PNN

PNN
  • 文章类型: Journal Article
    Pinin(PNN)是一种桥粒相关蛋白,可增强角蛋白中间丝的组织,并稳定细胞骨架网络与质膜侧面的锚定。PNN的异常表达会影响细胞粘附的强度,并改变导致CRC发作的细胞内信号转导途径。在我们之前的研究中,我们表征了miR-195-5p在桥粒连接调节和CRC进展中的作用.这里,为了研究与桥粒复合体相关的其他机制,我们将PNN确定为miR-195-5p的推定靶标.使用公共数据存储库,我们发现,PNN是一个负预后因子,并且在1期结肠癌组织中过度表达.然后,我们评估了CRC组织标本中的PNN表达,证实PNN在肿瘤切片中的过表达。miR-195-5p细胞内水平的增加揭示了mRNA和蛋白质水平的PNN的显著降低。作为miR-195-5p调节PNN的结果,与PNN紧密相连的KRT8和KRT19的表达式,受到影响。最后,我们研究了miR-195-5p对AOM/DSS处理小鼠结肠中PNN表达的体内影响。总之,我们揭示了由miR-195-5p驱动的桥粒组分调控的新机制,提示CRC治疗的潜在药理靶点。
    Pinin (PNN) is a desmosome-associated protein that reinforces the organization of keratin intermediate filaments and stabilizes the anchoring of the cytoskeleton network to the lateral surface of the plasma membrane. The aberrant expression of PNN affects the strength of cell adhesion as well as modifies the intracellular signal transduction pathways leading to the onset of CRC. In our previous studies, we characterized the role of miR-195-5p in the regulation of desmosome junctions and in CRC progression. Here, with the aim of investigating additional mechanisms related to the desmosome complex, we identified PNN as a miR-195-5p putative target. Using a public data repository, we found that PNN was a negative prognostic factor and was overexpressed in colon cancer tissues from stage 1 of the disease. Then, we assessed PNN expression in CRC tissue specimens, confirming the overexpression of PNN in tumor sections. The increase in intracellular levels of miR-195-5p revealed a significant decrease in PNN at the mRNA and protein levels. As a consequence of PNN regulation by miR-195-5p, the expression of KRT8 and KRT19, closely connected to PNN, was affected. Finally, we investigated the in vivo effect of miR-195-5p on PNN expression in the colon of AOM/DSS-treated mice. In conclusion, we have revealed a new mechanism driven by miR-195-5p in the regulation of desmosome components, suggesting a potential pharmacological target for CRC therapy.
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  • 文章类型: Journal Article
    背景:慢性鼻炎是指鼻腔发炎和发炎,导致鼻塞等症状,流鼻涕,打喷嚏,持续至少12周的鼻后滴注。虽然各种药物治疗可用于慢性鼻炎,研究表明,患者通常不遵守治疗或报告无效。鼻粘膜的冷冻疗法是一种手术选择,对这些患者显示出希望,有可接受的副作用。
    目的:我们的目标是评估现有文献中关于冷冻疗法作为慢性鼻炎治疗的有效性和安全性。
    方法:我们检索了四个电子数据库以进行相关研究。筛选程序后,从纳入的研究中提取数据。使用随机效应模型,我们计算了连续结局的合并平均差(MD)和分类结局的合并比例.I2测试用于检测异质性。使用Cochrane偏倚风险评估工具2评估随机对照试验(RCT)的方法学质量,同时使用美国国立卫生研究院的工具评估观察性研究和单臂研究。
    结果:我们的研究包括21项研究;18项符合分析条件,1663例慢性鼻炎患者。我们所有的评估结果显示冷冻疗法比基线状态有所改善。我们汇总的鼻部症状总评分(rTNSS)MD,鼻结膜炎生活质量问卷(RQLQ),鼻塞症状评估(NOSE)评分如下:(-3.58,95%CI[-3.80,-3.37],p<0.001),(-1.48,95%CI[-1.68,-1.27],p<0.001),和(-26.65,95%CI[-33.98,-19.31],p<0.001),分别。关于鼻塞和鼻漏,在完全缓解亚组中,冷冻疗法在61%和52%的患者中有效,在<50%缓解亚组中,分别为26%和34%。分别。
    结论:我们观察到我们的测量结果如rTNSS、RQLQ,和NOSE得分与基线状态相比,证明冷冻疗法的功效。这种改善在随后的所有随访期间都是一致的。然而,我们需要更多高质量的RCT来推广更有力的证据.
    BACKGROUND: Chronic rhinitis is when the nasal passages become inflamed and irritated, causing symptoms like nasal congestion, runny nose, sneezing, and postnasal drip that last for at least 12 weeks. While various medical treatments are available for chronic rhinitis, studies have shown that patients often do not comply with the treatment or report that it is ineffective. Cryotherapy for the nasal mucosa is a surgical option that has shown promise for these patients, with acceptable side effects.
    OBJECTIVE: Our goal is to evaluate the existing literature regarding the effectiveness and safety of cryotherapy as a treatment for chronic rhinitis.
    METHODS: We searched four electronic databases for relevant studies. Data were extracted from the included studies after screening procedures. Using the random effect model, we calculated the pooled mean difference (MD) for our continuous outcomes and pooled proportions for categorical outcomes. The I2 test was used to detect heterogenicity. Randomized controlled trials (RCTs) were assessed for methodological quality using the Cochrane risk of bias assessment tool 2, while observational studies and single-arm studies were assessed using the National Institutes of Health\'s tools.
    RESULTS: Our study comprised 21 studies; eighteen were eligible for analysis, with 1663 patients with chronic rhinitis. All of our assessed outcomes showed improvement with cryotherapy from their baseline status. Our pooled MDs for Total Nasal Symptom Score (rTNSS), Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ), and Nasal Obstruction Symptom Evaluation (NOSE) scores were as follows: ( - 3.58, 95% CI [ - 3.80,  - 3.37], p < 0.001), ( - 1.48, 95% CI [ - 1.68,  - 1.27], p < 0.001), and ( - 26.65, 95% CI [ - 33.98,  - 19.31], p < 0.001), respectively. Regarding nasal obstruction and rhinorrhea, cryotherapy showed effectiveness in 61% and 52% of patients in the complete relief subgroup and 26% and 34% in the < 50%-relief subgroup, respectively.
    CONCLUSIONS: We observed significant improvement in our measured outcomes as rTNSS, RQLQ, and NOSE scores compared to the baseline state, demonstrating the cryotherapy\'s efficacy. This improvement was consistent in all subsequent follow-up periods. However, we need more high-quality RCTs for stronger evidence to be generalized.
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  • 文章类型: Preprint
    脑的细胞外基质(ECM)调节神经元可塑性和动物行为。ECM染色显示神经元子集周围的网状结构中的聚集模式和间质基质中的扩散染色。然而,了解跨各种神经元类型和亚细胞区室的ECM沉积的结构特征仍然有限。为了可视化大脑中透明质酸支架ECM的组织模式和组装过程,我们融合了HaloTag与HAPLN1,它连接透明质酸和蛋白聚糖。探针的表达或应用使我们能够鉴定ECM沉积的空间和时间调节以及神经元群体中ECM聚集的异质性。双色出生日期显示了ECM在培养和体内的组装过程。体内稀疏表达揭示了兴奋性神经元和发育调节的树突状ECM周围的新型ECM结构形式。总的来说,我们的研究揭示了大脑ECM的广泛结构特征,提示在调节神经元可塑性方面的不同作用。
    The brain\'s extracellular matrix (ECM) regulates neuronal plasticity and animal behavior. ECM staining shows an aggregated pattern in a net-like structure around a subset of neurons and diffuse staining in the interstitial matrix. However, understanding the structural features of ECM deposition across various neuronal types and subcellular compartments remains limited. To visualize the organization pattern and assembly process of the hyaluronan-scaffolded ECM in the brain, we fused a HaloTag to HAPLN1, which links hyaluronan and proteoglycans. Expression or application of the probe enables us to identify spatial and temporal regulation of ECM deposition and heterogeneity in ECM aggregation among neuronal populations. Dual-color birthdating shows the ECM assembly process in culture and in vivo. Sparse expression in vivo reveals novel forms of ECM architecture around excitatory neurons and developmentally regulated dendritic ECM. Overall, our study uncovers extensive structural features of the brain\' ECM, suggesting diverse roles in regulating neuronal plasticity.
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  • 文章类型: Journal Article
    神经周网(PNN)是中枢神经系统中高度网状的细胞外基质,它由透明质酸组成,蛋白聚糖,透明质酸和蛋白聚糖连接蛋白(Haplin),和肌腱。PNN主要分布在表达小白蛋白(PV)的GABA能中间神经元中,在突触功能中起关键作用。学习和记忆,氧化应激,和炎症。此外,PNN的结构和功能也受到各种因素的调节,包括蛋白酪氨酸磷酸酶σ(PTPσ),正统箱2(Otx2),和erb-b2受体酪氨酸激酶4(ErbB4)。糖胺聚糖(GAG),蛋白多糖的一种成分,也通过其硫酸盐模式影响PNN。PNN在衰老和各种神经系统疾病中发生异常变化,如老年痴呆症,帕金森病,精神分裂症,自闭症谱系障碍,和多发性硬化症。然而,关于PNN与衰老或与年龄相关的神经系统疾病之间关系的报道有限。这篇综述阐述了PNN调控的机制,并总结了PNN异常如何导致衰老和神经系统疾病。为潜在的治疗提供见解。
    The perineuronal net (PNN) is a highly latticed extracellular matrix in the central nervous system, which is composed of hyaluronic acid, proteoglycan, hyaluronan and proteoglycan link protein (Hapln), and tenascin. PNN is predominantly distributed in GABAergic interneurons expressing Parvalbumin (PV) and plays a critical role in synaptic function, learning and memory, oxidative stress, and inflammation. In addition, PNN\'s structure and function are also modulated by a variety of factors, including protein tyrosine phosphatase σ (PTPσ), orthodenticle homeo-box 2 (Otx2), and erb-b2 receptor tyrosine kinase 4 (ErbB4). Glycosaminoglycan (GAG), a component of proteoglycan, also influences PNN through its sulfate mode. PNN undergoes abnormal changes during aging and in various neurological diseases, such as Alzheimer\'s disease, Parkinson\'s disease, schizophrenia, autism spectrum disorder, and multiple sclerosis. Nevertheless, there is limited report on the relationship between PNN and aging or age-related neurological diseases. This review elaborates on the mechanisms governing PNN regulation and summarizes how PNN abnormalities contribute to aging and neurological diseases, offering insights for potential treatments.
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  • 文章类型: Meta-Analysis
    背景:对于药物治疗或保守手术难以治疗的过敏性鼻炎(AR)患者,内镜下神经切除术有望提供良好的治疗缓解。然而,其利益的证据基础仍有争议。在这项研究中,我们进行了系统评价和荟萃分析,以阐明各种形式的翼系神经切除术在难治性AR中的治疗作用.
    方法:系统评价和荟萃分析指南的首选报告项目被用来对主要研究进行系统评价,这些研究报告了内窥镜翼管神经切除术(EVN)和翼管分支神经切除术的原始患者数据。其中包括选择性翼管神经切除术(SVN)和后鼻神经切除术(PNN)。主要结果是患者报告的结果指标(PROMs),包括鼻结膜炎生活质量问卷(RQLQ)和视觉模拟量表(VAS),评估鼻腔症状严重程度和患者生活质量的改善情况。手术并发症的发生率和其他客观结果被认为是次要结果。
    结果:本综述包括24项临床研究,涉及1677例难治性AR患者,其中6项研究的510例患者合并慢性鼻-鼻窦炎伴鼻息肉(CRSwNP),1项研究的95例患者合并哮喘.几乎所有接受vidianp的患者的术后PROM均明显优于术前(RQLQ:标准化平均差异[SMD]=2.66,95%置信区间[CI]=2.40-2.92,p<0.001;VAS:SMD=5.15,95%CI=4.29-6.02,p<0.001)或vidian-分支神经切除术(N中的RQLQ:SMD=3.34,PN总体上优于保守治疗组。以18个月为分界点,对随访期进行了亚组分析,结果表明,与术前相比,长期和短期术后患者的症状均大大减少。这两个手术,SVN和PNN,归因于vidian分支神经切除术的并发症非常少。然而,EVN更容易引起干眼和腭麻木,无其他严重并发症。在AR和CRSwNP患者中,视距或选择性视距神经切除术联合功能性内窥镜鼻窦手术(FESS)比常规FESS更有效(RQLQ:SMD=2.17,95%CI=1.66-2.69,p<0.001;VAS:SMD=6.42,95%CI=4.78-8.06,p<0.001)。对于同时患有AR和哮喘的患者,SVN与咽支切除是一种潜在的治疗选择。
    结论:EVN和vidian分支神经切除术(包括SVN和PNN)是有效的治疗方法,但是前者有更高的并发症风险。此外,FESS的vidian分支神经切除术对混合性CRSwNP患者有益。SVN是AR和哮喘并存患者的潜在治疗方法。
    BACKGROUND: Endoscopic vidian neurectomy is expected to provide good therapeutic relief in patients with allergic rhinitis (AR) being refractory to medication therapy or conservative surgery. However, the evidence bases for its benefit remain debatable. In this study, we conducted a systematic review and meta-analysis to clarify the therapeutic role of various forms of vidian neurectomy in refractory AR.
    METHODS: Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines were used to conduct a systematic review of primary studies that reported original patient data for endoscopic vidian neurectomy (EVN) and vidian-branch neurectomy, which includes selective vidian neurectomy (SVN) and posterior nasal neurectomy (PNN). The primary outcome was patient-reported outcome measures (PROMs), including the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) and Visual Analog Scale (VAS), to assess an improvement in nasal symptom severity and quality of patient\'s life. The incidence of surgical complications and other objective outcomes were considered secondary outcomes.
    RESULTS: This review included 24 clinical studies involving 1677 patients with refractory AR, of which 510 patients in six studies had combined chronic rhinosinusitis with nasal polyps (CRSwNP) and 95 patients in one study had combined asthma. Postoperative PROMs were significantly better than preoperatively in almost all patients who underwent vidianp (RQLQ: standardized mean difference [SMD] = 2.66, 95% confidence interval [CI] = 2.40-2.92, p < 0.001; VAS: SMD = 5.15, 95% CI = 4.29-6.02, p < 0.001) or vidian-branch neurectomy (RQLQ in PNN: SMD = 3.29, 95% CI = 2.45-4.13, p < 0.001; VAS in PNN: SMD = 4.38, 95% CI = 3.41-5.34, p < 0.001), and were generally better than in the conservative treatment group. Dividing with 18 months as the cutoff point, a subgroup analysis of the follow-up period was conducted, and the results showed that both long-term and short-term postoperative patients had considerably reduced symptoms compared to the preoperative period. The two surgical procedures, SVN and PNN, attributed to vidian-branch neurectomy have extremely few complications. However, EVN is more likely to cause dry eyes and palatal numbness, with no other serious complications. In patients with AR and CRSwNP, vidian or selective vidian neurectomy combined with functional endoscopic sinus surgery (FESS) is more effective than conventional FESS (RQLQ: SMD = 2.17, 95% CI = 1.66-2.69, p < 0.001; VAS: SMD = 6.42, 95% CI = 4.78-8.06, p < 0.001). For patients who have both AR and asthma, SVN with pharyngeal branch excision is a potential treatment option.
    CONCLUSIONS: EVN and vidian-branch neurectomy (including SVN and PNN) are effective treatments, but the former has a higher risk of complications. Additionally, vidian-branch neurectomy with FESS is beneficial for patients with mixed CRSwNP. SVN is a potential approach for patients with coexisting AR and asthma.
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  • 文章类型: Journal Article
    背景:电惊厥性癫痫治疗通常用于治疗抗性和老年抑郁症。然而,确定慢性电惊厥发作(ECS)目标的临床前研究主要集中在青年期的动物模型上.鉴于推定的转录,与慢性ECS本身的行为效应有关的神经源性和神经可塑性机制表现出年龄依赖性调制,目前尚不清楚慢性ECS的分子和细胞靶标是否随年龄而变化。
    方法:我们对年轻成年人(2-3个月)和中年人(12-13个月)进行了研究,雄性SpragueDawley大鼠对假或慢性ECS,并评估了类似绝望的行为,海马基因表达,海马神经发生,和细胞外基质的神经可塑性变化,reelin和神经周净(PNN)数。
    结果:慢性ECS减少了两个年龄段的绝望行为,伴随着活性依赖性和营养因子基因表达的重叠和独特变化。虽然慢性ECS对两个年龄段的静止神经祖细胞数量有相似的影响,海马祖细胞增殖的最终增加在青年期明显更高.我们注意到,仅在成年后出现慢性ECS后,reelin细胞数量才有所下降。相比之下,年龄不变,在慢性ECS后,观察到海马中包裹小清蛋白+神经元的PNN的强烈溶解。
    结论:我们的研究结果表明,年龄是决定海马慢性ECS诱发的分子和细胞变化性质的关键变量。这增加了一个有趣的可能性,即慢性ECS可能招募不同的,以及重叠,以年龄依赖性方式驱动抗抑郁药样行为变化的机制。
    Electroconvulsive seizure therapy is often used in both treatment-resistant and geriatric depression. However, preclinical studies identifying targets of chronic electroconvulsive seizure (ECS) are predominantly focused on animal models in young adulthood. Given that putative transcriptional, neurogenic, and neuroplastic mechanisms implicated in the behavioral effects of chronic ECS themselves exhibit age-dependent modulation, it remains unknown whether the molecular and cellular targets of chronic ECS vary with age.
    We subjected young adult (2-3 months) and middle-aged (12-13 months), male Sprague Dawley rats to sham or chronic ECS and assessed for despair-like behavior, hippocampal gene expression, hippocampal neurogenesis, and neuroplastic changes in the extracellular matrix, reelin, and perineuronal net numbers.
    Chronic ECS reduced despair-like behavior at both ages, accompanied by overlapping and unique changes in activity-dependent and trophic factor gene expression. Although chronic ECS had a similar impact on quiescent neural progenitor numbers at both ages, the eventual increase in hippocampal progenitor proliferation was substantially higher in young adulthood. We noted a decline in reelin⁺ cell numbers following chronic ECS only in young adulthood. In contrast, an age-invariant, robust dissolution of perineuronal net numbers that encapsulate parvalbumin⁺ neurons in the hippocampus were observed following chronic ECS.
    Our findings indicate that age is a key variable in determining the nature of chronic ECS-evoked molecular and cellular changes in the hippocampus. This raises the intriguing possibility that chronic ECS may recruit distinct, as well as overlapping, mechanisms to drive antidepressant-like behavioral changes in an age-dependent manner.
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  • 文章类型: Journal Article
    前列腺癌(PCa)是最常见的恶性肿瘤。需要新的生物标志物以促进管理。pinin蛋白(由PNN基因编码)在PCa中的作用尚未得到彻底探索。使用癌症基因组图谱(TCGA-PCa)数据集,通过基因表达综合(GEO)和从人类蛋白质图谱检索的蛋白质表达数据进行验证,研究了PNN的预后和诊断价值。构建了与PNN(HCEG)高度共表达的基因,用于途径富集分析和药物预测。使用HCEG构建基于甲基化状态的预后特征。利用基因集富集分析(GSEA)和TISIDB数据库来分析PNN与肿瘤浸润免疫细胞之间的关联。PCa中PNN在转录和蛋白质水平上的上调表达表明其作为PCa的独立预后因子的潜力。对PNN共表达网络的分析表明,PNN在RNA剪接和剪接体中起作用。预后性甲基化特征证明了无进展生存期的良好表现。最后,我们的结果显示,PNN基因参与PCa剪接相关通路,并被鉴定为PCa的潜在生物标志物.
    Prostate cancer (PCa) is the most common malignancy. New biomarkers are in demand to facilitate the management. The role of the pinin protein (encoded by PNN gene) in PCa has not been thoroughly explored yet. Using The Cancer Genome Atlas (TCGA-PCa) dataset validated with Gene Expression Omnibus (GEO) and protein expression data retrieved from the Human Protein Atlas, the prognostic and diagnostic values of PNN were studied. Highly co-expressed genes with PNN (HCEG) were constructed for pathway enrichment analysis and drug prediction. A prognostic signature based on methylation status using HCEG was constructed. Gene set enrichment analysis (GSEA) and the TISIDB database were utilised to analyse the associations between PNN and tumour-infiltrating immune cells. The upregulated PNN expression in PCa at both transcription and protein levels suggests its potential as an independent prognostic factor of PCa. Analyses of the PNN\'s co-expression network indicated that PNN plays a role in RNA splicing and spliceosomes. The prognostic methylation signature demonstrated good performance for progression-free survival. Finally, our results showed that the PNN gene was involved in splicing-related pathways in PCa and identified as a potential biomarker for PCa.
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  • 文章类型: Journal Article
    调制识别是信号截获分析不可缺少的部分,一直是无线电通信领域的研究热点。随着电磁频谱环境的日益复杂,信号传播中的干扰变得越来越严重。本文提出了一种基于多模态特征融合的调制识别方案,试图提高不同信道下的调制识别性能。首先,在信号预处理阶段提取不同的时域和频域特征作为网络输入。采用带通道阈值的残差收缩构建单元(RSBU-CW)构建深度卷积神经网络来提取空间特征,与LSTM提取的时间特征成对相互作用,以增加特征的多样性。最后,对PNN模型进行了调整,使从网络中提取的特征交叉融合,以增强特征之间的互补性。仿真结果表明,与现有的特征融合方案相比,该方案具有更好的识别性能,在多径衰落信道中也能获得良好的识别性能。公共数据集的测试结果,RadioML2018.01A,结果表明,当信噪比(SNR)达到8dB时,识别精度超过95%。
    Modulation recognition is the indispensable part of signal interception analysis, which has always been the research hotspot in the field of radio communication. With the increasing complexity of the electromagnetic spectrum environment, interference in signal propagation becomes more and more serious. This paper proposes a modulation recognition scheme based on multimodal feature fusion, which attempts to improve the performance of modulation recognition under different channels. Firstly, different time- and frequency-domain features are extracted as the network input in the signal preprocessing stage. The residual shrinkage building unit with channel-wise thresholds (RSBU-CW) was used to construct deep convolutional neural networks to extract spatial features, which interact with time features extracted by LSTM in pairs to increase the diversity of the features. Finally, the PNN model was adapted to make the features extracted from the network cross-fused to enhance the complementarity between features. The simulation results indicated that the proposed scheme has better recognition performance than the existing feature fusion schemes, and it can also achieve good recognition performance in multipath fading channels. The test results of the public dataset, RadioML2018.01A, showed that recognition accuracy exceeds 95% when the signal-to-noise ratio (SNR) reaches 8dB.
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  • 文章类型: Journal Article
    这项研究的中心问题是什么?品宁(PNN)在结肠腺癌细胞恶性表型中的作用及其潜在机制是什么?主要发现及其重要性是什么?PNNmRNA可以通过甲基转移酶如3(TL3)稳定和上调,促进结肠腺癌的糖酵解并增强细胞增殖,移民和入侵。METTL3和PNN可能作为结肠腺癌治疗的潜在靶点。
    结肠腺癌(COAD)是全球范围内具有高发病率和死亡率的致命性恶性肿瘤。Pinin(PNN),桥粒相关蛋白,已被发现是几种恶性肿瘤的肿瘤驱动因素。本研究旨在探讨PNN在COAD中的表达、作用及其机制。PNN在临床收集的COAD肿瘤中高水平表达,并与患者预后不良有关。下调PNN降低葡萄糖摄取,COAD细胞中的乳酸产生和ATP水平,并抑制细胞增殖,移民和入侵。甲基转移酶3(METTL3)与COAD肿瘤组织中的PNN水平呈正相关。RNA免疫沉淀和N6-甲基腺苷(m6A)定量测定表明,METTL3通过m6A修饰增强了PNNmRNA的稳定性和COAD中的表达,并涉及m6A'读取器蛋白YT521-B同源域家族成员1。METTL3的下调在体外降低了COAD细胞糖酵解和增殖,在体内抑制了异种移植瘤的生长和转移,但是PNN的进一步过度表达恢复了COAD细胞的恶性行为和肿瘤的生长。总之,这项研究表明,METTL3通过m6A修饰促进PNNmRNA在COAD中的稳定性和表达,这增加了COAD细胞的糖酵解和增殖,并导致由此产生的肿瘤进展。
    What is the central question of this study? What is the role of pinin (PNN) in the malignant phenotype of colon adenocarcinoma cells and the underlying mechanism? What is the main finding and its importance? PNN mRNA can be stabilized and upregulated by methyltransferase like 3 (METTL3), which promotes glycolysis in colon adenocarcinoma and augments cell proliferation, migration and invasiveness. METTL3 and PNN might serve as potential targets for the treatment of colon adenocarcinoma.
    Colon adenocarcinoma (COAD) is a fatal malignancy with high morbidity and mortality rates globally. Pinin (PNN), a desmosome associated protein, has been revealed as a tumour driver in several malignancies. This study aims to probe the expression and role of PNN in COAD and the underlying mechanism. PNN was expressed at high levels in clinically collected COAD tumours and was linked to poor prognosis of patients. Downregulation of PNN reduced glucose uptake, lactate production and ATP levels in COAD cells and suppressed cell proliferation, migration and invasiveness. Methyltransferase like 3 (METTL3) was positively associated with PNN levels in COAD tumour tissues. RNA immunoprecipitation and N6 -methyladenosine (m6 A) quantification assays indicated that METTL3 enhanced PNN mRNA stability and expression in COAD through m6 A modification with the involvement of the m6 A \'reader\' protein YT521-B homology domain family member 1. Downregulation of METTL3 reduced COAD cell glycolysis and proliferation in vitro and suppressed growth and metastasis of xenograft tumours in vivo, but further overexpression of PNN restored malignant behaviours of COAD cells and tumour growth. In summary, this study demonstrates that METTL3 promotes PNN mRNA stability and expression in COAD through m6 A modification, which augments glycolysis and proliferation of COAD cells and leads to the resultant tumour progression.
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  • 文章类型: Journal Article
    背景:非过敏性鼻炎(NAR)的特征是鼻漏,鼻塞,打喷嚏,在没有对过敏原全身致敏的情况下。对于药物治疗和保守手术干预难以治疗的病例,更有针对性的程序,如内镜下翼管神经切除术(EVN)和后鼻神经切除术(PNN),包括手术(SPNN)和冷冻消融(CPNN)方法,可以减轻NAR的症状。
    目的:本研究的目的是比较疗效,副作用配置文件,NAR的EVN和PNN之间的并发症发生率。
    方法:使用Embase对报告EVN或PNN患者原始数据的主要文章进行系统评价,Medline,PubMed,和Cochrane数据库自2006年以来,根据PRISMA指南。该研究的主要结果是NAR症状严重程度的改善。次要结果包括术后副作用或并发症的发生率。
    结果:总计,58篇文章符合检索标准,共有9项研究(包括2项RCT)符合纳入条件。有229名接受EVN的NAR患者的合并样本(n=65;28.4%),SPNN(n=50;21.8%),或CPNN(n=114;49.8%)。对于所有三种技术,鼻部症状有统计学上的显著改善,尤其是鼻漏,鼻塞,和阻塞以及生活质量。结果报告的异质性阻碍了荟萃分析和疗效的直接比较。EVN术后并发症的合并发生率(n=65),SPNN(n=50),干眼的CPNN(n=70)分别为30.8%和0%和2.9%,上颚/脸颊麻木为16.9%,0%和1.4%,出血分别为0%和6%和4.3%。
    结论:EVN,SPNN,和CPNN对于NAR难以治疗的患者同样有效。与EVN相比,SPNN和CPNN的并发症(干眼和腭/脸颊麻木)发生率较低。
    BACKGROUND: Nonallergic rhinitis (NAR) is characterized by rhinorrhea, nasal obstruction, and sneezing, in the absence of systemic sensitization to allergens. For cases refractory to medical therapy and conservative surgical interventions, more targeted procedures, such as endoscopic vidian neurectomy (EVN) and posterior nasal neurectomy (PNN), including surgical (SPNN) and cryoablative (CPNN) methods, may reduce symptoms of NAR.
    OBJECTIVE: The purpose of this study was to compare the efficacy, side effect profile, and complication rate between EVN and PNN for NAR.
    METHODS: A systematic review of primary articles that reported original patient data for either EVN or PNN was conducted using Embase, Medline, PubMed, and Cochrane databases since 2006, according to PRISMA guidelines. The primary outcome of the study was an improvement in NAR symptom severity. Secondary outcomes included the incidence of postoperative side effects or complications.
    RESULTS: In total, 58 articles met the search criteria with a total of 9 studies (including 2 RCTs) eligible for inclusion. There was a pooled sample of 229 NAR patients that underwent EVN (n = 65; 28.4%), SPNN (n = 50; 21.8%), or CPNN (n = 114; 49.8%). For all 3 techniques, there was a statistically significant improvement in nasal symptoms, particularly rhinorrhea, nasal congestion, and obstruction along with quality of life. Heterogeneity in outcome reporting prevented meta-analysis and direct comparison of efficacy. The pooled incidence of postoperative complications for EVN (n = 65), SPNN (n = 50), and CPNN (n = 70) was 30.8% versus 0% versus 2.9% for dry eye, 16.9% versus 0% versus 1.4% for palatal/cheek numbness, and 0% versus 6% versus 4.3% for bleeding.
    CONCLUSIONS: EVN, SPNN, and CPNN are similarly efficacious for patients with NAR refractory to medical management. SPNN and CPNN are associated with lower rates of complications (dry eye and palatal/cheek numbness) compared with EVN.
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