首页 > 最新文献

Investigacion clinica最新文献

英文 中文
Neurological manifestations associated with SARS-CoV-2 infection: an updated review. 与SARS-CoV-2感染相关的神经学表现:最新综述
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-03-03 DOI: 10.54817/ic.v64n1a08
Diana Cevallos-Macías, Gilberto Vizcaíno Salazar, A. Siteneski
SARS-CoV-2 is a single-stranded RNA virus that belongs to the group of seven coronaviruses that affect humans, and its infection causes the COVID-19 disease. The association between the COVID-19 condition and risk factors of neurological manifestations is unclear to date. This review aims to update the main neurological manifestations associated with SARS-CoV-2 disease. First, we present the hypothesis of the neuroinvasion mechanisms of SARS-CoV-2. Then, we discuss the possible symptoms related to patients with COVID-19 infection in the central and peripheral nervous systems, followed by the perspectives of diagnosis and treatment of possible neurological manifesta-tions. The hypothesis of the neuroinvasion mechanism includes direct routes, as the virus crosses the blood-brain barrier or the ACE2 receptor pathway role, and indirect pathways, such as malfunctions of the immune system and vascular system dysregulation. Various studies report COVID-19 consequences, such as neuroanatomic alterations and cognitive impairment, besides peripheral condi-tions, such as anosmia, ageusia, and Guillain Barré Syndrome. However, the het-erogeneity of the studies about neurologic damage in patients after COVID-19 infection precludes any generalization of current findings. Finally, new studies are necessary to understand the adequate diagnosis, therapeutic method of early treatment, and risk group of patients for neurological manifestations of COVID-19 post-infection.
SARS-CoV-2是一种单链RNA病毒,属于影响人类的七种冠状病毒,其感染可导致COVID-19疾病。迄今为止,COVID-19病症与神经系统表现危险因素之间的关联尚不清楚。本综述旨在更新与SARS-CoV-2疾病相关的主要神经学表现。首先,我们提出了SARS-CoV-2的神经侵袭机制假说。然后,我们讨论了与COVID-19感染患者相关的中枢和周围神经系统可能出现的症状,以及可能出现的神经系统表现的诊断和治疗观点。神经入侵机制的假设包括直接途径,如病毒穿过血脑屏障或ACE2受体途径的作用,以及间接途径,如免疫系统功能障碍和血管系统失调。各种研究报告了COVID-19的后果,如神经解剖改变和认知障碍,以及嗅觉丧失、老年痴呆和格林-巴勒综合征等周围疾病。然而,关于COVID-19感染后患者神经损伤的研究的异质性排除了目前研究结果的普遍化。最后,有必要开展新的研究,以了解COVID-19感染后神经系统症状的充分诊断、早期治疗的治疗方法和患者的风险群体。
{"title":"Neurological manifestations associated with SARS-CoV-2 infection: an updated review.","authors":"Diana Cevallos-Macías, Gilberto Vizcaíno Salazar, A. Siteneski","doi":"10.54817/ic.v64n1a08","DOIUrl":"https://doi.org/10.54817/ic.v64n1a08","url":null,"abstract":"SARS-CoV-2 is a single-stranded RNA virus that belongs to the group of seven coronaviruses that affect humans, and its infection causes the COVID-19 disease. The association between the COVID-19 condition and risk factors of neurological manifestations is unclear to date. This review aims to update the main neurological manifestations associated with SARS-CoV-2 disease. First, we present the hypothesis of the neuroinvasion mechanisms of SARS-CoV-2. Then, we discuss the possible symptoms related to patients with COVID-19 infection in the central and peripheral nervous systems, followed by the perspectives of diagnosis and treatment of possible neurological manifesta-tions. The hypothesis of the neuroinvasion mechanism includes direct routes, as the virus crosses the blood-brain barrier or the ACE2 receptor pathway role, and indirect pathways, such as malfunctions of the immune system and vascular system dysregulation. Various studies report COVID-19 consequences, such as neuroanatomic alterations and cognitive impairment, besides peripheral condi-tions, such as anosmia, ageusia, and Guillain Barré Syndrome. However, the het-erogeneity of the studies about neurologic damage in patients after COVID-19 infection precludes any generalization of current findings. Finally, new studies are necessary to understand the adequate diagnosis, therapeutic method of early treatment, and risk group of patients for neurological manifestations of COVID-19 post-infection.","PeriodicalId":14514,"journal":{"name":"Investigacion clinica","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44240560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
EDITORIAL. Las enfermedades tropicales desatendidas en Venezuela en la era de COVID-19. 出版商。COVID-19时代委内瑞拉被忽视的热带病。
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-03-03 DOI: 10.54817/ic.v64n1a00
L. Chacín-Bonilla
Neglected tropical diseases (NTDs) remain a public health problem among vulnerable, marginalized populations. The crisis in Venezuela has caused poverty, malnutrition, the collapse of the health system and public services that have determined the emergence and re-emergence of infectious diseases that exacerbate the problem of NTDs. Due to its economic impact, the COVID-19 pandemic could lead to greater poverty and aggravate the situation. The WHO aims to eliminate 20 NTDs, including geohelminthiasis, as a public health problem by 2030, which is an ambitious plan for Venezuela. To eliminate NTDs as a public health problem, it is necessary to maximize the efforts of the different health disciplines and the application by governments of environmental sanitation measures and the improvement of the standard of living of the affected populations. However, these measures are complex and take time to implement.
被忽视的热带疾病仍然是弱势、边缘化人群的公共卫生问题。委内瑞拉的危机造成了贫困、营养不良、卫生系统和公共服务的崩溃,这些都决定了传染病的出现和再次出现,从而加剧了NTD的问题。由于其经济影响,新冠肺炎大流行可能导致更大的贫困并加剧局势。世界卫生组织的目标是到2030年消除20种NTD,包括地蠕虫病,这是委内瑞拉的一项雄心勃勃的计划。为了消除NTD这一公共卫生问题,有必要最大限度地提高不同卫生学科的努力,以及政府实施环境卫生措施和提高受影响人群的生活水平。然而,这些措施很复杂,实施起来需要时间。
{"title":"EDITORIAL. Las enfermedades tropicales desatendidas en Venezuela en la era de COVID-19.","authors":"L. Chacín-Bonilla","doi":"10.54817/ic.v64n1a00","DOIUrl":"https://doi.org/10.54817/ic.v64n1a00","url":null,"abstract":"Neglected tropical diseases (NTDs) remain a public health problem among vulnerable, marginalized populations. The crisis in Venezuela has caused poverty, malnutrition, the collapse of the health system and public services that have determined the emergence and re-emergence of infectious diseases that exacerbate the problem of NTDs. Due to its economic impact, the COVID-19 pandemic could lead to greater poverty and aggravate the situation. The WHO aims to eliminate 20 NTDs, including geohelminthiasis, as a public health problem by 2030, which is an ambitious plan for Venezuela. To eliminate NTDs as a public health problem, it is necessary to maximize the efforts of the different health disciplines and the application by governments of environmental sanitation measures and the improvement of the standard of living of the affected populations. However, these measures are complex and take time to implement.","PeriodicalId":14514,"journal":{"name":"Investigacion clinica","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41714016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Estado de salud y nutrición del adulto mayor que concurre al Hospital Geriátrico del Seguro Social en la Asunción. Paraguay. 在asuncion的社会保障老年医院就诊的老年人的健康和营养状况。巴拉圭。
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-03-03 DOI: 10.54817/ic.v64n1a05
Gloria Ana María Echagüe de Méndez, Liliana Sosa de Sforza, Patricia Funes, R. Díaz, Margarita Ferrero, Osvaldo Cardozo, Marilina Florentín, Estela Orué, Rosa Franco
The increase in the population of older adults and their more significant demand for health care in Paraguay requires a multidimensional evaluation to identify risks or deteriorating conditions. The objective of this research was to evaluate the health and nutrition status of a sample of older adults who attended the Geriatric Hospital of the Social Security for outpa-tient consultation. The research had a cross-sectional descriptive observational design, which included 108 older adults who underwent the Comprehensive Geriatric Assessment (CGA) and whose nutritional parameters were evaluated. Their average age was 71 years, with a predominance of females. According to their BMI, 64% were overweight or obese. As for the CGA, 18% presented a nutritional risk, 43% had mild dependence on activities of daily living and 12% on instrumental activities, 18% had a cognitive deficit, 6% had depression, and 30% had social risk. The population was characterized by a high prevalence of overweight and hypertension and a low frequency of risk of malnutrition. The most significant limitations were in the basic activities of daily life and social risk. Being female and being overweight were significantly associated with ba-sic functional limitations. This work was one of the first in the country on am-bulatory older adults, allowing the establishment of a baseline for areas where health is compromised or at risk of decline and the development of preventive strategies and actions to promote healthy aging.
巴拉圭老年人口的增加及其对医疗保健的更大需求需要进行多层面的评估,以确定风险或恶化的状况。本研究的目的是评估在社会保障老年医院接受门诊咨询的老年人的健康和营养状况。该研究采用横断面描述性观察性设计,包括108名接受老年综合评估(CGA)并评估其营养参数的老年人。她们的平均年龄为71岁,以女性为主。根据他们的BMI,64%的人超重或肥胖。至于CGA,18%存在营养风险,43%对日常生活活动有轻度依赖,12%对工具性活动有依赖,18%有认知缺陷,6%有抑郁症,30%有社会风险。人群的特点是超重和高血压患病率高,营养不良风险低。最显著的限制是日常生活的基本活动和社会风险。女性和超重与ba sic功能限制显著相关。这项工作是该国最早开展的老年人护理工作之一,为健康受损或有下降风险的地区建立了基线,并制定了促进健康老龄化的预防战略和行动。
{"title":"Estado de salud y nutrición del adulto mayor que concurre al Hospital Geriátrico del Seguro Social en la Asunción. Paraguay.","authors":"Gloria Ana María Echagüe de Méndez, Liliana Sosa de Sforza, Patricia Funes, R. Díaz, Margarita Ferrero, Osvaldo Cardozo, Marilina Florentín, Estela Orué, Rosa Franco","doi":"10.54817/ic.v64n1a05","DOIUrl":"https://doi.org/10.54817/ic.v64n1a05","url":null,"abstract":"The increase in the population of older adults and their more significant demand for health care in Paraguay requires a multidimensional evaluation to identify risks or deteriorating conditions. The objective of this research was to evaluate the health and nutrition status of a sample of older adults who attended the Geriatric Hospital of the Social Security for outpa-tient consultation. The research had a cross-sectional descriptive observational design, which included 108 older adults who underwent the Comprehensive Geriatric Assessment (CGA) and whose nutritional parameters were evaluated. Their average age was 71 years, with a predominance of females. According to their BMI, 64% were overweight or obese. As for the CGA, 18% presented a nutritional risk, 43% had mild dependence on activities of daily living and 12% on instrumental activities, 18% had a cognitive deficit, 6% had depression, and 30% had social risk. The population was characterized by a high prevalence of overweight and hypertension and a low frequency of risk of malnutrition. The most significant limitations were in the basic activities of daily life and social risk. Being female and being overweight were significantly associated with ba-sic functional limitations. This work was one of the first in the country on am-bulatory older adults, allowing the establishment of a baseline for areas where health is compromised or at risk of decline and the development of preventive strategies and actions to promote healthy aging.","PeriodicalId":14514,"journal":{"name":"Investigacion clinica","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46416774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efecto del compuesto N-2,6-dicloro-aralquil-2-Aminoindano en la conducta estereotipada de ratas. Acción dopaminérgica selectiva central sobre los ganglios basales más que en las estructuras límbicas. 化合物N-2,6-二氯-Aralquil-2-氨基吲哚对大鼠刻板印象行为的影响。中枢选择性多巴胺能作用于基底神经节而不是边缘结构。
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-03-03 DOI: 10.54817/ic.v64n1a02
M. Velásquez, Alexander E. Albarracín, Kelvin Boscán, Ligia B. Angel, R. Izquierdo, María M. Ramírez, B. Migliore, Jaime E. Charris, M. D. R. Garrido, A. Israel, Simón E. López, J. E. Angel
Dopamine 1 is involved in neurodegenerative disorders affect-ing the central nervous system (CNS), such as Parkinson’s disease. Despite the absence of some available drugs capable of preventing, stopping or curing the progression of such diseases, there are numerous compounds designed, synthesized, and pharmacologically tested which give rise to pharmacophoric generalizations about the dopaminergic receptor required for the search of a drug able to improve or cure those pathologies. N-aralkyl-2-aminoindane de-rivatives have shown selective activity in the central dopaminergic system. Both the N-[(2,4-dichlorophenyl)-1-methyl-ethyl]-2-aminoindane hydrochloride 2and N-[(3,4-dichlorophenyl)-1-methyl-ethyl]-2-aminoindane hydrochloride 3 showed an agonistic activity mediated by central dopaminergic mechanisms. To contribute to the search of new drugs able to re-establish homeostasis in the dopaminergic transmission in Parkinson’s disease, the compound N-2,6-dichloro-aralkyl-2-aminoindane 4 was designed through medicinal chemistry strategies that contain pharmacophoric approximations of prodrugs. The phar-macological evaluation of compound 4 in the stereotyped behavior of male Sprague Dawley rats showed agonistic activity through the activation of central dopaminergic mechanisms and a higher selectivity in the responses of stereo-typed behavior characteristic of the basal ganglia over the typical responses from limbic structures.
多巴胺1参与影响中枢神经系统(CNS)的神经退行性疾病,如帕金森病。尽管缺乏一些能够预防、阻止或治愈此类疾病进展的可用药物,但仍有许多设计、合成和药理学测试的化合物,这些化合物对寻找能够改善或治愈这些疾病的药物所需的多巴胺能受体产生了药效学上的概括。N-芳烷基-2-氨基茚衍生物在中枢多巴胺能系统中显示出选择性活性。N-[(2,4-二氯苯基)-1-甲基-乙基]-2-氨基茚酮盐酸盐2和N-[(3,4-二氯苯基]-1-甲基-甲基]-2-氨基吲酮盐酸盐3均表现出由中枢多巴胺能机制介导的激动活性。为了有助于寻找能够在帕金森病多巴胺能传递中重新建立稳态的新药,通过药物化学策略设计了化合物N-2,6-二氯-烷基-2-氨基茚4,该策略包含前药的药效近似值。化合物4对雄性Sprague-Dawley大鼠刻板行为的药理学评价显示,通过激活中枢多巴胺能机制具有激动活性,并且与边缘结构的典型反应相比,基底神经节的立体型行为特征的反应具有更高的选择性。
{"title":"Efecto del compuesto N-2,6-dicloro-aralquil-2-Aminoindano en la conducta estereotipada de ratas. Acción dopaminérgica selectiva central sobre los ganglios basales más que en las estructuras límbicas.","authors":"M. Velásquez, Alexander E. Albarracín, Kelvin Boscán, Ligia B. Angel, R. Izquierdo, María M. Ramírez, B. Migliore, Jaime E. Charris, M. D. R. Garrido, A. Israel, Simón E. López, J. E. Angel","doi":"10.54817/ic.v64n1a02","DOIUrl":"https://doi.org/10.54817/ic.v64n1a02","url":null,"abstract":"Dopamine 1 is involved in neurodegenerative disorders affect-ing the central nervous system (CNS), such as Parkinson’s disease. Despite the absence of some available drugs capable of preventing, stopping or curing the progression of such diseases, there are numerous compounds designed, synthesized, and pharmacologically tested which give rise to pharmacophoric generalizations about the dopaminergic receptor required for the search of a drug able to improve or cure those pathologies. N-aralkyl-2-aminoindane de-rivatives have shown selective activity in the central dopaminergic system. Both the N-[(2,4-dichlorophenyl)-1-methyl-ethyl]-2-aminoindane hydrochloride 2and N-[(3,4-dichlorophenyl)-1-methyl-ethyl]-2-aminoindane hydrochloride 3 showed an agonistic activity mediated by central dopaminergic mechanisms. To contribute to the search of new drugs able to re-establish homeostasis in the dopaminergic transmission in Parkinson’s disease, the compound N-2,6-dichloro-aralkyl-2-aminoindane 4 was designed through medicinal chemistry strategies that contain pharmacophoric approximations of prodrugs. The phar-macological evaluation of compound 4 in the stereotyped behavior of male Sprague Dawley rats showed agonistic activity through the activation of central dopaminergic mechanisms and a higher selectivity in the responses of stereo-typed behavior characteristic of the basal ganglia over the typical responses from limbic structures.","PeriodicalId":14514,"journal":{"name":"Investigacion clinica","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49435309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
β-defensinas como posibles indicadores de la actividad inflamatoria en la enfermedad periodontal. β-防御素作为牙周病炎症活性的可能指标。
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-11-11 DOI: 10.54817/ic.v63n4a08
Saira Ramírez Thomé, Beatriz Ávila Curiel, M. T. Hernández Huerta, Carlos Solórzano Mata
Periodontal disease (gingivitis and periodontitis) is an inflam-matory process caused by the activity of pathogenic bacteria and their products on the gingival sulcus, with the consequent activation of the immune response. Saliva and crevicular fluid contain a wide variety of enzymes and antimicrobial factors that are in contact with the supragingival and subgingival region, in-cluding β-defensins (hBDs). hHBDs are non-glycosylated, cysteine-rich cationic peptides produced by epithelial cells with antimicrobial and immunoregulatory effects, thus contributing to maintaining homeostasis in periodontal tissues. The changes in the microbiota and the immune response from a healthy peri-odontium to gingivitis and, finally, to periodontitis are complex. Their sever-ity depends on a dynamic balance between bacteria associated with plaque, genetic and environmental factors. Recent advances have made it possible to understand the implication of hBDs in the detection, diagnosis, and therapy of periodontal disease and the relationship between periodontitis and other inflammatory conditions. This review aims to describe the effect of hBDs on the immune response and its use as a possible marker of the inflammatory activity of the periodontal disease.
牙周病(牙龈炎和牙周炎)是由病原菌及其产物在牙龈沟上的活性引起的炎症过程,随之而来的是免疫反应的激活。唾液和沟液含有多种与龈上和龈下区域接触的酶和抗菌因子,包括β-防御素(hBDs)。hHBDs是由上皮细胞产生的非糖基化、富含半胱氨酸的阳离子肽,具有抗菌和免疫调节作用,因此有助于维持牙周组织的内稳态。从健康的牙周炎到牙龈炎,最后到牙周炎,微生物群和免疫反应的变化是复杂的。它们的严重程度取决于与斑块、遗传和环境因素相关的细菌之间的动态平衡。最近的研究进展使我们能够理解hBDs在牙周病的检测、诊断和治疗中的意义,以及牙周炎和其他炎症之间的关系。这篇综述的目的是描述hBDs对免疫反应的影响及其作为牙周病炎症活动可能标志的用途。
{"title":"β-defensinas como posibles indicadores de la actividad inflamatoria en la enfermedad periodontal.","authors":"Saira Ramírez Thomé, Beatriz Ávila Curiel, M. T. Hernández Huerta, Carlos Solórzano Mata","doi":"10.54817/ic.v63n4a08","DOIUrl":"https://doi.org/10.54817/ic.v63n4a08","url":null,"abstract":"Periodontal disease (gingivitis and periodontitis) is an inflam-matory process caused by the activity of pathogenic bacteria and their products on the gingival sulcus, with the consequent activation of the immune response. Saliva and crevicular fluid contain a wide variety of enzymes and antimicrobial factors that are in contact with the supragingival and subgingival region, in-cluding β-defensins (hBDs). hHBDs are non-glycosylated, cysteine-rich cationic peptides produced by epithelial cells with antimicrobial and immunoregulatory effects, thus contributing to maintaining homeostasis in periodontal tissues. The changes in the microbiota and the immune response from a healthy peri-odontium to gingivitis and, finally, to periodontitis are complex. Their sever-ity depends on a dynamic balance between bacteria associated with plaque, genetic and environmental factors. Recent advances have made it possible to understand the implication of hBDs in the detection, diagnosis, and therapy of periodontal disease and the relationship between periodontitis and other inflammatory conditions. This review aims to describe the effect of hBDs on the immune response and its use as a possible marker of the inflammatory activity of the periodontal disease.","PeriodicalId":14514,"journal":{"name":"Investigacion clinica","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45387400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Angiotensin II and human obesity. A narrative review of the pathogenesis. 血管紧张素II与人类肥胖。发病机制的叙述性回顾。
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-11-11 DOI: 10.54817/ic.v63n4a09
J. Mosquera-Sulbaran, E. Ryder, A. Pedreáñez, Renata Vargas
Angiotensin II (Ang II) is a hormone and the main effector of the renin-angiotensin system (RAS). This peptide has crucial pathophysiologi-cal effects on hypertension, cardiac hypertrophy, endothelial proliferation, in-flammation and tissue remodelling through G protein-coupled receptors. The pro-inflammatory role of Ang II has been reported in various inflammatory pro-cesses. Obesity is linked to a chronic inflammatory process which in turn is the cause of some of its morbidities. Ang II is related to the comorbidities related to the comorbidities of obesity, which include alterations in the heart, kid-ney, hypertension and coagulation. In this regard, activation of AT1 receptors by Ang II can induce an inflammatory process mediated by the transcription factor NF-kB, triggering inflammation in various systems that are related to the comorbidities observed in obesity. The aim of this review was to highlight the pro-inflammatory effects of Ang II and the alterations induced by this hor-mone in various organs and systems in obesity. The search was done since 1990 through Medline, EMBASE and PubMed, using the keywords: angiotensin II; an-giotensin II, obesity; angiotensin II, kidney, obesity; angiotensin II, coagulation, obesity; angiotensin II, inflammation, obesity; angiotensin II, adipose tissue, obesity; angiotensin II, hypertension, obesity; angiotensin II, insulin resistance, obesity; angiotensin II, adiponectin, leptin, obesity; angiotensin II, COVID-19, obesity. Angiotensin II through its interaction with its AT1 receptor, can induce alterations in diverse systems that are related to the comorbidities observed in obesity. Therapeutic strategies to decrease the production and action of Ang II could improve the clinical conditions in individuals with obesity.
血管紧张素II (angii)是一种激素,是肾素-血管紧张素系统(RAS)的主要效应物。该肽通过G蛋白偶联受体对高血压、心肌肥大、内皮细胞增殖、炎症和组织重构具有重要的病理生理作用。Ang II的促炎作用已被报道在各种炎症过程中。肥胖与慢性炎症过程有关,而慢性炎症过程又会导致某些疾病。Ang II与肥胖合并症相关的合并症有关,包括心脏、肾脏、高血压和凝血的改变。在这方面,Ang II激活AT1受体可以诱导由转录因子NF-kB介导的炎症过程,引发与肥胖合并症相关的各种系统的炎症。本综述的目的是强调Ang II的促炎作用,以及这种激素在肥胖患者各器官和系统中引起的改变。检索自1990年以来通过Medline, EMBASE和PubMed完成,使用关键词:血管紧张素II;血管紧张素II,肥胖;血管紧张素II,肾脏,肥胖;血管紧张素II,凝血,肥胖;血管紧张素II,炎症,肥胖;血管紧张素II,脂肪组织,肥胖;血管紧张素II,高血压,肥胖;血管紧张素II,胰岛素抵抗,肥胖;血管紧张素II,脂联素,瘦素,肥胖;血管紧张素II, COVID-19,肥胖。血管紧张素II通过其与AT1受体的相互作用,可以诱导与肥胖合并症相关的多种系统的改变。减少Ang II的产生和作用的治疗策略可以改善肥胖个体的临床状况。
{"title":"Angiotensin II and human obesity. A narrative review of the pathogenesis.","authors":"J. Mosquera-Sulbaran, E. Ryder, A. Pedreáñez, Renata Vargas","doi":"10.54817/ic.v63n4a09","DOIUrl":"https://doi.org/10.54817/ic.v63n4a09","url":null,"abstract":"Angiotensin II (Ang II) is a hormone and the main effector of the renin-angiotensin system (RAS). This peptide has crucial pathophysiologi-cal effects on hypertension, cardiac hypertrophy, endothelial proliferation, in-flammation and tissue remodelling through G protein-coupled receptors. The pro-inflammatory role of Ang II has been reported in various inflammatory pro-cesses. Obesity is linked to a chronic inflammatory process which in turn is the cause of some of its morbidities. Ang II is related to the comorbidities related to the comorbidities of obesity, which include alterations in the heart, kid-ney, hypertension and coagulation. In this regard, activation of AT1 receptors by Ang II can induce an inflammatory process mediated by the transcription factor NF-kB, triggering inflammation in various systems that are related to the comorbidities observed in obesity. The aim of this review was to highlight the pro-inflammatory effects of Ang II and the alterations induced by this hor-mone in various organs and systems in obesity. The search was done since 1990 through Medline, EMBASE and PubMed, using the keywords: angiotensin II; an-giotensin II, obesity; angiotensin II, kidney, obesity; angiotensin II, coagulation, obesity; angiotensin II, inflammation, obesity; angiotensin II, adipose tissue, obesity; angiotensin II, hypertension, obesity; angiotensin II, insulin resistance, obesity; angiotensin II, adiponectin, leptin, obesity; angiotensin II, COVID-19, obesity. Angiotensin II through its interaction with its AT1 receptor, can induce alterations in diverse systems that are related to the comorbidities observed in obesity. Therapeutic strategies to decrease the production and action of Ang II could improve the clinical conditions in individuals with obesity.","PeriodicalId":14514,"journal":{"name":"Investigacion clinica","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70946728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effects of curcumin on the biological behavior of colorectal cancer cells through the JAK/STAT3 and RAS/MAPK/NF-κB pathways 姜黄素通过JAK/STAT3和RAS/MAPK/NF-κB途径对结直肠癌癌症细胞生物学行为的影响
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-11-11 DOI: 10.54817/ic.v63n4a03
Zhe Yang, R. Zhao, Wangjun Gao
The purpose of this work was to investigate the effects of curcumin on the biological behavior of colorectal cancer cells through the JAK/STAT3 and RAS/MAPK/NF-κB pathways. Human colorectal cancer HCT116 cells were cultured and divided into a control group and low, medium and high-dose curcumin groups (n =5). HCT116 colorectal cancer cells became long-growing cells after incubation and culture at 37°C. The control group was treated with 15μL phosphate-buffered saline, and the low-dose, medium-dose and high-dose curcumin groups were treated with 20, 40 and 80μmol/L curcumin, respectively. All groups were treated with rel-evant drug intervention, digested and centrifuged for 48h, washed twice with a PBS solution, centrifuged at 1000 rpm for 3 min, and the cells precipitated. The prolif-eration, apoptosis and growth cycle of cells in each group were observed, and the ex-pressions of the JAK/STAT3 and RAS/MAPK/NF-κB pathways and related proteins in each group were studied. Compared with the curcumin low-dose and medium-dose groups, the proliferation ability of the curcumin high-dose group was significantly decreased (P<0.05). When the low-dose and medium-dose curcumin groups were compared with the high-dose curcumin group, the apoptosis ability was significantly increased (P<0.05). When the low-dose and medium-dose curcumin groups were compared, the growth ratio of the G0/G1 phase in the high-dose curcumin group was significantly increased, and the percentage of the S phase was significantly de-creased (P<0.05). Compared with the curcumin low-dose and medium-dose groups, the expression of JAK-STAT3 and RAS/MAPK/NF-κB pathway in the curcumin high-dose group was significantly decreased (P<0.05). The protein expressions of STAT3, RAS, P-P38 and P65 in the curcumin high-dose group were significantly lower than those in the curcumin low-dose and medium-dose groups (P<0.05). Curcumin can inhibit the expression of JAK/STAT3 and RAS/MAPK/NF-κB pathways, block the growth cycle, and inhibit the proliferation and induce apoptosis of colorectal cancer cells, providing a new idea for the clinical treatment of colorectal cancer.
本研究旨在研究姜黄素通过JAK/STAT3和RAS/MAPK/NF-κB途径对结直肠癌癌症细胞生物学行为的影响。培养人结直肠癌癌症HCT116细胞,并将其分为对照组和低、中、高剂量姜黄素组(n=5)。HCT116结直肠癌癌症细胞在37°C下孵育和培养后成为长生长细胞。对照组用15μL磷酸盐缓冲盐水治疗,低剂量、中剂量和高剂量姜黄素组分别用20、40和80μmol/L姜黄素治疗。所有组均接受rel-evant药物干预,消化并离心48小时,用PBS溶液洗涤两次,以1000rpm离心3分钟,细胞沉淀。观察各组细胞的增殖、凋亡和生长周期,并研究各组JAK/STAT3和RAS/MAPK/NF-κB通路及相关蛋白的表达。与姜黄素低剂量组和中剂量组相比,姜黄素高剂量组的增殖能力显著降低(P<0.05)。与姜黄素大剂量组比较,姜黄素小剂量组和中等剂量组的细胞凋亡能力显著增强(P<0.05),姜黄素高剂量组G0/G1期生长率显著升高,S期百分比显著降低(P<0.05),姜黄素高剂量组的P-P38和P65明显低于姜黄素低剂量组和中剂量组(P<0.05),姜黄素可抑制JAK/STAT3和RAS/MAPK/NF-κB通路的表达,阻断生长周期,抑制结直肠癌癌症细胞增殖和诱导细胞凋亡,为结直肠癌的临床治疗提供了新思路。
{"title":"The effects of curcumin on the biological behavior of colorectal cancer cells through the JAK/STAT3 and RAS/MAPK/NF-κB pathways","authors":"Zhe Yang, R. Zhao, Wangjun Gao","doi":"10.54817/ic.v63n4a03","DOIUrl":"https://doi.org/10.54817/ic.v63n4a03","url":null,"abstract":"The purpose of this work was to investigate the effects of curcumin on the biological behavior of colorectal cancer cells through the JAK/STAT3 and RAS/MAPK/NF-κB pathways. Human colorectal cancer HCT116 cells were cultured and divided into a control group and low, medium and high-dose curcumin groups (n =5). HCT116 colorectal cancer cells became long-growing cells after incubation and culture at 37°C. The control group was treated with 15μL phosphate-buffered saline, and the low-dose, medium-dose and high-dose curcumin groups were treated with 20, 40 and 80μmol/L curcumin, respectively. All groups were treated with rel-evant drug intervention, digested and centrifuged for 48h, washed twice with a PBS solution, centrifuged at 1000 rpm for 3 min, and the cells precipitated. The prolif-eration, apoptosis and growth cycle of cells in each group were observed, and the ex-pressions of the JAK/STAT3 and RAS/MAPK/NF-κB pathways and related proteins in each group were studied. Compared with the curcumin low-dose and medium-dose groups, the proliferation ability of the curcumin high-dose group was significantly decreased (P<0.05). When the low-dose and medium-dose curcumin groups were compared with the high-dose curcumin group, the apoptosis ability was significantly increased (P<0.05). When the low-dose and medium-dose curcumin groups were compared, the growth ratio of the G0/G1 phase in the high-dose curcumin group was significantly increased, and the percentage of the S phase was significantly de-creased (P<0.05). Compared with the curcumin low-dose and medium-dose groups, the expression of JAK-STAT3 and RAS/MAPK/NF-κB pathway in the curcumin high-dose group was significantly decreased (P<0.05). The protein expressions of STAT3, RAS, P-P38 and P65 in the curcumin high-dose group were significantly lower than those in the curcumin low-dose and medium-dose groups (P<0.05). Curcumin can inhibit the expression of JAK/STAT3 and RAS/MAPK/NF-κB pathways, block the growth cycle, and inhibit the proliferation and induce apoptosis of colorectal cancer cells, providing a new idea for the clinical treatment of colorectal cancer.","PeriodicalId":14514,"journal":{"name":"Investigacion clinica","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48689385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of varied exercise intensity on antioxidant function, aortic endothelial function, and serum lipids in rats with non-alcoholic fatty liver disease. 不同运动强度对非酒精性脂肪肝大鼠抗氧化功能、主动脉内皮功能和血脂的影响。
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-11-11 DOI: 10.54817/ic.v63n4a01
Ling Ruan, Guanghua Wang, Zhen Qing Lv, Shoubang Li, Qin Liu, Yiling Ren, Quancheng Zhang, Xianli Lv, Rongping Wu, Zhan Ji
This study aimed to compare the effects of diet and exercise of different intensities on antioxidant function, aortic endothelial cell function and serum lipids in NAFLD (nonalcoholic fatty liver disease) rats. Fifty Sprague-Dawley (SD) rats (180-220g) were randomly divided into two experimental groups and fed either a standard rodent chow diet (CON; n=10) or a high-fat diet (HFD; n=40). After 16 weeks, the animals that received the HFD were randomly separated into a high-fat control group (HFC; n=10) or three ex-ercise training groups: HFD and low-intensity exercise (LE; n=10), HFD and moderate-intensity exercise (ME; n=10), and HFD and incremental intensity exercise (IE; n=10). These experimental rats keep sedentary or trained for the next six weeks. A detection kit was used to detect nitric oxide synthase (NOs), nitric oxide (NO), malondialdehyde (MDA) and other markers of aor-tic oxidative stress. The expression levels of endothelial nitric oxide synthase (e-NOS) and endothelin-1 (ET-1) were detected by immunohistochemistry. TC, TG, and other lipid metabolism parameters were detected by an auto-matic analyzer. Exercise with different intensities could improve lipid me-tabolism, enhance antioxidant function, reduce MDA (P<0.01), increase NO (P<0.01), and improve the expression of e-NOS and ET-1 (P<0.01) protein levels in NAFLD rats. Decreased blood lipids were exhibited in all exercise groups. Notably, the moderate-intensity exercise demonstrated more effecton increasing glutathione (GSH) contents (P<0.01) and decreased the ex-pression of ET-1protein levels (P<0.01). The results showed that exercise at different intensities improved lipid metabolism and enhanced anti-oxidation function. Moderate exercise could improve the function of aortic endothelial cells.
本研究旨在比较不同强度的饮食和运动对NAFLD(非酒精性脂肪肝)大鼠抗氧化功能、主动脉内皮细胞功能和血脂的影响。将50只Sprague-Dawley(SD)大鼠(180-220g)随机分为两个实验组,并喂食标准啮齿动物日粮(CON;n=10)或高脂肪日粮(HFD;n=40)。16周后,接受HFD的动物被随机分为一个高脂肪对照组(HFC;n=10)或三个体外训练组:HFD和低强度运动(LE;n=10。这些实验大鼠在接下来的六周里保持久坐或训练。采用检测试剂盒检测一氧化氮合酶(NO)、一氧化氮(NO)和丙二醛(MDA)等氧化应激标志物。用免疫组织化学方法检测内皮一氧化氮合酶(e-NOS)和内皮素-1(ET-1)的表达水平。TC、TG和其他脂质代谢参数通过自动分析仪进行检测。不同强度的运动可改善NAFLD大鼠的脂质代谢,增强抗氧化功能,降低MDA(P<0.01),增加NO(P<0.01)并提高e-NOS和ET-1蛋白的表达(P<0.01)。所有运动组的血脂都有所下降。结果表明,中等强度运动能显著提高谷胱甘肽(GSH)含量(P<0.01),降低ET-1蛋白表达(P<0.01)。适量运动可改善主动脉内皮细胞的功能。
{"title":"The effect of varied exercise intensity on antioxidant function, aortic endothelial function, and serum lipids in rats with non-alcoholic fatty liver disease.","authors":"Ling Ruan, Guanghua Wang, Zhen Qing Lv, Shoubang Li, Qin Liu, Yiling Ren, Quancheng Zhang, Xianli Lv, Rongping Wu, Zhan Ji","doi":"10.54817/ic.v63n4a01","DOIUrl":"https://doi.org/10.54817/ic.v63n4a01","url":null,"abstract":"This study aimed to compare the effects of diet and exercise of different intensities on antioxidant function, aortic endothelial cell function and serum lipids in NAFLD (nonalcoholic fatty liver disease) rats. Fifty Sprague-Dawley (SD) rats (180-220g) were randomly divided into two experimental groups and fed either a standard rodent chow diet (CON; n=10) or a high-fat diet (HFD; n=40). After 16 weeks, the animals that received the HFD were randomly separated into a high-fat control group (HFC; n=10) or three ex-ercise training groups: HFD and low-intensity exercise (LE; n=10), HFD and moderate-intensity exercise (ME; n=10), and HFD and incremental intensity exercise (IE; n=10). These experimental rats keep sedentary or trained for the next six weeks. A detection kit was used to detect nitric oxide synthase (NOs), nitric oxide (NO), malondialdehyde (MDA) and other markers of aor-tic oxidative stress. The expression levels of endothelial nitric oxide synthase (e-NOS) and endothelin-1 (ET-1) were detected by immunohistochemistry. TC, TG, and other lipid metabolism parameters were detected by an auto-matic analyzer. Exercise with different intensities could improve lipid me-tabolism, enhance antioxidant function, reduce MDA (P<0.01), increase NO (P<0.01), and improve the expression of e-NOS and ET-1 (P<0.01) protein levels in NAFLD rats. Decreased blood lipids were exhibited in all exercise groups. Notably, the moderate-intensity exercise demonstrated more effecton increasing glutathione (GSH) contents (P<0.01) and decreased the ex-pression of ET-1protein levels (P<0.01). The results showed that exercise at different intensities improved lipid metabolism and enhanced anti-oxidation function. Moderate exercise could improve the function of aortic endothelial cells.","PeriodicalId":14514,"journal":{"name":"Investigacion clinica","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44106463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Blood group B and decreased risk of coronary artery disease in hypertensive elderly. B血型与降低老年高血压患者患冠状动脉疾病的风险。
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-11-11 DOI: 10.54817/ic.v63n4a06
Yanbin Song, Wenhua Li
Although ABO blood groups have been associated with cardio-vascular disease, little is known about whether ABO blood groups contribute to the risk of the presence and severity of coronary artery disease (CAD) in elderly individuals with hypertension. This study was aimed to explore this as-sociation. A total of 793 hypertensive patients aged ≥60 years out of 2095 patients who underwent primary coronary angiography were retrospectively included. They were divided into CAD and non-CAD groups. Demographic and clinical characteristics, ABO blood groups and other biochemical parameters were compared. Further evaluation was performed to determine the impact of ABO blood groups on CAD severity using the Gensini score and the number of significantly diseased vessels. A logistic regression model was constructed to identify the association of ABO blood groups with CAD. There was a substantial difference in the distribution of ABO blood groups in elderly and hypertensive adults with and without CAD (p=0.022). Hypertensive patients with CAD had a significantly lower proportion of the blood group B than those without CAD (p=0.008). Compared to those with non-Blood group B, hypertensive elderly with a blood group B tended to have significantly lower concentrations of TC, LDL -C and Apo B, and a lower number of significantly stenosed vessels. The blood group B was found to be an independent protective factor for CAD in elderly with hypertension. The blood group B is significantly associated with a decreased risk of CAD and is inversely correlated with the severity of coronary stenosis in the elderly with hypertension.
尽管ABO血型与心血管疾病有关,但人们对ABO血型是否会导致老年高血压患者患冠状动脉疾病(CAD)的风险和严重程度知之甚少。本研究旨在探讨这一社会现象。在2095名接受原发性冠状动脉造影的患者中,共有793名年龄≥60岁的高血压患者被回顾性纳入。他们被分为CAD组和非CAD组。比较人口统计学和临床特征、ABO血型和其他生化参数。使用Gensini评分和显著病变血管的数量进行进一步评估,以确定ABO血型对CAD严重程度的影响。构建了一个逻辑回归模型来确定ABO血型与CAD的关系。患有和不患有CAD的老年人和高血压成年人的ABO血型分布存在显著差异(p=0.022)。患有CAD的高血压患者的B血型比例显著低于未患有CAD的患者(p=0.008)。与非B血型患者相比,B血型的高血压老年人TC、LDL-C和ApoB的浓度往往明显较低,血管明显狭窄的数量也较低。发现B血型是老年高血压患者CAD的独立保护因素。在患有高血压的老年人中,B血型与CAD风险的降低显著相关,并且与冠状动脉狭窄的严重程度呈负相关。
{"title":"Blood group B and decreased risk of coronary artery disease in hypertensive elderly.","authors":"Yanbin Song, Wenhua Li","doi":"10.54817/ic.v63n4a06","DOIUrl":"https://doi.org/10.54817/ic.v63n4a06","url":null,"abstract":"Although ABO blood groups have been associated with cardio-vascular disease, little is known about whether ABO blood groups contribute to the risk of the presence and severity of coronary artery disease (CAD) in elderly individuals with hypertension. This study was aimed to explore this as-sociation. A total of 793 hypertensive patients aged ≥60 years out of 2095 patients who underwent primary coronary angiography were retrospectively included. They were divided into CAD and non-CAD groups. Demographic and clinical characteristics, ABO blood groups and other biochemical parameters were compared. Further evaluation was performed to determine the impact of ABO blood groups on CAD severity using the Gensini score and the number of significantly diseased vessels. A logistic regression model was constructed to identify the association of ABO blood groups with CAD. There was a substantial difference in the distribution of ABO blood groups in elderly and hypertensive adults with and without CAD (p=0.022). Hypertensive patients with CAD had a significantly lower proportion of the blood group B than those without CAD (p=0.008). Compared to those with non-Blood group B, hypertensive elderly with a blood group B tended to have significantly lower concentrations of TC, LDL -C and Apo B, and a lower number of significantly stenosed vessels. The blood group B was found to be an independent protective factor for CAD in elderly with hypertension. The blood group B is significantly associated with a decreased risk of CAD and is inversely correlated with the severity of coronary stenosis in the elderly with hypertension.","PeriodicalId":14514,"journal":{"name":"Investigacion clinica","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47779794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationship between peripheral arterial disease severity determined by the Glass classification and triglyceride-glucose index; novel association and novel classification system. 通过Glass分类确定的外周动脉疾病严重程度与甘油三酯葡萄糖指数之间的关系;小说联想和小说分类系统。
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-11-11 DOI: 10.54817/ic.v63n4a04
Ahmet Rıfkı Çora, Ersin Çelik
Peripheral arterial disease is a serious clinical manifestation caused by atherosclerosis. It is one common cause of morbidity and mortality worldwide. It is commonly seen in males, and its (prevelance) increases with age. It is most prevalent with smoking, hypertension, diabetes mellitus and hyperlip-idemia. Novel studies investigate the relationship between triglyceride-glucose index (TyG) and cardiovascular diseases. Studies investigating the association of this index and peripheral arterial disease and disease severity are generally done by using The Trans-Atlantic Inter-Society Consensus (TASC) classification. We aimed to study this association by using the new Global Limb Anatomic Staging System (GLASS) classification. Two hundred patients between 25 to 90 years old diagnosed with peripheral arterial disease and admitted to the hospital for peripheral arterial angiography between July 2021 and December 2021, were evaluated retrospectively with blood parameters and angiographic images. Patients were divided into two groups: moderate (group 1; n=58) and severe (group 2; n=142) according to the GLASS classification. No statistical differences were observed for comorbidities and repeated interventional pro-cedure rates (p=0.164). Triglyceride values were found to be statistically dif-ferent between groups (p=0.040). TyG was found higher in group 2 (p= 0.04). According to the binary logistic regression model, only TyG was found to have a significant effect as a diagnostic factor (p=0.011). TyG was also significantly correlated with the Rutherford (p=0.012) and GLASS classification severity (p<0.001). Peripheral arterial disease and disease severity could be easily moni-tored with simple calculable TyG. In this way, precautions could be taken, and morbidities could be prevented.
外周动脉疾病是动脉粥样硬化引起的一种严重的临床表现。它是全世界发病率和死亡率的一个常见原因。它常见于男性,发病率随着年龄的增长而增加。最常见于吸烟、高血压、糖尿病和高脂血症。新的研究探讨甘油三酯-葡萄糖指数(TyG)与心血管疾病的关系。研究该指数与外周动脉疾病和疾病严重程度的关系通常采用跨大西洋社会共识(TASC)分类。我们的目的是通过使用新的全球肢体解剖分期系统(GLASS)分类来研究这种关联。在2021年7月至2021年12月期间,200名年龄在25至90岁之间诊断为外周动脉疾病并入院接受外周动脉血管造影的患者,通过血液参数和血管造影图像对其进行回顾性评估。患者分为两组:中度(组1;N =58)和重度(2组;n=142)。合并症和重复介入手术率无统计学差异(p=0.164)。甘油三酯值组间差异有统计学意义(p=0.040)。2组TyG升高(p= 0.04)。根据二元logistic回归模型,只有TyG作为诊断因素有显著作用(p=0.011)。TyG与Rutherford (p=0.012)和GLASS分级严重程度也有显著相关(p<0.001)。简单可计算的TyG可方便地监测外周动脉病变及病情严重程度。这样,就可以采取预防措施,预防发病。
{"title":"Relationship between peripheral arterial disease severity determined by the Glass classification and triglyceride-glucose index; novel association and novel classification system.","authors":"Ahmet Rıfkı Çora, Ersin Çelik","doi":"10.54817/ic.v63n4a04","DOIUrl":"https://doi.org/10.54817/ic.v63n4a04","url":null,"abstract":"Peripheral arterial disease is a serious clinical manifestation caused by atherosclerosis. It is one common cause of morbidity and mortality worldwide. It is commonly seen in males, and its (prevelance) increases with age. It is most prevalent with smoking, hypertension, diabetes mellitus and hyperlip-idemia. Novel studies investigate the relationship between triglyceride-glucose index (TyG) and cardiovascular diseases. Studies investigating the association of this index and peripheral arterial disease and disease severity are generally done by using The Trans-Atlantic Inter-Society Consensus (TASC) classification. We aimed to study this association by using the new Global Limb Anatomic Staging System (GLASS) classification. Two hundred patients between 25 to 90 years old diagnosed with peripheral arterial disease and admitted to the hospital for peripheral arterial angiography between July 2021 and December 2021, were evaluated retrospectively with blood parameters and angiographic images. Patients were divided into two groups: moderate (group 1; n=58) and severe (group 2; n=142) according to the GLASS classification. No statistical differences were observed for comorbidities and repeated interventional pro-cedure rates (p=0.164). Triglyceride values were found to be statistically dif-ferent between groups (p=0.040). TyG was found higher in group 2 (p= 0.04). According to the binary logistic regression model, only TyG was found to have a significant effect as a diagnostic factor (p=0.011). TyG was also significantly correlated with the Rutherford (p=0.012) and GLASS classification severity (p<0.001). Peripheral arterial disease and disease severity could be easily moni-tored with simple calculable TyG. In this way, precautions could be taken, and morbidities could be prevented.","PeriodicalId":14514,"journal":{"name":"Investigacion clinica","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45681036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Investigacion clinica
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1