Cornified Envelope Proline-Rich Proteins

玉米化包膜富含脯氨酸的蛋白质
  • 文章类型: Journal Article
    背景:SPRR1B,富含脯氨酸的小蛋白质家族的成员,与各种上皮癌有关,是与肿瘤生长和不良生存结果相关的潜在癌基因。然而,其在膀胱尿路上皮癌(UBC)中的作用仍有待完全阐明。
    方法:来自癌症基因组图谱的转录谱数据根据SPRR1B表达对UBC样品进行分组。进行生物信息学分析以评估SPRR1B是否是UBC的预后因素和生存因素。进行基因集富集分析(GSEA)以研究免疫细胞和途径。逆转录定量实时聚合酶链反应检测基因表达。免疫组织化学评估蛋白质表达。Spearman相关性检验分析了SPRR1B与p53蛋白的相关性。
    结果:生物信息学结果表明,与正常膀胱组织相比,UBC组织中SPRR1B的表达水平明显升高,与临床特征相关。高表达预测预后和生存不良。单变量Cox统计显示,SPRR1B的高表达水平与总生存期(OS)较差的UBC患者相关(p<0.05)。此外,在多元Cox分析的基础上,SPRR1B表达与OS独立相关(p=0.005)。GSEA分析显示p53富集,凋亡,和细胞周期信号通路,以及与B细胞的联系,淋巴细胞,和自然杀伤细胞。此外,根据对免疫细胞浸润的分析,发现SPRR1B与免疫浸润有关。对从膀胱癌患者收集的少量组织进行相应的验证,发现该蛋白的表达与p53的表达呈负相关。
    结论:SPRR1B过表达预测UBC结局差,提示其作为预后标志物和治疗靶点的作用。需要进一步的研究来阐明其在UBC进展中的作用。
    BACKGROUND: SPRR1B, a member of the small proline-rich protein family, is implicated in various epithelial cancers as a potential oncogene linked to tumour growth and poor survival outcomes. However, its role in urothelial bladder carcinoma (UBC) remains to be fully elucidated.
    METHODS: Transcriptional profiling data from The Cancer Genome Atlas grouped UBC samples in accordance with SPRR1B expression. Bioinformatic analysis was conducted to evaluate whether SPRR1B is a prognostic factor and a survival factor in UBC. Gene set enrichment analysis (GSEA) was performed to study immune cells and pathways. Reverse transcription quantitative real-time polymerase chain reaction detected gene expression. Immunohistochemistry assessed protein expression. Spearman correlation test analysed the correlation between SPRR1B and the protein p53.
    RESULTS: The bioinformatics results indicated that the expression level of SPRR1B in UBC tissues was significantly increased compared with that in normal bladder tissues, correlating with clinical characteristics. A high expression predicted poor prognosis and survival. Univariate Cox statistics showed that a high expression level of SPRR1B was correlated with UBC patients having poor overall survival (OS) (p < 0.05). In addition, on the basis of the multivariate Cox analysis, SPRR1B expression was independently correlated with OS (p = 0.005). GSEA analysis revealed enrichment in the p53, apoptosis, and cell cycle signalling pathways, and an association with B cells, lymphocytes, and natural killer cells. In addition, SPRR1B was found to be associated with immune infiltration based on the analysis of immune cell infiltration. Performing corresponding verification on a small number of tissues collected from bladder cancer patients revealed that the expression of this protein was negatively correlated with the expression of p53.
    CONCLUSIONS: SPRR1B overexpression predicts poor UBC outcomes, suggesting its role as a prognostic marker and therapeutic target. Further research is necessary to elucidate its role in UBC progression.
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  • 文章类型: Journal Article
    Cornulin(CRNN)和restin(RPTN)属于融合型S100蛋白家族。尽管据报道这些蛋白质在表皮的颗粒层中表达,并被认为与表皮中的屏障形成有关,其确切功能尚不清楚。本研究研究了紫外线B(UVB)照射对人皮肤异种移植中CRNN和RPTN表达的影响。与假照射的皮肤相比,UVB照射后2天,UVB照射的皮肤颗粒层中的CRNN表达增加。有趣的是,CRNN信号不仅在细胞质中观察到,而且在颗粒状角质形成细胞的周围区域。相比之下,RPTN在假照射的皮肤中很少表达;然而,在UVB照射的皮肤颗粒层中,RPTN信号显着增加。此外,在UVB照射的皮肤中观察到ERK1/2和STAT3的激活。因此,本研究表明,CRNN和RPTN是一种新的蛋白,其表达可以通过UVB照射而增加。ERK1/2和STAT3的激活可能与UVB损伤表皮的再生有关,CRNN和RPTN可能被诱导修复在此再生过程中表皮屏障的任何功能障碍。
    Cornulin (CRNN) and repetin (RPTN) belong to the fused-type S100 protein family. Although these proteins have been reported to be expressed in the granular layer of the epidermis and have been suggested to be associated with barrier formation in the epidermis, their exact function remains unclear. This study examined the effects of ultraviolet B (UVB) irradiation on CRNN and RPTN expression in human skin xenotransplantation. The CRNN expression increased in the granular layer of UVB-irradiated skin 2 days after UVB irradiation compared to that in sham-irradiated skin. Interestingly, CRNN signals were observed not only in the cytoplasm, but also in the peripheral regions of granular keratinocytes. In contrast, RPTN was rarely expressed in sham-irradiated skin; however, RPTN signals were markedly increased in the granular layer of the UVB-irradiated skin. In addition, activation of ERK1/2 and STAT3 was observed in UVB-irradiated skin. Accordingly, the present study demonstrated that CRNN and RPTN are novel proteins whose expression can be increased by UVB irradiation. The activation of ERK1/2 and STAT3 may be associated with the regeneration of a UVB-damaged epidermis, and CRNN and RPTN may be induced to repair any dysfunction in the epidermal barrier during this regeneration process.
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  • 文章类型: Journal Article
    在性侵犯案件中,区分末梢血和经血对外伤性阴道性交提供证据至关重要。在这项研究中,经血mRNA标志物孕激素相关子宫内膜蛋白(PAEP),基质金属肽酶7(MMP7),通过定量RT-PCR(RT-qPCR)评估左-右决定因子2(LEFTY2),以区分外周血和阴道液中的月经血。因此,具有截止δ周期定量(ΔCq)值的所有标志物均在法医相关体液中的月经血中明确确定。尽管在月经周期中每个标志物的表达水平的变化不同,在分析的大多数随机收集的月经血样本中,所有标志物均被确定为阳性.此外,具有建议的截止值ΔCq值的标记物可以区分月经血和外周血混合的阴道液样品。在干燥条件下比在潮湿条件下受储存温度的影响小,而在低于室温的潮湿条件下储存的样品中可检测到PAEP。PAEP的可检测性被认为是其表达水平高于MMP7和LEFTY2的结果。总之,本研究中评估的RT-qPCR程序的月经血标志物对月经血具有高度特异性。拟议的程序可用于区分月经和女性生殖道的创伤性出血。特别是,由于PAEP具有高特异性和鲁棒性,因此有望适用于法医案件样本。
    In sexual assault cases, it is crucial to discriminate between peripheral blood and menstrual blood to provide evidence for vaginal intercourse with traumatic injury. In this study, the menstrual blood mRNA markers progestagen-associated endometrial protein (PAEP), matrix metallopeptidase 7 (MMP7), and left-right determination factor 2 (LEFTY2) were evaluated by quantitative RT-PCR (RT-qPCR) for the discrimination of menstrual blood from peripheral blood and vaginal fluid. As a result, all markers with cutoff delta cycle quantification (ΔCq) values were specifically determined in menstrual blood among forensically relevant body fluids. Even though the changes in the expression levels of each marker differed during the menstrual cycle, all markers were determined to be positive in most of the randomly collected menstrual blood samples that were analyzed. Additionally, the markers with proposed cutoff ΔCq values could discriminate between menstrual blood and peripheral blood-mixed vaginal fluid samples. The determination of positive markers was less affected by storage temperature under dry conditions than under wet conditions, while PAEP was detectable in samples stored below room temperature under wet conditions. The detectability of PAEP was considered to be the result of its higher expression level compared with MMP7 and LEFTY2. In conclusion, menstrual blood markers for the RT-qPCR procedure evaluated in this study were highly specific for menstrual blood. The proposed procedure could be useful for discriminating between menstruation and traumatic bleeding in the female genital tract. In particular, PAEP is expected to be applicable to forensic casework samples because of its high specificity and robustness.
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  • 文章类型: Journal Article
    背景:膀胱癌(BLCA)是一种影响泌尿系统的常见恶性肿瘤,在全球范围内对发病率和死亡率都造成了巨大负担。在所有BLCA案件中,非肌层浸润性膀胱癌约占总数的75%.近年来,铁性死亡的概念,以脂质过氧化物的积累为标志的铁依赖性调节细胞死亡形式,引起了全世界研究人员的注意。然而,铁凋亡相关基因(FRGs)在抗BLCA反应中的确切参与仍未得到充分阐明。
    方法:来自TCGA和GEO数据集的BLCA样本的整合促进了FRGs的定量评估,提供对其预测能力的潜在见解。利用包含mRNAsi的丰富信息,基因突变,CNV,TMB,这些数据集中的临床特征进一步丰富了分析,增强其鲁棒性和可靠性。通过利用Lasso回归,建立了预测模型,能够在BLCA的背景下进行准确的预后评估。此外,共表达分析揭示了基因表达模式与FRGs之间的复杂关系,揭示它们在BLCA中的功能相关性和潜在意义。
    结果:FRGs在BLCA患者高危队列中表达水平升高,即使没有其他临床指标,表明它们作为预后标志物的潜力。GSEA揭示了免疫和肿瘤相关途径的富集,特别是在高危人群中。此外,低危组和高危组之间的免疫功能和m6a基因表达存在显著差异.几个基因,包括MYBPH,SOST,SPRR2A,和CRNN,被发现可能参与BLCA的致癌过程。此外,CYP4F8、PDZD3、CRTAC1和LRTM1被鉴定为潜在的抑癌基因。两个风险组之间的免疫功能和m6a基因表达存在显着差异,进一步强调了与不同预后结果相关的独特分子特征。值得注意的是,在预后模型之间观察到了很强的相关性,CNVs,SNPs,和药物敏感性。
    结论:FRGs与BLCA的发病和进展有关。FRGs签名为预测BLCA提供了一个可行的替代方案,这些FRGs显示了未来BLCA靶向治疗的前瞻性研究领域。
    BACKGROUND: Bladder cancer (BLCA) is a prevalent malignancy affecting the urinary system and poses a significant burden in terms of both incidence and mortality rates on a global scale. Among all BLCA cases, non-muscle invasive bladder cancer constitutes approximately 75% of the total. In recent years, the concept of ferroptosis, an iron-dependent form of regulated cell death marked by the accumulation of lipid peroxides, has captured the attention of researchers worldwide. Nevertheless, the precise involvement of ferroptosis-related genes (FRGs) in the anti-BLCA response remains inadequately elucidated.
    METHODS: The integration of BLCA samples from the TCGA and GEO datasets facilitated the quantitative evaluation of FRGs, offering potential insights into their predictive capabilities. Leveraging the wealth of information encompassing mRNAsi, gene mutations, CNV, TMB, and clinical features within these datasets further enriched the analysis, augmenting its robustness and reliability. Through the utilization of Lasso regression, a prediction model was developed, enabling accurate prognostic assessments within the context of BLCA. Additionally, co-expression analysis shed light on the complex relationship between gene expression patterns and FRGs, unraveling their functional relevance and potential implications in BLCA.
    RESULTS: FRGs exhibited increased expression levels in the high-risk cohort of BLCA patients, even in the absence of other clinical indicators, suggesting their potential as prognostic markers. GSEA revealed enrichment of immunological and tumor-related pathways specifically in the high-risk group. Furthermore, notable differences were observed in immune function and m6a gene expression between the low- and high-risk groups. Several genes, including MYBPH, SOST, SPRR2A, and CRNN, were found to potentially participate in the oncogenic processes underlying BLCA. Additionally, CYP4F8, PDZD3, CRTAC1, and LRTM1 were identified as potential tumor suppressor genes. Significant discrepancies in immunological function and m6a gene expression were observed between the two risk groups, further highlighting the distinct molecular characteristics associated with different prognostic outcomes. Notably, strong correlations were observed among the prognostic model, CNVs, SNPs, and drug sensitivity profiles.
    CONCLUSIONS: FRGs are associated with the onset and progression of BLCA. A FRGs signature offers a viable alternative to predict BLCA, and these FRGs show a prospective research area for BLCA targeted treatment in the future.
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  • 文章类型: Journal Article
    通过研究iSGS患者和对照组之间声门下粘膜组织转录组的差异,了解特发性声门下狭窄(iSGS)的病理生理学,以及患者体内的气管和声门下组织之间。
    对iSGS患者声门下和气管(住院对照)区域收集的活检粘膜样本进行RNA测序,和对照组的声门下。通过(1)对从第二组患者和对照获得的组织样品进行染色;和(2)使用来自iSGS患者和健康供体的原代声门下上皮细胞的体外功能测定,在蛋白质水平上验证基因表达差异。
    我们在iSGS患者的声门下区域相对于对照组的气管粘膜和声门下区域发现了7个上调的基因。基因本体论富集分析发现,上皮细胞分化和角化途径显著,具体涉及3个基因:involucrin(IVL),富含脯氨酸的小蛋白1B(SPRR1B),和角蛋白16(KRT16)。这些途径的参与表明上皮鳞状上皮化生。声门下粘膜活检中上皮的组织学分析显示,iSGS患者的样本中有41%的鳞状化生,对照组中有25%的鳞状化生。对鳞状上皮样品的免疫组织化学评估显示,SPRR1B编码的蛋白质表达增加,过度增生的基底细胞,顶端层脱落,与CTRL相比,iSGS中的伴随病变。与健康供体相比,iSGS患者培养的原代声门下上皮细胞具有更高的增殖率,鳞状化生分化形成了较薄的上皮,并增加了INV编码的表达蛋白,SPRR1B,和KRT16,表明iSGS中基底细胞的内在功能障碍。
    上皮细胞鳞状分化异常可能与iSGS的发病机制有关。具有化生上皮表型的患者可能对将其逆转为正常表型的药物敏感。
    UNASSIGNED: Gain insights into the pathophysiology of idiopathic subglottic stenosis (iSGS) by investigating differences in transcriptome of subglottic mucosal tissue between patients with iSGS and controls, and between tracheal and subglottic tissue within patients.
    UNASSIGNED: RNA sequencing was conducted on biopsied mucosal samples collected from subglottic and tracheal (in-patient control) regions in iSGS patients, and from subglottis in controls. The gene expression differences were validated on a protein level by (1) staining the tissue samples obtained from a second cohort of patients and controls; and (2) in vitro functional assays using primary subglottic epithelial cells from both iSGS patients and healthy donors.
    UNASSIGNED: We found 7 upregulated genes in the subglottic region of iSGS patients relative to both the tracheal mucosa and subglottic region of controls. A gene ontology enrichment analysis found that the epithelial cell differentiation and cornification pathways are significant, involving specifically 3 of the genes: involucrin (IVL), small proline rich protein 1B (SPRR1B), and keratin 16 (KRT16). Involvement of these pathways suggests squamous metaplasia of the epithelium. Histological analyses of epithelium in subglottic mucosal biopsies revealed squamous metaplasia in 41% of the samples from iSGS patients and in 25% from controls. Immunohistochemical evaluation of the samples presented with squamous epithelium revealed increased expression of the protein encoded by SPRR1B, hyperproliferative basal cells, shedding of apical layers, and accompanying lesions in iSGS compared to CTRL. Cultured primary subglottic epithelial cells from iSGS patients had higher proliferation rates compared to healthy donors and squamous metaplastic differentiation formed thinner epithelia with increased expression proteins encoded by INV, SPRR1B, and KRT16, suggesting intrinsic dysfunction of basal cells in iSGS.
    UNASSIGNED: Abnormal squamous differentiation of epithelial cells may contribute to the pathogenesis of iSGS. Patients having metaplastic epithelial phenotype may be sensitive to drugs that reverse it to a normal phenotype.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    晚期角化包膜(LCE)蛋白是具有抗菌特性的小阳离子表皮蛋白,LCE3B和LCE3C基因的联合缺失是影响皮肤微生物组组成的银屑病的危险因素。在酵母双杂交筛选中,我们将富含半胱氨酸的尾1蛋白(CYSRT1)鉴定为除LCE6以外的所有LCE组成员的相互作用伴侣。通过免疫共沉淀在哺乳动物细胞系统中证实了这些相互作用。CYSRT1是一种功能未知的蛋白质,在皮肤和口腔上皮中特异性表达,并与LCE蛋白在基底上表皮的上层空间共定位。组成型CYSRT1表达存在于完全分化的表皮中,并且可以通过在去除角质层时破坏皮肤屏障而在体内进一步诱导。转录调节与角质形成细胞终末分化相关,但与皮肤细菌暴露无关。类似于LCEs,发现CYSRT1对铜绿假单胞菌具有抗菌活性。比较基因序列分析和蛋白质氨基酸比对表明CYSRT1在脊椎动物中高度保守,并具有推定的抗菌活性。总结一下,我们发现CYSRT1在外皮层,它与LCE蛋白共定位,并有助于组成型表皮抗菌宿主防御库。
    Late cornified envelope (LCE) proteins are small cationic epidermal proteins with antimicrobial properties, and the combined deletion of LCE3B and LCE3C genes is a risk factor for psoriasis that affects skin microbiome composition. In a yeast two-hybrid screen, we identified CYSRT1 as an interacting partner of members of all LCE groups except LCE6. These interactions were confirmed in a mammalian cell system by coimmunoprecipitation. CYSRT1 is a protein of unknown function that is specifically expressed in cutaneous and oral epithelia and spatially colocalizes with LCE proteins in the upper layers of the suprabasal epidermis. Constitutive CYSRT1 expression is present in fully differentiated epidermis and can be further induced in vivo by disruption of the skin barrier upon stratum corneum removal. Transcriptional regulation correlates to keratinocyte terminal differentiation but not to skin bacteria exposure. Similar to LCEs, CYSRT1 was found to have antibacterial activity against Pseudomonas aeruginosa. Comparative gene sequence analysis and protein amino acid alignment indicate that CYSRT1 is highly conserved among vertebrates and has putative antimicrobial activity. To summarize, we identified CYSRT1 in the outer skin layer, where it colocalizes with LCE proteins and contributes to the constitutive epidermal antimicrobial host defense repertoire.
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  • 文章类型: Journal Article
    胰腺癌仍然是一种致命的实体瘤,生存率最差,更好地了解胰腺癌的发生机制对提高胰腺癌患者的生存率至关重要。qPCR和westernblot检测SPRR3在胰腺癌中的表达。锚定独立生长能力,BrdU标签,Transwell分析,并通过体内实验研究了SPRR3在胰腺癌侵袭性中的作用。荧光素酶报告基因测定,核质分离技术,qPCR,采用Westernblot技术研究SPRR3调控胰腺癌侵袭性的机制。我们的研究结果显示,SPRR3在胰腺癌中显著升高,这导致胰腺癌患者的生存率低下。进一步分析表明,SPRR3的过表达有助于锚定非依赖性生长能力,增长率,胰腺癌细胞的侵袭能力。同时,SPRR3的敲低显示出相反的结果。机械上,过表达SPRR3可以促进NF-κB通路的转录,p65的核积累和NF-κB途径下游基因的mRNA水平。但是,SPRR3的敲低诱导了相反的结果。以上发现阐明了SPRR3通过NF-κB通路在胰腺癌进展中的重要作用。靶向SPRR3可能是治疗胰腺癌的有效策略。
    Pancreatic cancer remains a deadly solid tumor with worst survival, and a better understanding of the mechanisms of carcinogenesis of pancreatic cancer is critical to promote the survival of patients with pancreatic cancer. qPCR and western blot assay were used to determine the expression of SPRR3 in pancreatic cancer. Anchorage-independent growth ability, BrdU labeling, Transwell assay, and in vivo experiment were used to examine the functions of SPRR3 in aggressiveness of pancreatic cancer. Luciferase reporter assay, nucleoplasmic-separation technique, qPCR, and western blot assay were used to investigate the mechanism of SPRR3 regulating aggressiveness of pancreatic cancer. Our results showed that SPRR3 was significantly increased in pancreatic cancer, which resulted in poor survival for patients with pancreatic cancer. Further analysis showed that overexpression of SPRR3 contributed to anchorage-independent growth ability, growth rate, and invasion ability of pancreatic cancer cells. While, knockdown of SPRR3 showed the reverse results. Mechanistically, overexpression of SPRR3 can promote the transcription of NF-κB pathway, nuclear accumulation of p65, and mRNA levels of NF-κB pathway downstream genes. But, knockdown of SPRR3 induced the reverse results. The above findings clarified the important roles of SPRR3 in the progression of pancreatic cancer through NF-κB pathway. And targeting SPRR3 might be an effective strategy to therapy pancreatic cancer.
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  • 文章类型: Journal Article
    颗粒物(PM2.5)是一种环境污染物,通过表皮屏障损伤引起皮肤炎症性疾病。然而,PM2.5诱导的机制及相关基因表达尚不清楚。我们的目的是确定PM2.5对体外人体皮肤组织的影响,并阐明了辅助性T细胞17相关炎症因子和皮肤屏障功能的作用机制。我们使用Quantseq(3'mRNA-Seq)验证了PM2.5处理的人皮肤组织中基因的表达水平,并进行了基因本体(GO)术语和蛋白质-蛋白质相互作用(PPI)网络。PM2.5处理显着增强了Th1、2、17和22细胞相关基因的表达(cut-off值:SI1.2SIx>倍数变化,p<0.05)。最重要的是,Th17细胞相关基因上调,这些基因与皮肤表皮屏障功能和芳香烃受体(AhR)相关,一种异生物受体,通路。在人类角质形成细胞系中,AhR调节基因(例如AhRR,CYP1A1,IL6和IL36G),Th17细胞相关基因(如IL17C)和表皮屏障相关基因(如SPRR2A和KRT71)在PM2.5后显著增加。在蛋白质水平,PM2.5处理后,人皮肤组织中IL-6和IL-36G的分泌增加,SPRR2A和KRT71的表达显著增高。PM2.5暴露可通过AhR-和Th17细胞相关的炎症途径破坏皮肤表皮屏障功能。
    Particulate matter (PM2.5) is an environmental pollutant causing skin inflammatory diseases via epidermal barrier damage. However, the mechanism and related gene expression induced by PM2.5 remains unclear. Our aim was to determine the effect of PM2.5 on human skin tissue ex vivo, and elucidate the mechanism of T helper 17 cell-related inflammatory cytokine and skin barrier function. We verified the expression levels of gene in PM2.5-treated human skin tissue using Quantseq (3\' mRNA-Seq), and Gene Ontology (GO) terms and protein-protein interaction (PPI) networks were performed. The PM2.5 treatment significantly enhanced the expression of Th 1, 2, 17 and 22 cell-related genes (cut-off value: │1.2 │ > fold change and p < 0.05). Most of all, Th17 cell-related genes are upregulated and those genes are associated with skin epidermal barrier function and Aryl hydrocarbon receptor (AhR), a xenobiotic receptor, pathway. In human keratinocyte cell lines, AhR-regulated genes (e.g. AhRR, CYP1A1, IL6 and IL36G), Th17 cell-related genes (e.g. IL17C) and epidermal barrier-related genes (e.g. SPRR2A and KRT71) are significantly increased after PM2.5. In the protein level, the secretion of IL-6 and IL-36G was increased in human skin tissue following PM2.5 treatment, and the expression of SPRR2A and KRT71 was significantly increased. PM2.5 exposure could ruin the skin epidermal barrier function via AhR- and Th17 cell-related inflammatory pathway.
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  • 文章类型: Journal Article
    圆锥角膜(KC)是一种多因素进行性扩张症,其特征是角膜局部变薄,由于不规则的散光和混浊导致视力下降。尽管先进的成像方法不断发展,KC的确切病因尚不清楚。我们的目的是研究角膜上皮在该疾病的病理生理中的参与。从23名对照和2组KC患者中收集角膜上皮样品:22名接受角膜交联(早期KC)和6名穿透性角膜移植术(晚期KC)之前的患者。通过实时PCR分析评估表皮终末分化程序和氧化应激途径中涉及的基因的表达。在对照和高级KC其他角膜样品上使用免疫荧光在蛋白质水平上证实了一些差异表达的转录物的存在。我们发现,在早期KC样本中,一些已知与表皮的机械抗性有关的基因具有统计学意义(KRT16,KRT14,SPRR1A,SPRR2A,SPRR3,TGM1和TGM5)和氧化应激途径(NRF2,HMOX1和HMOX2),与对照组相比。在先进的KC样品中,SPRR2A和HMOX1的表达降低。观察到角蛋白(KRT)16和KRT14蛋白的表达降低。此外,差异定位被注意到为总蛋白,涉及表皮机械特性的另一种蛋白质。最后,我们观察到对照上皮中NRF2活性形式的免疫荧光染色,而在KC上皮中减少。这些结果表明,角膜角膜角膜上皮中可能通过NRF2途径介导的机械阻力和氧化应激防御存在缺陷。
    Keratoconus (KC) is a multifactorial progressive ectatic disorder characterized by local thinning of the cornea, leading to decreased visual acuity due to irregular astigmatism and opacities. Despite the evolution of advanced imaging methods, the exact etiology of KC remains unknown. Our aim was to investigate the involvement of corneal epithelium in the pathophysiology of the disease. Corneal epithelial samples were collected from 23 controls and from 2 cohorts of patients with KC: 22 undergoing corneal crosslinking (early KC) and 6 patients before penetrating keratoplasty (advanced KC). The expression of genes involved in the epidermal terminal differentiation program and of the oxidative stress pathway was assessed by real time PCR analysis. Presence of some of the differentially expressed transcripts was confirmed at protein level using immunofluorescence on controls and advanced KC additional corneal samples. We found statistically significant under-expression in early KC samples of some genes known to be involved in the mechanical resistance of the epidermis (KRT16, KRT14, SPRR1A, SPRR2A, SPRR3, TGM1 and TGM5) and in oxidative stress pathways (NRF2, HMOX1 and HMOX2), as compared to controls. In advanced KC samples, expression of SPRR2A and HMOX1 was reduced. Decreased expression of keratin (KRT)16 and KRT14 proteins was observed. Moreover, differential localization was noted for involucrin, another protein involved in the epidermis mechanical properties. Finally, we observed an immunofluorescence staining for the active form of NRF2 in control epithelia that was reduced in KC epithelia. These results suggest a defect in the mechanical resistance and the oxidative stress defense possibly mediated via the NRF2 pathway in the corneal keratoconic epithelium.
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