Isahluko soku-1 Imvelaphi yebhayoloji yeMannose: Imisebenzi enemigangatho emininzi eNgaphaya koNikezo lwaMandla
Youdaoplaceholder0 1.1 Ilungu elifihlakeleyo losapho lweswekile
Njengeyona nto ingundoqo yamandla ezinto eziphilayo, inkqubo yokuhlelwa kwe-carbohydrates sele iqiniswe kwiincwadi zokufunda: i-monosaccharides (efana ne-glucose kunye ne-fructose), i-oligosaccharides (efana ne-lactose), kunye ne-polysaccharides (efana nesitashi). Nangona kunjalo, ubungcali be-mannose bulele "kwi-identity" yayo - ayithathi nxaxheba kuphela kwi-metabolism yamandla kodwa "ngumlinganiswa wephasiwedi" wonxibelelwano lweseli. I-Mannose ikhona ngokubanzi kwindawo ekhululekileyo kwi-pectin layer yeziqhamo ze-citrus kunye neendonga zeeseli ze-algae enzulu yolwandle. Emzimbeni womntu, iba sisiseko se-molecular yeenkqubo eziphambili ze-physiological ezifana nokuqatshelwa kwe-immune kunye ne-cell adhesion ngokusebenzisa i-N-link glycosylation modification ye-glycoproteins.
?
Youdaoplaceholder0 1.2 I-Cognitive Iteration ukusuka kwiMpilo yoMchamo ukuya kumaVulindlela oMhlaza
Kwangoko ngeminyaka yoo-1980, abezonyango bafumanisa ukuba imannose inokuthintela usulelo lwendlela yomchamo ngokuthintela ukuncamathela kwebhaktiriya ye-pathogenic. Lo matshini ubangele ukuthengiswa okushushu kweemveliso zezempilo zecranberry extract. Kodwa akuzange kube ngo-2018 apho uphononongo olubalulekileyo olwenziwe nguCancer Research UK (CRUK) kwijenali yeNdalo ngokwenene yasiphakamisa isigqubuthelo kwiinzame zayo zokulwa nomhlaza: Kwimodeli yempuku yomhlaza wepancreatic, ukongeza i-20% yemannose kumanzi okusela yanciphisa izinga lokukhula kwethumba nge-40%, kwaye xa kudityaniswa ne-chemotherapy drug gemcitabine, ixesha lokusinda landiswa ngamaxesha ama-3 we-mi2. Oku kufunyaniswayo kuye kwabhukuqa imbono eqhelekileyo yokuba "zonke iiswekile zikhuthaza umhlaza".
?
I-Youdaoplaceholder0 Isahluko sesi-2 Ukuchaza iNdlela yokuNqanda uMhlaza: "Izitshixo zeswekile" eziThathu Ukuvula indlela yokuphila ye-Tumor
Youdaoplaceholder0 2.1 Ukuqweqwediswa kweMetabolic: "Ihashe leTrojan" liguqulwe njengeglucose
"I-Warburg Effect" yeeseli zethumba yenza ukuba i-glucose ifumaneke ibe phindwe kashumi kwiiseli eziqhelekileyo. Iqela le-CRUK lifumene nge-carbon-13 isotope yokulandelela iteknoloji yokuba i-mannose ingangena kwiiseli zomhlaza ngokusebenzisa uhlobo olufanayo lwe-glucose transporter (GLUT1/3) enesakhiwo esifana neso seswekile. Nangona kunjalo, emva kokungena, i-phosphorylated ngokukhawuleza yi-hexokinase kwi-mannose-6-phosphate (M6P). Le metabolism intermediate ayikwazi ukungena kwindlela ye-glycolytic kodwa endaweni yoko iqokelela ngaphakathi kwiseli ukwenza "umqobo we-metabolic", ekhokelela ekuthinteleni kwe-ATP synthesis kunye nokuqhuma kweentlobo ze-oksijini esebenzayo (ROS), ekugqibeleni ibangele i-apoptosis yeeseli zomhlaza (Umfanekiso 1).
?
I-Youdaoplaceholder0 2.2 Ummiselo we-Epigenetic: Ukubhala kwakhona "ikhowudi yememori" yeeseli zomhlaza
Ngo-2023, iqela lophando elivela kwiYunivesithi yaseFudan kwi-Cell Metabolism libonise ngakumbi ukuba i-mannose inokusebenza "njengomhleli we-epigenome". Kwimodeli ye-pancreatic ductal adenocarcinoma (PDAC), unyango lwe-mannose luye lwanciphisa kakhulu inqanaba le-acetylation yesiza se-histone H3K27, okubangelwa ukuvinjelwa kwemisebenzi yokubhaliweyo kwe-oncogenes MYC kunye ne-KRAS. Okona kumangalisa ngakumbi, le mpembelelo ibonakalayo yohlengahlengiso iyaqhubekeka - nokuba ulawulo lwechiza luyekile, iiseli zomhlaza zigcina ukuhlasela okuphantsi, zibonelela ngeembono ezintsha kunyango oluqatha.
?
I-Youdaoplaceholder0 2.3 Uhlengahlengiso lwe-immune microenvironment: Ukukrazula "i-disguise eqatywe iswekile" yePD-L1
Iqela elifanayo elifunyenwe kwizifundo ezilandelayo ukuba i-mannose inokukrazula indlela yokuphunyuka kwe-immune yamathumba ngokuphazamisa ukuguqulwa kwe-glycosylation ye-programmed death ligand 1 (PD-L1). Uhlalutyo lwe-mass spectrometry lubonise ukuba i-mannose inqanda i-N-glycosylation ye-asparagine kwindawo ye-192 yeprotheni ye-PD-L1, okubangelwa ukungakwazi kwayo ukugoqa ngokuchanekileyo kunye ne-anchor kwi-membrane yeseli. I-PD-L1, elahlekelwa ukukhuselwa "kwesikhuselo seshukela", ibhalwe yi-E3 ubiquitin ligase FBXW41 kwaye ithotywe yiproteasome. Kwiigundane ze-melanoma, ukudibanisa kwe-mannose kunye ne-anti-PD-1 antibodies yandisa i-tumor regression rate epheleleyo ukusuka kwi-28% ukuya kwi-79% (Umfanekiso 2).
?
Youdaoplaceholder0 Isahluko sesi-3 Ukusuka kwiMifuziselo yeZilwanyana ukuya kulingo lwezonyango zoLuntu: Indlela enameva yoGuqulelo lweyeza
I-Youdaoplaceholder0 3.1 Impumelelo kunye neMida yoPhando lwePreclinical
Kwimodeli yomhlaza we-pancreatic ye-CRUK, nangona i-monotherapy ene-mannose ilibazise ukuqhubela phambili kwethumba, ayiphumelelanga ukuphumeza uxolelo olupheleleyo. Nangona kunjalo, xa idityaniswe ne-FOLFIRINOX chemotherapy regimen, ixesha eliphakathi lokusinda kweempuku landiswa ukusuka kwiintsuku ze-42 ukuya kwiintsuku ze-98, kwaye kwakungekho ukwanda kwetyhefu. Esi siphumo saphinda saveliswa kwimodeli yomhlaza webele kathathu-negative kwi-MD Anderson Cancer Centre: I-Mannose yandisa izinga lokunciphisa ithumba le-paclitaxel ukusuka kwi-45% ukuya kwi-72%. Nangona kunjalo, abaphandi bafumanisa ukuba malunga ne-15% yamathumba awazange aphendule kwi-mannose. Uhlalutyo olongezelelweyo lubonise ukuba ezi seli ezichasene neziyobisi zibonakaliswe kakhulu i-mannose-phosphate isomerase (PMI), enokuguqula i-M6P ibe yi-fructose-6-phosphate kwaye iphinde idibanise kwindlela ye-glycolytic.
?
Youdaoplaceholder0 3.2 Isifingo esilumkileyo sezilingo zabantu
Isigaba sokuqala solingo lwezonyango lwe-mannose olwaqalwa ngo-2022 (NCT05220739) lubandakanya izigulane ezingama-32 ezinamathumba aqinileyo aphezulu. Kwiqela le-dose yolawulo lomlomo lwemihla ngemihla ye-5g mannose, i-tumor ejikelezayo ye-DNA (ctDNA) amanqanaba ezigulane ezi-8 zehla ngaphezu kwe-50%, apho umthamo we-metastases yesibindi kwesinye isigulana somhlaza we-pancreatic wehla ngama-31%. Nangona kunjalo, xa umthamo wenyuka ukuya kwi-10g, isifo sohudo se-grade III senzeke kwizigulane ze-3, ebonisa ukuba isicwangciso solawulo kufuneka siphuculwe. Okwangoku, amalungiselelo e-mannose emithanjeni esebenzisa iteknoloji ye-nano-liposome encapsulation iphantsi kophuhliso. Idatha ye-preclinical ibonisa ukuba ukuhanjiswa kwe-tumor ekujoliswe kuyo kufikelela kwi-78%, kwaye ubutyhefu babo buyancipha kakhulu.
?
Youdaoplaceholder0 Isahluko sesi-4 soGuquko lwezoShishino kunye neempikiswano: Imingeni yokwenyani yeRevolution eSweet
Youdaoplaceholder0 4.1 Ibhayoloji yoSynthetic Sombulula iPuzzle yemveliso yeMisa
Imannose ekhutshwe ngokwendalo iyabiza (malunga nekhilogram nganye)
1200
Kunzima ukuhlangabezana neemfuno zedosi yokulwa nomhlaza (imihla ngemihla)
Indlela kukwandisa imveliso ukuya
Iindleko ziye zehla ukuya kwi-1200), okunzima ukuhlangabezana nemfuneko yedosi yokulwa nomhlaza (10-20g ngosuku). I-Synthetic biology giant GinkgoBioworks inyuse isivuno ukuya kwi-30g/L kwaye yanciphisa iindleko ukuya kwi-50/kg ngokuguqula indlela ye-mannose-1 - guanosine phosphate transferase (MPG) ye-Escherichia coli. Itekhnoloji ephucuke ngakumbi efana ne-CRISPR-Cas9-ehleliweyo ye-Saccharomyces cerevisiae ibhaktiriya yobunjineli ikwazile ukuvelisa ngokuzinzileyo i-mannose ecocekileyo kakhulu ngexesha lokuvutshelwa okuqhubekayo.
?
Youdaoplaceholder0 4.2 Umdlalo phakathi kweHype yeshishini kunye neenqobo zokuziphatha zenzululwazi
Ngombono othi "iswekile echasene nomhlaza" iyathandwa, amakhulu eemveliso zezempilo ze-mannose ezibanga "unyango oluncedisayo lwamathumba" ziye zavela kwiqonga le-Amazon, kunye neentlawulo zexabiso eliphezulu ukuya kumaxesha alishumi. Ngo-2023, i-US FDA yakhupha iileta ezilumkisayo kumashishini angama-23, igxininisa ukuba "izongezo zokutya kufuneka zingabi neziphumo zonyango kwizifo." Izazinzulu zixhalabile ukuba ngokumfameka ukuthatha iidosi eziphezulu zemannose kunokuphazamisa intyantyambo yamathumbu - imifuniselo yezilwanyana ibonise ukuba ukuthatha ixesha elide kukhokelela ekunciphiseni ngama-80% kubuninzi beFaecalibacterium prausnitzii kunye nokunyuka ngokuphindwe kahlanu kwi-Fusobacterium nucleatum. Le yokugqibela inxulumene ngokusondeleyo nokuqhubela phambili komhlaza we-colorectal.
?
I-Youdaoplaceholder0 iSahluko seSihlanu samaThemba ekamva: ULwandlekazi olukhulu lweGlyco-based Drugs
Youdaoplaceholder0 5.1 IGlycolic Revolution kwiPrecision Medicine
Izicwangciso zonyango zomntu ngamnye ezisekelwe kwi-tumor metabolic heterogeneity ziyavela. Imodeli ye-"Mannose Sensitivity Score" (MSS) ephuhliswe yi-Broad Institute e-United States inokuqikelela ukusabela okunokwenzeka kwezigulana kwi-mannose ngokubona inqanaba lokuthetha le-GLUT1, umsebenzi we-hexokinase kunye nemo yokuguqula i-PMI kwizihlunu zethumba. Kuyilo lweemvavanyo zekliniki zeSigaba sesi-II, izigulane zomhlaza we-pancreatic ezinenqaku le-MSS ye-≥75% ziya kunikwa kuqala ukubandakanywa ukuphucula izinga lokuphendula unyango.
?
Youdaoplaceholder0 5.2 Udibaniso olunqamlezileyo lweswekile yobunjineli bamachiza
Uphando lwe-Frontier alusanelisekanga kusetyenziso olunye lwemannose yendalo. Iqela le-MIT lenze i-conjugate ye-"mannose-paclitaxel", ethatha ithuba lokunyuswa okuphezulu kwe-mannose ngeeseli ze-tumor ukuphumeza ukuhanjiswa okujoliswe kuko kwamachiza e-chemotherapy. Kwiimodeli zomhlaza wamabele, ukusebenza kakuhle kokubulawa kwethumba kule conjugate kwakuphindwe kathathu kune-paclitaxel yendabuko, kwaye i-cardiotoxicity yayo yancitshiswa ngama-60%. Olunye ugqatso luvela kwiYunivesithi yaseShanghai Jiao Tong: ngokudibanisa imannose kunye ne-photosensitizer Ce6, "unyango olusekwe kwiswekile olusekwe kwifotodynamic" olunokuthi luvulwe sisibane esikufuphi ne-infrared sele luphuhlisiwe, lubonisa ukuba kunokwenzeka ukukhupha ithumba elinzulu.
?
Youdaoplaceholder0 Isiphelo: "Imolekyuli eswiti" iphinda ibhale imithetho echasene nomhlaza.
Uhambo lokulwa nomhlaza lwemannose luyintlantsi eqaqambileyo ebangelwe kukungqubana kwesiseko senzululwazi kunye neemfuno zeklinikhi. Ukusuka kungenelelo lwe-metabolic ukuya kulawulo lwe-immune, ukusuka kwi-monotherapy ukuya kwiirejimeni ezidityanisiweyo, le molekyuli yeswekile iqhekeza umgca wokukhusela ithumba kunye nezicwangciso zokuhlaselwa kwe-multi-dimensional. Nangona indlela yokuthengisa isajongene nemingeni efana nokulungiswa kwedosi, iindlela zokuxhathisa iziyobisi, kunye nemimiselo yokulawula, uluntu lwezenzululwazi lunethemba elikhulu kuyo - njengoko u-Nobel laureate uJames Watson ebeka, "Undoqo womhlaza yi-genomic disorder, kwaye i-mannoglucose isifundisa ukuba ungenelelo lwe-metabolic lunokubuyisela ucwangco." Iqhutywa ngamavili amabini eyeza elichanekileyo kunye nebhayoloji yokwenziwa, le "revolution imnandi" inokuzisa ixesha elitsha lonyango lomhlaza.