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1.
Eur J Endocrinol ; 2024 Oct 26.
Artículo en Inglés | MEDLINE | ID: mdl-39460431

RESUMEN

OBJECTIVE: The aim of this study was to investigate the gut microbial signatures and related pathophysiological implications in patients with Cushing's disease (CD). DESIGN AND METHODS: 27 patients with CD and 45 healthy controls were enrolled. Based on obtained metagenomics data, we performed correlation, network study and genome interaction group (GIG) analysis. Fecal metabolomics and serum ELISA analysis were conducted in dichotomized CD patients. Caco-2 cells were incubated with gradient concentrations of cortisol for subsequent transepithelial electrical resistance (TEER) measurement, FITC-dextran transwell permeability assay, qPCR and western blot analysis. RESULTS: Gut microbial composition in patients with CD was notably different from that in healthy controls. Network analysis revealed that Eubacterium siraeum might serve as the core specie in the gut microbial system of CD patients. Subsequent GIG analysis identified the positive correlations between GIG9 and UFC. Further serum ELISA and fecal metabolomics uncovered that CD patients with elevated UFC levels were characterized with increased lipopolysaccharide binding protein (LBP). Moreover, remarkable positive association was found between LBP level and relative abundance of Eubacterium siraeum. TEER and FITC-Dextran transwell assays demonstrated that hypercortisolism induced increased gut permeability. Further qPCR and western blot analysis suggested that dysregulated AhR/Claudin 2 axis might be involved in the development of hypercortisolism-induced defective gut barrier function. CONCLUSIONS: Disease activity associated dysbiosis and defective gut barrier might jointly facilitate the development of systemic inflammation in patients with CD.

2.
ACS Nano ; 18(40): 27440-27450, 2024 Oct 08.
Artículo en Inglés | MEDLINE | ID: mdl-39316698

RESUMEN

The electrochemical performance of the Zn anode in a water-based electrolyte is influenced by the Zn anode/electrolyte interface. In the present work, a distinctive interfacial chemistry is enabled by introducing synergistic "cling-cover-capture" effects of different components in aspartame (APM) molecule, which can be described in detail as clinging to the surface of Zn anode by incompletely coordinated nitrogen and oxygen atoms in the main chain, covering the surface by the benzene rings and capturing Zn2+ by the side chains. Benefiting from its triple effects, this steady anode/electrolyte interface homogenizes Zn2+ flux and excludes interfacial active water, thus effectively suppressing both dendrite growth and side reactions. Consequently, the stability and reversibility of Zn anode experience an enhancement, leading to a long cycle lifespan of 5100 h at 1 mA cm-2 and 1 mA h cm-2, and an average Coulombic efficiency of 99.73% at 1 mA cm-2 and 0.5 mA h cm-2 over 1600 cycles. The improved rate capability and cycling durability of Zn||NH4V4O10 full cells further confirm the important role of APM in stabilizing the Zn anode.

3.
Adv Sci (Weinh) ; 11(39): e2400684, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39225628

RESUMEN

Craniopharyngioma (CP) is an intracranial tumor with high mortality and morbidity. Though biologically benign, CP will damage the hypothalamus, inducing comorbidities such as obesity, metabolic syndrome, and cognitive impairments. The roles of gut microbiome and serum metabolome in CP-associated hypothalamic comorbidities are aimed to be explored. Patients with CP are characterized by increased Shannon diversity, Eubacterium, Clostridium, and Roseburia, alongside decreased Alistipes and Bacteroides. CP-enriched taxa are positively correlated with dyslipidemia and cognitive decline, while CP-depleted taxa are negatively associated with fatty liver. Subsequent serum metabolomics identified notably up-regulated purine metabolism, and integrative analysis indicated an association between altered microbiota and elevated hypoxanthine. Phenotypic study and multi-omics analysis in the Rax-CreERT2::BrafV600E/+::PtenFlox/+ mouse model validated potential involvement of increased Clostridium and dysregulated purine metabolism in hypothalamic comorbidities. To further consolidate this, intervention experiments are performed and it is found that hypoxanthine co-variated with the severity of hypothalamic comorbidities and abundance of Clostridium, and induced dysregulated purine metabolism along with redox imbalance in target organs (liver and brain cortex). Overall, the study demonstrated the potential of increased Clostridium and up-regulated purine metabolism as signatures of CP-associated hypothalamic-comorbidities, and unveiled that elevated Clostridium, dysregulated purine metabolism, and redox imbalance may mediate the development and progression of CP-associated hypothalamic-comorbidities.


Asunto(s)
Craneofaringioma , Microbioma Gastrointestinal , Metaboloma , Animales , Ratones , Microbioma Gastrointestinal/fisiología , Humanos , Craneofaringioma/metabolismo , Craneofaringioma/genética , Masculino , Femenino , Hipotálamo/metabolismo , Modelos Animales de Enfermedad , Comorbilidad , Adulto , Neoplasias Hipofisarias/metabolismo , Neoplasias Hipofisarias/genética , Neoplasias Hipofisarias/microbiología , Persona de Mediana Edad
4.
Angew Chem Int Ed Engl ; : e202412222, 2024 Aug 06.
Artículo en Inglés | MEDLINE | ID: mdl-39106271

RESUMEN

In recent years, sodium-ion batteries (SIBs) have attracted a lot of attention and are considered an ideal alternative to lithium-ion batteries (LIBs). The hard carbon (HC) anode in SIBs presents a unique challenge for studying the formation process of the solid electrolyte interphase (SEI) during initial cycling, owing to its distinctive porous structure. This study employs a combination of ultrasonic scanning techniques and differential electrochemical mass spectrometry to conduct an in-depth analysis of the two-dimensional distribution and composition of gases during the formation process. The findings reveal distinct gas evolution behaviors in SIBs compared to LIBs during formation. Notably, significant gas evolution is observed during the discharge phase of the formation cycle in SIBs, with higher discharge rates leading to increased gas evolution rates. This phenomenon is likely attributed to the adsorption of CO2 gas by the abundant pores in HC, followed by desorption during discharge. Furthermore, the study demonstrates that the addition of 5A molecular sieves, which competitively adsorb gases, effectively reduces gas adsorption on the anode during formation, thereby significantly enhancing battery performance. This research elucidates the gas adsorption and desorption behavior at the battery interface, providing new insights into the SEI formation process in SIBs.

5.
Artículo en Inglés | MEDLINE | ID: mdl-39213275

RESUMEN

Electroencephalography (EEG) artifacts are very common in clinical diagnosis and can heavily impact diagnosis. Manual screening of artifact events is labor-intensive with little benefit. Therefore, exploring algorithms for automatic detection and classification of EEG artifacts can significantly assist clinical diagnosis. In this paper, we propose a learnable and explainable wavelet neural network (WaveNet) for EEG artifact detection and classification. The model is powered by the wavelet decomposition block based on invertible neural network, which can extract signal features without information loss, and a tree generator for building wavelet tree structure automatically. They provide the model with good feature extraction capabilities and explainability. To evaluate the model's performance more fairly, we introduce the base point level matching score (BASE) and the Event-Aligned Compensation Scoring (EACS) at the event level as two metrics for model performance evaluation. On the challenging Temple University EEG Artifact (TUAR) dataset, our model outperforms other baselines in terms of F1-score for both artifact detection and classification tasks. The case study also validates the model's ability to offer explainability for predictions based on frequency band energy, suggesting potential applications in clinical diagnosis.


Asunto(s)
Algoritmos , Artefactos , Electroencefalografía , Redes Neurales de la Computación , Análisis de Ondículas , Electroencefalografía/métodos , Electroencefalografía/clasificación , Humanos , Aprendizaje Automático , Procesamiento de Señales Asistido por Computador , Reproducibilidad de los Resultados
6.
Sci Adv ; 10(33): eado1058, 2024 Aug 16.
Artículo en Inglés | MEDLINE | ID: mdl-39141720

RESUMEN

The brain is dynamic, associative, and efficient. It reconfigures by associating the inputs with past experiences, with fused memory and processing. In contrast, AI models are static, unable to associate inputs with past experiences, and run on digital computers with physically separated memory and processing. We propose a hardware-software co-design, a semantic memory-based dynamic neural network using a memristor. The network associates incoming data with the past experience stored as semantic vectors. The network and the semantic memory are physically implemented on noise-robust ternary memristor-based computing-in-memory (CIM) and content-addressable memory (CAM) circuits, respectively. We validate our co-designs, using a 40-nm memristor macro, on ResNet and PointNet++ for classifying images and three-dimensional points from the MNIST and ModelNet datasets, which achieves not only accuracy on par with software but also a 48.1 and 15.9% reduction in computational budget. Moreover, it delivers a 77.6 and 93.3% reduction in energy consumption.

7.
Neurosurgery ; 2024 Aug 22.
Artículo en Inglés | MEDLINE | ID: mdl-39171920

RESUMEN

BACKGROUND AND OBJECTIVES: Silent corticotroph adenoma (SCA) is a high-risk pituitary neuroendocrine tumor (PitNET) which exhibits more aggressive behavior than other nonfunctioning PitNETs. Some SCAs are observed to recur after total resection (TR). We aim to discuss the long-term outcomes after endoscopic endonasal surgery for SCAs and explore optimal treatment after operation. METHODS: Clinical data and intraoperative videos from 367 SCAs who underwent endoscopic endonasal surgery were retrospectively collected. Patients were categorized into TR and subtotal resection (STR) groups according to 3-month postoperative MRIs. Based on close-up intraoperative observation of the relationship between tumor and pituitary gland, diaphragm, and medial wall cavernous sinus, patients in the TR group were further subdivided into gross total resection (GTR) and near total resection (NTR) groups. Patients in the STR group were subdivided as STR followed by observation (STR + ob) and STR followed by adjuvant stereotactic radiosurgery (SRS) (STR + SRS). Kaplan-Meier analysis was used to compare the event-free survival among these subgroups. RESULTS: Headache (27.5%) and vision loss (55.3%) were the most common presenting symptoms. Cavernous sinus (CS) invasion was confirmed intraoperatively in 167 (45.5%) patients. After operation, 175 (47.7%), 83 (22.6%), 32 (8.7%), and 77 (21%) patients were divided into GTR, NTR, STR + ob, and STR + SRS groups, respectively. The mean follow-up time was 40.9 ± 25.8 months. There were 0, 17 (20.5%), 9 (28.1%), and 4 (5.2%) patients noted to have PitNET recurrence or progression in GTR, NTR, STR + ob, and STR + SRS groups, respectively. Event-free survival distribution in the NTR group was similar to that in the STR + ob group (P = .696), which was significantly lower than that in the STR + SRS group (P = .008). Adrenocorticotropic hormone (ACTH)-negative SCAs have lower preoperative ACTH levels and were more likely to invade CS than ACTH-positive SCAs. CONCLUSION: CS invasion was commonly seen in SCAs, often precluding GTR. Radical surgery and close follow-up were proposed. Early postoperative adjuvant SRS for remnant tumor should be considered.

8.
ACS Nano ; 18(28): 18769-18784, 2024 Jul 16.
Artículo en Inglés | MEDLINE | ID: mdl-38950189

RESUMEN

Liposomes are versatile drug delivery systems in clinical use for cancer and many other diseases. Unfortunately, PEGylated liposomal doxorubicin (sLip/DOX) exhibits serious dose-limiting cutaneous toxicities, which are closely related to the extravascular accumulation of sLip/DOX in the dermis. No clinical interventions have been proposed for cutaneous toxicities due to the elusive transport pathways. Herein, we showed that the reciprocal interaction between liposomes and neutrophils played pivotal roles in liposome extravasation into the dermis. Neutrophils captured liposomes via the complement receptor 3 (CD11b/CD18) recognizing the fragment of complement component C3 (iC3b) deposited on the liposomal surface. Uptake of liposomes also activated neutrophils to induce CD11b upregulation and enhanced the ability of neutrophils to migrate outside the capillaries. Furthermore, inhibition of complement activation either by CRIg-L-FH (a C3b/iC3b targeted complement inhibitor) or blocking the phosphate negative charge in mPEG-DSPE could significantly reduce liposome uptake by neutrophils and alleviate the cutaneous accumulation of liposomes. These results validated the liposome extravasation pathway mediated by neutrophils and provided potential solutions to the devastating cutaneous toxicities occurring during sLip/DOX treatment.


Asunto(s)
Doxorrubicina , Liposomas , Neutrófilos , Polietilenglicoles , Neutrófilos/metabolismo , Neutrófilos/efectos de los fármacos , Doxorrubicina/química , Doxorrubicina/farmacología , Doxorrubicina/análogos & derivados , Liposomas/química , Animales , Polietilenglicoles/química , Ratones , Piel/metabolismo , Piel/efectos de los fármacos , Activación de Complemento/efectos de los fármacos , Humanos
9.
Nat Commun ; 15(1): 6136, 2024 Jul 20.
Artículo en Inglés | MEDLINE | ID: mdl-39033145

RESUMEN

Intrahepatic accumulation dominates organ distribution for most nanomedicines. However, obscure intrahepatic fate largely hampers regulation on their in vivo performance. Herein, PEGylated liposomal doxorubicin is exploited to clarify the intrahepatic fate of both liposomes and the payload in male mice. Kupffer cells initiate and dominate intrahepatic capture of liposomal doxorubicin, following to deliver released doxorubicin to hepatocytes with zonated distribution along the lobule porto-central axis. Increasing Kupffer cells capture promotes doxorubicin accumulation in hepatocytes, revealing the Kupffer cells capture-payload release-hepatocytes accumulation scheme. In contrast, free doxorubicin is overlooked by Kupffer cells, instead quickly distributing into hepatocytes by directly crossing fenestrated liver sinusoid endothelium. Compared to free doxorubicin, liposomal doxorubicin exhibits sustained metabolism/excretion due to the extra capture-release process. This work unveils the pivotal role of Kupffer cells in intrahepatic traffic of PEGylated liposomal therapeutics, and quantitively describes the intrahepatic transport/distribution/elimination process, providing crucial information for guiding further development of nanomedicines.


Asunto(s)
Doxorrubicina , Hepatocitos , Macrófagos del Hígado , Hígado , Polietilenglicoles , Macrófagos del Hígado/metabolismo , Macrófagos del Hígado/efectos de los fármacos , Doxorrubicina/análogos & derivados , Doxorrubicina/farmacocinética , Doxorrubicina/farmacología , Animales , Polietilenglicoles/química , Masculino , Hígado/metabolismo , Hepatocitos/metabolismo , Hepatocitos/efectos de los fármacos , Ratones , Antibióticos Antineoplásicos/farmacología , Antibióticos Antineoplásicos/farmacocinética , Liposomas , Ratones Endogámicos C57BL
10.
Eur J Pharm Biopharm ; 201: 114389, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38945407

RESUMEN

Liposomes represent one of the most extensively studied nano-carriers due to their potential in targeted drug delivery. However, the complex in vivo fate, particularly under pathological conditions, presents challenges for clinical translation of liposomal therapeutics. Liver serves as the most important organ for liposome accumulation and metabolism. Unfortunately, the fate of liposomes under pathological liver conditions has been significantly overlooked. This study aimed to investigate the in vivo pharmacokinetic profile and biodistribution profile of liposomes under drug-induced liver injury (DILI) conditions. Two classic DILI animal models, i.e. acetaminophen-induced acute liver injury (AILI) and triptolide-induced subacute liver injury (TILI), were established to observe the effect of pathological liver conditions on the in vivo performance of liposomes. The study revealed significant changes in the in vivo fate of liposomes following DILI, including prolonged blood circulation and enhanced hepatic accumulation of liposomes. Changes in the composition of plasma proteins and mononuclear phagocyte system (MPS)-related cell subpopulations collectively led to the altered in vivo fate of liposomes under liver injury conditions. Despite liver injury, macrophages remained the primary cells responsible for liposomes uptake in liver, with the recruited monocyte-derived macrophages exhibiting enhanced ability to phagocytose liposomes under pathological conditions. These findings indicated that high capture of liposomes by the recruited hepatic macrophages not only offered potential solutions for targeted delivery, but also warned the clinical application of patients under pathological liver conditions.


Asunto(s)
Acetaminofén , Enfermedad Hepática Inducida por Sustancias y Drogas , Diterpenos , Liposomas , Hígado , Fenantrenos , Animales , Enfermedad Hepática Inducida por Sustancias y Drogas/metabolismo , Enfermedad Hepática Inducida por Sustancias y Drogas/etiología , Acetaminofén/farmacocinética , Ratones , Masculino , Hígado/metabolismo , Hígado/efectos de los fármacos , Distribución Tisular , Fenantrenos/farmacocinética , Fenantrenos/administración & dosificación , Fenantrenos/toxicidad , Diterpenos/farmacocinética , Diterpenos/administración & dosificación , Compuestos Epoxi/farmacocinética , Compuestos Epoxi/administración & dosificación , Macrófagos/metabolismo , Macrófagos/efectos de los fármacos , Modelos Animales de Enfermedad , Sistemas de Liberación de Medicamentos/métodos , Ratones Endogámicos C57BL
11.
J Hazard Mater ; 476: 135001, 2024 Sep 05.
Artículo en Inglés | MEDLINE | ID: mdl-38908175

RESUMEN

Al-PILC was used to catalyze the chlorine oxidation of Mn(II) in aqueous solution. The effects of various catalysts, catalyst dosage, chlorine dosage, pH value, temperature and organic content on the oxidation process were investigated. Results show that 1.5 mg/L chlorine can quickly oxidize Mn(II) from 0.5 mg/L to less than 0.04 mg/L with 10 mg/L Al-PILC. Using catalysts with higher porosity and higher SA, increase in chlorine concentration, increase in catalyst dosage, higher pH, and higher temperature can significantly enhance the rate of Mn(II) catalytic oxidation. The Mn(II) oxidation process includes the homogeneous oxidation, catalytic oxidation on the surface of the catalysts and self-catalytic oxidation produced by the newly produced MnOx. Al-PILC surface provides active sites for chlorine oxidation Mn(II) in the water, and also provides binding sites for the newly produced MnOx, which has higher catalytic activity and thus has an self-catalytic oxidation effect. The higher the porosity and SA of Al-PILC, the more catalytic oxidation active sites and loading sites, and the better the catalytic oxidation effect. The study promotes the understanding of chlorine catalyzed oxidation Mn(II) in aqueous solution, but also provide important guide to study newly efficient catalysts to oxidize Mn(II) with chlorine in aqueous solution.

12.
Endocrine ; 85(3): 1346-1356, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38851643

RESUMEN

PURPOSE: Variants in the Aryl hydrocarbon receptor-interacting protein (AIP) gene have been identified in sporadic acromegaly and pituitary gigantism, especially in young patients, with a predisposition to aggressive clinical phenotype and poor treatment efficacy. The clinical characteristics of patients with sporadic acromegaly and pituitary gigantism as well as AIP variants in Han Chinese have been rarely reported. We aimed to identify AIP gene variants and analyze the clinical characteristics of patients with sporadic acromegaly and pituitary gigantism in Han Chinese. METHODS: The study included 181 sporadic acromegaly (N = 163) and pituitary gigantism (N = 18) patients with an onset age of no more than 45 years old, who were diagnosed, treated, and followed up in Huashan Hospital. All 6 exons and their flanking regions of the AIP gene were analyzed with Sanger sequencing or NGS. The clinical characteristics were compared between groups with and without AIP variants. RESULTS: Germline AIP variants were found in 15/181 (8.29%) cases. In patients with an onset age ≤30 years old, AIP variants were identified in 12/133 (9.02%). Overall, 13 variants were detected. The pathogenic (P) variants p.R304X and p.R81X were identified in four cases, with two instances of each variant. Six exon variants (p.C254R, p.K103fs, p.Q228fs, p.Y38X, p.Q213*, and p.1115 fs) have not been reported before, which were likely pathogenic (LP). Patients with P/LP variants had younger onset ages, a higher prevalence of pituitary gigantism, larger tumor volumes, and a higher percentage of Ki-67-positive cells in tumors. In addition, the group with P/LP variants showed a less significant reduction of GH levels in an acute octreotide suppression test (OST) [17.7% (0, 65.0%) vs. 80.5% (63.9%, 90.2%), P = 0.001], and a trend of less GH decrease after the 3-month treatment with long-acting somatostatin analogs (SSAs). CONCLUSION: Germline AIP variants existed in sporadic Chinese Han acromegaly and pituitary gigantism patients and were more likely to be detected in young patients. AIP variants were associated with more aggressive tumor phenotypes and less response to SSA treatment.


Asunto(s)
Acromegalia , Gigantismo , Péptidos y Proteínas de Señalización Intracelular , Adolescente , Adulto , Niño , Preescolar , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven , Acromegalia/genética , China , Estudios de Cohortes , Pueblos del Este de Asia/genética , Mutación de Línea Germinal , Gigantismo/genética , Péptidos y Proteínas de Señalización Intracelular/genética
13.
J Transl Med ; 22(1): 494, 2024 May 24.
Artículo en Inglés | MEDLINE | ID: mdl-38790051

RESUMEN

BACKGROUND: Diabetic cardiomyopathy (DCM), a serious complication of diabetes, leads to structural and functional abnormalities of the heart and ultimately evolves to heart failure. IL-37 exerts a substantial influence on the regulation of inflammation and metabolism. Whether IL-37 is involved in DCM is unknown. METHODS: The plasma samples were collected from healthy controls, diabetic patients and DCM patients, and the level of IL-37 and its relationship with heart function were observed. The changes in cardiac function, myocardial fibrosis and mitochondrial injury in DCM mice with or without IL-37 intervention were investigated in vivo. By an in vitro co-culture approach involving HG challenge of cardiomyocytes and fibroblasts, the interaction carried out by cardiomyocytes on fibroblast profibrotic activation was studied. Finally, the possible interactive mediator between cardiomyocytes and fibroblasts was explored, and the intervention role of IL-37 and its relevant molecular mechanisms. RESULTS: We showed that the level of plasma IL-37 in DCM patients was upregulated compared to that in healthy controls and diabetic patients. Both recombinant IL-37 administration or inducing IL-37 expression alleviated cardiac dysfunction and myocardial fibrosis in DCM mice. Mechanically, hyperglycemia impaired mitochondria through SIRT1/AMPK/PGC1α signaling, resulting in significant cardiomyocyte apoptosis and the release of extracellular vesicles containing mtDNA. Fibroblasts then engulfed these mtDNA-enriched vesicles, thereby activating TLR9 signaling and the cGAS-STING pathway to initiate pro-fibrotic process and adverse remodeling. However, the presence of IL-37 ameliorated mitochondrial injury by preserving the activity of SIRT1-AMPK-PGC1α axis, resulting in a reduction in release of mtDNA-enriched vesicle and ultimately attenuating the progression of DCM. CONCLUSIONS: Collectively, our study demonstrates a protective role of IL-37 in DCM, offering a promising therapeutic agent for this disease.


Asunto(s)
ADN Mitocondrial , Cardiomiopatías Diabéticas , Fibrosis , Interleucina-1 , Miocitos Cardíacos , Animales , Femenino , Humanos , Masculino , Ratones , Persona de Mediana Edad , Apoptosis/efectos de los fármacos , Cardiomiopatías Diabéticas/patología , Cardiomiopatías Diabéticas/metabolismo , Cardiomiopatías Diabéticas/tratamiento farmacológico , ADN Mitocondrial/metabolismo , Fibroblastos/metabolismo , Fibroblastos/efectos de los fármacos , Interleucina-1/metabolismo , Ratones Endogámicos C57BL , Miocardio/patología , Miocardio/metabolismo , Miocitos Cardíacos/metabolismo , Miocitos Cardíacos/efectos de los fármacos , Miocitos Cardíacos/patología , Transducción de Señal/efectos de los fármacos , Sirtuina 1/metabolismo
14.
Nutrients ; 16(9)2024 May 05.
Artículo en Inglés | MEDLINE | ID: mdl-38732638

RESUMEN

As the most serious of the many worse new pathological changes caused by diabetes, there are many risk factors for the occurrence and development of diabetic retinopathy (DR). They mainly include hyperglycemia, hypertension, hyperlipidemia and so on. Among them, hyperglycemia is the most critical cause, and plays a vital role in the pathological changes of DR. High-sucrose diets (HSDs) lead to elevated blood glucose levels in vivo, which, through oxidative stress, inflammation, the production of advanced glycation end products (AGEs) and vascular endothelial growth factor (VEGF), cause plenty of pathological damages to the retina and ultimately bring about loss of vision. The existing therapies for DR primarily target the terminal stage of the disease, when irreversible visual impairment has appeared. Therefore, early prevention is particularly critical. The early prevention of DR-related vision loss requires adjustments to dietary habits, mainly by reducing sugar intake. This article primarily discusses the risk factors, pathophysiological processes and molecular mechanisms associated with the development of DR caused by HSDs. It aims to raise awareness of the crucial role of diet in the occurrence and progression of DR, promote timely changes in dietary habits, prevent vision loss and improve the quality of life. The aim is to make people aware of the importance of diet in the occurrence and progression of DR. According to the dietary modification strategies that we give, patients can change their poor eating habits in a timely manner to avoid theoretically avoidable retinopathy and obtain an excellent prognosis.


Asunto(s)
Retinopatía Diabética , Progresión de la Enfermedad , Humanos , Retinopatía Diabética/etiología , Retinopatía Diabética/prevención & control , Factores de Riesgo , Sacarosa en la Dieta/efectos adversos , Estrés Oxidativo , Glucemia/metabolismo , Dieta/efectos adversos , Conducta Alimentaria , Productos Finales de Glicación Avanzada/metabolismo , Productos Finales de Glicación Avanzada/efectos adversos
15.
Sci Rep ; 14(1): 12058, 2024 05 27.
Artículo en Inglés | MEDLINE | ID: mdl-38802468

RESUMEN

Testicular adrenal rest tumor (TART) is a prevalent complication associated with congenital adrenal hyperplasia (CAH), culminating in gonadal dysfunction and infertility. Early hormonal intervention is preventive, but excessive glucocorticoid poses risks. Developing reliable methods for early TART diagnosis and monitoring is crucial. The present study aims to formulate a scoring system to identify high-risk infertility through analysis of TART ultrasound features. Grayscale and power Doppler ultrasound were employed in this retrospective study to evaluate testicular lesions in male CAH patients. Lesion assessment encompassed parameters such as range, echogenicity, and blood flow, and these were subsequently correlated with semen parameters. Results of 49 semen analyzes from 35 patients demonstrated a notable inverse correlation between lesion scores and both sperm concentration (rs = - 0.83, P < 0.001) and progressive motility (rs = - 0.56, P < 0.001). The ROC curve areas for evaluating oligospermia and asthenozoospermia were calculated as 0.94 and 0.72, respectively. Establishing a lesion score threshold of 6 revealed a sensitivity of 75.00% and specificity of 93.94% for oligospermia and a sensitivity of 53.85% and specificity of 100.00% for asthenozoospermia. These findings underscore the potential utility of incorporating ultrasound into routine CAH patient management, facilitating timely interventions to preserve male fertility.


Asunto(s)
Hiperplasia Suprarrenal Congénita , Infertilidad Masculina , Ultrasonografía , Humanos , Masculino , Hiperplasia Suprarrenal Congénita/complicaciones , Hiperplasia Suprarrenal Congénita/diagnóstico por imagen , Adulto , Estudios Retrospectivos , Infertilidad Masculina/etiología , Infertilidad Masculina/diagnóstico por imagen , Ultrasonografía/métodos , Medición de Riesgo , Análisis de Semen , Testículo/diagnóstico por imagen , Testículo/patología , Adulto Joven , Tumor de Resto Suprarrenal/diagnóstico por imagen
16.
Mol Pharm ; 21(5): 2272-2283, 2024 May 06.
Artículo en Inglés | MEDLINE | ID: mdl-38607681

RESUMEN

Over the years, there has been significant interest in PEGylated lipid-based nanocarriers within the drug delivery field. The inevitable interplay between the nanocarriers and plasma protein plays a pivotal role in their in vivo biological fate. Understanding the factors influencing lipid-based nanocarrier and protein corona interactions is of paramount importance in the design and clinical translation of these nanocarriers. Herein, discoid-shaped lipid nanodiscs (sNDs) composed of different phospholipids with varied lipid tails and head groups were fabricated. We investigated the impact of phospholipid components on the interaction between sNDs and serum proteins, particle stability, and biodistribution. The results showed that all of these lipid nanodiscs remained stable over a 15 day storage period, while their stability in the blood serum demonstrated significant differences. The sND composed of POPG exhibited the least stability due to its potent complement activation capability, resulting in rapid blood clearance. Furthermore, a negative correlation between the complement activation capability and serum stability was identified. Pharmacokinetic and biodistribution experiments indicated that phospholipid composition did not influence the capability of sNDs to evade the accelerated blood clearance phenomenon. Complement deposition on the sND was inversely associated with the area under the curve. Additionally, all lipid nanodiscs exhibited dominant adsorption of apolipoprotein. Remarkably, the POPC-based lipid nanodisc displayed a significantly higher deposition of apolipoprotein E, contributing to an obvious brain distribution, which provides a promising tool for brain-targeted drug delivery.


Asunto(s)
Nanopartículas , Fosfolípidos , Corona de Proteínas , Corona de Proteínas/química , Animales , Fosfolípidos/química , Distribución Tisular , Ratones , Nanopartículas/química , Portadores de Fármacos/química , Nanoestructuras/química , Masculino , Activación de Complemento/efectos de los fármacos , Lípidos/química , Sistemas de Liberación de Medicamentos/métodos , Proteínas Sanguíneas/metabolismo , Proteínas Sanguíneas/química
17.
Environ Sci Technol ; 58(14): 6083-6092, 2024 Apr 09.
Artículo en Inglés | MEDLINE | ID: mdl-38547129

RESUMEN

Despite significant advances in understanding the general health impacts of air pollution, the toxic effects of air pollution on cells in the human respiratory tract are still elusive. A robust, biologically relevant in vitro model for recapitulating the physiological response of the human airway is needed to obtain a thorough understanding of the molecular mechanisms of air pollutants. In this study, by using 1-nitropyrene (1-NP) as a proof-of-concept, we demonstrate the effectiveness and reliability of evaluating environmental pollutants in physiologically active human airway organoids. Multimodal imaging tools, including live cell imaging, fluorescence microscopy, and MALDI-mass spectrometry imaging (MSI), were implemented to evaluate the cytotoxicity of 1-NP for airway organoids. In addition, lipidomic alterations upon 1-NP treatment were quantitatively analyzed by nontargeted lipidomics. 1-NP exposure was found to be associated with the overproduction of reactive oxygen species (ROS), and dysregulation of lipid pathways, including the SM-Cer conversion, as well as cardiolipin in our organoids. Compared with that of cell lines, a higher tolerance of 1-NP toxicity was observed in the human airway organoids, which might reflect a more physiologically relevant response in the native airway epithelium. Collectively, we have established a novel system for evaluating and investigating molecular mechanisms of environmental pollutants in the human airways via the combinatory use of human airway organoids, multimodal imaging analysis, and MS-based analyses.


Asunto(s)
Contaminantes Atmosféricos , Pirenos , Sistema Respiratorio , Humanos , Reproducibilidad de los Resultados , Organoides , Imagen Multimodal
18.
Small ; 20(29): e2311299, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38366314

RESUMEN

Silicon (Si) anode has attracted broad attention because of its high theoretical specific capacity and low working potential. However, the severe volumetric changes of Si particles during the lithiation process cause expansion and contraction of the electrodes, which induces a repeatedly repair of solid electrolyte interphase, resulting in an excessive consuming of electrolyte and rapid capacity decay. Clearly known the deformation and stress changing at µÎµ resolution in the Si-based electrode during battery operation provides invaluable information for the battery research and development. Here, an in operando approach is developed to monitor the stress evolution of Si anode electrodes via optical fiber Bragg grating (FBG) sensors. By implanting FBG sensor at specific locations in the pouch cells with different Si anodes, the stress evolution of Si electrodes has been systematically investigated, and Δσ/areal capacity is proposed for stress assessment. The results indicate that the differences in stress evolution are nested in the morphological changes of Si particles and the evolution characteristics of electrode structures. The proposed technique provides a brand-new view for understanding the electrochemical mechanics of Si electrodes during battery operation.

19.
Nutrients ; 16(4)2024 Feb 08.
Artículo en Inglés | MEDLINE | ID: mdl-38398810

RESUMEN

Aging negatively affects B cell production, resulting in a decrease in B-1 and B-2 cells and impaired antibody responses. Age-related B cell subsets contribute to inflammation. Investigating age-related alterations in the B-cell pool and developing targeted therapies are crucial for combating autoimmune diseases in the elderly. Additionally, optimal nutrition, including carbohydrates, amino acids, vitamins, and especially lipids, play a vital role in supporting immune function and mitigating the age-related decline in B cell activity. Research on the influence of lipids on B cells shows promise for improving autoimmune diseases. Understanding the aging B-cell pool and considering nutritional interventions can inform strategies for promoting healthy aging and reducing the age-related disease burden.


Asunto(s)
Envejecimiento , Enfermedades Autoinmunes , Humanos , Anciano , Linfocitos B , Vitaminas , Lípidos
20.
Nucleic Acids Res ; 52(5): 2724-2739, 2024 Mar 21.
Artículo en Inglés | MEDLINE | ID: mdl-38300794

RESUMEN

Transposons, as non-viral integration vectors, provide a secure and efficient method for stable gene delivery. In this study, we have discovered Mage (MG), a novel member of the piggyBac(PB) family, which exhibits strong transposability in a variety of mammalian cells and primary T cells. The wild-type MG showed a weaker insertion preference for near genes, transcription start sites (TSS), CpG islands, and DNaseI hypersensitive sites in comparison to PB, approaching the random insertion pattern. Utilizing in silico virtual screening and feasible combinatorial mutagenesis in vitro, we effectively produced the hyperactive MG transposase (hyMagease). This variant boasts a transposition rate 60% greater than its native counterpart without significantly altering its insertion pattern. Furthermore, we applied the hyMagease to efficiently deliver chimeric antigen receptor (CAR) into T cells, leading to stable high-level expression and inducing significant anti-tumor effects both in vitro and in xenograft mice models. These findings provide a compelling tool for gene transfer research, emphasizing its potential and prospects in the domains of genetic engineering and gene therapy.


Asunto(s)
Elementos Transponibles de ADN , Técnicas de Transferencia de Gen , Humanos , Ratones , Animales , Elementos Transponibles de ADN/genética , Terapia Genética , Linfocitos T/metabolismo , Transposasas/genética , Transposasas/metabolismo , Vectores Genéticos , Mamíferos/genética
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