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The Impact of Vitamin D Supplementation on Endothelial Function and Arterial Stiffness in Patients with Chronic Kidney Disease 补充维生素 D 对慢性肾病患者内皮功能和动脉僵化的影响
Pub Date : 2023-06-16 DOI: 10.26420/jdismarkers.2023.1055
Lakshmi Sai Niharika Janga, Vanaja Rani Bathina, Afnan Akram Nawaz Khan, Raghava Rao Alluri, Sweatha Mani
Chronic Kidney Disease (CKD) is a prevalent health condition that can lead to various cardiovascular complications, including endothelial dysfunction and arterial stiffness. Endothelial dysfunction is characterized by impaired vasodilation, increased vascular permeability, and increased inflammatory response. Arterial stiffness, on the other hand, refers to the reduced ability of the arterial wall to stretch and accommodate the blood flow. Both of these complications contribute to the increased risk of cardiovascular events and mortality in patients with CKD [1]. Vitamin D, a fat-soluble vitamin, plays a crucial role in the regulation of calcium and phosphorus metabolism, bone health, and immune function [2]. Vitamin D deficiency is prevalent in patients with CKD due to reduced synthesis and increased urinary excretion of the active form of vitamin D (1,25-dihydroxyvitamin D) [3]. Vitamin D supplementation has been proposed as a potential therapy to improve cardiovascular outcomes in CKD patients by reducing inflammation, improving endothelial function, and reducing arterial stiffness [4]. The aim of this systematic review is to examine the impact of vitamin D supplementation on endothelial function and arterial stiffness in patients with CKD.
慢性肾脏病(CKD)是一种普遍存在的健康问题,可导致各种心血管并发症,包括内皮功能障碍和动脉僵化。内皮功能障碍的特点是血管舒张功能受损、血管通透性增加和炎症反应加剧。另一方面,动脉僵化是指动脉壁伸展和适应血流的能力下降。这两种并发症都会增加慢性肾脏病患者发生心血管事件和死亡的风险[1]。维生素 D 是一种脂溶性维生素,在调节钙磷代谢、骨骼健康和免疫功能方面起着至关重要的作用 [2]。由于活性维生素 D(1,25-二羟基维生素 D)合成减少和尿排泄增加,维生素 D 缺乏症在慢性肾脏病患者中十分普遍 [3]。维生素 D 补充剂被认为是一种潜在的疗法,可通过减少炎症、改善内皮功能和降低动脉僵化来改善 CKD 患者的心血管预后 [4]。本系统综述旨在研究维生素 D 补充剂对 CKD 患者内皮功能和动脉僵化的影响。
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引用次数: 0
Direct-to-Consumer Genetic Test and Lifestyle Questionnaire Analysis of Body Mass Index and Body Fat Percentage in a Large Korean Population 韩国人口体重指数和体脂率的直接面向消费者基因测试和生活方式问卷分析
Pub Date : 2023-02-20 DOI: 10.26420/jdismarkers.2023.1051
Hyo-Eun Kim, K. Park, Dasom Lee, Soram Lee, Sang-Woon Kim, Tae Soon Hwang, Kyung-Won Hong
Background: Direct-to-Consumer (DTC) genetic testing provides genetic risk to consumers and motivates consumers to take care of their own customized health care. In 2018, we developed and provided a DTC genetic testing service (GENESTART™) in collaboration with Herbalife Korea Co. Ltd. Methods: The analyzed dataset consisted of the body fat percentage (BFP), body mass index (BMI), 31 genetic polymorphism genotypes, and responses to 19 questionnaire items of 24,447 individuals. The genetic main effects for BFP and BMI were examined by linear regression analysis, and the interaction effects were examined using a generalized linear model that controlled age and sex as covariates. Results: In the case of BFP, the sample average was 31.47% overall, 24.76% for men, and 32.79% for women, showing that men had an average BFP that was 8 percentage points lower than that of women. The average BMI was 25.38 overall, 26.45 for men, and 25.17 for women, showing that men had an average BMI of 1.2 kg/m2 higher than that of women. The FTO and MC4R genes, well-known obesity markers, showed a significant correlation with both phenotypes, and the BDNF gene, which is related to stress obesity, showed a highly significant association with BMI but only a weak association with BFP. Among the remaining genes, TRIB1, ABCA1, MYL2, G6PC, GCKR, GLIS3, CYP17A1, HECTD4, and NT5C2 genes showed significant associations with the obesity-related phenotypes. In this study, we found four interaction results for BFP (ABO and fruits, CYP1A2 and sugary foods, FTO and muscle exercise, MC4R and vitamins) and five interactions for BMI (MC4R and proteins, CSK and fruits, MC4R and calcium, DGKB and calcium, CSK and water). Conclusions: This study is expected to enable the provision of personalized and accurate solutions for BFP and BMI management to customers who have undergone genetic testing.
背景:直接面向消费者(DTC)基因检测为消费者提供了遗传风险,并激励消费者照顾自己的定制医疗保健。2018年,我们与康宝莱韩国有限公司合作开发并提供DTC基因检测服务(GENESTART™)。方法:分析24447人的体脂率(BFP)、体重指数(BMI)、31种遗传多态性基因型和19项问卷调查结果。采用线性回归分析检验BFP和BMI的遗传主效应,采用控制年龄和性别为协变量的广义线性模型检验交互效应。结果:在BFP的情况下,样本平均值为31.47%,男性为24.76%,女性为32.79%,表明男性的平均BFP比女性低8个百分点。总体平均BMI为25.38,男性为26.45,女性为25.17,表明男性的平均BMI比女性高1.2 kg/m2。众所周知的肥胖标志物FTO和MC4R基因与两种表型均有显著相关性,与应激性肥胖相关的BDNF基因与BMI呈极显著相关性,与BFP相关性较弱。其余基因中,TRIB1、ABCA1、MYL2、G6PC、GCKR、GLIS3、CYP17A1、hector 4和NT5C2基因与肥胖相关表型显著相关。在这项研究中,我们发现了BFP的四种相互作用结果(ABO和水果、CYP1A2和含糖食物、FTO和肌肉锻炼、MC4R和维生素)和BMI的五种相互作用结果(MC4R和蛋白质、CSK和水果、MC4R和钙、DGKB和钙、CSK和水)。结论:本研究有望为接受基因检测的客户提供个性化和准确的BFP和BMI管理解决方案。
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引用次数: 0
Immune Biomarker Combinations for Diagnosis Monitoring of Latent Tuberculosis Infection 免疫生物标志物组合诊断监测潜伏性结核感染
Pub Date : 2023-02-10 DOI: 10.26420/jdismarkers.2023.1050
Araujo Zaida, Lopez-Ramos Juan Ernesto, Enciso-Moreno Jose Antonio, de Waard Jacobus Henri, R. Bruno, Vanegas Magnolia, Patarroyo Manuel Alfonso
Objective: Global Tuberculosis (TB) eradication efforts must also focus on detecting and treating cases of Latent TB Infection (LTBI); persons with LTBI can progress to active TB at any time, often many years or even decades after the initial infection, thereby serving as a source of new infections. Methods: The aim was evaluated the diagnostic accuracy of the combination of serological host biomarkers that may support the differentiation between LTBI and Non-Infected (NI) individuals. A total of 182 adult Warao Amerindians were included; cases with LTBI (n=103) and Non-Infected (NI) individuals (n=79). The Real-time quantitative PCR (qPCR) was performed on all peripheral blood samples from Warao Amerindians and analyzed transcriptional immune biomarkers (i.e., IFN-γ, CD14, MMP-9, CCR5, CCL11, CXCL9/MIG, and uPAR/PLAUR proteins) under stimulation condition with ESAT-6, CFP10, and TB7.7 Mycobacterium Tuberculosis (Mtb)-antigens. Additionally, Enzyme-Linked Immunosorbent Assays (ELISA) were performed for evaluating host biomarker anti-synthetic peptides (5 ESAT-6 and 17 Ag85A synthetic peptides) covering Mtb antigen sequences. Results: The approach’s diagnostic information was compared using Receiver Operating Characteristic (ROC) curves. The ROC analysis revealed high biosignature discriminative ability for the relative gene expression of MMP-9 high levels (AUC=0.799 ± 0.071: 0.640 - 0.917, 95% CI), p < 0.002) between LTBI and NI; additionally IgG anti-synthetic peptide; ESAT-6 P-12037 (AUC=0.640; 0.545-0.735 95% CI, p<0.007) allowed differentiation between LTBI and NI or healthy ones. Conclusion: The accuracy of the MMP-9/IgG anti-P-12037 combination could have a high discriminative ability for diagnosing LTBI; such an approach holds promise for further validation.
目的:全球结核病(TB)根除工作还必须侧重于发现和治疗潜伏性结核感染(LTBI)病例;LTBI患者可在任何时候发展为活动性结核病,通常是在初次感染多年甚至几十年后,从而成为新感染的来源。方法:目的是评估血清学宿主生物标志物组合的诊断准确性,这可能支持区分LTBI和非感染(NI)个体。共有182名成年瓦拉奥印第安人被纳入研究;LTBI病例(n=103)和未感染(NI)个体(n=79)。采用实时荧光定量PCR (Real-time quantitative PCR, qPCR)对瓦拉奥印第安人所有外周血样本进行检测,并在ESAT-6、CFP10和TB7.7结核分枝杆菌抗原刺激条件下分析转录免疫生物标志物(即IFN-γ、CD14、MMP-9、CCR5、CCL11、CXCL9/MIG和uPAR/PLAUR蛋白)。此外,采用酶联免疫吸附试验(ELISA)评估覆盖Mtb抗原序列的宿主生物标志物抗合成肽(5个ESAT-6和17个Ag85A合成肽)。结果:采用受试者工作特征(ROC)曲线对该方法的诊断信息进行比较。ROC分析显示,LTBI与NI之间MMP-9基因相对表达水平较高(AUC=0.799±0.071:0.640—0.917,95% CI), p < 0.002),具有较高的生物特征判别能力;IgG抗合成肽;Esat-6 p-12037 (auc =0.640;0.545-0.735 (95% CI, p<0.007)允许LTBI与NI或健康之间的区分。结论:MMP-9/IgG抗p -12037联合检测对LTBI具有较高的鉴别能力;这种方法有望得到进一步的验证。
{"title":"Immune Biomarker Combinations for Diagnosis Monitoring of Latent Tuberculosis Infection","authors":"Araujo Zaida, Lopez-Ramos Juan Ernesto, Enciso-Moreno Jose Antonio, de Waard Jacobus Henri, R. Bruno, Vanegas Magnolia, Patarroyo Manuel Alfonso","doi":"10.26420/jdismarkers.2023.1050","DOIUrl":"https://doi.org/10.26420/jdismarkers.2023.1050","url":null,"abstract":"Objective: Global Tuberculosis (TB) eradication efforts must also focus on detecting and treating cases of Latent TB Infection (LTBI); persons with LTBI can progress to active TB at any time, often many years or even decades after the initial infection, thereby serving as a source of new infections. Methods: The aim was evaluated the diagnostic accuracy of the combination of serological host biomarkers that may support the differentiation between LTBI and Non-Infected (NI) individuals. A total of 182 adult Warao Amerindians were included; cases with LTBI (n=103) and Non-Infected (NI) individuals (n=79). The Real-time quantitative PCR (qPCR) was performed on all peripheral blood samples from Warao Amerindians and analyzed transcriptional immune biomarkers (i.e., IFN-γ, CD14, MMP-9, CCR5, CCL11, CXCL9/MIG, and uPAR/PLAUR proteins) under stimulation condition with ESAT-6, CFP10, and TB7.7 Mycobacterium Tuberculosis (Mtb)-antigens. Additionally, Enzyme-Linked Immunosorbent Assays (ELISA) were performed for evaluating host biomarker anti-synthetic peptides (5 ESAT-6 and 17 Ag85A synthetic peptides) covering Mtb antigen sequences. Results: The approach’s diagnostic information was compared using Receiver Operating Characteristic (ROC) curves. The ROC analysis revealed high biosignature discriminative ability for the relative gene expression of MMP-9 high levels (AUC=0.799 ± 0.071: 0.640 - 0.917, 95% CI), p < 0.002) between LTBI and NI; additionally IgG anti-synthetic peptide; ESAT-6 P-12037 (AUC=0.640; 0.545-0.735 95% CI, p<0.007) allowed differentiation between LTBI and NI or healthy ones. Conclusion: The accuracy of the MMP-9/IgG anti-P-12037 combination could have a high discriminative ability for diagnosing LTBI; such an approach holds promise for further validation.","PeriodicalId":344125,"journal":{"name":"Journal of Disease Markers","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134494955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A New Mutation Site of Succinate Dehydrogenase-Related Carney-Stratakis Syndrome: A Case Report 琥珀酸脱氢酶相关卡尼- stratakis综合征一个新的突变位点:1例报告
Pub Date : 2023-01-02 DOI: 10.26420/jdismarkers.2022.1049
C. L, H. c, F. Q, L. P, Gao Yh, Li Wl, Chen Jy, Zhang Hw, Q. T.
Carney-Stratakis Syndrome (CSS), first described in 2002 [1], encompasses Gastrointestinal Stromal Tumors (GISTs) and Paragangliomas (PGLs) and has autosomal dominant inheritance with incomplete penetrance [2]. Germline mutations of Succinate Dehydrogenase (SDH) complex subunits and consequent SDH functional deficiency have been identified as responsible for CSS [3]. Here, we present a case with a new mutation site in SDHB that has not yet been reported.
卡尼- stratakis综合征(CSS)于2002年首次被描述[1],包括胃肠道间质瘤(gist)和副神经节瘤(PGLs),具有不完全外显率的常染色体显性遗传[2]。琥珀酸脱氢酶(SDH)复合物亚基的种系突变和随之而来的SDH功能缺陷已被确定为CSS的原因[3]。在这里,我们提出了一个尚未报道的SDHB新突变位点的病例。
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引用次数: 0
UPLC-QTOF-MS-Based Metabolomics Reveal the Effect of Polysaccharides from Danggui-Shaoyao-San in Type 2 Diabetic Male and Female Rats 基于uplc - qtof - ms的代谢组学研究揭示当归少药散多糖对2型糖尿病大鼠的作用
Pub Date : 2022-12-25 DOI: 10.26420/jdismarkers.2022.1048
Xin F, S. L, J. L., Zhi-Bin W
Background: Type 2 Diabetes Mellitus (T2DM) is currently one of the most prominent and global chronic conditions. In recent years, it has been found that macromolecular polysaccharide has a significant effect on T2DM, various polysaccharides such as Angelica Sinensis Polysaccharide (ASP), Poriacocos polysaccharide and Atractylodesmacrocephala polysaccharide in DSS have effects on T2DM, but mechanism of polysaccharides of DSS(p-DSS) at the metabolic level is still unclear. The purpose of this work is to study the male and female mechanisms of p-DSS in treating T2DM based on metabolomics. Materials and Methods: In this study, metabolomics was used to elucidate the therapeutic mechanism of DSS in T2DM. Urinary samples were collected from male and female rats with T2DM, induced by a high-sugar and high-fat diet combined with Streptozotocin (STZ), to measure the levels of biochemical markers. Urinary metabolomics-based analysis using ultra-performance liquid chromatography coupled with quadrupole time-of-flight mass spectrometry (UPLC-Q-TOF-MS) was conducted to evaluate the differential metabolites from multiple metabolic pathways. Results: After treatment with p-DSS for 4 weeks, biochemical indicators, including Fasting Blood Glucose (FBG), Fasting Insulin (FINS), Oral Glucose Tolerance Test (OGTT), Insulin Tolerance Test (ITT) and Homeostasis Model Assessment of Insulin Resistance (HOMA-IR), were significantly improved. Metabolomics results revealed that p-DSS regulated the biomarkers, such as PC, 2-oxoglutarate, NAAG in TCA cycle and alanine, aspartate and glutamate metabolism for male rats, on the contrary, leukotriene B4, cholic acid in arachidonic acid metabolism and primary bile acid biosynthesis for female rats. Conclusions: Based on metabolomics, the mechanisms of p- DSS in male and female rats are not identical.
背景:2型糖尿病(T2DM)是目前全球最突出的慢性疾病之一。近年来研究发现大分子多糖对T2DM有显著影响,DSS中多种多糖如当归多糖(ASP)、茯苓多糖、苍术多糖等均对T2DM有影响,但DSS多糖(p-DSS)在代谢水平的作用机制尚不清楚。本研究的目的是基于代谢组学研究p-DSS治疗T2DM的男女机制。材料与方法:本研究采用代谢组学方法阐明DSS治疗T2DM的机制。采用高糖高脂饮食联合链脲佐菌素(STZ)诱导的T2DM大鼠,采集其尿液样本,测定其生化指标水平。采用超高效液相色谱联用四极杆飞行时间质谱(UPLC-Q-TOF-MS)对尿代谢组学进行分析,以评估多种代谢途径的差异代谢物。结果:p-DSS治疗4周后,患者空腹血糖(FBG)、空腹胰岛素(FINS)、口服葡萄糖耐量试验(OGTT)、胰岛素耐量试验(ITT)、胰岛素抵抗稳态模型评估(HOMA-IR)等生化指标均有明显改善。代谢组学结果显示,p-DSS调节雄性大鼠TCA循环中的PC、2-氧葡萄糖酸酯、NAAG以及丙氨酸、天冬氨酸和谷氨酸代谢,而雌性大鼠花生四烯酸代谢和初级胆汁酸生物合成中的白三烯B4、胆酸。结论:基于代谢组学,p- DSS在雄性和雌性大鼠中的作用机制并不相同。
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引用次数: 0
Phytochemicals as Potential Anti-Alzheimer’s Agents- An In-Silico Evidence 植物化学物质作为潜在的抗阿尔茨海默病药物-一个硅证据
Pub Date : 2022-09-16 DOI: 10.26420/jdismarkers.2022.1047
P. D, P. T, Sharma A
Alzheimer’s Disease is a prominent neurodegenerative disorder affecting the age group 60 and above. Cholinergic hypothesis, amyloid β cascade, oxidative stress is some of the known etiologies of marked importance to name a few. We have undertaken a computational analysis where fifteen phytochemicals were selected. These natural molecules were studied and analysed against acetylcholinesterase, butyrlcholinesterase, BACE and amyloid β monomer and protofibril. The binding affinities of Genistein, Huperzine A, kaempferol, Methyl quercetin, Paclitaxel and Withinolide A against AChE and BuChE enzymes were found to be -7.7 to -8.6 Kcal/mol, respectively. Various phytochemicals like Genistein, kaempferol, Piceatannol, Ginkgolide B, Methyl quercetin and Withinolide A were found to bind the BACE-1 enzyme with the binding affinities of -6.7 to -7.9 Kcal/mol. All the phytochemicals experienced efficient binding towards Aβ monomer and Aβ protofibril. Withinolide A was found to bind all the PDB’s efficiently with binding affinity of -8.4, -8.9, -7.7, -6.6 and -6.8 Kcal/mol against AChE enzyme, BuChE enzyme, BACE-1 enzyme, Aβ monomer and Aβ protofibril, respectively as a result it can be carried forward for the further preclinical and clinical studies.
阿尔茨海默病是影响60岁及以上年龄组的一种突出的神经退行性疾病。胆碱能假说,β淀粉样蛋白级联,氧化应激是一些已知的重要病因,仅举几例。我们进行了一项计算分析,其中选择了15种植物化学物质。对这些天然分子进行了抗乙酰胆碱酯酶、丁胆碱酯酶、BACE、β淀粉样蛋白单体和原纤维的研究和分析。染料木素、石杉碱A、山奈酚、甲基槲皮素、紫杉醇和内酯A对AChE和BuChE酶的结合亲和力分别为-7.7 ~ -8.6 Kcal/mol。染料木素、山奈酚、皮杉酚、银杏内酯B、甲基槲皮素和内酯A等多种植物化学物质与BACE-1酶结合,结合亲合力为-6.7 ~ -7.9 Kcal/mol。所有植物化学物质都能与Aβ单体和Aβ原纤维有效结合。内酯A对AChE酶、BuChE酶、BACE-1酶、Aβ单体和Aβ原纤维的结合亲和力分别为-8.4、-8.9、-7.7、-6.6和-6.8 Kcal/mol,可用于进一步的临床前和临床研究。
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引用次数: 1
Coronary Artery Disease Features and Epicardial Adipose on CT are Predictive Factors for Cardiovascular Events in Type 2 Diabetic Patients at High/Very High Cardiovascular Risk: A Pilot Retrospective Study 冠状动脉疾病特征和心外膜脂肪在CT上是2型糖尿病高危心血管事件的预测因素:一项前瞻性回顾性研究
Pub Date : 2022-04-28 DOI: 10.26420/jdismarkers.2022.1046
J. Z, C. L, Liu Z, Zhou L, Ding N, Z. H, Liu P, Li B, Wu Y, Yu B, Yang J
Aim: The study aimed to estimate the association between characterizations on coronary computed tomography angiography (CCTA) and cardiovascular events in type 2 diabetic patients at high/very high cardiovascular risk without known coronary artery disease (CAD), to investigate the incremental value of CCTA in these individuals. Methods: 82 type 2 diabetes patients without known CAD were enrolled according to the 2019 European Society of Cardiology (ESC) guidelines of high/ very high cardiovascular risk. The coronary artery calcium score, plaque location and extent and composition, stenosis severity, and epicardial adipose tissue (EAT) volume were evaluated. The cardiovascular events included cardiac death, non-fatal myocardial infarction, coronary revascularization, non-fatal stroke, hospitalization for unstable angina, and hospitalization for congestive heart failure during a mean follow-up period of 4.7±1.5 years. Univariate analysis and multivariate regression were used to obtain independent risk factors for CVEVs in these patients. The increased discriminative value after the addition of CAD features and EATS volume to the established clinical risk factors were estimated using the area under a receiver-operating characteristic curve (AUC). Results: CVEVs occurred in 26.8% of the patients. Independent predictors of CVEVs included hypertension (odds ratio (OR) 3.844, P=0.020), diabetes duration (OR 1.129, P=0.049), creatinine (OR 1.072, P=0.022), ABOS (OR 1.729, P=0.031), SSS (OR 1.213, P=0.021), and EAT volume (OR 1.025, P=0.012) The combination of ABOS, SSS and clinical risk factors improved the identify of CVEVs, with an area under the receiver operating characteristic curve of 0.955 (95% confidence interval 0.885 to 0.989; P=0.004) for the prediction of the endpoints. Conclusion: The extent and severity of overall coronary atheroma burden and EAT volume based on CCTA are associated with long-term CVEVs for type 2 diabetic patients at high/very high cardiovascular risk. CCTA has incremental value in evaluating the heterogeneity of such subclinical patients and beneficial forewarning for these individuals with CVEVs.
目的:本研究旨在评估无已知冠状动脉疾病(CAD)的高/极高心血管风险2型糖尿病患者的冠状动脉ct血管造影(CCTA)特征与心血管事件之间的关系,并探讨CCTA在这些个体中的增加价值。方法:根据2019年欧洲心脏病学会(ESC)高/极高心血管风险指南,纳入82例无已知CAD的2型糖尿病患者。评估冠状动脉钙评分、斑块位置、范围和组成、狭窄严重程度和心外膜脂肪组织(EAT)体积。在平均4.7±1.5年的随访期间,心血管事件包括心源性死亡、非致死性心肌梗死、冠状动脉血运重建术、非致死性卒中、不稳定型心绞痛住院和充血性心力衰竭住院。采用单因素分析和多因素回归获得这些患者cevv的独立危险因素。在将CAD特征和EATS体积添加到已建立的临床危险因素后,使用接受者工作特征曲线(AUC)下的面积估计增加的判别值。结果:cevs发生率为26.8%。CVEVs的独立预测因子包括高血压(比值比(OR) 3.844, P=0.020)、糖尿病病程(OR 1.129, P=0.049)、肌酐(OR 1.072, P=0.022)、ABOS (OR 1.729, P=0.031)、SSS (OR 1.213, P=0.021)、EAT体积(OR 1.025, P=0.012)。ABOS、SSS和临床危险因素联合使用提高了CVEVs的识别,受试者工作特征曲线下面积为0.955(95%可信区间0.885 ~ 0.989;P=0.004),用于预测终点。结论:基于CCTA的总体冠状动脉粥样硬化负担的范围和严重程度以及EAT体积与2型糖尿病患者心血管风险高/极高的长期cevs相关。CCTA在评估这些亚临床患者的异质性和对这些cvev患者的有益预警方面具有增加的价值。
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引用次数: 0
The Ratios of Total Serum Protein to Protein Electrophoretic Fractions during Pregnancy as Diagnostic Information 妊娠期血清总蛋白与蛋白电泳比值的诊断价值
Pub Date : 2021-11-03 DOI: 10.26420/jdismarkers.2021.1045
L. B, Skarżyńska E, Zborowska H, Strawa A, J. A.
Background: Ratios of total serum protein (TP) concentrations to serum protein electrophoretic fractions could reflect impact on intravascular homeostasis in pregnancy of qualitative and quantitative changes in highabundance protein of serum between consecutive trimesters. Methods: TP concentrations were measured by biuret method and six protein fractions were separated by electrophoresis in 186 serum samples from 65 healthy pregnant women in each trimester of normal singleton pregnancy and from 20 non-pregnant women. Results: TP/fraction ratios in pregnancy and postpartum period differed from those in non-pregnancy. Ratios of TP/ protein fractions changed across trimesters, mostly between first and second trimesters with increase in TP / albumin ratio by 5% while ratios TP/alpha-1-, TP/alpha-2- and TP/beta-1- globulin decreased by 22%, 15% and 15%, respectively. TP/gamma-globulin ratio increased by 15% between second and third trimesters. Conclusions: Ratios of TP concentrations to specific protein fractions may reflect trimester-specific qualitative and quantitative changes in serum content of high-abundance proteins and their effect on serum protein homeostasis in pregnancy. Decreased ratios of TP to alpha-1-, alpha-2-, beta-1- and beta-2- globulins confirm increases in concentrations of individual proteins contained in these fractions with development of pregnancy, with largest increase in level of alpha-1-globulin in earliest period of pregnancy
背景:血清总蛋白(TP)浓度与血清蛋白电泳分数之比可以反映连续妊娠期间血清高蛋白的定性和定量变化对妊娠血管内稳态的影响。方法:采用双缩脲法测定65例正常单胎妊娠妇女和20例非妊娠妇女186份血清中TP的浓度,并电泳分离6个蛋白部分。结果:妊娠期和产后TP/分数与非妊娠期存在差异。TP/蛋白组分的比率在妊娠期间发生变化,主要发生在妊娠早期和中期,TP/白蛋白比率增加了5%,而TP/ α -1-、TP/ α -2-和TP/ β -1-球蛋白比率分别下降了22%、15%和15%。TP/ γ -球蛋白比值在妊娠中期和晚期增加了15%。结论:TP浓度与特定蛋白组分的比值可以反映妊娠期血清高丰度蛋白含量的定性和定量变化及其对血清蛋白稳态的影响。TP与α -1-、α -2-、β -1-和β -2-球蛋白的比值降低,证实了随着妊娠的发展,这些部分中含有的单个蛋白质浓度增加,α -1-球蛋白的水平在妊娠早期增加最多
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引用次数: 0
Clinical Outcomes of Patients with Advanced Solid Tumors of Cutaneous Capillary Hyperplasia Following Treatment with Camrelizumab: A Retrospective Case-Control Study Camrelizumab治疗晚期皮肤毛细血管增生实体瘤患者的临床结果:一项回顾性病例对照研究
Pub Date : 2021-07-22 DOI: 10.26420/jdismarkers.2021.1044
W. X, Long Q, H. Q, L. J, S. Y, Zhao Jy, L. F
Objective: To investigate the difference of clinical outcomes between patients with and without Reactive Cutaneous Capillary Endothelial Proliferation (RCCEP) after camrelizumab treatment. Methods: A retrospective, matched case-control study was designed. A total of 92 patients with advanced solid tumors treated with camrelizumab at xx hospital between July 2019 and October 2020 were included, of whom 16 patients developed RCCEP (RCCEP group) and the remaining 76 served as the control group. The primary endpoint is Progression-Free Survival (PFS), and the secondary endpoint is Objective Response Rate (ORR) and Overall Survival (OS). Multivariate Cox regression analysis is used to assess the relevant indicators of PFS. Results: Compared with the control group, significantly increased ORR was observed in patients with RCCEP (56.3% vs 19.7%) (P<0.05). The PFS was 13 months (5-15 months) in the RCCEP group and 6 months (2-11 months) in the control group. Compared with the control group, the PFS was significantly higher in the RCCEP group (HR=0.555, 95% CI: 0.278-0.985, P<0.05). In multivariate Cox regression, RCCEP remained statistically significant after excluding potential confounders (HR=0.312, 95% CI: 0.095-0.637, P<0.01) and was associated with PFS in patients. Conclusion: In camrelizumab treatment, the occurrence of RCCEP may be a marker of strong immune response and improved tumor treatment outcomes, and has potential predictive value in patient efficacy and prognosis.
目的:探讨camrelizumab治疗后伴有和未伴有反应性皮肤毛细血管内皮增生(Reactive Cutaneous毛细血管内皮增生,RCCEP)的患者临床结局的差异。方法:设计回顾性、配对病例对照研究。纳入2019年7月至2020年10月在xx医院接受camrelizumab治疗的92例晚期实体瘤患者,其中16例发生RCCEP (RCCEP组),其余76例为对照组。主要终点是无进展生存期(PFS),次要终点是客观缓解率(ORR)和总生存期(OS)。采用多因素Cox回归分析评估PFS相关指标。结果:与对照组相比,RCCEP患者的ORR显著升高(56.3% vs 19.7%) (P<0.05)。RCCEP组的PFS为13个月(5-15个月),对照组为6个月(2-11个月)。与对照组比较,RCCEP组患者PFS显著高于对照组(HR=0.555, 95% CI: 0.278 ~ 0.985, P<0.05)。在多因素Cox回归中,排除潜在混杂因素后,RCCEP仍具有统计学意义(HR=0.312, 95% CI: 0.095 ~ 0.637, P<0.01),且与患者PFS相关。结论:在camrelizumab治疗中,RCCEP的发生可能是免疫反应强、肿瘤治疗效果改善的标志,对患者疗效和预后有潜在的预测价值。
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引用次数: 0
Ovarian Vein Syndrome in a Woman with Abdominal Pain 伴有腹痛的女性卵巢静脉综合征
Pub Date : 2021-06-19 DOI: 10.26420/jdismarkers.2021.1042
A. Rodríguez-Morata, Reyes-Ortega Jp, R. Ml, F. Gallardo-Pedrajas, G. Ja
Ovarian Vein Syndrome (OVS) is a rare and a controversial disease caused by varicose veins, a crossing and dilated ovarian veins inducing chronic ureteral obstruction [1]. We report a case of a woman with a large history of chronic abdominal pain and urinary symptoms with left chronical ureteral obstruction successfully treated by transvenous embolization with coils and foam.
卵巢静脉综合征(OVS)是一种罕见且有争议的疾病,由静脉曲张引起,卵巢静脉交叉和扩张导致慢性输尿管梗阻[1]。我们报告一位有长期慢性腹痛及泌尿系统症状的女性病患,以经静脉线圈及泡沫栓塞成功治疗左侧慢性输尿管梗阻。
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引用次数: 0
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Journal of Disease Markers
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