Voltage-gated sodium channel

电压门控钠通道
  • 文章类型: Journal Article
    这项研究确定了与植物害虫Lyguspratensis对拟除虫菊酯杀虫剂的抗性相关的基因突变。克隆了电压门控钠通道(VGSC)基因,在内蒙古的实验室菌株和野外种群中发现了两个突变(Met918Thr和Leu1014Phe),导致不同的拟除虫菊酯抗性。使用同源建模创建了LpVGSC的3D模型,和拟除虫菊酯结合模式通过分子对接分析。分子动力学模拟证实了拟除虫菊酯与VGSC位点的结构稳定性变化和结合稳定性。纯合和杂合基因型的突变频率不超过40%和20%,分别。毒性测试显示对λ-氯氟氰菊酯具有高抗性(LC50:401.31ng/cm2)。kdr(L1014F)和superkdr(M918T)突变削弱了相互作用力,减少拟除虫菊酯的结合。预计M918T和L1014F突变会降低I型拟除虫菊酯的亲和力,表明II型拟除虫菊酯可能对耐药菌株更有效。这些发现有助于抗性管理和杀虫剂设计。
    This study identified genetic mutations linked to resistance to pyrethroid insecticides in the plant pest Lygus pratensis. The voltage-gated sodium channel (VGSC) gene was cloned, revealing two mutations (Met918Thr and Leu1014Phe) in laboratory strains and field populations from Inner Mongolia, resulting in variable pyrethroid resistance. A 3D model of LpVGSC was created using homology modeling, and pyrethroid binding patterns were analyzed via molecular docking. Molecular dynamics simulations confirmed structural stability changes and binding stability of pyrethroids to VGSC sites. Mutation frequencies of homozygous and heterozygous genotypes did not exceed 40 and 20%, respectively. Toxicity tests showed high resistance to λ-cyhalothrin (LC50:401.31 ng/cm2). The kdr (L1014F) and superkdr (M918T) mutations weakened interaction forces, reducing pyrethroid binding. M918T and L1014F mutations are predicted to reduce Type I pyrethroid affinity, suggesting Type II pyrethroids may be more effective against resistant strains. These findings aid in resistance management and insecticide design.
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  • 文章类型: Journal Article
    电压门控钠(Nav)通道感测膜电位并驱动细胞电活动。死亡缠扰蝎子α毒素LqhαIT对Nav通道具有很强的动作电位延长作用。为了阐明LqhαIT的作用机制,我们确定了LqhαIT的3.9贝达低温电子显微镜(cryo-EM)结构,该结构与来自美洲大猩猩(NavPas)的Nav通道复合。我们发现LqhαIT与电压传感器域4结合,并将其捕获为“S4down”构象。LqhαIT的功能必需C端表位与连接到NavPas的Asn330的聚糖支架形成广泛的界面,从而增强了NavPas和LqhαIT之间的小蛋白质-蛋白质界面。分子动力学模拟的组合,结构比较,和先前的诱变实验证明了这种毒素-聚糖相互作用的功能重要性。这些发现为蝎子α毒素实现的特异性建立了结构基础,并揭示了保守的聚糖作为毒素结合表位的必需成分。
    Voltage-gated sodium (Nav) channels sense membrane potential and drive cellular electrical activity. The deathstalker scorpion α-toxin LqhαIT exerts a strong action potential prolonging effect on Nav channels. To elucidate the mechanism of action of LqhαIT, we determined a 3.9 Å cryoelectron microscopy (cryo-EM) structure of LqhαIT in complex with the Nav channel from Periplaneta americana (NavPas). We found that LqhαIT binds to voltage sensor domain 4 and traps it in an \"S4 down\" conformation. The functionally essential C-terminal epitope of LqhαIT forms an extensive interface with the glycan scaffold linked to Asn330 of NavPas that augments a small protein-protein interface between NavPas and LqhαIT. A combination of molecular dynamics simulations, structural comparisons, and prior mutagenesis experiments demonstrates the functional importance of this toxin-glycan interaction. These findings establish a structural basis for the specificity achieved by scorpion α-toxins and reveal the conserved glycan as an essential component of the toxin-binding epitope.
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  • 文章类型: Journal Article
    节食夜蛾是一种远距离迁徙的害虫,具有很强的传播能力,快速的繁殖速度和破坏性的喂养,所以很难预防和控制。拟除虫菊酯杀虫剂通常用于害虫防治,由于电压门控钠通道(VGSC)是拟除虫菊酯的主要靶标,研究该基因对害虫防治具有重要意义。VGSC是一种完整的跨膜蛋白,由神经元中发现的约2,000个氨基酸残基组成。肌细胞,内分泌细胞,和卵巢细胞,并参与可兴奋细胞动作电位的启动和传播。在这项研究中,通过快速扩增cDNA末端(RACE)从S.frugiperda中鉴定出VGSC的cDNA序列,该cDNA末端包含6,261bp的开放阅读框,编码2,086个氨基酸的蛋白质。该蛋白的分子量预计为236kDa,理论等电点为5.21。基于鳞翅目昆虫构建的系统发育树表明,frugiperda的VGSC与斜纹夜蛾的VGSC最接近。VGSC是一种高度保守的蛋白质,具有跨膜蛋白的离子通道保守结构域。qPCR显示VGSC基因在2龄幼虫表皮中高表达,其在其他组织中的表达水平较低,例如前肠和马尔皮根小管。此外,在pu前阶段也检测到VGSC,然后在进入成年阶段后逐渐增加,成年雄性在第4天达到顶峰,后来减少了。构建pSumo-mut-VGSC的重组质粒并诱导表达His标签融合的VGSC蛋白。从纯化的重组VGSC蛋白制备多克隆抗体。抗体是ELISA滴定的,免疫印迹结果显示它能特异性识别VGSC,无论是重组蛋白还是内源蛋白。这些研究结果为今后研究该基因在草本生长发育中的生理功能奠定了基础。
    Spodoptera frugiperda is a long-distance migratory pest with strong dispersal ability, fast reproduction speed and destructive feeding, so it is difficult to prevent and control. Pyrethroid insecticides are commonly used in pest insects control, And since the voltage-gated sodium channel (VGSC) serves as a major target of pyrethroids, it is important to study this gene for pest control. VGSC is an integral transmembrane protein consisting of approximately 2,000 amino acid residues found in neurons, myocytes, endocrine cells, and ovarian cells and involved in the initiation and propagation of excitable cellular action potentials. In this study, the cDNA sequence of the VGSC was identified from S. frugiperda by rapid amplification of cDNA ends (RACE) which contained an open reading frame of 6,261 bp encoding a protein of 2,086 amino acids. The molecular weight of this protein was predicted to be 236 kDa, and the theoretical isoelectric point was 5.21. A phylogenetic tree constructed based on lepidopteran insects showed that the VGSC of S. frugiperda was most closely relative to that of Spodoptera litura. VGSC is a highly conserved protein with Ion channel conserved structural domains of transmembrane proteins. qPCR showed that the VGSC gene was highly expressed in the epidermis of 2nd instar larvae, and its expression level was low in other tissues, such as the foregut and Malpighian tubules. In addition, VGSC was also detected in the prepupal stage, then gradually increased in abundance after entering the adult stage, peaked at the adult males on the 4th day of pupal stage, and decreased afterwards. The recombinant plasmid of pSumo-mut-VGSC was constructed and induced to express a His tag fused VGSC protein. Polyclonal antibodies were prepared from purified recombinant VGSC protein. The antibody was ELISA-titered, and the western blotting results showed that it specifically recognized VGSC, whether it was recombinant or endogenous protein. These results have laid the foundation for future studies on the physiological function of this gene in the growth and development of S. frugiperda.
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  • 文章类型: Journal Article
    在传递疼痛信号的感觉神经元中,无论是急性还是慢性,电压门控钠通道(VGSCs)对调节兴奋性至关重要。NaV1.1,NaV1.3,NaV1.6,NaV1.7,NaV1.8和NaV1.9已被证明并根据其生物物理特性和感觉神经元每种亚型中不同的表达模式定义了它们在疼痛信号传导中的功能作用。蝎子和蜘蛛是传统的中药材,属于蜘蛛类。它们的大多数研究物种都进化出了毒液肽,这些毒液肽表现出多种具有亚型选择性和构象特异性的特异性靶向VGSC的结蛋白。这篇综述概述了蝎子和蜘蛛毒液针对疼痛相关的NaV通道的精致结结,描述序列和结构特征以及影响其对特殊亚型和特定构象的选择性的分子决定子,目的是开发NaV通道和镇痛药的新型研究工具,而不良反应最小。
    In sensory neurons that transmit pain signals, whether acute or chronic, voltage-gated sodium channels (VGSCs) are crucial for regulating excitability. NaV1.1, NaV1.3, NaV1.6, NaV1.7, NaV1.8, and NaV1.9 have been demonstrated and defined their functional roles in pain signaling based on their biophysical properties and distinct patterns of expression in each subtype of sensory neurons. Scorpions and spiders are traditional Chinese medicinal materials, belonging to the arachnid class. Most of the studied species of them have evolved venom peptides that exhibit a wide variety of knottins specifically targeting VGSCs with subtype selectivity and conformational specificity. This review provides an overview on the exquisite knottins from scorpion and spider venoms targeting pain-related NaV channels, describing the sequences and the structural features as well as molecular determinants that influence their selectivity on special subtype and at particular conformation, with an aim for the development of novel research tools on NaV channels and analgesics with minimal adverse effects.
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  • 文章类型: Journal Article
    拟除虫菊酯由于其广泛的杀虫谱而广泛用于防治农业害虫和人类疾病媒介,快速行动,和低哺乳动物毒性。不幸的是,过度使用拟除虫菊酯会导致电压门控钠通道突变引起的敲减抗性(kdr)。在来自拉丁美洲和巴西的许多耐拟除虫菊酯埃及伊蚊种群中反复检测到I1011M突变。此外,首次报道突变G923V与氯菊酯/DDT抗性Ae中的I1011M共存。埃及伊蚊,G923V是否能增强I1011M介导的拟除虫菊酯对钠通道的耐药性尚不清楚.在这项研究中,我们将突变G923V和I1011M单独或联合引入拟除虫菊酯敏感性钠通道AaNav1-1,并检查了这些突变对门控特性和拟除虫菊酯敏感性的影响.我们发现突变I1011M和G923V+I1011M在去极化方向上改变了激活的电压依赖性,并且没有突变影响失活的电压依赖性。G923V和G923V+I1011M突变降低了通道对I型和II型拟除虫菊酯的敏感性。然而,I1011M单独赋予对I型拟除虫菊酯的抗性,不是II型拟除虫菊酯。有趣的是,在突变G923V和I1011M之间观察到对I型拟除虫菊酯的显着协同作用。所有突变对DDT通道敏感性的影响与I型拟除虫菊酯相同。我们的结果证实了由突变G923V和I1011M介导的抗性的分子基础,并可能有助于开发用于监测害虫对拟除虫菊酯抗性的分子标记。
    Pyrethroids are widely used against agricultural pests and human disease vectors due to their broad insecticidal spectrum, fast action, and low mammalian toxicity. Unfortunately, overuse of pyrethroids has led to knockdown resistance (kdr) caused by mutations in voltage-gated sodium channels. Mutation I1011M was repeatedly detected in numerous pyrethroid-resistant Aedes aegypti populations from Latin American and Brazil. In addition, mutation G923V was first reported to coexist with I1011M in permethrin/DDT-resistant Ae. aegypti, whether G923V enhances the I1011M-mediated pyrethroid resistance in sodium channels remains unclear. In this study, we introduced mutations G923V and I1011M alone or in combination into the pyrethroid-sensitive sodium channel AaNav1-1 and examined the effects of these mutations on gating properties and pyrethroid sensitivity. We found mutations I1011M and G923V + I1011M shifted the voltage dependence of activation in the depolarizing direction, and none of mutations affect the voltage-dependence of inactivation. G923V and G923V + I1011M mutations reduced the channel sensitivity to both Type I and Type II pyrethroids. However, I1011M alone conferred resistance to Type I pyrethroids, not to Type II pyrethroids. Interestingly, significant synergism effects on Type I pyrethroids were observed between mutations G923V and I1011M. The effects of all mutations on channel sensitivity to DDT were identical with those to Type I pyrethroids. Our results confirm the molecular basis of resistance mediated by mutations G923V and I1011M and may contribute to develop molecular markers for monitoring pest resistance to pyrethroids.
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  • 文章类型: Journal Article
    本文就电压门控钠通道亚型NaV1.7在多种肿瘤中的表达和功能进行综述,并探讨其对转移驱动细胞增殖、转移驱动等功能的影响。迁移,和侵入性。概述了其结构特征,药物结合位点,介绍了抑制剂及其可能的作用机制。尽管NaV1.7促进癌症进展和转移的确切机制尚不清楚,但许多研究表明NaV1.7与参与多种信号通路如PKA和EGF/EGFR-ERK1/2的蛋白质之间存在联系。此外,NaV1.7的功能活性似乎提高了MACC1和NHE-1的表达水平,这是由p38MAPK活性控制,HGF/c-MET信号传导和c-Jun活性。这种级联可能增强细胞外基质蛋白酶的分泌,例如在细胞迁移和侵袭活动中起关键作用的MMPs。此外,NaV1.7活性可能间接上调RhoGTPasesRac活性,这对细胞骨架重组至关重要,细胞粘附,和肌动蛋白聚合。NaV1.7与癌症进展之间的关系促使研究人员研究使用抑制剂靶向NaV1.7的治疗潜力。这些研究的积极结果导致发现了几种具有减少癌细胞迁移能力的抑制剂。入侵,和肿瘤生长强调了NaV1.7作为减弱癌细胞增殖和转移的有希望的药理靶标的重要性。这篇综述中总结的研究结果表明,通过小分子和/或基因工程调节NaV1.7表达和功能是发现用于预防和治疗具有升高的NaV1.7表达的癌症转移的新型疗法的可行方法。
    This review focuses on the expression and function of voltage-gated sodium channel subtype NaV1.7 in various cancers and explores its impact on the metastasis driving cell functions such as proliferation, migration, and invasiveness. An overview of its structural characteristics, drug binding sites, inhibitors and their likely mechanisms of action are presented. Despite the lack of clarity on the precise mechanism by which NaV1.7 contributes to cancer progression and metastasis; many studies have suggested a connection between NaV1.7 and proteins involved in multiple signaling pathways such as PKA and EGF/EGFR-ERK1/2. Moreover, the functional activity of NaV1.7 appears to elevate the expression levels of MACC1 and NHE-1, which are controlled by p38 MAPK activity, HGF/c-MET signaling and c-Jun activity. This cascade potentially enhances the secretion of extracellular matrix proteases, such as MMPs which play critical roles in cell migration and invasion activities. Furthermore, the NaV1.7 activity may indirectly upregulate Rho GTPases Rac activity, which is critical for cytoskeleton reorganization, cell adhesion, and actin polymerization. The relationship between NaV1.7 and cancer progression has prompted researchers to investigate the therapeutic potential of targeting NaV1.7 using inhibitors. The positive outcome of such studies resulted in the discovery of several inhibitors with the ability to reduce cancer cell migration, invasion, and tumor growth underscoring the significance of NaV1.7 as a promising pharmacological target for attenuating cancer cell proliferation and metastasis. The research findings summarized in this review suggest that the regulation of NaV1.7 expression and function by small molecules and/or by genetic engineering is a viable approach to discover novel therapeutics for the prevention and treatment of metastasis of cancers with elevated NaV1.7 expression.
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  • 文章类型: Journal Article
    电压门控钠通道(VGSC)是跨膜蛋白复合物,对神经和肌纤维中动作电位的产生和传播至关重要。典型的VGSC通常被认为是由两类跨膜亚基-α-亚基(孔形成)和两个β-亚基(非孔形成)形成的异源三聚体复合物。NaV1.5是哺乳动物心室的主要钠通道α亚基,其他α亚基的含量较低,包括NaV1.6,在场。有四个β亚基,β1-β4,由四个基因编码,SCN1B-SCN4B,每个都在心脏组织中表达。最近的研究表明,除了渠道门控和贩运方面的任务之外,Scn1b的产物可能在心脏动作电位传导和细胞内信号传导中具有新的作用。这包括证据表明,β亚基胞外氨基末端结构域促进了插入的椎间盘中的粘附相互作用,并且其羧基末端区域是受调节的膜内蛋白水解(RIP)信号通路的底物-由β1RIP产生的羧基末端肽转运到细胞核并改变各种基因的转录,包括Nav1.5。除β1外,Scn1b基因还编码可变剪接变体,β1B,它含有与β1相同的细胞外粘附域,但具有独特的羧基末端。虽然β1B通常被认为是分泌型变体,证据表明,当与NaV1.5共表达时,它保持在细胞膜上,提示这种未被研究的蛋白质的潜在独特作用。在这次审查中,我们专注于已知的由Scn1b在心脏中编码的两个β亚基变体,特别关注最近的发现和这一新信息提出的问题。我们还探索了表明β1和β1B可能是新型抗心律失常疗法的有吸引力的靶标的数据。
    Voltage-gated sodium channels (VGSCs) are transmembrane protein complexes that are vital to the generation and propagation of action potentials in nerve and muscle fibers. The canonical VGSC is generally conceived as a heterotrimeric complex formed by 2 classes of membrane-spanning subunit: an α-subunit (pore forming) and 2 β-subunits (non-pore forming). NaV1.5 is the main sodium channel α-subunit of mammalian ventricle, with lower amounts of other α-subunits, including NaV1.6, being present. There are 4 β-subunits (β1-β4) encoded by 4 genes (SCN1B-SCN4B), each of which is expressed in cardiac tissues. Recent studies suggest that in addition to assignments in channel gating and trafficking, products of Scn1b may have novel roles in conduction of action potential in the heart and intracellular signaling. This includes evidence that the β-subunit extracellular amino-terminal domain facilitates adhesive interactions in intercalated discs and that its carboxyl-terminal region is a substrate for a regulated intramembrane proteolysis (RIP) signaling pathway, with a carboxyl-terminal peptide generated by β1 RIP trafficked to the nucleus and altering transcription of various genes, including NaV1.5. In addition to β1, the Scn1b gene encodes for an alternative splice variant, β1B, which contains an identical extracellular adhesion domain to β1 but has a unique carboxyl-terminus. Although β1B is generally understood to be a secreted variant, evidence indicates that when co-expressed with NaV1.5, it is maintained at the cell membrane, suggesting potential unique roles for this understudied protein. In this review, we focus on what is known of the 2 β-subunit variants encoded by Scn1b in heart, with particular focus on recent findings and the questions raised by this new information. We also explore data that indicate β1 and β1B may be attractive targets for novel antiarrhythmic therapeutics.
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  • 文章类型: Journal Article
    疼痛是全世界医疗保健中的一个主要问题。它仍然是我们这个时代的主要临床问题之一,因为它是许多疾病的常见后遗症,对个人的生活质量有巨大的影响,是医药成本的主要驱动因素之一,由于它对医疗保健支出的影响,以及受其影响的人的生产力损失。患者和医疗保健提供者仍然渴望找到新的,更安全,更有效的镇痛药。越来越多的证据表明,电压门控钠通道Nav1.8在全身疼痛相关信号的传递中起着至关重要的作用。出于这个原因,这个频道似乎有很强的潜力来帮助开发小说,更具选择性,更安全,和有效的镇痛药。然而,许多与生理学有关的问题,函数,Nav1.8的临床实用性仍有待回答。在这篇文章中,我们讨论了评估Nav1.8在疼痛中作用的最新研究,特别关注内脏疼痛,以及迄今为止为评估其作为镇痛靶标的潜力而采取的步骤。我们还回顾了与该主题相关的当前可用研究的局限性,并描述已经采取的下一步科学步骤,或者需要追求,完全解锁这个潜在治疗靶点的能力。
    Pain is a major issue in healthcare throughout the world. It remains one of the major clinical issues of our time because it is a common sequela of numerous conditions, has a tremendous impact on individual quality of life, and is one of the top drivers of cost in medicine, due to its influence on healthcare expenditures and lost productivity in those affected by it. Patients and healthcare providers remain desperate to find new, safer and more effective analgesics. Growing evidence indicates that the voltage-gated sodium channel Nav1.8 plays a critical role in transmission of pain-related signals throughout the body. For that reason, this channel appears to have strong potential to help develop novel, more selective, safer, and efficacious analgesics. However, many questions related to the physiology, function, and clinical utility of Nav1.8 remain to be answered. In this article, we discuss the latest studies evaluating the role of Nav1.8 in pain, with a particular focus on visceral pain, as well as the steps taken thus far to evaluate its potential as an analgesic target. We also review the limitations of currently available studies related to this topic, and describe the next scientific steps that have already been undertaken, or that will need to be pursued, to fully unlock the capabilities of this potential therapeutic target.
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  • 文章类型: Journal Article
    (1)背景:在柬埔寨,白纹伊蚊是登革病毒的重要传播媒介。使用杀虫剂控制病媒是管理蚊媒疾病的主要策略。阻力,然而,有可能破坏杀虫剂的使用。在这项研究中,我们介绍了Ae的杀虫剂抗性水平。柬埔寨的白纹病及其相关机制。(2)方法:两种Ae。白纹伊蚊种群是从首都收集的,金边市,来自拜林省农村。成人接受诊断剂量马拉硫磷(0.8%)测试,溴氰菊酯(0.03%),氯菊酯(0.25%),和DDT(4%)使用WHO试管测定。在拟除虫菊酯测定之前实施了使用胡椒基丁醚(PBO)的增效剂测定,以检测代谢抗性机制的潜在参与。测试了从金边和Pailin收集的成年雌性蚊子中常见的电压门控钠通道(VGSC)kdr(敲低抗性)突变。-整个亚洲的抗性种群(S989P,V1016G,和F1534C),以及其他突变(V410L,L982W,A1007G,I1011M,T1520I,和D1763Y)。(3)结果:两个群体显示对所有测试的杀虫剂的抗性(<90%死亡率)。PBO(P450的抑制剂)的使用极大地恢复了溴氰菊酯和氯菊酯对两种抗性种群的功效。vgsc基因区域的序列显示缺乏已知与拟除虫菊酯抗性相关的kdr突变。然而,四个新的非同义突变(L412P/S,C983S,Q1554STOP,和R1718L)和29个同义突变被检测到。这些突变是否有助于拟除虫菊酯抗性仍有待确定。(4)结论:两种Ae均存在拟除虫菊酯抗性。白纹伊蚊种群来自柬埔寨的城市和农村地区。抗性可能是由于特别涉及P450单加氧酶的代谢抗性。柬埔寨对不同种类杀虫剂的抗药性水平令人担忧。应使用控制登革热媒介的替代工具和杀虫剂,以最大程度地减少该国的疾病流行。
    (1) Background: In Cambodia, Aedes albopictus is an important vector of the dengue virus. Vector control using insecticides is a major strategy implemented in managing mosquito-borne diseases. Resistance, however, threatens to undermine the use of insecticides. In this study, we present the levels of insecticide resistance of Ae. albopictus in Cambodia and the mechanisms involved. (2) Methods: Two Ae. albopictus populations were collected from the capital, Phnom Penh city, and from rural Pailin province. Adults were tested with diagnostic doses of malathion (0.8%), deltamethrin (0.03%), permethrin (0.25%), and DDT (4%) using WHO tube assays. Synergist assays using piperonyl butoxide (PBO) were implemented before the pyrethroid assays to detect the potential involvement of metabolic resistance mechanisms. Adult female mosquitoes collected from Phnom Penh and Pailin were tested for voltage-gated sodium channel (VGSC) kdr (knockdown resistance) mutations commonly found in Aedes sp.-resistant populations throughout Asia (S989P, V1016G, and F1534C), as well as for other mutations (V410L, L982W, A1007G, I1011M, T1520I, and D1763Y). (3) Results: The two populations showed resistance against all the insecticides tested (<90% mortality). The use of PBO (an inhibitor of P450s) strongly restored the efficacy of deltamethrin and permethrin against the two resistant populations. Sequences of regions of the vgsc gene showed a lack of kdr mutations known to be associated with pyrethroid resistance. However, four novel non-synonymous mutations (L412P/S, C983S, Q1554STOP, and R1718L) and twenty-nine synonymous mutations were detected. It remains to be determined whether these mutations contribute to pyrethroid resistance. (4) Conclusions: Pyrethroid resistance is occurring in two Ae. albopictus populations originating from urban and rural areas of Cambodia. The resistance is likely due to metabolic resistance specifically involving P450s monooxygenases. The levels of resistance against different insecticide classes are a cause for concern in Cambodia. Alternative tools and insecticides for controlling dengue vectors should be used to minimize disease prevalence in the country.
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  • 文章类型: Preprint
    Dravet综合征是一种发育性和癫痫性脑病(DEE),其特征是顽固性癫痫发作,与发育有关的合并症,认知,和电机延迟,以及癫痫突然意外死亡(SUDEP)造成的高死亡率负担。大多数Dravet综合征病例归因于SCN1A单倍功能不全,遗传修饰和环境因素影响疾病的严重程度。具有Scn1a杂合缺失的小鼠模型概括了Dravet综合征的关键特征,包括癫痫发作和过早死亡;然而,严重程度因遗传背景而异。这里,我们改进了两个Dravet生存修饰符(Dsm)基因座,使用间隔特异性同基因(ISC)作图,染色体7上的Dsm2和染色体8上的Dsm3。Dsm2是复杂的,包含至少两个独立的基因座,而Dsm3被精炼为单个基因座。这些精制基因座内的候选修饰基因根据大脑表达进行优先排序。应变依赖性差异,以及与癫痫发作或癫痫的生物学相关性。Dsm2的高优先级候选基因包括Nav2,Ptpn5,Ldha,Dbx1,Prmt3和Slc6a5,而Dsm3只有一个高优先级候选,psd3。这项研究强调了Dravet综合征背后的复杂遗传结构,并提供了对可能影响疾病严重程度并作为新治疗靶标的潜在修饰基因的见解。
    Dravet syndrome is a developmental and epileptic encephalopathy (DEE) characterized by intractable seizures, comorbidities related to developmental, cognitive, and motor delays, and a high mortality burden due to sudden unexpected death in epilepsy (SUDEP). Most Dravet syndrome cases are attributed to SCN1A haploinsufficiency, with genetic modifiers and environmental factors influencing disease severity. Mouse models with heterozygous deletion of Scn1a recapitulate key features of Dravet syndrome, including seizures and premature mortality; however, severity varies depending on genetic background. Here, we refined two Dravet survival modifier (Dsm) loci, Dsm2 on chromosome 7 and Dsm3 on chromosome 8, using interval-specific congenic (ISC) mapping. Dsm2 was complex and encompassed at least two separate loci, while Dsm3 was refined to a single locus. Candidate modifier genes within these refined loci were prioritized based on brain expression, strain-dependent differences, and biological relevance to seizures or epilepsy. High priority candidate genes for Dsm2 include Nav2, Ptpn5, Ldha, Dbx1, Prmt3 and Slc6a5, while Dsm3 has a single high priority candidate, Psd3. This study underscores the complex genetic architecture underlying Dravet syndrome and provides insights into potential modifier genes that could influence disease severity and serve as novel therapeutic targets.
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