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Recent Advances in Polysaccharides Derived from the Genus Panax: Preparation Strategies, Structural Profiles, Functional Properties and Structure-Activity Relationships. 三七属多糖的最新进展:制备策略、结构概况、功能特性和结构-活性关系。
IF 5.7 1区 农林科学 Q1 AGRICULTURE, MULTIDISCIPLINARY Pub Date : 2024-11-15 DOI: 10.1021/acs.jafc.4c07918
Yingxuan Bu, Yupeng Liu, Lingyan Zhu, Xiaona Gan, Shenggui Jiang, Xiaoyu Zhang, Munisa Dilixiati, Muwei Bai, Jiani Zeng, Songshan Shi, Tingzhao Li, Bo Li, Shunchun Wang, Huijun Wang

Plants from the Panax genus have significant medicinal and nutritional benefits. Many Panax species are traditionally used in Chinese medicine and have gained popularity as food and health products because of their tonic effects and high safety. Their key bioactive components include polysaccharides, which are hydrophilic biomolecules that have demonstrated significant potential in the food and pharmaceutical industries because of their multiple health-promoting qualities, such as immunomodulatory, antitumor, antiaging, blood glucose and blood lipid regulation, antiviral, hepatoprotective, and gastrointestinal protective properties. Additionally, polysaccharides are abundant in health products made from the genus Panax, such as energy drinks and herbal teas. However, compared with more extensively studied components, such as ginsenosides and saponins, polysaccharides from the genus Panax (GPPs) have been the subject of relatively limited research. This review provides a comprehensive overview of the extraction and purification technology, structural characteristics, biological activities, applications, and structure-activity relationships of GPPs. Ultimately, this information establishes a theoretical foundation for the further development and application of GPPs in nutrition and medicine.

三七属植物具有显著的药用和营养价值。许多三七品种传统上被用于中药,并因其滋补功效和高度安全性而作为食品和保健品广受欢迎。它们的主要生物活性成分包括多糖,多糖是亲水性生物大分子,具有多种促进健康的特性,如免疫调节、抗肿瘤、抗衰老、调节血糖和血脂、抗病毒、保肝和保护胃肠道等,因此在食品和医药行业具有巨大潜力。此外,三七属植物制成的保健品(如能量饮料和凉茶)中含有丰富的多糖。然而,与人参皂甙和皂苷等研究较多的成分相比,三七属多糖(GPPs)的研究相对有限。本综述全面概述了 GPPs 的提取和纯化技术、结构特征、生物活性、应用以及结构-活性关系。最终,这些信息为 GPPs 在营养和医药领域的进一步开发和应用奠定了理论基础。
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引用次数: 0
Maternal Intake of Laminarin Improves Infant Growth and Health by Fortifying Metabolite Profiles of Colostrum and Milk. 通过强化初乳和牛奶中的代谢物图谱,母体摄入维生素 A 可改善婴儿的生长和健康。
IF 5.7 1区 农林科学 Q1 AGRICULTURE, MULTIDISCIPLINARY Pub Date : 2024-11-14 DOI: 10.1021/acs.jafc.4c07560
Pengguang Zhang, Xiaoyu Yue, Enfa Yan, Linjuan He, Boyang Wan, Xin Zhang, Jingdong Yin

Laminarin mainly consists of fucoidan, a unique, naturally active sulfate polysaccharide. Laminarin is known for its outstanding multiple bioactives, but its role in lactation remains largely unknown. Therefore, this study aimed to explore the influence of maternal intake of laminarin on lactation and infant health in a porcine model. A total of 20 sows of parity 6.85 ± 0.88 with similar comprehensive scores were randomly allocated to two dietary treatments to receive a basal diet with/without supplementary laminarin. We showed that maternal intake of laminarin improved the antioxidant capacity and intestinal barrier function of the offspring, alleviated the inflammatory response, and facilitated infant growth and health. Mechanistically, maternal consumption of laminarin significantly modified the metabolite profiles of colostrum and milk. We also demonstrated in a vitro study that coniferyl aldehyde, a representative differential milk metabolite, enhanced antioxidant capacity and tight junction protein expression levels in intestinal epithelial cells. In summary, maternal intake of laminarin facilitated offspring health and growth by fortifying milk metabolites.

褐藻糖胶主要由褐藻糖胶组成,这是一种独特的天然活性硫酸盐多糖。层皮糖苷以其出色的多种生物活性而闻名,但其在哺乳期的作用在很大程度上仍不为人所知。因此,本研究旨在通过猪模型探讨母体摄入层皮糖苷对泌乳和婴儿健康的影响。20头母猪的综合评分为6.85±0.88,随机分配到两种日粮处理中,分别接受添加/不添加层皮素的基础日粮。结果表明,母体摄入层皮糖苷可提高后代的抗氧化能力和肠道屏障功能,减轻炎症反应,促进婴儿的生长和健康。从机理上讲,母体摄入层皮素能显著改变初乳和乳汁中的代谢物谱。我们还在一项体外研究中证实,具有代表性的牛奶差异代谢物针叶醛可提高肠上皮细胞的抗氧化能力和紧密连接蛋白的表达水平。总之,母体摄入的层皮素可通过强化牛奶代谢物促进后代的健康和生长。
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引用次数: 0
In Situ Galacto-Oligosaccharides Synthesis in Whey Powder Fortified Milk by a Modified β-Galactosidase and Its Effect on the Techno-Functional Characteristics of Yogurt. 改良β-半乳糖苷酶在乳清粉强化奶中原位合成半乳寡糖及其对酸奶技术功能特性的影响
IF 5.7 1区 农林科学 Q1 AGRICULTURE, MULTIDISCIPLINARY Pub Date : 2024-11-14 DOI: 10.1021/acs.jafc.4c07162
Miao Miao, Shusen Li, Shaoqing Yang, Qiaojuan Yan, Zhixuan Xiang, Zhengqiang Jiang

In situ galacto-oligosaccharide (GOS) synthesis in milk using β-galactosidases is an effective method for developing prebiotic dairy products. However, the low lactose concentration in milk (∼4.6%, w/w) reduces the GOS yield. In this study, a modified β-galactosidase from Bacillus circulans (mBgaD-D) with enhanced transglycosylation activity at low lactose concentration was developed through directed evolution and saturation mutagenesis. The GOS yield by mBgaD-D increased from 22.8% (wild type) to 30.8% in 50 g/L lactose (phosphate buffer). Pmgut was a strong sorbitol-inducible promoter from Bacillus subtilis. The expression of mBgaD-D in B. subtilis, coupled with the Pmgut promoter, resulted in a 6.4-fold increase (compared to the P43 promoter) in extracellular enzyme activity. Additionally, adding whey powder to boost the initial lactose concentration further improved the GOS yield, which reached 43% under the optimized conditions. Combining mBgaD-D and whey powder enhanced milk sweetness, producing no sugar-added, GOS-enriched yogurt (GOSY). The GOS content in GOSY was 4.1/100 g, providing an appropriate level of sweetness and yielding a yogurt that is elastic as well as firm. GOSY also increased the population of Bifidobacterium spp. during a 24 h in vitro fecal fermentation. Thus, fortifying yogurt with mBgaD-D and whey powder can enhance its technological properties and health benefits.

利用β-半乳糖苷酶在牛奶中原位合成半乳寡糖(GOS)是开发益生乳制品的有效方法。然而,牛奶中的乳糖浓度较低(4.6%∼4.6%,w/w),这降低了 GOS 的产量。在这项研究中,通过定向进化和饱和诱变,开发出了一种改良的环状芽孢杆菌β-半乳糖苷酶(mBgaD-D),它在低乳糖浓度下具有更强的转糖基化活性。在 50 克/升乳糖(磷酸盐缓冲液)中,mBgaD-D 的 GOS 产量从 22.8%(野生型)增加到 30.8%。Pmgut 是枯草芽孢杆菌的强山梨醇诱导启动子。在枯草芽孢杆菌中表达 mBgaD-D,再加上 Pmgut 启动子,细胞外酶活性提高了 6.4 倍(与 P43 启动子相比)。此外,添加乳清粉以提高初始乳糖浓度也进一步提高了 GOS 产率,在优化条件下 GOS 产率达到 43%。将 mBgaD-D 和乳清粉结合使用可提高牛奶的甜度,从而生产出不加糖的 GOS 富集酸奶(GOSY)。GOSY 中的 GOS 含量为 4.1/100g,提供了适当的甜度,生产出的酸奶既有弹性又结实。在 24 小时的体外粪便发酵过程中,GOSY 还能增加双歧杆菌的数量。因此,用 mBgaD-D 和乳清粉强化酸奶可以提高其工艺性能和健康益处。
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引用次数: 0
Pharmacokinetic-Pharmacodynamic Modeling of the Immune-Enhancing Effect of Shikimic Acid in Growing Pigs. 莽草酸对生长猪免疫增强作用的药代动力学-药效学模型研究
IF 5.7 1区 农林科学 Q1 AGRICULTURE, MULTIDISCIPLINARY Pub Date : 2024-11-14 DOI: 10.1021/acs.jafc.4c09250
Kaibin Mo, Yue Shen, Dehai Su, Linyi Lv, Juan Du, Huanzhong Ding, Xianhui Huang

Shikimic acid (SA), extracted from the fruit of shikimi-no-ki, is used both as a preservative in the food industry and as an intermediate for a variety of active ingredients with a wide range of pharmacological functions. A deeper understanding of the pharmacokinetic process of SA in pigs and its impact on humoral immunity could prove invaluable in facilitating its clinical application in veterinary and human medicine. The pharmacokinetic study employed a two-period, two-sequence, crossover design to animal experiments and developed a novel method of pig plasma preparation using water as an extractant and ionization promoter, followed by purification and enrichment on a MAX solid phase extraction (SPE) column. The results showed that SA is rapidly absorbed after intragastric administration (50 mg/kg BW), reaching a plasma Cmax of 10,823.44 ng/mL at 1.78 h, followed by rapid elimination, with a t1/2 of 1.81 h, consistent with a one-compartment model. The results for intravenous administration (2 mg/kg BW) were consistent with a two-compartment open model with a t1/2 of 3.66 h, with concentrations below the limit of quantification (LOQ) observed beyond 12 h postdose. The absolute bioavailability of SA in pigs was calculated to be 21.68%. Furthermore, the Pearson's correlation analysis demonstrated a strong positive correlation between SA concentration in pig plasma and the changes of C3, C4 and IgG, IgA, and IgM (0.6 < R < 1, P < 0.0001). A more detailed pharmacokinetic-pharmacodynamic (PK-PD) modeling analysis of the intravenous group revealed the EC50/Cmax values of approximately 10%, with all γ values exceeding 3. This study was the inaugural investigation into the pharmacokinetics of SA in growing pigs, and it also revealed that SA has the potential to act as an immunopotentiator.

从莽草果实中提取的莽草酸(SA)既可用作食品工业中的防腐剂,也可用作多种具有广泛药理作用的活性成分的中间体。深入了解 SA 在猪体内的药代动力学过程及其对体液免疫的影响,对于促进其在兽医和人类医学中的临床应用具有重要价值。药代动力学研究采用了两阶段、两序列、交叉设计的动物实验,并开发了一种新的猪血浆制备方法,以水作为提取剂和电离促进剂,然后在 MAX 固相萃取(SPE)柱上进行纯化和富集。结果表明,SA 在胃内给药(50 毫克/千克体重)后吸收迅速,1.78 小时后血浆 Cmax 达到 10,823.44 纳克/毫升,随后迅速消除,t1/2 为 1.81 小时,符合单室模型。静脉注射(2 毫克/千克体重)的结果符合两室开放模型,t1/2 为 3.66 小时,观察到的浓度低于给药后 12 小时的定量限(LOQ)。经计算,SA 在猪体内的绝对生物利用率为 21.68%。此外,皮尔逊相关分析表明,猪血浆中的 SA 浓度与 C3、C4 和 IgG、IgA 和 IgM 的变化之间存在很强的正相关性(0.6 < R < 1,P < 0.0001)。对静脉注射组进行的更详细的药代动力学-药效学(PK-PD)建模分析显示,EC50/Cmax 值约为 10%,所有 γ 值均超过 3。这项研究是首次对生长猪的 SA 药代动力学进行研究,同时还揭示了 SA 作为免疫促进剂的潜力。
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引用次数: 0
Simultaneous One-Step Preparation of β/κ-Carrapentaose and 3,6-Anhydro-D-galactose by Cascading κ-Carrageenase and an Exo-α-3,6-Anhydro-D-galactosidase. 通过级联κ-卡拉胶酶和外-α-3,6-脱水-D-半乳糖苷酶同时一步制备β/κ-卡拉戊糖和 3,6-脱水-D-半乳糖。
IF 5.7 1区 农林科学 Q1 AGRICULTURE, MULTIDISCIPLINARY Pub Date : 2024-11-14 DOI: 10.1021/acs.jafc.4c06783
Chengcheng Jiang, Wei Wang, Jingjing Sun, Jianhua Hao, Xiangzhao Mao

Carrageenan oligosaccharides have shown promising bioavailability and possess a variety of physiological activities, making them highly suitable for use in the food, pharmaceutical, and agricultural industries. The preferred method for producing carrageenan oligosaccharides is using various carrageenolytic enzymes, as it offers mild reaction conditions, high efficiency, and product specificity. However, there is still a lack of specific applications for using these enzymes to prepare odd-numbered carrageenan-oligosaccharides (OCOSs). Our previous research identified a more convenient route for simultaneously preparing OCOSs and 3,6-anhydro-D-galactose (D-AHG) using only two types of carrageenolytic enzymes: κ-carrageenase and exo-α-3,6-anhydro-D-galactosidase (D-ADAGase). In this study, we utilized a CipA-based self-assembly system to cascade κ-carrageenase CaKC16A and D-ADAGase ZuGH129A for one-step preparation of β/κ-carrapentaose, G-(DA-G4S)2, and D-AHG from degrading β/κ-carrageenan. This self-assembled enzyme, namely CipA-CaKC16A-ZuGH129A, can be easily obtained through a simple centrifugation process. The final optimized enzymatic process produced 0.74 g/L G-(DA-G4S)2 and 0.13 g/L D-AHG. This cascade system of different types of carrageenolytic enzymes has the potential to achieve the preparation of various types of carrageenan oligosaccharides.

卡拉胶低聚糖具有良好的生物利用率和多种生理活性,因此非常适合用于食品、制药和农业行业。生产卡拉胶低聚糖的首选方法是使用各种卡拉胶分解酶,因为这种方法反应条件温和、效率高、产品特异性强。然而,使用这些酶制剂制备奇数卡拉胶低聚糖(OCOS)的具体应用仍然缺乏。我们之前的研究发现了一条更便捷的路线,只需使用两种卡拉胶分解酶:κ-卡拉胶酶和外-α-3,6-脱水-D-半乳糖苷酶(D-ADAG 酶),就能同时制备 OCOSs 和 3,6-脱水-D-半乳糖(D-AHG)。在本研究中,我们利用基于 CipA 的自组装系统级联κ-卡拉胶酶 CaKC16A 和 D-ADAG 酶 ZuGH129A,一步制备降解β/κ-卡拉胶的β/κ-卡拉戊糖、G-(DA-G4S)2 和 D-AHG。这种自组装酶,即 CipA-CaKC16A-ZuGH129A 可通过简单的离心过程轻松获得。最终优化的酶解过程产生了 0.74 g/L G-(DA-G4S)2 和 0.13 g/L D-AHG。这种由不同类型卡拉胶分解酶组成的级联系统具有制备各种类型卡拉胶低聚糖的潜力。
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引用次数: 0
Synthesis and Antifungal Activity Evaluation of Novel L-Carvone-Based 1,3,4-Thiadiazole-amide Derivatives as a Potential Succinate Dehydrogenase Inhibitor. 作为潜在琥珀酸脱氢酶抑制剂的新型 L-香芹酮基 1,3,4-噻二唑酰胺衍生物的合成与抗真菌活性评估。
IF 5.7 1区 农林科学 Q1 AGRICULTURE, MULTIDISCIPLINARY Pub Date : 2024-11-14 DOI: 10.1021/acs.jafc.4c06916
Baoyu Li, Wengui Duan, Guishan Lin, Xinyan Liu, Yucheng Cui, Yin Man

In an effort to explore new-type high-efficiency antifungal agents, 25 novel L-carvone-based 1,3,4-thiadiazole-amide derivatives were designed, synthesized, and structurally characterized by IR, 1H NMR, 13C NMR, and high-resolution mass spectrometry (HRMS) analyses. The antifungal activity of the target compounds was preliminarily assayed at a concentration of 50 μg/mL, and boscalid, a commercialized fungicide identified as a succinate dehydrogenase inhibitor (SDHI), was employed as the positive control. It was found that all of the target compounds showed moderate to potent antifungal activity against the tested fungi compared to boscalid. Surprisingly, compound 4b exhibited broad-spectrum and significant inhibition activity against the growth of eight phytopathogenic strains with inhibitory rates of 67-89%. Further, the results of the EC50 value test suggested that the EC50 values of compound 4b against Physalospora piricola and Colletotrichum orbiculare were 16.33 and 18.06 μg/mL, respectively, and both of them were better than those of boscalid (16.64 and >50). Therefore, compound 4b deserves further study as a lead compound for novel fungicides. In addition, the inhibitory activity of compound 4b against succinate dehydrogenase (SDH) was evaluated as well to prove that compound 4b (IC50 = 3.38 μM) displayed higher SDH-inhibition activity than boscalid (IC50 = 7.02 μM). The binding mode of compound 4b and SDH was simulated by molecular docking and found to be similar to that of boscalid. The structure-activity relationships (SARs) of the target compounds were analyzed by establishing a 3D-QSAR model. Besides, a 4b-loaded complex 4b/CSTA on a reported L-carvone-based nanochitosan carrier CSTA containing the 1,3,4-thiadiazole-amide group was constructed, and its sustained release performance was investigated in the EtOH-H2O system (1:9, v/v). The complex 4b/CSTA exhibited preferred sustained release performance, indicating its potential for developing environmentally friendly nanofungicides.

为了探索新型高效抗真菌剂,我们设计、合成了 25 种新型 L-香芹酮基 1,3,4-噻二唑酰胺衍生物,并通过红外光谱、1H NMR、13C NMR 和高分辨质谱分析对其进行了结构表征。初步测定了目标化合物在 50 μg/mL 浓度下的抗真菌活性,并采用琥珀酸脱氢酶抑制剂(SDHI)商品化杀真菌剂 Boscalid 作为阳性对照。结果发现,与啶酰菌胺相比,所有目标化合物对受试真菌都表现出中等至强效的抗真菌活性。令人惊讶的是,化合物 4b 对八种植物病原菌菌株的生长具有广谱和显著的抑制活性,抑制率高达 67-89%。此外,EC50 值测试结果表明,化合物 4b 对 piricola Physalospora 和 Colletotrichum orbiculare 的 EC50 值分别为 16.33 和 18.06 μg/mL,均优于 Boscalid 的 EC50 值(16.64 和 >50)。因此,化合物 4b 作为新型杀菌剂的先导化合物值得进一步研究。此外,还评估了化合物 4b 对琥珀酸脱氢酶(SDH)的抑制活性,结果表明化合物 4b (IC50 = 3.38 μM)的 SDH 抑制活性高于啶酰菌胺(IC50 = 7.02 μM)。通过分子对接模拟了化合物 4b 与 SDH 的结合模式,发现其与氨苯蝶啶的结合模式相似。通过建立三维 QSAR 模型,分析了目标化合物的结构-活性关系(SARs)。此外,在已报道的含有1,3,4-噻二唑酰胺基团的L-香芹酮基纳米壳聚糖载体CSTA上构建了负载4b的复合物4b/CSTA,并考察了其在EtOH-H2O体系(1:9, v/v)中的持续释放性能。复合物 4b/CSTA 表现出更佳的持续释放性能,表明其具有开发环境友好型纳米杀真菌剂的潜力。
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引用次数: 0
Cardiodermatology: the heart of the connection between the skin and cardiovascular disease 心脏皮肤病学:皮肤与心血管疾病之间的核心联系
IF 49.6 1区 农林科学 Q1 AGRICULTURE, MULTIDISCIPLINARY Pub Date : 2024-11-13 DOI: 10.1038/s41569-024-01097-9
Joel M. Gelfand, William B. Song, Sinéad M. Langan, Michael S. Garshick

The skin and cardiovascular systems are connected in unique and meaningful ways, and many diseases conventionally considered as being limited to one organ system are more closely related than previously believed. Major cardiovascular diseases and phenomena such as infective endocarditis, congestive heart failure, Kawasaki disease and thromboembolism are associated with specific skin findings, and advances in genetics, immunology and clinical epidemiology show that inflammatory dermatological diseases, such as psoriasis, have serious cardiovascular and cardiometabolic consequences. Additionally, commonly used cardiovascular therapies, such as antihypertensive medications, are associated with important cutaneous adverse effects, including photosensitivity, photocarcinogenesis and eczematous skin reactions. Moreover, systemic dermatological therapies, including retinoids, Janus kinase inhibitors and biologics, can alter the risk of cardiovascular and cardiometabolic diseases. In this Review on cardiodermatology, we provide interdisciplinary insights from dermatology and cardiology that will be of practical use to both cardiologists and generalists who manage cardiovascular and cardiometabolic diseases in patients with dermatological findings or histories. We discuss specific skin findings associated with cardiovascular diseases to aid in diagnosis; important cutaneous adverse effects of common cardiovascular therapies, for the purpose of treatment monitoring; and the effect of dermatological diseases and dermatological treatment on cardiovascular risk.

皮肤和心血管系统以独特而有意义的方式联系在一起,许多传统上被认为仅限于一个器官系统的疾病比以前认为的更加密切相关。主要的心血管疾病和现象,如感染性心内膜炎、充血性心力衰竭、川崎病和血栓栓塞等,都与特定的皮肤发现有关。遗传学、免疫学和临床流行病学的进展表明,炎症性皮肤病,如银屑病,会对心血管和心脏代谢造成严重后果。此外,常用的心血管疗法,如抗高血压药物,与重要的皮肤不良反应有关,包括光敏性、光致癌性和皮肤湿疹反应。此外,包括维甲酸、Janus 激酶抑制剂和生物制剂在内的全身性皮肤疗法也会改变心血管疾病和心脏代谢疾病的风险。在这篇有关心脏皮肤病学的综述中,我们提供了皮肤病学和心脏病学的跨学科见解,这些见解对心脏病学家和普通医生治疗有皮肤病发现或病史的心血管和心脏代谢疾病患者都有实际帮助。我们将讨论与心血管疾病相关的特定皮肤发现,以帮助诊断;常见心血管疗法的重要皮肤不良反应,以监测治疗;以及皮肤病和皮肤病治疗对心血管风险的影响。
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引用次数: 0
Our revered and mysterious heart 我们崇敬而神秘的心
IF 49.6 1区 农林科学 Q1 AGRICULTURE, MULTIDISCIPLINARY Pub Date : 2024-11-06 DOI: 10.1038/s41569-024-01096-w
Philip Kilner
A review of Robin Choudhury’s book The Beating Heart: The Art & Science of Our Most Vital Organ, which explores depictions and perceptions of the heart across millennia.
罗宾-乔杜里(Robin Choudhury)的著作《跳动的心脏》(The Beating Heart)的评论:这本书探讨了千百年来人们对心脏的描述和看法。
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引用次数: 0
Nanomedicine-based strategies for the treatment of vein graft disease 基于纳米药物的静脉移植疾病治疗策略
IF 49.6 1区 农林科学 Q1 AGRICULTURE, MULTIDISCIPLINARY Pub Date : 2024-11-05 DOI: 10.1038/s41569-024-01094-y
Zhuoming Zhou, Wei Chen, Yihai Cao, Reza Abdi, Wei Tao

Autologous saphenous veins are the most frequently used conduits for coronary and peripheral artery bypass grafting. However, vein graft failure rates of 40–50% within 10 years of the implantation lead to poor long-term outcomes after bypass surgery. Currently, only a few therapeutic approaches for vein graft disease have been successfully translated into clinical practice. Building on the past two decades of advanced understanding of vein graft biology and the pathophysiological mechanisms underlying vein graft disease, nanomedicine-based strategies offer promising opportunities to address this important unmet clinical need. In this Review, we provide deep insight into the latest developments in the rational design and applications of nanoparticles that have the potential to target specific cells during various pathophysiological stages of vein graft disease, including early endothelial dysfunction, intermediate intimal hyperplasia and late-stage accelerated atherosclerosis. Additionally, we underscore the convergence of nanofabricated biomaterials, with a particular focus on hydrogels, external graft support devices and cell-based therapies, alongside bypass surgery to improve local delivery efficiency and therapeutic efficacy. Finally, we provide a specific discussion on the considerations, challenges and novel perspectives for the future clinical translation of nanomedicine for the treatment of vein graft disease.

自体大隐静脉是冠状动脉和外周动脉搭桥术中最常用的导管。然而,静脉移植术后 10 年内的失败率高达 40%-50%,导致搭桥手术后的长期疗效不佳。目前,只有少数针对静脉移植疾病的治疗方法已成功应用于临床实践。过去二十年来,人们对静脉移植生物学和静脉移植疾病的病理生理机制有了更深入的了解,在此基础上,基于纳米药物的策略为解决这一尚未满足的重要临床需求提供了大有可为的机会。在本综述中,我们将深入探讨合理设计和应用纳米粒子的最新进展,这些纳米粒子有可能在静脉移植物疾病的不同病理生理阶段靶向特定细胞,包括早期内皮功能障碍、中期内膜增生和晚期加速动脉粥样硬化。此外,我们还强调了纳米加工生物材料与搭桥手术的融合,特别是水凝胶、外部移植支持装置和细胞疗法,以提高局部输送效率和疗效。最后,我们就纳米医学在未来临床应用于治疗静脉移植物疾病的注意事项、挑战和新视角进行了具体讨论。
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引用次数: 0
Fertility-sparing treatment and follow-up in patients with cervical cancer, ovarian cancer, and borderline ovarian tumours: guidelines from ESGO, ESHRE, and ESGE. 宫颈癌、卵巢癌和边缘性卵巢肿瘤患者的保胎治疗和随访:ESGO、ESHRE 和 ESGE 指南。
IF 41.6 1区 农林科学 Q1 AGRICULTURE, MULTIDISCIPLINARY Pub Date : 2024-11-01 Epub Date: 2024-08-28 DOI: 10.1016/S1470-2045(24)00262-6
Philippe Morice, Giovanni Scambia, Nadeem R Abu-Rustum, Maribel Acien, Alessandro Arena, Sara Brucker, Ying Cheong, Pierre Collinet, Francesco Fanfani, Francesca Filippi, Ane Gerda Zahl Eriksson, Sebastien Gouy, Philipp Harter, Xavier Matias-Guiu, George Pados, Maja Pakiz, Denis Querleu, Alexandros Rodolakis, Christine Rousset-Jablonski, Artem Stepanyan, Antonia Carla Testa, Kirsten Tryde Macklon, Dimitrios Tsolakidis, Michel De Vos, François Planchamp, Michaël Grynberg

The European Society of Gynaecological Oncology, the European Society of Human Reproduction and Embryology, and the European Society for Gynaecological Endoscopy jointly developed clinically relevant and evidence-based guidelines focusing on key aspects of fertility-sparing strategies and follow-up of patients with cervical cancers, ovarian cancers, and borderline ovarian tumours. The developmental process of these guidelines is based on a systematic literature review and critical appraisal involving an international multidisciplinary development group consisting of 25 experts from relevant disciplines (ie, gynaecological oncology, oncofertility, reproductive surgery, endoscopy, imaging, conservative surgery, medical oncology, and histopathology). Before publication, the guidelines were reviewed by 121 independent international practitioners in cancer care delivery and patient representatives. The guidelines comprehensively cover oncological aspects of fertility-sparing strategies during the initial management, optimisation of fertility results and infertility management, and the patient's desire for future pregnancy and beyond.

欧洲妇科肿瘤学会、欧洲人类生殖与胚胎学学会和欧洲妇科内镜学会联合制定了与临床相关的循证指南,重点关注宫颈癌、卵巢癌和边缘卵巢肿瘤患者的保胎策略和随访的关键环节。这些指南的制定过程以系统的文献回顾和批判性评估为基础,由来自相关学科(即妇科肿瘤学、不孕症、生殖外科、内窥镜、影像学、保守性手术、肿瘤内科学和组织病理学)的 25 位专家组成的国际多学科制定小组参与其中。指南出版前,121 位独立的国际癌症治疗从业人员和患者代表对指南进行了审阅。该指南全面涵盖了初期治疗、生育结果优化和不孕不育管理以及患者对未来怀孕及其他方面的愿望等方面的肿瘤保留生育策略。
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Journal of Agricultural and Food Chemistry
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