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TNF compromises intestinal bile-acid tolerance dictating colitis progression and limited infliximab response. TNF 会损害肠道胆汁酸耐受性,导致结肠炎恶化和英夫利西单抗反应受限。
Pub Date : 2024-09-03 Epub Date: 2024-07-05 DOI: 10.1016/j.cmet.2024.06.008
Mengqi Zheng, Yunjiao Zhai, Yanbo Yu, Jing Shen, Shuzheng Chu, Enrico Focaccia, Wenyu Tian, Sui Wang, Xuesong Liu, Xi Yuan, Yue Wang, Lixiang Li, Bingcheng Feng, Zhen Li, Xiaohuan Guo, Ju Qiu, Cuijuan Zhang, Jiajie Hou, Yiyuan Sun, Xiaoyun Yang, Xiuli Zuo, Mathias Heikenwalder, Yanqing Li, Detian Yuan, Shiyang Li

The intestine constantly encounters and adapts to the external environment shaped by diverse dietary nutrients. However, whether and how gut adaptability to dietary challenges is compromised in ulcerative colitis is incompletely understood. Here, we show that a transient high-fat diet exacerbates colitis owing to inflammation-compromised bile acid tolerance. Mechanistically, excessive tumor necrosis factor (TNF) produced at the onset of colitis interferes with bile-acid detoxification through the receptor-interacting serine/threonine-protein kinase 1/extracellular signal-regulated kinase pathway in intestinal epithelial cells, leading to bile acid overload in the endoplasmic reticulum and consequent apoptosis. In line with the synergy of bile acids and TNF in promoting gut epithelial damage, high intestinal bile acids correlate with poor infliximab response, and bile acid clearance improves infliximab efficacy in experimental colitis. This study identifies bile acids as an "opportunistic pathogenic factor" in the gut that would represent a promising target and stratification criterion for ulcerative colitis prevention/therapy.

肠道不断遇到并适应由各种饮食营养成分形成的外部环境。然而,人们对溃疡性结肠炎患者肠道对饮食挑战的适应性是否以及如何受到损害尚不完全清楚。在这里,我们发现,由于炎症损害了胆汁酸耐受性,短暂的高脂肪饮食会加重结肠炎。从机理上讲,结肠炎发病时产生的过量肿瘤坏死因子(TNF)会通过肠上皮细胞中与受体相互作用的丝氨酸/苏氨酸蛋白激酶 1/ 细胞外信号调节激酶途径干扰胆汁酸解毒,导致胆汁酸在内质网中超载并随之凋亡。与胆汁酸和 TNF 在促进肠道上皮细胞损伤方面的协同作用相一致,肠道胆汁酸过高与英夫利昔单抗的不良反应相关,而胆汁酸清除可提高英夫利昔单抗在实验性结肠炎中的疗效。这项研究发现胆汁酸是肠道中的一种 "机会性致病因子",是溃疡性结肠炎预防/治疗的一个有希望的靶点和分层标准。
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引用次数: 0
Physical exercise mediates cortical synaptic protein lactylation to improve stress resilience. 体育锻炼可介导大脑皮层突触蛋白乳化,从而提高抗压能力。
Pub Date : 2024-09-03 Epub Date: 2024-08-19 DOI: 10.1016/j.cmet.2024.07.018
Lan Yan, Yajie Wang, Haidong Hu, Diran Yang, Wenjing Wang, Zhihua Luo, Yangze Wang, Fengzhen Yang, Kwok-Fai So, Li Zhang

Lactate is a critical metabolite during the body's adaption to exercise training, which effectively relieves anxiety-like disorders. The biological mechanism of lactate in the exercise-mediated anxiolytic effect has, however, not been comprehensively investigated. Here, we report that exercise-induced lactate markedly potentiates the lactylation of multiple synaptic proteins, among which synaptosome-associated protein 91 (SNAP91) is the critical molecule for synaptic functions. Both anatomical evidence and in vivo recording data showed that the lactylation of SNAP91 confers resilience against chronic restraint stress (CRS) via potentiating synaptic structural formation and neuronal activity in the medial prefrontal cortex (mPFC). More interestingly, exercise-potentiated lactylation of SNAP91 is necessary for the prevention of anxiety-like behaviors in CRS mice. These results collectively suggest a previously unrecognized non-histone lactylation in the brain for modulating mental functions and provide evidence for the brain's metabolic adaption during exercise paradigms.

乳酸盐是人体适应运动训练过程中的一种重要代谢物,它能有效缓解焦虑症。然而,乳酸在运动介导的抗焦虑效应中的生物学机制尚未得到全面研究。在这里,我们报告了运动诱导的乳酸能显著增强多种突触蛋白的乳酸化作用,其中突触体相关蛋白 91(SNAP91)是突触功能的关键分子。解剖学证据和体内记录数据都表明,SNAP91的乳酰化通过增强内侧前额叶皮层(mPFC)的突触结构形成和神经元活动,赋予了对慢性束缚应激(CRS)的恢复力。更有趣的是,运动促进的 SNAP91 乳酰化是预防 CRS 小鼠焦虑样行为的必要条件。这些结果共同表明,大脑中的非组蛋白乳酰化是以前未曾认识到的调节精神功能的方法,并为大脑在运动范例中的代谢适应提供了证据。
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引用次数: 0
Tirzepatide modulates the regulation of adipocyte nutrient metabolism through long-acting activation of the GIP receptor. 替扎帕肽通过长效激活 GIP 受体调节脂肪细胞的营养代谢。
Pub Date : 2024-07-02 Epub Date: 2024-06-14 DOI: 10.1016/j.cmet.2024.05.010
Ajit Regmi, Eitaro Aihara, Michael E Christe, Gabor Varga, Thomas P Beyer, Xiaoping Ruan, Emily Beebe, Libbey S O'Farrell, Melissa A Bellinger, Aaron K Austin, Yanzhu Lin, Haitao Hu, Debra L Konkol, Samantha Wojnicki, Adrienne K Holland, Jessica L Friedrich, Robert A Brown, Amanda S Estelle, Hannah S Badger, Gabriel S Gaidosh, Sander Kooijman, Patrick C N Rensen, Tamer Coskun, Melissa K Thomas, William Roell

Tirzepatide, a glucose-dependent insulinotropic polypeptide/glucagon-like peptide 1 receptor (GIPR/GLP-1R) agonist, has, in clinical trials, demonstrated greater reductions in glucose, body weight, and triglyceride levels compared with selective GLP-1R agonists in people with type 2 diabetes (T2D). However, cellular mechanisms by which GIPR agonism may contribute to these improved efficacy outcomes have not been fully defined. Using human adipocyte and mouse models, we investigated how long-acting GIPR agonists regulate fasted and fed adipocyte functions. In functional assays, GIPR agonism enhanced insulin signaling, augmented glucose uptake, and increased the conversion of glucose to glycerol in a cooperative manner with insulin; however, in the absence of insulin, GIPR agonists increased lipolysis. In diet-induced obese mice treated with a long-acting GIPR agonist, circulating triglyceride levels were reduced during oral lipid challenge, and lipoprotein-derived fatty acid uptake into adipose tissue was increased. Our findings support a model for long-acting GIPR agonists to modulate both fasted and fed adipose tissue function differentially by cooperating with insulin to augment glucose and lipid clearance in the fed state while enhancing lipid release when insulin levels are reduced in the fasted state.

替扎帕肽是一种葡萄糖依赖性促胰岛素多肽/胰高血糖素样肽 1 受体(GIPR/GLP-1R)激动剂,在临床试验中,与选择性 GLP-1R 激动剂相比,它对 2 型糖尿病(T2D)患者的血糖、体重和甘油三酯水平的降低幅度更大。然而,GIPR 激动可能有助于改善疗效的细胞机制尚未完全明确。我们利用人类脂肪细胞和小鼠模型,研究了长效 GIPR 激动剂如何调节空腹和进食脂肪细胞的功能。在功能测试中,GIPR 激动剂增强了胰岛素信号传导,增加了葡萄糖摄取,并以与胰岛素合作的方式增加了葡萄糖向甘油的转化;然而,在没有胰岛素的情况下,GIPR 激动剂增加了脂肪分解。用长效 GIPR 激动剂治疗饮食诱导的肥胖小鼠,在口服脂质挑战过程中循环甘油三酯水平降低,脂蛋白衍生脂肪酸摄入脂肪组织的量增加。我们的研究结果支持长效 GIPR 激动剂通过与胰岛素合作,在进食状态下增强葡萄糖和脂质的清除,同时在进食状态下胰岛素水平降低时增强脂质的释放,从而以不同方式调节空腹和进食状态下脂肪组织功能的模型。
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引用次数: 0
Electron transport chain inhibition increases cellular dependence on purine transport and salvage. 电子运输链抑制增加了细胞对嘌呤运输和挽救的依赖。
Pub Date : 2024-07-02 Epub Date: 2024-06-13 DOI: 10.1016/j.cmet.2024.05.014
Zheng Wu, Divya Bezwada, Feng Cai, Robert C Harris, Bookyung Ko, Varun Sondhi, Chunxiao Pan, Hieu S Vu, Phong T Nguyen, Brandon Faubert, Ling Cai, Hongli Chen, Misty Martin-Sandoval, Duyen Do, Wen Gu, Yuanyuan Zhang, Yuannyu Zhang, Bailey Brooks, Sherwin Kelekar, Lauren G Zacharias, K Celeste Oaxaca, Joao S Patricio, Thomas P Mathews, Javier Garcia-Bermudez, Min Ni, Ralph J DeBerardinis

Mitochondria house many metabolic pathways required for homeostasis and growth. To explore how human cells respond to mitochondrial dysfunction, we performed metabolomics in fibroblasts from patients with various mitochondrial disorders and cancer cells with electron transport chain (ETC) blockade. These analyses revealed extensive perturbations in purine metabolism, and stable isotope tracing demonstrated that ETC defects suppress de novo purine synthesis while enhancing purine salvage. In human lung cancer, tumors with markers of low oxidative mitochondrial metabolism exhibit enhanced expression of the salvage enzyme hypoxanthine phosphoribosyl transferase 1 (HPRT1) and high levels of the HPRT1 product inosine monophosphate. Mechanistically, ETC blockade activates the pentose phosphate pathway, providing phosphoribosyl diphosphate to drive purine salvage supplied by uptake of extracellular bases. Blocking HPRT1 sensitizes cancer cells to ETC inhibition. These findings demonstrate how cells remodel purine metabolism upon ETC blockade and uncover a new metabolic vulnerability in tumors with low respiration.

线粒体容纳了许多平衡和生长所需的代谢途径。为了探索人体细胞如何应对线粒体功能障碍,我们在患有各种线粒体疾病的成纤维细胞和电子传递链(ETC)受阻的癌细胞中进行了代谢组学研究。这些分析揭示了嘌呤代谢的广泛紊乱,稳定同位素追踪证明,ETC缺陷抑制了嘌呤的从头合成,同时加强了嘌呤的挽救。在人类肺癌中,具有线粒体低氧化代谢标志物的肿瘤表现出嘌呤挽救酶次黄嘌呤磷酸核糖转移酶1(HPRT1)的表达增强,以及HPRT1产物单磷酸肌苷的高水平。从机理上讲,ETC 阻断会激活磷酸戊糖途径,提供二磷酸磷酸核糖以驱动通过摄取细胞外碱基提供的嘌呤挽救。阻断 HPRT1 可使癌细胞对 ETC 抑制敏感。这些发现证明了细胞在 ETC 受阻后如何重塑嘌呤代谢,并揭示了呼吸作用低下的肿瘤在代谢方面的新弱点。
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引用次数: 0
Myocardial infarction accelerates the progression of MASH by triggering immunoinflammatory response and induction of periostin. 心肌梗塞通过引发免疫炎症反应和诱导包膜生长因子,加速了 MASH 的进展。
Pub Date : 2024-07-02 Epub Date: 2024-06-14 DOI: 10.1016/j.cmet.2024.06.009
Wei Xie, Jing Gan, Xiaodong Zhou, Huiying Tian, Xingchao Pan, Wenyue Liu, Xiaokun Li, Jie Du, Aimin Xu, Minghua Zheng, Fan Wu, Yulin Li, Zhuofeng Lin
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引用次数: 0
Impaired skeletal muscle regeneration in diabetes: From cellular and molecular mechanisms to novel treatments. 糖尿病患者骨骼肌再生能力受损:从细胞和分子机制到新型疗法。
Pub Date : 2024-06-04 Epub Date: 2024-03-14 DOI: 10.1016/j.cmet.2024.02.014
Ever Espino-Gonzalez, Emilie Dalbram, Rémi Mounier, Julien Gondin, Jean Farup, Niels Jessen, Jonas T Treebak

Diabetes represents a major public health concern with a considerable impact on human life and healthcare expenditures. It is now well established that diabetes is characterized by a severe skeletal muscle pathology that limits functional capacity and quality of life. Increasing evidence indicates that diabetes is also one of the most prevalent disorders characterized by impaired skeletal muscle regeneration, yet underlying mechanisms and therapeutic treatments remain poorly established. In this review, we describe the cellular and molecular alterations currently known to occur during skeletal muscle regeneration in people with diabetes and animal models of diabetes, including its associated comorbidities, e.g., obesity, hyperinsulinemia, and insulin resistance. We describe the role of myogenic and non-myogenic cell types on muscle regeneration in conditions with or without diabetes. Therapies for skeletal muscle regeneration and gaps in our knowledge are also discussed, while proposing future directions for the field.

糖尿病是一个重大的公共卫生问题,对人的生命和医疗开支都有相当大的影响。目前已经明确的是,糖尿病以严重的骨骼肌病变为特征,限制了患者的功能能力和生活质量。越来越多的证据表明,糖尿病也是以骨骼肌再生受损为特征的最常见疾病之一,但其潜在机制和治疗方法仍未得到充分确定。在这篇综述中,我们描述了目前已知的糖尿病患者和糖尿病动物模型在骨骼肌再生过程中发生的细胞和分子变化,包括与之相关的合并症,如肥胖、高胰岛素血症和胰岛素抵抗。我们描述了成肌细胞和非成肌细胞类型在糖尿病或非糖尿病情况下对肌肉再生的作用。我们还讨论了骨骼肌再生疗法和我们的知识空白,同时提出了该领域的未来发展方向。
{"title":"Impaired skeletal muscle regeneration in diabetes: From cellular and molecular mechanisms to novel treatments.","authors":"Ever Espino-Gonzalez, Emilie Dalbram, Rémi Mounier, Julien Gondin, Jean Farup, Niels Jessen, Jonas T Treebak","doi":"10.1016/j.cmet.2024.02.014","DOIUrl":"10.1016/j.cmet.2024.02.014","url":null,"abstract":"<p><p>Diabetes represents a major public health concern with a considerable impact on human life and healthcare expenditures. It is now well established that diabetes is characterized by a severe skeletal muscle pathology that limits functional capacity and quality of life. Increasing evidence indicates that diabetes is also one of the most prevalent disorders characterized by impaired skeletal muscle regeneration, yet underlying mechanisms and therapeutic treatments remain poorly established. In this review, we describe the cellular and molecular alterations currently known to occur during skeletal muscle regeneration in people with diabetes and animal models of diabetes, including its associated comorbidities, e.g., obesity, hyperinsulinemia, and insulin resistance. We describe the role of myogenic and non-myogenic cell types on muscle regeneration in conditions with or without diabetes. Therapies for skeletal muscle regeneration and gaps in our knowledge are also discussed, while proposing future directions for the field.</p>","PeriodicalId":93927,"journal":{"name":"Cell metabolism","volume":" ","pages":"1204-1236"},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140137620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cytosolic pH is a direct nexus in linking environmental cues with insulin processing and secretion in pancreatic β cells. 细胞膜 pH 值是连接环境线索与胰岛β细胞胰岛素加工和分泌的直接纽带。
Pub Date : 2024-06-04 Epub Date: 2024-03-20 DOI: 10.1016/j.cmet.2024.02.012
Yujiang Fang, Hexi Feng, Bowen Zhang, Shuwei Zhang, Yanjie Zhou, Pengcheng Hao, Zhongshu Zhou, Shanshan Zhou, Nan Li, Yi Hui, Lin Ma, Jie Xiong, Jinjin Wu, Ling Liu, Xiaoqing Zhang

Pancreatic β cells actively respond to glucose fluctuations through regulating insulin processing and secretion. However, how this process is elaborately tuned in circumstance of variable microenvironments as well as β cell-intrinsic states and whether its dysfunction links to metabolic diseases remain largely elusive. Here, we show that the cytosolic pH (pHc) in β cells is increased upon glucose challenge, which can be sensed by Smad5 via its nucleocytoplasmic shuttling. Lesion of Smad5 in β cells results in hyperglycemia and glucose intolerance due to insulin processing and secretion deficiency. The role of Smad5 in regulating insulin processing and secretion attributes to its non-canonical function by regulating V-ATPase activity for granule acidification. Genetic mutation of Smad5 or administration of alkaline water to mirror cytosolic alkalization ameliorated glucose intolerance in high-fat diet (HFD)-treated mice. Collectively, our findings suggest that pHc is a direct nexus in linking environmental cues with insulin processing and secretion in β cells.

胰腺β细胞通过调节胰岛素的加工和分泌对葡萄糖波动做出积极反应。然而,这一过程是如何在多变的微环境和β细胞内在状态下进行精心调整的,以及其功能障碍是否与代谢性疾病有关,这些问题在很大程度上仍然令人难以捉摸。在这里,我们发现当葡萄糖挑战β细胞时,β细胞的细胞膜pH值(pHc)会升高,Smad5可通过其核胞质穿梭感应到这一点。如果β细胞中的Smad5发生病变,就会因胰岛素加工和分泌不足而导致高血糖和葡萄糖不耐受。Smad5 在调节胰岛素加工和分泌中的作用归因于其通过调节 V-ATP 酶活性实现颗粒酸化的非典型功能。对 Smad5 进行基因突变或给予碱性水以反映细胞膜碱化,可改善高脂饮食(HFD)处理小鼠的葡萄糖不耐受症。总之,我们的研究结果表明,pHc 是连接环境线索与 β 细胞中胰岛素加工和分泌的直接纽带。
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引用次数: 0
Transcriptomic, epigenomic, and spatial metabolomic cell profiling redefines regional human kidney anatomy. 转录组学、表观基因组学和空间代谢组学细胞剖析重新定义了区域人类肾脏解剖学。
Pub Date : 2024-05-07 Epub Date: 2024-03-20 DOI: 10.1016/j.cmet.2024.02.015
Haikuo Li, Dian Li, Nicolas Ledru, Qiao Xuanyuan, Haojia Wu, Amish Asthana, Lori N Byers, Stefan G Tullius, Giuseppe Orlando, Sushrut S Waikar, Benjamin D Humphreys

A large-scale multimodal atlas that includes major kidney regions is lacking. Here, we employed simultaneous high-throughput single-cell ATAC/RNA sequencing (SHARE-seq) and spatially resolved metabolomics to profile 54 human samples from distinct kidney anatomical regions. We generated transcriptomes of 446,267 cells and chromatin accessibility profiles of 401,875 cells and developed a package to analyze 408,218 spatially resolved metabolomes. We find that the same cell type, including thin limb, thick ascending limb loop of Henle and principal cells, display distinct transcriptomic, chromatin accessibility, and metabolomic signatures, depending on anatomic location. Surveying metabolism-associated gene profiles revealed non-overlapping metabolic signatures between nephron segments and dysregulated lipid metabolism in diseased proximal tubule (PT) cells. Integrating multimodal omics with clinical data identified PLEKHA1 as a disease marker, and its in vitro knockdown increased gene expression in PT differentiation, suggesting possible pathogenic roles. This study highlights previously underrepresented cellular heterogeneity underlying the human kidney anatomy.

目前还缺乏包括主要肾脏区域的大规模多模态图谱。在这里,我们采用了高通量单细胞ATAC/RNA测序(SHARE-seq)和空间分辨代谢组学方法,对来自不同肾脏解剖区域的54份人体样本进行了分析。我们生成了 446267 个细胞的转录组和 401875 个细胞的染色质可及性图谱,并开发了一个软件包来分析 408218 个空间解析代谢组。我们发现,同一类型的细胞,包括薄肢细胞、亨列升支粗环细胞和主细胞,会因解剖位置的不同而显示出不同的转录组、染色质可及性和代谢组特征。对代谢相关基因图谱的调查显示,肾小管节段之间的代谢特征并不重叠,患病的近端肾小管(PT)细胞脂质代谢紊乱。将多模态全息图学与临床数据相结合,发现PLEKHA1是一种疾病标志物,体外敲除PLEKHA1可增加PT分化过程中的基因表达,这表明PLEKHA1可能具有致病作用。这项研究凸显了以前未被充分反映的人类肾脏解剖学基础细胞异质性。
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引用次数: 0
The effects of pregnancy, its progression, and its cessation on human (maternal) biological aging. 妊娠、妊娠进展和妊娠停止对人类(母体)生物衰老的影响。
Pub Date : 2024-05-07 Epub Date: 2024-03-22 DOI: 10.1016/j.cmet.2024.02.016
Hung Pham, Tara Thompson-Felix, Darina Czamara, Jerod M Rasmussen, Adam Lombroso, Sonja Entringer, Elisabeth B Binder, Pathik D Wadhwa, Claudia Buss, Kieran J O'Donnell
{"title":"The effects of pregnancy, its progression, and its cessation on human (maternal) biological aging.","authors":"Hung Pham, Tara Thompson-Felix, Darina Czamara, Jerod M Rasmussen, Adam Lombroso, Sonja Entringer, Elisabeth B Binder, Pathik D Wadhwa, Claudia Buss, Kieran J O'Donnell","doi":"10.1016/j.cmet.2024.02.016","DOIUrl":"10.1016/j.cmet.2024.02.016","url":null,"abstract":"","PeriodicalId":93927,"journal":{"name":"Cell metabolism","volume":" ","pages":"877-878"},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140195313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physiologic disruption and metabolic reprogramming in infection and sepsis. 感染和败血症中的生理紊乱和新陈代谢重编程。
Pub Date : 2024-05-07 Epub Date: 2024-03-20 DOI: 10.1016/j.cmet.2024.02.013
Katharina Willmann, Luis F Moita

Effective responses against severe systemic infection require coordination between two complementary defense strategies that minimize the negative impact of infection on the host: resistance, aimed at pathogen elimination, and disease tolerance, which limits tissue damage and preserves organ function. Resistance and disease tolerance mostly rely on divergent metabolic programs that may not operate simultaneously in time and space. Due to evolutionary reasons, the host initially prioritizes the elimination of the pathogen, leading to dominant resistance mechanisms at the potential expense of disease tolerance, which can contribute to organ failure. Here, we summarize our current understanding of the role of physiological perturbations resulting from infection in immune response dynamics and the metabolic program requirements associated with resistance and disease tolerance mechanisms. We then discuss how insight into the interplay of these mechanisms could inform future research aimed at improving sepsis outcomes and the potential for therapeutic interventions.

要有效应对严重的全身性感染,就必须协调两种互补的防御策略,最大限度地减少感染对宿主的负面影响:一种是旨在消灭病原体的抵抗力,另一种是限制组织损伤和保护器官功能的疾病耐受力。抵抗力和疾病耐受力主要依赖于不同的新陈代谢程序,这些程序在时间和空间上可能不会同时运行。由于进化的原因,宿主最初会优先考虑消灭病原体,从而形成占主导地位的抵抗机制,但可能会牺牲疾病耐受性,导致器官功能衰竭。在此,我们总结了我们目前对感染导致的生理扰动在免疫反应动态中的作用以及与抗性和疾病耐受机制相关的代谢程序要求的理解。然后,我们将讨论如何深入了解这些机制的相互作用,为今后旨在改善败血症预后的研究提供信息,并探讨治疗干预措施的潜力。
{"title":"Physiologic disruption and metabolic reprogramming in infection and sepsis.","authors":"Katharina Willmann, Luis F Moita","doi":"10.1016/j.cmet.2024.02.013","DOIUrl":"10.1016/j.cmet.2024.02.013","url":null,"abstract":"<p><p>Effective responses against severe systemic infection require coordination between two complementary defense strategies that minimize the negative impact of infection on the host: resistance, aimed at pathogen elimination, and disease tolerance, which limits tissue damage and preserves organ function. Resistance and disease tolerance mostly rely on divergent metabolic programs that may not operate simultaneously in time and space. Due to evolutionary reasons, the host initially prioritizes the elimination of the pathogen, leading to dominant resistance mechanisms at the potential expense of disease tolerance, which can contribute to organ failure. Here, we summarize our current understanding of the role of physiological perturbations resulting from infection in immune response dynamics and the metabolic program requirements associated with resistance and disease tolerance mechanisms. We then discuss how insight into the interplay of these mechanisms could inform future research aimed at improving sepsis outcomes and the potential for therapeutic interventions.</p>","PeriodicalId":93927,"journal":{"name":"Cell metabolism","volume":" ","pages":"927-946"},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Cell metabolism
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