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Beyond repair: Expanding roles of BRCA1 in RNA processing and cancer 超越修复:BRCA1在RNA加工和癌症中的扩展作用。
IF 9.7 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.bbcan.2025.189499
Mahsa Rastegar Moghaddam Poorbagher, Manuela Santarosa
BRCA1 is widely recognized as a guardian of the genome due to its established roles in DNA damage repair and cell cycle regulation. Nevertheless, these functions alone do not fully account for the tissue-specific defects and tumor phenotypes associated with pathogenic BRCA1 variants.
Accumulating evidence indicates that BRCA1 is also essential for RNA processing. In addition to modulating the activity of RNA polymerases, shaping chromatin architecture, and interacting with key transcription factors, BRCA1 influences splicing-factor function and helps prevent and resolve R-loop accumulation, thereby regulating both transcription and genomic integrity.
In response to DNA damage, BRCA1 participates in a complex containing components of the mRNA splicing machinery, thus altering the splicing pattern of several DNA damage response (DDR) genes. Moreover, BRCA1 orchestrates the transcription of molecules specific to epithelial and luminal breast cells, such as hormone receptors and growth factors, and factors involved in immune and inflammatory pathways.
This review discusses and organizes the growing body of evidence demonstrating how BRCA1 integrates transcriptional control and RNA processing and, in doing so, preserves a normal epithelial phenotype.
BRCA1在DNA损伤修复和细胞周期调控中发挥着重要作用,被广泛认为是基因组的守护者。然而,这些功能本身并不能完全解释与致病性BRCA1变异相关的组织特异性缺陷和肿瘤表型。越来越多的证据表明,BRCA1在RNA加工中也是必不可少的。除了调节RNA聚合酶的活性、塑造染色质结构以及与关键转录因子相互作用外,BRCA1还影响剪接因子的功能,帮助防止和解决r环的积累,从而调节转录和基因组的完整性。在DNA损伤反应中,BRCA1参与了一个包含mRNA剪接机制成分的复合体,从而改变了几种DNA损伤反应(DDR)基因的剪接模式。此外,BRCA1还协调了乳腺上皮细胞和腔细胞特异性分子的转录,如激素受体和生长因子,以及参与免疫和炎症途径的因子。本综述讨论并整理了越来越多的证据,证明BRCA1如何整合转录控制和RNA加工,并在此过程中保持正常的上皮表型。
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引用次数: 0
The mitochondrial nexus: Targeting metabolic vulnerabilities, oxidative stress, and immunomodulation to induce cancer cell death 线粒体联系:针对代谢脆弱性、氧化应激和免疫调节诱导癌细胞死亡。
IF 9.7 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.bbcan.2025.189491
Woo Hyun Park
Mitochondria, far from being mere cellular powerhouses, act as central command hubs dictating cell fate by integrating metabolic cues with life-or-death decisions. In cancer, these organelles undergo profound functional and structural reprogramming to support relentless proliferation, survival, and adaptation to stress. This metabolic plasticity, however, creates unique vulnerabilities exploitable for therapeutic gain. This comprehensive review synthesizes recent insights into the multifaceted roles of mitochondria in cancer, focusing on how inhibiting their core functions can trigger diverse cell death pathways and modulate the tumor microenvironment. This paper delves into the central role of mitochondria in orchestrating various forms of regulated cell death (RCD), including apoptosis, ferroptosis, necroptosis, and the newly defined cuproptosis. A primary focus is placed on the dual nature of mitochondrial reactive oxygen species (ROS), which can promote tumorigenesis but can also be pharmacologically elevated to catastrophic levels, triggering oxidative stress-induced demise. This review systematically categorizes and discusses a burgeoning pharmacopeia of mitochondrial inhibitors—targeting the electron transport chain (ETC), metabolic enzymes like glutaminase, protein homeostasis, and ion channels—and analyzes their mechanisms of action, preclinical evidence, and clinical translation status. Furthermore, this paper examines how these agents can overcome chemoresistance and synergize with existing treatments, including the exciting interface with immunotherapy, where mitochondrial fitness is paramount for robust anti-tumor T-cell responses and the induction of immunogenic cell death (ICD). By dissecting the complex interplay between mitochondrial inhibition, metabolic disruption, oxidative stress, and cell death, this review highlights the immense promise of mitochondria-targeted therapies and charts the course for future innovations in oncology.
线粒体远不只是细胞的能量发电站,而是通过整合代谢线索和生死决定,充当决定细胞命运的中央指挥枢纽。在癌症中,这些细胞器经历了深刻的功能和结构重编程,以支持无情的增殖、生存和适应压力。然而,这种代谢可塑性创造了独特的脆弱性,可用于治疗收益。这篇综述综合了线粒体在癌症中多方面作用的最新见解,重点关注抑制其核心功能如何触发多种细胞死亡途径和调节肿瘤微环境。本文探讨了线粒体在调控各种形式的细胞死亡(RCD)中的核心作用,包括细胞凋亡、铁下垂、坏死下垂和新定义的铜下垂。主要的焦点放在线粒体活性氧(ROS)的双重性质上,它可以促进肿瘤的发生,但也可以在药理学上升高到灾难性的水平,引发氧化应激诱导的死亡。本文系统地分类和讨论了新兴的线粒体抑制剂药典——针对电子传递链(ETC)、谷氨酰胺酶等代谢酶、蛋白质稳态和离子通道,并分析了它们的作用机制、临床前证据和临床翻译状况。此外,本文还研究了这些药物如何克服化疗耐药并与现有治疗方法协同作用,包括与免疫治疗的令人兴奋的界面,其中线粒体适应性对于强大的抗肿瘤t细胞反应和诱导免疫原性细胞死亡(ICD)至关重要。通过剖析线粒体抑制、代谢破坏、氧化应激和细胞死亡之间复杂的相互作用,本综述强调了线粒体靶向治疗的巨大前景,并为肿瘤学未来的创新指明了方向。
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引用次数: 0
Targeting sex hormone signaling: A promising therapeutic alternative for glioblastoma 靶向性激素信号:胶质母细胞瘤的一种有前途的治疗选择
IF 9.7 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.bbcan.2025.189486
Juan Carlos Quintero, Omar Rafael Alemán, Ignacio Camacho-Arroyo
Glioblastoma is the most common and malignant primary brain tumor of the central nervous system, with conventional therapy yielding very poor results in overall patient survival and quality of life. The low life expectancy at diagnosis of just 15 months, highlights the need for novel therapeutic alternatives. Glioblastoma has a higher incidence in men than in women, suggesting a critical role of sex hormone signaling in tumor maintenance and progression. There is now ample evidence that sex hormones impact glioblastoma malignancy. Testosterone, through the androgen receptor, promotes proliferation, migration, and invasion of tumor cells. Interestingly, estradiol and progesterone show both pro- and anti-tumor effects, depending on the dose and the specific receptors expressed in the cells. Sex hormones regulate gene activity by binding to intracellular receptors, which act as ligand-activated transcription factors. Additionally, the presence of membrane receptors for estrogens and progesterone can promote rapid cellular responses, activating signaling pathways such as PI3K/AKT and MAPK in tumor cells. Thus, the regulation of sex hormone activity and receptor function can directly affect tumor progression and survival. This article analyzes the impact of sex hormone signaling on the malignancy of glioblastomas.
胶质母细胞瘤是最常见的恶性中枢神经系统原发性脑肿瘤,常规治疗在患者总体生存率和生活质量方面效果非常差。诊断时的低预期寿命仅为15个月,这突出了对新型治疗方案的需求。胶质母细胞瘤在男性中的发病率高于女性,这表明性激素信号在肿瘤维持和发展中起着关键作用。现在有充分的证据表明性激素影响恶性胶质母细胞瘤。睾酮通过雄激素受体促进肿瘤细胞的增殖、迁移和侵袭。有趣的是,雌二醇和黄体酮显示出促肿瘤和抗肿瘤的作用,这取决于剂量和细胞中表达的特定受体。性激素通过结合细胞内受体调节基因活性,细胞内受体作为配体激活的转录因子。此外,雌激素和孕酮膜受体的存在可以促进快速的细胞反应,激活肿瘤细胞中PI3K/AKT和MAPK等信号通路。因此,性激素活性和受体功能的调节直接影响肿瘤的进展和生存。本文分析了性激素信号在胶质母细胞瘤恶性发展中的作用。
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引用次数: 0
Dual faces of angiogenesis: Mechanisms and therapeutic applications 血管生成的双重面向:机制和治疗应用。
IF 9.7 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.bbcan.2025.189494
Reza Izadpanah , Amin Izadpanah , Eckhard U. Alt
Angiogenesis is a highly coordinated process essential for development, tissue homeostasis, and repair. In physiologic settings, endothelial cells remain quiescent until transient hypoxia- or injury-induced surges of VEGF (vascular endothelial growth factor), FGF (fibroblast growth factor), and other pro-angiogenic cues activate receptor tyrosine kinases, triggering MAPK (mitogen-activated protein kinase) and PI3K–AKT (phosphoinositide 3-kinase–AKT) cascades that drive sprouting, proliferation, migration, and vessel stabilization via pericyte recruitment and balanced Ang (angiopoietin)–Tie2 (tyrosine kinase with immunoglobulin-like and EGF-like domains 2) signaling. In non-malignant pathologies, targeted pro-angiogenic therapies harness these mechanisms to restore perfusion in ischemic heart disease, chronic wounds, and neurovascular degeneration. In contrast, tumor-driven “malignant” angiogenesis subverts the same core pathways in both hypoxia-dependent and -independent manners. Oncogenic RAS (rat sarcoma)–RAF (rapidly accelerated fibrosarcoma)–MEK (MAPK/ERK kinase) and PI3K–AKT activity locks VEGFR2 (vascular endothelial growth factor receptor 2) Tyr1175 in a phosphorylated state, fueling unchecked endothelial proliferation and survival. Overexpression of integrin αvβ3 (alpha-v beta-3) and NRP2 (neuropilin 2) amplifies FAK (focal adhesion kinase)-Src-mediated invasion, while glycocalyx shedding and uneven pericyte coverage produce leaky vasculature. Transient vessel normalization upon VEGF blockade is followed by adaptive resistance via HIF (hypoxia-inducible factor)–driven upregulation of FGF2, Ang-2 (angiopoietin-2), and HGF (hepatocyte growth factor)/c-Met pathways, necessitating complex combination regimens. Rationally distinguishing when to inhibit versus augment angiogenesis is therefore clinically decisive, because cancers demand vascular suppression/normalization whereas ischemic and degenerative disorders benefit from controlled pro-angiogenic repair. We compared malignant and non-malignant angiogenesis at the molecular and clinical levels, critically appraising therapies, from VEGF antibodies and multitarget TKIs (tyrosine kinase inhibitors) to pro-angiogenic growth factors and drug-delivery platforms, and their respective biomarkers (Ang-2, soluble VEGFR2, VEGF isoform ratios). By explicitly linking pathway mechanics to therapeutic choice, dosing, and biomarker-guided selection, this review provides a comprehensive roadmap for tailoring angiogenesis-targeted interventions, either to restrain pathological neovascularization in cancer or to promote reparative vessel growth in ischemic and degenerative disease.
血管生成是一个高度协调的过程,对发育、组织稳态和修复至关重要。在生理环境中,内皮细胞保持静止状态,直到缺氧或损伤诱导的短暂性VEGF(血管内皮生长因子)、FGF(成纤维细胞生长因子)和其他促血管生成的信号激活受体酪氨酸激酶,触发MAPK(丝裂原活化蛋白激酶)和PI3K-AKT(磷酸肌苷 3-激酶- akt)级联,驱动发芽、增殖、迁移。和血管稳定通过周细胞募集和平衡Ang(血管生成素)-Tie2(酪氨酸激酶与免疫球蛋白样和egf样结构域 2)信号传导。在非恶性病变中,靶向促血管生成疗法利用这些机制来恢复缺血性心脏病、慢性伤口和神经血管变性的灌注。相反,肿瘤驱动的“恶性”血管生成以缺氧依赖和不依赖的方式破坏了相同的核心途径。致癌的RAS(大鼠肉瘤)-RAF(快速加速纤维肉瘤)-MEK (MAPK/ERK激酶)和PI3K-AKT活性将VEGFR2(血管内皮生长因子受体 2)Tyr1175锁定在磷酸化状态,促进不受控制的内皮细胞增殖和存活。整合素αvβ3 (α -v β -3)和NRP2 (neuropilin 2)的过度表达会放大FAK (focal adhesion kinase,局灶黏附激酶)- src介导的侵袭,而糖萼脱落和周细胞覆盖不均会导致血管渗漏。在VEGF阻断后,短暂的血管正常化之后,通过HIF(缺氧诱导因子)驱动的FGF2、Ang-2(血管生成素-2)和HGF(肝细胞生长因子)/c-Met途径的上调,出现适应性抵抗,需要复杂的联合治疗方案。因此,合理区分何时抑制和增强血管生成在临床上具有决定性意义,因为癌症需要血管抑制/正常化,而缺血性和退行性疾病则受益于可控的促血管生成修复。我们在分子和临床水平上比较了恶性和非恶性血管生成,批判性地评估了治疗方法,从VEGF抗体和多靶点TKIs(酪氨酸激酶抑制剂)到促血管生成生长因子和药物递送平台,以及它们各自的生物标志物(Ang-2,可溶性VEGFR2, VEGF异构体比率)。通过明确地将通路机制与治疗选择、剂量和生物标志物引导的选择联系起来,本综述为定制血管生成靶向干预提供了一个全面的路线图,以抑制癌症的病理性新生血管或促进缺血性和退行性疾病的修复性血管生长。
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引用次数: 0
Tumor-associated high endothelial venules as therapeutic modulation targets in cancer immunotherapy 肿瘤相关高内皮小静脉作为肿瘤免疫治疗的调节靶点。
IF 9.7 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.bbcan.2025.189500
Jun-Ye Zhang , Zhi-Yan Piao , Guang-Liang Su , Meng-Jie Zhang , Zhi-Jun Sun
Immunotherapy has shown remarkable efficacy in improving the prognosis and survival rates of cancer patients, yet the overall response rate remains relatively low. The discovery of high endothelial venules (HEVs) and tertiary lymphoid structures (TLSs) has brought new hope to antitumor immunity. HEVs, as specialized vascular structures, facilitate lymphocyte infiltration and enhance tumor immune responses, while TLSs provide an organized immune microenvironment that further supports antitumor immunity. Current studies often emphasize the immunoregulatory roles of HEVs or TLSs from relatively independent perspectives, overlooking the fact that the two constitute a temporospatially interactive and unified system. This review systematically explores the interdependence and interactions between tumor-associated high endothelial venules (TA-HEVs) and TLSs in terms of their development, organization, and function. From an integrative perspective, it highlights current pharmacological strategies aimed at inducing intratumoral HEVs and TLSs to enhance the efficacy of immunotherapy. Finally, the review discusses future perspectives on the potential molecular mechanisms underlying HEV formation, methodologies for HEV detection, and the development of precision-targeted therapies to modulate HEV/TLS formation.
免疫治疗在改善癌症患者的预后和生存率方面显示出显著的疗效,但总体应答率仍然相对较低。高内皮小静脉(HEVs)和三级淋巴结构(TLSs)的发现给抗肿瘤免疫研究带来了新的希望。hev作为特化的血管结构,促进淋巴细胞浸润,增强肿瘤免疫应答,而TLSs提供有组织的免疫微环境,进一步支持抗肿瘤免疫。目前的研究往往从相对独立的角度强调hev或TLSs的免疫调节作用,忽视了两者在时空上是一个相互作用、统一的系统。本文系统地探讨了肿瘤相关高内皮小静脉(TA-HEVs)和TLSs在其发育、组织和功能方面的相互依存和相互作用。从综合的角度来看,它强调了当前旨在诱导肿瘤内hev和TLSs以提高免疫治疗效果的药理学策略。最后,综述讨论了未来对HEV形成的潜在分子机制、HEV检测方法和精确靶向治疗的发展以调节HEV/TLS形成的展望。
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引用次数: 0
AI-powered vaccine breakthroughs: Targeting pancreatic cancer with neoantigens and combination therapies 人工智能疫苗突破:用新抗原和联合疗法靶向胰腺癌。
IF 9.7 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.bbcan.2025.189484
Jiaxin Zhang , Lin Xiao , Yueshui Zhang , Gang Jin , Kailian Zheng
The five-year survival rate for Pancreatic Ductal Adenocarcinoma (PDAC) remains below 10 %, primarily due to the limited efficacy of conventional chemotherapy and immune checkpoint inhibitors against its triple-immune-sequestered, low-TMB tumor microenvironment(TME). This situation has been furter exacerbated by the stagnation of traditional vaccine development, driven by inefficient antigen screening and high tumor heterogeneity.
Artificial intelligence (AI) exhibits remarkable advantages in the design of pancreatic ductal adenocarcinoma (PDAC) vaccines. It can integrate multi – omics data to efficiently unearth cryptic neoantigens from low - tumor mutation burden (TMB) samples, significantly enhancing the screening efficiency. Through dynamic modeling, AI can rationally plan the timing of combined vaccine therapies, effectively reducing the degree of T - cell exhaustion. By leveraging the digital twin model, AI can remarkably improve the matching accuracy between antigens and human leukocyte antigen (HLA). Additionally, it can construct a monitoring system to provide early warnings of antigen loss risks, thus gaining adjustment time for clinical treatments.This review aims to accomplish three primary objectives: demonstrate AI's potential in breaking the therapeutic impasse to overcome manufacturing-related treatment delays for 25–30 % of patients; further delineates the logical progression of AI from concept to clinical application; thereby provides a translational framework to bridge the gap between research and patient benefit.
胰腺导管腺癌(PDAC)的5年生存率仍然低于10% %,主要是由于常规化疗和免疫检查点抑制剂对其三重免疫隔离、低tmb肿瘤微环境(TME)的疗效有限。由于抗原筛选效率低下和肿瘤异质性高,传统疫苗开发停滞不前,进一步加剧了这种情况。人工智能(AI)在胰导管腺癌(PDAC)疫苗设计中表现出显著的优势。它可以整合多组学数据,有效地从低肿瘤突变负荷(TMB)样本中挖掘出隐性新抗原,显著提高了筛选效率。通过动态建模,AI可以合理规划联合疫苗治疗的时机,有效降低T细胞衰竭的程度。利用数字孪生模型,人工智能可以显著提高抗原与人类白细胞抗原(HLA)的匹配精度。构建监测系统,对抗原丢失风险进行早期预警,为临床治疗争取调整时间。本综述旨在实现三个主要目标:展示人工智能在打破治疗僵局方面的潜力,以克服25- 30% %患者与制造相关的治疗延迟;进一步描绘了人工智能从概念到临床应用的逻辑进程;从而提供了一个翻译框架,以弥合研究和患者利益之间的差距。
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引用次数: 0
Employing bacteriophages to combat cancer 利用噬菌体来对抗癌症
IF 9.7 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.bbcan.2025.189485
Alicja Węgrzyn , Sylwia Bloch , Grzegorz Węgrzyn
Bacteriophages are viruses infecting bacterial cells; therefore, their application in cancer research may initially appear counterintuitive. Nevertheless, bacteriophages have been employed in the development of numerous advanced biotechnological tools, which has led to the emergence of multiple approaches utilizing them for improved cancer diagnostics and novel therapeutic strategies. Unlike other recently published reviews in this field, this paper does not emphasize technological principles or focus on specific cancer type. Instead, we provide a broad overview of innovative concepts and highlight recent advances in the use of bacteriophages in anti-cancer research. In particular, we discuss their roles in: (i) early cancer diagnosis and detection of tumorigenic mutations, (ii) elimination of bacteria that promote carcinogenesis and modulation of the microbiome influencing tumor growth, (iii) development of anti-cancer vaccines, (iv) modulation of cancer-related immune responses, (v) targeted delivery of anti-cancer drugs, and (vi) genetic modification of cancer cells through therapeutic DNA delivery.
噬菌体是感染细菌细胞的病毒;因此,它们在癌症研究中的应用最初可能看起来违反直觉。尽管如此,噬菌体已被用于许多先进生物技术工具的开发,这导致了多种方法的出现,利用它们来改进癌症诊断和新的治疗策略。与该领域最近发表的其他评论不同,这篇论文没有强调技术原理或专注于特定的癌症类型。相反,我们提供了创新概念的广泛概述,并强调了噬菌体在抗癌研究中使用的最新进展。我们特别讨论了它们在以下方面的作用:(i)早期癌症诊断和致瘤突变检测,(ii)消除促进致癌和调节影响肿瘤生长的微生物组的细菌,(iii)开发抗癌疫苗,(iv)调节癌症相关免疫反应,(v)靶向递送抗癌药物,以及(vi)通过治疗性DNA递送对癌细胞进行遗传修饰。
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引用次数: 0
Immune archetypes TIME classification system for nasopharyngeal carcinoma: A new direction for precision immunotherapy 鼻咽癌免疫原型TIME分类系统:精准免疫治疗的新方向
IF 9.7 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.bbcan.2025.189487
Fei Lu , Xueqi Bai , Zihan Lv , Wenling Zhang
In the complex tumor immune microenvironment (TIME), tumor cells are typically surrounded by host immune components that can either suppress or promote tumor progression. The stromal compartment usually responds to tumor cells through inflammatory processes, often reflecting a single immune state or class. This pattern is also observed in the tumor microenvironment (TME) of nasopharyngeal carcinoma (NPC). However, recent advances in single-cell profiling have revealed that multiple distinct immune states can coexist around NPC tissues. In this review, we delineate and classify the immune “archetypes” of TMEs in NPC—defined as cellular assemblages and gene expression profiles that are characteristic and recurrent at the bulk tumor level. We further summarize studies suggesting that NPC TMEs can be broadly categorized into 11 major immune archetypes. Considering their potential evolutionary origins and functional roles, these archetypes appear to be associated with specific vulnerabilities within the TME, which may be exploited as therapeutic targets. Such insights may provide novel strategies for NPC treatment, thereby enhancing patient outcomes and improving prognosis.
在复杂的肿瘤免疫微环境(TIME)中,肿瘤细胞通常被宿主免疫成分包围,这些免疫成分可以抑制或促进肿瘤的进展。间质室通常通过炎症过程对肿瘤细胞作出反应,通常反映单一的免疫状态或类别。在鼻咽癌(NPC)的肿瘤微环境(TME)中也观察到这种模式。然而,单细胞分析的最新进展表明,多种不同的免疫状态可以在鼻咽癌组织周围共存。在这篇综述中,我们描述并分类了npc中TMEs的免疫“原型”——定义为细胞组合和基因表达谱,这些细胞组合和基因表达谱在大肿瘤水平上具有特征性和复发性。我们进一步总结研究表明,NPC TMEs可大致分为11种主要的免疫原型。考虑到它们潜在的进化起源和功能角色,这些原型似乎与TME内的特定脆弱性有关,这些脆弱性可能被用作治疗靶点。这些见解可能为鼻咽癌治疗提供新的策略,从而提高患者的预后。
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引用次数: 0
Posttranslational modifications in Helicobacter pylori-associated gastric pathogenesis: Bridging inflammation and carcinogenesis 幽门螺杆菌相关胃发病机制的翻译后修饰:桥接炎症和癌变。
IF 9.7 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.bbcan.2025.189492
Wei Li , Tong Liu , Tianhua Wu , Ting Cai , Fen Wang , Minglin Zhang
Helicobacter pylori (H. pylori), a Group I carcinogen that affects approximately half of the global population, is the primary aetiological agent of chronic gastritis, peptic ulcers, gastric adenocarcinoma, and gastric mucosa-associated lymphoid tissue lymphoma. Its pathogenesis involves intricate interactions among bacterial virulence factors, host genetics, and environmental factors. We detail the critical role of diverse protein posttranslational modifications (PTMs) in mediating H. pylori-induced gastric mucosal damage and carcinogenesis. We describe how H. pylori exploits and dysregulates a broad spectrum of host and bacterial PTMs (encompassing acetylation, ubiquitination, S-nitrosylation, disulfide bond formation, citrullination, methylation, glycosylation, phosphorylation, SUMOylation, and ADP-ribosylation) to establish infection, evade immune responses, drive chronic inflammation, and promote malignant transformation. Collectively, these findings reveal a complex, multilayered PTM network that is central to H. pylori pathogenesis. Understanding these mechanisms provides crucial insights for the development of novel diagnostic biomarkers; methylation profiles; anti-citrullinate keratin 1 (Cit-K1) antibodies, maps of PTM dynamics; targeted therapeutic strategies, including PTM enzyme inhibitors, antivirulence agents such as H. pylori disulfide bond-forming protein A inhibitors, epigenetic modulators, glycoconjugate vaccines/adhesion blockers, and optimized drug delivery systems such as N-acetylcysteine liposomes. Furthermore, this knowledge supports improved risk stratification for managing persistent cancer risk even after eradication.
幽门螺杆菌(h.p ylori)是一类致癌物,影响全球大约一半的人口,是慢性胃炎、消化性溃疡、胃腺癌和胃粘膜相关淋巴组织淋巴瘤的主要病因。其发病机制涉及细菌毒力因素、宿主遗传和环境因素之间复杂的相互作用。我们详细介绍了多种蛋白质翻译后修饰(PTMs)在介导幽门螺杆菌诱导的胃粘膜损伤和癌变中的关键作用。我们描述了幽门螺杆菌如何利用和失调宿主和细菌的广谱PTMs(包括乙酰化、泛素化、s -亚硝基化、二硫键形成、瓜氨酸化、甲基化、糖基化、磷酸化、sumo酰化和adp核糖基化)来建立感染、逃避免疫反应、驱动慢性炎症和促进恶性转化。总的来说,这些发现揭示了一个复杂的、多层的PTM网络是幽门螺杆菌发病机制的核心。了解这些机制为开发新的诊断性生物标志物提供了重要的见解;甲基化配置文件;抗瓜氨酸角蛋白1 (Cit-K1)抗体,PTM动态图;靶向治疗策略,包括PTM酶抑制剂、抗毒剂(如幽门螺杆菌二硫键形成蛋白A抑制剂)、表观遗传调节剂、糖结合疫苗/粘附阻滞剂以及优化的药物递送系统(如n -乙酰半胱氨酸脂质体)。此外,这一知识支持改进风险分层,以管理即使在根除后持续的癌症风险。
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引用次数: 0
Rewiring PD-1/PD-L1 combination therapy via glyco-immune targeting of galectins: Toward clinical translation 通过糖免疫靶向凝集素重组PD-1/PD-L1联合治疗:走向临床转化
IF 9.7 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.bbcan.2025.189496
Xiangyu Huang, Si Zhang, Jiale Li, She Chen
Despite advances in PD-1/PD-L1 combination therapies, clinical benefits remain limited and toxicity is significant. Galectins, a family of β-galactoside-binding lectins, have emerged as mechanistically distinct, multimodal targets with the potential to address these limitations. By modulating glycan–protein networks in the tumor microenvironment, galectin inhibition alleviates T cell exclusion, immune exhaustion, immunosuppressive cell activation, and steric blockade of PD-(L)1 antibodies. Several galectin inhibitors (e.g., GR-MD-02, GB1211, LYT-200) are under clinical evaluation. Early trials showing encouraging efficacy-toxicity profiles and some combinations received FDA Fast Track designations. This review summarizes mechanistic and clinical advances and highlights their translational implications for galectin-targeted combination therapies.
尽管PD-1/PD-L1联合疗法取得了进展,但临床获益仍然有限,毒性也很明显。半乳糖凝集素是β-半乳糖苷结合凝集素的一个家族,已成为具有解决这些局限性潜力的机制独特的多模式靶点。通过调节肿瘤微环境中的聚糖-蛋白网络,半乳糖凝集素抑制可减轻T细胞排斥、免疫衰竭、免疫抑制细胞激活和PD-(L)1抗体的位阻。几种凝集素抑制剂(如GR-MD-02、GB1211、LYT-200)正在临床评估中。早期试验显示了令人鼓舞的药效-毒性特征和一些组合获得了FDA的快速通道指定。本文综述了半乳糖凝集素靶向联合治疗的机制和临床进展,并强调了它们的转化意义。
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Biochimica et biophysica acta. Reviews on cancer
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