Current Medicinal Chemistry - Online First
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161 - 180 of 193 results
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Exploring Therapeutic Strategies against Monkeypox Virus Through Network Pharmacology and Bioinformatics Analysis
Authors: Zafer Saad Al Shehri, Faez Falah Alshehri and Abdur RehmanAvailable online: 23 April 2025More LessIntroductionThe emergence of the monkeypox virus (MPXV) as a zoonotic threat has necessitated the development of effective treatments, particularly after it spread to regions outside of Central and Western Africa, such as the 2003 outbreak in the United States. Our groundbreaking study identifies CDK1 and TOP2A as key proteins in the pathogenesis of MPXV infection, utilizing network pharmacology to target these proteins for the first time. CDK1 and TOP2A, previously known for their roles in cell reprogramming, emerge as critical targets in our strategy to combat the virus.
MethodsBy targeting CDK1 and TOP2A, proteins integral to cell reprogramming, with small molecules identified in our study, such as carnosic acid, rosmarinic acid, and coclaurine, we propose a novel method not only to inhibit the replication of the monkeypox virus but also to harness cellular plasticity for therapeutic purposes. The identification and targeting of these proteins with specific compounds disrupt the virus's life cycle and simultaneously enhance the efficiency of cell reprogramming.
ResultsThis dual-action approach leverages the inherent plasticity of cellular reprogramming processes to combat the virus, showcasing a pioneering step in the use of regenerative medicine principles for antiviral strategies. Moreover, molecular docking and dynamic simulations strengthen our findings by demonstrating a strong binding affinity between TOP2A and CDK1, validating the synergistic effects of our identified small molecules.
ConclusionOur research thus opens new avenues for addressing viral threats like monkeypox, utilizing the convergence of virology, network pharmacology, and cellular reprogramming to pave the way for innovative treatments.
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Erbin Inhibited Angiogenesis in vitro with the Inhibition on the STAT3 Pathway in Breast Cancer Cells
Authors: MingZhen Zhao, HaiLan Xu, Yu Sun, XinYang Li, LingLing Wang, Xing Zhao, Die Mu, YaLei Li and LiXin SunAvailable online: 23 April 2025More LessBackgroundAngiogenesis plays an important role in progression of tumors including breast cancer, which accounts for the vast majority of women's malignant tumors globally, to meet the excessive requirement of oxygen and nutrition for growth, metastasis, and invasion of the tumor. Therefore, targeting tumor angiogenesis has turned into a significant target for cancer therapy. Erbin has a significant effect on the initiation and progression of cancer, including breast cancer, but its role in inhibiting vascular endothelial cell proliferation and angiogenesis by breast cancer cells remains unclear.
MethodsIn this study, human SKBR3 and MCF-7 breast cancer cells were used and transfected with the plasmid and siRNA for overexpression and silence of Erbin, respectively. Western blot, qRT-PCR, CLEIA, CCK-8 and Matrigel Tube Formation Assay were used for the proteins detection, mRNAs detection, detection of VEGF in the culture supernatants, detection of cell proliferation and detection of the angiogenic ability of HUVECs in vitro, respectively.
ResultsIt was shown that the expression of both Erbin protein and mRNA in SKBR3 cells was lower compared to that in MCF-7 cells (p < 0.05). While the expression of VEGF protein was higher in SKBR3 cells than that in MCF-7 cells (p < 0.05). Furthermore, the VEGF protein and mRNA in the cells, VEGF protein in the culture supernatant, HUVEC proliferation in the conditioned medium at 16 h and 24 h, the total length of tube formation in the conditioned medium, and pSTAT3 protein in the cells, were downregulated by transfection of Erbin gene in SKBR3 cells and upregulated (excluding HUVEC proliferation at 16 h) by transfection of Erbin siRNA in MCF-7 cells compared with their NC cells (p < 0.05).
ConclusionIt can be concluded that Erbin, with inhibiting the STAT3 pathway, suppresses the proangiogenic effects of breast cancer cells, thereby suggesting its potential as a therapeutic target for breast cancer.
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Research Progress on the Application of Ultrasound Assistance in Tumor Immunotherapy
Authors: Lu Yao Fan, Hui Yu, Li Wen Cui and Zhi Yong ShenAvailable online: 18 April 2025More LessRecently, ultrasound (US)-assisted tumor immunotherapy has attracted widespread attention due to its deep penetration as well as its non-invasive and non-ionizing radiation properties. In this review, we briefly elucidated the mechanisms of anti-tumor immunotherapy assisted by the US. The contents include the following: the mechanical effects, thermal effects, and cavitation effects of US, sonodynamic therapy, US combined with programmed cell death protein 1 / programmed cell death 1 ligand 1 antibodies, US-enhanced chimeric antigen receptor T cell immunotherapy, cell pyroptosis and US, US combined with radiotherapy, US combined with glycolysis inhibition, and the use of various US-modulated signaling pathways to enhance tumor immunity. This review provides a broad overview of the mechanisms and roles of US assistance in tumor immunotherapy.
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Protective Effects of Ginsenosides on Drug-induced Cardiotoxicity: A New Therapeutic Approach with Focus on Molecular Mechanisms in Cardio-oncology Field
Available online: 17 April 2025More LessPanax ginseng (PG), a staple in traditional medicine in Korea and China, holds a rich history of application for various diseases. Notably, its primary active components, ginsenosides, exhibit diverse therapeutic effects. Chemotherapy-induced side effects pose significant challenges to the treatment outcomes of cancer patients. Current strategies for managing the adverse effects of chemotherapy exhibit limited efficacy and have the potential to induce various detrimental side effects. In the realm of complications, cardiotoxicity poses a serious threat, ranking as the second major contributor to illness and death in individuals suffering cancer. It is linked to various cellular mechanisms such as oxidative stress, inflammation, apoptosis, autophagy, endoplasmic reticulum stress, and aberrant myocardial energy metabolism. Both in vivo and in vitro experiments confirm that ginsenosides undeniably present non-toxic and efficacious alternatives for addressing chemotherapy-induced side effects, including cardiotoxicity, neurotoxicity, nephrotoxicity, hepatotoxicity, immunotoxicity, and hematopoietic inhibition. Hence, there is a need to produce novel and potent drugs sourced from natural, non-toxic compounds to address the side effects induced by chemotherapy. The emphasis should be on the underlying mechanisms targeting mentioned cellular pathways. In this comprehensive review, we consolidate current knowledge and summarization with this aim and shed light on the future research of PG in cardio-oncology.
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Mechanisms and Characteristics of Chronic Pain in Alzheimer’s Disease: A Narrative Review
Authors: Roman Konovalov, Mina Aubakirova and Dmitriy VidermanAvailable online: 15 April 2025More LessAlzheimer’s disease is a neurodegenerative illness that significantly diminishes patients’ quality of life. Chronic pain remains a major contributor to exacerbating patients’ well-being. This comprehensive review aims to explore the mechanisms underlying pain perception in AD as well as identify potential targets and future considerations for pain relief. AD causes structural and functional alterations in the affected brain, including shrinkage of gray matter volume and disruptions in brain network connectivity. Besides memory loss, pain is a significant yet often neglected symptom. Effective pain management in AD is challenged by the adverse effects of pain-relief medications and communication difficulties, especially as the disease progresses. Both non- and pharmacological interventions are currently used to alleviate pain in AD. Pharmacological options include opioids, nonsteroidal anti-inflammatory drugs, paracetamol/acetaminophen, and adjuvant pain relievers like antidepressants and antiepileptic medications, though these are not officially approved for pain relief in AD. Non-pharmacological strategies, such as exercise therapy, music therapy, Reiki, reflexology, and behavioral therapy, are preferred to prevent the side effects of medication. However, the use of these methods is limited due to a lack of high-quality research. The review highlights a crucial link between neurological changes in AD and the perception of pain, underscoring the need for customized pain management approaches for this population. Emphasizing non-pharmacological interventions could potentially improve pain management in AD patients, provided that further research supports their effectiveness.
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lncRNAs and circRNAs: Emerging Players in Pediatric Medulloblastoma Pathology
Authors: Ozal Beylerli, Elmar Musaev, Tatiana Ilyasova and Albert SufianovAvailable online: 15 April 2025More LessMedulloblastomas (MBs) are the most common malignant brain tumors in children, marked by aggressive growth, molecular heterogeneity, and a high propensity for cerebrospinal dissemination. Despite advancements in conventional treatments - surgery, chemotherapy, and radiation therapy—substantial challenges persist, including debilitating long-term toxicities and emerging resistance to therapy. This review examines the multifaceted roles of non-coding RNAs (ncRNAs) - particularly long non- coding RNAs (lncRNAs) and circular RNAs (circRNAs) - in pediatric medulloblastoma pathogenesis, diagnosis, and therapeutic targeting. NcRNAs exert robust regulatory effects on gene expression by modulating signaling pathways, acting as miRNA sponges, and controlling the expression of oncogenic or tumor-suppressive genes. In this study, we focus on notable examples of lncRNAs (e.g., HOTAIR, TP73-AS1) and circRNAs (e.g., circ-SKA3, circ_63706) implicated in fundamental oncogenic processes, such as cell proliferation, apoptosis, metastasis, and stem cell maintenance. We also discuss their subgroup-specific roles, emphasizing high-risk groups, such as Sonic Hedgehog (SHH) and Group 3 medulloblastomas. In parallel, we explore the potential of ncRNAs to serve as diagnostic/prognostic biomarkers, given their tissue-specific expression, stability, and detectability in biological fluids like the Cerebrospinal Fluid (CSF). Finally, we review emerging therapeutic strategies, including antisense oligonucleotides, RNA sponges, and CRISPR-based editing, aimed at disrupting oncogenic ncRNA functions or reinforcing tumor-suppressive pathways. While these strategies hold promise, major hurdles include functional redundancy, optimizing in vivo delivery, and mitigating off-target effects. By detailing these challenges and outlining future research directions, this review underscores the revolutionary potential of ncRNA-focused diagnostics and therapies for managing pediatric medulloblastomas, offering new paths for improving survival outcomes and quality of life in affected children.
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TGF-β: The Molecular Mechanisms of Atherosclerosis - insights into SMAD Pathways and Gene Therapy Prospects
Available online: 15 April 2025More LessAtherosclerosis, a leading cause of global morbidity and mortality, is characterized by plaque formation resulting from the accumulation of fibrous elements, lipids, and calcification in arteries, leading to complications such as ischemic stroke, coronary artery disease, and myocardial infarction. Traditional treatments primarily address symptoms but fail to target underlying causes, prompting exploration of novel approaches like gene therapy. The TGF-β family, encompassing TGF-β1, TGF-β2, and TGF-β3, plays a critical role in cellular processes including proliferation, apoptosis, and migration, with its dysregulation strongly linked to cardiovascular diseases. In atherosclerosis, TGF-β influences key factors, such as macrophage cholesterol regulation, plaque stability, and vascular smooth muscle cell function, while also contributing to endothelial dysfunction-an early stage in disease development. Personalized medicine has highlighted the importance of tailoring therapies to genetic profiles, particularly regarding TGF-β pathway variations such as SNPs in TGF-β1 and TGFBR2, which could inform more precise interventions. Emerging technologies like CRISPR-Cas9 and RNA-based therapies enable targeted modulation of these genetic factors, offering new avenues to mitigate disease progression. CRISPR-Cas9 allows direct editing of gene loci linked to atherosclerosis, potentially correcting mutations or modulating expression levels, while RNA-based therapies, including siRNAs and antisense oligonucleotides, provide additional precision tools for addressing dysregulated genes. This review focuses on identifying key genes and additional molecular players involved in or regulated by the TGF-β pathway that may serve as precise targets for gene therapy intervention in atherosclerosis and related cardiovascular diseases. By targeting genes involved in cholesterol metabolism, inflammation, and endothelial function, gene therapy offers a targeted strategy to ameliorate the genetic drivers of these conditions. In summary, modulation of TGF-β signaling by gene therapy has the potential to revolutionize the treatment of atherosclerosis and other cardiovascular diseases while shedding light on the underlying genetic mechanisms of these disorders.
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COL4A1 Promotes Gastric Cancer Progression by Regulating Tumor Invasion, Tumor Microenvironment and Drug Sensitivity
Authors: Xiaojun Qian, Wei Jia, Yuntian Li, Jian Chen, Jinguo Zhang and Yubei SunAvailable online: 07 April 2025More LessBackgroundCollagen type IV alpha 1 chain (COL4A1), which has been proven to be a potential biomarker in Gastric Cancer (GC), but its role in tumors and the tumor microenvironment (TME) needs further explanation.
MethodsWe analysed the relationship between COL4A1 and clinical characteristics based on The Cancer Genome Atlas (TCGA) database and verified by tissue microarrays as well as GC cell lines using immunohistochemistry, Q-PCR, Western blot, cell proliferation assays, colony formation assays, cell invasion and migration assays. The immune infiltration and drug sensitivity information between high and low COL4A1 expression were analysed by R package and pRRophetic package. Finally, we established a nomogram based on COL4A1 expression using the bootstrap method.
ResultsCOL4A1 was overexpressed in gastric carcinoma compared with normal gastric tissue, indicating a poor prognosis of GC patients in the TCGA database which were also validated by GC tissue microarrays. GO, KEGG and hallmark enrichment analyses indicated that COL4A1 was mainly associated with the extracellular matrix than malignant proliferation. By siRNA transfection, we found that COL4A1 knockdown inhibited cell colony formation, invasion and migration but did not affect cell proliferation, similar to previous results. Immune infiltration and drug sensitivity analysis showed that COL4A1 was negatively correlated with antitumor immunity and positively correlated with multidrug resistance. By developing a nomogram model based on 8 risk factors, including COL4A1, patients with better clinical outcomes could be accurately distinguished.
ConclusionCOL4A1 is identified as a prognostic marker and potential therapeutic target in gastric cancer. Its overexpression correlates with poor prognosis, tumor invasion, and immunosuppression. A nomogram based on COL4A1 can predict patient outcomes. Future research should validate these findings and explore targeted therapies.
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Development of Potential Pharmacological Targets to Normalize Gene Expression in Islets of Type 2 Diabetic Patients
Available online: 07 April 2025More LessBackgroundType 2 diabetes (T2D) is a disease of high prevalence that is expected to continue increasing despite the pharmacological treatments available; in most cases, it is difficult to control. Therefore, more research on experimental drugs is necessary to propose better treatments.
ObjectiveThis study aimed to identify the molecular alterations of pancreatic islets in type 2 diabetes through multi-omics data integration and possible pharmacological targets using bioinformatics methods.
MethodsIn this study, the OmicsNet tool was used to integrate the multi-omics data associated with T2D, and the protein-protein interaction was visualized. Then, gene ontology and KEGG pathways analyses were carried out. Using the DrugRep server, the hub genes obtained underwent a virtual screening with experimental drugs, and twelve experimental drugs were selected to execute the molecular docking by CB-Dock2. Finally, the interactions were displayed in BIOVIA software.
ResultsOur results showed that the main molecular alterations of pancreatic islets in T2D were enzyme binding, mitochondrial metabolism, transcription factors, etc. They were involved in glucose uptake, receptor insulin signaling, and secretion. The molecular docking showed that SRC, AKT1, CREBBP, and HSP90AA1 were therapeutic targets for DB02729, DB04877, DB07970, DB07789, and DB03373.
ConclusionWe identified some alterations in the pancreas of patients with T2D, ten hub genes, and five experimental drugs that could potentially correct gene expression abnormalities. However, further studies are required to validate these results.
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In Silico ADMET Studies, Molecular Docking and Molecular Dynamics Simulation of Thiadiazole Derivatives for the Identification of Putative HsaA Monooxygenase Inhibitors
Available online: 03 April 2025More LessIntroductionThe rise of drug-resistant strains of Mycobacterium tuberculosis (Mtb) represents a substantial public health challenge. Current TB treatments involve the combination of several antibiotics and other agents. However, the development of drug resistance, reduced bioavailability, and elevated toxicity have rendered most of the drugs less effective.
MethodsTo resolve this problem, the identification of novel anti-tuberculosis agents with novel mechanisms of action is the need of the hour. HsaA monooxygenase is an enzyme involved in cholesterol metabolism, particularly in certain strains of Mycobacterium bacteria. This research focuses on discovering new inhibitors for HsaA from a pool of 40 compounds using computational techniques like molecular docking and Molecular Dynamics (MD) simulations along with comparing it with GSK2556286.
ResultsDocking studies revealed that AK05 and AK13 showed good binding affinity as compared to GSK2556286. The docking scores of AK05, AK13, and GSK2556286 are -9.4, -9.0, and -8.9 kcal/mol, respectively. ADMET studies showed that these thiadiazole derivatives can be investigated as lead molecules for the development of novel antituberculosis drugs. MD simulation studies showed that both of the compounds AK05 and AK13 were stable at the binding site with RMSD below 0.25 nm.
ConclusionAll these findings demonstrated that AK05 and AK13 could be used as potent compounds for the development of HsaA monooxygenase inhibitors.
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Immunogenic Cell Death-relevant Molecular Patterns, Prognostic Genes, and Implications for Immunotherapy in Ovarian Cancer
Authors: Pijun Gong, Jia Li, Yinbin Zhang and Shuqun ZhangAvailable online: 03 April 2025More LessBackgroundOvarian cancer (OV) is one of the deadliest gynecologic cancers, and approximately 75% of serous ovarian cancer (SOC) patients are diagnosed at advanced stages due to the lack of effective biomarkers.
ObjectiveImmunogenic cell death (ICD) has been investigated in many comprehensive studies, and the role of ICD in ovarian cancer and its impact on immunotherapy is not yet known.
MethodsThe NMF clustering analysis was employed to categorize OV samples into different subgroups. Survival, mutation, and CNV analyses were performed in these clusters. ESTIMATE, CIBERSORT, TIDE, and drug sensitivity analyses (based on GDSC) were also performed on the subtypes. Then, differentially expressed immunogenic cell death genes (DE-ICDGs) in OV were obtained by crossing the DEGs between cluster3 vs. cluster1, DEGs from the TCGA-GTEx dataset, and DEGs from the GSE40595 dataset. Functional enrichment analysis of DE-ICDGs was then performed. The signature genes related to the prognosis of OV in three OV datasets were excavated by drawing Kaplan-Meier curves. Finally, quantitative real-time PCR (qRT-PCR) was performed to verify the expression trends of the signature genes.
ResultsThe NMF clustering analysis categorized OV samples into three distinct groups according to the expression levels of ICDGs, with differential analysis indicating that Cluster3 represented the subgroup with high ICD expression. Mutation and CNV analysis did not differ significantly between clusters, but Amp and Del's numbers did. Immuno-infiltration analysis revealed that cluster3 showed significant differences from cluster1 and cluster2. Immunotherapy and drug sensitivity analysis showed differences in immunotherapy and chemotherapy sensitivity between the clusters. The DEGs in cluster3 vs. cluster1, TCGA-GTEx dataset and GSE40595 dataset were intersected to obtain a total of 71 DE-ICDGs, and functional enrichment result suggested that the DE-ICDGs were significantly correlated with inflammatory response, complement system and positive regulation of cytokine production. 2 DE-ICDGs (FN1 and LUM) were identified that were associated with OV prognosis and were validated significantly down-regulated in the SOC group with PCR.
ConclusionWe identified ICD-associated subtypes of OV and mined 2 OV prognostic genes (FN1 and LUM) associated with ICD, which may have important implications for OV prognosis and therapy.
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Decoding Colorectal Cancer: Key Genes and Pathways in the Chinese Population Revealed
Authors: Dongbing Li and Guizhen LyuAvailable online: 03 April 2025More LessBackgroundAs the leading cause of cancer-related deaths globally, colorectal cancer (CRC) ranks third in prevalence. Gene Expression Omnibus (GEO) offers clinicians and bioinformaticians an accessible platform for genomic research across various cancer types, with a particular emphasis on CRC.
ObjectiveWe aim to uncover key genes and pathways in the Chinese CRC population.
MethodsWe identified differentially expressed genes (DEGs) in CRC utilizing four microarray datasets sourced from the GEO database, all specifically from the Chinese population. Functional enrichment analysis was conducted to uncover the molecular mechanisms at play in CRC. The PPI network and CytoHubba tools were employed to identify key genes linked to CRC, with further validation through databases such as Gene Expression Profiling Interactive Analysis (GEPIA), ONCOMINE, and the Human Protein Atlas (HPA).
ResultsOur analysis identified 188 DEGs with overlapping significance, comprising 97 up-regulated and 91 down-regulated genes. Gene Ontology (GO) analysis indicated that up-regulated DEGs were predominantly involved in the extracellular space. In contrast, the down-regulated ones were linked to bicarbonate transport and extracellular exosomes. Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis highlighted the involvement of up-regulated DEGs in cytokine-cytokine receptor interactions and the TNF signaling pathway. In contrast, the down-regulated genes were associated with nitrogen metabolism and bicarbonate reclamation in the proximal tubule. Notably, the transcriptional levels of CCL20, CDC20, CXCL1, CXCL2, CXCL5, NEK2, and PPBP were elevated in CRC tissues compared to normal tissues. In addition, CXCL12 showed a decreased expression. Additionally, the translational levels of CDC20 and PPBP were found to be higher in CRC tissues.
ConclusionEight genes (CCL20, CDC20, CXCL1, CXCL12, CXCL2, CXCL5, NEK2, and PPBP) were identified as potential diagnostic indicators for CRC. The identified pathways, such as cytokine-cytokine receptor interactions and TNF signaling, along with nitrogen metabolism and bicarbonate reclamation in the proximal tubule, are hypothesized to have a role in the genesis and progression of CRC. This study provides unique insights into the etiology and progression of CRC within the Chinese population.
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Target Selectivity of Cysteine Protease Inhibitors: A Strategy to Address Neglected Tropical Diseases
Available online: 25 March 2025More LessNeglected tropical diseases (NTDs) are a group of infectious diseases that mainly affect the population living in poverty and without basic sanitation, causing severe damage to countries' economies. Among them, Leishmaniasis, Chagas disease, sleeping sickness, and related diseases such as Malaria stand out, which, despite being well known, have limited treatments based on old drugs and have high rates of parasite resistance. In addition, current drugs have an uncertain mechanism of action, and there is a need to identify new mechanisms to overcome problems related to side effects and resistance. In a sense, exploring cysteine proteases (CPs) may be a promising alternative that can lead to discovering innovative drugs that may be useful against these diseases. However, exploring CPs in drug discovery should be a cautious and rational process since parasitic CPs show a high degree of homology with human CPs, raising the need to identify increasingly specific patterns of target selectivity to identify safer drugs with fewer side effects. Finally, in this review, we present the main aspects related to the design of CP inhibitor drugs, highlighting structural features of ligands and targets that can be used in the design of new compounds against Leishmaniasis (LmCPB), Chagas disease (Cruzain), sleeping sickness (rhodesain) and malaria (falcipain). We hope our findings can guide researchers in searching for an innovative drug that can be used against these diseases that threaten the world population's health.
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Identification of a Protein-truncating Variant in SCAPER Gene Causing Syndromic form of Intellectual Disability
Available online: 25 March 2025More LessBackgroundIntellectual disability (ID) is characterized by impairments in cognitive functioning and adaptive behavior. Globally, it affects 1-3% of the general population, with an increased prevalence in consanguineous families. It is a clinically heterogeneous disorder that can manifest as a variable phenotype. Intellectual developmental disorder and retinitis pigmentosa (IDDRP) is a rare syndrome in which patients present with both ID and retinitis pigmentosa.
Aims and ObjectivesThis study examined a consanguineous family to identify disease-associated pathogenic mutations and elucidate their potential functional impact in patients with IDDRP.
MethodologyClinical assessment of the patients revealed characteristics consistent with both intellectual disability (ID) and retinitis pigmentosa. Individuals affected by IDDRP were subjected to whole exome sequencing (WES), and the identified candidate pathogenic variants were validated by Sanger sequencing. Computational analyses were conducted to evaluate the impact of these mutations on the protein structure and function.
ResultsWES identified a protein-truncating variant, c.2605A>T (p.Lys869Ter), in the S-phase cyclin A-associated protein in the endoplasmic reticulum (SCAPER) gene. SCAPER has previously been reported to cause IDDRP. In silico analyses revealed structural and interactional alterations in the SCAPER protein. This variant is novel in the Pakistani population and has not been previously reported. This variant exhibits an autosomal recessive mode of inheritance and segregates among the investigated affected and unaffected family members.
ConclusionThe present study expands the spectrum of disease-causing variants in SCAPER and will contribute to a better understanding of the genetic etiology of IDDRP.
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Prognostic Role of Global DNA Methylation in Renal Cancer Reveals Decitabine Treatment Benefit
Authors: Wei Wu, Bin Huang, Peng Xia, Quanzhong Liu, Jin Yi, Ruohan Zhang and Qianghu WangAvailable online: 12 March 2025More LessBackgroundRenal cancer presents a significant global health challenge due to its rising incidence and mortality rates. Often undetected in early stages, it complicates diagnosis and treatment. Current therapies face resistance and limited effectiveness, especially in advanced stages. The diverse subtypes of renal cancer highlight the need for new biomarkers and risk assessment tools for targeted treatments.
ObjectiveThis study aims to assess the prognostic significance of global DNA methylation (GM) levels in renal cancer, identify new biomarkers, and evaluate the therapeutic potential of the DNA methyltransferase inhibitor decitabine.
MethodsData on RNA sequencing, gene mutations, DNA methylation, and clinical outcomes were collected from TCGA and GEO databases. We calculated global DNA methylation scores (GMS) and categorized patients into high, intermediate, and low GMS groups. Survival analysis and genomic analyses were conducted to explore the relationships between GMS, clinical outcomes, and tumor characteristics.
ResultsHigher GMS was identified as an independent prognostic factor associated with worse outcomes in renal cancer. Patients with elevated GMS showed increased mutations, copy number variations, and a more aggressive tumor phenotype. Treatment with decitabine was observed to reduce tumor hypermethylation and downregulate cell cycle pathway activity, indicating potential therapeutic benefits.
ConclusionGlobal DNA methylation plays a significant role in renal cancer prognosis. GMS may serve as valuable biomarkers for prognosis and personalized treatment strategies. Decitabine shows potential efficacy for high GMS patients, particularly through its impact on cell cycle regulation, underscoring the importance of personalized approaches in cancer treatment.
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Near-infrared (NIR) Fluorophores in Cancer Bioimaging and Therapy
Authors: Libo Yan, Weiming Zhang, Daogang Wang, Min Zhang, Ning Xu, Mengzhe Yang and Tao RenAvailable online: 12 March 2025More LessThe development of multiple fluorescent agents has contributed to cancer diagnosis and therapy. Near-infrared (NIR) dyes have already been well studied and displayed significant potential in cancer bioimaging and therapy due to their unique characteristics. In the present literature, we illustrated the updated NIR classification and characteristics as well as their applications in (pre-) clinical cancer imaging and treatment. The NIR-based photodynamic therapy (PDT) and photothermal therapy (PTT) were also discussed, including their present limitations. Taken together, the future development of NIR fluorophores would greatly improve cancer precision diagnosis and targeted therapy as one of the promising approaches in this field.
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The Role of MicroRNAs in Mitochondrial Homeostasis and their Involvement in the Pathogenesis of Obesity and Metabolic Syndrome: A Focus on MicroRNAs
Available online: 07 March 2025More LessThe maintenance of the functional potential of mitochondria is directly related to epigenetic factors, microRNAs (miRs), and mitomicroRNAs (mitomiRs). An important role in the development of metabolic syndrome (MetS)/obesity is attributed to miRs, which have pro-inflammatory or anti-inflammatory potential and can penetrate the mitochondrial matrix. Deciphering the mechanisms responsible for the transport of miRs into the mitochondria would, we believe, allow us to use the knowledge obtained to build designs for the transport of drugs/mitomiRs into cells/mitochondria with low toxicity. A thorough understanding of the polyfunctionality/versatility of individual mitomiRs in specific cells (cell cultures, tissues: adipocytes, brain cells) will allow targeting cellular metabolism to comprehensively block the central link in disease pathogenesis with low potential side effects of this treatment. In this review, we have attempted to identify the key miRs/mitomiRs associated with MetS that affect mitochondrial function. In our opinion, further research should focus specifically on the miR/mitomiRs described here and further investigate their potential in the development of MetS and its components.
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Development of an Inflammation-related Gene-based Diagnostic Risk Model and Immune Infiltration Analysis in Bipolar Disorder
Available online: 05 March 2025More LessObjectiveThis study aimed to construct a diagnostic risk model for Bipolar Disorder (BD) using inflammation-related genes (IRGs) and to explore the role of immune cell infiltration in BD pathogenesis.
MethodsBD datasets (GSE23848, GSE124326, GSE39653, and GSE46449) were retrieved from the Gene Expression Omnibus (GEO) database. Differentially expressed genes (DEGs) were identified using the edgeR package. The intersection of DEGs and IRGs was defined as differentially expressed IRGs. A LASSO regression model was used to identify optimal biomarkers, which were then utilized to construct a diagnostic risk model. Receiver operating characteristic (ROC) curves were used to evaluate the diagnostic accuracy of the biomarkers. Internal validation was performed with GSE124326, while external validation utilized GSE23848, GSE39653, and GSE46449. The xCell module in the IOBR package was employed to assess immune cell infiltration proportions. The relationship between IRGs, the diagnostic risk model, and immune cell dynamics was further analyzed.
ResultsA total of 2345 DEGs were identified in GSE124326. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses indicated that inflammatory pathways are critically involved in BD pathogenesis. A total of 69 BD-related IRGs were identified. Six key IRGs (IL33, DNASE1L3, IL2RA, CD70, CLEC5A, and SLPI) were identified through LASSO regression analysis and used to develop a diagnostic risk model. Internal and external validations confirmed the robust diagnostic performance of the risk model. Immuno-infiltration analysis showed significant differences in immune cell infiltration between BD patients and healthy controls. The diagnostic risk model and four potential biomarkers (DNASE1L3, IL2RA, CD70, and SLPI) showed strong correlations with various immune cell types.
ConclusionA diagnostic risk model for BD was constructed based on IRGs, highlighting the critical role of immune cell infiltration in BD pathogenesis.
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HER3-targeting Antibody-drug Conjugates Therapy for Solid Tumors: Recent Advances and Future Potentials
Authors: Xuerui Wang, Linlin Zhao, Fangfang Gao, Yuan Meng, Jie Yang, Meiying Zhu, Dongying Liao, Yingjie Jia and Fanming KongAvailable online: 24 February 2025More LessIn most advanced cancers, standard medical treatments are generally employed. With the emergence of Antibody-Drug Conjugates (ADCs), more optimal therapeutic methods have become available for treating tumors. ADC is composed of a monoclonal antibody that targets a specific antigen and a cytotoxic payload, which conjugates via the synthetic linkers. Therefore, ADC combines the accurate targeting of monoclonal antibodies with the potent efficacy of cytotoxic chemotherapy drugs while circumventing systemic toxicity. Besides, the epidermal growth factor receptor (EGFR) family, expressing differently between tumors and normal tissues, is one of the most frequently targeted antigens for ADC therapy, which mainly encompasses EGFR1/ERBB1, human epidermal growth factor receptor 2/ epidermal growth factor receptor 2 (HER2/ERBB2), HER3/ERBB3, and HER4/ERBB4. In contrast to other targets, HER3 stands out as a promising one, closely associated with the pathogenesis of treatment resistance in several cancers. Moreover, solid tumors, which are more prevalent than hematological malignancies, present a vast field of opportunities for the development of HER3-targeting ADCs. However, research on HER3-targeting ADCs treating solid tumors remains insufficient. Therefore, it is imperative for researchers to gather more clinical trial data and continue to elucidate the efficacy and safety of HER3-ADCs in solid tumors. This review summarizes recent advances and future potentials, aiming to provide insights into targeted therapy. We hope that this review will provide useful information to physicians in the field.
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DDX59-AS1: A Novel Prognostic Biomarker and Immunotherapy Predictor in Lung Adenocarcinoma
Authors: Yanli Wang, Wei Li, Su Wei, Lixi Zhang, Dongbing Li and Xu QiAvailable online: 18 February 2025More LessBackgroundThe precise function of DDX59 Antisense RNA 1 (DDX59-AS1) in lung adenocarcinoma (LUAD) has yet to be fully elucidated.
ObjectiveThis study uses bioinformatics analysis and experimental validation to investigate the association between DDX59-AS1 and LUAD.
MethodsThis study uses statistical analysis and database interrogation to investigate the potential association between DDX59-AS1 expression and various clinical characteristics, prognostic factors, regulatory networks, and immune infiltration in LUAD. The quantification of DDX59-AS1 expression in LUAD cell lines is conducted through the use of quantitative real-time polymerase chain reaction (qRT-PCR).
ResultsDDX59-AS1 showed significantly elevated levels of expression in patients with LUAD. High levels of DDX59-AS1 expression were found to be significantly associated with poorer overall survival (OS) in patients with LUAD (p = 0.024). Furthermore, an independent correlation was observed between high DDX59-AS1 expression (p = 0.037) and OS in LUAD patients. DDX59-AS1 was found to be involved in various pathways, including glutathione metabolism, proteasome function, and the cytosolic DNA sensing pathway, among others. A significant correlation was observed between the expression levels of DDX59-AS1 and immune cell infiltration in the context of LUAD. Notably, elevated expression of DDX59-AS1 was observed in LUAD cell lines compared to the non-cancerous Beas-2B cell line.
ConclusionA significant correlation was observed between elevated DDX59-AS1 expression in patients with LUAD and adverse prognosis, alongside increased immune infiltration. These results indicate that DDX59-AS1 may function as a prognostic marker for LUAD and a potential predictor of immunotherapy response.
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