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Differential rescue effects of choline chloride and soy isolate on metabolic dysfunction in immature central nervous system neurons: Relevance to fetal alcohol spectrum disorder. 氯化胆碱和大豆分离物对未成熟中枢神经系统神经元代谢功能障碍的不同挽救作用:与胎儿酒精谱系障碍的关系
Pub Date : 2023-01-01 Epub Date: 2023-04-27
Suzanne M de la Monte, Erin Elgas, Ming Tong, Busra Delikkaya, Yiwen Yang

Background: Central Nervous System (CNS) abnormalities with insulin resistance and mediated by developmental exposures to ethanol can be avoided or remediated by consumption of dietary soy, which has insulin-sensitizing as well as antioxidant effects. However, choline supplementation has been shown to diminish Fetal Alcohol Spectrum Disorder (FASD) pathologies, and dietary soy contains abundant choline. This study was designed to determine if the therapeutic effects of soy were mediated by or independent of choline.

Methods: Human PNET2 cells exposed to 0 mM or 100 mM ethanol for 48 hours were seeded into 96-well or 12-well plates and treated with vehicle, choline chloride (75 μM), or 1 μM Daidzein+1 μM Genistein (D+G) for 24 h. The cells were then analyzed for viability (Hoechst 33342), mitochondrial function (MTT), and GAPDH, Tau, Acetyl Cholinesterase (AChE), Choline Acetyl Transferase (ChAT), and Aspartyl-Asparaginyl-β-Hydroxylase (ASPH) immunoreactivity.

Results: Choline and D+G significantly increased MTT activity (mitochondrial function) corrected for cell number relative to vehicle in control and ethanol-exposed cultures. Both choline and D+G prevented the ethanol-induced inhibition of GAPDH and ChAT and increased cellular accumulations of Tau. However, D+G significantly increased ASPH expression relative to vehicle and Choline.

Conclusion: Choline and D+G differentially modulated the expression of neuronal proteins, mitochondrial function, and ASPH. Importantly, the prominently increased expression of ASPH by D+G corresponds with the insulin-sensitizer actions of soy isoflavones since ASPH is an insulin-responsive molecule. The findings further suggest that dietary soy may be more effective than choline for reducing ethanol-impaired neuronal migration linked to ASPH inhibition in FASD.

背景:膳食中的大豆具有胰岛素增敏和抗氧化作用,食用大豆可避免或缓解因发育期接触乙醇而导致的胰岛素抵抗和中枢神经系统(CNS)异常。然而,胆碱补充剂已被证明可减轻胎儿酒精谱系障碍(FASD)的病症,而膳食大豆中含有丰富的胆碱。本研究旨在确定大豆的治疗作用是由胆碱介导还是独立于胆碱。方法:将暴露于 0 mM 或 100 mM 乙醇中 48 小时的人类 PNET2 细胞播种到 96 孔板或 12 孔板中,并用载体、氯化胆碱(75 μM)或 1 μM Daidzein+1 μM Genistein(D+G)处理 24 小时。然后分析细胞的活力(Hoechst 33342)、线粒体功能(MTT)以及 GAPDH、Tau、乙酰胆碱酯酶(AChE)、胆碱乙酰转移酶(ChAT)和天冬氨酰-天冬酰胺酰-β-羟化酶(ASPH)的免疫反应:在对照组和暴露于乙醇的培养物中,胆碱和 D+G 能明显提高 MTT 活性(线粒体功能),并根据细胞数量对其进行校正。胆碱和 D+G 都能防止乙醇引起的 GAPDH 和 ChAT 抑制以及 Tau 的细胞积累增加。然而,与车辆和胆碱相比,D+G能明显增加ASPH的表达:结论:胆碱和 D+G 对神经元蛋白的表达、线粒体功能和 ASPH 有不同程度的调节作用。重要的是,D+G 显著增加了 ASPH 的表达,这与大豆异黄酮的胰岛素增敏作用相吻合,因为 ASPH 是一种胰岛素反应分子。研究结果进一步表明,与胆碱相比,膳食大豆可能更有效地减少乙醇对神经元迁移的损害,而这种损害与 FASD 中的 ASPH 抑制有关。
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引用次数: 0
Hepatic drugs (GABA) is essential for type 2 diabetes treatment 肝药物(GABA)是治疗2型糖尿病必不可少的药物
Pub Date : 2021-01-01 DOI: 10.37532/1758-1907.2021.11(7).254-255
Ramya Velluri
Type 2 diabetes is represented by elevated glucose levels brought about by insulin resistance. Insulin is a chemical that assists glucose with entering cells, it can be utilized for energy or put away for some time later. Insulin resistance happens when cells in the body don’t react well to insulin and consequently don’t eliminate glucose from the blood. In type 2 diabetes, insulin resistance likewise builds the body’s creation of insulin, which can prompt expanded craving, hypertension, and weight acquire.
2型糖尿病是由胰岛素抵抗引起的血糖水平升高。胰岛素是一种帮助葡萄糖进入细胞的化学物质,它可以用作能量,也可以储存一段时间。胰岛素抵抗是指体内的细胞对胰岛素反应不佳,导致血液中的葡萄糖不能排出。在2型糖尿病中,胰岛素抵抗同样会促进身体产生胰岛素,从而导致食欲扩大、高血压和体重增加。
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引用次数: 0
4th Annual Congress on Diabetes, Obesity and Its Complications during September 28-29, 2020 in Singapore 第四届糖尿病、肥胖及其并发症年会将于2020年9月28日至29日在新加坡举行
Pub Date : 2021-01-01 DOI: 10.37532/1758-1907.2021.11(5).227
Javier
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引用次数: 0
Challenges for the implementation of the in-vitro diagnostics regulations in the light of â??real-lifeâ?? performance of blood glucose self-monitoring devices 从<s:1>现实生活<e:1>角度看体外诊断法规实施的挑战血糖自我监测装置的性能
Pub Date : 2021-01-01 DOI: 10.37532/1758-1907.2021.11(7).257-264
Anja Schuster, C. Roth, L. Stechemesser, R. Weitgasser, Karin Schwenoha Gertie Janneke Oostingh
Objective: Accurate and reliable blood glucose monitoring devices (BGMDs) are required for adequate self-monitoring and management for people suffering from diabetes mellitus. To ensure a high level of safety for patients and users of in vitro diagnostic devices, an updated In Vitro Diagnostic Regulation (IVDR 2017/746) has been published, including new safety and performance prerequisites. However, BGMD accuracy may be limited by certain ‘real-life’ environmental factors, which should be respected in the performance evaluation. Methods: The temperature-and humidity-dependent performance of 4 different BGMD using up to 440 capillary blood samples was determined. BGMDs with associated test strips were stored at 15°C, 25°C and 35°C resp. at a relative humidity of 40% and 80% in order to imitate potential ‘real-life’ performance settings. Glucose measurements were compared to blood glucose values determined using standardized Laboratory equipment and were analyzed based on the ISO 15197:2013 system accuracy criteria. Results: Two out of three BGMDs provided consistent results across temperature ranges based on the medical threshold of a mean glucose change less than 15 mg/dl, although blood glucose difference of up to 96 mg/dl was found at an individual patient level after pairwise temperature comparison. For one device up to 31.2% of patients’ values were outside the defined limits when comparing 15o C to 35o C. Changes in humidity levels did not significantly influence the mean values across the BGMDs, although high deviations were observed at patients’ individual glucose levels. Conclusion: Moderate temperature and humidity changes can affect the accuracy of point-ofcare devices to a profound extent at an individual patient level. These ‘real-life’ environmental factors need to be included in the performance evaluation as required in the IVDR 2017/746 in order to provide a solid testing system for novel point-of-care-devices.
目的:糖尿病患者需要准确、可靠的血糖监测设备进行充分的自我监测和管理。为了确保体外诊断设备患者和用户的高水平安全性,更新的体外诊断法规(IVDR 2017/746)已经发布,包括新的安全和性能先决条件。然而,BGMD的准确性可能会受到某些“现实生活”环境因素的限制,这在性能评估中应该得到尊重。方法:测定4种不同的BGMD对440份毛细管血液样本的温度和湿度依赖性。bgmd和相关试纸分别保存在15°C、25°C和35°C。在相对湿度的40%和80%,以模仿潜在的“现实生活”的性能设置。将葡萄糖测量值与使用标准化实验室设备测定的血糖值进行比较,并根据ISO 15197:2013系统精度标准进行分析。结果:三个bgmd中有两个在基于平均血糖变化小于15 mg/dl的医学阈值的温度范围内提供了一致的结果,尽管在两两温度比较后,在单个患者水平上发现了高达96 mg/dl的血糖差异。对于一个设备,当比较150℃和35℃时,高达31.2%的患者值超出了定义的限制。湿度水平的变化对bgmd的平均值没有显著影响,尽管在患者的个体葡萄糖水平上观察到很大的偏差。结论:适度的温度和湿度变化会对点护理装置的准确性产生深远的影响。这些“真实的”环境因素需要按照IVDR 2017/746的要求纳入性能评估,以便为新型护理点设备提供可靠的测试系统。
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引用次数: 0
Global Meet on Obesity and Diabetes 全球肥胖和糖尿病会议
Pub Date : 2021-01-01 DOI: 10.37532/1758-1907.2021.11(5).228
A. Khomassuridze
The award should motivate individuals to strive to realize their fullest potential which could, in turn, be beneficial to the field as a whole. Epic works are not only a testament to the individual’s efforts, but they also have the potential to change the whole world as they can lead to the formulation of better policies and or a new mindset.
该奖项应激励个人努力实现他们的最大潜力,这反过来又有利于整个领域。史诗般的作品不仅是个人努力的证明,而且还具有改变整个世界的潜力,因为它们可以导致制定更好的政策或新的思维方式。
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引用次数: 0
Diagnostic - Therapeutic - Assistance Paths (DTAP) for type 1 diabetes mellitus: summary of the document of the Italian Ã?¢??Associazione Medici Diabetologi(AMD)Ã?¢?? scientific society 1型糖尿病的诊断-治疗-辅助路径(DTAP):意大利Ã? ??糖尿病医学会(AMD)Ã? ?科学社会
Pub Date : 2021-01-01 DOI: 10.37532/1758-1907.2021.11(6).231-241
G. Penna, A. Girelli, F. Bertuzzi, R.Celleno, M. Scavini, P. Tripodi, M.Zanon, R. Bartolo
Young age onset and long-life expectancy of type 1 diabetes mellitus (T1DM) people make it essential to achieve an early, stable and optimal glycemic control to prevent chronic complications and ensure good quality of life. These goals can only be achieved by having a healthcare organization that guarantees patient equity of access, quality and continuity of care, with an appropriate use of resources. To make the treatment organization efficient and appropriate, various health systems have implemented Diagnostic Therapeutic Assistance Paths (DTAP). DTAPs aim to share decision-making processes and healthcare organization for specific groups of patients on the basis of existing guidelines and in relation to the available resources, during a well-defined period of time. In Italy, the Italian Association of Diabetologists (AMD) scientific society, in association with Association of Pediatric Endocrinologists and Diabetologists (SIEDP), and voluntary diabetes associations (i.e. Diabetes Italia) developed a national DTAP for T1DM. Five DTAP models were defined, focusing on 5 different disease stages or treatment process: onset of illness or first referral from another diabetes clinic, routine visit in good metabolic control, uncontrolled hyperglycemia, advanced technologies, transition from pediatric to adult diabetes clinic. Objectives, healthcare professionals involved, visits organization, and educational contents for each of these PDTAs are detailed in the core document. This DTAP will be disseminated through the AMD regional referents to the Regional Healthcare Systems. Each Region will be asked to implement the DTAP through multi-professional working groups, with the participation of regional AMD referents and representatives of Patient Associations. The DTAP effectiveness will be evaluated using an indicators’ system every year.
1型糖尿病(T1DM)患者发病年龄小,预期寿命长,因此实现早期、稳定和最佳的血糖控制对于预防慢性并发症和确保良好的生活质量至关重要。要实现这些目标,医疗保健组织必须保证患者获得公平、优质和持续的护理,并适当利用资源。为了使治疗组织有效和适当,各种卫生系统已经实施了诊断治疗辅助路径(DTAP)。dtap的目标是在明确规定的时间内,根据现有准则和现有资源,共享特定患者群体的决策过程和医疗保健组织。在意大利,意大利糖尿病学家协会(AMD)科学学会与儿科内分泌学家和糖尿病学家协会(SIEDP)以及自愿糖尿病协会(即意大利糖尿病协会)联合制定了T1DM的国家DTAP。定义了5种DTAP模型,重点关注5个不同的疾病阶段或治疗过程:发病或首次转诊到其他糖尿病诊所,代谢控制良好的常规就诊,未控制的高血糖,先进的技术,从儿科到成人糖尿病诊所的过渡。核心文档中详细介绍了每个pdta的目标、涉及的医疗保健专业人员、访问组织和教育内容。该DTAP将通过AMD区域参照人向区域医疗保健系统传播。每个区域将被要求通过多专业工作组实施DTAP,并由区域AMD参照者和患者协会代表参与。每年将使用指标系统评估DTAP的有效性。
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引用次数: 0
Manage glucose levels by insulin patches 通过胰岛素贴片控制血糖水平
Pub Date : 2021-01-01 DOI: 10.37532/1758-1907.2021.11(6).E242
Anish Vennap
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引用次数: 0
Complications of type-1 diabetes in reduced insulin production 1型糖尿病胰岛素分泌减少的并发症
Pub Date : 2021-01-01 DOI: 10.37532/1758-1907.2021.11(7).256
Rithesh kalli
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引用次数: 0
The comparative effects of metformin, pioglitazone and rosiglitazone on the sciatic nerve of alloxan-induced diabetic male rats 二甲双胍、吡格列酮和罗格列酮对四氧嘧啶诱导的糖尿病雄性大鼠坐骨神经的影响
Pub Date : 2021-01-01 DOI: 10.37532/1758-1907.2021.11(7).265-269
Sangoyomi Seun A Akinola Oluwole
Diabetes mellitus is the most common metabolic disease with neuropathy as its most common complication. In the present study, the effects of oral hypoglycaemic drugs (metformin, pioglitazone and rosiglitazone) on the morphology of the sciatic nerve were investigated. Forty male Wistar rats (140 g) divided into 5 groups control, diabetic, and 3 experimental groups (n=8) were used for the study. The 3 experimental groups were rendered diabetic by intraperitoneal injection of alloxan (150 mg/kg body weight) and subsequently treated with metformin (150 mg/kg/d), pioglitazone (3 mg/kg/d) and rosiglitazone (10 mg/kg/d) respectively. At 28 days of treatment, sciatic nerve morphology was studied by the Bielschosky’s Silver Nitrate (BSN) and Luxol Fast Blue (LFB) techniques. Blood glucose levels were monitored and recorded throughout the experiment. In the diabetic rats with oral hypoglycaemic interventions, blood glucose was not significantly different (P>0.05) from the control at 28 days of treatment. The body weight of Rosiglitazone-treated rats showed significant increase when compared with the control and other oral hypoglycaemic drug-treated rats. The axon and myelin fibers showed relatively strong affinity for BSN and LFB in the control and oral hypoglycaemic drugtreated diabetic rats contrary to the weak affinity for the stains in the untreated diabetic rats. These results suggest that oral hypoglycaemic drugs exerted positive effects on the treatment and improvement of sciatic nerve morphology of alloxan-induced diabetic rats.
糖尿病是最常见的代谢性疾病,其最常见的并发症是神经病变。本研究观察了口服降糖药(二甲双胍、吡格列酮和罗格列酮)对坐骨神经形态学的影响。选用雄性Wistar大鼠40只(140 g),分为5组,对照组、糖尿病组和3个实验组(n=8)。3个试验组先腹腔注射四氧嘧啶(150 mg/kg体重)致糖尿病,然后分别给予二甲双胍(150 mg/kg/d)、吡格列酮(3 mg/kg/d)和罗格列酮(10 mg/kg/d)治疗。治疗28 d时,采用Bielschosky硝酸银(BSN)和Luxol快速蓝(LFB)技术研究坐骨神经形态学。在整个实验过程中监测并记录血糖水平。经口服降糖干预的糖尿病大鼠,治疗第28天血糖与对照组无显著差异(P < 0.05)。与对照组和其他口服降糖药治疗的大鼠相比,罗格列酮治疗的大鼠体重明显增加。对照组和口服降糖药治疗的糖尿病大鼠轴突和髓鞘纤维对BSN和LFB的亲和力较强,而未治疗的糖尿病大鼠对BSN和LFB的亲和力较弱。提示口服降糖药对四氧嘧啶诱导的糖尿病大鼠坐骨神经形态学有积极的治疗和改善作用。
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引用次数: 0
Diabetes Management for Pre Diabetes 糖尿病前期的糖尿病管理
Pub Date : 2021-01-01 DOI: 10.37532/1758-1907.2021.11(5).225
Richard Bossman
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引用次数: 0
期刊
Diabetes management (London, England)
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