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Targeting c-Met and EMT, PI3K/Akt/mTOR/MEK signaling with Dihydropyrimidinone-Piperazine-based scaffold that triggers apoptosis, autophagy, and paraptosis in breast carcinomas 以二氢嘧啶-哌嗪为基础的支架靶向c-Met和EMT、PI3K/Akt/mTOR/MEK信号通路,触发乳腺癌细胞凋亡、自噬和旁凋亡
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119059
Monisha Yadav H S , Young Yun Jung , Narasimha M. Beeraka , Bhoomika B R , Doddahosuru M. Gurudatt , Keshav Kumar Harish , Mahendra Madegowda , Santosh L. Gaonkar , Shreeja Basappa , Vladimir N. Nikolenko , Riyaz Ali M. Osmani , Kanchugarakoppal S. Rangappa , Basappa Basappa , Kwang Seok Ahn

Background

The development of targeted anticancer agents capable of selectively eliminating breast cancer cells while sparing normal tissues remains a critical therapeutic challenge. MCB-04, a novel dihydropyrimidinone (DHPM)-tethered piperazine derivative synthesized via a TiO₂ nanoparticle-mediated catalytic strategy, demonstrates promising anticancer potential.

Objectives

This study aimed to synthesize DHPM-tethered piperazine derivatives using a TiO₂-catalyzed approach and to comprehensively evaluate the cytotoxic efficacy of the lead compound MCB-04 against human breast cancer cells, with particular emphasis on elucidating its underlying molecular mechanisms of cell death.

Methods

A library of DHPM-tethered piperazine derivatives was synthesized and characterized, and MCB-04 was identified as the lead compound. Cytotoxicity was assessed using the MTT assay in MDA-MB-231, MCF-7, BT-474, and SK-BR-3 breast cancer cell lines, as well as normal MCF-10A cells. Apoptosis and autophagy were analyzed by live/dead assays, Annexin V/PI staining, immunocytochemistry, and Western blotting. Mitochondrial dysfunction and oxidative stress were evaluated by measuring mitochondrial membrane potential (Δψm) and intracellular ROS levels using flow cytometry. The involvement of paraptosis and c-Met–mediated signaling pathways was further investigated.

Results

MCB-04 exhibited potent and selective cytotoxicity toward breast cancer cells, with the highest sensitivity observed in MDA-MB-231 cells (IC50 = 20 µM), while exerting minimal toxicity in normal MCF-10A cells. MCB-04 treatment significantly increased intracellular ROS levels and disrupted Δψm, indicating mitochondrial dysfunction. Mechanistically, MCB-04 induced apoptosis through activation of cleaved PARP and cleaved caspase-3, an increased Bax/Bcl-2 ratio, and upregulation of p53 and phosphorylated p53. Concurrently, autophagy was evidenced by LC3-II accumulation and increased Atg5 and Beclin-1 expression. Markers of ER stress-mediated paraptosis, including ATF4 and CHOP, were also elevated with concomintant decline in Alix. Furthermore, MCB-04 markedly suppressed phosphorylated c-Met, EMT-related VEGF, MMP-9 expression and downstream PI3K/Akt/mTOR/MEK signaling pathways.

Conclusion

MCB-04 exerts robust anti-breast cancer activity by triggering multiple programmed cell death pathways include apoptosis, autophagy, and paraptosis primarily through ROS-mediated mitochondrial dysfunction and inhibition of c-Met-dependent oncogenic signaling. These findings position MCB-04 as a promising multi-targeted therapeutic candidate, warranting further in vivo validation and preclinical development for breast cancer treatment.
开发能够选择性地消除乳腺癌细胞同时保留正常组织的靶向抗癌药物仍然是一个关键的治疗挑战。MCB-04是一种新型的二氢嘧啶(DHPM)系哌嗪衍生物,通过tio2纳米颗粒介导的催化策略合成,具有良好的抗癌潜力。目的采用tio2催化方法合成dhpm系链哌嗪衍生物,并综合评价其先导化合物MCB-04对人乳腺癌细胞的细胞毒作用,重点阐明其细胞死亡的潜在分子机制。方法合成并表征了dhpm系链哌嗪衍生物文库,以MCB-04为先导化合物。采用MTT法对MDA-MB-231、MCF-7、BT-474和SK-BR-3乳腺癌细胞系以及正常的MCF-10A细胞进行细胞毒性评估。通过活/死实验、Annexin V/PI染色、免疫细胞化学和Western blotting分析细胞凋亡和自噬。通过测定线粒体膜电位(Δψm)和流式细胞术测定细胞内ROS水平来评估线粒体功能障碍和氧化应激。我们进一步研究了细胞凋亡和c- met介导的信号通路的参与。结果smcb -04对乳腺癌细胞具有强选择性的细胞毒性,对MDA-MB-231细胞的敏感性最高(IC50 = 20 µM),对正常MCF-10A细胞的毒性最小。MCB-04治疗显著增加细胞内ROS水平并扰乱Δψm,表明线粒体功能障碍。机制上,MCB-04通过激活裂解的PARP和裂解的caspase-3,增加Bax/Bcl-2比率,上调p53和磷酸化p53诱导细胞凋亡。同时,LC3-II的积累和Atg5和Beclin-1表达的增加证明了自噬。内质网应激介导的凋亡标志物,包括ATF4和CHOP,也随着Alix的下降而升高。此外,MCB-04显著抑制磷酸化的c-Met、emt相关的VEGF、MMP-9表达和下游PI3K/Akt/mTOR/MEK信号通路。结论mcb -04主要通过ros介导的线粒体功能障碍和c- met依赖性致癌信号的抑制,触发包括凋亡、自噬和凋亡在内的多种程序性细胞死亡途径,具有较强的抗乳腺癌活性。这些发现使MCB-04成为一种有前途的多靶点治疗候选药物,需要进一步的体内验证和乳腺癌治疗的临床前开发。
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引用次数: 0
The multifaceted antineoplastic effects of arenobufagin against human cancers 槟榔素对人类癌症的多方面抗肿瘤作用。
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119062
Gulafsha Siddiqui , Aditya Bhushan Pant , Chakrabhavi Dhananjaya Mohan
Toad-based therapies (Chansu) are a part of traditional Chinese medicine (TCM) in which toad venom is used for the treatment of cancers. Toad venom is a complex mixture of steroid-based compounds called bufadienolides, which have good anticancer potential. Arenobufagin is a toad venom-derived bufadienolide that has been endowed with strong antitumor activity. Most of the studies have demonstrated that arenobufagin shows potent cytotoxicity in cell-based assay systems (IC50 value: <100 nM) and significant antitumor efficacy in preclinical cancer models at lower doses (between 3 and 5 mg/kg). Arenobufagin has been reported to target signaling axes such as the PI3K/Akt/mTOR, Nrf2, ATM/ATR, NF-κB, MAPKs, and Jagged1/Notch in various types of cancer cells. Pharmacokinetic studies have shown that arenobufagin has rapid absorption and gradual elimination from the system compared to many other bufadienolides. In the present article, we have comprehensively reviewed the literature related to the in vitro and in vivo anticancer properties of the arenobufagin. We have discussed the mechanism of the arenobufagin-induced cytotoxicity in different types of cancer cells and xenograft models, pharmacokinetics, and toxicity associated with its administration. Overall, the present article provides up-to-date information about arenobufagin in connection with its anticancer potential.
蟾蜍疗法(Chansu)是传统中医(TCM)的一部分,其中蟾蜍毒液用于治疗癌症。蟾蜍毒液是一种名为蟾二烯内酯的类固醇化合物的复杂混合物,具有良好的抗癌潜力。蟾毒素是蟾蜍毒液衍生的蟾毒二烯内酯,具有很强的抗肿瘤活性。大多数研究表明,在基于细胞的检测系统中,槟榔素显示出强大的细胞毒性(IC50值:
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引用次数: 0
The tumor ecosystem: Rewiring an open, systemically integrated network for therapeutic gain 肿瘤生态系统:重新布线一个开放的,系统集成的网络治疗增益。
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119047
Paola Chiodelli , Andrea Papait , Lorenzo Agoni , Federico Quaglia , Antonietta Rosa Silini , Ornella Parolini
Despite the tumor microenvironment (TME) being a major therapeutic focus, the clinical translation of TME-targeted agents has been largely unsuccessful, a paradox that challenges paradigms rooted in a reductionist view of the TME as a self-contained entity. We propose a framework redefining the TME as an open, multi-scalar ecosystem dynamically shaped by systemic host factors. Locally, cancer-associated fibroblasts (CAFs), myeloid cells and the vasculature act not as isolated cell types but as integrated components of functional niches that orchestrate fibrosis, immunosuppression and angiogenesis. Systemically, the gut microbiome and chronic inflammation of ageing (‘inflammaging’) pre-condition the host terrain and modulate therapeutic responses across this network. Viewed through this systemic lens, resistance emerges not as molecular bypass but as ecological adaptation of a complex, open system. We argue that next-generation therapies will depend on spatial omics to map pathological niches and on rational, multimodal strategies that explicitly target the TME as a systemically integrated network.
尽管肿瘤微环境(TME)是主要的治疗焦点,但TME靶向药物的临床翻译在很大程度上是不成功的,这一悖论挑战了基于TME作为一个独立实体的简化主义观点的范式。我们提出了一个框架,将TME重新定义为一个开放的、由系统宿主因素动态塑造的多标量生态系统。局部而言,癌症相关成纤维细胞(CAFs)、骨髓细胞和脉管系统不是作为孤立的细胞类型,而是作为协调纤维化、免疫抑制和血管生成的功能龛的整体组成部分。系统地,肠道微生物组和衰老的慢性炎症(“炎症”)预先调节宿主地形并调节整个网络的治疗反应。从这个系统的角度来看,耐药性的出现不是分子的绕过,而是一个复杂的、开放的系统的生态适应。我们认为,下一代疗法将依赖于空间组学来绘制病理生态位,并依赖于理性的、多模式的策略,明确地将TME作为一个系统集成的网络。
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引用次数: 0
FSTL1 contribute to aggressive clinical behavior in DLBCL may by activating the DIP2A/ICAM-1-mediated adhesion mechanism FSTL1可能通过激活DIP2A/ icam -1介导的粘附机制参与DLBCL侵袭性临床行为
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119071
Xiping Liang, Xiaomei Zhang, Chaoyu Wang, Chunyan Xiao, Xiaoqing Xie, Yixing Zhou, Wenwen Zhou, Yao Liu

Introduction

Despite improved outcomes in diffuse large B-cell lymphoma (DLBCL) with rituximab-based therapy, cell adhesion-mediated drug resistance (CAM-DR) remains a key mechanism of treatment resistance. The role of follistatin-like protein 1 (FSTL1) in CAM-DR has not been fully elucidated.

Methods

We conducted a retrospective analysis of newly diagnosed DLBCL patients treated with rituximab from 2019 to 2024, with special emphasis on FSTL1 expression and clinical features, and its underlying mechanism.

Results

FSTL1 was detectable in 74.5 % of patients. Its expression was significantly elevated in DLBCL patients compared to controls (P < 0.05) and was further increased in the RR-DLBCL group (P = 0.045). FSTL1 patients exhibited more adverse clinical features, including higher incidence of extranodal involvement, more advanced stage, elevated LDH levels, and bulky masses (all p < 0.05). FSTL1 expression patients revealed a shorter overall survival (OS) (p = 0.024) and progression-free survival (PFS) (p = 0.034), with similar trend in high FSTL1 expression (P < 0.05). In vitro, increased exogenous of FSTL1 contributed to DLBCL cell proliferation, vitality, and decreased the antibody-dependent cellular cytotoxicity (ADCC) effect, whereas FSTL1 silencing reversed this trend (P < 0.05). Pathway enrichment analysis revealed an association between FSTL1 and CAM-DR. Mechanistic experiments revealed that FSTL1 may be derived from secretion by cancer-associated fibroblasts (CAFs), interacts with DIP2A on DLBCL cells and promotes ICAM-1 expression, thereby contributing to drug resistance in DLBCL.

Conclusion

Our findings indicate that elevated FSTL1 levels may contribute to advanced clinical characteristics and worse outcomes in DLBCL. FSTL1 contributes to drug resistance likely through DIP2a/ICAM-1-mediated adhesion mechanism.
尽管以利妥昔单抗为基础的治疗改善了弥漫性大b细胞淋巴瘤(DLBCL)的预后,但细胞粘附介导的耐药(CAM-DR)仍然是治疗耐药的关键机制。卵泡素样蛋白1 (FSTL1)在CAM-DR中的作用尚未完全阐明。方法回顾性分析2019 - 2024年接受利妥昔单抗治疗的新发DLBCL患者,重点分析FSTL1表达、临床特征及其机制。结果fstl1在74.5% %的患者中检出。与对照组相比,其在DLBCL患者中的表达明显升高(P <; 0.05),在RR-DLBCL组中表达进一步升高(P = 0.045)。FSTL1患者表现出更多的不良临床特征,包括更高的结外累及发生率、更晚期、LDH水平升高和体积较大的肿块(均p <; 0.05)。FSTL1表达患者总生存期(OS)较短(p = 0.024),无进展生存期(PFS)较短(p = 0.034),FSTL1高表达患者趋势相似(p <; 0.05)。在体外,外源FSTL1的增加有助于DLBCL细胞的增殖和活力,并降低抗体依赖性细胞毒性(ADCC)效应,而FSTL1沉默逆转了这一趋势(P <; 0.05)。通路富集分析显示FSTL1与CAM-DR之间存在关联。机制实验显示FSTL1可能来源于癌症相关成纤维细胞(CAFs)的分泌,与DIP2A在DLBCL细胞上相互作用,促进ICAM-1的表达,从而促进DLBCL的耐药。结论:FSTL1水平升高可能导致DLBCL患者临床特征的恶化和预后的恶化。FSTL1可能通过DIP2a/ icam -1介导的粘附机制参与耐药。
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引用次数: 0
Atraric acid alleviates high-fat diet-induced renal injury, lipid accumulation, and fibrosis in mice by regulating oxidative stress and inflammation through AMPK-dependent Nrf2 and NF-κB signaling pathways 白藜芦酸通过ampk依赖性Nrf2和NF-κB信号通路调节氧化应激和炎症,减轻高脂饮食诱导的小鼠肾损伤、脂质积累和纤维化。
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119039
Yannan Xiang , Tianyue Guan , Jun Wang , Shasha Zhang , Yusa Li , Jing Xia , Panpan Zhao , Lei Wang
This study explores the protective effects of Atraric Acid (AA) against chronic kidney disease (CKD) induced by a high-fat diet (HFD) and its underlying mechanisms. In vivo HFD-induced CKD mouse models and in vitro OA/PA-stimulated HK2 cells were treated with AA. AA improved kidney morphology, reduced fibrosis, lipid accumulation, and body weight. It also decreased serum TC, TG, HDL-C, Scr, BUN, and Cys-C levels, indicating improved renal function. AA alleviated oxidative stress, ROS accumulation, and inflammation, as confirmed by DHE staining, oxidative stress markers, and pro-inflammatory cytokine levels. Western blotting showed that AA activated Nrf2 and suppressed NF-κB signaling. AMPK inhibition experiments demonstrated that AA regulated Nrf2 and NF-κB via AMPKα phosphorylation. In conclusion, AA mitigates HFD-induced CKD by targeting AMPKα to regulate oxidative stress and inflammation.
本研究探讨了白屈酸(AA)对高脂饮食(HFD)诱导的慢性肾脏疾病(CKD)的保护作用及其潜在机制。在体内hfd诱导的CKD小鼠模型和体外OA/ pa刺激的HK2细胞用AA处理。AA改善肾脏形态,减少纤维化、脂质积累和体重。同时降低血清TC、TG、HDL-C、Scr、BUN和Cys-C水平,提示肾功能改善。DHE染色、氧化应激标志物和促炎细胞因子水平证实,AA可减轻氧化应激、ROS积累和炎症。Western blot结果显示,AA激活Nrf2,抑制NF-κB信号通路。AMPK抑制实验表明,AA通过AMPKα磷酸化调控Nrf2和NF-κB。综上所述,AA通过靶向AMPKα调节氧化应激和炎症来减轻hfd诱导的CKD。
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引用次数: 0
Layered double hydroxide-induced modulation of oxidative stress in disease therapy 层状双氢氧化物诱导的氧化应激在疾病治疗中的调节作用。
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119063
Jun Wang , Ouyang Su , Zhaoxu Meng , Lili Lu , Yake Qi , Zonghui Zhang , Zhou Li , Xiu Dong , He Lian , Yiping Mu
Oxidative stress plays a crucial role in the development of various diseases, including diabetes, cardiovascular diseases, cancer, and rheumatic disorders. It disrupts the redox balance and initiates a series of pathological changes. As two-dimensional inorganic solids with an open structure and anion-exchange properties, layered double hydroxides (LDHs) offer significant advantages in the biomedical field, such as drug carriers, antioxidant catalysts. This article outlines application of LDHs in the treatment of cancer, rheumatic diseases, bone disorders, diabetes, Alzheimer's disease, and other conditions. More importantly, this paper elaborates on the challenges faced by the application of LDHs, including the biological activity to be explored, the performance to be optimized, and their in vivo functions and molecular mechanisms to be clarified. The solution strategies have also been discussed, which pointed out the direction for promoting the clinical transformation and application of LDHs in the future.
氧化应激在各种疾病的发展中起着至关重要的作用,包括糖尿病、心血管疾病、癌症和风湿性疾病。它破坏氧化还原平衡,引发一系列病理变化。层状双氢氧化物作为具有开放结构和阴离子交换性质的二维无机固体,在药物载体、抗氧化催化剂等生物医学领域具有显著的优势。本文概述了ldl在治疗癌症、风湿性疾病、骨骼疾病、糖尿病、阿尔茨海默病和其他疾病中的应用。更重要的是,本文阐述了LDHs应用面临的挑战,包括有待探索的生物活性、有待优化的性能、有待阐明的体内功能和分子机制。探讨了解决策略,为今后推动LDHs临床转化和应用指明了方向。
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引用次数: 0
Liposomes and macrophage membrane co-assembled biomimetic nanoparticles alleviate cardiac insufficiency after myocardial infarction 脂质体与巨噬细胞膜共组装仿生纳米颗粒减轻心肌梗死后心功能不全
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119055
Na Li , Yu Zhao , Xianyun Jiang , Deyu Ran , Yihao Wang , Lin Zheng , Zhengkai Wang
Acute myocardial infarction (MI) causes tremendous damage to the coronary microcirculation, resulting in vascular disintegration and capillary rarefaction in the infarct area. Tissue repair after myocardial infarction (MI) is multifaceted. The mechanism of angiogenesis is complex and difficult to target, and the blood vessels that need to be revascularized extend from the infarct border zone to the necrotic infarct core1. Mirdametinib (PD0325901), a MEK inhibitor, promotes angiogenesis and has beneficial effects on ischemic hearts. However, its side effects have limited its application, and Mirdametinib has not yet met clinical requirements for how to treat diseases more safely, effectively and economically. Here, we present a multifunctional biomimetic nanoparticle drug delivery system consisting of Macrophage Membranes and Liposomes nanoparticles (MM&Lipo nanoparticles) for the targeted delivery of Mirdametinib (PD0325901) to induce ischemic tissue revascularization after acute MI. Compared with artificial liposomes, the MM&Lipo nanoparticle delivery system has the advantages of immune escape and strong activation of endothelial cell targeting. Additionally, MM&Lipo nanoparticles release sufficient PD0325901 in a controlled manner. In an induced MI model, it significantly improved cardiac function and infarct extent in mice. Compared with the PBS group after MI, the ejection fraction of MM&Lipo group recovered from 35 ± 3–82 ± 3, and the fractional shortening from 17 ± 2–50 ± 1. The area of fibrosis was also reduced from 25 ± 4 % to 11 ± 5. The key inflammatory factor marker TNF-α also decreased from 570 ± 31 pg/mL to 475 ± 70 pg/mL.Our findings demonstrate the important potential value of multifunctional biomimetic drug delivery systems that integrate macrophage membranes and liposomes as novel membrane materials in the treatment of post-MI revascularization.
急性心肌梗死(Acute myocardial infarction, MI)对冠状动脉微循环造成巨大损害,导致梗死区血管解体和毛细血管稀疏。心肌梗死(MI)后的组织修复是多方面的。血管生成的机制复杂且难以定位,需要血运重建的血管从梗死边缘区延伸至坏死梗死核心区1。Mirdametinib (PD0325901)是一种MEK抑制剂,促进血管生成,对缺血性心脏有有益作用。然而,它的副作用限制了它的应用,米达美替尼还没有达到如何更安全、有效、经济地治疗疾病的临床要求。本研究提出了一种由巨噬细胞膜和纳米脂质体(MM&;Lipo纳米颗粒)组成的多功能仿生纳米颗粒给药系统,用于靶向递送米达美替尼(PD0325901),诱导急性心肌梗死后缺血组织血运重建。与人工脂质体相比,MM&;Lipo纳米颗粒给药系统具有免疫逃逸和强激活内皮细胞靶向的优点。此外,MM&;Lipo纳米颗粒以受控的方式释放足够的PD0325901。在心肌梗死模型中,它能显著改善小鼠心功能和梗死范围。与PBS组相比,心肌梗死后MM&;Lipo组的射血分数从35 ± 3 - 82 ± 3恢复,分数缩短从17 ± 2-50 ± 1恢复。纤维化面积也从25 ± 4 %减少到11 ± %。关键炎症因子标志物TNF-α也从570 ± 31 pg/mL降至475 ± 70 pg/mL。我们的研究结果表明,整合巨噬细胞膜和脂质体作为新型膜材料的多功能仿生药物传递系统在心肌梗死后血运重建治疗中的重要潜在价值。
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引用次数: 0
Dual intestinal-hepatic modulation by phenolic acids improves metabolic-dysfunction associated steatohepatitis 酚酸对肠道和肝脏的双重调节可改善代谢功能障碍相关的脂肪性肝炎
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119070
Peter U. Amadi , Justice O. Osuoha , Joy.A. Amadi , Esienanwan E. Efiong , Prince C. Odika , Celestine E. Ekweogu , Chioma Ejiofor , Govind S. Gill , Suha J. Jarad , Chiamaka W. Amadi , Hongmei Gu , Barbora de Courten , Emmanuel N. Agomuo , Dawei Zhang

Background

Metabolic-dysfunction associated steatohepatitis (MASH) arises from sustained triglyceride overload of the intestine-liver axis, yet current therapies rarely coordinate intestinal lipid entry with hepatic triglyceride disposal. Here we identify a phenolic-acid fraction as a dual-compartment metabolic modulator that couples intestinal lipase inhibition to CPT1α-PPARα-dependent hepatic β-oxidation across species.

Methods

Across species, we investigated the kinetics and metabolic actions of a phenolic fraction (PhAM) using recombinant lipase systems, epithelial transport assays, hepatocyte models, pharmacokinetics, diet-induced metabolic disease paradigms, quantitative histopathology, and a 24-week randomized placebo-controlled clinical trial.

Results

PhAM selectively suppresses pancreatic and intestinal lipases non-competitively, lowering V_max with minimal K_m change, resembling some features of orlistat, but via a distinct, non-covalent mechanism. In Caco-2 monolayers and ex vivo loops, it reduces apical-to-basolateral fatty-acid flux, depletes intracellular triglycerides, and limits luminal-to-plasma lipid transfer. PhAM is orally bioavailable, with measurable plasma exposure and prolonged intestinal residence. Under high-fat feeding, it increases fecal fat loss, attenuates post-lipid-load triglyceride excursions, and lowers hepatic triglycerides without altering ApoB secretion. Its triglyceride-lowering effect requires CPT1α-dependent mitochondrial import and PPARα activation, elevates β-hydroxybutyrate, and induces oxidative genes while sparing lipogenesis. In chronic MASH, PhAM reduces steatosis, ballooning, inflammation, and metabolic-dysfunction associated steatotic liver disease (MASLD) Activity Score. A 24-week clinical subgroup, defined by ultrasound and transaminase enrichment, showed dose-responsive improvements in ultrasonographic steatosis and metabolic biomarkers.

Conclusion

Collectively, these findings define PhAM as a phenolic-acid-based agent that aligns intestinal lipid restriction with hepatic oxidative unloading, offering a mechanistically coherent framework for potentially addressing steatotic liver disease-associated metabolic features.
代谢功能障碍相关的脂肪性肝炎(MASH)是由持续的肠-肝轴甘油三酯过载引起的,然而目前的治疗方法很少协调肠道脂质进入和肝脏甘油三酯的处理。在这里,我们确定了酚酸组分作为双室代谢调节剂,将肠道脂肪酶抑制与跨物种的cpt1 α- ppar α依赖的肝脏β-氧化结合起来。方法:通过重组脂肪酶系统、上皮转运试验、肝细胞模型、药代动力学、饮食诱导代谢疾病模型、定量组织病理学和一项24周随机安慰剂对照临床试验,研究了酚类成分(PhAM)的动力学和代谢作用。结果spham选择性非竞争性抑制胰腺和肠道脂肪酶,以最小的K_m变化降低V_max,与奥利司他的某些特征相似,但通过不同的非共价机制。在Caco-2单层和离体环中,它减少根尖到基底外侧的脂肪酸通量,消耗细胞内甘油三酯,并限制光到血浆的脂质转移。PhAM是口服生物可利用的,具有可测量的血浆暴露和长时间的肠道停留。在高脂肪喂养下,它增加了粪便脂肪的损失,减轻了脂质负荷后甘油三酯的漂移,并在不改变载脂蛋白ob分泌的情况下降低了肝脏甘油三酯。其降低甘油三酯的作用需要cpt1 α依赖的线粒体输入和PPARα激活,提高β-羟基丁酸,诱导氧化基因,同时保持脂肪生成。在慢性MASH中,PhAM可降低脂肪变性、肿胀、炎症和代谢功能障碍相关的脂肪变性肝病(MASLD)活动评分。通过超声和转氨酶富集定义的24周临床亚组显示超声脂肪变性和代谢生物标志物的剂量反应性改善。综上所述,这些发现将PhAM定义为一种基于酚酸的药物,它将肠道脂质限制与肝脏氧化卸载结合起来,为潜在地解决脂肪变性肝病相关代谢特征提供了一个机制上一致的框架。
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引用次数: 0
Biomimetic bispecific antibody-drug conjugates based on albumin binding domain fusing nanobodies targeting EGFR and HER2 基于白蛋白结合域融合靶向EGFR和HER2纳米体的仿生双特异性抗体-药物偶联物。
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119016
Zijie Chen , Xiaotong Song , Yongxiang Zheng, Shuwen Zhang, Rong Yu, Chun Zhang
Bispecific antibodydrug conjugates represent an innovative concept for cancer therapy, which integrates the merits of both antibodydrug conjugates and bispecific antibodies. In this study, a proof-of-concept biomimetic bispecific antibody based on an albumin binding domain fusing with camelid-derived nanobodies was devised to deliver anti-cancer drugs to replicate the two most distinctive features of ADCs: long-acting in vivo and tumor targeting, while reducing products heterogeneity and production cost. To validate this concept, an anti-EGFR nanobody and an anti-HER2 nanobody were used as model sequences to construct biomimetic bispecific antibodies. The biomimetic bispecific antibodies were efficiently expressed in Escherichia coli bacteria and produced at considerably low cost, and the model cytotoxic payload (mc-vc-PAB-MMAE) were site-specifically coupled to the fusion protein through a cysteine-maleimide based conjugation approach. These bispecific protein-MMAE conjugates were well characterized in vitro, and exhibited prolonged circulation times in healthy rats and superior anti-tumor efficacy in an A549 xenograft mice model. The works could provide a general strategy for design of biomimetic bispecific ADCs for cancer therapies.
双特异性抗体-药物偶联物结合了抗体-药物偶联物和双特异性抗体的优点,是癌症治疗的一个创新概念。在这项研究中,一种概念验证的仿生双特异性抗体基于白蛋白结合域与骆驼源性纳米体融合,设计用于提供抗癌药物,以复制adc的两个最显著的特征:体内长效和肿瘤靶向,同时降低产品的异质性和生产成本。为了验证这一概念,使用抗egfr纳米体和抗her2纳米体作为模型序列构建仿生双特异性抗体。该仿生双特异性抗体在大肠杆菌中高效表达,生产成本相当低,并且通过基于半胱氨酸-马来酰亚胺的偶联方法将模型细胞毒性有效载荷(mc-vc-PAB-MMAE)特异偶联到融合蛋白上。这些双特异性蛋白- mmae偶联物在体外得到了很好的表征,在健康大鼠中表现出较长的循环时间,在A549异种移植小鼠模型中表现出优异的抗肿瘤功效。这些工作为设计用于癌症治疗的仿生双特异性adc提供了一般策略。
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引用次数: 0
Proline metabolism reprogramming in cancer reveals the regulation of PRODH/POX as target 癌症中脯氨酸代谢重编程揭示了PRODH/POX作为调控靶点
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119040
Yuxuan Zhou , Ciqin Li , Dingyuan Bai , Lingjie Jing , Leng Han , Cheng Guo , Quanjun Yang
Proline dehydrogenase (PRODH) plays a dual role in cancer by catalyzing the first step of proline catabolism. During tumor metabolic reprogramming, PRODH catalyzes the conversion of proline to Δ¹-pyrroline-5-carboxylate (P5C), which enters the tricarboxylic acid cycle and supports cancer cell growth and energy supply. However, the increased activity of PRODH also generates reactive oxygen species (ROS), which can induce apoptosis or autophagy, potentially inhibiting cancer progression or promoting cancer immune responses. This article analyzes the role of PRODH in various types of cancer and highlights its involvement in immune evasion. Additionally, this article discusses the potential of PRODH as a therapeutic target by providing a comprehensive analysis of current therapeutic strategies, including direct and indirect inhibitors. This framework provides a theoretical basis for precise metabolic therapy and combinatorial approaches to overcome therapeutic resistance.
脯氨酸脱氢酶(PRODH)通过催化脯氨酸分解代谢的第一步在癌症中起双重作用。在肿瘤代谢重编程过程中,PRODH催化脯氨酸转化为Δ¹-吡roline -5-羧酸盐(P5C), P5C进入三羧酸循环,支持癌细胞生长和能量供应。然而,PRODH活性的增加也会产生活性氧(ROS), ROS可以诱导细胞凋亡或自噬,潜在地抑制癌症进展或促进癌症免疫反应。本文分析了PRODH在各种类型癌症中的作用,并强调了它在免疫逃避中的作用。此外,本文还讨论了PRODH作为治疗靶点的潜力,并对目前的治疗策略进行了全面分析,包括直接和间接抑制剂。该框架为精确的代谢治疗和克服治疗耐药性的组合方法提供了理论基础。
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引用次数: 0
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Biomedicine & Pharmacotherapy
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