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Effect of FluoRoquinolones on Aortic Growth, aortic stIffness and wave refLEctionS (FRAGILES study) 氟喹诺酮类药物对主动脉生长、主动脉强度和波反射的影响(FRAGILES 研究)
Pub Date : 2024-08-09 DOI: 10.3390/life14080992
V. Gardikioti, C. Georgakopoulos, E. Solomou, E. Lazarou, Konstantinos Fasoulakis, Dimitrios Terentes-Printzios, K. Tsioufis, Dimitrios Iliopoulos, C. Vlachopoulos
Background: The widespread use of fluoroquinolones has been associated with the formation, dissection, and rupture of aortic aneurysms. Arterial biomarkers are established predictors of cardiovascular events. The present study was designed to investigate the effect of quinolones on arterial stiffness and aortic size for the first time. Methods: We studied 28 subjects receiving short-term (<15 days) antibiotic therapy involving quinolones and 27 age- and sex-matched subjects receiving an alternative to quinolone antibiotics. The follow-up period was approximately 2 months. The study’s primary endpoint was the carotid–femoral pulse wave velocity (cfPWV) difference between the two groups 2 months after therapy initiation. Secondary endpoints were the augmentation index corrected for heart rate (AIx@75) and sonographically assessed aortic diameters 2 months after the initial treatment. Results: Subjects had similar values of arterial biomarkers, blood pressure measurements, and aortic diameters at baseline. At follow-up, no significant change was observed between the two groups regarding the hemodynamic parameters and arterial biomarkers (p > 0.05 for all), i.e., cfPWV (7.9 ± 2.6 m/s for the control group vs. 8.1 ± 2.4 m/s for the fluoroquinolones group; p = 0.79), AIx@75 (22.6 ± 9.0% for the control group vs. 26.6 ± 8.1% for the fluoroquinolones group; p = 0.09), and aortic diameters. Conclusions: To our knowledge, FRAGILES is the first study to provide insights into the possible effects of fluoroquinolones on arterial biomarkers, showing that, at least in the short term, treatment with fluoroquinolones does not affect aortic function and diameter.
背景:氟喹诺酮类药物的广泛使用与主动脉瘤的形成、夹层和破裂有关。动脉生物标志物是预测心血管事件的既定指标。本研究旨在首次调查喹诺酮类药物对动脉僵化和主动脉大小的影响。研究方法我们研究了 28 名短期接受喹诺酮类药物治疗的受试者(所有受试者均为 0.05),即 cfPWV(对照组为 7.9 ± 2.6 m/s,氟喹诺酮类药物组为 8.1 ± 2.4 m/s;p = 0.79)、AIx@75(对照组为 22.6 ± 9.0%,氟喹诺酮类药物组为 26.6 ± 8.1%;p = 0.09)和主动脉直径。结论据我们所知,FRAGILES 是第一项深入探讨氟喹诺酮类药物对动脉生物标志物可能产生的影响的研究,该研究显示,至少在短期内,氟喹诺酮类药物治疗不会影响主动脉功能和直径。
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引用次数: 0
Chemotherapy-Induced Peripheral Neuropathy: A Recent Update on Pathophysiology and Treatment 化疗诱发的周围神经病变:病理生理学和治疗的最新进展
Pub Date : 2024-08-09 DOI: 10.3390/life14080991
Marina Mattar, Florence Umutoni, Marwa A. Hassan, M. W. Wamburu, Reagan Turner, James S. Patton, Xin Chen, Wei Lei
Chemotherapy-induced peripheral neuropathy (CIPN) is a major long-lasting side effect of some chemotherapy drugs, which threatens cancer survival rate. CIPN mostly affects sensory neurons and occasionally motor neurons, causing numbness, tingling, discomfort, and burning pain in the upper and lower extremities. The pathophysiology of CIPN is not completely understood; however, it is believed that chemotherapies induce peripheral neuropathy via directly damaging mitochondria, impairing the function of ion channels, triggering immunological mechanisms, and disrupting microtubules. The treatment of CIPN is a medical challenge, and there are no approved pharmacological options. Currently, duloxetine and other antidepressants, antioxidant, anti-inflammatory, and ion-channel targeted therapies are commonly used in clinics to relieve the symptoms of CIPN. Several other types of drugs, such as cannabinoids, sigma−1 receptor antagonists, and nicotinamides ribose, are being evaluated in preclinical and clinical studies. This paper summarizes the information related to the physiology of CIPN and medicines that could be used for treating this condition.
化疗引起的周围神经病变(CIPN)是某些化疗药物的一种主要的长期副作用,威胁着癌症患者的生存率。CIPN 主要影响感觉神经元,偶尔也会影响运动神经元,导致上肢和下肢麻木、刺痛、不适和灼痛。CIPN 的病理生理学尚不完全清楚,但一般认为化疗会直接损伤线粒体、损害离子通道功能、触发免疫机制和破坏微管,从而诱发周围神经病变。CIPN 的治疗是一项医学挑战,目前还没有获得批准的药物治疗方案。目前,临床上常用度洛西汀和其他抗抑郁剂、抗氧化剂、抗炎和离子通道靶向疗法来缓解 CIPN 的症状。其他几种药物,如大麻素、sigma-1 受体拮抗剂和烟酰胺核糖,正在临床前和临床研究中接受评估。本文概述了与 CIPN 的生理学和可用于治疗这种病症的药物有关的信息。
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引用次数: 0
Personalized Management of Patients with Proliferative Diabetic Vitreoretinopathy 对增殖性糖尿病玻璃体视网膜病变患者进行个性化管理
Pub Date : 2024-08-09 DOI: 10.3390/life14080993
Monika Ecsedy, Dorottya Szabó, Zsuzsa Szilagyi, Zoltan Zsolt Nagy, Z. Récsán
Purpose: To evaluate prognostic factors for visual outcome in patients with diabetes who have undergone vitrectomy (PPV) for severe proliferative diabetic vitreoretinopathy (PDVR) in at least one eye in the past 15 years. Methods: Medical records of 132 eyes of 66 patients were analyzed (median age 52 years 21–80; patients with type 1/2 diabetes 40/26; median follow-up 38 months 9–125). Correlations between final favorable visual outcome defined as 0.5≤ best-corrected visual acuity (BCVA) and prognostic factors (age, sex, type and duration of diabetes, metabolic status, BCVA, diabetic retinopathy status, data of preoperative management, data of vitrectomy, and postoperative complications) were analyzed. Results: BCVA improved significantly in the entire study cohort (from median 0.05 min–max 0.001–1 to 0.32, 0.001–1, p < 0.001). Visual stabilization was achieved in the majority of patients, and good visual acuity (0.5 ≤ BCVA) was maintained in more than one-third of the eyes. Multivariable GEE statistics showed that in addition to the duration of diabetes and stable HbA1c values, only preoperative tractional macular detachment proved to be an independent significant predictor of visual outcome. Conclusions: Pars plana vitrectomy is a useful tool when performed early before tractional macular detachment. However, long-term visual stability can only be achieved with good metabolic control.
目的:评估在过去 15 年中至少有一只眼因严重增殖性糖尿病玻璃体视网膜病变(PDVR)而接受过玻璃体切除术(PPV)的糖尿病患者的视力预后因素。研究方法分析了 66 名患者 132 只眼睛的医疗记录(中位年龄 52 岁,21-80 岁;1/2 型糖尿病患者 40/26;中位随访 38 个月,9-125 个月)。分析了最终良好视力结果(定义为最佳矫正视力(BCVA)0.5≤)与预后因素(年龄、性别、糖尿病类型和病程、代谢状态、BCVA、糖尿病视网膜病变状态、术前处理数据、玻璃体切割数据和术后并发症)之间的相关性。结果整个研究队列的 BCVA 均有明显改善(从中位数 0.05,最小值 0.001-1 到 0.32,0.001-1,P <0.001)。大多数患者视力稳定,超过三分之一的患者视力保持良好(0.5 ≤ BCVA)。多变量 GEE 统计显示,除了糖尿病病程和稳定的 HbA1c 值外,只有术前牵引性黄斑脱离被证明是视觉结果的独立重要预测因素。结论是在牵引性黄斑脱离之前尽早进行玻璃体旁切除术是一种有用的工具。然而,只有良好的代谢控制才能实现长期的视力稳定。
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引用次数: 0
Congenital Pulmonary Airway Malformation in Preterm Infants: A Case Report and Review of the Literature 早产儿先天性肺气道畸形:病例报告和文献综述
Pub Date : 2024-08-09 DOI: 10.3390/life14080990
Alessia Bertolino, Silvia Bertolo, Paola Lago, P. Midrio
Congenital pulmonary airway malformations (CPAMs) represent a well-known cluster of rare lung malformations affecting 1 in 2500 live births. The natural history of many CPAMs is to increase their size in the second trimester, reach a plateau, and, in about 50% of cases, regress and to become barely detectable during the third trimester. Little is known about cases of affected neonates born prematurely: only six cases are described in the literature, recording different conduct and outcomes. Herein, we report the case of a very low birth weight infant born at GW 28 without antenatal findings and presenting at birth with severe respiratory distress, requiring ventilation. Chest X-rays and a CT scan showed the presence of a solid mass in the left lung. An initial conservative approach was adopted as the baby gained respiratory stability within the first days of life. Routine ultrasound (US) showed a progressive reduction of the lesion, mimicking the process of involution that CPAM can exhibit during late gestation. The rarity of the condition does not allow the formulation of any suggestions regarding one type of management over the other. An initial conservative approach seems to be appropriate with regards to the outcome and possible intra- and post-operative complications.
先天性肺气道畸形(CPAMs)是众所周知的一组罕见肺部畸形,每 2500 个活产婴儿中就有 1 例。许多先天性肺气道畸形的自然病史是在妊娠的第二个三个月增大,然后达到一个平稳期,大约有 50%的病例会在妊娠的第三个三个月消退并变得几乎检测不到。关于早产新生儿受影响的病例知之甚少:文献中仅描述了六例,记录了不同的行为和结果。在此,我们报告了一例出生时体重极低的新生儿,该新生儿出生时体重为 GW 28,无产前检查结果,出生时出现严重呼吸困难,需要通气。胸部 X 光片和 CT 扫描显示左肺存在实性肿块。由于婴儿在出生后几天内呼吸逐渐稳定,因此最初采取了保守治疗。常规超声波检查(US)显示病灶逐渐缩小,模仿了 CPAM 在妊娠晚期的内陷过程。由于该病症非常罕见,因此无法提出任何治疗建议。就结果以及术中和术后可能出现的并发症而言,最初的保守疗法似乎是合适的。
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引用次数: 0
Leveraging Electronic Health Records to Predict the Risk of Acute Kidney Injury after Allogeneic Hematopoietic Cell Transplantation 利用电子健康记录预测异体造血细胞移植后急性肾损伤的风险
Pub Date : 2024-08-08 DOI: 10.3390/life14080987
E. Bischoff, Nikola Kirilov
Background: The objective of this study is to assess the electronic health records (EHRs), which are potential risk factors for acute kidney injury (AKI) after allogenic hematopoietic cell transplantation (allo-HCT), and to propose a basic dataset and score for the calculation of HCT-acute kidney injury risk (HCT-AKIR). Methods: We undertook a retrospective analysis of the EHRs of 312 patients. Pre- and post-transplant factors were assessed, recognizing the following structured entries: laboratory data, encounters, medication, imaging studies, diagnoses, and procedures. Composite variables were used to create patient groups by combining two or more multivariate significant risk factors for AKI. The EHRs dataset and HCT-AKIR score were created based on the multivariate analysis of the composite variables. Results: A multivariate analysis showed that previous CKD and once-impaired pre-transplant kidney function, sepsis, imaging procedures with contrast media, and cumulative length of intensive care unit stay after transplantation were significant risk factors. A new unit-weighted composite score based on the combination of significant risk factors contained in common EHR resources was proposed. Conclusions: Using our novel HCT-AKIR score calculated from the basic EHR dataset could be an easy way to increase awareness of post-transplant AKI and provide risk stratification.
研究背景本研究旨在评估作为异基因造血细胞移植(allo-HCT)后急性肾损伤(AKI)潜在风险因素的电子健康记录(EHR),并提出用于计算 HCT-急性肾损伤风险(HCT-AKIR)的基本数据集和评分。方法我们对 312 名患者的电子病历进行了回顾性分析。评估了移植前和移植后的因素,确认了以下结构化条目:实验室数据、会诊、用药、影像学检查、诊断和手术。通过结合两个或两个以上导致 AKI 的多变量重要风险因素,使用复合变量创建患者组。EHRs 数据集和 HCT-AKIR 评分是根据对复合变量的多变量分析创建的。结果多变量分析显示,既往患有慢性肾功能衰竭(CKD)和移植前肾功能一度受损、脓毒症、使用造影剂的成像手术以及移植后重症监护室累计住院时间都是重要的风险因素。根据常见电子病历资源中包含的重要风险因素的组合,提出了一个新的单位加权综合评分。结论:使用我们从基本电子病历数据集中计算出的新型 HCT-AKIR 评分可以轻松提高人们对移植后 AKI 的认识,并提供风险分层。
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引用次数: 0
Cataloging the Genetic Response: Unveiling Drought-Responsive Gene Expression in Oil Tea Camellia (Camellia oleifera Abel.) through Transcriptomics 编目遗传响应:通过转录组学揭示油茶山茶(Camellia oleifera Abel.)
Pub Date : 2024-08-08 DOI: 10.3390/life14080989
Zhen Zhang, Yanming Xu, Caixia Liu, Longsheng Chen, Ying Zhang, Zhilong He, Rui Wang, Chengfeng Xun, Yushen Ma, Xiaokang Yuan, Xiang-nan Wang, Yongzhong Chen, Xiaohu Yang
Drought stress is a critical environmental factor that significantly impacts plant growth and productivity. However, the transcriptome analysis of differentially expressed genes in response to drought stress in Camellia oleifera Abel. is still unclear. This study analyzed the transcriptome sequencing data of C. oleifera under drought treatments. A total of 20,674 differentially expressed genes (DEGs) were identified under drought stress, with the number of DEGs increasing with the duration of drought. Specifically, 11,793 and 18,046 DEGs were detected after 8 and 15 days of drought treatment, respectively, including numerous upregulated and downregulated genes. Gene Ontology (GO) enrichment analysis showed that the DEGs were primarily involved in various biological processes. Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis revealed that carbon metabolism, glyoxylate and dicarboxylate metabolism, proteasome, glycine, serine, and threonine metabolism were the main affected pathways. Among the DEGs, 376 protein kinases, 42 proteases, 168 transcription factor (TF) genes, and 152 other potential functional genes were identified, which may play significant roles in the drought response of C. oleifera. The expression of relevant functional genes was further validated using quantitative real-time PCR (qRT-PCR). These findings contribute to the comprehension of drought tolerance mechanisms in C. oleifera and bolster the identification of drought-resistant genes for molecular breeding purposes.
干旱胁迫是严重影响植物生长和生产力的关键环境因素。然而,关于油茶(Camellia oleifera Abel.)在干旱胁迫下差异表达基因的转录组分析尚不清楚。本研究分析了油茶在干旱处理下的转录组测序数据。在干旱胁迫下,共鉴定出20674个差异表达基因(DEGs),DEGs的数量随干旱持续时间的延长而增加。具体而言,干旱处理 8 天和 15 天后分别检测到 11,793 和 18,046 个 DEGs,其中包括大量上调和下调基因。基因本体(GO)富集分析表明,这些 DEGs 主要参与各种生物过程。京都基因组百科全书(KEGG)通路富集分析表明,碳代谢、乙醛酸和二羧酸代谢、蛋白酶体、甘氨酸、丝氨酸和苏氨酸代谢是主要的受影响通路。在 DEGs 中,发现了 376 个蛋白激酶、42 个蛋白酶、168 个转录因子(TF)基因和 152 个其他潜在功能基因,它们可能在油橄榄的干旱响应中发挥重要作用。利用实时定量 PCR(qRT-PCR)进一步验证了相关功能基因的表达。这些发现有助于理解油菜的抗旱机制,并为分子育种目的鉴定抗旱基因提供支持。
{"title":"Cataloging the Genetic Response: Unveiling Drought-Responsive Gene Expression in Oil Tea Camellia (Camellia oleifera Abel.) through Transcriptomics","authors":"Zhen Zhang, Yanming Xu, Caixia Liu, Longsheng Chen, Ying Zhang, Zhilong He, Rui Wang, Chengfeng Xun, Yushen Ma, Xiaokang Yuan, Xiang-nan Wang, Yongzhong Chen, Xiaohu Yang","doi":"10.3390/life14080989","DOIUrl":"https://doi.org/10.3390/life14080989","url":null,"abstract":"Drought stress is a critical environmental factor that significantly impacts plant growth and productivity. However, the transcriptome analysis of differentially expressed genes in response to drought stress in Camellia oleifera Abel. is still unclear. This study analyzed the transcriptome sequencing data of C. oleifera under drought treatments. A total of 20,674 differentially expressed genes (DEGs) were identified under drought stress, with the number of DEGs increasing with the duration of drought. Specifically, 11,793 and 18,046 DEGs were detected after 8 and 15 days of drought treatment, respectively, including numerous upregulated and downregulated genes. Gene Ontology (GO) enrichment analysis showed that the DEGs were primarily involved in various biological processes. Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis revealed that carbon metabolism, glyoxylate and dicarboxylate metabolism, proteasome, glycine, serine, and threonine metabolism were the main affected pathways. Among the DEGs, 376 protein kinases, 42 proteases, 168 transcription factor (TF) genes, and 152 other potential functional genes were identified, which may play significant roles in the drought response of C. oleifera. The expression of relevant functional genes was further validated using quantitative real-time PCR (qRT-PCR). These findings contribute to the comprehension of drought tolerance mechanisms in C. oleifera and bolster the identification of drought-resistant genes for molecular breeding purposes.","PeriodicalId":18182,"journal":{"name":"Life","volume":"16 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141927694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring Active Case Detection Approaches for Leprosy Diagnosis in Varied Endemic Settings: A Comprehensive Scoping Review 探索在不同麻风病流行环境中诊断麻风病的主动病例检测方法:全面范围审查
Pub Date : 2024-07-26 DOI: 10.3390/life14080937
Heynes Brown, Anil Fastenau, Srilekha Penna, Paul Saunderson, Gonnie Klabbers
(1) Background: The global burden of leprosy is not shared equally; with the majority of cases being diagnosed in Brazil, India, and Indonesia. Understanding the methods of active case detection (ACD) used in high and low endemic regions is vital for the development of future screening programs. (2) Methods: A systematic search of three databases, PubMed, Embase and Web of Science, was conducted for English language papers, published since the year 2000, which discussed the use of active case detection methods for leprosy screening. The paper utilised the Integrated Screening Action Model (I-SAM) as a tool for the analysis of these methods. (3) Results: 23 papers were identified from 11 different countries. The papers identified 6 different methods of active case detection: Household contact/social contact identification; door-to-door case detection; screening questionnaire distribution; rapid village surveys; school-based screening; and prison-based screening. 15 were located in high endemic regions and 8 of these were located in low endemic regions. (4) Conclusions: For selecting the appropriate methods of active case finding, the leprosy endemicity must be taken into consideration. The findings contribute to policy decision making allowing for more successful future leprosy case detection programs to be designed, ultimately reducing the global burden of the disease, and achieving the WHO’s aim of zero leprosy.
(1) 背景:麻风病在全球造成的负担并不均等,大部分病例在巴西、印度和印度尼西亚确诊。了解高流行区和低流行区使用的主动病例检测(ACD)方法对未来筛查项目的发展至关重要。(2) 方法:我们对 PubMed、Embase 和 Web of Science 这三个数据库进行了系统检索,以查找 2000 年以来发表的、讨论麻风病筛查中使用主动病例检测方法的英文论文。论文采用综合筛查行动模型(I-SAM)作为分析这些方法的工具。(3) 结果:确定了来自 11 个不同国家的 23 篇论文。这些论文确定了 6 种不同的主动病例检测方法:家庭接触/社会接触识别;上门病例检测;发放筛查问卷;快速乡村调查;学校筛查;以及监狱筛查。其中 15 个位于高流行地区,8 个位于低流行地区。(4) 结论:在选择适当的主动病例发现方法时,必须考虑麻风病的流行程度。研究结果有助于制定政策,使未来的麻风病例检测计划更加成功,最终减轻麻风病的全球负担,实现世界卫生组织的零麻风目标。
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引用次数: 0
Genetic Differences between Male and Female Pattern Hair Loss in a Korean Population 韩国人群中男性和女性脱发的遗传差异
Pub Date : 2024-07-26 DOI: 10.3390/life14080939
Jihyun Lee, Ja-Eun Choi, Joohun Ha, Young-Joo Kim, Changhyun Lee, Kyung-Won Hong
Studies on androgenetic alopecia (AGA or patterned hair loss (PHL)) have suggested different underlying pathological mechanisms between males and females. While many genetic factors for male hair loss have been identified through genome-wide association studies (GWASs), the genetic determinants of female hair loss remain unclear. In this study, we analyzed approximately 1000 individuals (436 males and 568 females) to identify sex-specific genetic factors. We conducted three independent GWASs for the total, male-only, and female-only groups, identifying three novel loci (rs7814359, rs2163085, and rs4793158 of the TSNARE1, FZD1, and GJC1 genes, respectively). rs7814359 showed a significant genome-wide association with AGA in the combined sex group and a weak association in both the male-only and female-only groups. The single nucleotide polymorphism (SNP) rs2163085 showed a significant genome-wide association with AGA in the combined group and notable significance in females. The rs4793158 SNP showed a suggestive association with AGA in both the combined and female-only groups. TSNARE1, related to rs7814359, is involved in vesicle transport. FZD1 is a key regulator of the Wnt signaling pathway. GJC1 is a gap junction protein. The associations of FZD1 and GJC1 with female-specific AGA suggest that sex hormones, such as estrogen, may influence FPHL through these genes. These findings will contribute to our understanding of the sex-specific pathophysiology of AGA.
有关雄激素性脱发(AGA 或模式性脱发)的研究表明,男性和女性的潜在病理机制不同。虽然通过全基因组关联研究(GWAS)发现了许多男性脱发的遗传因素,但女性脱发的遗传决定因素仍不清楚。在这项研究中,我们分析了约 1000 人(436 名男性和 568 名女性),以确定性别特异性遗传因素。我们对总性别组、纯男性组和纯女性组进行了三次独立的 GWAS,发现了三个新的基因位点(分别是 TSNARE1、FZD1 和 GJC1 基因的 rs7814359、rs2163085 和 rs4793158)。单核苷酸多态性(SNP)rs2163085 在男女混合组显示出与 AGA 的全基因组显著相关性,而在女性组则显示出显著相关性。rs4793158 SNP 在合并组和仅女性组中都显示出与 AGA 的提示性关联。与 rs7814359 相关的 TSNARE1 参与囊泡运输。FZD1 是 Wnt 信号通路的关键调节因子。GJC1 是一种缝隙连接蛋白。FZD1 和 GJC1 与女性特异性 AGA 的关联表明,雌激素等性激素可能会通过这些基因影响 FPHL。这些发现将有助于我们了解AGA的性别特异性病理生理学。
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引用次数: 0
Von Willebrand Factor Dynamics in Patients with Aortic Stenosis Undergoing Surgical and Transcatheter Valve Replacement 接受手术和经导管瓣膜置换术的主动脉瓣狭窄患者体内冯-威廉因子的动态变化
Pub Date : 2024-07-25 DOI: 10.3390/life14080934
A. Grigorescu, Andrei Anghel, Claudia Koch, F. Horhat, Delia Savescu, H. Feier
Aortic stenosis (AS) is a prevalent valvular disorder that poses a significant burden on healthcare systems due to its debilitating symptoms and high mortality rates if left untreated. Surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR) are the primary interventions for severe AS, but perioperative complications such as bleeding remain a concern. Von Willebrand factor (VWF), a crucial player in hemostasis, is known to be altered in AS and may contribute to the hemostatic imbalance observed in these patients. This prospective study aimed to investigate the association between prosthetic valve type, size, and postprocedural VWF levels in patients undergoing aortic valve replacement (AVR) for severe AS. This study involved 39 consecutive patients diagnosed with severe AS who underwent SAVR or TAVR. By elucidating the VWF dynamics associated with different prosthetic valves, this study sought to provide valuable insights into personalized valve selection and perioperative management strategies.
主动脉瓣狭窄(AS)是一种常见的瓣膜疾病,由于其使人衰弱的症状和不及时治疗的高死亡率,给医疗系统带来了沉重的负担。手术主动脉瓣置换术(SAVR)和经导管主动脉瓣置换术(TAVR)是治疗严重主动脉瓣狭窄的主要干预措施,但出血等围术期并发症仍令人担忧。冯-威廉因子(Von Willebrand factor,VWF)是止血过程中的一个关键因子,已知在强直性脊柱炎患者中会发生改变,并可能导致在这些患者中观察到的止血失衡。这项前瞻性研究旨在调查因重度强直性脊柱炎而接受主动脉瓣置换术(AVR)的患者的人工瓣膜类型、大小和术后 VWF 水平之间的关系。这项研究涉及 39 名连续接受 SAVR 或 TAVR 的重度 AS 患者。通过阐明与不同人工瓣膜相关的 VWF 动态变化,该研究试图为个性化瓣膜选择和围手术期管理策略提供有价值的见解。
{"title":"Von Willebrand Factor Dynamics in Patients with Aortic Stenosis Undergoing Surgical and Transcatheter Valve Replacement","authors":"A. Grigorescu, Andrei Anghel, Claudia Koch, F. Horhat, Delia Savescu, H. Feier","doi":"10.3390/life14080934","DOIUrl":"https://doi.org/10.3390/life14080934","url":null,"abstract":"Aortic stenosis (AS) is a prevalent valvular disorder that poses a significant burden on healthcare systems due to its debilitating symptoms and high mortality rates if left untreated. Surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR) are the primary interventions for severe AS, but perioperative complications such as bleeding remain a concern. Von Willebrand factor (VWF), a crucial player in hemostasis, is known to be altered in AS and may contribute to the hemostatic imbalance observed in these patients. This prospective study aimed to investigate the association between prosthetic valve type, size, and postprocedural VWF levels in patients undergoing aortic valve replacement (AVR) for severe AS. This study involved 39 consecutive patients diagnosed with severe AS who underwent SAVR or TAVR. By elucidating the VWF dynamics associated with different prosthetic valves, this study sought to provide valuable insights into personalized valve selection and perioperative management strategies.","PeriodicalId":18182,"journal":{"name":"Life","volume":"31 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141806354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: Fehlhofer et al. Expression of Inflammatory Mediators in Biofilm Samples and Clinical Association in Multiple Sclerosis Patients in Remission—A Pilot Study. Life 2024, 14, 367 更正:生物膜样本中炎症介质的表达与缓解期多发性硬化症患者的临床关联--一项试点研究》。生命 2024,14,367
Pub Date : 2024-07-25 DOI: 10.3390/life14080932
Jakob Fehlhofer, Jutta Ries, F. Nickel, V. Rothhammer, Stefan Schwab, Marco Kesting, M. Buchbender
References [...]
参考资料 [...]
{"title":"Correction: Fehlhofer et al. Expression of Inflammatory Mediators in Biofilm Samples and Clinical Association in Multiple Sclerosis Patients in Remission—A Pilot Study. Life 2024, 14, 367","authors":"Jakob Fehlhofer, Jutta Ries, F. Nickel, V. Rothhammer, Stefan Schwab, Marco Kesting, M. Buchbender","doi":"10.3390/life14080932","DOIUrl":"https://doi.org/10.3390/life14080932","url":null,"abstract":"References [...]","PeriodicalId":18182,"journal":{"name":"Life","volume":"39 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141805889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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