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18 pages, 4559 KB  
Article
Augmenting the Cytotoxicity of Anticancer Peptide K6L9 by In Vitro-Synthesized mRNA
by Muturi Njoka, Obdulia Covarrubias-Zambrano, Aprajita Tripathi, Nadine Santana-Magal, John Jeppson, David Akhavan, Kalyani Pyaram, Stefan H. Bossmann and Divya Kamath
Appl. Sci. 2026, 16(7), 3288; https://doi.org/10.3390/app16073288 (registering DOI) - 28 Mar 2026
Abstract
Anticancer peptides (ACPs) offer a promising alternative to conventional chemotherapy but face challenges, including poor selectivity, limited tumor penetration, low cellular uptake, and rapid degradation in serum. To address these barriers, we developed synthetic mRNAs encoding chimeric ACPs designed for enhanced intracellular delivery [...] Read more.
Anticancer peptides (ACPs) offer a promising alternative to conventional chemotherapy but face challenges, including poor selectivity, limited tumor penetration, low cellular uptake, and rapid degradation in serum. To address these barriers, we developed synthetic mRNAs encoding chimeric ACPs designed for enhanced intracellular delivery and activity. mRNAs for constructs SAK6L9AS(1X), SAK6L9AS(4X), and WTAS-K6L9(4X) were transcribed in vitro and tested against 4T1 breast cancer cells. Cytotoxicity was assessed by cell confluence and MTT assays, while apoptosis was evaluated using caspase 3/7 activation, PI staining, and Annexin V flow cytometry. Our results demonstrate that all SAK6L9AS variants induced robust apoptosis and cellular toxicity in 4T1 cells. Importantly, this work provides the first demonstration of intracellular expression of an mRNA-encoded ACP fused to a cell-penetrating peptide, thereby validating a modular platform for RNA-based delivery of anticancer agents. This study highlights the feasibility of mRNA-encoded peptide therapeutics as a scalable and customizable strategy for cancer treatment. By combining the advantages of mRNA delivery with rational peptide design, ACP chimeras can be expressed directly inside tumor cells, overcoming the limitations of exogenous peptide administration. Our findings support further development of synthetic mRNA therapeutics to generate potent, selective anticancer peptides with reduced systemic toxicity and improved translational potential. Full article
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37 pages, 3055 KB  
Review
MAP3K1: A Multifunctional Kinase at the Crossroads of Cancer Progression and Tumor Suppression
by Lelisse T. Umeta and Amarnath Natarajan
Cells 2026, 15(7), 604; https://doi.org/10.3390/cells15070604 (registering DOI) - 28 Mar 2026
Abstract
Mitogen-activated protein kinase kinase kinase 1 (MAP3K1) possesses dual enzymatic functions, i.e., kinase and E3 ubiquitin ligase activities, orchestrating proliferation, survival, apoptosis, DNA damage response, and immune modulation. Recent genomic and mechanistic studies have revealed MAP3K1’s paradoxical, context-dependent roles as both an oncogene [...] Read more.
Mitogen-activated protein kinase kinase kinase 1 (MAP3K1) possesses dual enzymatic functions, i.e., kinase and E3 ubiquitin ligase activities, orchestrating proliferation, survival, apoptosis, DNA damage response, and immune modulation. Recent genomic and mechanistic studies have revealed MAP3K1’s paradoxical, context-dependent roles as both an oncogene and a tumor suppressor. We discuss MAP3K1’s multidomain architecture, featuring an N-terminal RING and PHD domain (E3 ligase activity), a TOG domain (microtubule dynamics), and a C-terminal kinase domain, enabling the integration of c-jun N-terminal kinase (JNK), p38 mitogen-activated protein kinase (p38 MAPK), extracellular signal-regulated kinase (ERK), and nuclear factor kappa B (NF-κB) signaling pathways. MAP3K1 functions as a molecular switch balancing survival and apoptosis, with caspase-3 cleavage at Asp878 activating pro-apoptotic JNK/p38 signaling. Genomic analyses across >35 cancer types reveal MAP3K1 alterations at frequencies of <1–14%, highest in breast and endometrial cancers. These alterations show tissue specificity: loss-of-function mutations predominate in hormone receptor-positive breast cancer with a favorable prognosis, whereas gain-of-function mutations in melanoma activate oncogenic ERK signaling. MAP3K1 mutations predict response to mitogen-activated protein kinase kinase (MEK) and phosphoinositide 3-kinase (PI3K) inhibitors, with mutant cancers showing higher MEK inhibitor response than wild-type tumors. Despite substantial progress, critical gaps remain regarding MAP3K1’s E3 ligase substrates, context-dependent activity determinants, and therapeutic strategies. Addressing these through inhibitor development, biomarker validation, and mechanistic studies will accelerate potential clinical translation of MAP3K1 biology. Full article
(This article belongs to the Section Cell Signaling)
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22 pages, 6139 KB  
Article
Mechanistic Insights into Piperine-Driven Oxidative Stress, Autophagy Activation and Anti-Migration Effects in Caco-2 Cells
by Hla Sudan, Sofia Passaponti, Ilenia Casini, Roberta Romagnoli, Laura Cresti, Mariangela Gentile, Maria Frosini and Anna Maria Aloisi
Molecules 2026, 31(7), 1106; https://doi.org/10.3390/molecules31071106 - 27 Mar 2026
Abstract
Background: Piperine, an alkaloid from Piper nigrum, modulates oxidative stress, proliferation, and survival pathways in several cancer models; however, its mechanistic effects in colorectal epithelial Caco-2 cells remain insufficiently defined. Objective: This study aimed to investigate the cytotoxic, antiproliferative, oxidative, [...] Read more.
Background: Piperine, an alkaloid from Piper nigrum, modulates oxidative stress, proliferation, and survival pathways in several cancer models; however, its mechanistic effects in colorectal epithelial Caco-2 cells remain insufficiently defined. Objective: This study aimed to investigate the cytotoxic, antiproliferative, oxidative, autophagic, and anti-migratory effects of piperine in Caco-2 cells. Methods: Caco-2 cells were treated with piperine (0.001–0.1 mg/mL) for up to 72 h. Cell viability, proliferation, and migration were assessed using SRB and scratch assays. Oxidative stress, apoptosis, autophagy, and tight junction integrity were evaluated through ROS quantification, Western blotting, gene expression analysis, confocal microscopy, and transmission electron microscopy (TEM). NACET was used to determine the contribution of oxidative stress to piperine-induced cytotoxicity and autophagy. Results: Piperine induced a time- and dose-dependent reduction in viability, with viability decreasing to 53.0 ± 2.88% at 0.1 mg/mL after 72 h. Proliferation decreased to 51% of control levels (p < 0.001), accompanied by p21 upregulation (p < 0.05), indicating G2/M cell cycle arrest. Piperine markedly increased intracellular ROS (p < 0.001), downregulated NRF2 (p < 0.05), and suppressed GSTA1 expression (p < 0.001), while NACET co-treatment restored viability (p < 0.001). No activation of caspase-dependent apoptosis was observed. Piperine significantly enhanced autophagic flux, as shown by the increased LC3B-II/LC3B-I ratio (p < 0.01), elevated LC3B-II/LAMP-1 co-localization (p < 0.01), and chloroquine-induced accumulation of LC3B-II and p62 (p < 0.01), with preserved lysosomal function. TEM analysis confirmed a marked increase in double-membrane autophagosomes in piperine-treated cells compared with controls. NACET reduced LC3B-II/LC3B-I levels, increased p21 expression, and significantly improved cell viability, indicating that piperine-induced autophagy is cytotoxic and driven by oxidative stress. Additionally, piperine upregulated occludin (p < 0.01) and reduced cell migration independently of proliferation (p < 0.01). Conclusions: Piperine exerts antiproliferative effects in Caco-2 cells through ROS-mediated stress, p21-dependent G2/M arrest, and activation of cytotoxic autophagy. Its ability to impair migration and enhance tight junction integrity further supports its potential as a complementary therapeutic agent in colon cancer. Full article
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13 pages, 2432 KB  
Article
Programmed Cell Death in the Endosperm Is a Hallmark of Seed Germination in Viola
by Jacek Łuc, Monika Kwiatkowska, Aneta Słomka, Magdalena Surman, Magdalena Wilczak and Klaudia Sychta
Int. J. Mol. Sci. 2026, 27(7), 3046; https://doi.org/10.3390/ijms27073046 - 27 Mar 2026
Abstract
Programmed cell death (PCD) is a pivotal biological process that occurs at various stages of plant development, including embryogenesis and seed germination. This study investigated whether the absence of PCD in endosperm cells is connected to the poor germination of Viola odorata seeds. [...] Read more.
Programmed cell death (PCD) is a pivotal biological process that occurs at various stages of plant development, including embryogenesis and seed germination. This study investigated whether the absence of PCD in endosperm cells is connected to the poor germination of Viola odorata seeds. Seeds of poorly germinating V. odorata and well-germinating V. × wittrockiana were either cold-stratified for 10 days or left untreated. Germination tests, tetrazolium viability tests, Western blot analyses for caspase-like proteases, and Terminal deoxynucleotidyl transferase (TdT) dUTP nick end labeling (TUNEL) assays for DNA strand break detection were performed. The results revealed that V. odorata seeds did not germinate, regardless of stratification or lack thereof, whereas in V. × wittrockiana, stratification significantly increased their germination capacity (34 ± 6.5% vs. 56.5 ± 9.8% in non-stratified and stratified seeds, respectively). The tetrazolium viability test revealed that V. odorata seeds were nonviable (100% nonviable endosperm and 96% nonviable embryos in total), whereas the seeds of V. × wittrockiana were highly viable (63% and 59% endosperm and embryos in total, respectively). Western blot analysis revealed that in the germinating seeds of V. × wittrockiana, caspase-like activity was detected in the endosperm but not in the embryos, whereas in seeds that failed to germinate, the PCD signal in the endosperm was very weak. In the seeds of V. odorata, caspase-like activity was detected in the embryos and endosperm collected directly after 10 days of stratification, but no signal was detected in the seeds left to germinate for one month after cold stratification. TUNEL assays revealed DNA strand breaks in the peripheral part of the endosperm in V. odorata and in non-germinating V. × wittrockiana, whereas in the germinating seeds of V. × wittrockiana, DNA strand breaks were detected in the endosperm cells adjacent to the embryo. These findings indicate that endosperm-localized PCD facilitates nutrient mobilization to the embryo and seems crucial for successful germination. Overall, these results suggest that PCD contributes to the regulation of seed germination in Viola spp. Full article
(This article belongs to the Special Issue Plant Cell/Organ Structure and Function Research)
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26 pages, 3253 KB  
Article
MAVS as a Key Regulator of Tumor Proliferation, Survival, the Tumor Microenvironment, and Immunity
by Sweta Trishna, Anna Shteinfer-Kuzmine, Vered Chalifa-Caspi and Varda Shoshan-Barmatz
Biomolecules 2026, 16(4), 501; https://doi.org/10.3390/biom16040501 - 26 Mar 2026
Abstract
The mitochondrial anti-viral signaling protein, MAVS, is a central regulator of innate anti-viral immunity. Recently, we demonstrated that MAVS is overexpressed in cancer, where its downregulation resulted in reduced cell proliferation and the expression and nuclear translocation of proteins associated with transcriptional regulation [...] Read more.
The mitochondrial anti-viral signaling protein, MAVS, is a central regulator of innate anti-viral immunity. Recently, we demonstrated that MAVS is overexpressed in cancer, where its downregulation resulted in reduced cell proliferation and the expression and nuclear translocation of proteins associated with transcriptional regulation and inflammation. In this study, we demonstrate that CRISPR/Cas9-mediated MAVS depletion in PC-3 prostate cancer cells suppresses proliferation, disrupts immune evasion, and alters the tumor microenvironment. Proteomic profiling of the MAVS-KO cells by LC-MS/MS revealed changes in the expression of proteins associated with immunity, cell signaling, mitochondrial function, metabolism, protein synthesis and degradation, and epigenetic regulation. In contrast to MAVS-expressing cells, MAVS-KO cells implanted subcutaneously in mice formed very small tumors. This inhibited tumor growth was linked to reduced proliferation, and enhanced apoptosis, as indicated by strong TUNEL staining and elevated activated caspase-3. Importantly, the small “tumors” derived from MAVS-KO cells displayed a distinct morphology: diminished cancer stem-cell populations, an altered tumor microenvironment and inflammatory response, increased immune cell infiltration, and reduced PD-L1 expression. Together, these findings establish MAVS as a key mediator of cancer-cell survival, inflammation, and immune regulation, and, thus, its upregulation in tumors makes it a potential anti-cancer target. Full article
(This article belongs to the Section Cellular Biochemistry)
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27 pages, 6817 KB  
Article
Benzyl-Naphthoquinones as Selective Anticancer Agents for Oral Squamous Cell Carcinoma via Apoptosis Induction
by Antonio Mendonça Marconi-Nicolau, Rebeca Gripp de Sá, Caroline Reis Santiago Paschoal, Lethícia Andrade de Almeida, Gabriel Ouverney, Ana Caroline dos Santos-Diniz, Anamel Blaudt Meira, João Pedro da Costa Faria Brunhosa, Luiz Carlos da Silva Pinheiro, Paula Alvarez Abreu, Vinicius Rangel Campos and Bruno Kaufmann Robbs
Biomedicines 2026, 14(4), 757; https://doi.org/10.3390/biomedicines14040757 - 26 Mar 2026
Abstract
Background: Oral squamous cell carcinoma (OSCC) is an aggressive cancer closely associated with smoking and alcohol consumption, with a higher incidence in men. Despite changes in treatment strategies, poor survival persists in most patients, highlighting the need for novel and improved therapeutic [...] Read more.
Background: Oral squamous cell carcinoma (OSCC) is an aggressive cancer closely associated with smoking and alcohol consumption, with a higher incidence in men. Despite changes in treatment strategies, poor survival persists in most patients, highlighting the need for novel and improved therapeutic options. Naphthoquinone analogs are being investigated because of their active redox structure and broad pharmacological profile; they demonstrate cytotoxic antitumor activity, making them potential candidates for new drug agents. Objective: This study investigated new benzyl-naphthoquinone compounds as potential anticancer agents for various genotypes of oral squamous cell carcinoma (OSCC) and other cancer cells. Methods: This study reports the synthesis and evaluation of a series of eight benzyl-naphthoquinone compounds against oral squamous cell carcinoma. Results: Four compounds 14 showed the best cytotoxic profiles, with a selectivity index ≥ 3 for all OSCC cell lines tested. Compound 1 was the most selective compound in all OSCC models, showing a higher selectivity index than both carboplatin and shikonin. Furthermore, compound 1 induced DNA fragmentation, cell-cycle arrest, and caspase-3/7 activation, changes consistent with apoptosis, and time-lapse imaging corroborated the apoptotic phenotype. Hemolysis assays showed minimal toxicity in human erythrocytes, and acute in vivo evaluation in mice revealed no evident adverse effects under the conditions tested, indicating low acute toxicity, although more detailed histopathological and biochemical studies will be required to fully establish the safety profile. Molecular modeling suggested that compound 1 may interact with topoisomerase II, RSK2, and PKM2, which could contribute to the activation of apoptotic pathways, although these interactions remain predictive and require biochemical validation. Finally, in silico analysis of physicochemical and ADMET parameters indicated properties compatible with oral absorption and systemic exposure, together with predicted low toxicity; however, these results are model-based and should be confirmed experimentally. Conclusions: Based on these findings, compound 1 emerges as a promising lead candidate for the development of a novel chemotherapeutic agent against OSCC, with potential therapeutic efficacy against other cancer types. Full article
(This article belongs to the Special Issue Drug Resistance and Novel Targets for Cancer Therapy—Third Edition)
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46 pages, 5344 KB  
Article
From Synthesis to Mechanism: Biological Evaluation of a p-Toluidine-Based Thiazolidinone-Quinoline VEGFR-2 Candidate Supported by CADD
by Emad Manni, Modather F. Hussein, Sara Elkady, Adel A.-H. Abdel-Rahman, Mohamed A. Hawata, Wael A. El-Sayed, Ahmed F. El-Sayed and Hagar S. El-Hema
Int. J. Mol. Sci. 2026, 27(7), 3018; https://doi.org/10.3390/ijms27073018 - 26 Mar 2026
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Abstract
In response to recent advances in computer-aided drug discovery (CADD) enabled by high-performance computing, computational approaches were employed to support and rationalize the investigation of a VEGFR-2-targeted anticancer candidate, combining molecular-level modeling with experimental validation. Initial in silico ADMET profiling and molecular docking [...] Read more.
In response to recent advances in computer-aided drug discovery (CADD) enabled by high-performance computing, computational approaches were employed to support and rationalize the investigation of a VEGFR-2-targeted anticancer candidate, combining molecular-level modeling with experimental validation. Initial in silico ADMET profiling and molecular docking were conducted to support the evaluation of drug-like properties and target engagement within a series of para-toluidine-based derivatives (114). The most biologically active compound was further evaluated through 100 ns molecular dynamics simulations and comprehensive DFT calculations to investigate binding stability and electronic characteristics. Based on a rational design strategy and supported by computational analyses, the compounds were synthesized and fully characterized using IR, MS, 1H/13C NMR, and elemental analysis. Biological evaluation was performed against HepG-2, MCF-7, HCT-116, and normal WI-38 cells. Mechanistic studies included VEGFR-2 inhibition, wound-healing migration assays, cell-cycle distribution analysis, apoptosis assessment, and caspase-3 activation. Several derivatives exhibited micromolar cytotoxic activity, with compound 14 emerging as the most active against HepG-2 cells (IC50 = 7.84 ± 0.5 µM), showing cytotoxic activity comparable to that of sorafenib (IC50 = 9.18 ± 0.6 µM) and demonstrating favorable selectivity toward normal WI-38 cells (IC50 = 67.75 ± 3.6 µM). Compound 14 showed moderate VEGFR-2 inhibitory activity (IC50 = 0.55 µM), significant suppression of cell migration, pronounced G0/G1 cell-cycle arrest, and robust apoptosis induction supported by caspase-3 activation. Molecular docking and MD simulations supported a stable binding mode within the VEGFR-2 active site. This integrated framework highlights compound 14 as a selectively active VEGFR-2-oriented anticancer candidate scaffold with a favorable selectivity profile, supported by experimental and computational analyses, warranting further lead optimization. Full article
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14 pages, 3026 KB  
Article
Toxic Mechanism of Norfloxacin on Chlamydomonas reinhardtii by Triggering Programmed Cell Death
by Xianmin Du, Lexin Huang, Meng Lai, Haozhe Xu, Tianyu Huang, Rong Hu, Junjie Ma, Yinggang Wei and Zhaojiang Zuo
Plants 2026, 15(7), 1015; https://doi.org/10.3390/plants15071015 - 26 Mar 2026
Viewed by 66
Abstract
Norfloxacin has been widely found in water bodies and exhibits a strong toxic effect on aquatic organisms. To uncover its toxic mechanism on algae, the cell growth, reactive oxygen species (ROS) levels, physiological activities, mitochondrial membrane potential (MMP), caspase-3-like activity, cell morphology, TUNEL-positive [...] Read more.
Norfloxacin has been widely found in water bodies and exhibits a strong toxic effect on aquatic organisms. To uncover its toxic mechanism on algae, the cell growth, reactive oxygen species (ROS) levels, physiological activities, mitochondrial membrane potential (MMP), caspase-3-like activity, cell morphology, TUNEL-positive nuclei and DNA ladders were determined in Chlamydomonas reinhardtii in exposure to norfloxacin. With raising norfloxacin concentration, the inhibitory and lethal effects on C. reinhardtii cells gradually enhanced, and the whole of the cells were dead under 50 μM for 24 h. During the cell death, respiratory and photosynthetic rate gradually reduced and disappeared after 24 h, while ROS quickly burst and maintained high levels during the 24 h. The MMP was markedly broken after 0.5 h, while caspase-3-like was activated, with the highest activity at the 2nd h. With prolonging the treatment time, the algal cells showed a gradual shrinking and wrinkling trend, while the numbers and fluorescence intensity of TUNEL-positive nuclei gradually increased. Meanwhile, the DNA was degraded by Ca2+-dependent endonucleases to show ladders after 6 h, and the degradation gradually enhanced during the death process. These characteristics demonstrate that norfloxacin can poison algae by triggering programmed cell death induced by the elevated ROS. Full article
(This article belongs to the Section Plant Response to Abiotic Stress and Climate Change)
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22 pages, 8542 KB  
Article
Killing Glioblastoma Cells with Glycosylated Indolocarbazole-Based Derivative LCS1269: A Potential Crosstalk Between Micronuclei Formation and the Concurrent Induction of Apoptosis, Necroptosis, and Pyroptosis
by Nikolay Kalitin, Alexander Masyutin, Maria Erokhina, Ekaterina Savchenko, Nadezhda Samoylenkova, Aida Karamysheva and Galina Pavlova
Pharmaceuticals 2026, 19(4), 535; https://doi.org/10.3390/ph19040535 - 26 Mar 2026
Viewed by 87
Abstract
Background/Objectives: Glioblastoma multiforme (GBM) is the most infiltrative, treatment-resistant, and deadly brain tumor in adults. Given the extremely malignant phenotype of the GBM cells, the high intratumoral heterogeneity, and the limited efficacy of the vast majority of chemotherapeutics due to the restrictive [...] Read more.
Background/Objectives: Glioblastoma multiforme (GBM) is the most infiltrative, treatment-resistant, and deadly brain tumor in adults. Given the extremely malignant phenotype of the GBM cells, the high intratumoral heterogeneity, and the limited efficacy of the vast majority of chemotherapeutics due to the restrictive nature of the blood–brain barrier, GBM remains largely incurable. Methods: Utilizing the U87, U251, and T98G GBM cell lines, diverse in vitro approaches (Western blotting, quantitative real-time PCR, flow cytometry, immunofluorescence, Luc-reporter analysis, microscopic examination, and scanning electron microscopy), and pharmacological inhibition, we investigated for the first time the cell death decisions in the GBM cells in response to the LCS1269 treatment. Results: We showed that LCS1269 collapsed the mitochondrial potential and triggered both intrinsic and extrinsic apoptosis. Importantly, our findings demonstrated that LCS1269-mediated apoptosis was paralleled by an induction of both MLKL-dependent necroptosis and caspase-3/GSDME-dependent pyroptosis. Using a combination of specific inhibitors, we further demonstrated that apoptosis, necroptosis, and pyroptosis provoked by LCS1269 occur simultaneously and orchestrate a peculiar form of programmed cell death, which is known as PANoptosis. We subsequently found that LCS1269-induced PANoptosis may be initiated either through the RIPK1-PANoptosome alone or through the integrated ZBP1-, AIM2-, and RIPK1-PANoptosomes. Additionally, we revealed that LCS1269-mediated PANoptosis may be closely related to micronuclei formation. Conclusions: Taken together, our results confirm that LCS1269 is a promising anti-glioblastoma agent that is capable of effectively promoting GBM cell death via PANoptosis. Full article
(This article belongs to the Section Medicinal Chemistry)
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30 pages, 838 KB  
Article
Combined Circulating microRNA and Inflammatory Cytokine Profiles Improve Disease-Stage Discrimination of Charcot Foot in Egyptian Patients with Type 2 Diabetes Mellitus
by Heba Ibrahim Hamed, Ihab Nabil Amin, Salwa Bakr Hassan, Ashraf Ismail Amin, Ibrahim Ali Emara, Heba Ramadan Ahmed, Lamis Safwat Mubarak, Shaimaa M. Abd El Aziz, Ahmed Abd Elrahman Elatreby, Ahmed Mohamed El Sabawy, Abeer Attia Saad, Mahmoud Gamal Algammal and Ahmed M. A. Akabawy
Biomedicines 2026, 14(4), 750; https://doi.org/10.3390/biomedicines14040750 - 25 Mar 2026
Viewed by 242
Abstract
Background/Objectives: Diabetic peripheral neuropathy (DPN) and Charcot foot (CF) represent progressive and disabling neuropathic complications of type 2 diabetes mellitus (T2DM). Circulating microRNAs and inflammatory cytokines may reflect underlying molecular alterations associated with disease progression and offer potential value for discriminating between stages [...] Read more.
Background/Objectives: Diabetic peripheral neuropathy (DPN) and Charcot foot (CF) represent progressive and disabling neuropathic complications of type 2 diabetes mellitus (T2DM). Circulating microRNAs and inflammatory cytokines may reflect underlying molecular alterations associated with disease progression and offer potential value for discriminating between stages of diabetic neuropathic complications. This study aimed to evaluate circulating miRNA expression profiles and inflammatory cytokine biomarkers in T2DM patients with and without neuropathic complications and to assess their potential non-invasive utility as combined biomarkers for differentiating disease stages and identifying molecular patterns associated with progression from T2DM to DPN and CF. Methods: The study included the following four groups: healthy controls, T2DM patients without complications, T2DM patients with DPN, and T2DM patients with CF. Expression profiles of five miRNAs (miR-19b-3p, miR-451a, miR-199a-3p, miR-146a-5p, and miR-93-5p) were quantified using qPCR. Inflammatory cytokine biomarkers including NLRP3, TNF-α, NF-κB, IL-1β, caspase-3, and Serpin E2 were measured using ELISA assays. Results: Distinct expression patterns of both miRNAs and inflammatory cytokine biomarkers were observed across diabetic neuropathy stages. Several miRNAs demonstrated significant dysregulation in DPN and CF compared with T2DM patients without complications. Correlation analyses revealed stage-specific patterns of interaction between inflammatory cytokines and miRNAs, indicating coordinated molecular alterations across different stages of diabetic neuropathic complications. Conclusions: These findings suggest that combining circulating miRNA and inflammatory marker profiles may improve the discrimination of CF from other diabetic neuropathic stages and may support clinical assessment when conventional diagnostic methods remain unclear. However, prospective longitudinal studies are required to determine their value for risk prediction and disease progression. Full article
(This article belongs to the Special Issue Novel Biomarker and Treatments for Diabetic Neuropathy)
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19 pages, 3669 KB  
Article
Exercise Boosts the Immune System and Enhances Immunotherapy Responses in Pancreatic Cancer and Mesothelioma
by Brindley Hapuarachi, Sarah Danson, Jonathan Wadsley, Hannah Brown, Phoebe Southam and Munitta Muthana
Biomolecules 2026, 16(4), 493; https://doi.org/10.3390/biom16040493 - 25 Mar 2026
Viewed by 190
Abstract
Background: Exercise modulates the immune system and may enhance anti-cancer activity, offering potential synergy with cancer immunotherapy. Tumours with low immune cell infiltration (“cold” tumours) often respond poorly to immunotherapy and are associated with poor prognosis. Here, we demonstrate that exercise can reshape [...] Read more.
Background: Exercise modulates the immune system and may enhance anti-cancer activity, offering potential synergy with cancer immunotherapy. Tumours with low immune cell infiltration (“cold” tumours) often respond poorly to immunotherapy and are associated with poor prognosis. Here, we demonstrate that exercise can reshape the immune landscape of tumours across the cold spectrum. Methods: C57BL/6 mice underwent orthotopic implantation of PANC02 (murine pancreatic adenocarcinoma) cells and BALB/c mice underwent intraperitoneal injections of AB-1 (murine mesothelioma) cells. Mice were then divided into groups; exercise with anti-Programmed Cell Death Protein 1 (PD-1), exercise with isotype, no exercise with anti-PD-1 and no exercise with isotype. Treadmill-running was performed for 20 min/day, 4 days/week at a speed of 12 metres/minute. Resistance training consisted of hanging upside down on a wire-mesh screen for 1 min 2 days/week. Flow cytometry was used to measure TME immune populations. Tumour and liver samples were harvested, paraffin wax-embedded/sectioned and analysed using SlideViewer 2.9.0™. A total of 22 healthy volunteers underwent a single bout of high-intensity interval cycling. Blood was collected pre- and post-exercise. Flow cytometry was used to measure leucocyte subpopulations. MSTO-211H (mesothelioma) and PANC-1 (pancreatic cancer) cells were cultured with pre- and post-exercise serum, with/without HSV1716, and viability determined using alamarBlue®. PANC-1 apoptosis and migration were assessed using caspase-3/7 and scratch assays, respectively. Results: In an orthotopic pancreatic cancer mouse model, combining exercise with immunotherapy significantly increased tumour necrosis and reduced metastatic potential. In both pancreatic cancer and mesothelioma models, this combination remodelled the tumour microenvironment, enhancing cytotoxic CD8+ T cell infiltration, upregulating Programmed Cell Death Protein 1 (PD-1), and reducing Myeloid-Derived Suppressor Cells and regulatory T cells (Tregs). Complementary human studies revealed an acute systemic release of Natural Killer cells and a reduction in Tregs following high-intensity interval exercise in healthy volunteers. Moreover, exercise-conditioned serum from these participants exerted anti-cancer effects on pancreatic cancer and mesothelioma cell lines. Conclusions: Altogether, these findings highlight exercise as a promising adjunct to immunotherapy for poorly immunogenic cancers such as pancreatic cancer and mesothelioma. Full article
(This article belongs to the Special Issue Exercise Immunology: Molecular Mechanisms and Health Applications)
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16 pages, 3105 KB  
Article
Targeting ATR and PI3Kα Pathways Promotes Ferroptosis in PIK3CA-Wildtype Platinum-Resistant Endometrial Cancer
by Chi-Ting Shih, Kristen R. Ibanez, Jung-Min Lee and Tzu-Ting Huang
Cancers 2026, 18(7), 1064; https://doi.org/10.3390/cancers18071064 (registering DOI) - 25 Mar 2026
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Abstract
Background/Objectives: Platinum resistance in endometrial cancer (EC) remains a significant therapeutic challenge, as tumors frequently bypass apoptotic cell death. Ferroptosis, an iron-dependent form of regulated cell death driven by lipid peroxidation, offers an alternative mechanism to target apoptosis-resistant cancers. This study evaluated whether [...] Read more.
Background/Objectives: Platinum resistance in endometrial cancer (EC) remains a significant therapeutic challenge, as tumors frequently bypass apoptotic cell death. Ferroptosis, an iron-dependent form of regulated cell death driven by lipid peroxidation, offers an alternative mechanism to target apoptosis-resistant cancers. This study evaluated whether combined inhibition of ATR and PI3Kα could induce cell death in platinum-resistant EC through apoptotic or ferroptotic pathways. Methods: A panel of EC cell lines, including patient-derived models with varying PIK3CA mutation status and platinum sensitivity, was treated with camonsertib (ATR inhibitor) and inavolisib (PI3Kα inhibitor). Cell death mechanisms were assessed through DNA damage indicators (γH2AX, comet assay, DNA fiber analysis), apoptosis markers (Annexin V, cleaved PARP, cleaved caspase 3), and ferroptosis markers (FerroOrange, xCT expression, redox homeostasis). Results: While monotherapies showed limited activity, dual ATR and PI3Kα inhibition produced additive/synergistic cytotoxicity across all EC cell lines, independent of platinum sensitivity or microsatellite stability status. Mechanistically, the treatment induced genotype-specific cell death: PIK3CA-mutant cells underwent apoptosis driven by catastrophic DNA damage accumulation, whereas PIK3CA-wildtype cells exhibited predominantly ferroptosis characterized by xCT downregulation and redox disruption. Conclusions: Our findings establish dual ATR and PI3Kα inhibition as a genotype-informed therapeutic strategy for platinum-resistant EC. PIK3CA mutation status may influence the mode of cell death, supporting its use as a predictive biomarker for patient stratification in future clinical applications. Full article
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16 pages, 7203 KB  
Article
Dental Pulp Stem Cell-Derived Extracellular Vesicles Attenuated Chondrocyte Apoptosis in Early Temporomandibular Joint Osteoarthritis via Regulating Hexokinase 2
by Shengjie Cui, Yu Fu, Xiaotong Yu, Yanning Guo, Jieni Zhang and Xuedong Wang
Biomolecules 2026, 16(4), 490; https://doi.org/10.3390/biom16040490 - 25 Mar 2026
Viewed by 165
Abstract
Temporomandibular joint osteoarthritis (TMJOA) is a degenerative disease characterized by progressive cartilage destruction, and chondrocyte apoptosis plays a critical role in TMJOA progression. As chondrocytes reside in an avascular microenvironment inside the cartilage matrix, energy production via glycolysis is crucial for their survival. [...] Read more.
Temporomandibular joint osteoarthritis (TMJOA) is a degenerative disease characterized by progressive cartilage destruction, and chondrocyte apoptosis plays a critical role in TMJOA progression. As chondrocytes reside in an avascular microenvironment inside the cartilage matrix, energy production via glycolysis is crucial for their survival. This study investigated the role of the key glycolytic enzyme Hexokinase 2 (HK2) in TMJOA pathogenesis and the therapeutic potential of dental pulp stem cell-derived extracellular vesicles (DPSC-EVs). In a rat experimental TMJOA model induced by monosodium iodoacetate (MIA) intra-articular injection, we observed a significantly decreased expression of HK2 along with cartilage matrix degradation. In the in vitro study, MIA induced chondrocyte apoptosis with caspase-3 activation, accompanied by impaired glycolytic function. Intervention with DPSC-EVs effectively rescued the expression of HK2 within chondrocytes, leading to a notable restoration of cellular glycolysis. Consequently, DPSC-EV treatment markedly attenuated the progression of TMJOA by reducing chondrocyte apoptosis and improved cartilage integrity. Our findings demonstrated that DPSC-EVs represent a promising cell-free therapeutic strategy for TMJOA, exerting their protective effects by targeting HK2, thereby preserving chondrocyte viability and attenuating osteoarthritis development. Full article
(This article belongs to the Special Issue Stem Cells in Musculoskeletal Tissue Engineering)
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17 pages, 10817 KB  
Article
Baloxavir Acid-Induced Mitochondrial Toxicity and Cell Cycle Arrest Contribute to Its Adverse Effects
by Pengyu Zhan, Yuxing Ren, Kai Han, Guoming Jin, Yang Yang, Lei Shi and Yali Ci
Int. J. Mol. Sci. 2026, 27(7), 2967; https://doi.org/10.3390/ijms27072967 - 25 Mar 2026
Viewed by 105
Abstract
Baloxavir has emerged as a breakthrough anti-influenza therapy, owing to its single-dose regimen and rapid viral clearance. Nevertheless, clinical adverse effects have been reported, while the underlying cellular mechanisms remain unclear. In this study, we demonstrate that baloxavir acid rapidly induces mitochondrial morphological [...] Read more.
Baloxavir has emerged as a breakthrough anti-influenza therapy, owing to its single-dose regimen and rapid viral clearance. Nevertheless, clinical adverse effects have been reported, while the underlying cellular mechanisms remain unclear. In this study, we demonstrate that baloxavir acid rapidly induces mitochondrial morphological abnormalities. This mitochondrial dysfunction subsequently initiates a cascade of cellular events, including G0/G1 cell cycle arrest mediated by the downregulation of cyclin D3 and CDK4, and apoptosis via the Bak-caspase-3 pathway. Co-treatment with the antioxidant N-acetylcysteine alleviated baloxavir-induced mitochondrial abnormalities and the decreased expression level of cyclin D3. In contrast, the prodrug baloxavir marboxil exhibited minimal mitochondrial toxicity, underscoring the advantage of the prodrug strategy in reducing adverse effects. Our findings identify mitochondrial impairment as a key mechanism for baloxavir-induced cytotoxicity and provide molecular insights that may help explain its clinical adverse profile. Full article
(This article belongs to the Section Molecular Toxicology)
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16 pages, 768 KB  
Review
Anticancer Potential of Lacticaseibacillus rhamnosus in Colorectal Cancer—A Systematic Review of In Vitro Cell Culture Evidence
by Arshiya Nasreen Bint Shajahan, Sakina Mustafa Vakhariya, Malak Moones Abedi, Syeda Nishaat Fatima, Liyan Khadeeja, Elham Hassan Nazari Fard, Abshina Shajahan, Vijaya Paul Samuel, Grisilda Vidya Bernhardt and Suresh Kumar Srinivasamurthy
Int. J. Mol. Sci. 2026, 27(7), 2944; https://doi.org/10.3390/ijms27072944 - 24 Mar 2026
Viewed by 178
Abstract
This systematic review aimed to synthesize experimental evidence on the anticancer effects of Lacticaseibacillus rhamnosus (L. rhamnosus) and its derivatives against colorectal cancer (CRC) cell models. Eligible studies investigated probiotics, postbiotics, or bioactive compounds derived from L. rhamnosus with an in [...] Read more.
This systematic review aimed to synthesize experimental evidence on the anticancer effects of Lacticaseibacillus rhamnosus (L. rhamnosus) and its derivatives against colorectal cancer (CRC) cell models. Eligible studies investigated probiotics, postbiotics, or bioactive compounds derived from L. rhamnosus with an in vitro component; studies relying solely on in vivo animal models, clinical trials, or observational designs were excluded. PubMed and Scopus were searched to identify relevant studies. Risk of bias was assessed using a modified QUIN tool, and extracted data were tabulated. Owing to incomplete numerical data, meta-analysis was not feasible, and the results were synthesized accordingly. Seventeen studies were included. L. rhamnosus and its derivatives reduced CRC cell proliferation, induced apoptosis, and caused cell cycle arrest. Reported mechanisms included upregulation of Bax, caspase-3/9, and p53; downregulation of Bcl-2/Bcl-xl; inhibition of Wnt/β-catenin signaling; reduced invasion and migration; increased reactive oxygen species; and immunomodulatory effects. Key limitations were heterogeneity in interventions, dosages, exposure periods, and cell lines, along with incomplete reporting, which precluded quantitative synthesis. Overall, preclinical evidence indicates multimodal anticancer effects of L. rhamnosus in CRC models; however, standardized reporting and translational research are required. Full article
(This article belongs to the Special Issue Gut Microbiota-Derived Metabolites in Human Health and Disease)
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