therapeutic development

治疗发展
  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    作为一种必需的初级激素,甲状腺激素(TH)是人体生长不可缺少的,发育和新陈代谢。TH功能在几个方面受损,包括TH合成,激活,运输和受体依赖性反式激活,最终会导致甲状腺激素抵抗综合征(RTH)。RTH是一种罕见的综合征,表现为靶细胞对TH信号的反应降低。大多数RTH病例与甲状腺激素受体β(TRβ)突变有关,只有少数RTH病例与甲状腺激素受体α(TRα)突变或其他原因有关。RTH患者患有甲状腺肿,智力迟钝,身材矮小和心动过缓或心动过速。迄今为止,在RTH患者中已经报道了大约170个突变的TRβ变体和超过20个突变的TRα变体。除了这些突变的蛋白质,一些TR同工型还可以通过与初级TR竞争TRE和RXR结合来降低TH功能。幸运的是,通过构效关系(SAR)研究和药物设计探索了RTH的不同治疗方法,在这些治疗中。具有模拟甲状腺的效力,但生化特性与原发性TH(T3和T4)不同,这些TH类似物可以绕过特定的缺陷转运蛋白或反应性突变TR。然而,这些化合物必须小心使用,以避免过度激活TRα,这与更严重的心脏损伤有关。本文综述了突变诱导的TR配体结合域RTH的结构机制。此外,还讨论了克服这种耐药性的治疗策略。
    As an essential primary hormone, thyroid hormone (TH) is indispensable for human growth, development and metabolism. Impairment of TH function in several aspects, including TH synthesis, activation, transportation and receptor-dependent transactivation, can eventually lead to thyroid hormone resistance syndrome (RTH). RTH is a rare syndrome that manifests as a reduced target cell response to TH signaling. The majority of RTH cases are related to thyroid hormone receptor β (TRβ) mutations, and only a few RTH cases are associated with thyroid hormone receptor α (TRα) mutations or other causes. Patients with RTH suffer from goiter, mental retardation, short stature and bradycardia or tachycardia. To date, approximately 170 mutated TRβ variants and more than 20 mutated TRα variants at the amino acid level have been reported in RTH patients. In addition to these mutated proteins, some TR isoforms can also reduce TH function by competing with primary TRs for TRE and RXR binding. Fortunately, different treatments for RTH have been explored with structure-activity relationship (SAR) studies and drug design, and among these treatments. With thyromimetic potency but biochemical properties that differ from those of primary TH (T3 and T4), these TH analogs can bypass specific defective transporters or reactive mutant TRs. However, these compounds must be carefully applied to avoid over activating TRα, which is associated with more severe heart impairment. The structural mechanisms of mutation-induced RTH in the TR ligand-binding domain are summarized in this review. Furthermore, strategies to overcome this resistance for therapeutic development are also discussed.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    DNA immune recognition regulation mediated by the cGAS-STING pathway plays an important role in immune functions. Under normal physiological conditions, cGAS can recognize and bind to invading pathogen DNA and activate the innate immune response. On the other hand, abnormal activation of cGAS or STING is closely related to autoimmune diseases. In addition, activation of STING proteins as a bridge connecting innate immunity and adaptive immunity can effectively restrain tumor growth. Therefore, targeting the cGAS-STING pathway can alleviate autoimmune symptoms and be a potential drug target for treating cancer. This article summarizes the current progress on cGAS-STING pathway modulators and lays the foundation for further investigating therapeutic development in autoimmune diseases and tumors.
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  • 文章类型: Journal Article
    FMR1 gene premutation carriers are at risk of developing Fragile X-associated tremor/ataxia syndrome (FXTAS) and Fragile X-associated primary ovarian insufficiency (FXPOI) in adulthood. Currently the development of biomarkers and effective treatments in FMR1 premutations is still in its infancy. Recent metabolic studies have shown novel findings in asymptomatic FMR1 premutation carriers and FXTAS, which provide promising insight through identification of potential biomarkers and therapeutic pathways. Here we review the latest advancements of the metabolic alterations found in asymptomatic FMR1 premutation carriers and FXTAS, along with our perspective for future studies in this emerging field.
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  • 文章类型: Letter
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    文章类型: Journal Article
    The relevance of the dysregulation of snoRNAs in human cancer has been widely investigated and has challenged the view that snoRNAs merely function as house-keeping genes for the posttranscriptional modification of rRNAs. Accumulating evidence has shown the intimate connection between snoRNAs and proliferation, apoptosis, invasion and migration of tumor cells via manual intervention patterns of snoRNA expression. In this review, we focused on how snoRNAs are dysregulated and its regulation of the formation and development of cancer. We summarized the non-classical functions of snoRNAs in the context of their regulations of the signaling pathways involving PI3K-AKT and K-Ras and p53-dependant manner. Under these novel functions and characteristics, snoRNAs can act as potential and feasible biomarkers for diagnosis. Simultaneously, these promising therapeutic strategies should be considered to counteract the perturbations of snoRNAs.
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  • 文章类型: Journal Article
    人类诱导多能干细胞(hiPSCs)技术在神经退行性疾病患者特异性模型中的当前应用概述了一些疾病的关键表型,代表疾病特异性细胞建模,并为治疗开发提供独特的平台。我们回顾了最近在推进hiPSCs来源的神经元细胞类型方面的努力,并通过关注阿尔茨海默病,强调了它们在开发更复杂的神经退行性疾病体外模型方面的潜在用途。帕金森病,亨廷顿病和肌萎缩侧索硬化症。我们提供了有关这些神经系统疾病中各种神经元类型的重要表型变化的先前工作的证据。我们还总结了用hiPSC进行低和高通量筛选实验以开发用于治疗神经退行性疾病的潜在治疗剂的努力。最后,我们讨论了hiPSCs培养系统在研究神经退行性疾病方面的局限性以及克服这些障碍的替代策略。
    Current application of human induced pluripotent stem cells (hiPSCs) technology in patient-specific models of neurodegenerative disorders recapitulate some of key phenotypes of diseases, representing disease-specific cellular modeling and providing a unique platform for therapeutics development. We review recent efforts toward advancing hiPSCs-derived neuronal cell types and highlight their potential use for the development of more complex in vitro models of neurodegenerative diseases by focusing on Alzheimer\'s disease, Parkinson\'s disease, Huntington\'s disease and Amyotrophic lateral sclerosis. We present evidence from previous works on the important phenotypic changes of various neuronal types in these neurological diseases. We also summarize efforts on conducting low- and high-throughput screening experiments with hiPSCs toward developing potential therapeutics for treatment of neurodegenerative diseases. Lastly, we discuss the limitations of hiPSCs culture system in studying neurodegenerative diseases and alternative strategies to overcome these hurdles.
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  • 文章类型: Journal Article
    Lysosomal storage diseases (LSDs) are a group of rare diseases in which the function of the lysosome is disrupted by the accumulation of macromolecules. The complexity underlying the pathogenesis of LSDs and the small, often pediatric, population of patients make the development of therapies for these diseases challenging. Current treatments are only available for a small subset of LSDs and have not been effective at treating neurological symptoms. Disease-relevant cellular and animal models with high clinical predictability are critical for the discovery and development of new treatments for LSDs. In this paper, we review how LSD patient primary cells and induced pluripotent stem cell-derived cellular models are providing novel assay systems in which phenotypes are more similar to those of the human LSD physiology. Furthermore, larger animal disease models are providing additional tools for evaluation of the efficacy of drug candidates. Early predictors of efficacy and better understanding of disease biology can significantly affect the translational process by focusing efforts on those therapies with the higher probability of success, thus decreasing overall time and cost spent in clinical development and increasing the overall positive outcomes in clinical trials.
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