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Type 2 diabetes mellitus (T2DM) is a serious metabolic disease characterized by insulin resistance and reduced insulin production, which causes abnormally elevated blood glucose. It has been reported that T2DM can enhance oxidative stress and inflammatory responses, and stimulate a variety of complications including liver injury. Studies have shown that taurine has antioxidant and anti-inflammatory effects that can not only ameliorate diabetes but also alleviate liver injury caused by various diseases. However, its effect on liver injury in T2DM is not clear. In our study, a high-fat diet and intraperitoneal injection of streptozotocin (STZ) was used to induce liver injury in T2DM rats, and taurine was given as a treatment. Through the use of HE staining on paraffin sections, ELISA, and qRT-PCR, the effects of taurine on liver pathological alterations, antioxidant capacity, and inflammatory response were investigated. We found that: hepatic transaminase levels of rats were reduced significantly following taurine administration; histopathological observations revealed that the morphology of rat hepatocytes was close to normal, and the number of inflammatory cells around liver vessels was significantly reduced; antioxidant-related indicators were significantly increased, including SOD, CAT, GSH-Px and T-AOC, while related factors of the Nrf2 signalling pathway and its downstream HO-1, NQO1 and γ-GCS were significantly increased; the expression of the JAK2-STAT1 signalling pathway, TLR4/NF-κB signalling pathway and NLRP3 inflammatory vesicle-related factors were significantly reduced. Our results suggest taurine can alleviate T2DM-induced liver injury by improving the antioxidant capacity of the liver and inhibiting macrophage M1-type polarization and the inflammatory response mediated thereby.
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The development of an ultra-sensitive detection method for carbohydrate antigen 19-9 (CA19-9) is very important for the early diagnosis of pancreatic cancer. In this work, we developed a new strategy to achieve a variety of Au-Ag hybrid nanoparticles from janus to core-satellite which is controlled by the volume of AgNO3 and the concentration of benzimidazolecarboxylic acid (MBIA). With the volume of AgNO3 increased, Au-Ag hybrid nanoparticles changed from janus to core-satellite and the characteristic absorption peak showed two opposite trends. The size and number of Ag islands were determined by the concentration of MBIA. Au-Ag core-satellites nanoparticles with a large number of small-sized Ag have the highest SERS intensity. Then we used them as SERS nanotags and Au-Polystyrene nanospheres modified by captured anti-CA19-9 antibody as solid substrates to realize the ultra-sensitive detection of CA19-9 with a low limit of detection of 1.25 × 10-6 IU/mL and a wide linear range of 1.00 × 10-5 -1.00 × 104 IU/mL. This work not only demonstrates that MBIA and AgNO3 were the key factors in the growth of Au-Ag hybrid nanoparticles from 2D to 3D structure but also supplies an ultra-sensitive detection method for CA19-9 which has a potential practicability in the clinical early diagnoses of pancreatic cancer.
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Antígeno CA-19-9 , Ouro , Nanopartículas Metálicas , Prata , Análise Espectral Raman , Ouro/química , Prata/química , Análise Espectral Raman/métodos , Nanopartículas Metálicas/química , Imunoensaio/métodos , Humanos , Antígeno CA-19-9/sangue , Limite de Detecção , Neoplasias Pancreáticas/diagnóstico , Fenômenos ÓpticosRESUMO
We demonstrate that the spiral spectrum (also known as orbital angular momentum spectrum) of a Laguerre-Gaussian (LG) beam with topological charge (TC) l is asymmetrically broadened propagating through moderate-to-strong atmospheric turbulence, even the statistics of turbulence is isotropic. This phenomenon is quite different from that predicted in weak turbulence where the spiral spectrum of a disturbed LG beam is symmetric with respect to its TC number l. An explicit analytical expression of the spiral spectrum of the LG beam with l = 1 is derived based on the extend Huygens-Fresnel integral and quadratic approximation, which is used to illustrate the transition scenarios of the spiral spectrum from symmetry to asymmetry in weak-to-strong turbulence. The physical mechanism for the asymmetric spiral spectrum in moderate-to-strong turbulence is thoroughly discussed. Our results are confirmed by the multi-phase screen numerical simulations and are consistent with the experimental results reported in Phys. Rev. A105, 053513 (2022)10.1103/PhysRevA.105.053513 and Opt. Lett.38, 4062 (2013)10.1364/OL.38.004062.
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In some situations, the beam is partially blocked by an obstacle during propagation, and the influence of the obstacle and ways to decrease the influence have been studied for practical applications. The self-healing effect of Bessel beams is considered as one potential technology for this. The optical pin beam (OPB) can evolve into a Bessel-like beam and can retain its robust property after long-distance propagation. In this paper, we study the propagation property of an OPB after it is partially blocked by an obstacle. We observe the self-healing effects of the OPB and find that it exhibits robust self-healing abilities. An experiment is conducted to confirm the self-healing effect of the OPB. As one example of the application of the self-healing effect, the radiation forces of an obstructed OPB are calculated. Our findings may have important applications in various fields such as micro-imaging, trapping, and long-distance optical communication under disturbance conditions.
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Metabolic-associated fatty liver disease (MAFLD) is a chronic liver disease caused by fat deposition in the liver of humans and mammals, while fatty liver hemorrhagic syndrome (FLHS) is a fatty liver disease in laying hens which can increase the mortality and cause severe economic losses to the laying industry. Increasing evidence has shown a close relationship between the occurrence of fatty liver disease and the disruption of mitochondrial homeostasis. Studies have proven that taurine can regulate hepatic fat metabolism, reduce hepatic fatty deposition, inhibit oxidative stress, and alleviate mitochondrial dysfunction. However, the mechanisms by which taurine regulates mitochondrial homeostasis in hepatocytes need to be further studied. In this study, we determined the effects and mechanisms of taurine on high-energy low-protein diet-induced FLHS in laying hens and in cultured hepatocytes in free fatty acid (FFA)-induced steatosis. The liver function, lipid metabolism, antioxidant capacity, mitochondrial function, mitochondrial dynamics, autophagy, and biosynthesis were detected. The results showed impaired liver structure and function, mitochondrial damage and dysfunction, lipid accumulation, and imbalance between mitochondrial fusion and fission, mitochondrial autophagy, and biosynthesis in both FLHS hens and steatosis hepatocytes. Taurine administration can significantly inhibit the occurrence of FLHS, protect mitochondria in hepatocytes from disease induced by lipid accumulation and FFA, up-regulate the expression levels of Mfn1, Mfn2, Opa1, LC3I, LC3II, PINK1, PGC-1α, Nrf1, Nrf2, and Tfam, and down-regulate the expression levels of Fis1, Drp1, and p62. In conclusion, taurine can protect laying hens from FLHS through the regulation of mitochondrial homeostasis, including the regulation of mitochondrial dynamics, autophagy, and biosynthesis.
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Galinhas , Hepatopatia Gordurosa não Alcoólica , Humanos , Animais , Feminino , Fígado/metabolismo , Hemorragia/etiologia , Hepatopatia Gordurosa não Alcoólica/metabolismo , Homeostase , Lipídeos , MamíferosRESUMO
We introduce an efficient approach to simultaneously tailor the spatial profile and the degree of coherence (DOC) of partially coherent light by devising its statistical properties in the spatial frequency domain. The relationship between the beam profile and the DOC in the source plane and the correlation function and power spectrum in the spatial frequency domain is analyzed in detail. This approach enables us to generate partially coherent sources with spatially uniform or non-uniform coherence states, and the source profiles are controlled. The condition for switching two coherence states is given through two theoretical examples. Furthermore, we validate our approach in experiment through generating two kinds of spatially non-uniform correlated sources with controllable beam profiles. The experimental results agree well with our theoretical analysis.
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BACKGROUND: Hypertrophic scars (HS) affect millions of people each year and require better treatment strategies. Bacterial extracellular vesicles (EVs) are advantaged by low cost and high yield which was commonly used in the treatment of diseases. Here, we investigated the therapeutic efficacy of EVs obtained from Lactobacillus druckerii in hypertrophic scar. In vitro, the effects of Lactobacillus druckerii-derived EVs (LDEVs) on Collagen I/III and α-SMA in fibroblasts obtained from HS. In vivo, a scleroderma mouse model was used to investigate the effects of LDEVs on fibrosis. The impact of LDEVs on excisional wound healing was explored. The different proteins between PBS and LDEVs treated fibroblasts derived from hypertrophic scar were studied by untargeted proteomic analysis. RESULTS: In vitro, LDEVs treatment significantly inhibited the expression of Collagen I/III and α-SMA and cell proliferation of fibroblasts derived from HS. In vivo, LDEVs withdrawn the hypertrophic scar formation in scleroderma mouse model and decreased the expression of α-SMA. LDEVs promoted the proliferation of skin cells, new blood vessel formation and wound healing in excisional wound healing mice model. Moreover, proteomics has shown that LDEVs inhibit hypertrophic scar fibrosis through multiple pathways. CONCLUSIONS: Our results indicated that Lactobacillus druckerii-derived EVs has the potential application in the treatment of hypertrophic scars and any other fibrosis diseases.
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Cicatriz Hipertrófica , Vesículas Extracelulares , Animais , Camundongos , Cicatriz Hipertrófica/tratamento farmacológico , Cicatriz Hipertrófica/metabolismo , Cicatriz Hipertrófica/patologia , Lactobacillus/metabolismo , Proteômica , Colágeno Tipo I/metabolismo , Fibroblastos , Vesículas Extracelulares/metabolismoRESUMO
Diarrhea in piglets is one of the most important diseases and a significant cause of death in piglets. Preliminary studies have confirmed that taurine reduces the rate and index of diarrhea in piglets induced by LPS. However, there is still a lack of relevant information on the specific target and mechanism of action of taurine. Therefore, we investigated the effects of taurine on the growth and barrier functions of the intestine, microbiota composition, and metabolite composition of piglets induced by LPS. Eighteen male weaned piglets were randomly divided into the CON group (basal diet + standard saline injection), LPS group (basal diet + LPS-intraperitoneal injection), and TAU + LPS group (basal diet + 0.3% taurine + LPS-intraperitoneal injection). The results show that taurine significantly increased the ADG and decreased the F/G (p < 0.05) compared with the group of CON. The group of TAU + LPS significantly improved colonic villous damage (p < 0.05). The expression of ZO-1, Occludin and Claudin-1 genes and proteins were markedly up-regulated (p < 0.05). Based on 16s rRNA sequencing analysis, the relative abundance of Lactobacilluscae and Firmicutes in the colon was significantly higher in the LPS + TAU group compared to the LPS group (p < 0.05). Four metabolites were significantly higher and one metabolite was significantly lower in the TAU + LPS group compared to the LPS group (p < 0.01). The above results show that LPS disrupts intestinal microorganisms and metabolites in weaned piglets and affects intestinal barrier function. Preventive addition of taurine enhances beneficial microbiota, modulates intestinal metabolites, and strengthens the intestinal mechanical barrier. Therefore, taurine can be used as a feed additive to prevent intestinal damage by regulating intestinal microorganisms and metabolites.
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Sepsis is a public cause of death in intensive care unit patients. Probiotics were widely used to increase the survival rate of sepsis by a series of clinical research. The purpose of this research was to investigate the therapeutic effects of Lactobacillus johnsonii 6084 in septic mice. Sepsis mouse model was induced by LPS treatment. The influence of L. johnsonii 6084 on the protection of organ injury induced by sepsis was explored. Moreover, the composition of gut microbiota was studied to clarify the mechanism of L. johnsonii 6084 therapeutic effect on sepsis. L. johnsonii 6084 treatment could conspicuously decrease the mortality and organ injury of sepsis. The reduction of gut microbial diversity and richness in septic mice were moderated by the administration of 6084. The abundance of Bacteroidetes and Proteobacteria were change by LPS treatment while restored by L. johnsonii 6084. To conclude, probiotic 6084 may has optimistic result on reducing mortality of sepsis through rebalancing gut microbiota.
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The clinical correlation between adiponectin (APN) signal and hypertrophic scar (HS) remains unclear. Here, we found significantly reduced expression of APN receptors (AdipoR1/2) in HS tissues and derived fibroblasts (HFs), suggesting that HS formation may be associated with APN/AdipoR1/2 decline. RNA sequencing and RT-PCR validation revealed that APN significantly elevated the expression of SIRT1. Both in vitro and in vivo experiments confirmed that SIRT1 plays important role in APN inhibiting the fibrotic phenotype transformation and proliferation of scar fibroblasts and improving skin fibrosis. Mechanistically, SIRT1 inhibited the acetylation of C/EBPß K39, histone H3K27, and H3K9, resulting in impaired transcription activity of C/EBPß and compact chromatin conformation, thus preventing C/EBPß from activating the transcription of YAP. Moreover, we found that YAP was critical for the transcriptional regulation of CTGF, CCND1, and CCNE1 by TEAD4. In conclusion, our study revealed the role of APN in antagonizing HS fibrosis by regulating the SIRT1/C/EBPß/YAP pathway.
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In this study, a large construction waste dump in Beijing, China, was used as the study area. Nineteen effective atmospheric dust samples were collected. The mass fractions of 14 metal elements (Ca, Fe, Al, Mg, Mn, Zn, Cr, Cu, V, Pb, Ni, As, Co, and Cd) were determined for the samples using ICP-MS. The pollutants and the potential ecological risk levels of 10 different heavy metals were evaluated using the enrichment factor, geo-accumulation index, and a potential ecological risk assessment method. The results showed that the Ca, Fe, Al, and Mg contents in the dust fall were considerably high and accounted for 98.81% of the total mass of the analysed metals. Cd and Zn were the main metal contaminants in the dust fall in the vicinity of the construction waste dump, followed by Cu and Mn. The Cd, Zn, Cu, and Mn contents in the construction waste had a significant impact on atmospheric pollution within 250 m of the dump. Moreover, Cd had the largest contribution to the comprehensive ecological risk posed by the heavy metals in the dust fall and was determined to be the primary ecological risk factor in the atmospheric environment in the vicinity of the construction waste dump.
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Poluentes Ambientais , Metais Pesados , Poeira/análise , Pequim , Monitoramento Ambiental/métodos , Cádmio/análise , Chumbo/análise , Metais Pesados/análise , Medição de Risco , Instalações de Eliminação de Resíduos , China , Poluentes Ambientais/análiseRESUMO
The analytical formula of the probability density of a single orbital angular momentum (OAM) mode for pin-like optical vortex beams (POVBs) in turbulent atmosphere is derived. Its OAM spectrum in the receiving plane is obtained by the numerical calculation. For comparison, the OAM spectrum of commonly Gaussian vortex beams is showed, too. Those results show that POVBs show good performance on resisting the cross talk of the OAM mode induced by the turbulence in some cases, such as smaller radius of the receiving aperture, longer propagation distance, and stronger turbulence. Our finding has application in free-space optical communication based on the OAM mode.
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Taurine has the advantages of being safe, highly efficient, chemically stabile, and biologically active, together with having versatile functions. Presently, it is employed as a veterinary feed additive in animal research. The tight junctions that constitute the intestinal epithelial cells are the most critical structures for ensuring regular and uninterrupted digestion and absorption of food by the intestinal mucosa, while at the same time resisting invasions by toxins. The purpose of this study was to investigate the protective effect and mechanism of taurine action on intestinal mechanical barrier function of piglets that were infected with LPS. The results showed that 0.3% taurine inhibits LPS-driven increase in intestinal permeability and intestinal mucosal injury, the rise in the ratio of villus length to crypt depth within the duodenum, jejunum, and ileum, and the significant enhancement in the expression of tight junction protein-related genes. In summary, dietary taurine significantly reduces intestinal mucosal structural damage and intestinal mucosal permeability while increasing gene expression of tight junction proteins of the intestinal mucosa of piglets induced by LPS, thereby enhancing the effect of intestinal mucosal mechanical barriers.
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Enteropatias , Lipopolissacarídeos , Animais , Mucosa Intestinal/metabolismo , Jejuno/metabolismo , Lipopolissacarídeos/metabolismo , Suínos , Taurina/metabolismo , Taurina/farmacologia , Proteínas de Junções Íntimas/metabolismoRESUMO
Hypoxia caused by low ambient temperature leads to hypoxemia in broilers, which aggravates the metabolic burden of the liver. Liver damage is closely related to oxidative stress and apoptosis. It has been proved that taurine can reduce oxygen free radicals, exert antioxidant properties, and inhibit mitochondria-dependent apoptosis. This experiment aimed to determine whether taurine could prevent liver damage by inhibiting oxidative stress and the cytochrome c-mediated apoptotic pathway in broilers under low ambient temperature. Broilers were given 1% taurine in drinking water, and the temperature was raised at 10 °C ~ 12 °C from 21 to 42 days. At 28 and 42 days, the hepatic tissues were collected. The antioxidant capacity of liver tissues and mRNA expression levels of the factors related with cytochrome c-medicated apoptosis pathway were measured. The results showed taurine significantly increased the total antioxidant capacity (T-AOC) at 28 days. Furthermore, taurine also increased the activities of glutathione peroxidase (GSH-PX) while reducing malondialdehyde (MDA) concentration at 28 days and 42 days. Our results also revealed that taurine significantly increased the mRNA expression levels of Hsp 27 and Hsp 90 while decreasing caspase-3 mRNA expression in broiler hepatocytes at 28 days. In addition, taurine also upregulated the expression level of Bcl-2 at 42 days. In summary, the present study found that taurine enhances the antioxidant ability and alleviates cytochrome c-mediated apoptosis in hepatic tissue of broilers under low temperature.
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Citocromos c , Taurina , Animais , Antioxidantes/metabolismo , Antioxidantes/farmacologia , Apoptose , Galinhas/metabolismo , Citocromos c/metabolismo , Fígado/metabolismo , Estresse Oxidativo , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Taurina/metabolismo , Taurina/farmacologia , TemperaturaRESUMO
The promotion of neurogenesis from neural stem cells (NSCs) in the hippocampus was found to be the most fundamental and effective therapy for depression. Our previous studies proved an antidepressive effect of taurine on rats, but the exact mechanism remains unclear. In this study, CUMS model was established in rats, and NSCs were cultured in vitro to investigate the protective effect and mechanisms of taurine on neurogenesis and apoptosis in CUMS rats and glutamate-injured NSCs. The results showed that ki67-positive cells were significantly increased by taurine, while apoptosis in the DG of CUMS rats was significantly inhibited by taurine. In vitro study, cell viability, Brdu+, ß-tubulin III+, and GFAP+ cells in taurine-treated cells were significantly higher, while apoptosis rate was lower than the glutamate-treated cells. The protein expression of BDNF and its downstream pathway was upregulated by taurine administration. The results demonstrated that taurine can increase the survival, proliferation, and differentiation of NSCs; this protective effect of taurine may be due to the upregulation of BDNF/ERK/CREB signaling pathway. On the other hand, taurine can also inhibit abnormal apoptosis induced by CUMS or glutamate, the mechanism of which may be due to its antioxidative ability.
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Fator Neurotrófico Derivado do Encéfalo , Células-Tronco Neurais , Animais , Apoptose , Fator Neurotrófico Derivado do Encéfalo/metabolismo , Proliferação de Células , Glutamatos/metabolismo , Glutamatos/farmacologia , Hipocampo/metabolismo , Neurogênese/fisiologia , Ratos , Taurina/metabolismo , Taurina/farmacologiaRESUMO
Aflatoxin B1 (AFB1) is one of the most toxic mycotoxins, which can cause serious kidney damage after ingestion. Taurine protects the kidney, an effect related to its antioxidation and anti-apoptotic actions. In the present study, taurine was administered to detect the protective effect and mechanism of taurine on AFB1-induced renal injury in rats. The results show that taurine ameliorated the increase in serum blood urea nitrogen (BUN), blood creatinine (CRE), blood uric acid (UA), cystatin c (Cys-c), and urinary protein and AKP levels. Taurine also inhibits the content of superoxide dismutase (SOD), total antioxidant capacity (T-AOC), catalase (CAT), glutathione (GSH), glutathione peroxidase (GSH-Px), succinate dehydrogenase (SDH), and the mRNA expression of SOD, nicotinamide adenine dinucleotide phosphate-quinine oxidoreductase 1 (NQO1), γ-glutamylcysteine synthetase (γ-GCS), heme oxygenase-1 (HO-1), and glutamate cysteine ligase catalytic (GCLC) in rat kidney tissue. The apoptotic rate of renal cells was decreased by taurine through inhibition of a mitochondrial mechanism. In summary, we found that taurine prevents AFB1-induced renal injury via enhanced antioxidant ability and mitochondrial-dependent apoptosis.
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Aflatoxina B1 , Antioxidantes , Aflatoxina B1/metabolismo , Aflatoxina B1/toxicidade , Animais , Antioxidantes/metabolismo , Antioxidantes/farmacologia , Apoptose , Glutationa/metabolismo , Rim , Estresse Oxidativo , Ratos , Superóxido Dismutase/metabolismo , Taurina/metabolismo , Taurina/farmacologiaRESUMO
This study employed taurine as a feed additive to explore the prophylactic effect of taurine on LPS-induced hepatic injury in piglets. The pathological shifts within hepatic tissue were observed by HE staining. Serum levels of ALT and AST together with SOD, CAT, GSH-PX activity, and MDA serum and liver levels were detected. TUNEL was used to detect apoptosis, while qPCR was employed to detect HO-1, Nrf-2, Bcl2, BAX, Caspase-3, and NF- κB p65 transcriptomic expression levels. TRL4, Caspase-3, Nrf-2, and NF- κB p-p65/NF- κB p65 were detected by Western blot. The results revealed that taurine reduces LPS-induced pathological damage of hepatic tissue and reduces the levels of ALT and AST in pig serum. The transcriptomic expression levels of HO-1 and Nrf-2 were upregulated, and proteomic expression of Nrf-2 was increased. SOD, CAT, and GSH-PX activity was elevated, while MDA content was reduced in serum and liver. The levels of mRNA of BAX and Caspase-3 were downregulated, but mRNA content of Bcl2 was increased, and the protein levels of TRL4, NF-κB p-p65/NF-κB p65, and Caspase-3 were diminished. Overall, the degree of hepatocyte apoptosis was also significantly reduced. In conclusion, taurine reduces LPS-induced injury of piglet liver, while reducing hepatocyte apoptotic levels. These data provide a scientific basis for the selection of animal feed additives and lay a foundation for the healthy and sustainable development of the porcine industry.
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Doença Hepática Crônica Induzida por Substâncias e Drogas , Doença Hepática Induzida por Substâncias e Drogas , Animais , Apoptose , Caspase 3/genética , Caspase 3/metabolismo , Doença Hepática Induzida por Substâncias e Drogas/prevenção & controle , Doença Hepática Crônica Induzida por Substâncias e Drogas/metabolismo , Doença Hepática Crônica Induzida por Substâncias e Drogas/patologia , Lipopolissacarídeos/metabolismo , Fígado/metabolismo , NF-kappa B/metabolismo , Estresse Oxidativo , Proteômica , RNA Mensageiro/metabolismo , Superóxido Dismutase/metabolismo , Suínos , Taurina/metabolismo , Taurina/farmacologia , Proteína X Associada a bcl-2/metabolismoRESUMO
Aflatoxin B1 (AFB1), which widely exists in soil and crops, is the most toxic aflatoxin and a carcinogen to humans and animals. The liver is the main organ that processes AFB1 and other mycotoxins and is also the main target of AFB1 toxicity. Taurine is known to exhibit a variety of physiological and pharmacological functions. In the present study, taurine was administered to detect the protective effect and mechanism of taurine in AFB1-induced liver injury in rats. The results showed that taurine inhibited the increase in hepatic injury indices, hepatic apoptosis and hepatic malondialdehyde (MDA) contents while significantly enhanced the hepatic activities of antioxidant enzymes and mitochondrial function-related indices in AFB1-poisoned rats. Meanwhile, the expression levels of key factors in the Nrf2 signalling pathway were upregulated while the expression levels of key proteins in the mitochondria-mediated apoptotic pathway were downregulated after taurine administration. The results showed that taurine can reverse AFB1-induced liver injury and abnormal apoptosis through activation of the Nrf2 signalling pathway and its downstream antioxidant enzymes, which further protects mitochondria from oxidative stress and the subsequent apoptotic pathway.
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Aflatoxina B1 , Doença Hepática Crônica Induzida por Substâncias e Drogas , Aflatoxina B1/metabolismo , Aflatoxina B1/toxicidade , Animais , Antioxidantes/metabolismo , Antioxidantes/farmacologia , Apoptose , Doença Hepática Crônica Induzida por Substâncias e Drogas/metabolismo , Fígado , Mitocôndrias/metabolismo , Fator 2 Relacionado a NF-E2/metabolismo , Estresse Oxidativo , Ratos , Taurina/metabolismo , Taurina/farmacologia , Taurina/uso terapêuticoRESUMO
BACKGROUND: The present study aims to investigate whether malnutrition defined by the Global Leadership Initiative in Malnutrition (GLIM) criteria using hand-grip strength (HGS) adequately predict postoperative complications and long-term survival in patients underwent radical gastrectomy for gastric cancer in a similar manner to GLIM-defined malnutrition using skeletal muscle index (SMI). METHODS: Patients who underwent radical gastrectomy for gastric cancer from August 2014 to June 2019 were included in this study. Clinical data were prospectively collected. Malnutrition was diagnosed based on the two-step approach following the GLIM criteria. Skeletal muscle mass was assessed using SMI based on abdominal computed tomography (CT) scans, or assessed using HGS. RESULTS: A total of 1359 patients were included in this study, in which 36.2% of the patients were at risk of malnutrition (Nutritional Risk Screening 2002 scores ≥3). The incidence of malnutrition was 28.2% and 27.5% using SMI and HGS, respectively. There was a high agreement between the two criteria of malnutrition (kappa = 0.863, P < 0.001). Both of the two criteria of malnutrition were independently associated with postoperative complications (SMI-GLIM, P = 0.041; HGS-GLIM, P = 0.023), overall survival (P < 0.001, both), and disease-free survival (P < 0.001, both), with similar odds ratio or hazard ratio after adjusting for the same confounding variables. HGS-GLIM malnutrition (P = 0.046) but not SMI-GLIM malnutrition (P = 0.270) was associated with a higher incidence of severe complications. CONCLUSIONS: GLIM criteria using HGS is a useful tool to diagnose malnutrition and has a similar or even better predictive value for postoperative complications and long-term survival after radical gastrectomy for gastric cancer compared with GLIM criteria using SMI.
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Desnutrição , Neoplasias Gástricas , Gastrectomia/efeitos adversos , Força da Mão , Humanos , Liderança , Desnutrição/epidemiologia , Avaliação Nutricional , Estado Nutricional , Complicações Pós-Operatórias/epidemiologia , Neoplasias Gástricas/complicações , Neoplasias Gástricas/cirurgiaRESUMO
It is known that a twisted Gaussian Schell-model (TGSM) beam with elliptical Gaussian amplitude will rotate its beam spot upon propagation because of the vortex structure of the transverse energy flux. In this paper, we study a special kind of twisted partially coherent beams named twisted Hermite-Gaussian correlated Schell model (HGCSM) beam whose degree of coherence (DOC) is non-circularly symmetric but the source amplitude is of the circular Gaussian profile. Our results reveal that the beam spot (average intensity distribution) does not rotate during propagation even if the circular symmetry of the beam spot is broken. However, the DOC pattern shows the rotation under propagation. From the investigation of the transverse energy flux and OAM density flux, we attribute the nontrivial rotation phenomenon to the redistribution of the transverse energy flux by non-circular DOC. Furthermore, based on Hyde's approach [J. Opt. Soc. Am. A37, 257 (2020)10.1364/JOSAA.381772], we introduce a method for the generation of this class of twisted partially coherent sources. The non-rotation of the beam spot and rotation of the DOC are demonstrated in experiment.