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Predictive value of combination of lung injury prediction score and receptor for advanced glycation end‑products for the occurrence of acute respiratory distress syndrome 肺损伤预测评分与晚期糖基化终产物受体联合对急性呼吸窘迫综合征发生的预测价值
4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-08 DOI: 10.3892/etm.2023.12291
Jun Yang, Ai Wei, Bing Wu, Jialin Deng
The present study evaluated the predictive value of the combination of the lung injury prediction score (LIPS) and receptor for advanced glycation end‑products (RAGE) for the occurrence of acute respiratory distress syndrome (ARDS) in critically ill patients with ARDS risk factors. A total of 551 patients with risk factors of ARDS were divided into an ARDS group and a non‑ARDS group. LIPS was computed within 6 h of admission into the ICU, and the plasma concentration of RAGE was detected within 24 h of admission. Multivariate analysis was performed to identify independent associations, and the predictive values for ARDS occurrence were assessed with receiver operating characteristic (ROC) curve. Within 7 days after admission into the ICU, ARDS occurred in 176 patients (31.9%). Multivariate analysis demonstrated that LIPS [odds ratio (OR), 1.282; 95% confidence interval (CI), 1.108‑1.604], RAGE levels (OR, 2.359; 95% CI, 1.351‑4.813) and Acute Physiology and Chronic Health Evaluation II score (OR, 1.167; 95% CI, 1.074‑1.485) were independently associated with ARDS occurrence. ROC curves demonstrated that the area under curve (AUC) of LIPS, RAGE levels and their combination was 0.714 [standard error (SE), 0.023; 95% CI, 0.670‑0.759], 0.709 (SE, 0.025; 95% CI, 0.660‑0.758) and 0.889 (SE, 0.014; 95% CI, 0.861‑0.917), respectively. The AUC of LIPS combined with RAGE levels was significantly higher compared with those of LIPS (0.889 vs. 0.714; Z=6.499; P<0.001) and RAGE (0.889 vs. 0.709; Z=6.282; P<0.001) levels alone. In conclusion, both LIPS and RAGE levels were independently associated with ARDS occurrence in critically ill patients with ARDS risk factors, and had medium predictive values for ARDS occurrence. Combination of LIPS with RAGE levels increased the predictive value for ARDS occurrence.
本研究评价肺损伤预测评分(LIPS)与晚期糖基化终产物受体(RAGE)联合应用对危重患者急性呼吸窘迫综合征(ARDS)发生的预测价值。将551例有ARDS危险因素的患者分为ARDS组和非ARDS组。入院后6 h内计算LIPS,入院后24 h内检测血浆RAGE浓度。进行多因素分析以确定独立相关性,并采用受试者工作特征(ROC)曲线评估ARDS发生的预测值。入院后7 d内发生ARDS 176例(31.9%)。多因素分析表明,lip[比值比(OR), 1.282;95%置信区间(CI), 1.108‑1.604),RAGE水平(OR, 2.359;95% CI, 1.351 - 4.813)和急性生理和慢性健康评估II评分(OR, 1.167;95% CI, 1.074 - 1.485)与ARDS发生独立相关。ROC曲线显示,LIPS、RAGE水平及其组合的曲线下面积(AUC)为0.714[标准误差(SE), 0.023;95% ci, 0.670 - 0.759], 0.709 (se, 0.025;95% CI, 0.660 - 0.758)和0.889 (SE, 0.014;95% CI, 0.861 - 0.917)。LIPS联合RAGE水平的AUC显著高于LIPS (0.889 vs. 0.714;Z = 6.499;P<0.001)和RAGE (0.889 vs. 0.709;Z = 6.282;P<0.001)水平。综上所述,在具有ARDS危险因素的危重患者中,LIPS和RAGE水平与ARDS发生独立相关,对ARDS发生具有中等预测价值。LIPS联合RAGE水平提高了ARDS发生的预测值。
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引用次数: 0
Giant lipoma in the Retzius space resected under laparoscopy: A case report 腹腔镜下切除雷氏间隙巨大脂肪瘤1例
4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-07 DOI: 10.3892/etm.2023.12290
Ming-Yue Shang, Li-Xin Tian, Chen-Xu Tian, Wei-Jian Chen, Cheng-Yuan Yu, Zheng Wang, Jing Wang, Dong-Bo Lian, Guang-Zhong Xu, De-Xiao Du, Tian-Xiong Li, Buhe Amin, Neng-Wei Zhang, Liang Wang
Lipoma is a common type of benign soft tissue tumor that can occur in the shoulders, neck and back, in addition to other body parts. The Retzius space is a small anatomical space between the pubic symphysis and the bladder located extraperitoneally and filled with loose fatty connective tissue. Giant lipomas are rare in the Retzius space. A 61‑year‑old Chinese male arrived at Beijing Yanhua Hospital (Beijing, China) due to frequent urination, and CT scan images of the lower abdomen observed a large pelvic mass and left inguinal hernia. Preoperative clinical manifestations and auxiliary examination suggested that the tumor originated from the urinary bladder wall. The maximum tumor diameter was ~25 cm and abdominal pressure was increased. Therefore, laparoscopic pelvic tumor resection combined with inguinal hernia repair was attempted. Intraoperatively, the tumor was found to originate from the Retzius space and the postoperative pathological diagnosis was lipoma. The present case report may serve as a reference for minimally invasive treatment of this type of rare disease in future.
脂肪瘤是一种常见的良性软组织肿瘤,可发生在肩部、颈部和背部,以及身体的其他部位。Retzius间隙是耻骨联合与膀胱之间的一个小解剖间隙,位于腹膜外,充满疏松的脂肪结缔组织。巨大的脂肪瘤在瑞兹尤斯腺少见。1例61岁中国男性,因尿频到北京燕华医院就诊,下腹部CT扫描示大盆腔肿块,左侧腹股沟疝。术前临床表现及辅助检查提示肿瘤起源于膀胱壁。肿瘤最大直径约25 cm,腹压增高。因此,我们尝试腹腔镜盆腔肿瘤切除联合腹股沟疝修补术。术中发现肿瘤起源于Retzius间隙,术后病理诊断为脂肪瘤。本病例报告可作为今后微创治疗此类罕见病的参考。
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引用次数: 0
Prosthetic brachial artery-external jugular vein arteriovenous grafts as a novel option for hemodialysis access: A case report 假臂动脉-颈外静脉动静脉移植物作为血液透析通路的新选择:1例报告
4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-07 DOI: 10.3892/etm.2023.12289
Wenhui Lei, Hai-Ping Lai, Jun Xin
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引用次数: 0
[Retracted] Rapamycin suppresses the PI3K/AKT/mTOR signaling pathway by targeting SIRT1 in esophageal cancer [撤回]雷帕霉素通过靶向SIRT1抑制食管癌中PI3K/AKT/mTOR信号通路
4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-06 DOI: 10.3892/etm.2023.12288
Tao Liu, Xiangsen Liang, Yu Sun, Shengzhuang Yang
Following the publication of this paper, it was drawn to the Editor’s attention by a concerned reader that the tumour images shown in Fig. 5B on p. 8 were strikingly similar to data appearing in different form in other articles written by different authors at different research institutes, which had either already been published or were under consideration for publication at around the same time. Owing to the fact that the contentious data in the above article had already been published prior to its submission to Experimental and Therapeutic Medicine, the Editor has decided that this paper should be retracted from the Journal. After having been in contact with the authors, they agreed with the decision to retract the paper. The Editor apologizes to the readership for any inconvenience caused. [Experimental and Therapeutic Medicine 22: 1190, 2021; DOI: 10.3892/etm.2021.10624]
在这篇论文发表后,一位关心的读者提请编辑注意,第8页图5B所示的肿瘤图像与不同作者在不同研究机构所写的其他文章中以不同形式出现的数据惊人地相似,这些文章要么已经发表,要么正在考虑发表。由于上述文章中有争议的数据在提交给《实验与治疗医学》之前已经发表,编辑决定从该杂志撤回这篇论文。在与作者联系后,他们同意撤回论文的决定。对于由此给读者带来的不便,本刊编辑深表歉意。[j] .实验治疗医学22:1190,2021;DOI: 10.3892 / etm.2021.10624]
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引用次数: 0
Predictors of therapeutic response to peginterferon α‑2a and nucleos(t)ide analog combination therapy for HBeAg‑negative chronic hepatitis B: 1‑year follow‑up after treatment 聚乙二醇干扰素α - 2a和核苷(t)类似物联合治疗HBeAg阴性慢性乙型肝炎疗效的预测因素:治疗后1年随访
4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-03 DOI: 10.3892/etm.2023.12286
Shima Mimura, Koji Fujita, Kei Takuma, Mai Nakahara, Kyoko Oura, Tomoko Tadokoro, Joji Tani, Asahiro Morishita, Masafumi Ono, Takashi Himoto, Tsutomu Masaki
Chronic hepatitis B (CHB) is a major global health concern. Guidelines for the management of hepatitis B virus (HBV) indicate that the loss of hepatitis B surface antigen (HBsAg) is a key endpoint of interest. The present study aimed to examine long‑term changes in HBsAg levels in HBV‑DNA‑negative, hepatitis B e‑antigen (HBeAg)‑negative patients treated with peginterferon (Peg‑IFN) α‑2a and nucleos(t)ide analog (NA), and to examine the conditions that make them susceptible to HBsAg decline. A total of 17 patients with CHB treated with NA and Peg‑IFN were observed for 96 weeks (48 weeks of Peg‑IFN therapy and 48 weeks of post‑treatment follow‑up). In this study, responders were defined as those with a 50% or greater decrease in HBsAg levels from baseline at week 96. Beginning at week 16 of Peg‑IFN therapy, there was a significant difference in the decrease in HBsAg levels from baseline between the responders and non‑responders. In responders, HBsAg levels tended to be >60% lower 16 weeks after Peg‑IFN initiation than before initiation. Age at the start of NA use and the duration of NA use before Peg‑IFN treatment initiation were significant pretreatment factors associated with HBsAg response. In conclusion, Peg‑IFN was revealed to be more effective in HBeAg‑negative patients with CHB who started NA at a young age and have been on long‑term treatment, particularly if the HBsAg levels decreased to less than 60% of the starting level at week 16 after starting Peg‑IFN treatment.
慢性乙型肝炎(CHB)是一个主要的全球卫生问题。乙型肝炎病毒(HBV)治疗指南指出,乙型肝炎表面抗原(HBsAg)的丢失是一个关键的研究终点。本研究旨在检测HBV - DNA阴性、乙型肝炎e抗原(HBeAg)阴性患者接受聚乙二醇干扰素(Peg - IFN) α - 2a和核苷类似物(NA)治疗后HBsAg水平的长期变化,并检查使他们易受HBsAg下降影响的条件。共有17例接受NA和Peg - IFN治疗的CHB患者进行了96周的观察(48周的Peg - IFN治疗和48周的治疗后随访)。在这项研究中,应答者被定义为在第96周HBsAg水平较基线下降50%或以上的患者。从Peg - IFN治疗的第16周开始,有反应者和无反应者之间的HBsAg水平从基线下降有显著差异。在应答者中,在Peg - IFN启动16周后,HBsAg水平往往比启动前低60%。开始使用NA的年龄和开始Peg - IFN治疗前使用NA的持续时间是与HBsAg反应相关的重要预处理因素。总之,Peg - IFN在HBeAg阴性的CHB患者中更有效,这些患者在年轻时开始NA治疗并长期治疗,特别是在开始Peg - IFN治疗后第16周HBsAg水平降至初始水平的60%以下。
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引用次数: 0
Relationship between MTHFR gene polymorphism and risk of thrombosis in postoperative patients with colorectal cancer 结直肠癌术后患者MTHFR基因多态性与血栓形成风险的关系
4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-03 DOI: 10.3892/etm.2023.12287
Wei Zhang, Li Chen, Gaoyang Cao, Fei Wang, Engeng Chen
An association between the methylenetetrahydrofolate reductase (MTHFR) C667T genotype and the risk of colorectal cancer, as well as a link between MTHFR gene polymorphism and thrombosis, have been revealed. However, the connection between MTHFR gene polymorphism and the risk of thrombosis in patients with colorectal cancer has remained to be fully elucidated. The present study investigated the link between MTHFR gene polymorphism and basic clinical data, postoperative D‑dimer (DDi), postoperative thromboelastogram and postoperative thrombosis in 591 patients who underwent surgery for colorectal cancer. Postoperative DDi, thromboelastogram and postoperative thrombosis were not significantly different among patients with colorectal cancer and different MTHFR genotypes. While the results were ‘negative’, the present study may help physicians understand that it is not necessary to detect MTHFR polymorphism for therapeutic purposes. Regarding the danger of venous thrombosis, more focus should be placed on the standardized procedural enforcement system for deep vein thrombosis prevention for patients undergoing pelvic and abdominal surgery.
亚甲基四氢叶酸还原酶(MTHFR) C667T基因型与结直肠癌风险之间的关联,以及MTHFR基因多态性与血栓形成之间的联系已经被揭示。然而,MTHFR基因多态性与结直肠癌患者血栓形成风险之间的关系仍有待充分阐明。本研究探讨591例大肠癌手术患者MTHFR基因多态性与基本临床资料、术后D -二聚体(DDi)、术后血栓弹性图及术后血栓形成的关系。术后DDi、血栓弹性图和术后血栓形成在结直肠癌患者和不同MTHFR基因型之间无显著差异。虽然结果是“阴性”,但目前的研究可能会帮助医生理解,为了治疗目的,没有必要检测MTHFR多态性。对于静脉血栓形成的危险性,盆腔及腹部手术患者预防深静脉血栓形成的规范化程序执行体系更应得到重视。
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引用次数: 0
Precision drugs for recurrent or metastatic nasopharyngeal carcinoma (Review) 鼻咽癌复发或转移的精准药物(综述)
4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-03 DOI: 10.3892/etm.2023.12284
Renba Liang
Nasopharyngeal carcinoma (NPC) is a malignancy that is common in Southern China, South‑East Asia and North Africa. Platinum‑based chemotherapy is currently the main treatment option for the first‑line therapy of recurrent and/or metastatic NPC (RM‑NPC). However, the outcome of patients with advanced disease remains poor after treatment with standard chemotherapy, as patients eventually became resistant to chemotherapy. Other strategies, such as targeted therapy and immunotherapy, offer alternative options for patients due to their reported efficacy and manageable toxicities. This suggests that these modalities, either as monotherapy or in combination with chemotherapy, may serve as viable treatment options for RM‑NPC. The present review provides a comprehensive summary of the clinical data of targeted therapy and immunotherapy for RM‑NPC, with the aim of broadening the understanding of RM‑NPC management.
鼻咽癌是一种常见于中国南方、东南亚和北非的恶性肿瘤。铂类化疗目前是复发性和/或转移性鼻咽癌(RM - NPC)一线治疗的主要治疗选择。然而,晚期疾病患者在接受标准化疗后的预后仍然很差,因为患者最终会对化疗产生耐药性。其他策略,如靶向治疗和免疫治疗,由于其疗效和可控制的毒性,为患者提供了替代选择。这表明,无论是单药治疗还是联合化疗,这些方法都可以作为RM - NPC的可行治疗选择。本文就RM - NPC的靶向治疗和免疫治疗的临床资料进行综述,旨在拓宽对RM - NPC治疗的认识。
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引用次数: 0
Current state and challenges of emerging biomarkers for immunotherapy in hepatocellular carcinoma (Review) 肝细胞癌免疫治疗生物标志物的现状与挑战(综述)
4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-03 DOI: 10.3892/etm.2023.12285
Mo Cheng, Xiufeng Zheng, Jing Wei, Ming Liu
Hepatocellular carcinoma (HCC) is the most prevalent form of primary liver cancer. According to the American Cancer Society, among patients diagnosed with advanced liver cancer, HCC has the sixth‑highest incident rate, resulting in a poor prognosis. Surgery, radiofrequency ablation, transcatheter arterial chemoembolization, radiation, chemotherapy, targeted therapy and immunotherapy are the current treatment options available. Immunotherapy, which has emerged as an innovative treatment strategy over the past decade, is serving a vital role in the treatment of advanced liver cancer. Since only a small number of individuals can benefit from immunotherapy, biomarkers are required to help clinicians identify the target populations for this precision medicine. These biomarkers, such as PD‑1/PD‑L1, tumor mutational burden and circulating tumor DNA, can be used to investigate interactions between immune checkpoint inhibitors and tumors. The present review summarizes information on the currently available biomarkers used for immunotherapy and the challenges that are present.
肝细胞癌(HCC)是原发性肝癌最常见的形式。根据美国癌症协会的数据,在晚期肝癌患者中,HCC的发病率排在第六位,导致预后不良。手术、射频消融、经导管动脉化疗栓塞、放疗、化疗、靶向治疗和免疫治疗是目前可用的治疗选择。免疫疗法在过去十年中作为一种创新的治疗策略出现,在晚期肝癌的治疗中发挥着至关重要的作用。由于只有少数人可以从免疫治疗中受益,因此需要生物标志物来帮助临床医生确定这种精准医学的目标人群。这些生物标志物,如PD‑1/PD‑L1、肿瘤突变负担和循环肿瘤DNA,可用于研究免疫检查点抑制剂与肿瘤之间的相互作用。本文综述了目前可用的用于免疫治疗的生物标志物的信息和存在的挑战。
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引用次数: 0
Long non‑coding RNA PEG13 regulates endothelial cell senescence through the microRNA‑195/IRS1 axis 长链非编码RNA PEG13通过microRNA - 195/IRS1轴调控内皮细胞衰老
4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-03 DOI: 10.3892/etm.2023.12283
Qin Huang, Haiwen Zhou, Songping Yu
Atherosclerosis is a chronic inflammatory disease characterized by endothelial dysfunction and plaque formation. The present study aimed to elucidate the pathological role of the long non‑coding RNA (lncRNA) paternally expressed 13 (PEG13) in the onset and progression of atherosclerosis. Specifically, its effects on human umbilical vein endothelial cell (HUVEC) proliferation, angiogenesis, senescence and senescence‑associated secretory phenotype (SASP)‑related factors were investigated using cell proliferation, cellular angiogenesis, β‑galactosidase staining, reverse transcription‑quantitative PCR and enzyme‑linked immunosorbent assays. The results showed that oxidized low‑density lipoprotein (ox‑LDL) inhibited lncRNA PEG13 expression and HUVEC viability in a dose‑dependent manner and PEG13 overexpression partially reversed these effects. Additionally, PEG13 overexpression ameliorated the ox‑LDL‑induced impairment of angiogenesis, cellular senescence and SASP. Furthermore, lncRNA PEG13 directly targeted microRNA (miR/miRNA)‑195‑5p, suppressing the ox‑LDL‑induced upregulation of the miRNA. The gene coding for insulin receptor substrate 1 (IRS1), an activator of the phosphoinositide 3‑kinase (PI3K)/protein kinase B (AKT) signaling pathway, was confirmed as a direct target of miR‑195. PEG13 overexpression attenuated the ox‑LDL‑induced inhibition of IRS1 expression and PI3K/AKT signaling and its protective effects on HUVEC viability, angiogenesis and senescence were partially reversed by small interfering RNAs targeting IRS1. The present study demonstrated that lncRNA PEG13 attenuates ox‑LDL‑induced senescence in HUVECs by modulating the miR‑195/IRS1/PI3K/AKT signaling pathway, suggesting a potential therapeutic target for the treatment of atherosclerosis.
动脉粥样硬化是一种以内皮功能障碍和斑块形成为特征的慢性炎症性疾病。本研究旨在阐明长链非编码RNA (lncRNA)父本表达13 (PEG13)在动脉粥样硬化发生和发展中的病理作用。具体而言,采用细胞增殖、细胞血管生成、β -半乳糖苷酶染色、逆转录定量PCR和酶联免疫吸附法研究其对人脐静脉内皮细胞(HUVEC)增殖、血管生成、衰老和衰老相关分泌表型(SASP)相关因子的影响。结果表明,氧化低密度脂蛋白(ox - LDL)以剂量依赖的方式抑制lncRNA PEG13表达和HUVEC活力,PEG13过表达部分逆转了这些作用。此外,PEG13过表达可改善ox - LDL诱导的血管生成、细胞衰老和SASP损伤。此外,lncRNA PEG13直接靶向microRNA (miR/miRNA) - 195 - 5p,抑制ox - LDL诱导的miRNA上调。胰岛素受体底物1 (IRS1)的基因编码是磷酸肌肽3激酶(PI3K)/蛋白激酶B (AKT)信号通路的激活剂,被证实是miR - 195的直接靶点。PEG13过表达减弱了ox - LDL诱导的对IRS1表达和PI3K/AKT信号的抑制,其对HUVEC活力、血管生成和衰老的保护作用被靶向IRS1的小干扰rna部分逆转。本研究表明,lncRNA PEG13通过调节miR - 195/IRS1/PI3K/AKT信号通路,减轻了ox - LDL诱导的HUVECs衰老,提示了治疗动脉粥样硬化的潜在治疗靶点。
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引用次数: 0
Uncoupling protein 2 modulates polarization and metabolism of human primary macrophages via glycolysis and the NF‑κB pathway 解偶联蛋白2通过糖酵解和NF - κB途径调节人原代巨噬细胞的极化和代谢
4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-02 DOI: 10.3892/etm.2023.12282
Liguo Lang, Dongju Zheng, Qingjun Jiang, Ting Meng, Xiaohu Ma, Yang Yang
Metabolic abnormalities, particularly the M1/M2 macrophage imbalance, play a critical role in the development of various diseases, leading to severe inflammatory responses. The present study aimed to investigate the role of uncoupling protein 2 (UCP2) in regulating macrophage polarization, glycolysis, metabolic reprogramming, reactive oxygen species (ROS) and inflammation. Primary human macrophages were first polarized into M1 and M2 subtypes, and these two subtypes were infected by lentivirus‑mediated UCP2 overexpression or knockdown, followed by enzyme‑linked immunosorbent assay, reverse transcription‑quantitative PCR, western blotting and flow cytometry to analyze the effects of UCP2 on glycolysis, oxidative phosphorylation (OXPHOS), ROS production and cytokine secretion, respectively. The results demonstrated that UCP2 expression was suppressed in M1 macrophages and increased in M2 macrophages, suggesting its regulatory role in macrophage polarization. UCP2 overexpression decreased macrophage glycolysis, increased OXPHOS, decreased ROS production, and led to the conversion of M1 polarization to M2 polarization. This process involved NF‑κB signaling to regulate the secretion profile of cytokines and chemokines and affected the expression of key enzymes of glycolysis and a key factor for maintaining mitochondrial homeostasis (nuclear respiratory factor 1). UCP2 knockdown in M2 macrophages exacerbated inflammation and oxidative stress by promoting glycolysis, which was attenuated by the glycolysis inhibitor 2‑deoxyglucose. These findings highlight the critical role of UCP2 in regulating macrophage polarization, metabolism, inflammation and oxidative stress through its effects on glycolysis, providing valuable insights into potential therapeutic strategies for macrophage‑driven inflammatory and metabolic diseases.
代谢异常,特别是M1/M2巨噬细胞失衡,在各种疾病的发展中起着关键作用,导致严重的炎症反应。本研究旨在探讨解偶联蛋白2 (uncoupling protein 2, UCP2)在调节巨噬细胞极化、糖酵解、代谢重编程、活性氧(reactive oxygen species, ROS)和炎症中的作用。首先将人巨噬细胞分化为M1和M2亚型,通过慢病毒介导的UCP2过表达或敲低感染这两种亚型,然后采用酶联免疫吸附法、反转录定量PCR、western blotting和流式细胞术分别分析UCP2对糖酵解、氧化磷酸化(OXPHOS)、ROS产生和细胞因子分泌的影响。结果表明,UCP2在M1巨噬细胞中表达抑制,在M2巨噬细胞中表达升高,提示其在巨噬细胞极化中具有调节作用。UCP2过表达降低巨噬细胞糖酵解,增加OXPHOS,减少ROS产生,导致M1极化向M2极化转化。这一过程涉及NF - κB信号调节细胞因子和趋化因子的分泌谱,并影响糖酵解关键酶和维持线粒体稳态的关键因子(核呼吸因子1)的表达。M2巨噬细胞中UCP2的下调通过促进糖酵解而加重炎症和氧化应激,糖酵解抑制剂2 -脱氧葡萄糖可减弱这一作用。这些发现强调了UCP2通过其对糖酵解的影响在调节巨噬细胞极化、代谢、炎症和氧化应激中的关键作用,为巨噬细胞驱动的炎症和代谢疾病的潜在治疗策略提供了有价值的见解。
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Experimental and therapeutic medicine
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