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FAK transfection alleviates myogenic differentiation of C2C12 myoblasts under spike protein intervention: protein metabolism analysis. 转染FAK可减轻刺突蛋白干预下C2C12成肌细胞的成肌分化:蛋白质代谢分析。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-06 DOI: 10.1080/13813455.2025.2610478
Tianqi Zhang, Hui Peng, Tingting Lu, Jun Deng, Xin Huo, Ying Liu

Patients with COVID-19 caused by the novel coronavirus (SARS-CoV-2) often present with long-term muscle weakness symptoms, which are closely related to metabolic disorders. Spike protein (SP) is the main structural protein of SARS-CoV-2, which can upregulate inflammatory factors and affect cell function. This study aims to explore the effect of spike protein on myogenic differentiation of C2C12 myoblasts and its mechanism of action through protein metabolism analysis. The spike protein significantly inhibits the proliferation and differentiation of C2C12 myoblasts, manifested as decreased cell density. Protein metabolism analysis revealed that after spike protein intervention, the pathways related to protein synthesis within cells were inhibited, while those related to protein degradation were activated, indicating that protein metabolism disorders might be an important mechanism of cell damage. FAK transfection can significantly improve cell damage caused by spike proteins, promote myogenic differentiation, and partially restore the normal expression of protein metabolic pathways.

新型冠状病毒(SARS-CoV-2)感染的COVID-19患者常出现长期肌肉无力症状,与代谢紊乱密切相关。刺突蛋白(Spike protein, SP)是SARS-CoV-2的主要结构蛋白,可上调炎症因子,影响细胞功能。本研究旨在通过蛋白质代谢分析,探讨刺突蛋白对C2C12成肌细胞成肌分化的影响及其作用机制。刺突蛋白显著抑制C2C12成肌细胞的增殖和分化,表现为细胞密度降低。蛋白质代谢分析发现,突刺蛋白干预后,细胞内蛋白质合成相关通路被抑制,蛋白质降解相关通路被激活,提示蛋白质代谢紊乱可能是细胞损伤的重要机制。转染FAK可显著改善刺突蛋白引起的细胞损伤,促进成肌分化,部分恢复蛋白代谢途径的正常表达。
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引用次数: 0
Polygonatum kingianum alleviates diabetic inflammation via the Mef2d/Rufy4-autophagy axis to drive macrophage M2 polarisation. 黄精通过Mef2d/ rufy4自噬轴驱动巨噬细胞M2极化减轻糖尿病炎症。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-06 DOI: 10.1080/13813455.2025.2612080
Yan Gao, Zhengfeng Liang, Shuhui Ouyang, Jingsong Cao

Chronic inflammation associated with abnormal activation of macrophages is an important promoter of type 2 diabetes (T2D) and its complications. However, there are no effective strategies for mitigating chronic inflammation. This study demonstrated that Polygonatum kingianum (P.K.) can promote macrophages M2 polarisation and increase the expression of anti-inflammatory cytokines. The mechanism involved P.K. upregulation of Mef2d expression, a key gene involved in M2 macrophage polarisation. Mef2d targeted and promoted the expression of Rufy4, thereby activating autophagy and ultimately resulting in M2 macrophage polarisation. P.K. significantly increased the number of M2 macrophages in the bone marrow and kidney while concurrently reducing the serum levels of CRP in a murine model of T2D. In summary, this study confirms that P.K. induces macrophage M2 polarisation via the Mef2d-Rufy4-autophagy pathway, which alleviates chronic inflammation associated with T2D. This study lays a foundation for the prevention and treatment of vascular complications in patients with T2D.

与巨噬细胞异常激活相关的慢性炎症是2型糖尿病(T2D)及其并发症的重要启动子。然而,目前还没有有效的策略来减轻慢性炎症。本研究表明,黄精可促进巨噬细胞M2极化,增加抗炎细胞因子的表达。其机制与P.K.上调Mef2d表达有关,Mef2d是参与M2巨噬细胞极化的关键基因。Mef2d靶向并促进Rufy4的表达,从而激活自噬,最终导致M2巨噬细胞极化。在小鼠T2D模型中,P.K.显著增加骨髓和肾脏中M2巨噬细胞的数量,同时降低血清CRP水平。综上所述,本研究证实P.K.通过mef2d - rufy4自噬途径诱导巨噬细胞M2极化,从而缓解T2D相关的慢性炎症。本研究为T2D患者血管并发症的预防和治疗奠定了基础。
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引用次数: 0
Analysis of PDCA cycle method in the management of anesthetic, psychotropic and toxic drugs in a grassroots traditional Chinese medicine hospital: neurological regulation. PDCA循环法在基层中医院麻醉、精神、毒性药物管理中的应用分析:神经调节。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-01 DOI: 10.1080/13813455.2025.2610482
Jingying Li, Xiuhong Zhu, Bizhong Zhang, Jing Zhang, Lili Xu, Min Zhou, Bin Lin

Background: Narcotic drugs, psychotropic drugs and toxic drugs are categories of drugs strictly controlled, and their use and management must strictly comply with relevant laws and regulations.

Purpose: This study aims to explore the application effect of the PDCA cycle method in the management of anaesthetics, psychotropic and toxic drugs in primary-level traditional Chinese medicine hospitals, and to analyse its mechanism of action in optimising drug management in combination with the theoretical basis of nervous system regulation.

Methods and results: After two rounds of PDCA cycle management, the management deficiencies of anaesthetics, psychotropic and toxic drugs were significantly reduced, and the rationality rate of prescriptions was significantly improved. The PDCA cycle method, combined with the theoretical basis of nervous system regulation, can effectively enhance the management level of anaesthetics.

Conclusion: The application of this method in drug management has significant theoretical and practical value and is worthy of promotion and application in primary medical institutions.

背景:麻醉药品、精神药品和有毒药品是严格管制的药品类别,其使用和管理必须严格遵守相关法律法规。目的:探讨PDCA循环法在基层中医医院麻醉、精神、毒性药物管理中的应用效果,并结合神经系统调节的理论基础,分析其在优化药物管理中的作用机制。方法与结果:经过两轮PDCA循环管理,麻醉药品、精神药品和毒性药品的管理不足明显减少,处方合理性明显提高。PDCA循环法结合神经系统调节的理论基础,可有效提高麻醉管理水平。结论:该方法在药品管理中的应用具有重要的理论和实践价值,值得在基层医疗机构推广应用。
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引用次数: 0
JWX-A1223 attenuates cognitive deficits and tau protein hyperphosphorylation via the Akt/GSK3β pathway in APP/PS1 mice. JWX-A1223通过Akt/GSK3β通路减轻APP/PS1小鼠的认知缺陷和tau蛋白过度磷酸化。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-01 DOI: 10.1080/13813455.2025.2610481
Wenwen Yu, Dongpei Zhuang, Kewei Wang, Yaxuan Qu

Backgound: Alzheimer's disease (AD) is a neurodegenerative disorder marked by cognitive decline, affecting memory, thinking, and behaviour. Its neuropathology includes amyloid plaques and neurofibrillary tangles in the brain.

Materials: Amyloid plaques consist of misfolded beta-amyloid protein, while tangles are made of hyperphosphorylated tau protein.

Method: After treatment with JWX-A1223, the APP/PS1 mice showed significant cognitive improvement in the Morris water maze test. They had shorter escape latency, reduced swimming distance, and longer stay time in the target quadrant, indicating enhanced spatial learning and memory.

Results: The treatment with JWX-A1223 also significantly reduced the phosphorylation levels of tau protein at Ser202, Ser396 and Ser404 sites in the cerebral cortex and hippocampus of mice, while increasing the phosphorylation levels at Ser473 site of Akt and Ser9 site of GSK3β.

Conslusion: It indicates that by regulating the activity of the Akt/GSK3β pathway, it alleviates the excessive phosphorylation of tau protein and thereby improves cognitive impairment.

背景:阿尔茨海默病(AD)是一种以认知能力下降为特征的神经退行性疾病,影响记忆、思维和行为。其神经病理包括脑内的淀粉样斑块和神经原纤维缠结。材料:淀粉样斑块由错误折叠的β -淀粉样蛋白组成,而缠结由过度磷酸化的tau蛋白组成。方法:经JWX-A1223治疗后,APP/PS1小鼠在Morris水迷宫测试中表现出明显的认知改善。它们的逃避潜伏期更短,游泳距离更短,在目标象限停留的时间更长,表明空间学习和记忆能力增强。结果:JWX-A1223还显著降低了小鼠大脑皮质和海马中tau蛋白Ser202、Ser396和Ser404位点的磷酸化水平,同时提高了Akt的Ser473位点和GSK3β的Ser9位点的磷酸化水平。结论:提示通过调节Akt/GSK3β通路活性,减轻tau蛋白过度磷酸化,从而改善认知功能障碍。
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引用次数: 0
Repetitive transcranial magnetic stimulation combined with stepwise task orientation for upper limb function in stroke patients: neurological function test. 重复经颅磁刺激联合分步任务定向对脑卒中患者上肢功能的影响:神经功能测试。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-30 DOI: 10.1080/13813455.2025.2610479
Yanhong Huang, Fanjun Qin, Haozhe Qu, Bingbing Pu

Stroke rehabilitation traditionally focuses on restoring motor function through physical exercises and training. However, conventional methods often lack a strong theoretical basis from modern neuroscience. Integrating these technologies into rehabilitation protocols shifts the focus from peripheral movement to a brain-centred model, using objective biomarkers for assessment. The study involved 87 chronic stroke patients divided into three groups: Group A received rTMS and task-oriented training, Group B received sham rTMS and task-oriented training, and Group C received conventional rehabilitation and sham rTMS. The intervention lasted four weeks. Comprehensive assessments, were used to evaluate neurobiological and functional changes. Results showed that Group A exhibited significantly greater improvements in motor function, daily living activities, and muscle tone compared to the control groups. Neuroimaging revealed increased connectivity within the affected motor network and normalised interhemispheric balance in Group A. These findings support the effectiveness of the combined rTMS and task-oriented training approach.

中风康复传统上侧重于通过体育锻炼和训练来恢复运动功能。然而,传统的方法往往缺乏现代神经科学强有力的理论基础。将这些技术整合到康复方案中,将焦点从外周运动转移到以大脑为中心的模型,使用客观的生物标志物进行评估。研究共纳入87例慢性脑卒中患者,分为三组:A组接受rTMS +任务导向训练,B组接受假rTMS +任务导向训练,C组接受常规康复+假rTMS。干预持续了四周。综合评估,用于评估神经生物学和功能变化。结果显示,与对照组相比,A组在运动功能、日常生活活动和肌肉张力方面表现出更大的改善。神经成像显示a组受影响的运动网络内的连通性增加,半球间平衡正常化。这些发现支持rTMS和任务导向训练方法相结合的有效性。
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引用次数: 0
Minimally invasive lung resection combined with CT guided percutaneous microwave ablation for the treatment of lung cancer: diagnosis of postoperative nerve damage. 微创肺切除术联合CT引导下经皮微波消融治疗肺癌:术后神经损伤的诊断。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-29 DOI: 10.1080/13813455.2025.2610480
Hang Zhao, Junlei Wu, Weiwei Hu, Yueming Wu

Background: Minimally invasive lung resection combined with CT-guided percutaneous microwave ablation for multiple radiographic non-invasive lung cancer (mGGN-LC) is applicable to patients with multiple pulmonary nodules.

Materials and methods: The study adopted a prospective cohort design and included 40-60 patients with multiple radiographic non-invasive lung cancer who had surgical indications. The research focuses on analysing the incidence rate, manifestations and the effectiveness of diagnostic methods of postoperative nerve damage.

Results: Studies have shown that minimally invasive lung resection combined with CT-guided percutaneous microwave ablation for multiple radiographic non-invasive lung cancers is a safe and effective treatment strategy. The combination of thermal medical imaging diagnostic techniques can significantly reduce the incidence of postoperative neurological complications.

Conclusion: The diagnosis and management of postoperative nerve damage are of great significance in multimodal treatment. Through full-process imaging support and clinical assessment, the postoperative quality of life of patients can be effectively improved.

背景:微创肺切除术联合ct引导下经皮微波消融治疗多发性影像学无创肺癌(mGGN-LC)适用于多发肺结节患者。材料与方法:本研究采用前瞻性队列设计,纳入40-60例有手术指征的多发性影像学无创肺癌患者。本研究着重分析术后神经损伤的发生率、表现及诊断方法的有效性。结果:研究表明,微创肺切除术联合ct引导下经皮微波消融治疗多发性影像学无创肺癌是一种安全有效的治疗策略。结合热医学成像诊断技术可显著降低术后神经系统并发症的发生率。结论:术后神经损伤的诊断和处理在多模式治疗中具有重要意义。通过全程影像支持和临床评估,可有效提高患者术后生活质量。
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引用次数: 0
Protective effects of intermittent fasting and chamomile extract against margarine-induced oxidative stress in mouse tissues. 间歇性禁食和洋甘菊提取物对人造黄油诱导的小鼠组织氧化应激的保护作用。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-29 DOI: 10.1080/13813455.2025.2610470
Viktoriia V Hurza, Myroslava V Vatashchuk, Maria M Bayliak, Volodymyr I Lushchak

Oxidative stress induced by diets rich in trans-unsaturated fatty acids is well-documented. However, their organ-specific effects and the potential of antioxidant interventions remain unclear. This study investigated the effects of margarine intake, with or without chamomile water decoction (CWD) or intermittent fasting (IF), on oxidative status in young C57BL/6J mice over 16 weeks. Margarine-fed mice had elevated lipid peroxide (LOOH) levels in the kidneys (females) and cortex (both sexes), while levels were lower in muscle and unchanged in the heart of both sexes. Activities of glutathione-dependent enzymes were higher in both sexes of margarine-fed mice. The addition of CWD to margarine provided antioxidant protection in female kidneys and heart, but caused oxidative damage in male heart. The margarine with IF demonstrated tissue-specific antioxidant benefits. Thus, margarine induces oxidative stress in a sex- and tissue-specific way. CWD and IF can counteract these effects, offering potential protective strategies against margarine-induced oxidative stress.

富含反式不饱和脂肪酸的饮食引起的氧化应激是有充分证据的。然而,它们的器官特异性作用和抗氧化干预的潜力仍不清楚。本研究研究了人造黄油摄入(含或不含洋甘菊水煎剂(CWD)或间歇性禁食(IF)对幼年C57BL/6J小鼠16周内氧化状态的影响。人造黄油喂养的小鼠肾脏(雌性)和皮质(两性)的过氧化脂质(LOOH)水平升高,而肌肉的水平较低,心脏的水平不变。人造黄油喂养小鼠的谷胱甘肽依赖性酶活性在两性中均较高。人造黄油中添加CWD对女性肾脏和心脏有抗氧化保护作用,但对男性心脏有氧化损伤。含IF的人造黄油显示出组织特异性抗氧化益处。因此,人造黄油以一种性别和组织特异性的方式诱导氧化应激。CWD和IF可以抵消这些影响,为对抗人造黄油引起的氧化应激提供了潜在的保护策略。
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引用次数: 0
Medical domain knowledge-enhanced automatic decision support for traumatic brain injury: protein nutrition intervention for traumatic brain injury. 外伤性脑损伤的医学领域知识增强自动决策支持:蛋白质营养干预外伤性脑损伤。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-22 DOI: 10.1080/13813455.2025.2600337
Rui Xu, Yulong Xia, Lidan Zhang, Weijun Xu, Jiaying Wen, Li Jiang

Background: Traumatic brain injury (TBI) is a common neurosurgical emergency with a high rate of disability and mortality. In the treatment of TBI, apart from timely and effective clinical intervention measures, reasonable nutritional support also plays a significant role, among which protein nutrition intervention has attracted particular attention.

Purpose: This study aims to develop a clinical decision support system (CDSS), namely the T system, to automatically analyse the medical text data of TBI patients and output treatment plans, which also takes into account the importance of protein nutrition intervention.

Method: Therefore, the T system developed in this study can automatically identify and analyse the medical text data of TBI patients, and quickly output accurate treatment plans including protein nutrition intervention.

Conclusion: This system is expected to provide important decision support for clinicians, optimise the treatment process for TBI patients, improve treatment efficiency and enhance patient prognosis.

背景:创伤性脑损伤(TBI)是一种常见的神经外科急症,致残率和死亡率高。在TBI的治疗中,除了及时有效的临床干预措施外,合理的营养支持也起着重要的作用,其中蛋白质营养干预尤其受到关注。目的:本研究旨在开发一个临床决策支持系统(CDSS),即T系统,自动分析TBI患者的医学文本数据并输出治疗方案,同时考虑到蛋白质营养干预的重要性。方法:因此,本研究开发的T系统可以自动识别和分析TBI患者的医学文本数据,并快速输出包括蛋白质营养干预在内的准确治疗方案。结论:该系统有望为临床医生提供重要的决策支持,优化TBI患者的治疗流程,提高治疗效率,改善患者预后。
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引用次数: 0
Lipid peroxidation-induced neurocardiac dysfunction in critically ill patients with septic shock. 脓毒性休克危重患者脂质过氧化诱导的神经心脏功能障碍。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-19 DOI: 10.1080/13813455.2025.2592032
Duowen Xie, Xiaoyuan Shi

Context: Septic shock's fatal signs include hemodynamic collapse, systemic inflammation, and organ failure. Neurocardiac dysfunctions worsen outcomes, with lipid peroxidation from oxidative stress as a key damage mechanism.

Objective: Aim of this study is to investigates how lipid peroxidation in cell membranes generates excessive reactive oxygen species (ROS), leading to mitochondrial damage, cell death, and autonomic dysfunction.

Materials and methods: Malondialdehyde (MDA) and 4-hydroxynonenal (4-HNE), toxic byproducts, contribute to cardiomyocyte injury, endothelial damage, blood-brain barrier disruption, and altered neuronal signalling. The research analyzes preclinical and clinical data associating sepsis oxidative indicators with poorer cardiac and neurological outcomes. Results: chronological relationship between oxidative stress, cardiac damage, and neural injury. While the visualisation highlights elevated biomarker levels in critically ill neurocardiac patients.

Discussion and conclusion: Early diagnosis, risk classification, and focused treatment for septic shock may benefit from understanding neurocardiac dysfunction and lipid peroxidation.

背景:感染性休克的致命体征包括血流动力学塌陷、全身炎症和器官衰竭。神经心脏功能障碍加重预后,氧化应激引起的脂质过氧化是一个关键的损伤机制。目的:本研究旨在探讨细胞膜脂质过氧化如何产生过多的活性氧(ROS),导致线粒体损伤、细胞死亡和自主神经功能障碍。材料和方法:丙二醛(MDA)和4-羟基壬烯醛(4-HNE)是有毒副产物,可导致心肌细胞损伤、内皮细胞损伤、血脑屏障破坏和神经元信号改变。该研究分析了脓毒症氧化指标与较差心脏和神经预后相关的临床前和临床数据。结果:氧化应激、心脏损伤和神经损伤之间的时间关系。虽然可视化显示了危重神经心脏患者的生物标志物水平升高。讨论与结论:了解心神经功能障碍和脂质过氧化可能有助于感染性休克的早期诊断、风险分类和重点治疗。
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引用次数: 0
Association between ubiquinol-cytochrome c reductase complex assembly factor 2 expression and skin cutaneous melanoma pathogenesis and prognosis: neurological and protein metabolism intervention. 泛醇-细胞色素c还原酶复合物组装因子2表达与皮肤黑色素瘤发病和预后的关系:神经学和蛋白质代谢干预。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-17 DOI: 10.1080/13813455.2025.2600338
Xiaofang Sun, Jianping Zhang, Shaohan Wu, Chuanbo Liu

Background: Cutaneous melanoma (SKCM) is a highly malignant and poorly prognostic skin tumour, and its incidence rate is on the rise worldwide. At present, the treatment options for SKCM are limited, and the overall prognosis of patients is poor.

Purpose: It is urgent to find effective biomarkers and therapeutic targets.

Method: Based on clinical sample data, the relationship between UQCC2 expression and patient prognosis was analysed, and its possible molecular mechanism was explored.

Results: Functional enrichment analysis revealed that among the genes co-expressed with UQCC2, many were related to neural and protein metabolism, suggesting that neural and protein metabolism interventions might affect the malignant phenotype of SKCM After knocking down UQCC2 in SKCM cells, the proliferation, migration and invasion abilities of the cells were significantly reduced.

Conclusion: It also implies that neural and protein metabolic interventions may affect the biological behaviour of SKCM cells by regulating the expression and function of UQCC2.

背景:皮肤黑色素瘤(SKCM)是一种高度恶性和预后不良的皮肤肿瘤,其发病率在世界范围内呈上升趋势。目前,SKCM的治疗方案有限,患者总体预后较差。目的:寻找有效的生物标志物和治疗靶点是迫切需要的。方法:结合临床样本资料,分析UQCC2表达与患者预后的关系,并探讨其可能的分子机制。结果:功能富集分析显示,在与UQCC2共表达的基因中,有许多与神经和蛋白质代谢相关,提示神经和蛋白质代谢干预可能影响SKCM的恶性表型,在SKCM细胞中敲除UQCC2后,细胞的增殖、迁移和侵袭能力显著降低。结论:神经和蛋白质代谢干预可能通过调节UQCC2的表达和功能影响SKCM细胞的生物学行为。
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引用次数: 0
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