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Skeletal Muscle Electrical Stimulation Prevents Progression of Disuse Muscle Atrophy via Forkhead Box O Dynamics Mediated by Phosphorylated Protein Kinase B and Peroxisome Proliferator-Activated Receptor gamma Coactivator-1alpha. 骨骼肌电刺激通过磷酸化蛋白激酶 B 和过氧化物酶体增殖体激活受体 gamma 辅激活剂-1alpha 介导的叉头框 O 动态变化,防止废用性肌肉萎缩的进展。
IF 2.1 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-03-11
A Takahashi, Y Honda, N Tanaka, J Miyake, S Maeda, H Kataoka, J Sakamoto, M Okita

Although electrical muscle stimulation (EMS) of skeletal muscle effectively prevents muscle atrophy, its effect on the breakdown of muscle component proteins is unknown. In this study, we investigated the biological mechanisms by which EMS-induced muscle contraction inhibits disuse muscle atrophy progression. Experimental animals were divided into a control group and three experimental groups: immobilized (Im; immobilization treatment), low-frequency (LF; immobilization treatment and low-frequency muscle contraction exercise), and high-frequency (HF; immobilization treatment and high-frequency muscle contraction exercise). Following the experimental period, bilateral soleus muscles were collected and analyzed. Atrogin-1 and Muscle RING finger 1 (MuRF-1) mRNA expression levels were significantly higher for the experimental groups than for the control group but were significantly lower for the HF group than for the Im group. Peroxisome proliferator-activated receptor gamma coactivator-1alpha (PGC-1alpha) mRNA and protein expression levels in the HF group were significantly higher than those in the Im group, with no significant differences compared to the Con group. Both the Forkhead box O (FoxO)/phosphorylated FoxO and protein kinase B (AKT)/phosphorylated AKT ratios were significantly lower for the Im group than for the control group and significantly higher for the HF group than for the Im group. These results, the suppression of atrogin-1 and MuRF-1 expression for the HF group may be due to decreased nuclear expression of FoxO by AKT phosphorylation and suppression of FoxO transcriptional activity by PGC-1alpha. Furthermore, the number of muscle contractions might be important for effective EMS.

虽然对骨骼肌的肌肉电刺激(EMS)能有效防止肌肉萎缩,但其对肌肉成分蛋白分解的影响尚不清楚。在这项研究中,我们探讨了 EMS 诱导的肌肉收缩抑制废用性肌肉萎缩进展的生物学机制。实验动物分为对照组和三个实验组:固定组(Im;固定治疗)、低频组(LF;固定治疗和低频肌肉收缩运动)和高频组(HF;固定治疗和高频肌肉收缩运动)。实验结束后,收集并分析双侧比目鱼肌。实验组的 Atrogin-1 和肌肉环指 1 (MuRF-1) mRNA 表达水平明显高于对照组,但高频组明显低于 Im 组。HF组的过氧化物酶体增殖激活受体γ辅助激活剂-1α(PGC-1α)mRNA和蛋白表达水平明显高于Im组,与Con组相比无明显差异。Im组的叉头框O(FoxO)/磷酸化FoxO和蛋白激酶B(AKT)/磷酸化AKT比率均明显低于对照组,而HF组则明显高于Im组。这些结果表明,高频组atrogin-1和MuRF-1的表达受到抑制可能是由于AKT磷酸化导致FoxO的核表达减少以及PGC-1α抑制了FoxO的转录活性。此外,肌肉收缩的次数可能对有效的 EMS 非常重要。
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引用次数: 0
Heat Stroke Induces Pyroptosis in Spermatogonia via the cGAS-STING Signaling Pathway. 中暑通过 cGAS-STING 信号途径诱导精原细胞的嗜热症
IF 2.1 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-03-11
Q-F Deng, Y Liu, H Chu, B Peng, X Li, Y-S Cao

To explore the mechanism whereby cGAS-STING pathway regulates the pyroptosis of cryptorchidism cells, with a view to finding a new strategy for clinically treating cryptorchidism-induced infertility. Spermatogonial GC-1 cells were heat stimulated to simulate the heat hurt microenvironment of cryptorchidism. The cell viability was assayed by CCK-8, and cellular DNA damage was detected by gamma-H2AX immunofluo-rescence assay. Flow cytometry was employed to assess pyroptosis index, while western blot, ELISA and PCR were used to examine the expressions of pyroptosis-related proteins (Caspase-1, IL-1beta, NLRP3) and cGAS-STING pathway proteins (cGAS, STING). After STING silencing by siRNA, the expressions of pyroptosis-related proteins were determined. Pyroptosis occurred after heat stimulation of cells. Morphological detection found cell swelling and karyopyknosis. According to the gamma-H2AX immunofluorescence (IFA) assay, the endonuclear green fluorescence was significantly enhanced, the gamma-H2AX content markedly increased, and the endonuclear DNA was damaged. Flow cytometry revealed a significant increase in pyroptosis index. Western blot and PCR assays showed that the expressions of intracellular pyrogenic proteins like Caspase-1, NLRP3 and GSDMD were elevated. The increased STING protein and gene expressions in cGAS-STING pathway suggested that the pathway was intracellularly activated. Silencing STING protein in cGAS-STING pathway led to significantly inhibited pyroptosis. These results indicate that cGAS-STING pathway plays an important role in heat stress-induced pyroptosis of spermatogonial cells. After heat stimulation of spermatogonial GC-1 cells, pyroptosis was induced and cGAS-STING pathway was activated. This study can further enrich and improve the molecular mechanism of cryptorchidism.

探索 cGAS-STING 通路调控隐睾症细胞热休克的机制,以期找到临床治疗隐睾症诱发的不育症的新策略。对精原细胞 GC-1 进行热刺激,模拟隐睾症的热损伤微环境。用CCK-8检测细胞活力,用γ-H2AX免疫荧光检测细胞DNA损伤。流式细胞术评估了细胞的嗜热指数,Western印迹、ELISA和PCR检测了嗜热相关蛋白(Caspase-1、IL-1beta、NLRP3)和cGAS-STING通路蛋白(cGAS、STING)的表达。用 siRNA 沉默 STING 后,测定了热休克相关蛋白的表达。热刺激细胞后,细胞发生了嗜热症。形态学检测发现细胞肿胀和核分裂。γ-H2AX免疫荧光(IFA)检测显示,核内绿色荧光明显增强,γ-H2AX含量显著增加,核内DNA受损。流式细胞术显示热核变指数明显增加。Western 印迹和 PCR 检测显示,Caspase-1、NLRP3 和 GSDMD 等细胞内热原蛋白的表达量升高。cGAS-STING 通路中 STING 蛋白和基因表达的增加表明该通路在细胞内被激活。沉默 cGAS-STING 通路中的 STING 蛋白可显著抑制细胞的嗜热反应。这些结果表明,cGAS-STING通路在热应激诱导的精原细胞热凋亡中起着重要作用。对精原细胞GC-1进行热刺激后,诱导了细胞的热凋亡,并激活了cGAS-STING通路。这项研究可进一步丰富和完善隐睾症的分子机制。
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引用次数: 0
Periovarian Adipose Tissue - an Impact on Ovarian Functions. 卵巢周围脂肪组织--对卵巢功能的影响。
IF 2.1 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-03-11 DOI: 10.33549/physiolres.935206
W Szyrzisko, M Grzesiak

Periovarian adipose tissue (POAT) is a type of gonadal white adipose tissue that surrounds the ovary. POAT is a source of various bioactive molecules, such as adipokines, cytokines, chemokines, growth factors and hormones. Thereby it could influence crucial ovarian functions. Recent findings showed that removal of POAT affects folliculogenesis and steroidogenesis in the ovary. Furthermore, changes in the morphology and function of POAT were observed in women during menopause or polycystic ovary syndrome. Although the relationship between the body's energy status and fertility in females is generally well known, the contribution of POAT remains still elusive. Therefore, the objective of this review is summarizing the actual state of knowledge about POAT function in physiological and pathological processes within the ovary.

卵巢周围脂肪组织(POAT)是一种环绕卵巢的性腺白色脂肪组织。卵巢周围脂肪组织是各种生物活性分子的来源,如脂肪因子、细胞因子、趋化因子、生长因子和激素。因此,它可以影响卵巢的重要功能。最近的研究结果表明,切除 POAT 会影响卵巢的卵泡生成和类固醇生成。此外,还观察到更年期或多囊卵巢综合症妇女的 POAT 形态和功能发生了变化。虽然身体能量状态与女性生育力之间的关系已广为人知,但 POAT 的作用仍难以捉摸。因此,本综述旨在总结有关 POAT 在卵巢生理和病理过程中功能的实际知识状况。
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引用次数: 0
Angiotensin I and II Stimulate Cell Invasion of SARS-CoV-2: Potential Mechanism via Inhibition of ACE2 Arm of RAS. 血管紧张素 I 和 II 刺激 SARS-CoV-2 的细胞侵袭:通过抑制 RAS 的 ACE2 臂的潜在机制
IF 2.1 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-03-11
S Zorad, M Skrabanova, M Zilkova, M Cente, N Turic Csokova, B Kovacech, D Cizkova, P Filipcik

Angiotensin-converting enzyme 2 (ACE2), one of the key enzymes of the renin-angiotensin system (RAS), plays an important role in SARS-CoV-2 infection by functioning as a virus receptor. Angiotensin peptides Ang I and Ang II, the substrates of ACE2, can modulate the binding of SARS-CoV-2 Spike protein to the ACE2 receptor. In the present work, we found that co incubation of HEK-ACE2 and Vero E6 cells with the SARS-CoV-2 Spike pseudovirus (PVP) resulted in stimulation of the virus entry at low and high micromolar concentrations of Ang I and Ang II, respectively. The potency of Ang I and Ang II stimulation of virus entry corresponds to their binding affinity to ACE2 catalytic pocket with 10 times higher efficiency of Ang II. The Ang II induced mild increase of PVP infectivity at 20 microM; while at 100 microM the increase (129.74+/-3.99 %) was highly significant (p<0.001). Since the angiotensin peptides act in HEK ACE2 cells without the involvement of angiotensin type I receptors, we hypothesize that there is a steric interaction between the catalytic pocket of the ACE2 enzyme and the SARS-CoV-2 S1 binding domain. Oversaturation of the ACE2 with their angiotensin substrate might result in increased binding and entry of the SARS-CoV-2. In addition, the analysis of angiotensin peptides metabolism showed decreased ACE2 and increased ACE activity upon SARS-CoV-2 action. These effects should be taken into consideration in COVID-19 patients suffering from comorbidities such as the over-activated renin-angiotensin system as a mechanism potentially influencing the SARS-CoV-2 invasion into recipient cells.

血管紧张素转换酶 2(ACE2)是肾素-血管紧张素系统(RAS)的关键酶之一,它作为病毒受体在 SARS-CoV-2 感染中发挥着重要作用。血管紧张素肽 Ang I 和 Ang II 是 ACE2 的底物,可调节 SARS-CoV-2 Spike 蛋白与 ACE2 受体的结合。在本研究中,我们发现将 HEK-ACE2 细胞和 Vero E6 细胞与 SARS-CoV-2 Spike 伪病毒(PVP)共培养,在低、高微摩尔浓度的 Ang I 和 Ang II 的作用下,可分别刺激病毒的进入。Ang I和Ang II刺激病毒进入的效力与它们与ACE2催化口袋的结合亲和力有关,Ang II的效率是ACE2的10倍。在 20 微摩尔浓度下,Ang II 诱导的 PVP 感染性轻微增加;而在 100 微摩尔浓度下,PVP 感染性的增加(129.74+/-3.99 %)非常显著(p<0.05)。
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引用次数: 0
Estragole Ameliorates CFA Induced Rheumatoid Arthritis Symptoms in Wistar Rats by Inhibiting JAK-2/STAT-3 Pathway. 雌二醇通过抑制JAK-2/STAT-3通路改善CFA诱导的Wistar大鼠类风湿关节炎症状
IF 2.1 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-03-11 DOI: 10.33549/physiolres.935204
J Zhang, D Wang, X Hu

The present study was conducted to scrutinize the pharmacological effect of Estragole (ESG) against CFA-induced arthritis in rats. The rats underwent induction of arthritis using the administration of CFA and after that, the rats were randomly divided into five different groups, where three groups correspond to diverse dosages of ESG, and the other two were control and CFA-arthritic control. Results of the study suggested that ESG in a dose-dependent manner, improves body weight and arthritis score of rats as evidenced by reduction of hind-paw volume. ESG also improved the antioxidant status of rats by reducing MDA levels and enhancing the concentration of endogenous antioxidants SOD and GPx. The level of pro-inflammatory cytokines was also found to be reduced in the case of ESG treated group as compared to CFA-group. In a western blot analysis, ESH showed downregulation of p-JAK-2/STAT-3. The study provided concrete evidence for the protective effect of ESG against rheumatoid arthritis in rats.

本研究旨在探讨雌二醇(ESG)对 CFA 诱导的大鼠关节炎的药理作用。给大鼠注射 CFA 诱导关节炎,然后将大鼠随机分为五组,其中三组对应不同剂量的 ESG,另外两组分别为对照组和 CFA-关节炎对照组。研究结果表明,ESG 以剂量依赖的方式改善了大鼠的体重和关节炎评分,后爪体积的减少也证明了这一点。ESG 还能降低 MDA 水平,提高内源性抗氧化剂 SOD 和 GPx 的浓度,从而改善大鼠的抗氧化状态。与 CFA 组相比,ESG 治疗组的促炎细胞因子水平也有所降低。在 Western 印迹分析中,ESH 显示 p-JAK-2/STAT-3 下调。这项研究为 ESG 对大鼠类风湿性关节炎的保护作用提供了具体证据。
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引用次数: 0
Protective Effects of Aspirin Supplemented With Quercetin in L-NAME-Induced Preeclampsia-Like Rats. 阿司匹林辅以槲皮素对 L-NAME 诱导的子痫前期大鼠的保护作用
IF 2.1 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-03-11 DOI: 10.33549/physiolres.935196
J Ding, S Yang, D Chen, X Shi, Y Zhang, L Song, J Zhang

Aspirin supplemented with quercetin was reported to enhance the therapeutic effects of aspirin in a rat model of preeclampsia. In this study, the underlying mechanisms were further explored. Preeclampsia was induced by L-NAME (50 mg/kg/day) via oral gavage from gestation day (GD)14 to GD19. Aspirin (1.5 mg/kg/day) administration was performed using aspirin mixed with rodent dough from GD0 to GD19. The administration of quercetin (2 mg/kg/day) was performed by intraperitoneal infusion from GD0 to GD19. Protein levels were evaluated using ELISA or Western blot, and microRNA (miRNA) level was evaluated by RT-PCR. Aspirin supplemented with quercetin ameliorated the increase of systolic blood pressure (SBP), proteinuria, tumor necrosis factor-alpha (TNF-alpha) and interleukin-6 (IL-6) levels, and improved the pregnancy outcomes in preeclampsia rats. Aspirin supplemented with quercetin inhibited miR-155 expression in preeclampsia rats. The decreased miR-155 level in placenta further increased the protein level of SOCS1 and inhibited the phosphorylation of p65. In this study, we demonstrated that aspirin supplemented with quercetin enhanced the effects of aspirin for the treatment of preeclampsia.

据报道,在子痫前期大鼠模型中,阿司匹林辅以槲皮素可增强阿司匹林的治疗效果。本研究进一步探讨了其潜在机制。从妊娠14天到妊娠19天,通过口服L-NAME(50毫克/千克/天)诱导子痫前期。阿司匹林(1.5 毫克/千克/天)是使用阿司匹林与啮齿类动物面团混合,从妊娠期第 0 天到妊娠期第 19 天进行给药。槲皮素(2 毫克/千克/天)的给药是在 GD0 至 GD19 期间通过腹腔注射进行的。使用 ELISA 或 Western 印迹法评估蛋白质水平,使用 RT-PCR 评估微RNA (miRNA)水平。阿司匹林辅以槲皮素可改善子痫前期大鼠收缩压(SBP)、蛋白尿、肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)水平的升高,并改善妊娠结局。阿司匹林辅以槲皮素可抑制子痫前期大鼠体内 miR-155 的表达。胎盘中 miR-155 水平的降低进一步提高了 SOCS1 的蛋白水平,并抑制了 p65 的磷酸化。本研究表明,阿司匹林辅以槲皮素可增强阿司匹林治疗子痫前期的效果。
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引用次数: 0
Resveratrol Attenuates Rheumatoid Arthritis Induce Neutrophil Extracellular Traps via TLR-4 Mediated Inflammation in C57BL/6 Mice. 白藜芦醇通过TLR-4介导的炎症减轻C57BL/6小鼠类风湿性关节炎诱导的中性粒细胞胞外捕获器的作用
IF 2.1 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-03-11
Z Chen, G Xiao, J Ao

The objective of this study was to evaluate whether RSV inhibits neutrophil extracellular traps (NETs) that induce joint hyperalgesia in C57BL/6 mice after adjuvant-induced arthritis. A subplantar injection of Freund's complete adjuvant was administered to C57BL/6 mice on day 0 for immunization in the AIA model. Resveratrol (RSV, 25 mg/kg) was administered intraperitoneally once daily starting on day 22 and continuing for two weeks. The effects of mechanical hyperalgesia and edema formation have been assessed in addition to histopathological scoring. Mice were sacrificed on day 35 to determine cytokine levels and PADI4 and COX-2 expression levels. ELISA was used to quantify neutrophil extracellular traps (NETs) along with neutrophil elastase-DNA and myeloperoxidase-DNA complexes in neutrophils. An immunohistochemical stain was performed on knee joints to determine the presence of nuclear factor kappa B p65 (NF-kappaB p65). AIA mice were found to have higher levels of NET in joints and their joint cells demonstrated an increased expression of the PADI4 gene. Treatment with RSV in AIA mice (25 mg/kg, i.p.) significantly (P<0.05) inhibited joint hyperalgesia, resulting in a significant increase in mechanical threshold, a decrease in articular edema, a decrease in the production of inflammatory cytokines, increased COX-2 expression, and a decrease in the immunostaining of NF-kappaB. Furthermore, treatment with RSV significantly reduced the amount of neutrophil elastase (NE)-DNA and MPO-DNA complexes, which were used as indicators of NET formation (P<0.05). This study indicates that RSV reduces NET production and hyperalgesia by reducing inflammation mediated by PADI4 and COX-2. According to these data, NETs contribute to joint pain and resveratrol can be used to treat pain in RA through this pathway.

本研究的目的是评估 RSV 是否会抑制中性粒细胞胞外捕获物(NET),而中性粒细胞胞外捕获物会诱发 C57BL/6 小鼠在佐剂诱导的关节炎后出现关节痛觉减退。在AIA模型免疫的第0天,给C57BL/6小鼠注射弗罗因德完全佐剂(Freund's complete adjuvant)。从第22天开始腹腔注射白藜芦醇(RSV,25 mg/kg),每天一次,持续两周。除组织病理学评分外,还评估了机械性痛觉减退和水肿形成的影响。小鼠在第 35 天被处死,以确定细胞因子水平以及 PADI4 和 COX-2 的表达水平。用酶联免疫吸附法(ELISA)量化中性粒细胞胞外捕获物(NET)以及中性粒细胞中的中性粒细胞弹性蛋白酶-DNA 和髓过氧化物酶-DNA 复合物。对膝关节进行免疫组化染色,以确定核因子卡巴B p65(NF-kappaB p65)的存在。结果发现,AIA 小鼠关节中的 NET 含量较高,其关节细胞中 PADI4 基因的表达量也有所增加。用 RSV 对 AIA 小鼠进行治疗(25 毫克/千克,静脉注射)可显著(P
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引用次数: 0
Does Microwave Exposure at Different Doses in the Pre/Postnatal Period Affect Growing Rat Bone Development? 产前/产后不同剂量的微波暴露会影响生长期大鼠的骨骼发育吗?
IF 2.1 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-03-11 DOI: 10.33549/physiolres.935148
A Karadayi, H Sarsmaz, A Çigel, B Engiz, N Ünal, S Ürkmez, S Gürgen

Effects of pre/postnatal 2.45 GHz continuous wave (CW), Wireless-Fidelity (Wi-Fi) Microwave (MW) irradiation on bone have yet to be well defined. The present study used biochemical and histological methods to investigate effects on bone formation and resorption in the serum and the tibia bone tissues of growing rats exposed to MW irradiation during the pre/postnatal period. Six groups were created: one control group and five experimental groups subjected to low-level different electromagnetic fields (EMF) of growing male rats born from pregnant rats. During the experiment, the bodies of all five groups were exposed to 2.45 GHz CW-MW for one hour/day. EMF exposure started after fertilization in the experimental group. When the growing male rats were 45 days old in the postnatal period, the control and five experimental groups' growing male and maternal rats were sacrificed, and their tibia tissues were removed. Maternal rats were not included in the study. No differences were observed between the control and five experimental groups in Receptor Activator Nuclear factor-kB (RANK) biochemical results. In contrast, there was a statistically significant increase in soluble Receptor Activator of Nuclear factor-kB Ligand (sRANKL) and Osteoprotegerin (OPG) for 10 V/m and 15 V/m EMF values. Histologically, changes in the same groups supported biochemical results. These results indicate that pre/postnatal exposure to 2.45 GHz EMF at 10 and 15 V/m potentially affects bone development.

产前/产后2.45 GHz连续波(CW)、无线保真(Wi-Fi)微波(MW)辐照对骨骼的影响尚未明确。本研究采用生化和组织学方法,研究了微波辐照对出生前/后生长期大鼠血清和胫骨骨组织中骨形成和骨吸收的影响。实验共分六组:一组为对照组,五组为实验组,实验对象均为孕鼠所生的生长期雄性大鼠,均受到低水平不同电磁场(EMF)的影响。在实验过程中,所有五组的身体每天暴露在 2.45 千兆赫的 CW-MW 中一小时。实验组在受精后开始接触电磁场。对照组和五个实验组的生长期雄鼠和母鼠在产后 45 天时被处死,并取出胫骨组织。母鼠不参与研究。对照组和五个实验组的受体活化因子核因子-kB(RANK)生化结果无差异。相反,在 10 伏/米和 15 伏/米电磁场值下,可溶性核因子-kB 受体活化因子配体(sRANKL)和骨蛋白激酶(OPG)在统计学上有显著增加。从组织学角度看,同组的变化支持生化结果。这些结果表明,产前/产后暴露于 10 伏/米和 15 伏/米的 2.45 千兆赫电磁场可能会影响骨骼发育。
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引用次数: 0
Monitoring of Caffeine Consumption Effect on Skin Blood Properties by Diffuse Reflectance Spectroscopy. 利用漫反射光谱监测咖啡因摄入对皮肤血液特性的影响
IF 2.1 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-03-11 DOI: 10.33549/physiolres.935138
M Milanic, R Hren, J Stergar, U Simoncic

Caffeine is the most widely consumed psychoactive substance worldwide, affecting numerous tissues and organs, with notable impacts on the central nervous system, heart, and blood vessels. The effect of caffeine on vascular smooth muscle cells is an initial transient contraction followed by significant vasodilatation. In this study we investigate the use of diffuse reflectance spectroscopy (DRS) for monitoring of vascular changes in human skin induced by caffeine consumption. DRS spectra were recorded on volar sides of the forearms of eight healthy volunteers at time intervals of 0, 30, 60, 120, and 180 min after consumption of caffeine, while one subject served as a negative control. Analytical diffusion approximation solutions for diffuse reflectance from three-layer structures were used to assess skin composition (e.g. dermal blood volume fraction and oxygen saturation) by fitting these solutions to experimental data. The results demonstrate that cutaneous vasodynamics induced by caffeine consumption can be monitored by DRS, while changes in the control subject not consuming caffeine were insignificant.

咖啡因是全球消费最广泛的精神活性物质,会影响许多组织和器官,对中枢神经系统、心脏和血管的影响尤为明显。咖啡因对血管平滑肌细胞的影响是最初的短暂收缩,随后是明显的血管舒张。在本研究中,我们研究了利用漫反射光谱(DRS)监测人体皮肤因摄入咖啡因而引起的血管变化。我们在八名健康志愿者摄入咖啡因后的 0、30、60、120 和 180 分钟的时间间隔内记录了他们前臂外侧的 DRS 光谱,其中一名受试者作为阴性对照。通过将三层结构的漫反射分析扩散近似解与实验数据拟合,评估皮肤成分(如真皮血容量分数和氧饱和度)。结果表明,通过 DRS 可以监测摄入咖啡因引起的皮肤血管动力学变化,而未摄入咖啡因的对照组的变化并不明显。
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引用次数: 0
Clinical Efficacy of Blood Ultrafiltration Therapy in Patients with Acute Decompensated Chronic Heart Failure Running Title: Blood Ultrafiltration Therapy for Heart Failure. 血液超滤疗法对急性失代偿期慢性心力衰竭患者的临床疗效 Running Title:血液超滤疗法治疗心力衰竭。
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2023-12-31
Yan-Wei He, Feng-Qin Wang, Fen-Fang Zhang, Huan-Zhen Chen

In this study, we investigated the clinical effects of blood ultrafiltration therapy in patients with acute decompensated chronic heart failure. We enrolled 78 patients with acute decompensated chronic heart failure who were admitted to a hospital from September 2017 to December 2021, and divided them into two groups based on the digital randomization method. The FQ-16 heart failure ultrafiltration dehydrating device blood ultrafiltration therapy was administered to the observation group (39 patients) for 8-16 hours, while the control group (39 patients) received the stepped drug therapy. Echocardiography was used to assess the changes in cardiac function of the patients in both groups before and after treatment. The changes in urine volume, N-terminal pro-B-type natriuretic peptide (NT-proBNP), plasma renin, and serum creatinine levels were measured before and after the treatment to compare the overall response rate of the patients in both groups. The differences in left ventricular end-systolic dimension and left ventricular end-diastolic dimension and the ejection fraction between the groups before treatment were not statistically significant (P > 0.05), however, the left ventricular end-diastolic dimension in the observation group was significantly lower and the ejection fraction was significantly higher (P < 0.05) compared with that before treatment; the urine volume, N-terminal pro-B-type natriuretic peptide (NT-proBNP), plasma renin, and serum creatinine were significantly improved in both groups after treatment compared with that before treatment. All indexes in the observation group were better than those in the control group (P < 0.05), 74.36%. The overall response rate of the observation group was 94.87%, x2 = 4.843 and the difference between groups was statistically significant (P < 0.05). Blood ultrafiltration therapy for patients with acute decompensated chronic heart failure can improve their cardiac and renal functions, reduce NT-proBNP, reduce volume load, and enhance efficacy while ensuring high safety.

在这项研究中,我们探讨了血液超滤疗法对急性失代偿慢性心力衰竭患者的临床效果。我们选取了2017年9月至2021年12月某医院收治的78例急性失代偿慢性心力衰竭患者,根据数字随机法将其分为两组。观察组(39例)给予FQ-16心衰超滤脱水装置血液超滤治疗8-16小时,对照组(39例)接受阶梯药物治疗。采用超声心动图评估两组患者治疗前后心脏功能的变化。通过测量治疗前后尿量、N-末端前 B 型钠尿肽(NT-proBNP)、血浆肾素和血清肌酐水平的变化,比较两组患者的总体反应率。与治疗前相比,两组患者的左室收缩末期尺寸、左室舒张末期尺寸和射血分数差异无统计学意义(P > 0.05),但观察组患者的左室舒张末期尺寸明显降低,射血分数明显升高(P < 0.05);两组治疗后的尿量、N末端前B型钠尿肽(NT-proBNP)、血浆肾素、血清肌酐均较治疗前有明显改善。观察组的各项指标均优于对照组(P<0.05),达 74.36%。观察组的总反应率为 94.87%,x2 = 4.843,组间差异有统计学意义(P < 0.05)。对急性失代偿期慢性心力衰竭患者进行血液超滤治疗,可改善患者的心肾功能,降低NT-proBNP,减轻容量负荷,在保证较高安全性的同时提高疗效。
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引用次数: 0
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Physiological research
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