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醫學與健康科學

UVB induced TRPV1 and TRPA1 expression in skin keratinocyte and dorsal root ganglion cells: a plausible cause of warm and pain by sunlight irradiation

陽光晒到皮膚,人體會感覺到刺痛以避免過強紫外線的曝露。但皮膚為何會有刺痛的感覺呢?過去對光的生體受器著重於眼睛錐及桿狀細胞(Opsin 1/2),但它們在背根神經元 (DRG,周邊神經末端主體細胞)的表現並不多。TRP channels表現在皮膚及神經。TRPV1是一種痛覺受器,活化時會有鈣離子通透,Dr. Julius因它得到2021諾貝爾獎。TRPV1/A1可受溫度、酸度等活化,但DRG細胞表現的TRPV1/A1,是否會因紫外線(UVB)照射而影響,並導致鈣通透,目前並不清楚。我以不同強度UVB照射人類角質細胞或大鼠DRG,以螢光顯微鏡及流氏細胞儀測量TRPV1/A1蛋白質表現,以實時影像來作動態鈣離子分析。結果顯示UVB在10 mJ/cm2可增加DRG的TPRA1/V1表現,但UVB在5mJ/cm2照射DRG細胞後,只增加TRPA1而不是TPRV1的表現。在皮膚的角質細胞,不管是使用螢光顯微鏡或是流氏細胞儀,UVB在20mj/cm2以上的能量強度會造成角質細胞的毒性,以10mJ/cm2 UVB照射角質細胞,則會增加角質細胞的TPRA1及TRPV1表現,其中又以TRPA1的增加較明顯。惟UVB照射對細胞鈣離子通透的實時影響不大。我的結論是,UVB照射增加角質細胞及DRG的TRPA1/V1表現(特別是TRPA1),這些改變可能與光照引起之麻痛有關。

由誘導性多功能幹細胞篩選新生抗原用於大腸直腸癌之抗癌應用

癌症治癒方式成效有限,在iPSC中找出具有潛力的蛋白製成大腸直腸癌疫苗是本研究目的。 實驗先以C57BL/6小鼠之股骨及脛骨骨髓中造血幹細胞分化成為未活化的樹突細胞。放入安慰劑、CpG佐劑、CpG+MC38、CpG+iPSC等抗原物來進行免疫細胞活化測試,流式細胞儀分析結果驗證能否減緩小鼠大腸直腸癌的腫瘤生成。接著,利用質譜儀及大數據分析從iPSC中找出促使樹突細胞活化的抗原物蛋白成分,選出3個候選,透過西方墨點法確認其專一性。查詢候選蛋白TTW1、2、3在The Human Protein Atlas 網站對大腸直腸癌之表現數據。 結果 iPSC的抗原物促使樹突細胞的MHC1標記物活化,助於毒殺性 CD8+T細胞的產生進而透過免疫系統預防大腸直腸癌的產生。TTW1只有在iPSC細胞株表現出專一性,同時資料庫顯示TTW1在大腸直腸癌中具有高表現量。 目前未有文獻探討抗原疫苗的應用,團隊未來專注合成iPSC中TTW1蛋白,進一步開發成大腸直腸癌疫苗。

「噬」者生存—有絲分裂時,USP24的下降誘發細胞自噬,有利於基因體的穩定

抗藥性是癌症治療時的一大阻礙。如何解決癌症的抗藥問題是十分重要的議題。過去的研究指出在肺腺癌細胞株中USP24表現量在有絲分裂期間會明顯下降,但此現象之功能仍有待釐清。在本研究中,我們發現該現象會使TRAF6表現量下降,從而使Beclin-1表現量上升,進而誘發細胞自噬。另外,我們更發現了有絲分裂期的細胞自噬有助於減少DNA碎片,達到穩定基因體的功用。此外,在與抗藥細胞株比較時發現,上述誘發細胞自噬之現象在抗藥細胞株中明顯下降。因此,我們推斷在抗藥細胞株中有絲分裂期的USP24下降變少,細胞自噬被抑制,造成基因體不穩定,最後造成抗藥性的產生。綜上所述,我們的研究不只闡明了USP24的下降在有絲分裂期間是如何誘發細胞自噬,更說明了有絲分裂時的細胞自噬有助於基因體的穩定,從而在肺癌的治療中阻止癌症抗藥性的產生。

探討半乳糖凝集素-4在腸道沙門氏菌感染中扮演的角色

此研究旨在探討當腸道沙門氏菌感染人類腸道上皮細胞(HT-29)時半乳糖凝集素-4(galectin-4)所扮演的角色。我們用野生型(wild-type)以及半乳糖凝集素-4 剔除(galectin-4 knockout)的HT-29細胞進行沙門氏菌感染。我們首先經由CFU計數探討galectin-4對細胞內細菌量的影響,並檢測細胞釋出的LDH及IL-18和mature caspase-1的量,以此研究galectin-4是否會活化發炎體(inflammasome)。結果發現, wild type HT-29 cells相較galectin-4 knockout cells有較少的活細菌,釋出的LDH,IL-18也較少。但在經過wortmannin(一種自噬抑制劑)treatment後,wildtype HT-29 cells釋出較多的LDH,IL-18,並且也釋出了mature caspase-1。這些研究結果顯示galectin-4能夠降低細胞內活細菌的量,且能夠活化inflammasome。

肝未人生,肝緊治療-利用端粒酶轉基因斑馬魚斑馬魚模式研究三種藥物的組合抗肝癌作用

癌症為台灣國人十大死因之首,在台灣地區肝癌在十大癌症死因排名第二。雖然有第一線以及第二線藥物,但是頂多只能延長病人13個月的壽命,所以急需開發有效抑制肝癌的新藥。斑馬魚屬於脊椎動物,斑馬魚基因與人類基因的相似度達到87%,且繼代快成本低,對於研究人類的疾病或篩選藥物助益極大。在肝癌病患當中具有高達百分之六十的人,在肝癌中發現了端粒酶逆轉錄酶(TERT)啟動子的突變,這項突變會導致在肝癌細胞中端粒酶的過量表現並促進癌細胞的生長。先前在研究員實驗室建立了端粒酶轉基因斑馬魚,在15天有顯著增加細胞增殖相關基因以及b-catenin下游基因的表現,並且利用HE染色細胞組織病理學分析,有絲分裂以及三核的比例也大大增加。我們這個研究就是利用端粒酶轉基因斑馬魚研究三種藥物(小分子褐藻醣膠,鯽魚複合配方,麩胺酸螯合鈷)單獨使用跟組合使用抗肝癌的作用。我們發現使用三種藥物混合能有效抑制肝癌,未來可廣泛運用在醫學。

上皮細胞黏附因子(EpCAM)對腫瘤增生影響之機制探討

上皮細胞黏附因子 (EpCAM) 參與了細胞的黏附、信息傳遞、增殖及分化等功能,並在惡性腫瘤組織中大量表達。另外抗EpCAM中和性抗體可以阻斷EpCAM訊息傳遞,進而引起癌細胞PD-L1的表現量降低並促進T細胞的毒殺活性。為了觀察EpCAM是否會對癌細胞的增生、轉移以及侵入能力造成影響,我們將細胞分為野生型 (wild type) 和EpCAM基因剔除細胞株 (EpCAM knockout) 進行實驗。首先,我們以Western-blotting和qRT-PCR確認EpCAM基因剔除組的EpCAM基因有確實被剔除,再進一步利用細胞存活率及細胞群落實驗證實EpCAM會促進癌細胞的增生能力,並分別藉由EGFR的抑制劑Afatinib與HGFR的抑制劑Crizotinib對於癌細胞存活率的實驗證實EpCAM 對於EGFR與HGFR的訊息傳遞扮演重要角色。接著分析EpCAM對癌細胞轉移及侵入能力的影響,γ-secretase和ADAM17皆為裁剪EpCAM進行訊息傳遞的重要酵素,實驗中的癌細胞分別以γ-secretase和ADAM17的抑制劑DAPT和TAPI-1處理,證實EpCAM的訊息傳遞與癌細胞轉移與侵入能力有關。接著我們以EpCAM中和性抗體處理癌細胞後,證實EpCAM中和性抗體確實會促使癌細胞凋亡。最後我們利用Western blotting分析EpCAM對於不同激酶磷酸化的蛋白質表現量之影響,找出EpCAM下游訊息傳遞的完整路徑,期望能找到治療癌症的關鍵。

Flavored Nanofiber Strips Loaded with Amoxicillin as an Alternative Method for Treating Bacterial Infections in Children

Semisynthetic penicillin, Amoxicillin, is a broad-spectrum antibiotic that is widely used to treat bacterial infections in children suffering ear, nose, and throat infections, genitourinary tract infections, skin infections, and lower respiratory tract infections1. This antibiotic works against both gram-positive and gram-negative bacteria, such as Listeria monocytogenes, Haemophilus influenza, Streptococcus pneumonia , Streptococcus pyogene and Escherichia coli1,2. It shows antibacterial activity by inhibiting dd-transpeptidase, which maintains the integrity of the bacterial cell wall which results in bacterial cell death due to a fragile cell wall3. Nonadherence to medication was associated with 50% of drug-related hospitalizations in children4. In order to improve adherence and influence clinical outcome, it is important to acknowledge the importance of drug palatability to children4–6. The currently available liquid suspension form of this antibiotic is administered to patients through oral/GI routes. It is also available in capsules or tablets for adults7–9. In the gastrointestinal tract, the drug has to withstand variable pH conditions and enzymatic degradation , mucus and mucosal barriers to survive resulting in limiting drug bioavailability10,11. In addition to conventional drug delivery formulations, nanofibers can be used to deliver drugs orally, topically, and through buccal or transdermal routes12. Drug-loaded nanofibers offer many advantages as a delivery system, including their porous structure and their efficient delivery of various drugs and bioactive molecules including hydrophobic and hydrophilic drugs12–14. Considering that amoxicillin palatability can affect children patients’ compliance and due to the advantages of both nanofiber drug delivery system and drug delivery through buccal routes, hence, this project aims to prepare flavored electrospun nanofibers loaded with amoxicillin to mask the unpleasant taste of the drug for treating children with bacterial infection. Nanofibers loaded with amoxicillin can be applied between the child's gum and cheek, allowing the fibers to dissolve in mucus and penetrate directly into the bloodstream.

KidneyLifePlus+ : Retinal Imaging Analysis for Kidney Disease Risk Assessment

Chronic kidney disease (CKD) represents a significant public health challenge, often referred to as a “silent disease” due to its asymptomatic progression during early stages (1–2). Consequently, most diagnoses occur during advanced stages (3 and beyond), where treatment options are more complex and outcomes are less favorable. Globally, CKD affects over 850 million individuals, with 434.3 million cases in Asia alone. Despite its prevalence, early-stage awareness remains alarmingly low, with only 5% of affected individuals aware of their condition. Existing screening methods are predominantly hospital-based, expensive, and time-intensive, limiting their accessibility, particularly in resource-constrained settings. This underscores an urgent need for more accessible and efficient diagnostic tools to enable early intervention. In response to this critical problem, we developed KidneyLifePlus+, an AI-powered platform that leverages advanced machine learning models, including U-net, ResNet-50, and YOLO v8, to analyze retinal images for early CKD detection. These models are integrated to ensure high screening accuracy by identifying subtle biomarkers indicative of CKD progression. Complementing the software, we designed proprietary hardware capable of capturing high-resolution retinal images, delivering performance comparable to hospital-grade equipment. By ensuring affordability and ease of use, the system extends screening capabilities beyond clinical environments, making it suitable for deployment in community healthcare settings. KidneyLifePlus+ addresses key limitations of traditional methods by offering a rapid, cost-effective, and highly accurate diagnostic solution. The platform’s potential to enhance early detection rates could significantly improve clinical outcomes and quality of life for CKD patients. Furthermore, this innovation contributes to global efforts to reduce the burden of CKD by promoting equitable access to diagnostic services, particularly in underserved regions.

基因突變與骨硬化症之相關

本研究由骨硬化症(osteosclerosis)個案報告開始,進行基因變異的探查,先針對骨生成主要調控機制WNT pathway上的SOST、LRP5、LRP6基因,進行基因定序與分析。在此3個基因沒有發現異常位點後,轉而以全外顯子組定序(whole exome sequencing),進行次世代基因定序(next generation sequencing)。結果顯示病患帶有CTNNB1 c.1982G>A (p.Arg661Gln)之異合子(heterozygous)誤義變異(missense mutation),並證實是CTNNB1基因的原發突變(de novo mutation),該突變影響後續蛋白質表現,影響了ICAT對WNT/beta-catenin訊息傳遞鏈的抑制,繼而穩定beta-catenin,造成骨質異常增生、並導致全身骨硬化。此案例為全世界第二例、亞洲首例的CTNNB1基因功能增強突變(gain-of-function mutation)的病例報告。

In silico Screening of Forty Antiviral Phytochemicals as Inhibitors to the Envelope Protein of Dengue Virus Serotype 2 (DENV-2)

Infections by the Dengue virus (DENV) cause a disease amonghumansreferred to as Dengue fever, which causes thousands of fatalities globally. There is no existing treatment as of yet that successfully targets DENV. Among the factors thatdeterminetheentry of the virus and severity of the disease is the envelope(E) protein of DENV. This study aimed to examine forty antiviral phytochemicals enumeratedinpaststudiesaspossibleinhibitorstotheEprotein of DENV to provide candidates to aid in drug discovery against DENV. The phytochemicals were screened for their likelihood of inhibition of the E protein using AutoDock Suite and LigPlot+. Seven phytochemicals produced favorable binding affinities to the E protein, which are based on the interactions between the phytochemicals and amino acidsintheactivesiteoftheEprotein.Lipinski’s rule of 5 was then used to screen the seven phytochemicals for oral bioavailability. Glabridin has a binding affinity of -7.6 kcal/mol and was predicted to be orally bioavailable. This phytochemical interacts with amino acids in the E protein active site through hydrogen bonds to Asn355, andPhe337, as well as ten hydrophobic interactions. These interactions ensure that glabridin is able to specifically target and fit intotheactivesiteoftheEprotein, preventing its binding to the host cell and activating its viral proliferation. Glabridin is known to be found in the roots of licorice plants, providing anatural source for a possible cure for Dengue fever.