Retinoid X Receptor alpha

视黄醇 X 受体 α
  • 文章类型: Journal Article
    背景:前列腺癌已成为广泛的健康问题,全身性炎症被认为在很大程度上有助于其发展和进展。全身性炎症反应的存在已被确定为前列腺癌患者不利的长期结局的独立预测因子。本研究的目的是抑制RXRα和RXRβ受体,与前列腺癌有关,与木犀草素,Formononetin,和山奈酚,不同的成功。
    方法:类视黄醇X受体(RXRs)在核受体(NR)超家族中起着至关重要的作用,来自临床前研究的令人信服的证据强调了靶向RXR治疗神经退行性疾病和炎症的治疗潜力。因此,使用植物雌激素配体调节和调节RXR的能力,Formononetin,山奈酚,和木犀草素,在治疗策略中发挥最重要的作用。
    结果:这项研究的综合发现生动地证明了木犀草素在抑制和调节RXRα和RXRβ方面的显着功效,而Formononetin作为RXRβ的显著有效抑制剂出现。山奈酚,作为第三种化合物,还表现出值得称赞的抑制属性,尽管与其他两个相比,其影响不太明显。
    结论:这些发现突出了对RXRα和RXRβ的显著结合和抑制能力,为潜在的前列腺癌治疗途径提供有价值的见解,需要通过体外和体内分析进一步探索。
    BACKGROUND: Prostate cancer has emerged as a widespread health concern, with systemic inflammation believed to substantially contribute to its development and progression. The presence of systemic inflammatory responses has been established as an independent predictor of unfavorable long-term outcomes in prostate cancer patients. The goal of this study is to inhibit RXRα and RXRβ receptors, which are involved in prostate cancer, with Luteolin, Formononetin, and Kaempferol, with varying success.
    METHODS: Retinoid X receptors (RXRs) hold crucial roles within the nuclear receptor (NR) superfamily, and compelling evidence from preclinical studies underscores the therapeutic potential of targeting RXRs for treating neurodegenerative and inflammatory conditions. Consequently, the ability to regulate and modulate RXRs using phytoestrogen ligands, Formononetin, Kaempferol, and Luteolin, assume paramount importance in treatment strategies.
    RESULTS: The comprehensive in silico findings of this study vividly demonstrate the remarkable efficacy of Luteolin in inhibiting and modulating RXRα and RXRβ, while Formononetin emerges as a notably potent suppressor of RXRβ. Kaempferol, as the third compound, also exhibits commendable inhibitory attributes, although its impact is slightly less pronounced compared to the other two.
    CONCLUSIONS: These findings highlight the notable binding and inhibition capabilities to RXRα and RXRβ, offering valuable insights for potential prostate cancer treatment avenues warranting further exploration through in vitro and in vivo analyses.
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  • 文章类型: Journal Article
    肝细胞癌(HCC)是肝脏的原发性恶性肿瘤。随着全球肥胖率的上升,非酒精性脂肪性肝病(NAFLD)已成为HCC增长最快的原因。因此,脂质代谢的调节已成为肝癌防治的重要目标。高压酸(LDA),来自各种植物的五环三萜类化合物,表现出多种生物活性。我们发现LDA可以通过阻止细胞周期和促进凋亡来抑制HCC细胞的增殖。此外,LDA可以在体外和体内增强Regorafenib在HCC中的治疗效果。我们的研究利用了转录组分析,荧光素酶报告基因测定,和免疫共沉淀实验来阐明LDA的抗HCC机制。我们发现LDA破坏PPARα-RXRα异源二聚体的形成,导致ACSL4基因的下调,随后影响肝癌细胞的脂肪酸代谢,最终抑制HCC增殖。我们的研究有助于确定用于治疗HCC的新型治疗剂和靶标。
    Hepatocellular carcinoma (HCC) is a primary malignant tumor of the liver. As the global obesity rate rises, non-alcoholic fatty liver disease (NAFLD) has emerged as the most rapidly increasing cause of HCC. Consequently, the regulation of lipid metabolism has become a crucial target for the prevention and treatment of HCC. Liquidambaric acid (LDA), a pentacyclic triterpenoid compound derived from various plants, exhibits diverse biological activities. We found that LDA could inhibit HCC cell proliferation by arresting cell cycle and prompting apoptosis. Additionally, LDA can augment the therapeutic efficacy of Regorafenib in HCC in vitro and vivo. Our study utilized transcriptome analysis, luciferase reporter assays, and co-immunocoprecipitation experiments to elucidate the anti-HCC mechanism of LDA. We discovered that LDA disrupts the formation of the PPARα-RXRα heterodimer, leading to the down-regulation of the ACSL4 gene and subsequently impacting the fatty acid metabolism of HCC cells, ultimately inhibiting HCC proliferation. Our research contributes to the identification of novel therapeutic agents and targets for the treatment of HCC.
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  • 文章类型: Journal Article
    筋膜虫病是由寄生的扁虫属筋膜引起的动物和人类的寄生虫感染,有两个主要物种,肝病毒和大病毒。关于这种疾病的一个主要问题是耐药性,这在世界范围内越来越多的报道。因此,发现一种新的药物以及药物靶点是至关重要的。因此,本研究旨在表征成虫中的新型药物靶标。一开始,我们假设当寄生虫生活在肝实质或胆管内时,它可能与一些宿主分子相互作用,特别是激素和激素样分子,通过特定的受体,主要是核受体(NRs),被认为是各种疾病的主要药物靶标。类视黄醇X受体(RXR)是亚家族2NRs的成员,其通过与其他NRs形成同二聚体或异二聚体而在生物体中发挥多种作用。我们从存在于NCBI数据库中的大型F.gigantica类视黄醇X受体-α(FgRXRα-A)的转录组中获得了全长氨基酸序列。FgRXRα-A的基本性质是计算预测的,多重对齐,分析了系统发育,并生成2D和3D模型。此外,FgRXRα-A被分子克隆并表达为重组蛋白(rFgRXRα-A),然后用于免疫特异性多克隆抗体。在寄生虫提取物和组织中检测到天然FgRXRα-A,并通过体外结合试验研究了其功能。结果表明FgRXRα-A对其他RXR的保守性,尤其是吸虫的RXR.有趣的是,可以在寄生虫的睾丸中检测到天然的FgRXRα-A,性激素积累的地方。此外,结合测定揭示了9-顺式视黄酸与FgRXRα-A的相互作用,提示FgRXRα-A的功能我们的发现表明,FgRXRα-A将通过与其他NRs形成异二聚体来参与寄生虫的有性生殖,它可能是进一步开发片形虫病药物的潜在目标。
    Fascioliasis is a parasitic infection in animals and humans caused by the parasitic flatworm genus Fasciola, which has two major species, F. hepatica and F. gigantica. A major concern regarding this disease is drug resistance, which is increasingly reported worldwide. Hence, the discovery of a novel drug as well as drug targets is crucially required. Therefore, this study aims to characterize the novel drug target in the adult F. gigantica. In the beginning, we hypothesized that the parasite might interact with some host molecules when it lives inside the liver parenchyma or bile ducts, specifically hormones and hormone-like molecules, through the specific receptors, primarily nuclear receptors (NRs), which are recognized as a major drug target in various diseases. The retinoid X receptor (RXR) is a member of subfamily 2 NRs that plays multitudinous roles in organisms by forming homodimers or heterodimers with other NRs. We obtained the full-length amino acid sequences of F. gigantica retinoid X receptor-alpha (FgRXRα-A) from the transcriptome of F. gigantica that existed in the NCBI database. The FgRXRα-A were computationally predicted for the basic properties, multiple aligned, phylogeny analyzed, and generated of 2D and 3D models. Moreover, FgRXRα-A was molecular cloned and expressed as a recombinant protein (rFgRXRα-A), then used for immunization for specific polyclonal antibodies. The native FgRXRα-A was detected in the parasite extracts and tissues, and the function was investigated by in vitro binding assay. The results demonstrated the conservation of FgRXRα-A to the other RXRs, especially RXRs from the trematodes. Interestingly, the native FgRXRα-A could be detected in the testes of the parasite, where the sex hormones are accumulated. Moreover, the binding assay revealed the interaction of 9-cis retinoic acid and FgRXRα-A, suggesting the function of FgRXRα-A. Our findings suggested that FgRXRα-A will be involved with the sexual reproduction of the parasite by forming heterodimers with other NRs, and it could be the potential target for further drug development of fascioliasis.
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  • 文章类型: Journal Article
    与PPARγ相互作用的辅因子可以通过调节PPARγ信号的转录活性和选择性来调节脂肪生成和脂肪细胞代谢。ZFP407先前被证明调节PPARγ靶基因如GLUT4,并且其过表达改善小鼠中的葡萄糖稳态。这里,使用一系列的分子分析,包括蛋白质相互作用研究,诱变,和ChIP-seq,发现ZFP407与脂肪细胞核中的PPARγ/RXRα蛋白复合物相互作用。与这一观察一致,ZFP407ChIP-seq峰与PPARγChIP-seq峰显著重叠,超过一半的ZFP407峰与PPARγ峰重叠。这些重叠位点中富集的转录因子结合基序包括CTCF,RARα/RXRγ,TP73和ELK1,它们调节脂肪细胞内的细胞发育和功能。频繁的PPARγ磷酸化或SUMO化位点的定点诱变并不能阻止ZFP407对其的调节,而RXR和PPARγ结合可能必需的ZFP407结构域的诱变消除了ZFP407对PPARγ活性的任何影响。这些数据表明ZFP407控制PPARγ的活性,但独立于翻译后修饰,可能是通过直接绑定,将ZFP407确立为新鉴定的PPARγ辅因子。此外,ZFP407ChIP-seq分析鉴定了不与PPARγ峰重叠的区域。这些非重叠峰明显富集了TBX19,PAX8,HSF4和ZKSCAN3的转录因子结合基序,这可能有助于脂肪细胞和其他细胞类型中ZFP407的PPARγ非依赖性功能。
    Cofactors interacting with PPARγ can regulate adipogenesis and adipocyte metabolism by modulating the transcriptional activity and selectivity of PPARγ signaling. ZFP407 was previously demonstrated to regulate PPARγ target genes such as GLUT4, and its overexpression improved glucose homeostasis in mice. Here, using a series of molecular assays, including protein-interaction studies, mutagenesis, and ChIP-seq, ZFP407 was found to interact with the PPARγ/RXRα protein complex in the nucleus of adipocytes. Consistent with this observation, ZFP407 ChIP-seq peaks significantly overlapped with PPARγ ChIP-seq peaks, with more than half of ZFP407 peaks overlapping with PPARγ peaks. Transcription factor binding motifs enriched in these overlapping sites included CTCF, RARα/RXRγ, TP73, and ELK1, which regulate cellular development and function within adipocytes. Site-directed mutagenesis of frequent PPARγ phosphorylation or SUMOylation sites did not prevent its regulation by ZFP407, while mutagenesis of ZFP407 domains potentially necessary for RXR and PPARγ binding abrogated any impact of ZFP407 on PPARγ activity. These data suggest that ZFP407 controls the activity of PPARγ, but does so independently of post-translational modifications, likely by direct binding, establishing ZFP407 as a newly identified PPARγ cofactor. In addition, ZFP407 ChIP-seq analyses identified regions that did not overlap with PPARγ peaks. These non-overlapping peaks were significantly enriched for the transcription factor binding motifs of TBX19, PAX8, HSF4, and ZKSCAN3, which may contribute to the PPARγ-independent functions of ZFP407 in adipocytes and other cell types.
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  • 文章类型: Journal Article
    到目前为止,有效治疗糖尿病合并抑郁症是一个巨大的挑战。和厚朴酚,一种来自膳食补充剂厚朴提取物的生物活性化合物,具有多种健康益处。本研究旨在提出一种基于网络药理学的方法,以阐明和厚朴酚治疗糖尿病合并抑郁症的潜在靶点及其相关机制。使用动物行为测试在高脂饮食(HFD)诱导的糖尿病小鼠中评估和厚朴酚的抗抑郁药样功效,免疫染色和蛋白质印迹测定。通过网络药理学分析,类视黄醇X受体α(RXRα)和维生素D受体(VDR)被确定为与糖尿病和抑郁症相关的潜在靶标。通过分子对接模拟确定和厚朴酚与RXR/VDR之间的稳定结合构象。此外,hononkiol有效缓解HFD糖尿病小鼠的抑郁样行为,呈现抗糖尿病和抗神经炎症功能,保护海马神经可塑性.重要的是,和厚朴酚可以在体内激活RXR/VDR异二聚体。和厚朴酚对HFD小鼠的有益作用被UVI3003(RXR拮抗剂)显著抑制,同时通过骨化三醇(VDR激动剂)增强。此外,和厚朴酚改善了HFD小鼠海马中自噬的破坏,UVI3003减弱,但骨化三醇增强。一起来看,这些数据提供了新的证据,证明和厚朴酚通过激活RXR/VDR异源二聚体恢复自噬平衡,在HFD糖尿病小鼠中发挥抗抑郁样作用.我们的发现表明,RXR/VDR介导的信号传导可能是治疗糖尿病合并抑郁症的潜在靶标。
    The effective treatment of diabetes with comorbid depression is a big challenge so far. Honokiol, a bioactive compound from the dietary supplement Magnolia officinalis extract, possesses multiple health benefits. The present study aims to propose a network pharmacology-based method to elucidate potential targets of honokiol in treating diabetes with comorbid depression and related mechanisms. The antidepressant-like efficacy of honokiol was evaluated in high-fat diet (HFD) induced diabetic mice using animal behavior testing, immuno-staining and western blotting assay. Through network pharmacology analysis, retinoid X receptor alpha (RXRα) and vitamin D receptor (VDR) were identified as potential targets related to diabetes and depression. The stable binding conformation between honokiol and RXR/VDR was determined by molecular docking simulation. Moreover, hononkiol effectively alleviated depression-like behaviors in HFD diabetic mice, presented anti-diabetic and anti-neuroinflammatory functions, and protected the hippocampal neuroplasticity. Importantly, honokiol could activate RXR/VDR heterodimer in vivo. The beneficial effects of honokiol on HFD mice were significantly suppressed by UVI3003 (a RXR antagonist), while enhanced by calcitriol (a VDR agonist). Additionally, the disruption of autophagy in the hippocampus of HFD mice was ameliorated by honokiol, which was attenuated by UVI3003 but strengthened by calcitriol. Taken together, the data provide new evidence that honokiol exerts the antidepressant-like effect in HFD diabetic mice via activating RXR/VDR heterodimer to restore the balance of autophagy. Our findings indicate that the RXR/VDR-mediated signaling might be a potential target for treating diabetes with comorbid depression.
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  • 文章类型: Journal Article
    谵妄是慢性阻塞性肺疾病(COPD)常见的精神并发症。谵妄的缓解被认为是治疗COPD的有益方法之一。然而,目前尚无能缓解COPD患者谵妄的特异性药物.我们的研究旨在阐明COPD小鼠谵妄的具体机制,同时也寻求更有效的治疗靶点。在我们的研究中,采用生物信息学分析和qRTPCR方法鉴定COPD动物模型谵妄发生的关键因素。使用开放视野和高架迷宫测试来检测小鼠的谵妄。用Tunel染色和HE染色分析小鼠海马细胞凋亡。EdU和CCK-8实验用于分析PC-12细胞的活力和增殖。JASPAR在线数据库,双荧光素酶报告实验,ChIP实验,和IF染色用于分析RXRA与PLA2G2A之间的相互作用。RXRA在具有谵妄症状的COPD小鼠的脑组织中高表达。RXRA的下调抑制COPD小鼠的谵妄状态。这主要是由于通过抑制RXRA的表达来减少内质网应激和细胞凋亡。此外,我们还证实RXRA是PLA2G2A的转录因子。RXRA对PLA2G2A的表达具有抑制作用。体外实验证实抑制RXRA/PLA2G2A轴可减少细胞凋亡,从而缓解COPD小鼠谵妄的发生和发展。抑制RXRA/PLA2G2A轴可减少内质网应激和细胞凋亡。该过程减轻了COPD小鼠谵妄的发展。
    Delirium is a common psychiatric complication of chronic obstructive pulmonary disease (COPD). The relief of delirium is considered one of the beneficial ways to treat COPD. However, there are currently no specific drugs that alleviate delirium in COPD patients. Our research aimed to elucidate the specific mechanisms underlying delirium in COPD mice, while also seeking more effective therapeutic targets. In our study, bioinformatics analysis and qRT PCR were used to identify key factors in the development of delirium in COPD animal models. Open field and elevated plus maze tests were used to detect delirium in mice. Tunel staining and HE staining were used to analyze the apoptosis of mouse hippocampus cells. EdU and CCK-8 experiments were used to analyze PC-12 cells vitality and proliferation. JASPAR online database, dual luciferase reporting experiments, ChIP experiments, and IF staining were used to analyze the interaction between RXRA and PLA2G2A. RXRA is highly expressed in the brain tissue of COPD mice with delirium symptoms. The downregulation of RXRA inhibits the delirium state in COPD mice. This is mainly due to the reduction of endoplasmic reticulum stress and cell apoptosis by inhibiting the expression of RXRA. In addition, we also confirmed that RXRA is a transcription factor of PLA2G2A. RXRA has an inhibitory effect on the expression of PLA2G2A. In vitro experiments have confirmed that inhibition of the RXRA/PLA2G2A axis reduces cell apoptosis, thereby alleviating the occurrence and development of delirium in COPD mice. Inhibition of the RXRA/PLA2G2A axis reduces endoplasmic reticulum stress and cell apoptosis. This process alleviates the development of delirium in COPD mice.
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  • 文章类型: Research Support, Non-U.S. Gov\'t
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  • 文章类型: Journal Article
    核受体是基因表达调控的根本构件和许多药物靶点的焦点。在与DNA结合的同时,核受体作为转录因子,管理人体的多种功能。过氧化物酶体增殖物激活受体γ(PPARγ)和类维生素AX受体α(RXRα)形成具有独特性质的异二聚体,并在胰岛素致敏中具有原始作用。已显示该PPARγ/RXRα异二聚体受全氟烷基物质和多氟烷基物质(PFAS)的影响,并与人类多种重要的健康状况有关。在这里,利用PPARγ/RXRα的分子动力学模拟研究了最常见的PFAS(遗留和新兴)的选择。检查了PFAS结合对PPARγ和RXRα的已知配体结合袋以及RXRα的DNA结合域(DBD)的局部和整体结构影响。通过计算预测结合自由能,并在不同的结合袋之间进行比较。此外,利用两种电子结构方法对PFAS在DNA结合域内的相互作用进行建模,密度泛函理论(DFT)和基于域的对自然轨道耦合簇与扰动三元组(DLPNO-CCSD(T))方法,隐式溶剂化。还进行了残留物分解和氢键分析,详细介绍了突出残基在分子识别中的作用。探索了l-肉碱作为PFAS与PPARγ/RXRα异源二聚体相互作用的潜在体内修复策略的作用。在这项工作中,发现PFAS可以结合所有研究的口袋并作为激动剂。在文献中第一次,假定PFAS以非特异性方式与DNA结合结构域结合。此外,对于PPARγ配体结合域,左旋肉碱有望从口袋中替换较小的PFAS。
    Nuclear receptors are the fundamental building blocks of gene expression regulation and the focus of many drug targets. While binding to DNA, nuclear receptors act as transcription factors, governing a multitude of functions in the human body. Peroxisome proliferator-activator receptor γ (PPARγ) and the retinoid X receptor α (RXRα) form heterodimers with unique properties and have a primordial role in insulin sensitization. This PPARγ/RXRα heterodimer has been shown to be impacted by per- and polyfluoroalkyl substances (PFAS) and linked to a variety of significant health conditions in humans. Herein, a selection of the most common PFAS (legacy and emerging) was studied utilizing molecular dynamics simulations for PPARγ/RXRα. The local and global structural effects of PFAS binding on the known ligand binding pockets of PPARγ and RXRα as well as the DNA binding domain (DBD) of RXRα were inspected. The binding free energies were predicted computationally and were compared between the different binding pockets. In addition, two electronic structure approaches were utilized to model the interaction of PFAS within the DNA binding domain, density functional theory (DFT) and domain-based pair natural orbital coupled cluster with perturbative triples (DLPNO-CCSD(T)) approaches, with implicit solvation. Residue decomposition and hydrogen-bonding analysis were also performed, detailing the role of prominent residues in molecular recognition. The role of l-carnitine is explored as a potential in vivo remediation strategy for PFAS interaction with the PPARγ/RXRα heterodimer. In this work, it was found that PFAS can bind and act as agonists for all of the investigated pockets. For the first time in the literature, PFAS are postulated to bind to the DNA binding domain in a nonspecific manner. In addition, for the PPARγ ligand binding domain, l-carnitine shows promise in replacing smaller PFAS from the pocket.
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  • 文章类型: Journal Article
    橡胶抗氧剂6PPD由于其高毒性转化产品而获得了极大的关注,6PPD-醌(6PPDQ)。尽管在孕妇的尿液中发现了它们,6PPD和6PPDQ的胎盘转移和发育毒性尚不清楚。这里,我们用4mg/kg6PPD或6PPDQ治疗C57Bl/6小鼠以研究它们的尿液排泄和胎盘转移。雌性和雄性小鼠在6PPD和6PPDQ的排泄谱中表现出性别差异。6PPDQ的尿液浓度比6PPD的尿液浓度低一个数量级,表明6PPDQ的排泄较低,生物蓄积较高。在胚胎期11.5至15.5天用6PPD或6PPDQ处理的妊娠小鼠中,6PPDQ在胎盘中的浓度比6PPD高1.5-8倍,胚体,和胚胎大脑,提示6PPDQ胎盘转移较高。使用体外双荧光素酶报告基因测定,我们发现6PPDQ在低至0.3μM的浓度下激活了人类视黄酸受体α(RARα)和类视黄醇X受体α(RXRα),比人体尿液中检测到的浓度高10倍。6PPD以低至1.2μM的浓度活化RXRα。这些结果证明了怀孕期间6PPD和6PPDQ的暴露风险,并强调需要进一步的毒理学和流行病学调查。
    The rubber antioxidant 6PPD has gained significant attention due to its highly toxic transformation product, 6PPD-quinone (6PPDQ). Despite their detection in urines of pregnant women, the placental transfer and developmental toxicity of 6PPD and 6PPDQ are unknown. Here, we treated C57Bl/6 mice with 4 mg/kg 6PPD or 6PPDQ to investigate their urine excretion and placental transfer. Female and male mice exhibited sex difference in excretion profiles of 6PPD and 6PPDQ. Urine concentrations of 6PPDQ were one order of magnitude lower than those of 6PPD, suggesting lower excretion and higher bioaccumulation of 6PPDQ. In pregnant mice treated with 6PPD or 6PPDQ from embryonic day 11.5 to 15.5, 6PPDQ showed ∼1.5-8 times higher concentrations than 6PPD in placenta, embryo body, and embryo brain, suggesting higher placental transfer of 6PPDQ. Using in vitro dual-luciferase reporter assays, we revealed that 6PPDQ activated the human retinoic acid receptor α (RARα) and retinoid X receptor α (RXRα) at concentrations as low as 0.3 μM, which was ∼10-fold higher than the concentrations detected in human urines. 6PPD activated the RXRα at concentrations as low as 1.2 μM. These results demonstrate the exposure risks of 6PPD and 6PPDQ during pregnancy and emphasize the need for further toxicological and epidemiological investigations.
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  • 文章类型: Journal Article
    目的:甲状腺异常导致的原发性甲状腺功能减退是最常见的内分泌疾病。左甲状腺素替代治疗的推荐起始剂量为1.6µg/kg。然而,该剂量对于每个患者不是最佳的,并且经常进行剂量调整。左旋甲状腺素吸收和代谢途径的遗传多态性可能会影响其剂量要求。本研究旨在研究基因多态性对左旋甲状腺素替代需求的影响。
    方法:这是一项横断面研究。参与者是通过一家私人营养诊所和在安曼佩特拉大学分发的公告招募的,2020年9月至2021年2月之间的约旦。甲状腺功能减退患者在过去3个月中已经使用了稳定剂量的左甲状腺素。发放问卷以收集人口统计学和临床信息,并采集血液样本进行DNA提取和临床生化分析。rs11249460、rs2235544、rs225014、rs225015、rs3806596、rs11185644、rs4588、rs602662使用AppliedBiosystemsTaqMan™SNP基因分型测定在Rotor-Gene®Q和rs3064744上通过直接测序进行分析。采用SPSS和Excel进行分析。
    结果:研究了76例患者。我们计算得出的左旋甲状腺素的预测日剂量(mcg/kg)的方程式为3.22(rs11185644的CT基因型为0.348,其他基因型为0)0.027*疾病持续时间(年)-0.014*年龄(年)-0.434*T3(pmol/L)水平(rs2235544基因型的CC基因型为0.296,其他基因型为0)。
    结论:RXRA基因中的SNPrs11185644和DIO1中的SNPrs2235544影响甲状腺功能减退患者的剂量需求,如果在较大的试验中得到证实,它们可用于个体化甲状腺素起始剂量。
    OBJECTIVE: Primary hypothyroidism due to abnormality in the thyroid gland is the most common endocrine disease The recommended starting dose of levothyroxine replacement therapy is 1.6 µg/kg. This dose however is not optimal for every patient and dose adjustments are frequently done. Genetic polymorphisms in the absorption and metabolism pathway of levothyroxine are likely to influence its dose requirements. This study aimed to study the influence of genetic polymorphisms on levothyroxine replacement requirements.
    METHODS: This was a cross-sectional study. Participants were recruited through a private nutrition clinic and through announcements distributed in the University of Petra in Amman, Jordan between September 2020 and February 2021. Hypothyroid patients had already been on stable doses of levothyroxine for the previous 3 months. A questionnaire was distributed to collect demographic and clinical information and a blood sample was taken for DNA extraction and clinical biochemistry analysis. rs11249460, rs2235544, rs225014, rs225015, rs3806596, rs11185644, rs4588, rs602662 were analyzed using Applied Biosystems TaqMan™ SNP Genotyping Assays on Rotor-Gene® Q and rs3064744 by direct sequencing. SPSS and Excel were used to perform analysis.
    RESULTS: 76 patients were studied. The equation we calculated to find predicted daily dose of levothyroxine (mcg/kg) is 3.22+ (0.348 for CT genotype of rs11185644, 0 for other genotypes) + 0.027*disease duration (years) - 0.014*age (years) - 0.434*T3 (pmol/L) levels+ (0.296 for CC genotype of rs2235544, 0 for other genotypes).
    CONCLUSIONS: SNP rs11185644 in RXRA gene and SNP rs2235544 in DIO1 affect dose requirement in hypothyroid patients and if confirmed in larger trials they can be used to individualize thyroxine starting doses.
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