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Correction: Mitochondrial control of hypoxia-induced pathological retinal angiogenesis 更正:线粒体控制缺氧诱导的病理性视网膜血管生成。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-10-19 DOI: 10.1007/s10456-024-09952-6
Hitomi Yagi, Myriam Boeck, Shen Nian, Katherine Neilsen, Chaomei Wang, Jeff Lee, Yan Zeng, Matthew Grumbine, Ian R. Sweet, Taku Kasai, Kazuno Negishi, Sasha A. Singh, Masanori Aikawa, Ann Hellström, Lois E. H. Smith, Zhongjie Fu
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引用次数: 0
Angiogenesis is limited by LIC1-mediated lysosomal trafficking 血管生成受到 LIC1 介导的溶酶体贩运的限制。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-10-02 DOI: 10.1007/s10456-024-09951-7
Dymonn Johnson, Sarah Colijn, Jahmiera Richee, Joseph Yano, Margaret Burns, Andrew E. Davis, Van N. Pham, Amra Saric, Akansha Jain, Ying Yin, Daniel Castranova, Mariana Melani, Misato Fujita, Stephanie Grainger, Juan S. Bonifacino, Brant M. Weinstein, Amber N. Stratman

Dynein cytoplasmic 1 light intermediate chain 1 (LIC1, DYNC1LI1) is a core subunit of the dynein motor complex. The LIC1 subunit also interacts with various cargo adaptors to regulate Rab-mediated endosomal recycling and lysosomal degradation. Defects in this gene are predicted to alter dynein motor function, Rab binding capabilities, and cytoplasmic cargo trafficking. Here, we have identified a dync1li1 zebrafish mutant, harboring a premature stop codon at the exon 12/13 splice acceptor site, that displays increased angiogenesis. In vitro, LIC1-deficient human endothelial cells display increases in cell surface levels of the pro-angiogenic receptor VEGFR2, SRC phosphorylation, and Rab11-mediated endosomal recycling. In vivo, endothelial-specific expression of constitutively active Rab11a leads to excessive angiogenesis, similar to the dync1li1 mutants. Increased angiogenesis is also evident in zebrafish harboring mutations in rilpl1/2, the adaptor proteins that promote Rab docking to Lic1 to mediate lysosomal targeting. These findings suggest that LIC1 and the Rab-adaptor proteins RILPL1 and 2 restrict angiogenesis by promoting degradation of VEGFR2-containing recycling endosomes. Disruption of LIC1- and RILPL1/2-mediated lysosomal targeting increases Rab11-mediated recycling endosome activity, promoting excessive SRC signaling and angiogenesis.

动力蛋白胞质 1 轻中间链 1(LIC1,DYNC1LI1)是动力蛋白运动复合体的核心亚基。LIC1 亚基还与各种货物适配体相互作用,调节 Rab 介导的内体循环和溶酶体降解。据预测,该基因缺陷会改变动力蛋白的运动功能、Rab结合能力和细胞质货物运输。在这里,我们发现了一种 dync1li1 斑马鱼突变体,该突变体在外显子 12/13 拼接接受位点处含有一个过早终止密码子,显示血管生成增加。在体外,LIC1缺陷的人内皮细胞显示促血管生成受体VEGFR2的细胞表面水平、SRC磷酸化和Rab11介导的内体循环增加。在体内,内皮特异性表达组成型活性 Rab11a 会导致过度的血管生成,这与 dync1li1 突变体类似。在携带 rilpl1/2 突变的斑马鱼中,血管生成的增加也很明显,rilpl1/2 是一种适配蛋白,能促进 Rab 与 Lic1 的对接,从而介导溶酶体靶向。这些发现表明,LIC1 和 Rab 适配蛋白 RILPL1 和 2 通过促进含有 VEGFR2 的循环内体降解来限制血管生成。破坏LIC1和RILPL1/2介导的溶酶体靶向会增加Rab11介导的循环内体活性,促进过度的SRC信号传导和血管生成。
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引用次数: 0
Similarities and differences between brain and skin GNAQ p.R183Q driven capillary malformations 大脑和皮肤 GNAQ p.R183Q 驱动的毛细血管畸形的异同。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-09-29 DOI: 10.1007/s10456-024-09950-8
Sana Nasim, Colette Bichsel, Anna Pinto, Sanda Alexandrescu, Harry Kozakewich, Joyce Bischoff

Capillary malformations (CM) are congenital vascular irregularities of capillary and venous blood vessels that appear in the skin, leptomeninges of the brain, and the choroid of the eye in the disorder known as Sturge Weber Syndrome (SWS). More common are non-syndromic CM found only in the skin, without brain or ocular involvement. A somatic activating mutation in GNAQ (p.R183Q) is found in ~ 90% of syndromic and non-syndromic CM specimens and is present in CD31pos endothelial cells isolated from brain and skin CM specimens. Endothelial expression of the GNAQ p.R183Q variant is sufficient to form CM-like vessels in mice. Given the distinct features and functions of blood vessels in the brain versus the skin, we examined the features of CM vessels in both tissues to gain insights into the pathogenesis of CM. Herein, we present morphologic characteristics of CM observed in specimens from brain and skin. The GNAQ p.R183Q variant allelic frequency in each specimen was determined by droplet digital PCR. Sections were stained for endothelial cells, tight junctions, mural cells, and macrophages to assess the endothelium as well as perivascular constituents. CM blood vessels in brain and skin were enlarged, exhibited fibrin leakage and reduced zona occludin-1 and claudin-5, and were surrounded by MRC1pos/LYVE1pos macrophages. In contrast, the CMs from brain and skin differ in endothelial sprouting activity and localization of mural cells. These characteristics might be helpful in the development of targeted and/or tissue specific therapies to prevent or reverse non-syndromic and syndromic CM.

毛细血管畸形(CM)是毛细血管和静脉血管的先天性血管不规则,出现在皮肤、大脑的脑膜和眼球的脉络膜上,这种疾病被称为斯特格-韦伯综合征(SWS)。更常见的是只出现在皮肤上、不累及大脑或眼球的非综合征 CM。在约 90% 的综合征和非综合征 CM 标本中发现了 GNAQ 的体细胞活化突变(p.R183Q),并且存在于从大脑和皮肤 CM 标本中分离出的 CD31pos 内皮细胞中。GNAQ p.R183Q 变体的内皮表达足以在小鼠体内形成 CM 样血管。鉴于脑血管与皮肤血管的不同特征和功能,我们研究了这两种组织中 CM 血管的特征,以深入了解 CM 的发病机制。在此,我们介绍了在大脑和皮肤标本中观察到的 CM 形态特征。通过液滴数字 PCR 测定了每个标本中 GNAQ p.R183Q 变体等位基因的频率。对切片进行内皮细胞、紧密连接、壁细胞和巨噬细胞染色,以评估内皮和血管周围成分。大脑和皮肤中的CM血管增大,表现出纤维蛋白渗漏,透明带闭塞素-1和透明带闭塞素-5减少,并被巨噬细胞MRC巯基乙醇/LYVE巯基乙醇包围。相比之下,大脑和皮肤的 CMs 在内皮发芽活性和壁细胞定位方面有所不同。这些特征可能有助于开发靶向和/或组织特异性疗法,以预防或逆转非综合征和综合征 CM。
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引用次数: 0
Inflammasome activation aggravates choroidal neovascularization 炎症小体激活会加重脉络膜新生血管。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-09-24 DOI: 10.1007/s10456-024-09949-1
Ryan D. Makin, Ivana Apicella, Roshni Dholkawala, Shinichi Fukuda, Shuichiro Hirahara, Yoshio Hirano, Younghee Kim, Ayami Nagasaka, Yosuke Nagasaka, Siddharth Narendran, Felipe Pereira, Akhil Varshney, Shao-bin Wang, Jayakrishna Ambati, Bradley D. Gelfand

Inflammasome activation is implicated in diseases of aberrant angiogenesis such as age-related macular degeneration (AMD), though its precise role in choroidal neovascularization (CNV), a characteristic pathology of advanced AMD, is ill-defined. Reports on inhibition of inflammasome constituents on CNV are variable and the precise role of inflammasome in mediating pathological angiogenesis is unclear. Historically, subretinal injection of inflammasome agonists alone has been used to investigate retinal pigmented epithelium (RPE) degeneration, while the laser photocoagulation model has been used to study pathological angiogenesis in a model of CNV. Here, we report that the simultaneous introduction of any of several disease-relevant inflammasome agonists (Alu or B2 RNA, Alu cDNA, or oligomerized amyloid β (1–40)) exacerbates laser-induced CNV. These activities were diminished or abrogated by genetic or pharmacological targeting of inflammasome signaling constituents including P2rx7, Nlrp3, caspase-1, caspase-11, and Myd88, as well as in myeloid-specific caspase-1 knockout mice. Alu RNA treatment induced inflammasome activation in macrophages within the CNV lesion, and increased accumulation of macrophages in an inflammasome-dependent manner. Finally, IL-1β neutralization prevented inflammasome agonist-induced chemotaxis, macrophage trafficking, and angiogenesis. Collectively, these observations support a model wherein inflammasome stimulation promotes and exacerbates CNV and may be a therapeutic target for diseases of angiogenesis such as neovascular AMD.

炎症小体活化与血管异常生成疾病(如老年性黄斑变性)有关,但它在脉络膜新生血管(CNV)--晚期黄斑变性的特征性病理--中的确切作用尚不明确。有关抑制炎性体成分对 CNV 的影响的报道不尽相同,炎性体在介导病理性血管生成中的确切作用也不明确。一直以来,视网膜下注射炎性体激动剂单独用于研究视网膜色素上皮(RPE)变性,而激光光凝模型则用于研究 CNV 模型中的病理性血管生成。在这里,我们报告了同时引入几种与疾病相关的炎性体激动剂(Alu 或 B2 RNA、Alu cDNA 或寡聚淀粉样蛋白 β (1-40))会加剧激光诱导的 CNV。通过基因或药物靶向炎性体信号转导成分,包括P2rx7、Nlrp3、caspase-1、caspase-11和Myd88,以及髓系特异性caspase-1基因敲除小鼠,这些活性都会减弱或消失。Alu RNA 处理可诱导 CNV 病变内巨噬细胞中的炎性体活化,并以炎性体依赖的方式增加巨噬细胞的聚集。最后,IL-1β中和可阻止炎性体激动剂诱导的趋化、巨噬细胞迁移和血管生成。总之,这些观察结果支持炎性体刺激促进和加重 CNV 的模型,并可能成为血管生成疾病(如新生血管性 AMD)的治疗靶点。
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引用次数: 0
Timed topical dexamethasone eye drops improve mitochondrial function to prevent severe retinopathy of prematurity 定时局部使用地塞米松滴眼液可改善线粒体功能,预防严重的早产儿视网膜病变
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-09-17 DOI: 10.1007/s10456-024-09948-2
Hitomi Yagi, Myriam Boeck, Mariya Petrishka-Lozenska, Pia Lundgren, Taku Kasai, Gael Cagnone, Katherine Neilsen, Chaomei Wang, Jeff Lee, Yohei Tomita, Sasha A. Singh, Jean-Sébastien Joyal, Masanori Aikawa, Kazuno Negishi, Zhongjie Fu, Ann Hellström, Lois E.H. Smith

Pathological neovascularization in retinopathy of prematurity (ROP) can cause visual impairment in preterm infants. Current ROP treatments which are not preventative and only address late neovascular ROP, are costly and can lead to severe complications. We showed that topical 0.1% dexamethasone eye drops administered prior to peak neovessel formation prevented neovascularization in five extremely preterm infants at high risk for ROP and suppressed neovascularization by 30% in mouse oxygen-induced retinopathy (OIR) modeling ROP. In contrast, in OIR, topical dexamethasone treatment before any neovessel formation had limited efficacy in preventing later neovascularization, while treatment after peak neovessel formation had a non-statistically significant trend to exacerbating disease. Optimally timed topical dexamethasone suppression of neovascularization in OIR was associated with increased retinal mitochondrial gene expression and decreased inflammatory marker expression, predominantly found in immune cells. Blocking mitochondrial ATP synthetase reversed the inhibitory effect of dexamethasone on neovascularization in OIR. This study provides new insights into topical steroid effects in retinal neovascularization and into mitochondrial function in phase II ROP, and suggests a simple clinical approach to prevent severe ROP.

早产儿视网膜病变(ROP)中的病理性新生血管可导致早产儿视力受损。目前的早产儿视网膜病变治疗方法并不能预防早产儿视网膜病变,只能解决晚期新生血管性视网膜病变,不仅费用昂贵,还可能导致严重的并发症。我们的研究表明,在新生血管形成高峰之前局部滴用0.1%地塞米松眼药水,可预防5名极度早产儿的新生血管形成,并将小鼠氧诱导视网膜病变(OIR)模型的新生血管形成抑制30%。与此相反,在小鼠氧诱导视网膜病变模型中,在任何新生血管形成之前局部使用地塞米松治疗对防止后期新生血管形成的效果有限,而在新生血管形成高峰之后使用地塞米松治疗则有加重病情的趋势,但无统计学意义。最佳时机局部使用地塞米松抑制 OIR 中的新生血管与视网膜线粒体基因表达增加和炎症标志物表达(主要存在于免疫细胞中)减少有关。阻断线粒体 ATP 合成酶可逆转地塞米松对 OIR 新生血管形成的抑制作用。这项研究为局部类固醇在视网膜新生血管中的作用以及二期 ROP 的线粒体功能提供了新的见解,并提出了一种预防严重 ROP 的简单临床方法。
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引用次数: 0
The influences of ApoE isoforms on endothelial adherens junctions and actin cytoskeleton responding to mCRP 载脂蛋白 E 同工酶对内皮粘连接头和肌动蛋白细胞骨架对 mCRP 反应的影响
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-09-14 DOI: 10.1007/s10456-024-09946-4
Zhengrong Zhang, Weiwei Lin, Qini Gan, Maohua Lei, Bin Gong, Chao Zhang, Jessica Salles Henrique, Jingyan Han, Hua Tian, Qiushan Tao, Lawrence A. Potempa, Thor D. Stein, Andrew Emili, Wei Qiao Qiu

Apolipoprotein E4 (ApoE4) plays an important role responding to monomeric C-reactive protein (mCRP) via binding to CD31 leading to cerebrovascular damage and Alzheimer’s disease (AD). Using phosphor-proteomic profiling, we found altered cytoskeleton proteins in the microvasculature of AD brains, including increased levels of hyperphosphorylated tau (pTau) and the actin-related protein, LIMA1. To address the hypothesis that cytoskeletal changes serve as early pathological signatures linked with CD31 in brain endothelia in ApoE4 carriers, ApoE4 knock-in mice intraperitoneal injected with mCRP revealed that mCRP increased the expressions of phosphorylated CD31 (pCD31) and LIMA1, and facilitate the binding of pCD31 to LIMA1. mCRP combined with recombinant APOE4 protein decreased interaction of CD31 and VE-Cadherin at adherens junctions (AJs), along with altered the expression of various actin cytoskeleton proteins, causing microvasculature damage. Notably, the APOE2 protein attenuated these changes. Overall, our study demonstrates that ApoE4 responds to mCRP to disrupt the endothelial AJs which link with the actin cytoskeleton and this pathway could play a key role in the barrier dysfunction leading to AD risk.

载脂蛋白 E4(ApoE4)通过与 CD31 结合对单体 C 反应蛋白(mCRP)做出反应,从而导致脑血管损伤和阿尔茨海默病(AD)。通过磷酸蛋白组分析,我们发现 AD 大脑微血管中的细胞骨架蛋白发生了改变,包括高磷酸化 tau(pTau)和肌动蛋白相关蛋白 LIMA1 水平的升高。为了解决细胞骨架变化是载脂蛋白E4携带者脑内皮细胞中与CD31相关的早期病理特征这一假设,腹腔注射mCRP的载脂蛋白E4基因敲入小鼠发现,mCRP增加了磷酸化CD31(pCD31)和LIMA1的表达,并促进了pCD31与LIMA1的结合。mCRP 与重组 APOE4 蛋白结合后,CD31 与 VE-Cadherin 在粘连连接(AJ)处的相互作用减少,各种肌动蛋白细胞骨架蛋白的表达也发生改变,从而导致微血管损伤。值得注意的是,APOE2 蛋白可减轻这些变化。总之,我们的研究表明,载脂蛋白E4会对mCRP做出反应,从而破坏与肌动蛋白细胞骨架相联系的内皮AJ,这一途径可能在导致AD风险的屏障功能障碍中发挥关键作用。
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引用次数: 0
Oscillatory contractile forces refine endothelial cell-cell interactions for continuous lumen formation governed by Heg1/Ccm1 振荡收缩力完善了内皮细胞与细胞之间的相互作用,从而在 Heg1/Ccm1 的调控下形成连续的管腔。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-09-09 DOI: 10.1007/s10456-024-09945-5
Jianmin Yin, Ludovico Maggi, Cora Wiesner, Markus Affolter, Heinz-Georg Belting

The formation and organization of complex blood vessel networks rely on various biophysical forces, yet the mechanisms governing endothelial cell-cell interactions under different mechanical inputs are not well understood. Using the dorsal longitudinal anastomotic vessel (DLAV) in zebrafish as a model, we studied the roles of multiple biophysical inputs and cerebral cavernous malformation (CCM)-related genes in angiogenesis. Our research identifies heg1 and krit1 (ccm1) as crucial for the formation of endothelial cell-cell interfaces during anastomosis. In mutants of these genes, cell-cell interfaces are entangled with fragmented apical domains. A Heg1 live reporter demonstrated that Heg1 is dynamically involved in the oscillatory constrictions along cell-cell junctions, whilst a Myosin live reporter indicated that heg1 and krit1 mutants lack actomyosin contractility along these junctions. In wild-type embryos, the oscillatory contractile forces at junctions refine endothelial cell-cell interactions by straightening junctions and eliminating excessive cell-cell interfaces. Conversely, in the absence of junctional contractility, the cell-cell interfaces become entangled and prone to collapse in both mutants, preventing the formation of a continuous luminal space. By restoring junctional contractility via optogenetic activation of RhoA, contorted junctions are straightened and disentangled. Additionally, haemodynamic forces complement actomyosin contractile forces in resolving entangled cell-cell interfaces in both wild-type and mutant embryos. Overall, our study reveals that oscillatory contractile forces governed by Heg1 and Krit1 are essential for maintaining proper endothelial cell-cell interfaces and thus for the formation of a continuous luminal space, which is essential to generate a functional vasculature.

复杂血管网络的形成和组织依赖于各种生物物理力,然而不同机械输入下的内皮细胞-细胞相互作用机制还不甚明了。我们以斑马鱼背侧纵向吻合血管(DLAV)为模型,研究了多种生物物理输入和脑海绵畸形(CCM)相关基因在血管生成中的作用。我们的研究发现,heg1 和 krit1(ccm1)对吻合过程中内皮细胞-细胞界面的形成至关重要。在这些基因的突变体中,细胞-细胞界面与破碎的顶端结构域纠缠在一起。Heg1 活体报告表明,Heg1 动态参与了沿细胞-细胞连接处的振荡收缩,而肌球蛋白活体报告表明,heg1 和 krit1 突变体缺乏沿这些连接处的肌动蛋白收缩能力。在野生型胚胎中,交界处的摆动收缩力通过拉直交界和消除过多的细胞-细胞界面来完善内皮细胞-细胞之间的相互作用。相反,在缺乏连接收缩力的情况下,两种突变体的细胞-细胞界面会纠缠在一起并容易塌陷,从而阻碍形成连续的管腔空间。通过光遗传激活 RhoA 来恢复交界收缩力,扭曲的交界就会被拉直和解开。此外,在解决野生型和突变型胚胎中缠结的细胞-细胞界面时,血液动力学力对肌动蛋白收缩力起到了补充作用。总之,我们的研究揭示了由 Heg1 和 Krit1 控制的振荡收缩力对于维持适当的内皮细胞-细胞界面,从而形成连续的管腔空间至关重要,而这对于生成功能性血管是必不可少的。
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引用次数: 0
Sialyl Lewis X decorated integrin α3 on small extracellular vesicles promotes metastasis of bladder cancer via enhancing vascular permeability 小细胞外囊泡上的 Sialyl Lewis X 修饰整合素 α3,通过增强血管通透性促进膀胱癌转移。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-09-02 DOI: 10.1007/s10456-024-09947-3
Hui Feng, Liang Liang, Wenli Deng, Jiaojiao Gao, Xiang Li, Feng Guan

The permeability of blood vessels plays a crucial role in the spread of cancer cells, facilitating their metastasis at distant sites. Small extracellular vesicles (sEVs) are known to contribute to the metastasis of various cancers by crossing the blood vessel wall. However, the role of abnormal glycoconjugates on sEVs in tumor blood vessels remains unclear. Our study found elevated levels of fucosyltransferase VII (FUT7) and its product sialyl Lewis X (sLeX) in muscle-invasive bladder cancer (BLCA), with high levels of sLeX promoting the growth and invasion of BLCA cells. Further investigation revealed that sLeX was enriched in sEVs derived from BLCA. sLeX-decorated sEVs increased blood vessel permeability by disrupting the tight junctions of human umbilical vein endothelial cells (HUVECs). Using the glycoproteomics approach, we identified integrin α3 (ITGA3) as a sLeX-bearing glycoprotein in BLCA cells and their sEVs. Mechanically, sLeX modification stabilized ITGA3 by preventing its degradation in lysosomes. sEVs carrying sLeX-modified ITGA3 can be effectively internalized by HUVECs, leading to a decrease in the expression of tight junction protein. Conversely, silencing ITGA3 in sLeX-decorated sEVs restored tight junction proteins and reduced blood vessel permeability by inhibiting the MAPK pathway. Moreover, sLeX-modification of ITGA3 at Asn 265 in HUVECs promoted occludin dephosphorylation at Ser/Thr residues, followed by inducing its importin α1-mediated nuclear translocation, which resulted in the disruption of tight junctions. Our findings suggest a potential strategy for disrupting the formation of a metastatic microenvironment and preventing the spread of malignant bladder cancer.

血管的通透性在癌细胞扩散过程中起着至关重要的作用,可促进癌细胞向远处转移。众所周知,细胞外小泡(sEVs)可穿过血管壁,促进各种癌症的转移。然而,肿瘤血管中sEVs上的异常糖结合物的作用仍不清楚。我们的研究发现,肌层浸润性膀胱癌(BLCA)中的岩藻糖基转移酶 VII(FUT7)及其产物 sialyl Lewis X(sLeX)水平升高,高水平的 sLeX 会促进 BLCA 细胞的生长和侵袭。进一步的研究发现,sLeX 富集在来自 BLCA 的 sEVs 中。sLeX 装饰的 sEVs 通过破坏人脐静脉内皮细胞(HUVECs)的紧密连接增加了血管的通透性。利用糖蛋白组学方法,我们发现整合素α3(ITGA3)是 BLCA 细胞及其 sEV 中含有 sLeX 的糖蛋白。携带经 sLeX 修饰的 ITGA3 的 sEV 可被 HUVECs 有效内化,从而导致紧密连接蛋白的表达下降。相反,在经 sLeX 修饰的 sEV 中沉默 ITGA3 可恢复紧密连接蛋白,并通过抑制 MAPK 通路降低血管通透性。此外,sLeX修饰HUVECs中ITGA3的Asn 265位可促进闭塞素在Ser/Thr残基上去磷酸化,继而诱导其导入素α1介导的核转位,从而导致紧密连接的破坏。我们的研究结果为破坏转移微环境的形成和防止恶性膀胱癌的扩散提供了一种潜在的策略。
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引用次数: 0
Senescent endothelial cells: a potential target for diabetic retinopathy 衰老的内皮细胞:糖尿病视网膜病变的潜在靶点。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-08-31 DOI: 10.1007/s10456-024-09943-7
Ying-Lu Liao, Yi-Fan Fang, Jia-Xing Sun, Guo-Rui Dou

Diabetic retinopathy (DR) is a diabetic complication that results in visual impairment and relevant retinal diseases. Current therapeutic strategies on DR primarily focus on antiangiogenic therapies, which particularly target vascular endothelial growth factor and its related signaling transduction. However, these therapies still have limitations due to the intricate pathogenesis of DR. Emerging studies have shown that premature senescence of endothelial cells (ECs) in a hyperglycemic environment is involved in the disease process of DR and plays multiple roles at different stages. Moreover, these surprising discoveries have driven the development of senotherapeutics and strategies targeting senescent endothelial cells (SECs), which present challenging but promising prospects in DR treatment. In this review, we focus on the inducers and mechanisms of EC senescence in the pathogenesis of DR and summarize the current research advances in the development of senotherapeutics and strategies that target SECs for DR treatment. Herein, we highlight the role played by key factors at different stages of EC senescence, which will be critical for facilitating the development of future innovative treatment strategies that target the different stages of senescence in DR.

糖尿病视网膜病变(DR)是一种糖尿病并发症,会导致视力损伤和相关视网膜疾病。目前针对糖尿病视网膜病变的治疗策略主要集中于抗血管生成疗法,尤其是针对血管内皮生长因子及其相关信号转导的疗法。然而,由于 DR 的发病机制错综复杂,这些疗法仍有局限性。新的研究表明,内皮细胞(ECs)在高血糖环境中的过早衰老参与了 DR 的发病过程,并在不同阶段发挥着多重作用。此外,这些惊人的发现推动了针对衰老内皮细胞(SECs)的衰老治疗药物和策略的开发,为 DR 的治疗带来了具有挑战性但又充满希望的前景。在这篇综述中,我们重点探讨了DR发病机制中内皮细胞衰老的诱因和机制,并总结了目前在开发针对SECs的衰老治疗药物和策略以治疗DR方面的研究进展。在此,我们强调了关键因素在心肌衰老的不同阶段所发挥的作用,这对促进未来针对 DR 不同衰老阶段开发创新治疗策略至关重要。
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引用次数: 0
Soluble FLT-1 in angiogenesis: pathophysiological roles and therapeutic implications 血管生成中的可溶性 FLT-1:病理生理学作用和治疗意义。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-08-29 DOI: 10.1007/s10456-024-09942-8
Layal EI Wazan, Ariel Widhibrata, Guei-Sheung Liu

Fine-tuning angiogenesis, the development of new blood vessels, is essential for maintaining a healthy circulatory and lymphatic system. The small glycoprotein vascular endothelial growth factors (VEGF) are the key mediators in this process, binding to their corresponding membrane-bound VEGF receptors (VEGFRs) to activate angiogenesis signaling pathways. These pathways are crucial throughout human life as they are involved in lymphatic and vascular endothelial cell permeability, migration, proliferation, and survival. Neovascularization, the formation of abnormal blood vessels, occurs when there is a dysregulation of angiogenesis and can result in debilitating disease. Hence, VEGFRs have been widely studied to understand their role in disease-causing angiogenesis. VEGFR1, also known as Fms-like tyrosine kinase-1 (FLT-1), is also found in a soluble form, soluble FLT-1 or sFLT-1, which is known to act as a VEGF neutralizer. It is incorporated into anti-VEGF therapy, designed to treat diseases caused by neovascularization. Here we review the journey of sFLT-1 discovery and delve into the alternative splicing mechanism that creates the soluble receptor, its prevalence in disease states, and its use in current and future potential therapies.

微调血管生成(新血管的发育)对于维持健康的循环和淋巴系统至关重要。小糖蛋白血管内皮生长因子(VEGF)是这一过程的关键介质,它与相应的膜结合血管内皮生长因子受体(VEGFR)结合,激活血管生成信号通路。这些途径对人的一生都至关重要,因为它们参与淋巴和血管内皮细胞的通透性、迁移、增殖和存活。当血管生成失调时,就会出现血管新生,即异常血管的形成,并可能导致衰弱性疾病。因此,人们对血管内皮生长因子受体(VEGFR)进行了广泛研究,以了解它们在致病血管生成中的作用。VEGFR1又称Fms样酪氨酸激酶-1(FLT-1),也以可溶性形式存在,即可溶性FLT-1或sFLT-1。它被纳入抗血管内皮生长因子疗法,旨在治疗由新生血管引起的疾病。在此,我们回顾了发现 sFLT-1 的历程,并深入探讨了产生可溶性受体的替代剪接机制、其在疾病状态中的普遍性及其在当前和未来潜在疗法中的应用。
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Angiogenesis
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