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Oncolytic viral therapy as promising immunotherapy against glioma 溶瘤病毒治疗是一种有前景的神经胶质瘤免疫疗法
Pub Date : 2023-10-16 DOI: 10.1002/mef2.61
Die Hu, Yaomei Tian, Jie Xu, Daoyuan Xie, Yusi Wang, Mohan Liu, Yuanda Wang, Li Yang
Glioma is a common primary central nervous system malignant tumor in clinical, traditional methods such as surgery and chemoradiotherapy are not effective in treatment. Therefore, more effective treatments need to be found. Oncolytic viruses (OVs) are a new type of immunotherapy that selectively infects and kills tumor cells instead of normal cells. OVs can mediate antitumor immune responses through a variety of mechanisms, and have the ability to activate antitumor immune responses, transform the tumor microenvironment from “cold” to “hot,” and enhance the efficacy of immune checkpoint inhibitors. Recently, a large number of preclinical and clinical studies have shown that OVs show great prospects in the treatment of gliomas. In this review, we summarize the current status of glioma therapies with a focus on OVs. First, this article introduces the current status of treatment of glioma and their respective shortcomings. Then, the important progress of OVs of in clinical trials of glioma is summarized. Finally, the urgent challenges of oncolytic virus treatment for glioma are sorted out, and related solutions are proposed. This review will help to further promote the use of OVs in the treatment of glioma.
胶质瘤是临床上常见的原发性中枢神经系统恶性肿瘤,传统的手术、放化疗等方法治疗效果不佳。因此,需要找到更有效的治疗方法。溶瘤病毒(OVs)是一种新型的免疫疗法,它选择性地感染和杀死肿瘤细胞,而不是正常细胞。OVs可以通过多种机制介导抗肿瘤免疫反应,并具有激活抗肿瘤免疫应答的能力,将肿瘤微环境从“冷”转变为“热”,并增强免疫检查点抑制剂的功效。近年来,大量临床前和临床研究表明,OVs在治疗胶质瘤方面显示出巨大的前景。在这篇综述中,我们总结了神经胶质瘤治疗的现状,重点是OVs。本文首先介绍了胶质瘤的治疗现状及其各自的不足。综述了OVs在胶质瘤临床试验中的重要进展。最后,对溶瘤病毒治疗胶质瘤的紧迫挑战进行了梳理,并提出了相关的解决方案。这篇综述将有助于进一步促进OVs在神经胶质瘤治疗中的应用。
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引用次数: 0
Survey of commercial antibodies targeting Y chromosome-encoded genes 针对Y染色体编码基因的商业抗体综述
Pub Date : 2023-10-03 DOI: 10.1002/mef2.62
Bradley D. Gelfand, Dionne A. Argyle, Joseph J. Olivieri, Jayakrishna Ambati

Although immunoassays are an indispensable tool for scientific research, antibody specificity has been recognized as a major challenge to the rigor and reproducibility of research findings. A 2016 proposal published by the International Working Group for Antibody Validation identified five pillars of antibody validation.1 Among these is genetic validation, in which “The expression of the target protein is eliminated or significantly reduced by genome editing or RNA interference.”

Y chromosome-encoded genes present unique opportunities and challenges to validate antibodies on this genetic principle. Fortunately, readily available female-derived cells and tissues can serve as a target-negative source material, which is far more convenient than typical sources of genetic validation, which require knockout or knockdown approaches to a target gene. However, an additional challenge for the specificity of these antibodies is that many Y chromosome proteins have “gametologs,” or highly homologous genes encoded on the X chromosome. As gametologs can share over 90% amino acid identity, these protein targets present unique specificity challenges. However, this obstacle has not impeded commercial antibody suppliers who market hundreds of antibodies with purported specificity for Y chromosome-encoded genes.

We performed an analysis of the extent to which Y chromosome gene-targeted commercial antibodies recognize female-derived materials using data provided in their marketing materials (a detailed methodology is provided in the Supporting Information). Table 1 lists 65 antibodies purporting to target a Y chromosome-encoded gene with company-supplied marketing demonstrating immunoreactivity in female-derived tissues. Product page URLs are provided in Supporting Information: Table S1. For one example, an antibody targeting sex-determining region chromosome Y marketed by MyBioSource (catalog # MBS8513980) presents validation data in HeLa cells, which is a cervical cancer cell line with no Y chromosomes.2

Among these antibodies, frequently used female-derived cell lines were HeLa, 30/65 (46%), HEK293T, female human embryonic kidney cells used in 14 (22%), and MCF-7 breast cancer cells used in 7 (11%). One antibody, a rabbit polyclonal raised against the “N terminus” of DEAD-box helicase 3 Y-linked (DDX3Y) (LS Biosciences, catalog # LS-C355991) presented positive immunohistochemistry in human breast cancer tissue. While not definitively a Y-chromosome absent tissue, we included this as a likely female-positive tissue, based on the prevalence of breast cancer in females compared to males being roughly 99-to-1 in the United States.3 Among 65 antibodies, we noted just two that had disclaimers warning that the antibody may cross-react with homologous X chromosome-encoded proteins.

This survey provides evidence of widespread off-target antigen recognition in commercial ant

尽管免疫测定是科学研究不可或缺的工具,但抗体特异性已被公认为对研究结果的严谨性和再现性的主要挑战。国际抗体验证工作组2016年发布的一项提案确定了抗体验证的五大支柱。1其中包括基因验证,即“通过基因组编辑或RNA干扰消除或显著降低靶蛋白的表达。“Y染色体编码的基因为根据这一遗传原理验证抗体提供了独特的机会和挑战。幸运的是,现成的女性来源的细胞和组织可以作为靶阴性来源材料,这比需要对靶基因进行敲除或敲除的典型基因验证来源要方便得多。然而,这些抗体的特异性面临的另一个挑战是,许多Y染色体蛋白质具有“配子体”,即X染色体上编码的高度同源基因。由于配子体可以共享超过90%的氨基酸同一性,这些蛋白质靶标存在独特的特异性挑战。然而,这一障碍并没有阻碍商业抗体供应商销售数百种据称对Y染色体编码基因具有特异性的抗体。我们使用营销材料中提供的数据对Y染色体基因靶向商业抗体识别女性来源材料的程度进行了分析(详细方法见支持信息)。表1列出了65种声称靶向Y染色体编码基因的抗体,公司提供的市场证明了其在女性来源组织中的免疫反应性。支持信息:表S1中提供了产品页面URL。例如,由MyBioSource销售的靶向性决定区染色体Y的抗体(目录#MBS8113980)在HeLa细胞中提供了验证数据,HeLa细胞是没有Y染色体的子宫颈癌症细胞系,和MCF-7乳腺癌症细胞用于7(11%)。一种抗体,一种针对DEAD-box解旋酶3 Y-连接(DDX3Y)(LS Biosciences,目录#LS-C355991)的“N末端”产生的兔多克隆抗体,在人类乳腺癌症组织中呈现阳性免疫组织化学。虽然不能确定Y染色体缺失组织,但根据美国女性与男性的乳腺癌患病率约为99-1,我们将其列为可能的女性阳性组织。3在65种抗体中,我们注意到只有两种抗体具有免责声明,警告抗体可能与同源X染色体编码蛋白发生交叉反应。这项调查提供了在商业抗体中广泛的脱靶抗原识别的证据,这些抗体旨在识别Y染色体编码的蛋白质。应注意一些重要的注意事项。首先,许多抗体没有提供关于女性组织的原始数据。例如,20/30(67%)的DDX3Y抗体在女性组织中没有提供数据。因此,表1中列出的65种抗体似乎是缺乏特异性的Y染色体靶向抗体的显著代表性不足。其次,该分析假设营销材料中列出的细胞类型的身份是准确的,不会受到细胞系污染,可以想象是含有Y染色体的细胞。细胞系的纯度和特性是生物医学研究中的一个主要挑战。第三,在人类组织如子宫内膜和癌症的情况下,可以想象来自Y染色体编码蛋白的阳性免疫反应性可以代表微嵌合体的真实染色,其中同种异体细胞群体存在于宿主内。我们认为这不太可能,因为即使在每个含有Y染色体的细胞都表达抗原的极端情况下,人们也会期望真正的阳性染色模式仅限于少数同种异体细胞,就像在微嵌合体组织的其他原位杂交染色分析中一样,4而不是像抗体营销材料中报道的那样广泛染色。最后,已发表的营销材料没有经过独立验证,通常缺乏重要信息,如实验复制品的数量。因此,虽然调查结果足以表明这些抗体是无效的,即使它们通过了基因筛查,也可能需要额外的测试来确认它们的有效性。总体上缺乏基于蛋白质的方法的更广泛含义意味着,识别性染色体编码基因在随性染色体数量变化的表型和病理中的作用要困难得多。 由于抗体通常在定义蛋白质的分子机制中发挥核心作用,未来对性染色体编码蛋白质在健康和疾病中的机制贡献的研究需要更准确的分子工具。更广泛地说,这些观察结果应该让研究人员更加谨慎,仔细确认免疫测定的特异性,尤其是对性染色体上的高度相关蛋白质靶点,以及常染色体基因家族。总之,许多针对Y染色体编码蛋白的商业抗体未被验证用于性别特异性应用。鼓励使用这些工具的研究人员在缺乏Y染色体的组织中验证他们的试剂,并在解释有关Y染色体编码抗原的发现时应谨慎。来自缺乏Y染色体的样品的材料应用作阴性对照,以确认抗体的特异性。理想情况下,这些验证研究应辅以其他基因功能特异性方法,包括基因敲除和转基因过表达。我们还敦促商业抗体供应商就Y染色体靶向抗体缺乏经验证的特异性向消费者提供更好的警告。Bradley D.Gelfand:概念化(领导);数据管理(牵头);形式分析(平等);融资收购(牵头);调查(平等);方法论(平等);项目管理(牵头);监督(领导);书写——原始草稿(铅);写作——复习和编辑(同等)。阿盖尔:形式分析(平等);调查(平等);写作——复习和编辑(同等)。Joseph J.Olivieri:形式分析(平等);调查(平等);写作——复习和编辑(同等)。Jayakrishna Ambati:概念化(平等);写作——复习和编辑(同等)。所有作者都已阅读并批准了最终手稿。作者声明与目前的工作没有任何相关冲突。不适用。
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引用次数: 1
Metabolic insights into tumor pathogenesis: Unveiling pan-cancer metabolism and the potential of untargeted metabolomics 肿瘤发病机制的代谢见解:揭示肿瘤全代谢和非靶向代谢组学的潜力
Pub Date : 2023-09-26 DOI: 10.1002/mef2.59
Taorui Wang, Yuanxu Gao

Metabolic dysregulation is a hallmark of cancer, underpinning diverse aggressive behaviors such as uncontrolled proliferation, immune evasion, and metastasis. Despite the potential of tumor metabolites as biomarkers, their utility has been hampered by metabolic heterogeneity. Exploring cancer metabolism aims to discern shared metabolic pathways and have a better understanding the metabolic heterogeneity of tumors. This approach offers a holistic view of cancer metabolism, facilitating the identification of multicancer-relevant metabolic targets and the development of more broadly effective therapeutics. In this review, we present a comprehensive overview of the current landscape of cancer metabolism and its prospective applications in cancer diagnosis and prognosis. We delineate common metabolic aberrations observed across a spectrum of cancer types and elucidate the unique metabolic signatures characterizing the six leading causes of cancer-related mortality. Furthermore, we survey the utilization of untargeted metabolomics and single-cell technologies in cancer screening, diagnosis, and prognosis, while also spotlighting available data resources for pan-cancer metabolomics analyses. Throughout this discussion, we tackle prevailing research challenges and propose strategies aimed at enhancing cancer management. Our objective is to furnish valuable insights that can inform and guide future research endeavors in the dynamic realm of cancer metabolism.

代谢失调是癌症的一个标志,支持各种攻击性行为,如不受控制的增殖、免疫逃避和转移。尽管肿瘤代谢产物具有作为生物标志物的潜力,但其效用受到代谢异质性的阻碍。探索癌症代谢旨在识别共同的代谢途径,更好地了解肿瘤的代谢异质性。这种方法提供了癌症代谢的整体观点,有助于识别多癌相关代谢靶点和开发更广泛有效的治疗方法。在这篇综述中,我们全面概述了癌症代谢的现状及其在癌症诊断和预后中的应用前景。我们描述了在一系列癌症类型中观察到的常见代谢异常,并阐明了表征癌症相关死亡率六个主要原因的独特代谢特征。此外,我们调查了非靶向代谢组学和单细胞技术在癌症筛查、诊断和预后中的应用,同时也强调了可用于泛癌代谢组学分析的可用数据资源。在整个讨论过程中,我们应对普遍存在的研究挑战,并提出旨在加强癌症管理的战略。我们的目标是提供有价值的见解,为癌症代谢动态领域的未来研究工作提供信息和指导。
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引用次数: 0
Small-molecule drugs as RNA-targeted degraders 作为RNA靶向降解剂的小分子药物
Pub Date : 2023-09-20 DOI: 10.1002/mef2.60
Luyi Huang, Jun Zou

Given the numerous crucial roles of RNA molecules in disease initiation and progression, RNAs have emerged as promising therapeutic targets for many diseases. Tong et al. report their discovery1 of small-molecule bioactive degraders that selectively bind to disease-associated RNAs and recruit ribonuclease (RNase) enzymes to facilitate the degradation of RNAs. They have demonstrated the therapeutic potential of RNA degraders in the animal models of different cancers. The findings pave the way to target the development of novel RNA-targeted small-molecule drugs.

Despite considerable advances in drug discovery, there are only hundreds of proteins that have been targeted by approved drugs, compared to the estimated 20,000 human genes. To widen the scope of druggable targets, sustained research efforts have been devoted to modulating the challenging “undruggable” targets in novel ways. Targeting cellular RNA represents one such emerging strategy with the potential to expand the scope that can be drugged. There are multiple different classes of RNA molecules, contributing to various and essential biological functions. Messenger RNA (mRNA) and ribosomal RNA are involved in gene expression and protein synthesis. Noncoding RNAs are critical for the regulation of transcription and translation, such as long noncoding RNA, microRNA (miRNA), and antisense RNAs. Recent evidence has illustrated the important roles of RNA in various diseases, including neurodegenerative diseases, cancer, genetic disorders, and viral infections.2

A range of natural RNA-processing mechanisms have been leveraged to develop RNA-based therapeutics. They provide potential ways to specifically inhibit the expression of disease-related genes and prevent the translation of corresponding proteins. The most well-known RNA-based therapeutics include small interfering RNAs (siRNAs) and antisense oligonucleotides (ASOs).3 The siRNAs are double-stranded RNA molecules with 20–25 nucleotides. The ASOs are short synthetic single-stranded DNA or RNA. Both siRNAs and ASOs are gene silencers designed to target RNA molecules in a sequence-specific manner. However, one of the challenges that hindered their clinical application is their limited in vivo stability and cellular permeability due to their large molecular weight. Drug delivery systems are required to deliver the therapeutics intracellularly and systemically.4

Small molecules usually follow Lipinski's rule of five and face no such impediments. Compared to oligonucleotides, small-molecule drugs targeting RNAs have the advantage of nonimmunogenic and lower molecular weight. This makes them more effective in cell penetration and overcomes the delivery challenges of RNA-based therapeutics. Orally delivered small molecules also significantly increase patient comfort and compliance. Traditionally, small molecules have been primarily

鉴于RNA分子在疾病发生和发展中的许多关键作用,RNA已成为许多疾病的有前途的治疗靶点。Tong等人报道了他们发现的小分子生物活性降解物1,其选择性地与疾病相关的RNA结合并募集核糖核酸酶(RNase)以促进RNA的降解。他们已经在不同癌症的动物模型中证明了RNA降解物的治疗潜力。这些发现为开发新型RNA靶向小分子药物铺平了道路。尽管在药物发现方面取得了相当大的进展,但只有数百种蛋白质被批准的药物靶向,而估计有20000个人类基因。为了扩大可药用靶点的范围,持续的研究工作致力于以新颖的方式调节具有挑战性的“不可药用”靶点。靶向细胞RNA是一种新兴的策略,有可能扩大药物的范围。有多种不同种类的RNA分子,它们具有各种重要的生物学功能。信使核糖核酸(信使核糖核酸)和核糖体核糖核酸参与基因表达和蛋白质合成。非编码RNA对转录和翻译的调节至关重要,如长非编码RNA、微小RNA(miRNA)和反义RNA。最近的证据表明RNA在各种疾病中的重要作用,包括神经退行性疾病、癌症、遗传疾病和病毒感染。2一系列天然RNA加工机制已被用于开发基于RNA的治疗方法。它们提供了特异性抑制疾病相关基因表达和阻止相应蛋白质翻译的潜在方法。最著名的基于RNA的治疗方法包括小干扰RNA(siRNA)和反义寡核苷酸(ASOs)。3 siRNA是具有20-25个核苷酸的双链RNA分子。ASO是合成的短单链DNA或RNA。siRNA和ASOs都是基因消音器,旨在以序列特异性的方式靶向RNA分子。然而,阻碍其临床应用的挑战之一是,由于其分子量大,其体内稳定性和细胞通透性有限。药物递送系统需要在细胞内和系统地递送治疗药物。4小分子通常遵循利平斯基五定律,不面临这样的障碍。与寡核苷酸相比,靶向RNA的小分子药物具有非免疫原性和低分子量的优点。这使它们在细胞穿透方面更有效,并克服了基于RNA的治疗方法的递送挑战。口服小分子制剂也能显著提高患者的舒适度和依从性。传统上,小分子主要局限于靶向蛋白质。选择性调节RNA一直是一个相当大的挑战。5 Evrysdi是美国食品药品监督管理局批准的一种针对致病RNA的小分子药物。Evrysdi是治疗神经退行性疾病脊髓性肌萎缩(SMA)的一个里程碑。SMA是由存活运动神经元(SMN)蛋白缺乏引起的。Evrysdi的工作原理是调节补偿基因SMN2的前mRNA剪接,并增加SMN2的蛋白质表达,而SMN2通常以非常低的水平表达。最近,Tong等人报道了一种使用称为核糖核酸酶靶向嵌合体的双功能小分子靶向致癌RNA的策略。1他们采用筛选方法来鉴定RNA结合小分子。这些天然产物样小分子能够以高亲和力和选择性与疾病相关的RNA结合。然而,RNA上的大多数结合位点是无功能的。因此,结合RNA的小分子不太可能调节细胞水平或RNA分子的活性。挑战在于如何将这些无活性的RNA结合物转化为具有生物活性的小分子。研究人员将RNA结合物与第二个RNase募集分子偶联。因此,优化的分子包含通过化学连接体连接的RNA结合模块和RNase募集模块(图1A)。双功能小分子能够募集细胞酶RNase L,从而诱导靶RNA的降解(图1B)。设计的RNA降解器让人想起蛋白水解靶向嵌合体(PROTACs)。PROTAC是由蛋白质结合模块和泛素连接酶募集模块组成的小分子,其靶向蛋白酶体降解的蛋白质(图1C)。研究人员通过靶向三种重要的癌症相关RNA证明了其策略的有效性:miRNA-155、JUN、,和MYC mRNA。1这三个基因过表达,并驱动许多不同癌症的生长。
{"title":"Small-molecule drugs as RNA-targeted degraders","authors":"Luyi Huang,&nbsp;Jun Zou","doi":"10.1002/mef2.60","DOIUrl":"https://doi.org/10.1002/mef2.60","url":null,"abstract":"<p>Given the numerous crucial roles of RNA molecules in disease initiation and progression, RNAs have emerged as promising therapeutic targets for many diseases. Tong et al. report their discovery<span><sup>1</sup></span> of small-molecule bioactive degraders that selectively bind to disease-associated RNAs and recruit ribonuclease (RNase) enzymes to facilitate the degradation of RNAs. They have demonstrated the therapeutic potential of RNA degraders in the animal models of different cancers. The findings pave the way to target the development of novel RNA-targeted small-molecule drugs.</p><p>Despite considerable advances in drug discovery, there are only hundreds of proteins that have been targeted by approved drugs, compared to the estimated 20,000 human genes. To widen the scope of druggable targets, sustained research efforts have been devoted to modulating the challenging “undruggable” targets in novel ways. Targeting cellular RNA represents one such emerging strategy with the potential to expand the scope that can be drugged. There are multiple different classes of RNA molecules, contributing to various and essential biological functions. Messenger RNA (mRNA) and ribosomal RNA are involved in gene expression and protein synthesis. Noncoding RNAs are critical for the regulation of transcription and translation, such as long noncoding RNA, microRNA (miRNA), and antisense RNAs. Recent evidence has illustrated the important roles of RNA in various diseases, including neurodegenerative diseases, cancer, genetic disorders, and viral infections.<span><sup>2</sup></span></p><p>A range of natural RNA-processing mechanisms have been leveraged to develop RNA-based therapeutics. They provide potential ways to specifically inhibit the expression of disease-related genes and prevent the translation of corresponding proteins. The most well-known RNA-based therapeutics include small interfering RNAs (siRNAs) and antisense oligonucleotides (ASOs).<span><sup>3</sup></span> The siRNAs are double-stranded RNA molecules with 20–25 nucleotides. The ASOs are short synthetic single-stranded DNA or RNA. Both siRNAs and ASOs are gene silencers designed to target RNA molecules in a sequence-specific manner. However, one of the challenges that hindered their clinical application is their limited in vivo stability and cellular permeability due to their large molecular weight. Drug delivery systems are required to deliver the therapeutics intracellularly and systemically.<span><sup>4</sup></span></p><p>Small molecules usually follow Lipinski's rule of five and face no such impediments. Compared to oligonucleotides, small-molecule drugs targeting RNAs have the advantage of nonimmunogenic and lower molecular weight. This makes them more effective in cell penetration and overcomes the delivery challenges of RNA-based therapeutics. Orally delivered small molecules also significantly increase patient comfort and compliance. Traditionally, small molecules have been primarily ","PeriodicalId":74135,"journal":{"name":"MedComm - Future medicine","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mef2.60","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50139514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The molecular mechanism of Xiaoxuming decoction in the treatment of ischemic stroke based on network pharmacology and molecular docking 基于网络药理学和分子对接的消虚明汤治疗缺血性脑卒中的分子机制
Pub Date : 2023-09-08 DOI: 10.1002/mef2.58
Xiang Li, Peng Wang, Kaixuan Zheng, Shiqian Qi, Dan Tang
Xiaoxuming decoction is a traditional Chinese medicine that has been widely used in the clinical treatment of ischemic stroke (IS). This study employed network pharmacology to identify the bioactive molecules and therapeutic mechanism of Xiaoxuming decoction against IS. First, the traditional Chinese medicine systems pharmacology database and analysis platform (TCMSP) was utilized to obtain the ingredients and potential target proteins related to IS in the Xiaoxuming decoction. Subsequently, known target proteins related to IS were collected from online Mendelian inheritance in man (OMIM), Disgenet, and Gencards databases. The mechanism of Xiaoxuming decoction against IS was identified by enrichment analysis of gene ontology (GO) and Kyoto Encyclopedia of genes and genomes (KEGG). Additionally, protein–protein interaction data were obtained from the search tool for the retrieval of interacting genes/proteins (STRING). The hub gene was further screened out from the gene expression omnibus (GEO) and verified by molecular docking. The study identified a total of 183 candidate molecules and 140 targets related to IS. These candidate targets regulate biological processes including inflammation, autophagy, oxidative stress, and vascular reaction. Our findings provide a comprehensive demonstration of the active compounds, key targets, main signaling pathways, and underlying molecular mechanisms of Xiaoxuming decoction in treating IS.
消虚明汤是一种在缺血性脑卒中(is)临床治疗中得到广泛应用的中药。本研究采用网络药理学方法鉴定了消虚明汤对抗IS的生物活性分子和治疗机制。首先,利用中药系统药理学数据库和分析平台(TCMSP)获得了消虚明汤中与IS相关的成分和潜在靶蛋白。随后,从在线孟德尔人遗传(OMIM)、Disgenet和Gencards数据库中收集了与IS相关的已知靶蛋白。通过基因本体论(GO)和京都基因与基因组百科全书(KEGG)的富集分析,确定了消虚明汤对抗IS的作用机制。此外,蛋白质-蛋白质相互作用数据是从检索相互作用基因/蛋白质的搜索工具(字符串)中获得的。从基因表达综合群(GEO)中进一步筛选出hub基因,并通过分子对接进行验证。该研究共确定了183个候选分子和140个与IS相关的靶点。这些候选靶点调节包括炎症、自噬、氧化应激和血管反应在内的生物过程。我们的研究结果全面证明了消虚明汤治疗IS的活性化合物、关键靶点、主要信号通路和潜在的分子机制。
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引用次数: 0
Comparative in silico, in vitro and ex vivo anti-inflammatory activity of quercetin 槲皮素的硅、体外和离体抗炎活性比较
Pub Date : 2023-08-24 DOI: 10.1002/mef2.57
Shruti S. Choubey, Avtar S. Gautam, Lasure Vaibhav, Shikha Asthana, Anjuman Nanda, Mangaldeep Dey, Rakesh K. Singh

Inflammation is characterized by activation of the immune and nonimmune cells that act by removing the stress stimuli such as pathogens, toxins and so on. It can be categorized in two types namely, acute and chronic inflammation that depends on the extent of the injury caused due to inflammation. Basically, acute inflammatory responses regulate various cellular and molecular events and the interaction of different types of immune cells, that helps to minimize the injury. These events may lead to recovery of tissue homeostasis during acute inflammation. However, during chronic inflammation as in neurodegenerative diseases, a variety of key players orchestrate the process to amplify the magnitude of inflammation.1

Mitogen-activated protein kinases (MAPKs) are one of the widely studied kinase family that composed of three well known subfamily: p38 MAPKs, extracellular signal-regulated protein kinases (ERKs) and c-Jun N-terminal kinases (JNKs). The p38MAPKs are encoded by p38α, p38β, p38γ, and p38δ genes. It has been shown that the p38MAPK pathway is critically involved in the regulation of inflammation via activation of TLR4 receptor. MAPK-activated protein kinase 2 (MK2) is one of the key substrates downstream to p38α/p38β, which on phosphorylation regulate the production and signaling of pro-inflammatory cytokines.2, 3

The inhibition of MK2 by tool compound, PF-3644022 has shown reduction of inflammatory biomarkers in various in vitro and in vivo models.4 So, the present study is designed to investigate and compare the anti-inflammatory effects of quercetin5 with MK2 inhibitor, PF-3644022 in LPS induced SH-SY5Y cell line in vitro and rat whole blood ex vivo.

The computational docking study (binding affinity) data was obtained through the Auto Dock Vina software and the interaction among the protein-ligand inhibition was studied through Biovia (discovery studio) and Ligplot+ software (Figure 1A-D). The structure-based binding site identification study method was performed to compare the binding affinities among PF-3644022 and quercetin against MK2 protein. The binding affinity of PF-3644022 with MK2 was found to be −8.4 Kcal/mol. The interaction between PF-3644022 and MK2 is divided into two types. At first, it formed one hydrophilic bond having bond length 3.17 Å against Arg 149 (A chain) of MK2 protein. Second, the hydrophobic bonds were formed with Glu 165, Ser 169, Asn 200, Lys 168, Ile 202, Tyr 194, Ile 166, and pro 199 in MK2 protein. The binding affinity of quercetin was found to be −8.1 Kcal/mol. The interaction between quercetin and MK2 showed that there were four hydrophilic bonds with showing different bond length against MK2 protein amino acid sequence like Asp 207 (2.70 Å), Glu 139(2.70 Å), Leu 141(2.80 Å), and Glu 145(2.91 Å). This binding also showed hydrophobic interaction against MK2 protein amino acid such as Gly 73

炎症的特征是免疫细胞和非免疫细胞的激活,这些细胞通过去除病原体、毒素等应激刺激而起作用。根据炎症引起的损伤程度,可分为急性炎症和慢性炎症两类。基本上,急性炎症反应调节各种细胞和分子事件以及不同类型免疫细胞的相互作用,这有助于减少损伤。这些事件可能导致急性炎症期间组织稳态的恢复。然而,在慢性炎症和神经退行性疾病中,各种关键因素协调了这一过程,以放大炎症的程度。1丝裂原活化蛋白激酶(MAPKs)是被广泛研究的激酶家族之一,由三个众所周知的亚家族组成:p38 MAPKs,细胞外信号调节蛋白激酶(ERKs)和c-Jun n-末端激酶(JNKs)。p38MAPKs由p38α、p38β、p38γ和p38δ基因编码。研究表明,p38MAPK通路通过激活TLR4受体参与炎症的调节。mapk活化的蛋白激酶2 (MK2)是p38α/p38β下游的关键底物之一,通过磷酸化调控促炎细胞因子的产生和信号转导。工具化合物PF-3644022对MK2的抑制作用在各种体外和体内模型中显示出炎症生物标志物的减少因此,本研究旨在研究并比较槲皮素5与MK2抑制剂nf -3644022对LPS诱导的SH-SY5Y细胞株和大鼠全血离体的抗炎作用。通过Auto Dock Vina软件获得计算对接研究(结合亲和力)数据,通过Biovia (discovery studio)和Ligplot+软件研究蛋白质-配体抑制之间的相互作用(图1A-D)。采用基于结构的结合位点鉴定研究方法,比较PF-3644022与槲皮素对MK2蛋白的结合亲和力。结果表明,PF-3644022与MK2的结合亲和力为−8.4 Kcal/mol。PF-3644022与MK2的相互作用分为两种类型。首先与MK2蛋白的Arg 149 (A链)形成一个键长为3.17 Å的亲水性键。其次,MK2蛋白与Glu 165、Ser 169、Asn 200、Lys 168、Ile 202、Tyr 194、Ile 166和pro 199形成疏水键。槲皮素的结合亲和力为−8.1 Kcal/mol。槲皮素与MK2的相互作用表明,针对MK2蛋白氨基酸序列存在4个键长不同的亲水性键,分别为Asp 207 (2.70 Å)、Glu 139(2.70 Å)、Leu 141(2.80 Å)和Glu 145(2.91 Å)。该结合对靶蛋白A链上表达的Gly 73、Leu 72、Glu 190、Asn 191、Val 78、Thr 206、Met 138、Ala 91、Cys 140和Leu 70等MK2蛋白氨基酸也表现出疏水相互作用。PF-3644022与MK2蛋白的结合亲和力高于槲皮素。事实上,Lipinski规则现象和GIT吸收数据反映了对MK2蛋白分子的良好抑制,类似于内部配体CD21(图1E,F)。采用均匀时间分辨荧光法(HTRF)评价PF-3644022和槲皮素对MK2激酶的抑制作用。PF-3644022和槲皮素能够剂量依赖性地抑制MK2酶的活性(图1G)。较高剂量的PF-3644022和槲皮素抑制作用最大。EDTA采集的大鼠全血分别用10 μM ~ 1 nM范围内不同浓度的PF-3644022和槲皮素预处理,37℃下孵育15 min,再用1 μg/mL LPS处理,37℃下孵育6 h,收集血浆检测促炎因子、TNF-α(图1H)、白细胞介素(IL)-6(图1I)水平。结果发现,与对照组相比,LPS处理组细胞因子释放量显著上调(p &lt; .001), 10 μM、1 μM和100 nM PF-3644022和槲皮素预处理组细胞因子释放量呈剂量依赖性显著下调。另外,用PF-3644022和槲皮素(10 μM-1 nM)预处理SH-SY5Y细胞1 h,然后用LPS (1 μ m /mL)培养24 h。收集细胞上清液,测定TNF-α、IL-6水平。我们观察到,与LPS处理组相比,PF-3644022和槲皮素预处理组这些细胞因子的水平呈剂量依赖性降低。与对照组相比,LPS处理组这些细胞因子的释放水平显著上调(###p &lt; .001);而PF-3644022和槲皮素预处理组两者均显著下调(***p &lt;)001和*p &lt;05,图1J,K),呈剂量依赖性。 在我们的研究中,我们以PF-3644022作为标准的MK2抑制剂,并与槲皮素进行比较。由于槲皮素以其优异的抗炎特性而闻名[5];因此,我们通过体内和体外两种方法评估了PF3644022与槲皮素的MK2结合亲和力,以及SH-SY5Y细胞体外和大鼠全血体外的抗炎作用。对接结果清楚地表明槲皮素对MK2的结合亲和力(−8.1 kcal/mol)与PF-3644022(−8.4 kcal/mol)相当。这一数据为槲皮素可能通过MK2结合改变炎症提供了初步证据。此外,在HTRF实验中,PF-3644022和槲皮素抑制MK2激酶,也显示出lps诱导的促炎细胞因子释放的剂量依赖性。基于槲皮素与f -3644022在MK2实验中的结合亲和力及酶抑制数据,槲皮素可能通过抑制MK2在大鼠全血及神经元细胞系中发挥抗炎活性。然而,槲皮素抑制MK2的确切途径还有待进一步研究。shshruti S. Choubey:概念化(平等);数据管理(相等);形式分析(相等);调查(平等);方法(平等);写作-原稿(同等)。Avtar S. Gautam:数据管理(equal);形式分析(相等);方法(平等);写作-原稿(同等)。Lasure Vaibhav:数据管理(equal);形式分析(相等);调查(平等);方法(平等);写作-原稿(同等)。Shikha Asthana:数据管理(相等);形式分析(相等);可视化(平等)。Anjuman Nanda:数据管理(equal);形式分析(相等);调查(平等);方法(平等);可视化(平等);写作-原稿(同等)。Mangaldeep Dey:数据管理(equal);形式分析(相等);调查(平等);资源(平等);可视化(平等)。Rakesh K. Singh:概念化(领导);项目管理(领导);资源(领导);监督(领导);可视化(领导);写作-审查和编辑(主导)。所有作者都阅读并批准了最终稿件。作者声明无利益冲突。所有程序和方案均经印度勒克瑙NIPER- raebareli机构动物伦理委员会(IAEC)批准(协议号NIPER/RBL/IAEC/65/August 2021),并根据印度动物实验控制和监督委员会(CPCSEA)制定的规定在实验中使用。
{"title":"Comparative in silico, in vitro and ex vivo anti-inflammatory activity of quercetin","authors":"Shruti S. Choubey,&nbsp;Avtar S. Gautam,&nbsp;Lasure Vaibhav,&nbsp;Shikha Asthana,&nbsp;Anjuman Nanda,&nbsp;Mangaldeep Dey,&nbsp;Rakesh K. Singh","doi":"10.1002/mef2.57","DOIUrl":"10.1002/mef2.57","url":null,"abstract":"<p>Inflammation is characterized by activation of the immune and nonimmune cells that act by removing the stress stimuli such as pathogens, toxins and so on. It can be categorized in two types namely, acute and chronic inflammation that depends on the extent of the injury caused due to inflammation. Basically, acute inflammatory responses regulate various cellular and molecular events and the interaction of different types of immune cells, that helps to minimize the injury. These events may lead to recovery of tissue homeostasis during acute inflammation. However, during chronic inflammation as in neurodegenerative diseases, a variety of key players orchestrate the process to amplify the magnitude of inflammation.<span><sup>1</sup></span></p><p>Mitogen-activated protein kinases (MAPKs) are one of the widely studied kinase family that composed of three well known subfamily: p38 MAPKs, extracellular signal-regulated protein kinases (ERKs) and c-Jun N-terminal kinases (JNKs). The p38MAPKs are encoded by p38α, p38β, p38γ, and p38δ genes. It has been shown that the p38MAPK pathway is critically involved in the regulation of inflammation via activation of TLR4 receptor. MAPK-activated protein kinase 2 (MK2) is one of the key substrates downstream to p38α/p38β, which on phosphorylation regulate the production and signaling of pro-inflammatory cytokines.<span><sup>2, 3</sup></span></p><p>The inhibition of MK2 by tool compound, PF-3644022 has shown reduction of inflammatory biomarkers in various in vitro and in vivo models.<span><sup>4</sup></span> So, the present study is designed to investigate and compare the anti-inflammatory effects of quercetin<span><sup>5</sup></span> with MK2 inhibitor, PF-3644022 in LPS induced SH-SY5Y cell line in vitro and rat whole blood ex vivo.</p><p>The computational docking study (binding affinity) data was obtained through the Auto Dock Vina software and the interaction among the protein-ligand inhibition was studied through Biovia (discovery studio) and Ligplot+ software (Figure 1A-D). The structure-based binding site identification study method was performed to compare the binding affinities among PF-3644022 and quercetin against MK2 protein. The binding affinity of PF-3644022 with MK2 was found to be −8.4 Kcal/mol. The interaction between PF-3644022 and MK2 is divided into two types. At first, it formed one hydrophilic bond having bond length 3.17 Å against Arg 149 (A chain) of MK2 protein. Second, the hydrophobic bonds were formed with Glu 165, Ser 169, Asn 200, Lys 168, Ile 202, Tyr 194, Ile 166, and pro 199 in MK2 protein. The binding affinity of quercetin was found to be −8.1 Kcal/mol. The interaction between quercetin and MK2 showed that there were four hydrophilic bonds with showing different bond length against MK2 protein amino acid sequence like Asp 207 (2.70 Å), Glu 139(2.70 Å), Leu 141(2.80 Å), and Glu 145(2.91 Å). This binding also showed hydrophobic interaction against MK2 protein amino acid such as Gly 73","PeriodicalId":74135,"journal":{"name":"MedComm - Future medicine","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mef2.57","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49115520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Chemoimmunotherapy for esophageal squamous cell carcinoma—Summary and discussion of recent clinical trials 食管鳞状细胞癌的化学免疫治疗——近期临床试验的总结和讨论
Pub Date : 2023-08-14 DOI: 10.1002/mef2.56
Zhen Zhang, Jiaqian Huang, Yuhong Xu, Huiyan Luo
As a kind of carcinoma with increasing morbidity, poor prognosis, and high mortality, esophageal squamous cell carcinoma (ESCC) is challenging for clinical management. Chemotherapy has been the standard treatment for ESCC over decades, while its clinical outcomes remain unsatisfying. And the regimen that combine standard chemotherapy with targeted therapy also demonstrates little effect. However, the advent of immune checkpoint inhibitors (ICI) proved to be a game changer in cancer treatment. Recent clinical trials had sprung up to evaluate the combined effect of ICI and chemotherapy regarding first‐line ESCC treatment. What's more, researchers attempt to explore the possibility to implement ICI monotherapy regarding second‐line ESCC treatment. In conclusion, most of the first‐line trails present inspiring achievement, while ICI monotherapy indicates little improvement for ESCC treatment. To point out the heterogenicity that could be the potential reasons biasing the pooled results, the differences of PD‐L1 immunohistochemistry (IHC) assays, geographic regions, chemotherapy regimens, and sex disparity among these trails are discussed respectively. In addition, the adverse events occurred during the trails are summarized, which confirm the safety of immunotherapy and chemoimmunotherapy. The article comprehensively reviews the representative explorations of using chemoimmunotherapy strategies in ESCC, as well as the deficiencies among them. Moreover, we highlight some feasible approaches. It will be beneficial for conducting more precise clinical trials on chemoimmunotherapy for ESCC in the future, including the use of more appropriate PD‐L1 IHC assays, careful consideration of the heterogeneity of the enrolled population and the optimal combination of chemotherapy and ICI.
食管鳞状细胞癌(ESCC)是一种发病率高、预后差、死亡率高的癌症,临床治疗具有挑战性。几十年来,化疗一直是ESCC的标准治疗方法,但其临床结果仍不令人满意。而将标准化疗与靶向治疗相结合的方案也收效甚微。然而,免疫检查点抑制剂(ICI)的出现被证明是癌症治疗的游戏规则改变者。最近的临床试验如雨后春笋般涌现,以评估ICI和化疗对一线ESCC治疗的联合效果。此外,研究人员试图探索在二线ESCC治疗中实施ICI单一疗法的可能性。总之,大多数一线试验都取得了令人鼓舞的成就,而ICI单药治疗表明ESCC治疗几乎没有改善。为了指出异质性可能是使合并结果产生偏差的潜在原因,分别讨论了这些试验中PD-L1免疫组织化学(IHC)测定、地理区域、化疗方案和性别差异的差异。此外,总结了试验期间发生的不良事件,证实了免疫疗法和化学免疫疗法的安全性。本文全面回顾了化学免疫治疗策略在ESCC中的代表性探索,以及其中的不足。此外,我们强调了一些可行的办法。这将有利于在未来对ESCC进行更精确的化学免疫治疗临床试验,包括使用更合适的PD-L1 IHC测定,仔细考虑入选人群的异质性以及化疗和ICI的最佳组合。
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引用次数: 0
Causality between COVID-19 and female reproductive function: A Mendelian randomization study COVID - 19与女性生殖功能之间的因果关系:一项孟德尔随机研究
Pub Date : 2023-08-07 DOI: 10.1002/mef2.55
Bowen Zhang, Jixue Xu, Junzhi Liang, Mingjun Hao, Yuexin Yu, Jingzan Wei, Yuanyuan Fang, Zhijing Na, Da Li
Coronavirus disease 2019 (COVID‐19) has experienced a global pandemic, and currently, the emergence of its variants has posed challenges in terms of prevention and treatment. Nonetheless, the effect of COVID‐19 infection on female reproductive function is unclear. This study aimed to systematically evaluate for the first time the causal effect of COVID‐19 on female reproductive function. Genetic correlations were assessed using linkage disequilibrium score regression. Mendelian randomization (MR) analysis was performed using summary statistics of two variables, including COVID‐19 severity and eight female reproductive traits. The three degrees of severity had genetically significant associations with sex hormone‐binding globulin (SHBG) concentrations (rg = –0.153, p = 0.004; rg = –0.187, p < 0.001; rg = –0.180, p = 0.003). Additionally, MR showed that SHBG (β = –0.020, p = 0.040) and total testosterone levels (β = –0.061, p = 0.009) followed a decreasing trend, as the COVID‐19 infection higher. No significant genetic association was found between COVID‐19 infection and total estradiol concentrations, menstruation, and female infertility. Simultaneously, MR found no causal relationships between COVID‐19 infection and total estradiol concentrations, menstruation, and female infertility (all p > 0.05). In conclusion, COVID‐19 was causally associated with lower SHBG and total testosterone concentrations, offering invaluable insights that will help guide clinical decision‐making.
2019冠状病毒病(COVID - 19)已在全球大流行,目前其变体的出现给预防和治疗带来了挑战。然而,COVID - 19感染对女性生殖功能的影响尚不清楚。本研究旨在首次系统评价COVID - 19对女性生殖功能的因果影响。使用连锁不平衡评分回归评估遗传相关性。孟德尔随机化(MR)分析使用两个变量的汇总统计,包括COVID - 19严重程度和8个女性生殖特征。三个严重程度与性激素结合球蛋白(SHBG)浓度有显著的遗传相关性(rg = -0.153, p = 0.004;Rg = -0.187, p 0.05)。总之,COVID - 19与较低的SHBG和总睾酮浓度有因果关系,这为指导临床决策提供了宝贵的见解。
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引用次数: 0
The epidemiological and clinical characteristics of COVID-19 patients admitted to a Fangcang shelter hospital in Beijing before the change in China's prevention and control policy 防控政策变化前北京市房仓方舱医院收治的COVID - 19患者的流行病学和临床特征
Pub Date : 2023-07-31 DOI: 10.1002/mef2.54
Xiaolong Xu, Hui Jiang, Maochen Li, Jvjv Shang, Yifan Shi, Yumeng Yan, Xintong Li, Shuang Song, Chunxia Zhao, Chunming Zhao, Chongpei Cen, Bo Li, Huahao Fan, Qingquan Liu

In November 2022, a large number of Omicron infections suddenly appeared in Beijing, but the epidemiological and clinical characteristics of the epidemic cases were unknown. We collected the data on COVID-19 cases in Fangcang Hospital in Beijing from November 20, 2022, to December 8, 2022, and analyzed the epidemiological and clinical characteristics. Of the enrolled study, 85.9% were asymptomatic and 14.1% were mild. Epidemiological data showed that the transmission speed of the Omicron variant was fast and the transmission range was wide, large-scale infections occurred in both rural and urban areas, and all age groups were susceptible to the Omicron variant. In addition, antipyretics and cough drugs were the two most used drugs, because 51.3% and 22.7% of patients had fever and cough, respectively, and 10.3% of patients took hypnotics. Furthermore, the proportion of patients with chronic diseases was low (13.9%), while the vaccination rate (71.2%) was relatively high. Based on the results, we found that most mild and asymptomatic cases did not need treatment, indicating that home isolation is correct and feasible. Although SARS-CoV-2 variants have characteristics such as high infectivity and immune-escape ability, the public should not be too afraid of COVID-19 infection; appropriate measures such as wearing masks and maintaining social distancing are sufficient to prevent reinfection.

背景:2022年11月,北京突然出现大量奥密克戎感染者,但疫情病例的流行病学和临床特征尚不清楚。方法:收集2022年11月20日至2022年12月8日北京方舱医院新冠肺炎病例资料,分析其流行病学和临床特点。我们使用描述性统计方法来探索基本特征,使用参数分布来计算事件发生的时间,并使用ArcGIS来探索不同地区新冠肺炎病例的分布模式。结果:方舱方舱医院共有1307例新冠肺炎病例,其中85.9%为无症状病例,14.1%为轻度病例。流行病学数据显示,奥密克戎变异株传播速度快、传播范围广,农村和城市都发生了大规模感染,所有年龄组都易感染奥密克毒株。此外,退烧药和咳嗽药是最常用的两种药物,因为分别有51.3%和22.7%的患者发烧和咳嗽,10.3%的患者服用催眠药。此外,慢性病患者的比例较低(13.9%),而疫苗接种率(71.2%)相对较高。结论:根据方舱方舱医院的结果,我们发现大多数轻症和无症状病例不需要治疗,这表明居家隔离是正确和可行的。但奥密克戎变异株传播速度快、传播范围广,所有年龄组都易感染奥密克毒株;因此,防控意识不能放松。托管文件Manuscript.doc可在https://authorea.com/users/582337/articles/622449-theepidemiological-and-clinical-characteristic-of-covid-19-patients-admitted-to-a-fangcangshelter-hospital-in-beijing-before-the-change-of-china-s-prevention-and-control-policy
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引用次数: 0
PM2.5 air pollutant drives the initiate of lung adenocarcinoma PM2.5空气污染物引发肺腺癌
Pub Date : 2023-07-13 DOI: 10.1002/mef2.53
Yuhong Xu, Huiyan Luo

Recently, researchers from Cancer Research UK and The Francis Crick Institute published a paper entitled “Lung adenocarcinoma promotion by air pollutants” in Nature.1 The study focused on the impact of air pollutants, specifically PM2.5, on lung adenocarcinoma development. By analyzing human data and conducting subsequent animal experiments, the researchers found that air pollutants PM2.5 leads to an influx of macrophages into the lung and triggers the release of interleukin-1β. This, in turn, induces a progenitor-like cell state within estimated glomerular filtration rate (EGFR) mutant lung alveolar type II epithelial cells, fueling tumorigenesis, and potentially exacerbating pre-existing cancerous mutations in normal tissues.

While the association between smoking and lung cancer risk is well-established, attention has increasingly turned towards understanding the carcinogenic factors in never-smokers. As the eighth leading cause of cancer-related deaths in the United Kingdom, lung cancer in never-smokers (LCINS) is often an adenocarcinoma carrying the EGFR mutation.2 In an effort to identify significant factors influencing the development of lung cancer LCINS, the researchers analyzed environmental and epidemiological data from 32,957 cases of EGFR-driven lung cancer in the United Kingdom, Canada, South Korea, Taiwan, and China. The findings revealed a correlation between increased levels of PM2.5 and a higher incidence of lung cancer among the study participants. Later analysis of 407,509 individuals from the UK Biobank support these results, demonstrating significant increase in the projected incidence of lung cancer among those exposed to high levels of PM2.5. The researchers also conducted a 3-year follow-up study involving 228 Canadian lung cancer patients. The incidence of lung cancer was found to be significantly higher (73%) in those exposed to high levels of PM2.5 compared to those exposed to low levels (40%). Notably, this association was not observed in the Canadian cohort over a 20-year period, suggesting that 3 years of exposure to high levels of pollution may be sufficient to produce cancer.

Hill et al. further employed genetically engineered mice carrying EGFR mutations (EGFRL858R) associated with human cancer to functionally investigate whether PM2.5 exposure promoted the development of lung adenocarcinoma. The study revealed that mice were exposed to similar air pollution particles, resulting in a higher likelihood of developing lung tumors compared to control mice not exposed to pollution particles. The same experiments were performed on genetically engineered mice with Kras mutations, a common mutation in various lung tumors, yielding similar results. Through spatial analysis of clonal dynamics, the researchers discovered that PM2.5 promotes early tumorigenesis through two mechanisms: increasing the number of EGFR-mutated cells capable of forming tumors

近日,英国癌症研究所和弗朗西斯克里克研究所的研究人员在《nature》杂志上发表了一篇题为“空气污染物促进肺腺癌”的论文。该研究重点研究了空气污染物,特别是PM2.5对肺腺癌发展的影响。通过分析人体数据并进行随后的动物实验,研究人员发现,空气污染物PM2.5会导致巨噬细胞涌入肺部,并引发白细胞介素-1β的释放。反过来,这在估计的肾小球滤过率(EGFR)突变的肺泡II型上皮细胞中诱导祖细胞样细胞状态,促进肿瘤发生,并可能加剧正常组织中已有的癌突变。虽然吸烟和肺癌风险之间的关系已经确立,但人们的注意力越来越多地转向了解不吸烟者的致癌因素。作为英国癌症相关死亡的第八大原因,不吸烟者肺癌(LCINS)通常是一种携带EGFR突变的腺癌为了确定影响肺癌LCINS发展的重要因素,研究人员分析了来自英国、加拿大、韩国、台湾和中国的32957例egfr驱动的肺癌的环境和流行病学数据。研究结果揭示了PM2.5水平升高与研究参与者中肺癌发病率升高之间的相关性。随后对来自英国生物银行的407,509人的分析支持了这些结果,表明暴露于高水平PM2.5的人群中肺癌的预计发病率显著增加。研究人员还对228名加拿大肺癌患者进行了为期3年的随访研究。研究发现,PM2.5浓度高的人群肺癌发病率(73%)明显高于PM2.5浓度低的人群(40%)。值得注意的是,在20年的加拿大队列研究中没有观察到这种关联,这表明3年的高水平污染暴露可能足以产生癌症。Hill等人进一步利用携带与人类癌症相关的EGFR突变(EGFRL858R)的基因工程小鼠,从功能上研究PM2.5暴露是否会促进肺腺癌的发展。该研究显示,与未暴露于污染颗粒的对照组小鼠相比,暴露于类似空气污染颗粒的小鼠患肺肿瘤的可能性更高。同样的实验在有Kras突变的基因工程小鼠身上进行,得到了类似的结果。Kras突变是各种肺部肿瘤中常见的突变。通过克隆动力学的空间分析,研究人员发现PM2.5通过两种机制促进早期肿瘤发生:增加能够形成肿瘤的egfr突变细胞的数量,提高这些突变细胞在早期病变中的增殖速度。为了确定PM2.5是否会诱导DNA突变,研究人员对暴露于PM2.5或对照物质(磷酸盐缓冲盐水[PBS])的EGFRL858R小鼠的肿瘤进行了全基因组测序。结果表明,短期暴露于PM2.5并不会增强突变,由EGFR驱动的PM2.5诱导的肺肿瘤发生需要功能性免疫系统。吸入有毒颗粒会触发由巨噬细胞和肺上皮细胞介导的肺部局部反应。发现短暂暴露于PM2.5与暴露期后肺巨噬细胞浸润增加和持续相关。此外,为了研究PM2.5暴露对早期肿瘤发生的影响,研究人员在四种不同条件下(暴露于PM2.5或PBS的对照小鼠,以及暴露于PM2.5或PBS的EGFR突变小鼠)对肺上皮细胞进行了RNA-seq分析,结果显示,与对照组相比,PM2.5暴露组的IL-6-JAK-STAT途径、炎症反应和同种异体移植排斥途径上调。PM2.5暴露还导致参与巨噬细胞募集的基因上调,包括编码白细胞介素-1β (IL-1β)、GM-CSF、CCL6和NF-κB的基因以及上皮源性警报蛋白IL-33。基于先前的研究表明肺泡II型(AT2)上皮细胞可能是肺腺癌的一个来源,Nagano等人比较了博莱霉素处理小鼠肺的大量RNA-seq表达数据和单细胞RNA-seq数据集。分析表明,PM2.5暴露组的AT2祖细胞激活评分高于对照组。这表明,在EGFR突变和PM2.5暴露的情况下,AT2细胞经历转录重编程,转变为祖细胞状态。重要的是,这种作用仅在EGFRL858R AT2细胞中观察到,而在EGFR野生型AT2细胞中没有观察到。 此外,小鼠RNA-seq数据与人类临床交叉研究的比较显示,PM2.5暴露后,小鼠肺上皮中许多基因上调,而这些基因在人肺上皮中也上调。先前的研究表明,PM2.5暴露可以增加巨噬细胞炎症细胞因子的释放通过将EGFRL858R小鼠的AT2细胞与暴露于PM2.5或PBS的巨噬细胞共培养,研究人员观察到PM2.5暴露组中AT2细胞的类器官形成效率显著提高。这表明pm2.5诱导炎症的关键介质来自巨噬细胞。早期的报道强调了肺巨噬细胞中IL-1β对AT2祖细胞形成的要求通过结合现有数据,研究人员得出结论,当暴露于细颗粒物时,肺上皮细胞会将巨噬细胞招募到肺部。细颗粒物刺激巨噬细胞释放IL-1β,导致EGFRL858R AT2重编程为祖细胞状态,随后成为启动肺癌的种子(图1)。研究人员通过PM2.5暴露期间的IL-1β抗体治疗实验进一步验证了这些结论。为了初步了解个体中EGFR或Kras突变的患病率,研究人员分析了来自不同队列的监测数据。在295例健康肺组织样本中,发现54例(18%)携带egfr驱动突变。同样,在81个健康肺组织样本中,发现43个(53%)携带kras驱动突变。值得注意的是,554,500个健康肺细胞中只有一个被发现携带致癌的EGFR突变。此外,在年龄和突变数量之间观察到显著的相关性,而在非癌组织中,EGFR或Kras突变与吸烟状况或癌症诊断之间没有发现关联。本研究证实了健康组织中致癌突变的存在,并强调了正常细胞在增殖过程中发生的自发基因突变,在PM2.5等外界环境的影响下转化为恶性细胞并引发癌症的能力。而PM2.5是肺腺癌发展的可能危险因素之一,肺部免疫系统的影响可能是其发挥作用的关键。因此,旨在减少空气污染的公共卫生举措有可能有效减轻肺癌的负担。此外,这些发现对预防癌症也有影响,表明抗炎干预可能会预防这类癌症的发生。徐玉红:可视化(平等);写作-原稿(同等);写作—评审与编辑(同等)。罗惠妍:概念化(平等);获得资金(相等);监督(平等);写作—评审与编辑(同等)。两位作者都阅读并认可了这篇文章。作者声明无利益冲突。不适用。
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