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Utilization of convolutional neural networks to analyze microscopic images for high-throughput screening of mesenchymal stem cells 利用卷积神经网络来分析显微图像,从而实现间充质干细胞的高通量筛选
IF 2.2 4区 生物学 Q3 BIOLOGY Pub Date : 2024-07-10 DOI: 10.1515/biol-2022-0859
MuYun Liu, XiangXi Du, JunYuan Hu, Xiao Liang, HaiJun Wang
This work investigated the high-throughput classification performance of microscopic images of mesenchymal stem cells (MSCs) using a hyperspectral imaging-based separable convolutional neural network (CNN) (H-SCNN) model. Human bone marrow mesenchymal stem cells (hBMSCs) were cultured, and microscopic images were acquired using a fully automated microscope. Flow cytometry (FCT) was employed for functional classification. Subsequently, the H-SCNN model was established. The hyperspectral microscopic (HSM) images were created, and the spatial-spectral combined distance (SSCD) was employed to derive the spatial-spectral neighbors (SSNs) for each pixel in the training set to determine the optimal parameters. Then, a separable CNN (SCNN) was adopted instead of the classic convolutional layer. Additionally, cultured cells were seeded into 96-well plates, and high-functioning hBMSCs were screened using both manual visual inspection (MV group) and the H-SCNN model (H-SCNN group), with each group consisting of 96 samples. FCT served as the benchmark to compare the area under the curve (AUC), F1 score, accuracy (Acc), sensitivity (Sen), specificity (Spe), positive predictive value (PPV), and negative predictive value (NPV) between the manual and model groups. The best classification Acc was 0.862 when using window size of 9 and 12 SSNs. The classification Acc of the SCNN model, ResNet model, and VGGNet model gradually increased with the increase in sample size, reaching 89.56 ± 3.09, 80.61 ± 2.83, and 80.06 ± 3.01%, respectively at the sample size of 100. The corresponding training time for the SCNN model was significantly shorter at 21.32 ± 1.09 min compared to ResNet (36.09 ± 3.11 min) and VGGNet models (34.73 ± 3.72 min) (P < 0.05). Furthermore, the classification AUC, F1 score, Acc, Sen, Spe, PPV, and NPV were all higher in the H-SCNN group, with significantly less time required (P < 0.05). Microscopic images based on the H-SCNN model proved to be effective for the classification assessment of hBMSCs, demonstrating excellent performance in classification Acc and efficiency, enabling its potential to be a powerful tool in future MSCs research.
这项研究利用基于高光谱成像的可分离卷积神经网络(CNN)(H-SCNN)模型,研究了间充质干细胞(MSCs)显微图像的高通量分类性能。培养人骨髓间充质干细胞(hBMSCs),并使用全自动显微镜获取显微图像。采用流式细胞术(FCT)进行功能分类。随后,建立了 H-SCNN 模型。创建了高光谱显微(HSM)图像,并利用空间-光谱组合距离(SSCD)得出了训练集中每个像素的空间-光谱邻域(SSN),从而确定了最佳参数。然后,采用可分离 CNN(SCNN)代替传统的卷积层。此外,将培养细胞播种到 96 孔板中,使用人工目测(MV 组)和 H-SCNN 模型(H-SCNN 组)筛选高功能 hBMSCs,每组包括 96 个样本。以 FCT 为基准,比较人工组和模型组的曲线下面积(AUC)、F1 分数、准确度(Acc)、灵敏度(Sen)、特异度(Spe)、阳性预测值(PPV)和阴性预测值(NPV)。当使用 9 个和 12 个 SSN 的窗口大小时,最佳分类 Acc 为 0.862。随着样本量的增加,SCNN 模型、ResNet 模型和 VGGNet 模型的分类加速度逐渐增加,在样本量为 100 时分别达到 89.56 ± 3.09%、80.61 ± 2.83% 和 80.06 ± 3.01%。与 ResNet 模型(36.09 ± 3.11 分钟)和 VGGNet 模型(34.73 ± 3.72 分钟)相比,SCNN 模型的相应训练时间明显缩短,为 21.32 ± 1.09 分钟(P < 0.05)。此外,H-SCNN 组的分类 AUC、F1 分数、Acc、Sen、Spe、PPV 和 NPV 都更高,所需的时间也明显更少(P <0.05)。事实证明,基于 H-SCNN 模型的显微图像能有效地对 hBMSCs 进行分类评估,在分类速度和效率方面表现出色,有望成为未来间充质干细胞研究的有力工具。
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引用次数: 0
Impact of "3414" fertilization on the yield and quality of greenhouse tomatoes. 3414" 施肥法对温室番茄产量和质量的影响。
IF 1.7 4区 生物学 Q3 BIOLOGY Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.1515/biol-2022-0893
Chunyan Wu, Xiaoyi Han, Yan Cheng, Xueke Wang, Wei Wang

This study aimed to explore the effects of different nitrogen, phosphorus, and potassium ratios on the yield and nutritional quality of greenhouse tomatoes under a water and fertilizer integration model. Greenhouse tomatoes were used as the research object, and the "3414" fertilizer trial design was employed to assess tomato growth, yield, quality, and soil indicators across various treatment combinations. The goal was to determine the optimal fertilization scheme and recommend appropriate fertilizer quantities for tomato cultivation and production. The results revealed that different fertilizer ratios significantly affected both the quality and yield of tomatoes. Overall, the tomato yield tended to increase with higher fertilization amounts, with potassium exhibiting the most pronounced effect on yield increase, followed by phosphorus and nitrogen. The comprehensive analysis of principal components indicated that the N2P2K1 treatment yielded the highest nutritional quality and yield. Therefore, the best fertilization combination identified in this study consisted of nitrogen fertilizer at 197.28 kg hm-2, phosphorus fertilizer at 88.75 kg hm-2, and potassium fertilizer at 229.80 kg hm-2. These findings provided the scientific basis for optimizing fertilization practices in greenhouse tomato cultivation and production in the Jilin Province.

本研究旨在探讨水肥一体化模式下不同氮磷钾配比对温室番茄产量和营养品质的影响。以温室番茄为研究对象,采用 "3414 "肥料试验设计,评估不同处理组合下番茄的生长、产量、品质和土壤指标。目的是确定番茄栽培和生产的最佳施肥方案,并推荐适当的施肥量。结果表明,不同的肥料配比对番茄的质量和产量都有显著影响。总体而言,施肥量越大,番茄产量越高,其中钾肥对增产的影响最为明显,其次是磷肥和氮肥。主成分综合分析表明,N2P2K1 处理的营养质量和产量最高。因此,本研究确定的最佳施肥组合为氮肥 197.28 kg hm-2、磷肥 88.75 kg hm-2、钾肥 229.80 kg hm-2。这些研究结果为优化吉林省温室番茄栽培和生产中的施肥方法提供了科学依据。
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引用次数: 0
Ten-year anemia as initial manifestation of Castleman disease in the abdominal cavity: A case report. 作为腹腔卡斯特曼病初期表现的十年贫血:病例报告。
IF 1.7 4区 生物学 Q3 BIOLOGY Pub Date : 2024-06-27 eCollection Date: 2024-01-01 DOI: 10.1515/biol-2022-0898
Pingping Xiao, Qingqing Wang, Zhigao Dong, Junnan Su, Yongquan Chen, Wei Fan

Castleman disease (CD) is a relatively rare lymphoproliferative disorder. Lesions predominantly originate on the chest and neck and rarely occur on the abdomen. A 34-year-old female presented to our hospital with an unexplained 10-year history of anemia. A pathological diagnosis of plasma cell-type CD was established. One cycle of chemotherapy (thalidomide, cyclophosphamide, and prednisolone) improved her anemia significantly. Prompt etiological diagnosis and early intervention are essential to address systemic manifestations in patients with CD, and it is crucial to consider CD as a differential diagnosis when intra-abdominal masses are detected.

卡斯特曼病(CD)是一种相对罕见的淋巴组织增生性疾病。病变主要起源于胸部和颈部,很少发生在腹部。一名 34 岁的女性因不明原因的 10 年贫血史来我院就诊。病理诊断为浆细胞型 CD。一个周期的化疗(沙利度胺、环磷酰胺和泼尼松龙)明显改善了她的贫血症状。及时的病因诊断和早期干预对解决CD患者的全身表现至关重要,当发现腹内肿块时,将CD作为鉴别诊断至关重要。
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引用次数: 0
The role of Phafin proteins in cell signaling pathways and diseases. Phafin 蛋白在细胞信号通路和疾病中的作用。
IF 1.7 4区 生物学 Q3 BIOLOGY Pub Date : 2024-06-27 eCollection Date: 2024-01-01 DOI: 10.1515/biol-2022-0896
Tuoxian Tang, Jing Sun, Chen Li

Membrane-associated proteins are important membrane readers that mediate and facilitate the signaling and trafficking pathways in eukaryotic membrane-bound compartments. The protein members in the Phafin family are membrane readers containing two phosphoinositide recognition domains: the Pleckstrin Homology domain and the FYVE (Fab1, YOTB, Vac1, and early endosome antigen 1) domain. Phafin proteins, categorized into two subfamilies, Phafin1 and Phafin2, associate with cellular membranes through interactions involving membrane-embedded phosphoinositides and phosphoinositide-binding domains. These membrane-associated Phafin proteins play pivotal roles by recruiting binding partners and forming complexes, which contribute significantly to apoptotic, autophagic, and macropinocytotic pathways. Elevated expression levels of Phafin1 and Phafin2 are observed in various cancers. A recent study highlights a significant increase in Phafin1 protein levels in the lungs of idiopathic pulmonary fibrosis patients compared to normal subjects, suggesting a crucial role for Phafin1 in the pathogenesis of pulmonary fibrosis. Additionally, phosphatidylinositol-3-phosphate-binding 2 (Pib2), a close relative of the Phafin1 protein, functions as an amino acid sensor activating the TOCR1 pathway in yeasts. This review focuses on delineating the involvement of Phafin proteins in cellular signaling and their implications in diseases and briefly discusses the latest research findings concerning Pib2.

膜相关蛋白是重要的膜读取器,可介导和促进真核生物膜结合区室的信号传导和贩运途径。Phafin 家族的蛋白质成员是一种膜读取器,含有两个磷酸肌酸识别结构域:Pleckstrin Homology 结构域和 FYVE(Fab1、YOTB、Vac1 和早期内质体抗原 1)结构域。Phafin 蛋白分为 Phafin1 和 Phafin2 两个亚家族,它们通过膜嵌入磷脂和磷脂结合结构域的相互作用与细胞膜结合。这些与细胞膜结合的 Phafin 蛋白通过招募结合伙伴和形成复合物发挥着关键作用,对细胞凋亡、自噬和大胞吞途径做出了重要贡献。在各种癌症中都能观察到 Phafin1 和 Phafin2 的表达水平升高。最近的一项研究表明,与正常人相比,特发性肺纤维化患者肺部的 Phafin1 蛋白水平明显升高,这表明 Phafin1 在肺纤维化的发病机制中起着至关重要的作用。此外,磷脂酰肌醇-3-磷酸结合 2(Pib2)是 Phafin1 蛋白的近亲,在酵母菌中作为氨基酸传感器激活 TOCR1 通路。这篇综述重点阐述了 Phafin 蛋白参与细胞信号传导的情况及其对疾病的影响,并简要讨论了有关 Pib2 的最新研究成果。
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引用次数: 0
Differences in the flavonoid composition of the leaves, fruits, and branches of mulberry are distinguished based on a plant metabolomics approach. 基于植物代谢组学方法,对桑树叶片、果实和枝条中黄酮类成分的差异进行了区分。
IF 1.7 4区 生物学 Q3 BIOLOGY Pub Date : 2024-06-27 eCollection Date: 2024-01-01 DOI: 10.1515/biol-2022-0886
Yewei Zhong, Fenglian Tong, Junlin Yan, Huiwen Tan, Adalaiti Abudurexiti, Rui Zhang, Yi Lei, Delong Li, Xiaoli Ma

Mulberry is a common crop rich in flavonoids, and its leaves (ML), fruits (M), and branches (Ramulus Mori, RM) have medicinal value. In the present study, a total of 118 flavonoid metabolites (47 flavone, 23 flavonol, 16 flavonoid, 8 anthocyanins, 8 isoflavone, 14 flavanone, and 2 proanthocyanidins) and 12 polyphenols were identified by ultra-performance liquid chromatography-electrospray ionization-tandem mass spectrometry. The most abundant in ML were 8-C-hexosyl-hesperetin O-hexoside and astragalin, the most abundant in M were 8-C-hexosyl-hesperetin O-hexoside and naringenin, and the most abundant in RM were cyanidin 3-O-galactoside and gallocatechin-gallocatechin. The total flavonoid compositions of ML and RM were essentially the same, but the contents of flavonoid metabolite in more than half of them were higher than those in M. Compared with ML, the contents of flavone and flavonoid in RM and M were generally down-regulated. Each tissue part had a unique flavonoid, which could be used as a marker to distinguish different tissue parts. In this study, the differences between flavonoid metabolite among RM, ML, and M were studied, which provided a theoretical basis for making full use of mulberry resources.

桑树是一种富含黄酮类化合物的常见作物,其叶子(ML)、果实(M)和枝条(Ramulus Mori,RM)具有药用价值。本研究采用超高效液相色谱-电喷雾串联质谱法鉴定了 118 种黄酮类代谢物(47 种黄酮、23 种黄酮醇、16 种黄酮、8 种花青素、8 种异黄酮、14 种黄烷酮和 2 种原花青素)和 12 种多酚。ML中含量最高的是8-C-己糖基-橙皮素O-己糖苷和黄芪苷,M中含量最高的是8-C-己糖基-橙皮素O-己糖苷和柚皮苷,RM中含量最高的是花青素3-O-半乳糖苷和没食子儿茶素-没食子儿茶素。ML和RM的总黄酮成分基本相同,但半数以上的黄酮代谢物含量高于ML,与ML相比,RM和ML的黄酮和黄酮含量普遍下调。每个组织部位都有独特的黄酮类化合物,可以作为区分不同组织部位的标记。本研究研究了RM、ML和M中黄酮代谢物的差异,为充分利用桑树资源提供了理论依据。
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引用次数: 0
Coexistence of hereditary spherocytosis with SPTB P.Trp1150 gene variant and Gilbert syndrome: A case report and literature review. 遗传性球形红细胞增多症与 SPTB P.Trp1150 基因变异和 Gilbert 综合征并存:病例报告和文献综述。
IF 1.7 4区 生物学 Q3 BIOLOGY Pub Date : 2024-06-27 eCollection Date: 2024-01-01 DOI: 10.1515/biol-2022-0904
Changwei Chi, Shenghao Wu, Wenjin Zhou, Yingying Hu, Yanwei Lu, Shanshan Weng

A congenital protein anomaly in the erythrocyte membrane skeleton causes a hereditary haemolytic illness known as hereditary spherocytosis (HS). The primary characteristic of HS is an increase in the number of tiny spherical red blood cells in the peripheral blood. The chief clinical features of HS include anaemia, jaundice, splenomegaly, spherical erythrocytosis in the blood, chronic anaemia with haemolysis, and recurrent acute attacks. Most patients have a family history; some have autosomal recessive inheritance, whereas most have autosomal dominant inheritance. In cases of severe hyperbilirubinemia disproportionate to haemolysis, other causes of hyperbilirubinemia should be considered. Gilbert syndrome (GS) is an autosomal dominant illness caused by the reduced activity of uridine diphosphate-glucuronosyl transferase lAl and is characterised by intermittent hyperbilirubinemia without any other signs or symptoms of liver disease. The possibility of the coexistence of HS and GS is very limited. Here we present the case of an elderly man with yellow skin and sclera recurring anaemia, and a final diagnosis of coexisting HS and GS.

红细胞膜骨架中的先天性蛋白质异常会导致遗传性溶血性疾病,即遗传性球形红细胞增多症(HS)。遗传性球形红细胞增多症的主要特征是外周血中微小球形红细胞数量增多。遗传性球形红细胞增多症的主要临床特征包括贫血、黄疸、脾肿大、血液中球形红细胞增多、慢性贫血伴溶血和反复急性发作。大多数患者都有家族史;有些是常染色体隐性遗传,而大多数是常染色体显性遗传。如果严重的高胆红素血症与溶血不成比例,则应考虑导致高胆红素血症的其他原因。吉尔伯特综合征(GS)是一种常染色体显性遗传病,由二磷酸尿苷-葡萄糖醛酸转移酶 lAl 活性降低引起,其特征是间歇性高胆红素血症,但无任何其他肝病症状或体征。HS 和 GS 同时存在的可能性非常有限。在此,我们介绍了一例老年男性病例,患者皮肤和巩膜发黄,反复贫血,最终诊断为 HS 和 GS 并存。
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引用次数: 0
Evaluation of the role of some non-enzymatic antioxidants among Iraqi patients with non-alcoholic fatty liver disease. 评估伊拉克非酒精性脂肪肝患者体内某些非酶抗氧化剂的作用。
IF 1.7 4区 生物学 Q3 BIOLOGY Pub Date : 2024-06-27 eCollection Date: 2024-01-01 DOI: 10.1515/biol-2022-0881
Ammar L Hussein, Dunia T Nema, Gulboy A Nasir

Non-alcoholic fatty liver disease (NAFLD), characterized by hepatic fat accumulation in individuals consuming little or no alcohol, has become highly prevalent globally. Oxidative stress plays a central role in instigating inflammation and cell death pathways driving NAFLD progression. This case-control study aimed to elucidate the association between circulating levels of the pivotal non-enzymatic antioxidants - coenzyme Q10 and vitamins E and C - and liver injury parameters among 60 Iraqi NAFLD patients versus 30 healthy controls. NAFLD diagnosis entailed over 5% hepatic steatosis on ultrasound excluding other etiologies. Patients spanned three age groups: 20-29, 30-39, and 40-49. Substantially diminished antioxidant levels concurrent with elevated alkaline phosphatase enzyme were unveiled in NAFLD patients relative to controls (all p < 0.001). Age-based analysis reinforced widespread antioxidant depletion and liver enzyme augmentation across NAFLD patients. Significant correlations also emerged between antioxidants and liver parameters. Our novel observations confirm an antioxidant inadequacy likely perpetuating pathogenic oxidative reactions in NAFLD. Restoring such deficits through lifestyle or therapeutic interventions may confer preventative and disease-modifying value.

非酒精性脂肪肝(NAFLD)是一种以肝脏脂肪堆积为特征的疾病,患者很少饮酒或不饮酒。氧化应激在引发炎症和细胞死亡的途径中起着核心作用,推动着非酒精性脂肪肝的发展。这项病例对照研究旨在阐明 60 名伊拉克非酒精性脂肪肝患者与 30 名健康对照者之间关键的非酶抗氧化剂(辅酶 Q10、维生素 E 和 C)循环水平与肝损伤参数之间的关系。非酒精性脂肪肝的诊断标准是:超声波检查发现肝脏脂肪变性超过 5%,排除其他病因。患者分为三个年龄组:20-29 岁、30-39 岁和 40-49 岁。与对照组相比,非酒精性脂肪肝患者的抗氧化剂水平大幅降低,同时碱性磷酸酶升高(所有数据均小于 0.001)。基于年龄的分析表明,非酒精性脂肪肝患者普遍存在抗氧化剂消耗和肝酶升高的现象。抗氧化剂与肝脏参数之间也存在显著的相关性。我们的新观察结果证实,非酒精性脂肪肝患者体内的抗氧化剂不足可能导致致病性氧化反应长期存在。通过生活方式或治疗干预来恢复这种不足可能具有预防和改变疾病的价值。
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引用次数: 0
Population genetics of Todarodes pacificus (Cephalopoda: Ommastrephidae) in the northwest Pacific Ocean via GBS sequencing. 通过 GBS 测序研究西北太平洋 Todarodes pacificus(头足纲:Ommastrephidae)的种群遗传学。
IF 1.7 4区 生物学 Q3 BIOLOGY Pub Date : 2024-06-27 eCollection Date: 2024-01-01 DOI: 10.1515/biol-2022-0876
Yang Liu, Xingxing Hu, Huajie Lu, Yimeng Liu, Congcong Wang, Xiaojie Dai

The common squid, Todarodes pacificus, is an important commercial species that inhabits the northwest Pacific Ocean, particularly the East Japan Sea, the Pacific coast of Japan, and the East China Sea. In this study, we chose 29 individuals from three areas: one type from the Sea of Japan and two types from the East China Sea. A total of 43,529 SNPs were obtained using genotyping-by-sequencing (GBS). Our analyses revealed low genetic diversity and genetic differentiation in each type. Heterozygote deficiency and inbreeding have caused this low level of genetic diversity. Population structure analysis indicated that the three types were genetically similar, which may be attributed to strong gene flow combined with the demographic history events during the last 2 million years. This new GBS application technique provides valuable information for the conservation of marine species genetics and could be useful for the effective management of this resource.

太平洋鱿鱼(Todarodes pacificus)是一种重要的商业物种,栖息于西北太平洋,尤其是东日本海、日本太平洋沿岸和中国东海。在这项研究中,我们从三个地区选择了 29 个个体:一个类型来自日本海,两个类型来自中国东海。通过基因分型测序技术(GBS)共获得了 43529 个 SNPs。我们的分析表明,每个类型的遗传多样性和遗传分化程度都很低。杂合子缺乏和近亲繁殖是造成遗传多样性水平低的原因。种群结构分析表明,这三种类型在遗传上具有相似性,这可能归因于强大的基因流和过去 200 万年的人口历史事件。这项新的 GBS 应用技术为保护海洋物种遗传学提供了有价值的信息,有助于有效管理这一资源。
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引用次数: 0
Comprehensive phytochemical and toxicological analysis of Chenopodium ambrosioides (L.) fractions. Chenopodium ambrosioides(L.)馏分的综合植物化学和毒理学分析。
IF 1.7 4区 生物学 Q3 BIOLOGY Pub Date : 2024-06-26 eCollection Date: 2024-01-01 DOI: 10.1515/biol-2022-0895
Soufiane Drioua, Mouna Ameggouz, Amine Assouguem, Mohammed Kara, Riaz Ullah, Ahmed Bari, Rachid Lahlali, Hafize Fidan, Otman El-Guourrami, Fatima Zahra Benkhouili, Yagoubi Maamar, Hanane Benzeid, Anass Doukkali

Chenopodium ambrosioides aerial parts have been historically employed in traditional medicine for addressing various ailments such as headaches, abdominal discomfort, joint issues, and respiratory disorders, alongside treatments for lice and warts. This study aimed to conduct a comprehensive phytochemical analysis of C. ambrosioides and assess the acute and subacute toxicity of oral treatments using fractions in preclinical trials. Spectrophotometric analysis via LC-MS/MS was used to characterize the plant's chemical composition. Acute toxicity evaluation followed Organisation for Economic Co-operation and Development code 42 guidelines, conducted on adult male and female Wistar strain mice. Subsequently, Swiss mice were divided into six groups for the subacute toxicity study, receiving oral doses of 200 mg/kg extracts and fractions for 28 days. Daily observations and biochemical analyses were performed, with LC-MS/MS revealing a diverse array of compounds including organic acids, flavonoids, phenolic acids, rutin, hesperidin, nicotiflorine, and fumaric acid. Results indicated no lethality or alterations in body weight in treated groups, though some organ weight changes were noted. Biochemical analyses demonstrated values within the normal range for all groups, suggesting that the treatments did not induce adverse effects. Acute and subacute treatments with fractions did not result in lethality or toxic alterations at therapeutic doses, implying the safety of the product at appropriate levels. This study underscores the potential of C. ambrosioides as a safe therapeutic option warranting further exploration.

伏牛花气生部分在传统医学中一直被用于治疗各种疾病,如头痛、腹部不适、关节问题和呼吸系统疾病,以及治疗虱子和疣。本研究旨在对 C. ambrosioides 进行全面的植物化学分析,并评估临床前试验中使用馏分口服治疗的急性和亚急性毒性。通过 LC-MS/MS 进行分光光度分析来确定植物化学成分的特征。急性毒性评估遵循经济合作与发展组织代码 42 准则,以成年雄性和雌性 Wistar 品系小鼠为对象。随后,瑞士小鼠被分为六组进行亚急性毒性研究,口服剂量为 200 mg/kg 的提取物和馏分,持续 28 天。每天进行观察和生化分析,LC-MS/MS 显示了多种化合物,包括有机酸、类黄酮、酚酸、芦丁、橙皮甙、烟碱和富马酸。结果表明,处理组没有致死性或体重变化,但注意到一些器官的体重发生了变化。生化分析表明,所有处理组的生化值均在正常范围内,这表明这些处理不会产生不良影响。用馏分进行急性和亚急性治疗,在治疗剂量下不会导致死亡或毒性改变,这意味着在适当剂量下该产品是安全的。这项研究强调了伏牛花作为一种安全治疗选择的潜力,值得进一步探索。
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引用次数: 0
A rare case of Richter transformation with breast involvement: A case report and literature review. 一例罕见的里氏变异并累及乳房:病例报告和文献综述。
IF 1.7 4区 生物学 Q3 BIOLOGY Pub Date : 2024-06-18 eCollection Date: 2024-01-01 DOI: 10.1515/biol-2022-0889
Wenhui Wang, Hao Chen, Wendong Ju, Weihong Yang, Gaoming Ding, Li Wang

Richter transformation (RT) represents the development of intrusive lymphoma in individuals previously or concurrently diagnosed with chronic lymphocytic leukemia (CLL) and is characterized by lymph node enlargement. However, cases involving extra-nodal organ involvement as the first symptom are rare. There are no reports of RT with breast lesions as the first symptom. Nonspecific and atypical clinical manifestations represent key challenges in the accurate diagnosis and appropriate treatment of RT. This case report describes an elderly female patient who presented with breast lesions as the first RT symptom. The patient was admitted with a painless mass in the left breast. Examination revealed multiple lymphadenopathies and abnormally high white blood cell levels. The patient was diagnosed with CLL after hematological tests, assessments of bone marrow morphology, and tissue biopsy. Mammography and B-ultrasonography showed solid space-occupying lesions (BI-RADS category 5) in the left breast. Initially, the patient declined a breast biopsy and was therefore prescribed ibrupotinib treatment, which showed limited efficacy. A needle biopsy of the affected breast indicated the presence of diffuse large B-cell lymphoma. Based on auxiliary and pathological examinations and medical history, the final diagnosis was RT with breast involvement. Zanubrutinib with rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone treatment provided initial control; however, the treatment strategy required adjustment because of the patient's fluctuating condition. The current status of the patient is marked as stable, showing an overall achievement of partial alleviation. The patient is in the process of receiving follow-up treatment. We also performed a comprehensive literature review on RT, with particular emphasis on its biological paradigm, prognosis implications, existing therapeutic approaches, and emerging directions in treatment modalities.

里克特转化(RT)是指先前或同时被诊断为慢性淋巴细胞白血病(CLL)的患者发生的侵入性淋巴瘤,其特点是淋巴结肿大。然而,以结外器官受累为首发症状的病例并不多见。目前还没有以乳房病变为首发症状的 RT 病例报告。非特异性和非典型临床表现是准确诊断和适当治疗 RT 的关键挑战。本病例报告描述了一名以乳房病变作为 RT 首发症状的老年女性患者。患者因左侧乳房无痛性肿块入院。检查发现多处淋巴结病变和异常高的白细胞水平。经过血液学检查、骨髓形态学评估和组织活检,患者被诊断为 CLL。乳房 X 线照相术和 B 超显示左侧乳房有实性占位性病变(BI-RADS 第 5 类)。起初,患者拒绝接受乳腺活检,因此接受了伊布替尼治疗,但疗效有限。患侧乳房的针刺活检显示存在弥漫大B细胞淋巴瘤。根据辅助检查、病理检查和病史,最终诊断为乳腺受累的 RT。扎鲁替尼联合利妥昔单抗、环磷酰胺、多柔比星、长春新碱和泼尼松的治疗初步控制了病情,但由于患者病情波动较大,治疗策略需要调整。患者目前的状况被标记为稳定,总体上实现了部分缓解。患者正在接受后续治疗。我们还对 RT 进行了全面的文献综述,特别强调了 RT 的生物学范式、预后影响、现有治疗方法以及治疗模式的新方向。
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引用次数: 0
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