Cation Transport Proteins

阳离子转运蛋白
  • 文章类型: Journal Article
    SLC40A1是哺乳动物中报道的唯一的铁输出蛋白。在人类中,它的功能障碍导致了运铁蛋白病,铁代谢的先天性错误以常染色体显性性状传播,并在不同种族中观察到。作为主要主持人超家族的成员,SLC40A1需要一系列构象变化以使铁能够跨质膜易位。迄今为止,很少研究脂质对蛋白质稳定性及其构象变化的影响。这里,我们将嵌入膜双层的SLC40A1的分子动力学模拟与实验丙氨酸扫描诱变相结合,以分析甘油磷脂的具体作用。我们确定了四个碱性残基(Lys90,Arg365,Lys366和Arg371),它们位于膜-细胞质界面,并始终与1-棕榈酰-2-油酰基-sn-甘油-3-磷酸胆碱(POPC)和1-棕榈酰-2-油酰基-sn-甘油-3-磷酸乙醇胺(POPE)分子相互作用。这些残基围绕盐桥和氢键的网络,这些网络在稳定SLC40A1的基础朝外构象中起关键作用。更深地嵌入质膜中,我们确定Arg179为带电荷的氨基酸残基,也与脂质极性头紧密相互作用。这导致脂质双层的局部变形。有趣的是,Arg179与Arg178相邻,后者与Asp473形成功能上重要的盐桥,并且在突变为谷氨酰胺时与铁转运蛋白疾病反复相关。我们证明了两个p.Arg178Gln和p.Arg179Thr错义变体具有相似的功能行为。这些观察结果提供了有关磷脂在SLC40A1内门的形成/破坏中的作用的见解。并更好地了解亚铁转运蛋白病的分子机制的多样性。
    SLC40A1 is the sole iron export protein reported in mammals. In humans, its dysfunction is responsible for ferroportin disease, an inborn error of iron metabolism transmitted as an autosomal dominant trait and observed in different ethnic groups. As a member of the major facilitator superfamily, SLC40A1 requires a series of conformational changes to enable iron translocation across the plasma membrane. The influence of lipids on protein stability and its conformational changes has been little investigated to date. Here, we combine molecular dynamics simulations of SLC40A1 embedded in membrane bilayers with experimental alanine scanning mutagenesis to analyze the specific role of glycerophospholipids. We identify four basic residues (Lys90, Arg365, Lys366, and Arg371) that are located at the membrane-cytosol interface and consistently interact with 1-palmitoyl-2-oleoyl-sn-glycero-3-phosphocholine (POPC) and 1-palmitoyl-2-oleoyl-sn-glycero-3-phosphoethanolamine (POPE) molecules. These residues surround a network of salt bridges and hydrogens bonds that play a critical role in stabilizing SLC40A1 in its basal outward-facing conformation. More deeply embedded in the plasma membrane, we identify Arg179 as a charged amino acid residue also tightly interacting with lipid polar heads. This results in a local deformation of the lipid bilayer. Interestingly, Arg179 is adjacent to Arg178, which forms a functionally important salt-bridge with Asp473 and is a recurrently associated with ferroportin disease when mutated to glutamine. We demonstrate that the two p.Arg178Gln and p.Arg179Thr missense variants have similar functional behaviors. These observations provide insights into the role of phospholipids in the formation/disruption of the SLC40A1 inner gate, and give a better understanding of the diversity of molecular mechanisms of ferroportin disease.
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  • 文章类型: Journal Article
    使用肽-铁螯合物开发第三代铁补充剂的研究越来越多。从绿豆中分离的肽与亚铁(MBP-Fe)螯合,并在患有缺铁性贫血(IDA)的小鼠中作为补充剂进行测试。小鼠随机分为七组:一组饲喂正常饮食,IDA模型组,和用无机铁(FeSO4)处理的IDA组,有机铁(双甘氨酸亚铁,Gly-Fe),低剂量MBP-Fe(L-MBP-Fe),高剂量MBP-Fe(H-MBP-Fe),和与FeSO4混合的MBP(MBP/Fe)。不同的铁补充剂通过胃内给药喂养28天。结果表明,MBP-Fe和MBP/Fe具有改善作用,恢复血红蛋白(HGB),红细胞(RBC),血细胞比容(HCT),和血清铁(SI)水平以及总铁结合能力(TIBC)和IDA小鼠的体重增加至正常水平。与无机(FeSO4)和有机(Gly-Fe)铁处理相比,H-MBP-Fe和MBP/Fe混合物组的脾脏系数和对肝脏和脾脏组织的损伤程度明显降低,对空肠组织有修复作用。铁转运蛋白Dmt1(二价金属转运蛋白1)的基因表达分析,Fpn1(Ferroportin1),Dcytb(十二指肠细胞色素b)表明MBP促进铁摄取。这些发现表明绿豆肽-亚铁螯合物具有作为治疗铁缺乏的基于肽的膳食补充剂的潜力。
    There is an increasing amount of research into the development of a third generation of iron supplementation using peptide-iron chelates. Peptides isolated from mung bean were chelated with ferrous iron (MBP-Fe) and tested as a supplement in mice suffering from iron-deficiency anemia (IDA). Mice were randomly divided into seven groups: a group fed the normal diet, the IDA model group, and IDA groups treated with inorganic iron (FeSO4), organic iron (ferrous bisglycinate, Gly-Fe), low-dose MBP-Fe(L-MBP-Fe), high-dose MBP-Fe(H-MBP-Fe), and MBP mixed with FeSO4 (MBP/Fe). The different iron supplements were fed for 28 days via intragastric administration. The results showed that MBP-Fe and MBP/Fe had ameliorative effects, restoring hemoglobin (HGB), red blood cell (RBC), hematocrit (HCT), and serum iron (SI) levels as well as total iron binding capacity (TIBC) and body weight gain of the IDA mice to normal levels. Compared to the inorganic (FeSO4) and organic (Gly-Fe) iron treatments, the spleen coefficient and damage to liver and spleen tissues were significantly lower in the H-MBP-Fe and MBP/Fe mixture groups, with reparative effects on jejunal tissue. Gene expression analysis of the iron transporters Dmt 1 (Divalent metal transporter 1), Fpn 1 (Ferroportin 1), and Dcytb (Duodenal cytochrome b) indicated that MBP promoted iron uptake. These findings suggest that mung bean peptide-ferrous chelate has potential as a peptide-based dietary supplement for treating iron deficiency.
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    文章类型: Journal Article
    铜是生物体功能所必需的重要痕量金属元素。它在许多酶中充当辅因子或结构成分,参与关键的生物代谢过程。铜稳态的破坏,无论是继承的还是后天的,比如铜过载,缺乏,或者分布不均,会导致或加剧各种疾病,包括Menkes病,威尔逊病,神经退行性疾病,贫血,心血管疾病,肾脏疾病和癌症。最近的研究强调了慢性肾脏病与细胞内铜过载之间的密切关系。因此,肾细胞必须建立一个组织良好和有效的铜调节网络,以维持细胞内铜稳态。这篇综述总结了铜的吸收过程,细胞内贩运,storage,在肾细胞中排泄,并阐明了其中的潜在机制,旨在为肾脏相关疾病的基础研究和临床管理提供理论基础和潜在的治疗目标。
    Copper is a vital trace metal element necessary for the functioning of living organisms. It serves as a co-factor or structural component in numerous enzymes, participating in crucial biological metabolic processes. Disruptions in copper homeostasis, whether inherited or acquired, such as copper overload, deficiency, or uneven distribution, can contribute to or exacerbate various diseases, including Menkes disease, Wilson\'s disease, neurodegenerative disorders, anemia, cardiovascular diseases, kidney diseases and cancer. Recent research has highlighted the close correlation between chronic kidney disease and intracellular copper overload. Therefore, renal cells must establish a well-organized and efficient copper regulation network to maintain intracellular copper homeostasis. This review summarizes the processes of copper uptake, intracellular trafficking, storage, and excretion in renal cells, and elucidates the underlying mechanisms involved, aiming to provide a theoretical foundation and potential therapeutic targets for the fundamental investigation and clinical management of kidney-related diseases.
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  • 文章类型: Journal Article
    微生物群显著影响消化上皮功能,尤其是在营养加工中。鉴于铁对宿主和微生物群的重要性,我们假设宿主-微生物群相互作用随饮食铁水平而波动.我们比较了饲喂含铁(65mg/Kg)或铁耗尽(<6mg/Kg)饮食的无菌(GF)和常规小鼠(SPF)。通过铁血参数验证了铁剥夺的功效。铁蛋白和Dmt1分别代表细胞铁的储存和运输,在它们丰富的组织中进行了研究:十二指肠,肝和肺。当老鼠吃富含铁的食物时,微生物群增加了血液血红蛋白和铁调素以及肠道铁蛋白水平,这表明微生物有助于铁的储存。当铁限制时,微生物群抑制肠道Dmt1转运蛋白的表达,可能是通过Hif-2α触发的途径。当微生物群丰富时,微生物群协助宿主储存肠道铁,并在铁缺乏的条件下通过抑制Dmt1与宿主竞争。十二指肠之间的比较,肝和肺表明器官对微生物群和铁可用性的特异性反应。铁耗竭引起的微生物群组成和活性的时间变化,减少微生物群的α-多样性,并导致乳杆菌科在剥夺60天后变得特别丰富。通过用简化的细菌混合物接种GF小鼠,我们表明,铁耗尽的宿主有利于长双歧杆菌的肠道适应性。
    The microbiota significantly impacts digestive epithelium functionality, especially in nutrient processing. Given the importance of iron for both the host and the microbiota, we hypothesized that host-microbiota interactions fluctuate with dietary iron levels. We compared germ-free (GF) and conventional mice (SPF) fed iron-containing (65 mg/Kg) or iron-depleted (<6 mg/Kg) diets. The efficacy of iron privation was validated by iron blood parameters. Ferritin and Dmt1, which represent cellular iron storage and transport respectively, were studied in tissues where they are abundant: the duodenum, liver and lung. When the mice were fed an iron-rich diet, the microbiota increased blood hemoglobin and hepcidin and the intestinal ferritin levels, suggesting that the microbiota helps iron storage. When iron was limiting, the microbiota inhibited the expression of the intestinal Dmt1 transporter, likely via the pathway triggered by Hif-2α. The microbiota assists the host in storing intestinal iron when it is abundant and competes with the host by inhibiting Dmt1 in conditions of iron scarcity. Comparison between duodenum, liver and lung indicates organ-specific responses to microbiota and iron availability. Iron depletion induced temporal changes in microbiota composition and activity, reduced α-diversity of microbiota, and led to Lactobacillaceae becoming particularly more abundant after 60 days of privation. By inoculating GF mice with a simplified bacterial mixture, we show that the iron-depleted host favors the gut fitness of Bifidobacterium longum.
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  • 文章类型: Journal Article
    缺铁仍然是全球公共卫生挑战。益生元有可能通过调节肠道细菌数量来提高铁的生物利用度,增加SCFA产量,并刺激缺铁人群中刷状缘膜(BBM)铁转运蛋白的表达。本研究旨在研究三种豌豆(Pisumsativum)品种的子叶和种皮中可溶性提取物的潜在作用(CDCStriker,CDCDakota,和CDCMeadow)对BBM铁相关蛋白(DCYTB和DMT1)的表达和使用Gallusgallusgallus模型通过口服灌胃(一天大的雏鸡)与1mL50mg/mL豌豆可溶性提取物溶液。与子叶处理组相比,种皮处理组增加了双歧杆菌的相对丰度,CDCDakota种皮(深棕色色素)记录了双歧杆菌的最高相对丰度。相比之下,CDCStriker子叶(深绿色色素)显著增加乳杆菌的相对丰度(p<0.05)。随后,两个深色色素处理组(CDCStrikerCotyledon和CDCDakota种皮)记录了最高的DCYTB表达。我们的研究表明,豌豆种皮和深色豌豆子叶的可溶性提取物可能通过影响肠道细菌种群来提高铁的生物利用度。
    Iron deficiency remains a public health challenge globally. Prebiotics have the potential to improve iron bioavailability by modulating intestinal bacterial population, increasing SCFA production, and stimulating expression of brush border membrane (BBM) iron transport proteins among iron-deficient populations. This study intended to investigate the potential effects of soluble extracts from the cotyledon and seed coat of three pea (Pisum sativum) varieties (CDC Striker, CDC Dakota, and CDC Meadow) on the expression of BBM iron-related proteins (DCYTB and DMT1) and populations of beneficial intestinal bacteria in vivo using the Gallus gallus model by oral gavage (one day old chicks) with 1 mL of 50 mg/mL pea soluble extract solutions. The seed coat treatment groups increased the relative abundance of Bifidobacterium compared to the cotyledon treatment groups, with CDC Dakota seed coat (dark brown pigmented) recording the highest relative abundance of Bifidobacterium. In contrast, CDC Striker Cotyledon (dark-green-pigmented) significantly increased the relative abundance of Lactobacillus (p < 0.05). Subsequently, the two dark-pigmented treatment groups (CDC Striker Cotyledon and CDC Dakota seed coats) recorded the highest expression of DCYTB. Our study suggests that soluble extracts from the pea seed coat and dark-pigmented pea cotyledon may improve iron bioavailability by affecting intestinal bacterial populations.
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  • 文章类型: Journal Article
    锌(Zn)-和铁(Fe)-调节运输样蛋白(ZIP)是一类对植物中金属吸收和运输至关重要的蛋白质,特别是对于Zn和Fe的吸收和分布。这些蛋白质确保植物生长所必需的微量元素的平衡,发展,和代谢活动。然而,水稻(Oryzasativa)OsZIP基因家族在锰(Mn)和硒(Se)运输中的作用仍未得到充分研究。本研究对水稻OsZIP进行了全面分析,并鉴定了16个OsZIP序列。系统发育分析将OsZIP主要归入三个亚科。通过定量实时PCR(qRT-PCR)检测了受Mn和Se毒性胁迫的水稻根和叶中OsZIPs的表达水平。研究结果揭示了在这些条件下许多OsZIP的显著差异表达,表明水稻对Mn和Se毒性的反应具有潜在的调节作用。这项工作为进一步研究OsZIPs的功能奠定了基础,加强我们对水稻对锰和硒毒性的响应机制及其在生长中的作用的理解,发展,和环境适应。
    Zinc (Zn)- and iron (Fe)-regulating transport-like proteins (ZIPs) are a class of proteins crucial for metal uptake and transport in plants, particularly for Zn and Fe absorption and distribution. These proteins ensure the balance of trace elements essential for plant growth, development, and metabolic activities. However, the role of the rice (Oryza sativa) OsZIP gene family in manganese (Mn) and selenium (Se) transport remains underexplored. This research conducted an all-sided analysis of the rice OsZIPs and identified 16 OsZIP sequences. Phylogenetic analysis categorized the OsZIPs predominantly within the three subfamilies. The expression levels of OsZIPs in rice root and leaf subjected to Mn and Se toxicity stress were examined through quantitative real-time PCR (qRT-PCR). The findings revealed significant differential expression of many OsZIPs under these conditions, indicating a potential regulating effect in the response of rice to Mn and Se toxicity. This work lays a foundation for further functional studies of OsZIPs, enhancing our understanding of the response mechanisms of rice to Mn and Se toxicity and their roles in growth, development, and environmental adaptation.
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  • 文章类型: Journal Article
    锌(Zn)是人体中第二丰富的金属,对于所有蛋白质的10%的功能至关重要。由于金属不能合成或降解,它们必须被专门的运输蛋白从饮食中吸收,不幸的是,这也为有毒金属污染物镉(Cd)提供了进入途径。锌的肠道吸收取决于所消耗食物的成分,首先是锌本身的量,然后是其他食物成分如植酸盐的量,蛋白质,钙(Ca)在细胞中,锌参与调节中间代谢,基因表达,细胞生长,分化,凋亡,和抗氧化防御机制。细胞涌入,外排,亚细胞区室化,锌的运输由转运蛋白协调,溶质连接载体30A和39A(SLC30A和SLC39A),称为ZnT和Zrt/Irt样蛋白(ZIP)。由于其与Zn和Ca的化学相似性,Cd破坏了两者的生理功能。Cd同时诱导Zn外排转运蛋白ZnT1(SLC30A1)和金属硫蛋白破坏了稳态并降低了Zn的生物利用度。本综述强调了暴露于Cd的人的死亡率增加和各种疾病的严重程度,以及Zn和其他转运蛋白在Cd细胞毒性表现中的作用。特别强调锌的摄入量,这可能会降低与镉暴露相关的视力丧失和骨折的风险。结合推荐的膳食锌摄入量,讨论了确定允许的Cd摄入量水平的艰巨挑战。
    Zinc (Zn) is the second most abundant metal in the human body and is essential for the function of 10% of all proteins. As metals cannot be synthesized or degraded, they must be assimilated from the diet by specialized transport proteins, which unfortunately also provide an entry route for the toxic metal pollutant cadmium (Cd). The intestinal absorption of Zn depends on the composition of food that is consumed, firstly the amount of Zn itself and then the quantity of other food constituents such as phytate, protein, and calcium (Ca). In cells, Zn is involved in the regulation of intermediary metabolism, gene expression, cell growth, differentiation, apoptosis, and antioxidant defense mechanisms. The cellular influx, efflux, subcellular compartmentalization, and trafficking of Zn are coordinated by transporter proteins, solute-linked carriers 30A and 39A (SLC30A and SLC39A), known as the ZnT and Zrt/Irt-like protein (ZIP). Because of its chemical similarity with Zn and Ca, Cd disrupts the physiological functions of both. The concurrent induction of a Zn efflux transporter ZnT1 (SLC30A1) and metallothionein by Cd disrupts the homeostasis and reduces the bioavailability of Zn. The present review highlights the increased mortality and the severity of various diseases among Cd-exposed persons and the roles of Zn and other transport proteins in the manifestation of Cd cytotoxicity. Special emphasis is given to Zn intake levels that may lower the risk of vision loss and bone fracture associated with Cd exposure. The difficult challenge of determining a permissible intake level of Cd is discussed in relation to the recommended dietary Zn intake levels.
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  • 文章类型: Journal Article
    当前的荟萃分析旨在探讨自然抗性相关巨噬细胞蛋白1(NRAMP1)(3'-非翻译区[3'-UTR])和核苷酸结合寡聚化结构域2(NOD2[rs8057341])基因多态性之间的潜在相关性。数据来自与麻风病相关的NOD2和NRAMP1基因多态性的病例对照研究。麻风病在全球范围内成为妇女中特别独特的疾病。NRAMP1(3'-UTR)和NOD2(rs8057341)遗传变异在麻风病的进展中起着至关重要的作用。在几个数据库中对相关的病例对照研究进行了系统回顾,包括ScienceDirect,PubMed,谷歌学者,和Embase。利用MetaGenyo和ReviewManager5.4版本,进行了统计分析。该研究包括9项病例对照研究,总计3281名对照和3062名麻风病人。目的是研究NRAMP1(3'-UTR)和NOD2(rs8057341)基因多态性与麻风病风险之间的潜在关联。审查方法已在PROSPERO(ID520883)中注册。研究结果揭示了NRAMP1(3'-UTR)和NOD2(rs8057341)基因多态性与麻风病风险之间的紧密关联。尽管漏斗图分析没有确定发表偏倚,支持这些发现并阐明潜在的基因-基因和基因-环境相互作用需要进一步的全面流行病学研究。这项研究在两个遗传模型中确定了NOD2(rs8057341)基因的多态性与麻风病易感性之间的强相关性。需要进一步的全面流行病学调查来验证这些发现,并探索这些基因与环境因素之间的潜在相互作用。
    The current meta-analysis aims to explore the potential correlation between natural resistance-associated macrophage protein 1 (NRAMP1) (3\'-Untranslated region [3\'-UTR]) and nucleotide-binding oligomerization domain-2 (NOD2 [rs8057341]) gene polymorphisms and their association with leprosy susceptibility in both Asian and Caucasian populations. Datas were retrieved from case control studies with NOD 2 and NRAMP 1 gene polymorphism associated with leprosy disease. Leprosy emerges as a particularly distinctive ailment among women on a global scale. The NRAMP1 (3\'-UTR) and NOD2 (rs8057341) genetic variations play a crucial role in the progression of leprosy. A systematic review of relevant case-control studies was conducted across several databases, including ScienceDirect, PubMed, Google Scholar, and Embase. Utilizing MetaGenyo and Review Manager 5.4 Version, statistical analyses were carried out. Nine case-control studies totaling 3281 controls and 3062 leprosy patients are included in the research, with the objective of examining the potential association between NRAMP1 (3\'-UTR) and NOD2 (rs8057341) gene polymorphisms and leprosy risk. The review methodology was registered in PROSPERO (ID520883). The findings reveal a robust association between NRAMP1 (3\'-UTR) and NOD2 (rs8057341) gene polymorphisms and leprosy risk across various genetic models. Although the funnel plot analysis did not identify publication bias, bolstering these findings and elucidating potential gene-gene and gene-environment interactions require further comprehensive epidemiological research. This study identified a strong correlation between polymorphisms in the NOD2 (rs8057341) genes and susceptibility to leprosy across two genetic models. Further comprehensive epidemiological investigations are warranted to validate these findings and explore potential interactions between these genes and environmental factors.
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  • 文章类型: Journal Article
    细胞内传感器检测必需金属水平的变化以启动稳态响应。但是,哺乳动物锰(Mn)传感器是未知的,代表了对锰稳态理解的主要差距。使用与人类相关的模型,我们最近报道:1)对Mn升高的主要稳态反应是缺氧诱导因子(HIFs)的上调,这增加了Mn外排转运蛋白SLC30A10的表达;和2)升高的Mn通过脯氨酸羟化酶结构域(PHD)酶阻断HIF的脯氨酸羟化,否则会针对HIF进行降解。因此,哺乳动物感知Mn升高的机制可能与PHD抑制有关。此外,1)Mn替代PHD结构中的催化铁(Fe);和2)Fe和Mn的可交换细胞水平是相当的。因此,我们假设升高的Mn通过取代其催化Fe直接抑制PHD。使用催化活性PHD2(主要的PHD同工型)的体外测定,揭示锰抑制,铁补充剂被救出,PHD2活性。然而,在不显著影响Fe结合或酶活性的情况下选择性降低Mn结合的PHD2(D315E)突变导致PHD2在体外对Mn完全不敏感。此外,表达全长PHD2D315E的肝细胞对Mn诱导的HIF激活和SLC30A10上调的敏感性低于PHD2野生型。这些结果:1)定义了用于控制Mn稳态升高的Mn抑制PHD2的基本Mn传感机制,其充当Mn传感器,通过超越其催化铁,和PHD2抑制激活HIF信号传导以上调SLC30A10;和2)鉴定可能具有广泛适用性的金属传感的独特模式。
    Intracellular sensors detect changes in levels of essential metals to initiate homeostatic responses. But, a mammalian manganese (Mn) sensor is unknown, representing a major gap in understanding of Mn homeostasis. Using human-relevant models, we recently reported that: 1) the primary homeostatic response to elevated Mn is upregulation of hypoxia-inducible factors (HIFs), which increases expression of the Mn efflux transporter SLC30A10; and 2) elevated Mn blocks the prolyl hydroxylation of HIFs by prolyl hydroxylase domain (PHD) enzymes, which otherwise targets HIFs for degradation. Thus, the mammalian mechanism for sensing elevated Mn likely relates to PHD inhibition. Moreover, 1) Mn substitutes for a catalytic iron (Fe) in PHD structures; and 2) exchangeable cellular levels of Fe and Mn are comparable. Therefore, we hypothesized that elevated Mn directly inhibits PHD by replacing its catalytic Fe. In vitro assays using catalytically active PHD2, the primary PHD isoform, revealed that Mn inhibited, and Fe supplementation rescued, PHD2 activity. However, a mutation in PHD2 (D315E) that selectively reduced Mn binding without substantially impacting Fe binding or enzymatic activity resulted in complete insensitivity of PHD2 to Mn in vitro. Additionally, hepatic cells expressing full-length PHD2D315E were less sensitive to Mn-induced HIF activation and SLC30A10 upregulation than PHD2wild-type. These results: 1) define a fundamental Mn sensing mechanism for controlling Mn homeostasis-elevated Mn inhibits PHD2, which functions as a Mn sensor, by outcompeting its catalytic Fe, and PHD2 inhibition activates HIF signaling to up-regulate SLC30A10; and 2) identify a unique mode of metal sensing that may have wide applicability.
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  • 文章类型: Systematic Review
    镁转运蛋白1(MAGT1)基因功能缺失变异导致X连锁MAGT1缺乏,对EBV感染和N-糖基化缺陷(XMEN)的易感性增加,具有多种临床和免疫学作用的病症。此外,MAGT1缺乏症由于其在包括NKG2D在内的多种底物糖基化中的独特作用而被归类为先天性糖基化障碍(CDG)。病毒保护所必需的。由于EBV的倾向,这种病因与噬血细胞淋巴组织细胞增多症(HLH)有关,然而,只有有限的文献存在。在这里,我们介绍了HLH和EBV驱动的经典霍奇金淋巴瘤(cHL)作为潜在免疫缺陷的表现的复杂病例。然而,患者的潜在免疫缺陷直到他第二次复发的霍奇金病,带状疱疹的反复发作,在他接受自体造血干细胞移植(HSCT)治疗难治性霍奇金淋巴瘤后。HLH和复发性淋巴瘤的这种罕见表现,没有MAGT1缺乏症的某些经典免疫缺陷表现,这使我们回顾了类似表现的文献,并在已发表的文献中报告了不断发展的疾病谱。我们的系统评价表明,MAGT1易患多种病毒(包括EBV),并增加了病毒驱动的肿瘤形成的风险。MAGT1在免疫系统和糖基化中的作用通过先前验证的免疫缺陷和调节异常活性(IDDA2.1)评分和CDG特异性Nijmegen儿科CDG评定量表(NPCRS)评分显示的多器官功能障碍来强调系统评价中的患者队列。
    Magnesium transporter 1 (MAGT1) gene loss-of-function variants lead to X-linked MAGT1 deficiency with increased susceptibility to EBV infection and N-glycosylation defect (XMEN), a condition with a variety of clinical and immunological effects. In addition, MAGT1 deficiency has been classified as a congenital disorder of glycosylation (CDG) due to its unique role in glycosylation of multiple substrates including NKG2D, necessary for viral protection. Due to the predisposition for EBV, this etiology has been linked with hemophagocytic lymphohistiocytosis (HLH), however only limited literature exists. Here we present a complex case with HLH and EBV-driven classic Hodgkin lymphoma (cHL) as the presenting manifestation of underlying immune defect. However, the patient\'s underlying immunodeficiency was not identified until his second recurrence of Hodgkin disease, recurrent episodes of Herpes Zoster, and after he had undergone autologous hematopoietic stem cell transplant (HSCT) for refractory Hodgkin lymphoma. This rare presentation of HLH and recurrent lymphomas without some of the classical immune deficiency manifestations of MAGT1 deficiency led us to review the literature for similar presentations and to report the evolving spectrum of disease in published literature. Our systematic review showcased that MAGT1 predisposes to multiple viruses (including EBV) and adds risk of viral-driven neoplasia. The roles of MAGT1 in the immune system and glycosylation were highlighted through the multiple organ dysfunction showcased by the previously validated Immune Deficiency and Dysregulation Activity (IDDA2.1) score and CDG-specific Nijmegen Pediatric CDG Rating Scale (NPCRS) score for the patient cohort in the systematic review.
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