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The mechanisms behind heatstroke-induced intestinal damage. 中暑诱发肠道损伤的机制。
IF 6.1 2区 生物学 Q1 CELL BIOLOGY Pub Date : 2024-10-28 DOI: 10.1038/s41420-024-02210-0
Minshu Sun, Qin Li, Zhimin Zou, Jian Liu, Zhengtao Gu, Li Li

With the frequent occurrence of heatwaves, heatstroke (HS) is expected to become one of the main causes of global death. Being a multi-organized disease, HS can result in circulatory disturbance and systemic inflammatory response, with the gastrointestinal tract being one of the primary organs affected. Intestinal damage plays an initiating and promoting role in HS. Multiple pathways result in damage to the integrity of the intestinal epithelial barrier due to heat stress and hypoxia brought on by blood distribution. This usually leads to intestinal leakage as well as the infiltration and metastasis of toxins and pathogenic bacteria in the intestinal cavity, which will eventually cause inflammation in the whole body. A large number of studies have shown that intestinal damage after HS involves the body's stress response, disruption of oxidative balance, disorder of tight junction proteins, massive cell death, and microbial imbalance. Based on these damage mechanisms, protecting the intestinal barrier and regulating the body's inflammatory and immune responses are effective treatment strategies. To better understand the pathophysiology of this complex process, this review aims to outline the potential processes and possible therapeutic strategies for intestinal damage after HS in recent years.

随着热浪的频繁出现,中暑(HS)预计将成为全球死亡的主要原因之一。作为一种多器官疾病,中暑可导致循环障碍和全身炎症反应,而胃肠道是主要受累器官之一。肠道损伤在 HS 中起着启动和促进作用。由于热应激和血液分布造成的缺氧,多种途径导致肠道上皮屏障完整性受损。这通常会导致肠道渗漏以及毒素和致病菌在肠腔内的浸润和转移,最终引起全身炎症。大量研究表明,HS 后的肠道损伤涉及机体的应激反应、氧化平衡破坏、紧密连接蛋白紊乱、大量细胞死亡和微生物失衡。基于这些损伤机制,保护肠道屏障、调节机体炎症和免疫反应是有效的治疗策略。为了更好地理解这一复杂过程的病理生理学,本综述旨在概述近年来 HS 后肠道损伤的潜在过程和可能的治疗策略。
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引用次数: 0
CDK4/6 inhibition initiates cell cycle arrest by nuclear translocation of RB and induces a multistep molecular response. CDK4/6 抑制通过 RB 的核转位启动细胞周期停滞,并诱发多步分子反应。
IF 6.1 2区 生物学 Q1 CELL BIOLOGY Pub Date : 2024-10-26 DOI: 10.1038/s41420-024-02218-6
Ting Hong, Anna C Hogger, Dongbiao Wang, Qi Pan, Julie Gansel, Thomas Engleitner, Rupert Öllinger, Jürgen E Gschwend, Roland Rad, Roman Nawroth

CDK4/6 inhibitors are standard of care in the treatment of metastatic breast cancer. Treatment regimen consists of a combination with endocrine therapy, since their therapeutic efficacy as monotherapy in most clinical trials was rather limited. Thus, understanding the molecular mechanisms that underlie response to therapy might allow for the development of an improved therapy design. We analyzed the response to the CDK4/6 inhibitor palbociclib in bladder cancer cells over a 48-hour time course using RNA sequencing and identified a multi-step mechanism of response. We next translated these results to the molecular mechanism in bladder cancer cells upon PD treatment. The initial step is characterized by translocation of the RB protein into the nucleus by activation of importin α/β, a mechanism that requires the NLS sequence. In parallel, RB is proteolyzed in the cytoplasm, a process regulated by gankyrin and the SCF complex. Only hypophosphorylated RB accumulates in the nucleus, which is an essential step for an efficient therapy response by initiating G1 arrest. This might explain the poor response in RB negative or mutated patients. At later stages during therapy, increased expression of the MiT/TFE protein family leads to lysosomal biogenesis which is essential to maintain this response. Lastly, cancer cells either undergo senescence and apoptosis or develop mechanisms of resistance following CDK4/6 inhibition.

CDK4/6 抑制剂是治疗转移性乳腺癌的标准药物。由于在大多数临床试验中,CDK4/6抑制剂作为单一疗法的疗效相当有限,因此治疗方案包括与内分泌疗法联合使用。因此,了解治疗反应的分子机制可能有助于改进治疗设计。我们利用 RNA 测序分析了膀胱癌细胞在 48 小时内对 CDK4/6 抑制剂 palbociclib 的反应,并确定了反应的多步骤机制。接下来,我们将这些结果转化为膀胱癌细胞在PD治疗后的分子机制。第一步的特点是通过激活导入蛋白α/β将 RB 蛋白转位到细胞核中,这一机制需要 NLS 序列。与此同时,RB 在细胞质中被蛋白水解,这一过程受 gankyrin 和 SCF 复合物的调控。只有低磷酸化的 RB 才会在细胞核中积聚,而这是通过启动 G1 停顿实现高效治疗反应的必要步骤。这可能是 RB 阴性或突变患者反应不佳的原因。在治疗的后期阶段,MiT/TFE 蛋白家族表达的增加会导致溶酶体生物生成,这对维持这种反应至关重要。最后,CDK4/6抑制后,癌细胞要么衰老和凋亡,要么产生抗药性。
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引用次数: 0
The oncogenic axis YAP/MYC/EZH2 impairs PTEN tumor suppression activity enhancing lung tumorigenicity. 致癌轴YAP/MYC/EZH2损害了PTEN的肿瘤抑制活性,从而增强了肺癌的致病性。
IF 6.1 2区 生物学 Q1 CELL BIOLOGY Pub Date : 2024-10-25 DOI: 10.1038/s41420-024-02216-8
Federica Lo Sardo, Chiara Turco, Beatrice Messina, Andrea Sacconi, Francesca Romana Auciello, Claudio Pulito, Sabrina Strano, Sima Lev, Giovanni Blandino

The tumor suppressor PTEN (phosphatase and tensin homolog deleted in chromosome 10) is genetically deleted or downregulated in many cancer types. Loss of PTEN protein expression is frequently found in lung cancer while genetic alterations are less abundant. PTEN expression is regulated at multiple genetic and epigenetic levels and even partial reduction of its expression increases cancer occurrence. We show that YAP and TAZ cooperate with EZH2, and MYC to transcriptionally repress onco-suppressor genes, including PTEN, in non-small cell lung cancer (NSCLC) cells. YAP/TAZ-EZH2-MYC transcriptional regulators form a nuclear complex that represses PTEN transcription, while their combinatorial targeting restores PTEN expression, attenuates NSCLC cell growth, and prevents compensatory responses induced by single treatments. Datasets analysis of NSCLC patients revealed that PTEN expression is negatively correlated to YAP/TAZ, EZH2 and MYC and that low expression of PTEN is predictive of poor prognosis, especially at earlier stages of the disease. These findings highlight the repressive role of the YAP/TAZ-EZH2-MYC axis on tumor-suppressor genes and offer a potential therapeutic strategy for lung cancer patients with low PTEN levels.

在许多癌症类型中,肿瘤抑制因子 PTEN(10 号染色体上缺失的磷酸酶和天丝蛋白同源物)会发生基因缺失或下调。肺癌中经常发现 PTEN 蛋白表达缺失,而基因改变则较少见。PTEN 的表达在多个遗传和表观遗传水平上受到调控,即使部分减少其表达也会增加癌症的发生率。我们发现,在非小细胞肺癌(NSCLC)细胞中,YAP和TAZ与EZH2和MYC合作转录抑制包括PTEN在内的共抑制基因。YAP/TAZ-EZH2-MYC转录调节因子形成了抑制PTEN转录的核复合物,而它们的组合靶向作用能恢复PTEN的表达,抑制NSCLC细胞的生长,并防止单一疗法引起的代偿反应。对NSCLC患者的数据集分析表明,PTEN的表达与YAP/TAZ、EZH2和MYC呈负相关,PTEN的低表达预示着预后不良,尤其是在疾病的早期阶段。这些发现强调了YAP/TAZ-EZH2-MYC轴对肿瘤抑制基因的抑制作用,并为PTEN水平较低的肺癌患者提供了一种潜在的治疗策略。
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引用次数: 0
Deciphering the nexus between long non-coding RNAs and endoplasmic reticulum stress in hepatocellular carcinoma: biomarker discovery and therapeutic horizons. 解密肝细胞癌中长非编码 RNA 与内质网应激之间的关系:生物标记物的发现与治疗前景。
IF 6.1 2区 生物学 Q1 CELL BIOLOGY Pub Date : 2024-10-24 DOI: 10.1038/s41420-024-02200-2
Himanshi Goyal, Sachin Parwani, Jyotdeep Kaur

Hepatocellular carcinoma (HCC) remains a significant global health challenge with few effective treatment options. The dysregulation of endoplasmic reticulum (ER) stress responses has emerged as a pivotal factor in HCC progression and therapy resistance. Long non-coding RNAs (lncRNAs) play a crucial role as key epigenetic modifiers in this process. Recent research has explored how lncRNAs influence ER stress which in turn affects lncRNAs activity in HCC. We systematically analyze the current literature to highlight the regulatory roles of lncRNAs in modulating ER stress and vice versa in HCC. Our scrutinization highlights how dysregulated lncRNAs contribute to various facets of HCC, including apoptosis resistance, enhanced proliferation, invasion, and metastasis, all driven by ER stress. Moreover, we delve into the emerging paradigm of the lncRNA-miRNA-mRNA axis, elucidating it as the promising avenue for developing novel biomarkers and paving the way for more personalized treatment options in HCC. Nevertheless, we acknowledge the challenges and future directions in translating these insights into clinical practice. In conclusion, our review provides insights into the complex regulatory mechanisms governing ER stress modulation by lncRNAs in HCC.

肝细胞癌(HCC)仍然是全球健康面临的重大挑战,但有效的治疗方案却寥寥无几。内质网(ER)应激反应失调已成为导致 HCC 进展和耐药性的关键因素。长非编码 RNA(lncRNA)作为关键的表观遗传修饰因子在这一过程中发挥着至关重要的作用。最近的研究探讨了 lncRNA 如何影响 ER 应激,而 ER 应激又如何影响 lncRNA 在 HCC 中的活性。我们对现有文献进行了系统分析,以突出lncRNAs在HCC中调节ER压力以及反向调节ER压力的作用。我们的研究强调了失调的lncRNA如何导致HCC的各个方面,包括凋亡抵抗、增殖增强、侵袭和转移,所有这些都是由ER压力驱动的。此外,我们还深入研究了lncRNA-miRNA-mRNA轴这一新兴范式,将其阐明为开发新型生物标记物的大有可为的途径,并为HCC中更个性化的治疗方案铺平道路。然而,我们也承认将这些见解转化为临床实践所面临的挑战和未来的方向。总之,我们的综述提供了有关 HCC 中 lncRNAs 调节 ER 应激的复杂调控机制的见解。
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引用次数: 0
Author Correction: Human adipose tissue-derived mesenchymal stem cells and their extracellular vesicles modulate lipopolysaccharide activated human microglia. 作者更正:人脂肪组织间充质干细胞及其细胞外囊泡可调节脂多糖激活的人小胶质细胞。
IF 6.1 2区 生物学 Q1 CELL BIOLOGY Pub Date : 2024-10-23 DOI: 10.1038/s41420-024-02209-7
Marta Garcia-Contreras, Avnesh S Thakor
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引用次数: 0
Long non-coding RNA-encoded micropeptides: functions, mechanisms and implications. 长非编码 RNA 编码的微肽:功能、机制和影响。
IF 6.1 2区 生物学 Q1 CELL BIOLOGY Pub Date : 2024-10-23 DOI: 10.1038/s41420-024-02175-0
Yinan Xiao, Yaru Ren, Wenteng Hu, Athanasios R Paliouras, Wenyang Zhang, Linghui Zhong, Kaixin Yang, Li Su, Peng Wang, Yonghong Li, Minjie Ma, Lei Shi

Long non-coding RNAs (lncRNAs) are typically described as RNA transcripts exceeding 200 nucleotides in length, which do not code for proteins. Recent advancements in technology, including ribosome RNA sequencing and ribosome nascent-chain complex sequencing, have demonstrated that many lncRNAs retain small open reading frames and can potentially encode micropeptides. Emerging studies have revealed that these micropeptides, rather than lncRNAs themselves, are responsible for vital functions, including but not limited to regulating homeostasis, managing inflammation and the immune system, moderating metabolism, and influencing tumor progression. In this review, we initially outline the rapidly advancing computational analytical methods and public tools to predict and validate the potential encoding of lncRNAs. We then focus on the diverse functions of micropeptides and their underlying mechanisms in the pathogenesis of disease. This review aims to elucidate the functions of lncRNA-encoded micropeptides and explore their potential applications as therapeutic targets in cancer.

长非编码 RNA(lncRNA)通常指长度超过 200 个核苷酸的 RNA 转录本,它们不编码蛋白质。最近的技术进步,包括核糖体 RNA 测序和核糖体新生链复合物测序,表明许多 lncRNA 保留了小的开放阅读框,有可能编码微肽。新近的研究发现,这些微肽(而非 lncRNA 本身)具有重要功能,包括但不限于调节体内平衡、管理炎症和免疫系统、调节新陈代谢以及影响肿瘤进展。在这篇综述中,我们首先概述了快速发展的计算分析方法和公共工具,用于预测和验证 lncRNAs 的潜在编码。然后,我们将重点讨论微肽的各种功能及其在疾病发病机制中的潜在机制。本综述旨在阐明lncRNA编码的微肽的功能,并探索它们作为癌症治疗靶点的潜在应用。
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引用次数: 0
C/EBPα-mediated ACSL4-dependent ferroptosis exacerbates tubular injury in diabetic kidney disease. C/EBPα介导的 ACSL4 依赖性铁蛋白沉积会加剧糖尿病肾病的肾小管损伤。
IF 6.1 2区 生物学 Q1 CELL BIOLOGY Pub Date : 2024-10-23 DOI: 10.1038/s41420-024-02179-w
Ziru Xia, Zhaonan Wei, Xin Li, Yunzi Liu, Xiangchen Gu, Jianhua Tong, Siyi Huang, Xiaoyue Zhang, Weiming Wang

Diabetic kidney disease (DKD) is a prevalent and debilitating complication of diabetes characterized by progressive renal function decline and a lack of effective treatment options. Here, we investigated the role of the transcription factor CCAAT/enhancer binding protein alpha (C/EBPα) in DKD pathogenesis. Analysis of renal biopsy samples revealed increased C/EBPα expression in patients with DKD. Using RNA sequencing and proteomics, we explored the mechanisms through which the C/EBPα contributes to DKD. Our findings demonstrated that C/EBPα exacerbated tubular injury by promoting acyl-CoA synthetase long-chain family member 4 (ACSL4)-dependent ferroptosis. We identified that C/EBPα upregulated ACSL4 expression by binding to its transcription regulatory sequence (TRS), leading to elevated lipid peroxidation and ferroptosis. Furthermore, inhibition or genetic ablation of C/EBPα attenuated ferroptosis and mitigated tubular injury in DKD. These results highlighted the C/EBPα-ACSL4-ferroptosis pathway as a promising therapeutic target for DKD treatment.

糖尿病肾病(DKD)是一种常见的、使人衰弱的糖尿病并发症,其特点是肾功能进行性衰退和缺乏有效的治疗方案。在此,我们研究了转录因子 CCAAT/增强子结合蛋白α(C/EBPα)在 DKD 发病机制中的作用。肾活检样本分析显示,DKD 患者体内 C/EBPα 表达增加。利用 RNA 测序和蛋白质组学,我们探索了 C/EBPα 促成 DKD 的机制。我们的研究结果表明,C/EBPα通过促进酰基-CoA合成酶长链家族成员4(ACSL4)依赖性铁变态反应,加剧了肾小管损伤。我们发现,C/EBPα通过与其转录调控序列(TRS)结合,上调了ACSL4的表达,从而导致脂质过氧化和铁变态反应的加剧。此外,抑制或基因消减 C/EBPα 可减轻 DKD 中的铁蛋白沉积和肾小管损伤。这些结果突出表明,C/EBPα-ACSL4-铁蛋白沉积途径是治疗DKD的一个很有前景的治疗靶点。
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引用次数: 0
Mutation of the SUMOylation site of Aurora-B disrupts spindle formation and chromosome alignment in oocytes. Aurora-B 的 SUMOylation 位点突变会破坏卵母细胞中纺锤体的形成和染色体的排列。
IF 6.1 2区 生物学 Q1 CELL BIOLOGY Pub Date : 2024-10-22 DOI: 10.1038/s41420-024-02217-7
Shan-Shan Chen, Li Li, Bo Yao, Jia-Lun Guo, Ping-Shuang Lu, Hao-Lin Zhang, Kun-Huan Zhang, Yuan-Jing Zou, Nan-Jian Luo, Shao-Chen Sun, Lin-Lin Hu, Yan-Ping Ren

Aurora-B is a kinase that regulates spindle assembly and kinetochore-microtubule (KT-MT) attachment during mitosis and meiosis. SUMOylation is involved in the oocyte meiosis regulation through promoting spindle assembly and chromosome segregation, but its substrates to support this function is still unknown. It is reported that Aurora-B is SUMOylated in somatic cells, and SUMOylated Aurora-B contributes the process of mitosis. However, whether Aurora-B is SUMOylated in oocytes and how SUMOylation of Aurora-B impacts its function in oocyte meiosis remain poorly understood. In this study, we report that Aurora-B is modified by SUMOylation in mouse oocytes. The results show that Aurora-B colocalized and interacted with SUMO-2/3 in mouse oocytes, confirming that Aurora-B is modified by SUMO-2/3 in this system. Compared with that in young mice, the protein expression of SUMO-2/3 decreased in the oocytes of aged mice, indicating that SUMOylation might be related to mouse aging. Overexpression of Aurora-B SUMOylation site mutants, Aurora-BK207R and Aurora-BK292R, inhibited Aurora-B recruitment and first polar body extrusion, disrupting localization of gamma tubulin, spindle formation and chromosome alignment in oocytes. The results show that it was related to decreased recruitment of p-HDAC6 which induces the high stability of whole spindle microtubules including the microtubules of both correct and wrong KT-MT attachments though increased acetylation of microtubules. Therefore, our results corroborate the notion that Aurora-B activity is regulated by SUMO-2/3 in oocytes, and that SUMOylated Aurora B plays an important role in spindle formation and chromosome alignment.

极光-B是一种激酶,在有丝分裂和减数分裂过程中调节纺锤体的组装和动点心轴-微管(KT-MT)的附着。SUMO酰化通过促进纺锤体组装和染色体分离参与卵母细胞减数分裂调控,但其支持这一功能的底物尚不清楚。据报道,Aurora-B在体细胞中被SUMO化,SUMO化的Aurora-B有助于有丝分裂过程。然而,Aurora-B 在卵母细胞中是否被 SUMOylated,以及 Aurora-B 的 SUMOylation 如何影响其在卵母细胞减数分裂中的功能,目前仍鲜为人知。在本研究中,我们报告了 Aurora-B 在小鼠卵母细胞中被 SUMO 修饰的情况。结果显示,Aurora-B在小鼠卵母细胞中与SUMO-2/3共定位并相互作用,证实了Aurora-B在该系统中被SUMO-2/3修饰。与年轻小鼠相比,老龄小鼠卵母细胞中SUMO-2/3的蛋白表达量减少,表明SUMO化可能与小鼠衰老有关。过表达Aurora-B SUMOylation位点突变体Aurora-BK207R和Aurora-BK292R抑制了Aurora-B的招募和第一极体的挤出,破坏了卵母细胞中γ微管蛋白的定位、纺锤体的形成和染色体的排列。结果表明,这与p-HDAC6的招募减少有关,p-HDAC6通过增加微管的乙酰化诱导整个纺锤体微管的高度稳定性,包括正确和错误的KT-MT连接的微管。因此,我们的研究结果证实了以下观点:在卵母细胞中,极光-B的活性受SUMO-2/3调控,SUMO化的极光-B在纺锤体形成和染色体排列中发挥着重要作用。
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引用次数: 0
Upregulation of cholinergic modulators Lypd6 and Lypd6b associated with autism drives anxiety and cognitive decline. 与自闭症相关的胆碱能调节剂 Lypd6 和 Lypd6b 的上调会导致焦虑和认知能力下降。
IF 6.1 2区 生物学 Q1 CELL BIOLOGY Pub Date : 2024-10-21 DOI: 10.1038/s41420-024-02211-z
Aizek B Isaev, Maxim L Bychkov, Dmitrii S Kulbatskii, Alexander A Andreev-Andrievskiy, Mikhail A Mashkin, Mikhail A Shulepko, Olga V Shlepova, Eugene V Loktyushov, Alexander V Latanov, Mikhail P Kirpichnikov, Ekaterina N Lyukmanova

Intellectual disability and autistic features are associated with chromosome region 2q23.q23.2 duplication carrying LYPD6 and LYPD6B genes. Here, we analyzed LYPD6 and LYPD6B expression in patients with different neuropsychiatric disorders. Increased LYPD6 and LYPD6B expression was revealed in autism and other disorders. To study possible consequences of Lypd6 and Lypd6b overexpression in the brain, we used a mouse model with intracerebroventricular delivery of recombinant analogs of these proteins. A two-week infusion evoked significant memory impairment and acute stress. Both modulators downregulated hippocampal and amygdala dendritic spine density. No changes in synaptic plasticity were observed. Intracerebroventricular administration by both proteins downregulated hippocampal expression of Lypd6, Lypd6b, and α7 nicotinic acetylcholine receptor (nAChR). Similar to Lypd6, Lypd6b targeted different nAChR subtypes in the brain with preferential inhibition of α7- and α4β2-nAChRs. Thus, increased Lypd6 and Lypd6b level in the brain are linked to cholinergic system depression, neuronal atrophy, memory decline, and anxiety.

智力障碍和自闭症特征与携带 LYPD6 和 LYPD6B 基因的染色体 2q23.q23.2 区域重复有关。在此,我们分析了 LYPD6 和 LYPD6B 在不同神经精神疾病患者中的表达情况。在自闭症和其他疾病中发现了 LYPD6 和 LYPD6B 表达的增加。为了研究 Lypd6 和 Lypd6b 在大脑中过度表达可能造成的后果,我们使用了一种小鼠模型,在小鼠脑室内注射这些蛋白的重组类似物。为期两周的输注诱发了明显的记忆损伤和急性应激。这两种调节剂都下调了海马和杏仁核树突棘密度。没有观察到突触可塑性的变化。这两种蛋白的脑室内给药会降低海马中Lypd6、Lypd6b和α7烟碱乙酰胆碱受体(nAChR)的表达。与Lypd6类似,Lypd6b也针对大脑中不同的nAChR亚型,优先抑制α7-和α4β2-nAChR。因此,大脑中 Lypd6 和 Lypd6b 水平的增加与胆碱能系统抑制、神经元萎缩、记忆力衰退和焦虑有关。
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引用次数: 0
Sleep restriction exacerbates cardiac dysfunction in diabetic mice by causing cardiomyocyte death and fibrosis through mitochondrial damage. 睡眠限制通过线粒体损伤导致心肌细胞死亡和纤维化,从而加剧糖尿病小鼠的心脏功能障碍。
IF 6.1 2区 生物学 Q1 CELL BIOLOGY Pub Date : 2024-10-21 DOI: 10.1038/s41420-024-02214-w
Jingyi Zhang, Xu Zhao, Jing Tang, Ce Liu, Yining Zhang, Cheng Cai, Qingfeng Du

Diabetic cardiomyopathy (DCM) is a cardiovascular complication of diabetes mellitus with a poor prognosis and is the leading cause of death in diabetic patients. Sleep deficiency is not only recognized as an important risk factor for the development of type 2 DM, but is also associated with increased morbidity and mortality of cardiovascular disease. The underlying role and mechanisms of sleep restriction (SR) in DCM are far from clear. The KK/Upj-Ay mouse model of T2 DM was used as a study subject, and the small animal ultrasound imaging system was used to detect the function of the heart; immunopathological staining was used to clarify the histo-structural pathological alterations of the heart; and TUNEL staining, qPCR, transmission electron microscopy (TEM), and ELISA kits were used to detect apoptosis, oxidative stress, inflammation, and mitochondrial damage, and related molecular alterations. SR led to a significant increase in mortality, cardiac hypertrophy, necrosis, glycogen deposition and fibrosis further deteriorated in DM KK mice. SR increased cardiomyocyte death in KK mice through the Bax/Bcl2 pathway. In addition to this, SR not only exacerbated the inflammatory response, but also aggravated mitochondrial damage and promoted oxidative stress in KK mice through the PRDM16-PGC-1α pathway. Overall, SR exacerbates structural alterations and dysfunction through inflammation, oxidative stress, and apoptosis in DM KK mice, increasing the risk of death. Clinicians and diabetic patients are prompted to pay attention to sleep habits to avoid accelerating the transition of DCM to heart failure and inducing death due to poor sleep habits.

糖尿病心肌病(DCM)是糖尿病的一种心血管并发症,预后不良,是糖尿病患者死亡的主要原因。睡眠不足不仅被认为是 2 型糖尿病发病的重要危险因素,而且还与心血管疾病发病率和死亡率的增加有关。睡眠限制(SR)在 DCM 中的潜在作用和机制尚不清楚。研究以 KK/Upj-Ay T2 DM 小鼠模型为研究对象,利用小动物超声成像系统检测心脏功能;利用免疫病理染色明确心脏组织结构病理改变;利用 TUNEL 染色、qPCR、透射电子显微镜(TEM)和 ELISA 试剂盒检测细胞凋亡、氧化应激、炎症和线粒体损伤及相关分子改变。SR导致DM KK小鼠死亡率明显升高,心脏肥大、坏死、糖原沉积和纤维化进一步恶化。SR 通过 Bax/Bcl2 通路增加了 KK 小鼠心肌细胞的死亡。此外,SR 不仅加剧了炎症反应,还通过 PRDM16-PGC-1α 通路加剧了线粒体损伤并促进了 KK 小鼠的氧化应激。总之,SR 通过炎症、氧化应激和细胞凋亡加剧了 DM KK 小鼠的结构改变和功能障碍,增加了死亡风险。临床医生和糖尿病患者应注意睡眠习惯,避免因睡眠习惯不良而加速DCM向心力衰竭的转变并诱发死亡。
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引用次数: 0
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Cell Death Discovery
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