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Anti-migratory effect of curcumin on A-549 lung cancer cells via epigenetic reprogramming of RECK/ matrix metalloproteinase axis. 姜黄素通过rek /基质金属蛋白酶轴的表观遗传重编程对A-549肺癌细胞的抗迁移作用
IF 1 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1515/hmbci-2021-0100
Shabnam Mostofi, Dariush Shanehbandi, Seyyed Ali Rahmani, Milad Asadi

Objectives: The aim of this study was to investigate the effects of curcumin on the viability, migration, and apoptosis of A549 lung cancer cells. Furthermore, RECK/MMPs axis as a probable regulator of cancer cell migration was assessed.

Methods: In this study, effect of curcumin on viability changes, cell migration, and percentage of apoptosis of A549 non-small cell lung carcinoma was examined. The methylation status of RECK gene was investigated using MS-HRM technique. Moreover, expression changes of genes involved in apoptosis and migration (including CASP3, CASP8, CASP9, BAX, BCL2, MMP9, MMP2, and RECK) were investigated by quantitative Real-Time PCR.

Results: The results of MTT assay showed that the cytotoxic effect of curcumin was in a dose dependent manner. Flow cytometry results demonstrated a significant increase in the percentage of apoptotic cells in curcumin treated group. In addition, curcumin inhibited migration rate in lung cancer cells. qRT-PCR revealed that expression of the candidate genes was in line with suppressed growth and migration. This could be due to, decreased methylation of the RECK gene promoter after curcumin treatment.

Conclusions: Curcumin inhibited lung cancer cells through various molecular pathways. RECK/MMPs axis as a regulator of cancer cell migration was modulated after curcumin treatment and invasion of lung cancer cells was decreased.

目的:研究姜黄素对肺癌A549细胞的活力、迁移和凋亡的影响。此外,RECK/MMPs轴作为癌细胞迁移的可能调节因子被评估。方法:观察姜黄素对A549非小细胞肺癌细胞活力变化、细胞迁移及凋亡率的影响。采用MS-HRM技术研究了RECK基因的甲基化状态。通过实时荧光定量PCR检测细胞凋亡和迁移相关基因(CASP3、CASP8、CASP9、BAX、BCL2、MMP9、MMP2、RECK)的表达变化。结果:MTT法显示姜黄素的细胞毒作用呈剂量依赖性。流式细胞术结果显示姜黄素处理组凋亡细胞百分比明显增加。此外,姜黄素抑制肺癌细胞的迁移速度。qRT-PCR结果显示,候选基因的表达与抑制生长和迁移一致。这可能是由于姜黄素治疗后,降低了RECK基因启动子的甲基化。结论:姜黄素通过多种分子途径抑制肺癌细胞。在姜黄素治疗后,作为癌细胞迁移调节因子的RECK/MMPs轴被调节,肺癌细胞的侵袭减少。
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引用次数: 2
COVID-19 pandemic: transmission of SARS-CoV-2 in animals, a risk for human beings. COVID-19大流行:SARS-CoV-2在动物中传播,对人类构成风险。
IF 1 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1515/hmbci-2021-0109
Ashok Kumar Ahirwar, Kirti Kaim, Pradeep Ahirwar, Jitender Prasad
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引用次数: 0
Potential role of melatonin in prevention and treatment of lung cancer. 褪黑素在防治肺癌中的潜在作用。
IF 1 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1515/hmbci-2022-0018
Zi Ni Ngai, Kian Chung Chok, Khuen Yen Ng, Rhun Yian Koh, Soi Moi Chye

Lung cancer is the second most common cancer and the most lethal cancer worldwide. Melatonin, an indoleamine produced in the pineal gland, shows anticancer effects on a variety of cancers, especially lung cancer. Herein, we clarify the pathophysiology of lung cancer, the association of circadian rhythm with lung, and the relationship between shift work and the incidence of lung cancer. Special focus is placed on the role of melatonin receptors in lung cancer, the relationship between inflammation and lung cancer, control of cell proliferation, apoptosis, autophagy, and immunomodulation in lung cancer by melatonin. A review of the drug synergy of melatonin with other anticancer drugs suggests its usefulness in combination therapy. In summary, the information compiled may serve as a comprehensive reference for the various mechanisms of action of melatonin against lung cancer, as a guide for the design of future experimental research and for advancing melatonin as a therapeutic agent for lung cancer.

肺癌是世界上第二常见的癌症,也是最致命的癌症。褪黑素是松果体中产生的一种吲哚胺,对多种癌症有抗癌作用,尤其是肺癌。在此,我们阐明了肺癌的病理生理,昼夜节律与肺的关系,以及轮班工作与肺癌发病率的关系。特别关注褪黑激素受体在肺癌中的作用,炎症与肺癌的关系,褪黑激素对肺癌细胞增殖、凋亡、自噬和免疫调节的控制。对褪黑激素与其他抗癌药物协同作用的回顾表明其在联合治疗中的有效性。综上所述,所收集的信息可为了解褪黑素抗肺癌的各种作用机制提供综合参考,为今后的实验研究设计提供指导,并进一步推进褪黑素作为肺癌治疗剂的应用。
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引用次数: 3
Reduced irisin levels in patients with acromegaly. 肢端肥大症患者鸢尾素水平降低。
IF 1 Q3 Medicine Pub Date : 2022-07-19 eCollection Date: 2022-09-01 DOI: 10.1515/hmbci-2022-0009
Suleyman Nahit Sendur, Gokhan Baykal, Busra Firlatan, Busra Aydin, Incilay Lay, Selcuk Dagdelen, Mehmet Alikasifoglu, Tomris Erbas

Objectives: Several metabolic disturbances are seen in acromegaly however, data regarding the contribution of irisin to these disturbances is currently insufficient. In a cohort of patients with acromegaly, we measured serum irisin levels in active and controlled cases and determined independent factors that effect serum irisin including fibronectin type III domain-containing protein 5 (FNDC5) genotyping.

Methods: A cross-sectional case-control study including 46 patients with acromegaly (28 F/18 M, age: 50.3 ± 12.1 year, BMI: 30.7 ± 5.1 kg/m2) and 81 age-, gender-, body mass index- and body composition-matched healthy controls was conducted. 15 acromegalic patients (33%) had active disease. Irisin levels were measured by enzyme-linked immunosorbent assay. Three different regions (rs3480, rs1746661, and rs16835198) of FNDC5 were subjected to polymorphism analyses.

Results: Both groups were overweight and had similar body composition. Irisin levels were lower in patients with acromegaly than controls (median [IQR]: 44.8 [41.7-46.7] ng/mL vs. 51.7 [45.5-60.1] ng/mL, p≤0.001, respectively). Active and controlled patients had similar irisin levels. Irisin was not correlated with growth hormone (GH), insulin-like growth factor 1 (IGF-1), and IGF-1 index. In multiple linear regression model, somatostatin receptor ligand use (β=-20.30, 95% CI [-34]-[-6], p=0.006) was determined as the only independent factor that affect serum irisin.

Conclusions: Serum irisin levels are low in patients with acromegaly who are on somatostatin receptor ligand therapy. Single nucleotide polymorphisms (SNPs) of FNDC5 have no independent effects on circulating irisin levels under somatostatin ligand action. Endocrine muscle functions also seem to be regulated by somatostatin action, which requires further studies.

目的:肢端肥大症中有几种代谢紊乱,然而,鸢尾素在这些紊乱中的作用目前还不充分。在一组肢端肥大症患者中,我们测量了活跃病例和对照病例的血清鸢尾素水平,并确定了影响血清鸢尾素的独立因素,包括纤维连接蛋白III型结构域含蛋白5 (FNDC5)基因分型。方法:采用横断面病例对照研究,纳入46例肢端肥大症患者(28 F/18 M,年龄:50.3±12.1岁,BMI: 30.7±5.1 kg/m2)和81例年龄、性别、体质指数和身体成分匹配的健康对照。肢端肥大症患者15例(33%)有活动性疾病。采用酶联免疫吸附法测定鸢尾素水平。对FNDC5的3个不同区域(rs3480、rs1746661和rs16835198)进行多态性分析。结果:两组均超重,体成分相似。肢端肥大症患者的鸢尾素水平低于对照组(中位数[IQR]: 44.8 [41.7-46.7] ng/mL vs. 51.7 [45.5-60.1] ng/mL, p≤0.001)。活跃组和对照组患者的鸢尾素水平相似。鸢尾素与生长激素(GH)、胰岛素样生长因子1 (IGF-1)及IGF-1指数无相关性。在多元线性回归模型中,生长抑素受体配体的使用(β=-20.30, 95% CI [-34]-[-6], p=0.006)是影响血清鸢尾素的唯一独立因素。结论:肢端肥大症患者在接受生长抑素受体配体治疗时血清鸢尾素水平较低。FNDC5的单核苷酸多态性(snp)在生长抑素配体作用下对循环鸢尾素水平无独立影响。肌肉内分泌功能似乎也受生长抑素作用的调节,这需要进一步的研究。
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引用次数: 0
Endometriosis at all ages: diagnostic ultrasound 所有年龄段的子宫内膜异位症:超声诊断
IF 1 Q3 Medicine Pub Date : 2022-06-01 DOI: 10.1515/hmbci-2021-0082
M. Bäumler, Niko Heiss, R. Druckmann
Abstract Endometriosis is a gynecological disease affecting about 10% of the female population. The multifactorial hormonal, inflammatory, genetic, mental and behavior pathogenesis can result in chronic pelvic pain, blooding disorders and infertility causing disruption of quality of life. Correct diagnosis of the extension and topography is substantial in defining the adequate therapeutic strategy. In an increasing proportion of the cases, endometriosis is being managed medically and para-medically; diagnostic or therapeutic surgery can often be avoided or delayed. Transvaginal sonography is considered being the first-line imaging method in the diagnosis of pelvic endometriosis. The paradigm shift from the belief that endometriosis only affects women of reproductive age has drawn attention to endometriosis in both premenarchal and postmenopausal patients. This review resumes the actually recommended ultrasound signs in the case of patients in menstrual age. Specific diagnostic approaches in adolescent and menopausal patients are highlighted.
子宫内膜异位症是一种影响约10%女性人口的妇科疾病。多因素的激素、炎症、遗传、精神和行为发病机制可导致慢性盆腔疼痛、血液紊乱和不孕,从而影响生活质量。正确诊断延伸和地形对于确定适当的治疗策略至关重要。在越来越多的病例中,子宫内膜异位症正在接受医学和准医学治疗;诊断性或治疗性手术通常可以避免或延迟。经阴道超声被认为是诊断盆腔子宫内膜异位症的一线影像学方法。从认为子宫内膜异位症只影响育龄妇女的观念转变,引起了人们对绝经前和绝经后患者子宫内膜异位症的关注。本综述恢复实际推荐的超声征象的情况下,在月经年龄的患者。在青少年和更年期患者的具体诊断方法是突出。
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引用次数: 1
Oxytocin, the panacea for long-COVID? a review 催产素,治疗长期新冠肺炎的灵丹妙药?评论
IF 1 Q3 Medicine Pub Date : 2022-05-16 DOI: 10.1515/hmbci-2021-0034
P. Diep, M. Chaudry, Adam Dixon, Faisal Chaudry, V. Kasabri
Abstract Objectives In this hypothesis paper we explore the underlying mechanisms for long-COVID and how the oxytocinergic neurones could be infected by SARS-CoV-2 leading to a reduction in plasma oxytocin (OXT). Furthermore, we aim to review the relevance of OXT and hypothalamic function in recovery from long-COVID symptoms and pathology, through exploring the pro-health effects of the OXT neuropeptide. Methods A review of published literature was surveyed using Google Scholar and PubMed. Results Numerous experimental data can be shown to correlate with OXT and long-COVID symptoms and conditions, thus providing strong circumstantial evidence to support our hypothesis. It is postulated that the reduction in plasma OXT due to acute and post-viral damage to the hypothalamus and oxytocinergic neurones contributes to the variable multi-system, remitting and relapsing nature of long-COVID. The intranasal route of OXT application was determined to be most appropriate and clinically relevant for the restoration of oxytocinergic function post COVID-19 infection. Conclusions We believe it is imperative to further investigate whether OXT alleviates the prolonged suffering of patients with long-COVID. Succinctly, OXT may be the much-needed post-pandemic panacea. Highlights – A comparison of long-COVID pathology with OXT therapeutic mechanisms was performed – Following advances in neuroendocrinology and proposed use of OXT as an acute antiviral for COVID-19; we elaborate OXT mechanisms in treating long-COVID, via therapeutic relevance and methods of administration. – Further demonstration of OXT levels for different demographic and susceptibility groups, acute levels in COVID-19 patients and periodic monitoring of OXT levels is warranted.
摘要目的在这篇假设论文中,我们探讨了长covid的潜在机制,以及催产素能神经元如何被SARS-CoV-2感染导致血浆催产素(OXT)降低。此外,我们旨在通过探索OXT神经肽的促健康作用,回顾OXT与下丘脑功能在covid - 19长期症状和病理恢复中的相关性。方法通过谷歌Scholar和PubMed检索已发表的文献。结果大量实验数据显示,OXT与长期covid症状和状况相关,为我们的假设提供了有力的间接证据。据推测,由于下丘脑和催产素能神经元的急性和病毒后损伤导致血浆OXT减少,这有助于长期covid的可变多系统,缓解和复发性。经鼻给药是COVID-19感染后恢复催产素功能最合适且具有临床相关性的途径。结论我们认为有必要进一步研究OXT是否减轻了长期covid患者的长期痛苦。简而言之,OXT可能是大流行后急需的灵丹妙药。重点-进行了长期covid病理与OXT治疗机制的比较-随着神经内分泌学的进展,并建议使用OXT作为COVID-19的急性抗病毒药物;我们通过治疗相关性和给药方法阐述了OXT治疗长期covid的机制。-有必要进一步证明不同人口统计学和易感群体的OXT水平、COVID-19患者的急性水平和定期监测OXT水平。
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引用次数: 2
Anti Mullerian hormone as a diagnostic tool for polycystic ovary syndrome in women of reproductive age with morbid obesity. 将抗穆勒氏管激素作为病态肥胖育龄妇女多囊卵巢综合征的诊断工具。
IF 1.1 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2022-05-05 eCollection Date: 2022-12-01 DOI: 10.1515/hmbci-2021-0078
Ibtissem Oueslati, Mohamed Bassem Hammami, Seif Boukriba, Hana Ben Hadj Hassen, Meriem Yazidi, Fatma Chaker, Habiba Mizouni, Moncef Feki, Melika Chihaoui

Objectives: The aim of the study was to analyze the performance of the anti-mullerian hormone (AMH) level for the diagnosis of polycystic ovary syndrome in women with morbid obesity.

Study design: A single-centre cross-sectional study was conducted in 50 women of reproductive age with a body mass index (BMI) ≥ 40 kg/m2. Each patient underwent a clinical examination, biological and hormonal assays, and an ovarian ultrasound between the third and the fifth day of the menstrual cycle. Polycystic ovary syndrome was diagnosed according to the Rotterdam's criteria.

Results: The mean age of participants was 34.2 ± 7.5 years. Polycystic ovary syndrome was diagnosed in 20 women (40%). Age and anthropometric parameters did not differ between women with and without polycystic ovary syndrome. The mean AMH level was significantly higher in women with polycystic ovary syndrome (3.4 ± 3.6 vs 1.3 ± 1.2 ng/ml, p=0.010). It was positively correlated with the Ferriman and Gallwey score (r=0.496, p=0.016), total testosterone level (r=0.524, p < 10-3) and the LH/FSH ratio (r=0.290, p=0.046). In women aged between 35 and 45 years, the optimum cut-off level for the diagnosis of polycystic ovary syndrome was 0.81 ng/mL, providing a sensitivity and a specificity of 90 and 71%, respectively with an area under the ROC curve of 0.857.

Conclusions: AMH level was significantly higher in morbid obese women with polycystic ovary syndrome compared with those without polycystic ovary syndrome. Specific thresholds for this population must be assessed to improve the sensitivity and specificity of AMH for the diagnosis of polycystic ovary syndrome.

研究目的研究目的:分析抗苗勒氏管激素(AMH)水平在诊断病态肥胖女性多囊卵巢综合征中的作用:研究设计:对 50 名体重指数(BMI)≥ 40 kg/m2 的育龄妇女进行了单中心横断面研究。每位患者都在月经周期的第三天至第五天期间接受了临床检查、生物和激素测定以及卵巢超声波检查。多囊卵巢综合征的诊断依据鹿特丹标准:结果:参与者的平均年龄为(34.2 ± 7.5)岁。20名妇女(40%)被诊断为多囊卵巢综合征。患有和未患有多囊卵巢综合征的妇女在年龄和人体测量参数上没有差异。多囊卵巢综合征妇女的平均 AMH 水平明显更高(3.4 ± 3.6 vs 1.3 ± 1.2 ng/ml,P=0.010)。它与 Ferriman 和 Gallwey 评分(r=0.496,p=0.016)、总睾酮水平(r=0.524,p -3)和 LH/FSH 比率(r=0.290,p=0.046)呈正相关。在 35 至 45 岁的女性中,诊断多囊卵巢综合征的最佳临界值为 0.81 纳克/毫升,灵敏度和特异度分别为 90%和 71%,ROC 曲线下面积为 0.857:结论:患有多囊卵巢综合征的病态肥胖妇女的AMH水平明显高于无多囊卵巢综合征的妇女。必须对这一人群的特定阈值进行评估,以提高 AMH 诊断多囊卵巢综合征的灵敏度和特异性。
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引用次数: 0
Hypoglycemic, hypolipidemic and hepatoprotective effects of Alpinia officinarum on nicotinamide/streptozotocin induced type II diabetic rats 高良姜对烟酰胺/链脲佐菌素诱导的Ⅱ型糖尿病大鼠的降血糖、降血脂和保肝作用
IF 1 Q3 Medicine Pub Date : 2022-05-02 DOI: 10.1515/hmbci-2021-0050
H. Heidari, A. Khalaj, S. Khani, Maasoume Abdollahi, H. Farahani, S. Khani
Abstract Objectives Alpinia officinarum Hance, commonly known as lesser galangal, is a member of the ginger family (Zingiberaceae) traditionally used for many decades to treat inflammation, pain, stomach ache and cold. In the present study, the antidiabetic and hypolipidemic potentials of the hydroalcoholic extract of A. officinarum (AO) were investigated in the nicotinamide/streptozotocin induced type II diabetic rats. Methods Male Wistar rats were divided into following six groups: Group I was normal control rats. Group II: normal diabetic control, Group III: Diabetic rats treated with glibenclamide (0.25 mg/kg), IV, V and VI: Diabetic rats treated with 100, 200 and 500 mg/kg AO hydroalcoholic extract by daily gavage for 28 days, respectively. At the end of treatment, biochemical analysis, histological study, phytochemical analysis and acute toxicity tests were carried out. Results The results show significant reduction in blood glucose, serum lipid profiles, and liver enzyme levels in diabetic rats compared with diabetic control in AO treated group. Conclusions In conclusion, the present study demonstrated that AO extract had significant (p<0.05) antidiabetic and anti-hyperlipidemia effects in addition to hepatoprotective effect in type II diabetic rats.
摘要目的高良姜(Alpinia officinarum Hance),俗称小高良姜,是姜科姜科姜的一员,几十年来一直用于治疗炎症、疼痛、胃痛和感冒。在本研究中,研究了铁皮石斛水醇提取物(AO)在烟酰胺/链脲佐菌素诱导的II型糖尿病大鼠中的抗糖尿病和降血脂潜力。方法雄性Wistar大鼠分为6组:Ⅰ组为正常对照组。第二组:正常糖尿病对照组,第三组:用格列本脲(0.25 mg/kg)治疗的糖尿病大鼠,第四、第五和第六组:糖尿病大鼠分别用每天灌胃的100、200和500 mg/kg AO水醇提取物治疗28天。治疗结束时,进行了生化分析、组织学研究、植物化学分析和急性毒性试验。结果与糖尿病对照组相比,AO治疗组糖尿病大鼠的血糖、血脂和肝酶水平显著降低。结论本研究表明,AO提取物对II型糖尿病大鼠除具有保肝作用外,还具有显著的抗糖尿病和抗高脂血症作用(p<0.05)。
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引用次数: 2
Association of obesity in T2DM with differential polymorphism of ghrelin, growth hormone secretagogue receptor-1 and telomeres maintenance genes 2型糖尿病患者肥胖与胃促生长素、生长激素促分泌受体-1和端粒维持基因差异多态性的关系
IF 1 Q3 Medicine Pub Date : 2022-04-21 DOI: 10.1515/hmbci-2021-0063
H. Giha, F. Joatar, Dhuha M. B. AlDehaini, Z. Malalla, Muhalab E. Ali, Ali Al Qarni
Abstract Background Although obesity and T2DM comorbidity is too frequent, the molecular basis of diabetic obesity is largely unexplained and barely investigated. Materials Cross-sectional studies were conducted in Kingdom of Saudi Arabia (KSA) in 2013 and Kuwait in 2019. Fasting blood samples were obtained from a total of 216 T2DM patients (104 from KSA) and 193 nondiabetic subjects (93 from KSA) after their consents. Eight SNPs in 5 genes known to be associated with both obesity and T2DM, ghrelin (GHRL) and growth hormone secretagogue receptor -GHSR (KSA) and telomeres maintenance genes (Kuwait) were genotyped by rtPCR. Both patients and controls were grouped into obese and non-obese and sub-grouped into 4-BMI- grades: normal, overweight (OW), obese (OBS) and severely obese (SOBS). Results Showed that the only SNP which was distinguished between all groups/subgroups in all study subjects was the ACYP2 rs6713088G/C, where the common CC genotype was under-expressed in the obese compared to non-obese diabetics (17.8% vs. 40.4%, p 0.01) and between the 4-BMI-grade (p 0.025). Interestingly the same genotype was over-expressed in obese compared to non-obese non-diabetics (50% vs. 27.6%, p 0.04). Furthermore, the GHRL (rs27647C/T), GHSR (rs509030G/C) and TERC (rs12696304G/C) MAFs were significantly low in normal BMI patients; p=0.034, 0.008 and 0.011, respectively. Conclusions This is the first report about the molecular distinction between the obese and non-obese diabetics, it showed the association of rs6713088G/C mutant allele with diabetic obesity, while the GHRL, GHSR and TERC SNPs were differentially expressed based on the BMI-grades.
虽然肥胖和2型糖尿病的合并症过于频繁,但糖尿病性肥胖的分子基础在很大程度上是无法解释的,几乎没有研究。2013年在沙特阿拉伯王国(KSA)和2019年在科威特进行了横断面研究。经患者同意后,共采集216例T2DM患者(104例来自KSA)和193例非糖尿病患者(93例来自KSA)的空腹血样。通过rt - pcr对5个已知与肥胖和T2DM相关的基因、生长素(GHRL)和生长激素分泌受体-GHSR (KSA)以及端粒维持基因(Kuwait)中的8个snp进行基因分型。将患者和对照组分为肥胖和非肥胖,并将其分为4个bmi等级:正常、超重(OW)、肥胖(OBS)和严重肥胖(SOBS)。结果显示,在所有研究对象中,所有组/亚组之间唯一有区别的SNP是ACYP2 rs6713088G/C,其中肥胖患者与非肥胖糖尿病患者相比,常见CC基因型表达不足(17.8%比40.4%,p 0.01), 4- bmi级之间(p 0.025)。有趣的是,与非肥胖非糖尿病患者相比,肥胖患者中相同的基因型过度表达(50%对27.6%,p 0.04)。此外,正常BMI患者的GHRL (rs27647C/T)、GHSR (rs509030G/C)和TERC (rs12696304G/C) mfs均显著降低;P =0.034, 0.008, 0.011。结论本文首次报道了肥胖与非肥胖糖尿病患者的分子差异,发现rs6713088G/C突变等位基因与糖尿病性肥胖存在关联,而GHRL、GHSR和TERC snp根据bmi分级存在差异表达。
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引用次数: 0
A study on lipoprotein-a and PAI-1 in women with polycystic ovary syndrome 多囊卵巢综合征患者脂蛋白A和PAI-1的研究
IF 1 Q3 Medicine Pub Date : 2022-04-20 DOI: 10.1515/hmbci-2021-0044
A. K. Shah, B. Yadav, A. Suri, A. K. Shah
Abstract Objectives PCOS is the most common endocrinological disorder amongst women of reproductive age. The consequences of PCOS extend beyond the reproductive axis and may lead to the development of metabolic syndrome leading to a high risk for hypertension and cardiovascular disease. Therefore, a more comprehensive evaluation of biochemical markers that reflect the cardiovascular risk is required for further understanding of pathophysiologic mechanisms, diagnosis and management. Methods In this case-control study, women diagnosed with PCOS (n=100) in the age group (18–35 years) years were taken as cases and age matched healthy controls (n=100) were enrolled. Estimations of fasting plasma Glucose, serum total cholesterol (TC), triglycerides (TG) and High-density lipoprotein (HDL) concentrations were assayed while Low-density lipoprotein (LDL) was calculated by using Fredrickson Friedwald’s formula. Serum Lipoprotein-a (Lp-a) was estimated using ELISA (Enzyme Linked Immunosorbent Assay). The quantitative data were expressed as Mean ± Standard Deviation (SD). Unpaired Student’s t-test was used to compare the values (PCOS vs Controls) and Pearson’s correlation coefficient was used to elucidate the relationship between the variables. Results FBS and all lipid parameters were significantly increased in PCOS patients compared to control subjects. On the other hand, HDL-C was significantly decreased as compared to the control subjects. The hormones TSH, LH, FSH, PRL and LH/FSH ratio were significantly increased in PCOS patients compared to control subjects. Lipoprotein-a and PAI-1 was significantly increased in PCOS patients compared to the control subjects. Upon bivariate correlation analysis, Lp(a) had significant correlations with PAI-1 (r=0.35, p=0.000), WHR (r=0.25, p=0.000), LDL (r=0.52, p=0.000) and TSH (r=0.24, p=0.000). While the correlations with FBS (r=−0.008, p=0.91) and LH/FSH ratio (r=−0.004, p=0.95) were statistically insignificant. Conclusions The evaluation of serum biomarkers such as Lp-a, PAI-1 and lipid profile routinely in PCOS patients may have diagnostic role in the early detection of metabolic abnormalities and endocrine derangements and timely management of comorbid Diabetes and Cardiovascular disease in PCOS females.
摘要目的多囊卵巢综合征(PCOS)是育龄妇女最常见的内分泌疾病。多囊卵巢综合征的后果超出了生殖轴,并可能导致代谢综合征的发展,从而导致高血压和心血管疾病的高风险。因此,需要更全面地评价反映心血管危险的生化标志物,以进一步了解病理生理机制、诊断和管理。方法采用病例对照研究方法,选取18 ~ 35岁年龄组中诊断为多囊卵巢综合征的女性(n=100)为病例,同时选取年龄匹配的健康对照(n=100)。测定空腹血糖、血清总胆固醇(TC)、甘油三酯(TG)和高密度脂蛋白(HDL)浓度,采用Fredrickson Friedwald公式计算低密度脂蛋白(LDL)。采用ELISA(酶联免疫吸附法)测定血清脂蛋白a (Lp-a)。定量数据以均数±标准差(SD)表示。采用Unpaired Student’s t检验比较PCOS与对照的值,采用Pearson相关系数说明变量之间的关系。结果与对照组相比,PCOS患者FBS及各项血脂指标均显著升高。另一方面,与对照组相比,HDL-C显著降低。与对照组相比,PCOS患者TSH、LH、FSH、PRL及LH/FSH比值均显著升高。与对照组相比,PCOS患者的脂蛋白a和PAI-1明显升高。双变量相关分析显示,Lp(a)与PAI-1 (r=0.35, p=0.000)、WHR (r=0.25, p=0.000)、LDL (r=0.52, p=0.000)、TSH (r=0.24, p=0.000)具有显著相关性。而与FBS (r= - 0.008, p=0.91)和LH/FSH比值(r= - 0.004, p=0.95)的相关性无统计学意义。结论常规检测PCOS患者血清Lp-a、PAI-1、血脂等生物标志物,对早期发现PCOS女性代谢异常、内分泌紊乱,及时处理合并症糖尿病及心血管疾病具有诊断作用。
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引用次数: 3
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Hormone Molecular Biology and Clinical Investigation
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