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Osteogenic effect of an adiponectin-derived short peptide that rebalances bone remodeling: a potential disease-modifying approach for postmenopausal osteoporosis therapy. 重新平衡骨重塑的脂肪连接素衍生短肽的成骨效应:绝经后骨质疏松症治疗的潜在疾病调节方法。
IF 6.9 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-07-29 DOI: 10.1007/s12272-024-01509-x
Swati Rajput, Chirag Kulkarni, Shivani Sharma, Manendra Singh Tomar, Shamima Khatoon, Arvind Gupta, Sabyasachi Sanyal, Ashutosh Shrivastava, Jimut Kanti Ghosh, Naibedya Chattopadhyay

Adiponectin, an adipokine, regulates metabolic processes, including glucose flux, lipid breakdown, and insulin response, by activating adiponectin receptors 1 and 2 (AdipoR1 and AdipoR2). We have previously shown that globular adiponectin (gAd), an endogenous form of adiponectin, has osteoanabolic and anti-catabolic effects in rodent models of postmenopausal osteopenia. Moreover, we reported the identification of a 13-mer peptide (ADP-1) from the collagen domain of adiponectin, which exhibited significant adiponectin-mimetic properties. Since the clinical development of gAd is constrained by its large size, here, we investigated the osteogenic property of ADP-1. ADP-1 induced osteoblast differentiation more potently than gAd. ADP-1 elicited osteoblast differentiation through two downstream pathways that involved the participation of adiponectin receptors. Firstly, it enhanced mitochondrial biogenesis and OxPhos, leading to osteoblast differentiation. Secondly, it activated the Akt-glycogen synthase kinase 3β-Wnt pathway, thereby increasing osteoblast differentiation. Additionally, ADP-1 suppressed the production of receptor-activator of nuclear kappa B ligand from osteoblasts, enabling it to act as a dual-action molecule (suppressing osteoclast function besides promoting osteoblast function). In osteopenic ovariectomized rats, ADP-1 increased bone mass and strength and improved trabecular integrity by stimulating bone formation and inhibiting bone resorption. Furthermore, by increasing ATP-producing intermediates within the tricarboxylic acid cycle in bones, ADP-1 likely fueled osteoblast function. Given its dual-action mechanism and high potency, ADP-1 offers a unique opportunity to address the unmet clinical need to reset the aberrant bone remodeling in osteoporosis to normalcy, potentially offering a disease-modifying impact.

脂肪连通素是一种脂肪因子,它通过激活脂肪连通素受体 1 和 2(AdipoR1 和 AdipoR2)来调节新陈代谢过程,包括葡萄糖通量、脂质分解和胰岛素反应。我们之前已经证明,球状脂肪粘连素(gAd)是脂肪粘连素的一种内源性形式,在绝经后骨质疏松症的啮齿动物模型中具有促进骨合成和抗代谢的作用。此外,我们还报告了从脂肪连通素的胶原蛋白结构域中鉴定出的一种 13-mer肽(ADP-1),它具有显著的脂肪连通素模拟特性。由于 gAd 的临床开发受到其巨大体积的限制,我们在此研究了 ADP-1 的成骨特性。ADP-1 比 gAd 更能诱导成骨细胞分化。ADP-1 通过两个下游途径诱导成骨细胞分化,这两个途径都有脂肪素受体的参与。首先,它增强了线粒体的生物生成和 OxPhos,导致成骨细胞分化。其次,它激活了 Akt-糖原合成酶激酶 3β-Wnt 通路,从而促进了成骨细胞的分化。此外,ADP-1 还能抑制成骨细胞产生核卡巴 B 受体激活剂配体,使其成为一种双重作用分子(除了促进成骨细胞功能外,还能抑制破骨细胞功能)。在骨质疏松的卵巢切除大鼠身上,ADP-1 通过刺激骨形成和抑制骨吸收,增加了骨量和骨强度,改善了骨小梁的完整性。此外,通过增加骨骼三羧酸循环中产生 ATP 的中间产物,ADP-1 还可能促进成骨细胞的功能。鉴于 ADP-1 的双重作用机制和高效力,它提供了一个独特的机会来满足尚未得到满足的临床需求,将骨质疏松症中异常的骨重塑重置为正常状态,从而有可能产生改变疾病的影响。
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引用次数: 0
Antitumor activity of Polygonatum sibiricum polysaccharides. 何首乌多糖的抗肿瘤活性。
IF 6.9 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-07-26 DOI: 10.1007/s12272-024-01511-3
Weiwei Lai, Qian Ning, Guihua Wang, Yuan Gao, Shuxian Liao, Shengsong Tang

Cancer is a global public health problem. Natural polysaccharides have been shown to enhance the effectiveness of cancer treatments. Polygonatum sibiricum (PS) has been used for millennia to treat diverse diseases. PS comprises numerous active constituents, including saponins, peptides, volatile oils, polysaccharides, and lectins. Many studies have highlighted the crucial role of polysaccharides in PS. Modern studies have shown that Polygonatum sibiricum polysaccharide (PSP) exhibits diverse pharmacological activities, including immunomodulatory, antitumor, antioxidant, and anti-aging effects. However, further study of the antitumor mechanisms is difficult because the activities of PSP are closely associated with its complex structural features and the different molecular weights of its components. Therefore, this review focuses on the research background and the extraction and purification of PSP. Studies related to the mechanism of the antitumor effects of PSP constituents of different molecular weights are also summarized, and perspectives on PSP research are presented.

癌症是一个全球性的公共健康问题。天然多糖已被证明可以提高癌症治疗的效果。千百年来,人们一直用西洋参(Polygonatum sibiricum,PS)治疗各种疾病。何首乌含有多种活性成分,包括皂苷、肽、挥发油、多糖和凝集素。许多研究都强调了多糖在 PS 中的重要作用。现代研究表明,何首乌多糖具有多种药理活性,包括免疫调节、抗肿瘤、抗氧化和抗衰老作用。然而,由于何首乌多糖的活性与其复杂的结构特征和不同分子量的成分密切相关,进一步研究其抗肿瘤机制十分困难。因此,本综述将重点介绍 PSP 的研究背景以及提取和纯化。此外,还总结了与不同分子量的 PSP 成分的抗肿瘤作用机制有关的研究,并展望了 PSP 研究的前景。
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引用次数: 0
Pentacyclic triterpenes, potential novel therapeutic approaches for cardiovascular diseases. 五环三萜类化合物,治疗心血管疾病的潜在新方法。
IF 6.9 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-07-24 DOI: 10.1007/s12272-024-01510-4
Dewei Peng, Aizan Wang, Wei Shi, Li Lin

Cardiovascular diseases (CVDs) involve dysfunction of the heart and blood vessels and have become major health concerns worldwide. Multiple mechanisms may be involved in the occurrence and development of CVDs. Although therapies for CVDs are constantly being developed and applied, the incidence and mortality of CVDs remain high. The roles of natural compounds in CVD treatment are being explored, providing new approaches for the treatment of CVD. Pentacyclic triterpenes are natural compounds with a basic nucleus of 30 carbon atoms, and they have been widely studied for their potential applications in the treatment of CVDs, to which various pharmacological activities contribute, including anti-inflammatory, antioxidant, and antitumor effects. This review introduces the roles of triterpenoids in the prevention and treatment of CVDs, summarizes their potential underlying mechanisms, and provides a comprehensive overview of the therapeutic potential of triterpenoids in the management of CVDs.

心血管疾病(CVDs)涉及心脏和血管的功能障碍,已成为全球关注的主要健康问题。心血管疾病的发生和发展可能涉及多种机制。尽管心血管疾病的治疗方法在不断开发和应用,但心血管疾病的发病率和死亡率仍然居高不下。人们正在探索天然化合物在心血管疾病治疗中的作用,这为心血管疾病的治疗提供了新的方法。五环三萜类化合物是一种具有 30 个碳原子基本核的天然化合物,它们在治疗心血管疾病方面的潜在应用已被广泛研究,其中的各种药理活性包括抗炎、抗氧化和抗肿瘤作用。本综述介绍了三萜类化合物在预防和治疗心血管疾病中的作用,总结了其潜在的内在机制,并全面概述了三萜类化合物在治疗心血管疾病中的治疗潜力。
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引用次数: 0
Correction: Antibody drug conjugates as targeted cancer therapy: past development, present challenges and future opportunities. 更正:作为癌症靶向疗法的抗体药物共轭物:过去的发展、现在的挑战和未来的机遇。
IF 6.9 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-07-01 DOI: 10.1007/s12272-024-01502-4
Ritwik Maiti, Bhumika Patel, Nrupesh Patel, Mehul Patel, Alkesh Patel, Nirav Dhanesha
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引用次数: 0
C-phycocyanin reinforces autophagy to block pulmonary fibrogenesis by inhibiting lncIAPF biogenesis. C-phycocyanin 可抑制 lncIAPF 的生物生成,从而加强自噬作用,阻止肺纤维化。
IF 6.9 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-07-01 Epub Date: 2024-07-22 DOI: 10.1007/s12272-024-01508-y
Wenjie Hu, Yujie Wang, Huiling Yang, Leiming Zhang, Bo Liu, Yunxia Ji, Xiaodong Song, Changjun Lv, Songzi Zhang

Pulmonary fibrosis is a chronic and irreversible progressive lung disease caused by various factors, such as age and environmental pollution. With countries stepping into an aging society and the seriousness of environmental pollution caused by global industrialization, the incidence of pulmonary fibrosis is annually increasing. However, no effective drug is available for pulmonary fibrosis treatment. C-phycocyanin (C-PC), extracted from blue-green algae, has good water solubility and antioxidation. This study elucidated that C-PC reinforces autophagy to block pulmonary fibrogenesis by inhibiting long noncoding RNA (lncRNA) biogenesis in vivo and in vitro. Cleavage under targets and release using nuclease (CUT & RUN)-PCR, co-immunoprecipitation (Co-IP), and nuclear-cytoplasmic separation experiments clarified that C-PC blocked the nuclear translocation of activating transcription factor 3 (ATF3) to prevent the binding between ATF3 and transcription factor Smad3, thereby hindering lncIAPF transcription. Human antigen R (HuR) truncation experiment and RNA binding protein immunoprecipitation (RIP) were then performed to identify the binding domain with lncIAPF in the 244-322 aa of HuR. lncIAPF exerted its profibrogenic function through the binding protein HuR, a negative regulator of autophagy. In summary, C-PC promoted autophagy via down-regulating the lncIAPF-HuR-mediated signal pathway to alleviate pulmonary fibrosis, showing its potential as a drug for treating pulmonary fibrosis. Exploring how C-PC interacts with biological molecules will help us understand the mechanism of this drug and provide valuable target genes to design new drugs.

肺纤维化是由年龄、环境污染等多种因素引起的一种慢性、不可逆的进行性肺部疾病。随着各国步入老龄化社会,以及全球工业化带来的严重环境污染,肺纤维化的发病率呈逐年上升趋势。然而,目前还没有治疗肺纤维化的有效药物。从蓝绿藻中提取的 C-PC 具有良好的水溶性和抗氧化性。这项研究阐明,C-PC 可在体内和体外抑制长非编码 RNA(lncRNA)的生物生成,从而加强自噬作用,阻止肺纤维化的发生。利用核酸酶(CUT & RUN)-PCR、共免疫沉淀(Co-IP)和核-细胞质分离实验对目标的裂解和释放进行了研究,结果表明,C-PC阻断了活化转录因子3(ATF3)的核转位,阻止了ATF3与转录因子Smad3之间的结合,从而阻碍了lncIAPF的转录。lncIAPF 通过与自噬负调控因子 HuR 的结合蛋白发挥其抗自噬功能。综上所述,C-PC通过下调lncIAPF-HuR介导的信号通路促进自噬,从而缓解肺纤维化,显示了其作为治疗肺纤维化药物的潜力。探索 C-PC 与生物分子的相互作用将有助于我们了解这种药物的作用机制,并为设计新药提供有价值的靶基因。
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引用次数: 0
E3 ubiquitin ligase RNF180 mediates the ALKBH5/SMARCA5 axis to promote colon inflammation and Th17/Treg imbalance in ulcerative colitis mice. E3 泛素连接酶 RNF180 介导 ALKBH5/SMARCA5 轴促进溃疡性结肠炎小鼠的结肠炎症和 Th17/Treg 失衡。
IF 6.9 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-07-01 Epub Date: 2024-07-27 DOI: 10.1007/s12272-024-01507-z
Kailing Wang, Fan Liu, Budumu Muchu, Jiawen Deng, Jing Peng, Yan Xu, Fujun Li, Miao Ouyang

SMARCA5, a protein in the SWI/SNF family, has been previously implicated in the development of ulcerative colitis (UC) through methylation. However, the specific molecular mechanisms by which SMARCA5 contributes to colonic inflammation and the imbalance between Th17 and Treg cells remain unclear. This study was designed to explore these molecular mechanisms. A UC mouse model was established using dextran sulfate sodium induction, followed by measurements of mouse weight, disease activity index (DAI) score, colon length, pathological changes in the colon, and FITC-dextran concentration. The levels of IL-17a, IFN-γ, IL-6, TNF-α, TGF-β, and IL-10 were measured, along with the protein expression of ZO-1 and Occludin. Flow cytometry was used to assess the presence of IL-17 + CD4 + (Th17 +) cells and FOXP3 + CD25 + CD4 + (Treg +) cells in the spleen and mesenteric lymph nodes of UC mice. We observed that SMARCA5 and RNF180 were increased, while ALKBH5 was downregulated in UC mouse colon tissue. SMARCA5 or RNF180 knockdown or ALKBH5 overexpression ameliorated the colon inflammation and Th17/Treg cell imbalance in UC mice, shown by increased body weight, colon length, FOXP3 + CD25 + CD4 + T cells, and the levels of ZO-1, Occludin, TGF-β, IL-10, and FOXP3. It decreased DAI scores, IL-17 + CD4 + T cells, and levels of IL-17a, IFN-γ, IL-6, TNF-α, and ROR-γt. ALKBH5 inhibited SMARCA5 expression via m6A modification, while RNF180 reduced ALKBH5 expression via ubiquitination. Our findings indicate that RNF180 aggravated the colon inflammation and Th17/Treg cell imbalance in UC mice by regulating the ALKBH5/SMARCA5 axis.

SMARCA5是SWI/SNF家族中的一种蛋白质,以前曾被认为通过甲基化作用与溃疡性结肠炎(UC)的发病有关。然而,SMARCA5导致结肠炎症以及Th17和Treg细胞失衡的具体分子机制仍不清楚。本研究旨在探索这些分子机制。通过葡聚糖硫酸钠诱导建立了 UC 小鼠模型,随后测量了小鼠体重、疾病活动指数(DAI)评分、结肠长度、结肠病理变化和 FITC-葡聚糖浓度。测量了 IL-17a、IFN-γ、IL-6、TNF-α、TGF-β 和 IL-10 的水平,以及 ZO-1 和 Occludin 的蛋白表达。流式细胞术用于评估 UC 小鼠脾脏和肠系膜淋巴结中 IL-17 + CD4 +(Th17 +)细胞和 FOXP3 + CD25 + CD4 +(Treg +)细胞的存在。我们观察到,在 UC 小鼠结肠组织中,SMARCA5 和 RNF180 增高,而 ALKBH5 下调。SMARCA5或RNF180敲除或ALKBH5过表达可改善UC小鼠的结肠炎症和Th17/Treg细胞失衡,表现为体重、结肠长度、FOXP3 + CD25 + CD4 + T细胞以及ZO-1、Occludin、TGF-β、IL-10和FOXP3水平的增加。它降低了 DAI 评分、IL-17 + CD4 + T 细胞以及 IL-17a、IFN-γ、IL-6、TNF-α 和 ROR-γt 的水平。ALKBH5 通过 m6A 修饰抑制了 SMARCA5 的表达,而 RNF180 则通过泛素化降低了 ALKBH5 的表达。我们的研究结果表明,RNF180通过调节ALKBH5/SMARCA5轴加重了UC小鼠的结肠炎症和Th17/Treg细胞失衡。
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引用次数: 0
Implications of inflammatory cell death-PANoptosis in health and disease. 炎性细胞死亡--泛凋亡对健康和疾病的影响。
IF 6.9 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-07-01 Epub Date: 2024-07-10 DOI: 10.1007/s12272-024-01506-0
Hyun Bae, Yeonseo Jang, Rajendra Karki, Joo-Hui Han

Regulated cell death (RCD) pathways, such as pyroptosis, apoptosis, and necroptosis, are essential for maintaining the body's balance, defending against pathogens, and eliminating abnormal cells that could lead to diseases like cancer. Although these pathways operate through distinct mechanisms, recent genetic and pharmacological studies have shown that they can interact and influence each other. The concept of "PANoptosis" has emerged, highlighting the interplay between pyroptosis, apoptosis, and necroptosis, especially during cellular responses to infections. This article provides a concise overview of PANoptosis and its molecular mechanisms, exploring its implications in various diseases. The review focuses on the extensive interactions among different RCD pathways, emphasizing the role of PANoptosis in infections, cytokine storms, inflammatory diseases, and cancer. Understanding PANoptosis is crucial for developing novel treatments for conditions involving infections, sterile inflammations, and cancer.

热凋亡、细胞凋亡和坏死等调节性细胞死亡(RCD)途径对于维持机体平衡、抵御病原体和清除可能导致癌症等疾病的异常细胞至关重要。虽然这些途径通过不同的机制运作,但最近的遗传学和药理学研究表明,它们可以相互作用和影响。细胞凋亡"(PANoptosis)的概念已经出现,强调了热凋亡、细胞凋亡和坏死之间的相互作用,尤其是在细胞对感染的反应过程中。本文简要概述了 "泛凋亡 "及其分子机制,探讨了其在各种疾病中的意义。综述侧重于不同 RCD 通路之间的广泛相互作用,强调了 PANoptosis 在感染、细胞因子风暴、炎症性疾病和癌症中的作用。了解 PANoptosis 对开发治疗感染、无菌性炎症和癌症的新方法至关重要。
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引用次数: 0
Dual roles of myeloid-derived suppressor cells in various diseases: a review. 髓源性抑制细胞在各种疾病中的双重作用:综述。
IF 6.9 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-07-01 Epub Date: 2024-07-15 DOI: 10.1007/s12272-024-01504-2
Mahesh Raj Nepal, Sajita Shah, Kyu-Tae Kang

Myeloid-derived suppressor cells (MDSCs) are a heterogeneous population of cells that originate from bone marrow stem cells. In pathological conditions, such as autoimmune disorders, allergies, infections, and cancer, normal myelopoiesis is altered to facilitate the formation of MDSCs. MDSCs were first shown to promote cancer initiation and progression by immunosuppression with the assistance of various chemokines and cytokines. Recently, various studies have demonstrated that MDSCs play two distinct roles depending on the physiological and pathological conditions. MDSCs have protective roles in autoimmune disorders (such as uveoretinitis, multiple sclerosis, rheumatoid arthritis, ankylosing spondylitis, type 1 diabetes, autoimmune hepatitis, inflammatory bowel disease, alopecia areata, and systemic lupus erythematosus), allergies, and organ transplantation. However, they play negative roles in infections and various cancers. Several immunosuppressive functions and mechanisms of MDSCs have been determined in different disease conditions. This review comprehensively discusses the associations between MDSCs and various pathological conditions and briefly describes therapeutic approaches.

髓源性抑制细胞(MDSCs)是源自骨髓干细胞的异质性细胞群。在自身免疫性疾病、过敏、感染和癌症等病理情况下,正常的骨髓造血会发生改变,从而促进 MDSCs 的形成。MDSCs 最初是在各种趋化因子和细胞因子的帮助下,通过免疫抑制促进癌症的发生和发展。最近,各种研究表明,MDSCs 在生理和病理条件下发挥着两种不同的作用。MDSCs 在自身免疫性疾病(如葡萄膜视网膜炎、多发性硬化症、类风湿性关节炎、强直性脊柱炎、1 型糖尿病、自身免疫性肝炎、炎症性肠病、斑秃和系统性红斑狼疮)、过敏症和器官移植中发挥保护作用。不过,它们在感染和各种癌症中也起着负面作用。目前已确定了MDSCs在不同疾病中的几种免疫抑制功能和机制。这篇综述全面讨论了 MDSCs 与各种病症之间的关联,并简要介绍了治疗方法。
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引用次数: 0
Dihydroartemisinin inhibits follicular helper T and B cells: implications for systemic lupus erythematosus treatment. 双氢青蒿素抑制滤泡辅助 T 细胞和 B 细胞:对治疗系统性红斑狼疮的影响。
IF 6.9 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-07-01 Epub Date: 2024-07-08 DOI: 10.1007/s12272-024-01505-1
Xiaoyi Shi, Tao Liao, Ye Chen, Jingrong Chen, Yan Liu, Jun Zhao, Junlong Dang, Qipeng Sun, Yunfeng Pan

Systemic lupus erythematosus (SLE) is a common autoimmune disease, and its pathogenesis mainly involves the aberrant activation of B cells through follicular helper T (Tfh) cells to produce pathogenic antibodies, which requires more effective and safe treatment methods. Dihydroartemisinin (DHA) is the main active ingredient of artemisinin and has immunosuppressive effects. In this study, in vitro experiments confirmed that DHA inhibited Tfh cell induction and weakened its auxiliary function in B cell differentiation; furthermore, DHA directly inhibited B cell activation, differentiation, and antibody production. Furthermore, a mouse model of SLE was established, and we confirmed that DHA significantly reduced the symptoms of SLE and lupus nephritis, and decreased serum immunoglobulin (Ig)G, IgM, IgA, and anti-dsDNA levels. Moreover, DHA reduced the frequencies of total Tfh cells, activated Tfh cells, and B cell lymphoma 6, and interleukin (IL)-21 levels in Tfh cells from the spleen and lymph nodes, as well as the levels of B cells, germinal center B cells, and plasma cells in the spleen, lymph nodes, and kidneys. Additionally, DHA inhibited Tfh cells by blocking IL-2-inducible T cell kinase (ITK) signaling and its downstream nuclear factor (NF)-κB, nuclear factor of activated T cell, and activating protein-1 pathways, and directly inhibited B cells by blocking Bruton's tyrosine kinase (BTK) signaling and the downstream NF-κB and Myc pathways. Overall, our results demonstrated that DHA inhibited Tfh cells by blocking ITK signaling and also directly inhibited B cells by blocking BTK signaling. Therefore, reducing the production of pathogenic antibodies might effectively treat SLE.

系统性红斑狼疮(SLE)是一种常见的自身免疫性疾病,其发病机制主要是B细胞通过滤泡辅助T细胞(Tfh)异常激活产生致病性抗体,因此需要更有效、更安全的治疗方法。双氢青蒿素(DHA)是青蒿素的主要活性成分,具有免疫抑制作用。在这项研究中,体外实验证实 DHA 可抑制 Tfh 细胞的诱导,削弱其在 B 细胞分化中的辅助功能;此外,DHA 还可直接抑制 B 细胞的活化、分化和抗体生成。此外,我们还建立了一个系统性红斑狼疮小鼠模型,并证实 DHA 能显著减轻系统性红斑狼疮和狼疮肾炎的症状,降低血清免疫球蛋白 (Ig)G、IgM、IgA 和抗dsDNA 水平。此外,DHA 还能降低总 Tfh 细胞、活化 Tfh 细胞和 B 细胞淋巴瘤 6 的频率,降低脾脏和淋巴结中 Tfh 细胞的白细胞介素(IL)-21 水平,以及脾脏、淋巴结和肾脏中 B 细胞、生殖中心 B 细胞和浆细胞的水平。此外,DHA通过阻断IL-2诱导的T细胞激酶(ITK)信号传导及其下游的核因子(NF)-κB、活化T细胞核因子和活化蛋白-1通路抑制Tfh细胞,并通过阻断布鲁顿酪氨酸激酶(BTK)信号传导及其下游的NF-κB和Myc通路直接抑制B细胞。总之,我们的研究结果表明,DHA 可通过阻断 ITK 信号抑制 Tfh 细胞,也可通过阻断 BTK 信号直接抑制 B 细胞。因此,减少致病抗体的产生可有效治疗系统性红斑狼疮。
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引用次数: 0
Exploring molecular mechanisms, therapeutic strategies, and clinical manifestations of Huntington's disease. 探索亨廷顿氏病的分子机制、治疗策略和临床表现。
IF 6.9 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-06-01 Epub Date: 2024-05-19 DOI: 10.1007/s12272-024-01499-w
Alaa Shafie, Amal Adnan Ashour, Saleha Anwar, Farah Anjum, Md Imtaiyaz Hassan

Huntington's disease (HD) is a paradigm of a genetic neurodegenerative disorder characterized by the expansion of CAG repeats in the HTT gene. This extensive review investigates the molecular complexities of HD by highlighting the pathogenic mechanisms initiated by the mutant huntingtin protein. Adverse outcomes of HD include mitochondrial dysfunction, compromised protein clearance, and disruption of intracellular signaling, consequently contributing to the gradual deterioration of neurons. Numerous therapeutic strategies, particularly precision medicine, are currently used for HD management. Antisense oligonucleotides, such as Tominersen, play a leading role in targeting and modulating the expression of mutant huntingtin. Despite the promise of these therapies, challenges persist, particularly in improving delivery systems and the necessity for long-term safety assessments. Considering the future landscape, the review delineates promising directions for HD research and treatment. Innovations such as Clustered regularly interspaced short palindromic repeats associated system therapies (CRISPR)-based genome editing and emerging neuroprotective approaches present unprecedented opportunities for intervention. Collaborative interdisciplinary endeavors and a more insightful understanding of HD pathogenesis are on the verge of reshaping the therapeutic landscape. As we navigate the intricate landscape of HD, this review serves as a guide for unraveling the intricacies of this disease and progressing toward transformative treatments.

亨廷顿氏病(Huntington's disease,HD)是一种遗传性神经退行性疾病,其特征是 HTT 基因中的 CAG 重复序列扩增。这篇内容广泛的综述通过强调由突变亨廷廷蛋白引发的致病机制,探讨了 HD 的分子复杂性。HD 的不良后果包括线粒体功能障碍、蛋白质清除能力下降和细胞内信号传导中断,从而导致神经元逐渐退化。目前,许多治疗策略,尤其是精准医疗,都被用于 HD 的治疗。反义寡核苷酸(如托米纳森)在靶向和调节突变亨廷蛋白的表达方面发挥着主导作用。尽管这些疗法前景广阔,但挑战依然存在,特别是在改进给药系统和长期安全性评估的必要性方面。考虑到未来的发展前景,本综述为 HD 的研究和治疗勾画了前景广阔的方向。基于基因组编辑的簇状规则间隔短回文重复序列相关系统疗法(CRISPR)和新兴的神经保护方法等创新为干预带来了前所未有的机遇。跨学科合作和对 HD 发病机制的深入了解即将重塑治疗格局。当我们在错综复杂的 HD 领域中遨游时,这篇综述将为我们揭开这种疾病错综复杂的面纱并向变革性治疗方法迈进提供指导。
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引用次数: 0
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Archives of Pharmacal Research
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