Therapeutic interventions

治疗干预措施
  • 文章类型: Journal Article
    世界范围内死亡的主要原因之一是肺癌,这主要是由吸烟引起的。关键转录因子NF-κB,控制炎症反应和各种细胞过程,是由抑制剂如IκB蛋白严格调节的组成型存在的细胞质蛋白。在被外部刺激激活后,它经历磷酸化,转移到细胞核,并调节特定基因的表达。肺部恶性肿瘤与烟草消费之间无可争议的关联强调并突出了公共卫生问题。多环芳烃和亚硝胺,燃烧烟草排放的气溶胶中存在的有效致癌化合物,在吸入时引起深远的有害影响,导致肺组织完整性的严重扰动。吸烟诱导的肺癌的发病机制包括一个复杂的过程,其中NF-κB的激活起着关键作用,通过不同的信号通路暴露于香烟烟雾,包括与氧化应激和促炎细胞因子相关的那些。揭示NF-κB在吸烟诱导的肺癌中的参与为分子过程提供了关键的见解。其中NF-κB与MAPK和PI3K-Akt等通路之间的复杂串扰放大了炎症反应,培养有利于肺癌形成的环境。本研究回顾了NF-κB在与肺癌发生的开始和发展相关的复杂分子途径中的关键功能以及潜在的治疗靶标。另见图形摘要(图。1).
    One of the main causes of death worldwide is lung cancer, which is largely caused by cigarette smoking. The crucial transcription factor NF-κB, which controls inflammatory responses and various cellular processes, is a constitutively present cytoplasmic protein strictly regulated by inhibitors like IκB proteins. Upon activation by external stimuli, it undergoes phosphorylation, translocates into the nucleus, and modulates the expression of specific genes. The incontrovertible association between pulmonary malignancy and tobacco consumption underscores and highlights a public health concern. Polycyclic aromatic hydrocarbons and nitrosamines, potent carcinogenic compounds present in the aerosol emitted from combusted tobacco, elicit profound deleterious effects upon inhalation, resulting in severe perturbation of pulmonary tissue integrity. The pathogenesis of smoking-induced lung cancer encompasses an intricate process wherein NF-κB activation plays a pivotal role, triggered by exposure to cigarette smoke through diverse signaling pathways, including those associated with oxidative stress and pro-inflammatory cytokines. Unraveling the participation of NF-κB in smoking-induced lung cancer provides pivotal insights into molecular processes, wherein intricate crosstalk between NF-κB and pathways such as MAPK and PI3K-Akt amplifies the inflammatory response, fostering an environment conducive to the formation of lung cancer. This study reviews the critical function of NF-κB in the complex molecular pathways linked to the initiation and advancement of lung carcinogenesis as well as potential treatment targets. See also the graphical abstract(Fig. 1).
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  • 文章类型: Journal Article
    肠道微生物群从出生开始就与宿主建立了互惠互利的关系,影响不同的代谢和免疫过程。菌群失调,以微生物的不平衡为特征,与许多医疗条件有关,包括胃肠道疾病,心血管疾病,和自身免疫性疾病。这种不平衡促进了毒素产生菌的增殖,破坏宿主的平衡,并引发炎症。遗传因素,饮食选择,和药物的使用可以改变肠道微生物群。然而,有乐观。几种治疗方法,比如益生菌,益生元,合生元,postbiotics,微生物衍生产品,和微生物底物,旨在改变微生物组。这篇综述彻底探讨了这些微生物群调节剂的治疗潜力,分析最近的研究,以评估其疗效和局限性。它强调了基于微生物群的疗法用于治疗与菌群失调相关的疾病的前景。本文旨在通过对当前研究的全面回顾,确保从业人员对这一不断发展的领域中最有影响力的方法感到知情和最新。
    The gut microbiota establishes a mutually beneficial relationship with the host starting from birth, impacting diverse metabolic and immunological processes. Dysbiosis, characterized by an imbalance of microorganisms, is linked to numerous medical conditions, including gastrointestinal disorders, cardiovascular diseases, and autoimmune disorders. This imbalance promotes the proliferation of toxin-producing bacteria, disrupts the host\'s equilibrium, and initiates inflammation. Genetic factors, dietary choices, and drug use can modify the gut microbiota. However, there is optimism. Several therapeutic approaches, such as probiotics, prebiotics, synbiotics, postbiotics, microbe-derived products, and microbial substrates, aim to alter the microbiome. This review thoroughly explores the therapeutic potential of these microbiota modulators, analysing recent studies to evaluate their efficacy and limitations. It underscores the promise of microbiota-based therapies for treating dysbiosis-related conditions. This article aims to ensure practitioners feel well-informed and up to date on the most influential methods in this evolving field by providing a comprehensive review of current research.
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  • 文章类型: Journal Article
    骨质疏松(osteoporosis,OP)是一种以低骨量为特征的常见代谢性骨病,骨密度降低,和骨组织微结构的降解。然而,我们对骨重建的机制和影响骨量的因素的理解仍然不完整。Sirtuin1(SIRT1)是一种烟酰胺腺嘌呤二核苷酸依赖性脱乙酰酶,可调节多种细胞代谢,包括炎症,肿瘤发生,和骨骼代谢。最近的研究强调了SIRT1在骨稳态中的重要作用。本文综述了SIRT1在骨代谢和OP中的作用,并讨论了靶向SIRT1的治疗策略和未来的研究方向。
    Osteoporosis (OP) is a common metabolic bone disease characterized by low bone mass, decreased bone mineral density, and degradation of bone tissue microarchitecture. However, our understanding of the mechanisms of bone remodeling and factors affecting bone mass remains incomplete. Sirtuin1 (SIRT1) is a nicotinamide adenine dinucleotide-dependent deacetylase that regulates a variety of cellular metabolisms, including inflammation, tumorigenesis, and bone metabolism. Recent studies have emphasized the important role of SIRT1 in bone homeostasis. This article reviews the role of SIRT1 in bone metabolism and OP and also discusses therapeutic strategies and future research directions for targeting SIRT1.
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  • 文章类型: Journal Article
    自噬,一种进化上保守的细胞机制,对于维持内部稳定性至关重要,对女性生殖能力起着至关重要的作用。在这次审查中,我们讨论了自噬与女性生殖健康几个方面之间复杂的相互作用,包括怀孕,卵巢功能,妇科恶性肿瘤,子宫内膜异位症,和不孕症。现有研究强调自噬在胚胎着床中的重要意义,特别是在子宫内膜,强调其在确保胎儿正常发育方面的必要性。虽然已经获得了一些知识,自噬对卵母细胞质量的具体分子影响尚缺乏研究,卵泡的生长,和一般生殖健康。自噬在成熟过程中发挥作用,质量,和卵母细胞的发育。它还参与生殖衰老,随着年龄增长导致生殖功能下降。本文就自噬在女性生殖系统中的生理功能进行综述,它参与生殖毒性,以及它与子宫内膜和胚胎的重要联系。此外,这项研究调查了旨在修饰自噬的新兴治疗方法的可能性,使用天然物质和合成分子,改善女性生育能力和生殖结果。此外,本综述旨在通过回顾最近的研究并指出当前知识缺乏的领域,启发对自噬在女性生殖健康中的复杂作用的未来探索。随后的调查应优先考虑将这些发现转化为医学领域的实际用途,这可能会导致对不孕症和其他与生殖相关的困难的开创性治疗。因此,全面了解自噬对女性生育能力的许多影响,不仅将进一步推进生殖生物学领域,还将为诊断和治疗方法开辟新的可能性。
    Autophagy, an evolutionarily conserved cellular mechanism essential for maintaining internal stability, plays a crucial function in female reproductive ability. In this review, we discuss the complex interplay between autophagy and several facets of female reproductive health, encompassing pregnancy, ovarian functions, gynecologic malignancies, endometriosis, and infertility. Existing research emphasizes the crucial significance of autophagy in embryo implantation, specifically in the endometrium, highlighting its necessity in ensuring proper fetal development. Although some knowledge has been gained, there is still a lack of research on the specific molecular impacts of autophagy on the quality of oocytes, the growth of follicles, and general reproductive health. Autophagy plays a role in the maturation, quality, and development of oocytes. It is also involved in reproductive aging, contributing to reductions in reproductive function that occur with age. This review explores the physiological functions of autophagy in the female reproductive system, its participation in reproductive toxicity, and its important connections with the endometrium and embryo. In addition, this study investigates the possibility of emerging treatment approaches that aim to modify autophagy, using both natural substances and synthetic molecules, to improve female fertility and reproductive outcomes. Additionally, this review intends to inspire future exploration into the intricate role of autophagy in female reproductive health by reviewing recent studies and pinpointing areas where current knowledge is lacking. Subsequent investigations should prioritize the conversion of these discoveries into practical uses in the medical field, which could potentially result in groundbreaking therapies for infertility and other difficulties related to reproduction. Therefore, gaining a comprehensive understanding of the many effects of autophagy on female fertility would not only further the field of reproductive biology but also open new possibilities for diagnostic and treatment methods.
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  • 文章类型: Journal Article
    在老龄化社会,推出新的抗衰老策略来预防和对抗衰老相关疾病至关重要。线粒体是主要的ATP产生位点和程序性细胞死亡的关键调节因子。因此,这些高度动态的细胞器在维持组织功能中起着核心作用,线粒体功能障碍是年龄相关性细胞稳态和器官功能进行性下降的关键因素。当前的综述探讨了在理解线粒体功能障碍与器官特异性衰老之间相互作用方面的最新进展。因此,我们剖析了与器官功能恶化相关的线粒体损伤的分子机制,探索线粒体DNA的作用,活性氧稳态,代谢活动,损伤相关的分子模式,生物发生,营业额,和动态。我们还强调了临床前和临床试验中新兴的治疗策略,这些策略应该可以恢复线粒体功能,如抗氧化剂,线粒体生物生成刺激物,以及线粒体周转和动力学的调节剂。此外,我们讨论与使用这些干预措施相关的潜在益处和挑战,鉴于不同组织的独特线粒体特征,强调需要器官特异性方法。总之,这篇综述强调了解决线粒体功能障碍以减轻器官特异性衰老的治疗潜力,专注于皮肤,肝脏,肺,大脑,骨骼肌,和肺,以及生殖,免疫,和心血管系统。在全面了解线粒体的多方面作用的基础上,可以开发和优化创新的治疗策略,以对抗生物衰老并促进跨不同器官系统的健康衰老。
    In an aging society, unveiling new anti-aging strategies to prevent and combat aging-related diseases is of utmost importance. Mitochondria are the primary ATP production sites and key regulators of programmed cell death. Consequently, these highly dynamic organelles play a central role in maintaining tissue function, and mitochondrial dysfunction is a pivotal factor in the progressive age-related decline in cellular homeostasis and organ function. The current review examines recent advances in understanding the interplay between mitochondrial dysfunction and organ-specific aging. Thereby, we dissect molecular mechanisms underlying mitochondrial impairment associated with the deterioration of organ function, exploring the role of mitochondrial DNA, reactive oxygen species homeostasis, metabolic activity, damage-associated molecular patterns, biogenesis, turnover, and dynamics. We also highlight emerging therapeutic strategies in preclinical and clinical tests that are supposed to rejuvenate mitochondrial function, such as antioxidants, mitochondrial biogenesis stimulators, and modulators of mitochondrial turnover and dynamics. Furthermore, we discuss potential benefits and challenges associated with the use of these interventions, emphasizing the need for organ-specific approaches given the unique mitochondrial characteristics of different tissues. In conclusion, this review highlights the therapeutic potential of addressing mitochondrial dysfunction to mitigate organ-specific aging, focusing on the skin, liver, lung, brain, skeletal muscle, and lung, as well as on the reproductive, immune, and cardiovascular systems. Based on a comprehensive understanding of the multifaceted roles of mitochondria, innovative therapeutic strategies may be developed and optimized to combat biological aging and promote healthy aging across diverse organ systems.
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  • 文章类型: Journal Article
    Behçet疾病(BD)是一个复杂的医学难题,迷人的研究人员以其神秘的发病机理。这种复杂的疾病,以复发性口腔和生殖器病变为特征,眼睛刺激,和皮肤损伤,对治疗研究提出了重大障碍。这篇综述探讨了microRNAs(miRNAs)与BD的复杂相互作用,强调他们在疾病的病理生理学中的关键参与。miRNA,被公认为在不同生物过程中的监管影响,在自身免疫性疾病的分子机制中占有举足轻重的地位,例如BD。探索从研究miRNA生物通路和功能开始,建立对他们监管机制的基本理解。转向控制BD的分子景观,这篇综述强调了miRNA介导的对Notch等关键信号通路的影响,核因子κ-活化B细胞的轻链增强子(NF-κB),和蛋白激酶B(AKT)/哺乳动物雷帕霉素靶蛋白(mTOR),提供对复杂病理生理机制的见解。剖析免疫学景观揭示了miRNA对BD的深刻影响,阐明免疫反应的复杂调节,并为疾病的病因和进展提供新的观点。除了分子的复杂性,这篇综述探讨了miRNA在BD中的临床意义,强调它们作为诊断和预后指标的潜力。讨论扩展到基于miRNA的治疗干预的有希望的领域,强调它们在缓解症状和改变疾病进展方面的潜力。这次全面审查,作为研究人员的宝贵资源,临床医生,和利益相关者,旨在破译BD复杂的分子挂毯,探索miRNAs的治疗潜力。
    Behçet\'s Disease (BD) is an intricate medical puzzle, captivating researchers with its enigmatic pathogenesis. This complex ailment, distinguished by recurrent mouth and genital lesions, eye irritation, and skin injuries, presents a substantial obstacle to therapeutic research. This review explores the complex interaction of microRNAs (miRNAs) with BD, highlighting their crucial involvement in the disease\'s pathophysiology. miRNAs, recognized for regulatory influence in diverse biological processes, hold a pivotal position in the molecular mechanisms of autoimmune diseases, such as BD. The exploration begins with examining miRNA biogenic pathways and functions, establishing a foundational understanding of their regulatory mechanisms. Shifting to the molecular landscape governing BD, the review highlights miRNA-mediated impacts on critical signaling pathways like Notch, nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB), and protein kinase B (AKT)/mammalian target of rapamycin (mTOR), offering insights into intricate pathophysiological mechanisms. Dissecting the immunological landscape reveals the profound influence of miRNAs on BD, shedding light on the intricate modulation of immune responses and offering novel perspectives on disease etiology and progression. Beyond molecular intricacies, the review explores the clinical relevance of miRNAs in BD, emphasizing their potential as diagnostic and prognostic indicators. The discussion extends to the promising realm of miRNA-based therapeutic interventions, highlighting their potential in alleviating symptoms and altering disease progression. This comprehensive review, serving as a valuable resource for researchers, clinicians, and stakeholders, aims to decipher the intricate molecular tapestry of BD and explore the therapeutic potential of miRNAs.
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  • 文章类型: Journal Article
    肥胖是一种普遍存在的健康问题,具有多种因素。在与肥胖相关的各种定义的分子靶标中,过氧化物酶体增殖物激活受体γ,瘦素,ghrelin,脂联素在包括能量平衡在内的基本过程中起着至关重要的作用,脂肪组织生物学,和代谢健康,使它们在肥胖研究中特别重要。辣椒素和橘皮通过其热产生表现出有希望的抗肥胖特性,新陈代谢,和抗炎作用。这些靶标提供了治疗肥胖的治疗方法的潜在途径。亚洲医学已经强调了特定植物物种的降脂和抗肥胖益处。由于潜在的抗肥胖品质,辣椒素,它来自辣椒,橘皮提取物是本文的重点。辣椒素引起前脂肪细胞和脂肪细胞的凋亡并抑制脂肪生成。柑橘类水果是生物活性物质的重要来源,主要是类黄酮。由于它们能够减少脂肪细胞发育和细胞脂质含量,柑橘多酚有助于控制肥胖。通过研究肥胖中分子变量的相互作用以及辣椒素和橘皮提取物可能的抗肥胖优势,这项广泛的分析为预防和管理肥胖和代谢综合征的新治疗方法提供了见解。
    Obesity is a widespread prevailing health concern with multifactorial causes. Among the various defined molecular targets associated with obesity, peroxisome proliferator activated receptor gamma, leptin, ghrelin, and adiponectin play crucial roles in fundamental processes including energy balance, adipose tissue biology, and metabolic health, making them particularly significant in the study of obesity.Capsaicin and orange peel exhibit promising anti-obesity properties through their thermogenic, metabolic, and anti-inflammatory effects. Potential pathways for therapeutic approaches in the management of obesity are provided by these targets. The lipid-lowering and anti-obesity benefits of specific plant species have been highlighted in Asian medicine. Due to the potential anti-obesity qualities, capsaicin, which is derived from chilli peppers, and orange peel extract has been focused in this review. Capsaicin causes apoptosis in preadipocytes and adipocytes and suppresses adipogenesis. Citrus fruits are a significant source of bioactive substances, primarily flavonoids. Due to their ability to reduce adipocyte development and cellular lipid content, citrus polyphenols are helpful in the control of obesity. This extensive analysis offers insights into new treatment approaches for the prevention and management of obesity and metabolic syndrome by examining the interactions of molecular variables in obesity as well as the possible anti-obesity advantages of capsaicin and orange peel extract.
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  • 文章类型: Journal Article
    选择素是一组依赖Ca2+的,吸引细胞粘附和迁移的跨膜I型糖蛋白。E-选择素仅在内皮细胞中表达,并且其表达在被促炎细胞因子激活时强烈增强。E-选择素与其配体在循环白细胞上的相互作用捕获并减慢它们,进一步促进整合素激活,牢固粘附于内皮细胞并迁移至组织。氧化应激诱导内皮细胞损伤,导致E-选择素的异常表达。此外,E-选择素水平升高与炎症的高风险呈正相关。在包括急性肾损伤(AKI)在内的几种病理状况中发现了E-选择素的失调,肺部疾病,肝脏病理学,静脉血栓栓塞症(VTE)。小鼠中E-选择素基因的缺失在一定程度上改善了这些并发症。在这次审查中,我们描述了调节E-选择素表达的机制,E-选择素与其配体的相互作用,E-选择素的生理和病理生理作用,以及靶向E-选择素的治疗潜力。
    Selectins are a group of Ca2+-dependent, transmembrane type I glycoproteins which attract cell adhesion and migration. E-selectin is exclusively expressed in endothelial cells, and its expression is strongly enhanced upon activation by pro-inflammatory cytokines. The interaction of E-selectin with its ligands on circulating leukocytes captures and slows them down, further facilitating integrin activation, firm adhesion to endothelial cells and transmigration to tissues. Oxidative stress induces endothelial cell injury, leading to aberrant expression of E-selectin. In addition, the elevated level of E-selectin is positively related to high risk of inflammation. Dysregulation of E-selectin has been found in several pathological conditions including acute kidney injury (AKI), pulmonary diseases, hepatic pathology, Venous thromboembolism (VTE). Deletion of the E-selectin gene in mice somewhat ameliorates these complications. In this review, we describe the mechanisms regulating E-selectin expression, the interaction of E-selectin with its ligands, the E-selectin physiological and pathophysiological roles, and the therapeutical potential of targeting E-selectin.
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  • 文章类型: Journal Article
    这篇综述严格评估了多酚在调节线粒体自噬中的作用的新兴研究,靶向去除受损线粒体的重要细胞机制。这些天然化合物,以其低毒性而闻名,强调了它们在针对各种疾病的治疗策略中的潜力,比如神经退行性疾病,心血管,和肌肉骨骼疾病。该分析深入到多酚促进线粒体自噬的分子机制,特别是通过影响关键的信号通路和转录调节因子,包括磷酸酶和张力蛋白同源物(PTEN)诱导的推定激酶1(PINK1)/parkin和叉头盒O3(FOXO3a)途径。值得注意的发现包括白藜芦醇和姜黄素的神经保护特性,影响自噬途径和线粒体动力学,以及多酚与其他天然物质的开创性整合,以增强治疗效果。此外,该综述面临多酚生物利用度的问题,并强调临床试验证实其治疗可行性的必要性。通过提供当代见解和多酚和线粒体自噬研究的最新进展的详尽综合,这篇综述致力于促进更多的研究,并促进创新的治疗方式的创造,利用多酚的独特属性来管理和预防疾病。
    This review rigorously assesses the burgeoning research into the role of polyphenols in modulating mitophagy, an essential cellular mechanism for the targeted removal of impaired mitochondria. These natural compounds, known for their low toxicity, are underscored for their potential in therapeutic strategies against a diverse array of diseases, such as neurodegenerative, cardiovascular, and musculoskeletal disorders. The analysis penetrates deeply into the molecular mechanisms whereby polyphenols promote mitophagy, particularly by influencing crucial signaling pathways and transcriptional regulators, including the phosphatase and tensin homolog (PTEN) induced putative kinase 1 (PINK1)/parkin and forkhead box O3 (FOXO3a) pathways. Noteworthy discoveries include the neuroprotective properties of resveratrol and curcumin, which affect both autophagic pathways and mitochondrial dynamics, and the pioneering integration of polyphenols with other natural substances to amplify therapeutic effectiveness. Furthermore, the review confronts the issue of polyphenol bioavailability and emphasizes the imperative for clinical trials to corroborate their therapeutic viability. By delivering an exhaustive synthesis of contemporary insights and recent advancements in polyphenol and mitophagy research, this review endeavors to catalyze additional research and foster the creation of innovative therapeutic modalities that exploit the distinctive attributes of polyphenols to manage and prevent disease.
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  • 文章类型: Journal Article
    睡眠对健康至关重要,新兴的研究揭示了与肠道微生物群的深刻联系。这篇综述探讨了肠道菌群与睡眠之间的双向关系,探索所涉及的机制及其提供的治疗机会。肠-脑轴是肠道微生物群和中枢神经系统之间串扰的管道,微生物群的生态失调会损害睡眠质量,反之亦然。饮食,昼夜节律,和免疫调节都起作用。特定的肠道细菌,比如乳酸菌和双歧杆菌,通过5-羟色胺和γ-氨基丁酸的产生增强睡眠,举例说明直接的微生物组影响。相反,睡眠不足会减少有益细菌,加剧生态失调。益生菌,益生元,postbiotics,粪便移植显示出治疗潜力,在动物和人类研究的支持下,但需要进一步研究安全性和长期效果。解开这个复杂的链接为量身定制的睡眠疗法铺平了道路,利用微生物组操纵来改善睡眠和健康。加速研究对于充分挖掘睡眠障碍管理这个有前途的领域至关重要。
    Sleep is crucial for wellness, and emerging research reveals a profound connection to gut microbiota. This review explores the bidirectional relationship between gut microbiota and sleep, exploring the mechanisms involved and the therapeutic opportunities it presents. The gut-brain axis serves as a conduit for the crosstalk between gut microbiota and the central nervous system, with dysbiosis in the microbiota impairing sleep quality and vice versa. Diet, circadian rhythms, and immune modulation all play a part. Specific gut bacteria, like Lactobacillus and Bifidobacterium, enhance sleep through serotonin and gamma-aminobutyric acid production, exemplifying direct microbiome influence. Conversely, sleep deprivation reduces beneficial bacteria, exacerbating dysbiosis. Probiotics, prebiotics, postbiotics, and fecal transplants show therapeutic potential, backed by animal and human research, yet require further study on safety and long-term effects. Unraveling this intricate link paves the way for tailored sleep therapies, utilizing microbiome manipulation to improve sleep and health. Accelerated research is essential to fully tap into this promising field for sleep disorder management.
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