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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
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
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
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
2020 Market Analysis 2020年市场分析
Pub Date : 2021-01-01 DOI: 10.37532/1758-1907.2021.11(5).229
O. Ojo
Global diabetes market is expected to grow at a CAGR of 7.6% percent for the forecasted period of 2018-2023. The market is segmented on the basis of type of diabetes, drugs class and diabetic devices. Diabetic drugs have the highest market share amongst drugs and devices and are also expected to have the highest growth rate with a CAGR of 8.9%. Some of the top selling diabetic drugs include Lantus (Sanofi), Januvia (Merck And Co), Humalog (Eli Lily And Co), Novorapid (Novo Nordisk), Levemir (Novo Nordisk), Victoza (Novo Nordisk), Janumet (Merck And Co.), Novolog (Novo Nordisk), Humalin (Eli Lily And Co.) And Galvus (Novartis). With the diabetic population expected to cross the 350 million market by 2030 the market is expected to show strong growth rate.
全球糖尿病市场预计在2018-2023年期间将以7.6%的复合年增长率增长。市场是根据糖尿病类型、药物类别和糖尿病设备进行细分的。糖尿病药物在药物和设备中占有最高的市场份额,预计也将以8.9%的复合年增长率达到最高的增长率。一些最畅销的糖尿病药物包括Lantus(赛诺菲)、Januvia(默克)、Humalog(礼来制药)、Novorapid(诺和诺德)、Levemir(诺和诺德)、Victoza(诺和诺德)、Janumet(默克)、Novolog(诺和诺德)、Humalin(礼来制药)和Galvus(诺华)。预计到2030年,糖尿病人口将超过3.5亿,市场预计将呈现强劲增长。
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引用次数: 0
Identifying functional and non-functional specifications of a telehealth software application for diabetes mellitus 识别糖尿病远程医疗软件应用程序的功能和非功能规范
Pub Date : 2021-01-01 DOI: 10.37532/1758-1907.2021.11(7).245-253
D. Folinas, Maria Tzilini Kyriakos Kazakos
The study aims to identify and present the functional and non-functional technical and medical specifications of the software application that supports the clinical care of Diabetes Mellitus (DM) patients and maintain clinical information for monitoring, evaluation, and administration purposes in a research project titled cometech. The proposed software application belongs to the Electronic Health Management Information Systems (eHMIS) category that is designed to fulfill the need for an automated national health information management system. It is used for public health-related decision-making. Its main users are public policymakers, health officers, researchers, planning departments of health offices, eHMIS focal persons, data entry clerks, and many others ranging from health facility to federal management levels. The identification and analysis of the functional and non-functional requirements will help researchers to design and develop similar software applications that aim to introduce telehealth tools and services to achieve continuity of health care and to provide consultation and patient education (society awareness).
在一个名为cometech的研究项目中,该研究旨在确定并呈现支持糖尿病(DM)患者临床护理的软件应用程序的功能和非功能技术和医学规范,并维护用于监测、评估和管理目的的临床信息。拟议的软件应用程序属于电子健康管理信息系统(eHMIS)类别,旨在满足自动化国家健康信息管理系统的需求。它用于公共卫生决策。它的主要用户是公共决策者、卫生官员、研究人员、卫生办公室的规划部门、eHMIS联络人、数据录入员以及从卫生设施到联邦管理级别的许多其他人员。识别和分析功能性和非功能性需求将有助于研究人员设计和开发类似的软件应用程序,旨在引入远程保健工具和服务,以实现保健的连续性,并提供咨询和患者教育(社会意识)。
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引用次数: 0
Oral medications 口服药物
Pub Date : 2020-03-23 DOI: 10.4324/9780429326196-5
Janet Titchener
——— DOSAGE FORMS AND STRENGTHS ——— Injection: 2 mg/1.5 mL (1.34 mg/mL) available in: • Single-patient-use pen that delivers 0.25 mg or 0.5 mg per injection (3). • Single-patient-use pen that delivers 1 mg per injection (3). ——— CONTRAINDICATIONS ——— • Personal or family history of medullary thyroid carcinoma or in patients with Multiple Endocrine Neoplasia syndrome type 2 (4). • Known hypersensitivity to OZEMPIC® or any of the product components (4). ——— WARNINGS AND PRECAUTIONS ——— • Pancreatitis: Has been reported in clinical trials. Discontinue promptly if pancreatitis is suspected. Do not restart if pancreatitis is confirmed (5.2). • Diabetic Retinopathy Complications: Has been reported in a clinical trial. Patients with a history of diabetic retinopathy should be monitored (5.3). • Never share an OZEMPIC® pen between patients, even if the needle is changed (5.4). • Hypoglycemia: When OZEMPIC® is used with an insulin secretagogue or insulin, consider lowering the dose of the secretagogue or insulin to reduce the risk of hypoglycemia (5.5). • Acute Kidney Injury: Monitor renal function in patients with renal impairment reporting severe adverse gastrointestinal reactions (5.6). • Hypersensitivity Reactions: Discontinue OZEMPIC® if suspected and promptly seek medical advice (5.7). ——— ADVERSE REACTIONS ——— The most common adverse reactions, reported in ≥5% of patients treated with OZEMPIC® are: nausea, vomiting, diarrhea, abdominal pain and constipation (6.1). To report SUSPECTED ADVERSE REACTIONS, contact Novo Nordisk Inc., at 1-888693-6742 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
------剂量形式和优势------注射:2 mg/mL(1.34 mg/mL)可供选择:•单次患者使用的笔,每次注射可提供0.25 mg或0.5 mg(3)。•单个患者使用笔,每次注射1毫克(3)。------禁忌症------•甲状腺髓样癌或2型多发性内分泌肿瘤综合征患者的个人或家族史(4)。•已知对OZEMPIC®或任何产品成分过敏(4)。------警告和预防措施------•胰腺炎:已有临床试验报告。如果怀疑有胰腺炎,应立即停药。如果确认胰腺炎,不要重新开始(5.2)。•糖尿病视网膜病变并发症:已在临床试验中报道。应监测有糖尿病视网膜病变病史的患者(5.3)。•即使更换针头,患者之间也不要共用OZEMPIC®笔(5.4)。•低血糖:当OZEMPIC®与胰岛素促分泌剂或胰岛素一起使用时,考虑降低促分泌剂或胰岛素的剂量,以降低低血糖的风险(5.5)。•急性肾损伤:监测报告严重胃肠道不良反应的肾功能受损患者的肾功能(5.6)。•超敏反应:如果怀疑,停止使用OZEMPIC®,并立即寻求医疗建议(5.7)。------不良反应------最严重据报道,接受OZEMPIC®治疗的患者中,有5%以上的患者出现常见不良反应,包括:恶心、呕吐、腹泻、腹痛和便秘(6.1)。若要报告疑似不良反应,请联系Novo Nordisk股份有限公司,电话1-888693-6742或美国食品药品监督管理局,电话1-800-FDA-1088或www.FDA.gov/medwatch。
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引用次数: 0
期刊
Diabetes management (London, England)
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