PML

PML
  • 文章类型: Journal Article
    砷化合物广泛用于多种疾病的治疗干预。古代药理学家发现了这些剧毒物质的药用功效,现代药理学家进一步认识到人类疾病中的特定活性成分。特别是,三氧化二砷(ATO),作为主要组成部分,对各种肿瘤(包括白血病,肝细胞癌,肺癌,等。).然而,它的毒性限制了它的功效,控制毒性一直是一个重要的问题。有趣的是,最近的证据指出了砷化合物在相分离和无膜细胞器形成中的关键作用,这可能决定了它们的毒性和治疗效果。这里,我们总结了砷化合物-调节相分离和无膜细胞器形成。我们进一步假设它们可能参与砷化合物的治疗和毒性,强调砷化合物临床应用的潜在机制。
    Arsenic compounds are widely used for the therapeutic intervention of multiple diseases. Ancient pharmacologists discovered the medicinal utility of these highly toxic substances, and modern pharmacologists have further recognized the specific active ingredients in human diseases. In particular, Arsenic trioxide (ATO), as a main component, has therapeutic effects on various tumors (including leukemia, hepatocellular carcinoma, lung cancer, etc.). However, its toxicity limits its efficacy, and controlling the toxicity has been an important issue. Interestingly, recent evidence has pointed out the pivotal roles of arsenic compounds in phase separation and membraneless organelles formation, which may determine their toxicity and therapeutic efficacy. Here, we summarize the arsenic compounds-regulating phase separation and membraneless organelles formation. We further hypothesize their potential involvement in the therapy and toxicity of arsenic compounds, highlighting potential mechanisms underlying the clinical application of arsenic compounds.
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  • 文章类型: Journal Article
    目的:结肠癌(CC)患者的癌相关成纤维细胞(CAFs)丰富,预后较差。这里,探讨了CAFs对CC生长和转移的分子调控机制。
    方法:使用RT-qPCR监测基因的表达,免疫印迹,和免疫组织化学。使用CCK-8和克隆形成测定发现细胞活力和增殖。使用伤口愈合和Transwell探测细胞迁移和侵袭。Co-IP用于确定AKT和无名指蛋白之间的相互作用,LIM域交互(RLIM)。建立体内鼠皮下肿瘤模型和转移模型以进一步确定轴。
    结果:结果表明,CAFs通过旁分泌软骨寡聚基质蛋白(COMP)促进CC细胞的生长并激活PI3K/AKT通路。此外,RLIM促进CC细胞的生长,AKT通过磷酸化调节其蛋白稳定性。Further,RLIM促进早幼粒细胞白血病蛋白(PML)的泛素化和降解。体外和体内试验发现,PML过表达可抑制CC的生长和转移,由CAF增强。
    结论:从CAFs排出的COMP通过调节RLIM/PML轴促进CC的生长和转移,为CC的治愈提供新的潜在目标。
    OBJECTIVE: Cancer-associated fibroblasts (CAFs) are abundant in colon cancer (CC) patients with a poor prognosis. Here, the molecular regulatory mechanism of CAFs on CC growth and metastasis was explored.
    METHODS: The genes\' expression was monitored using RT-qPCR, immunoblotting, and immunohistochemistry. Cell viability and proliferation were found using CCK-8 and clone formation assays. The cell migration and invasion were probed using wound healing and Transwell. Co-IP was utilized for ascertaining the interaction between AKT and the ring finger protein, LIM domain interacting (RLIM). The in vivo murine subcutaneous tumor model and the metastasis model were built to further ascertain the axis.
    RESULTS: The result showed that CAFs motivate the growth and activate the PI3K/AKT pathway of CC cells via paracrine cartilage oligomeric matrix protein (COMP). Moreover, RLIM promoted the growth of CC cells, and its protein stability was regulated by AKT through its phosphorylation. Further, RLIM facilitated the ubiquitination and degradation of promyelocytic leukemia protein (PML). The in vitro and in vivo tests found that PML overexpression could inhibit CC\'s growth and metastasis, which were enhanced by CAFs.
    CONCLUSIONS: The COMP excreted from CAFs enhances the CC\'s growth and metastasis through regulating the RLIM/PML axis, supplying a new potential target for the cure of CC.
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  • 文章类型: Journal Article
    早幼粒细胞白血病蛋白(PML),一种肿瘤抑制蛋白,在细胞周期调控中起关键作用,凋亡,衰老和细胞代谢。这里,我们报道PML促进细胞凋亡和铁凋亡。我们的数据显示PML过表达抑制细胞增殖和迁移。PML过表达增加凋亡细胞,核聚变和线粒体膜电位的丧失,伴随着Bcl-2家族蛋白和活性氧(ROS)水平的调节,提示PML细胞凋亡增强。同时,PML过表达不仅增加了脂质ROS积累和丙二醛(MDA)含量,而且下调了溶质载体家族7成员11(SLC7A11)和谷胱甘肽过氧化物酶4(GPX4)的表达,表明PML增强了铁凋亡。此外,p53的敲除减弱了PML对SLC7A11和GPX4的影响,并通过PML过表达抑制了脂质ROS和ROS的增加。此外,PML从细胞核到细胞质的易位不仅促进细胞凋亡和铁凋亡,而且还抑制细胞增殖。一起来看,PML促进细胞凋亡和铁凋亡,其中p53的介导和PML的核输出起着重要作用。
    Promyelocytic leukemia protein (PML), a tumor suppressor protein, plays a key role in cell cycle regulation, apoptosis, senescence and cellular metabolism. Here, we report that PML promotes apoptosis and ferroptosis. Our data showed that PML over-expression inhibited cell proliferation and migration. PML over-expression increased apoptotic cells, nuclear condensation and the loss of mitochondrial membrane potential, accompanied by regulation of Bcl-2 family proteins and reactive oxygen species (ROS) level, suggesting that PML enhanced apoptosis. Meanwhile, PML over-expression not only increased lipid ROS accumulation and Malondialdehyde (MDA) content but also downregulated solute carrier family 7 member 11 (SLC7A11) and glutathione peroxidase 4 (GPX4) expression, indicating that PML enhanced ferroptosis. Additionally, knockdown of p53 attenuated the effect of PML on SLC7A11 and GPX4, and inhibited the increase of lipid ROS and ROS by PML over-expression. Moreover, translocation of PML from nucleus to cytoplasm not only promoted apoptosis and ferroptosis, but also inhibited cell proliferation. Taken together, PML promotes apoptosis and ferroptosis, in which the mediation of p53 and the nuclear export of PML play important roles.
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  • 文章类型: Journal Article
    背景:由免疫监视不良引起的免疫不足导致肿瘤发生,而由于免疫耐受破坏导致的过度免疫力导致自身免疫发生。尽管在这两个过程开始时的免疫功能似乎是不同的,底层机制是共享的。迄今为止,大量临床样本的基因表达数据可用,但就免疫反应而言,肿瘤发生和自身免疫发生的相似之处仍有待总结。
    方法:考虑到高患病率,我们选择浸润性导管癌(IDC)和系统性红斑狼疮(SLE)来研究免疫反应的潜在共性.我们从五个IDC数据库(GSE29044、GSE21422、GSE22840、GSE15852和GSE9309)和五个SLE数据库(GSE154851、GSE99967、GSE61635、GSE50635和GSE17755)获得了IDC/SLE患者和正常对照的基因表达数据。我们打算通过使用包括GEO2R在内的三种生物信息学工具来鉴定在IDC和SLE中差异表达的基因。limmaR包,和加权基因共表达网络分析(WGCNA)进行功能富集,蛋白质-蛋白质网络,和信号通路分析。
    结果:信号转导和转录激活因子1(STAT1)的mRNA水平,2'-5'-寡腺苷酸合成酶1(OAS1),2'-5'-寡腺苷酸合成酶样(OASL),通过使用GEO2R的三种不同的生物信息学工具,发现PML核体支架(PML)在IDC和SLE中差异表达,limmaR包和WGCNA.从本研究的组合数据库中,STAT1和OAS1的mRNA水平在IDC中升高,而在SLE中降低。IDC和SLE中OASL和PML的mRNA水平均升高。基于京都百科全书的基因和基因组途径分析和QIAGEN创造性途径分析,IDC和SLE均与参与干扰素(IFN)-Janus激酶(JAK)-信号转导和转录激活因子(STAT)信号通路的多个成分的变化相关。
    结论:STAT1和OAS1的表达水平在癌症和自身免疫性疾病中表现出相反的表达趋势。它们是与肿瘤发生和自身免疫发生相关的IFN-JAK-STAT信号通路中的组分。STAT1和OAS1相关的IFN-JAK-STAT信号传导可以解释肿瘤发生和自身免疫发生过程中的共性,并从免疫稳态的角度为更精确的治疗提供重要信息。
    Inadequate immunity caused by poor immune surveillance leads to tumorigenesis, while excessive immunity due to breakdown of immune tolerance causes autoimmune genesis. Although the function of immunity during the onset of these two processes appears to be distinct, the underlying mechanism is shared. To date, gene expression data for large bodies of clinical samples are available, but the resemblances of tumorigenesis and autoimmune genesis in terms of immune responses remains to be summed up.
    Considering the high disease prevalence, we chose invasive ductal carcinoma (IDC) and systemic lupus erythematosus (SLE) to study the potential commonalities of immune responses. We obtained gene expression data of IDC/SLE patients and normal controls from five IDC databases (GSE29044, GSE21422, GSE22840, GSE15852, and GSE9309) and five SLE databases (GSE154851, GSE99967, GSE61635, GSE50635, and GSE17755). We intended to identify genes differentially expressed in both IDC and SLE by using three bioinformatics tools including GEO2R, the limma R package, and Weighted Gene Co-expression Network Analysis (WGCNA) to perform function enrichment, protein-protein network, and signaling pathway analyses.
    The mRNA levels of signal transducer and activator of transcription 1 (STAT1), 2\'-5\'-oligoadenylate synthetase 1 (OAS1), 2\'-5\'-oligoadenylate synthetase like (OASL), and PML nuclear body scaffold (PML) were found to be differentially expressed in both IDC and SLE by using three different bioinformatics tools of GEO2R, the limma R package and WGCNA. From the combined databases in this study, the mRNA levels of STAT1 and OAS1 were increased in IDC while reduced in SLE. And the mRNA levels of OASL and PML were elevated in both IDC and SLE. Based on Kyoto Encyclopedia of Genes and Genomes pathway analysis and QIAGEN Ingenuity Pathway Analysis, both IDC and SLE were correlated with the changes of multiple components involved in the Interferon (IFN)-Janus kinase (JAK)-signal transducer and activator of transcription (STAT) signaling pathway.
    The expression levels of STAT1 and OAS1 manifest the opposite expression tendency across cancer and autoimmune disease. They are components in the IFN-JAK-STAT signaling pathway related to both tumorigenesis and autoimmune genesis. STAT1 and OAS1-associated IFN-JAK-STAT signaling could explain the commonalities during tumorigenesis and autoimmune genesis and render significant information for more precise treatment from the point of immune homeostasis.
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  • 文章类型: Journal Article
    早幼粒细胞白血病蛋白(PML)体涉及在响应干扰素(IFN)的抗病毒状态的建立的关键途径之一,然而,桥接串扰的分子机制仍然难以捉摸。在这里,我们报道了PML体的主要组成成分,Sp100A,普遍存在于各种细胞类型的胞质溶胶中,是对多种细胞外刺激的即时反应者,包括病毒感染,IFN,表皮生长因子(EGF),胶质细胞源性神经因子(GDNF),等。,信号通过磷脂酰肌醇3-激酶(PI3K)途径。IFN-β诱导Sp100A在Ser188上的磷酸化,这增强了Sp100A与丙酮酸激酶2(PKM2)的结合,并通过细胞外信号调节激酶1/2(ERK1/2)-PKM2-PIN1-输入蛋白轴促进其核输入。阻断PI3K通路信号传导或干扰ERK1/2-PKM2-PIN1-importin轴独立地阻碍Sp100A响应IFN的核易位,反映了管理这一事件的双重调节机制。在细胞核中,Sp100A富含必需的抗病毒干扰素刺激基因(ISGs)的启动子区域,例如IFI16、OAS2和RIG-I的编码,并激活它们的转录。重要的是,Sp100A的核进口,但不是对IFN没有反应的突变Sp100A的积累,在感染过程中,这些抗病毒ISGs的转录增强和限制病毒的繁殖。这些发现描述了细胞溶质中PML体的新型IFN应答机制,并阐明了PML体的复杂传感调节网络。重要性PML身体坐在各种重要的生物过程的中心阶段;然而,这些大分子蛋白质复合物的信号转导网络仍然是神秘的。本研究表明,详细地和第一次,信号接收的过程,processing,以及PML体对IFN和病毒感染的反应。它显示PML体组成成分Sp100A通过细胞溶质中的PI3K途径通过IFN信号在Ser188上磷酸化,与PKM2共位入核,富集在必需抗病毒ISGs的启动子区域,如编码IFI16,RIG-I,OAS2等。,并介导它们的转录激活。
    Promyelocytic leukemia protein (PML) bodies are implicated in one of the key pathways in the establishment of antiviral status in response to interferon (IFN), yet the molecular mechanisms bridging the cross talk remain elusive. Herein, we report that a major constitutive component of the PML body, Sp100A, is ubiquitously located in the cytosol of various cell types and is an immediate responder to multiple extracellular stimuli, including virus infection, IFN, epidermal growth factor (EGF), glial cell-derived nerve factor (GDNF), etc., signaling through the phosphatidylinositol 3-kinase (PI3K) pathway. IFN-β induces phosphorylation of Sp100A on Ser188, which fortifies the binding of Sp100A to pyruvate kinase 2 (PKM2) and facilitates its nuclear importation through the extracellular signal-regulated kinase 1/2 (ERK1/2)-PKM2-PIN1-importin axes. Blocking PI3K pathway signaling or interference with the ERK1/2-PKM2-PIN1-importin axes independently hampers nuclear translocation of Sp100A in response to IFN, reflecting a dual-regulation mechanism governing this event. In the nucleus, Sp100A is enriched in the promoter regions of essential antiviral interferon-stimulated genes (ISGs), such as those coding for IFI16, OAS2, and RIG-I, and activates their transcription. Importantly, nuclear importation of Sp100A, but not accumulation of a mutant Sp100A that failed to respond to IFN, during infection potently enhanced transcription of these antiviral ISGs and restricted virus propagation. These findings depict a novel IFN response mechanism by PML bodies in the cytosol and shed light on the complex sensing-regulatory network of PML bodies. IMPORTANCE PML bodies sit at the center stage of various important biological processes; however, the signal transduction networks of these macromolecular protein complexes remain enigmatic. The present study illustrates, in detail and for the first time, the course of signal receiving, processing, and implementation by PML bodies in response to IFN and virus infection. It shows that PML body constitutive component Sp100A was phosphorylated on Ser188 by IFN signaling through the PI3K pathway in the cytosol, cotranslocated into the nucleus with PKM2, enriched on the promoter regions of essential antiviral ISGs such as those coding for IFI16, RIG-I, OAS2, etc., and mediating their transcriptional activation.
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  • 文章类型: Journal Article
    核定位乙型肝炎病毒(HBV)共价闭合环状DNA(cccDNA)仍然是治愈慢性乙型肝炎(CHB)的关键障碍。在我们之前的调查中,发现FoxO4可以通过下调HNF4α的表达来抑制HBV核心启动子活性。然而,FoxO4抑制HBV复制的确切机制,尤其是它对cccDNA的影响,仍然不清楚。这里,我们的数据进一步显示,FoxO4可以有效抑制cccDNA介导的转录和HBV复制,而不影响cccDNA水平。机制研究表明,FoxO4可引起cccDNA的表观遗传抑制。虽然FoxO4介导的HNF4α下调有助于抑制HBV核心启动子活性,对cccDNA表观遗传调控影响不大。Further,发现FoxO4可以在早幼粒细胞白血病蛋白(PML)核体内共定位并与PML相互作用。值得注意的是,PML对于FoxO4介导的cccDNA表观遗传修饰和以下cccDNA转录和HBV复制的抑制至关重要。此外,FoxO4被发现在HBV感染的肝细胞和人类肝组织中下调,与CHB患者cccDNA转录活性呈负相关。一起,这些发现强调了FoxO4通过HNF4α的遗传下调和通过与PML相互作用对cccDNA的表观遗传抑制来抑制cccDNA转录和HBV复制的作用。靶向FoxO4可能是针对慢性HBV感染的一种新的治疗策略。重要性HBVcccDNA是病毒持久性的决定因素,是治疗慢性乙型肝炎的主要障碍。因此,直接靶向cccDNA的策略在控制持续HBV感染中非常重要。在目前的调查中,我们发现,FoxO4可以有效地抑制cccDNA转录和HBV复制,而不影响cccDNA本身的水平。Further,我们的数据显示,FoxO4可能通过两部分机制抑制cccDNA功能:一个是通过与PML相互作用表观遗传抑制cccDNA转录,另一种是通过基因下调HNF4α来抑制HBV核心启动子活性。值得注意的是,HBV可能会抑制FoxO4自身持续感染的表达。我们建议FoxO4的操作可能是针对慢性HBV感染的潜在治疗策略。
    Nuclear located hepatitis B virus (HBV) covalently closed circular DNA (cccDNA) remains the key obstacle to cure chronic hepatitis B (CHB). In our previous investigation, it was found that FoxO4 could inhibit HBV core promoter activity through downregulating the expression of HNF4α. However, the exact mechanisms whereby FoxO4 inhibits HBV replication, especially its effect on cccDNA, remain unclear. Here, our data further revealed that FoxO4 could effectively inhibit cccDNA mediated transcription and HBV replication without affecting cccDNA level. Mechanistic study showed that FoxO4 could cause epigenetic suppression of cccDNA. Although FoxO4-mediated downregulation of HNF4α contributed to inhibiting HBV core promoter activity, it had little effect on cccDNA epigenetic regulation. Further, it was found that FoxO4 could colocalize within promyelocytic leukemia protein (PML) nuclear bodies and interact with PML. Of note, PML was revealed to be critical for FoxO4-mediated inhibition of cccDNA epigenetic modification and of the following cccDNA transcription and HBV replication. Furthermore, FoxO4 was found to be downregulated in HBV-infected hepatocytes and human liver tissues, and it was negatively correlated with cccDNA transcriptional activity in CHB patients. Together, these findings highlight the role of FoxO4 in suppressing cccDNA transcription and HBV replication via genetic downregulation of HNF4α and epigenetic suppression of cccDNA through interacting with PML. Targeting FoxO4 may present as a new therapeutic strategy against chronic HBV infection. IMPORTANCE HBV cccDNA is a determining factor for viral persistence and the main obstacle for a cure of chronic hepatitis B. Strategies that target cccDNA directly are therefore of great importance in controlling persistent HBV infection. In present investigation, we found that FoxO4 could efficiently suppress cccDNA transcription and HBV replication without affecting the level of cccDNA itself. Further, our data revealed that FoxO4 might inhibit cccDNA function via a two-part mechanism: one is to epigenetically suppress cccDNA transcription via interacting with PML, and the other is to inhibit HBV core promoter activity via the genetic downregulation of HNF4α. Of note, HBV might dampen the expression of FoxO4 for its own persistent infection. We propose that manipulation of FoxO4 may present as a potential therapeutic strategy against chronic HBV infection.
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  • 文章类型: Journal Article
    Sp100(斑点蛋白100kDa)是核结构PML(早幼粒细胞白血病)体的组成部分,在介导内在和先天免疫中起重要作用。Sp100基因编码四种同工型,在细胞和病毒基因的转录调控中具有不同的作用。由于Sp100是受感染细胞蛋白0(ICP0)的主要核内靶标,由单纯疱疹病毒1(HSV-1)编码的立即早期E3连接酶,以前试图分析HSV-1感染期间单个Sp100变异体的功能的研究大多避免使用野生型病毒.因此,Sp100在HSV-1自然感染下的作用还有待阐明.这里,我们重新评估了四种Sp100同工型在感染期间的抗病毒能力未突变的HSV-1,详细检查了Sp100蛋白的分子行为,并揭示了以下有趣的观察结果。首先,Sp100亚型A(Sp100A)抑制野生型HSV-1在HEp-2,Sp100-/-,和PML-/-细胞。第二,内源性Sp100位于细胞核和细胞质中。在HSV-1感染期间,在相同的亚细胞区室中检测到ICP0后,核Sp100水平急剧下降,但是胞浆Sp100保持稳定。第三,转染的Sp100A显示出与内源性Sp100相似的亚细胞定位,并且与内源性胞质Sp100的蛋白质大小相匹配。第四,HSV-1感染诱导内源性Sp100和异位表达Sp100A分泌增加,与细胞外囊泡(EV)共纯化,但不与感染性病毒体共纯化。第五,分泌细胞中的Sp100A水平与电动汽车中的Sp100A水平呈正相关,和受体细胞中EV相关的Sp100A限制性HSV-1。重要性先前的研究表明,PML体成分Sp100蛋白在生产性感染期间立即被细胞核中HSV-1的ICP0靶向。因此,使用缺乏ICP0或没有感染的突变病毒进行了广泛的研究,以调查Sp100同工型与HSV-1的相互作用.Sp100变体在自然HSV-1感染中的作用仍然模糊。这里,我们报告说,Sp100A有效且独立地抑制野生型HSV-1,并且在HSV-1感染期间,胞浆Sp100保持稳定,并越来越多地分泌到细胞外空间,与电动汽车相关。此外,分泌细胞中的Sp100A水平与其在EV中的水平以及这些EV在受体细胞中的抗HSV-1效力呈正相关。总之,这项研究暗示Sp100A在野生型HSV-1感染期间具有积极的抗病毒作用,并揭示了Sp100A通过细胞外通讯限制HSV-1的新机制。
    Sp100 (speckled protein 100 kDa) is a constituent component of nuclear structure PML (promyelocytic leukemia) bodies, playing important roles in mediating intrinsic and innate immunity. The Sp100 gene encodes four isoforms with distinct roles in the transcriptional regulation of both cellular and viral genes. Since Sp100 is a primary intranuclear target of infected-cell protein 0 (ICP0), an immediate early E3 ligase encoded by herpes simplex virus 1 (HSV-1), previous investigations attempting to analyze the functions of individual Sp100 variants during HSV-1 infection mostly avoided using a wild-type virus. Therefore, the role of Sp100 under natural infection by HSV-1 remains to be clarified. Here, we reappraised the antiviral capacity of four Sp100 isoforms during infection by a nonmutated HSV-1, examined the molecular behavior of the Sp100 protein in detail, and revealed the following intriguing observations. First, Sp100 isoform A (Sp100A) inhibited wild-type HSV-1 propagation in HEp-2, Sp100-/-, and PML-/- cells. Second, endogenous Sp100 is located in both the nucleus and the cytoplasm. During HSV-1 infection, the nuclear Sp100 level decreased drastically upon the detection of ICP0 in the same subcellular compartment, but cytosolic Sp100 remained stable. Third, transfected Sp100A showed subcellular localizations similar to those of endogenous Sp100 and matched the protein size of endogenous cytosolic Sp100. Fourth, HSV-1 infection induced increased secretion of endogenous Sp100 and ectopically expressed Sp100A, which copurified with extracellular vesicles (EVs) but not infectious virions. Fifth, the Sp100A level in secreting cells positively correlated with its level in EVs, and EV-associated Sp100A restricted HSV-1 in recipient cells. IMPORTANCE Previous studies show that the PML body component Sp100 protein is immediately targeted by ICP0 of HSV-1 in the nucleus during productive infection. Therefore, extensive studies investigating the interplay of Sp100 isoforms with HSV-1 were conducted using a mutant virus lacking ICP0 or in the absence of infection. The role of Sp100 variants during natural HSV-1 infection remains blurry. Here, we report that Sp100A potently and independently inhibited wild-type HSV-1 and that during HSV-1 infection, cytosolic Sp100 remained stable and was increasingly secreted into the extracellular space, in association with EVs. Furthermore, the Sp100A level in secreting cells positively correlated with its level in EVs and the anti-HSV-1 potency of these EVs in recipient cells. In summary, this study implies an active antiviral role of Sp100A during wild-type HSV-1 infection and reveals a novel mechanism of Sp100A to restrict HSV-1 through extracellular communications.
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  • 文章类型: Journal Article
    背景:在多发性硬化(MS)的治疗中,高疗效的疾病修饰疗法(DMT)对复发率和残疾进展有有利的作用;然而,他们会让病人面临巨大的风险,如进行性多灶性白质脑病(PML)。目的探讨MS相关PML患者预后的影响因素。方法我们对PubMed的62篇文献中的194例患者进行了文献回顾和荟萃分析,SCOPUS和EMBASE。结果194例患者(66.5%为女性,33.5%的男性),81%的EDSS评分从PML诊断开始至少1点进展(EDSS-P组)。其余患者EDSS稳定或改善(EDSS组)。在单变量分析中,PML诊断时年龄较大与残疾累积和EDSS恶化的概率较高相关,至少1分(平均年龄=44.8,p=0.046).调整其他变量后,在多变量logistic模型中,PML诊断时的年龄仍然是一个重要的预测变量(OR=0.93,95%CI:0.88~0.99,p=0.037).那他珠单抗是与PML相关的最常见的DMT,其次是芬戈莫德和其他包括富马酸二甲酯,奥克瑞珠单抗,阿仑单抗。在使用的不同治疗方法中,没有发现治疗剂在改善PML后EDSS方面具有优势.结论PML诊断时年龄较小和较低的JCV病毒载量与MS相关PML的较好预后相关。而没有一种PML疗法优于其他疗法或与有利的结局相关。
    Background High efficacy disease modifying therapies (DMT) in the management of Multiple Sclerosis (MS) have a favorable effect on relapse rate and disability progression; however, they can expose patients to significant risks, such as progressive multifocal leukoencephalopathy (PML). Objective The study aims to investigate prognostic factors that can determine outcome in MS-related PML patients. Methods We conducted a literature review and meta-analysis of 194 patients from 62 articles in PubMed, SCOPUS and EMBASE. Results Out of 194 patients (66.5% women, 33.5% men), 81% had progression in their EDSS score by at least 1 point from the time of PML diagnosis (EDSS-P group). The remaining patients had either stable or improved EDSS (EDSS-S group). In univariate analysis, older age at the time of PML diagnosis was associated with higher probability of disability accumulation and worsening of EDSS by at least 1 point (mean age = 44.8, p = 0.046). After adjusting for other variables, age at time of PML diagnosis remained a significant predictive variable in the multivariable logistic model (OR = 0.93, 95% CI: 0.88-0.99, p = 0.037). Natalizumab is the most commonly associated DMT linked to PML, followed by fingolimod and others including dimethyl fumarate, ocrelizumab, alemtuzumab. Among the different treatments used, no therapeutic agent was found to be superior in improving post-PML EDSS. Conclusions Younger age and lower JCV viral load at the time of PML diagnosis were associated with better outcome in MS-associate PML, while none of the PML therapies was superior over the others or associated with favorable outcome.
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  • 文章类型: Journal Article
    Leukemia is a malignant disease of hematopoietic tissue characterized by the differentiation arrest and malignant proliferation of immature hematopoietic precursor cells in bone marrow. ERG (ETS-related gene) is an important member of the E26 transformation-specific (ETS) transcription factor family that plays a crucial role in physiological and pathological processes. However, the role of ERG and its modification in leukemia remains underexplored. In the present study, we stably knocked down or overexpressed ERG in leukemia cells and observed that ERG significantly promotes the proliferation and inhibits the differentiation of AML (acute myeloid leukemia) cells. Further experiments showed that ERG was primarily modified by SUMO2, which was deconjugated by SENP2. PML promotes the SUMOylation of ERG, enhancing its stability. Arsenic trioxide decreased the expression level of ERG, further promoting cell differentiation. Furthermore, the mutation of SUMO sites in ERG inhibited its ability to promote the proliferation and inhibit the differentiation of leukemia cells. Our results demonstrated the crucial role of ERG SUMOylation in the development of AML, providing powerful targeted therapeutic strategies for the clinical treatment of AML.
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  • 文章类型: Journal Article
    Leukemia is a severe malignancy of the hematopoietic system, which is characterized by uncontrolled proliferation and dedifferentiation of immature hematopoietic precursor cells in the lymphatic system and bone marrow. Leukemia is caused by alterations of the genetic and epigenetic regulation of processes underlying hematologic malignancies, including SUMO modification (SUMOylation). Small ubiquitin-like modifier (SUMO) proteins covalently or noncovalently conjugate and modify a large number of target proteins via lysine residues. SUMOylation is a small ubiquitin-like modification that is catalyzed by the SUMO-specific activating enzyme E1, the binding enzyme E2, and the ligating enzyme E3. SUMO is covalently linked to substrate proteins to regulate the cellular localization of target proteins and the interaction of target proteins with other biological macromolecules. SUMOylation has emerged as a critical regulatory mechanism for subcellular localization, protein stability, protein-protein interactions, and biological function and thus regulates normal life activities. If the SUMOylation process of proteins is affected, it will cause a cellular reaction and ultimately lead to various diseases, including leukemia. There is growing evidence showing that a large number of proteins are SUMOylated and that SUMOylated proteins play an important role in the occurrence and development of various types of leukemia. Targeting the SUMOylation of proteins alone or in combination with current treatments might provide powerful targeted therapeutic strategies for the clinical treatment of leukemia.
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