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Therapeutic effect of coenzyme-Q10 pretreatment on isoprenaline-induced cardiogenic hepatorenal complications in rats.
Pub Date : 2024-12-25 eCollection Date: 2024-01-01 DOI: 10.62347/PFXZ9903
Emmanuel Onyinyechukwu Chidebe, Emuesiri Goodies Moke, Jerome Ndudi Asiwe, Benneth Ben-Azu, Winifred Eseoghene Demaki, Benjamin Oritsemuelebi, Oke Arighwrode, Akpevboghene Nicholas Avabore, Adrian Itivere Omogbiya, Anthony Taghogho Eduviere, Emuesiri Kohworho Umukoro

Objectives: The significant correlation between acute myocardial infarction and subsequent hepatorenal dysfunction could result in a higher mortality rate in patients. The study aimed to evaluate the effect and mechanisms of coenzyme-Q10 (Q10) administration on hepatorenal dysfunction in an isoprenaline (ISO)-induced myocardial infarction model in rats.

Materials and methods: Twenty male rats were assigned into four groups (n = 5). Groups 1-2 were administered intraperitoneally with normal saline, groups 3-4 were pretreated with Q10 (10 mg/kg, i.p.) for 28 days, and groups 2 and 4 received ISO (200 mg/kg, i.p.) on the last two days. Body, kidney, and liver weights, antioxidants and biochemical biomarkers, and histopathological investigation of the liver and kidney tissues were performed.

Results: The administration of ISO significantly (P < 0.05) increased oxidative stress and altered the liver and renal function integrity and morphology. Pretreatment with Q10 demonstrated a protective effect against biochemical and histological alterations through significantly enhanced antioxidant actions, notably increasing the levels of superoxide dismutase, catalase, glutathione, and glutathione transferase; reduced liver enzymes (aspartate transaminase, aspartate aminotransferase, alkaline phosphatase, and lactate dehydrogenase), decreased urea and creatinine concentrations and reduced the gravity of histomorphological changes in hepatic and renal tissues of ISO treated rats.

Conclusion: Overall, our result suggests that Q10 confers hepatic and renal protection against ISO-induced hepatorenal dysfunction accompanying myocardial infarction through its antioxidant effects and amelioration of fibrotic changes.

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引用次数: 0
Bioinformatics analysis and alternative polyadenylation in Heat Shock Proteins 70 (HSP70) family members.
Pub Date : 2024-12-25 eCollection Date: 2024-01-01 DOI: 10.62347/CWPE7813
Srishti Shriya, Ramakrushna Paul, Neha Singh, Farhat Afza, Buddhi Prakash Jain

Objective: The Heat Shock Protein 70 (HSP70) family is a highly conserved group of molecular chaperones essential for maintaining cellular homeostasis. These proteins are necessary for protein folding, assembly, and degradation and involve cell recovery from stress conditions. HSP70 proteins are upregulated in response to heat shock, oxidative stress, and pathogenic infections. Their primary role is preventing protein aggregation, refolding misfolded proteins, and targeted degradation of irreparably damaged proteins. Given their involvement in fundamental cellular processes and stress responses, HSP70 proteins are critical for cell survival and modulating disease outcomes in cancer, neurodegeneration, and other pathologies. The present study aims to understand domain architecture, physicochemical properties, phosphorylation, ubiquitination, and alternative polyadenylation site prediction in various HSP70 members.

Method: SMART and InterProScan software were used for domain analysis. EXPASY Protparam, NetPhos 3.1 server DTU, and MUbisiDa were used for physicochemical analysis, phosphorylation, and ubiquitination site analysis, respectively. Alternative polyadenylation was studied using the EST database.

Result: Domain analysis shows that coiled-coil and nucleotide-binding domains are present in some of the HSP70 members. Five HSP70 family members have alternate polyadenylation sites in their 3'UTR.

Conclusion: The present work has provided valuable insights into their structure, functions, interactome, and polyadenylation patterns. Studying their therapeutic potential in diseases like cancer can be helpful.

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引用次数: 0
Comprehension of gut microbiota and microRNAs may contribute to the development of innovative treatment tactics against metabolic disorders and psychiatric disorders.
Pub Date : 2024-12-25 eCollection Date: 2024-01-01 DOI: 10.62347/WAZH2090
Moeka Nakashima, Naoko Suga, Akari Fukumoto, Sayuri Yoshikawa, Satoru Matsuda

Metabolic syndrome is a group of pathological disorders increasing the risk of serious diseases including cardiovascular disease, stroke, type 2 diabetes. Global widespread of the metabolic syndrome has put a heavy social burden. Interestingly, a crucial link between the metabolic syndrome and a psychiatric disorder may frequently coexist, in which certain shared mechanisms might play a role for the pathogenesis. In fact, some microRNAs (miRNAs) have been detected in the overlap pathology, suggesting a common molecular mechanism for the development of both disorders. Subsequent studies have revealed that these miRNAs and several metabolites of gut microbiota such as short chain fatty acids (SCFAs) might be involved in the development of both disorders, in which the association between gut and brain might play key roles with engram memory for the modulation of immune cells. Additionally, the correlation between brain and immunity might also influence the development of several diseases/disorders including metabolic syndrome. Brain could possess several inflammatory responses as an information of pathological images termed engrams. In other words, preservation of the engram memory might be achieved by a meta-plasticity mechanism that shapes the alteration of neuron linkages for the development of immune-related diseases. Therefore, it might be rational that metabolic syndrome and psychiatric disorders may belong to a group of immune-related diseases. Disrupting in gut microbiota may threaten the body homeostasis, leading to initiate a cascade of health problems. This concept may contribute to the development of superior therapeutic application with the usage of some functional components in food against metabolic and psychiatric disorders. This paper reviews advances in understanding the regulatory mechanisms of miRNAs with the impact to gut, liver and brain, deliberating the probable therapeutic techniques against these disorders.

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引用次数: 0
Caveolae with serotonin and NMDA receptors as promising targets for the treatment of Alzheimer's disease. 具有血清素和 NMDA 受体的腔隙是治疗阿尔茨海默病的前景看好的靶点。
Pub Date : 2024-10-15 eCollection Date: 2024-01-01 DOI: 10.62347/MTWV3745
Moeka Nakashima, Naoko Suga, Akari Fukumoto, Sayuri Yoshikawa, Satoru Matsuda

Alzheimer's disease is the most general type of cognitive impairments. Until recently, strategies that prevent its clinical progression have remained more elusive. Consequently, research direction should be for finding effective neuroprotective agents. It has been suggested oxidative stress, mitochondrial injury, and inflammation level might lead to brain cell death in many neurological disorders. Therefore, several autophagy-targeted bioactive compounds may be promising candidate therapeutics for the prevention of brain cell damage. Interestingly, some risk genes to Alzheimer's disease are expressed within brain cells, which may be linked to cholesterol metabolism, lipid transport, endocytosis, exocytosis and/or caveolae formation, suggesting that caveolae may be a fruitful therapeutic target to improve cognitive impairments. This review would highlight the latest advances in therapeutic technologies to improve the treatment of Alzheimer's disease. In particular, a paradigm that serotonin and N-methyl-d-aspartate (NMDA) receptors agonist/antagonist within caveolae structure might possibly improve the cognitive impairment. Consequently, cellular membrane biophysics should improve our understanding of the pathology of the cognitive dysfunction associated with Alzheimer's disease. Here, this research direction for the purpose of therapy may open the potential to move a clinical care toward disease-modifying treatment strategies with certain benefits for patients.

阿尔茨海默病是最常见的认知障碍类型。直到最近,防止其临床发展的策略仍然比较难以捉摸。因此,研究方向应该是寻找有效的神经保护剂。有研究表明,氧化应激、线粒体损伤和炎症水平可能会导致许多神经系统疾病的脑细胞死亡。因此,一些以自噬为靶点的生物活性化合物可能是预防脑细胞损伤的有希望的候选疗法。有趣的是,阿尔茨海默病的一些风险基因在脑细胞中表达,这些基因可能与胆固醇代谢、脂质转运、内吞、外吞和/或洞穴形成有关,这表明洞穴可能是改善认知障碍的一个富有成效的治疗靶点。本综述将重点介绍改善阿尔茨海默病治疗的治疗技术的最新进展。特别是,洞穴结构中的5-羟色胺和N-甲基-d-天冬氨酸(NMDA)受体激动剂/拮抗剂范例可能会改善认知障碍。因此,细胞膜生物物理学应能提高我们对阿尔茨海默病相关认知功能障碍病理的认识。在此,这个以治疗为目的的研究方向可能会开启临床护理向疾病改变治疗策略发展的潜力,为患者带来一定的益处。
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引用次数: 0
Extracellular vesicles and their therapeutic applications: a review article (part 2). 细胞外囊泡及其治疗应用:综述文章(第 2 部分)。
Pub Date : 2024-08-25 eCollection Date: 2024-01-01 DOI: 10.62347/AUPQ6330
Diana Rafieezadeh

Extracellular vesicles (EVs) have emerged as a fascinating area of research in molecular biology, with diverse therapeutic applications. These small membrane-bound structures, released by cells into the extracellular space, play a crucial role in intercellular communication and hold great potential for advancing medical treatments. The aim of this study is to have a narrative review on the use and therapeutic applications of EVs. Their unique characteristics, including stability, biocompatibility, and the ability to traverse biological barriers, make them promising tools for targeted drug delivery. By engineering EVs to encapsulate specific cargo molecules, such as therapeutic proteins, small interfering RNA (siRNA), or anti-cancer drugs, researchers can enhance drug stability and improve targeted delivery to desired cells or tissues. This approach can minimize off-target effects and improve therapeutic efficacy. Based on our literature search, we found that EVs can be used as biomarkers to predict diseases. Although much progress has been made in understanding the biology and function of exosomes, there are still unanswered questions that require further research. This includes identifying appropriate and safe techniques for producing exosomes in large quantities, determining which types of cells are suitable for exosome donor cells for therapeutic purposes, and investigating the safety of exosomes in human studies. Overall, the use of exosomes in clinical therapeutic applications requires a strong understanding of molecular signaling cascades and exosome profiles, as well as the specificity and sensitivity of biomarker and drug delivery methods.

细胞外囊泡(EVs)已成为分子生物学中一个引人入胜的研究领域,具有多种治疗用途。这些由细胞释放到细胞外空间的小型膜结合结构在细胞间的交流中发挥着至关重要的作用,在促进医学治疗方面具有巨大的潜力。本研究旨在对 EVs 的使用和治疗应用进行叙述性综述。EVs具有独特的特性,包括稳定性、生物相容性和穿越生物屏障的能力,使其成为有前途的靶向药物递送工具。通过对 EVs 进行工程设计,使其包裹治疗蛋白质、小干扰 RNA (siRNA) 或抗癌药物等特定载体分子,研究人员可以提高药物的稳定性,并改善向所需细胞或组织的靶向递送。这种方法可以最大限度地减少脱靶效应,提高疗效。根据文献检索,我们发现 EVs 可用作预测疾病的生物标记物。尽管在了解外泌体的生物学特性和功能方面取得了很大进展,但仍有一些未解之谜需要进一步研究。这包括确定大量生产外泌体的适当而安全的技术,确定哪些类型的细胞适合作为外泌体供体细胞用于治疗目的,以及在人体研究中调查外泌体的安全性。总之,将外泌体用于临床治疗需要深入了解分子信号级联和外泌体特征,以及生物标记物和给药方法的特异性和敏感性。
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引用次数: 0
Comparison of PET/CT and PET/MRI in central nervous system tumors, a narrative review. 中枢神经系统肿瘤 PET/CT 和 PET/MRI 的比较,综述。
Pub Date : 2024-08-25 eCollection Date: 2024-01-01 DOI: 10.62347/UMDS1961
Farshad Riahi, Pooya Kiani, Aryan Golabbakhsh, Matin Khanezarrin, Mohammadjavad Abbaspour, Seyed Amirhossein Dormiani Tabatabaei, Shahin Fesharaki, Seyed Hamed Tooyserkani, Rozhin Bakhshi, Sara Azizollahi, Hossein Mohammadi

Background: PET/CT and PET/MRI are two useful imaging modalities in neuro-oncology. Our aim was to review the existing literature on the benefits and drawbacks of using PET/CT and PET/MRI in the diagnosis of central nervous system (CNS) tumors.

Methods: A literature search was conducted using valid databases, limited to English-language articles published between 2010 and 2023, and independently reviewed by two reviewers. A standard data extraction form was used to extract data from the included papers. The results were condensed and narratively presented, accompanied by supporting data from the included investigations.

Results: The study analyzed 28 articles, mostly from Europe. The results varied, with some studies comparing PET/CT and PET/MRI, examining specific types of brain tumors, pediatric tumors, or focusing on specific PET/CT or PET/MRI modalities. The synthesis aimed to provide a comprehensive overview of PET/CT and PET/MRI use in CNS malignancies.

Conclusions: PET/MRI offers promising advantages in neuro-oncology diagnosis and follow-up imaging, but its use should be prioritized in appropriate situations.

背景:PET/CT 和 PET/MRI 是神经肿瘤学中两种有用的成像模式。我们的目的是回顾现有文献,了解使用 PET/CT 和 PET/MRI 诊断中枢神经系统(CNS)肿瘤的利弊:使用有效的数据库进行文献检索,仅限于 2010 年至 2023 年间发表的英文文章,并由两名审稿人进行独立审阅。采用标准数据提取表从纳入的论文中提取数据。研究结果被浓缩并以叙述的方式呈现,并附有所纳入调查的支持数据:研究分析了 28 篇文章,其中大部分来自欧洲。结果各不相同,有些研究比较了PET/CT和PET/MRI,研究了特定类型的脑肿瘤、儿童肿瘤,或侧重于特定的PET/CT或PET/MRI模式。本综述旨在全面概述 PET/CT 和 PET/MRI 在中枢神经系统恶性肿瘤中的应用:结论:PET/MRI 在神经肿瘤学诊断和随访成像方面具有广阔的前景,但应在适当的情况下优先使用。
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引用次数: 0
Association of connexin36 with adherens junctions at mixed synapses and distinguishing electrophysiological features of those at mossy fiber terminals in rat ventral hippocampus. 大鼠腹侧海马混合突触中连接蛋白36与粘连接头的关联以及苔藓纤维末端的电生理特征的区分。
Pub Date : 2024-06-15 eCollection Date: 2024-01-01 DOI: 10.62347/RTMH4490
Deepthi Thomas, Antonia Recabal-Beyer, Joanne Mm Senecal, Demitre Serletis, Bruce D Lynn, Michael F Jackson, James I Nagy

Background: Granule cells in the hippocampus project axons to hippocampal CA3 pyramidal cells where they form large mossy fiber terminals. We have reported that these terminals contain the gap junction protein connexin36 (Cx36) specifically in the stratum lucidum of rat ventral hippocampus, thus creating morphologically mixed synapses that have the potential for dual chemical/electrical transmission.

Methodology: Here, we used various approaches to characterize molecular and electrophysiological relationships between the Cx36-containing gap junctions at mossy fiber terminals and their postsynaptic elements and to examine molecular relationships at mixed synapses in the brainstem.

Results: In rat and human ventral hippocampus, many of these terminals, identified by their selective expression of vesicular zinc transporter-3 (ZnT3), displayed multiple, immunofluorescent Cx36-puncta representing gap junctions, which were absent at mossy fiber terminals in the dorsal hippocampus. In rat, these were found in close proximity to the protein constituents of adherens junctions (i.e., N-cadherin and nectin-1) that are structural hallmarks of mossy fiber terminals, linking these terminals to the dendritic shafts of CA3 pyramidal cells, thus indicating the loci of gap junctions at these contacts. Cx36-puncta were also associated with adherens junctions at mixed synapses in the brainstem, supporting emerging views of the structural organization of the adherens junction-neuronal gap junction complex. Electrophysiologically induced long-term potentiation (LTP) of field responses evoked by mossy fiber stimulation was greater in the ventral than dorsal hippocampus.

Conclusions: The electrical component of transmission at mossy fiber terminals may contribute to enhanced LTP responses in the ventral hippocampus.

背景:海马颗粒细胞的轴突投射到海马CA3锥体细胞,在那里形成大的苔藓纤维终端。方法:在此,我们采用各种方法描述苔藓纤维末端含 Cx36 的缝隙连接及其突触后元件之间的分子和电生理关系,并研究脑干混合突触的分子关系:结果:在大鼠和人的腹侧海马中,许多通过选择性表达囊泡锌转运体-3(ZnT3)而被识别的末端显示了多个免疫荧光Cx36-puncta代表的间隙连接,这些间隙连接在海马背侧的苔藓纤维末端是不存在的。在大鼠体内,这些结点与苔藓纤维末端的结构标志--粘连接头的蛋白质成分(即 N-cadherin和 nectin-1)非常接近,它们将苔藓纤维末端与 CA3 锥体细胞的树突轴连接起来,从而表明了这些接触点上的间隙连接位置。在脑干的混合突触中,Cx36-结点也与粘连接头相关,这支持了新出现的粘连接头-神经元间隙连接复合体结构组织的观点。苔藓纤维刺激诱发的场反应的电生理诱导长期电位(LTP)在海马腹侧比背侧更强:结论:苔藓纤维末端传输的电成分可能有助于增强腹侧海马的 LTP 反应。
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引用次数: 0
Patterns of connexin36 and eGFP reporter expression among motoneurons in spinal sexually dimorphic motor nuclei in mouse. 小鼠脊髓性双态运动核中运动神经元的连接蛋白36和eGFP报告表达模式
Pub Date : 2024-06-15 eCollection Date: 2024-01-01 DOI: 10.62347/OGWV9376
Prabhisha Silwal, Pratyaksh Singhal, Joanne Mm Senecal, Julie Em Senecal, Bruce D Lynn, James I Nagy

Background: Sexually dimorphic spinal motoneurons (MNs) in the dorsomedial nucleus (DMN) and dorsolateral nucleus (DLN) as well as those in the cremaster nucleus are involved in reproductive behaviours, and the cremaster nucleus additionally contributes to testicular thermoregulation. It has been reported that MNs in DMN and DLN are extensively linked by gap junctions forming electrical synapses composed of connexin36 (Cx36) and there is evidence that subpopulation of MNs in the cremaster nucleus are also electrically coupled by these synapses.

Methodology: We used immunofluorescence methods to detect enhanced green fluorescent protein (eGFP) reporter for Cx36 expression in these motor nuclei.

Results: We document in male mice that about half the MNs in each of DMN and DLN express eGFP, while the remaining half do not. Further, we found that the eGFP+ vs. eGFP- subsets of MNs in each of these motor nuclei innervate different target muscles; eGFP+ MNs in DMN and DLN project to sexually dimorphic bulbocavernosus and ischiocavernosus muscles, while the eGFP- subsets project to sexually non-dimorphic anal and external urethral sphincter muscles. Similarly, eGFP+ vs. eGFP- cremaster MNs were found to project to anatomically distinct portions of the cremaster muscle. By immunofluorescence, nearly all motoneurons in both DMN and DLN displayed punctate labelling for Cx36, including at eGFP+/eGFP+, eGFP+/eGFP- and eGFP-/eGFP- cell appositions.

Conclusions: Most if not all motoneurons in DMN and DLN are electrically coupled, including sexually dimorphic and non-dimorphic motoneurons with each other, despite absence of eGFP reporter in the non-dimorphic populations in these nuclei that have selective projections to sexually non-dimorphic target muscles.

背景:背内侧核(DMN)和背外侧核(DLN)以及襞核中的性双态脊髓运动神经元(MNs)参与生殖行为,襞核还对睾丸的体温调节做出了贡献。有报道称,DMN和DLN中的MN通过间隙连接广泛相连,形成由Connexin36(Cx36)组成的电突触,有证据表明,嵴核中的亚群MN也通过这些突触进行电耦合:我们使用免疫荧光方法检测这些运动核中 Cx36 表达的增强型绿色荧光蛋白(eGFP)报告物:结果:我们在雄性小鼠体内发现,DMN和DLN中约有一半的运动核表达eGFP,而其余一半则不表达。此外,我们还发现,这些运动核中eGFP+与eGFP-亚群分别支配不同的靶肌肉;DMN和DLN中eGFP+的MN投射到性双态的球海绵体肌和异海绵体肌,而eGFP-亚群则投射到性非双态的肛门肌和外尿道括约肌。同样,发现 eGFP+ 与 eGFP- 的嵴状肌 MN 投射到解剖学上不同的嵴状肌部分。通过免疫荧光,DMN和DLN中几乎所有的运动神经元都显示出Cx36的点状标记,包括在eGFP+/eGFP+、eGFP+/eGFP-和eGFP-/eGFP-细胞连接处:结论:DMN和DLN中的大多数(如果不是全部的话)运动神经元是电耦合的,包括性双态和非双态运动神经元之间的电耦合。
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引用次数: 0
Benefits and quick adoption of the use of Sugammadex in a busy practice setting. 在繁忙的诊疗环境中使用舒格迈司的益处和快速应用。
Pub Date : 2024-06-15 eCollection Date: 2024-01-01 DOI: 10.62347/WOOD9895
Vincent Devito, Fiore Toscano, Rany Makaryus

The everyday clinical practice of anesthesia has been transformed by the new reversal agent Sugammadex. With multiple benefits to this agent, including immediate reversibility of certain neuromuscular blocking agents, a more robust reversal, and the ability to keep a deeper plane of paralysis throughout surgical procedures, this medication has provided anesthesiologists with a new and improved ability to provide high quality care to their patients. The effectiveness of the reversal provided by this agent has also improved the incidence of post-operative complications relating to improper reversal and the need for reintubations. With the new American Society of Anesthesiologists (ASA) guidelines on neuromuscular blockade and its reversal, Sugammadex has been easily and quickly adopted into everyday clinical practice.

新型逆转剂 Sugammadex 改变了日常的麻醉临床实践。这种药物具有多种优点,包括可立即逆转某些神经肌肉阻滞剂、逆转能力更强以及能够在整个手术过程中保持较深的麻痹平面。这种药物所提供的有效逆转也改善了因逆转不当而导致的术后并发症的发生率以及重新插管的需求。随着美国麻醉医师协会(ASA)关于神经肌肉阻滞及其逆转的新指南的出台,舒格迈得已被方便快捷地应用到日常临床实践中。
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引用次数: 0
Strong ion gap and anion gap corrected for albumin and lactate in patients with sepsis in the intensive care unit. 重症监护室脓毒症患者的强离子间隙和阴离子间隙(根据白蛋白和乳酸盐校正)。
Pub Date : 2024-04-15 eCollection Date: 2024-01-01 DOI: 10.62347/PTUU2265
Emmanouil Alevrakis, Dimitrios-Dorotheos Papadakis, Dimitrios Vagionas, Antonia Koutsoukou, Konstantinos Pontikis, Nikoletta Rovina, Ioannis Vasileiadis

Introduction: Metabolic acidosis is very common amongst critically ill sepsis patients partly due to the presence of unmeasured ions in serum. These ions can be detected by anion gap (AG) or strong ion gap (SIG) concentration values. The purpose of this study is to assess the correlation and potential agreement of the two methods in critically ill patients with sepsis.

Materials and methods: The present is a retrospective study including septic patients admitted to the Intensive Care Unit from December 2014 to July 2016. The [SIG] and the [AG] corrected for albumin and lactate ([AGcl]) were calculated on admission and on sepsis remission or deterioration. The correlation of the two parameters was assessed in all patient groups using the Pearson correlation coefficient and linear regression analysis and the agreement with Bland-Altman plots. ROC survival curves were also generated for the patients in relation to the values of [AGcl], [SIG] and inorganic [SIG] ([SIGi]) on admission.

Results: There was a strong correlation linking [AGcl] and [SIG] values (r>0.9, P<0.05) in all patient groups. The results from all three linear regression equations were statistically significant as the models predicted the [AGcl] value from the [SIG] value with high accuracy. The mean difference of the two methods (i.e. [AGcl] - [SIG] in every patient separately) in septic patients on admission was 11.75 mEq/l with 95% limits of agreement [9.7-13.8]; in patients with sepsis deterioration, it was 11.8 mEq/l with 95% limits of agreement [9.8-13.7] and in patients with sepsis remission, it was 11.5 mEq/l with 95% limits of agreement [10.4-12.7]. ROC survival curves demonstrated a small area under the curve (AUC): [SIG] AUC: 0.479, 95% CI [0.351, 0.606], [SIGi] AUC: 0.581, 95% CI [0.457, 0.705], [AGcl] AUC: 0.529, 95% CI [0.401, 0.656].

Conclusion: [AGcl] and [SIG] demonstrate excellent correlation in septic patients, with a mean difference of about 12 mEq/l. Both parameters failed to demonstrate any predictive ability regarding patient mortality.

简介代谢性酸中毒在脓毒症重症患者中非常常见,部分原因是血清中存在无法测量的离子。这些离子可通过阴离子间隙(AG)或强离子间隙(SIG)浓度值检测到。本研究的目的是评估这两种方法在败血症重症患者中的相关性和潜在一致性:本研究是一项回顾性研究,包括 2014 年 12 月至 2016 年 7 月期间重症监护室收治的脓毒症患者。在入院时以及脓毒症缓解或恶化时计算[SIG]和经白蛋白和乳酸盐校正的[AG]([AGcl])。使用皮尔逊相关系数和线性回归分析评估了所有患者组中这两个参数的相关性,并使用布兰德-阿尔特曼图评估了两者的一致性。还根据患者入院时的[AGcl]、[SIG]和无机[SIG]([SIGi])值绘制了ROC生存曲线:结果:[AGcl]和[SIG]值之间存在很强的相关性(r>0.9,Pcl]值与[SIG]值之间的相关性准确度很高。脓毒症患者入院时两种方法的平均差异(即每位患者的[AGcl]-[SIG])为 11.75 mEq/l,95% 的吻合度为[9.7-13.8];脓毒症恶化患者的平均差异为 11.8 mEq/l,95% 的吻合度为[9.8-13.7];脓毒症缓解患者的平均差异为 11.5 mEq/l,95% 的吻合度为[10.4-12.7]。ROC 生存曲线显示曲线下面积(AUC)较小:[SIG] AUC:0.479,95% CI [0.351,0.606],[SIGi] AUC:0.581,95% CI [0.457,0.705],[AGcl] AUC:0.529,95% CI [0.401,0.656]:结论:[AGcl]和[SIG]在脓毒症患者中显示出极好的相关性,平均差异约为 12 mEq/l。这两个参数都无法预测患者的死亡率。
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引用次数: 0
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International journal of physiology, pathophysiology and pharmacology
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