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Transient Inhibition of Translation Improves Cardiac Function After Ischemia/Reperfusion by Attenuating the Inflammatory Response. 瞬时抑制翻译可通过减轻炎症反应改善缺血/再灌注后的心功能
IF 35.5 3区 工程技术 Q2 ENERGY & FUELS Pub Date : 2024-10-15 Epub Date: 2024-08-29 DOI: 10.1161/CIRCULATIONAHA.123.067479
Christoph Hofmann, Adrian Serafin, Ole M Schwerdt, Johannes Fischer, Florian Sicklinger, Fereshteh S Younesi, Nikole J Byrne, Ingmar S Meyer, Ellen Malovrh, Clara Sandmann, Lonny Jürgensen, Verena Kamuf-Schenk, Claudia Stroh, Zoe Löwenthal, Daniel Finke, Etienne Boileau, Arica Beisaw, Heiko Bugger, Mandy Rettel, Frank Stein, Hugo A Katus, Tobias Jakobi, Norbert Frey, Florian Leuschner, Mirko Völkers

Background: The myocardium adapts to ischemia/reperfusion (I/R) by changes in gene expression, determining the cardiac response to reperfusion. mRNA translation is a key component of gene expression. It is largely unknown how regulation of mRNA translation contributes to cardiac gene expression and inflammation in response to reperfusion and whether it can be targeted to mitigate I/R injury.

Methods: To examine translation and its impact on gene expression in response to I/R, we measured protein synthesis after reperfusion in vitro and in vivo. Underlying mechanisms of translational control were examined by pharmacological and genetic targeting of translation initiation in mice. Cell type-specific ribosome profiling was performed in mice that had been subjected to I/R to determine the impact of mRNA translation on the regulation of gene expression in cardiomyocytes. Translational regulation of inflammation was studied by quantification of immune cell infiltration, inflammatory gene expression, and cardiac function after short-term inhibition of translation initiation.

Results: Reperfusion induced a rapid recovery of translational activity that exceeds baseline levels in the infarct and border zone and is mediated by translation initiation through the mTORC1 (mechanistic target of rapamycin complex 1)-4EBP1 (eIF4E-binding protein 1)-eIF (eukaryotic initiation factor) 4F axis. Cardiomyocyte-specific ribosome profiling identified that I/R increased translation of mRNA networks associated with cardiac inflammation and cell infiltration. Short-term inhibition of the mTORC1-4EBP1-eIF4F axis decreased the expression of proinflammatory cytokines such as Ccl2 (C-C motif chemokine ligand 2) of border zone cardiomyocytes, thereby attenuating Ly6Chi monocyte infiltration and myocardial inflammation. In addition, we identified a systemic immunosuppressive effect of eIF4F translation inhibitors on circulating monocytes, directly inhibiting monocyte infiltration. Short-term pharmacological inhibition of eIF4F complex formation by 4EGI-1 or rapamycin attenuated translation, reduced infarct size, and improved cardiac function after myocardial infarction.

Conclusions: Global protein synthesis is inhibited during ischemia and shortly after reperfusion, followed by a recovery of protein synthesis that exceeds baseline levels in the border and infarct zones. Activation of mRNA translation after reperfusion is driven by mTORC1/eIF4F-mediated regulation of initiation and mediates an mRNA network that controls inflammation and monocyte infiltration to the myocardium. Transient inhibition of the mTORC1-/eIF4F axis inhibits translation and attenuates Ly6Chi monocyte infiltration by inhibiting a proinflammatory response at the site of injury and of circulating monocytes.

背景:mRNA翻译是基因表达的关键组成部分。目前还不清楚 mRNA 翻译的调控如何促进心脏基因表达和炎症对再灌注的反应,也不知道是否可以通过调控 mRNA 翻译来减轻 I/R 损伤:为了研究翻译及其对 I/R 反应中基因表达的影响,我们在体外和体内测量了再灌注后的蛋白质合成。通过对小鼠翻译起始的药物和基因靶向研究了翻译控制的基本机制。对接受过 I/R 的小鼠进行了细胞类型特异性核糖体分析,以确定 mRNA 翻译对心肌细胞基因表达调控的影响。通过对短期抑制翻译启动后的免疫细胞浸润、炎症基因表达和心脏功能进行量化,研究了翻译对炎症的调控:结果:再灌注诱导了翻译活性的快速恢复,这种恢复超过了梗死区和边界区的基线水平,并通过mTORC1(雷帕霉素复合体1的机制靶标)-4EBP1(eIF4E结合蛋白1)-eIF(真核启动因子)4F轴介导翻译启动。心肌细胞特异性核糖体分析发现,I/R 增加了与心脏炎症和细胞浸润相关的 mRNA 网络的翻译。短期抑制 mTORC1-4EBP1-eIF4F 轴可降低边界区心肌细胞的促炎细胞因子(如 Ccl2(C-C 矩阵趋化因子配体 2))的表达,从而减轻 Ly6Chi 单核细胞浸润和心肌炎症。此外,我们还发现了 eIF4F 翻译抑制剂对循环单核细胞的全身免疫抑制作用,可直接抑制单核细胞浸润。4EGI-1或雷帕霉素对eIF4F复合物形成的短期药理抑制可减轻翻译,缩小梗死面积,改善心肌梗死后的心脏功能:结论:缺血期间和再灌注后不久,全球蛋白质合成受到抑制,随后蛋白质合成恢复,在边界区和梗死区超过基线水平。再灌注后 mRNA 翻译的激活是由 mTORC1/eIF4F 介导的启动调控驱动的,并介导了一个控制炎症和单核细胞向心肌浸润的 mRNA 网络。对 mTORC1-/eIF4F 轴的短暂抑制可抑制翻译,并通过抑制损伤部位和循环单核细胞的促炎反应来减轻 Ly6Chi 单核细胞的浸润。
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引用次数: 0
Ambipolarity of hydrogen in matter revealed by muons μ介子揭示物质中氢的共极性
3区 工程技术 Q2 ENERGY & FUELS Pub Date : 2024-10-15 DOI: 10.1080/00018732.2024.2413342
Ryosuke Kadono, Hideo Hosono
Despite being the simplest element, hydrogen (H) exhibits complex behavior in materials due to its unique ambipolar character. In particular, it is recognized as one of the most important impurities in semiconductor physics, because H is often unintentionally incorporated into materials and significantly influences the electrical properties of the host material. One of the few means that have been applied to obtain experimental information about the local electronic state of diluted H is the use of muon (Mu) as pseudo-H. Here, we present an overview on the “ambipolarity model” that provides a new paradigm for the microscopic understanding of Mu-related defects. Its essence lies in the fact that the information Mu yields is not about the equilibrium double-charge transition level (E+/) but about the donor/acceptor levels (E0/ and E+/0) associated with the relaxed-excited states of Mu. Most notably, the model resolves serious discrepancies between the implications from implanted-Mu studies and theoretical predictions on the electronic state of H from ab initio density functional theory calculations in oxide semiconductors that have hindered the coherent integration of both Mu and H knowledge. The model also suggests that hydride state (H) plays important roles in oxide materials, as found in a variety of recent examples. Based on these successes, the model is currently serving as a reliable guide for the interpretation of various Mu states observed in other insulating materials, for which several recent examples are presented.
尽管氢(H)是最简单的元素,但由于其独特的两极特性,它在材料中表现出复杂的行为。特别是,它被认为是半导体物理学中最重要的杂质之一,因为氢经常被无意地掺入材料中,并显著影响主材料的电学特性。利用μ介子(Mu)作为伪氢气,是获得稀释氢气局部电子态实验信息的少数方法之一。在此,我们概述了 "安培极性模型",它为从微观上理解与μ介子有关的缺陷提供了一种新的范式。其本质在于,Mu 所产生的信息不是关于平衡双电荷转换电平(E+/-),而是关于与 Mu 的弛豫激发态相关的供体/受体电平(E0/- 和 E+/-0)。最值得注意的是,该模型解决了植入式 Mu 研究与氧化物半导体中原子密度泛函理论计算对 H 电子状态的理论预测之间的严重差异,这些差异阻碍了 Mu 和 H 知识的协调整合。该模型还表明,氢化物态(H-)在氧化物材料中发挥着重要作用,这在最近的各种实例中都有发现。基于这些成功经验,该模型目前已成为解释在其他绝缘材料中观察到的各种 Mu 状态的可靠指南,并介绍了最近的几个实例。
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引用次数: 0
Integrative Multiomics in the Lung Reveals a Protective Role of Asporin in Pulmonary Arterial Hypertension. 肺部多组学整合揭示了阿司匹林在肺动脉高压中的保护作用
IF 35.5 3区 工程技术 Q2 ENERGY & FUELS Pub Date : 2024-10-15 Epub Date: 2024-08-21 DOI: 10.1161/CIRCULATIONAHA.124.069864
Jason Hong, Lejla Medzikovic, Wasila Sun, Brenda Wong, Grégoire Ruffenach, Christopher J Rhodes, Adam Brownstein, Lloyd L Liang, Laila Aryan, Min Li, Arjun Vadgama, Zeyneb Kurt, Tae-Hwi Schwantes-An, Elizabeth A Mickler, Stefan Gräf, Mélanie Eyries, Katie A Lutz, Michael W Pauciulo, Richard C Trembath, Frédéric Perros, David Montani, Nicholas W Morrell, Florent Soubrier, Martin R Wilkins, William C Nichols, Micheala A Aldred, Ankit A Desai, David-Alexandre Trégouët, Soban Umar, Rajan Saggar, Richard Channick, Rubin M Tuder, Mark W Geraci, Robert S Stearman, Xia Yang, Mansoureh Eghbali

Background: Integrative multiomics can elucidate pulmonary arterial hypertension (PAH) pathobiology, but procuring human PAH lung samples is rare.

Methods: We leveraged transcriptomic profiling and deep phenotyping of the largest multicenter PAH lung biobank to date (96 disease and 52 control) by integration with clinicopathologic data, genome-wide association studies, Bayesian regulatory networks, single-cell transcriptomics, and pharmacotranscriptomics.

Results: We identified 2 potentially protective gene network modules associated with vascular cells, and we validated ASPN, coding for asporin, as a key hub gene that is upregulated as a compensatory response to counteract PAH. We found that asporin is upregulated in lungs and plasma of multiple independent PAH cohorts and correlates with reduced PAH severity. We show that asporin inhibits proliferation and transforming growth factor-β/phosphorylated SMAD2/3 signaling in pulmonary artery smooth muscle cells from PAH lungs. We demonstrate in Sugen-hypoxia rats that ASPN knockdown exacerbated PAH and recombinant asporin attenuated PAH.

Conclusions: Our integrative systems biology approach to dissect the PAH lung transcriptome uncovered asporin as a novel protective target with therapeutic potential in PAH.

背景:整合多组学可以阐明肺动脉高压(PAH)的病理生物学,但获得人类 PAH 肺样本的机会很少:综合多组学可以阐明肺动脉高压(PAH)的病理生物学,但获得人类PAH肺部样本的机会很少:我们利用迄今为止最大的多中心 PAH 肺部生物库(96 个疾病样本和 52 个对照样本)的转录组学分析和深度表型分析,并将其与临床病理数据、全基因组关联研究、贝叶斯调控网络、单细胞转录组学和药物转录组学相结合:结果:我们发现了两个与血管细胞相关的潜在保护性基因网络模块,并验证了编码asporin的ASPN是一个关键的枢纽基因,它的上调是对抗PAH的一种补偿性反应。我们发现,在多个独立的 PAH 队列中,asporin 在肺部和血浆中上调,并与 PAH 严重程度的降低相关。我们发现阿斯巴灵抑制 PAH 肺中肺动脉平滑肌细胞的增殖和转化生长因子-β/磷酸化 SMAD2/3 信号传导。我们在Sugen-缺氧大鼠身上证明,ASPN敲除会加重PAH,而重组阿斯巴灵会减轻PAH:我们采用综合系统生物学方法剖析了 PAH 肺转录组,发现阿斯匹林是一种新型保护性靶标,具有治疗 PAH 的潜力。
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引用次数: 0
Liquid Processed Nano As4S4/SWCNTs Composite Electrodes for High-Performance Li-Ion and Na-Ion Battery Anodes. 用于高性能锂离子和钠离子电池阳极的液态加工纳米 As4S4/SWCNTs 复合电极。
IF 5.2 3区 工程技术 Q2 ENERGY & FUELS Pub Date : 2024-10-15 eCollection Date: 2024-11-07 DOI: 10.1021/acs.energyfuels.4c03525
Mark McCrystall, Cian Gabbett, Harneet Kaur, Tian Carey, Jose Munera, Lee Gannon, Cormac Mc Guinness, Valeria Nicolosi, Jonathan N Coleman, Bharathi Konkena

The liquid-phase exfoliation process has been successfully applied to nonlayered materials to produce quasi-2D nanoplatelets. A slight variation in bonding anisotropy in the starting material can result in the formation of 2D platelet-shaped particles with a relatively low aspect ratio. This advancement offers a promising strategy to create 2D materials from previously unexplored materials. In this study, we investigate the liquid-phase exfoliation of arsenic sulfide (As4S4), an intriguing nonlayered van der Waals material. The liquid exfoliation process generates highly disordered, low aspect ratio quasi-2D platelets. These As4S4 flakes can be easily mixed with carbon nanotubes to create nanocomposite anodes, which are appropriate for use in both Li-ion and Na-ion batteries eliminating the need for extra binders or conductive additives. The As4S4/SWCNT electrodes exhibit impressive low-rate capacities of 1202 mA h g-1 at 0.1 A g-1 for Li-ion cells and 753 mA h g-1 at 0.05 A g-1 for Na-ion cells, along with commendable cycling stability over more than 300 cycles. Detailed quantitative rate assessment clearly shows that these electrodes are limited by solid-state diffusion and emphasizing the possibility of reaching a capacity that comes close to the theoretical value which confirms the near full utilization of the active material.

液相剥离工艺已成功应用于非层状材料,以生产准二维纳米小板。起始材料中键合各向异性的细微变化可导致形成纵横比相对较低的二维板状颗粒。这一进展为利用以前未探索过的材料制造二维材料提供了一种前景广阔的策略。在本研究中,我们研究了硫化砷(As4S4)的液相剥离,这是一种有趣的非层状范德华材料。液相剥离过程会产生高度无序、低纵横比的准二维薄片。这些 As4S4 薄片可以很容易地与碳纳米管混合,制成纳米复合阳极,适用于锂离子和钠离子电池,无需额外的粘合剂或导电添加剂。As4S4/SWCNT 电极在 0.1 A g-1 的锂离子电池和 0.05 A g-1 的钠离子电池中分别显示出令人印象深刻的低速率容量(1202 mA h g-1)和 753 mA h g-1(0.05 A g-1),并且在超过 300 个循环周期内具有值得称道的循环稳定性。详细的定量速率评估清楚地表明,这些电极受到固态扩散的限制,并强调有可能达到接近理论值的容量,这证明活性材料几乎得到了充分利用。
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引用次数: 0
Optical Spectroscopic Detection and Typing of Cardiac Amyloidosis. 心脏淀粉样变性的光学光谱检测和分型。
IF 37.8 3区 工程技术 Q2 ENERGY & FUELS Pub Date : 2024-10-14 DOI: 10.1161/circulationaha.124.069554
Sudipta S Mukherjee,Joseph J Maleszewski,Daniel Luthringer,Matthew P Confer,Anirudh Mittal,Surendra Dasari,Ellen D McPhail,Suraj Kapa,Thenkurussi Kesavadas,Andre Kajdacsy-Balla,Evan Kransdorf,Jai Raman,Rohit Bhargava
{"title":"Optical Spectroscopic Detection and Typing of Cardiac Amyloidosis.","authors":"Sudipta S Mukherjee,Joseph J Maleszewski,Daniel Luthringer,Matthew P Confer,Anirudh Mittal,Surendra Dasari,Ellen D McPhail,Suraj Kapa,Thenkurussi Kesavadas,Andre Kajdacsy-Balla,Evan Kransdorf,Jai Raman,Rohit Bhargava","doi":"10.1161/circulationaha.124.069554","DOIUrl":"https://doi.org/10.1161/circulationaha.124.069554","url":null,"abstract":"","PeriodicalId":35,"journal":{"name":"Energy & Fuels","volume":"24 1","pages":"1299-1301"},"PeriodicalIF":37.8,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142439291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patients With Advanced Heart Failure and Atrial Fibrillation Deserve an Attempt at Catheter Ablation as First-Line Therapy. 晚期心力衰竭合并心房颤动的患者应尝试将导管消融作为一线疗法。
IF 37.8 3区 工程技术 Q2 ENERGY & FUELS Pub Date : 2024-10-14 DOI: 10.1161/circulationaha.124.069759
Christian Sohns,Philipp Sommer
{"title":"Patients With Advanced Heart Failure and Atrial Fibrillation Deserve an Attempt at Catheter Ablation as First-Line Therapy.","authors":"Christian Sohns,Philipp Sommer","doi":"10.1161/circulationaha.124.069759","DOIUrl":"https://doi.org/10.1161/circulationaha.124.069759","url":null,"abstract":"","PeriodicalId":35,"journal":{"name":"Energy & Fuels","volume":"103 1","pages":"1220-1222"},"PeriodicalIF":37.8,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142439426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Response by Hoedemakers et al to Letter Regarding Article, "mPAP/CO Slope and Oxygen Uptake Add Prognostic Value in Aortic Stenosis". Hoedemakers 等人对有关文章 "mPAP/CO 斜率和摄氧量增加主动脉瓣狭窄的预后价值 "的来信的回复。
IF 37.8 3区 工程技术 Q2 ENERGY & FUELS Pub Date : 2024-10-14 DOI: 10.1161/circulationaha.124.071022
Sarah Hoedemakers,Bernard Cosyns,Steven Droogmans,Frederik H Verbrugge,Lieven Herbots,Jan Verwerft
{"title":"Response by Hoedemakers et al to Letter Regarding Article, \"mPAP/CO Slope and Oxygen Uptake Add Prognostic Value in Aortic Stenosis\".","authors":"Sarah Hoedemakers,Bernard Cosyns,Steven Droogmans,Frederik H Verbrugge,Lieven Herbots,Jan Verwerft","doi":"10.1161/circulationaha.124.071022","DOIUrl":"https://doi.org/10.1161/circulationaha.124.071022","url":null,"abstract":"","PeriodicalId":35,"journal":{"name":"Energy & Fuels","volume":"17 1","pages":"e278-e279"},"PeriodicalIF":37.8,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142439427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pathogenesis of Atherothrombotic Events: From Lumen to Lesion and Beyond. 动脉粥样硬化血栓事件的发病机制:从管腔到病变及其他。
IF 37.8 3区 工程技术 Q2 ENERGY & FUELS Pub Date : 2024-10-14 DOI: 10.1161/circulationaha.124.070087
Peter Libby
{"title":"Pathogenesis of Atherothrombotic Events: From Lumen to Lesion and Beyond.","authors":"Peter Libby","doi":"10.1161/circulationaha.124.070087","DOIUrl":"https://doi.org/10.1161/circulationaha.124.070087","url":null,"abstract":"","PeriodicalId":35,"journal":{"name":"Energy & Fuels","volume":"10 1","pages":"1217-1219"},"PeriodicalIF":37.8,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142439493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Muscle Mass and Glucagon-Like Peptide-1 Receptor Agonists: Adaptive or Maladaptive Response to Weight Loss? 肌肉质量与胰高血糖素样肽-1 受体激动剂:减肥的适应性反应还是适应性不良反应?
IF 37.8 3区 工程技术 Q2 ENERGY & FUELS Pub Date : 2024-10-14 DOI: 10.1161/circulationaha.124.067676
Jennifer Linge,Andreas L Birkenfeld,Ian J Neeland
Recent studies have shown that pharmacologic weight loss with glucagon-like peptide-1 receptor agonists (GLP-1 RAs) and combination therapies is approaching magnitudes achieved with surgery. However, as more weight loss is achieved, there is concern for potential adverse effects on muscle quantity, composition, and function. This primer aims to address whether muscle-related changes associated with weight loss treatments such as GLP-1 RAs may be maladaptive (ie, adversely affecting muscle health or function), adaptive (ie, a physiologic response to weight loss maintaining or minimally affecting muscle health or function), or perhaps an enhanced response to weight loss (ie, improved muscle health or function after treatment). Based on contemporary evidence with the addition of studies using magnetic resonance imaging, skeletal muscle changes with GLP-1 RA treatments appear to be adaptive: changes in muscle volume z-score indicate a change in muscle volume that is commensurate with what is expected given aging, disease status, and weight loss achieved, and the improvement in insulin sensitivity and muscle fat infiltration likely contributes to an adaptive process with improved muscle quality, lowering the probability for loss in strength and function. Nevertheless, factors such as older age and prefrailty may influence the selection of appropriate candidates for these therapies because of risk for sarcopenia. Several pharmacologic treatments to maintain or improve muscle mass designed in combination with GLP-1-based therapies are under development. For future development of GLP-1-based therapies (and other therapies) designed for weight loss, as well as for patient-centered treatment optimization, the introduction of more objective and comprehensive ways of assessing muscle health (including accurate and meaningful assessments of muscle quantity, composition, function, mobility, and strength) is important for the substantial numbers of patients who will likely be taking these medications well into the future.
最近的研究表明,使用胰高血糖素样肽-1 受体激动剂(GLP-1 RAs)和联合疗法的药物减肥效果已接近手术减肥的效果。然而,随着体重的减轻,人们开始关注对肌肉数量、组成和功能的潜在不利影响。本入门指南旨在探讨与 GLP-1 RAs 等减肥疗法相关的肌肉相关变化是否可能是适应性不良(即对肌肉健康或功能产生不利影响)、适应性不良(即对减肥的生理反应,维持或最小化对肌肉健康或功能的影响),或者可能是对减肥的增强反应(即治疗后肌肉健康或功能得到改善)。根据使用磁共振成像研究的最新证据,GLP-1 RA 治疗后骨骼肌的变化似乎是适应性的:肌肉体积 Z 值的变化表明,肌肉体积的变化与预期的老化、疾病状态和体重减轻情况相符,胰岛素敏感性和肌肉脂肪浸润的改善可能有助于改善肌肉质量的适应过程,降低力量和功能丧失的可能性。不过,由于存在肌肉疏松症的风险,年龄较大和体质较弱等因素可能会影响这些疗法合适人选的选择。目前正在开发几种与 GLP-1 疗法相结合的药物疗法,以维持或改善肌肉质量。对于未来开发用于减肥的 GLP-1 疗法(和其他疗法)以及以患者为中心的治疗优化而言,采用更客观、更全面的方法来评估肌肉健康状况(包括对肌肉数量、组成、功能、活动度和力量进行准确而有意义的评估),对于未来可能会服用这些药物的大量患者而言非常重要。
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引用次数: 0
Letter by Jha Regarding Article, "mPAP/CO Slope and Oxygen Uptake Add Prognostic Value in Aortic Stenosis". Jha 就文章 "mPAP/CO 斜率和摄氧量增加主动脉瓣狭窄的预后价值 "的来信。
IF 37.8 3区 工程技术 Q2 ENERGY & FUELS Pub Date : 2024-10-14 DOI: 10.1161/circulationaha.124.070147
Ajay Kumar Jha
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引用次数: 0
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