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Onco-hypertension; a collaboration among oncologists, nephrologists and cardiologists Onco-hypertension;这是肿瘤学家,肾病学家和心脏病学家的合作
Pub Date : 2023-01-01 DOI: 10.34172/jre.2023.25098
Sara Dehghan
It is essential to manage hypertension in cancer patients because uncontrolled high blood pressure can increase the risk of cardiovascular complications and negatively impact overall health. We searched PubMed, Web of Science, EBSCO, Scopus, Google Scholar, Directory of Open Access Journals (DOAJ), and Embase, using keywords including; hypertension, onco-hypertension, and Neoplasms; and found that several factors can contribute to the development of onco-hypertension, including certain types of cancer, chemotherapy drugs, targeted therapies, and hormonal treatments. Favorable cooperation of multi-specialists in this disease treatment can lead to better and more optimal treatment management for these patients.
控制癌症患者的高血压至关重要,因为不受控制的高血压会增加心血管并发症的风险,并对整体健康产生负面影响。我们检索了PubMed、Web of Science、EBSCO、Scopus、Google Scholar、DOAJ和Embase,关键词包括;高血压、肿瘤合并高血压和肿瘤;他们发现,有几个因素会导致肿瘤高血压的发展,包括某些类型的癌症、化疗药物、靶向治疗和激素治疗。多专科医师在本病治疗上的良好合作,可以为这些患者带来更好、更优化的治疗管理。
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引用次数: 0
Biomarkers in IgA nephropathy; an update to recent data IgA肾病的生物标志物;最近数据的更新
Pub Date : 2023-01-01 DOI: 10.34172/jre.2023.25120
Rokhsare Zareie, Mahsa Asadollahi Hamedani, Reyhaneh Sadeghian, Y. Khanchemehr, M. Belali Kharaji, E. Zaremoghadam, Negar Shahkarami, Atena Samareh Fekri
Biomarkers are molecules that can be measured in the body and can reflect disease activity or progression. They can be used to diagnose and monitor disease, predict treatment response, and identify potential therapeutic targets. Several types of biomarkers have been studied in the context of IgA nephropathy, including protein, gene expression, epigenetic, and microRNA biomarkers. Biomarkers have the potential to improve the accuracy and specificity of the diagnosis of IgA nephropathy and predict the disease progression and response to treatment. However, further studies are needed to validate their diagnostic value in larger cohorts of patients and to integrate them into clinical practice. The development of multi-omics approaches that combine different types of biomarkers may provide a more comprehensive understanding of the disease pathogenesis and potential treatments.
生物标志物是可以在体内测量的分子,可以反映疾病的活动或进展。它们可用于诊断和监测疾病,预测治疗反应,并确定潜在的治疗靶点。在IgA肾病的背景下,已经研究了几种类型的生物标志物,包括蛋白质、基因表达、表观遗传和microRNA生物标志物。生物标志物有可能提高IgA肾病诊断的准确性和特异性,并预测疾病进展和对治疗的反应。然而,需要进一步的研究来验证其在更大患者群体中的诊断价值,并将其纳入临床实践。结合不同类型生物标志物的多组学方法的发展可能为更全面地了解疾病的发病机制和潜在的治疗方法提供帮助。
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引用次数: 0
Cardiac alterations following radiation therapy in individuals with breast cancer 乳腺癌患者放射治疗后的心脏改变
Pub Date : 2023-01-01 DOI: 10.34172/jre.2023.25066
Kolsoum Teimouri, K. Khoshgard, M. Rouzbahani, Samaneh Pakravan
One of the most prevalent cancers in women is breast cancer, which is typically treated with radiation therapy (RT) which can lead to cardiovascular (CV) disease. The severity of these complications depends on the amount of radiation to the heart. In addition to hurting the cardiac tissue, RT also damages the blood vessels. Individuals with left breast cancer have a higher risk of developing CV disease as a result of RT than those with right breast cancer. Furthermore, women with risk factors for heart disease, such as diabetes, high cholesterol, smoking, and family history, are more likely to develop CV disease side effects from RT.
女性中最常见的癌症之一是乳腺癌,通常用放射疗法(RT)治疗,这可能导致心血管(CV)疾病。这些并发症的严重程度取决于对心脏的辐射量。除了伤害心脏组织外,RT还会损害血管。与右乳腺癌患者相比,左乳腺癌患者因接受RT治疗而患心血管疾病的风险更高。此外,有心脏病风险因素的女性,如糖尿病、高胆固醇、吸烟和家族史,更有可能在放疗后出现心血管疾病的副作用。
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引用次数: 0
Fibromyalgia among patients presenting to a rheumatology clinic: prevalence and diagnosis 纤维肌痛症患者在风湿病诊所:患病率和诊断
Pub Date : 2023-01-01 DOI: 10.34172/jre.2023.25093
Kamyar Shokraee, Seyed Mohammad Hashem Montazeri, Soroush Moradi, F. Razavi, A. Parsaei, M. Masoumi
Introduction: Fibromyalgia (FM) syndrome is a chronic musculoskeletal disorder with extensive symptoms. Its most characteristic manifestation is the presence of persistent and diffuse chronic pain. The prevalence of this disease is 1% to 6% in different studies. Its exact nature and manifestations are not fully known; hence the empirical diagnosis of doctors and the proposed diagnostic criteria may differ in diagnosis. Objectives: This study aims to investigate the prevalence of FM symptoms among rheumatology patients, identify components of symptom and laboratory markers, and determine the interrater agreement between clinician judgment and diagnostic criteria. Patients and Methods: During one year, all patients referred to the rheumatology clinic were selected by simple sampling and underwent medical history collecting and physical examination by a single experienced rheumatologist, and the clinician’s judgment on the diagnosis of FM in the patients was recorded. Also, the American College of Rheumatology (ACR) standard questionnaire was used to evaluate the diagnosis of FM. Results: Between May 2018 and May 2019, 1762 patients were recruited, of whom 1428 (81%) were female, and 334 (19%) were male, with a mean age of 48.4±13.4 years. According to the rheumatologist and ACR criteria, 620 (35.1%) and 491 (27.8%) were diagnosed with FM respectively. Analysis indicated a lower agreement between the two in patients with underlying rheumatologic conditions of a mechanical origin. Younger age in patients with FM (P<0.001). A higher prevalence of FM was found among women (P<0.001). There was a significant correlation between concomitant rheumatologic conditions and FM occurrence (P=0.0004). Symptoms were clustered into 10 components with the component including fatigue explaining 22.18% of the variance in the results. Laboratory markers were clustered into 5 components. Conclusion: Fibromyalgia is a widespread disease among women that is frequently comorbid with other rheumatologic conditions. Agreement between ACR criteria and rheumatologist judgment is acceptable but can be improved by examining the symptoms in clusters rather than individually.
简介:纤维肌痛(FM)综合征是一种具有广泛症状的慢性肌肉骨骼疾病。其最典型的表现是存在持续性和弥漫性慢性疼痛。在不同的研究中,这种疾病的患病率为1%到6%。它的确切性质和表现形式尚不完全清楚;因此,医生的经验诊断和提出的诊断标准可能在诊断上有所不同。目的:本研究旨在调查风湿病患者FM症状的患病率,确定症状组成和实验室标志物,并确定临床判断与诊断标准之间的相互一致性。患者与方法:在一年的时间里,通过简单抽样的方法选择所有到风湿病门诊就诊的患者,由一名经验丰富的风湿病专家进行病史收集和体格检查,记录临床医生对患者FM诊断的判断。同时,采用美国风湿病学会(ACR)标准问卷对FM的诊断进行评估。结果:2018年5月至2019年5月,共招募患者1762例,其中女性1428例(81%),男性334例(19%),平均年龄48.4±13.4岁。根据风湿病学家和ACR标准,分别有620例(35.1%)和491例(27.8%)被诊断为FM。分析表明,在机械起源的潜在风湿病患者中,两者之间的一致性较低。FM患者年龄较小(P<0.001)。女性中FM患病率较高(P<0.001)。伴有风湿病与FM的发生有显著相关性(P=0.0004)。症状被聚类为10个成分,其中疲劳成分解释了22.18%的结果方差。实验室标记聚类为5个组分。结论:纤维肌痛是一种在女性中广泛存在的疾病,经常与其他风湿病合并症。ACR标准与风湿病学家判断之间的一致性是可以接受的,但可以通过对症状进行聚集性检查而不是单独检查来改善。
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引用次数: 0
An overview of fibroblast growth factor 23 and its role in kidney function 成纤维细胞生长因子23及其在肾功能中的作用综述
Pub Date : 2023-01-01 DOI: 10.34172/jre.2023.25100
N. Alivand, Hanieh Molaee, Mostafa Assarroudi, Amin Fatehi Moazam, Sara Dehghan, Soleyman Alivand
Fibroblast growth factor 23 (FGF23) is a hormone that plays a critical role in regulating mineral homeostasis in the body. Specifically, FGF23 acts on the kidneys to decrease the reabsorption of phosphate from the blood and into the urine. This process helps to reduce serum phosphate levels and maintain balance alongside other hormones such as PTH. The primary responsibility of FGF23 is to regulate the balance of phosphate in the body. It does this by acting on the kidney cells to decrease the reabsorption of phosphate from the blood and into the urine. This process allows the body to excrete excess phosphate to maintain normal serum phosphate levels in the blood. In addition to regulating phosphate levels, FGF23 also plays a role in the metabolism of vitamin D. FGF23 can increase the metabolism of vitamin D to an inactive form, reducing the amount of active vitamin D in the body. This reduction in active vitamin D levels leads to decreased intestinal absorption of dietary calcium and phosphate. Abnormal levels of FGF23 in the body have been associated with several health concerns, particularly in patients with chronic kidney disease. High levels of FGF23 have been linked to the development of bone loss, vascular calcification, and cardiovascular disease. Conversely, low levels of FGF23 have been associated with an increased risk of mortality and cardiovascular disease in patients with kidney disease.
成纤维细胞生长因子23 (FGF23)是一种在调节体内矿物质平衡中起关键作用的激素。具体来说,FGF23作用于肾脏,减少磷酸盐从血液和尿液中的再吸收。这个过程有助于降低血清磷酸盐水平,并与其他激素(如甲状旁腺激素)保持平衡。FGF23的主要职责是调节体内磷酸盐的平衡。它通过作用于肾细胞来减少磷酸盐从血液和尿液中的再吸收。这个过程允许身体排出多余的磷酸盐,以维持血液中正常的血清磷酸盐水平。除了调节磷酸盐水平外,FGF23还在维生素D的代谢中发挥作用。FGF23可以使维生素D的代谢增加到非活性形式,减少体内活性维生素D的数量。活性维生素D水平的降低导致肠道对膳食钙和磷酸盐的吸收减少。体内FGF23的异常水平与几种健康问题有关,特别是慢性肾脏疾病患者。高水平的FGF23与骨质流失、血管钙化和心血管疾病的发生有关。相反,低水平的FGF23与肾病患者死亡和心血管疾病风险增加有关。
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引用次数: 0
Magnesium deficiency as a contributing factor to type 2 diabetes: a review of the literature 镁缺乏是导致2型糖尿病的一个因素:文献综述
Pub Date : 2023-01-01 DOI: 10.34172/jre.2023.25086
Asal Radmanesh, Setare Choromzade, E. Akade, Mohamad Bahadoram, G. Kaydani
Magnesium deficiency is a vital contributing factor to the happening and arising of insulin resistance, metabolic syndrome, and type 2 diabetes mellitus. Magnesium has a critical function in controlling the level of glucose in the blood and insulin sensitivity, acting as a cofactor for various enzymes such as enzymes involved in carbohydrate oxidation, glucose transport mechanisms of the cell membrane, cell replication, and lipid metabolism. Studies have indicated that reduced magnesium levels in the blood are connected with a significant decline in insulin-mediated glucose uptake which is a vital part of the cell’s metabolism. In people with type 2 diabetes, plasma magnesium concentration was inversely associated with markers of insulin resistance. This means as magnesium levels in plasma decrease, the risk of insulin resistance increases. Additionally, magnesium deficiency can play a role in the development of diabetes by affecting the activity of the Na/K-ATPase enzyme, pancreas inflammation, reactive oxygen species (ROS) modification, lipid metabolism, and causing genetic instability, as the main contributors to type 2 diabetes. Therefore, early detection of magnesium deficiency can help prevent further complications. Physicians should be aware of the connection between magnesium deficiency and diabetes and monitor patients with magnesium deficiency for diabetes symptoms and make sure that the patient is getting adequate amounts of magnesium from their diet. Further research is needed to reveal the exact mechanisms underlying magnesium deficiency-induced type 2 diabetes and the curative effects of magnesium supplementation.
镁缺乏是胰岛素抵抗、代谢综合征和2型糖尿病发生和发展的重要因素。镁在控制血液中葡萄糖水平和胰岛素敏感性方面具有关键作用,作为各种酶的辅助因子,如涉及碳水化合物氧化,细胞膜葡萄糖运输机制,细胞复制和脂质代谢的酶。研究表明,血液中镁含量的降低与胰岛素介导的葡萄糖摄取显著下降有关,而葡萄糖摄取是细胞代谢的重要组成部分。在2型糖尿病患者中,血浆镁浓度与胰岛素抵抗标志物呈负相关。这意味着随着血浆中镁含量的降低,胰岛素抵抗的风险增加。此外,缺镁可通过影响Na/ k - atp酶的活性、胰腺炎症、活性氧(ROS)修饰、脂质代谢和引起遗传不稳定,在糖尿病的发展中发挥作用,是2型糖尿病的主要诱因。因此,早期发现缺镁有助于预防进一步的并发症。医生应该意识到缺镁和糖尿病之间的联系,监测缺镁患者的糖尿病症状,并确保患者从饮食中摄取足量的镁。镁缺乏诱导2型糖尿病的确切机制和镁补充剂的疗效有待进一步研究。
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引用次数: 0
Underlying diseases, nutritional assessment, viral incidence and HBV immunity status in patients undergoing hemodialysis 血液透析患者的基础疾病、营养评估、病毒发病率和HBV免疫状况
Pub Date : 2023-01-01 DOI: 10.34172/jre.2023.25085
M. Musavi, A. Rasoolzadeh, M. Salehi, Hadi Fazel
Introduction: Underlying kidney diseases and their progression cease the function of kidney and raise the need for regular maintenance dialysis. Furthermore, nutritional requirements and blood born viral infections affect their quality of life. Objectives: This study aims to investigate viral incidence, underlying kidney diseases, nutritional status; and hepatitis B virus (HBV) immunity status in hemodialysis (HD) patients. Patients and Methods: A total of 330 end-stage renal disease (ESRD) patients were assessed for human immunodeficiency virus (HIV), HBV, hepatitis C virus (HCV) viruses using Enzyme-linked immunosorbent assay (ELISA) assay. The underlying kidney diseases were confirmed by a physician. Eighty-two subjects with diabetic nephropathy are referred to dietitian for nutritional assessments and body mass index (BMI) measurement. Hepatitis B surface antibody (Anti-HBs) tests were done at two different times of year for 94 qualified subjects. Results: Out of 330 patients 82 (24.8%) had diabetic mellitus (DM), 5 (1.5%) myocardial infarction (MI), 3 (0.9%) systemic lupus erythematosus (SLE), 55 (16.7%) hypertensive nephrosclerosis (HN), 3 (0.9%) obstructive nephropathy, 5 (1.5%) autosomal dominant polycystic kidney disease (ADPKD), and 4 (1.2%) glomerulonephritis. 45 cases (13.6%) had DM and HTN simultaneously. Eleven percent of diabetic nephropathy (DN) patients had severe malnutrition. Only five men (1.51%) were positive for HBV. No incidence of HCV and HIV was seen. Findings showed a dramatic change for anti-HBs after 6 months. Conclusion: Despite the advances in medicine, malnutrition and viral diseases still threaten dialysis patients. DM was the most common underlying disease. The safety of dialysis patients for HBV is compromised after regular dialysis, underscoring the importance of strict adherence to vaccination program.
潜在的肾脏疾病及其进展使肾脏功能停止,并增加了定期维护性透析的需要。此外,营养需求和血源性病毒感染影响他们的生活质量。目的:本研究旨在了解病毒发病率、潜在肾脏疾病、营养状况;血液透析(HD)患者乙型肝炎病毒(HBV)免疫状况。患者和方法:采用酶联免疫吸附试验(ELISA)对330例终末期肾病(ESRD)患者进行人类免疫缺陷病毒(HIV)、HBV、丙型肝炎病毒(HCV)检测。医生证实了潜在的肾脏疾病。82例糖尿病肾病患者被转介给营养师进行营养评估和体重指数(BMI)测量。在一年的两个不同时间对94名合格受试者进行乙型肝炎表面抗体(Anti-HBs)检测。结果:330例患者中,糖尿病(DM) 82例(24.8%),心肌梗死(MI) 5例(1.5%),系统性红斑狼疮(SLE) 3例(0.9%),高血压肾硬化(HN) 55例(16.7%),阻塞性肾病3例(0.9%),常染色体显性多囊肾病(ADPKD) 5例(1.5%),肾小球肾炎4例(1.2%)。DM合并HTN 45例(13.6%)。11%的糖尿病肾病(DN)患者有严重的营养不良。只有5名男性(1.51%)HBV阳性。未见HCV和HIV的发病率。结果显示,6个月后,抗hbs发生了巨大变化。结论:尽管医学进步,但营养不良和病毒性疾病仍然威胁着透析患者。糖尿病是最常见的基础疾病。透析患者在定期透析后HBV的安全性受到损害,这强调了严格遵守疫苗接种计划的重要性。
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引用次数: 0
Herbal medicine in the management of renal disease: A comprehensive review of its potential for acute kidney injury, chronic kidney disease, diabetic nephropathy, and hypertension 草药在肾脏疾病的管理:全面审查其潜在的急性肾损伤,慢性肾脏疾病,糖尿病肾病,和高血压
Pub Date : 2023-01-01 DOI: 10.34172/jre.2023.25092
Ali Rastegar-Kashkouli, Mohsen Jafari, Pourya Yousefi, S. Alimohammadi, Hoda Miranzadeh Mahabadi, S. Toumaj, Zahra Taheri, Kamran Shirbache, Ali Shirbacheh, H. Mardanparvar, H. Nasri
Each year, a considerable number of individuals are diagnosed with potentially life-threatening renal failure, encompassing acute kidney injury (AKI) and chronic kidney disease (CKD). New natural herbal compounds, whether used in isolation or combined with medical treatments and an appropriate regime, have been suggested for the management of renal failure. The etiology of AKI remains uncertain; nevertheless, several factors have been proposed as potential causative agents that can lead to renal failure, including renal ischemia-reperfusion injury (IRI), nephrotoxicity, sepsis, administration of radiocontrast agents, and exposure to heavy metal ions. Several commonly utilized herbs with anti-diabetic and antihypertensive properties, known for their antioxidant, anti-inflammatory, and vasorelaxant effects, have been recognized as efficacious therapeutic agents in the management of CKD. The management of renal failure typically involves treating the underlying diseases, such as IRI, sepsis, and diabetes. However, if addressing the root cause is not possible, the focus shifts to managing complications like hypertension and proteinuria.
每年,相当多的人被诊断患有可能危及生命的肾衰竭,包括急性肾损伤(AKI)和慢性肾脏疾病(CKD)。新的天然草药化合物,无论是单独使用还是与药物治疗和适当的治疗方案结合使用,都被建议用于治疗肾衰竭。AKI的病因尚不清楚;然而,有几个因素被认为是可能导致肾功能衰竭的潜在病原体,包括肾缺血再灌注损伤(IRI)、肾毒性、败血症、放射性造影剂的使用和重金属离子暴露。几种常用的具有抗糖尿病和降压特性的草药,以其抗氧化、抗炎和血管松弛作用而闻名,已被认为是CKD治疗的有效药物。肾衰竭的治疗通常包括治疗潜在疾病,如IRI、败血症和糖尿病。然而,如果无法解决根本原因,那么重点就会转移到高血压和蛋白尿等并发症的管理上。
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引用次数: 0
Phytochemicals with sodium-glucose co-transporter inhibitory effects for the management of diabetes; a narrative review on recent findings 具有钠-葡萄糖共转运体抑制作用的植物化学物质对糖尿病的治疗作用对最近发现的叙述性回顾
Pub Date : 2023-01-01 DOI: 10.34172/jre.2023.25095
M. Salehi, Najmeh Rayatpisheh, M. Salehi, H. Mardanparvar
Diabetes mellitus is a chronic condition suffering millions of people worldwide. According to the International Diabetes Federation (IDF), it is estimated that by 2045 about 783 million people will be affected by this disease. Diabetes can be treated today with various hypoglycemic drugs, including metformin and sulfonylureas. However, it has unwanted side effects, such as nausea, diarrhea, hypothyroidism, weight gain, liver failure, tachycardia, and lactic acidosis. A newer group of oral diabetes drugs, such as the sodium-glucose co-transporter inhibitors (SGLTi), are recognized as useful in treating blood sugar levels in diabetic patients. Natural phytochemicals derived from plants have long been used to treat chronic diseases such as diabetes, and traditional phytotherapy for diabetes has been recommended by the world health organization. Herbal medicines are believed to have fewer side effects, so nearly 80% of the drugs are derived directly from plants or modified plants. Given the importance of these results, we were inspired to investigate the impact of phytochemicals with his SGLT2 inhibitory effects on diabetes in order to develop the next generation of safer therapeutic strategies for diabetic patients.
糖尿病是一种慢性疾病,全世界有数百万人患有糖尿病。据国际糖尿病联合会(IDF)估计,到2045年,约有7.83亿人将受到这种疾病的影响。如今,糖尿病可以用各种降糖药物治疗,包括二甲双胍和磺脲类药物。然而,它有不良的副作用,如恶心、腹泻、甲状腺功能减退、体重增加、肝功能衰竭、心动过速和乳酸酸中毒。一组较新的口服糖尿病药物,如钠-葡萄糖共转运蛋白抑制剂(SGLTi),被认为对治疗糖尿病患者的血糖水平有用。从植物中提取的天然植物化学物质长期以来一直用于治疗糖尿病等慢性疾病,世界卫生组织推荐使用传统的植物疗法治疗糖尿病。草药被认为副作用更小,因此近80%的药物直接从植物或改性植物中提取。鉴于这些结果的重要性,我们受到启发,研究具有SGLT2抑制作用的植物化学物质对糖尿病的影响,以便为糖尿病患者开发下一代更安全的治疗策略。
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引用次数: 0
Sodium-glucose co-transporter-2 inhibitors in renal failure patients; expanding indications and prospective trends 钠-葡萄糖共转运蛋白-2抑制剂在肾衰竭患者中的应用扩大适应症和未来趋势
Pub Date : 2023-01-01 DOI: 10.34172/jre.2023.25084
H. Nasri, Sepideh Ghanbari-nejad, M. Dehghani, A. Dieti
Implication
含义
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引用次数: 0
期刊
Journal of Renal Endocrinology
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