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1.
Cell ; 187(6): 1460-1475.e20, 2024 Mar 14.
Artículo en Inglés | MEDLINE | ID: mdl-38428423

RESUMEN

Apelin is a key hormone in cardiovascular homeostasis that activates the apelin receptor (APLNR), which is regarded as a promising therapeutic target for cardiovascular disease. However, adverse effects through the ß-arrestin pathway limit its pharmacological use. Here, we report cryoelectron microscopy (cryo-EM) structures of APLNR-Gi1 complexes bound to three agonists with divergent signaling profiles. Combined with functional assays, we have identified "twin hotspots" in APLNR as key determinants for signaling bias, guiding the rational design of two exclusive G-protein-biased agonists WN353 and WN561. Cryo-EM structures of WN353- and WN561-stimulated APLNR-G protein complexes further confirm that the designed ligands adopt the desired poses. Pathophysiological experiments have provided evidence that WN561 demonstrates superior therapeutic effects against cardiac hypertrophy and reduced adverse effects compared with the established APLNR agonists. In summary, our designed APLNR modulator may facilitate the development of next-generation cardiovascular medications.


Asunto(s)
Receptores de Apelina , Fármacos Cardiovasculares , Diseño de Fármacos , Receptores de Apelina/agonistas , Receptores de Apelina/química , Receptores de Apelina/ultraestructura , Microscopía por Crioelectrón , Proteínas de Unión al GTP/metabolismo , Receptores Acoplados a Proteínas G/metabolismo , Transducción de Señal , Humanos , Fármacos Cardiovasculares/química
2.
Mol Cell ; 84(3): 570-583.e7, 2024 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-38215752

RESUMEN

Adhesion G protein-coupled receptors (aGPCRs) are evolutionarily ancient receptors involved in a variety of physiological and pathophysiological processes. Modulators of aGPCR, particularly antagonists, hold therapeutic promise for diseases like cancer and immune and neurological disorders. Hindered by the inactive state structural information, our understanding of antagonist development and aGPCR activation faces challenges. Here, we report the cryo-electron microscopy structures of human CD97, a prototypical aGPCR that plays crucial roles in immune system, in its inactive apo and G13-bound fully active states. Compared with other family GPCRs, CD97 adopts a compact inactive conformation with a constrained ligand pocket. Activation induces significant conformational changes for both extracellular and intracellular sides, creating larger cavities for Stachel sequence binding and G13 engagement. Integrated with functional and metadynamics analyses, our study provides significant mechanistic insights into the activation and signaling of aGPCRs, paving the way for future drug discovery efforts.


Asunto(s)
Antígenos CD , Receptores Acoplados a Proteínas G , Transducción de Señal , Humanos , Adhesión Celular , Microscopía por Crioelectrón , Complejo GPIb-IX de Glicoproteína Plaquetaria , Receptores Acoplados a Proteínas G/química , Receptores Acoplados a Proteínas G/metabolismo , Antígenos CD/química , Antígenos CD/metabolismo
3.
Proc Natl Acad Sci U S A ; 119(29): e2117054119, 2022 07 19.
Artículo en Inglés | MEDLINE | ID: mdl-35858343

RESUMEN

The G protein-coupled bile acid receptor (GPBAR) is the membrane receptor for bile acids and a driving force of the liver-bile acid-microbiota-organ axis to regulate metabolism and other pathophysiological processes. Although GPBAR is an important therapeutic target for a spectrum of metabolic and neurodegenerative diseases, its activation has also been found to be linked to carcinogenesis, leading to potential side effects. Here, via functional screening, we found that two specific GPBAR agonists, R399 and INT-777, demonstrated strikingly different regulatory effects on the growth and apoptosis of non-small cell lung cancer (NSCLC) cells both in vitro and in vivo. Further mechanistic investigation showed that R399-induced GPBAR activation displayed an obvious bias for ß-arrestin 1 signaling, thus promoting YAP signaling activation to stimulate cell proliferation. Conversely, INT-777 preferentially activated GPBAR-Gs signaling, thus inactivating YAP to inhibit cell proliferation and induce apoptosis. Phosphorylation of GPBAR by GRK2 at S310/S321/S323/S324 sites contributed to R399-induced GPBAR-ß-arrestin 1 association. The cryoelectron microscopy (cryo-EM) structure of the R399-bound GPBAR-Gs complex enabled us to identify key interaction residues and pivotal conformational changes in GPBAR responsible for the arrestin signaling bias and cancer cell proliferation. In summary, we demonstrate that different agonists can regulate distinct functions of cell growth and apoptosis through biased GPBAR signaling and control of YAP activity in a NSCLC cell model. The delineated mechanism and structural basis may facilitate the rational design of GPBAR-targeting drugs with both metabolic and anticancer benefits.


Asunto(s)
Carcinoma de Pulmón de Células no Pequeñas , Proteínas de Ciclo Celular , Neoplasias Pulmonares , Receptores Acoplados a Proteínas G , Factores de Transcripción , Ácidos y Sales Biliares/metabolismo , Carcinoma de Pulmón de Células no Pequeñas/metabolismo , Carcinoma de Pulmón de Células no Pequeñas/patología , Proteínas de Ciclo Celular/metabolismo , Ácidos Cólicos/farmacología , Microscopía por Crioelectrón , Humanos , Neoplasias Pulmonares/metabolismo , Neoplasias Pulmonares/patología , Receptores Acoplados a Proteínas G/agonistas , Receptores Acoplados a Proteínas G/química , Receptores Acoplados a Proteínas G/metabolismo , Factores de Transcripción/metabolismo , beta-Arrestina 1/metabolismo
4.
Mol Med ; 30(1): 93, 2024 Jun 19.
Artículo en Inglés | MEDLINE | ID: mdl-38898476

RESUMEN

BACKGROUND: The epithelial-mesenchymal transition (EMT) of human bronchial epithelial cells (HBECs) is essential for airway remodeling during asthma. Wnt5a has been implicated in various lung diseases, while its role in the EMT of HBECs during asthma is yet to be determined. This study sought to define whether Wnt5a initiated EMT, leading to airway remodeling through the induction of autophagy in HBECs. METHODS: Microarray analysis was used to investigate the expression change of WNT5A in asthma patients. In parallel, EMT models were induced using 16HBE cells by exposing them to house dust mites (HDM) or interleukin-4 (IL-4), and then the expression of Wnt5a was observed. Using in vitro gain- and loss-of-function approaches via Wnt5a mimic peptide FOXY5 and Wnt5a inhibitor BOX5, the alterations in the expression of the epithelial marker E-cadherin and the mesenchymal marker protein were observed. Mechanistically, the Ca2+/CaMKII signaling pathway and autophagy were evaluated. An autophagy inhibitor 3-MA was used to examine Wnt5a in the regulation of autophagy during EMT. Furthermore, we used a CaMKII inhibitor KN-93 to determine whether Wnt5a induced autophagy overactivation and EMT via the Ca2+/CaMKII signaling pathway. RESULTS: Asthma patients exhibited a significant increase in the gene expression of WNT5A compared to the healthy control. Upon HDM and IL-4 treatments, we observed that Wnt5a gene and protein expression levels were significantly increased in 16HBE cells. Interestingly, Wnt5a mimic peptide FOXY5 significantly inhibited E-cadherin and upregulated α-SMA, Collagen I, and autophagy marker proteins (Beclin1 and LC3-II). Rhodamine-phalloidin staining showed that FOXY5 resulted in a rearrangement of the cytoskeleton and an increase in the quantity of stress fibers in 16HBE cells. Importantly, blocking Wnt5a with BOX5 significantly inhibited autophagy and EMT induced by IL-4 in 16HBE cells. Mechanistically, autophagy inhibitor 3-MA and CaMKII inhibitor KN-93 reduced the EMT of 16HBE cells caused by FOXY5, as well as the increase in stress fibers, cell adhesion, and autophagy. CONCLUSION: This study illustrates a new link in the Wnt5a-Ca2+/CaMKII-autophagy axis to triggering airway remodeling. Our findings may provide novel strategies for the treatment of EMT-related diseases.


Asunto(s)
Asma , Autofagia , Células Epiteliales , Transición Epitelial-Mesenquimal , Proteína Wnt-5a , Humanos , Proteína Wnt-5a/metabolismo , Proteína Wnt-5a/genética , Asma/metabolismo , Asma/patología , Asma/genética , Células Epiteliales/metabolismo , Proteína Quinasa Tipo 2 Dependiente de Calcio Calmodulina/metabolismo , Bronquios/metabolismo , Bronquios/patología , Masculino , Línea Celular , Femenino , Persona de Mediana Edad , Transducción de Señal , Adulto
5.
J Transl Med ; 22(1): 460, 2024 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-38750462

RESUMEN

BACKGROUND: Chaperonin Containing TCP1 Subunit 6 A (CCT6A) is a prominent protein involved in the folding and stabilization of newly synthesized proteins. However, its roles and underlying mechanisms in lung adenocarcinoma (LUAD), one of the most aggressive cancers, remain elusive. METHODS: Our study utilized in vitro cell phenotype experiments to assess CCT6A's impact on the proliferation and invasion capabilities of LUAD cell lines. To delve into CCT6A's intrinsic mechanisms affecting glycolysis and proliferation in lung adenocarcinoma, we employed transcriptomic sequencing and liquid chromatography-mass spectrometry analysis. Co-immunoprecipitation (Co-IP) and chromatin immunoprecipitation (CHIP) assays were also conducted to substantiate the mechanism. RESULTS: CCT6A was found to be significantly overexpressed in LUAD and associated with a poorer prognosis. The silencing of CCT6A inhibited the proliferation and migration of LUAD cells and elevated apoptosis rates. Mechanistically, CCT6A interacted with STAT1 protein, forming a complex that enhances the stability of STAT1 by protecting it from ubiquitin-mediated degradation. This, in turn, facilitated the transcription of hexokinase 2 (HK2), a critical enzyme in aerobic glycolysis, thereby stimulating LUAD's aerobic glycolysis and progression. CONCLUSION: Our findings reveal that the CCT6A/STAT1/HK2 axis orchestrated a reprogramming of glucose metabolism and thus promoted LUAD progression. These insights position CCT6A as a promising candidate for therapeutic intervention in LUAD treatment.


Asunto(s)
Adenocarcinoma del Pulmón , Proliferación Celular , Chaperonina con TCP-1 , Progresión de la Enfermedad , Glucólisis , Hexoquinasa , Neoplasias Pulmonares , Factor de Transcripción STAT1 , Humanos , Adenocarcinoma del Pulmón/patología , Adenocarcinoma del Pulmón/metabolismo , Adenocarcinoma del Pulmón/genética , Hexoquinasa/metabolismo , Factor de Transcripción STAT1/metabolismo , Neoplasias Pulmonares/patología , Neoplasias Pulmonares/metabolismo , Neoplasias Pulmonares/genética , Chaperonina con TCP-1/metabolismo , Línea Celular Tumoral , Movimiento Celular , Regulación Neoplásica de la Expresión Génica , Apoptosis , Transducción de Señal , Invasividad Neoplásica
6.
Microvasc Res ; 154: 104697, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38801942

RESUMEN

Cardiac myxoma is the most common primary cardiac tumor in adults. The histogenesis and cellular composition of myxoma are still unclear. This study aims to reveal the role of myxoma cell components and their gene expression in tumor development. We obtained single living cells by enzymatic digestion of tissues from 4 cases of surgically resected cardiac myxoma. Of course, there was 1 case of glandular myxoma and 3 cases of nonglandular myxoma. Then, 10× single-cell sequencing was performed. We identified 12 types and 11 types of cell populations in glandular myxoma and nonglandular myxoma, respectively. Heterogeneous epithelial cells are the main components of glandular myxoma. The similarities and differences in T cells in both glandular and nonglandular myxoma were analyzed by KEGG and GO. The most important finding was that there was active communication between T cells and epithelial cells. These results clarify the possible tissue occurrence and heterogeneity of cardiac myxoma and provide a theoretical basis and guidance for clinical diagnosis and treatment.


Asunto(s)
Neoplasias Cardíacas , Mixoma , Análisis de la Célula Individual , Humanos , Neoplasias Cardíacas/patología , Neoplasias Cardíacas/genética , Neoplasias Cardíacas/cirugía , Neoplasias Cardíacas/metabolismo , Mixoma/patología , Mixoma/genética , Mixoma/cirugía , Mixoma/metabolismo , Femenino , Masculino , Persona de Mediana Edad , Células Epiteliales/patología , Células Epiteliales/metabolismo , Biomarcadores de Tumor/genética , Biomarcadores de Tumor/metabolismo , Linfocitos T/patología , Linfocitos T/metabolismo , Anciano , Adulto , Comunicación Celular , Regulación Neoplásica de la Expresión Génica , Transcriptoma , Fenotipo
7.
Chemistry ; : e202401277, 2024 Jun 07.
Artículo en Inglés | MEDLINE | ID: mdl-38847268

RESUMEN

The clinical practice of photodynamic therapy of cancer (PDT) is mostly limited to superficial types of skin cancer. The major reason behind this limited applicability is the need for light in the photogeneration of ROS, and in particular singlet oxygen. In order to circumvent this major roadblock, we designed and synthesized naphthalene-derived endoperoxides with mitochondria targeting triphenylphosphonium moieties. Here, we show that these compounds release singlet oxygen by thermal cycloreversion, and initiate cell death with IC50 < 10 µM in cancer cell cultures. The mouse 4T1 breast tumor model study, where the endoperoxide compound was introduced intraperitoneally, also showed highly promising results, with negligible systemic toxicity. Targeted delivery of singlet oxygen to cancer cell mitochondria could be the breakthrough needed to transform Photodynamic Therapy into a broadly applicable methodology for cancer treatment by keeping the central tenet and discarding problematic dependencies on oxygen or external light.

8.
Dig Dis Sci ; 69(6): 2184-2192, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38653945

RESUMEN

BACKGROUND: The role of endoscopic resection (ER) in gastric gastrointestinal stromal tumors (GISTs) has not been fully elucidated. AIMS: The purpose of this work was to evaluate the clinical effectiveness and safety of ER in patients with GISTs originating from the muscularis propria (MP). METHODS: A total of 233 consecutive patients with gastric GISTs originating from the MP layer, who underwent ER between February 2012 and May 2023, were included in this study. Clinical characteristics, tumor features, and outcomes were recorded and compared between patients who underwent en bloc resection and piecemeal resection. RESULTS: Among the 233 patients, the median size of GISTs was 12 mm (range 5-60 mm). Risk assessment categorized 190 patients as very low risk, 26 as low risk, 10 as moderate risk, and 7 as high risk. The procedures performed included endoscopic submucosal excavation (127 cases), endoscopic full-thickness resection (103 cases), and submucosal tunneling endoscopic resection (3 cases). The complete and R0 resection rate was 93.1%. Complications occurred in 4.7% of cases (perioperative perforations 1.7%, perioperative bleeding 1.3%, both 0.9%), resulting in conversion to surgery in 1.3% of cases. Risk factors associated with piecemeal resection were tumor size [odds ratio (OR) 0.402, 95% confidence interval (CI) 0.207-0.783; P = 0.007] and shape (OR 0.045, 95% CI 0.009-0.235; P < 0.001). CONCLUSIONS: ER is proven to be an effective and reasonably safe approach for gastric GISTs originating from the MP. Notably, larger tumor size and irregular shape are identified as risk factors for piecemeal resection during ER procedures.


Asunto(s)
Tumores del Estroma Gastrointestinal , Neoplasias Gástricas , Humanos , Tumores del Estroma Gastrointestinal/cirugía , Tumores del Estroma Gastrointestinal/patología , Masculino , Femenino , Persona de Mediana Edad , Neoplasias Gástricas/cirugía , Neoplasias Gástricas/patología , Anciano , Adulto , Anciano de 80 o más Años , Resección Endoscópica de la Mucosa/métodos , Resección Endoscópica de la Mucosa/efectos adversos , Mucosa Gástrica/cirugía , Mucosa Gástrica/patología , Resultado del Tratamiento , Estudios Retrospectivos , Gastroscopía/métodos , Gastroscopía/efectos adversos , Factores de Riesgo , Complicaciones Posoperatorias/epidemiología , Complicaciones Posoperatorias/etiología
9.
Entropy (Basel) ; 26(2)2024 Jan 23.
Artículo en Inglés | MEDLINE | ID: mdl-38392353

RESUMEN

The measurement of vertebral rotation angles serves as a crucial parameter in spinal assessments, particularly in understanding conditions such as idiopathic scoliosis. Historically, these angles were calculated from 2D CT images. However, such 2D techniques fail to comprehensively capture the intricate three-dimensional deformities inherent in spinal curvatures. To overcome the limitations of manual measurements and 2D imaging, we introduce an entirely automated approach for quantifying vertebral rotation angles using a three-dimensional vertebral model. Our method involves refining a point cloud segmentation network based on a transformer architecture. This enhanced network segments the three-dimensional vertebral point cloud, allowing for accurate measurement of vertebral rotation angles. In contrast to conventional network methodologies, our approach exhibits notable improvements in segmenting vertebral datasets. To validate our approach, we compare our automated measurements with angles derived from prevalent manual labeling techniques. The analysis, conducted through Bland-Altman plots and the corresponding intraclass correlation coefficient results, indicates significant agreement between our automated measurement method and manual measurements. The observed high intraclass correlation coefficients (ranging from 0.980 to 0.993) further underscore the reliability of our automated measurement process. Consequently, our proposed method demonstrates substantial potential for clinical applications, showcasing its capacity to provide accurate and efficient vertebral rotation angle measurements.

10.
Plant Biotechnol J ; 21(11): 2358-2373, 2023 11.
Artículo en Inglés | MEDLINE | ID: mdl-37523341

RESUMEN

Tiller and seed number are key determinants of rice (Oryza sativa) yield. These traits are mainly affected by tiller, panicle, spikelet and stigma formation, but to date, no single gene involved in the development of all these organs has been identified. Here, we found a rice mutant defective stigma and panicle (dsp) with greatly reduced numbers of tillers and panicle branches, and ovaries lacking stigmas, due to defects in primordium initiation. We cloned DSP using sequencing-based mapping and verified its function with the CRISPR/Cas9 system. DSP encodes a transcription factor containing an APETALA2/ETHYLENE RESPONSE FACTOR (AP2/ERF) domain that recognizes the GCC motif and a transcription-activating domain at the site of 244-314 that contains an angiosperm-related (AR) motif. Mutating the AR motif resulted in the dsp mutant phenotypes, whereas mutating the AP2/ERF domain led to seedling death. DSP directly regulated PINOID (PID) expression to determine the emergence of rice stigmas, and PID overexpression partially rescued the stigma defect in the dsp cr2-8 and dsp mutants. Moreover, DSP indirectly affected LAX PANICLE1 (LAX1) expression to determine tiller primordium formation and synergistically regulated panicle primordium development. Our results indicated that DSP was a key regulator that modulated different genetic pathways to control the initiation of stigma primordia, the axillary meristem formation of tillers and panicle branches, which revealed their molecular mechanisms and cross-networks, laying the vital foundation for rice yield and trait improvement.


Asunto(s)
Oryza , Oryza/metabolismo , Factores de Transcripción/genética , Fenotipo , Proteínas de Plantas/genética , Proteínas de Plantas/metabolismo , Regulación de la Expresión Génica de las Plantas/genética
11.
Opt Express ; 31(25): 41339-41350, 2023 Dec 04.
Artículo en Inglés | MEDLINE | ID: mdl-38087535

RESUMEN

Multilayer metagratings have strong wavefront manipulation capabilities and find important applications in beam splitters. Traditional methods rely on the phase gradient design of generalized Snell's law, which can achieve highly efficient beam splitters with uniform energy distribution. However, designing arbitrary energy distributions in different channels under two orthogonal polarizations remains a challenge because it requires more complex structures to modulate the energy flow. In this work, we employed a hybrid evolutionary particle swarm optimization (HEPSO) from the combination of particle swarm optimization (PSO) and genetic algorithm (GA) which has a strong ability to find the optimal structures that satisfy the specific energy flow distributions. We used the crossover and mutation operators of GA to improve the global search capabilities, and the velocity updating formula of PSO to replace the selection operator of GA to avoid local optimization. Using this approach, we successfully designed a uniform beam splitter with an efficiency of over 90% and two beam splitters with arbitrary energy distributions, achieving an average error of about 0.5%. The optimal and average efficiencies obtained from running 10 optimizations are 2.2% and 4% higher than those obtained using PSO alone with 30 populations and 75 iterations. We envision that the proposed method can also provide an idea for other photonics design problems.

12.
Ecotoxicol Environ Saf ; 264: 115447, 2023 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-37690176

RESUMEN

As emerging pollutants in the environment, nanoplastics (NPs) can cross biological barriers and be enriched in organisms, posing a greatest threat to the health of livestock and humans. However, the size-dependent toxic effects of NPs in higher mammals remain largely unknown. To determine the size-dependent potential toxicities of NPs, we exposed mouse (AML-12) and human (L02) liver cell lines in vitro, and 6-week-old C57BL/6 mice (well-known preclinical model) in vivo to five different sizes of polystyrene NPs (PS-NPs) (20, 50, 100, 200 and 500 nm). We found that ultra-small NPs (20 nm) induced the highest cytotoxicity in mouse and human liver cell lines, causing oxidative stress and mitochondrial membrane potential loss on AML-12 cells. Unexpectedly in vivo, after long-term oral exposure to PS-NPs (75 mg/kg), medium NPs (200 nm) and large NPs (500 nm) induced significant hepatotoxicity, evidenced by increased oxidative stress, liver dysfunction, and lipid metabolism disorders. Most importantly, medium or large NPs generated local immunotoxic effects via recruiting and activating more numbers of neutrophils and monocytes in the liver or intestine, which potentially resulted in increased proinflammatory cytokine secretion and the tissue damage. The discrepancy in in vitro-in vivo toxic results might be attributed to the different properties of biodistribution and tissue accumulation of different sized NPs in vivo. Our study provides new insights regarding the hepatotoxicity and immunotoxicity of NPs on human and livestock health, warranting us to take immense measures to prevent these NPs-associated health damage.


Asunto(s)
Antineoplásicos , Enfermedad Hepática Inducida por Sustancias y Drogas , Leucemia Mieloide Aguda , Nanopartículas , Contaminantes Químicos del Agua , Humanos , Animales , Ratones , Ratones Endogámicos C57BL , Microplásticos/toxicidad , Poliestirenos/toxicidad , Distribución Tisular , Ganado , Mamíferos
13.
Entropy (Basel) ; 25(3)2023 Mar 06.
Artículo en Inglés | MEDLINE | ID: mdl-36981345

RESUMEN

A traction transformer with narrow oil channels is usually cooled with the ODAF or "Oil Directed Air Forced" method, where its temperature greatly depends on the Joule heat of windings, the conjugate heat transfer in the transformer, and the secondary heat release via oil cooler, together with the oil flowrate generated by oil pump. Neither the thermal-electric analogy nor the CFD simulation approach is qualified to predict the temporal and spatial temperature variations in this type of transformer. In the current work, the distributed parameter models are built for traction transformers and oil coolers with the assumption of a one-dimensional temperature field in the oil flow direction, respectively. Then, the two models are combined with the lumped parameter ones of oil pumps and pipes via the flow rate, temperature and pressure continuities at their interfaces, resulting in the derivation of the dynamic heat dissipation model of oil-directed and air-forced traction transformers. Additionally, an efficient algorithm is proposed for its numerical solution, and the temperature rise experiment is performed for model validation. Finally, the fundamental of dynamic heat dissipation in traction transformers is investigated with the current numerical model and the effects of ambient temperature are studied.

14.
Entropy (Basel) ; 25(2)2023 Jan 23.
Artículo en Inglés | MEDLINE | ID: mdl-36832587

RESUMEN

Natural language processing (NLP) models based on deep neural networks (DNNs) are vulnerable to backdoor attacks. Existing backdoor defense methods have limited effectiveness and coverage scenarios. We propose a textual backdoor defense method based on deep feature classification. The method includes deep feature extraction and classifier construction. The method exploits the distinguishability of deep features of poisoned data and benign data. Backdoor defense is implemented in both offline and online scenarios. We conducted defense experiments on two datasets and two models for a variety of backdoor attacks. The experimental results demonstrate the effectiveness of this defense approach and outperform the baseline defense method.

15.
Ther Drug Monit ; 44(6): 738-746, 2022 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-36070781

RESUMEN

BACKGROUND: To predict mycophenolic acid (MPA) exposure in renal transplant recipients using a deep learning model based on a convolutional neural network with bilateral long short-term memory and attention methods. METHODS: A total of 172 Chinese renal transplant patients were enrolled in this study. The patients were divided into a training group (n = 138, Ruijin Hospital) and a validation group (n = 34, Zhongshan Hospital). Fourteen days after renal transplantation, rich blood samples were collected 0-12 hours after MPA administration. The plasma concentration of total MPA was measured using an enzyme-multiplied immunoassay technique. A limited sampling strategy based on a convolutional neural network-long short-term memory with attention (CALS) model for the prediction of the area under the concentration curve (AUC) of MPA was established. The established model was verified using the data from the validation group. The model performance was compared with that obtained from multiple linear regression (MLR) and maximum a posteriori (MAP) methods. RESULTS: The MPA AUC 0-12 of the training and validation groups was 54.28 ± 18.42 and 41.25 ± 14.53 µg·ml -1 ·h, respectively. MPA plasma concentration after 2 (C 2 ), 6 (C 6 ), and 8 (C 8 ) hours of administration was the most significant factor for MPA AUC 0-12 . The predictive performance of AUC 0-12 estimated using the CALS model of the validation group was better than the MLR and MAP methods in previous studies (r 2 = 0.71, mean prediction error = 4.79, and mean absolute prediction error = 14.60). CONCLUSIONS: The CALS model established in this study was reliable for predicting MPA AUC 0-12 in Chinese renal transplant patients administered mycophenolate mofetil and enteric-coated mycophenolic acid sodium and may have good generalization ability for application in other data sets.


Asunto(s)
Aprendizaje Profundo , Trasplante de Riñón , Humanos , Ácido Micofenólico/uso terapéutico , Trasplante de Riñón/métodos , Inmunosupresores/uso terapéutico , Quimioterapia Combinada , Área Bajo la Curva , China
16.
Eur J Clin Pharmacol ; 78(8): 1261-1272, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35536394

RESUMEN

PURPOSE: Intracellular exposure of tacrolimus (TAC) may be a better marker of therapeutic effect than whole blood exposure. We aimed to evaluate the influence of genetic polymorphism on the pharmacokinetics of TAC in peripheral blood mononuclear cells (PBMCs) and develop limited sampling strategy (LSS) models to estimate the area under the curve (AUC0-12h) in the PBMC of Chinese renal transplant patients. METHODS: Ten blood samples of each of the 23 renal transplant patients were collected 0-12h after 14 (10-18) days of TAC administration. PBMCs were separated and quantified. The TAC level in PBMCs was determined, and pharmacokinetic parameters were estimated by noncompartmental study. The AUC0-12h of TAC in whole blood was estimated by Bayesian approach based on a population pharmacokinetic model established in 65 renal transplant patients. The influence of CYP3A5 and ABCB1 genotypes on exposure was estimated. By applying multiple stepwise linear regression analysis, LSS equations for TAC AUC0-12h in the PMBC of renal transplant patients were established, and the bias and precision of various equations were identified and compared. RESULTS: We found a modest correlation between TAC exposure in whole blood and PBMC (r2 = 0.5260). Patients with the CYP3A5 6986GG genotype had a higher AUC0-12h in PBMCs than those with the 6986 AA or GA genotype (P = 0.026). Conversely, patients with the ABCB1 3435TT genotype had a higher AUC0-12h in PBMC than those with the 3435 CC and CT genotypes (P = 0.046). LSS models with 1-4 blood time points were established (r2 = 0.570-0.989). The best model for predicting TAC AUC0-12h was C2-C4-C6-C10 (r2 = 0.989). The model with C0.5-C6 (r2 = 0.849) can be used for outpatients who need monitoring to be performed in a short period. CONCLUSIONS: The CYP3A5 and ABCB1 genotypes impact TAC exposure in PBMCs, which may further alter the effects of TAC. The LSS model consisting of 2-4 time points is an effective approach for estimating full TAC AUC0-12h in Chinese renal transplant patients. This approach may provide convenience and the possibility for clinical monitoring of TAC intracellular exposure.


Asunto(s)
Citocromo P-450 CYP3A , Inmunosupresores , Trasplante de Riñón , Tacrolimus , Subfamilia B de Transportador de Casetes de Unión a ATP/genética , Área Bajo la Curva , Teorema de Bayes , Citocromo P-450 CYP3A/genética , Humanos , Inmunosupresores/administración & dosificación , Inmunosupresores/farmacocinética , Leucocitos Mononucleares , Tacrolimus/administración & dosificación , Tacrolimus/farmacocinética , Receptores de Trasplantes
17.
Int J Med Sci ; 19(1): 13-24, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-34975295

RESUMEN

Retinal ischemia-reperfusion injury (RIRI) is of common occurrence in retinal and optic nerve diseases. The BDNF/TrkB signaling pathway has been examined to be neuroprotective in RIRI. In this study, we investigated the role of a potent selective TrkB agonist 7,8-dihydroxyfavone (DHF) in rat retinas with RIRI. Our results showed that RIRI inhibited the conversion of BDNF precursor (proBDNF) to mature BDNF (mBDNF) and increased the level of neuronal cell apoptosis. Compared with RIRI, DHF+RIRI reduced proBDNF level and at the same time increased mBDNF level. Moreover, DHF administration effectively activated TrkB signaling and and downstream Akt and Erk signaling pathways which increased nerve cell survival. The combined effects of mBDNF/proBDNF increase and TrkB signaling activation lead to reduction of apoptosis level and protection of retinas with RIRI. Moreover, it was also found that astrocytes labeled by GFAP were activated in RIRI and NF-kB mediated the increased expressions of inflammatory factors and these effects were partially reversed by DHF administration. Besides, we also used RNA sequencing to analyze the differently expressed genes (DEGs) and their enriched (Kyoto Encyclopedia of Genes and Genomes) KEGG pathways between Sham, RIRI, and DHF+RIRI. It was found that 1543 DEGs were differently expressed in RIRI and 619 DEGs were reversed in DHF+RIRI. The reversed DEGs were typically enriched in PI3K-Akt signaling pathway, Jak-STAT signaling pathway, NF-kB signaling pathway, and Apoptosis. To sum up, the DHF administration alleviated apoptosis and inflammation induced by RIRI via activating TrkB signaling pathway and may serve as a promising drug candidate for RIRI related ophthalmopathy.


Asunto(s)
Apoptosis/efectos de los fármacos , Flavanonas/farmacología , Inflamación/prevención & control , Glicoproteínas de Membrana/metabolismo , FN-kappa B/metabolismo , Fármacos Neuroprotectores/farmacología , Proteínas Proto-Oncogénicas c-akt/metabolismo , Receptor trkB/metabolismo , Daño por Reperfusión/fisiopatología , Retina/fisiopatología , Animales , Modelos Animales de Enfermedad , Masculino , Ratas Sprague-Dawley , Daño por Reperfusión/metabolismo , Transducción de Señal
18.
Nano Lett ; 21(1): 634-641, 2021 01 13.
Artículo en Inglés | MEDLINE | ID: mdl-33264027

RESUMEN

Circulating tumor cells (CTCs) have been considered as a potential biomarker for evaluation of cancer metastasis and prognosis, especially in hepatocellular carcinoma (HCC). However, the isolation and detection of rare CTCs in HCC patients face enormous challenges due to omittance and nonspecific binding. We previously designed a small molecular NIR fluoresent agent, named MLP, which had high affinity with a tumor cell-overexpressed enzyme, aminopeptidase N (APN). Based on that, in this work we introduced a novel strategy via coassembling the antiepithelial cell adhesion molecule (EpCAM) antibody and MLPinto theFe3O4 magnetic nanobeads (MB-MLP-EpCAM) to isolate and identify HCC-CTCs coinstantaneously. MB-MLP-EpCAM significantly improved the CTC-capture efficiency (>85%) without sacrificing cell viability (>90%). Most importantly, the advantages of precise dual-targetability, high resolution of fluorescence imaging, and prominent selectivity make our nanoplatform have great potential to achieve in vivo real-time identification and monitoring of CTCs clinically.


Asunto(s)
Carcinoma Hepatocelular , Neoplasias Hepáticas , Células Neoplásicas Circulantes , Carcinoma Hepatocelular/diagnóstico por imagen , Molécula de Adhesión Celular Epitelial , Humanos , Neoplasias Hepáticas/diagnóstico por imagen , Fenómenos Magnéticos , Pronóstico
19.
Entropy (Basel) ; 24(11)2022 Nov 10.
Artículo en Inglés | MEDLINE | ID: mdl-36359722

RESUMEN

Existing fusion rules focus on retaining detailed information in the source image, but as the thermal radiation information in infrared images is mainly characterized by pixel intensity, these fusion rules are likely to result in reduced saliency of the target in the fused image. To address this problem, we propose an infrared and visible image fusion model based on significant target enhancement, aiming to inject thermal targets from infrared images into visible images to enhance target saliency while retaining important details in visible images. First, the source image is decomposed with multi-level Gaussian curvature filtering to obtain background information with high spatial resolution. Second, the large-scale layers are fused using ResNet50 and maximizing weights based on the average operator to improve detail retention. Finally, the base layers are fused by incorporating a new salient target detection method. The subjective and objective experimental results on TNO and MSRS datasets demonstrate that our method achieves better results compared to other traditional and deep learning-based methods.

20.
Angew Chem Int Ed Engl ; 61(47): e202210249, 2022 11 21.
Artículo en Inglés | MEDLINE | ID: mdl-36082673

RESUMEN

Singlet oxygen can be generated by thermal cycloreversion of aromatic endoperoxides. However, for any practical potential of chemically generated singlet oxygen within a therapeutic context, the time and place of the release of this cytotoxic species must be tightly regulated. We now show that using a bimodular design with a hypoxia responsive unit and fluoride-triggered endoperoxide unit, a bioorthogonal metabolic shunt can be established, where an enzymatically generated submicromolar fluoride signal plays a crucial role. Thus, cellular nitroreductase is repurposed in a bioorthogonal enzymatic activity, where it releases fluoride ions upon the reduction of a targeted compound. The fluoride ions released in the initial reaction remove the silyl stopper, yielding a highly accelerated release of singlet oxygen. The result is a remarkable difference in cytotoxicity between hypoxic and normoxic conditions as evidenced by microscopy, viability assays and the use of control compounds.


Asunto(s)
Antineoplásicos , Oxígeno Singlete , Humanos , Oxígeno Singlete/metabolismo , Fluoruros , Hipoxia , Oxígeno
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