Degeneration

变性
  • 文章类型: Journal Article
    优化氮(N)管理(OPT),随着总N输入的减少和穗发育过程中施加的N增加,已被证明可以通过穗部扩大来提高水稻的籽粒产量。然而,圆锥花序结构和变异源的变化尚不清楚。一个名为天优3618的杂交水稻品种在2016年和2017年的早期种植季节进行了OPT和农民的肥料实践(FFP)。N输入减少16.7%,OPT使穗型大小增加了8.6%和27.4%,2016年和2017年粮食产量分别下降13.8%和12.3%。OPT有更大的干物质积累和氮吸收从穗开始到抽穗,这支持了圆锥花序的扩大。在不同的氮素处理下,每个分支的存活小花数量是相当恒定的,次要,和三级分支机构,这意味着圆锥花序的大小主要取决于分支的数量,而不是每个分支的小花数量。OPT和FFP之间的分化几乎没有变化,主要分支及其小花的退化和存活。OPT下存活的二级和三级分支及其小花比FFP下显着更多。OPT下存活的次级分支的增加是由于分化增强和变性减少所致。虽然在OPT下存活的三级分支的增加仅仅是由于分化增强,尽管它们的退化也急剧增加。在OPT下增加的分化小花中,32.4%-36.3%和61.6%-67.7%来自二级和三级分支机构,分别。在OPT下幸存的小花中,62.2%-65.2%和32.5%-37.8%来自二级和三级分支,分别。二级分支和三级分支都是OPT穗大小增加的主要原因。据我们所知,这是关于OPT下穗型结构的详细变化及其参与穗型扩大和产量增加的第一份报告。
    Optimized nitrogen (N) management (OPT), with reduced total N input and more N applied during panicle development, has been proved to increase grain yield of rice through panicle enlargement. However, the changes in panicle architecture and source of variation are not well understood. A hybrid rice variety named Tianyou 3618 was subjected to OPT and farmer\'s fertilizer practice (FFP) in early cropping seasons of 2016 and 2017. With 16.7 % less N input, OPT increased panicle size by 8.6 % and 27.4 %, and grain yield by 13.8 % and 12.3 % for 2016 and 2017, respectively. OPT had greater dry matter accumulation and N uptake from panicle initiation to heading, which bolstered panicle enlargement. The number of surviving florets per branch was quite constant under different N treatments for all primary, secondary, and tertiary branches, implying that panicle size was mainly determined by the number of branches rather than the number of florets per branch. Little change was observed between OPT and FFP in differentiation, degeneration and survival of primary branches and their florets. Surviving secondary and tertiary branches and their florets were significantly more under OPT than those under FFP. The increase in surviving secondary branches under OPT resulted from both enhanced differentiation and reduced degeneration. While the increase in surviving tertiary branches under OPT was merely from enhanced differentiation though their degeneration was also dramatically increased. Among the increased differentiated florets under OPT, 32.4%-36.3 % and 61.6%-67.7 % came from secondary and tertiary branches, respectively. Among the increased surviving florets under OPT, 62.2%-65.2 % and 32.5%-37.8 % came from secondary and tertiary branches, respectively. Both secondary branches and tertiary branches were principal contributors to the increase in panicle size of OPT. To our knowledge, this is the first report on the detailed changes in panicle architecture and their involvement in panicle enlargement and yield gain under OPT.
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  • 文章类型: Journal Article
    背景:异常闭塞和衰老是颞下颌关节(TMJ)变性的两个主要风险。
    目的:评估咬合和年龄对TMJ椎间盘的综合影响。
    方法:为了避免性别的混杂影响,目前,126只雌性C57BL/6J小鼠,63名年轻人,6周龄和63名成年人,28周龄,被使用。通过将金属管安装到下颌切牙上,创建了实验性的双侧前牙咬合(BAC)关系。在第3、7和11周处死小鼠(n=9)。此外,在去除组中,在7周时将已安装的试管取出,在另外4周后对TMJ进行采样(n=9).通过组织形态学检测到椎间盘的变化,免疫组织化学,和蛋白质印迹分析。
    结果:BAC组椎间盘变形明显。典型的变化是椎间盘后部区域的增生,其中有明显的炎症细胞浸润。炎症标志物的表达,包括肿瘤坏死因子-α和白细胞介素-1β,和分解代谢标记,包括纤连蛋白(FN),FN-末端片段,血管内皮生长因子A,都增加了。这种变化在成年人中比在年轻人中更明显。去除BAC减轻了青少年的炎症和分解代谢变化,但是成人的炎症标志物几乎没有恢复。
    结论:TMJ椎间盘通过变性和炎症对BAC有反应,并通过康复来应对BAC移除。与年轻人的椎间盘相比,成人椎间盘对BAC的变性反应更严重,对BAC的抗炎能力水平较低。动物不能等同于人类。人类椎间盘对咬合变化的反应值得进一步探讨。
    BACKGROUND: Aberrant occlusion and aging are two main risks for temporomandibular joint (TMJ) degeneration.
    OBJECTIVE: To assess the combined impact of occlusion and age on TMJ disc.
    METHODS: To avoid the confounding impact of gender, presently, 126 female C57BL/6J mice, 63 youngsters, 6-week old and 63 adults, 28-week old, were used. An experimental bilateral anterior crossbite (BAC) relation was created by installing metal tubes onto the mandibular incisors. Mice were sacrificed at 3, 7 and 11 weeks (n = 9). Additionally, the installed tubes were removed at 7 weeks in removal groups and the TMJs were sampled after another 4 weeks (n = 9). Disc changes were detected by histomorphology, immunohistochemistry, and western blot assays.
    RESULTS: Disc deformation was obvious in BAC groups. The typical change was hyperplasia at the posterior region of the disc where there was significant infiltration of inflammatory cells. Expressions of the inflammatory markers, including tumour necrosis factor-α and interleukin-1β, and the catabolic markers, including fibronectin (FN), FN N-terminal fragments, and vascular endothelial growth factor-A, were all increased. The changes were more obvious in adults than in youngsters. Removal of BAC attenuated inflammatory and catabolic changes in the youngsters, but the inflammatory markers recovered little in the adults.
    CONCLUSIONS: TMJ disc responds to BAC by degeneration and inflammation, and respond to BAC removal by rehabilitation. Adult discs show severer degeneration responses to BAC and a lower level of anti-inflammatory capability to BAC removal than the youngster\'s discs. Animals cannot be equated with humans. The human disc response to occlusion changes worth further exploration.
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  • 文章类型: Journal Article
    蚕是一种非常有价值的昆虫,通过它的丝腺产生丝绸。在这个器官中,由于其能够降解丝心蛋白,因此已鉴定并命名了丝素酶。丝腺中丝素酶的表达在幼虫-p期显着增加,这可能与丝腺的退化有关。在这项研究中,纤维蛋白酶在中部和后部的丝腺中都被过表达并被特别地击倒。分别,使用转基因技术。对这些转基因蚕的丝腺发育的研究表明,纤维蛋白酶在加速丝腺变性中起直接作用。在转基因蚕的丝腺中进行的染色分析表明,纤维蛋白酶参与了丝腺变性过程中的自噬和凋亡过程。进一步的实验表明,纤维蛋白酶,作为溶酶体调节剂,通过mTOR(雷帕霉素的机制靶标)途径负调节自噬。此外,在细胞凋亡期间,纤维蛋白酶可以通过增加BmCaspase1的活性来激活Caspase3,最终加速细胞凋亡过程。这些发现增强了我们对纤维蛋白酶在促进丝腺变性中的生理作用的理解,丝腺中的蛋白质分解,协调自噬和凋亡的调节。
    The silkworm is an incredibly valuable insect that produces silk through its silk gland. Within this organ, Fibroinase has been identified and named due to its ability to fibroin degradation. The expression of Fibroinase in the silk gland significantly increases during the larval-pupal stage, which might be associated with the degeneration of the silk gland. In this study, Fibroinase was overexpressed and knocked down specifically both in the middle and posterior silk glands, respectively, using transgenic technology. The investigation of silk gland development in these transgenic silkworms showed that Fibroinase plays a direct role in accelerating silk gland degeneration. The staining analyses performed in the silk glands of transgenic silkworms suggest that Fibroinase is involved in the processes of autophagy and apoptosis during silk gland degeneration. Further experiments demonstrated that Fibroinase, acting as a lysosomal regulator, negatively regulates autophagy via the mTOR (mechanistic target of rapamycin) pathway. Moreover, during apoptosis, Fibroinase could activate Caspase3 by increasing the activity of BmCaspase1, ultimately accelerating the apoptosis process. These findings enhance our understanding of the physiological role of Fibroinase in promoting silk gland degeneration, which plays a role in breaking down proteins in the silk gland and coordinating the regulation of autophagy and apoptosis.
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  • 文章类型: Journal Article
    背景:越来越认识到胆碱能变性对帕金森病(PD)步态障碍的影响,然而,它与多巴胺抵抗步态参数的关系研究甚少。我们研究了PD中综合步态参数与胆碱能核变性之间的关系。
    方法:这项横断面研究纳入了84名PD患者和69名对照。所有受试者均接受了脑结构磁共振成像,以评估胆碱能核的灰质密度(GMD)和体积(GMV)(Ch123/Ch4)。使用PD组的传感器可穿戴设备获取单任务(ST)和双任务(DT)步行测试下的步态参数。我们比较了各组之间的胆碱能核形态和步态表现,并检查了它们的关联。
    结果:PD患者在达到HY阶段>2后,与对照组相比,左侧Ch4的GMD和GMV显着降低。在多个步态参数与双侧Ch123/Ch4之间观察到显着相关性。经过多次测试校正后,Ch123/Ch4变性与较短的步幅显著相关,较低的步态速度,更长的站立阶段,在ST和DT条件下,较小的脚踝脚趾和脚跟撞击角度。对于HY1-2期的PD患者,Ch123/4无明显变性,仅右侧Ch123/Ch4用步态参数校正。然而,随着疾病进展到HY阶段>2,双侧Ch123/Ch4核显示与步态表现相关,在右侧观察到更广泛的显著相关性。
    结论:我们的研究表明,在PD的不同阶段,胆碱能核变性与步态损害之间存在进行性关联,并强调胆碱能核对步态损害的影响的潜在侧化。这些发现为研究胆碱能治疗作为解决PD步态障碍的有希望的方法的未来临床试验的设计和实施提供了见解。
    BACKGROUND: The contribution of cholinergic degeneration to gait disturbance in Parkinson\'s disease (PD) is increasingly recognized, yet its relationship with dopaminergic-resistant gait parameters has been poorly investigated. We investigated the association between comprehensive gait parameters and cholinergic nucleus degeneration in PD.
    METHODS: This cross-sectional study enrolled 84 PD patients and 69 controls. All subjects underwent brain structural magnetic resonance imaging to assess the gray matter density (GMD) and volume (GMV) of the cholinergic nuclei (Ch123/Ch4). Gait parameters under single-task (ST) and dual-task (DT) walking tests were acquired using sensor wearables in PD group. We compared cholinergic nucleus morphology and gait performance between groups and examined their association.
    RESULTS: PD patients exhibited significantly decreased GMD and GMV of the left Ch4 compared to controls after reaching HY stage > 2. Significant correlations were observed between multiple gait parameters and bilateral Ch123/Ch4. After multiple testing correction, the Ch123/Ch4 degeneration was significantly associated with shorter stride length, lower gait velocity, longer stance phase, smaller ankle toe-off and heel-strike angles under both ST and DT condition. For PD patients with HY stage 1-2, there were no significant degeneration of Ch123/4, and only right side Ch123/Ch4 were corrected with the gait parameters. However, as the disease progressed to HY stage > 2, bilateral Ch123/Ch4 nuclei showed correlations with gait performance, with more extensive significant correlations were observed in the right side.
    CONCLUSIONS: Our study demonstrated the progressive association between cholinergic nuclei degeneration and gait impairment across different stages of PD, and highlighting the potential lateralization of the cholinergic nuclei\'s impact on gait impairment. These findings offer insights for the design and implementation of future clinical trials investigating cholinergic treatments as a promising approach to address gait impairments in PD.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    视网膜,中枢神经系统的组织,对视觉至关重要,因为它的光感受器捕获光并将其转化为电信号,在将它们发送到大脑以解释为图像之前进行进一步处理。视网膜的独特之处在于它持续暴露于光线,并且在体内所有组织中具有最高的代谢率和对能量的需求。因此,视网膜对氧化应激非常敏感。VDAC,线粒体外膜上的一个孔,在线粒体和胞质溶胶之间穿梭代谢物,通常保护细胞免受氧化损伤,但是当细胞的完整性受到极大的损害时,它就会引发细胞死亡。VDAC有三种同工型,现有证据表明这三者都在视网膜中表达。然而,它们在每种细胞类型中的精确定位和功能是未知的。似乎大多数视网膜细胞表达大量的VDAC2和VDAC3,可能是为了保护它们免受氧化应激。光感受器在Warburg途径中表达VDAC2,HK2和PKM2关键蛋白,也保护这些细胞。与它在启动细胞死亡中的作用一致,VDAC在视网膜变性疾病视网膜色素变性中过度表达,年龄相关性黄斑变性(AMD),和青光眼。用抗氧化剂处理或抑制VDAC寡聚化降低其表达并改善细胞存活。因此,VDAC可能是治疗这些疾病的有希望的治疗候选物。
    The retina, a tissue of the central nervous system, is vital for vision as its photoreceptors capture light and transform it into electrical signals, which are further processed before they are sent to the brain to be interpreted as images. The retina is unique in that it is continuously exposed to light and has the highest metabolic rate and demand for energy amongst all the tissues in the body. Consequently, the retina is very susceptible to oxidative stress. VDAC, a pore in the outer membrane of mitochondria, shuttles metabolites between mitochondria and the cytosol and normally protects cells from oxidative damage, but when a cell\'s integrity is greatly compromised it initiates cell death. There are three isoforms of VDAC, and existing evidence indicates that all three are expressed in the retina. However, their precise localization and function in each cell type is unknown. It appears that most retinal cells express substantial amounts of VDAC2 and VDAC3, presumably to protect them from oxidative stress. Photoreceptors express VDAC2, HK2, and PKM2-key proteins in the Warburg pathway that also protect these cells. Consistent with its role in initiating cell death, VDAC is overexpressed in the retinal degenerative diseases retinitis pigmentosa, age related macular degeneration (AMD), and glaucoma. Treatment with antioxidants or inhibiting VDAC oligomerization reduced its expression and improved cell survival. Thus, VDAC may be a promising therapeutic candidate for the treatment of these diseases.
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  • 文章类型: Journal Article
    目的:脉络膜新生血管(CNV)在X-连锁视网膜劈裂(XLRS)患者中的记录很少。本研究旨在探讨XLRS患者中CNV的患病率及临床特点。以及分析初步的基因型-表型相关性。
    方法:纳入基因证实的XLRS患者的回顾性病例系列。人口统计,分析了临床和遗传特征,与CNV和非CNV眼睛之间的比较。
    结果:在129例XLRS患者的185只眼中,CNV的患病率为8.1%(15/185).所有CNV患者的平均诊断年龄为5.1±2.56岁。CNV眼睛的平均最佳矫正视力(BCVA)(最小分辨率角度的对数)为1.37±0.74。将所有CNV分类为视网膜下和活性的。乳头周围CNVs占80.0%(12/15),而中央凹下CNVs占20.0%(3/15)。在CNV眼中,黄斑萎缩的患病率(5/15,33.3%,p=0.013)和大疱性外周分裂(14/15,93.3%,p=0.000)与非CNV眼相比更高。此外,与非CNV眼相比,CNV眼表现出较差的外视网膜和BCVA的完整性(p=0.007)。所有15只患有CNV的眼睛均接受了抗血管内皮生长因子(抗VEGF)治疗。基因型分析显示,10例患者中有7例(70.0%,10只眼睛)被预测有错觉变体,而10例患者中有3例(30.0%,5只眼)表现出严重的变异。
    结论:发现XLRS眼中CNV的患病率为8.1%。XLRS继发的所有CNV均具有活性,并分类为2型。CNV眼表现出较差的视觉功能和受损的视网膜结构。抗VEGF治疗证明在治疗XLRS-CNV中有效。没有建立显著的基因型-表型相关性。
    OBJECTIVE: Choroidal neovascularisation (CNV) in patients with X-linked retinoschisis (XLRS) has been poorly documented. This study aims to investigate the prevalence and clinical characteristics of CNV in patients with XLRS, as well as analyse the preliminary genotype-phenotype correlation.
    METHODS: A retrospective case series of patients with genetically confirmed XLRS was included. Demographic, clinical and genetic features were analysed, with a comparison between CNV and non-CNV eyes.
    RESULTS: Among 185 eyes of 129 patients with XLRS, the prevalence of CNV was 8.1% (15/185). The mean diagnostic age of all patients with CNV is 5.1±2.56 years. CNV eyes exhibited a mean best-corrected visual acuity (BCVA) (logarithm of the minimal angle of resolution) of 1.37±0.74. All CNVs were classified as subretinal and active. Peripapillary CNVs accounted for 80.0% (12/15), while subfoveal CNVs accounted for 20.0% (3/15). In CNV eyes, the prevalence of macular atrophy (5/15, 33.3%, p=0.013) and bullous peripheral schisis (14/15, 93.3%, p=0.000) was higher compared with non-CNV eyes. Additionally, CNV eyes exhibited poorer integrity of the outer retina and BCVA (p=0.007) compared with non-CNV eyes. All 15 eyes with CNV underwent anti-vascular endothelial growth factor (anti-VEGF) therapy. Genotype analysis revealed that 7 of 10 patients (70.0%, 10 eyes) were predicted to have missense variants, while 3 of 10 patients (30.0%, 5 eyes) exhibited severe variants.
    CONCLUSIONS: The prevalence of CNV in XLRS eyes was found to be 8.1%. All CNVs secondary to XLRS were active and classified as type 2. CNV eyes demonstrated poorer visual function and compromised retinal structures. Anti-VEGF therapy demonstrated effectiveness in treating XLRS-CNVs. No significant genotype-phenotype correlation was established.
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  • 文章类型: Journal Article
    目的:本研究通过比较峡部裂性腰椎滑脱患者椎间盘退变程度,分析和探讨峡部滑脱与椎间盘退变的关系,腰椎间盘突出症,和无症状的健康个体。
    方法:本研究共纳入138例,由L5-S1单节病变患者和正常腰椎人群组成。根据疾病类型分为三组:峡部裂性腰椎滑脱组(IS)58例,腰椎间盘突出症(LDH)组50例,正常腰椎组(NLV)30例。
    结果:研究结果表明,LDH组椎间盘退变的比例明显高于IS组和NLV组(65.3%vs.33.3%vs.25.8%,P<0.05)。LDH组的腰椎间盘Pfirrmann分级(L1-L4)明显高于IS组和NLV组(P<0.05),LDH组腰椎椎间高度指数(IHI)(L1-L4)明显低于IS组和NLV组(P<0.05)。
    结论:结果显示,峡部裂型腰椎滑脱症患者的椎间盘退变程度较腰椎间盘突出症患者轻,甚至类似于健康个体。峡部裂性腰椎滑脱的发生可能通过某些因素减缓了未受影响节段椎间盘的退变。
    OBJECTIVE: This study analyzed and explored the relationship between isthmic spondylolisthesis and disc degeneration by comparing the degree of disc degeneration in patients with isthmic spondylolisthesis, lumbar disc herniation, and asymptomatic healthy individuals.
    METHODS: This study included a total of 138 cases, consisting of L5-S1 single segment lesion patients and a normal lumbar spine population. The cases were divided into 3 groups based on the type of disease: fifty eight cases in the isthmic spondylolisthesis (IS) group, 50 cases in the lumbar disc herniation (LDH) group, and 30 cases in the normal lumbar vertebrae (NLV) group.
    RESULTS: The research findings indicate that the proportion of intervertebral disc degeneration in the LDH group is significantly higher than that in the IS group and NLV group (65.3% vs. 33.3% vs. 25.8%, P < 0.05). The Pfirrmann grades of lumbar intervertebral discs (L1-L4) in the LDH group are significantly higher than those in the IS group and NLV group (P < 0.05), and the intervertebral height index (IHI) (L1-L4) of lumbar vertebrae in the LDH group is significantly lower than that in the IS group and NLV group (P < 0.05).
    CONCLUSIONS: The results showed that the degree of intervertebral disc degeneration in patients with isthmic spondylolisthesis was lighter than that in patients with LDH, and even similar to that in healthy individuals. The occurrence of IS may have slowed down the degeneration of nonaffected segment intervertebral discs through certain factors.
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  • 文章类型: Journal Article
    目的:本研究旨在评估手术入路和其他因素对青少年特发性脊柱侧凸(AIS)脊柱融合术后相邻节段变性(ASD)发生率的影响。
    方法:我们从四个电子数据库开始到2023年3月30日,对它们进行了全面搜索。两名独立审稿人筛选了标题,摘要,和全文,并评估了研究的方法学质量。使用随机效应模型来计算ASD的发生率。
    结果:我们的分析包括14项研究,涉及651名个体。ASD的总发生率为47%(95CI:0.37,0.56)。亚组分析显示,ASD的患病率随术后时间增加(53%(95CI:0.31,0.75)对48%(95CI:0.36,0.60)对39%(95CI:0.22,0.56))。对于熔合段的数量,超过10个区组的患病率较高(49%(95CI:0.38,0.60)vs44%(95CI:0.21,0.69)).就地区而言,东亚的患病率最高,其次是西方和西亚(52%(95CI:0.41,0.62)对43%(95CI:0.20,0.68)对37%(95CI:0.17,0.59))。然而,手术方法,男性比例,最低器械椎骨(LIV)的位置在组间没有显着差异。漏斗图和Egger检验没有发现任何显著的发表偏倚(Egger检验:t=1.62,p值=.1274)。
    结论:这项荟萃分析发现,近一半的脊柱融合术后的AIS患者经历了ASD。长期随访,定期筛查,及时的干预对于降低ASD的患病率至关重要。
    OBJECTIVE: This study aims to assess the impact of surgical approaches and other factors on the incidence of Adjacent Segment Degeneration (ASD) following Spinal Fusion for Adolescent Idiopathic Scoliosis (AIS).
    METHODS: We conducted a comprehensive search of four electronic databases from their inception until March 30, 2023. Two independent reviewers screened titles, abstracts, and full texts and evaluated the methodological quality of the studies. A random-effects model was used to calculate the incidence of ASD.
    RESULTS: Our analysis included 14 studies involving 651 individuals. The overall incidence of ASD was 47% (95%CI: 0.37, 0.56). Subgroup analyses revealed that the prevalence of ASD increased with postoperative time (53% (95%CI: 0.31, 0.75) versus 48% (95%CI: 0.36, 0.60) versus 39% (95%CI: 0.22, 0.56)). For the number of fused segments, a group with more than 10 segments had a higher prevalence (49% (95%CI: 0.38, 0.60) versus 44% (95%CI: 0.21, 0.69)). In terms of regions, East Asia had the highest prevalence, followed by Occident and West Asia (52% (95%CI: 0.41, 0.62) versus 43% (95%CI: 0.20, 0.68) versus 37% (95%CI: 0.17, 0.59)). However, the surgical approach, male ratio, and the position of the lowest instrumented vertebra (LIV) did not show significant differences between groups. Funnel plots and Egger\'s test did not reveal any significant publication bias (Egger\'s test: t = 1.62, p-value = .1274).
    CONCLUSIONS: This meta-analysis found that nearly half of AIS patients following spinal fusion surgery experienced ASD. Long-term follow-up, regular screening, and timely interventions are essential to reduce the prevalence of ASD.
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  • 文章类型: Journal Article
    衰老需要身体器官的恶化,包括基因和细胞水平的整体损害。年龄相关性眼部疾病如黄斑变性的患病率,干眼症,青光眼和白内障随着世界人口的老龄化而增加,给个人和社会带来巨大的经济负担。年龄相关性眼部疾病的发展主要由氧化应激和慢性炎症反应引发。血红素加氧酶-1(HO-1)是介导内源性铁原卟啉血红素降解过程的重要抗氧化剂。它催化血红素降解反应的限速步骤,并释放出一氧化碳(CO)等代谢物,亚铁,和胆绿素(BV)。这些代谢物的有效清除活性可以帮助防御过氧化物,过氧亚硝酸盐,羟基,和超氧化物自由基。除了直接分解内源性氧化物质(血红蛋白),HO-1也是炎症细胞和组织损伤的关键调节剂,通过调节复杂的炎症网络发挥其抗炎活性。因此,促进HO-1表达可能是治疗与年龄相关的眼部疾病的一种有希望的治疗策略.然而,新出现的证据表明,由于其双重性质,HO-1的过表达显着促进了铁死亡。过剩的HO-1导致过量的Fe2+和活性氧,从而引起脂质过氧化和铁中毒。在这次审查中,我们阐明了HO-1在对抗年龄相关疾病中的作用,并总结了最近针对HO-1进行疾病管理的药理试验。知识的进一步完善将使HO-1定位为与年龄相关的眼部疾病的新型治疗靶标。
    Aging entails the deterioration of the body\'s organs, including overall damages at both the genetic and cellular levels. The prevalence of age-related ocular disease such as macular degeneration, dry eye diseases, glaucoma and cataracts is increasing as the world\'s population ages, imposing a considerable economic burden on individuals and society. The development of age-related ocular disease is predominantly triggered by oxidative stress and chronic inflammatory reaction. Heme oxygenase-1 (HO-1) is a crucial antioxidant that mediates the degradative process of endogenous iron protoporphyrin heme. It catalyzes the rate-limiting step of the heme degradation reaction, and releases the metabolites such as carbon monoxide (CO), ferrous, and biliverdin (BV). The potent scavenging activity of these metabolites can help to defend against peroxides, peroxynitrite, hydroxyl, and superoxide radicals. Other than directly decomposing endogenous oxidizing substances (hemoglobin), HO-1 is also a critical regulator of inflammatory cells and tissue damage, exerting its anti-inflammation activity through regulating complex inflammatory networks. Therefore, promoting HO-1 expression may act as a promising therapeutic strategy for the age-related ocular disease. However, emerging evidences suggest that the overexpression of HO-1 significantly contributes to ferroptosis due to its dual nature. Surplus HO-1 leads to excessive Fe2+ and reactive oxygen species, thereby causing lipid peroxidation and ferroptosis. In this review, we elucidate the role of HO-1 in countering age-related disease, and summarize recent pharmacological trials that targeting HO-1 for disease management. Further refinements of the knowledge would position HO-1 as a novel therapeutic target for age-related ocular disease.
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