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Diagnostic Performance of Biomarkers Tumor Necrosis Factor-α, Interleukin-6, and Procalcitonin in Neonatal Sepsis: A Case-Control Study. 肿瘤坏死因子-α、白细胞介素-6和降钙素原在新生儿脓毒症中的诊断作用:一项病例对照研究
IF 1.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-12-29 DOI: 10.1177/10799907251410722
Durgesh Kumar, Dinesh Kumar, Nishant Sharma, Pragya Saraswat, Muniba Alim, Indra Kumar Sharma, Ajai Kumar

Neonatal sepsis remains a major cause of morbidity and mortality, with diagnosis complicated by nonspecific clinical signs and limited reliability of conventional laboratory tests. This study aimed to evaluate and compare the diagnostic efficacy of biomarkers tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and procalcitonin (PCT) with traditional sepsis screening parameters in neonates. This hospital-based case-control study was conducted in the neonatal intensive care unit of a North Indian tertiary care medical university between September 2023 and March 2025. A total of 300 neonates were screened, of which 100 were diagnosed with sepsis (cases) and the remaining 200 served as controls. Sepsis screening, TNF-α, IL-6, PCT, and blood culture were performed to diagnose neonatal sepsis. Results of this study showed significantly higher levels of all tested biomarkers and sepsis parameters in cases compared with controls. Among biomarkers, TNF-α demonstrated the highest accuracy [area under the curve of the receiver operating characteristic (AUROC) 0.99, sensitivity 94%, specificity 100%], followed by PCT (AUROC 0.82, sensitivity 80%, specificity 82.5%) and IL-6 (AUROC 0.79, sensitivity 86%, specificity 74.5%). The study concludes that TNF-α is the most reliable biomarker for diagnosing neonatal sepsis, although a multimodal approach integrating conventional parameters with cytokines and PCT offers the best diagnostic yield. Combining early biomarkers with standard screening may improve early recognition, reduce unnecessary antibiotic exposure, and strengthen antimicrobial stewardship.

新生儿败血症仍然是发病率和死亡率的主要原因,其诊断因非特异性临床症状和传统实验室检查的可靠性有限而复杂化。本研究旨在评价和比较肿瘤坏死因子-α (TNF-α)、白细胞介素-6 (IL-6)和降钙素原(PCT)等生物标志物与传统的新生儿脓毒症筛查参数的诊断效果。这项以医院为基础的病例对照研究于2023年9月至2025年3月在北印度三级医疗大学的新生儿重症监护室进行。总共筛查300名新生儿,其中100名诊断为败血症(病例),其余200名作为对照。通过脓毒症筛查、TNF-α、IL-6、PCT及血培养对新生儿脓毒症进行诊断。这项研究的结果显示,与对照组相比,病例中所有测试的生物标志物和脓毒症参数的水平明显更高。在生物标志物中,TNF-α的准确度最高[受试者工作特征曲线下面积(AUROC) 0.99,灵敏度94%,特异性100%],其次是PCT (AUROC 0.82,灵敏度80%,特异性82.5%)和IL-6 (AUROC 0.79,灵敏度86%,特异性74.5%)。该研究得出结论,TNF-α是诊断新生儿败血症最可靠的生物标志物,尽管将传统参数与细胞因子和PCT相结合的多模式方法可提供最佳诊断结果。将早期生物标志物与标准筛选相结合可以提高早期识别,减少不必要的抗生素暴露,并加强抗菌药物管理。
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引用次数: 0
Transforming Growth Factor-beta 1 Alleviates Uterine Bleeding after Medication Abortion in Early Pregnancy by Upregulating the p53/Plasminogen Activator Inhibitor-1 Pathway. 转化生长因子- β 1通过上调p53/纤溶酶原激活物抑制剂-1通路减轻早孕药物流产后子宫出血
IF 1.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-12-02 DOI: 10.1177/10799907251396751
Qianhong Huang, Haiying Lan, Hao Yu, Xianming Fei, Ying Chen

TGF-β1 plays a significant role in pregnancy outcomes. This research sought to investigate whether TGF-β1 is involved in the bleeding mechanism after medication abortion (MA) in early pregnancy. The MA rat model was established in vivo using mifepristone and misoprostol, and trophoblasts HTR8/SVneo were treated with lipopolysaccharide in vitro. Changes in uterine morphology, weight, and bleeding were assessed. tissue-type plasminogen activator (tPA), urokinase-type plasminogen activator (uPA), estradiol, and progesterone levels were detected by ELISA. HE staining was employed to analyze uterine pathological changes. Apoptosis was assessed by TUNEL staining. Inflammatory cytokine expression was assessed by ELISA and qRT-PCR. Related protein levels were analyzed by Western blot. MA induction led to abnormal uterine morphology, reduced uterine weight, and heavier bleeding. MA rats showed higher tPA, uPA, IL-6, and TNF-α levels, and lower estradiol and progesterone levels compared to controls. Moreover, trophoblast tissue damage with excessive apoptosis was observed in MA rats. TGF-β1, p53, and PAI-1 levels were markedly decreased after MA induction. In HTR8/SVneo cells, lipopolysaccharide treatment significantly inhibited cellular functions, reduced TGF-β1, p53, and PAI-1 levels, and increased IL-6 and TNF-α levels. Notably, these changes were partially reversed by overexpression of TGFB1. In conclusion, TGF-β1 protects trophoblasts and alleviates MA-induced uterine bleeding by upregulating the p53/PAI-1 pathway.

TGF-β1对妊娠结局有显著影响。本研究旨在探讨TGF-β1是否参与早孕药物流产(MA)后出血机制。用米非司酮和米索前列醇建立MA大鼠体内模型,体外用脂多糖处理滋养细胞HTR8/SVneo。评估子宫形态、体重和出血的变化。ELISA法检测组织型纤溶酶原激活剂(tPA)、尿激酶型纤溶酶原激活剂(uPA)、雌二醇、孕酮水平。HE染色观察子宫病理变化。TUNEL染色检测细胞凋亡。采用ELISA和qRT-PCR检测炎症细胞因子表达。Western blot分析相关蛋白水平。MA诱导导致子宫形态异常,子宫重量减少,出血加重。与对照组相比,MA大鼠的tPA、uPA、IL-6和TNF-α水平较高,雌二醇和孕酮水平较低。此外,MA大鼠的滋养细胞组织出现过度凋亡损伤。MA诱导后TGF-β1、p53、PAI-1水平明显降低。在HTR8/SVneo细胞中,脂多糖处理显著抑制细胞功能,降低TGF-β1、p53、PAI-1水平,升高IL-6、TNF-α水平。值得注意的是,这些变化被TGFB1的过表达部分逆转。综上所述,TGF-β1通过上调p53/PAI-1通路,保护滋养细胞,减轻ma诱导的子宫出血。
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引用次数: 0
Severe Impairment of IFN-α and IFN-γ Responses in Cells of a Patient with a Rare STAT1 Tail Segment Domain Mutation. 罕见的STAT1尾段结构域突变患者细胞中IFN-α和IFN-γ反应严重受损
IF 1.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-20 DOI: 10.1177/10799907251389756
Jing Xiao, Jiapeng Qiu

Signal transducer and activator of transcription 1 (STAT1) mutations are associated with diverse pathologies. Loss-of-function (LOF) heterozygous mutations impair interferon (IFN) signaling, predisposing to Mendelian susceptibility to mycobacterial diseases (MSMDs). This study characterizes a novel STAT1 LOF mutation in a patient with multisystem manifestations. A patient presenting with mycobacterial infection, skeletal abnormalities, and systemic inflammation underwent whole-exome sequencing. The identified STAT1 variant was analyzed via computational tools (PolyPhen-2/SIFT). Molecular biological validation included IFN-α/γ-induced STAT1 phosphorylation assays and fluorescence microscopy for subcellular localization. Clinical features included mycobacterial osteomyelitis, severe rash, dwarfism, hepatosplenomegaly, and elevated inflammatory markers (C-reactive protein/erythrocyte sedimentation rate). A heterozygous STAT1 mutation (NM_007315.4:c.2120T>C; p.Ile707Thr) was identified and predicted as pathogenic. Mutant cells showed reduced STAT1 phosphorylation (64% versus wild-type, P < 0.05) and impaired nuclear translocation post-IFN-α/γ stimulation. Antibiotic therapy achieved clinical resolution without complications. These findings indicated that the STAT1 I707T mutation disrupts IFN-α/γ immunity, expanding the MSMD genotypic spectrum. Genetic screening for STAT1 defects is critical in patients with mycobacterial infections involving skin. Molecular biological studies corroborate mutation pathogenicity, guiding therapeutic decisions.

信号换能器和转录激活因子1 (STAT1)突变与多种病理相关。功能缺失(LOF)杂合突变损害干扰素(IFN)信号,易导致分枝杆菌疾病(MSMDs)的孟德尔易感性。本研究在一个多系统表现的患者中发现了一种新的STAT1 LOF突变。一位表现为分枝杆菌感染、骨骼异常和全身性炎症的患者进行了全外显子组测序。通过计算工具(polyphen2 /SIFT)分析鉴定的STAT1变异。分子生物学验证包括IFN-α/γ诱导的STAT1磷酸化测定和荧光显微镜亚细胞定位。临床特征包括分枝杆菌骨髓炎、严重皮疹、侏儒症、肝脾肿大和炎症标志物(c反应蛋白/红细胞沉降率)升高。鉴定出一个杂合STAT1突变(NM_007315.4: C . 2120t >C; p.Ile707Thr)并预测为致病基因。突变细胞在ifn -α/γ刺激后显示STAT1磷酸化降低(与野生型相比,P < 0.05, 64%),核易位受损。抗生素治疗获得临床解决,无并发症。这些发现表明,STAT1 I707T突变破坏IFN-α/γ免疫,扩大MSMD基因型谱。基因筛查STAT1缺陷对皮肤分枝杆菌感染患者至关重要。分子生物学研究证实了突变的致病性,指导治疗决策。
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引用次数: 0
Lnc-HSFY2-10:1 Contributes to Keratinocyte Proliferation and Psoriatic Inflammation Through miR-145-5p/FN1 Axis. Lnc-HSFY2-10:1通过miR-145-5p/FN1轴参与角质细胞增殖和银屑病炎症
IF 1.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-09-15 DOI: 10.1177/10799907251376857
Luan Yang, Ruijie Wang, Yingying Sun, Zhenqiang Ruan, Haiyan Jia, Jianjun Yan

Psoriasis is an immune-mediated chronic inflammatory disease characterized by keratinocyte hyperproliferation and inflammatory cell infiltration. While noncoding RNAs are implicated in its progression, research remains limited. Integrating lncRNA microarray data with LncRNASNP2-based predictions identified the long noncoding RNA (lncRNA) HSFY2-10:1 as a potential functional lncRNA contributing to psoriasis pathogenesis. This study aimed to investigate the role of lnc-HSFY2-10:1/miR-145-5p/fibronectin (FN1) axis in psoriasis. We found that HSFY2-10:1 was significantly upregulated in psoriatic tissues. In a psoriasis cell model established by stimulating NHEKs and HaCaT cells with the M5 cytokine cocktail (IL-17A, IL-22, oncostatin M, IL-1α, and TNF-α), lnc-HSFY2-10:1 promoted keratinocyte hyperproliferation and CCL20 secretion. Mechanistically, HSFY2-10:1 functioned as a competitive endogenous RNA for miR-145-5p, thereby regulating FN1 expression. Overexpression of miR-145-5p markedly reversed the HSFY2-10:1-induced upregulation of FN1, keratinocyte proliferation, and CCL20 secretion. These findings indicate that the lnc-HSFY2-10:1/miR-145-5p/FN1 axis plays a crucial role in psoriasis pathogenesis and serves as a potential therapeutic target. [Figure: see text].

银屑病是一种以角质细胞增生和炎症细胞浸润为特征的免疫介导的慢性炎症性疾病。虽然非编码rna与其进展有关,但研究仍然有限。将lncRNA微阵列数据与基于lncrnasnp2的预测相结合,确定了长链非编码RNA (lncRNA) HSFY2-10:1是与银屑病发病机制有关的潜在功能性lncRNA。本研究旨在探讨lnc-HSFY2-10:1/miR-145-5p/纤维连接蛋白(FN1)轴在银屑病中的作用。我们发现HSFY2-10:1在银屑病组织中显著上调。在M5细胞因子混合物(IL-17A、IL-22、癌抑素M、IL-1α和TNF-α)刺激NHEKs和HaCaT细胞建立的银屑病细胞模型中,lnc-HSFY2-10:1促进角化细胞增生和CCL20分泌。机制上,HSFY2-10:1作为miR-145-5p的竞争性内源性RNA,从而调节FN1的表达。过表达miR-145-5p可显著逆转hsfy2 -10:1诱导的FN1、角化细胞增殖和CCL20分泌上调。这些发现表明lnc-HSFY2-10:1/miR-145-5p/FN1轴在银屑病发病机制中起着至关重要的作用,并可作为潜在的治疗靶点。
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引用次数: 0
Exosomes Derived from Platelet-Rich Plasma Facilitates Macrophage Mitophagy in Diabetic Wound Healing by Targeting KNG1 via PI3K-AKT Pathway. 富血小板血浆外泌体通过PI3K-AKT通路靶向KNG1促进糖尿病伤口愈合中的巨噬细胞自噬
IF 1.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-17 DOI: 10.1177/10799907251391527
Cao Han, Tao Zhong, Zhengnan Zhao, Yongxu Zhang, Haoran Cheng, Zhigang Sui, Haidong Liang, Zhuo Zhao

This study was conducted to investigate the protective effect of platelet-rich plasma-derived exosomes (PRP-Exos) in diabetic wound healing, as well as the involved molecular mechanism. Exosomes collected from PRP were extracted and identified, then the promoting effect on diabetic wound healing was tested in high glucose and lipopolysaccharide (HL)-induced RAW264.7 cells and excisional wound models constructed in streptozotocin-induced diabetic SD rats. PRP-Exos showed the best capacity for accelerating wound healing in the diabetic rat model. Cell proliferation of RAW264.7 cells was effectively facilitated after HL treatment, while PRP-Exos implemented could obviously eliminate the HL effect on RAW264.7 cells. The protein expression levels of PINK1, parkin, and LC3I/LC3II were both obviously diminished, and the expression of kininogen-1 (KNG1) was obviously increased in HL-induced RAW264.7 cells, while the opposite results were observed after PRP-Exos treatment. HL treatment could remarkably suppress the protein expression levels of p-PI3K/PI3K and p-AKT/AKT in RAW264.7 cells, while PRP-Exos administration could reverse this trend. Interestingly, KNG1 upregulation could effectively reverse the effect of PRP-Exos on the tumor necrosis factor-alpha and high mobility histone 1 levels, protein expression of p-PI3K/PI3K and p-AKT/AKT, and mitophagy-related markers in HL-induced RAW264.7 cells. In conclusion, PRP-Exos facilitated macrophage mitophagy in diabetic wound healing by targeting KNG1 via PI3K-AKT pathway.

本研究旨在探讨富血小板血浆源性外泌体(PRP-Exos)在糖尿病创面愈合中的保护作用及其分子机制。从PRP中提取外泌体并进行鉴定,然后在高糖脂多糖(HL)诱导的RAW264.7细胞和链脲佐菌素诱导的糖尿病SD大鼠切除创面模型中检测其对糖尿病创面愈合的促进作用。在糖尿病大鼠模型中,PRP-Exos对伤口愈合的促进作用最好。HL处理能有效促进RAW264.7细胞的增殖,而PRP-Exos处理能明显消除HL对RAW264.7细胞的影响。hl诱导的RAW264.7细胞中,PINK1、parkin、LC3I/LC3II蛋白表达水平均明显降低,kininogen-1 (KNG1)表达水平明显升高,而PRP-Exos处理后则相反。HL处理可显著抑制RAW264.7细胞中p-PI3K/PI3K和p-AKT/AKT的蛋白表达水平,而PRP-Exos处理可逆转这一趋势。有趣的是,KNG1上调可以有效逆转PRP-Exos对hl诱导的RAW264.7细胞中肿瘤坏死因子- α和高迁移率组蛋白1水平、p-PI3K/PI3K和p-AKT/AKT蛋白表达以及线粒体自噬相关标志物的影响。综上所述,PRP-Exos通过PI3K-AKT通路靶向KNG1,促进巨噬细胞在糖尿病创面愈合中的自噬。
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引用次数: 0
Liquid-Liquid Phase Separation-Related STAT1 Modulating Ubiquitination Aggravates the Progression of Diabetic Nephropathy via Promoting Inflammatory Response. 液-液相分离相关STAT1调控泛素化通过促进炎症反应加重糖尿病肾病的进展
IF 1.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-14 DOI: 10.1177/10799907251396047
Song Xue, Yingkui Si, Xue Han

This study aims to screen liquid-liquid phase separation (LLPS)-related genes modulating ubiquitination for diagnosing patients with diabetic nephropathy (DN). After performing differential gene expression analysis, ssGSEA, and immune infiltration analysis, LLPS-related genes modulating ubiquitination, key immune cells, and immune-related pathways were acquired. The correlations between LLPS-related genes and ubiquitination, key immune-related pathways were explored, respectively. The diagnostic genes were identified by four machine learning algorithms, followed by evaluation to predict the performance of the machine learning models on ubiquitination using receiver operating characteristic curves and a confusion matrix. In vitro experiments were applied to explore the function of signal transducer and activator of transcription 1 (STAT1) in DN. Totally, 513 differentially expressed genes were screened between the DN and control groups. The activity of the ubiquitin-mediated proteolysis pathway exhibited a significant difference between the DN and control samples. The fraction of a total of 10 immune cells exhibited a significant difference between the lower and higher ubiquitination groups. Totally, nine LLPS-related genes modulating ubiquitination were acquired, and these genes modulating ubiquitination were enriched in ubiquitin pathways and significantly positively correlated with the complement, IFN-α, and IFN-γ pathways. Two diagnostic genes were obtained, namely dual specificity tyrosine phosphorylation regulated kinase 2 (DYRK2) and STAT1. Notably, downregulation of STAT1 effectively alleviated IFN-γ, IFN-α, IL-1β, and TNF-α levels in D-glucose-treated HK-2 cells, as well as the protein level of FK2. LLPS-related STAT1 modulating ubiquitination accelerates the inflammatory response in DN.

本研究旨在筛选调节泛素化的液-液相分离(LLPS)相关基因,用于糖尿病肾病(DN)的诊断。通过差异基因表达分析、ssGSEA和免疫浸润分析,获得了调节泛素化、关键免疫细胞和免疫相关通路的llps相关基因。分别探讨了llps相关基因与泛素化、免疫相关关键通路的相关性。通过四种机器学习算法识别诊断基因,然后使用接受者操作特征曲线和混淆矩阵评估预测机器学习模型在泛素化方面的性能。通过体外实验探讨了信号转导因子和转录激活因子1 (STAT1)在DN中的作用。在DN组和对照组之间共筛选到513个差异表达基因。在DN和对照样品中,泛素介导的蛋白水解途径的活性表现出显著差异。在低泛素化组和高泛素化组之间,10个免疫细胞的总比例有显著差异。共获得9个调控泛素化的llps相关基因,这些调控泛素化的基因在泛素通路中富集,且与补体、IFN-α和IFN-γ通路显著正相关。获得两个诊断基因,即双特异性酪氨酸磷酸化调节激酶2 (DYRK2)和STAT1。值得注意的是,下调STAT1可有效缓解d -葡萄糖处理的HK-2细胞中IFN-γ、IFN-α、IL-1β和TNF-α水平,以及FK2蛋白水平。llps相关的STAT1调节泛素化,加速DN的炎症反应。
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引用次数: 0
Bushen Huoxue Acupuncture Suppresses the Release of Inflammation Cytokines in a Mouse Model of Neurodegenerative Disease by Modulating the SIRT2/RTN4B/BACE1 Pathway. 补肾活血针通过调节SIRT2/RTN4B/BACE1通路抑制神经退行性疾病小鼠模型中炎症细胞因子的释放
IF 1.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-13 DOI: 10.1177/10799907251391519
Hongqin Li, Rong Xu, Liquan Xie, Weiguang Li, Xing Lin, Pin Yang

Bushen Huoxue Acupuncture shows potential in treating neurodegenerative diseases, but its mechanisms remain incompletely understood. Using the senescence-accelerated mouse-prone 8 (SAMP8) mouse model, we assessed cognitive function via the Morris water maze test, hippocampal neuronal apoptosis with terminal deoxynucleotidyl transferase dUTP nick end labeling staining, and microglial activation through immunohistochemistry. Serum levels of inflammatory cytokines [tumor necrosis factor-alpha, interleukin (IL)-1β, and IL-6] were quantified by enzyme-linked immunosorbent assay. The expression of SIRT2 pathway-related proteins, along with Aβ deposition, was analyzed using Western blotting, immunohistochemistry, and immunofluorescence. The results demonstrated that Bushen Huoxue Acupuncture improved cognitive function in SAMP8 mice, reducing hippocampal neuronal apoptosis and decreasing serum levels of pro-inflammatory cytokines. Additionally, it reduced the levels of Aβ42, a more aggregation-prone and toxic Aβ subtype, in both hippocampal tissues and serum, as well as the number of CD68-positive cells in hippocampal tissues, suggesting the inhibition of amyloid pathology and neuroinflammatory. The treatment also downregulated SIRT2, BACE1, and APP-CTF while increasing RTN4B expression. Notably, Bushen Huoxue Acupuncture outperformed non-acupoint acupuncture in enhancing cognitive function and reducing inflammation. Our findings indicate that Bushen Huoxue Acupuncture alleviates cognitive deficits and neuroinflammation by suppressing the SIRT2-mediated RTN4B/BACE1 pathway, highlighting acupuncture as a promising therapy for neurodegenerative diseases.

补肾活血针刺在治疗神经退行性疾病方面显示出潜力,但其作用机制尚不完全清楚。使用衰老加速小鼠8 (SAMP8)模型,我们通过Morris水迷宫测试评估认知功能,通过末端脱氧核苷酸转移酶dUTP缺口末端标记染色评估海马神经元凋亡,通过免疫组织化学评估小胶质细胞激活。采用酶联免疫吸附法定量血清炎症因子[肿瘤坏死因子- α、白细胞介素(IL)-1β和IL-6]水平。使用Western blotting、免疫组织化学和免疫荧光分析SIRT2通路相关蛋白的表达以及Aβ沉积。结果表明,补肾活血针可改善SAMP8小鼠的认知功能,减少海马神经元凋亡,降低血清促炎细胞因子水平。此外,它还降低了海马组织和血清中a β42(一种更容易聚集和毒性更强的a β亚型)的水平,以及海马组织中cd68阳性细胞的数量,提示淀粉样蛋白病理和神经炎症的抑制。该治疗还下调了SIRT2、BACE1和APP-CTF,同时增加了RTN4B的表达。值得注意的是,补肾活血针在增强认知功能和减少炎症方面优于非穴位针刺。我们的研究结果表明,补肾活血针通过抑制sirt2介导的RTN4B/BACE1通路,缓解认知缺陷和神经炎症,突出了针灸治疗神经退行性疾病的前景。
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引用次数: 0
A Conversation with Alex Lercher. 与Alex Lercher的对话。
IF 1.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-10-17 DOI: 10.1177/10799907251390651
Alexander Lercher
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引用次数: 0
Immunomodulatory Effects of Ticagrelor in Myocardial Infarction: Shifting the Cytokine Balance Toward an Anti-Inflammatory Profile. 替格瑞洛在心肌梗死中的免疫调节作用:将细胞因子平衡向抗炎方向转移。
IF 1.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-11-05 DOI: 10.1177/10799907251394220
Delan Yaseen Sulaiman, Talar Ahmad Merza Mohammad

Myocardial infarction (MI) triggers a systemic inflammatory response that influences cardiac recovery. Pharmacological therapies, including aspirin, β-blockers, Angiotensin-Converting Enzyme (ACE) inhibitors, statins, and P2Y12 inhibitors such as Ticagrelor, may have additional immunomodulatory effects beyond their primary cardiovascular benefits. This study evaluates the impact of different treatment regimens on inflammatory markers, immune cell phenotyping, and cardiac biomarkers in MI patients. A total of 78 MI patients were divided into three treatment groups: standard therapy (aspirin + β-blockers), enhanced therapy (aspirin, β-blockers, ACE inhibitors, and statins), and experimental therapy (Ticagrelor + standard therapy). Inflammatory cytokines (Interleukin (IL)-4, IL-6, IL-10, IL-17, Interferon (IFN)-γ, Tumor Necrosis Factor (TNF)-α, Transforming Growth Factor (TGF)-β), cardiac biomarkers [Troponin, B-type natriuretic peptide (BNP)], and immune cell profiles (Th1/Th2 balance) were assessed using Enzyme-Linked Immunosorbent Assay (ELISA), qPCR (Polymerase Chain Reaction), and flow cytometry before and after treatment. Pro-inflammatory markers (IL-6, TNF-α, IFN-γ, IL-17) significantly decreased, while anti-inflammatory cytokines (IL-4, IL-10, TGF-β) increased post-treatment (P < 0.0001). Th1 cell proportions declined, with a concurrent rise in Th2 cells, particularly in enhanced and experimental therapy groups. Troponin and BNP levels decreased, indicating reduced myocardial stress. Pharmacological therapies effectively modulate immune responses, suppress inflammation, and promote myocardial recovery. Ticagrelor demonstrated additional anti-inflammatory benefits, suggesting potential for improved post-MI outcomes. Future studies should explore long-term clinical implications of immune-targeted cardiovascular therapy.

心肌梗死(MI)引发影响心脏恢复的全身炎症反应。包括阿司匹林、β受体阻滞剂、ACE抑制剂、他汀类药物和替格瑞洛等P2Y12抑制剂在内的药物治疗,除了其主要的心血管益处外,还可能具有额外的免疫调节作用。本研究评估了不同治疗方案对心肌梗死患者炎症标志物、免疫细胞表型和心脏生物标志物的影响。78例MI患者被分为标准治疗组(阿司匹林+ β受体阻滞剂)、强化治疗组(阿司匹林、β受体阻滞剂、ACE抑制剂和他汀类药物)和实验治疗组(替格瑞洛+标准治疗)。采用ELISA、qPCR和流式细胞术检测治疗前后的炎症因子(IL-4、IL-6、IL-10、IL-17、IFN-γ、TNF-α、TGF-β)、心脏生物标志物[肌钙蛋白、b型利钠肽(BNP)]和免疫细胞谱(Th1/Th2平衡)。促炎标志物(IL-6、TNF-α、IFN-γ、IL-17)显著降低,抗炎因子(IL-4、IL-10、TGF-β)显著升高(P < 0.0001)。Th1细胞比例下降,Th2细胞比例同时上升,特别是在强化治疗组和实验治疗组。肌钙蛋白和BNP水平下降,表明心肌应激减轻。药物治疗可有效调节免疫反应,抑制炎症,促进心肌恢复。替格瑞洛显示出额外的抗炎益处,表明可能改善心肌梗死后的预后。未来的研究应该探索免疫靶向心血管治疗的长期临床意义。[图:见正文]。
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引用次数: 0
A Conversation with Autumn York. 对谈秋·约克。
IF 1.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-11-06 DOI: 10.1177/10799907251395956
Autumn York
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引用次数: 0
期刊
Journal of Interferon and Cytokine Research
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