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Chromatin replication: TRANSmitting the histone code. 染色质复制:传递组蛋白密码。
Pub Date : 2017-02-01
Han-Wen Chang, Vasily M Studitsky

Efficient overcoming of the nucleosomal barrier and accurate maintenance of associated histone marks during chromatin replication are essential for normal functioning of the cell. Recent studies revealed new protein factors and histone modifications contributing to overcoming the nucleosomal barrier, and suggested an important role for DNA looping in survival of the original histones during replication. These studies suggest new possible mechanisms for transmitting the histone code to next generations of cells.

在染色质复制过程中,有效克服核小体屏障和准确维持相关组蛋白标记对于细胞的正常功能至关重要。最近的研究揭示了新的蛋白因子和组蛋白修饰有助于克服核小体屏障,并表明DNA环在原始组蛋白复制过程中的存活中起重要作用。这些研究提出了将组蛋白密码传递给下一代细胞的新的可能机制。
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引用次数: 0
Advancing Discontinuous Fiber-Reinforced Composites above Critical Length for Replacing Current Dental Composites and Amalgam. 将不连续纤维增强复合材料提高到临界长度以上,以取代目前的牙科复合材料和汞合金。
Pub Date : 2017-02-01
Richard C Petersen

Clinicians have been aware that posterior dental particulate-filled composites (PFCs) have many placement disadvantages and indeed fail clinically at an average rate faster than amalgam alloys. Secondary caries is most commonly identified as the chief failure mechanism for both dental PFCs and amalgam. In terms of a solution, fiber-reinforced composites (FRCs) above critical length (Lc) can provide mechanical property safety factors with compound molding packing qualities to reduce many problems associated with dental PFCs. Discontinuous chopped fibers above the necessary Lc have been incorporated into dental PFCs to make consolidated molding compounds that can be tested for comparisons with PFC controls on mechanical properties, wear resistance, void-defect occurrence and packing ability to reestablish the interproximal contact. Further, imaging characterizations can aid in providing comparisons for FRCs with other materials using scanning electron microscopy, atomic force microscopy and photographs. Also, the amalgam filling material has finally been tested by appropriate ASTM flexural bending methods that eliminate shear failure associated with short span lengths in dental standards for comparison with dental PFCs to best explain increased longevity for the amalgam when compared to dental PFCs. Accurate mechanical tests also provide significant proof for superior advantages with FRCs. Mechanical properties tested included flexural strength, yield strength, modulus, resilience, work of fracture, critical strain energy release and critical stress intensity factor. FRC molding compounds with fibers above Lc extensively improve all mechanical properties over PFC dental paste and over the amalgam for all mechanical properties except modulus. The dental PFC also demonstrated superior mechanical properties over the amalgam except modulus to provide a better explanation for increased PFC failure due to secondary caries. With lower PFC modulus, increased adhesive bond breakage is expected from greater interlaminar shearing as the PFC accentuates straining deflections compared to amalgam at the higher modulus tooth enamel margins during loading. Preliminary testing for experimental FRCs with fibers above Lc demonstrated three-body wear even less than enamel to reduce the possibility of marginal ditching as a factor in secondary caries seen with both PFCs and amalgam. Further, FRC molding compounds with chopped fibers above Lc properly impregnated with photocure resin can pack with condensing forces higher than the amalgam to eliminate voids in the proximal box commonly seen with dental PFCs and reestablish interproximal contacts better than amalgam. Subsequent higher FRC packing forces can aid in squeezing monomer, resin, particulate and nanofibers deeper into adhesive mechanical bond retention sites and then leave a higher concentration of insoluble fibers and particulate as moisture barriers

临床医生已经意识到,后部牙科颗粒填充复合材料(PFCs)具有许多放置缺点,并且实际上在临床上以比汞合金更快的平均速率失败。继发性龋齿通常被认为是牙齿PFCs和汞合金的主要失效机制。就解决方案而言,超过临界长度(Lc)的纤维增强复合材料(FRCs)可以提供具有复合成型包装质量的机械性能安全因素,以减少与牙科PFCs相关的许多问题。超过必要Lc的不连续短切纤维已被掺入牙科PFC中,以制成固结的模塑化合物,该模塑化合物可用于与PFC控制进行机械性能、耐磨性、空隙缺陷的发生和重新建立邻间接触的填充能力的比较。此外,成像表征可以帮助使用扫描电子显微镜、原子力显微镜和照片将FRCs与其他材料进行比较。此外,汞合金填充材料最终通过适当的ASTM弯曲弯曲方法进行了测试,该方法消除了与牙科PFCs相比的牙科标准中与短跨度长度相关的剪切破坏,以最好地解释与牙科PFC相比汞合金的寿命增加的原因。准确的机械测试也为FRC的优越优势提供了重要的证据。测试的力学性能包括弯曲强度、屈服强度、模量、回弹性、断裂功、临界应变能释放和临界应力强度因子。具有高于Lc的纤维的FRC模塑化合物相对于PFC牙膏和汞合金在除模量之外的所有机械性能方面广泛地改善了所有机械性能。除了模量之外,牙科PFC还表现出优于汞合金的机械性能,以更好地解释由于继发性龋齿导致的PFC失效增加。在PFC模量较低的情况下,由于在加载过程中,与模量较高的牙釉质边缘处的汞合金相比,PFC会加剧应变偏转,因此层间剪切会增加粘结断裂。对纤维高于Lc的实验性FRCs的初步测试表明,三体磨损甚至小于釉质,以减少边缘开沟的可能性,这是PFCs和汞合金继发龋齿的一个因素。此外,具有Lc以上短切纤维的FRC模塑化合物适当地用光固化树脂浸渍,可以用比汞合金更高的冷凝力进行填充,以消除牙科PFC常见的近端盒中的空隙,并比汞合金更好地重建邻间接触。随后更高的FRC填充力可以帮助将单体、树脂、颗粒和纳米纤维更深地挤压到粘合剂机械结合保持位点中,然后在空腔边缘留下更高浓度的不溶性纤维和颗粒作为湿气屏障。此外,FRC模塑化合物可以掺入三氯生抗菌剂,并保持强大的堆积凝聚力,而PFCs与三氯生形成粘性胶稠度是无法实现的。此外,大的FRC填充力允许更高浓度的疏水性乙氧基化双酚A二甲基丙烯酸酯(BisEMA)低粘度低聚物树脂,其降低了吸水性和溶解度,然后仍然保持优异的稠度。因此,具有Lc以上纤维的光固化模塑化合物似乎具有许多特殊的性能和设计能力,作为在修复性牙科护理中取代PFCs和汞合金的改进替代品。
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引用次数: 0
Normalizing EMG to Background Muscle Activation Masks Medication-Induced Reductions in Reflex Amplitudes in Parkinsonian Rigidity. 将肌电图正常化到背景肌肉激活掩盖了帕金森性僵硬中药物引起的反射幅度降低。
Pub Date : 2017-02-01
Douglas Powell, Anburaj Muthumani, Rui-Ping Xia

Objectives: Exaggerated reflex responses to passive stretch and shortening contribute to parkinsonian rigidity. Studies have reported medication-induced reductions in rigidity in the absence of attenuated reflex magnitudes. The purpose of this study was to determine if normalization procedures mask medication-induced reductions in reflex responses in Parkinson's disease.

Methods: Twelve participants with PD performed passive wrist flexion and extension movements after a 12-hour withdrawal from dopaminergic medication and 60 minutes after medication was administered. EMG was recorded from wrist flexors and extensors. Raw EMG signals were conditioned and normalized to mean background EMG amplitudes collected 100 ms prior to the onset of passive movement by division and by subtraction.

Results: Raw EMG amplitudes were significantly reduced. No medication-related reductions were observed during passive flexion or extension when EMG amplitudes were normalized by division. When EMG amplitudes were normalized by subtraction, significant reductions were observed following administration of dopaminergic medication during flexion and extension. Dopaminergic medication was associated with significant reductions in rigidity work scores and significant increases in moment-angle slope plots.

Conclusions: These findings demonstrate that EMG normalization techniques may hinder data interpretation in studies of altered reflex responses in individuals with Parkinson's disease following the administration of dopaminergic medication.

目的:对被动拉伸和缩短的过度反射反应有助于帕金森僵硬。研究报告了在没有反射减弱的情况下,药物诱导的刚性降低。本研究的目的是确定正常化过程是否掩盖了帕金森病中药物引起的反射反应的减少。方法:12名PD患者在停止多巴胺能药物治疗后12小时和用药后60分钟进行被动腕屈伸运动。记录腕屈肌和伸肌肌电图。通过除法和减法,将原始肌电信号调节并归一化为被动运动开始前100毫秒收集的平均背景肌电信号振幅。结果:原始肌电波幅明显降低。当肌电波幅通过分割归一化时,在被动屈曲或伸展期间未观察到药物相关的降低。当肌电波幅通过减法归一化时,在屈曲和伸展期间给予多巴胺能药物治疗后观察到明显的减少。多巴胺能药物治疗与刚性工作分数的显著降低和力矩角斜率图的显著增加有关。结论:这些发现表明,肌电图归一化技术可能会阻碍在帕金森病患者服用多巴胺能药物后反射反应改变研究中的数据解释。
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引用次数: 0
Insights from Genetic Model Systems of Retinal Degeneration: Role of Epsins in Retinal Angiogenesis and VEGFR2 Signaling. 视网膜变性遗传模型系统的启示:Epsins 在视网膜血管生成和 VEGFR2 信号传导中的作用。
Pub Date : 2017-01-01
Yunzhou Dong, Xue Cai, Yong Wu, Yanjun Liu, Lin Deng, Hong Chen

The retina is a light sensitive tissue that contains specialized photoreceptor cells called rods and cones which process visual signals. These signals are relayed to the brain through interneurons and the fibers of the optic nerve. The retina is susceptible to a variety of degenerative diseases, including age-related macular degeneration (AMD), diabetic retinopathy (DR), retinitis pigmentosa (RP) and other inherited retinal degenerations. In order to reveal the mechanism underlying these diseases and to find methods for the prevention/treatment of retinal degeneration, animal models have been generated to mimic human eye diseases. In this paper, several well-characterized and commonly used animal models are reviewed. Of particular interest are the contributions of these models to our understanding of the mechanisms of retinal degeneration and thereby providing novel treatment options including gene therapy, stem cell therapy, nanomedicine, and CRISPR/Cas9 genome editing. Role of newly-identified adaptor protein epsins from our laboratory is discussed in retinal angiogenesis and VEGFR2 signaling.

视网膜是一种对光敏感的组织,其中包含名为视杆细胞和视锥细胞的特殊感光细胞,它们负责处理视觉信号。这些信号通过中间神经元和视神经纤维传递到大脑。视网膜易患各种退行性疾病,包括老年性黄斑变性(AMD)、糖尿病视网膜病变(DR)、色素性视网膜炎(RP)和其他遗传性视网膜变性。为了揭示这些疾病的发病机制,找到预防/治疗视网膜变性的方法,人们制作了模拟人类眼病的动物模型。本文综述了几种特征明确且常用的动物模型。尤其值得关注的是,这些模型有助于我们了解视网膜变性的机制,从而提供新的治疗方案,包括基因治疗、干细胞治疗、纳米药物和 CRISPR/Cas9 基因组编辑。讨论了我们实验室新发现的适配蛋白epsins在视网膜血管生成和VEGFR2信号传导中的作用。
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引用次数: 0
Regulation of Group I Metabotropic Glutamate Receptors by MAPK/ERK in Neurons. 神经元中 MAPK/ERK 对 I 类代谢谷氨酸受体的调控
Pub Date : 2016-01-01
Li-Min Mao, John Q Wang

Group I metabotropic glutamate receptors (mGluR1 and mGluR5 subtypes) are regulated by protein kinases. A recent focus is mitogen-activated protein kinases (MAPK). A prototypic subclass of MAPKs, extracellular signal-regulated kinases (ERK), is densely expressed in adult brain postmitotic neurons. This kinase resides in not only the cytoplasm around the nucleus, also the neuronal peripheral structures such as synapses. Recombinant ERK2 binds to C terminal tails of mGluR1a in vitro and native ERK1/2 forms complexes with mGluR1/5 in neurons in vivo. Association of ERK with mGluR1/5 enables the kinase to phosphorylate mGluR1/5 at a cluster of serine sites in the distal C terminus, including a serine residue within the Homer binding site. The ERK-mediated phosphorylation of mGluR1/5 promotes surface expression of mGluR1a in cerebellar neurons. ERK also regulates mGluR1/5 signaling and functions. Among different functional outputs surveyed, ERK exerts an output-specific role in either potentiating or inhibiting their activities. In sum, synaptic group I mGluRs are sufficient substrates of MAPK/ERK. Phosphorylation of mGluR1/5 by ERK has a significant impact on subcellular expression and function of phospho-modified receptors.

第 I 组代谢谷氨酸受体(mGluR1 和 mGluR5 亚型)受蛋白激酶调控。最近的研究重点是丝裂原活化蛋白激酶(MAPK)。MAPK 的一个原型亚类--细胞外信号调节激酶(ERK)在成人大脑有丝分裂后神经元中密集表达。这种激酶不仅存在于细胞核周围的细胞质中,还存在于突触等神经元外围结构中。体外重组 ERK2 与 mGluR1a 的 C 端尾结合,体内原生 ERK1/2 与神经元中的 mGluR1/5 形成复合物。ERK与mGluR1/5的结合使激酶能够在远端C末端的一组丝氨酸位点上磷酸化mGluR1/5,包括在Homer结合位点上的一个丝氨酸残基。ERK 介导的 mGluR1/5 磷酸化促进了小脑神经元中 mGluR1a 的表面表达。ERK 还能调节 mGluR1/5 的信号转导和功能。在所调查的不同功能输出中,ERK 在增强或抑制其活性方面发挥着特定的输出作用。总之,突触 I 组 mGluR 是 MAPK/ERK 的充分底物。ERK对mGluR1/5的磷酸化对磷酸化修饰受体的亚细胞表达和功能有重要影响。
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引用次数: 0
Relationships between Presence or Absence of ADHD and fMRI Connectivity Writing Tasks in Children with Dysgraphia. 书写障碍儿童是否患有多动症与 fMRI 连接性写作任务之间的关系。
Pub Date : 2016-01-01
Todd Richards, Robert D Abbott, Virginia W Berninger

The relationship between presence or absence of Attention Deficit Hyperactivity Disorder (ADHD) in persisting developmental dysgraphia (impaired handwriting) and brain connectivity during writing tasks was investigated. Thirteen participants (6 males, 1 female with ADHD; 4 males, 2 females without ADHD) in upper elementary or middle school grades performed four fMRI writing tasks-two cognitive (mind wandering and planning to compose) and two transcription (handwriting and spelling). Presence or absence of ADHD was correlated with brain connectivity on all four fMRI writing tasks during scanning, rather than just on the fMRI handwriting task as predicted based on prior research. However, the nature of the fMRI functional connectivity (from which of four seeds with which of eight brain regions) for the four fMRI writing tasks varied as a function of presence or absence of ADHD. The significance of these findings is discussed for both understanding the invisible biological bases of co-occurring ADHD and persisting developmental dysgraphia and teaching students with developmental dysgraphia and co-occurring ADHD.

本研究调查了持续性发育性书写障碍(书写受损)中是否存在注意力缺陷多动障碍(ADHD)与书写任务中大脑连通性之间的关系。13 名小学高年级或初中学生(6 名男性,1 名女性,患有多动症;4 名男性,2 名女性,未患有多动症)完成了四项 fMRI 书写任务--两项认知任务(思绪游荡和计划写作)和两项记录任务(手写和拼写)。在扫描过程中,是否患有多动症与所有四项 fMRI 写作任务的大脑连接性相关,而不是像之前的研究预测的那样,只与 fMRI 手写任务相关。然而,四项 fMRI 书写任务的 fMRI 功能连接性(四个种子与八个脑区中哪个脑区的连接性)因是否患有多动症而有所不同。本文讨论了这些发现对于理解共存多动症和持续性发展性书写障碍的隐形生物学基础以及教育患有发展性书写障碍和共存多动症的学生的意义。
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引用次数: 0
Effects of Coenzyme Q10 on Skeletal Muscle Oxidative Metabolism in Statin Users Assessed Using 31P Magnetic Resonance Spectroscopy: a Randomized Controlled Study. 使用31P磁共振波谱评估辅酶Q10对他汀类药物使用者骨骼肌氧化代谢的影响:一项随机对照研究
Pub Date : 2016-01-01
Catherine Buettner, Robert L Greenman, Long H Ngo, Jim S Wu

Objectives: Statins partially block the production of coenzyme Q10 (CoQ10), an essential component for mitochondrial function. Reduced skeletal muscle mitochondrial oxidative capacity has been proposed to be a cause of statin myalgia and can be measured using 31phosphorus magnetic resonance spectroscopy (31P-MRS). The purpose of this study is to assess the effect of CoQ10 oral supplementation on mitochondrial function in statin users using 31P-MRS.

Design/setting: In this randomized, double-blind, placebo-controlled pilot study, 21 adults aged 47-73 were randomized to statin+placebo (n=9) or statin+CoQ10 (n=12). Phosphocreatine (PCr) recovery kinetics of calf muscles were assessed at baseline (off statin and CoQ10) and 4 weeks after randomization to either statin+CoQ10 or statin+placebo.

Results: Baseline and post-treatment PCr recovery kinetics were assessed for 19 participants. After 4 weeks of statin+ CoQ10 or statin+placebo, the overall relative percentage change (100*(baseline-follow up)/baseline) in PCr recovery time was -15.1% compared with baseline among all participants, (p-value=0.258). Participants randomized to statin+placebo (n=9) had a relative percentage change in PCr recovery time of -18.9%, compared to -7.7% among participants (n=10) receiving statin+CoQ10 (p-value=0.448).

Conclusions: In this pilot study, there was no significant change in mitochondrial function in patients receiving 4 weeks of statin+CoQ10 oral therapy when compared to patients on statin+placebo.

目的:他汀类药物部分阻断辅酶Q10 (CoQ10)的产生,辅酶Q10是线粒体功能的重要组成部分。骨骼肌线粒体氧化能力降低被认为是他汀类肌痛的一个原因,可以用31P-MRS(31磷磁共振波谱)来测量。本研究的目的是利用31P-MRS评估口服辅酶q10对他汀类药物使用者线粒体功能的影响。设计/环境:在这项随机、双盲、安慰剂对照的初步研究中,21名47-73岁的成年人被随机分为他汀+安慰剂组(n=9)或他汀+辅酶q10组(n=12)。在基线(不使用他汀类药物和辅酶q10)和随机分配到他汀类药物+辅酶q10或他汀类药物+安慰剂后4周,评估小腿肌肉的磷酸肌酸(PCr)恢复动力学。结果:对19名参与者的基线和治疗后PCr恢复动力学进行了评估。在他汀类药物+辅酶q10或他汀类药物+安慰剂治疗4周后,所有参与者的PCr恢复时间的总体相对百分比变化(100*(基线-随访)/基线)与基线相比为-15.1%,(p值=0.258)。随机分配到他汀+安慰剂组的参与者(n=9)的PCr恢复时间的相对百分比变化为-18.9%,而接受他汀+辅酶q10组的参与者(n=10)的PCr恢复时间为-7.7% (p值=0.448)。结论:在这项初步研究中,与服用他汀+安慰剂的患者相比,接受4周他汀+辅酶q10口服治疗的患者线粒体功能没有显著变化。
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引用次数: 0
Pharmacokinetic, biodistribution and therapeutic efficacy of 5-fluorouracil-loaded pH-sensitive PEGylated liposomal nanoparticles in HCT-116 tumor bearing mouse. 载5-氟尿嘧啶ph敏感聚乙二醇化脂质体纳米颗粒在HCT-116荷瘤小鼠体内的药代动力学、生物分布及治疗效果
Pub Date : 2016-01-01
Ofonime Udofot, Kevin Affram, Taylor Smith, Bulumko Tshabe, Sunil Krishnan, Mandip Sachdeva, Edward Agyare

The objective of the study was to investigate the pharmacokinetics and efficacy of 5-FU entrapped pH-sensitive liposomal nanoparticles with surface-modified anti-epidermal growth factor receptor (EGFR) antibody (pHLNps-5-FU) delivery system. Cytotoxicity of 5-FU and pHLNps-5-FU was determined in vitro against HCT-116 cells. The biodistribution and pharmacokinetic parameters of the administered 5-FU and pHLNps-5-FU as well as efficacy of 5-FU and pHLNps-5-FU were determined in HCT-116 subcutaneous mouse model. Mean size of pHLNp-5-FU was 164.3 ± 8.4 nm with entrapment efficiency (E.E) of 54.17%. While cytotoxicity of 5-FU and pHLNps-5-FU showed a strong dose-dependent, pHLNps-5-FU proved to be more effective (2-3 fold high) than that of 5-FU against HCT-116 cells. Pharmacokinetic study showed a prolonged plasma circulation of pHLNps-5-FU and a more significant body exposure while accumulation of pHLNps-5-FU in tumor was significantly higher than that of free 5-FU. Further, the efficacy of pHLNps-5-FU, was greater than free 5-FU at equivalent 5-FU dose. The study suggests that pHLNps may be an effective drug delivery system to enhance the anticancer activity of 5-FU against colorectal tumor growth.

本研究的目的是研究表面修饰的抗表皮生长因子受体(EGFR)抗体(pHLNps-5-FU)递送系统包裹ph敏感脂质体纳米颗粒的药代动力学和疗效。体外测定5-FU和pHLNps-5-FU对HCT-116细胞的细胞毒性。在HCT-116小鼠皮下模型中测定给药5-FU和pHLNps-5-FU的生物分布、药动学参数以及5-FU和pHLNps-5-FU的药效。pHLNp-5-FU平均粒径为164.3±8.4 nm,包封效率(e)为54.17%。虽然5-FU和pHLNps-5-FU的细胞毒性表现出很强的剂量依赖性,但pHLNps-5-FU被证明比5-FU对HCT-116细胞更有效(高2-3倍)。药代动力学研究表明,pHLNps-5-FU的血浆循环时间延长,体暴露更明显,而pHLNps-5-FU在肿瘤中的蓄积量显著高于游离5-FU。此外,在相同5-FU剂量下,pHLNps-5-FU的疗效大于游离5-FU。该研究提示pHLNps可能是一种有效的药物传递系统,可增强5-FU对结直肠癌肿瘤生长的抗癌活性。
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引用次数: 0
Malnutrition and Total Joint Arthroplasty. 营养不良与全关节置换术。
Pub Date : 2016-01-01
Bridget Ellsworth, Atul F Kamath

Malnutrition is prevalent in patients undergoing elective total joint arthroplasty (TJA). Malnutrition has been shown to be an independent risk factor for multiple postsurgical complications following TJA in addition to increasing postoperative mortality. In the current healthcare environment, it is important to recognize and correct modifiable risk factors preoperatively to minimize perioperative complications and improve patient outcomes. Recently, multiple studies have been published focusing on the association between malnutrition and perioperative complications following TJA. The findings of these studies are summarized in this review. Further research is required to determine if optimization of nutritional status preoperatively influence surgical outcomes in the elective TJA patient.

营养不良是普遍的患者接受选择性全关节置换术(TJA)。除了增加术后死亡率外,营养不良已被证明是TJA术后多种并发症的独立危险因素。在当前的医疗环境下,术前识别和纠正可改变的危险因素对于减少围手术期并发症和改善患者预后非常重要。最近,有多项研究聚焦于TJA术后营养不良与围手术期并发症之间的关系。本文就这些研究结果作一综述。术前营养状况的优化是否会影响择期TJA患者的手术结果,需要进一步的研究来确定。
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引用次数: 0
Assessing Systemic Stress in Otolaryngology: Methodology and Feasibility of Hair and Salivary Cortisol Testing. 评估耳鼻喉科的全身压力:毛发和唾液皮质醇测试的方法和可行性。
Pub Date : 2015-08-01
Dane J Genther, Mark L Laudenslager, Yoon-Kyu Sung, Caitlin R Blake, David S Chen, Frank R Lin

Objective: Elevated systemic stress is a predictor of adverse health outcomes, and stress can be objectively quantified by cortisol concentration. Despite its utility, such testing is rarely performed in otolaryngology. This manuscript provides details on the principles, methodology, and feasibility of performing laboratory assessments of hair and salivary cortisol to inform researchers wishing to incorporate these novel tests in future otolaryngologic studies.

Methods: Participants were older adults with hearing impairment. One hair sample and eight saliva samples were collected. Feasibility of study design was assessed through rates of participation in hair and saliva sampling and protocol adherence for saliva collection. Area under the curve (AUC) was used to evaluate overall secretion, and cortisol awakening response (CAR) was used to evaluate the dynamic secretion response.

Results: From 9/1/2013 to 12/31/2013, 26/30 (86.7%) eligible participants agreed to hair sampling. All 30 subjects agreed to collect saliva, with 29 (96.7%) adhering to the collection protocol. Mean AUC was 401.2 nmol/L per hour, and CAR was 4.5 nmol/L.

Conclusions: Evaluating systemic stress in an otolaryngologic population using hair and saliva is feasible with acceptable participation and adherence. Repeat measurements over time will allow for evaluation of changes in systemic stress in relation to treatment.

目的:全身压力升高是不良健康后果的一个预测因素,而压力可通过皮质醇浓度进行客观量化。尽管皮质醇具有实用性,但耳鼻喉科很少进行此类检测。本手稿详细介绍了对毛发和唾液皮质醇进行实验室评估的原理、方法和可行性,为希望将这些新型测试纳入未来耳鼻喉科研究的研究人员提供参考:方法:参与者为有听力障碍的老年人。收集了一份头发样本和八份唾液样本。研究设计的可行性通过参与头发和唾液采样的比率以及唾液采集协议的遵守情况进行评估。曲线下面积(AUC)用于评估总体分泌情况,皮质醇唤醒反应(CAR)用于评估动态分泌反应:从 2013 年 1 月 9 日至 2013 年 12 月 31 日,26/30(86.7%)名符合条件的参与者同意采集头发样本。所有 30 名受试者都同意采集唾液,其中 29 人(96.7%)遵守了采集协议。平均 AUC 为每小时 401.2 nmol/L,CAR 为 4.5 nmol/L:结论:使用毛发和唾液评估耳鼻喉科人群的全身应激反应是可行的,且参与度和依从性均可接受。随着时间的推移重复测量可评估与治疗相关的全身应激变化。
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引用次数: 0
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