单克隆淋巴瘤和多发性骨髓瘤治疗中的微生物群衍生尿石素 A。

IF 14.9 1区 生物学 Q1 MICROBIOLOGY Microbiome Pub Date : 2025-02-28 DOI:10.1186/s40168-025-02045-6
Alba Rodríguez-García, Raquel Ancos-Pintado, Roberto García-Vicente, Alejandra Ortiz-Ruiz, Andrés Arroyo, Miguel Ángel Navarro, María Luz Morales, Patricia Guevara-Ramirez, Pablo Justo, Nieves López-Muñoz, José Sánchez-Pina, Rafael Alonso, María Victoria Selma, María Dolores Frutos-Lisón, Rocío García-Villalba, Francisco A Tomás-Barberán, Rosa Ayala, Joaquín Martínez-López, María Linares
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引用次数: 0

摘要

背景:肠道微生物源性尿石素可能影响多发性骨髓瘤(MM)疾病的进展和治疗。我们使用质谱法和16S rRNA基因测序分析了45例活动性MM或癌前病变患者的尿石素及其相关微生物群。结果:血清和粪便中尿石素可检测水平以及尿石素相关微生物群丰度较高的患者预后较好。对尿素A (UroA)在体内、体外和体外的作用分析表明,UroA对MM细胞系具有细胞毒性,并能调节细胞周期和线粒体活性。值得注意的是,在体外和异种移植小鼠模型中,UroA抑制原代MM细胞的增殖,提高总体存活率。最后,UroA和硼替佐米联合治疗在体外具有协同作用,即使存在硼替佐米耐药性,并调节参与MM发展的信号通路。结论:尿尿素可能是一种潜在的治疗药物,可以阻止MM疾病的进展或克服耐药性。视频摘要。
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Microbiota-derived urolithin A in monoclonal gammopathies and multiple myeloma therapy.

Background: Gut microbiota-derived urolithins may influence multiple myeloma (MM) disease progression and treatment. We analyzed urolithins and their associated microbiota in a retrospective cohort of 45 patients with active MM or premalignant disease using mass spectrometry and 16S rRNA gene sequencing.

Results: Patients with detectable levels of urolithin in serum and stool and a higher abundance of urolithin-related microbiota had a better outcome. Analysis of the effects of urolithin A (UroA) treatment ex vivo, in vitro, and in vivo revealed that UroA is cytotoxic against MM cell lines and modulates the cell cycle and mitochondrial activity. Notably, UroA inhibits the proliferation of primary MM cells in vitro and in a xenograft mouse model, improving overall survival. Finally, combination therapy with UroA and bortezomib has a synergistic effect in vitro, even in the presence of bortezomib resistance, and modulates signaling pathways involved in MM development.

Conclusions: UroA might be a potential therapeutic agent to halt MM disease progression or to overcome resistance when used in combination. Video Abstract.

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来源期刊
Microbiome
Microbiome MICROBIOLOGY-
CiteScore
21.90
自引率
2.60%
发文量
198
审稿时长
4 weeks
期刊介绍: Microbiome is a journal that focuses on studies of microbiomes in humans, animals, plants, and the environment. It covers both natural and manipulated microbiomes, such as those in agriculture. The journal is interested in research that uses meta-omics approaches or novel bioinformatics tools and emphasizes the community/host interaction and structure-function relationship within the microbiome. Studies that go beyond descriptive omics surveys and include experimental or theoretical approaches will be considered for publication. The journal also encourages research that establishes cause and effect relationships and supports proposed microbiome functions. However, studies of individual microbial isolates/species without exploring their impact on the host or the complex microbiome structures and functions will not be considered for publication. Microbiome is indexed in BIOSIS, Current Contents, DOAJ, Embase, MEDLINE, PubMed, PubMed Central, and Science Citations Index Expanded.
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