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Disrupting immune silence: Noncoding RNAs targeting the programmed cell death protein 1/programmed cell death ligand 1 axis in tumor immunity. 破坏免疫沉默:肿瘤免疫中靶向程序性细胞死亡蛋白1/程序性细胞死亡配体1轴的非编码rna。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-03-04 DOI: 10.1016/j.jpet.2026.104316
Chou-Yi Hsu, Ahmed Hjazi, Muath Suliman, Gunjan Singh, Vimal Arora, Akhrorova Shakhlo, Priya Priyadarshini Nayak, Abhayveer Singh, Hamza Fadhel Hamzah, Zahraa Abbas Al-Khafaji

PD-1 and PD-L1 are programmed cell death proteins and ligands that form a key axis of immune checkpoints that tumors use to escape immune surveillance. Although immune checkpoint inhibitors that activate this pathway have revolutionized the treatment of cancer, resistance and unpredictable responses to a patient are still significant issues. There is growing evidence that noncoding RNAs (ncRNAs) such as microRNAs, long noncoding RNAs, and circular RNAs are key regulators of PD-1/PD-L1 signaling. These ncRNAs control the PD-L1 expression by directing its mRNA and indirectly maintaining the upstream signaling processes, consequently influencing tumor progression, immune cell activity, and drug responses. This review, based on existing research on the mechanistic functions of ncRNAs in PD-1/PD-L1-based immune suppression, discusses the possibility of using ncRNAs as biomarkers to predict immunotherapy response and as new therapies. We also address opportunities in the field of translation, such as ncRNA-based interventions and combinations with checkpoint blockade, and the challenges, which require resolution to move to the clinical practice. The combination of ncRNA biology and tumor immunology has potential applications in the area of precision immunotherapy and the creation of more meaningful treatment tools against malignancies that are resistant to treatment. SIGNIFICANCE STATEMENT: The current review outlines the regulatory functions of noncoding RNAs in the programmed cell death protein 1/programmed cell death ligand 1 immune checkpoint and highlights their role in tumor immune evasion and therapeutic responses regulation. With an interwoven method of mechanistic understanding and translational approaches, this study outlines noncoding RNAs as potential biomarkers and therapeutic targets and provide new approaches to increment the activity of checkpoint blocks and improve precision cancer immunotherapy.

PD-1和PD-L1是程序性细胞死亡蛋白和配体,它们形成了肿瘤用来逃避免疫监视的免疫检查点的关键轴。尽管激活这一途径的免疫检查点抑制剂已经彻底改变了癌症的治疗,但对患者的耐药性和不可预测的反应仍然是重大问题。越来越多的证据表明,非编码rna (ncrna),如microrna、长链非编码rna和环状rna是PD-1/PD-L1信号传导的关键调节因子。这些ncrna通过指导PD-L1 mRNA表达和间接维持上游信号传导过程来控制PD-L1表达,从而影响肿瘤进展、免疫细胞活性和药物反应。本文基于对ncRNAs在PD-1/ pd - l1免疫抑制中的机制功能的现有研究,讨论了利用ncRNAs作为生物标志物预测免疫治疗反应和作为新疗法的可能性。我们还讨论了翻译领域的机遇,例如基于ncrna的干预和检查点封锁的组合,以及需要解决的挑战,这些挑战需要转移到临床实践中。ncRNA生物学和肿瘤免疫学的结合在精确免疫治疗和创造更有意义的治疗工具来治疗耐药的恶性肿瘤方面具有潜在的应用前景。意义声明:本综述概述了非编码rna在程序性细胞死亡蛋白1/程序性细胞死亡配体1免疫检查点中的调节功能,并强调了它们在肿瘤免疫逃避和治疗反应调节中的作用。通过机制理解和翻译方法的交织,本研究概述了非编码rna作为潜在的生物标志物和治疗靶点,并提供了增加检查点阻断活性和提高精确癌症免疫治疗的新方法。
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引用次数: 0
Expressions of Concern, Corrigenda, and a Retraction. 表达关注,更正和撤回。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-04-03 DOI: 10.1016/j.jpet.2026.103834
Beverley Greenwood-Van Meerveld, John J G Tesmer, Michael Jarvis
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引用次数: 0
Expression of concern: "Inhibitors of Poly(ADP-Ribose) Polymerase Modulate Signal Transduction Pathways and Secondary Damage in Experimental Spinal Cord Trauma" [J Pharmacol. Exp. Ther. 2005; 312: 449-457] by Genovese T, Mazzon E, Muia C, et al. 关注表达:Poly(adp -核糖)聚合酶抑制剂调节信号转导通路和实验性脊髓损伤的继发性损伤[J]。2005;[3]张晓明,张晓明,张晓明,等。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-04-03 DOI: 10.1016/j.jpet.2026.103822
{"title":"Expression of concern: \"Inhibitors of Poly(ADP-Ribose) Polymerase Modulate Signal Transduction Pathways and Secondary Damage in Experimental Spinal Cord Trauma\" [J Pharmacol. Exp. Ther. 2005; 312: 449-457] by Genovese T, Mazzon E, Muia C, et al.","authors":"","doi":"10.1016/j.jpet.2026.103822","DOIUrl":"https://doi.org/10.1016/j.jpet.2026.103822","url":null,"abstract":"","PeriodicalId":16798,"journal":{"name":"Journal of Pharmacology and Experimental Therapeutics","volume":"393 4","pages":"103822"},"PeriodicalIF":3.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Expression of concern: "Effects of Palmitoylethanolamide on Signaling Pathways Implicated in the Development of Spinal Cord Injury" [J Pharmacol. Exp. Ther. 2008; 326: 12-23] by Genovese T, Esposito E, Mazzon E, et al. 关注表达:“棕榈酰乙醇酰胺在脊髓损伤发生中的信号通路的影响”[J]。2008;[3]张建军,李建军,张建军,等。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-04-03 DOI: 10.1016/j.jpet.2026.103825
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引用次数: 0
Expression of concern: "Evidence for the Role of Mitogen-Activated Protein Kinase Signaling Pathways in the Development of Spinal Cord Injury" [J Pharmacol. Exp. Ther. 2008; 325: 100-114] by Genovese T, Esposito E, Mazzon E, et al. 关注表达:“丝裂原活化蛋白激酶信号通路在脊髓损伤发展中的作用”[J]。2008;[3]张建军,李建军,张建军,等。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-04-03 DOI: 10.1016/j.jpet.2026.103824
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引用次数: 0
Therapeutic potential of liraglutide in rheumatoid arthritis: Modulation of inflammation, apoptosis, and metabolic dysfunction in a rat model. 利拉鲁肽在类风湿关节炎中的治疗潜力:在大鼠模型中调节炎症、细胞凋亡和代谢功能障碍。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-02-28 DOI: 10.1016/j.jpet.2026.104310
Hisham A Nematalla, Eman Sheta, Ahmed Z Ghareeb, Magda M Abo Saree, Asser I Ghoneim, Mona Elharoun

Rheumatoid arthritis (RA) is a chronic autoimmune disorder marked by joint inflammation and systemic symptoms. This study evaluates the efficacy of liraglutide (LIRA), a glucagon-like peptide-1 receptor agonist, in RA management, particularly in conjunction with methotrexate (MTX), a standard RA therapy on complete Freund's adjuvant (CFA)-induced arthritis. Rats were injected with 0.12 mL of CFA (10 mg/1 mL) intradermally on day 1. Rats were divided into 6 groups, Normal group, Model group, MTX group (methotrexate 1 mg/kg/wk/i.p.), LIRA protection group (liraglutide 75 μg/kg/day/i.p. from day 1 to day 56), LIRA group (liraglutide 75 μg/kg/day/i.p. from day 15 to day 56), LIRA + MTX group (liraglutide 75 μg/kg/day/i.p. + methotrexate 1 mg/kg/wk/i.p. from day 15 to day 56). The arthritic rats developed significant joint destruction accompanied by alterations in metabolic parameters, elevated inflammatory cytokines, and enhanced apoptosis and autophagy. Liraglutide treatment and protection significantly showed metabolic hexokinase 2-succinate-hypoxia-inducible factor 1α axis modulation, inflammasome NOD-like receptor family, pyrin domain containing 3 suppression, apoptosis and autophagy flux normalization and joint pathology improvement. Liraglutide produced more pronounced effects when administered in combination with methotrexate. In conclusion, liraglutide demonstrated significant therapeutic and protective efficacy in a CFA-induced rat model of RA. The mechanism involves metabolic reprogramming where liraglutide downregulated the hexokinase 2-succinate-hypoxia-inducible factor 1αaxis, correcting disease-associated metabolic dysregulation. Similarly, liraglutide inhibited key proinflammatory signaling cascades, specifically the nuclear factor κB/NOD-like receptor family, pyrin domain containing 3/interleukin-1β and tumor necrosis factor-α/P38 mitogen-activated protein kinase pathways. SIGNIFICANCE STATEMENT: Rheumatoid arthritis is a chronic immuno-inflammatory disorder causing joint damage. Liraglutide presents opportunities for repurposing metabolic agents in the treatment of autoimmune illnesses. Liraglutide modulates metabolic dysfunction, normalizes autophagy markers, inflammatory pathways, and lower apoptotic signals in complete Freund's adjuvant-induced arthritis in rats.

类风湿性关节炎(RA)是一种以关节炎症和全身症状为特征的慢性自身免疫性疾病。本研究评估利拉鲁肽(liraglutide, LIRA)(一种胰高血糖素样肽-1受体激动剂)在类风湿性关节炎治疗中的疗效,特别是与甲氨蝶呤(MTX)联合使用,甲氨蝶呤是一种标准的类风湿性关节炎治疗完全弗氏佐剂(CFA)诱导的关节炎。第1天,大鼠皮下注射CFA (10 mg/1 mL) 0.12 mL。将大鼠分为6组,正常组、模型组、MTX组(甲氨蝶呤1 mg/kg/周/i.p)、LIRA保护组(利拉鲁肽75 μg/kg/天/i.p)。LIRA组(利拉鲁肽75 μg/kg/day/i.p);LIRA + MTX组(利拉鲁肽75 μg/kg/day/i.p)。+甲氨蝶呤1mg /kg/周/ 1次。从第15天到第56天。关节炎大鼠出现明显的关节破坏,伴有代谢参数改变,炎症细胞因子升高,细胞凋亡和自噬增强。利拉鲁肽治疗和保护显著显示代谢己糖激酶2-琥珀酸-缺氧诱导因子1α轴调节,炎症小体nod样受体家族,pyrin结构域3抑制,细胞凋亡和自噬通量正常化,关节病理改善。利拉鲁肽与甲氨蝶呤联合使用时产生更明显的效果。综上所述,利拉鲁肽在cfa诱导的RA大鼠模型中具有显著的治疗和保护作用。其机制涉及代谢重编程,其中利拉鲁肽下调己糖激酶2-琥珀酸-缺氧诱导因子1α轴,纠正疾病相关的代谢失调。同样,利拉鲁肽抑制关键的促炎信号级联,特别是核因子κB/ nod样受体家族、含有3/白介素-1β的pyrin结构域和肿瘤坏死因子-α/P38丝裂原激活的蛋白激酶途径。意义声明:类风湿关节炎是一种引起关节损伤的慢性免疫炎性疾病。利拉鲁肽为自身免疫性疾病治疗中代谢药物的再利用提供了机会。利拉鲁肽在完全弗氏佐剂诱导的大鼠关节炎中调节代谢功能障碍,使自噬标志物、炎症途径正常化,并降低凋亡信号。
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引用次数: 0
Corrigendum to "Activation of GPR183 by 7α,25-dihydroxycholesterol induces behavioral hypersensitivity through mitogen-activated protein kinase and nuclear factor-κB". “7α,25-二羟基胆固醇激活GPR183通过丝裂原活化蛋白激酶和核因子-κB诱导行为超敏反应”的更正。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-04-03 DOI: 10.1016/j.jpet.2026.103820
Kathryn Braden, Michela Campolo, Ying Li, Zhoumou Chen, Timothy M Doyle, Luigino Antonio Giancotti, Emanuela Esposito, Jinsong Zhang, Salvatore Cuzzocrea, Christopher Kent Arnatt, Daniela Salvemini
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引用次数: 0
Contextual Influences on Naltrexone Sensitization During Daily Morphine Exposure. 每日吗啡暴露对纳曲酮致敏的环境影响。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-02-28 DOI: 10.1016/j.jpet.2026.104311
Carol A Paronis, Jack Bergman

Naltrexone-precipitated withdrawal in animals that receive morphine daily can include decreases in operant responding. However, naltrexone also can decrease operant responding in untreated animals, depending on prior naltrexone exposure and reinforcer contingencies. The present study was conducted to further evaluate changes in the behavioral effects of naltrexone consequent to morphine exposure and changes in behavioral context. Tolerance to the effects of both μ- (morphine, heroin, buprenorphine, methadone) and κ-opioid (U50,488) agonists during daily chronic morphine also was evaluated. Squirrel monkeys (n = 4) responded under a multiple schedule consisting of 4 18-minute cycles, each comprising a 10-minute timeout period followed by 3-minutes during which fixed-ratio responding was maintained by food presentation, a 2-minute timeout period, and 3-minutes during which fixed-ratio responding was maintained by stimulus-shock termination (SST). Control response rates were comparable under both schedule conditions. All drugs decreased food-maintained responding and, albeit requiring 0.5-1 log unit higher doses, morphine, heroin, methadone, and U50,488 also decreased SST-maintained responding. Daily morphine (3.2 mg/kg/day) produced tolerance to the rate-decreasing effects of μ-opioid agonists in the absence of sensitization to naltrexone's rate-decreasing effects. Doubling the daily dose of morphine and eliminating components of SST-maintained responding resulted in a 1.5-log unit leftward shift of the naltrexone dose-effect function. Full sensitization to naltrexone's ability to decrease food-maintained responding (3-log unit leftward shift) emerged after reintroducing SST-maintained performance into daily sessions. These results indicate that naltrexone's effects on operant responding during morphine maintenance can be influenced by behavioral context as well as the level of dependence. SIGNIFICANCE STATEMENT: Repeated administration of high naltrexone doses in nonopioid dependent individuals may result in behaviorally disruptive effects of low doses (naltrexone supersensitivity). Low doses of naltrexone also have disruptive effects during opioid dependence. These studies show that the expression of naltrexone effects during opioid dependence is a product of both pharmacological and behavioral factors.

每天接受吗啡的动物的纳曲酮沉淀戒断包括操作性反应的降低。然而,纳曲酮也会降低未治疗动物的操作性反应,这取决于先前的纳曲酮暴露和强化意外事件。本研究旨在进一步评估吗啡暴露后纳曲酮对行为影响的变化以及行为环境的变化。同时评估小鼠对μ-(吗啡、海洛因、丁丙诺啡、美沙酮)和κ-阿片受体激动剂(u50、488)作用的耐受性。松鼠猴(n = 4)在4个18分钟周期的多重计划下做出反应,每个周期包括10分钟的暂停时间,然后是3分钟的固定比例反应,其中3分钟是通过食物呈现来维持固定比例反应,2分钟的暂停时间,3分钟是通过刺激-休克终止(SST)来维持固定比例反应。两种计划条件下的对照反应率具有可比性。所有药物都降低了食物维持的反应,吗啡、海洛因、美沙酮和U50,488虽然需要0.5-1 log单位的高剂量,但也降低了sst维持的反应。每日吗啡(3.2 mg/kg/天)对μ-阿片激动剂的降速作用产生耐受性,而对纳曲酮的降速作用没有致敏作用。将吗啡日剂量加倍并消除sst维持反应的成分导致纳曲酮剂量效应函数左移1.5 log单位。在将sst维持的表现重新引入日常会话后,对纳曲酮降低食物维持反应的能力(向左移3个对数单位)的完全敏化出现了。这些结果表明,纳曲酮对吗啡维持过程中操作性反应的影响可能受到行为环境和依赖程度的影响。意义声明:在非阿片类药物依赖个体中反复给药高剂量纳曲酮可能导致低剂量的行为破坏性影响(纳曲酮超敏感性)。低剂量纳曲酮对阿片类药物依赖也有破坏性影响。这些研究表明,在阿片类药物依赖过程中纳曲酮效应的表达是药理学和行为因素共同作用的产物。
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引用次数: 0
Machine learning-driven discovery of potent isocitrate dehydrogenase 1 mutant inhibitors from ultralarge ligand libraries for targeting malignant glioma. 机器学习驱动下发现针对恶性胶质瘤的超大配体库中有效的异柠檬酸脱氢酶1突变抑制剂。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-02-18 DOI: 10.1016/j.jpet.2026.103811
Mehreen Zaka, Fareed Asaad, Şeyma Özkanca, Asuman Çelebi, Rui Zhou, Hangun Kim, Türker Kılıç, Timuçin Avşar, Serdar Durdağı

Glioblastoma (GBM) represents one of the most lethal and therapy-resistant forms of brain tumors, characterized by high heterogeneity, metabolic reprogramming, and recurrence. In the current study, we aimed to identify novel small molecule inhibitors targeting mutant isocitrate dehydrogenase 1 (IDH1), a crucial enzyme involved in GBM tumor metabolism. For this aim, machine learning-based quantitative structure-activity relationships modeling was combined with structure-based e-Pharmacophore screening to virtually screen ultralarge chemical libraries containing around 157 million compounds. The best hits were selected based on docking score, predicted pIC50 value, and molecular mechanics/generalized Born surface area binding energy calculations. Furthermore, molecular dynamics (MD) simulations were conducted to validate the selected hit compounds. In total, 36 compounds were subjected to short MD simulations (10 ns), and 16 molecules showing low binding free energies (below -90 kcal/mol) were further analyzed through long MD simulations (100 ns). Among these, 11 synthetically available hits were ordered and experimentally tested on human glioblastoma U87 and U251 cell lines. Our experimental results showed that 5 of the tested compounds (hits 1, 4, 5, 6, and 7) reduced spheroid formation by nearly 80%-90% and inhibited cell proliferation. Moreover, these hits decreased the oxygen consumption rate and extracellular acidification rate (ECAR), by up to 62% and 55%, respectively, indicating inhibition of both mitochondrial respiration and glycolysis. Furthermore, Western blot and quantitative real-time polymerase chain reaction analyses revealed downregulation of glycolytic enzymes and stemness markers. Moreover, steered MD and free energy perturbation analyses confirmed the stable interactions of these compounds at the IDH1 mutant active site. This multistage in silico-in vitro approach allowed the identification of metabolically disruptive novel mutant IDH1 inhibitors that suppress glycolysis, mitochondrial respiration, and cancer stemness in glioblastoma cells. These compounds represent promising scaffolds for the development of next-generation GBM therapeutics. SIGNIFICANCE STATEMENT: This study integrate machine learning-guided quantitative structure-activity relationships modeling with structure-based pharmacophore screening to discover small molecule inhibitors of mutant IDH1, a central mediator of metabolic reprogramming in glioblastoma. Lead compounds identified through this pipeline inhibit mutant IDH1 activity, disrupt metabolic pathways required for glioblastoma cell viability, and concomitantly reduce stem-like phenotypes in vitro, consistent with a dual mechanism of action that targets both bulk tumor cells and cancer stem-like populations.

胶质母细胞瘤(GBM)是脑肿瘤中最致命和最耐药的形式之一,其特点是高度异质性、代谢重编程和复发。在目前的研究中,我们旨在鉴定针对突变体异柠檬酸脱氢酶1 (IDH1)的新型小分子抑制剂,这是一种参与GBM肿瘤代谢的关键酶。为此,基于机器学习的定量构效关系建模与基于结构的e-药效团筛选相结合,虚拟筛选包含约1.57亿个化合物的超大型化学文库。根据对接分数、预测pIC50值和分子力学/广义Born表面积结合能计算选择最佳命中。此外,还进行了分子动力学(MD)模拟来验证所选化合物的有效性。共对36个化合物进行了10 ns的短模态模拟,并对16个结合自由能较低(低于-90 kcal/mol)的分子进行了100 ns的长模态模拟。其中,对11个合成命中进行了排序,并在人胶质母细胞瘤U87和U251细胞系上进行了实验测试。实验结果表明,其中5种化合物(击中1、4、5、6和7)可减少近80%-90%的球状体形成,并抑制细胞增殖。此外,这些撞击降低了氧气消耗率和细胞外酸化率(ECAR),分别高达62%和55%,表明线粒体呼吸和糖酵解均受到抑制。此外,Western blot和实时定量聚合酶链反应分析显示糖酵解酶和干性标记下调。此外,定向MD和自由能微扰分析证实了这些化合物在IDH1突变体活性位点的稳定相互作用。这种多阶段体外硅芯片方法可以鉴定出代谢破坏性的新型突变IDH1抑制剂,这些抑制剂可以抑制胶质母细胞瘤细胞中的糖酵解、线粒体呼吸和癌症干细胞。这些化合物代表了下一代GBM治疗药物开发的有希望的支架。意义声明:本研究将机器学习指导的定量构效关系建模与基于结构的药效团筛选结合起来,发现了突变体IDH1的小分子抑制剂,IDH1是胶质母细胞瘤代谢重编程的中心介质。通过该管道鉴定的先导化合物可抑制IDH1突变体活性,破坏胶质母细胞瘤细胞活力所需的代谢途径,并同时在体外降低干细胞样表型,这与针对大块肿瘤细胞和癌症干细胞样群体的双重作用机制一致。
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引用次数: 0
Epigenetics and the gut-brain axis: Insights into DNA methylation, aging, and Alzheimer disease. 表观遗传学和肠-脑轴:洞察DNA甲基化、衰老和阿尔茨海默病。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-02-12 DOI: 10.1016/j.jpet.2026.104299
Vivek Kumar, Rohit Shukla, Surabhi Gangani, Roshell Joseph, Shalini Jain, Hariom Yadav

Alzheimer disease (AD) and aging have similar molecular mechanisms that are affected by genetic as well as environmental variables. Based on current research, gut microbiomes contribute to age-specific biological processes and play an essential role in maintaining host homeostasis. Several molecular processes, including the host DNA methylation mechanism, are affected by microbially derived metabolites such as short-chain fatty acids, folate, and choline. This interaction establishes a mechanistic causal relationship that further shapes gene expression, inflammatory balance, and neuronal function in aging and related diseases. In this review, we looked at recent research showing how gut dysbiosis and its associated metabolites impact DNA methylation, which consequently contributes to disease progression in AD and aging. We also talked about how the DNA clock and age-associated methylation drifts can be used for forecasting biological aging. In addition, we discussed recent findings on how microbial and diet-based interventions may restore the methylation patterns that might be involved in aging and neurodegenerative processes. We also implicated the possible use of methylation-based biomarkers in the diagnosis of AD. Additionally, we have also explored the potential therapeutic benefits of using microbiome modulators, dietary modifications, and pharmacological interventions. Next, we highlighted the importance of multiomics and longitudinal studies to build the causal connection underlying methylation dynamics and microbial changes in neurodegeneration. Altogether, this review highlights the potential of the microbiome-methylation axis as an approach to understanding aging and establishing precision strategies to maintain cognitive health. SIGNIFICANCE STATEMENT: This review explores the interplay between DNA methylation and gut microbiota in aging and Alzheimer's disease. It highlights the gut-brain axis and summarizes recent findings on microbiome-driven epigenetic changes and metabolites influencing cognitive decline. The review also emphasizes microbiome-targeted therapeutic strategies for age-related disorders. Overall, it integrates current molecular insights with emerging approaches for the detection, prevention, and management of Alzheimer's disease and associated cognitive challenges.

阿尔茨海默病(AD)和衰老具有相似的分子机制,受遗传和环境变量的影响。根据目前的研究,肠道微生物群有助于年龄特异性生物过程,并在维持宿主体内平衡中发挥重要作用。一些分子过程,包括宿主DNA甲基化机制,受到微生物衍生代谢物如短链脂肪酸、叶酸和胆碱的影响。这种相互作用建立了一种机制上的因果关系,进一步塑造了衰老和相关疾病中的基因表达、炎症平衡和神经元功能。在这篇综述中,我们研究了最近的研究,这些研究显示了肠道生态失调及其相关代谢物如何影响DNA甲基化,从而导致阿尔茨海默病和衰老的疾病进展。我们还讨论了DNA时钟和与年龄相关的甲基化漂移如何用于预测生物衰老。此外,我们讨论了微生物和饮食干预如何恢复可能涉及衰老和神经退行性过程的甲基化模式的最新发现。我们还暗示了在AD诊断中使用甲基化生物标志物的可能性。此外,我们还探索了使用微生物组调节剂、饮食调整和药物干预的潜在治疗益处。接下来,我们强调了多组学和纵向研究的重要性,以建立甲基化动力学和神经变性中微生物变化的因果关系。总之,这篇综述强调了微生物组甲基化轴作为理解衰老和建立维持认知健康的精确策略的潜力。意义声明:本综述探讨了DNA甲基化和肠道微生物群在衰老和阿尔茨海默病中的相互作用。它强调了肠-脑轴,并总结了微生物组驱动的表观遗传变化和代谢物影响认知能力下降的最新发现。该综述还强调了针对年龄相关疾病的微生物组靶向治疗策略。总的来说,它将当前的分子见解与阿尔茨海默病和相关认知挑战的检测、预防和管理的新兴方法相结合。
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