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Endothelin System Blockade Extenuates Sepsis-Induced Acute Heart and Kidney Injuries via Modulating ET-1/Klotho/p38-MAPK 内皮素系统阻断通过调节ET-1/Klotho/p38-MAPK减轻脓毒症诱导的急性心脏和肾脏损伤
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2025-04-14 DOI: 10.1111/1440-1681.70042
Alaa Al-kadi, Aliaa F. Anter, Remon Roshdy Rofaeil, Mohamed M. Sayed-Ahmed, Sara Mohamed Naguib Abdel Hafez, Al-Shaimaa F. Ahmed

Sepsis-induced organ failure is a major health problem, characterised by massive inflammatory and oxidative stress responses. Endothelin-1 (ET-1) is one of the peptides expressed during septicemia with proapoptotic, proinflammatory, and oxidant effects. ET-1 plays a role in heart and kidney injuries in sepsis. Accordingly, the current study was conducted to investigate, on a mechanistic basis, whether inhibition of ET-1 signalling either by blocking its receptors or inhibiting its formation attenuates sepsis-induced acute cardiorenal injuries. To analyse the role of ET-1 in sepsis, we used a cecal ligation and puncture (CLP) model of sepsis. The animals were divided into five groups: CLP non-treated group, CLP-treated groups with bosentan, ambrisentan, and phosphoramidon (30, 5, and 0.5 mg/kg, respectively), and sham-operated group. In addition to the same set of groups, survival analysis was assigned Survival rate, histopathological assessment, and cardiorenal functions were analysed. Oxidant and antioxidant activities, ET-1, IL-6, and lactate were measured. The expression of TNF-α, p38, Klotho, and caspase-3 was evaluated by immunohistochemistry. CLP caused acute cardiorenal damage, high mortality, upregulated levels of ET-1, IL-6, and lactate, as well as an imbalance in oxidant/antioxidant activities, elevated expression of TNF-α, p38, caspase-3 and reduced expression of klotho. Bosentan, ambrisentan, or phosphoramidon improved survival, reduced the levels of inflammatory and oxidative stress parameters, improved cardiorenal functions and structure, elevated the tissue contents of GSH and SOD, raised the expression of klotho protein, and reduced the cardiorenal expression of p38, TNF-α and caspase-3. Endothelin receptor antagonists (ERAs); bosentan and ambrisentan, or endothelin converting enzyme inhibitor (ECE-i) phosphoramidon, are promising agents against sepsis-induced organ damage. This was evident in their cardiorenal protective effects, up-regulation of klotho, suppression of inflammation, oxidation, apoptosis, and enhancement of the antioxidant status.

脓毒症引起的器官衰竭是一种主要的健康问题,其特征是大量的炎症和氧化应激反应。内皮素-1 (ET-1)是在败血症中表达的具有促凋亡、促炎和氧化作用的肽之一。ET-1在败血症的心脏和肾脏损伤中起作用。因此,本研究旨在从机制上探讨通过阻断ET-1受体或抑制其形成来抑制ET-1信号是否能减轻败血症诱导的急性心肾损伤。为了分析ET-1在脓毒症中的作用,我们使用了脓毒症的盲肠结扎和穿刺(CLP)模型。将实验动物分为5组:CLP未处理组、波生坦、氨布里森坦和磷酰胺处理组(分别为30、5、0.5 mg/kg)和假手术组。除同一组外,进行生存分析生存率、组织病理学评估、心肾功能分析。测定其氧化和抗氧化活性、ET-1、IL-6和乳酸含量。免疫组化法检测TNF-α、p38、Klotho、caspase-3的表达。CLP引起急性心肾损伤、高死亡率、ET-1、IL-6和乳酸水平上调,以及氧化/抗氧化活性失衡,TNF-α、p38、caspase-3表达升高,klotho表达降低。波生坦、氨布里森坦或磷酰胺可改善大鼠存活率,降低炎症和氧化应激参数水平,改善心肾功能和结构,升高组织中GSH和SOD的含量,升高klotho蛋白的表达,降低p38、TNF-α和caspase-3的表达。内皮素受体拮抗剂;波生坦和氨布里森坦,或内皮素转换酶抑制剂(ECE-i)磷酰胺,是治疗败血症诱导的器官损伤的有希望的药物。这在它们的心肾保护作用、klotho的上调、炎症、氧化、细胞凋亡的抑制和抗氧化状态的增强中是明显的。
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引用次数: 0
Plasma IL4 Levels Linked to Pulmonary Hypertension Severity and Outcome 血浆IL4水平与肺动脉高压严重程度和预后相关
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2025-04-10 DOI: 10.1111/1440-1681.70040
Yun Li, Yi Liu, Zhanping Liang, Shuying Jia, Yuyan Liu, Jinling Li, Jinming Liu, Jingyun Shi, Ping Yuan, Jie Zhu, Xiaohuan Xia, Jialin C. Zheng
<div> <section> <h3> Background</h3> <p>The anti-inflammatory cytokine interleukin-4 (IL4) has been recognised as a protective factor in various cardiovascular events, yet its prognostic value in patients with pulmonary hypertension (PH) remains unclear. The study aimed to measure the levels of plasma IL4 in patients with PH and to explore their potential association with disease risk and outcomes.</p> </section> <section> <h3> Methods</h3> <p>In this observational study, we analysed the levels of plasma IL4 in 766 PH patients and 191 healthy controls in Shanghai Pulmonary Hospital from October 2009 to January 2024. To establish the correlations between plasma IL4 levels and the risk and outcomes of PH, all patients were followed up from June 2013 to June 2024. The Spearman correlation test was employed to evaluate the relationships between IL4 and right heart catheterisation parameters among patients with PH. Receiver operating characteristic (ROC) curves were generated to evaluate the diagnostic performance of IL4 for PH. The Cox proportional hazards models and Kaplan–Meier survival curves were used to assess the prognostic value of IL4 levels. Logistic regression analysis was performed to predict PH incidence. A nomogram was constructed to predict mortality, and its clinical utility was validated using decision curve analysis (DCA).</p> </section> <section> <h3> Results</h3> <p>Plasma IL4 levels were significantly decreased in patients with PH compared with controls (<i>p</i> < 0.001), as well as in different PH groups (<i>p</i> < 0.05 for all). The logistic regression analyses indicated that the lower IL4 levels were associated with the high risk of PH (OR = 0.79, 95% CI: 0.716–0.872; <i>p</i> < 0.001). IL4 levels correlated inversely with NT-proBNP (<i>r</i> = −0.10, <i>p</i> < 0.05) and mPAP (<i>r</i> = −0.01, <i>p</i> < 0.05), and positively with CI (<i>r</i> = 0.12, <i>p</i> < 0.05) and PaSaO2 (<i>r</i> = 0.11, <i>p</i> < 0.05), indicating an association with disease severity. Kaplan–Meier analysis revealed that patients with IL4 ≥ 2.8774 pg/mL had a 3-year cumulative survival rate of 91.28%, compared with 82.83% for those with IL4 < 2.8774 pg/mL (log–rank <i>p</i> = 0.007). Cox regression confirmed IL4 as an independent predictor of survival (HR = 0.810, 95% CI: 0.660–0.993; <i>p</i> = 0.043). A diagnostic model combining IL4, 6MWD and NT-proBNP demonstrated good prognostic value (AUC = 0.692, <i>p</i> < 0.0001).</p> </section> <section> <h3> Conclusions</h3> <p>Plasma IL4 levels were significantly decreased in p
抗炎细胞因子白细胞介素-4 (IL4)已被认为是多种心血管事件的保护因子,但其在肺动脉高压(PH)患者中的预后价值尚不清楚。该研究旨在测量PH患者血浆il - 4水平,并探讨其与疾病风险和预后的潜在关联。方法在本观察性研究中,我们分析了2009年10月至2024年1月上海肺科医院766例PH患者和191名健康对照者的血浆IL4水平。为了确定血浆il - 4水平与PH风险和预后的相关性,2013年6月至2024年6月对所有患者进行随访。采用Spearman相关检验评价il - 4与ph患者右心导管参数之间的关系。生成受试者工作特征(Receiver operating characteristic, ROC)曲线评价il - 4对ph的诊断效能。采用Cox比例风险模型和Kaplan-Meier生存曲线评价il - 4水平的预后价值。采用Logistic回归分析预测PH发病率。构建了预测死亡率的nomogram,并使用决策曲线分析(decision curve analysis, DCA)验证了其临床应用价值。结果与对照组相比,PH患者血浆IL4水平显著降低(p < 0.001),不同PH组血浆IL4水平也显著降低(p < 0.05)。logistic回归分析显示,较低的IL4水平与PH的高风险相关(OR = 0.79, 95% CI: 0.716-0.872;p < 0.001)。IL4水平与NT-proBNP (r = - 0.10, p < 0.05)和mPAP (r = - 0.01, p < 0.05)呈负相关,与CI (r = 0.12, p < 0.05)和PaSaO2 (r = 0.11, p < 0.05)呈正相关,表明与疾病严重程度相关。Kaplan-Meier分析显示,IL4≥2.8774 pg/mL患者的3年累积生存率为91.28%,而IL4≥2.8774 pg/mL患者的3年累积生存率为82.83% (log-rank p = 0.007)。Cox回归证实il - 4是生存的独立预测因子(HR = 0.810, 95% CI: 0.660-0.993;p = 0.043)。结合IL4、6MWD和NT-proBNP的诊断模型显示出良好的预后价值(AUC = 0.692, p < 0.0001)。结论PH患者血浆il - 4水平显著降低,且与疾病严重程度呈负相关;此外,较低的il - 4水平可能作为PH患者预后不良的预后指标。
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引用次数: 0
Electroacupuncture Attenuates Cerebral Ischemia–Reperfusion Injury by Inhibiting Ferroptosis via the p53/SLC7A11 Pathway 电针通过p53/SLC7A11通路抑制铁下垂减轻脑缺血再灌注损伤
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2025-04-09 DOI: 10.1111/1440-1681.70036
Ziwen Hou, Yaoyao Liu, Qi Wang, Peng Li

Acupuncture has demonstrated efficacy in treating post-stroke complications. Electroacupuncture (EA) ameliorates neurological outcomes in cerebral ischemia models, yet its mechanisms remain unclear. This study investigated EA's role in reducing cerebral ischemia–reperfusion injury (CIRI) in a rat model, focusing on ferroptosis. A CIRI model was established via the MCAO/R method. Rats were randomly assigned to five experimental groups: Sham, MCAO/R, MCAO/R + COTI-2, MCAO/R + EA and MCAO/R + COTI-2 + EA. We evaluated neurological function with Zausinger scoring. 2,3,5-Triphenyltetrazolium chloride (TTC) staining assessed infarct size, while haematoxylin–eosin (HE) staining examined neuronal damage. Transmission electron microscopy analysed mitochondrial changes associated with ferroptosis, and Perl staining measured iron levels in neurons. The biomarkers associated with ferroptosis, including glutathione (GSH), reactive oxygen species (ROS) and malondialdehyde (MDA), were measured. The expression of p53, SLC7A11 and GPX4 was assessed by qRT-PCR and Western blot. EA enhanced neurological function, reduced the infarct size, alleviated excessive serum iron accumulation, increased antioxidant markers (GSH, GPX4) and decreased lipid peroxidation levels (ROS, MDA), attenuating lipid peroxidation. Additionally, it reversed mitochondrial morphological changes associated with ferroptosis. qRT-PCR and Western blot analyses revealed that EA downregulated p53 expression while upregulating SLC7A11 and GPX4 expression. In summary, ferroptosis was activated after CIRI, and EA ameliorated neurological deficits in cerebral ischemia models by modulating the p53/SLC7A11 axis to counteract oxidative stress-induced ferroptosis, ultimately providing neuroprotective benefits.

针灸治疗脑卒中后并发症已被证实有效。电针(EA)改善脑缺血模型的神经预后,但其机制尚不清楚。本研究探讨了EA在大鼠脑缺血再灌注损伤(CIRI)模型中的作用,重点是铁下垂。通过MCAO/R方法建立了CIRI模型。将大鼠随机分为5个实验组:Sham、MCAO/R、MCAO/R + COTI-2、MCAO/R + EA和MCAO/R + COTI-2 + EA。我们用Zausinger评分法评估神经功能。2,3,5-三苯四唑氯(TTC)染色评估梗死面积,而血红素-伊红(HE)染色检查神经元损伤。透射电镜分析了与铁下垂相关的线粒体变化,Perl染色测量了神经元中的铁水平。测量与铁下垂相关的生物标志物,包括谷胱甘肽(GSH)、活性氧(ROS)和丙二醛(MDA)。采用qRT-PCR和Western blot检测p53、SLC7A11和GPX4的表达。EA能增强神经功能,缩小梗死面积,减轻血清铁的过度积累,增加抗氧化标志物(GSH、GPX4),降低脂质过氧化水平(ROS、MDA),减轻脂质过氧化。此外,它还逆转了与铁下垂相关的线粒体形态学改变。qRT-PCR和Western blot分析显示,EA下调p53表达,上调SLC7A11和GPX4表达。综上所述,CIRI后铁质凋亡被激活,EA通过调节p53/SLC7A11轴来对抗氧化应激诱导的铁质凋亡,从而改善脑缺血模型的神经功能缺陷,最终提供神经保护作用。
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引用次数: 0
Global, Regional, and National Temporal Trend and Patterns of Change in the Burden of Asthma From 1990 to 2021: An Analysis of the Global Burden of Disease Study 2021 1990年至2021年全球、地区和国家哮喘负担的时间趋势和变化模式:对2021年全球疾病负担研究的分析
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2025-04-05 DOI: 10.1111/1440-1681.70039
Shuyi Mu, Yu Wang, Jie Cui, Linjin Chen, Lei Qiu, Cui Li, Yuwei Jiang, Zhenhui Lu, Zifeng Ma

Background

Asthma presents a significant challenge to the global healthcare systems and imposes a heavy socioeconomic burden. Previous studies had geographical limitations and lacked comprehensive global analysis. The study utilises data from the 2021 Global Burden of Disease (GBD) study to assess the global, regional, and national burden of asthma from 1990 to 2021. It examines disease trends, highlights health inequalities and aims to provide scientific evidence for future public health strategies and the optimisation of resource allocation.

Methods

Data from GBD 2021 were used to estimate the incidence, prevalence, mortality, and disability-adjusted life years (DALYs) of asthma across 21 global regions and 204 countries and territories from 1990 to 2021. Temporal trends were analysed, and the relationship between asthma burden and the socio-demographic index (SDI) was examined using a smoothing spline model. Analyses included the slope index of inequality and the concentration index to assess health disparities, frontier analysis to estimate achievable outcomes based on development levels, and decomposition analysis to identify the drivers of changes in DALYs number.

Results

Over the past three decades, the age-standardised burden of asthma has declined, with age-standardised mortality and DALY rates decreasing by 46% and 44%, respectively. However, the absolute number of deaths has increased by 17%, particularly among females, especially in low and low-middle SDI regions. Significant health inequalities persist, with high-SDI regions benefiting from better asthma control, while low-SDI regions face disproportionate burdens due to healthcare disparities. Frontier analysis highlights gaps between current and optimal disease burden levels, while low-SDI regions require increased investment in asthma control. Aging, population growth, and epidemiological changes are key drivers of asthma burden trends. High body mass index (BMI) remains the leading risk factor, while smoking and occupational exposures continue to contribute significantly.

Conclusions

The global burden of asthma has declined, yet significant regional disparities persist, with low-SDI regions experiencing higher mortality and DALYs due to limited healthcare access and environmental risks. High BMI, smoking and occupational exposures remain key contributors, requiring targeted public health interventions and lifestyle modifications.

哮喘对全球卫生保健系统提出了重大挑战,并造成了沉重的社会经济负担。以往的研究有地理局限性,缺乏全面的全球分析。该研究利用2021年全球疾病负担(GBD)研究的数据来评估1990年至2021年全球、区域和国家哮喘负担。它审查疾病趋势,强调卫生不平等现象,旨在为未来的公共卫生战略和优化资源分配提供科学证据。方法使用GBD 2021的数据来估计1990年至2021年全球21个地区和204个国家和地区的哮喘发病率、患病率、死亡率和残疾调整生命年(DALYs)。分析了时间趋势,并使用平滑样条模型检验了哮喘负担与社会人口指数(SDI)之间的关系。分析包括评估健康差距的不平等斜率指数和集中指数,根据发展水平估计可实现的结果的前沿分析,以及确定DALYs数量变化驱动因素的分解分析。结果在过去的30年里,哮喘年龄标准化负担有所下降,年龄标准化死亡率和DALY分别下降了46%和44%。然而,死亡的绝对人数增加了17%,特别是在女性中,特别是在低和中低SDI地区。严重的卫生不平等仍然存在,高sdi地区受益于更好的哮喘控制,而低sdi地区由于卫生保健差异而面临不成比例的负担。前沿分析强调了当前和最佳疾病负担水平之间的差距,而低sdi地区需要增加对哮喘控制的投资。老龄化、人口增长和流行病学变化是哮喘负担趋势的主要驱动因素。高身体质量指数(BMI)仍然是主要的风险因素,而吸烟和职业暴露仍然是主要因素。结论:全球哮喘负担有所下降,但显著的地区差异仍然存在,低sdi地区由于医疗保健可及性和环境风险有限,死亡率和DALYs更高。高BMI、吸烟和职业暴露仍然是主要致病因素,需要有针对性的公共卫生干预和改变生活方式。
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引用次数: 0
Inhibition of Hsp90 Alleviates Necroptosis and Inflammation in Lung Epithelial Cells During Pulmonary Ischemia–Reperfusion Injury 抑制热休克蛋白90可减轻肺缺血再灌注损伤时肺上皮细胞的坏死和炎症
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2025-04-01 DOI: 10.1111/1440-1681.70037
Xiaofang Xu, Zhiling Lou, Jinsheng Li, Fuxiang Liang, Yifan Yu, Ming Wu

Lung ischemia–reperfusion injury (LIRI) is a critical pathological process associated with various clinical conditions, characterised by excessive inflammatory responses and cell death, which can lead to severe respiratory dysfunction and even mortality. However, no effective therapeutic strategy is currently available. This study investigates the protective effects and underlying mechanisms of the Hsp90 inhibitor 17-dimethylaminoethylamino (17-DMAG) in LIRI. An in vivo mouse model of LIRI was established by transiently occluding the left pulmonary hilum with a microvascular clamp, followed by reperfusion. In vitro, necroptosis was induced in BEAS-2B cells using TSZ (TNF-α, Smac mimetic and z-VAD-FMK). Our results demonstrate that 17-DMAG significantly attenuates lung injury, inflammation and epithelial cell necroptosis in mice. Additionally, 17-DMAG mitigates TSZ-induced cell death and inflammatory responses in BEAS-2B cells. Mechanistically, 17-DMAG inhibits the phosphorylation of RIPK1, RIPK3 and MLKL—key necroptotic regulators and client proteins of Hsp90—thereby suppressing necroptosis and reducing the associated inflammatory response. In conclusion, 17-DMAG alleviates LIRI by inhibiting necroptosis and its consequent acute inflammatory cascade. These findings suggest that 17-DMAG may serve as a promising therapeutic candidate for LIRI treatment.

肺缺血再灌注损伤(LIRI)是一个与多种临床条件相关的关键病理过程,其特征是过度的炎症反应和细胞死亡,可导致严重的呼吸功能障碍甚至死亡。然而,目前尚无有效的治疗策略。本研究探讨了Hsp90抑制剂17-dimethylaminoethylamino (17-DMAG)在LIRI中的保护作用及其机制。用微血管钳短暂闭塞左肺门,再灌注,建立小鼠活体LIRI模型。在体外,使用TSZ (TNF-α、Smac模拟物和z-VAD-FMK)诱导BEAS-2B细胞坏死。结果表明,17-DMAG可显著减轻小鼠肺损伤、炎症和上皮细胞坏死。此外,17-DMAG减轻了tsz诱导的BEAS-2B细胞的细胞死亡和炎症反应。在机制上,17-DMAG抑制RIPK1, RIPK3和mlkl -关键的坏死性坏死调节因子和hsp90的客户蛋白的磷酸化,从而抑制坏死性坏死并减少相关的炎症反应。综上所述,17-DMAG通过抑制坏死下垂及其引起的急性炎症级联来减轻LIRI。这些发现表明17-DMAG可能作为LIRI治疗的有希望的治疗候选药物。
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引用次数: 0
Pancreatitis Independently Induced by Hypertriglyceridaemia Outlines the Immune Profiles of HTGP in Clinic 高甘油三酯血症独立诱导的胰腺炎概述了HTGP在临床中的免疫概况
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2025-03-11 DOI: 10.1111/1440-1681.70032
Jianxing Liu, Caixia Liang, Wenjing Yan, Yanfeng Zhang, Yi Pan, Yue Yang, Fangfang Zhang, Xiaojian Liu, Liang Jin

Hypertriglyceridaemia (HTG) is a common and well-established aetiology of acute pancreatitis (AP). Although the underlying pathophysiology of hypertriglyceridaemic pancreatitis (HTGP) is complex, some animal models of HTAP have been successfully reproduced by repeated caerulein injections based on HTAP. However, most of the current HTGP models are critically dependent on the “two-attack” of cholecystokinin analogue, which may not be consistent with the fact of HTGP aetiologies due to ignored the initial effects of HTG in the development of HTGP. Here, we showed that HTGP could be induced by HTG independently, the HTGP mice with the typical characteristics and typical complications of pancreatitis. We found that the HTGP mice with mild pancreatic oedema, but the necrosis and immune cell infiltration were extensive. In addition, the immune cell infiltration and immune dysregulation that widely observed in HTGP patients were well reproduced in this model, including innate and adaptive immune cells. Our results suggest that the murine HTGP model independently induced by HTG could recapitulate the pathological and immunological profiles of HTGP in the clinic. More importantly, the model generated by this method could sustain a prolonged, non-life-threatening course of the disease and is suitable for research into the underlying mechanisms and for application to the preclinical evaluation of HTGP drugs.

高甘油三酯血症(HTG)是急性胰腺炎(AP)的常见病因。虽然高甘油三酯血症性胰腺炎(HTGP)的潜在病理生理是复杂的,但一些HTAP动物模型已经成功地通过基于HTAP的反复注射小毛蛋白来复制。然而,目前大多数HTGP模型严重依赖于胆囊收缩素类似物的“两次发作”,由于忽视了HTG在HTGP发展过程中的初始作用,这可能与HTGP病因学的事实不一致。本研究显示HTG可独立诱导HTGP, HTGP小鼠具有典型的胰腺炎特征和典型的并发症。我们发现,HTGP小鼠胰腺轻度水肿,但坏死和免疫细胞浸润广泛。此外,在HTGP患者中广泛观察到的免疫细胞浸润和免疫失调在该模型中得到了很好的再现,包括先天和适应性免疫细胞。我们的结果表明,HTG独立诱导的小鼠HTGP模型可以在临床中再现HTGP的病理和免疫学特征。更重要的是,该方法生成的模型可以维持较长的、不危及生命的病程,适合研究其潜在机制和应用于HTGP药物的临床前评价。
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引用次数: 0
Norisoboldine Alleviates Isoproterenol-Induced Myocardial Ischemic Injury via the TLR4–MyD88-Dependent NF-κB Activation Pathway and Modulation of L-Type Calcium Channels Norisoboldine通过tlr4 - myd88依赖的NF-κB激活途径和l型钙通道调节减轻异丙肾上腺素诱导的心肌缺血损伤
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2025-02-26 DOI: 10.1111/1440-1681.70033
Xin Zhang, Xinliu Wang, Yuanyuan Wang, Xingyou Ma, Yunyun Geng, Shuxian Zang, Ziyun Ban, Yugai Jia, Yonggang Gao

Norisoboldine (NIB) displays beneficial effects on cardiovascular diseases, although its protective role and underlying mechanisms in myocardial ischemia (MI) injury remain elusive. The aim of this study is to explore the potential cardioprotective mechanism of NIB on MI injury caused by isoproterenol (ISO). We administered NIB to SD rats at 20 and 40 mg/kg daily for 7 days in this study; this was followed by an ISO injection to induce MI injury. Parameters such as electrocardiogram readings, heart rate, serum concentrations of creatine kinase (CK) and creatine kinase-MB (CK-MB), levels of inflammatory markers, some histopathological assessments and oxidative stress markers were evaluated. We conducted Western blot analyses to evaluate protein expression related to apoptosis and the TLR4–MyD88-mediated NF-κB activation pathway. The L-type Ca2+ current (ICa-L) and contraction of isolated ventricular cells from rats were identified using patch-clamp methods and the IonOptix detection system. The treatment with NIB resulted in improvements in heart rate and ST-segment changes, a reduction in CK and CK-MB levels, the restoration of superoxide dismutase, catalase and glutathione levels and a decrease in malondialdehyde accumulation. Furthermore, NIB reduced the expression of inflammatory markers, lowered Ca2+ levels and reactive oxygen species production and improved myocardial tissue morphology. It also countered ISO-induced alterations in apoptosis and the TLR4–MyD88-dependent NF-κB activation pathway. Additionally, NIB considerably attenuated ICa-L and reduced the contractile function of cardiomyocytes. These results suggest that NIB effectively mitigates ISO-induced MI injury through anti-inflammatory, antioxidative, and anti-apoptotic mechanisms, potentially involving the TLR4–MyD88-dependent NF-κB activation pathway and calcium balance.

Norisoboldine (NIB)显示出对心血管疾病的有益作用,尽管其在心肌缺血(MI)损伤中的保护作用和潜在机制尚不清楚。本研究旨在探讨NIB对异丙肾上腺素(ISO)致心肌梗死的潜在心脏保护机制。在本研究中,我们以每天20和40 mg/kg的剂量给SD大鼠NIB,连续7天;随后注射ISO诱导心肌损伤。检测心电图读数、心率、血清肌酸激酶(CK)和肌酸激酶- mb (CK- mb)浓度、炎症标志物水平、部分组织病理学评估和氧化应激标志物等参数。我们通过Western blot分析来评估与细胞凋亡和tlr4 - myd88介导的NF-κB激活途径相关的蛋白表达。采用膜片钳法和IonOptix检测系统检测大鼠离体心室细胞的l型Ca2+电流(ICa-L)和收缩。NIB治疗导致心率和st段变化改善,CK和CK- mb水平降低,超氧化物歧化酶、过氧化氢酶和谷胱甘肽水平恢复,丙二醛积累减少。此外,NIB降低炎症标志物的表达,降低Ca2+水平和活性氧的产生,改善心肌组织形态。它还对抗iso诱导的细胞凋亡和tlr4 - myd88依赖的NF-κB激活途径的改变。此外,NIB显著减弱ICa-L,降低心肌细胞的收缩功能。这些结果表明,NIB通过抗炎、抗氧化和抗凋亡机制有效减轻iso诱导的心肌梗死损伤,可能涉及tlr4 - myd88依赖性NF-κB激活途径和钙平衡。
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引用次数: 0
Flavokawain A Ruthenium-p-Cymene Complex-Induced Apoptosis by the Modulation of PI3K/β-Catenin/HER2/PARP Signalling in Lung Cancer Flavokawain A钌-p- cymene复合物通过调节肺癌中PI3K/β-Catenin/HER2/PARP信号诱导细胞凋亡
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2025-02-19 DOI: 10.1111/1440-1681.70030
Sakuntala Gayen, Souvik Roy, Diana Laishram, Soumendra Nath Bandyopadhyay, Swarupananda Mukherjee

Lung cancer is most terrible cause of cancer-related death throughout the world. This study focused on the synthesis and characterisation of novel flavokawain A ruthenium-p-cymene complex and to investigate the chemotherapeutic activity against lung carcinoma via in silico, in vitro and in vivo approaches. The complex was characterised via several spectroscopic techniques. In vitro study including cell viability, transwell migration, Western blot and flow cytometric analysis have been executed on both A549 and NCI-H460 cells. The toxicological assessment was performed and subsequently anticancer activity of complex was evaluated in benzo[α]pyrene persuaded lung carcinoma in mice. The molecular docking study demonstrated the compound has greater binding ability with β-catenin, Akt, HER2 and PARP. Followed by the complex treatment, the downregulation of β-catenin, PI3K, Akt, HER2 and PARP were investigated by Western blot analysis and cell cycle arrest was determined through flow cytometry. The outcomes of in vivo experimentation represented fruitful restoration of typical lung architecture after complex treatment. Immunohistochemical analysis demonstrated the downstream of β-catenin/m-TOR/Akt and upstream of caspase-3 and p53 expression, thereby initiating apoptosis. The complex exhibited a potent chemotherapeutic activity via the alteration of tumour microenvironment by modulating PI3K/Akt/β-catenin/HER2/PARP transduction in correlates with apoptotic events in lung carcinoma.

肺癌是世界上最可怕的癌症相关死亡原因。本研究主要研究了新型flavokawain A钌-对伞花素复合物的合成和表征,并通过硅、体外和体内方法研究了其对肺癌的化疗活性。该配合物通过几种光谱技术进行了表征。对A549和NCI-H460细胞进行了体外研究,包括细胞活力、transwell迁移、Western blot和流式细胞术分析。对该复合物进行了毒理学评价,并对其对小鼠肺癌的抗癌作用进行了评价。分子对接研究表明,该化合物与β-catenin、Akt、HER2和PARP具有较强的结合能力。复合处理后,Western blot检测β-catenin、PI3K、Akt、HER2、PARP的下调,流式细胞术检测细胞周期阻滞。体内实验结果表明,经过复杂的治疗,典型的肺结构得到了有效的恢复。免疫组化分析显示,β-catenin/m-TOR/Akt的下游和caspase-3和p53的上游表达,从而引发细胞凋亡。该复合物通过调节与肺癌细胞凋亡事件相关的PI3K/Akt/β-catenin/HER2/PARP转导改变肿瘤微环境,显示出强大的化疗活性。
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引用次数: 0
Prophylactic Effects of Rhamnetin Flavonoid on Indomethacin-Induced Gastric Ulceration by Modulating HSP 70/Bax, SOD/MDA and TNF-α/IL-10 鼠李素黄酮通过调节hsp70 /Bax、SOD/MDA和TNF-α/IL-10对吲哚美辛所致胃溃疡的预防作用
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2025-02-19 DOI: 10.1111/1440-1681.70029
Mohammed T. Mohammed, Talal Salem Al-Qaisi, Ahmed A. J. Jabbar, Mohammed M. H. M. Raouf, Parween AbdulSamad Ismail, Ramzi A. Mothana, Omer I. Fantoukh, Rawaz Rizgar hassan, Mahmood Ameen Abdulla, Musher Ismael Saleh, Mohammed Awad

Rhamnetin is a naturally occurring flavonoid compound found in many wild plant species and indigenous fruits. Despite its numerous biological potentials, such as anti-inflammatory, antioxidant and antimicrobial effects, there is a lack of literature elucidating its gastroprotective action and anticipating molecular mechanism. Natural products can be a good alternative to overcome the side effects and relapses associated with anti-ulcer drugs. This study aims to elucidate rhamnetin's acute toxicity and gastroprotective effects using the indomethacin ulceration model. Animals were arbitrarily divided into five groups: a negative control group (A) and a positive control group (B), both treated with 1% carboxymethyl cellulose; a reference group (C) receiving 20 mg/kg omeprazole; and low-dose (D) and high-dose (E) rhamnetin groups receiving 30 and 60 mg/kg, respectively. After 1 h, rats in Groups B–E were subjected to indomethacin-induced ulceration. Toxicity evaluations indicated the safety of rhamnetin at doses of up to 400 mg/kg in rats, without any noticeable physiological alterations. Rhamnetin (30 and 60 mg/kg) administered orally 1 h before indomethacin-induced gastric ulcer ameliorated the stomach lesions and lowered the ulcer index area by 73.81% and 77.87%, respectively. Rhamnetin supplementation ameliorated histopathological alterations and restored gastric barriers, including gastric pH and mucin secretion. Moreover, rhamnetin-treated rats exhibited increased anti-apoptotic heat shock protein 70 and decreased Bax protein in stomach tissues. These findings were in line with lowered accumulated MDA, increased superoxide dismutase, catalase and prostaglandin E2 levels, reduced serum inflammatory mediators (TNF-α and interleukin-6) and elevated interleukin-10 cytokines. The outcomes indicate rhamnetin's cicatrising and gastroprotective effects against indomethacin-mediated ulceration, possibly due to its modulatory actions on oxidative stress, inflammation and apoptotic pathways.

鼠李糖素是一种天然存在的类黄酮化合物,存在于许多野生植物和本土水果中。尽管其具有多种生物学潜力,如抗炎、抗氧化和抗菌作用,但缺乏文献阐明其胃保护作用和预测分子机制。天然产品可以是一个很好的替代,以克服副作用和复发与抗溃疡药物。本研究旨在通过吲哚美辛溃疡模型来阐明鼠李素的急性毒性和胃保护作用。将动物随机分为5组:阴性对照组(a)和阳性对照组(B),均给予1%羧甲基纤维素;参照组(C)给予20mg /kg奥美拉唑;鼠李素低剂量(D)组和高剂量(E)组分别给予30和60 mg/kg。1 h后,B-E组大鼠进行消炎痛致溃疡。毒性评价表明,鼠李糖素在400 mg/kg剂量下对大鼠是安全的,没有任何明显的生理改变。在消炎痛致胃溃疡前1 h口服鼠李末素(30和60 mg/kg)可改善胃损伤,使溃疡指数面积降低73.81%和77.87%。补充鼠李素改善了组织病理学改变,恢复了胃屏障,包括胃pH和粘蛋白分泌。鼠李糖素处理大鼠胃组织抗凋亡热休克蛋白70升高,Bax蛋白降低。这些发现与MDA累积降低、超氧化物歧化酶、过氧化氢酶和前列腺素E2水平升高、血清炎症介质(TNF-α和白细胞介素-6)降低和白细胞介素-10细胞因子升高一致。结果表明,鼠李素对吲哚美辛介导的溃疡具有愈合和胃保护作用,可能是由于其对氧化应激、炎症和凋亡通路的调节作用。
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引用次数: 0
Corticosterone-Induced Myocardial Dysfunctions and the Cardioprotective Role of Tauroursodeoxycholic Acid: An Experimental Study in Mice 皮质酮诱导的心肌功能障碍和牛磺酸去氧胆酸的心脏保护作用:小鼠实验研究
IF 2.9 4区 医学 Q2 Medicine Pub Date : 2025-02-10 DOI: 10.1111/1440-1681.70027
Houyuan Zhou, Xiaoying Chen, Yanlin Tao, Zikang Li, Hui Wu, Hailian Shi, Xiaojun Wu, Fei Huang
<div> <section> <h3> Background</h3> <p>Major depressive disorder increases cardiovascular risk through stress-induced elevated cortisol levels. Tauroursodeoxycholic acid (TUDCA), a bile acid, has been reported to have anti-inflammatory, anti-depressive and cardioprotective effects. However, the effects of stress-induced myocardial dysfunctions remain unclear. Our study aims to investigate corticosterone-induced myocardial dysfunctions and the role of TUDCA in rescuing such dysfunctions.</p> </section> <section> <h3> Methods</h3> <p>To achieve this, experiments were conducted on mice that had been exposed to corticosterone, with treatment involving TUDCA. We first evaluated depression-like behaviours using the open field test, forced swimming test and sucrose preference test, and assessed cardiac function using echocardiography. We then analysed the levels of norepinephrine (NE), adenosine triphosphate (ATP) and B-cell lymphoma-2 (Bcl-2)/Bcl-2 Associated X-protein (Bax) using liquid chromatography-mass spectrometry, enzyme-linked immunosorbent assay and Western blot, respectively. Finally, we investigated gene expression and signalling pathways through RNA-sequencing, which were further validated by qRT-PCR.</p> </section> <section> <h3> Results</h3> <p>The results demonstrate that corticosterone administration induced depression-like behaviours in mice, including a significant increase in immobility time during the tail suspension test and a significant decrease in the sucrose preference rate. Additionally, it induced cardiac dysfunction in mice, including a decrease in ejection fraction and fractional shortening. Furthermore, corticosterone administration resulted in an increase in left ventricular volume-systolic and left ventricular end-systolic volume index in the mouse left ventricular myocardium. Moreover, it elevated the NE concentration in mouse serum and decreased ATP levels and the Bcl-2/Bax protein expression ratio in the mouse left ventricular tissue. Notably, these detrimental changes were rescued by TUDCA treatment. Additionally, corticosterone affected genes related to cardiac muscle contraction and mitochondrial function, while TUDCA countered this impact by modulating genes associated with muscle processes and ion transport, potentially alleviating myocardial contractile dysfunction.</p> </section> <section> <h3> Conclusion</h3> <p>Overall, our results suggest that corticosterone induces depression-like behaviours, cardiac dysfunction, elevated serum NE levels, reduced ATP and a decreased Bcl-2/Bax ratio, disrupting myocardial contraction and mitochondrial function. TUDCA effectively reversed these effects and mo
背景:重度抑郁症通过应激引起的皮质醇水平升高而增加心血管风险。牛磺酸去氧胆酸(TUDCA)是一种胆汁酸,据报道具有抗炎、抗抑郁和心脏保护作用。然而,应激引起的心肌功能障碍的影响尚不清楚。本研究旨在探讨皮质酮引起的心肌功能障碍以及TUDCA在挽救此类功能障碍中的作用。为了实现这一目标,对暴露于皮质酮的小鼠进行了实验,并进行了TUDCA治疗。我们首先使用开放场试验、强迫游泳试验和蔗糖偏好试验评估抑郁样行为,并使用超声心动图评估心功能。然后,我们分别使用液相色谱-质谱法、酶联免疫吸附法和Western blot分析去甲肾上腺素(NE)、三磷酸腺苷(ATP)和b细胞淋巴瘤-2 (Bcl-2)/Bcl-2相关x蛋白(Bax)的水平。最后,我们通过rna测序研究了基因表达和信号通路,并通过qRT-PCR进一步验证。结果皮质酮诱导小鼠抑郁样行为,包括悬尾试验中静止时间的显著增加和蔗糖偏好率的显著降低。此外,它诱导小鼠心功能障碍,包括射血分数和分数缩短的降低。此外,皮质酮给药导致小鼠左心室收缩容积指数和左心室收缩末期容积指数升高。提高小鼠血清NE浓度,降低小鼠左心室组织ATP水平和Bcl-2/Bax蛋白表达比。值得注意的是,这些有害的变化被TUDCA治疗所挽救。此外,皮质酮影响与心肌收缩和线粒体功能相关的基因,而TUDCA通过调节与肌肉过程和离子运输相关的基因来抵消这种影响,可能减轻心肌收缩功能障碍。总的来说,我们的研究结果表明,皮质酮可诱导抑郁样行为、心功能障碍、血清NE水平升高、ATP降低和Bcl-2/Bax比值降低,扰乱心肌收缩和线粒体功能。TUDCA有效地逆转了这些影响,并调节了与肌肉收缩和离子运输相关的基因,突出了其在减轻皮质酮诱导的行为和心脏损伤方面的潜力。
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