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Association between dietary inflammation index and inflammatory bowel disease in adults: Results from National Health and Nutrition Examination Survey 2009–2010 成人膳食炎症指数与炎症性肠病之间的关系:2009-2010 年全国健康与营养调查的结果
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2024-04-21 DOI: 10.1111/1440-1681.13859
Jing-yi Zhu, Xiao-ru Sun, Mu-yun Liu, Chang Sun

Previous study has demonstrated that the Dietary Inflammation Index (DII) played a role in the risk of inflammatory bowel disease (IBD), however, the prevalence and risk factors for IBD are distinct across locations and groups, and therefore, the findings are debatable and warrant further investigation. A total of 4363 participants were calculated in the National Health and Nutrition Examination Survey (NHANES) 2009 to 2010, of whom 1.21% self-reported a history of IBD. DII values were performed as a good predictor of dietary inflammation based on data from two 24-h dietary reviews in the NHANES database. Comparing the multifarious effects along with variations of the whole population by grouping populations according to DII quartiles, dietary inflammation levels increased progressively from DII quartile 1(Q1) to quartile 4(Q4). The association between DII and IBD was tested with multi-variable logistic regression models, subgroup analyses and weighted generalized additive models. Participants in the Q4 group showed the highest levels of C-reactive protein and reduced haemoglobin and albumin levels. Logistic regression confirmed the odds ratios (95% confidence intervals) of IBD for DII were 0.99 (0.86, 1.15), 0.97 (0.84, 1.13) and 0.80 (0.66, 0.98) in models 1, 2 and 3, respectively. The negative correlation between DII and IBD among United States adults from the NHANES database became increasingly apparent as covariates were adjusted. Subgroup analyses and smoothed curve fitting confirmed the inverse results. The study revealed that DII was correlated with the overall physical well-being of participants. However, there was no significant association between DII and IBD.

以往的研究表明,膳食炎症指数(DII)在炎症性肠病(IBD)的发病风险中起着一定的作用,然而,IBD的发病率和风险因素在不同地区和不同人群中是不同的,因此,研究结果值得商榷,也值得进一步研究。2009 年至 2010 年全国健康与营养调查(NHANES)共统计了 4363 名参与者,其中 1.21% 的人自述有 IBD 病史。根据 NHANES 数据库中两次 24 小时膳食回顾的数据,DII 值可作为膳食炎症的良好预测指标。根据 DII 四分位数对整个人群进行分组,比较其多种影响和变化,发现膳食炎症水平从 DII 四分位数 1(Q1)到四分位数 4(Q4)逐渐升高。通过多变量逻辑回归模型、亚组分析和加权广义相加模型检验了 DII 与 IBD 之间的关系。Q4 组的参与者 C 反应蛋白水平最高,血红蛋白和白蛋白水平降低。逻辑回归证实,在模型 1、2 和 3 中,DII 与 IBD 的几率比(95% 置信区间)分别为 0.99(0.86,1.15)、0.97(0.84,1.13)和 0.80(0.66,0.98)。随着协变量的调整,NHANES 数据库中美国成年人的 DII 与 IBD 之间的负相关性越来越明显。亚组分析和平滑曲线拟合证实了反向结果。研究显示,DII 与参与者的总体身体健康水平相关。但是,DII 与肠道疾病之间没有明显的关联。
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引用次数: 0
Correction to “GSK3β inhibitor TDZD8 ameliorates brain damage through both ROS scavenging and inhibition of apoptosis in hyperglycemic subarachnoid haemorrhage rats” 对 "GSK3β抑制剂TDZD8通过清除高血糖蛛网膜下腔出血大鼠体内的ROS和抑制细胞凋亡改善脑损伤 "的更正
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2024-04-18 DOI: 10.1111/1440-1681.13853

Citation to article being corrected.

None.

Error description of text.

In Figure 5A, Section of Results, the group SAH + STZ was incorrectly combined as an error, caused by our unconscious saving mistake when taking too many florescence pictures.

We apologize for this error.

Error description of figure.

We apologize for this error.

在图 5A 的结果部分,SAH + STZ 组被错误地合并为一个错误,这是由于我们在拍摄过多荧光图片时无意识的保存错误造成的,我们对此错误深表歉意。
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引用次数: 0
Loganin exerts neuroprotective effect by inhibiting neuronal pyroptosis in rat with cerebral haemorrhage 罗加宁通过抑制脑出血大鼠神经元的脓毒症发挥神经保护作用
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2024-04-18 DOI: 10.1111/1440-1681.13858
Yu Wang, Min Zhao, Jing Li, Yue Liu

Intracerebral haemorrhage (ICH) presents significant challenges in clinical management because of the high morbidity and mortality, necessitating novel therapeutic approaches. This study aimed to assess the neuroprotective effects of loganin in a rat ICH model. Sprague–Dawley rats were used, subjected to a collagenase-induced ICH model, followed by loganin treatment at doses of 2.5, 5 and 10 mg/kg. Neurological functions were evaluated using the modified neurological severity score (mNSS) and a rotarod test. Results indicated a significant improvement in neurological functions in loganin-treated groups, evident from the mNSS and rotarod tests, suggesting dose-dependent neuroprotection. Loganin also effectively reduced the blood–brain barrier (BBB) permeability and cerebral oedema. Additionally, it mitigated cellular pyroptosis, as shown by terminal deoxynucleotidyl transferase dUTP nick-end labelling staining and western blot analysis, which indicated reduced levels of pyroptosis markers in treated rats. Furthermore, loganin's regulatory effects on the adenosine A2A receptor and myosin light chain kinase pathways were observed, potentially underpinning its protective mechanism against ICH. The study concludes that loganin exhibits significant neuroprotective properties in a rat ICH model, highlighting its potential as a novel therapeutic strategy. Despite promising results, the study needs further research to determine loganin's therapeutic potential in human ICH patients. This research paves the way for further exploration into loganin's clinical applications, potentially revolutionizing treatment strategies for patients suffering from intracerebral haemorrhage.

脑内出血(ICH)因其发病率和死亡率高,给临床治疗带来了巨大挑战,因此需要新的治疗方法。本研究旨在评估洛加宁在大鼠 ICH 模型中的神经保护作用。研究人员使用 Sprague-Dawley 大鼠,对其进行胶原酶诱导的 ICH 模型,然后以 2.5、5 和 10 mg/kg 的剂量对其进行洛加宁治疗。使用改良神经系统严重程度评分(mNSS)和转体测试对大鼠的神经功能进行评估。结果表明,从 mNSS 和转体测试中可以明显看出,罗加宁治疗组的神经功能有了明显改善,这表明神经保护作用是剂量依赖性的。洛加宁还能有效降低血脑屏障(BBB)的通透性和脑水肿。此外,通过末端脱氧核苷酸转移酶(terminal deoxynucleotidyl transferase dUTP nick-end labelling)染色和 Western 印迹分析表明,洛加宁还能减轻细胞的嗜热症,这表明治疗大鼠体内的嗜热症标志物水平有所降低。此外,研究还观察到了洛加宁对腺苷 A2A 受体和肌球蛋白轻链激酶通路的调节作用,这可能是洛加宁对 ICH 保护机制的基础。研究得出结论,在大鼠 ICH 模型中,loganin 具有显著的神经保护特性,突显了其作为一种新型治疗策略的潜力。尽管研究结果令人鼓舞,但仍需进一步研究,以确定 loganin 在人类 ICH 患者中的治疗潜力。这项研究为进一步探索 loganin 的临床应用铺平了道路,有可能彻底改变脑出血患者的治疗策略。
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引用次数: 0
Salvianic acid A sodium facilitates cardiac microvascular endothelial cell proliferation by enhancing the hypoxia-inducible factor-1 alpha/vascular endothelial growth factor signalling pathway post-myocardial infarction 丹酚酸 A 钠通过增强心肌梗死后缺氧诱导因子-1 α/血管内皮生长因子信号通路,促进心脏微血管内皮细胞增殖
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2024-04-18 DOI: 10.1111/1440-1681.13855
Jichun Liu, Fei Wu, Zhenhan Li, Shengwei Zheng, Yanqiang Huang, Hao Chen

Cardiac microvascular endothelial cells (CMECs) are important cells surrounding the cardiomyocytes in the heart that maintain microenvironment homeostasis. Salvianic acid A sodium (SAAS) has been reported to prevent myocardial infarction (MI) injury. However, the role of SAAS on CMEC proliferation remains unclear. CEMCs exposed to oxygen glucose deprivation (OGD) were used to explore the angiogenic abilities of SAAS. In vivo, C57BL/6 mice were divided into three groups: sham, MI and SAAS + MI groups. Compared to OGD group, SAAS led to a reduction in the apoptotic rate and an increase of the proliferation in vitro. Additionally, SAAS increased the protein levels of Bcl2, HIF-1α and vascular endothelial growth factor (VEGF) with the reduction of Bax. In terms of the specific mechanisms, SAAS might inhibit HIF-1α ubiquitination and enhance the HIF-1α/VEGF signalling pathway to increase CMEC proliferation. Furthermore, SAAS increased the density of vessels, inhibited myocardial fibrosis and improved cardiac dysfunction in vivo. The present study has revealed that SAAS could potentially be used as an active substance to facilitate CMEC proliferation post-MI.

心脏微血管内皮细胞(CMECs)是心脏中心肌细胞周围的重要细胞,可维持微环境的平衡。据报道,丹酚酸A钠(SAAS)可预防心肌梗死(MI)损伤。然而,SAAS 对 CMEC 增殖的作用仍不清楚。研究人员利用暴露于氧葡萄糖剥夺(OGD)的CEMC来探索SAAS的血管生成能力。在体内,C57BL/6小鼠被分为三组:假组、MI组和SAAS + MI组。与 OGD 组相比,SAAS 在体外导致了细胞凋亡率的降低和增殖的增加。此外,SAAS还提高了Bcl2、HIF-1α和血管内皮生长因子(VEGF)的蛋白水平,同时降低了Bax的水平。从具体机制来看,SAAS可能抑制了HIF-1α的泛素化,增强了HIF-1α/VEGF信号通路,从而增加了CMEC的增殖。此外,SAAS 还能增加血管密度,抑制心肌纤维化,改善体内心脏功能障碍。本研究表明,SAAS 可作为一种活性物质用于促进心肌梗死后 CMEC 的增殖。
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引用次数: 0
Metformin ameliorates endometrial thickness in a rat model of thin endometrium 二甲双胍可改善大鼠薄子宫内膜模型中的子宫内膜厚度
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2024-04-15 DOI: 10.1111/1440-1681.13862
M. Imran, Aditya Khandvilkar, Siddhanath Metkari, Geetanjali Sachdeva, Uddhav Chaudhari

Metformin, a well-established anti-diabetic drug, is also used in managing various other metabolic disorders including polycystic ovarian syndrome (PCOS). There are evidences to show that metformin improves endometrial functions in PCOS women. However, fewer studies have explored the direct effects of metformin on endometrium. Previous in vitro studies have shown that therapeutic serum concentrations of metformin enhance endometrial epithelial cell proliferation. The present study was undertaken to investigate in vivo effects of metformin on endometrial proliferation in a rat model of thin endometrium. Toward this, a rat model of thin endometrium was developed. Metformin (0.1% or 1% w/v) was administrated orally for 15 days in rats with thin endometrium. Oral metformin administration for three consecutive estrous cycles (15 days) in the thin endometrium rat model led to an increase in endometrial thickness compared to sham endometrium. Histological analysis showed a significant increase in the number of endometrial glands (P < 0.05), stromal cells (P < 0.01) and blood vessels (P < 0.01) in metformin-treated (n = 10 in each group) uterine horns compared to sham (saline-treated) uterine horns in rats. The expression of proliferating cell nuclear antigen and vascular epithelial growth factor was found to be upregulated on treatment with 1% metformin-treated group (n = 7). However, pregnancy outcomes in the rats treated with metformin remained unaltered despite the restoration of endometrial thickness. In conclusion, the study demonstrated that metformin ameliorates endometrial thickness in a rat model of thin endometrium by increasing endometrial proliferation and angiogenesis, without restoration of embryo implantation.

二甲双胍是一种成熟的抗糖尿病药物,也可用于控制包括多囊卵巢综合症(PCOS)在内的其他各种代谢紊乱。有证据表明,二甲双胍可改善多囊卵巢综合征妇女的子宫内膜功能。然而,很少有研究探讨二甲双胍对子宫内膜的直接影响。以往的体外研究表明,治疗血清浓度的二甲双胍可促进子宫内膜上皮细胞增殖。本研究旨在研究二甲双胍对大鼠薄型子宫内膜模型中子宫内膜增殖的体内影响。为此,研究人员建立了大鼠薄型子宫内膜模型。给子宫内膜薄的大鼠口服二甲双胍(0.1% 或 1% w/v)15 天。在子宫内膜薄的大鼠模型中,连续三个发情周期(15 天)口服二甲双胍会导致子宫内膜厚度比假子宫内膜增加。组织学分析表明,与假子宫角(盐水处理)相比,二甲双胍处理(每组 10 只)的大鼠子宫角的子宫内膜腺体(P < 0.05)、基质细胞(P < 0.01)和血管(P < 0.01)数量明显增加。1%二甲双胍处理组(n = 7)的增殖细胞核抗原和血管上皮细胞生长因子表达上调。然而,尽管子宫内膜厚度有所恢复,但二甲双胍治疗组大鼠的妊娠结果仍未改变。总之,该研究表明,二甲双胍可通过增加子宫内膜增殖和血管生成来改善薄子宫内膜模型大鼠的子宫内膜厚度,但不会恢复胚胎植入。
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引用次数: 0
Colorectal cancer cells with stably expressed SIRT3 demonstrate proliferating retardation by Wnt/β-catenin cascade inactivation 稳定表达 SIRT3 的结直肠癌细胞因 Wnt/β-catenin 级联失活而增殖迟缓
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2024-04-15 DOI: 10.1111/1440-1681.13856
Tianyu Li, Leqi Fan, Yijiang Jia, Chen Xu, Wei Guo, Yuji Wang, Ye Li

Colorectal cancer (CRC) is a typical and lethal digestive system malignancy. In this study, we investigated the effect of sirtuin 3 (SIRT3) expression, a fidelity mitochondrial protein, on the proliferation of CRC cells and the mechanisms involved. Using the University of Alabama at Birmingham Cancer Data Analysis Portal database and the Clinical Proteomic Tumour Analysis Consortium database, we discovered that low expression of SIRT3 in CRC was a negative factor for survival prognosis (P < .05). Meanwhile, SIRT3 expression was correlated with distant metastasis and tumour, node, metastasis stage of CRC patients (P < .05). Subsequently, we observed that CRC cells with stable SIRT3 expression exhibited a significant decrease in proliferative capacities both in vitro and in vivo, compared to their counterparts (P < .05). Further investigation using western blot, immunoprecipitation and TOPflash/FOPflash assay showed the mechanism of growth retardation of these cells was highly associated with the degradation of β-catenin in cytosol, and the localization of β-catenin/α-catenin complex in the nucleus. In conclusion, our findings suggest that the inhibition of CRC cell proliferation by SIRT3 is closely associated with the inactivation of the Wnt/β-catenin signalling pathway.

结直肠癌(CRC)是一种典型的致死性消化系统恶性肿瘤。本研究调查了线粒体保真蛋白 sirtuin 3(SIRT3)的表达对 CRC 细胞增殖的影响及其机制。利用阿拉巴马大学伯明翰分校癌症数据分析门户数据库和临床蛋白质组肿瘤分析联盟数据库,我们发现 SIRT3 在 CRC 中的低表达是生存预后的负面因素(P <.05)。同时,SIRT3 的表达与 CRC 患者的远处转移和肿瘤、结节、转移分期相关(P < .05)。随后,我们观察到稳定表达 SIRT3 的 CRC 细胞在体外和体内的增殖能力都比同类细胞显著下降(P < .05)。利用 Western 印迹、免疫沉淀和 TOPflash/FOPflash 试验进行的进一步研究表明,这些细胞的生长受阻机制与细胞质中 β-catenin 的降解和细胞核中 β-catenin/α-catenin 复合物的定位高度相关。总之,我们的研究结果表明,SIRT3对CRC细胞增殖的抑制与Wnt/β-catenin信号通路的失活密切相关。
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引用次数: 0
NPAS2, transcriptionally activated by ARRB1, promotes the malignant behaviours of lung adenocarcinoma cells and regulates the reprogramming of glucose metabolism 由 ARRB1 转录激活的 NPAS2 促进肺腺癌细胞的恶性行为,并调控葡萄糖代谢的重编程
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2024-04-07 DOI: 10.1111/1440-1681.13860
Shenglan Wang, Chunhong Huang, Yanbin Zheng, Xinjie Wu, Yutong Zhong

Lung adenocarcinoma (LUAD) is a serious threat to public health and is accompanied by increased morbidity and mortality worldwide. Neuronal PAS domain protein2 (NPAS2) has been confirmed as an oncogene in LUAD; however, little is known about its molecular mechanism. Here, the expression level of NPAS2 was detected in LUAD cell lines and 16HBE cells. Gain- and loss-of-function experiments were performed. Cell Counting Kit-8, colony formation, flow cytometry, wound-healing and Transwell assays were conducted to assess cell proliferation, apoptosis, migration and invasion, respectively. Reprogramming of glucose metabolism was evaluated via oxygen consumption rate (OCR), complexes activities, lactic production and glucose consumption. The expression of critical proteins was examined by western blot. We demonstrated aberrant upregulation of NPAS2 and β-arrestin-1 (ARRB1) in LUAD cell lines. ARRB1 was found to be a critical transcription factor of NPAS2 with binding sites within the promoter region of NPAS2, thereby causing its transcriptional activation. Functional experiments revealed that NPAS2 depletion significantly inhibited the malignant behaviours of A549 cells by suppressing cell proliferation, migration, invasion and epithelial-mesenchymal transition and promoting cell apoptosis. Meanwhile, NPAS2 depletion increased OCR and activities of complexes (I, II, III and V), and reduced lactic acid production and glucose uptake in A549 cells, indicating that NPAS2 depletion inhibited aerobic glycolysis, accompanied by reduced expression of glycolytic enzymes. However, the changes caused by NPAS2 knockdown were partly restored by ARRB1 overexpression. In conclusion, our study suggests that ARRB1 could transcriptionally activate NPAS2, facilitating malignant activities and glycolysis, and ultimately promoting the progression of LUAD, proving a novel therapeutic strategy for the treatment of LUAD.

肺腺癌(LUAD)严重威胁公众健康,并伴随着全球发病率和死亡率的上升。神经元PAS结构域蛋白2(NPAS2)已被证实是LUAD的致癌基因,但人们对其分子机制知之甚少。本文检测了 NPAS2 在 LUAD 细胞系和 16HBE 细胞中的表达水平。进行了功能增益和功能缺失实验。通过细胞计数试剂盒-8、集落形成、流式细胞术、伤口愈合和 Transwell 试验分别评估了细胞增殖、凋亡、迁移和侵袭。通过耗氧率(OCR)、复合物活性、乳酸生成和葡萄糖消耗来评估葡萄糖代谢的重编程。关键蛋白的表达则通过 Western 印迹进行检测。我们发现在 LUAD 细胞系中,NPAS2 和 β-arrestin-1 (ARRB1) 的表达异常上调。研究发现,ARRB1是NPAS2的关键转录因子,其结合位点位于NPAS2的启动子区域,从而导致其转录激活。功能实验显示,NPAS2的缺失能显著抑制A549细胞的恶性行为,抑制细胞增殖、迁移、侵袭和上皮-间质转化,促进细胞凋亡。同时,NPAS2 的缺失增加了 A549 细胞的 OCR 和复合体(I、II、III 和 V)的活性,减少了乳酸的产生和葡萄糖的摄取,表明 NPAS2 的缺失抑制了有氧糖酵解,同时降低了糖酵解酶的表达。然而,过表达 ARRB1 可部分恢复 NPAS2 敲除引起的变化。总之,我们的研究表明,ARRB1可转录激活NPAS2,促进恶性活动和糖酵解,最终促进LUAD的进展,为治疗LUAD提供了一种新的治疗策略。
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引用次数: 0
Overexpression of HSP27 accelerates stress-induced gastric ulcer healing via the CXCL12/CXCR4 axis 过表达 HSP27 可通过 CXCL12/CXCR4 轴加速应激诱导的胃溃疡愈合
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2024-04-02 DOI: 10.1111/1440-1681.13857
Qiaoyan Lu, Hua Tang

Chronic stress often triggers gastrointestinal complications, including gastric injury and ulcers. Understanding the role of heat shock protein 27 (HSP27) in stress-induced gastric ulcers could unveil novel therapeutic targets. Here, we established a stress-induced gastric ulcer rat model using water immersion restraint stress and administered adenovirus-packaged HSP27 overexpression vector. Gastric ulcer severity was scored, and mucosal changes were assessed. Gastric epithelial and endothelial cells were treated with lipopolysaccharide and transfected with HSP27 overexpression vectors to evaluate cell viability, migration and angiogenesis. Expression levels of HSP27, C-X-C motif chemokine ligand 12 (CXCL12) and C-X-C motif chemokine receptor 4 (CXCR4) were measured in tissues and cells. HSP27 expression was initially low during stress-induced gastric ulceration but increased during ulcer healing. HSP27 overexpression accelerated ulcer healing in rats, promoting gastric epithelial cell proliferation and migration and gastric endothelial cell angiogenesis through the CXCL12/CXCR4 axis. Inhibitor IT1t reversed the effects of HSP27 overexpression on cell proliferation, migration and angiogenesis. In summary, HSP27 overexpression facilitated ulcer healing, which was partially mediated by the CXCL12/CXCR4 axis.

慢性压力常常会引发胃肠道并发症,包括胃损伤和胃溃疡。了解热休克蛋白27(HSP27)在应激诱导的胃溃疡中的作用可以发现新的治疗靶点。在此,我们利用水浸约束应激建立了应激诱导的胃溃疡大鼠模型,并施用了腺病毒包装的 HSP27 过表达载体。对胃溃疡的严重程度进行评分,并评估粘膜的变化。用脂多糖处理胃上皮细胞和内皮细胞,并用HSP27过表达载体转染,以评估细胞活力、迁移和血管生成。测量了组织和细胞中 HSP27、C-X-C 矩阵趋化因子配体 12(CXCL12)和 C-X-C 矩阵趋化因子受体 4(CXCR4)的表达水平。在应激诱导的胃溃疡过程中,HSP27的表达量最初较低,但在溃疡愈合过程中有所增加。HSP27的过表达加速了大鼠溃疡的愈合,通过CXCL12/CXCR4轴促进了胃上皮细胞的增殖和迁移以及胃内皮细胞的血管生成。抑制剂 IT1t 逆转了 HSP27 过表达对细胞增殖、迁移和血管生成的影响。总之,HSP27过表达促进了溃疡愈合,而这部分是由CXCL12/CXCR4轴介导的。
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引用次数: 0
Exploring the modulatory effects of sotagliflozin on dyslipidemia in mice: The role of glucagon, fibroblast growth factor 21 and glucagon-like peptide 1 探索索他利氟嗪对小鼠血脂异常的调节作用:胰高血糖素、成纤维细胞生长因子 21 和胰高血糖素样肽 1 的作用。
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2024-03-25 DOI: 10.1111/1440-1681.13854
Nitin J. Deshmukh, M. S. Kalshetti, Mohan Patil, Pankaj Autade, Ganesh V. Sangle

Sotagliflozin is the first dual SGLT1/2 inhibitor antidiabetic drug approved by the US Food and Drug Administration for the management of heart failure. SGLT1/2 inhibition is observed to potentiate the secretion of the incretin hormone, glucagon-like peptide-1 (GLP-1). The current preclinical research sought to investigate the effect of sotagliflozin on the secretion of fat-regulating peptides such as GLP-1, glucagon and fibroblast growth factor 21 (FGF21) and their prospective association with sotagliflozin's potential beneficial effects on dyslipidaemia. During an oral fat tolerance test in mice, sotagliflozin substantially increased GLP-1 and insulin concentrations. Although sotagliflozin alone did not ameliorate postprandial lipemia, its combination with linagliptin (DPP-IV inhibitor) significantly improved lipid tolerance comparable to orlistat (lipase inhibitor). In a triton-induced hypertriglyceridemia model, sotagliflozin, along with other medications (fenofibrate, exenatide and linagliptin) reduced fat excursion; however, co-administration with linagliptin provided no extra advantage. Furthermore, sotagliflozin stimulated glucagon secretion in the alpha TC1.6 cells and healthy mice, which resulted in an increased circulating FGF21 and β-hydroxybutyrate concentration. Finally, chronic treatment of sotagliflozin in high-fat diet (HFD)-fed obese mice resulted in reduced body weight gain, liver triglyceride, cholesterol, interleukin-6 (IL-6) and tumour necrosis factor alpha (TNF-α) levels compared with the placebo group. However, the addition of linagliptin did not provide any additional benefit. In conclusion, sotagliflozin was found to have an effect on GLP-1 and also stimulate the release of glucagon and FGF21, which are important for regulating fat metabolism. Therefore, sotagliflozin might represent a potential therapeutic approach for the treatment of diabetic dyslipidemia and steatohepatitis.

索他利氟嗪是美国食品和药物管理局批准用于治疗心力衰竭的首个双重 SGLT1/2 抑制剂抗糖尿病药物。据观察,SGLT1/2 抑制可促进增量素激素--胰高血糖素样肽-1(GLP-1)的分泌。目前的临床前研究试图调查索他利氟嗪对 GLP-1、胰高血糖素和成纤维细胞生长因子 21(FGF21)等脂肪调节肽分泌的影响,以及它们与索他利氟嗪对血脂异常的潜在有益作用之间的联系。在小鼠口服脂肪耐受试验中,索他利氟嗪大大增加了 GLP-1 和胰岛素的浓度。虽然索他利氟喹单独使用并不能改善餐后脂血症,但它与利拉利汀(DPP-IV 抑制剂)联合使用能显著改善耐脂性,其效果与奥利司他(脂肪酶抑制剂)不相上下。在三苯氧胺诱导的高甘油三酯血症模型中,索他利氟嗪与其他药物(非诺贝特、艾塞那肽和利纳列汀)一起使用可减少脂肪游离;然而,与利纳列汀联合用药并无额外优势。此外,索他利氟嗪能刺激α TC1.6细胞和健康小鼠的胰高血糖素分泌,从而导致循环中FGF21和β-羟丁酸浓度增加。最后,与安慰剂组相比,对高脂饮食(HFD)喂养的肥胖小鼠进行索他利氟嗪慢性治疗可降低体重增加、肝脏甘油三酯、胆固醇、白细胞介素-6(IL-6)和肿瘤坏死因子α(TNF-α)水平。然而,加入利拉利汀并没有带来任何额外的益处。总之,研究发现索他利氟嗪对GLP-1有影响,还能刺激胰高血糖素和FGF21的释放,而这两种物质对调节脂肪代谢非常重要。因此,索他利氟嗪可能是治疗糖尿病血脂异常和脂肪性肝炎的一种潜在疗法。
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引用次数: 0
Differential responses of cerebral and renal oxygenation to altered perfusion conditions during experimental cardiopulmonary bypass in sheep 绵羊实验性心肺旁路过程中大脑和肾脏氧合对灌注条件改变的不同反应。
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2024-03-07 DOI: 10.1111/1440-1681.13852
Roger G. Evans, Andrew D. Cochrane, Sally G. Hood, Bruno Marino, Naoya Iguchi, Rinaldo Bellomo, Peter R. McCall, Nobuki Okazaki, Alemayehu H. Jufar, Lachlan F. Miles, Taku Furukawa, Connie P. C. Ow, Jaishankar Raman, Clive N. May, Yugeesh R. Lankadeva

We tested whether the brain and kidney respond differently to cardiopulmonary bypass (CPB) and to changes in perfusion conditions during CPB. Therefore, in ovine CPB, we assessed regional cerebral oxygen saturation (rSO2) by near-infrared spectroscopy and renal cortical and medullary tissue oxygen tension (PO2), and, in some protocols, brain tissue PO2, by phosphorescence lifetime oximetry. During CPB, rSO2 correlated with mixed venous SO2 (r = 0.78) and brain tissue PO2 (r = 0.49) when arterial PO2 was varied. During the first 30 min of CPB, brain tissue PO2, rSO2 and renal cortical tissue PO2 did not fall, but renal medullary tissue PO2 did. Nevertheless, compared with stable anaesthesia, during stable CPB, rSO2 (66.8 decreasing to 61.3%) and both renal cortical (90.8 decreasing to 43.5 mm Hg) and medullary (44.3 decreasing to 19.2 mm Hg) tissue PO2 were lower. Both rSO2 and renal PO2 increased when pump flow was increased from 60 to 100 mL kg−1 min−1 at a target arterial pressure of 70 mm Hg. They also both increased when pump flow and arterial pressure were increased simultaneously. Neither was significantly altered by partially pulsatile flow. The vasopressor, metaraminol, dose-dependently decreased rSO2, but increased renal cortical and medullary PO2. Increasing blood haemoglobin concentration increased rSO2, but not renal PO2. We conclude that both the brain and kidney are susceptible to hypoxia during CPB, which can be alleviated by increasing pump flow, even without increasing arterial pressure. However, increasing blood haemoglobin concentration increases brain, but not kidney oxygenation, whereas vasopressor support with metaraminol increases kidney, but not brain oxygenation.

我们测试了大脑和肾脏是否会对心肺旁路(CPB)以及 CPB 期间灌注条件的变化做出不同的反应。因此,在绵羊 CPB 中,我们通过近红外光谱评估了区域脑氧饱和度(rSO2),通过磷光寿命血氧仪评估了肾皮质和髓质组织氧张力(PO2),在某些方案中还评估了脑组织 PO2。在 CPB 期间,当动脉 PO2 变化时,rSO2 与混合静脉 SO2(r = 0.78)和脑组织 PO2(r = 0.49)相关。在 CPB 的前 30 分钟,脑组织 PO2、rSO2 和肾皮质组织 PO2 没有下降,但肾髓质组织 PO2 有所下降。然而,与稳定麻醉相比,在稳定 CPB 期间,rSO2(从 66.8% 下降到 61.3%)和肾皮质组织 PO2(从 90.8 下降到 43.5 mm Hg)及肾髓质组织 PO2(从 44.3 下降到 19.2 mm Hg)均有所下降。在目标动脉压为 70 mm Hg 时,当泵流量从 60 mL kg-1 min-1 增加到 100 mL kg-1 min-1 时,rSO2 和肾脏 PO2 均增加。当泵流量和动脉压同时增加时,rSO2 和肾脏 PO2 也都增加。部分脉动流量也没有明显变化。血管抑制剂美他明醇剂量依赖性地降低了 rSO2,但增加了肾皮质和髓质 PO2。血红蛋白浓度的增加会增加 rSO2,但不会增加肾脏 PO2。我们的结论是,在 CPB 期间,大脑和肾脏都容易缺氧,即使不增加动脉压,也可以通过增加泵流量来缓解缺氧。然而,增加血红蛋白浓度可增加脑氧合,但不能增加肾氧合;而使用美他明醇进行血管舒张支持可增加肾氧合,但不能增加脑氧合。
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Clinical and Experimental Pharmacology and Physiology
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