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Metabolic score for insulin resistance predicts major adverse cardiovascular event in premature coronary artery disease 胰岛素抵抗的代谢评分可预测早发冠心病的主要不良心血管事件
Pub Date : 2024-04-01 DOI: 10.18632/aging.205710
Dachuan Guo, Chong Zhang, Mingyan Zhang, Zhenguo Wu, Xiaoyu Liu, Ye-min Zhang, Li Liu, Meili Sun, Jianmin Yang
Background: The Metabolic Score for Insulin Resistance (METS-IR) index serves as a simple surrogate marker for insulin resistance (IR) and is associated with the presence and severity of coronary artery disease (CAD). However, the prognostic significance of METS-IR in patients with premature CAD remains unclear. This study aims to investigate the prognostic value of METS-IR in premature CAD. Methods: This retrospective study included 582 patients diagnosed with premature CAD between December 2012 and July 2019. The median follow-up duration was 63 months (interquartile range, 44-81 months). The primary endpoint was Major Adverse Cardiovascular Events (MACE), defined as a composite of all-cause death, non-fatal myocardial infarction (MI), repeat coronary artery revascularization, and non-fatal stroke. Results: Patients with MACE had significantly higher METS-IR levels than those without MACE (44.88±8.11 vs. 41.68±6.87, p<0.001). Kaplan-Meier survival curves based on METS-IR tertiles demonstrated a statistically significant difference (log-rank test, p<0.001). In the fully adjusted model, the Hazard Ratio (95% CI) for MACE was 1.41 (1.16-1.72) per SD increase in METS-IR, and the P for trend based on METS-IR tertiles was 0.001 for MACE. Time-dependent Receiver Operator Characteristic (ROC) analysis of METS-IR yielded an Area Under the Curve (AUC) of 0.74 at 2 years, 0.69 at 4 years, and 0.63 at 6 years. Conclusions: METS-IR serves as a reliable prognostic predictor of MACE in patients with premature CAD. Therefore, METS-IR may be considered a novel, cost-effective, and dependable indicator for risk stratification and early intervention in premature CAD.
背景:胰岛素抵抗代谢评分(METS-IR)指数是胰岛素抵抗(IR)的简单替代指标,与冠状动脉疾病(CAD)的存在和严重程度有关。然而,METS-IR 对早发 CAD 患者的预后意义仍不明确。本研究旨在探讨 METS-IR 在早发性 CAD 中的预后价值。方法:这项回顾性研究纳入了 2012 年 12 月至 2019 年 7 月期间确诊为早发型 CAD 的 582 例患者。中位随访时间为 63 个月(四分位间范围为 44-81 个月)。主要终点是主要不良心血管事件(MACE),定义为全因死亡、非致死性心肌梗死(MI)、重复冠状动脉血运重建和非致死性卒中的复合。结果发生 MACE 的患者的 METS-IR 水平明显高于未发生 MACE 的患者(44.88±8.11 vs. 41.68±6.87,p<0.001)。基于 METS-IR tertiles 的 Kaplan-Meier 生存曲线显示出统计学上的显著差异(log-rank 检验,p<0.001)。在完全调整模型中,METS-IR 每增加 SD,MACE 的危险比(95% CI)为 1.41(1.16-1.72),基于 METS-IR tertiles 的 MACE 趋势 P 为 0.001。对 METS-IR 进行的时间依赖性接收器特征(ROC)分析显示,2 年时曲线下面积(AUC)为 0.74,4 年时曲线下面积为 0.69,6 年时曲线下面积为 0.63。结论:METS-IRMETS-IR 是预测早发 CAD 患者 MACE 的可靠预后指标。因此,METS-IR 可被视为一种新颖、经济、可靠的指标,用于早发 CAD 的风险分层和早期干预。
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引用次数: 0
Mettl3-mediated m6A modification plays a role in lipid metabolism disorders and progressive liver damage in mice by regulating lipid metabolism-related gene expression mettl3介导的m6A修饰通过调节脂质代谢相关基因的表达,在小鼠脂质代谢紊乱和进行性肝损伤中发挥作用
Pub Date : 2023-06-16 DOI: 10.2139/ssrn.4363559
Guanqi Dai, Shihao Huang, Yonglong Li, Xueyi Tu, Jiawei Xia, Zhihao Zhou, Wanyi Chen, Ao Zhang, Jintao Lin, Yingchun Li, Dan-hua He, Tao-yan Lin, Jing Cong, Ye Lei, Liuxin Han, Zhenxia Yao, Weiwei Liu, Ying Zhou, Qiwen Li, Jing Li, Yuqin Zhang, Aibing Wu, Dong Xiao, Wanshan Wang, Wen-tao Zhao, Jun-shuang Jia, Xiaolin Lin
Aims: N6-methyladenosine (m6A), the most abundant and conserved epigenetic modification of mRNA, participates in various physiological and pathological processes. However, the roles of m6A modification in liver lipid metabolism have yet to be understood entirely. We aimed to investigate the roles of the m6A “writer” protein methyltransferase-like 3 (Mettl3) in liver lipid metabolism and the underlying mechanisms. Main Methods: We assessed the expression of Mettl3 in liver tissues of diabetes (db/db) mice, obese (ob/ob) mice, high saturated fat-, cholesterol-, and fructose-induced non-alcoholic fatty liver disease (NAFLD) mice, and alcohol abuse and alcoholism (NIAAA) mice by quantitative reverse-transcriptase PCR (qRT-PCR). Hepatocyte-specific Mettl3 knockout mice were used to evaluate the effects of Mettl3 deficiency in mouse liver. The molecular mechanisms underlying the roles of Mettl3 deletion in liver lipid metabolism were explored by multi-omics joint analysis of public data from the Gene Expression Omnibus database and further validated by qRT-PCR and Western blot. Key Findings: Significantly decreased Mettl3 expression was associated with NAFLD progression. Hepatocyte-specific knockout of Mettl3 resulted in significant lipid accumulation in the liver, increased serum total cholesterol levels, and progressive liver damage in mice. Mechanistically, loss of Mettl3 significantly downregulated the expression levels of multiple m6A-modified mRNAs related to lipid metabolism, including Adh7, Cpt1a, and Cyp7a1, further promoting lipid metabolism disorders and liver injury in mice. Significance: In summary, our findings demonstrate that the expression alteration of genes related to lipid metabolism by Mettl3-mediated m6A modification contributes to the development of NAFLD.
目的:n6 -甲基腺苷(n6 - methylladenosine, m6A)是mRNA中最丰富、最保守的表观遗传修饰,参与多种生理和病理过程。然而,m6A修饰在肝脏脂质代谢中的作用尚未完全了解。我们旨在研究m6A“writer”蛋白甲基转移酶样3 (Mettl3)在肝脏脂质代谢中的作用及其潜在机制。主要方法:采用定量逆转录酶PCR (qRT-PCR)检测Mettl3在糖尿病(db/db)小鼠、肥胖(ob/ob)小鼠、高饱和脂肪、胆固醇和果糖诱导的非酒精性脂肪性肝病(NAFLD)小鼠和酒精滥用和酒精中毒(NIAAA)小鼠肝组织中的表达。采用肝细胞特异性Mettl3敲除小鼠来评价Mettl3缺乏对小鼠肝脏的影响。通过多组学联合分析来自Gene Expression Omnibus数据库的公开数据,并通过qRT-PCR和Western blot进一步验证Mettl3缺失在肝脏脂质代谢中作用的分子机制。主要发现:显著降低Mettl3表达与NAFLD进展相关。肝细胞特异性敲除Mettl3导致肝脏中显著的脂质积累,血清总胆固醇水平升高,小鼠肝损伤进行性。在机制上,Mettl3的缺失显著下调了多种m6a修饰的脂质代谢相关mrna的表达水平,包括Adh7、Cpt1a和Cyp7a1,进一步促进了小鼠脂质代谢紊乱和肝损伤。综上所述,我们的研究结果表明,通过mettl3介导的m6A修饰,脂质代谢相关基因的表达改变有助于NAFLD的发展。
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引用次数: 1
SKA1 promotes tumor metastasis via SAFB-mediated transcription repression of DUSP6 in clear cell renal cell carcinoma 在透明细胞肾细胞癌中,SKA1通过safb介导的DUSP6转录抑制促进肿瘤转移
Pub Date : 2022-12-02 DOI: 10.2139/ssrn.3881734
Yan Pu, Jing Han, Mengmeng Zhang, Mengxue Liu, Gulnazar Abdusamat, Hui-Bin Liu
The most hostile form of urologic cancer, clear cell renal cell carcinoma (ccRCC), has a high fatality rate and poor prognosis due to tumor metastasis at initial presentation. The complex process driving ccRCC metastasis is still unknown, though. In this study, we demonstrate that Spindle and kinetochore-associated protein 1 (SKA1) expression is significantly upregulated in ccRCC tissues and associated with aggressive clinicopathologic characteristics. Functionally, SKA1 knockdown on ccRCC cells reduced cancer cell motility both in vivo and in vitro research. These bioactivities of SKA1 may be brought on by its specific interaction with scaffold attachment factor B, according to the proposed mechanism (SAFB), which could further depress the transcription of dual specificity phosphatase 6 (DUSP6). Our findings may provide a new way of researching SKA1-regulated tumor metastasis, and indicate that SKA1 is a prospective therapeutic target for renal carcinoma.
透明细胞肾细胞癌(clear cell renal cell carcinoma, ccRCC)是泌尿系统癌症中最具敌意的一种,由于最初出现肿瘤转移,死亡率高,预后差。然而,驱动ccRCC转移的复杂过程仍然未知。在这项研究中,我们证明纺锤体和着丝酶相关蛋白1 (SKA1)表达在ccRCC组织中显著上调,并与侵袭性临床病理特征相关。在体内和体外研究中,SKA1敲低ccRCC细胞的功能降低了癌细胞的运动性。根据提出的机制(SAFB), SKA1的这些生物活性可能是由其与支架附着因子B的特异性相互作用引起的,这可能进一步抑制双特异性磷酸酶6 (DUSP6)的转录。我们的发现可能为研究SKA1调控的肿瘤转移提供了新的途径,并提示SKA1是肾癌的一个有前景的治疗靶点。
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引用次数: 1
Correction for: CXCR4 knockdown enhances sensitivity of paclitaxel via the PI3K/Akt/mTOR pathway in ovarian carcinoma 修正:CXCR4敲低可通过PI3K/Akt/mTOR通路增强卵巢癌紫杉醇的敏感性
Pub Date : 2022-11-15 DOI: 10.18632/aging.204367
D. Zi, Qing Li, Chengmin Xu, Zhiwei Zhou, Guan-Bin Song, Cheng-Bin Hu, Fang Wen, Hanxiao Yang, Lei Nie, Xing Zhao, Jun Tan, Shufeng Zhou, Zhi-xu He
1Department of Obstetrics and Gynecology, Guizhou Provincial People’s Hospital, Guiyang 550002, Guizhou, China 2Department of Obstetrics and Gynecology, Affiliated Hospital of Guizhou Medical University, Guiyang 550004, China 3Key Laboratory of Adult Stem Cell Transformation Research, Chinese Academy of Medical Sciences/Stem Cell and Tissue Engineering Research Center, Guizhou Medical University, Guiyang 550004, China 4Key Laboratory of Endemic and Ethnic Diseases and Key Laboratory of Molecular Biology, Ministry of Education, Guizhou Medical University, Guiyang 550004, China 5Department of Pharmaceutical Sciences, College of Pharmacy, University of South Florida, Tampa, FL 33612, USA 6 Cancer Center, Daping Hospital and Research Institute of Surgery, The Third Military Medical University, Yuzhong 40042, Chongqing, China 7Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA 8Key Laboratory of Biorheological Science and Technology, Ministry of Education, College of Bioengineering, Chongqing University, Chongqing 400030, China 9Department of Computer Science and Engineering, University of South Florida, Tampa, FL 33620, USA 10Department of Bioengineering and Biotechnology, College of Chemical Engineering, Huaqiao University, Xiamen 361021, Fujian, China 11Department of Pediatrics, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China
1贵州省人民医院妇产科,贵阳550002 2贵州医科大学附属医院妇产科,贵阳550004 3中国医学科学院成体干细胞转化研究重点实验室/贵州医科大学干细胞与组织工程研究中心,贵阳550004;4贵州医科大学地方病与民族病教育部重点实验室和分子生物学教育部重点实验室,贵阳550004 5南佛罗里达大学药学院药学系,美国佛罗里达州坦帕33612 6第三军医大学大平医院肿瘤中心及外科研究所,重庆渝中40042 7放射肿瘤科,重庆渝中400428重庆大学生物工程学院生物流变科学与技术教育部重点实验室,重庆400030;9美国南佛罗里达大学计算机科学与工程系,坦帕33620;10华侨大学化学工程学院生物工程与生物技术系,福建厦门361021;遵义医学院附属医院,遵义563000
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引用次数: 0
ZNF320 is a hypomethylated prognostic biomarker involved in immune infiltration of hepatocellular carcinoma and associated with cell cycle ZNF320是一种低甲基化的预后生物标志物,参与肝细胞癌的免疫浸润并与细胞周期相关
Pub Date : 2022-10-26 DOI: 10.18632/aging.204350
Jing Zhen, Yuni Ke, Jingying Pan, Minqin Zhou, H. Zeng, G. Song, Zichuan Yu, Bidong Fu, Yue Liu, Da Huang, Honghu Wu
Hepatocellular carcinoma (HCC) is one of the most deadly and common malignant cancers around the world, and the prognosis of HCC patients is not optimistic. ZNF320 belongs to Krüppel like zinc finger gene family. However, no studies have focused on the influence of ZNF320 in HCC. We first analyzed ZNF320 expression in HCC by using data from TCGA and ICGC, then conducted a joint analysis with TIMER and UALCAN, and validated by immunohistochemistry in clinical HCC samples. Then we applied UALCAN to explore the correlation between ZNF320 expression and clinicopathological characteristics. Consequently, using Kaplan-Meier Plotter analysis and the Cox regression, we can predict the prognostic value of ZNF320 for HCC patients. Next, the analysis by GO, KEGG, and GSEA revealed that ZNF320 was significantly correlated to cell cycle and immunity. Finally, TIMER and GEPIA analysis verified that ZNF320 expression is closely related to tumor infiltrating immune cells (TIIC), including B cells, CD8+ T cells, CD4+ T cells, macrophages, neutrophils, and dendritic cells. The analysis of the TCGA and ICGC data sets revealed that ZNF320 expression was significantly correlated with m6A related genes (RBMX, YTHDF1, and METTL3). In conclusion, ZNF320 may be a prognostic biomarker related to immunity as a candidate for liver cancer.
肝细胞癌(HCC)是世界范围内最致命、最常见的恶性肿瘤之一,HCC患者的预后不容乐观。ZNF320属于kr样锌指基因家族。然而,尚未有研究关注ZNF320对HCC的影响。我们首先通过TCGA和ICGC的数据分析ZNF320在HCC中的表达,然后与TIMER和UALCAN联合分析,并在临床HCC样本中进行免疫组化验证。应用UALCAN分析ZNF320表达与临床病理特征的关系。因此,通过Kaplan-Meier Plotter分析和Cox回归,我们可以预测ZNF320对HCC患者的预后价值。接下来,通过GO、KEGG和GSEA分析发现ZNF320与细胞周期和免疫显著相关。最后,TIMER和GEPIA分析证实ZNF320的表达与肿瘤浸润免疫细胞(tumor浸润immune cells, TIIC)密切相关,包括B细胞、CD8+ T细胞、CD4+ T细胞、巨噬细胞、中性粒细胞和树突状细胞。TCGA和ICGC数据集分析显示,ZNF320的表达与m6A相关基因(RBMX、YTHDF1和METTL3)显著相关。综上所述,ZNF320可能是一种与免疫相关的肝癌预后生物标志物。
{"title":"ZNF320 is a hypomethylated prognostic biomarker involved in immune infiltration of hepatocellular carcinoma and associated with cell cycle","authors":"Jing Zhen, Yuni Ke, Jingying Pan, Minqin Zhou, H. Zeng, G. Song, Zichuan Yu, Bidong Fu, Yue Liu, Da Huang, Honghu Wu","doi":"10.18632/aging.204350","DOIUrl":"https://doi.org/10.18632/aging.204350","url":null,"abstract":"Hepatocellular carcinoma (HCC) is one of the most deadly and common malignant cancers around the world, and the prognosis of HCC patients is not optimistic. ZNF320 belongs to Krüppel like zinc finger gene family. However, no studies have focused on the influence of ZNF320 in HCC. We first analyzed ZNF320 expression in HCC by using data from TCGA and ICGC, then conducted a joint analysis with TIMER and UALCAN, and validated by immunohistochemistry in clinical HCC samples. Then we applied UALCAN to explore the correlation between ZNF320 expression and clinicopathological characteristics. Consequently, using Kaplan-Meier Plotter analysis and the Cox regression, we can predict the prognostic value of ZNF320 for HCC patients. Next, the analysis by GO, KEGG, and GSEA revealed that ZNF320 was significantly correlated to cell cycle and immunity. Finally, TIMER and GEPIA analysis verified that ZNF320 expression is closely related to tumor infiltrating immune cells (TIIC), including B cells, CD8+ T cells, CD4+ T cells, macrophages, neutrophils, and dendritic cells. The analysis of the TCGA and ICGC data sets revealed that ZNF320 expression was significantly correlated with m6A related genes (RBMX, YTHDF1, and METTL3). In conclusion, ZNF320 may be a prognostic biomarker related to immunity as a candidate for liver cancer.","PeriodicalId":7669,"journal":{"name":"Aging (Albany NY)","volume":"34 1","pages":"8411 - 8436"},"PeriodicalIF":0.0,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82105150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Computational study on new natural compound inhibitors of Traf2 and Nck-interacting kinase (TNIK) Traf2和nck相互作用激酶(TNIK)新型天然化合物抑制剂的计算研究
Pub Date : 2022-10-25 DOI: 10.18632/aging.204349
Lushun Ma, Rui Li, Zhiwei Yao, Bo Wang, Yong Liu, Chun-xia Liu, Heng Wang, Shuxian Chen, Daqing Sun
Traf2 and Nck-interacting kinase (TNIK) is the downstream molecule of Wnt/β-catenin signal pathway. As the activation kinase of β-catenin/T-cell factor 4 transcription complex, it can fully activate Wnt signalling and promote the growth and invasion of tumor cells. We conducted computer-assisted virtual screening and a series of analyses to find potential inhibitors of TNIK. First, LibDock was used for molecular docking of natural small molecules. Then, ADME (Adsorption, Distribution, Metabolism and Excretion) analysis and toxicity prediction were performed on the top 80 small molecules which have higher scores. Additionally, in order to further determine the affinity and binding mechanism of TNIK-ligands, we analyzed the pharmacophores and used CDOCKER for more accurate molecular docking. Last but not least, molecular, dynamics simulation was used to evaluate the stability of receptor-ligand complexes in natural environment. The results showed that natural small molecules (ZINC000040976869 and ZINC000008214460) had high affinity and low interaction energy with TNIK. They were predicted to have excellent pharmacological properties, such as high plasma protein binding capacity and water solubility, no hepatotoxicity, no blood-brain barrier permeability and tolerant with cytochrome P450 2D6 (CYP2D6). In addition, they have less rodent carcinogenicity, AMES mutagenicity, and developmental toxicity potential. Molecular dynamics simulations showed that the two compounds could achieve the stability of potential energy and Root-Mean-Square Deviation (RMSD) at different time nodes. This study proves that ZINC000040976869 and ZINC000008214460 are ideal lead compounds with inhibition targeting to TNIK. These compounds provide valuable ideas and information for the development of new colorectal cancer targeting drugs.
Traf2和nck相互作用激酶(TNIK)是Wnt/β-catenin信号通路的下游分子。作为β-catenin/T-cell factor 4转录复合体的激活激酶,能充分激活Wnt信号,促进肿瘤细胞的生长和侵袭。我们进行了计算机辅助虚拟筛选和一系列分析,以寻找潜在的TNIK抑制剂。首先,利用LibDock对天然小分子进行分子对接。然后对得分较高的前80名小分子进行ADME(吸附、分布、代谢和排泄)分析和毒性预测。此外,为了进一步确定tnik -配体的亲和力和结合机制,我们对药效团进行了分析,并使用CDOCKER进行更精确的分子对接。最后,采用分子动力学模拟方法评价了自然环境下受体-配体复合物的稳定性。结果表明,天然小分子(ZINC000040976869和ZINC000008214460)与TNIK具有高亲和力和低相互作用能。预计它们具有优异的药理学特性,如高血浆蛋白结合能力和水溶性,无肝毒性,无血脑屏障通透性,耐细胞色素P450 2D6 (CYP2D6)。此外,它们具有较小的啮齿动物致癌性、AMES诱变性和发育毒性潜力。分子动力学模拟表明,两种化合物在不同时间节点上均能实现势能和均方根偏差(RMSD)的稳定。本研究证明ZINC000040976869和ZINC000008214460是理想的靶向抑制TNIK的先导化合物。这些化合物为开发新的结直肠癌靶向药物提供了有价值的思路和信息。
{"title":"Computational study on new natural compound inhibitors of Traf2 and Nck-interacting kinase (TNIK)","authors":"Lushun Ma, Rui Li, Zhiwei Yao, Bo Wang, Yong Liu, Chun-xia Liu, Heng Wang, Shuxian Chen, Daqing Sun","doi":"10.18632/aging.204349","DOIUrl":"https://doi.org/10.18632/aging.204349","url":null,"abstract":"Traf2 and Nck-interacting kinase (TNIK) is the downstream molecule of Wnt/β-catenin signal pathway. As the activation kinase of β-catenin/T-cell factor 4 transcription complex, it can fully activate Wnt signalling and promote the growth and invasion of tumor cells. We conducted computer-assisted virtual screening and a series of analyses to find potential inhibitors of TNIK. First, LibDock was used for molecular docking of natural small molecules. Then, ADME (Adsorption, Distribution, Metabolism and Excretion) analysis and toxicity prediction were performed on the top 80 small molecules which have higher scores. Additionally, in order to further determine the affinity and binding mechanism of TNIK-ligands, we analyzed the pharmacophores and used CDOCKER for more accurate molecular docking. Last but not least, molecular, dynamics simulation was used to evaluate the stability of receptor-ligand complexes in natural environment. The results showed that natural small molecules (ZINC000040976869 and ZINC000008214460) had high affinity and low interaction energy with TNIK. They were predicted to have excellent pharmacological properties, such as high plasma protein binding capacity and water solubility, no hepatotoxicity, no blood-brain barrier permeability and tolerant with cytochrome P450 2D6 (CYP2D6). In addition, they have less rodent carcinogenicity, AMES mutagenicity, and developmental toxicity potential. Molecular dynamics simulations showed that the two compounds could achieve the stability of potential energy and Root-Mean-Square Deviation (RMSD) at different time nodes. This study proves that ZINC000040976869 and ZINC000008214460 are ideal lead compounds with inhibition targeting to TNIK. These compounds provide valuable ideas and information for the development of new colorectal cancer targeting drugs.","PeriodicalId":7669,"journal":{"name":"Aging (Albany NY)","volume":"110 1","pages":"8394 - 8410"},"PeriodicalIF":0.0,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82460253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sex differences in major cardiovascular outcomes and fractures in patients with subclinical thyroid dysfunction: a systematic review and meta-analysis 亚临床甲状腺功能障碍患者主要心血管结局和骨折的性别差异:系统回顾和荟萃分析
Pub Date : 2022-10-25 DOI: 10.18632/aging.204352
Hong-juan Fang, Runsheng Zhao, Shuang Cui, Weiqing Wan
Objective: To evaluate whether sex differences in the associations of subclinical hypothyroidism (SH) and subclinical hyperthyroidism (SCH) with the risks of major adverse cardiovascular events (MACE) and fractures. Methods: The PubMed, EmBase, and Cochrane Library databases were searched for eligible studies from inception until November 2021. The relative risk (RR) ratio with the 95% confidence interval (CI) was used to identify sex differences in the associations of SH and SCH with the risks of MACE and fractures. All analyses were performed using a random-effects model. Results: Twenty-four cohort studies (in 3,480,682 patients) were selected for meta-analysis. There were no sex differences in the associations of SH and SCH with the risks of atrial fibrillation, all-cause mortality, cardiac death, coronary heart disease, heart failure, MACE, stroke, fracture. Subgroup analyses indicated a greater risk of MACE in men than in women with SH if follow-up was ≥10.0 years (RR ratio 2.44; 95% CI 1.17–5.10; P = 0.017). The risk of any fracture was greater in men than in women with SH if follow-up was <10.0 years (RR ratio 1.17; 95% CI 1.03–1.34; P = 0.017) and in studies with a high level of adjustment (RR ratio 1.16; 95% CI 1.02–1.32; P = 0.022). However, the risk of hip fracture was lower in men than in women with SH on pooling of studies with low adjustment (RR ratio 0.53; 95% CI 0.29–0.97; P = 0.039). Conclusions: There may be sex-related differences in the risks of MACE, any fracture, and hip fracture in patients with SH.
目的:探讨亚临床甲状腺功能减退症(SH)和亚临床甲状腺功能亢进症(SCH)与主要不良心血管事件(MACE)和骨折风险的性别差异。方法:检索PubMed、EmBase和Cochrane图书馆数据库,从成立到2021年11月检索符合条件的研究。采用95%可信区间(CI)的相对危险度(RR)来确定SH和SCH与MACE和骨折风险相关性的性别差异。所有分析均采用随机效应模型。结果:24项队列研究(3,480,682例患者)入选meta分析。在SH和SCH与房颤、全因死亡率、心源性死亡、冠心病、心力衰竭、MACE、中风、骨折风险的相关性方面,没有性别差异。亚组分析显示,如果随访≥10.0年,男性发生MACE的风险高于女性(RR比2.44;95% ci 1.17-5.10;P = 0.017)。如果随访时间<10.0年,男性发生骨折的风险大于女性(RR比1.17;95% ci 1.03-1.34;P = 0.017),在调整水平较高的研究中(RR比1.16;95% ci 1.02-1.32;P = 0.022)。然而,在低校正的研究中,男性髋部骨折的风险低于女性(RR比0.53;95% ci 0.29-0.97;P = 0.039)。结论:SH患者发生MACE、任何骨折和髋部骨折的风险可能存在性别差异。
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引用次数: 4
Gabrb2 knock-out mice exhibit double-directed PMDD-like symptoms: GABAAR subunits, neurotransmitter metabolism disruption, and allopregnanolone binding Gabrb2敲除小鼠表现出双定向pmdd样症状:GABAAR亚基、神经递质代谢紊乱和异孕酮结合
Pub Date : 2022-10-24 DOI: 10.18632/aging.204351
Mingzhou Gao, Hao Zhang, Ya Sun, Zhan Gao, Chunyan Sun, F. Wei, Dong-mei Gao
Background: Premenstrual dysphoric disorder (PMDD) is a severe mood disorder with pathological changes rooted in GABRB2 copy number variation. Here, we aimed to elucidate the gene dose effect and allopregnanolone binding mechanism of Gabrb2 on possible PMDD-like and comorbid phenotypes in knockout mice. Methods: PMDD-like behaviors of Gabrb2-knockout mice were measured through various tests. Western Blot and ELISA were used to detect changes in the GABAAR subunits and related neurotransmitter changes in mice respectively for the internal mechanism. The response of mice to allopregnanolone (ALLO) was examined through an exogenous ALLO injection, then validated by the patch-clamp technique to elaborate the potential mechanism of ALLO-mediated GABAAR. Results: Gabrb2-knockout mice displayed changes in anxiety-like and depression-like emotions opposite to PMDD symptoms, changes in social, learning, and memory capacities similar to PMDD symptoms, and pain threshold changes opposite to PMDD symptoms. GABAAR δ subunit expression in the brains of the Gabrb2-knockout mice was significantly higher than that of Wild-type mice (P<0.05). Gabrb2-knockout mice demonstrated neurotransmitter metabolism disturbance of GABA, Glu, acetylcholine, DA, norepinephrine, and epinephrine. Moreover, Gabrb2-knockout mice did not display the expected phenotypic effect after ALLO injection. Relative to WT mice, the knockout of the β2 subunit gene enhanced the agonistic effect of ALLO on GABAA receptors in cortical neuronal cells. Conclusions: GABAAR β 2 regulates PMDD-like behaviors. The ALLO binding site may not be located on β two subunits, abnormal δ and ε subunit expression in the mouse brain and the disturbance of neurotransmitters may result in ALLO sensitivity.
背景:经前烦躁障碍(PMDD)是一种以GABRB2拷贝数变化为病理基础的严重心境障碍。本研究旨在阐明Gabrb2对基因敲除小鼠可能的pmdd样表型和共病表型的基因剂量效应和异孕酮结合机制。方法:通过各种实验检测gabrb2基因敲除小鼠的pmdd样行为。采用Western Blot和ELISA分别检测小鼠GABAAR亚基变化和相关神经递质变化的内在机制。通过外源性ALLO注射检测小鼠对ALLO的反应,然后通过膜片钳技术验证ALLO介导GABAAR的潜在机制。结果:gabrb2基因敲除小鼠表现出与PMDD症状相反的焦虑样和抑郁样情绪变化,与PMDD症状相似的社交、学习和记忆能力变化,以及与PMDD症状相反的痛阈变化。GABAAR δ亚基在gabrb2基因敲除小鼠脑组织中的表达量显著高于野生型小鼠(P<0.05)。gabrb2基因敲除小鼠表现出GABA、Glu、乙酰胆碱、DA、去甲肾上腺素和肾上腺素的神经递质代谢紊乱。此外,gabrb2基因敲除小鼠在注射ALLO后并未表现出预期的表型效应。与WT小鼠相比,敲除β2亚基基因增强了ALLO对皮质神经元细胞GABAA受体的拮抗作用。结论:GABAAR β 2调节pmdd样行为。ALLO结合位点可能不在β两个亚基上,小鼠脑内δ和ε亚基表达异常以及神经递质紊乱可能导致ALLO敏感性。
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引用次数: 1
Dectin-1 stimulation promotes a distinct inflammatory signature in the setting of HIV-infection and aging Dectin-1刺激在hiv感染和衰老的情况下促进了明显的炎症特征
Pub Date : 2022-09-02 DOI: 10.1101/2022.09.01.505710
Archit Kumar, Jiawei Wang, Haowen Zhou, C. Radcliffe, B. V. Wyk, H. Allore, S. Tsang, L. Barakat, S. Mohanty, Hongyu Zhao, A. Shaw, Heidi J. Zapata
Dectin-1 is an innate immune receptor that recognizes and binds β-1,3/1,6 glucans on fungi. We evaluated Dectin-1 function in myeloid cells in a cohort of HIV-positive and HIV-negative young and older adults. Stimulation of monocytes with β-D-glucans induced a pro-inflammatory phenotype in monocytes of HIV-infected individuals that was characterized by increased levels of IL-12, TNF-α, and IL-6, with some age-associated cytokine increases also noted. Dendritic cells showed a striking HIV-associated increase in IFN-α production. These increases in cytokine production paralleled increases in Dectin-1 surface expression in both monocytes and dendritic cells that were noted with both HIV and aging. Differential gene expression analysis showed that HIV-positive older adults had a distinct gene signature compared to other cohorts characterized by a robust TNF-α and coagulation response (increased at baseline), a persistent IFN-α and IFN-γ response, and an activated dendritic cell signature/M1 macrophage signature upon Dectin-1 stimulation. Dectin-1 stimulation induced a strong upregulation of MTORC1 signaling in all cohorts, although increased in the HIV-Older cohort (stimulation and baseline). Overall, our study demonstrates that the HIV Aging population has a distinct immune signature in response to Dectin-1 stimulation. This signature may contribute to the pro-inflammatory environment that is associated with HIV and Aging.
Dectin-1是一种天然免疫受体,可识别并结合真菌上的β-1,3/1,6葡聚糖。我们评估了Dectin-1在hiv阳性和hiv阴性的年轻人和老年人的骨髓细胞中的功能。用β- d -葡聚糖刺激单核细胞诱导hiv感染者单核细胞的促炎表型,其特征是IL-12、TNF-α和IL-6水平升高,同时也注意到一些与年龄相关的细胞因子升高。树突状细胞显示出与hiv相关的IFN-α产生的显著增加。这些细胞因子产生的增加与单核细胞和树突状细胞中Dectin-1表面表达的增加是平行的,这些都是在HIV和衰老中注意到的。差异基因表达分析显示,与其他队列相比,hiv阳性的老年人具有明显的基因特征,其特征是强大的TNF-α和凝血反应(在基线时增加),持续的IFN-α和IFN-γ反应,以及在Dectin-1刺激下激活的树突状细胞特征/M1巨噬细胞特征。Dectin-1刺激在所有队列中诱导MTORC1信号的强烈上调,尽管在HIV-Older队列中(刺激和基线)有所增加。总之,我们的研究表明HIV老龄人群对Dectin-1刺激有明显的免疫特征。这一特征可能促成了与HIV和衰老相关的促炎环境。
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引用次数: 0
PD-L1ATTAC mice reveal the potential of depleting PD-L1 expressing cells in cancer therapy PD-L1ATTAC小鼠揭示了在癌症治疗中消耗PD-L1表达细胞的潜力
Pub Date : 2022-07-23 DOI: 10.1101/2022.07.22.501095
Elena Fueyo-Marcos, Gema Lopez-Pernas, C. Fustero-Torre, M. E. Antón, F. Al-Shahrour, O. Fernandez-Capetillo, M. Murga
Antibodies targeting the PD-1 receptor and its ligand PD-L1 have shown impressive responses in some tumors of bad prognosis. We hypothesized that the selective elimination of PD-L1 expressing cells could similarly have antitumoral effects. To address this question, we developed an inducible suicidal knock-in mouse allele of Pd-l1 (PD-L1ATTAC) which allows for the tracking and specific elimination of PD-L1-expressing cells in adult tissues. Elimination of PD-L1 expressing cells from the mouse peritoneum increased the septic response to lipopolysaccharide (LPS), due to an exacerbated inflammatory response to the endotoxin. In addition, mice depleted of PD-L1+ cells were resistant to colon cancer peritoneal allografts, which was associated with a loss of immunosuppresive B cells and macrophages, concomitant with an increase in activated cytotoxic CD8 T cells. Collectively, these results illustrate the usefulness of PD-L1ATTAC mice and provide genetic support to the concept of targeting PD-L1 expressing cells in cancer therapy.
针对PD-1受体及其配体PD-L1的抗体在一些预后不良的肿瘤中显示出令人印象深刻的反应。我们假设选择性消除表达PD-L1的细胞可能具有类似的抗肿瘤作用。为了解决这个问题,我们开发了一种诱导自杀式敲入Pd-l1的小鼠等位基因(PD-L1ATTAC),它允许跟踪和特异性消除成人组织中表达Pd-l1的细胞。从小鼠腹膜中消除PD-L1表达细胞增加了对脂多糖(LPS)的脓毒性反应,这是由于内毒素引起的炎症反应加剧。此外,PD-L1+细胞缺失的小鼠对结肠癌腹膜同种异体移植物具有耐药性,这与免疫抑制性B细胞和巨噬细胞的缺失有关,同时伴随着活化的细胞毒性CD8 T细胞的增加。总的来说,这些结果说明了PD-L1ATTAC小鼠的有用性,并为靶向PD-L1表达细胞在癌症治疗中的概念提供了遗传支持。
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引用次数: 0
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Aging (Albany NY)
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