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Zika virus and microcephaly: A review of the molecular interactions 寨卡病毒与小头畸形:分子相互作用的综述
Pub Date : 2020-01-01 DOI: 10.15761/IMM.1000392
Anne Micaelle Souza Montalvao, Bárbara Rezende Teixeira, R. Andrade, Laura Gomes Lima, E. V. Gomes
The Zika virus (ZIKV) is a tropical and subtropical emergent pathogen, with main clinical manifestations of low fever, headache, myalgia, arthralgia in the small joints of the hands and feet, non-purulent conjunctivitis, ocular pain, prostration, and pruritic maculopapular rash. Furthermore, the most feared complication of this viral infection is microcephaly, caused by the interaction between ZIKV and cells from the fetal central nervous system (CNS). Identifying the mechanism and factors linked to the entry of ZIKV into human cells, particularly in the fetus during the first developmental months, is currently the greatest challenge in understanding the tropism and pathogenesis of ZIKV. Thus, this review aims to assess the ZIKV–human molecular interaction, the main cellular receptors involved in the virus and host, the viral infection process, and microcephaly neuropathogenesis. During ZIKV–human host interaction, the virus binds to host cell membrane receptors, followed by internalization (through endocytic vesicles) and inhibition of the innate immune response, similar to the normal process of receptor signaling activation. Infection of human fetuses by ZIKV leads to cell cycle deregulation, activating cell death by apoptosis, and microcephaly. Blocking the interaction between the virus and specific membrane receptors may be a good strategy to prevent ZIKV infection, particularly in pregnant women during the first months of fetal development. Thus, knowledge of the whole ZIKV–host interaction process may help in designing novel therapies or targets for drugs to prevent the death of fetal CNS cells and microcephaly.
寨卡病毒(Zika virus, ZIKV)是一种热带和亚热带突发性病原体,主要临床表现为低热、头痛、肌痛、手脚小关节关节痛、非化脓性结膜炎、眼痛、虚脱、瘙痒性斑疹。此外,这种病毒感染最可怕的并发症是小头畸形,这是由寨卡病毒与胎儿中枢神经系统细胞相互作用引起的。确定与寨卡病毒进入人类细胞有关的机制和因素,特别是在发育最初几个月的胎儿中,是目前了解寨卡病毒的倾向和发病机制的最大挑战。因此,本文旨在对寨卡病毒与人的分子相互作用、病毒与宿主参与的主要细胞受体、病毒感染过程以及小头畸形的神经发病机制进行综述。在zikv -人宿主相互作用过程中,病毒与宿主细胞膜受体结合,随后内化(通过内吞囊泡)并抑制先天免疫反应,类似于受体信号激活的正常过程。寨卡病毒感染人类胎儿导致细胞周期失调,细胞凋亡激活细胞死亡和小头畸形。阻断病毒与特定膜受体之间的相互作用可能是预防寨卡病毒感染的一个好策略,特别是在胎儿发育的头几个月的孕妇中。因此,了解整个zikv -宿主相互作用过程可能有助于设计新的治疗方法或药物靶点,以防止胎儿中枢神经系统细胞死亡和小头畸形。
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引用次数: 2
Comparison of ex-vivo organ culture and cell culture to study drug efficiency and virus-host interactions 体外器官培养和细胞培养的比较研究药物效率和病毒-宿主相互作用
Pub Date : 2020-01-01 DOI: 10.15761/imm.1000410
Shay Tayeb, Y. Smith, A. Panet, Z. Zakay‐Rones
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引用次数: 0
COVID-19: Search for Therapeutics COVID-19:寻找治疗方法
Pub Date : 2020-01-01 DOI: 10.15761/IMM.1000407
A. Chakraborty, B. Friedrich, G. TatakeJayant, Vijetha Chiniga, R. Pandey, Preetam Holkar, Neelam Holkar, V. Arora, Randall W. Barton, Anil Diwan
Human coronaviruses (HCoVs) cause respiratory diseases infecting the upper and/or lower respiratory tract. The six human coronaviruses so far identified are HCoV- 229E, HCoV-OC43, HCoV-NL63, HCoV-HKU-1, SARS-CoV, and MERS-CoV. Four of these coronaviruses (HCoV-229E, HCoV-OC43, HCoV- NL63, and HCoV-HKU-1) are known as circulating common coronavirus found continuously in the human population causing mostly common cold, with few cases of severe diseases. In late December 2019, a novel human coronavirus, now called SARS-CoV-2, was identified during an outbreak in Wuhan, China. The disease spectrum caused by this virus is now called COVID-19 (Coronavirus Infectious disease 2019). This novel coronavirus has spread globally resulting in a world-wide pandemic that continues to rage as of now. SARS-CoV-2 has a high case morbidity and mortality rate and is high risk to the elderly populations, immune-compromised populations, and to those who have other critical issues like heart disease, diabetes, etc. In this review, we summarize the latest information of the epidemiology, pathogenesis, and clinical aspects of SARS-CoV-2, and discuss the current scientific and therapeutic advancements for clinical treatment of this pandemic novel coronavirus.
人类冠状病毒(hcov)引起上呼吸道和/或下呼吸道感染的呼吸道疾病。迄今鉴定的六种人类冠状病毒是HCoV- 229E、HCoV- oc43、HCoV- nl63、HCoV- hku -1、SARS-CoV和MERS-CoV。其中四种冠状病毒(HCoV- 229e、HCoV- oc43、HCoV- NL63和HCoV- hku -1)是已知的在人群中持续存在的常见冠状病毒,主要引起普通感冒,很少有严重疾病病例。2019年12月下旬,在中国武汉爆发疫情期间,发现了一种新的人类冠状病毒,现在称为SARS-CoV-2。由这种病毒引起的疾病谱系现在被称为COVID-19(2019冠状病毒传染病)。这种新型冠状病毒已在全球传播,导致了一场全球大流行,目前仍在继续肆虐。SARS-CoV-2的发病率和死亡率很高,对老年人、免疫功能低下人群以及患有心脏病、糖尿病等其他严重疾病的人群具有高风险。本文就SARS-CoV-2的流行病学、发病机制和临床方面的最新研究进展进行综述,并对目前临床治疗这种新型大流行冠状病毒的科学和治疗进展进行讨论。
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引用次数: 2
α-Klotho and catalase expression in essential hypertension α-Klotho和过氧化氢酶在原发性高血压中的表达
Pub Date : 2020-01-01 DOI: 10.15761/IMM.1000395
G. Pathare, S. Raju, M. Mashru, V. Shah, K. Shalia
α-Klotho, an anti-aging gene, has emerged as novel inhibitor of oxidative stress at cellular level. α-Klotho inhibits oxidative stress by inhibiting IGF-1/InsulinFOXO (Forkhead box-O transcription factors) dependent deactivation of the antioxidative enzymes. The present study aimed at determining α-Klotho and Catalase gene expressions and Catalase activity in peripheral blood mononuclear cells (PBMCs) of essential hypertensive patients as compared to normotensive healthy controls in Indian population. Forty-eight hypertensives and 48 age, BMI-matched controls were recruited. Gene expression was evaluated by quantitative Real-Time PCR. Catalase enzyme activity in PBMCs and soluble α-Klotho levels in serum were detected using Enzyme-Linked Immunosorbent Assay. Gene expressions for α-Klotho and FOXO1 were significantly low (p<0.001 and p=0.002, respectively) in patients as compared to controls. Catalase expression was also low in hypertensive patients but did not reach statistical significance. However, there was strong positive correlation between ΔCt-based gene expression of α-Klotho and Catalase in patients (p<0.001) as well as controls (p=0.008). Positive correlation was also observed between gene expression of FOXO1 and that of α-Klotho (p=0.006) and Catalase (p=0.001) in hypertensives. Catalase activity in patients were significantly low (p<0.001) as compared to controls and positively correlated with soluble α-Klotho levels (rs=0.32, p=0.027), which were also 30.2% lower (p<0.001) in the patient group. Present study demonstrates low soluble levels and gene expression of anti-aging protein α-Klotho in hypertensive patients. α-Klotho may influence Catalase expression in essential hypertension through its effect on FOXO1 expression.
α-Klotho是一种抗衰老基因,在细胞水平上被认为是一种新的氧化应激抑制剂。α-Klotho通过抑制IGF-1/InsulinFOXO (Forkhead box-O转录因子)依赖的抗氧化酶失活来抑制氧化应激。本研究旨在测定印度人群原发性高血压患者外周血单个核细胞(PBMCs) α-Klotho和过氧化氢酶基因表达和过氧化氢酶活性,并与正常血压健康对照。招募了48名高血压患者和48名年龄,bmi匹配的对照组。采用实时荧光定量PCR检测基因表达。采用酶联免疫吸附法检测外周血过氧化氢酶活性和血清可溶性α-Klotho水平。与对照组相比,患者α-Klotho和FOXO1基因表达明显降低(p<0.001和p=0.002)。过氧化氢酶在高血压患者中的表达也较低,但无统计学意义。而α-Klotho与过氧化氢酶ΔCt-based基因表达量在患者与对照组之间呈显著正相关(p<0.001) (p=0.008)。高血压患者FOXO1基因表达与α-Klotho (p=0.006)、过氧化氢酶(p=0.001)呈正相关。与对照组相比,患者过氧化氢酶活性显著降低(p<0.001),与可溶性α-Klotho水平呈正相关(rs=0.32, p=0.027),患者组过氧化氢酶活性也降低了30.2% (p<0.001)。目前的研究表明,抗衰老蛋白α-Klotho在高血压患者中低可溶性水平和基因表达。α-Klotho可能通过对FOXO1表达的影响来影响原发性高血压过氧化氢酶的表达。
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引用次数: 1
The changing molecular landscape of AML and its impact on treatment AML分子格局的变化及其对治疗的影响
Pub Date : 2020-01-01 DOI: 10.15761/IMM.1000405
L. Finn, C. Davis, Michael J Lunski, Muhammad Azeem Khan, A. Staton, Ambuga R. Badari
Acute myeloid leukemia is the primary acute leukemia affecting adults and until recently had very limited available treatment options. We are now seeing development and redevelopment of targeted therapy in acute myeloid leukemia with subsequent improvements in disease control and overall survival. The development of therapy with molecular targets allows patients who are not candidates for chemotherapy to receive treatment. In this review, we discuss the molecular mutations FLT3 and IDH and the molecular target CD33, recognized for having key roles in the development of acute myeloid leukemia. We reference key clinical trials to further discuss the approved treatments for acute myeloid leukemia that target these molecular mutations. We then discuss ongoing research to develop new drugs and new combinations of therapy to overcome resistance mechanisms and further improve patient outcomes.
急性髓性白血病是影响成人的原发性急性白血病,直到最近,可用的治疗选择非常有限。我们现在看到急性髓性白血病靶向治疗的发展和再开发,随后在疾病控制和总生存率方面有所改善。分子靶点疗法的发展使得那些不适合化疗的病人也能接受治疗。在这篇综述中,我们讨论了分子突变FLT3和IDH以及分子靶点CD33,它们在急性髓性白血病的发展中被认为具有关键作用。我们参考关键的临床试验来进一步讨论针对这些分子突变的急性髓性白血病的批准治疗方法。然后,我们讨论正在进行的研究,以开发新的药物和新的治疗组合,以克服耐药机制,进一步改善患者的结果。
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引用次数: 1
Potential roles of nitric oxide in COVID-19: A perspective 一氧化氮在COVID-19中的潜在作用:一个视角
Pub Date : 2020-01-01 DOI: 10.15761/IMM.1000403
A. Mel
Coronavirus disease 2019 (COVID-19) is a respiratory tract infection caused by a beta-coronavirus closely linked to the SARS coronavirus. COVID-19 patients present with hypoxemia linked to acute respiratory distress syndrome (ARDS). Reversing the hypoxemia prevalent in COVID-19 requires advanced mechanisms that facilitate the transportation of oxygen from alveoli to blood, as increased supplemental oxygen does not always lead to optimal oxygen saturation. Clinical and experimental evidence suggest a significant role for inhaled Nitric Oxide (NO) as a selective vasodilator, which has shown to restore oxygenation by helping to normalise shunts and ventilation/perfusion mismatch. NO has demonstrated the ability to suppress the replication of a respiratory corona virus, which is unique for NO among other vasodilators. These suggest a potentially significant role for NO in the clinical management of COVID-19, warranting urgent investigations into optimal methods of harnessing its potential in restoring pulmonary physiology. Introduction The pathophysiological conditions and clinical evidence associated with COVID-19 are rapidly being established, supporting the development of therapeutic solutions [1,2]. COVID-19 patients present with respiratory characteristics of acute respiratory distress syndrome (ARDS), which in accordance with The Berlin definition includes; new or worsening respiratory symptoms within one week of symptom onset; bilateral opacities on chest imaging not fully explained by effusions, atelectasis or nodules; respiratory failure from lung edema not fully explained by cardiac failure or fluid overload; and finally oxygenation impairment [3]. However, the ARDS presented with COVID-19 is recognised to be atypical as an alarmingly majority do not experience breathlessness and have relatively good lung compliance, whilst presenting with hypoxia [4-6]. Supplemental oxygen can partially improve oxygen saturation. However, hypoxaemia due to shunt does not respond well to supplemental oxygen [7]. High levels of supplemental oxygen can be toxic but can be prevented by titrating [8]. Invasive mechanical ventilation, which is considered when addressing the most severe cases continues to be associated with a higher incidence of adverse outcomes [9]. Therefore, there is currently an incentive to explore alternative methods of optimal management of patients in addition to widely practiced prone positioning [10]. Methods of reducing pulmonary resistance and resolving oxygenation with noninvasive therapy are of interest [11]. Hypoxia is known to cause vasodilation in systemic arteries whilst causing vasoconstriction in pulmonary arterioles. Nitric Oxide (NO) has a major role in regulating hypoxia and in healthy conditions it was found that NO can mediate adaptive mechanisms including modulation of vasodilation. Hypoxia regulation in extreme conditions such as high altitudes has shown a strong link to NO, with large populationbased studies demonstrat
2019冠状病毒病(COVID-19)是由与SARS冠状病毒密切相关的乙型冠状病毒引起的呼吸道感染。COVID-19患者出现与急性呼吸窘迫综合征(ARDS)相关的低氧血症。要扭转COVID-19中普遍存在的低氧血症,需要先进的机制来促进氧气从肺泡向血液的运输,因为增加补充氧气并不总能达到最佳的氧饱和度。临床和实验证据表明,吸入性一氧化氮(NO)作为一种选择性血管扩张剂具有重要作用,它通过帮助分流和通气/灌注错配正常化来恢复氧合。NO已经证明了抑制呼吸道冠状病毒复制的能力,这是其他血管扩张剂中NO所独有的。这表明一氧化氮在COVID-19的临床管理中可能发挥重要作用,需要紧急研究利用其恢复肺部生理潜能的最佳方法。与COVID-19相关的病理生理条件和临床证据正在迅速建立,为开发治疗方案提供了支持[1,2]。COVID-19患者表现出急性呼吸窘迫综合征(ARDS)的呼吸特征,根据柏林定义包括;在症状出现后一周内出现新的或加重的呼吸道症状;双侧胸部影像不清,不能完全用积液、肺不张或结节来解释;肺水肿引起的呼吸衰竭不能完全由心力衰竭或体液超载解释;最后是氧合损伤[3]。然而,由COVID-19引起的ARDS被认为是不典型的,因为惊人的大多数患者不会出现呼吸困难,肺顺应性相对较好,同时表现为缺氧[4-6]。补充氧气可以部分改善血氧饱和度。然而,分流引起的低氧血症对补充氧气反应不佳[7]。高水平的补充氧可能是有毒的,但可以通过滴定来防止[8]。在处理最严重病例时考虑的有创机械通气仍然与较高的不良结局发生率相关[9]。因此,除了广泛使用的俯卧位外,目前有一种动机去探索对患者进行最佳管理的替代方法[10]。通过无创治疗降低肺阻力和解决氧合的方法引起了人们的兴趣[11]。众所周知,缺氧可引起全身动脉血管扩张,同时引起肺小动脉血管收缩。一氧化氮(NO)在调节缺氧中起主要作用,在健康条件下,NO可以介导包括血管舒张调节在内的适应性机制。高海拔等极端条件下的缺氧调节已显示与NO密切相关,大量基于人群的研究表明NO上调是一种生理反应[12]。与一系列呼吸系统疾病相关的呼出一氧化氮测量表明,一氧化氮下调的具体变化与一氧化氮的可识别作用相对应[13]。NO是一种气态分子,主要以其通过cGMP途径调节血管顺应性的作用而闻名[14]。通讯:Achala de Mel,转化医学和治疗学威廉·哈维研究所中心,伦敦玛丽女王大学,NuTissu Ltd,英国,E-mail: demelach@gmail.com
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引用次数: 1
Superoxide dismutase, glutathione peroxidase and catalase activities in patients with viral hepatitis C 病毒性丙型肝炎患者的超氧化物歧化酶、谷胱甘肽过氧化物酶和过氧化氢酶活性
Pub Date : 2020-01-01 DOI: 10.15761/IMM.1000397
Yalcin Ms, Gulesci N, Bilgin R, Koltas Is
Purpose: Aerobic organisms possess antioxidant defense systems that deal with reactive oxygen species (ROS) produced as a consequence of aerobic respiration and substrate oxidation. It is considered that free radicals, lipid peroxidation and antioxidant defense play a role in various tissue damages, just as in certain types of viral hepatitis. Materials and methods: We determined SOD, CAT, GPX activities of 18 HCV subjects and matched their values with that of 18 healthy volunteers as control. The patients were diagnosed by physicians on the basis of detailed clinical history, clinical examination and other relevant biochemical investigations. Results: SOD, CAT and GPX activities in patients with HCV were found as (mean±SD) 2.75±0.75 U/mg prot, 19.25±3.4 U/g Hbx10 4 , 78.25±23.23 U/g Hb respectively, whereas for the control group 3.76±1.53 U/mg prot, 13.71±1.6 U/g Hbx10 4 , 63.26±6.9 U/g Hb were observed for the respective enzymes. Conclusion: Our results show the mild impact of hepatitis C on antioxidant status of the person. There is a reduction in SOD level but an increase in CAT and GPX levels. In this study also suggests some possible role of oxidative stress in the mechanism of liver injury during viral hepatitis.
目的:好氧生物具有抗氧化防御系统,可以处理由有氧呼吸和底物氧化产生的活性氧(ROS)。据认为,自由基、脂质过氧化和抗氧化防御在各种组织损伤中发挥作用,就像某些类型的病毒性肝炎一样。材料与方法:测定18例HCV受试者的SOD、CAT、GPX活性,并与18例健康志愿者对照。医生根据详细的临床病史、临床检查和其他相关生化调查对患者进行诊断。结果:HCV患者SOD、CAT、GPX活性分别为(mean±SD) 2.75±0.75 U/mg prot、19.25±3.4 U/g hbx10.4、78.25±23.23 U/g Hb,对照组分别为(3.76±1.53)U/mg prot、(13.71±1.6)U/g hbx10.4、(63.26±6.9)U/g Hb。结论:我们的研究结果显示丙型肝炎对人的抗氧化状态有轻微的影响。SOD水平降低,CAT和GPX水平升高。本研究还提示了氧化应激在病毒性肝炎肝损伤机制中的可能作用。
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引用次数: 3
Inflammatory cardiomyopathy: A review and meta-analysis of pathophysiology, diagnosis and clinical management 炎症性心肌病:病理生理学、诊断和临床管理的综述和荟萃分析
Pub Date : 2020-01-01 DOI: 10.15761/IMM.1000404
Aref Albakri
Inflammatory cardiomyopathy (ICM) is a serious long-term sequelae of myocarditis (MC), defined as the inflammation of the heart muscle accompanied by cardiac dysfunction. Definitive diagnosis of ICM remains a challenge due to the lack of pathognomonic clinical signs and symptoms, as well as the disease mimics a variety of other non-inflammatory myocardial diseases. The disease has multiple aetiologies including infectious, autoimmune, drugs and toxins. Diagnosis relies on histological, immunological, immunohistochemical and molecular findings of infectious causes and the evidence of cardiac dysfunction. Whereas endomyocardial biopsy is the diagnostic gold standard for MC and ICM as well as distinguishes aetiological forms, its use in routine clinical setting is infrequent. The result is the lack of certainty in the epidemiological impact and the natural history of ICM. Moreover, ICM may resolve spontaneously, recur or become chronic leading to death or the need for cardiac transplantation. Traditional diagnosis based on the Dallas Criteria considered MC a relatively rare cause of ICM, HF and sudden cardiac death. However, the recent use of highly sensitive immunohistochemical and molecular tools applied to EMB together with advances in non-invasive imaging modalities suggest the prevalence of the MC and ICM could be much higher than previously estimated. Therefore, the present study reviews published literature on the epidemiology, aetiology, pathophysiology, diagnosis and clinical management to broaden understanding of this potentially treatable but life-threatening disease entity.
炎症性心肌病(Inflammatory cardiomyopathy, ICM)是心肌炎(myocardial tis, MC)的严重长期后遗症,定义为心肌炎症伴心功能障碍。由于缺乏典型的临床体征和症状,以及该疾病与各种其他非炎症性心肌疾病相似,因此对ICM的明确诊断仍然是一个挑战。该病有多种病因,包括感染性、自身免疫性、药物和毒素。诊断依赖于感染原因的组织学、免疫学、免疫组织化学和分子发现以及心功能障碍的证据。虽然心内膜肌活检是诊断MC和ICM的金标准,也是区分病因形式的方法,但在常规临床环境中很少使用。其结果是在流行病学影响和ICM的自然史方面缺乏确定性。此外,ICM可能自行消退、复发或成为慢性疾病,导致死亡或需要心脏移植。基于达拉斯标准的传统诊断认为MC是ICM、HF和心源性猝死的相对罕见的病因。然而,最近应用于EMB的高度敏感的免疫组织化学和分子工具以及非侵入性成像方式的进展表明,MC和ICM的患病率可能比以前估计的要高得多。因此,本研究回顾了已发表的关于流行病学、病因学、病理生理学、诊断和临床管理的文献,以扩大对这种潜在可治疗但危及生命的疾病实体的认识。
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引用次数: 0
Brain metastasis in HER2 positive stomach cancer HER2阳性胃癌的脑转移
Pub Date : 2020-01-01 DOI: 10.15761/IMM.1000402
Y. Cihan
{"title":"Brain metastasis in HER2 positive stomach cancer","authors":"Y. Cihan","doi":"10.15761/IMM.1000402","DOIUrl":"https://doi.org/10.15761/IMM.1000402","url":null,"abstract":"","PeriodicalId":94322,"journal":{"name":"Integrative molecular medicine","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88736700","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
NL63: A Better Surrogate Virus for studying SARS-CoV-2 NL63:研究SARS-CoV-2的更好替代病毒
Pub Date : 2020-01-01 DOI: 10.15761/imm.1000408
A. Chakraborty, Anil Diwan
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引用次数: 8
期刊
Integrative molecular medicine
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