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1.
Int J Ophthalmol ; 17(3): 537-544, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38721498

RESUMO

AIM: To identify the differential methylation sites (DMS) and their according genes associated with diabetic retinopathy (DR) development in type 1 diabetes (T1DM) children. METHODS: This study consists of two surveys. A total of 40 T1DM children was included in the first survey. Because no participant has DR, retina thinning was used as a surrogate indicator for DR. The lowest 25% participants with the thinnest macular retinal thickness were included into the case group, and the others were controls. The DNA methylation status was assessed by the Illumina methylation 850K array BeadChip assay, and compared between the case and control groups. Four DMS with a potential role in diabetes were identified. The second survey included 27 T1DM children, among which four had DR. The methylation patterns of the four DMS identified by 850K were compared between participants with and without DR by pyrosequencing. RESULTS: In the first survey, the 850K array revealed 751 sites significantly and differentially methylated in the case group comparing with the controls (|Δß|>0.1 and Adj.P<0.05), and 328 of these were identified with a significance of Adj.P<0.01. Among these, 319 CpG sites were hypermethylated and 432 were hypomethylated in the case group relative to the controls. Pyrosequencing revealed that the transcription elongation regulator 1 like (TCERG1L, cg07684215) gene was hypermethylated in the four T1DM children with DR (P=0.018), which was consistent with the result from the first survey. The methylation status of the other three DMS (cg26389052, cg25192647, and cg05413694) showed no difference (all P>0.05) between participants with and without DR. CONCLUSION: The hypermethylation of the TCERG1L gene is a risk factor for DR development in Chinese children with T1DM.

2.
Acta Diabetol ; 2024 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-38700545

RESUMO

PURPOSE: To evaluate longitudinal changes in optical coherence tomography angiography (OCTA) metrics in children and adolescents with type 1 diabetes (T1D). METHODS: This prospective observational cohort study included thirty-two eyes from thirty T1D children with no history of diabetic retinopathy (DR) who were followed up for 4 years. Participants underwent OCTA examinations at baseline and during follow-up. Quantitative OCTA metrics were measured using a customized MATLAB algorithm. Generalized mixed-effect models were used to determine their relationship with DR development. Systemic parameters and OCTA metrics were screened using least absolute shrinkage and selection operator to identify predictors for visual function. RESULTS: Over the 4-year period, seven of the included eyes developed DR, and most OCTA metrics decreased with diabetes duration. Higher peripapillary and parafoveal nasal quadrant vessel area density (VAD) in the superficial capillary plexus (SCP) and vessel skeleton density (VSD) in both the SCP and the deep capillary plexus (DCP) were associated with a lower risk of DR in T1D. Parafoveal DCP VSD and VAD in the temporal and inferior quadrants were anticorrelated with changes in best corrected visual acuity. CONCLUSIONS: OCTA metrics dynamically change over the duration of diabetes and can be used as biomarkers to improve the risk evaluation of DR development and visual function in T1D children and adolescents.

3.
Ophthalmic Res ; 2024 Apr 26.
Artigo em Inglês | MEDLINE | ID: mdl-38679002

RESUMO

INTRODUCTION: This study aimed to investigate changes in retinal microvascular morphology and associated factors, and their relationship with diabetic retinopathy (DR) in children with type 1 diabetes mellitus (T1DM). METHODS: Thirty-eight children enrolled in this three-year follow-up study underwent complete ophthalmic examinations including fundus photography. Retinal vascular parameters were measured automatically and compared between baseline and follow-up. Multiple linear regression was used to investigate factors affecting changes in vascular parameters. Binary logistic regression was used to analyze the relationship between retinal microvascular morphology and DR. RESULTS: The caliber of all retinal vessels (within 1-1.5 papillary diameter [PD] from the center of the optic disc, P = 0.030; 1.5-2 PD, P = 0.003), arterioles, and venules (1.5-2 PD, P = 0.001) were narrower in nearly all regions in the follow-up group compared with the baseline group. Vascular tortuosity increased in the central part of the retina and decreased in the periphery. The density (1-1.5 PD, P = 0.030) and fractal dimension (P = 0.037) of retinal vessels were increased at the end of the follow-up compared with baseline. Retinal vascular caliber was independently correlated with DR (odds ratio 0.793 [95% confidence interval 0.633-0.993]; P = 0.044). CONCLUSION: Retinal microvascular morphology in children with T1DM varied with the disease course. Narrower retinal vessels may be an independent risk factor for DR. Results of this study emphasized the importance of regular follow-up of fundus vascular morphology for the detection of early DR in children with T1DM.

4.
Neural Netw ; 174: 106250, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38531122

RESUMO

Snapshot compressive hyperspectral imaging necessitates the reconstruction of a complete hyperspectral image from its compressive snapshot measurement, presenting a challenging inverse problem. This paper proposes an enhanced deep unrolling neural network, called EDUNet, to tackle this problem. The EDUNet is constructed via the deep unrolling of a proximal gradient descent algorithm and introduces two innovative modules for gradient-driven update and proximal mapping reflectivity. The gradient-driven update module leverages a memory-assistant descent approach inspired by momentum-based acceleration techniques, for enhancing the unrolled reconstruction process and improving convergence. The proximal mapping is modeled by a sub-network with a cross-stage spectral self-attention, which effectively exploits the inherent self-similarities present in hyperspectral images along the spectral axis. It also enhances feature flow throughout the network, contributing to reconstruction performance gain. Furthermore, we introduce a spectral geometry consistency loss, encouraging EDUNet to prioritize the geometric layouts of spectral curves, leading to a more precise capture of spectral information in hyperspectral images. Experiments are conducted using three benchmark datasets including KAIST, ICVL, and Harvard, along with some real data, comprising a total of 73 samples. The experimental results demonstrate that EDUNet outperforms 15 competing models across four metrics including PSNR, SSIM, SAM, and ERGAS.


Assuntos
Compressão de Dados , Imageamento Hiperespectral , Fenômenos Físicos , Algoritmos , Movimento (Física)
5.
Artigo em Inglês | MEDLINE | ID: mdl-38277253

RESUMO

Image reconstruction from incomplete measurements is one basic task in imaging. While supervised deep learning has emerged as a powerful tool for image reconstruction in recent years, its applicability is limited by its prerequisite on a large number of latent images for model training. To extend the application of deep learning to the imaging tasks where acquisition of latent images is challenging, this paper proposes an unsupervised deep learning method that trains a deep model for image reconstruction with the access limited to measurement data. We develop a Siamese network whose twin sub-networks perform reconstruction cooperatively on a pair of complementary spaces: the null space of the measurement matrix and the range space of its pseudo inverse. The Siamese network is trained by a self-supervised loss with three terms: a data consistency loss over available measurements in the range space, a data consistency loss between intermediate results in the null space, and a mutual consistency loss on the predictions of the twin sub-networks in the full space. The proposed method is applied to four imaging tasks from different applications, and extensive experiments have shown its advantages over existing unsupervised solutions.

6.
Ophthalmic Res ; 66(1): 1139-1147, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37579732

RESUMO

INTRODUCTION: Diabetes mellitus may compromise the vasculature of the iris, thereby leading to severe vision-threatening complications. This study aimed to investigate differences in iris blood flow indices between pediatric type 1 diabetes mellitus (T1DM) patients and adult type 2 diabetes mellitus (T2DM) patients. METHODS: This was a cross-sectional study. Pediatric T1DM patients and healthy children were members of the Shanghai Children and Adolescent Diabetes Eye (SCADE) cohort who visited Shanghai Eye Hospital in February 2022. The adult T2DM patients and healthy adults were patients who visited Shanghai General Hospital from October 2021 to January 2022. Iris OCTA was acquired through a Cirrus HD-OCT 5000 angiography system (Carl Zeiss Meditec, Inc.). A unique iris OCTA quantification method was used, and the vessel area density (VAD) and vessel skeleton density (VSD) were obtained. The area from the pupillary margin to the corneoscleral limbus was taken as the whole iris blood flow index, and the inner third near the pupillary margin of the whole iris was taken as the pupillary margin blood flow index. RESULTS: This study enrolled 34 pediatric T1DM patients, 34 age-matched healthy children, 34 adult T2DM patients, and 34 age-matched healthy adults. The whole iris and pupillary margin VAD and VSD of the pediatric T1DM patients were not different from those of healthy children. The whole iris VAD and VSD of the adult T2DM patients were lower than those of healthy adults, and the pupillary margin VAD and VSD were the same in these two groups. Compared with adult T2DM patients, pediatric T1DM patients had higher whole iris VAD and VSD and lower pupillary margin VAD and VSD values, all with statistical significance. Among diabetic patients, age, BMI, and glycated hemoglobin level were negative independent influencing factors for whole iris VAD and VSD, and age was a positive influencing factor for pupillary margin VAD and VSD. CONCLUSION: There are diverse alterations in iris vessel density and blood flow distribution between pediatric T1DM patients and adult T2DM patients.


Assuntos
Diabetes Mellitus Tipo 1 , Diabetes Mellitus Tipo 2 , Adulto , Adolescente , Humanos , Criança , Diabetes Mellitus Tipo 1/complicações , Diabetes Mellitus Tipo 2/complicações , Estudos Transversais , China/epidemiologia , Iris
7.
Environ Sci Technol ; 57(30): 11279-11288, 2023 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-37465930

RESUMO

The global distribution of microplastics (MPs) across various environmental compartments has garnered significant attention. However, the differences in the characteristics of MPs in different environments remain unclear, and there is still a lack of quantitative analysis of their environmental sources. In addition, the inclusion of aging in source apportionment is a novel approach that has not been widely explored. In this study, we conducted a meta-analysis of the literature from the past 10 years and extracted conventional and aging characteristic data of MPs from 321 sampling points across 7 environmental compartments worldwide. We established a data-driven analysis framework using these data sets to identify different MP communities across environmental compartments, screen key MP features, and develop an environmental source analysis model for MPs. Our results indicate significant differences in the characteristics of MP communities across environments. The key features of differentiation were identified using the LEfSe method and include the carbonyl index, hydroxyl index, fouling index, proportions of polypropylene, white, black/gray, and film/sheet. These features were screened for each environmental compartment. An environmental source identification model was established based on these features with an accuracy of 75.1%. In order to accurately represent the single/multisource case in a more probabilistic manner, we proposed the MP environmental source index (MESI) to provide a probability estimation of the sample having multiple sources. Our findings contribute to a better understanding of MP migration trends and fluxes in the plastic cycle and inform effective prevention and control strategies for MP pollution.


Assuntos
Microplásticos , Poluentes Químicos da Água , Plásticos , Poluição Ambiental , Radical Hidroxila , Monitoramento Ambiental
8.
Front Endocrinol (Lausanne) ; 14: 1131993, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37334311

RESUMO

Objective: To study the differences in blood cellular communication network factor 1 (CCN1) levels between patients with diabetes mellitus (DM) and healthy individuals and to explore the relationship between CCN1 and diabetic retinopathy (DR). Methods: Plasma CCN1 levels were detected using ELISA in 50 healthy controls, 74 patients with diabetes without diabetic retinopathy (DM group), and 69 patients with diabetic retinopathy (DR group). Correlations between CCN1 levels and age, body mass index, mean arterial pressure, hemoglobin A1c, and other factors were analyzed. The relationship between CCN1 expression and DR was explored using logistic regression after adjusting for confounding factors. Blood mRNA sequencing analysis was performed for all subjects, and the molecular changes that may be related to CCN1 were explored. The retinal vasculature of streptozotocin-induced diabetic rats was examined using fundus fluorescein angiography; in addition, retinal protein expression was examined using western blotting. Results: Plasma CCN1 levels in patients with DR were significantly higher than in the control and DM groups; however, no significant differences were observed between healthy controls and patients with DM. CCN1 levels negatively correlated with body mass index and positively correlated with the duration of diabetes and urea levels. It was observed that high (OR 4.72, 95% CI: 1.10-20.25) and very high (OR 8.54, 95% CI: 2.00-36.51) levels of CCN1 were risk factors for DR. Blood mRNA sequencing analysis revealed that CCN1-related pathways were significantly altered in the DR group. The expression of hypoxia-, oxidative stress-, and dephosphorylation-related proteins were elevated, while that of tight junction proteins were reduced in the retinas of diabetic rats. Conclusion: Blood CCN1 levels are significantly elevated in patients with DR. High and very high levels of plasma CCN1 are risk factors for DR. Blood CCN1 level may be a potential biomarker for diagnosis of DR. The effects of CCN1 on DR may be related to hypoxia, oxidative stress, and dephosphorylation.


Assuntos
Diabetes Mellitus Experimental , Retinopatia Diabética , Animais , Ratos , Diabetes Mellitus Experimental/metabolismo , Retinopatia Diabética/diagnóstico , Retinopatia Diabética/etiologia , Retinopatia Diabética/metabolismo , Retina/metabolismo , Fatores de Risco , RNA Mensageiro/metabolismo
9.
FEBS Open Bio ; 13(4): 763-778, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36866962

RESUMO

Obesity is a systemic metabolic disease that can induce male infertility or subfertility through oxidative stress. The aim of this study was to determine how obesity impairs sperm mitochondrial structural integrity and function, and reduces sperm quality in both overweight/obese men and mice on a high-fat diet (HFD). Mice fed the HFD demonstrated higher body weight and increased abdominal fat content than those fed the control diet. Such effects accompanied the decline in antioxidant enzymes, such as glutathione peroxidase (GPX) and catalase and superoxide dismutase (SOD) in testicular and epidydimal tissues. Moreover, malondialdehyde (MDA) content significantly increased in sera. Mature sperm in HFD mice demonstrated higher oxidative stress, including increased mitochondrial reactive oxygen species (ROS) levels and decreased protein expression of GPX1, which may impair mitochondrial structural integrity and reduce mitochondrial membrane potential (MMP) and ATP production. Moreover, cyclic AMPK phosphorylation status increased, whereas sperm motility declined in the HFD mice. Clinical studies demonstrated that being overweight/obese reduced SOD enzyme activity in the seminal plasma and increased ROS in sperm, accompanied by lower MMP and low-quality sperm. Furthermore, ATP content in the sperm was negatively correlated with increases in the BMI of all clinical subjects. In conclusion, our results suggest that excessive fat intake had similar disruptive effects on sperm mitochondrial structure and function, as well as oxidative stress levels in humans and mice, which in turn induced lower sperm motility. This agreement strengthens the notion that fat-induced increases in ROS and impaired mitochondrial function contribute to male subfertility.


Assuntos
Infertilidade Masculina , Sêmen , Masculino , Humanos , Camundongos , Animais , Sêmen/metabolismo , Espécies Reativas de Oxigênio/metabolismo , Sobrepeso/metabolismo , Motilidade dos Espermatozoides , Espermatozoides/metabolismo , Estresse Oxidativo , Infertilidade Masculina/etiologia , Infertilidade Masculina/metabolismo , Obesidade/metabolismo , Superóxido Dismutase/metabolismo , Mitocôndrias/metabolismo , Trifosfato de Adenosina/metabolismo
10.
BMC Microbiol ; 23(1): 31, 2023 01 28.
Artigo em Inglês | MEDLINE | ID: mdl-36707800

RESUMO

BACKGROUND: Great variation has been observed in the composition of the normal microbiota of the ocular surface, and therefore, in addition to differences in detection techniques, the method of collecting ocular surface specimens has a significant impact on the test results.The goal of this study is to ascertain whether the eye surface microbial communities detected by two different sampling methods are consistent and hence explore the feasibility of using tear test paper instead of conjunctival swabs to collect eye surface samples for microbial investigation. MATERIALS AND METHODS: From July 15, 2021, to July 30, 2021, nonirritating tear test strips and conjunctival swabs of both eyes were used in 158 elderly people (> 60 years old) (79 diabetic and 79 nondiabetic adults) in Xinjing Community for high-throughput sequencing of the V3-V4 region of the 16S rRNA gene. The composition of the microbial communities in tear test paper and conjunctival swab samples was analyzed. RESULTS: There was no statistically significant difference in Alpha diversity of ocular surface microorganisms represented by tear strip and conjunctival swab in diabetic group (P > 0.05), but there was statistically significant difference in Alpha diversity of ocular surface microorganisms detected by tear strip and conjunctival swab in nondiabetic group (P < 0.05). There were statistically significant differences in Beta diversity of ocular surface microorganisms detected by two sampling methods between diabetic group and nondiabetic group (P < 0.05). There were statistically significant differences in ocular surface microorganisms detected by tear strip method between diabetic group and nondiabetic group (P < 0.05), but there was no statistically significant difference in conjunctival swab method (P > 0.05). CONCLUSIONS: Tear test paper and conjunctival swabs detect different compositions of microbes through two different techniques of eye surface microbe sampling. Tear test paper cannot completely replace conjunctival swab specimens for the study of microbes related to eye surface diseases.


Assuntos
Diabetes Mellitus , Microbiota , Adulto , Humanos , Idoso , Pessoa de Meia-Idade , Túnica Conjuntiva , RNA Ribossômico 16S/genética , Lágrimas
11.
Invest Ophthalmol Vis Sci ; 63(13): 20, 2022 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-36538004

RESUMO

Purpose: To analyze the characteristics of ocular surface microbial composition in children and adolescents with diabetes mellitus and dry eye (DE) by tear analysis. Methods: We selected 65 children and adolescents aged 8 to 16 years with DE and non-DE diabetes mellitus and 33 healthy children in the same age group from the Shanghai Children and Adolescent Diabetes Eye Study. Tears were collected for high-throughput sequencing of the V3 and V4 region of 16S rRNA. The ocular surface microbiota in diabetic DE (DM-DE; n = 31), diabetic with non-DE (DM-NDE; n = 34), and healthy (NDM; n = 33) groups were studied. QIIME2 software was used to analyze the microbiota of each group. Results: The DM-DE group had the highest amplicon sequence variants, and the differences in α-diversity and ß-diversity of micro-organisms in the ocular surfaces of DM-DE, diabetic with non-DE, and healthy eyes were statistically significant (P < 0.05). Bacteroidetes (15.6%), Tenericutes (9.3%), Firmicutes (21.8%), and Lactococcus (7.9%), Bacteroides (7.8%), Acinetobacter (3.9%), Clostridium (0.8%), Lactobacillus (0.8%) and Streptococcus (0.2%) were the specific phyla and genera, respectively, in the DM-DE group. Conclusions: Compared with the patients with non-DE and healthy children, the microbial diversity of the ocular surface in children and adolescents with diabetes mellitus and DE was higher with unique bacterial phyla and genera composition.


Assuntos
Diabetes Mellitus , Síndromes do Olho Seco , Humanos , Adolescente , Criança , RNA Ribossômico 16S/genética , China/epidemiologia , Olho/microbiologia , Síndromes do Olho Seco/diagnóstico , Lágrimas
12.
Acta Diabetol ; 59(11): 1505-1513, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35962259

RESUMO

PURPOSE: To investigate the relationship between serum 12-Hydroxyeicosatetraenoic acid (12-HETE) and diabetic retinopathy (DR) in children with type 1 diabetes mellitus (T1DM) and adults with type 2 diabetes mellitus (T2DM). METHODS: Children from the Shanghai Children and Adolescent Diabetes Eye (SCADE) study and adults from the Shanghai Cohort Study of Diabetic Eye Disease (SCODE) were examined in 2021. Serum 12-HETE levels were detected and compared. Multivariate logistic regression was used to analyze the relationship between 12-HETE and the rate of DR in diabetic patients. RESULTS: The child study included 4 patients with new-onset DR and 24 patients with T1DM without DR. In children with T1DM, the 12-HETE level was significantly higher in those with DR (P = 0.003). The adult study had two sets, for testing and verification. The test set included 28 patients with new-onset DR and 24 T2DM patients with a course of ≥ 20 years who had never developed DR. The verification set included 41 patients with DR, 50 patients without DR and 50 healthy controls. In the adult test set, the 12-HETE level was significantly higher in patients with DR than in those with T2DM without DR (P = 0.003). In the verification set, the 12-HETE level of patients with DR was significantly higher than that of patients without DR (P < 0.0001) and the healthy controls (P < 0.0001). Multivariate logistic regression indicated that 12-HETE was independently associated with DR in both children (odds ratio [OR] 1.06, 95% confidence interval [CI] 1.00-1.13, P = 0.041) and adults (test set [OR 9.26, 95% CI 1.77-48.59, P = 0.008], verification set [OR 10.49, 95% CI 3.23-34.05, P < 0.001]). CONCLUSION: Higher serum 12-HETE levels are positively correlated with an increased risk of DR in children with T1DM and adults with T2DM.


Assuntos
Diabetes Mellitus Tipo 1 , Diabetes Mellitus Tipo 2 , Retinopatia Diabética , Ácido 12-Hidroxi-5,8,10,14-Eicosatetraenoico , Adolescente , Adulto , Criança , China/epidemiologia , Estudos de Coortes , Diabetes Mellitus Tipo 1/complicações , Diabetes Mellitus Tipo 2/complicações , Retinopatia Diabética/epidemiologia , Retinopatia Diabética/etiologia , Humanos , Fatores de Risco
13.
Curr Eye Res ; 47(8): 1218-1225, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35642554

RESUMO

PURPOSE: To study changes in the thickness of the retinal nerve fiber layer (RNFL) and ganglion cell layer (GCL) in children with type 1 diabetes mellitus (T1DM) without visual impairment or diabetic retinopathy (DR) after 2 years of follow-up and analyze the associated factors. METHODS: Thirty-seven children with T1DM were enrolled in this study. All children underwent a complete ophthalmologic evaluation that included swept-source optical coherence tomography at baseline and follow-up. Changes in RNFL and GCL thickness were compared among the children at baseline and follow-up. RESULTS: The peripapillary RNFL thickness was greater in the temporal (inner, p = 0.015; outer, p = 0.004) and inner superior (p = 0.043) sectors in the follow-up group than in the baseline group. The macular RNFL thickness in the fovea, inner nasal sector, inner inferior sector, and outer ring and the average thickness (all p < 0.05) were greater in the follow-up group than in the baseline group. The peripapillary GCL thickness decreased in the temporal sector (inner, p = 0.049; outer, p = 0.041) and increased in the inner nasal sector (p = 0.006) in the follow-up group compared with the baseline group, and the thickness of the inner temporal, inner superior, inner inferior, outer nasal, and outer inferior sectors and average thickness in the macula were lower in the follow-up group than in the baseline group (all p < 0.05). The total retinal thickness around optic disc in the follow-up group increased in the inner superior sectors (p = 0.006). The total retinal thickness of the macula decreased in inner temporal sector, inner superior sector and outer nasal sector, and increased in outer superior sector (all p < 0.05). CONCLUSIONS: Retinal neurodegenerative changes preceded microvascular changes in children with T1DM in the early stage. Peripapillary RNFL thickness in the nasal sector may be lower in children with T1DM without visual impairment or other ocular pathologies.


Assuntos
Diabetes Mellitus Tipo 1 , Retinopatia Diabética , Baixa Visão , Criança , Diabetes Mellitus Tipo 1/complicações , Diabetes Mellitus Tipo 1/patologia , Retinopatia Diabética/diagnóstico , Retinopatia Diabética/patologia , Humanos , Estudos Longitudinais , Fibras Nervosas/patologia , Células Ganglionares da Retina/patologia , Tomografia de Coerência Óptica/métodos
14.
BMC Ophthalmol ; 22(1): 86, 2022 Feb 22.
Artigo em Inglês | MEDLINE | ID: mdl-35193549

RESUMO

Diabetes mellitus (DM) is a complex metabolic syndrome characterized by hyperglycemia. Diabetic retinopathy (DR) is the most common complication of DM and the leading cause of blindness in the working-age population of the Western world. Lipopolysaccharides (LPS) is an essential ingredient of the outer membrane of gram-negative bacteria, which induces systemic inflammatory responses and cellular apoptotic changes in the host. High-level serum LPS has been found in diabetic patients at the advanced stages, which is mainly due to gut leakage and dysbiosis. In this light, increasing evidence points to a strong correlation between systemic LPS challenge and the progression of DR. Although the underlying molecular mechanisms have not been fully elucidated yet, LPS-related pathobiological events in the retina may contribute to the exacerbation of vasculopathy and neurodegeneration in DR. In this review, we focus on the involvement of LPS in the progression of DR, with emphasis on the blood-retina barrier dysfunction and dysregulated glial activation. Eventually, we summarize the recent advances in the therapeutic strategies for antagonising LPS activity, which may be introduced to DR treatment with promising clinical value.


Assuntos
Diabetes Mellitus , Retinopatia Diabética , Barreira Hematorretiniana , Retinopatia Diabética/epidemiologia , Humanos , Lipopolissacarídeos/metabolismo , Retina/metabolismo
15.
Exp Eye Res ; 217: 108970, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35114214

RESUMO

The gut-retina axis is an emerging concept that describes a close interaction between the gut host-microbiota interface and the retina. Stimulator of interferon genes (STING) is a universally expressed adaptor protein localized in the endoplasmic reticulum. When activated by the cytosolic DNA sensor cyclic GMP-AMP synthase (cGAS), STING induces the activation of the transcription factor interferon regulatory factor 3 (IRF3) and nuclear factor-κB (NF-κB). Downstream effects include inflammation, autophagy, and programmed cell death. Dysregulation of the STING pathway has emerged as a crucial pathogenic mechanism underpinning a broad range of inflammatory diseases, autoimmune diseases, and cancer. Recently, a positive feedback loop between dysbiosis and aberrant activation of the intestinal STING pathway has been demonstrated, concurrently related to increased intestinal permeability. Alternations in the STING pathway have also been reported in the retina of patients with ocular diseases and retinal cells treated with pathological stimuli. Collectively, there is a chance that dysbiosis in patients with retinal diseases disrupts intestinal homeostasis and exacerbates barrier dysfunction through the erroneous accumulation of STING in the gut. Subsequent translocation of microbial products into the bloodstream allows access to the eye via the impaired blood-retina barrier, inducing the chronic activation of the STING pathway in the retina to participate in the disease progression. In this review, we explore how the alterations in the STING pathway could contribute to the gut disturbance and retinal pathologies and discuss its potential as a therapeutic target to treat the gut-retina axis-related diseases, which sheds some light on the better understanding of the crosstalk between the gut and retina.


Assuntos
Disbiose , Transdução de Sinais , Humanos , Proteínas de Membrana/genética , NF-kappa B/metabolismo , Retina/metabolismo , Transdução de Sinais/fisiologia
16.
Front Med (Lausanne) ; 8: 760006, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34912822

RESUMO

Purpose: To investigate the incidence and risk factors of dry eye in children with diabetes mellitus (DM) over a period of 3 years. Methods: Children and adolescents with DM (age: 3-14 years) from the Shanghai Children and Adolescent Diabetes Eye (SCADE) study cohort who did not have dry eye in January 2018 were followed-up for 3 years and re-examined in January 2021, and the incidence rate and risk factors for dry eye were calculated. Results: Forty children and adolescents with DM came for follow-up in 2021. Nine of them were diagnosed with dry eye, resulting in a 3-year incidence rate of 22.5% and an annual mean incidence rate of 7.5% for dry eye. Univariate regression analysis confirmed that decreased corneal sensation (OR [Odds Ratio] = 25.60; 95%CI [Confidence Interval] = 1.31~501.69; P = 0.03) was the risk factor for dry eye incidence. Long course of DM (OR = 1.80; 95%CI = 0.96~3.38; P = 0.07), eye pain (OR = 12.27; 95%CI = 0.65~231.48; P = 0.09), and dry eye in parents (OR = 15.99; 95%CI = 0.76~337.75; P = 0.08) may interfere with the incidence of dry eye in them. Conclusions: The incidence of dry eye in children and adolescents with DM is high.

17.
Molecules ; 25(4)2020 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-32070039

RESUMO

Surface pollution deposition in a high voltage surface can reduce the surface flashover voltage, which is considered to be a serious accident in the transmission of electric power for the high conductivity of pollution in wet weather, such as rain or fog. Accordingly, a rapid and accurate online pollution detection method is of great importance for monitoring the safe status of transmission lines. Usually, to detect the equivalent salt deposit density (ESDD) and non-soluble deposit density (NSDD), the pollution should be collected when power cut off and bring back to lab, time-consuming, low accuracy and unable to meet the online detection. Laser-induced breakdown spectroscopy (LIBS) shows the highest potential for achieving online pollution detection, but its application in high voltage electrical engineering has only just begun to be examined. In this study, a LIBS method for quantitatively detecting the compositions of pollutions on the insulators was investigated, and the spectral characteristics of a natural pollution sample were examined. The energy spectra and LIBS analysis results were compared. LIBS was shown to detect pollution elements that were not detected by conventional energy spectroscopy and had an improved capacity to determine pollution composition. Furthermore, the effects of parameters, such as laser energy intensity and delay time, were investigated for artificial pollutions. Increasing the laser energy intensity and selecting a suitable delay time could enhance the precision and relative spectral intensities of the elements. Additionally, reducing the particle size and increasing the density achieved the same results.


Assuntos
Poluição Ambiental/análise , Lasers , Análise Espectral/métodos
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