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Advances in Single-Cell Sequencing and Spatial Profiling of Kidney Disease 肾脏疾病单细胞测序和空间图谱研究进展。
IF 4.7 2区 医学 Q1 PATHOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.ajpath.2024.10.010
Amit Verma, Parker C. Wilson
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引用次数: 0
Histopathologic Analysis of Human Kidney Spatial Transcriptomics Data 基于组织病理学的人类肾脏空间转录组学数据分析:迈向精准病理学。
IF 4.7 2区 医学 Q1 PATHOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.ajpath.2024.06.011
Pierre Isnard , Dian Li , Qiao Xuanyuan , Haojia Wu , Benjamin D. Humphreys
The application of spatial transcriptomics (ST) technologies is booming and has already yielded important insights across many different tissues and disease models. In nephrology, ST technologies have helped to decipher the cellular and molecular mechanisms in kidney diseases and have allowed the recent creation of spatially anchored human kidney atlases of healthy and diseased kidney tissues. During ST data analysis, the computationally annotated clusters are often superimposed on a histologic image without their initial identification being based on the morphologic and/or spatial analyses of the tissues and lesions. Herein, histopathologic ST data from a human kidney sample were modeled to correspond as closely as possible to the kidney biopsy sample in a health care or research context. This study shows the feasibility of a morphology-based approach to interpreting ST data, helping to improve our understanding of the lesion phenomena at work in chronic kidney disease at both the cellular and the molecular level. Finally, the newly identified pathology-based clusters could be accurately projected onto other slides from nephrectomy or needle biopsy samples. Thus, they serve as a reference for analyzing other kidney tissues, paving the way for the future of molecular microscopy and precision pathology.
空间转录组(ST)技术的应用正在蓬勃发展,已经在许多不同的组织和疾病模型中产生了重要的见解。在肾脏病学领域,空间转录组技术有助于破译肾脏疾病的细胞和分子机制,并在最近建立了健康和患病肾脏组织的空间锚定人类肾脏图谱。在 ST 数据分析过程中,计算标注的集群往往被叠加到组织学图像上,而没有根据组织和病变的形态和空间分析对其进行初步识别。在本研究中,我们对人类肾脏样本的空间转录组学数据进行了基于组织病理学的分析,尽可能贴近医疗保健或研究背景下肾脏活检的实际解读。我们的工作证明了用基于形态学的方法解读 ST 数据的可行性,有助于我们从细胞和分子两个层面加深对慢性肾脏病病变现象的理解。最后,我们的研究表明,我们新发现的基于病理学的集群可以准确地投射到来自肾切除术或针刺活检样本的其他切片上,从而作为分析其他肾组织的参考,为未来的分子显微镜和精确病理学铺平道路。
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引用次数: 0
Scientific Integrity Policy
IF 4.7 2区 医学 Q1 PATHOLOGY Pub Date : 2025-01-01 DOI: 10.1016/S0002-9440(24)00436-X
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引用次数: 0
Sirtuin 7 Promotes Alcohol-Associated Liver Injury via Modulating Myeloid Cell Chemokine (C-C Motif) Ligand 2 Secretion through the NF-κB Signaling Pathway SIRT7通过NF-κB信号通路调节髓细胞CCL2分泌促进酒精相关性肝损伤
IF 4.7 2区 医学 Q1 PATHOLOGY Pub Date : 2024-12-31 DOI: 10.1016/j.ajpath.2024.12.006
Zhiqiang Wang , Gaoshuang Liang , Jinying Peng , Yiying Gu , Xiangwen Zhang , Cong Ding , Tingzi Yu , Zhuan Li
The pathogenesis of alcohol-associated liver disease (ALD) involves ethanol-induced enhancement of gut permeability, bacterial products released from intestine and intrahepatic inflammation, and liver damage. Hepatic macrophages play a crucial role in mediating inflammatory response by alcohol. Sirtuin 7 (SIRT7), a NAD+-dependent type III histone deacetylase, is being recognized as a therapeutic target in various human diseases. Emerging evidence shows that SIRT7 participates in immune regulation, but whether it is involved in ALD remains elusive. In the present study, myeloid cell–specific Sirt7 knockout mice (Lyz2-Sirt7−/−) were used to show that knockout Sirt7 in myeloid cells significantly ameliorated alcohol-induced liver injury, inflammation, and cell infiltration, while only mildly affecting lipid metabolism pathways. Chemokine (C-C motif) ligand 2 (CCL2) was identified as the main target impaired by Sirt7 knockout after alcohol. In vitro studies confirmed that Sirt7 knockout impaired macrophages' ability of CCL2 secretion and monocyte recruiting, and exogenous CCL2 reversed this impairment. At the molecular level, knockout of Sirt7 significantly impaired lipopolysaccharide-induced p65 phosphorylation and nuclear localization. More importantly, the SIRT7 inhibitor 40569 sufficiently decreased alcohol-induced liver injury and hepatic inflammation via preventing CCL2 in vivo. The current data thus uncovered a previously undescribed role of myeloid SIRT7 in mediating ALD via promoting CCL2 secretion through the NF-κB signaling pathway. Targeting SIRT7 might offer novel mechanism-based therapeutic options for ALD.
酒精相关性肝病(ALD)的发病机制是复杂的,涉及乙醇诱导的肠道通透性增强,导致细菌产物从肠道释放。这会引发肝内炎症和肝损伤,肝巨噬细胞在酒精的炎症反应中发挥关键作用。SIRT7是一种依赖NAD+的III型组蛋白去乙酰化酶,被认为是包括癌症在内的各种人类疾病的潜在治疗靶点。新的证据表明SIRT7参与免疫调节,是否参与ALD尚不明确。在本研究中,我们使用髓细胞特异性Sirt7敲除小鼠(Lyz2-Sirt7-/-),观察到敲除髓细胞中的Sirt7可显著改善酒精诱导的肝损伤、炎症和细胞浸润,而仅轻微影响脂质代谢途径。我们进一步确定CCL2是酒精后Sirt7敲除受损的主要靶点。体外研究证实Sirt7敲除会损害巨噬细胞分泌CCL2和单核细胞募集的能力,而外源性CCL2可以逆转这种损害。在分子水平上,我们发现敲除Sirt7显著破坏LPS诱导的p65磷酸化和核定位。更重要的是,SIRT7抑制剂40569在体内通过预防CCL2充分降低酒精诱导的肝损伤和肝脏炎症。因此,我们的数据揭示了先前未描述的髓系SIRT7通过NF-κB信号通路促进CCL2分泌介导ALD的作用。靶向SIRT7可能为ALD提供基于新机制的治疗选择。
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引用次数: 0
Machine Learning–Based Pathomics Model Predicts Angiopoietin-2 Expression and Prognosis in Hepatocellular Carcinoma 基于机器学习的病理模型预测肝细胞癌中ANGPT2的表达和预后。
IF 4.7 2区 医学 Q1 PATHOLOGY Pub Date : 2024-12-31 DOI: 10.1016/j.ajpath.2024.12.005
Xinyi Huang , Shuang Zheng , Shuqi Li , Yu Huang , Wenhui Zhang , Fang Liu , Qinghua Cao
Angiopoietin-2 (ANGPT2) shows promise as prognostic marker and therapeutic target in hepatocellular carcinoma (HCC). However, assessing ANGPT2 expression and prognostic potential using histopathology images viewed with naked eye is challenging. Herein, machine learning was employed to develop a pathomics model for analyzing histopathology images to predict ANGPT2 status. HCC cases obtained from The Cancer Genome Atlas (TCGA-HCC; n = 267) were randomly assigned to the training or testing set, and cases from a single center were employed as a validation set (n = 91). In the TCGA-HCC cohort, the group with high ANGPT2 expression had a significantly lower overall survival compared with the group with low ANGPT2. Histopathologic features in the training set were extracted, screened, and incorporated into a gradient-boosting machine model that generated a pathomics score, which successfully predicted ANGPT2 expression in the three data sets and showed remarkable risk stratification for overall survival in both the TCGA-HCC (P < 0.0001) and single-center cohorts (P = 0.001). Multivariate analysis suggested that the pathomics score could serve as a predictor of prognosis (P < 0.001). Bioinformatics analysis illustrated a distinction in tumor growth and development related gene–enriched pathways, vascular endothelial growth factor–related gene expression, and immune cell infiltration between high and low pathomics scores. This study indicates that the use of histopathology image features can enhance the prediction of molecular status and prognosis in HCC. The integration of image features with machine learning may improve prognosis prediction in HCC.
血管生成素2 (ANGPT2)是肝细胞癌(HCC)中有前景的预后标志物和治疗靶点。然而,通过肉眼组织病理学图像评估ANGPT2的表达和预后是具有挑战性的。在这项研究中,机器学习被用来建立一个病理模型,分析组织病理图像来预测ANGPT2状态。267例TCGA-HCC患者分为训练组和测试组。来自单一中心的91例病例作为验证集。ANGPT2在HCC中被证实表达上调,在TCGA-HCC队列中,ANGPT2高表达的患者总生存期(OS)显著下降。对训练集中的组织病理学特征进行提取、筛选,并将其纳入梯度增强机(GBM)模型,生成病理评分(PS),成功识别出三组ANGPT2表达水平,并在TCGA-HCC队列(P < 0.0001)和单中心队列(P = 0.001)中显示出明显的OS风险分层。多因素分析提示PS可作为预后的预测因子(P < 0.001)。生物信息学分析揭示了不同PS值下肿瘤生长发育相关基因富集途径、vegf相关基因表达及免疫细胞浸润的差异。我们的研究表明,组织病理学图像特征可以增强对HCC分子状态和预后的预测。将图像特征与机器学习相结合具有改善HCC预后预测的潜力。
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引用次数: 0
Ferredoxin 2 Is Critical for Tumor Suppression and Lipid Homeostasis but Dispensable for Embryonic Development. 铁氧还蛋白2对肿瘤抑制和脂质稳态至关重要,但在胚胎发育中是必不可少的。
IF 4.7 2区 医学 Q1 PATHOLOGY Pub Date : 2024-12-26 DOI: 10.1016/j.ajpath.2024.12.002
Jin Zhang, Yanhong Zhang, Shakur Mohibi, Vivian Perng, Miranda Bustamante, Yang Shi, Kenichi Nakajima, Mingyi Chen, Xinbin Chen

Ferredoxin 1 and 2 (FDX1/2) constitute an evolutionarily conserved FDX family of iron-sulfur cluster-containing proteins. FDX1/2 are cognate substrates of ferredoxin reductase and serve as conduits for electron transfer from NADPH to a set of proteins involved in biogenesis of corticosteroids, hemes, iron-sulfur cluster, and lipoylated proteins. Recently, we showed that Fdx1 is essential for embryonic development and lipid homeostasis. To explore the physiological role of FDX2, we generated Fdx2-deficient mice. Interestingly, we found that unlike Fdx1-null embryos, which were dead at embryonic day 10.5 to 13.5, Fdx2-null mice were viable. We also found that both Fdx2-null and Fdx2-heterozygous mice had a short lifespan and were susceptible to spontaneous tumors and steatohepatitis. Moreover, we found that FDX2 deficiency increased, whereas overexpression of FDX2 decreased cytoplasmic accumulation of lipid droplets. Consistently, we found that FDX2 deficiency led to accumulation of cholesterol and triglycerides. Mechanistically, we found that FDX2 deficiency suppressed expression of cholesterol transporter ABCA1 and activated master lipid transcription regulators sterol regulatory element-binding proteins 1/2, thus leading to altered lipid metabolism. Untargeted lipidomic analysis showed that FDX2 deficiency led to altered biosynthesis of various lipid classes, including cardiolipins, cholesterol, ceramides, triglycerides, and fatty acids. In summary, our findings underline an indispensable role of FDX2 in tumor suppression and lipid homeostasis at both cellular and organismal levels without being a prerequisite for embryonic development.

铁氧还蛋白1和2 (FDX1/2)构成了一个进化保守的含铁硫簇(ISC)蛋白FDX家族。FDX1/2是铁氧还蛋白还原酶(FDXR)的同源底物,并作为电子从NADPH转移到一系列参与类固醇、血红素、ISC和脂化蛋白生物发生的蛋白质的通道。最近,我们发现Fdx1对胚胎发育和脂质稳态至关重要。为了探索FDX2的生理作用,我们制造了FDX2缺陷小鼠。有趣的是,我们发现不像fdx1缺失的胚胎在胚胎期10.5至13.5天死亡,fdx2缺失的小鼠是有活力的。我们还发现,fdx2缺失和fdx2杂合小鼠的寿命都很短,并且容易发生自发性肿瘤和脂肪性肝炎。此外,我们发现FDX2缺乏增加,而FDX2过表达减少了细胞质脂滴的积累。我们一致发现,FDX2缺乏会导致胆固醇和甘油三酯的积累。在机制上,我们发现FDX2缺乏抑制胆固醇转运蛋白ABCA1的表达,激活主要脂质转录调控因子SREBP1/2,从而导致脂质代谢改变。非靶向脂质组学分析显示,FDX2缺乏导致多种脂类生物合成的改变,包括心磷脂、胆固醇、神经酰胺、甘油三酯和脂肪酸。总之,我们的研究结果强调了FDX2在细胞和组织水平上对肿瘤抑制和脂质稳态的不可或缺的作用,而不是胚胎发育的先决条件。
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引用次数: 0
Restorative Effects of Short-Chain Fatty Acids on Corneal Homeostasis Disrupted by Antibiotic-Induced Gut Dysbiosis. 短链脂肪酸对抗生素引起的肠道生态失调破坏的角膜稳态的恢复作用。
IF 4.7 2区 医学 Q1 PATHOLOGY Pub Date : 2024-12-26 DOI: 10.1016/j.ajpath.2024.11.010
Sijing Liu, Jiangman Liu, Jiayan Xiang, Ruyu Yan, Senmao Li, Qiwei Fan, Liyuan Lu, Jiaxin Wu, Yunxia Xue, Ting Fu, Jun Liu, Zhijie Li

The gut microbiota plays a crucial regulatory role in various physiological processes, yet its impact on corneal homeostasis remains insufficiently understood. Here, we investigate the effects of antibiotic-induced gut dysbiosis (AIGD) and germ-free conditions on circadian gene expression, barrier integrity, nerve density, and immune cell activity in the corneas of mice. Through RNA sequencing, we found that both AIGD and germ-free conditions significantly disrupted the overall transcriptomic profile and circadian transcriptomic oscillations in the cornea. These molecular disturbances were accompanied by a reduction in corneal epithelial thickness, nerve density, corneal sensitivity, and compromised barrier function. Notably, supplementation with short-chain fatty acids (SCFAs) significantly restored corneal integrity in AIGD mice. Further single-cell sequencing revealed that SCFA receptors G-protein-coupled receptor 109A (Hcar2), olfactory receptor 78 (Olfr78), and G-protein-coupled receptor 43 (Ffar2) are expressed in corneal epithelial basal cells, embryonically derived macrophages, perivascular cells, and γδ T cells, respectively. In conclusion, this study demonstrates that the gut microbiota plays a critical role in corneal physiology by regulating circadian gene expression and maintaining barrier function. These findings enhance our understanding of the gut-eye axis, highlighting the cornea as a target for microbiota-derived metabolic signals and underlining the potential therapeutic value of SCFAs in treating corneal dysfunction.

肠道微生物群在各种生理过程中起着至关重要的调节作用,但其对角膜稳态的影响仍未得到充分的了解。在这里,我们研究了抗生素诱导的肠道生态失调(AIGD)和无菌(GF)条件对小鼠角膜昼夜节律基因表达、屏障完整性、神经密度和免疫细胞活性的影响。通过RNA测序,我们发现AIGD和GF条件都显著破坏了角膜的整体转录组谱和昼夜转录组振荡。这些分子干扰伴随着角膜上皮厚度、神经密度、角膜敏感性和屏障功能受损的减少。值得注意的是,补充短链脂肪酸(SCFAs)可显著恢复AIGD小鼠的角膜完整性。进一步的单细胞测序显示,SCFA受体GPR109A (Hcar2)、嗅觉受体78 (Olfr78)和GPR43 (Ffar2)分别在角膜上皮基底细胞、胚胎源性巨噬细胞、血管周围细胞和γδ - T细胞中表达。综上所述,本研究表明肠道微生物群通过调节昼夜节律基因表达和维持屏障功能在角膜生理中起着关键作用。这些发现增强了我们对肠眼轴的理解,强调了角膜作为微生物来源的代谢信号的靶标,并强调了scfa在治疗角膜功能障碍方面的潜在治疗价值。
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引用次数: 0
Computational Pathology Detection of Hypoxia-Induced Morphologic Changes in Breast Cancer. 低氧诱导乳腺癌形态学改变的计算病理学检测。
IF 4.7 2区 医学 Q1 PATHOLOGY Pub Date : 2024-12-26 DOI: 10.1016/j.ajpath.2024.10.023
Petru Manescu, Joseph Geradts, Delmiro Fernandez-Reyes

Understanding the tumor hypoxic microenvironment is crucial for grasping tumor biology, clinical progression, and treatment responses. This study presents a novel application of artificial intelligence in computational histopathology to evaluate hypoxia in breast cancer. Weakly supervised deep learning models can accurately detect morphologic changes associated with hypoxia in routine hematoxylin and eosin (H&E)-stained whole slide images (WSIs). Our model, HypOxNet, was trained on H&E-stained WSIs from breast cancer primary sites (n = 1016) at ×40 magnification using data from The Cancer Genome Atlas. We used the Hypoxia Buffa signature to measure hypoxia scores, which ranged from -43 to 47, and stratified the samples into hypoxic and normoxic based on these scores. This stratification represented the weak labels associated with each WSI. HypOxNet achieved an average area under the curve of 0.82 on test sets, identifying significant differences in cell morphology between hypoxic and normoxic tissue regions. Importantly, once trained, the HypOxNet model requires only the readily available H&E-stained slides, making it especially valuable in low-resource settings where additional gene expression assays are not available. These artificial intelligence-based hypoxia detection models can potentially be extended to other tumor types and seamlessly integrated into pathology workflows, offering a fast, cost-effective alternative to molecular testing.

了解肿瘤缺氧微环境对于掌握肿瘤生物学、临床进展和治疗反应至关重要。本研究提出了人工智能在计算组织病理学中评估乳腺癌缺氧的新应用。弱监督深度学习(WSDL)模型可以准确检测常规苏木精和伊红(H&E)全幻灯片图像(WSI)中与缺氧相关的形态学变化。我们的模型HypOxNet使用来自癌症基因组图谱(TCGA)的数据,在40倍放大镜下对来自乳腺癌原发部位(n=1016)的H&E WSI进行训练。我们利用Hypoxia Buffa特征测量低氧评分,范围从-43到+47,并根据这些评分将样品分为低氧和正氧。这种分层表示与每个WSI相关的弱标签。在测试集上,HypOxNet的平均曲线下面积(AUC)为0.82,确定了缺氧和常氧组织区域之间细胞形态的显著差异。重要的是,一旦训练,HypOxNet模型只需要现成的H&E载玻片,这使得它在资源匮乏的环境中特别有价值,因为没有额外的基因表达测定。这些基于人工智能的缺氧检测模型有可能扩展到其他肿瘤类型,并无缝集成到病理工作流程中,为分子检测提供了一种快速、经济的替代方案。
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引用次数: 0
TIMP-2 Promotes Wound Healing by Suppressing Matrix Metalloproteinases and Inflammatory Cytokines in Corneal Epithelial Cells. TIMP-2通过抑制角膜上皮细胞基质金属蛋白酶和炎症因子促进创面愈合。
IF 4.7 2区 医学 Q1 PATHOLOGY Pub Date : 2024-12-26 DOI: 10.1016/j.ajpath.2024.11.007
Olufemi S Folorunso, Nishant R Sinha, Aastha Singh, Lei Xi, Vinay K Pulimamidi, WonKyung J Cho, Sharad K Mittal, Sunil K Chauhan

Tissue inhibitors of metalloproteinases (TIMPs) modulate extracellular matrix (ECM) remodeling for maintaining homeostasis and promoting cell migration and proliferation. Pathological conditions can alter TIMP homeostasis and aggravate disease progression. The roles of TIMPs have been studied in tissue-related disorders; however, their contributions to tissue repair during corneal injury are undefined. Here, the TIMP expression in human corneal epithelial (HCLE) cells under homeostatic and inflammatory milieus was profiled to examine their contribution to the healing of injured cornea epithelia. Transcriptionally, TIMP-2 was highly expressed in HCLE when stimulated with 100 ng/mL IL-1β or scratch-wounded. Unlike TIMP-1, recombinant TIMP-2 (rTIMP-2) significantly promoted epithelial cell wound closure compared to untreated and TIMP-2-neutralizing conditions. At 12 hours, the Ki-67+ cells significantly increased 3-fold compared to untreated cells, suggesting that rTIMP-2 is associated with cell proliferation. Furthermore, rTIMP-2 treatment significantly suppressed inflammatory cytokine expression (IL-1β, IL-6, IL-8, and TNFα) and injury-induced matrix metalloproteinases (MMP-1, -2, -3, -9, -10, and -13). Topical treatment of injured mouse cornea with 0.1 mg/mL rTIMP-2 significantly promoted corneal re-epithelialization and improved tissue integrity. The treatment suppressed the expression of inflammatory cytokines and MMPs, as well as the infiltration of neutrophils at the injury site. These findings indicate that TIMP-2 promotes faster wound healing by suppressing injury-induced inflammation and MMP expression, suggesting a potential therapeutic target for corneal wound management.

组织金属蛋白酶抑制剂(TIMPs)调节细胞外基质(ECM)重塑,维持体内平衡,促进细胞迁移和增殖。病理条件可改变TIMP稳态,加重疾病进展。timp在组织相关疾病中的作用已被研究;然而,它们在角膜损伤过程中对组织修复的作用尚不清楚。本研究分析了稳态和炎症环境下人角膜上皮(HCLE)细胞中TIMP的表达,以研究其对损伤角膜上皮愈合的贡献。在转录方面,TIMP-2在100ng /mL IL-1β或划伤刺激下在HCLE中高表达。与TIMP-1不同,与未处理和TIMP-2中和条件相比,重组TIMP-2 (rTIMP-2)显著促进上皮细胞伤口愈合。在12小时时,Ki-67+细胞比未处理的细胞显著增加3倍,表明rTIMP-2与细胞增殖有关。此外,rTIMP-2治疗显著抑制炎症细胞因子(IL-1β、IL-6、IL-8和TNFα)和损伤诱导的基质金属蛋白酶(MMP-1、-2、-3、-9、-10和-13)的表达。用0.1 mg/mL rTIMP-2局部处理损伤小鼠角膜,可显著促进角膜再上皮化,改善组织完整性。治疗抑制炎症细胞因子和MMPs的表达,以及中性粒细胞在损伤部位的浸润。这些研究结果表明,TIMP-2通过抑制损伤诱导的炎症和MMP表达来促进伤口更快愈合,这表明TIMP-2是角膜伤口管理的潜在治疗靶点。
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引用次数: 0
Characterization and Role of Glucagon-Like Peptide 1 Receptor in the Lacrimal Gland: Novel Insights into Diabetic Dry Eye Pathogenesis. 胰高血糖素样肽1受体在泪腺中的特征和作用:糖尿病性干眼发病机制的新见解。
IF 4.7 2区 医学 Q1 PATHOLOGY Pub Date : 2024-12-25 DOI: 10.1016/j.ajpath.2024.12.003
Yan Sun, Yue Zhang, Fan Shi, Ye Li, Congyao Wang, Fenfen Yu, Tingting Chen, Xia Dong, Yuqi Xu, Yu Zhao, Pengxia Wan

This study aimed to investigate the expression of glucagon-like peptide 1 receptor (GLP-1R) in the lacrimal gland and explore the effects of topical application of GLP-1R agonist on lacrimal gland function in a murine model of type 1 diabetes. Tear secretion was evaluated using phenol red threads, RNA sequencing was used to explore gene expression profiles associated with hyperglycemia-induced lacrimal gland injuries, and histologic analysis was conducted to evaluate the degree of damage. The expression of GLP-1R in the lacrimal gland was first identified, and a down-regulation trend associated with diabetes was observed. RNA-sequencing data from lacrimal gland tissues revealed that differentially expressed genes were enriched in inflammatory response pathways. Histologic analysis demonstrated persistent hyperglycemia-induced infiltration of inflammatory cells and progressive fibrosis in the lacrimal gland, resulting in atrophy and diminished tear secretion. Topical application of liraglutide effectively attenuated inflammation and alleviated fibrosis, thus promoting tear production in diabetic mice. Additionally, local intervention with liraglutide could promote autophagy degradation function in the lacrimal gland. This study represents the first validation of GLP-1R expression in the lacrimal gland and its down-regulation induced by diabetes; furthermore, these findings demonstrate that topical administration of liraglutide eye drops, a GLP-1R agonist, can effectively mitigate hyperglycemia-induced damage in the lacrimal gland while enhancing tear secretion.

本研究旨在研究胰高血糖素样肽1受体(GLP-1R)在1型糖尿病小鼠泪腺中的表达,并探讨局部应用GLP-1R激动剂(GLP-1RA)对1型糖尿病小鼠泪腺功能的影响。采用酚红线法评估泪液分泌,采用RNA测序(RNA-seq)技术探索高血糖诱导的泪腺损伤相关基因表达谱,并通过组织学分析评估损伤程度。首次发现GLP-1R在泪腺中的表达,并观察到与糖尿病相关的下调趋势。泪腺组织的RNA-seq数据显示,炎症反应通路中差异表达基因(DEGs)富集。组织学分析显示持续高血糖诱导的炎症细胞浸润和泪腺进行性纤维化,导致泪液萎缩和分泌减少。局部应用利拉鲁肽可有效减轻糖尿病小鼠的炎症和纤维化,从而促进泪液的产生。此外,利拉鲁肽局部干预可促进泪腺自噬降解功能。本研究首次验证了GLP-1R在泪腺中的表达及其在糖尿病诱导下的下调;此外,这些研究结果表明,局部使用利拉鲁肽滴眼液(GLP-1RA)可以有效减轻高血糖引起的泪腺损伤,同时促进泪液分泌。
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引用次数: 0
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American Journal of Pathology
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