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Risk factor analysis and nomogram development for predicting 28-day mortality in elderly ICU patients with sepsis and type 2 diabetes mellitus 预测患有脓毒症和 2 型糖尿病的重症监护室老年患者 28 天死亡率的风险因素分析和提名图开发
IF 0.7 4区 医学 Pub Date : 2024-09-10 DOI: 10.1177/1721727x241282483
Haopeng Li, Yaru Zu, Qinghua Wang, Tong Zi, Xin Qin, Yan Zhao, Wei Jiang, Xin’an Wang, Chengdang Xu, Xi Chen, Gang Wu
Background: Type 2 diabetes mellitus (T2DM) significantly contributes to sepsis, with patients suffering from both conditions exhibiting greater severity and higher mortality rates compared to those with sepsis alone. Elderly individuals in the intensive care unit (ICU) are particularly prone to these comorbidities. A nomogram prediction model was developed to accurately assess prognosis and guide treatment for elderly patients with sepsis and T2DM. Methods: Data from 1489 patients with sepsis and T2DM in the Medical Information Mart for Intensive Care IV (MIMIC-IV) database were analyzed and categorized into 28-days survival ( n = 1156) and 28-days death groups ( n = 333). The dataset’s clinical characteristics were employed to create a nomogram predicting 28-days mortality in elderly ICU patients with sepsis and T2DM. The least absolute shrinkage and selection operator (LASSO) regression identified candidate predictors, followed by a multivariate logistic regression analysis incorporating variables with p < .05 into the final model. A nomogram was then constructed using these significant risk predictors. The model’s discriminatory power was evaluated through a receiver operating curve (ROC) and the area under the curve (AUC). Additionally, model performance was assessed using a calibration plot and the Hosmer-Lemeshow goodness-of-fit test (HL test), and clinical utility was examined via decision curve analysis (DCA). Results: Risk factors incorporated into the nomogram included age, ICU length of stay, mean blood pressure (MBP), metastatic solid tumor, Sequential Organ Failure Assessment (SOFA) score, Logistic Organ Dysfunction System (LODS) score, blood urea nitrogen (BUN), and vasopressor use. The predictive model demonstrated robust discrimination, with an AUC of 0.802 (95% CI 0.768–0.835) in the training dataset and 0.753 (95% CI 0.697–0.809) in the validation set. Calibration was confirmed with the HL test ( p > .05), and DCA indicated clinical usefulness. Conclusion: This new nomogram serves as a practical tool for predicting 28-days mortality among elderly ICU patients with sepsis and T2DM. Optimizing treatment strategies based on this model could enhance 28-days survival rates for these patients.
背景:2 型糖尿病(T2DM)是败血症的重要诱因,与单纯败血症患者相比,同时患有这两种疾病的患者病情更严重,死亡率更高。重症监护室(ICU)中的老年人尤其容易出现这些合并症。为了准确评估脓毒症合并 T2DM 老年患者的预后并指导治疗,我们开发了一个提名图预测模型。研究方法分析了重症监护医学信息市场IV(MIMIC-IV)数据库中1489名脓毒症合并T2DM患者的数据,并将其分为28天生存组(1156人)和28天死亡组(333人)。利用数据集的临床特征创建了一个预测患有脓毒症和 T2DM 的老年 ICU 患者 28 天死亡率的提名图。最小绝对收缩和选择算子(LASSO)回归确定了候选预测因子,随后进行了多变量逻辑回归分析,将 p < .05 的变量纳入最终模型。然后利用这些重要的风险预测因子构建了一个提名图。通过接收者操作曲线(ROC)和曲线下面积(AUC)对模型的判别能力进行评估。此外,还通过校准图和 Hosmer-Lemeshow 拟合度检验(HL 检验)评估了模型的性能,并通过决策曲线分析(DCA)检验了临床实用性。结果纳入提名图的风险因素包括年龄、重症监护室住院时间、平均血压(MBP)、转移性实体瘤、序贯器官功能衰竭评估(SOFA)评分、逻辑器官功能障碍系统(LODS)评分、血尿素氮(BUN)和血管加压素的使用。该预测模型具有很强的识别能力,训练数据集的AUC为0.802(95% CI 0.768-0.835),验证集的AUC为0.753(95% CI 0.697-0.809)。HL 检验证实了校准结果(p > .05),DCA 显示了临床实用性。结论这一新的提名图是预测患有脓毒症和 T2DM 的 ICU 老年患者 28 天死亡率的实用工具。根据该模型优化治疗策略可提高这些患者的 28 天生存率。
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引用次数: 0
In silico analysis of precursor messenger RNA as a potential biomarker of myasthenia gravis thymoma 前体信使 RNA 作为肌无力胸腺瘤潜在生物标志物的硅学分析
IF 0.7 4区 医学 Pub Date : 2024-08-09 DOI: 10.1177/1721727x241271668
Snežana M Jovičić
The manuscript analyzes potential pre-mRNA biomarkers of Myasthenia gravis (MG) in thymoma in silico. GSE11967 data set and platform5188 from the Gene Expression Omnibus database apply for data preprocessing, normalization, and quality control. Quality metrics indicated high overall data integrity, with no significant outliers or batch effects detected. Differential expression analysis (DEG.) uses the limma package in R. We compared thymoma samples to normal thymus tissue to identify DEGs. The significance criteria are adjusted p-value <0.05 and a |log2 fold change| > 1. Functional enrichment and pathway analysis, ontology analysis, and KEGG pathway analysis further investigate the potential underlying biological processes. Despite the extensive use of gene expression profiling for identifying potential biomarkers and therapeutic targets, this study identifies DEGs ENSG00000112345 and ENSG00000234567 and pathways like hsa04110, hsa03013 and hsa04115 in thymoma with MG compared to normal thymus tissue using the GSE11967 dataset Plots like UMAP, Boxplot, Expression density and Mean variance demonstrate differential expression in disease and control group. The GSE11967 data set shows the presence of significant DEG and pathways in thymoma-associated MG tissue, compared to healthy tissue. A broader and integrative approach is needed to understand the complex expression biomarkers in thymoma in MG patients and other regulatory mechanisms that may contribute to the disease by multi-omic approaches.
手稿对胸腺瘤中潜在的重症肌无力(MG)前mRNA生物标志物进行了硅学分析。GSE11967数据集和Gene Expression Omnibus数据库中的platform5188用于数据预处理、归一化和质量控制。质量指标表明整体数据完整性很高,没有发现明显的异常值或批次效应。我们将胸腺瘤样本与正常胸腺组织进行比较,以确定 DEGs。功能富集和通路分析、本体分析和 KEGG 通路分析进一步研究了潜在的潜在生物学过程。尽管基因表达谱分析被广泛用于鉴定潜在的生物标记物和治疗靶点,但本研究利用 GSE11967 数据集鉴定了 MG 胸腺瘤与正常胸腺组织相比的 DEGs ENSG00000112345 和 ENSG00000234567 以及通路,如 hsa04110、hsa03013 和 hsa04115。GSE11967 数据集显示,与健康组织相比,胸腺肿瘤相关的 MG 组织中存在重要的 DEG 和通路。需要采用更广泛的综合方法来了解 MG 患者胸腺瘤中复杂的表达生物标志物,以及通过多组学方法了解可能导致疾病的其他调控机制。
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引用次数: 0
Evaluation of circulating CD4+CD25+CD127−/low regulatory T cells in newly diagnosed hepatitis C-infected patients 对新诊断的丙型肝炎感染者循环 CD4+CD25+CD127-/ 低调节性 T 细胞的评估
IF 0.7 4区 医学 Pub Date : 2024-06-21 DOI: 10.1177/1721727x241242701
Morvarid Asadipour, Soolmaz Khansalar, Fatemeh Rezaei Kahmini, Mahsa Eshkevar Vakili, Mohammad Reza Ataollahi, Mohammad Ali-Hassanzadeh, Keivan Shams, Zahra Faghih, Kurosh Kalantar
ObjectivesHepatitis C virus (HCV) is one of the most global health problems with 2.5% prevalence worldwide. It seems that regulatory T (Treg) cells, which are able to modulate the host immune responses, play a substantial role in the immunopathogenesis of HCV infection. In this study, we evaluated the distribution of Treg cells in HCV-infected patients and its correlation with viral load and clinical manifestations.MethodsPeripheral blood mononuclear cells (PBMCs) were collected from 14 newly diagnosed HCV-infected patients and 23 age- and sex-matched healthy subjects, and the frequency of CD4+CD25+CD127−/low Treg cells was determined by flow cytometry.ResultsOur results showed that the mean level of CD4+CD25+CD127−/low Treg cells in HCV-infected patients was significantly higher than that in healthy control subjects (8.2 ± 1.48% vs 5.4 ± 0.36%, p < .05). However, there was no statistical correlation between Treg cells frequency and viral load or clinical manifestations.ConclusionA higher proportion of Treg cells in HCV-infected patients might indicate their critical role in viral persistence and candidate them as a new target of immunotherapy to improve antiviral immunity.
目的丙型肝炎病毒(HCV)是最具全球性的健康问题之一,在全球的发病率为 2.5%。调节性 T(Treg)细胞能调节宿主免疫反应,似乎在 HCV 感染的免疫发病机制中发挥着重要作用。方法收集 14 名新确诊的 HCV 感染者和 23 名年龄与性别匹配的健康受试者的外周血单核细胞(PBMC),并通过流式细胞术测定 CD4+CD25+CD127-/ 低 Treg 细胞的频率。结果我们的结果显示,HCV 感染者 CD4+CD25+CD127-/low Treg 细胞的平均水平明显高于健康对照组(8.2 ± 1.48% vs 5.4 ± 0.36%,p < .05)。结论 HCV 感染者中 Treg 细胞的比例较高,这可能表明它们在病毒持续存在中起着关键作用,并可作为免疫疗法的新靶点来提高抗病毒免疫力。
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引用次数: 0
Impact of emphysema on mortality in idiopathic pulmonary fibrosis: A systematic review and meta-analysis 肺气肿对特发性肺纤维化患者死亡率的影响:系统回顾和荟萃分析
IF 0.7 4区 医学 Pub Date : 2024-05-31 DOI: 10.1177/1721727x241258923
Yanhong Wang, Ruyi Zou, Yu Yao, Cheng Tang, Jing Luo, Minjie Lin
BackgroundIdiopathic pulmonary fibrosis (IPF) is a chronic and progressive fibrosing interstitial lung disease. The effects of emphysema on mortality in IPF remains unclear.MethodsMEDLINE, Embase and Cochrane Library databases were searched. Studies were included if they compared mortality in IPF patients with and without emphysema. In included studies, the diagnosis with IPF or IPF combined emphysema was according to the ATS and ERS statements. From eligible studies, we extracted HR and 95% CI, if HRs were not reported, they were extracted based on Kaplan–Meier curves.ResultsA total of 2605 patients across 15 cohort studies were included in the systematic review and meta-analysis. Emphysema was associated with increased risk of all-cause mortality with a pooled HR 1.37 (95% CI, 1.04-1.80) and I 2 = 64%. However, the level of evidence was ‘very low’ according to GRADE criteria. Subgroup analysis according to IPF with emphysema patients revealed that DLCO%pre<40 (HR 1.75 (95% CI, 1.02-3.01) and I 2 = 74%), FVC%pre<80 (HR 1.81 (95% CI, 1.24-2.64) and I 2 = 61%), location on North America and Europe (HR 2.00 (95% CI, 1.09-3.67) and I 2 = 76%), and Smoking Pack-years<40 (HR 1.38 (95% CI, 1.02-1.87) and I 2 = 15%) were risk factors for all-cause mortality. Sensitivity analysis revealed that one study had a disproportional effect on the pooled rate.ConclusionsOur findings suggested emphysema increased the risk of all-cause mortality in patients with IPF. This conclusion should be re-evaluated by a large-scale randomized controlled trial.Trial RegistrationPROSPERO: CRD42022378699; https://www.crd.york.ac.uk/prospero/ .
背景特发性肺纤维化(IPF)是一种慢性进行性纤维化间质性肺病。方法检索了MEDLINE、Embase和Cochrane图书馆数据库。对有肺气肿和无肺气肿的 IPF 患者死亡率进行比较的研究均被纳入。在纳入的研究中,IPF 或 IPF 合并肺气肿的诊断是根据 ATS 和 ERS 声明进行的。我们从符合条件的研究中提取了 HR 和 95% CI,如果没有报告 HR,则根据 Kaplan-Meier 曲线提取 HR。肺气肿与全因死亡风险增加有关,汇总 HR 为 1.37(95% CI,1.04-1.80),I 2 = 64%。然而,根据 GRADE 标准,证据等级为 "极低"。根据伴有肺气肿的 IPF 患者进行的亚组分析显示,DLCO%pre<40(HR 1.75(95% CI,1.02-3.01),I 2 = 74%)、FVC%pre<80(HR 1.81(95% CI,1.24-2.64)和 I 2 = 61%)、位于北美和欧洲(HR 2.00(95% CI,1.09-3.67)和 I 2 = 76%)以及吸烟包年<40(HR 1.38(95% CI,1.02-1.87)和 I 2 = 15%)是全因死亡率的危险因素。我们的研究结果表明,肺气肿会增加 IPF 患者的全因死亡风险。这一结论应通过大规模随机对照试验重新评估。试验注册PROSPERO: CRD42022378699; https://www.crd.york.ac.uk/prospero/ .
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引用次数: 0
Serum magnesium levels in patients with deep neck space abscess: A case-control study 颈深间隙脓肿患者的血清镁水平:病例对照研究
IF 0.7 4区 医学 Pub Date : 2024-05-29 DOI: 10.1177/1721727x241258929
Canser Yilmaz Demir, Nazim Bozan
Objective: Deep neck space abscess (DNSA) is a serious infection associated with immune response. Magnesium has fundamental multifunctions in the body. Its insufficiency is involved in immüne weakness and susceptibility to infectious diseases. The present study addressed serum magnesium status in patients with DNSA. Herein, we hypothesized that patients with DNSA may have decreased serum magnesium concentration.Materials and Methods: In the study, 23 patients with DNSA and 23 matched healthy individuals were included. The atomic absorption spectrometry was used to measure serum magnesium concentration. The groups were compared statistically for demographics and serum magnesium concentration.Results: Patients with DNSA and healthy controls were statistically similar in age ( p = .625), gender ( p = 1.0), and smoking status ( p = 1.0). However, patients with DNSA had significantly decreased serum magnesium concentration (µg/dL) than healthy controls [25.23 ± 4.98 (19.9-42.2) versus 31.98 ± 5.36 (26.8-40.8)], ( p < .001).Conclusion: This study demonstrated that decreased serum magnesium concentration is associated with DNSA. It is the first report on the research topic, and may inspire future studies.
目的:深颈间隙脓肿(DNSA)是一种与免疫反应有关的严重感染。镁在人体内具有多种基本功能。镁不足会导致免疫力低下,易患感染性疾病。本研究探讨了 DNSA 患者的血清镁状况。在此,我们假设 DNSA 患者的血清镁浓度可能会降低:研究纳入了 23 名 DNSA 患者和 23 名匹配的健康人。采用原子吸收光谱法测定血清镁浓度。对各组的人口统计学和血清镁浓度进行统计比较:结果:DNSA 患者和健康对照组在年龄(p = .625)、性别(p = 1.0)和吸烟状况(p = 1.0)方面具有统计学相似性。然而,与健康对照组相比,DNSA 患者的血清镁浓度(µg/dL)明显降低[25.23 ± 4.98 (19.9-42.2) 对 31.98 ± 5.36 (26.8-40.8)],( p < .001):本研究表明,血清镁浓度降低与 DNSA 有关。结论:本研究表明,血清镁浓度的降低与 DNSA 有关,这是该研究课题的首份报告,可能对今后的研究有所启发。
{"title":"Serum magnesium levels in patients with deep neck space abscess: A case-control study","authors":"Canser Yilmaz Demir, Nazim Bozan","doi":"10.1177/1721727x241258929","DOIUrl":"https://doi.org/10.1177/1721727x241258929","url":null,"abstract":"Objective: Deep neck space abscess (DNSA) is a serious infection associated with immune response. Magnesium has fundamental multifunctions in the body. Its insufficiency is involved in immüne weakness and susceptibility to infectious diseases. The present study addressed serum magnesium status in patients with DNSA. Herein, we hypothesized that patients with DNSA may have decreased serum magnesium concentration.Materials and Methods: In the study, 23 patients with DNSA and 23 matched healthy individuals were included. The atomic absorption spectrometry was used to measure serum magnesium concentration. The groups were compared statistically for demographics and serum magnesium concentration.Results: Patients with DNSA and healthy controls were statistically similar in age ( p = .625), gender ( p = 1.0), and smoking status ( p = 1.0). However, patients with DNSA had significantly decreased serum magnesium concentration (µg/dL) than healthy controls [25.23 ± 4.98 (19.9-42.2) versus 31.98 ± 5.36 (26.8-40.8)], ( p &lt; .001).Conclusion: This study demonstrated that decreased serum magnesium concentration is associated with DNSA. It is the first report on the research topic, and may inspire future studies.","PeriodicalId":11913,"journal":{"name":"European Journal of Inflammation","volume":"51 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141190944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Real-life experience of abrocitinib for the treatment of female patients with persistent erythema of rosacea 阿昔替尼治疗女性红斑痤疮持续性红斑患者的实际经验
IF 0.7 4区 医学 Pub Date : 2024-05-27 DOI: 10.1177/1721727x241258794
Yan Teng, Huiting Zhong, Youming Huang, Xiaohua Tao, Yibin Fan, Yong Yu
Rosacea, a common and chronic skin disorder, presents with various cutaneous manifestations. The phenotype of rosacea determines the approach to treatment. Refractory rosacea with persistent erythema invariably necessitates pharmacologic agents. Herein, we report a case series on three female patients with persistent erythema of rosacea treated by abrocitinib, a JAK-1 inhibitor.
红斑痤疮是一种常见的慢性皮肤病,有多种皮肤表现。红斑痤疮的表型决定了治疗方法。顽固性红斑的难治性红斑痤疮必然需要药物治疗。在此,我们报告了三例女性酒渣鼻持续性红斑患者接受 JAK-1 抑制剂阿罗西替尼治疗的系列病例。
{"title":"Real-life experience of abrocitinib for the treatment of female patients with persistent erythema of rosacea","authors":"Yan Teng, Huiting Zhong, Youming Huang, Xiaohua Tao, Yibin Fan, Yong Yu","doi":"10.1177/1721727x241258794","DOIUrl":"https://doi.org/10.1177/1721727x241258794","url":null,"abstract":"Rosacea, a common and chronic skin disorder, presents with various cutaneous manifestations. The phenotype of rosacea determines the approach to treatment. Refractory rosacea with persistent erythema invariably necessitates pharmacologic agents. Herein, we report a case series on three female patients with persistent erythema of rosacea treated by abrocitinib, a JAK-1 inhibitor.","PeriodicalId":11913,"journal":{"name":"European Journal of Inflammation","volume":"45 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141165735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Local injection of a freshly manufactured 35 kDa hyaluronan fragment reduces neuropathic and inflammatory pain: A clinical study 局部注射新鲜生产的 35 kDa 透明质酸片段可减轻神经性和炎症性疼痛:临床研究
IF 0.7 4区 医学 Pub Date : 2024-05-25 DOI: 10.1177/1721727x241258268
FengHe Xu, Dylan Treger, Xinyue Ma, XiaoXiao Jia, Joshua H Shofaro, Taivanbat Ganbaatar, Munkh-Amgalan Gantumur, Jessica Hui, Mizhou Hui, Chao Meng
To investigate the ability of the 35 kDa low-molecular-weight hyaluronan fragment (HA35) to relieve neuropathic and inflammatory pain, including postherpetic neuralgia and shoulder, neck, back and temporomandibular pain. Ten patients with postherpetic neuralgia and 26 patients with shoulder, neck, back or temporomandibular pain were studied and assessed. The 35 kDa hyaluronan fragment (HA35) was prepared by mixing hyaluronidase and 100 mg of high-molecular-weight HA at room temperature for 20 mins. This mixture was locally injected once at the pain point or where the nerve trunk innervated the pain point. Patients scored their pain and comfort on the numerical pain rating scale (NPRS) and the General Comfort Questionnaire (GCQ). After treatment, the NPRS scores and GCQ scores improved. Patients with postherpetic neuralgia and shoulder, neck, back or temporomandibular pain had significantly lower NPRS scores at 30 min to 180 min after injection, especially at 180 min ( p < .001). The GCQ scores after treatment for 24 h was significantly greater than that before treatment ( p < .01). No adverse reactions occurred. The 35 kDa hyaluronan fragment (HA35) effectively relieved postherpetic neuralgia-induced neuropathic pain and shoulder, neck, back and temporomandibular inflammatory pain.Clinical Trial Registration: NCT05809700 at https://www.clinicaltrials.gov .
研究 35 kDa 低分子量透明质酸片段(HA35)缓解神经性和炎症性疼痛(包括带状疱疹后遗神经痛和肩、颈、背及颞下颌疼痛)的能力。研究和评估了 10 名带状疱疹后遗神经痛患者和 26 名肩、颈、背或颞下颌疼痛患者。将透明质酸酶和 100 毫克高分子量 HA 在室温下混合 20 分钟,制备出 35 kDa 透明质酸片段(HA35)。在痛点或神经干支配痛点的地方局部注射一次这种混合物。患者根据疼痛评分量表(NPRS)和一般舒适度问卷(GCQ)对疼痛和舒适度进行评分。治疗后,NPRS 评分和 GCQ 评分均有所改善。带状疱疹后遗神经痛和肩颈、背部或颞下颌关节疼痛患者在注射后 30 分钟至 180 分钟的 NPRS 评分明显降低,尤其是在 180 分钟时(p <.001)。治疗 24 小时后的 GCQ 评分明显高于治疗前(p < .01)。无不良反应发生。35 kDa透明质酸片段(HA35)能有效缓解带状疱疹后遗神经痛引起的神经病理性疼痛以及肩、颈、背和颞下颌炎症性疼痛:临床试验注册:NCT05809700,网址:https://www.clinicaltrials.gov 。
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引用次数: 0
Cellular experimental study and mechanism of surface modification of 3D printed titanium materials to modulate the sealing and antimicrobial properties of oral implants 三维打印钛材料表面改性的细胞实验研究和机理,以调节口腔种植体的密封性和抗菌性
IF 0.7 4区 医学 Pub Date : 2024-05-07 DOI: 10.1177/1721727x241252959
Shuo Huang, Fang Guo, Ning Liu, Kaijin Hu, Changkui Liu
Investigating the role of surface-modified 3D printed titanium implants in modulating oral soft tissue closure and antimicrobial properties. Eighteen 6-month-old healthy adult New Zealand White rabbits were selected as experimental animals, the left and right mandibular teeth of each experimental animal were randomly divided into two groups, and the bilateral first premolar teeth were extracted after general anesthesia, and one implant was implanted into each of the magnesium/zinc ionized surface-treated group (experimental group) and the surface-untreated group (control group), with a total of 36 implants, i.e., 18 implants for the experimental group and 18 implants for the control group. Bilateral mandibular samples from both groups were removed after 2 and 4 weeks of implantation to investigate the attachment and spreading of human gingival fibroblasts (HGFs) on the surface of the samples, their proliferative and migratory behaviors as well as the expression levels of related gene proteins (CoL-1 and TGF-β), and HE staining of the soft tissues of the samples and inflammatory cell counts. After 2 and 4 weeks of implantation, the experimental group’s HGFs adhesion and spreading were significantly better than that of the control group, the migration and proliferation of HGFs were significantly greater than that of the control group ( p < .05), and the expression of CoL-1 and TGF-β genes was significantly higher than that of the control group ( p < .05), and the inflammatory cell count was significantly smaller than that of the control group ( p < .05). Surface modification by magnesium and zinc ions enhances the sealing performance and antimicrobial performance of 3D printed titanium implants in oral soft tissues, with significant effects.
研究表面改性三维打印钛种植体在调节口腔软组织封闭性和抗菌性方面的作用。选取18只6个月大的健康成年新西兰白兔作为实验动物,将每只实验动物的左右下颌牙随机分为两组,全身麻醉后拔除双侧第一前磨牙,在镁锌离子表面处理组(实验组)和表面未处理组(对照组)各植入一颗种植体,共植入36颗种植体,即实验组18颗,对照组18颗。种植 2 周和 4 周后取出两组的双侧下颌骨样本,研究样本表面人牙龈成纤维细胞(HGFs)的附着和扩散情况、增殖和迁移行为以及相关基因蛋白(CoL-1 和 TGF-β)的表达水平,并对样本的软组织进行 HE 染色和炎症细胞计数。植入 2 周和 4 周后,实验组 HGFs 的粘附性和铺展性明显优于对照组,HGFs 的迁移和增殖明显大于对照组(p < .05),CoL-1 和 TGF-β 基因的表达明显高于对照组(p < .05),炎症细胞计数明显少于对照组(p < .05)。镁离子和锌离子的表面改性增强了3D打印钛种植体在口腔软组织中的密封性能和抗菌性能,且效果显著。
{"title":"Cellular experimental study and mechanism of surface modification of 3D printed titanium materials to modulate the sealing and antimicrobial properties of oral implants","authors":"Shuo Huang, Fang Guo, Ning Liu, Kaijin Hu, Changkui Liu","doi":"10.1177/1721727x241252959","DOIUrl":"https://doi.org/10.1177/1721727x241252959","url":null,"abstract":"Investigating the role of surface-modified 3D printed titanium implants in modulating oral soft tissue closure and antimicrobial properties. Eighteen 6-month-old healthy adult New Zealand White rabbits were selected as experimental animals, the left and right mandibular teeth of each experimental animal were randomly divided into two groups, and the bilateral first premolar teeth were extracted after general anesthesia, and one implant was implanted into each of the magnesium/zinc ionized surface-treated group (experimental group) and the surface-untreated group (control group), with a total of 36 implants, i.e., 18 implants for the experimental group and 18 implants for the control group. Bilateral mandibular samples from both groups were removed after 2 and 4 weeks of implantation to investigate the attachment and spreading of human gingival fibroblasts (HGFs) on the surface of the samples, their proliferative and migratory behaviors as well as the expression levels of related gene proteins (CoL-1 and TGF-β), and HE staining of the soft tissues of the samples and inflammatory cell counts. After 2 and 4 weeks of implantation, the experimental group’s HGFs adhesion and spreading were significantly better than that of the control group, the migration and proliferation of HGFs were significantly greater than that of the control group ( p &lt; .05), and the expression of CoL-1 and TGF-β genes was significantly higher than that of the control group ( p &lt; .05), and the inflammatory cell count was significantly smaller than that of the control group ( p &lt; .05). Surface modification by magnesium and zinc ions enhances the sealing performance and antimicrobial performance of 3D printed titanium implants in oral soft tissues, with significant effects.","PeriodicalId":11913,"journal":{"name":"European Journal of Inflammation","volume":"111 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140934541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The study of anti-idiotype antibody and antinuclear antibodies (ANA) in people receiving three doses of the COVID-19 vaccine 对接种三剂 COVID-19 疫苗者的抗原型抗体和抗核抗体 (ANA) 的研究
IF 0.7 4区 医学 Pub Date : 2024-05-06 DOI: 10.1177/1721727x241249434
Hamid Chegni, Hadise Babaii, Fatemeh Pouran
Introduction: The anti-idiotype network was introduced in 1974 by Niels Jerne. One of the factors that reduces the effectiveness of the vaccines is the anti-idiotype network. It should be noted that the Anti-idiotype of the antibody has the ability to bind to the receptors of the body cells to which the antigen of the first antibody binds; this causes pathological complications, especially after a longer period of time. In this study, we aim to be the first to study the presence of Anti-idiotype antibodies and ANA in people who have received three doses of the COVID-19 vaccine and check that at least 4 months have passed since the injection of their third dose.Materials and Methods: This study was conducted on 180 people and measuring amount of Anti-RBD Anti-idiotype, Anti-Nuclear Antibody (IgG antibodies against RNP, sm RNP, smSSB/La, SSA/Ro, scl 70, centromere B, Jo1, and dsDNA antigens) and SARS-COV-Anti IgG RBD in serum by ELISA methods.Results: In the measurement of Anti-RBD Anti-idiotype, it was found that 14 people (7.7%) of the studied subjects had Anti-idiotype antibodies and 166 (92.3%) lacked this antibody. It was found that five of the studied subjects (2.7%) had positive values for ANA (above 50 RU/ML; in 175 people (97.3), the ANA value was negative (less than 50 RU/ML). In the examination of the results related to the measurement of the quantitative amount of SARS-COV-Anti IgG RBD, it was found that all 180 people included in the study (100%) had a detectable titer of Anti-RBD antibody.Conclusion: Many studies have shown an association between autoimmune diseases and SARS-COV-2 and MERS-CoV. Nevertheless, no studies have investigated autoantibodies in people who have injected three doses of the COVID-19 vaccine. further studies are warranted to confirm and find the causes of this difference.
简介抗原型网络由尼尔斯-杰尔纳(Niels Jerne)于 1974 年提出。抗原网络是降低疫苗有效性的因素之一。需要注意的是,抗体的抗原型能够与第一抗体的抗原所结合的体细胞受体结合;这会导致病理并发症,尤其是在较长时间后。在这项研究中,我们的目标是首次研究接种过三针 COVID-19 疫苗的人体内是否存在抗原抗体和 ANA,并检查自注射第三针疫苗后是否至少过了 4 个月:本研究以180人为对象,通过ELISA方法测定血清中抗RBD抗体、抗核抗体(针对RNP、sm RNP、smSSB/La、SSA/Ro、scl 70、中心粒B、Jo1和dsDNA抗原的IgG抗体)和SARS-COV-Anti IgG RBD的含量:在抗 RBD 抗原的测定中,发现 14 人(7.7%)体内有抗 RBD 抗原抗体,166 人(92.3%)体内没有这种抗体。研究发现,5 名研究对象(2.7%)的 ANA 值为阳性(高于 50 RU/ML);175 人(97.3%)的 ANA 值为阴性(低于 50 RU/ML)。在对 SARS-COV-Anti IgG RBD 定量检测结果的检查中发现,研究中的所有 180 人(100%)都检测到了抗 RBD 抗体滴度:结论:许多研究表明,自身免疫性疾病与 SARS-COV-2 和 MERS-CoV 之间存在关联。然而,还没有研究对注射了三剂 COVID-19 疫苗的人的自身抗体进行调查。
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引用次数: 0
An investigation on the use of topical antibiotics for treating eczema and dermatitis in China 关于中国使用外用抗生素治疗湿疹和皮炎的调查
IF 0.7 4区 医学 Pub Date : 2024-04-29 DOI: 10.1177/1721727x241250289
Juan Shao, Xin Wang, Zhongwen Zhang, Linfeng Li
Introduction: Bacterial infection secondary to eczema and dermatitis occurs frequently. However, due to the inconvenience of clinical bacterial culture procedure, clinical diagnosis of bacterial infection following eczema is typically based on the appearance of skin lesions. To date, no surveys on the use of topical antibiotics for treating eczema and dermatitis in China have been carried out. Methods: The present study investigated the factors influencing the use of topical antibiotics to treat eczema and dermatitis in China. Logistic regression model and chi-square test were employed to examine whether topical antibiotics cause contact irritation. Results: It was found that the proportion of patients with eczema and dermatitis who were previously treated with topical antibiotics was 72.40%. The patients’ residence regions (southern vs northern territories, p < .001), hospital levels (secondary-level and below vs third-level hospitals, p = .004), itching degrees (no itching, itching does not require scratching, itching requires scratching, and scratching affects sleep and life quality, p < .001), skin infection status (no obvious infection phenomenon, possible infection, and clear infection, p = .001), and skin lesion infection severity (mild, moderate, and severe, p < .001) all showed statistically significant differences in the univariate analysis of antibiotic ointment treatment factors. The percentage of patients experiencing contact irritation reactions resulting from the use of topical antibiotics was 2.60%. The incidence of exposure to irritation was higher in patients who used more than two types of topical antibiotics compared to patients treated with only one type of topical antibiotic (% vs %, chi-square test, p < .001). Conclusion: The number of individuals who used topical antibiotics for eczema and dermatitis was relatively high in China. The degree of itching, infection possibility, and degree of skin lesion infection were positively correlated with the patients’ previous topical antibiotic treatment.
导言:继发于湿疹和皮炎的细菌感染经常发生。然而,由于临床细菌培养过程不便,湿疹继发细菌感染的临床诊断通常基于皮损的外观。迄今为止,中国尚未开展过外用抗生素治疗湿疹和皮炎的调查。方法:本研究调查了中国使用外用抗生素治疗湿疹和皮炎的影响因素。采用逻辑回归模型和卡方检验来检验外用抗生素是否会引起接触性刺激。结果显示结果发现,曾接受过局部抗生素治疗的湿疹和皮炎患者比例为 72.40%。患者居住地区(南方地区与北方地区,P < .001)、医院级别(二级及以下医院与三级医院,P = .004)、瘙痒程度(无瘙痒、瘙痒无需搔抓、瘙痒需要搔抓、搔抓影响睡眠和生活质量,P < .001)、皮肤感染状况(无明显感染现象、可能感染、明确感染,p = .001)、皮损感染严重程度(轻度、中度、重度,p <.001)在抗生素软膏治疗因素的单变量分析中均显示出显著的统计学差异。因使用局部抗生素而出现接触刺激反应的患者比例为 2.60%。与只使用一种外用抗生素的患者相比,使用两种以上外用抗生素的患者接触刺激反应的发生率更高(% vs %,卡方检验,p <.001)。结论在中国,使用局部抗生素治疗湿疹和皮炎的人数相对较多。瘙痒程度、感染可能性和皮损感染程度与患者之前的局部抗生素治疗呈正相关。
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European Journal of Inflammation
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