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Longitudinal analysis of retinal cell state transitions in RB1-deficient retinal organoids reveals the nascent cone precursors are the earliest cell-origin of human retinoblastoma. 对rb1缺陷视网膜类器官视网膜细胞状态转变的纵向分析显示,新生锥体前体是人类视网膜母细胞瘤最早的细胞起源。
IF 9.6 1区 生物学 Q1 CELL BIOLOGY Pub Date : 2026-01-14 DOI: 10.1038/s41419-025-08191-x
Ke Ye, Yuan Wang, Ping Xu, Bingbing Xie, Shijing Wu, Wenxin Zhang, Guanjie Gao, Dandan Zheng, Xiaojing Song, Suai Zhang, Fuying Guo, Yongping Li, Yizhi Liu, Jie Wang, Ruifang Sui, Xiufeng Zhong

All cancers arise from the malignant transformation of normal cells, yet their cells-of-origin remain challenging to identify due to the inability to directly observe dynamic changes in human tumors. Retinoblastoma (Rb), a malignant intraocular cancer, serves as a well-established model for investigating the molecular and cellular mechanisms underlying tumorigenesis. While the maturing cone precursors (CPs) have been proposed as the cellular origin of human Rb, it is unclear whether other retinal cell types are similarly sensitive to RB1 inactivation. In this study, we developed RB1-deficient human retinal organoids (ROs) models using RB1-/- or RB1+/- human induced pluripotent stem cells (hiPSCs). RB1-/- hiPSCs generated tumor cells that recapitulated key features of human Rb and formed serial orthotopic xenografts. Importantly, RB1 loss induced overproliferation of ATOH7+ neurogenic retinal progenitor cells (nRPCs), which disrupted retinal development by generating ectopic dividing early-born retinal cells (retinal ganglion cells and CPs). Single-cell RNA sequencing analysis confirmed that ATOH7+/RXRγ+ nascent CPs survived and ultimately drove Rb tumorigenesis. In contrast, monoallelic RB1 inactivation resulting in low pRB expression did not induce proliferation of nascent CPs, but only triggered overproliferation of nRPCs, leading to a retinocytoma-like phenotype. Finally, a potential therapeutic target for Rb was identified from multi-omics data and validated through knockdown experiment and a small-molecule inhibitor. Our findings demonstrate, for the first time, that nRPCs are the most sensitive cells to RB1 loss inducing abnormal proliferation of nascent retinal cells, while ATOH7+ nascent CPs represent the earliest cellular origin of human Rb. These insights may facilitate the development of targeted therapies for Rb.

所有癌症都是由正常细胞的恶性转化引起的,但由于无法直接观察人类肿瘤的动态变化,鉴定其起源细胞仍然具有挑战性。视网膜母细胞瘤(Retinoblastoma, Rb)是一种恶性眼内癌,是研究肿瘤发生的分子和细胞机制的良好模型。虽然成熟锥体前体(CPs)已被认为是人类Rb的细胞起源,但尚不清楚其他视网膜细胞类型是否对RB1失活同样敏感。在这项研究中,我们使用RB1-/-或RB1+/-人诱导多能干细胞(hiPSCs)建立了RB1缺陷的人视网膜类器官(ROs)模型。RB1-/- hiPSCs产生的肿瘤细胞再现了人Rb的关键特征,并形成了一系列的原位异种移植物。重要的是,RB1缺失诱导ATOH7+神经源性视网膜祖细胞(nRPCs)过度增殖,通过产生异位分裂的早期视网膜细胞(视网膜神经节细胞和CPs)破坏视网膜发育。单细胞RNA测序分析证实ATOH7+/RXRγ+新生CPs存活并最终驱动Rb肿瘤发生。相比之下,单等位基因RB1失活导致pRB低表达不会诱导新生CPs的增殖,而只会引发nRPCs的过度增殖,导致视网膜细胞瘤样表型。最后,从多组学数据中确定了Rb的潜在治疗靶点,并通过敲低实验和小分子抑制剂进行了验证。我们的研究结果首次表明,nRPCs是对RB1缺失最敏感的细胞,可诱导新生视网膜细胞的异常增殖,而ATOH7+新生CPs代表了人类Rb最早的细胞起源。这些发现可能会促进Rb靶向治疗的发展。
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引用次数: 0
S-nitrosylation of IRF7 induced by NOS1 expression in melanoma suppresses anti-tumor immunity. 黑色素瘤中NOS1表达诱导的IRF7 s -亚硝基化抑制抗肿瘤免疫。
IF 9.6 1区 生物学 Q1 CELL BIOLOGY Pub Date : 2026-01-14 DOI: 10.1038/s41419-025-08201-y
Yuxin Dai, Sisi Zeng, Keyi Li, Jinyan Huang, Minzhu Yang, Wenwen Gao, Xi Chen, Mengqiu Huang, Shuangyan Ye, Qianli Wang, Jianping Chen, Lingqun Zhu, Zhuo Zhong, Shuai Yuan, Siwei Guo, Nan Liu, Bingtao Hao, Qiuzhen Liu

Endogenous nitric oxide (NO) produced by nitric oxide synthases (NOSs) plays an important immunosuppressive role in the tumor microenvironment. In melanoma, NOS1 expression increases with tumor progression and correlates with tumor immune escape through the inhibition of type I interferon (IFN) signaling. However, the immune regulatory role and related mechanisms of NOS1, as well as its impacts on immune therapies such as immune checkpoint blockade (ICB) in melanoma, remain unclear. Here, we found that NOS1 expression induces IRF7 modification by S-nitrosylation at the C435 site in mice (C481 in humans), which functionally promoted tumor growth in mouse models. Mechanistically, IRF7-C435-SNO inhibited IFNβ transcription under PRR signal activation, leading to a disorder in the initiation of the type I interferon response in melanoma cells. In a melanoma mouse model, IRF7-C435-SNO decreased the infiltration and activation of CD8 + T cells in the tumor microenvironment by reducing antigen presentation processes in tumor cells and inhibiting the maturation of DC1. Clinically, high expression of NOS1 correlated with poor survival prognosis and resistance to ICB anti-tumor therapies in melanoma cases with less immune cell infiltration. Our study suggests that NOS1 expression in melanoma characterizes IFN-I signal disorders in response to innate immune stimulation through IRF7 s-nitrosylation. Targeting NOS1 signaling might be beneficial for overcoming immune therapeutically resistance, particularly in immune-cold melanoma phenotype.

由一氧化氮合酶(nos)产生的内源性一氧化氮(NO)在肿瘤微环境中具有重要的免疫抑制作用。在黑色素瘤中,NOS1表达随着肿瘤进展而增加,并通过抑制I型干扰素(IFN)信号传导与肿瘤免疫逃逸相关。然而,NOS1的免疫调节作用和相关机制,以及其对黑色素瘤免疫检查点阻断(ICB)等免疫治疗的影响尚不清楚。在这里,我们发现NOS1表达诱导IRF7在小鼠的C435位点(人类的C481位点)通过s -亚硝基化修饰,从而在小鼠模型中功能性地促进肿瘤生长。在机制上,IRF7-C435-SNO在PRR信号激活下抑制IFNβ转录,导致黑色素瘤细胞中I型干扰素应答的启动障碍。在黑色素瘤小鼠模型中,IRF7-C435-SNO通过减少肿瘤细胞中的抗原呈递过程和抑制DC1的成熟,降低肿瘤微环境中CD8 + T细胞的浸润和活化。临床上,在免疫细胞浸润较少的黑色素瘤病例中,NOS1的高表达与生存预后差和对ICB抗肿瘤治疗的耐药相关。我们的研究表明,黑色素瘤中的NOS1表达是通过IRF7 s-亚硝基化响应先天免疫刺激的IFN-I信号紊乱的特征。靶向NOS1信号可能有助于克服免疫治疗耐药性,特别是在免疫冷黑色素瘤表型中。
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引用次数: 0
PSMD1 inhibition suppresses tumor progression and enhances antitumor immunity by modulating the RTKN/β-catenin/PD-L1 axis in hepatocellular carcinoma. PSMD1抑制通过调节肝细胞癌的RTKN/β-catenin/PD-L1轴抑制肿瘤进展并增强抗肿瘤免疫。
IF 9.6 1区 生物学 Q1 CELL BIOLOGY Pub Date : 2026-01-14 DOI: 10.1038/s41419-025-08241-4
Xiangjun Qian, Kai Zhang, Chao Ma, Yang Ji, Xianzhou Zhang, Li Wang, Tao He, Haibo Yu, Hao Zhuang, Xiaopei Hao

Immunotherapy has emerged as a promising approach in the management of cancer. However, the suboptimal efficacy of immunotherapy monotherapy underscores the need to develop more effective combination strategies. In this study, we focused on PSMD1 to investigate its role and the molecular pathways by which it regulates the response to immunotherapy in hepatocellular carcinoma (HCC). In HCC, elevated PSMD1 levels are linked to associated with poor prognosis. PSMD1 was predominantly expressed in malignant epithelial cells. Tissue microarray results showed that PSMD1 was highly expressed in tumor tissues. Silencing PSMD1 suppressed HCC cell proliferation and promoted apoptosis in both in vitro and in vivo models. Additionally, PSMD1 suppression decreased PD-L1 expression, thereby enhancing the therapeutic efficacy of anti-PD-1 therapy. Mechanistically, publicly available single-cell RNA sequencing (scRNA-seq) datasets indicated that PSMD1 positively regulates β-catenin signaling. Silencing of PSMD1 decreased the expression of β-catenin pathway-associated proteins. Further analysis via mass spectrometry revealed that PSMD1 interacts with Rhotekin (RTKN) and suppresses its ubiquitination. Subsequent experiments revealed that RTKN enhances β-catenin expression through AKT phosphorylation, thereby increasing PD-L1 transcription. In summary, our findings demonstrate that PSMD1 regulates RTKN protein expression, whereas RTKN facilitates β-catenin expression via AKT phosphorylation. This mechanism contributes to HCC progression and the effectiveness of immunotherapy. The PSMD1/RTKN/β-catenin axis could serve as a promising therapeutic target for HCC.

免疫疗法已成为治疗癌症的一种很有前途的方法。然而,免疫治疗单一疗法的次优疗效强调了开发更有效的联合策略的必要性。在本研究中,我们重点研究PSMD1在肝细胞癌(HCC)中调节免疫治疗反应的作用及其分子途径。在HCC中,PSMD1水平升高与预后不良相关。PSMD1主要在恶性上皮细胞中表达。组织芯片结果显示PSMD1在肿瘤组织中高表达。在体外和体内模型中,沉默PSMD1可抑制HCC细胞增殖并促进细胞凋亡。此外,PSMD1抑制可降低PD-L1的表达,从而增强抗pd -1治疗的疗效。机制上,公开的单细胞RNA测序(scRNA-seq)数据集表明PSMD1正调控β-catenin信号传导。PSMD1的沉默降低了β-catenin通路相关蛋白的表达。进一步的质谱分析显示PSMD1与Rhotekin (RTKN)相互作用并抑制其泛素化。随后的实验发现RTKN通过AKT磷酸化增强β-catenin的表达,从而增加PD-L1的转录。综上所述,我们的研究结果表明PSMD1调节RTKN蛋白的表达,而RTKN通过AKT磷酸化促进β-catenin的表达。这一机制有助于HCC的进展和免疫治疗的有效性。PSMD1/RTKN/β-catenin轴可以作为HCC的一个有希望的治疗靶点。
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引用次数: 0
Correction: UHRF1-mediated epigenetic reprogramming regulates glycolysis to promote progression of B-cell acute lymphoblastic leukemia. 纠正:uhrf1介导的表观遗传重编程调节糖酵解促进b细胞急性淋巴细胞白血病的进展。
IF 9.6 1区 生物学 Q1 CELL BIOLOGY Pub Date : 2026-01-13 DOI: 10.1038/s41419-025-08136-4
Yan Huang, Luting Luo, Yangqi Xu, Jiazheng Li, Zhengjun Wu, Chenxing Zhao, Jingjing Wen, Peifang Jiang, Haojie Zhu, Lingyan Wang, Yanxin Chen, Ting Yang, Jianda Hu
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引用次数: 0
Correction: Osteomodulin positively regulates osteogenesis through interaction with BMP2. 更正:骨调节蛋白通过与BMP2的相互作用积极调节成骨。
IF 9.6 1区 生物学 Q1 CELL BIOLOGY Pub Date : 2026-01-13 DOI: 10.1038/s41419-025-08120-y
Wenzhen Lin, Xiaohan Zhu, Li Gao, Mengying Mao, Daming Gao, Zhengwei Huang
{"title":"Correction: Osteomodulin positively regulates osteogenesis through interaction with BMP2.","authors":"Wenzhen Lin, Xiaohan Zhu, Li Gao, Mengying Mao, Daming Gao, Zhengwei Huang","doi":"10.1038/s41419-025-08120-y","DOIUrl":"10.1038/s41419-025-08120-y","url":null,"abstract":"","PeriodicalId":9734,"journal":{"name":"Cell Death & Disease","volume":"17 1","pages":"29"},"PeriodicalIF":9.6,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12800333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145965218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial Expression of Concern: USP2a alters chemotherapeutic response by modulating redox. 编辑关注:USP2a通过调节氧化还原改变化疗反应。
IF 9.6 1区 生物学 Q1 CELL BIOLOGY Pub Date : 2026-01-13 DOI: 10.1038/s41419-025-08406-1
B Benassi, M Marani, M Loda, G Blandino
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引用次数: 0
Correction: Human iPSC-derived spinal neural progenitors enhance sensorimotor recovery in spinal cord-injured NOD-SCID mice via differentiation and microenvironment regulation. 更正:人类ipsc衍生的脊髓神经祖细胞通过分化和微环境调节增强脊髓损伤的NOD-SCID小鼠的感觉运动恢复。
IF 9.6 1区 生物学 Q1 CELL BIOLOGY Pub Date : 2026-01-13 DOI: 10.1038/s41419-025-08122-w
Xuanbao Yao, Kehua Zhang, Tao Na, Yuchun Wang, Yuhan Guo, Jiajie Xi, Xiang Li, Shufang Meng, Miao Xu
{"title":"Correction: Human iPSC-derived spinal neural progenitors enhance sensorimotor recovery in spinal cord-injured NOD-SCID mice via differentiation and microenvironment regulation.","authors":"Xuanbao Yao, Kehua Zhang, Tao Na, Yuchun Wang, Yuhan Guo, Jiajie Xi, Xiang Li, Shufang Meng, Miao Xu","doi":"10.1038/s41419-025-08122-w","DOIUrl":"10.1038/s41419-025-08122-w","url":null,"abstract":"","PeriodicalId":9734,"journal":{"name":"Cell Death & Disease","volume":"17 1","pages":"28"},"PeriodicalIF":9.6,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12800031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145965304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mutations in VPS18 lead to a neutrophil maturation defect associated with disturbed vesicle homeostasis. VPS18的突变导致中性粒细胞成熟缺陷与囊泡稳态紊乱相关。
IF 9.6 1区 生物学 Q1 CELL BIOLOGY Pub Date : 2026-01-12 DOI: 10.1038/s41419-025-08338-w
Jincheng Gao, Almke Bader, Monika I Linder, Jingyuan Cheng, Mathis Richter, Raul da Costa, Annette Zehrer, Karl Mitt, Bastian Popper, Felix Meissner, Xiang Wei, Enrique de Vega Gómez, Megumi Tatematsu, Meino Rohlfs, Stephanie Frenz-Wiessner, Mehmet Kiziltug, Ido Somekh, Joanne Yacobovich, Orna Steinberg-Shemer, Raz Somech, Oliver Soehnlein, Bettina Schmid, Christoph Klein, Barbara Walzog, Daniela Maier-Begandt

Neutrophils, the first cells to arrive at the site of inflammation, are rather short-lived cells and thus have to be constantly replenished. During neutrophil development, vesicle dynamics need to be fine-tuned and impaired vesicle trafficking has been linked to failure in neutrophil maturation. Here, we characterized the role of VPS18 as a central core component of CORVET & HOPS tethering complexes for neutrophil development. Using CRISPR/Cas9-engineered Hoxb8 cells with heterozygous mutations in Vps18, we found that VPS18 deficiency interfered with neutrophil development due to tethering complex instability. As a result, vesicle dynamics were impaired with a strong increase in LC3B-II and p62 levels, indicating autophagosome accumulation and reduced autophagic flux. With transmission electron microscopy, we verified the increase in autophagosomes and also found irregularly shaped vesicular structures in Vps18 mutants. Subsequently, Vps18 mutant neutrophil progenitors underwent premature apoptosis. We described a novel patient with a heterozygous stop-gain mutation in VPS18 suffering from neutropenia and recurrent infections. To verify our findings in the human system, we used human induced pluripotent stem cells (iPSCs). Upon differentiation into neutrophils, loss of VPS18 resulted in an almost complete absence of iPSC-derived developing neutrophils. Heterozygous VPS18 mutant and patient mutation-harboring iPSCs were characterized by strongly reduced numbers of developing neutrophils. Zebrafish larvae with heterozygous mutations in vps18 were also characterized by significantly reduced neutrophil numbers. This study shows the pivotal impact of VPS18 for adequate vesicle dynamics during neutrophil development which might be relevant in the context of vesicle trafficking during granulopoiesis and congenital neutropenia.

中性粒细胞是第一个到达炎症部位的细胞,是寿命相当短的细胞,因此必须不断补充。在中性粒细胞发育过程中,囊泡动力学需要微调,受损的囊泡运输与中性粒细胞成熟失败有关。在这里,我们描述了VPS18作为CORVET和HOPS系聚复合物在中性粒细胞发育中的核心组成部分的作用。利用CRISPR/ cas9基因工程的带有Vps18杂合突变的Hoxb8细胞,我们发现Vps18缺陷由于系固复合物的不稳定性而干扰中性粒细胞的发育。结果,囊泡动力学随着LC3B-II和p62水平的强烈增加而受损,表明自噬体积累和自噬通量减少。通过透射电镜,我们证实了自噬体的增加,并在Vps18突变体中发现了不规则形状的囊泡结构。随后,Vps18突变中性粒细胞祖细胞发生过早凋亡。我们描述了一个新的患者杂合停止增益突变的VPS18患有中性粒细胞减少症和复发性感染。为了在人体系统中验证我们的发现,我们使用了人类诱导多能干细胞(iPSCs)。在分化为中性粒细胞后,VPS18的缺失导致ipsc衍生的发育中性粒细胞几乎完全缺失。杂合子VPS18突变体和患者携带突变的iPSCs的特征是发育中性粒细胞数量明显减少。vps18杂合突变的斑马鱼幼鱼的中性粒细胞数量也显著减少。本研究显示VPS18对中性粒细胞发育过程中囊泡动力学的关键影响,这可能与粒细胞形成和先天性中性粒细胞减少症期间囊泡运输的背景有关。
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引用次数: 0
Loss of TMEM55B modulates lipid metabolism through dysregulated lipophagy and mitochondrial function. TMEM55B的缺失通过脂质吞噬和线粒体功能失调调节脂质代谢。
IF 9.6 1区 生物学 Q1 CELL BIOLOGY Pub Date : 2026-01-09 DOI: 10.1038/s41419-025-08210-x
Yuanyuan Qin, Sheila S Teker, Nilsa La Cunza, Yao Tong, Elizabeth Theusch, Neil V Yang, Leela Venkatesan, Julia Su, Xuanwen Wang, Ronald M Krauss, Aparna Lakkaraju, Aras N Mattis, Marisa W Medina

Lipophagy is a form of selective autophagy that targets the lipid droplets for lysosomal decay and has been implicated in the onset and progression of metabolic dysfunction-associated steatotic liver disease (MASLD). Factors that augment lipophagy have been identified as targets for MASLD therapeutic development. TMEM55B is a key regulator of lysosomal positioning, which is critical for lysosome fusion with the autophagosome, but is less well studied. Here, we demonstrate that the absence of TMEM55B in murine models accelerates MASLD onset and progression to metabolic dysfunction-associated steatohepatitis (MASH). In cellular models, TMEM55B deficiency enhances incomplete lipophagy, whereby lysosome-lipid droplet interactions are increased, but lysosomal cargo is not fully degraded and/or released, leading to the development of lipid-filled lysosomes (lipolysosomes). Loss of TMEM55B also impairs mitophagy, causing an accumulation of dysfunctional mitochondria. This imbalance leads to increased lipid accumulation and oxidative stress, worsening MASLD. These findings underscore the importance of lysosomal positioning in lipid metabolism and suggest that targeting lipophagy for MASLD therapeutic development should be carefully considered to ensure promotion of the entire lipophagic flux pathway and whether it occurs in the context of mitochondrial dysfunction.

脂噬是选择性自噬的一种形式,以溶酶体衰变的脂滴为目标,与代谢功能障碍相关的脂肪变性肝病(MASLD)的发生和进展有关。增加脂肪吞噬的因素已被确定为MASLD治疗发展的目标。TMEM55B是溶酶体定位的关键调节因子,对溶酶体与自噬体融合至关重要,但研究较少。在这里,我们证明了小鼠模型中TMEM55B的缺失加速了MASLD的发病和发展为代谢功能障碍相关脂肪性肝炎(MASH)。在细胞模型中,TMEM55B缺陷增强了不完全脂噬,因此溶酶体与脂滴的相互作用增加,但溶酶体货物不能完全降解和/或释放,导致充满脂质的溶酶体(脂溶酶体)的发展。TMEM55B的缺失也会损害线粒体自噬,导致功能失调线粒体的积累。这种不平衡导致脂质积累和氧化应激增加,使MASLD恶化。这些发现强调了溶酶体定位在脂质代谢中的重要性,并提示针对MASLD的脂肪吞噬治疗发展应仔细考虑,以确保促进整个脂肪吞噬通量途径,以及它是否发生在线粒体功能障碍的背景下。
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引用次数: 0
Virus-induced endothelial senescence as a cause and driving factor for ME/CFS and long COVID: mediated by a dysfunctional immune system. 病毒诱导的内皮细胞衰老是ME/CFS和长COVID的病因和驱动因素:由功能失调的免疫系统介导
IF 9.6 1区 生物学 Q1 CELL BIOLOGY Pub Date : 2026-01-09 DOI: 10.1038/s41419-025-08162-2
Massimo Nunes, Loren Kell, Anouk Slaghekke, Rob Ci Wüst, Burtram C Fielding, Douglas B Kell, Etheresia Pretorius

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and long COVID are two post-viral diseases, which share many common symptoms and pathophysiological alterations. Yet a mechanistic explanation of disease induction and maintenance is lacking. This hinders the discovery and implementation of biomarkers and treatment options, and ultimately the establishment of effective clinical resolution. Here, we propose that acute viral infection results in (in)direct endothelial dysfunction and senescence, which at the blood-brain barrier, cerebral arteries, gastrointestinal tract, and skeletal muscle can explain symptoms. The endothelial senescence-associated secretory phenotype (SASP) is proinflammatory, pro-oxidative, procoagulant, primed for vasoconstriction, and characterized by impaired regulation of tissue repair, but also leads to dysregulated inflammatory processes. Immune abnormalities in ME/CFS and long COVID can account for the persistence of endothelial senescence long past the acute infection by preventing their clearance, thereby providing a mechanism for the chronic nature of ME/CFS and long COVID. The systemic and tissue-specific effects of endothelial senescence can thus explain the multisystem involvement in and subtypes of ME/CFS and long COVID, including dysregulated blood flow and perfusion deficits. This can occur in all tissues, but especially the brain as evidenced by findings of reduced cerebral blood flow and impaired perfusion of various brain regions, post-exertional malaise (PEM), gastrointestinal disturbances, and fatigue. Paramount to this theory is the affected endothelium, and the bidirectional sustainment of immune abnormalities and endothelial senescence. The recognition of endothelial cell dysfunction and senescence as a core element in the aetiology of both ME/CFS and Long COVID should aid in the establishment of effective biomarkers and treatment regimens.

肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS)和长COVID是两种病毒后疾病,它们有许多共同的症状和病理生理改变。然而,缺乏对疾病诱发和维持的机制解释。这阻碍了生物标志物和治疗方案的发现和实施,并最终建立有效的临床解决方案。在这里,我们提出急性病毒感染直接导致内皮功能障碍和衰老,这在血脑屏障、脑动脉、胃肠道和骨骼肌可以解释症状。内皮衰老相关分泌表型(SASP)是促炎、促氧化、促凝、血管收缩的,其特征是组织修复调节受损,但也会导致炎症过程失调。ME/CFS和长COVID的免疫异常可以通过阻止其清除来解释急性感染后内皮细胞衰老的持续存在,从而为ME/CFS和长COVID的慢性性质提供了一种机制。因此,内皮细胞衰老的全身性和组织特异性效应可以解释ME/CFS和长期COVID的多系统参与和亚型,包括血流失调和灌注缺陷。这可以发生在所有组织中,但尤其是大脑,如脑血流减少和脑各区域灌注受损、运动后不适(PEM)、胃肠道紊乱和疲劳等。该理论最重要的是受影响的内皮,以及免疫异常和内皮细胞衰老的双向维持。内皮细胞功能障碍和衰老是ME/CFS和Long COVID病因学的核心因素,这有助于建立有效的生物标志物和治疗方案。
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引用次数: 0
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