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1.
Ren Fail ; 39(1): 59-66, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27852131

RESUMO

The aim of this meta-analysis was to evaluate the effect of peritoneal dialysis (PD) and hemodialysis (HD) on renal anemia (RA) in renal disease patients by a meta-analysis. Relevant studies published before June 2015 were searched. Pooled odds ratio (OR) with 95% confidence interval (CI) was used to evaluate the effect of HD and PD on RA based on five indexes: hemoglobin, ferritin, transferrin saturation index, serum albumin, and parathyroid hormone. Sensitivity analysis and publication bias assessment were conducted to evaluate the stability and reliability of our results. A total of fourteen eligible studies with 1103 cases underwent HD and 625 cases underwent PD were used for this meta-analysis. There were no significant difference for levels of hemoglobin (SMD = -0.23, 95% CI: -0.74 to 0.28), ferritin (SMD = 0.01, 95% CI: -0.59 to 0.62), parathyroid hormone (SMD = 0.11, 95% CI: -1.53 to 1.75) and transferrin saturation index (SMD = -0.06, 95% CI: -0.67 to 0.56) between HD and PD group. However, the content of serum albumin in HD group was much more than that in PD group (SMD = 1.58, 95% CI: 0.35 to 2.81). Neither of the included studies could reverse the pooled side effect and Egger's test demonstrated no publication bias. Both of the two dialysis strategies have a similar effect on RA in renal disease patients.


Assuntos
Anemia/epidemiologia , Falência Renal Crônica/complicações , Falência Renal Crônica/terapia , Diálise Peritoneal , Diálise Renal , Anemia/sangue , Ferritinas/sangue , Hemoglobinas/metabolismo , Humanos , Hormônio Paratireóideo/sangue , Ensaios Clínicos Controlados Aleatórios como Assunto , Albumina Sérica/análise
2.
Clin Nephrol ; 85(1): 21-9, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26636326

RESUMO

BACKGROUND/AIMS: Antiviral monotherapy is recommended for hepatitis B virus-associated glomerulonephritis (HBV-GN) treatment. Although considered superior to interferon-α in several respects, nucleotide/nucleoside analog (NA) monotherapy has not been studied. This metaanalysis evaluates the efficacy and safety of NA monotherapy for treating HBV-GN. METHODS: We searched for controlled clinical trials of NA monotherapy for HBVGN in the MEDLINE, Embase, Cochrane Library, Chinese BioMedical Literature on disc, Chinese National Knowledge Infrastructure, and Wanfang databases. Primary outcome measures were proteinuria remission, HBV-DNA negative conversion rate, and hepatitis B e-antigen (HBeAg) clearance. Secondary outcome measures were variations in proteinuria, serum albumin, alanine aminotransferase (ALT), and serum creatinine (Scr). RESULTS: Ten trials involving 325 patients were included: four randomized controlled trials, two cohort clinical trials, and four self-controlled studies. Based on the fixed-effects model, we found significant proteinuria remission rate improvement in the NA group (relative risk (RR): 3.60, 95% confidence interval (CI): 1.99 – 6.50), negative conversion rate of HBV-DNA (RR: 2.20, 95% CI: 1.55 – 3.13), and clearance of HBeAg (RR: 4.49, 95% CI: 1.29 – 15.67). Improvement in ALT (mean difference (MD): 56.60, 95% CI: 50.41 – 62.79) was found with the fixedeffects model, and a slight decrease in Scr (MD: 25.25, 95% CI: –17.11 – 67.61, p = 0.24) was shown. CONCLUSIONS: HBV-GN proteinuria remission with elevated serum albumin, decreased HBV replication, and improved HBeAg clearance could be achieved using NA monotherapy. Furthermore, NA monotherapy may protect renal function in HBV-GN patients by preventing Scr elevation.


Assuntos
Vírus da Hepatite B , Alanina Transaminase/sangue , Albuminúria/virologia , Antivirais/uso terapêutico , Creatinina/sangue , DNA Viral/sangue , Glomerulonefrite/imunologia , Glomerulonefrite/virologia , Antígenos E da Hepatite B/sangue , Hepatite B Crônica/sangue , Hepatite B Crônica/complicações , Hepatite B Crônica/tratamento farmacológico , Humanos , Nucleotídeos , Albumina Sérica/metabolismo
3.
Int J Mol Sci ; 17(5)2016 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-27164093

RESUMO

(1) BACKGROUND: 12-lipoxygenase (12-LO) is involved in the development of diabetic nephropathy (DN). In the present study, we investigated whether 12-LO inhibition may ameliorate type-2 DN (T2DN) by interfering with insulin resistance (IR); (2) METHODS: Rat glomerular mesangial cells, glomeruli and skeletal muscles were isolated and used in this study. Kidney histological changes were confirmed by periodic-acid Schiff staining; mRNA expression was detected by competitive reverse transcription polymerase chain reaction; and the protein level was determined by Western blot and the enzyme-linked immunosorbent assay, respectively; (3) RESULTS: The inhibition of 12-LO attenuated microalbuminuria (MAU) increases in type-2 diabetic rats, but not in type-1 diabetic rats. Infusion of 12(S)-hydroxyeicosatetraenoic acid (12(S)-HETE) significantly increased the expression of angiotensin II (Ang II) and Ang II type 1 receptor (AT1R), but decreased the expression of AT1R-associated protein (ATRAP) in rat glomeruli, compared to the control. An in vitro study revealed that both 12(S)-HETE and insulin upregulated AT1R expression in rat mesangial cells. In the presence of p38 mitogen-activated protein kinase (MAPK) inhibitor, SB202190, the 12(S)-HETE-induced ATRAP reduction was significantly abolished. Interestingly, 12-LO inhibition did not influence AT1R expression in type-1 diabetic rats, but significantly abolished the increased AT1R and Ang II expression in glomeruli of type-2 diabetic rats. Furthermore, the inhibition of 12-LO significantly corrected impaired insulin sensitivity and fast serum insulin level, as well as the p-AMP-activated protein kinase (AMPK) reduction in skeletal muscle of type-2 diabetic rats; (4) CONCLUSION: The inhibition of 12-LO potentially ameliorated MAU by preventing IR through the downregulation of glomerular AT1R expression in T2DN.


Assuntos
Albuminúria/metabolismo , Araquidonato 12-Lipoxigenase/metabolismo , Nefropatias Diabéticas/metabolismo , Resistência à Insulina , Receptor Tipo 1 de Angiotensina/metabolismo , Ácido 12-Hidroxi-5,8,10,14-Eicosatetraenoico/farmacologia , Albuminúria/etiologia , Animais , Células Cultivadas , Diabetes Mellitus Tipo 1/complicações , Diabetes Mellitus Tipo 1/metabolismo , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/metabolismo , Regulação para Baixo , Glomérulos Renais/efeitos dos fármacos , Glomérulos Renais/metabolismo , Inibidores de Lipoxigenase/farmacologia , Masculino , Músculo Esquelético/efeitos dos fármacos , Músculo Esquelético/metabolismo , Inibidores de Proteínas Quinases/farmacologia , Ratos , Ratos Sprague-Dawley , Receptor Tipo 1 de Angiotensina/genética
4.
Nephron ; 142(1): 61-70, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30677774

RESUMO

BACKGROUND: 12-Lipoxygenase (12-LO) and angiotensin II (Ang II) are involved in the development of diabetic renal hypertrophy, in which cyclin-kinase inhibitors, p21 and p27 play pivotal roles. Here, we study the effects of 12-LO and its interaction with Ang II on glomerular p21 and p27 expression in diabetic conditions. METHODS: Models used in the current study include glomerular mesangial cells (MCs); and glomeruli from (1) type 2 diabetic db/db mice; (2) type 2 diabetic rats induced by high-fat diet feeding followed by streptozotocin injection; (3) 12-LO knockout (12-LOKO) mice; and (4) normal rats infused with Ang II or 12(S)-hydroxyeicosatetraenoic acid (12[S]-HETE, arachidonic acid metabolite of 12-LO). RESULTS: The protein expression levels of p21 and p27 were increased in high glucose-stimulated MCs and in glomeruli isolated from db/db mice. In type 2 diabetic rats, cinnamyl-3,4-dihydroxy-α-cynanocinnamate (inhibitor of 12-LO) attenuated the increases in glomerular p21 and p27 protein expression, while in normal rats, 12(S)-HETE injection increased glomerular p21 and p27 expression. 12(S)-HETE and Ang II were mutually stimulated in glomeruli. Glomerular p21 and p27 expression were decreased in 12-LOKO mice compared to levels in control mice, and Ang II stimulation increased the protein expression of p27 in control but not 12-LOKO mice. Ang II stimulation had no effect on p21 protein expression in 12-LOKO mice. CONCLUSION: 12-LO is involved in diabetic renal hypertrophy via the induction of p21 and p27 protein expression and interacts with Ang II to induce p27 upregulation in diabetes. The current results suggest a potential amplifying loop in the pathogenesis of diabetic nephropathy.


Assuntos
Angiotensina II/metabolismo , Araquidonato 12-Lipoxigenase/metabolismo , Inibidor de Quinase Dependente de Ciclina p21/metabolismo , Inibidor de Quinase Dependente de Ciclina p27/metabolismo , Nefropatias Diabéticas/metabolismo , Animais , Glomérulos Renais/metabolismo , Camundongos , Camundongos Knockout , Ratos , Ratos Sprague-Dawley
5.
Immunotherapy ; 9(9): 753-765, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-28771105

RESUMO

The remarkable clinical outcomes of the treatment for B-cell malignancies through the application of CD19 chimeric antigen receptor T (CAR-T) cells have made adoptive immunotherapy with genetically modified immune effector cells a hotspot in the field of antitumor. However, numerous toxicities of CAR-T cells have been identified. Thus, some studies have resorted to another cytotoxic cell, NK-92 cell, to reach for better efficacy with minimal toxicity. Preclinical studies have confirmed the safety and feasibility of the genetically modified NK-92 cells with highly specific cytotoxicity in vitro and in vivo. Therefore, it is expected that NK-92 cell becomes another ideal carrier for CAR for its unique advantages over primary NK cells, parental NK-92 cells and autologous T cells.


Assuntos
Antígenos CD19/genética , Imunoterapia Adotiva/métodos , Células Matadoras Naturais/imunologia , Leucemia de Células B/terapia , Linfócitos T/fisiologia , Animais , Terapia Genética , Humanos , Leucemia de Células B/imunologia , Proteínas Recombinantes de Fusão/genética , Linfócitos T/transplante , Evasão Tumoral
6.
Ying Yong Sheng Tai Xue Bao ; 28(4): 1255-1264, 2017 Apr 18.
Artigo em Zh | MEDLINE | ID: mdl-29741323

RESUMO

An experiment was conducted to investigate soil evaporation (E), crop transpiration (T), evapotranspiration (ET) and the ratio of evaporation to evapotranspiration (E/ET) of drip-irrigated tomato, which was planted in a typical solar greenhouse in the North China, under different water conditions [irrigation amount was determined based on accumulated pan evaporation (Ep) of 20 cm pan evaporation, and two treatments were designed with full irrigation (0.9Ep) and deficit irrigation (0.5Ep)] at different growth stages in 2015 and 2016 at Xinxiang Comprehensive Experimental Station, Chinese Academy of Agricultural Sciences. Effects of deficit irrigation on crop coefficient (Kc) and variation of water stress coefficient (Ks) throughout the growing season were also discussed. E, T and ET of tomato were calculated with a dual crop coefficient approach, and compared with the measured data. Results indicated that E in the full irrigation was 21.5% and 20.4% higher than that in the deficit irrigation in 2015 and 2016, respectively, accounting for 24.0% and 25.0% of ET in the whole growing season. The maximum E/ET was measured in the initial stage of tomato, while the minimum obtained in the middle stage. The Kc the full irrigation was 0.45, 0.89, 1.06 and 0.93 in the initial, development, middle, and late stage of tomato, and 0.45, 0.89, 0.87 and 0.41 the deficit irrigation. The Ks the deficit irrigation was 0.98, 0.93, 0.78 and 0.39 in the initial, development, middle, and late stage, respectively. The dual crop coefficient method could accurately estimate ET of greenhouse tomato under different water conditions in 2015 and 2016 seasons with the mean absolute error (MAE) of 0.36-0.48 mm·d-1, root mean square error (RMSE) of 0.44-0.65 mm·d-1. The method also estimated E and T accurately with MAE of 0.15-0.19 and 0.26-0.56 mm·d-1, and with RMSE of 0.20-0.24 and 0.33-0.72 mm·d-1, respectively.


Assuntos
Transpiração Vegetal , Solanum lycopersicum , Irrigação Agrícola , China , Solo , Água
7.
J Nephrol ; 29(6): 775-782, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27021232

RESUMO

BACKGROUND: The 12-lipoxygenase (12-LO) and angiotensin II (Ang II) interaction plays an important role in diabetic nephropathy (DN). Proteinuria in DN is associated with decreased slit diaphragm proteins including nephrin and P-cadherin. Therefore, we investigated whether Ang II type 1 receptor (AT1) blocker (ARB) regulates 12-LO activity and slit diaphragm protein expression in diabetic rat glomeruli. METHOD: Glomeruli were isolated with the sieving method, and classified into small glomeruli (SG; 75-µm sieve) and large glomeruli (LG; 125-µm sieve). RESULTS: 12(S)-HETE, a lipid product of 12-LO, was increased by Ang II in the glomeruli. Infusion of 12(S)-HETE and Ang II significantly decreased nephrin expression in LG, but increased it in SG compared to control. Glomerular P-cadherin expression was reduced after Ang II and 12(S)-HETE treatment without differences between LG and SG. ARB did not influence glycemic levels but completely abolished the increases in 12(S)-HETE, AT1 expression, and proteinuria in diabetic rats. Nephrin expression was significantly reduced in LG but increased in SG in diabetic rats compared to control. P-cadherin expression decreased in both diabetic LG and SG. The abnormalities of nephrin and P-cadherin were partially but significantly reversed by ARB. CONCLUSION: ARB potentially ameliorates DN via the up-regulation of glomerular nephrin and P-cadherin expression through the inhibition of 12-LO activation in the glomeruli of rats with DN.


Assuntos
Bloqueadores do Receptor Tipo 1 de Angiotensina II/farmacologia , Araquidonato 12-Lipoxigenase/metabolismo , Caderinas/metabolismo , Diabetes Mellitus Experimental/tratamento farmacológico , Diabetes Mellitus Tipo 2/tratamento farmacológico , Nefropatias Diabéticas/prevenção & controle , Glomérulos Renais/efeitos dos fármacos , Inibidores de Lipoxigenase/farmacologia , Losartan/farmacologia , Proteínas de Membrana/metabolismo , Receptor Tipo 1 de Angiotensina/efeitos dos fármacos , Ácido 12-Hidroxi-5,8,10,14-Eicosatetraenoico/metabolismo , Angiotensina II/farmacologia , Animais , Células Cultivadas , Diabetes Mellitus Experimental/induzido quimicamente , Diabetes Mellitus Experimental/enzimologia , Diabetes Mellitus Tipo 2/induzido quimicamente , Diabetes Mellitus Tipo 2/enzimologia , Nefropatias Diabéticas/enzimologia , Nefropatias Diabéticas/etiologia , Dieta Hiperlipídica , Glomérulos Renais/enzimologia , Masculino , Camundongos , Podócitos/efeitos dos fármacos , Podócitos/metabolismo , Ratos Sprague-Dawley , Receptor Tipo 1 de Angiotensina/metabolismo , Sistema Renina-Angiotensina/efeitos dos fármacos , Estreptozocina
8.
Int J Mol Med ; 37(5): 1181-8, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26986014

RESUMO

In this study, we aimed to explore the molecular mechanisms of and genetic factors influencing diabetic nephropathy (DN). Gene expression profiles associated with DN were obtained from the GEO database (Accession no. GSE20844). The differentially expressed genes (DEGs) between diabetic mice and non-diabetic mice were screened. Subsequently, the DEGs were subjected to functional and pathway analysis. The protein-protein interaction (PPI) network was constructed and the transcription factors (TFs) were screened among the DEGs. A total of 92 upregulated and 118 downregulated genes were screened. Pathway analysis revealed that the p53 signaling pathway, the transforming growth factor (TGF)-ß signaling pathway and the mitogen-activated protein kinase (MAPK) signaling pathway were significantly enriched by upregulated genes. Serpine1 (also known as plasminogen activator inhibitor-1), early growth response 1 (Egr1) and Mdk were found to be significant nodes in the PPI network by three methods. A total of 12 TFs were found to be differentially expressed, of which nuclear receptor subfamily 4, group A, member 1 (Nr4a1) and peroxisome proliferator-activated receptor gamma (Pparg) were found to have multiple interactions with other DEGs. We demonstrated that the p53 signaling pathway, the TGF-ß signaling pathway and the MAPK signaling pathway were dysregulated in the diabetic mice. The significant nodes (Serpine1, Egr1 and Mdk) and differentially expressed TFs (Nr4a1 and Pparg) may provide a novel avenue for the targeted therapy of DN.


Assuntos
Biologia Computacional/métodos , Nefropatias Diabéticas/genética , Nefropatias Diabéticas/metabolismo , Regulação da Expressão Gênica/efeitos dos fármacos , Transdução de Sinais/efeitos dos fármacos , Animais , Análise por Conglomerados , Bases de Dados Genéticas , Nefropatias Diabéticas/tratamento farmacológico , Modelos Animais de Doenças , Perfilação da Expressão Gênica , Redes Reguladoras de Genes , Masculino , Camundongos , Terapia de Alvo Molecular , Mapeamento de Interação de Proteínas , Mapas de Interação de Proteínas , Fatores de Transcrição/genética , Fatores de Transcrição/metabolismo
9.
Nephron ; 130(2): 141-50, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26022507

RESUMO

BACKGROUND/AIMS: Arachidonic acid-metabolizing enzyme, 12-lipoxygenase (12-LO), is involved in the glomerular hypertrophy of diabetic nephropathy (DN), in which cyclin-dependent kinase inhibitors (CKIs) play important roles. However, it is unclear whether 12-LO regulates the expression of the CKI p16(ink4a) in DN. METHODS: Primary glomerular mesangial cells (MCs) and glomeruli isolated from rats were used in this study. The rats were fed a high-fat diet and given low-dose streptozotocin to induce type 2 diabetes. The 12-LO product, 12(S)-hydroxyeicosatetraenoic acid (12(S)-HETE), was infused through an osmotic minipump. Enzyme-linked immunosorbent assay, Western blot, and morphometric analyses were performed. RESULTS: High glucose (HG) increased the p16(ink4a) protein expression in MCs, but this increase was prevented by the 12-LO inhibitor, cinnamyl-3,​4-dihydroxy-α-cynanocinnamate (CDC). The levels of p-p38MAPK and p16(ink4a) in MCs were significantly elevated after the 12(S)-HETE treatment, whereas the p38MAPK inhibitor SB203580 prevented these increases. Compared with levels in control MCs, marked increases in p38MAPK activation and p16(ink4a) expression were observed in MCs plated on collagen IV, while the CDC treatment prevented these changes. Subcutaneous injection of CDC did not affect glucose levels, but completely attenuated the diabetes-related increases in the 12(S)-HETE content, p16(ink4a) expression, p-p38MAPK levels, glomerular volume, and the kidney/body weight ratio. Compared with levels in controls, p16(ink4a) and p-p38MAPK in the glomeruli derived from 12(S)-HETE-treated rats were significantly higher. CONCLUSIONS: 12-LO-p38MAPK mediates the upregulation of p16(ink4a) in HG-stimulated MCs and type 2-diabetic glomeruli, and new therapies aimed at 12-LO inhibition may prove beneficial in ameliorating diabetes-induced glomerular hypertrophy.


Assuntos
Araquidonato 12-Lipoxigenase/metabolismo , Inibidor p16 de Quinase Dependente de Ciclina/metabolismo , Diabetes Mellitus Tipo 2/metabolismo , Nefropatias Diabéticas/metabolismo , Mesângio Glomerular/efeitos dos fármacos , Glucose/administração & dosagem , Ácido 12-Hidroxi-5,8,10,14-Eicosatetraenoico/administração & dosagem , Animais , Células Cultivadas , Colágeno Tipo IV/metabolismo , Diabetes Mellitus Tipo 2/enzimologia , Nefropatias Diabéticas/enzimologia , Mesângio Glomerular/enzimologia , Mesângio Glomerular/metabolismo , Ratos , Ratos Sprague-Dawley , Proteínas Quinases p38 Ativadas por Mitógeno/metabolismo
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