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Reappraisal of anatomical diversity of lateral circumflex femoral artery with its substantial clinical applicability: cadaveric study. 重新评估股外侧周动脉解剖结构的多样性及其临床应用性:尸体研究。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-09-30 Epub Date: 2024-07-15 DOI: 10.5115/acb.24.047
Anju Chaudhary, Apurba Patra, Pooja Garg

Studies reveal variations in the in the origin, number, and branching patterns of the lateral circumflex femoral artery (LCFA). The present study aimed to document such variations and their potential clinical applicability. Thirty-two femoral triangles of 16 embalmed adult human cadavers were dissected to investigate the variation in the origin, number, and branching patterns of LCFA. The main branches of the LCFA were tracked independently for numerical variations in branching pattern. The distance between the origin of LCFA and mid inguinal point (MIP) was also measured in each case. LCFA was most commonly arising from profunda femoris (PF), followed by femoral artery (FA) and common trunk of the femoral artery (CFA). Duplication LCFA was observed in 15 (46.87%) limbs, in 5 (31.25%) cases duplication was only on right side, in 4 (25%) cases duplication was only on left side and in 3 (18.75%), duplication was bilateral. Cases with duplication of LCFA, showed numerical variations with descending pattern being the most common. The average distance of LCFA1 and LCFA2 from mid-inguinal point was 5.77±1.35 cm and 6.14±2.05 cm respectively. Detailed information regarding the occurrence of duplication will be great importance for surgeons, interventional radiologists, and other medical professionals performing procedures in the femoral region. Knowledge of variation of branching pattern of LCFA is utmost important as surgeons use the descending branch of the LCFA in bypass grafting and vascular reconstruction surgeries.

研究显示,股外侧环动脉(LCFA)的起源、数量和分支模式存在差异。本研究旨在记录这些变异及其潜在的临床适用性。研究人员解剖了 16 具已防腐处理的成人尸体的 32 个股三角区,以研究 LCFA 的起源、数量和分支模式的变化。对 LCFA 的主要分支进行了独立追踪,以了解分支模式的数量变化。还测量了每个病例中 LCFA 起源与腹股沟中点(MIP)之间的距离。LCFA 最常起源于股深动脉 (PF),其次是股动脉 (FA) 和股动脉总干 (CFA)。有 15 例(46.87%)肢体出现 LCFA 重复,其中 5 例(31.25%)仅右侧重复,4 例(25%)仅左侧重复,3 例(18.75%)为双侧重复。LCFA 重复的病例在数字上有变化,降序模式最为常见。LCFA1 和 LCFA2 距腹股沟中点的平均距离分别为 5.77±1.35 厘米和 6.14±2.05 厘米。有关重复发生的详细信息对于外科医生、介入放射科医生和其他在股骨区域进行手术的专业医务人员来说非常重要。由于外科医生在旁路移植和血管重建手术中使用 LCFA 降支,因此了解 LCFA 分支模式的变化至关重要。
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引用次数: 0
Development and cross-sectional morphology of the recurrent laryngeal nerves in human fetuses. 人类胎儿喉返神经的发育和横截面形态。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-09-30 Epub Date: 2024-07-17 DOI: 10.5115/acb.24.052
Maria Cecília Baratela, William Paganini Mayer, Josemberg da Silva Baptista

The recurrent laryngeal nerve is a bilateral branch of the vagus nerve that is mainly associated with the motor innervation of the intrinsic muscles of the larynx. Despite its bilateral distribution, the right and left recurrent laryngeal nerves display unequal length due to embryological processes related to the development of the aortic arches. This length asymmetry leads to theories about morphological compensations to provide symmetrical functions to the intrinsic muscles of the larynx. In this study we investigated the developmental and cross-sectional morphometrics of the recurrent laryngeal nerves in human fetuses. Fifteen stillbirth fetuses donated to anatomical and medical research were used for investigation. Fetuses had intrauterine age ranging from 30 to 40 weeks estimated by biometry methods. Specialized anatomical dissection of the visceral block of the neck was performed to prepare histological samples of the recurrent laryngeal nerves in its point of contact with the larynx, and morpho-quantitative techniques were applied to evaluate the epineurium and perineural space of the recurrent laryngeal nerves. No statistical difference in the cross-sectional morphology of the epineurium and perineural space between right and left recurrent laryngeal nerves intra-individually was confirmed, however, we found evidence that these structures are under greater development in the left recurrent laryngeal nerve during 30 to 40 weeks of intrauterine life. Our data suggest that the nerves are under morphological development that possibly set the stage for accommodation of larger diameter and myelinization of the left recurrent laryngeal nerve during post-natal life.

喉返神经是迷走神经的双侧分支,主要与喉固有肌的运动神经支配有关。尽管喉返神经呈双侧分布,但由于与主动脉弓发育有关的胚胎过程,左右喉返神经的长度不等。这种长度不对称导致了有关形态学补偿的理论,以便为喉部固有肌肉提供对称的功能。在这项研究中,我们调查了人类胎儿喉返神经的发育和横截面形态计量学。研究使用了 15 个捐赠给解剖学和医学研究的死胎。胎儿的宫内年龄根据生物测量法估计为 30 至 40 周。对颈部内脏块进行了专门的解剖解剖,以制备喉返神经与喉接触点的组织学样本,并应用形态定量技术评估喉返神经的会厌和神经周围间隙。结果表明,左右喉返神经的会厌和神经周围间隙的横截面形态没有统计学差异,但我们发现有证据表明,在宫内生活的30至40周期间,左侧喉返神经的会厌和神经周围间隙发育得更为成熟。我们的数据表明,这些神经正处于形态发育阶段,可能为出生后左侧喉返神经直径增大和髓鞘化奠定了基础。
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引用次数: 0
Middle meatal nasal recesses of the maxillary sinuses and dangerously modified nasal anatomy. 上颌窦中肉鼻腔凹陷和危险的鼻腔解剖学改变。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-09-30 Epub Date: 2024-05-22 DOI: 10.5115/acb.24.023
Mugurel Constantin Rusu, Alexandru Nicolae Mureşan, Carol Antonio Dandoczi, Alexandra Diana Vrapciu

Pneumatisation of the maxillary sinus (MS) is variable. The archived cone-beam computed tomography file of a 54-year-old female was retrospectively evaluated anatomically. Nasal or retrobullar recesses of the MSs (NRMS) were found. The MSs were bicameral. NRMSs extended from the postero-lateral chambers of the MSs into the lateral nasal walls. The right NRMS was reached superior to the middle turbinate and the ethmoidal bulla was applied on its anterior side. The left NRMS had two medial pouch-like ends, one beneath the ethmoidal bulla and the other on the anterior side of the basal lamella of the middle turbinate. Additional anatomical findings were the uncinate bulla, infraorbital recesses of the MS, maxillary recess of the sphenoidal sinus, and atypical posterior insertions of the superior nasal turbinates, maxillo-ethmoido-sphenoidal and ethmoido-sphenoidal. The NRMS is a novel finding and could lead to erroneous endoscopic corridors if not documented before the interventions.

上颌窦(MS)的充气情况多种多样。我们对一名 54 岁女性的锥形束计算机断层扫描档案进行了回顾性解剖评估。发现了上颌窦的鼻腔或髓后凹陷(NRMS)。多发性硬化症为双侧。NRMS 从 MS 的后外侧腔延伸至鼻侧壁。右侧 NRMS 位于中鼻甲上方,乙状鼓室位于其前侧。左侧 NRMS 有两个内侧袋状末端,一个位于乙状鼓室下方,另一个位于中鼻甲基底层前侧。其他的解剖学发现包括钩状鼓室、MS 的眶下凹陷、蝶窦的上颌凹陷以及上鼻甲、上颌-乙状-蝶窦和乙状-蝶窦的非典型后方插入。NRMS 是一项新发现,如果不在干预前记录下来,可能会导致错误的内窥镜走廊。
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引用次数: 0
Exploring the therapeutic potential: Apelin-13's neuroprotective effects foster sustained functional motor recovery in a rat model of Huntington's disease. 探索治疗潜力:Apelin-13 的神经保护作用可促进亨廷顿症大鼠模型的持续运动功能恢复。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-09-30 Epub Date: 2024-07-31 DOI: 10.5115/acb.23.284
Shaysteh Torkamani-Dordshaikh, Shahram Darabi, Mohsen Norouzian, Reza Bahar, Amirreza Beirami, Meysam Hassani Moghaddam, Mobina Fathi, Kimia Vakili, Foozhan Tahmasebinia, Maryam Bahrami, Hojjat Allah Abbaszadeh, Abbas Aliaghaei

Huntington's disease (HD) is a hereditary condition considered by the progressive degeneration of nerve cells in the brain, resultant in motor dysfunction and cognitive impairment. Despite current treatment modalities including pharmaceuticals and various therapies, a definitive cure remains elusive. Therefore, this study investigates the therapeutic potential effect of Apelin-13 in HD management. Thirty male Wistar rats were allocated into three groups: a control group, a group with HD, and a group with both HD and administered Apelin-13. Apelin-13 was administered continuously over a 28-day period at a dosage of around 30 mg/kg to mitigate inflammation in rats subjected to 3-NP injection within an experimental HD model. Behavioral tests, such as rotarod, electromyography (EMG), elevated plus maze, and open field assessments, demonstrated that Apelin-13 improved motor function and coordination in rats injected with 3-NP. Apelin-13 treatment significantly increased neuronal density and decreased glial cell counts compared to the control group. Immunohistochemistry analysis revealed reduced gliosis and expression of inflammatory factors in the treatment group. Moreover, Apelin-13 administration led to elevated levels of glutathione and reduced reactive oxygen species (ROS) level in the treated group. Apelin-13 demonstrates neuroprotective effects, leading to improved movement and reduced inflammatory and fibrotic factors in the HD model.

亨廷顿氏病(Huntington's disease,HD)是一种遗传性疾病,主要表现为大脑神经细胞逐渐退化,导致运动功能障碍和认知障碍。尽管目前的治疗方法包括药物和各种疗法,但仍无法彻底治愈。因此,本研究探讨了 Apelin-13 在 HD 治疗中的潜在疗效。研究人员将 30 只雄性 Wistar 大鼠分为三组:对照组、HD 组和同时患有 HD 和服用 Apelin-13 的组。在为期 28 天的实验中,以每公斤约 30 毫克的剂量连续给大鼠注射 Apelin-13,以减轻在实验性 HD 模型中注射 3-NP 的大鼠的炎症反应。行为测试,如旋转木马、肌电图(EMG)、高架加迷宫和开阔地评估表明,Apelin-13 可改善注射了 3-NP 的大鼠的运动功能和协调性。与对照组相比,Apelin-13 治疗可明显增加神经元密度,减少胶质细胞数量。免疫组化分析显示,治疗组的神经胶质增生和炎症因子表达减少。此外,Apelin-13 还能使治疗组的谷胱甘肽水平升高,活性氧(ROS)水平降低。Apelin-13具有神经保护作用,可改善HD模型的运动,减少炎症和纤维化因子。
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引用次数: 0
A bifid ureter originating from separate major calyx and renal pelvis with dual calyceal systems: a case report. 输尿管分叉,分别源自不同的大肾萼和肾盂,具有双肾萼系统:病例报告。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-09-30 Epub Date: 2024-05-09 DOI: 10.5115/acb.24.033
Yuri Seu, Hyun Jin Park, Jin Seo Park, Yong-Suk Moon, Hongtae Kim, Mi-Sun Hur

Present case report describes a case of bifid ureter arising directly from separate calyces and renal pelvis of the kidney. Incomplete ureter duplication on the left side in a 78-year-old male cadaver was found during an anatomy class. These ureters converged in a Y-shaped pattern just above the level of the anterior superior iliac spine. In the coronal section of the kidney, the anterior ureter arose from a renal pelvis that was divided into two major calyces in the lower two-thirds of the kidney. On the other hand, the posterior ureter was directly connected to a major calyx in the upper third of the kidney, without the formation of a renal pelvis. This anatomical variation has implications for diagnostic approaches, especially in the use of imaging techniques by urologists for the insertion of stents in the treatment of phyelonephritis.

本病例报告描述了一例输尿管分叉的病例,其输尿管直接来自分开的肾盏和肾盂。一具 78 岁男性尸体的左侧输尿管不完全复制是在解剖课上发现的。这些输尿管在髂前上棘水平上方汇聚成 Y 形。在肾脏的冠状切面上,前输尿管来自肾盂,肾盂在肾脏的下三分之二处分为两大肾盏。另一方面,后输尿管直接连接到肾脏上三分之一处的一个主要肾萼,而没有形成肾盂。这种解剖上的差异对诊断方法有影响,特别是对泌尿科医生使用成像技术插入支架治疗肾盂肾炎有影响。
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引用次数: 0
Surgical anatomy of transversus abdominis muscle for transversus abdominis release. 腹横肌松解术的腹横肌手术解剖。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-09-30 Epub Date: 2024-05-27 DOI: 10.5115/acb.23.305
Pauline Shanthi, Femina Sam, Jenny Jacob, Beulah Roopavathana S, Suganthy Rabi

Transversus abdominis release (TAR) is a myofascial release technique which helps in surgical repair of large ventral abdominal wall defects. In this procedure, the medial margin of muscular part of transversus abdominis (TA) is of great importance. Hence, the authors sought to describe the extent of medial margin of TA muscle. The surgical steps of TAR were performed in 10 formalin-fixed cadavers and distance between medial margin of TA muscle, lateral margin of rectus abdominis, to linea alba at five anatomical levels were documented respectively. The distance between the inferior epigastric vessels and the medial border of TA muscle was also noted. The TA muscle was within the posterior rectus sheath in all cadavers, at the xiphisternum (R, 61.6 mm; L, 58.9 mm), and at midway between xiphisternum and umbilicus (R, 25.4 mm; L, 27.1 mm). The TA muscle exited the posterior rectus sheath between this point and the umbilicus. The mean incongruity at the next three levels were -24.6 mm, -24.9 mm, and -22.9 mm respectively on the right and -21.4 mm, -19.9 mm, and -18.9 mm respectively on the left. The mean distance between the medial border of TA and inferior epigastric vessels was 18.9 mm on the right and 17.2 mm on the left. The muscular part of TA was incorporated within the posterior rectus sheath above the umbilicus, and it completely exited the rectus sheath at the umbilicus. This is contrary to the traditional understanding of posterior rectus sheath formation.

腹横肌松解术(TAR)是一种肌筋膜松解技术,有助于腹壁大面积缺损的手术修复。在这种手术中,腹横肌(TA)肌肉部分的内侧缘非常重要。因此,作者试图描述腹横肌内侧缘的范围。在 10 具福尔马林固定的尸体上进行了 TAR 的手术步骤,并分别记录了 TA 肌肉内侧缘、腹直肌外侧缘到白线之间在五个解剖层次上的距离。此外,还记录了上腹部下血管与 TA 肌肉内侧缘之间的距离。所有尸体的腹直肌都在后直肌鞘内,分别位于腹股沟(R,61.6 毫米;L,58.9 毫米)和腹股沟与脐之间的中间位置(R,25.4 毫米;L,27.1 毫米)。TA肌在该点和脐之间从后直肌鞘退出。接下来三个水平的平均不一致性分别为右侧-24.6毫米、-24.9毫米和-22.9毫米,左侧-21.4毫米、-19.9毫米和-18.9毫米。TA内侧边界与上腹下血管之间的平均距离右侧为18.9毫米,左侧为17.2毫米。TA的肌肉部分被纳入脐部上方的后直肠鞘内,并在脐部完全退出直肠鞘。这与人们对后直肌鞘形成的传统理解相反。
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引用次数: 0
Alcohol intake during pregnancy reduces offspring bone epiphyseal growth plate chondrocyte proliferation through transforming growth factor β-1 inhibition in the Sprague Dawley rat humerus. 妊娠期酒精摄入会通过抑制转化生长因子β-1,减少 Sprague Dawley 大鼠肱骨后代骨骺生长板软骨细胞的增殖。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-09-30 Epub Date: 2024-05-31 DOI: 10.5115/acb.23.313
Diana Pillay, Vaughan Perry, Robert Ndou

Intrauterine alcohol exposure delays bone maturation and intensifies osteoporosis and fracture risk. As most studies emphasize the neurological aspects of intrauterine alcohol exposure, there is a lack of research on the implications pertaining to osseous tissue. Previous studies investigated these effects in fetuses, with limited studies on postnatal life. Postnatal studies are crucial since peak bone growth occurs during adolescence. This study aimed at assessing the effects of prenatal alcohol exposure on the humerus proximal and distal growth plate chondrocytes in 3-week-old rats. Sprague Dawley rats (n=9) were assigned to either the ethanol group (n=3), saline (n=3), and untreated (n=3) group and time-mated. Once pregnant, as confirmed by the presence of a copulation plug, the former 2 groups were treated with 0.015 ml/g of 25.2% ethanol and 0.9% saline. The untreated group received no treatment. The left humeri belonging to 6 pups per group were used. Serial sections were cut with a microtome at 5 μm thickness. These sections were stained with haematoxylin and eosin for assessment of normal morphology or immunolabeled with anti-Ki-67 and transforming growth factor β-1 (TGFβ-1) antibody. Prenatal alcohol exposure adversely effected the growth plate sizes and the number of cells in the proliferative zone. Fewer TGFβ-1 immunopositive and proliferative chondrocytes were found using the anti-Ki-67 antibody. This may explain the growth retardation in offspring exposed to gestational alcohol, showing that gestational alcohol exposure inhibits cell proliferation, aiding the diminished stature.

宫内酒精暴露会延迟骨骼成熟,加剧骨质疏松症和骨折风险。由于大多数研究强调宫内酒精暴露对神经系统的影响,因此缺乏对骨组织影响的研究。以往的研究调查了这些对胎儿的影响,但对产后生活的研究有限。出生后的研究至关重要,因为骨骼生长的高峰期在青春期。本研究旨在评估产前酒精暴露对 3 周龄大鼠肱骨近端和远端生长板软骨细胞的影响。将 Sprague Dawley 大鼠(9 只)分为乙醇组(3 只)、生理盐水组(3 只)和未处理组(3 只),并进行时间交配。一旦妊娠,即出现交配栓后,前两组分别用 0.015 毫升/克的 25.2%乙醇和 0.9%生理盐水处理。未处理组不进行任何处理。每组使用 6 只幼鼠的左肱骨。用显微切片机切取厚度为 5 µm 的连续切片。这些切片用血红素和伊红染色以评估正常形态,或用抗Ki-67和转化生长因子β-1(TGFβ-1)抗体进行免疫标记。产前酒精暴露对生长板的尺寸和增殖区的细胞数量有不利影响。使用抗-Ki-67抗体可发现较少的TGFβ-1免疫阳性和增殖软骨细胞。这可能解释了妊娠期酒精暴露的后代生长迟缓的原因,表明妊娠期酒精暴露会抑制细胞增殖,导致身材矮小。
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引用次数: 0
Prevalence of anatomical variants in the branches of celiac and superior mesenteric arteries among Egyptians. 腹腔动脉和肠系膜上动脉分支解剖变异在埃及人中的流行情况。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-09-30 Epub Date: 2024-06-25 DOI: 10.5115/acb.23.316
Abdelrazek Abdelhady Sheta

Celiac trunk and superior mesenteric artery (SMA) are the main blood supply to the liver and pancreas. The data of anatomical variations in these arteries or their branches are very important clinically and surgically. The aim of this study was to describe the different variants in these arteries through the examination of the angiographs of a large series of Egyptian individuals. This research involved 389 selective angiographies to celiac artery, its branches, and the SMA. Anatomy of the target arteries of people who experienced visceral angiograph was reviewed and the data were recorded. From the total available angiograms in this work, 286 patients (73.52%) had the standard anatomy of celiac trunk and superior mesenteric arteries, and 103 patients (26.47%) had a single or multiple vessel variation. The inferior phrenic artery originates from celiac trunk in 2.05% of patients, while quadrifurcation of the celiac trunk was noticed in only 0.51% of patients. Absence of celiac trunk is also found in 0.51% of patients. Left gastric artery showed an abnormal origin from the splenic artery in 0.51% of patients. Quadrifurcation of common hepatic artery was also noticed. Variant anatomy of the left hepatic artery (LHA) was seen in 9.51% of patients, while variations of the right hepatic artery (RHA) were 14.13%. With the different origin of hepatic arteries, the gastroduodenal artery arose either from the LHA (2.82%), RHA (2.31%) or even from the celiac trunk (1.79%).

腹腔干和肠系膜上动脉(SMA)是肝脏和胰腺的主要供血动脉。这些动脉或其分支的解剖变异数据在临床和手术中都非常重要。本研究的目的是通过对大量埃及人的血管造影检查来描述这些动脉的不同变异。这项研究对腹腔动脉、其分支和 SMA 进行了 389 次选择性血管造影。对接受过内脏血管造影术的人的目标动脉解剖进行了审查并记录了数据。在所有可获得的血管造影中,286 名患者(73.52%)的腹腔干和肠系膜上动脉解剖结构符合标准,103 名患者(26.47%)的解剖结构存在单根或多根血管变异。2.05% 的患者的膈下动脉起源于腹腔干,而只有 0.51% 的患者腹腔干出现四叉。也有 0.51% 的患者发现腹腔干缺失。0.51%的患者的胃左动脉显示出异常,起源于脾动脉。还发现肝总动脉四叉。9.51%的患者出现肝左动脉(LHA)解剖结构变异,而肝右动脉(RHA)的变异率为14.13%。由于肝动脉的起源不同,胃十二指肠动脉要么来自肝左动脉(2.82%),要么来自肝右动脉(2.31%),甚至来自腹腔干(1.79%)。
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引用次数: 0
Aptamin C enhances anti-cancer activity NK cells through the activation of STAT3: a comparative study with vitamin C. 通过激活 STAT3 增强 NK 细胞的抗癌活性:一项与维生素 C 的比较研究。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-09-30 Epub Date: 2024-07-25 DOI: 10.5115/acb.24.120
Tomoyo Agura, Seulgi Shin, Hyejung Jo, Seoyoun Jeong, Hyovin Ahn, So Young Pang, June Lee, Jeong-Ho Park, Yejin Kim, Jae Seung Kang

Vitamin C is a well-known antioxidant with antiviral, anticancer, and anti-inflammatory properties based on its antioxidative function. Aptamin C, a complex of vitamin C with its specific aptamer, has been reported to maintain or even enhance the efficacy of vitamin C while increasing its stability. To investigate in vivo distribution of Aptamin C, Gulo knockout mice, which, like humans, cannot biosynthesize vitamin C, were administered Aptamin C orally for 2 and 4 weeks. The results showed higher vitamin C accumulation in all tissues when administered Aptamin C, especially in the spleen. Next, the activity of natural killer (NK) cells were conducted. CD69, a marker known for activating for NK cells, which had decreased due to vitamin C deficiency, did not recover with vitamin C treatment but showed an increasing with Aptamin C. Furthermore, the expression of CD107a, a cell surface marker that increases during the killing process of target cells, also did not recover with vitamin C but increased with Aptamin C. Based on these results, when cultured with tumor cells to measure the extent of tumor cell death, an increase in tumor cell death was observed. To investigate the signaling mechanisms and related molecules involved in the proliferation and activation of NK cells by Aptamin C showed that Aptamin C treatment led to an increase in intracellular STAT3 activation. In conclusion, Aptamin C has a higher capability to activate NK cells and induce tumor cell death compared to vitamin C and it is mediated through the activation of STAT3.

维生素 C 是一种众所周知的抗氧化剂,具有抗病毒、抗癌和消炎的作用。Aptamin C是维生素C与其特异性适配体的复合物,有报道称它能保持甚至增强维生素C的功效,同时提高其稳定性。为了研究 Aptamin C 在体内的分布情况,我们给 Gulo 基因敲除小鼠口服了 2 周和 4 周 Aptamin C。结果表明,给小鼠口服七叶皂苷 C 后,维生素 C 在所有组织中的蓄积量都增加了,尤其是在脾脏中。接下来,研究人员对自然杀伤(NK)细胞的活性进行了检测。此外,在杀死靶细胞过程中会增加的细胞表面标志物 CD107a 的表达也没有随着维生素 C 的服用而恢复,但在服用万通维生素 C 后却有所增加。在研究七叶皂苷 C 参与 NK 细胞增殖和激活的信号机制和相关分子时发现,七叶皂苷 C 处理会导致细胞内 STAT3 激活增加。总之,与维生素 C 相比,Aptamin C 激活 NK 细胞和诱导肿瘤细胞死亡的能力更强,而且是通过激活 STAT3 介导的。
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引用次数: 0
Persisting carotid duct and proximal external carotid artery agenesis in an adult. 成人颈动脉导管和颈外动脉近端发育不全。
IF 1.1 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-06-30 Epub Date: 2024-01-18 DOI: 10.5115/acb.23.202
Mugurel Constantin Rusu, Adelina Maria Jianu, Alexandra Diana Vrapciu, Mihaela Daniela Manta

The carotid duct (CD) is a transient embryological structure connecting the 3rd and 4th aortic arches. We found a persisting CD in an adult female case, by studying the computed tomography angiogram. On the left side, the proximal external carotid artery (ECA) agenesis was noted. The CD was inserted into the left subclavian artery and continued upwards to reach the level of the atlas, and then it descended to connect to a normally configured segment of that ECA. It could be speculated that the CD-to-ECA connection was possible via unregressed 1st and/or 2nd aortic arches. The segmental ECA agenesis is extremely rare, while its supply via a persisting patent CD was not reported previously to the authors' knowledge. The variants are extremely important during neck surgery because damaging the CD could determine hemorrhage, as well as ischemia in the ECA territory.

颈动脉导管(CD)是连接第 3 和第 4 主动脉弓的短暂胚胎结构。通过研究计算机断层扫描血管造影,我们在一名成年女性病例中发现了持续存在的 CD。左侧颈外动脉(ECA)近端发育不良。CD 插入左锁骨下动脉,继续向上到达寰椎水平,然后下降连接到该 ECA 的正常配置段。可以推测,CD到ECA的连接是通过未后退的第一和/或第二主动脉弓实现的。据作者所知,节段性 ECA 先天性缺损极为罕见,而通过持续通畅的 CD 供血的情况以前从未报道过。这些变异在颈部手术中极为重要,因为损伤 CD 可能会导致大出血以及 ECA 区域缺血。
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引用次数: 0
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Anatomy & Cell Biology
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