human iPSCs

人 iPSC
  • 文章类型: Journal Article
    通过不同运输路线的细胞内货物递送依赖于囊泡载体。关键的贩运途径通过早期内体分配由网格蛋白介导的内吞作用(CME)吸收的货物。内体网络的高度动态性对其定量分析提出了挑战,和理论建模方法可以帮助阐明内体贩运系统的组织。这里,我们引入了一种新的计算建模方法来评估内体分布。我们采用了诱导多能干细胞衍生的心肌细胞(iPSC-CM)模型,其遗传突变导致扩张型心肌病(DCM)。在这个模型中,由于CME依赖性信号传导受损,囊泡分布有缺陷,导致质膜定位的早期内体。我们在携带两种不同突变的iPSC-CM中概述了这一点,TPM1-L185F和TnT-R141W(MUT),使用3D共聚焦成像以及超分辨率STED显微镜。我们根据细胞的球形近似计算了EEA1阳性囊泡的缩放距离分布。采用这种方法,3D球形建模确定了MUTiPSC-CM中早期内体种群的双峰分离,与WT对照相比。此外,球形建模证实了RhoAII处理的MUTiPSC-CM中双峰囊泡定位的回归。这反映了恢复,在通过RhoAII依赖性RhoA激活挽救CME依赖性信号后,MUTiPSC-CM内早期内体的均匀分布。总的来说,我们的方法能够评估基于细胞的疾病模型中的早期内体分布.这种新方法可以进一步深入了解不同生理场景中的内体网络的动力学。
    Intracellular cargo delivery via distinct transport routes relies on vesicle carriers. A key trafficking route distributes cargo taken up by clathrin-mediated endocytosis (CME) via early endosomes. The highly dynamic nature of the endosome network presents a challenge for its quantitative analysis, and theoretical modelling approaches can assist in elucidating the organization of the endosome trafficking system. Here, we introduce a new computational modelling approach for assessment of endosome distributions. We employed a model of induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs) with inherited mutations causing dilated cardiomyopathy (DCM). In this model, vesicle distribution is defective due to impaired CME-dependent signaling, resulting in plasma membrane-localized early endosomes. We recapitulated this in iPSC-CMs carrying two different mutations, TPM1-L185F and TnT-R141W (MUT), using 3D confocal imaging as well as super-resolution STED microscopy. We computed scaled distance distributions of EEA1-positive vesicles based on a spherical approximation of the cell. Employing this approach, 3D spherical modelling identified a bi-modal segregation of early endosome populations in MUT iPSC-CMs, compared to WT controls. Moreover, spherical modelling confirmed reversion of the bi-modal vesicle localization in RhoA II-treated MUT iPSC-CMs. This reflects restored, homogeneous distribution of early endosomes within MUT iPSC-CMs following rescue of CME-dependent signaling via RhoA II-dependent RhoA activation. Overall, our approach enables assessment of early endosome distribution in cell-based disease models. This new method may provide further insight into the dynamics of endosome networks in different physiological scenarios.
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  • 文章类型: Journal Article
    在过去的几十年里,间充质基质细胞(MSC)已被广泛研究作为治疗各种疾病的潜在治疗细胞来源。MSC从人诱导多能干细胞(iMSC)的分化为MSC和相关生物制品的生物制造提供了可扩展的方法。虽然iMSC共享典型的MSC标记和功能作为主要的MSC(pMSC),许多iMSC分化方案缺乏谱系特异性.这里,通过神经c和细胞滋养层的中间细胞阶段,采用逐步的hiPSC到iMSC分化方法,以产生具有不同分化效率和基因表达的谱系特异性MSC。通过早期发育细胞类型(hiPSCs,神经嵴,和细胞滋养层),两个谱系特异性的iMSC,和六个来源特异性pMSC,不仅能够区分MSCs和早期发育细胞之间的转录组差异,而且还确定iMSC亚型与出生后或围产期pMSC的转录组相似性。此外,证明了不同的iMSC亚型和启动条件会影响EV的生产,外泌体蛋白表达,和细胞因子货物。
    Over the past decades, mesenchymal stromal cells (MSCs) have been extensively investigated as a potential therapeutic cell source for the treatment of various disorders. Differentiation of MSCs from human induced pluripotent stem cells (iMSCs) has provided a scalable approach for the biomanufacturing of MSCs and related biological products. Although iMSCs shared typical MSC markers and functions as primary MSCs (pMSCs), there is a lack of lineage specificity in many iMSC differentiation protocols. Here, a stepwise hiPSC-to-iMSC differentiation method is employed via intermediate cell stages of neural crest and cytotrophoblast to generate lineage-specific MSCs with varying differentiation efficiencies and gene expression. Through a comprehensive comparison between early developmental cell types (hiPSCs, neural crest, and cytotrophoblast), two lineage-specific iMSCs, and six source-specific pMSCs, are able to not only distinguish the transcriptomic differences between MSCs and early developmental cells, but also determine the transcriptomic similarities of iMSC subtypes to postnatal or perinatal pMSCs. Additionally, it is demonstrated that different iMSC subtypes and priming conditions affected EV production, exosomal protein expression, and cytokine cargo.
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  • 文章类型: Journal Article
    Charcot-Marie-Tooth病1A型(CMT1A)是最常见的遗传性周围神经病变,由携带PMP22基因的17号染色体1.5兆碱基串联重复引起。PMP22的这种剂量依赖性过表达导致周围神经的雪旺氏细胞髓鞘化被破坏。为了更好地了解CMT1A的潜在致病机制,我们在CMT1A小鼠模型和患者来源的诱导多能干细胞(iPSC-SCP)中研究了PMP22复制对细胞稳态的作用.我们对两个发育中的CMT1A小鼠模型的坐骨神经和CMT1A患者来源的iPSC-SCP进行了脂质组学分析和大量RNA测序。对于CMT1A小鼠的坐骨神经,在整个发育过程中,胆固醇和脂质代谢呈剂量依赖性下调.对于CMT1AiPSC-SCP,转录分析揭示了与自噬和脂质代谢相关的基因的强烈抑制。基因本体论富集分析确定了与质膜成分和细胞受体信号传导相关的通路中的干扰。脂质组学分析证实了质膜脂质的严重失调,尤其是鞘脂,在CMT1AiPSC-SCP中。此外,我们发现脂筏动力学减少,受干扰的质膜流动性,和受损的胆固醇掺入和储存,所有这些都可能是由于患者来源的CMT1AiPSC-SCP的脂质储存稳态改变所致.重要的是,这种表型可以通过刺激自噬和脂肪分解来挽救.我们得出的结论是,由于脂质成分的改变,PMP22复制会干扰细胞内脂质的储存,并导致更无序的质膜。最终可能导致受损的神经胶质相互作用。此外,靶向脂质处理和代谢可能为CMT1A患者的治疗带来希望。
    Charcot-Marie-Tooth disease type 1A (CMT1A) is the most common inherited peripheral neuropathy caused by a 1.5 megabase tandem duplication of chromosome 17 harboring the PMP22 gene. This dose-dependent overexpression of PMP22 results in disrupted Schwann cell myelination of peripheral nerves. To get better insights into the underlying pathogenic mechanisms in CMT1A, we investigated the role of PMP22 duplication on cellular homeostasis in CMT1A mouse models and in patient-derived induced pluripotent stem cells differentiated into Schwann cell precursors (iPSC-SCPs). We performed lipidomic profiling and bulk RNA sequencing on sciatic nerves of two developing CMT1A mouse models and on CMT1A patient derived iPSC-SCPs. For the sciatic nerves of the CMT1A mice, cholesterol and lipid metabolism was dose-dependently downregulated throughout development. For the CMT1A iPSC-SCPs, transcriptional analysis unveiled a strong suppression of genes related to autophagy and lipid metabolism. Gene ontology enrichment analysis identified disturbances in pathways related to plasma membrane components and cell receptor signaling. Lipidomic analysis confirmed the severe dysregulation in plasma membrane lipids, particularly sphingolipids, in CMT1A iPSC-SCPs. Furthermore, we identified reduced lipid raft dynamics, disturbed plasma membrane fluidity, and impaired cholesterol incorporation and storage, all of which could result from altered lipid storage homeostasis in the patient-derived CMT1A iPSC-SCPs. Importantly, this phenotype could be rescued by stimulating autophagy and lipolysis. We conclude that PMP22 duplication disturbs intracellular lipid storage and leads to a more disordered plasma membrane due to an alteration in the lipid composition, which ultimately may lead to impaired axo-glial interactions. Moreover, targeting lipid handling and metabolism could hold promise for the treatment of CMT1A patients.
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  • 文章类型: Journal Article
    最大限度地发挥人类肝脏类器官(LOs)的潜力,以模拟人类败血症肝脏需要先天免疫细胞的整合,特别是常驻巨噬细胞Kupffer细胞。在这项研究中,我们提出了一种策略,通过使用人类诱导的多能干细胞(hiPSC)衍生的红骨髓祖细胞(EMPs)来概括胎儿肝脏造血,从而产生含有Kupffer细胞(KuLOs)的LOs,组织驻留的巨噬细胞的起源,和hiPSC派生的LOS。值得注意的是,LOs积极促进EMP造血向骨髓和红系谱系。此外,在KuLOs建立过程中,补充巨噬细胞集落刺激因子(M-CSF)对于维持造血种群至关重要。将KuLOs暴露于败血症样内毒素会导致明显的类器官功能障碍,这与人类败血症肝脏的病理特征非常相似。此外,我们观察到内毒素消除后KuLOs的显着功能恢复,通过使用针对Toll样受体4的内毒素拮抗剂加速。我们的研究代表了将造血细胞整合到类器官中的综合框架,促进对炎症介导的肝脏病理的深入研究。
    Maximizing the potential of human liver organoids (LOs) for modeling human septic liver requires the integration of innate immune cells, particularly resident macrophage Kupffer cells. In this study, we present a strategy to generate LOs containing Kupffer cells (KuLOs) by recapitulating fetal liver hematopoiesis using human induced pluripotent stem cell (hiPSC)-derived erythro-myeloid progenitors (EMPs), the origin of tissue-resident macrophages, and hiPSC-derived LOs. Remarkably, LOs actively promote EMP hematopoiesis toward myeloid and erythroid lineages. Moreover, supplementing with macrophage colony-stimulating factor (M-CSF) proves crucial in sustaining the hematopoietic population during the establishment of KuLOs. Exposing KuLOs to sepsis-like endotoxins leads to significant organoid dysfunction that closely resembles the pathological characteristics of the human septic liver. Furthermore, we observe a notable functional recovery in KuLOs upon endotoxin elimination, which is accelerated by using Toll-like receptor-4-directed endotoxin antagonist. Our study represents a comprehensive framework for integrating hematopoietic cells into organoids, facilitating in-depth investigations into inflammation-mediated liver pathologies.
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  • 文章类型: Journal Article
    一个新的观点表明,一个动态的双向通信系统,通常被称为微生物组-肠-脑轴,存在于肠道中,它的微生物组,和中枢神经系统(CNS)。这个系统可能会影响大脑健康和各种与大脑相关的疾病,尤其是在神经发育和神经退行性疾病领域。然而,确切的机制尚不清楚。来自肠道微生物的代谢物或细胞外囊泡具有穿越肠上皮屏障或血脑屏障的能力,进入全身循环。这种现象可以引发直接或间接影响CNS及其功能的生理反应。然而,需要可靠和可控的工具来证明肠道微生物衍生物质对神经发生和神经退行性疾病的因果关系。微流体的集成通过提供先进的体外工程模型来增强科学研究。在这项研究中,我们在肠-脑轴芯片中使用人诱导多能干细胞(iPSCs)来源的神经元,研究了微生物来源的代谢物和外泌体对神经发育和神经退行性疾病的影响.虽然菌株特异性,我们的发现表明,微生物来源的代谢物和外泌体对神经生长都有显著的影响,成熟,和突触可塑性。因此,我们的研究结果表明,来自微生物的代谢物和外泌体有望成为解决神经发育和神经退行性疾病的潜在候选者和策略.
    A new perspective suggests that a dynamic bidirectional communication system, often referred to as the microbiome-gut-brain axis, exists among the gut, its microbiome, and the central nervous system (CNS). This system may influence brain health and various brain-related diseases, especially in the realms of neurodevelopmental and neurodegenerative conditions. However, the exact mechanism is not yet understood. Metabolites or extracellular vesicles derived from microbes in the gut have the capacity to traverse the intestinal epithelial barrier or blood-brain barrier, gaining access to the systemic circulation. This phenomenon can initiate the physiological responses that directly or indirectly impact the CNS and its function. However, reliable and controllable tools are required to demonstrate the causal effects of gut microbial-derived substances on neurogenesis and neurodegenerative diseases. The integration of microfluidics enhances scientific research by providing advanced in vitro engineering models. In this study, we investigated the impact of microbe-derived metabolites and exosomes on neurodevelopment and neurodegenerative disorders using human induced pluripotent stem cells (iPSCs)-derived neurons in a gut-brain axis chip. While strain-specific, our findings indicate that both microbial-derived metabolites and exosomes exert the significant effects on neural growth, maturation, and synaptic plasticity. Therefore, our results suggest that metabolites and exosomes derived from microbes hold promise as potential candidates and strategies for addressing neurodevelopmental and neurodegenerative disorders.
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  • 文章类型: Journal Article
    通过N-甲基-D-天冬氨酸型谷氨酸受体(NMDAR)过量的Ca2流入与兴奋性毒性和神经元死亡有关,但是这种受体通道的抑制会导致严重的不良反应。因此,选择性减少NMDA介导的Ca2+进入,保持Na+电流不变,可以代表一种有效的神经保护策略。我们开发了一种新的双荧光团方法来有效评估配体门控离子通道的Ca2+渗透性,包括NMDAR,在不同的条件下。该技术能够区分通过不同受体通道的不同Ca2/Na渗透比,在不同的条件下通过相同的通道。使用这种方法,我们证实了EU1794-4,NMDAR的负变构调节剂,降低了它们的Ca2+渗透性。此外,我们首次测量了分数Ca2+电流(Pf,即在EU1794-4的存在下,人NMDAR的Ca2离子)所携带的总电流的百分比,与对照条件相比表现出40%的减少。EU1794-4还能够减少源自诱导多能干细胞的人神经元中NMDA介导的Ca2+进入。在没有细胞外Mg2+的情况下,最后的作用更强,但在它的存在下仍然很重要,支持使用NMDA选择性变构调节剂降低人类神经元中Ca2流入的假设,防止Ca2+依赖性兴奋性毒性和随之而来的神经变性。
    Excessive Ca2+ influx through N-methyl-D-aspartate type glutamate receptors (NMDAR) is associated with excitotoxicity and neuronal death, but the inhibition of this receptor-channel causes severe adverse effects. Thus, a selective reduction of NMDA-mediated Ca2+ entry, leaving unaltered the Na+ current, could represent a valid neuroprotective strategy. We developed a new two-fluorophore approach to efficiently assess the Ca2+ permeability of ligand-gated ion channels, including NMDARs, in different conditions. This technique was able to discriminate differential Ca2+/Na+ permeation ratio through different receptor channels, and through the same channel in different conditions. With this method, we confirmed that EU1794-4, a negative allosteric modulator of NMDARs, decreased their Ca2+ permeability. Furthermore, we measured for the first time the fractional Ca2+ current (Pf, i.e. the percentage of the total current carried by Ca2+ ions) of human NMDARs in the presence of EU1794-4, exhibiting a 40% reduction in comparison to control conditions. EU1794-4 was also able to reduce NMDA-mediated Ca2+ entry in human neurons derived from induced pluripotent stem cells. This last effect was stronger in the absence of extracellular Mg2+, but still significant in its presence, supporting the hypothesis to use NMDA-selective allosteric modulators to lower Ca2+ influx in human neurons, to prevent Ca2+-dependent excitotoxicity and consequent neurodegeneration.
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  • 文章类型: Journal Article
    iPSC衍生的3D模型被认为是2D培养和体内研究之间的联系。然而,这种3D模型的敏感性尚未建立。我们评估了hiPSC衍生的3D球体对神经祖细胞2D培养物的敏感性。亚毒性剂量的亚砷酸钠(SA)用于研究两种系统中miRNA蛋白的变化。尽管SA暴露会导致2D和3D系统中蛋白质的显着变化,除了20种蛋白质外,这些蛋白质并不常见。与3D相比,2D系统中改变的蛋白质的数量和幅度更高。失调的miRNA与靶蛋白的关联显示它们主要参与线粒体生物能学,氧化和ER应激,转录和翻译机制,细胞结构,等。,在两种文化体系中。Further,在两个培养系统中比较了失调的miRNAs和相关蛋白对这些功能和超微结构变化的影响.超微结构研究揭示了类似的线粒体损伤模式,而细胞生物能量学研究证实2D系统中的能量失效明显高于3D系统。与3D球状体相比,这种更高的变化幅度可能与2D培养物中更高的SA内在化量相关。我们的发现表明,2D培养系统似乎比3D球体系统对SA暴露的反应更好。
    The iPSC-derived 3D models are considered to be a connective link between 2D culture and in vivo studies. However, the sensitivity of such 3D models is yet to be established. We assessed the sensitivity of the hiPSC-derived 3D spheroids against 2D cultures of neural progenitor cells. The sub-toxic dose of Sodium Arsenite (SA) was used to investigate the alterations in miRNA-proteins in both systems. Though SA exposure induced significant alterations in the proteins in both 2D and 3D systems, these proteins were uncommon except for 20 proteins. The number and magnitude of altered proteins were higher in the 2D system compared to 3D. The association of dysregulated miRNAs with the target proteins showed their involvement primarily in mitochondrial bioenergetics, oxidative and ER stress, transcription and translation mechanism, cytostructure, etc., in both culture systems. Further, the impact of dysregulated miRNAs and associated proteins on these functions and ultrastructural changes was compared in both culture systems. The ultrastructural studies revealed a similar pattern of mitochondrial damage, while the cellular bioenergetics studies confirm a significantly higher energy failure in the 2D system than to 3D. Such a higher magnitude of changes could be correlated with a higher amount of internalization of SA in 2D cultures than in 3D spheroids. Our findings demonstrate that a 2D culture system seems better responsive than a 3D spheroid system against SA exposure.
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  • 文章类型: Journal Article
    干细胞,特别是人类iPSCs,构成了组织工程的强大工具,特别是通过球体和类器官模型。虽然干细胞对其直接微环境的粘弹性特性的敏感性得到了很好的描述,干细胞分化仍然依赖于生化因素。我们的目的是研究hiPSC球体的粘弹性特性直接环境对其命运的影响。为了确保细胞生长仅由机械相互作用驱动,在无分化因子的培养基中使用了具有显着不同粘弹性的生物可降解藻酸盐-明胶水凝胶。开发了不同浓度的藻酸盐-明胶水凝胶,以提供具有明显不同机械性能的3D环境。范围从1到100千帕,同时允许可印刷性。通过聚集制备来自两个不同细胞系的hiPSC球体(=100µm,n>1×104),包括并在不同的水凝胶中培养14天。虽然致密水凝胶内的球体表现出有限的生长,无论配方如何,用液-液乳液法制备的多孔水凝胶显示出球体形态和生长随水凝胶机械性能的显着变化。横向培养(相邻的球体负载的藻酸盐-明胶水凝胶)清楚地证实了每种水凝胶环境对hiPSC球体行为的单独影响。这项研究首次证明了机械调制的微环境在不受其他因素影响的情况下诱导了各种hiPSC球体行为。它允许人们设想多种配方的组合来创建一个复杂的对象,其中hiPSC的命运将由它们的直接微环境独立控制。
    Stem cells, particularly human iPSCs, constitute a powerful tool for tissue engineering, notably through spheroid and organoid models. While the sensitivity of stem cells to the viscoelastic properties of their direct microenvironment is well-described, stem cell differentiation still relies on biochemical factors. Our aim is to investigate the role of the viscoelastic properties of hiPSC spheroids\' direct environment on their fate. To ensure that cell growth is driven only by mechanical interaction, bioprintable alginate-gelatin hydrogels with significantly different viscoelastic properties were utilized in differentiation factor-free culture medium. Alginate-gelatin hydrogels of varying concentrations were developed to provide 3D environments of significantly different mechanical properties, ranging from 1 to 100 kPa, while allowing printability. hiPSC spheroids from two different cell lines were prepared by aggregation (⌀ = 100 µm, n > 1 × 104), included and cultured in the different hydrogels for 14 days. While spheroids within dense hydrogels exhibited limited growth, irrespective of formulation, porous hydrogels prepared with a liquid-liquid emulsion method displayed significant variations of spheroid morphology and growth as a function of hydrogel mechanical properties. Transversal culture (adjacent spheroids-laden alginate-gelatin hydrogels) clearly confirmed the separate effect of each hydrogel environment on hiPSC spheroid behavior. This study is the first to demonstrate that a mechanically modulated microenvironment induces diverse hiPSC spheroid behavior without the influence of other factors. It allows one to envision the combination of multiple formulations to create a complex object, where the fate of hiPSCs will be independently controlled by their direct microenvironment.
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  • 文章类型: Journal Article
    Cofilactin棒病理学,可以引发突触丢失,已经在啮齿动物神经元中进行了广泛的研究,海马片,和人神经退行性疾病如阿尔茨海默病(AD)的体内小鼠模型。在这些系统中,由疾病相关因素诱导的杆形成,如AD中淀粉样蛋白-β(Aβ)的可溶性寡聚体,利用需要细胞朊病毒蛋白(PrPC)的途径,NADPH氧化酶(NOX),和细胞因子/趋化因子受体(CCR5和/或CXCR4)。然而,杆途径尚未在人类神经元模型中进行系统评估。这里,我们描述了从人诱导的多能干细胞(iPSCs)分化的谷氨酸能神经元在PrPC依赖性途径的激活剂作用下形成棒的过程.基质的优化,细胞密度,神经胶质条件培养基的使用产生了一个强大的系统,用于研究在没有神经胶质的情况下Aβ诱导的棒的发育,提示细胞自主途径。年轻神经元中的棒诱导需要PrPC的异位表达,但是这种依赖性在第55天消失了。杆诱导途径内蛋白质的定量表明,PrPC和CXCR4表达的增加可能是第35天和第55天之间杆对Aβ的反应加倍的因素。FDA批准的CXCR4和CCR5拮抗剂抑制杆反应。主要在树突中观察到棒,尽管严重的细胞骨架破坏阻止了超过40%的棒分配给轴突或树突。在没有神经胶质的情况下,在这种情况下,杆更容易被观察到,神经元成熟并激发动作电位,但不形成功能性突触。然而,含有PSD95的树突棘与含有谷氨酸转运体的突触前囊泡的轴突区域相关,VGLUT1。因此,我们的研究结果确定干细胞衍生的神经元是研究人类细胞环境中的cofilactin杆状蛋白形成和开发有效治疗策略的稳健模型,用于治疗由不同杆状蛋白引发剂引起的多种蛋白病引起的痴呆.
    Cofilactin rod pathology, which can initiate synapse loss, has been extensively studied in rodent neurons, hippocampal slices, and in vivo mouse models of human neurodegenerative diseases such as Alzheimer\'s disease (AD). In these systems, rod formation induced by disease-associated factors, such as soluble oligomers of Amyloid-β (Aβ) in AD, utilizes a pathway requiring cellular prion protein (PrPC), NADPH oxidase (NOX), and cytokine/chemokine receptors (CCR5 and/or CXCR4). However, rod pathways have not been systematically assessed in a human neuronal model. Here, we characterize glutamatergic neurons differentiated from human-induced pluripotent stem cells (iPSCs) for the formation of rods in response to activators of the PrPC-dependent pathway. Optimization of substratum, cell density, and use of glial-conditioned medium yielded a robust system for studying the development of Aβ-induced rods in the absence of glia, suggesting a cell-autonomous pathway. Rod induction in younger neurons requires ectopic expression of PrPC, but this dependency disappears by Day 55. The quantification of proteins within the rod-inducing pathway suggests that increased PrPC and CXCR4 expression may be factors in the doubling of the rod response to Aβ between Days 35 and 55. FDA-approved antagonists to CXCR4 and CCR5 inhibit the rod response. Rods were predominantly observed in dendrites, although severe cytoskeletal disruptions prevented the assignment of over 40% of the rods to either an axon or dendrite. In the absence of glia, a condition in which rods are more readily observed, neurons mature and fire action potentials but do not form functional synapses. However, PSD95-containing dendritic spines associate with axonal regions of pre-synaptic vesicles containing the glutamate transporter, VGLUT1. Thus, our results identified stem cell-derived neurons as a robust model for studying cofilactin rod formation in a human cellular environment and for developing effective therapeutic strategies for the treatment of dementias arising from multiple proteinopathies with different rod initiators.
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  • 文章类型: Journal Article
    阿霉素(DOX),最有效和广泛使用的抗癌药物之一,在临床上具有癌症治疗相关的心脏毒性(CTRTOX)的主要局限性。活性氧(ROS)的产生和线粒体功能障碍是DOX诱导的心肌细胞损伤的众所周知的后果。本研究旨在探讨卡维地洛预处理对线粒体功能的影响及相关机制,已知对DOX毒性具有保护作用的β-阻断剂。当使用培养的大鼠心肌细胞(H9c2细胞)和人iPSC来源的心肌细胞(iPSC-CM)进行疾病建模时,我们发现预防性卡维地洛不仅减轻了DOX诱导的线粒体功能抑制,而且卡维地洛预处理细胞的线粒体功能读数模拟了过表达线粒体生物发生主要调节因子的细胞的读数,PGC-1α。卡维地洛预处理减少线粒体氧化剂,减少H9c2细胞和人iPSC-CM中的细胞死亡,并通过持续表达氧化还原传感器Keap1和预防DOX诱导的Nrf2核易位来维持细胞氧化还原平衡。这些结果表明,除了已知的清除ROS的作用,卡维地洛对DOX处理诱导的氧化条件具有迄今未被认可的促还原性能,DOX诱导的线粒体功能障碍和细胞活力受损的后遗症。我们的临床前研究的新发现表明卡维地洛预防的未来试验设计,如氧化还原状态的预筛选,可能是预防氧化应激的替代策略,而不是目前缺乏ROS清除剂的临床证据。
    Doxorubicin (DOX), one of the most effective and widely used anticancer drugs, has the major limitation of cancer treatment-related cardiotoxicity (CTRTOX) in the clinic. Reactive oxygen species (ROS) generation and mitochondrial dysfunction are well-known consequences of DOX-induced injury to cardiomyocytes. This study aimed to explore the mitochondrial functional consequences and associated mechanisms of pretreatment with carvedilol, a ß-blocking agent known to exert protection against DOX toxicity. When disease modeling was performed using cultured rat cardiac muscle cells (H9c2 cells) and human iPSC-derived cardiomyocytes (iPSC-CMs), we found that prophylactic carvedilol mitigated not only the DOX-induced suppression of mitochondrial function but that the mitochondrial functional readout of carvedilol-pretreated cells mimicked the readout of cells overexpressing the major regulator of mitochondrial biogenesis, PGC-1α. Carvedilol pretreatment reduces mitochondrial oxidants, decreases cell death in both H9c2 cells and human iPSC-CM and maintains the cellular \'redox poise\' as determined by sustained expression of the redox sensor Keap1 and prevention of DOX-induced Nrf2 nuclear translocation. These results indicate that, in addition to the already known ROS-scavenging effects, carvedilol has a hitherto unrecognized pro-reducing property against the oxidizing conditions induced by DOX treatment, the sequalae of DOX-induced mitochondrial dysfunction and compromised cell viability. The novel findings of our preclinical studies suggest future trial design of carvedilol prophylaxis, such as prescreening for redox state, might be an alternative strategy for preventing oxidative stress writ large in lieu of the current lack of clinical evidence for ROS-scavenging agents.
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