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Antidepressant-Like Effects of Intracerebroventricular Injection of Nociceptin Analogs in Mice. 脑室注射痛觉肽类似物对小鼠的抗抑郁作用。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b24-00832
Osamu Nakagawasai, Kohei Takahashi, Futa Kuroda, Akihiro Ambo, Mayu Abe, Wataru Nemoto, Koichi Tan-No

Opioid receptors and their endogenous ligands are novel targets for the treatment of depression. The nociception (NOP) receptor is structurally similar to the opioid receptor, but NOP is known to have a low affinity for the opioid receptor subtypes μ, δ, and κ. In previous studies, we synthesized peptides with a high affinity for opioid receptors and investigated their antidepressant-like effects in mice. However, we have not yet examined whether NOP-related analogs have antidepressant-like effects. Herein, we synthesized NOP analogs (peptide-1-peptide-8) by solid-phase peptide synthesis using the 9-fluorenylmethyloxycarbony (Fmoc) method with Acetyl-Arg-Tyr-Tyr-Arg-Ile-Arg-NH2 (Ac-RYYRIR-NH2) as the lead compound. We examined the affinities and antagonistic activities of the analogs for the NOP receptor using receptor-binding and mouse vas deferens assays, and their effects on the duration of immobile behavior in a tail suspension test. Peptide-6 showed a high affinity and antagonistic activity for the NOP receptor. The intracerebroventricular administration of peptide-6 in mice shortened the duration of immobile behavior, whereas the co-administration of NOP inhibited this effect. Moreover, intracerebroventricular administration of the selective NOP receptor antagonist J-113397 showed antidepressant-like effects in mice. These data suggest that peptide-6 exerts an antidepressant-like effect via inactivation of the central NOP receptor in mice and may represent a lead compound for the development of antidepressant drugs in the future.

阿片受体及其内源性配体是治疗抑郁症的新靶点。痛觉(NOP)受体在结构上与阿片受体相似,但已知NOP对阿片受体亚型μ、δ和κ的亲和力较低。在之前的研究中,我们合成了对阿片受体具有高亲和力的肽,并研究了它们在小鼠体内的抗抑郁样作用。然而,我们还没有研究nop相关的类似物是否有抗抑郁的作用。本研究采用9-氟酰甲基氧羰基(Fmoc)法,以乙酰-精氨酸-酪氨酸-酪氨酸-精氨酸-赖氨酸-赖氨酸-氨2 (ac - ryyrir -氨2)为先导化合物,采用固相多肽法合成NOP类似物(肽-1-肽-8)。我们通过受体结合和小鼠输精管实验检测了NOP受体类似物的亲和力和拮抗活性,并在悬尾试验中检测了它们对静止行为持续时间的影响。肽-6对NOP受体具有较高的亲和力和拮抗活性。小鼠脑室内给药肽-6缩短了不活动行为的持续时间,而同时给药NOP则抑制了这一作用。此外,在小鼠脑室内给予选择性NOP受体拮抗剂J-113397具有抗抑郁样作用。这些数据表明,肽-6通过使小鼠中枢NOP受体失活而发挥抗抑郁样作用,可能是未来抗抑郁药物开发的先导化合物。
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引用次数: 0
Development of Low-Density Lipoprotein Receptor-Targeted Liposomes for Enhanced Accumulation in Ischemia/Reperfusion Environment. 低密度脂蛋白受体靶向脂质体在缺血/再灌注环境中增强积累的研究进展。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b25-00118
Shintaro Yoneda, Kentaro Kogure

Cerebral ischemia/reperfusion (I/R) injury caused by resumed blood flow to an infarcted area contributes to poor patient prognosis due to a lack of treatment strategies. While the blood-brain barrier (BBB) is the greatest barrier for drug delivery to the brain, temporary disruption to the BBB after brain I/R injury allows for delivery of cerebroprotective drug-encapsulated nanoparticles into the brain parenchyma. However, issues remain with delivering drugs to the I/R region using nanoparticles, such as the limited therapeutic time window due to BBB repair over time. To overcome these challenges, we developed nanoparticles specifically targeting the I/R environment. Human umbilical vein endothelial cells (HUVECs) were exposed to oxygen-glucose deprivation/reoxygenation (OGD/R), an in vitro I/R model. Low-density lipoprotein receptor (LDLR) mRNA was upregulated early during the reoxygenation process. Furthermore, immunostaining of OGD/R-treated cells showed an increase in LDLR expression. Next, we constructed a peptide that mimics the LDLR binding recognition site on LDL, and modified liposomes to display the peptide on their surface. Peptide-modified liposomes showed targeting ability to the LDLR on cells. Accumulation of peptide-modified liposomes was significantly increased in OGD/R treated cells compared with controls, and was reduced by blocking LDLR using its antibody. These results demonstrate upregulation of LDLR and LDLR-mediated liposome uptake in OGD/R stressed cells. In conclusion, LDLR binding recognition site mimicking peptide-modified liposomes are a useful drug carrier that can recognize I/R injured endothelial cells.

由于缺乏治疗策略,脑缺血/再灌注(I/R)损伤引起的脑缺血/再灌注损伤导致患者预后不良。虽然血脑屏障(BBB)是药物输送到大脑的最大屏障,但脑I/R损伤后血脑屏障的暂时破坏允许脑保护药物包裹纳米颗粒进入脑实质。然而,使用纳米颗粒将药物输送到I/R区域仍然存在问题,例如由于血脑屏障随着时间的推移而修复,治疗时间窗口有限。为了克服这些挑战,我们开发了专门针对I/R环境的纳米颗粒。人脐静脉内皮细胞(HUVECs)暴露于氧-葡萄糖剥夺/再氧化(OGD/R),这是一种体外I/R模型。低密度脂蛋白受体(LDLR) mRNA在复氧过程早期表达上调。此外,OGD/ r处理的细胞免疫染色显示LDLR表达增加。接下来,我们构建了一种模拟LDL上LDLR结合识别位点的肽,并对脂质体进行了修饰,使其在其表面显示肽。肽修饰脂质体对细胞上的LDLR具有靶向性。与对照组相比,OGD/R处理的细胞中肽修饰脂质体的积累显著增加,并通过使用其抗体阻断LDLR而减少。这些结果表明,在OGD/R应激细胞中,LDLR和LDLR介导的脂质体摄取上调。综上所述,模拟肽修饰的LDLR结合识别位点脂质体是一种有用的药物载体,可以识别I/R损伤的内皮细胞。
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引用次数: 0
Action-at-a-Distance Mutations Induced by the True Abasic Site, Uracil, and Nicks: Unexpectedly Lower Mutagenicity of the True Abasic Site. 真基位点、尿嘧啶和尼克斯诱导的远距离作用突变:真基位点的致突变性出乎意料地低。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b25-00366
Tetsuya Suzuki, Kiyoharu Yasui, Hiroki Takata, Yasuo Komatsu, Hiroyuki Kamiya

A major oxidized base, 8-oxo-7,8-dihydroguanine (GO, 8-hydroxyguanine), is involved in cancer initiation. GO induces untargeted base substitution (action-at-a-distance) mutations as well as targeted G→T transversions in human cells. Uracil also induces similar untargeted mutations. An abasic site is the common product of their specific DNA glycosylases (OGG1 and UNG2, respectively) and is an expected intermediate of the untargeted mutation pathway. Subsequently, the DNA strand is nicked by AP endonuclease. In this study, a shuttle plasmid containing a true (natural) abasic site was introduced into human U2OS cells. The frequency of action-at-a-distance mutations was much lower for the abasic site than that for uracil, although the abasic site is considered the mutational intermediate of the latter. Moreover, nicked DNA containing a 5'-phosphate induced untargeted mutations less frequently than that without a 5'-phosphate, and their mutation frequencies were much higher than that of the abasic site. The unexpectedly low mutagenic potential of the true abasic site suggests that the mechanism of action-at-a-distance mutations is complex.

一个主要的氧化碱,8-氧-7,8-二氢鸟嘌呤(GO, 8-羟基鸟嘌呤),参与了癌症的发生。氧化石墨烯在人类细胞中诱导非靶向碱基置换(远距离作用)突变以及靶向G→T转化。尿嘧啶也能诱导类似的非靶向突变。一个基本位点是它们特定DNA糖基酶(分别为OGG1和UNG2)的共同产物,是非靶向突变途径的预期中间产物。随后,DNA链被AP内切酶切割。在本研究中,将一个含有真(天然)碱基位点的穿梭质粒引入人U2OS细胞。尽管基础位点被认为是后者的突变中间体,但与尿嘧啶相比,其近距离作用突变的频率要低得多。此外,含有5'-磷酸的缺口DNA诱导非靶向突变的频率低于不含5'-磷酸的缺口DNA,其突变频率远高于基础位点的突变频率。真正的基本位点出乎意料的低致突变潜能表明,远距离作用突变的机制是复杂的。
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引用次数: 0
Risk Factors for Delirium in Patients with Acute Heart Failure: A Systematic Review and Meta-Analysis. 急性心力衰竭患者谵妄的危险因素:系统回顾和荟萃分析。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b24-00870
Tetsushi Kawazoe, Tomoaki Ishida, Kohei Jobu, Kei Kawada, Shumpei Morisawa, Junko Tomida, Naomi Iihara, Yoichi Kawasaki, Yukihiro Hamada

Delirium is an acute, potentially life-threatening condition characterized by altered attention, disorganized thinking, and changes in consciousness. It frequently occurs in hospitalized patients with acute heart failure (AHF). In this meta-analysis, we aimed to identify risk factors for delirium in patients with AHF (AHF-D). We evaluated all original studies on delirium occurrence in patients hospitalized for AHF. On March 11, 2024, we searched PubMed, Scopus, Ichushi, and the Cochrane Library. Data extracted included: first author's name, publication year, inclusion/exclusion criteria, study design, delirium assessment methods, odds ratios with 95% confidence intervals, standardized mean differences, and other relevant findings. Of 2436 screened studies, 6 met eligibility criteria (3867 patients with AHF; 796 with delirium [20.6%] and 3071 without). Risk factors for AHF-D included older age; low body mass index; the use of mechanical ventilation/noninvasive positive pressure ventilation; comorbidities (previous stroke, dementia, and depression); use of antipsychotics and benzodiazepines; and laboratory findings on admission (elevated heart rate, B-type natriuretic peptide, blood urea nitrogen, serum creatinine, and low serum albumin and sodium levels). We identified 14 risk factors for AHF-D. These findings may help clinicians identify patients at high risk of developing AHF prior to delirium onset.

谵妄是一种急性的、可能危及生命的疾病,其特征是注意力改变、思维混乱和意识改变。它经常发生在急性心力衰竭(AHF)住院患者。在这项荟萃分析中,我们旨在确定AHF (AHF- d)患者谵妄的危险因素。我们评估了所有关于AHF住院患者谵妄发生的原始研究。在2024年3月11日,我们搜索了PubMed, Scopus, Ichushi和Cochrane Library。提取的资料包括:第一作者姓名、出版年份、纳入/排除标准、研究设计、谵妄评估方法、95%置信区间的优势比、标准化平均差异和其他相关发现。在筛选的2436项研究中,6项符合资格标准(3867例AHF患者;谵妄796例(20.6%),无谵妄3071例。AHF-D的危险因素包括年龄较大;低身体质量指数;机械通气/无创正压通气的使用;合并症(既往中风、痴呆和抑郁症);使用抗精神病药物和苯二氮卓类药物;入院时的实验室检查结果(心率升高、b型利钠肽、尿素氮、血清肌酐、血清白蛋白和钠水平低)。我们确定了AHF-D的14个危险因素。这些发现可以帮助临床医生在谵妄发作前识别出AHF的高风险患者。
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引用次数: 0
Oligodendroglia Generate Vascular Mural Cells and Neurons in the Adult Mouse Brain. 成年鼠脑少突胶质细胞生成血管壁细胞和神经元。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b25-00335
Ting Xu, Qingting Yu, Maojiao Huang, Kairan Yang, Zuisu Yang, Xiaosong He, Falei Yuan

Oligodendroglia encompass oligodendrocyte precursor cells (OPCs) and oligodendrocytes (OLs). In the grey matter of the cortex, nearly all OPCs divide slowly, yet they do not differentiate solely into mature OLs, leaving the exact role of these OPCs in the grey matter enigmatic. Oligodendroglia were traced using the sex-determining region Y-related high mobility group-box 10 (Sox10) Cre-ERT2 reporter mice. We compared the effect of tamoxifen dissolved in different solvents on the fate of Sox10 cells. We also compared the effect of tamoxifen dosage on the fate of Sox10 cells. The differentiation of labeled red fluorescent protein (RFP) cells was analyzed using immunofluorescence staining. Two groups of RFP cells, type A Sox10 (Sox10-A) cells and type B Sox10 (Sox10-B) cells, were identified in the cortex, striatum, hippocampus, thalamus, and hypothalamus. Sox10-A cells differentiate into platelet-derived growth factor receptor-β+, CD13+ pericytes, and smooth muscle myosin heavy chain 11+ smooth muscle cells when the mice received ethanol or high-dose tamoxifen. Sox10-B cells transform into glutamatergic neurons when the mice received high-dose tamoxifen. Sox10-B cells include perineuronal OPCs and OLs. This investigation provides evidence that a substantial proportion of oligodendroglia in the grey matter serve as mural cell precursors and neuronal precursors. These two phenomena may contribute to our understanding of the fate of oligodendroglia.

少突胶质细胞包括少突胶质细胞前体细胞(OPCs)和少突胶质细胞(OLs)。在皮层的灰质中,几乎所有的OPCs都分裂缓慢,但它们并不完全分化为成熟的ol,这使得这些OPCs在灰质中的确切作用成为谜。使用性别决定区y相关高迁移率组盒10 (Sox10) Cre-ERT2报告小鼠追踪少突胶质细胞。我们比较了溶解在不同溶剂中的他莫昔芬对Sox10细胞命运的影响。我们还比较了他莫昔芬剂量对Sox10细胞命运的影响。免疫荧光染色分析标记红色荧光蛋白(RFP)细胞的分化情况。在皮层、纹状体、海马、丘脑和下丘脑中发现了A型Sox10 (Sox10-A)细胞和B型Sox10 (Sox10-B)细胞两组RFP细胞。当小鼠接受乙醇或大剂量他莫昔芬治疗时,Sox10-A细胞分化为血小板源性生长因子受体-β+、CD13+周细胞和平滑肌肌球蛋白重链11+平滑肌细胞。当小鼠接受大剂量他莫昔芬治疗时,Sox10-B细胞转化为谷氨酸能神经元。Sox10-B细胞包括神经周围的OPCs和ol。这项研究提供了证据,证明灰质中相当大比例的少突胶质细胞作为壁细胞前体和神经元前体。这两种现象可能有助于我们理解少突胶质细胞的命运。
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引用次数: 0
Trastuzumab Cardiotoxicity: Mechanism and Management. 曲妥珠单抗心脏毒性:机制和管理。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b25-00235
Minoru Wakasa, Miharu Masaki, Kouji Kajinami

Trastuzumab, a therapeutic drug for patients with breast cancer, is one of the most effective and commonly used anticancer drugs for breast cancer. However, its adverse effects include cardiotoxicity, and there is a risk of developing conditions such as arrhythmia, cardiomyopathy, and heart failure. The adverse cardiac effects associated with trastuzumab are now widely recognized, and their mechanisms are beginning to be partially understood. One of the mechanisms has been suggested to be related to the suppressive action of trastuzumab on the erythroblastic oncogene B2 receptor, which acts protectively on the myocardium. Diagnosis can be made by assessing cardiac function with echocardiography, as well as measuring serum troponin I and N-terminal pro-B-type natriuretic peptide levels as biomarkers, and magnetic resonance imaging diagnosis may be helpful for early detection. As for therapeutic and prophylactic drugs, β-blockers and angiotensin-converting enzyme inhibitors, which are used to treat heart failure, have been shown to be effective, while recently, angiotensin receptor/neprilysin and sodium-glucose cotransporter 2 inhibitors are expected to be effective. Furthermore, the cardioprotective effects of proprotein convertase subtilisin/kexin type 9 inhibitors, which are used to treat lipid disorders, have also been attracting attention. This review will summarize the mechanisms, diagnostic methods, and treatment/preventive methods of cardiotoxicity associated with antihuman epidermal growth factor receptor 2 therapies, including trastuzumab.

曲妥珠单抗是一种治疗乳腺癌患者的药物,是治疗乳腺癌最有效、最常用的抗癌药物之一。然而,它的副作用包括心脏毒性,并且有发生心律失常、心肌病和心力衰竭等疾病的风险。与曲妥珠单抗相关的心脏不良反应现已被广泛认识,其机制也开始被部分理解。其中一种机制被认为与曲妥珠单抗对红细胞癌基因B2受体的抑制作用有关,后者对心肌起保护作用。诊断可通过超声心动图评估心功能,以及测定血清肌钙蛋白I和n端前b型利钠肽水平作为生物标志物,磁共振成像诊断可能有助于早期发现。在治疗和预防药物方面,治疗心力衰竭的β-受体阻滞剂和血管紧张素转换酶抑制剂已被证明有效,而最近,血管紧张素受体/萘普利素和钠-葡萄糖共转运蛋白2抑制剂有望有效。此外,用于治疗脂质紊乱的蛋白转化酶subtilisin/kexin 9型抑制剂的心脏保护作用也引起了人们的关注。本文将总结抗人表皮生长因子受体2治疗(包括曲妥珠单抗)相关的心脏毒性的机制、诊断方法和治疗/预防方法。
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引用次数: 0
Sex Differences in Genital Area Hyperpigmentation Induced by 5-Fluorouracil Administration in Mice. 5-氟尿嘧啶致小鼠生殖区色素沉着的性别差异。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b25-00340
Masashi Imai, Keiichi Hiramoto, Kazuya Ooi

Pigmentation is one of the most prominent side effects caused by anticancer drugs, especially in female patients, as these changes in appearance can decrease QOL. A typical drug causing such pigmentation is 5-fluorouracil (5-FU); we have previously shown that 5-FU-induced pigmentation is associated with increased adrenocorticotropic hormone (ACTH) and reactive oxygen species (ROS) levels. In male Hos:HRM-2 mice, 5-FU administration resulted in pigmentation appearing in the genital area, accompanied by elevations in neutrophils, ACTH, and ROS. By contrast, female mice showed increases in neutrophils and noradrenaline, but not in ACTH or ROS levels; furthermore, they did not develop pigmentation. In addition, estradiol levels were markedly decreased in female mice, which may have enhanced neutrophil apoptosis and suppressed ROS production. In addition, noradrenaline reflects the stress response and may contribute to the decrease in estradiol, suggesting the hypothalamus-pituitary-adrenal axis and sex hormones may interact in the formation of sex differences. These results suggest that sex differences exist in the development of 5-FU-induced hyperpigmentation and that fluctuations in estradiol and associated changes in neutrophils, ROS, and ACTH may underlie this phenomenon.

色素沉着是抗癌药物引起的最突出的副作用之一,特别是在女性患者中,因为这些外观变化会降低生活质量。引起这种色素沉着的典型药物是5-氟尿嘧啶(5-FU);我们之前的研究表明,5- fu诱导的色素沉着与促肾上腺皮质激素(ACTH)和活性氧(ROS)水平的增加有关。在雄性Hos:HRM-2小鼠中,给药5-FU导致生殖器区域出现色素沉着,同时中性粒细胞、ACTH和ROS升高。相比之下,雌性小鼠中性粒细胞和去甲肾上腺素增加,但ACTH和ROS水平没有增加;此外,它们没有色素沉着。雌性小鼠雌二醇水平明显降低,这可能增强了中性粒细胞凋亡,抑制了ROS的产生。此外,去甲肾上腺素反映应激反应,并可能导致雌二醇的降低,提示下丘脑-垂体-肾上腺轴和性激素可能在性别差异的形成中相互作用。这些结果表明,在5- fu诱导的色素沉着的发展中存在性别差异,雌二醇的波动和中性粒细胞、ROS和ACTH的相关变化可能是这一现象的基础。
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引用次数: 0
The Involvement of HYBID in the Regulation of Intraocular Pressure and Extracellular Matrix Accumulation in the Trabecular Meshwork. HYBID参与小梁网内眼压和细胞外基质积累的调节。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b25-00182
Yuya Takagi, Kota Aoshima, Yoshiki Kuse, Shinsuke Nakamura, Yasunori Okada, Masamitsu Shimazawa

Increased accumulation of extracellular matrix (ECM) in the trabecular meshwork (TM) causes a rise in intraocular pressure (IOP), which is a primary risk factor for glaucoma. Hyaluronan (HA) is essential for forming the ECM network, but it is unclear whether HA metabolism plays a role in IOP control. In this study, we focused on the hyaluronan-binding protein involved in hyaluronan depolymerization (HYBID, also referred to as cell migration inducing hyaluronidase 1 (CEMIP)/KIAA1199), which is an HA-degrading enzyme. Hybid knockout (KO) mice exhibited IOP elevation [IOP on average +2.14 mmHg at 7 weeks old, +1.54 mmHg at 8 weeks old vs. IOP of wildtype (WT) mice]. In addition, fibronectin and HA accumulated in the TM of Hybid KO mice. In cultured human TM cells (HTMCs), HYBID knockdown with HYBID siRNA increased HA and fibronectin protein but the expression of fibronectin mRNA was not altered. In addition, in HYBID knockdown HTMCs, matrix metalloproteinase (MMP)-1 and tissue inhibitor of metalloproteinase (TIMP) 3 were increased and MMP-9 was decreased. These results indicated that HYBID knockdown did not contribute to fibronectin production but inhibited ECM degradation through decreased MMP-9 expression and increased TIMP3 expression, leading to reduced MMP-2 and MMP-9 activity. These findings may offer new perspectives on the underlying mechanisms of glaucoma associated with fibrosis and potentially contribute to the development of novel glaucoma therapeutics.

细胞外基质(extracellular matrix, ECM)在小梁网(TM)内的积累增加导致眼压(IOP)升高,这是青光眼的主要危险因素。透明质酸(HA)对形成ECM网络至关重要,但目前尚不清楚HA代谢是否在IOP控制中起作用。在本研究中,我们重点研究了参与透明质酸解聚的透明质酸结合蛋白(HYBID),也称为细胞迁移诱导透明质酸酶1 (CEMIP)/KIAA1199),这是一种ha降解酶。杂交敲除(KO)小鼠的IOP升高[与野生型(WT)小鼠相比,7周龄时IOP平均为+2.14 mmHg, 8周龄时IOP平均为+1.54 mmHg]。此外,Hybid KO小鼠TM中有纤维连接蛋白和HA的积累。在培养的人TM细胞(HTMCs)中,HYBID siRNA敲除HYBID可使HA和纤维连接蛋白升高,但纤维连接蛋白mRNA的表达未发生改变。此外,在HYBID敲除htmc中,基质金属蛋白酶(MMP)-1和组织金属蛋白酶抑制剂(TIMP) 3升高,MMP-9降低。这些结果表明,HYBID敲低不促进纤维连接蛋白的产生,但通过降低MMP-9表达和增加TIMP3表达来抑制ECM降解,导致MMP-2和MMP-9活性降低。这些发现可能为青光眼与纤维化相关的潜在机制提供新的视角,并可能有助于开发新的青光眼治疗方法。
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引用次数: 0
P2Y12 Receptor Antagonists Decrease the Radiation Resistance of B16 Melanoma by Suppressing DNA Repair. P2Y12受体拮抗剂通过抑制DNA修复降低B16黑色素瘤的辐射抗性
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b25-00420
Yuma Mizoguchi, Natsuki Mori, Kazuki Kitabatake, Shuhei Ogawa, Fumiaki Uchiumi, Mitsutoshi Tsukimoto

Radiation therapy exerts its therapeutic effect by killing cells via the induction of DNA double-strand breaks (DSBs) in malignant tumors, but cancer cells can repair damaged DNA, leading to radiation resistance (radioresistance). Therefore, a radiosensitizing effect can be expected by suppressing mechanism(s) involved in DNA repair after irradiation. Here, we show that the P2Y12 receptor is involved in the radioresistance of mouse B16 melanoma cells, and that P2Y12 antagonist treatment decreases the radioresistance both in vitro and in vivo by inhibiting DNA repair after γ-irradiation. P2Y12 receptor antagonists Clopidogrel and PSB0739 increased cellular sites of unrepaired DNA by suppressing the DNA damage response (DDR) after γ-irradiation and enhanced radiation-induced proliferative death in B16 melanoma cells. On the other hand, ADP (a P2Y12 receptor agonist) enhanced DDR after γ-irradiation and increased radioresistance. Knockdown of the P2Y12 receptor resulted in an increase of unrepaired DNA damage and enhanced proliferative death after γ-irradiation. Suppression of the P2Y12 receptor also contributed to the enhancement of the cancer-killing effect of γ-irradiation, even in fractionated irradiation samples in which the cancer-killing effect decreased due to sublethal damage recovery. Finally, PSB0739 significantly enhanced the antitumor effect of γ-irradiation in vivo. Our results suggest that P2Y12 receptor antagonists are promising candidates as radiosensitizers to improve radiation therapy.

放射治疗在恶性肿瘤中通过诱导DNA双链断裂(DSBs)杀死细胞来发挥其治疗作用,但癌细胞可以修复受损的DNA,导致辐射抵抗(radioreresistant)。因此,可以通过抑制辐照后DNA修复机制来预期辐射致敏效应。在这里,我们发现P2Y12受体参与小鼠B16黑色素瘤细胞的放射抗性,并且P2Y12拮抗剂治疗通过抑制γ辐照后的DNA修复来降低体外和体内的放射抗性。P2Y12受体拮抗剂氯吡格雷和PSB0739通过抑制γ辐照后的DNA损伤反应(DDR)和增强辐射诱导的B16黑色素瘤细胞增殖性死亡,增加了未修复DNA的细胞位点。另一方面,ADP(一种P2Y12受体激动剂)增强了γ辐照后的DDR,增加了辐射抗性。P2Y12受体的敲低导致γ辐照后未修复的DNA损伤增加和增殖性死亡增加。P2Y12受体的抑制也有助于增强γ辐照的癌症杀伤效果,即使在分块辐照样品中,由于亚致死损伤恢复,癌症杀伤效果下降。最后,PSB0739在体内显著增强γ-辐照的抗肿瘤作用。我们的研究结果表明,P2Y12受体拮抗剂是改善放射治疗的有希望的放射增敏剂。
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引用次数: 0
Association of Plasma Creatinine with Systemic Exposure to S-1 and Oxaliplatin in Two Types of Chronic Kidney Disease Animal Models. 两种慢性肾病动物模型中血浆肌酐与全身暴露于S-1和奥沙利铂的关系
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b25-00361
Takumi Tanaka, Aika Tanaka, Shinji Kobuchi, Yukako Ito, Toshiyuki Sakaeda

Chronic kidney disease (CKD) is a serious chemotherapy-associated clinical condition. CKD complicates the pharmacokinetics of anticancer drugs, requiring personalized dosing strategies to minimize toxicity. S-1 and oxaliplatin (the SOX regimen) are widely used for gastrointestinal cancer treatment. However, the specific association between systemic drug exposure and renal biomarker levels in CKD remains unclear. This study evaluated the pharmacokinetics of S-1 and oxaliplatin in 2 CKD model rats (5/6 nephrectomy and adenine-induced) and examined their relationships with renal biomarkers. S-1 (2 mg/kg as tegafur) and oxaliplatin (5 mg/kg) were administered separately, and plasma levels of tegafur, 5-fluorouracil (5-FU), 5-chloro-2,4-dihydropyridine, oxaliplatin, and platinum were measured by LC-tandem MS. Systemic exposure to S-1 and oxaliplatin was higher in the CKD model rats than in the normal group, with 5-FU levels being particularly higher in the adenine-induced model than in the 5/6 nephrectomy model. The area under the curve values of 5-FU and platinum were strongly correlated with plasma creatinine (PCr) levels (r = 0.79 and 0.88, respectively). Population pharmacokinetic analysis identified PCr as a significant covariate of 5-FU clearance. A nomogram constructed using PCr-based simulations demonstrated the feasibility of individualized S-1 dosing. Overall, our findings suggest that PCr is a practical biomarker to guide S-1 dose optimization and highlight the importance of pharmacokinetics-based strategies for patients with cancer and CKD.

慢性肾脏疾病(CKD)是一种与化疗相关的严重临床疾病。CKD使抗癌药物的药代动力学复杂化,需要个性化的给药策略以最小化毒性。S-1和奥沙利铂(SOX方案)被广泛用于胃肠道癌症的治疗。然而,慢性肾病患者全身药物暴露与肾脏生物标志物水平之间的具体关系尚不清楚。本研究评估了S-1和奥沙利铂在2只CKD模型大鼠(5/6肾切除和腺嘌呤诱导)中的药代动力学,并研究了它们与肾脏生物标志物的关系。S-1 (2 mg/kg为替加富)和奥沙利铂(5 mg/kg)分别给药,用lc -串联质谱法测定血浆中替加富、5-氟尿嘧啶(5- fu)、5-氯-2,4-二氢吡啶、奥沙利铂和铂的水平,CKD模型大鼠全身暴露于S-1和奥沙利铂的水平高于正常组,腺嘌呤诱导模型中的5- fu水平尤其高于5/6肾切除模型。5-FU和铂曲线下面积值与血浆肌酐(PCr)水平呈强相关(r分别为0.79和0.88)。群体药代动力学分析发现PCr是5-FU清除率的重要协变量。利用基于pcr的模拟构建的图显示了S-1个体化给药的可行性。总的来说,我们的研究结果表明,PCr是一种实用的生物标志物,可以指导S-1剂量优化,并强调基于药代动力学的策略对癌症和CKD患者的重要性。
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