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ETV5 Silencing Produces Mesenchymal to Epithelial Transition in INS-1 (832/13) Cell Line. 沉默 ETV5 可使 INS-1 (832/13) 细胞系发生间充质向上皮的转化。
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-03-01 Epub Date: 2024-02-09 DOI: 10.1055/a-2246-4778
Yael Efrén Díaz-López, Vicenta Cázares-Domínguez, Francisco Arenas-Huertero, Ruth Gutierrez-Aguilar

ETV5 has been described to be involved in the epithelial to mesenchymal transition (EMT) mainly in cancer. It is known that EMT provokes cytoskeleton remodeling, improving cellular migratory, and invasive capabilities. Moreover, overexpression of ETV5 has been correlated to cancer development and this gene has been implicated in cell proliferation. However, little is known about the downregulation of ETV5 expression in a pancreatic cell line and the inverse mesenchymal to epithelial transition (MET). Therefore, we studied the implications of ETV5 silencing over the phenotype of the insulinoma INS-1 (832/13) cell line and described the MET by partial ETV5 silencing in the INS-1 (832/13) cell line. The downregulation of ETV5 expression was obtained by using ETV5 siRNA in the insulinoma rat cell line, INS-1 (832/13). Then, ETV5 knockdown provoked a MET phenotype observed by crystal violet staining and verified by immunohistochemistry against E-cadherin. Wound healing assay showed no migration, and F-actin stain revealed rearrangement of actin microfilaments. In addition, TGFβ1 and TGFβ3 were downregulated in the absence of ETV5. ETV5 silencing induces epithelial phenotype by downregulating TGFβ1 and TGFβ3 in INS-1 (832/13) cell line.

据描述,ETV5 参与了上皮向间充质转化(EMT),主要是在癌症中。众所周知,EMT 会引起细胞骨架重塑,改善细胞迁移和侵袭能力。此外,ETV5 的过表达与癌症的发展有关,而且该基因与细胞增殖有牵连。然而,人们对 ETV5 在胰腺细胞系中的表达下调以及间质向上皮的逆转变(MET)知之甚少。因此,我们研究了 ETV5 沉默对胰岛素瘤 INS-1 (832/13) 细胞系表型的影响,并描述了 INS-1 (832/13) 细胞系中部分 ETV5 沉默导致的 MET。在胰岛素瘤大鼠细胞系INS-1(832/13)中使用ETV5 siRNA可下调ETV5的表达。然后,通过水晶紫染色观察到 ETV5 基因敲除导致的 MET 表型,并通过针对 E-cadherin 的免疫组化进行验证。伤口愈合试验显示没有迁移,F-肌动蛋白染色显示肌动蛋白微丝重新排列。此外,在 ETV5 缺失的情况下,TGFβ1 和 TGFβ3 下调。沉默ETV5可通过下调TGFβ1和TGFβ3诱导INS-1(832/13)细胞系的上皮表型。
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引用次数: 0
LncRNA LINC01339 Hinders the Development of Wilms' Tumor via MiR-135b-3p/ADH1C Axis. LncRNA LINC01339通过MiR-135b-3p/ADH1C轴抑制威尔姆斯肿瘤的发展。
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-03-01 Epub Date: 2023-10-27 DOI: 10.1055/a-2184-8945
Yang Yu, Yanfei Liu

Wilms' tumor is a malignant renal cancer that arises within the pediatric urinary system. This study intended to investigate how a novel long non-coding RNA LINC01339 functions in the pathogenesis of Wilms' tumor. An elevated miR-135b-3p expression as well as reduced levels of LINC01339 and ADH1C were observed in Wilms' tumor. LINC01339 mediated ADH1C expression by directly binding to miR-135b-3p. The enforced LINC01339 or ADH1C markedly hindered cell growth and migration in Wilms' tumor. The LINC01339 overexpression also repressed the growth of Wilms' tumors in vivo, whereas miR-135b-3p overexpression exerted the opposite effects on Wilms' tumor cells in vitro. Additionally, upregulating miR-135b-3p reversed LINC01339's effects on the cellular processes of Wilms' tumor cells, whereas ADH1C overexpression offset the cancer-promoting influence of miR-135b-3p upregulation on Wilms' tumor progression. Therefore, LINC01339 prevents Wilms' tumor progression by modulating the miR-135b-3p/ADH1C axis. Our findings substantiate that the LINC01339/miR-135 b-3p/ADH1C regulatory axis has potential to be a target for the treatment of Wilms' tumor.

肾母细胞瘤是一种发生在儿童泌尿系统内的恶性癌症。本研究旨在探讨一种新的长非编码RNA LINC01339在威尔姆斯肿瘤发病机制中的作用。在威尔姆斯肿瘤中观察到miR-135b-3p表达升高以及LINC01339和ADH1C水平降低。LINC01339通过直接结合miR-135b-3p介导ADH1C表达。LINC01339或ADH1C可明显阻碍威尔姆斯肿瘤细胞的生长和迁移。LINC01339过表达在体内也抑制了Wilms肿瘤的生长,而miR-135b-3p过表达在体外对Wilms肿瘤细胞产生了相反的作用。此外,上调miR-135b-3p逆转了LINC01339对威尔姆斯肿瘤细胞的细胞过程的影响,而ADH1C的过度表达抵消了miR-135b-3 p上调对威尔姆斯的肿瘤进展的致癌影响。因此,LINC01339通过调节miR-135b-3p/ADH1C轴来预防Wilms的肿瘤进展。我们的发现证实了LINC01339/miR-135 b-3p/ADH1C调控轴有可能成为治疗威尔姆斯肿瘤的靶点。
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引用次数: 0
Desmopressin Dose Requirements in Adults with Congenital and Acquired Central Diabetes Insipidus. 患有先天性和获得性中枢性糖尿病的成人的去氨加压素剂量要求。
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-03-01 Epub Date: 2023-10-25 DOI: 10.1055/a-2198-7207
Aslak Nykjær Pedersen, Mikkel Andreassen, Aase Krogh Rasmussen, Jesper Krogh

Central diabetes insipidus is a rare disorder characterized by a deficiency of vasopressin. The first line drug to treat this disorder is a synthetic analogue of vasopressin, desmopressin.The primary aim of this retrospective register study was to compare desmopressin dose requirements in patients with acquired and congenital DI, and secondly to assess the influence of BMI on dose requirement and risk of hyponatremia with different drug administrations. We included all patients with suspected DI attending the endocrine department at Rigshospitalet, Copenhagen, Denmark in 2022. We identified 222 patients who were included whereof 130/222 (58.6%) were females and median age was 53 years (IQR 35 to 63). The etiology included 7/222 (3.2%) congenital and 215/222 (96.8%) acquired. After converting nasal and sublingual doses to equivalent oral doses, the median daily dose requirement was 600 μg in patients with congenital etiology compared to 200 μg in patients with acquired etiology (p=0.005). We found no association between BMI and desmopressin dose requirements (p=0.6). During the past 12 months, 66/215 (30.7%) had sodium levels<136 mmol/l including 20/215 (9.3%) with sodium levels<131 mmol/l. No increased risk of hyponatremia was found, when nasal and oral were compared (p=0.9). Daily desmopressin dose requirements were higher in patients with congenital DI compared to patients with acquired DI. However, this result was associated with uncertainty due to the small congenital group. BMI did not influence daily dose requirements and nor did type of administration influence the risk of hyponatremia.

中枢性尿崩症是一种罕见的以血管加压素缺乏为特征的疾病。治疗这种疾病的一线药物是一种合成的加压素类似物,即去氨加压素。这项回顾性登记研究的主要目的是比较获得性和先天性DI患者的去氨加压素剂量需求,其次评估不同给药方式下BMI对剂量需求和低钠血症风险的影响。我们纳入了2022年在丹麦哥本哈根Rigshospitalet内分泌科就诊的所有疑似DI患者。我们确定了222名患者,其中130/222(58.6%)为女性,中位年龄为53岁(IQR 35至63)。病因包括7/222(3.2%)先天性和215/222(96.8%)后天性。在将鼻腔和舌下剂量转换为等效口服剂量后,先天性病因患者的中位每日剂量需求为600µg,而后天性病因患者为200µg(p=0.005)。我们发现BMI和去氨加压素剂量需求之间没有关联(p=0.06)。在过去的12个月里,66/215(30.7%)的钠含量<136 mmol/L,其中20/215(9.3%)的钠水平<131 mmol/L。经鼻和口服比较,未发现低钠血症风险增加(P=0.09)。先天性DI患者的每日去氨加压素剂量要求高于后天性DI患者。然而,这一结果与先天性小群体的不确定性有关。BMI不影响每日剂量要求,给药类型也不影响低钠血症的风险。
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引用次数: 0
The Interplay Between COVID-19 and Pediatric Endocrine Disorders. What have we Learned After More than Three Years of the Pandemic? COVID-19 与小儿内分泌失调之间的相互作用。经过三年多的大流行,我们学到了什么?
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-03-01 Epub Date: 2023-09-06 DOI: 10.1055/a-2152-4590
Eirini Kostopoulou

As an increased body of COVID-19 related research is now available, it becomes apparent that the effects of COVID-19 extend beyond that of the respiratory system. Among others, the endocrine system is particularly vulnerable to perturbation from the COVID-19 infection. The present scoping review summarizes the bidirectional relationship between COVID-19 and endocrine system in children and adolescents, by describing both the possible susceptibility of children and adolescents without endocrinopathies to endocrine disorders following COVID-19 infection, but also the potential susceptibility to COVID-19 infection and severe infection, or the aggravation of endocrine dysfunction in patients with pre-existing endocrine diseases. Data suggest increased obesity and diabetes rates, as well as increased severity and frequency of diabetic ketoacidosis following COVID-19 infection. Conversely, patients with diabetes and obesity may experience a more severe course of COVID-19 infection. However, in the majority of cases, children and adolescents with well-managed and regulated endocrine disorders do not appear to be at increased risk of infection or severe infection from COVID-19. Thus, adhering to the appropriate "sick day management rules", maintaining adequate supply of medications and supplies, keeping close contact with the therapeutic team and seeking medical help without delay when needed, are the main recommendations for a safe outcome. Additional lessons learnt during the pandemic include the risk for mental health diseases caused by children's disrupted routine due to COVID-19 related protective measures and the importance of adopting alternative communication options, such as telehealth visits, in order to ensure uninterrupted endocrine care.

随着 COVID-19 相关研究的增多,COVID-19 的影响显然已超出了呼吸系统。其中,内分泌系统尤其容易受到 COVID-19 感染的干扰。本范围综述总结了 COVID-19 与儿童和青少年内分泌系统之间的双向关系,既描述了无内分泌疾病的儿童和青少年感染 COVID-19 后可能易患内分泌失调,也描述了 COVID-19 感染和严重感染的潜在易感性,或原有内分泌疾病患者内分泌功能障碍的加重。数据表明,感染 COVID-19 后,肥胖和糖尿病的发病率会增加,糖尿病酮症酸中毒的严重程度和发生频率也会增加。相反,患有糖尿病和肥胖症的患者感染 COVID-19 后可能会经历更严重的病程。不过,在大多数情况下,内分泌失调并得到良好控制和调节的儿童和青少年感染或严重感染 COVID-19 的风险似乎并不会增加。因此,遵守适当的 "病假管理规则"、保持充足的药物和用品供应、与治疗小组保持密切联系以及在需要时立即寻求医疗帮助,是确保安全结果的主要建议。在这次大流行中吸取的其他经验教训包括:由于采取了与 COVID-19 相关的保护措施,儿童的作息时间被打乱,从而有可能引发心理健康疾病;为了确保不间断的内分泌护理,必须采取其他沟通方式,如远程医疗访问。
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引用次数: 0
Characteristics of Ovarian Cancer Immune Cell Invasion and Bioinformatics to Predict the Effect of Immunotherapy. 卵巢癌免疫细胞入侵特征与预测免疫疗法效果的生物信息学
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-03-01 Epub Date: 2024-01-19 DOI: 10.1055/a-2231-8475
Lingli Yan, Erxi Fan, Bin Tan

Recent studies have confirmed that tumor immune cell infiltration (ICI) is associated with sensitivity of ovarian cancer (OC) immunotherapy and disease progression of OC patients. However, studies related to immune infiltration in OC, has not been elucidated. Two algorithms are used to analyze the OC data in the TCGA and GEO databases. After combining the two data sets, the immune cell content of the sample was estimated by Cell-type Identification By Estimate Relative Subsets of RNA Transcripts (CIBERSORT method). An unsupervised consistent clustering algorithm was used to analyze ICI subtypes and their differentially expressed genes (DEGs). Two subgroups and three ICI gene clusters were identified by unsupervised consensus clustering algorithm. The ICI score was obtained by analyzing the gene characteristics through principal component analysis (PCA). The ICI score ranged from -15.8132 to 18.7211, which was associated with the prognosis of OC patients with immunotherapy. The Toll-like receptor pathway, B-cell receptor pathway, antigen processing and presentation pathway, NK-cell-mediated cytotoxicity pathway, and arginine-proline metabolism pathway were activated in the high ICI score group, suggesting that immune cells in the high ICI score group were activated, thus leading to a better prognosis in this group of patients. Patients with G3-G4 in the high ICI rating group were more sensitive to immunotherapy and had a better prognosis in patients with high tumor mutation burden (TMB). This study suggests that ICI scores can be used as a feasible auxiliary indicator for predicting the prognosis of patients with OC.

最近的研究证实,肿瘤免疫细胞浸润(ICI)与卵巢癌(OC)免疫疗法的敏感性和卵巢癌患者的疾病进展有关。然而,与卵巢癌免疫浸润相关的研究尚未阐明。我们使用了两种算法来分析 TCGA 和 GEO 数据库中的卵巢癌数据。将两个数据集合并后,通过估算RNA转录本相对子集的细胞类型鉴定(CIBERSORT法)估算样本中的免疫细胞含量。无监督一致聚类算法用于分析 ICI 亚型及其差异表达基因(DEG)。通过无监督共识聚类算法确定了两个亚组和三个 ICI 基因簇。通过主成分分析(PCA)对基因特征进行分析,得到了 ICI 评分。ICI 评分范围为-15.8132 至 18.7211,与接受免疫治疗的 OC 患者的预后相关。在 ICI 高分组中,Toll 样受体通路、B 细胞受体通路、抗原处理和递呈通路、NK 细胞介导的细胞毒性通路和精氨酸-脯氨酸代谢通路被激活,这表明 ICI 高分组中的免疫细胞被激活,从而导致该组患者的预后较好。ICI评分高的G3-G4组患者对免疫疗法更敏感,在肿瘤突变负荷(TMB)高的患者中预后更好。这项研究表明,ICI评分可作为预测OC患者预后的一个可行的辅助指标。
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引用次数: 0
Vitamin D May Play a Vital Role in Alleviating Type 2 Diabetes Mellitus by Modulating the Ferroptosis Signaling Pathway. 维生素 D 可通过调节铁氧化酶信号通路在缓解 2 型糖尿病中发挥重要作用
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-03-01 Epub Date: 2023-07-04 DOI: 10.1055/a-2122-5701
Qiong-Wen Zhang, Yan Wang, Zi-Ying Tong, Cui-Ping Li, Lian-Ping He

Ferroptosis is an iron-dependent death mode mediated by the aggregation of lipid peroxides and lipid-reactive oxygen species. It is characterized by iron-dependent lipid peroxide accumulation accompanied by oxidoreductase deficiency. Pancreatic beta cell dysfunction and insulin resistance are two major causes of type 2 diabetes mellitus (T2DM). Iron accumulation and metabolism may play a role in the development of T2DM. The molecular mechanism of β cell apoptosis and iron death in T2DM were reviewed. In addition, we discuss recent insights on the relationship between the trace element iron and apoptosis of β cells in T2DM.

铁变态反应是一种由脂质过氧化物和脂质活性氧聚集介导的铁依赖性死亡模式。其特点是铁依赖性脂质过氧化物积累,同时伴有氧化还原酶缺乏。胰岛β细胞功能障碍和胰岛素抵抗是导致 2 型糖尿病(T2DM)的两个主要原因。铁的积累和代谢可能在 T2DM 的发病过程中起作用。我们回顾了T2DM中β细胞凋亡和铁死亡的分子机制。此外,我们还讨论了微量元素铁与 T2DM 中 β 细胞凋亡之间关系的最新见解。
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引用次数: 0
Association Between VEGF-460C/T Gene Polymorphism and Risk of Diabetic Retinopathy in Type 2 Diabetes Mellitus: A Meta-Analysis. VEGF-460C/T 基因多态性与 2 型糖尿病视网膜病变风险之间的关系:一项元分析
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-03-01 Epub Date: 2023-12-05 DOI: 10.1055/a-2223-2790
Bo Cheng, Aimin Wu, Xuewei Zhou

The aim of the study was to investigate the relationship between VEGF-460C/T polymorphism and susceptibility to diabetic retinopathy (DR) in type 2 diabetes mellitus (T2DM) by meta-analysis. A comprehensive search was conducted across six databases until September 2023 to identify studies examining the association between VEGF-460C/T polymorphism and susceptibility to DR. Data process was performed by Stata 15.0 software. Eight studies were included, involving 1463 patients with DR. In the overall analysis, the difference was statistically significant only in the homozygous model (CC vs. TT: OR=1.86, p=0.048). A subgroup analysis of 6 papers with genotype frequency satisfying HWE in the control group indicated significant differences among the allele (C vs. T: OR=1.34, p=0.037), recessive (CC vs. CT+TT: OR=1.96, p=0.022) and homozygous (CC vs. TT: OR=2.28, p=0.015) models. However, in the dominant and heterozygous models, the difference was not statistically significant. The sensitivity of the HWE-based subgroup analysis showed that the conclusions in other gene models except the heterozygote model were not robust. This meta-analysis indicated that VEGF-460C/T gene polymorphism is associated with susceptibility to DR in T2DM. Allele C and genotype CC at the VEGF-460C/T locus are associated with an increased risk of DR in T2DM. However, considering that the results are not robust, more trials involving more rigorous design are needed to verify the findings of this review in the future.

通过荟萃分析研究 VEGF-460C/T 多态性与 2 型糖尿病(T2DM)患者糖尿病视网膜病变(DR)易感性之间的关系。在 2023 年 9 月之前,对六个数据库进行了全面检索,以确定研究 VEGF-460C/T 多态性与 DR 易感性之间关系的研究。数据处理由 Stata 15.0 软件完成。共纳入 8 项研究,涉及 1463 名 DR 患者。在总体分析中,只有在同基因模型(CC 与 TT:OR=1.86,P=0.048)中,差异才具有统计学意义。对对照组中基因型频率满足 HWE 的 6 篇论文进行的亚组分析表明,在等位基因(C vs. T:OR= 1.34,p= 0.037)、隐性(CC vs. CT+TT:OR= 1.96,p= 0.022)和同基因(CC vs. TT:OR= 2.28,p= 0.015)模型下差异显著。然而,在显性和杂合子模型中,差异无统计学意义。基于 HWE 的亚组分析的敏感性表明,除杂合基因模型外,其他基因模型的结论并不可靠。这项荟萃分析表明,VEGF-460C/T 基因多态性与 T2DM 患者的 DR 易感性有关。VEGF-460C/T基因位点的等位基因C和基因型CC与T2DM患者罹患DR的风险增加有关。然而,考虑到研究结果并不可靠,未来需要更多设计更严格的试验来验证本综述的结论。
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引用次数: 0
The N-Methyl-D-Aspartate Receptor Antagonist Dextromethorphan Improves Glucose Homeostasis and Preserves Pancreatic Islets in NOD Mice. N-甲基-D-天门冬氨酸受体拮抗剂右美沙芬能改善 NOD 小鼠的葡萄糖稳态并保护胰岛。
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-03-01 Epub Date: 2024-01-02 DOI: 10.1055/a-2236-8625
Laura Wörmeyer, Oliver Nortmann, Anna Hamacher, Celina Uhlemeyer, Bengt Belgardt, Daniel Eberhard, Ertan Mayatepek, Thomas Meissner, Eckhard Lammert, Alena Welters

For treatment of type 1 diabetes mellitus, a combination of immune-based interventions and medication to promote beta-cell survival and proliferation has been proposed. Dextromethorphan (DXM) is an N-methyl-D-aspartate receptor antagonist with a good safety profile, and to date, preclinical and clinical evidence for blood glucose-lowering and islet-cell-protective effects of DXM have only been provided for animals and individuals with type 2 diabetes mellitus. Here, we assessed the potential anti-diabetic effects of DXM in the non-obese diabetic mouse model of type 1 diabetes. More specifically, we showed that DXM treatment led to five-fold higher numbers of pancreatic islets and more than two-fold larger alpha- and beta-cell areas compared to untreated mice. Further, DXM treatment improved glucose homeostasis and reduced diabetes incidence by 50%. Our data highlight DXM as a novel candidate for adjunct treatment of preclinical or recent-onset type 1 diabetes.

为治疗 1 型糖尿病,有人提出将基于免疫的干预措施与促进β细胞存活和增殖的药物相结合。右美沙芬(DXM)是一种N-甲基-D-天冬氨酸受体拮抗剂,具有良好的安全性,迄今为止,DXM降低血糖和保护胰岛细胞作用的临床前和临床证据仅用于动物和2型糖尿病患者。在这里,我们评估了 DXM 在非肥胖糖尿病小鼠 1 型糖尿病模型中的潜在抗糖尿病作用。更具体地说,我们发现与未经治疗的小鼠相比,DXM 治疗可使胰岛数量增加五倍,α-和β-细胞面积扩大两倍以上。此外,DXM 治疗还能改善葡萄糖稳态,并将糖尿病发病率降低 50%。我们的数据突出表明,DXM 是辅助治疗临床前或近期发病的 1 型糖尿病的新型候选药物。
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引用次数: 0
Ferroptosis: A Frontier in Osteoporosis 铁氧化酶:骨质疏松症的前沿
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-02-02 DOI: 10.1055/a-2230-2664
Shubhrat Maheshwari, Aditya Singh, Amita Verma

Reduced bone mass and degeneration of the microarchitecture of bone tissue are the hallmarks of osteoporosis, a bone metabolic disease that increases skeletal fragility and fracture susceptibility. Osteoporosis is primarily caused by unbalanced bone remodeling, in which bone synthesis is outpaced by bone resorption caused by osteoclasts. Along with the bone-building vitamins calcium and vitamin D, typical medications for treating osteoporosis include bisphosphonates and calcitonin. The present therapies effectively stop osteoclast activation that is too high, however they come with varying degrees of negative effects. Numerous factors can contribute to osteoporosis, which is characterized by a loss of bone mass and density due to the deterioration of the bone’s microstructure, which makes the bone more fragile. As a result, it is a systemic bone condition that makes patients more likely to fracture. Interest in the function of ferroptosis in the pathophysiology of osteoporosis is developing. In this review, we go through the shape of the cell, the fundamental mechanisms of ferroptosis, the relationship between osteoclasts and osteoblasts, the association between ferroptosis and diabetic osteoporosis, steroid-induced osteoporosis, and the relationship between ferroptosis and postmenopausal osteoporosis. The functions of ferroptosis and osteoporosis in cellular function, signaling cascades, pharmacological inhibition, and gene silencing have been better understood thanks to recent advances in biomedical research.

骨质疏松症是一种骨代谢疾病,会增加骨骼的脆弱性和骨折的易感性。骨质疏松症主要是由不平衡的骨重塑引起的,在这种情况下,破骨细胞引起的骨吸收超过了骨合成。除了健骨维生素钙和维生素 D 外,治疗骨质疏松症的典型药物还包括双膦酸盐和降钙素。这些疗法能有效阻止破骨细胞的过度激活,但也会带来不同程度的负面影响。导致骨质疏松症的因素有很多,骨质疏松症的特点是由于骨骼微观结构退化导致骨量和骨密度下降,从而使骨骼变得更加脆弱。因此,骨质疏松症是一种全身性骨病,患者更容易骨折。人们对铁蛋白沉积在骨质疏松症病理生理学中的功能越来越感兴趣。在这篇综述中,我们将从细胞的形状、高铁血症的基本机制、破骨细胞和成骨细胞之间的关系、高铁血症与糖尿病骨质疏松症、类固醇诱导的骨质疏松症之间的关系以及高铁血症与绝经后骨质疏松症之间的关系等方面进行阐述。得益于近年来生物医学研究的进步,人们对铁变态反应和骨质疏松症在细胞功能、信号级联、药物抑制和基因沉默等方面的功能有了更深入的了解。
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引用次数: 0
Maternal Gestational Diabetes Mellitus and Congenital Heart Disease in Offspring: A Meta-Analysis 母体妊娠糖尿病与后代先天性心脏病:元分析
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-02-02 DOI: 10.1055/a-2238-1710
Yun Liu, Lina Yue, Li Chang

Maternal diabetes has been related to an increased risk of congenital heart disease (CHD) in offspring. However, inconsistent results were retrieved for studies evaluating the association between gestational diabetes mellitus (GDM) and CHD in offspring. We therefore performed a systematic review and meta-analysis for comprehensive investigation. Observational studies were identified by searching PubMed, Embase, and Web of Science according to the aim of the meta-analysis. A randomized-effects model was used to pool the data by incorporating the influence of potential heterogeneity. Twenty-three observational studies, involving 46953078 mother-child pairs, were available for the meta-analysis. Among them, 2131800 mothers were diagnosed as GDM and 214379 newborns had CHD. Overall, maternal GDM was associated with a higher incidence of CHD in offspring [odds ratio (OR): 1.32, 95% confidence interval (CI): 1.21 to 1.45, p<0.001; I2=62%]. Sensitivity analysis limited to studies with adjustment of maternal age and other potential confounding factors showed similar results (OR: 1.40, 95% CI: 1.30 to 1.51, p<0.001; I2=47%). Subgroup analysis suggested that the association between maternal GDM and CHD in offspring was not significantly affected by methods for diagnosis of GDM, methods for confirmation of CHD, or study quality scores (p for subgroup difference all>0.05). Subsequent analysis according to types of CHD showed that maternal GDM was associated with higher risks of atrial septal defect, ventricular septal defect, and Tetralogy of Fallot. Maternal GDM may be associated with a higher risk of CHD in offspring.

母体糖尿病与后代罹患先天性心脏病(CHD)的风险增加有关。然而,对妊娠期糖尿病(GDM)与后代先天性心脏病之间关系的评估研究结果并不一致。因此,我们进行了系统回顾和荟萃分析,以进行全面调查。根据荟萃分析的目的,我们在PubMed、Embase和Web of Science上检索了观察性研究。考虑到潜在异质性的影响,采用随机效应模型对数据进行汇总。共有 23 项观察性研究可用于荟萃分析,涉及 46953078 对母婴。其中,2131800 名母亲被诊断为 GDM,214379 名新生儿患有先天性心脏病。总体而言,母体 GDM 与后代较高的先天性心脏病发病率相关[几率比(OR):1.32,95% 置信区间(CI):1.21 至 1.45,P0.05]。随后根据先天性心脏病的类型进行的分析表明,母体 GDM 与房室间隔缺损、室间隔缺损和法洛氏四联症的较高风险相关。母亲患 GDM 可能与后代患先天性心脏病的风险较高有关。
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Hormone and Metabolic Research
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