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BICDL1 Mediates Pyroptosis to Promote Breast Cancer Cell Proliferation, Inhibition, and Migration. BICDL1介导乳腺癌细胞凋亡促进乳腺癌细胞增殖、抑制和迁移。
IF 2.6 Pub Date : 2025-11-01 Epub Date: 2025-09-15 DOI: 10.1177/15491684251375414
Xu Chu, Ling Xiang, Yan Zou, Xiang Li, Na Zhang, Hao Zhao

Elevated levels of Bicaudal-D Family Like Cargo Adaptor 1 (BICDL1) are associated with poor prognosis in various cancers. However, the role of BICDL1 in breast cancer (BC) has not been reported. We analyzed BICDL1 expression in BC using bioinformatics and molecular experiments. Gene Set Enrichment Analysis was conducted to identify significantly enriched signaling pathways related to BICDL1. The effects of BICDL1 on BC cell proliferation, migration, invasion, and expression of epithelial-mesenchymal transition (EMT)-related proteins were assessed using colony formation assays, Transwell assays, and Western blot. The influence of BICDL1 on pyroptosis in BC cells was determined by measuring the expression of key pyroptosis proteins (NLRP3, GSDMD-N, procaspase-1, cleaved caspase-1, ASC), lactate dehydrogenase release, and cytokines (IL-1β and IL-18). We also investigated whether BICDL1 promotes BC proliferation and metastasis by regulating pyroptosis using Nigericin, an agent that induces NLRP3 inflammasome activation. The results showed that BICDL1 was significantly overexpressed in BC tissues and cells. Knockdown of BICDL1 inhibited BC cell proliferation, migration, invasion, and the EMT process, while overexpression of BICDL1 had the opposite effects. BICDL1 was enriched in the pyroptosis pathway; overexpression of BICDL1 suppressed pyroptosis, thus promoting BC cell proliferation, inhibition, and migration. Notably, the addition of Nigericin reversed the effects of BICDL1 overexpression on BC cells. These results suggested that BICDL1 promoted BC cell proliferation, inhibition, and migration by hindering pyroptosis. These findings indicate that BICDL1 is a potential biomarker for BC treatment.

BICDL1在多种癌症中与预后不良相关。然而,BICDL1在乳腺癌(BC)中的作用尚未报道。我们利用生物信息学和分子实验分析了BICDL1在BC中的表达。进行基因集富集分析以鉴定显著富集的BICDL1相关信号通路。利用集落形成试验、Transwell试验和Western blot评估BICDL1对BC细胞增殖、迁移、侵袭和上皮间质转化(EMT)相关蛋白表达的影响。通过检测关键焦亡蛋白(NLRP3、GSDMD-N、procaspase-1、cleaved caspase-1、ASC)、乳酸脱氢酶释放和细胞因子(IL-1β和IL-18)的表达,确定BICDL1对BC细胞焦亡的影响。我们还研究了BICDL1是否通过使用尼日利亚菌素(一种诱导NLRP3炎性体激活的药物)调节焦亡来促进BC的增殖和转移。结果显示,BICDL1在BC组织和细胞中显著过表达。BICDL1的低表达抑制了BC细胞的增殖、迁移、侵袭和EMT过程,而BICDL1的过表达则具有相反的作用。BICDL1在焦亡途径中富集;BICDL1的过表达抑制了焦亡,从而促进了BC细胞的增殖、抑制和迁移。值得注意的是,添加尼日利亚菌素逆转了BICDL1过表达对BC细胞的影响。这些结果表明BICDL1通过阻碍焦亡促进BC细胞增殖、抑制和迁移。这些发现表明BICDL1是治疗BC的潜在生物标志物。
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引用次数: 0
Correlation Between Polypharmacy and Gut Microbiota Compositional Changes in Older People Who Were Treated with Multidrug Therapy. 多药治疗与老年人肠道菌群组成变化的相关性
IF 2.6 Pub Date : 2025-11-01 Epub Date: 2025-08-12 DOI: 10.1177/15491684251365971
Lina Yu, Minghui Bi, Lianhong Xie

This study investigates the correlation between polypharmacy and gut microbiota compositional changes in older people who were treated with multidrug therapy, aiming to provide insights into the complex interplay between medication use, gut microbiota, and aging. High-throughput sequencing of the 16S rRNA gene was employed to analyze microbial diversity in older patients with multiple chronic diseases and polypharmacy, and the results were compared with a control group of older people without multiple chronic diseases and not undergoing polypharmacy. The study revealed distinct differences in gut microbiota composition between the two groups, with lower alpha-diversity observed in multidrug therapy group. Furthermore, the analysis identified several significant differences in microbiome composition at the genus and family levels between the multidrug therapy and the control group. The findings underscore the importance of understanding the impact of polypharmacy on the gut microbiota and its relationship to overall health in older people. Additionally, the study provides insights into the potential effects of specific medications, such as antihypertensive drugs, proton pump inhibitors, and antibiotics, on the gut microbiota, highlighting the need for continued research in this critical area to optimize therapeutic strategies for the older population.

本研究探讨了接受多种药物治疗的老年人服用多种药物与肠道微生物群组成变化之间的相关性,旨在为药物使用、肠道微生物群和衰老之间的复杂相互作用提供见解。采用16S rRNA基因高通量测序分析老年多重慢性疾病和多重用药患者的微生物多样性,并将结果与无多重慢性疾病和未进行多重用药的老年人对照组进行比较。该研究揭示了两组之间肠道微生物群组成的明显差异,多药治疗组观察到较低的α多样性。此外,该分析还发现,在多药治疗组和对照组之间,在属和科水平上的微生物组组成存在一些显著差异。研究结果强调了了解多种药物对肠道微生物群的影响及其与老年人整体健康的关系的重要性。此外,该研究还提供了特定药物(如降压药、质子泵抑制剂和抗生素)对肠道微生物群的潜在影响的见解,强调了在这一关键领域继续研究以优化老年人群治疗策略的必要性。
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引用次数: 0
Molecular Mechanisms of Dietary Bioactive Peptides in Treating Alzheimer's Disease and Mild Cognitive Impairment by Network Pharmacology and Molecular Docking Analysis. 基于网络药理学和分子对接分析的膳食生物活性肽治疗阿尔茨海默病和轻度认知障碍的分子机制
IF 2.6 Pub Date : 2025-10-01 Epub Date: 2025-03-13 DOI: 10.1089/rej.2024.0092
Ruirui Li, Jing Zi, Yifan Hu, Xinlong Li, Qianqian Cao, Yanliu Li, Xiaoyu Wang, Jingyuan Xiong, Guo Cheng

Emerging evidence suggests that bioactive peptides from various foods have therapeutic potentials in improving cognitive function in Alzheimer's disease (AD) and mild cognitive impairment (MCI). We aimed to explore the characteristics of these peptides and their mechanisms on AD/MCI using a network pharmacology approach. We compiled a dataset of cognition-enhancing peptides from literatures and identified shared targets between these peptides and AD/MCI using Swiss Target Predication, PharmMapper, OMIM, GeneCards, TTD, and Drugbank databases. We then performed functional enrichment analysis and constructed a gene-gene interaction network to identify key hub targets. Additionally, we investigated the transcription factors (TFs) and microRNAs (miRNAs) regulating these hub genes. Molecular docking and dynamic simulations were performed using AutoDock Vina and GROMACS. We identified 59 cognition-enhancing oligopeptides, typically short and rich in arginine. These peptides were predicted to interact with 222 potential targets relevant to AD/MCI, with functional pathways mainly involving neuroactive ligand-receptor interactions and inflammation. We identified 15 hub targets, regulated by 144 TFs and 95 miRNAs. Notably, peptides containing the "Trp-Tyr" sequence demonstrated strong binding affinities to many hub targets, especially matrix metalloproteinase-9. The findings provided valuable insights into the molecular mechanisms through which bioactive peptides may act against AD/MCI and highlight the potential of network pharmacology for future exploration of bioactive peptides from natural foods.

越来越多的证据表明,来自各种食物的生物活性肽在改善阿尔茨海默病(AD)和轻度认知障碍(MCI)的认知功能方面具有治疗潜力。我们旨在利用网络药理学方法探索这些肽的特征及其对AD/MCI的作用机制。我们从文献中编译了一个认知增强肽的数据集,并使用Swiss Target prediction、PharmMapper、OMIM、GeneCards、TTD和Drugbank数据库确定了这些肽与AD/MCI之间的共享靶点。然后,我们进行了功能富集分析,并构建了基因-基因相互作用网络,以确定关键枢纽靶点。此外,我们还研究了调控这些中枢基因的转录因子(TFs)和microrna (miRNAs)。使用AutoDock Vina和GROMACS进行分子对接和动态模拟。我们确定了59种增强认知的寡肽,通常短而富含精氨酸。这些肽被预测与222个与AD/MCI相关的潜在靶点相互作用,其功能途径主要涉及神经活性配体-受体相互作用和炎症。我们确定了15个枢纽靶点,由144个tf和95个mirna调节。值得注意的是,含有“Trp-Tyr”序列的肽显示出与许多枢纽靶点的强结合亲和力,特别是基质金属蛋白酶-9。这些发现为研究生物活性肽对抗AD/MCI的分子机制提供了有价值的见解,并突出了网络药理学在未来从天然食品中探索生物活性肽的潜力。
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引用次数: 0
Moxibustion's Impact on Ferroptosis Regulation: A Key to Relieving Inflammatory Injury in Rheumatoid Arthritis. 艾灸对铁下垂调节的影响:缓解类风湿关节炎炎症损伤的关键。
IF 2.6 Pub Date : 2025-10-01 Epub Date: 2025-04-04 DOI: 10.1089/rej.2024.0110
Tiancheng Wang, Chuanyu Peng, Dong Gao, Chuanying Zhang, Feng Hao, Lu He

To study the mechanism through which moxibustion alleviates inflammatory injury of synovial tissue in rheumatoid arthritis (RA) rats model by determining moxibustion's effect on ferroptosis regulation by the tumor suppressor protein p53 and solute carrier family 7 member 11 (SLC7A11). Rats were developed as RA models by the administration of Freund's complete adjuvant. In the corresponding groups, moxibustion treatment was carried out using cigarette-like moxa strips that were suspended near "Shenshu" (BL23) and "Zusanli" (ST36) once daily for 15 days, and the p53 agonist NSC59984 was administered intraperitoneally. After 15 days of treatment, histomorphological changes were noted by transmission electron microscopy; p53, glutathione peroxidase 4 (GPX4), and SLC7A11 expression were detected by Western blot; serum levels of reactive oxygen species (ROS), glutathione (GSH), and Fe2+ were estimated with the colorimetric and fluorescent probe methods; and serum levels of tumor necrosis factor alpha (TNF-α) and interleukin 1 beta (IL-1β) were quantified by enzyme linked immunosorbent assay. Compared with the model group and agonist group, the mitochondrial damage in the moxibustion and moxibustion + agonist groups were showed varying degrees of reduction. The levels of p53, ROS, Fe2+, TNF-α, and IL-1β in the model group were significantly higher than those in the normal group, the agonist group was significantly higher than the model group, and the moxibustion and moxibustion + agonists groups were lower than the model and agonist groups. The levels of SLC7A11, GPX4, and GSH were the opposite. Moxibustion can improve RA synovial inflammatory injury by regulating ferroptosis through inhibition of p53 protein expression.

通过测定艾灸对肿瘤抑制蛋白p53及溶质载体家族7成员11 (SLC7A11)对铁下沉的调节作用,探讨艾灸减轻类风湿关节炎(RA)大鼠模型滑膜组织炎症损伤的机制。大鼠通过给予弗洛伊德完全佐剂制成RA模型。相应组采用烟状艾条悬挂在“参舒”(BL23)和“足三里”(ST36)附近,每天1次,连续15天,并腹腔注射p53激动剂NSC59984。处理15 d后,透射电镜观察组织形态学变化;Western blot检测p53、谷胱甘肽过氧化物酶4 (GPX4)、SLC7A11的表达;用比色法和荧光探针法测定血清活性氧(ROS)、谷胱甘肽(GSH)、铁离子(Fe2+)水平;酶联免疫吸附法测定血清肿瘤坏死因子α (TNF-α)和白细胞介素1β (IL-1β)水平。与模型组和激动剂组比较,艾灸组和艾灸+激动剂组大鼠线粒体损伤均有不同程度减轻。模型组小鼠p53、ROS、Fe2+、TNF-α、IL-1β水平均显著高于正常组,激动剂组显著高于模型组,艾灸及艾灸+激动剂组均低于模型组和激动剂组。SLC7A11、GPX4和GSH的水平则相反。艾灸可通过抑制p53蛋白表达调节铁下垂,改善RA滑膜炎症损伤。
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引用次数: 0
Elucidating Causal Relationships Among Gut Microbiota, Human Blood Metabolites, and Knee Osteoarthritis: Evidence from a Two-Stage Mendelian Randomization Analysis. 阐明肠道微生物群、人体血液代谢物和膝关节骨关节炎之间的因果关系:来自两阶段孟德尔随机分析的证据。
IF 2.6 Pub Date : 2025-10-01 Epub Date: 2025-04-07 DOI: 10.1089/rej.2024.0079
Zhen Wang, Chi Zhao, Zheng Wang, Mengmeng Li, Lili Zhang, Jieyao Diao, Juntao Chen, Lijuan Zhang, Yu Wang, Miaoxiu Li, Yunfeng Zhou, Hui Xu

Background: Although previous observational studies suggest a potential association between gut microbiota (GM) and knee osteoarthritis (KOA), the causal relationships remain unclear, particularly concerning the role of blood metabolites (BMs) as potential mediators. Elucidating these interactions is crucial for understanding the mechanisms underlying KOA progression and may inform the development of novel therapeutic strategies. Objective: This study aimed to determine the causal relationship between GM and KOA and to quantify the potential mediating role of BMs. Methods: Instrumental variables (IVs) for GM and BMs were retrieved from the MiBioGen consortium and metabolomics genome-wide association studies (GWAS) databases. KOA-associated single-nucleotide polymorphisms were sourced from the FinnGen consortium. Inverse-variance weighted approach was utilized as the main analytical method for Mendelian randomization (MR) analysis, complemented by MR-Egger, simple mode, weighted mode, and weighted median methods. The causal relationships between GM, BMs, and KOA were sequentially analyzed by multivariate MR. False discovery rate correction was applied to account for multiple comparisons in the MR results. Sensitivity analyses and reverse MR analysis were also conducted to verify the reliability of the findings. Finally, a two-step approach was employed to determine the proportion of BMs mediating the effects of GM on KOA. Results: MR analysis identified seven gut microbial species that are causally associated with KOA. Additionally, MR analysis of 1091 BMs and 309 metabolite ratios revealed 13 metabolites that influence the risk of KOA. Through two-step analysis, three BMs were identified as mediators of the effects of two GMs on KOA. Among them, 6-hydroxyindole sulfate exhibited the highest mediation percentage (10.26%), followed by N-formylanthranilic acid (6.55%). Sensitivity and reverse causality analyses further supported the robustness of these findings. Conclusion: This research identified specific GMs and BMs that have a causal association with KOA. These findings provide critical insights into how GM may influence KOA risk by modulating specific metabolites, which could be valuable for the targeted treatment and prevention of KOA.

背景:虽然以前的观察性研究表明肠道微生物群(GM)和膝关节骨关节炎(KOA)之间存在潜在的关联,但因果关系尚不清楚,特别是关于血液代谢物(BMs)作为潜在介质的作用。阐明这些相互作用对于理解KOA进展的机制至关重要,并可能为开发新的治疗策略提供信息。目的:本研究旨在确定GM与KOA之间的因果关系,并量化脑转移瘤的潜在介导作用。方法:从MiBioGen联盟和代谢组学全基因组关联研究(GWAS)数据库中检索GM和BMs的工具变量(IVs)。koa相关的单核苷酸多态性来源于FinnGen联盟。孟德尔随机化(MR)分析以反方差加权法为主,辅以MR- egger、简单模式、加权模式和加权中位数法。通过多变量MR对GM、BMs和KOA之间的因果关系进行了顺序分析,错误发现率校正用于解释MR结果中的多次比较。敏感性分析和反向磁共振分析也进行了验证结果的可靠性。最后,采用两步法确定了介导转基因对KOA影响的脑转移因子的比例。结果:MR分析鉴定出7种与KOA有因果关系的肠道微生物。此外,对1091例脑转移和309例代谢物比率的MR分析显示,13种代谢物影响KOA的风险。通过两步分析,确定了三种脑转移因子是两种gm对KOA影响的中介因子。其中,6-羟基吲哚硫酸盐的调解率最高(10.26%),n -甲氨基苯甲酸次之(6.55%)。敏感性和反向因果分析进一步支持了这些发现的稳健性。结论:本研究确定了与KOA有因果关系的特异性GMs和BMs。这些发现为转基因如何通过调节特定代谢物影响KOA风险提供了重要见解,这可能对KOA的靶向治疗和预防有价值。
{"title":"Elucidating Causal Relationships Among Gut Microbiota, Human Blood Metabolites, and Knee Osteoarthritis: Evidence from a Two-Stage Mendelian Randomization Analysis.","authors":"Zhen Wang, Chi Zhao, Zheng Wang, Mengmeng Li, Lili Zhang, Jieyao Diao, Juntao Chen, Lijuan Zhang, Yu Wang, Miaoxiu Li, Yunfeng Zhou, Hui Xu","doi":"10.1089/rej.2024.0079","DOIUrl":"10.1089/rej.2024.0079","url":null,"abstract":"<p><p><b><i>Background:</i></b> Although previous observational studies suggest a potential association between gut microbiota (GM) and knee osteoarthritis (KOA), the causal relationships remain unclear, particularly concerning the role of blood metabolites (BMs) as potential mediators. Elucidating these interactions is crucial for understanding the mechanisms underlying KOA progression and may inform the development of novel therapeutic strategies. <b><i>Objective:</i></b> This study aimed to determine the causal relationship between GM and KOA and to quantify the potential mediating role of BMs. <b><i>Methods:</i></b> Instrumental variables (IVs) for GM and BMs were retrieved from the MiBioGen consortium and metabolomics genome-wide association studies (GWAS) databases. KOA-associated single-nucleotide polymorphisms were sourced from the FinnGen consortium. Inverse-variance weighted approach was utilized as the main analytical method for Mendelian randomization (MR) analysis, complemented by MR-Egger, simple mode, weighted mode, and weighted median methods. The causal relationships between GM, BMs, and KOA were sequentially analyzed by multivariate MR. False discovery rate correction was applied to account for multiple comparisons in the MR results. Sensitivity analyses and reverse MR analysis were also conducted to verify the reliability of the findings. Finally, a two-step approach was employed to determine the proportion of BMs mediating the effects of GM on KOA. <b><i>Results:</i></b> MR analysis identified seven gut microbial species that are causally associated with KOA. Additionally, MR analysis of 1091 BMs and 309 metabolite ratios revealed 13 metabolites that influence the risk of KOA. Through two-step analysis, three BMs were identified as mediators of the effects of two GMs on KOA. Among them, 6-hydroxyindole sulfate exhibited the highest mediation percentage (10.26%), followed by <i>N</i>-formylanthranilic acid (6.55%). Sensitivity and reverse causality analyses further supported the robustness of these findings. <b><i>Conclusion:</i></b> This research identified specific GMs and BMs that have a causal association with KOA. These findings provide critical insights into how GM may influence KOA risk by modulating specific metabolites, which could be valuable for the targeted treatment and prevention of KOA.</p>","PeriodicalId":94189,"journal":{"name":"Rejuvenation research","volume":" ","pages":"239-247"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805264","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
F-box/WD Repeat-Containing Protein 5 Promotes Breast Cancer Progression by Regulating Ferroptosis via Enhancing Krüppel-like Factor 13 Ubiquitination Through Phosphoinositide 3-Kinase/Serine/Threonine Protein Kinase Pathway. F-box/WD repeat containing Protein 5通过磷酸肌肽3-激酶/丝氨酸/苏氨酸蛋白激酶途径增强kr<s:1> pel样因子13泛素化,通过调控铁下垂促进乳腺癌进展。
IF 2.6 Pub Date : 2025-10-01 Epub Date: 2025-04-14 DOI: 10.1089/rej.2024.0111
Chen Chen, Hui Li, Ziyi Zhang, Haipeng Li, Hongtao Li

Breast cancer (BC) is a prevalent malignancy among women. Evidence has indicated that F-box/WD repeat-containing protein 5 (FBXW5) is crucial in oncogenesis and progression. However, the function of FBXW5 in BC remains elusive. This work aims to explore the regulatory mechanisms of FBXW5 in the development of BC. The expression of FBXW5 in pan-cancer and breast invasive carcinoma (BRCA) was analyzed using The Cancer Genome Atlas (TCGA) database. FBXW5 level was enhanced in BC tissues. Besides, FBXW5 inhibition significantly decreased cell viability by 49.05% in MDA-MB-231 cells and 62.30% in MCF-7 cells. FBXW5 inhibition significantly inhibited cell proliferation by 66% in MDA-MB-231 cells and 74% in MCF-7 cells. FBXW5 inhibition significantly suppressed cell migration by 77.2% in MDA-MB-231 cells and 82.15% in MCF-7 cells. FBXW5 inhibition significantly inhibited cell invasion by 64.14% in MDA-MB-231 cells and 71.33% in MCF-7 cells. In vivo, FBXW5 depletion reduced tumor weight by 63.39% and tumor volume by 65.17%. Moreover, FBXW5 silencing restrained lung metastases in vivo. Besides, the impact of FBXW5 on the malignant behavior of BC cells was mediated through the regulation of ferroptosis. Mechanically, FBXW5 facilitated Kruppel-like factor 13 (KLF13) degradation by enhancing its ubiquitination. The addition of FBXW5 facilitated cell proliferation, migration, and invasion and inhibited ferroptosis in MDA-MB-231 and MCF-7 cells, which were neutralized by KLF13 overexpression. Besides, the knockdown of KLF13 led to the activation of the PI3K/AKT pathway. KLF13 silencing counteracted the inhibitory effects of FBXW5 depletion on cell proliferation, migration, and invasion, as well as its promotion of ferroptosis, effects that were reversed by LY294002. In conclusion, targeting FBXW5 may serve as a potential therapeutic strategy for BC by modulating the KLF13/PI3K/AKT axis.

乳腺癌(BC)是女性中常见的恶性肿瘤。有证据表明,含有F-box/WD重复序列的蛋白5 (FBXW5)在肿瘤的发生和发展中至关重要。然而,FBXW5在BC中的功能尚不清楚。本研究旨在探讨FBXW5在BC发生发展中的调控机制。利用Cancer Genome Atlas (TCGA)数据库分析FBXW5在泛癌和乳腺浸润性癌(BRCA)中的表达。BC组织中FBXW5水平升高。此外,FBXW5抑制显著降低MDA-MB-231细胞49.05%和MCF-7细胞62.30%的细胞活力。FBXW5抑制显著抑制MDA-MB-231细胞66%和MCF-7细胞74%的细胞增殖。FBXW5对MDA-MB-231细胞和MCF-7细胞迁移的抑制作用分别为77.2%和82.15%。FBXW5对MDA-MB-231细胞和MCF-7细胞侵袭的抑制作用分别为64.14%和71.33%。在体内,FBXW5耗散使肿瘤重量减少63.39%,肿瘤体积减少65.17%。此外,FBXW5沉默在体内抑制肺转移。此外,FBXW5对BC细胞恶性行为的影响是通过调控铁下垂介导的。机械上,FBXW5通过增强其泛素化促进Kruppel-like factor 13 (KLF13)的降解。FBXW5的加入促进了被KLF13过表达中和的MDA-MB-231和MCF-7细胞的增殖、迁移和侵袭,并抑制了铁凋亡。此外,KLF13的敲低导致PI3K/AKT通路的激活。KLF13沉默抵消了FBXW5缺失对细胞增殖、迁移和侵袭的抑制作用,以及对铁死亡的促进作用,LY294002逆转了这一作用。综上所述,靶向FBXW5可能通过调节KLF13/PI3K/AKT轴作为BC的潜在治疗策略。
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引用次数: 0
Efficacy and Safety of External Therapies of Traditional Chinese Medicine in Patients with Knee Osteoarthritis: A Systematic Review and Network Meta-Analysis. 中药外敷治疗膝骨性关节炎的疗效和安全性:系统评价和网络meta分析。
IF 2.6 Pub Date : 2025-10-01 Epub Date: 2025-06-13 DOI: 10.1089/rej.2025.0039
Zhen Wang, Chi Zhao, Mengmeng Li, Lili Zhang, Jieyao Diao, Yiming Wu, Tao Yang, Mingwei Shi, Yang Lei, Yu Wang, Miaoxiu Li, Yanqin Bian, Yunfeng Zhou, Hui Xu

The use of external therapies for knee osteoarthritis (KOA) in traditional Chinese medicine (TCM) is supported by several guidelines and systematic reviews. However, the relative advantages and disadvantages of TCM external therapies and their mechanisms of action have not yet been confirmed in evidence-based medicine. We used network meta-analysis to rank the effectiveness and safety of TCM external therapies, screen the optimal TCM external therapies. TCM external therapies for KOA published before October 2024 were comprehensively retrieved from eight electronic databases. Using the Cochrane Reviewers' Handbook, two independent reviewers performed study selection, data extraction, and bias assessment of the included randomized controlled trials (RCTs). Data analysis was conducted using Stata 16.0 and RevMan 5.4 software. A total of 68 RCTs were identified, including 6571 participants, involving 11 interventions, 4.41% of which showed a high risk of bias. The results of the network meta-analysis revealed that in terms of improving Visual Analog Scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) function scores, each external therapy was better than conventional medicine. Electroacupuncture may be the most effective intervention in improving the VAS score and TNF-α level. Moxibustion resulted in the greatest improvement in WOMAC function and IL-6 levels. The most effective interventions for reducing WOMAC pain scores were the manual needle knife, followed by electroacupuncture and Tuina therapy (SUCRA = 82.9%, 79.0%, and 71.4%, respectively). Warming acupuncture dominantly increased Lysholm scores. The safety results showed that the three safest interventions were the sham intervention, Tuina therapy, and moxibustion (SUCRA = 90.6%, 83.1%, and 68.8%, respectively). Silver needle had the best comprehensive effect. Electroacupuncture has the best effect on improving pain symptoms, and moxibustion can be prioritized when functional limitations are the main symptoms. To some extent, the changes in inflammatory factors correlated with an improvement in KOA symptoms.

在中医(TCM)中使用外部疗法治疗膝骨关节炎(KOA)得到了一些指南和系统综述的支持。然而,中医外治法的相对优劣及其作用机制在循证医学中尚未得到证实。采用网络meta分析对中药外治疗法的疗效和安全性进行排序,筛选最佳中药外治疗法。综合检索2024年10月前发表的KOA中医外治疗法,检索8个电子数据库。使用Cochrane审稿人手册,两位独立审稿人对纳入的随机对照试验(RCTs)进行研究选择、数据提取和偏倚评估。采用Stata 16.0、RevMan 5.4软件进行数据分析。共纳入68项随机对照试验,6571名受试者,涉及11项干预措施,其中4.41%存在高偏倚风险。网络荟萃分析结果显示,在改善视觉模拟量表(VAS)和西安大略和麦克马斯特大学骨关节炎指数(WOMAC)功能评分方面,每种外部疗法均优于传统药物。电针可能是改善VAS评分和TNF-α水平最有效的干预措施。艾灸对WOMAC功能和IL-6水平的改善效果最大。降低WOMAC疼痛评分最有效的干预措施是手动针刀,其次是电针和推拿治疗(SUCRA分别为82.9%、79.0%和71.4%)。温针灸显著提高Lysholm评分。安全性结果显示,最安全的3种干预措施分别是假干预、推拿和艾灸(SUCRA分别为90.6%、83.1%和68.8%)。银针综合疗效最好。电针对改善疼痛症状的效果最好,当以功能受限为主要症状时,可优先使用电针。在某种程度上,炎症因子的变化与KOA症状的改善相关。
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引用次数: 0
Stem Cell Aging and Rejuvenation in the Skeletal Muscle System. 骨骼肌系统中的干细胞衰老和年轻化。
IF 2.6 Pub Date : 2025-08-01 Epub Date: 2025-06-24 DOI: 10.1089/rej.2025.0028
Michela Libergoli, Albert E Almada

Aging is an unavoidable process associated with a progressive decline of muscle mass, strength, and regenerative ability. Satellite cells are a muscle stem cell (MuSC) population that plays a key role in mammalian muscle regeneration, by awakening from quiescence and then migrating to sites of damage, expanding in number to generate progenitor cells, and then either differentiating to rebuild the muscle tissue or self-renewing to repopulate the stem cell pool. Emerging evidence suggests that the aging process impairs the activation potential and the regenerative capacity of MuSCs. This review explores some of the recent discoveries of how mis-regulation of intrinsic and extrinsic mechanisms drive the decline of MuSC function in aging muscles, and we discuss new strategies to rejuvenate aged MuSC function for regenerative medicine. Understanding these processes will speed up the development of novel therapeutics for counteracting muscle loss and improve muscle healing in the elderly.

衰老是一个不可避免的过程,伴随着肌肉质量、力量和再生能力的逐渐下降。卫星细胞是一种肌肉干细胞(MuSC)群体,在哺乳动物肌肉再生中起着关键作用,通过从静止中唤醒,然后迁移到损伤部位,数量增加产生祖细胞,然后分化重建肌肉组织或自我更新以重新填充干细胞库。新出现的证据表明,衰老过程损害了musc的激活电位和再生能力。这篇综述探讨了一些最近发现的内在和外在机制的失调如何驱动衰老肌肉中MuSC功能的下降,我们讨论了再生医学中恢复衰老MuSC功能的新策略。了解这些过程将加速新疗法的发展,以抵消肌肉损失和改善老年人的肌肉愈合。
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引用次数: 0
Red Blood Cell-Derived Exosomes as Mediators of Age-Related Neurodegeneration. 红细胞来源的外泌体作为年龄相关性神经变性的介质。
IF 2.6 Pub Date : 2025-08-01 Epub Date: 2025-06-04 DOI: 10.1089/rej.2025.0013
Jonalyn DeCastro, Ami Mehta-Doshi, Chao Liu, Animesh Ray, Kiana Aran

Age-associated neurodegenerative diseases (NDDs), including Alzheimer's disease, Parkinson's disease, and amyotrophic lateral sclerosis, are marked by progressive degeneration of the nervous system. Current diagnostic approaches, such as neuroimaging and cerebrospinal fluid biomarkers, are invasive, costly, and lack early diagnostic reliability. Recent studies highlight the potential of extracellular vesicles, particularly exosomes, derived from erythrocytes or red blood cells (RBCs), as emerging indicators of aging and age-associated diseases. Exosomes carry noncoding RNA, lipid, and protein molecules, and modulate cellular pathways at distant sites, providing neuroprotective and anti-inflammatory effects. In this study, we isolated RBC-derived exosomes of young and old mice. MicroRNA sequencing analysis revealed differential expression of several miRNA species between young and old mice. We report an upregulation of miR-125a-5p and a downregulation of miR-302a-5p in old mice that are potentially linked to neurodegenerative pathways. This study underscores the potential of RBC-derived exosomes as noninvasive biomarkers for NDDs.

与年龄相关的神经退行性疾病(ndd),包括阿尔茨海默病、帕金森病和肌萎缩侧索硬化症,以神经系统的进行性变性为特征。目前的诊断方法,如神经成像和脑脊液生物标志物,是侵入性的,昂贵的,缺乏早期诊断的可靠性。最近的研究强调了来自红细胞或红血球(rbc)的细胞外囊泡,特别是外泌体作为衰老和与年龄相关疾病的新指标的潜力。外泌体携带非编码RNA、脂质和蛋白质分子,并在远处调节细胞通路,提供神经保护和抗炎作用。在这项研究中,我们分离了年轻和年老小鼠的红细胞来源的外泌体。MicroRNA测序分析揭示了几个miRNA物种在年轻和年老小鼠之间的差异表达。我们报道了在老年小鼠中miR-125a-5p的上调和miR-302a-5p的下调,这可能与神经退行性通路有关。这项研究强调了红细胞来源的外泌体作为非侵入性ndd生物标志物的潜力。
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引用次数: 0
Umbilical Cord Blood Plasma Enhances Cellular Repair and Senescence Suppression in Human Dermal Fibroblasts Under Oxidative Stress. 脐带血促进氧化应激下人皮肤成纤维细胞的细胞修复和衰老抑制。
IF 2.6 Pub Date : 2025-08-01 Epub Date: 2025-05-02 DOI: 10.1089/rej.2024.0085
Miso Jeong, Hyangju Lee, Tae-Hyun Ko, Soo Jin Choi, Wonil Oh, Sangwoo Kim

Aging is associated with a gradual decline in cellular function, largely driven by oxidative stress, which leads to cellular senescence. These processes contribute to tissue degeneration and age-related dysfunction. Human dermal fibroblasts (HDFs), critical for maintaining skin structure, are highly vulnerable to oxidative damage, making them key contributors to skin aging. Umbilical cord blood plasma (UCBP), rich in growth factors and regenerative molecules, has shown potential in preventing cellular senescence and addressing key mechanisms of tissue aging. Based on findings from heterochronic parabiosis experiments that demonstrated the rejuvenating effect of young blood, we investigated the effects of UCBP on hydrogen peroxide (H2O2) induced oxidative stress in HDFs and compared its efficacy with adult blood plasma (ABP). Our results indicate that although both UCBP and ABP reduce reactive oxygen species (ROS), UCBP is more effective in suppressing cellular senescence and maintaining fibroblast proliferation. These findings suggest that UCBP's protective effects extend beyond ROS reduction, potentially by modulating the senescence-associated secretory phenotype and the enhancement of tissue repair mechanisms.

衰老与细胞功能的逐渐下降有关,主要是由氧化应激引起的,氧化应激导致细胞衰老。这些过程导致组织退化和与年龄相关的功能障碍。人类真皮成纤维细胞(HDFs)对维持皮肤结构至关重要,极易受到氧化损伤,是皮肤老化的主要原因。脐带血血浆(UCBP)富含生长因子和再生分子,在预防细胞衰老和解决组织衰老的关键机制方面显示出潜力。基于异慢性异种共生实验的结果,我们研究了UCBP对过氧化氢(H2O2)诱导的HDFs氧化应激的影响,并将其与成人血浆(ABP)的效果进行了比较。我们的研究结果表明,尽管UCBP和ABP都能减少活性氧(ROS),但UCBP在抑制细胞衰老和维持成纤维细胞增殖方面更有效。这些发现表明,UCBP的保护作用超出了ROS的减少,可能通过调节衰老相关的分泌表型和增强组织修复机制。
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引用次数: 0
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Rejuvenation research
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