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Multifaceted roles of mycobacterial HflX: ribosome splitting, rRNA disordering, and drug resistance. 分枝杆菌HflX的多面作用:核糖体分裂、rRNA紊乱和耐药性。
IF 4.3 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-20 DOI: 10.1042/BST20253084
Soneya Majumdar, Pallavi Ghosh, Rajendra K Agrawal

High frequency of lysogenization X (HflX) is an enigmatic protein that has been implicated in rescuing translationally stalled ribosomes and macrolide-lincosamide antibiotic resistance, as well as in ribosome biogenesis. The protein shows significant sequence and structural variation across species, including variation among paralogs within the same organism. Recent cryo-EM structure determination of ribosome-HflX complexes from different eubacterial species has provided important mechanistic clues to HflX function. Mycobacterial HflXs carry a distinct N-terminal extension (NTE) and a small insertion, as compared with their eubacterial homologs, suggesting that the mycobacterial HflX could have distinct functional mechanisms. This article presents a brief overview of these studies highlighting (i) what we have learned from recent multiple mycobacterial ribosome-HflX complex structures and (ii) the roles of mycobacteria-specific segments in ribosomal RNA disordering that leads to ribosome splitting to rescue translation by removing the drug-bound stalled ribosome from the translationally active polysome pool. Future studies needed to resolve some of the outstanding issues related to HflX function and dynamics are also discussed.

高频率溶原X (HflX)是一种神秘的蛋白质,与挽救翻译停滞的核糖体和大环内酯-lincosamide抗生素耐药性以及核糖体生物发生有关。该蛋白在不同物种间表现出显著的序列和结构差异,包括在同一生物体内的同类之间的差异。最近对不同真细菌核糖体-HflX复合物的低温电镜结构测定为研究HflX功能提供了重要的机制线索。与真细菌同源物相比,分枝杆菌HflX携带一个独特的n端延伸(NTE)和一个小插入,这表明分枝杆菌HflX可能具有不同的功能机制。本文简要概述了这些研究,重点强调(i)我们从最近的多个分枝杆菌核糖体- hflx复合体结构中了解到的情况,以及(ii)分枝杆菌特异性片段在核糖体RNA紊乱中的作用,核糖体RNA紊乱导致核糖体分裂,通过从翻译活性多聚体池中去除药物结合的停滞核糖体来挽救翻译。本文还对HflX功能和动力学方面的一些突出问题进行了讨论。
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引用次数: 0
Control of epithelial homeostasis by apical polarity: it takes a network. 顶端极性对上皮稳态的控制:需要一个网络。
IF 4.3 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-18 DOI: 10.1042/BST20243002
Sophie A Lelièvre, Joséphine Briand

The maintenance of cell functions in response to various stimuli is fulfilled by tightly controlled homeostatic processes. The basoapical structure of normal epithelia is increasingly recognized as the guardian of homeostasis. It has recently been demonstrated that apical polarity, depicted by lateroapical tight junctions, is controlled by gap junctions and sets the resting membrane potential, itself essential for homeostasis, in the breast luminal epithelium. In the breast, the disruption of apical polarity is recognized as a necessary step toward cancer onset, which calls for a better understanding of its consequences on the mechanisms of homeostasis all the way to the genome. Here, we extend the traditional apical junctional complex to include gap junctions and investigate its relation with epigenetically- driven and higher order chromatin organization. The disruption of apical polarity affects different types of molecular networks that remodel chromatin with a tendency toward openness or relaxation, a status typically associated with instability and cancer onset. Events known to foster the development of cancers, such as chronic inflammation, oxidative stress, stiffer microenvironment, and aging, are all triggering the disruption of apical polarity, which leads us to explore possibilities to re-establish full polarity. Focusing on gap junction intercellular communication mediated by Connexin 43 might be an interesting therapeutic option for retinoic acid derivatives. However, in light of the different degrees of apical polarity loss, we surmise that the resulting chromatin alterations might depend on the way apical polarity is disrupted initially, which suggests that therapeutic combinations targeted also toward these alterations might be required.

对各种刺激的细胞功能的维持是通过严格控制的稳态过程来实现的。正常上皮的基顶结构越来越被认为是体内平衡的守护者。最近有研究表明,由侧根尖紧密连接描述的根尖极性由间隙连接控制,并设置静息膜电位,而静息膜电位本身对乳腺管腔上皮的稳态至关重要。在乳房中,顶端极性的破坏被认为是癌症发生的必要步骤,这需要更好地理解其对基因组内稳态机制的影响。在这里,我们将传统的顶端连接复合体扩展到包括间隙连接,并研究其与表观遗传驱动和高阶染色质组织的关系。顶端极性的破坏影响不同类型的分子网络,这些分子网络重塑染色质,使其倾向于开放或放松,这种状态通常与不稳定和癌症发病有关。已知的促进癌症发展的事件,如慢性炎症、氧化应激、僵硬的微环境和衰老,都引发了根尖极性的破坏,这促使我们探索重建完全极性的可能性。关注由connexin43介导的间隙连接细胞间通讯可能是维甲酸衍生物的一个有趣的治疗选择。然而,鉴于不同程度的根尖极性丧失,我们推测最终的染色质改变可能取决于根尖极性最初被破坏的方式,这表明可能需要针对这些改变的治疗组合。
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引用次数: 0
Anticancer drug development against ribosome synthesis and the nucleolus. 抗核糖体合成和核仁抗癌药物的开发。
IF 4.3 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-04 DOI: 10.1042/BST20253011
Andrew Loiacono, Sui Huang

Nucleoli, the most prominent nuclear organelle, form around ribosomal DNA (rDNA) clusters at the p-arms of the five acrocentric chromosomes. Nucleoli are centers of ribosome synthesis, a vital activity in cell proliferation and organism viability. Ribosome biogenesis is a complex process involving the activity of all three RNA polymerases and numerous cellular factors. This energy-consuming process is, therefore, highly regulated, with the transcription of rDNA being the rate-limiting step. Given that uncontrolled cell proliferation is a hallmark of cancer, enhanced ribosome biogenesis plays a crucial role in sustaining tumor growth. In addition, nucleoli are multi-functional organelles, participating in genome organization, cell cycle, stress sensing, macromolecular trafficking, and the sequestration of cellular factors-functions that are also significantly altered in cancerous conditions. This review focuses on summarizing the role of nucleoli in carcinogenesis and anticancer therapeutics that target nucleoli and ribosome synthesis.

核仁是最重要的核细胞器,形成在5条顶心染色体p臂的核糖体DNA (rDNA)簇周围。核仁是核糖体合成的中心,核糖体是细胞增殖和生物体生存的重要活动。核糖体的生物发生是一个复杂的过程,涉及所有三种RNA聚合酶和许多细胞因子的活性。因此,这个消耗能量的过程受到高度调控,rDNA的转录是限速步骤。鉴于不受控制的细胞增殖是癌症的一个标志,增强的核糖体生物发生在维持肿瘤生长中起着至关重要的作用。此外,核仁是多功能细胞器,参与基因组组织、细胞周期、应激感应、大分子运输和细胞因子的隔离,这些功能在癌症条件下也会发生显著改变。本文就核仁在肿瘤发生中的作用以及以核仁和核糖体合成为靶点的抗癌治疗方法作一综述。
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引用次数: 0
Redesigning miR-34a: structural and chemical advances in the therapeutic development of an miRNA anti-cancer agent. 重新设计miR-34a: miRNA抗癌药物治疗发展中的结构和化学进展。
IF 4.3 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-04 DOI: 10.1042/BST20253010
Shreyas G Iyer, Ikjot S Sohal, Andrea L Kasinski

MicroRNAs (miRNAs) represent a promising class of therapeutics due to their ability to down-regulate multiple genes simultaneously. This offers a significant therapeutic advantage in cancer, where heterogeneity often activates different pathways in different patients. Chemical modifications to the miRNA help overcome challenges associated with nuclease susceptibility, high immunogenicity, and the need for high or repeated dosing to achieve therapeutic effects. The main chemical modifications include changes to the ribose and backbone. Ribose modifications, including 2'-O-methyl and 2'-fluoro, improve nuclease resistance and plasma stability and lower the immunogenicity of the miRNA. Phosphorothioate (PS) backbone modifications increase resistance to nucleases and prolong circulation by enhancing serum protein affinity. Integrating these stabilizing chemical modifications with ligand targeting allows for specific delivery of the chemically modified miRNAs to tumors and metastases, bypassing bulky delivery vehicles and improving penetration into dense tumor architectures. Enhancements to ligand chemistry can also overcome endosomal entrapment. Incorporating many of the modifications discussed in this mini-review, the first fully modified version of miR-34a (FM-miR-34a) was developed, marking a significant milestone as the first fully modified miRNA to demonstrate substantial in vivo activity. Ongoing optimization of the chemical modifications and ligand chemistry, and integrating artificial intelligence into the design process are expected to further extend the potential for delivering on the promise of using these Nobel Prize-winning miRNAs as anti-cancer agents.

MicroRNAs (miRNAs)由于其同时下调多个基因的能力而成为一种很有前途的治疗药物。这为癌症提供了显著的治疗优势,在癌症中,异质性通常在不同的患者中激活不同的途径。对miRNA进行化学修饰有助于克服与核酸酶易感性、高免疫原性以及需要高剂量或重复剂量以达到治疗效果相关的挑战。主要的化学修饰包括核糖和主链的改变。核糖修饰,包括2'- o -甲基和2'-氟,提高了核酸酶抗性和血浆稳定性,降低了miRNA的免疫原性。硫代磷酸酯(PS)骨架修饰增加对核酸酶的抗性,并通过增强血清蛋白亲和力延长循环。将这些稳定的化学修饰与配体靶向结合起来,可以将化学修饰的mirna特异性地递送到肿瘤和转移灶,绕过笨重的递送载体,提高对致密肿瘤结构的渗透。配体化学的增强也可以克服内体包裹。结合本综述中讨论的许多修饰,第一个完全修饰的miR-34a (FM-miR-34a)被开发出来,标志着一个重要的里程碑,成为第一个完全修饰的miRNA,在体内显示出大量的活性。正在进行的化学修饰和配体化学的优化,以及将人工智能集成到设计过程中,有望进一步扩大使用这些诺贝尔奖得主mirna作为抗癌剂的潜力。
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引用次数: 0
Advances in mechanochemical modelling of vertebrate gastrulation. 脊椎动物原肠形成的力学化学模型研究进展。
IF 4.3 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-07-22 DOI: 10.1042/BST20240469
Alex M Plum, Mattia Serra, Cornelis J Weijer

Gastrulation is an essential process in the early embryonic development of all higher animals. During gastrulation, the three embryonic germ layers, the ectoderm, mesoderm and endoderm, form and move to their correct positions in the developing embryo. This process requires the integration of cell division, differentiation and movement of thousands of cells. These cell behaviours are coordinated through shortand long-range signalling and must involve feedback to execute gastrulation in a reproducible and robust manner. Mechanosensitive signalling pathways and processes are being uncovered, revealing that shortand long-range mechanical stresses integrate cell behaviours at the tissue and organism scale. Because the interactions between cell behaviours, signalling and feedback are complex, combining experimental and modelling approaches is necessary to elucidate the regulatory mechanisms that drive development. We highlight how recent experimental and theoretical studies provided key insights into mechanical feedback that coordinates relevant cell behaviours at the organism scale during gastrulation. We outline advances in modelling the mechanochemical processes controlling primitive streak formation in the early avian embryo and discuss future developments.

原肠胚形成是高等动物早期胚胎发育的重要过程。在原肠胚形成过程中,三个胚层,即外胚层、中胚层和内胚层形成并移动到发育中的胚胎中的正确位置。这个过程需要整合细胞分裂、分化和成千上万个细胞的运动。这些细胞行为是通过短距离和远距离的信号传导来协调的,并且必须涉及到以可重复和稳健的方式执行原肠胚形成的反馈。机械敏感信号通路和过程正在被发现,揭示了短期和长期机械应力在组织和生物尺度上整合细胞行为。由于细胞行为、信号和反馈之间的相互作用是复杂的,结合实验和建模方法来阐明驱动发育的调节机制是必要的。我们强调了最近的实验和理论研究如何为在原肠胚形成过程中协调相关细胞行为的机械反馈提供了关键见解。我们概述了控制早期鸟类胚胎原始条纹形成的机械化学过程建模的进展,并讨论了未来的发展。
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引用次数: 0
Why are imprints unstable in pluripotent stem cells? 为什么印迹在多能干细胞中不稳定?
IF 4.3 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-07-17 DOI: 10.1042/BST20243003
Maria Arez, Simão Teixeira da Rocha

Pluripotent stem cells (PSCs) possess the remarkable ability to self-renew and differentiate into nearly any cell type, making them invaluable for both research and therapeutic applications. Despite these powerful attributes, PSCs are vulnerable to genetic and epigenetic instabilities that can undermine their reliability and safety. While genetic abnormalities can be routinely monitored with established guidelines, epigenetic instabilities often go unchecked. Among the most recurrent epigenetic defects in PSCs are errors in genomic imprinting - a process that governs parent-of-origin-specific monoallelic expression of certain genes through differential marking of the two parental alleles by DNA methylation. When disrupted, it becomes a source of a dozen developmental conditions known as imprinting diseases. In PSCs, once imprinting errors arise, they remain throughout cellular differentiation, casting uncertainty over the use of PSC-derived cells for disease modelling and regenerative medicine. In this review, we provide an overview of imprinting defects in both mouse and human PSCs, delving into their origins and consequences. We also discuss potential correction strategies that aim to enhance imprinting stability, ultimately paving the way for safer, more reliable PSC use in research and clinical applications.

多能干细胞(PSCs)具有显著的自我更新和分化成几乎任何细胞类型的能力,使其在研究和治疗应用中都具有不可估量的价值。尽管具有这些强大的特性,但psc容易受到遗传和表观遗传不稳定性的影响,从而破坏其可靠性和安全性。虽然遗传异常可以通过既定的指导方针进行常规监测,但表观遗传不稳定性往往得不到控制。在psc中最常见的表观遗传缺陷是基因组印记错误,这是一个通过DNA甲基化对两个亲本等位基因进行差异标记来控制某些基因的亲本特异性单等位基因表达的过程。一旦被破坏,它就会成为一打发育疾病的根源,这些疾病被称为印记疾病。在psc中,一旦印记错误出现,它们就会在整个细胞分化过程中持续存在,这给psc衍生细胞用于疾病建模和再生医学带来了不确定性。在这篇综述中,我们提供了小鼠和人类psc中印迹缺陷的概述,深入研究了它们的起源和后果。我们还讨论了旨在提高印迹稳定性的潜在校正策略,最终为PSC在研究和临床应用中更安全、更可靠的使用铺平道路。
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引用次数: 0
Progress in recapitulating morphogenesis of blood microvascular structures for microphysiological systems development. 微生理系统发育中血液微血管结构形态发生概述的研究进展。
IF 4.3 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-07-17 DOI: 10.1042/BST20240572
Ana Ximena Monroy-Romero, Mathieu Hautefeuille

Microphysiological systems (MPSs) are complex cell culture platforms, designed to closely replicate the cellular microenvironment of tissues under physiopathological conditions. A critical aspect of these systems is the integration of a vascular network, which facilitates nutrient exchange, supports heterotypic cell interactions, and increases culture viability. A top-down engineering approach, where a prefabricated scaffold is used to introduce endothelial cells, has been widely employed. However, promoting self-organization through a bottom-up paradigm has proven more effective in recapitulating the geometric features of microvasculature, particularly the network nature of it as the capillary diameters. In vivo vasculature formation occurs primarily through two self-organization processes: vasculogenesis and angiogenesis. These processes follow a series of co-ordinated and regulated steps, driven by microenvironmental cues such as cell identity and heterogeneity, soluble factor distribution, extracellular matrix composition and mechanics, and flow-induced mechanical strains. By incorporating these parameters into in vitro platforms, researchers can develop physiologically relevant vascularized MPS for applications in drug development and disease modeling. This review explores the key mechanisms underlying vascular self-organization and highlights how they are being integrated into tissue-specific MPS platforms to achieve vascularization, which enhances the potential of MPS for studying various physiological and pathological processes.

微生理系统(MPSs)是复杂的细胞培养平台,旨在密切复制组织在生理病理条件下的细胞微环境。这些系统的一个关键方面是血管网络的整合,它促进了营养交换,支持异型细胞相互作用,并提高了培养活力。一种自上而下的工程方法,即使用预制支架引入内皮细胞,已被广泛采用。然而,通过自下而上的范式促进自组织已被证明更有效地概括了微血管的几何特征,特别是它作为毛细血管直径的网络性质。体内脉管系统的形成主要通过两个自组织过程:血管生成和血管生成。这些过程遵循一系列协调和调节的步骤,由微环境线索驱动,如细胞身份和异质性,可溶性因子分布,细胞外基质组成和力学,以及流动诱导的机械应变。通过将这些参数整合到体外平台中,研究人员可以开发出与生理相关的血管化MPS,用于药物开发和疾病建模。本文探讨了血管自组织的关键机制,并强调了它们如何被整合到组织特异性MPS平台中以实现血管化,这增强了MPS研究各种生理和病理过程的潜力。
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引用次数: 0
The fantastic voyage: primordial germ cell migration through the developing mouse embryo. 奇妙的旅程:原始生殖细胞通过发育中的小鼠胚胎迁移。
IF 4.3 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-07-17 DOI: 10.1042/BST20253009
Katharine Goodwin

During the early stages of embryonic development, a small population of cells is set aside to form the germline. These primordial germ cells (PGCs) are often specified separate in time and space from their eventual home, the developing gonads. PGCs must therefore undertake a journey through the developing tissues of the embryo to reach their destination and ensure the fertility of the organism. Despite decades of interest in this topic and significant progress made in other model organisms, there is still very little known about how this migration is accomplished in the mouse or any other mammal. In this review, I explore over half a century of work examining this enigmatic cell and its voyage through the mouse embryo, interpreting these findings in light of recent discoveries in the field of cell migration. I discuss possible migration modes used by mouse PGCs, changes in their microenvironment that could influence migration, and roles the nucleus might play in their journey. With modern advances in microscopy and transgenic reporter mice, it is time to delve into this fascinating and important model of cell migration in vivo.

在胚胎发育的早期阶段,一小部分细胞被保留下来形成生殖系。这些原始生殖细胞(PGCs)通常在时间和空间上与它们最终的家园——发育中的性腺——分开。因此,PGCs必须通过胚胎的发育组织进行旅程,以到达目的地并确保生物体的生育能力。尽管几十年来人们对这个话题很感兴趣,并且在其他模式生物中也取得了重大进展,但对于这种迁移是如何在小鼠或任何其他哺乳动物中完成的,人们仍然知之甚少。在这篇综述中,我探索了半个多世纪以来研究这种神秘细胞及其在小鼠胚胎中的旅程的工作,并根据细胞迁移领域的最新发现来解释这些发现。我讨论了小鼠PGCs可能使用的迁移模式,可能影响迁移的微环境的变化,以及细胞核在其迁移过程中可能发挥的作用。随着现代显微镜和转基因报告小鼠的进步,是时候深入研究这种迷人而重要的体内细胞迁移模型了。
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引用次数: 0
DIG-DUBs: mechanisms and functions of ISG15 deconjugation by human and viral cross-reactive ubiquitin proteases. digg - dubs:人类和病毒交叉反应性泛素蛋白酶解ISG15的机制和功能。
IF 4.3 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-07-09 DOI: 10.1042/BST20240859
Thomas Bonacci, Michael J Emanuele

Interferon-stimulated gene 15 (ISG15) is a ubiquitin-like protein and, as such, acts as a post-translational modifier that plays a critical role during bacterial and viral infections after interferon (IFN) production. As part of the innate immune system, ISG15 is strongly induced by type I IFNs, and its conjugation to intracellular proteins and viral proteins (ISGylation) allows cells to fight off infection. Importantly, ISGylation is a reversible process that is largely mediated by the cysteine protease USP18 (Ubp43 in mice). As a multifaceted protein, USP18 is a major negative regulator of IFN signaling and the predominant deISGylating enzyme in humans. However, in recent years, additional proteases such as USP16 and USP24 have been reported to also mediate ISG15 hydrolysis. Moreover, coronaviruses and other viral pathogens often encode proteases that possess deISGylating activity, which promotes viral infection by antagonizing ISGylation. Here, we review various enzymes and modes of action employed by human and viral proteases to regulate deISGylation under physiological or pathogenic conditions.

干扰素刺激基因15 (ISG15)是一种泛素样蛋白,作为翻译后修饰因子,在干扰素(IFN)产生后的细菌和病毒感染过程中发挥关键作用。作为先天免疫系统的一部分,ISG15受I型ifn的强烈诱导,其与细胞内蛋白和病毒蛋白的结合(isg酰化)允许细胞抵抗感染。重要的是,isg酰化是一个可逆过程,主要由半胱氨酸蛋白酶USP18(小鼠中的Ubp43)介导。作为一个多面蛋白,USP18是IFN信号的主要负调控因子,也是人类主要的去isgyylation酶。然而,近年来,其他蛋白酶如USP16和USP24也被报道介导ISG15的水解。此外,冠状病毒和其他病毒病原体通常编码具有去isgyylation活性的蛋白酶,其通过拮抗isgyylation促进病毒感染。在这里,我们回顾了人类和病毒蛋白酶在生理或致病条件下调节去isg酰化的各种酶和作用模式。
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引用次数: 0
Effects and regulation of ACE2 and TMPRSS2 abundance in healthy humans and in patients with SARS-CoV-2. ACE2和TMPRSS2在健康人及SARS-CoV-2患者中的影响及调控
IF 4.3 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-07-08 DOI: 10.1042/BST20241052
Marie Lykke Bach, Boye L Jensen

The present narrative review focuses on organ distribution, co-localization, age-, and sex-dependent changes in angiotensin-converting enzyme 2 (ACE2) and transmembrane serine protease 2 (TMPRSS2) and how such changes associate with SARS-CoV-2 virus entry and disease severity in humans. ACE2 is a membrane-bound enzyme with lower abundance in children/young adults compared with elderly, with no protein abundance difference between ages 35-50 and >80 but higher in females at reproductive age. ACE2 locates predominantly in gastrointestinal (GI)-tract epithelia, kidney proximal tubules, male and female reproductive organs with very low levels in the lungs. Estrogen upregulates ACE2, which can be shed from cells into plasma by, for example ADAM17, while remaining active. TMPRSS2 is a membrane-associated serine protease with androgen dependence. The highest levels in humans are found in male reproductive organs, kidney, and GI-tract. Co-localization with ACE2 in alveolar type 2 cells is based mostly on in vitro studies. Documentation of clustering of ACE2 and TMPRSS2 in human tissues is scarce and best in oral-pharyngeal mucosa. In patients with mild-to-serious COVID-19 disease, there is no consistent change in circulating renin, aldosterone, ACE and ACE2 activities, angiotensin II (ANGII), and Ang1-7. Increased ANGII levels are reported in critically ill patients, while ACE2 is massively present in urine. Use of RAAS inhibitors is not associated with negative outcomes in patients with COVID-19. In conclusion, co-localization of ACE2 and TMPRSS2 in oral and airway epithelia may explain the primary route of infection for SARS-CoV-2 virus. Higher risk for serious disease in elderly males may not be accounted for by quantitative changes in the proteins.

本文综述了血管紧张素转换酶2 (ACE2)和跨膜丝氨酸蛋白酶2 (TMPRSS2)的器官分布、共定位、年龄和性别依赖性变化,以及这些变化与人类SARS-CoV-2病毒侵入和疾病严重程度的关系。ACE2是一种膜结合酶,与老年人相比,其在儿童/年轻人中的丰度较低,在35-50岁和80岁之间没有蛋白丰度差异,但在育龄女性中较高。ACE2主要位于胃肠道上皮、肾近端小管、男性和女性生殖器官,肺中含量极低。雌激素上调ACE2,而ACE2可以通过ADAM17等途径从细胞转移到血浆中,同时保持活性。TMPRSS2是一种具有雄激素依赖性的膜相关丝氨酸蛋白酶。人体中含量最高的是男性生殖器官、肾脏和胃肠道。ACE2在肺泡2型细胞中的共定位主要基于体外研究。关于ACE2和TMPRSS2在人体组织中聚集的文献很少,并且在口腔-咽粘膜中表现最好。在轻至重度COVID-19患者中,循环肾素、醛固酮、ACE和ACE2活性、血管紧张素II (ANGII)和Ang1-7没有一致的变化。据报道,危重患者ANGII水平升高,而ACE2大量存在于尿液中。使用RAAS抑制剂与COVID-19患者的负面结果无关。综上所述,ACE2和TMPRSS2在口腔和气道上皮中的共定位可能解释了SARS-CoV-2病毒感染的主要途径。老年男性患严重疾病的高风险可能无法用蛋白质的数量变化来解释。
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