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Standardized Method to Detect Tunneling Nanotubes in Human Skin Cells for Tissue Engineering Applications. 用于组织工程应用的人体皮肤细胞隧道纳米管检测的标准化方法。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-13 DOI: 10.3791/69883
Tengfei Feng, Dongyu Hou, Dexuan Zhuang, Shuangshuang Wang, Qi Xu, Liliang Shen, Xunwei Wu

Tunneling nanotubes (TNTs) are thin, actin-based intercellular conduits that enable long-range transfer of organelles and signaling cargo. Although widely reported across multiple cell types, their presence in human skin cells has not been well described. This article describes a standardized protocol to detect and characterize TNTs in vitro between human epidermal keratinocytes and dermal fibroblasts. The method involves preparing a co-culture of primary cells, gentle fixation to preserve fragile TNTs, membrane labeling with wheat germ agglutinin, F-actin staining with phalloidin, and systematic z-stack imaging by inverted confocal microscopy to distinguish TNTs suspended above the substratum from adherent filopodia. Optional immunostaining for α-tubulin allows assessment of microtubule incorporation. TNTs are defined by three features: thin, straight protrusions connecting two or more cells, the presence of F-actin, and continuity across cell pairs in serial optical sections. Representative results demonstrate TNTs linking dermal-dermal, epidermal-epidermal, and dermal-epidermal pairs, with variable cytoskeletal composition (F-actin alone or F-actin plus α-tubulin). Critical steps include gentle fixation, use of fresh reagents, and acquisition of sufficient z-planes to avoid misclassification, while common artifacts include TNT breakage and incomplete staining. Together, these optimized steps enable reproducible TNT detection in skin cell systems and offer a methodological basis for future investigation of TNT-mediated communication in skin biology and regeneration.

隧道纳米管(TNTs)是一种薄的、基于肌动蛋白的细胞间导管,可以实现细胞器和信号货物的远程转移。尽管在多种细胞类型中广泛报道,但它们在人类皮肤细胞中的存在尚未得到很好的描述。这篇文章描述了一个标准化的协议,以检测和表征人类表皮角质形成细胞和真皮成纤维细胞之间的体外tnt。该方法包括准备原代细胞的共培养,温和固定以保存脆弱的tnt,用小麦胚芽凝集素标记膜,用phalloidin染色f -肌动蛋白,并用倒置共聚焦显微镜进行系统的z堆叠成像,以区分悬浮在基质上的tnt和粘附的丝状足。α-微管蛋白的可选免疫染色允许评估微管掺入。tnt由三个特征定义:连接两个或多个细胞的薄而直的突起,f -肌动蛋白的存在,以及连续光学切片中细胞对的连续性。代表性的结果表明,tnt连接真皮-真皮、表皮-表皮和真皮-表皮对,具有可变的细胞骨架组成(单独的f -肌动蛋白或f -肌动蛋白加α-微管蛋白)。关键步骤包括温和固定,使用新鲜试剂,获得足够的z平面以避免错误分类,而常见的工件包括TNT破损和染色不完全。总之,这些优化的步骤使皮肤细胞系统中可重复的TNT检测成为可能,并为未来研究TNT介导的皮肤生物学和再生通讯提供了方法学基础。
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引用次数: 0
Intelligent Congestion Control Mechanism for IoT-Enabled Wireless Sensor Networks Using Hybrid Aggregation and Scheduling Technique. 基于混合聚合和调度技术的物联网无线传感器网络智能拥塞控制机制。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-13 DOI: 10.3791/69909
Shiv H Sutar, Y Bevish Jinila, Kailas Patil, Sital Dash, Shrikant Jadhav

Congestion in IoT-enabled wireless sensor networks (WSNs) degrades packet delivery, latency, and energy usage, impairing the network, especially under bursty and heterogeneous traffic conditions. This protocol illustrates an intelligent congestion control technique that combines hybrid data aggregation, adaptive scheduling, and a neuro-fuzzy decision engine to efficiently handle network load. The method involves first generating simulation data, creating topologies of different node densities, and setting up traffic patterns using NS-2.35. Packet traces are obtained for each scenario to allow reproducible evaluation. The protocol workflow refers to the combination of two mechanisms: (1) hybrid aggregation, which combines packets in time- and count-based windows while retaining priority labels, and (2) adaptive scheduling, which handles dual priority queues via weighted round robin. A neuro-fuzzy controller always evaluates buffer occupancy, link quality, channel utilization, residual energy, and traffic priority. Taking these inputs, it regulates aggregation depth, queue weights, and transmission decisions by fuzzy inference and neuro-adaptive learning. Performance measurement tasks encompass the calculation of packet delivery ratio, end-to-end latency, throughput, node-level energy consumption, and network lifetime. Statistical analyses are performed across multiple runs to check the reliability of the results. The approach reveals better performance in the simulation compared to the baseline schemes. This protocol offers a reproducible framework for exploring hybrid congestion control methods that enable energy-efficient, scalable, and QoS-aware operation in IoT-enabled WSN environments.

在支持物联网的无线传感器网络(wsn)中,拥塞会降低数据包传输、延迟和能源使用,从而损害网络,特别是在突发和异构流量条件下。该协议阐述了一种智能拥塞控制技术,该技术结合了混合数据聚合、自适应调度和神经模糊决策引擎来有效地处理网络负载。该方法包括首先生成模拟数据,创建不同节点密度的拓扑结构,并使用NS-2.35设置流量模式。为每个场景获得数据包跟踪,以允许可重复的评估。协议工作流是两种机制的结合:(1)混合聚合,在保留优先级标签的情况下,将数据包在基于时间和计数的窗口中组合;(2)自适应调度,通过加权轮询处理双优先级队列。神经模糊控制器总是评估缓冲区占用、链路质量、信道利用率、剩余能量和流量优先级。利用这些输入,通过模糊推理和神经自适应学习调节聚合深度、队列权重和传输决策。性能测量任务包括计算数据包传送率、端到端延迟、吞吐量、节点级能耗和网络生命周期。在多次运行中执行统计分析,以检查结果的可靠性。与基准方案相比,该方法在仿真中显示出更好的性能。该协议提供了一个可重复的框架,用于探索混合拥塞控制方法,从而在支持物联网的WSN环境中实现节能、可扩展和qos感知的操作。
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引用次数: 0
Electroacupuncture Orchestrates Intestinal Flora Remodeling: A Step Forward in Alleviating High Salt-Induced Vasculopathy. 电针协调肠道菌群重塑:缓解高盐诱导的血管病变的新进展。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-13 DOI: 10.3791/69783
Yuxian Zhang, Pengyang Xiao, Guilong Zhang, Wenyu Zhu, Peng Xiao, Shuyu Wang, Ling Luo, Lina Xia

This study aims to investigate the therapeutic potential and mechanisms of electroacupuncture (EA) in alleviating vascular dysfunction caused by high-salt diets, with a focus on gut microbiota modulation. We randomly divided 21 rats into Normal Control, High-Salt Model, and EA Intervention groups (n = 7 per group). The "high-salt blood stasis syndrome" model in Wistar rats was induced by intragastric perfusion of 12% NaCl. Treatments were performed between 17:00 and 19:00 Beijing time: rats were restrained with a soft cloth, followed by 20-min EA stimulation at BL23 and KI3. After the experiment, rat blood, blood vessels, and fecal samples were collected. Vascular effects were evaluated via coagulation function test, hemorheological analysis, and arterial histopathological assessment. 16S rDNA sequencing was used to analyze the composition and abundance changes of gut microbiota. The findings revealed that chronic high-salt intake disrupted blood viscosity, damaged vascular endothelial integrity, and caused gut microbial dysbiosis. Remarkably, EA treatment effectively reversed these pathological changes. Correlation analysis further identified specific gut microbiota (e.g., Lachnospiraceae and Ruminococcaceae) that strongly correlated with altered blood viscosity parameters (P < 0.05). Therefore, the present study concludes that high-salt diet-induced vasculopathy can be reversed by EA treatment, which may be attributed to EA's ability to regulate gut microbiota involved in bile acid metabolism and short-chain fatty acid synthesis.

本研究旨在探讨电针(EA)在缓解高盐饮食引起的血管功能障碍中的治疗潜力和机制,重点关注肠道微生物群的调节。21只大鼠随机分为正常对照组、高盐模型组和EA干预组(每组7只)。采用12% NaCl灌胃诱导Wistar大鼠“高盐血瘀证”模型。治疗于北京时间17:00 - 19:00进行:用软布约束大鼠,然后在BL23和KI3处进行20分钟的EA刺激。实验结束后,采集大鼠血液、血管和粪便样本。通过凝血功能试验、血液流变学分析和动脉组织病理学评估血管效应。采用16S rDNA测序分析肠道菌群组成及丰度变化。研究结果显示,长期高盐摄入会破坏血液粘度,破坏血管内皮完整性,并导致肠道微生物失调。值得注意的是,EA治疗有效地逆转了这些病理改变。相关分析进一步发现特定的肠道微生物群(如Lachnospiraceae和Ruminococcaceae)与血液粘度参数的改变密切相关(P < 0.05)。因此,本研究认为,高盐饮食诱导的血管病变可以通过EA治疗逆转,这可能与EA能够调节参与胆酸代谢和短链脂肪酸合成的肠道微生物群有关。
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引用次数: 0
Porcine Cardiac Arrest Model Using an Implantable Defibrillator. 用植入式除颤器建立猪心脏骤停模型。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-09 DOI: 10.3791/69305
Benjamin Stage Storm, Knut Tore Lappegård, Charlotte Björk Ingul, Erik Waage Nielsen, Bent Aksel Nielsen, Anette Nyjordet, Ole-Jakob How, Bjørn Ove Faldaas

This study presents a reproducible porcine cardiac arrest model utilizing an implantable cardioverter-defibrillator (ICD) for reliable induction and cardioversion of ventricular fibrillation (VF), as well as intracardiac ECG monitoring during resuscitation. Large animal models are vital for translational research in cardiac arrest; however, conventional VF induction and cardioversion techniques -- primarily using external electrodes and defibrillation -- are often hampered by motion artifacts, inconsistent conversion rates, and high animal resource use. This protocol describes repeated cycles of VF induction and cardioversion within the same animal, providing precise control while minimizing physiological stress and animal numbers, in accordance with the 3R principles (Replacement, Reduction, and Refinement). The ICD-based method allows for accurate rhythm monitoring by intracardiac ECG throughout resuscitation, with improved artifact resistance compared to surface ECG. Eleven pigs underwent repeated VF induction and cardioversion, with high success rates and recovery of spontaneous circulation. The model enables standardized and reliable data acquisition for cardiac arrest studies, ensuring experimental consistency and facilitating reproducible investigation of pathophysiology and resuscitation strategies while minimizing animal use.

本研究提出了一个可重复的猪心脏骤停模型,利用植入式心律转复除颤器(ICD)可靠地诱导和复律心室颤动(VF),并在复苏期间进行心内心电图监测。大型动物模型对于心脏骤停的转化研究至关重要;然而,传统的VF诱导和复律技术——主要使用外部电极和除颤——经常受到运动伪影、不一致的转换率和高动物资源消耗的阻碍。该方案描述了在同一只动物中重复的心室颤动诱导和心律转复周期,提供精确的控制,同时最大限度地减少生理应激和动物数量,符合3R原则(置换、还原和细化)。基于icd的方法允许在复苏过程中通过心内心电图进行准确的心律监测,与体表心电图相比,具有更好的伪影抵抗。11头猪进行了多次VF诱导和心律转复,成功率高,恢复了自发循环。该模型为心脏骤停研究提供了标准化和可靠的数据采集,确保了实验的一致性,促进了病理生理学和复苏策略的可重复研究,同时最大限度地减少了动物的使用。
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引用次数: 0
Bioinformatics Approach to Cancer Prediction using Quantum Clustering Algorithm for Behavioral Similarity in Gene Expression. 基于基因表达行为相似性的量子聚类算法的癌症预测生物信息学方法。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-09 DOI: 10.3791/68890
Shanu Das, Pritam Bhattacharjee, Kunal Das, Atanu Mondal

This study introduces a Hybrid Quantum K-Means Clustering Algorithm with automatic cluster detection for classifying cancerous and non-cancerous gene expression data. The method employs Quantum Multi-Feature Mapping for state encoding, Swap Test-based quantum distance estimation, and Quantum Gradient-Based Optimization to dynamically identify the optimal number of clusters by minimizing intra-cluster variance. Initial centroids are selected through a probability-proportional distance strategy, improving stability and accuracy. Applied to breast cancer datasets, the approach surpasses the existing quantum K-Means algorithm, achieving a Silhouette Score of 0.641 (compared to 0.601), a Calinski-Harabasz Index of 766.57 (compared to 617.65), and a Davies-Bouldin Index of 0.659 (compared to 0.704). These results indicate superior cluster compactness and separation. Although the proposed algorithm exhibits slightly higher time complexity O (N×Kmax×Mobs) due to iterative optimization, it significantly outperforms predefined-K quantum K-Means in clustering accuracy, error reduction, and practical feasibility. Its efficiency in handling high-dimensional data and resilience to quantum noise highlights its potential for real-world bioinformatics applications, particularly in cancer classification using gene expression profiles.

本文介绍了一种自动聚类检测的混合量子k -均值聚类算法,用于对癌性和非癌性基因表达数据进行分类。该方法采用量子多特征映射进行状态编码,基于Swap测试的量子距离估计和基于量子梯度的优化,通过最小化簇内方差来动态识别最优簇数。通过概率比例距离策略选择初始质心,提高了稳定性和精度。应用于乳腺癌数据集,该方法超越了现有的量子K-Means算法,实现了0.641的Silhouette Score(与0.601相比),766.57的Calinski-Harabasz指数(与617.65相比)和0.659的Davies-Bouldin指数(与0.704相比)。这些结果表明了优越的簇紧密性和分离性。虽然由于迭代优化,该算法的时间复杂度O (N×Kmax×Mobs)略高,但在聚类精度、减少误差和实际可行性方面明显优于预定义的k量子K-Means。它在处理高维数据方面的效率和对量子噪声的弹性突出了它在现实世界生物信息学应用中的潜力,特别是在使用基因表达谱进行癌症分类方面。
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引用次数: 0
Efficient Purification of Elastin-Like Polypeptides (ELPs) from E. coli Using an Organic Solvent-based Extraction and Precipitation Method. 有机溶剂萃取沉淀法高效纯化大肠杆菌中弹性蛋白样多肽(ELPs)。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-09 DOI: 10.3791/69465
Joydeep Rakshit, Feng Qu, Saloni Darji, Andrew Dyba, Bryn Cook, David H Thompson

Elastin-like polypeptides (ELP) are engineered biopolymers built from repetitive pentapeptide sequences that mimic motifs found in mammalian tropoelastin. Their unique characteristics make them ideal candidates for a wide array of biomedical applications, ranging from drug and gene delivery to tissue engineering and targeted molecular imaging. Conventional purification approaches from Escherichia coli (E. coli) expression can be ineffective for ELP due to the formation of inclusion bodies. Other methods, such as inverse transition cycling (ITC), utilize the lower critical solution temperature (LCST) properties of ELP to separate it from contaminants such as lipopolysaccharides (LPS), but typically require multiple heating and cooling steps that are time-consuming and can result in low recoveries depending on the sequence, concentration, and molecular weight of the ELP construct. To tackle these challenges, we have developed an organic solvent-based extraction-precipitation workflow that exploits the intrinsic hydrophobicity of ELP to enable rapid, robust, and broadly applicable purification directly from E. coli cell pellets. This method uses polar organic solvents to aid in cell disruption and selectively solubilize ELP in a single step. A subsequent precipitation step effectively removes residual organic solvents, low-molecular-weight impurities, and endotoxins, yielding highly pure ELP with LPS levels below 1 EU/mL in under 3 h. Atomic force microscopy data suggest that ELP-fusion proteins purified in this manner can self-assemble into reverse micelle-like structures that retain fusion protein function. This rapid purification method offers researchers a straightforward and potentially scalable way to purify ELP, creating new possibilities for using ELP and their fusion proteins as flexible building blocks for material and biomedical applications.

弹性蛋白样多肽(ELP)是由重复的五肽序列构建而成的工程生物聚合物,模仿哺乳动物弹力蛋白中的基序。它们独特的特性使它们成为广泛的生物医学应用的理想候选者,从药物和基因传递到组织工程和靶向分子成像。大肠杆菌表达的传统纯化方法由于形成包涵体而对ELP无效。其他方法,如逆转变循环(ITC),利用ELP的较低临界溶液温度(LCST)特性将其与脂多糖(LPS)等污染物分离,但通常需要多次加热和冷却步骤,这是耗时的,并且可能导致回收率低,具体取决于ELP结构的序列、浓度和分子量。为了应对这些挑战,我们开发了一种基于有机溶剂的提取-沉淀工作流程,利用ELP固有的疏水性,可以快速、稳定、广泛地直接从大肠杆菌细胞颗粒中提纯。该方法使用极性有机溶剂来帮助细胞破坏和选择性地在一个步骤中溶解ELP。随后的沉淀步骤有效地去除残留的有机溶剂、低分子量杂质和内毒素,在3小时内产生高纯度的ELP, LPS水平低于1 EU/mL。原子力显微镜数据表明,以这种方式纯化的ELP融合蛋白可以自组装成反向胶束状结构,保留融合蛋白的功能。这种快速纯化方法为研究人员提供了一种直接且具有潜在可扩展性的方法来纯化ELP,为使用ELP及其融合蛋白作为材料和生物医学应用的灵活构建块创造了新的可能性。
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引用次数: 0
Therapeutic Effects of Acorus calamus L. Extract on Radiation-induced Skin Injury in a Rat Model. 菖蒲提取物对大鼠辐射性皮肤损伤的治疗作用。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-09 DOI: 10.3791/69705
Xiaodan Wu, Yanan Tong, Wenxuan Luo, Zhaomin Yao, Yusong Pei, Ying Zhan, Guoxu Zhang, Zhiguo Wang

Radiation-induced skin injury is a common and debilitating complication in cancer therapy, often resulting in delayed wound healing and increased patient discomfort. There are a few therapeutic drugs available for prevention or treatment. Traditional Chinese Medicine, specifically Acorus calamus L., has shown potential in treating various skin disorders, but its efficacy in radiation-induced skin injury remains underexplored. This study used a Sprague-Dawley rat model exposed to 45 Gy radiation to induce skin injury. Rats were treated with 10%, 20%, and 40% Acorus calamus L. extract for 45 days. Wound healing, inflammation, apoptosis, and angiogenesis were assessed using wound healing rates, histopathological analysis, cytokine measurements, TUNEL staining, and immunohistochemistry. Treatment with Acorus calamus L. accelerated wound healing, with the medium-dose group showing the highest healing rate (88.97% at 45 days). Histopathological analysis revealed reduced inflammation, improved collagen organization, and new blood vessel formation. Serum levels of inflammatory cytokines (IL-1β, IL-6, TNF-α) were significantly reduced, and apoptosis was decreased, with modulation of key apoptotic proteins (P53, Bax, Bcl-2). VEGF and bFGF expression were upregulated, promoting angiogenesis and tissue repair. Acorus calamus L. enhances the healing of radiation-induced skin injuries by reducing inflammation, inhibiting apoptosis, and promoting angiogenesis. These findings suggest its potential as a therapeutic agent for managing radiation-induced skin damage, providing a promising alternative for managing radiation-induced skin injuries in clinical oncology. Further studies are needed to clarify its molecular mechanisms.

辐射诱发的皮肤损伤是癌症治疗中一种常见且使人衰弱的并发症,通常导致伤口愈合延迟和患者不适增加。有一些治疗药物可用于预防或治疗。中药,特别是菖蒲,在治疗各种皮肤疾病方面显示出潜力,但其对辐射性皮肤损伤的疗效仍未得到充分研究。本研究采用Sprague-Dawley大鼠模型暴露于45 Gy辐射下诱导皮肤损伤。大鼠分别用10%、20%、40%菖蒲提取物治疗45 d。通过伤口愈合率、组织病理学分析、细胞因子测量、TUNEL染色和免疫组织化学来评估伤口愈合、炎症、细胞凋亡和血管生成。菖蒲治疗可促进创面愈合,其中中剂量组创面愈合率最高,45 d时达到88.97%。组织病理学分析显示炎症减轻,胶原蛋白组织改善,新血管形成。血清炎症因子(IL-1β、IL-6、TNF-α)水平显著降低,凋亡减少,关键凋亡蛋白(P53、Bax、Bcl-2)受到调节。VEGF和bFGF表达上调,促进血管生成和组织修复。菖蒲通过减少炎症、抑制细胞凋亡和促进血管生成来促进辐射引起的皮肤损伤的愈合。这些发现表明其作为治疗放射性皮肤损伤的治疗药物的潜力,为临床肿瘤学治疗放射性皮肤损伤提供了一个有希望的替代方案。其分子机制有待进一步研究。
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引用次数: 0
Association Between Telomere Length and Thyrotoxicosis: Insights from a Two-sample Mendelian Randomization Study. 端粒长度与甲状腺毒症之间的关系:来自两样本孟德尔随机化研究的见解。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-09 DOI: 10.3791/69618
Weilin Chu, Chen Yu, Weixin Chu, Weisheng Li

Thyrotoxicosis is an endocrine disorder characterized by excess thyroid hormones, yet its etiologic links to systemic aging biology remain incompletely defined. Telomere length (TL) reflects cellular senescence and genome stability and has been implicated in multiple complex diseases. We conducted a two-sample Mendelian randomization (MR) study to evaluate the causal effect of genetically predicted TL on the risk of thyrotoxicosis. Genetic instruments for TL were derived from a large genome-wide association study (GWAS) of European ancestry (n > 470,000). Thyrotoxicosis summary statistics were obtained from the latest FinnGen release (≈4,000 cases and >210,000 controls). Primary inverse-variance-weighted analyses indicated that longer genetically proxied TL is associated with a lower risk of thyrotoxicosis, and the direction and magnitude of the effect were consistent across complementary estimators (MR-Egger, weighted median/maximum likelihood, MR-PRESSO, and MR-RAPS). Sensitivity analyses showed no evidence of directional pleiotropy, and Cochran's Q was used to assess heterogeneity. A Steiger directionality test supported the causal flow from TL to thyrotoxicosis. To our knowledge, this work is among the first MR analyses to assess the causal relationship between overall thyrotoxicosis risk and TL using contemporary GWAS resources, extending prior evidence focused on hyperthyroidism-related phenotypes. These findings suggest that cellular aging processes indexed by TL may contribute to thyrotoxicosis susceptibility and motivate future longitudinal and mechanistic studies on telomere biology in thyroid dysfunction.

甲状腺毒症是一种以甲状腺激素过量为特征的内分泌疾病,但其与系统性衰老生物学的病因学联系仍不完全明确。端粒长度(TL)反映了细胞衰老和基因组稳定性,并与多种复杂疾病有关。我们进行了一项双样本孟德尔随机化(MR)研究,以评估遗传预测TL对甲状腺毒症风险的因果影响。TL的遗传工具来源于一项大型全基因组关联研究(GWAS),研究对象为欧洲祖先(n bbbb47万)。最新FinnGen发布的甲状腺毒症汇总统计数据(约4000例,对照组约21万例)。主要的反方差加权分析表明,较长的遗传代理TL与较低的甲状腺毒症风险相关,并且在互补估计(MR-Egger,加权中位数/最大似然,MR-PRESSO和MR-RAPS)中,影响的方向和大小是一致的。敏感性分析未发现定向多效性的证据,并使用科克伦Q来评估异质性。Steiger方向性检验支持从TL到甲状腺毒症的因果关系。据我们所知,这项工作是首次利用当代GWAS资源评估总体甲状腺毒症风险与TL之间因果关系的MR分析之一,扩展了先前关注甲状腺功能亢进相关表型的证据。这些发现表明,TL指示的细胞衰老过程可能有助于甲状腺毒症的易感性,并激发了甲状腺功能障碍端粒生物学的纵向和机制研究。
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引用次数: 0
Effects of Auricular Acupressure Combined with Epidural Analgesia on Labor Pain: A Randomized Controlled Trial. 耳穴压联合硬膜外镇痛对分娩疼痛的影响:一项随机对照试验。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-09 DOI: 10.3791/69852
Xiu Ni, Shuangqiong Zhou, Jinglu Sun, Fuyi Shen

Labor pain remains a significant challenge during childbirth. While epidural analgesia is highly effective, it is associated with limitations such as breakthrough pain, motor blockade, and epidural-related maternal fever. Auricular acupressure, a non-pharmacological complementary therapy derived from Traditional Chinese Medicine, may modulate pain perception through gate control theory and biochemical mechanisms. This randomized controlled trial assesses whether combining auricular acupressure with epidural analgesia provides superior pain control compared to epidural analgesia alone. Fifty nulliparous women at term requesting epidural analgesia were randomized to receive either true auricular acupressure at specific points (Shenmen, Subcortex, Genitalia, Sympathetic) or sham non-acupoints stimulation. Pain scores were assessed using a Visual Analog Scale at baseline (cervical dilation 2-3 cm), 30 min post-epidural, and at full cervical dilation (10 cm). Secondary outcomes included local anesthetic consumption, incidence of breakthrough pain, and epidural-related maternal fever, Apgar scores, and maternal satisfaction. The protocol emphasizes accurate acupoint localization, blinding procedures, and standardized outcome assessment to ensure reliable results.

阵痛仍然是分娩期间的一个重大挑战。虽然硬膜外镇痛是非常有效的,但它与局限性有关,如突破性疼痛、运动阻滞和硬膜外相关的产妇发烧。耳穴按摩作为一种源自中医的非药物辅助疗法,可能通过门控理论和生物化学机制调节痛觉。本随机对照试验评估与单独硬膜外镇痛相比,耳穴按压联合硬膜外镇痛是否能提供更好的疼痛控制。50名要求硬膜外镇痛的足月无产妇女被随机分为两组,一组在特定穴位(肾门、皮层下、生殖器、交感神经)接受真正的耳穴刺激,另一组接受假的非穴位刺激。在基线(宫颈扩张2-3厘米)、硬膜外后30分钟和宫颈完全扩张(10厘米)时,使用视觉模拟量表评估疼痛评分。次要结局包括局部麻醉用量、突破疼痛发生率、硬膜外相关产妇发热、Apgar评分和产妇满意度。该方案强调准确的穴位定位,盲法程序和标准化的结果评估,以确保可靠的结果。
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引用次数: 0
Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection. 尾颅入路在腹腔镜右半结肠全肠系膜切除及D3淋巴结清扫中的应用。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-09 DOI: 10.3791/69484
Fei Gao, Jing Gao, Hao Wang, Wenqiang Zhang, Xiaoyu Cao, Jiadong Fan, Haochen Fu, Haoyong Zhao, Yonghan Zhang, Maosen Guo, Bin Han

Laparoscopic right hemicolectomy (LRH) has been proven to be an effective and safe surgical approach. However, due to the numerous vessels involved in the right colon and the variability of individual anatomy, LRH still faces many challenges. In the early stages, two surgical approaches were reported in the literature: the lateral-to-medial and medial-to-lateral approaches. The lateral-to-medial approach is typically used in open surgery. Currently, with the development of technology, multiple surgical approaches for LRH are available. This paper reports on a caudal approach method, the caudal-to-cranial approach, combined with complete mesocolic excision (CME) and D3 lymph node dissection. The described procedural sequence-prioritizing the establishment of anatomical planes before vascular dissection-may facilitate precise vascular management by first defining the surgical landscape. This approach appears to enhance procedural safety and could potentially reduce operative difficulty by improving anatomical orientation. Our initial experience suggests that this method supports a thorough lymph node dissection, demonstrating its feasibility for performing CME and D3 lymph node dissection.

腹腔镜右半结肠切除术(LRH)已被证明是一种有效和安全的手术方法。然而,由于右结肠涉及的血管众多以及个体解剖结构的可变性,LRH仍然面临许多挑战。在早期阶段,文献中报道了两种手术入路:外侧至内侧入路和内侧至外侧入路。外侧-内侧入路通常用于开放手术。目前,随着技术的发展,LRH的手术入路多种多样。本文报道了一种尾侧入路方法,即尾侧-颅入路,结合全肠系膜切除(CME)和D3淋巴结清扫。所描述的手术顺序-在血管解剖之前优先建立解剖平面-可以通过首先定义手术环境来促进精确的血管管理。这种方法似乎可以提高手术安全性,并可以通过改善解剖方向来潜在地降低手术难度。我们的初步经验表明,该方法支持彻底的淋巴结清扫,证明了其进行CME和D3淋巴结清扫的可行性。
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Jove-Journal of Visualized Experiments
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