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特发性肺纤维化(IPF):疾病病理生理学、靶点和潜在的治疗干预措施。

Idiopathic pulmonary fibrosis (IPF): disease pathophysiology, targets, and potential therapeutic interventions.

机构信息

Apoptosis and Cell Survival Research Laboratory, 412G Pearl Research Park, School of Biosciences and Technology, Vellore Institute of Technology, Vellore, Tamil Nadu, 632014, India.

Apoptosis and Cell Survival Research Laboratory, School of Biosciences and Technology, Vellore Institute of Technology, Vellore, Tamil Nadu, 632014, India.

出版信息

Mol Cell Biochem. 2024 Sep;479(9):2181-2194. doi: 10.1007/s11010-023-04845-6. Epub 2023 Sep 14.

Abstract

Idiopathic pulmonary fibrosis (IPF) is a progressive, degenerative pulmonary condition. Transforming growth factor (TGF)-β, platelet-derived growth factor (PDGF), and tumor necrosis factor-α (TNF-α) are the major modulators of IPF that mediate myofibroblast differentiation and promote fibrotic remodeling of the lung. Cigarette smoke, asbestos fiber, drugs, and radiation are known to favor fibrotic remodeling of the lungs. Oxidative stress in the endoplasmic reticulum (ER) also leads to protein misfolding and promotes ER stress, which is predominant in IPF. This phenomenon further results in excess reactive oxygen species (ROS) aggregation, increasing oxidative stress. During protein folding in the ER, thiol groups on the cysteine residue are oxidized and disulfide bonds are formed, which leads to the production of hydrogen peroxide (HO) as a by-product. With the accumulation of misfolded proteins in the ER, multiple signaling cascades are initiated by the cell, collectively termed as the unfolded protein response (UPR). UPR also induces ROS production within the ER and mitochondria and promotes both pro-apoptotic and pro-survival pathways. The prevalence of post-COVID-19 pulmonary fibrosis (PCPF) is 44.9%, along with an alarming increase in "Coronavirus Disease 2019" (COVID-19) comorbidities. Fibrotic airway remodeling and declined lung function are the common endpoints of SARS-CoV-2 infection and IPF. Flavonoids are available in our dietary supplements and exhibit medicinal properties. Apigenin is a flavonoid found in plants, including chamomile, thyme, parsley, garlic, guava, and broccoli, and regulates several cellular functions, such as oxidative stress, ER stress, and fibrotic responses. In this study, we focus on the IPF and COVID-19 pathogenesis and the potential role of Apigenin in addressing disease progression.

摘要

特发性肺纤维化(IPF)是一种进行性、退行性肺部疾病。转化生长因子(TGF)-β、血小板衍生生长因子(PDGF)和肿瘤坏死因子-α(TNF-α)是调节 IPF 的主要调节剂,介导肌成纤维细胞分化,并促进肺纤维化重塑。已知香烟烟雾、石棉纤维、药物和辐射有利于肺部纤维化重塑。内质网(ER)中的氧化应激也导致蛋白质错误折叠,并促进 ER 应激,这在 IPF 中占主导地位。这种现象进一步导致活性氧(ROS)聚集过多,增加氧化应激。在 ER 中进行蛋白质折叠时,半胱氨酸残基上的巯基被氧化形成二硫键,导致过氧化氢(HO)作为副产物产生。随着 ER 中错误折叠蛋白质的积累,细胞启动多个信号级联反应,统称为未折叠蛋白反应(UPR)。UPR 还在内质网和线粒体中诱导 ROS 产生,并促进促凋亡和促存活途径。COVID-19 后肺纤维化(PCPF)的患病率为 44.9%,同时“2019 年冠状病毒病”(COVID-19)合并症的发病率也令人震惊。纤维化气道重塑和肺功能下降是严重急性呼吸综合征冠状病毒 2 感染和 IPF 的共同终点。类黄酮存在于我们的膳食补充剂中,具有药用特性。芹菜素是一种存在于植物中的类黄酮,包括甘菊、百里香、欧芹、大蒜、番石榴和西兰花,并调节几种细胞功能,如氧化应激、ER 应激和纤维化反应。在这项研究中,我们专注于 IPF 和 COVID-19 的发病机制以及芹菜素在解决疾病进展中的潜在作用。

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