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Urinary mitochondrial DNA may be useful in diagnosing early diabetic nephropathy 尿线粒体DNA可能有助于早期糖尿病肾病的诊断
4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-10-24 DOI: 10.3892/etm.2023.12270
Li Xue, Xue Yang, Yuanyuan Song, Can Wang, Junjie Zhou, Hongyan Liang
The present study aimed to determine whether urinary mitochondrial (mt)DNA could be combined as a non‑invasive biomarker with other clinical findings of kidney injury to help diagnose early diabetic nephropathy (DN). A total of 165 patients with type 2 diabetes mellitus (T2DM) were enrolled in the present study and the mtDNA levels in urine were measured using quantitative PCR. The diagnostic value of urinary mtDNA levels in patients with T2DM was compared using estimated glomerular filtration rate (eGFR) or albumin‑to‑creatinine ratio staging. Spearman correlation analysis was used to analyze the correlation between urinary mtDNA and other clinical findings. Correlation factors for early DN were assessed using univariate logistic regression analysis. Urinary leukocyte and glucose levels do not interfere with urinary mtDNA levels. In patients with T2DM, the level of urinary mtDNA increases in the early stages of kidney injury and further increases with the severity of kidney injury. Urinary mtDNA levels in patients with eGFR 60‑90 ml/min/1.73 m2 were higher than that in patients with eGFR >90 ml/min/1.73 m2. The levels of urinary mt89DNA and mt349DNA were negatively correlated with the eGFR level (ρ=‑0.437; P<0.001; ρ=‑0.390; P<0.001) and positively correlated with the level of cystatin C (ρ=0.177; P=0.025; ρ=0.144; P=0.070). Urinary mtDNA is positively correlated with early DN occurrence [odds ratio (OR), 1.330; 95% confidence interval (CI), 1.175‑1.507; P<0.001; OR, 1.328; 95% CI, 1.156‑1.525; P<0.001]. In conclusion, urinary mtDNA combined with other clinical indicators of kidney injury may help the diagnosis of early DN.
本研究旨在确定尿线粒体(mt)DNA是否可以作为一种非侵入性生物标志物与肾损伤的其他临床表现相结合,以帮助诊断早期糖尿病肾病(DN)。本研究共纳入165例2型糖尿病(T2DM)患者,采用定量PCR方法检测尿中mtDNA水平。通过估算肾小球滤过率(eGFR)或白蛋白与肌酐比值分期,比较尿mtDNA水平对T2DM患者的诊断价值。采用Spearman相关分析分析尿mtDNA与其他临床表现的相关性。采用单变量logistic回归分析评估早期DN的相关因素。尿白细胞和葡萄糖水平不干扰尿mtDNA水平。在T2DM患者中,尿mtDNA水平在肾损伤早期升高,并随着肾损伤的严重程度进一步升高。eGFR为60 ~ 90 ml/min/1.73 m2的患者尿mtDNA水平高于eGFR为90 ml/min/1.73 m2的患者。尿mt89DNA和mt349DNA水平与eGFR水平呈负相关(ρ= 0.437;术中,0.001;ρ= - 0.390;P<0.001),并与胱抑素C水平呈正相关(ρ=0.177;P = 0.025;ρ= 0.144;P = 0.070)。尿mtDNA与早期DN的发生呈正相关[比值比(OR), 1.330;95%置信区间(CI), 1.175‑1.507;术中,0.001;或者,1.328;95% ci, 1.156‑1.525;术中,0.001]。综上所述,尿mtDNA结合其他肾损伤临床指标可能有助于早期DN的诊断。
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引用次数: 0
Dapagliflozin can alleviate renal fibrosis in rats with streptozotocin‑induced type 2 diabetes mellitus 达格列净可减轻链脲佐菌素诱导的2型糖尿病大鼠肾纤维化
4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-10-24 DOI: 10.3892/etm.2023.12271
Song Xue, Ying-Xuan Li, Xiao-Xiao Lu, Wei Tang
The aim of the present study was to explore the effects of Dapagliflozin on renal fibrosis in streptozotocin (STZ)‑induced type 2 diabetes mellitus (T2DM) rats, and to determine the underlying mechanism of action. A total of 24 SPF male SD rats were randomly divided into 4 groups: A normal (Control) group, model group (STZ‑induced T2DM rats), Dapagliflozin group (STZ‑induced T2DM rats treated with 1 mg/kg Dapagliflozin), and a metformin group (STZ‑induced T2DM rats treated with 200 mg/kg metformin), with 6 rats per a group. Peripheral blood and renal tissues were collected from these rats, and the renal indices of each group were examined. The fasting blood glucose (FBG), glycosylated hemoglobin (HbA1c), blood urea nitrogen (BUN), and serum creatinine (SCr) of rats were detected. After 24 h, the urine was collected and the urine protein levels were measured. Hematoxylin and eosin staining was used to detect histological changes in the rat kidney; Masson staining was used to observe the degree of fibrosis in rat renal tissues; and western blot was performed to determine the expression levels of α‑smooth muscle actin (SMA), vimentin, E‑cadherin, TGF‑β1, Smad7, and p‑Smad3 in rat renal tissues. Dapagliflozin effectively inhibited the increase in FBG and HbA1c levels in diabetic mice, reduced renal tissue damage, reduced the renal index values, reduced collagen deposition in the glomerulus and interstitial area, and reduced the proliferation of glomerular mesangial cells. In addition, Dapagliflozin significantly lowered the levels of BUN, SCr, and 24‑h urine protein, decreased the protein expression of α‑SMA, vimentin, TGF‑β1, and p‑Smad3, and increased the protein expression levels of E‑cadherin and Smad7. Together, these results showed that Dapagliflozin alleviated renal fibrosis in STZ‑induced T2DM rats, and its mechanism of action may be related to the inhibition of the TGF‑β1/Smad pathway.
本研究旨在探讨达格列净对链脲佐菌素(STZ)诱导的2型糖尿病(T2DM)大鼠肾纤维化的影响,并探讨其作用机制。选取SPF级雄性SD大鼠24只,随机分为4组:正常(对照)组、模型组(STZ诱导型T2DM大鼠)、达格列净组(STZ诱导型T2DM大鼠给予1 mg/kg达格列净)、二甲双胍组(STZ诱导型T2DM大鼠给予200 mg/kg二甲双胍),每组6只。取各组大鼠外周血和肾组织,观察各组肾脏指标。测定大鼠空腹血糖(FBG)、糖化血红蛋白(HbA1c)、尿素氮(BUN)、血清肌酐(SCr)。24 h后采集尿液,测定尿蛋白水平。苏木精、伊红染色检测大鼠肾脏组织变化;马松染色法观察大鼠肾组织纤维化程度;western blot检测大鼠肾组织中α -平滑肌肌动蛋白(SMA)、vimentin、E - cadherin、TGF - β1、Smad7、p - Smad3的表达水平。达格列净有效抑制糖尿病小鼠FBG和HbA1c水平升高,减轻肾组织损伤,降低肾指数,减少肾小球和间质区胶原沉积,降低肾小球系膜细胞增殖。此外,达格列净显著降低BUN、SCr、24 h尿蛋白水平,降低α - SMA、vimentin、TGF - β1、p - Smad3蛋白表达,升高E - cadherin、Smad7蛋白表达水平。综上所述,达格列净可减轻STZ诱导的T2DM大鼠肾纤维化,其作用机制可能与抑制TGF - β1/Smad通路有关。
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引用次数: 0
Natural product procyanidin B1 as an antitumor drug for effective therapy of colon cancer. 天然产物原花青素B1是一种有效治疗结肠癌的抗肿瘤药物。
IF 2.7 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-14 eCollection Date: 2023-11-01 DOI: 10.3892/etm.2023.12205
Yongdong Lei, Xiaorong Deng, Zhenghong Zhang, Jiluan Chen

Traditional chemotherapy drugs have definite antitumor mechanisms and good therapeutic efficacy; however, their poor water solubility, serious side effects and drug resistance limit their clinical application. To the best of our knowledge, the present study reported for the first time the in vivo and in vitro anticancer effects of procyanidin B1 (PCB1), a compound that is isolated from natural sources such as grape seeds, apples, peanut skin and cranberries. Cell Counting Kit-8 assay showed that PCB1 effectively decreased the number of viable HCT-116 cells compared with cells treated with the small molecule cytotoxic drug doxorubicin. Quantitative PCR and apoptosis analysis, Cell cycle analysis, and WB analysis) of the molecular mechanism showed that PCB1 induced cell apoptosis and cell cycle arrest in S phase by increasing expression of pro-apoptosis protein caspase-3 and BAX and decreasing expression of anti-apoptosis protein Bcl-2. The efficient antitumor activity of PCB1 was demonstrated through in vivo experiments on a xenograft mouse model, demonstrating that PCB1 significantly suppressed tumor growth. The present study suggested that PCB1 represents a novel class of plant-based compounds isolated from natural sources that can be applied as an anticancer drug.

传统化疗药物具有明确的抗肿瘤机制和良好的治疗效果;然而,它们的水溶性差、副作用严重和耐药性限制了其临床应用。据我们所知,本研究首次报道了原花青素B1(PCB1)的体内外抗癌作用,PCB1是一种从葡萄籽、苹果、花生皮和蔓越莓等天然来源中分离出来的化合物。细胞计数试剂盒-8测定显示,与用小分子细胞毒性药物阿霉素处理的细胞相比,PCB1有效地减少了存活的HCT-116细胞的数量。定量PCR和凋亡分析、细胞周期分析和WB分析)的分子机制表明,PCB1通过增加促凋亡蛋白胱天蛋白酶-3和BAX的表达,降低抗凋亡蛋白Bcl-2的表达,诱导细胞凋亡和细胞周期停滞在S期。通过在异种移植物小鼠模型上的体内实验证明了PCB1的有效抗肿瘤活性,表明PCB1显著抑制肿瘤生长。本研究表明,PCB1代表了一类从天然来源分离的新型植物性化合物,可作为抗癌药物应用。
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引用次数: 1
Salidroside inhibits renal ischemia/reperfusion injury‑induced ferroptosis by the PI3K/AKT signaling pathway. 红景天苷通过PI3K/AKT信号通路抑制肾缺血/再灌注损伤诱导的脱铁性贫血。
IF 2.7 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-14 eCollection Date: 2023-11-01 DOI: 10.3892/etm.2023.12206
Zhe Tang, Yong Wang, Yan Liu, Chenglong Li

Renal ischemia/reperfusion injury (RIRI) represents the principal factor underlying acute kidney injury (AKI), which primarily stems from cellular injuries and ferroptosis caused by reactive oxygen species (ROS). Salidroside (SA), an antioxidant natural ester, has been attributed with the potential to protect against RIRI. In the present study, rats received daily SA doses (1, 10, or 100 mg/kg) by gavage for 7 consecutive days before surgery. The results revealed aggravated renal injury in the RIRI group, which was effectively prevented by SA pretreatment (10 and 100 mg/kg), with the 1 mg/kg dosage demonstrating lesser efficacy. Additionally, the results indicated that SA pretreatment mitigated the RIRI-related upregulation of antioxidative superoxide dismutase. In vitro studies corroborated SA's ability to maintain hypoxia/reoxygenation-treated NRK cell viability, with the protective effect being observed at SA concentrations ≥1 µM and peaking at 100 µM. Furthermore, the results showed that SA safeguarded renal tubular epithelial cells from oxidative damage, reduced ROS accumulation, and inhibited ferroptosis via activation of the PI3K/AKT signaling pathway. Therefore, the results of the present study highlight the promising therapeutic potential of SA as an effective intervention for RIRI via targeting of PI3K/AKT signaling pathway-mediated anti-oxidative and anti-ferroptotic mechanisms.

肾缺血/再灌注损伤(RIRI)是导致急性肾损伤(AKI)的主要因素,主要源于活性氧(ROS)引起的细胞损伤和脱铁性贫血。红景天苷(SA)是一种抗氧化的天然酯,具有抗RIRI的潜力。在本研究中,大鼠在手术前连续7天通过灌胃接受SA每日剂量(1、10或100 mg/kg)。结果显示,RIRI组肾损伤加重,SA预处理(10和100 mg/kg)可有效预防肾损伤,1 mg/kg剂量的疗效较差。此外,结果表明SA预处理减轻了RIRI相关的抗氧化超氧化物歧化酶的上调。体外研究证实了SA维持缺氧/复氧处理的NRK细胞活力的能力,在SA浓度≥1µM时观察到保护作用,在100µM时达到峰值。此外,研究结果表明,SA通过激活PI3K/AKT信号通路,保护肾小管上皮细胞免受氧化损伤,减少ROS积累,并抑制脱铁性贫血。因此,本研究的结果强调了SA通过靶向PI3K/AKT信号通路介导的抗氧化和抗脱铁机制,作为RIRI的有效干预,具有很好的治疗潜力。
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引用次数: 0
Anthracycline‑induced delayed‑onset cardiac toxicity: A case report and literature review. 蒽环素诱导的迟发性心脏毒性:一例病例报告和文献综述。
IF 2.7 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-13 eCollection Date: 2023-11-01 DOI: 10.3892/etm.2023.12204
Mowei Kong, Qiongxiang Pan, Xunmin Cheng, Jun Li, Yu Gao, Xue Tian

Anthracyclic (ANT) drugs are widely used for patients with malignant tumors and can markedly prolong the disease-free survival rate of patients. As its clinical application becomes more common, information regarding serious cardiotoxicity as a result of ANT treatment is becoming understood. However, to the best of our knowledge, delayed-onset cardiotoxicity due to ANT use has not been studied sufficiently. The present report describes a 36-year-old male patient who presented to Guiqian International General Hospital (Guiyang, China) with a complaint of dyspnea in the last 10 days. Substantially elevated B-type natriuretic peptide levels and echocardiography showing enlargement of the entire heart, of the patient suggested that severe heart failure was the cause of his symptoms. However, the cause of this potential heart failure was not apparent until the patient was questioned about his cancer treatment history. Following consultation to evaluate the assessment of end-stage heart failure, currently only anti-heart failure treatment and symptomatic treatment can be provided. The present report describes this case and reviews the existing literature to provide a basis for the diagnosis and treatment of patients with delayed-onset heart failure following ANT treatment.

蒽环类药物广泛用于恶性肿瘤患者,可显著延长患者的无病生存率。随着其临床应用越来越普遍,有关ANT治疗导致严重心脏毒性的信息也越来越被了解。然而,据我们所知,由于使用ANT导致的延迟发作心脏毒性尚未得到充分研究。本报告描述了一名36岁的男性患者,他在过去10天内因呼吸困难就诊于贵阳国际综合医院(中国贵阳)。患者的B型钠尿肽水平显著升高,超声心动图显示整个心脏增大,这表明严重的心力衰竭是其症状的原因。然而,直到患者被问及其癌症治疗史,这种潜在心力衰竭的原因才明显。在咨询评估终末期心力衰竭的评估后,目前只能提供抗心力衰竭治疗和症状治疗。本报告描述了这一病例,并回顾了现有文献,为ANT治疗后迟发性心力衰竭患者的诊断和治疗提供了依据。
{"title":"Anthracycline‑induced delayed‑onset cardiac toxicity: A case report and literature review.","authors":"Mowei Kong,&nbsp;Qiongxiang Pan,&nbsp;Xunmin Cheng,&nbsp;Jun Li,&nbsp;Yu Gao,&nbsp;Xue Tian","doi":"10.3892/etm.2023.12204","DOIUrl":"10.3892/etm.2023.12204","url":null,"abstract":"<p><p>Anthracyclic (ANT) drugs are widely used for patients with malignant tumors and can markedly prolong the disease-free survival rate of patients. As its clinical application becomes more common, information regarding serious cardiotoxicity as a result of ANT treatment is becoming understood. However, to the best of our knowledge, delayed-onset cardiotoxicity due to ANT use has not been studied sufficiently. The present report describes a 36-year-old male patient who presented to Guiqian International General Hospital (Guiyang, China) with a complaint of dyspnea in the last 10 days. Substantially elevated B-type natriuretic peptide levels and echocardiography showing enlargement of the entire heart, of the patient suggested that severe heart failure was the cause of his symptoms. However, the cause of this potential heart failure was not apparent until the patient was questioned about his cancer treatment history. Following consultation to evaluate the assessment of end-stage heart failure, currently only anti-heart failure treatment and symptomatic treatment can be provided. The present report describes this case and reviews the existing literature to provide a basis for the diagnosis and treatment of patients with delayed-onset heart failure following ANT treatment.</p>","PeriodicalId":12285,"journal":{"name":"Experimental and therapeutic medicine","volume":"26 5","pages":"505"},"PeriodicalIF":2.7,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1c/0f/etm-26-05-12204.PMC10562964.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41196187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Role of SARS‑CoV‑2 nucleocapsid protein in affecting immune cells and insights on its molecular mechanisms. 严重急性呼吸系统综合征冠状病毒2型核衣壳蛋白在影响免疫细胞中的作用及其分子机制的见解。
IF 2.7 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-12 eCollection Date: 2023-11-01 DOI: 10.3892/etm.2023.12203
Yan Lu, Ziyu Ye, Xinlan Liu, Liqian Zhou, Xiang Ding, Yiling Hou

The present study aimed to explore the immune regulatory function of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) nucleocapsid (N) protein and related mechanisms. In a series of protein activity experiments, SARS-CoV-2 N protein promoted proliferation of three immune cell lines: mouse Raw264.7, human Jurkat and human Raji in a dose-dependent manner. A total of 10 µg/ml N protein could significantly change cell cycle progression of the aforementioned three immune cell lines and could promote quick entry of Raw264.7 cells into G2/M phase from S phase to achieve rapid growth. Additionally, the N protein could also stimulate Raw264.7 cells to secrete a number of proinflammatory factors such as TNF-α, IL-6 and IL-10. RNA sequencing analysis indicated that the N protein changed the expression of certain genes involved in immune-related functions and four important signaling pathways, including JAK-STAT, TNF, NF-κB and MAPK signaling pathways, which suggested that the N protein may not only regulate the expression of genes involved in the process of resisting viral infection in macrophages of the immune system, but also change cellular signal processing.

本研究旨在探讨严重急性呼吸综合征冠状病毒2型核衣壳(N)蛋白的免疫调节功能及其相关机制。在一系列蛋白质活性实验中,严重急性呼吸系统综合征冠状病毒2型N蛋白以剂量依赖的方式促进了三种免疫细胞系的增殖:小鼠Raw264.7、人Jurkat和人Raji。总共10µg/ml的N蛋白可以显著改变上述三种免疫细胞系的细胞周期进程,并可以促进Raw264.7细胞从S期快速进入G2/M期以实现快速生长。此外,N蛋白还可以刺激Raw264.7细胞分泌多种促炎因子,如TNF-α、IL-6和IL-10。RNA测序分析表明,N蛋白改变了某些参与免疫相关功能的基因以及JAK-STAT、TNF、NF-κB和MAPK四种重要信号通路的表达,这表明N蛋白不仅可能调节免疫系统巨噬细胞中参与抵抗病毒感染过程的基因的表达,而且还改变蜂窝信号处理。
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引用次数: 0
Genetic diagnosis of a rare COL7A1 variant causing dystrophic epidermolysis bullosa pruriginosa through whole‑exome sequencing. 通过全外显子组测序对一种罕见的导致瘙痒性大疱性营养不良表皮松解症的COL7A1变体的遗传诊断。
IF 2.7 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-11 eCollection Date: 2023-11-01 DOI: 10.3892/etm.2023.12201
Yanhui Yang, Yangmin Gao, Mengna Zhang, Hua Qian, Ke Zhao, Weijuan Wang, Yanxiu Ma, Dan Zhang, Xiaoguang Li, Fengming Hu, Xiaoming Sun

Dystrophic epidermolysis bullosa pruriginosa (DEB-Pr) is a rare subtype of inherited DEB. In the present study, whole-exome sequencing was conducted on 12 individuals from the same affected family and a rare heterozygous variation was identified in the collagen type VII, α1 (COL7A1) gene, namely c.6859G>A (p.Gly2287Arg). Subsequently, this heterozygous variant was confirmed using Sanger sequencing of individual plasma cell-free DNA (cfDNA) and it was demonstrated for the first time, to the best of our knowledge, that COL7A1 exons can be amplified from plasma cfDNA. Within the large pedigree examined, 14 out of 18 individuals carried the variant, 3 carried the wild type, and one exceptional case, III-9, showed no disease symptoms despite carrying the disease variant. A general association between genotype and phenotype was established. Of note, the mutation landscape indicated that this G2287R variant is primarily reported in Asian countries. In silico structure prediction suggested that the residue resulting from the mutation may affect collagen protein stability. In conclusion, the present study provides evidence for the involvement of the COL7A1 G2287R gene variant in the development of DEB-Pr and highlights the potential utility of cfDNA in genetic disease diagnosis.

瘙痒性营养不良大疱性表皮松解症(DEB-Pr)是一种罕见的遗传性DEB亚型。在本研究中,对来自同一受影响家族的12个个体进行了全外显子组测序,在VII型胶原α1(COL7A1)基因中发现了一种罕见的杂合变异,即c.6859G>a(p.Gly2287Arg)。随后,使用个体血浆无细胞DNA(cfDNA)的Sanger测序证实了这种杂合变异,据我们所知,COL7A1外显子可以从血浆cfDNA中扩增出来。在所检查的大谱系中,18个个体中有14个携带变异株,3个携带野生型,一个例外病例III-9尽管携带疾病变异株,但没有表现出疾病症状。建立了基因型和表型之间的一般联系。值得注意的是,突变情况表明这种G2287R变体主要在亚洲国家报道。计算机结构预测表明,突变产生的残基可能影响胶原蛋白的稳定性。总之,本研究为COL7A1 G2287R基因变体参与DEB-Pr的发展提供了证据,并强调了cfDNA在遗传病诊断中的潜在用途。
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引用次数: 0
Comparison of fertility outcomes between oil‑based and water‑based contrast media during hysterosalpingography: A meta‑analysis. 子宫输卵管造影时油基造影剂和水基造影剂生育结果的比较:一项荟萃分析。
IF 2.7 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-01 DOI: 10.3892/etm.2023.12148
Jun Chen, Shushu Liu, Jianguo Lu
Water-based and oil-based contrast media are both widely used in clinical practice for patients receiving hysterosalpingography (HSG). However, minor controversy exists about whether the oil-based contrast medium has a superior fertility-enhancing effect during HSG. The present meta-analysis intended to comprehensively compare the fertility outcomes of patients receiving either an oil-based or a water-based contrast medium during HSG. Web of Science, PubMed, Excerpta Medica Database, Cochrane, China National Knowledge Infrastructure, Wanfang Data and China Science and Technology Journal Database were examined for literature comparing the fertility enhancement between oil-based and water-based contrast media during HSG up to November 10, 2022 and there was no cut off for studies published earlier than any given year. Data for clinical pregnancy, ongoing pregnancy, live birth, miscarriage and ectopic pregnancy were extracted and analyzed. A total of 11 studies with 2,462 patients receiving oil-based contrast medium and 2,830 patients receiving water-based contrast medium during HSG were included. Relative risks (RRs) and 95% confidence intervals (CIs) were presented for outcome assessment, and the random effects model was utilized for all analyses. Publication bias was analyzed using Egger's and Begg's tests. The results indicated that the rate of clinical pregnancy was increased using oil-based contrast medium compared with water-based contrast medium [relative risk (RR) (95% CI), 1.29 (1.07, 1.54); P=0.006]. In addition, the rate of ongoing pregnancy [RR (95% CI), 1.39 (1.22, 1.59); P#x003C;0.001] and live birth [RR (95% CI), 1.41 (1.07, 1.87); P=0.016] were also increased using oil-based contrast medium compared with water-based contrast medium. However, miscarriage [RR (95% CI), 1.06 (0.61, 1.86); P=0.833] and ectopic pregnancy [RR (95% CI), 0.66 (0.18, 2.36); P=0.518] were not affected by using oil-based or water-based contrast medium. Begg's test and Egger's test suggested that no publication bias of clinical pregnancy, ongoing pregnancy, live birth, miscarriage and ectopic pregnancy existed (all P>0.05), which indicated the stability of the present meta-analysis. In conclusion, the oil-based contrast medium enhances fertility outcomes compared with the water-based contrast medium in patients receiving HSG.
水基造影剂和油基造影剂在临床中广泛应用于子宫输卵管造影(HSG)。然而,关于油基造影剂在HSG中是否具有更好的增育效果,存在较小的争议。本荟萃分析旨在全面比较HSG期间接受油基造影剂或水基造影剂的患者的生育结果。我们检索了Web of Science、PubMed、摘录医学数据库、Cochrane、中国国家知识基础设施、万方数据和中国科技期刊数据库,以比较截至2022年11月10日的HSG期间油基造影剂和水基造影剂增强生育力的文献,并且没有截断任何早于给定年份发表的研究。对临床妊娠、持续妊娠、活产、流产和异位妊娠的资料进行提取和分析。共纳入11项研究,其中2462例患者在HSG期间接受油基造影剂,2830例患者接受水基造影剂。采用相对危险度(RRs)和95%置信区间(ci)进行结果评估,所有分析均采用随机效应模型。采用Egger’s和Begg’s检验分析发表偏倚。结果显示,与水基造影剂相比,使用油基造影剂可增加临床妊娠率[相对危险度(RR) (95% CI), 1.29 (1.07, 1.54);P = 0.006)。此外,持续妊娠率[RR (95% CI), 1.39 (1.22, 1.59);P#x003C;0.001]和活产[RR (95% CI), 1.41 (1.07, 1.87);P=0.016]与水基造影剂相比,油基造影剂也增加了。然而,流产[RR (95% CI), 1.06 (0.61, 1.86);P=0.833]和异位妊娠[RR (95% CI), 0.66 (0.18, 2.36);P=0.518]不受油基或水基造影剂的影响。Begg’s检验和Egger’s检验提示临床妊娠、持续妊娠、活产、流产和异位妊娠均不存在发表偏倚(P>0.05),说明本meta分析的稳定性。总之,与水基造影剂相比,油基造影剂可提高接受输卵管移植患者的生育结果。
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引用次数: 0
Tetracaine hydrochloride induces macrophage pyroptosis through caspase‑1/11‑GSDMD signaling pathways. 盐酸丁卡因通过caspase‑1/11‑GSDMD信号通路诱导巨噬细胞热亡。
IF 2.7 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-01 DOI: 10.3892/etm.2023.12127
Ran Zhang, Wanrong Gou, Peng Yi, Zhengshan Qin, Danli Zhu, Jing Jia, Li Liu, Xian Jiang, Jianguo Feng

Tetracaine hydrochloride (TTC) is a long-lasting local anesthetic commonly used for topical anesthesia. Inappropriate dosage or allergic reactions to TTC can lead to local anesthetic toxicity. TTC exerts cytotoxic effects on certain cell types by inducing apoptosis and necrosis; however, the effects of TTC on macrophages are currently unclear. In the present study, the RAW 264.7 and BV2 cell lines, and murine peritoneal macrophages, were used to evaluate the cytotoxicity of TTC. The present study demonstrated that TTC caused a decrease in cell viability according to a Cell Counting Kit-8 assay, increased lactate dehydrogenase and IL-1β secretion according to ELISA, and induced morphological changes characteristic of pyroptosis according to western blotting. Moreover, TTC-induced macrophage pyroptosis was mediated by gasdermin (GSDM)D, and the cleavage of GSDMD was modulated by both caspase-1 and caspase-11. These results were experimentally validated using caspase-1 and caspase-11 inhibitors. Furthermore, it was observed that TTC and lipopolysaccharide (LPS) exerted similar effects on macrophages. However, the mechanism of induction of pyroptosis by TTC was different from that of LPS. The present study demonstrated that TTC alone could induce macrophage pyroptosis mediated by canonical and non-canonical inflammatory caspases. Therapies targeting pyroptosis may potentially provide a promising future strategy for the prevention and treatment of local anesthetic toxicity induced by TTC.

盐酸丁卡因(TTC)是一种长效局部麻醉剂,常用于表面麻醉。剂量不当或对TTC的过敏反应可导致局部麻醉毒性。TTC通过诱导细胞凋亡和坏死对某些类型的细胞产生细胞毒作用;然而,TTC对巨噬细胞的影响目前尚不清楚。本研究采用RAW 264.7和BV2细胞系以及小鼠腹腔巨噬细胞来评价TTC的细胞毒性。本研究表明,根据cell Counting Kit-8检测,TTC导致细胞活力降低,根据ELISA检测,TTC导致乳酸脱氢酶和IL-1β分泌增加,根据western blotting检测,TTC引起焦亡的形态学改变。此外,ttc诱导的巨噬细胞凋亡是由gasdermin (GSDM)D介导的,GSDMD的裂解是由caspase-1和caspase-11调节的。使用caspase-1和caspase-11抑制剂实验验证了这些结果。此外,我们还观察到TTC和脂多糖(LPS)对巨噬细胞的作用相似。然而,TTC诱导焦亡的机制与LPS不同。本研究表明,TTC可诱导典型和非典型炎性半胱天冬酶介导的巨噬细胞焦亡。针对焦亡的治疗可能为TTC引起的局部麻醉毒性的预防和治疗提供一个有前途的未来策略。
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引用次数: 0
Laryngocele: Report of two rare cases and review of the literature. 喉囊肿:2例罕见病例报告及文献复习。
IF 2.7 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-01 DOI: 10.3892/etm.2023.12123
Jin Zhang, Xu Ma, Xiaoyu Li, Panpan Song, Yungang Wu

Laryngocele is a rare clinical condition characterized by an abnormal dilation of the laryngeal saccule. The present study focused on two separate cases of diagnosed patients. The first patient suffered from internal laryngocele and complained of hoarseness for almost 1 year. Plasma was used to treat the internal laryngocele and the outcomes were satisfying. The patient did not undergo any tracheostomy due to previous endoscopic surgery. The second patient included in the present study was diagnosed with mixed laryngocele and complained of swelling on the left side of the upper aspect of the neck with considerable pain for >1 month. The patient was prepped for excision by an external transcervical technique under general anesthesia. None of the two patients had any recurrence or other changes during follow-up. The purpose of reporting these two cases of laryngocele was to increase awareness of this condition. Surgery is still the first-line treatment for diagnosed cases, but with the advent of new microscopic techniques, the use of plasma in an inter-pharynx setting has become more common. The results observed after using plasma to treat one internal laryngocele may be relevant to better understanding the application of this method and confirm that it may be a new suitable approach to treat this condition.

喉囊肿是一种罕见的临床病症,其特征是喉囊的异常扩张。目前的研究集中在两个独立的确诊病例上。第一例患者患有喉内囊肿,主诉声音嘶哑近1年。应用血浆治疗喉内囊肿,效果满意。由于先前的内窥镜手术,患者没有接受任何气管切开术。本研究中的第二例患者被诊断为混合性喉囊肿,主诉颈部上侧面左侧肿胀,疼痛持续>1个月。病人准备在全身麻醉下经外颈手术切除。随访期间,两例患者均无复发或其他变化。报告这两例喉囊肿的目的是提高对这种情况的认识。手术仍然是确诊病例的一线治疗方法,但随着新的显微技术的出现,在咽间环境中使用血浆已变得更加普遍。血浆治疗1例喉内囊肿后观察到的结果可能与更好地理解该方法的应用有关,并证实该方法可能是治疗该疾病的一种新的合适方法。
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Experimental and therapeutic medicine
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