Mucin

黏蛋白
  • 文章类型: Journal Article
    背景:尼罗罗非鱼具有巨大的经济价值和农业开发潜力。鱼的运输是为了繁殖或贸易目的而进行的,这是水产养殖的一个具有挑战性的方面。本研究旨在研究淡水和微咸水运输对尼罗替卡菌抗性的影响以及NaCl对运输胁迫的缓解作用。使用了四个相等的组;每组50条鱼,第一组作为对照(P1),而第二组(PT2)在无盐的水中运输,第3组(PT3)和第4组(PT4)分别在含有5gL-1和10gL-1盐的水中运输。PT2,PT3和PT4运输5h,无任何休息或镇静药物。
    结果:在PT2组中,O.niloticus的血清皮质醇在运输后0h显着增加,然后在12和24h时降低,在PT3和PT4组与P1组相比,在所有时间点都没有显着增加。与P1组相比,在0h时,PT2组的粘蛋白2基因(MUC2)表达无明显上调,而PT3和PT4组的表达无明显下调。但在12和24h,PT2,PT3和PT4组明显上调。β防御素-1(βD1)和2(βD2)基因表达在PT2组中无明显下调,在PT3和PT4组中在0h时明显上调。,而在12和24h时,PT2组显著下调,而PT3和PT4组无显著下调,在PT2和PT3组中,它在24h时显著下调,在PT4组中无显著下调。在PT2组中,白细胞介素-1β(IL-1β)基因表达无显著上调,在PT3和PT4组中,在0h时无显著下调。在12和24h时,PT2,PT3和PT4组记录到显着的上调。肿瘤坏死因子-α(TNF-α)基因表达在PT2组中无明显上调,在PT3和PT4组中无明显下调。在12和24h时,PT2,PT3和PT4组明显上调。
    结论:这项研究的结果证实了运输对O.niloticus的应激作用以及NaCl的运输应激缓解作用。
    BACKGROUND: Oreochromis niloticus has great economic value and potential for farming and development. Transportation of fish was done for breeding or trading purpose and it is a challenging aspect of aquaculture. This study aimed to investigate the effect of transportation in freshwater and brackish water on the resistance of O. niloticus as well as transportation stress mitigation effect of NaCl. Four equal groups were used; each of 50 fish, the 1st group served as the control (P 1), while the 2nd group (PT 2) was transported in water without salt, the 3rd (PT 3) and 4th (PT 4) groups were transported in water containing 5 gL- 1 and 10 gL- 1 salt respectively. PT 2, PT 3 and PT 4 were transported for 5 h without any rest or sedative drugs.
    RESULTS: The serum cortisol of O. niloticus significantly increased at 0 h and then decreased at 12 and 24 h post transportation in the PT 2 group and non-significantly increased at all point times in the PT 3 and PT 4 groups comparing to P 1 group. Mucin2 gene (MUC2) expression was non-significantly up regulated in the PT 2 group and down regulated in the PT 3 and PT 4 groups at 0 h comparing with P 1 group, but at 12 and 24 h it was significantly up regulated in the PT 2, PT 3 and PT 4 groups. The β Defensin-1 (β D1) and 2 (β D2) genes expression was non-significantly down-regulated in the PT 2 group and significantly up regulated in the PT 3 and PT 4 groups at 0 h., while at 12 and 24 h was significantly down regulated in the PT 2 group and non-significantly down regulated in the PT 3 and PT 4 groups, it significantly down regulated in the PT 2 and PT 3 group and non-significantly down regulated in the PT 4 group at 24 h. Non-significant up regulation in interleukin - 1β (IL-1β) gene expression was reported in the PT 2 group and non-significant down regulation in the PT 3 and PT 4 groups at 0 h. However, significant up regulation was recorded in the PT 2, PT 3 and PT 4 groups at 12 and 24 h. The Tumor necrosis factor-alpha (TNF-α) gene expression was non-significantly up regulated in the PT 2 group and non-significantly down regulated in the PT 3 and PT 4 groups at 0 h. However, it was significantly up regulated in the PT 2, PT 3 and PT 4 groups at 12 and 24 h.
    CONCLUSIONS: The results of this study confirmed the stressful effect of transportation on O. niloticus as well as the transportation stress mitigation effect of NaCl.
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  • 文章类型: Journal Article
    为了克服不兼容问题并增加输血的可能性,需要能够将A型和B型红细胞有效转化为通用供体O型的技术。尽管已经鉴定出几种血型转换酶,对其分子功能的详细了解是有限的。来自两歧双歧杆菌JCM1254(AgaBb)的α-半乳糖苷酶,属于糖苷水解酶(GH)110亚家族A,特异性作用于血型B抗原。这里我们介绍AgaBb的晶体结构,包括催化GH110结构域和部分C末端未表征区域。基于这种结构,我们推测了血型B抗原与活性位点的可能结合机制。定点诱变证实R270和E380识别B抗原中的岩藻糖部分。热移位分析显示,C-末端未表征区域显著有助于蛋白质稳定性。该区域仅在来自双歧杆菌和一些Ruminococus物种的GH110酶中共享。对血型B抗原特异性识别的分子基础的阐明,有望导致未来血型转换酶的实际应用。
    To overcome incompatibility issues and increase the possibility of blood transfusion, technologies that enable efficient conversion of A- and B-type red blood cells to the universal donor O-type is desirable. Although several blood type-converting enzymes have been identified, detailed understanding about their molecular functions is limited. α-Galactosidase from Bifidobacterium bifidum JCM 1254 (AgaBb), belonging to glycoside hydrolase (GH) 110 subfamily A, specifically acts on blood group B antigen. Here we present the crystal structure of AgaBb, including the catalytic GH110 domain and part of the C-terminal uncharacterized regions. Based on this structure, we deduced a possible binding mechanism of blood group B antigen to the active site. Site-directed mutagenesis confirmed that R270 and E380 recognize the fucose moiety in the B antigen. Thermal shift assay revealed that the C-terminal uncharacterized region significantly contributes to protein stability. This region is shared only among GH110 enzymes from B. bifidum and some Ruminococcus species. The elucidation of the molecular basis for the specific recognition of blood group B antigen is expected to lead to the practical application of blood group conversion enzymes in the future.
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  • 文章类型: Journal Article
    糖蛋白在人类生殖系统中含量丰富,糖基化的改变会导致生殖障碍,表明聚糖在生殖功能中起重要作用。在这项研究中,我们使用果蝇生殖系统作为模型来研究O-糖基化的生物学功能。我们发现男性附属腺中的O-糖基化,负责分泌精液蛋白的器官,在女性后交配行为中起着重要作用。失去一个O-糖基转移酶,PGANT9在雄性生殖系统中导致交配雌性的产卵减少。我们确定了PGANT9的一种底物,凝集素-46Ca(CG1656),已知会影响女性交配后的反应。我们进一步表明,凝集素-46CaO-糖基化的丧失会影响其与精子尾巴结合的能力,导致女性生殖系统内的转移减少。我们的结果提供了第一个例子,即精液蛋白的O-糖基化会影响其与体内精子结合的能力。这些研究可以揭示O-聚糖在哺乳动物繁殖中的生物学功能。
    Glycoproteins are abundant within the human reproductive system and alterations in glycosylation lead to reproductive disorders, suggesting that glycans play an important role in reproductive function. In this study, we used the Drosophila reproductive system as a model to investigate the biological functions of O-glycosylation. We found that O-glycosylation in the male accessory glands, an organ responsible for secreting seminal fluid proteins, plays important roles in female postmating behavior. The loss of one O-glycosyltransferase, PGANT9, in the male reproductive system resulted in decreased egg production in mated females. We identified one substrate of PGANT9, lectin-46Ca (CG1656), which is known to affect female postmating responses. We further show that the loss of lectin-46Ca O-glycosylation affects its ability to associate with sperm tails, resulting in reduced transfer within the female reproductive system. Our results provide the first example that O-glycosylation of a seminal fluid protein affects its ability to associate with sperm in vivo. These studies may shed light on the biological function of O-glycans in mammalian reproduction.
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  • 文章类型: Journal Article
    人唾液酸结合免疫球蛋白样凝集素(Siglecs)在免疫细胞亚群上表达。Siglec-8是对嗜酸性粒细胞和肥大细胞的免疫抑制Siglec,它们是包括嗜酸性粒细胞性食管炎在内的过敏性疾病的效应物。当Siglec-8在靶组织中通过多价Siglec配体交联时发生抑制。以前,我们在人类气道上发现了一种高亲和力的Siglec-8唾液酸聚糖配体,该配体由单个蛋白质上携带的末端唾液酸化硫酸角质素链组成,DMBT1.在这里,我们将这种方法扩展到另一种过敏性炎症靶组织,人类食道.凝集素覆盖组织化学显示Siglec-8配体主要由食管粘膜下腺表达,并密集地分布在通向管腔的粘膜下导管中。表达是组织特异性的;食道腺体表达Siglec-8配体,而附近的胃腺则不表达。通过凝胶电泳的提取和拆分揭示了单个主要的人食管Siglec-8配体在>2MDa下迁移。通过尺寸排阻和亲和层析纯化,然后是蛋白质组学质谱,显示蛋白质载体是MUC5B。而所有的人食管粘膜下细胞表达MUC5B,只有一部分通过添加末端唾液酸化硫酸角质素链将其转化为Siglec-8配体。我们将其称为MUC5BS8L。来自活受试者的食道腔的材料显示MUC5BS8L物种范围为〜1-4MDa。我们得出的结论是,人食道中的MUC5B是一种蛋白质帆布,在翻译后添加了Siglec-8结合唾液酸化硫酸角质素链。这些数据扩展了对Siglec-8配体的理解,并可能帮助我们了解它们在过敏性免疫调节中的作用。
    Human sialic acid-binding immunoglobulin-like lectins (Siglecs) are expressed on subsets of immune cells. Siglec-8 is an immune inhibitory Siglec on eosinophils and mast cells, which are effectors in allergic disorders including eosinophilic esophagitis. Inhibition occurs when Siglec-8 is crosslinked by multivalent Siglec ligands in target tissues. Previously we discovered a high-affinity Siglec-8 sialoglycan ligand on human airways composed of terminally sialylated keratan sulfate chains carried on a single protein, DMBT1. Here we extend that approach to another allergic inflammatory target tissue, human esophagus. Lectin overlay histochemistry revealed that Siglec-8 ligands are expressed predominantly by esophageal submucosal glands, and are densely packed in submucosal ducts leading to the lumen. Expression is tissue-specific; esophageal glands express Siglec-8 ligand whereas nearby gastric glands do not. Extraction and resolution by gel electrophoresis revealed a single predominant human esophageal Siglec-8 ligand migrating at >2 MDa. Purification by size exclusion and affinity chromatography, followed by proteomic mass spectrometry, revealed the protein carrier to be MUC5B. Whereas all human esophageal submucosal cells express MUC5B, only a portion convert it to Siglec-8 ligand by adding terminally sialylated keratan sulfate chains. We refer to this as MUC5B S8L. Material from the esophageal lumen of live subjects revealed MUC5B S8L species ranging from ~1-4 MDa. We conclude that MUC5B in the human esophagus is a protein canvas on which Siglec-8 binding sialylated keratan sulfate chains are post-translationally added. These data expand understanding of Siglec-8 ligands and may help us understand their roles in allergic immune regulation.
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  • 文章类型: Case Reports
    This study describes a unique case of single mucin-rich brain metastasis in a patient with breast cancer, mimicking the T2-fluid attenuation inversion recovery (FLAIR) mismatch sign and masquerading as an isocitrate dehydrogenase-mutant astrocytoma. This case highlights the importance of considering mucin-rich lesions in the differential diagnosis of intracranial tumors exhibiting T2-FLAIR mismatch. Clinicians must recognize the potential convergence in imaging characteristics between these metastases and gliomas to guarantee prompt and accurate patient care.
    T2-fluid attenuation inversion recovery (이하 FLAIR) mismatch sign은 isocitrate dehydrogenase-mutant 성상세포종을 시사하는 영상 소견으로 알려져 있다. 이 증례 보고에서는 유방암 환자의 뇌에 생긴 점액성 뇌전이암이 T2-FLAIR mismatch sign처럼 보이는 사례를 소개한다. 특히 비조영증강 MRI에서 T2-FLAIR mismatch sign을 보이는 경우, 성상세포종 뿐만 아니라 뇌전이암을 감별진단에 염두에 두어야 한다.
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  • 文章类型: Journal Article
    肠道微生物群显著有助于人类健康和福祉。这项研究的目的是评估由最初在人类肠道中发现的三种下一代益生菌(NGP)候选物组成的财团的稳定性和弹性。Akkermansiamuciniphila的生长模式,拟杆菌,和prausnitzii粪杆菌分别进行了研究和研究。Akkermansiamuciniphia的生长动力学(A.粘液虫),拟杆菌(B.thetaiotaomicron),和普氏粪杆菌(F.prausnitzii)使用等温微量热法和16S核糖体RNA下一代测序分别和财团进行了表征。该财团经过三段传代后达到了稳定性,并表现出了对其初始组成变化的抵抗力。与普劳斯尼齐的单一培养物相比,该财团中产生的丁酸盐浓度几乎是后者的两倍。本文使用的实验条件和方法为进一步发展复杂联盟奠定了坚实的基础。
    The gut microbiota significantly contributes to human health and well-being. The aim of this study was to evaluate the stability and resilience of a consortium composed of three next-generation probiotics (NGPs) candidates originally found in the human gut. The growth patterns of Akkermansia muciniphila, Bacteroides thetaiotaomicron, and Faecalibacterium prausnitzii were studied both individually and consortium. The growth kinetics of Akkermansia muciniphila (A. muciniphila), Bacteroides thetaiotaomicron (B. thetaiotaomicron), and Faecalibacterium prausnitzii (F. prausnitzii) were characterized both individually and in consortium using isothermal microcalorimetry and 16S ribosomal RNA next-generation sequencing. The consortium reached stability after three passages and demonstrated resilience to changes in its initial composition. The concentration of butyrate produced was nearly twice as high in the consortium compared to the monoculture of F. prausnitzii. The experimental conditions and methodologies used in this article are a solid foundation for developing further complex consortia.
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  • 文章类型: Journal Article
    在鸟类和其他物种中,粘蛋白(MUC)在胃肠道(GIT)中起着至关重要的作用,构成一大组O-糖基化糖蛋白,是糖结合蛋白。MUC以两种形式存在:(1)膜附着在细胞表面以抵御外部威胁;(2)可拆卸,可溶形式的凝胶形成蛋白。在鹌鹑GIT,表达的MUC的具体类型仍然是未知的。我们调查了MUC1和MUC4MUC在伊拉克普通鹌鹑GIT中的表达,并对鹌鹑品种的所有已知MUC类型进行了网络和结构分析。
    使用来自10只鹌鹑的新鲜小肠和大肠样品进行MUC1和MUC4的组织学和基因表达分析。使用STRING数据库,Chimera软件,和PrankWeb-配体结合位点预测工具,对所有报道类型的鹌鹑MUC进行了网络和结构分析。
    鹌鹑的大多数肠道MUC是酸性的,通过阿尔辛蓝和高碘酸希夫染色检测到很少的中性MUC。酸性MUC在十二指肠中表达更多,回肠,盲肠,和结肠,而中性MUC在空肠中表达更多。MUC1和MUC4信使RNA在空肠和结肠中的表达显著高于十二指肠和回肠。对网络的分析表明,MUC1、15、16和24形成了同源网络,而MUC2、4、5和6形成异源网络。特定的MUC组合,包括MUC5A-MUC6、MUC5A-MUC5B、和MUC5B-MUC6显示出更高的分子间氢键形成亲和力。MUC15、MUC16和MUC24显示与其他MUC类型的最小相互作用。在分析的MUC中,MUC5B,MUC6具有最高的结合概率,而MUC2,MUC4和MUC5A显示较低的概率,尽管有更多的结合位点。
    这项研究的结果为鹌鹑“MUCs”的组成提供了重要的见解,表达式,网络互动,和结合位点,推进胃肠道生理学中MUC相关过程的知识及其与胃肠道疾病的潜在联系。
    UNASSIGNED: In avian and other species, mucins (MUCs) play a crucial role in the gastrointestinal tract (GIT), and constitute a large group of O-glycosylated glycoproteins, are glycoconjugate proteins. MUCs present in two forms: (1) membrane-attached on cell surfaces to repel external threats and (2) detachable, gel-forming proteins in the soluble form. In quail GIT, the specific types of MUCs that are expressed remain largely unknown. We investigated the expression of MUC1 and MUC4 MUCs in the GIT of Iraqi common quails and conducted network and structural analyses of all known MUC types across quail breeds.
    UNASSIGNED: Histological and gene expression analyses of MUC1 and MUC4 were conducted using fresh small intestine and large intestine samples from 10 quails. Using the STRING Database, Chimera software, and PrankWeb-ligand binding site prediction tool, network and structural analyses of all reported types of quail MUCs were conducted.
    UNASSIGNED: Most intestinal MUCs in quails were acidic, with few neutral MUCs detectable through Alcian blue and periodic acid-schiff stains. Acidic MUCs were more expressed in the duodenum, ileum, cecum, and colon, whereas neutral MUCs were more expressed in the jejunum. MUC1 and MUC4 messenger RNA expression was significantly higher in the jejunum and colon than in the duodenum and ileum. The analysis of the network revealed that MUC 1, 15, 16, and 24 formed homologous networks, while MUC 2, 4, 5, and 6 formed heterologous networks. Specific MUC combinations, including MUC5A-MUC6, MUC5A-MUC5B, and MUC5B-MUC6, show higher intermolecular hydrogen bond formation affinity. MUC15, MUC16, and MUC24 showed minimal interaction with other MUC types. Among the analyzed MUCs, MUC5B, and MUC6 had the highest probability for binding, while MUC2, MUC4, and MUC5A showed lower probabilities despite greater numbers of binding sites.
    UNASSIGNED: This study\'s results offer significant insights into quails\' MUCs\' composition, expression, network interactions, and binding sites, advancing knowledge of MUC-related processes in gastrointestinal physiology and their potential connection to gastrointestinal diseases.
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  • 文章类型: Journal Article
    炎症性肠病(IBD)的发病率和患病率在全球范围内逐渐上升。已知高脂饮食(HFD)会破坏肠道稳态并加重IBD,然而,潜在的机制在很大程度上仍然不确定。这里,在IBD患者和小鼠结肠炎模型中,观察到膳食脂肪摄入与疾病严重程度呈正相关.HFD诱导吲哚-3-乙酸(IAA)的显著降低并导致肠屏障损伤。此外,IAA补充增强肠粘蛋白硫酸化并有效缓解结肠炎。机械上,IAA上调参与粘蛋白硫酸化的关键分子,包括3'-磷酸腺苷5'-磷酸硫酸合酶2(Papss2)和溶质载体家族35成员B3(Slc35b3),3'-磷酸腺苷-5'-磷酸硫酸盐(PAPS)的合成酶和转移酶,通过芳烃受体(AHR)。更重要的是,AHR可以直接结合Papss2的转录起始位点。口服罗伊氏乳杆菌,可以产生IAA,有助于防止结肠炎和促进粘蛋白硫酸化,而缺乏iaaM基因(乳杆菌ΔiaM)和产生IAA的能力的改良罗伊乳杆菌菌株未能表现出这种作用。总的来说,IAA通过AHR-Papss2-Slc35b3途径增强肠粘蛋白硫酸化,有助于保护肠道平衡。
    HFD可通过破坏肠道微生物组中的色氨酸代谢和降低IAA水平而导致结肠炎的发展。已显示补充IAA可缓解小鼠结肠炎并改善肠屏障功能。认为IAA可激活AHR上调Papss2和Slc35b3的表达,促进粘蛋白的硫酸化修饰,保护肠屏障。HFD,高脂肪饮食;AHR,芳烃受体;IAA,吲哚-3-乙酸;Papss2,3'-磷酸腺苷5'-磷酸硫酸合酶2;Slc35b3,溶质载体家族35成员B3。
    The global incidence and prevalence of inflammatory bowel disease (IBD) are gradually increasing. A high-fat diet (HFD) is known to disrupt intestinal homeostasis and aggravate IBD, yet the underlying mechanisms remain largely undefined. Here, a positive correlation between dietary fat intake and disease severity in both IBD patients and murine colitis models is observed. A HFD induces a significant decrease in indole-3-acetic acid (IAA) and leads to intestinal barrier damage. Furthermore, IAA supplementation enhances intestinal mucin sulfation and effectively alleviates colitis. Mechanistically, IAA upregulates key molecules involved in mucin sulfation, including 3\'-phosphoadenosine 5\'-phosphosulfate synthase 2 (Papss2) and solute carrier family 35 member B3 (Slc35b3), the synthesis enzyme and the transferase of 3\'-phosphoadenosine-5\'-phosphosulfate (PAPS), via the aryl hydrocarbon receptor (AHR). More importantly, AHR can directly bind to the transcription start site of Papss2. Oral administration of Lactobacillus reuteri, which can produce IAA, contributes to protecting against colitis and promoting mucin sulfation, while the modified L. reuteri strain lacking the iaaM gene (LactobacillusΔiaaM) and the ability to produce IAA fail to exhibit such effects. Overall, IAA enhances intestinal mucin sulfation through the AHR-Papss2-Slc35b3 pathway, contributing to the protection of intestinal homfeostasis.
    A HFD can lead to the development of colitis by disrupting tryptophan metabolism in the gut microbiome and lowering levels of IAA. Supplementation with IAA has been shown to alleviate colitis in mice and improve intestinal barrier function. It is believed that IAA may activate the AHR to upregulate the expression of Papss2 and Slc35b3, promoting sulfation modification of mucins and protecting the intestinal barrier. HFD, high-fat diet; AHR, aryl hydrocarbon receptor; IAA, indole-3-acetic acid; Papss2, 3’-phosphoadenosine 5’-phosphosulfate synthase 2; Slc35b3, solute carrier family 35 member B3.
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  • 文章类型: Journal Article
    尽管SARS-CoV-2诱导呼吸道粘蛋白分泌过多,COVID-19患者报告了唾液分泌不足/口干症。我们评估了SARS-CoV-2感染的K18-hACE2小鼠的下颌下腺(SMGs)发病机理,重点关注感染对腺泡粘蛋白产生和结构完整性的影响,导管系统,肌上皮细胞(MEC)和端粒细胞。刺突蛋白,核衣壳蛋白,hACE2,肌动蛋白,EGF,免疫荧光法检测TNF-α和IL-1β,并评估Egfr和Muc5b的表达。在受感染的动物中,与导管萎缩相反,观察到明显的腺泡肥大。在SMG细胞中检测到核衣壳蛋白和/或病毒颗粒,主要在核膜来源的囊泡中,确认病毒形成中的核作用。腺泡细胞显示强烈的TNF-α和IL-1β免疫表达,EGF-EGFR信号增强,与Muc5b一起上调。这一发现解释了粘蛋白分泌过多和腺泡肥大,压缩管道。还观察到垂死的MEC和肌动蛋白减少,指示收缩和腺泡支撑的失败,有利于腺泡肥大。在垂死的末端细胞中发现了病毒组装,指出这些相互通信的细胞是SMG中的病毒递质。因此,SARS-CoV-2在腺泡细胞中触发EGF-EGFR诱导的粘蛋白高分泌,可能由细胞因子介导。对末端细胞和MEC的损伤可能有利于腺泡肥大,导致导管阻塞,解释COVID-19患者的口干症。因此,腺泡细胞,端粒细胞和MECs可能是病毒靶标,有利于SMG中的复制和细胞间病毒传播,证实了感染者唾液中的高病毒载量。
    Although SARS-CoV-2 induces mucin hypersecretion in the respiratory tract, hyposalivation/xerostomia has been reported by COVID-19 patients. We evaluate the submandibular gland (SMGs) pathogenesis in SARS-CoV-2-infected K18-hACE2 mice, focusing on the impact of infection on the mucin production and structural integrity of acini, ductal system, myoepithelial cells (MECs) and telocytes. The spike protein, the nucleocapsid protein, hACE2, actin, EGF, TNF-α and IL-1β were detected by immunofluorescence, and the Egfr and Muc5b expression was evaluated. In the infected animals, significant acinar hypertrophy was observed in contrast to ductal atrophy. Nucleocapsid proteins and/or viral particles were detected in the SMG cells, mainly in the nuclear membrane-derived vesicles, confirming the nuclear role in the viral formation. The acinar cells showed intense TNF-α and IL-1β immunoexpression, and the EGF-EGFR signaling increased, together with Muc5b upregulation. This finding explains mucin hypersecretion and acinar hypertrophy, which compress the ducts. Dying MECs and actin reduction were also observed, indicating failure of contraction and acinar support, favoring acinar hypertrophy. Viral assembly was found in the dying telocytes, pointing to these intercommunicating cells as viral transmitters in SMGs. Therefore, EGF-EGFR-induced mucin hypersecretion was triggered by SARS-CoV-2 in acinar cells, likely mediated by cytokines. The damage to telocytes and MECs may have favored the acinar hypertrophy, leading to ductal obstruction, explaining xerostomia in COVID-19 patients. Thus, acinar cells, telocytes and MECs may be viral targets, which favor replication and cell-to-cell viral transmission in the SMG, corroborating the high viral load in saliva of infected individuals.
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  • 文章类型: Case Reports
    肢端持续性丘疹性黏液病(APPM)是一种罕见的特发性局部扁平苔藓粘液症亚型。迄今为止,全球报告的APPM病例不到41例,然而,几乎所有患者年龄均大于18岁.本文首次报道了一个7岁的孩子。
    一名7岁男孩因右手食指中段的桡侧有一个孤立的皮肤色丘疹入院。患者想知道确切的诊断并将其移除,因为中段的屈曲运动已受到影响。因此,进行了手术。从右食指中段的丘疹放射状侧获得的活检标本的组织病理学检查显示,粘蛋白在乳头和中皮层中有局灶性和界限明确的沉积。沉积物从未深入网状真皮。粘蛋白避开了乳头状真皮的表皮下区域。Alcian蓝色污渍可以突出粘蛋白。丘疹在组织学上被诊断为APPM,并通过手术切除。手术后伤口逐渐愈合,没有明显的复发,到目前为止,在随访期间观察到疤痕或其他不适。
    据我们所知,这是罕见的儿童APPM表现为影响中段屈曲运动的孤立丘疹。因为它是一种罕见的疾病,我们报道该病例,为今后对APPM的诊断和发病机制的研究做出贡献。
    UNASSIGNED: Acral persistent papular mucinosis (APPM) is a rare idiopathic subtype of localized lichen myxedematosus. To date, there have been less than 41 APPM cases reported worldwide, however, almost all patients were older than 18 years of age. A 7-year-old child was first reported in this paper.
    UNASSIGNED: A 7-year-old boy was admitted to our hospital with a solitary skin-colored papule on the radial side of the middle segment of his right index finger. The patient wanted to know the exact diagnosis and remove it because the flexion movement of the middle segment had been affected. Thus, a surgery was performed. Histopathological examination of a biopsy specimen obtained from the papule on the radial side of the middle segment of his right index finger showed a focal and well-circumscribed deposit of mucin in the papillary and middermis. The deposit never extended deeply into the reticular dermis. Mucin spared a subepidermal area in the papillary dermis. Alcian blue stains can highlight the mucin. The papule was histologically diagnosed as an APPM and excised surgically. The wound gradually healed after the operation, and no obvious recurrence, scar or other discomfort was observed during follow-up so far.
    UNASSIGNED: To the best of our knowledge, this is the rare case of a child APPM presenting as a solitary papule affecting the flexion movement of the middle segment. Since it is a rare disease, we report this case to contribute to future research on the diagnosis and pathogenesis of APPM.
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