首页 > 最新文献

Microvascular research最新文献

英文 中文
Characterization of microcirculatory endothelial functions in a D-Galactose-induced aging model D-半乳糖诱导衰老模型中微循环内皮功能的特征描述
IF 2.9 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-10-26 DOI: 10.1016/j.mvr.2024.104757
Zhuo Li, Yuhong He, Qiuju Zhang, Bingwei Li, Ruijuan Xiu, Honggang Zhang

Background

Microcirculation health is critical to human health, and aging is an important factor affecting microcirculation health. Although D-Galactose has been widely used in aging research models, there is a lack of relevant studies on D-Galactose simulating microcirculatory aging. Here, we explored microcirculatory endothelial function in D-Galactose-induced aging mice.

Methods

Intraperitoneal injection of 150 mg/(kg·d) of D-Galactose was given to cause senescence in mice. Aging was evaluated by SA-β-gal (senescence-associated β-galactosidase) staining. The auricular skin and hepatic microcirculation of mice were observed and detected by enzyme-linked immunosorbent assay (ELISA), immunohistochemistry (IHC) and microcirculation apparatus. The aging of microcirculation was analyzed from oxidative stress, endothelial impairment, inflammation, microvascular morphology and hemodynamics.

Results

In aging mice, percentage of SA-β-gal positive area, oxidative stress products reactive oxygen species (ROS) and nitric oxide (NO), endothelial impairment marker syndecan-1 (SDC-1), stromal cell derived factor-1 (SDF-1), intercellular cell adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1) in the senescence-associated secretory phenotype (SASP) were all up-regulated. The tortuosity of microvessels increased in aging mice, the linear density did not change significantly, but the total length of narrow microvessels (TLNMV) increased and wide microvessels (TLWMV) decreased, speculate that vasomotor dysfunction may be present. Hemodynamically, both perfusion and velocity of blood flow were reduced in senescent mice, presumably due to endothelial dysfunction.

Conclusion

Microcirculatory endothelial dysfunction is induced by D-Galactose, leading to microcirculatory aging. In vivo, this is manifested by elevated levels of oxidative stress, impaired endothelial glycocalyx (eGC), and a greater production of chemokines and adhesive molecules. These changes cause vasomotor dysfunction and remodeling, ultimately leading to hemodynamic impairment.
背景微循环健康对人体健康至关重要,而衰老是影响微循环健康的一个重要因素。虽然 D-半乳糖已被广泛应用于衰老研究模型中,但目前还缺乏关于 D-半乳糖模拟微循环衰老的相关研究。方法腹腔注射 150 毫克/(千克-日)D-半乳糖使小鼠衰老。通过 SA-β-gal(衰老相关β-半乳糖苷酶)染色评估衰老。通过酶联免疫吸附试验(ELISA)、免疫组织化学(IHC)和微循环仪对小鼠的耳廓皮肤和肝脏微循环进行了观察和检测。从氧化应激、内皮损伤、炎症、微血管形态和血液动力学等方面分析了微循环的衰老。结果 在衰老小鼠中,衰老相关分泌表型(SASP)中的SA-β-gal阳性面积百分比、氧化应激产物活性氧(ROS)和一氧化氮(NO)、内皮损伤标志物辛迪卡-1(SDC-1)、基质细胞衍生因子-1(SDF-1)、细胞间粘附分子-1(ICAM-1)和血管细胞粘附分子-1(VCAM-1)均上调。衰老小鼠微血管的迂曲度增加,线性密度无明显变化,但狭窄微血管的总长度(TLNMV)增加,宽微血管的总长度(TLWMV)减少,推测可能存在血管运动功能障碍。从血液动力学角度看,衰老小鼠的血流灌注量和血流速度都有所下降,这可能是由于内皮功能障碍所致。在体内,这表现为氧化应激水平升高、内皮糖萼(eGC)受损以及趋化因子和粘附分子产生增多。这些变化导致血管运动功能障碍和重塑,最终导致血液动力学损伤。
{"title":"Characterization of microcirculatory endothelial functions in a D-Galactose-induced aging model","authors":"Zhuo Li,&nbsp;Yuhong He,&nbsp;Qiuju Zhang,&nbsp;Bingwei Li,&nbsp;Ruijuan Xiu,&nbsp;Honggang Zhang","doi":"10.1016/j.mvr.2024.104757","DOIUrl":"10.1016/j.mvr.2024.104757","url":null,"abstract":"<div><h3>Background</h3><div>Microcirculation health is critical to human health, and aging is an important factor affecting microcirculation health. Although D-Galactose has been widely used in aging research models, there is a lack of relevant studies on D-Galactose simulating microcirculatory aging. Here, we explored microcirculatory endothelial function in D-Galactose-induced aging mice.</div></div><div><h3>Methods</h3><div>Intraperitoneal injection of 150 mg/(kg·d) of D-Galactose was given to cause senescence in mice. Aging was evaluated by SA-β-gal (senescence-associated β-galactosidase) staining. The auricular skin and hepatic microcirculation of mice were observed and detected by enzyme-linked immunosorbent assay (ELISA), immunohistochemistry (IHC) and microcirculation apparatus. The aging of microcirculation was analyzed from oxidative stress, endothelial impairment, inflammation, microvascular morphology and hemodynamics.</div></div><div><h3>Results</h3><div>In aging mice, percentage of SA-β-gal positive area, oxidative stress products reactive oxygen species (ROS) and nitric oxide (NO), endothelial impairment marker syndecan-1 (SDC-1), stromal cell derived factor-1 (SDF-1), intercellular cell adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1) in the senescence-associated secretory phenotype (SASP) were all up-regulated. The tortuosity of microvessels increased in aging mice, the linear density did not change significantly, but the total length of narrow microvessels (TLNMV) increased and wide microvessels (TLWMV) decreased, speculate that vasomotor dysfunction may be present. Hemodynamically, both perfusion and velocity of blood flow were reduced in senescent mice, presumably due to endothelial dysfunction.</div></div><div><h3>Conclusion</h3><div>Microcirculatory endothelial dysfunction is induced by D-Galactose, leading to microcirculatory aging. In vivo, this is manifested by elevated levels of oxidative stress, impaired endothelial glycocalyx (eGC), and a greater production of chemokines and adhesive molecules. These changes cause vasomotor dysfunction and remodeling, ultimately leading to hemodynamic impairment.</div></div>","PeriodicalId":18534,"journal":{"name":"Microvascular research","volume":"157 ","pages":"Article 104757"},"PeriodicalIF":2.9,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142560798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Repeated treatment with VEGF receptor inhibitors induces phenotypic changes in endothelial cells and pericytes in the rat retina 反复使用血管内皮生长因子受体抑制剂可诱导大鼠视网膜内皮细胞和周细胞发生表型变化。
IF 2.9 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-10-23 DOI: 10.1016/j.mvr.2024.104756
Ayuki Nakano, Takaaki Kawada, Akane Morita, Tsutomu Nakahara
Abnormal ocular angiogenesis is a major cause of visual impairment and vision loss in neovascularization-related diseases. Currently, anti-vascular endothelial growth factor (VEGF) drugs are used to treat ocular neovascularization, but repeated injections are needed to maintain their therapeutic effects. However, repeated injection of anti-VEGF drugs may affect the retinal blood vessel phenotype and diminish therapeutic effects. In this study, we aimed to investigate the phenotypic changes in endothelial cells and pericytes caused by the repeated interruption of the VEGF receptor signaling pathway in neonatal rats. KRN633 (10 mg/kg), a VEGF receptor tyrosine kinase inhibitor, was subcutaneously administered on postnatal day (P)-7 and P8 (first round), P14 and P15 (second round), and P21 and P22 (third round). The rat eyes were collected on P7, P9, P14, P16, P21, P23, P28, and P35. Using retinal flat-mount specimens stained with specific markers for vascular endothelial cells, basement membranes, and pericytes, the arteriolar tortuosity, capillary area density, and distribution of pericytes were evaluated. Significant loss of capillaries was observed the day after the first round of KRN633 treatment, after which aggressive angiogenesis occurred, leading to the formation of tortuous arterioles. Rats that completed second and third rounds of KRN633 treatment showed more severe abnormalities in the retinal vasculature than those that only completed first round treatment. Repeated treatment with KRN633 decreased the anti-angiogenic effects but increased the immunoreactivity of α-smooth muscle actin in the pericytes on veins and capillaries. α-Smooth muscle actin expression was inversely correlated to anti-angiogenic effects. Overall, these results revealed that repeated interruption of VEGF receptor signaling pathway altered the phenotypes of endothelial cells and pericytes and induced anti-VEGF drug resistance. Therefore, careful follow-up is necessary when using anti-VEGF drugs to treat abnormal angiogenesis-associated ocular diseases.
眼部血管生成异常是新生血管相关疾病导致视力损伤和视力丧失的主要原因。目前,抗血管内皮生长因子(VEGF)药物被用于治疗眼部新生血管,但需要反复注射才能维持疗效。然而,重复注射抗血管内皮生长因子药物可能会影响视网膜血管表型,从而降低治疗效果。在本研究中,我们旨在研究新生大鼠血管内皮生长因子受体信号通路反复中断所导致的内皮细胞和周细胞的表型变化。新生大鼠在出生后第 7 天和第 8 天(第一轮)、第 14 天和第 15 天(第二轮)以及第 21 天和第 22 天(第三轮)皮下注射血管内皮生长因子受体酪氨酸激酶抑制剂 KRN633(10 mg/kg)。在 P7、P9、P14、P16、P21、P23、P28 和 P35 采集大鼠眼球。利用用血管内皮细胞、基底膜和周细胞特异性标记物染色的视网膜平片标本,对动脉迂曲度、毛细血管面积密度和周细胞分布进行了评估。在第一轮 KRN633 治疗后的第二天,观察到毛细血管明显减少,之后出现了积极的血管生成,形成了迂曲的动脉血管。与只完成第一轮治疗的大鼠相比,完成第二轮和第三轮 KRN633 治疗的大鼠视网膜血管出现了更严重的异常。反复使用 KRN633 会降低抗血管生成的效果,但会增加静脉和毛细血管周细胞中 α 平滑肌肌动蛋白的免疫活性。总之,这些结果表明,反复中断血管内皮生长因子受体信号通路会改变内皮细胞和周细胞的表型,并诱导抗血管内皮生长因子药物的耐药性。因此,在使用抗血管内皮生长因子药物治疗与异常血管生成相关的眼部疾病时,有必要进行仔细的随访。
{"title":"Repeated treatment with VEGF receptor inhibitors induces phenotypic changes in endothelial cells and pericytes in the rat retina","authors":"Ayuki Nakano,&nbsp;Takaaki Kawada,&nbsp;Akane Morita,&nbsp;Tsutomu Nakahara","doi":"10.1016/j.mvr.2024.104756","DOIUrl":"10.1016/j.mvr.2024.104756","url":null,"abstract":"<div><div>Abnormal ocular angiogenesis is a major cause of visual impairment and vision loss in neovascularization-related diseases. Currently, anti-vascular endothelial growth factor (VEGF) drugs are used to treat ocular neovascularization, but repeated injections are needed to maintain their therapeutic effects. However, repeated injection of anti-VEGF drugs may affect the retinal blood vessel phenotype and diminish therapeutic effects. In this study, we aimed to investigate the phenotypic changes in endothelial cells and pericytes caused by the repeated interruption of the VEGF receptor signaling pathway in neonatal rats. KRN633 (10 mg/kg), a VEGF receptor tyrosine kinase inhibitor, was subcutaneously administered on postnatal day (P)-7 and P8 (first round), P14 and P15 (second round), and P21 and P22 (third round). The rat eyes were collected on P7, P9, P14, P16, P21, P23, P28, and P35. Using retinal flat-mount specimens stained with specific markers for vascular endothelial cells, basement membranes, and pericytes, the arteriolar tortuosity, capillary area density, and distribution of pericytes were evaluated. Significant loss of capillaries was observed the day after the first round of KRN633 treatment, after which aggressive angiogenesis occurred, leading to the formation of tortuous arterioles. Rats that completed second and third rounds of KRN633 treatment showed more severe abnormalities in the retinal vasculature than those that only completed first round treatment. Repeated treatment with KRN633 decreased the anti-angiogenic effects but increased the immunoreactivity of α-smooth muscle actin in the pericytes on veins and capillaries. α-Smooth muscle actin expression was inversely correlated to anti-angiogenic effects. Overall, these results revealed that repeated interruption of VEGF receptor signaling pathway altered the phenotypes of endothelial cells and pericytes and induced anti-VEGF drug resistance. Therefore, careful follow-up is necessary when using anti-VEGF drugs to treat abnormal angiogenesis-associated ocular diseases.</div></div>","PeriodicalId":18534,"journal":{"name":"Microvascular research","volume":"157 ","pages":"Article 104756"},"PeriodicalIF":2.9,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Innate lymphoid cells in the brain: Focus on ischemic stroke 大脑中的先天性淋巴细胞:聚焦缺血性中风。
IF 2.9 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-10-18 DOI: 10.1016/j.mvr.2024.104755
Khiany Mathias , Richard Simon Machado , Taise Cardoso , Anita dal Bó Tiscoski , Amanda Christine da Silva Kursancew , Josiane Somariva Prophiro , Jaqueline Generoso , Fabricia Petronilho
The innate immune system consists of a diverse set of immune cells, including innate lymphoid cells (ILCs), which are grouped into subsets based on their transcription factors and cytokine profiles. Among these are natural killer (NK) cells, group 1 ILCs, group 2 ILCs, group 3 ILCs, and lymphoid tissue inducers (LTi). Unlike T and B cells, ILCs do not express the diverse antigen receptors typically found on those cells. Although ILCs function in various systems, further research is needed to understand their role in the brain and their involvement in neurological diseases such as stroke. This review explores the general immunological aspects of ILCs, with a particular focus on their role in the central nervous system and the pathophysiology of ischemic stroke.
先天性免疫系统由多种免疫细胞组成,包括先天性淋巴细胞(ILCs),这些细胞根据其转录因子和细胞因子特征被分为不同的亚群。其中包括自然杀伤(NK)细胞、第 1 组 ILC、第 2 组 ILC、第 3 组 ILC 和淋巴组织诱导体(LTi)。与 T 细胞和 B 细胞不同,ILCs 不表达这些细胞上常见的多种抗原受体。虽然 ILCs 在多个系统中发挥作用,但要了解它们在大脑中的作用以及与中风等神经系统疾病的关系,还需要进一步的研究。本综述探讨了 ILCs 的一般免疫学方面,尤其侧重于它们在中枢神经系统中的作用以及缺血性中风的病理生理学。
{"title":"Innate lymphoid cells in the brain: Focus on ischemic stroke","authors":"Khiany Mathias ,&nbsp;Richard Simon Machado ,&nbsp;Taise Cardoso ,&nbsp;Anita dal Bó Tiscoski ,&nbsp;Amanda Christine da Silva Kursancew ,&nbsp;Josiane Somariva Prophiro ,&nbsp;Jaqueline Generoso ,&nbsp;Fabricia Petronilho","doi":"10.1016/j.mvr.2024.104755","DOIUrl":"10.1016/j.mvr.2024.104755","url":null,"abstract":"<div><div>The innate immune system consists of a diverse set of immune cells, including innate lymphoid cells (ILCs), which are grouped into subsets based on their transcription factors and cytokine profiles. Among these are natural killer (NK) cells, group 1 ILCs, group 2 ILCs, group 3 ILCs, and lymphoid tissue inducers (LTi). Unlike T and B cells, ILCs do not express the diverse antigen receptors typically found on those cells. Although ILCs function in various systems, further research is needed to understand their role in the brain and their involvement in neurological diseases such as stroke. This review explores the general immunological aspects of ILCs, with a particular focus on their role in the central nervous system and the pathophysiology of ischemic stroke.</div></div>","PeriodicalId":18534,"journal":{"name":"Microvascular research","volume":"157 ","pages":"Article 104755"},"PeriodicalIF":2.9,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142469745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aortic aneurysm: Correlations with phenotypes associated with connective tissue dysplasia 主动脉瘤:与结缔组织发育不良相关表型的关系
IF 2.9 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-10-12 DOI: 10.1016/j.mvr.2024.104754
Maria Roslik , Yury Zharikov , Andzhela Vovkogon , Nataliya Zharova , André Pontes-Silva , Tatiana Zharikova
An aortic aneurysm is a localized enlargement that exceeds the normal diameter of the vessel by 50 %, posing a risk due to the likelihood of rupture. The cause of aortic aneurysm, especially in young people, is connective tissue dysplasia, a condition characterized by defects in the assembly of collagen and elastin proteins, leading to changes in elastic properties and disruption of the formation of organs and their systems. The article presents data confirming the relationship between many morphological manifestations of connective tissue dysplasia (e.g., funnel-shaped deformation of the sternum, scoliosis of the thoracic spine, abdominal hernias, arterial tortuosity, striae of atypical localization) and the risk of aortic aneurysm formation. The literature suggests that the identified combinations of some external manifestations of connective tissue dysplasia deserve special attention and may be constitutional markers for the possible development of aortic aneurysm, which is a promising direction for further research in this area.
主动脉瘤是一种局部扩大的血管,其直径超过正常直径的 50%,有破裂的危险。主动脉瘤(尤其是年轻人)的病因是结缔组织发育不良,这种疾病的特点是胶原蛋白和弹性蛋白的装配缺陷,导致弹性特性发生变化,并破坏器官及其系统的形成。文章提供的数据证实了结缔组织发育不良的多种形态表现(如胸骨漏斗状变形、胸椎侧弯、腹部疝气、动脉迂曲、不典型定位的条纹)与主动脉瘤形成风险之间的关系。文献表明,已发现的结缔组织发育不良的一些外部表现的组合值得特别关注,它们可能是主动脉瘤可能发展的宪法标志,这也是这一领域有希望的进一步研究方向。
{"title":"Aortic aneurysm: Correlations with phenotypes associated with connective tissue dysplasia","authors":"Maria Roslik ,&nbsp;Yury Zharikov ,&nbsp;Andzhela Vovkogon ,&nbsp;Nataliya Zharova ,&nbsp;André Pontes-Silva ,&nbsp;Tatiana Zharikova","doi":"10.1016/j.mvr.2024.104754","DOIUrl":"10.1016/j.mvr.2024.104754","url":null,"abstract":"<div><div>An aortic aneurysm is a localized enlargement that exceeds the normal diameter of the vessel by 50 %, posing a risk due to the likelihood of rupture. The cause of aortic aneurysm, especially in young people, is connective tissue dysplasia, a condition characterized by defects in the assembly of collagen and elastin proteins, leading to changes in elastic properties and disruption of the formation of organs and their systems. The article presents data confirming the relationship between many morphological manifestations of connective tissue dysplasia (e.g., funnel-shaped deformation of the sternum, scoliosis of the thoracic spine, abdominal hernias, arterial tortuosity, striae of atypical localization) and the risk of aortic aneurysm formation. The literature suggests that the identified combinations of some external manifestations of connective tissue dysplasia deserve special attention and may be constitutional markers for the possible development of aortic aneurysm, which is a promising direction for further research in this area.</div></div>","PeriodicalId":18534,"journal":{"name":"Microvascular research","volume":"157 ","pages":"Article 104754"},"PeriodicalIF":2.9,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of nailfold capillaroscopy images with artificial intelligence: Data from literature and performance of machine learning and deep learning from images acquired in the SCLEROCAP study 用人工智能分析甲襞毛细血管镜图像:文献数据以及 SCLEROCAP 研究中获取的图像的机器学习和深度学习性能。
IF 2.9 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-10-09 DOI: 10.1016/j.mvr.2024.104753
Lutfi Ozturk , Charlotte Laclau , Carine Boulon , Marion Mangin , Etheve Braz-ma , Joel Constans , Loubna Dari , Claire Le Hello

Objective

To evaluate the performance of machine learning and then deep learning to detect a systemic scleroderma (SSc) landscape from the same set of nailfold capillaroscopy (NC) images from the French prospective multicenter observational study SCLEROCAP.

Methods

NC images from the first 100 SCLEROCAP patients were analyzed to assess the performance of machine learning and then deep learning in identifying the SSc landscape, the NC images having previously been independently and consensually labeled by expert clinicians. Images were divided into a training set (70 %) and a validation set (30 %). After features extraction from the NC images, we tested six classifiers (random forests (RF), support vector machine (SVM), logistic regression (LR), light gradient boosting (LGB), extreme gradient boosting (XGB), K-nearest neighbors (KNN)) on the training set with five different combinations of the images. The performance of each classifier was evaluated by the F1 score. In the deep learning section, we tested three pre-trained models from the TIMM library (ResNet-18, DenseNet-121 and VGG-16) on raw NC images after applying image augmentation methods.

Results

With machine learning, performance ranged from 0.60 to 0.73 for each variable, with Hu and Haralick moments being the most discriminating. Performance was highest with the RF, LGB and XGB models (F1 scores: 0.75–0.79). The highest score was obtained by combining all variables and using the LGB model (F1 score: 0.79 ± 0.05, p < 0.01). With deep learning, performance reached a minimum accuracy of 0.87. The best results were obtained with the DenseNet-121 model (accuracy 0.94 ± 0.02, F1 score 0.94 ± 0.02, AUC 0.95 ± 0.03) as compared to ResNet-18 (accuracy 0.87 ± 0.04, F1 score 0.85 ± 0.03, AUC 0.87 ± 0.04) and VGG-16 (accuracy 0.90 ± 0.03, F1 score 0.91 ± 0.02, AUC 0.91 ± 0.04).

Conclusion

By using machine learning and then deep learning on the same set of labeled NC images from the SCLEROCAP study, the highest performances to detect SSc landscape were obtained with deep learning and in particular DenseNet-121. This pre-trained model could therefore be used to automatically interpret NC images in case of suspected SSc. This result nevertheless needs to be confirmed on a larger number of NC images.
目的评估机器学习和深度学习从法国前瞻性多中心观察研究SCLEROCAP的同一组甲襞毛细血管镜(NC)图像中检测系统性硬皮病(SSc)景观的性能:对 SCLEROCAP 首批 100 名患者的 NC 图像进行了分析,以评估机器学习和深度学习在识别系统性红斑狼疮景观方面的性能。图像分为训练集(70%)和验证集(30%)。从 NC 图像中提取特征后,我们在训练集上用五种不同的图像组合测试了六种分类器(随机森林 (RF)、支持向量机 (SVM)、逻辑回归 (LR)、轻梯度提升 (LGB)、极度梯度提升 (XGB)、K-近邻 (KNN))。每个分类器的性能通过 F1 分数进行评估。在深度学习部分,我们在应用图像增强方法后的原始数控图像上测试了 TIMM 库中的三个预训练模型(ResNet-18、DenseNet-121 和 VGG-16):通过机器学习,每个变量的性能从 0.60 到 0.73 不等,其中 Hu 矩和 Haralick 矩的判别能力最强。RF、LGB 和 XGB 模型的性能最高(F1 分数:0.75-0.79)。综合所有变量并使用 LGB 模型的得分最高(F1 得分:0.79 ± 0.05,p 结论:LGB 模型的得分最高:通过对 SCLEROCAP 研究中的同一组标注 NC 图像进行机器学习和深度学习,深度学习,特别是 DenseNet-121 获得了检测 SSc 景观的最高分。因此,这种预训练模型可用于自动解读疑似 SSc 的 NC 图像。不过,这一结果还需要在更多的 NC 图像上得到证实。
{"title":"Analysis of nailfold capillaroscopy images with artificial intelligence: Data from literature and performance of machine learning and deep learning from images acquired in the SCLEROCAP study","authors":"Lutfi Ozturk ,&nbsp;Charlotte Laclau ,&nbsp;Carine Boulon ,&nbsp;Marion Mangin ,&nbsp;Etheve Braz-ma ,&nbsp;Joel Constans ,&nbsp;Loubna Dari ,&nbsp;Claire Le Hello","doi":"10.1016/j.mvr.2024.104753","DOIUrl":"10.1016/j.mvr.2024.104753","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the performance of machine learning and then deep learning to detect a systemic scleroderma (SSc) landscape from the same set of nailfold capillaroscopy (NC) images from the French prospective multicenter observational study SCLEROCAP.</div></div><div><h3>Methods</h3><div>NC images from the first 100 SCLEROCAP patients were analyzed to assess the performance of machine learning and then deep learning in identifying the SSc landscape, the NC images having previously been independently and consensually labeled by expert clinicians. Images were divided into a training set (70 %) and a validation set (30 %). After features extraction from the NC images, we tested six classifiers (random forests (RF), support vector machine (SVM), logistic regression (LR), light gradient boosting (LGB), extreme gradient boosting (XGB), K-nearest neighbors (KNN)) on the training set with five different combinations of the images. The performance of each classifier was evaluated by the F1 score. In the deep learning section, we tested three pre-trained models from the TIMM library (ResNet-18, DenseNet-121 and VGG-16) on raw NC images after applying image augmentation methods.</div></div><div><h3>Results</h3><div>With machine learning, performance ranged from 0.60 to 0.73 for each variable, with Hu and Haralick moments being the most discriminating. Performance was highest with the RF, LGB and XGB models (F1 scores: 0.75–0.79). The highest score was obtained by combining all variables and using the LGB model (F1 score: 0.79 ± 0.05, <em>p</em> &lt; 0.01). With deep learning, performance reached a minimum accuracy of 0.87. The best results were obtained with the DenseNet-121 model (accuracy 0.94 ± 0.02, F1 score 0.94 ± 0.02, AUC 0.95 ± 0.03) as compared to ResNet-18 (accuracy 0.87 ± 0.04, F1 score 0.85 ± 0.03, AUC 0.87 ± 0.04) and VGG-16 (accuracy 0.90 ± 0.03, F1 score 0.91 ± 0.02, AUC 0.91 ± 0.04).</div></div><div><h3>Conclusion</h3><div>By using machine learning and then deep learning on the same set of labeled NC images from the SCLEROCAP study, the highest performances to detect SSc landscape were obtained with deep learning and in particular DenseNet-121. This pre-trained model could therefore be used to automatically interpret NC images in case of suspected SSc. This result nevertheless needs to be confirmed on a larger number of NC images.</div></div>","PeriodicalId":18534,"journal":{"name":"Microvascular research","volume":"157 ","pages":"Article 104753"},"PeriodicalIF":2.9,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Short communications: Endothelin-1 in cardiac allograft vasculopathy 短讯:心脏移植血管病变中的内皮素-1。
IF 2.9 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-10-01 DOI: 10.1016/j.mvr.2024.104751
George R. Abraham , Anthony P. Davenport , Stephen P. Hoole

Introduction

Cardiac allograft vasculopathy (CAV) is a leading cause of death following heart transplant. Endothelin-1 (ET-1) is a highly potent vasoconstrictor peptide derived from the vascular endothelium with multiple biological actions known to be relevant for CAV. We assessed the trans-myocardial gradient (TMG: coronary sinus minus coronary artery concentration: negative = extraction, positive = secretion) of ET-1 in heart transplant patients to determine correlations with angiographic, Intravascular Ultrasound (IVUS) and Optical Coherence Tomography (OCT) features of CAV.

Results

Vessels with more severe CAV demonstrated significantly higher (more positive) ET-1 TMG (IVUS Stanford Grade IV: −0.05 [−0.21, 0.13] pg/ml versus Stanford Grade I-III: −0.31 [−0.64, −0.11] pg/ml, p = 0.01). ET-1 TMG was positively correlated with mean intimal thickness on both IVUS and OCT (IVUS: Kendall's tau-b = 0.254, p = 0.02 and OCT: Kendall's tau-b = 0.344, p < 0.0001). Patients who died had net ET-1 release compared with surviving patients (died: 0.21 [0.19–0.24] versus surviving: −0.28 [−0.52, −0.17], p = 0.01).

Conclusion

In heart transplant patients, coronary arteries with more intimal thickening are associated with a higher (more positive) trans-myocardial gradient of ET-1, suggesting that up-regulated ET-1 release in the coronary circulation may be permissive for the development of CAV.
导言:心脏移植物血管病变(CAV)是心脏移植后死亡的主要原因。内皮素-1(ET-1)是一种来自血管内皮的强效血管收缩肽,具有多种已知与 CAV 相关的生物作用。我们评估了心脏移植患者体内 ET-1 的跨心肌梯度(TMG:冠状动脉窦减去冠状动脉的浓度:负=提取,正=分泌),以确定其与 CAV 的血管造影、血管内超声(IVUS)和光学相干断层扫描(OCT)特征的相关性:结果:CAV 更严重的血管显示出更高的(更阳性的)ET-1 TMG(IVUS Stanford IV 级:-0.05 [-0.21, 0.13] pg/ml 与 Stanford I-III 级:-0.31 [-0.64, -0.11] pg/ml,p = 0.01)。ET-1 TMG 与 IVUS 和 OCT 的平均内膜厚度呈正相关(IVUS:ET-1TMG与IVUS和OCT的平均内膜厚度呈正相关(IVUS:Kendall's tau-b = 0.254,p = 0.02;OCT:Kendall's tau-b = 0.344,p 结论:ET-1TMG与内膜厚度呈正相关:在心脏移植患者中,内膜增厚的冠状动脉与更高的(更正向的)ET-1跨心肌梯度相关,这表明冠状动脉循环中上调的ET-1释放可能会导致CAV的发生。
{"title":"Short communications: Endothelin-1 in cardiac allograft vasculopathy","authors":"George R. Abraham ,&nbsp;Anthony P. Davenport ,&nbsp;Stephen P. Hoole","doi":"10.1016/j.mvr.2024.104751","DOIUrl":"10.1016/j.mvr.2024.104751","url":null,"abstract":"<div><h3>Introduction</h3><div>Cardiac allograft vasculopathy (CAV) is a leading cause of death following heart transplant. Endothelin-1 (ET-1) is a highly potent vasoconstrictor peptide derived from the vascular endothelium with multiple biological actions known to be relevant for CAV. We assessed the trans-myocardial gradient (TMG: coronary sinus minus coronary artery concentration: negative = extraction, positive = secretion) of ET-1 in heart transplant patients to determine correlations with angiographic, Intravascular Ultrasound (IVUS) and Optical Coherence Tomography (OCT) features of CAV.</div></div><div><h3>Results</h3><div>Vessels with more severe CAV demonstrated significantly higher (more positive) ET-1 TMG (IVUS Stanford Grade IV: −0.05 [−0.21, 0.13] pg/ml versus Stanford Grade I-III: −0.31 [−0.64, −0.11] pg/ml, <em>p</em> = 0.01). ET-1 TMG was positively correlated with mean intimal thickness on both IVUS and OCT (IVUS: Kendall's tau-b = 0.254, <em>p</em> = 0.02 and OCT: Kendall's tau-b = 0.344, <em>p</em> &lt; 0.0001). Patients who died had net ET-1 release compared with surviving patients (died: 0.21 [0.19–0.24] versus surviving: −0.28 [−0.52, −0.17], <em>p</em> = 0.01).</div></div><div><h3>Conclusion</h3><div>In heart transplant patients, coronary arteries with more intimal thickening are associated with a higher (more positive) trans-myocardial gradient of ET-1, suggesting that up-regulated ET-1 release in the coronary circulation may be permissive for the development of CAV.</div></div>","PeriodicalId":18534,"journal":{"name":"Microvascular research","volume":"157 ","pages":"Article 104751"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Computer-assisted evaluation of retinal vessel tortuosity in children with sickle cell disease without retinopathy 计算机辅助评估无视网膜病变的镰状细胞病患儿的视网膜血管迂曲情况。
IF 2.9 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-10-01 DOI: 10.1016/j.mvr.2024.104752
Lina H. Raffa , Enass H. Raffa , Álvaro S. Hervella , Lucía Ramos , Jorge Novo , José Rouco , Marcos Ortega

Objective

We assessed the predictive efficacy of automatically quantified retinal vascular tortuosity from the fundus pictures of patients with sickle cell disease (SCD) without evident retinopathy.

Methods

Retinal images were obtained from 31 healthy and 31 SCD participants using fundus imaging and analyzed using a novel computational automated metric assessment. The local and global vessel tortuosity and their relationship with systemic disease parameters were analyzed based on the images.

Results

SCD arteries had an increased local tortuosity index compared to the controls (0.0007 ± 0.0019 vs. 0.0006 ± 0.0014, p = 0.019). Furthermore, the SCD patients had wider vessel caliber mainly in the arteries (14.68 ± 5.3 vs. 14.06 ± 5.3, p < 0.001). The SCD global tortuosity did not differ significantly from that of the controls (p = 0.598). The female participants had significantly reduced retinal vessel tortuosity indices compared to the male participants (p = 0.018).

Conclusion

Retinal arterial tortuosity and caliber were reliable and objective measures that could be used as a non-invasive prognostic and diagnostic indicator in sickle cell retinopathy. Further studies are required to correlate these local vascular parameters to systemic risk factors and monitor their progression and change over time.
目的我们评估了从无明显视网膜病变的镰状细胞病(SCD)患者眼底图片中自动量化视网膜血管迂曲的预测效果:使用眼底成像技术获取了 31 名健康患者和 31 名 SCD 患者的视网膜图像,并使用新型计算自动度量评估技术进行了分析。根据图像分析了局部和整体血管迂曲度及其与全身疾病参数的关系:结果:与对照组相比,SCD动脉的局部迂曲指数增加(0.0007 ± 0.0019 vs. 0.0006 ± 0.0014,p = 0.019)。此外,SCD 患者的血管口径更宽,主要是在动脉方面(14.68 ± 5.3 vs. 14.06 ± 5.3,p 结论:SCD 患者的血管口径更宽,主要是在动脉方面(14.68 ± 5.3 vs. 14.06 ± 5.3,p 结论):视网膜动脉迂曲度和口径是可靠和客观的测量指标,可用作镰状细胞视网膜病变的无创预后和诊断指标。需要进一步研究这些局部血管参数与全身风险因素之间的关系,并监测它们随时间的进展和变化。
{"title":"Computer-assisted evaluation of retinal vessel tortuosity in children with sickle cell disease without retinopathy","authors":"Lina H. Raffa ,&nbsp;Enass H. Raffa ,&nbsp;Álvaro S. Hervella ,&nbsp;Lucía Ramos ,&nbsp;Jorge Novo ,&nbsp;José Rouco ,&nbsp;Marcos Ortega","doi":"10.1016/j.mvr.2024.104752","DOIUrl":"10.1016/j.mvr.2024.104752","url":null,"abstract":"<div><h3>Objective</h3><div>We assessed the predictive efficacy of automatically quantified retinal vascular tortuosity from the fundus pictures of patients with sickle cell disease (SCD) without evident retinopathy.</div></div><div><h3>Methods</h3><div>Retinal images were obtained from 31 healthy and 31 SCD participants using fundus imaging and analyzed using a novel computational automated metric assessment. The local and global vessel tortuosity and their relationship with systemic disease parameters were analyzed based on the images.</div></div><div><h3>Results</h3><div>SCD arteries had an increased local tortuosity index compared to the controls (0.0007 ± 0.0019 vs. 0.0006 ± 0.0014, <em>p</em> = 0.019). Furthermore, the SCD patients had wider vessel caliber mainly in the arteries (14.68 ± 5.3 vs. 14.06 ± 5.3, <em>p</em> &lt; 0.001). The SCD global tortuosity did not differ significantly from that of the controls (<em>p</em> = 0.598). The female participants had significantly reduced retinal vessel tortuosity indices compared to the male participants (<em>p</em> = 0.018).</div></div><div><h3>Conclusion</h3><div>Retinal arterial tortuosity and caliber were reliable and objective measures that could be used as a non-invasive prognostic and diagnostic indicator in sickle cell retinopathy. Further studies are required to correlate these local vascular parameters to systemic risk factors and monitor their progression and change over time.</div></div>","PeriodicalId":18534,"journal":{"name":"Microvascular research","volume":"157 ","pages":"Article 104752"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coronary microvascular dysfunction and autoregulatory capacity interfere with resting Dicrotic notch morphology 冠状动脉微血管功能障碍和自动调节能力会干扰静息微切口形态。
IF 2.9 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-09-30 DOI: 10.1016/j.mvr.2024.104750
Ahmet Tas , Yaren Alan , Ali Müftüoğulları , Abdullah I.M. Haj Mohammad , Sabahattin Umman , Kim H. Parker , Murat Sezer
Coronary microvascular vasodilator capacity is substantially associated with coronary pressure waveform and dicrotic notch morphology, with or without concomitant epicardial disease. A prominent dicrotic notch is associated with preserved microvascular vasodilatory capacity and adequate resting microvascular tonus without relative hyperaemic state, cumulatively indicating a better microcirculatory health.
无论是否伴有心外膜疾病,冠状动脉微血管舒张能力都与冠状动脉压力波形和微凹陷形态密切相关。突出的微切迹与微血管舒张能力的保留和足够的静息微血管张力(无相对高血容量状态)相关联,累积起来表明微循环更健康。
{"title":"Coronary microvascular dysfunction and autoregulatory capacity interfere with resting Dicrotic notch morphology","authors":"Ahmet Tas ,&nbsp;Yaren Alan ,&nbsp;Ali Müftüoğulları ,&nbsp;Abdullah I.M. Haj Mohammad ,&nbsp;Sabahattin Umman ,&nbsp;Kim H. Parker ,&nbsp;Murat Sezer","doi":"10.1016/j.mvr.2024.104750","DOIUrl":"10.1016/j.mvr.2024.104750","url":null,"abstract":"<div><div>Coronary microvascular vasodilator capacity is substantially associated with coronary pressure waveform and dicrotic notch morphology, with or without concomitant epicardial disease. A prominent dicrotic notch is associated with preserved microvascular vasodilatory capacity and adequate resting microvascular tonus without relative hyperaemic state, cumulatively indicating a better microcirculatory health.</div></div>","PeriodicalId":18534,"journal":{"name":"Microvascular research","volume":"157 ","pages":"Article 104750"},"PeriodicalIF":2.9,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Concentration-dependent microvascular responses to repeated iontophoresis of acetylcholine 浓度依赖性微血管对反复离子注入乙酰胆碱的反应
IF 2.9 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-09-30 DOI: 10.1016/j.mvr.2024.104749
Fredrik Iredahl , Erik Tesselaar , Hanna Jonasson , Daniel Wilhelms , Joakim Henricson

Background

Iontophoresis studies face challenges due to the unknown absolute drug dose delivered and the possible effect of the current used in drug delivery on the microvessels, known as current-induced vasodilation. This study aimed to investigate how various concentrations of acetylcholine (ACh), delivered through transdermal iontophoresis using repeated current pulses, impact the recovery profile of the microvascular response.

Methods

The study included fifteen healthy volunteers, and microvascular responses to five concentrations of iontophorised ACh (ranging from 0.0055 mM to 55 mM) and sterile water were assessed at six forearm skin sites using polarized reflectance spectroscopy. Iontophoresis at each concentration involved three consecutive pulses separated 8 recovery periods.

Results

Current-induced responses were more pronounced for lower concentrations of ACh and for sterile water. With repeated pulses, lower concentrations of ACh exhibited a recovery profile more akin to higher concentrations.

Perspective

Through repeated iontophoresis of ACh, microvascular responses exhibit variation based on the drug concentration and the number of pulses administered. These variations are likely attributed to changes in skin conductivity and permeability.
背景:由于未知的绝对给药剂量和给药电流对微血管可能产生的影响(即电流诱导的血管扩张),离子透入疗法研究面临着挑战。本研究旨在探讨通过重复电流脉冲经皮离子透入疗法输送不同浓度的乙酰胆碱(ACh)如何影响微血管反应的恢复曲线:这项研究包括 15 名健康志愿者,使用偏振反射光谱仪评估了前臂皮肤六个部位对五种浓度的离子渗透乙酰胆碱(从 0.0055 mM 到 55 mM)和无菌水的微血管反应。每种浓度的离子透入疗法包括三个连续的脉冲,中间间隔 8 个恢复期:结果:电流引起的反应在低浓度 ACh 和无菌水中更为明显。通过重复脉冲,低浓度 ACh 的恢复曲线更接近于高浓度:观点:通过反复电离子导入 ACh,微血管反应会因药物浓度和给药脉冲数的不同而有所变化。这些变化可能归因于皮肤传导性和渗透性的变化。
{"title":"Concentration-dependent microvascular responses to repeated iontophoresis of acetylcholine","authors":"Fredrik Iredahl ,&nbsp;Erik Tesselaar ,&nbsp;Hanna Jonasson ,&nbsp;Daniel Wilhelms ,&nbsp;Joakim Henricson","doi":"10.1016/j.mvr.2024.104749","DOIUrl":"10.1016/j.mvr.2024.104749","url":null,"abstract":"<div><h3>Background</h3><div>Iontophoresis studies face challenges due to the unknown absolute drug dose delivered and the possible effect of the current used in drug delivery on the microvessels, known as current-induced vasodilation. This study aimed to investigate how various concentrations of acetylcholine (ACh), delivered through transdermal iontophoresis using repeated current pulses, impact the recovery profile of the microvascular response.</div></div><div><h3>Methods</h3><div>The study included fifteen healthy volunteers, and microvascular responses to five concentrations of iontophorised ACh (ranging from 0.0055 mM to 55 mM) and sterile water were assessed at six forearm skin sites using polarized reflectance spectroscopy. Iontophoresis at each concentration involved three consecutive pulses separated 8 recovery periods.</div></div><div><h3>Results</h3><div>Current-induced responses were more pronounced for lower concentrations of ACh and for sterile water. With repeated pulses, lower concentrations of ACh exhibited a recovery profile more akin to higher concentrations.</div></div><div><h3>Perspective</h3><div>Through repeated iontophoresis of ACh, microvascular responses exhibit variation based on the drug concentration and the number of pulses administered. These variations are likely attributed to changes in skin conductivity and permeability.</div></div>","PeriodicalId":18534,"journal":{"name":"Microvascular research","volume":"157 ","pages":"Article 104749"},"PeriodicalIF":2.9,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Follow-up assessment of the microvascular function in patients with long COVID 长程COVID患者微血管功能的随访评估
IF 2.9 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-09-16 DOI: 10.1016/j.mvr.2024.104748
Marzena Romanowska-Kocejko , Alicja Braczko , Agata Jędrzejewska , Marta Żarczyńska-Buchowiecka , Tomasz Kocejko , Barbara Kutryb-Zając , Marcin Hellmann

Long COVID is a complex pathophysiological condition. However, accumulating data suggests that COVID-19 is a systemic microvascular endothelial dysfunction with different clinical manifestations. In this study, a microvascular function was assessed in long COVID patients (n = 33) and healthy controls (n = 30) using flow-mediated skin fluorescence technique (FMSF), based on measurements of nicotinamide adenine dinucleotide fluorescence intensity during brachial artery occlusion (ischemic response, IR) and immediately after occlusion (hyperemic response, HR). Microcirculatory function readings were taken twice, 3 months apart. In addition, we quantified biochemical markers such as the serum L-arginine derivatives and hypoxia-inducible factor 1α (HIF1α) to assess their relation with microvascular parameters evaluated in vivo. In patients with long COVID, serum HIF1α was significantly correlated to IRindex (r = −0.375, p < 0.05). Similarly, there was a significant inverse correlation of serum asymmetric dimethyl-L-arginine levels to both HRmax (r = −0.343, p < 0.05) and HRindex (r = −0.335, p < 0.05). The IR parameters were found lower or negative in long COVID patients and recovered in three-month follow-up. Hypoxia sensitivity value was significantly higher in long COVID patients examined after three months of treatment based on the combination of ACE-inhibitors and beta-adrenolytic compared to baseline condition (85.2 ± 73.8 vs. 39.9 ± 51.7 respectively, p = 0.009). This study provides evidence that FMSF is a sensitive, non-invasive technique to track changes in microvascular function that was impaired in long COVID and recovered after 3 months, especially in patients receiving a cardioprotective therapy.

长 COVID 是一种复杂的病理生理状况。然而,越来越多的数据表明,COVID-19 是一种具有不同临床表现的全身性微血管内皮功能障碍。本研究采用血流介导皮肤荧光技术(FMSF)评估了长COVID患者(33人)和健康对照组(30人)的微血管功能,该技术基于肱动脉闭塞时(缺血反应,IR)和闭塞后立即(充血反应,HR)的烟酰胺腺嘌呤二核苷酸荧光强度测量。微循环功能读数测量两次,每次间隔 3 个月。此外,我们还量化了血清 L-精氨酸衍生物和缺氧诱导因子 1α (HIF1α)等生化指标,以评估它们与体内评估的微血管参数之间的关系。在长 COVID 患者中,血清 HIF1α 与 IRindex 显著相关(r = -0.375,p < 0.05)。同样,血清不对称二甲基-L-精氨酸水平与心率最大值(r = -0.343,p <0.05)和心率指数(r = -0.335,p <0.05)呈明显的反相关。长程 COVID 患者的 IR 参数较低或为负值,并在三个月的随访中恢复。与基线情况相比,长程 COVID 患者在联合使用 ACE 抑制剂和 beta 肾上腺素溶解剂治疗三个月后,缺氧敏感性值明显升高(分别为 85.2 ± 73.8 vs. 39.9 ± 51.7,p = 0.009)。本研究提供的证据表明,FMSF 是一种灵敏的非侵入性技术,可追踪微血管功能的变化,这种功能在长期 COVID 中受损,并在 3 个月后恢复,尤其是在接受心脏保护治疗的患者中。
{"title":"Follow-up assessment of the microvascular function in patients with long COVID","authors":"Marzena Romanowska-Kocejko ,&nbsp;Alicja Braczko ,&nbsp;Agata Jędrzejewska ,&nbsp;Marta Żarczyńska-Buchowiecka ,&nbsp;Tomasz Kocejko ,&nbsp;Barbara Kutryb-Zając ,&nbsp;Marcin Hellmann","doi":"10.1016/j.mvr.2024.104748","DOIUrl":"10.1016/j.mvr.2024.104748","url":null,"abstract":"<div><p>Long COVID is a complex pathophysiological condition. However, accumulating data suggests that COVID-19 is a systemic microvascular endothelial dysfunction with different clinical manifestations. In this study, a microvascular function was assessed in long COVID patients (<em>n</em> = 33) and healthy controls (<em>n</em> = 30) using flow-mediated skin fluorescence technique (FMSF), based on measurements of nicotinamide adenine dinucleotide fluorescence intensity during brachial artery occlusion (ischemic response, IR) and immediately after occlusion (hyperemic response, HR). Microcirculatory function readings were taken twice, 3 months apart. In addition, we quantified biochemical markers such as the serum L-arginine derivatives and hypoxia-inducible factor 1α (HIF1α) to assess their relation with microvascular parameters evaluated in vivo. In patients with long COVID, serum HIF1α was significantly correlated to IR<sub>index</sub> (<em>r</em> = −0.375, <em>p</em> &lt; 0.05). Similarly, there was a significant inverse correlation of serum asymmetric dimethyl-L-arginine levels to both HR<sub>max</sub> (<em>r</em> = −0.343, p &lt; 0.05) and HR<sub>index</sub> (<em>r</em> = −0.335, p &lt; 0.05). The IR parameters were found lower or negative in long COVID patients and recovered in three-month follow-up. Hypoxia sensitivity value was significantly higher in long COVID patients examined after three months of treatment based on the combination of ACE-inhibitors and beta-adrenolytic compared to baseline condition (85.2 ± 73.8 vs. 39.9 ± 51.7 respectively, <em>p</em> = 0.009). This study provides evidence that FMSF is a sensitive, non-invasive technique to track changes in microvascular function that was impaired in long COVID and recovered after 3 months, especially in patients receiving a cardioprotective therapy.</p></div>","PeriodicalId":18534,"journal":{"name":"Microvascular research","volume":"157 ","pages":"Article 104748"},"PeriodicalIF":2.9,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142240158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Microvascular research
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1