AKT, Protein Kinase B

AKT,蛋白激酶 B
  • 文章类型: Journal Article
    未经证实:据报道,普伐他汀钠在脑动脉粥样硬化和神经元损伤中具有多种有益作用;然而,对脑静脉缺血的预防作用尚不清楚。在这里,我们旨在研究普伐他汀钠经口预先给药对大脑皮质静脉缺血并抑制细胞凋亡的神经保护作用。
    UNASSIGNED:将30只8周龄雄性Wistar大鼠平均分为两个研究组(n=15vs.n=15);普伐他汀组以其常规饮食喂养1%普伐他汀钠2周,而对照组只接受常规饮食。本研究采用两静脉闭塞(2VO)模型,每只动物的两个相邻的皮质静脉被玫瑰孟加拉染料光化学永久封闭。在光血栓形成期间,记录静脉缺血区域的脑血流量(CBF)的区域变化。2VO后48小时,使用灌注固定对动物实施安乐死,我们从组织学上测量了梗死面积与对侧半球的比率,并计数半影中的Bax和Bcl-2阳性细胞以研究其对细胞凋亡的意义。
    UNASSIGNED:普伐他汀组梗死面积比对照组明显降低(P<0.01)。普伐他汀组Bax阳性细胞数也显著减少(P<0.01)。相比之下,在两组的所有区域中,Bcl-2的免疫标记基本上为阴性。2VO后两组的区域CBF变化也没有显着差异(P=0.13)。
    UNASSIGNED:预先给予食物中混合的普伐他汀钠对大脑皮质静脉缺血具有神经保护作用,抑制与抑制Bax表达相关的细胞凋亡,但对局部CBF影响很小。
    UNASSIGNED: Pravastatin sodium is reported to have multiple beneficial effects in cerebral atherosclerosis and neuronal injury; however, the preventive effects on cerebral venous ischemia are still unknown. Herein, we aimed to examine the neuroprotective effects of transoral prior administration of pravastatin sodium against cerebral cortical venous ischemia with suppression of apoptosis.
    UNASSIGNED: Thirty 8-week-old male Wistar rats were divided equally into two study groups (n = 15 vs. n = 15); the pravastatin group was fed 1% pravastatin sodium with their usual diet for 2 weeks, while the control group only received the usual diet. Two-vein occlusion (2VO) model was applied for this study, and two adjacent cortical veins in each animal were permanently occluded photochemically with rose bengal dye. During photo-thrombosis, regional changes of the cerebral blood flow (CBF) in area of the venous ischemia were recorded. At 48-h after 2VO, animals were euthanized using perfusion fixation, and we histologically measured ratios of infarcted area to contralateral hemisphere, and counted Bax- and Bcl-2-positive cells in the penumbra to investigate the implications for apoptosis.
    UNASSIGNED: The ratio of infarcted area was significantly decreased in the pravastatin group compared to the control group (P < 0.01). The number of Bax-positive cells also decreased significantly in the pravastatin group (P < 0.01). In contrast, immunolabeling for Bcl-2 was essentially negative in all areas in both groups. There were also no significant differences in regional CBF changes after 2VO between the two groups (P = 0.13).
    UNASSIGNED: Pre-emptive administration of pravastatin sodium mixed in the food has neuroprotective effects against cerebral cortical venous ischemia with suppression of apoptosis associated with inhibition of Bax expression but has little influence on regional CBF.
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  • 文章类型: Journal Article
    未经授权:带蒂大网膜,当使用近孔固定术应用于有压力的心脏时,已被证明对人类和动物有保护作用。使用网膜固定术进行心脏保护的潜在机制仍然难以捉摸。这项研究检查了巨噬细胞介导的血管生成是否解释了小鼠大网膜切除术的心脏保护作用。
    UNASSIGNED:C57BL/6小鼠接受微创横主动脉缩窄6周,随后接受心脏大网膜固定术8周。对照小鼠经历了相同的外科手术程序,没有主动脉缩窄或心脏网膜固定术。
    未经证实:主动脉横向缩窄导致左心室同心肥大,二尖瓣E/A比降低,心肌细胞大小增加,和心肌纤维化的小鼠接受了假心脏大网膜手术。主动脉横缩窄的负面影响可通过心脏大网膜固定术预防。在接受主动脉缩窄和假心脏大网膜固定术的小鼠中,心肌微血管密度升高,和心网膜固定术进一步增强血管生成。Nanostring基因阵列分析揭示了心脏-网膜固定术对血管生成基因网络的激活。流式细胞仪分析显示,心网膜固定术触发了心脏MHCIIloLyve1TimD4(主要组织相容性复合物II类淋巴管内皮透明质酸受体1T细胞免疫球蛋白和粘蛋白结构域包含4)在网膜-心脏界面处的巨噬细胞积累。有趣的是,使用氯膦酸盐-脂质体的巨噬细胞的消耗导致心脏网膜固定术无法保护心脏并促进血管生成。
    UNASSIGNED:心囊外固定术通过促进心肌血管生成保护心脏免受压力超负荷引起的左心室肥厚和功能障碍。心脏MHCIIloLyve1+TimD4+常驻巨噬细胞在心脏-网膜固定术的心脏保护作用和血管生成中起关键作用。
    UNASSIGNED: The pedicled greater omentum, when applied onto stressed hearts using omentopexy, has been shown to be protective in humans and animals. The mechanisms underlying cardioprotection using omentopexy remain elusive. This study examined whether macrophage-mediated angiogenesis accounts for the cardioprotective effect of omentopexy in mice.
    UNASSIGNED: C57BL/6 mice were subjected to minimally invasive transverse aortic constriction for 6 weeks and subsequent cardio-omentopexy for 8 weeks. Control mice underwent the same surgical procedures without aortic constriction or cardio-omentopexy.
    UNASSIGNED: Transverse aortic constriction led to left ventricular concentric hypertrophy, reduced mitral E/A ratio, increased cardiomyocyte size, and myocardial fibrosis in the mice that underwent sham cardio-omentopexy surgery. The negative effects of transverse aortic constriction were prevented by cardio-omentopexy. Myocardial microvessel density was elevated in the mice that underwent aortic constriction and sham cardio-omentopexy surgery, and cardio-omentopexy further enhanced angiogenesis. Nanostring gene array analysis uncovered the activation of angiogenesis gene networks by cardio-omentopexy. Flow cytometric analysis revealed that cardio-omentopexy triggered the accumulation of cardiac MHCIIloLyve1+TimD4+ (Major histocompatibility complex class IIlow lymphatic vessel endothelial hyaluronan receptor 1+ T cell immunoglobulin and mucin domain conataining 4+) resident macrophages at the omental-cardiac interface. Intriguingly, the depletion of macrophages with clodronate-liposome resulted in the failure of cardio-omentopexy to protect the heart and promote angiogenesis.
    UNASSIGNED: Cardio-omentopexy protects the heart from pressure overload-elicited left ventricular hypertrophy and dysfunction by promoting myocardial angiogenesis. Cardiac MHCIIloLyve1+TimD4+ resident macrophages play a critical role in the cardioprotective effect and angiogenesis of cardio-omentopexy.
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  • 文章类型: Journal Article
    心血管疾病是死亡的主要原因,血管损伤,心血管疾病的共同病理基础,与巨噬细胞凋亡和炎症反应密切相关。金雀异黄素,一种植物雌激素,发挥心血管保护作用,但是潜在的机制尚未完全阐明。在这项研究中,RAW264.7细胞用金雀异黄素处理,脂多糖(LPS),核因子-κB(NF-κB)抑制剂,和/或蛋白激酶B(AKT)激动剂,以确定染料木素在LPS刺激的细胞凋亡和炎症中的作用。同时,高脂饮食喂养的C57BL/6小鼠给予金雀异黄素以评价金雀异黄素对LPS诱导的心血管损伤小鼠模型的作用。这里,我们证明LPS通过促进miR-21的表达显著增加巨噬细胞的凋亡抵抗和炎症反应,miR-21通过靶向编码区下调肿瘤坏死因子-α诱导的蛋白8样2(TIPE2)表达。金雀异黄素通过抑制NF-κB降低miR-21表达,然后阻断Toll样受体4(TLR4)通路和依赖于TIPE2的AKT磷酸化,从而抑制LPS。我们的研究提示miR-21/TIPE2通路参与M1巨噬细胞凋亡和炎症反应,金雀异黄素通过NF-κB调节Vmp1的启动子区,在表观遗传水平上抑制LPS诱导的心血管损伤的进展。
    Cardiovascular diseases are a major cause of mortality, and vascular injury, a common pathological basis of cardiovascular disease, is deeply correlated with macrophage apoptosis and inflammatory response. Genistein, a type of phytoestrogen, exerts cardiovascular protective activities, but the underlying mechanism has not been fully elucidated. In this study, RAW264.7 cells were treated with genistein, lipopolysaccharide (LPS), nuclear factor-kappa B (NF-κB) inhibitor, and/or protein kinase B (AKT) agonist to determine the role of genistein in apoptosis and inflammation in LPS-stimulated cells. Simultaneously, high fat diet-fed C57BL/6 mice were administered genistein to evaluate the function of genistein on LPS-induced cardiovascular injury mouse model. Here, we demonstrated that LPS obviously increased apoptosis resistance and inflammatory response of macrophages by promoting miR-21 expression, and miR-21 downregulated tumor necrosis factor-α-induced protein 8-like 2 (TIPE2) expression by targeting the coding region. Genistein reduced miR-21 expression by inhibiting NF-κB, then blocked toll-like receptor 4 (TLR4) pathway and AKT phosphorylation dependent on TIPE2, resulting in inhibition of LPS. Our research suggests that miR-21/TIPE2 pathway is involved in M1 macrophage apoptosis and inflammatory response, and genistein inhibits the progression of LPS-induced cardiovascular injury at the epigenetic level via regulating the promoter region of Vmp1 by NF-κB.
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  • 文章类型: Journal Article
    瞬时受体电位(TRP)通道是钙(Ca2+)通透性通道的主要类型,这些相关的跨膜和细胞内TRP通道以前被认为主要与心血管和神经元系统的调节有关。如今,然而,越来越多的证据表明,这些TRP通道也负责肿瘤发生和发展,诱导肿瘤侵袭和转移。然而,TRP通道在恶性肿瘤中的总体潜在机制和可能的信号转导途径可能仍然难以捉摸.因此,在这次审查中,我们专注于TRP通道与肿瘤的显着特征之间的联系,例如多药耐药(MDR),转移,凋亡,扩散,逃避免疫监视,以及相关肿瘤微环境的改变。此外,我们还讨论了相关TRP通道在各种形式癌症中的表达和相关抑制剂的疗效。还介绍了各种作用机制的抗癌药物的化学敏感性和潜在的临床应用。此外,对于这种类型的钙通道的干预,提供可能的新的治疗方法来对抗恶性肿瘤将是有启发性的。
    Transient receptor potential (TRP) channels are one primary type of calcium (Ca2+) permeable channels, and those relevant transmembrane and intracellular TRP channels were previously thought to be mainly associated with the regulation of cardiovascular and neuronal systems. Nowadays, however, accumulating evidence shows that those TRP channels are also responsible for tumorigenesis and progression, inducing tumor invasion and metastasis. However, the overall underlying mechanisms and possible signaling transduction pathways that TRP channels in malignant tumors might still remain elusive. Therefore, in this review, we focus on the linkage between TRP channels and the significant characteristics of tumors such as multi-drug resistance (MDR), metastasis, apoptosis, proliferation, immune surveillance evasion, and the alterations of relevant tumor micro-environment. Moreover, we also have discussed the expression of relevant TRP channels in various forms of cancer and the relevant inhibitors\' efficacy. The chemo-sensitivity of the anti-cancer drugs of various acting mechanisms and the potential clinical applications are also presented. Furthermore, it would be enlightening to provide possible novel therapeutic approaches to counteract malignant tumors regarding the intervention of calcium channels of this type.
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  • 文章类型: Journal Article
    白血病抑制因子(LIF),和它的受体(LIFR),在许多实体癌中通常过表达,最近的研究表明LIF/LIFR轴是癌症治疗的有希望的临床靶标。LIF/LIFR激活致癌信号通路,包括JAK/STAT3作为即时效应子和MAPK,AKT,mTOR进一步下游。LIF/LIFR信号在肿瘤生长中起关键作用,programming,转移,干性和治疗抗性。许多实体癌显示LIF的过表达和LIF/LIFR轴的自分泌刺激;这些与较差的无复发生存率相关。LIF/LIFR信号传导还在调节肿瘤微环境(TME)中存在的多种免疫细胞类型中起作用。最近,两种靶向LIF(人源化抗LIF抗体,MSC-1)和LIFR抑制剂(EC359)正在开发中。两种药剂在临床前模型中显示出有效性,并且使用MSC-1抗体的临床试验正在进行中。本文综述了LIF/LIFR途径和破坏这一过程的抑制剂在癌症治疗中的意义。
    Leukemia inhibitory factor (LIF), and its receptor (LIFR), are commonly over-expressed in many solid cancers and recent studies have implicated LIF/LIFR axis as a promising clinical target for cancer therapy. LIF/LIFR activate oncogenic signaling pathways including JAK/STAT3 as immediate effectors and MAPK, AKT, mTOR further downstream. LIF/LIFR signaling plays a key role in tumor growth, progression, metastasis, stemness and therapy resistance. Many solid cancers show overexpression of LIF and autocrine stimulation of the LIF/LIFR axis; these are associated with a poorer relapse-free survival. LIF/LIFR signaling also plays a role in modulating multiple immune cell types present in tumor micro environment (TME). Recently, two targeted agents that target LIF (humanized anti-LIF antibody, MSC-1) and LIFR inhibitor (EC359) were under development. Both agents showed effectivity in preclinical models and clinical trials using MSC-1 antibody are in progress. This article reviews the significance of LIF/LIFR pathways and inhibitors that disrupt this process for the treatment of cancer.
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  • 文章类型: Journal Article
    未经证实:脑源性神经营养因子(BDNF)-原肌球蛋白相关激酶B(TrkB)通过调节突触结构重塑和功能传递在抑郁症的发病机制中起关键作用。以前,我们已经证明,人参皂苷Rb1(Rb1)通过BDNF-TrkB信号在慢性不可预测的轻度应激(CUMS)暴露小鼠的海马中表现出新型的抗抑郁样作用。然而,Rb1通过BDNF-TrkB信号传导抵消应激诱导的异常海马突触可塑性的潜在机制仍然难以捉摸。
    UNASSIGNED:我们关注的是能直接结合BDNF并受Rb1调控的海马microRNAs(miRNAs),以探索Rb1可能的突触可塑性依赖性机制,从而提供对CUMS诱导的抑郁样效应的保护。
    未经批准:此处,我们观察到,脑特异性miRNA-134(miR-134)可以直接结合BDNF3'UTR,并在CUMS暴露小鼠的海马中被Rb1显著下调。此外,海马体靶向miR-134过表达在行为测试中显著阻断了Rb1的抗抑郁样作用,减弱对神经元核免疫反应性神经元的影响,树突棘的密度,突触超微结构,长期增强,和突触相关蛋白和BDNF-TrkB信号蛋白在CUMS暴露小鼠海马中的表达。
    UNASSIGNED:这些数据提供了强有力的证据,证明Rb1通过miR-134介导的BDNF信号通路调节海马突触可塑性,拯救了CUMS诱导的抑郁样效应。
    UNASSIGNED: Brain-derived neurotrophic factor (BDNF)-tropomyosin-related kinase B (TrkB) plays a critical role in the pathogenesis of depression by modulating synaptic structural remodeling and functional transmission. Previously, we have demonstrated that the ginsenoside Rb1 (Rb1) presents a novel antidepressant-like effect via BDNF-TrkB signaling in the hippocampus of chronic unpredictable mild stress (CUMS)-exposed mice. However, the underlying mechanism through which Rb1 counteracts stress-induced aberrant hippocampal synaptic plasticity via BDNF-TrkB signaling remains elusive.
    UNASSIGNED: We focused on hippocampal microRNAs (miRNAs) that could directly bind to BDNF and are regulated by Rb1 to explore the possible synaptic plasticity-dependent mechanism of Rb1, which affords protection against CUMS-induced depression-like effects.
    UNASSIGNED: Herein, we observed that brain-specific miRNA-134 (miR-134) could directly bind to BDNF 3\'UTR and was markedly downregulated by Rb1 in the hippocampus of CUMS-exposed mice. Furthermore, the hippocampus-targeted miR-134 overexpression substantially blocked the antidepressant-like effects of Rb1 during behavioral tests, attenuating the effects on neuronal nuclei-immunoreactive neurons, the density of dendritic spines, synaptic ultrastructure, long-term potentiation, and expression of synapse-associated proteins and BDNF-TrkB signaling proteins in the hippocampus of CUMS-exposed mice.
    UNASSIGNED: These data provide strong evidence that Rb1 rescued CUMS-induced depression-like effects by modulating hippocampal synaptic plasticity via the miR-134-mediated BDNF signaling pathway.
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  • 文章类型: Journal Article
    糖尿病,一组以持续性高血糖为特征的代谢紊乱,影响着全世界数百万人,并且正在上升。膳食蛋白质,来自广泛的食物来源,富含具有抗糖尿病特性的生物活性肽。值得注意的例子包括AGFAGDDAPR,红茶衍生的肽,VRIRLLQRFNKRS,β-伴大豆球蛋白衍生肽,和乳源肽VPP,通过多种途径,包括改善β细胞功能,在糖尿病啮齿动物模型中显示出抗糖尿病作用,抑制α细胞增殖,抑制食物摄入,增加门静脉胆囊收缩素浓度,增强胰岛素信号和葡萄糖摄取,改善脂肪组织炎症。尽管对生物活性肽的糖调节特性进行了大量研究,这些生物活性肽在功能性食品或营养食品中的掺入由于在肽研究和商业化领域中存在若干挑战而受到广泛限制。在这个领域正在进行的研究,然而,为此目的铺路是至关重要的。
    Diabetes mellitus, a group of metabolic disorders characterized by persistent hyperglycemia, affects millions of people worldwide and is on the rise. Dietary proteins, from a wide range of food sources, are rich in bioactive peptides with antidiabetic properties. Notable examples include AGFAGDDAPR, a black tea-derived peptide, VRIRLLQRFNKRS, a β-conglycinin-derived peptide, and milk-derived peptide VPP, which have shown antidiabetic effects in diabetic rodent models through variety of pathways including improving beta-cells function, suppression of alpha-cells proliferation, inhibiting food intake, increasing portal cholecystokinin concentration, enhancing insulin signaling and glucose uptake, and ameliorating adipose tissue inflammation. Despite the immense research on glucoregulatory properties of bioactive peptides, incorporation of these bioactive peptides in functional foods or nutraceuticals is widely limited due to the existence of several challenges in the field of peptide research and commercialization. Ongoing research in this field, however, is fundamental to pave the road for this purpose.
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  • 文章类型: Journal Article
    通过阴离子交换色谱和凝胶渗透色谱从颗粒子实体中纯化了水溶性杂多糖(SGP2-1)。通过高效凝胶渗透色谱法分析了其结构特征,高效液相色谱法,傅里叶变换红外光谱,气相色谱-质谱,核磁共振波谱.使用RAW264.7巨噬细胞研究免疫刺激活性。结果表明,重均分子量为150.75kDa的SGP2-1由甘露糖组成,葡萄糖,和木糖.SGP2-1的主链主要由→4)-α-Glcp-(1→,末端基团α-d-Glcp→通过O-6位与主链连接。SGP2-1能显著增强胞吞能力,活性氧的产生,和细胞因子分泌。SGP2-1通过与toll样受体2相互作用并激活丝裂原活化蛋白激酶发挥免疫调节作用,磷脂酰肌醇-3-激酶/蛋白激酶B,和核因子-κB信号通路。这些发现表明SGP2-1可以作为潜在的免疫调节剂用于功能性食品中。
    A water-soluble heteropolysaccharide (SGP2-1) was purified from Suillus granulatus fruiting bodies by anion-exchange chromatography and gel permeation chromatography. The structural characteristics were analyzed by high-performance gel permeation chromatography, high-performance liquid chromatography, Fourier transform infrared spectroscopy, gas chromatography-mass spectrometry, and nuclear magnetic resonance spectroscopy. The immunostimulatory activity was investigated using RAW 264.7 macrophages. Results showed that SGP2-1 with weight average molecular weight of 150.75 kDa was composed of mannose, glucose, and xylose. The backbone of SGP2-1 was mainly composed of → 4)-α-Glcp-(1→, and the terminal group α-d-Glcp → was linked to the main chain by O-6 position. SGP2-1 could significantly enhance pinocytic capacity, reactive oxygen species production, and cytokines secretion. SGP2-1 exerted immunomodulatory effects through interacting with toll-like receptor 2, and activating mitogen-activated protein kinase, phosphatidylinositol-3-kinase/protein kinase B, and nuclear factor-kappa B signaling pathways. These findings indicated that SGP2-1 could be explored as a potential immunomodulatory agent for application in functional foods.
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  • 文章类型: Journal Article
    肝细胞癌(HCC)是一种侵袭性人类癌症,在全球范围内发病率不断上升。已经做出了许多努力来探索治疗HCC的药物疗法。如靶向酪氨酸激酶抑制剂,基于免疫的疗法和联合化疗。然而,目前的策略存在局限性,包括例如化学抗性。肿瘤的启动和进展是由代谢的重新编程驱动的,特别是在HCC发展过程中。最近,代谢相关脂肪性肝病(MAFLD),非酒精性脂肪性肝病(NAFLD)新命名法的重新评估,表明对肝脏疾病发病机制中代谢的认识日益提高,包括HCC,从而提出了针对异常代谢的肝癌治疗新策略。在这次审查中,我们通过突出葡萄糖的代谢目标来介绍方向,脂肪酸,氨基酸和谷氨酰胺代谢,适用于HCC药物干预。我们还总结和讨论了目前针对HCC治疗过程中代谢失调的药物和研究。此外,讨论了肝癌靶向代谢治疗的发现和发展的机遇和挑战。
    Hepatocellular carcinoma (HCC) is an aggressive human cancer with increasing incidence worldwide. Multiple efforts have been made to explore pharmaceutical therapies to treat HCC, such as targeted tyrosine kinase inhibitors, immune based therapies and combination of chemotherapy. However, limitations exist in current strategies including chemoresistance for instance. Tumor initiation and progression is driven by reprogramming of metabolism, in particular during HCC development. Recently, metabolic associated fatty liver disease (MAFLD), a reappraisal of new nomenclature for non-alcoholic fatty liver disease (NAFLD), indicates growing appreciation of metabolism in the pathogenesis of liver disease, including HCC, thereby suggesting new strategies by targeting abnormal metabolism for HCC treatment. In this review, we introduce directions by highlighting the metabolic targets in glucose, fatty acid, amino acid and glutamine metabolism, which are suitable for HCC pharmaceutical intervention. We also summarize and discuss current pharmaceutical agents and studies targeting deregulated metabolism during HCC treatment. Furthermore, opportunities and challenges in the discovery and development of HCC therapy targeting metabolism are discussed.
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  • 文章类型: Journal Article
    白细胞介素(IL)-6的过量产生是结直肠癌(CRC)中恶性肿瘤和耐药性的驱动因素。我们的研究调查了抗炎药治疗后7周,Diacein(Diac),单独或与5-氟尿嘧啶(5-FU)联合使用,使用1,2-二甲基肼(DMH)大鼠CRC模型。单独使用Diac和5-FUDiac可降低癌胚抗原(CEA)的血清水平,虽然所有方案都降低了结肠癌特异性抗原(CCSA)的血清水平,更具体的CRC生物标志物。此外,Diac,5-FU及其组合抑制IL-6的结肠含量/基因表达,其下游癌基因,Kirsten大鼠肉瘤病毒癌基因同源物(K-Ras),因此,Notch细胞内结构域和核因子-κB(NF-κB)p65。反过来,NF-κB下游因子,viz.,基质金属蛋白酶-9(MMP-9),血管内皮生长因子(VEGF),c-Myc,B细胞淋巴瘤-2(Bcl-2)也下调,而E-cadherin升高。此外,这些药物降低了CD31的免疫反应性,以证明它们的抗血管生成作用,而TUNEL测定证实了凋亡效应。通过转移酶dUTP缺口末端标记测定证实了凋亡作用。此外,这些药物抑制p-Akt的结肠含量,β-连环蛋白,和细胞周期蛋白D1免疫反应性。这些药物还激活了肿瘤抑制糖原合成酶激酶3-β(GSK3-β)并上调了Nur77基因的表达,其代表IL-6信号传导的第二臂。然而,只有5-FU上调miR-200a,另一个K-Ras下游因子。体外细胞毒性和迁移/侵袭测定验证了分子轨迹。因此,我们评估了Diac单独的抗肿瘤作用及其加入5-FU后可能的化学增敏作用.这种组合可能针对关键的致癌途径,包括IL-6/K-Ras/Notch/NF-κBp65轴,p-Akt/GSK3-β/β-连环蛋白/细胞周期蛋白D-1中心,Nur77
    Excessive interleukin (IL)-6 production is a driver for malignancy and drug resistance in colorectal cancer (CRC). Our study investigated a seven-week post-treatment with the anti-inflammatory drug, Diacerein (Diac), alone or in combination with 5-fluorouracil (5-FU), using a 1,2-dimethylhydrazine (DMH) rat model of CRC. Diac alone and 5-FU+Diac reduced serum levels of carcino-embryonic antigen (CEA), while all regimens decreased serum levels of colon cancer-specific antigen (CCSA), a more specific CRC biomarker. Additionally, Diac, 5-FU and their combination suppressed colonic content/gene expression of IL-6, its downstream oncogene, Kirsten rat sarcoma viral oncogene homolog (K-Ras), and consequently Notch intracellular domain and nuclear factor-kappa B (NF-κB) p65. In turn, NF-κB downstream factors, viz., matrix metalloproteinase-9 (MMP-9), vascular endothelial growth factor (VEGF), c-Myc, and B-cell lymphoma-2 (Bcl-2) were also downregulated, while E-cadherin was elevated. Additionally, the drugs reduced the immunoreactivity of CD31 to prove their anti-angiogenic effect, while the TUNEL assay confirmed the apoptotic effect. The apoptotic effect was confirmed by transferase dUTP nick-end labeling assay. Moreover, these drugs inhibited colon content of p-Akt, β-catenin, and cyclin D1 immunoreactivity. The drugs also activated the tumor suppressor glycogen synthase kinase 3- β (GSK3-β) and upregulated the expression of the Nur77 gene, which represents the second arm of IL-6 signaling. However, only 5-FU upregulated miR-200a, another K-Ras downstream factor. The in-vitro cytotoxic and migration/invasion assays verified the molecular trajectories. Accordingly, we evaluated the antineoplastic effect of Diac alone and its possible chemosensitization effect when added to 5-FU. This combination may target critical oncogenic pathways, including the IL-6/K-Ras/Notch/NF-κB p65 axis, p-Akt/GSK3-β/β-catenin/cyclin D-1 hub, and Nur77.
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