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第  56 卷第  4 期         郭光耀,等:PPARβ    激动剂   ZLY16 促进肌再生及改善      mdx 小鼠运动能力                  477

               factor-β,TGF-β1)并伴随细胞外基质(extracellular                Biomolecules, 2022, 12(12): 1832.
                                                                [9]   Shi YJ, Zou YX, Shen ZY, et al. Trace elements, PPARs, and
               matrix,ECM)蛋白过度合成与沉积,使得骨骼肌纤
                                                                     metabolic syndrome[J]. Int J Mol Sci, 2020, 21(7): 2612.
                                             [22]
               维化不断加重,导致肌再生障碍 。有研究表明,                           [10]   Bell EL, Shine RW, Dwyer P, et al. PPARδ modulation rescues
               PPARβ  具有直接的抗纤维化作用,如              PPARβ  激动           mitochondrial fatty acid oxidation defects in the mdx model of
               剂  Seladelpar 通过抑制新胶原蛋白合成速率,降低                        muscular dystrophy[J]. Mitochondrion, 2019, 46: 51-58.
                                                                [11]   Zhou ZT, Deng LM, Hu LJ, et al. Hepatoprotective effects of
               肝纤维化,从而治疗小鼠非酒精性脂肪性肝炎 。                                ZLY16,  a  dual  peroxisome  proliferator-activated  receptor  α/δ
                                                         [23]
               本研究发现在        mdx 小鼠中,ZLY16 抗肌纤维化的                    agonist, in rodent model of nonalcoholic steatohepatitis[J]. Eur
               效果要优于辛伐他汀,这提示               PPARβ  激动剂具有              J Pharmacol, 2020, 882: 173300.
                                                                [12]   Fan WW, Waizenegger W, Lin CS, et al. PPARδ promotes run-
               在骨骼肌纤维化相关疾病中应用的前景。                                    ning  endurance  by  preserving  glucose[J].  Cell  Metab,  2017,
                    本研究发现      ZLY16 能够抑制骨骼肌中炎性细                     25(5): 1186-1193. e4.
               胞浸润,缓解肌纤维坏死,表明              ZLY16 具有一定的          [13]   Aguilar-Recarte D, Barroso E, Gumà A, et al. GDF15 mediates
                                                                     the metabolic effects of PPARβ/δ by activating AMPK[J]. Cell
               抗炎作用,后期与糖皮质激素联用可能会达到更好                                Rep, 2021, 36(6): 109501.
               的治疗效果。此外,本研究还发现与对照组相比,                           [14]   Whitehead NP, Kim MJ, Bible KL, et al. A new therapeutic ef-
               辛伐他汀可以降低          PPARβ  表达,这可能是因为辛                   fect of simvastatin revealed by functional improvement in mus-
                                                                     cular dystrophy[J]. Proc Natl Acad Sci U S A, 2015, 112(41):
               伐他汀先通过减少纤维化、抑制炎症,然后减少脂                                12864-12869.
               质蓄积 ,从而使得反馈式            PPAR  表达水平降低。            [15]   Srivastava  NK,  Yadav  R,  Mukherjee  S,  et  al.  Abnormal  lipid
                     [14]
                    综上,本研究发现了新型          PPARβ  激动剂   ZLY16          metabolism in skeletal muscle tissue of patients with muscular
                                                                     dystrophy:  in  vitro,  high-resolution  NMR  spectroscopy  based
               可以缓解高脂环境下成肌细胞分化障碍,可以减少                                observation in early phase of the disease[J]. Magn Reson Imag-
               mdx 小鼠体内脂质蓄积,促进骨骼肌再生,从而改                              ing, 2017, 38: 163-173.
                                                                [16]   Samani A, Karuppasamy M, English KG, et al. DOCK3 regu-
               善其运动能力。ZLY16 有望成为治疗                 DMD  的新
                                                                     lates  normal  skeletal  muscle  regeneration  and  glucose
               药物,也将为后期开发更多用于治疗                DMD   的  PPAR         metabolism[J]. FASEB J, 2023, 37(10): e23198.
               激动剂提供参考。                                         [17]   Bojic LA, Telford DE, Fullerton MD, et al. PPARδ activation
                                                                     attenuates hepatic steatosis in Ldlr-/- mice by enhanced fat oxi-
                                                                     dation, reduced lipogenesis, and improved insulin sensitivity[J].
                                                                     J Lipid Res, 2014, 55(7): 1254-1266.
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