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Heart Rate Variability in the Detection of Cognitive Fatigue Through Transfer Learning. 通过迁移学习检测认知疲劳的心率变异性。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-03402-1_43
Paraskevi V Tsakmaki, Sotiris K Tasoulis, Spiros V Georgakopoulos, Vassilis P Plagianakos

Cognitive decline is a critical area of research due to its profound impact on neural integrity, cognitive function, and its association with neurodegenerative diseases. Early identification of cognitive impairment is essential, as it often signals underlying neurological dysfunction, which, if left unaddressed, can lead to progressive mental deterioration. Moreover, cognitive decline extends beyond individual health, influencing high-demand environments where sustained cognitive performance is crucial for safety and decision-making. Heart rate variability (HRV), derived noninvasively from photoplethysmography (PPG), offers a real-time method for detecting autonomic dysregulation linked to cognitive fatigue. Continuous PPG monitoring under conditions of sleep deprivation, combined with machine learning algorithms such as Long Short-Term Memory (LSTM) networks, enabled accurate prediction of cognitive states based on HRV patterns through their ability to capture temporal dependencies. The findings reveal significant autonomic disturbances corresponding to mental fatigue, underscoring HRV's potential as a sensitive biomarker for cognitive decline and its applicability in transfer learning frameworks.

认知衰退是一个重要的研究领域,因为它对神经完整性、认知功能有深远的影响,并与神经退行性疾病有关。认知障碍的早期识别是至关重要的,因为它通常表明潜在的神经功能障碍,如果不加以解决,可能导致进行性精神退化。此外,认知能力下降超出了个人健康范围,影响高需求环境,在这些环境中,持续的认知表现对安全和决策至关重要。心率变异性(HRV)是由光容积脉搏波(PPG)无创得出的,为检测与认知疲劳相关的自主神经失调提供了一种实时方法。在睡眠剥夺条件下连续监测PPG,结合长短期记忆(LSTM)网络等机器学习算法,通过捕捉时间依赖性的能力,能够基于HRV模式准确预测认知状态。研究结果揭示了与精神疲劳相关的显著自主神经紊乱,强调了HRV作为认知能力下降的敏感生物标志物的潜力及其在迁移学习框架中的适用性。
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引用次数: 0
Implementation of Apriori Algorithm to Biomedical Data: Silent Mutations in GWAS-GAD Edition. 生物医学数据的Apriori算法实现:GWAS-GAD版中的沉默突变。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-03402-1_39
Eleni Papakonstantinou, Olga Flogera, Vasileios Megalooikonomou, Dimitrios Vlachakis

Genome-wide association studies (GWAS) have revolutionized our understanding of genetic contributions to complex diseases by identifying single-nucleotide polymorphisms (SNPs) associated with disease predisposition. Despite the substantial progress made in identifying risk factors for conditions like cancer and cardiovascular diseases, interpreting the functional impact of identified variants remains a challenge, particularly when silent mutations are involved. Silent mutations, once considered irrelevant to disease mechanisms, have emerged as significant players influencing mRNA formation, splicing, and translation processes. This study utilized the Genetic Association Database (GAD) to analyze and identify the significance of silent mutations across a wide range of diseases, employing advanced machine learning techniques and the Apriori algorithm to extract association rules from a biomedical dataset. The Apriori algorithm was applied to identify strong correlations between diseases and chromosomes, using parameters such as support, confidence, and lift to evaluate the strength and importance of these associations. Our results demonstrated the capability of the Apriori algorithm to uncover biologically meaningful relationships, which could be instrumental in improving our understanding of genetic predispositions and guiding precision medicine efforts. These findings underscore the importance of silent mutations in disease etiology and highlight the potential of bioinformatics tools in unraveling complex genetic interactions.

全基因组关联研究(GWAS)通过识别与疾病易感性相关的单核苷酸多态性(snp),彻底改变了我们对复杂疾病遗传贡献的理解。尽管在确定癌症和心血管疾病等疾病的风险因素方面取得了重大进展,但解释已确定变异的功能影响仍然是一项挑战,特别是当涉及沉默突变时。曾经被认为与疾病机制无关的沉默突变,已经成为影响mRNA形成、剪接和翻译过程的重要参与者。本研究利用遗传关联数据库(GAD)分析和确定多种疾病中沉默突变的意义,采用先进的机器学习技术和Apriori算法从生物医学数据集中提取关联规则。Apriori算法用于识别疾病和染色体之间的强相关性,使用诸如支持度、置信度和提升等参数来评估这些关联的强度和重要性。我们的研究结果证明了Apriori算法能够揭示生物学上有意义的关系,这可能有助于提高我们对遗传倾向的理解,并指导精准医学的努力。这些发现强调了沉默突变在疾病病因学中的重要性,并强调了生物信息学工具在揭示复杂遗传相互作用方面的潜力。
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引用次数: 0
Prenatal Exposure to Low Alcohol and Alcohol Motivation in the Offspring. 产前低酒精暴露和后代的酒精动机
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-12741-9_4
Ricardo M Pautassi, María Carolina Fabio, Mónica Sanchez

Prenatal alcohol exposure (PAE), even at low doses, has been linked to long-term alterations in alcohol-related behaviors, particularly increased alcohol consumption and preference in offspring. This chapter examines how low-dose PAE affects the motivational effects of alcohol, potentially influencing the balance between its rewarding and aversive properties. While high-dose PAE has been extensively studied for its teratogenic effects, the implications of lower, more common exposures remain less understood. Preclinical studies using rodent models suggest that even moderate PAE (1-3 g/kg/day) enhances sensitivity to alcohol's appetitive properties while reducing its aversive effects, promoting future alcohol-seeking behavior. These alterations may be mediated by neurobiological changes, including increased neurogenesis of enkephalin-expressing neurons, disruptions in dopamine and opioid signaling, and modifications in stress-related neural circuits. Behavioral paradigms, such as conditioned place preference and conditioned taste aversion, confirm that PAE enhances the reinforcing effects of ethanol while mitigating its negative consequences. Operant self-administration studies also report greater motivation after PAE. These motivational alterations correlate, albeit with studies not measuring the same variables in the same individual, with increased alcohol consumption in adolescence and adulthood. This chapter further discusses the mechanisms underlying these effects. Understanding the impact of low-dose PAE on alcohol motivation can provide crucial insights into early-life risk factors for problematic drinking and inform preventive interventions.

产前酒精暴露(PAE),即使是低剂量,也与酒精相关行为的长期改变有关,特别是后代酒精消费量和偏好的增加。本章探讨低剂量PAE如何影响酒精的激励效应,潜在地影响其奖励和厌恶特性之间的平衡。虽然高剂量PAE的致畸作用已被广泛研究,但更低、更常见的接触对其的影响仍知之甚少。使用啮齿动物模型的临床前研究表明,即使是中度PAE (1-3 g/kg/天)也能增强对酒精食欲特性的敏感性,同时减少其厌恶作用,促进未来的酒精寻求行为。这些改变可能是由神经生物学变化介导的,包括表达脑啡肽的神经元的神经发生增加,多巴胺和阿片信号的中断,以及应激相关神经回路的改变。条件位置偏好和条件味觉厌恶等行为范式证实,PAE增强了乙醇的强化效应,同时减轻了乙醇的负面影响。操作性自我给药研究也报告了PAE后更大的动机。这些动机改变与青春期和成年期饮酒量的增加相关,尽管这些研究没有测量同一个体的相同变量。本章将进一步讨论这些效应背后的机制。了解低剂量PAE对饮酒动机的影响可以为问题饮酒的早期危险因素提供重要见解,并为预防干预提供信息。
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引用次数: 0
Investigation of Anxiety, Stress, Depression, and Quality of Life of Pregnant Women with Gestational Diabetes Mellitus (GDM). 妊娠期糖尿病(GDM)孕妇焦虑、压力、抑郁与生活质量的调查
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-03402-1_19
Aikaterini Lazaridi, Athanasios Raptis, Sotirios G Zarogiannis, Aikaterini Toska, Maria Saridi, Evangelos C Fradelos, Dimitrios Papagiannis

Gestational diabetes mellitus (GDM) is a pregnancy complication that, according to the World Health Organization, is showing an increasing prevalence trend, mirroring the continuing upward trend of diabetes mellitus (DM) in the general population. The present study was based on the questions of the Depression, Anxiety, and Stress Scale DASS-21 and the World Health Organization Quality of Life Brief WHOQOL-BREF scales (translated into Greek). One hundred five pregnant women aged 21-44 participated in the study. The participants reported good mental health (low levels of stress, anxiety, and depression) with moderate levels of nervousness impacting them. Their social life was at a good level, they were satisfied with the environment they lived in, as well as their daily life; however, their physical health was at a moderate level. Also, the trimester of pregnancy appeared to play an important role in the onset of nervousness and depression in pregnant women with GDM as well as in their quality of life during pregnancy, with pregnant women in the first trimester reporting a lower quality of life than pregnant women in other trimesters. In contrast, women in the second gestational trimester reported the lowest depression rates. There was also an association between age and the prevalence of depression, with younger and older women experiencing depression at a higher frequency. Collectively, the psychological impact of GDM as well as its impact on the quality of life of pregnant women requires further investigation.

妊娠期糖尿病(GDM)是一种妊娠并发症,据世界卫生组织称,其患病率呈上升趋势,反映了一般人群中糖尿病(DM)的持续上升趋势。本研究基于抑郁、焦虑和压力量表DASS-21和世界卫生组织生活质量简要WHOQOL-BREF量表(翻译成希腊语)的问题。105名年龄在21-44岁之间的孕妇参与了这项研究。参与者报告了良好的心理健康(低水平的压力、焦虑和抑郁),中等程度的紧张影响着他们。他们的社会生活处于良好水平,对生活环境和日常生活感到满意;然而,他们的身体健康处于中等水平。此外,妊娠三个月似乎在GDM孕妇的紧张和抑郁发作以及怀孕期间的生活质量中起着重要作用,妊娠前三个月的孕妇报告的生活质量低于其他三个月的孕妇。相反,孕中期的女性抑郁率最低。年龄和抑郁症患病率之间也存在关联,年轻和年长的女性患抑郁症的频率更高。总的来说,GDM的心理影响及其对孕妇生活质量的影响需要进一步研究。
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引用次数: 0
Lipophorin: The Lipid Shuttle. 脂蛋白:脂质穿梭。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-04842-4_806
Katia C Gondim, David Majerowicz

Insects need to transport lipids through the aqueous medium of the hemolymph to the organs in demand, after they are absorbed by the intestine or mobilized from the lipid-producing organs. Lipophorin is a lipoprotein present in insect hemolymph, and is responsible for this function. A single gene encodes an apolipoprotein that is cleaved to generate apolipophorin I and II. These are the essential protein constituents of lipophorin. In some physiological conditions, a third apolipoprotein of different origin may be present. In most insects, lipophorin transports mainly diacylglycerol and hydrocarbons, in addition to phospholipids. The fat body synthesizes and secretes lipophorin into the hemolymph, and several signals, such as nutritional, endocrine, or external agents, can regulate this process. However, the main characteristic of lipophorin is the fact that it acts as a reusable shuttle, distributing lipids between organs without being endocytosed or degraded in this process. Lipophorin interacts with tissues through specific receptors of the LDL receptor superfamily, although more recent results have shown that other proteins may also be involved. In this chapter, we describe the lipophorin structure in terms of proteins and lipids, in addition to reviewing what is known about lipoprotein synthesis and regulation. In addition, we reviewed the results investigating lipophorin's function in the movement of lipids between organs and the function of lipophorin receptors in this process.

在脂质被肠道吸收或从产脂器官中被动员后,昆虫需要通过血淋巴的含水介质将脂质运输到需要的器官。脂蛋白是存在于昆虫血淋巴中的一种脂蛋白,负责这一功能。单个基因编码载脂蛋白,该载脂蛋白被裂解生成载脂蛋白I和载脂蛋白II。这些都是脂磷脂必不可少的蛋白质成分。在某些生理条件下,可能存在不同来源的第三种载脂蛋白。在大多数昆虫中,除磷脂外,脂蛋白主要运输二酰基甘油和碳氢化合物。脂肪体合成并将脂磷脂分泌到血淋巴中,营养、内分泌或外部因素等多种信号可调节这一过程。然而,脂蛋白的主要特点是它作为一个可重复使用的穿梭机,在器官之间分配脂质,而不会在这个过程中被内吞或降解。脂蛋白通过低密度脂蛋白受体超家族的特定受体与组织相互作用,尽管最近的研究结果表明其他蛋白质也可能参与其中。在本章中,我们将从蛋白质和脂质的角度描述脂蛋白的结构,并对目前已知的脂蛋白合成和调控进行综述。此外,本文还对脂蛋白在脂质在器官间运动中的作用及脂蛋白受体在这一过程中的作用进行了综述。
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引用次数: 0
Lipid Metabolism in Diapause. 滞育中的脂质代谢。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-04842-4_850
Umut Toprak, Nicholas M Teets, Doga Cedden, Gözde Güney

Organisms living in temperate and polar environments encounter seasonal fluctuations that entail changes in temperature, resource availability, and biotic interactions. Thus, adaptations for synchronizing the life cycle with essential resources and persisting through unfavorable conditions are critical. Diapause, a programmed period of developmental arrest and metabolic depression, is widely used by insects to survive winter and synchronize the life cycle. In some cases, insects spend over half the year (or in some cases, multiple years) in a nonfeeding diapause state. Thus, diapause is energetically challenging, and insects accumulate surplus energy stores and/or suppress metabolism to make it through the winter. As the most energy-dense, and often most abundant, energy reserve in insects, lipids play a central role in diapause energetics. In this chapter, we provide an overview of lipid metabolism in the context of diapause. First, as this is the only chapter in this book that covers diapause, we present some of the general features of diapause. We then discuss the role of lipids as an essential energy store during diapause, focusing on patterns of lipid accumulation before diapause and patterns of utilization during diapause. In the next section, we outline some other roles of lipids during diapause in addition to their role as an energy store. Finally, we end the chapter by discussing the molecular regulation of lipid metabolism in diapause, which has received increased attention in recent years.

生活在温带和极地环境中的生物会遇到季节性波动,这涉及到温度、资源可用性和生物相互作用的变化。因此,使生命周期与基本资源同步并在不利条件下持续的适应性是至关重要的。滞育是一种发育停滞和代谢抑制的程序化过程,是昆虫在冬季生存和生命周期同步的重要手段。在某些情况下,昆虫花费半年以上(或在某些情况下,多年)的时间处于不进食的滞育状态。因此,滞育在能量上具有挑战性,昆虫积累多余的能量储存和/或抑制新陈代谢以度过冬季。作为昆虫体内能量密度最大、储量最丰富的能量储备,脂类在滞育过程中起着重要作用。在本章中,我们提供了滞育背景下脂质代谢的概述。首先,由于这是本书中唯一涉及滞育的一章,我们介绍了滞育的一些一般特征。然后,我们讨论了在滞育期间脂质作为一种必需的能量储存的作用,重点讨论了滞育前脂质积累的模式和滞育期间脂质利用的模式。在下一节中,我们将概述脂质在滞育期间的其他作用,除了它们作为能量储存的作用。最后,我们讨论了近年来越来越受到关注的滞育过程中脂质代谢的分子调控。
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引用次数: 0
Lipid Metabolism in Relation to Carbohydrate Metabolism. 脂质代谢与碳水化合物代谢的关系。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-04842-4_821
Perla Akiki, Pierre Delamotte, Jacques Montagne

Carbohydrates and lipids integrate into a complex metabolic network that is essential to maintain homeostasis. In insects, as in most metazoans, dietary carbohydrates are taken up as monosaccharides whose excess is toxic, even at relatively low concentrations. To cope with this toxicity, monosaccharides are stored either as glycogen or neutral lipids, the latter constituting a quasi-unlimited energy store. Breakdown of these stores in response to energy demand depends on insect species and on several physiological parameters. In this chapter, we review the multiple metabolic pathways and strategies linking carbohydrates and lipids that insects utilize to respond to nutrient availability, food scarcity or physiological activities.

碳水化合物和脂质整合成一个复杂的代谢网络,对维持体内平衡至关重要。昆虫和大多数后生动物一样,饮食中的碳水化合物以单糖的形式被吸收,即使浓度相对较低,过量的碳水化合物也是有毒的。为了应对这种毒性,单糖要么作为糖原储存,要么作为中性脂质储存,后者构成了近乎无限的能量储存。这些储存对能量需求的反应取决于昆虫种类和几个生理参数。在本章中,我们回顾了昆虫利用碳水化合物和脂质的多种代谢途径和策略来应对营养可用性、食物短缺或生理活动。
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引用次数: 0
Lipid Metabolism in Relation to Calcium Homeostasis. 脂质代谢与钙稳态的关系。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-04842-4_875
Umut Toprak

Calcium (Ca2+) homeostasis is a critical regulator of insect cellular functions, influencing neurotransmission, muscle contraction, hormone signaling, and lipid metabolism. This chapter explores the intricate relationship between Ca2+ signaling and lipid metabolism, emphasizing key molecular components that mediate this interaction. Store-operated calcium entry (SOCE) mechanisms, involving sarco/endoplasmic reticulum Ca2+-ATPase (SERCA), inositol 1,4,5-trisphosphate receptor (IP3R), ryanodine receptor (RyR), stromal interaction molecule (STIM), and Orai1, coordinate intracellular Ca2+ fluxes that regulate lipid storage, mobilization, and utilization. Other Ca2+-binding proteins, such as calmodulin (CaM), calcineurin (CaN), regucalcin (RgN), calreticulin (CrT), and calnexin (CnX), further modulate Ca2+ homeostasis and impact lipid metabolism by influencing lipolysis, lipogenesis, and lipid droplet dynamics. This chapter also highlights the role of hepatocyte-like oenocytes in lipid metabolism. These cells, analogous to mammalian hepatocytes, regulate lipid processing and mobilization during fasting, forming a metabolic axis with fat body adipocytes. While Ca2+ signaling is well characterized in adipocytes, its role in oenocyte lipid metabolism remains largely unexplored. However, Ca2+-dependent regulation of lipid metabolism in mammalian hepatocytes suggests a similar involvement in insect oenocytes. A central theme is the bidirectional relationship between Ca2+ homeostasis and lipid metabolism. While Ca2+ signaling regulates lipid accumulation and hydrolysis, impaired lipid metabolism can disrupt Ca2+ homeostasis. For instance, Drosophila melanogaster seipin mutants with defective lipid storage exhibit reduced SERCA activity, leading to lower ER and mitochondrial Ca2+ levels, which impair lipogenesis. Additionally, CaN promotes lipogenesis, whereas STIM and IP3R serve as lipolytic regulators. This metabolic feedback loop is essential for maintaining energy balance. Understanding the Ca2+-lipid interplay in insects provides insights into metabolic regulation, with implications for pest management and metabolic disease research. Future studies should further investigate Ca2+-dependent mechanisms governing oenocyte function and systemic lipid homeostasis.

钙(Ca2+)稳态是昆虫细胞功能的重要调节因子,影响神经传递、肌肉收缩、激素信号传导和脂质代谢。本章探讨了Ca2+信号和脂质代谢之间的复杂关系,强调了介导这种相互作用的关键分子成分。储存操作钙进入(SOCE)机制,包括sarco/内质网Ca2+- atp酶(SERCA),肌醇1,4,5-三磷酸受体(IP3R), ryanodine受体(RyR),基质相互作用分子(STIM)和Orai1,协调细胞内Ca2+通量,调节脂质储存,动员和利用。其他Ca2+结合蛋白,如钙调蛋白(CaM)、钙调磷酸酶(CaN)、钙调蛋白(RgN)、钙网蛋白(CrT)和钙连蛋白(CnX),通过影响脂肪分解、脂肪生成和脂滴动力学,进一步调节Ca2+稳态并影响脂质代谢。本章还强调了肝细胞样卵泡细胞在脂质代谢中的作用。这些细胞类似于哺乳动物肝细胞,在禁食期间调节脂质加工和动员,与脂肪体脂肪细胞形成代谢轴。虽然Ca2+信号在脂肪细胞中有很好的特征,但其在卵泡细胞脂质代谢中的作用仍未被充分探索。然而,哺乳动物肝细胞中脂质代谢的Ca2+依赖性调节表明昆虫卵泡细胞也有类似的参与。一个中心主题是Ca2+稳态和脂质代谢之间的双向关系。当Ca2+信号调节脂质积累和水解时,受损的脂质代谢可以破坏Ca2+稳态。例如,脂质储存缺陷的黑腹果蝇seipin突变体表现出SERCA活性降低,导致内质网和线粒体Ca2+水平降低,从而损害脂肪生成。此外,CaN促进脂肪生成,而STIM和IP3R作为脂溶调节因子。这种代谢反馈循环对于维持能量平衡至关重要。了解昆虫Ca2+-脂质相互作用提供了对代谢调节的见解,对害虫管理和代谢疾病研究具有重要意义。未来的研究应进一步研究Ca2+依赖的机制,调控卵泡细胞功能和全身脂质稳态。
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引用次数: 0
Epigenetich Mechanisms Involved in the Etiology of Lung Cancers: From Noncoding RNAs to Exosomal Noncoding RNAs. 参与肺癌病因的表观遗传机制:从非编码rna到外泌体非编码rna。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-11-05 DOI: 10.1007/5584_2025_880
Mahdi Rafiyan, Seyyede Fatemeh Mahmoudhashemi, Elham Tootoonchi, Majid Mousavi, Ali Shafiei, Niloufar Rezaei, Mohammadamin Morshedi, Mohammadmatin Morshedi, Gordon A Ferns, Hamidreza Jamaati, Seyed MohammadReza Hashemian, Hamed Mirzaei

Lung cancer is associated with one of the highest cancer-related mortality rates and is the second most prevalent cancer worldwide. Diagnosis and treatment of lung cancer has different challenges as in most cases, and it is often diagnosed late when metastatic spread is widely disseminated. The development of chemo- and radioresistance of lung cancer, as well as a lack of specific treatment, has resulted in a very high mortality and morbidity. Noncoding RNAs (ncRNAs) are a group of RNAs with a wide spectrum of functions required for homeostasis. These RNAs modulate the expression of proteins posttranslationally and control the cell phenotype. Studies have shown that these RNAs could act as both oncogene and oncosuppressor, and due to their great therapeutic and diagnostic potential, recent studies have also focused on their use as biomarkers for early detection of cancers. Understanding the current findings in this field would help scientists to have an overview about different ncRNAs and their role in lung cancer progression. This chapter explores the landscape of ncRNA research related to lung cancer, highlighting the potential for novel diagnostic and therapeutic strategies.

肺癌是癌症相关死亡率最高的疾病之一,也是世界上第二常见的癌症。在大多数情况下,肺癌的诊断和治疗具有不同的挑战,并且通常在转移性扩散广泛传播时诊断为晚期。肺癌的化疗和放射耐药性的发展,以及缺乏特异性治疗,导致了非常高的死亡率和发病率。非编码rna (ncRNAs)是一组具有广泛功能的rna,用于体内平衡。这些rna调节翻译后蛋白质的表达并控制细胞表型。研究表明,这些rna既可以作为致癌基因,也可以作为抑癌基因,由于它们具有巨大的治疗和诊断潜力,最近的研究也集中在它们作为癌症早期检测的生物标志物上。了解这一领域的最新发现将有助于科学家对不同的ncrna及其在肺癌进展中的作用有一个概述。本章探讨了与肺癌相关的ncRNA研究的前景,强调了新的诊断和治疗策略的潜力。
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引用次数: 0
Transformative Therapies for Wound Care: Insights into Tissue Engineering and Regenerative Medicine. 伤口护理的变革疗法:组织工程和再生医学的见解。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-09-09 DOI: 10.1007/5584_2025_879
Mrunal Damle, Vaishali Gaikwad, Meghnad G Joshi

Wound healing is a dynamic and complex process that consists of four interconnected phases: hemostasis, inflammation, proliferation, and remodeling. This complex process is based on the coordinated actions of growth factors, cytokines, and other cellular interactions. However, conditions such as diabetes and chronic illnesses can disrupt this process and lead to nonhealing wounds or chronic ulcers. This chapter addresses the molecular and cellular mechanisms that control both normal and impaired wound healing, with emphasis on diabetic ulcers, burns, and surgical wounds. Growth factors play a critical role in wound modulation and the potential of therapeutic interventions to restore balanced healing. Advances in tissue engineering and regenerative medicine, including hydrogel-based therapies and synthetic polymers, have produced promising solutions for wound management. In addition, 3D bioprinting offers the possibility of producing personalized skin grafts and wound dressings that closely resemble the natural skin structure. Clinical trials are currently evaluating these innovative approaches' effectiveness and highlighting their potential to transform therapeutic outcomes in the treatment of chronic and complex wounds.

伤口愈合是一个动态而复杂的过程,包括四个相互关联的阶段:止血、炎症、增殖和重塑。这个复杂的过程是基于生长因子、细胞因子和其他细胞相互作用的协调作用。然而,糖尿病和慢性疾病等疾病会破坏这一过程,导致无法愈合的伤口或慢性溃疡。本章讨论控制正常和受损伤口愈合的分子和细胞机制,重点是糖尿病溃疡、烧伤和外科伤口。生长因子在伤口调节和治疗干预恢复平衡愈合的潜力中起关键作用。组织工程和再生医学的进步,包括基于水凝胶的疗法和合成聚合物,为伤口管理提供了有希望的解决方案。此外,3D生物打印提供了生产个性化皮肤移植物和伤口敷料的可能性,与自然皮肤结构非常相似。临床试验目前正在评估这些创新方法的有效性,并强调它们在慢性和复杂伤口治疗中改变治疗结果的潜力。
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