Hippo

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  • 文章类型: Journal Article
    高危型人乳头瘤病毒(HPV)癌蛋白使细胞肿瘤抑制因子失活,从而重新编程宿主细胞信号通路。HPVE7蛋白结合并降解肿瘤抑制因子PTPN14,从而促进YAP1癌蛋白的核定位并抑制角质形成细胞分化。YAP1是驱动上皮细胞干性和自我更新的转录共激活因子。YAP1活性被高度保守的Hippo途径抑制,在人类癌症中经常失活。MST1/2和LATS1/2激酶形成Hippo激酶级联的核心。活性LATS1激酶在苏氨酸1079上磷酸化,并通过在包括丝氨酸127在内的氨基酸上磷酸化来抑制YAP1。这里,我们检测了高危(致癌)HPV18E7对Hippo通路活性的影响.我们发现PTPN14敲除或HPV18E7降解PTPN14可降低人角质形成细胞中LATS1T1079和YAP1S127的磷酸化并抑制角质形成细胞的分化。相反,PTPN14依赖性分化需要PTPN14中的LATS激酶和某些PPxY基序。PTPN14促进分化既不需要MST1/2激酶也不需要推定的PTPN14磷酸酶活性位点。一起,这些数据支持PTPN14被HPV18E7灭活或降解PTPN14降低LATS1活性,促进活性YAP1和抑制角质形成细胞分化。重要提示Hippo激酶级联抑制YAP1,一种癌蛋白和细胞干性和自我更新的驱动因素。越来越多的证据表明,Hippo途径被包括人乳头瘤病毒在内的肿瘤病毒所靶向。高危HPVE7癌蛋白促进YAP1核定位,高危HPVE7的致癌活性需要YAP1活性。阻断HPVE7依赖性YAP1激活可以抑制HPV介导的癌变,但HPVE7激活YAP1的机制尚未阐明.在这里,我们报道通过降解肿瘤抑制因子PTPN14,HPV18E7抑制LATS1激酶,减少对YAP1的抑制磷酸化。这些数据支持HPV癌蛋白可以抑制Hippo信号传导以激活YAP1并加强人上皮细胞中PTPN14和Hippo信号传导之间的联系。
    High-risk human papillomavirus (HPV) oncoproteins inactivate cellular tumor suppressors to reprogram host cell signaling pathways. HPV E7 proteins bind and degrade the tumor suppressor PTPN14, thereby promoting the nuclear localization of the YAP1 oncoprotein and inhibiting keratinocyte differentiation. YAP1 is a transcriptional coactivator that drives epithelial cell stemness and self-renewal. YAP1 activity is inhibited by the highly conserved Hippo pathway, which is frequently inactivated in human cancers. MST1/2 and LATS1/2 kinases form the core of the Hippo kinase cascade. Active LATS1 kinase is phosphorylated on threonine 1079 and inhibits YAP1 by phosphorylating it on amino acids including serine 127. Here, we tested the effect of high-risk (carcinogenic) HPV18 E7 on Hippo pathway activity. We found that either PTPN14 knockout or PTPN14 degradation by HPV18 E7 decreased the phosphorylation of LATS1 T1079 and YAP1 S127 in human keratinocytes and inhibited keratinocyte differentiation. Conversely, PTPN14-dependent differentiation required LATS kinases and certain PPxY motifs in PTPN14. Neither MST1/2 kinases nor the putative PTPN14 phosphatase active sites were required for PTPN14 to promote differentiation. Together, these data support that PTPN14 inactivation or degradation of PTPN14 by HPV18 E7 reduce LATS1 activity, promoting active YAP1 and inhibiting keratinocyte differentiation.IMPORTANCEThe Hippo kinase cascade inhibits YAP1, an oncoprotein and driver of cell stemness and self-renewal. There is mounting evidence that the Hippo pathway is targeted by tumor viruses including human papillomavirus. The high-risk HPV E7 oncoprotein promotes YAP1 nuclear localization and the carcinogenic activity of high-risk HPV E7 requires YAP1 activity. Blocking HPV E7-dependent YAP1 activation could inhibit HPV-mediated carcinogenesis, but the mechanism by which HPV E7 activates YAP1 has not been elucidated. Here we report that by degrading the tumor suppressor PTPN14, HPV18 E7 inhibits LATS1 kinase, reducing inhibitory phosphorylation on YAP1. These data support that an HPV oncoprotein can inhibit Hippo signaling to activate YAP1 and strengthen the link between PTPN14 and Hippo signaling in human epithelial cells.
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  • 文章类型: Journal Article
    背景:ATP11A,P型ATP酶,在几种癌症中,充当质膜上的翻转酶,以维持细胞功能和活力。然而,ATP11A在胃癌中的作用尚不清楚.本研究旨在鉴定与胃癌生物学行为相关的ATP11A,并阐明潜在的机制。方法:使用癌症基因组图谱(TCGA)和基因型组织表达(GTEx)数据库分析ATP11A的表达和预后。通过基因本体论(GO)探索ATP11A的生物学功能,京都基因和基因组百科全书(KEGG)和基因集富集分析(GSEA)。通过免疫组织化学(IHC)验证ATP11A的表达,qRT-PCR和Western印迹。Transwell,伤口愈合,CCK8和集落形成被检测到的迁移,胃癌细胞的侵袭和增殖。通过Western印迹检查上皮-间质转化(EMT)和Hippo途径标志物。结果:ATP11A在胃癌组织中的表达高于正常组织,高ATP11A水平与胃癌患者预后较差有关。此外,我们证明了ATP11A促进了迁移,胃癌细胞的侵袭和增殖。此外,发现ATP11A通过使Hippo途径失活而促进EMT。结论:ATP11A促进迁移,入侵,通过Hippo信号失活在胃癌细胞中的增殖和EMT。
    Background: ATP11A, a P-type ATPase, functions as flippases at the plasma membrane to maintain cellular function and vitality in several cancers. However, the role of ATP11A in gastric cancer remains unknown. This study aimed to identify ATP11A related to the biological behavior of gastric cancer, and elucidate the underlying mechanism. Methods: The Cancer Genome Atlas (TCGA) and Genotype-Tissue Expression (GTEx) databases were used to analyze the expression and prognosis of ATP11A. The biofunctions of ATP11A were explored through Gene Ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG) and Gene Set Enrichment Analysis (GSEA). The expression of ATP11A were validated by immunohistochemistry (IHC), qRT-PCR and Western blotting. Transwell, wound healing, CCK8 and colony-formation were to detected the migration, invasion and proliferation of gastric cancer cells. The epithelial-mesenchymal transition (EMT) and Hippo pathway markers were examined by Western blotting. Results: The expression of ATP11A was higher in gastric cancer tissues than in normal tissues, and high ATP11A levels were related to worse prognosis of gastric cancer patients. Additionally, we proved that ATP11A promoted the migration, invasion and proliferation in gastric cancer cells. Furthermore, ATP11A was found to promote EMT by devitalizing the Hippo pathway. Conclusion: ATP11A promoted migration, invasion, proliferation and EMT via Hippo signaling devitalization in gastric cancer cells.
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  • 文章类型: Journal Article
    前列腺癌(PCa),泌尿生殖系统中最常见的恶性肿瘤之一,以远处转移和去势抵抗前列腺癌(CRPC)的发展为特征,这是预后不良的主要决定因素。目前PCa的治疗方法主要包括手术和内分泌治疗。但管理远处转移和CRPC的有效策略仍然有限.
    我们利用qPCR,WB,和其他方法来测量各自蛋白质的表达水平,同时评估脂质代谢以验证FATP5在脂质代谢中的作用。此外,我们采用生物信息学分析和WB技术来探索相应的机制。
    在这项研究中,我们对临床样本和公共数据库进行了分析,以确定FATP5的差异表达,并进一步研究了其与临床结局的相关性.通过生化和功能实验,我们阐明了FATP5促进PCa进展的潜在潜在机制.我们的研究结果表明,FATP5的特异性上调显着增强增殖,迁移,和PCa细胞系的侵袭,同时还调节PCa的脂质代谢。机械上,FATP5的表达与Hippo信号通路密切相关,因为它通过抑制AMPK并促进β-catenin和RHOA的激活来促进YAP1的核积累。此外,FATP5的转录是由TEAD4介导的,这种转录激活需要YAP1的参与。
    FATP5在前列腺癌中高表达,可以增强前列腺癌的生物学活性和脂质代谢。我们还阐明了FATP5受Hippo信号通路调节。这为前列腺癌的医治供给了新的潜伏靶点。
    UNASSIGNED: Prostate cancer (PCa), one of the most prevalent malignant tumors in the genitourinary system, is characterized by distant metastasis and the development of castration-resistant prostate cancer (CRPC), which are major determinants of poor prognosis. Current treatment approaches for PCa primarily involve surgery and endocrine therapy, but effective strategies for managing distant metastasis and CRPC remain limited.
    UNASSIGNED: We utilized qPCR, WB, and other methods to measure the expression levels of respective proteins, concurrently assessing lipid metabolism to validate the role of FATP5 in lipid metabolism. Additionally, we employed bioinformatics analysis and WB techniques to explore the corresponding mechanisms.
    UNASSIGNED: In this study, we conducted an analysis of clinical samples and public databases to identify differential expression of FATP5 and further investigated its association with clinical outcomes. Through biochemical and functional experiments, we elucidated the potential underlying mechanisms by which FATP5 facilitates the progression of PCa. Our findings demonstrate that specific upregulation of FATP5 significantly enhances proliferation, migration, and invasion of PCa cell lines, while also modulating lipid metabolism in PCa. Mechanistically, the expression of FATP5 is closely associated with the Hippo signaling pathway, as it promotes the nuclear accumulation of YAP1 by inhibiting AMPK and facilitating the activation of β-catenin and RHOA. Furthermore, the transcription of FATP5 is mediated by TEAD4, and this transcriptional activation requires the involvement of YAP1.
    UNASSIGNED: FATP5 is highly expressed in prostate cancer and can enhance the biological activity and lipid metabolism of prostate cancer. We have also elucidated that FATP5 is regulated by the Hippo signaling pathway. This provides a new potential target for the treatment of prostate cancer.
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  • 文章类型: Journal Article
    Yes相关蛋白(YAP)及其同系物,具有PDZ结合基序(TAZ)的转录共激活因子,是Hippo途径的主要转录下游效应子。Hippo途径活性降低导致YAP/TAZ的核易位,其中它们与TEAD转录因子相互作用以诱导靶基因表达。不受约束的YAP/TAZ活性可在短时间内导致过度生长和肿瘤形成,强调了对严格控制这两种转录共激活因子的进化需求。这里,我们报告说,AP-1组件JUN在联合目标地点充当YAP/TAZ的特定抑制剂,以降低YAP/TAZ的活性。JUN的此功能独立于其异二聚体AP-1伴侣FOS和规范AP-1功能。由于JUN的表达本身是由YAP/TAZ诱导的,我们的工作确定了JUN依赖的负反馈回路,该回路在联合基因组位点缓冲了YAP/TAZ活性.这种负反馈回路在肝癌中被破坏,以解锁YAP/TAZ的全部致癌潜力。因此,我们的结果证明了YAP/TAZ和AP-1相互作用的额外控制层。
    Yes-associated protein (YAP) and its homolog, transcriptional coactivator with PDZ-binding motif (TAZ), are the main transcriptional downstream effectors of the Hippo pathway. Decreased Hippo pathway activity leads to nuclear translocation of YAP/TAZ where they interact with TEAD transcription factors to induce target gene expression. Unrestrained YAP/TAZ activity can lead to excessive growth and tumor formation in a short time, underscoring the evolutionary need for tight control of these two transcriptional coactivators. Here, we report that the AP-1 component JUN acts as specific repressor of YAP/TAZ at joint target sites to decrease YAP/TAZ activity. This function of JUN is independent of its heterodimeric AP-1 partner FOS and the canonical AP-1 function. Since expression of JUN is itself induced by YAP/TAZ, our work identifies a JUN-dependent negative feedback loop that buffers YAP/TAZ activity at joint genomic sites. This negative feedback loop gets disrupted in liver cancer to unlock the full oncogenic potential of YAP/TAZ. Our results thus demonstrate an additional layer of control for the interplay of YAP/TAZ and AP-1.
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  • 文章类型: Journal Article
    这篇重点综述强调了人类小梁网和Schlemm管细胞中具有PDZ结合基序(TAZ)机械信号传导的Yes相关蛋白(YAP)/转录共激活因子对青光眼相关的细胞外基质硬化和周期性机械拉伸的重要性。以及生化途径调节剂(具有信号串扰),包括转化生长因子β2,糖皮质激素,Wnt,溶血磷脂酸,血管内皮生长因子,和氧化应激。我们全面概述了过去十年的相关文献,突出具有转化潜力的有趣研究途径,并展望未来方向。
    This focused review highlights the importance of yes-associated protein (YAP)/transcriptional coactivator with PDZ binding motif (TAZ) mechanosignaling in human trabecular meshwork and Schlemm\'s canal cells in response to glaucoma-associated extracellular matrix stiffening and cyclic mechanical stretch, as well as biochemical pathway modulators (with signaling crosstalk) including transforming growth factor beta 2, glucocorticoids, Wnt, lysophosphatidic acid, vascular endothelial growth factor, and oxidative stress. We provide a comprehensive overview of relevant literature from the last decade, highlight intriguing research avenues with translational potential, and close with an outlook on future directions.
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  • 文章类型: Journal Article
    Hippo通路换能器是相关蛋白(YAP)和WW域包含转录调节因子1(WWTR1/TAZ)是肝脏肿瘤发生的关键调节因子,促进肿瘤形成和进展。尽管第一批抑制剂正在临床试验中,针对YAP/TAZ活动的相关上游监管机构可能同样有益。鉴定肝癌(HCC)细胞中YAP/TAZ活性的调节因子,我们进行了邻近标记方法(BioID)与质谱联用。我们验证了CRK样原癌基因衔接蛋白(CRKL)作为新的YAP排他性相互作用伴侣。CRKL在HCC患者中高表达,其表达与YAP活性及不良生存预后相关。体外实验证明了CRKL依赖性细胞存活和通过肌动蛋白破坏诱导的YAP结合的丧失。此外,我们描绘了CRKL对JNK/JUN途径的激活,这促进了YAP转录。我们的数据表明,CRKL不仅通过其结合促进YAP活性,而且通过JNK/JUN激活诱导YAP转录。这强调了靶向JNK/JUN途径在HCC患者中抑制YAP表达的潜在用途。
    The Hippo pathway transducers yes-associated protein (YAP) and WW-domain containing transcription regulator 1 (WWTR1/TAZ) are key regulators of liver tumorigenesis, promoting tumor formation and progression. Although the first inhibitors are in clinical trials, targeting the relevant upstream regulators of YAP/TAZ activity could prove equally beneficial. To identify regulators of YAP/TAZ activity in hepatocarcinoma (HCC) cells, we carried out a proximity labelling approach (BioID) coupled with mass spectrometry. We verified CRK-like proto-oncogene adaptor protein (CRKL) as a new YAP-exclusive interaction partner. CRKL is highly expressed in HCC patients, and its expression is associated with YAP activity as well as poor survival prognosis. In vitro experiments demonstrated CRKL-dependent cell survival and the loss of YAP binding induced through actin disruption. Moreover, we delineated the activation of the JNK/JUN pathway by CRKL, which promoted YAP transcription. Our data illustrate that CRKL not only promoted YAP activity through its binding but also through the induction of YAP transcription by JNK/JUN activation. This emphasizes the potential use of targeting the JNK/JUN pathway to suppress YAP expression in HCC patients.
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  • 文章类型: Journal Article
    背景:纤毛丢失和纤毛运动功能受损是慢性鼻-鼻窦炎伴鼻息肉(CRSwNP)的典型病理特征之一。白细胞介素-17A(IL-17A)和白细胞介素-22(IL-22)是3型炎症的典型细胞因子,对上皮细胞表现出类似的功能作用。在这项研究中,我们试图检查IL-17A和IL-22对纤毛细胞的影响,并研究Hippo-Yes相关蛋白(YAP)信号传导对纤毛发生的影响。
    方法:我们评估了从CRSwNP患者获得的鼻组织中IL-17A和IL-22的mRNA和蛋白质表达水平,并将其与健康对照进行了比较。为了进一步探索IL-17A和IL-22的影响,我们使用不同浓度(2ng/mL,10ng/mL,50ng/mL),在气液界面(ALI)培养物中持续28天。此外,我们使用抑制剂维替泊芬(VP)来研究IL-17A和IL-22是否通过Hippo-YAP途径对纤毛细胞发挥作用。
    结果:CRSwNP中IL-17A和IL-22的mRNA和蛋白水平明显高于健康对照组,揭示了IL-17A和IL-22之间的强相关性。YAP在CRSwNP的纤毛细胞核中高表达,并与临床症状呈正相关。发现IL-17A和IL-22均可减少纤毛细胞的数量。IL-17A,但不是IL-22,通过破坏纤毛细胞基体的适当发育和对接来抑制纤毛生成,导致活动纤毛功能障碍。此外,随着纤毛细胞达到分化的最后阶段,纤毛细胞核内YAP的表达逐渐下降。然而,该过程仅被IL-17A阻碍。YAP抑制剂,比如Verteporfin,通过增加纤毛细胞的比例显着逆转了IL-17A的作用,抑制这些细胞中的核YAP表达,增强纤毛跳动频率。
    结论:IL-17A和IL-22在CRSwNP的鼻上皮中过表达,这与上皮细胞分化受损有关。此外,已显示IL-17A通过激活YAP对活动纤毛的形态发生具有破坏性作用。
    BACKGROUND: Cilia loss and impaired motile ciliary functions are among the typical pathological features of chronic rhinosinusitis with nasal polyps (CRSwNP). IL17A and IL22 are the canonical cytokines of type 3 inflammation, exhibiting similar functional effects on epithelial cells. In this study, we sought to examine the effects of IL17A and IL22 on ciliated cells and investigate the potential involvement of Hippo-YAP signaling in their influence on ciliogenesis.
    METHODS: We assessed both the mRNA and protein expression levels of IL17A and IL22 in nasal tissues obtained from patients with CRSwNP and compared them to those from healthy controls. To further explore the impact of IL17A and IL22, we established a primary human nasal epithelial cell model using different concentrations (2 ng/mL, 10 ng/mL, 50 ng/mL) for a duration of 28 days in an air-liquid interface culture. Additionally, we employed the inhibitor verteporfin to investigate whether IL17A and IL22 exert their effects on ciliated cells via the Hippo-YAP pathway.
    RESULTS: The mRNA and protein levels of IL17A and IL22 in CRSwNP were significantly higher than those in healthy controls, revealing a robust correlation between IL17A and IL22. YAP was highly expressed in the nucleus of ciliated cells in CRSwNP and displayed a positive correlation with clinical symptoms. Both IL17A and IL22 were found to reduce the number of ciliated cells. IL17A, but not IL22, suppressed ciliogenesis by disrupting the proper development and docking of the basal body of ciliated cells, resulting in motile ciliary dysfunctions. Furthermore, the expression of YAP within the nucleus of ciliated cells gradually declined as these cells reached the final stage of differentiation. However, this process was obstructed by IL17A only. YAP inhibitors, such as verteporfin, markedly reversed the effects of IL17A by increasing the proportion of ciliated cells, suppressing nuclear YAP expression in these cells, and enhancing ciliary beating frequency.
    CONCLUSIONS: Both IL17A and IL22 are overexpressed in nasal epithelium of CRSwNP, which is associated with the impairment of epithelial cell differentiation. Furthermore, IL17A has been shown to exert a disruptive effect on morphogenesis of motile cilia via activation of YAP.
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  • 文章类型: Journal Article
    胰腺导管腺癌(PDAC)是侵袭性最强的肿瘤之一,预后差,治疗反应不充分。如吉西他滨(Gem),一线化疗药物。了解控制对Gem耐药性的分子决定因素对于预测潜在反应性患者和提高Gem治疗的益处至关重要。新出现的证据表明某些发育途径,比如河马信号,是异常的,并在癌症的宝石抗性中发挥重要作用。尽管Hippo信号已经被报道在癌症的化学抗性中起作用,尚不清楚哪个特定靶基因在功能上介导该效应。在本研究中,我们发现YAP是PDAC细胞对Gem敏感性的有效屏障.然后,我们鉴定并表征了层粘连蛋白亚基β3(LAMB3)作为YAP-TEAD4的真正靶标,以通过反馈回路放大YAP信号。这样的YAP-LAMB3轴对于诱导上皮-间质转化和介导Gem抗性是关键的。一起来看,我们发现YAP-LAMB3轴是宝石的重要调节剂,从而为克服PDAC中的宝石耐药性提供了潜在的治疗靶点。
    Pancreatic ductal adenocarcinoma (PDAC) is one of the most aggressive tumors with poor prognosis and inadequate response to treatment, such as gemcitabine (Gem), the first-line chemotherapeutic drug. Understanding the molecular determinants that control drug resistance to Gem is critical to predict potentially responsive patients and improve the benefits of Gem therapy. Emerging evidence suggests that certain developmental pathways, such as Hippo signaling, are aberrated and play important roles in Gem resistance in cancers. Although Hippo signaling has been reported to play a role in chemoresistance in cancers, it has not been clarified which specific target gene(s) functionally mediates the effect. In the present study, we found that YAP serves as a potent barrier for the cellular sensitivity of PDAC cells to Gem. We then identified and characterized laminin subunit beta 3 (LAMB3) as a bona fide target of YAP-TEAD4 to amplify YAP signaling via a feedback loop. Such a YAP-LAMB3 axis is critical to induce epithelial-mesenchymal transition and mediate Gem resistance. Taken together, we uncovered that YAP-LAMB3 axis is an important regulator of Gem, thus providing potential therapeutic targets for overcoming Gem resistance in PDAC.
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  • 文章类型: Journal Article
    Hippo途径通过抑制途径效应子YAP/TAZ的致癌潜力而发挥肿瘤抑制途径的作用。然而,YAP还可以在包括透明细胞肾细胞癌(ccRCC)在内的几种类型的癌症中起环境依赖性肿瘤抑制因子的作用。在这里,我们显示YAP阻断ccRCC中的NF-κB信号传导以抑制癌细胞生长。机械上,YAP抑制ccRCC中关键p65辅因子ZHX2的表达。此外,YAP与ZHX2竞争结合p65。因此,核YAP升高会阻断ZHX2和p65之间的协同作用,导致NF-κB靶基因表达减少。药物抑制Hippo/MST1/2阻断NF-κB转录程序并抑制ccRCC癌细胞生长,可以通过ZHX2/p65过表达来挽救。我们的研究揭示了Hippo和NF-κB途径之间的新型串扰及其参与ccRCC生长抑制,提示靶向Hippo途径可能为ccRCC治疗提供治疗机会。
    Hippo pathway functions as a tumor suppressor pathway by inhibiting the oncogenic potential of pathway effectors YAP/TAZ. However, YAP can also function as a context-dependent tumor suppressor in several types of cancer including clear cell renal cell carcinomas (ccRCC). Here we show that YAP blocks NF-κB signaling in ccRCC to inhibit cancer cell growth. Mechanistically, YAP inhibits the expression of ZHX2, a critical p65 co-factor in ccRCC. Furthermore, YAP competes with ZHX2 for binding to p65. Consequently, elevated nuclear YAP blocks the cooperativity between ZHX2 and p65, leading to diminished NF-κB target gene expression. Pharmacological inhibition of Hippo/MST1/2 blocked NF-κB transcriptional program and suppressed ccRCC cancer cell growth, which can be rescued by ZHX2/p65 overexpression. Our study uncovers a novel crosstalk between the Hippo and NF-κB pathways and its involvement in ccRCC growth inhibition, suggesting that targeting the Hippo pathway may provide a therapeutical opportunity for ccRCC treatment.
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  • 文章类型: Journal Article
    通常认为损伤后的组织再生涉及成体干细胞的动员,所述成体干细胞分裂并分化成逐渐特化的后代。然而,最近的研究表明,组织再生可以伴随着恢复到类似胎儿的状态。在这个过程中,损伤部位的细胞会重新激活在胎儿发育过程中起作用的程序,但在成人稳态中通常不存在。这里,我们总结了我们目前对肠道再生过程中协调“胎儿样逆转”的分子信号和表观遗传介质的理解。我们还探索了其他器官和物种中这种现象的证据,并强调了值得未来研究的开放问题。
    Tissue regeneration after damage is generally thought to involve the mobilization of adult stem cells that divide and differentiate into progressively specialized progeny. However, recent studies indicate that tissue regeneration can be accompanied by reversion to a fetal-like state. During this process, cells at the injury site reactivate programs that operate during fetal development but are typically absent in adult homeostasis. Here, we summarize our current understanding of the molecular signals and epigenetic mediators that orchestrate \"fetal-like reversion\" during intestinal regeneration. We also explore evidence for this phenomenon in other organs and species and highlight open questions that merit future examination.
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