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Cytochrome P450 1A1 influences obesity-induced pulmonary hypertension. 细胞色素P450 1A1影响肥胖引起的肺动脉高压。
IF 7.7 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-30 DOI: 10.1111/bph.70244
Joshua P Dignam, Smriti Sharma, Gregor Aitchison, Ayman Gebril, Ioannis Stasinopoulos, Sofia Laforest, Chelbi Coyle, Ruth Andrew, Natalie Z M Homer, Sébastien Bonnet, Sandra Breuils-Bonnet, Martin Wabitsch, Margaret R MacLean

Background and purpose: The contribution of obesity to pulmonary arterial hypertension (PAH) pathophysiology remains poorly understood. Adipose tissue synthesises estrogens via cytochrome P450 (CYP) 19A1 (aromatase), whereas circulating estrogens are metabolised in the lung by CYP1A1. This study investigated whether obesity predisposes to PAH through enhanced estrogen synthesis and metabolism.

Experimental approach: A normoxic, two-hit, rat model of obesity-associated pulmonary hypertension (PH) was developed, combining Sugen 5416 (Sugen, Su) with a high-fat diet (HFD). Estrogen levels in SuHFD rat plasma and epicardial adipose tissue (EAT) from PAH patients were quantified using LC-MS/MS. CYP1A1 expression was assessed in lung and cardiac adipose tissue from SuHFD rats and PAH patients. The therapeutic potential of the CYP1A1 inhibitor hesperetin was evaluated in vivo. Complementary studies used pulmonary artery smooth muscle cells (PASMCs) from PAH patients and Simpson-Golabi-Behmel syndrome (SGBS) adipocytes.

Key results: HFD-fed rats of both sexes developed mild PH, which Sugen moderately exacerbated. EAT from PAH patients exhibited up-regulated aromatase and CYP1A1 expression, along with elevated estrogen levels. Circulating estrone was increased in male SuHFD rats. Pulmonary CYP1A1 expression was elevated in SuHFD rats and PAH patients. Hesperetin attenuated obesity-associated PH, reducing CYP1A1 expression in SuHFD rat lungs and PAH PASMCs. CYP1A1 induction in female SuHFD rat pericardial adipose tissue and Sugen-treated SGBS adipocytes was also tempered.

Conclusion and implications: These findings implicate augmented estrogen production by adipose tissue and elevated pulmonary CYP1A1 expression in the pathogenesis of obesity-associated PH. CYP1A1 may represent a novel therapeutic target in obese PAH patients.

背景与目的:肥胖对肺动脉高压(PAH)病理生理的影响尚不清楚。脂肪组织通过细胞色素P450 (CYP) 19A1(芳香化酶)合成雌激素,而循环雌激素在肺中通过CYP1A1代谢。本研究探讨肥胖是否通过增强雌激素合成和代谢而易患多环芳烃。实验方法:将Sugen 5416 (Sugen, Su)与高脂肪饮食(HFD)结合,建立了一种常氧、双打击的肥胖相关性肺动脉高压(PH)大鼠模型。采用LC-MS/MS定量分析PAH患者SuHFD大鼠血浆和心外膜脂肪组织(EAT)中的雌激素水平。在SuHFD大鼠和PAH患者的肺和心脏脂肪组织中评估CYP1A1的表达。在体内对CYP1A1抑制剂橙皮素的治疗潜力进行了评估。补充研究使用PAH患者的肺动脉平滑肌细胞(PASMCs)和Simpson-Golabi-Behmel综合征(SGBS)脂肪细胞。主要结果:饲喂hfd的雌雄大鼠均出现轻度PH, Sugen中度加重。PAH患者的EAT表现出芳香化酶和CYP1A1表达上调,同时雌激素水平升高。雄性SuHFD大鼠循环雌酮升高。肺CYP1A1表达在SuHFD大鼠和PAH患者中升高。橙皮素降低肥胖相关的PH值,降低SuHFD大鼠肺和PAH PASMCs中CYP1A1的表达。雌性SuHFD大鼠心包脂肪组织和糖处理的SGBS脂肪细胞中CYP1A1的诱导也得到了抑制。结论和意义:这些发现提示脂肪组织雌激素分泌增加和肺中CYP1A1表达升高与肥胖相关ph的发病机制有关。CYP1A1可能是肥胖PAH患者的一个新的治疗靶点。
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引用次数: 0
Biphasic effect of nicotine on glutamatergic activity in male mouse brain. 尼古丁对雄性小鼠脑内谷氨酸能活性的双相影响。
IF 7.7 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-30 DOI: 10.1111/bph.70242
Prajakta Pramod Biyani, Ajay Sarawagi, Anant Bahadur Patel

Background and purpose: Although the impact of nicotine on the dopaminergic system is well established, its effects on neural activity in the brain regions implicated in addiction remain unclear. The major objective of the study was to assess the impact of acute nicotine on neuronal and astrocytic metabolic activity in the prefrontal cortex, cerebral cortex and hippocampus of awake mice.

Experimental approach: Nicotine (0.0125-2.00 mg kg-1) was administered subcutaneously to 2- to 2.5-month-old C57BL/6NCrl male mice. The neuronal and astrocytic metabolic activity was measured by infusing [1,6-13C2]glucose and [2-13C]acetate, respectively, 15 min after injection, and monitoring amino acids labelling in the 1H-[13C]-NMR spectrum of brain tissue extracts.

Key results: Nicotine perturbed glucose metabolism in a dose- and brain- region-dependent manner. At lower doses, it enhanced the rate of glucose oxidation in glutamatergic neurons in the hippocampus (0.0125 mg kg-1) and prefrontal cortex (0.025 mg kg-1), with no change in the cerebral cortex. In contrast, a higher nicotine dose (1.0 mg kg-1) suppressed glutamatergic and GABAergic neurometabolic activity in all three brain regions. Nicotine did not affect the astrocytic metabolic activity at the lower dose (0.025 mg kg-1) but suppressed it at the high dose (2.0 mg kg-1).

Conclusions and implications: Nicotine has biphasic impacts on glutamatergic activity, enhancing excitatory activity at low doses but reducing both excitatory and inhibitory activity at higher doses. Most interestingly, acute nicotine increases neuronal excitability by shifting the excitation-to-inhibition balance in the prefrontal cortex, a critical component of the mesocortical circuitry.

背景和目的:虽然尼古丁对多巴胺能系统的影响已经确立,但其对与成瘾有关的大脑区域的神经活动的影响尚不清楚。本研究的主要目的是评估急性尼古丁对清醒小鼠前额叶皮层、大脑皮层和海马神经元和星形细胞代谢活动的影响。实验方法:2 ~ 2.5月龄C57BL/6NCrl雄性小鼠皮下注射尼古丁(0.0125 ~ 2.00 mg kg-1)。注射后15 min,分别输注[1,6- 13c2]葡萄糖和[2-13C]乙酸,监测脑组织提取物1H-[13C]- nmr谱中氨基酸标记,测定神经元和星形胶质细胞代谢活性。关键结果:尼古丁以剂量依赖性和脑区依赖性的方式干扰葡萄糖代谢。在低剂量下,它增强了海马(0.0125 mg kg-1)和前额皮质(0.025 mg kg-1)谷氨酸能神经元的葡萄糖氧化速率,而大脑皮质没有变化。相比之下,较高的尼古丁剂量(1.0 mg kg-1)抑制了所有三个大脑区域的谷氨酸能和氨基丁酸能神经代谢活动。低剂量尼古丁(0.025 mg kg-1)对星形细胞代谢活性无影响,高剂量尼古丁(2.0 mg kg-1)对星形细胞代谢活性有抑制作用。结论和意义:尼古丁对谷氨酸活性有双相影响,低剂量时增强兴奋性活性,高剂量时降低兴奋性和抑制性活性。最有趣的是,急性尼古丁通过改变前额皮质的兴奋-抑制平衡来增加神经元的兴奋性,前额皮质是中脑皮层回路的关键组成部分。
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引用次数: 0
Targeting hexokinase 2 to induce breast cancer cell senescence. 靶向己糖激酶2诱导乳腺癌细胞衰老。
IF 7.7 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-30 DOI: 10.1111/bph.70282
Helmut Bischof, Katarina Cisarova, Sandra Burgstaller, Mia Schwerer, Markus Absenger-Novak, Philipp J Jost, Roland Malli, Wolfgang F Graier, Robert Lukowski

Background and purpose: Hexokinase 2 (HK2) is a key enzyme linked to high tumour cell proliferation. Its inhibitors such as 3-bromopyruvic acid (3-BP) induce cancer cell death, highlighting HK2 modulation as potential anti-cancer treatment. However, standard chemotherapies often cause the emergence of senescent cancer cells, which goes along with cell metabolic reprogramming and treatment failure. This study explores whether targeting HK2 can induce cancer cell senescence and whether metabolic changes in senescent cancer cells are tied to the cellular HK2 status.

Experimental approach: The expression of hexokinase 1 (HK1) and HK2 was assessed using immunoblot and immunofluorescence analysis in cell lines and in primary murine breast cancer (BC) cells. The senescence-inducing potential of HK2 inhibition and the effect of chemotherapy-induced senescence on HK1 and HK2 expression were assessed. Cell-based approaches were complemented by analysing single-cell RNA sequencing data from BC patients.

Key results: BC cell sensitivity to HK2 inhibition did not correlate with HK2 expression levels. Consistently, senescence was linked to a decrease in HK2 and an increase in HK1 expression. Moreover, genetic knockdown of HK2 induced senescence, indicating that a change in the HK2/HK1 ratio drives, rather than results, from cellular senescence. This shift in HK2/HK1 ratio was confirmed in single-cell RNA sequencing data of BC biopsies.

Conclusions and implications: Expressional shifts in the HK2/HK1 ratio may serve as a novel marker for BC cell senescence. Whereas targeting HK2 shows promise in untreated cancers, senescence-inducing anti-cancer therapies may limit the effectiveness of HK2-targeted treatments in pre-treated cancer patients.

背景和目的:己糖激酶2 (HK2)是与肿瘤细胞高增殖相关的关键酶。其抑制剂如3-溴丙酮酸(3-BP)可诱导癌细胞死亡,突出显示HK2调节作为潜在的抗癌治疗方法。然而,标准化疗往往导致衰老癌细胞的出现,这伴随着细胞代谢重编程和治疗失败。本研究探讨以HK2为靶点是否能诱导癌细胞衰老,以及衰老癌细胞的代谢变化是否与细胞HK2状态有关。实验方法:采用免疫印迹法和免疫荧光法检测细胞系和原发性小鼠乳腺癌细胞中己糖激酶1 (HK1)和HK2的表达。评估HK2抑制的诱导衰老潜能以及化疗诱导的衰老对HK1和HK2表达的影响。通过分析BC患者的单细胞RNA测序数据,补充了基于细胞的方法。关键结果:BC细胞对HK2抑制的敏感性与HK2表达水平无关。一致地,衰老与HK2的减少和HK1表达的增加有关。此外,基因敲低HK2诱导衰老,表明HK2/HK1比值的变化是细胞衰老的驱动因素,而不是结果。这种HK2/HK1比值的变化在BC活检的单细胞RNA测序数据中得到证实。结论和意义:HK2/HK1比值的表达变化可能作为BC细胞衰老的新标志物。虽然靶向HK2在未治疗的癌症中显示出希望,但诱导衰老的抗癌疗法可能会限制靶向HK2治疗在治疗前癌症患者中的有效性。
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引用次数: 0
Molecular basis for a pore block of Tentonin 3 expressed in HEK293 cells by a conopeptide, NMB-1. HEK293细胞中通过conpeptide NMB-1表达的tenonin3孔阻滞的分子基础。
IF 7.7 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-30 DOI: 10.1111/bph.70278
Sujin Lim, Junhyuk Woo, Sungmin Pak, Joonho Paik, Gyu-Sang Hong, Ji Hun Wi, Sanghee Lee, Cristina Fenollar-Ferrer, Kyungreem Han, Young Kee Shin, Uhtaek Oh

Background and purpose: Tentonin 3 (TTN3/TMEM150C) is a mechanosensitive ion channel that plays critical roles in mechanotransduction processes. TTN3 forms a tetramer with a predicted rectangular shape and a central pore. A conotoxin ρ-TIA and its synthetic analog, noxious mechanosensation blocker 1 (NMB-1), were initially developed to inhibit slowly adapting (SA)-type mechanically activated (MA) currents in dorsal root ganglion (DRG) neurons. Since TTN3 confers slowly-adapting MA currents in DRG neurons, both NMB-1 and ρ-TIA were hypothesized to inhibit TTN3.

Experimental approach: To record MA currents, a few micrometre step indentations were applied to HEK cells expressing TTN3. NMB-1 and ρ-TIA were applied to these cells to test their specific antagonism. Mutations of the conopeptides and TTN3 were made to identify underlying mechanisms of inhibition.

Key results: NMB-1 strongly inhibited TTN3, whereas ρ-TIA had only a weak effect, and neither peptide affected Piezo channels. Alanine-scanning mutagenesis coupled with electrophysiological assays pinpointed that a positively charged residue in NMB-1 and ρ-TIA is essential for their inhibitory action. Additionally, a glutamate residue (Glu126) near the pore entrance of TTN3 was identified as critical for the NMB-1 inhibitory action, suggesting a key electrostatic interaction between NMB-1 and TTN3. Molecular dynamics simulations further supported this electrostatic interaction between the peptide ligand and the channel protein.

Conclusions and implications: NMB-1 specifically blocks a mechanosensitive channel, TTN3, via electrostatic interaction. These findings offer mechanistic insights into the selective inhibition of TTN3 by NMB-1 and provide a foundation for developing therapeutic agents targeting TTN3-related channelopathies.

背景与目的:tenonin 3 (TTN3/TMEM150C)是一种在机械转导过程中起关键作用的机械敏感离子通道。TTN3形成四聚体,具有预测的矩形形状和中心孔。最初,研究人员开发了一种concontoxin ρ-TIA及其合成类似物——有毒机械感觉阻断剂1 (toxic mechanosensation blocker 1, NMB-1),用于抑制背根神经节(DRG)神经元中的慢适应(SA)型机械激活(MA)电流。由于TTN3在DRG神经元中赋予缓慢适应的MA电流,因此假设NMB-1和ρ-TIA都能抑制TTN3。实验方法:在表达TTN3的HEK细胞上施加几微米的步进压痕以记录MA电流。NMB-1和ρ-TIA分别作用于这些细胞,检测其特异性拮抗作用。对conop肽和TTN3进行突变,以确定潜在的抑制机制。关键结果:NMB-1对TTN3有较强的抑制作用,而ρ-TIA仅具有较弱的抑制作用,且两种肽均不影响压电通道。丙氨酸扫描诱变和电生理实验表明,NMB-1和ρ-TIA中的一个带正电的残基对它们的抑制作用至关重要。此外,TTN3孔入口附近的谷氨酸残基(Glu126)被鉴定为NMB-1抑制作用的关键,这表明NMB-1与TTN3之间存在关键的静电相互作用。分子动力学模拟进一步支持了多肽配体和通道蛋白之间的静电相互作用。结论和意义:NMB-1通过静电相互作用特异性阻断机械敏感通道TTN3。这些发现为NMB-1选择性抑制TTN3的机制提供了见解,并为开发针对TTN3相关通道病变的治疗药物提供了基础。
{"title":"Molecular basis for a pore block of Tentonin 3 expressed in HEK293 cells by a conopeptide, NMB-1.","authors":"Sujin Lim, Junhyuk Woo, Sungmin Pak, Joonho Paik, Gyu-Sang Hong, Ji Hun Wi, Sanghee Lee, Cristina Fenollar-Ferrer, Kyungreem Han, Young Kee Shin, Uhtaek Oh","doi":"10.1111/bph.70278","DOIUrl":"https://doi.org/10.1111/bph.70278","url":null,"abstract":"<p><strong>Background and purpose: </strong>Tentonin 3 (TTN3/TMEM150C) is a mechanosensitive ion channel that plays critical roles in mechanotransduction processes. TTN3 forms a tetramer with a predicted rectangular shape and a central pore. A conotoxin ρ-TIA and its synthetic analog, noxious mechanosensation blocker 1 (NMB-1), were initially developed to inhibit slowly adapting (SA)-type mechanically activated (MA) currents in dorsal root ganglion (DRG) neurons. Since TTN3 confers slowly-adapting MA currents in DRG neurons, both NMB-1 and ρ-TIA were hypothesized to inhibit TTN3.</p><p><strong>Experimental approach: </strong>To record MA currents, a few micrometre step indentations were applied to HEK cells expressing TTN3. NMB-1 and ρ-TIA were applied to these cells to test their specific antagonism. Mutations of the conopeptides and TTN3 were made to identify underlying mechanisms of inhibition.</p><p><strong>Key results: </strong>NMB-1 strongly inhibited TTN3, whereas ρ-TIA had only a weak effect, and neither peptide affected Piezo channels. Alanine-scanning mutagenesis coupled with electrophysiological assays pinpointed that a positively charged residue in NMB-1 and ρ-TIA is essential for their inhibitory action. Additionally, a glutamate residue (Glu126) near the pore entrance of TTN3 was identified as critical for the NMB-1 inhibitory action, suggesting a key electrostatic interaction between NMB-1 and TTN3. Molecular dynamics simulations further supported this electrostatic interaction between the peptide ligand and the channel protein.</p><p><strong>Conclusions and implications: </strong>NMB-1 specifically blocks a mechanosensitive channel, TTN3, via electrostatic interaction. These findings offer mechanistic insights into the selective inhibition of TTN3 by NMB-1 and provide a foundation for developing therapeutic agents targeting TTN3-related channelopathies.</p>","PeriodicalId":9262,"journal":{"name":"British Journal of Pharmacology","volume":" ","pages":""},"PeriodicalIF":7.7,"publicationDate":"2025-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145630327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring effects of chronic d-cycloserine administration on expression of GluN2 subunits and tripartite synaptic transmission in thalamocortical pathway. 慢性给药d-环丝氨酸对丘脑皮质通路GluN2亚基表达及三方突触传递的影响
IF 7.7 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-28 DOI: 10.1111/bph.70262
Motohiro Okada, Ruri Okubo, Nobutomo Yamamoto, Eishi Motomura

Background and purpose: d-cycloserine, N-methyl-d-aspartate/glutamate (NMDA) receptor co-agonist (GluN2A/GluN2B partial and GluN2C super-agonist), improves negative symptom of schizophrenia with narrow therapeutic window, but the mechanisms remains unclear.

Experimental approach: Effects of chronic d-cycloserine administration (2-5 mg·kg-1) on sucrose preference of adult male rats were determined. Dose/concentration-dependent effects of acute/chronic administrations of d-cycloserine (25-300 μM and 2-25 mg·kg-1) on expression of GluN2 subunits and associated transmission of l-glutamate/d-serine/GABA were determined using microdialysis in adult male rats, primary cultured astrocytes (male/female neonatal rats) and capillary immunoblotting.

Key results: d-cycloserine dose-dependently increased release of astroglial l-glutamate/d-serine and neuronal GABA in the thalamus and medial prefrontal cortex (mPFC) (d-serine > GABA > l-glutamate), according to intrinsic activities (GluN2C > GluN2A [but unaffected GluN2B]). Chronic d-cycloserine dose-dependently down-regulated GluN2C > GluN2B > GluN2A (according to affinity) and attenuated d-cycloserine-induced astroglial release of l-glutamate/d-serine, dose dependently (GluN2C > GluN2A). Chronic exposure (25 μM) d-cycloserine down-regulated GluN2C but increased GluN2C-related astroglial l-glutamate/d-serine release. Chronic exposure to >60μM d-cycloserine diminished GluN2C-related astroglial release but activated GluN2A-related release. Chronic administration of 2 but not 5-mg·kg-1 d-cycloserine restored MK-801-induced decrease sucrose preference.

Conclusion and implications: Chronic d-cycloserine (25 μM and 2 mg·kg-1) down-regulated GluN2C without affecting GluN2A/GluN2B but increased GluN2-related astroglial l-glutamate/d-serine release. Higher d-cycloserine dose (>60 μM; >5 mg·kg-1) inactivated GluN2C, but increased GluN2A related astroglial release. These results indicate that dose-dependent activation and inactivation of GluN2C by d-cycloserine is possibly involved in its efficacy on negative symptom of schizophrenia, but with a narrow therapeutic window.

背景与目的:n -甲基-d-天冬氨酸/谷氨酸(NMDA)受体共激动剂(GluN2A/GluN2B部分激动剂和GluN2C超激动剂)d-环丝氨酸改善精神分裂症阴性症状,治疗窗口窄,但机制尚不清楚。实验方法:观察d-环丝氨酸慢性给药(2-5 mg·kg-1)对成年雄性大鼠蔗糖偏好的影响。采用微透析、原代培养星形胶质细胞(雄性/雌性新生大鼠)和毛细免疫印迹法测定了急性/慢性给药d-环丝氨酸(25-300 μM和2-25 mg·kg-1)对GluN2亚基表达和l-谷氨酸/d-丝氨酸/GABA传递的剂量/浓度依赖性影响。关键结果:根据内在活性(GluN2C > GluN2A[但不受GluN2B影响]),d-环丝氨酸剂量依赖性地增加了丘脑和内侧前额叶皮质(mPFC)中星形胶质细胞l-谷氨酸/d-丝氨酸和神经元GABA的释放(d-丝氨酸> GABA > l-谷氨酸)。慢性d-环丝氨酸剂量依赖性下调GluN2C > GluN2B > GluN2A(根据亲和力)和减弱d-环丝氨酸诱导的星形胶质细胞释放l-谷氨酸/d-丝氨酸,剂量依赖性(GluN2C > GluN2A)。慢性暴露(25 μM) d-环丝氨酸会下调GluN2C,但会增加GluN2C相关星形胶质细胞l-谷氨酸/d-丝氨酸的释放。长期暴露于bbb60 μ m d-环丝氨酸会减少glun2c相关星形胶质细胞的释放,但会激活glun2a相关的释放。长期给药2 mg·kg-1而非5 mg·kg-1 d-环丝氨酸可恢复mk -801诱导的糖偏好降低。结论和意义:慢性d-环丝氨酸(25 μM和2 mg·kg-1)可下调GluN2C,但不影响GluN2A/GluN2B,但会增加glun2相关星形胶质细胞的l-谷氨酸/d-丝氨酸释放。高剂量d-环丝氨酸(>60 μM; >5 mg·kg-1)灭活GluN2C,但增加GluN2A相关星形胶质细胞释放。这些结果表明,d-环丝氨酸对GluN2C的剂量依赖性激活和失活可能参与了其对精神分裂症阴性症状的疗效,但治疗窗口较窄。
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引用次数: 0
Synergistic antiviral activity against human adenovirus through combination of itraconazole and brincidofovir. 伊曲康唑与brincidofovir联合应用对人腺病毒的协同抗病毒作用。
IF 7.7 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-28 DOI: 10.1111/bph.70258
Mohamed Zamzamy, Sophie Post, Wing Hang Ip, Elin Hahlin, Sebastian Kühn, Andrea Pirosu, Christian Conze, Martin Baumdick, Madeleine J Bunders, Britta F Zecher, Angelique Hoelzemer, Stephan Linder, Niklas Arnberg, Thomas Dobner, Marcus Altfeld, Sebastian Schloer

Background and purpose: Human adenovirus (HAdV) causes respiratory or gastrointestinal tract infections depending on the virus subtype. While HAdV infections are generally self-limiting in immunocompetent people, they can result in significant morbidity and mortality in immunocompromised adults and children. Due to the limited availability of effective therapeutic options, there is an urgent need for novel therapeutics to combat HAdV infection and mitigate its severity.

Experimental approach: Here, we have repurposed the clinically well-used antifungal, itraconazole, to control HAdV infection. We tested the antiviral potential of the itraconazole and the mTOR inhibitor Ku-63794 on the production of infectious HAdV in A549 and Caco-2 cells as well as human intestinal organoids (HIOs). Additionally, we evaluated the benefit of a combination of these host-directed drugs with the direct-acting antiviral brincidofovir.

Key results: Pharmacological treatment with itraconazole significantly reduced virus titres in different in vitro models, including HIOs. Treatment with itraconazole impairs HAdV entry by entrapping incoming virus particles in endolysosomes and by promoting autophagy in HAdV-infected cells. Moreover, combining itraconazole with brincidofovir, a cidofovir derivative currently under clinical evaluation for anti-HAdV applications, demonstrated a synergistic effect in reducing HAdV titres.

Conclusion and implications: Given the gastrointestinal toxicity associated with brincidofovir, its combination with the host-directed drug itraconazole allowed lower brincidofovir doses to be used to decrease HAdV titres, thereby minimizing adverse drug effects while maintaining antiviral efficacy.

背景和目的:人腺病毒(hav)根据病毒亚型可引起呼吸道或胃肠道感染。虽然在免疫功能正常的人群中,hav感染通常是自限性的,但在免疫功能低下的成人和儿童中,它们可导致显著的发病率和死亡率。由于有效的治疗选择有限,迫切需要新的治疗方法来对抗hav感染并减轻其严重程度。实验方法:我们重新利用临床上常用的抗真菌药物伊曲康唑来控制hav感染。我们测试了伊曲康唑和mTOR抑制剂Ku-63794对A549和Caco-2细胞以及人肠道类器官(HIOs)产生感染性hav的抗病毒潜力。此外,我们评估了这些宿主定向药物与直接作用抗病毒药物brincidofovir联合使用的益处。关键结果:伊曲康唑药物治疗可显著降低包括HIOs在内的不同体外模型的病毒滴度。伊曲康唑通过将进入的病毒颗粒包裹在内溶酶体中并促进hav感染细胞的自噬来抑制hav的进入。此外,伊曲康唑与brincidofovir(一种西多福韦衍生物,目前正在临床评估抗hav应用)联合使用,显示出降低hav滴度的协同效应。结论和意义:考虑到brincidofovir与胃肠道毒性相关,它与宿主定向药物伊曲康唑联合使用,可以使用较低的brincidofovir剂量来降低hav滴度,从而在保持抗病毒疗效的同时最大限度地减少药物不良反应。
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引用次数: 0
Improving Kv7 targeting anticonvulsants - will repurposing save the day? 改进Kv7靶向抗惊厥药-重新定位会拯救一天吗?
IF 7.7 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-27 DOI: 10.1111/bph.70290
Nikita Gamper
<p>Among the molecular targets for treating disorders of neuronal excitability, such as epilepsy, chronic pain and conditions involving excitotoxicity (e.g. stroke or traumatic brain injury), the K<sub>v</sub>7 (KCNQ) family of voltage-gated potassium channels stands out as particularly promising. Several biophysical properties make K<sub>v</sub>7 channels well-suited for this role. They have activation voltage threshold near the resting membrane potential of many neurons, they do not inactivate and have slow activation and deactivation kinetics (Jones et al., <span>2021</span>). Owing to these characteristics, a fraction of K<sub>v</sub>7 channels remains conductive in a neuron at rest, controlling firing threshold and rheobase. Gradual increase of K<sub>v</sub>7 channel activity during sustained depolarization or continuous firing introduces self-tuning or ‘accommodation’ in firing patterns.</p><p>There are five K<sub>v</sub>7 subunits in mammals, K<sub>v</sub>7.1–K<sub>v</sub>7.5, and these are encoded by <i>KCNQ1</i>-<i>KCNQ5</i> genes. K<sub>v</sub>7.1 is mainly expressed in the cardiovascular system and epithelia, while K<sub>v</sub>7.2–K<sub>v</sub>7.5 are mostly neuronal, responsible for so-called M-type K<sup>+</sup> current in these cells (Jones et al., <span>2021</span>). Generic mutations causing loss of K<sub>v</sub>7 function often result in pathological hyperexcitability (epilepsies, cardiac arrhythmias and pain) (Jones et al., <span>2021</span>). Conversely, pharmacological activation or enhancement of K<sub>v</sub>7 activity is widely recognised therapeutic strategy for management of hyperexcitability symptoms. Two K<sub>v</sub>7 activators have been clinically used as a painkiller (flupirtine) and anticonvulsant (retigabine), and a number of other clinically used drugs may have K<sub>v</sub>7 activation among their mechanisms of action. These include painkillers, celecoxib (Du et al., <span>2011</span>) and paracetamol (Ray et al., <span>2019</span>) and a vasodilator, fasudil (Zhang et al., <span>2016</span>).</p><p>Although flupirtine and retigabine initially demonstrated clinical promise, both compounds were ultimately withdrawn from the market, mostly due to adverse effects. Retigabine was associated with blue skin discolouration, retinal pigmentation and urinary retention, while flupirtine carried a risk of hepatotoxicity. Current efforts in drug development are focused on identifying next-generation K<sub>v</sub>7 channel activators with superior pharmacological selectivity and safety. Yet, development of a new drug from scratch is a costly and time-consuming undertaking. In this context, screening libraries of already approved (or close to approval) drugs for potential repurposing represents a promising alternative strategy, offering the advantages of accelerated market entry and reduced development costs.</p><p>A new study by Lidia Carotenuto and co-authors, published in the British Journal of Pharmacology (Carotenuto et
在治疗神经元兴奋性紊乱的分子靶点中,如癫痫、慢性疼痛和涉及兴奋性毒性的疾病(如中风或创伤性脑损伤),Kv7 (KCNQ)电压门控钾通道家族尤其有前景。一些生物物理性质使得Kv7通道非常适合这个角色。它们在许多神经元的静息膜电位附近具有激活电压阈值,它们不会失活,并且具有缓慢的激活和失活动力学(Jones et al., 2021)。由于这些特性,一小部分Kv7通道在静止的神经元中保持导电,控制放电阈值和流变酶。在持续去极化或连续放电过程中,Kv7通道活动的逐渐增加引入了放电模式的自调谐或“调节”。哺乳动物中有5个Kv7亚基,Kv7.1-Kv7.5,这些亚基由KCNQ1-KCNQ5基因编码。Kv7.1主要表达于心血管系统和上皮细胞,而Kv7.2-Kv7.5主要是神经元细胞,负责这些细胞中所谓的m型K+电流(Jones et al., 2021)。导致Kv7功能丧失的基因突变通常会导致病理性高兴奋性(癫痫、心律失常和疼痛)(Jones et al., 2021)。相反,药物激活或增强Kv7活性被广泛认为是治疗高兴奋性症状的治疗策略。两种Kv7激活剂已在临床上用作止痛药(氟吡汀)和抗惊厥药(瑞加滨),许多其他临床使用的药物可能在其作用机制中具有Kv7激活作用。这些药物包括止痛药塞来昔布(Du等人,2011年)、扑热息痛(Ray等人,2019年)和血管扩张剂法舒地尔(Zhang等人,2016年)。虽然氟吡汀和瑞加滨最初表现出临床前景,但这两种化合物最终都退出了市场,主要是由于副作用。雷沙滨与蓝色皮肤变色、视网膜色素沉着和尿潴留有关,而氟吡汀则有肝毒性风险。目前药物开发的重点是鉴定具有优越药理选择性和安全性的下一代Kv7通道激活剂。然而,从头开始开发一种新药是一项昂贵且耗时的工作。在这种情况下,筛选已经批准(或接近批准)的药物库以进行潜在的重新利用是一种有希望的替代策略,具有加速市场进入和降低开发成本的优势。Lidia Carotenuto及其合著者发表在《英国药理学杂志》上的一项新研究(Carotenuto等人,2025)报告了通过再利用管道识别新的Kv7激活剂的努力。作者对来自Fraunhofer repurpose Library和EU-Openscreen Pilot Bioactive Library的约8000种化合物进行了高通量筛选,希望能找到安全有效的治疗癫痫的Kv7激活剂。筛选结果显示,JNJ-37822681(图1)是一种快速解离的D2受体拮抗剂,最初由强生公司开发用于治疗精神分裂症(Langlois et al., 2012)。该分子具有良好的生物利用度,良好的一般毒理学和安全性,目前正处于临床开发的后期阶段。作者首先使用荧光铊法筛选了针对中国仓鼠卵巢(CHO)细胞的化合物文库,这些细胞稳定过表达增强宏观电流突变的Kv7.3通道异构体(Kv7.3 A315T)。利加滨作为阳性对照。筛选确定了大约12种候选药物,其中包括瑞加滨和另一种已知的Kv7活化剂ML213。大多数新的候选药物在进一步的膜片钳实验中因其低效力和/或功效而被取消资格。然而,JNJ-37822681通过了验证,对Kv7.2、Kv7.4、Kv7.5同型异构体和Kv7.2/Kv7.3异构体的效价和疗效与瑞gabine相当,对Kv7.3的作用略弱。例如,瑞gabine和JNJ-37822681诱导Kv7.2/Kv7.3半电压的超极化位移分别为- 40和-37 mV, EC50分别为2.5和1.2 μM。JNJ-37822681与瑞加滨相似,对Kv7.1通道影响较小。利用Kv7.2与瑞gabine (PDB: 7CR2)配合物的低温电镜结构和分子对接模拟,作者能够将JNJ-37822681放入Kv7.2的瑞gabine结合口袋中。此外,对雷沙滨结合至关重要的Kv7.2 (W236L)中236位色氨酸的突变消除了JNJ-37822681的Kv7激活作用,证实了模型预测。然后,作者利用诱导多能干细胞(iPSC)技术测试了JNJ-37822681对人类iPSC衍生的皮质谷氨酸能神经元兴奋性的影响。 他们使用的皮质样谷氨酸能神经元分化自两名因KCNQ2功能缺失突变而患有遗传性癫痫的患者(KCNQ2发育性和癫痫性脑病;KCNQ2- dee),以及CRISPR/ cas9校正的等基因细胞系作为对照。在这些实验中,JNJ-37822681和瑞gabine在降低对照和DEE神经元的兴奋性和放电频率(使用膜片钳记录和多电极阵列系统的细胞外记录测量)方面同样有效。这两种化合物也可显著增强等基因对照神经元的M电流振幅。最后,作者使用了两种小鼠癫痫发作模型:戊四唑(PTZ)模型的全身性强直-阵挛性癫痫发作和遗传性癫痫易感DBA/2小鼠的听原反射性癫痫发作。在两种模型中,雷吉滨和JNJ-37822681显著减少了阵挛性和强直性癫痫发作,JNJ-37822681的效价与雷吉滨相似(PTZ)或略高(DBA/2)。综上所述,该研究确定并表征了具有良好安全性的新型Kv7激活剂,目前正作为抗精神病药物推向临床应用。该分子在Kv7通道中与瑞gabine结合袋结合,并具有相当的选择性。缺乏Kv7.1的活性是有利的,因为该亚基主要在心脏和血管组织中表达。因此,表现出显著Kv7.1相互作用的调节剂可能存在心血管风险。JNJ-37822681降低体外神经元兴奋性和体内癫痫发作严重程度,其效力和疗效与雷加滨相当。据推测,JNJ-37822681不会有皮肤变色的蓝色问题,这是雷沙滨所特有的,因为形成了色素二聚体。然而,JNJ-37822681可能仍有雷沙滨的其他非靶向副作用,如头晕、精神错乱、嗜睡和尿潴留。此外,由于JNJ-37822681是一种D2受体拮抗剂,它可能引发与这类药物相关的副作用,包括锥体外系症状和代谢问题。同样重要的是要注意,根据英国。葛兰素史克(GlaxoSmithKline)将有限的临床使用列为2017年停止使用瑞加滨(Trobalt/Potiga)的主要原因,而不是与疗效或安全性有关的担忧。因此,类似的化合物是否能获得更大的市场生存能力还有待确定。尽管如此,胡萝卜素及其合作者的研究证明了一种彻底而全面的策略,用于识别和描述治疗兴奋性障碍的新的临床相关Kv7通道打开剂。写了手稿。作者声明无利益冲突。
{"title":"Improving Kv7 targeting anticonvulsants - will repurposing save the day?","authors":"Nikita Gamper","doi":"10.1111/bph.70290","DOIUrl":"10.1111/bph.70290","url":null,"abstract":"&lt;p&gt;Among the molecular targets for treating disorders of neuronal excitability, such as epilepsy, chronic pain and conditions involving excitotoxicity (e.g. stroke or traumatic brain injury), the K&lt;sub&gt;v&lt;/sub&gt;7 (KCNQ) family of voltage-gated potassium channels stands out as particularly promising. Several biophysical properties make K&lt;sub&gt;v&lt;/sub&gt;7 channels well-suited for this role. They have activation voltage threshold near the resting membrane potential of many neurons, they do not inactivate and have slow activation and deactivation kinetics (Jones et al., &lt;span&gt;2021&lt;/span&gt;). Owing to these characteristics, a fraction of K&lt;sub&gt;v&lt;/sub&gt;7 channels remains conductive in a neuron at rest, controlling firing threshold and rheobase. Gradual increase of K&lt;sub&gt;v&lt;/sub&gt;7 channel activity during sustained depolarization or continuous firing introduces self-tuning or ‘accommodation’ in firing patterns.&lt;/p&gt;&lt;p&gt;There are five K&lt;sub&gt;v&lt;/sub&gt;7 subunits in mammals, K&lt;sub&gt;v&lt;/sub&gt;7.1–K&lt;sub&gt;v&lt;/sub&gt;7.5, and these are encoded by &lt;i&gt;KCNQ1&lt;/i&gt;-&lt;i&gt;KCNQ5&lt;/i&gt; genes. K&lt;sub&gt;v&lt;/sub&gt;7.1 is mainly expressed in the cardiovascular system and epithelia, while K&lt;sub&gt;v&lt;/sub&gt;7.2–K&lt;sub&gt;v&lt;/sub&gt;7.5 are mostly neuronal, responsible for so-called M-type K&lt;sup&gt;+&lt;/sup&gt; current in these cells (Jones et al., &lt;span&gt;2021&lt;/span&gt;). Generic mutations causing loss of K&lt;sub&gt;v&lt;/sub&gt;7 function often result in pathological hyperexcitability (epilepsies, cardiac arrhythmias and pain) (Jones et al., &lt;span&gt;2021&lt;/span&gt;). Conversely, pharmacological activation or enhancement of K&lt;sub&gt;v&lt;/sub&gt;7 activity is widely recognised therapeutic strategy for management of hyperexcitability symptoms. Two K&lt;sub&gt;v&lt;/sub&gt;7 activators have been clinically used as a painkiller (flupirtine) and anticonvulsant (retigabine), and a number of other clinically used drugs may have K&lt;sub&gt;v&lt;/sub&gt;7 activation among their mechanisms of action. These include painkillers, celecoxib (Du et al., &lt;span&gt;2011&lt;/span&gt;) and paracetamol (Ray et al., &lt;span&gt;2019&lt;/span&gt;) and a vasodilator, fasudil (Zhang et al., &lt;span&gt;2016&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;Although flupirtine and retigabine initially demonstrated clinical promise, both compounds were ultimately withdrawn from the market, mostly due to adverse effects. Retigabine was associated with blue skin discolouration, retinal pigmentation and urinary retention, while flupirtine carried a risk of hepatotoxicity. Current efforts in drug development are focused on identifying next-generation K&lt;sub&gt;v&lt;/sub&gt;7 channel activators with superior pharmacological selectivity and safety. Yet, development of a new drug from scratch is a costly and time-consuming undertaking. In this context, screening libraries of already approved (or close to approval) drugs for potential repurposing represents a promising alternative strategy, offering the advantages of accelerated market entry and reduced development costs.&lt;/p&gt;&lt;p&gt;A new study by Lidia Carotenuto and co-authors, published in the British Journal of Pharmacology (Carotenuto et","PeriodicalId":9262,"journal":{"name":"British Journal of Pharmacology","volume":"183 3","pages":"435-437"},"PeriodicalIF":7.7,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspubs.onlinelibrary.wiley.com/doi/epdf/10.1111/bph.70290","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145630316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to ‘Stabilisation of PRCP by deubiquitinase-targeting chimera (DUBTAC) to replenish autophagy for ameliorating pathological cardiac hypertrophy’ 修正“用去泛素酶靶向嵌合体(DUBTAC)稳定PRCP以补充自噬以改善病理性心肌肥大”。
IF 7.7 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-27 DOI: 10.1111/bph.70300

Zhou, F., Xia, J., Liu, Y., He, W., Zhang, H., Keavney, B. D., Zi, M., Nguyen, B. Y., A. Mohamed, T. M., Miller, J. M., Abouleisa, R. R.E., Hille, S. S., Cartwright, E. J., Müller, O. J., Xu, H., Butterworth, S., & Wang, X. (2025). Stabilisation of PRCP by deubiquitinase-targeting chimera (DUBTAC) to replenish autophagy for ameliorating pathological cardiac hypertrophy. British Journal of Pharmacology, 182(21), 53175339. https://doi.org/10.1111/bph.70094

We apologize for this error.

Zhou, F., Xia, J., Liu, Y., He, W., Zhang, H., Keavney, b.d ., Zi, M., Nguyen, b.y ., A. Mohamed, T. M., Miller, J. M., Abouleisa, R. R.E., Hille, S. S., Cartwright, E. J., m ller, O. J., Xu, H., Butterworth, S., and; Wang, X.(2025)。用去泛素酶靶向嵌合体(DUBTAC)补充自噬来稳定PRCP以改善病理性心肌肥大。中国药理学杂志,32(2),357 - 357。https://doi.org/10.1111/bph.70094We为这个错误道歉。
{"title":"Correction to ‘Stabilisation of PRCP by deubiquitinase-targeting chimera (DUBTAC) to replenish autophagy for ameliorating pathological cardiac hypertrophy’","authors":"","doi":"10.1111/bph.70300","DOIUrl":"10.1111/bph.70300","url":null,"abstract":"<p>\u0000 <span>Zhou, F.</span>, <span>Xia, J.</span>, <span>Liu, Y.</span>, <span>He, W.</span>, <span>Zhang, H.</span>, <span>Keavney, B. D.</span>, <span>Zi, M.</span>, <span>Nguyen, B. Y.</span>, <span>A. Mohamed</span>, <span>T. M</span>., <span>Miller, J. M.</span>, <span>Abouleisa, R. R.E.</span>, <span>Hille, S. S.</span>, <span>Cartwright, E. J.</span>, <span>Müller, O. J.</span>, <span>Xu, H.</span>, <span>Butterworth, S.</span>, &amp; <span>Wang, X.</span> (<span>2025</span>). <span>Stabilisation of PRCP by deubiquitinase-targeting chimera (DUBTAC) to replenish autophagy for ameliorating pathological cardiac hypertrophy</span>. <i>British Journal of Pharmacology</i>, <span>182</span>(<span>21</span>), <span>5317</span>–<span>5339</span>. https://doi.org/10.1111/bph.70094</p><p>We apologize for this error.</p>","PeriodicalId":9262,"journal":{"name":"British Journal of Pharmacology","volume":"183 3","pages":""},"PeriodicalIF":7.7,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspubs.onlinelibrary.wiley.com/doi/epdf/10.1111/bph.70300","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145630294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Differential segment-specific signalling pathways for guanylate cyclase C-activated anion secretion in murine ileocolon. 鸟苷酸环化酶c激活小鼠回肠阴离子分泌的不同片段特异性信号通路。
IF 7.7 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-26 DOI: 10.1111/bph.70245
Renjie Xiu, Johannes Reiner, Franz Hofmann, Azam Salari, Ursula Seidler

Background and purpose: Guanylate cyclase-C (GC-C) is the receptor for endogenous (uro)guanylin peptides, bacterial toxins and pharmacological analogues. Receptor activation leads to intestinal fluid loss, but also activates an antiproliferative pathway and is a promising target in colorectal cancer therapy. The present study delineates the molecular mechanisms that regulate the intensity of the anion secretory response (ASR) to GC-C activation in the different segments of the murine ileocolon.

Experimental approach: To assess the ASR to the guanylin analogue linaclotide, isolated mucosa from the different segments of the ileocolon of cGMP-dependent kinase II (cGKII)-deficient and WT mice were studied electrophysiologically in Ussing-chambers. The mucosal expression pattern of different phosphodiesterases (PDEs) was measured by RT-PCR.

Key results: The ASR to linaclotide and 8-pCPT-cGMP was strongly dependent on the presence of cGKII in the ileum and proximal colon, but not in the mid and distal colon, where cGKII expression is low. The inhibition of cGMP-sensitive PDE3 completely prevented the linaclotide-induced ASR only in the mid and distal colon, demonstrating that GC-C dependent ASR occurs via an increase in cAMP in these segments, mediated by the cGMP-induced inhibition of PDE3. In addition, the cGMP-specific PDE9 was highly expressed in the distal colon, and its inhibition strongly enhanced the ASR to linaclotide.

Conclusions and implications: GC-C activation leads to CFTR-mediated ASR in all segments of the intestine. In the mid and distal colon ASR is strongly reduced by the low cGKII and high PDE9 expression, with the CFTR channel being activated via cAMP-mediated phosphorylation.

背景与目的:鸟苷酸环化酶c (GC-C)是内源性(uro)鸟苷肽、细菌毒素和药理类似物的受体。受体激活导致肠液流失,但也激活了抗增殖途径,是结直肠癌治疗的一个有希望的靶点。本研究描述了调节小鼠回肠不同节段GC-C激活时阴离子分泌反应(ASR)强度的分子机制。实验方法:为评价观音碱类似物利那洛肽对cgmp依赖性激酶II (cGKII)缺失小鼠和WT小鼠回肠不同节段离体粘膜的电生理反应。采用RT-PCR法检测不同磷酸二酯酶(PDEs)的黏膜表达谱。关键结果:对利那洛肽和8-pCPT-cGMP的ASR强烈依赖于cGKII在回肠和近端结肠的存在,而不依赖于cGKII表达较低的中、远端结肠。cgmp敏感的PDE3的抑制完全阻止了利那洛肽仅在结肠中部和远端诱导的ASR,表明GC-C依赖性ASR是通过cgmp诱导的PDE3抑制介导的这些节段cAMP的增加而发生的。此外,cgmp特异性PDE9在远端结肠中高度表达,其抑制作用强烈增强了对利那洛肽的ASR。结论和意义:GC-C激活导致cftr介导的ASR发生在肠各节段。在结肠中远端,低cGKII和高PDE9表达强烈降低了ASR, CFTR通道通过camp介导的磷酸化被激活。
{"title":"Differential segment-specific signalling pathways for guanylate cyclase C-activated anion secretion in murine ileocolon.","authors":"Renjie Xiu, Johannes Reiner, Franz Hofmann, Azam Salari, Ursula Seidler","doi":"10.1111/bph.70245","DOIUrl":"https://doi.org/10.1111/bph.70245","url":null,"abstract":"<p><strong>Background and purpose: </strong>Guanylate cyclase-C (GC-C) is the receptor for endogenous (uro)guanylin peptides, bacterial toxins and pharmacological analogues. Receptor activation leads to intestinal fluid loss, but also activates an antiproliferative pathway and is a promising target in colorectal cancer therapy. The present study delineates the molecular mechanisms that regulate the intensity of the anion secretory response (ASR) to GC-C activation in the different segments of the murine ileocolon.</p><p><strong>Experimental approach: </strong>To assess the ASR to the guanylin analogue linaclotide, isolated mucosa from the different segments of the ileocolon of cGMP-dependent kinase II (cGKII)-deficient and WT mice were studied electrophysiologically in Ussing-chambers. The mucosal expression pattern of different phosphodiesterases (PDEs) was measured by RT-PCR.</p><p><strong>Key results: </strong>The ASR to linaclotide and 8-pCPT-cGMP was strongly dependent on the presence of cGKII in the ileum and proximal colon, but not in the mid and distal colon, where cGKII expression is low. The inhibition of cGMP-sensitive PDE3 completely prevented the linaclotide-induced ASR only in the mid and distal colon, demonstrating that GC-C dependent ASR occurs via an increase in cAMP in these segments, mediated by the cGMP-induced inhibition of PDE3. In addition, the cGMP-specific PDE9 was highly expressed in the distal colon, and its inhibition strongly enhanced the ASR to linaclotide.</p><p><strong>Conclusions and implications: </strong>GC-C activation leads to CFTR-mediated ASR in all segments of the intestine. In the mid and distal colon ASR is strongly reduced by the low cGKII and high PDE9 expression, with the CFTR channel being activated via cAMP-mediated phosphorylation.</p>","PeriodicalId":9262,"journal":{"name":"British Journal of Pharmacology","volume":" ","pages":""},"PeriodicalIF":7.7,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145630344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From mechanistic maps to medicine: Navigating the translational challenges of m6A modification in autoimmunity and cancer 从机械图谱到医学:引导m6A修饰在自身免疫和癌症中的转化挑战。
IF 7.7 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-25 DOI: 10.1111/bph.70279
Du Jiang Yang, Jiexiang Yang, Guo You Wang
<p>We read with considerable interest the comprehensive review by Geng et al., (<span>2025</span>) which synthesizes the complex effects on autoimmune diseases and cancer of m6A modification. This modification refers to the methylation, at N6, of adenosine bases in mRNA, a key regulatory mechanism in RNA biology, as it controls the stability, translation and degradation of mRNA.</p><p>The authors have successfully charted the expansive ‘epitranscriptomic landscape’, illustrating how dysregulation of writers, erasers and readers of such RNA methylation contributes to pathogenesis. While this map is undeniably valuable, the journey from this mechanistic cartography to genuine clinical therapeutics is far more problematic than the review might suggest. We offer a critical appraisal to highlight the substantial gaps and challenges that must be addressed to realize the proposed ‘medicinal value’.</p><p>The review accurately notes the context-dependent functions of the components (writers, erasers and readers) of m6A modification but underplays the profound therapeutic paradox this creates. For instance, the action of the RNA methyltransferase METTL3 (a writer) leads to starkly opposing outcomes. METTL3 acts as a potent oncogene in acute myeloid leukaemia by promoting the translation of key growth genes (Lee et al., <span>2024</span>) but functions as a tumour suppressor in glioblastoma, by maintaining the stability of the mRNA for the metalloproteinase ADAM19 which, through its disintegrin activity, suppresses invasiveness (Levental et al., <span>2024</span>). This duality extends to the immune system, where METTL3 in T cells is crucial for sustaining immune responses but can also enforce immune tolerance. A systemically administered, small-molecule inhibitor of METTL3, developed for leukaemia, could therefore inadvertently promote the progression of other malignancies or disrupt vital immune surveillance. This is not a minor side effect but a fundamental challenge to the entire ‘druggable target’ paradigm for core m6A machinery. The field must pivot towards developing sophisticated delivery systems—such as cell-specific lipid nanoparticles or antibody-drug conjugates targeting lineage-specific surface markers—to achieve the selectivity of effect required. The question is not just if we can inhibit a target, but where, when and in which cell type we can safely do so.</p><p>Geng et al. rightly highlight the diagnostic potential of m6A modifications. However, the transition from technically complex m6A-seq in bulk tumour tissue to a clinically robust, actionable biomarker is a chasm that has yet to be bridged.</p><p>The heterogeneity of m6A patterns is immense, not only between patients but also within single tumours and across different immune cell subsets. Bulk sequencing obscures these critical nuances, potentially masking the very signatures with prognostic power. While the authors mention this heterogeneity, they do not critically address the opera
我们饶有兴趣地阅读了Geng等(2025)的综合综述,其中综合了m6A修饰对自身免疫性疾病和癌症的复杂影响。这种修饰是指mRNA中腺苷碱基的N6甲基化,这是RNA生物学中的一个关键调控机制,因为它控制着mRNA的稳定性、翻译和降解。作者已经成功地绘制了广泛的“表转录组学景观”,说明了这种RNA甲基化的书写者、擦除者和读取者的失调是如何导致发病的。虽然这张地图无可否认是有价值的,但从这种机械制图到真正的临床治疗的过程远比这篇综述所暗示的要困难得多。我们提供了一个批判性的评估,以突出必须解决的实质性差距和挑战,以实现拟议的“药用价值”。这篇综述准确地指出了m6A修饰的组成部分(书写者、擦除者和阅读者)的上下文依赖功能,但低估了由此产生的深刻的治疗悖论。例如,RNA甲基转移酶METTL3 (writer)的作用会导致截然相反的结果。METTL3通过促进关键生长基因的翻译,在急性髓性白血病中作为一种有效的致癌基因(Lee等人,2024),但在胶质母细胞瘤中作为肿瘤抑制因子,通过维持金属蛋白酶ADAM19 mRNA的稳定性,ADAM19通过其崩解素活性抑制侵袭性(Levental等人,2024)。这种二元性延伸到免疫系统,其中T细胞中的METTL3对于维持免疫反应至关重要,但也可以增强免疫耐受。因此,针对白血病开发的一种系统给药的小分子METTL3抑制剂可能无意中促进其他恶性肿瘤的进展或破坏重要的免疫监视。这不是一个次要的副作用,而是对核心m6A机制的整个“可药物目标”范式的根本挑战。该领域必须转向开发复杂的递送系统,如细胞特异性脂质纳米颗粒或针对谱系特异性表面标记物的抗体-药物偶联物,以实现所需的选择性效果。问题不仅在于我们能否抑制目标细胞,还在于我们能在何时何地安全地抑制哪种细胞类型。耿等人正确地强调了m6A修饰的诊断潜力。然而,从大量肿瘤组织中技术复杂的m6A-seq到临床可靠、可操作的生物标志物的转变是一个尚未弥合的鸿沟。m6A模式的异质性是巨大的,不仅在患者之间,而且在单个肿瘤和不同的免疫细胞亚群之间。批量测序模糊了这些关键的细微差别,潜在地掩盖了具有预后能力的特征。虽然作者提到了这种异质性,但他们并没有批判性地解决操作和分析方面的障碍。未来在于单细胞m6A制图技术(Li et al., 2023),但这些技术目前离临床应用还很远。此外,要使生物标记物在临床上有用,必须通过标准化的、具有成本效益的测定(例如RT-qPCR或ELISA检测m6a修饰转录物),在易于获得的生物流体(如血浆)中进行测量。目前,还没有这种经过验证的、基于m6的循环生物标志物存在于任何自身免疫性或肿瘤性疾病中。诊断前景仍然主要局限于研究领域。本综述的治疗讨论主要集中在抑制剂(如METTL3/14抑制剂)和抑制剂(如脂肪量和肥胖相关蛋白(FTO)抑制剂)。FTO蛋白是一种双加氧酶,作为去甲基化酶,靶向RNA中的m6A。这种对作家和橡皮擦的狭隘关注忽视了两个主要的战略机遇。首先,m6A复合体内的蛋白-蛋白界面,特别是那些解读蛋白,如YTHDF1/2,代表着一个巨大的未开发的药理学空间。破坏特定读取器与其效应机制(例如YTHDF1-eIF3轴)之间的相互作用可以允许选择性地调节m6A驱动通路的一个子集,提供比m6A修饰的全局、全身阻断更细微的治疗效果。其次,rna靶向治疗药物的潜力明显被低估。反义寡核苷酸或小干扰rna可以被设计用来特异性地掩盖或降解高甲基化的致癌转录物,如主转录因子c-Myc和EGF受体的转录物,或者挽救低甲基化的肿瘤抑制因子的表达。这种直接靶向“效应”RNA的方法可以绕过操纵m6A修饰本身机制的上下文陷阱(Deng et al., 2024)。综上所述,耿等人的综述。 提供了一个很好的机制总结,通往临床的道路被基本的生物学和翻译挑战所阻碍。m6A修饰结果的上下文依赖性需要一类新的空间分解治疗剂。诊断潜力需要从批量组学到单细胞分辨率和液体活检验证的飞跃。最后,治疗武器库必须扩展到催化抑制之外,包括蛋白质-蛋白质相互作用干扰物和rna靶向药物。解决这些关键问题将决定m6A修饰能否从令人信服的机械参与者转变为医学上真正的治疗剂。杨杜江:概念化;原创作品草案;写作——审阅和编辑;方法;调查;方法。杨杰祥:概念化;原创作品草案;写作——审阅和编辑;方法;调查;方法。郭友王:调查;融资收购。所有作者没有利益冲突或财务关系需要披露。
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British Journal of Pharmacology
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