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The vascular epigenome in patients with obesity and type 2 diabetes: opportunities for personalized therapies. 肥胖和2型糖尿病患者的血管表观基因组:个性化治疗的机会
Pub Date : 2020-05-15 eCollection Date: 2020-01-01 DOI: 10.1530/VB-20-0001
Sarah Costantino, Shafeeq A Mohammed, Samuele Ambrosini, Francesco Paneni

Our genetic background provides limited information on individual risk of developing vascular complications overtime. New biological layers, namely epigenetic modifications, are now emerging as potent regulators of gene expression thus leading to altered transcriptional programs and vascular disease phenotypes. Such epigenetic modifications, defined as changes to the genome that do not involve changes in DNA sequence, are generally induced by environmental factors and poor lifestyle habits. Of note, adverse epigenetic signals acquired during life can be transmitted to the offspring thus leading to premature alterations of the epigenetic and transcriptional landscape eventually leading to early endothelial dysfunction and vascular senescence. Modifications of the epigenome play a pivotal role in the pathophysiology of cardiometabolic disturbances such as obesity and type 2 diabetes. In these patients, changes of DNA methylation and chromatin structure contribute to alter pathways regulating insulin sensitivity, glucose homeostasis, adipogenesis and vascular function. In this perspective, unveiling the 'epigenetic landscape' in cardiometabolic patients may help to identify new players implicated in obesity and diabetes-related vascular dysfunction and may pave the way for personalized therapies in this setting. In the present review, we discuss current knowledge of the epigenetic routes implicated in vascular damage and cardiovascular disease in patients with metabolic alterations.

我们的遗传背景提供了有限的个人风险发展血管并发症的信息。新的生物层,即表观遗传修饰,现在正在成为基因表达的有效调节因子,从而导致转录程序和血管疾病表型的改变。这种表观遗传修饰被定义为不涉及DNA序列变化的基因组变化,通常是由环境因素和不良的生活习惯引起的。值得注意的是,在生命中获得的不良表观遗传信号可以传递给后代,从而导致表观遗传和转录景观的过早改变,最终导致早期内皮功能障碍和血管衰老。表观基因组的修饰在心脏代谢紊乱(如肥胖和2型糖尿病)的病理生理中起着关键作用。在这些患者中,DNA甲基化和染色质结构的改变有助于改变调节胰岛素敏感性、葡萄糖稳态、脂肪生成和血管功能的途径。从这个角度来看,揭示心脏代谢患者的“表观遗传景观”可能有助于识别与肥胖和糖尿病相关血管功能障碍有关的新参与者,并可能为这种情况下的个性化治疗铺平道路。在这篇综述中,我们讨论了目前对代谢改变患者血管损伤和心血管疾病的表观遗传途径的了解。
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引用次数: 4
Immune cell trafficking across the blood-brain barrier in the absence and presence of neuroinflammation. 在没有或存在神经炎症的情况下,免疫细胞通过血脑屏障运输。
Pub Date : 2020-03-20 eCollection Date: 2020-01-01 DOI: 10.1530/VB-19-0033
Luca Marchetti, Britta Engelhardt

To maintain the homeostatic environment required for proper function of CNS neurons the endothelial cells of CNS microvessels tightly regulate the movement of ions and molecules between the blood and the CNS. The unique properties of these blood vascular endothelial cells are termed blood-brain barrier (BBB) and extend to regulating immune cell trafficking into the immune privileged CNS during health and disease. In general, extravasation of circulating immune cells is a multi-step process regulated by the sequential interaction of adhesion and signalling molecules between the endothelial cells and the immune cells. Accounting for the unique barrier properties of CNS microvessels, immune cell migration across the BBB is distinct and characterized by several adaptations. Here we describe the mechanisms that regulate immune cell trafficking across the BBB during immune surveillance and neuroinflammation, with a focus on the current state-of-the-art in vitro and in vivo imaging observations.

为了维持中枢神经系统神经元正常功能所需的稳态环境,中枢神经系统微血管内皮细胞严格调节血液和中枢神经系统之间离子和分子的运动。这些血管内皮细胞的独特特性被称为血脑屏障(BBB),并扩展到调节免疫细胞在健康和疾病期间进入免疫特权中枢神经系统的运输。一般来说,循环免疫细胞的外渗是一个多步骤的过程,由内皮细胞和免疫细胞之间的粘附和信号分子的连续相互作用调节。考虑到中枢神经系统微血管独特的屏障特性,免疫细胞跨血脑屏障的迁移是明显的,并以几种适应为特征。在这里,我们描述了在免疫监视和神经炎症期间调节免疫细胞在血脑屏障上运输的机制,重点是目前最先进的体外和体内成像观察。
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引用次数: 100
Oscillatory fluid-induced mechanobiology in heart valves with parallels to the vasculature. 心脏瓣膜中与脉管系统相似的振荡流体诱导的力学生物学。
Pub Date : 2020-02-17 eCollection Date: 2020-01-01 DOI: 10.1530/VB-19-0031
Chia-Pei Denise Hsu, Joshua D Hutcheson, Sharan Ramaswamy

Forces generated by blood flow are known to contribute to cardiovascular development and remodeling. These hemodynamic forces induce molecular signals that are communicated from the endothelium to various cell types. The cardiovascular system consists of the heart and the vasculature, and together they deliver nutrients throughout the body. While heart valves and blood vessels experience different environmental forces and differ in morphology as well as cell types, they both can undergo pathological remodeling and become susceptible to calcification. In addition, while the plaque morphology is similar in valvular and vascular diseases, therapeutic targets available for the latter condition are not effective in the management of heart valve calcification. Therefore, research in valvular and vascular pathologies and treatments have largely remained independent. Nonetheless, understanding the similarities and differences in development, calcific/fibrous pathologies and healthy remodeling events between the valvular and vascular systems can help us better identify future treatments for both types of tissues, particularly for heart valve pathologies which have been understudied in comparison to arterial diseases.

众所周知,血流产生的力量有助于心血管的发育和重塑。这些血流动力诱导的分子信号从内皮传递到各种细胞类型。心血管系统由心脏和脉管系统组成,它们一起将营养物质输送到全身。心脏瓣膜和血管受到的环境力不同,形态和细胞类型也不同,但它们都可能发生病理性重塑,容易发生钙化。此外,尽管瓣膜和血管疾病的斑块形态相似,但针对后者的治疗靶点在心脏瓣膜钙化的治疗中并不有效。因此,对瓣膜和血管病理和治疗的研究在很大程度上保持独立。尽管如此,了解瓣膜和血管系统在发育、钙化/纤维病变和健康重塑事件方面的异同,可以帮助我们更好地确定两种组织的未来治疗方法,特别是对于与动脉疾病相比研究不足的心脏瓣膜病变。
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引用次数: 8
Molecular therapies delaying cardiovascular aging: disease- or health-oriented approaches. 分子疗法延缓心血管老化:疾病或健康导向的方法。
Pub Date : 2020-01-16 eCollection Date: 2020-01-01 DOI: 10.1530/VB-19-0029
Alessandra Magenta, Reggio Lorde, Sunayana Begum Syed, Maurizio C Capogrossi, Annibale Puca, Paolo Madeddu

Regenerative medicine is a new therapeutic modality that aims to mend tissue damage by encouraging the reconstitution of physiological integrity. It represents an advancement over conventional therapies that allow reducing the damage but result in disease chronicization. Age-related decline in spontaneous capacity of repair, especially in organs like the heart that have very limited proliferative capacity, contributes in reducing the benefit of conventional therapy. ncRNAs are emerging as key epigenetic regulators of cardiovascular regeneration. Inhibition or replacement of miRNAs may offer reparative solutions to cardiovascular disease. The first part of this review article is devoted to illustrating novel therapies emerging from research on miRNAs. In the second part, we develop new therapeutic concepts emerging from genetics of longevity. Prolonged survival, as in supercentenarians, denotes an exceptional capacity to repair and cope with risk factors and diseases. These characteristics are shared with offspring, suggesting that the regenerative phenotype is heritable. New evidence indicates that genetic traits responsible for prolongation of health span in humans can be passed to and benefit the outcomes of animal models of cardiovascular disease. Genetic studies have also focused on determinants of accelerated senescence and related druggable targets. Evolutionary genetics assessing the genetic basis of adaptation and comparing successful and unsuccessful genetic changes in response to selection within populations represent a powerful basis to develop novel therapies aiming to prolong cardiovascular and whole organism health.

再生医学是一种新的治疗方式,旨在通过促进生理完整性的重建来修复组织损伤。它代表了传统疗法的进步,传统疗法可以减少损伤,但会导致疾病的慢性化。与年龄相关的自发修复能力下降,特别是在像心脏这样增殖能力非常有限的器官中,会降低传统治疗的效果。ncrna正在成为心血管再生的关键表观遗传调控因子。抑制或替代mirna可能为心血管疾病提供修复性解决方案。这篇综述文章的第一部分致力于说明miRNAs研究中出现的新疗法。在第二部分中,我们将从长寿遗传学中发展新的治疗概念。长寿,如超级百岁老人,表示修复和应对风险因素和疾病的特殊能力。这些特征与后代共享,表明再生表型是可遗传的。新的证据表明,负责延长人类健康寿命的遗传特征可以传递给心血管疾病动物模型并使其受益。遗传研究也集中在加速衰老的决定因素和相关的药物靶点。进化遗传学评估适应的遗传基础,比较成功和不成功的遗传变化,以响应种群内的选择,为开发旨在延长心血管和整个生物体健康的新疗法提供了强大的基础。
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引用次数: 5
Tumour vessel remodelling: new opportunities in cancer treatment. 肿瘤血管重塑:癌症治疗的新机遇。
Pub Date : 2020-01-14 eCollection Date: 2020-01-01 DOI: 10.1530/VB-19-0032
Ruth Ganss

Tumour growth critically depends on a supportive microenvironment, including the tumour vasculature. Tumour blood vessels are structurally abnormal and functionally anergic which limits drug access and immune responses in solid cancers. Thus, tumour vasculature has been considered an attractive therapeutic target for decades. However, with time, anti-angiogenic therapy has evolved from destruction to structural and functional rehabilitation as understanding of tumour vascular biology became more refined. Vessel remodelling or normalisation strategies which alleviate hypoxia are now coming of age having been shown to have profound effects on the tumour microenvironment. This includes improved tumour perfusion, release from immune suppression and lower metastasis rates. Nevertheless, clinical translation has been slow due to challenges such as the transient nature of current normalisation strategies, limited in vivo monitoring and the heterogeneity of primary and/or metastatic tumour environments, calling for more tailored approaches to vascular remodelling. Despite these setbacks, harnessing vascular plasticity provides unique opportunities for anti-cancer combination therapies in particular anti-angiogenic immunotherapy which are yet to reach their full potential.

肿瘤的生长严重依赖于一个支持性的微环境,包括肿瘤的血管系统。肿瘤血管在结构上异常,功能上无能,这限制了实体癌的药物通路和免疫反应。因此,几十年来,肿瘤血管系统一直被认为是一个有吸引力的治疗靶点。然而,随着时间的推移,随着对肿瘤血管生物学的理解更加完善,抗血管生成治疗已经从破坏发展到结构和功能康复。缓解缺氧的血管重塑或正常化策略现已成熟,已被证明对肿瘤微环境有深远的影响。这包括改善肿瘤灌注,释放免疫抑制和降低转移率。然而,由于当前正常化策略的短暂性、有限的体内监测以及原发性和/或转移性肿瘤环境的异质性等挑战,临床转化一直很慢,这需要更有针对性的血管重构方法。尽管有这些挫折,利用血管可塑性为抗癌联合疗法提供了独特的机会,特别是抗血管生成免疫疗法,尚未充分发挥其潜力。
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引用次数: 16
P53 in lung vascular barrier dysfunction. P53在肺血管屏障功能障碍中的作用。
Pub Date : 2020-01-01 Epub Date: 2020-05-20 DOI: 10.1530/vb-20-0004
Nektarios Barabutis

Endothelial barrier dysfunction is the hallmark of inflammatory lung disease, including Acute Lung Injury and Acute Respiratory Distress Syndrome. The purpose of the present editorial is to emphasize on recent advances in the corresponding field, as it relates to P53. This tumor suppressor protein has been shown to enhance the vascular barrier integrity via distinct molecular pathways. Further, it mediates the beneficial effects of heat shock protein 90 inhibitors and growth hormone releasing hormone antagonists in the lung microvasculature.

内皮屏障功能障碍是炎症性肺病的标志,包括急性肺损伤和急性呼吸窘迫综合征。本社论的目的是强调在相应领域的最新进展,因为它涉及到P53。这种肿瘤抑制蛋白已被证明通过不同的分子途径增强血管屏障的完整性。此外,它介导了热休克蛋白90抑制剂和生长激素释放激素拮抗剂在肺微血管中的有益作用。
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引用次数: 10
Targeting epigenetic mechanisms as an emerging therapeutic strategy in pulmonary hypertension disease. 将表观遗传机制作为肺动脉高压疾病的新兴治疗策略。
Pub Date : 2020-01-01 Epub Date: 2020-01-09 DOI: 10.1530/vb-19-0030
Malik Bisserier, Radoslav Janostiak, Frank Lezoualc'h, Lahouaria Hadri

Pulmonary arterial hypertension (PAH) is a multifactorial cardiopulmonary disease characterized by an elevation of pulmonary artery pressure (PAP) and pulmonary vascular resistance (PVR), which can lead to right ventricular (RV) failure, multi-organ dysfunction, and ultimately to premature death. Despite the advances in molecular biology, the mechanisms underlying pulmonary hypertension (PH) remain unclear. Nowadays, there is no curative treatment for treating PH. Therefore, it is crucial to identify novel, specific therapeutic targets and to offer more effective treatments against the progression of PH. Increasing amounts of evidence suggest that epigenetic modification may play a critical role in the pathogenesis of PAH. In the presented paper, we provide an overview of the epigenetic mechanisms specifically, DNA methylation, histone acetylation, histone methylation, and ncRNAs. As the recent identification of new pharmacological drugs targeting these epigenetic mechanisms has opened new therapeutic avenues, we also discuss the importance of epigenetic-based therapies in the context of PH.

肺动脉高压(PAH)是一种多因素心肺疾病,其特点是肺动脉压力(PAP)和肺血管阻力(PVR)升高,可导致右心室(RV)衰竭、多器官功能障碍,并最终导致过早死亡。尽管分子生物学取得了进展,但肺动脉高压(PH)的发病机制仍不清楚。如今,还没有治疗 PH 的根治性疗法。因此,确定新的特异性治疗靶点并提供更有效的治疗方法来阻止 PH 的发展至关重要。越来越多的证据表明,表观遗传修饰可能在 PAH 的发病机制中起着关键作用。在本文中,我们概述了表观遗传机制,特别是 DNA 甲基化、组蛋白乙酰化、组蛋白甲基化和 ncRNA。最近,针对这些表观遗传机制的新药理药物的发现开辟了新的治疗途径,因此我们也讨论了基于表观遗传的疗法在 PH 方面的重要性。
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引用次数: 0
Induced pluripotent stem cell-derived vascular smooth muscle cells. 诱导多能干细胞衍生的血管平滑肌细胞。
Pub Date : 2019-12-12 eCollection Date: 2020-01-01 DOI: 10.1530/VB-19-0028
Makeda Stephenson, Daniel H Reich, Kenneth R Boheler

The reproducible generation of human-induced pluripotent stem cell (hiPSC)-derived vascular smooth muscle cells (vSMCs) in vitro has been critical to overcoming many limitations of animal and primary cell models of vascular biology and disease. Since this initial advance, research in the field has turned toward recapitulating the naturally occurring subtype specificity found in vSMCs throughout the body, and honing functional models of vascular disease. In this review, we summarize vSMC derivation approaches, including current phenotype and developmental origin-specific methods, and applications of vSMCs in functional disease models and engineered tissues. Further, we discuss the challenges of heterogeneity in hiPSC-derived tissues and propose approaches to identify and isolate vSMC subtype populations.

人诱导多能干细胞(hiPSC)来源的血管平滑肌细胞(vSMCs)的体外可再生生成对于克服血管生物学和疾病的动物和原代细胞模型的许多局限性至关重要。自这一初步进展以来,该领域的研究已转向概括在全身vSMCs中发现的自然发生的亚型特异性,并珩化血管疾病的功能模型。本文综述了vSMC的衍生方法,包括目前的表型和发育起源特异性方法,以及vSMC在功能性疾病模型和工程组织中的应用。此外,我们讨论了hipsc来源组织异质性的挑战,并提出了鉴定和分离vSMC亚型群体的方法。
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引用次数: 4
New artery of knowledge: 3D models of angiogenesis. 知识的新动脉:血管生成的三维模型。
Pub Date : 2019-12-03 eCollection Date: 2019-01-01 DOI: 10.1530/VB-19-0026
Eleonora Zucchelli, Qasim A Majid, Gabor Foldes

Angiogenesis and vasculogenesis are complex processes by which new blood vessels are formed and expanded. They play a pivotal role not only in physiological development and growth and tissue and organ repair, but also in a range of pathological conditions, from tumour formation to chronic inflammation and atherosclerosis. Understanding the multistep cell-differentiation programmes and identifying the key molecular players of physiological angiogenesis/vasculogenesis are critical to tackle pathological mechanisms. While many questions are yet to be answered, increasingly sophisticated in vitro, in vivo and ex vivo models of angiogenesis/vasculogenesis, together with cutting-edge imaging techniques, allowed for recent major advances in the field. This review aims to summarise the three-dimensional models available to study vascular network formation and to discuss advantages and limitations of the current systems.

血管生成和血管生成是新血管形成和扩张的复杂过程。它们不仅在生理发育和生长、组织和器官修复中起着关键作用,而且在从肿瘤形成到慢性炎症和动脉粥样硬化的一系列病理条件中也起着关键作用。了解多步骤细胞分化程序和确定生理性血管生成/血管生成的关键分子对于解决病理机制至关重要。尽管许多问题尚未得到解答,但越来越复杂的体外、体内和离体血管生成模型,以及尖端的成像技术,使得该领域最近取得了重大进展。本文综述了用于研究血管网络形成的三维模型,并讨论了现有系统的优点和局限性。
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引用次数: 4
Revisiting PI3-kinase signalling in angiogenesis. 重温血管生成中的 PI3 激酶信号
Pub Date : 2019-11-29 eCollection Date: 2019-01-01 DOI: 10.1530/VB-19-0025
Piotr Kobialka, Mariona Graupera

PI3Ks belong to a family of lipid kinases that comprises eight isoforms. They phosphorylate the third position of the inositol ring present in phosphatidylinositol lipids and, in turn, activate a broad range of proteins. The PI3K pathway regulates primal cellular responses, including proliferation, migration, metabolism and vesicular traffic. These processes are fundamental for endothelial cell function during sprouting angiogenesis, the most common type of blood vessel formation. Research in animal models has revealed key functions of PI3K family members and downstream effectors in angiogenesis. In addition, perturbations in PI3K signalling have been associated with aberrant vascular growth including tumour angiogenesis and vascular malformations. Together, this highlights that endothelial cells are uniquely sensitive to fluctuations in PI3K signalling. Here, we aim to update the current view on this important signalling cue in physiological and pathological blood vessel growth.

PI3K 属于脂质激酶家族,由八种同工酶组成。它们将磷脂酰肌醇脂质中肌醇环的第三个位置磷酸化,进而激活多种蛋白质。PI3K 通路调节细胞的基本反应,包括增殖、迁移、新陈代谢和囊泡交通。这些过程是血管新生(最常见的血管形成类型)过程中内皮细胞功能的基础。动物模型研究揭示了 PI3K 家族成员和下游效应因子在血管生成过程中的关键功能。此外,PI3K 信号的紊乱与血管异常生长有关,包括肿瘤血管生成和血管畸形。总之,这凸显了内皮细胞对 PI3K 信号的波动具有独特的敏感性。在此,我们旨在更新目前对生理和病理血管生长中这一重要信号线索的看法。
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引用次数: 0
期刊
Vascular biology (Bristol, England)
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