1.Electroacupuncture Improves Blood-Brain Barrier and Hippocampal Neuroinflammation in SAMP8 Mice by Inhibiting HMGB1/TLR4 and RAGE/NADPH Signaling Pathways.
Yuan WANG ; Qiang WANG ; Di LUO ; Pu ZHAO ; Sha-Sha ZHONG ; Biao DAI ; Jia-Jyu WANG ; Yi-Tong WAN ; Zhi-Bin LIU ; Huan YANG
Chinese journal of integrative medicine 2023;29(5):448-458
		                        		
		                        			OBJECTIVE:
		                        			To investigate the molecular mechanisms underlying the beneficial effect of electroacupuncture (EA) in experimental models of Alzheimer's disease (AD) in vivo.
		                        		
		                        			METHODS:
		                        			Senescence-accelerated mouse prone 8 (SAMP8) mice were used as AD models and received EA at Yingxiang (LI 20, bilateral) and Yintang (GV 29) points for 20 days. For certain experiments, SAMP8 mice were injected intravenously with human fibrin (2 mg). The Morris water maze test was used to assess cognitive and memory abilities. The changes of tight junctions of blood-brain barrier (BBB) in mice were observed by transmission electron microscope. The expressions of fibrin, amyloid- β (Aβ), and ionized calcium-binding adapter molecule 1 (IBa-1) in mouse hippocampus (CA1/CA3) were detected by reverse transcription-quantitative polymerase chain reaction (qRT-PCR), Western blot or immunohistochemical staining. The expression of fibrin in mouse plasma was detected by enzyme-linked immunosorbent assay. The expressions of tight junction proteins zonula occludens-1 and claudin-5 in hippocampus were detected by qRT-PCR and immunofluorescence staining. Apoptosis of hippocampal neurons was detected by terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) staining.
		                        		
		                        			RESULTS:
		                        			Fibrin was time-dependently deposited in the hippocampus of SAMP8 mice and this was inhibited by EA treatment (P<0.05 or P<0.01). Furthermore, EA treatment suppressed the accumulation of Aβ in the hippocampus of SAMP8 mice (P<0.01), which was reversed by fibrin injection (P<0.05 or P<0.01). EA improved SAMP8 mice cognitive impairment and BBB permeability (P<0.05 or P<0.01). Moreover, EA decreased reactive oxygen species levels and neuroinflammation in the hippocampus of SAMP8 mice, which was reversed by fibrin injection (P<0.05 or P<0.01). Mechanistically, EA inhibited the promoting effect of fibrin on the high mobility group box protein 1 (HMGB1)/toll-like receptor 4 (TLR4) and receptor for advanced glycation end products (RAGE)/nicotinamide adenine dinucleotide phosphate (NADPH) signaling pathways (P<0.01).
		                        		
		                        			CONCLUSION
		                        			EA may potentially improve cognitive impairment in AD via inhibition of fibrin/A β deposition and deactivation of the HMGB1/TLR4 and RAGE/NADPH signaling pathways.
		                        		
		                        		
		                        		
		                        			Mice
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Animals
		                        			;
		                        		
		                        			NADP/metabolism*
		                        			;
		                        		
		                        			Toll-Like Receptor 4
		                        			;
		                        		
		                        			HMGB1 Protein/metabolism*
		                        			;
		                        		
		                        			Receptor for Advanced Glycation End Products/metabolism*
		                        			;
		                        		
		                        			Blood-Brain Barrier/metabolism*
		                        			;
		                        		
		                        			Neuroinflammatory Diseases
		                        			;
		                        		
		                        			Electroacupuncture
		                        			;
		                        		
		                        			Alzheimer Disease/therapy*
		                        			;
		                        		
		                        			Hippocampus/metabolism*
		                        			;
		                        		
		                        			Amyloid beta-Peptides/metabolism*
		                        			
		                        		
		                        	
2.Manipulation of isocitrate dehydrogenase genes affects the anti-autolytic ability of lager yeast.
Kejia YE ; Haobo WU ; Chunfeng LIU ; Chengtuo NIU ; Feiyun ZHENG ; Qi LI ; Jinjing WANG
Chinese Journal of Biotechnology 2023;39(8):3451-3463
		                        		
		                        			
		                        			Yeast autolysis affects the flavor and quality of beer. The regulation of yeast autolysis is a need for industrial beer production. Previous studies on brewer's yeast autolysis showed that the citric acid cycle-related genes had a great influence on yeast autolysis. To explore the contribution of isocitrate dehydrogenase genes in autolysis, the IDP1 and IDP2 genes were destroyed or overexpressed in typical lager yeast Pilsner. The destruction of IDP1 gene improved the anti-autolytic ability of yeast, and the anti-autolytic index after 96 h autolysis was 8.40, 1.5 times higher than that of the original strain. The destruction of IDP1 gene increased the supply of nicotinamide adenine dinucleotide phosphate (NADPH) and the NADPH/NADP+ ratio was 1.94. After fermentation, intracellular ATP level was 1.8 times higher than that of the original strain, while reactive oxygen species (ROS) was reduced by 10%. The destruction of IDP2 gene resulted in rapid autolysis and a decrease in the supply of NADPH. Anti-autolytic index after 96 h autolysis was 4.03 and the NADPH/NADP+ ratio was 0.89. After fermentation, intracellular ATP level was reduced by 8% compared with original strain, ROS was 1.3 times higher than that of the original strain. The results may help understand the regulation mechanism of citric acid cycle-related genes on yeast autolysis and provide a basis for the selection of excellent yeast with controllable anti-autolytic performance.
		                        		
		                        		
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Isocitrate Dehydrogenase/genetics*
		                        			;
		                        		
		                        			NADP
		                        			;
		                        		
		                        			Reactive Oxygen Species
		                        			;
		                        		
		                        			Autolysis
		                        			;
		                        		
		                        			Adenosine Triphosphate
		                        			
		                        		
		                        	
3.Association of maternal MTHFD1 and MTHFD2 gene polymorphisms with congenital heart disease in offspring.
Qian CHEN ; Peng HUANG ; Xin-Li SONG ; Yi-Ping LIU ; Meng-Ting SUN ; Ting-Ting WANG ; Sen-Mao ZHANG ; Jia-Bi QIN
Chinese Journal of Contemporary Pediatrics 2022;24(7):797-805
		                        		
		                        			OBJECTIVES:
		                        			To study the association of maternal methylenetetrahydrofolate dehydrogenase 1 (MTHFD1) and methylenetetrahydrofolate dehydrogenase 2 (MTHFD2) gene polymorphisms with congenital heart disease (CHD) in offspring.
		                        		
		                        			METHODS:
		                        			A hospital-based case-control study was conducted. The mothers of 683 children with CHD alone who attended Hunan Children's Hospital, from November 2017 to March 2020 were enrolled as the case group, and the mothers of 740 healthy children who attended the same hospital during the same period and did not have any deformity were enrolled as the control group. A questionnaire survey was performed to collect related exposure data, and then venous blood samples (5 mL) were collected from the mothers to detect MTHFD1 and MTHFD2 gene polymorphisms. A multivariate logistic regression analysis was used to evaluate the association of MTHFD1 and MTHFD2 gene polymorphisms with CHD. The four-gamete test in Haploview 4.2 software was used to construct haplotypes and evaluate the association between haplotypes and CHD. The generalized multifactor dimensionality reduction method and logistic regression analysis were used to examine gene-gene interaction and its association with CHD.
		                        		
		                        			RESULTS:
		                        			The multivariate logistic regression analysis showed that maternal MTHFD1 gene polymorphisms at rs11849530 (GA vs AA: OR=1.49; GG vs AA: OR=2.04) andat rs1256142 (GA vs GG: OR=2.34; AA vs GG: OR=3.25) significantly increased the risk of CHD in offspring (P<0.05), while maternal MTHFD1 gene polymorphisms at rs1950902 (AA vs GG: OR=0.57) and MTHFD2 gene polymorphisms at rs1095966 (CA vs CC: OR=0.68) significantly reduced the risk of CHD in offspring (P<0.05). The haplotypes of G-G-G (OR=1.86) and G-A-G (OR=1.35) in mothers significantly increased the risk of CHD in offspring (P<0.05). The gene-gene interaction analyses showed that the first-order interaction between MTHFD1 rs1950902 and MTHFD1 rs2236222 and the second-order interaction involving MTHFD1 rs1950902, MTHFD1 rs1256142, and MTHFD2 rs1095966 might be associated with risk of CHD (P<0.05).
		                        		
		                        			CONCLUSIONS
		                        			Maternal MTHFD1 and MTHFD2 gene polymorphisms and their haplotypes, as well as the interaction between MTHFD1 rs1950902 and MTHFD1 rs2236222 and between MTHFD1 rs1950902, MTHFD1 rs1256142, and MTHFD2 rs1095966, are associated with the risk of CHD in offspring.
		                        		
		                        		
		                        		
		                        			Aminohydrolases/genetics*
		                        			;
		                        		
		                        			Case-Control Studies
		                        			;
		                        		
		                        			Child
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Genetic Predisposition to Disease
		                        			;
		                        		
		                        			Heart Defects, Congenital/genetics*
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Methylenetetrahydrofolate Dehydrogenase (NADP)/genetics*
		                        			;
		                        		
		                        			Minor Histocompatibility Antigens/genetics*
		                        			;
		                        		
		                        			Mothers
		                        			;
		                        		
		                        			Multifunctional Enzymes/genetics*
		                        			;
		                        		
		                        			Polymorphism, Single Nucleotide
		                        			;
		                        		
		                        			Risk Factors
		                        			
		                        		
		                        	
4.Do methylenetetrahydrofolate dehydrogenase, cyclohydrolase, and formyltetrahydrofolate synthetase 1 polymorphisms modify changes in intelligence of school-age children in areas of endemic fluorosis?
Zichen FENG ; Ning AN ; Fangfang YU ; Jun MA ; Na LI ; Yuhui DU ; Meng GUO ; Kaihong XU ; Xiangbo HOU ; Zhiyuan LI ; Guoyu ZHOU ; Yue BA
Chinese Medical Journal 2022;135(15):1846-1854
		                        		
		                        			BACKGROUND:
		                        			Excessive exposure to fluoride can reduce intelligence. Methylenetetrahydrofolate dehydrogenase, cyclohydrolase, and formyltetrahydrofolate synthetase 1 ( MTHFD1 ) polymorphisms have important roles in neurodevelopment. However, the association of MTHFD1 polymorphisms with children's intelligence changes in endemic fluorosis areas has been rarely explored.
		                        		
		                        			METHODS:
		                        			A cross-sectional study was conducted in four randomly selected primary schools in Tongxu County, Henan Province, from April to May in 2017. A total of 694 children aged 8 to 12 years were included in the study with the recruitment by the cluster sampling method. Urinary fluoride (UF) and urinary creatinine were separately determined using the fluoride ion-selective electrode and creatinine assay kit. Children were classified as the high fluoride group and control group according to the median of urinary creatinine-adjusted urinary fluoride (UF Cr ) level. Four loci of MTHFD1 were genotyped, and the Combined Raven's Test was used to evaluate children's intelligence quotient (IQ). Generalized linear model and multinomial logistic regression model were performed to analyze the associations between children's UF Cr level, MTHFD1 polymorphisms, and intelligence. The general linear model was used to explore the effects of gene-environment and gene-gene interaction on intelligence.
		                        		
		                        			RESULTS:
		                        			In the high fluoride group, children's IQ scores decreased by 2.502 when the UF Cr level increased by 1.0 mg/L (β = -2.502, 95% confidence interval [CI]:-4.411, -0.593), and the possibility for having "excellent" intelligence decreased by 46.3% (odds ratio = 0.537, 95% CI: 0.290, 0.994). Children with the GG genotype showed increased IQ scores than those with the AA genotype of rs11627387 locus in the high fluoride group ( P   <  0.05). Interactions between fluoride exposure and MTHFD1 polymorphisms on intelligence were observed (Pinteraction < 0.05).
		                        		
		                        			CONCLUSION
		                        			Our findings suggest that excessive fluoride exposure may have adverse effects on children's intelligence, and changes in children's intelligence may be associated with the interaction between fluoride and MTHFD1 polymorphisms.
		                        		
		                        		
		                        		
		                        			Child
		                        			;
		                        		
		                        			Creatinine
		                        			;
		                        		
		                        			Cross-Sectional Studies
		                        			;
		                        		
		                        			Fluorides/urine*
		                        			;
		                        		
		                        			Formate-Tetrahydrofolate Ligase
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Intelligence/genetics*
		                        			;
		                        		
		                        			Methylenetetrahydrofolate Dehydrogenase (NADP)
		                        			;
		                        		
		                        			Methylenetetrahydrofolate Reductase (NADPH2)
		                        			
		                        		
		                        	
5.RUNX3 regulates trastuzumab resistance of gastric cancer cells: a metabolomic analysis based on UPLC-Q Exactive Focus Orbitrap mass spectrometry.
Wen Hu LIU ; Jian Cai TANG ; Jin Xia CHANG
Journal of Southern Medical University 2022;42(4):498-508
		                        		
		                        			OBJECTIVE:
		                        			To explore the role of Runt-related transcription factor 3 (RUNX3) in metabolic regulation of trastuzumab-resistant gastric cancer cells and investigate the mechanism of RUNX3 knockdown-mediated reversal of trastuzumab resistance.
		                        		
		                        			METHODS:
		                        			We performed a metabolomic analysis of trastuzumab-resistant gastric cancer cells (NCI N87R) and RUNX3 knockdown cells (NCI N87R/RUNX3) using ultra performance liquid chromatography (UPLC) coupled with Q Exactive Focus Orbitrap mass spectrometry (MS). Multivariate combined with univariate analyses and MS/MS ion spectrums were used to screen the differential variables. MetaboAnalyst 5.0 database was employed for pathway enrichment analysis. Differential metabolites-genes regulatory relationships were constructed based on OmicsNet database. The changes in GSH/GSSG and NADPH/NADP ratios in NCI N87R/RUNX3 cells were measured using detection kits.
		                        		
		                        			RESULTS:
		                        			The metabolic profile of NCI N87R cells was significantly altered after RUNX3 knockdown, with 81 differential metabolites identified to contribute significantly to the classification, among which 43 metabolites were increased and 38 were decreased (P < 0.01). In NCI N87R cells, RUNX3 knockdown resulted in noticeable alterations in 8 pathways involving glutamine metabolism, glycolysis, glycerophospholipid, nicotinate-nicotinamide and glutathione metabolism, causing also significant reduction of intracellular GSH/GSSG and NADPH/NADP ratios (P < 0.01). The differential metabolites-genes network revealed a regulatory relationship between the metabolic molecules and genes.
		                        		
		                        			CONCLUSION
		                        			RUNX3 reverses trastuzumab resistance in gastric cancer cells by regulating energy metabolism and oxidation-reduction homeostasis and may serve as a potential therapeutic target for trastuzumab-resistant gastric cancer.
		                        		
		                        		
		                        		
		                        			Chromatography, High Pressure Liquid
		                        			;
		                        		
		                        			Core Binding Factor Alpha 3 Subunit/genetics*
		                        			;
		                        		
		                        			Glutathione Disulfide
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Metabolomics
		                        			;
		                        		
		                        			NADP
		                        			;
		                        		
		                        			Stomach Neoplasms/genetics*
		                        			;
		                        		
		                        			Tandem Mass Spectrometry
		                        			;
		                        		
		                        			Trastuzumab/pharmacology*
		                        			
		                        		
		                        	
6.Effect of Ambrisentan Therapy on the Expression of Endothelin Receptor, Endothelial Nitric Oxide Synthase and NADPH Oxidase 4 in Monocrotaline-induced Pulmonary Arterial Hypertension Rat Model
Hyeryon LEE ; Arim YEOM ; Kwan Chang KIM ; Young Mi HONG
Korean Circulation Journal 2019;49(9):866-876
		                        		
		                        			
		                        			BACKGROUND AND OBJECTIVES: Elevated endothelin (ET)-1 level is strongly correlated with the pathogenesis of pulmonary arterial hypertension (PAH). Expression level of nicotinamide adenine dinucleotide phosphate oxidase (NOX) 4 is increased in the PAH patients. Ambrisentan, a selective endothelin receptor A (ERA) antagonist, is widely used in PAH therapy. The current study was undertaken to evaluate the effects of ambrisentan treatment in the monocrotaline (MCT)-induced PAH rat model. METHODS: Rats were categorized into control group (C), monocrotaline group (M) and ambrisentan group (Am). The M and Am were subcutaneously injected 60 mg/kg MCT at day 0, and in Am, ambrisentan was orally administered the day after MCT injection for 4 weeks. The right ventricle (RV) pressure was measured and pathological changes of the lung tissues were observed by Victoria blue staining. Protein expressions of ET-1, ERA, endothelial nitric oxide synthase (eNOS) and NOX4 were confirmed by western blot analysis. RESULTS: Ambrisentan treatment resulted in a recovery of the body weight and RV/left ventricle+septum at week 4. The RV pressure was lowered at weeks 2 and 4 after ambrisentan administration. Medial wall thickening of pulmonary arterioles and the number of intra-acinar arteries were also attenuated by ambrisentan at week 4. Protein expression levels of ET-1 and eNOS were recovered at weeks 2 and 4, and ERA levels recovered at week 4. CONCLUSIONS: Ambrisentan administration resulted in the recovery of ET-1, ERA and eNOS protein expression levels in the PAH model. However, the expression level of NOX4 remained unaffected after ambrisentan treatment.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Arteries
		                        			;
		                        		
		                        			Arterioles
		                        			;
		                        		
		                        			Blotting, Western
		                        			;
		                        		
		                        			Body Weight
		                        			;
		                        		
		                        			Endothelin Receptor Antagonists
		                        			;
		                        		
		                        			Endothelins
		                        			;
		                        		
		                        			Gene Expression
		                        			;
		                        		
		                        			Heart Ventricles
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Hypertension
		                        			;
		                        		
		                        			Hypertension, Pulmonary
		                        			;
		                        		
		                        			Lung
		                        			;
		                        		
		                        			Models, Animal
		                        			;
		                        		
		                        			Monocrotaline
		                        			;
		                        		
		                        			NADP
		                        			;
		                        		
		                        			NADPH Oxidase
		                        			;
		                        		
		                        			Nitric Oxide Synthase Type III
		                        			;
		                        		
		                        			Oxidoreductases
		                        			;
		                        		
		                        			Rats
		                        			;
		                        		
		                        			Receptors, Endothelin
		                        			;
		                        		
		                        			Victoria
		                        			
		                        		
		                        	
7.Inhibitory Effects of Protopanaxadiol on Lipopolysaccharide-Induced Reactive Oxygen Species Production and MUC5AC Expression in Human Airway Epithelial Cells
Yoo Sun SONG ; Joon Hee KIM ; HyungGyun NA ; Yoon Seok CHOI ; Si Youn SONG ; Yong Dae KIM ; Chang Hoon BAE
Korean Journal of Otolaryngology - Head and Neck Surgery 2019;62(9):507-514
		                        		
		                        			
		                        			BACKGROUND AND OBJECTIVES: MUC5AC is one of the major secretory mucin genes in the human airway epithelium. MUC5AC expression is increased by a variety of inflammatory mediators. Protopanaxadiol (PPD), one of the major active metabolites in ginseng, is known to have anti-inflammatory, antitumor and antioxidant properties. However, the effects of PPD on mucin secretion of airway epithelial cells still have not been reported. Therefore, the aim of this study is to investigate the effect of PPD on lipopolysaccharide (LPS)-induced MUC5AC expression in human airway epithelial cells. MATERIALS AND METHOD: In the mucin-producing human NCI-H292 airway epithelial cells, the effect of PPD on MUC5AC expression was investigated using reverse transcription-polymerase chain reaction and enzyme immunoassay after treated with LPS. N-acetylcysteine (NAC) as a reactive oxygen species (ROS) scavenger, and apocynin as a nicotinamide adenine dinucleotide phosphate oxidase inhibitor were used to compare the inhibitory effect of PPD on LPS-induced ROS production in human NCI-H292 cells. RESULTS: LPS significantly increased MUC5AC mRNA expression and protein production. LPS also increased ROS production. PPD inhibited LPS-induced MUC5AC mRNA expression and protein production as well as ROS production. In addition, NAC and apocynin inhibited LPS-induced MUC5AC mRNA expression and protein production. CONCLUSION: These results demonstrate that PPD inhibits LPS-induced MUC5AC expression via ROS in human airway epithelial cells and the inhibitory effect of PPD was similar to that of NAC and apocynin. These findings indicate that PPD may be a therapeutic agent for control of mucus secretion and oxidative stress in human airway epithelial cells.
		                        		
		                        		
		                        		
		                        			Acetylcysteine
		                        			;
		                        		
		                        			Epithelial Cells
		                        			;
		                        		
		                        			Epithelium
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Immunoenzyme Techniques
		                        			;
		                        		
		                        			Methods
		                        			;
		                        		
		                        			Mucins
		                        			;
		                        		
		                        			Mucus
		                        			;
		                        		
		                        			NADP
		                        			;
		                        		
		                        			Oxidative Stress
		                        			;
		                        		
		                        			Oxidoreductases
		                        			;
		                        		
		                        			Panax
		                        			;
		                        		
		                        			Reactive Oxygen Species
		                        			;
		                        		
		                        			RNA, Messenger
		                        			
		                        		
		                        	
8.Correlation study between accumulation of triterpenoids and expression of relative genes in Alisma orientale.
Ya-Min ZHANG ; Feng-Ling SUN ; Xue-Hua LU ; Li-Sha LI ; Xiao-Mei XU ; Wen-Jin LIN ; Rong-Qing XU
China Journal of Chinese Materia Medica 2019;44(5):942-947
		                        		
		                        			
		                        			To research the correlation between accumulation of triterpenoids and expression of key enzymes genes in triterpenoid biosynthesis of Alisma orientale,the study utilized UPLC-MS/MS method to detect eight triterpenoids content in the tuber of A. orientale from different growth stages,including alisol A,alisol A 24 acetate,alisol B,alisol B 23 acetate,alisol C 23 acetate,alisol F,alisol F 24 acetate and alisol G,and then the Real time quantitative PCR was used to analyze the expression of key enzymes genes HMGR and FPPS in triterpenoid biosynthesis. Correlation analysis showed that there was a significant positive relation between the total growth of these eight triterpenoids and the average relative expression of HMGR and FPPS(HMGR: r = 0. 998,P<0. 01; FPPS: r = 0. 957,P<0. 05),respectively. Therefore,the study preliminarily determined that HMGR and FPPS genes could regulate the biosynthesis of triterpenoids in A. orientale,which laid a foundation for further research on the biosynthesis and regulation mechanism of triterpenoids in A. orientale.
		                        		
		                        		
		                        		
		                        			Alisma
		                        			;
		                        		
		                        			chemistry
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			Chromatography, Liquid
		                        			;
		                        		
		                        			Geranyltranstransferase
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			Hydroxymethylglutaryl-CoA-Reductases, NADP-dependent
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			Phytochemicals
		                        			;
		                        		
		                        			analysis
		                        			;
		                        		
		                        			Plant Extracts
		                        			;
		                        		
		                        			Plant Proteins
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			Plant Tubers
		                        			;
		                        		
		                        			chemistry
		                        			;
		                        		
		                        			Tandem Mass Spectrometry
		                        			;
		                        		
		                        			Triterpenes
		                        			;
		                        		
		                        			analysis
		                        			
		                        		
		                        	
9.Perivascular Cells and NADPH Oxidase Inhibition Partially Restore Hyperglycemia-Induced Alterations in Hematopoietic Stem Cell and Myeloid-Derived Suppressor Cell Populations in the Bone Marrow
Ji Young KIM ; Ji Yoon LEE ; Kwon Soo HA ; Eun Taek HAN ; Won Sun PARK ; Chang Ki MIN ; Seok Ho HONG
International Journal of Stem Cells 2019;12(1):63-72
		                        		
		                        			
		                        			BACKGROUND AND OBJECTIVES: Patients suffer from long-term diabetes can result in severe complications in multiple organs through induction of vascular dysfunctions. However, the effects of chronic hyperglycemic conditions on hematopoiesis and the microenvironment in the bone marrow (BM) are not yet well understood. METHODS: BM cells were harvested from femurs of mice and analyzed using flow cytometry. Human PVCs were cultured in serum-free α-MEM. After 24hrs, PVC-CM was collected and filtered through a 0.22 μm filter. RESULTS: In this study, we showed that hyperglycemia alters hematopoietic composition in the BM, which can partially be restored via paracrine mechanisms, including perivascular cells (PVCs) and NADPH oxidase (NOX) inhibition in mice with streptozotocin-induced diabetes. Prolonged hyperglycemic conditions resulted in an increase in the frequency and number of long-term hematopoietic stem cells as well as the number of total BM cells. The altered hematopoiesis in the BM was partially recovered by treatment with PVC-derived conditioned medium (CM). Long-term diabetes also increased the number of myeloid-derived suppressor cells in the BM, which was partially restored by the administration of PVC-CM and diphenyleneiodonium (DPI), a NOX inhibitor. We further showed the downregulation of ERK and p38 phosphorylation in BM cells of diabetic mice treated with PVC-CM and DPI. This may be associated with dysfunction of hematopoietic cells and promotion of subsequent diabetic complications. CONCLUSIONS: Our data suggested that alterations in BM hematopoietic composition due to prolonged hyperglycemic conditions might be restored by improvement of the hematopoietic microenvironment and modulation of NOX activity.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Bone Marrow
		                        			;
		                        		
		                        			Culture Media, Conditioned
		                        			;
		                        		
		                        			Diabetes Complications
		                        			;
		                        		
		                        			Down-Regulation
		                        			;
		                        		
		                        			Femur
		                        			;
		                        		
		                        			Flow Cytometry
		                        			;
		                        		
		                        			Hematopoiesis
		                        			;
		                        		
		                        			Hematopoietic Stem Cells
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Hyperglycemia
		                        			;
		                        		
		                        			Mice
		                        			;
		                        		
		                        			NADP
		                        			;
		                        		
		                        			NADPH Oxidase
		                        			;
		                        		
		                        			Phosphorylation
		                        			
		                        		
		                        	
10.Choice of Capecitabine or S1 in Combination with Oxaliplatin based on Thymidine Phosphorylase and Dihydropyrimidine Dehydrogenase Expression Status in Patients with Advanced Gastric Cancer
Rong XU ; Xiaolei HE ; Reyina WUFULI ; Ying SU ; Lili MA ; Ru CHEN ; Zhongcheng HAN ; Fang WANG ; Jiang LIU
Journal of Gastric Cancer 2019;19(4):408-416
		                        		
		                        			
		                        			PURPOSE: To study the efficacy of capecitabine or S-1 plus oxaliplatin (CAPOX or SOX) for treating thymidine phosphorylase (TP)- or dihydropyrimidine dehydrogenase (DPD)-positive advanced gastric cancer.MATERIALS AND METHODS: Eighty-six patients with stage IIIC to IV gastric cancer were assessed for TP and DPD expression by immunohistochemistry. The association between CAPOX or SOX efficacy and TP/DPD expression was retrospectively analyzed.RESULTS: There were no significant differences in the objective remission rate (ORR, 52.27% vs. 47.62%; P>0.05), disease control rate (72.73% vs. 73.81%, P>0.05), progression-free survival (hazard ratio [HR], 1.119; 95% confidence interval [CI], 0.739–1.741; P=0.586), and overall survival (OS; HR, 0.855; 95% CI, 0.481–1.511; P=0.588) between CAPOX and SOX. A higher number of stage IV patients showed TP positivity, while DPD-positive patients predominantly showed intestinal type of gastric cancer. In TP-positive patients, the ORRs associated with CAPOX and SOX treatments were 57.14% and 38.10%, respectively; OS was better with CAPOX than with SOX (HR, 0.447; 95% CI, 0.179–0.978; P=0.046). Among DPD-positive patients, the SOX treatment-associated ORR (60.87%) was significantly higher than the CAPOX treatment-associated ORR (43.48%). Furthermore, SOX treatment resulted in better OS than did CAPOX treatment (HR, 2.020; 95% CI, 1.019–4.837; P=0.049).CONCLUSIONS: No significant difference in clinical efficacy was found between CAPOX and SOX. TP-positive patients might respond better to CAPOX while DPD-positive patients may respond better to SOX. Our findings might serve as a guide for personalized chemotherapy for gastric cancer.
		                        		
		                        		
		                        		
		                        			Capecitabine
		                        			;
		                        		
		                        			Dihydrouracil Dehydrogenase (NADP)
		                        			;
		                        		
		                        			Disease-Free Survival
		                        			;
		                        		
		                        			Drug Therapy
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Immunohistochemistry
		                        			;
		                        		
		                        			Retrospective Studies
		                        			;
		                        		
		                        			Stomach Neoplasms
		                        			;
		                        		
		                        			Thymidine Phosphorylase
		                        			;
		                        		
		                        			Thymidine
		                        			;
		                        		
		                        			Treatment Outcome
		                        			
		                        		
		                        	
            
Result Analysis
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