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Adaptive medicine最新文献

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Complexity and Diversity of Polycomb Group Proteins: How Do They Work? 多梳蛋白的复杂性和多样性:它们是如何工作的?
Pub Date : 2018-06-30 DOI: 10.4247/AM.2018.ABI204
Yi‐Chung Chien
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引用次数: 0
Tumor Biomarkers in Nipple Discharge of Breast Cancer: Current Status and Future Perspectives 乳腺癌乳头溢液中的肿瘤生物标志物:现状和未来展望
Pub Date : 2018-06-30 DOI: 10.4247/AM.2018.ABI206
Yawen Wang
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引用次数: 0
Evolving Vertebral Compression Fracture 发展中的椎体压缩性骨折
Pub Date : 2018-06-30 DOI: 10.4247/AM.2018.ABI208
Hung-Chieh Wu
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引用次数: 0
Changes of Serum NO, IL-6 and TNF-α in the Qinghai-Tibet Plateau with High Altitude Alcoholic Liver Disease and Their Clinical Significances 青藏高原高原酒精性肝病患者血清NO、IL-6、TNF-α的变化及其临床意义
Pub Date : 2018-06-30 DOI: 10.4247/AM.2018.ABI200
Zhao Wu
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引用次数: 0
Exacerbation of Mild Hypoxia on Acute Radiation Syndrome and Subsequent Mortality. 轻度缺氧对急性放射综合征的加重及随后的死亡率。
Pub Date : 2017-01-01 Epub Date: 2017-03-31 DOI: 10.4247/am.2017.abg170
Juliann G Kiang

Mild hypoxia induced by 20% hemorrhage results in increases in few cytokine concentrations and sclerostin levels in blood, but shows no changes in bone formation, bone marrow cellularity, and gastrointestinal (GI) integrity and no systemic bacterial infection as well as no subsequent mortality. On the other hand, severe hypoxia induced by 40% hemorrhage causes significant increases in most cytokine concentrations, GI injury, lung injury, systemic bacterial infection, cellular ATP reduction and subsequent mortality. The severe hypoxia drastically damages GI and lung morphology, elevates cytokine concentrations in blood and increases inducible nitric oxide synthase (iNOS) expression in cells that is mediated by transcription factors NF-κB/NF-IL6, subsequently producing free radicals that disrupt mitochondria. ATP depletion, p53 phosphorylation, and caspase-3 activation are found, suggesting cell apoptosis. As a result, mortality occurs. However, when mild hypoxia follows ionizing radiation, the mild hypoxia significantly enhances radiation-induced mortality and acute radiation syndrome, including injury of bone marrow, GI, kidney, and lung. The synergism also occurs at the molecular level, resulting in alteration of microRNAs, amplification of iNOS expression, cytokine increases, sepsis, and ATP depletion. This is the first demonstration of synergistic effects between mild hypoxia and ionizing radiation.

20%出血引起的轻度缺氧导致血液中少量细胞因子浓度和硬化素水平增加,但骨形成、骨髓细胞密度和胃肠道(GI)完整性没有变化,没有全身细菌感染,也没有随后的死亡。另一方面,40%出血引起的严重缺氧会导致大多数细胞因子浓度显著增加、胃肠道损伤、肺损伤、全身细菌感染、细胞ATP减少和随后的死亡率。严重缺氧会严重损害胃肠道和肺部形态,升高血液中的细胞因子浓度,并增加由转录因子NF-κB/NF-IL6介导的细胞中诱导型一氧化氮合酶(iNOS)的表达,随后产生破坏线粒体的自由基。发现ATP耗竭、p53磷酸化和胱天蛋白酶-3活化,提示细胞凋亡。结果,死亡发生了。然而,当电离辐射后出现轻度缺氧时,轻度缺氧会显著增加辐射诱导的死亡率和急性辐射综合征,包括骨髓、胃肠道、肾脏和肺部的损伤。协同作用也发生在分子水平上,导致微小RNA的改变、iNOS表达的扩增、细胞因子增加、败血症和ATP耗竭。这是首次证明轻度缺氧和电离辐射之间的协同作用。
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引用次数: 4
Radiation Combined Injury: DNA Damage, Apoptosis, and Autophagy. 辐射复合损伤:DNA损伤、细胞凋亡和自噬。
Pub Date : 2010-04-30 DOI: 10.4247/AM.2010.ABA004
Juliann G Kiang, Bradley R Garrison, Nikolai V Gorbunov

Radiation combined injury is defined as an ionizing radiation exposure received in combination with other trauma or physiological insults. The range of radiation threats we face today includes everything from individual radiation exposures to mass casualties resulting from a terrorist nuclear incident, and many of these exposure scenarios include the likelihood of additional traumatic injury. Radiation combined injury sensitizes target organs and cells and exacerbates acute radiation syndrome. Organs and cells with high sensitivity to combined injury are the skin, the hematopoietic system, the gastrointestinal tract, spermatogenic cells, and the vascular system. Among its many effects, radiation combined injury results in decreases in lymphocytes, macrophages, neutrophils, platelets, stem cells, and tissue integrity; activation of the iNOS/NF-κB/NF-IL6 and p53/Bax pathways; and increases in DNA single and double strand breaks, TLR signaling, cytokine concentrations, bacterial infection, and cytochrome c release from mitochondria to cytoplasm. These alterations lead to apoptosis and autophagy and, as a result, increased mortality. There is a pressing need to understand more about the body's response to combined injury in order to be able to develop effective countermeasures, since few currently exist. In this review, we summarize what is known about how combined injury modifies the radiation response, with a special emphasis on DNA damage/repair, signal transduction pathways, apoptosis, and autophagy. We also describe current and prospective countermeasures relevant to the treatment and prevention of combined injury.

辐射复合损伤的定义是电离辐射暴露与其他创伤或生理损伤的结合。我们今天面临的辐射威胁范围包括从个人辐射暴露到恐怖主义核事件造成的大规模伤亡,其中许多暴露情景包括额外创伤性伤害的可能性。放射复合损伤使靶器官和细胞致敏,加重急性放射综合征。对复合损伤高度敏感的器官和细胞是皮肤、造血系统、胃肠道、生精细胞和血管系统。在其众多影响中,辐射复合损伤导致淋巴细胞、巨噬细胞、中性粒细胞、血小板、干细胞和组织完整性的减少;iNOS/NF-κB/NF- il6和p53/Bax通路的激活;DNA单双链断裂、TLR信号、细胞因子浓度、细菌感染和细胞色素c从线粒体向细胞质释放的增加。这些改变导致细胞凋亡和自噬,从而增加死亡率。迫切需要更多地了解身体对复合损伤的反应,以便能够制定有效的对策,因为目前很少存在。在这篇综述中,我们总结了已知的复合损伤如何改变辐射反应,特别强调DNA损伤/修复、信号转导途径、细胞凋亡和自噬。我们还描述了目前和未来的对策相关的治疗和预防联合损伤。
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引用次数: 38
期刊
Adaptive medicine
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