AD认知功能障碍的代谢紊乱机制:脑胰岛素抵抗及其介导的PI3K/Akt信号通路受损

阿尔茨海默病(Alzheimer’s disease, AD)是一种以进行性痴呆为主要特征的中枢神经系统退行性疾病,其认知功能障碍可能与Ⅱ型糖尿病(type 2 diabetes, T2DM)诱发的胰岛素抵抗所损伤的PI3K/Akt胰岛素信号级联通路相关。胰岛素是调节机体新陈代谢的重要激素,通过与神经细胞表面的胰岛素受体结合激活PI3K/Akt信号通路,以调控葡萄糖、脂质的代谢。任何中间媒介功能紊乱所导致的脑胰岛素水平和胰岛素敏感性的降低都会损坏PI3K/Akt信号通路,诱发脑能量代谢障碍、Aβ沉积、Tau蛋白过度磷酸化,引起并加重AD认知功能障碍。因此,本文以PI3K/Akt胰岛素信号通路为主线,揭示了T2DM中脑胰岛素抵抗(insulin resistance, IR)与AD之间的复杂机制,旨在加深对脑IR介导的AD病理过程的系统性理解,借此为延缓或治疗AD的认知功能障碍提供理论基础。     

PI3K/Akt信号通路相关的生物学调控机制研究进展

PI3K/Akt信号通路是由酶联受体介导的信号转导通路,该通路不仅参与多种生长因子、细胞因子和细胞外基质等的信号转导,同时还参与细胞增殖、分化、凋亡和葡萄糖转运等多种细胞功能的调节,特别是在细胞凋亡、细胞存活以及调控细胞糖代谢等方面具有重要作用。本研究综述了PI3K-Akt信号通路的结构组成、通路活化、通信过程、调控机制及其生物学功能等方面的研究进展,为进一步研究PI3K/Akt信号通路的生物学调控作用机制提供启示。     

脂肪因子在糖尿病认知功能障碍中的调控作用及运动干预机制

糖尿病认知功能障碍指糖尿病患者伴有认知功能损伤，是一种常见的糖尿病并发症，尤其高发于老年2型糖尿病患者。研究表明，脂肪组织分泌的细胞因子，如脂联素（adiponectin,APN）和瘦素（leptin,LEP）等不仅能够调节能量代谢，还与糖尿病认知功能障碍的发生发展密切相关，可能作为糖尿病相关认知功能障碍的生物标志物。APN和LEP能够穿过血脑屏障进入大脑，通过结合神经元或神经胶质细胞（如小胶质细胞和星形胶质细胞）上的受体，激活或抑制胞内下游的p38 MAPK、AMPK、ERK、JAK2/STAT3、PI3K/AKT和SIRT1/PGC-1α等信号通路，调节海马神经发生、突触可塑性、神经炎症、氧化应激和神经元凋亡等生理进程，进而调控认知功能。重要的是，APN和LEP还可能作为运动改善糖尿病认知功能障碍的重要介质。通过剖析APN和LEP与糖尿病认知功能障碍之间的关系，梳理APN和LEP调控认知功能的潜在生物学机制，探讨运动介导APN和LEP改善糖尿病认知功能障碍的可能机制，旨在为进一步丰富“脂-脑”crosstalk理论体系，制定并完善糖尿病认知功能障碍的诊疗策略开拓思路。     

磷脂酰肌醇3-激酶γ/δ与炎症相关疾病

磷脂酰肌醇3-激酶(PI3K)是一类脂质与蛋白激酶家族,其主要通过在磷脂酰肌醇的肌醇环三位进行磷酸化产生胞内重要的第二信使——磷脂酰肌醇-3,4,5-三磷酸(phosphatidyl inositol 3,4,5-trisphosphate,PIP3)而发挥作用.磷脂酰肌醇3-激酶γ/δ(PI3Kγ/δ)是I类PI3K家族中的成员,其主要表达于免疫相关细胞中,这2种PI3K亚型参与先天性与获得性免疫应答.因此,PI3Kγ/PI3Kδ被视为因免疫反应调控异常导致的炎症疾病的治疗药物靶点.目前,利用特异性抑制剂靶向干预PI3Kγ和/或PI3Kδ,成为炎症相关疾病治疗的新策略.本文简介了PI3Kγ与PI3Kδ在不同类型免疫细胞中的功能;并就采用小分子特异性抑制剂,靶向抑制PI3Kγ和/或PI3Kδ在各类炎症相关疾病中的治疗作用和效果进行综述.     

PI3K/AKT信号通路调控Myogenin和MCK基因的表达

骨骼肌分化过程受多个信号通路调控, PI3K/AKT信号通路是其中最重要的信号转导通路之一。PI3K/AKT信号通路可以调控骨骼肌分化, 但在染色质水平上的调控机制还不是很清楚。文章以小鼠成肌细胞(C2C12)为研究材料, 采用免疫印迹、染色质免疫共沉淀(Chromatin immunoprecipitation, ChIP)、定量PCR (Q-PCR)的方法研究PI3K/AKT信号通路调控Myogenin和MCK基因的表达。研究发现, C2C12细胞分化过程中添加PI3K/AKT信号通路激活剂处理24 h, Myogenin和MCK蛋白表达水平显著升高, 组蛋白H3K27me3去甲基化酶UTX的表达也升高, H3K27me3在Myogenin基因启动子区和MCK基因启动子及增强子区的富集与对照组相比显著降低。用PI3K/AKT信号通路抑制剂处理, 结果相反。因此, PI3K/AKT信号通路可能通过调控组蛋白去甲基化酶UTX的表达活性改变靶基因的H3K27me3的富集进而调控骨骼肌分化。     

PI3K/Akt/mTOR信号通路及临床相关肿瘤抑制剂

哺乳动物雷帕霉素靶（mTOR）和蛋白激酶B（Akt/PKB）与肿瘤发生的密切关系已被广泛地认可.mTOR是一种丝/苏氨酸激酶,可以通过影响mRNA转录、代谢、自噬等方式调控细胞的生长.它既是PI3K的效应分子,也可以是PI3K的反馈调控因子.mTORC1 和mTORC2是mTOR的两种不同复合物. 对雷帕霉素敏感的mTORC1受到营养、生长因子、能量和应激4种因素的影响.生长因子通过PI3K/Akt信号通路调控mTORC1是最具特征性调节路径.而mTORC2最为人熟知的是作为Akt473磷酸化位点的上游激酶. 同样,Akt/PKB在细胞增殖分化、迁移生长过程中发挥着重要作用. 随着Thr308和Ser473两个位点激活,Akt/PKB也得以全面活化.因此,mTORC2-Akt-mTORC1的信号通路在肿瘤形成和生长中是可以存在的.目前临床肿瘤治疗中,PI3K/Akt/mTOR是重要的靶向治疗信号通路.然而,仅抑制mTORC1活性,不是所有的肿瘤都能得到预期控制.雷帕霉素虽然能抑制mTORC1,但也能反馈性地增加PI3K信号活跃度,从而影响治疗预后.近来发现的第二代抑制剂可以同时抑制mTORC1/2和PI3K活性,这种抑制剂被认为在肿瘤治疗上颇具前景.本综述着重阐述了PI3K/Akt/mTOR信号通路的传导、各因子之间的相互调控以及相关抑制剂的发展.     

青蒿素经PI3K/Akt通路改善突触可塑性减轻糖尿病小鼠认知障碍

目的 本研究旨在阐明青蒿素对II型糖尿病（T2DM）小鼠认知功能障碍的改善作用及其机制。方法 C57BL/6J小鼠单次腹腔注射STZ（100 mg/kg）后联合高脂饲料喂养建立T2DM模型。T2DM小鼠随后腹腔注射青蒿素（40 mg/kg/d）或等体积溶剂。干预4周后，新物体识别、Y迷宫和Morris水迷宫实验检测小鼠的学习和记忆能力。蛋白质印迹法（Western blot）检测海马PI3K、Akt、磷酸化Akt、SYN和PSD-95蛋白的表达。透射电镜观察海马CA1区突触密度和突触超微结构改变。结果 与模型组相比，青蒿素干预组T2DM小鼠的认知功能显著改善，海马中PI3K和磷酸化Akt水平升高，SYN和PSD-95蛋白表达增加，CA1区神经元丢失减少。此外，青蒿素干预组小鼠CA1区的突触密度、PSD-95和突触界面曲率增加，突触间隙宽度减小。结论 青蒿素可能通过激活海马PI3K/Akt途径增强突触可塑性，从而减轻T2DM小鼠认知功能障碍；青蒿素有望成为治疗糖尿病性认知功能障碍的新型药物。     

2型糖尿病认知功能障碍的作用机制研究进展

近年来,随着生活质量的提高及人口老龄化程度不断地加大,我国糖尿病发病率在成年中高达11%,糖尿病患者中约有65%左右存在认知功能障碍,伴有认知功能障碍的糖尿病问题也逐渐成为全球性及最备受关注的社会公共卫生问题,目前针对2型糖尿病伴有认知功能障碍尚无有效治疗药物,且其发病机制也尚未得到完全阐明。本文就炎症反应、神经递质的变化、神经营养生长因子、糖基化终末产物、胰高血糖素样肽-1、PI3K/Akt信号通路及Akt/CREB信号通路方面概述2型糖尿病认知功能障碍的作用机制的相关研究进展,为进一步深入研究2型糖尿病伴有认知功能障碍的发病机制、有效治疗药物及其临床应用提供参考。     

PI3K/AKT信号通路在肿瘤中的研究进展

恶性肿瘤的发生发展是多种信号传导通路共同作用的结果。在多种肿瘤发生过程中PI3K/AKT信号传导通路出现异常活化,该通路在肿瘤发生发展过程中起着关键作用,参与肿瘤细胞存活、增殖、侵袭与迁移的调控。抑制该通路的方案已成为肿瘤治疗的研究热点。文章对PI3K/AKT通路的组成、分子机制、功能以及与肿瘤的关系进行了综述。     

运动调控糖尿病骨病相关信号通路的研究进展

糖尿病是一种以高血糖为主要特点的慢性代谢疾病。长期患有1型和2型糖尿病的患者可能会出现骨骼并发症或"糖尿病性骨病",包括骨质减少、骨质疏松、骨关节病变和低应力骨折的发生率增加。腺苷酸活化蛋白激酶(AMPK)、哺乳动物雷帕霉素靶蛋白(mTOR)和叉头转录基因(FoxO)在糖脂代谢及骨代谢中具有重要调节作用。AMPK是mTOR和FoxO的上游调控因子,AMPK和PI3K/Akt都可以调节mTOR和FoxO1,而能量消耗是激活PI3K/Akt的因素之一,即AMP/ATP的值改变可以激活PI3K/Akt。运动能够介导上述三条通路调控糖尿病骨病,但不同形式不同负荷的运动对糖尿病骨病相关信号通路作用不一,其中运动强度是关键因素。该文查阅国内外大量文献,总结了此三者在糖尿病骨病中的调节机制,通过探讨运动介导此三者对糖尿病骨病的影响,试图为糖尿病骨病的预防和治疗提供新的理论依据。     

PI3K/Akt/mTOR信号通路与自噬及肿瘤的关系

自噬是一种以胞质内出现双层膜结构包裹长寿命蛋白和细胞器的自噬体为特征的细胞“自我消化”过程,在维持细胞内稳态、发育、肿瘤发生和感染中发挥重要作用。近来,诸多研究表明,自噬作为一把“双刃剑”,对肿瘤的发生发展既有促进作用,也有抑制作用。PI3K/Akt/mTOR通路由PI3激酶(PI3K)、蛋白激酶B（PKB/Akt）和哺乳动物类雷帕霉素靶蛋白（mTOR）3个作用分子组成,是一个中心的调节机构,对肿瘤细胞的生长与增殖有促进作用,同时对自噬进行抑制。本文就PI3K/Akt/mTOR通路与自噬及肿瘤发生发展的关系作一综述。     

AZD9291 promotes autophagy and inhibits PI3K/Akt pathway in NSCLC cancer cells

AZD9291, a third-generation epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI), is highly selective against EGFR T790M-mutant non–small cell lung cancer (NSCLC). On investigating the growth inhibitory effects of AZD9291 on NSCLC and the underlying mechanism, we found that AZD9291 can trigger autophagy-mediated cell death in both A549 and H1975 cells by increasing the expression of phosphatidylethanolamine-modified microtubule-associated protein light-chain 3 (LC3) and decreasing the expression of p62. In the presence of the autophagy inhibitor chloroquine, the AZD9291-induced increase in LC3 level was further augmented. AZD9291 decreased the levels of phosphoinositide-3 kinase (PI3K), protein kinase B (Akt), and phosphorylated Akt. AZD9291-induced cell death was enhanced by Akt knockdown, and the levels of both EGFR and phosphorylated EGFR were decreased by AZD9291. AZD9291 was also found to significantly suppress the tumor growth in H1975 xenograft nude mice. Thus, AZD9291 was found to induce autophagy, decrease in EGFR levels, and show a strong inhibitory effect on NSCLC both in vitro and in vivo. Furthermore, the PI3K/Akt signaling pathway was found to play a critical role in AZD9291-induced cell death.     

Protective mechanism of FSH against oxidative damage in mouse ovarian granulosa cells by repressing autophagy

Oxidative stress-induced granulosa cell (GCs) death represents a common reason for follicular atresia. Follicle-stimulating hormone (FSH) has been shown to prevent GCs from oxidative injury, although the underlying mechanism remains to be elucidated. Here we first report that the suppression of autophagic cell death via some novel signaling effectors is engaged in FSH-mediated GCs protection against oxidative damage. The decline in GCs viability caused by oxidant injury was remarkably reduced following FSH treatment, along with impaired macroautophagic/autophagic flux under conditions of oxidative stress both in vivo and in vitro. Blocking of autophagy displayed similar levels of suppression in oxidant-induced cell death compared with FSH treatment, but FSH did not further improve survival of GCs pretreated with autophagy inhibitors. Further investigations revealed that activation of the phosphoinositide 3-kinase (PI3K)-AKT-MTOR (mechanistic target of rapamycin [serine/threonine kinase]) signaling pathway was required for FSH-mediated GCs survival from oxidative stress-induced autophagy. Additionally, the FSH-PI3K-AKT axis also downregulated the autophagic response by targeting FOXO1, whereas constitutive activation of FOXO1 in GCs not only abolished the protection from FSH, but also emancipated the autophagic process, from the protein level of MAP1LC3B-II to autophagic gene expression. Furthermore, FSH inhibited the production of acetylated FOXO1 and its interaction with Atg proteins, followed by a decreased level of autophagic cell death upon oxidative stress. Taken together, our findings suggest a new mechanism involving FSH-FOXO1 signaling in defense against oxidative damage to GCs by restraining autophagy, which may be a potential avenue for the clinical treatment of anovulatory disorders.     

microRNA-206 is required for osteoarthritis development through its effect on apoptosis and autophagy of articular chondrocytes via modulating the phosphoinositide 3-kinase/protein kinase B-mTOR pathway by targeting insulin-like growth factor-1

microRNA (miR) has been shown to be involved in the treatment of diseases such as osteoarthritis (OA). This study aims to investigate the role of miR-206 in regulating insulin-like growth factor-1 (IGF-1) in chondrocyte autophagy and apoptosis in an OA rat model via the phosphoinositide 3-kinase (P13K)/protein kinase B (AKT)-mechanistic target of rapamycin (mTOR) signaling pathway. Wistar rats were used to establish the OA rat model, followed by the observation of histopathological changes, Mankin score, and the detection of IGF-1-positive expression and tissue apoptosis. The underlying regulatory mechanisms of miR-206 were analyzed in concert with treatment by an miR-206 mimic, an miR-206 inhibitor, or small interfering RNA against IGF-1 in chondrocytes isolated from OA rats. Then, the expression of miR-206, IGF-1, and related factors in the signaling pathway, cell cycle, and apoptosis, as well as inflammatory factors, were determined. Subsequently, chondrocyte proliferation, cell cycle distribution, apoptosis, autophagy, and autolysosome were measured. OA articular cartilage tissue exhibited a higher Mankin score, promoted cell apoptotic rate, increased expression of IGF-1, Beclin1, light chain 3 (LC3), Unc-51-like autophagy activating kinase 1 (ULK1), autophagy-related 5 (Atg5), caspase-3, and Bax, yet exhibited decreased expression of miR-206, P13K, AKT, mTOR, and Bcl-2. Besides, miR-206 downregulated the expression of IGF-1 and activated the P13K/AKT signaling pathway. Moreover, miR-206 overexpression and IGF-1 silencing inhibited the interleukins levels (IL-6, IL-17, and IL-18), cell apoptotic rate, the formation of autolysosome, and cell autophagy while promoting the expression of IL-1β and cell proliferation. The findings from our study provide a basis for the efficient treatment of OA by investigating the inhibitory effects of miR-206 on autophagy and apoptosis of articular cartilage in OA via activating the IGF-1-mediated PI3K/AKT-mTOR signaling pathway.