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Endometrial stromal cell-derived TMAO sustains decidualization to prevent recurrent spontaneous abortion. 子宫内膜间质细胞来源的TMAO维持去个体化以防止复发性自然流产。
IF 30.9 Pub Date : 2026-02-03 Epub Date: 2026-01-08 DOI: 10.1016/j.cmet.2025.11.014
Yu-Ling Chen, Lin-Chen Tang, Wei Zhou, Xin Sun, Zhen-Zhen Lai, Sha Xu, Ke Cai, Yan Shi, Rui Zhao, Xiang-Yu Zhou, Jun Jim Zhang, Fei Li, Bo Li, Ming-Qing Li, Li-Ping Jin, Jian-Yuan Zhao

Recurrent spontaneous abortion (RSA), often linked to defective endometrial stromal cell (ESC) decidualization, lacks effective metabolism-targeted therapies. Here, we identify the in situ synthesis of trimethylamine N-oxide (TMAO) in human decidua as a critical safeguard. Metabolomics revealed significantly lower TMAO levels in decidual tissues of individuals experiencing RSA. Mechanistically, cyclic AMP (cAMP)-protein kinase A (PKA)-cAMP-responsive element-binding protein 1 (CREB1) signaling upregulated flavin-containing monooxygenase 3 (FMO3) in ESCs, driving local TMAO accumulation. TMAO directly bound the C terminus of 14-3-3η, enhancing its interaction with phosphoinositide-dependent protein kinase 1 (PDK1) to relieve PDK1-mediated suppression of forkhead box protein O1 (FOXO1). This promoted FOXO1 nuclear translocation and the activation of decidualization markers. Through mouse models employing dietary choline restriction, and FMO3 inhibition via pharmacological or genetic knockout, we demonstrated that endometrial TMAO deficiency impairs decidualization and increases pregnancy loss. Strikingly, TMAO restored decidualization capacity in 15% of patient-derived ESCs with inherent dysfunction. Our findings unveil endometrial TMAO synthesis as a metabolic checkpoint for decidualization and propose it as a therapeutic candidate for RSA.

复发性自然流产(RSA)通常与子宫内膜基质细胞(ESC)脱个体化缺陷有关,缺乏有效的代谢靶向治疗。在这里,我们确定三甲胺n -氧化物(TMAO)在人蜕膜中的原位合成是一个关键的保障。代谢组学显示,经历RSA的个体组织中TMAO水平显著降低。在机制上,环AMP (cAMP)-蛋白激酶A (PKA)-cAMP-响应元件结合蛋白1 (CREB1)信号传导上调ESCs中含黄素单加氧酶3 (FMO3),驱动局部TMAO积累。TMAO直接结合14-3-3η的C端,增强其与磷酸肌醇依赖蛋白激酶1 (PDK1)的相互作用,从而缓解PDK1介导的叉头盒蛋白O1 (FOXO1)的抑制。这促进了fox01核易位和去个体化标记的激活。通过限制饮食胆碱和通过药物或基因敲除抑制FMO3的小鼠模型,我们证明子宫内膜TMAO缺乏会损害去胎化并增加妊娠损失。引人注目的是,TMAO在15%的具有固有功能障碍的患者源性ESCs中恢复了去个体化能力。我们的研究结果揭示了子宫内膜TMAO合成作为去个体化的代谢检查点,并提出它作为RSA的治疗候选。
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引用次数: 0
Serotonin-licensed macrophages potentiate chemoresistance via inositol metabolic crosstalk in ovarian cancer. 5 -羟色胺许可的巨噬细胞通过肌醇代谢串扰增强卵巢癌的化疗耐药。
IF 30.9 Pub Date : 2026-02-03 Epub Date: 2025-12-17 DOI: 10.1016/j.cmet.2025.11.011
Jie Li, Jingyi Lu, Cuimiao Zheng, Xi Huang, Haoyuan Li, Qiuwen Mai, Siqi Chen, Zhou Zhou, Jiayu Zhu, Tiantian Yu, Manman Xu, Hao Tan, Chun-Min Zhang, Qinglei Gao, Junxiu Liu, Chaoyun Pan

Therapeutic resistance in solid tumors frequently stems from enhanced homologous recombination (HR) repair capacity, yet systemic regulators of this pathway remain poorly defined. Here, we identify a serotonin-sensitive tumor-associated macrophage (TAM) subpopulation that orchestrates inositol metabolic crosstalk to potentiate HR repair in cancer cells. This TAM subset exhibited marked enrichment in ovarian tumors with low response to chemotherapy. Mechanistically, peripheral serotonin activates these TAMs via serotonin receptor HTR7, triggering extracellular vesicle (EV) secretion enriched with inositol metabolic enzymes PI4K2A and ITPKC. EV-mediated transfer of these metabolic enzymes elevates nuclear inositol-1,3,4,5-tetraphosphate (IP4) in cancer cells, where IP4 directly binds MRE11 and facilitates MRE11-DNA binding and HR repair. Attenuating peripheral serotonin using fluoxetine-a selective serotonin reuptake inhibitor (SSRI) antidepressant-ablates TAM-derived EV delivering of inositol metabolic enzymes and sensitizes tumors to cisplatin/PARP inhibitor (PARPi). Our study unveils a systemic serotonin-primed metabolic crosstalk within the tumor microenvironment that potentiates chemoresistance, revealing targetable HR repair regulation beyond cancer-cell-autonomous mechanisms.

实体瘤的治疗耐药通常源于增强的同源重组(HR)修复能力,但这一途径的系统调节因子仍不明确。在这里,我们发现了一个5 -羟色胺敏感的肿瘤相关巨噬细胞(TAM)亚群,它协调肌醇代谢串扰,以增强癌细胞中的HR修复。这个TAM亚群在对化疗反应低的卵巢肿瘤中表现出显著的富集。机制上,外周5 -羟色胺通过5 -羟色胺受体HTR7激活这些tam,触发细胞外囊泡(EV)分泌富集肌醇代谢酶PI4K2A和ITPKC。ev介导的这些代谢酶的转移升高了癌细胞中的核肌醇-1,3,4,5-四磷酸(IP4),其中IP4直接结合MRE11并促进MRE11- dna结合和HR修复。氟西汀是一种选择性5 -羟色胺再摄取抑制剂(SSRI)抗抑郁药,使用氟西汀降低外周5 -羟色胺可抑制tamm衍生的EV传递肌醇代谢酶,并使肿瘤对顺铂/PARP抑制剂(PARPi)敏感。我们的研究揭示了肿瘤微环境中系统性的5 -羟色胺引发的代谢串音,增强了化疗耐药,揭示了超越癌细胞自主机制的靶向HR修复调节。
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引用次数: 0
Mitochondrial VHL rewires cell metabolism in hypoxia. 线粒体VHL在缺氧条件下重塑细胞代谢。
IF 30.9 Pub Date : 2026-01-06 Epub Date: 2025-12-22 DOI: 10.1016/j.cmet.2025.11.013
Guobang Li, Wenfeng Pan, Long Wu, Zhiliang Cai, Haoming Chen, Xingui Wu, Tiantian Yu, Kun Liao, Hui Zhang, Xingqiao Wen, Bo Li

Under normoxia, von Hippel-Lindau (VHL) protein targets the oxygen-induced, hydroxylated α subunits of hypoxia-inducible factors (HIFs) for degradation to orchestrate mammalian oxygen sensing. However, whether VHL plays non-canonical roles in hypoxia, when protein hydroxylation is attenuated, remains elusive. Here, we show that most cytosolic VHL is degraded under chronic hypoxia, with the remaining VHL pool primarily translocating to the mitochondria. Mitochondrial VHL binds and inhibits 3-methylcrotonyl-coenzyme A carboxylase subunit 2 (MCCC2), an essential subunit of the leucine catabolic machinery. Accumulated leucine allosterically activates glutamate dehydrogenase to promote glutaminolysis, generating sufficient lipids and nucleotides to support hypoxic cell growth. Furthermore, SRC-mediated VHL phosphorylation and protein arginine methyltransferase 5 (PRMT5)-mediated MCCC2 methylation synergistically regulate the VHL-MCCC2 interaction and concomitant metabolic changes, which are recapitulated in animal models of ischemic injury and functionally associated with VHL mutations in cancer. Our study highlights VHL as a bona fide regulator of hypoxic metabolism within mitochondria, rather than a solely "standby adaptor" for HIFs under hypoxia.

在正常缺氧条件下,von Hippel-Lindau (VHL)蛋白靶向缺氧诱导因子(hif)的氧诱导羟基化α亚基降解,以协调哺乳动物的氧感应。然而,当蛋白羟基化作用减弱时,VHL是否在缺氧中起非规范作用尚不清楚。在这里,我们发现大多数细胞质VHL在慢性缺氧下被降解,剩余的VHL池主要转移到线粒体。线粒体VHL结合并抑制3-甲基丁基辅酶A羧化酶亚基2 (MCCC2),这是亮氨酸分解代谢机制的重要亚基。积累的亮氨酸变构激活谷氨酸脱氢酶,促进谷氨酰胺水解,产生足够的脂质和核苷酸,以支持缺氧细胞的生长。此外,src介导的VHL磷酸化和蛋白精氨酸甲基转移酶5 (PRMT5)介导的MCCC2甲基化协同调节VHL-MCCC2相互作用和伴随的代谢变化,这在缺血性损伤动物模型中得到了概括,并在功能上与癌症中的VHL突变相关。我们的研究强调VHL是线粒体内缺氧代谢的真正调节器,而不是缺氧条件下hif的唯一“备用适配器”。
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引用次数: 0
Benign form of monogenic obesity conferred by the melanocortin 4 receptor. 由黑素皮质素4受体引起的良性单基因肥胖。
IF 30.9 Pub Date : 2026-01-06 DOI: 10.1016/j.cmet.2025.12.006
Anke Hinney, Triinu Peters, Luisa Sophie Rajcsanyi

Mutations that impair the function of the melanocortin 4 receptor (MC4R) cause severe obesity in both heterozygous and homozygous carriers. However, recent findings indicate that individuals with this form of monogenic obesity may be unexpectedly protected against dyslipidemia and cardiovascular diseases.

损害黑素皮质素4受体(MC4R)功能的突变导致杂合和纯合携带者严重肥胖。然而,最近的研究结果表明,患有这种形式的单基因肥胖的个体可能出乎意料地预防血脂异常和心血管疾病。
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引用次数: 0
Acetyl-CoA-producing enzymes are a targetable metabolic entry point to MASLD and liver fibrosis. 乙酰辅酶a产生酶是MASLD和肝纤维化的可靶向代谢切入点。
IF 30.9 Pub Date : 2026-01-06 DOI: 10.1016/j.cmet.2025.12.005
Isabella Lurje, Frank Tacke

Lipogenesis is one of the main drivers of metabolic dysfunction-associated steatotic liver disease (MASLD). The previewed work decreased acetyl-CoA by inhibiting ATP citrate lyase (ACLY) and acyl-CoA synthetase short-chain family member 2 (ACSS2) via EVT0185, thus inhibiting lipogenesis, hepatocyte metabolic stress, and hepatic stellate cell activation, reducing liver fibrosis.

脂肪生成是代谢功能障碍相关脂肪变性肝病(MASLD)的主要驱动因素之一。本研究通过EVT0185抑制ATP柠檬酸裂解酶(ACLY)和酰基辅酶a合成酶短链家族成员2 (ACSS2),降低乙酰辅酶a,从而抑制脂肪生成、肝细胞代谢应激和肝星状细胞活化,减轻肝纤维化。
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引用次数: 0
Disentangling the effects of food processing from those of diet quality. 将食品加工的影响与饮食质量的影响分开。
IF 30.9 Pub Date : 2026-01-06 DOI: 10.1016/j.cmet.2025.12.007
Lea Ellen Matthiessen, Beatriz Philippi Rosane, Laurin Mosig, Lilia Ahrné, Faidon Magkos, Susanne Gjedsted Bügel
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引用次数: 0
On the mechanisms of ultra-processed diet effects. 超加工饮食效应的机制研究。
IF 30.9 Pub Date : 2026-01-06 DOI: 10.1016/j.cmet.2025.12.003
Romain Barrès, Stephen J Simpson, Marcelo A Nóbrega, Jessica M Preston
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引用次数: 0
Uridine depletion impairs CD8⁺ T cell antitumor activity through N-glycosylation. 尿苷缺失通过n -糖基化损害CD8 + T细胞抗肿瘤活性。
IF 30.9 Pub Date : 2025-12-29 DOI: 10.1016/j.cmet.2025.11.016
Jianbiao Xiao, Zhiyang Li, Yi Ding, Kejin Zhu, Zhihao Zheng, Yaowei Zhang, Jiawen Weng, Feifei Wang, Yuqin Zhang, Sisi Zeng, Minxing Qiu, Zhaowen Zhang, Zhizhang Wang, Li Liang

Immune checkpoint blockade (ICB) faces limitations owing to high cost and restricted efficacy. This study identifies SNX17 as a key mediator of ICB resistance. Elevated SNX17 correlates with poor anti-PD-1 response in humans and mice. SNX17 deletion in tumor cells inhibits tumor growth via CD8+ T cell-dependent mechanisms. SNX17 reduces uridine in the tumor microenvironment (TME), suppressing IFN-γ and upregulating PD1 in CD8+ T cells. Exogenous uridine shows antitumor efficacy comparable to anti-PD-1/PD-L1 in low-SNX17 tumors and overcomes resistance in high-SNX17 models. Uridine enhances CD8+ T cell function by promoting CD45 N-glycosylation and LCK phosphorylation. Mechanistically, SNX17 stabilizes RUNX2, promoting UPP1 transcription and uridine degradation in the TME. These findings position SNX17 as an ICB response biomarker and nominate uridine as a cost-effective immunotherapeutic strategy.

免疫检查点阻断(ICB)由于成本高、疗效有限而面临局限性。本研究确定SNX17是ICB抗性的关键媒介。在人和小鼠中,SNX17的升高与抗pd -1反应较差相关。肿瘤细胞中SNX17缺失通过CD8+ T细胞依赖机制抑制肿瘤生长。SNX17降低肿瘤微环境(TME)中的尿苷,抑制IFN-γ并上调CD8+ T细胞中的PD1。外源性尿苷在低snx17肿瘤中显示出与抗pd -1/PD-L1相当的抗肿瘤疗效,并克服了高snx17模型的耐药。尿苷通过促进CD45 n -糖基化和LCK磷酸化增强CD8+ T细胞功能。机制上,SNX17稳定RUNX2,促进TME中UPP1的转录和尿苷的降解。这些发现将SNX17定位为ICB反应生物标志物,并提名尿苷作为一种具有成本效益的免疫治疗策略。
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引用次数: 0
Metabolic stress sensing by epithelial RXRα links westernization of diet with Crohn's disease. 上皮细胞RXRα代谢应激感应将饮食西化与克罗恩病联系起来。
IF 30.9 Pub Date : 2025-12-08 DOI: 10.1016/j.cmet.2025.11.008
Moritz Meyer, Felix Grabherr, Christina Plattner, Michel V Hadjihannas, Zhigang Rao, Valentin Marteau, Víctor Alonso López-Agudelo, Julian Schwärzler, Lisa Mayr, Almina Jukic, Laura Scheffauer, Luis Zundel, Barbara Enrich, Alexandra Pfister, Anna Simonini, Christoph Grander, Richard Hilbe, David Haschka, Andreas Zollner, Kathrin Vouk, Patrizia Moser, Michael W Hess, Niloofar Nemati, Dietmar Rieder, Felix Sommer, Philip Rosenstiel, Qitao Ran, Richard S Blumberg, Arthur Kaser, Florian Rieder, Andreas Koeberle, Christoph Becker, Raja Atreya, Anja A Kühl, Britta Siegmund, Andre Franke, Herbert Tilg, Zlatko Trajanoski, Timon E Adolph

Westernization of diet, partly characterized by long-chain fatty acid excess, perturbs intestinal immune responses in Crohn's disease (CD). The cellular and molecular framework of lipid sensing in intestinal inflammation remains enigmatic. By small intestinal transcriptional profiling of CD, we identified increased transcriptional activity of retinoid X receptor alpha (RXRα) specifically in intestinal epithelial cells (IECs). Transcriptional RXRα activity was induced in IECs of mice by ω-3 and ω-6 polyunsaturated fatty acid (PUFA) excess in a Western diet. PUFA-induced RXRα activity in Paneth cells governed chronic transmural enteritis by enabling the expression of CXCL1. Oral exposure to isotretinoin ameliorated PUFA-induced metabolic enteritis in two mouse models, and isotretinoin therapy reduced the odds of developing CD in an analysis of electronic health care records from 170,597 patients. Collectively, we identify RXRα in Paneth cells as a metabolic stress sensor that enables enteritis, providing novel perspectives for the prevention and treatment of CD.

饮食西化,部分以长链脂肪酸过量为特征,扰乱了克罗恩病(CD)的肠道免疫反应。肠道炎症中脂质感知的细胞和分子框架仍然是谜。通过CD的小肠转录谱分析,我们发现维甲酸X受体α (RXRα)的转录活性增加,特别是在肠上皮细胞(IECs)中。西方饮食中过量的ω-3和ω-6多不饱和脂肪酸(PUFA)可诱导小鼠IECs的RXRα转录活性。pufa诱导的Paneth细胞中的RXRα活性通过激活CXCL1的表达来控制慢性跨壁肠炎。在两种小鼠模型中,口服异维甲酸可改善pufa诱导的代谢性肠炎,在对170597名患者的电子医疗记录的分析中,异维甲酸治疗可降低发生CD的几率。总的来说,我们发现Paneth细胞中的RXRα是一种代谢应激传感器,可引起肠炎,为预防和治疗CD提供了新的视角。
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引用次数: 0
Quercetin-derived microbial metabolite DOPAC potentiates CD8+ T cell anti-tumor immunity via NRF2-mediated mitophagy. 槲皮素衍生的微生物代谢物DOPAC通过nrf2介导的线粒体自噬增强CD8+ T细胞抗肿瘤免疫。
IF 30.9 Pub Date : 2025-12-02 Epub Date: 2025-10-24 DOI: 10.1016/j.cmet.2025.09.010
Penghu Han, Shuzheng Chu, Jing Shen, Lixiang Li, Yan Zhang, Shiguan Wang, Yatai Chen, Yangchun Ma, Xiaolong Tang, Chao Gao, Xiangyun Zheng, Bowen Xu, Qiong Wang, Detian Yuan, Shiyang Li

Quercetin, a dietary flavonol, shows promise in cancer prevention, though its effects on the immune compartment within the tumor microenvironment are not fully understood. Here, we identify 3,4-dihydroxyphenylacetic acid (DOPAC), a microbial metabolite of quercetin, as a critical mediator of its anti-tumor effects in a CD8+ T cell-dependent manner. Mechanistically, DOPAC directly binds to Kelch-like epichlorohydrin-associated protein 1 (KEAP1), disrupting its interaction with nuclear factor erythroid 2-related factor 2 (NRF2) and preventing KEAP1-mediated degradation of NRF2 in CD8+ T cells. Elevated NRF2 transcriptionally enhances the expression of B cell lymphoma 2-interacting protein 3, promoting mitophagy and mitochondrial functionality, which improves CD8+ T cell fitness within the tumor microenvironment. Furthermore, DOPAC synergizes with immune checkpoint blockade to suppress tumor growth. Our findings underscore the role of microbial metabolites of dietary nutrients in modulating anti-tumor immune responses, positioning DOPAC as a promising candidate for cancer immunotherapy.

槲皮素,一种膳食黄酮醇,在预防癌症方面显示出希望,尽管它对肿瘤微环境中免疫室的影响还不完全清楚。在这里,我们确定了槲皮素的微生物代谢物3,4-二羟基苯基乙酸(DOPAC)作为其CD8+ T细胞依赖方式的抗肿瘤作用的关键介质。在机制上,DOPAC直接结合kelch样表氯丙烷相关蛋白1 (KEAP1),破坏其与核因子红细胞2相关因子2 (NRF2)的相互作用,阻止CD8+ T细胞中KEAP1介导的NRF2降解。升高的NRF2转录增强B细胞淋巴瘤2-相互作用蛋白3的表达,促进线粒体自噬和线粒体功能,从而改善肿瘤微环境中CD8+ T细胞的适应性。此外,DOPAC与免疫检查点阻断协同抑制肿瘤生长。我们的研究结果强调了膳食营养素的微生物代谢物在调节抗肿瘤免疫反应中的作用,将DOPAC定位为癌症免疫治疗的有希望的候选者。
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引用次数: 0
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Cell metabolism
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