RESUMEN
Objective : To explore therapeutic effect of ticagrelor combined low molecular weight heparin (LMWH ) on acute coronary syndrome (ACS) and its influence on serum levels of IL-17 ,MMP-9 ,soluble intercellular adhesion molecule (sICAM)-1 and major adverse cardiovascular events(MACE).Methods :A total of 102 ACS patients hospitalized in our hospital from Feb 2016 to Oct 2017 were selected ,randomly and equally divided into atorvastatin group and ticagrelor group ,both groups received corresponding treatment based on routine treatment and LMWH for two weeks .Therapeutic effect ,serum levels of hsCRP ,IL-17 ,MMP-9 ,sICAM-1 ,LVEF ,LVEDd ,LVESd ,peak early diastolic transmitral flow velocity/peak late diastolic transmitral flow velocity (E/A) changes and incidence rate of MACE were compared between two groups.Results :Total effective rate of ticagrelor group was significantly higher than that of atorvastatin group (94.12% vs.80.39%,P＝0.038).Compared with before treatment ,there were significant reductions in serum levels of hsCRP ,IL-17 ,MMP-9 and sICAM-1 ,LVEDd ,LVESd ,and significant rise in LVEF and E/A in two groups after treat-ment , P＜0.01 all.Compared with atorvastatin group ,there were significant reductions in serum levels of hsCRP [(2.96 ± 0.72)mmol/L vs.(1.46 ± 0.41)mmol/L] ,IL-17 [(25.36 ± 4.27)ng/L vs.(19.58 ± 4.46) ng/L] ,MMP-9 [(58.75 ± 10.75)g/L vs.(35.16 ± 9.63)g/L] ,sICAM-1 [(174.53 ± 28.36)ng/ml vs.(124.38 ± 27.34)ng/ml] ,LVESd[(48.01 ± 4.31)mm vs.(39.72 ± 4.16)mm] ,LVEDd[(57.37 ± 5.98)mm vs.(46.51 ± 5.36)mm] and significant rise in LVEF [(45.42 ± 5.68)% vs.(54.33 ± 6.39)%] and E/A[(1.38 ± 0.29) vs.(1.53 ± 0.31)] in ticagrelor group after treatment , P＜0.05 or ＜0.01. Incidence rate of MACE in ticagrelor group was significantly lower than that in atorvastatin group (7.84% vs.23.53%, P＝0.029).Conclusion :Ticagrelor combined LMWH can significantly improve therapeutic effect , lower serum levels of inflammatory factors ,improve cardiac function and reduce incidence rate of MACE in ACS patients .
RESUMEN
Human desumoylating isopeptidase 2 (DESI-2) is a member of the DESI family and contains a conserved PPPDE1 domain. Previous studies have demonstrated that DESI-2 overexpression may induce cell apoptosis. In the present study, differentially expressed genes were analyzed using a transcription microarray in DESI-2 overexpressing PANC-1 pancreatic cancer cells. A total of 45,033 genes were examined by microarray, which identified 1,766 upregulated and 1,643 downregulated genes. A series of altered signaling pathways were analyzed, in which certain essential signaling factors, including retinoid X receptor (RXR), BH3 interacting-domain death agonist, Ras homolog gene family member A (RhoA) and Rho-associated protein kinase, were further investigated at the protein level. The release of cytochrome c and the activation of caspase-3 were also detected by western blot analysis. Immunohistochemistry further revealed the expression features of RXR and RhoA in pancreatic ductal adenocarcinoma tissues with various DESI-2 expression levels. The results serve as a valuable reference for the further elucidation of the functions of DESI-2 in pancreatic cancer.
RESUMEN
Treatment for cancer can induce a series of secreted factors into the tumor microenvironment, which can affect cancer progression. Wingless-type MMTV (mouse mammary tumor virus) integration site 16B (WNT16B) is a new member of the WNT family and has been reported to play growth-related roles in previous studies. In this study, we found WNT16B could be expressed and secreted into the microenvironment by human ovarian fibroblasts after DNA damage-associated treatment, including chemotherapy drugs and radiation. We also demonstrated that fibroblast-derived WNT16B could result in accumulation of ß-catenin in dendritic cells and secretion of interleukin-10 (IL-10) and transforming growth factor beta (TGF-ß), which contributed to the differentiation of regulatory T cells in a co-culture environment. These results shed light on the roles of WNT16B in immune regulation, especially in regard to cancer treatment.
