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Discovering the most impactful treatments for aluminum phosphide cardiotoxicity gleaned from systematic review of animal studies. 从动物研究的系统回顾中发现对磷化铝心脏毒性影响最大的治疗方法。
Pub Date : 2024-01-01 DOI: 10.1177/09603271241290922
Saeed Aghebat-Bekheir, Mohammad Abdollahi

Introduction: Aluminum phosphide (AlP) is a chemical compound that can cause death in some countries. AlP inhibits the functioning of cytochrome C oxidase in the mitochondria of cardiomyocytes, leading to toxicity. Oxidative stress and ROS production, as well as inflammatory signaling, mediate the mechanisms of AlP-related toxicity in the poisoned patient. Unfortunately, there are no approved medicines available to treat AlP poisoning yet. To address this issue, researchers have explored various interventions to reduce the toxicity associated with AlP tablets.

Methods: We systematically searched relevant databases for English articles published between 2013 and 2024.

Results: The evaluated treatments included correcting oxidative stress parameters, enhancing exogenous antioxidant capacity, modifying electrocardiographic abnormalities, and improving heart contraction strength. Our evaluation indicated that compounds like Triiodothyronine, Vasopressin and milrinone, Iron sucrose, Acetyl-l-carnitine, Melatonin, Fresh red blood cell transfusion, Minocycline, Moringa oleifera extract, Dihydroxyacetone, Selegiline, Nanocurcumin, Levosimendan, Exenatide, Taurine, Cannabidiol and Edaravone are effective in lessening AlP-induced cardiotoxicity.

Conclusion: Based on the present study's findings and the evaluation of clinical studies, dihydroxyacetone, fresh red blood cell infusion, Oil-based disinfection, and gastric lavage have the most potential to save patients' lives and treat acute aluminum phosphide. However, there is a need for more research in this regard.

简介磷化铝(AlP)是一种化合物,在某些国家可导致死亡。AlP 会抑制心肌细胞线粒体中细胞色素 C 氧化酶的功能,从而导致中毒。氧化应激和 ROS 生成以及炎症信号传导是中毒患者体内 AlP 相关毒性机制的介导因素。遗憾的是,目前还没有获得批准的药物可用于治疗 AlP 中毒。为了解决这一问题,研究人员探索了各种干预措施,以降低铝塑片的相关毒性:我们在相关数据库中系统检索了 2013 年至 2024 年间发表的英文文章:评估的治疗方法包括纠正氧化应激参数、提高外源性抗氧化能力、改变心电图异常以及改善心脏收缩力。我们的评估结果表明,三碘甲状腺原氨酸、血管加压素和米力农、蔗糖铁、乙酰基左旋肉碱、褪黑素、新鲜红细胞输注、米诺环素、油橄榄辣木提取物、二羟基丙酮、西格列汀、纳米古柯碱、左西孟丹、艾塞那肽、牛磺酸、大麻二酚和依达拉奉等化合物能有效减轻 AlP 引起的心脏毒性:根据本研究结果和临床研究评估,二羟基丙酮、输注新鲜红细胞、油基消毒和洗胃最有可能挽救患者生命和治疗急性磷化铝。然而,在这方面还需要更多的研究。
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引用次数: 0
Evaluation of the effectiveness of fresh frozen plasma transfusion as adjuvant treatment in acute organophosphate-poisoned patients: A randomized clinical trial. 评估新鲜冰冻血浆输注作为急性有机磷中毒患者辅助治疗的有效性:随机临床试验。
Pub Date : 2024-01-01 DOI: 10.1177/09603271241260655
Somaia Abdelhamid, Manal Abel Kareem, Soha Ashry, Sara Saeed

Organophosphorus (OP) poisoning is a significant cause of morbidity and mortality worldwide. Recent research has explored new approaches to improving treatment options, which present several challenges. This study aimed to evaluate the role of fresh frozen plasma (FFP) as an adjunctive therapy for acute OP intoxication. A prospective single-blinded randomized clinical trial was conducted on patients of both sexes admitted to the Intensive Care Unit (ICU) of the Poison Control Center at Ain Shams University Hospital (PCC-ASUH) with acute OP toxicity during the period from the beginning of August 2022 to the end of July 2023. According to the Peradeniya score, Group I consisted of 48 patients (52%) with moderate OP poisoning, and Group II consisted of 44 patients (48%) with severe OP poisoning. Patients in the moderate group were assigned to receive either standard treatment (Group Ia, n = 24) or standard treatment plus FFP (Group Ib, n = 24). In addition, patients in the severe group were assigned to receive either standard treatment (Group IIa, n = 22) or standard treatment plus FFP (Group IIb, n = 22). A total of 46 patients received FFP transfusion. The authors demonstrated that the early use of a total of nine packs of FFP (250 mL each) over three consecutive days significantly reduced the total doses of atropine and oximes, the total hospitalization period, and the requirement for mechanical ventilation in patients with OP poisoning, both in the moderate and severe groups.

有机磷(OP)中毒是全球发病和死亡的一个重要原因。最近的研究探索了改进治疗方案的新方法,但也提出了一些挑战。本研究旨在评估新鲜冰冻血浆(FFP)作为急性 OP 中毒辅助疗法的作用。在 2022 年 8 月初至 2023 年 7 月底期间,艾因夏姆斯大学医院(PCC-ASUH)毒物控制中心重症监护室(ICU)收治了急性 OP 中毒的男女患者,并进行了前瞻性单盲随机临床试验。根据佩拉德尼亚评分,I 组包括 48 名 OP 中度中毒患者(52%),II 组包括 44 名 OP 重度中毒患者(48%)。中度组患者被分配接受标准治疗(Ia 组,n = 24)或标准治疗加 FFP(Ib 组,n = 24)。此外,重度组患者被分配接受标准治疗(IIa 组,n = 22)或标准治疗加 FFP(IIb 组,n = 22)。共有 46 名患者接受了 FFP 输血。作者的研究表明,在中度组和重度组中,连续三天尽早使用总共九包 FFP(每包 250 毫升)可显著减少阿托品和肟的总剂量、总住院时间以及 OP 中毒患者对机械通气的需求。
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引用次数: 0
Hepatic P53 upregulation and the genotoxic potential of acesulfame-K treatment in rats with a special emphasis on in vitro lymphocyte and macrophage activity testing. 大鼠肝脏 P53 上调和安赛蜜-K 处理的遗传毒性潜力,特别强调体外淋巴细胞和巨噬细胞活性测试。
Pub Date : 2024-01-01 DOI: 10.1177/09603271241236900
Faten F Mohammed, Eman G Abdelrazik, Abeer Anwar, Sherein S Abdelgayed

Acesulfame-k (Ace-k) is a widely used artificial sweetener in various products, and long-term cumulative and multisource exposure is possible despite inadequate toxicological data confirming its safety. Ninety male rats were divided into two main groups according to their body weight into immature and mature rats. Each group was subdivided into 3 subgroups: control untreated, 30 and 90 mg/kg b. w of Ace-k via gastric intubation. The treatment was performed daily 5 days per week for 12 weeks. At the end of the experimental period, blood samples were collected for in vitro testing of lymphocyte proliferation rate, comet assay, and macrophage activity about nitric oxide (NO) production. In addition, the collection of liver specimens was performed for P53 gene expression and histopathological evaluation. The results revealed that Ace-k induced modulation in lymphocyte proliferation rate and affected the production of NO by macrophages while increasing in tail moment in a dose-dependent manner that varied among different age groups. The upregulation of P53 in the liver was correlated with increased polyploidization and necro apoptotic reaction and various histopathological hepatic alterations. The present data revealed that chronic treatment of rats with Ace-k affects lymphocyte proliferation and macrophage activity in a dose-dependent manner. In addition, the genotoxic and hepatotoxic potential of Ace-k were confirmed.

安赛蜜-k(Ace-k)是一种广泛应用于各种产品的人工甜味剂,尽管没有足够的毒理学数据证实其安全性,但长期累积和多来源的接触是可能的。90 只雄性大鼠按体重分为未成熟大鼠和成熟大鼠两大组。每组又分为 3 个子组:未经处理的对照组、经胃插管注射 30 和 90 毫克/千克体重的 Ace-k。治疗每天进行,每周 5 天,持续 12 周。实验结束后,收集血液样本,用于体外检测淋巴细胞增殖率、彗星试验和一氧化氮(NO)产生的巨噬细胞活性。此外,还采集了肝脏标本进行 P53 基因表达和组织病理学评估。结果表明,Ace-k诱导淋巴细胞增殖率的改变,并影响巨噬细胞产生一氧化氮,同时尾矩的增加呈剂量依赖性,且在不同年龄组间存在差异。肝脏中 P53 的上调与多倍体化和坏死凋亡反应的增加以及各种肝脏组织病理学改变有关。本研究数据显示,用 Ace-k 对大鼠进行慢性处理会影响淋巴细胞的增殖和巨噬细胞的活性,且呈剂量依赖性。此外,还证实了 Ace-k 的遗传毒性和肝毒性潜力。
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引用次数: 0
Risk factors for glioblastoma are shared by other brain tumor types. 胶质母细胞瘤的风险因素与其他脑肿瘤类型相同。
Pub Date : 2024-01-01 DOI: 10.1177/09603271241241796
Carr J Smith, Thomas A Perfetti, Chirayu Chokshi, Chitra Venugopal, J Wesson Ashford, Sheila K Singh

The reported risk factors for glioblastoma (GBM), i.e., ionizing radiation, Li-Fraumeni syndrome, Neurofibromatosis I, and Turcot syndrome, also increase the risk of other brain tumor types. Risk factors for human GBM are associated with different oncogenic mutation profiles. Pedigreed domestic dogs with a shorter nose and flatter face (brachycephalic dogs) display relatively high rates of glioma formation. The genetic profiles of canine gliomas are also idiosyncratic. The association of putatively different mutational patterns in humans and canines with GBM suggests that different oncogenic pathways can result in GBM formation. Strong epidemiological evidence for an association between exposure to chemical carcinogens and an increased risk for development of GBM is currently lacking. Ionizing radiation induces point mutations, frameshift mutations, double-strand breaks, and chromosomal insertions or deletions. Mutational profiles associated with chemical exposures overlap with the broad mutational patterns seen with ionizing radiation. Weak statistical associations between chemical exposures and GBM reported in epidemiology studies are biologically plausible. Molecular approaches comparing reproducible patterns seen in spontaneous GBM with analogous patterns found in GBMs resected from patients with known significant exposures to potentially carcinogenic chemicals can address difficulties presented by traditional exposure assessment.

已报道的胶质母细胞瘤(GBM)风险因素,即电离辐射、Li-Fraumeni 综合征、神经纤维瘤病 I 和 Turcot 综合征,也会增加其他类型脑肿瘤的风险。人类 GBM 的风险因素与不同的致癌突变特征有关。鼻子较短、面部较平的纯种家犬(肱骨犬)的胶质瘤形成率相对较高。犬类胶质瘤的遗传特征也具有特异性。人类和犬类胶质瘤的基因突变模式可能不同,这表明不同的致癌途径可能导致胶质瘤的形成。目前尚缺乏流行病学证据证明接触化学致癌物质与 GBM 发病风险增加之间存在关联。电离辐射会诱发点突变、框架转换突变、双链断裂以及染色体插入或缺失。与化学物质暴露相关的突变特征与电离辐射的广泛突变模式重叠。流行病学研究中报告的化学物质暴露与 GBM 之间的微弱统计学关联在生物学上是可信的。将自发性 GBM 的可重现模式与从已知大量接触潜在致癌化学品的患者身上切除的 GBM 中发现的类似模式进行比较的分子方法,可以解决传统接触评估所带来的困难。
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引用次数: 0
Milestone for hormesis and human and experimental toxicology. 激素学与人类和实验毒理学的里程碑。
Pub Date : 2024-01-01 DOI: 10.1177/09603271241236274
A Wallace Hayes, Kai Savolainen
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引用次数: 0
Carvedilol alleviates the detrimental effects of azathioprine on hepatic tissues in experimental rats: Focusing on redox system, inflammatory and apoptosis pathways. 卡维地洛减轻硫唑嘌呤对实验大鼠肝组织的有害影响关注氧化还原系统、炎症和细胞凋亡途径
Pub Date : 2024-01-01 DOI: 10.1177/09603271241269003
Abdel-Gawad S Shalkami, Ehab A M El-Shoura, Mohammed I A Hassan

Purpose: Drug-induced liver injury is becoming an increasingly important topic in drug research and clinical practice. Due to a lack of experimental animal models, predicting drug-induced liver injury in humans is challenging. Azathioprine (AZA) is a classical immunosuppressant with hepatotoxic adverse effects. The present study aimed to address the hepatoprotective effect of carvedilol (CAR) against AZA-induced hepatocellular injury via assessing redox-sensitive signals.

Method: To achieve this purpose, rats were allocated into four groups: control, CAR only, AZA only, and CAR plus AZA groups. The induction of hepatic injury was induced by a single intraperitoneal injection of AZA at a dose of 50 mg/kg on the 6th day of the experiment. Each experimental protocol was approved and supervised by the Ethics Committee for Animal Experiments.

Results: The results of the present study revealed that CAR administration significantly diminished AZA-induced hepatic dysfunction, as evidenced by relief of hepatic function biomarkers and histopathological aberration induced by AZA injection. Besides, CAR restored oxidant/antioxidant balance as well as NRF2 expression. In addition, CAR suppressed inflammatory response induced by AZA challenge as evidenced by downregulation of TLR4, TNF-α, MPO, and eNOS/iNOS levels in hepatic tissue. Moreover, CAR recovered apoptotic/anti-apoptotic status by modulation of caspase-3/Bcl2 expression.

Conclusion: Taken together, CAR protects against AZA-induced hepatic injury via antioxidant, anti-inflammatory, and anti-apoptotic activities. These findings revealed that CAR could be a good candidate for hepatic injury protection and can be added to AZA therapeutic regimen to reduce their adverse effect.

目的:药物引起的肝损伤正成为药物研究和临床实践中一个日益重要的课题。由于缺乏实验动物模型,预测药物诱导的人体肝损伤具有挑战性。硫唑嘌呤(AZA)是一种经典的免疫抑制剂,具有肝毒性不良反应。本研究旨在通过评估氧化还原敏感信号,探讨卡维地洛(CAR)对 AZA 诱导的肝细胞损伤的保肝作用:为此,将大鼠分为四组:对照组、仅 CAR 组、仅 AZA 组和 CAR 加 AZA 组。在实验的第 6 天,大鼠腹腔注射一次剂量为 50 毫克/千克的 AZA,诱导肝损伤。每个实验方案都经过了动物实验伦理委员会的批准和监督:本研究结果显示,CAR能显著减轻AZA诱导的肝功能障碍,这体现在AZA注射诱导的肝功能生物标志物和组织病理学畸变得到缓解。此外,CAR还能恢复氧化剂/抗氧化剂平衡以及NRF2的表达。此外,CAR 还抑制了 AZA 挑战引起的炎症反应,肝组织中 TLR4、TNF-α、MPO 和 eNOS/iNOS 水平的下调就是证明。此外,CAR 还通过调节 caspase-3/Bcl2 的表达来恢复凋亡/抗凋亡状态:综上所述,CAR 可通过抗氧化、抗炎和抗凋亡活性保护 AZA 诱导的肝损伤。这些研究结果表明,CAR 是保护肝损伤的良好候选药物,可添加到 AZA 治疗方案中以减少其不良反应。
{"title":"Carvedilol alleviates the detrimental effects of azathioprine on hepatic tissues in experimental rats: Focusing on redox system, inflammatory and apoptosis pathways.","authors":"Abdel-Gawad S Shalkami, Ehab A M El-Shoura, Mohammed I A Hassan","doi":"10.1177/09603271241269003","DOIUrl":"https://doi.org/10.1177/09603271241269003","url":null,"abstract":"<p><strong>Purpose: </strong>Drug-induced liver injury is becoming an increasingly important topic in drug research and clinical practice. Due to a lack of experimental animal models, predicting drug-induced liver injury in humans is challenging. Azathioprine (AZA) is a classical immunosuppressant with hepatotoxic adverse effects. The present study aimed to address the hepatoprotective effect of carvedilol (CAR) against AZA-induced hepatocellular injury via assessing redox-sensitive signals.</p><p><strong>Method: </strong>To achieve this purpose, rats were allocated into four groups: control, CAR only, AZA only, and CAR plus AZA groups. The induction of hepatic injury was induced by a single intraperitoneal injection of AZA at a dose of 50 mg/kg on the 6th day of the experiment. Each experimental protocol was approved and supervised by the Ethics Committee for Animal Experiments.</p><p><strong>Results: </strong>The results of the present study revealed that CAR administration significantly diminished AZA-induced hepatic dysfunction, as evidenced by relief of hepatic function biomarkers and histopathological aberration induced by AZA injection. Besides, CAR restored oxidant/antioxidant balance as well as NRF2 expression. In addition, CAR suppressed inflammatory response induced by AZA challenge as evidenced by downregulation of TLR4, TNF-α, MPO, and eNOS/iNOS levels in hepatic tissue. Moreover, CAR recovered apoptotic/anti-apoptotic status by modulation of caspase-3/Bcl2 expression.</p><p><strong>Conclusion: </strong>Taken together, CAR protects against AZA-induced hepatic injury via antioxidant, anti-inflammatory, and anti-apoptotic activities. These findings revealed that CAR could be a good candidate for hepatic injury protection and can be added to AZA therapeutic regimen to reduce their adverse effect.</p>","PeriodicalId":94029,"journal":{"name":"Human & experimental toxicology","volume":"43 ","pages":"9603271241269003"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857416","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
Mechanism of action of curcumin targeting TRPM2/NLRP3 signaling axis to mediate cell death in the treatment of knee osteoarthritis. 姜黄素靶向 TRPM2/NLRP3 信号轴介导细胞死亡治疗膝骨关节炎的作用机制
Pub Date : 2024-01-01 DOI: 10.1177/09603271241308798
Kai Zhu, Jianping Bi, Qingkun Zhang, Yifan Yang, Jie Li, Yanchen Liang

Objects: This study intends to explore the possible mechanisms of curcumin's action after knee osteoarthritis.

Methods: Chondrocytes alone were used to mimic the cellular inflammatory response with interleukin IL-1β. Overexpressing TRPM2 chondrocytes were constructed using cell transfection technique for mechanism verification. The proliferation of chondrocytes was assessed by CCK8 assay, cellular ROS level was detected by flow cytometry, cellular inflammatory factor content was detected by ELISA kit, and molecules of cellular pyroptosis-related signaling pathway were detected by western blot and immunofluorescence. In vivo experiments, a rat knee osteoarthritis model was constructed. Cartilage integrity was assessed by histological analysis, cellular inflammatory factor content was detected by ELISA kit, and cellular pyroptosis-related signaling pathway molecules were detected by western blot and immunohistochemistry.

Results: Curcumin targeting the TRPM2/NLRP3 signaling axis significantly inhibited IL-1β induced decrease in cell viability, increase in ROS level, secretion of inflammatory factors such as TNF-α, IL-6, IL-10, etc., as well as decreased the expression of cellular scaffolding-related proteins, such as GSDMD, NLRP3 and pro-caspase-1, etc. (p < .05). Meanwhile, curcumin targeting the TRPM2/NLRP3 signaling axis also significantly improved the pathological state of cartilage tissue, maintained cartilage integrity, and reduced the secretion of inflammatory factors, and treated osteoarthritis of the knee in rats by mediating cellular pyroptosis.

Conclusions: Curcumin can effectively improve the inflammatory response of chondrocytes through the TRPM2/NLRP3 signaling axis in the treatment of osteoarthritis of the knee in rats.

研究目的本研究旨在探讨姜黄素对膝关节骨关节炎的可能作用机制:方法:用白细胞介素 IL-1β 模拟软骨细胞的细胞炎症反应。利用细胞转染技术构建过表达 TRPM2 的软骨细胞,以验证其机制。CCK8检测法评估软骨细胞的增殖情况,流式细胞术检测细胞ROS水平,ELISA试剂盒检测细胞炎症因子含量,Western印迹和免疫荧光检测细胞炎症相关信号通路分子。在体内实验中,构建了大鼠膝关节骨关节炎模型。通过组织学分析评估软骨的完整性,用ELISA试剂盒检测细胞炎症因子的含量,用Western印迹和免疫组化方法检测细胞色素沉着相关信号通路分子:结果:姜黄素靶向TRPM2/NLRP3信号轴显著抑制了IL-1β诱导的细胞活力下降、ROS水平升高、TNF-α、IL-6、IL-10等炎症因子的分泌,并降低了GSDMD、NLRP3和pro-caspase-1等细胞支架相关蛋白的表达(p < .05)。同时,姜黄素靶向TRPM2/NLRP3信号轴也能显著改善软骨组织的病理状态,维持软骨的完整性,减少炎症因子的分泌,并通过介导细胞热解作用治疗大鼠膝骨关节炎:姜黄素能通过TRPM2/NLRP3信号轴有效改善软骨细胞的炎症反应,从而治疗大鼠膝骨关节炎。
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引用次数: 0
Retrospective analysis of carcinogenicity assessments within FDA-notified GRAS determinations. 对美国食品及药物管理局通报的 GRAS 决定中的致癌性评估进行回顾性分析。
Pub Date : 2024-01-01 DOI: 10.1177/09603271241254338
Khatera Rahmani, Yen-Ching Wu, Neil R Buck, Alexandria Lau, Paul R Hanlon

Frameworks have been developed to standardize the assessment of carcinogenic potential in the pharmaceutical and agrochemical industries, building upon decades of research. Carcinogenicity is also evaluated during the safety evaluation of food substances, using a comprehensive approach unique to each substance. To better understand these approaches, a retrospective assessment was conducted on the publicly available database of substances notified to the United States Food and Drug Administration (US FDA) as being Generally Recognized As Safe (GRAS). The data contained within these GRAS notifications (GRNs) were reviewed for the methods used to evaluate carcinogenic potential (genotoxicity studies, 2-year bioassays, other pre-clinical animal studies) to identify patterns that could provide an understanding of how this assessment has been conducted for different categories of food substances. While different approaches to the safety evaluation were required to adapt to the unique food substances, the data in all notifications supported the conclusion of safety. The evaluation of food substances for carcinogenic potential must consider all available data, including identifying the need for when more data must be generated to support an evaluation. Due to the complexity of substances used in food, ranging from defined chemical entities to minimally processed agricultural commodities to live microorganisms, the approach to conducting the safety evaluation of food substances must be able to adapt to the most relevant scientifically supported approach. This paper illustrates the data commonly used to support the safety of different types of food substances and proposes an approach familiar to other product sectors.

在数十年研究的基础上,为规范制药和农用化学品行业的致癌可能性评估,制定了相关框架。在对食品物质进行安全评估时,也会使用针对每种物质的独特综合方法来评估致癌性。为了更好地了解这些方法,我们对美国食品和药物管理局(US FDA)公开的公认安全物质(GRAS)数据库进行了回顾性评估。对这些 "公认安全 "通知(GRNs)中包含的数据进行了审查,以了解用于评估致癌可能性的方法(遗传毒性研究、2 年生物测定、其他临床前动物研究),从而找出可帮助了解不同类别食品物质如何进行评估的模式。虽然需要采用不同的安全评估方法来适应独特的食品物质,但所有通知中的数据都支持安全结论。对食品物质致癌性的评估必须考虑所有可用数据,包括确定何时需要生成更多数据以支持评估。由于食品中所用物质的复杂性,从确定的化学实体到微加工农产品再到活微生物,对食品物质进行安全性评估的方法必须能够适应最相关的、有科学依据的方法。本文阐述了支持不同类型食品物质安全性的常用数据,并提出了其他产品部门所熟悉的方法。
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引用次数: 0
Histone demethylase PHF8 protected against chondrocyte injury and alleviated posttraumatic osteoarthritis by epigenetically enhancing WWP2 expression. 组蛋白去甲基化酶PHF8通过表观遗传增强WWP2的表达,保护软骨细胞免受损伤并缓解创伤后骨关节炎。
Pub Date : 2024-01-01 DOI: 10.1177/09603271241292165
Xin Tang, Jingsheng He, Ye Hao

Aberrant mechanical forces were considered as an important factor for osteoarthritis (OA) pathogenesis. Plant homeodomain finger-containing protein 8 (PHF8) participated in osteogenic differentiation and inflammatory progression. However, the role of PHF8 in aberrant force-related OA remains to be elucidated. In this study, a fluid shear stress (FSS) model in ATDC5 cells and an anterior cruciate ligament transection (ACLT) animal model were constructed. The results revealed the decrease of PHF8 in aberrant force-induced cartilage damage in vitro and in vivo. PHF8 overexpression alleviated the aberrant force-induced cell apoptosis, extracellular matrix degradation, and inflammation. Chromatin immunoprecipitation (ChIP) assays demonstrated that PHF8 epigenetically regulated WWP2 expression through demethylating H3K9me2 at WWP2 promoter, which was influenced by FSS treatment. C-X-C chemokine receptor type 4 (CXCR4) was identified as a potential substrate of WWP2. Co-immunoprecipitation (Co-IP) and ubiquitination experiments further demonstrated WWP2 decreased the stability of CXCR4 via the ubiquitination pathway. Subsequently, rescue experiments validated reintroduction of WWP2 significantly attenuated the effects of PHF8 deletion on FSS-induced chondrocyte injury, and CXCR4 overexpression reversed the protective effects of WWP2 overexpression on chondrocyte injury in FSS-treated ATDC5 cells. Moreover, delivery of a PHF8 adeno-associated virus (AAV) into articular cartilage remarkably ameliorated the breakdown of cartilage matrix by ACLT in mice. In conclusion, our findings highlighted the importance of PHF8/WWP2/CXCR4 signaling pathway in aberrant force-induced cartilage injury, which might provide a novel insight on future epigenetic-based treatment of posttraumatic OA.

异常的机械力被认为是骨关节炎(OA)发病的一个重要因素。含植物同域指蛋白8(PHF8)参与了成骨分化和炎症进展。然而,PHF8在异常力相关的OA中的作用仍有待阐明。本研究构建了 ATDC5 细胞流体剪切应力(FSS)模型和前交叉韧带横断(ACLT)动物模型。结果显示,PHF8 在体外和体内异常力诱导的软骨损伤中的作用均有所下降。过表达PHF8可减轻异常力诱导的细胞凋亡、细胞外基质降解和炎症。染色质免疫沉淀(ChIP)分析表明,PHF8通过去甲基化WWP2启动子上的H3K9me2对WWP2的表达进行表观遗传调控,而这一调控受到FSS处理的影响。C-X-C趋化因子受体4型(CXCR4)被确定为WWP2的潜在底物。共免疫沉淀(Co-IP)和泛素化实验进一步证明,WWP2 通过泛素化途径降低了 CXCR4 的稳定性。随后的拯救实验验证了重新引入 WWP2 能显著减轻 PHF8 缺失对 FSS 诱导的软骨细胞损伤的影响,而 CXCR4 的过表达能逆转 WWP2 过表达对 FSS 处理的 ATDC5 细胞软骨细胞损伤的保护作用。此外,将 PHF8 腺相关病毒(AAV)注入小鼠关节软骨可显著改善 ACLT 对软骨基质的破坏。总之,我们的研究结果突显了 PHF8/WWP2/CXCR4 信号通路在反常力量诱导的软骨损伤中的重要性,这可能为未来基于表观遗传学治疗创伤后 OA 提供了新的视角。
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引用次数: 0
Network pharmacology and experimental verification: Unraveling Zhiwei Fuwei Pills's role and mechanism in angiogenesis of precancerous lesions of gastric cancer. 网络药理学与实验验证:揭示知味扶正丸在胃癌癌前病变血管生成中的作用和机制
Pub Date : 2024-01-01 DOI: 10.1177/09603271241281159
Pengcheng Dou, Ruiping Song, Zhuangzhuang Feng, Bing Jiang, Xinyi Chen, Yuanbin Luo, Jiaojiao Zuo, Yi Gao, Jin Shu

Objective: Precancerous lesions of gastric cancer (PLGC) are key pathological stages in the transformation of gastric "inflammation-cancer", and timely and effective intervention at this stage is of great importance in the prevention and treatment of gastric cancer. Zhiwei Fuwei Pills (ZWFW), as a traditional Chinese medicine formulation, has been proven to have good clinical efficacy in the treatment of PLGC, but its specific mechanism of action has not been fully explained. Thus, this study validated the efficacy and explored the potential mechanisms of ZWFW in treating PLGC by integrating network pharmacology analyses and experimental verification.

Methods: The TCMSP database was used to obtain the active ingredients of ZWFW and their corresponding targets, and the GeneCards database was used to retrieve PLGC-related targets. The intersecting targets between ZWFW and PLGC were obtained through mapping, and protein-protein interaction (PPI) networks and "drug-active ingredient-target" networks were constructed by using Cytoscape software. The DAVID database was used for GO functional enrichment analysis and KEGG pathway enrichment analysis. AutoDockTools software was used for molecular docking of key active ingredients and key targets. In order to verify the analysis results of network pharmacology, TEM and H&E were used to observe the effects of different dosage groups of ZWFW on gastric mucosal microvasculature in PLGC rats. Subsequently, the ELISA, IF, IHC, RT-PCR and western blot were used to detected the expression levels of relevant targets in the tissues, so as to verify the potential mechanism of ZWFW in intervening PLGC.

Results: After the screening, 258 effective active ingredients and 325 targets were obtained, and 1294 disease-related targets were determined, resulting in 139 intersection targets through mapping. The KEGG enrichment results showed that PI3K/Akt and HIF-1 signaling pathway might play important roles in the treatment mechanism of PLGC. The molecular docking results showed that active ingredients of ZWFW all had a strong affinity and stable structure with key targets, including AKT1 and VEGF. In vivo experiments confirmed that ZWFW could improve gastric mucosal microvascular abnormalities in PLGC, effectively intervene in gastric mucosal pathological grading. Meanwhile, compared with the model group, this formulation could reduce the expression levels of PI3K, Akt, mTOR, HIF-1α, and VEGF in gastric mucosa, showing a dose-effect relationship.

Conclusion: ZWFW can intervene in the neovascularization and pathological evolution of PLGC, and this mechanism of action may be achieved by inhibiting abnormal activation of the PI3K/Akt/mTOR/HIF-1α/VEGF signaling pathway.

目的:胃癌癌前病变(PLGC)是胃 "炎-癌 "转化的关键病理阶段,在此阶段进行及时有效的干预对胃癌的防治具有重要意义。知味扶正丸作为一种传统的中药剂型,已被证实在治疗PLGC方面具有良好的临床疗效,但其具体的作用机制尚未完全阐明。因此,本研究通过网络药理学分析和实验验证,验证了紫花地丁在治疗PLGC方面的疗效,并探索了其潜在的作用机制:方法:利用TCMSP数据库获取ZWFW的有效成分及其相应靶点,利用GeneCards数据库检索PLGC相关靶点。绘制ZWFW和PLGC的交叉靶标图谱,利用Cytoscape软件构建蛋白质相互作用网络(PPI)和 "药物活性成分-靶标 "网络。利用 DAVID 数据库进行 GO 功能富集分析和 KEGG 通路富集分析。使用 AutoDockTools 软件对关键活性成分和关键靶点进行分子对接。为了验证网络药理学的分析结果,采用TEM和H&E观察不同剂量组ZWFW对PLGC大鼠胃黏膜微血管的影响。随后,采用ELISA、IF、IHC、RT-PCR和Western blot等方法检测相关靶点在组织中的表达水平,从而验证ZWFW干预PLGC的潜在机制:结果:经过筛选,获得了258种有效活性成分和325个靶点,确定了1294个疾病相关靶点,并通过图谱绘制获得了139个交叉靶点。KEGG富集结果显示,PI3K/Akt和HIF-1信号通路可能在PLGC的治疗机制中发挥重要作用。分子对接结果表明,ZWFW的有效成分均与AKT1和VEGF等关键靶点具有较强的亲和力和稳定的结构。体内实验证实,ZWFW能改善PLGC的胃黏膜微血管异常,有效干预胃黏膜病理分级。同时,与模型组相比,该制剂可降低胃黏膜中PI3K、Akt、mTOR、HIF-1α和VEGF的表达水平,呈现剂量效应关系:ZWFW可干预PLGC的新生血管形成和病理演变,其作用机制可能是通过抑制PI3K/Akt/mTOR/HIF-1α/VEGF信号通路的异常激活实现的。
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Human & experimental toxicology
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