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Pulmonary infection is associated with an increased IL-6 in acute exacerbation chronic obstructive pulmonary disease 慢性阻塞性肺疾病急性加重期肺部感染与IL-6升高相关
IF 0.7 4区 医学 Q4 IMMUNOLOGY Pub Date : 2023-01-05 DOI: 10.1177/1721727x221149534
Leilei Tang, Lingdi Zhang, Xuan Mei, Jiawen Yu, Guojun Jiang
Acute Exacerbation Chronic Obstructive Pulmonary Disease (AECOPD) is associated with an acute worsening of respiratory symptoms that have effects on lung function, quality of life and health economic burden. In addition, the development of pulmonary infections is a common complication of Chronic Obstructive Pulmonary Disease (COPD). In the pathophysiology of AECOPD, interleukin (IL)-6 is a pleiotropic cytokine that can be produced by inflammatory and primary lung epithelial cells in response to a variety of different stimuli. We aim to investigate the correlation between serum cytokine levels and AECOPD with pulmonary infection. 37 AECOPD patients diagnosed with pulmonary infection and 33 patients diagnosed with AECOPD only were selected. All COPD patients were diagnosed according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria. Serum samples for C-reactive protein (CRP) and cytokines were obtained from the patients immediately after admission. Serum concentrations of cytokines were measured using a fluorescent bead immunoassay on a flow cytometer. Logistic regression was used to identify risk factors for AECOPD co-infection of the lungs. Serum characterization of our cohort showed patients with AECOPD and pulmonary infection had higher levels of IL-6 and IL-10 compared with the AECOPD group, and IL-6 was independently associated with AECOPD with pulmonary infection. ROC curve analysis showed that IL-6 was a useful predictor of the incidence of pulmonary infection in AECOPD patients. Our findings highlight the role of IL-6 in the pathogenesis of AECOPD with pulmonary infection.
急性加重慢性阻塞性肺病(AECOPD)与呼吸道症状的急性加重有关,这些症状会影响肺功能、生活质量和健康经济负担。此外,肺部感染的发展是慢性阻塞性肺病(COPD)的常见并发症。在AECOPD的病理生理学中,白细胞介素-6是一种多效性细胞因子,可由炎症和原代肺上皮细胞对各种不同刺激产生反应。我们的目的是研究血清细胞因子水平与AECOPD合并肺部感染之间的相关性。选择37例诊断为肺部感染的AECOPD患者和33例仅诊断为AECOPD的患者。所有COPD患者均根据全球慢性阻塞性肺病倡议(GOLD)标准进行诊断。患者入院后立即采集血清C反应蛋白(CRP)和细胞因子样本。使用流式细胞仪上的荧光珠免疫测定法测量细胞因子的血清浓度。Logistic回归用于确定AECOPD合并肺部感染的危险因素。我们队列的血清特征显示,与AECOPD组相比,AECOPD和肺部感染患者的IL-6和IL-10水平更高,IL-6与AECOPD合并肺部感染独立相关。ROC曲线分析显示,IL-6是AECOPD患者肺部感染发生率的有用预测因子。我们的研究结果强调了IL-6在伴有肺部感染的AECOPD发病机制中的作用。
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引用次数: 0
Treatment of hypertrophic scar with injection of triamcinolone leads to increased microRNA-26a in a rabbit ear model 注射曲安奈德治疗增生性瘢痕导致兔耳模型中microRNA-26a增加
IF 0.7 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-07-01 DOI: 10.1177/1721727X221113399
Xiongying Zhang, Yalan Lai, Ling Guo
Objectives: Differential expression of microRNAs (miRNAs) has been confirmed to promote hypertrophic scar (HS) formation. However, this mechanism remains to be further elucidated. This paper investigated the effects of microRNA26a on HS of rabbit ears or its mechanism. Methods: The rabbit HS models were established and randomly assigned to either the experimental group (20 rabbits with treatment through triamcinolone acetonide) or the scar group (20 rabbits without treatment). In addition, 10 unmodeled rabbits were served as control group. The expression of microRNA-26a in HS tissues was detected via a stem-loop real-time polymerase chain reaction (RT-PCR). Results: According to RT-PCR, we showed the decreased expression of microRNA-26a in the scar group compared with that in the experimental group, and in the experimental group compared with that in the control group (p < .01). In addition, the expression of microRNA-26a was negatively correlated with scar thickness (STs), number of fibroblasts (NFs), Collagen I (Col I) level, Collagen III (Col III) level, Interleukin-6 (IL-6) level, and Tumor necrosis factor-alpha (TNF-α) level (all p < .01). Conclusions: Our findings revealed that the increase of microRNA-26a expression might alleviate excessive inflammation during the HS formation, inhibit fibroblast proliferation and collagen deposition in HS, and promote the treatment of HS.
目的:微小RNA(miRNA)的差异表达已被证实可促进增生性瘢痕(HS)的形成。然而,这一机制还有待进一步阐明。本文研究了微小RNA26a对兔耳HS的影响及其机制。方法:建立兔HS模型,并将其随机分为实验组(20只家兔接受曲安奈德治疗)或瘢痕组(20两只家兔未接受治疗)。此外,10只未建模的兔子作为对照组。通过干环实时聚合酶链反应(RT-PCR)检测HS组织中微小RNA-26a的表达。结果:根据RT-PCR,与实验组和对照组相比,瘢痕组中microRNA-26a的表达降低(p<0.01)。此外,microRNA-26a的表达与瘢痕厚度(STs)、成纤维细胞数量(NFs)、I型胶原(Col I)水平呈负相关,胶原III(Col III)水平、白细胞介素-6(IL-6)水平和肿瘤坏死因子α(TNF-α)水平(均p<0.01)。结论:我们的研究结果表明,增加微小RNA-26a的表达可能缓解HS形成过程中的过度炎症,抑制HS中成纤维细胞增殖和胶原沉积,并促进HS的治疗。
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引用次数: 0
Elevated plasma proprotein convertase subtilisin/kexin type-9 is associated with poor prognosis of acute myocardial infarction in hypertension patients 高血压患者血浆蛋白转化酶枯草杆菌素/可溶蛋白9型升高与急性心肌梗死预后不良相关
IF 0.7 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-06-01 DOI: 10.1177/1721727X221107232
X. Wen, Kui Huang, J. Li, Li-xue Wu, Bo Gao
Whether serum proprotein convertase subtilisin/kexin type 9 (PCSK9) affects the prognosis of patients after the percutaneous coronary intervention (PCI) in hypertension patients remains unknown. A total of 2350 acute myocardial infarction (AMI) subjects with hypertension after PCI were enrolled. Subjects were under 30-months follow-up and divided into the major cardiovascular adverse event (MACE) Group and the non-MACE Group. Cox regression analysis were performed for the risk factors of occurrence of MACE. The relationship between the level of PCSK9 and Gensin score was analyzed by Pearson correlation. Two hundred and thirty-two patients were divided to the MACE Group. Age over 55 (hazard ratio (HR) = 2.52; p = 0.032), smoking (HR = 1.02; p < 0.001), diabetes mellitus (HR = 1.35; p < 0.001) and PCSK9 levels over 1011.3 ng/mL (HR = 1.05; ptdf < 0.001) were risk factors of occurrence of MACE. Baseline levels of PCSK9 was significantly related with Gensini score in ST segment elevation myocardial infarction (STEMI) patients (r = 0.51), all patients (r = 0.37) and non-STEMI patients (r = 0.34, p < 0.001). A high baseline PCSK9 level was the risk factor of poor prognosis of AMI patients with hypertension after PCI. PCSK9 levels were associated with the Gensini score in STEMI patients. Trial registration: This trial was registered at clinicaltrials.gov as NCT04100434.
高血压患者经皮冠状动脉介入治疗(PCI)后血清枯草素转化酶(PCSK9)是否影响患者预后尚不清楚。共纳入2350例急性心肌梗死(AMI)合并PCI术后高血压患者。随访30个月,分为重大心血管不良事件组(MACE)和非MACE组。对MACE发生的危险因素进行Cox回归分析。采用Pearson相关分析PCSK9水平与Gensin评分的关系。232例患者分为MACE组。55岁以上(风险比(HR) = 2.52;p = 0.032),吸烟(HR = 1.02;p < 0.001),糖尿病(HR = 1.35;p < 0.001), PCSK9水平高于1011.3 ng/mL (HR = 1.05;ptdf < 0.001)为MACE发生的危险因素。在ST段抬高型心肌梗死(STEMI)患者(r = 0.51)、所有患者(r = 0.37)和非STEMI患者(r = 0.34, p < 0.001)中,PCSK9基线水平与Gensini评分显著相关。高基线PCSK9水平是AMI合并高血压患者PCI术后预后不良的危险因素。STEMI患者的PCSK9水平与Gensini评分相关。试验注册:本试验在clinicaltrials.gov注册为NCT04100434。
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引用次数: 0
Extracellular protein kinase A and G are potential biomarkers of some inflammation-associated disorders 细胞外蛋白激酶A和G是一些炎症相关疾病的潜在生物标志物
IF 0.7 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-05-01 DOI: 10.1177/1721727X221105132
Yan Wu, Jun Ye, Chunhui Zhao, Ji Pang, Yue-ying Li, Xin-qing Lin
Introduction Protein kinase A (PKA) and protein kinase G (PKG) are the main downstream effectors of second messengers cAMP and cGMP, which play important roles in physiological and pathological processes. Recently, there are two findings: one is PKA catalytic subunits α (PKACα) and PKG II can be secreted, the other is that the two secretory protein kinases are associated with the progression of tumors. Previous data also demonstrate that the two kinases, as signal cascades, involved in inflammation-associated disorders. However, it remains unclear whether the secreted PKACα or PKG II could serve as diagnostic biomarkers for inflammation-associated disorders. Methods The serum from suffered coronary disease, diabetes, rheumatoid arthritis, and schizophrenia were collected. The serum PKACα and PKG II were detected by ELISA. All the patients were consent informed. Results Our results showed that the serum PKACα and PKG II had obvious changes in coronary disease, rheumatoid arthritis, schizophrenia patients. However, the trends was opposite, especially in rheumatoid arthritis. Conclusions Serum PKACα and PKG II could serve as potentially diagnostic biomarkers for some inflammation-associated disorders, such as coronary disease, rheumatoid arthritis, and schizophrenia.
蛋白激酶A (PKA)和蛋白激酶G (PKG)是第二信使cAMP和cGMP的主要下游效应器,在生理和病理过程中发挥重要作用。最近有两个发现:一是PKA催化亚基α (PKACα)和PKG II可以分泌,二是这两种分泌的蛋白激酶与肿瘤的进展有关。先前的数据也表明,这两种激酶作为信号级联反应,参与炎症相关疾病。然而,目前尚不清楚分泌的PKACα或PKG II是否可以作为炎症相关疾病的诊断性生物标志物。方法采集冠心病、糖尿病、类风湿关节炎、精神分裂症患者血清。ELISA法检测血清PKACα和PKG II。所有患者均获得了知情同意书。结果冠心病、类风湿关节炎、精神分裂症患者血清PKACα、PKGⅱ水平有明显变化。然而,这种趋势恰恰相反,尤其是在类风湿关节炎中。结论血清PKACα和PKG II可作为一些炎症相关疾病的潜在诊断生物标志物,如冠心病、类风湿关节炎和精神分裂症。
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引用次数: 0
AMPK-mediated autophagy modulates the inflammatory cytokine expression in intestinal epithelial cells induced by high glucose AMPK介导的自噬调节高糖诱导的肠上皮细胞炎症细胞因子表达
IF 0.7 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-05-01 DOI: 10.1177/1721727X221106506
K. Ma, Yun Li, Xiaolin Dong, Jingjing Guo
Introduction: The homeostasis of intestinal epithelial cells (IECs) is disrupted in diabetes, leading to functional changes of the gastrointestinal tract and increasing the risk of diabetic enteropathy. Methods: The aim of this study is to explore the effect of autophagy on the expression of inflammatory factors under high glucose in vitro. The effect of glucose at different concentrations (5, 10, 30 and 50 Mm) on IEC-6 cells was analyzed. Dorsomorphin (AMPK antagonist) and GSK621 (AMPK agonist) were used to examine the relationship between the autophagy and the AMPK/ULK1 signaling pathway in IEC-6 cells. Results: Our results showed that the high glucose significantly inhibited the growth of IECs, and induced more shrinkage and necrosis of cells. Autophagy was inhibited by high glucose. Furthermore, the levels of cytokines, including IL-22, INF-γ, NOS2, and TNF-α, were significantly increased, which were positively correlated with glucose concentration. Additionally, we confirmed that Dorsomorphin down-regulated the expression of p-AMPK and autophagy protein compared with GSK621. Similar, cellular immunofluorescence also detected low autophagy expression. However, GSK621 and Rapamycin increased the level of autophagy and down-regulated the secretion of pro-inflammatory factors compared with Dorsomorphin. Conclusion: Therefore, our results demonstrate that AMPK mediated autophagy may regulate levels of inflammation in IECs and improve cell survival under high glucose.
引言:糖尿病患者肠道上皮细胞(IEC)的稳态被破坏,导致胃肠道功能变化,增加糖尿病肠病的风险。方法:本研究旨在探讨自噬对高糖条件下炎症因子表达的影响。分析了不同浓度(5、10、30和50Mm)的葡萄糖对IEC-6细胞的影响。Dorsomorphin(AMPK拮抗剂)和GSK621(AMPK激动剂)用于检测IEC-6细胞中自噬与AMPK/ULK1信号通路之间的关系。结果:我们的结果表明,高糖显著抑制了IECs的生长,并诱导了更多的细胞收缩和坏死。高糖抑制自噬。此外,包括IL-22、INF-γ、NOS2和TNF-α在内的细胞因子水平显著升高,这与葡萄糖浓度呈正相关。此外,我们证实Dorsomorphin与GSK621相比下调p-AMPK和自噬蛋白的表达。类似地,细胞免疫荧光也检测到低自噬表达。然而,与Dorsomorphin相比,GSK621和雷帕霉素增加了自噬水平,并下调了促炎因子的分泌。结论:因此,我们的研究结果表明,AMPK介导的自噬可能调节IEC的炎症水平,并提高细胞在高糖下的存活率。
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引用次数: 0
Platelet-rich plasma inhibits inflammation, apoptosis, and the NLRP3/Caspase-1 pathway and induces matrix metalloproteinases and proliferation of IL-1β-induced articular chondrocytes by downregulating T-box transcription factor 3 富含血小板的血浆通过下调T-box转录因子3抑制炎症、细胞凋亡和NLRP3/Caspase-1通路,并诱导基质金属蛋白酶和IL-1β诱导的关节软骨细胞增殖
IF 0.7 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-01-01 DOI: 10.1177/1721727X221093056
Feng Zhuo, Jun Li, Yong-Hong Wang, Ming Li, Fangnan Song, Yu-liang Liu, Zong-Yu Tao
Objectives Osteoarthritis (OA) is a chronic joint disease characterized by osteoproliferation and the degeneration and destruction of articular cartilage. Platelet-rich plasma (PRP) is rich in various growth factors that have been reported to promote bone defect repair. This study examined the specific role and mechanism of PRP in OA. Methods OA model cells were created by treating articular chondrocytes with IL-1β. After treatment of the model cells with PRP or/and a T-box transcription factor 3 (TBX3)-overexpression plasmid, TBX3 expression was monitored via RT-qPCR, western blotting, and immunofluorescence assays. IL-1β, IL-33, and Caspase-3 levels were detected with ELISA kits. Levels of NLRP3, Caspase-1, MMP9, MMP13, and COL2A1 expression were evaluated by western blotting, and cell proliferation was assessed by the CCK-8 assay. Results Our results showed that TBX3 expression was upregulated in IL-1β-induced articular chondrocytes. IL-1β stimulation induced inflammation and the production of matrix metalloproteinases, activated Caspase-3 and the NLRP3/Caspase-1 pathway, inhibited the proliferation of articular chondrocytes; however, all those affects mediated by IL-1β could be markedly reversed by PRP. We also found that PRP alleviated IL-1β-induced inflammation, apoptosis, and extracellular matrix degradation in articular chondrocytes by inhibiting TBX3. Our findings suggest that PRP alleviates OA progression in vitro by downregulating TBX3. Conclusion PRP suppressed OA progression in vitro by inhibiting TBX3, which may be its mechanism of action in treating OA.
目的骨关节炎(OA)是一种以骨增生、关节软骨变性和破坏为特征的慢性关节疾病。富含血小板的血浆(PRP)富含各种生长因子,这些生长因子已被报道可促进骨缺损修复。本研究探讨了PRP在OA中的具体作用和机制。方法用IL-1β处理关节软骨细胞,建立OA模型细胞。用PRP或/和T-box转录因子3(TBX3)过表达质粒处理模型细胞后,通过RT-qPCR、蛋白质印迹和免疫荧光测定监测TBX3的表达。用ELISA试剂盒检测IL-1β、IL-33和Caspase-3水平。通过蛋白质印迹评估NLRP3、半胱氨酸蛋白酶-1、MMP9、MMP13和COL2A1的表达水平,并通过CCK-8测定评估细胞增殖。结果我们的结果表明,TBX3在IL-1β诱导的关节软骨细胞中的表达上调。IL-1β刺激诱导炎症和基质金属蛋白酶的产生,激活Caspase-3和NLRP3/Caspase-1通路,抑制关节软骨细胞的增殖;然而,所有这些由IL-1β介导的影响都可以被PRP显著逆转。我们还发现PRP通过抑制TBX3来减轻IL-1β诱导的关节软骨细胞炎症、细胞凋亡和细胞外基质降解。我们的研究结果表明,PRP通过下调TBX3在体外减轻OA的进展。结论PRP通过抑制TBX3在体外抑制OA的进展,这可能是其治疗OA的作用机制。
{"title":"Platelet-rich plasma inhibits inflammation, apoptosis, and the NLRP3/Caspase-1 pathway and induces matrix metalloproteinases and proliferation of IL-1β-induced articular chondrocytes by downregulating T-box transcription factor 3","authors":"Feng Zhuo, Jun Li, Yong-Hong Wang, Ming Li, Fangnan Song, Yu-liang Liu, Zong-Yu Tao","doi":"10.1177/1721727X221093056","DOIUrl":"https://doi.org/10.1177/1721727X221093056","url":null,"abstract":"Objectives Osteoarthritis (OA) is a chronic joint disease characterized by osteoproliferation and the degeneration and destruction of articular cartilage. Platelet-rich plasma (PRP) is rich in various growth factors that have been reported to promote bone defect repair. This study examined the specific role and mechanism of PRP in OA. Methods OA model cells were created by treating articular chondrocytes with IL-1β. After treatment of the model cells with PRP or/and a T-box transcription factor 3 (TBX3)-overexpression plasmid, TBX3 expression was monitored via RT-qPCR, western blotting, and immunofluorescence assays. IL-1β, IL-33, and Caspase-3 levels were detected with ELISA kits. Levels of NLRP3, Caspase-1, MMP9, MMP13, and COL2A1 expression were evaluated by western blotting, and cell proliferation was assessed by the CCK-8 assay. Results Our results showed that TBX3 expression was upregulated in IL-1β-induced articular chondrocytes. IL-1β stimulation induced inflammation and the production of matrix metalloproteinases, activated Caspase-3 and the NLRP3/Caspase-1 pathway, inhibited the proliferation of articular chondrocytes; however, all those affects mediated by IL-1β could be markedly reversed by PRP. We also found that PRP alleviated IL-1β-induced inflammation, apoptosis, and extracellular matrix degradation in articular chondrocytes by inhibiting TBX3. Our findings suggest that PRP alleviates OA progression in vitro by downregulating TBX3. Conclusion PRP suppressed OA progression in vitro by inhibiting TBX3, which may be its mechanism of action in treating OA.","PeriodicalId":55162,"journal":{"name":"European Journal of Inflammation","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45161526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Clostridium butyricum powders combined with zinc gluconate on inflammatory factors and intestinal microecology in children with infectious diarrhea 丁酸梭菌粉联合葡萄糖酸锌对感染性腹泻患儿炎症因子及肠道微生态的影响
IF 0.7 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-01-01 DOI: 10.1177/1721727X221100602
Xiaonan Xu, Ni Zhang, Binde Li, Li Huang
Objective: To investigate the clinical value of Clostridium butyricum powders combined with zinc gluconate in the treatment of infectious diarrhea in children, clinical data of 86 children with infectious diarrhea were retrospectively analyzed. Methods: Both groups received routine treatments to reduce symptoms, among which the control group (n = 40) was given Clostridium butyricum powders, and the experiment group (n = 46) was given Clostridium butyricum powders and zinc gluconate. Patients in both groups were treated for 5 days. The clinical efficacy, recovery time, safety, serum levels of inflammatory markers (interleukin-6, interleukin-17, C-reactive protein), indicators of the intestinal mucosal function (diamine oxidase, D-lactate) and indicators to intestinal microecology (bifidobacteria, lactobacillus) before and after treatment were compared between the two groups. Results: The clinical efficacy in the experiment group (95.65%) was higher than that in the control group (77.50%, p < 0.05). The time of recovery from symptoms including diarrhea, abdominal pain and vomiting, and to normal body temperature in the experiment group were shorter than those in the control group (all p < .001). After treatment, the serum IL-6, IL-17, CRP levels and DAO, D-lactate levels in both groups were lower than those before treatment, and were lower in the experiment group than in the control group (all p < .001). After treatment, the intestinal bifidobacteria and lactobacillus levels in both groups were higher than those before treatment, and were higher in the experiment group than in the control group (all p < .01). There was no significant difference in the incidence of adverse reactions between the experiment group (8.70%) and the control group (2.50%). Conclusion: In this open-label study, Clostridium butyricum powders combined with zinc gluconate are significantly effective in treating children with infectious diarrhea, which is conducive to relieving early symptoms, downregulating serum inflammatory factor levels, improving intestinal mucosal function, regulating intestinal microecology, and ensuring the safety of patients.
目的:回顾性分析86例感染性腹泻患儿的临床资料,探讨丁酸梭菌粉联合葡萄糖酸锌治疗感染性腹泻的临床价值。方法:两组均给予常规治疗以减轻症状,其中对照组(n = 40)给予丁酸梭菌粉治疗,试验组(n = 46)给予丁酸梭菌粉加葡萄糖酸锌治疗。两组患者均治疗5 d。比较两组患者治疗前后的临床疗效、恢复时间、安全性、血清炎症标志物(白细胞介素-6、白细胞介素-17、c反应蛋白)水平、肠黏膜功能指标(二胺氧化酶、d -乳酸)及肠道微生态指标(双歧杆菌、乳酸菌)水平。结果:试验组临床疗效(95.65%)高于对照组(77.50%,p < 0.05)。试验组从腹泻、腹痛、呕吐等症状恢复到体温正常的时间均短于对照组(p < 0.001)。治疗后,两组患者血清IL-6、IL-17、CRP水平及DAO、d -乳酸水平均低于治疗前,试验组低于对照组(均p < 0.001)。治疗后,两组患者肠道双歧杆菌和乳酸菌水平均高于治疗前,试验组高于对照组(均p < 0.01)。不良反应发生率实验组(8.70%)与对照组(2.50%)比较,差异无统计学意义。结论:本开放标签研究中,丁酸梭菌粉联合葡萄糖酸锌治疗儿童感染性腹泻疗效显著,有利于缓解早期症状,下调血清炎症因子水平,改善肠黏膜功能,调节肠道微生态,保证患者安全。
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引用次数: 1
Acute respiratory infections (ARIs) and factors associated with their poor clinical outcome among children under-five years attending pediatric wards of public hospital in Southwest district of Ethiopia: A prospective observational cohort study 埃塞俄比亚西南地区公立医院儿科病房5岁以下儿童急性呼吸道感染(ARIs)及其不良临床预后相关因素:一项前瞻性观察队列研究
IF 0.7 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-01-01 DOI: 10.1177/1721727X221139266
M. Abayneh, Dassaleng Muleta, Asnake Simieneh, Tadesse Duguma, Molla Asnake, Murtii Teressa, Biruktawit Endalkachew, Milkiyas Toru
This study was designed to assess the prevalence and factors associated with poor clinical outcome of acute respiratory infections (ARIs) among children less than five years of age at Mizan-Tepi university teaching public hospital in southwest district of Ethiopia. A prospective observational cohort study design was conducted from 01 June to August 30, 2020. Data related to socio-demographics, child nutritional status, clinical and environmental characteristics of patients were collected with structured questionnaire. Follow-up data were gathered from patient’s medical records using standard data collection tool. The data were analyzed using SPSS versions 25.0. In this study, 305 children of age less than five years were included. Of these, 124 (40.7%) of children were diagnosed with ARIs, of which 66 (53.2%) were female and 69 (55.6%) were age of 24–59 months. Of children diagnosed with ARIs, 21 (16.9%) were ended with poor clinical outcomes after completion of their treatment. In the multivariate analysis, age of children and presence of any other disease conditions (OR = 0.331; 95% CI: 0.123– 0.880; p= 0.024), exposure to indoor air pollution (OR = 0.344; 95% CI: 0.128– 0.925; p= 0.030), malnutrition (OR = 0.175; 95% CI: 0.058– 0.523; p= 0.002) and end point pneumonia (OR = 0.305; 95% CI: 0.113–0.821; p= 0.015) were found to be independent factors for poor outcome of under-five children with ARIs. Our findings highlight that timely detection, proper management and treatments as well as addressing other contributing factors are essentials in order to reduce prevalence and poor clinical outcomes of under five children with ARIs.
这项研究旨在评估埃塞俄比亚西南地区米赞特皮大学教学公立医院五岁以下儿童急性呼吸道感染(ARIs)的患病率和与不良临床结果相关的因素。一项前瞻性观察性队列研究设计于2020年6月1日至8月30日进行。采用结构化问卷收集患者的社会人口学、儿童营养状况、临床和环境特征等相关数据。使用标准数据收集工具从患者的医疗记录中收集随访数据。使用SPSS 25.0版对数据进行分析。在这项研究中,305名五岁以下的儿童被包括在内。其中,124名(40.7%)儿童被诊断为ARIs,其中66名(53.2%)为女性,69名(55.6%)年龄在24-59个月之间。在被诊断为ARIs的儿童中,21名(16.9%)在完成治疗后临床结果不佳。在多变量分析中,儿童年龄和是否存在任何其他疾病(OR=0.331;95%CI:0.123–0.880;p=0.024),暴露于室内空气污染(OR=0.344;95%CI:0.128–0.925;p=0.030),营养不良(OR=0.175;95%CI:0.058-0.523;p=0.002)和终点肺炎(OR=0.305;95%CI:0.113–0.821;p=0.015)被发现是五岁以下ARIs儿童预后不佳的独立因素。我们的研究结果强调,及时发现、适当的管理和治疗以及解决其他促成因素是降低五岁以下ARI儿童患病率和不良临床结果的关键。
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引用次数: 0
Erythropoietin-producing hepatocyte kinase receptor A1 facilitating the prgression of SGC-7901 cells and its transplanted tumor by increasing the expression of interleukin-6 and vascular endothelial growth factor in tumor microenvironment 促红细胞生成素肝细胞激酶受体A1通过增加肿瘤微环境中白细胞介素-6和血管内皮生长因子的表达,促进SGC-7901细胞及其移植瘤的进展
IF 0.7 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-01-01 DOI: 10.1177/1721727X221125612
Yong-Cang Wang, Wenjing Zheng, Wei Yu, Rui-liang Quan, Ya-jun Zhao
Objectives Many researches showed that Erythropoietin-producing hepatocyte kinase receptor A1 (EphA1) can promote the occurrence and development of malignant tumors and may be related to tumor microenvironment. But most of them are phenomenon studies, and there are few in-depth and complete mechanism studies. This study aims to understand how EphA1 promotes the progression of malignant tumors by regulating tumor microenvironment (focusing on Interleukin-6 (IL-6) and vascular endothelial growth factor (VEGF)) from two experimental dimensions of in vitro and in vivo by using genetic engineering technology. Material and Methods We used genetic engineering technology to enhance and knock down EphA1 gene expression in SGC-7901 cells, respectively, and analyzed its influence on cell function and the expression levels of VEGF and IL-6 in cells. Subsequently, we constructed human EphA1 gene overexpression, EphA1 gene silencing, and normal expression of human EphA1 gene subcutaneous transplanted tumor models of SGC-7901 cells nude mice, and analyzed the differences in tumor development and the changes in the expression levels of VEGF and ILl-6 in tumor tissues. Results After EphA1 gene expression was enhanced, the proliferation, invasion and migration of SGC-7901 cells were enhanced, and apoptosis was weakened, and the expression levels of VEGF and IL-6 were increased. While the opposite results were found when EphA1 gene expression were knocked down. Meanwhile, tumor formation time and growth rate of subcutaneous transplantation in nude mice were advanced and the expression levels of VEGF and IL-6 in tumor tissues were increased when EphA1 gene expression were overexpressed by genetic engineering technology. Similarly, the opposite effect occurred in transplanted tumor model when EphA1 gene was silenced. Conclusion Our study showed that EphA1 can up-regulating VEGF and IL-6 expression, thereby enhancing the inflammatory environment and angiogenesis in the tumor microenvironment, and this helps to promote the progression of SGC-7901 cells and its transplanted tumor.
目的大量研究表明,产生促红细胞生成素的肝细胞激酶受体A1(EphA1)可促进恶性肿瘤的发生和发展,并可能与肿瘤微环境有关。但大多是现象研究,很少有深入、完整的机制研究。本研究旨在利用基因工程技术,从体外和体内两个实验维度了解EphA1如何通过调节肿瘤微环境(主要是白细胞介素-6(IL-6)和血管内皮生长因子(VEGF))来促进恶性肿瘤的进展。材料和方法利用基因工程技术分别增强和敲除SGC-7901细胞中EphA1基因的表达,并分析其对细胞功能和细胞中VEGF和IL-6表达水平的影响。随后,我们构建了人EphA1基因过表达、人EphAl基因沉默和正常表达的SGC-7901细胞裸鼠皮下移植瘤模型,并分析了肿瘤发展的差异以及肿瘤组织中VEGF和ILl-6表达水平的变化。结果EphA1基因表达增强后,SGC-7901细胞增殖、侵袭和迁移增强,细胞凋亡减弱,VEGF和IL-6表达水平升高。而当EphA1基因表达被敲低时则发现相反的结果。同时,通过基因工程技术过表达EphA1基因,可以延长裸鼠皮下移植的肿瘤形成时间和生长速度,提高肿瘤组织中VEGF和IL-6的表达水平。类似地,当EphA1基因被沉默时,在移植的肿瘤模型中发生相反的作用。结论EphA1可上调VEGF和IL-6的表达,从而增强肿瘤微环境中的炎症环境和血管生成,有助于促进SGC-7901细胞及其移植瘤的进展。
{"title":"Erythropoietin-producing hepatocyte kinase receptor A1 facilitating the prgression of SGC-7901 cells and its transplanted tumor by increasing the expression of interleukin-6 and vascular endothelial growth factor in tumor microenvironment","authors":"Yong-Cang Wang, Wenjing Zheng, Wei Yu, Rui-liang Quan, Ya-jun Zhao","doi":"10.1177/1721727X221125612","DOIUrl":"https://doi.org/10.1177/1721727X221125612","url":null,"abstract":"Objectives Many researches showed that Erythropoietin-producing hepatocyte kinase receptor A1 (EphA1) can promote the occurrence and development of malignant tumors and may be related to tumor microenvironment. But most of them are phenomenon studies, and there are few in-depth and complete mechanism studies. This study aims to understand how EphA1 promotes the progression of malignant tumors by regulating tumor microenvironment (focusing on Interleukin-6 (IL-6) and vascular endothelial growth factor (VEGF)) from two experimental dimensions of in vitro and in vivo by using genetic engineering technology. Material and Methods We used genetic engineering technology to enhance and knock down EphA1 gene expression in SGC-7901 cells, respectively, and analyzed its influence on cell function and the expression levels of VEGF and IL-6 in cells. Subsequently, we constructed human EphA1 gene overexpression, EphA1 gene silencing, and normal expression of human EphA1 gene subcutaneous transplanted tumor models of SGC-7901 cells nude mice, and analyzed the differences in tumor development and the changes in the expression levels of VEGF and ILl-6 in tumor tissues. Results After EphA1 gene expression was enhanced, the proliferation, invasion and migration of SGC-7901 cells were enhanced, and apoptosis was weakened, and the expression levels of VEGF and IL-6 were increased. While the opposite results were found when EphA1 gene expression were knocked down. Meanwhile, tumor formation time and growth rate of subcutaneous transplantation in nude mice were advanced and the expression levels of VEGF and IL-6 in tumor tissues were increased when EphA1 gene expression were overexpressed by genetic engineering technology. Similarly, the opposite effect occurred in transplanted tumor model when EphA1 gene was silenced. Conclusion Our study showed that EphA1 can up-regulating VEGF and IL-6 expression, thereby enhancing the inflammatory environment and angiogenesis in the tumor microenvironment, and this helps to promote the progression of SGC-7901 cells and its transplanted tumor.","PeriodicalId":55162,"journal":{"name":"European Journal of Inflammation","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49106644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mucosa-associated lymphoid tissue lymphoma-induced hemophagocytic lymphohistiocytosis: A case report 粘膜相关淋巴组织淋巴瘤引起的噬血细胞性淋巴组织细胞增多症1例
IF 0.7 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-01-01 DOI: 10.1177/1721727X221137488
Dan Y. Wu, F. Bao, Yong Huang
Mucosa-associated lymphoid tissue (MALT) lymphoma-induced hemophagocytic lymphohistiocytosis (HLH) has rarely been reported. Herein, we report the diagnosis and treatment process of a patient with MALT lymphoma-induced HLH who received chemotherapy after diagnosis and finally achieved partial remission. In this case, blood cells were only reduced to grade II at the time of diagnosis, and the patient was then treated with the R-CHOP regimen (rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone). HLH responded well to treatment. Laboratory data indicative of HLH and blood chemistry results were steadily normalized, and hepatosplenomegaly resolved. One month after chemotherapy, the patient achieved partial remission. The results also showed that the treatment was successful. In conclusion, treatment of lymphoma-triggered HLH needs to balance HLH-specific and lymphoma-specific treatment. Once HLH is initially controlled or the decrease in blood cells is better than grade II, it should actively transition to lymphoma treatment.
粘膜相关淋巴组织(MALT)淋巴瘤诱导的噬血细胞性淋巴组织细胞增多症(HLH)很少报道。在此,我们报道了一名MALT淋巴瘤诱导的HLH患者的诊断和治疗过程,该患者在诊断后接受了化疗,最终获得了部分缓解。在这种情况下,诊断时血细胞仅降至II级,然后患者接受R-CHOP方案(利妥昔单抗加环磷酰胺、阿霉素、长春新碱和泼尼松)治疗。HLH对治疗反应良好。表明HLH和血液化学结果的实验室数据稳定正常化,肝脾肿大得到解决。化疗一个月后,患者病情得到部分缓解。结果也表明治疗是成功的。总之,淋巴瘤引发的HLH的治疗需要平衡HLH特异性和淋巴瘤特异性的治疗。一旦HLH得到初步控制,或者血细胞减少情况好于II级,就应该积极过渡到淋巴瘤治疗。
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European Journal of Inflammation
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