Disease susceptibility

疾病易感性
  • 文章类型: Journal Article
    炎症性肠病(IBD)是以腹泻和腹痛为特征的常见慢性炎症性肠病。最近发现人类代谢物有助于解释肠道系统疾病的潜在生物学机制。因此,我们旨在评估人类血液代谢产物与IBD亚型易感性之间的因果关系。
    我们选择了275种代谢物的全基因组关联研究(GWAS)作为暴露因子,和10个IBD亚型的GWAS数据集作为结果,然后使用双样本孟德尔随机化研究(MR)进行单变量和多变量分析,以研究暴露与结果之间的因果关系,分别。还进行了一系列灵敏度分析以确保结果的稳健性。
    在校正错误发现率(FDR)后,在单变量分析中发现总共107种代谢物具有因果关系,在随后的多变量和敏感性分析中,共发现9种代谢物具有显著的因果关系.此外,我们发现了7种代谢物途径和6种IBD亚型之间的因果关系。
    我们的研究证实,血液代谢产物和某些代谢途径与IBD亚型的发展及其肠胃外表现有因果关系。探索新型血液代谢产物对IBD的作用机制可能为IBD患者提供新的治疗思路。
    UNASSIGNED: Inflammatory bowel disease (IBD) is a common chronic inflammatory bowel disease characterized by diarrhea and abdominal pain. Recently human metabolites have been found to help explain the underlying biological mechanisms of diseases of the intestinal system, so we aimed to assess the causal relationship between human blood metabolites and susceptibility to IBD subtypes.
    UNASSIGNED: We selected a genome-wide association study (GWAS) of 275 metabolites as the exposure factor, and the GWAS dataset of 10 IBD subtypes as the outcome, followed by univariate and multivariate analyses using a two-sample Mendelian randomization study (MR) to study the causal relationship between exposure and outcome, respectively. A series of sensitivity analyses were also performed to ensure the robustness of the results.
    UNASSIGNED: A total of 107 metabolites were found to be causally associated on univariate analysis after correcting for false discovery rate (FDR), and a total of 9 metabolites were found to be significantly causally associated on subsequent multivariate and sensitivity analyses. In addition we found causal associations between 7 metabolite pathways and 6 IBD subtypes.
    UNASSIGNED: Our study confirms that blood metabolites and certain metabolic pathways are causally associated with the development of IBD subtypes and their parenteral manifestations. The exploration of the mechanisms of novel blood metabolites on IBD may provide new therapeutic ideas for IBD patients.
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  • 文章类型: Journal Article
    慢性压力导致易感个体的社交回避和快感缺失,在人类和动物模型中都观察到的现象。然而,支持应激易感性和复原力的潜在分子机制仍不清楚。越来越多的证据表明,表观遗传组蛋白去乙酰化酶(HDAC)介导的组蛋白乙酰化与抑郁相关行为的调节有关。我们假设组蛋白脱乙酰酶5(HDAC5),这与压力相关的行为和抗抑郁反应有关,可能在对慢性压力的易感性中起着至关重要的作用。在目前的研究中,我们检测了C57BL/6J小鼠慢性社会失败应激(CSDS)后海马中HDAC5和组蛋白4(H4)的乙酰化水平。我们发现CSDS诱导HDAC5表达显着增加,伴随着易感小鼠海马中赖氨酸12(H4K12)处组蛋白H4的乙酰化减少。同时,海马内输注HDAC5shRNA或HDAC抑制剂辛二酰苯胺异羟肟酸(SAHA)均逆转了接受CSDS的易感小鼠的抑郁易感性。此外,HDAC5过表达足以诱导微应激后的抑郁易感性,伴随着小鼠海马体内H4K12水平的显著降低。此外,Morris水迷宫(MWM)结果表明,CSDS和HDAC5均未对小鼠的空间记忆功能产生显着影响。一起来看,这些研究表明,HDAC5调节的组蛋白乙酰化与调节抑郁症易感性有关,并可能作为易感个体的潜在预防目标。
    Chronic stress leads to social avoidance and anhedonia in susceptible individuals, a phenomenon that has been observed in both human and animal models. Nevertheless, the underlying molecular mechanisms underpinning stress susceptibility and resilience remain largely unclear. There is growing evidence that epigenetic histone deacetylase (HDAC) mediated histone acetylation is involved in the modulation of depressive-related behaviors. We hypothesized that histone deacetylase 5 (HDAC5), which is associated with stress-related behaviors and antidepressant response, may play a vital role in the susceptibility to chronic stress. In the current study, we detected the levels of HDAC5 and acetylation of histone 4 (H4) in the hippocampus subsequent to chronic social defeat stress (CSDS) in C57BL/6J mice. We found that CSDS induces a notable increase in HDAC5 expression, concomitant with a reduction in the acetylation of histone H4 at lysine 12 (H4K12) in the hippocampus of susceptible mice. Meanwhile, intrahippocampal infusion of HDAC5 shRNA or HDAC inhibitor suberoylanilide hydroxamic acid (SAHA) both reversed the depression susceptibility in susceptible mice that subjected to CSDS. Furthermore, HDAC5 overexpression was sufficient to induce depression susceptibility following microdefeat stress, accompanied by a significant reduction in H4K12 level within the hippocampus of mice. Additionally, the Morris water maze (MWM) results indicated that neither CSDS nor HDAC5 exerted significant effects on spatial memory function in mice. Taken together, these investigations indicated that HDAC5-modulated histone acetylation is implicated in regulating the depression susceptibility, and may be serve as potential preventive targets for susceptible individuals.
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  • 文章类型: Journal Article
    良性前列腺增生(BPH),以前列腺的非恶性肿大为特征,表现出与雄激素受体(AR)缺乏引起的炎症的明显关联。Ferroptosis,由铁依赖性脂质过氧化引发的细胞死亡机制,与炎症密切相关,在BPH的背景下还没有得到充分的理解。使用RNA测序,与正常前列腺组织相比,我们观察到BPH组织中牛磺酸上调基因1(TUG1)长链非编码RNA(lncRNA)显著升高.高水平的TUG1与BPH患者的前列腺体积和炎症浸润程度均表现出明显的相关性。TUG1的抑制不仅导致前列腺大小的减小,而且改善AR缺乏诱导的前列腺增生。机械上,前列腺腔细胞中AR的减少促使巨噬细胞聚集和IL-1β的释放,随后通过MYC促进TUG1的转录。诱导TUG1,通过与miR-188-3p的竞争性结合,促进GPX4的表达,从而降低细胞内ROS水平并阻止前列腺腔细胞中的铁沉积。值得注意的是,铁凋亡诱导剂JKE-1674在体内减轻炎症诱导的前列腺增生。一起,这些发现表明,AR缺乏严重抑制铁死亡,通过TUG1/miR-188-3p/GPX4信号轴促进BPH,并使铁凋亡诱导成为AR缺乏的BPH患者的有希望的治疗策略。
    Benign prostatic hyperplasia (BPH), characterized by the non-malignant enlargement of the prostate, exhibits a pronounced association with inflammation resulting from androgen receptor (AR) deficiency. Ferroptosis, a cell death mechanism triggered by iron-dependent lipid peroxidation and closely linked to inflammation, has yet to be fully understood in the context of BPH. Using RNA sequencing, we observed a significant elevation of taurine-upregulated gene 1 (TUG1) long noncoding RNA (lncRNA) in BPH tissues compared to normal prostate tissue. High levels of TUG1 exhibited a discernible correlation with both prostate volume and the extent of inflammatory infiltration in BPH patients. The suppression of TUG1 not only led to a reduction in prostate size but also ameliorated AR-deficiency-induced prostatic hyperplasia. Mechanistically, a decrease in AR in prostate luminal cells prompted macrophage aggregation and the release of IL-1β, subsequently fostering the transcription of TUG1 via MYC. Induced TUG1, through competitive binding with miR-188-3p, facilitated the expression of GPX4, thereby diminishing intracellular ROS levels and impeding ferroptosis in prostate luminal cells. Notably, the ferroptosis inducer JKE-1674 alleviated inflammation-induced prostatic hyperplasia in vivo. Together, these findings suggest that AR deficiency crucially inhibits ferroptosis, promoting BPH via the TUG1/miR-188-3p/GPX4 signaling axis, and making ferroptosis induction a promising therapeutic strategy for BPH patients with AR deficiency.
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  • 文章类型: Journal Article
    蒽环类药物(ANT)诱导的心脏毒性(AIC)是癌症治疗相关的心血管毒性的特别突出的形式,导致ANT在临床实践中的局限性。尽管AIC引起了特别的注意,最好的治疗方法仍然不清楚。AIC治疗的最新发展使AIC治疗的更新成为可能。我们回顾了导致AIC的当前分子途径:1)氧化应激(OS)包括酶诱导和其他机制;2)拓扑异构酶;3)炎症反应;4)心脏祖细胞损伤;5)表观遗传变化;6)肾素-血管紧张素-醛固酮系统(RAAS)失调。我们系统地讨论了当前的预防和治疗策略以及基于AIC的新型发病机制疗法:1)剂量减少和改变;2)改变药物递送方法;3)抗氧化剂,dexrezosen,Statina,RAAS抑制剂,和降血糖药物;4)miRNA,天然植物化学物质,间充质干细胞,和心脏祖细胞。我们还通过概述与其预防和治疗相关的当前困境和挑战,为AIC的管理提供了新的视角。
    UNASSIGNED: Anthracycline (ANT)-induced cardiotoxicity (AIC) is a particularly prominent form of cancer therapy-related cardiovascular toxicity leading to the limitations of ANTs in clinical practice. Even though AIC has drawn particular attention, the best way to treat it is remaining unclear. Updates to AIC therapy have been made possible by recent developments in research on the underlying processes of AIC. We review the current molecular pathways leading to AIC: 1) oxidative stress (OS) including enzymatic-induced and other mechanisms; 2) topoisomerase; 3) inflammatory response; 4) cardiac progenitor cell damage; 5) epigenetic changes; 6) renin-angiotensin-aldosterone system (RAAS) dysregulation. And we systematically discuss current prevention and treatment strategies and novel pathogenesis-based therapies for AIC: 1) dose reduction and change; 2) altering drug delivery methods; 3) antioxidants, dexrezosen, statina, RAAS inhibitors, and hypoglycemic drugs; 4) miRNA, natural phytochemicals, mesenchymal stem cells, and cardiac progenitor cells. We also offer a fresh perspective on the management of AIC by outlining the current dilemmas and challenges associated with its prevention and treatment.
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  • 文章类型: Journal Article
    肠-肺轴的通讯机制近年来受到越来越多的关注,特别是在急性呼吸道传染病,如流感。外周免疫系统是肠道和肺部之间的重要桥梁,两个相互不靠近的器官。然而,涉及肠道微生物群的特定通讯机制,免疫细胞,它们在肺部的抗流感作用还有待进一步阐明。在这项研究中,本研究采用双样本孟德尔随机分析,分析了731种外周免疫细胞和211种不同肠道微生物群对流感结局的影响.在确定了与流感结局相关的肠道微生物群和外周免疫细胞的特定物种后,进行介导分析以确定特定免疫细胞在肠道微生物群介导的流感的保护或有害作用中的介导作用。19种肠道微生物群和75种外周免疫细胞被鉴定为与流感易感性相关。经过严格的筛选,分析了12种组合的介导效应。值得注意的是,CD64对CD14-CD16-细胞的下调介导了21.10%和18.55%的Alcigenaceae和Dorea对流感的保护作用,分别。总之,专注于流感,这项研究从基因上推断了不同类型的肠道菌群和外周免疫细胞,以确定其保护或危险因素。此外,中介分析用于确定外周免疫细胞在肠道微生物群介导的流感易感性中的中介作用比例。这有助于从调节外周免疫细胞的角度阐明肠道微生物群影响流感易感性的肠-肺轴机制。
    The communication mechanism of the gut-lung axis has received increasing attention in recent years, particularly in acute respiratory infectious diseases such as influenza. The peripheral immune system serves as a crucial bridge between the gut and the lungs, two organs that are not in close proximity to each other. However, the specific communication mechanism involving gut microbiota, immune cells, and their anti-influenza effects in the lung remains to be further elucidated. In this study, the effects of 731 species of peripheral immune cells and 211 different gut microbiota on influenza outcomes were analyzed using a two-sample Mendelian randomization analysis. After identifying specific species of gut microbiota and peripheral immune cells associated with influenza outcomes, mediation analyses were conducted to determine the mediating effects of specific immune cells in the protective or injurious effects of influenza mediated by gut microbiota. 19 species of gut microbiota and 75 types of peripheral immune cells were identified as being associated with influenza susceptibility. After rigorous screening, 12 combinations were analyzed for mediated effects. Notably, the down-regulation of CD64 on CD14- CD16- cells mediated 21.10% and 18.55% of the protective effect of Alcaligenaceae and Dorea against influenza, respectively. In conclusion, focusing on influenza, this study genetically inferred different types of gut microbiota and peripheral immune cells to determine their protective or risk factors. Furthermore, mediation analysis was used to determine the proportion of mediating effects of peripheral immune cells in gut microbiota-mediated susceptibility to influenza. This helps elucidate the gut-lung axis mechanism by which gut microbiota affects influenza susceptibility from the perspective of regulation of peripheral immune cells.
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  • 文章类型: Journal Article
    髓源性生长因子(MYDGF)是一种新型分泌蛋白,具有有效的抗凋亡和组织修复特性,存在于近140个人类组织和细胞系中。在口腔上皮和皮肤中丰度最高。最初,在骨髓来源的单核细胞和巨噬细胞中发现MYDGF用于心肌梗死后的心脏保护和修复。随后的研究表明,MYDGF在其他心血管疾病中起着重要作用(例如,动脉粥样硬化和心力衰竭),代谢紊乱,肾脏疾病,自身免疫性/炎症性疾病,和癌症。尽管基本机制尚未得到充分探索,MYDGF在健康和疾病中的作用可能涉及细胞凋亡和增殖,组织修复和再生,抗炎,和糖脂代谢调节。在这次审查中,我们总结了目前在了解MYDGF在健康和疾病中的作用方面的进展,专注于它的结构,功能和机制。图形摘要显示了MYDGF在不同器官和疾病中的当前作用(图。1).
    Myeloid-derived growth factor (MYDGF) is a novel secreted protein with potent antiapoptotic and tissue-repairing properties that is present in nearly 140 human tissues and cell lines, with the highest abundance in the oral epithelium and skin. Initially, MYDGF was found in bone marrow-derived monocytes and macrophages for cardioprotection and repair after myocardial infarction. Subsequent studies have shown that MYDGF plays an important role in other cardiovascular diseases (e.g., atherosclerosis and heart failure), metabolic disorders, renal disease, autoimmune/inflammatory disorders, and cancers. Although the underlying mechanisms have not been fully explored, the role of MYDGF in health and disease may involve cell apoptosis and proliferation, tissue repair and regeneration, anti-inflammation, and glycolipid metabolism regulation. In this review, we summarize the current progress in understanding the role of MYDGF in health and disease, focusing on its structure, function and mechanisms. The graphical abstract shows the current role of MYDGF in different organs and diseases (Fig. 1).
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  • 文章类型: Journal Article
    大肠杆菌F18(E.大肠杆菌F18)是仔猪细菌性腹泻的主要病因。先前的转录组报道ST3GAL1与大肠杆菌F18感染有关。然而,其在介导对大肠杆菌F18的抗性中的作用仍然难以捉摸。这里,我们发现ST3GAL1表达的下调有助于增强IPEC-J2细胞中大肠杆菌F18的抗性。亚硫酸氢盐测序鉴定了ST3GAL1核心启动子中的26个甲基化CpG位点。其中,ST3GAL1mRNA水平与特异性蛋白1(SP1)转录因子mC-8位点甲基化水平显著相关(P<0.01)。有趣的是,ST3GAL1表达可能通过激活TLRs信号增强免疫应答,同时通过抑制鞘糖脂生物合成信号降低大肠杆菌F18受体的产生,从而增强对大肠杆菌F18感染的抗性。此外,低ST3GAL1表达可能通过减少唾液酸化来增加大肠杆菌的抗性。一起,这些结果支持ST3GAL1作为努力调节大肠杆菌F18敏感性的可行靶标的状态,为利用该基因作为分子育种提高猪抗病性的关键生物标志物提供了理论基础。
    Escherichia coli F18 (E. coli F18) is the main cause of bacterial diarrhea in piglets. Previous transcriptome reported that ST3GAL1 was associated to E. coli F18 infection. However, its role in mediating the resistance to E. coli F18 remains elusive. Here, we revealed that the downregulation of ST3GAL1 expression contributed to the enhancement of E. coli F18 resistance in IPEC-J2 cells. Bisulfite sequencing identified 26 methylated CpG sites in the ST3GAL1 core promoter. Among these, the ST3GAL1 mRNA levels significantly correlated with methylation levels of the mC-8 site in the specificity protein 1 (SP1) transcription factor (P < 0.01). Interestingly, ST3GAL1 expression may enhances the immune response by activating TLRs signaling, meanwhile decreases the production of the E. coli F18 receptor by inhibiting glycosphingolipid biosynthesis signaling, thereby leading to enhance the resistance to E. coli F18 infection. Besides, low ST3GAL1 expression may increase E. coli resistance by reducing sialylation. Together, these results support the status of ST3GAL1 as a viable target for efforts to modulate E. coli F18 susceptibility, offering a theoretical foundation for the use of this gene as a key biomarker for molecular breeding to improve porcine disease resistance.
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  • 文章类型: Journal Article
    质子泵抑制剂(PPI)的不良反应引起了广泛的关注。PPI与流感的关联尚未被探索,而肺炎或COVID-19仍然存在争议。我们的研究旨在评估使用PPI是否会增加这些呼吸道感染的风险。
    当前研究包括160,923名基线合格参与者,他们完成了药物使用问卷,其中包括PPI或组胺-2受体拮抗剂(H2RA),来自英国生物银行。Cox比例风险回归和倾向评分匹配分析用于估计风险比(HR)和95%置信区间(CI)。
    测试了与H2RA用户的比较。PPI使用与流感(HR1.32,95%CI1.12-1.56)和肺炎(风险比[HR]1.42,95%置信区间[CI]1.26-1.59)的风险增加相关。相比之下,定期使用PPI的COVID-19感染风险不显著(HR1.08,95%CI0.99-1.17),而严重COVID-19的风险(HR1.19。95%CI1.11-1.27)和死亡率(HR1.37。95%CI1.29-1.46)增加。然而,与H2RA用户相比,PPI使用者与更高的流感风险相关(HR1.74,95%CI1.19-2.54),但肺炎或COVID-19相关结局的风险并不明显.
    PPI使用者与流感风险增加有关,肺炎,以及与非使用者相比,COVID-19的严重程度和死亡率,而与使用H2RAs相比,使用PPI对肺炎或COVID-19相关结局的影响减弱。需要在综合评估的基础上适当使用PPI。
    这项工作得到了国家自然科学基金(82171698,82170561,81300279,81741067,82100238)的支持,中国高级外国专家引进计划(G2022030047L),广东省杰出青年自然科学基金(2021B1515020003),广东省基础与应用基础研究基金会(2022A1515012081),广东省科技厅外籍特聘教师项目(KD0120220129),广东省人民医院引进人才与高层次医院建设项目攀登计划(DFJH201923,DFJH201803,KJ012019099,KJ012021143,KY012021183),部分由VA临床绩效和ASGE临床研究基金(FWL)提供。
    UNASSIGNED: Adverse effects of proton pump inhibitors (PPIs) have raised wide concerns. The association of PPIs with influenza is unexplored, while that with pneumonia or COVID-19 remains controversial. Our study aims to evaluate whether PPI use increases the risks of these respiratory infections.
    UNASSIGNED: The current study included 160,923 eligible participants at baseline who completed questionnaires on medication use, which included PPI or histamine-2 receptor antagonist (H2RA), from the UK Biobank. Cox proportional hazards regression and propensity score-matching analyses were used to estimate the hazard ratios (HRs) and 95% confidence intervals (CIs).
    UNASSIGNED: Comparisons with H2RA users were tested. PPI use was associated with increased risks of developing influenza (HR 1.32, 95% CI 1.12-1.56) and pneumonia (hazard ratio [HR] 1.42, 95% confidence interval [CI] 1.26-1.59). In contrast, the risk of COVID-19 infection was not significant with regular PPI use (HR 1.08, 95% CI 0.99-1.17), while the risks of severe COVID-19 (HR 1.19. 95% CI 1.11-1.27) and mortality (HR 1.37. 95% CI 1.29-1.46) were increased. However, when compared with H2RA users, PPI users were associated with a higher risk of influenza (HR 1.74, 95% CI 1.19-2.54), but the risks with pneumonia or COVID-19-related outcomes were not evident.
    UNASSIGNED: PPI users are associated with increased risks of influenza, pneumonia, as well as COVID-19 severity and mortality compared to non-users, while the effects on pneumonia or COVID-19-related outcomes under PPI use were attenuated when compared to the use of H2RAs. Appropriate use of PPIs based on comprehensive evaluation is required.
    UNASSIGNED: This work is supported by the National Natural Science Foundation of China (82171698, 82170561, 81300279, 81741067, 82100238), the Program for High-level Foreign Expert Introduction of China (G2022030047L), the Natural Science Foundation for Distinguished Young Scholars of Guangdong Province (2021B1515020003), the Guangdong Basic and Applied Basic Research Foundation (2022A1515012081), the Foreign Distinguished Teacher Program of Guangdong Science and Technology Department (KD0120220129), the Climbing Program of Introduced Talents and High-level Hospital Construction Project of Guangdong Provincial People\'s Hospital (DFJH201923, DFJH201803, KJ012019099, KJ012021143, KY012021183), and in part by VA Clinical Merit and ASGE clinical research funds (FWL).
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  • 文章类型: Journal Article
    免疫检查点是免疫反应的重要调节剂,通过激活或抑制它们。因此,它们被认为是感染管理的关键要素,癌症,和自身免疫性疾病。近年来,研究人员已经确定了许多可溶性免疫检查点,这些检查点是通过各种机制产生的,并证明了生物活性。这些可溶性免疫检查点可以在血流和各种组织中产生和分布,它们在免疫反应失调和自身免疫中的作用被广泛记录。这篇综述旨在全面概述各种可溶性免疫检查点的产生,如sPD-1,sCTLA-4,sTim-3,s4-1BB,sBTLA,sLAG-3、sCD200和B7家族,以及它们作为自身免疫疾病诊断和预测指标的重要性。此外,这篇综述将探讨自身免疫性疾病中可溶性免疫检查点的潜在病理机制,强调它们与自身免疫性疾病发展的联系,预后,和治疗。
    Immune checkpoints are essential regulators of immune responses, either by activating or suppressing them. Consequently, they are regarded as pivotal elements in the management of infections, cancer, and autoimmune disorders. In recent years, researchers have identified numerous soluble immune checkpoints that are produced through various mechanisms and demonstrated biological activity. These soluble immune checkpoints can be produced and distributed in the bloodstream and various tissues, with their roles in immune response dysregulation and autoimmunity extensively documented. This review aims to provide a thorough overview of the generation of various soluble immune checkpoints, such as sPD-1, sCTLA-4, sTim-3, s4-1BB, sBTLA, sLAG-3, sCD200, and the B7 family, and their importance as indicators for the diagnosis and prediction of autoimmune conditions. Furthermore, the review will investigate the potential pathological mechanisms of soluble immune checkpoints in autoimmune diseases, emphasizing their association with autoimmune diseases development, prognosis, and treatment.
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  • 文章类型: Journal Article
    铁凋亡是细胞死亡的一种普遍的非凋亡形式,与各种退行性疾病和恶性肿瘤高度相关。铁死亡的标志是膜磷脂中所含的多不饱和脂肪酸不受控制和压倒性的过氧化,最终导致质膜破裂。Ferroptosis的独特之处在于它本质上是自发的,基于干扰的铁和氧化还原稳态的非催化化学过程有助于细胞死亡过程,但它仍然受到许多代谢节点的调节,这些节点会影响细胞对铁性凋亡的敏感性。在影响铁沉积敏感性的各种节点中,一些已经成为有希望的药物干预候选人,使铁凋亡相关的蛋白质成为治疗许多目前无法治愈的疾病的有吸引力的靶标。在这里,目前是德国范围内的一个研究财团的成员,专注于铁中毒研究,以及为这一快速增长和令人兴奋的研究领域做出开创性贡献的重要外部专家,聚集在一起提供一个全面的,铁中毒的最新综述。具体议题包括:基本机制,体内相关性,专门的方法,化学和药理工具,以及铁性凋亡对疾病病因和进展的潜在贡献。我们希望这篇文章将不仅为该领域的知名科学家和新手提供有关铁性死亡的多个方面的概述,但也鼓励更多的努力来表征进一步的分子途径调节铁死亡,最终目的是开发新的药物疗法,以解决与铁性凋亡相关或由铁性凋亡引起的各种疾病。
    Ferroptosis is a pervasive non-apoptotic form of cell death highly relevant in various degenerative diseases and malignancies. The hallmark of ferroptosis is uncontrolled and overwhelming peroxidation of polyunsaturated fatty acids contained in membrane phospholipids, which eventually leads to rupture of the plasma membrane. Ferroptosis is unique in that it is essentially a spontaneous, uncatalyzed chemical process based on perturbed iron and redox homeostasis contributing to the cell death process, but that it is nonetheless modulated by many metabolic nodes that impinge on the cells\' susceptibility to ferroptosis. Among the various nodes affecting ferroptosis sensitivity, several have emerged as promising candidates for pharmacological intervention, rendering ferroptosis-related proteins attractive targets for the treatment of numerous currently incurable diseases. Herein, the current members of a Germany-wide research consortium focusing on ferroptosis research, as well as key external experts in ferroptosis who have made seminal contributions to this rapidly growing and exciting field of research, have gathered to provide a comprehensive, state-of-the-art review on ferroptosis. Specific topics include: basic mechanisms, in vivo relevance, specialized methodologies, chemical and pharmacological tools, and the potential contribution of ferroptosis to disease etiopathology and progression. We hope that this article will not only provide established scientists and newcomers to the field with an overview of the multiple facets of ferroptosis, but also encourage additional efforts to characterize further molecular pathways modulating ferroptosis, with the ultimate goal to develop novel pharmacotherapies to tackle the various diseases associated with - or caused by - ferroptosis.
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