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Sex differences in near-infrared spectroscopy reactive hyperemia: Influence of adipose tissue and desaturation rate 近红外光谱反应性充血的性别差异:脂肪组织和去饱和率的影响。
IF 2.7 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2026-01-01 Epub Date: 2025-09-07 DOI: 10.1016/j.mvr.2025.104865
Matthew A. Chatlaong , Hannah C. Dowell , Orlandria J. Smith , Matthew B. Jessee
Sex differences in near-infrared spectroscopy (NIRS) reactive hyperemia outcomes have been previously reported, with females generally having a lower reperfusion slope. Sex differences have also been reported for adipose tissue thickness (ATT), which affects the NIRS signal, and desaturation during occlusion, which may act on reperfusion slopes. We aimed to compare statistically adjusted and unadjusted sex differences in reperfusion slope during reactive hyperemia.

Methods

23 female and 22 male participants completed forearm and thigh vascular occlusion tests. ATT was measured via ultrasound. Reperfusion slopes (StO2%/s) were compared between sexes using linear models with and without desaturation slope (StO2%/s) and ATT as covariates. Results are mean or mean difference [95 % CI].

Results

In both limbs, females had greater ATT (p < 0.001). Desaturation rate was lower in females for the leg (−0.02 [−0.03, −0.01]), but not the arm (0.00 [−0.01, 0.02]). Unadjusted, males had greater reperfusion slope in the leg (females = 0.91 [0.70, 1.11], males = 1.59 [1.33, 1.85], p < 0.001) but not the arm (females = 1.60 [1.36, 1.84], males = 1.57 [1.29, 1.86], p = 0.874). Sex differences were not observed in adjusted models (both p ≥ 0.631). ATT and desaturation slope explained unique variance in the leg (both p ≤ 0.001), but only desaturation slope did in the arm (p < 0.001).

Conclusion

Sex differences may have been related to differing ATT and desaturation rates. Researchers may consider adjusting for ATT and/or desaturation rate when estimating sex differences with NIRS reactive hyperemia.
近红外光谱(NIRS)反应性充血结果的性别差异先前有报道,女性通常具有较低的再灌注斜率。性别差异也被报道为脂肪组织厚度(ATT),影响近红外光谱信号,和闭塞期间的去饱和,这可能对再灌注斜率起作用。我们的目的是比较反应性充血期间经统计学校正和未经统计学校正的再灌注斜率的性别差异。方法:23名女性和22名男性受试者完成前臂和大腿血管闭塞试验。超声测量ATT。采用带和不带去饱和斜率(StO2%/s)和ATT作为协变量的线性模型比较两性间的再灌注斜率(StO2%/s)。结果为平均或平均差异[95 % CI]。结论:性别差异可能与不同的ATT和去饱和率有关。在估计近红外反应性充血的性别差异时,研究人员可能会考虑调整ATT和/或去饱和率。
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引用次数: 0
Clinical profile and long-term outcomes of chest pain patients with coronary microvascular dysfunction from the emergency department – results from the Yale-CMD registry 急诊科胸痛合并冠状动脉微血管功能障碍患者的临床特征和长期预后——来自耶鲁- cmd注册表的结果
IF 2.7 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2026-01-01 Epub Date: 2025-10-17 DOI: 10.1016/j.mvr.2025.104878
Basmah Safdar , Bin Zhou , Fangyong Li , Paolo G. Camici , James Dziura , Ania M. Jastreboff , Alexandra Lansky , Samit M. Shah , Albert Sinusas , Erica Spatz , Gail D'Onofrio

Objective

To investigate the long-term prognosis of coronary microvascular dysfunction (CMD) in emergency department (ED) patients with chest pain for major adverse cardiac events (MACE) due to all-cause mortality, myocardial infarction (MI), heart failure (HF), or stroke.

Methods

A prospective cohort of ED patients evaluated by hybrid cardiac positron emission tomography with attenuation computed tomography within 24 h of arrival. Patients were classified as: (1) Controls – coronary flow reserve (CFR) ≥2 without perfusion defect or coronary calcification; (2) CMD: CFR <2 without defect or calcification; or (3) CAD/CALC – established or new coronary artery disease (CAD) or calcification (CALC). We conducted annual follow-ups for MACE and all-cause healthcare utilization (hospitalizations and ED visits). We adjusted incidence rates (aIR) and hazard ratio (aHR) for demographics, comorbidities, and medications.

Results

Between 2014 and 2020, 189 patients were enrolled: 95 (50 %) Controls, 34 (18 %) with CMD, and 60 (32 %) with CAD/CALC. Median follow-up time was 50 months (38–92), and a total of 187 unique MACE were recorded in 44 patients. CMD patients had 4× higher MACE risk than controls (aIR 3.8; 95 % CI: 2.1–6.6). CAD/CALC patients had similarly higher risk than controls (aIR: 4.5; 95 % CI: 2.6–7.8). CMD patients had 4× higher risk for time to first MACE than controls (aHR: 3.6; 95 % CI: 1.2–10.7) and higher healthcare utilization per 100 person-months (aIR: 124; 95 % CI: 119–130). Using Seattle Angina Questionnaire, CMD patients showed worse angina frequency than controls (difference: -16.4, 95 % CI: −29.5 to −3.4).

Conclusions

Patients with contemporary phenotypes of ischemia (CMD and CAD/CALC) had higher adverse events than controls, positing ED encounters as an opportunity for early identification and treatment.
目的:探讨急诊科(ED)胸痛患者冠状动脉微血管功能障碍(CMD)的长期预后,这些患者的主要不良心脏事件(MACE)是由全因死亡、心肌梗死(MI)、心力衰竭(HF)或脑卒中引起的。方法:对ED患者进行前瞻性队列研究,在24 h内通过混合心脏正电子发射断层扫描和衰减计算机断层扫描进行评估。患者分为:(1)对照组-冠状动脉血流储备(CFR)≥2,无灌注缺损或冠状动脉钙化;(2) CMD: CFR结果:2014 - 2020年间,189例患者入组:对照组95例(50 %),CMD组34例(18 %),CAD/CALC组60例(32 %)。中位随访时间为50 个月(38-92),44例患者共记录187次MACE。CMD患者的MACE风险比对照组高4倍(aIR 3.8; 95 % CI: 2.1-6.6)。CAD/CALC患者的风险同样高于对照组(aIR: 4.5; 95 % CI: 2.6-7.8)。CMD患者发生首次MACE的时间风险比对照组高4倍(aHR: 3.6; 95 % CI: 1.2-10.7),医疗保健利用率更高(aIR: 124; 95 % CI: 119-130)。使用西雅图心绞痛问卷,CMD患者心绞痛发生率较对照组差(差异:-16.4,95 % CI: -29.5 ~ -3.4, p = 0.01)。结论:当代缺血表型(CMD和CAD/CALC)的患者比对照组有更高的不良事件,假设ED遭遇是早期识别和治疗的机会。
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引用次数: 0
DOT1L-mediated H3K79me1 transcriptional activation of Acp5 aggravates inflammatory responses following diabetic vascular injury dot1l介导的H3K79me1转录激活Acp5加重糖尿病血管损伤后的炎症反应。
IF 2.7 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2026-01-01 Epub Date: 2025-11-02 DOI: 10.1016/j.mvr.2025.104882
Jing Zhang , Zishu Yang , Li Liu , Di Wu , Chen Cheng , Peng Zhu , Wei Wang , Wenqiang Li , Hua Deng , Yudiyang Ma , Cuiyuan Huang , Jian Yang

Background

Hyperinsulinemia-induced inflammatory responses are a key pathological basis for diabetic proliferative vascular lesions. However, DOT1L impact on vascular repair following diabetic injury and the underlying mechanism remain unclear.

Methods

Recombinant lentiviral vectors were constructed to target the upregulation or downregulation of DOT1L expression. Carotid artery balloon injury (BI) model was established in diabetic rats. In vitro experiments, an insulin (INS)-stimulated vascular smooth muscle cell (VSMC) model was used. Inflammatory factor levels, vascular intimal hyperplasia and hemodynamics, H3K79me enrichment in promoter regions were detected. ChIP-Seq was used to evaluate the distribution of proteins and genes, and the levels of proteins implicated in related pathways were analyzed.

Results

We found that both in diabetic rat carotid artery tissues 28 days post-BI and in VSMCs after 12 h of insulin stimulation, DOT1L, H3K79me1, IL-6 and TNF-α levels were markedly increased. Overexpression of DOT1L enhanced the expression and release of IL-6 and TNF-α in insulin-induced VSMCs, increased the enrichment of H3K79me1 at the Acp5 gene promoter by 3.92-fold, promoted ACP5 expression, inhibited β-catenin phosphorylation, and upregulated NLRP3 levels. Conversely, downregulation of DOT1L had the opposite effects. In arteries overexpressing DOT1L, inflammatory factor expression and release were markedly enhanced, accompanied by triggering of the ACP5/β-catenin/NLRP3 signaling pathway, roughened intimal surfaces, reduced lumen diameters, decreased residual blood flow area, and increased diameter stenosis rate; greater intimal thickness, and a higher intima/media ratio. In contrast, downregulation of DOT1L exhibited opposite effects.

Conclusion

DOT1L aggravates the inflammatory response following diabetic vascular injury by transcriptionally activating Acp5 through H3K79me1, inhibiting β-catenin phosphorylation and inactivation, and upregulating NLRP3 expression.
背景:高胰岛素诱导的炎症反应是糖尿病增生性血管病变的重要病理基础。然而,DOT1L对糖尿病损伤后血管修复的影响及其机制尚不清楚。方法:构建以DOT1L表达上调或下调为目标的重组慢病毒载体。建立糖尿病大鼠颈动脉球囊损伤(BI)模型。体外实验采用胰岛素刺激血管平滑肌细胞(VSMC)模型。检测炎症因子水平、血管内膜增生和血流动力学、启动子区域H3K79me富集。利用ChIP-Seq技术评估蛋白质和基因的分布,并分析相关通路中涉及的蛋白质水平。结果:我们发现糖尿病大鼠颈动脉组织中DOT1L、H3K79me1、IL-6、TNF-α水平在bi后28 天和胰岛素刺激后12 小时均显著升高。DOT1L的过表达增强了胰岛素诱导的VSMCs中IL-6和TNF-α的表达和释放,Acp5基因启动子处H3K79me1的富集增加了3.92倍,促进了Acp5的表达,抑制了β-catenin的磷酸化,上调了NLRP3水平。相反,DOT1L的下调具有相反的效果。在过表达DOT1L的动脉中,炎症因子的表达和释放明显增强,并伴有ACP5/β-catenin/NLRP3信号通路的触发,内膜表面变粗,管腔直径减小,残余血流量面积减小,内径狭窄率增加;更大的内膜厚度,更高的内膜/中膜比例。相反,DOT1L的下调则表现出相反的效果。结论:DOT1L通过H3K79me1转录激活Acp5,抑制β-catenin磷酸化失活,上调NLRP3表达,从而加重糖尿病血管损伤后的炎症反应。
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引用次数: 0
Involvement of monocarboxylate transporter 7 in taurine efflux transport from rat retinal pericytes and capillary endothelial cells 单羧酸转运蛋白7参与大鼠视网膜周细胞和毛细血管内皮细胞的牛磺酸外排运输。
IF 2.7 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2026-01-01 Epub Date: 2025-09-18 DOI: 10.1016/j.mvr.2025.104876
Yuma Tega , Fuki Kusakabe , Shin-ichi Akanuma , Ken-ichi Hosoya

Purpose

Taurine exists abundantly in the retina and plays a vital role in retinal function. Monocarboxylate transporter 7 (MCT7) is found as a facilitative taurine transporter; however, its involvement in taurine dynamics in the retina is not yet fully understood. The purpose of the present study is to clarify the protein expression and function of MCT7 in retinal cells.

Methods

Guinea pig antibodies were raised against the amino acid residues of rat MCT7, and immunostaining was performed to clarify protein expression in the rat retina. To characterize taurine influx into retinal pericytes, a [3H]taurine transport assay was conducted using TR-rPCT1 cells, immortalized rat retinal pericytes. A knockdown assay using MCT7 small interfering RNA (siRNA) was performed to examine the involvement of MCT7 in taurine efflux in TR-rPCT1 and immortalized rat retinal capillary endothelial (TR-iBRB2) cells.

Results

The MCT7 protein expression was observed throughout the retinal layer. Immunostaining of isolated retinal capillaries revealed MCT7 expression in retinal pericytes and capillary endothelial cells. [3H]Taurine influx transport in TR-rPCT1 cells depends on temperature, concentration (Km = 11.2 μM), and extracellular Na+ and Cl, and was inhibited by substrates for taurine transporter (TauT), suggesting the involvement of TauT in taurine influx in retinal pericytes. Moreover, MCT7 siRNA decreased MCT7 expression and [3H]taurine efflux in TR-rPCT1 and TR-iBRB2 cells, suggesting that the taurine efflux transport involves MCT7 at least partly.

Conclusions

The present study revealed that MCT7 functions as a taurine efflux transporter in both retinal pericytes and capillary endothelial cells.
目的:牛磺酸在视网膜中大量存在,对视网膜功能起着至关重要的作用。单羧酸转运蛋白7 (MCT7)是一种促进性牛磺酸转运蛋白;然而,它对视网膜中牛磺酸动力学的参与尚未完全了解。本研究的目的是阐明MCT7在视网膜细胞中的蛋白表达和功能。方法:培养针对大鼠MCT7氨基酸残基的豚鼠抗体,并进行免疫染色以澄清大鼠视网膜中的蛋白表达。为了描述牛磺酸向视网膜周细胞内流的特征,使用TR-rPCT1细胞(永生化大鼠视网膜周细胞)进行了[3H]牛磺酸运输试验。使用MCT7小干扰RNA (siRNA)进行敲低实验,以检测MCT7在TR-rPCT1和永生化大鼠视网膜毛细血管内皮细胞(TR-iBRB2)中牛磺酸外排的参与。结果:MCT7蛋白在视网膜全层均有表达。分离的视网膜毛细血管免疫染色显示MCT7在视网膜周细胞和毛细血管内皮细胞中表达。[3H] TR-rPCT1细胞的牛磺酸内流转运受温度、浓度(Km = 11.2 μM)和细胞外Na+和Cl-的影响,并被牛磺酸转运蛋白(taaut)底物抑制,提示taaut参与了视网膜周细胞的牛磺酸内流。此外,MCT7 siRNA降低了TR-rPCT1和TR-iBRB2细胞中MCT7的表达和[3H]牛磺酸外排,表明牛磺酸外排运输至少部分涉及MCT7。结论:本研究表明MCT7在视网膜周细胞和毛细血管内皮细胞中均作为牛磺酸外排转运体起作用。
{"title":"Involvement of monocarboxylate transporter 7 in taurine efflux transport from rat retinal pericytes and capillary endothelial cells","authors":"Yuma Tega ,&nbsp;Fuki Kusakabe ,&nbsp;Shin-ichi Akanuma ,&nbsp;Ken-ichi Hosoya","doi":"10.1016/j.mvr.2025.104876","DOIUrl":"10.1016/j.mvr.2025.104876","url":null,"abstract":"<div><h3>Purpose</h3><div>Taurine exists abundantly in the retina and plays a vital role in retinal function. Monocarboxylate transporter 7 (MCT7) is found as a facilitative taurine transporter; however, its involvement in taurine dynamics in the retina is not yet fully understood. The purpose of the present study is to clarify the protein expression and function of MCT7 in retinal cells.</div></div><div><h3>Methods</h3><div>Guinea pig antibodies were raised against the amino acid residues of rat MCT7, and immunostaining was performed to clarify protein expression in the rat retina. To characterize taurine influx into retinal pericytes, a [<sup>3</sup>H]taurine transport assay was conducted using TR-rPCT1 cells, immortalized rat retinal pericytes. A knockdown assay using MCT7 small interfering RNA (siRNA) was performed to examine the involvement of MCT7 in taurine efflux in TR-rPCT1 and immortalized rat retinal capillary endothelial (TR-iBRB2) cells.</div></div><div><h3>Results</h3><div>The MCT7 protein expression was observed throughout the retinal layer. Immunostaining of isolated retinal capillaries revealed MCT7 expression in retinal pericytes and capillary endothelial cells. [<sup>3</sup>H]Taurine influx transport in TR-rPCT1 cells depends on temperature, concentration (<em>K</em><sub>m</sub> = 11.2 μM), and extracellular Na<sup>+</sup> and Cl<sup>−</sup>, and was inhibited by substrates for taurine transporter (TauT), suggesting the involvement of TauT in taurine influx in retinal pericytes. Moreover, MCT7 siRNA decreased MCT7 expression and [<sup>3</sup>H]taurine efflux in TR-rPCT1 and TR-iBRB2 cells, suggesting that the taurine efflux transport involves MCT7 at least partly.</div></div><div><h3>Conclusions</h3><div>The present study revealed that MCT7 functions as a taurine efflux transporter in both retinal pericytes and capillary endothelial cells.</div></div>","PeriodicalId":18534,"journal":{"name":"Microvascular research","volume":"163 ","pages":"Article 104876"},"PeriodicalIF":2.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102683","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
Nailfold video capillaroscopy predicts severe progression at three years in systemic sclerosis: Results from SCLEROCAP study 甲襞视频毛细血管镜可预测系统性硬化症三年后的严重进展:来自clerocap研究的结果。
IF 2.7 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2026-01-01 Epub Date: 2025-09-16 DOI: 10.1016/j.mvr.2025.104874
Carine Boulon , Iban Larrouture , Sophie Blaise , Marion Mangin , Joëlle Decamps-Le Chevoir , Patricia Senet , Isabelle Lazareth , Nathalie Baudot , Laurent Tribout , Bernard Imbert , François-Xavier Lapébie , Philippe Lacroix , Marie-Elise Truchetet , Julien Seneschal , Anna Solanilla , Estibaliz Lazaro , Isabelle Quéré , Marc-Antoine Pistorius , Claire Le Hello , Edouard Lhomme , Joël Constans

Objectives

Systemic sclerosis (SSc) has a variable evolution but may be life-threatening owing to pulmonary, cardiac or renal involvement. Nailfold video capillaroscopy (NVC) is abnormal early in the disease and is crucial for diagnosis. An association between subtypes of scleroderma pattern and disease progression has been suggested. Therefore, we conducted a prospective study to assess whether capillaroscopy can identify SSc patients at risk of progression.

Methods

SCLEROCAP was a prospective multicentre observational study that included patients with a diagnosis of SSc followed up for three years. Each patient had yearly standard evaluation and NVC. Images were read by two observers blinded from each other and were classified into subtypes (2 for Maricq's and 3 for Cutolo's classification). Severe progression was defined as cardiac, pulmonary or renal involvement or progression and was assessed by a validation committee.

Results

Three hundred and eighty-seven patients were included of whom 369 were followed-up and 53 (14 %) had severe progression. A simple model using Cutolo's capillaroscopic late stage, short duration of disease and age was as powerful in predicting severe progression as a model using all the parameters known to be predictive (AUC[95 %CI] 0.74[0.67–0.82] vs 0.73[0.64–0.77] respectively.

Conclusion

NVC is a predictor of severe progression and might be helpful for early therapeutic decisions in patients with SSc.
目的:系统性硬化症(SSc)有一个可变的演变,但可能危及生命,由于肺,心脏或肾脏受累。甲襞视频毛细血管镜检查(NVC)在疾病早期异常,对诊断至关重要。已提出硬皮病亚型模式与疾病进展之间的关联。因此,我们进行了一项前瞻性研究,以评估毛细管镜检查是否可以识别有进展风险的SSc患者。方法:scclerocap是一项前瞻性多中心观察性研究,纳入了诊断为SSc的患者,随访三年。每位患者每年进行标准评估和NVC。图像由两名相互盲视的观察者阅读,并分为亚型(Maricq分类为2,Cutolo分类为3)。严重进展定义为心脏、肺或肾脏受累或进展,并由验证委员会评估。结果:共纳入387例患者,随访369例,病情严重进展53例(14% %)。使用Cutolo毛细管镜的简单模型预测晚期、疾病持续时间短和年龄与使用所有已知预测参数的模型一样有效(AUC[95 %CI] 0.74[0.67-0.82] vs 0.73[0.64-0.77])。结论:NVC是严重进展的预测因子,可能有助于SSc患者的早期治疗决策。
{"title":"Nailfold video capillaroscopy predicts severe progression at three years in systemic sclerosis: Results from SCLEROCAP study","authors":"Carine Boulon ,&nbsp;Iban Larrouture ,&nbsp;Sophie Blaise ,&nbsp;Marion Mangin ,&nbsp;Joëlle Decamps-Le Chevoir ,&nbsp;Patricia Senet ,&nbsp;Isabelle Lazareth ,&nbsp;Nathalie Baudot ,&nbsp;Laurent Tribout ,&nbsp;Bernard Imbert ,&nbsp;François-Xavier Lapébie ,&nbsp;Philippe Lacroix ,&nbsp;Marie-Elise Truchetet ,&nbsp;Julien Seneschal ,&nbsp;Anna Solanilla ,&nbsp;Estibaliz Lazaro ,&nbsp;Isabelle Quéré ,&nbsp;Marc-Antoine Pistorius ,&nbsp;Claire Le Hello ,&nbsp;Edouard Lhomme ,&nbsp;Joël Constans","doi":"10.1016/j.mvr.2025.104874","DOIUrl":"10.1016/j.mvr.2025.104874","url":null,"abstract":"<div><h3>Objectives</h3><div>Systemic sclerosis (SSc) has a variable evolution but may be life-threatening owing to pulmonary, cardiac or renal involvement. Nailfold video capillaroscopy (NVC) is abnormal early in the disease and is crucial for diagnosis. An association between subtypes of scleroderma pattern and disease progression has been suggested. Therefore, we conducted a prospective study to assess whether capillaroscopy can identify SSc patients at risk of progression.</div></div><div><h3>Methods</h3><div>SCLEROCAP was a prospective multicentre observational study that included patients with a diagnosis of SSc followed up for three years. Each patient had yearly standard evaluation and NVC. Images were read by two observers blinded from each other and were classified into subtypes (2 for Maricq's and 3 for Cutolo's classification). Severe progression was defined as cardiac, pulmonary or renal involvement or progression and was assessed by a validation committee.</div></div><div><h3>Results</h3><div>Three hundred and eighty-seven patients were included of whom 369 were followed-up and 53 (14 %) had severe progression. A simple model using Cutolo's capillaroscopic late stage, short duration of disease and age was as powerful in predicting severe progression as a model using all the parameters known to be predictive (AUC[95 %CI] 0.74[0.67–0.82] vs 0.73[0.64–0.77] respectively.</div></div><div><h3>Conclusion</h3><div>NVC is a predictor of severe progression and might be helpful for early therapeutic decisions in patients with SSc.</div></div>","PeriodicalId":18534,"journal":{"name":"Microvascular research","volume":"163 ","pages":"Article 104874"},"PeriodicalIF":2.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086385","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
Histamine induces vascular endothelial cell proliferation via the histamine H1 receptor–extracellular regulated protein kinase 1/2–cyclin D1/cyclin-dependent kinase 4/6 axis 组胺通过组胺H1受体-细胞外调节蛋白激酶1/2-cyclin D1/cyclin依赖性激酶4/6轴诱导血管内皮细胞增殖。
IF 2.7 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2026-01-01 Epub Date: 2025-09-03 DOI: 10.1016/j.mvr.2025.104866
Hidenori Wake , Omer Faruk Hatipoglu , Takashi Nishinaka , Masahiro Watanabe , Takao Toyomura , Shuji Mori , Masahiro Nishibori , Hideo Takahashi
Histamine is a biogenic amine that plays important roles in the inflammatory phase of physiological wound healing and proliferation of normal and tumor cells. Stimulation of the histamine H1 receptor induces vascular endothelial cell proliferation, possibly contributing to angiogenesis during wound healing and cancer development. However, the specific signaling pathways involved in angiogenesis remain unclear. Based on our previous report that histamine induces endothelial cell tube formation by increasing the vascular endothelial growth factor and matrix metalloproteinase levels via the H1 receptor, we aimed to further examine histamine-induced cell proliferation using EA.hy926 vascular endothelial cells in this study. Histamine phosphorylated extracellular regulated protein kinase-1/2 through the protein kinase C pathway via the H1 receptor and increased c-Fos expression via phosphorylation of Elk-1 and CRE-binding protein. Moreover, c-Fos formed activator protein-1, which further upregulated cyclin D1 expression. Cyclin D1 formed a complex with cyclin-dependent kinase-4/6 and phosphorylated Rb, causing the transcription factor E2F, which is bound to Rb, to dissociate from Rb and induce the factors important for S phase initiation that advance the cell cycle. Overall, our findings in this study to identify H1 receptor-mediated cell proliferation signals in endothelial cells using histamine can aid in the development of new strategies for wound healing and cancer treatment.
组胺是一种生物胺,在生理创伤愈合和正常及肿瘤细胞增殖的炎症期起重要作用。组胺H1受体的刺激诱导血管内皮细胞增殖,可能在伤口愈合和癌症发展过程中促进血管生成。然而,参与血管生成的具体信号通路仍不清楚。基于我们之前的报道,组胺通过H1受体增加血管内皮生长因子和基质金属蛋白酶水平,诱导内皮细胞形成管,本研究旨在进一步研究组胺诱导血管内皮细胞增殖的EA.hy926。组胺通过H1受体通过蛋白激酶C途径磷酸化细胞外调节蛋白激酶1/2,并通过磷酸化Elk-1和cre结合蛋白增加C - fos表达。此外,c-Fos形成激活蛋白1,进一步上调cyclin D1的表达。Cyclin D1与Cyclin依赖性激酶4/6形成复合物,磷酸化Rb,使与Rb结合的转录因子E2F与Rb分离,诱导S期起始的重要因子提前细胞周期。总的来说,我们在这项研究中发现,利用组胺识别内皮细胞中H1受体介导的细胞增殖信号,有助于开发伤口愈合和癌症治疗的新策略。
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引用次数: 0
The association between cutaneous microvascular dysfunction and pulmonary artery hemodynamics in heart transplant candidates 心脏移植候选者皮肤微血管功能障碍与肺动脉血流动力学之间的关系
IF 2.7 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2026-01-01 Epub Date: 2025-10-01 DOI: 10.1016/j.mvr.2025.104877
Antonio Feliciano Fatorelli , Eduardo Tibirica , Daniel Arthur Barata Kasal
{"title":"The association between cutaneous microvascular dysfunction and pulmonary artery hemodynamics in heart transplant candidates","authors":"Antonio Feliciano Fatorelli ,&nbsp;Eduardo Tibirica ,&nbsp;Daniel Arthur Barata Kasal","doi":"10.1016/j.mvr.2025.104877","DOIUrl":"10.1016/j.mvr.2025.104877","url":null,"abstract":"","PeriodicalId":18534,"journal":{"name":"Microvascular research","volume":"163 ","pages":"Article 104877"},"PeriodicalIF":2.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222030","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
Retinal neurodegeneration and choroidal changes of early diabetes in peripapillary region detected by swept-source optical coherence tomography angiography 扫描源光学相干断层血管造影检测早期糖尿病乳头周围区视网膜神经变性和脉络膜改变
IF 2.7 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2026-01-01 Epub Date: 2025-09-10 DOI: 10.1016/j.mvr.2025.104867
Zhaoxia Zheng , Nianen Liu , Jianing Wang , Yue Zhang , Xiaoya Gu , Shuang Song , Xiaobing Yu

Purpose

This study was designed to evaluate peripapillary retinal nerve fiber layer (pRNFL) and choroidal alterations in diabetic patients without diabetic retinopathy (NDR), and further explore their association utilizing ultrawide-field swept-source optical coherence tomography angiography (UWF-SS-OCTA).

Methods

This cross-sectional study included 169 eyes of 169 NDR subjects and 54 eyes of 54 healthy controls. pRNFL, choroidal thickness and volume were compared and measured with UWF-SS-OCTA. The association between pRNFL and choroidal parameters was assessed with Spearman correlation analysis. Further multivariate linear regression analysis was performed to evaluate their relationship after adjusting for confounding factors.

Results

Compared with healthy controls, NDR patients showed reduced choroidal thickness and volume in the full range and several peripapillary subfields, while a statistical decrease of pRNFL was only detected in the inferior quadrant (P = 0.04). Regarding the distribution profiles in the peripapillary region, the choroid was thickest in the temporal region and thinnest in the inferior region, and a more prominent decrease compared with controls was found in the inferior region. Average pRNFL thickness was independently associated with full-range mean choroidal volume in multiple regression analysis (β = 0.16, P = 0.04).

Conclusion

As two early signs of DR, choroidal thinning could precede retinal neurodegeneration. Decreased choroidal thickness may account for the susceptibility of RNFL thinning.
目的评价无糖尿病视网膜病变(NDR)的糖尿病患者乳头周围视网膜神经纤维层(pRNFL)和脉络膜改变,并利用超宽视场扫描源光学相干断层血管造影(UWF-SS-OCTA)进一步探讨两者之间的相关性。方法横断面研究包括169例NDR患者的169只眼和54例健康对照者的54只眼。用UWF-SS-OCTA比较测定pRNFL、脉络膜厚度和体积。采用Spearman相关分析评估pRNFL与脉络膜参数的关系。在调整混杂因素后,进一步进行多元线性回归分析来评估两者之间的关系。结果与健康对照组相比,NDR患者全范围及多个乳头周围亚野的脉络膜厚度和体积均减少,pRNFL仅在下象限有统计学意义上的减少(P = 0.04)。在乳头周围区域的分布剖面上,颞区脉络膜最厚,下区最薄,下区与对照组相比减少更为明显。在多元回归分析中,平均pRNFL厚度与全范围平均脉络膜体积独立相关(β = 0.16, P = 0.04)。结论脉络膜变薄是视网膜神经退行性变的两个早期征象。脉络膜厚度减少可能是RNFL变薄的原因。
{"title":"Retinal neurodegeneration and choroidal changes of early diabetes in peripapillary region detected by swept-source optical coherence tomography angiography","authors":"Zhaoxia Zheng ,&nbsp;Nianen Liu ,&nbsp;Jianing Wang ,&nbsp;Yue Zhang ,&nbsp;Xiaoya Gu ,&nbsp;Shuang Song ,&nbsp;Xiaobing Yu","doi":"10.1016/j.mvr.2025.104867","DOIUrl":"10.1016/j.mvr.2025.104867","url":null,"abstract":"<div><h3>Purpose</h3><div>This study was designed to evaluate peripapillary retinal nerve fiber layer (pRNFL) and choroidal alterations in diabetic patients without diabetic retinopathy (NDR), and further explore their association utilizing ultrawide-field swept-source optical coherence tomography angiography (UWF-SS-OCTA).</div></div><div><h3>Methods</h3><div>This cross-sectional study included 169 eyes of 169 NDR subjects and 54 eyes of 54 healthy controls. pRNFL, choroidal thickness and volume were compared and measured with UWF-SS-OCTA. The association between pRNFL and choroidal parameters was assessed with Spearman correlation analysis. Further multivariate linear regression analysis was performed to evaluate their relationship after adjusting for confounding factors.</div></div><div><h3>Results</h3><div>Compared with healthy controls, NDR patients showed reduced choroidal thickness and volume in the full range and several peripapillary subfields, while a statistical decrease of pRNFL was only detected in the inferior quadrant (<em>P</em> = 0.04). Regarding the distribution profiles in the peripapillary region, the choroid was thickest in the temporal region and thinnest in the inferior region, and a more prominent decrease compared with controls was found in the inferior region. Average pRNFL thickness was independently associated with full-range mean choroidal volume in multiple regression analysis (β = 0.16, <em>P</em> = 0.04).</div></div><div><h3>Conclusion</h3><div>As two early signs of DR, choroidal thinning could precede retinal neurodegeneration. Decreased choroidal thickness may account for the susceptibility of RNFL thinning.</div></div>","PeriodicalId":18534,"journal":{"name":"Microvascular research","volume":"163 ","pages":"Article 104867"},"PeriodicalIF":2.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048523","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
Mechanistic investigation of quercetin (an active component of RAS-RH) in modulating radiation-induced coronary microvascular dysfunction via the TCs-ECs crosstalk pathway 槲皮素(RAS-RH的活性成分)通过TCs-ECs串扰通路调节辐射诱导的冠状动脉微血管功能障碍的机制研究。
IF 2.7 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2026-01-01 Epub Date: 2025-11-05 DOI: 10.1016/j.mvr.2025.104883
Jiang Hugang , Liu Ai , Guo Zeao , Ren Chunzhen , Lin Wenyan , Liu Kai , Zhao Xinke , Li Yingdong

Background

Coronary Microvascular Dysfunction (CMVD), a prevalent comorbidity of various cardiovascular diseases, may contribute to myocardial cell ischemic necrosis. The loss of microvessels—driven by endothelial cells (ECs) apoptosis—is the core pathological hallmarks of CMVD. Our previous studies have established that RAS-RH (Angelica sinensis and Astragalus membranaceus ultrafiltrate) promotes angiogenesis and improves cardiac perfusion. However, its underlying molecular mechanisms remain incompletely understood.

Purpose

This study aimed to elucidate the key mechanism by which quercetin, the primary active component of RAS-RH, modulates radiation-induced ECs apoptosis.

Methods

Through the integration of network pharmacology and transcriptomics, we identified potential active components of RAS-RH and their key targets involved in regulating the telocytes-endothelial cell (TCs-ECs) crosstalk pathway underlying CMVD. These predictions were further validated using in vitro cellular models via flow cytometry, western blot, wound-healing assays, in situ hybridization, immunofluorescence staining, and EdU proliferation assays.

Results

Consistent with our predictions, experimental results demonstrated that quercetin (the primary active component of RAS-RH) significantly upregulated the expression of HIF-1α and miRNA-126 in TCs (P < 0.01) and enhanced miRNA-126 paracrine secretion. Through this paracrine mechanism, quercetin downregulated the expression of Cypd, ANT, F1F0-ATPase, and VDAC in ECs (P < 0.01), inhibited the reduction of mitochondrial membrane potential (ΔΨm) and ECs apoptosis induced by excessive mPTP opening. Collectively, these effects enhanced ECs proliferation, migration, and tube formation capacity, ultimately promoting angiogenesis.

Conclusion

These results collectively demonstrate that quercetin, the primary active component of RAS-RH, suppresses excessive mPTP activation and apoptosis while stimulating ECs migration and tube formation. This occurs via upregulating HIF-1α and miRNA-126 expression in TCs and enhancing miRNA-126 paracrine to ECs, positioning the TCs-ECs crosstalk mechanism as a promising novel therapeutic target for intervening in coronary microcirculation dysfunction.
背景:冠状动脉微血管功能障碍(CMVD)是多种心血管疾病的常见合并症,可能导致心肌细胞缺血性坏死。由内皮细胞(ECs)凋亡驱动的微血管损失是CMVD的核心病理标志。我们之前的研究已经证实RAS-RH(当归和黄芪超滤液)促进血管生成,改善心脏灌注。然而,其潜在的分子机制仍不完全清楚。目的:研究RAS-RH的主要活性成分槲皮素调控辐射诱导的内皮细胞凋亡的关键机制。方法:通过网络药理学和转录组学的整合,我们确定了RAS-RH的潜在活性成分及其参与调节CMVD背后的端细胞-内皮细胞(TCs-ECs)串音通路的关键靶点。这些预测通过流式细胞术、western blot、伤口愈合试验、原位杂交、免疫荧光染色和EdU增殖试验进一步验证了体外细胞模型。结果:与我们的预测一致,实验结果表明槲皮素(RAS-RH的主要活性成分)显著上调TCs中HIF-1α和miRNA-126的表达(P )。结论:槲皮素作为RAS-RH的主要活性成分,可以抑制mPTP的过度激活和凋亡,同时刺激ECs的迁移和小管的形成。这是通过上调TCs中HIF-1α和miRNA-126的表达以及增强miRNA-126对ECs的旁分泌来实现的,将TCs-ECs串扰机制定位为干预冠状动脉微循环功能障碍的有希望的新治疗靶点。
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引用次数: 0
Effects of semaglutide on vessel morphology: Studies on the chicken chorioallantoic membrane semaglutide对血管形态的影响:鸡绒毛膜尿囊膜的研究。
IF 2.7 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2026-01-01 Epub Date: 2025-10-20 DOI: 10.1016/j.mvr.2025.104880
Pei-Hsuan Chen , Samar Abood , Steven Bloom
Glucagon-Like Peptide-1 (GLP-1) receptor agonists are widely used to manage type 2 diabetes and promote weight loss. Semaglutide (SEM)—a long acting GLP-1—has experienced an extraordinary surge in popularity since its approval in 2017. Between 2021 and 2023, SEM prescription fills in the U.S. climbed to 2.56 million per month. Yet, the uptake of SEM into larger populations has raised safety concerns, with provocative findings now suggesting that SEM could negatively affect ocular and reproductive systems, counter to its beneficial effects on the heart. At least some of these concerns involve SEMs ability to alter vascular morphology in these organs. Herein, we study the impact of SEM on vasculature using the well-established chicken chorioallantoic membrane (CAM). This in vivo model mimics vascular beds found in the human eye and placenta and can approximate the effects of drugs on these organs. The CAM also responds to vasoactive drugs in a similar way to the coronary arteries of the heart. Hence, the CAM provides a convenient system to simultaneously interrogate the impact of SEM on ocular, reproductive, and coronary vascular biology. Our studies show that SEM causes vessels to develop with fewer branching points, yielding longer and more direct connections, that shift local blow flow patterns. However, these changes are only significant at SEM concentrations well above the therapeutic dose.
胰高血糖素样肽-1 (GLP-1)受体激动剂被广泛用于治疗2型糖尿病和促进减肥。Semaglutide (SEM)是一种长效glp -1,自2017年获批以来,其受欢迎程度急剧上升。2021年至2023年间,美国的SEM处方填充量攀升至每月256万张。然而,在更大的人群中使用扫描电镜引起了安全问题,现在有令人振奋的发现表明扫描电镜可能对眼部和生殖系统产生负面影响,与其对心脏的有益作用相反。至少其中一些问题涉及到扫描电镜改变这些器官血管形态的能力。在这里,我们研究SEM对血管系统的影响,使用成熟的鸡绒毛膜尿囊膜(CAM)。这种体内模型模仿人眼和胎盘中的血管床,可以近似药物对这些器官的影响。CAM对血管活性药物的反应与心脏冠状动脉的反应类似。因此,CAM提供了一个方便的系统,可以同时询问扫描电镜对眼部、生殖和冠状动脉血管生物学的影响。我们的研究表明,扫描电镜使血管的分支点更少,产生更长的和更直接的连接,从而改变了局部的吹流模式。然而,这些变化仅在远高于治疗剂量的SEM浓度时才显著。
{"title":"Effects of semaglutide on vessel morphology: Studies on the chicken chorioallantoic membrane","authors":"Pei-Hsuan Chen ,&nbsp;Samar Abood ,&nbsp;Steven Bloom","doi":"10.1016/j.mvr.2025.104880","DOIUrl":"10.1016/j.mvr.2025.104880","url":null,"abstract":"<div><div>Glucagon-Like Peptide-1 (GLP-1) receptor agonists are widely used to manage type 2 diabetes and promote weight loss. Semaglutide (SEM)—a long acting GLP-1—has experienced an extraordinary surge in popularity since its approval in 2017. Between 2021 and 2023, SEM prescription fills in the U.S. climbed to 2.56 million <em>per</em> month. Yet, the uptake of SEM into larger populations has raised safety concerns, with provocative findings now suggesting that SEM could negatively affect ocular and reproductive systems, counter to its beneficial effects on the heart. At least some of these concerns involve SEMs ability to alter vascular morphology in these organs. Herein, we study the impact of SEM on vasculature using the well-established chicken chorioallantoic membrane (CAM). This <em>in vivo</em> model mimics vascular beds found in the human eye and placenta and can approximate the effects of drugs on these organs. The CAM also responds to vasoactive drugs in a similar way to the coronary arteries of the heart. Hence, the CAM provides a convenient system to simultaneously interrogate the impact of SEM on ocular, reproductive, and coronary vascular biology. Our studies show that SEM causes vessels to develop with fewer branching points, yielding longer and more direct connections, that shift local blow flow patterns. However, these changes are <em>only</em> significant at SEM concentrations well above the therapeutic dose.</div></div>","PeriodicalId":18534,"journal":{"name":"Microvascular research","volume":"163 ","pages":"Article 104880"},"PeriodicalIF":2.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145346076","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
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Microvascular research
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