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1.
Cell Stem Cell ; 2024 May 13.
Artículo en Inglés | MEDLINE | ID: mdl-38754428

RESUMEN

Autophagy is central to the benefits of longevity signaling programs and to hematopoietic stem cell (HSC) response to nutrient stress. With age, a subset of HSCs increases autophagy flux and preserves regenerative capacity, but the signals triggering autophagy and maintaining the functionality of autophagy-activated old HSCs (oHSCs) remain unknown. Here, we demonstrate that autophagy is an adaptive cytoprotective response to chronic inflammation in the aging murine bone marrow (BM) niche. We find that inflammation impairs glucose uptake and suppresses glycolysis in oHSCs through Socs3-mediated inhibition of AKT/FoxO-dependent signaling, with inflammation-mediated autophagy engagement preserving functional quiescence by enabling metabolic adaptation to glycolytic impairment. Moreover, we show that transient autophagy induction via a short-term fasting/refeeding paradigm normalizes glycolytic flux and significantly boosts oHSC regenerative potential. Our results identify inflammation-driven glucose hypometabolism as a key driver of HSC dysfunction with age and establish autophagy as a targetable node to reset oHSC regenerative capacity.

3.
Nat Commun ; 14(1): 7211, 2023 11 08.
Artículo en Inglés | MEDLINE | ID: mdl-37938561

RESUMEN

Efficacy of cancer vaccines remains low and mechanistic understanding of antigen presenting cell function in cancer may improve vaccine design and outcomes. Here, we analyze the transcriptomic and immune-metabolic profiles of Dendritic Cells (DCs) from 35 subjects enrolled in a trial of DC vaccines in late-stage melanoma (NCT01622933). Multiple platforms identify metabolism as an important biomarker of DC function and patient overall survival (OS). We demonstrate multiple immune and metabolic gene expression pathway alterations, a functional decrease in OCR/OXPHOS and increase in ECAR/glycolysis in patient vaccines. To dissect molecular mechanisms, we utilize single cell SCENITH functional profiling and show patient clinical outcomes (OS) correlate with DC metabolic profile, and that metabolism is linked to immune phenotype. With single cell metabolic regulome profiling, we show that MCT1 (monocarboxylate transporter-1), a lactate transporter, is increased in patient DCs, as is glucose uptake and lactate secretion. Importantly, pre-vaccination circulating myeloid cells in patients used as precursors for DC vaccine generation are significantly skewed metabolically as are several DC subsets. Together, we demonstrate that the metabolic profile of DC is tightly associated with the immunostimulatory potential of DC vaccines from cancer patients. We link phenotypic and functional metabolic changes to immune signatures that correspond to suppressed DC differentiation.


Asunto(s)
Vacunas contra el Cáncer , Melanoma , Humanos , Melanoma/terapia , Metabolómica , Investigadores , Células Dendríticas
4.
bioRxiv ; 2023 Aug 19.
Artículo en Inglés | MEDLINE | ID: mdl-37645930

RESUMEN

Aging of the hematopoietic system promotes various blood, immune and systemic disorders and is largely driven by hematopoietic stem cell (HSC) dysfunction ( 1 ). Autophagy is central for the benefits associated with activation of longevity signaling programs ( 2 ), and for HSC function and response to nutrient stress ( 3,4 ). With age, a subset of HSCs increases autophagy flux and preserves some regenerative capacity, while the rest fail to engage autophagy and become metabolically overactivated and dysfunctional ( 4 ). However, the signals that promote autophagy in old HSCs and the mechanisms responsible for the increased regenerative potential of autophagy-activated old HSCs remain unknown. Here, we demonstrate that autophagy activation is an adaptive survival response to chronic inflammation in the aging bone marrow (BM) niche ( 5 ). We find that inflammation impairs glucose metabolism and suppresses glycolysis in aged HSCs through Socs3-mediated impairment of AKT/FoxO-dependent signaling. In this context, we show that inflammation-mediated autophagy engagement preserves functional quiescence by enabling metabolic adaptation to glycolytic impairment. Moreover, we demonstrate that transient autophagy induction via a short-term fasting/refeeding paradigm normalizes glucose uptake and glycolytic flux and significantly improves old HSC regenerative potential. Our results identify inflammation-driven glucose hypometabolism as a key driver of HSC dysfunction with age and establish autophagy as a targetable node to reset old HSC glycolytic and regenerative capacity. One-Sentence Summary: Autophagy compensates for chronic inflammation-induced metabolic deregulation in old HSCs, and its transient modulation can reset old HSC glycolytic and regenerative capacity.

5.
Res Sq ; 2023 Jun 02.
Artículo en Inglés | MEDLINE | ID: mdl-37398389

RESUMEN

Microglia are implicated in aging, neurodegeneration, and Alzheimer's disease (AD). Traditional, low-plex, imaging methods fall short of capturing in situ cellular states and interactions in the human brain. We utilized Multiplexed Ion Beam Imaging (MIBI) and data-driven analysis to spatially map proteomic cellular states and niches in healthy human brain, identifying a spectrum of microglial profiles, called the microglial state continuum (MSC). The MSC ranged from senescent-like to active proteomic states that were skewed across large brain regions and compartmentalized locally according to their immediate microenvironment. While more active microglial states were proximal to amyloid plaques, globally, microglia significantly shifted towards a, presumably, dysfunctional low MSC in the AD hippocampus, as confirmed in an independent cohort (n=26). This provides an in situ single cell framework for mapping human microglial states along a continuous, shifting existence that is differentially enriched between healthy brain regions and disease, reinforcing differential microglial functions overall.

6.
Sci Adv ; 9(12): eade7702, 2023 03 24.
Artículo en Inglés | MEDLINE | ID: mdl-36961888

RESUMEN

Approximately 5 million dengue virus-infected patients progress to a potentially life-threatening severe dengue (SD) infection annually. To identify the immune features and temporal dynamics underlying SD progression, we performed deep immune profiling by mass cytometry of PBMCs collected longitudinally from SD progressors (SDp) and uncomplicated dengue (D) patients. While D is characterized by early activation of innate immune responses, in SDp there is rapid expansion and activation of IgG-secreting plasma cells and memory and regulatory T cells. Concurrently, SDp, particularly children, demonstrate increased proinflammatory NK cells, inadequate expansion of CD16+ monocytes, and high expression of the FcγR CD64 on myeloid cells, yet a signature of diminished antigen presentation. Syndrome-specific determinants include suppressed dendritic cell abundance in shock/hemorrhage versus enriched plasma cell expansion in organ impairment. This study reveals uncoordinated immune responses in SDp and provides insights into SD pathogenesis in humans with potential implications for prediction and treatment.


Asunto(s)
Virus del Dengue , Dengue , Dengue Grave , Niño , Humanos , Cinética , Proteómica , Inmunidad Innata
7.
Cancer Res ; 83(9): 1543-1557, 2023 05 02.
Artículo en Inglés | MEDLINE | ID: mdl-36847613

RESUMEN

α-Fetoprotein (AFP) is expressed by stem-like and poor outcome hepatocellular cancer tumors and is a clinical tumor biomarker. AFP has been demonstrated to inhibit dendritic cell (DC) differentiation and maturation and to block oxidative phosphorylation. To identify the critical metabolic pathways leading to human DC functional suppression, here, we used two recently described single-cell profiling methods, scMEP (single-cell metabolic profiling) and SCENITH (single-cell energetic metabolism by profiling translation inhibition). Glycolytic capacity and glucose dependence of DCs were significantly increased by tumor-derived, but not normal cord blood-derived, AFP, leading to increased glucose uptake and lactate secretion. Key molecules in the electron transport chain in particular were regulated by tumor-derived AFP. These metabolic changes occurred at mRNA and protein levels, with negative impact on DC stimulatory capacity. Tumor-derived AFP bound significantly more polyunsaturated fatty acids (PUFA) than cord blood-derived AFP. PUFAs bound to AFP increased metabolic skewing and promoted DC functional suppression. PUFAs inhibited DC differentiation in vitro, and ω-6 PUFAs conferred potent immunoregulation when bound to tumor-derived AFP. Together, these findings provide mechanistic insights into how AFP antagonizes the innate immune response to limit antitumor immunity. SIGNIFICANCE: α-Fetoprotein (AFP) is a secreted tumor protein and biomarker with impact on immunity. Fatty acid-bound AFP promotes immune suppression by skewing human dendritic cell metabolism toward glycolysis and reduced immune stimulation.


Asunto(s)
Neoplasias Hepáticas , alfa-Fetoproteínas , Humanos , alfa-Fetoproteínas/genética , alfa-Fetoproteínas/metabolismo , Neoplasias Hepáticas/patología , Ácidos Grasos Insaturados/metabolismo , Ácidos Grasos/metabolismo , Biomarcadores/metabolismo , Células Dendríticas
8.
Chemistry ; 29(1): e202202318, 2023 Jan 02.
Artículo en Inglés | MEDLINE | ID: mdl-36214658

RESUMEN

A highly unusual solid-state epitaxy-induced phase transformation of Na4 SnS4 ⋅ 14H2 O (I) into Na4 Sn2 S6 ⋅ 5H2 O (II) occurs at room temperature. Ab initio molecular dynamics (AIMD) simulations indicate an internal acid-base reaction to form [SnS3 SH]3- which condensates to [Sn2 S6 ]4- . The reaction involves a complex sequence of O-H bond cleavage, S2- protonation, Sn-S bond formation and diffusion of various species while preserving the crystal morphology. In situ Raman and IR spectroscopy evidence the formation of [Sn2 S6 ]4- . DFT calculations allowed assignment of all bands appearing during the transformation. X-ray diffraction and in situ 1 H NMR demonstrate a transformation within several days and yield a reaction turnover of ≈0.38 %/h. AIMD and experimental ionic conductivity data closely follow a Vogel-Fulcher-Tammann type T dependence with D(Na)=6×10-14  m2 s-1 at T=300 K with values increasing by three orders of magnitude from -20 to +25 °C.

9.
PLoS One ; 17(12): e0278337, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36516143

RESUMEN

By September 2021 an estimated 32% of the global population was fully vaccinated for COVID-19 but the global distribution of vaccines was extremely unequal, with 72% or more vaccinated in the ten countries with the highest vaccination rates and less than 2% in the ten countries with the lowest vaccination rates. Given that governments need to secure public support for investments in global vaccine sharing, it is important to understand the levels and drivers of public support for international vaccine solidarity. Using a factorial experiment administered to more than 10,000 online survey respondents in Germany in 2021, we demonstrate that the majority of German citizens are against global inequalities in vaccine distribution. Respondents are supportive of substantive funding amounts, on the order of the most generous contributions provided to date, though still below amounts that are likely needed for a successful global campaign. Public preferences appear largely to be driven by intrinsic concern for the welfare of global populations though are in part explained by material considerations-particularly risks of continued health threats from a failure to vaccinate globally. Strategic considerations are of more limited importance in shaping public opinion; in particular we see no evidence for free riding on contributions by other states. Finally, drawing on an additional survey experiment, we show that there is scope to use information campaigns highlighting international health externalities to augment public support for global campaigns.


Asunto(s)
COVID-19 , Vacunas , Humanos , COVID-19/epidemiología , COVID-19/prevención & control , Pandemias/prevención & control , Alemania/epidemiología , Vacunación
10.
Nat Commun ; 13(1): 5184, 2022 09 02.
Artículo en Inglés | MEDLINE | ID: mdl-36056019

RESUMEN

Cellular metabolism underpins immune cell functionality, yet our understanding of metabolic influences in human dendritic cell biology and their ability to orchestrate immune responses is poorly developed. Here, we map single-cell metabolic states and immune profiles of inflammatory and tolerogenic monocytic dendritic cells using recently developed multiparametric approaches. Single-cell metabolic pathway activation scores reveal simultaneous engagement of multiple metabolic pathways in distinct monocytic dendritic cell differentiation stages. GM-CSF/IL4-induce rapid reprogramming of glycolytic monocytes and transient co-activation of mitochondrial pathways followed by TLR4-dependent maturation of dendritic cells. Skewing of the mTOR:AMPK phosphorylation balance and upregulation of OXPHOS, glycolytic and fatty acid oxidation metabolism underpin metabolic hyperactivity and an immunosuppressive phenotype of tolerogenic dendritic cells, which exhibit maturation-resistance and a de-differentiated immune phenotype marked by unique immunoregulatory receptor signatures. This single-cell dataset provides important insights into metabolic pathways impacting the immune profiles of human dendritic cells.


Asunto(s)
Células Dendríticas , Monocitos , Diferenciación Celular , Glucólisis , Humanos , Monocitos/metabolismo , Fosforilación Oxidativa
11.
Patterns (N Y) ; 3(8): 100536, 2022 Aug 12.
Artículo en Inglés | MEDLINE | ID: mdl-36033591

RESUMEN

Single-cell technologies generate large, high-dimensional datasets encompassing a diversity of omics. Dimensionality reduction captures the structure and heterogeneity of the original dataset, creating low-dimensional visualizations that contribute to the human understanding of data. Existing algorithms are typically unsupervised, using measured features to generate manifolds, disregarding known biological labels such as cell type or experimental time point. We repurpose the classification algorithm, linear discriminant analysis (LDA), for supervised dimensionality reduction of single-cell data. LDA identifies linear combinations of predictors that optimally separate a priori classes, enabling the study of specific aspects of cellular heterogeneity. We implement feature selection by hybrid subset selection (HSS) and demonstrate that this computationally efficient approach generates non-stochastic, interpretable axes amenable to diverse biological processes such as differentiation over time and cell cycle. We benchmark HSS-LDA against several popular dimensionality-reduction algorithms and illustrate its utility and versatility for the exploration of single-cell mass cytometry, transcriptomics, and chromatin accessibility data.

12.
Angew Chem Int Ed Engl ; 61(36): e202202182, 2022 Sep 05.
Artículo en Inglés | MEDLINE | ID: mdl-35648135

RESUMEN

We present the convenient synthesis and characterization of the new ternary thiostannate Na4 SnS4 (space group I 4 1 / a c d ) by directed removal of crystal water molecules from Na4 SnS4 ⋅14 H2 O. The compound represents a new kinetically stable polymorph of Na4 SnS4 , which is transformed into the known, thermodynamically stable form (space group P 4 ‾ 2 1 c ) at elevated temperatures. Thermal co-decomposition of mixtures with Na3 SbS4 ⋅9 H2 O generates solid solution products Na4-x Sn1-x Sbx S4 (x=0.01, 0.10) isostructural to the new polymorph (x=0). Incorporation of Sb5+ affects the bonding and local structural situation noticeably evidenced by X-ray diffraction, 119 Sn and 23 Na NMR, and 119 Sn Mössbauer spectroscopy. Electrochemical impedance spectroscopy demonstrates an enormous improvement of the ionic conductivity with increasing Sb content for the solid solution (σ25°C =2×10-3 , 2×10-2 , and 0.1 mS cm-1 for x=0, 0.01, and 0.10), being several orders of magnitude higher than for the known Na4 SnS4 polymorph.

13.
Nanoscale ; 14(7): 2696-2710, 2022 Feb 17.
Artículo en Inglés | MEDLINE | ID: mdl-35107463

RESUMEN

Various electrode materials are considered for sodium-ion batteries (SIBs) and one important prerequisite for developments of SIBs is a detailed understanding about charge storage mechanisms. Herein, we present a rigorous study about Na storage properties of ultra-small Fe3S4 nanoparticles, synthesized applying a solvothermal route, which exhibit a very good electrochemical performance as anode material for SIBs. A closer look into electrochemical reaction pathways on the nanoscale, utilizing synchrotron-based X-ray diffraction and X-ray absorption techniques, reveals a complicated conversion mechanism. Initially, separation of Fe3S4 into nanocrystalline intermediates occurs accompanied by reduction of Fe3+ to Fe2+ cations. Discharge to 0.1 V leads to formation of strongly disordered Fe0 finely dispersed in a nanosized Na2S matrix. The resulting volume expansion leads to a worse long-term stability in the voltage range 3.0-0.1 V. Adjusting the lower cut-off potential to 0.5 V, crystallization of Na2S is prevented and a completely amorphous intermediate stage is formed. Thus, the smaller voltage window is favorable for long-term stability, yielding highly reversible capacity retention, e.g., 486 mAh g-1 after 300 cycles applying 0.5 A g-1 and superior coulombic efficiencies >99.9%. During charge to 3.0 V, Fe3S4 with smaller domains are reversibly generated in the 1st cycle, but further cycling results in loss of structural long-range order, whereas the local environment resembles that of Fe3S4 in subsequent charged states. Electrokinetic analyses reveal high capacitive contributions to the charge storage, indicating shortened diffusion lengths and thus, redox reactions occur predominantly at surfaces of nanosized conversion products.

14.
Methods Mol Biol ; 2368: 117-131, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-34647253

RESUMEN

Quantitative measurements of plant gravitropic response are challenging. Differences in growth rates between species and environmental conditions make it difficult to compare the intrinsic gravitropic responses of different plants. In addition, the bending movement associated with gravitropism is competing with the tendency of plants to grow straight, through a mechanism called proprioception (ability to sense its own shape). Disentangling these two tendencies is not trivial. Here, we use a combination of modeling, experiment and image analysis to estimate the intrinsic gravitropic and proprioceptive sensitivities of stems, using Arabidopsis as an example.


Asunto(s)
Gravitropismo , Arabidopsis , Plantas , Madera
15.
Cell Rep ; 37(13): 110171, 2021 12 28.
Artículo en Inglés | MEDLINE | ID: mdl-34965415

RESUMEN

Macrophages are often prominently present in the tumor microenvironment, where distinct macrophage populations can differentially affect tumor progression. Although metabolism influences macrophage function, studies on the metabolic characteristics of ex vivo tumor-associated macrophage (TAM) subsets are rather limited. Using transcriptomic and metabolic analyses, we now reveal that pro-inflammatory major histocompatibility complex (MHC)-IIhi TAMs display a hampered tricarboxylic acid (TCA) cycle, while reparative MHC-IIlo TAMs show higher oxidative and glycolytic metabolism. Although both TAM subsets rapidly exchange lactate in high-lactate conditions, only MHC-IIlo TAMs use lactate as an additional carbon source. Accordingly, lactate supports the oxidative metabolism in MHC-IIlo TAMs, while it decreases the metabolic activity of MHC-IIhi TAMs. Lactate subtly affects the transcriptome of MHC-IIlo TAMs, increases L-arginine metabolism, and enhances the T cell suppressive capacity of these TAMs. Overall, our data uncover the metabolic intricacies of distinct TAM subsets and identify lactate as a carbon source and metabolic and functional regulator of TAMs.


Asunto(s)
Carcinoma Pulmonar de Lewis/patología , Carcinoma de Pulmón de Células no Pequeñas/patología , Lactatos/metabolismo , Neoplasias Pulmonares/patología , Linfocitos T/inmunología , Microambiente Tumoral , Macrófagos Asociados a Tumores/inmunología , Animales , Carcinoma Pulmonar de Lewis/genética , Carcinoma Pulmonar de Lewis/inmunología , Carcinoma Pulmonar de Lewis/metabolismo , Carcinoma de Pulmón de Células no Pequeñas/genética , Carcinoma de Pulmón de Células no Pequeñas/inmunología , Carcinoma de Pulmón de Células no Pequeñas/metabolismo , Femenino , Glucólisis , Humanos , Neoplasias Pulmonares/genética , Neoplasias Pulmonares/inmunología , Neoplasias Pulmonares/metabolismo , Complejo Mayor de Histocompatibilidad , Metaboloma , Ratones , Ratones Endogámicos C57BL , Transcriptoma
16.
Int J Mol Sci ; 22(20)2021 Oct 13.
Artículo en Inglés | MEDLINE | ID: mdl-34681698

RESUMEN

Over the past three decades, how plants sense and respond to mechanical stress has become a flourishing field of research. The pivotal role of mechanosensing in organogenesis and acclimation was demonstrated in various plants, and links are emerging between gene regulatory networks and physical forces exerted on tissues. However, how plant cells convert physical signals into chemical signals remains unclear. Numerous studies have focused on the role played by mechanosensitive (MS) calcium ion channels MCA, Piezo and OSCA. To complement these data, we combined data mining and visualization approaches to compare the tissue-specific expression of these genes, taking advantage of recent single-cell RNA-sequencing data obtained in the root apex and the stem of Arabidopsis and the Populus stem. These analyses raise questions about the relationships between the localization of MS channels and the localization of stress and responses. Such tissue-specific expression studies could help to elucidate the functions of MS channels. Finally, we stress the need for a better understanding of such mechanisms in trees, which are facing mechanical challenges of much higher magnitudes and over much longer time scales than herbaceous plants, and we mention practical applications of plant responsiveness to mechanical stress in agriculture and forestry.


Asunto(s)
Arabidopsis/metabolismo , Canales de Calcio/metabolismo , Proteínas de Plantas/metabolismo , Populus/metabolismo , Arabidopsis/crecimiento & desarrollo , Canales de Calcio/clasificación , Mecanotransducción Celular/genética , Filogenia , Proteínas de Plantas/clasificación , Raíces de Plantas/crecimiento & desarrollo , Raíces de Plantas/metabolismo , Tallos de la Planta/crecimiento & desarrollo , Tallos de la Planta/metabolismo , Populus/crecimiento & desarrollo , Estrés Mecánico
17.
Adv Mater ; 33(44): e2101576, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-34494315

RESUMEN

The pseudo-layered sulfide NiCr2 S4 exhibits outstanding electrochemical performance as anode material in sodium-ion batteries (SIBs). The Na storage mechanism is investigated by synchrotron-based X-ray scattering and absorption techniques as well as by electrochemical measurements. A very high reversible capacity in the 500th cycle of 489 mAh g-1 is observed at 2.0 A g-1 in the potential window 3.0-0.1 V. Full discharge includes irreversible generation of Ni0 and Cr0 nanoparticles embedded in nanocrystalline Na2 S yielding shortened diffusion lengths and predominantly surface-controlled charge storage. During charge, Ni0 and Cr0 are oxidized, Na2 S is consumed, and amorphous Ni and Cr sulfides are formed. Limiting the potential window to 3.0-0.3 V an unusual nickel extrusion sodium insertion mechanism occurs: Ni2+ is reduced to nanosized Ni0 domains, expelled from the host lattice, and is replaced by Na+ cations to form O3-type like NaCrS2 . Surprisingly, the discharge and charge processes comprise Na+ shuttling between highly crystalline NiCr2 S4 and NaCrS2 enabling a superior long-term stability for 3000 cycles. The results not only provide valuable insights for the electrochemistry of conversion materials but also extend the scope of layered electrode materials considering the reversible nickel extrusion sodium insertion reaction as new concept for SIBs.

18.
Cancer Immunol Res ; 9(11): 1245-1251, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-34544686

RESUMEN

Recent success in the use of immunotherapy for a broad range of cancers has propelled the field of cancer immunology to the forefront of cancer research. As more and more young investigators join the community of cancer immunologists, the Arthur L. Irving Family Foundation Cancer Immunology Symposium provided a platform to bring this expanding and vibrant community together and support the development of the future leaders in the field. This commentary outlines the lessons that emerged from the inaugural symposium highlighting the areas of scientific and career development that are essential for professional growth in the field of cancer immunology and beyond. Leading scientists and clinicians in the field provided their experience on the topics of scientific trajectory, career trajectory, publishing, fundraising, leadership, mentoring, and collaboration. Herein, we provide a conceptual and practical framework for career development to the broader scientific community.


Asunto(s)
Alergia e Inmunología/educación , Investigación Biomédica/métodos , Neoplasias/epidemiología , Médicos/organización & administración , Humanos , Liderazgo
19.
Proc Natl Acad Sci U S A ; 118(36)2021 09 07.
Artículo en Inglés | MEDLINE | ID: mdl-34413212

RESUMEN

Recent evidence suggests that vaccination hesitancy is too high in many countries to sustainably contain COVID-19. Using a factorial survey experiment administered to 20,500 online respondents in Germany, we assess the effectiveness of three strategies to increase vaccine uptake, namely, providing freedoms, financial remuneration, and vaccination at local doctors. Our results suggest that all three strategies can increase vaccination uptake on the order of two to three percentage points (PP) overall and five PP among the undecided. The combined effects could be as high as 13 PP for this group. The returns from different strategies vary across age groups, however, with older cohorts more responsive to local access and younger cohorts most responsive to enhanced freedoms for vaccinated citizens.


Asunto(s)
Vacunas contra la COVID-19/administración & dosificación , COVID-19/prevención & control , COVID-19/psicología , Vacunación Masiva/psicología , Motivación/ética , Negativa a la Vacunación/psicología , Adulto , Factores de Edad , Anciano , COVID-19/epidemiología , COVID-19/virología , Femenino , Alemania/epidemiología , Humanos , Masculino , Vacunación Masiva/economía , Persona de Mediana Edad , Modelos Psicológicos , SARS-CoV-2/patogenicidad , Encuestas y Cuestionarios
20.
Artículo en Inglés | MEDLINE | ID: mdl-34183320

RESUMEN

INTRODUCTION: As white matter hyperintensities (WMHs) of the brain are associated with an increased risk of stroke, cognitive decline, and depression, elucidating the associated risk factors is important. In addition to age and hypertension, pre-diabetes and diabetes may play important roles in the development of WMHs. Previous studies have, however, shown conflicting results. We aimed to investigate the effect of diabetes status and quantitative markers of glucose metabolism on WMH volume in a population-based cohort without prior cardiovascular disease. RESEARCH DESIGN AND METHODS: 400 participants underwent 3 T MRI. WMHs were manually segmented on 3D fluid-attenuated inversion recovery images. An oral glucose tolerance test (OGTT) was administered to all participants not previously diagnosed with diabetes to assess 2-hour serum glucose concentrations. Fasting glucose concentrations and glycated hemoglobin (HbA1c) levels were measured. Zero-inflated negative binomial regression analyses of WMH volume and measures of glycemic status were performed while controlling for cardiovascular risk factors and multiple testing. RESULTS: The final study population comprised 388 participants (57% male; age 56.3±9.2 years; n=98 with pre-diabetes, n=51 with diabetes). Higher WMH volume was associated with pre-diabetes (p=0.001) and diabetes (p=0.026) compared with normoglycemic control participants after adjustment for cardiovascular risk factors. 2-hour serum glucose (p<0.001), but not fasting glucose (p=0.389) or HbA1c (p=0.050), showed a significant positive association with WMH volume after adjustment for cardiovascular risk factors. CONCLUSION: Our results indicate that high 2-hour serum glucose concentration in OGTT, but not fasting glucose levels, may be an independent risk factor for the development of WMHs, with the potential to inform intensified prevention strategies in individuals at risk of WMH-associated morbidity.


Asunto(s)
Disfunción Cognitiva , Diabetes Mellitus , Estado Prediabético , Sustancia Blanca , Anciano , Diabetes Mellitus/epidemiología , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Estado Prediabético/epidemiología , Sustancia Blanca/diagnóstico por imagen
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