Therapeutic interventions

治疗干预措施
  • 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
    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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  • 文章类型: Journal Article
    角化,一种由铜积累驱动的调节细胞死亡的新特征形式,已经成为各种非癌性疾病的重要机制。这篇综述深入研究了铜代谢与Wilson病(WD)等疾病的发病机理之间的复杂相互作用。神经退行性疾病,和心血管疾病。我们研究了铜失调诱导角化的分子机制,强调关键铜转运蛋白和酶的关键作用。此外,我们评估铜螯合策略的治疗潜力,通过减轻铜诱导的细胞损伤和恢复生理稳态,在实验模型中显示出希望。通过对最新进展和当前知识的全面综合,这篇综述强调了进一步研究将这些发现转化为临床应用的必要性.最终目标是利用靶向角化的治疗潜力,从而改善与铜失调相关的非癌性疾病的疾病管理和患者预后。
    Cuproptosis, a newly characterized form of regulated cell death driven by copper accumulation, has emerged as a significant mechanism underlying various non-cancerous diseases. This review delves into the complex interplay between copper metabolism and the pathogenesis of conditions such as Wilson\'s disease (WD), neurodegenerative disorders, and cardiovascular pathologies. We examine the molecular mechanisms by which copper dysregulation induces cuproptosis, highlighting the pivotal roles of key copper transporters and enzymes. Additionally, we evaluate the therapeutic potential of copper chelation strategies, which have shown promise in experimental models by mitigating copper-induced cellular damage and restoring physiological homeostasis. Through a comprehensive synthesis of recent advancements and current knowledge, this review underscores the necessity of further research to translate these findings into clinical applications. The ultimate goal is to harness the therapeutic potential of targeting cuproptosis, thereby improving disease management and patient outcomes in non-cancerous conditions associated with copper dysregulation.
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  • 文章类型: Journal Article
    纳米酶,可以选择性地清除活性氧(ROS),最近已成为临床前模型中治疗缺血性中风和创伤性脑损伤(TBI)的有希望的候选人。在这些疾病的早期阶段,ROS过量产生会导致氧化脑损伤,这一直是全世界死亡的主要原因。然而,ROS清除酶的临床应用受到其体内半衰期短和不能穿过血脑屏障的限制。纳米酶,模拟天然酶的催化功能,有几个优点,包括成本效益,高稳定性,和易于存储。这些优点使它们优于用于疾病诊断和治疗干预的天然酶。这篇综述强调了纳米酶在缺血性卒中和TBI中应用的最新进展。强调它们减轻ROS生产过剩的有害影响的潜力,氧化性脑损伤,炎症,和血脑屏障妥协。因此,纳米酶代表了未来医疗实践中ROS生产过剩条件的一种有希望的治疗方式。
    Nanozymes, which can selectively scavenge reactive oxygen species (ROS), have recently emerged as promising candidates for treating ischemic stroke and traumatic brain injury (TBI) in preclinical models. ROS overproduction during the early phase of these diseases leads to oxidative brain damage, which has been a major cause of mortality worldwide. However, the clinical application of ROS-scavenging enzymes is limited by their short in vivo half-life and inability to cross the blood-brain barrier. Nanozymes, which mimic the catalytic function of natural enzymes, have several advantages, including cost-effectiveness, high stability, and easy storage. These advantages render them superior to natural enzymes for disease diagnosis and therapeutic interventions. This review highlights recent advancements in nanozyme applications for ischemic stroke and TBI, emphasizing their potential to mitigate the detrimental effect of ROS overproduction, oxidative brain damage, inflammation, and blood-brain barrier compromise. Therefore, nanozymes represent a promising treatment modality for ROS overproduction conditions in future medical practices.
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  • 文章类型: Journal Article
    下丘是海马结构的关键输出成分,神经科学研究中经常被忽视的结构。这里,这篇综述旨在探讨下膜在各种脑部疾病中的作用,阐明其在神经系统疾病的功能神经解剖学观点中的重要性。彻底检查了下膜在多种脑部疾病中的参与。在阿尔茨海默病中,下膜改变先于认知能力下降,在癫痫中,下膜在癫痫发作中起关键作用。应力涉及下丘脑对下丘脑-垂体-肾上腺皮质轴的影响。此外,下膜表现出焦虑的结构和功能变化,精神分裂症,和帕金森病,导致认知缺陷。双相情感障碍与下膜结构异常有关,而自闭症谱系障碍揭示了下膜向内变形的改变。最后,额颞叶痴呆显示下膜的体积差异,强调它对无序的复杂性的贡献。一起来看,这篇综述巩固了关于下膜在脑部疾病中的作用的现有知识,并可能促进未来的研究,诊断策略,以及各种神经系统疾病的治疗干预措施。
    Subiculum is a pivotal output component of the hippocampal formation, a structure often overlooked in neuroscientific research. Here, this review aims to explore the role of the subiculum in various brain disorders, shedding light on its significance within the functional-neuroanatomical perspective on neurological diseases. The subiculum\'s involvement in multiple brain disorders was thoroughly examined. In Alzheimer\'s disease, subiculum alterations precede cognitive decline, while in epilepsy, the subiculum plays a critical role in seizure initiation. Stress involves the subiculum\'s impact on the hypothalamic-pituitary-adrenocortical axis. Moreover, the subiculum exhibits structural and functional changes in anxiety, schizophrenia, and Parkinson\'s disease, contributing to cognitive deficits. Bipolar disorder is linked to subiculum structural abnormalities, while autism spectrum disorder reveals an alteration of inward deformation in the subiculum. Lastly, frontotemporal dementia shows volumetric differences in the subiculum, emphasizing its contribution to the disorder\'s complexity. Taken together, this review consolidates existing knowledge on the subiculum\'s role in brain disorders, and may facilitate future research, diagnostic strategies, and therapeutic interventions for various neurological conditions.
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  • 文章类型: Journal Article
    5'非翻译区内的非编码CGG重复扩增与一系列神经系统疾病有关,包括脆性X相关震颤/共济失调综合征,眼咽肌病伴白质营养不良,和眼咽远端肌病。这篇综述概述了与非编码CGG重复扩增相关的疾病的一般特征,详细说明他们的临床表现和神经影像学模式,通常重叠并表明共同的病理生理特征。我们总结了这些疾病的潜在分子机制,提供对DNA角色的新见解,RNA,和有毒蛋白质发挥作用。了解这些机制对于制定有针对性的治疗策略至关重要。这些策略包括一系列方法,如反义寡核苷酸,RNA干扰,基因组DNA编辑,小分子干预,以及其他旨在纠正这些疾病固有的失调过程的治疗方法。更深入地了解非编码CGG重复扩增障碍之间的共同机制,可能会促进创新疗法的发展。最终为患有这些使人衰弱的神经系统疾病的人提供救济。
    Non-coding CGG repeat expansions within the 5\' untranslated region are implicated in a range of neurological disorders, including fragile X-associated tremor/ataxia syndrome, oculopharyngeal myopathy with leukodystrophy, and oculopharyngodistal myopathy. This review outlined the general characteristics of diseases associated with non-coding CGG repeat expansions, detailing their clinical manifestations and neuroimaging patterns, which often overlap and indicate shared pathophysiological traits. We summarized the underlying molecular mechanisms of these disorders, providing new insights into the roles that DNA, RNA, and toxic proteins play. Understanding these mechanisms is crucial for the development of targeted therapeutic strategies. These strategies include a range of approaches, such as antisense oligonucleotides, RNA interference, genomic DNA editing, small molecule interventions, and other treatments aimed at correcting the dysregulated processes inherent in these disorders. A deeper understanding of the shared mechanisms among non-coding CGG repeat expansion disorders may hold the potential to catalyze the development of innovative therapies, ultimately offering relief to individuals grappling with these debilitating neurological conditions.
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  • 文章类型: Journal Article
    目前,糖尿病(DM)是危害健康的疾病之一。目前的疗法包括控制高血糖,减少肥胖等风险因素,高血压,等等;然而,DM患者不可避免地并最终发展成不同类型的糖尿病并发症,导致生活质量差。不幸的是,由于复杂的全身系统,糖尿病并发症的病因和发病机制尚未阐明。免疫系统负责通过触发或解决炎症反应来调节体内平衡,提示糖尿病并发症可能是必要的。事实上,既往研究表明,炎症在糖尿病并发症的发病机制中起着多功能作用,并成为有意义的治疗策略。为此,这篇综述系统地总结了目前关于易感糖尿病并发症关系的研究(例如,糖尿病性心肌病,糖尿病视网膜病变,糖尿病周围神经病变,和糖尿病肾病)和炎症,从免疫细胞反应,细胞因子与器官损伤病理机制的相互作用。此外,我们还总结了通过从特殊治疗到常规生活方式改变的靶向炎症改善糖尿病并发症的各种治疗策略.这篇综述将从炎症角度提供对糖尿病并发症机制的全景见解,并讨论当代临床干预措施。
    At present, diabetes mellitus (DM) has been one of the most endangering healthy diseases. Current therapies contain controlling high blood sugar, reducing risk factors like obesity, hypertension, and so on; however, DM patients inevitably and eventually progress into different types of diabetes complications, resulting in poor quality of life. Unfortunately, the clear etiology and pathogenesis of diabetes complications have not been elucidated owing to intricate whole-body systems. The immune system was responsible to regulate homeostasis by triggering or resolving inflammatory response, indicating it may be necessary to diabetes complications. In fact, previous studies have been shown inflammation plays multifunctional roles in the pathogenesis of diabetes complications and is attracting attention to be the meaningful therapeutic strategy. To this end, this review systematically concluded the current studies over the relationships of susceptible diabetes complications (e.g., diabetic cardiomyopathy, diabetic retinopathy, diabetic peripheral neuropathy, and diabetic nephropathy) and inflammation, ranging from immune cell response, cytokines interaction to pathomechanism of organ injury. Besides, we also summarized various therapeutic strategies to improve diabetes complications by target inflammation from special remedies to conventional lifestyle changes. This review will offer a panoramic insight into the mechanisms of diabetes complications from an inflammatory perspective and also discuss contemporary clinical interventions.
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  • 文章类型: Journal Article
    这篇综述全面探索了核骨架和细胞骨架(LINC)复合物的接头所起的关键作用,特别关注奈斯普林蛋白,在细胞力学和肌肉疾病的发病机理中。区别于以前的作品,分析深入研究了LINC复合体的复杂相互作用,强调其对维持细胞结构完整性不可或缺的贡献,特别是在机械敏感的组织,如心脏和横纹肌。此外,强调了Nesprin蛋白突变与扩张型心肌病(DCM)和Emery-Dreifuss肌营养不良(EDMD)的发病之间的显着关联,强调它们在疾病发病机制中的关键作用。通过对DCM和EDMD病例的全面检查,这篇评论阐明了LINC复合体的中断,核形态学改变,和肌肉发育障碍,因此强调了完整的LINC复合物在保持肌肉生理功能方面的基本功能。此外,这篇综述为Nesprin突变对肌肉疾病发病机制中细胞动力学的影响提供了新的见解,特别是在保持心脏结构和功能的完整性。此外,先进的治疗策略,包括纠正Nesprin基因突变,控制Nesprin蛋白表达,增强LINC复杂功能,并提出了增强心肌细胞功能的方法。通过阐明核-细胞骨架相互作用的复杂分子机制,这篇综述为未来旨在解决遗传性肌肉疾病的研究和治疗干预奠定了基础.
    This review presents a comprehensive exploration of the pivotal role played by the Linker of Nucleoskeleton and Cytoskeleton (LINC) complex, with a particular focus on Nesprin proteins, in cellular mechanics and the pathogenesis of muscular diseases. Distinguishing itself from prior works, the analysis delves deeply into the intricate interplay of the LINC complex, emphasizing its indispensable contribution to maintaining cellular structural integrity, especially in mechanically sensitive tissues such as cardiac and striated muscles. Additionally, the significant association between mutations in Nesprin proteins and the onset of Dilated Cardiomyopathy (DCM) and Emery-Dreifuss Muscular Dystrophy (EDMD) is highlighted, underscoring their pivotal role in disease pathogenesis. Through a comprehensive examination of DCM and EDMD cases, the review elucidates the disruptions in the LINC complex, nuclear morphology alterations, and muscular developmental disorders, thus emphasizing the essential function of an intact LINC complex in preserving muscle physiological functions. Moreover, the review provides novel insights into the implications of Nesprin mutations for cellular dynamics in the pathogenesis of muscular diseases, particularly in maintaining cardiac structural and functional integrity. Furthermore, advanced therapeutic strategies, including rectifying Nesprin gene mutations, controlling Nesprin protein expression, enhancing LINC complex functionality, and augmenting cardiac muscle cell function are proposed. By shedding light on the intricate molecular mechanisms underlying nuclear-cytoskeletal interactions, the review lays the groundwork for future research and therapeutic interventions aimed at addressing genetic muscle disorders.
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