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GCs-beta and B-arrestins Regulate Nrf2 via NR4As Productive Pathway Mediated by B-adrenergic for Anti-inflammation and Adopting Myocardial and Immune Functions gcs - β和b -拦阻素通过b -肾上腺素能介导的NR4As产生途径调控Nrf2,抗炎并发挥心肌和免疫功能
Pub Date : 2023-04-30 DOI: 10.47363/jjcmr/2023(3)151
Ashraf Marzouk El Tantawi
The nuclear receptors “NR4As” productive pathway is the so important pathways for activating classic estrogen receptors and are important for regulating the adopted cellular anti-inflammatory growth (mediated by glucocorticoids, Nrf2, Ang2-AT2, and VEGF-A synthesis)which considered as the basic for B-arrestins synthesis which adopt B Adrenergic, and Nrf2 synthesis, that Nrf2 is strong activator to ACE functions for promoting Ang2-AT2 and VEGF-A synthesis for running the adopted anti-inflammatory growth and heme oxygenase. The modulation of oxidative stress will be done by serotonin synthesis (regulated by tryptophan “TGG”) which will promote melatonin synthesis which necessary to activate glucocorticoids productions via NR4A2 pathway followed by B-arrestins and Nrf2 productions for activating Ang2-AT2 and VEGF-A productions. That melatonin synthesis will be associated with GTPase production which promote and activate OPA1 repairs and functions, and responsible for activating glutamine synthesis which stabilize Leu functions through Nrf2 functions. This study concluded that NR4As productive pathway are the important pathway for improving anti-oxidation through improving IL6 productivity to IL17 productions, and is important for glucocorticoids-beta synthesis followed by B-arrestins productions which activate B Adrenergic synthesis that are necessary for activating Nrf2 production that followed by activating ACE for Ang2-AT2 and VEGF-A synthesis for running anti-inflammatory growth, modulating antioxidative stress, activate heme oxygenase, modulating brain function and memories growth , and activating T-cells and B-cell functions. That NR4As exert multilevel regulations of brain function and cardiac functions that protect immune survival from vascular cardiac diseases, and are the primary modulator to pro-inflammation and stimulator for variety of active genes and subunits started by estrogen and GCs-beta productions which followed by activating B-arrestins which activate B Adrenergic synthesis which has the roles of activating Nrf2 productions for adopting antioxidative functions, heme oxygenase, vasoconstriction functions, and anti-inflammatory growth mediated by Ang2-AT2 and VEGF-A synthesis.
核受体“NR4As”产生途径是激活经典雌激素受体的重要途径,对调节细胞抗炎生长(由糖皮质激素、Nrf2、Ang2-AT2和VEGF-A合成介导)具有重要意义,被认为是B-肾上腺素阻滞素合成和Nrf2合成的基础。Nrf2是ACE功能的强激活剂,促进Ang2-AT2和VEGF-A的合成,以运行所采用的抗炎生长和血红素加氧酶。氧化应激的调节将由血清素合成完成(由色氨酸“TGG”调节),它将促进褪黑激素的合成,褪黑激素通过NR4A2途径激活糖皮质激素的产生,随后b -抑制素和Nrf2的产生激活Ang2-AT2和VEGF-A的产生。褪黑素的合成将与GTPase的产生有关,GTPase促进和激活OPA1的修复和功能,并负责激活谷氨酰胺的合成,通过Nrf2功能稳定亮氨酸功能。本研究得出结论,NR4As生成途径是通过提高IL6到IL17的生产力来提高抗氧化能力的重要途径,并且对于糖皮质激素- β的合成和B-抑制素的产生至关重要,B-抑制素激活B肾上腺素能合成,而B肾上腺素能合成是激活Nrf2生成所必需的,随后激活ACE用于Ang2-AT2和VEGF-A的合成,以运行抗炎生长,调节抗氧化应激,激活血红素加氧酶。调节大脑功能和记忆增长,激活t细胞和b细胞功能。NR4As对脑功能和心脏功能进行多级调节,保护血管性心脏病的免疫生存,是促炎症的主要调节剂,也是多种活性基因和亚基的刺激物,这些活性基因和亚基由雌激素和gcs - β产生开始,随后激活B-抑制素,激活B-肾上腺素能合成它具有激活Nrf2产生的作用,以采用抗氧化功能,血红素加氧酶,血管收缩功能,以及Ang2-AT2和VEGF-A合成介导的抗炎生长。
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引用次数: 1
The Soaring Increase of Resistant Microorganisms Demands Immediate Action Solutions are Available 耐药微生物的激增需要立即采取行动,解决方案是可用的
Pub Date : 2023-02-28 DOI: 10.47363/jjcmr/2023(3)146
J. Guggenbichler, Sigmund Guggenbichler
Clinical environments provide an ideal reservoir for the growth, proliferation, and transmission of pathogenic organisms. Surfaces in hospitals e.g. hospital furniture, ECG lead wires and other cables, push buttons of infusion pumps, control knobs of ventilation machines, textiles as well as implantable biomaterials like central venous catheters, urologic catheters, endotracheal tubes are contaminated increasingly frequent with multiresistant microorganisms. These microorganisms are distributed by the hands of the nursing personnel throughout the hospital with serious, life threatening consequences. 1.8 million patients suffer from a nosocomial infection per year in Europe; approximately 180,000 deaths are attributed to these infections. The Centers for Disease Control (CDC) estimates that 2 million U.S. patients per year acquire a hospital-related infection. These infections cause 90,000 deaths each year and cost an average of $47,000 per patient to treat. The added cost to hospitals is $4.8 billion anually for extended care treatment. Microorganisms show an increasing rate of resistance against the majority of antibiotics including carbapenems as last available antibiotic. 700,000 deaths have been rеρorted worldwide, 30 000 deaths alone in Europe during the last year due to infections where no effective antimicrobial substance was available. The use of disinfectants is ostensibly intended to remove/kill pathogens on surfaces. However studies have shown that more than one-half the time, surfaces are not adequately cleaned or are re-contaminated within minutes. Much emphasis has been put therefore on hand disinfection. However there are also rеρorts of the emergence of alcohol tolerant/insensitive microorganisms e.g., vancomycin resistant enterococci. This phenomenon has the potential to undermine the effectiveness of alcohol based disinfectant standard precautions. The reason for this dramatic development of resistant microorganisms is still in debate. The indiscriminate use of antibiotics for prevention of a bacterial superinfections e.g. sinusitis, otitis media after a viral infections is frequently incriminated, however this seems to have little impact on the occurrence of multi-resistant hospital pathogens in general. However individual patients are seriously affected by the selection of multi-resistant pathogens. In contrast there is increasing evidence that the widespread use of disinfectants is responsible: disinfectants - analogous to antibiotics - must be incorporated into the metabolism of microorganisms. This is inevitably associated with induction of resistance by transfer of resistance plasmids e.g. induction of efflux pumps. 10 167 рublications (PUBMed Jan. 2023) are available in the international literature which document the resistance of microorganisms against disinfectants; 649 рublications describe the cross resistance with antibiotics, at the same time there are 11 237 publications on the toxicity of disinfectants.
临床环境为病原菌的生长、增殖和传播提供了理想的蓄水池。医院的表面,如医院家具、心电图引线和其他电缆、输液泵的按钮、通气机的控制旋钮、纺织品以及中心静脉导管、泌尿导管、气管内管等植入式生物材料,越来越频繁地受到多重耐药微生物的污染。这些微生物由护理人员的手传播到整个医院,造成严重的、危及生命的后果。在欧洲,每年有180万患者遭受医院感染;大约18万人死于这些感染。疾病控制中心(CDC)估计,每年有200万美国患者获得与医院有关的感染。这些感染每年造成9万人死亡,每位患者的平均治疗费用为4.7万美元。医院每年因延长护理治疗而增加的费用为48亿美元。微生物对大多数抗生素的耐药率越来越高,其中碳青霉烯类是最后可用的抗生素。全世界有70万例死亡,去年仅在欧洲就有3万例死亡是由于没有有效抗菌物质的感染造成的。使用消毒剂表面上是为了去除/杀死表面上的病原体。然而,研究表明,超过一半的时间,表面没有得到充分清洁,或者在几分钟内被再次污染。因此,人们非常重视手部消毒。然而,也有可能出现酒精耐受/不敏感微生物,例如耐万古霉素肠球菌。这种现象有可能破坏酒精类消毒剂标准预防措施的有效性。耐药微生物急剧发展的原因仍在争论中。滥用抗生素预防细菌重复感染(如病毒性感染后的鼻窦炎、中耳炎)往往是罪魁祸首,但这似乎对医院多重耐药病原体的发生几乎没有影响。然而,个体患者受到多重耐药病原菌选择的严重影响。相反,越来越多的证据表明,消毒剂的广泛使用是罪魁祸首:消毒剂——类似于抗生素——必须并入微生物的代谢中。这不可避免地与阻力质粒的转移引起的阻力有关,例如外排泵的诱导。国际文献中有10167篇文献(PUBMed, 2023年1月)记录了微生物对消毒剂的耐药性;有649篇文献描述了与抗生素的交叉耐药性,同时有11 237篇文献描述了消毒剂的毒性。
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引用次数: 0
Noncompliance with Medication Treatment: A Case Report of a Patient with Coronary Heart Disease 不遵医嘱治疗冠心病1例报告
Pub Date : 2023-02-28 DOI: 10.47363/jjcmr/2023(3)144
P. Theofilou
Medication compliance is a determining factor treatment effectiveness, as non-adherence reduces the optimum clinical benefit. Patients can experience significant positive changes such as improving their quality of life, increasing life expectancy, reducing of disease complications and risk of disability, reduction of clin progression of the disease, increase in the patient’s trust towards the doctor, increase the effectiveness of the drug and treatment.
药物依从性是治疗效果的决定性因素,因为不依从性会降低最佳临床效益。患者可以经历重大的积极变化,如改善其生活质量,延长预期寿命,减少疾病并发症和残疾风险,减少疾病的临床进展,增加患者对医生的信任,提高药物和治疗的有效性。
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引用次数: 1
Impact of COVID-19 on Sleep and Role of Yoga as a Non – Pharmacological Intervention COVID-19对睡眠的影响以及瑜伽作为非药物干预的作用
Pub Date : 2023-02-28 DOI: 10.47363/jjcmr/2023(3)147
Shalini Rai, V. Rai, Varnika Singh
COVID-19 pandemic vastly affected the mental health of people causing psychological distress with problems as emotional disturbance, stress, mood alterations, anger, depression, irritability, confusion, emotional exhaustion, emotional isolation, insecurity, social stigma, post-traumatic stress symptoms, insomnia reported in almost all sectors and strata of the society globally. The impact of ongoing mutations in the nature of the SARS COVID -2 virus, changing presentations of the disease, ongoing disease and deaths, quarantine, isolation, post COVID complications, lock-down, socio economic crisis all have impacted the mental health of people negatively having a major brunt on the sleep. Sleep is a vital biophysiological phenomenon playing a crucial role in systemic physiology, including metabolism, immunity, endocrinal, brain and cardiovascular functions. Disruption of sleep is related with both short-term as well as long term consequences, ranging from increased stress responsivity, mood disorders, impaired cognition and performance, somatic problems like headache, abdominal pain to hypertension, dyslipidemia, CVD, metabolic syndrome, type 2 diabetes mellitus, and increased risk of cancers and death. Studies have reported mental health and sleep to be affected by COVID-19 in general population as well as in health care workers. Mental health and sleep are deeply interrelated with one affecting the other and also the general health, healing and quality of life of the individual. Still, sleep remains to be an underrecognized component of health as concerned to its management. This paper presents the impact of COVID – 19 on sleep form the studies documented and how yoga can be an effective non-pharmacological intervention for prevention and managing the sleep disturbances.
COVID-19大流行极大地影响了人们的心理健康,造成心理困扰,包括情绪障碍、压力、情绪改变、愤怒、抑郁、烦躁、困惑、情绪衰竭、情绪孤立、不安全、社会耻辱、创伤后应激症状、失眠等问题,在全球几乎所有社会部门和阶层都有报告。SARS COVID -2病毒性质持续突变的影响、疾病表现的变化、持续的疾病和死亡、隔离、隔离、COVID后并发症、封锁、社会经济危机都对人们的心理健康产生了负面影响,对睡眠产生了重大冲击。睡眠是一种重要的生物生理现象,在包括代谢、免疫、内分泌、脑和心血管功能在内的全身生理中起着至关重要的作用。睡眠中断既有短期后果,也有长期后果,包括压力反应能力增强、情绪障碍、认知和表现受损、头痛、腹痛等躯体问题、高血压、血脂异常、心血管疾病、代谢综合征、2型糖尿病,以及癌症和死亡风险增加。研究报告称,普通人群和卫生保健工作者的心理健康和睡眠都会受到COVID-19的影响。心理健康和睡眠是密切相关的,其中一方影响另一方,同时也影响个人的总体健康、康复和生活质量。尽管如此,睡眠在健康管理方面仍然是一个未被充分认识的组成部分。本文从记录的研究中介绍了COVID - 19对睡眠的影响,以及瑜伽如何成为预防和管理睡眠障碍的有效非药物干预措施。
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引用次数: 0
A Mini Review on The Relationship Between Coffee And Tea Consumption And Iron Absorption in The Gut – Iron Deficiency Anemia 咖啡和茶摄入量与肠道铁吸收关系的综述——缺铁性贫血
Pub Date : 2023-02-28 DOI: 10.47363/jjcmr/2023(3)145
Cagri Baris Gunec
This mini-review study was conducted to illustrate the relationship (s) between coffee and tea consumption and iron absorption in the gut – iron deficiency anemia. Due to their polyphenol type and content, black tea and coffee consumption was found to significantly increase the risk of iron deficiency anemia, whereas green tea consumption had no effect on how well iron was absorbed by the duodenum part of the small intestine. For critically ill patients, it is advised to wait at least an hour between meals and the consumption of tea or coffee in order to stop the advancement of iron deficiency anemia caused by polyphenols. It is also recommended to consume enhancers (ascorbic acid, meat, fish, and poultry, as prevalent in most industrialized nations) with black tea and coffee to counter the adverse effects of their polyphenols.
这项小型回顾研究是为了说明咖啡和茶的摄入与肠道缺铁性贫血中铁的吸收之间的关系。由于多酚的种类和含量,饮用红茶和咖啡会显著增加缺铁性贫血的风险,而饮用绿茶对铁被小肠十二指肠吸收的程度没有影响。对于危重症患者,为了防止多酚引起的缺铁性贫血的恶化,建议在吃饭和喝茶或喝咖啡之间至少等待一个小时。还建议在红茶和咖啡中食用增强剂(抗坏血酸、肉、鱼和家禽,这在大多数工业化国家很普遍),以抵消茶和咖啡中多酚的不利影响。
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引用次数: 2
Computational Prediction of COVID-19 Transmission in Internal Air-Conditioned Environments 室内空调环境中COVID-19传播的计算预测
Pub Date : 2022-12-31 DOI: 10.47363/jjcmr/2022(2)143
Ioannis Rentoumis
COVID-19 has had destructive consequences for health, economy and has altered every aspect of everyday human activity. The outbreak was first identified in December 2019 in Wuhan, China. The declaration of the disease as a “Public Health Emergency of International Concern” for the World Health Organization took place on January 30, 2020. Furthermore, 105,5 million cases have been reported until 06 February 2021. Public distancing in internal environments has been applied as a safety measure to prevent transmission. A controversial topic is the safe distance from person to person. The social distancing regulation, for internal public places, has been arbitrarily defined ignoring the potential aerodynamics effects of inlets, such as air-conditioning units, windows and doors. The velocity of the intake airflow has the potential to transfer a droplet from the nose or the mouth of a patient in greater than the indicated distance. The present study focuses on a model of a supermarket that includes a ventilation system and open doors. For the transmission of COVID-19 in an air-conditioned internal space, two different designs were implemented and studied. Internal shelving, furnishing and human models are also being considered. The numerical results obtained are compared with those obtained by two well-known empirical models related to the effective velocity of incoming air and the virus concentration. It is concluded that the computational results obtained in the present study are in acceptable agreement with those obtained by simple empirical models, especially when the standard k-ε model of turbulence is used. Thus, for the cases of coughing and sneezing patients, where we studied the largest particles that sediment onto the floor, the 6-foot (≈1,82 m) rule applies well. However, pathogen-laced particles, coming for example from asymptomatic patients, travel through the air indoors when people breathe and talk. Therefore, there is not much benefit to the 6-foot rule because the air a person is breathing tends to rise and comes down elsewhere, so the person is more exposed to the average background than to a person at a distance. Future research should concentrate rather on the amount of time spent inside rather than distances. As the COVID-19 pandemic is progressing, the present study is flexible and can be applied generally in crowded places. Furthermore, the general outcome is that individuals should maintain the distance of 1,65 meters and it should be applied as guidelines to help reduce the infection risk.
COVID-19对健康和经济产生了破坏性后果,并改变了人类日常活动的方方面面。该疫情于2019年12月在中国武汉首次被发现。世界卫生组织于2020年1月30日宣布该疾病为“国际关注的突发公共卫生事件”。此外,截至2021年2月6日,已报告了1.05亿例病例。在内部环境中保持公共距离是防止传播的安全措施。一个有争议的话题是人与人之间的安全距离。对内部公共场所的社会距离规定,忽略了空调机组、窗户和门等入口的潜在空气动力学影响,随意定义。吸入气流的速度有可能将液滴从患者的鼻子或嘴巴转移到超过指示距离的地方。目前的研究集中在一个超市的模型,包括通风系统和敞开的门。为了在空调室内空间传播COVID-19,我们实施并研究了两种不同的设计。内部架子、家具和人体模型也在考虑之中。数值计算结果与两种著名的入射空气有效速度和病毒浓度经验模型的计算结果进行了比较。结果表明,本文的计算结果与简单经验模型的计算结果吻合较好,特别是当采用湍流的标准k-ε模型时。因此,对于咳嗽和打喷嚏患者,我们研究了沉积在地板上的最大颗粒,6英尺(≈1,82米)规则适用得很好。然而,带有病原体的颗粒,例如来自无症状患者的颗粒,在人们呼吸和谈话时通过室内空气传播。因此,6英尺规则并没有太大的好处,因为一个人呼吸的空气往往会在其他地方上升和下降,所以这个人比远处的人更容易暴露在平均背景中。未来的研究应该把重点放在待在室内的时间而不是距离上。随着新冠肺炎疫情的发展,本研究具有灵活性,可广泛应用于人群密集场所。此外,总体结果是个人应保持165米的距离,并应作为指导方针,以帮助降低感染风险。
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引用次数: 0
DCs- IL2 Necessary for Glucocorticoids Which Necessary for Interferons Synthesis and Serotonin Synthesis then Promote Ang2- At2 and VEGF-A for Anti-Inflammatory Growth dc - IL2是糖皮质激素的必需物质,而糖皮质激素是干扰素合成和血清素合成所必需的,然后促进Ang2- At2和VEGF-A的抗炎生长
Pub Date : 2022-12-31 DOI: 10.47363/jjcmr/2022(2)142
Ashraf Marzouk El Tantawi
Dendritic cells (DCs) play an important role in improving and adapting immune responses, and development of chronic inflammation through producing Interleukin-2 which stimulate beta oxidation processes by OPA1 synthase for promoting both IFN-beta and GC-beta production followed by alpha oxidations for TLR4 and SIRPα1 production and for nucleocytosolic acetyl-CoA alpha production which considered as signature of a “growth specifically for anti-inflammatory growth. Glucocorticoids and glutamine are the basic tools for increasing immune efficiency (regulated by OPA1 enzymes) and the main for regulating the adopted Interferons, that the deficiency in glucocorticoids synthesis and glutamine will suppress immune activities and will lead to deficiency in Interferons productions followed by decreasing in macrophages and T-cells functions. The formation of Glucocorticoid-gamma and IFN-gamma started by the effects of Cox2 on inflammatory sources followed by cytokine kinases production for IL2 synthesis upon synthetase functions followed by synthase for glucocorticoid-beta and IFN-beta productions which followed by phospholipase effect for producing PD-L1 synthesis which promote the progression of ovarian cancer.
树突状细胞(dc)通过产生白细胞介素-2在改善和适应免疫反应和慢性炎症的发展中发挥重要作用,白细胞介素-2刺激β氧化过程,通过OPA1合成酶促进ifn - β和gc - β的产生,随后α氧化促进TLR4和SIRPα1的产生,以及核胞质乙酰辅酶a α的产生,这被认为是“生长特异性抗炎生长”的标志。糖皮质激素和谷氨酰胺是提高免疫效率的基本工具(由OPA1酶调节),也是调节所采用的干扰素的主要工具,糖皮质激素合成和谷氨酰胺缺乏会抑制免疫活性,导致干扰素产生不足,进而导致巨噬细胞和t细胞功能下降。糖皮质激素γ和ifn - γ的形成始于Cox2对炎症源的影响,然后是合成il - 2的细胞因子激酶的产生,影响合成酶的功能,然后是糖皮质激素β和ifn - β的合成酶的产生,然后是磷脂酶的作用,产生PD-L1的合成,促进卵巢癌的进展。
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引用次数: 2
Curious Case of Acute Abdomen 奇怪的急腹症病例
Pub Date : 2022-10-31 DOI: 10.47363/jjcmr/2022(2)140
S. Chatterjee
A 35 year old male bank employee by profession presented with c/o pain in abdomen with abdominal distension and fullness since last 4 weeks. Intensity of pain had increased over the past 15 days. He had a history of fever intermittently for the past 3 months for which he had been taking medication initially .Off recent fever started subsiding even without medication. He complained of anorexia and weight loss over these 3 months.
一名35岁男性银行职员,于过去4周出现腹部c/o疼痛及腹胀及腹胀。在过去的15天里,疼痛的强度有所增加。他在过去3个月有间歇性发热史,起初一直服用药物。最近虽未服用药物,但发热开始消退。他抱怨这三个月来厌食症和体重下降。
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引用次数: 0
Review and Proposals Regarding Organ Donation Education 关于器官捐献教育的回顾与建议
Pub Date : 2022-10-31 DOI: 10.47363/jjcmr/2022(2)139
F. Cantarovich
The global persistence of organ shortage justifies a study of the current state of this social emergency and a rational discussion of the possible alternatives for a necessary solution.
器官短缺在全球持续存在,有理由对这一社会紧急情况的现状进行研究,并对可能的替代方案进行理性讨论,以寻求必要的解决办法。
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引用次数: 0
Pyrimidine TAT TAC Kinases Promote B-Arrestins and Rac1 for Adopting Myocardial Constrictions and Gpcrs Ratio by Ang2-AT2 Synthesis and Anti-Inflammatory Growth 嘧啶型TAT TAC激酶通过Ang2-AT2合成和抗炎生长促进B-Arrestins和Rac1心肌收缩和Gpcrs比值
Pub Date : 2022-10-25 DOI: 10.47363/jjcmr/2022(2)141
Ashraf Marzouk El Tantawi
The orphan nuclear pathway (regulated by pyrimidine TAT and TAC kinases and OPA1 enzymes) has the roles of producing the Beta-subunit (fatty Acyl-COAbeta) upon the effects of synthase which regulate B-arrestins synthesis for adopting ACE for Ang2-AT2 synthesis from Ang1-AT1 (that adopt GPCRs ratio) . The inhibition in synthase and in pyrimidines kinases will reflect Inhibition in Acyl-COA-beta synthesis followed by cholesterol and long fatty chains accumulations with high affinity to bind with k and Na salts that can precipitated and cause lipotoxicity. B-arrestins play a well established role in the dampening of G-protein coupled receptors (GPCRs) accumulation, that prevent their increasing through its adopting to ACE for activating Ang2-AT2 synthesis from Ang1-AT1.
孤儿核途径(由嘧啶TAT和TAC激酶以及OPA1酶调节)在合成酶的作用下产生β亚基(fatty Acyl-COAbeta),合成酶调节B-arrestins合成,采用ACE从Ang1-AT1合成Ang2-AT2(采用GPCRs比例)。合成酶和嘧啶激酶的抑制反映了酰基辅酶a - β合成的抑制,随后胆固醇和长脂肪链的积累与k和Na盐的高亲和力结合,可以沉淀并引起脂肪毒性。b -阻滞素在抑制g蛋白偶联受体(gpcr)的积累中发挥着良好的作用,通过其通过ACE激活Ang1-AT1合成Ang2-AT2来阻止其增加。
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引用次数: 0
期刊
Japan Journal of Clinical & Medical Research
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