1 4993 177 PENTOXIFYLLINE-INDUCED PROTEIN EXPRESSION CHANGE IN RAW 264.7 CELLS AS DETERMINED BY IMMUNOPRECIPITATION-BASED HIGH PERFORMANCE LIQUID CHROMATOGRAPHY. ALTHOUGH PENTOXIFYLLINE (PTX) WAS IDENTIFIED AS A COMPETITIVE NON-SELECTIVE PHOSPHODIESTERASE INHIBITOR, ITS PHARMACOLOGICAL EFFECT HAS NOT BEEN CLEARLY ELUCIDATED. THE PRESENT STUDY EXPLORED THE EFFECT OF LOW DOSE 10 MUG/ML PTX (THERAPEUTIC DOSE) COMPARED TO HIGH DOSE 300 MUG/ML PTX (EXPERIMENTAL DOSE) IN RAW 264.7 CELLS THROUGH IMMUNOPRECIPITATION-BASED HIGH PERFORMANCE LIQUID CHROMATOGRAPHY (IP-HPLC), IMMUNOHISTOCHEMISTRY, AND WESTERN BLOT. 10 MUG/ML PTX INCREASED THE EXPRESSION OF PROLIFERATION (KI-67, PCNA, CYCLIN D2, CDC25A), EPIGENETIC MODIFICATION (KDM4D, PCAF, HMGB1), PROTEIN TRANSLATION (DOHH, DHPS, EIF5A1), RAS SIGNALING (KRAS, PAKT1/2/3, PI3K), NFKB SIGNALING (NFKB, GADD45, P38), PROTECTION (HSP70, SOD1, GSTO1/2), SURVIVAL (PAKT1/2/3, SP1, SIRTUIN 6), NEUROMUSCULAR DIFFERENTIATION (NSEGAMMA, MYOSIN-1A, DESMIN), OSTEOBLASTIC DIFFERENTIATION (BMP2, RUNX2, OSTERIX), ACUTE INFLAMMATION (TNFALPHA, IL-1, CXCR4), INNATE IMMUNITY (BETA-DEFENSIN 1, LACTOFERRIN, TLR-3, -4), CELL-MEDIATED IMMUNITY (CD4, CD8, CD80), WHILE DECREASED THE EXPRESSION OF ER STRESS (EIF2ALPHA, EIF2AK3, ATF6ALPHA), FIBROSIS (FGF2, CTGF, COLLAGEN 3A1), AND CHRONIC INFLAMMATION (CD68, MMP-2, -3, COX2) VERSUS THE UNTREATED CONTROLS. THE ACTIVATION OF PROLIFERATION BY 10 MUG/ML PTX WAS ALSO SUPPORTED BY THE INCREASE OF CMYC-MAX HETERODIMER AND BETA-CATENIN-TCF1 COMPLEX IN DOUBLE IP-HPLC. 10 MUG/ML PTX ENHANCED FAS-MEDIATED APOPTOSIS BUT DIMINISHED P53-MEDIATED APOPTOSIS, AND DOWNREGULATED MANY ANGIOGENESIS PROTEINS (ANGIOGENIN, VEGF-A, AND FLT4), BUT UPREGULATED HIF1ALPHA, VEGFR2, AND CMG2 REACTIVELY. WHEREAS, 300 MUG/ML PTX CONSISTENTLY DECREASED PROLIFERATION, EPIGENETIC MODIFICATION, RAS AND NFKB SIGNALING, NEUROMUSCULAR AND OSTEOBLASTIC DIFFERENTIATION, BUT INCREASED APOPTOSIS, ER STRESS, AND FIBROSIS COMPARED TO 10 MUG/ML PTX. THESE DATA SUGGEST PTX HAS DIFFERENT BIOLOGICAL EFFECT ON RWA 264.7 CELLS DEPENDING ON THE CONCENTRATION OF 10 MUG/ML AND 300 MUG/ML PTX. THE LOW DOSE 10 MUG/ML PTX ENHANCED RAS/NFKB SIGNALING, PROLIFERATION, DIFFERENTIATION, AND INFLAMMATION, PARTICULARLY, IT STIMULATED NEUROMUSCULAR AND OSTEOBLASTIC DIFFERENTIATION, INNATE IMMUNITY, AND CELL-MEDIATED IMMUNITY, BUT ATTENUATED ER STRESS, FIBROSIS, ANGIOGENESIS, AND CHRONIC INFLAMMATION, WHILE THE HIGH DOSE 300 MUG/ML PTX WAS FOUND TO ALLEVIATE THE 10 MUG/ML PTX-INDUCED BIOLOGICAL EFFECTS, RESULTED IN THE SUPPRESSION OF RAS/NFKB SIGNALING, PROLIFERATION, NEUROMUSCULAR AND OSTEOBLASTIC DIFFERENTIATION, AND INFLAMMATION. 2022 2 5084 25 PIGMENTED EPENDYMOMA, A TUMOR WITH PREDILECTION FOR THE MIDDLE-AGED ADULT: CASE REPORT WITH METHYLATION CLASSIFICATION AND REVIEW OF 16 LITERATURE CASES. EPENDYMOMAS HAVE RARELY BEEN DESCRIBED TO CONTAIN PIGMENT OTHER THAN MELANIN, NEUROMELANIN, LIPOFUSCIN OR A COMBINATION. IN THIS CASE REPORT, WE PRESENT A PIGMENTED EPENDYMOMA IN THE FOURTH VENTRICLE OF AN ADULT PATIENT AND REVIEW 16 ADDITIONAL CASES OF PIGMENTED EPENDYMOMA FROM THE LITERATURE. A 46-YEAR-OLD FEMALE SHOWED UP WITH HEARING LOSS, HEADACHES, AND NAUSEA. MAGNETIC RESONANCE IMAGING REVEALED A 2.5 CM CONTRAST-ENHANCING CYSTIC MASS IN THE FOURTH VENTRICLE, WHICH WAS RESECTED. INTRAOPERATIVELY, THE TUMOR APPEARED GREY-BROWN, CYSTIC, AND WAS ADHERENT TO THE BRAINSTEM. ROUTINE HISTOLOGY REVEALED A TUMOR WITH TRUE ROSETTES, PERIVASCULAR PSEUDOROSETTES AND EPENDYMAL CANALS CONSISTENT WITH EPENDYMOMA, BUT ALSO SHOWED CHRONIC INFLAMMATION AND ABUNDANT DISTENDED PIGMENTED TUMOR CELLS THAT MIMICKED MACROPHAGES IN FROZEN AND PERMANENT SECTIONS. THE PIGMENTED CELLS WERE POSITIVE FOR GFAP AND NEGATIVE FOR CD163 CONSONANT WITH GLIAL TUMOR CELLS. THE PIGMENT WAS NEGATIVE FOR FONTANA-MASSON, POSITIVE FOR PERIODIC-ACID SCHIFF AND AUTOFLUORESCENT, WHICH COINCIDE WITH CHARACTERISTICS OF LIPOFUSCIN. PROLIFERATION INDICES WERE LOW AND H3K27ME3 SHOWED PARTIAL LOSS. H3K27ME 3 IS AN EPIGENETIC MODIFICATION TO THE DNA PACKAGING PROTEIN HISTONE H3 THAT INDICATES THE TRI-METHYLATION OF LYSINE 27 ON HISTONE H3 PROTEIN. THIS METHYLATION CLASSIFICATION WAS COMPATIBLE WITH A POSTERIOR FOSSA GROUP B EPENDYMOMA (EPN_PFB). THE PATIENT WAS CLINICALLY WELL WITHOUT RECURRENCE AT THREE-MONTH POST-OPERATIVE FOLLOW-UP APPOINTMENT. OUR ANALYSIS OF ALL 17 CASES, INCLUDING THE ONE PRESENTED, SHOWS THAT PIGMENTED EPENDYMOMAS ARE MOST COMMON IN THE MIDDLE-AGED WITH A MEDIAN AGE OF 42 YEARS AND MOST HAVE A FAVORABLE OUTCOME. HOWEVER, ONE PATIENT THAT ALSO DEVELOPED SECONDARY LEPTOMENINGEAL MELANIN ACCUMULATIONS DIED. MOST (58.8%) ARISE IN THE 4TH VENTRICLE, WHILE SPINAL CORD (17.6%) AND SUPRATENTORIAL LOCATIONS (17.6%) WERE LESS COMMON. THE AGE OF PRESENTATION AND GENERALLY GOOD PROGNOSIS RAISE THE QUESTION OF WHETHER MOST OTHER POSTERIOR FOSSA PIGMENTED EPENDYMOMAS MAY ALSO FALL INTO THE EPN_PFB GROUP, BUT ADDITIONAL STUDY IS REQUIRED TO ADDRESS THAT QUESTION. 2022 3 2708 21 EXERCISE IN NEUROMUSCULAR DISORDERS: A PROMISING INTERVENTION. ALTHOUGH PERFORMING EXERCISE STUDIES IN PATIENTS WITH NEUROMUSCULAR DISORDERS (NMD) IS DIFFICULT, THE NUMBER OF RANDOMIZED CONTROLLED TRIALS IS STEADILY INCREASING. THERE IS GROWING EVIDENCE FOR A POSITIVE EFFECT OF AEROBIC EXERCISE IN SEVERAL NMD, ON THE OTHER HAND, THE EVIDENCE FOR THE EFFECT OF STRENGTH TRAINING IS STILL SCARCE. MANY NMD PATIENTS ARE CAPTURED IN A VICIOUS CIRCLE OF PHYSICAL INACTIVITY, AND IT IS IMPORTANT TO LET PATIENTS ADHERE TO AN ACTIVE LIFESTYLE, IN ORDER TO PREVENT FURTHER CHRONIC CARDIOVASCULAR AND MUSCLE DECONDITIONING AND INCREASED CARDIOVASCULAR HEALTH RISKS. EXERCISE HAS TO BE PRESCRIBED AS IF IT IS MEDICINE, IN ORDER TO INCREASE THE ADHERENCE OF PATIENTS AND TO OPTIMIZE THE EFFICACY OF THE INTERVENTION. EXERCISE IN NMD IS SAFE, ALTHOUGH FOR SOME METABOLIC MYOPATHIES THERE IS A CONTRAINDICATION FOR STRENUOUS EXERCISE. IN NMD KNOWN TO AFFECT CARDIAC MUSCLE, IT IS USUALLY SAFE TO EXERCISE, BUT THE CONSULTATION OF A CARDIOLOGIST IS ADVISED. BASED ON RECENT RESEARCH, AN INCREASE IN PHYSICAL ACTIVITY OF MODERATE INTENSITY AND OF SUFFICIENT DURATION, I.E. A PHYSICALLY ACTIVE LIFESTYLE, COULD BE AT LEAST AS EFFECTIVE AND RELEVANT AS PHYSICAL TRAINING. UNDERLYING MECHANISMS OF EFFECT OF EXERCISE COULD BE THE INFLUENCE OF EPIGENETIC MECHANISMS AND THE ANTI-INFLAMMATORY EFFECT OF EXERCISE, BUT FURTHER STUDIES ARE NEEDED TO CONFIRM THESE HYPOTHESES. 2019 4 6140 17 THE ETIOLOGY OF AUTOIMMUNE DISEASES: THE CASE OF MYASTHENIA GRAVIS. AUTOIMMUNE DISEASES COMPRISE A WIDE VARIETY OF DISORDERS, FROM THOSE THAT ARE ACUTE AND SPONTANEOUSLY REGRESSIVE TO CHRONIC DISEASES. THEIR OCCURRENCE IS THE SIGN OF A LOSS OF TOLERANCE TO SELF-ANTIGENS. WITH FEW EXCEPTIONS, THE ETIOLOGY OF AUTOIMMUNE DISEASES HAS NOT BEEN CLEARLY ESTABLISHED. IN ALL CASES, IT IS COMPLEX, INVOLVING GENETIC, EPIGENETIC, AND ENVIRONMENTAL FACTORS. IN THIS ARTICLE I WILL ATTEMPT TO ANALYZE THE VARIOUS FACTORS THAT HAVE A TRIGGERING OR PROTECTING ROLE, WITH PARTICULAR REFERENCE TO MYASTHENIA GRAVIS. 2012 5 3339 26 HISTONE DEACETYLASE ISOFORMS DIFFERENTIALLY MODULATE INFLAMMATORY AND AUTOANTIBODY RESPONSES IN A MOUSE MODEL OF MYASTHENIA GRAVIS. MYASTHENIA GRAVIS (MG) IS AN AUTOIMMUNE DISEASE CHARACTERIZED BY CHRONIC MUSCLE FATIGUE AND WEAKNESS CAUSED BY AUTOANTIBODIES AND COMPLEMENT-MEDIATED DAMAGE AT NEUROMUSCULAR JUNCTIONS. HISTONE DEACETYLASES (HDACS) ARE CRUCIAL EPIGENETIC REGULATORS OF PROINFLAMMATORY GENE EXPRESSION; HOWEVER, IT IS UNCLEAR WHETHER HDACS MODULATE CHRONIC INFLAMMATION OR AUTOANTIBODY PRODUCTION ASSOCIATED WITH MG PATHOGENESIS. WE EXAMINED EXPRESSION PROFILES AND SERUM LEVELS OF KEY INFLAMMATORY CYTOKINES (IL-6 AND IL-21) AND ACETYLCHOLINE RECEPTOR (ACHR)-SPECIFIC AUTOANTIBODIES FOLLOWING PHARMACOLOGICAL INHIBITION OF KEY HDAC ISOFORMS IN A MOUSE MODEL OF MG. WE FOUND THAT HDAC INHIBITION SIGNIFICANTLY REDUCED THE PRODUCTION OF IL-6, BUT NOT IL-21, IN ACHR-STIMULATED PBMCS AND SPLENOCYTES (N = 5 PER GROUP). TRICHOSTATIN (PAN-HDAC INHIBITOR) TREATMENT OF MG-PBMCS (N = 2) ALSO EXHIBITED REDUCED PRODUCTION OF INDUCED IL-6. ALTHOUGH HDAC1 INHIBITION LOWERED IL-6 LEVELS THE MOST, HDAC2 INHIBITION DEPLETED INTRACELLULAR IL-6 AND MARKEDLY REDUCED SERUM ANTI-ACHR IGG2B IN EAMG MICE. THE TRANSCRIPTOMIC PROFILING AND PATHWAY MAPPING ALSO REVEALED THAT AUTOIMMUNITY-LINKED, MAJOR CELL SIGNALING PATHWAYS WERE DIFFERENTIALLY ALTERED BY HDAC1/2 INHIBITION. HDAC INHIBITION-MEDIATED REDUCTION IN IL-6 AND AUTOANTIBODY LEVELS ALSO CORRELATED WITH MILDER DISEASE AND PRESERVATION OF MUSCLE ACHR IN THE TREATED MICE. OVERALL, OUR FINDINGS REVEALED ISOFORM-SPECIFIC FUNCTIONAL VARIANCE OF HDACS IN REDUCING INFLAMMATION AND IDENTIFIED HDAC-REGULATED MANY GENES UNDERLYING SPECIFIC INFLAMMATORY AND AUTOANTIBODY PATHWAYS IN EAMG. THUS, THE STUDY PROVIDES A RATIONALE FOR FURTHER RESEARCH TO EVALUATE THE HDACS OR THEIR GENE TARGETS AS A POTENTIAL ADJUNCT TREATMENT FOR MG. 2021 6 4975 13 PATHOPHYSIOLOGICAL MECHANISMS OF AUTOIMMUNITY. AUTOIMMUNE DISEASES (AIDS) ARE CHRONIC DISORDERS CHARACTERIZED BY INFLAMMATORY REACTIONS AGAINST SELF-ANTIGENS THAT CAN BE EITHER SYSTEMIC OR ORGAN SPECIFIC. AIDS CAN DIFFER IN THEIR EPIDEMIOLOGIC FEATURES AND CLINICAL PRESENTATIONS, YET ALL SHARE A REMARKABLE COMPLEXITY. AIDS RESULT FROM AN INTERPLAY OF GENETIC AND EPIGENETIC FACTORS WITH ENVIRONMENTAL COMPONENTS THAT ARE ASSOCIATED WITH IMBALANCES IN THE IMMUNE SYSTEM. MANY OF THE PATHOGENIC MECHANISMS OF AIDS ARE ALSO IMPLICATED IN MYASTHENIA GRAVIS (MG), AN AID IN WHICH INFLAMMATION OF THE THYMUS LEADS TO A NEUROMUSCULAR DISORDER. OUR GOAL HERE IS TO HIGHLIGHT THE SIMILARITIES AND DIFFERENCES BETWEEN MG AND OTHER AIDS BY REVIEWING THE COMMON TRANSCRIPTOME SIGNATURES AND THE DEVELOPMENT OF GERMINAL CENTERS AND BY DISCUSSING SOME UNRESOLVED QUESTIONS ABOUT AUTOIMMUNE MECHANISMS. THIS REVIEW WILL PROPOSE HYPOTHESES TO EXPLAIN THE ORIGIN OF REGULATORY T (T(REG) ) CELL DEFECTS AND THE CAUSES OF CHRONICITY AND SPECIFICITY OF AIDS. 2018 7 1927 24 ENVIRONMENTAL EPIGENOMICS AND DISEASE SUSCEPTIBILITY. KEYSTONE SYMPOSIA ON MOLECULAR AND CELLULAR BIOLOGY. THE GROVE PARK HOTEL & SPA, ASHVILLE, NC, USA, 27 MARCH-1 APRIL 2011. THE MAIN OBJECTIVE OF THIS CONFERENCE WAS TO PROVIDE SOLID EVIDENCE THAT ENVIRONMENTAL EXPOSURES DURING EARLY DEVELOPMENT CAN AFFECT FAITHFUL REPRODUCTION OF INDIVIDUAL PARENTAL EPIGENOMES WITHOUT CHANGING DNA SEQUENCE IN THE OFFSPRING. NO DOUBT, THIS IMPORTANT GOAL HAS BEEN SUCCESSFULLY ACHIEVED OWING TO THE HIGH QUALITY OF PRESENTED EPIDEMIOLOGICAL AND EXPERIMENTAL STUDIES AND ENGAGING DISCUSSIONS OF MANY YET TO BE PUBLISHED RESULTS. COMPELLING DATA SUGGESTED A STRONG CAUSAL LINK BETWEEN PRENATAL VULNERABILITY OF FUTURE PARENTAL EPIGENOMES TO DAMAGING ENVIRONMENTAL FACTORS AGGRAVATED BY ABNORMAL SOCIO-CULTURAL CONDITIONS (INCLUDING, FOR INSTANCE, MALNUTRITION AND CHRONIC STRESS) AND THE ALARMING RISK OF DEVELOPING HERITABLE COMPLEX MEDICAL CONDITIONS LATER IN LIFE, SUCH AS ASTHMA, AUTISM, CANCER, CARDIOVASCULAR DISEASE, DIABETES, OBESITY, SCHIZOPHRENIA AND A WHOLE RANGE OF RARE NEUROMUSCULAR PATHOLOGIES. IT WAS CONCLUDED THAT MODERN EPIGENETIC RESEARCH PROMISES TO MARKEDLY IMPROVE OUR ABILITY TO DIAGNOSE, PREVENT AND TREAT THESE AND OTHER PATHOLOGICAL CONDITIONS OF HUMANS. HOWEVER, THE COMPLEX HERITABILITY PATTERN OF 'EPIGENETIC SYNDROMES' ALSO INTRODUCES UNIQUE LEGAL AND ETHICAL ISSUES THAT WERE DISCUSSED AT THE END OF THIS OUTSTANDING MEETING. 2011 8 3797 11 INTERNATIONAL BREAST CANCER AND NUTRITION: A MODEL FOR RESEARCH, TRAINING AND POLICY IN DIET, EPIGENETICS, AND CHRONIC DISEASE PREVENTION. THIS ARTICLE SUMMARIZES PRESENTATIONS FROM THE INTERNATIONAL BREAST CANCER AND NUTRITION WORKSHOP HELD DURING THE ASN SCIENTIFIC SESSIONS AND ANNUAL MEETING AT EXPERIMENTAL BIOLOGY 2014 IN SAN DIEGO, CA, ON 28 APRIL 2014. AN INTERNATIONAL COLLABORATION WAS DESCRIBED AMONG TEAMS FROM LOW-, MIDDLE-, AND HIGH-INCOME COUNTRIES ADDRESSING ENVIRONMENTAL FACTORS, ESPECIALLY DIET, AND EPIGENETIC INTERACTIONS THAT AFFECT THE RISK OF CHRONIC DISEASE. SPEAKERS ADDRESSED OPPORTUNITIES AND CHALLENGES INVOLVED IN THIS TYPE OF INTERNATIONAL COLLABORATION, ASSESSING DIET AND NUTRITIONAL STATUS ACROSS A WIDE RANGE OF CULTURES, AND RESEARCH TOOLS AND DISCOVERIES FROM THIS GROUP. 2014 9 2866 18 FUNCTIONAL ADULT ACETYLCHOLINE RECEPTOR DEVELOPS INDEPENDENTLY OF MOTOR INNERVATION IN SOL 8 MOUSE MUSCLE CELL LINE. WE HAVE DEFINED CULTURE CONDITIONS, USING A FEEDER LAYER OF CELLS FROM THE EMBRYONIC MESENCHYMAL CELL LINE, 10T1/2 AND A SERUM-FREE MEDIUM, WHICH ALLOW CELLS FROM THE MOUSE MYOGENIC CELL LINE SOL 8 TO FORM CONTRACTING MYOTUBES FOR TWO WEEKS. UNDER THESE CULTURE CONDITIONS, SOL 8 MYOTUBES UNDERGO A MATURATION PROCESS CHARACTERIZED BY A SEQUENTIAL EXPRESSION OF TWO PHENOTYPES. AN EARLY PHENOTYPE IS TYPIFIED BY THE EXPRESSION OF THE NICOTINIC ACETYLCHOLINE RECEPTOR (ACHR) GAMMA-SUBUNIT TRANSCRIPTS AND THE PRESENCE OF LOW CONDUCTANCE ACH-ACTIVATED CHANNELS, TYPICAL OF EMBRYONIC ACHR. A LATE PHENOTYPE IS CHARACTERIZED BY THE EXPRESSION OF ACHR EPSILON-SUBUNIT TRANSCRIPTS, THE DECREASED ACCUMULATION OF GAMMA-SUBUNIT TRANSCRIPTS AND THE APPEARANCE OF HIGH CONDUCTANCE ACH-ACTIVATED CHANNELS, TYPICAL OF ADULT ACHR. THESE RESULTS INDICATE THAT THE EXPRESSION OF FUNCTIONAL ADULT TYPE ACHR DOES NOT REQUIRE THE PRESENCE OF THE MOTOR NERVE AND THEREFORE REPRESENTS AN INTRINSIC FEATURE OF THE SOL 8 MUSCLE CELLS. CHRONIC EXPOSURE OF THE CELLS TO THE VOLTAGE-SENSITIVE NA+ CHANNEL BLOCKING AGENT TETRODOTOXIN DOES NOT AFFECT THE APPEARANCE OF THE ACHR EPSILON-SUBUNIT TRANSCRIPTS BUT PREVENTS THE REDUCTION OF THE STEADY-STATE LEVEL OF THE ACHR GAMMA-SUBUNIT TRANSCRIPTS AND YIELDS A REDUCED PROPORTION OF THE ADULT TYPE CHANNELS. THUS, ACTIVITY SEEMS TO FACILITATE THE SWITCH FROM THE EMBRYONIC TO THE ADULT PHENOTYPE OF THE ACHR PROTEIN. THE SOL 8 CELL SYSTEM MIGHT BE USEFUL TO ANALYSE FURTHER THE GENETIC AND EPIGENETIC REGULATION OF MUSCLE FIBRE MATURATION IN MAMMALS. 1991 10 1667 31 DOWNREGULATION OF PCAF BY MIR-181A/B PROVIDES FEEDBACK REGULATION TO TNF-ALPHA-INDUCED TRANSCRIPTION OF PROINFLAMMATORY GENES IN LIVER EPITHELIAL CELLS. ABERRANT CELLULAR RESPONSES TO PROINFLAMMATORY CYTOKINES, SUCH AS TNF-ALPHA, ARE PATHOGENIC FEATURES IN MOST CHRONIC INFLAMMATORY DISEASES. A VARIETY OF EXTRACELLULAR AND INTRACELLULAR FEEDBACK PATHWAYS HAS EVOLVED TO PREVENT AN INAPPROPRIATE CELLULAR REACTION TO THESE PROINFLAMMATORY CYTOKINES. IN THIS STUDY, WE REPORT THAT TNF-ALPHA TREATMENT OF HUMAN AND MOUSE CHOLANGIOCYTES AND HEPATOCYTES DOWNREGULATED EXPRESSION OF P300/CBP-ASSOCIATED FACTOR (PCAF), A COACTIVATOR AND AN ACETYLTRANSFERASE THAT PROMOTES HISTONE ACETYLATION AND GENE TRANSCRIPTION. OF THESE UPREGULATED MICRORNAS IN TNF-ALPHA-TREATED CELLS, MIR-181A/B (MIR-181A AND MIR-181B) SUPPRESSED TRANSLATION OF PCAF MRNA. FUNCTIONAL MANIPULATION OF MIR-181A/B CAUSED RECIPROCAL ALTERATIONS IN PCAF PROTEIN EXPRESSION IN CULTURED CHOLANGIOCYTES AND HEPATOCYTES. INHIBITION OF MIR-181A/B FUNCTION WITH ANTI-MIRS BLOCKED TNF-ALPHA-INDUCED SUPPRESSION OF PCAF EXPRESSION. PROMOTER RECRUITMENT OF PCAF WAS SHOWN TO BE ASSOCIATED WITH TNF-ALPHA-INDUCED TRANSCRIPTION OF INFLAMMATORY GENES. INTRIGUINGLY, PRETREATMENT OF CELLS WITH TNF-ALPHA INHIBITED TRANSCRIPTION OF INFLAMMATORY GENES IN RESPONSE TO SUBSEQUENT TNF-ALPHA STIMULATION. OVEREXPRESSION OF PCAF OR INHIBITION OF MIR-181A/B FUNCTION WITH ANTI-MIRS ATTENUATED THE INHIBITORY EFFECTS OF TNF-ALPHA PRETREATMENT ON EPITHELIAL INFLAMMATORY RESPONSE TO SUBSEQUENT TNF-ALPHA STIMULATION. DOWNREGULATION OF PCAF AND THE INHIBITORY EFFECTS OF TNF-ALPHA PRETREATMENT ON LIVER EPITHELIAL INFLAMMATORY RESPONSE WERE FURTHER CONFIRMED IN A MOUSE MODEL OF TNF-ALPHA I.P. INJECTION. THESE DATA SUGGEST THAT PCAF IS A TARGET FOR MIR-181A/B, AND DOWNREGULATION OF PCAF BY TNF-ALPHA PROVIDES NEGATIVE FEEDBACK REGULATION TO INFLAMMATORY REACTIONS IN LIVER EPITHELIAL CELLS, A PROCESS THAT MAY BE RELEVANT TO THE EPIGENETIC FINE-TUNING OF EPITHELIAL INFLAMMATORY PROCESSES IN GENERAL. 2012 11 4211 28 METFORMIN FOR CARDIOVASCULAR PROTECTION, INFLAMMATORY BOWEL DISEASE, OSTEOPOROSIS, PERIODONTITIS, POLYCYSTIC OVARIAN SYNDROME, NEURODEGENERATION, CANCER, INFLAMMATION AND SENESCENCE: WHAT IS NEXT? DIABETES IS ACCOMPANIED BY SEVERAL COMPLICATIONS. HIGHER PREVALENCE OF CANCERS, CARDIOVASCULAR DISEASES, CHRONIC KIDNEY DISEASE (CKD), OBESITY, OSTEOPOROSIS, AND NEURODEGENERATIVE DISEASES HAS BEEN REPORTED AMONG PATIENTS WITH DIABETES. METFORMIN IS THE OLDEST ORAL ANTIDIABETIC DRUG AND CAN IMPROVE COEXISTING COMPLICATIONS OF DIABETES. CLINICAL TRIALS AND OBSERVATIONAL STUDIES UNCOVERED THAT METFORMIN CAN REMARKABLY PREVENT OR ALLEVIATE CARDIOVASCULAR DISEASES, OBESITY, POLYCYSTIC OVARIAN SYNDROME (PCOS), OSTEOPOROSIS, CANCER, PERIODONTITIS, NEURONAL DAMAGE AND NEURODEGENERATIVE DISEASES, INFLAMMATION, INFLAMMATORY BOWEL DISEASE (IBD), TUBERCULOSIS, AND COVID-19. IN ADDITION, METFORMIN HAS BEEN PROPOSED AS AN ANTIAGING AGENT. NUMEROUS MECHANISMS WERE SHOWN TO BE INVOLVED IN THE PROTECTIVE EFFECTS OF METFORMIN. METFORMIN ACTIVATES THE LKB1/AMPK PATHWAY TO INTERACT WITH SEVERAL INTRACELLULAR SIGNALING PATHWAYS AND MOLECULAR MECHANISMS. THE DRUG MODIFIES THE BIOLOGIC FUNCTION OF NF-KAPPAB, PI3K/AKT/MTOR, SIRT1/PGC-1ALPHA, NLRP3, ERK, P38 MAPK, WNT/BETA-CATENIN, NRF2, JNK, AND OTHER MAJOR MOLECULES IN THE INTRACELLULAR SIGNALING NETWORK. IT ALSO REGULATES THE EXPRESSION OF NONCODING RNAS. THEREBY, METFORMIN CAN REGULATE METABOLISM, GROWTH, PROLIFERATION, INFLAMMATION, TUMORIGENESIS, AND SENESCENCE. ADDITIONALLY, METFORMIN MODULATES IMMUNE RESPONSE, AUTOPHAGY, MITOPHAGY, ENDOPLASMIC RETICULUM (ER) STRESS, AND APOPTOSIS AND EXERTS EPIGENETIC EFFECTS. FURTHERMORE, METFORMIN PROTECTS AGAINST OXIDATIVE STRESS AND GENOMIC INSTABILITY, PRESERVES TELOMERE LENGTH, AND PREVENTS STEM CELL EXHAUSTION. IN THIS REVIEW, THE PROTECTIVE EFFECTS OF METFORMIN ON EACH DISEASE WILL BE DISCUSSED USING THE RESULTS OF RECENT META-ANALYSES, CLINICAL TRIALS, AND OBSERVATIONAL STUDIES. THEREAFTER, IT WILL BE METICULOUSLY EXPLAINED HOW METFORMIN REPROGRAMS INTRACELLULAR SIGNALING PATHWAYS AND ALTERS MOLECULAR AND CELLULAR INTERACTIONS TO MODIFY THE CLINICAL PRESENTATIONS OF SEVERAL DISEASES. 2021 12 4269 17 MICROBIAL DYSBIOSIS AND LACK OF SCFA PRODUCTION IN A SPANISH COHORT OF PATIENTS WITH MULTIPLE SCLEROSIS. BACKGROUND: MULTIPLE SCLEROSIS (MS) IS A CHRONIC, DEMYELINATING, AND IMMUNE-MEDIATED DISEASE OF THE CENTRAL NERVOUS SYSTEM CAUSED BY A COMBINATION OF GENETIC, EPIGENETIC, AND ENVIRONMENTAL FACTORS. THE INCIDENCE OF MS HAS INCREASED IN THE PAST SEVERAL DECADES, SUGGESTING CHANGES IN THE ENVIRONMENTAL RISK FACTORS. MUCH EFFORT HAS BEEN MADE IN THE DESCRIPTION OF THE GUT MICROBIOTA IN MS; HOWEVER, LITTLE IS KNOWN ABOUT THE DYSBIOSIS ON ITS FUNCTION. THE MICROBIOTA PRODUCES THOUSANDS OF BIOLOGICALLY ACTIVE SUBSTANCES AMONG WHICH ARE NOTABLE THE SHORT-CHAIN FATTY ACID (SCFA) EXCRETION. OBJECTIVES: ANALYZE THE INTERACTION BETWEEN MICROBIOTA, SCFAS, DIET, AND MS. METHODS: 16S, NUTRITIONAL QUESTIONNAIRES, AND SCFAS QUANTIFICATION HAVE BEEN RECOVERED FROM MS PATIENTS AND CONTROLS. RESULTS: OUR RESULTS REVEALED AN INCREMENT IN THE PHYLUM PROTEOBACTERIA, ESPECIALLY THE FAMILY ENTEROBACTERIACEAE, A LACK IN TOTAL SCFA EXCRETION, AND AN ALTERED PROFILE OF SCFAS IN A SPANISH COHORT OF MS PATIENTS. THESE ALTERATIONS ARE MORE EVIDENT IN PATIENTS WITH HIGHER DISABILITY. CONCLUSIONS: THE ABUNDANCE OF PROTEOBACTERIA AND ACETATE AND THE LOW EXCRETION OF TOTAL SCFAS, ESPECIALLY BUTYRATE, ARE COMMON CHARACTERISTICS OF MS PATIENTS, AND BESIDES, BOTH ARE ASSOCIATED WITH A WORSE PROGNOSIS OF THE DISEASE. 2022 13 4796 23 NUTRITIONAL INTERVENTION AS AN ESSENTIAL PART OF MULTIPLE SCLEROSIS TREATMENT? MULTIPLE SCLEROSIS (MS) IS A CHRONIC INFLAMMATORY AND DEMYELINATING DISEASE OF THE CENTRAL NERVOUS SYSTEM. IN ADDITION TO THE GENETIC, EPIGENETIC AND IMMUNOLOGICAL COMPONENTS, VARIOUS OTHER FACTORS, E.G. UNHEALTHY DIETARY HABITS, PLAY A ROLE IN THE MS PATHOGENESIS. DIETARY INTERVENTION IS A HIGHLY APPEALING APPROACH, AS IT PRESENTS A SIMPLE AND RELATIVELY LOW RISK METHOD TO POTENTIALLY IMPROVE OUTCOMES IN PATIENTS WITH BRAIN DISORDERS IN ORDER TO ACHIEVE REMISSION AND IMPROVEMENT OF CLINICAL STATUS, WELL-BEING AND LIFE EXPECTANCY OF PATIENTS WITH MS. THE IMPORTANCE OF SATURATED FAT INTAKE RESTRICTION FOR THE CLINICAL STATUS IMPROVEMENT OF MS PATIENTS WAS POINTED FOR THE FIRST TIME IN 1950S. RECENTLY, DECREASED RISK OF FIRST CLINICAL DIAGNOSIS OF CNS DEMYELINATION ASSOCIATED WITH HIGHER INTAKE OF OMEGA-3 POLYUNSATURATED FATTY ACIDS PARTICULARLY ORIGINATING FROM FISH WAS REPORTED. ONLY FEW CLINICAL TRIALS HAVE BEEN PERFORMED TO ADDRESS THE QUESTION OF THE ROLE OF DIETARY INTERVENTION, SUCH IS E.G. LOW SATURATED FAT DIET IN MS TREATMENT. THIS REVIEW SUMMARIZES CURRENT KNOWLEDGE ABOUT THE EFFECT OF DIFFERENT DIETARY APPROACHES (DIETS LOW IN SATURATED FAT AND DIETARY SUPPLEMENTS SUCH AS FISH OIL, LIPOIC ACID, OMEGA-3 POLYUNSATURATED FATTY ACIDS, SEEDS OILS, HIGH FIBER DIET, VITAMIN D, ETC.) ON NEUROLOGICAL SIGNS, PATIENT'S WELL-BEING, PHYSICAL AND INFLAMMATORY STATUS. SO FAR THE RESULTS ARE NOT CONCLUSIVE, THEREFORE MUCH MORE RESEARCH IS NEEDED TO CONFIRM AND TO UNDERSTAND THE EFFECTIVENESS OF THESE DIETARY INTERVENTIONS IN THE LONG TERM AND WELL DEFINED STUDIES. 2018 14 5280 16 PROMOTING SYMPATHOVAGAL BALANCE IN MULTIPLE SCLEROSIS; PHARMACOLOGICAL, NON-PHARMACOLOGICAL, AND SURGICAL STRATEGIES. ACCUMULATED EVIDENCE SUGGESTS THAT CARDIOVASCULAR AUTONOMIC NERVOUS SYSTEM (ANS) DYSFUNCTION MAY BE THE UNDERLYING CAUSE OF MANY MS CLINICAL PRESENTATIONS, INCLUDING NEURODEGENERATION AND REDUCED RESPONSE TO IMMUNOMODULATORY THERAPIES, DEPRESSION, FATIGUE AND SLEEP DISORDERS, MIGRAINE, OSTEOPOROSIS, AND CHRONIC CEREBROSPINAL VENOUS INSUFFICIENCY, THE NEWER MS VASCULAR ETIOLOGY. WE HAVE RECENTLY DESCRIBED THE GENETIC, EPIGENETIC, AND ENVIRONMENTAL FACTORS WITH THE POTENTIAL INFLUENCING ANS ACTIVITY, AND THE INTERACTIONS AMONG THESE FACTORS. THIS REVIEW EXPANDS UPON PREVIOUS ONES, DESCRIBING THE PHARMACOLOGICAL, NON-PHARMACOLOGICAL, AND SURGICAL STRATEGIES THAT COULD BE ADOPTED TO PREVENT AND MINIMIZE THE DETERIORATION IN ANS FUNCTION, PROMOTING A STATE OF SYMPATHOVAGAL BALANCE. HOWEVER, THESE STRATEGIES SHOULD NOT BE APPLIED AS "ONE SIZE FITS ALL", BUT SHOULD TAKE INTO ACCOUNT THE NATURE AND THE DEGREE OF ANS DYSFUNCTION. THESE STRATEGIES WOULD BE EFFECTIVE IN IMPROVING ANS FUNCTION NOT ONLY IN MS, BUT ALSO IN OTHER AUTOIMMUNE AND NEURODEGENERATIVE DISEASES, WHERE THE DYSFUNCTION OF THIS SYSTEM PLAYS A ROLE. 2016 15 5591 27 ROLE OF THE EPIGENETIC FACTOR SIRT7 IN NEUROINFLAMMATION AND NEUROGENESIS. EPIGENETIC REGULATORS ARE INCREASINGLY RECOGNIZED AS RELEVANT MODULATORS IN THE IMMUNE AND NERVOUS SYSTEM. THE CLASS OF SIRTUINS CONSISTS OF NAD(+)-DEPENDENT HISTONE DEACETYLASES THAT REGULATE TRANSCRIPTION. SIRTUIN FAMILY MEMBER SIRT1 HAS ALREADY BEEN SHOWN TO INFLUENCE THE DISEASE COURSE IN AN ANIMAL MODEL OF AUTOIMMUNE NEUROINFLAMMATION (EXPERIMENTAL AUTOIMMUNE ENCEPHALOMYELITIS (EAE). A ROLE OF SIRT7, A RELATED EPIGENETIC REGULATOR, ON IMMUNE SYSTEM REGULATION HAS BEEN PROPOSED BEFORE, AS THESE MICE ARE MORE SUSCEPTIBLE TO DEVELOP INFLAMMATORY CARDIOMYOPATHY. SIRT7(-/-) ANIMALS SHOWED NO DIFFERENCES IN CLINICAL SCORE COMPARED TO WILD-TYPE LITTERMATES AFTER EAE INDUCTION WITH MYELIN OLIGODENDROCYTE GLYCOPROTEIN (MOG) PEPTIDE (35-55), ALTHOUGH WE FOUND SUBTLE IMMUNE ALTERATIONS AT DIFFERENT PHASES OF EAE AND DECREASED SURVIVAL OF NEWLY GENERATED NEURONS IN THE HIPPOCAMPUS. OUR DATA INDICATE THAT SIRT7 HAS A SLIGHT PROTECTIVE IMPACT ON BOTH THE ADAPTIVE IMMUNE SYSTEM AND NEUROGENESIS. HOWEVER, OVERALL THIS EPIGENETIC FACTOR IS NOT CAPABLE OF IMPACTING THE ACUTE OR CHRONIC PHASE OF NEUROINFLAMMATION. 2018 16 350 29 ALTERED DYNAMICS OF LIPID METABOLISM IN MUSCLE CELLS FROM PATIENTS WITH IDIOPATHIC INFLAMMATORY MYOPATHY IS AMELIORATED BY 6 MONTHS OF TRAINING. KEY POINTS: REGULAR EXERCISE IMPROVES MUSCLE FUNCTIONAL CAPACITY AND CLINICAL STATE OF PATIENTS WITH IDIOPATHIC INFLAMMATORY MYOPATHY (IIM). IN OUR STUDY, WE USED AN IN VITRO MODEL OF HUMAN PRIMARY MUSCLE CELL CULTURES, DERIVED FROM IIM PATIENTS BEFORE AND AFTER A 6-MONTH INTENSIVE SUPERVISED TRAINING INTERVENTION TO ASSESS THE IMPACT OF DISEASE AND EXERCISE ON LIPID METABOLISM DYNAMICS. WE PROVIDE EVIDENCE THAT MUSCLE CELLS FROM IIM PATIENTS DISPLAY ALTERED DYNAMICS OF LIPID METABOLISM AND IMPAIRED ADAPTIVE RESPONSE TO SATURATED FATTY ACID LOAD COMPARED TO HEALTHY CONTROLS. A 6-MONTH INTENSIVE SUPERVISED EXERCISE TRAINING INTERVENTION IN PATIENTS WITH IIM MITIGATED DISEASE EFFECTS IN THEIR CULTURED MUSCLE CELLS, IMPROVING OR NORMALIZING THEIR CAPACITY TO HANDLE LIPIDS. THESE FINDINGS HIGHLIGHT THE PUTATIVE ROLE OF INTRINSIC METABOLIC DEFECTS OF SKELETAL MUSCLE IN THE PATHOGENESIS OF IIM AND THE POSITIVE IMPACT OF EXERCISE, MAINTAINED IN VITRO BY YET UNKNOWN EPIGENETIC MECHANISMS. ABSTRACT: EXERCISE IMPROVES SKELETAL MUSCLE FUNCTION, CLINICAL STATE AND QUALITY OF LIFE IN PATIENTS WITH IDIOPATHIC INFLAMMATORY MYOPATHY (IIM). OUR AIM WAS TO IDENTIFY DISEASE-RELATED METABOLIC PERTURBATIONS AND THE IMPACT OF EXERCISE IN SKELETAL MUSCLE CELLS OF IIM PATIENTS. PATIENTS UNDERWENT A 6-MONTH INTENSIVE SUPERVISED TRAINING INTERVENTION. MUSCLE FUNCTION, ANTHROPOMETRIC AND METABOLIC PARAMETERS WERE EXAMINED AND MUSCLE CELL CULTURES WERE ESTABLISHED (M. VASTUS LATERALIS; BERGSTROM NEEDLE BIOPSY) BEFORE AND AFTER TRAINING FROM PATIENTS AND SEDENTARY AGE/SEX/BODY MASS INDEX-MATCHED CONTROLS. [(14) C]PALMITATE WAS USED TO DETERMINE FAT OXIDATION AND LIPID SYNTHESIS (THIN LAYER CHROMATOGRAPHY). CELLS WERE EXPOSED TO A CHRONIC (3 DAYS) AND ACUTE (3 H) METABOLIC CHALLENGE (THE SATURATED FATTY ACID PALMITATE, 100 MUM). REDUCED OXIDATIVE (INTERMEDIATE METABOLITES, -49%, P = 0.034) AND NON-OXIDATIVE (DIGLYCERIDES, -38%, P = 0.013) LIPID METABOLISM WAS IDENTIFIED IN PALMITATE-TREATED MUSCLE CELLS FROM IIM PATIENTS COMPARED TO CONTROLS. THREE DAYS OF PALMITATE EXPOSURE ELICITED DISTINCT REGULATION OF OXIDATIVE PHOSPHORYLATION (OXPHOS) COMPLEX IV AND COMPLEX V/ATP SYNTHASE (P = 0.012/0.005) AND ADIPOSE TRIGLYCERIDE LIPASE IN PATIENTS COMPARED TO CONTROLS (P = 0.045) (IMMUNOBLOTTING). IMPORTANTLY, 6 MONTHS OF TRAINING IN IIM PATIENTS IMPROVED LIPID METABOLISM (CO(2) , P = 0.010; INTERMEDIATE METABOLITES, P = 0.041) AND ACTIVATION OF AMP KINASE (P = 0.007), AND NEARLY NORMALIZED PALMITATE-INDUCED CHANGES IN OXPHOS PROTEINS IN MYOTUBES FROM IIM PATIENTS, IN PARALLEL WITH IMPROVEMENTS OF PATIENTS' CLINICAL STATE. MYOTUBES FROM IIM PATIENTS DISPLAYED ALTERED DYNAMICS OF LIPID METABOLISM AND IMPAIRED RESPONSE TO METABOLIC CHALLENGE WITH SATURATED FATTY ACID. OUR OBSERVATIONS SUGGEST THAT METABOLIC DEFECTS INTRINSIC TO SKELETAL MUSCLE COULD REPRESENT NON-IMMUNE PATHOMECHANISMS, WHICH CAN CONTRIBUTE TO MUSCLE WEAKNESS IN IIM. A 6-MONTH TRAINING INTERVENTION MITIGATED DISEASE EFFECTS IN MUSCLE CELLS IN VITRO, INDICATING THE EXISTENCE OF EPIGENETIC REGULATORY MECHANISMS. 2021 17 6117 28 THE EPIGENETIC DRUG TRICHOSTATIN A AMELIORATES EXPERIMENTAL AUTOIMMUNE ENCEPHALOMYELITIS VIA T CELL TOLERANCE INDUCTION AND IMPAIRED INFLUX OF T CELLS INTO THE SPINAL CORD. MULTIPLE SCLEROSIS IS A T CELL MEDIATED CHRONIC DEMYELINATING DISEASE OF THE CENTRAL NERVOUS SYSTEM. ALTHOUGH CURRENTLY AVAILABLE THERAPIES REDUCE RELAPSES, THEY DO NOT FACILITATE TOLERIZATION OF MYELIN ANTIGEN-SPECIFIC T LYMPHOCYTES TO ENSURE PROLONGED PROTECTION AGAINST MULTIPLE SCLEROSIS. HERE, WE SHOW THAT TREATMENT OF NOD MICE WITH THE HISTONE DEACETYLASE INHIBITOR, TRICHOSTATIN A AFFORDS ROBUST PROTECTION AGAINST MYELIN PEPTIDE INDUCED EXPERIMENTAL AUTOIMMUNE ENCEPHALOMYELITIS, A MOUSE MODEL OF MULTIPLE SCLEROSIS. PROTECTION WAS ACCOMPANIED BY HISTONE HYPERACETYLATION, AND REDUCED INFLAMMATION AND AXONAL DAMAGE IN THE SPINAL CORD. DRUG TREATMENT DIMINISHED THE GENERATION OF CD4(+) MEMORY T CELLS AND INDUCED TOLERANCE IN CD4(+) T CELLS RECOGNIZING THE IMMUNIZING MYELIN PEPTIDE. DURING THE EARLY IMMUNIZATION PERIOD, CD4(+) T CELLS PRODUCING GM-CSF+IFN-GAMMA, GM-CSF+IL-17A, AS WELL AS THOSE EXPRESSING BOTH IL-17A+IFN-GAMMA (DOUBLE-PRODUCERS) WERE DETECTED IN THE SECONDARY LYMPHOID ORGANS FOLLOWED BY THE APPEARANCE OF CELLS PRODUCING IFN-GAMMA AND GM-CSF. ON THE OTHER HAND, IFN-GAMMA PRODUCING TH1 CELLS APPEAR FIRST IN THE SPINAL CORD FOLLOWED BY CELLS PRODUCING IL-17A AND GM-CSF. TREATMENT WITH TRICHOSTATIN A SUBSTANTIALLY REDUCED THE FREQUENCIES OF ALL T CELLS SECRETING VARIOUS LYMPHOKINES BOTH IN THE PERIPHERY AND IN THE SPINAL CORD. THESE DATA INDICATE THAT EPIGENETIC MODIFICATIONS INDUCED BY HISTONE HYPERACETYLATION FACILITATES T CELL TOLERANCE INDUCTION IN THE PERIPHERY LEADING TO REDUCED MIGRATION OF T CELLS TO THE SPINAL CORD AND MITIGATION OF NEURONAL DAMAGE AND IMPROVED CLINICAL OUTCOME. THESE RESULTS SUGGEST THAT EPIGENETIC MODULATION OF THE GENOME MAY SIMILARLY OFFER BENEFITS TO MULTIPLE SCLEROSIS PATIENTS VIA ABROGATING THE FUNCTION OF ENCEPHALITOGENIC T LYMPHOCYTES WITHOUT EXERTING SEVERE SIDE EFFECTS ASSOCIATED WITH CURRENTLY USED DISEASE-MODIFYING THERAPIES. 2017 18 6887 23 [ROLE OF METAFLAMMATION AS A SYSTEMIC MANIFESTATION OF METABOLIC DISEASES]. VISCERAL OBESITY AS A COMPONENT OF THE METABOLIC SYNDROME IS CHARACTERIZED BY SYSTEMIC AND LOCAL INFLAMMATION, WHICH CAN BE QUANTIFIED IN ORGANS (METAFLAMMATION). THIS PROCESS CAN BE REGARDED AS A CHRONIC, STERILE, AND LOW-GRADE STATE OF INFLAMMATION WITHOUT INFECTION, TRAUMA, TUMOR OR AUTOIMMUNITY. IT IS CAUSED BY AN INFLAMMATION OF THE VISCERAL ADIPOSE TISSUE (ADIPOSE INFLAMMATION OR ADIPOFLAMMATION) DUE TO ADIPOCYTE HYPERTROPHY AND HYPERPLASIA WITH INCREASED INFILTRATION BY MONOCYTES AND MACROPHAGES. IMPORTANT IS THE PRESENCE OF PROINFLAMMATORY, SO-CALLED POLARIZED M1 MACROPHAGES THAT ARE INDUCED BY INTERFERON GAMMA (IFN-GAMMA) AND LIPOPOLYSACCHARIDES (LPS) WITH SECRETION OF INTERLEUKIN (IL)-6, TUMOR NECROSIS FACTOR (TNF) AND IL?1. IN CONTRAST, THE ANTI-INFLAMMATORY, SO-CALLED POLARIZED M2 MACROPHAGES INDUCED BY IL?4 AND IL-13 WITH SECRETION OF IL?8 AND IL-10 DECREASE. IN ADDITION, THE SECRETED ADIPOKINE PATTERN CHANGES FROM ANTI-INFLAMMATORY TO PROINFLAMMATORY. ADIPOCYTE NECROSIS, LOCAL HYPOXIA, DYSREGULATED AUTOPHAGY, ACTIVATION OF INFLAMMASOMES, MODULATION OF TOLL-LIKE RECEPTORS, AND EPIGENETIC FACTORS PLAY A COMPLEX ROLE. THIS MECHANISM RESULTS IN LOCAL INSULIN RESISTANCE AND SUBSEQUENTLY A SYSTEMIC INSULIN RESISTANCE OF PERIPHERAL ORGANS AS WELL AS A SPILLOVER OF LOCAL MEDIATORS OF INFLAMMATION INTO THE SYSTEMIC CIRCULATION (MEASURED AS OBESITY C?REACTIVE PROTEIN, CRP). THE ACTIVATION OF INFLAMMATORY SIGNAL TRANSDUCTION CASCADES LEADS TO INHIBITORY PHOSPHORYLATION OF THE INSULIN SIGNALING PATHWAY AND A WEAKENING OF THE EFFECT OF INSULIN. IN PARALLEL, ECTOPIC LIPID ACCUMULATION OCCURS IN THE LIVER, MUSCULATURE, PANCREAS, PERICARDIUM AND LUNGS. DIACYLGLYCEROL (DAG) ACTIVATES SPECIFIC ISOFORMS OF PROTEIN KINASE C (EPSILON IN THE LIVER AND TAU IN THE MUSCULATURE), WHICH IN TURN LEAD TO INHIBITION OF THE INSULIN SIGNALING PATHWAY. INSULIN RESISTANCE IN OBESITY AND TYPE 2 DIABETES MELLITUS IS AN INFLAMMATORY DISEASE. THE AIM OF FUTURE TRANSLATIONAL APPROACHES IS AN ANTI-INFLAMMATORY, MOLECULARLY INDIVIDUALIZED (PRECISION MEDICINE) TREATMENT IN ADIPOSE TISSUE (TARGETED THERAPY) AND IN ORGANS OF INSULIN RESISTANCE. 2023 19 108 20 A REVIEW OF THE PROTECTIVE EFFECT OF MELATONIN IN PESTICIDE-INDUCED TOXICITY. PESTICIDES ARE AMONG THE MOST IMPORTANT CHEMICALS USED IN AGRICULTURE SECTOR. HOWEVER, THEIR EXTENSIVE USE HAS POLLUTED THE ENVIRONMENT AND INCREASED HUMAN VULNERABILITY TO VARIOUS CHRONIC DISEASES. PESTICIDE EXPOSURE CAUSES GENETIC AND EPIGENETIC MODIFICATIONS, ENDOCRINE DISRUPTION, MITOCHONDRIAL DYSFUNCTION AND OXIDATIVE STRESS. AREAS COVERED: THIS REVIEW IS BASED ON THE LITERATURE STUDIES CURRENTLY REPORTED ON PESTICIDE-INDUCED TOXICITY AND THE PROTECTIVE ROLE OF MELATONIN. SCIENTIFIC DATABASES SUCH AS PUBMED, SCOPUS AND WEB OF SCIENCE WERE SEARCHED USING KEYWORDS 'PESTICIDE' AND 'MELATONIN' UP TO JANUARY 2016. FULL LENGTH ARTICLES RELATED TO ANIMAL AND HUMAN EXPOSURE WERE RETRIEVED. A TOTAL NUMBER OF 181 RECORDS WERE OBTAINED, AND AFTER EXCLUDING THE DUPLICATES, 97 PAPERS WERE FURTHER SCREENED ON THE BASIS OF RELEVANCE TO THE TOPIC. EXPERT OPINION: MELATONIN AS A BROAD-SPECTRUM ANTIOXIDANT IS ABLE TO PENETRATE CELLULAR COMPARTMENTS SPECIFICALLY THE MITOCHONDRIA. IT IS A POTENT FREE RADICAL SCAVENGER WITH LOW TOXICITY AND DESIRABLE SOLUBILITY IN ORGANIC AND AQUEOUS PHASES. WE ARE OF THE OPINION THAT MELATONIN IS A PROMISING AGENT IN MINIMIZING ORGAN INJURIES INDUCED BY PESTICIDES. 2017 20 41 17 A COMPARISON OF NEUROIMAGING ABNORMALITIES IN MULTIPLE SCLEROSIS, MAJOR DEPRESSION AND CHRONIC FATIGUE SYNDROME (MYALGIC ENCEPHALOMYELITIS): IS THERE A COMMON CAUSE? THERE IS COPIOUS EVIDENCE OF ABNORMALITIES IN RESTING-STATE FUNCTIONAL NETWORK CONNECTIVITY STATES, GREY AND WHITE MATTER PATHOLOGY AND IMPAIRED CEREBRAL PERFUSION IN PATIENTS AFFORDED A DIAGNOSIS OF MULTIPLE SCLEROSIS, MAJOR DEPRESSION OR CHRONIC FATIGUE SYNDROME (CFS) (MYALGIC ENCEPHALOMYELITIS). SYSTEMIC INFLAMMATION MAY WELL BE A MAJOR ELEMENT EXPLAINING SUCH FINDINGS. INTER-PATIENT AND INTER-ILLNESS VARIATIONS IN NEUROIMAGING FINDINGS MAY ARISE AT LEAST IN PART FROM REGIONAL GENETIC, EPIGENETIC AND ENVIRONMENTAL VARIATIONS IN THE FUNCTIONS OF MICROGLIA AND ASTROCYTES. REGIONAL DIFFERENCES IN NEURONAL RESISTANCE TO OXIDATIVE AND INFLAMMATORY INSULTS AND IN THE PERFORMANCE OF ANTIOXIDANT DEFENCES IN THE CENTRAL NERVOUS SYSTEM MAY ALSO PLAY A ROLE. IMPORTANTLY, REPLICATED EXPERIMENTAL FINDINGS SUGGEST THAT THE USE OF HIGH-RESOLUTION SPECT IMAGING MAY HAVE THE CAPACITY TO DIFFERENTIATE PATIENTS AFFORDED A DIAGNOSIS OF CFS FROM THOSE WITH A DIAGNOSIS OF DEPRESSION. FURTHER RESEARCH INVOLVING THIS FORM OF NEUROIMAGING APPEARS WARRANTED IN AN ATTEMPT TO OVERCOME THE PROBLEM OF AETIOLOGICALLY HETEROGENEOUS COHORTS WHICH PROBABLY EXPLAIN CONFLICTING FINDINGS PRODUCED BY INVESTIGATIVE TEAMS ACTIVE IN THIS FIELD. HOWEVER, THE IONISING RADIATION AND RELATIVE LACK OF SENSITIVITY INVOLVED PROBABLY PRECLUDE ITS USE AS A ROUTINE DIAGNOSTIC TOOL. 2018