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TRIM28 suppresses cancer stem-like characteristics in gastric cancer cells through Wnt/β-catenin signaling pathways. TRIM28通过Wnt/β-catenin信号通路抑制胃癌细胞的癌干样特征。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-12-01 Epub Date: 2023-12-06 DOI: 10.1177/15353702231211970
Tingting Ning, Mengran Zhao, Nan Zhang, Zhaoqing Wang, Shutian Zhang, Mo Liu, Shengtao Zhu

The influences of TRIM28 on the gastric tumorigenesis together with potential molecular mechanisms remain to be studied. We aimed at exploring the important effects of TRIM28 on gastric cancer (GC) and uncovering underling molecular mechanisms. Through immunohistochemistry analysis of 20 pairs of GC and the peritumoral tissues, the expression level of TRIM28 was determined. A variety of assays were applied to explore the important roles of TRIM28 in GC. Western blotting and qRT-PCR analyses were used to analyze the association between TRIM28 and the Wnt/β-catenin signaling pathway. TRIM28 was highly expressed in GC tissues than peritumoral tissues. And high expression level of TRIM28 in GC was associated with good prognostic effects. In vitro functional assays suggested TRIM28 knockdown enhanced the proliferation and clone formation of GC cell. Moreover, TRIM28 knockdown enhanced the expression level of stemness markers, strengthened sphere-forming and drug-resistance properties of GC cells, suggesting important effect on GC cell stemness. Besides, our analysis showed that the Wnt/β-catenin signaling was involved in the effect of TRIM28 on GC cell stemness property, and blocking Wnt/β-catenin signaling pathway obviously rescued the promotion influence of TRIM28 knockdown. Overall, TRIM28 has an important influence on regulating the stem-like property of GC cell via Wnt/β-catenin signaling, suggesting TRIM28 a promising drug target and a potential predictor of prognosis.

TRIM28对胃肿瘤发生的影响及其可能的分子机制有待进一步研究。我们旨在探索TRIM28在胃癌(GC)中的重要作用并揭示其潜在的分子机制。通过免疫组化分析20对胃癌及瘤周组织,测定TRIM28的表达水平。我们采用了多种检测方法来探讨TRIM28在GC中的重要作用。采用Western blotting和qRT-PCR分析TRIM28与Wnt/β-catenin信号通路的关系。TRIM28在胃癌组织中的表达高于瘤周组织。TRIM28在胃癌中的高表达与良好的预后效果相关。体外功能实验表明,敲除TRIM28可促进GC细胞的增殖和克隆形成。此外,敲低TRIM28可提高GC细胞干性标志物的表达水平,增强GC细胞的成球性和耐药特性,提示对GC细胞干性有重要影响。此外,我们的分析表明,Wnt/β-catenin信号通路参与了TRIM28对GC细胞干性的影响,阻断Wnt/β-catenin信号通路明显挽救了TRIM28敲低的促进作用。综上所述,TRIM28通过Wnt/β-catenin信号通路调节GC细胞的茎样特性具有重要影响,提示TRIM28是一个有前景的药物靶点和潜在的预后预测因子。
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引用次数: 0
Retraction Notice. 撤稿通知。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-12-01 Epub Date: 2023-01-11 DOI: 10.1177/15353702221144939
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引用次数: 0
EXPRESSION OF CONCERN: Chondroitin-4-Sulphate Reduced Oxidative Injury in Caerulein-Induced Pancreatitis in Mice: The Involvement of NF-κB Translocation and Apoptosis Activation. 关注表达:4-硫酸软骨素减少小蛋白诱导的小鼠胰腺炎的氧化损伤:NF-κB易位和细胞凋亡激活的参与。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-12-01 Epub Date: 2023-11-27 DOI: 10.1177/15353702231217604
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引用次数: 0
TGFβ1 induces CXCL1 to promote stemness features in lung cancer. TGFβ1诱导CXCL1促进肺癌的干性特征
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-12-01 Epub Date: 2023-12-30 DOI: 10.1177/15353702231220662
Ta-Jung Peng, Yi-Ching Wu, Shye-Jye Tang, Guang-Huan Sun, Kuang-Hui Sun

Chemokines critically orchestrate the tumorigenesis, metastasis, and stemness features of cancer cells that lead to poor outcomes. High plasma levels of transforming growth factor-β1 (TGFβ1) correlate with poor prognostic features in advanced lung cancer patients, thus suggesting the importance of TGFβ1 in the lung tumor microenvironment. However, the role of chemokines in TGFβ1-induced tumor stemness features remains unclear. Here, we clarify the previously undocumented role of CXCL1 in TGFβ1-induced lung cancer stemness features. CXCL1 and its receptor CXCR2 were significantly upregulated in TGFβ1-induced lung cancer stem cells (CSCs). CXCL1 silencing (shCXCL1) suppressed stemness gene expression, tumorsphere formation, colony formation, drug resistance, and in vivo tumorigenicity in TGFβ1-induced lung tumorspheres. Immunohistochemistry staining showed that patients with stage II/III lung cancer had higher expression levels of CXCL1. The levels of CXCL1 were positively associated with lymph node metastasis and correlated with the expression of the CSC transcription factor Oct-4. Furthermore, online database analysis revealed that CXCL1 expression was negatively correlated with lung cancer survival in patients. Patients with high TGFβ1/CXCL1/CD44 co-expression had a worse survival rate. We suggest that CXCL1 serves as a crucial factor in TGFβ1-induced stemness features of lung cancer.

趋化因子对癌细胞的肿瘤发生、转移和干性特征起着至关重要的协调作用,从而导致不良预后。高水平的血浆转化生长因子-β1(TGFβ1)与晚期肺癌患者的不良预后特征相关,从而表明 TGFβ1 在肺部肿瘤微环境中的重要性。然而,趋化因子在TGFβ1诱导的肿瘤干性特征中的作用仍不清楚。在这里,我们阐明了之前未被证实的CXCL1在TGFβ1诱导的肺癌干性特征中的作用。CXCL1及其受体CXCR2在TGFβ1诱导的肺癌干细胞(CSCs)中显著上调。沉默CXCL1(shCXCL1)可抑制TGFβ1诱导的肺癌瘤球的干性基因表达、瘤球形成、集落形成、耐药性和体内致瘤性。免疫组化染色显示,II/III期肺癌患者的CXCL1表达水平较高。CXCL1的水平与淋巴结转移呈正相关,并与CSC转录因子Oct-4的表达相关。此外,在线数据库分析显示,CXCL1的表达与肺癌患者的生存率呈负相关。TGFβ1/CXCL1/CD44共表达较高的患者生存率较低。我们认为,CXCL1是TGFβ1诱导肺癌干性特征的关键因素。
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引用次数: 0
Rhubarb extract rebuilding the mucus homeostasis and regulating mucin-associated flora to relieve constipation. 大黄提取物能重建粘液平衡,调节粘液相关菌群,缓解便秘。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-12-01 Epub Date: 2023-12-11 DOI: 10.1177/15353702231211859
Han Gao, Chengwei He, Shuzi Xin, Rongxuan Hua, Yixuan Du, Boya Wang, Fengrong Gong, Xinyi Yu, Luming Pan, Chen Liang, Lei Gao, Hongwei Shang, Jing-Dong Xu

In clinical trials, rhubarb extract (Rb) was demonstrated to efficiently alleviate constipation. We would like to find out the underlying mechanism of rhubarb relieving constipation. However, there are few studies on the effects of rhubarb on colonic mucus secretion and constipation. The aim of this study was to investigate the effects of rhubarb on colonic mucus secretion and its underlying mechanism. The mice were randomly divided into four groups. Group I was the control group and Group II was the rhubarb control group, with Rb (24 g/kg body weight [b.w.]) administered through intragastric administration for three days. Group III mice were given diphenoxylate (20 mg/kg b.w.) for five days via gavage to induce constipation. Group IV received diphenoxylate lasting five days before undergoing Rb administration for three days. The condition of the colon was evaluated using an endoscope. Particularly, the diameter of blood vessels in the colonic mucosa expanded considerably in constipation mice along with diminishing mucus output, which was in line with the observation via scanning electron microscope (SEM) and transmission electron microscope (TEM). We also performed metagenomic analysis to reveal the microbiome related to mucin gene expression level referring to mucin secretion. In conclusion, Rb relieves constipation by rebuilding mucus homeostasis and regulating the microbiome.

临床试验证明,大黄提取物(Rb)可有效缓解便秘。我们希望找出大黄缓解便秘的内在机制。然而,有关大黄对结肠粘液分泌和便秘影响的研究却很少。本研究旨在探讨大黄对结肠粘液分泌的影响及其内在机制。小鼠被随机分为四组。I 组为对照组,II 组为大黄对照组,大黄(每千克体重 24 克[b.w.])经胃内给药,连续三天。第 III 组小鼠通过灌胃给予苯螨酯(20 毫克/千克体重)五天,以诱发便秘。第四组小鼠在接受为期三天的 Rb 给药前,先接受为期五天的苯氧乙酸盐治疗。使用内窥镜对结肠状况进行评估。特别是,便秘小鼠结肠粘膜血管直径明显扩大,粘液分泌减少,这与扫描电子显微镜(SEM)和透射电子显微镜(TEM)的观察结果一致。我们还进行了元基因组分析,以揭示与粘蛋白基因表达水平相关的微生物组,从而了解粘蛋白的分泌情况。总之,Rb 可通过重建粘液平衡和调节微生物组来缓解便秘。
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引用次数: 0
Data-driven approach to quantify trust in medical devices using Bayesian networks. 利用贝叶斯网络量化医疗设备信任度的数据驱动方法。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-12-01 Epub Date: 2024-01-27 DOI: 10.1177/15353702231215893
Mini Thomas, Omar Boursalie, Reza Samavi, Thomas E Doyle

Bayesian networks are increasingly used to quantify the uncertainty of subjective and stochastic concepts such as trust. In this article, we propose a data-driven approach to estimate Bayesian parameters in the domain of wearable medical devices. Our approach extracts the probability of a trust factor being in a specific state directly from the devices (e.g. sensor quality). The strength of the relationship between related factors is defined by expert knowledge and incorporated into the model. We use propagation rules from requirements engineering to estimate how much each trust factor contributes to the related intermediate nodes in the network and ultimately compute the trust score. The trust score is a relative measure of trustworthiness when different devices are evaluated in the same test conditions and using the same Bayesian structure. To evaluate our approach, we developed Bayesian networks for the trust quantification of similar wearable devices from two manufacturers under identical test conditions and noise levels. The results demonstrated the learnability and generalizability of our approach.

贝叶斯网络越来越多地被用于量化信任等主观和随机概念的不确定性。在本文中,我们提出了一种在可穿戴医疗设备领域估算贝叶斯参数的数据驱动方法。我们的方法直接从设备(如传感器质量)中提取信任因素处于特定状态的概率。相关因素之间的关系强度由专家知识定义,并纳入模型中。我们利用需求工程学中的传播规则来估算每个信任因素对网络中相关中间节点的贡献程度,并最终计算出信任分值。在相同的测试条件下,使用相同的贝叶斯结构对不同的设备进行评估时,信任分值是可信度的相对衡量标准。为了评估我们的方法,我们开发了贝叶斯网络,用于在相同的测试条件和噪声水平下对两家制造商生产的类似可穿戴设备进行信任量化。结果表明,我们的方法具有可学习性和通用性。
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引用次数: 0
Creative and generative artificial intelligence for personalized medicine and healthcare: Hype, reality, or hyperreality? 用于个性化医疗和保健的创造性和生成性人工智能:炒作、现实还是超现实?
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-12-01 Epub Date: 2024-02-04 DOI: 10.1177/15353702241226801
Arash Shaban-Nejad, Martin Michalowski, Simone Bianco
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引用次数: 0
IP3R-1 aggravates endotoxin-induced acute lung injury in mice by regulating MAM formation and mitochondrial function. IP3R-1 通过调节 MAM 的形成和线粒体功能加重内毒素诱导的小鼠急性肺损伤。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-12-01 Epub Date: 2023-12-30 DOI: 10.1177/15353702231220667
Shuan Dong, Ya Wu, Yuan Zhang, Shaona Li, Qin Zhao, Shasha Liu, Yan Guo, Xiangyun Li, Kai Song, Lili Wu, Lina Wu, Jia Shi, Lirong Gong, Jianbo Yu

Acute lung injury (ALI) caused by endotoxin represents one of the common clinical emergencies. Mitochondria-associated endoplasmic reticulum membranes (MAM) serve as a critical link between mitochondria and endoplasmic reticulum (ER), which has an essential effect on maintaining intracellular homeostasis. As an important component of MAM, type-1 inositol-1,4,5-trisphosphate receptor (IP3R-1) mediates the ER-to-mitochondrial transport of Ca2+. This study explored the role of IP3R-1 and MAM in ALI. Besides the levels of inflammasome-associated components interleukin (IL)-6, tumor necrosis factor (TNF)-α, and malonyldialdehyde (MDA) were increased in both bronchoalveolar lavage fluid (BALF) and serum, increased cross-sectional area of mitochondria, elevated MAM formation, and decreased respiratory control ratio (RCR) were observed within lung tissues collected in lipopolysaccharide (LPS)-treated mice, accompanied by upregulation of IP3R-1 in total lung lysates and MAM. Ca2+ uptake level in the mitochondria, production of reactive oxygen species (ROS) in the mitochondria, and the formation of MAM were elevated within LPS-treated MLE-12 cells, and all those changes in response to LPS were partly inhibited by knocking down of IP3R-1 expression in MLE-12 cells. Collectively, IP3R-1 has a critical effect on MAM formation and mitochondrial dysfunction, which could be innovative therapeutic targets for ALI caused by endotoxin.

由内毒素引起的急性肺损伤(ALI)是常见的临床急症之一。线粒体相关内质网膜(MAM)是连接线粒体和内质网(ER)的重要纽带,对维持细胞内稳态起着至关重要的作用。作为 MAM 的重要组成部分,1 型肌醇-1,4,5-三磷酸受体(IP3R-1)介导 ER 到线粒体的 Ca2+ 转运。本研究探讨了 IP3R-1 和 MAM 在 ALI 中的作用。除了白细胞介素(IL)-6、肿瘤坏死因子(TNF)-α和丙二醛(MDA)等炎症组相关成分在支气管肺泡灌洗液(BALF)和血清中的水平升高外,线粒体的横截面积也增加了、在脂多糖(LPS)处理的小鼠肺组织中观察到线粒体横截面积增大、MAM 形成增加和呼吸控制比(RCR)降低,同时总肺裂解液和 MAM 中的 IP3R-1 上调。在经 LPS 处理的 MLE-12 细胞中,线粒体中 Ca2+ 摄取水平、线粒体中活性氧(ROS)的产生和 MAM 的形成均升高,而在 MLE-12 细胞中敲除 IP3R-1 的表达可部分抑制所有这些对 LPS 的反应变化。综上所述,IP3R-1对MAM的形成和线粒体功能障碍有关键作用,可作为内毒素引起的ALI的创新治疗靶点。
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引用次数: 0
Green synthesized silver nanoparticles for the treatment of diabetes and the related complications of hyperlipidemia and oxidative stress in diabetic rats. 绿色合成银纳米粒子用于治疗糖尿病以及糖尿病大鼠的高脂血症和氧化应激等相关并发症。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-12-01 Epub Date: 2024-01-11 DOI: 10.1177/15353702231214258
Yousra G El-Baz, Amr Moustafa, Mohamed A Ali, Gaber E El-Desoky, Saikh M Wabaidur, Amjad Iqbal

This study was conducted to compare the impact of cinnamon silver nanoparticles (C-Ag-NPs) and cinnamon aqueous extract (CAE) on the total body weight (TBW), body weight gain (BWG), blood count (BC), fasting blood glucose (FBG), triglycerides (TGs), total cholesterol (TC), low-density (LDL-C) and high-density (HDL-C) lipoprotein cholesterol, liver function enzymes, superoxide dismutase (SOD), catalase (CAT), and glutathione peroxidase (GPx) of normal and streptozotocin (STZ) diabetic rats. The CAE was administered to rats at different doses (50.0 and 100.0 mg/kg bw), whereas the C-Ag-NPs were ingested at doses of 25.0 and 50.0 mg/kg bw for 30 days. At the end of the experiment, the administration of high or low dosages of CAE or C-Ag-NPs to diabetic rats significantly reduced the FBG, TC, TG, and LDL-C and significantly increased the HDL-C compared with the diabetic control rats. The highest dose (50.0 mg/kg bw) of the C-Ag-NPs was the most efficient at significantly reducing (P < 0.05) the levels of all the analyzed parameters compared with the CAE. However, the treated and normal rats did not show any hypoglycemic activity after ingesting the CAE or C-Ag-NPs. Such effects were associated with considerable increases in their BWG. The diabetic rats that ingested the CAE or C-Ag-NPs showed a gradual decrease in their FBG, TC, LDL, and TG levels, but they were still higher than those in the normal rats. Furthermore, the C-Ag-NPs and CAE considerably enhanced the hepatic (GPT, GOT, ALP, and GGT) and antioxidant biomarker enzyme activities (SOD, CAT, and GPx) in diabetic rats. Relative to the untreated diabetic control, the C-Ag-NPs were more effective than the CAE in the diabetic rats. The C-Ag-NPs exhibited a protective role against hyperglycemia and hyperlipidemia in the diabetic rats and modulated their liver function enzyme biomarkers and antioxidant enzyme activities more than the CAE.

本研究比较了肉桂银纳米颗粒(C-Ag-NPs)和肉桂水提取物(CAE)对总重量(TBW)、体重增加(BWG)、血细胞计数(BC)、空腹血糖(FBG)、甘油三酯(TGs)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)、肝功能酶、超氧化物歧化酶(SOD)、肝脏功能酶、肝脏酶、肝脏酶和肝脏酶的影响、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)、肝功能酶、超氧化物歧化酶(SOD)、过氧化氢酶(CAT)和谷胱甘肽过氧化物酶(GPx)。大鼠摄入不同剂量的 CAE(50.0 和 100.0 毫克/千克体重),而摄入 C-Ag-NPs 的剂量分别为 25.0 和 50.0 毫克/千克体重,持续 30 天。实验结束时,与糖尿病对照组相比,糖尿病大鼠摄入高剂量或低剂量 CAE 或 C-Ag-NPs 后,FBG、TC、TG 和 LDL-C 显著降低,HDL-C 显著升高。与 CAE 相比,最高剂量(50.0 毫克/千克体重)的 C-Ag-NPs 能最有效地显著降低(P < 0.05)所有分析参数的水平。然而,经处理的大鼠和正常大鼠在摄入 CAE 或 C-Ag-NPs 后并没有表现出任何降血糖活性。这种效果与大鼠体重总和的显著增加有关。摄入 CAE 或 C-Ag-NPs 的糖尿病大鼠的 FBG、TC、LDL 和 TG 水平逐渐下降,但仍高于正常大鼠。此外,C-Ag-NPs 和 CAE 还显著提高了糖尿病大鼠肝脏(GPT、GOT、ALP 和 GGT)和抗氧化生物标志物酶活性(SOD、CAT 和 GPx)。与未经处理的糖尿病对照组相比,C-Ag-NPs 比 CAE 对糖尿病大鼠更有效。与 CAE 相比,C-Ag-NPs 对糖尿病大鼠的高血糖和高脂血症具有保护作用,并能调节其肝功能酶生物标志物和抗氧化酶活性。
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引用次数: 0
Dapagliflozin-entresto protected kidney from renal hypertension via downregulating cell-stress signaling and upregulating SIRT1/PGC-1α/Mfn2-medicated mitochondrial homeostasis. Dapagliflozin-entresto通过下调细胞应激信号和上调SIRT1/PGC-1α/ mfn2介导的线粒体稳态来保护肾脏免受肾性高血压的影响。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-12-01 Epub Date: 2023-12-07 DOI: 10.1177/15353702231198087
Sheung-Fat Ko, Chih-Chao Yang, Pei-Hsun Sung, Ben-Chung Cheng, Pei-Lin Shao, Yi-Ling Chen, Hon-Kan Yip

This study tested whether combined dapagliflozin and entresto would be superior to mere one therapy on protecting the residual renal function and integrity of kidney parenchyma in hypertensive kidney disease (HKD) rat. In vitro results showed that the protein expressions of oxidative-stress/mitochondrial-damaged (NOX-1/NOX-2/oxidized-protein/cytosolic-cytochrome-C)/apoptotic (mitochondrial-Bax/cleaved caspeases 3, 9)/cell-stress (p-ERK/p-JNK/p-p38) biomarkers were significantly increased in H2O2-treated NRK-52E cells than those of controls that were reversed by dapagliflozin or entresto treatment. Adult-male SD rats (n = 50) were equally categorized into group 1 (sham-operated-control), group 2 (HKD by 5/6 nephrectomy + DOCA-salt/25 mg/kg/subcutaneous injection/twice weekly), group 3 (HKD + dapagliflozin/orally, 20 mg/kg/day for 4 weeks since day 7 after HKD induction), group 4 (HKD + entresto/orally, 100 mg/kg/day for 4 weeks since day 7 after HKD induction), and group 5 (HKD + dapagliflozin + entresto/the procedure and treatment strategy were identical to groups 2/3/4). By day 35, circulatory levels of blood-urine-nitrogen (BUN)/creatinine and urine protein/creatinine ratio were lowest in group 1, highest in group 2, and significantly lower in group 5 than in groups 3/4, but no difference between groups 3/4. Histopathological findings showed the kidney injury score/fibrotic area/cellular expressions of oxidative-stress/kidney-injury-molecule (8-OHdG+/KIM-1+) exhibited an identical trend, whereas the cellular expressions of podocyte components (synaptopodin/ZO-1/E-cadherin) exhibited an opposite pattern of BUN level among the groups. The protein expressions of oxidative stress/mitochondrial-damaged (NOX-1/NOX-2/oxidized protein/cytosolic-cytochrome-C/cyclophilin-D)/apoptotic (mitochondrial-Bax/cleaved-caspase 3)/mitochondrial-fission (PINK1/Parkin/p-DRP1)/autophagic (LC3BII/LC3BI ratio, Atg5/beclin-1)/MAPK-family (p-ERK/p-JNK/p-p38) biomarkers displayed a similar pattern, whereas the protein expression of mitochondria-biogenesis signaling (SIRT1/PGC-1α-Mfn2/complex I-V) displayed an opposite pattern of BUN among the groups. In conclusion, combined dapagliflozin-entresto therapy offered additional benefits on protecting the residual kidney function and architectural integrity in HKD rat.

在高血压肾病(HKD)大鼠的残肾功能和肾实质完整性的保护方面,研究了达格列净联合恩可舒是否优于单药治疗。体外实验结果显示,h2o2处理的NRK-52E细胞中氧化应激/线粒体损伤(NOX-1/NOX-2/氧化蛋白/细胞质-细胞色素-c)/凋亡(线粒体- bax /cleaved caspeases 3,9)/细胞应激(p-ERK/p-JNK/p-p38)生物标志物的蛋白表达明显高于经达格列净或enterresto处理逆转的对照组。成年雄性SD大鼠(n = 50)也同样分为组1 (sham-operated-control),组2(港币5/6肾切除术+ DOCA-salt / 25毫克/公斤/皮下注射/每周两次),组3(港币+ dapagliflozin /口头,20毫克/公斤/天4周后第七天港币感应),组4(港币+ entresto /口服100毫克/公斤/天4周后第七天港币感应),和组5(港币+ dapagliflozin + entresto /过程和治疗策略组2/3/4)完全相同。第35 d,血尿氮(BUN)/肌酐和尿蛋白/肌酐比值以1组最低,2组最高,5组显著低于3/4组,3/4组间无显著差异。组织病理学结果显示,各组肾损伤评分/纤维化面积/氧化应激/肾损伤分子(8-OHdG+/KIM-1+)的细胞表达呈现相同的趋势,而足细胞成分(synaptopodin/ZO-1/E-cadherin)的细胞表达呈现相反的模式。氧化应激的蛋白质表达/ mitochondrial-damaged (NOX-1 / NOX-2 /氧化蛋白质/ cytosolic-cytochrome-C / cyclophilin-D) /凋亡(mitochondrial-Bax / cleaved-caspase 3) / mitochondrial-fission (PINK1 /帕金/ p-DRP1) /自噬(LC3BII / LC3BI比率,Atg5 / beclin-1) / MAPK-family (p-ERK / p-JNK / p-p38)生物标志物显示类似的模式,而mitochondria-biogenesis信号的蛋白表达(SIRT1 / PGC-1α进行mfn2 /复杂的电流-电压)显示一个相反的模式之间的包组。综上所述,达格列净-肠肽联合治疗在保护HKD大鼠的剩余肾功能和结构完整性方面具有额外的益处。
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