The involvement of gut microbiota in metabolic disorders, including gallstones, has been increasingly reported, mainly focusing on the study of gut bacteria. However, as a relatively small proportion of intestinal microorganisms, the homeostasis of fungi still plays an important role in maintaining the health of the body. Our study showed that compared with healthy volunteers, patients with gallstones showed intestinal fungal dysregulation, which was marked by increased fungal biodiversity and changes in composition. At the same time, patients with gallstones also showed changes in fungal-bacterial interactions. In order to determine the role of intestinal fungal dysbiosis in gallstone formation, we administered fluconazole (a broad-spectrum antifungal drug) to C57 mice on a lithogenic diet and found that the formation of gallstones in mice treated with fluconazole was reduced. We then gavaged mice with Rhodotorula mucilaginosa and discovered that it can promote gallstone formation. Further analysis, including liver metabolism determination, liver immunohistochemistry and immunofluorescence, revealed that intestinal fungi promoted liver neutrophil infiltration and neutrophil extracellular trap formation to aggravate gallstone formation. In addition, through liver transcriptome sequencing, we found that the effect of fluconazole on intestinal fungi may hinder the formation of gallstones by regulating multiple targets related to gallstones. In summary, our study determined the role of intestinal fungal disorders in promoting gallstone formation, and fluconazole can effectively inhibit gallstone formation.
{"title":"Gut fungi exacerbates gallstone formation by activating neutrophil extracellular traps in the liver","authors":"Dongxu Lu, Haoran Ding, Shuo Feng, Fenghe Hang, Kaiwen Tian, Zhenghao Huang, Yucong Shi, Dongbo Xue, Liwei Liu, Xianzhi Meng","doi":"10.1007/s10495-025-02213-x","DOIUrl":"10.1007/s10495-025-02213-x","url":null,"abstract":"<div><p>The involvement of gut microbiota in metabolic disorders, including gallstones, has been increasingly reported, mainly focusing on the study of gut bacteria. However, as a relatively small proportion of intestinal microorganisms, the homeostasis of fungi still plays an important role in maintaining the health of the body. Our study showed that compared with healthy volunteers, patients with gallstones showed intestinal fungal dysregulation, which was marked by increased fungal biodiversity and changes in composition. At the same time, patients with gallstones also showed changes in fungal-bacterial interactions. In order to determine the role of intestinal fungal dysbiosis in gallstone formation, we administered fluconazole (a broad-spectrum antifungal drug) to C57 mice on a lithogenic diet and found that the formation of gallstones in mice treated with fluconazole was reduced. We then gavaged mice with <i>Rhodotorula mucilaginosa</i> and discovered that it can promote gallstone formation. Further analysis, including liver metabolism determination, liver immunohistochemistry and immunofluorescence, revealed that intestinal fungi promoted liver neutrophil infiltration and neutrophil extracellular trap formation to aggravate gallstone formation. In addition, through liver transcriptome sequencing, we found that the effect of fluconazole on intestinal fungi may hinder the formation of gallstones by regulating multiple targets related to gallstones. In summary, our study determined the role of intestinal fungal disorders in promoting gallstone formation, and fluconazole can effectively inhibit gallstone formation.</p></div>","PeriodicalId":8062,"journal":{"name":"Apoptosis","volume":"31 1","pages":""},"PeriodicalIF":8.1,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145908995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-22DOI: 10.1007/s10495-025-02189-8
Patrycja Nowak-Sliwinska, Arjan W. Griffioen
Programmed cell death has evolved from the classical concept of apoptosis to a diverse repertoire that includes necroptosis, pyroptosis, ferroptosis, cuproptosis, paraptosis, panoptosis, and even the reversal process of anastasis. These pathways have transformed our understanding of health and disease, influencing oncology, neurodegeneration, cardiovascular biology, infection, and immunity. Reflecting this growth, Apoptosis has reached a record Impact Factor of 8.1 in 2024, underscoring both the rising impact of cell death research and the journal’s role as its central forum. This success reflects a community effort of authors, reviewers, and editorial board members, and highlights how programmed cell death continues to shape the future of biology and medicine.
{"title":"Death never dies: increasing impact of programmed cell death","authors":"Patrycja Nowak-Sliwinska, Arjan W. Griffioen","doi":"10.1007/s10495-025-02189-8","DOIUrl":"10.1007/s10495-025-02189-8","url":null,"abstract":"<div><p>Programmed cell death has evolved from the classical concept of apoptosis to a diverse repertoire that includes necroptosis, pyroptosis, ferroptosis, cuproptosis, paraptosis, panoptosis, and even the reversal process of anastasis. These pathways have transformed our understanding of health and disease, influencing oncology, neurodegeneration, cardiovascular biology, infection, and immunity. Reflecting this growth, <i>Apoptosis</i> has reached a record Impact Factor of 8.1 in 2024, underscoring both the rising impact of cell death research and the journal’s role as its central forum. This success reflects a community effort of authors, reviewers, and editorial board members, and highlights how programmed cell death continues to shape the future of biology and medicine.</p></div>","PeriodicalId":8062,"journal":{"name":"Apoptosis","volume":"30 11-12","pages":"2960 - 2962"},"PeriodicalIF":8.1,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145581538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Actin gamma 1 (ACTG1) encodes the cytoskeletal protein γ-actin and is overexpressed in various cancers. Cisplatin-based chemotherapy is the standard first-line treatment for patients with advanced non-small cell lung cancer (NSCLC). However, most patients eventually develop cisplatin resistance. The association between ACTG1 and cisplatin resistance remains unclear. In this study, we found that high expression of ACTG1 was associated with poor prognosis in NSCLC. Knockdown of ACTG1 promoted mitochondrial fragmentation via interaction with the fusion protein MFN2 and induced ferroptosis. Mechanistically, ACTG1 knockdown disrupted mitochondrial dynamics, elevated mitochondrial ROS, reduced glutathione (GSH) levels, and enhanced lipid peroxidation. This cascade significantly inhibited the growth of cisplatin-resistant NSCLC cells and sensitized them to cisplatin. Furthermore, the ferroptosis inducer RSL3 synergized with cisplatin to enhance ferroptosis and mitochondrial fragmentation, effectively sensitizing ACTG1-overexpressing cells both in vitro and in xenograft models. Our findings establish ACTG1 as a critical mediator of cisplatin resistance in NSCLC through regulation of mitochondrial integrity and ferroptosis. Targeting the ACTG1-MFN2 axis combined with ferroptosis induction represents a promising therapeutic strategy to overcome cisplatin resistance.
{"title":"ACTG1 mediates cisplatin resistance in NSCLC through induction of mitochondrial fragmentation","authors":"Minghua Xie, Zhiming Yang, Jingyue Zhou, Xiaobo Chen, Lisha Pu, Guosheng Xiong, Manjun Chen, Hongwei Zhang, Yunping Zhao, Yanlong Yang","doi":"10.1007/s10495-025-02177-y","DOIUrl":"10.1007/s10495-025-02177-y","url":null,"abstract":"<div><p>Actin gamma 1 (ACTG1) encodes the cytoskeletal protein γ-actin and is overexpressed in various cancers. Cisplatin-based chemotherapy is the standard first-line treatment for patients with advanced non-small cell lung cancer (NSCLC). However, most patients eventually develop cisplatin resistance. The association between ACTG1 and cisplatin resistance remains unclear. In this study, we found that high expression of ACTG1 was associated with poor prognosis in NSCLC. Knockdown of ACTG1 promoted mitochondrial fragmentation via interaction with the fusion protein MFN2 and induced ferroptosis. Mechanistically, ACTG1 knockdown disrupted mitochondrial dynamics, elevated mitochondrial ROS, reduced glutathione (GSH) levels, and enhanced lipid peroxidation. This cascade significantly inhibited the growth of cisplatin-resistant NSCLC cells and sensitized them to cisplatin. Furthermore, the ferroptosis inducer RSL3 synergized with cisplatin to enhance ferroptosis and mitochondrial fragmentation, effectively sensitizing ACTG1-overexpressing cells both in vitro and in xenograft models. Our findings establish ACTG1 as a critical mediator of cisplatin resistance in NSCLC through regulation of mitochondrial integrity and ferroptosis. Targeting the ACTG1-MFN2 axis combined with ferroptosis induction represents a promising therapeutic strategy to overcome cisplatin resistance.</p></div>","PeriodicalId":8062,"journal":{"name":"Apoptosis","volume":"30 11-12","pages":"3069 - 3086"},"PeriodicalIF":8.1,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145572775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-08DOI: 10.1007/s10495-025-02182-1
Zhiwei Wu, Bowen Yu, Qing He, Changhao Huang
Renal ischemia–reperfusion injury (IRI) remains a critical obstacle to optimal renal transplant outcomes, driving acute graft dysfunction and long-term allograft failure. While ferroptosis—an iron-dependent form of cell death—has been linked to IRI pathogenesis, the role of lipocalin-2 (LCN2), a regulator of iron homeostasis and inflammation, in transplant-related renal IRI remains uncharacterized. Six murine IRI transcriptomic datasets (83 samples) were integrated using weighted gene co-expression network analysis (WGCNA) and differential expression profiling to screen for IRI-associated hub genes. Findings were validated in two human transplant cohorts (212 samples) via 113 machine learning algorithms, including logistic regression, random forest, and ensemble models. Single-cell RNA sequencing (GSE237429) was used to map gene expression to specific renal cell populations, while a murine warm IRI model evaluated the effects of LCN2 inhibition (ZINC00640089) on tubular injury, ferroptosis markers (MDA, GSH, Fe²⁺), and inflammatory cytokines (IL-6, TNF-α) across mild (50-minute) and severe (80-minute) ischemia subgroups. WGCNA identified 36 hub genes, with LCN2 emerging as a key node in ferroptosis and immune regulation pathways. A six-gene machine learning model, including LCN2, CLU, and SOX9, demonstrated robust predictive accuracy for IRI (AUC = 0.93). Single-cell analysis revealed elevated LCN2 expression in neutrophils and macrophages in IRI kidneys, correlated with increased immune cell infiltration. In vivo, LCN2 inhibition significantly reduced severe ischemia-induced tubular injury, suppressed lipid peroxidation (MDA), restored glutathione levels (GSH), and alleviated iron overload (Fe2+) and reactive oxygen species (ROS). Systemic inflammation was mitigated, with IL-6 and TNF-α levels significantly reduced. This study establishes LCN2 as a pivotal mediator of ferroptosis and immune dysregulation in transplant IRI. A machine learning-driven multi-omics approach provides a novel diagnostic framework, while the inhibition of LCN2 is shown to alleviate IRI-induced tissue damage in these models. These findings highlight the utility of integrative analytics in uncovering biological targets and offer new therapeutic avenues for improving kidney transplant outcomes.
{"title":"LCN2 drives ferroptosis-associated ischemia–reperfusion injury after renal transplantation: integrated machine learning and in vivo validation","authors":"Zhiwei Wu, Bowen Yu, Qing He, Changhao Huang","doi":"10.1007/s10495-025-02182-1","DOIUrl":"10.1007/s10495-025-02182-1","url":null,"abstract":"<div><p>Renal ischemia–reperfusion injury (IRI) remains a critical obstacle to optimal renal transplant outcomes, driving acute graft dysfunction and long-term allograft failure. While ferroptosis—an iron-dependent form of cell death—has been linked to IRI pathogenesis, the role of lipocalin-2 (LCN2), a regulator of iron homeostasis and inflammation, in transplant-related renal IRI remains uncharacterized. Six murine IRI transcriptomic datasets (83 samples) were integrated using weighted gene co-expression network analysis (WGCNA) and differential expression profiling to screen for IRI-associated hub genes. Findings were validated in two human transplant cohorts (212 samples) via 113 machine learning algorithms, including logistic regression, random forest, and ensemble models. Single-cell RNA sequencing (GSE237429) was used to map gene expression to specific renal cell populations, while a murine warm IRI model evaluated the effects of LCN2 inhibition (ZINC00640089) on tubular injury, ferroptosis markers (MDA, GSH, Fe²⁺), and inflammatory cytokines (IL-6, TNF-α) across mild (50-minute) and severe (80-minute) ischemia subgroups. WGCNA identified 36 hub genes, with LCN2 emerging as a key node in ferroptosis and immune regulation pathways. A six-gene machine learning model, including LCN2, CLU, and SOX9, demonstrated robust predictive accuracy for IRI (AUC = 0.93). Single-cell analysis revealed elevated LCN2 expression in neutrophils and macrophages in IRI kidneys, correlated with increased immune cell infiltration. In vivo, LCN2 inhibition significantly reduced severe ischemia-induced tubular injury, suppressed lipid peroxidation (MDA), restored glutathione levels (GSH), and alleviated iron overload (Fe<sup>2+</sup>) and reactive oxygen species (ROS). Systemic inflammation was mitigated, with IL-6 and TNF-α levels significantly reduced. This study establishes LCN2 as a pivotal mediator of ferroptosis and immune dysregulation in transplant IRI. A machine learning-driven multi-omics approach provides a novel diagnostic framework, while the inhibition of LCN2 is shown to alleviate IRI-induced tissue damage in these models. These findings highlight the utility of integrative analytics in uncovering biological targets and offer new therapeutic avenues for improving kidney transplant outcomes.</p></div>","PeriodicalId":8062,"journal":{"name":"Apoptosis","volume":"30 11-12","pages":"3026 - 3043"},"PeriodicalIF":8.1,"publicationDate":"2025-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10495-025-02182-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145470448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sodium butyrate (NaB), a major intestinal metabolite, has been suggested to protect against osteoporosis (OP). This study aimed to elucidate the mechanism by which NaB regulates ferroptosis in OP. An ovariectomy-induced mouse OP model was established, and treated with NaB or the ferroptosis inhibitor Fer-1. Bone mineral density, bone microstructure, bone formation and resorption, and ferroptosis markers were assessed. In vitro, mouse bone marrow mesenchymal stem cells (BMSCs) were treated with NaB and the ferroptosis inducer Erastin to evaluate osteogenic differentiation and ferroptosis. Phosphatase and tensin homolog (PTEN) acetylation was detected by co-immunoprecipitation, the phosphoinositide 3-kinase (PI3K)/protein kinase B (AKT) pathway was evaluated by Western blot, and acetylation sites by point mutation. The role of PTEN acetylation was further validated using the p300 inhibitor C646 in vitro and in vivo. NaB treatment enhanced bone formation, suppressed ferroptosis, and promoted osteogenic differentiation in OP mice, mimicking the protective effects of Fer-1. In BMSCs, NaB promoted osteogenesis by inhibiting ferroptosis. Mechanistically, NaB induced acetylation of PTEN at K125/K128, suppressing its phosphatase activity and activating the PI3K/AKT pathway, thereby reducing ferroptosis. C646 partially abolished these effects. NaB promotes PTEN acetylation at K125/K128 to activate PI3K/AKT signaling, thereby inhibiting ferroptosis and alleviating estrogen deficiency-induced OP. These findings highlight NaB as a potential epigenetic metabolic regulator of bone metabolism.
{"title":"Mechanism of the enterobacterial metabolite sodium butyrate mediating ferroptosis to affect osteogenic ability of BMSCs in mice with estrogen deficiency-caused osteoporosis via the PTEN/PI3K/AKT pathway","authors":"Yulin Li, Lan Jiang, Canghai Jin, Meng Kong, Meng Hao, Jindong Zhao","doi":"10.1007/s10495-025-02179-w","DOIUrl":"10.1007/s10495-025-02179-w","url":null,"abstract":"<div><p>Sodium butyrate (NaB), a major intestinal metabolite, has been suggested to protect against osteoporosis (OP). This study aimed to elucidate the mechanism by which NaB regulates ferroptosis in OP. An ovariectomy-induced mouse OP model was established, and treated with NaB or the ferroptosis inhibitor Fer-1. Bone mineral density, bone microstructure, bone formation and resorption, and ferroptosis markers were assessed. In vitro, mouse bone marrow mesenchymal stem cells (BMSCs) were treated with NaB and the ferroptosis inducer Erastin to evaluate osteogenic differentiation and ferroptosis. Phosphatase and tensin homolog (PTEN) acetylation was detected by co-immunoprecipitation, the phosphoinositide 3-kinase (PI3K)/protein kinase B (AKT) pathway was evaluated by Western blot, and acetylation sites by point mutation. The role of PTEN acetylation was further validated using the p300 inhibitor C646 in vitro and in vivo. NaB treatment enhanced bone formation, suppressed ferroptosis, and promoted osteogenic differentiation in OP mice, mimicking the protective effects of Fer-1. In BMSCs, NaB promoted osteogenesis by inhibiting ferroptosis. Mechanistically, NaB induced acetylation of PTEN at K125/K128, suppressing its phosphatase activity and activating the PI3K/AKT pathway, thereby reducing ferroptosis. C646 partially abolished these effects. NaB promotes PTEN acetylation at K125/K128 to activate PI3K/AKT signaling, thereby inhibiting ferroptosis and alleviating estrogen deficiency-induced OP. These findings highlight NaB as a potential epigenetic metabolic regulator of bone metabolism.</p></div>","PeriodicalId":8062,"journal":{"name":"Apoptosis","volume":"30 11-12","pages":"3087 - 3104"},"PeriodicalIF":8.1,"publicationDate":"2025-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145470370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-27DOI: 10.1007/s10495-025-02188-9
Meng Tang, Tingting Huang, Jiayu Wang, Yaqin Zhao, Xin Nie
Lactate, the primary byproduct of glycolysis, has been established as a critical barometer of tumor microenvironment homeostasis and is implicated in tumor progression. Alanyl-tRNA synthetases AARS1 and AARS2 (AARS1/2) have been identified as sensors of intracellular L-lactate and as contributors to cancer development. Nonetheless, investigations into the different roles of AARS1 and AARS2 across various cancer types remain lacking. In this study, we preliminarily explored the correlations between AARS1/2 and the tumor microenvironment in pan-cancer. We first examined the expression patterns of AARS1 and AARS2 across 33 cancer types. Subsequently, we analyzed the relationship of AARS1/2 with clinical features and mutational landscape utilizing the GSCA and cBioPortal databases. Survival outcomes associated with AARS1/2 were assessed through Cox regression and the Kaplan–Meier method. Additionally, we examined the correlations between AARS1/2 and drug sensitivity, as well as immune infiltration, using the GSCA database, TISIDB database, and the CIBERSORT algorithm, respectively. Notably, significant heterogeneity of AARS1 and AARS2 was observed across various dimensions, including expression profiles, clinical outcomes, mutation spectra, and immune infiltration. The expression patterns of AARS1/2 were statistically different in urologic neoplasms. Similarly, survival analysis revealed a close correlation between elevated AARS1 expression and unfavorable prognosis in patients with urologic neoplasms, while AARS2 expression level was not. Interestingly, the results of immune infiltration indicated the statistical heterogeneity of AARS1 and AARS2 in certain urologic neoplasms, especially in bladder urothelial carcinoma (BLCA). Specifically, (1) the correlation between AARS1/2 expression and immune-related scores in BLCA was opposite; and (2) TIDE analysis demonstrated that elevated AARS1 expression was related to a high TIDE score in BLCA, while AARS2 was not. Further detailed analysis of AARS1 and AARS2 in the context of immune infiltration and functional enrichment in BLCA may partially account for these observations. In conclusion, our findings highlighted the heterogeneity of AARS1 and AARS2 across various cancers. Based on our data, AARS1 was identified as a potential prognostic biomarker and a candidate for immunotherapy targeting in urologic cancers, though further validation is needed to confirm its clinical utility.
{"title":"Multi-omics analysis revealed heterogeneity of AARS1 and AARS2 in pan-cancer and identified AARS1 as a potential prognostic biomarker for urologic neoplasms","authors":"Meng Tang, Tingting Huang, Jiayu Wang, Yaqin Zhao, Xin Nie","doi":"10.1007/s10495-025-02188-9","DOIUrl":"10.1007/s10495-025-02188-9","url":null,"abstract":"<div><p>Lactate, the primary byproduct of glycolysis, has been established as a critical barometer of tumor microenvironment homeostasis and is implicated in tumor progression. Alanyl-tRNA synthetases AARS1 and AARS2 (AARS1/2) have been identified as sensors of intracellular L-lactate and as contributors to cancer development. Nonetheless, investigations into the different roles of AARS1 and AARS2 across various cancer types remain lacking. In this study, we preliminarily explored the correlations between AARS1/2 and the tumor microenvironment in pan-cancer. We first examined the expression patterns of AARS1 and AARS2 across 33 cancer types. Subsequently, we analyzed the relationship of AARS1/2 with clinical features and mutational landscape utilizing the GSCA and cBioPortal databases. Survival outcomes associated with AARS1/2 were assessed through Cox regression and the Kaplan–Meier method. Additionally, we examined the correlations between AARS1/2 and drug sensitivity, as well as immune infiltration, using the GSCA database, TISIDB database, and the CIBERSORT algorithm, respectively. Notably, significant heterogeneity of AARS1 and AARS2 was observed across various dimensions, including expression profiles, clinical outcomes, mutation spectra, and immune infiltration. The expression patterns of AARS1/2 were statistically different in urologic neoplasms. Similarly, survival analysis revealed a close correlation between elevated AARS1 expression and unfavorable prognosis in patients with urologic neoplasms, while AARS2 expression level was not. Interestingly, the results of immune infiltration indicated the statistical heterogeneity of AARS1 and AARS2 in certain urologic neoplasms, especially in bladder urothelial carcinoma (BLCA). Specifically, (1) the correlation between AARS1/2 expression and immune-related scores in BLCA was opposite; and (2) TIDE analysis demonstrated that elevated AARS1 expression was related to a high TIDE score in BLCA, while AARS2 was not. Further detailed analysis of AARS1 and AARS2 in the context of immune infiltration and functional enrichment in BLCA may partially account for these observations. In conclusion, our findings highlighted the heterogeneity of AARS1 and AARS2 across various cancers. Based on our data, AARS1 was identified as a potential prognostic biomarker and a candidate for immunotherapy targeting in urologic cancers, though further validation is needed to confirm its clinical utility.</p></div>","PeriodicalId":8062,"journal":{"name":"Apoptosis","volume":"30 11-12","pages":"2989 - 3008"},"PeriodicalIF":8.1,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145375917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-22DOI: 10.1007/s10495-025-02197-8
Xiaowen Li, Ruiqi Cao, Ling Zhang, Jie Chen, Zhen Qin, Danyi Huang, Yazhen Nie, Zheng Duan, Lingling Pu, Zirou Wang, Ran Li, Xinxing Wang, Weili Liu, Zhaoli Chen
Astragaloside IV (AS-IV), a bioactive compound renowned for its anti-inflammatory, antioxidant, and anti-apoptotic properties, has not yet been investigated for its potential role in modulating cardiac function under high-altitude conditions. This study elucidates the cardioprotective effects of AS-IV against high-altitude-induced cardiac injury and explores the underlying molecular mechanisms. Under hypobaric hypoxia, we observed significant cardiac dysfunction, hypertrophy, and fibrosis, as confirmed by comprehensive echocardiographic, histopathological, and molecular analyses. Remarkably, AS-IV administration effectively attenuated these pathological changes, restoring cardiac architecture and function while mitigating oxidative stress and apoptosis. Further in vivo and in vitro experiments revealed that AS-IV preserves mitochondrial integrity by enhancing membrane potential, ameliorating mitochondrial impairment, and modulating calcium homeostasis through the calcium-sensing receptor (CaSR)-nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) signaling axis. Network pharmacology-based screening identified key molecular targets, including epidermal growth factor receptor (EGFR), phosphatidylinositol 3-kinase (PI3K), protein kinase B (AKT), and mouse double minute 2 (MDM2), which were subsequently validated via molecular docking studies demonstrating strong binding affinities between AS-IV and these core proteins. Mechanistic investigations further revealed that siRNA-mediated EGFR knockdown or pharmacological activation of CaSR abolished AS-IV’s cardioprotective effects, including its anti-apoptotic, antioxidant, and mitochondrial-stabilizing properties. Taken together, our findings demonstrate that AS-IV exerts its therapeutic effects through a dual-pathway mechanism involving (1) the EGFR-PI3K-AKT-MDM2 axis and (2) CaSR-NF-κB signaling. These insights position AS-IV as a promising candidate for the prevention and treatment of high-altitude-related cardiovascular diseases.
黄芪甲苷(Astragaloside IV, AS-IV)是一种以抗炎、抗氧化和抗凋亡特性而闻名的生物活性化合物,但其在高海拔条件下调节心功能的潜在作用尚未得到研究。本研究阐明了AS-IV对高原心脏损伤的保护作用,并探讨了其潜在的分子机制。在低气压缺氧下,我们观察到明显的心功能障碍、肥厚和纤维化,经综合超声心动图、组织病理学和分子分析证实。值得注意的是,AS-IV有效地减轻了这些病理变化,恢复了心脏结构和功能,同时减轻了氧化应激和细胞凋亡。进一步的体内和体外实验表明,AS-IV通过激活B细胞的钙敏感受体(CaSR)-核因子kappa-轻链增强子(NF-κB)信号轴,增强膜电位,改善线粒体损伤,调节钙稳态,从而保持线粒体完整性。基于网络药理学的筛选确定了关键的分子靶点,包括表皮生长因子受体(EGFR)、磷脂酰肌醇3-激酶(PI3K)、蛋白激酶B (AKT)和小鼠双分钟2 (MDM2),随后通过分子对接研究验证了AS-IV与这些核心蛋白之间的强结合亲和力。机制研究进一步表明,sirna介导的EGFR敲低或CaSR的药理激活会破坏AS-IV的心脏保护作用,包括其抗凋亡、抗氧化和线粒体稳定特性。综上所述,我们的研究结果表明,AS-IV通过涉及(1)EGFR-PI3K-AKT-MDM2轴和(2)CaSR-NF-κB信号通路的双途径机制发挥其治疗作用。这些见解使as - iv成为预防和治疗高海拔相关心血管疾病的有希望的候选药物。
{"title":"Astragaloside IV protects against high altitude hypoxia-induced cardiac injury through the CaSR-NF-kB and EGFR-PI3K-AKT-MDM2 pathways","authors":"Xiaowen Li, Ruiqi Cao, Ling Zhang, Jie Chen, Zhen Qin, Danyi Huang, Yazhen Nie, Zheng Duan, Lingling Pu, Zirou Wang, Ran Li, Xinxing Wang, Weili Liu, Zhaoli Chen","doi":"10.1007/s10495-025-02197-8","DOIUrl":"10.1007/s10495-025-02197-8","url":null,"abstract":"<div><p>Astragaloside IV (AS-IV), a bioactive compound renowned for its anti-inflammatory, antioxidant, and anti-apoptotic properties, has not yet been investigated for its potential role in modulating cardiac function under high-altitude conditions. This study elucidates the cardioprotective effects of AS-IV against high-altitude-induced cardiac injury and explores the underlying molecular mechanisms. Under hypobaric hypoxia, we observed significant cardiac dysfunction, hypertrophy, and fibrosis, as confirmed by comprehensive echocardiographic, histopathological, and molecular analyses. Remarkably, AS-IV administration effectively attenuated these pathological changes, restoring cardiac architecture and function while mitigating oxidative stress and apoptosis. Further in vivo and in vitro experiments revealed that AS-IV preserves mitochondrial integrity by enhancing membrane potential, ameliorating mitochondrial impairment, and modulating calcium homeostasis through the calcium-sensing receptor (CaSR)-nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) signaling axis. Network pharmacology-based screening identified key molecular targets, including epidermal growth factor receptor (EGFR), phosphatidylinositol 3-kinase (PI3K), protein kinase B (AKT), and mouse double minute 2 (MDM2), which were subsequently validated via molecular docking studies demonstrating strong binding affinities between AS-IV and these core proteins. Mechanistic investigations further revealed that siRNA-mediated EGFR knockdown or pharmacological activation of CaSR abolished AS-IV’s cardioprotective effects, including its anti-apoptotic, antioxidant, and mitochondrial-stabilizing properties. Taken together, our findings demonstrate that AS-IV exerts its therapeutic effects through a dual-pathway mechanism involving (1) the EGFR-PI3K-AKT-MDM2 axis and (2) CaSR-NF-κB signaling. These insights position AS-IV as a promising candidate for the prevention and treatment of high-altitude-related cardiovascular diseases.</p></div>","PeriodicalId":8062,"journal":{"name":"Apoptosis","volume":"30 11-12","pages":"3169 - 3189"},"PeriodicalIF":8.1,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sepsis, a life-threatening condition, involves dysregulated cholesterol metabolism critical for immune regulation and cellular processes. This study employed multi-omics and machine learning to explore cholesterol metabolism in sepsis, aiming to identify novel therapeutic targets. Transcriptome and single-cell RNA sequencing data for sepsis were retrieved from the Gene Expression Omnibus (GEO) database. The limma package and WGCNA co-expression network were used to screen genes, hybridized with cholesterol metabolism genes (CMGs) to identify hub genes. Machine learning algorithms screened pivotal genes to construct diagnostic model, validating performance via multi-cohort Receiver Operating Characteristic (ROC) curve. Non-negative matrix factorization (NMF) based molecular typing using CMGs, and integration of 101 machine learning algorithms built prognostic models. Single-cell analysis characterized expression patterns of pivotal genes and key subsets. Causal effects and phenotypic associations of target genes were evaluated using Summary data-based Mendelian Randomization (SMR) and PheWAS. Integrated transcriptomic analysis identified three key genes (VDAC1, VDAC2, and LDLRAP1) associated with dysregulated cholesterol metabolism in sepsis. Machine learning-based diagnostic models exhibited high predictive accuracy. NMF clustering revealed two molecular subtypes, with Cluster 1 characterized by immunosuppression and metabolic reprogramming, linked to poorer prognosis. A machine learning model integrating 101 algorithms predicted 28-day mortality. The single-cell transcriptome atlas identified CD14+CD163+ monocytes as the hub cell population in the immune microenvironment of sepsis, and the active cholesterol metabolic pathway might constitute the core for regulating the immune response. Elevated VDAC2 expression was significantly correlated with reduced sepsis risk, as determined by SMR analysis. This study underscored cholesterol metabolism’s critical role in sepsis pathogenesis. Multi-omics nominates VDAC2 as a candidate protective locus in sepsis-associated cholesterol dysregulation.
脓毒症是一种危及生命的疾病,涉及对免疫调节和细胞过程至关重要的胆固醇代谢失调。本研究采用多组学和机器学习技术探索脓毒症中的胆固醇代谢,旨在发现新的治疗靶点。从Gene Expression Omnibus (GEO)数据库检索败血症的转录组和单细胞RNA测序数据。利用limma包和WGCNA共表达网络筛选基因,与胆固醇代谢基因(CMGs)杂交鉴定枢纽基因。机器学习算法筛选关键基因构建诊断模型,通过多队列受试者工作特征(ROC)曲线验证诊断效果。基于非负矩阵分解(NMF)的分子分型使用CMGs,并集成101种机器学习算法建立预后模型。单细胞分析表征了关键基因和关键亚群的表达模式。使用基于Summary数据的孟德尔随机化(SMR)和PheWAS评估了目标基因的因果效应和表型关联。综合转录组学分析确定了三个关键基因(VDAC1、VDAC2和LDLRAP1)与败血症中胆固醇代谢失调相关。基于机器学习的诊断模型显示出较高的预测准确性。NMF聚类揭示了两种分子亚型,第1类以免疫抑制和代谢重编程为特征,与较差的预后有关。一个整合了101种算法的机器学习模型预测了28天的死亡率。单细胞转录组图谱发现CD14+CD163+单核细胞是脓毒症免疫微环境中的枢纽细胞群,活跃的胆固醇代谢途径可能是调节免疫应答的核心。SMR分析表明,VDAC2表达升高与脓毒症风险降低显著相关。这项研究强调了胆固醇代谢在脓毒症发病机制中的关键作用。Multi-omics提名VDAC2作为脓毒症相关胆固醇失调的候选保护位点。
{"title":"Multi-omics nominates VDAC2 as a candidate protective locus in sepsis-associated cholesterol dysregulation","authors":"Tiezhu Yao, Chengjian Guan, Qian Chen, Pengfei Wang, Naizhong Xing, Zan Liu, Bing Xiao, Yuhong Chen","doi":"10.1007/s10495-025-02198-7","DOIUrl":"10.1007/s10495-025-02198-7","url":null,"abstract":"<div><p>Sepsis, a life-threatening condition, involves dysregulated cholesterol metabolism critical for immune regulation and cellular processes. This study employed multi-omics and machine learning to explore cholesterol metabolism in sepsis, aiming to identify novel therapeutic targets. Transcriptome and single-cell RNA sequencing data for sepsis were retrieved from the Gene Expression Omnibus (GEO) database. The limma package and WGCNA co-expression network were used to screen genes, hybridized with cholesterol metabolism genes (CMGs) to identify hub genes. Machine learning algorithms screened pivotal genes to construct diagnostic model, validating performance via multi-cohort Receiver Operating Characteristic (ROC) curve. Non-negative matrix factorization (NMF) based molecular typing using CMGs, and integration of 101 machine learning algorithms built prognostic models. Single-cell analysis characterized expression patterns of pivotal genes and key subsets. Causal effects and phenotypic associations of target genes were evaluated using Summary data-based Mendelian Randomization (SMR) and PheWAS. Integrated transcriptomic analysis identified three key genes (VDAC1, VDAC2, and LDLRAP1) associated with dysregulated cholesterol metabolism in sepsis. Machine learning-based diagnostic models exhibited high predictive accuracy. NMF clustering revealed two molecular subtypes, with Cluster 1 characterized by immunosuppression and metabolic reprogramming, linked to poorer prognosis. A machine learning model integrating 101 algorithms predicted 28-day mortality. The single-cell transcriptome atlas identified CD14<sup>+</sup>CD163<sup>+</sup> monocytes as the hub cell population in the immune microenvironment of sepsis, and the active cholesterol metabolic pathway might constitute the core for regulating the immune response. Elevated VDAC2 expression was significantly correlated with reduced sepsis risk, as determined by SMR analysis. This study underscored cholesterol metabolism’s critical role in sepsis pathogenesis. Multi-omics nominates VDAC2 as a candidate protective locus in sepsis-associated cholesterol dysregulation.</p></div>","PeriodicalId":8062,"journal":{"name":"Apoptosis","volume":"30 11-12","pages":"3190 - 3206"},"PeriodicalIF":8.1,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Immune checkpoint inhibitors (ICIs) have shown promise in enhancing non-small cell lung cancer (NSCLC) patient prognoses, but their effectiveness is contingent upon the specific tumor microenvironment (TME). In this research, we examined the heterogeneity and plasticity of tumor-associated macrophages in lung adenocarcinoma (LUAD) using single-cell sequencing data GSE207422, identifying genes that may influence their polarization. We identified a positive correlation between BCAT1 expression in immune-resistant patient tissues and M2 macrophage infiltration. Pseudo-temporal analysis revealed a significant overlap between BCAT1 expression dynamics and the trajectory of macrophage M2 polarization. Evidence from both in vitro and in vivo studies indicated that BCAT1 might foster an immunosuppressive environment by driving M2 macrophage polarization, which could account for the aggressive spread of LUAD and suboptimal responses to immunotherapy. Overall, our findings flagged BCAT1-high-expressing macrophages as a suppressive element in the TME, hinting that targeting BCAT1 could shift macrophage polarization and enhance patient outcomes.
{"title":"Deciphering macrophage heterogeneity and factors driving M2 polarization in lung adenocarcinoma through single-cell RNA sequencing","authors":"Meiling Sheng, Beiwei Yu, Qunzhi Wang, Yuanchao Xiao, Ming Ling, Xiaoming Wu","doi":"10.1007/s10495-025-02172-3","DOIUrl":"10.1007/s10495-025-02172-3","url":null,"abstract":"<div><p>Immune checkpoint inhibitors (ICIs) have shown promise in enhancing non-small cell lung cancer (NSCLC) patient prognoses, but their effectiveness is contingent upon the specific tumor microenvironment (TME). In this research, we examined the heterogeneity and plasticity of tumor-associated macrophages in lung adenocarcinoma (LUAD) using single-cell sequencing data GSE207422, identifying genes that may influence their polarization. We identified a positive correlation between BCAT1 expression in immune-resistant patient tissues and M2 macrophage infiltration. Pseudo-temporal analysis revealed a significant overlap between BCAT1 expression dynamics and the trajectory of macrophage M2 polarization. Evidence from both in vitro and in vivo studies indicated that BCAT1 might foster an immunosuppressive environment by driving M2 macrophage polarization, which could account for the aggressive spread of LUAD and suboptimal responses to immunotherapy. Overall, our findings flagged BCAT1-high-expressing macrophages as a suppressive element in the TME, hinting that targeting BCAT1 could shift macrophage polarization and enhance patient outcomes.</p></div>","PeriodicalId":8062,"journal":{"name":"Apoptosis","volume":"30 11-12","pages":"2916 - 2937"},"PeriodicalIF":8.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145298171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neutrophil-mediated inflammation plays a crucial role in the pathogenesis of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV). Dysregulated neutrophil death has been implicated in promoting neutrophil priming and activation. PANoptosis, an inflammatory programmed cell death, participates in the development of various autoimmune diseases. The current study aims to identify the key PANoptosis-related marker and investigate its association with disease activity of AAV. Gene microarray data of patients with ANCA-associated glomerulonephritis (ANCA-GN) was downloaded from the Gene Expression Omnibus (GEO). PANoptosis-associated genes were sourced from GeneCards. The hub-marker of PANoptosis-related genes was identified by integrated bioinformatical analysis. The single-cell sequencing data from ANCA-GN mice were used to determine the location of hub genes. Then levels of activated CD11b on neutrophils from peripheral blood, as well as soluble CD11b in urine and plasma were measured in AAV patients. Their associations with clinicopathological parameters of AAV patients were subsequently analyzed. Co-localization of CD11b and neutrophils in renal specimens of AAV patients was evaluated by immunofluorescence staining. Changes of intracellular metabolic pathways of neutrophils from AAV patients were further investigated. A small molecule inhibitor was used to explore the effect of intracellular fatty acid metabolism (FAO) on neutrophil CD11b activation and PANoptosis. CD11B was identified as the pivotal PANoptosis-related gene in AAV by integrated bioinformatics analysis. The level of activated CD11b on neutrophils was significantly higher in active AAV patients compared with healthy controls, and elevated neutrophil CD11b levels positively correlated with disease activity, as evidenced by higher levels of hypersensitive C-reactive protein (hCRP), increased Birmingham Vasculitis Activity Score (BVAS), elevated serum creatinine levels at sampling and a higher proportion of cellular crescents in renal specimens of AAV patients. We also demonstrated the presence of neutrophil CD11b in renal specimen of AAV patients. Moreover, along with elevated Cd11b expression, neutrophils from ANCA-GN mice exhibited an aberrant FAO phenotype and a down-regulated peroxisome proliferators-activated receptor (PPAR)-α pathway, as compared with healthy controls. GW7647, a PPARα agonist, could alleviate AAV serum-induced neutrophil CD11b activation and PANoptosis. CD11B was a pivotal PANoptosis-related gene in AAV. The level of activated CD11b on neutrophils was associated with disease activity in AAV patients.
中性粒细胞介导的炎症在抗中性粒细胞胞浆抗体(ANCA)相关血管炎(AAV)的发病机制中起着至关重要的作用。失调的中性粒细胞死亡与促进中性粒细胞的启动和激活有关。PANoptosis是一种炎症性程序性细胞死亡,参与多种自身免疫性疾病的发展。本研究旨在鉴定关键的panoposis相关标志物,并探讨其与AAV疾病活动性的关系。从Gene Expression Omnibus (GEO)下载anca相关性肾小球肾炎(ANCA-GN)患者的基因微阵列数据。panoposis相关基因来源于GeneCards。通过综合生物信息学分析,鉴定出panoptosis相关基因的中心标记。利用ANCA-GN小鼠单细胞测序数据确定中枢基因的位置。然后测量AAV患者外周血中性粒细胞活化CD11b水平,以及尿液和血浆中可溶性CD11b水平。随后分析其与AAV患者临床病理参数的关系。采用免疫荧光染色法评价AAV患者肾脏标本中CD11b和中性粒细胞的共定位。进一步研究AAV患者嗜中性粒细胞胞内代谢途径的变化。采用小分子抑制剂探讨细胞内脂肪酸代谢(FAO)对中性粒细胞CD11b活化和PANoptosis的影响。综合生物信息学分析发现CD11B是AAV中关键的panopisosis相关基因。与健康对照相比,活动性AAV患者中性粒细胞活化CD11b水平显著升高,且中性粒细胞CD11b水平升高与疾病活动性呈正相关,其证据包括:AAV患者肾标本中超敏c反应蛋白(hCRP)水平升高、伯明翰血管炎活动性评分(BVAS)升高、采样时血清肌酐水平升高以及细胞月牙形比例较高。我们还证实了AAV患者肾标本中存在中性粒细胞CD11b。此外,与健康对照相比,随着Cd11b表达的升高,ANCA-GN小鼠的中性粒细胞表现出异常的FAO表型和过氧化物酶体增殖物激活受体(PPAR) α途径的下调。PPARα激动剂GW7647可减轻AAV血清诱导的中性粒细胞CD11b活化和PANoptosis。CD11B是AAV中一个关键的panoposis相关基因。中性粒细胞活化CD11b水平与AAV患者的疾病活动性相关。
{"title":"Neutrophil CD11b is a pivotal PANoptosis marker correlated with disease activity in antineutrophil cytoplasmic antibody-associated vasculitis","authors":"Xiang-Yu Han, Yi-Yang Zhao, Su-Fang Chen, Zhi-Ying Li, Ming-Hui Zhao, Min Chen","doi":"10.1007/s10495-025-02193-y","DOIUrl":"10.1007/s10495-025-02193-y","url":null,"abstract":"<div><p>Neutrophil-mediated inflammation plays a crucial role in the pathogenesis of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV). Dysregulated neutrophil death has been implicated in promoting neutrophil priming and activation. PANoptosis, an inflammatory programmed cell death, participates in the development of various autoimmune diseases. The current study aims to identify the key PANoptosis-related marker and investigate its association with disease activity of AAV. Gene microarray data of patients with ANCA-associated glomerulonephritis (ANCA-GN) was downloaded from the Gene Expression Omnibus (GEO). PANoptosis-associated genes were sourced from GeneCards. The hub-marker of PANoptosis-related genes was identified by integrated bioinformatical analysis. The single-cell sequencing data from ANCA-GN mice were used to determine the location of hub genes. Then levels of activated CD11b on neutrophils from peripheral blood, as well as soluble CD11b in urine and plasma were measured in AAV patients. Their associations with clinicopathological parameters of AAV patients were subsequently analyzed. Co-localization of CD11b and neutrophils in renal specimens of AAV patients was evaluated by immunofluorescence staining. Changes of intracellular metabolic pathways of neutrophils from AAV patients were further investigated. A small molecule inhibitor was used to explore the effect of intracellular fatty acid metabolism (FAO) on neutrophil CD11b activation and PANoptosis. <i>CD11B</i> was identified as the pivotal PANoptosis-related gene in AAV by integrated bioinformatics analysis. The level of activated CD11b on neutrophils was significantly higher in active AAV patients compared with healthy controls, and elevated neutrophil CD11b levels positively correlated with disease activity, as evidenced by higher levels of hypersensitive C-reactive protein (hCRP), increased Birmingham Vasculitis Activity Score (BVAS), elevated serum creatinine levels at sampling and a higher proportion of cellular crescents in renal specimens of AAV patients. We also demonstrated the presence of neutrophil CD11b in renal specimen of AAV patients. Moreover, along with elevated <i>Cd11b</i> expression, neutrophils from ANCA-GN mice exhibited an aberrant FAO phenotype and a down-regulated peroxisome proliferators-activated receptor (PPAR)-α pathway, as compared with healthy controls. GW7647, a PPARα agonist, could alleviate AAV serum-induced neutrophil CD11b activation and PANoptosis. <i>CD11B</i> was a pivotal PANoptosis-related gene in AAV. The level of activated CD11b on neutrophils was associated with disease activity in AAV patients.</p></div>","PeriodicalId":8062,"journal":{"name":"Apoptosis","volume":"30 11-12","pages":"3115 - 3128"},"PeriodicalIF":8.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10495-025-02193-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145298241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}