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[Research progress of chemerin in polycystic ovary syndrome]. [螯合素在多囊卵巢综合征中的研究进展]。
Q3 Medicine Pub Date : 2024-06-25
Xiao-Juan Zhu, Hang Qiu, Sheng-Lan Liu, Wei Dai, Hai-Bo Hu, Hao Huang

As a multifunctional adipokine, chemerin plays a crucial role in various pathophysiological processes through endocrine and paracrine manner. It can bind to three known receptors (ChemR23, GPR1 and CCRL2) and participate in energy metabolism, glucose and lipid metabolism, and inflammation, especially in metabolic diseases. Polycystic ovary syndrome (PCOS) is one of the most common endocrine diseases, which seriously affects the normal life of women of childbearing age. Patients with PCOS have significantly increased serum levels of chemerin and high expression of chemerin in their ovaries. More and more studies have shown that chemerin is involved in the occurrence and development of PCOS by affecting obesity, insulin resistance, hyperandrogenism, oxidative stress and inflammatory response. This article mainly reviews the production, subtypes, function and receptors of chemerin protein, summarizes and discusses the research status of chemerin protein in PCOS from the perspectives of metabolism, reproduction and inflammation, and provides theoretical basis and reference for the clinical diagnosis and treatment of PCOS.

作为一种多功能脂肪因子,螯合素通过内分泌和旁分泌方式在各种病理生理过程中发挥着重要作用。它可以与三种已知的受体(ChemR23、GPR1 和 CCRL2)结合,参与能量代谢、葡萄糖和脂质代谢以及炎症,尤其是代谢性疾病。多囊卵巢综合征(PCOS)是最常见的内分泌疾病之一,严重影响育龄妇女的正常生活。多囊卵巢综合征患者血清中的螯合素水平明显升高,卵巢中的螯合素表达量也很高。越来越多的研究表明,螯合素通过影响肥胖、胰岛素抵抗、高雄激素、氧化应激和炎症反应,参与了多囊卵巢综合征的发生和发展。本文主要综述了螯合素蛋白的产生、亚型、功能和受体,从代谢、生殖和炎症等角度总结和探讨了螯合素蛋白在多囊卵巢综合征中的研究现状,为多囊卵巢综合征的临床诊治提供理论依据和参考。
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引用次数: 0
Research progress of microRNA in spinal cord injury. 脊髓损伤中的 microRNA 研究进展。
Q3 Medicine Pub Date : 2024-06-25
Dong-Min Wei, Rui Fang, Zhi-Zhong Deng, Xin-Yue Bai, Jing-Hui Zhu, Tian-Yu Zhai, Can Zhang, Jian-Zhong Gao, Dan Su, Yan-Ling Yang, Lin Zhao

Spinal cord injury (SCI) is a serious central nervous system disease with high disability and mortality rates and complex pathophysiologic mechanisms. MicroRNA (miRNA), as a kind of non-coding RNA, plays an important role in SCI. miRNA is involved in the regulation of inflammatory response, oxidative stress, axonal regeneration, and apoptosis after SCI, and interacts with long non-coding RNA (lncRNA) and circular RNA (circRNA) to regulate the pathophysiological process of SCI. This paper summarizes the changes in miRNA expression after SCI, and reviews the targeting mechanism of miRNA in SCI and the current research status of miRNA-targeted drugs to provide new targets and new horizons for basic and clinical research on SCI.

脊髓损伤(SCI)是一种严重的中枢神经系统疾病,致残率和死亡率高,病理生理机制复杂。miRNA参与调控脊髓损伤后的炎症反应、氧化应激、轴突再生和细胞凋亡,并与长非编码RNA(lnRNA)和环状RNA(circRNA)相互作用,调控脊髓损伤的病理生理过程。本文总结了 miRNA 在 SCI 后的表达变化,综述了 miRNA 在 SCI 中的靶向机制和 miRNA 靶向药物的研究现状,为 SCI 的基础和临床研究提供新靶点和新视野。
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引用次数: 0
[Transition metal accumulation and cellular senescence]. [过渡金属积累与细胞衰老]。
Q3 Medicine Pub Date : 2024-06-25
An-Na Xie, Guo-Yi Liu, Sun-Zhengyuan Zhang, Wei-Wei Dai

Aging refers to a progressive decline in biological functions, leading to age-related diseases and mortality. The transition metals, including iron, copper, and manganese, play important roles in human physiological and pathological processes. Substantial research has demonstrated that senescent cells accumulate higher levels of transition metals, which in turn accelerates the process of cellular senescence and related diseases through mechanisms such as production of excessive reactive oxygen species (ROS), induction of oxidative stress, DNA damage, and mitochondrial dysfunction. This review article provides a comprehensive overview of the causes of transition metal accumulation in senescent cells, as well as the mechanisms by which it further promotes cellular senescence and related diseases. The aim is to provide insights into anti-aging and treatment of aging-related diseases caused by transition metal accumulation.

衰老是指生物功能逐渐衰退,导致与年龄有关的疾病和死亡。包括铁、铜和锰在内的过渡金属在人体生理和病理过程中发挥着重要作用。大量研究表明,衰老细胞会积累较高水平的过渡金属,进而通过产生过量活性氧(ROS)、诱导氧化应激、DNA 损伤和线粒体功能障碍等机制,加速细胞衰老和相关疾病的进程。这篇综述文章全面概述了过渡金属在衰老细胞中积累的原因,以及其进一步促进细胞衰老和相关疾病的机制。目的是为过渡金属积累引起的抗衰老和治疗衰老相关疾病提供见解。
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引用次数: 0
[Effect of metabolic reprogramming on abdominal aortic aneurysm]. [代谢重编程对腹主动脉瘤的影响]。
Q3 Medicine Pub Date : 2024-06-25
Ge Wang, Mei-Li Wang

Abdominal aortic aneurysm (AAA) is a life-threatening disease that remains undetected until it acutely ruptures. Due to lack of effective pharmaceutic therapies, it is urgent to explore new prevention and treatment strategies. Metabolic reprogramming is a cellular process through which cells change their metabolic patterns to meet material and energy requirements, including glucose metabolism, lipid metabolism and amino acid metabolism. Recently, the regulatory role of metabolic reprogramming in cardiovascular diseases, especially AAA, has attracted significant attention. This review article focuses on the research progress regarding the effects of metabolic reprogramming of vascular smooth muscle cells (VSMCs) and macrophages on the occurrence and development of AAA, especially their roles in major pathological processes such as VSMCs apoptosis and phenotype transformation, extracellular matrix remodeling, oxidative stress, and inflammatory response. The aim is to provide new clues for the mechanism research and clinical treatment of AAA from the perspective of metabolism.

腹主动脉瘤(AAA)是一种危及生命的疾病,在急性破裂前一直未被发现。由于缺乏有效的药物疗法,探索新的预防和治疗策略迫在眉睫。代谢重编程是细胞改变其代谢模式以满足物质和能量需求的过程,包括葡萄糖代谢、脂质代谢和氨基酸代谢。最近,代谢重编程在心血管疾病(尤其是 AAA)中的调控作用引起了广泛关注。这篇综述文章重点探讨了血管平滑肌细胞(VSMC)和巨噬细胞代谢重编程对 AAA 发生和发展的影响,尤其是它们在血管平滑肌细胞凋亡和表型转化、细胞外基质重塑、氧化应激和炎症反应等主要病理过程中的作用。目的是从新陈代谢的角度为 AAA 的机制研究和临床治疗提供新的线索。
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引用次数: 0
[Design and performance study of bone trabecular scaffolds based on triply periodic minimal surface method]. [基于三周期最小面法的骨小梁支架设计与性能研究]。
Q4 Medicine Pub Date : 2024-06-25 DOI: 10.7507/1001-5515.202310005
Yutao Men, Shaocan Tang, Wei Chen, Fulong Liu, Chunqiu Zhang

Triply periodic minimal surface (TPMS) is widely used because it can be used to control the shape of porous scaffolds precisely by formula. In this paper, an I-wrapped package (I-WP) type porous scaffolds were constructed. The finite element method was used to study the relationship between the wall thickness and period, the morphology and mechanical properties of the scaffolds, as well as to study the compression and fluid properties. It was found that the porosity of I-WP type scaffolds with different wall thicknesses (0.1 ~ 0.2 mm) and periods (I-WP 1 ~ I-WP 5) ranged from 68.01% ~ 96.48%, and the equivalent elastic modulus ranged from 0.655 ~ 18.602 GPa; the stress distribution of the scaffolds tended to be uniform with the increase of periods and wall thicknesses; the equivalent elastic modulus of the I-WP type scaffolds was basically unchanged after the topology optimization, and the permeability was improved by 52.3%. In conclusion, for the I-WP type scaffolds, the period parameter can be adjusted first, then the wall thickness parameter can be controlled. Topology optimization can be combined to meet the design requirements. The I-WP scaffolds constructed in this paper have good mechanical properties and meet the requirements of repairing human bone tissue, which may provide a new choice for the design of artificial bone trabecular scaffolds.

三周期最小表面(TPMS)可以通过公式精确控制多孔支架的形状,因此被广泛应用。本文构建了一种 I 包裹(I-WP)型多孔支架。采用有限元法研究了支架的壁厚与周期、形态和力学性能之间的关系,并研究了支架的压缩性能和流体性能。研究发现,不同壁厚(0.1 ~ 0.2 mm)和周期(I-WP 1 ~ I-WP 5)的 I-WP 型支架的孔隙率范围为 68.01% ~ 96.48%,等效弹性模量范围为 0.655 ~ 18.602 GPa;随着周期和壁厚的增加,支架的应力分布趋于均匀;拓扑优化后,I-WP 型支架的等效弹性模量基本不变,透气性提高了 52.3%。总之,对于 I-WP 型脚手架,可以先调整周期参数,然后控制壁厚参数。可结合拓扑优化来满足设计要求。本文构建的 I-WP 型支架具有良好的力学性能,符合修复人体骨组织的要求,可为人工骨小梁支架的设计提供新的选择。
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引用次数: 0
[The role and mechanism of multifunctional molecule SLPI in regulating ischemia-reperfusion induced acute kidney injury and repair]. [多功能分子 SLPI 在调节缺血再灌注诱导的急性肾损伤和修复中的作用及机制]
Q3 Medicine Pub Date : 2024-06-25
Fei Chen, Yuan-Yuan Wu, Bin Yang

The secretory leukocyte protease inhibitor (SLPI) is mainly produced by immune cells and various epithelial cells, and is regulated by a variety of cytokines, such as transforming growth factor β1, interleukin 1β and tumor necrosis factor α. In addition to commonly known anti-protease activity, it has been found in recent years that SLPI plays essential roles in anti-apoptosis, regulating cell cycle, cell differentiation and proliferation, and inhibiting inflammatory response. SLPI can also assist the immune system to clear pathogens/damaged cells by enhancing the phagocytic function of phagocytes, so as to ameliorate tissue damage and promote repair. Moreover, recent studies have shown that the change of SLPI level in the serum of patients post cardiovascular surgery has a high diagnostic value in predicting the occurrence of acute kidney injury, suggesting that SLPI is involved in ischemia-reperfusion (IR) induced acute kidney injury. In this review, we summarized the expression, regulation, signaling pathways and associated biological events of SLPI in different organ injury models, and also discussed and evaluated the potential role of SLPI in renoprotection against IR induced acute kidney injury and its potential as a new biomarker.

分泌型白细胞蛋白酶抑制剂(SLPI)主要由免疫细胞和各种上皮细胞产生,并受多种细胞因子(如转化生长因子β1、白细胞介素1β和肿瘤坏死因子α)的调控。除了通常所知的抗蛋白酶活性外,近年来还发现SLPI在抗细胞凋亡、调节细胞周期、细胞分化和增殖以及抑制炎症反应等方面发挥着重要作用。SLPI 还能通过增强吞噬细胞的吞噬功能,协助免疫系统清除病原体/受损细胞,从而改善组织损伤并促进修复。此外,最近的研究表明,心血管手术后患者血清中 SLPI 水平的变化对预测急性肾损伤的发生具有很高的诊断价值,这表明 SLPI 参与了缺血再灌注(IR)诱导的急性肾损伤。在这篇综述中,我们总结了 SLPI 在不同器官损伤模型中的表达、调控、信号通路和相关生物学事件,并讨论和评估了 SLPI 在肾脏保护以防止 IR 诱导的急性肾损伤中的潜在作用及其作为新生物标记物的潜力。
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引用次数: 0
[Development of flexible multi-phase barium titanate piezoelectric sensor for physiological health and action behavior monitoring]. [用于生理健康和行动行为监测的柔性多相钛酸钡压电传感器的开发]。
Q4 Medicine Pub Date : 2024-06-25 DOI: 10.7507/1001-5515.202404016
Qinghao Zeng, Shulang Han, Ying Liang, Xiaobao Tian

Self-powered wearable piezoelectric sensing devices demand flexibility and high voltage electrical properties to meet personalized health and safety management needs. Aiming at the characteristics of piezoceramics with high piezoelectricity and low flexibility, this study designs a high-performance piezoelectric sensor based on multi-phase barium titanate (BTO) flexible piezoceramic film, namely multi-phase BTO sensor. The substrate-less self-supported multi-phase BTO films had excellent flexibility and could be bent 180° at a thickness of 33 μm, and exhibited good bending fatigue resistance in 1 × 10 4 bending cycles at a thickness of 5 μm. The prepared multi-phase BTO sensor could maintain good piezoelectric stability after 1.2 × 10 4 piezoelectric cycle tests. Based on the flexibility, high piezoelectricity, wearability, portability and battery-free self-powered characteristics of this sensor, the developed smart mask could monitor the respiratory signals of different frequencies and amplitudes in real time. In addition, by mounting the sensor on the hand or shoulder, different gestures and arm movements could also be detected. In summary, the multi-phase BTO sensor developed in this paper is expected to develop convenient and efficient wearable sensing devices for physiological health and behavioral activity monitoring applications.

自供电可穿戴压电传感设备要求具有灵活性和高压电特性,以满足个性化健康和安全管理需求。针对压电陶瓷具有高压电性和低柔性的特点,本研究设计了一种基于多相钛酸钡(BTO)柔性压电陶瓷薄膜的高性能压电传感器,即多相 BTO 传感器。无基底自支撑多相 BTO 薄膜具有优异的柔韧性,厚度为 33 μm 时可进行 180° 弯曲,厚度为 5 μm 时在 1 × 10 4 次弯曲循环中表现出良好的抗弯曲疲劳性能。制备的多相 BTO 传感器在 1.2 × 10 4 压电循环测试后仍能保持良好的压电稳定性。基于该传感器的灵活性、高压电性、可穿戴性、便携性和无需电池自供电等特点,所开发的智能面罩可实时监测不同频率和振幅的呼吸信号。此外,将传感器安装在手部或肩部,还可以检测到不同的手势和手臂动作。总之,本文开发的多相 BTO 传感器有望为生理健康和行为活动监测应用开发出便捷高效的可穿戴传感设备。
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引用次数: 0
[Magnetic induced phase shift detection system based on a novel sensor for cerebral hemorrhage]. [基于新型传感器的脑出血磁感应相移检测系统]。
Q4 Medicine Pub Date : 2024-06-25 DOI: 10.7507/1001-5515.202305048
Jie Liu, Lian Yan, Mingxin Qin, Haisheng Zhang, Mingsheng Chen

The main magnetic field, generated by the excitation coil of the magnetic induction phase shift technology detection system, is mostly dispersed field with small field strength, and the offset effect needs to be further improved, which makes the detection signal weak and the detection system difficult to achieve quantitative detection, thus the technology is rarely used in vivo experiments and clinical trials. In order to improve problems mentioned above, a new Helmholtz birdcage sensor was designed. Stimulation experiment was carried out to analyze the main magnetic field in aspects of intensity and magnetic distribution, then different bleeding volume and bleeding rates experiments were conducted to compared with traditional sensors. The results showed that magnetic field intensity in detection region was 2.5 times than that of traditional sensors, cancellation effect of the main magnetic field was achieved, the mean value of phase difference of 10 mL rabbit blood was (-3.34 ± 0.21)°, and exponential fitting adjusted R 2 between phase difference and bleeding volumes and bleeding rates were both 0.99. The proposed Helmholtz birdcage sensor has a uniform magnetic field with a higher field strength, enable more accurate quantification of hemorrhage and monitored change of bleeding rates, providing significance in magnetic induced technology research for cerebral hemorrhage detection.

磁感应相移技术检测系统的励磁线圈产生的主磁场多为分散磁场,场强较小,偏移效果有待进一步提高,检测信号较弱,检测系统难以实现定量检测,因此该技术在体内实验和临床试验中应用较少。为了改善上述问题,我们设计了一种新型亥姆霍兹鸟笼传感器。通过刺激实验分析了主磁场的强度和磁场分布,然后进行了不同出血量和出血率的实验,并与传统传感器进行了比较。结果表明,检测区域的磁场强度是传统传感器的 2.5 倍,达到了主磁场的抵消效果,10 mL 兔血的相位差平均值为(-3.34 ± 0.21)°,相位差与出血量和出血率之间的指数拟合调整 R 2 均为 0.99。所提出的亥姆霍兹鸟笼传感器磁场均匀,场强较高,能更准确地量化出血量和监测出血率的变化,为脑出血检测的磁诱导技术研究提供了重要依据。
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引用次数: 0
[Research on portable airway impedance monitoring device based on expiratory oscillation]. [基于呼气振荡的便携式气道阻抗监测设备研究]。
Q4 Medicine Pub Date : 2024-06-25 DOI: 10.7507/1001-5515.202309058
Yingfeng Kuang, Bo Che, Xuan Li, Lei Liu, Linhong Deng

Monitoring airway impedance has significant clinical value in accurately assessing and diagnosing pulmonary function diseases at an early stage. To address the issue of large oscillator size and high power consumption in current pulmonary function devices, this study adopts a new strategy of expiration-driven oscillation. A lightweight and low-power airway impedance monitoring system with integrated sensing, control circuitry, and dynamic feedback system, providing visual feedback on the system's status, was developed. The respiratory impedance measurement experiments and statistical comparisons indicated that the system could achieve stable measurement of airway impedance at 5 Hz. The frequency spectrum curves of respiratory impedance ( R and X) showed consistent trends with those obtained from the clinical pulmonary function instrument, specifically the impulse oscillometry system (IOS). The differences between them were all less than 1.1 cm H 2O·s/L. Additionally, there was a significant statistical difference in the respiratory impedance R5 between the exercise and rest groups, which suggests that the system can measure the variability of airway resistance parameters during exercise. Therefore, the impedance monitoring system developed in this study supports subjects in performing handheld, continuous measurements of dynamic changes in airway impedance over an extended period of time. This research provides a foundation for further developing low-power, portable, and even wearable devices for dynamic monitoring of pulmonary function.

监测气道阻抗对于早期准确评估和诊断肺功能疾病具有重要的临床价值。针对目前肺功能设备振荡器体积大、功耗高的问题,本研究采用了呼气驱动振荡的新策略。研究开发了一种轻便、低功耗的气道阻抗监测系统,该系统集成了传感、控制电路和动态反馈系统,可提供系统状态的视觉反馈。呼吸阻抗测量实验和统计比较表明,该系统可在 5 Hz 频率下实现气道阻抗的稳定测量。呼吸阻抗(R 和 X)的频谱曲线与临床肺功能仪器,特别是脉冲振荡测量系统(IOS)的频谱曲线呈现出一致的趋势。两者之间的差异均小于 1.1 厘米 H 2O-s/L。此外,运动组和静息组之间的呼吸阻抗 R5 存在显著的统计学差异,这表明该系统可以测量运动时气道阻力参数的变异性。因此,本研究开发的阻抗监测系统可支持受试者在较长时间内对气道阻抗的动态变化进行手持式连续测量。这项研究为进一步开发用于肺功能动态监测的低功耗、便携式甚至可穿戴设备奠定了基础。
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引用次数: 0
[Skin lesion classification with multi-level fusion of Swin-T and ConvNeXt]. [利用 Swin-T 和 ConvNeXt 的多级融合进行皮肤病变分类]。
Q4 Medicine Pub Date : 2024-06-25 DOI: 10.7507/1001-5515.202305025
Zetong Wang, Junhua Zhang, Xiao Wang

Skin cancer is a significant public health issue, and computer-aided diagnosis technology can effectively alleviate this burden. Accurate identification of skin lesion types is crucial when employing computer-aided diagnosis. This study proposes a multi-level attention cascaded fusion model based on Swin-T and ConvNeXt. It employed hierarchical Swin-T and ConvNeXt to extract global and local features, respectively, and introduced residual channel attention and spatial attention modules for further feature extraction. Multi-level attention mechanisms were utilized to process multi-scale global and local features. To address the problem of shallow features being lost due to their distance from the classifier, a hierarchical inverted residual fusion module was proposed to dynamically adjust the extracted feature information. Balanced sampling strategies and focal loss were employed to tackle the issue of imbalanced categories of skin lesions. Experimental testing on the ISIC2018 and ISIC2019 datasets yielded accuracy, precision, recall, and F1-Score of 96.01%, 93.67%, 92.65%, and 93.11%, respectively, and 92.79%, 91.52%, 88.90%, and 90.15%, respectively. Compared to Swin-T, the proposed method achieved an accuracy improvement of 3.60% and 1.66%, and compared to ConvNeXt, it achieved an accuracy improvement of 2.87% and 3.45%. The experiments demonstrate that the proposed method accurately classifies skin lesion images, providing a new solution for skin cancer diagnosis.

皮肤癌是一个重大的公共卫生问题,而计算机辅助诊断技术可以有效减轻这一负担。在使用计算机辅助诊断时,准确识别皮肤病变类型至关重要。本研究提出了一种基于 Swin-T 和 ConvNeXt 的多级注意级联融合模型。它采用分层 Swin-T 和 ConvNeXt 分别提取全局和局部特征,并引入剩余通道注意和空间注意模块以进一步提取特征。多级注意机制用于处理多尺度的全局和局部特征。为解决浅层特征因距离分类器较远而丢失的问题,提出了分层倒残差融合模块,以动态调整提取的特征信息。针对皮损类别不平衡的问题,采用了平衡采样策略和病灶损失。在 ISIC2018 和 ISIC2019 数据集上进行的实验测试得出的准确率、精确度、召回率和 F1-Score 分别为 96.01%、93.67%、92.65% 和 93.11%,以及 92.79%、91.52%、88.90% 和 90.15%。与 Swin-T 相比,拟议方法的准确率分别提高了 3.60% 和 1.66%;与 ConvNeXt 相比,拟议方法的准确率分别提高了 2.87% 和 3.45%。实验证明,所提出的方法能准确地对皮肤病变图像进行分类,为皮肤癌诊断提供了一种新的解决方案。
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引用次数: 0
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