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Ozone rectal insufflation mitigates chronic rapid eye movement sleep deprivation-induced cognitive impairment through inflammation alleviation and gut microbiota regulation in mice 臭氧直肠充气通过缓解炎症和调节小鼠肠道微生物群减轻慢性快速眼动睡眠剥夺诱发的认知障碍
IF 2.9 Q1 Medicine Pub Date : 2024-03-28 DOI: 10.4103/mgr.medgasres-d-23-00036
Jie Cheng, John P. Williams, Li Zhou, Peng-Cheng Wang, Linqin Sun, Rui-Hua Li, Jian-Xiong An
A range of sleep disorders has the potential to adversely affect cognitive function. This study was undertaken with the objective of investigating the effects of ozone rectal insufflation (O3-RI) on cognitive dysfunction induced by chronic REM sleep deprivation, as well as elucidating possible underlying mechanisms. O3-RI ameliorated cognitive dysfunction in chronic REM sleep deprived mice, improved the neuronal damage in the hippocampus region and decreased neuronal loss. Administration of O3-RI may protect against chronic REM sleep deprivation induced cognitive dysfunction by reversing the abnormal expression of Occludin and leucine-rich repeat and pyrin domain-containing protein 3 inflammasome as well as interleukin-1β in the hippocampus and colon tissues. Moreover, the microbiota diversity and composition of sleep deprivation mice were significantly affected by O3-RI intervention, as evidenced by the reversal of the Firmicutes/Bacteroidetes abundance ratio and the relative abundance of the Bacteroides genus. In particular, the relative abundance of the Bacteroides genus demonstrated a pronounced correlation with cognitive impairment and inflammation. Our findings suggested that O3-RI can improve cognitive dysfunction in sleep deprivation mice, and its mechanisms may be related to regulating gut microbiota and alleviating inflammation and damage in the hippocampus and colon.
一系列睡眠障碍都有可能对认知功能产生不利影响。本研究旨在探讨臭氧直肠充气(O3-RI)对慢性快速眼动睡眠剥夺引起的认知功能障碍的影响,并阐明可能的内在机制。O3-RI 可改善慢性快速眼动睡眠剥夺小鼠的认知功能障碍,改善海马区神经元损伤,减少神经元丢失。服用O3-RI可逆转海马和结肠组织中Occludin和富含亮氨酸重复和嘧啶结构域的蛋白3炎性体以及白细胞介素-1β的异常表达,从而防止慢性快速眼动睡眠剥夺引起的认知功能障碍。此外,睡眠剥夺小鼠的微生物群多样性和组成受到 O3-RI 干预的显著影响,这体现在固着菌/类杆菌丰度比和 Bacteroides 属相对丰度的逆转上。特别是,乳杆菌属的相对丰度与认知障碍和炎症有明显的相关性。我们的研究结果表明,O3-RI 可以改善睡眠剥夺小鼠的认知功能障碍,其机制可能与调节肠道微生物群、减轻海马和结肠的炎症和损伤有关。
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引用次数: 0
The augment effects of magnesium hydride on the lipid lowering effect of atorvastatin: an in vivo and in vitro investigation 氢化镁对阿托伐他汀降脂效果的增强作用:体内和体外研究
IF 2.9 Q1 Medicine Pub Date : 2024-03-28 DOI: 10.4103/mgr.medgasres-d-23-00047
Wanqiu Chen, Yinyin Zhang, Gen Miao, Yajing Ying, Zifu Ren, Xuejun Sun, Jianming Cai, Hui Shen, Hongtao Lu
There is strong evidence connecting increased serum lipid levels to cardiovascular disorders, including atherosclerosis. Statins is prescribed as the primary medication to decrease lipid levels. Recent research has demonstrated that hydrogen possesses anti-inflammatory and antioxidant properties by modulating the expression of peroxisome proliferator-activated receptor gamma coactivator-1α, ultimately leading to the preservation of lipid homeostasis. Magnesium hydride (MgH2) is a prolonged stable hydrogen storage medium, which can be utilized to investigate its synergistic lipid-lowering effect with statins and its detailed molecular mechanism, both in vivo and in vitro. To ascertain the safety and efficacy of MgH2, we executed a comprehensive research of its influence on both physiological and pathological metrics. We noted a substantial diminution in lipid levels when MgH2 was integrated with atorvastatin, as attested by oil red staining. Furthermore, we scrutinized the regulatory effect of MgH2 on cytochrome P450 3A, which is a metabolic enzyme of statins, and discovered that it could be reduced by the MgH2. Concluding from our results, we propose that MgH2 inhibits the expression of cytochrome P450 3A in the liver and exerts an auxiliary lipid-lowering effect by increasing the blood concentration of statins. By augmenting our comprehension of MgH2's role in ameliorating lipid metabolism, we aspire to develop more promising therapies in the future.
有确凿证据表明,血清脂质水平升高与心血管疾病(包括动脉粥样硬化)有关。他汀类药物是降低血脂水平的主要药物。最近的研究表明,氢气通过调节过氧化物酶体增殖激活受体γ辅助激活剂-1α的表达,具有抗炎和抗氧化特性,最终导致脂质平衡的保护。氢化镁(MgH2)是一种长期稳定的储氢介质,可用于研究其与他汀类药物的协同降脂作用及其体内和体外的详细分子机制。为了确定 MgH2 的安全性和有效性,我们对其对生理和病理指标的影响进行了全面研究。我们注意到,当 MgH2 与阿托伐他汀结合使用时,血脂水平会大幅下降,这一点已通过油红染色得到证实。此外,我们还仔细研究了 MgH2 对细胞色素 P450 3A 的调节作用,发现 MgH2 可以降低细胞色素 P450 3A 对他汀类药物的代谢作用。综上所述,我们认为 MgH2 可抑制肝脏中细胞色素 P450 3A 的表达,并通过提高他汀类药物的血药浓度发挥辅助降脂作用。通过进一步了解 MgH2 在改善脂质代谢中的作用,我们希望未来能开发出更多有前景的疗法。
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引用次数: 0
Protocols in the therapeutic use of medical ozone: a matter of debate 医用臭氧治疗使用规程:一个争论不休的问题
IF 2.9 Q1 Medicine Pub Date : 2024-03-28 DOI: 10.4103/mgr.mgr_15_23
S. Chirumbolo, L. Valdenassi, S. Pandolfi, F. Vaiano, G. Ricevuti, U. Tirelli, V. Simonetti, M. Franzini
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引用次数: 0
Complete sevoflurane anesthetic for myringotomy tubes is associated with an increased rate of emergence delirium 对耳鸣管切除术进行全七氟醚麻醉会增加出现谵妄的几率
IF 2.9 Q1 Medicine Pub Date : 2024-03-28 DOI: 10.4103/mgr.medgasres-d-23-00016
Eric Fellin, Stephen Lockwood, David Scheafer, Meredith Kato
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引用次数: 0
Assessment of ultrasound guided erector spinae plane block for early post-operative analgesia for modified radical mastectomy: a prospective, randomized, controlled study 超声引导下竖脊肌平面阻滞用于改良根治性乳房切除术术后早期镇痛的评估:一项前瞻性随机对照研究
IF 2.9 Q1 Medicine Pub Date : 2024-03-28 DOI: 10.4103/mgr.mgr_74_20
Prashant Kumar, Anu Singh, Jyoti Sharma, Sanjeev Parshad, S. Johar, Kiranpreet Kaur
Erector spinae plane block is a recently introduced block with a wide range of indications. The aim of the present study was to assess the efficacy and safety of ultrasound-guided erector spinae plane block on early post-operative pain relief in patients undergoing modified radical mastectomy. We conducted a prospective, randomized, controlled study in a tertiary care institute. Sixty-five patients were enrolled. Final analysis was performed on 58 patients randomized into two groups. Ultrasound-guided erector spinae plane block with 25 mL of 0.25% bupivacaine was given using a 18 gauge needle. No block was given in the other group. All patients received general anesthesia. Primary outcome measure was 24-hour analgesic consumption. Secondary outcome measures included intra-operative fentanyl consumption, time to first analgesic request, Visual Analog Scale score, nausea score, sedation score, wound quality and patient satisfaction score. Post-operative additional analgesics and intra-operative fentanyl were significantly reduced in patients receiving erector spinae plane block. Time to rescue analgesia was significantly delayed. Visual Analog Scale score was significantly lower at all time intervals. Post-operative nausea at various time intervals was also less. Patient satisfaction score was also noted on a 5-point scale and there was a statistical significant difference. We concluded that erector spinae plane block is a safe technique and provides good analgesia in breast surgery.
竖脊肌平面阻滞是最近引入的一种阻滞方法,具有广泛的适应症。本研究旨在评估超声引导下竖脊肌平面阻滞对改良根治性乳房切除术患者术后早期疼痛缓解的有效性和安全性。我们在一家三级医疗机构开展了一项前瞻性、随机对照研究。共有 65 名患者入组。对随机分为两组的 58 名患者进行了最终分析。一组在超声引导下,使用 18 号针头注射 25 毫升 0.25% 布比卡因进行竖脊肌平面阻滞。另一组不进行阻滞。所有患者均接受全身麻醉。主要结果指标为 24 小时镇痛剂消耗量。次要结果指标包括术中芬太尼消耗量、首次镇痛请求时间、视觉模拟量表评分、恶心评分、镇静评分、伤口质量和患者满意度评分。接受竖脊肌平面阻滞的患者术后额外镇痛剂和术中芬太尼用量明显减少。抢救性镇痛的时间明显推迟。视觉模拟量表评分在所有时间间隔内均明显降低。术后不同时间段的恶心症状也有所减轻。患者满意度也以 5 分制进行评分,两者之间存在明显的统计学差异。我们的结论是,竖脊肌平面阻滞是一种安全的技术,能为乳房手术提供良好的镇痛效果。
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引用次数: 0
Post-surgical wounds treated with ozone: a preliminary case series 用臭氧治疗手术后伤口:初步病例系列
IF 2.9 Q1 Medicine Pub Date : 2024-03-28 DOI: 10.4103/mgr.medgasres-d-23-00017
M. Franzini, L. Valdenassi, U. Tirelli, G. Ricevuti, S. Pandolfi, F. Vaiano, S. Chirumbolo
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引用次数: 0
Hyperbaric oxygen: a multifaceted approach in cancer therapy 高压氧:癌症治疗的多面手
IF 2.9 Q1 Medicine Pub Date : 2024-03-20 DOI: 10.4103/mgr.medgasres-d-23-00028
Qingyuan Deng, Xiangliang Yang, Zifu Li
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引用次数: 0
Protective role of methane in traumatic nervous system diseases 甲烷在创伤性神经系统疾病中的保护作用
IF 2.9 Q1 Medicine Pub Date : 2024-03-20 DOI: 10.4103/mgr.mgr_23_23
Xurui Lu, Weiliang Hu, Xuejian Wang, Zhifeng Wang, Pingyu Yang, Wenjie Wang
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引用次数: 0
Hyperoxia-enhanced intermittent hypoxia conditioning: mechanisms and potential benefits 高氧强化间歇性缺氧调节:机制和潜在益处
IF 2.9 Q1 Medicine Pub Date : 2024-03-20 DOI: 10.4103/mgr.medgasres-d-23-00046
Robert T Mallet, J. Burtscher, H. Gatterer, Oleg Glazachev, Grégoire P. Millet, M. Burtscher
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引用次数: 0
Medical implications of gas producing probiotics: anti-inflammation and immunity enhancement for ameliorating disease severity 产气益生菌的医学意义:抗炎和增强免疫力,改善疾病的严重程度
IF 2.9 Q1 Medicine Pub Date : 2024-03-12 DOI: 10.4103/mgr.medgasres-d-23-00041
Deeksha Porwal, Biswadeep Das
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引用次数: 0
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Medical Gas Research
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