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Inhibition of IRAK 1/4 alleviates colitis by inhibiting TLR 4/NF-κB pathway and protecting the intestinal barrier 抑制IRAK 1/4通过抑制TLR4/NF-κB通路和保护肠道屏障减轻结肠炎
IF 3.4 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-06-13 DOI: 10.17305/bjbms.2022.7348
Bo Yan, Xiangjie Li, Linxiang Zhou, Yu-Qi Qiao, Jing Wu, Lanlan Zha, Peilu Liu, Shuai Peng, Baixin Wu, Xiaoyun Yu, Lei Shen
Interleukin-1 receptor-associated kinase 1/4 (IRAK1/4) is the main kinase of the toll-like receptor (TLR)-mediated pathway, considered a new target for treating inflammatory diseases. Studies showed a significant correlation between TLRs and inflammatory responses in ulcerative colitis. Therefore, in this study, after inducing experimental colitis in mice with 3% dextran sulfate sodium (DSS), different concentrations of IRAK1/4 inhibitors were administered intraperitoneally. Then, the disease activity index was assessed, including the degree of pathological damage, by HE staining. Subsequently, while Western blotting detected the TLR4/NF-κB pathway and intestinal barrier protein expression (Zonula-1, Occludin, Claudin-1, JAM-A), real-time polymerase chain reaction detected the mRNA expression levels of IRAK1/4 and mucin1/2. Furthermore, the expression levels of Zonula-1 and occludin were detected by immunofluorescence, including the plasma FITC-dextran 4000 concentration, to evaluate intestinal barrier permeability. However, ELISA measured the expression of inflammatory factors to reflect intestinal inflammation in mice. Investigations showed that the IRAK 1/4 inhibitor significantly reduced clinical symptoms and pathological DSS-induced colitis damage in mice and then inhibited the cytoplasmic and nuclear translocation of NF-κB p65, including the phosphorylation of IκBα and reduction in downstream inflammatory factor production. Therefore, we established that the IRAK1/4 inhibitor effectively improves colitis induced by DSS, partly by inhibiting the TLR4/NF-κB pathway, reducing inflammation, and maintaining the integrity of the colonic barrier.
白细胞介素-1受体相关激酶1/4(IRAK1/4)是toll样受体(TLR)介导的通路的主要激酶,被认为是治疗炎症性疾病的新靶点。研究表明,TLRs与溃疡性结肠炎的炎症反应之间存在显著相关性。因此,在本研究中,在用3%葡聚糖硫酸钠(DSS)诱导小鼠实验性结肠炎后,腹膜内给予不同浓度的IRAK1/4抑制剂。然后,通过HE染色评估疾病活动指数,包括病理损伤程度。随后,Western印迹检测TLR4/NF-κB通路和肠屏障蛋白表达(Zonula-1、Occludin、Claudin-1、JAM-A),实时聚合酶链式反应检测IRAK1/4和粘蛋白1/2的mRNA表达水平。此外,通过免疫荧光检测Zonula-1和occludin的表达水平,包括血浆FITC右旋糖酐4000浓度,以评估肠屏障通透性。然而,ELISA测定了炎症因子的表达,以反映小鼠的肠道炎症。研究表明,IRAK 1/4抑制剂显著减轻了小鼠的临床症状和病理性DSS诱导的结肠炎损伤,然后抑制了NF-κB p65的细胞质和细胞核易位,包括IκBα的磷酸化和下游炎症因子产生的减少。因此,我们确定IRAK1/4抑制剂有效改善DSS诱导的结肠炎,部分是通过抑制TLR4/NF-κB通路、减少炎症和维持结肠屏障的完整性。
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引用次数: 5
Serum microRNAs as biomarkers for the diagnosis of papillary thyroid carcinoma: A meta-analysis 血清微小RNA作为诊断甲状腺乳头状癌的生物标志物:一项荟萃分析
IF 3.4 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-06-04 DOI: 10.17305/bjbms.2022.7343
Yuping Chen, B. Dong, Lichun Huang, Huibin Huang
Papillary thyroid carcinoma (PTC) is the most common form of thyroid cancer. Several studies have proposed serum microRNAs (miRNAs) as novel biomarkers for diagnosing PTC. In this study, we conducted a meta-analysis aiming to investigate the overall diagnostic accuracy of serum miRNAs in PTC detection. Three online databases including PubMed, EMBASE, and Cochrane Library were searched up to 1 May 2021. We systematically reviewed studies evaluating the value of serum miRNAs in diagnosing PTC, and then summarized the area under receiver operating characteristics curve (AUROC), sensitivity, specificity, and diagnostic odds ratio to assess the accuracy of serum miRNAs for the discrimination between patients with PTC and patients with benign thyroid nodules and healthy controls. We included 32 studies from 6 articles. Overall, there were 463 PTC patients, 334 patients with benign thyroid nodules, and 104 healthy controls. The results showed that the summary sensitivity and specificity were 76% (95% confidence interval [CI]: 68-83%) and 86% (95% CI: 80-91%), respectively, and that the summary AUROC was 0.89 (95% CI: 0.86-0.91), when serum miRNAs were used for discriminating between PTC patients and those with benign nodules. On the other hand, the summary sensitivity and specificity of serum miRNAs for discriminating between PTC patients and healthy controls were 82% (95% CI: 77-86%) and 84% (95% CI: 76-90%), respectively, and the summary AUROC was 0.89 (95% CI: 0.86-0.92). We found that serum miRNAs have good diagnostic performance for the discrimination between patients with PTC and patients with benign nodules and healthy controls, and thus have considerable potential as novel minimally invasive tools for detecting PTC.
甲状腺乳头状癌(PTC)是最常见的甲状腺癌。一些研究已经提出血清microRNAs (miRNAs)作为诊断PTC的新生物标志物。在这项研究中,我们进行了一项荟萃分析,旨在探讨血清mirna在PTC检测中的总体诊断准确性。检索截止到2021年5月1日的PubMed、EMBASE和Cochrane Library三个在线数据库。我们系统地回顾了评价血清miRNAs诊断PTC价值的研究,然后总结了受试者工作特征曲线下面积(AUROC)、敏感性、特异性和诊断优势比,以评估血清miRNAs区分PTC患者与良性甲状腺结节患者和健康对照者的准确性。我们纳入了来自6篇文章的32项研究。总的来说,有463名PTC患者,334名良性甲状腺结节患者和104名健康对照。结果显示,当使用血清miRNAs鉴别PTC患者和良性结节时,总敏感性和特异性分别为76%(95%置信区间[CI]: 68-83%)和86% (95% CI: 80-91%),总AUROC为0.89 (95% CI: 0.86-0.91)。另一方面,血清mirna区分PTC患者和健康对照的总体敏感性和特异性分别为82% (95% CI: 77-86%)和84% (95% CI: 76-90%),总体AUROC为0.89 (95% CI: 0.86-0.92)。我们发现血清miRNAs在区分PTC患者、良性结节患者和健康对照者方面具有良好的诊断性能,因此具有相当大的潜力作为检测PTC的新型微创工具。
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引用次数: 2
Serum extracellular vesicle microRNA dysregulation and childhood trauma in adolescents with major depressive disorder 青少年重度抑郁障碍的血清细胞外囊泡microRNA失调与童年创伤
IF 3.4 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-06-03 DOI: 10.17305/bjbms.2022.7110
Liu-yi Ran, Yidi Kong, Jiao-jiao Xiang, Qi Zeng, Chenyu Zhang, Lei Shi, H. Qiu, Chuan Liu, Lin-li Wu, Ya-lan Li, Jian-mei Chen, Ming Ai, Wo Wang, L. Kuang
Major depressive disorder (MDD) seriously endangers adolescent mental and physical health. Extracellular vesicles (EVs) are mediators of cellular communication and are involved in many physiological brain processes. Although EV miRNAs have been implicated in adults with major psychiatric disorders, investigation into their effects in adolescent MDD remains scarce. In discovery set, we conducted a genome-wide miRNA sequencing of serum EVs from 9 untreated adolescents with MDD and 8 matched healthy controls (HCs), identifying 32 differentially expressed miRNAs (18 upregulated and 14 downregulated). In the validation set, 8 differentially expressed and highly enriched miRNAs were verified in independent samples using reverse-transcription polymerase chain reaction (RT-PCR), with 4 (miR-450a-2-3p, miR-3691-5p, miR-556-3p, and miR-2115-3p) of the 8 miRNAs found to be significantly elevated in 34 untreated adolescents with MDD compared with 38 HCs and consistent with the sequencing results. After the Bonferroni correction, we found that three miRNAs (miR-450a-2-3p, miR-556-3p, and miR-2115-3p) were still significantly different. Among them, miR-450a-2-3p showed the most marked differential expression and was able to diagnose disease with 67.6% sensitivity and 84.2% specificity. Furthermore, miR-450a-2-3p partially mediated the associations between total childhood trauma, emotional abuse, and physical neglect and adolescent MDD. We also found that the combination of miR-450a-2-3p and emotional abuse could effectively diagnose MDD in adolescents with 82.4% sensitivity and 81.6% specificity. Our data demonstrate the association of serum EV miRNA dysregulation with MDD pathophysiology and, furthermore, show that miRNAs may mediate the relationship between early stress and MDD susceptibility. We also provide a valid integrated model for the diagnosis of adolescent MDD.
重度抑郁症严重危害青少年身心健康。细胞外小泡是细胞通讯的介质,参与许多大脑生理过程。尽管EV miRNA与患有严重精神疾病的成年人有关,但对其在青少年MDD中的影响的研究仍然很少。在发现集中,我们对9名未经治疗的MDD青少年和8名匹配的健康对照(HC)的血清EVs进行了全基因组miRNA测序,鉴定了32种差异表达的miRNA(18种上调,14种下调)。在验证集中,使用逆转录聚合酶链式反应(RT-PCR)在独立样本中验证了8种差异表达和高富集的miRNA,其中8种miRNA中的4种(miR-450a-2-3p、miR-3691-5p、miR-556-3p和miR-2115-3p)在34名未经治疗的MDD青少年中显著升高,与38名HC相比,这与测序结果一致。Bonferroni校正后,我们发现三种miRNA(miR-450a-2-3p、miR-556-3p和miR-2115-3p)仍然存在显著差异。其中,miR-450a-2-3p表现出最显著的差异表达,能够诊断疾病,敏感性为67.6%,特异性为84.2%。此外,miR-450a-2-3p在一定程度上介导了儿童创伤、情感虐待、身体忽视和青少年MDD之间的关联。我们还发现,miR-450a-2-3p和情绪虐待的结合可以有效诊断青少年MDD,敏感性为82.4%,特异性为81.6%。我们的数据证明了血清EV miRNA失调与MDD病理生理学的关系,此外,miRNA可能介导早期应激和MDD易感性之间的关系。我们还为青少年MDD的诊断提供了一个有效的综合模型。
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引用次数: 5
Urine amylase level after Whipple resection might be a predictive factor of post-operative complications Whipple切除术后尿淀粉酶水平可能是术后并发症的预测因素
IF 3.4 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-06-03 DOI: 10.17305/bjbms.2022.7356
F. Ljuca, Amir Tursunović, Kenana Ljuca, Z. Rifatbegović, Mirha Agić
The association between urine amylase levels and the development of post-operative complications after Whipple resection is still unknown. The aim of this study was to determine the prognostic value of urine amylase levels for post-operative complications in patients who underwent Whipple resection. In this retrospective-prospective cohort study we analyzed amylase levels in urine, serum, and drains in 52 patients who underwent Whipple resection preoperatively and on Post-operative Day 1 (POD1) after the intervention. Patients were followed up for 3 months to assess their predictive value for post-operative complications. In patients with complications, urine amylase levels were significantly higher on POD1 than before resection (198.89 ± 28.41 vs. 53.70 ± 7.44, p=0.000). Considering the sensitivity and specificity of the urine amylase level on POD1, an area under the ROC curve of 0.918 was obtained (p<0.001, 95% Confidence interval [CI]: 0.894-0.942). Patients with urine amylase levels ≥140.00 U/L had significantly higher risks of post-operative pancreatic fistula (POPF) grade C (definition of POPF done according to the ISGP) (RR:20.26; 95% CI: 1.18-347.07; p=0.038), readmission to hospital (RR: 6.61; 95% CI: 1.53-28.58; p=0.011), reoperation (RR: 5.67; 95% CI: 1.27-25.27; p=0.023), and mortality (RR:17.00; 95% CI: 2.33-123.80; p=0.005) than patients with urine amylase levels <140.00 U/L. Urine amylase levels on POD1 displayed strong and significant positive correlations with serum amylase levels (r=0.92, p=0.001) and amylase levels in drains (r=0.86, p=0.002). We can conclude that urine amylase levels on POD1 have good prognostic value for post-operative complications after Whipple resection and might be used as an additional predictive risk factor.
尿淀粉酶水平与Whipple切除术后并发症的发生之间的关系尚不清楚。本研究的目的是确定尿淀粉酶水平对Whipple切除术后并发症的预后价值。在这项回顾性前瞻性队列研究中,我们分析了52名在术前和术后第1天(POD1)接受Whipple切除术的患者的尿液、血清和引流管中的淀粉酶水平。对患者进行了3个月的随访,以评估其对术后并发症的预测价值。在有并发症的患者中,POD1上的尿淀粉酶水平显著高于切除前(198.89±28.41 vs.53.70±7.44,p=0.000)。考虑到尿淀粉酶水平对POD1的敏感性和特异性,ROC曲线下面积为0.918(p<0.001,95%置信区间[CI]:0.894-0.942)。尿淀粉酶水平≥140.00 U/L的患者发生术后胰瘘(POPF)C级(根据ISGP确定POPF)(RR:20.26;95%CI:1.18-347.07;p=0.038)、再次入院(RR:6.61;95%CI:1.53-28.58;p=0.011)的风险显著较高,再手术(RR:5.67;95%CI:1.27-25.27;p=0.023)和死亡率(RR:17.0;95%CI:2.33-123.80;p=0.005)。POD1上的尿淀粉酶水平与血清淀粉酶水平(r=0.92,p=0.001)和引流管中的淀粉酶水平(r=0.86,p=0.002)呈正相关。
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引用次数: 0
Application of microfluidic chips in anticancer drug screening. 微流控芯片在抗癌药物筛选中的应用。
IF 3.4 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-06-01 DOI: 10.17305/bjbms.2021.6484
Xin-Yue Fan, Zhuo-Fen Deng, Yan-Yan Yan, Valerii E Orel, Andrii Shypko, Valerii B Orel, Donika Ivanova, Christian Pilarsky, Jing Tang, Zhe-Sheng Chen, Jian-Ye Zhang

With the continuous development of drug screening technology, new screening methodologies and technologies are constantly emerging, driving drug screening into rapid, efficient and high-throughput development. Microfluidics is a rising star in the development of innovative approaches in drug discovery. In this article, we summarize the recent years' progress of microfluidic chip technology in drug screening, including the developmental history, structural design, and applications in different aspects of microfluidic chips on drug screening. Herein, the existing microfluidic chip screening platforms are summarized from four aspects: chip structure design, sample injection and drive system, cell culture technology on a chip, and efficient remote detection technology. Furthermore, this review discusses the application and developmental prospects of using microfluidic chips in drug screening, particularly in screening natural product anticancer drugs based on chemical properties, pharmacological effects, and drug cytotoxicity.

随着药物筛选技术的不断发展,新的筛选方法和技术不断涌现,推动药物筛选朝着快速、高效、高通量的方向发展。微流体技术是一颗冉冉升起的新星,在药物发现的创新方法的发展。本文综述了近年来微流控芯片技术在药物筛选方面的进展,包括微流控芯片的发展历史、结构设计以及在药物筛选方面的不同应用。本文从芯片结构设计、进样及驱动系统、片上细胞培养技术、高效远程检测技术四个方面对现有的微流控芯片筛选平台进行了综述。综述了微流控芯片在药物筛选中的应用和发展前景,特别是基于化学性质、药理作用和药物细胞毒性筛选天然产物抗癌药物。
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引用次数: 7
The prognostic value of MKL1 in predicting breast cancer immune infiltrates and chemosensitivity. MKL1在预测乳腺癌免疫浸润和化疗敏感性中的预后价值。
IF 3.4 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-06-01 DOI: 10.17305/bjbms.2021.6306
Yijia Hua, Mengzhu Yang

Megakaryocytic leukemia 1 (MKL1) acts as a transcription factor in the regulation of the immune system and is associated with cancer biology. However, its function in the infiltrating immune cells in breast cancer has not been explored. Our study aimed to analyze the expression of MKL1 in The Cancer Genome Atlas (TCGA) breast cancer dataset. The aim of this study was to evaluate the correlations between MKL1 expression, infiltrating immune cells, and immune control genes. Enriched signaling pathways and drug sensitivity analyses were also performed. Our results indicate that high MKL1 expression could predict better survival in breast cancer patients. MKL1 expression was associated with the expression and function of different immune cells, including T cells, B cells, natural killer (NK) cells, macrophages, neutrophils and dendritic cells (DCs). The chromatin modifying enzymes, cellular senescence, epigenetic regulation of gene expression, estrogen-dependent gene expression, and chromosome maintenance were differentially enriched in MKL1 low expression phenotype. Patients in the high MKL1 expression group showed sensitivity to paclitaxel, while those in the low expression group showed potential sensitivity for cisplatin and docetaxel. In conclusion, MKL1 might act as a potential biomarker of prognostic value for immune infiltration and drug sensitivity in breast cancer.

巨核细胞白血病1 (MKL1)作为一种转录因子参与免疫系统的调控,并与癌症生物学相关。然而,其在乳腺癌浸润性免疫细胞中的作用尚未探讨。我们的研究旨在分析MKL1在癌症基因组图谱(TCGA)乳腺癌数据集中的表达。本研究的目的是评估MKL1表达、浸润免疫细胞和免疫控制基因之间的相关性。还进行了富集信号通路和药物敏感性分析。我们的研究结果表明,MKL1高表达可以预测乳腺癌患者更好的生存。MKL1的表达与不同免疫细胞的表达和功能相关,包括T细胞、B细胞、自然杀伤细胞(NK)、巨噬细胞、中性粒细胞和树突状细胞(dc)。在MKL1低表达表型中,染色质修饰酶、细胞衰老、基因表达的表观遗传调控、雌激素依赖性基因表达和染色体维持均有差异富集。MKL1高表达组对紫杉醇敏感,低表达组对顺铂和多西紫杉醇潜在敏感。综上所述,MKL1可能作为乳腺癌免疫浸润和药物敏感性的潜在生物标志物。
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引用次数: 2
Plasma exosome-derived fragile site-associated tumor suppressor as a powerful prognostic predictor for patients with ovarian cancer. 血浆外泌体衍生的脆性位点相关肿瘤抑制因子作为卵巢癌患者预后的有力预测因子。
IF 3.4 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-06-01 DOI: 10.17305/bjbms.2021.6404
Renjing Hu, Xiaochun Chen, Shiliang Zhang, Bin Liu, Hao Pei, Fan Tu, Jun Liu, Hao Yu

The objective of the study was to investigate the levels of plasma exosome-derived fragile site-associated tumor suppressor (FATS) and evaluate its prognostic predictive ability in ovarian cancer (OC) patients. Exosome-rich fractions were isolated from the plasma of 90 patients with OC enrolled in this study. The levels of plasma exosome-derived FATS were detected by ELISA. The levels of exosome-derived FATS in OC patients were significantly lower as compared to the healthy controls (P < 0.001). The levels of plasma exosome-derived FATS were higher in OC patients with low grade (1/2), and Federation International of Gynecology and Obstetrics (FIGO) Stages I/II than those in high grade (3/4) and Stages III/IV of the disease (p = 0.003; p < 0.001), respectively. The levels of plasma exosome-derived FATS were significantly higher in OC patients with no lymph node metastasis or no ascites as compared to those with lymph node metastasis or ascites, respectively (both p < 0.001). The levels of plasma exosome-derived FATS were higher in OC patients having CA-125 below 35 U/ml as compared to those with CA-125 greater than 35 U/ml (p < 0.001). Among all enrolled OC patients, both 5-DFS and 5-OS were shorter in patients with lower plasma exosome-derived FATS levels than those with higher levels (both p < 0.001). The area under the receiver operating characteristic curve of plasma exosome-derived FATS was 0.85 (95% CI: 0.76-0.91) for 5-DFS and 0.91 (95% CI: 0.83-0.96) for 5-OS prediction in patients with OC. Plasma exosome-derived FATS levels in OC patients were significantly downregulated. Low levels of plasma exosome-derived FATS had a significant relationship with FIGO Stages III/IV, high grade, ascites, higher levels of CA-125, lymph node metastasis, and prognosis of OC patients. Thus, our findings may provide insights for the development of a new strategy OC treatment.

该研究的目的是研究血浆外泌体衍生的脆性位点相关肿瘤抑制因子(fat)的水平,并评估其在卵巢癌(OC)患者中的预后预测能力。本研究从90例OC患者的血浆中分离出富外泌体。ELISA法检测血浆外泌体来源的脂肪水平。与健康对照组相比,OC患者的外泌体来源脂肪水平显著降低(P < 0.001)。低级别(1/2)和国际妇产联合会(FIGO) I/II期的OC患者血浆外泌体来源脂肪水平高于高级别(3/4)和III/IV期的OC患者(p = 0.003;P < 0.001)。无淋巴结转移或无腹水的OC患者血浆外泌体源性脂肪水平显著高于有淋巴结转移或腹水的OC患者(p均< 0.001)。CA-125低于35 U/ml的OC患者血浆外泌体来源的脂肪水平高于CA-125高于35 U/ml的OC患者(p < 0.001)。在所有入选的OC患者中,血浆外泌体来源脂肪水平较低的患者的5-DFS和5-OS均短于血浆外泌体来源脂肪水平较高的患者(p均< 0.001)。5-DFS患者血浆外泌体源性脂肪的受试者工作特征曲线下面积为0.85 (95% CI: 0.76-0.91), 5-OS预测OC患者的下面积为0.91 (95% CI: 0.83-0.96)。OC患者血浆外泌体来源的脂肪水平显著下调。血浆外泌体源性脂肪水平低与FIGO III/IV期、高分级、腹水、CA-125水平升高、淋巴结转移和OC患者预后有显著关系。因此,我们的研究结果可能为开发一种新的OC治疗策略提供见解。
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引用次数: 3
Attributes of intestinal microbiota composition and their correlation with clinical primary non-response to anti-TNF-α agents in inflammatory bowel disease patients. 炎症性肠病患者肠道菌群组成特征及其与抗tnf -α药物临床原发性无反应的相关性
IF 3.4 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-06-01 DOI: 10.17305/bjbms.2021.6436
Hanan Alatawi, Mahmoud Mosli, Omar I Saadah, Vito Annese, Rashad Al-Hindi, Marfat Alatawy, Hadba Al-Amrah, Dikhnah Alshehri, Ahmad Bahieldin, Sherif Edris

The largest microbial aggregation in the human body exists in the gastrointestinal tract. The microbiota in the host gastrointestinal tract comprises a diverse ecosystem, and the intestinal microbiota plays a vital role in maintaining gut homeostasis. This study aims to examine whether the gut microbiota influences unresponsiveness to anti-TNF-α treatments in primary nonresponder patients, and consequently identify the responsible microbes as biomarkers of unresponsiveness. Stool samples were collected from a cohort of patients with an established diagnosis of IBD, either ulcerative colitis (UC) or Crohn's disease (CD), following completion of the induction phase of anti TNF therapy. 16S rRNA sequencing analysis was used to examine the pattern of microbiota communities in fecal samples. The quality and quantity of fecal microbiota were compared in responder and primary nonresponder IBD patients following anti-TNF-α therapy. As per our hypothesis, a difference in gut microbiome composition between the two patient subgroups was observed. A decreased abundance of short-chain fatty acid (SCFA)-producing bacteria, including Anaerostipes, Coprococcus, Lachnospira, Roseburia, and Ruminococcus, was detected in non-responsive patients, which was the hallmark of dysbiosis. Biomarkers of dysbiosis that were identified as predictors of clinical nonresponse, included Klebsiella, Eubacteriaceae, RF32, Bifidobacterium_animalis, and Muribaculaceae-previously known as S24-7. Signature biomarkers showed dramatic alteration in the composition of gut microbiota in patients who demonstrated primary nonresponse to anti-TNF-α agents. Dysbiosis, with features including a dropped biodiversity, augmentation in opportunistic pathogenic microbiota, and a lack of SCFA-producing bacteria, is a prominent feature of the microbiome of primary nonresponders to anti-TNF-α therapy.

人体内最大的微生物聚集地存在于胃肠道。宿主胃肠道中的微生物群组成了一个多样化的生态系统,肠道微生物群在维持肠道内稳态中起着至关重要的作用。本研究旨在研究肠道微生物群是否影响原发性无反应患者对抗tnf -α治疗的无反应性,从而确定负责的微生物作为无反应性的生物标志物。在完成抗肿瘤坏死因子治疗的诱导阶段后,从一组确诊为IBD(溃疡性结肠炎(UC)或克罗恩病(CD))的患者中收集粪便样本。采用16S rRNA测序分析检测粪便样品中微生物群落格局。比较抗tnf -α治疗后对IBD有反应和原发性无反应患者粪便微生物群的质量和数量。根据我们的假设,观察到两个患者亚组之间肠道微生物组组成的差异。在无反应的患者中检测到短链脂肪酸(SCFA)产生细菌的丰度降低,包括厌氧菌、粪球菌、毛螺旋体、玫瑰球菌和鲁米诺球菌,这是生态失调的标志。生态失调的生物标志物被确定为临床无反应的预测因子,包括克雷伯氏菌、真杆菌科、RF32、双歧杆菌和muribaculaceae(以前称为S24-7)。特征生物标志物显示,在对抗tnf -α药物无反应的患者中,肠道微生物群的组成发生了戏剧性的变化。生态失调,其特征包括生物多样性下降,机会致病性微生物群增加,以及缺乏产生scfa的细菌,是抗tnf -α治疗初级无反应的微生物群的一个突出特征。
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引用次数: 13
Novel insights into the pathological development of dyslipidemia in patients with hypothyroidism. 甲状腺功能减退患者血脂异常病理发展的新见解。
IF 3.4 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-06-01 DOI: 10.17305/bjbms.2021.6606
Xin Su, Xiang Chen, Hua Peng, Jingjin Song, Bin Wang, Xijie Wu

According to the previous reports, hypothyroidism has been shown to be strongly correlated with increased circulating concentrations of total cholesterol, low-density lipoprotein cholesterol (LDL-C), and triglycerides (TG). Notably, thyroid hormones  are confirmed to modulate the production, clearance, and transformation process of cholesterol within circulation of mammals. Moreover, emerging evidence suggests that the thyroid-stimulating hormone could also participate in modulating serum lipid metabolism independently of thyroid hormones, which further induces the pathological development of dyslipidemia. However, the underlying mechanism is still not fully elucidated. Recently, several research studies have demonstrated that the pathogenic progression of hypothyroidism-related dyslipidemia might be correlated with the decreased serum concentrations of thyroid hormones and the increased serum concentrations of thyroid-stimulating hormones. Thus, this indicates that hypothyroidism could induce dyslipidemia and its related cardio-metabolic disorder diseases. In addition, several newly identified modulatory biomarkers, such as proprotein convertase subtilisin/kexin type 9 (PCSK9), angiopoietin-like protein (ANGPTLs), and fibroblast growth factors (FGFs), might play an important role in the regulation of dyslipidemia induced by hypothyroidism. Furthermore, under the status of hypothyroidism, significantly dysfunctional HDL particles could also be observed. In the current review, we summarized the recent knowledge of the relationship between the development of hypothyroidism with dyslipidemia. We also discussed the updated understanding of the mechanisms whereby hypothyroidism induces the risk and the development of dyslipidemia and cardio-metabolic diseases.

根据先前的报道,甲状腺功能减退已被证明与总胆固醇、低密度脂蛋白胆固醇(LDL-C)和甘油三酯(TG)的循环浓度升高密切相关。值得注意的是,甲状腺激素被证实可以调节哺乳动物循环中胆固醇的产生、清除和转化过程。此外,新的证据表明,促甲状腺激素还可以独立于甲状腺激素参与调节血清脂质代谢,从而进一步诱导血脂异常的病理发展。然而,其潜在机制仍未完全阐明。近年来,多项研究表明甲状腺功能减退相关的血脂异常的发病进展可能与血清甲状腺激素浓度降低和血清促甲状腺激素浓度升高有关。提示甲状腺功能减退可诱发血脂异常及其相关的心代谢紊乱疾病。此外,一些新发现的调性生物标志物,如蛋白转化酶枯草素/酮素9型(PCSK9)、血管生成素样蛋白(ANGPTLs)和成纤维细胞生长因子(FGFs),可能在甲状腺功能减退引起的血脂异常的调节中发挥重要作用。此外,在甲状腺功能减退状态下,也可以观察到明显功能失调的HDL颗粒。本文综述了近年来有关甲状腺功能减退与血脂异常之间关系的研究进展。我们还讨论了甲状腺功能减退导致血脂异常和心脏代谢疾病的风险和发展的最新机制。
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引用次数: 5
Emerging roles of sortilin in affecting the metabolism of glucose and lipid profiles. sortilin在影响葡萄糖和脂质代谢中的新作用。
IF 3.4 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-06-01 DOI: 10.17305/bjbms.2021.6601
Xin Su, Linjian Chen, Xiang Chen, Cuilian Dai, Bin Wang

Dyslipidemia has recently been identified as an important factor in modulating the progression of several health conditions, grouped as cardio-metabolic syndrome and including obesity,insulin resistance, and atherosclerosis. Among multiple factors which regulate the development of cardio-metabolic syndrome, sortilin has been found in multiple cell types, such as adipocyte, hepatocyte, and macrophage, suggesting that sortilin is correlated to the development and the severity of cardio-metabolic syndrome. Consistently, several genome-wide association  (GWAS) and basic experimental research studies are being conducted to find novel gene loci involved in regulating the pathological progression of cardio-metabolic syndrome. According to these data, both SORT1 gene and sortilin protein have an important function in regulating the circulating lipid and glucose metabolism resulting in modulation of disease progression. In this comprehensive review, we summarize the recent research results in regards to sortilin function in modulating the circulating lipid and glucose metabolism. Moreover, we also discuss and analyze the emerging evidence elucidating the potential mechanisms by which sortilin affects synthesis and secretion of lipid and glucose.

血脂异常最近被认为是调节几种健康状况进展的重要因素,这些健康状况被归类为心脏代谢综合征,包括肥胖、胰岛素抵抗和动脉粥样硬化。在调节心代谢综合征发生的多种因素中,sortilin存在于多种细胞类型中,如脂肪细胞、肝细胞、巨噬细胞等,提示sortilin与心代谢综合征的发生及严重程度相关。一直以来,一些全基因组关联(GWAS)和基础实验研究正在进行,以寻找参与调节心脏代谢综合征病理进展的新基因位点。根据这些数据,SORT1基因和sortilin蛋白在调节循环脂质和糖代谢从而调节疾病进展方面具有重要功能。本文就sortilin在调节循环脂质和葡萄糖代谢中的作用的最新研究进展进行综述。此外,我们还讨论和分析了阐明sortilin影响脂质和葡萄糖合成和分泌的潜在机制的新证据。
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引用次数: 6
期刊
Bosnian journal of basic medical sciences
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