 exposure. While cell biological and molecular response to acute IL-1 signaling is primarily conserved in LNCaP and MDA-PCa-2b cells, including upregulation of NF-κB signaling and downregulation of cell proliferation, the LNCaP and MDA-PCa-2b cells evolve conserved and unique molecular responses to chronic IL-1 signaling that may promote or support tumor progression. Conclusions: Our chronic IL-1 subline models can be used to identify underlying molecular mechanisms that mediate IL-1-induced PCa progression.
简介:炎症驱动前列腺癌(PCa)的进展。虽然炎症是癌症的标志,但介导炎症诱导的PCa的潜在机制仍在研究中。白细胞介素-1 (IL-1)是一种炎症细胞因子,促进癌症进展,包括前列腺癌转移和去势抵抗。我们之前发现,急性IL-1暴露会抑制前列腺癌雄激素受体(AR)的表达,并伴有促生存蛋白的上调,导致去势抵抗性前列腺癌细胞的重新积累。然而,急性炎症主要是抗肿瘤的,而慢性炎症是促肿瘤的。因此,以LNCaP PCa细胞系为模型,我们发现PCa细胞可以进化为对慢性IL-1暴露不敏感,恢复AR和AR活性并获得去势抗性。在本文中,我们将慢性IL-1模型扩展到MDA-PCa-2b PCa细胞系,以研究急性和慢性IL-1暴露的反应,并比较长期暴露于IL-1的LNCaP和MDA-PCa-2b细胞中进化的基因表达模式。方法:将MDA-PCa-2b细胞长期暴露于IL-1α或IL-1β中数月,建立亚群。一旦建立,我们使用细胞活力测定,RT-qPCR和western blot来确定亚系对外源性IL-1的敏感性。对亲代和亚系细胞进行RNA测序,并对生物过程/途径的基因集进行过代表性分析(ORA)。结果:MDA-PCa-2b细胞在急性IL-1暴露时抑制AR和AR活性,而对慢性IL-1暴露不敏感。虽然细胞对急性IL-1信号的生物学和分子反应主要在LNCaP和MDA-PCa-2b细胞中保守,包括NF-κB信号的上调和细胞增殖的下调,但LNCaP和MDA-PCa-2b细胞对慢性IL-1信号的保守和独特的分子反应可能促进或支持肿瘤进展。结论:我们的慢性IL-1亚群模型可用于确定介导IL-1诱导PCa进展的潜在分子机制。
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引用次数: 0
Novel Treatments Targeting the Dysregulated Cell Signaling Pathway during Sepsis 针对脓毒症中细胞信号通路失调的新疗法
Pub Date : 2021-10-14 DOI: 10.33696/signaling.2.055
Justin H. Franco, Xiaohuan Chen, Z. Pan
Previously characterized as a purely immune mediated disease, sepsis is now recognized as a dysregulated multisystem response against a pathogen. Recognition of the infectious agent by pathogen recognition receptors (PRRs) can initiate activation of the NF-κB signaling pathway and promote the secretion of proinflammatory cytokines. During sepsis, the activation of NF-κB is dysregulated and results in cytokine storm, or the pathologic release of cytokines. Current treatments for sepsis rely on broad spectrum antimicrobial medications and fluid replacement therapy, to neutralize the inciting pathogen and maintain adequate blood pressure. The addition of vasopressor therapy is also utilized when sepsis progresses to septic shock, which is defined by treatment resistant hypotension. Even though modern treatment guidelines have improved clinical outcomes, the mortality rate of sepsis and septic shock is still 15–20% and 20–50%, respectively. To reduce mortality, recent sepsis treatment research has focused on investigating novel therapeutics that can attenuate the dysregulated NF-κB signaling pathway. Antioxidants, such as Retinoic acid and Oxytocin, can reduce activation of the NF-κB pathway by neutralizing stimulatory reactive oxygen species (ROS). Likewise, anti-inflammatory agents can also affect the NF-κB pathway by decreasing the secretion of proinflammatory cytokines, such as TNFα and IL-6. Novel anti-inflammatory cytokines, such as IL-37 and IL-38, have recently been characterized and shown to reduce inflammation in mice with bacterial sepsis. Separately, antioxidants and anti-inflammatory cytokines show promise as potential therapies for sepsis, however, a combined therapy including both agents may prove more beneficial in further improving clinical outcomes.
以前被定性为纯粹的免疫介导疾病,败血症现在被认为是针对病原体的失调多系统反应。病原体识别受体(PRRs)对感染原的识别可激活NF-κB信号通路,促进促炎细胞因子的分泌。在脓毒症期间,NF-κB的激活失调,导致细胞因子风暴,或细胞因子的病理性释放。目前对败血症的治疗依赖于广谱抗菌药物和液体替代疗法,以中和刺激性病原体并维持适当的血压。当脓毒症进展为感染性休克时,也可以使用血管加压治疗,这是由治疗难治性低血压定义的。尽管现代治疗指南改善了临床结果,但败血症和感染性休克的死亡率仍然分别为15-20%和20-50%。为了降低死亡率,最近的脓毒症治疗研究集中在研究可以减弱失调的NF-κB信号通路的新疗法。抗氧化剂,如视黄酸和催产素,可以通过中和刺激性活性氧(ROS)来降低NF-κB通路的激活。同样,抗炎药也可以通过减少促炎细胞因子如TNFα和IL-6的分泌来影响NF-κB通路。新的抗炎细胞因子,如IL-37和IL-38,最近被表征并显示可以减少细菌性败血症小鼠的炎症。单独来看,抗氧化剂和抗炎细胞因子有望成为败血症的潜在治疗方法,然而,包括这两种药物的联合治疗可能在进一步改善临床结果方面更有益。
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引用次数: 5
期刊
Journal of cellular signaling
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