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KLF13 overexpression protects sepsis-induced myocardial injury and LPS-induced inflammation and apoptosis KLF13过表达可保护脓毒症诱导的心肌损伤和lps诱导的炎症和细胞凋亡
IF 3 4区 医学 Q3 PATHOLOGY Pub Date : 2022-12-30 DOI: 10.1111/iep.12459
Ni Zeng, Zaijin Jian, Wenxin Zhu, Junmei Xu, Yongmei Fan, Feng Xiao

Sepsis remains a worldwide public health problem. This study aims to explore the role and mechanism of transcriptional factors (TFs) in sepsis-induced myocardial injury. Firstly, TF KLF13 was selected to explore its role in sepsis-induced myocardial injury. The caecal ligation and puncture (CLP) -induced sepsis mouse model was established and the septic mice were examined using standard histopathological methods. KLF13 expression was detected in the septic mouse heart and was also seen in a lipoploysaccharide (LPS) -induced cellular inflammation model. To explore this further both pro-apoptotic cleaved-caspase3/caspase3 and Bax levels and anti-apoptotic Bcl2 levels were examined, also in both models, In addition inflammatory cytokine (IL-1β, TNF-α, IL-8 and MCP-1) production and IκB-α protein level and p65 phosphorylation were examined in both septic mice and LPS-induced cells. Thus three parameters - cardiomyocyte apoptosis, inflammatory response and NF-κB pathway activation were evaluated under similar conditions. The septic mice showed significant oedema, disordered myofilament arrangement and degradation and necrosis to varying degrees in the myocardial cells. KLF13 was downregulated in both the septic mouse heart and the LPS-induced cellular inflammation model. Furthermore, both models showed abnormally increased cardiomyocyte apoptosis (increased cleaved-caspase3/caspase and Bax protein levels and decreased Bcl2 level), elevated inflammation (increased production of inflammatory cytokines) and the activated NF-κB pathway (increased p65 phosphorylation and decreased IκB-α protein level). KLF13 overexpression notably ameliorated sepsis-induced myocardial injury in vivo and in vitro. KLF13 overexpression protected against sepsis-induced myocardial injury and LPS-induced cellular inflammation and apoptosis via inhibiting the inflammatory pathways (especially NF-κB signalling) and cardiomyocyte apoptosis.

脓毒症仍然是一个全球性的公共卫生问题。本研究旨在探讨转录因子(tf)在脓毒症心肌损伤中的作用及机制。首先选取TF KLF13,探讨其在脓毒症致心肌损伤中的作用。建立盲肠结扎穿刺(CLP)致脓毒症小鼠模型,采用标准组织病理学方法对脓毒症小鼠进行检查。在脓毒症小鼠心脏中检测到KLF13表达,在脂多糖(LPS)诱导的细胞炎症模型中也可见到KLF13表达。为了进一步探讨这一点,我们检测了两种模型中促凋亡的caspase3/caspase3和Bax水平以及抗凋亡的Bcl2水平,此外,我们检测了脓毒症小鼠和lps诱导的细胞中炎症因子(IL-1β、TNF-α、IL-8和MCP-1)的产生以及i- κ b -α蛋白水平和p65磷酸化。因此,在类似的条件下,心肌细胞凋亡、炎症反应和NF-κ b通路激活三个参数被评估。脓毒症小鼠心肌细胞明显水肿,肌丝排列紊乱,不同程度降解坏死。在脓毒症小鼠心脏和lps诱导的细胞炎症模型中,KLF13均下调。此外,两种模型均表现出心肌细胞凋亡异常增加(cleaved-caspase3/ caspasase和Bax蛋白水平增加,Bcl2蛋白水平降低),炎症升高(炎症细胞因子产生增加)和NF-κB通路激活(p65磷酸化增加,i -κB -α蛋白水平降低)。KLF13过表达可显著改善脓毒症诱导的心肌损伤。KLF13过表达通过抑制炎症通路(尤其是NF-κB信号传导)和心肌细胞凋亡,对脓毒症诱导的心肌损伤和lps诱导的细胞炎症和凋亡具有保护作用。
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引用次数: 1
Expression of autocrine motility factor receptor (AMFR) in human breast and lung invasive micropapillary carcinomas 自分泌运动因子受体(AMFR)在乳腺和肺浸润性微乳头状癌中的表达
IF 3 4区 医学 Q3 PATHOLOGY Pub Date : 2022-12-28 DOI: 10.1111/iep.12462
Jing Xu, Hongfei Ma, Qi Wang, Hui Zhang

The aim of this study was to evaluate the clinicopathological significance of autocrine motility factor receptor (AMFR) expression in a variety of human invasive micropapillary carcinomas (IMPC). AMFR expression was compared in 111 samples of a variety of human IMPCs which had intrinsic non-micropapillary components and with 26 cases of control pulmonary adenocarcinoma (CPA, carcinoma without an IMPC component) by immunohistochemistry (IHC). In the 137 cases analysed, AMFR expression was significantly elevated in the IMPC components compared to the non-IMPC components (p = .005) and normal tissues (p < .001). AMFR expression was also higher in the IMPC samples compared to their intrinsic non-IMPC components (p = .0234). Between the 69 cases of lung IMPC and 26 cases of CPA, AMFR expression was notably higher in the IMPC components than in the CPA components (p = .0455). However, there was no significant difference between the non-IMPC components in the lung and the CPA components (p = .4584). Moreover, in breast cancer, elevated AMFR expression was not significantly correlated with mixed type or pure type IMPC (p = .5969) or with age, gender, T stage, or lymph node metastasis (LNM). Between IMPC and CPA of the lung, there was no statistical significance in age, T stage, and LNM, where AMFR expression was higher in IMPC (p = .0071). Thus this study demonstrated that AMFR was overexpressed in a variety of human IMPC components compared with non-micropapillary components. This suggests that AMFR expression is a potential new prognostic indicator for different types of human IMPC, which might thus be a new therapeutic target.

本研究旨在探讨自分泌运动因子受体(AMFR)在多种人侵袭性微乳头状癌(IMPC)中的表达及其临床病理意义。用免疫组化(IHC)方法比较了111例具有内在非微乳头状成分的多种人IMPCs和26例对照肺腺癌(CPA,不含IMPC成分的癌)中AMFR的表达。在分析的137例病例中,与非IMPC成分(p = 0.005)和正常组织(p < 0.001)相比,IMPC成分中的AMFR表达显著升高。AMFR在IMPC样品中的表达也高于其固有的非IMPC成分(p = 0.0234)。在69例肺IMPC和26例肺CPA中,AMFR在IMPC组分中的表达明显高于在CPA组分中的表达(p = 0.0455)。肺内非impc成分与CPA成分差异无统计学意义(p = .4584)。此外,在乳腺癌中,AMFR表达升高与混合型或纯型IMPC (p = .5969)、年龄、性别、T分期或淋巴结转移(LNM)无显著相关性。肺IMPC与CPA在年龄、T分期、LNM方面差异无统计学意义,其中AMFR在IMPC中表达较高(p = 0.0071)。因此,本研究表明,与非微乳头状成分相比,AMFR在多种人类IMPC成分中过表达。这表明AMFR表达可能是不同类型人类IMPC的潜在新预后指标,因此可能成为新的治疗靶点。
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引用次数: 1
Silencing of RhoC induces macrophage M1 polarization to inhibit migration and invasion in colon cancer via regulating the PTEN/FOXO1 pathway RhoC沉默诱导巨噬细胞M1极化,通过调控PTEN/FOXO1通路抑制结肠癌的迁移和侵袭
IF 3 4区 医学 Q3 PATHOLOGY Pub Date : 2022-12-28 DOI: 10.1111/iep.12460
Bin Yang, Lihua Wang, Zhiying Tian

Ras homologue family member C (RhoC) is an oncogene in diverse types of human cancers, whereas its regulatory mechanisms involving macrophage polarization is rarely investigated. This study is designed to explore the regulatory role of RhoC in colon cancer and the underlying molecular mechanisms involving macrophage polarization. We detected RhoC expression by quantitative real-time polymerase chain reaction (qRT-PCR) and western blot, and analysed the biological function of RhoC knockdown in CC cells by the MTT, wound healing and transwell assay. Macrophage polarization-associated markers, genes associated with migration, phosphatase and tensin homologue (PTEN) and forkhead box O (FOXO) were determined by qRT-PCR and western blot. The xenograft tumour mouse model was used to assess the role of RhoC in vivo. RhoC is highly expressed in CC cells. The cell viability, invasion and migration abilities of CC cells were reduced by knockdown of RhoC. RhoC knockdown promoted M1 polarization, inhibited M2 polarization and decreased levels of genes associated with migration (matrix metalloproteinase-2 and matrix metalloproteinase-9). Silencing of RhoC inhibited tumour growth and expression of genes associated with migration in the xenografted model. In addition, silencing of RhoC promoted PTEN/FOXO1 expression, and PTEN inhibitor (SF1670) reversed the inhibitory effects of RhoC silencing. We demonstrated that silencing of RhoC reduced CC cells invasion and migration, and tumour growth by suppressing M2 macrophage polarization via regulating the PTEN/FOXO1 pathway.

Ras同系物家族成员C (RhoC)是多种人类癌症的致癌基因,但其涉及巨噬细胞极化的调控机制很少被研究。本研究旨在探讨RhoC在结肠癌中的调控作用及其与巨噬细胞极化相关的分子机制。采用实时荧光定量聚合酶链反应(quantitative real-time polymerase chain reaction, qRT-PCR)和western blot检测RhoC表达,并通过MTT、创面愈合和transwell实验分析RhoC敲低在CC细胞中的生物学功能。采用qRT-PCR和western blot检测巨噬细胞极化相关标志物、迁移相关基因、磷酸酶和紧张素同源物(PTEN)和叉头盒O (FOXO)。采用异种移植瘤小鼠模型评估RhoC在体内的作用。RhoC在CC细胞中高表达。敲低RhoC可降低CC细胞的活力、侵袭和迁移能力。RhoC敲低促进M1极化,抑制M2极化,降低迁移相关基因(基质金属蛋白酶-2和基质金属蛋白酶-9)水平。在异种移植模型中,RhoC的沉默抑制了肿瘤生长和与迁移相关基因的表达。此外,RhoC的沉默促进了PTEN/FOXO1的表达,PTEN抑制剂SF1670逆转了RhoC沉默的抑制作用。我们证明,RhoC沉默通过调节PTEN/FOXO1途径抑制M2巨噬细胞极化,从而减少CC细胞的侵袭和迁移,以及肿瘤生长。
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引用次数: 1
Cilostazol attenuates oxidative stress and apoptosis in the quadriceps muscle of the dystrophic mouse experimental model 西洛他唑可减轻营养不良小鼠四头肌氧化应激和细胞凋亡
IF 3 4区 医学 Q3 PATHOLOGY Pub Date : 2022-12-24 DOI: 10.1111/iep.12461
Túlio de Almeida Hermes, Rafael Dias Mâncio, Daniela Sayuri Mizobutti, Aline Barbosa Macedo, Larissa Akemi Kido, Valéria Helena Alves Cagnon Quitete, Elaine Minatel

Duchenne muscular dystrophy (DMD) is the most severe and frequent form of muscular dystrophy. The mdx mouse is one of the most widely used experimental models to understand aspects of the biology of dystrophic skeletal muscles and the mechanisms of DMD. Oxidative stress and apoptosis are present in early stages of the disease in mdx mice. The high production of reactive oxygen species (ROS) causes activation of apoptotic death regulatory proteins due to DNA damage and breakdown of nuclear and mitochondrial membranes. The quadriceps (QUA) muscle of the mdx mouse is a good tool to study oxidative events. Previous studies have demonstrated that cilostazol exerts an anti-oxidant effect by decreasing the production of reactive oxygen species (ROS). The present study aimed to evaluate the ability of cilostazol to modulate oxidative stress and apoptosis in the QUA muscle of mdx mice. Fourteen-day-old mdx mice received cilostazol or saline for 14 days. C57BL/10 mice were used as a control. In the QUA muscle of mdx mice, cilostazol treatment decreased ROS production (−74%), the number of lipofuscin granules (−47%), lipid peroxidation (−11%), and the number of apoptotic cells (−66%). Thus cilostazol showed anti-oxidant and anti-apoptotic action in the QUA muscle of mdx mice.

杜氏肌营养不良症(DMD)是最严重和最常见的肌肉营养不良形式。mdx小鼠是了解营养不良骨骼肌生物学和DMD机制的最广泛使用的实验模型之一。氧化应激和细胞凋亡存在于mdx小鼠疾病的早期阶段。活性氧(ROS)的大量产生导致凋亡死亡调节蛋白的激活,这是由于DNA损伤和核膜和线粒体膜的破坏。mdx小鼠的股四头肌(QUA)肌肉是研究氧化事件的一个很好的工具。先前的研究表明,西洛他唑通过减少活性氧(ROS)的产生来发挥抗氧化作用。本研究旨在评价西洛他唑对mdx小鼠QUA肌氧化应激和细胞凋亡的调节能力。14日龄mdx小鼠给予西洛他唑或生理盐水治疗14天。以C57BL/10小鼠为对照。在mdx小鼠的QUA肌中,西洛他唑处理降低了ROS生成(- 74%)、脂褐素颗粒数量(- 47%)、脂质过氧化(- 11%)和凋亡细胞数量(- 66%)。西洛他唑对mdx小鼠QUA肌具有抗氧化和抗凋亡作用。
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引用次数: 0
Protection of dystrophic muscle cells using Idebenone correlates with the interplay between calcium, oxidative stress and inflammation 利用依地苯酮保护营养不良的肌肉细胞与钙、氧化应激和炎症之间的相互作用有关
IF 3 4区 医学 Q3 PATHOLOGY Pub Date : 2022-12-24 DOI: 10.1111/iep.12463
Amanda Harduim Valduga, Daniela Sayuri Mizobuti, Fernanda dos Santos Rapucci Moraes, Rafael Dias Mâncio, Luis Henrique Rapucci Moraes, Túlio de Almeida Hermes, Aline Barbosa Macedo, Elaine Minatel

There is strong cross-talk between abnormal intracellular calcium concentration, high levels of reactive oxygen species (ROS) and an exacerbated inflammatory process in the dystrophic muscles of mdx mice, the experimental model of Duchenne muscular dystrophy (DMD). In this study, we investigated effects of Idebenone, a potent anti-oxidant, on oxidative stress markers, the anti-oxidant defence system, intracellular calcium concentrations and the inflammatory process in primary dystrophic muscle cells from mdx mice. Dystrophic muscle cells were treated with Idebenone (0.05 μM) for 24 h. The untreated mdx muscle cells were used as controls. The MTT assay showed that Idebenone did not have a cytotoxic effect on the dystrophic muscle cells. The Idebenone treatment was able to reduce the levels of oxidative stress markers, such as H2O2 and 4-HNE, as well as decreasing intracellular calcium influx in the dystrophic muscle cells. Regarding Idebenone effects on the anti-oxidant defence system, an up-regulation of catalase levels, glutathione reductase (GR), glutathione peroxidase (GPx) and superoxide dismutase (SOD) activity was observed in the dystrophic muscle cells. In addition, the Idebenone treatment was also associated with reduction in inflammatory molecules, such as nuclear factor kappa-B (NF-κB) and tumour necrosis factor (TNF) in mdx muscle cells. These outcomes supported the use of Idebenone as a protective agent against oxidative stress and related signalling mechanisms involved in dystrophinopathies, such as DMD.

杜氏肌营养不良症(DMD)实验模型mdx小鼠的细胞内钙浓度异常、活性氧(ROS)水平升高和炎症过程加剧之间存在强烈的串扰。在这项研究中,我们研究了强效抗氧化剂伊地苯酮对mdx小鼠原发性营养不良肌肉细胞氧化应激标志物、抗氧化防御系统、细胞内钙浓度和炎症过程的影响。以依地苯酮(0.05 μM)处理肌营养不良细胞24 h。以未处理的mdx肌细胞为对照。MTT试验表明,依地苯酮对肌营养不良细胞无细胞毒作用。依地苯酮治疗能够降低氧化应激标志物(如H2O2和4-HNE)的水平,并减少营养不良肌肉细胞内钙的内流。关于依地苯酮对抗氧化防御系统的影响,在营养不良的肌肉细胞中观察到过氧化氢酶、谷胱甘肽还原酶(GR)、谷胱甘肽过氧化物酶(GPx)和超氧化物歧化酶(SOD)活性的上调。此外,依地苯酮治疗还与mdx肌细胞中核因子κ b (NF-κB)和肿瘤坏死因子(TNF)等炎症分子的减少有关。这些结果支持使用依地苯酮作为抗氧化应激的保护剂,以及与肌营养不良病(如DMD)相关的信号机制。
{"title":"Protection of dystrophic muscle cells using Idebenone correlates with the interplay between calcium, oxidative stress and inflammation","authors":"Amanda Harduim Valduga,&nbsp;Daniela Sayuri Mizobuti,&nbsp;Fernanda dos Santos Rapucci Moraes,&nbsp;Rafael Dias Mâncio,&nbsp;Luis Henrique Rapucci Moraes,&nbsp;Túlio de Almeida Hermes,&nbsp;Aline Barbosa Macedo,&nbsp;Elaine Minatel","doi":"10.1111/iep.12463","DOIUrl":"10.1111/iep.12463","url":null,"abstract":"<p>There is strong cross-talk between abnormal intracellular calcium concentration, high levels of reactive oxygen species (ROS) and an exacerbated inflammatory process in the dystrophic muscles of mdx mice, the experimental model of Duchenne muscular dystrophy (DMD). In this study, we investigated effects of Idebenone, a potent anti-oxidant, on oxidative stress markers, the anti-oxidant defence system, intracellular calcium concentrations and the inflammatory process in primary dystrophic muscle cells from <i>mdx</i> mice. Dystrophic muscle cells were treated with Idebenone (0.05 μM) for 24 h. The untreated <i>mdx</i> muscle cells were used as controls. The MTT assay showed that Idebenone did not have a cytotoxic effect on the dystrophic muscle cells. The Idebenone treatment was able to reduce the levels of oxidative stress markers, such as H<sub>2</sub>O<sub>2</sub> and 4-HNE, as well as decreasing intracellular calcium influx in the dystrophic muscle cells. Regarding Idebenone effects on the anti-oxidant defence system, an up-regulation of catalase levels, glutathione reductase (GR), glutathione peroxidase (GPx) and superoxide dismutase (SOD) activity was observed in the dystrophic muscle cells. In addition, the Idebenone treatment was also associated with reduction in inflammatory molecules, such as nuclear factor kappa-B (NF-κB) and tumour necrosis factor (TNF) in mdx muscle cells. These outcomes supported the use of Idebenone as a protective agent against oxidative stress and related signalling mechanisms involved in dystrophinopathies, such as DMD.</p>","PeriodicalId":14157,"journal":{"name":"International Journal of Experimental Pathology","volume":"104 1","pages":"4-12"},"PeriodicalIF":3.0,"publicationDate":"2022-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iep.12463","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10736137","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: 3
Differential Expression of Long Non-coding Ribonucleic Acid (RNA) Genes in Endometriosis-associated Ovarian Cancer (EAOC): A Pilot Meta-analysis for Pathological Insights and Potential Diagnostic Biomarker Identification 长非编码核糖核酸(RNA)基因在子宫内膜异位症相关卵巢癌(EAOC)中的差异表达:病理学见解和潜在诊断生物标志物鉴定的先导荟萃分析
IF 3 4区 医学 Q3 PATHOLOGY Pub Date : 2022-12-01 DOI: 10.33696/pathology.3.039
A. Finall, D. James, M. Quintela-Vazquez, RS Conlan
Introduction: Endometrioid and clear cell carcinomas of the ovary are the most common subtypes of epithelial malignancy arising from endometriosis and are often termed endometriosis-associated ovarian carcinomas (EAOCs). There is a paucity of experimental evidence in the medical literature regarding the role of long non-coding ribonucleic acid (RNA) gene expression in the pathogenesis of these carcinomas.Purpose: There is a need to develop understanding of the pathogenesis of these carcinomas for neoplastic risk stratification in endometriosis and to develop novel diagnostic biomarkers. Clear cell carcinoma of the ovary, in particular, has a poor prognosis as a result of resistance to standard platinum-based chemotherapy.Methods: RNAseq datasets from EAOCs were downloaded from Gene Expression Omnibus (GEO) and compared with normal ovarian control sequences using a customized bioinformatic pipeline.Results: We found 88 differentially expressed non-coding RNA molecules present in both endometrioid and clear cell carcinoma types compared with controls. A further 117 were specifically differentially expressed in the endometrioid carcinoma group and 128 in clear cell carcinoma samples alone. Genes of interest for further study from the 88 shared set in both EAOC types include CASC9, RP4-561L24.3, SLC2A1-AS1, LUCAT1, XIST, CASC15, and MIR99AHG. These genes appear to influence ferroptosis as a common pathway.Conclusions: Alterations in the ferroptosis pathway may be a key event in development of EAOC in ovarian endometriosis patients. Further work is required to elucidate the function of the candidate RNA genes identified in this study by in-vitro, cell line and cultured organoid experiments. These candidate RNA gene biomarkers have potential clinical utility in early diagnosis, risk stratification of endometriosis, and post-surgical monitoring.
子宫内膜样癌和卵巢透明细胞癌是由子宫内膜异位症引起的上皮恶性肿瘤中最常见的亚型,通常被称为子宫内膜异位症相关性卵巢癌(EAOCs)。关于长链非编码核糖核酸(RNA)基因表达在这些癌的发病机制中的作用,医学文献中缺乏实验证据。目的:有必要进一步了解子宫内膜异位症的发病机制,并开发新的诊断生物标志物。特别是卵巢透明细胞癌,由于对标准铂类化疗有耐药性,预后较差。方法:从Gene Expression Omnibus (GEO)下载EAOCs的RNAseq数据集,并使用定制的生物信息学管道与正常卵巢对照序列进行比较。结果:与对照组相比,我们在子宫内膜样癌和透明细胞癌中发现了88种差异表达的非编码RNA分子。另有117个在子宫内膜样癌组中特异性表达,128个在透明细胞癌样本中单独表达。在这两种EAOC类型共有的88个基因集中,需要进一步研究的基因包括CASC9、RP4-561L24.3、SLC2A1-AS1、LUCAT1、XIST、CASC15和MIR99AHG。这些基因似乎是影响铁下垂的共同途径。结论:铁下垂途径的改变可能是卵巢子宫内膜异位症患者EAOC发展的关键事件。进一步的工作需要通过体外、细胞系和培养的类器官实验来阐明本研究中鉴定的候选RNA基因的功能。这些候选RNA基因生物标志物在子宫内膜异位症的早期诊断、风险分层和术后监测方面具有潜在的临床应用价值。
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引用次数: 0
The Duration of Mechanical Ventilation is the Main Cause of Bacterial/Fungal Superinfection in Critically Ill Patients with COVID-19 at Altitude 机械通气时间是高原地区新冠肺炎危重患者细菌/真菌重复感染的主要原因
IF 3 4区 医学 Q3 PATHOLOGY Pub Date : 2022-12-01 DOI: 10.33696/pathology.3.040
Daniel Molano Franco, R. Masclans Joan, X. Nuvials, Mario Gómez, Cesar Enciso, M. Villabon, Edgar Beltran, M. Pérez, G. Ramírez, Andres Gomez, Luis Escobar, Andres Villa, Cristian Arias-Reyes, J. Soliz
Background. COVID-19 patients in intensive care units suffer from bacterial/fungal superinfections. However, the incidence and cause of such superinfections in high-altitude hospitals remain poorly investigated.Objectives. The aim of this study was to evaluate the frequency of bacterial/fungal superinfection in patients with COVID-19 hospitalized in the intensive care unit (ICU) of the Hospital Universitario San José de Bogotá, Colombia, located at an altitude of 2,651 meters above sea level (high altitude). The impact of corticosteroids on the development of infection was also evaluated.Methods. The cohort included 279 patients, of which 188 (67.4%) were male, 116 (42.3%) were treated with dexamethasone, and 48 (17.2%) were diagnosed with superinfection. A retrospective descriptive cohort study was performed to evaluate the association between bacterial/fungal superinfection frequency, corticosteroid treatment, mechanical ventilation, and mortality rate.Results. Our results showed that bacteremia was the most frequent diagnosis (n=20; 41.6%) of patients with superinfection, followed by pulmonary superinfection (n=17; 35.4%). The most frequently identified causative agents of superinfection were K. pneumoniae (n=23; 26.1%), C. albicans (n=10; 11.4%) and P. aeruginosa (n=8; 9.1%). Moreover, our results showed no association between corticosteroid treatment (or the use of empiric antibiotic treatment) and mortality. However, we found a significant association between bacterial/fungal superinfection and the number of days on mechanical ventilation. However, bacterial/fungal superinfection showed no impact on the mortality rate. Conclusions. We conclude that bacterial/fungal superinfection in ICU highland patients with SARS-CoV-2 treated at Hospital Universitario San José in Bogotá, Colombia, increases mainly in proportion to the time required for mechanical ventilation.
背景。重症监护病房的COVID-19患者患有细菌/真菌超感染。然而,在高海拔地区的医院中,这种重复感染的发生率和原因调查仍然很少。本研究的目的是评估位于海拔2651米(高海拔)的哥伦比亚圣何塞大学医院(Universitario San joss de bogot)重症监护病房(ICU)的COVID-19患者细菌/真菌重复感染的频率。同时还评价了皮质类固醇对感染发展的影响。279例患者,其中男性188例(67.4%),地塞米松治疗116例(42.3%),重复感染48例(17.2%)。进行了一项回顾性描述性队列研究,以评估细菌/真菌重复感染频率、皮质类固醇治疗、机械通气和死亡率之间的关系。我们的结果显示,菌血症是最常见的诊断(n=20;41.6%),其次是肺部重复感染(n=17;35.4%)。最常见的重复感染病原体是肺炎克雷伯菌(n=23;26.1%),白色念珠菌(n=10;11.4%)和铜绿假单胞菌(n=8;9.1%)。此外,我们的结果显示皮质类固醇治疗(或经验性抗生素治疗的使用)与死亡率之间没有关联。然而,我们发现细菌/真菌重复感染与机械通气天数之间存在显著关联。然而,细菌/真菌重复感染对死亡率没有影响。结论。我们得出结论,在哥伦比亚波哥大圣何塞大学医院收治的重症监护室高原SARS-CoV-2患者的细菌/真菌重复感染主要与机械通气所需时间成正比。
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引用次数: 0
British Society for Matrix Biology Spring 2022 Meeting 英国基质生物学学会2022年春季会议
IF 3 4区 医学 Q3 PATHOLOGY Pub Date : 2022-11-15 DOI: 10.1111/iep.12454
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引用次数: 1
British Society for Matrix Biology Spring 2022 Meeting. 英国基质生物学学会2022年春季会议。
IF 3 4区 医学 Q3 PATHOLOGY Pub Date : 2022-11-15 DOI: 10.1111/iep.12454
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引用次数: 1
Non-Interventional Treatment of Post-Dural-Puncture Headache; High-Flow Oxygen and Pro-Serotonin Agents a Safe and Effective Alternative 硬膜穿刺后头痛的非介入治疗高流量氧和亲5 -羟色胺制剂是安全有效的替代品
IF 3 4区 医学 Q3 PATHOLOGY Pub Date : 2022-11-10 DOI: 10.33696/pathology.3.038
A. Tran, C. Roldan
Lumbar punctures are commonly performed for diagnostic and/or therapeutic purposes by threading a needle through the outermost layer of the meninges, the dura mater, and into the intrathecal space within the lumbar region of the spine [1]. The intrathecal space contains cerebrospinal fluid (CSF), a clear and colorless fluid, which surrounds the brain and spinal cord and can provide information regarding intracranial pressures, presence of diseases involving the central nervous system (CNS) or surrounding meninges [2-4]. A common complication of dural puncture is a postdural puncture headache (PDPH) which is defined by The International Headache Society as a “headache that develops within 5 days of dural puncture and resolves within 1 week spontaneously or within 48 hours after effective treatment of the spinal fluid leak” [5]. Symptoms of PDPH classically include a frontal and/or occipital headache that improves in the supine position, worsened by sitting or standing, and may be associated with nausea, nick stiffness, vertigo, vision changes, dizziness, or auditory disturbances [6]. PDPH has the propensity to cause significant morbidity; among affected patients, 39% report a duration of at least one week of significant impairment of daily activities while severe PDPH may require hospital admission [7]. The gold standard treatment for PDPH is to administer an epidural blood patch (EBP), autologous blood collected in the periphery vessels and delivered in the area of suspected CSF leak within the spinal canal to “mechanically plug the leak” [8]. However, in order to perform this intervention safely, training and specific equipment are necessary but unfortunately not a common part of the armamentarium of most clinical settings. Among cancer patients, access to the intrathecal space for diagnostic or therapeutic purposes may be part of the standard of care and occurrences of headaches associated with dural puncture in these scenarios are not totally unavoidable. Furthermore, many patients with cancer often have clear contraindications to accessing the epidural space to perform a therapeutic blood patch [9]. Under these circumstances, noninvasive alternatives should be considered (Table 1).
腰椎穿刺术通常用于诊断和/或治疗目的,通过将针穿过脑膜的最外层,硬脑膜,进入腰椎区域的鞘内间隙[1]。鞘内间隙含有脑脊液(CSF),这是一种透明无色的液体,包裹着大脑和脊髓,可以提供颅内压、累及中枢神经系统(CNS)或周围脑膜疾病的信息[2-4]。硬脊膜穿刺的常见并发症是硬脊膜穿刺后头痛(postural穿刺头痛,PDPH),国际头痛学会将其定义为“硬脊膜穿刺后5天内出现头痛,1周内自发消退或脊髓液漏有效治疗后48小时内消退”[5]。PDPH的典型症状包括额部和/或枕部头痛,仰卧位时改善,坐位或站立时加重,并可能伴有恶心、划痕僵硬、眩晕、视力改变、头晕或听觉障碍[6]。PDPH有引起显著发病率的倾向;在受影响的患者中,39%报告持续至少一周的日常活动严重受损,而严重的PDPH可能需要住院[7]。PDPH的金标准治疗方法是硬膜外血贴(EBP),从周围血管中收集自体血液,并将其输送到椎管内疑似脑脊液泄漏的区域,以“机械堵塞泄漏”[8]。然而,为了安全地进行这种干预,培训和特定的设备是必要的,但不幸的是,大多数临床设置的设备中并不常见。在癌症患者中,为诊断或治疗目的进入鞘内空间可能是标准护理的一部分,在这些情况下,硬脑膜穿刺相关头痛的发生并非完全不可避免。此外,许多癌症患者通常对进入硬膜外腔进行治疗性血液贴片有明确的禁忌症[9]。在这种情况下,应考虑非侵入性替代方案(表1)。
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International Journal of Experimental Pathology
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