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Seminal plasma adipokines: involvement in human reproductive functions. 精浆脂肪因子:参与人类生殖功能。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2017-11-01 DOI: 10.1684/ecn.2018.0403
Yaelle Elfassy, Chloe McAvoy, Soraya Fellahi, Joëlle Dupont, Bruno Fève, Rachel Levy, Jean-Philippe Bastard

Infertility, which increased worldwide over the past few decades, has recently been linked to obesity prevalence. Adipokines, produced by adipose tissue, could be the link between obesity and infertility. The association between circulating adipokines and female infertility has been extensively studied in the last ten years. However, the male aspect has been less investigated, although some adipokines are present in seminal plasma. We have attempted to analyze published studies that measured seminal plasma adipokines and their relationships with semen parameters. Apart from leptin, other seminal adipokines have rarely been studied. Indeed, leptin seems to have a differential role depending on its concentration in the seminal plasma. Thus, it could have a beneficial effect at lower concentrations but a deleterious effect at higher seminal levels. Although some studies are currently available, the roles of leptin and other adipokines in seminal plasma on sperm parameters and their consequences on male fertility remain to be clarified.

在过去的几十年里,不孕症在全球范围内有所增加,最近又与肥胖流行有关。脂肪组织产生的脂肪因子可能是肥胖和不孕症之间的联系。近十年来,人们对循环脂肪因子与女性不孕症之间的关系进行了广泛的研究。然而,男性方面的研究较少,尽管一些脂肪因子存在于精浆中。我们试图分析已发表的关于测量精浆脂肪因子及其与精液参数关系的研究。除了瘦素,其他的精液脂肪因子很少被研究。事实上,瘦素似乎有不同的作用,这取决于它在精浆中的浓度。因此,在较低浓度下,它可能有有益的影响,但在较高的精液水平上,它可能有有害的影响。虽然目前有一些研究,但精浆中瘦素和其他脂肪因子对精子参数的作用及其对男性生育能力的影响仍有待阐明。
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引用次数: 7
Effects of interleukin 17A (IL-17A) neutralization on murine hepatitis virus (MHV-A59) infection. 白细胞介素17A (IL-17A)中和对小鼠肝炎病毒(MHV-A59)感染的影响
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2017-09-01 DOI: 10.1684/ecn.2017.0399
José L Aparicio, Macarena Ottobre, Maite Duhalde Vega, Jean-Paul Coutelier, Jacques Van Snick, Lilia A Retegui

Mice infected with mouse hepatitis virus A59 (MHV-A59) develop hepatitis and autoantibodies (autoAb) to liver and kidney fumarylacetoacetate hydrolase (FAH), a fact closely related to the release of alarmins such as uric acid and/or high-mobility group box protein 1 (HMGB1). We studied the effect of neutralizing monoclonal antibodies (MAb) against IL-17A in our model of mouse MHV-A59-infection. MAb anti-IL-17F and anti-IFNγ were used to complement the study. Results showed that transaminase levels markedly decreased in MHV-A59-infected mice treated with MAb anti-IL-17A whereas plasmatic Ig concentration sharply increased. Conversely, MAb anti-IL-17F enhanced transaminase liberation and did not affect Ig levels. Serum IFNγ was detected in mice infected with MHV-A59 and its concentration increased after MAb anti-IL-17A administration. Besides, MAb anti-IFNγ greatly augmented transaminase plasmatic levels. IL-17A neutralization did not affect MHV-A59-induction of HMGB1 liberation and slightly augmented plasmatic uric acid concentration. However, mice treated with the MAb failed to produce autoAb to FAH. The above results suggest a reciprocal regulation of Th1 and Th17 cells acting on the different MHV-A59 effects. In addition, it is proposed that IL-17A is involved in alarmins adjuvant effects leading to autoAb expression.

感染小鼠肝炎病毒A59 (MHV-A59)的小鼠产生肝炎和针对肝脏和肾脏富马酰乙酸水解酶(FAH)的自身抗体(autoAb),这一事实与尿酸和/或高迁移率组盒蛋白1 (HMGB1)等警报因子的释放密切相关。我们研究了抗IL-17A的中和单克隆抗体(MAb)在小鼠mhv - a59感染模型中的作用。使用抗il - 17f和抗ifn - γ单克隆抗体补充研究。结果显示,经抗il - 17a单抗处理的mhv - a59感染小鼠血清转氨酶水平明显降低,血浆Ig浓度急剧升高。相反,抗il - 17f单克隆抗体增强转氨酶释放,不影响Ig水平。在感染MHV-A59的小鼠中检测血清ifn - γ,给药抗il - 17a单抗后ifn - γ浓度升高。此外,MAb抗ifn - γ显著提高转氨酶血浆水平。IL-17A中和不影响mhv - a59诱导HMGB1的释放和血浆尿酸浓度的轻微升高。然而,用单抗处理的小鼠不能产生FAH的自身抗体。上述结果表明Th1和Th17细胞相互调节作用于不同的MHV-A59效应。此外,有人提出IL-17A参与了导致autoAb表达的警示佐剂作用。
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引用次数: 3
PRR signaling during in vitro macrophage differentiation from progenitors modulates their subsequent response to inflammatory stimuli. 体外巨噬细胞从祖细胞分化过程中的PRR信号调节其对炎症刺激的后续反应。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2017-09-01 DOI: 10.1684/ecn.2017.0398
Alba Martínez, Cristina Bono, Javier Megías, Alberto Yáñez, Daniel Gozalbo, M Luisa Gil

Toll-like receptor (TLR) agonists drive hematopoietic stem and progenitor cells (HSPCs) to differentiate along the myeloid lineage in vitro and also in vivo following infection. In this study, we used an in vitro model of HSPC differentiation to investigate the functional consequences (cytokine production) that exposing HSPCs to various pathogen-associated molecular patterns (PAMPs) and Candida albicans cells have on the subsequently derived macrophages. Mouse HSPCs (Lin- cells) were cultured with GM-CSF to induce macrophage differentiation in the presence or absence of the following pattern recognition receptor (PRR) agonists: Pam3CSK4 (TLR2 ligand), LPS (TLR4 ligand), depleted zymosan (which only activates Dectin-1), or inactivated C. albicans yeasts (which activate several PRRs, mainly TLR2 and Dectin-1). Our data show that only pure TLR2 ligand exposure (transient and continuous) impacts the inflammatory function of GM-CSF-derived macrophages, because Pam3CSK4-exposed HSPCs generate macrophages with a diminished ability to produce inflammatory cytokines. Interestingly, the Pam3CSK4-induced tolerance of macrophages (by transient exposure of HSPCs) is reinforced by subsequent exposure to C. albicans cells in GM-CSF-derived macrophages; however, the induced tolerance is partially reversed in M-CSF-derived macrophages. Therefore, the ability of macrophages to produce inflammatory cytokines is extremely dependent on how the HSPCs from which they are derived receive and integrate multiple microenvironmental signals (PRR ligands and/or CSFs).

toll样受体(TLR)激动剂在体外和体内感染后驱动造血干细胞和祖细胞(HSPCs)沿髓系分化。在这项研究中,我们使用了一个体外HSPC分化模型来研究将HSPC暴露于各种病原体相关分子模式(PAMPs)和白色念珠菌细胞对随后衍生的巨噬细胞的功能影响(细胞因子产生)。用GM-CSF培养小鼠HSPCs (Lin-细胞),诱导巨噬细胞分化,在存在或不存在以下模式识别受体(PRR)激动剂的情况下:Pam3CSK4 (TLR2配体),LPS (TLR4配体),消耗的zymosan(仅激活Dectin-1)或灭活的白色念珠菌酵母(激活几种PRRs,主要是TLR2和Dectin-1)。我们的数据显示,只有纯TLR2配体暴露(短暂和持续)会影响gm - csf来源的巨噬细胞的炎症功能,因为pam3csk4暴露的HSPCs产生的巨噬细胞产生炎症细胞因子的能力降低。有趣的是,pam3csk4诱导的巨噬细胞耐受性(通过短暂暴露于HSPCs)通过随后暴露于gm - csf来源的白色念珠菌细胞而增强;然而,在m - csf来源的巨噬细胞中,诱导的耐受性部分逆转。因此,巨噬细胞产生炎症细胞因子的能力极大地依赖于其来源的HSPCs如何接收和整合多种微环境信号(PRR配体和/或csf)。
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引用次数: 7
Sophocarpine suppress inflammatory response in human fibroblast-like synoviocytes and in mice with collagen-induced arthritis. 槐果碱抑制人成纤维细胞样滑膜细胞和胶原诱导关节炎小鼠的炎症反应。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2017-09-01 DOI: 10.1684/ecn.2017.0400
Lihua Zhu, Liyan Zhu

Rheumatoid arthritis (RA) is a chronic autoimmune disease affecting nearly 1% of adults worldwide. This study aimed to investigate whether sophocarpine is a potential drug for treating RA. The cytotoxicity of sophocarpine to RA-fibroblast-like synoviocytes (FLSs) was evaluated using 3-[4,-dimethylthiazol-2-y]-2,5-diphenyl-tetrazolium bromide (MTT) assays kit and released lactate dehydrogenase (LDH) assays. The transcription of proinflammatory cytokines in RA-FLSs was analyzed by reverse transcription and real-time polymerase chain reaction (RT-PCR). The proteins levels were further verified by enzyme-linked immunosorbent assay (ELISA). The alterations in the mediators of mitogen-activated protein kinase (MAPK) and nuclear factor κB (NF-κB) signaling pathways were tested by western blotting. The clinical effects of sophocarpine were evaluated in type II collagen-induced arthritis (CIA) in DBA-/1 mouse model by scoring their clinical responses, synovitis, and cartilage destructions, and ELISA was employed to analyze the concentrations of proinflammatory cytokines in the serum of CIA mice. The results showed that sophocarpine contained low cytotoxicity to RA-FLS cells, and it was capable to downregulate the expressions of LPS-induced proinflammatory cytokines. The suppressions of MAPK and NF-κB signaling pathways by sophocarpine were also found in LPS-induced RA-FLSs. The attenuation of the symptoms in CIA mouse model were significant, in which concentrations of proinflammatory cytokines were decreased after the sophocarpine treatment. In this study, we demonstrated the potential of sophocarpine in treating RA, both in vitro and in vivo. Sophocarpine may be a potential drug in treating human RA.

类风湿性关节炎(RA)是一种慢性自身免疫性疾病,影响全球近1%的成年人。本研究旨在探讨槐果碱是否是治疗类风湿性关节炎的潜在药物。采用3-[4,-二甲基噻唑-2-y]-2,5-二苯基溴化四唑(MTT)测定试剂盒和乳酸脱氢酶(LDH)测定试剂盒评估槐卡平对ra -成纤维细胞样滑膜细胞(FLSs)的细胞毒性。采用逆转录和实时聚合酶链反应(RT-PCR)分析促炎细胞因子在RA-FLSs中的转录。酶联免疫吸附试验(ELISA)进一步验证蛋白水平。western blotting检测丝裂原活化蛋白激酶(MAPK)和核因子κB (NF-κB)信号通路介质的变化。通过对DBA-/1型胶原诱导关节炎(type II collagen-induced arthritis, CIA)小鼠的临床反应、滑膜炎和软骨破坏进行评分,评价槐果碱对CIA小鼠的临床疗效,并采用ELISA法分析CIA小鼠血清中促炎细胞因子的浓度。结果表明,槐果碱对RA-FLS细胞具有较低的细胞毒性,并能下调lps诱导的促炎细胞因子的表达。在脂多糖诱导的RA-FLSs中,还发现槐果碱对MAPK和NF-κB信号通路的抑制作用。CIA小鼠模型症状明显减轻,经槐果碱治疗后促炎细胞因子浓度降低。在这项研究中,我们证明了槐果碱在体外和体内治疗类风湿性关节炎的潜力。Sophocarpine可能是治疗人类类风湿性关节炎的潜在药物。
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引用次数: 14
Enzyme-Linked Immunosorbent Spot (ELISpot) monitoring of cytokine-producing cells for the prediction of acute rejection in renal transplant patients. 酶联免疫吸附斑点(ELISpot)监测细胞因子产生细胞预测肾移植患者急性排斥反应。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2017-09-01 DOI: 10.1684/ecn.2017.0397
Fatemeh Mohammadi, Ghasem Solgi, Maryam Tajik, Pedram Ahmadpoor, Hasan Nikoeinejad, Behzad Einollahi, Banafsheh Nazari, Mahboob Lessan-Pezeshki, Aliakbar Amirzargar

The purpose of this study was to evaluate T-cell immunity markers using serial post-transplantation monitoring of cytokine-producing cells during the first post-transplant months for the prediction of acute rejection and potentially chronic rejection of kidney allograft. We followed 57 kidney allograft recipients for meanly 3 years post-transplantation. Blood samples were collected pre-transplant, 2, 4 and 12 weeks post-transplant. The frequencies of IL-10-, IL-17- and IFN-γ-producing cells were determined in all time-points using ELISPOT assay. The results of ELISpot monitoring and levels of IL-23 and TGF-β were compared between recipients with acute (n = 12) or chronic rejection episodes and patients with stable graft function (n = 45). In all post-transplant time-points, significantly high frequencies of IFN-γ- and IL-17-producing cells and low frequency of IL-10-producing cells were observed in rejection group versus patients with stable graft function (P < 0.0001). The ROC curve analysis for determining the reliability of cytokine-producing cells for the prediction of acute rejection revealed that AUC was 0.046 for IL-10 (P < 0.001), 0.927 for IL-17 (P < 0.001) and 0.929 for INF-γ-producing cells (P < 0.001). Our results indicate that analyzing the frequencies of INF-γ/IL-10/IL-17-producing cells may define a reliable panel for the prediction of acute rejection within the first post-transplant year which could also be applicable for the prediction of chronic rejection episodes.

本研究的目的是在移植后的第一个月内,通过对细胞因子产生细胞的连续监测来评估t细胞免疫标志物,以预测同种异体肾移植的急性排斥反应和潜在的慢性排斥反应。我们对57例异体肾移植受者进行了平均3年的随访。分别于移植前、移植后2周、4周和12周采集血样。采用ELISPOT法测定各时间点产生IL-10-、IL-17-和IFN-γ细胞的频率。比较急性(n = 12)或慢性排斥反应患者与移植物功能稳定患者(n = 45)的ELISpot监测结果及IL-23和TGF-β水平。在移植后的所有时间点,与移植功能稳定的患者相比,排斥组中产生IFN-γ-和il -17的细胞频率显著高,而产生il -10的细胞频率显著低(P
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引用次数: 4
Skin innate immune response to flaviviral infection. 皮肤对黄病毒感染的先天免疫反应。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2017-06-01 DOI: 10.1684/ecn.2017.0394
Magali Garcia, Michel Wehbe, Nicolas Lévêque, Charles Bodet

Skin is a complex organ and the largest interface of the human body exposed to numerous stress and pathogens. Skin is composed of different cell types that together perform essential functions such as pathogen sensing, barrier maintenance and immunity, at once providing the first line of defense against microbial infections and ensuring skin homeostasis. Being inoculated directly through the epidermis and the dermis during a vector blood meal, emerging Dengue, Zika and West Nile mosquito-borne viruses lead to the initiation of the innate immune response in resident skin cells and to the activation of dendritic cells, which migrate to the draining lymph node to elicit an adaptive response. This literature review aims to describe the inflammatory response and the innate immune signalization pathways involved in human skin cells during Dengue, Zika and West Nile virus infections.

皮肤是一个复杂的器官,是人体暴露于众多压力和病原体的最大界面。皮肤是由不同类型的细胞组成的,它们共同发挥着病原体感知、屏障维护和免疫等基本功能,同时提供了抵御微生物感染的第一道防线,并确保皮肤的稳态。新出现的登革热、寨卡病毒和西尼罗河蚊子传播的病毒在载体血液中直接通过表皮和真皮层接种,导致常驻皮肤细胞启动先天免疫反应,并激活树突状细胞,树突状细胞迁移到引流淋巴结,引发适应性反应。本文综述了登革热、寨卡病毒和西尼罗河病毒感染过程中人体皮肤细胞的炎症反应和先天免疫信号通路。
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引用次数: 41
The role of host immune cells and Borrelia burgdorferi antigens in the etiology of Lyme disease. 宿主免疫细胞和伯氏疏螺旋体抗原在莱姆病病因学中的作用。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2017-06-01 DOI: 10.1684/ecn.2017.0396
Dennis Verhaegh, Leo A B Joosten, Marije Oosting

Lyme disease is a zoonosis caused by infection with bacteria belonging to the Borrelia burgdorferi species after the bite of an infected tick. Even though an infection by this bacterium can be effectively treated with antibiotics, when the infection stays unnoticed B. burgdorferi can persist and chronic post-treatment Lyme disease syndrome is able to develop. Although a cellular and humoral response is observed after an infection with the Borrelia bacteria, these pathogens are still capable to stay alive. Several immune evasive mechanisms have been revealed and explained and much work has been put into the understanding of the contribution of the innate and adaptive immune response. This review provides an overview with the latest findings regarding the cells of the innate and adaptive immune systems, how they recognize contribute and mediate in the killing of the B. burgdorferi spirochete. Moreover, this review also elaborates on the antigens that are expressed by on the spirochete. Since antigens drive the adaptive and, indirectly, the innate response, this review will discuss briefly the most important antigens that are described to date. Finally, there will be a brief elaboration on the escape mechanisms of B. burgdorferi with a focus on tick salivary proteins and spirochete antigens.

莱姆病是一种人畜共患病,是由被感染蜱虫叮咬后感染伯氏疏螺旋体引起的。尽管这种细菌的感染可以用抗生素有效治疗,但当感染不被注意时,伯氏疏螺旋体可能持续存在,并且治疗后可能发展为慢性莱姆病综合征。虽然在感染伯氏疏螺旋体细菌后观察到细胞和体液反应,但这些病原体仍然能够存活。一些免疫逃避机制已经被揭示和解释,许多工作已经投入到理解先天和适应性免疫反应的贡献。本文综述了先天免疫系统和适应性免疫系统细胞的最新发现,以及它们如何识别、促进和介导伯氏螺旋体的杀伤。此外,本文还对螺旋体所表达的抗原进行了综述。由于抗原驱动适应性和间接的先天反应,本综述将简要讨论迄今为止所描述的最重要的抗原。最后,将简要阐述伯氏疏螺旋体的逃逸机制,重点是蜱唾液蛋白和螺旋体抗原。
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引用次数: 16
Characterization of a long isoform of IL-1R8 (TIR8/SIGIRR). IL-1R8长异构体(TIR8/SIGIRR)的表征
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2017-06-01 DOI: 10.1684/ecn.2017.0395
Maria Giovanna Vilia, Marta Tocchetti, Eleonora Fonte, Ilenia Sana, Marta Muzio

IL-1R8, also known as SIGIRR or TIR8, is a trans-membrane protein belonging to the IL-1 receptor family. The human gene includes ten exons, and alternative splicing can result in different isoforms. We, herein, characterized a longer isoform of IL-1R8 containing an in-frame additional sequence between the TIR domain and the C-terminal portion of the protein. IL-1R8 Long (IL-1R8L1) mRNA was specifically expressed and regulated in distinct cell lines, in a manner similar to the classic isoform. Overexpression of IL-1R8L1 resulted in the production of a corresponding protein that showed a pattern of cell localization similar to the classic isoform. An antibody directed against an IL-1R8L1 specific peptide, detected this novel isoform in different cell lines and tissues where this protein may complement the anti-inflammatory functions of classic IL-1R8.

IL-1R8,也被称为SIGIRR或TIR8,是一种跨膜蛋白,属于IL-1受体家族。人类基因包括十个外显子,不同的剪接可以产生不同的异构体。在此,我们表征了IL-1R8的一个较长的同工异构体,该异构体在蛋白质的TIR结构域和c端部分之间含有一个帧内附加序列。IL-1R8长(IL-1R8L1) mRNA在不同细胞系中特异性表达和调控,其方式与经典亚型相似。IL-1R8L1的过表达导致相应蛋白的产生,该蛋白显示出与经典亚型相似的细胞定位模式。一种针对IL-1R8L1特异性肽的抗体,在不同的细胞系和组织中检测到这种新的异构体,这种蛋白质可能补充了经典IL-1R8的抗炎功能。
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引用次数: 10
Buprenorphine differentially affects M1- and M2-polarized macrophages from human umbilical cord blood. 丁丙诺啡对人脐带血中M1和m2极化巨噬细胞的影响不同。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2017-06-01 DOI: 10.1684/ecn.2017.0392
Juan Sun, Wei Guo, Xingguang Du

As a partial μ-opioid receptor agonist with long half-life time, buprenorphine has been widely used to relieve chronic cancer and nonmalignant pain. The maintenance of chronic pain involves inflammation; however whether buprenorphine has anti-inflammation property remains unclear. Macrophages, the immune cells that initiate and maintain inflammation, were isolated from human umbilical cord blood, and were polarized into M1 or M2 macrophages with IFN-γ in the presence of lipopolysaccharide (LPS) or IL-4, respectively. Quantitative PCR, ELISA, Western blotting analysis, and chromatin immunoprecipitation assays were employed to characterize M1 and M2 macrophages. 1) Buprenorphine did not change not only the apoptosis, survival, and morphology of resting macrophages, but also the antigen-presenting function of macrophages. 2) Buprenorphine inhibited the levels of mRNA and protein of several cytokines in M1 macrophages, and enhanced the expression of Ym1 and Fizz1 in M2 macrophages. 3) Buprenorphine did not affect the modulation of NF-κB and MAPK cascades by LPS in M1 macrophages. 4) Buprenorphine inhibited the expression of IRF5 and reduced binding of DNA to IRF5. Buprenorphine may downregulate IRF5 pathway and limit M1 macrophage phenotype. These effects may contribute to its therapeutic benefit for chronic neuropathic pain.

丁丙诺啡作为一种半衰期较长的部分μ-阿片受体激动剂,已广泛用于缓解慢性癌症和非恶性疼痛。慢性疼痛的维持与炎症有关;然而,丁丙诺啡是否具有抗炎特性尚不清楚。巨噬细胞是一种启动和维持炎症的免疫细胞,从人脐带血中分离出来,在脂多糖(LPS)或IL-4的存在下,分别被IFN-γ极化为M1或M2巨噬细胞。采用定量PCR、ELISA、Western blotting和染色质免疫沉淀法对M1和M2巨噬细胞进行表征。1)丁丙诺啡不仅没有改变静息巨噬细胞的凋亡、存活和形态,也没有改变巨噬细胞的抗原呈递功能。2)丁丙诺啡抑制M1巨噬细胞中几种细胞因子的mRNA和蛋白水平,增强M2巨噬细胞中Ym1和Fizz1的表达。3)丁丙诺啡不影响LPS对M1巨噬细胞NF-κB和MAPK级联反应的调节。4)丁丙诺啡抑制IRF5的表达,降低DNA与IRF5的结合。丁丙诺啡可能下调IRF5通路,限制M1巨噬细胞表型。这些作用可能有助于其治疗慢性神经性疼痛。
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引用次数: 7
Predictive ability of circulating osteoprotegerin as a novel biomarker for early detection of acute kidney injury induced by sepsis. 循环骨保护素作为早期检测脓毒症引起的急性肾损伤的新生物标志物的预测能力。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2017-06-01 DOI: 10.1684/ecn.2017.0393
Mona Schaalan, Waleed Mohamed

Though significant progress has been made towards new diagnostic approaches for early detection of acute kidney injury (AKI) induced by different factors, there is still an urgent demand for a more specific and predictive biomarker for each type. The aim of this study is to unravel the potential diagnostic utility of circulating osteoprotegerin (OPG) in septic patients who developed AKI in the ICU, compared to cystatin C (a renal function maker) and KIM-1 (a kidney damage marker). Eighty patients (male = 43, female = 37) with ages ranging from 42 to 46 years and with sepsis, 40 of whom developed AKI, and 30 healthy controls were enrolled in this prospective study. Results revealed significant progressive elevation of OPG, along with cystatin C and KIM-1, among sepsis, severe sepsis, and sepsis-AKI patients. The progression of OPG levels paralleled the deterioration of kidney and endothelial functions from sepsis to sepsis-AKI, revealed as progressively increased levels of serum E-selectin (15.3%), endothelin-1 (ET-1) (19.6%), and decreased nitric oxide (NO) (29.7%), associated with elevations of TNF-α (25.5%) and TGF-β (18%). Their comparative prognostic validity of sepsis-AKI was assessed using ROC analysis, which revealed that OPG, KIM-1, and cystatin C showed similar AUCs (0.827-0.83) but with different sensitivities, viz., 84%, 88%, and 92%, respectively. Although cystatin showed 82% specificity, OPG showed a higher, similar specificity to KIM-1 of 85%, indicating its potential function as a marker of renal damage such as KIM-1. This study revealed a significant elevation of circulating OPG in septic patients with different levels of severity and those who progressed to AKI. Moreover, OPG showed a significant correlation to KIM-1 and cystatin, as well as conventional renal, inflammatory, and endothelial markers. Having a similar specificity to KIM-1, as evidenced by the ROC analysis, OPG has the potential to serve as a reliable biomarker of kidney damage in cases of sepsis-AKI.

尽管在不同因素引起的急性肾损伤(AKI)的早期检测新诊断方法方面取得了重大进展,但仍然迫切需要针对每种类型的更特异性和预测性的生物标志物。本研究的目的是揭示循环骨保护素(OPG)与胱抑素C(一种肾功能生成物)和KIM-1(一种肾损伤标志物)在ICU中发生AKI的脓毒症患者中的潜在诊断价值。80例年龄在42 - 46岁之间的败血症患者(男43例,女37例),其中40例发展为AKI, 30例健康对照纳入这项前瞻性研究。结果显示,在脓毒症、严重脓毒症和脓毒症- aki患者中,OPG、胱抑素C和KIM-1显著进行性升高。从脓毒症到脓毒症- aki, OPG水平的进展与肾脏和内皮功能的恶化平行,表现为血清e -选择素(15.3%)、内皮素-1 (ET-1)(19.6%)、一氧化氮(NO)(29.7%)水平的逐渐升高,与TNF-α(25.5%)和TGF-β(18%)升高相关。使用ROC分析评估他们脓毒症- aki的比较预后有效性,结果显示OPG、KIM-1和胱抑素C的auc相似(0.827-0.83),但敏感性不同,分别为84%、88%和92%。虽然胱抑素的特异性为82%,但OPG的特异性更高,与KIM-1相似,为85%,这表明OPG可能像KIM-1一样具有肾脏损伤标志物的功能。该研究显示,在不同严重程度的脓毒症患者和进展为AKI的患者中,循环OPG显著升高。此外,OPG与KIM-1和胱抑素以及传统的肾脏、炎症和内皮标志物有显著相关性。ROC分析证明,OPG与KIM-1具有相似的特异性,有可能作为脓毒症- aki病例中肾脏损害的可靠生物标志物。
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引用次数: 10
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European cytokine network
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