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Beta-amyloid protein regulates miR-15a and activates Bag5 to influence neuronal apoptosis in Alzheimer's disease. β -淀粉样蛋白调控miR-15a并激活Bag5影响阿尔茨海默病神经元凋亡。
Q3 Medicine Pub Date : 2024-07-28 DOI: 10.11817/j.issn.1672-7347.2024.230439
Qiong Pan, Xinyu Hu, Ke Guo

Objectives: The prevalence of Alzheimer's disease (AD) is increasing globally, however its pathogenesis is still unclear. The evidence showed that the progression of AD was closely related to the apoptosis of nerve cells. This study amis to explore the role and specific mechanism of miR-15a and Bag5 in the apoptosis of nerve cells induced by beta-amyloid protein (Aβ) in AD.

Methods: The AD rat model was constructed by injecting Aβ42 into SD rat brain and the AD cell model was constructed by treating SH-SY5Y cells with Aβ42. The learning and memory ability of rats was detected by Morris Water Maze. Hematoxylin and eosin (HE) staining was used to detect the pathological changes of brain tissues. Nissl staining was used to detect the changes of cell morphology and number in brain tissues. The upstream miRNA that interacted with Bag5 were screened by bioinformatics analysis. Methyl thiazolyl tetrazolium (MTT) assay was used to detect cell proliferation. Flow cytometry was used to detect the apoptosis rate of cells. Real-time reverse transcription PCR (real-time RT-PCR) was used to detect the mRNA levels of miR-15a and Bag5. Western blotting was used to detect the protein expression levels of Bag5, Bax and Caspase-3. MiR-15a knockdown or overexpression vectors or Bag5 knockdown vectors were transfected into AD rat model and AD cell models, respectively. Luciferase reporter assay was used to verify the binding relationship between miR-15a and Bag5.

Results: Morris Water Maze, HE staining and Nissl staining showed that the rat model of AD was established successfully, and Aβ could induce neuronal apoptosis and inhibit the expression of miR-15a in AD rats. Compared with normal cells, Aβ treatment significantly increased apoptosis rate and Bag5 expression, and weakened cell proliferation and miR-15a (all P<0.01). Overexpression of miR-15a further enhanced the effect of Aβ on cell proliferation and apoptosis, while knockdown of miR-15a expression had the opposite effect (all P<0.01). Luciferase reporter assay confirmed that there was a negative targeting relationship between miR-15a and Bag5. Compared with Bag5 knockdown alone, the co-transfection of miR-15a inhibitor and si-Bag5 significantly increased the cell proliferation ability and mRNA and protein levels of Bag5, and significantly reduced the cell apoptosis rate and the expression of Bax and Caspase-3, animal studies have also shown consistent results (all P<0.01).

Conclusions: Aβ can inhibit the expression of miR-15a, thereby inducing the expression of Bag5 and activating the protective mechanism of Bag5 against Aβ induced apoptosis.

目的:阿尔茨海默病(AD)的患病率在全球范围内呈上升趋势,但其发病机制尚不清楚。证据表明,AD的进展与神经细胞的凋亡密切相关。本研究旨在探讨miR-15a和Bag5在AD患者β -淀粉样蛋白(Aβ)诱导的神经细胞凋亡中的作用及特异性机制。方法:Aβ42注射SD大鼠脑建立AD大鼠模型,Aβ42作用SH-SY5Y细胞建立AD细胞模型。Morris水迷宫法检测大鼠学习记忆能力。采用苏木精伊红(HE)染色检测大鼠脑组织病理变化。采用尼氏染色法检测大鼠脑组织细胞形态及数量的变化。通过生物信息学分析筛选与Bag5相互作用的上游miRNA。甲基噻唑四氮唑(MTT)法检测细胞增殖。流式细胞术检测细胞凋亡率。采用实时反转录PCR (Real-time RT-PCR)检测miR-15a和Bag5的mRNA水平。Western blotting检测Bag5、Bax、Caspase-3蛋白表达水平。将MiR-15a敲低或过表达载体或Bag5敲低载体分别转染到AD大鼠模型和AD细胞模型中。荧光素酶报告基因法验证miR-15a与Bag5的结合关系。结果:Morris水迷宫、HE染色和Nissl染色显示AD大鼠模型成功建立,Aβ可诱导AD大鼠神经元凋亡,抑制miR-15a的表达。与正常细胞相比,Aβ处理显著增加细胞凋亡率和Bag5表达,减弱细胞增殖和miR-15a(均ppp)结论:Aβ可以抑制miR-15a的表达,从而诱导Bag5的表达,激活Bag5对Aβ诱导的细胞凋亡的保护机制。
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引用次数: 0
Correlation between obesity and Alzheimer's disease and the mechanisms. 肥胖与阿尔茨海默病的相关性及其机制。
Q3 Medicine Pub Date : 2024-07-28 DOI: 10.11817/j.issn.1672-7347.2024.240025
Tenglin Zhang, Ping Wang, Ruonan Li, Ying Wang, Shuxun Yan

Alzheimer's disease (AD) is a progressive central neurodegenerative disorder with an insidious onset. With global aging, the incidence and mortality of AD have been steadily increasing, yet effective treatments remain elusive. Obesity, characterized by excessive or abnormal fat accumulation, is a complex metabolic disorder and a confirmed risk factor for numerous diseases. Both obesity and AD have become major public health concerns, posing significant threats to human health and economic development. Studies have revealed a strong correlation between obesity and AD, with multiple contributing factors, including metabolic abnormalities of endocrine factors, inflammatory responses, and genetic interactions. Exploring the correlation and mechanisms between obesity and AD provides important insights and new strategies for the prevention and treatment of AD.

阿尔茨海默病(AD)是一种发病隐匿的进行性中枢神经退行性疾病。随着全球老龄化,阿尔茨海默病的发病率和死亡率稳步上升,但有效的治疗方法仍然难以捉摸。肥胖是一种复杂的代谢紊乱,是许多疾病的确定危险因素,其特征是脂肪堆积过多或异常。肥胖和AD已成为重大的公共卫生问题,对人类健康和经济发展构成重大威胁。研究表明,肥胖与AD之间存在很强的相关性,其影响因素包括内分泌因子代谢异常、炎症反应和基因相互作用等。探讨肥胖与阿尔茨海默病之间的相关性和机制,为阿尔茨海默病的防治提供了重要的见解和新的策略。
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引用次数: 0
Identification of apoptosis-related long non-coding RNAs expression profiles in patient with cervical intraepithelial neoplasia 3. 宫颈上皮内瘤变患者细胞凋亡相关长链非编码rna表达谱的鉴定
Q3 Medicine Pub Date : 2024-07-28 DOI: 10.11817/j.issn.1672-7347.2024.230302
Zhaoyang Liu, Lingli Luo, Xinyi Wu, Bingqi Wang, Min Wang, Xianping Li

Objectives: Long non-coding RNAs (lncRNAs) play an essential role in cancer biology. Cervical intraepithelial neoplasia grade 3 (CIN3) is the most severe precancerous lesion of cervical cancer. However, the mechanism of multiple lncRNAs in CIN3 has not been studied in-depth and is worth exploring. This study aims to summarize the lncRNA expression profile in CIN 3 and screen for lncRNAs with potential oncogenic effects.

Methods: To further clarify the role of lncRNAs in the development of CIN3, this study collected cancer tissue and para-cancer tissue specimens from three CIN3 patients. The RNA sequencing (RNA-Seq) analysis was used to construct expression profiles of lncRNAs and confirmed by real-time reverse transcription PCR (real-time RT-PCR) methods. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) were performed with computational methods. We obtained their possible target genes through the cis- and trans-regulatory analysis of the lncRNAs. In addition, this study predicted new transcripts and lncRNAs by Cufflinks analysis and coding potential identification (Coding Potential Calculator) analysis to discover new tumor regulatory molecules.

Results: The differential expressions of 1 555 genes, 1 562 mRNAs, 241 ncRNAs, and 6 616 new predicted-lncRNAs were found. The most prominently up-regulated and down-regulated lncRNAs were NR_145433.1 and ENST00000513672.1, respectively. KEGG analysis revealed that lncRNA-targeted genes were closely related to apoptosis, metabolic, p53 signaling pathway, and other cancer-related pathways. The real-time RT-PCR validation results of 5 apoptosis-related lncRNAs (NR_145433.1, ENST00000510610.2, UC001Kfo, ENST00000602964.1, and NR_123733.1) in cervical cancer were consistent with the sequencing results.

Conclusions: This study provides a comprehensive expression profile of lncRNAs in CIN3 patients, particularly the apoptosis-related expression profile of lncRNAs, and provides direction and clues for the study of cervical cancer and the search for potential therapeutic targets.

目的:长链非编码rna (lncRNAs)在肿瘤生物学中发挥着重要作用。宫颈上皮内瘤变3级(CIN3)是宫颈癌中最严重的癌前病变。然而,多种lncrna在CIN3中的作用机制尚未得到深入研究,值得探讨。本研究旨在总结lncRNA在CIN 3中的表达谱,筛选具有潜在致癌作用的lncRNA。方法:为了进一步明确lncrna在CIN3发生发展中的作用,本研究收集了3例CIN3患者的癌组织和癌旁组织标本。采用RNA测序(RNA- seq)分析构建lncRNAs的表达谱,并采用实时反转录PCR (real-time RT-PCR)方法进行验证。采用计算方法对基因本体(GO)和京都基因与基因组百科全书(KEGG)进行计算。我们通过对lncrna的顺式和反式调控分析获得了它们可能的靶基因。此外,本研究通过袖扣分析和编码电位鉴定(coding potential Calculator)分析预测新的转录本和lncrna,发现新的肿瘤调控分子。结果:共发现差异表达基因1555个,mrna 1562个,ncrna 241个,预测lncrna 6 616个。上调和下调最显著的lncrna分别是NR_145433.1和ENST00000513672.1。KEGG分析显示lncrna靶向基因与细胞凋亡、代谢、p53信号通路等肿瘤相关通路密切相关。5个凋亡相关lncrna (NR_145433.1、ENST00000510610.2、UC001Kfo、ENST00000602964.1、NR_123733.1)在宫颈癌中的实时RT-PCR验证结果与测序结果一致。结论:本研究提供了完整的lncRNAs在CIN3患者中的表达谱,特别是lncRNAs与凋亡相关的表达谱,为宫颈癌的研究和寻找潜在的治疗靶点提供了方向和线索。
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引用次数: 0
Childhood obesity and central precocious puberty. 儿童肥胖和性早熟。
Q3 Medicine Pub Date : 2024-07-28 DOI: 10.11817/j.issn.1672-7347.2024.240280
Ruonan Li, Xin Shang, Tenglin Zhang, Shuxun Yan

Central precocious puberty (CPP) is an endocrine disorder in children caused by the early activation of the hypothalamic-pituitary-gonadal axis (HPGA), leading to elevated gonadotropin-releasing hormone (GnRH), which triggers the development of gonads and the secretion of sex hormones. This eventually results in the development of internal and external genitalia and secondary sexual characteristics. CPP significantly affects the physical and mental health of children and may increase the risk of various adult diseases. The influencing factors and mechanisms of CPP are a central focus of research, and its prevention and treatment remain challenging. Childhood obesity is an important risk factor for CPP, with a complex relationship influenced by endocrine-disrupting chemicals, genetic factors, and epigenetic regulation. The link between the two is primarily related to the regulation of HPGA function by nutritional and metabolic signals. Exploring the relationship between childhood obesity and CPP, along with the potential mechanisms by which obesity induces CPP, can provide theoretical references for identifying new therapeutic targets.

中枢性性早熟(CPP)是儿童下丘脑-垂体-性腺轴(HPGA)过早激活,导致促性腺激素释放激素(GnRH)升高,进而引发性腺发育和性激素分泌的一种内分泌疾病。这最终导致了内外生殖器和第二性征的发育。CPP严重影响儿童的身心健康,并可能增加患各种成人疾病的风险。CPP的影响因素和机制是研究的热点,其预防和治疗仍具有挑战性。儿童肥胖是CPP的重要危险因素,与内分泌干扰物、遗传因素和表观遗传调控的关系复杂。两者之间的联系主要与营养和代谢信号对HPGA功能的调节有关。探讨儿童肥胖与CPP的关系,以及肥胖诱发CPP的潜在机制,可为寻找新的治疗靶点提供理论参考。
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引用次数: 0
Probiotics in reducing obesity by reconfiguring the gut microbiota. 益生菌通过重新配置肠道菌群来减少肥胖。
Q3 Medicine Pub Date : 2024-07-28 DOI: 10.11817/j.issn.1672-7347.2024.240361
Yunuo Zhang, Wei Wang

Obesity, as a global health crisis, is increasingly linked to intestinal microecology. Probiotics colonise the body, effectively regulating the balance of intestinal flora, while strengthening the intestinal barrier, activating the immune response, releasing beneficial substances, and maintaining micro-ecological balance. This process not only enhances the defence against pathogens, but also reduces the production of inflammatory factors and lowers the level of chronic inflammation. However, the specific process and mechanism by which probiotics influence the intestinal microecology through the immune response, improve metabolic disorders caused by obesity, and participate in weight management are not clear. Through multiple neural pathways including the 'gut-brain axis' and their direct interaction with the intestine, probiotics increase the number of beneficial bacteria in the intestine and inhibit the growth of harmful bacteria, thus effectively restructuring the balance of the intestinal flora. This restructuring of the balance can optimise the intestinal environment and enhance the efficiency of food digestion and nutrient absorption. Probiotics show positive effects on obesity management by regulating the metabolic process and reducing fat accumulation, providing individuals with a new way to control body weight and prevent obesity. Therefore, the application of probiotics is of great significance in promoting gut health and weight management.

肥胖作为一种全球性的健康危机,与肠道微生态的联系越来越紧密。益生菌在体内定植,有效调节肠道菌群平衡,同时强化肠道屏障,激活免疫反应,释放有益物质,维持微生态平衡。这个过程不仅增强了对病原体的防御,而且还减少了炎症因子的产生,降低了慢性炎症的水平。然而,益生菌通过免疫反应影响肠道微生态,改善肥胖引起的代谢紊乱,参与体重管理的具体过程和机制尚不清楚。益生菌通过包括“肠-脑轴”在内的多条神经通路及其与肠道的直接相互作用,增加肠道有益菌的数量,抑制有害菌的生长,从而有效地重组肠道菌群的平衡。这种平衡的重组可以优化肠道环境,提高食物消化和营养吸收的效率。益生菌通过调节代谢过程,减少脂肪堆积,在肥胖管理方面显示出积极的作用,为个体控制体重和预防肥胖提供了新的途径。因此,益生菌的应用对促进肠道健康和体重管理具有重要意义。
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引用次数: 0
Role of waist circumference-to-height ratio in assessing adiposity, predicting type 2 diabetes mellitus and other cardiometabolic diseases. 腰围身高比在评估肥胖、预测2型糖尿病和其他心脏代谢疾病中的作用。
Q3 Medicine Pub Date : 2024-07-28 DOI: 10.11817/j.issn.1672-7347.2024.240259
Xinyi Zhang, Xi Lu, Xiaohui Pan, Sumin Shen, Nanwei Tong

Although body mass index (BMI) is widely used as a simple tool to assess obesity, it has certain limitations and inaccuracies. It is known that visceral adipose tissue is closely related to cardiometabolic risks and all-cause mortality; however, precise measurement methods for visceral fat (magnetic resonance imaging and computed tomography) cannot be widely used. Thus, simple but accurate alternatives are valuable. Studies have shown that waist circumference-to-height ratio (WHtR) might be a superior and more accurate variable in assessing central or visceral adiposity as well as predicting risks of diabetes and other cardiometabolic diseases. Furthermore, WHtR cutoff values can be consistent across different races, age, and genders, making it a universal metric worth promoting and applying.

虽然身体质量指数(BMI)作为一种评估肥胖的简单工具被广泛使用,但它有一定的局限性和不准确性。众所周知,内脏脂肪组织与心脏代谢风险和全因死亡率密切相关;然而,内脏脂肪的精确测量方法(磁共振成像和计算机断层扫描)不能广泛使用。因此,简单但准确的替代方案是有价值的。研究表明,腰围与身高比(WHtR)可能是评估中枢性或内脏脂肪以及预测糖尿病和其他心脏代谢疾病风险的更优越和更准确的变量。此外,WHtR的临界值可以在不同的种族、年龄和性别之间保持一致,使其成为一个值得推广和应用的通用指标。
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引用次数: 0
Research progress on the relationship between Nesfatin-1 and glucose metabolism. Nesfatin-1 与葡萄糖代谢关系的研究进展。
Q3 Medicine Pub Date : 2024-06-28 DOI: 10.11817/j.issn.1672-7347.2024.240113
Yunting Cao, Wei Wang

Nesfatin-1 is a neuropeptide hormone known for its biological functions, including inhibiting food intake, regulating glucose and lipid metabolism, promoting apoptosis, and providing anti-inflammatory and anti-tumor effects. Glucose metabolism is a crucial pathway for the body's energy supply. Current research has demonstrated that Nesfatin-1 can affect glucose metabolism through various mechanisms, such as inhibiting food intake, regulating enzyme activity, and improving insulin resistance, though the findings are not entirely consistent. Investigating the relationship between Nesfatin-1 and glucose metabolism may offer new insights into the diagnosis and treatment of diseases related to glucose metabolism disorders.

Nesfatin-1 是一种神经肽激素,具有抑制食物摄入、调节葡萄糖和脂质代谢、促进细胞凋亡、抗炎和抗肿瘤等生物学功能。葡萄糖代谢是人体能量供应的重要途径。目前的研究表明,Nesfatin-1 可通过多种机制影响葡萄糖代谢,如抑制食物摄入、调节酶活性、改善胰岛素抵抗等,但研究结果并不完全一致。研究 Nesfatin-1 与糖代谢之间的关系可能会为诊断和治疗与糖代谢紊乱有关的疾病提供新的见解。
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引用次数: 0
Maresin 1 alleviates neuroinflammation and cognitive decline in a mouse model of cecal ligation and puncture. Maresin 1 可减轻小鼠盲肠结扎和穿刺模型中的神经炎症和认知能力下降。
Q3 Medicine Pub Date : 2024-06-28 DOI: 10.11817/j.issn.1672-7347.2024.240117
Longyan Li, Manyu Xing, Lu Wang, Yixia Zhao
<p><strong>Objectives: </strong>Inflammation in the central nervous system plays a crucial role in the occurrence and development of sepsis-associated encephalopathy. This study aims to explore the effects of maresin 1 (MaR1), an anti-inflammatory and pro-resolving lipid mediator, on sepsis-induced neuroinflammation and cognitive impairment.</p><p><strong>Methods: </strong>Mice were randomly assigned to 4 groups: A sham group (sham operation+vehicle), a cecal ligation and puncture (CLP) group (CLP operation+vehicle), a MaR1-LD group (CLP operation+1 ng MaR1), and a MaR1-HD group (CLP operation+10 ng MaR1). MaR1 or vehicle was intraperitoneally administered starting 1 h before CLP operation, then every other day for 7 days. Survival rates were monitored, and serum inflammatory cytokines [tumor necrosis factor alpha (TNF-α), interleukin (IL)-1β, and IL-6] were measured 24 h after operation using enzyme-linked immunosorbent assay (ELISA). Cognitive function was assessed 7 days after operation using the Morris water maze (MWM) test and novel object recognition (NOR) task. The mRNA expression of <i>TNF-α</i>, <i>IL-1β</i>, <i>IL-6</i>, inducible nitric oxide synthase (<i>iNOS</i>), <i>IL-4</i>, <i>IL-10</i>, and arginase 1 (<i>Arg1</i>) in cortical and hippocampal tissues was determined by real-time reverse transcription PCR (RT-PCR). Western blotting was used to determine the protein expression of iNOS, Arg1, signal transducer and activator of transcription 6 (STAT6), peroxisome proliferator-activated receptor gamma (PPARγ), and phosphorylated STAT6 (p-STAT6) in hippocampal tissue. Microglia activation was visualized via immunofluorescence. Mice were also treated with the PPARγ antagonist GW9662 to confirm the involvement of this pathway in MaR1's effects.</p><p><strong>Results: </strong>CLP increased serum levels of TNF-α, IL-1β, and IL-6, and reduced body weight and survival rates (all <i>P</i><0.05). Both 1 ng and 10 ng doses of MaR1 significantly reduced serum TNF-α, IL-1β, and IL-6 levels, improved body weight, and increased survival rates (all <i>P</i><0.05). No significant difference in efficacy was observed between the 2 doses (all <i>P</i>>0.05). MWM test and NOR task indicated that CLP impaired spatial learning, which MaR1 mitigated. However, GW9662 partially reversed MaR1's protective effects. Real-time RT-PCR results demonstrated that, compared to the sham group, mRNA expression of <i>TNF-α</i>, <i>IL-1β,</i> and <i>iNOS</i> significantly increased in hippocampal tissues following CLP (all <i>P</i><0.05), while <i>IL-4</i>, <i>IL-10</i>, and <i>Arg1</i> showed a slight decrease, though the differences were not statistically significant (all <i>P</i>>0.05). Compared to the CLP group, both 1 ng and 10 ng MaR1 decreased <i>TNF-α</i>, <i>IL-1β</i>, and <i>iNOS</i> mRNA expression in hippocampal tissues and increased <i>IL-4</i>, <i>IL-10</i>, and <i>Arg1</i> mRNA expression (all <i>P</i><0.05). Immunofluorescence results indicated a significa
目的:中枢神经系统的炎症在脓毒症相关脑病的发生和发展中起着至关重要的作用。本研究旨在探讨马钱子素 1(MaR1)(一种抗炎和促进脂质溶解的介质)对败血症诱导的神经炎症和认知障碍的影响:将小鼠随机分为 4 组:假组(假手术+车辆)、盲肠结扎和穿刺(CLP)组(CLP手术+车辆)、MaR1-LD组(CLP手术+1 ng MaR1)和MaR1-HD组(CLP手术+10 ng MaR1)。在CLP手术前1小时开始腹腔注射MaR1或载体,然后隔天注射一次,共注射7天。监测存活率,并在手术后24小时用酶联免疫吸附试验(ELISA)测定血清炎症细胞因子[肿瘤坏死因子α(TNF-α)、白细胞介素(IL)-1β和IL-6]。术后7天,使用莫里斯水迷宫(MWM)测试和新物体识别(NOR)任务评估认知功能。实时逆转录 PCR(RT-PCR)测定了皮质和海马组织中 TNF-α、IL-1β、IL-6、诱导型一氧化氮合酶(iNOS)、IL-4、IL-10 和精氨酸酶 1(Arg1)的 mRNA 表达。用 Western 印迹法测定海马组织中 iNOS、Arg1、信号转导和转录激活因子 6(STAT6)、过氧化物酶体增殖激活受体γ(PPARγ)和磷酸化 STAT6(p-STAT6)的蛋白表达。通过免疫荧光可观察到小胶质细胞的活化。小鼠还接受了 PPARγ 拮抗剂 GW9662 的治疗,以证实该途径参与了 MaR1 的作用:结果:CLP增加了血清中TNF-α、IL-1β和IL-6的水平,并降低了体重和存活率(均为PPP>0.05)。MWM测试和NOR任务表明,CLP损害了空间学习能力,而MaR1减轻了这种损害。然而,GW9662部分逆转了MaR1的保护作用。实时 RT-PCR 结果表明,与假组相比,CLP 后海马组织中 TNF-α、IL-1β 和 iNOS 的 mRNA 表达显著增加(所有 PIL-4、IL-10 和 Arg1 均略有下降,但差异无统计学意义(均 P>0.05)。与CLP组相比,1 ng和10 ng MaR1均可降低海马组织中TNF-α、IL-1β和iNOS mRNA的表达,增加IL-4、IL-10和Arg1 mRNA的表达(均为PPPPP结论:MaR1可抑制海马小胶质细胞的经典活化,促进替代活化,减少败血症诱导的神经炎症,并改善认知能力下降。
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引用次数: 0
Mediating role of inner strength in the relationship between medication literacy and medication adherence among kidney transplant patients. 内心力量在肾移植患者用药知识与坚持用药之间的关系中的中介作用。
Q3 Medicine Pub Date : 2024-06-28 DOI: 10.11817/j.issn.1672-7347.2024.240215
Liping Wang, Chunhua Fang, Manhua Nie, Li Zhu, Sai Liu, Haiyang Li
<p><strong>Objectives: </strong>Compared with long-term renal replacement therapy, kidney transplantation is the ideal treatment for end-stage renal disease (ESRD), significantly extending patient life and improving quality of life. Kidney transplant patients need to adhere to lifelong immunosuppressive medication regimens, but their medication adherence is generally poor compared with other organ transplant recipients. Medication adherence is closely related to medication literacy and psychological status, yet related studies are limited. This study aims to investigate the current status of medication adherence, inner strength, and medication literacy in kidney transplant patients, analyze the relationships among these 3 factors, and explore the mediating role of inner strength in the relationship between medication literacy and medication adherence.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted from March to October 2023 involving 421 patients aged≥18 years who visited kidney transplantation outpatient clinics at 4 tertiary hospitals in Hunan Province. The inner strength, medication literacy, and medication adherence of kidney transplant patients were investigated using the Inner Strength Scale (ISS), the Chinese version of the Medication Literacy Assessment in Spanish and English (MedLitRxSE), and the Chinese version of the Morisky Medication Adherence Scale-8 (C-MMAS-8), respectively. Univariate analysis was performed to examine the effects of demographic and clinical data on medication adherence. Correlation analysis was conducted to explore the relationships among medication literacy, medication adherence, and inner strength. Significant variables from univariate and correlation analyses were further analyzed using multiple linear regression, and the mediating effect of inner strength was explored.</p><p><strong>Results: </strong>Among the 421 questionnaires collected, 408 were valid, with an effective rate of 96.91%. The scores of C-MMAS-8, MedLitRxSE, and ISS were 6.64±1.16, 100.63±14.67, and 8.47±4.03, respectively. Among the 408 patients, only 86 (21.08%) patients had a high level of medication adherence, whereas 230 (56.37%) patients had a medium level of medication adherence, and 92 (22.55%) patients had poor medication adherence. Univariate analysis indicated that the kidney transplant patients' age, marital status, education levels, years since their kidney transplant operation, number of hospitalizations after the kidney transplant, and adverse drug reactions showed significant differences in medication adherence (all <i>P</i><0.05). Correlation analysis showed that inner strength positively correlated with both medication literacy (<i>r</i>=0.183, <i>P</i><0.001) and medication adherence (<i>r</i>=0.201, <i>P</i><0.001). Additionally, there was a positive correlation between medication adherence and medication literacy (<i>r</i>=0.236, <i>P</i><0.001). Inner strength accounted for 13.22% of the total effec
目的:与长期肾脏替代疗法相比,肾移植是治疗终末期肾病(ESRD)的理想方法,能显著延长患者的生命并提高生活质量。肾移植患者需要终身坚持免疫抑制药物治疗,但与其他器官移植受者相比,他们的用药依从性普遍较差。用药依从性与用药知识和心理状态密切相关,但相关研究却很有限。本研究旨在调查肾移植患者的用药依从性、内心力量和用药知识的现状,分析这3个因素之间的关系,并探讨内心力量在用药知识与用药依从性之间的中介作用:方法:于2023年3月至10月对湖南省4家三级甲等医院肾移植门诊就诊的421名年龄≥18岁的肾移植患者进行横断面调查。分别采用内在力量量表(ISS)、中文版西班牙语和英语用药知识评估(MedLitRxSE)和中文版莫里斯基用药依从性量表-8(C-MMAS-8)对肾移植患者的内在力量、用药知识和用药依从性进行了调查。我们进行了单变量分析,以研究人口统计学和临床数据对用药依从性的影响。进行了相关分析,以探讨用药知识、用药依从性和内心力量之间的关系。利用多元线性回归进一步分析了单变量分析和相关分析中的重要变量,并探讨了内心力量的中介效应:在回收的 421 份问卷中,有效问卷 408 份,有效率为 96.91%。C-MMAS-8、MedLitRxSE和ISS的得分分别为(6.64±1.16)分、(100.63±14.67)分和(8.47±4.03)分。在 408 例患者中,只有 86 例(21.08%)患者的用药依从性较高,230 例(56.37%)患者的用药依从性中等,92 例(22.55%)患者的用药依从性较差。单变量分析表明,肾移植患者的年龄、婚姻状况、受教育程度、肾移植手术后年数、肾移植后住院次数和药物不良反应在服药依从性方面存在显著差异(Pr=0.183,Pr=0.201,Pr=0.236,PConclusions:肾移植患者的服药依从性水平有待提高,必须采取有针对性的干预措施。肾移植患者的用药知识和用药依从性之间的关系是由患者的内在力量中介的。医护人员应注重提高患者的用药知识水平,支持患者的内心力量,以改善其用药依从性。
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引用次数: 0
Two-sample Mendelian randomization analysis of causal relationship between eczema and autoimmune diseases. 湿疹与自身免疫性疾病因果关系的双样本孟德尔随机分析。
Q3 Medicine Pub Date : 2024-06-28 DOI: 10.11817/j.issn.1672-7347.2024.240103
Chunli Chen, Siyu Yan, Bangbei Wan, Yangyiyi Yu, Jinrong Zeng, Lina Tan, Jianyun Lu

Objectives: The causal relationship between eczema and autoimmune diseases has not been previously reported. This study aims to evaluate the causal relationship between eczema and autoimmune diseases.

Methods: The two-sample Mendelian randomization (MR) method was used to assess the causal effect of eczema on autoimmune diseases. Summary data from the Genome-Wide Association Study Catalog (GWAS) were obtained from the Integrative Epidemiology Unit (IEU) database. For eczema and autoimmune diseases, genetic instrument variants (GIVs) were identified according to the significant difference (P<5×10-8). Causal effect estimates were generated using the inverse-variance weighted (IVW) method. MR Egger, maximum likelihood, MR-PRESSO, and MR-RAPS methods were used for alternative analyses. Sensitivity tests, including heterogeneity, horizontal pleiotropy, and leave-one-out analyses, were performed. Finally, reverse causality was assessed.

Results: Genetic susceptibility to eczema was associated with an increased risk of Crohn's disease (OR=1.444, 95% CI 1.199 to 1.738, P<0.001) and ulcerative colitis (OR=1.002, 95% CI 1.001 to 1.003, P=0.002). However, no causal relationship was found for the other 6 autoimmune diseases, including systemic lupus erythematosus (SLE) (OR=0.932, P=0.401), bullous pemphigoid (BP) (OR=1.191, P=0.642), vitiligo (OR=1.000, P=0.327), multiple sclerosis (MS) (OR=1.000, P=0.965), ankylosing spondylitis (AS) (OR=1.001, P=0.121), rheumatoid arthritis (RA) (OR=1.000, P=0.460). Additionally, no reverse causal relationship was found between autoimmune diseases and eczema.

Conclusions: Eczema is associated with an increased risk of Crohn's disease and ulcerative colitis. No causal relationship is found between eczema and SLE, MS, AS, RA, BP, or vitiligo.

目的:湿疹与自身免疫性疾病之间的因果关系此前尚未见报道。本研究旨在评估湿疹与自身免疫性疾病之间的因果关系:方法:采用双样本孟德尔随机法(MR)评估湿疹对自身免疫性疾病的因果关系。全基因组关联研究目录(GWAS)的摘要数据来自综合流行病学单位(IEU)数据库。对于湿疹和自身免疫性疾病,根据显著差异(P-8)确定了遗传工具变体(GIVs)。使用逆方差加权法(IVW)生成因果效应估计值。在替代分析中使用了 MR Egger、最大似然法、MR-PRESSO 和 MR-RAPS 方法。还进行了敏感性测试,包括异质性、水平多向性和剔除分析。最后,对反向因果关系进行了评估:湿疹遗传易感性与克罗恩病风险增加有关(OR=1.444,95% CI 1.199 至 1.738,POR=1.002,95% CI 1.001 至 1.003,P=0.002)。然而,其他 6 种自身免疫性疾病,包括系统性红斑狼疮(SLE)(OR=0.932,P=0.401)、牛皮癣(BP)(OR=1.191,P=0.642)、白癜风(OR=1.000,P=0.327)、多发性硬化(MS)(OR=1.000,P=0.965)、强直性脊柱炎(AS)(OR=1.001,P=0.121)、类风湿性关节炎(RA)(OR=1.000,P=0.460)。此外,在自身免疫性疾病与湿疹之间没有发现反向因果关系:结论:湿疹与克罗恩病和溃疡性结肠炎的患病风险增加有关。湿疹与系统性红斑狼疮、多发性硬化症、强直性脊柱炎、风湿性关节炎、BP 或白癜风之间没有因果关系。
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中南大学学报(医学版)
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