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Deciphering the Role of Various Signaling Pathways in the Pathophysiology of Depression 解读多种信号通路在抑郁症病理生理中的作用
Q3 Medicine Pub Date : 2023-10-05 DOI: 10.2174/0115743624255521230920070219
Etash Vashisht, Vishal Vats, Ravinder Verma, Jatin Parashar, Vandana Garg, Rohit Dutt, Vineet Mittal, Govind Singh, Deepak Kaushik
Background: Depression is one of the leading causes of disability around the globe. In the early years of depression, it is hypothesized that neurotransmitters have a major or dominant role in depression pathophysiology. The roles of different parts of the brain and neurotransmitters have emerged at different intervals of time, and various hypotheses beyond monoamines have arisen. In this review, numerous theories that have been proposed in the last 60 years are covered based on the literature. Methodology: This review was prepared with literature and data presented from different databases including PubMed, Frontier in Pharmacology, Elsevier, Journal of Depression and Anxiety, etc. Results: The different hypotheses of depression have been presented in different eras. Each hypothesis of depression tries to explore different aspects of depression, which shifts the pathogenesis of depression approaches towards bio-molecule and genetic roles. Conclusion: The pathophysiology of depression is very complex. None of the hypotheses alone can explain the pathophysiology of depression. All of these hypotheses are interconnected with each other. Through these hypotheses, it can be concluded that neuro-inflammation can be the base of depression and by reducing this factor we can overcome this problem
背景:抑郁症是全球范围内致残的主要原因之一。在抑郁症的早期,人们假设神经递质在抑郁症的病理生理中起主要或主导作用。大脑的不同部分和神经递质的作用在不同的时间间隔出现,除了单胺之外的各种假设也出现了。在这篇综述中,在文献的基础上,涵盖了过去60年来提出的许多理论。方法学:本综述采用来自PubMed、Frontier in Pharmacology、Elsevier、Journal of Depression and Anxiety等不同数据库的文献和数据。结果:不同时期出现了不同的抑郁假说。每一种假说都试图探索抑郁症的不同方面,从而将抑郁症的发病机制转向生物分子和遗传作用。结论:抑郁症的病理生理十分复杂。这些假说都不能单独解释抑郁症的病理生理学。所有这些假设都是相互联系的。通过这些假设,可以得出结论,神经炎症可能是抑郁症的基础,通过减少这一因素,我们可以克服这一问题
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引用次数: 0
An Identification of RET inhibitor: A Computational Study RET抑制剂的识别:一个计算研究
Q3 Medicine Pub Date : 2023-08-17 DOI: 10.2174/1574362418666230817100406
A. Verma, P. Wadhwa
RET (Rearranged during transcription) kinase is one of the key targets for anticancer drug development. Understanding the real mechanism of pharmacological action is aided by the protein-ligand interaction. The purpose of this study is to find the most effective RET inhibitors.Firstly, through a literature survey, we understood that tetrazole is useful nuclei to provide anticancer activity. Hence, a molecule was drawn containing tetrazole ring using Chemdraw 16.0. This drawn compound was used to determine further ligands employing Zincpharmer. Then, the 3D energy minimized structure of proposed ligands and positive control (selpercatinib and pralsetinib) were drawn using Chem3D. Further, docking was performed for all the ligands with phosphorylated RET kinase (PDB ID – 2IVU) using trial version of Molegro virtual docker 7.0.Determined ligands were docked with the help of Molegro virtual Docker (MVD) 7.0 employing RET kinase (2ivu) as protein.Top 10 compounds were selected and their drug-like properties along with their oral bioavailability were also determined. ZINC12180698, ZINC12180696, ZINC09616526, ZINC12180701, ZINC09616182, ZINC09616145, ZINC17052231, ZINC17052262, ZINC12180700, and ZINC09616518 were among the top ten compounds that showed the strongest affinity for the target for RET-mediated cancer in this study.
RET (rearrange during transcription)激酶是抗癌药物开发的关键靶点之一。了解药理学作用的真正机制有助于蛋白质与配体的相互作用。本研究的目的是寻找最有效的RET抑制剂。首先,通过文献综述,我们了解到四氮唑是提供抗癌活性的有用原子核。因此,使用Chemdraw 16.0绘制了含有四唑环的分子。该化合物被用来用锌法测定进一步的配体。然后,利用Chem3D绘制了拟配体和正对照(selpercatinib和pralsetinib)的三维能量最小化结构。此外,使用Molegro虚拟docker 7.0试用版对磷酸化RET激酶(PDB ID - 2IVU)的所有配体进行对接。以RET激酶(2ivu)为蛋白,利用Molegro virtual Docker (MVD) 7.0进行配体对接。筛选出10个最佳化合物,并测定其药物样性质及口服生物利用度。ZINC12180698、ZINC12180696、ZINC09616526、ZINC12180701、ZINC09616182、ZINC09616145、ZINC17052231、ZINC17052262、ZINC12180700和ZINC09616518是本研究中与ret介导的癌症靶点亲和力最强的前十位化合物。
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引用次数: 0
Mutation S249C of FGFR3b Promotes Bladder Cancer through DownstreamSignaling Proteins FRS2 and FRS3: A Computational Approach FGFR3b突变S249C通过下游信号蛋白FRS2和FRS3促进膀胱癌:一种计算方法
Q3 Medicine Pub Date : 2023-08-10 DOI: 10.2174/1574362418666230810094626
A. Ali, Alwisha Lateef, Zuha Waheed, Mishal Waseem, Tahreem Zaheer, Miriam K Gomez, R. Blaheta, Saira Justin
Bladder cancer is the 9th most prevalent malignancy worldwide. FibroblastGrowth Factor Receptor 3b (FGFR3b), involved in cell proliferation, differentiation, and migration,is a mutations hotspot for bladder cancer with the most prevalent aberration being S249C.Impact of S249C of FGFR3b on bladder tumorigenesis via immediate downstream adapterproteins, Fibroblast Growth Factor Receptor Substrate (FRS2 and FRS3) is analyzed computationally.Wildtype FGFR3b monomer was modeled using I-TASSER and Phyre2. Whereas,S249C mutation was introduced via DynaMut. Wildtype FGFR3b homodimer and mutant heterodimer were structured and docked with downstream proteins using HADDOCK. PDBSum wasused to study the amino acid residues involved in intermolecular and intramolecular interactions.Parameters of molecular flexibility and interatomic interactions predicted S249C heterodimer mutation of FGFR3b to be stable. Furthermore, docking with FRS2 protein revealed greaterstability and higher binding affinity for S249C heterodimer mutant compared to wildtype homodimer. However, FRS3 docking showed a negligible decline in binding affinity for the S249C mutation but based on Van der Waal’s energy and insights into the interacting residues, it was revealedthat these interactions might be stronger and for longer duration in comparison to the wildtype homodimer.S249C heterodimer mutation of FGFR3b is predicted to be stable with a tumorigenicpotential where FRS2 and FRS3 might be among the key players of altered downstream signaling.Further investigations are required for a detailed picture.
膀胱癌是全球第九大恶性肿瘤。成纤维细胞生长因子受体3b (FibroblastGrowth Factor Receptor 3b, FGFR3b)参与细胞增殖、分化和迁移,是膀胱癌的突变热点,最常见的畸变是S249C。计算分析了FGFR3b的S249C通过直接下游适配器蛋白,成纤维细胞生长因子受体底物(FRS2和FRS3)对膀胱肿瘤发生的影响。使用I-TASSER和Phyre2对野生型FGFR3b单体进行建模。而S249C突变是通过DynaMut引入的。利用HADDOCK构建野生型FGFR3b同型二聚体和突变型异源二聚体,并与下游蛋白对接。PDBSum用于研究参与分子间和分子内相互作用的氨基酸残基。分子柔韧性和原子间相互作用参数预测FGFR3b的S249C异源二聚体突变是稳定的。此外,与FRS2蛋白对接表明,与野生型同型二聚体相比,S249C异源二聚体突变体具有更高的稳定性和结合亲和力。然而,FRS3对接显示对S249C突变的结合亲和力可以忽略不计,但基于Van der Waal能量和对相互作用残基的了解,揭示了与野生型同型二聚体相比,这些相互作用可能更强,持续时间更长。FGFR3b的S249C异源二聚体突变被预测为稳定的,具有致瘤潜力,其中FRS2和FRS3可能是下游信号改变的关键参与者之一。需要进一步调查才能获得详细的情况。
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引用次数: 0
Interpretation and Classification of Phonocardiogram Using Principal Component Analysis 用主成分分析法对声韵图进行解释和分类
Q3 Medicine Pub Date : 2023-08-03 DOI: 10.2174/1574362418666230803145322
Nikita Jatia, Sachin Kumar, K. Veer
Large datasets are logically common yet frequently difficult to interpret. Principal Component Analysis (PCA) is a technique to reduce the dimensionality of a dataset.The main objective of this work is to use principal component analysis to interpret and classify phonocardiogram signals.Finding new factors aids in the reduction of important components of an eigenvalue/eigenvector problem, thus enabling the new factors to be represented by the current dataset and making PCA a flexible data analysis tool. PCA is adaptable to a variety of systems created to update different data types and technology advancements.Signals acquired from a patient, i.e., bio-signals, are used to investigate the patient's strength. One such bio-signal of central significance is the phonocardiogram (PCG), which addresses the working of the heart. Any change in the PCG signal is a characteristic proportion of heart failure, an arrhythmia condition.Long-term observation is difficult due to the many complexities, such as the lack of human competence and the high chance of misdiagnosis.
大型数据集在逻辑上很常见,但通常很难解释。主成分分析(PCA)是一种降低数据集维数的技术。这项工作的主要目的是使用主成分分析来解释和分类心音图信号。发现新的因素有助于减少特征值/特征向量问题的重要组成部分,从而使新的因素能够用当前数据集表示,并使主成分分析成为一种灵活的数据分析工具。PCA适用于为更新不同数据类型和技术进步而创建的各种系统。从患者获得的信号,即生物信号,用于研究患者的力量。其中一个具有核心意义的生物信号是心音图(PCG),它涉及心脏的工作。PCG信号的任何变化都是心力衰竭(一种心律失常)的特征性比例。由于许多复杂性,如缺乏人的能力和高的误诊几率,长期观察是困难的。
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引用次数: 0
Docking Analysis of Deltamethrin Pesticide with Mhc I and Mhc Ii Molecules to Establish Immunomodulation Effects 溴氰菊酯农药与Mhcⅰ和Mhcⅱ分子对接分析建立免疫调节作用
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.2174/1574362418666230908153504
Anupam Kumar, Bhupender Singh, Deepak Kumar, Anil Verma, Pankaj Wadhwa
Background: Deltamethrin is a class II synthetic pyrethroid pesticide extensively used to control pests and vectors in the agriculture sector and health management programme. Due to excessive applications of this pesticide in the environment, it is harming many organisms other than the target organisms. Higher organisms like human beings are also affected by this pesticide because it instigates the impairment of the central nervous system and also distresses the immune system of vertebrates. Methods: In the current research study, MHC I and MHC II molecules of human origin have been targeted to evaluate the interaction with deltamethrin molecules by the AutoDock tool to establish the immunomodulatory effect. MHC I receptor molecule is presented on every nucleated cell, and MHC II receptors are located specifically on cell surfaces of antigen-presenting cells. These receptors play a role in cell-mediated and humoral immune responses. The binding affinity of deltamethrin with MHC receptors can affect the immune response, specifically the acquired immunity of an individual. Results: Findings of the current research study support that deltamethrin causes the suppression of the immune system by interaction with MHC I and MHC II molecules and may cause the organisms to be more prone towards antigen and disease development. Conclusion: The autoDock tool can be utilized to analyse other pesticides’ effects on the immune system and in the drug development process to minimize the toxic effects due to several types of pesticides.
背景:溴氰菊酯是一种II类合成拟除虫菊酯农药,在农业部门和卫生管理规划中广泛用于控制害虫和病媒。由于该农药在环境中的过量使用,对目标生物以外的许多生物造成了危害。像人类这样的高等生物也受到这种杀虫剂的影响,因为它会引起中枢神经系统的损伤,也会损害脊椎动物的免疫系统。方法:本研究以人源MHC I和MHC II分子为靶点,利用AutoDock工具评价其与溴氰菊酯分子的相互作用,建立其免疫调节作用。MHC I受体分子存在于每个有核细胞上,而MHC II受体特异性地位于抗原提呈细胞的细胞表面。这些受体在细胞介导和体液免疫反应中发挥作用。溴氰菊酯与MHC受体的结合亲和性可以影响免疫反应,特别是个体的获得性免疫。结果:目前的研究结果支持溴氰菊酯通过与MHC I和MHC II分子相互作用导致免疫系统的抑制,并可能导致生物体更容易向抗原和疾病发展。结论:autoDock工具可用于分析其他农药对免疫系统的影响,并在药物开发过程中最大限度地减少几种农药的毒性作用。
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引用次数: 0
The Effect of DNA Concentration on the HRM performance in detecting Jak2 p.V617F variant in patients with myeloproliferative neoplasms DNA浓度对骨髓增生性肿瘤患者检测Jak2p.V617F变体的HRM性能的影响
Q3 Medicine Pub Date : 2023-06-09 DOI: 10.2174/1574362418666230609112551
Alireza Moradabadi, Atefeh Soltani, A. Shariati, M. Didehdar, A. Anoushirvani, Seidamir Pasha Tabaeian
Janus kinase 2 (JAK2) is an intracellular signaling protein. JAK2 p. V617F is a common variant in normal karyotype myeloproliferative neoplasms (MPN). High-resolution melting (HRM) analysis is one of the essential methods for detecting the JAK2 p.V617F variant. In this study, we have investigated the effect of DNA concentration on detecting the JAK2 p.V617F variant using the HRM method.Genomic DNA was extracted from human blood and diluted ten times in distilled water from 1 to 0.03; afterward, HRM was conducted for each dilution (triplicate). Using SPSS v.20.0 software, the mean Tm of each dilution was calculated and compared.The HRM results revealed the JAK2 wild type and variant to have Tms of 81/64°C and 80/76°C, respectively. At the endpoint of the pre-amplification, the dilutions had different emissions. The statistical analysis revealed no statistically significant differences in Tm between samples with varying DNA concentrations (P value > 0.05).There have been no significant differences obtained in the analysis of JAK2 p.V617F point variant in different DNA dilutions, implying that the HRM analysis has no relation to DNA concentration.
Janus激酶2(JAK2)是一种细胞内信号蛋白。JAK2 p.V617F是正常核型骨髓增生性肿瘤(MPN)的常见变体。高分辨率熔解(HRM)分析是检测JAK2 p.V617F变体的重要方法之一。在本研究中,我们使用HRM方法研究了DNA浓度对检测JAK2 p.V617F变体的影响。从人类血液中提取基因组DNA,并在蒸馏水中稀释10倍,从1至0.03;之后,对每个稀释液进行HRM(一式三份)。使用SPSS v.20.0软件,计算并比较每次稀释的平均Tm。HRM结果显示,JAK2野生型和变体的Tms分别为81/64°C和80/76°C。在预扩增的终点,稀释液具有不同的排放。统计分析显示,不同DNA浓度的样品之间的Tm没有统计学上的显著差异(P值>0.05)。在不同DNA稀释液中,JAK2 P.V617F点变体的分析没有获得显著差异,这意味着HRM分析与DNA浓度无关。
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引用次数: 0
A Review On Inhibitory Action of Tyrosine Kinase Inhibitors (TKI) by Curbing the ATP-Tyrosine Kinase Interactions 酪氨酸激酶抑制剂(TKI)抑制atp -酪氨酸激酶相互作用的研究进展
Q3 Medicine Pub Date : 2023-04-04 DOI: 10.2174/1574362418666230404133417
Vanktesh Kumar, Navjot Kaur
According to the latest data, the cancer prevalence fraction has surged to the highest number. This is why cancer has become a prominent disease that must be seen as a serious issue. Inhibitory action and ideas become prominent and necessary because of the rising death incidence daily. The simplifying idea of inhibition of cancer is targeting the complex that forms between the tyrosine kinase and ATP, which ultimately provides a clear way. Tyrosine kinase is a proteinaceous enzyme responsible for various cellular events like cell development, growth, and division. But these functions are performed by the activated tyrosine kinase, and the activation occurs by phosphorylation using ATP. The transfer of the phosphate group from ATP to tyrosine is known as phosphorylation. The basic idea is to enhance the competitive inhibition of the ATP-Tyrosine complex is a promising target for treating cancer. Various molecules have a substantial effect on the above-said target. This review summarizes molecules currently in any drug development or clinical trial with the same effect. This review covers most inhibitory molecules from different categories, which either directly or indirectly inhibit the Tyrosin kinase-ATP complex by incorporating.
根据最新数据,癌症患病率已飙升至最高水平。这就是为什么癌症已经成为一个突出的疾病,必须被视为一个严重的问题。由于死亡率每天都在上升,抑制行动和思想变得突出和必要。癌症抑制的简化想法是靶向酪氨酸激酶和ATP之间形成的复合物,这最终提供了一种明确的方法。酪氨酸激酶是一种蛋白质酶,负责各种细胞事件,如细胞发育、生长和分裂。但这些功能是由活化的酪氨酸激酶执行的,而活化是通过使用ATP的磷酸化发生的。磷酸基团从ATP转移到酪氨酸被称为磷酸化。其基本思想是增强ATP-酪氨酸复合物的竞争性抑制是治疗癌症的一个有前途的靶点。各种分子对上述目标具有实质性影响。这篇综述总结了目前任何药物开发或临床试验中具有相同效果的分子。这篇综述涵盖了来自不同类别的大多数抑制分子,它们通过掺入直接或间接抑制酪氨酸激酶ATP复合物。
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引用次数: 0
Robust Computational Model for Diagnosis of Mitogenic Activated Protein Kinase Leading to Neurodegenerative Diseases 有丝分裂活化蛋白激酶导致神经退行性疾病诊断的鲁棒计算模型
Q3 Medicine Pub Date : 2023-03-21 DOI: 10.2174/1574362418666230321152206
A. Salau, Shruti Jain
Computational modeling is used to develop solutions by formulating and modeling real-world problems. This research article presents an innovative approach to using a computational model, as well as an evaluation of software interfaces for usabilityIn this work, a machine learning technique is used to classify different mitogenic activated protein kinases (MAPK), namely extracellular signal-regulated kinase (ERK), c-Jun amino (N)-terminal kinases (JNK), and mitogenic kinase (MK2) proteins. A deficiency of ERK and JNK leads to neurodegenerative diseases, such as Parkinson's disease, Alzheimer's disease (AD), and prion diseases, while the deficiency of MK2 leads to atherosclerosis. In this study, images from a heat map were normalized, scaled, smoothed, and sharpened. Different feature extraction methods have been used for various attributes, while principal component analysis was used as a feature selection technique. These features were extracted with machine learning algorithms to produce promising results for clinical applications.The results show that ANN achieves 97.09%, 96.82%, and 96.01% accuracy for JNK, ERK, and MK2 proteins, respectively, whereas CNN achieves 97.60%, 97.36%, and 96.81% accuracy for the same proteins. When CNN is used, the best results are obtained for JNK protein, with a training accuracy of 97.06% and a testing accuracy of 97.6%.The proposed computational model is validated using a convolution neural network (CNN). The effect of the hidden layer on different activation functions has been then observed using ANN and CNN. The proposed model may assist in the detection of various MAPK proteins, yielding promising results for clinical diagnostic applications.
计算建模用于通过公式化和建模真实世界的问题来开发解决方案。这篇研究文章提出了一种使用计算模型的创新方法,以及软件接口的可用性评估。在这项工作中,使用机器学习技术对不同的促有丝分裂活化蛋白激酶(MAPK)进行分类,即细胞外信号调节激酶(ERK)、c-Jun氨基(N)末端激酶(JNK)和促有丝裂激酶(MK2)蛋白。ERK和JNK缺乏会导致神经退行性疾病,如帕金森病、阿尔茨海默病(AD)和朊病毒疾病,而MK2缺乏会导致动脉粥样硬化。在这项研究中,对热图中的图像进行了归一化、缩放、平滑和锐化。不同的特征提取方法被用于各种属性,而主成分分析被用作特征选择技术。这些特征是用机器学习算法提取的,以产生有前景的临床应用结果。结果表明,ANN对JNK、ERK和MK2蛋白的准确率分别为97.09%、96.82%和96.01%,而CNN对相同蛋白的准确度分别为97.60%、97.36%和96.81%。当使用CNN时,JNK蛋白获得了最好的结果,训练精度为97.06%,测试精度为97.6%。使用卷积神经网络(CNN)验证了所提出的计算模型。然后使用ANN和CNN观察了隐藏层对不同激活函数的影响。所提出的模型可能有助于检测各种MAPK蛋白,为临床诊断应用产生有希望的结果。
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引用次数: 0
Combination of probiotics and resveratrol to target drug resistance in breast cancer: an in vitro and in vivo study 益生菌与白藜芦醇联合治疗乳腺癌耐药的体内外研究
Q3 Medicine Pub Date : 2023-02-28 DOI: 10.2174/1574362418666230228122251
Wamidh H. Talib, Faten Farhan
To evaluate new anticancer combination to target drug resistance in breast cancerProbiotics have significant activity in the immune system by the activation of multiple immune mechanisms. Resveratrol is a non-flavonoid polyphenol. It has various pharmacological effects, including anti-oxidative, anti-inflammatory, anti-proliferative, and anti-angiogenesis.The present study investigates the potential immunomodulatory and antitumor activity of the combination treatment of probiotics and resveratrol in sensitive and cisplatin resistant breast cancer.In the in vivo part, tumor-bearing mice received one of the following treatments: 2.5*108 CFU/ml probiotics, 50mg/kg resveratrol, the combination of probiotics and resveratrol, vehicle, or cisplatin. Balb/C mice were inoculated with sensitive EMT6/P & cisplatin resistance EMT6/CPR cancer cell lines and in vivo antitumor activity was evaluated. The antiproliferative activity of the probiotics, resveratrol, and their combination treatments was assessed using MTT assay to evaluate lymphocyte proliferation activity. LDH colorimetric assay was conducted to measure the effectiveness of the treatments on Natural killer cells activity. Nitro blue tetrazolium assay and neutral red method have been used to evaluate macrophage function.The combination treatment showed enhancement effect in splenic lymphocytes proliferation, macrophage function, phagocytosis, and pinocytosis in both cell lines. It was shown that a significant reduction in tumor size and weight in EMT6/P and EMT6/CPR bearing mice occurred.The combination treatment of probiotics and resveratrol had a valuable activity against sensitive and cisplatin resistant breast cancer cells and may act as a stimulator of the immune system. Therefore, the combination of probiotics and resveratrol deserves further analysis to be used in cancer prevention and treatment.Further studies are needed to fully understand the mechanisms of action of this combination
为了评价新的针对乳腺癌耐药的抗癌组合,益生菌通过激活多种免疫机制在免疫系统中具有显著的活性。白藜芦醇是一种非类黄酮多酚。它具有多种药理作用,包括抗氧化、抗炎、抗增殖和抗血管生成。本研究探讨了益生菌与白藜芦醇联合治疗敏感和顺铂耐药乳腺癌的潜在免疫调节和抗肿瘤活性。在体内部分,荷瘤小鼠分别给予2.5*108 CFU/ml益生菌、50mg/kg白藜芦醇、益生菌与白藜芦醇联合、载药、顺铂治疗。用敏感的EMT6/P和顺铂耐药的EMT6/CPR癌细胞株接种Balb/C小鼠,观察其体内抗肿瘤活性。采用MTT法评价益生菌、白藜芦醇及其联合处理的抗增殖活性。采用LDH比色法测定各处理对自然杀伤细胞活性的影响。采用硝基蓝四氮唑法和中性红法评价巨噬细胞功能。联合治疗对两种细胞系的脾淋巴细胞增殖、巨噬细胞功能、吞噬功能和胞饮功能均有增强作用。结果表明,EMT6/P和EMT6/CPR小鼠的肿瘤大小和重量显著减少。益生菌和白藜芦醇的联合治疗对敏感和顺铂耐药的乳腺癌细胞具有重要的活性,并可能作为免疫系统的刺激物。因此,益生菌与白藜芦醇联合应用于癌症防治方面值得进一步研究。需要进一步的研究来充分了解这种组合的作用机制
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引用次数: 0
An Evolution of Bilirubin Physiology and Analysis 胆红素生理学的进化与分析
Q3 Medicine Pub Date : 2023-02-16 DOI: 10.2174/1574362418666230216152920
Kabita Kumari, Shravan Kumar Pahuja, Sanjeev Kumar
Bilirubin is a yellow tetrapyrrole molecule found in the gastrointestinal system, and it is produced when hemoglobin (Hb) is degraded. For treating various liver disorders like jaundice, serum bilirubin in the body is a testing marker. Jaundice develops when the serum bilirubin level is more significant than 2.0 to 2.5 mg/dl. Examining different forms of bilirubin, i.e., conjugated (direct) bilirubin, unconjugated (indirect) bilirubin, and total bilirubin, helps the physician identify the cause and metabolic disorder of jaundice. Inconsistent bilirubin production and removal results in lasting neurologic consequences (kernicterus). In this paper, we have presented a brief introduction to jaundice, the physiological mechanism of bilirubin, its types and causes, clinical approaches toward patients having jaundice, i.e., the conventional method being practiced in clinical laboratories, and various non-invasive systems in the point-of-care settings along with their advantages and disadvantages. Information on bilirubin production and elimination with tracking of bilirubin levels may help to guide the proper clinical management of jaundice. The primary focus is on the progression of established methodologies and techniques to newer ones capable of measuring bilirubin in biological materials.
胆红素是一种存在于胃肠道系统的黄色四吡咯分子,当血红蛋白(Hb)降解时产生。对于黄疸等多种肝脏疾病的治疗,体内血清胆红素是一种检测指标。当血清胆红素水平高于2.0 ~ 2.5 mg/dl时,黄疸发生。检查不同形式的胆红素,即偶联(直接)胆红素,非偶联(间接)胆红素和总胆红素,有助于医生确定黄疸的原因和代谢紊乱。不一致的胆红素产生和去除导致持久的神经系统后果(核黄疸)。在本文中,我们简要介绍了黄疸,胆红素的生理机制,其类型和原因,黄疸患者的临床治疗方法,即在临床实验室中实践的传统方法,以及各种非侵入性系统,以及它们的优点和缺点。胆红素产生和消除的信息与胆红素水平的跟踪可能有助于指导黄疸的正确临床管理。主要的焦点是建立的方法和技术的进步,以新的能够测量生物材料中的胆红素。
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引用次数: 0
期刊
Current Signal Transduction Therapy
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