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KRAS and MET Co-Mutation in One Lesion and EGFR Mutation in Another Lesion of Early-Stage Synchronous Multiple Lung Adenocarcinomas: A Case Report. KRAS和MET在一个病变中共突变,EGFR在另一个早期同步多发性肺腺癌中突变1例。
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-12-25 DOI: 10.1620/tjem.2025.J157
Takayasu Ito, Ken Onodera, Naoya Ishida, Sakiko Kumata, Takeo Togo, Tatsuaki Watanabe, Yui Watanabe, Takashi Hirama, Takaya Suzuki, Hirotsugu Notsuda, Hisashi Oishi, Yoshinori Okada
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引用次数: 0
Effect of Romosozumab on Localized Periosteal Thickening: A Precursor to Atypical Femoral Fractures. 罗莫索单抗对局部骨膜增厚的影响:非典型股骨骨折的前兆。
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-12-25 DOI: 10.1620/tjem.2025.J160
Hiroe Sato, Naoki Kondo, Eriko Hasegawa, Ayako Wakamatsu, Yukiko Nozawa, Daisuke Kobayashi, Junichiro James Kazama, Takeshi Kuroda, Naoto Endo, Suguru Yamamoto
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引用次数: 0
NPSR1-AS1 Promotes Colorectal Cancer Cell Proliferation by Upregulating YRDC Expression via Interaction with miR-365b-3p. NPSR1-AS1通过与miR-365b-3p相互作用上调YRDC表达,促进结直肠癌细胞增殖。
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-12-25 DOI: 10.1620/tjem.2025.J139
Ge Li, Yiyun Wang, Yuanyuan Lu, Wei Chen, Xuan Kang, Zheng Han, Meng Liu
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引用次数: 0
Xuan-Fei-Hua-Zhuo Decoction Against LPS-Induced Acute Lung Injury by Regulating the Permeability and Microtubule Stabilization of Pulmonary Microvascular Endothelial Cells in Mice. 玄参-茯苓煎剂通过调节小鼠肺微血管内皮细胞的通透性和微管稳定性抗LPS诱导的急性肺损伤
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-12-25 Epub Date: 2024-11-07 DOI: 10.1620/tjem.2024.J125
Peng Zhu, Nan Cui, Dapeng Feng, Yumin Li, Qin Lv, Zhijun Cao, Fengjiao Wang, Zhiguo Li, Qian Xu, Lumei Zhang, Guoxing Hao, Yu Liu, Zhiming Zhang, Xin Xu

Acute lung injury (ALI) is an acute bilateral pulmonary infiltration disease, which may finally cause impairment and even loss of lung function. This study aimed to investigate the therapeutic potential and the mechanism of the Xuanfei Huazhuo decoction (XFHZ) against ALI in mice. The ALI mice stimulated by lipopolysaccharide (LPS) were subjected to the treatment of saline, 0.06, 0.11, and 0.22 mg/kg of XFHZ, and 10 mg/kg of fasudil, respectively, for seven consecutive days. It was found that XFHZ significantly attenuated LPS-induced pathological injury and mitochondrial dysfunction of vascular endothelial cells in the lung and suppressed LPS-mediated lung pulmonary edema (lung wet/dry weight ratio), the elevation of vascular permeability (increased total protein and albumin content in bronchoalveolar lavage fluid) and neutrophil infiltration. Microtubule stabilization, a process that could be regulated by GEF-H1, MYPT-1, Tau, and MAP-4, is critical for maintaining the endothelial cell barrier, of which disruption is a pathological hallmark of ALI. XFHZ reduced the expression of GEF-H1 and MYPT-1 at mRNA and protein levels and decreased Tau and MAP-4 protein expression in LPS-induced ALI. XFHZ also suppressed the increase of monomeric tubulin and the decrease of polymeric tubulin in injured lung induced by LPS. This study demonstrated that XFHZ can improve LPS-induced ALI by promoting microtubule stabilization, providing a theoretical basis for the clinical treatment of patients with ALI induced by different factors, including SARS-CoV-2 infection.

急性肺损伤(Acute lung injury, ALI)是一种急性双侧肺浸润性疾病,最终可导致肺功能损害甚至丧失。本研究旨在探讨宣肺化浊汤(XFHZ)对小鼠ALI的治疗潜力及作用机制。脂多糖(LPS)刺激的ALI小鼠分别给予生理盐水、0.06、0.11、0.22 mg/kg XFHZ和10 mg/kg法舒地尔治疗,连续7天。结果发现,XFHZ显著减轻lps诱导的肺血管内皮细胞病理损伤和线粒体功能障碍,抑制lps介导的肺肺水肿(肺湿/干重比)、血管通透性升高(支气管肺泡灌洗液中总蛋白和白蛋白含量升高)和中性粒细胞浸润。微管稳定是一个可以由GEF-H1、MYPT-1、Tau和MAP-4调节的过程,对于维持内皮细胞屏障至关重要,而内皮细胞屏障的破坏是ALI的病理标志。XFHZ在mRNA和蛋白水平上降低了GEF-H1和MYPT-1的表达,降低了lps诱导的ALI中Tau和MAP-4蛋白的表达。XFHZ还能抑制LPS诱导的损伤肺中单体微管蛋白的升高和聚合微管蛋白的降低。本研究证实XFHZ可通过促进微管稳定改善lps诱导的ALI,为临床治疗包括SARS-CoV-2感染在内的不同因素诱发的ALI患者提供理论依据。
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引用次数: 0
Dexmedetomidine Possesses Neuroprotective Effects during Ischemic Stroke by Activating the AKT/mTOR Pathway. 右美托咪定通过激活 AKT/mTOR 通路在缺血性脑卒中中发挥神经保护作用
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-12-25 Epub Date: 2024-11-07 DOI: 10.1620/tjem.2024.J117
Shenghua Wang, Ningning Sun, Bingyun Wang, Kanjun Ma, Jianjun He

Dexmedetomidine (DEX) exerts neuroprotective effects following ischemic stroke (IS) by regulating several pathways, such as extracellular signal-regulated kinase 1 and 2 pathway and Ca2+-stromal interaction molecule 1/Orai calcium release-activated calcium channel protein 1 pathway, according to previous studies. However, the underlying mechanisms are not entirely elucidated yet. The purpose of this study was to investigate the impact of DEX on inhibiting neuron damage during IS, and the potential mechanism. Hippocampal neurons (HT22 cells) were treated with oxygen-glucose deprivation/reoxygenation (OGD/R) in the presence of 1 μM DEX, 10 μM LY294002 [a protein kinase B (AKT) inhibitor], or their combination. DEX increased viability and reduced apoptosis in OGD/R-stimulated hippocampal neurons. DEX reduced lactate dehydrogenase (LDH) and reactive oxygen species (ROS), but increased superoxide dismutase (SOD) and mitochondrial membrane potential (MMP) in OGD/R-stimulated hippocampal neurons. These discoveries indicated that DEX mitigated OGD/R-triggered oxidative stress in hippocampal neurons. DEX increased phosphorylated-AKT/AKT and phosphorylated-mammalian target of rapamycin (mTOR)/mTOR in OGD/R-stimulated hippocampal neurons, which suggested that DEX activated the AKT/mTOR pathway. LY294002 inhibited the AKT/mTOR pathway and viability, but enhanced apoptosis and oxidative stress in OGD/R-stimulated hippocampal neurons. Notably, LY294002 reversed the effect of DEX on the above-mentioned processes in OGD/R-stimulated hippocampal neurons. In conclusion, DEX inhibits OGD/R-triggered hippocampal neuron injury by activating the AKT/mTOR pathway, which is conducive to attenuating IS progression.

根据以往的研究,右美托咪定(DEX)通过调节细胞外信号调节激酶1和2途径以及Ca2+-基质相互作用分子1/Orai钙释放-激活钙通道蛋白1途径等多种途径在缺血性卒中(IS)后发挥神经保护作用。然而,潜在的机制尚未完全阐明。本研究旨在探讨DEX对IS期间神经元损伤的抑制作用及其可能的机制。在1 μM DEX、10 μM LY294002(一种蛋白激酶B (AKT)抑制剂)或两者联合作用下,对海马神经元(HT22细胞)进行氧-葡萄糖剥夺/再氧化(OGD/R)处理。DEX增加了OGD/ r刺激海马神经元的活力,减少了细胞凋亡。DEX降低了OGD/ r刺激海马神经元的乳酸脱氢酶(LDH)和活性氧(ROS),但增加了超氧化物歧化酶(SOD)和线粒体膜电位(MMP)。这些发现表明,DEX减轻了OGD/ r引发的海马神经元氧化应激。右美托咪唑增加了OGD/ r刺激海马神经元中磷酸化AKT/AKT和磷酸化哺乳动物雷帕霉素靶蛋白(mTOR)/mTOR,表明右美托咪唑激活了AKT/mTOR通路。LY294002抑制AKT/mTOR通路和活性,但增强OGD/ r刺激海马神经元的凋亡和氧化应激。值得注意的是,LY294002逆转了DEX对OGD/ r刺激海马神经元上述过程的影响。综上所述,DEX通过激活AKT/mTOR通路抑制OGD/ r引发的海马神经元损伤,有利于减缓is的进展。
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引用次数: 0
Clinical Significance and Functional Analysis of miR-487b-3p in Ovarian Cancer. miR-487b-3p在卵巢癌中的临床意义及功能分析
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-12-25 Epub Date: 2025-05-22 DOI: 10.1620/tjem.2025.J059
Shixi Zhang, Jing Chen, Qian Gao, Yan Li, Chao Wang

Ovarian cancer has been regulated by microRNAs (miRNAs). Dysregulation of miR-487b-3p has been observed in several cancers. Present research was performed to explore the expression and function of miR-487b-3p in ovarian cancer. Differentially expressed miRNAs (DEmiRNAs) have been selected from GSE131790 dataset. miR-487b-3p level in epithelial ovarian cancer (EOC) patients has been verified by qRT-PCR. Effect of miR-487b-3p for EOC has been explored in SKOV3 and A2780 cells. Cell proliferation was assessed by Cell Counting Kit-8 conducted to assess the cell viability. Cell apoptosis rate was examined by flow cytometer. Transwell experiment was conducted to assess the migration and invasiveness of cells. Target gene of miR-487b-3p was predicted by databases. Target association was certified by double luciferase experiment. miR-487b-3p was upregulated in EOC patients. High miR-487b-3p could diagnose the onset of EOC (area under ROC curve (AUC) = 0.924, sensitivity = 88.79%, specificity = 84.8%). High FIGO stage (P = 0.023) and low differentiation grade (P = 0.044) were more frequently discovered in high miR-487b-3p group. miR-487b-3p could facilitate the cell viability, migration, invasiveness and inhibit the apoptosis of EOC cells. Ferrochelatase (FECH) is a direct target gene of miR-487b-3p. FECH was decreased in EOC tissues and passively related to miR-487b-3p. FECH could reverse the function of miR-487b-3p for EOC cells. Upregulated miR-487b-3p in EOC patients had high diagnostic value for EOC. miR-487b-3p facilitated EOC development via FECH.

卵巢癌受microRNAs (miRNAs)调控。miR-487b-3p的失调已经在几种癌症中被观察到。本研究旨在探讨miR-487b-3p在卵巢癌中的表达及功能。从GSE131790数据集中选择了差异表达的miRNAs (DEmiRNAs)。通过qRT-PCR验证了上皮性卵巢癌(EOC)患者中miR-487b-3p的水平。miR-487b-3p在SKOV3和A2780细胞中对EOC的影响已被探索。采用细胞计数试剂盒-8检测细胞增殖情况,评估细胞活力。流式细胞仪检测细胞凋亡率。Transwell实验评价细胞的迁移和侵袭性。通过数据库预测miR-487b-3p的靶基因。通过双荧光素酶实验证实了目标关联。miR-487b-3p在EOC患者中表达上调。高miR-487b-3p可诊断EOC的发病(ROC曲线下面积(AUC) = 0.924,敏感性= 88.79%,特异性= 84.8%)。高miR-487b-3p组多见于高FIGO分期(P = 0.023)和低分化等级(P = 0.044)。miR-487b-3p能够促进EOC细胞的活力、迁移、侵袭性,抑制EOC细胞的凋亡。铁螯合酶(FECH)是miR-487b-3p的直接靶基因。EOC组织中FECH降低,与miR-487b-3p被动相关。FECH可逆转miR-487b-3p对EOC细胞的功能。miR-487b-3p在EOC患者中表达上调,对EOC具有较高的诊断价值。miR-487b-3p通过FECH促进EOC的发展。
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引用次数: 0
KDM6B Regulates BMP2 to Promote Osteoblast Differentiation and Ameliorates Alcohol-Induced Osteoporosis. KDM6B调节BMP2促进成骨细胞分化,改善酒精性骨质疏松
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-12-25 Epub Date: 2025-04-24 DOI: 10.1620/tjem.2025.J046
Dechun Li, Yanguo Wang, Bo Zou, Yannan Bi, Guocen Zheng, Di Wu

Alcohol-induced osteoporosis (AOP) is a condition characterized by decreased bone mass and increased fracture risk due to excessive alcohol consumption. This study aimed to investigate the impact of ethanol on osteogenic differentiation through the KDM6B/BMP2 axis in AOP pathogenesis. Bone marrow mesenchymal stem cells (BMSCs) were cultured and exposed to ethanol to simulate AOP conditions. The expression levels of KDM6B, BMP2, and osteogenic markers were evaluated using RT-PCR, Western blotting, and immunohistochemistry. Osteogenic differentiation was assessed through alkaline phosphatase (ALP) activity assay and Alizarin Red staining experiment. The regulatory role of KDM6B in BMP2 demethylation was investigated using Chromatin Immunoprecipitation (ChIP) assay for H3K27me3 methylation levels. KDM6B and BMP2 expression was found decreased in AOP bone samples, and a positive correlation between KDM6B and BMP2 expression was observed. Ethanol treatment resulted in the downregulation of KDM6B, BMP2, and osteogenic markers in BMSCs, while upregulation of KDM6B rescued these phenomena. Moreover, ethanol treatment elevated the H3K27me3 methylation level of BMP2 promotor region, which was also reversed by KDM6B upregulation. Meanwhile, downregulation of BMP2 reversed the pro-osteogenic effects of KDM6B upregulation. KDM6B inhibits the H3K27me3 methylation of BMP2 to promote osteoblast differentiation and therefore ameliorates alcohol-induced osteoporosis.

酒精性骨质疏松症(AOP)是一种以过度饮酒导致骨量减少和骨折风险增加为特征的疾病。本研究旨在探讨乙醇通过KDM6B/BMP2轴在AOP发病机制中对成骨分化的影响。培养骨髓间充质干细胞(BMSCs),并将其暴露于乙醇中模拟AOP条件。采用RT-PCR、Western blotting和免疫组织化学方法评估KDM6B、BMP2和成骨标志物的表达水平。通过碱性磷酸酶(ALP)活性测定和茜素红染色观察成骨分化情况。采用染色质免疫沉淀(ChIP)法检测H3K27me3甲基化水平,研究KDM6B在BMP2去甲基化中的调节作用。AOP骨组织中KDM6B和BMP2表达降低,KDM6B和BMP2表达呈正相关。乙醇处理导致骨髓间充质干细胞中KDM6B、BMP2和成骨标志物的下调,而KDM6B的上调挽救了这些现象。此外,乙醇处理提高了BMP2启动子区域的H3K27me3甲基化水平,这也被KDM6B上调逆转。同时,BMP2的下调逆转了KDM6B上调的促成骨作用。KDM6B抑制BMP2的H3K27me3甲基化,促进成骨细胞分化,从而改善酒精诱导的骨质疏松症。
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引用次数: 0
miR-142-3p as A Biomarker for Diagnosis and Prognosis of Acute Ischemic Stroke and Its Association with the Inflammation and Severity. miR-142-3p作为急性缺血性脑卒中诊断和预后的生物标志物及其与炎症和严重程度的关系
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-12-25 DOI: 10.1620/tjem.2025.J106
Yanzi Zhang, Zhihao Tong, Yamei Wang, Ziming Guo, Weiyan Li, Yi Huang
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引用次数: 0
Clinical Significance of MiR-194-5p in Necrotizing Enterocolitis and Its Effect on LPS-Induced Inflammatory Response and Oxidative Stress. 坏死性小肠结肠炎中 miR-194-5p 的临床意义及其对 LPS 诱导的炎症反应和氧化应激的影响
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-12-24 Epub Date: 2024-10-03 DOI: 10.1620/tjem.2024.J104
Ling Li, Jinghua Di, Yuting Cai, Jiaxi Xie, Jinkai Yang, Meini Cen

Necrotizing enterocolitis (NEC) is a severe and damaging disorder of the gastrointestinal tract, primarily affecting premature babies. The study aimed to explore the clinical significance of miR-194-5p in NEC and elucidate its effect on lipopolysaccharides (LPS)-induced inflammatory response and oxidative stress. The expression level of miR-194-5p was detected by Real-time Quantitative Reverse Transcription Polymerase Chain Reaction (RT-qPCR), and the clinical value of miR-194-5p was analyzed by Receiver Operating Characteristic (ROC) analysis and logistic regression analysis. In addition, the levels of inflammatory factors and markers of oxidative stress were evaluated by Enzyme-Linked Immunosorbent Assay (ELISA) kit. Cell viability was measured by Cell Counting Kit-8 (CCK-8) and the targeting relationship between miR-194-5p and TNF receptor associated factor 6 (TRAF6) was evaluated by dual luciferase reporter gene assay. miR-194-5p was down-regulated in the serum of premature infants with NEC and had a diagnostic value on NEC. Meanwhile, miR-194-5p regulated LPS-induced inflammation and oxidative stress responses by targeting TRAF6. In conclusion, miR-194-5p inhibited the progression of NEC, and miR-194-5p may be a biomarker for premature infants with NEC.

坏死性小肠结肠炎(NEC)是一种严重的破坏性胃肠道疾病,主要影响早产儿。本研究旨在探讨miR-194-5p在NEC中的临床意义,并阐明其对脂多糖(LPS)诱导的炎症反应和氧化应激的影响。采用实时定量逆转录聚合酶链式反应(RT-qPCR)检测miR-194-5p的表达水平,采用受试者工作特征(ROC)分析和logistic回归分析分析miR-194-5p的临床价值。此外,采用酶联免疫吸附测定(ELISA)试剂盒评估炎症因子和氧化应激标志物水平。通过细胞计数试剂盒-8 (CCK-8)检测细胞活力,通过双荧光素酶报告基因检测评估miR-194-5p与TNF受体相关因子6 (TRAF6)的靶向关系。在NEC早产儿血清中miR-194-5p下调,对NEC有诊断价值。同时,miR-194-5p通过靶向TRAF6调控lps诱导的炎症和氧化应激反应。总之,miR-194-5p抑制NEC的进展,miR-194-5p可能是早产儿NEC的生物标志物。
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引用次数: 0
Expressions of VEGF, Vasohibin-1, and Vasohibin-2 in Benign Parotid Gland Tumor. VEGF、Vasohibin-1、Vasohibin-2在腮腺良性肿瘤中的表达
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-12-19 Epub Date: 2025-10-02 DOI: 10.1620/tjem.2025.J115
Yutaka Tateda, Takahiro Suzuki, Teruyuki Sato, Kazue Ise, Hiroki Shimada, Yasuhiro Nakamura, Nobuo Ohta

The vasohibin (VASH) family includes vasohibin-1 (VASH1), whose expression is induced in vascular endothelial cells by angiogenic factors such as vascular endothelial growth factor (VEGF) to inhibit angiogenesis via a negative feedback loop, and vasohibin-2 (VASH2), a homolog of VASH1, which is mainly expressed in cancer cells and promotes angiogenesis. VASH proteins have been associated with tumor angiogenesis and prognosis in various tumor types, drawing attention to their role in tumor biology. To date, no studies have reported on the expression of VEGF, VASH1, and VASH2 in benign parotid gland tumors. Therefore, in this study, we aimed to investigate their expression in these tumors. Our cohort consisted of 28 patients with benign parotid gland tumors, aged 31-79 (mean age 60.0 ± 13.8) years. Tumors were histologically diagnosed as pleomorphic adenoma in 15 patients (15 specimens) and Warthin's tumor in 13 patients (15 specimens). Immunohistochemical staining for VEGF, VASH1, and VASH2 was assessed based on the percentage of stained cells per slide (0-100%) and staining intensity, quantified using the H score. Immunostaining for VEGF, VASH1, and VASH2 demonstrated that Warthin's tumors had statistically significantly higher H-scores compared to pleomorphic adenomas. In addition, CD31 immunostaining showed a higher mean microvessel density (MVD) in the tumor stroma in Warthin's tumors than in pleomorphic adenomas. Similarly, CD34 immunostaining showed a higher number of spindle cells in the tumor stroma in Warthin's tumors than in pleomorphic adenomas. These findings suggest that the overexpression of VEGF, VASH1, and VASH2 is likely involved in the pathogenesis of benign parotid gland tumors.

vasohibin (VASH)家族包括vasohibin-1 (VASH1)和vasohibin-2 (VASH2), vasohibin-1是由血管内皮生长因子(VEGF)等血管生成因子诱导在血管内皮细胞中表达,通过负反馈回路抑制血管生成;vasohibin-2是VASH1的同源物,主要在癌细胞中表达,促进血管生成。VASH蛋白在多种肿瘤类型中与肿瘤血管生成和预后相关,其在肿瘤生物学中的作用引起了人们的关注。迄今为止,没有关于良性腮腺肿瘤中VEGF、VASH1和VASH2表达的研究报道。因此,在本研究中,我们旨在研究它们在这些肿瘤中的表达。我们的队列包括28例良性腮腺肿瘤患者,年龄31-79岁(平均年龄60.0±13.8)岁。组织学诊断为多形性腺瘤15例(15例标本),Warthin瘤13例(15例标本)。VEGF、VASH1和VASH2的免疫组织化学染色根据每张切片染色细胞的百分比(0-100%)和染色强度进行评估,用H评分进行量化。VEGF、VASH1和VASH2免疫染色显示,与多形性腺瘤相比,Warthin肿瘤的h评分有统计学意义上的显著提高。此外,CD31免疫染色显示Warthin肿瘤间质的平均微血管密度(MVD)高于多形性腺瘤。同样,CD34免疫染色显示Warthin肿瘤间质中梭形细胞的数量高于多形性腺瘤。这些发现提示VEGF、VASH1和VASH2的过表达可能参与良性腮腺肿瘤的发病机制。
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引用次数: 0
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Tohoku Journal of Experimental Medicine
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