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Interplay between male gonadal function and overall male health. 男性性腺功能与男性整体健康之间的相互作用
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-05 eCollection Date: 2024-05-01 DOI: 10.1515/jbcpp-2024-0054
Vincenzo Asero, Carlo Maria Scornajenghi, Salvatore Iaconis, Enrico Sicignano, Alfonso Falcone, Fabrizio Dinacci, Giovanni Pagano, Dalila Carino, Roberta Corvino, Anas Tresh

The process-of-male reproduction is intricate, and various medical conditions-have the potential to disrupt spermatogenesis. Moreover, infertility in males can serve as an indicator of-potential future health issue. Numerous conditions with systemic implications have been identified, encompassing genetic factors (such as Klinefelter Syndrome), obesity, psychological stress, environmental factors, and others. Consequently, infertility assessment-presents an opportunity for comprehensive health counseling, extending-beyond discussions about reproductive goals. Furthermore, male infertility has been suggested as a harbinger of future health problems, as poor semen quality and a diagnosis of-male infertility are associated with an increased risk of hypogonadism, cardiometabolic disorders, cancer, and even mortality. This review explores the existing-literature on the relationship between systemic illnesses and male fertility, impacting both clinical-outcomes and semen parameters. The majority of the literature analyzed, which compared gonadal function with genetic, chronic, infectious or tumoral diseases, confirm the association between overall male health and infertility.

男性生殖过程错综复杂,各种疾病都有可能破坏精子的生成。此外,男性不育可作为未来潜在健康问题的指标。目前已发现许多具有系统性影响的疾病,包括遗传因素(如克雷菲尔特综合征)、肥胖、心理压力、环境因素等。因此,不孕不育评估为全面的健康咨询提供了一个机会,而不仅仅是关于生育目标的讨论。此外,男性不育被认为是未来健康问题的先兆,因为精液质量差和男性不育的诊断与性腺功能低下、心脏代谢紊乱、癌症甚至死亡的风险增加有关。本综述探讨了有关全身性疾病与男性生育能力之间关系的现有文献,这些疾病对临床结果和精液参数都有影响。所分析的大部分文献将性腺功能与遗传、慢性、传染性或肿瘤性疾病进行了比较,证实了男性整体健康与不育之间的关系。
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引用次数: 0
Doctor patient relationship in AI era: trying to decipher the problem. 人工智能时代的医患关系:试图破解问题。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-05 eCollection Date: 2024-05-01 DOI: 10.1515/jbcpp-2024-0075
Mariagrazia Marisei, Felice Crocetto, Enrico Sicignano, Giovanni Pagano, Luigi Napolitano
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引用次数: 0
Exploring pathogenic pathways in carpal tunnel syndrome: sterile inflammation and oxidative stress. 探索腕管综合征的致病途径:无菌性炎症和氧化应激。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-05-29 eCollection Date: 2024-05-01 DOI: 10.1515/jbcpp-2024-0004
Mohd Sajid Arshad, Bhawna Mattoo, Iqbal Alam

Objectives: The main objective of the current study was to find the association between oxidative stress, inflammatory markers, and electrophysiological profile with symptom severity in patients of carpal tunnel syndrome (CTS).

Methods: Thirty-two carpal tunnel syndrome patients and 32 controls were included in the study. Boston CTS questionnaire along with plasma oxidative stress markers including superoxide dismutase, malondialdehyde, and nitric oxide and inflammatory markers including IL-6 and TNF-α were compared with the electrophysiological parameters derived from nerve conduction studies. Statistical significance of the levels between groups was calculated using unpaired-t test after checking for normality with D'Agostino & Pearson omnibus normality test.

Results: We found that the median nerve conduction velocity was prolonged, amplitude was decreased, while the levels of oxidative stress markers like malondialdehyde (MDA), superoxidase dismutase (SOD), and nitric oxide (NO) were increased in CTS patients compared to controls. Inflammatory markers like interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α) were also increased in CTS patients. We found that plasma SOD and TNF-α correlated well with the median motor amplitude. There was no other significant correlation between oxidative stress markers and inflammatory markers with nerve conduction studies or disease severity. Patients with mild disease also showed lesser levels of SOD, NO, IL-6, and TNF-α markers than patients with severe disease.

Conclusions: CTS is probably a disease of sterile inflammation and disbalance of oxidative stress, with higher inflammatory and oxidative stress markers pointing to a more severe disease.

研究目的本研究的主要目的是发现氧化应激、炎症标记物和电生理特征与腕管综合征(CTS)患者症状严重程度之间的关联:研究对象包括 32 名腕管综合征患者和 32 名对照组患者。将波士顿 CTS 问卷、血浆氧化应激标记物(包括超氧化物歧化酶、丙二醛和一氧化氮)以及炎症标记物(包括 IL-6 和 TNF-α)与神经传导研究得出的电生理参数进行比较。用 D'Agostino & Pearson 综合正态性检验检查正态性后,用非配对 t 检验计算组间水平的统计学意义:我们发现,与对照组相比,CTS 患者的正中神经传导速度延长,振幅降低,而丙二醛 (MDA)、超氧化物歧化酶 (SOD) 和一氧化氮 (NO) 等氧化应激标记物的水平升高。白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)等炎症指标在 CTS 患者中也有所增加。我们发现血浆 SOD 和 TNF-α 与中位运动振幅密切相关。氧化应激标记物和炎症标记物与神经传导研究或疾病严重程度之间没有其他明显的相关性。轻度患者的SOD、NO、IL-6和TNF-α标记物水平也低于重度患者:结论:CTS可能是一种无菌性炎症和氧化应激失衡的疾病,炎症和氧化应激标志物越高,说明病情越严重。
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引用次数: 0
"Adiponcosis interplay: adipose tissue, microenvironment and prostate cancer". "脂肪癌的相互作用:脂肪组织、微环境与前列腺癌"。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-05-27 eCollection Date: 2024-05-01 DOI: 10.1515/jbcpp-2024-0057
Erika Di Zazzo, Biagio Barone, Felice Crocetto
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引用次数: 0
Exploring the impact of vitamin D on tendon health: a comprehensive review. 探讨维生素 D 对肌腱健康的影响:综合综述。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-05-23 eCollection Date: 2024-05-01 DOI: 10.1515/jbcpp-2024-0061
Domiziano Tarantino, Rosita Mottola, Felice Sirico, Bruno Corrado, Carlo Ruosi, Raoul Saggini, Raffaello Pellegrino

Tendons are vital components of the musculoskeletal system, facilitating movement and supporting mechanical loads. Emerging evidence suggests that vitamin D, beyond its well-established role in bone health, exerts significant effects on tendon physiology. The aim of this manuscript is to review the impact of vitamin D on tendons, focusing on its mechanisms of action, clinical implications, and therapeutic applications. A comprehensive search of scientific electronic databases was conducted to identify articles on the effects of vitamin D on tendon health. Fourteen studies were included in this review. Five studies were performed in vitro, and nine studies were conducted in vivo. Despite some conflicting results, the included studies showed that vitamin D regulates collagen synthesis, inflammation, and mineralization within tendons through its interaction with vitamin D receptors. Epidemiological studies link vitamin D deficiency with tendon disorders, including tendinopathy and impaired healing. Supplementation with vitamin D shows promise in improving tendon strength and function, particularly in at-risk populations such as athletes and the elderly. Future research should address optimal supplementation strategies and explore the interplay between vitamin D and other factors influencing tendon health. Integrating vitamin D optimization into clinical practice could enhance tendon integrity and reduce the burden of tendon-related pathologies.

肌腱是肌肉骨骼系统的重要组成部分,可促进运动并支撑机械负荷。新的证据表明,维生素 D 除了在骨骼健康方面发挥着公认的作用外,还对肌腱的生理机能产生重大影响。本手稿旨在回顾维生素 D 对肌腱的影响,重点关注其作用机制、临床影响和治疗应用。我们对科学电子数据库进行了全面搜索,以确定有关维生素 D 对肌腱健康影响的文章。本综述共纳入了 14 项研究。其中五项研究在体外进行,九项研究在体内进行。尽管存在一些相互矛盾的结果,但所纳入的研究表明,维生素 D 可通过与维生素 D 受体的相互作用来调节肌腱内胶原蛋白的合成、炎症和矿化。流行病学研究表明,维生素 D 缺乏与肌腱疾病有关,包括肌腱病和愈合障碍。补充维生素 D 有助于改善肌腱的强度和功能,尤其是在运动员和老年人等高危人群中。未来的研究应探讨最佳的补充策略,并探索维生素 D 与影响肌腱健康的其他因素之间的相互作用。将维生素 D 的优化纳入临床实践可增强肌腱的完整性,减轻肌腱相关病症的负担。
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引用次数: 0
A novel variant in the FLNB gene associated with spondylocarpotarsal synostosis syndrome. 与脊柱腕骨趾骨突触综合征有关的 FLNB 基因新变异。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-05-16 eCollection Date: 2024-05-01 DOI: 10.1515/jbcpp-2024-0031
Hina Qasim, Hayat Khan, Humaira Zeb, Akmal Ahmad, Muhammad Ilyas, Muhammad Zahoor, Muhammad Naveed Umar, Riaz Ullah, Essam A Ali

Objectives: Genetic disorders involved in skeleton system arise due to the disturbance in skeletal development, growth and homeostasis. Filamin B is an actin binding protein which is large dimeric protein which cross link actin cytoskeleton filaments into dynamic structure. A single nucleotide changes in the FLNB gene causes spondylocarpotarsal synostosis syndrome, a rare bone disorder due to which the fusion of carpels and tarsals synostosis occurred along with fused vertebrae. In the current study we investigated a family residing in north-western areas of Pakistan.

Methods: The whole exome sequencing of proband was performed followed by Sanger sequencing of all family members of the subject to validate the variant segregation within the family. Bioinformatics tools were utilized to assess the pathogenicity of the variant.

Results: Whole Exome Sequencing revealed a novel variant (NM_001457: c.209C>T and p.Pro70Leu) in the FLNB gene which was homozygous missense mutation in the FLNB gene. The variant was further validated and visualized by Sanger sequencing and protein structure studies respectively as mentioned before.

Conclusions: The findings have highlighted the importance of the molecular diagnosis in SCT (spondylocarpotarsal synostosis syndrome) for genetic risk counselling in consanguineous families.

目的:骨骼系统的遗传疾病是由于骨骼的发育、生长和平衡受到干扰而引起的。纤丝蛋白 B 是一种肌动蛋白结合蛋白,它是一种大型二聚体蛋白,能将肌动蛋白细胞骨架丝交联成动态结构。FLNB 基因的单核苷酸变化会导致脊柱跗关节突触综合征(spondylocarpotarsal synostosis syndrome),这是一种罕见的骨骼疾病,会导致腕骨融合、跗关节突触和椎骨融合。在本研究中,我们对居住在巴基斯坦西北部地区的一个家庭进行了调查:方法:首先对疑似患者进行全外显子组测序,然后对患者的所有家庭成员进行 Sanger 测序,以验证家族内的变异分离情况。利用生物信息学工具评估变异体的致病性:全外显子组测序结果显示,FLNB基因中存在一个新型变异体(NM_001457:c.209C>T and p.Pro70Leu),该变异体是FLNB基因的同卵错义突变。如前所述,该变异分别通过桑格测序和蛋白质结构研究得到了进一步验证和显现:结论:研究结果突显了 SCT(脊柱腕骨突触综合征)分子诊断在近亲家庭遗传风险咨询中的重要性。
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引用次数: 0
The underlying causes, treatment options of gut microbiota and food habits in type 2 diabetes mellitus: a narrative review. 2 型糖尿病的根本原因、肠道微生物群和饮食习惯的治疗方案:综述。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-05-16 eCollection Date: 2024-05-01 DOI: 10.1515/jbcpp-2024-0043
Krishnendu Adhikary, Riya Sarkar, Sriparna Maity, Ipsita Banerjee, Prity Chatterjee, Koushik Bhattacharya, Deepika Ahuja, Nirmalya Kumar Sinha, Rajkumar Maiti

Type 2 diabetes mellitus is a long-lasting endocrine disorder characterized by persistent hyperglycaemia, which is often triggered by an entire or relative inadequacy of insulin production or insulin resistance. As a result of resistance to insulin (IR) and an overall lack of insulin in the body, type 2 diabetes mellitus (T2DM) is a metabolic illness that is characterized by hyperglycaemia. Notably, the occurrence of vascular complications of diabetes and the advancement of IR in T2DM are accompanied by dysbiosis of the gut microbiota. Due to the difficulties in managing the disease and the dangers of multiple accompanying complications, diabetes is a chronic, progressive immune-mediated condition that plays a significant clinical and health burden on patients. The frequency and incidence of diabetes among young people have been rising worldwide. The relationship between the gut microbiota composition and the physio-pathological characteristics of T2DM proposes a novel way to monitor the condition and enhance the effectiveness of therapies. Our knowledge of the microbiota of the gut and how it affects health and illness has changed over the last 20 years. Species of the genus Eubacterium, which make up a significant portion of the core animal gut microbiome, are some of the recently discovered 'generation' of possibly helpful bacteria. In this article, we have focused on pathogenesis and therapeutic approaches towards T2DM, with a special reference to gut bacteria from ancient times to the present day.

2 型糖尿病是一种以持续性高血糖为特征的长期内分泌失调症,通常由胰岛素分泌全部或相对不足或胰岛素抵抗引发。由于胰岛素抵抗(IR)和体内胰岛素的整体缺乏,2 型糖尿病(T2DM)是一种以高血糖为特征的代谢性疾病。值得注意的是,糖尿病血管并发症的发生和 T2DM 中 IR 的发展都伴随着肠道微生物群的失调。糖尿病是一种免疫介导的慢性、进展性疾病,由于其治疗困难和多种并发症的危害,给患者带来了沉重的临床和健康负担。在全球范围内,年轻人患糖尿病的频率和发病率不断上升。肠道微生物群组成与 T2DM 的生理病理特征之间的关系为监测病情和提高治疗效果提供了一种新方法。在过去 20 年中,我们对肠道微生物群及其如何影响健康和疾病的认识发生了变化。在核心动物肠道微生物群中占很大比例的优杆菌属物种是最近发现的可能有用的 "一代 "细菌。在本文中,我们重点讨论了 T2DM 的发病机制和治疗方法,并特别提到了从古至今的肠道细菌。
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引用次数: 0
Investigating Majhool date (Phoenix dactylifera) consumption effects on fasting blood glucose in animals and humans. 研究食用马枣(Phoenix dactylifera)对动物和人类空腹血糖的影响。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-04-29 eCollection Date: 2024-05-01 DOI: 10.1515/jbcpp-2024-0049
Yazun Jarrar, Ruba Balasmeh, Wisam Naser, Rami Mosleh, Amin A Al-Doaiss, Mohammed Ali AlShehri

Objectives: Majhool date (Phoenix dactylifera), renowned for its premium taste and texture, is extensively consumed in the Islamic world, particularly during Ramadan. Despite its popularity, concerns persist regarding its potential to induce diabetes in non-patients. This study aims to explore the diabetogenic effects of prolonged Majhool date (Phoenix dactylifera) consumption, the widely used fruit in the Islamic world, through animal experiments and human clinical data.

Methods: Medjool dates were processed into an ethanolic extract for the animal experiment. Then, 21 Balb/c mice received varying doses of the extract for one month. The fasting blood glucose levels were analyzed at the beginning and after one month of consumption of the Majhool date extract. For the clinical study, 387 healthy participants were recruited, with fasting blood glucose levels assessed before and after Ramadan, a period of heightened Majhool date consumption.

Results: all groups of the experimental animals exhibited a significant (p<0.05) weight increase after Majhool date consumption, while no significant (p>0.05) alteration in fasting blood glucose levels among groups. In addition, it was found that fasting blood glucose levels remained statistically unchanged (p>0.05) after heightened Majhool date consumption among humans.

Conclusions: The study challenges the belief that Majhool date induces diabetes, supported by both animal and human data. Findings suggest that Majhool date consumption, even at higher doses, does not induce diabetes. Further investigations could explore the impact of other date varieties on the fasting blood glucose levels.

目的:马月枣(Phoenix dactylifera)以其优质的口感和质地而闻名,在伊斯兰世界被广泛食用,尤其是在斋月期间。尽管它很受欢迎,但人们仍然担心它可能会诱发非患者的糖尿病。本研究旨在通过动物实验和人体临床数据,探讨伊斯兰世界广泛使用的水果,即长期食用麦卓枣(Phoenix dactylifera)对糖尿病的影响:方法:在动物实验中,将麦枣加工成乙醇提取物。然后,21 只 Balb/c 小鼠在一个月内接受了不同剂量的提取物。在开始服用和服用一个月后,对空腹血糖水平进行了分析。在临床研究中,招募了 387 名健康参与者,在斋月前后评估空腹血糖水平,斋月是食用马月枣较多的时期。此外,研究还发现,人类在大量食用马月枣后,空腹血糖水平在统计学上保持不变(p>0.05):结论:这项研究对 "马家胡枣会诱发糖尿病 "的观点提出了质疑,动物和人体数据都支持这一观点。研究结果表明,即使食用较高剂量的马月枣,也不会诱发糖尿病。进一步的研究可以探讨其他枣类对空腹血糖水平的影响。
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引用次数: 0
Cannabis effectiveness on immunologic potency of pulmonary contagion. 大麻对肺部传染病免疫效力的影响。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-04-19 DOI: 10.1515/jbcpp-2023-0030
Sumana Das, Arya Ghosh, Varnita Karmakar, Sourav Khawas, Piyush Vatsha, Kishor Kumar Roy, Padma Charan Behera
Respiratory illnesses and its repercussions are becoming more prevalent worldwide. It is necessary to research both innovative treatment and preventative techniques. Millions of confirmed cases and fatalities from the COVID-19 epidemic occurred over the previous two years. According to the review research, cannabinoids are a class of medicines that should be considered for the treatment of respiratory conditions. Cannabinoids and inhibitors of endocannabinoid degradation have illustrated advantageous anti-inflammatory, asthma, pulmonary fibrosis, and pulmonary artery hypotension in numerous studies (in vitro and in vivo). It has been also noted that CB2 receptors on macrophages and T-helper cells may be particularly triggered to lower inflammation in COVID-19 patients. Since the majority of lung tissue contains cannabinoid receptors, cannabis can be an effective medical tool for treating COVID-19 as well as pulmonary infections. Notably, CB2 and CB1 receptors play a major role in immune system modulation and anti-inflammatory activities. In this review, we put forth the idea that cannabis might be helpful in treating pulmonary contagion brought on by viral integration, such as that caused by SARS-CoV-2, haemophilus influenza type b, Streptococcus pneumoniae, influenza virus, and respiratory syncytial virus. Also, a detailed overview of CB receptors, intricate mechanisms, is highlighted connecting link with COVID-19 viral structural modifications along with molecular basis of CB receptors in diminishing viral load in pulmonary disorders supported through evident literature studies. Further, futuristic evaluations on cannabis potency through novel formulation development focusing on in vivo/in vitro systems can produce promising results.
呼吸系统疾病及其影响在全世界越来越普遍。有必要研究创新的治疗和预防技术。在过去两年中,COVID-19疫情造成数百万确诊病例和死亡。根据审查研究,大麻素是一类应考虑用于治疗呼吸系统疾病的药物。大麻素和内源性大麻素降解抑制剂在大量研究(体外和体内)中显示出了抗炎、治疗哮喘、肺纤维化和肺动脉低血压的优势。还有研究指出,巨噬细胞和 T 辅助细胞上的 CB2 受体可能会被特别触发,从而降低 COVID-19 患者的炎症反应。由于大部分肺组织都含有大麻素受体,大麻可以成为治疗 COVID-19 和肺部感染的有效医疗工具。值得注意的是,CB2 和 CB1 受体在免疫系统调节和抗炎活动中发挥着重要作用。在这篇综述中,我们提出了大麻可能有助于治疗由病毒整合引起的肺部感染的观点,例如由 SARS-CoV-2、乙型流感嗜血杆菌、肺炎链球菌、流感病毒和呼吸道合胞病毒引起的肺部感染。此外,CB 受体的详细概述、复杂机制、与 COVID-19 病毒结构修饰的联系以及 CB 受体在减少肺部疾病病毒载量方面的分子基础都得到了文献研究的支持。此外,通过以体内/体外系统为重点的新型制剂开发,对大麻药效进行的未来评估将产生可喜的成果。
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引用次数: 0
How should we differentiate hypoglycaemia in non-diabetic patients? 如何区分非糖尿病患者的低血糖症?
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-04-16 DOI: 10.1515/jbcpp-2024-0030
Michele Modestino, Olimpia Iacono, Laura Ferrentino, Anna Lombardi, Umberto De Fortuna, Rita Verdoliva, M. De Luca, Vincenzo Guardasole
Hypoglycaemic syndromes are rare in apparently healthy individuals and their diagnosis can be a difficult challenge for clinicians as there are no shared guidelines that suggest how to approach patients with a suspect hypoglycaemic disorder. Since hypoglycaemia symptoms are common and nonspecific, it's necessary to document the Whipple Triad (signs and/or symptoms compatible with hypoglycaemia; relief of symptoms following glucose administration; low plasma glucose levels) before starting any procedure. Once the triad is documented, a meticulous anamnesis and laboratory tests (blood glucose, insulin, proinsulin, C-peptide, β-hydroxybutyrate and anti-insulin antibodies) should be performed. Results can guide the physician towards further specific tests, concerning the suspected disease. In this review, we consider all current causes of hypoglycaemia, including rare diseases such as nesidioblastosis and Hirata's syndrome, describe appropriate tests for diagnosis and suggest strategies to differentiate hypoglycaemia aetiology.
低血糖综合征在表面上健康的人身上并不多见,对临床医生来说,诊断低血糖综合征是一项艰巨的挑战,因为目前还没有共同的指南来指导如何处理疑似低血糖紊乱的患者。由于低血糖症状常见且无特异性,因此在开始任何程序之前,有必要记录惠普尔三联征(与低血糖相符的体征和/或症状;服用葡萄糖后症状缓解;低血浆葡萄糖水平)。一旦记录了三联征,就应进行细致的病史和实验室检查(血糖、胰岛素、胰岛素原、C 肽、β-羟丁酸和抗胰岛素抗体)。检查结果可指导医生针对疑似疾病进一步进行特定检查。在这篇综述中,我们考虑了目前导致低血糖的所有病因,包括罕见疾病,如内胚叶增生症和平田综合征,描述了用于诊断的适当检查,并提出了区分低血糖病因的策略。
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引用次数: 0
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Journal of Basic and Clinical Physiology and Pharmacology
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