1 2858 116 FROM RILUZOLE TO DEXPRAMIPEXOLE VIA SUBSTITUTED-BENZOTHIAZOLE DERIVATIVES FOR AMYOTROPHIC LATERAL SCLEROSIS DISEASE TREATMENT: CASE STUDIES. THE 1,3-BENZOTHIAZOLE (BTZ) RING MAY OFFER A VALID OPTION FOR SCAFFOLD-HOPPING FROM INDOLE DERIVATIVES. SEVERAL BTZS HAVE CLINICALLY RELEVANT ROLES, MAINLY AS CNS MEDICINES AND DIAGNOSTIC AGENTS, WITH RILUZOLE BEING ONE OF THE MOST FAMOUS EXAMPLES. RILUZOLE IS CURRENTLY THE ONLY APPROVED DRUG TO TREAT AMYOTROPHIC LATERAL SCLEROSIS (ALS) BUT ITS EFFICACY IS MARGINAL. SEVERAL CLINICAL STUDIES HAVE DEMONSTRATED ONLY LIMITED IMPROVEMENTS IN SURVIVAL, WITHOUT BENEFITS TO MOTOR FUNCTION IN PATIENTS WITH ALS. DESPITE SIGNIFICANT CLINICAL TRIAL EFFORTS TO UNDERSTAND THE GENETIC, EPIGENETIC, AND MOLECULAR PATHWAYS LINKED TO ALS PATHOPHYSIOLOGY, THERAPEUTIC TRANSLATION HAS REMAINED DISAPPOINTINGLY SLOW, PROBABLY DUE TO THE COMPLEXITY AND THE HETEROGENEITY OF THIS DISEASE. MANY OTHER DRUGS TO TACKLE ALS HAVE BEEN TESTED FOR 20 YEARS WITHOUT ANY SUCCESS. DEXPRAMIPEXOLE IS A BTZ STRUCTURAL ANALOG OF RILUZOLE AND WAS A GREAT HOPE FOR THE TREATMENT OF ALS. IN THIS REVIEW, AS AN INTERESTING CASE STUDY IN THE DEVELOPMENT OF A NEW MEDICINE TO TREAT ALS, WE PRESENT THE STRATEGY OF THE DEVELOPMENT OF DEXPRAMIPEXOLE, WHICH WAS ONE OF THE MOST PROMISING DRUGS AGAINST ALS. 2020 2 85 24 A NOVEL INDOLE COMPOUND MA-35 ATTENUATES RENAL FIBROSIS BY INHIBITING BOTH TNF-ALPHA AND TGF-BETA(1) PATHWAYS. RENAL FIBROSIS IS CLOSELY RELATED TO CHRONIC INFLAMMATION AND IS UNDER THE CONTROL OF EPIGENETIC REGULATIONS. BECAUSE THE SIGNALING OF TRANSFORMING GROWTH FACTOR-BETA(1) (TGF-BETA(1)) AND TUMOR NECROSIS FACTOR-ALPHA (TNF-ALPHA) PLAY KEY ROLES IN PROGRESSION OF RENAL FIBROSIS, DUAL BLOCKADE OF TGF-BETA(1) AND TNF-ALPHA IS DESIRED AS ITS THERAPEUTIC APPROACH. HERE WE SCREENED SMALL MOLECULES SHOWING ANTI-TNF-ALPHA ACTIVITY IN THE COMPOUND LIBRARY OF INDOLE DERIVATIVES. 11 OUT OF 41 INDOLE DERIVATIVES INHIBITED THE TNF-ALPHA EFFECT. AMONG THEM, MITOCHONIC ACID 35 (MA-35), 5-(3, 5-DIMETHOXYBENZYLOXY)-3-INDOLEACETIC ACID, SHOWED THE POTENT EFFECT. THE ANTI-TNF-ALPHA ACTIVITY WAS MEDIATED BY INHIBITING IKAPPAB KINASE PHOSPHORYLATION, WHICH ATTENUATED THE LPS/GAIN-INDUCED HEPATIC INFLAMMATION IN THE MICE. ADDITIONALLY, MA-35 CONCURRENTLY SHOWED AN ANTI-TGF-BETA(1) EFFECT BY INHIBITING SMAD3 PHOSPHORYLATION, RESULTING IN THE DOWNREGULATION OF TGF-BETA(1)-INDUCED FIBROTIC GENE EXPRESSION. IN UNILATERAL URETER OBSTRUCTED MOUSE KIDNEY, WHICH IS A RENAL FIBROSIS MODEL, MA-35 ATTENUATED RENAL INFLAMMATION AND FIBROSIS WITH THE DOWNREGULATION OF INFLAMMATORY CYTOKINES AND FIBROTIC GENE EXPRESSIONS. FURTHERMORE, MA-35 INHIBITED TGF-BETA(1)-INDUCED H3K4ME1 HISTONE MODIFICATION OF THE FIBROTIC GENE PROMOTER, LEADING TO A DECREASE IN THE FIBROTIC GENE EXPRESSION. MA-35 AFFECTS MULTIPLE SIGNALING PATHWAYS INVOLVED IN THE FIBROSIS AND MAY RECOVER EPIGENETIC MODIFICATION; THEREFORE, IT COULD POSSIBLY BE A NOVEL THERAPEUTIC DRUG FOR FIBROSIS. 2017 3 5515 30 RILUZOLE ADMINISTRATION TO RATS WITH LEVODOPA-INDUCED DYSKINESIA LEADS TO LOSS OF DNA METHYLATION IN NEURONAL GENES. DYSKINESIAS ARE CHARACTERIZED BY ABNORMAL REPETITIVE INVOLUNTARY MOVEMENTS DUE TO DYSFUNCTIONAL NEURONAL ACTIVITY. ALTHOUGH LEVODOPA-INDUCED DYSKINESIA, CHARACTERIZED BY TIC-LIKE ABNORMAL INVOLUNTARY MOVEMENTS, HAS NO CLINICAL TREATMENT FOR PARKINSON'S DISEASE PATIENTS, ANIMAL STUDIES INDICATE THAT RILUZOLE, WHICH INTERFERES WITH GLUTAMATERGIC NEUROTRANSMISSION, CAN IMPROVE THE PHENOTYPE. THE RAT MODEL OF LEVODOPA-INDUCED DYSKINESIA IS A UNILATERAL LESION WITH 6-HYDROXYDOPAMINE IN THE MEDIAL FOREBRAIN BUNDLE, FOLLOWED BY THE REPEATED ADMINISTRATION OF LEVODOPA. THE MOLECULAR PATHOMECHANISM OF LEVODOPA-INDUCED DYSKINESIA IS STILL NOT DECIPHERED; HOWEVER, THE IMPLICATION OF EPIGENETIC MECHANISMS WAS SUGGESTED. IN THIS STUDY, WE INVESTIGATED THE STRIATUM FOR DNA METHYLATION ALTERATIONS UNDER CHRONIC LEVODOPA TREATMENT WITH OR WITHOUT CO-TREATMENT WITH RILUZOLE. OUR DATA SHOW THAT THE LESIONED AND CONTRALATERAL STRIATA HAVE NEARLY IDENTICAL DNA METHYLATION PROFILES. CHRONIC LEVODOPA AND LEVODOPA + RILUZOLE TREATMENTS LED TO DNA METHYLATION LOSS, PARTICULARLY OUTSIDE OF PROMOTERS, IN GENE BODIES AND CPG POOR REGIONS. WE OBSERVED THAT SEVERAL GENES INVOLVED IN THE LEVODOPA-INDUCED DYSKINESIA UNDERWENT METHYLATION CHANGES. FURTHERMORE, THE RILUZOLE CO-TREATMENT, WHICH IMPROVED THE PHENOTYPE, PINPOINTED SPECIFIC METHYLATION TARGETS, WITH A MORE THAN 20% METHYLATION DIFFERENCE RELATIVE TO LEVODOPA TREATMENT ALONE. THESE FINDINGS INDICATE POTENTIAL NEW DRUGGABLE TARGETS FOR LEVODOPA-INDUCED DYSKINESIA. 2021 4 547 16 ATTENUATED TLR4/MAPK SIGNALING IN MONOCYTES FROM PATIENTS WITH CRMO RESULTS IN IMPAIRED IL-10 EXPRESSION. CHRONIC RECURRENT MULTIFOCAL OSTEOMYELITIS (CRMO) IS AN AUTOINFLAMMATORY BONE DISORDER OF UNKNOWN ORIGIN. WE PREVIOUSLY DEMONSTRATED THAT MONOCYTES FROM CRMO PATIENTS FAIL TO EXPRESS THE IMMUNE-MODULATORY CYTOKINE INTERLEUKIN-10 (IL-10) IN A CHROMATIN DEPENDENT MANNER. HERE, WE DEMONSTRATE THAT ATTENUATED EXTRACELLULAR-SIGNAL REGULATED KINASE (ERK)1 AND 2 SIGNALING IN RESPONSE TO TLR4 ACTIVATION RESULTS IN FAILURE TO INDUCE IL-10 EXPRESSION IN MONOCYTES FROM CRMO PATIENTS. ATTENUATED ERK1/2 ACTIVATION RESULTS IN 1) REDUCED LEVELS OF SP-1, A TRANSCRIPTION FACTOR THAT INDUCES IL-10 EXPRESSION IN MONOCYTES, AND 2) IMPAIRED H3S10 PHOSPHORYLATION OF THE IL10 PROMOTER, AN ACTIVATING EPIGENETIC MARK. THE PRO-INFLAMMATORY CYTOKINES TUMOR NECROSIS FACTOR (TNF)ALPHA AND IL-6 ARE NOT NEGATIVELY AFFECTED, RESULTING IN AN IMBALANCE TOWARDS PRO-INFLAMMATORY CYTOKINES. THUS, IMPAIRED ERK1/2 SIGNALING WITH SUBSEQUENTLY REDUCED SP-1 EXPRESSION AND H3S10 PHOSPHORYLATION OF THE IL10 PROMOTER MAY CENTRALLY CONTRIBUTE TO THE PATHOPHYSIOLOGY OF CRMO. 2012 5 6549 28 TRANSFORMING GROWTH FACTOR BETA INHIBITS MUC5AC EXPRESSION BY SMAD3/HDAC2 COMPLEX FORMATION AND NF-KAPPAB DEACETYLATION AT K310 IN NCI-H292 CELLS. AIRWAY MUCUS SECRETION IS AN ESSENTIAL INNATE IMMUNE RESPONSE FOR HOST PROTECTION. HOWEVER, OVERPRODUCTION AND HYPERSECRETION OF MUCUS, MAINLY COMPOSED OF THE GEL- FORMING MUC5AC PROTEIN, ARE SIGNIFICANT RISK FACTORS FOR PATIENTS WITH ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD). THE TRANSFORMING GROWTH FACTOR BETA (TGFBETA) SIGNALING PATHWAY NEGATIVELY REGULATES MUC5AC EXPRESSION; HOWEVER, THE UNDERLYING MOLECULAR MECHANISM IS NOT FULLY UNDERSTOOD. HERE, WE SHOWED THAT TGFBETA SIGNIFICANTLY REDUCES THE EXPRESSION OF MUC5AC MRNA AND ITS PROTEIN IN NCI-H292 CELLS, A HUMAN MUCOEPIDERMOID CARCINOMA CELL LINE. THIS REDUCED MUC5AC EXPRESSION WAS RESTORED BY A TGFBETA RECEPTOR INHIBITOR (SB431542), BUT NOT BY THE INHIBITION OF NF-KAPPAB (BAY11-7082 OR TRIPTOLIDE) OR PI3K (LY294002) ACTIVITIES. TGFBETA-ACTIVATED SMAD3 DOSE-DEPENDENTLY BOUND TO MUC5AC PROMOTER. NOTABLY, TGFBETA-ACTIVATED SMAD3 RECRUITED HDAC2 AND FACILITATED NUCLEAR TRANSLOCATION OF HDAC2, THEREBY INDUCING THE DEACETYLATION OF NF-KAPPAB AT K310, WHICH IS ESSENTIAL FOR A REDUCTION IN NF-KAPPAB TRANSCRIPTIONAL ACTIVITY. BOTH TGFBETA-INDUCED NUCLEAR TRANSLOCATION OF SMAD3/HDAC2 AND DEACETYLATION OF NF-KAPPAB AT K310 WERE SUPPRESSED BY A SMAD3 INHIBITOR (SIS3). THESE RESULTS SUGGEST THAT THE TGFBETA-ACTIVATED SMAD3/HDAC2 COMPLEX IS AN ESSENTIAL NEGATIVE REGULATOR FOR MUC5AC EXPRESSION AND AN EPIGENETIC REGULATOR FOR NF-KAPPAB ACETYLATION. THEREFORE, THESE RESULTS COLLECTIVELY SUGGEST THAT MODULATION OF THE TGFBETA1/SMAD3/HDAC2/NF-KAPPAB PATHWAY AXIS CAN BE A PROMISING WAY TO IMPROVE LUNG FUNCTION AS A TREATMENT STRATEGY FOR ASTHMA AND COPD. 2021 6 5995 25 TGFBETA-INDUCED FIBROBLAST ACTIVATION REQUIRES PERSISTENT AND TARGETED HDAC-MEDIATED GENE REPRESSION. TISSUE FIBROSIS IS A CHRONIC DISEASE DRIVEN BY PERSISTENT FIBROBLAST ACTIVATION THAT HAS RECENTLY BEEN LINKED TO EPIGENETIC MODIFICATIONS. HERE, WE SCREENED A SMALL LIBRARY OF EPIGENETIC SMALL-MOLECULE MODULATORS TO IDENTIFY COMPOUNDS CAPABLE OF INHIBITING OR REVERSING TGFBETA-MEDIATED FIBROBLAST ACTIVATION. WE IDENTIFIED PRACINOSTAT, AN HDAC INHIBITOR, AS A POTENT ATTENUATOR OF LUNG FIBROBLAST ACTIVATION AND CONFIRMED ITS EFFICACY IN PATIENT-DERIVED FIBROBLASTS ISOLATED FROM FIBROTIC LUNG TISSUE. MECHANISTICALLY, WE FOUND THAT HDAC-DEPENDENT TRANSCRIPTIONAL REPRESSION WAS AN EARLY AND ESSENTIAL EVENT IN TGFBETA-MEDIATED FIBROBLAST ACTIVATION. TREATMENT OF LUNG FIBROBLASTS WITH PRACINOSTAT BROADLY ATTENUATED TGFBETA-MEDIATED EPIGENETIC REPRESSION AND PROMOTED FIBROBLAST QUIESCENCE. WE CONFIRMED A SPECIFIC ROLE FOR HDAC-DEPENDENT HISTONE DEACETYLATION IN THE PROMOTER REGION OF THE ANTI-FIBROTIC GENE PPARGC1A (PGC1ALPHA) IN RESPONSE TO TGFBETA STIMULATION. FINALLY, WE IDENTIFIED HDAC7 AS A KEY FACTOR WHOSE SIRNA-MEDIATED KNOCKDOWN ATTENUATES FIBROBLAST ACTIVATION WITHOUT ALTERING GLOBAL HISTONE ACETYLATION. TOGETHER, THESE RESULTS PROVIDE NOVEL MECHANISTIC INSIGHT INTO THE ESSENTIAL ROLE HDACS PLAY IN TGFBETA-MEDIATED FIBROBLAST ACTIVATION VIA TARGETED GENE REPRESSION. 2019 7 6910 16 [TRANSFORMING GROWTH FACTOR-BETA AND RENAL FIBROSIS]. TRANSFORMING GROWTH FACTOR-BETA (TGF-BETA) IS A DRIVING FORCE OF RENAL FIBROSIS, WHICH MAY LEAD TO CHRONIC KIDNEY DISEASES AND EVEN END STAGE RENAL DISEASES. BY ACTIVATING CANONICAL AND NON-CANONICAL SIGNALING PATHWAYS, TGF-BETA PROMOTES THE SYNTHESIS OF EXTRACELLULAR MATRIX WHILE PREVENTING THEIR DEGRADATION. IN THE INJURED KIDNEY, TGF-BETA INDUCES APOPTOSIS, PROLIFERATION AND FIBROTIC RESPONSE OF RENAL CELLS INCLUDING EPITHELIAL CELLS, ENDOTHELIAL CELLS, PODOCYTES, FIBROBLASTS, PERICYTES AND MACROPHAGES, AND IT ALSO PROMOTES TRANSDIFFERENTIATION, ACTIVATION AND PROLIFERATION OF MYOFIBROBLASTS. ADDITIONALLY, TGF-BETA EXERTS PROFIBROTIC EFFECTS BY INTERPLAYING WITH OTHER SIGNALING PATHWAYS LIKE BMP-7, WNT/BETA-CATENIN AND MAP KINASE. SMAD3 IS THE CENTRAL PATHOLOGICAL GENE IN RENAL FIBROSIS, AND EPIGENETIC REGULATION OF TGF-BETA/SMAD3 IS A HOT TOPIC IN KIDNEY FIELD. ALTHOUGH DIRECT TARGETING TGF-BETA MAY CAUSE SIDE EFFECTS INCLUDING TUMORIGENESIS AND IMMUNE DISEASES, THE THERAPEUTIC STRATEGIES TARGETING THE BALANCE OF DOWNSTREAM SMAD3 AND SMAD7 MAY PREVENT OR DELAY THE PROGRESSION OF FIBROTIC KIDNEY DISEASE. 2018 8 3744 22 INSIGHTS INTO THE CRYSTAL STRUCTURE OF BRD2-BD2 - PHENANTHRIDINONE COMPLEX AND THEORETICAL STUDIES ON PHENANTHRIDINONE ANALOGS. BROMODOMAIN AND EXTRA-TERMINAL FAMILY PROTEINS RECOGNIZE THE ACETYLATED HISTONE CODE ON CHROMATIN AND PARTICIPATE IN DOWNSTREAM PROCESSES LIKE DNA REPLICATION, MODIFICATION, AND REPAIR. AS PART OF EPIGENETIC APPROACHES, BRD2 AND BRD4 WERE IDENTIFIED AS PUTATIVE TARGETS, FOR THE MANAGEMENT OF CHRONIC DISEASES. WE HAVE RECENTLY REPORTED THE DISCOVERY OF A NEW SCAFFOLD OF THE PHENANTHRIDINONE-BASED INHIBITOR (L10) OF THE SECOND BROMODOMAIN OF BRD2 (BRD2-BD2). HERE, WE PRESENT THE CRYSTAL STRUCTURE OF THE BRD2-BD2, REFINED TO 1.4 A RESOLUTION, IN COMPLEX WITH BETA-MERCAPTOETHANOL (A COMPONENT OF THE PROTEIN BUFFER). THE BETA-MERCAPTOETHANOL COVALENTLY LINKS TO C425 OF BD2 IN THE ACETYL-LYSINE BINDING POCKET, TO FORM A MODIFIED CYSTEINE MERCAPTOETHANOL (CME). THE CME MODIFICATION SIGNIFICANTLY HINDERS THE ENTRY OF LIGANDS INTO THE BD2 BINDING POCKET, SUGGESTING THAT BETA-MERCAPTOETHANOL SHOULD BE REMOVED DURING PROTEIN PRODUCTION PROCESS. NEXT, TO CONFIRM WHETHER PHENANTHRIDIONONE SCAFFOLD IS A NEW INHIBITOR FAMILY OF BRD2-BD2, WE HAVE DETERMINED THE CRYSTAL STRUCTURE OF BD2 IN COMPLEX WITH 6(5H)-PHENANTHRIDINONE (A CORE MOIETY OF L10), REFINED TO 1.28 A RESOLUTION. IT CONFIRMED THAT THE PHENANTHRIDINONE MOLECULE, UNAMBIGUOUSLY, BINDS TO BD2. MOREOVER, WE PERFORMED MOLECULAR DOCKING AND MOLECULAR DYNAMIC STUDIES ON SELECTED PHENANTHRIDINONE ANALOGS. THE PREDICTED L10 ANALOGS ARE STABLE WITH ESSENTIAL HYDROPHOBIC AND HYDROPHILIC INTERACTIONS WITH BD2 DURING MOLECULAR DYNAMIC SIMULATIONS. WE PROPOSE THAT THE PREDICTED PHENANTHRIDINONE ANALOGS MAY BE POTENTIAL MOLECULES FOR INHIBITING THE BD2 FUNCTION OF ACETYLATED HISTONE RECOGNITION. 2018 9 5993 22 TGFBETA PROMOTES FIBROSIS BY MYST1-DEPENDENT EPIGENETIC REGULATION OF AUTOPHAGY. ACTIVATION OF FIBROBLASTS IS ESSENTIAL FOR PHYSIOLOGICAL TISSUE REPAIR. UNCONTROLLED ACTIVATION OF FIBROBLASTS, HOWEVER, MAY LEAD TO TISSUE FIBROSIS WITH ORGAN DYSFUNCTION. ALTHOUGH SEVERAL PATHWAYS CAPABLE OF PROMOTING FIBROBLAST ACTIVATION AND TISSUE REPAIR HAVE BEEN IDENTIFIED, THEIR INTERPLAY IN THE CONTEXT OF CHRONIC FIBROTIC DISEASES REMAINS INCOMPLETELY UNDERSTOOD. HERE, WE PROVIDE EVIDENCE THAT TRANSFORMING GROWTH FACTOR-BETA (TGFBETA) ACTIVATES AUTOPHAGY BY AN EPIGENETIC MECHANISM TO AMPLIFY ITS PROFIBROTIC EFFECTS. TGFBETA INDUCES AUTOPHAGY IN FIBROTIC DISEASES BY SMAD3-DEPENDENT DOWNREGULATION OF THE H4K16 HISTONE ACETYLTRANSFERASE MYST1, WHICH REGULATES THE EXPRESSION OF CORE COMPONENTS OF THE AUTOPHAGY MACHINERY SUCH AS ATG7 AND BECLIN1. ACTIVATION OF AUTOPHAGY IN FIBROBLASTS PROMOTES COLLAGEN RELEASE AND IS BOTH, SUFFICIENT AND REQUIRED, TO INDUCE TISSUE FIBROSIS. FORCED EXPRESSION OF MYST1 ABROGATES THE STIMULATORY EFFECTS OF TGFBETA ON AUTOPHAGY AND RE-ESTABLISHES THE EPIGENETIC CONTROL OF AUTOPHAGY IN FIBROTIC CONDITIONS. INTERFERENCE WITH THE ABERRANT ACTIVATION OF AUTOPHAGY INHIBITS TGFBETA-INDUCED FIBROBLAST ACTIVATION AND AMELIORATES EXPERIMENTAL DERMAL AND PULMONARY FIBROSIS. THESE FINDINGS LINK UNCONTROLLED TGFBETA SIGNALING TO ABERRANT AUTOPHAGY AND DEREGULATED EPIGENETICS IN FIBROTIC DISEASES AND MAY CONTRIBUTE TO THE DEVELOPMENT OF THERAPEUTIC INTERVENTIONS IN FIBROTIC DISEASES. 2021 10 6648 36 UPDATE ON DIAGNOSIS, PATHOPHYSIOLOGY, AND MANAGEMENT OF DIABETIC KIDNEY DISEASE. DIABETIC KIDNEY DISEASE (DKD) IS A CHRONIC COMPLICATION OF DIABETES MELLITUS WHICH MAY EVENTUALLY LEAD TO END-STAGE KIDNEY DISEASE (ESKD). DESPITE IMPROVEMENTS IN GLYCAEMIC CONTROL AND BLOOD PRESSURE MANAGEMENT WITH RENIN-ANGIOTENSIN-ALDOSTERONE SYSTEM (RAAS) BLOCKADE, THE CURRENT THERAPY CANNOT COMPLETELY HALT DKD PROGRESSION TO ESKD IN SOME PATIENTS. DKD IS A HETEROGENEOUS DISEASE ENTITY IN TERMS OF ITS CLINICAL MANIFESTATIONS, HISTOPATHOLOGY AND THE RATE OF PROGRESSION, WHICH MAKES IT DIFFICULT TO DEVELOP EFFECTIVE THERAPEUTICS. IT WAS FORMERLY CONSIDERED THAT ALBUMINURIA PRECEDED KIDNEY FUNCTION DECLINE IN DKD, BUT RECENT EPIDEMIOLOGICAL STUDIES REVEALED THAT A DISTINCT GROUP OF PATIENTS PRESENTED KIDNEY DYSFUNCTION WITHOUT DEVELOPING ALBUMINURIA. OTHER COMORBIDITIES, SUCH AS HYPERTENSION, OBESITY AND GOUT, ALSO AFFECT THE CLINICAL COURSE OF DKD. THE PATHOPHYSIOLOGY OF DKD IS COMPLEX AND MULTIFACTORIAL, INVOLVING BOTH METABOLIC AND HAEMODYNAMIC FACTORS. THESE INDUCE ACTIVATION OF INTRACELLULAR SIGNALLING PATHWAYS, OXIDATIVE STRESS, HYPOXIA, DYSREGULATED AUTOPHAGY AND EPIGENETIC CHANGES, WHICH RESULT IN KIDNEY INFLAMMATION AND FIBROSIS. RECENTLY, TWO GROUPS OF ANTIDIABETIC DRUGS, SODIUM-GLUCOSE COTRANSPORTER 2 (SGLT2) INHIBITORS AND GLUCAGON-LIKE PEPTIDE-1 (GLP-1) RECEPTOR AGONISTS, WERE DEMONSTRATED TO PROVIDE RENOPROTECTION ON TOP OF THEIR GLUCOSE-LOWERING EFFECTS. SEVERAL OTHER THERAPEUTIC AGENTS ARE ALSO BEING DEVELOPED AND EVALUATED IN CLINICAL TRIALS. 2021 11 4020 22 LOW-MOLECULAR-WEIGHT FIBROBLAST GROWTH FACTOR 2 ATTENUATES HEPATIC FIBROSIS BY EPIGENETIC DOWN-REGULATION OF DELTA-LIKE1. LIVER FIBROSIS, A MAJOR CAUSE OF END-STAGE LIVER DISEASES, IS CLOSELY REGULATED BY MULTIPLE GROWTH FACTORS AND CYTOKINES. THE CORRELATION OF FIBROBLAST GROWTH FACTOR 2 (FGF2) WITH CHRONIC LIVER INJURY HAS BEEN REPORTED, BUT THE EXACT FUNCTIONS OF DIFFERENT FGF2 ISOFORMS IN LIVER FIBROGENESIS REMAIN UNCLEAR. HERE, WE REPORT ON THE DIFFERENTIAL EXPRESSION PATTERNS AND FUNCTIONS OF LOW- AND HIGH-MOLECULAR-WEIGHT FGF2 (NAMELY, FGF2(LMW) AND FGF2(HMW) , RESPECTIVELY) IN HEPATIC FIBROGENESIS USING A CCL4 -INDUCED MOUSE LIVER FIBROSIS MODEL. FGF2(HMW) DISPLAYED A ROBUST INCREASE IN CCL4 -INDUCED HEPATIC FIBROSIS AND PROMOTED FIBROGENESIS. IN CONTRAST, ENDOGENOUS FGF2(LMW) EXHIBITED A SLIGHT INCREASE IN HEPATIC FIBROSIS AND SUPPRESSED THIS PATHOLOGICAL PROGRESSION. MOREOVER, EXOGENOUS ADMINISTRATION OF RECOMBINANT FGF2(LMW) POTENTLY AMELIORATED CCL4 -INDUCED LIVER FIBROSIS. MECHANISTICALLY, WE SHOWED THAT FGF2(LMW) TREATMENT ATTENUATED HEPATIC STELLATE CELL ACTIVATION AND FIBROSIS BY EPIGENETIC DOWN-REGULATION OF DELTA-LIKE 1 EXPRESSION THROUGH THE P38 MITOGEN-ACTIVATED PROTEIN KINASE PATHWAY. CONCLUSION: FGF2(LMW) AND FGF2(HMW) HAVE DISTINCT ROLES IN LIVER FIBROGENESIS. THESE FINDINGS DEMONSTRATE A POTENT ANTIFIBROTIC EFFECT OF FGF2(LMW) ADMINISTRATION, WHICH MAY PROVIDE A NOVEL APPROACH TO TREAT CHRONIC LIVER DISEASES. 2015 12 1675 22 DRP1-MEDIATED MITOCHONDRIAL FISSION PROMOTES RENAL FIBROBLAST ACTIVATION AND FIBROGENESIS. EXCESSIVE MITOCHONDRIAL FISSION ACTS AS A PRO-PROLIFERATIVE MARKER IN SOME CANCERS AND ORGAN FIBROSIS; ITS POTENTIAL ROLE IN RENAL FIBROBLAST ACTIVATION AND FIBROGENESIS HAS NEVER BEEN INVESTIGATED. HERE, WE SHOWED MORE PRONOUNCED FRAGMENTED MITOCHONDRIA IN FIBROTIC THAN IN NON-FIBROTIC RENAL FIBROBLAST IN HUMANS AND MICE. IN A MOUSE MODEL OF OBSTRUCTIVE NEPHROPATHY, PHOSPHORYLATION OF DRP1 AT SERINE 616 (P-DRP1S616) AND ACETYLATION OF H3K27(H3K27AC) WAS INCREASED IN FIBROTIC KIDNEYS; PHARMACOLOGICAL INHIBITION OF MITOCHONDRIAL FISSION BY MDIVI-1 SUBSTANTIALLY REDUCED H3K27AC LEVELS, FIBROBLASTS ACCUMULATION, AND INTERSTITIAL FIBROSIS. MOREOVER, MDIVI-1 TREATMENT WAS ABLE TO ATTENUATE THE ESTABLISHED RENAL FIBROSIS. IN CULTURED RENAL INTERSTITIAL FIBROBLASTS, TARGETING DRP1 USING PHARMACOLOGICAL INHIBITOR OR SIRNA SUPPRESSED TGF-BETA1-ELICITED CELL ACTIVATION AND PROLIFERATION, AS EVIDENCED BY INHIBITING EXPRESSION OF ALPHA-SMOOTH MUSCLE ACTIN (ALPHA-SMA) AND COLLAGEN I, AS WELL AS BY REDUCING DNA SYNTHESIS. IN CONTRAST, DRP1 DELETION ENHANCED CELL APOPTOSIS, ALONG WITH DECREASED MITOCHONDRIAL FRAGMENTATION, MTROS ELEVATION, AND GLYCOLYTIC SHIFT UPON TGF-BETA1 STIMULATION. IN DRP1 DELETION FIBROBLASTS, RE-EXPRESSION OF WILD-TYPE DRP1 RATHER THAN DRP1S616A MUTANT RESTORES THE REDUCTION OF TGF-BETA-INDUCED-DRP1 PHOSPHORYLATION, H3K27AC, AND CELL ACTIVATION. MOREOVER, TGF-BETA1 TREATMENT INCREASED THE ENRICHMENT OF H3K27AC AT THE PROMOTERS OF ALPHA-SMA AND PCNA, WHICH WAS REVERSED IN DRP1-KNOCKDOWN FIBROBLASTS CO-TRANSFECTED WITH EMPTY VECTOR OR DRP1S616A, BUT NOT WILD-TYPE DRP1. COLLECTIVELY, OUR RESULTS IMPLY THAT INHIBITING P-DRP1S616-MEDIATED MITOCHONDRIAL FISSION ATTENUATES FIBROBLAST ACTIVATION AND PROLIFERATION IN RENAL FIBROSIS THROUGH EPIGENETIC REGULATION OF FIBROSIS-RELATED GENES TRANSCRIPTION AND MAY SERVE AS A THERAPEUTIC TARGET FOR RETARDING PROGRESSION OF CHRONIC KIDNEY DISEASE. 2020 13 5992 27 TGF-BETA: THE MASTER REGULATOR OF FIBROSIS. TRANSFORMING GROWTH FACTOR-BETA (TGF-BETA) IS THE PRIMARY FACTOR THAT DRIVES FIBROSIS IN MOST, IF NOT ALL, FORMS OF CHRONIC KIDNEY DISEASE (CKD). INHIBITION OF THE TGF-BETA ISOFORM, TGF-BETA1, OR ITS DOWNSTREAM SIGNALLING PATHWAYS SUBSTANTIALLY LIMITS RENAL FIBROSIS IN A WIDE RANGE OF DISEASE MODELS WHEREAS OVEREXPRESSION OF TGF-BETA1 INDUCES RENAL FIBROSIS. TGF-BETA1 CAN INDUCE RENAL FIBROSIS VIA ACTIVATION OF BOTH CANONICAL (SMAD-BASED) AND NON-CANONICAL (NON-SMAD-BASED) SIGNALLING PATHWAYS, WHICH RESULT IN ACTIVATION OF MYOFIBROBLASTS, EXCESSIVE PRODUCTION OF EXTRACELLULAR MATRIX (ECM) AND INHIBITION OF ECM DEGRADATION. THE ROLE OF SMAD PROTEINS IN THE REGULATION OF FIBROSIS IS COMPLEX, WITH COMPETING PROFIBROTIC AND ANTIFIBROTIC ACTIONS (INCLUDING IN THE REGULATION OF MESENCHYMAL TRANSITIONING), AND WITH COMPLEX INTERPLAY BETWEEN TGF-BETA/SMADS AND OTHER SIGNALLING PATHWAYS. STUDIES OVER THE PAST 5 YEARS HAVE IDENTIFIED ADDITIONAL MECHANISMS THAT REGULATE THE ACTION OF TGF-BETA1/SMAD SIGNALLING IN FIBROSIS, INCLUDING SHORT AND LONG NONCODING RNA MOLECULES AND EPIGENETIC MODIFICATIONS OF DNA AND HISTONE PROTEINS. ALTHOUGH DIRECT TARGETING OF TGF-BETA1 IS UNLIKELY TO YIELD A VIABLE ANTIFIBROTIC THERAPY DUE TO THE INVOLVEMENT OF TGF-BETA1 IN OTHER PROCESSES, GREATER UNDERSTANDING OF THE VARIOUS PATHWAYS BY WHICH TGF-BETA1 CONTROLS FIBROSIS HAS IDENTIFIED ALTERNATIVE TARGETS FOR THE DEVELOPMENT OF NOVEL THERAPEUTICS TO HALT THIS MOST DAMAGING PROCESS IN CKD. 2016 14 1101 21 COMBINATION THERAPY USING LHRH AND SOMATOSTATIN ANALOGUES PLUS DEXAMETHASONE IN ANDROGEN ABLATION REFRACTORY PROSTATE CANCER PATIENTS WITH BONE INVOLVEMENT: A BENCH TO BEDSIDE APPROACH. THE DEVELOPMENT OF RESISTANCE TO ANTICANCER THERAPIES IS A MAJOR HURDLE IN PREVENTING LONG-LASTING CLINICAL RESPONSES TO CONVENTIONAL THERAPIES IN HORMONE-REFRACTORY PROSTATE CANCER. HEREIN, THE MOLECULAR EVIDENCE DOCUMENTING THAT BONE METASTASIS MICROENVIRONMENT SURVIVAL FACTORS (MAINLY THE PARACRINE GROWTH HORMONE-INDEPENDENT, UROKINASE-TYPE PLASMINOGEN ACTIVATOR-MEDIATED INCREASE OF IGF-1 AND THE ENDOCRINE PRODUCTION OF GROWTH HORMONE-DEPENDENT IGF-1, MAINLY LIVER-DERIVED IGF-1 PRODUCTION) PRODUCE AN EPIGENETIC FORM OF PROSTATE CANCER CELLS THAT ARE RESISTANT TO PROAPOPTOTIC THERAPIES IS REVIEWED. CONSEQUENTLY, THE AUTHORS PRESENT THE CONCEPTUAL FRAMEWORK OF A NOVEL ANTIBONE MICROENVIRONMENT SURVIVAL FACTOR, MAINLY AN ANTI-IGF-1 HORMONAL MANIPULATION FOR ANDROGEN ABLATION REFRACTORY PROSTATE CANCER (A COMBINATION OF CONVENTIONAL ANDROGEN ABLATION THERAPY [LUTEINISING HORMONE-RELEASING HORMONE AGONIST-A OR ORCHIECTOMY]) WITH DEXAMETHASONE PLUS SOMATOSTATIN ANALOGUE, WHICH YIELDED DURABLE OBJECTIVE RESPONSES AND MAJOR IMPROVEMENT OF BONE PAIN AND PERFORMANCE STATUS IN STAGE D3 PROSTATE CANCER PATIENTS. 2006 15 5917 26 TARGETING BCL-2 IN B-CELL MALIGNANCIES AND OVERCOMING THERAPEUTIC RESISTANCE. DEFECTS IN APOPTOSIS CAN PROMOTE TUMORIGENESIS AND IMPAIR RESPONSES OF MALIGNANT B CELLS TO CHEMOTHERAPEUTICS. MEMBERS OF THE B-CELL LEUKEMIA/LYMPHOMA-2 (BCL-2) FAMILY OF PROTEINS ARE KEY REGULATORS OF THE INTRINSIC, MITOCHONDRIAL APOPTOTIC PATHWAY. OVEREXPRESSION OF ANTIAPOPTOTIC BCL-2 FAMILY PROTEINS IS ASSOCIATED WITH TREATMENT RESISTANCE AND POOR PROGNOSIS. THUS, INHIBITION OF BCL-2 FAMILY PROTEINS IS A RATIONAL THERAPEUTIC OPTION FOR MALIGNANCIES THAT ARE DEPENDENT ON ANTIAPOPTOTIC BCL-2 FAMILY PROTEINS. VENETOCLAX (ABT-199, GDC-0199) IS A HIGHLY SELECTIVE BCL-2 INHIBITOR THAT REPRESENTS THE FIRST APPROVED AGENT OF THIS CLASS AND IS CURRENTLY WIDELY USED IN THE TREATMENT OF CHRONIC LYMPHOCYTIC LEUKEMIA (CLL) AS WELL AS ACUTE MYELOID LEUKEMIA (AML). DESPITE IMPRESSIVE CLINICAL ACTIVITY, VENETOCLAX MONOTHERAPY FOR A PROLONGED DURATION CAN LEAD TO DRUG RESISTANCE OR LOSS OF DEPENDENCE ON THE TARGETED PROTEIN. IN THIS REVIEW, WE PROVIDE AN OVERVIEW OF THE MECHANISM OF ACTION OF BCL-2 INHIBITION AND THE ROLE OF THIS APPROACH IN THE CURRENT TREATMENT PARADIGM OF B-CELL MALIGNANCIES. WE SUMMARIZE THE DRIVERS OF DE NOVO AND ACQUIRED RESISTANCE TO VENETOCLAX THAT ARE CLOSELY ASSOCIATED WITH COMPLEX CLONAL SHIFTS, INTERPLAY OF EXPRESSION AND INTERACTIONS OF BCL-2 FAMILY MEMBERS, TRANSCRIPTIONAL REGULATORS, AND METABOLIC MODULATORS. WE ALSO EXAMINE HOW TUMORS INITIALLY RESISTANT TO VENETOCLAX BECOME RESPONSIVE TO IT FOLLOWING PRIOR THERAPIES. HERE, WE SUMMARIZE PRECLINICAL DATA PROVIDING A RATIONALE FOR EFFICACIOUS COMBINATION STRATEGIES OF VENETOCLAX TO OVERCOME THERAPEUTIC RESISTANCE BY A TARGETED APPROACH DIRECTED AGAINST ALTERNATIVE ANTIAPOPTOTIC BCL-2 FAMILY PROTEINS (MCL-1, BCL-XL), COMPENSATORY PROSURVIVAL PATHWAYS, EPIGENETIC MODIFIERS, AND DYSREGULATED CELLULAR METABOLISM/ENERGETICS FOR DURABLE CLINICAL REMISSIONS. 2020 16 4306 22 MICRORNA-29A MITIGATES LAMINECTOMY-INDUCED SPINAL EPIDURAL FIBROSIS AND GAIT DYSREGULATION BY REPRESSING TGF-BETA1 AND IL-6. SPINAL EPIDURAL FIBROSIS IS ONE OF THE TYPICAL FEATURES ATTRIBUTABLE TO FAILED BACK SURGERY SYNDROME, WITH EXCESSIVE SCAR DEVELOPMENT IN THE DURA AND NERVE ROOTS. THE MICRORNA-29 FAMILY (MIR-29S) HAS BEEN FOUND TO ACT AS A FIBROGENESIS-INHIBITORY FACTOR THAT REDUCES FIBROTIC MATRIX OVERPRODUCTION IN VARIOUS TISSUES. HOWEVER, THE MECHANISTIC BASIS OF MIRNA-29A UNDERLYING THE OVERABUNDANT FIBROTIC MATRIX SYNTHESIS IN SPINAL EPIDURAL SCARS POST-LAMINECTOMY REMAINED ELUSIVE. THIS STUDY REVEALED THAT MIR-29A ATTENUATED LUMBAR LAMINECTOMY-INDUCED FIBROGENIC ACTIVITY, AND EPIDURAL FIBROTIC MATRIX FORMATION WAS SIGNIFICANTLY LESSENED IN THE TRANSGENIC MICE (MIR-29ATG) AS COMPARED WITH WILD-TYPE MICE (WT). MOREOVER, MIR-29ATG LIMITS LAMINECTOMY-INDUCED DAMAGE AND HAS ALSO BEEN DEMONSTRATED TO DETECT WALKING PATTERNS, FOOTPRINT DISTRIBUTION, AND MOVING ACTIVITY. IMMUNOHISTOCHEMISTRY STAINING OF EPIDURAL TISSUE SHOWED THAT MIR-29ATG WAS A REMARKABLY WEAK SIGNAL OF IL-6, TGF-BETA1, AND DNA METHYLTRANSFERASE MARKER, DNMT3B, COMPARED TO THE WILD-TYPE MICE. TAKEN TOGETHER, THESE RESULTS HAVE FURTHER STRENGTHENED THE EVIDENCE THAT MIR-29A EPIGENETIC REGULATION REDUCES FIBROTIC MATRIX FORMATION AND SPINAL EPIDURAL FIBROTIC ACTIVITY IN SURGERY SCARS TO PRESERVE THE INTEGRITY OF THE SPINAL CORD CORE. THIS STUDY ELUCIDATES AND HIGHLIGHTS THE MOLECULAR MECHANISMS THAT REDUCE THE INCIDENCE OF SPINAL EPIDURAL FIBROSIS, ELIMINATING THE RISK OF GAIT ABNORMALITIES AND PAIN ASSOCIATED WITH LAMINECTOMY. 2023 17 4605 19 NEGATIVE REGULATORS OF TGF-BETA1 SIGNALING IN RENAL FIBROSIS; PATHOLOGICAL MECHANISMS AND NOVEL THERAPEUTIC OPPORTUNITIES. ELEVATED EXPRESSION OF THE MULTIFUNCTIONAL CYTOKINE TRANSFORMING GROWTH FACTOR BETA1 (TGF-BETA1) IS CAUSATIVELY LINKED TO KIDNEY FIBROSIS PROGRESSION INITIATED BY DIABETIC, HYPERTENSIVE, OBSTRUCTIVE, ISCHEMIC AND TOXIN-INDUCED INJURY. THERAPEUTICALLY RELEVANT APPROACHES TO DIRECTLY TARGET THE TGF-BETA1 PATHWAY (E.G., NEUTRALIZING ANTIBODIES AGAINST TGF-BETA1), HOWEVER, REMAIN ELUSIVE IN HUMANS. TGF-BETA1 SIGNALING IS SUBJECTED TO EXTENSIVE NEGATIVE CONTROL AT THE LEVEL OF TGF-BETA1 RECEPTOR, SMAD2/3 ACTIVATION, COMPLEX ASSEMBLY AND PROMOTER ENGAGEMENT DUE TO ITS CRITICAL ROLE IN TISSUE HOMEOSTASIS AND NUMEROUS PATHOLOGIES. PROGRESSIVE KIDNEY INJURY IS ACCOMPANIED BY THE DEREGULATION (LOSS OR GAIN OF EXPRESSION) OF SEVERAL NEGATIVE REGULATORS OF THE TGF-BETA1 SIGNALING CASCADE BY MECHANISMS INVOLVING PROTEIN AND MRNA STABILITY OR EPIGENETIC SILENCING, FURTHER AMPLIFYING TGF-BETA1/SMAD3 SIGNALING AND FIBROSIS. EXPRESSION OF BONE MORPHOGENETIC PROTEINS 6 AND 7 (BMP6/7), SMAD7, SLOAN-KETTERING INSTITUTE PROTO-ONCOGENE (SKI) AND SKI-RELATED NOVEL GENE (SNON), PHOSPHATE TENSIN HOMOLOG ON CHROMOSOME 10 (PTEN), PROTEIN PHOSPHATASE MAGNESIUM/MANGANESE DEPENDENT 1A (PPM1A) AND KLOTHO ARE DRAMATICALLY DECREASED IN VARIOUS NEPHROPATHIES IN ANIMALS AND HUMANS ALBEIT WITH DIFFERENT KINETICS WHILE THE EXPRESSION OF SMURF1/2 E3 LIGASES ARE INCREASED. SUCH DEREGULATIONS FREQUENTLY INITIATE MALADAPTIVE RENAL REPAIR INCLUDING RENAL EPITHELIAL CELL DEDIFFERENTIATION AND GROWTH ARREST, FIBROTIC FACTOR (CONNECTIVE TISSUE GROWTH FACTOR (CTGF/CCN2), PLASMINOGEN ACTIVATOR INHIBITOR TYPE-1 (PAI-1), TGF-BETA1) SYNTHESIS/SECRETION, FIBROPROLIFERATIVE RESPONSES AND INFLAMMATION. THIS REVIEW ADDRESSES HOW LOSS OF THESE NEGATIVE REGULATORS OF TGF-BETA1 PATHWAY EXACERBATES RENAL LESION FORMATION AND DISCUSSES THE THERAPEUTIC VALUE IN RESTORING THE EXPRESSION OF THESE MOLECULES IN AMELIORATING FIBROSIS, THUS, PRESENTING NOVEL APPROACHES TO SUPPRESS TGF-BETA1 HYPERACTIVATION DURING CHRONIC KIDNEY DISEASE (CKD) PROGRESSION. 2021 18 6575 33 TREATMENT OF DIABETIC KIDNEY DISEASE: CURRENT AND FUTURE. DIABETIC KIDNEY DISEASE (DKD) IS THE MAJOR CAUSE OF END-STAGE KIDNEY DISEASE. HOWEVER, ONLY RENIN-ANGIOTENSIN SYSTEM INHIBITOR WITH MULTIDISCIPLINARY TREATMENTS IS EFFECTIVE FOR DKD. IN 2019, SODIUM-GLUCOSE COTRANSPORTER 2 (SGLT2) INHIBITOR SHOWED EFFICACY AGAINST DKD IN CANAGLIFLOZIN AND RENAL EVENTS IN DIABETES WITH ESTABLISHED NEPHROPATHY CLINICAL EVALUATION (CREDENCE) TRIAL, ADDING A NEW TREATMENT OPTION. HOWEVER, THE PROGRESSION OF DKD HAS NOT BEEN COMPLETELY CONTROLLED. THE PATIENTS WITH TRANSIENT EXPOSURE TO HYPERGLYCEMIA DEVELOP DIABETIC COMPLICATIONS, INCLUDING DKD, EVEN AFTER NORMALIZATION OF THEIR BLOOD GLUCOSE. TEMPORARY HYPERGLYCEMIA CAUSES ADVANCED GLYCATION END PRODUCT (AGE) ACCUMULATIONS AND EPIGENETIC CHANGES AS METABOLIC MEMORY. THE DRUGS THAT IMPROVE METABOLIC MEMORY ARE AWAITED, AND AGE INHIBITORS AND HISTONE MODIFICATION INHIBITORS ARE THE FOCUS OF CLINICAL AND BASIC RESEARCH. IN ADDITION, INCRETIN-RELATED DRUGS SHOWED A RENOPROTECTIVE ABILITY IN MANY CLINICAL TRIALS, AND THESE TRIALS WITH RENAL OUTCOME AS THEIR PRIMARY ENDPOINT ARE CURRENTLY ONGOING. HYPOXIA-INDUCIBLE FACTOR PROLYL HYDROXYLASE INHIBITORS RECENTLY APPROVED FOR RENAL ANEMIA MAY BE RENOPROTECTIVE SINCE THEY IMPROVE TUBULOINTERSTITIAL HYPOXIA. FURTHERMORE, NF-E2-RELATED FACTOR 2 ACTIVATORS IMPROVED THE GLOMERULAR FILTRATION RATE OF DKD PATIENTS IN BARDOXOLONE METHYL TREATMENT: RENAL FUNCTION IN CHRONIC KIDNEY DISEASE/TYPE 2 DIABETES (BEAM) TRIAL AND PHASE II STUDY OF BARDOXOLONE METHYL IN PATIENTS WITH CHRONIC KIDNEY DISEASE AND TYPE 2 DIABETES (TSUBAKI) TRIAL. THUS, FOLLOWING SGLT2 INHIBITOR, NUMEROUS NOVEL DRUGS COULD BE UTILIZED IN TREATING DKD. FUTURE STUDIES ARE EXPECTED TO PROVIDE NEW INSIGHTS. 2021 19 5731 16 SMAD3 PHOSPHO-ISOFORM SIGNALING IN HEPATITIS C VIRUS-RELATED CHRONIC LIVER DISEASES. THE RISK OF HEPATOCELLULAR CARCINOMA (HCC) DEVELOPMENT INCREASES AS HEPATITIS VIRUS C (HCV)-RELATED LIVER DISEASES PROGRESS, ESPECIALLY IN PATIENTS WITH ACTIVE INFLAMMATION. INSIGHT INTO HEPATIC CARCINOGENESIS HAVE EMERGED FROM RECENT DETAILED ANALYSES OF TRANSFORMING GROWTH FACTOR-BETA AND C-JUN-N-TERMINAL KINASE SIGNALING PROCESSES DIRECTED BY MULTIPLE PHOSPHORYLATED (PHOSPHO)-ISOFORMS OF A SMAD3 MEDIATOR. IN THE COURSE OF HCV-RELATED CHRONIC LIVER DISEASES, CHRONIC INFLAMMATION AND HOST GENETIC/EPIGENETIC ALTERATIONS ADDITIVELY SHIFT THE HEPATOCYTIC SMAD3 PHOSPHO-ISOFORM SIGNALING FROM TUMOR SUPPRESSION TO CARCINOGENESIS, INCREASING THE RISK OF HCC. CHRONIC INFLAMMATION REPRESENTS AN EARLY CARCINOGENIC STEP THAT PROVIDES A NONMUTAGENIC TUMOR-PROMOTING STIMULUS. AFTER UNDERGOING SUCCESSFUL ANTIVIRAL THERAPY, PATIENTS WITH CHRONIC HEPATITIS C COULD EXPERIENCE A LOWER RISK OF HCC AS SMAD3 PHOSPHO-ISOFORM SIGNALING REVERSES FROM POTENTIAL CARCINOGENESIS TO TUMOR SUPPRESSION. EVEN AFTER HCV CLEARANCE, HOWEVER, PATIENTS WITH CIRRHOSIS COULD STILL DEVELOP HCC BECAUSE OF SUSTAINED, INTENSE CARCINOGENIC SMAD3 PHOSPHO-ISOFORM SIGNALING THAT IS POSSIBLY CAUSED BY GENETIC OR EPIGENETIC ALTERATIONS. SMAD3 PHOSPHO-ISOFORMS SHOULD ASSIST WITH EVALUATING THE EFFECTIVENESS OF INTERVENTIONS AIMED AT REDUCING HUMAN HCC. 2014 20 3924 25 LIPOSOMAL UHRF1 SIRNA SHOWS LUNG FIBROSIS TREATMENT POTENTIAL THROUGH REGULATION OF FIBROBLAST ACTIVATION. PULMONARY FIBROSIS IS A CHRONIC AND PROGRESSIVE INTERSTITIAL LUNG DISEASE ASSOCIATED WITH THE DECAY OF PULMONARY FUNCTION, WHICH LEADS TO A FATAL OUTCOME. AS AN ESSENTIAL EPIGENETIC REGULATOR OF DNA METHYLATION, THE INVOLVEMENT OF UBIQUITIN-LIKE CONTAINING PHD AND RING FINGER DOMAINS 1 (UHRF1) IN FIBROBLAST ACTIVATION REMAINS LARGELY UNDEFINED IN PULMONARY FIBROSIS. IN THE PRESENT STUDY, WE FOUND THAT TGF-BETA1-MEDIATED UPREGULATION OF UHRF1 REPRESSED BECLIN 1 VIA METHYLATED INDUCTION OF ITS PROMOTER, WHICH FINALLY RESULTED IN FIBROBLAST ACTIVATION AND LUNG FIBROSIS BOTH IN VITRO AND IN VIVO. MOREOVER, KNOCKDOWN OF UHRF1 SIGNIFICANTLY ARRESTED FIBROBLAST PROLIFERATION AND REACTIVATED BECLIN 1 IN LUNG FIBROBLASTS. THUS, INTRAVENOUS ADMINISTRATION OF UHRF1 SIRNA-LOADED LIPOSOMES SIGNIFICANTLY PROTECTED MICE AGAINST EXPERIMENTAL PULMONARY FIBROSIS. ACCORDINGLY, OUR DATA SUGGEST THAT UHRF1 MIGHT BE A NOVEL POTENTIAL THERAPEUTIC TARGET IN THE PATHOGENESIS OF PULMONARY FIBROSIS. 2022