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Onychomycosis: An Updated Review 甲真菌病:最新综述
Pub Date : 2019-10-25 DOI: 10.2174/1872213X13666191026090713
Alexander K. C. Leung, J. M. Lam, K. Leong, K. Hon, B. Barankin, A. A. Leung, A. Wong
Background: Onychomycosis is a common fungal infection of the nail. Objective: The study aimed to provide an update on the evaluation, diagnosis, and treatment of onychomycosis. Methods: A PubMed search was completed in Clinical Queries using the key term “onychomycosis”. The search was conducted in May 2019. The search strategy included meta-analyses, randomized controlled trials, clinical trials, observational studies, and reviews published within the past 20 years. The search was restricted to English literature. Patents were searched using the key term “onychomycosis” in www.freepatentsonline.com. Results: Onychomycosis is a fungal infection of the nail unit. Approximately 90% of toenail and 75% of fingernail onychomycosis are caused by dermatophytes, notably Trichophyton mentagrophytes and Trichophyton rubrum. Clinical manifestations include discoloration of the nail, subungual hyperkeratosis, onycholysis, and onychauxis. The diagnosis can be confirmed by direct microscopic examination with a potassium hydroxide wet-mount preparation, histopathologic examination of the trimmed affected nail plate with a periodic-acid-Schiff stain, fungal culture, or polymerase chain reaction assays. Laboratory confirmation of onychomycosis before beginning a treatment regimen should be considered. Currently, oral terbinafine is the treatment of choice, followed by oral itraconazole. In general, topical monotherapy can be considered for mild to moderate onychomycosis and is a therapeutic option when oral antifungal agents are contraindicated or cannot be tolerated. Recent patents related to the management of onychomycosis are also discussed. Conclusion: Oral antifungal therapies are effective, but significant adverse effects limit their use.Although topical antifungal therapies have minimal adverse events, they are less effective than oral antifungal therapies, due to poor nail penetration. Therefore, there is a need for exploring more effective and/or alternative treatment modalities for the treatment of onychomycosis which are safer and more effective.
背景:甲真菌病是一种常见的指甲真菌感染。目的:本研究旨在提供最新的评估,诊断和治疗的甲真菌病。方法:在临床查询中使用关键词“甲真菌病”完成PubMed搜索。该搜索于2019年5月进行。检索策略包括荟萃分析、随机对照试验、临床试验、观察性研究和过去20年发表的综述。搜索仅限于英国文学。在www.freepatentsonline.com中使用关键词“甲真菌病”进行专利检索。结果:甲真菌病是甲单位的真菌感染。大约90%的脚趾甲和75%的指甲甲真菌病是由皮肤真菌引起的,特别是毛癣菌和红毛癣菌。临床表现包括甲变色、甲下角化过度、甲溶解和甲畸形。诊断可通过氢氧化钾湿贴制剂直接显微镜检查,用周期性酸希夫染色对修剪后的受影响甲板进行组织病理学检查,真菌培养或聚合酶链反应试验来证实。在开始治疗方案之前,应考虑实验室确认甲真菌病。目前,口服特比萘芬是首选的治疗方法,其次是口服伊曲康唑。一般来说,局部单药治疗可用于轻度至中度甲真菌病,当口服抗真菌药物禁忌或不能耐受时,可作为一种治疗选择。最近的专利有关管理的甲真菌病也进行了讨论。结论:口服抗真菌治疗是有效的,但严重的不良反应限制了其应用。虽然局部抗真菌治疗有最小的不良事件,但由于指甲穿透力差,它们不如口服抗真菌治疗有效。因此,有必要探索更有效和/或替代治疗方式的甲真菌病的治疗更安全,更有效。
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引用次数: 58
Inducible Nitric Oxide Synthase Expression in Liver Injury: Liver Protective Effects on Primary Rat Hepatocytes. 诱导型一氧化氮合酶在肝损伤中的表达:对原代大鼠肝细胞的保护作用。
Pub Date : 2016-03-30 DOI: 10.2174/1871528114666160330113227
M. Kaibori, T. Okumura, Kenji Sato, M. Nishizawa, M. Kon
BACKGROUND/AIMSFollowing injury to the liver, liver cells, including Kupffer cells and hepatocytes express inducible nitric oxide synthase (iNOS), followed by the production of excess levels of nitric oxide (NO). NO produced by iNOS has been found to contribute to liver injury. Treatment of primary cultures of rat hepatocytes with the proinflammatory cytokine interleukin (IL)-1β stimulated iNOS expression and NO production. Experiments with this in vitro hepatocyte model of liver injury and with in vivo animal models of liver injury have demonstrated that drugs showing a liver-protective effect in vivo also inhibited the induction of iNOS expression and NO production both in vivo and in vitro. Thus, in this in vitro hepatocyte model, the prevention of iNOS expression and NO production are considered indicators of liver protection.RESULTS/CONCLUSIONThis review describes a simple in vitro liver injury model, consisting of IL-1β-stimulated cultured hepatocytes, and methods used to analyze the mechanisms of action of drugs that inhibit iNOS expression. This in vitro hepatocyte model may be used to assess the liver-protective effects of pharmaceutical agents, herbal medicines, and certain types of foods.
背景/目的肝损伤后,肝细胞(包括库普弗细胞和肝细胞)表达诱导型一氧化氮合酶(iNOS),随后产生过量的一氧化氮(NO)。iNOS产生的NO已被发现有助于肝损伤。用促炎细胞因子白细胞介素(IL)-1β处理大鼠肝细胞原代培养物可刺激iNOS表达和NO生成。通过体外肝损伤肝细胞模型和体内肝损伤动物模型的实验表明,在体内具有保肝作用的药物在体内和体外均能抑制诱导iNOS表达和NO生成。因此,在体外肝细胞模型中,抑制iNOS的表达和NO的产生被认为是保护肝脏的指标。结果/结论本文介绍了一种由il -1β刺激的培养肝细胞组成的简单体外肝损伤模型,并分析了抑制iNOS表达的药物的作用机制。这种体外肝细胞模型可用于评估药物制剂、草药和某些类型的食物对肝脏的保护作用。
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引用次数: 22
Vaccination and Induction of Autoimmune Diseases. 免疫接种和自身免疫性疾病的诱导。
Pub Date : 2015-03-31 DOI: 10.2174/1871528114666160105113046
E. Toussirot, M. Béreau
Vaccines have been suspected of playing a role in inducing autoimmune disease (AID) for a long time. However, apart from certain specific vaccine strains and complications (such as the swine flu vaccine and Guillain-Barré syndrome in 1976, thrombocytopenia and the Measles-Mumps-Rubella vaccine), this role has not been established. In spite of this, many isolated cases or series of cases of arthritis, vasculitis, and central or peripheral nervous system symptoms following vaccination have been reported. These cases tend to be very infrequent and usually only the shortterm outcomes are described. This paper will examine the arguments for and against the relationship between vaccines and AID, bearing in mind that no association between the two has been clearly identified up to now. The role of adjuvants in vaccines has been described by other teams and in a more general syndrome (Autoimmune/Autoinflammatory Syndrome Induced by Adjuvants). Thus, cases of AID triggered by vaccines are highly rare and raise questions about the interaction between vaccines and/or their adjuvants and the genetic context of autoimmune disease. These observations should therefore not undermine the benefits of vaccination.
长期以来,人们一直怀疑疫苗在诱导自身免疫性疾病(AID)中起作用。然而,除了某些特定的疫苗毒株和并发症(如1976年的猪流感疫苗和格林-巴罗综合征,血小板减少症和麻疹-腮腺炎-风疹疫苗)外,这一作用尚未得到证实。尽管如此,接种疫苗后仍有许多孤立病例或一系列关节炎、血管炎和中枢或周围神经系统症状的报道。这些病例往往非常罕见,通常只描述了短期结果。本文将审查支持和反对疫苗与艾滋病之间关系的论点,同时铭记到目前为止还没有明确确定两者之间的联系。其他团队已经描述了佐剂在疫苗中的作用,以及在更一般的综合征(佐剂诱导的自身免疫/自身炎症综合征)中的作用。因此,由疫苗引发的艾滋病病例非常罕见,并提出了关于疫苗和/或其佐剂与自身免疫性疾病遗传背景之间相互作用的问题。因此,这些观察结果不应破坏疫苗接种的益处。
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引用次数: 57
GABAergic Agonists Modulate the Glutamate Release from Frontal Cortex Synaptosomes of Rats with Experimental Autoimmune Encephalomyelitis. gaba能激动剂调节实验性自身免疫性脑脊髓炎大鼠额叶突触体谷氨酸释放
Pub Date : 2015-03-31 DOI: 10.2174/1871528114666151201201549
Nicolás Fernández Hurst, N. L. Chanaday, G. A. Roth
Experimental autoimmune encephalomyelitis (EAE) is an inflammatory demyelinating disease that mimics many of the clinical and pathological features of multiple sclerosis. We have previously described a significant diminution in the GABAergic regulation of glutamate release from synaptosomes of EAE rats isolated during the acute stage of the disease. In order to explore the possible metabolic pathways responsible for this alteration, in this work we evaluate the direct effect of different GABAergic agonists on the glutamate release and concomitant synapsin I phosphorylation in synaptosomes from the frontal cortex of control and EAE animals. The results show that GABA as well as the GABA receptor agonists Muscimol (GABAA agonist) and Baclofen (GABAB agonist) caused a decrease in glutamate release in control rats paralleled by a similar reduction in synapsin I phosphorylation. Meanwhile synaptosomes from EAE animals are responsive only to Baclofen with respect to nontreated EAE synaptosomes, since glutamate release from the synaptosomes treated with Muscimol was similar to that observed in EAE rat synaptosomes which was already reduced as consequence of the disease. In the case of the benzodiazepines Diazepam and Clonazepam (GABAA allosteric agonists), both of them induced a reduction in glutamate release in synaptosomes from the CFA rats, effect that was only observed in synaptosomes of EAE rats treated with Clonazepam. In all cases both benzodiazepines showed a higher effect on synapsin I phosphorylation than in glutamate release. These results indicate that the extent of GABAergic modulation of presynaptic terminals depends on the type of agonist employed and this regulation is altered in the frontal cortex during the acute phase of EAE with respect to control animals.
实验性自身免疫性脑脊髓炎(EAE)是一种炎症性脱髓鞘疾病,模仿多发性硬化症的许多临床和病理特征。我们之前已经描述了在疾病急性期分离的EAE大鼠突触体中谷氨酸释放的gaba能调节的显著减少。为了探索这种改变可能的代谢途径,本研究评估了不同gaba能激动剂对对照动物和EAE动物额叶皮质突触体中谷氨酸释放和伴随突触素I磷酸化的直接影响。结果表明,GABA以及GABA受体激动剂Muscimol (GABAA激动剂)和Baclofen (GABAB激动剂)引起对照大鼠谷氨酸释放减少,同时突触素I磷酸化也有类似的减少。与此同时,EAE动物的突触体只对巴氯芬有反应,而对未治疗的EAE突触体则没有反应,因为用Muscimol治疗的突触体释放的谷氨酸与EAE大鼠突触体中观察到的谷氨酸相似,而这些突触体已经因疾病而减少。在苯二氮卓类药物地西泮和氯硝西泮(GABAA变构激动剂)的情况下,它们都诱导CFA大鼠突触体中谷氨酸释放减少,这种作用仅在氯硝西泮治疗的EAE大鼠突触体中观察到。在所有情况下,两种苯二氮卓类药物对突触素I磷酸化的影响都高于谷氨酸释放。这些结果表明,突触前终末gaba能调节的程度取决于所使用的激动剂的类型,与对照动物相比,这种调节在EAE急性期在额叶皮层发生了改变。
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引用次数: 3
Anti-Inflammatory and Antimicrobial Properties of Flavonoids from Heliotropium subulatum Exudate. 菱形向日葵渗出液中黄酮类化合物的抗炎和抗菌特性。
Pub Date : 2015-03-31 DOI: 10.2174/1871528114666160105113155
Bharat Singh, R. Sharma
Heliotropium subulatum is an erect or procumbent perennial herb; leaves contain foliar trichomes and its resinous exudate is used in traditional medicine. The anti-inflammatory activity of dichloromethane fraction and isolated flavonoids was evaluated by using carrageenan and CFA-induced paw oedema models. Similarly, the disc diffusion and microdilution methods were used for the assessment of antimicrobial activity. Five isolated flavonoids were investigated for their antiinflammatory and antimicrobial activities. Eriodictyol demonstrated maximum anti-inflammatory activity (53.09%) at 30.0 mg/kg dose on 6(th) h and similarly, it inhibited the CFA-induced arthritis swelling (41.84%) with 30.0 mg/kg dose on 8(th) day respectively. As per disc diffusion and microdilution methods used for antimicrobial activity determination, the pinocembrin was found to be most active against Staphylococcus aureus (IZ=27±0.7 mm, 08 μg/ml dose) and Candida albicans (IZ=17±0.9 mm; 12 μg/ml dose). These investigated results revealed that the eriodictyol and pinocembrin showed significant anti-inflammatory and antimicrobial activities. Further studies which aimed to investigate the mechanism of action of these isolated flavonoids in the treatment of inflammations and various types of infections have been initiated.
亚平阳是一种直立或平卧的多年生草本植物;叶子含有叶毛,其树脂渗出物用于传统医学。采用角叉菜胶和cfa诱导足跖水肿模型,评价二氯甲烷组分和分离的黄酮类化合物的抗炎活性。同样,采用圆盘扩散法和微量稀释法评估抗菌活性。研究了5种分离的黄酮类化合物的抗炎和抗菌活性。以30.0 mg/kg剂量时,第6天抗炎活性最高(53.09%);以30.0 mg/kg剂量时,第8天抗炎活性最高(41.84%)。采用圆盘扩散法和微量稀释法测定其抑菌活性,发现皮诺松素对金黄色葡萄球菌(IZ=27±0.7 mm, 08 μg/ml剂量)和白色念珠菌(IZ=17±0.9 mm;12 μg/ml剂量)。结果表明,该化合物具有明显的抗炎、抗菌活性。进一步的研究旨在探讨这些分离的黄酮类化合物在治疗炎症和各种感染中的作用机制已经开始。
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引用次数: 11
6-Mercaptopurine for Azathioprine Intolerant Inflammatory Bowel Disease: Literature Search and Reappraisal of Own Data. 巯基嘌呤治疗硫唑嘌呤不耐受炎症性肠病:文献检索和对自身数据的重新评估。
Pub Date : 2015-03-31 DOI: 10.2174/1871528114666160105112915
G. Actis, R. Pellicano, F. Rosina
Thiopurines have been shown to effectively maintain remission of both Crohn's disease (CD) and ulcerative colitis (UC), and to behave as disease modifiers if used for >12 months in UC. Gastric intolerance manifesting as nausea constitutes a demanding drawback of thiopurines, at times forcing treatment discontinuance. A few studies have now indicated that some patients might tolerate mercaptopurine (6-MP) for azathioprine. In this paper, we review the literature, and reappraise our own data against the published figures. The data which form the basis for this study span over all visit reports that were released between January 2008 and December 2011 in a primary care Hospital, in Turin, Italy. For the aim of this study we searched our own database and the MedLine using the key-words "azathioprine", "mercaptopurine", "thiopurine", "inflammatory bowel disease", "Crohn's disease", "ulcerative colitis". We retrieved 85 azathioprine prescriptions for 42 UC, 37 CD, and 6 miscellaneous patients. There were 10 episodes of gastric intolerance to azathioprine, which were switched to 6-MP: 6 out of 10 (60%) responded and tolerated the switch drug in a median follow-up of 66 months. Female gender prevailed (p=0.038) in the azathioprine intolerant subset. A trial with 6-MP is worth being offered to azathioprine intolerant inflammatory bowel disease subjects at any center matching the standard figures of specific performance.
硫嘌呤已被证明可以有效地维持克罗恩病(CD)和溃疡性结肠炎(UC)的缓解,并且如果在UC中使用>12个月,则可以作为疾病调节剂。胃不耐受表现为恶心构成了硫嘌呤的一个苛刻的缺点,有时迫使停止治疗。现在有一些研究表明,一些患者可能耐受巯基嘌呤(6-MP)代替硫唑嘌呤。在本文中,我们回顾了文献,并根据已发表的数据重新评估了我们自己的数据。构成本研究基础的数据涵盖了2008年1月至2011年12月在意大利都灵一家初级保健医院发布的所有就诊报告。为了这项研究的目的,我们使用关键词“硫代嘌呤”、“巯基嘌呤”、“硫代嘌呤”、“炎症性肠病”、“克罗恩病”、“溃疡性结肠炎”搜索了我们自己的数据库和MedLine。我们检索了85张硫唑嘌呤处方,用于42例UC, 37例CD和6例其他患者。在66个月的中位随访中,10例患者出现了对硫唑嘌呤的胃不耐受,这些患者被转换为6-巯基嘌呤:10例患者中有6例(60%)对转换药物有反应并耐受。在硫唑嘌呤不耐受亚组中,女性占多数(p=0.038)。在任何符合特定性能标准数字的中心,值得为硫唑嘌呤不耐受炎症性肠病患者提供6-MP试验。
{"title":"6-Mercaptopurine for Azathioprine Intolerant Inflammatory Bowel Disease: Literature Search and Reappraisal of Own Data.","authors":"G. Actis, R. Pellicano, F. Rosina","doi":"10.2174/1871528114666160105112915","DOIUrl":"https://doi.org/10.2174/1871528114666160105112915","url":null,"abstract":"Thiopurines have been shown to effectively maintain remission of both Crohn's disease (CD) and ulcerative colitis (UC), and to behave as disease modifiers if used for >12 months in UC. Gastric intolerance manifesting as nausea constitutes a demanding drawback of thiopurines, at times forcing treatment discontinuance. A few studies have now indicated that some patients might tolerate mercaptopurine (6-MP) for azathioprine. In this paper, we review the literature, and reappraise our own data against the published figures. The data which form the basis for this study span over all visit reports that were released between January 2008 and December 2011 in a primary care Hospital, in Turin, Italy. For the aim of this study we searched our own database and the MedLine using the key-words \"azathioprine\", \"mercaptopurine\", \"thiopurine\", \"inflammatory bowel disease\", \"Crohn's disease\", \"ulcerative colitis\". We retrieved 85 azathioprine prescriptions for 42 UC, 37 CD, and 6 miscellaneous patients. There were 10 episodes of gastric intolerance to azathioprine, which were switched to 6-MP: 6 out of 10 (60%) responded and tolerated the switch drug in a median follow-up of 66 months. Female gender prevailed (p=0.038) in the azathioprine intolerant subset. A trial with 6-MP is worth being offered to azathioprine intolerant inflammatory bowel disease subjects at any center matching the standard figures of specific performance.","PeriodicalId":13680,"journal":{"name":"Inflammation & allergy drug targets","volume":"10 1","pages":"133-7"},"PeriodicalIF":0.0,"publicationDate":"2015-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88384064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
LPS Up-Regulates Cystathionine γ -Lyase Gene Expression in Primary Human Macrophages via NF-κB/ERK Pathway. LPS通过NF-κB/ERK通路上调人巨噬细胞半胱硫氨酸γ -裂解酶基因表达。
Pub Date : 2015-03-31 DOI: 10.2174/1871528114666151201201719
Alireza Badiei, S. Gieseg, S. Davies, Mohd Izani Othman, M. Bhatia
Hydrogen sulfide (H2S) is an endogenous inflammatory mediator produced by the activity of cystathionine γ-lyase (CSE) in mammals. Macrophages are a key element of the immune system and play a crucial role in inflammation. To determine the role of H2S and macrophages in inflammation, we investigated the expression of CSE in human primary macrophages. Our results show that H2S is produced by the activity of CSE in these cells. To investigate the role of common signalling pathway in biosynthesis of CSE in human primary macrophages, specific inhibitors were used to block NF-κB, ERK, p38 and JNK. Inhibition of NF-κB, ERK significantly reduced levels of CSE gene and protein expression in these cells but inhibition of JNK and p38 did not have an inhibitory effect on the expression of CSE gene in macrophages. Inhibition of NF-κB and ERK prevented the effect of LPS on H2S synthesizing activity in human primary macrophages. These data showed that H2S acts as an inflammatory mediator via NF-κB/ERK pathway in macrophages.
硫化氢(H2S)是哺乳动物体内由半胱硫氨酸γ-裂解酶(CSE)活性产生的内源性炎症介质。巨噬细胞是免疫系统的重要组成部分,在炎症中起着至关重要的作用。为了确定H2S和巨噬细胞在炎症中的作用,我们研究了CSE在人原代巨噬细胞中的表达。我们的结果表明,在这些细胞中,H2S是由CSE的活性产生的。为了研究共同信号通路在人原代巨噬细胞CSE生物合成中的作用,我们使用特异性抑制剂阻断NF-κB、ERK、p38和JNK。抑制NF-κB、ERK可显著降低巨噬细胞中CSE基因表达水平和蛋白表达,而抑制JNK和p38对巨噬细胞中CSE基因表达无抑制作用。抑制NF-κB和ERK可阻止LPS对人原代巨噬细胞H2S合成活性的影响。这些数据表明H2S在巨噬细胞中通过NF-κB/ERK通路发挥炎症介质的作用。
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引用次数: 22
Imaging Patterns of Cardiovascular Involvement in Mixed Connective Tissue Disease Evaluated by Cardiovascular Magnetic Resonance. 心血管磁共振评价混合性结缔组织病累及心血管的成像模式。
Pub Date : 2015-03-31 DOI: 10.2174/1871528114666160105112758
S. Mavrogeni, P. Sfikakis, T. Dimitroulas, L. Koutsogeorgopoulou, G. Karabela, G. Katsifis, E. Stavropoulos, E. Gialafos, G. Spiliotis, G. Kolovou, G. Kitas
BACKGROUNDTo clarify the imaging patterns of cardiovascular lesions in patients with mixed connective tissue disease (MCTD) and cardiovascular symptoms with or/ without abnormal routine non-invasive evaluation.PATIENTS-METHODSTwenty-two MCTD patients (19F/3M), aged 38±4 yrs with cardiovascular symptoms were evaluated using a 1.5 T scanner. Of them, 8/22 had systemic lupus erythematosus (SLE), 5/22 rheumatoid arthritis (RA), 5/22 scleroderma (SSc) and 4/22 myositis (MY) overlap syndromes; 10/22 patients with MCTD presented with Raynaud phenomenon (RP) and all were positive for Anti-RNP antibodies. The cardiovascular magnetic resonance study (CMR) included evaluation of function, inflammation and fibrosis. Myocardial stress perfusion-fibrosis evaluation was performed only in MCTD patients with RP.RESULTSA positive CMR study was identified in 4/8 with SLE, 1/5 with RA, 4/5 with SSc and in 1/4 with MY like MCTD. The CMR lesions were subendocardial or transmural LGE following the distribution of coronary arteries, intramyocardial LGE and diffuse subendocardial LGE in SLE-RA, MY and SSc like MCTD, respectively. Although no evidence of fibrosis was identified in patients with RP, adenosine stress myocardial perfusion revealed diffuse subendocardial perfusion defects. No correlation between disease duration and/or inflammatory indices and cardiac lesions was identified.CONCLUSIONCMR can reveal myocardial lesions in MCTD patients with cardiac symptoms including myocardial infarction, inflammation, diffuse subendocardial fibrosis and diffuse perfusion defects, necessitating further cardiac investigation and/or treatment.
背景:明确伴有或/不伴有异常常规无创评估的混合性结缔组织病(MCTD)合并心血管症状患者心血管病变的影像学模式。患者-方法22例MCTD患者(19F/3M),年龄38±4岁,有心血管症状,采用1.5 T扫描。其中系统性红斑狼疮(SLE)患者占8/22,类风湿关节炎(RA)患者占5/22,硬皮病(SSc)患者占5/22,肌炎(MY)患者占4/22;10/22 MCTD患者出现雷诺现象(RP),抗rnp抗体均阳性。心血管磁共振研究(CMR)包括功能、炎症和纤维化的评估。心肌应激灌注-纤维化评价仅在伴有RP的MCTD患者中进行。结果4/8的SLE、1/5的RA、4/5的SSc和1/4的MY like MCTD的CMR研究中sa阳性。CMR病变分别为冠状动脉分布的心内膜下或经壁性LGE, slel - ra、MY和SSc如MCTD的心内膜下LGE和弥漫性心内膜下LGE。虽然在RP患者中没有发现纤维化的证据,但腺苷应激心肌灌注显示弥漫性心内膜下灌注缺陷。没有发现疾病持续时间和/或炎症指数与心脏病变之间的相关性。结论cmr可显示有心肌梗死、炎症、弥漫性心内膜下纤维化、弥漫性灌注缺损等心脏症状的MCTD患者的心肌病变,提示进一步的心脏检查和/或治疗。
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引用次数: 11
A Systematic Review of the Molecular Mechanisms of Uranium -Induced Reproductive Toxicity. 铀诱导生殖毒性分子机制的系统综述。
Pub Date : 2015-03-31 DOI: 10.2174/1871528114666160105112441
M. Asghari, S. Saeidnia, M. Rezvanfar, M. Abdollahi
Uranium is the heaviest metal known as nuclear fuel, and employed in the production of glass tinting compounds, ceramic glazes, gyroscope wheels, chemical catalysts and X-ray tube targets. Inhalation and ingestion are two of the most usual ways of exposure. Uranium may be released into drinking water through the mining leading to contamination. Uranium is able to damage the DNA by generation of free radicals and acting as a catalyst in the Fenton reactions causing oxidative stress. In fact, reproductive system contains high amount of polyunsaturated fatty acids, and therefore it is highly vulnerable to reactive oxygen species (ROS) and sensitive to uranium toxicity. Toxic effects of uranium are generally reported through different mechanisms of action including inflammation, degeneration of testis, vacuolization of Leydig cells, spermatocytes necrosis, and oocyte dysmorphism. The present article provides a comprehensive review of the recent findings mostly about the molecular and biochemical toxicity of uranium on the reproductive system.
铀是已知的最重的金属核燃料,用于生产玻璃着色化合物、陶瓷釉料、陀螺仪车轮、化学催化剂和x射线管靶材。吸入和摄入是两种最常见的接触方式。铀可能通过采矿释放到饮用水中导致污染。铀能够通过产生自由基来破坏DNA,并在引起氧化应激的芬顿反应中起到催化剂的作用。事实上,生殖系统含有大量的多不饱和脂肪酸,因此对活性氧(ROS)非常脆弱,对铀毒性非常敏感。铀的毒性作用通常通过不同的作用机制报道,包括炎症、睾丸变性、间质细胞空泡化、精母细胞坏死和卵母细胞畸形。本文综述了近年来铀对生殖系统的分子毒性和生化毒性的研究进展。
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引用次数: 11
Anti-Inflammatory Role of Thyroid Hormones on Rat Air Pouch Model of Inflammation. 甲状腺激素对大鼠气袋炎症模型的抗炎作用。
Pub Date : 2015-03-31 DOI: 10.2174/1871528114666160105113342
Bhagyashree Nijampurkar, F. Qureshi, N. Jain, T. Banerjee, Anil Kumar, H. S. Parmar
BACKGROUNDMany studies showed anti-inflammatory potential of thyroid hormones, but no direct report available showing influence of thyroid hormones on inflammation state. Therefore, in present study anti-inflammatory and antioxidative role of thyroid hormones being evaluated on rat air pouch model of inflammation.METHODSReference doses of both the thyroid hormones triiodothyronine (T3) and thyroxine (T4) were administered to rat airpouches. Air pouch model was developed by injecting air into intra-scapular region of animals, followed by carrageenan administration (AP+C). Control animals injected only with air (AP).RESULTSIn AP+C, group an increase was observed in exudate levels of TNF-α, total leukocytes, polymophonuclear cells and mononuclear cells. An increase was also observed in exudates and tissue lipid peroxidation, nitrite and reduced glutathione. These changes were reverted back by the administration of indomethacin (I) or T3or T4. However, effect was more pronounced in case of T3, as compared to other groups on most of the studied parameters. Histopathological changes were also observed in AP+C group, as compared to AP alone and these alterations were also normalized by the administration of I or T3 or T4. In silico interaction of both the thyroid hormones with cyclooxygenase (COX-2) was studied and compared with standard drugs indomethacin and celecoxib.CONCLUSIONWe conclude thyroid hormones have anti-inflammatory potential i.e. mainly mediated through their structural similarity with anti-inflammatory drugs.
背景:许多研究表明甲状腺激素具有抗炎作用,但没有直接报道甲状腺激素对炎症状态的影响。因此,本研究在大鼠气袋炎症模型上评价甲状腺激素的抗炎和抗氧化作用。方法将甲状腺激素三碘甲状腺原氨酸(T3)和甲状腺素(T4)的参考剂量分别给予大鼠气囊。通过在动物肩胛骨内注射空气,然后给予卡拉胶(AP+C),建立气囊模型。对照动物只注射空气(AP)。结果AP+C组大鼠血清TNF-α、总白细胞、多核细胞及单核细胞的渗出液水平均升高。在渗出液和组织脂质过氧化,亚硝酸盐和还原性谷胱甘肽中也观察到增加。这些变化在给予吲哚美辛(I)或t3或T4后恢复。然而,与其他组相比,T3组在大多数研究参数上的影响更为明显。与单独使用AP相比,AP+C组也观察到组织病理学变化,这些变化也通过给药I或T3或T4而正常化。研究了两种甲状腺激素与环氧化酶(COX-2)的相互作用,并与标准药物吲哚美辛和塞来昔布进行了比较。结论甲状腺激素具有抗炎潜能,主要通过其与抗炎药物的结构相似性介导。
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引用次数: 5
期刊
Inflammation & allergy drug targets
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