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Diagnostic Value of Contrast-Enhanced Ultrasound Combined with MiR-125b-5p in Acute Cerebral Infarction and Its Correlation with Carotid Plaque Neovascularization. 超声造影联合MiR-125b-5p对急性脑梗死的诊断价值及其与颈动脉斑块新生血管的相关性
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-06 Epub Date: 2025-02-06 DOI: 10.1620/tjem.2025.J011
Qianqian Pei, Renyi Zhu, Yafei Yang

The vulnerability of carotid plaque is a risk factor for the development of acute cerebral infarction (ACI). Contrast-enhanced ultrasound (CEUS) is widely employed in the assessment of carotid plaque. miR-125b-5p was reported to be associated with the development of ACI. The aim was to investigate the diagnostic value of CEUS combined with serum miR-125b-5p for ACI and its correlation with carotid plaque. The study included 102 ACI patients and 80 non-ACI patients (controls) with carotid plaques. All subjects underwent CEUS examination. Serum miR-125b-5p levels were detected by RT-qPCR. The correlation between plaque neovascularization grade and each indicator was analyzed by Spearman's method. The diagnostic value of CEUS combined with miR-125b-5p was analyzed by the ROC curve. CEUS parameters peak intensity ratio (PIR) and area under the curve (AUCceus) values were higher in the ACI group, but mean transit time (MTT) and time to peak (TTP) values were significantly lower. In ACI patients, miR-125b-5p was upregulated and positively correlated with NIHSS scores. The combination of miR-125b-5p, TTP, and AUCceus showed higher AUC, sensitivity, and specificity than the individual indicators in differentiating between ACI patients and controls. PIR, TTP, AUCceus, MTT, and miR-125b-5p were strongly correlated with neovascularization grades of ACI patients. The combination of CEUS with serum miR-125b-5p had better diagnostic significance in ACI patients with carotid plaque. CEUS parameters and serum miR-125b-5p were significantly correlated with carotid plaque neovascularization.

颈动脉斑块易损性是急性脑梗死(ACI)发生的危险因素之一。超声造影(CEUS)被广泛应用于颈动脉斑块的评估。据报道,miR-125b-5p与ACI的发生有关。目的探讨超声造影联合血清miR-125b-5p对ACI的诊断价值及其与颈动脉斑块的相关性。该研究包括102名ACI患者和80名颈动脉斑块的非ACI患者(对照组)。所有受试者均行超声造影检查。RT-qPCR检测血清miR-125b-5p水平。采用Spearman法分析斑块新生血管分级与各指标的相关性。通过ROC曲线分析CEUS联合miR-125b-5p的诊断价值。ACI组CEUS参数峰值强度比(PIR)和曲线下面积(AUCceus)值较高,但平均传递时间(MTT)和峰值时间(TTP)值显著低于ACI组。在ACI患者中,miR-125b-5p上调,并与NIHSS评分呈正相关。miR-125b-5p、TTP和AUCceus联合使用在区分ACI患者和对照组时,AUC、敏感性和特异性均高于单项指标。PIR、TTP、AUCceus、MTT和miR-125b-5p与ACI患者的新生血管分级密切相关。超声造影联合血清miR-125b-5p对ACI颈动脉斑块患者有更好的诊断意义。超声造影参数和血清miR-125b-5p与颈动脉斑块新生血管形成显著相关。
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引用次数: 0
Clinical Significance and Biological Role of LncRNA HCG11 in Diabetic Retinopathy. LncRNA HCG11在糖尿病视网膜病变中的临床意义及生物学作用
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-05 Epub Date: 2025-03-06 DOI: 10.1620/tjem.2025.J033
Jiawen Ling, Jianli Ma, Zhencheng Wu, Xianmi Lin, Chaohui Zhu, Xiang Xiao

Diabetic retinopathy (DR) is a critical and prevalent microvascular complication in patients with diabetes mellitus (DM), potentially culminating in blindness. Although lncRNA HCG11 has been proposed as a biomarker for this type of disease, supporting evidence remains sparse. This research endeavor is aimed at explicating the clinical relevance and molecular underpinnings of lncRNA HCG11 in DR patients. Serum levels of HCG11 were quantified in both DR and DM patients to assess its potential as an early diagnostic biomarker. Additionally, the effects of HCG11 on human retinal pigment epithelial cells (ARPE-19) were investigated in a vitro cell model, and the interaction between HCG11 and miR-532-3p was investigated through a dual-luciferase reporter assay. The results indicated that a significant upregulation of HCG11 in DR patients and could distinguish DR patients from those with DM with high sensitivity and specificity. In vitro experiments revealed that knockdown of HCG11 mitigated high glucose-induced inhibition of cell viability, reduced apoptosis, and lowered inflammatory cytokine secretion. The dual-luciferase reporter assay confirmed the binding interaction between HCG11 and miR-532-3p, also noting a negative correlation. The detailed mechanisms of their interaction warrant further investigation. lncRNA HCG11 was pivotal in the pathogenesis of DR, emerging as a promising diagnostic and therapeutic target. This study offers novel molecular insights and potential strategies for diagnosing and treating diabetic retinopathy.

糖尿病视网膜病变(DR)是糖尿病(DM)患者中一种重要且普遍的微血管并发症,最终可能导致失明。尽管lncRNA HCG11已被提出作为这类疾病的生物标志物,但支持证据仍然很少。本研究旨在阐明lncRNA HCG11在DR患者中的临床相关性和分子基础。我们对糖尿病和糖尿病患者的血清HCG11水平进行了量化,以评估其作为早期诊断生物标志物的潜力。此外,我们在体外细胞模型中研究了HCG11对人视网膜色素上皮细胞(ARPE-19)的影响,并通过双荧光素酶报告基因实验研究了HCG11与miR-532-3p之间的相互作用。结果表明,HCG11在DR患者中表达显著上调,具有较高的敏感性和特异性,可将DR患者与DM患者区分开来。体外实验显示,敲低HCG11可减轻高糖诱导的细胞活力抑制,减少细胞凋亡,降低炎性细胞因子分泌。双荧光素酶报告试验证实了HCG11与miR-532-3p之间的结合相互作用,也注意到负相关。它们相互作用的详细机制有待进一步研究。lncRNA HCG11在DR的发病机制中起关键作用,成为一种有前景的诊断和治疗靶点。这项研究为糖尿病视网膜病变的诊断和治疗提供了新的分子见解和潜在的策略。
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引用次数: 0
TAL1 Suppresses High-Grade Serous Ovarian Cancer Progression by Transcriptionally Inhibiting TPI1-Mediated Glycolysis. TAL1通过转录抑制tpi1介导的糖酵解抑制高级别浆液性卵巢癌的进展。
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-05 DOI: 10.1620/tjem.2025.J169
Nan Zhao, Yu Wang, Wei Gao, Chunhe Zhou
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引用次数: 0
Transcription Factor 21 Inhibits Prostate Cancer Progression via Transcriptional Repression of PSAT1. 转录因子21通过转录抑制PSAT1抑制前列腺癌进展。
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-05 DOI: 10.1620/tjem.2025.J170
Shaoting Wang, Qiang Wang, Yitong Wang, Xin Shao
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引用次数: 0
Adipose-Derived Mesenchymal Stem Cells-Derived Exosomes Alleviate LPS-Induced Hepatocyte Injury in Sepsis by Inhibiting the JAK2/STAT3 Signaling Pathway. 脂肪来源的间充质干细胞来源的外泌体通过抑制JAK2/STAT3信号通路减轻lps诱导的脓毒症肝细胞损伤
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-05 DOI: 10.1620/tjem.2025.J174
Xiaona Yi, Tong Lin, Xingkai Shen, Bingyang Liu, Haiyan Mao, Meixia Zheng, Feifei Zhou, Yi Ding, Yuhong Jin
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引用次数: 0
Meiosis-Related genes STAG3/SYCP2 as HPV-Linked Biomarkers in Oral and Head-Neck Squamous Carcinoma: Integrative Analyses and Clinical Validation. 减数分裂相关基因STAG3/SYCP2作为口腔和头颈部鳞状癌hpv相关的生物标志物:综合分析和临床验证
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-05 DOI: 10.1620/tjem.2025.J172
Dan Wang, Hui-Yong Liu
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引用次数: 0
SPARCL1 Regulates Proliferation and Angiogenesis of HUVECs Through the DLL4/NOTCH1 Pathway in Preeclampsia. SPARCL1通过DLL4/NOTCH1通路调控子痫前期HUVECs的增殖和血管生成
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-04 Epub Date: 2025-07-17 DOI: 10.1620/tjem.2025.J092
Lingfang Liu, Yan Gao, Li Ao, Chao Yang, Wanyu Zhao, Chunmei Deng, Qian Zhu, Yan Chen, Qiuli Lan, Qian Hao, Yang Wang

Vascular endothelial dysfunction plays a critical role in the development of preeclampsia (PE). Secreted protein acidic and cysteine rich like 1 (SPARCL1) plays a role in regulating angiogenesis, yet its role in PE remains unclear. This study investigates the involvement of SPARCL1 in the development of PE. Placental tissues from healthy volunteers and patients with PE were collected to detect the expression of SPARCL1. Human umbilical vein endothelial cells (HUVECs) cultured under hypoxic conditions were utilized to investigate the role of SPARCL1 in PE. The biological behaviors of the cells were examined through cell functional assay. The expressions of DLL4/NOTCH1/HES1/VEGF proteins as well as apoptosis-related proteins were evaluated by western blot. The effects of SPARCL1/DLL4 on hypoxia-induced HUVECs were verified via rescue experiments. SPARCL1 was upregulated in placental tissues of PE patients and hypoxia-induced HUVECs. In hypoxia-induced HUVECs, shSPARCL1 facilitated the proliferative, migratory, invasive, and tube-forming capabilities yet inhibited apoptosis. ShSPARCL1 upregulated the protein levels of VEGF, HES1, NOTCH1 and DLL4. However, above-mentioned effects were all reversed by shDLL4. SPARCL1 may influence the proliferative, migratory, invasive, and tube-forming capabilities of hypoxia-induced HUVECs by regulating the DLL4/NOTCH1 axis, thereby facilitating the progression of PE.

血管内皮功能障碍在子痫前期(PE)的发展中起着至关重要的作用。分泌蛋白酸性和富含半胱氨酸如1 (SPARCL1)在调节血管生成中起作用,但其在PE中的作用尚不清楚。本研究探讨了SPARCL1在PE发生中的作用。收集健康志愿者和PE患者的胎盘组织,检测SPARCL1的表达。利用缺氧条件下培养的人脐静脉内皮细胞(HUVECs)研究SPARCL1在PE中的作用。通过细胞功能试验检测细胞的生物学行为。western blot检测DLL4/NOTCH1/HES1/VEGF蛋白及凋亡相关蛋白的表达。通过抢救实验验证了SPARCL1/DLL4对缺氧诱导HUVECs的作用。SPARCL1在PE患者和缺氧诱导的HUVECs胎盘组织中表达上调。在缺氧诱导的HUVECs中,shSPARCL1促进了增殖、迁移、侵袭和成管能力,但抑制了细胞凋亡。ShSPARCL1上调VEGF、HES1、NOTCH1和DLL4蛋白水平。而shDLL4完全逆转了上述效应。SPARCL1可能通过调控DLL4/NOTCH1轴影响缺氧诱导的HUVECs的增殖、迁移、侵袭和成管能力,从而促进PE的进展。
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引用次数: 0
CCL25 Stabilized by IGF2BP3 Induces Cellular Oxidative Stress to Promote Septic Lung Injury. IGF2BP3稳定CCL25诱导细胞氧化应激促进脓毒性肺损伤
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-01-31 Epub Date: 2025-10-23 DOI: 10.1620/tjem.2025.J126
Miao Bian, Xiadong Du, Xue Fan, Yihan Wei, Bo Li, Li Pang, Jingchun Han

Septic lung injury is a severe clinical problem with high mortality, and oxidative stress plays a critical role in its pathogenesis. This research focused on investigating how IGF2BP3 stabilizes CCL25 mRNA and its subsequent effects on cellular oxidative stress and septic lung injury. An in vitro cell injury model was established using LPS. The CCK-8 assay, flow cytometry and ELISA were employed to evaluate cell viability, death and inflammatory cytokine levels respectively. ROS accumulation, MDA content and antioxidant enzyme activities (SOD and GSH-Px) were quantified. Analysis of IGF2BP3 and CCL25 expression was conducted through qPCR and Western Blot. To confirm the interaction between IGF2BP3 and CCL25 mRNA, RIP and RNA pull-down were conducted. CCL25 mRNA stability was assessed following actinomycin D administration. Sepsis-caused lung injury model was created using CLP in mice. Further validation of CCL25's involvement in septic lung injury was conducted through qPCR, Western Blot, HE, ELISA and measurement of oxidative stress indicators. After LPS treatment, the cell viability was significantly decreased and the cell death, inflammation as well as oxidative stress were induced, the expressions of IGF2BP3 as well as CCL25 were markedly increased. Knockdown of CCL25 alleviated cellular oxidative stress and cellular damage caused by LPS. In addition, IGF2BP3 bound CCL25 and stabilized CCL25 mRNA, thus regulating LPS-induced cellular oxidative stress and cellular damage. In vivo, knockdown of CCL25 alleviated oxidative stress and inflammatory injury of lung tissue. CCL25 stabilized by IGF2BP3 could promote septic lung injury by inducing cellular oxidative stress.

脓毒性肺损伤是一个严重的临床问题,死亡率高,氧化应激在其发病机制中起关键作用。本研究主要探讨IGF2BP3如何稳定CCL25 mRNA及其对细胞氧化应激和脓毒性肺损伤的影响。采用LPS建立体外细胞损伤模型。CCK-8法、流式细胞术和ELISA法分别检测各组细胞活力、死亡和炎性细胞因子水平。测定ROS积累、MDA含量和抗氧化酶活性(SOD和GSH-Px)。采用qPCR和Western Blot分析IGF2BP3和CCL25的表达情况。为了确认IGF2BP3与CCL25 mRNA之间的相互作用,我们进行了RIP和RNA pull-down。放线菌素D给药后评估CCL25 mRNA的稳定性。采用CLP建立小鼠脓毒症肺损伤模型。通过qPCR、Western Blot、HE、ELISA及氧化应激指标测定进一步验证CCL25参与脓毒性肺损伤。LPS处理后,细胞活力明显降低,诱导细胞死亡、炎症和氧化应激,IGF2BP3和CCL25的表达明显升高。CCL25基因敲低可减轻LPS引起的细胞氧化应激和细胞损伤。此外,IGF2BP3结合CCL25并稳定CCL25 mRNA,从而调节lps诱导的细胞氧化应激和细胞损伤。在体内,敲低CCL25可减轻肺组织氧化应激和炎症损伤。IGF2BP3稳定CCL25可通过诱导细胞氧化应激促进脓毒性肺损伤。
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引用次数: 0
Up-Regulated miR-20b-5p Mitigates Cell Inflammation and Apoptosis in Allergic Rhinitis via STAT3. 上调的 MiR-20b-5p 通过 STAT3 缓解过敏性鼻炎的细胞炎症和凋亡
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-01-24 Epub Date: 2024-11-21 DOI: 10.1620/tjem.2024.J136
ZeWei Zhong, XiaoHua Huang, Qiong Lan, WeiHua Chen

Allergic rhinitis (AR) is a highly prevalent, chronic hypersensitivity reaction of the nasal mucosa. The exact function of miR-20b-5p in AR is currently unknown. The purpose of this study was to investigate the relationship between miR-20b-5p and illness risk, as well as its function in AR. One hundred and seventy-six patients provided blood samples. Human nasal epithelial cells (NEPCs) stimulated with 50 ng/mL interleukin-13 (IL-13) created the in vitro research model of AR. A receiver operator characteristic (ROC) curve was used to illustrate the miR-20b-5p clinical predictive value. Cell transfection was used to regulate gene expression. By using qRT-PCR, the expression levels of signal transducer and activator of transcription 3 (STAT3) and miR-20b-5p were examined. The CCK-8 kit was used to measure cell viability. Using a flow cytometer, cell apoptosis was found. Enzyme-linked immunosorbent assay (ELISA) was used to investigate the serum IgE and the inflammatory evaluation, which included MUC5AC, eotaxin, GM-CSF. The dual luciferase reporter system was employed to confirm the targeting link between miR-20b-5p and STAT3. The relative miR-20b-5p level was diminished in AR patients, in addition to human NEPCs induced with IL-13. Up-regulation of miR-20b-5p inverted decreased cell viability and elevated cell apoptosis. Moreover, the content of inflammatory cytokines MUC5AC, eotaxin, and GM-CSF was strengthened after IL-13 treatment, and highly expressed miR-20b-5p restrained the levels of inflammation dramatically. ROC curves with high sensitivity and specificity suggested miR-20b-5p as a potential biomarker for illness prediction. STAT3 was a potential downstream target of miR-20b-5p. miR-20b-5p serves as a candidate biomarker for AR. Enhanced miR-20b-5p can inhibit nasal epithelial cell inflammation and apoptosis.

过敏性鼻炎(AR)是一种非常普遍的慢性鼻黏膜过敏反应。miR-20b-5p在AR中的确切功能目前尚不清楚。本研究的目的是探讨miR-20b-5p与疾病风险的关系及其在AR中的功能。176例患者提供了血液样本。用50 ng/mL白细胞介素-13 (IL-13)刺激人鼻上皮细胞(NEPCs)建立AR体外研究模型,采用受试者操作特征(ROC)曲线说明miR-20b-5p的临床预测价值。通过细胞转染调控基因表达。采用qRT-PCR检测转录信号传导和激活因子3 (STAT3)和miR-20b-5p的表达水平。CCK-8试剂盒检测细胞活力。流式细胞仪观察细胞凋亡。采用酶联免疫吸附试验(ELISA)检测血清IgE及炎性评价指标MUC5AC、eotaxin、GM-CSF。采用双荧光素酶报告系统确认miR-20b-5p与STAT3之间的靶向联系。除了IL-13诱导的人类NEPCs外,AR患者中miR-20b-5p的相对水平降低。上调miR-20b-5p可逆转细胞活力降低和细胞凋亡升高。IL-13处理后炎性细胞因子MUC5AC、eotaxin、GM-CSF含量增强,高表达的miR-20b-5p显著抑制炎症水平。高灵敏度和特异性的ROC曲线提示miR-20b-5p可能是疾病预测的潜在生物标志物。STAT3是miR-20b-5p的潜在下游靶点。miR-20b-5p作为AR的候选生物标志物,增强的miR-20b-5p可以抑制鼻上皮细胞的炎症和凋亡。
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引用次数: 0
Effect of Serum miR-106a-5p on Vascular Calcification in Dialysis Patients. 血清MiR-106a-5p对透析患者血管钙化的影响
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-01-23 Epub Date: 2025-05-29 DOI: 10.1620/tjem.2025.J064
Hong Zhang, Zhihang Jiang, Lei Xu, Jihong Zhang, Yawei Yuan, Xuanlin Lu

Vascular calcification (VC) represents a highly significant and independent risk factor associated with increased mortality in hemodialysis patients. This study aimed to investigate the potential clinical significance of microRNA (miR)-106a-5p in the pathogenesis of vascular VC. This study included 165 hemodialysis patients with VC and 90 hemodialysis patients without VC. The expression levels of miR-106a-5p were assessed using quantitative real-time polymerase chain reaction (RT-qPCR) technology. Serum parathyroid hormone (PTH) levels were determined via chemiluminescence immunoassay (CLIA), while osteocalcin levels were measured using enzyme-linked immunosorbent assay (ELISA). Additionally, the diagnostic value of miR-106a-5p for VC was evaluated using receiver operating characteristic (ROC) curve analysis. Multivariate logistic regression analysis was employed to identify risk factors associated with VC. Advanced age, prolonged dialysis duration, elevated alkaline phosphatase levels, higher blood calcium concentrations, and increased inflammatory response [as indicated by higher C-reactive protein (CRP) levels] were potential risk factors for VC in dialysis patients. RT-qPCR revealed a significant reduction in miR-106a-5p expression in the VC patient group. Furthermore, as the severity of VC progressed from mild to moderate to severe, miR-106a-5p expression progressively decreased. Multivariate logistic regression analysis identified age, CRP, and miR-106a-5p as significant predictors of VC. Additionally, PTH and osteocalcin levels were significantly higher in the VC group, with miR-106a-5p expression negatively correlated with PTH and osteocalcin levels. ROC curve analysis demonstrated that miR-106a-5p has diagnostic utility for VC. In conclusion, miR-106a-5p held potential as a diagnostic marker in the process of VC.

血管钙化(VC)是与血液透析患者死亡率增加相关的一个高度显著且独立的危险因素。本研究旨在探讨microRNA (miR)-106a-5p在血管性VC发病机制中的潜在临床意义。本研究纳入165例有VC的血液透析患者和90例无VC的血液透析患者。采用实时定量聚合酶链反应(RT-qPCR)技术评估miR-106a-5p的表达水平。采用化学发光免疫分析法(CLIA)测定血清甲状旁腺激素(PTH)水平,采用酶联免疫吸附法(ELISA)测定骨钙素水平。此外,采用受试者工作特征(ROC)曲线分析评估miR-106a-5p对VC的诊断价值。采用多因素logistic回归分析确定与VC相关的危险因素。高龄、透析时间延长、碱性磷酸酶水平升高、血钙浓度升高、炎症反应增加[c反应蛋白(CRP)水平升高]是透析患者发生VC的潜在危险因素。RT-qPCR结果显示,VC患者组miR-106a-5p表达显著降低。此外,随着VC的严重程度从轻度到中度再到重度,miR-106a-5p的表达逐渐降低。多因素logistic回归分析发现,年龄、CRP和miR-106a-5p是VC的重要预测因素。此外,VC组PTH和骨钙素水平显著升高,miR-106a-5p表达与PTH和骨钙素水平呈负相关。ROC曲线分析显示miR-106a-5p对VC具有诊断价值。总之,miR-106a-5p在VC过程中具有作为诊断标志物的潜力。
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引用次数: 0
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Tohoku Journal of Experimental Medicine
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