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Diagnostic and Prognostic Value Analysis of miR-206 in Asymptomatic Carotid Artery Stenosis. miR-206在无症状颈动脉狭窄中的诊断及预后价值分析。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2022-07-06 eCollection Date: 2022-01-01 DOI: 10.3389/bjbs.2022.10592
Dancen Li, Jingjun Pan

Introduction: To investigate the expression level of miR-206 in serum of patients with asymptomatic carotid artery stenosis (CAS) and estimate the value of miR-206 in the diagnosis and prognosis of asymptomatic CAS. Methods: A total of 206 individuals enrolled in this study, including 105 CAS patients and 101 controls. RT-qPCR technology was applied to measure the relative level of miR-206, and Pearson's correlation coefficient was performed to analyze the relationship between carotid artery stenosis degree and miR-206 level. An ROC curve was drawn to assess the diagnostic value of miR-206 in asymptomatic CAS. The 5-year prognosis of asymptomatic CAS patients was tested using multivariate Cox regression analysis and Kaplan-Meier survival curve. Results: MiR-206 expression was reduced in asymptomatic CAS patients. The AUC of the ROC curve of miR-206 was 0.939, with a sensitivity of 86.70% and a specificity of 86.14%. The amount of CAS gradually increased with the decrease of miR-206 level. Seven-teen patients in the low miR-206 expression group developed CIEs, and 3 patients in the high miR-206 expression group developed CIEs during the 5-year follow-up. miR-206 and the amount of CAS were independent factors for the occurrence of CIEs within 5 years in asymptomatic CAS patients. Conclusion: Serum miR-206 has high diagnostic accuracy for asymptomatic CAS and has predictive value for the incidence of CIEs in patients within 5 years.

前言:研究miR-206在无症状颈动脉狭窄(CAS)患者血清中的表达水平,评估miR-206在无症状颈动脉狭窄(CAS)的诊断和预后中的价值。方法:本研究共纳入206例患者,包括105例CAS患者和101例对照组。采用RT-qPCR技术测定miR-206的相对水平,运用Pearson相关系数分析颈动脉狭窄程度与miR-206水平的关系。绘制ROC曲线评价miR-206在无症状CAS中的诊断价值。采用多因素Cox回归分析和Kaplan-Meier生存曲线分析无症状CAS患者的5年预后。结果:MiR-206在无症状CAS患者中表达降低。miR-206的ROC曲线AUC为0.939,敏感性为86.70%,特异性为86.14%。随着miR-206水平的降低,CAS的用量逐渐增加。在5年的随访中,miR-206低表达组有17例患者发生了CIEs, miR-206高表达组有3例患者发生了CIEs。miR-206和CAS用量是无症状CAS患者5年内发生CIEs的独立因素。结论:血清miR-206对无症状CAS具有较高的诊断准确性,对5年内患者发生CIEs具有预测价值。
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引用次数: 2
Beneficial Modulatory Effects of Treatment With Bone Marrow Lysate on Hematopoietic Stem Cells and Myeloid Cells in Tumor-Bearing Mice. 骨髓裂解液对荷瘤小鼠造血干细胞和骨髓细胞的有益调节作用。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2022-06-29 eCollection Date: 2022-01-01 DOI: 10.3389/bjbs.2022.10328
Mohamed L Salem, Kadry A El-Bakry, Eman H Moubark, Ashraf Sobh, Sohaila M Khalil

Introduction: Leukopenia is one of the major side effects of myelosuppressive chemotherapy such as cyclophosphamide (CTX). We and others have used CTX either alone or in combination with G-CSF for the mobilization of hematopoietic stem cells (HSCs). This mobilization can induce expansion of myeloid cells with immunosuppressive phenotype. In this pilot study, we aimed to test whether bone marrow lysate (BML)/CTX, a rich source of growth factors, can lower the expansion of myeloid cells with immunosuppressive phenotypes in tumor-bearing mice without interfering with the anti-tumor effects of CTX or with the mobilization of HSCs. Methods: Female CD1 mice were treated on day 0 with an i.p. injection of Ehrlich ascites carcinoma (EAC). On day 7, the mice were i.p. injected with CTX followed by s.c. injection of G-CSF for 5 consecutive days, single s.c. injection of BML/PBS or BML/CTX or single i.v. injection of BMC/PBS or BMC/CTX. Results: Treatment of EAC-bearing mice with BML/PBS or BML/CTX did not interfere with the anti-tumor effect of CTX. EAC increased the numbers of immature polymorphonuclear cells (iPMN; neutrophils) in both blood and spleen. Treatment of EAC-bearing mice with CTX further increased the numbers of these cells, which were decreased upon treatment with BML/CTX. Treatment with BML/PBS or BML/CTX increased the numbers of stem cells (C.Kit+Sca-1+) in BM; the effect of BML/CTX was higher, but with no significant effect on the numbers of HSCs. Future studies are needed to analyze the molecular components in BM lysate and to determine the underlying mechanisms.

白细胞减少是骨髓抑制化疗(如环磷酰胺(CTX))的主要副作用之一。我们和其他人已经使用CTX单独或与G-CSF联合用于造血干细胞(hsc)的动员。这种动员可以诱导具有免疫抑制表型的骨髓细胞的扩张。在这项初步研究中,我们旨在测试骨髓裂解液(BML)/CTX,一种丰富的生长因子来源,是否可以在不干扰CTX的抗肿瘤作用或动员造血干细胞的情况下,降低荷瘤小鼠免疫抑制表型的骨髓细胞的增殖。方法:雌性CD1小鼠于第0天腹腔注射埃利希腹水癌(EAC)。第7天,小鼠腹腔注射CTX,然后连续5天静脉注射G-CSF,或单次静脉注射BML/PBS或BML/CTX,或单次静脉注射BMC/PBS或BMC/CTX。结果:BML/PBS或BML/CTX均不影响CTX的抗肿瘤作用。EAC增加了未成熟多形核细胞(iPMN;血液和脾脏中的中性粒细胞。用CTX治疗eac小鼠进一步增加了这些细胞的数量,而用BML/CTX治疗后这些细胞的数量减少。BML/PBS或BML/CTX治疗增加了BM中干细胞(C.Kit+Sca-1+)的数量;BML/CTX对造血干细胞的影响较大,但对造血干细胞数量无显著影响。未来的研究需要分析BM裂解物中的分子成分并确定潜在的机制。
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引用次数: 0
Identification of LncRNA CARD8-AS1 as a Potential Prognostic Biomarker Associated With Progression of Lung Adenocarcinoma. LncRNA CARD8-AS1作为肺腺癌进展相关的潜在预后生物标志物的鉴定
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2022-06-23 eCollection Date: 2022-01-01 DOI: 10.3389/bjbs.2022.10498
Yong Ji, Guoqing Zhang, Xingyi Zhang

Introduction: Long non-coding RNAs (lncRNAs) exhibit crucial roles in human tumors. However, the role of lncRNA CARD8-AS1 in lung adenocarcinoma remains elusive. This study investigated the role of CARD8-AS1 in lung adenocarcinoma. Materials and Methods: The expression of CARD8-AS1 was detected by RT-qPCR analysis and confirmed using an online database. The clinical value of CARD8-AS1 was evaluated using the Kaplan-Meier curve and multivariate Cox regression analyses. The effects of CARD8-AS1 on cancer cell proliferation, migration, and invasion potential were assessed through several cellular experiments. Western blot assay was used to measure Bcl-2 and Bax protein levels. The interaction among CARD8-AS1, miR-650, and Bax, was assessed using a dual-luciferase reporter assay. Results: The expression of CARD8-AS1 was decreased in lung adenocarcinoma tissues and cell lines (p < 0.001). Low expression of CARD8-AS1 was related to tumor size (p = 0.042), TNM stage (p = 0.021), lymph node metastasis (p = 0.025), and poor overall survival (p < 0.05). Elevated expression of CARD8-AS1 could suppress cellular viability, migration potential, and invasion ability (p < 0.05). The Bcl-2 protein levels were decreased while Bax levels were increased by overexpression of CARD8-AS1 (p < 0.001). miR-650 may thus be a direct target of CARD8-AS1 and Bax may be a direct target of miR-650. Discussion: CARD8-AS1 expression was downregulated in lung adenocarcinoma and associated with several clinical parameters. CARD8-AS1 exerted tumor-suppressive effects by targeting the miR-650 and then regulating Bax expression. CARD8-AS1/miR-650 may serve as novel prognostic biomarkers and potential therapeutic targets for the treatment of lung adenocarcinoma.

长链非编码rna (lncRNAs)在人类肿瘤中发挥着至关重要的作用。然而,lncRNA CARD8-AS1在肺腺癌中的作用尚不清楚。本研究探讨了CARD8-AS1在肺腺癌中的作用。材料与方法:采用RT-qPCR检测CARD8-AS1的表达,并通过在线数据库进行确认。采用Kaplan-Meier曲线和多变量Cox回归分析评价CARD8-AS1的临床价值。通过几个细胞实验评估了CARD8-AS1对癌细胞增殖、迁移和侵袭潜力的影响。Western blot法检测Bcl-2和Bax蛋白水平。使用双荧光素酶报告试验评估CARD8-AS1、miR-650和Bax之间的相互作用。结果:CARD8-AS1在肺腺癌组织和细胞系中的表达降低(p < 0.001)。CARD8-AS1低表达与肿瘤大小(p = 0.042)、TNM分期(p = 0.021)、淋巴结转移(p = 0.025)、总生存率差(p < 0.05)有关。升高CARD8-AS1表达可抑制细胞活力、迁移潜能和侵袭能力(p < 0.05)。过表达CARD8-AS1使Bcl-2蛋白水平降低,Bax蛋白水平升高(p < 0.001)。因此miR-650可能是CARD8-AS1的直接靶点,Bax可能是miR-650的直接靶点。讨论:CARD8-AS1在肺腺癌中表达下调,并与多个临床参数相关。CARD8-AS1通过靶向miR-650调控Bax表达发挥抑瘤作用。CARD8-AS1/miR-650可能作为肺腺癌治疗的新型预后生物标志物和潜在治疗靶点。
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引用次数: 1
Biomedical Science and New Frontiers. 生物医学科学与新领域。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2022-06-20 eCollection Date: 2022-01-01 DOI: 10.3389/bjbs.2022.10638
Anthony Rhodes
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引用次数: 1
The Microbiology of Non-aeruginosa Pseudomonas Isolated From Adults With Cystic Fibrosis: Criteria to Help Determine the Clinical Significance of Non-aeruginosa Pseudomonas in CF Lung Pathology. 囊性纤维化成人非铜绿假单胞菌的微生物学:帮助确定非铜绿假单胞菌在CF肺病理中的临床意义的标准
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2022-06-08 eCollection Date: 2022-01-01 DOI: 10.3389/bjbs.2022.10468
John E Moore, John McCaughan, Jacqueline C Rendall, Beverley C Millar

Introduction: There is a paucity of reports on non-aeruginosa Pseudomonas (NAPs) in cystic fibrosis, hence this study wished 1). to examine the diversity/frequency of NAPs in an adult CF population, 2) to compare/contrast the microbiology and genomics of NAPs to P. aeruginosa and 3) to propose clinical and laboratory criteria to help determine their clinical significance in CF lung pathology. Materials and Methods: Microbiological data was examined from 100 adult patients with cystic fibrosis from birth to present (31/12/2021), equating to 2455 patient years. 16S rDNA phylogenetic relatedness of NAPs was determined, as well as bioinformatical comparison of whole genomes of P. aeruginosa against P. fluorescens. Results: Ten species were isolated from this patient cohort during this time period, with three species, i.e., P. fluorescens, P. putida and P. stutzeri, accounting for the majority (87.5%) of non-aeruginosa reports. This is the first report of the isolation of P. fragi, P. nitroreducens, P. oryzihabitans and P. veronii in patients with cystic fibrosis. The mean time to first detection of any non-aeruginosa species was 183 months (15.25 years) [median = 229 months (19.1 years)], with a range from 11 months to 338 months (28.2 years). Several of the NAPs were closely related to P. aeruginosa. Discussion: NAPs were isolated infrequently and were transient colonisers of the CF airways, in those patients with CF in which they were isolated. A set of ten clinical and laboratory criteria are proposed to provide key indicators, as to the clinical importance of the non-aeruginosa species isolated.

关于囊性纤维化中非铜绿假单胞菌(nap)的报道较少,因此本研究希望1)研究成人CF人群中nap的多样性/频率,2)比较nap与铜绿假单胞菌的微生物学和基因组学,3)提出临床和实验室标准,以帮助确定其在CF肺病理中的临床意义。材料和方法:研究了100例囊性纤维化成年患者从出生到现在(2021年12月31日)的微生物学数据,相当于2455例患者年。测定了nap的16S rDNA系统发育亲缘性,并对铜绿假单胞菌与荧光假单胞菌的全基因组进行了生物信息学比较。结果:在这段时间内从该患者队列中分离出10种,其中荧光假单胞菌(P. fluorescens)、恶臭假单胞菌(P. putida)和史图齐菌(P. stutzeri) 3种占非铜绿假单胞菌报告的大多数(87.5%)。这是首次报道在囊性纤维化患者中分离到fragi、P. nitroreducens、P. oryzihabitans和P. veronii。首次检出非铜绿菌的平均时间为183个月(15.25年)[中位数为229个月(19.1年)],范围为11个月至338个月(28.2年)。其中一些nap与铜绿假单胞菌密切相关。讨论:nap很少被分离,在被分离的CF患者中,它们是CF气道的短暂定植体。提出了一套10个临床和实验室标准,以提供关键指标,作为分离的非铜绿菌种的临床重要性。
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引用次数: 1
Comparison Between Dichloroacetate and Phenylbutyrate Treatment for Pyruvate Dehydrogenase Deficiency. 二氯乙酸酯与苯丁酸酯治疗丙酮酸脱氢酶缺乏症的比较。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2022-05-19 eCollection Date: 2022-01-01 DOI: 10.3389/bjbs.2022.10382
Patricia Karissa, Timothy Simpson, Simon P Dawson, Teck Yew Low, Sook Hui Tay, Fatimah Diana Amin Nordin, Shamsul Mohd Zain, Pey Yee Lee, Yuh-Fen Pung

Pyruvate dehydrogenase (PDH) deficiency is caused by a number of pathogenic variants and the most common are found in the PDHA1 gene. The PDHA1 gene encodes one of the subunits of the PDH enzyme found in a carbohydrate metabolism pathway involved in energy production. Pathogenic variants of PDHA1 gene usually impact the α-subunit of PDH causing energy reduction. It potentially leads to increased mortality in sufferers. Potential treatments for this disease include dichloroacetate and phenylbutyrate, previously used for other diseases such as cancer and maple syrup urine disease. However, not much is known about their efficacy in treating PDH deficiency. Effective treatment for PDH deficiency is crucial as carbohydrate is needed in a healthy diet and rice is the staple food for a large portion of the Asian population. This review analysed the efficacy of dichloroacetate and phenylbutyrate as potential treatments for PDH deficiency caused by PDHA1 pathogenic variants. Based on the findings of this review, dichloroacetate will have an effect on most PDHA1 pathogenic variant and can act as a temporary treatment to reduce the lactic acidosis, a common symptom of PDH deficiency. Phenylbutyrate can only be used on patients with certain pathogenic variants (p.P221L, p.R234G, p.G249R, p.R349C, p.R349H) on the PDH protein. It is hoped that the review would provide an insight into these treatments and improve the quality of lives for patients with PDH deficiency.

丙酮酸脱氢酶(PDH)缺乏症是由许多致病变异引起的,最常见的是PDHA1基因。PDHA1基因编码PDH酶的一个亚基,这种酶存在于与能量产生有关的碳水化合物代谢途径中。PDHA1基因的致病性变异通常影响PDH的α-亚基,导致能量降低。它可能导致患者死亡率增加。这种疾病的潜在治疗方法包括二氯乙酸盐和苯基丁酸盐,以前用于治疗其他疾病,如癌症和枫糖浆尿病。然而,人们对它们治疗PDH缺乏症的功效知之甚少。有效治疗PDH缺乏症至关重要,因为健康饮食需要碳水化合物,而大米是亚洲大部分人口的主食。本综述分析了二氯乙酸酯和苯丁酸盐作为治疗PDHA1致病性变异引起的PDH缺乏症的潜在治疗方法的疗效。基于本综述的发现,二氯乙酸将对大多数PDHA1致病变异产生影响,并可作为一种临时治疗方法来减少乳酸酸中毒,乳酸酸中毒是PDH缺乏症的常见症状。苯基丁酸盐只能用于PDH蛋白具有某些致病变异(p.p p221l、p.p r234g、p.p g249r、p.p r349c、p.r r349h)的患者。希望该综述能够为这些治疗方法提供深入的见解,并改善PDH缺乏症患者的生活质量。
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引用次数: 3
Significant Association of DNASE1 Variable Number Tandem Repeats and Single Nucleotide Polymorphisms With Gastric Cancer. DNASE1可变数目串联重复序列和单核苷酸多态性与胃癌的显著关联。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2022-05-13 eCollection Date: 2022-01-01 DOI: 10.3389/bjbs.2022.10526
Ali Kafil, Parisa Mohamadynejad, Mehdi Moghanibashi

Introduction: Defects in the apoptotic process are among the most important events involved in carcinogenesis, and defects in DNASE1, as one of the apoptotic machinery components, plays a role in various types of cancer. Previous studies have indicated significant differences in the DNASE1 polymorphisms in different populations. We hypothesized an association of two polymorphic sites in the exon 8 and the intron 4 of the DNASE1 gene with the risk of gastric cancer. Materials and Methods: The study was carried out on 120 gastric cancer patients and 120 age and sex adjusted controls using PCR and RFLP-PCR. Results: The genotype GG (rs1053874) in exon 8 of DNASE1 (odds ratio [95% confidence interval]) 4.65 [2.10-10.29], p < 0.001) and genotype 2/3 of variable number tandem repeat (VNTR) in the intron 4 (3.75 [1.56-9.01], p = 0.003) are both linked to gastric cancer. Conclusion: We propose that both polymorphic sites have a part to play in gastric cancer, and so may be useful diagnosis markers.

凋亡过程中的缺陷是癌变过程中最重要的事件之一,而DNASE1的缺陷作为凋亡机制的组成部分之一,在各种类型的癌症中都起作用。先前的研究表明,不同人群的DNASE1多态性存在显著差异。我们假设DNASE1基因外显子8和内含子4的两个多态性位点与胃癌的风险有关。材料与方法:采用PCR和RFLP-PCR对120例胃癌患者和120例年龄、性别调整对照进行研究。结果:DNASE1第8外显子GG (rs1053874)基因型(优势比[95%置信区间])4.65 [2.10-10.29],p < 0.001)和第4内含子可变数串联重复(VNTR) 2/3基因型(3.75 [1.56-9.01],p = 0.003)均与胃癌相关。结论:我们认为这两个多态性位点在胃癌中都有一定的作用,因此可能是有用的诊断标记。
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引用次数: 0
The E23K Polymorphism of KCNJ11 and Diabetic Retinopathy in Northern Iran. 伊朗北部地区KCNJ11基因E23K多态性与糖尿病视网膜病变的关系
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2022-04-22 eCollection Date: 2022-01-01 DOI: 10.3389/bjbs.2021.10245
L Alidoust, F Ajamian, S Abbaspour, A Sharafshah, P Keshavarz

Background: Diabetic Retinopathy (DR) is one of the most severe micro-vascular complications of diabetes mellitus (DM), involving interactions between environmental and genetic risk factors. KCNJ11 gene has a key role in insulin secretion and is of substantial interest in various populations. Methods: A population-based association of 524 T2DM patients was performed to delineate the genetic influence of KCNJ11 polymorphisms (rs5219, c.67A>G or E23K) on the risk of DR in an Iranian population. Genotyping was performed using TaqMan assay. Univariate and MLR analysis controlling for confounders was conducted to evaluate the association between rs5219 and DR. Results: No significant difference was observed in either genotypes distribution (p = 0.83) or allele frequency (p = 0.66) between T2DM individuals with and without DR in any models of inheritance. Genotype-phenotype association showed that DR group carrying GA genotypes, a significantly higher mean age was observed compared with two other genotypes (p = 0.04). MLR analysis indicated that HbAlc with adjusted OR of 1.84 (95% CI, 1.46-2.33, p = 0.00) and first-degree relatives of family history with adjusted OR of 2.85 (95% CI, 1.45-5.58, p = 0.002) were significantly associated with DR, but the c.67A>G genotype is not an independent predictor of retinopathy. Conclusion: Collectively, rs5219 was not associated with DR among Iranians with T2DM.

背景:糖尿病视网膜病变(DR)是糖尿病(DM)最严重的微血管并发症之一,涉及环境和遗传危险因素的相互作用。KCNJ11基因在胰岛素分泌中起关键作用,在各种人群中都有重要意义。方法:对524例T2DM患者进行了基于人群的关联研究,以描述KCNJ11多态性(rs5219, c.67A>G或E23K)对伊朗人群中DR风险的遗传影响。TaqMan法进行基因分型。通过控制混杂因素的单因素和多因素回归分析来评估rs5219与DR之间的相关性。结果:在任何遗传模型中,伴有和不伴有DR的T2DM个体的基因型分布(p = 0.83)和等位基因频率(p = 0.66)均无显著差异。基因型-表型相关性显示,携带GA基因型的DR组平均年龄显著高于其他两种基因型(p = 0.04)。MLR分析显示,HbAlc校正OR为1.84 (95% CI, 1.46-2.33, p = 0.00),家族史一级亲属校正OR为2.85 (95% CI, 1.45-5.58, p = 0.002)与DR显著相关,但c.67A>G基因型并不是视网膜病变的独立预测因子。结论:总的来说,伊朗T2DM患者的rs5219与DR无关。
{"title":"The E23K Polymorphism of <i>KCNJ11</i> and Diabetic Retinopathy in Northern Iran.","authors":"L Alidoust,&nbsp;F Ajamian,&nbsp;S Abbaspour,&nbsp;A Sharafshah,&nbsp;P Keshavarz","doi":"10.3389/bjbs.2021.10245","DOIUrl":"https://doi.org/10.3389/bjbs.2021.10245","url":null,"abstract":"<p><p><b>Background:</b> Diabetic Retinopathy (DR) is one of the most severe micro-vascular complications of diabetes mellitus (DM), involving interactions between environmental and genetic risk factors. KCNJ11 gene has a key role in insulin secretion and is of substantial interest in various populations. <b>Methods:</b> A population-based association of 524 T2DM patients was performed to delineate the genetic influence of KCNJ11 polymorphisms (rs5219, c.67A>G or E23K) on the risk of DR in an Iranian population. Genotyping was performed using TaqMan assay. Univariate and MLR analysis controlling for confounders was conducted to evaluate the association between rs5219 and DR. <b>Results:</b> No significant difference was observed in either genotypes distribution (<i>p</i> = 0.83) or allele frequency (<i>p</i> = 0.66) between T2DM individuals with and without DR in any models of inheritance. Genotype-phenotype association showed that DR group carrying GA genotypes, a significantly higher mean age was observed compared with two other genotypes (<i>p</i> = 0.04). MLR analysis indicated that HbAlc with adjusted OR of 1.84 (95% CI, 1.46-2.33, <i>p</i> = 0.00) and first-degree relatives of family history with adjusted OR of 2.85 (95% CI, 1.45-5.58, <i>p</i> = 0.002) were significantly associated with DR, but the c.67A>G genotype is not an independent predictor of retinopathy. <b>Conclusion:</b> Collectively, rs5219 was not associated with DR among Iranians with T2DM.</p>","PeriodicalId":9236,"journal":{"name":"British Journal of Biomedical Science","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9073720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40631250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coagulation Profile in COVID-19 Patients and its Relation to Disease Severity and Overall Survival: A Single-Center Study. COVID-19患者凝血特征及其与疾病严重程度和总生存率的关系:一项单中心研究
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2022-04-08 eCollection Date: 2022-01-01 DOI: 10.3389/bjbs.2022.10098
Amal Ezzat Abd El-Lateef, Saad Alghamdi, Gamal Ebid, Khalid Khalil, Saeed Kabrah, Muhammad Tarek Abdel Ghafar

Objectives: This study aims to investigate hemostatic changes in patients with coronavirus disease (COVID-19) and their relationship to disease severity and survival. Methods: This study included 284 patients with COVID-19 who attended the Security Forces Hospital, Makkah, Saudi Arabia between October 2020 and March 2021, and retrospectively reviewed their demographic, radiological, and laboratory findings. The coagulation profile was assayed at the time of diagnosis for platelet counts using an automated hematology analyzer; Sysmex XN2000 while international normalized ratio (INR), activated partial thromboplastin time (aPTT), fibrinogen, D-dimer, factor VIII, ristocetin cofactor (RiCoF), and von Willebrand factor antigen (VWF-Ag) were measured by Stago kits on a Stago automated coagulation analyzer (STA Compact Max®). Results: In this study, 32.3% of the cases had severe disease, while 8.8% of the cases died. D-dimer, factor VIII, and RiCoF were the only independent predictors of disease severity, with factor VIII and RiCoF having significantly higher areas under the curve (AUCs) than D-dimer (all p < 0.001). Furthermore, age, aPTT, and factor VIII were associated with an increased risk of mortality in multivariate Cox regression analysis, with factor VIII having a higher AUC of 0.98 than aPTT with an optimal cut-off value of >314 IU/dl in predicting mortality. Cases with factor VIII levels >314 IU/dl, compared to those with factor VIII levels <314 IU/dl, were associated with a significantly shorter mean overall survival time (20.08 vs. 31.35 days, p < 0.001), a lower survival rate (30.3% vs. 99.2%, p < 0.001), and a 16.62-fold increased mortality risk. Conclusion: RiCoF is a novel predictor of disease severity in COVID-19, while factor VIII is confirmed as a predictor of severity and mortality in COVID-19 patients and is associated with lower overall survival and increased mortality risk.

目的:本研究旨在探讨冠状病毒病(COVID-19)患者的止血变化及其与病情严重程度和生存的关系。方法:本研究纳入了2020年10月至2021年3月期间在沙特阿拉伯麦加安全部队医院就诊的284例COVID-19患者,并回顾性分析了他们的人口统计学、放射学和实验室结果。在诊断时使用自动血液学分析仪检测血小板计数的凝血情况;Sysmex XN2000,同时使用Stago试剂盒在Stago自动凝血分析仪(STA Compact Max®)上检测国际标准化比率(INR)、活化部分凝血酶活时间(aPTT)、纤维蛋白原、d -二聚体、因子VIII、里斯托霉素辅助因子(RiCoF)和血管性血友病因子抗原(VWF-Ag)。结果:本组病例重症占32.3%,死亡占8.8%。d -二聚体、因子VIII和RiCoF是疾病严重程度的唯一独立预测因子,因子VIII和RiCoF的曲线下面积(aus)显著高于d -二聚体(均p < 0.001)。此外,在多变量Cox回归分析中,年龄、aPTT和因子VIII与死亡风险增加相关,因子VIII预测死亡率的AUC为0.98,高于aPTT,最佳临界值>314 IU/dl。因子VIII水平>314 IU/dl(与因子VIII水平的患者相比p < 0.001),生存率较低(30.3%对99.2%,p < 0.001),死亡风险增加16.62倍。结论:RiCoF是COVID-19疾病严重程度的新预测因子,而因子VIII被证实是COVID-19患者严重程度和死亡率的预测因子,并与较低的总生存期和较高的死亡风险相关。
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引用次数: 8
Micro RNA-640 Targeting SLIT1 Enhances Glioma Radiosensitivity by Restraining the Activation of Wnt/β-Catenin Signaling Pathway. 靶向SLIT1的微RNA-640通过抑制Wnt/β-Catenin信号通路的激活增强胶质瘤放射敏感性
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2022-04-07 eCollection Date: 2022-01-01 DOI: 10.3389/bjbs.2022.10067
Yamei Zheng, Mingyue Xiao, Jingqiong Zhang, Fei Chang

Purpose: The purpose of this study was to analyze the effects of miR-640-SLIT1 axis and the Wnt/β-catenin signaling pathway on radiosensitivity of glioma cells. Methods: Relative expressions of miR-640 and slit guidance ligand 1 (SLIT1) in glioma tissues and glioma cell lines U251 and A172 were detected using RT-qPCR. The cell lines were transfected with si-SLIT1 or miR-640 inhibitor to study the radiosensitivity of glioma cells. We detected cell activity using CCK-8 assay, cell migration using wound healing assay, cell invasion using transwell assay, and apoptosis using caspase-3 assay. Results: SLIT1 was upregulated in glioma tissues and cell lines, and inversely correlated with radiation sensitivity. Its knockdown reduced radioresistance, migration, and invasion, but increased apoptosis in U251 and A17 cells. Loss of miR-640 activity upregulated SLIT1, Wnt, and β-catenin protein expression, whereas it inhibited p-GSK-3β protein levels in U251 and A17 cells. These results suggest that miR-640 mediates the radiosensitivity of glioma cells through SLIT1 and the Wnt/β-catenin signaling pathway. Conclusion: The miR-640-SLIT1 axis that regulates the Wnt/β-catenin signaling pathway is a possible therapeutic option for the effective treatment of glioma in combination with radiotherapy.

目的:本研究旨在分析miR-640-SLIT1轴和Wnt/β-catenin信号通路对胶质瘤细胞放射敏感性的影响。方法:采用RT-qPCR检测胶质瘤组织和胶质瘤细胞系U251和A172中miR-640和slit guidance ligand 1 (SLIT1)的相对表达。用si-SLIT1或miR-640抑制剂转染细胞系,研究胶质瘤细胞的放射敏感性。我们用CCK-8法检测细胞活性,用伤口愈合法检测细胞迁移,用transwell法检测细胞侵袭,用caspase-3法检测细胞凋亡。结果:SLIT1在胶质瘤组织和细胞系中表达上调,且与辐射敏感性呈负相关。其敲低降低了U251和A17细胞的辐射抗性、迁移和侵袭,但增加了细胞凋亡。miR-640活性的缺失上调了SLIT1、Wnt和β-catenin蛋白的表达,而抑制了U251和A17细胞中p-GSK-3β蛋白的表达。这些结果表明,miR-640通过SLIT1和Wnt/β-catenin信号通路介导胶质瘤细胞的放射敏感性。结论:调节Wnt/β-catenin信号通路的miR-640-SLIT1轴可能是联合放疗有效治疗胶质瘤的一种治疗选择。
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引用次数: 1
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British Journal of Biomedical Science
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