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Aspergillus Species from the Sabkha Marsh: Potential Antimicrobial and Anticancer Agents Revealed Through Molecular and Pharmacological Analysis. 来自萨布卡沼泽的曲霉菌种:通过分子和药理分析揭示潜在的抗菌剂和抗癌剂。
IF 5.3 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-06 eCollection Date: 2024-01-01 DOI: 10.2147/BTT.S472491
Bayan H Sajer, Wafa A Alshehri, Sahar S Alghamdi, Rasha S Suliman, Alhanouf Albejad, Haifa Hakmi

Introduction: This study aimed to investigate the fungal growth and diversity in the Sabkha marsh. The anti-bacterial properties of the isolated fungi were assessed using an agar disk diffusion assay, and the crude extracts were tested for their anticancer activities. Liquid chromatography-mass spectrometry was employed to identify the active compounds of the fungal secondary metabolites. In-silico studies were conducted to predict the toxicity, pharmacokinetic properties, and safety profiles of the identified compounds.

Results: The analysis revealed that the isolated fungi belonged to the Aspergillus species, specifically Aspergillus flavus and Aspergillus niger. The crude extract of A. flavus exhibited significant anticancer activity against various cancer cell lines, while the antifungal activities against pathogenic bacteria varied between the two fungi. Liquid chromatography-mass spectrometry analysis identified several compounds in the fungal isolates. In Aspergillus flavus, the compounds included Aflavinine, Dihydro-24-hydroxyaflavinine, Phomaligin A, Hydroxysydonic acid, Gregatin B, Pulvinulin A, Chrysogine, Aspergillic acid, Aflatoxin B1, and Aflatoxin G1. In Aspergillus niger, the compounds identified were atromentin, fonsecin B, firalenone, rubrofusarin, aurasperone E, aurasperone D, aurasperone C, nigerone, and αβ-dehydrocurvularin.

Conclusion: This study demonstrated promising fungal growth and diversity in the Sabkha marsh, with Aspergillus species being the most prevalent. The fungal crude extract showed anticancer activities against various cancer cell lines, while the antifungal activities against pathogenic bacteria varied between the two fungi. Future research should focus on investigating the antimicrobial activities of these fungi against multidrug-resistant bacteria and exploring the genetic changes in bacteria and cancer cells treated with these fungal extracts. Additionally, it is important to test the anticancer activity of the active compounds separately to determine which one is the active agent against cancer cells. This information can be used in drug development trials.

简介本研究旨在调查塞卜哈沼泽中真菌的生长和多样性。使用琼脂盘扩散试验评估了分离真菌的抗菌特性,并测试了粗提取物的抗癌活性。采用液相色谱-质谱法鉴定了真菌次生代谢产物中的活性化合物。对已鉴定化合物的毒性、药代动力学特性和安全性进行了预测:结果:分析表明,分离出的真菌属于曲霉属,特别是黄曲霉和黑曲霉。黄曲霉的粗提取物对各种癌细胞株具有显著的抗癌活性,而两种真菌对病原菌的抗真菌活性则各不相同。液相色谱-质谱分析确定了真菌分离物中的几种化合物。在黄曲霉中,这些化合物包括黄素、二氢-24-羟基黄素、Phomaligin A、羟基水杨酸、Gregatin B、Pulvinulin A、Chrysogine、曲霉酸、黄曲霉毒素 B1 和黄曲霉毒素 G1。在黑曲霉中,鉴定出的化合物有阿曲门汀、丰塞因 B、菲拉烯酮、呋喃西林、欧拉佩酮 E、欧拉佩酮 D、欧拉佩酮 C、尼革酮和αβ-脱氢葫芦素:这项研究表明,沙布卡沼泽中真菌的生长和多样性前景广阔,其中以曲霉菌最为普遍。真菌粗萃取物对各种癌症细胞株具有抗癌活性,而两种真菌对病原菌的抗真菌活性各不相同。未来的研究应侧重于调查这些真菌对多重耐药菌的抗菌活性,并探索用这些真菌提取物处理的细菌和癌细胞的基因变化。此外,重要的是要分别测试活性化合物的抗癌活性,以确定哪一种才是抗癌细胞的活性物质。这些信息可用于药物开发试验。
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引用次数: 0
Investigating the Underlying Molecular Mechanisms of Yunke on Bone Metastases from Prostate Cancer. 研究云克对前列腺癌骨转移灶的潜在分子机制
IF 5.3 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-07-22 eCollection Date: 2024-01-01 DOI: 10.2147/BTT.S457188
Simin Liu, Zhiyuan Tian, Taiming Zhang, Jirong Zhang, Yanlei Huo, Chao Ma

Objective: To explore analgesic effect and bone repair mechanism of non-radioactive technetium-99 conjugated with methylene diphosphonate (99Tc-MDP, brand name, Yunke) on bone metastases (BM).

Procedures: In vivo experiment, mouse BM models of prostate cancer RM-1 cell were constructed and divided into Control, Yunke, 99Tc+SnCl2 and MDP groups based on medicine composition. Tumor specimens were inspected for size, X-ray, microCT and histopathology. In vitro experiment, with Cell Counting Kit-8 (CCK8), scratch, clone, apoptosis, Polymerase Chain Reaction (PCR) and Western Blot experiments, effects of Yunke on RM-1 cells and osteoclast-related cells were observed.

Results: In vivo experiment, there was no difference in tumor size between Yunke and control group. Contrasted with control group, in Yunke group, trabecular spacing (Tb.Sp) of tumor bone was lower, bone volume/total volume (BV/TV) on marrow cavity and bone cortex were higher. Tunnel staining showed that positive rate of apoptosis in Yunke group was higher than that in control group. Ki67 staining showed that Yunke could not inhibit proliferation of tumor cells. In vitro experiment, CCK8 and scratch experiments showed that Yunke neither can inhibit proliferation nor can inhibit migration of RM-1 cells. High concentration of Yunke promoted late apoptosis of RM-1 cells. Yunke could inhibit BMM cell proliferation, differentiation of osteoclasts, and osteoclast-related transcription factors. Yunke displayed different degrees of inhibitory effects on MAPKs signaling pathway during osteoclast differentiation. It had obvious inhibitory effects on osteoclast-related transcription factors, such as cFOS, NFATC1, ACP-5, CTSK, D2 and MMP-9, the strongest inhibitory effects were observed with ACP-5, CTSK and D2. Yunke also displayed different degrees of inhibitory effects on protein activities of JNK, pERK, ERK and pP38.

Conclusion: Yunke cannot inhibit the proliferation and migration of RM-1 cells, so we think it is not recommended for the treatment of primary tumors and prevention of occurrence of tumors metastatic to bones. The mechanism of therapeutic effect of Yunke on BM by inhibiting proliferation of BMM, inhibiting MAPKs signal transduction and activation of transcription factors during differentiation process of BMM-derived osteoclasts, inhibiting number and size of osteoclasts, inhibiting bone resorption and protecting bone destruction through enhancing bone hardness and bone mass. Thereby, we believe that Yunke is more suitable for promoting the repair induced by BMs, delaying its progression and reducing the occurrence of SREs.

目的探讨非放射性锝-99与亚甲基二膦酸盐共轭(99锝-MDP,商品名:云克)对骨转移瘤(BM)的镇痛作用及骨修复机制:体内实验:构建前列腺癌 RM-1 细胞小鼠骨转移瘤模型,并根据药物成分分为对照组、Yunke 组、99Tc+SnCl2 组和 MDP 组。对肿瘤标本进行大小、X 光、显微 CT 和组织病理学检查。在体外实验中,通过细胞计数试剂盒-8(CCK8)、划痕、克隆、凋亡、聚合酶链式反应(PCR)和 Western Blot 实验,观察云克对 RM-1 细胞和破骨细胞相关细胞的作用:在体内实验中,云克与对照组的肿瘤大小没有差异。与对照组相比,云克组肿瘤骨小梁间距(Tb.Sp)更低,骨髓腔和骨皮质的骨体积/总体积(BV/TV)更高。隧道染色显示,云克组的细胞凋亡阳性率高于对照组。Ki67染色显示,云克不能抑制肿瘤细胞的增殖。体外实验、CCK8和划痕实验表明,云克既不能抑制RM-1细胞的增殖,也不能抑制其迁移。高浓度的云克可促进 RM-1 细胞的晚期凋亡。Yunke可抑制BMM细胞增殖、破骨细胞分化和破骨细胞相关转录因子。云克对破骨细胞分化过程中的MAPKs信号通路有不同程度的抑制作用。云克对破骨细胞相关转录因子如cFOS、NFATC1、ACP-5、CTSK、D2和MMP-9有明显的抑制作用,其中对ACP-5、CTSK和D2的抑制作用最强。云克对 JNK、pERK、ERK 和 pP38 的蛋白活性也有不同程度的抑制作用:结论:云克不能抑制RM-1细胞的增殖和迁移,因此不推荐用于治疗原发性肿瘤和预防骨转移肿瘤的发生。云克对 BM 的治疗作用机制是通过抑制 BMM 的增殖,抑制 BMM 来源的破骨细胞分化过程中 MAPKs 信号转导和转录因子的激活,抑制破骨细胞的数量和体积,抑制骨吸收,通过增强骨硬度和骨量来保护骨破坏。因此,我们认为云克更适用于促进 BM 诱导的修复,延缓其进展并减少 SRE 的发生。
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引用次数: 0
STAT5B Suppresses Ferroptosis by Promoting DCAF13 Transcription to Regulate p53/xCT Pathway to Promote Mantle Cell Lymphoma Progression. STAT5B 通过促进 DCAF13 转录来抑制铁凋亡,从而调节 p53/xCT 通路,促进套细胞淋巴瘤的进展。
IF 5.3 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-07-04 eCollection Date: 2024-01-01 DOI: 10.2147/BTT.S461287
Wen Jun Zhang, Chong Ling Hu, Bing Ling Guo, Xi Ping Liang, Chao Yu Wang, Tao Yang

Objective: The purpose of this study was to analyze the mechanism by which STAT5B inhibits ferroptosis in mantle cell lymphoma (MCL) by promoting DCAF13 transcriptional regulation of p53/xCT pathway.

Methods: The correlations between STAT5B, DCAF13 and ferroptosis in MCL were analyzed using Gene Expression Profiling Interactive Analysis (GEPIA, http://gepia.cancer-pku.cn/index.html). The expression levels and pairwise correlations of STAT5B, DCAF13, p53 and xCT in MCL patients were detected, respectively. STAT5B was silenced to confirm their criticality in MCL ferroptosis. the effects of blocking necrosis, apoptosis and ferroptosis on the anti-MCL effects of STAT5B were examined. Cells with STAT5B overexpression and/or DCAF13 silencing were constructed to confirm the involvement of DCAF13 in the STAT5B-regulated p53/xCT pathway. The regulation of p53 ubiquitination was confirmed by DCAF13 overexpression and MG132. The effects of silencing DCAF13 and MG132 on STAT5B overexpression on MCL was clarified by a tumor-bearing nude mouse model.

Results: DCAF13 was overexpressed in MCL and positively correlated with STAT5B, negatively correlated with p53, and positively correlated with xCT. Inhibition of ferroptosis alleviated the inhibitory effects of siSTAT5B on MCL, while inhibition of necrosis and apoptosis had few effects. Silencing of DCAF13 led to the blocking of STAT5B regulation of p53/xCT and ferroptosis. The changes in DCAF13 and the addition of MG132 did not have statistically significant effects on p53 mRNA. Elevation of DCAF13 resulted in downregulation of p53 protein levels, and this inhibition was reversed by MG132. In animal models, the promotion of MCL and the inhibition of ferroptosis by STAT5B. Silencing of DCAF13 blocked STAT5B inhibition of p53 and induction of xCT, GPX4, and GSH.

Conclusion: STAT5B suppresses ferroptosis by promoting DCAF13 transcription to regulate p53/xCT pathway to promote MCL progression.

研究目的本研究旨在分析STAT5B通过促进DCAF13转录调控p53/xCT通路来抑制套细胞淋巴瘤(MCL)中铁细胞减少的机制:方法:利用基因表达谱交互式分析(Gene Expression Profiling Interactive Analysis,GEPIA,http://gepia.cancer-pku.cn/index.html)分析了MCL中STAT5B、DCAF13和高铁血症之间的相关性。分别检测了 STAT5B、DCAF13、p53 和 xCT 在 MCL 患者中的表达水平和配对相关性。为了证实 STAT5B 在 MCL 铁变态反应中的关键作用,研究人员沉默了 STAT5B。研究人员还考察了阻断细胞坏死、凋亡和铁变态反应对 STAT5B 抗 MCL 作用的影响。构建了 STAT5B 过表达和/或 DCAF13 沉默的细胞,以证实 DCAF13 参与了 STAT5B 调节 p53/xCT 通路。DCAF13过表达和MG132证实了对p53泛素化的调控。通过肿瘤裸鼠模型阐明了沉默DCAF13和MG132对STAT5B过表达对MCL的影响:结果:DCAF13在MCL中过表达,与STAT5B呈正相关,与p53呈负相关,与xCT呈正相关。抑制铁变态反应可减轻 siSTAT5B 对 MCL 的抑制作用,而抑制坏死和凋亡的作用则很小。沉默DCAF13可阻断STAT5B对p53/xCT和铁凋亡的调控。DCAF13 的变化和 MG132 的添加对 p53 mRNA 没有统计学意义上的显著影响。DCAF13 的升高导致 p53 蛋白水平下调,而 MG132 逆转了这种抑制作用。在动物模型中,STAT5B 对 MCL 有促进作用,并抑制铁变态反应。Silencing of DCAF13 blocked STAT5B inhibition of p53 and induction of xCT, GPX4, and GSH.Conclusion:结论:STAT5B通过促进DCAF13转录来调节p53/xCT通路,从而抑制铁变态反应,促进MCL进展。
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引用次数: 0
Enzymatic Routes for Chiral Amine Synthesis: Protein Engineering and Process Optimization. 手性胺合成的酶法路线:蛋白质工程与工艺优化。
IF 5.3 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-06-25 eCollection Date: 2024-01-01 DOI: 10.2147/BTT.S446712
Sayali Shantaram Vikhrankar, Seema Satbhai, Priyanka Kulkarni, Ranjit Ranbhor, Vibin Ramakrishnan, Prashant Kodgire

Chiral amines are essential motifs in pharmaceuticals, agrochemicals, and specialty chemicals. While traditional chemical routes to chiral amines often lack stereoselectivity and require harsh conditions, biocatalytic methods using engineered enzymes can offer high efficiency and selectivity under sustainable conditions. This review discusses recent advances in protein engineering of transaminases, oxidases, and other enzymes to improve catalytic performance. Strategies such as directed evolution, immobilization, and computational redesign have expanded substrate scope and enhanced efficiency. Furthermore, process optimization guided by techno-economic assessments has been crucial for establishing viable biomanufacturing routes. Combining state-of-the-art enzyme engineering with multifaceted process development will enable scalable, economical enzymatic synthesis of diverse chiral amine targets.

手性胺是制药、农用化学品和特种化学品中的重要基团。传统的化学方法制备手性胺往往缺乏立体选择性,而且需要苛刻的条件,而使用工程酶的生物催化方法可以在可持续的条件下提供高效率和高选择性。本综述讨论了为提高催化性能而对转氨酶、氧化酶和其他酶进行蛋白质工程改造的最新进展。定向进化、固定化和计算重新设计等策略扩大了底物范围并提高了效率。此外,以技术经济评估为指导的工艺优化对于建立可行的生物制造路线至关重要。将最先进的酶工程技术与多方面的工艺开发相结合,将实现对各种手性胺目标的可扩展、经济的酶法合成。
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引用次数: 0
Gene Expression, Morphology, and Electrophysiology During the Dynamic Development of Human-Induced Pluripotent Stem Cell-Derived Atrial- and Ventricular-Like Cardiomyocytes [Response to Letter]. 人类诱导多能干细胞衍生的心房型和心室型心肌细胞动态发育过程中的基因表达、形态学和电生理学 [对信件的回复].
IF 5.3 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-06-25 eCollection Date: 2024-01-01 DOI: 10.2147/BTT.S480422
Yafei Zhou, Christopher L H Huang, Yanmin Zhang
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引用次数: 0
Osteoimmune Interaction and TH-1/TH-2 Ratio in Jawbone Marrow Defects: An Underestimated Association - Original Research. 颌骨骨髓缺陷中的骨免疫相互作用与 TH-1/TH-2 比率:被低估的关联 - 原创性研究。
IF 4 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-06-06 eCollection Date: 2024-01-01 DOI: 10.2147/BTT.S448587
Johann Lechner, Volker von Baehr, Florian Notter, Fabian Schick

Introduction: Osteoimmunology recognizes the relationship between bone cells and immune cells. Chronic osteoimmune dysregulation is present in bone marrow defects of the jaw (BMDJ) as fatty-degenerative osteonecrosis (FDOJ). In comparison to samples from healthy jaw bone, the cytokine analysis of samples of BMDJ/FDOJ from 128 patients showed downregulated TNF-α and IL-6 expression and the singular overexpression of the chemokine RANTES/CCL5.

Aim and objectives: This paper raises the question of whether the osteoimmune defects due to incomplete wound healing in BMDJ/FDOJ in 128 patients are related to dysregulation of the Th1/Th2 ratio and regulatory T cell (T-reg) expression in a control group of 197 BMDJ/FDOJ patients, each presenting with BMDJ/FJOD and one of seven different immune disorders.

Material and methods: In the control group, serum concentrations of the cytokines IFN-y and IL-4 were determined after stimulated cytokine release and displayed as Th1/Th2 ratios.

Results: Data show a shift in Th2 in more than 80% (n = 167) of the control cohort of 197 chronically ill patients with concomitant BMDJ/FDOJ. In these 167 subjects, the Th1/Th2 ratio was <6.1 demonstrating impaired immune regulation. Forty-seven subjects or 30% showed not only a shift in Th2 but also excessive T-reg overactivation with levels of >1.900 pg/mL, indicating strongly downregulated immune activity.

Discussion: BMDJ/FDOJ is characterized by a lack of Th1 cytokines and an excessive expression of RANTES/CCL5 and IL-1ra and, thus, the inversion of an acute inflammatory cytokine pattern. In contrast, abdominal fat contains a very high proportion of regulatory Th1 cells and produces an inflammatory immune response through the high overexpression of TNF-α and IL-6. The lack of Th1 activation in BMDJ/FDOJ areas inhibits normal wound healing and supports the persistence of BMDJ/FDOJ.

Conclusion: The Th1/Th2 ratio requires greater consideration, especially with respect to wound healing following dental surgical interventions, such as jaw surgery, implantation and augmentation, to avoid the emergence of the osteoimmune situation that is characteristic of BMDJ/FDOJ.

导言:骨免疫学认识到骨细胞与免疫细胞之间的关系。慢性骨免疫失调在颌骨骨髓缺损(BMDJ)中表现为脂肪变性骨坏死(FDOJ)。与健康颌骨样本相比,对128名患者的BMDJ/FDOJ样本进行的细胞因子分析显示,TNF-α和IL-6表达下调,趋化因子RANTES/CCL5奇异过表达:本文提出的问题是,128例BMDJ/FDOJ患者伤口愈合不全导致的骨免疫缺陷是否与197例BMDJ/FDOJ患者对照组的Th1/Th2比例失调和调节性T细胞(T-reg)表达有关:在对照组中,在刺激细胞因子释放后测定血清中细胞因子 IFN-y 和 IL-4 的浓度,并显示 Th1/Th2 比率:数据显示,在同时患有 BMDJ/FDOJ 的 197 名慢性病患者的对照组中,超过 80% 的患者(n = 167)的 Th2 发生了变化。在这 167 名受试者中,Th1/Th2 比率为 1.900 pg/mL,表明免疫活性受到强烈下调:讨论:BMDJ/FDOJ 的特点是缺乏 Th1 细胞因子,而 RANTES/CCL5 和 IL-1ra 表达过多,因此急性炎症细胞因子模式发生逆转。相比之下,腹部脂肪含有极高比例的调节性 Th1 细胞,并通过 TNF-α 和 IL-6 的高表达产生炎症免疫反应。BMDJ/FDOJ区域缺乏Th1激活会抑制正常的伤口愈合,并支持BMDJ/FDOJ的持续存在:结论:Th1/Th2 比率需要更多的考虑,特别是在牙科手术干预(如颌骨手术、种植和隆牙)后的伤口愈合方面,以避免出现 BMDJ/FDOJ 所特有的骨免疫情况。
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引用次数: 0
Gene Expression, Morphology, and Electrophysiology During the Dynamic Development of Human Induced Pluripotent Stem Cell-Derived Atrial- and Ventricular-Like Cardiomyocytes [Letter]. 人类诱导多能干细胞衍生的心房型和心室型心肌细胞动态发育过程中的基因表达、形态学和电生理学 [信函]。
IF 5.3 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-06-05 eCollection Date: 2024-01-01 DOI: 10.2147/BTT.S480180
Mayang Wulandari, Amal Prihatono, Achmad Jaelani Rusdi
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引用次数: 0
Response to "Lncrna GAS5 Modulates the Progression of Glioma Through Repressing miR-135b-5p and Upregulating APC" [Letter]. 对 "Lncrna GAS5 通过抑制 miR-135b-5p 和上调 APC 调节胶质瘤的进展 "的回应 [信函]。
IF 4 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-06-05 eCollection Date: 2024-01-01 DOI: 10.2147/BTT.S479606
Chanif Mahdi, Mayang Wulandari, Retno Dewi Prisusanti
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引用次数: 0
Gene Expression, Morphology, and Electrophysiology During the Dynamic Development of Human Induced Pluripotent Stem Cell-Derived Atrial- and Ventricular-Like Cardiomyocytes. 人类诱导多能干细胞衍生的心房型和心室型心肌细胞动态发育过程中的基因表达、形态学和电生理学。
IF 4 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-05-10 eCollection Date: 2024-01-01 DOI: 10.2147/BTT.S448054
Yafei Zhou, Rui Zhou, Wenjun Huang, Jie Wang, Congshan Jiang, Anmao Li, Christopher L H Huang, Yanmin Zhang

Background and objectives: Gene expression, morphology, and electrophysiological combination are essential for assessing the dynamic development of human induced pluripotent stem cell-derived atrial- and ventricular-like cardiomyocytes (iPS-AM and iPS-VM, respectively).

Methods: For iPS-AM/VM differentiation, we performed the small molecule-based temporal modulation of the retinoic acid and bone morphogenetic protein signaling pathways. We investigated the gene expression and morphology using immunofluorescence, quantitative real-time polymerase chain reaction, flow cytometry, and transmission electron microscopy as well as registered electrophysiological functions using a whole-cell patch clamp on days 20, 30, and 60 post-differentiations.

Results: Pan-cardiomyocyte marker, including troponin T2 (TNNT2) and alpha-actinin-2 (ACTN2), expressions increased both in iPS-AMs and iPS-VMs. Similarly, the mRNA expression of both iPS-AM-specific markers, ie, natriuretic peptide A (NPPA), myosin light chain 7 (MYL7), and K+ channel Kir3.4 (KCNJ5), and iPS-VM-specific markers, ie, gap junction α-1 (GJA1), myosin light chain 2 (MYL2), and alpha-1-subunit of a voltage-dependent L-type calcium channel (CACNA1C), increased from 0 to 20 days, and then decreased from 30 to 60 days. Concerning morphology, cardiac troponin-T (cTnT) arrangement was progressively organized and developed from a disorderly myofibrillar distribution to an organized sarcomere pattern both in iPS-AMs and iPS-VMs. Mitochondrial numbers gradually increased and those of lipid droplets decreased during dynamic development. Regarding physiological function, the resting and action potential amplitudes remained statistically indifferent in both cell types, and the action potential duration was prolonged during the development.

Conclusion: IPS-AMs/VMs displayed dynamic development concerning their gene expression, morphology, and electrophysiological function. The discoveries of this study could provide novel insights into heart development and encourage further research.

背景和目的:基因表达、形态学和电生理学组合对于评估人类诱导多能干细胞衍生的心房样和心室样心肌细胞(分别为iPS-AM和iPS-VM)的动态发育至关重要:在iPS-AM/VM分化过程中,我们对视黄酸和骨形态发生蛋白信号通路进行了基于小分子的时间调控。我们使用免疫荧光、实时定量聚合酶链反应、流式细胞术和透射电子显微镜研究了基因表达和形态学,并在分化后第20、30和60天使用全细胞膜片钳记录了电生理功能:结果:包括肌钙蛋白T2(TNNT2)和α-肌动蛋白-2(ACTN2)在内的泛心肌细胞标记物在iPS-AMs和iPS-VMs中的表达均有所增加。同样,iPS-AM 特异性标记物(即利尿肽 A(NPPA)、肌球蛋白轻链 7(MYL7)和 K+通道 Kir3.4(KCNJ5),以及iPS-VM特异性标记物,即间隙连接α-1(GJA1)、肌球蛋白轻链2(MYL2)和电压依赖型L型钙通道α-1亚基(CACNA1C),在0至20天期间增加,然后在30至60天期间减少。在形态学方面,iPS-AMs 和 iPS-VMs 中的心肌肌钙蛋白-T(cTnT)排列逐渐有序,从无序的肌纤维分布发展为有序的肌节模式。在动态发育过程中,线粒体数量逐渐增加,脂滴数量减少。在生理功能方面,两种细胞的静息电位和动作电位振幅在统计学上保持不变,动作电位持续时间在发育过程中延长:结论:IPS-AMS/VMs在基因表达、形态和电生理功能方面呈现动态发展。结论:IPS-AMs/VMs 在基因表达、形态和电生理功能方面表现出动态发育,本研究的发现可为心脏发育提供新的见解,并鼓励进一步的研究。
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引用次数: 0
Successful Fistula Closure After Treatment with Colostomy and Infliximab in a Patient with Ulcerative Colitis Complicated by Rectovaginal Fistula. 直肠阴道瘘并发溃疡性结肠炎患者接受结肠造口术和英夫利昔单抗治疗后成功关闭瘘管
IF 4 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.2147/BTT.S457300
Sota Katsube, Satohiro Matsumoto, Masahiro Misawa, Nao Kakizawa, Ryo Hashimoto, Taku Mizutani, Keita Matsumoto, Shuhei Yoshikawa, Hirosato Mashima

The patient was a 50-year-old Japanese woman who was diagnosed with total-colitis-type ulcerative colitis (UC) at the age of 26 years. She was treated with mesalazine and azathioprine, and her disease activity was well controlled. At the age of 50 years, the patient was experiencing fever, abdominal pain, diarrhea, bloody stool, and anal pain, which led to a diagnosis of a relapse of UC. Although steroid therapy was administered and tended to improve her symptoms, fecaloid vaginal discharge occurred, and rectovaginal fistula (RVF) was confirmed. Colostomy was performed, and infliximab was initiated as maintenance therapy for UC. All symptoms improved, and RVF closure was confirmed 6 months after the initiation of infliximab. To date, she has been free from relapse of UC. There have been only a few reports of UC complicated by RVF, and this condition is often difficult to treat. To the best of our knowledge, no other case of UC complicated by RVF in which the fistula was closed after treatment with colostomy and infliximab has been previously reported; thus, our report of the present case is valuable to the literature.

患者是一名 50 岁的日本女性,26 岁时被诊断出患有全结肠炎型溃疡性结肠炎(UC)。她接受了美沙拉嗪和硫唑嘌呤治疗,疾病活动得到了很好的控制。50 岁时,患者出现发热、腹痛、腹泻、血便和肛门疼痛,因此被诊断为 UC 复发。虽然进行了类固醇治疗,症状有所改善,但还是出现了粪便样阴道分泌物,并确诊为直肠阴道瘘(RVF)。患者接受了结肠造口术,并开始使用英夫利西单抗作为 UC 的维持治疗。所有症状均有所改善,在开始使用英夫利昔单抗 6 个月后,确认直肠阴道瘘闭合。迄今为止,她的 UC 一直没有复发。目前只有少数 UC 并发 RVF 的报道,而且这种情况通常很难治疗。据我们所知,此前还没有其他病例在接受结肠造口术和英夫利昔单抗治疗后瘘管闭合的病例;因此,我们对本例病例的报告在文献中具有重要价值。
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Biologics : Targets & Therapy
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