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Egg Consumption and Coronary Artery Disease in Japanese Patients Undergoing Coronary Angiography. 日本冠状动脉造影患者的鸡蛋摄入与冠状动脉疾病
IF 1.1 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2025-01-01 DOI: 10.3177/jnsv.71.435
Yoshimi Kishimoto, Emi Saita, Reiko Ohmori, Kazuo Kondo, Yukihiko Momiyama

Many prospective studies of egg consumption and coronary artery disease (CAD) provided conflicting findings, and ethnicity may influence CAD risk. Two Japanese cohort studies, which were conducted around 1990, reported no significant association between egg consumption and CAD. However, there was no study showing the association between egg consumption and CAD in Japanese patients undergoing coronary angiography (CAG), whose intakes were assessed at the time of CAD diagnosis. The present study is a cross-sectional study to investigate egg intake and CAD in 795 Japanese patients undergoing CAG. Egg intake was classified into 3 categories (<3, 3-4 eggs/wk, and ≥1 egg/d). CAD was found in 506 patients, of whom 299 had multi-vessel disease (MVD). The prevalence of CAD or MVD did not differ markedly among 3 groups of <3, 3-4 eggs/wk, and ≥1 egg/d. Even after adjusting atherosclerotic risk factors and dietary intakes, multivariate analyses showed no significant associations between egg intake and CAD or MVD. Odds ratios (ORs) for 3-4 eggs/wk and ≥1 egg/d compared to <3 eggs/wk was 0.91 (95%CI: 0.62-1.34) and 1.06 (0.67-1.67) for CAD and 0.79 (0.55-1.15) and 1.22 (0.80-1.87) for MVD. However, only among 504 patients without lipid-lowering drugs, patients with 3-4 eggs/wk less often had MVD than those with <3 eggs/wk (p<0.05). In multivariate analyses, ORs for 3-4 eggs/wk and ≥1 egg/d compared to <3 eggs/wk were 0.56 (0.33-0.96) and 1.21 (0.69-2.13) for MVD. Thus, egg consumption was not associated with an increased risk at CAD in Japanese patients undergoing CAG.

许多关于鸡蛋消费和冠状动脉疾病(CAD)的前瞻性研究提供了相互矛盾的结果,种族可能影响冠心病的风险。1990年前后进行的两项日本队列研究报告称,鸡蛋消费与CAD之间没有显著关联。然而,在接受冠状动脉造影(CAG)的日本患者中,没有研究显示鸡蛋摄入量与CAD之间的关联,这些患者的摄入量是在CAD诊断时评估的。本研究是一项横断面研究,旨在调查795名接受CAG的日本患者的鸡蛋摄入量与CAD的关系。鸡蛋摄入量分为3类(
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引用次数: 0
Maslinic Acid Supplementation Suppressed Early Onset Muscle Soreness and Systemic Fatigue after Full Marathon: A Randomized, Double-Blind, Placebo-Controlled Trial. 补充山楂酸抑制马拉松后早发性肌肉酸痛和全身疲劳:一项随机、双盲、安慰剂对照试验。
IF 1.1 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2025-01-01 DOI: 10.3177/jnsv.71.448
Katsuyuki Tokinoya, Takanaga Shirai, Kazuki Uemichi, Shusaku Murata, Yuki Yamauchi, Shotaro Murata, Tohru Takemasa

Completing a full marathon not only causes muscle soreness and fatigue but also increases damage markers in the blood. Supplementary strategies can be used to reduce these effects. In a previous study, we focused on maslinic acid (MA), which reduces pain and suppresses inflammation. This study examined the effects of MA intake in full marathons. Twenty-seven healthy amateur runners (19 males and 8 females) were allocated to either the placebo (Pla) group or the MA group. Owing to one absence and variations in sample collection success, data from 22-26 participants were included in the final analyses depending on the outcome measure. Subjective muscle soreness and fatigue were assessed using a numerical rating scale (0-10), and blood samples were collected at three time points: before the race (Pre), immediately after the race (Post), and one day after (Day 1). Nonparametric statistical analyses revealed significant time effects for several blood markers; however, no group differences were observed at any time point. In contrast, subjective scores of muscle soreness at several sites and systemic fatigue did not differ between groups at Post but were significantly lower in the MA group than in the Pla group on Day 1 (p<0.017). These findings suggest that although MA supplementation during a full marathon does not attenuate immediate post-race physiological or subjective responses, it may facilitate the recovery process by reducing perceived muscle soreness and fatigue the following day.

跑完全程马拉松不仅会导致肌肉酸痛和疲劳,还会增加血液中的损伤标志物。可以使用补充策略来减少这些影响。在之前的一项研究中,我们关注的是山茱萸酸(MA),它可以减轻疼痛和抑制炎症。这项研究考察了全程马拉松中MA摄入量的影响。27名健康的业余跑步者(19名男性和8名女性)被分配到安慰剂(Pla)组或MA组。由于样本收集成功的缺失和差异,根据结果测量,22-26名参与者的数据被纳入最终分析。采用数值评分量表(0-10)评估主观肌肉酸痛和疲劳,并在三个时间点采集血液样本:赛前(Pre)、赛后(Post)和赛后一天(day 1)。非参数统计分析显示,几种血液标志物的时间效应显著;然而,在任何时间点均未观察到组间差异。相比之下,术后几个部位的肌肉酸痛和全身疲劳的主观评分在各组之间没有差异,但在第1天,MA组明显低于Pla组(p
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引用次数: 0
Intestinal Absorption of L-Glucose via Sodium/Glucose Cotransporter 1 (Sglt1) in Rats. 大鼠通过钠/葡萄糖共转运蛋白1 (Sglt1)对l -葡萄糖的肠道吸收
IF 1.1 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2025-01-01 DOI: 10.3177/jnsv.71.564
Kunihiro Kishida, Yukiyasu Toyoda, Takamasa Tsuzuki

L-Glucose is an enantiomer of D-glucose. It is controversial whether intestinal absorption of L-glucose is mediated by sodium/glucose cotransporter 1 (Sglt1). We examined whether L-glucose is absorbed via Sglt1 using KGA-2727, an Sglt1-specific inhibitor, and via glucose transporter (Glut5), a fructose transporter, using fructose-fed rats as well. KGA-2727 significantly blocked the increase of plasma L-glucose levels and lowered the Cmax and AUC0-180 min values. Feeding the high-fructose diet induced significantly higher intestinal Glut5 mRNA expression and higher absorption of orally administered D-fructose, but did not affect L-glucose levels and pharmacokinetic parameters. The results suggest that L-glucose is likely transported via Sglt1 in rat small intestine.

l -葡萄糖是d -葡萄糖的对映体。小肠对l -葡萄糖的吸收是否由钠/葡萄糖共转运蛋白1 (Sglt1)介导尚存争议。我们使用KGA-2727(一种Sglt1特异性抑制剂)和葡萄糖转运蛋白(Glut5)(一种果糖转运蛋白)检测了l -葡萄糖是否通过Sglt1被吸收。KGA-2727明显阻断血浆l -葡萄糖水平升高,降低Cmax和AUC0-180 min值。饲喂高果糖饲料显著提高了肠道Glut5 mRNA的表达和口服d -果糖的吸收,但对l -葡萄糖水平和药代动力学参数没有影响。结果提示l -葡萄糖可能通过Sglt1在大鼠小肠中转运。
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引用次数: 0
The Molecular Mechanisms and Treatment of Cancer-Related Cachexia. 癌症相关恶病质的分子机制及治疗。
IF 0.7 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2025-01-01 DOI: 10.3177/jnsv.71.1
Yongfei You, Yong Wang, Guohua Zhang, Yong Li

Cancer cachexia is a multifactorial syndrome characterized by persistent skeletal muscle loss, with or without fat loss, which cannot be completely reversed by traditional nutritional support and leads to impaired organ function. Cachexia seriously reduces the quality of life of (QOL) patients, affects the therapeutic effect against cancers, increases the incidence of complications, and is an important cause of death for patients with advanced cancers. To date, no effective medical intervention has completely reversed cachexia, and no medication has been agreed upon. Here, we describe recent advances in the diagnosis, molecular mechanism and treatment of cancer-related cachexia.

癌症恶病质是一种多因素综合征,其特征是骨骼肌持续减少,伴有或不伴有脂肪减少,这种情况不能通过传统的营养支持完全逆转,并导致器官功能受损。恶病质严重降低患者生活质量(QOL),影响肿瘤治疗效果,增加并发症发生率,是晚期癌症患者死亡的重要原因。迄今为止,没有任何有效的医疗干预能够完全逆转恶病质,也没有达成一致的药物。本文就癌症相关恶病质的诊断、分子机制和治疗等方面的最新进展作一综述。
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引用次数: 0
Accuracy of Screening Test for Inadequate Dietary Folate Intake Using Urinary Potassium Excretion as a Proxy Indicator in Young Adult Japanese Women. 用尿钾排泄量作为日本年轻成年女性膳食叶酸摄入不足筛查试验的准确性
IF 1.1 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2025-01-01 DOI: 10.3177/jnsv.71.442
Mami Sakuda, Ribeka Takachi, Tomoko Asai, Naoko Suga, Atsuko Kitano, Kumiko Saito, Kenji Toyama, Reiko Inai, Sachiko Maruya, Ai Tsuji, Rieko Nakata, Satoru Matsuda, Yasunori Ogura

Although folate is essential for preconception care and reproductive health, non-invasive and valid methods for screening inadequate dietary folate intake are lacking. Urinary potassium excretion, a recovery biomarker of potassium intake, can be used as a proxy for dietary folate intake if the main sources of dietary folate and potassium are the same. This study examined the accuracy of screening using urinary potassium excretion as a proxy for inadequate dietary folate intake. Participants comprised 104 female university students who completed 3-d weighed food records (3dWFR) and 24-h urine collection on the third day of 3dWFR in April-July between 2019 and 2022. The major sources of dietary folate and potassium were identified, and the correlation coefficients between their intake and urinary potassium excretion were calculated. The area under the curve (AUC) and 95% confidence interval (CI) were calculated using receiver operating characteristic analysis. Vegetables were the food groups that contributed the most to dietary folate intake (42.7%) and potassium intake (28.9%). The correlation coefficient (r=0.57, p<0.001) between dietary folate intake based on the 3dWFR and potassium excretion was almost the same as that between potassium intake and excretion (r=0.63, p<0.001). Urinary potassium excretion could discriminate at ≥100-≥550 μg in 50 μg increments for insufficient dietary folate intake with >0.7 AUC value (and >0.5 lower limit of 95% CI). These findings indicate that urinary potassium excretion can be used as a proxy indicator to screen for individuals with inadequate dietary folate intake.

虽然叶酸对孕前护理和生殖健康至关重要,但缺乏非侵入性和有效的方法来筛查饮食中叶酸摄入量不足。如果饮食中叶酸和钾的主要来源相同,尿钾排泄量作为钾摄入量的恢复生物标志物,可以作为饮食中叶酸摄入量的代表。本研究检验了用尿钾排泄量作为饮食中叶酸摄入不足的替代指标进行筛查的准确性。参与者包括104名女大学生,她们在2019年至2022年4月至7月的第三天完成了3d称重食物记录(3dWFR)和24小时尿液收集。确定了膳食中叶酸和钾的主要来源,并计算了它们的摄入量与尿钾排泄量之间的相关系数。采用受试者工作特征分析计算曲线下面积(AUC)和95%置信区间(CI)。蔬菜是对膳食叶酸摄入量(42.7%)和钾摄入量(28.9%)贡献最大的食物组。相关系数(r=0.57, p0.7 AUC值(和>.5 95% CI下限)。这些发现表明尿钾排泄量可以作为筛选叶酸摄入不足个体的替代指标。
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引用次数: 0
Differential Regulation of Cholecystokinin Production by Synthetic and Natural Glucocorticoids in Enteroendocrine Cells. 合成糖皮质激素和天然糖皮质激素对肠内分泌细胞中胆囊收缩素产生的差异调节。
IF 1.1 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2025-01-01 DOI: 10.3177/jnsv.71.411
Shingo Nakajima, Shoko Tsuchimine, Tohru Hira, Hiroshi Kunugi

Chronic stress often causes abnormal eating behavior and metabolism due at least in part to the activation of hypothalamic-pituitary-adrenal (HPA) axis resulting in increases glucocorticoids secretion. Cholecystokinin (CCK) is an anorexic gut hormone secreted from enteroendocrine I cells and controls digestion through the gastric emptying and digestive enzyme secretion. In the present study, we highlighted the function of glucocorticoids in CCK-producing cells with enteroendocrine model cell lines and male Wistar rats. We found that glucocorticoid receptor (GR) and mineralocorticoid receptor (MR) are expressed in STC-1 cells known as an I cell model line. Synthetic (dexamethasone; DEX) and endogenous (corticosterone; CORT) glucocorticoids reduced CCK transcription in STC-1 cells. Depolarization-induced CCK secretion was attenuated by both glucocorticoids, whereas dietary peptide-induced CCK secretion was enhanced by acute CORT treatment. DEX and CORT treatments weakened phosphorylated signaling pathway for CCK transcription in an agonist-specific manner. Daily single injection of DEX but not CORT for 4 d decreased Cck mRNA in the upper small intestine with altered metabolism and gut glucocorticoid sensitivity in male Wistar rats. These findings provide a new insight to reveal stress-induced abnormal nutrient and metabolic status in relation to gastrointestinal dysfunctions.

慢性应激通常会导致饮食行为和代谢异常,至少部分原因是下丘脑-垂体-肾上腺(HPA)轴的激活导致糖皮质激素分泌增加。胆囊收缩素(CCK)是一种由肠内分泌I细胞分泌的厌食性肠道激素,通过胃排空和消化酶分泌控制消化。本研究以肠内分泌模型细胞系和雄性Wistar大鼠为实验对象,重点研究了糖皮质激素在cck生成细胞中的作用。我们发现糖皮质激素受体(GR)和矿皮质激素受体(MR)在STC-1细胞中表达,称为I细胞模型系。合成(地塞米松;DEX)和内源性(皮质酮;CORT)糖皮质激素降低了STC-1细胞中CCK的转录。两种糖皮质激素均可减弱去极化诱导的CCK分泌,而急性CORT治疗可增强膳食肽诱导的CCK分泌。DEX和CORT处理以激动剂特异性的方式减弱了CCK转录的磷酸化信号通路。雄性Wistar大鼠每日单次注射DEX而不注射CORT 4 d,可降低上小肠Cck mRNA,改变代谢和肠道糖皮质激素敏感性。这些发现为揭示应激诱导的营养和代谢异常与胃肠道功能障碍的关系提供了新的见解。
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引用次数: 0
Effects of Blue Rose Extract Powder Intake on Skin Characteristics in Middle-Aged and Older Japanese Women-Randomized, Double-Blind, and Placebo-Controlled Trial. 蓝玫瑰提取物粉摄入对日本中老年妇女皮肤特征的影响:随机、双盲、安慰剂对照试验
IF 0.7 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2025-01-01 DOI: 10.3177/jnsv.71.163
Daisuke Aoyagi, Tomoe Yamada-Kato, Isao Okunishi

In this study, we aimed at evaluating the effect of improving skin conditions on petal-derived blue rose extract (BRE) powder intake in middle-aged and older women in Japan. We conducted a randomized, double-blind, and placebo-controlled parallel study in 48 healthy Japanese women aged 40-50 y who were aware of dry skin. We divided the participants equally into two groups (i.e., 24-24 in the test and control groups, respectively). The participants consumed 100 mg either the placebo or BRE powder daily for 4 wk. We performed skin measurements before-and-after 4 wk of continuous intake. Upon 4 wk after continuous intake, the BRE group displayed improved skin quality compared with the control group. The primary outcome was stratum corneum water content, which significantly improved in the BRE group. The secondary outcomes, melanin index, stains, wrinkles, and rough texture showed improvements between the groups as well. Visual perception, roughness of texture, and wrinkles were improved between the groups. Finally, transparency yielded better scores within the groups. This study presents the results of the first functional test targeting BRE, unraveling various effect of improving skin condition and highlighting the potential of taking BRE in skin care.

在这项研究中,我们旨在评估日本中老年女性花瓣衍生蓝玫瑰提取物(BRE)粉末摄入对改善皮肤状况的影响。我们进行了一项随机、双盲、安慰剂对照的平行研究,研究对象是48名年龄在40-50岁、有皮肤干燥症状的健康日本女性。我们将参与者平均分为两组(即实验组和对照组分别为24-24人)。参与者每天服用100毫克安慰剂或BRE粉末,持续4周。我们在连续摄入4周前后进行了皮肤测量。在连续摄入4周后,BRE组的皮肤质量较对照组有所改善。主要终点是角质层含水量,BRE组的角质层含水量显著提高。次要结果,黑色素指数、污渍、皱纹和粗糙纹理在两组之间也有所改善。视觉感知、纹理粗糙度和皱纹在两组之间得到改善。最后,透明度在小组中获得了更高的分数。本研究提出了首个针对BRE的功能测试结果,揭示了改善皮肤状况的各种作用,并强调了服用BRE在皮肤护理中的潜力。
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引用次数: 0
The Effect of Heat-Killed Lacticaseibacillus paracasei K71 on Abdominal Fat Reduction: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Comparative Trial. 热杀副干酪乳杆菌K71对腹部脂肪减少的影响:一项随机、双盲、安慰剂对照、平行组比较试验。
IF 1.1 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2025-01-01 DOI: 10.3177/jnsv.71.486
Kana Yamamoto-Yamaya, Yoshie Senda-Sugimoto, Toshihiro Mihara, Jiro Saito, Yuki Higuchi, Hajime Takahashi

It has been confirmed that Lacticaseibacillus paracasei (formerly designated as Lactobacillus paracasei: L. paracasei) K71, a lactic acid bacterium isolated from sakekasu (sake lees) has immunomodulatory and anti-obesity effects. This study aimed to investigate the effect of heat-killed L. paracasei K71 intake on reducing abdominal fat in a randomized, double-blind, placebo-controlled, parallel-group comparative trial. Eighty healthy male and female subjects with a BMI of ≥23 and <30 were selected and randomly assigned to one of two groups, a test food group and a placebo group. Subjects ingested either a test food containing 50 mg (approximately 1×1011 bacteria) of heat-killed L. paracasei K71 or a placebo for 12 wk. Abdominal fat area and volume, as calculated by computed tomography, body weight, BMI, body fat percentage, waist circumference, hip circumference, waist-to-hip ratio, and blood markers were evaluated. In PPS, no significant between-group differences were observed in any item. On the other hand, in subjects with no significant changes in lifestyle, compared with the placebo group, the test food group showed significant decreases in subcutaneous fat area, visceral fat volume, subcutaneous fat volume, body fat percentage, and hip circumference after 12 wk. Moreover, no adverse events due to the test food containing heat-killed L. paracasei K71 were observed during the test period. These results suggest that continuous intake of heat-killed L. paracasei K71 has the effect of reducing abdominal fat in healthy subjects with a high BMI. This trial was registered at UMIN-CTR (UMIN000051324).

从清酒中分离得到的乳酸菌副干酪乳杆菌(Lactobacillus paracasei) K71具有免疫调节和抗肥胖作用。本研究旨在通过一项随机、双盲、安慰剂对照、平行组比较试验,探讨热杀副干酪乳杆菌K71摄入对减少腹部脂肪的影响。80名健康的男性和女性受试者,BMI≥23,11个细菌)热杀副干酪乳杆菌K71或安慰剂12周。评估腹部脂肪面积和体积(通过计算机断层扫描计算)、体重、BMI、体脂百分比、腰围、臀围、腰臀比和血液标志物。在PPS方面,各组间各项目均无显著差异。另一方面,在生活方式没有明显改变的受试者中,与安慰剂组相比,试验食物组在12周后的皮下脂肪面积、内脏脂肪体积、皮下脂肪体积、体脂百分比和臀围均显著降低。此外,在试验期间,未观察到含有热杀副干酪乳杆菌K71的试验食品引起的不良反应。这些结果表明,持续摄入热杀副干酪乳杆菌K71具有减少高BMI健康受试者腹部脂肪的作用。该试验在UMIN-CTR注册(UMIN000051324)。
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引用次数: 0
Effect of α- and δ-Tocotrienol on Human Airway Smooth Muscle Cells~Tocotrienols as Potential Candidates for the Treatment of Airway Remodeling in Asthma. α-和δ-生育三烯醇对人气道平滑肌细胞的影响~生育三烯醇作为治疗哮喘气道重塑的潜在候选者。
IF 1.1 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2025-01-01 DOI: 10.3177/jnsv.71.300
Ryota Okazaki, Aditya Sri Listyoko, Tomoya Harada, Miki Takata, Masato Morita, Hiroki Ishikawa, Yoshihiro Funaki, Genki Inui, Akira Yamasaki

Tocotrienols are members of the vitamin E family and exhibit antioxidant properties, immunomodulatory effects, and anti-inflammatory actions. Previously, we demonstrated that γ-tocotrienol inhibits human airway smooth muscle (ASM) cell proliferation, migration, contractile phenotype expression, and extracellular matrix protein synthesis by suppressing RhoA activation. In this study, we investigated whether α- or δ-tocotrienol modulates transforming growth factor-beta 1 (TGF-β1)-induced contractile phenotype expression in human ASM cells and platelet-derived growth factor-BB (PDGF-BB)-induced proliferation and migration of ASM cells. Human ASM cells were pretreated with α- or δ-tocotrienol before stimulation with PDGF-BB to promote proliferation and migration or with TGF-β1 to induce smooth muscle actin expression. PDGF-BB-stimulated ASM cell proliferation and migration were assessed using colorimetric and transwell migration assays. Additionally, we examined the signaling pathways involved in the effects of α- or δ-tocotrienol on PDGF-BB-induced ASM proliferation and migration, as well as TGF-β1-induced smooth muscle actin expression. TGF-β1 increased α-smooth muscle actin expression in human ASM cells. Treatment with α- and δ-tocotrienol slightly reduced α-smooth muscle actin levels, though this reduction was not statistically significant. In contrast, PDGF-BB-induced ASM cell proliferation and migration were significantly inhibited by α- and δ-tocotrienol treatment. The effects of α- and δ-tocotrienol on ASM proliferation and migration involve the RhoA signaling pathway and a reduction in reactive oxygen species (ROS) production. These findings suggest that α- and δ-tocotrienol exert beneficial effects on airway remodeling in asthma by inhibiting the proliferation and migration of human ASM cells.

生育三烯醇是维生素E家族的成员,具有抗氧化、免疫调节和抗炎作用。之前,我们证明了γ-生育三烯醇通过抑制RhoA激活抑制人气道平滑肌(ASM)细胞增殖、迁移、收缩表型表达和细胞外基质蛋白合成。在这项研究中,我们研究了α-或δ-生育三烯醇是否调节转化生长因子-β1 (TGF-β1)诱导的人ASM细胞的收缩表型表达和血小板衍生生长因子- bb (PDGF-BB)诱导的ASM细胞的增殖和迁移。人ASM细胞在PDGF-BB刺激前分别用α-或δ-生育三烯醇预处理以促进增殖和迁移,或用TGF-β1诱导平滑肌肌动蛋白表达。使用比色法和transwell迁移法评估pdgf - bb刺激的ASM细胞增殖和迁移。此外,我们还研究了α-或δ-生育三烯醇对pdgf - bb诱导的ASM增殖和迁移以及TGF-β1诱导的平滑肌肌动蛋白表达影响的信号通路。TGF-β1增加人ASM细胞α-平滑肌肌动蛋白表达。α-和δ-生育三烯醇治疗可轻微降低α-平滑肌肌动蛋白水平,但这种降低无统计学意义。α-和δ-生育三烯醇处理明显抑制pdgf - bb诱导的ASM细胞增殖和迁移。α-和δ-生育三烯醇对ASM增殖和迁移的影响涉及RhoA信号通路和活性氧(ROS)产生的减少。这些结果提示α-和δ-生育三烯醇通过抑制人ASM细胞的增殖和迁移对哮喘气道重塑有有益作用。
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引用次数: 0
Vitamin D Deficiency Is Associated with an Increased Risk of Macroalbuminuria in Chinese Patients with Type 2 Diabetes. 维生素D缺乏与中国2型糖尿病患者大量蛋白尿风险增加有关
IF 1.1 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2025-01-01 DOI: 10.3177/jnsv.71.283
Xiulin Wang, Wenjin Xiao

This research examines the correlation between serum 25-hydroxyvitamin D [25(OH)D] levels and albuminuria. A total of 203 hospitalized patients diagnosed with type 2 diabetes mellitus (T2DM) were selected from February to October 2023 and categorized into groups according to their urine albumin-to-creatinine ratio (UACR). Spearman correlation analysis and multiple regression analysis were used to assess the relationship between 25(OH)D and UACR. Among the 203 T2DM patients included, the prevalence of vitamin D deficiency was 59.1%. The 25(OH)D levels in the macroalbuminuria group 9.37 ng/mL (5.98, 15.60) were significantly lower than those in the normal albuminuria group 18.26 ng/mL (14.40, 23.52) and microalbuminuria group 18.20 ng/mL (11.71, 24.20) with statistical significance (p<0.001). Spearman correlation analysis showed a negative correlation between serum 25(OH)D and UACR (r=-0.173, p=0.014). Stepwise linear regression analysis, after adjusting for confounding factors, revealed a linear negative correlation between 25(OH)D and albuminuria (β=-0.278, p<0.001). In the multivariable logistic regression analysis, no association was identified between vitamin D deficiency and microalbuminuria in patients with T2DM. However, vitamin D deficiency may significantly increase the risk of macroalbuminuria in patients with T2DM,with an odds ratio (OR) of 4.747 (95% CI: 1.157-19.473). Vitamin D deficiency is prevalent among the study population. Serum 25(OH)D levels exhibited a significant negative correlation with UACR, suggesting a relationship between vitamin D deficiency and an elevated risk of macroalbuminuria in individuals with T2DM.

本研究探讨血清25-羟基维生素D [25(OH)D]水平与蛋白尿之间的关系。选择2023年2 - 10月住院诊断为2型糖尿病(T2DM)的患者203例,根据尿白蛋白/肌酐比值(UACR)进行分组。采用Spearman相关分析和多元回归分析评价25(OH)D与UACR的关系。203例T2DM患者中,维生素D缺乏症患病率为59.1%。大白蛋白尿组25(OH)D水平为9.37 ng/mL(5.98, 15.60),显著低于正常白蛋白尿组18.26 ng/mL(14.40, 23.52)和微量白蛋白尿组18.20 ng/mL(11.71, 24.20),差异均有统计学意义(p < 0.05)
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Journal of nutritional science and vitaminology
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