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Characterization of Metronidazole, Clarithromycin and Amoxicillin Resistance Genes in Helicobacter pylori Isolated from Gastroenteritis Patients. 从胃肠炎患者中分离出的幽门螺旋杆菌对甲硝唑、克拉霉素和阿莫西林耐药基因的特征。
Pub Date : 2024-09-01 DOI: 10.24976/Discov.Med.202436188.171
Somaid Iqbal, Waheed Ullah, Syed Faheem Shah, Aisha Gul, Abdul Basit
<p><strong>Background: </strong><i>Helicobacter pylori</i> (<i>H. pylori</i>)is a Gram-negative, microaerophilic, and spiral shape bacterium that resides inside the human stomach. The human stomach serves as its primary reservoir. Complaints about stomach complication due to <i>H. pylori</i> infections are reported in the majority of populations around the globe. Chronic gastritis and intestinal metaplasia of the gastric mucosa are major complications of a long-term <i>H. pylori</i> infections that can lead to gastric cancer in severe cases. This study aims to characterize <i>H. pylori</i> isolates from gastroenteritis patients and to determine the resistance of <i>H. pylori</i> to various antibiotics.</p><p><strong>Methods: </strong>In the current study, a total of (n = 80) gastric biopsy samples were randomly collected from gastroenteritis patients in brain-heart infusion broth. These were inoculated on Columbia blood agar supplemented with <i>Helicobacter pylori</i> selective supplement (DENT). After culturing, Microscopy and biochemical tests were performed. The susceptibility profile of <i>H. pylori</i> isolates was evaluated using the Kirby Bauer disk diffusion method. On the basis of the drug resistance profile, a total of (n = 20) isolates including (n = 10) from females and (n = 10) from males were selected for the detection and characterization of resistant genes. After confirmation of <i>H. pylori</i> using <i>16s rRNA</i>, polymerase chain reaction (PCR) was done for the detection of resistance genes including Metronidazole resistance (<i>rdxA</i> gene), Clarithromycin resistance (<i>23s rRNA</i> gene) and Amoxicillin resistance (Penicillin-binding protein A1 (<i>pbpA1</i>) gene).</p><p><strong>Results: </strong>In a total of (n = 80) samples, <i>H. pylori</i> was isolated from 72.5% (n = 58) samples. Among the positive patients, there were 62% (n = 36) of female positive patients while in males, its ratio was 38% (n = 22). It was more common in the age between 30-50 years 55.17% (n = 32). It has shown the highest resistance towards Metronidazole 90% (n = 52), and the lowest toward Levofloxacin 65% (n = 38). Metronidazole resistance gene (<i>rdxA</i> gene) was detected in (n = 13) isolates including (n = 9) isolates from females and (n = 4) from males. In the case of, the Clarithromycin resistance gene (<i>23s rRNA</i>) (n = 10) was positive for <i>H. pylori</i> including (n = 6) isolates from females and (n = 7) were positive for Amoxicillin (<i>pbpA1</i> gene) including (n = 2) in female and (n = 5) from male patients.</p><p><strong>Conclusion: </strong>This study highlights the increasing incidence of <i>H. pylori</i> infections in both male and female patients. It also revealed the current status of antibiotic resistance and its resistance genes in patients facing gastrointestinal issues. Continuous surveillance of resistant clones will help in formulating strategies that can help in combating of resistant clone. It will also help
背景:幽门螺杆菌(Helicobacter pylori,H. pylori)是一种革兰氏阴性、微嗜水、螺旋形的细菌,寄居在人类胃部。人的胃是它的主要贮藏地。全球大多数人群都有因幽门螺杆菌感染而引起胃部并发症的投诉。慢性胃炎和胃黏膜肠化生是幽门螺杆菌长期感染的主要并发症,严重者可导致胃癌。本研究旨在分析从肠胃炎患者中分离出的幽门螺杆菌的特征,并确定幽门螺杆菌对各种抗生素的耐药性:在本研究中,用脑心输液肉汤随机采集了胃肠炎患者的胃活检样本(n = 80)。这些样本被接种到添加了幽门螺旋杆菌选择性补充剂(DENT)的哥伦比亚血液琼脂中。培养后,进行显微镜检查和生化测试。使用柯比鲍尔盘扩散法评估了幽门螺杆菌分离物的药敏谱。根据耐药性特征,共选择了(n = 20)个分离株,其中包括(n = 10)个来自女性的分离株和(n = 10)个来自男性的分离株,用于检测和鉴定耐药基因。使用 16s rRNA 确认幽门螺杆菌后,进行聚合酶链式反应(PCR)检测耐药基因,包括甲硝唑耐药(rdxA 基因)、克拉霉素耐药(23s rRNA 基因)和阿莫西林耐药(青霉素结合蛋白 A1 (pbpA1) 基因):在总共(n = 80)份样本中,72.5%(n = 58)的样本分离出幽门螺杆菌。在阳性患者中,女性占 62%(36 人),男性占 38%(22 人)。30-50 岁年龄段的患者更常见,占 55.17%(32 人)。对甲硝唑的耐药性最高,为 90%(52 人),对左氧氟沙星的耐药性最低,为 65%(38 人)。在(n = 13)个分离株中检测到甲硝唑耐药基因(rdxA 基因),其中包括(n = 9)个来自女性的分离株和(n = 4)个来自男性的分离株。幽门螺杆菌的克拉霉素耐药基因(23s rRNA)(n = 10)呈阳性,包括(n = 6)来自女性的分离株;阿莫西林(pbpA1 基因)(n = 7)呈阳性,包括(n = 2)来自女性患者的分离株和(n = 5)来自男性患者的分离株:本研究表明,幽门螺杆菌感染在男性和女性患者中的发病率都在上升。结论:这项研究表明,幽门螺杆菌感染在男性和女性患者中的发病率都在上升,它还揭示了面临胃肠道问题的患者的抗生素耐药性及其耐药基因的现状。对耐药克隆的持续监测将有助于制定策略,打击耐药克隆。这也有助于临床医生为幽门螺杆菌感染患者开出正确的处方并进行治疗。
{"title":"Characterization of Metronidazole, Clarithromycin and Amoxicillin Resistance Genes in <i>Helicobacter pylori</i> Isolated from Gastroenteritis Patients.","authors":"Somaid Iqbal, Waheed Ullah, Syed Faheem Shah, Aisha Gul, Abdul Basit","doi":"10.24976/Discov.Med.202436188.171","DOIUrl":"https://doi.org/10.24976/Discov.Med.202436188.171","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;&lt;i&gt;Helicobacter pylori&lt;/i&gt; (&lt;i&gt;H. pylori&lt;/i&gt;)is a Gram-negative, microaerophilic, and spiral shape bacterium that resides inside the human stomach. The human stomach serves as its primary reservoir. Complaints about stomach complication due to &lt;i&gt;H. pylori&lt;/i&gt; infections are reported in the majority of populations around the globe. Chronic gastritis and intestinal metaplasia of the gastric mucosa are major complications of a long-term &lt;i&gt;H. pylori&lt;/i&gt; infections that can lead to gastric cancer in severe cases. This study aims to characterize &lt;i&gt;H. pylori&lt;/i&gt; isolates from gastroenteritis patients and to determine the resistance of &lt;i&gt;H. pylori&lt;/i&gt; to various antibiotics.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;In the current study, a total of (n = 80) gastric biopsy samples were randomly collected from gastroenteritis patients in brain-heart infusion broth. These were inoculated on Columbia blood agar supplemented with &lt;i&gt;Helicobacter pylori&lt;/i&gt; selective supplement (DENT). After culturing, Microscopy and biochemical tests were performed. The susceptibility profile of &lt;i&gt;H. pylori&lt;/i&gt; isolates was evaluated using the Kirby Bauer disk diffusion method. On the basis of the drug resistance profile, a total of (n = 20) isolates including (n = 10) from females and (n = 10) from males were selected for the detection and characterization of resistant genes. After confirmation of &lt;i&gt;H. pylori&lt;/i&gt; using &lt;i&gt;16s rRNA&lt;/i&gt;, polymerase chain reaction (PCR) was done for the detection of resistance genes including Metronidazole resistance (&lt;i&gt;rdxA&lt;/i&gt; gene), Clarithromycin resistance (&lt;i&gt;23s rRNA&lt;/i&gt; gene) and Amoxicillin resistance (Penicillin-binding protein A1 (&lt;i&gt;pbpA1&lt;/i&gt;) gene).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In a total of (n = 80) samples, &lt;i&gt;H. pylori&lt;/i&gt; was isolated from 72.5% (n = 58) samples. Among the positive patients, there were 62% (n = 36) of female positive patients while in males, its ratio was 38% (n = 22). It was more common in the age between 30-50 years 55.17% (n = 32). It has shown the highest resistance towards Metronidazole 90% (n = 52), and the lowest toward Levofloxacin 65% (n = 38). Metronidazole resistance gene (&lt;i&gt;rdxA&lt;/i&gt; gene) was detected in (n = 13) isolates including (n = 9) isolates from females and (n = 4) from males. In the case of, the Clarithromycin resistance gene (&lt;i&gt;23s rRNA&lt;/i&gt;) (n = 10) was positive for &lt;i&gt;H. pylori&lt;/i&gt; including (n = 6) isolates from females and (n = 7) were positive for Amoxicillin (&lt;i&gt;pbpA1&lt;/i&gt; gene) including (n = 2) in female and (n = 5) from male patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study highlights the increasing incidence of &lt;i&gt;H. pylori&lt;/i&gt; infections in both male and female patients. It also revealed the current status of antibiotic resistance and its resistance genes in patients facing gastrointestinal issues. Continuous surveillance of resistant clones will help in formulating strategies that can help in combating of resistant clone. It will also help","PeriodicalId":93980,"journal":{"name":"Discovery medicine","volume":"36 188","pages":"1848-1857"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334983","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
METTL3 Regulates the Translation of Oncogene Myc through m6A Modification and Promotes the Occurrence and Development of Cervical Cancer. METTL3 通过 m6A 修饰调控癌基因 Myc 的翻译,促进宫颈癌的发生和发展
Pub Date : 2024-09-01 DOI: 10.24976/Discov.Med.202436188.176
Yanyan Ma, Hongyan Shi, Wei Zheng

Background: Cervical cancer (CC) is one of the major types of gynecological cancer, with a high global incidence and mortality rate. Methyltransferase-like 3 (METTL3), a key constituent of methyltransferase, plays a crucial role in various biological processes. Still, only a rare report has been made on its involvement in the progression of CC. Therefore, this study aims to investigate the impact of METTL3 in CC and its molecular mechanisms.

Methods: Gene expression datasets about CC were obtained from the Gene Expression Omnibus (GEO) database, and the expression of METTL3 and Myc was analyzed. Cell viability was detected after METTL3 knockdown in HeLa and SiHa cells, followed by cell counting Kit-8 (CCK-8) assays. The relative expression of METTL3 and Myc was detected via real-time quantitative PCR (qPCR) assays, and the protein expression was determined using Western blot. Meanwhile, cell invasion and migration capabilities were assessed utilizing transwell assays, and cell proliferation was detected using the EdU experiment. Furthermore, RNA methylation immunoprecipitation-qPCR detection was performed to determine the expression of Myc after N6-methyladenosine (m6A) modification.

Results: Analysis of the GEO database indicated elevated expression of METTL3 and Myc in CC tissues. Patients with high METTL3 expression had shorter disease-free survival, and patients with high Myc expression had shorter overall survival. Following the knockdown of METTL3, there was a significant reduction in the viability, proliferation, invasion, and migration abilities of HeLa and SiHa cells. Besides, the expression of METTL3 and Myc mRNAs and proteins was greatly reduced. The level of m6A Myc decreased significantly after METTL3 knockdown.

Conclusions: METTL3 plays an important role in regulating cervical cancer cells. METTL3 promotes CC development through m6A modification to regulate the expression of the oncogene Myc.

背景:宫颈癌(CC)是妇科癌症的主要类型之一,在全球的发病率和死亡率都很高。甲基转移酶样 3(METTL3)是甲基转移酶的关键成分,在各种生物过程中发挥着至关重要的作用。然而,关于它参与CC进展的报道还很少见。因此,本研究旨在探讨 METTL3 在 CC 中的影响及其分子机制:方法:从基因表达总库(GEO)数据库中获取有关 CC 的基因表达数据集,分析 METTL3 和 Myc 的表达。在HeLa和SiHa细胞中敲除METTL3后,用细胞计数试剂盒-8(CCK-8)检测细胞活力。通过实时定量 PCR(qPCR)检测 METTL3 和 Myc 的相对表达,并通过 Western 印迹检测蛋白表达。同时,细胞侵袭和迁移能力的评估采用了透孔实验,细胞增殖的检测采用了 EdU 实验。此外,还进行了 RNA 甲基化免疫沉淀-qPCR 检测,以确定 N6-甲基腺苷(m6A)修饰后 Myc 的表达情况:结果:对GEO数据库的分析表明,METTL3和Myc在CC组织中的表达量升高。METTL3高表达的患者无病生存期较短,Myc高表达的患者总生存期较短。敲除 METTL3 后,HeLa 和 SiHa 细胞的活力、增殖、侵袭和迁移能力显著下降。此外,METTL3和Myc mRNA及蛋白的表达也大大减少。结论:METTL3对HeLa和SiHa细胞的增殖、侵袭和迁移能力有重要作用:结论:METTL3在宫颈癌细胞调控中发挥着重要作用。结论:METTL3在宫颈癌细胞的调控过程中发挥着重要作用。METTL3通过m6A修饰来调控癌基因Myc的表达,从而促进宫颈癌的发展。
{"title":"METTL3 Regulates the Translation of Oncogene Myc through m<sup>6</sup>A Modification and Promotes the Occurrence and Development of Cervical Cancer.","authors":"Yanyan Ma, Hongyan Shi, Wei Zheng","doi":"10.24976/Discov.Med.202436188.176","DOIUrl":"10.24976/Discov.Med.202436188.176","url":null,"abstract":"<p><strong>Background: </strong>Cervical cancer (CC) is one of the major types of gynecological cancer, with a high global incidence and mortality rate. Methyltransferase-like 3 (METTL3), a key constituent of methyltransferase, plays a crucial role in various biological processes. Still, only a rare report has been made on its involvement in the progression of CC. Therefore, this study aims to investigate the impact of METTL3 in CC and its molecular mechanisms.</p><p><strong>Methods: </strong>Gene expression datasets about CC were obtained from the Gene Expression Omnibus (GEO) database, and the expression of <i>METTL3</i> and <i>Myc</i> was analyzed. Cell viability was detected after <i>METTL3</i> knockdown in HeLa and SiHa cells, followed by cell counting Kit-8 (CCK-8) assays. The relative expression of <i>METTL3</i> and <i>Myc</i> was detected via real-time quantitative PCR (qPCR) assays, and the protein expression was determined using Western blot. Meanwhile, cell invasion and migration capabilities were assessed utilizing transwell assays, and cell proliferation was detected using the EdU experiment. Furthermore, RNA methylation immunoprecipitation-qPCR detection was performed to determine the expression of <i>Myc</i> after N<sup>6</sup>-methyladenosine (m<sup>6</sup>A) modification.</p><p><strong>Results: </strong>Analysis of the GEO database indicated elevated expression of METTL3 and Myc in CC tissues. Patients with high METTL3 expression had shorter disease-free survival, and patients with high Myc expression had shorter overall survival. Following the knockdown of <i>METTL3</i>, there was a significant reduction in the viability, proliferation, invasion, and migration abilities of HeLa and SiHa cells. Besides, the expression of <i>METTL3</i> and <i>Myc</i> mRNAs and proteins was greatly reduced. The level of m<sup>6</sup>A <i>Myc</i> decreased significantly after <i>METTL3</i> knockdown.</p><p><strong>Conclusions: </strong><i>METTL3</i> plays an important role in regulating cervical cancer cells. <i>METTL3</i> promotes CC development through m<sup>6</sup>A modification to regulate the expression of the oncogene <i>Myc</i>.</p>","PeriodicalId":93980,"journal":{"name":"Discovery medicine","volume":"36 188","pages":"1902-1910"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335003","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
A Comparison between Demyelinating and Omicron Variant Infection-Associated Optic Neuritis. 脱髓鞘性视神经炎与 Omicron 变异感染相关视神经炎的比较
Pub Date : 2024-09-01 DOI: 10.24976/Discov.Med.202436188.175
Jing Zhang, Lian Wang, Chunli Chen, Haitao Ren, Miao Jin, Hongjuan Liu, Bentao Yang, Zhiqin Huang, Libin Jiang, Fred Kuanfu Chen

Background: The connection between viral infection and the onset of demyelination has garnered considerable attention. Omicron, the most recent prevalent strain of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has raised concerns. Optic neuritis (ON) associated with Omicron infection and spontaneous demyelinating ON may manifest distinct disease progressions. This study aims to contrast the features of these two distinct etiologies of ON.

Methods: This case-control study comprised fifteen patients (21 eyes) diagnosed with Omicron infection-related ON and fifteen patients (24 eyes) with demyelinating ON serving as the control group. Clinical characteristics, cerebrospinal fluid (CSF) analysis, treatment protocols, and outcomes were compared between the two groups.

Results: The Omicron-infected group exhibited a higher incidence of pain upon ocular movement (p = 0.023) and peripapillary hemorrhages (p = 0.046). In CSF analysis, there was an elevation in white cell counts (WCCs) (p = 0.004), with lymphocytes being the predominant cell type in the Omicron-related ON group. However, oligoclonal bands (OCBs), indicative of intrathecal synthesis, were significantly lower and lagged behind those of the demyelinating ON group (p = 0.021). SARS-CoV-2 RNA was not directly detected in the CSF of the Omicron-related ON group, and the degree of WCC elevation was closely linked with peripapillary hemorrhages (odds ratio = 0.029, p = 0.02). Additionally, the Omicron-related ON group displayed more pronounced ganglion cell loss following 3-month treatment (p = 0.02).

Conclusion: Omicron-related ON is distinguished by more pronounced clinical symptoms and distinct CSF characteristics compared to spontaneous demyelinating ON. The absence of viral RNA sequence in the CSF of Omicron-associated ON supports the use of steroid monotherapy; however, varying treatment options and prognoses should be considered for these two types of ON.

背景:病毒感染与脱髓鞘发病之间的联系引起了广泛关注。严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)的最新流行株 Omicron 引起了人们的关注。与Omicron感染相关的视神经炎(ON)和自发性脱髓鞘ON可能表现出不同的疾病进展。本研究旨在对比这两种不同病因引起的视神经炎的特征:这项病例对照研究包括 15 名被诊断为与奥米克龙感染相关的 ON 患者(21 只眼)和 15 名作为对照组的脱髓鞘性 ON 患者(24 只眼)。两组患者的临床特征、脑脊液(CSF)分析、治疗方案和结果进行了比较:结果:奥米克隆感染组眼球活动时疼痛(p = 0.023)和虹膜周围出血(p = 0.046)的发生率较高。在 CSF 分析中,白细胞计数(WCC)升高(p = 0.004),淋巴细胞是奥米克龙相关 ON 组的主要细胞类型。然而,表明鞘内合成的寡克隆带(OCBs)明显降低,落后于脱髓鞘ON组(p = 0.021)。欧米克隆相关性ON组的脑脊液中未直接检测到SARS-CoV-2 RNA,而WCC升高的程度与毛细血管周围出血密切相关(几率比=0.029,P=0.02)。此外,治疗 3 个月后,Omicron 相关性 ON 组显示出更明显的神经节细胞丢失(p = 0.02):结论:与自发性脱髓鞘性ON相比,Omicron相关性ON具有更明显的临床症状和独特的CSF特征。奥米克龙相关性ON的脑脊液中没有病毒RNA序列,这支持使用类固醇单药治疗;然而,对于这两种类型的ON,应考虑不同的治疗方案和预后。
{"title":"A Comparison between Demyelinating and Omicron Variant Infection-Associated Optic Neuritis.","authors":"Jing Zhang, Lian Wang, Chunli Chen, Haitao Ren, Miao Jin, Hongjuan Liu, Bentao Yang, Zhiqin Huang, Libin Jiang, Fred Kuanfu Chen","doi":"10.24976/Discov.Med.202436188.175","DOIUrl":"https://doi.org/10.24976/Discov.Med.202436188.175","url":null,"abstract":"<p><strong>Background: </strong>The connection between viral infection and the onset of demyelination has garnered considerable attention. Omicron, the most recent prevalent strain of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has raised concerns. Optic neuritis (ON) associated with Omicron infection and spontaneous demyelinating ON may manifest distinct disease progressions. This study aims to contrast the features of these two distinct etiologies of ON.</p><p><strong>Methods: </strong>This case-control study comprised fifteen patients (21 eyes) diagnosed with Omicron infection-related ON and fifteen patients (24 eyes) with demyelinating ON serving as the control group. Clinical characteristics, cerebrospinal fluid (CSF) analysis, treatment protocols, and outcomes were compared between the two groups.</p><p><strong>Results: </strong>The Omicron-infected group exhibited a higher incidence of pain upon ocular movement (<i>p</i> = 0.023) and peripapillary hemorrhages (<i>p</i> = 0.046). In CSF analysis, there was an elevation in white cell counts (WCCs) (<i>p</i> = 0.004), with lymphocytes being the predominant cell type in the Omicron-related ON group. However, oligoclonal bands (OCBs), indicative of intrathecal synthesis, were significantly lower and lagged behind those of the demyelinating ON group (<i>p</i> = 0.021). SARS-CoV-2 RNA was not directly detected in the CSF of the Omicron-related ON group, and the degree of WCC elevation was closely linked with peripapillary hemorrhages (odds ratio = 0.029, <i>p</i> = 0.02). Additionally, the Omicron-related ON group displayed more pronounced ganglion cell loss following 3-month treatment (<i>p</i> = 0.02).</p><p><strong>Conclusion: </strong>Omicron-related ON is distinguished by more pronounced clinical symptoms and distinct CSF characteristics compared to spontaneous demyelinating ON. The absence of viral RNA sequence in the CSF of Omicron-associated ON supports the use of steroid monotherapy; however, varying treatment options and prognoses should be considered for these two types of ON.</p>","PeriodicalId":93980,"journal":{"name":"Discovery medicine","volume":"36 188","pages":"1891-1901"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334978","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
Association of Microbleeds on Susceptibility-Weighted Imaging with Ferroptosis and Prognosis in Rabbits with Spinal Cord Injury. 感度加权成像显示的微出血与脊髓损伤家兔的铁质沉着和预后的关系
Pub Date : 2024-09-01 DOI: 10.24976/Discov.Med.202436188.173
Xing-Zhen Liu, Bo-Cheng Wang, Kang-Ping Shen, Wen-Jie Jin, Jie Zhao

Background: Susceptibility-weighted imaging (SWI) is a common imaging technique used to identify cerebral microbleeds. Given that spinal cord injury (SCI) often creates an environment that favors ferroptosis, a type of cell death driven by iron, this study aimed to explore the relationship between microbleeds on SWI and ferroptosis, and explore the effect of deferoxamine on SCI.

Methods: Thirty-six rabbits were divided into three groups: sham, SCI, and SCI with deferoxamine (DFO, a ferroptosis inhibitor) treatment (SCI+DFO). Following 48 hours of SCI modeling, the rabbits underwent magnetic resonance imaging (MRI) and SWI examinations. Ferroptosis markers and spinal cord tissue morphology were examined, and the modified Tarlov's score was used to assess neurological function.

Results: SWI analysis revealed that rabbits in the SCI group exhibited lower signal intensities and larger microbleed areas compared to the those in the SCI+DFO group (p < 0.05). The SCI+DFO group demonstrated significantly decreased iron and malondialdehyde (MDA) levels, coupled with increased glutathione (GSH) and glutathione peroxidase 4 (GPX4) levels, along with attenuated ferroptosis (p < 0.05). This group also displayed greater Neuronal Nuclei (NeuN) expression, Tarlov's scores, and neurological recovery rates (all p < 0.05). A significant positive correlation was found between the microbleed area and iron content (r = 0.59, p = 0.04), MDA (r = 0.75, p = 0.01), and mitochondrial damage (r = 0.90, p < 0.01). Conversely, a negative correlation was established between the microbleed area and GPX4 levels (r = -0.87, p < 0.01), as well as neurological function recovery (r = -0.62, p = 0.03).

Conclusion: The extent of microbleeds on SWI following SCI is closely correlated with ferroptosis, and the inhibition of ferroptosis could improve neurologic function. These findings suggest that the area of microbleeds on SWI could potentially serve as a predictive marker for ferroptosis in spinal cord injury.

背景:感度加权成像(SWI)是一种用于识别脑微出血的常用成像技术。鉴于脊髓损伤(SCI)通常会产生一种有利于铁蜕变(一种由铁驱动的细胞死亡)的环境,本研究旨在探讨 SWI 上的微出血与铁蜕变之间的关系,并探讨去铁胺对 SCI 的影响:方法:将36只兔子分为三组:假组、SCI组和SCI+去铁胺(DFO,一种铁突变抑制剂)治疗组(SCI+DFO)。在进行 48 小时的 SCI 模拟后,兔子接受了磁共振成像(MRI)和 SWI 检查。对铁蛋白沉积标志物和脊髓组织形态进行了检查,并采用改良的塔洛夫评分法评估神经功能:SWI分析表明,与SCI+DFO组的兔子相比,SCI组的信号强度更低,微出血区域更大(p < 0.05)。SCI+DFO组的铁和丙二醛(MDA)水平明显下降,谷胱甘肽(GSH)和谷胱甘肽过氧化物酶4(GPX4)水平上升,铁变态反应减轻(p < 0.05)。这组患者的神经元核(NeuN)表达、塔洛夫评分和神经功能恢复率也更高(均 p < 0.05)。微出血面积与铁含量(r = 0.59,p = 0.04)、MDA(r = 0.75,p = 0.01)和线粒体损伤(r = 0.90,p < 0.01)之间存在明显的正相关。相反,微出血面积与 GPX4 水平(r = -0.87,p < 0.01)以及神经功能恢复(r = -0.62,p = 0.03)之间呈负相关:结论: SCI 后 SWI 上的微出血范围与铁蛋白沉积密切相关,抑制铁蛋白沉积可改善神经功能。这些研究结果表明,SWI 上的微出血面积有可能成为脊髓损伤铁沉着症的预测指标。
{"title":"Association of Microbleeds on Susceptibility-Weighted Imaging with Ferroptosis and Prognosis in Rabbits with Spinal Cord Injury.","authors":"Xing-Zhen Liu, Bo-Cheng Wang, Kang-Ping Shen, Wen-Jie Jin, Jie Zhao","doi":"10.24976/Discov.Med.202436188.173","DOIUrl":"https://doi.org/10.24976/Discov.Med.202436188.173","url":null,"abstract":"<p><strong>Background: </strong>Susceptibility-weighted imaging (SWI) is a common imaging technique used to identify cerebral microbleeds. Given that spinal cord injury (SCI) often creates an environment that favors ferroptosis, a type of cell death driven by iron, this study aimed to explore the relationship between microbleeds on SWI and ferroptosis, and explore the effect of deferoxamine on SCI.</p><p><strong>Methods: </strong>Thirty-six rabbits were divided into three groups: sham, SCI, and SCI with deferoxamine (DFO, a ferroptosis inhibitor) treatment (SCI+DFO). Following 48 hours of SCI modeling, the rabbits underwent magnetic resonance imaging (MRI) and SWI examinations. Ferroptosis markers and spinal cord tissue morphology were examined, and the modified Tarlov's score was used to assess neurological function.</p><p><strong>Results: </strong>SWI analysis revealed that rabbits in the SCI group exhibited lower signal intensities and larger microbleed areas compared to the those in the SCI+DFO group (<i>p</i> < 0.05). The SCI+DFO group demonstrated significantly decreased iron and malondialdehyde (MDA) levels, coupled with increased glutathione (GSH) and glutathione peroxidase 4 (GPX4) levels, along with attenuated ferroptosis (<i>p</i> < 0.05). This group also displayed greater Neuronal Nuclei (NeuN) expression, Tarlov's scores, and neurological recovery rates (all <i>p</i> < 0.05). A significant positive correlation was found between the microbleed area and iron content (r = 0.59, <i>p</i> = 0.04), MDA (r = 0.75, <i>p</i> = 0.01), and mitochondrial damage (r = 0.90, <i>p</i> < 0.01). Conversely, a negative correlation was established between the microbleed area and GPX4 levels (r = -0.87, <i>p</i> < 0.01), as well as neurological function recovery (r = -0.62, <i>p</i> = 0.03).</p><p><strong>Conclusion: </strong>The extent of microbleeds on SWI following SCI is closely correlated with ferroptosis, and the inhibition of ferroptosis could improve neurologic function. These findings suggest that the area of microbleeds on SWI could potentially serve as a predictive marker for ferroptosis in spinal cord injury.</p>","PeriodicalId":93980,"journal":{"name":"Discovery medicine","volume":"36 188","pages":"1869-1879"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334981","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
Berberine Alleviates Sevoflurane Anesthesia-Induced Cognitive Dysfunction in Neonatal Mice via Regulating CREB1. 小檗碱通过调节 CREB1 缓解七氟醚麻醉诱导的新生小鼠认知功能障碍
Pub Date : 2024-09-01 DOI: 10.24976/Discov.Med.202436188.174
Huajuan Wang, Wangsheng Wu, Qunyan Zheng, Fangyan Yu, Haitao Zhang, Gongmin Yu, Li Huang
<p><strong>Background: </strong>Sevoflurane has been shown to stimulate neurotoxicity and lead to cognitive impairment. Berberine is known for its role in regulating nervous system diseases, including cognitive dysfunction. This study aimed to investigate the effects of berberine on cognitive dysfunction induced by sevoflurane anesthesia and its potential mechanisms.</p><p><strong>Methods: </strong>In the <i>in vivo</i> study, neonatal mice were subjected to sevoflurane anesthesia to induce cognitive dysfunction. The cognitive function of the neonatal mice was evaluated using the Morris water maze test, open field test, and tail suspension test. Enzyme-linked immunosorbent assay (ELISA) was utilized to assess the levels of inflammatory factors. Immunohistochemistry (IHC) was conducted to detect ionized calcium-binding adaptor molecule 1 (IBA-1)-positive cells and cleaved caspase-3-positive cells in the hippocampus of the neonatal mice. Western blotting was used to measure the levels of cyclic adenosine monophosphate (cAMP) response element-binding protein 1 (CREB1) in hippocampal tissues and neurons. Hippocampal neurons were isolated from the hippocampus of neonatal mice. These neurons were treated with berberine or subjected to cell transfection. The cell counting kit-8 (CCK-8) assay and terminal deoxynucleotidyl transferase dUTP nick-end labeling (TUNEL) assay were conducted to measure cell viability and apoptosis of hippocampal neurons <i>in vitro</i>.</p><p><strong>Results: </strong>Berberine significantly attenuated sevoflurane-induced cognitive impairment and inflammation in neonatal mice (<i>p</i> < 0.05 or <i>p</i> < 0.01). Additionally, berberine reduced sevoflurane-triggered neuronal apoptosis in the hippocampus of neonatal mice (<i>p</i> < 0.01). Sevoflurane markedly decreased CREB1 expression in the hippocampus of neonatal mice (<i>p</i> < 0.01), which was elevated by berberine treatment (<i>p</i> < 0.01). Mechanistically, sevoflurane significantly suppressed cell viability and promoted cell apoptosis of hippocampal neurons (<i>p</i> < 0.0001 or <i>p</i> < 0.01), which were mitigated by berberine (<i>p</i> < 0.05, <i>p</i> < 0.01, or <i>p</i> < 0.001). Furthermore, berberine significantly elevated CREB1 expression in sevoflurane-treated hippocampal neurons (<i>p</i> < 0.01). The beneficial effects of berberine on cell viability and apoptosis in sevoflurane-treated hippocampal neurons were blocked by CREB1 depletion (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Our results demonstrated that CREB1 was significantly decreased in the hippocampus of sevoflurane-treated neonatal mice <i>in vivo</i> and in sevoflurane-treated hippocampal neurons <i>in vitro</i>. This decrease was mitigated by berberine treatment. Moreover, berberine improved sevoflurane anesthesia-induced cognitive impairment in neonatal mice by attenuating neuronal inflammation and apoptosis <i>in vivo</i>. The inhibitory effects of berberine on sevoflurane-induced
背景:七氟烷已被证明会刺激神经系统中毒并导致认知障碍。小檗碱因其调节神经系统疾病(包括认知功能障碍)的作用而闻名。本研究旨在探讨小檗碱对七氟醚麻醉引起的认知功能障碍的影响及其潜在机制:在体内研究中,对新生小鼠进行七氟醚麻醉以诱导认知功能障碍。采用莫里斯水迷宫试验、开阔地试验和悬尾试验评估新生小鼠的认知功能。酶联免疫吸附试验(ELISA)用于评估炎症因子的水平。免疫组织化学(IHC)检测了新生小鼠海马中电离钙结合适配分子1(IBA-1)阳性细胞和裂解的caspase-3阳性细胞。用 Western 印迹法测定海马组织和神经元中环磷酸腺苷(cAMP)反应元件结合蛋白 1(CREB1)的水平。从新生小鼠的海马中分离出海马神经元。这些神经元用小檗碱处理或进行细胞转染。采用细胞计数试剂盒-8(CCK-8)检测法和末端脱氧核苷酸转移酶 dUTP缺口端标记(TUNEL)检测法检测体外海马神经元的细胞活力和凋亡情况:结果:小檗碱能明显减轻七氟醚诱导的新生小鼠认知障碍和炎症(p < 0.05 或 p < 0.01)。此外,小檗碱还能减少七氟醚引发的新生小鼠海马神经元凋亡(p < 0.01)。七氟醚明显降低了新生小鼠海马中 CREB1 的表达(p < 0.01),而小檗碱治疗则提高了 CREB1 的表达(p < 0.01)。从机理上讲,七氟醚明显抑制了海马神经元的细胞活力并促进了细胞凋亡(p < 0.0001 或 p < 0.01),而小檗碱可减轻这种情况(p < 0.05、p < 0.01 或 p < 0.001)。此外,小檗碱还能明显提高七氟醚处理的海马神经元中 CREB1 的表达(p < 0.01)。小檗碱对七氟烷处理的海马神经元的细胞活力和细胞凋亡的有益影响因 CREB1 的缺失而被阻断(p < 0.001):我们的研究结果表明,在体内七氟醚处理的新生小鼠海马和体外七氟醚处理的海马神经元中,CREB1均显著减少。小檗碱治疗可减轻这一下降。此外,小檗碱通过减轻体内神经元炎症和凋亡,改善了七氟醚麻醉诱导的新生小鼠认知功能障碍。小檗碱对七氟烷诱导的细胞凋亡的抑制作用可通过下调 CREB1 而逆转。这些研究结果表明,小檗碱可通过减少海马神经元的凋亡,部分地通过增加 CREB1 的表达来防止七氟醚麻醉引起的认知障碍。
{"title":"Berberine Alleviates Sevoflurane Anesthesia-Induced Cognitive Dysfunction in Neonatal Mice via Regulating CREB1.","authors":"Huajuan Wang, Wangsheng Wu, Qunyan Zheng, Fangyan Yu, Haitao Zhang, Gongmin Yu, Li Huang","doi":"10.24976/Discov.Med.202436188.174","DOIUrl":"10.24976/Discov.Med.202436188.174","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Sevoflurane has been shown to stimulate neurotoxicity and lead to cognitive impairment. Berberine is known for its role in regulating nervous system diseases, including cognitive dysfunction. This study aimed to investigate the effects of berberine on cognitive dysfunction induced by sevoflurane anesthesia and its potential mechanisms.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;In the &lt;i&gt;in vivo&lt;/i&gt; study, neonatal mice were subjected to sevoflurane anesthesia to induce cognitive dysfunction. The cognitive function of the neonatal mice was evaluated using the Morris water maze test, open field test, and tail suspension test. Enzyme-linked immunosorbent assay (ELISA) was utilized to assess the levels of inflammatory factors. Immunohistochemistry (IHC) was conducted to detect ionized calcium-binding adaptor molecule 1 (IBA-1)-positive cells and cleaved caspase-3-positive cells in the hippocampus of the neonatal mice. Western blotting was used to measure the levels of cyclic adenosine monophosphate (cAMP) response element-binding protein 1 (CREB1) in hippocampal tissues and neurons. Hippocampal neurons were isolated from the hippocampus of neonatal mice. These neurons were treated with berberine or subjected to cell transfection. The cell counting kit-8 (CCK-8) assay and terminal deoxynucleotidyl transferase dUTP nick-end labeling (TUNEL) assay were conducted to measure cell viability and apoptosis of hippocampal neurons &lt;i&gt;in vitro&lt;/i&gt;.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Berberine significantly attenuated sevoflurane-induced cognitive impairment and inflammation in neonatal mice (&lt;i&gt;p&lt;/i&gt; &lt; 0.05 or &lt;i&gt;p&lt;/i&gt; &lt; 0.01). Additionally, berberine reduced sevoflurane-triggered neuronal apoptosis in the hippocampus of neonatal mice (&lt;i&gt;p&lt;/i&gt; &lt; 0.01). Sevoflurane markedly decreased CREB1 expression in the hippocampus of neonatal mice (&lt;i&gt;p&lt;/i&gt; &lt; 0.01), which was elevated by berberine treatment (&lt;i&gt;p&lt;/i&gt; &lt; 0.01). Mechanistically, sevoflurane significantly suppressed cell viability and promoted cell apoptosis of hippocampal neurons (&lt;i&gt;p&lt;/i&gt; &lt; 0.0001 or &lt;i&gt;p&lt;/i&gt; &lt; 0.01), which were mitigated by berberine (&lt;i&gt;p&lt;/i&gt; &lt; 0.05, &lt;i&gt;p&lt;/i&gt; &lt; 0.01, or &lt;i&gt;p&lt;/i&gt; &lt; 0.001). Furthermore, berberine significantly elevated CREB1 expression in sevoflurane-treated hippocampal neurons (&lt;i&gt;p&lt;/i&gt; &lt; 0.01). The beneficial effects of berberine on cell viability and apoptosis in sevoflurane-treated hippocampal neurons were blocked by CREB1 depletion (&lt;i&gt;p&lt;/i&gt; &lt; 0.001).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Our results demonstrated that CREB1 was significantly decreased in the hippocampus of sevoflurane-treated neonatal mice &lt;i&gt;in vivo&lt;/i&gt; and in sevoflurane-treated hippocampal neurons &lt;i&gt;in vitro&lt;/i&gt;. This decrease was mitigated by berberine treatment. Moreover, berberine improved sevoflurane anesthesia-induced cognitive impairment in neonatal mice by attenuating neuronal inflammation and apoptosis &lt;i&gt;in vivo&lt;/i&gt;. The inhibitory effects of berberine on sevoflurane-induced","PeriodicalId":93980,"journal":{"name":"Discovery medicine","volume":"36 188","pages":"1880-1890"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334982","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
The Impact of Dibutyl Phthalate on Insulin Signaling in Human Skeletal Muscle Cells. 邻苯二甲酸二丁酯对人类骨骼肌细胞中胰岛素信号的影响
Pub Date : 2024-09-01 DOI: 10.24976/Discov.Med.202436188.167
Dan Shan, Yan Chen, Kunyan Zhou

Background: In China, the environmental concern of Dibutyl Phthalate (DBP) exposure significantly endangers human health by inducing insulin resistance (IR). Skeletal muscle tissue plays a critical role in this process. However, the precise molecular mechanisms through which DBP interferes with the insulin signaling pathway remain to be fully elucidated. This study aims to explore the molecular mechanisms by which DBP induces IR in skeletal muscle, focusing on the phosphatidylinositol 3-kinase (PI3K)-serine/threonine kinase (AKT)-glucose transporter 4 (GLUT4) signaling pathway.

Methods: To investigate the molecular mechanisms underlying DBP-induced IR, an experimental study was established on a human skeletal muscle cell line (HSkMC). Expression levels of mRNA and proteins associated with key signaling genes within the insulin receptor (INSR)-insulin receptor substrate (IRS)-PI3K-AKT-GLUT4 pathway were assessed using quantitative real-time polymerase chain reaction (qRT-PCR) and Western blot techniques. Additionally, this study explored the effects of DBP alone and in combination with a PI3K inhibitor (BKM120) or phosphatase and tensin homolog (PTEN) overexpression lentivirus on these signaling components.

Results: Results from this study demonstrated that DBP exposure significantly decreased mRNA levels of INSR, IRS1, PI3K, AKT2, and GLUT4 in HSkMC cells compared to untreated control cells. This reduction was exacerbated when DBP was combined with BKM120 or PTEN overexpression lentivirus, suggesting a synergistic effect. Furthermore, DBP treatment reduced the expression and phosphorylation of AKT2, indicating a disruption in the insulin signaling pathway.

Conclusions: This study elucidates a molecular mechanism by which DBP induces IR in skeletal muscle cells, primarily through the deregulation of the PI3K-dependent insulin signaling pathway. These insights enhance comprehension of the pathophysiological changes associated with IR caused by environmental pollutants like DBP, potentially guiding future strategies for prevention and intervention.

背景:在中国,邻苯二甲酸二丁酯(DBP)暴露会诱发胰岛素抵抗(IR),从而严重危害人类健康。骨骼肌组织在这一过程中起着至关重要的作用。然而,DBP 干扰胰岛素信号通路的确切分子机制仍有待全面阐明。本研究旨在探索 DBP 诱导骨骼肌 IR 的分子机制,重点研究磷脂酰肌醇 3- 激酶(PI3K)-丝氨酸/苏氨酸激酶(AKT)-葡萄糖转运体 4(GLUT4)信号通路:为了研究 DBP 诱导 IR 的分子机制,我们在人类骨骼肌细胞系(HSkMC)上进行了一项实验研究。使用定量实时聚合酶链反应(qRT-PCR)和 Western 印迹技术评估了胰岛素受体(INSR)-胰岛素受体底物(IRS)-PI3K-AKT-GLUT4 通路中与关键信号基因相关的 mRNA 和蛋白质的表达水平。此外,本研究还探讨了 DBP 单独或与 PI3K 抑制剂(BKM120)或磷酸酶和天丝蛋白同源物(PTEN)过表达慢病毒联合使用对这些信号转导成分的影响:这项研究的结果表明,与未经处理的对照细胞相比,暴露于 DBP 会显著降低 HSkMC 细胞中 INSR、IRS1、PI3K、AKT2 和 GLUT4 的 mRNA 水平。当 DBP 与 BKM120 或 PTEN 过表达慢病毒结合使用时,这种降低会加剧,这表明存在协同效应。此外,DBP 处理降低了 AKT2 的表达和磷酸化,表明胰岛素信号通路被破坏:本研究阐明了 DBP 主要通过降低 PI3K 依赖性胰岛素信号通路诱导骨骼肌细胞发生 IR 的分子机制。这些见解加深了人们对 DBP 等环境污染物引起 IR 的相关病理生理学变化的理解,有可能为未来的预防和干预策略提供指导。
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引用次数: 0
Association between DEFB1 rs11362 and Caries Susceptibility in Permanent Dentition: A Cross Sectional Study. DEFB1 rs11362 与恒牙龋齿易感性之间的关系:一项横断面研究
Pub Date : 2024-09-01 DOI: 10.24976/Discov.Med.202436188.170
Qiulin Liu, Li Liu, Shaoyong Chen, Xueting Yu, Shuang Chen, Shiqi Cheng, Xiaojuan Zeng

Background: Dental caries is a multifactorial chronic bacterial infectious disease. Variations in the predisposition of the general population to dental cavities suggest that genetic and immunological factors play significant roles in its pathogenesis. This study aims to explore the impact of the Beta-Defensin 1 (DEFB1) rs11362 polymorphism on caries susceptibility in permanent dentition among the Bai Kuyao and Zhuang ethnic groups in China.

Methods: A sample of 754 adolescents aged 12-15 was randomly selected from primary and junior high schools in Nandan County, Guangxi, China. All adolescents underwent clinical examinations, and DNA samples were collected. The genotype of DEFB1 rs11362 was determined using single nucleotide polymorphism (SNP) typing. The concentration of human β Defensin 1 (hBD-1) protein in saliva was measured using a double-antibody sandwich enzyme-linked immunosorbent assay (ELISA).

Results: The distribution of the DEFB1 rs11362 T allele was lower in the Bai Kuyao group compared to the Zhuang group. The disparity in the rs11362 genotype was statistically significant in the superficial dentin caries subgroup of the Bai Kuyao population (p = 0.017). Following adjustment for all potential confounding variables, the analysis revealed a heightened risk of superficial dental caries among CT genotype carriers in the Bai Kuyao population under a co-dominant model (odds ratios (OR) = 2.70; 95% confidence intervals (CI) [1.35-5.44]; p = 0.005), and an increased risk among CC genotype carriers in the Bai Kuyao population under a dominant model (OR = 2.35; 95% CI [1.18-4.67]; p = 0.015). A significant difference (p < 0.05) was noted in the distribution of rs11362 genotypes and salivary hBD-1 levels among the Bai Kuyao group. Salivary hBD-1 levels were notably higher in the CC genotype group (4.12 ± 2.07 ng/mL) compared to both the CT (2.77 ± 1.62 ng/mL) and TT genotype groups (2.32 ± 0.98 ng/mL).

Conclusion: The DEFB1 rs11362 polymorphism showed an association with caries susceptibility in permanent teeth and influenced hBD-1 protein expression in saliva. Consequently, the DEFB1 polymorphism likely represents a concealed risk factor for caries.

背景:龋齿是一种多因素慢性细菌感染性疾病:龋齿是一种多因素慢性细菌感染性疾病。普通人群易患龋齿的差异表明,遗传和免疫因素在其发病机制中起着重要作用。本研究旨在探讨β-防御素1(DEFB1)rs11362多态性对中国白族瑶族和壮族恒牙龋易感性的影响:从中国广西南丹县的小学和初中随机抽取 754 名 12-15 岁的青少年。所有青少年均接受了临床检查,并采集了 DNA 样本。通过单核苷酸多态性(SNP)分型确定了 DEFB1 rs11362 的基因型。采用双抗体夹心酶联免疫吸附试验(ELISA)测定唾液中人β防御素1(hBD-1)蛋白的浓度:结果:白裤瑶组中DEFB1 rs11362 T等位基因的分布低于壮族组。在白裤瑶人群的浅层牙本质龋亚组中,rs11362基因型的差异具有统计学意义(p = 0.017)。在对所有潜在混杂变量进行调整后,分析结果显示,在共显性模型下,白锹窑人群中 CT 基因型携带者患浅表龋齿的风险增加(几率比(OR)= 2.70;95% 置信区间(CI)[1.35-5.44];p = 0.005),而在显性模型下,白锹窑人群中 CC 基因型携带者患浅表龋齿的风险增加(OR = 2.35;95% CI [1.18-4.67];p = 0.015)。在白裤瑶群体中,rs11362 基因型的分布与唾液中 hBD-1 的水平有明显差异(p < 0.05)。与 CT 组(2.77 ± 1.62 ng/mL)和 TT 基因型组(2.32 ± 0.98 ng/mL)相比,CC 基因型组的唾液 hBD-1 水平明显更高(4.12 ± 2.07 ng/mL):结论:DEFB1 rs11362多态性与恒牙的龋易感性有关,并影响唾液中hBD-1蛋白的表达。因此,DEFB1多态性很可能是一种隐藏的龋病风险因素。
{"title":"Association between <i>DEFB1</i> rs11362 and Caries Susceptibility in Permanent Dentition: A Cross Sectional Study.","authors":"Qiulin Liu, Li Liu, Shaoyong Chen, Xueting Yu, Shuang Chen, Shiqi Cheng, Xiaojuan Zeng","doi":"10.24976/Discov.Med.202436188.170","DOIUrl":"https://doi.org/10.24976/Discov.Med.202436188.170","url":null,"abstract":"<p><strong>Background: </strong>Dental caries is a multifactorial chronic bacterial infectious disease. Variations in the predisposition of the general population to dental cavities suggest that genetic and immunological factors play significant roles in its pathogenesis. This study aims to explore the impact of the Beta-Defensin 1 (<i>DEFB1</i>) rs11362 polymorphism on caries susceptibility in permanent dentition among the Bai Kuyao and Zhuang ethnic groups in China.</p><p><strong>Methods: </strong>A sample of 754 adolescents aged 12-15 was randomly selected from primary and junior high schools in Nandan County, Guangxi, China. All adolescents underwent clinical examinations, and DNA samples were collected. The genotype of <i>DEFB1</i> rs11362 was determined using single nucleotide polymorphism (SNP) typing. The concentration of human β Defensin 1 (hBD-1) protein in saliva was measured using a double-antibody sandwich enzyme-linked immunosorbent assay (ELISA).</p><p><strong>Results: </strong>The distribution of the <i>DEFB1</i> rs11362 T allele was lower in the Bai Kuyao group compared to the Zhuang group. The disparity in the rs11362 genotype was statistically significant in the superficial dentin caries subgroup of the Bai Kuyao population (<i>p</i> = 0.017). Following adjustment for all potential confounding variables, the analysis revealed a heightened risk of superficial dental caries among CT genotype carriers in the Bai Kuyao population under a co-dominant model (odds ratios (OR) = 2.70; 95% confidence intervals (CI) [1.35-5.44]; <i>p</i> = 0.005), and an increased risk among CC genotype carriers in the Bai Kuyao population under a dominant model (OR = 2.35; 95% CI [1.18-4.67]; <i>p</i> = 0.015). A significant difference (<i>p</i> < 0.05) was noted in the distribution of rs11362 genotypes and salivary hBD-1 levels among the Bai Kuyao group. Salivary hBD-1 levels were notably higher in the CC genotype group (4.12 ± 2.07 ng/mL) compared to both the CT (2.77 ± 1.62 ng/mL) and TT genotype groups (2.32 ± 0.98 ng/mL).</p><p><strong>Conclusion: </strong>The <i>DEFB1</i> rs11362 polymorphism showed an association with caries susceptibility in permanent teeth and influenced hBD-1 protein expression in saliva. Consequently, the <i>DEFB1</i> polymorphism likely represents a concealed risk factor for caries.</p>","PeriodicalId":93980,"journal":{"name":"Discovery medicine","volume":"36 188","pages":"1840-1847"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334980","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
PCGF2 Acts as an Oncogenic Driver in Colon Cancer through the Upregulation of CENPE. PCGF2 通过上调 CENPE 成为结肠癌的致癌驱动因子
Pub Date : 2024-09-01 DOI: 10.24976/Discov.Med.202436188.166
Qingwei Luo, Xiaoli Chen, Jun Tang, Wei Yan, Zhihong Li

Background: Colon cancer (CC) is a highly prevalent malignancy that contributes significantly to global morbidity and mortality. The polycomb group ring finger 2 (PCGF2) has been identified as a relevant factor influencing the outcomes of CC. At the same time, the centromere-associated protein E (CENPE) is implicated in promoting carcinogenesis and adversely affecting the survival of tumor patients. The primary objective of this study was to elucidate the precise impact of PCGF2 on CC and unravel the underlying mechanisms associated with CENPE.

Methods: Human normal colon epithelial cells and CC cells were utilized to investigate the differential expression of PCGF2 and CENPE. CC cell line LOVO was exploited and transfected for PCGF2 regulation. Subsequently, cell viability and proliferation were assessed using the cell counting kit 8 (CCK-8) and colony forming assay. Cell viability and proliferation were assessed using the terminal deoxynucleotidyl transferase (TdT) dUTP nick-end labeling (TUNEL) assay, while cell migration and invasion capabilities were determined using the transwell assay, and mRNA levels of cell cycle-related genes were measured for evaluating cell cycle activation. In addition, mice were used for in vivo experiments to investigate the progression of CC cells with different levels of PCGF2. Moreover, GSK-923295 was used to inhibit CENPE, followed by the evaluation of cell progression.

Results: PCGF2 and CENPE were upregulated in CC cell lines (p < 0.001), and upregulation/downregulation of PCGF2 led to the upregulation and downregulation of CENPE (p < 0.001). The upregulation/downregulation of PCGF2 led to an increase/decrease in viability, proliferation, migration, and invasion while suppressing/enhancing apoptosis in LOVO cells (p < 0.001), promoting cell progression. The tumor progression of LOVO cells with PCGF2 knockdown was slower (p < 0.001). The PCGF2-promoting LOVO cell progression was disrupted when CENPE was inhibited, presented by the reversely decreased viability, proliferation, migration, invasion, and cell cycle activation, and increased apoptosis (p < 0.001).

Conclusion: PCGF2 promotes CC cell progression by upregulating CENPE, providing PCGF2 inhibition and CENPE inhibition as potential therapeutic targets for treating CC.

背景:结肠癌(CC)是一种发病率很高的恶性肿瘤,对全球发病率和死亡率的影响很大。多聚核糖体环指 2(PCGF2)已被确定为影响结肠癌结局的相关因素。同时,中心粒相关蛋白 E(CENPE)与促进癌变和对肿瘤患者的生存产生不利影响有关。本研究的主要目的是阐明 PCGF2 对 CC 的确切影响,并揭示与 CENPE 相关的潜在机制。方法:利用人体正常结肠上皮细胞和 CC 细胞研究 PCGF2 和 CENPE 的不同表达。随后,使用细胞计数试剂盒 8(CCK-8)和集落形成试验评估细胞活力和增殖。细胞活力和增殖采用末端脱氧核苷酸转移酶(TdT)dUTP缺口末端标记(TUNEL)检测法进行评估,细胞迁移和侵袭能力采用透孔检测法进行测定,细胞周期相关基因的 mRNA 水平测定用于评估细胞周期活化情况。此外,还利用小鼠进行体内实验,研究不同 PCGF2 水平下 CC 细胞的进展情况。此外,还使用 GSK-923295 抑制 CENPE,然后评估细胞进展:结果:PCGF2和CENPE在CC细胞系中上调(p < 0.001),PCGF2的上调/下调导致CENPE的上调和下调(p < 0.001)。PCGF2 的上调/下调导致 LOVO 细胞的活力、增殖、迁移和侵袭增加/减少,同时抑制/增强细胞凋亡(p < 0.001),促进细胞进展。敲除 PCGF2 的 LOVO 细胞肿瘤进展较慢(p < 0.001)。当 CENPE 被抑制时,PCGF2 促进 LOVO 细胞进展的作用被破坏,表现为活力、增殖、迁移、侵袭和细胞周期活化反向降低,细胞凋亡增加(p < 0.001):PCGF2通过上调CENPE促进CC细胞的进展,因此抑制PCGF2和抑制CENPE是治疗CC的潜在治疗靶点。
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引用次数: 0
Current and Emerging Immunotherapies for Systemic AL Amyloidosis. 系统性 AL 淀粉样变性的现有和新兴免疫疗法。
Pub Date : 2024-09-01 DOI: 10.24976/Discov.Med.202436188.162
Valeria Moreno, Ludovic Saba, Sara Tama-Shekan, Chakra P Chaulagain

Systemic light-chain (AL) amyloidosis is a rare and complex clonal plasma cell neoplasm characterized by the production of misfolded and unstable immunoglobulin light-chains leading to multisystem amyloid deposition, which progresses to organ dysfunction and eventual failure. The importance and urgency of AL amyloidosis depends on its potential to induce significant organ impairment, progressive course, risk of life-threatening complications, and the limited treatment options available. Treatment options and prognosis depend on the number and severity of organ involvement at the time of diagnosis with cardiac involvement carrying the worst outcomes. The treatments aim to target eliminating the underlying clonal plasma cell neoplasm and prevent the production and deposition of amyloid precursor immunoglobulin light-chain protein in the affected vital organs. Strategies for treating systemic AL amyloidosis have incorporated anti-plasma cell therapies approved in the management of multiple myeloma due to their shared cellular derivation. Quadruplet therapy of cyclophosphamide, bortezomib, dexamethasone and daratumumab (DaraCyborD) is the currently approved first-line induction therapy for systemic AL amyloidosis. Some patients need upfront autologous hematopoietic stem cell transplantation (HSCT) after high-dose melphalan conditioning particularly if DaraCyborD is not able to achieve complete hematologic response (CHR). Additionally, a promising treatment option involves disassembling amyloid deposits from the vital organs using monoclonal antibodies such as CAEL 101 or Birtamimab with the expectation of restoring damaged tissues of the vital organs affected thereby improving or reversing patients' symptoms. Both CAEL 101 and Birtamimab are currently being tested in phase 3 clinical trials for systemic AL amyloidosis patients with advanced cardiac involvement. This comprehensive review provides an up-to-date overview of AL amyloidosis therapy, with a particular focus on recent advances and future directions of immunotherapeutic strategies.

全身性轻链(AL)淀粉样变性是一种罕见而复杂的克隆性浆细胞肿瘤,其特点是产生折叠错误和不稳定的免疫球蛋白轻链,导致多系统淀粉样沉积,进而发展为器官功能障碍并最终衰竭。谷丙转氨酶淀粉样变性的重要性和紧迫性取决于其诱发严重器官损害的可能性、进展性病程、危及生命的并发症风险以及有限的治疗方案。治疗方案和预后取决于诊断时受累器官的数量和严重程度,其中心脏受累的预后最差。治疗的目的是消除潜在的克隆性浆细胞肿瘤,防止淀粉样前体免疫球蛋白轻链蛋白在受累重要器官中产生和沉积。治疗全身性 AL 淀粉样变性的策略已纳入了在多发性骨髓瘤治疗中获得批准的抗浆细胞疗法,因为它们具有相同的细胞来源。环磷酰胺、硼替佐米、地塞米松和达拉单抗(DaraCyborD)四联疗法是目前获批的全身性AL淀粉样变性的一线诱导疗法。一些患者需要在大剂量美法仑治疗后进行前期自体造血干细胞移植(HSCT),尤其是在DaraCyborD无法获得完全血液学应答(CHR)的情况下。此外,一种很有前景的治疗方案是使用 CAEL 101 或 Birtamimab 等单克隆抗体分解重要器官中的淀粉样蛋白沉积物,期望恢复受影响重要器官的受损组织,从而改善或逆转患者的症状。目前,CAEL 101 和 Birtamimab 正在进行 3 期临床试验,用于治疗晚期心脏受累的全身性 AL 淀粉样变性患者。本综述全面概述了AL淀粉样变性治疗的最新进展,尤其关注免疫治疗策略的最新进展和未来方向。
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引用次数: 0
CCT2 Regulates ZEB1-Induced EMT Gene Transcription to Promote the Metastasis and Tumorigenesis of Papillary Thyroid Carcinoma. CCT2调控ZEB1诱导的EMT基因转录,促进甲状腺乳头状癌的转移和肿瘤发生
Pub Date : 2024-09-01 DOI: 10.24976/Discov.Med.202436188.168
Weiping Liu, Renzhi Lin, Chumeng Zhu, Yuxingzi Chen, Qiangang Gao, Jijun Zhong

Background: Papillary thyroid carcinoma (PTC) is the most common malignant tumor of the thyroid, and its invasiveness and metastatic ability are closely related to patient prognosis. Chaperonin containing TCP1 subunit 2 (CCT2) is an important component of the molecular chaperone protein complex and has been shown to regulate cell proliferation and migration in various tumors. Epithelial-mesenchymal transition (EMT) is a critical process in tumor metastasis, and Zinc Finger E-Box Binding Homeobox 1 (ZEB1) is a core transcription factor that regulates EMT. This study aims to explore how CCT2 induces EMT gene transcription through ZEB1, thereby promoting the metastasis and tumorigenesis of PTC.

Methods: CCT2 in PTC tissues was analyzed using quantitative reverse transcription polymerase chain reaction (qRT-PCR) and Western blot. siRNA and overexpression vectors were used to silence and overexpress CCT2, respectively, and the effects on PTC cell migration, invasion, proliferation, and apoptosis were observed. Rescue experiments were used to investigate the effect of CCT2 on ZEB1 and EMT-related genes. Cell apoptosis was detected by Terminal deoxynucleotidyl transferase dUTP Nick End Labeling (TUNEL) assay. Silencing ZEB1 was used to verify its effect on the oncogenic activity of CCT2.

Results: CCT2 was found to be highly expressed in PTC tissues (p < 0.01). In in vitro and in vivo experiments, silencing CCT2 inhibited the migration and invasion of PTC cells and their metastasis, while overexpression of CCT2 produced the opposite effect. Additionally, CCT2 promoted PTC cell proliferation and inhibited apoptosis (p < 0.01). Mechanistic studies revealed that CCT2 upregulated ZEB1 expression (p < 0.01), thereby inducing EMT gene transcription (p < 0.01). Silencing ZEB1 reduced the oncogenic effect of CCT2.

Conclusion: This study first revealed the high expression of CCT2 in PTC and its essential role in the migration, invasion, proliferation, and anti-apoptosis of tumor cells. CCT2 promotes the metastasis and tumorigenesis of PTC by regulating ZEB1 and EMT-related genes. These findings provide new potential targets for molecular targeted therapy of PTC and explore new directions for future clinical treatment strategies.

背景:甲状腺乳头状癌(PTC)是最常见的甲状腺恶性肿瘤:甲状腺乳头状癌(PTC)是最常见的甲状腺恶性肿瘤,其侵袭性和转移能力与患者的预后密切相关。含TCP1亚基的伴侣蛋白2(CCT2)是分子伴侣蛋白复合物的重要组成部分,已被证明能调节各种肿瘤的细胞增殖和迁移。上皮-间质转化(EMT)是肿瘤转移的关键过程,而锌指E-Box结合同工酶1(ZEB1)是调控EMT的核心转录因子。本研究旨在探讨CCT2如何通过ZEB1诱导EMT基因转录,从而促进PTC的转移和肿瘤发生:使用 siRNA 和过表达载体分别沉默和过表达 CCT2,观察其对 PTC 细胞迁移、侵袭、增殖和凋亡的影响。拯救实验用于研究 CCT2 对 ZEB1 和 EMT 相关基因的影响。细胞凋亡通过末端脱氧核苷酸转移酶dUTP尼克末端标记(TUNEL)检测。通过沉默 ZEB1 来验证其对 CCT2 致癌活性的影响:结果:发现 CCT2 在 PTC 组织中高表达(p < 0.01)。在体外和体内实验中,沉默 CCT2 可抑制 PTC 细胞的迁移、侵袭和转移,而过表达 CCT2 则产生相反的效果。此外,CCT2 还能促进 PTC 细胞增殖并抑制细胞凋亡(p < 0.01)。机理研究发现,CCT2 上调 ZEB1 的表达(p < 0.01),从而诱导 EMT 基因转录(p < 0.01)。沉默 ZEB1 可降低 CCT2 的致癌效应:本研究首次揭示了 CCT2 在 PTC 中的高表达及其在肿瘤细胞迁移、侵袭、增殖和抗凋亡中的重要作用。CCT2通过调控ZEB1和EMT相关基因促进PTC的转移和肿瘤发生。这些发现为PTC的分子靶向治疗提供了新的潜在靶点,并为未来的临床治疗策略探索了新的方向。
{"title":"<i>CCT2</i> Regulates <i>ZEB1</i>-Induced EMT Gene Transcription to Promote the Metastasis and Tumorigenesis of Papillary Thyroid Carcinoma.","authors":"Weiping Liu, Renzhi Lin, Chumeng Zhu, Yuxingzi Chen, Qiangang Gao, Jijun Zhong","doi":"10.24976/Discov.Med.202436188.168","DOIUrl":"10.24976/Discov.Med.202436188.168","url":null,"abstract":"<p><strong>Background: </strong>Papillary thyroid carcinoma (PTC) is the most common malignant tumor of the thyroid, and its invasiveness and metastatic ability are closely related to patient prognosis. Chaperonin containing TCP1 subunit 2 (CCT2) is an important component of the molecular chaperone protein complex and has been shown to regulate cell proliferation and migration in various tumors. Epithelial-mesenchymal transition (EMT) is a critical process in tumor metastasis, and Zinc Finger E-Box Binding Homeobox 1 (<i>ZEB1</i>) is a core transcription factor that regulates EMT. This study aims to explore how <i>CCT2</i> induces EMT gene transcription through <i>ZEB1</i>, thereby promoting the metastasis and tumorigenesis of PTC.</p><p><strong>Methods: </strong>CCT2 in PTC tissues was analyzed using quantitative reverse transcription polymerase chain reaction (qRT-PCR) and Western blot. siRNA and overexpression vectors were used to silence and overexpress <i>CCT2</i>, respectively, and the effects on PTC cell migration, invasion, proliferation, and apoptosis were observed. Rescue experiments were used to investigate the effect of <i>CCT2</i> on <i>ZEB1</i> and EMT-related genes. Cell apoptosis was detected by Terminal deoxynucleotidyl transferase dUTP Nick End Labeling (TUNEL) assay. Silencing <i>ZEB1</i> was used to verify its effect on the oncogenic activity of <i>CCT2</i>.</p><p><strong>Results: </strong><i>CCT2</i> was found to be highly expressed in PTC tissues (<i>p</i> < 0.01). In <i>in vitro</i> and <i>in vivo</i> experiments, silencing <i>CCT2</i> inhibited the migration and invasion of PTC cells and their metastasis, while overexpression of <i>CCT2</i> produced the opposite effect. Additionally, <i>CCT2</i> promoted PTC cell proliferation and inhibited apoptosis (<i>p</i> < 0.01). Mechanistic studies revealed that <i>CCT2</i> upregulated <i>ZEB1</i> expression (<i>p</i> < 0.01), thereby inducing EMT gene transcription (<i>p</i> < 0.01). Silencing <i>ZEB1</i> reduced the oncogenic effect of <i>CCT2</i>.</p><p><strong>Conclusion: </strong>This study first revealed the high expression of <i>CCT2</i> in PTC and its essential role in the migration, invasion, proliferation, and anti-apoptosis of tumor cells. <i>CCT2</i> promotes the metastasis and tumorigenesis of PTC by regulating <i>ZEB1</i> and EMT-related genes. These findings provide new potential targets for molecular targeted therapy of PTC and explore new directions for future clinical treatment strategies.</p>","PeriodicalId":93980,"journal":{"name":"Discovery medicine","volume":"36 188","pages":"1819-1830"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334977","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}
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Discovery medicine
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