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Primate hibernation: The past, present, and promise of captive dwarf lemurs 灵长类冬眠:圈养矮狐猴的过去、现在和前景。
IF 4.1 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-08-13 DOI: 10.1111/nyas.15206
Marina B. Blanco, Lydia K. Greene, Kay H. Welser, Erin E. Ehmke, Anne D. Yoder, Peter H. Klopfer

The dwarf lemurs (Cheirogaleus spp.) of Madagascar are the only obligate hibernators among primates. Despite century-old field accounts of seasonal lethargy, and more recent evidence of hibernation in the western fat-tailed dwarf lemur (Cheirogaleus medius), inducing hibernation in captivity remained elusive for decades. This included the Duke Lemur Center (DLC), which maintains fat-tailed dwarf lemurs and has produced sporadic research on reproduction and metabolism. With cumulative knowledge from the field, a newly robust colony, and better infrastructure, we recently induced hibernation in DLC dwarf lemurs. We describe two follow-up experiments in subsequent years. First, we show that dwarf lemurs under stable cold conditions (13°C) with available food continued to eat daily, expressed shallower and shorter torpor bouts, and had a modified gut microbiome compared to peers without food. Second, we demonstrate that dwarf lemurs under fluctuating temperatures (12–30°C) can passively rewarm daily, which was associated with altered patterns of fat depletion and reduced oxidative stress. Despite the limitations of working with endangered primates, we highlight the promise of studying hibernation in captive dwarf lemurs. Follow-up studies on genomics and epigenetics, metabolism, and endocrinology could have relevance across multidisciplinary fields, from biomedicine to evolutionary biology, and conservation.

马达加斯加的矮狐猴(Cheirogaleus spp.)是灵长类动物中唯一的冬眠动物。尽管百年前就有关于季节性嗜睡的野外记录,而且最近也有西部肥尾矮狐猴(Cheirogaleus medius)冬眠的证据,但数十年来,诱导人工饲养的狐猴冬眠仍然难以实现。其中包括杜克狐猴中心(DLC),该中心饲养着肥尾矮狐猴,并对其繁殖和新陈代谢进行了零星的研究。凭借在野外积累的知识、新建成的强大种群和更好的基础设施,我们最近诱导了杜克中心矮狐猴的冬眠。我们介绍了随后几年的两项后续实验。首先,我们发现在稳定的低温条件下(13°C),与没有食物的矮狐猴相比,有食物的矮狐猴每天都会进食,冬眠时间更短、更浅,肠道微生物组也有所改变。其次,我们证明了侏儒狐猴在温度波动(12-30°C)条件下可以每天被动回暖,这与脂肪消耗模式的改变和氧化应激的减少有关。尽管与濒危灵长类动物合作存在局限性,但我们强调了研究圈养矮狐猴冬眠的前景。有关基因组学和表观遗传学、新陈代谢和内分泌学的后续研究可能与生物医学、进化生物学和自然保护等多学科领域相关。
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引用次数: 0
Delivery platforms for reaching adolescents with nutrition interventions in low- and middle-income countries 为中低收入国家的青少年提供营养干预措施的实施平台
IF 4.1 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-08-08 DOI: 10.1111/nyas.15196
Mahum Khizar, Julie Ruel-Bergeron, Eleonor Zavala, Karen Chang, Yunhee Kang, Saskia de Pee, Robert E. Black, Parul Christian

Adolescents in low- and middle-income countries (LMICs) are a vulnerable population given increased nutritional needs as puberty approaches. School-based nutrition programs exist in some settings, but the comprehensive provision of nutrition services requires knowledge of the mechanisms to reach out-of-school adolescents. A comprehensive scoping review was performed using formal and informal search strategies to landscape all potential delivery platforms with nutrition services to reach adolescents. Peer-reviewed studies, institutional strategies, program evaluations, and programmatic reports in LMICs were reviewed, including gray literature. A total of 87 out of 270 identified publications and reports describing nutrition programs for adolescents were identified. Although nutrition programs targeted at adolescents were sparse, various innovative and inclusive delivery platforms were included, such as school feeding programs, school-based anemia control, and nutrition-friendly school initiatives; health facility–based, youth-friendly health and nutrition services; social safety nets targeted at adolescents; community-based approaches targeting youth development and peer education within youth centers and faith-based settings; and technology-based platforms, including digital health services and mass media communication sensitization and mobilization efforts. Existing delivery mechanisms and platforms in health and other sectors that target adolescents offer great potential to extend nutrition interventions to this vulnerable yet hard-to-reach population.

中低收入国家(LMICs)的青少年是一个弱势群体,随着青春期的到来,他们对营养的需求不断增加。在某些环境中存在以学校为基础的营养计划,但要全面提供营养服务,就必须了解覆盖校外青少年的机制。我们采用正式和非正式的搜索策略,对所有可能为青少年提供营养服务的平台进行了全面的范围界定。我们查阅了包括灰色文献在内的同行评议研究、机构战略、项目评估以及低收入与中等收入国家的项目报告。在已确定的 270 份出版物和报告中,共有 87 份介绍了针对青少年的营养计划。虽然针对青少年的营养计划并不多,但却包括了各种创新性和包容性的实施平台,如学校供餐计划、校本贫血控制和营养友好型学校倡议;基于卫生机构的青少年友好型健康和营养服务;针对青少年的社会安全网;在青少年中心和信仰环境中针对青少年发展和同伴教育的社区方法;以及基于技术的平台,包括数字健康服务和大众媒体传播宣传和动员工作。卫生和其他部门针对青少年的现有交付机制和平台为将营养干预措施推广到这一脆弱但难以接触到的人群提供了巨大的潜力。
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引用次数: 0
The causal role of the subthalamic nucleus in the inhibitory network 眼下核在抑制网络中的因果作用。
IF 4.1 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-08-08 DOI: 10.1111/nyas.15193
Ignacio Obeso, Francis R. Loayza, Rafael González-Redondo, Federico Villagra, Elkin Luis, Marjan Jahanshahi, José A. Obeso, Maria A. Pastor

The neural network mediating successful response inhibition mainly includes right hemisphere activation of the pre-supplementary motor area, inferior frontal gyrus (IFG), subthalamic nucleus (STN), and caudate nucleus. However, the causal role of these regions in the inhibitory network is undefined. Five patients with Parkinson's disease were assessed prior to and after therapeutic thermal ablation of the right STN in two separate functional magnetic resonance imaging (fMRI) sessions while performing a stop-signal task. Initiation times were faster but motor inhibition with the left hand (contralateral to the lesion) was significantly impaired as evident in prolonged stop-signal reaction times. Reduced inhibition after right subthalamotomy was associated (during successful inhibition) with the recruitment of basal ganglia regions outside the established inhibitory network. They included the putamen and caudate together with the anterior cingulate cortex and IFG of the left hemisphere. Subsequent network connectivity analysis (with the seed over the nonlesioned left STN) revealed a new inhibitory network after right subthalamotomies. Our results highlight the causal role of the right STN in the neural network for motor inhibition and the possible basal ganglia mechanisms for compensation upon losing a key node of the inhibition network.

介导成功反应抑制的神经网络主要包括右半球激活的前补充运动区、额叶下回(IFG)、丘脑下核(STN)和尾状核。然而,这些区域在抑制网络中的因果作用尚不明确。研究人员在对五名帕金森病患者进行治疗性热消融之前和之后的两次功能磁共振成像(fMRI)检查中,分别对他们执行停止信号任务的情况进行了评估。起始时间较快,但左手(病变对侧)的运动抑制明显受损,这在停止信号反应时间延长上表现得很明显。右侧眼下肌切除术后抑制能力下降(在成功抑制过程中)与基底神经节区域在已建立的抑制网络之外的招募有关。这些区域包括左侧半球的丘脑、尾状核、前扣带回皮层和 IFG。随后的网络连接分析(以未切除的左侧 STN 为种子)显示,右侧眼下切断术后出现了一个新的抑制网络。我们的研究结果突显了右侧 STN 在运动抑制神经网络中的因果作用,以及基底节在失去抑制网络的关键节点后可能的补偿机制。
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引用次数: 0
Macrovibrissae and microvibrissae inversion and lateralization in elephants 大象的大纤毛器和小纤毛器倒置和侧化。
IF 4.1 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-08-05 DOI: 10.1111/nyas.15194
Hazal Yildiz, Olivia Heise, Ben Gerhardt, Guido Fritsch, Rolf Becker, Andreas Ochs, Florian Sicks, Peter Buss, Lin-Mari de Klerk-Lorist, Thomas Hildebrandt, Michael Brecht

Elephants are known for strongly lateralized trunk behaviors, but the mechanisms driving elephant lateralization are poorly understood. Here, we investigate features of elephant mouth organization that presumably promote lateralization. We find the lower jaw of elephants is of narrow width, but is rostrally strongly elongated even beyond the jaw bone. Elephant lip vibrissae become progressively longer rostrally. Thus, elephants have two lateral dense, short microvibrissae arrays and central, less dense long macrovibrissae. This is an inversion of the ancestral mammalian facial vibrissae pattern, where central, dense short microvibrissae are flanked by two lateral macrovibrissae arrays. Elephant microvibrissae have smaller follicles than macrovibrissae. Similar to trunk-tip vibrissae, elephant lip microvibrissae show laterally asymmetric abrasion. Observations on Asian zoo elephants indicate lateralized abrasion results from lateralized feeding. It appears that the ancestral mammalian mouth (upper and lower lips, incisors, frontal microvibrissae) is shaped by oral food apprehension. The elephant mouth organization radically changed, however, because trunk-mediated feeding replaced oral apprehension. Such elephant mouth changes include the upper lip–nose fusion to the trunk, the super-flexible elongated lower jaw, the loss of incisors, and lateral rather than frontal microvibrissae. Elephants’ specialization for lateral food insertion is reflected by the reduction in the centering effects of oral food apprehension and lip vibrissae patterns.

众所周知,大象的躯干行为具有很强的侧向性,但对大象侧向性的驱动机制却知之甚少。在这里,我们研究了大象口部组织的特征,这些特征可能会促进侧化。我们发现,大象的下颌宽度较窄,但在喙侧却有强烈的伸长,甚至超过了颌骨。大象的唇振动器在喙侧逐渐变长。因此,大象有两个外侧密集、短小的微振膜阵列和中央密集度较低的长大振膜。这是哺乳动物祖先面部振动器模式的倒转,在这种模式中,中央密集的短微振动器两侧是两个侧向的大振动器阵列。大象的微纤毛器比大纤毛器的毛囊更小。与躯干顶端的纤毛器相似,大象嘴唇的微纤毛器也会出现侧面不对称的磨损。对亚洲动物园大象的观察表明,侧向磨损是侧向进食的结果。由此看来,哺乳动物祖先的口腔(上下唇、门齿、额部微纤毛器)是根据口腔对食物的理解而形成的。然而,大象的口腔组织发生了根本变化,因为以躯干为媒介的进食取代了口腔捕食。象口的变化包括上唇-鼻与躯干的融合、下颌的超灵活拉长、门齿的消失以及侧微纤突而不是额微纤突。大象对侧向食物插入的专门化反映在口腔食物咀嚼和嘴唇振动模式的中心效应减弱上。
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引用次数: 0
Capillary adhesion of stick insects 粘虫的毛细管粘附力
IF 4.1 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-08-01 DOI: 10.1111/nyas.15195
Guillermo J. Amador, Brett Klaassen van Oorschot, Uddalok Sen, Benjamin Karman, Rutger Leenders

Scientific progress within the last few decades has revealed the functional morphology of an insect's sticky footpads—a compliant pad that secretes thin liquid films. However, the physico-chemical mechanisms underlying their adhesion remain elusive. Here, we explore these underlying mechanisms by simultaneously measuring adhesive force and contact geometry of the adhesive footpads of live, tethered Indian stick insects, Carausius morosus, spanning more than two orders of magnitude in body mass. We find that the adhesive force we measure is similar to the previous measurements that use a centrifuge. Our measurements afford us the opportunity to directly probe the adhesive stress in vivo and use existing theory on capillary adhesion to predict the surface tension of the secreted liquid and compare it to previous assumptions. From our predictions, we find that the surface tension required to generate the adhesive stresses we observed ranges between 0.68 and 12 mN m1${rm m}^{-1}$. The low surface tension of the liquid would enhance the wetting of the stick insect's footpads and promote their ability to conform to various substrates. Our insights may inform the biomimetic design of capillary-based, reversible adhesives and motivate future studies on the physico-chemical properties of the secreted liquid.

过去几十年的科学进步揭示了昆虫粘性脚垫的功能形态--一种能够分泌液体薄膜的顺应性脚垫。然而,其粘附的物理化学机制仍然难以捉摸。在这里,我们通过同时测量系留的活体印度粘虫(Carausius morosus)脚垫的粘附力和接触几何形状来探索这些基本机制。我们发现,我们测量的粘着力与之前使用离心机进行的测量结果相似。我们的测量使我们有机会直接探测体内的粘附力,并利用现有的毛细管粘附理论来预测分泌液体的表面张力,并将其与之前的假设进行比较。根据我们的预测,我们发现产生我们观察到的粘附应力所需的表面张力介于 0.68 和 12 mN m - 1 ${rm m}^{-1}$ 之间。液体的低表面张力将增强粘虫脚垫的润湿性,并提高其适应各种基质的能力。我们的见解可能会为基于毛细管的可逆粘合剂的生物仿生设计提供参考,并推动未来对分泌液体的物理化学性质的研究。
{"title":"Capillary adhesion of stick insects","authors":"Guillermo J. Amador,&nbsp;Brett Klaassen van Oorschot,&nbsp;Uddalok Sen,&nbsp;Benjamin Karman,&nbsp;Rutger Leenders","doi":"10.1111/nyas.15195","DOIUrl":"10.1111/nyas.15195","url":null,"abstract":"<p>Scientific progress within the last few decades has revealed the functional morphology of an insect's sticky footpads—a compliant pad that secretes thin liquid films. However, the physico-chemical mechanisms underlying their adhesion remain elusive. Here, we explore these underlying mechanisms by simultaneously measuring adhesive force and contact geometry of the adhesive footpads of live, tethered Indian stick insects, <i>Carausius morosus</i>, spanning more than two orders of magnitude in body mass. We find that the adhesive force we measure is similar to the previous measurements that use a centrifuge. Our measurements afford us the opportunity to directly probe the adhesive stress in vivo and use existing theory on capillary adhesion to predict the surface tension of the secreted liquid and compare it to previous assumptions. From our predictions, we find that the surface tension required to generate the adhesive stresses we observed ranges between 0.68 and 12 mN <span></span><math>\u0000 <semantics>\u0000 <msup>\u0000 <mi>m</mi>\u0000 <mrow>\u0000 <mo>−</mo>\u0000 <mn>1</mn>\u0000 </mrow>\u0000 </msup>\u0000 <annotation>${rm m}^{-1}$</annotation>\u0000 </semantics></math>. The low surface tension of the liquid would enhance the wetting of the stick insect's footpads and promote their ability to conform to various substrates. Our insights may inform the biomimetic design of capillary-based, reversible adhesives and motivate future studies on the physico-chemical properties of the secreted liquid.</p>","PeriodicalId":8250,"journal":{"name":"Annals of the New York Academy of Sciences","volume":"1538 1","pages":"98-106"},"PeriodicalIF":4.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/nyas.15195","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vocal tract dynamics shape the formant structure of conditioned vocalizations in a harbor seal 声道动力学决定了港海豹条件发声的声型结构。
IF 4.1 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-08-01 DOI: 10.1111/nyas.15189
Maria Goncharova, Yannick Jadoul, Colleen Reichmuth, W. Tecumseh Fitch, Andrea Ravignani

Formants, or resonance frequencies of the upper vocal tract, are an essential part of acoustic communication. Articulatory gestures—such as jaw, tongue, lip, and soft palate movements—shape formant structure in human vocalizations, but little is known about how nonhuman mammals use those gestures to modify formant frequencies. Here, we report a case study with an adult male harbor seal trained to produce an arbitrary vocalization composed of multiple repetitions of the sound wa. We analyzed jaw movements frame-by-frame and matched them to the tracked formant modulation in the corresponding vocalizations. We found that the jaw opening angle was strongly correlated with the first (F1) and, to a lesser degree, with the second formant (F2). F2 variation was better explained by the jaw angle opening when the seal was lying on his back rather than on the belly, which might derive from soft tissue displacement due to gravity. These results show that harbor seals share some common articulatory traits with humans, where the F1 depends more on the jaw position than F2. We propose further in vivo investigations of seals to further test the role of the tongue on formant modulation in mammalian sound production.

共振频率或上声道的共振频率是声学交流的重要组成部分。发音手势--如下颌、舌头、嘴唇和软腭的运动--塑造了人类发声的共振频率结构,但人们对非人类哺乳动物如何利用这些手势来改变共振频率却知之甚少。在此,我们报告了一项案例研究,研究对象是一只成年雄性港海豹,训练它发出由多次重复的 "wa "音组成的任意发声。我们对下颌动作进行了逐帧分析,并将其与相应发声中的跟踪声调调制相匹配。我们发现,下颌张开角度与第一个声调(F1)密切相关,与第二个声调(F2)的相关程度较低。当海豹仰卧而非腹部着地时,下颌张开角度能更好地解释 F2 的变化,这可能是由于重力导致的软组织位移。这些结果表明,港海豹与人类有一些共同的发音特征,其中 F1 比 F2 更依赖于下颌位置。我们建议对海豹进行进一步的体内研究,以进一步检验舌头在哺乳动物发声中对声调调节的作用。
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引用次数: 0
Drought risk in Moldova under global warming and possible crop adaptation strategies 全球变暖下摩尔多瓦的干旱风险及可能的作物适应战略。
IF 4.1 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-31 DOI: 10.1111/nyas.15201
Sergio M. Vicente-Serrano, Carmelo Juez, Vera Potopová, Boris Boincean, Conor Murphy, Fernando Domínguez-Castro, Lars Eklundh, Dhais Peña-Angulo, Ivan Noguera, Hongxiao Jin, Tobias Conradt, Ricardo Garcia-Herrera, Jose Manuel Garrido-Perez, David Barriopedro, Jose M. Gutiérrez, Maialen Iturbide, Jorge Lorenzo-Lacruz, Ahmed El Kenawy

This study analyzes the relationship between drought processes and crop yields in Moldova, together with the effects of possible future climate change on crops. The severity of drought is analyzed over time in Moldova using the Standard Precipitation Index, the Standardized Precipitation Evapotranspiration Index, and their relationship with crop yields. In addition, rainfall variability and its relationship with crop yields are examined using spectral analysis and squared wavelet coherence. Observed station data (1950–2020 and 1850–2020), ERA5 reanalysis data (1950–2020), and climate model simulations (period 1970–2100) are used. Crop yield data (maize, sunflower, grape), data from experimental plots (wheat), and the Enhanced Vegetation Index from Moderate Resolution Imaging Spectroradiometer satellites were also used. Results show that although the severity of meteorological droughts has decreased in the last 170 years, the impact of precipitation deficits on different crop yields has increased, concurrent with a sharp increase in temperature, which negatively affected crop yields. Annual crops are now more vulnerable to natural rainfall variability and, in years characterized by rainfall deficits, the possibility of reductions in crop yield increases due to sharp increases in temperature. Projections reveal a pessimistic outlook in the absence of adaptation, highlighting the urgency of developing new agricultural management strategies.

本研究分析了摩尔多瓦干旱过程与作物产量之间的关系,以及未来气候变化可能对作物产生的影响。利用标准降水指数和标准化降水蒸散指数分析了摩尔多瓦长期干旱的严重程度及其与作物产量的关系。此外,还利用频谱分析和平方小波相干性研究了降雨量的变化及其与作物产量的关系。研究使用了观测站数据(1950-2020 年和 1850-2020 年)、ERA5 再分析数据(1950-2020 年)和气候模式模拟数据(1970-2100 年)。此外,还使用了作物产量数据(玉米、向日葵、葡萄)、实验田数据(小麦)以及中分辨率成像光谱仪卫星的增强植被指数。结果表明,虽然气象干旱的严重程度在过去 170 年中有所下降,但降水不足对不同作物产量的影响却在增加,同时气温也急剧上升,对作物产量产生了不利影响。现在,一年生作物更容易受到自然降雨量变化的影响,在降雨量不足的年份,由于气温急剧上升,作物减产的可能性增加。预测显示,如果不采取适应措施,前景将十分悲观,这凸显了制定新的农业管理战略的紧迫性。
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引用次数: 0
Inpatient diabetes management 糖尿病住院病人管理。
IF 4.1 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-25 DOI: 10.1111/nyas.15190
Andrew P. Demidowich, Camille Stanback, Mihail Zilbermint

Diabetes mellitus is currently approaching epidemic proportions and disproportionately affects patients in the hospital setting. In the United States, individuals living with diabetes represent over 17 million emergency department visits and 8 million admissions annually. The management of these patients in the hospital setting is complex and differs considerably from the outpatient setting. All patients with hyperglycemia should be screened for diabetes, as in-hospital hyperglycemia portends a greater risk for morbidity, mortality, admission to an intensive care unit, and increased hospital length of stay. However, the definition of hyperglycemia, glycemic targets, and strategies to manage hyperglycemia in the inpatient setting can vary greatly depending on the population considered. Moreover, the presenting illness, changing nutritional status, and concurrent hospital medications often necessitate thoughtful consideration to adjustments of home diabetes regimens and/or the initiation of new insulin doses. This review article will examine core concepts and emerging new literature surrounding inpatient diabetes management, including glycemic targets, insulin dosing strategies, noninsulin medications, new diabetes technologies, inpatient diabetes management teams, and discharge planning strategies, to optimize patient safety and satisfaction, clinical outcomes, and even hospital financial health.

糖尿病目前已接近流行病的程度,对医院环境中的病人造成了极大的影响。在美国,糖尿病患者每年到急诊科就诊的人数超过 1700 万,住院人数超过 800 万。医院对这些患者的管理非常复杂,与门诊有很大不同。所有高血糖患者都应接受糖尿病筛查,因为院内高血糖预示着发病率、死亡率、入住重症监护室和住院时间延长的风险更大。然而,住院患者中高血糖的定义、血糖目标以及控制高血糖的策略会因考虑的人群不同而有很大差异。此外,由于患者的病情、营养状况的变化以及同时在医院用药等因素,往往需要对调整家庭糖尿病治疗方案和/或开始使用新剂量的胰岛素进行深思熟虑。这篇综述文章将探讨围绕住院患者糖尿病管理的核心概念和新出现的文献,包括血糖目标、胰岛素剂量策略、非胰岛素药物、糖尿病新技术、住院患者糖尿病管理团队和出院计划策略,以优化患者的安全和满意度、临床疗效,甚至医院的财务健康。
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引用次数: 0
Androgen abuse: Risks and adverse effects in men 雄激素滥用:男性的风险和不良影响。
IF 4.1 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-23 DOI: 10.1111/nyas.15187
Bonnie Grant, Elizabeth Hyams, Rhianna Davies, Suks Minhas, Channa N. Jayasena

Androgens, formerly known as anabolic-androgenic steroids, mimic the effects of testosterone and are being increasingly abused for nonmedical purposes such as body and performance enhancement. Androgen abuse is associated with increased mortality, and multisystem adverse effects have been reported, including cardiovascular toxicity, infertility, hypogonadism, hepatotoxicity, and mental health disorders. Men may present with the negative health consequences of androgen abuse even despite cessation for a number of years. There is frequently a reluctance to disclose androgen abuse, and substances are often sourced from the black market, which is not regulated and where the products sold may be counterfeit. All men should be encouraged to stop androgen abuse. Managing associated adverse effects will be organ-specific and is complex due to physical and neuropsychiatric symptoms, substance dependence, and high rates of relapse. Given the broad reach and prolonged adverse effects of androgen abuse, clinicians across medical specialties should have an awareness of androgen abuse, its increasing prevalence, and the harms it poses to men and their families. This narrative review aims to summarize the adverse effects and risks associated with androgen abuse.

雄性激素以前被称为合成代谢雄性类固醇,可模拟睾酮的作用,越来越多地被滥用于非医疗目的,如增强体质和提高性能。滥用雄性激素会导致死亡率上升,并且有报道称会造成多系统不良影响,包括心血管毒性、不育、性腺功能减退、肝毒性和精神疾病。即使已停止使用雄激素多年,男性仍可能出现雄激素滥用对健康的负面影响。人们往往不愿透露滥用雄性激素的情况,滥用的药物通常来自黑市,而黑市不受监管,出售的产品可能是假冒伪劣产品。应鼓励所有男性停止滥用雄激素。由于生理和神经精神症状、药物依赖性和高复发率,处理相关不良反应将针对特定器官,并且非常复杂。鉴于雄激素滥用的广泛性和长期不良影响,各医学专科的临床医生都应认识到雄激素滥用、其日益普遍性以及对男性及其家庭造成的危害。本叙述性综述旨在总结与雄激素滥用相关的不良影响和风险。
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引用次数: 0
Testosterone in prevention and treatment of type 2 diabetes in men: Focus on recent randomized controlled trials 睾酮在预防和治疗男性 2 型糖尿病中的作用:聚焦最新随机对照试验。
IF 4.1 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-22 DOI: 10.1111/nyas.15188
Mathis Grossmann, Gary A. Wittert

In epidemiological studies, lowered serum testosterone concentrations are common in men with obesity, prediabetes, and established type 2 diabetes (T2D). In men with prediabetes, lowered serum testosterone also predicts a future risk of T2D in men. Administration of testosterone consistently reduces fat mass and increases skeletal muscle mass—body compositional changes expected to be metabolically favorable. In men with established T2D, the effects of testosterone treatment on glycemic measures are inconsistent. Irrespective of baseline serum testosterone concentration in men with prediabetes or newly diagnosed early-onset T2D, testosterone treatment prescribed in conjunction with a lifestyle program has been reported to reduce the risk of T2D by 40% after 2 years, suggesting that either a lifestyle program is required to facilitate the glycemic benefit of testosterone treatment and/or that testosterone treatment has more favorable effects on glycemia in men early in the evolution or onset of the disease. The durability of the benefit and longer-term safety of testosterone treatment have not been established. Therefore, more studies are required before testosterone treatment can be recommended for the prevention and/or treatment of men with or at elevated risk of T2D who do not have hypogonadism due to an established disease of the hypothalamic-pituitary-testicular axis.

在流行病学研究中,血清睾酮浓度降低常见于肥胖、糖尿病前期和已确诊的 2 型糖尿病(T2D)男性患者。在患有糖尿病前期的男性中,血清睾酮的降低也预示着男性未来罹患 T2D 的风险。施用睾酮可持续减少脂肪含量,增加骨骼肌含量--身体成分的变化预计将有利于新陈代谢。在已确诊患有 T2D 的男性中,睾酮治疗对血糖指标的影响并不一致。据报道,无论糖尿病前期或新诊断的早发性 T2D 男性患者的血清睾酮基线浓度如何,睾酮治疗与生活方式计划相结合可在 2 年后将 T2D 风险降低 40%,这表明,要么需要生活方式计划来促进睾酮治疗对血糖的益处,要么睾酮治疗对处于疾病演变或发病早期的男性血糖有更有利的影响。睾酮治疗的持久性和长期安全性尚未确定。因此,在推荐将睾酮治疗用于预防和/或治疗下丘脑-垂体-睾丸轴疾病所致的性腺功能减退症或患 T2D 风险较高的男性患者之前,还需要进行更多的研究。
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引用次数: 0
期刊
Annals of the New York Academy of Sciences
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