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BACKGROUND: To compare the expression levels of long non-coding RNA (lncRNA) and messenger RNA (mRNA) in pre-receptive endometrium between patients with Polycystic Ovary Syndrome (PCOS)and normal ovulation undergoing in vitro fertilization-embryo transfer (IVF-ET). METHODS: Endometrial tissues were collected with endometrial vacuum curette in pre-receptive phase (3 days after oocytes retrieval) from PCOS and control groups. LncRNAs and mRNAs of endometrium were identified via RNA sequencing and alignments. A subset of 9 differentially expressed lncRNAs and 11 mRNAs were validated by quantitative reverse transcription polymerase chain reaction(qRT-PCR)in 22 PCOS patients and 18 ovulation patients. The function of mRNAs with differential expression patterns were explored using Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG). RESULTS: We found out 687 up-regulated and 680 down-regulated mRNAs, as well as 345 up-regulated and 63 down-regulated lncRNAs in the PCOS patients in contrast to normal ovulation patients. qRT-PCR was used to detect the expression of 11 mRNAs, and validated that the expression of these 6 mRNAs CXCR4, RABL6, OPN3, SYBU, IDH1, NOP10 were significantly elevated among PCOS patients, and the expression of ZEB1 was significantly decreased. qRT-PCR was performed to detect the expression of 9 lncRNAs, and validated that the expression of these 7 lncRNAs IDH1-AS1, PCAT14, FTX, DANCR, PRKCQ-AS1, SNHG8, TPT1-AS1 were significantly enhanced among PCOS patients. Bioinformatics analysis showed that differentially expressed genes (DEGs) involved KEGG pathway were tyrosine metabolism, PI3K-Akt pathway, metabolic pathway, Jak-STAT pathway, pyruvate metabolism, protein processing in endoplasmic reticulum, oxidative phosphorylation and proteasome. The up-regulation of GO classification was involved in ATP metabolic process, oxidative phosphorylation, RNA catabolic process, and down-regulation of GO classification was response to corticosteroid, steroid hormone, and T cell activation. CONCLUSION: Our results determined the characteristics and expression profile of endometrial lncRNAs and mRNAs in PCOS patients in pre-receptive phase, which is the day 3 after oocytes retrival. The possible pathways and related genes of endometrial receptivity disorders were found, and those lncRNAs may be developed as a predictive biomarker of endometrium in pre-receptive phase.
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Síndrome do Ovário Policístico , RNA Longo não Codificante , Humanos , Feminino , RNA Mensageiro/metabolismo , RNA Longo não Codificante/metabolismo , Síndrome do Ovário Policístico/genética , Janus Quinases/genética , Janus Quinases/metabolismo , Fosfatidilinositol 3-Quinases/genética , Transdução de Sinais , Fatores de Transcrição STAT/genética , Fatores de Transcrição STAT/metabolismo , Perfilação da Expressão Gênica , Transferência Embrionária , Endométrio/metabolismo , Fertilização in vitro , Redes Reguladoras de Genes , Opsinas de Bastonetes/genética , Opsinas de Bastonetes/metabolismoRESUMO
BACKGROUND: Neuroimaging studies on major depressive disorder (MDD) have identified an extensive range of brain structural abnormalities, but the exact neural mechanisms associated with MDD remain elusive. Most previous studies were performed with voxel- or surface-based morphometry which were univariate methods without considering spatial information across voxels/vertices. METHODS: Brain morphology was investigated using voxel-based morphometry (VBM) and source-based morphometry (SBM) in 1082 MDD patients and 990 healthy controls (HCs) from the REST-meta-MDD Consortium. We first examined group differences in regional grey matter (GM) volumes and structural covariance networks between patients and HCs. We then compared first-episode, drug-naïve (FEDN) patients, and recurrent patients. Additionally, we assessed the effects of symptom severity and illness duration on brain alterations. RESULTS: VBM showed decreased GM volume in various regions in MDD patients including the superior temporal cortex, anterior and middle cingulate cortex, inferior frontal cortex, and precuneus. SBM returned differences only in the prefrontal network. Comparisons between FEDN and recurrent MDD patients showed no significant differences by VBM, but SBM showed greater decreases in prefrontal, basal ganglia, visual, and cerebellar networks in the recurrent group. Moreover, depression severity was associated with volumes in the inferior frontal gyrus and precuneus, as well as the prefrontal network. CONCLUSIONS: Simultaneous application of VBM and SBM methods revealed brain alterations in MDD patients and specified differences between recurrent and FEDN patients, which tentatively provide an effective multivariate method to identify potential neurobiological markers for depression.
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Transtorno Depressivo Maior , Humanos , Adulto , Transtorno Depressivo Maior/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Encéfalo/diagnóstico por imagem , Substância Cinzenta/diagnóstico por imagem , Córtex CerebralRESUMO
Background: Aloe vera were frequently reported to reduce the risk of radiation-induced dermatitis (RID), but the quantitative results from all the relevant studies were not presently available. This study sought to conduct a cumulative analysis to better clarify the preventive effects of aloe vera in RID. Methods: MEDLINE (PubMed), Cochrane, EMBASE, PsychINFO, Web of Science, China National Knowledge Infrastructure (CNKI), and Wan Fang Database were utilized for identifying the eligible randomized controlled trials (RCTs) without language restrictions, up to March 2022. The pooled incidence of RID was conducted by the Relative risk (RR) with its 95% confidence interval (CI) through the STATA software under a random-effects model. This systematic review and cumulative analysis were registered on PROSPERO (ID: CRD42022335188). Results: Fourteen RCTs met our predefined inclusion criteria, enrolling 1,572 participants (mean age: 46.5-56 years). The cumulative results revealed that patients pretreated with aloe vera were associated with a significantly lower risk of RID compared to those without aloe vera usage (RR = 0.76, 95% CI: 0.67-0.88, p < 0.001; heterogeneity: I 2 = 79.8%, p < 0.001). In the subgroup analysis, the pooled incidence of Grade 2-4, Grade 2, and Grade 3 RID was also dramatically lower in the group of aloe vera as compared to the placebo group [RR = 0.44 (0.27, 0.74), 0.58 (0.36, 0.94), and 0.27 (0.12, 0.59) in Grade 2-4, Grade 2, and Grade 3, respectively]. However, in regard to Grade 4 RID, the combined RR indicated that the incidence of RID was comparable between aloe vera and the control group (RR = 0.13, 95% CI: 0.02-1.01, p = 0.051; heterogeneity: I 2 = 0.0%, p = 0.741). The sensitivity analyses showed that there was no substantial change in the new pooled RR after eliminating anyone of the included study. Conclusion: The current cumulative analysis revealed that patients pretreated with aloe vera were less likely to suffer from RID than the controls without using aloe vera. Based on this finding, the prophylactic application of aloe vera might significantly reduce the incidence of RID, especially in Grade 2 and Grade 3 RID. Further large-sample multicenter RCTs are still warranted to confirm these findings and for better clinical application.
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Background and Aims: The multiple renal cysts (MRC) occur in some patients with noncirrhotic portal hypertension (NCPH) could be a subset of ciliopathy. However, the potential genetic influencers and/or determinants in NCPH with MRC are largely unknown. The aim of this study was to explore the potential candidate variants/genes associated with those patients. Methods: 8,295 cirrhotic patients with portal hypertension were enrolled in cohort 1 and 267 patients affected with NCPH were included in cohort 2. MRC was defined as at least two cysts in both kidneys within a patient detected by ultrasonography or computed tomography. Whole-genome sequencing (WGS) was performed in nine patients (four from cohort 1 and five from cohort 2). Then we integrated WGS and publicly available single-cell RNA sequencing (scRNA-seq) to prioritize potential candidate genes. Genes co-expressed with known pathogenic genes within same cell types were likely associated NCPH with MRC. Results: The prevalence of MRC in NCPH patients (19.5%, 52/267) was significantly higher than cirrhotic patients (6.2%, 513/8,295). Further, the clinical characteristics of NCPH patients with MRC were distinguishable from cirrhotic patients, including late-onset, more prominent portal hypertension however having preserved liver functions. In the nine whole genome sequenced patients, we identified three patients with early onset harboring compound rare putative pathogenic variants in the known disease gene PKHD1. For the remaining patients, by assessing cilia genes profile in kidney and liver scRNA-seq data, we identified CRB3 was the most co-expressed gene with PKHD1 that highly expressed in ureteric bud cell, kidney stromal cell and hepatoblasts. Moreover, we found a homozygous variant, CRB3 p.P114L, that caused conformational changes in the evolutional conserved domain, which may associate with NCPH with MRC. Conclusion: ScRNA-seq enables unravelling cell heterogeneity with cell specific gene expression across multiple tissues. With the boosting public accessible scRNA-seq data, we believe our proposed analytical strategy would effectively help disease risk gene identification.
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Research indicates that the foreign language effect on decision making can be partially explained by a reduction in emotional response in the second language. In this fMRI study, we aimed at elucidating the neural mechanisms underpinning the interaction between language and emotion in decision making. Across multiple trials, Chinese-English bilinguals were asked to decide whether to gamble in a Gambling task, and received feedbacks either in L1 (Chinese) or in L2 (English). If they gambled, feedbacks were either positively or negatively valenced words; if they did not gamble, feedback was the word 'safe'. We assessed how emotionally valenced words were processed in the two languages, and how this processing influenced subsequent decision making. Overall, we found evidence that in L2 context, but not in L1 context, loss aversion was mediated by the dorsolateral prefrontal cortex (dlPFC) which also showed strong functional connectivity with the visual cortex, suggesting an avoidance mechanism for negative stimuli in L2. However, we also found an enhanced response to positive feedbacks in L2 compared to L1, as evidenced by greater activation of the hippocampus for win feedbacks compared to safe feedbacks in L2, eventually resulting in a greater tendency to gamble. Thus, foreign language influenced decision making by both regulating emotional response to negative stimuli and enhancing emotional response to positive stimuli. This study helps unveiling the neural bases of the interaction between language and emotion in the foreign language context.
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Tomada de Decisões , Multilinguismo , Viés , Córtex Pré-Frontal Dorsolateral , Emoções , Imageamento por Ressonância MagnéticaRESUMO
BACKGROUND: Distant metastasis is the major cause of mortality in patients with locally advanced rectal cancer (LARC) following neoadjuvant chemoradiotherapy. Local radiotherapy can trigger an abscopal response to metastatic tumor cells. However, the abscopal effect is a rare event. CD4+ regulatory T (Treg) cell is a highly immune-suppressive subset which impedes immune surveillance against cancer, prevents the development of effective antitumor immunity and promotes tumor progression. We assume that the exploitation of the proimmunogenic effects of radiotherapy with anti-CD25 or anti-Cytotoxic T-Lymphocyte Associated Protein 4 (anti-CTLA4) monoclonal antibodies (mAbs) may enhance the local and abscopal effects in rectal cancer and improve the therapeutic outcome. METHODS: mRNA expression profiling of 81 pretreatment biopsy samples from LARC patients who received neoadjuvant radiotherapy (nRT) was performed to analyze the correlation between gene expression and prognosis. A retrospective analysis of patients with rectal cancer with distant metastasis or synchronous extracolonic cancers was performed to evaluate the abscopal effect of radiotherapy on rectal cancer. Two different dual-tumor mouse models were established to investigate the efficacy of single dose and dose-fractionated radiotherapy combined with anti-CD25 or anti-CTLA4 and anti-Programmed cell death 1 ligand 1 (anti-PD1) mAbs on the local tumor growth and liver metastasis. The univariate Cox regression analysis, one-way analysis of variance, Dunnett's test, a mixed-effect linear model and Kaplan-Meier survival analysis were used to calculate p values. RESULTS: The proportion of Tregs in pre-nRT biopsies was negatively correlated with prognosis (p=0.007). The retrospective analysis showed that regressing liver metastases were infiltrated by CD8+ T cells. In contrast, stable/progressing metastases and synchronous extracolonic cancers were characterized by PD1+ T cells and Tregs infiltration. Animal experiment results demonstrated that the combination of radiotherapy and anti-CD25/CTLA4 mAb resulted in a significant increase in CD8+ T cells and CD8+/CD4+ ratio in primary and secondary tumors compared with the irradiation alone group (all p<0.05 or p<0.01). The combined treatment was able to decrease Tregs, PD1+CD8+ and PD1+CD4+ T cells (p<0.05), suppress locally irradiated and distal unirradiated tumor growth, and improve overall survival rate. Radiotherapy in conjunction with anti-CTLA4 reduced liver metastasis (p<0.05). CONCLUSIONS: These data indicated that radiotherapy plus depletion of Tregs was able to improve the antitumor response and generate an abscopal effect.
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Imunoterapia/métodos , Neoplasias Retais/tratamento farmacológico , Neoplasias Retais/radioterapia , Animais , Humanos , Masculino , Camundongos , Metástase Neoplásica , Prognóstico , Microambiente TumoralRESUMO
Environmental pollutants generated by waste incineration plants, such as heavy metals and dioxin, make surrounding residents very sensitive to the construction of such facilities. This sensitivity and anxiety of residents may induce group events, which further leads to the emergence of social risks. Based on risk perception theory, a total of 320 questionnaires was designed and handed out to residents neighboring to Jiangqiao Waste Incineration Plant in Shanghai, China to detect the factors affecting risk attitude toward such plants. Using ordered logit model, it is found that there are four decisive factors including impact on health, information cognitive, objective characteristics, and the attitude of the neighbors. These factors have different influence on resident risk attitudes, in which the attitude of the neighbors is of most significance, followed by the economic-geography characteristics of residents, the information cognitive has minimal impact.
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Dioxinas , Eliminação de Resíduos , Gerenciamento de Resíduos , Atitude , China , Incineração , RiscoRESUMO
Metal-organic frameworks (MOFs) based membranes with superior mechanical properties are of particular interest in purification, separation, and catalysis. Nevertheless, their fabrication still remains a grand challenge. Here, fungus hyphae (Mucor) were used as a robust scaffold to load the MOFs and induced the formation of porous and flexible membranes. ZIF-8 was used as a representative of MOFs. The ZIF-8@Mucor membrane was formed by the in-situ growth of ZIF-8 on hyphae and then a vacuum filtration of the ZIF-8/hyphae composite. ZIF-8 was effectively dispersed on the ZIF-8@Mucor membrane, and the shear modulus of ZIF-8@Mucor-3 was 864 MPa by calculation. The ZIF-8@Mucor membrane exhibited promising properties for adsorption application to remove the highly toxic Pb2+. The adsorption capacity of this membrane was as high as 1443.29 mg/g. Results from dynamic adsorption indicated that the penetration concentration of Pb2+ ions was less than 5% of the original level before 80 min whereas after 160 min, penetration concentration of Pb2+ ions was more than 90%. This study would open a new way of how to synthesize composite MOFs/bacterial membranes for energy and environment purposes.
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Hifas/química , Chumbo/isolamento & purificação , Zeolitas/química , Adsorção , Íons/química , Íons/isolamento & purificação , Chumbo/química , Tamanho da Partícula , Porosidade , Propriedades de SuperfícieRESUMO
With the accelerating pace of urbanization, the continuous increase of municipal solid waste (MSW) has become a major obstacle to China's economic development. Therefore, China recently regards MSW classification scenario as an important strategy for national ecological civilization. However, published references have not focused on MSW classification in view of environmental, economic and social acceptation simultaneously. This research proposes a new Decision Support System (DSS) model considering all three aspects to analyze the comprehensive benefit of the four MSW classification scenarios in Pudong (Shanghai, China) using cost benefit analysis (CBA), life cycle assessment (LCA) and analytical hierarchy process (AHP). Among them, there is an important boundary factor in the life cycle assessment. This work mainly focuses on the net energy consumption, namely the air and water emission of different substances. The results show that the classification scenario II, dividing MSW into toxic and hazardous waste, recyclable, kitchen waste and combustible waste, is the best option. Although scenario III (MSW is divided into toxic and hazardous waste, recyclable waste (paper, plastic, scrap metal, waste glass and other small class), kitchen waste and combustible wastes) and IV (recyclable waste in Scenario II is further classified, for example, paper is subdivided into newspapers, books, cardboard, etc.) further refine the MSW classification, the DSS model analysis results indicate that neither of these are the most feasible scenario. Therefore, finer classification is not always the better if we consider all three pillars of sustainability.
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Eliminação de Resíduos , Resíduos Sólidos , China , Desenvolvimento Econômico , PlásticosRESUMO
Objective: The curative effect of pneumatic pulsatile cupping on pain has been shown. This study was conducted to investigate effects of the pulsating frequency of pneumatic pulsatile cupping, compared with traditional cupping (TC), on body pain and quality of life (QoL) in people with suboptimal health status (SHS). Materials and Methods: Ninety-six participants with SHS were randomized to low-frequency (LF; n = 24) or high-frequency (HF; n = 24) pulsating cupping, traditional cupping (TC; n = 24), or wait-list (WL; n = 24) groups. The LF, HF, and TC groups received 4 sessions of cupping over 2 weeks. Visual analogue scale (VAS; 0-100 mm) pain level and Short-Form-36 (SF-36) QoL measurements were taken before and after the intervention. Results: Both LF and HF reduced pain significantly (VAS: -28.26; 95% confidence interval [CI] -36.18 to -20.34; and -31.88, 95% CI -39.81 to -23.96; both P = 0.000) and improved QoL more than WL (SF-36, Bodily Pain dimension: 1.46, 95% CI: 0.85 to 2.07; and 1.75, 95% CI: 1.14 to 2.36, both P = 0.000). Compared to TC, LF and HF significantly reduced pain (VAS: -7.92, 95% CI: -15.75 to -0.08, P LT = 0.048; and -11.54, 95% CI: -19.38 to -3.70, P HT = 0.004) and improved QoL (SF-36, Bodily Pain dimension: 0.61, 95% CI: 0.01 to 1.21, P LT = 0.046; and 0.90, 95% CI: 0.30 to 1.50, P HT = 0.004). There was no significant difference between LF and HF. Conclusions: This study showed that, in patients with SHS, pulsatile cupping therapy could have a more-favorable effect to relieve body pain, compared to TC. LF and HF pulsation produced equivalent pain relief. Further studies investigating the underlying mechanism are needed. Trial registration: This trial was registered in the Chinese Clinical Trial Registry (ChiCTR-INR-16009345).
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To search a novel analgesic characterizes the effects on human sperm motility as minimal as possible. A new class of endomorphin-1 (EM-1) analogues was synthesized by combining successful chemical modifications including N-terminal guanidino modification, Phe4 was chlorinated, replaced of l-Pro2-Trp3 by d-Ala2-Gly3 or d-Pro2-Gly3 at position 2 and 3. Their bioactivities were measured by radioligand binding assay, metabolic stability, antinociception activity and sperm motility effects. In radioligand binding assays, analogue GAGP shown a µ-opioid receptor affinity about 17.7-fold higher and a 57.3-fold higher δ-opioid receptor affinity than EM-1. In the metabolic stability assays, GAGP had the longest half-lives and 16.6-fold higher than EM-1. In the tail-flick test in mice, GAGP showed the best analgesia. In sperm motility assays, the group of GAGP (10-5, 10-7mol/L) decreased of the percentage of a+b grade, and no significant when compared with initial value. In GAGP (10-6mol/L) group, sperm motility was progressively increased, although it was not statistically significant. But at the groups of morphine (10-7mol/L) and GAGD (10-7mol/L), these caused significant reduction between 0 and 90 min. We found that analogues GAGP, activating µ-opioid receptor and partial δ-opioid receptor, exhibit good analgesic effects with minimal implications for human sperm motility. It might be important in potential application as drug candidates of analgesic without implications for human sperm motility.
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Analgésicos Opioides/química , Oligopeptídeos/química , Sequência de Aminoácidos , Analgésicos Opioides/farmacocinética , Analgésicos Opioides/toxicidade , Animais , Meia-Vida , Humanos , Camundongos , Oligopeptídeos/farmacocinética , Oligopeptídeos/toxicidade , Receptores Opioides delta/química , Receptores Opioides delta/metabolismo , Receptores Opioides mu/química , Receptores Opioides mu/metabolismo , Motilidade dos Espermatozoides/efeitos dos fármacosRESUMO
A new class of endomorphin-1 analogues was synthesized by combining successful chemical modifications including N-terminal guanidino modification, Phe4 was chlorinated, D-Ala-Gly Substituted L-Pro2. Their bioactivities were measured by radioligand binding assay, metabolic stability and the tail-flick test. In radioligand binding assays, analogue GAGPC (Nα-Amidino-Tyr-D-Ala-Gly-Trp-p-Cl-Phe-NH2), shown a µ-opioid receptor affinity about 1.42-fold higher and a 2.51-fold higher δ-opioid receptor affinity than EM-1. In the metabolic stability assays, GAGPC had the longest half-lives which was 284min and 53-fold higher than that of EM-1. In the tail-flick test in mice, GAGPC chloride modification increases the lipid content of the drug, thus increases the permeability of the blood brain barrier, and has a higher analgesic activity. It might be of importance in potential application as drug candidates as analgesic.
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Analgésicos Opioides/farmacologia , Oligopeptídeos/farmacologia , Analgésicos Opioides/síntese química , Analgésicos Opioides/metabolismo , Analgésicos Opioides/farmacocinética , Animais , Barreira Hematoencefálica/metabolismo , Membrana Celular/metabolismo , Meia-Vida , Masculino , Camundongos , Naloxona/administração & dosagem , Naloxona/farmacologia , Oligopeptídeos/síntese química , Oligopeptídeos/metabolismo , Oligopeptídeos/farmacocinética , Ensaio Radioligante , Ratos Wistar , Receptores Opioides delta/metabolismo , Receptores Opioides mu/metabolismoRESUMO
The present study examined how a short period of language switching training affects nonverbal cognitive control, as measured by the AX version of the Continuous Performance Test. A group of Chinese-English bilinguals were trained over 10 days on a picture naming task that required switching between languages. We recorded their behavioral performance and event-related potentials before and after the training to examine its effects on cognitive performance. The behavioral measurement of proactive control, that is, goal maintenance before the occurrence of the target, is significantly larger in the post-training phase as compared with the pretraining phase, indicating a proactive control shift. The event-related potential results show that the training led to an increase in the mean amplitude of the N2 component, elicited by both the cue and the probe stimuli. A group of control participants who did not undergo training showed an enlarged N2 only for the probe but not for the cue stimuli in the second as compared with the first phase of testing. No variations in behavioral performance were found in the control group between the two phases of testing. These findings suggest that language switching training enhances proactive control in bilinguals.
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Encéfalo/fisiologia , Cognição/fisiologia , Função Executiva/fisiologia , Multilinguismo , Prática Psicológica , Adulto , Eletroencefalografia , Feminino , Humanos , Masculino , Adulto JovemRESUMO
BACKGROUND: MicroRNA-145 (miR-145) has been reported to be a tumor-suppressing agent in several studies. It can repress pluripotency and control human embryonic stem cell differentiation by regulating the core pluripotency factor OCT4. However, it is not known whether miR-145 can play a role in inducing tumor cell differentiation and repressing growth of tumors. METHODS: Ishikawa cells, the established human endometrial cancer cells, were treated with miR-145 mimics, inhibitor, or small interfering RNA OCT4. miR-145 levels were assayed using TaqMan microRNA assays, and the messenger RNA levels of OCT4 and the differentiation marker glycodelin were measured using real-time polymerase chain reaction. The protein levels of OCT4 and glycodelin were characterized via flow cytometry, western blotting, and immunohistochemistry. In vivo activity was measured in a xenograft mouse model. RESULTS: Up-regulating miR-145 reduced the expression of OCT4 and induced the differentiation of Ishikawa cells to closely resemble normal endometrial epithelium both in vitro and in vivo. miR-145 successfully inhibited tumor growth. We also found that in patients with endometrial carcinoma, miR-145 and OCT4 were expressed in tissues, and there was a relationship between miR-145, OCT4, and the degree of tumor cell differentiation. CONCLUSIONS: Our results strongly suggested that miR-145 is a tumor cell differentiation-inducing agent in endometrial carcinoma, and that miR-145 or OCT4 may be useful markers for grading endometrial carcinoma.
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Adenocarcinoma/genética , Neoplasias do Endométrio/genética , MicroRNAs/metabolismo , Fator 3 de Transcrição de Octâmero/metabolismo , Regulação para Cima , Adenocarcinoma/patologia , Animais , Biomarcadores Tumorais/análise , Diferenciação Celular/genética , Neoplasias do Endométrio/patologia , Feminino , Regulação Neoplásica da Expressão Gênica , Humanos , Camundongos , Camundongos Nus , MicroRNAs/análise , Células Tumorais CultivadasRESUMO
AIM: To study and determine the resting energy expenditure (REE) and oxidation rates of glucose, fat and protein in severe chronic hepatitis B patients. METHODS: A total of 100 patients with liver diseases were categorized into three groups: 16 in the acute hepatitis group, 56 in the severe chronic hepatitis group, and 28 in the cirrhosis group. The REE and the oxidation rates of glucose, fat and protein were assessed by indirect heat measurement using the CCM-D nutritive metabolic investigation system. RESULTS: The REE of the severe chronic hepatitis group (20.7 +/- 6.1 kcal/d per kg) was significantly lower than that of the acute hepatitis group (P = 0.014). The respiratory quotient (RQ) of the severe chronic hepatitis group (0.84 +/- 0.06) was significantly lower than that of the acute hepatitis and cirrhosis groups (P = 0.001). The glucose oxidation rate of the severe hepatitis group (39.2%) was significantly lower than that of the acute hepatitis group and the cirrhosis group (P < 0.05), while the fat oxidation rate (39.8%) in the severe hepatitis group was markedly higher than that of the other two groups (P < 0.05). With improvement of liver function, the glucose oxidation rate increased from 41.7% to 60.1%, while the fat oxidation rate decreased from 26.3% to 7.6%. CONCLUSION: The glucose oxidation rate is significantly decreased, and a high proportion of energy is provided by fat in severe chronic hepatitis. These results warrant a large clinical trail to assess the optimal nutritive support therapy for patients with severe liver disease.
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Metabolismo Energético , Gorduras/metabolismo , Glucose/metabolismo , Hepatite B Crônica/metabolismo , Hepatopatias/metabolismo , Oxigênio/metabolismo , Proteínas/metabolismo , Adulto , Progressão da Doença , Feminino , Hepatite B Crônica/virologia , Humanos , Fígado/metabolismo , Masculino , Pessoa de Meia-Idade , Modelos BiológicosRESUMO
Progesterone is produced by granulosa cells under the influence of luteinizing hormone. Nuclear progesterone receptors have been found in rat granulosa cells. Human granulosa-lutein cells rapidly respond to progesterone with an increase in intracellular calcium suggesting the existence of a nongenomic mechanism. This study was conducted to determine whether binding of progesterone to granulosa cells could occur at the membrane. Granulosa cells were obtained from an in vitro fertilization program and examined immunohistochemically with an antiserum to membrane progesterone receptors. Approximately 14-70% of freshly harvested or cultured granulosa cells of six patients showed a positive reaction to the antiserum, limited to the cell membrane. Western blot analysis of homogenates of granulosa cells and a granulosa cell tumour confirmed the presence of progesterone receptors A, B and C and low amounts of a putative membrane receptor. These results demonstrate that the plasma membranes of human granulosa cells possess binding components for progesterone which may be involved in its nongenomic mechanism of action.
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Células da Granulosa/metabolismo , Luteína/metabolismo , Progesterona/metabolismo , Sítios de Ligação , Western Blotting , Membrana Celular/metabolismo , Feminino , HumanosRESUMO
Following our previous demonstration that p,p'-DDE (dichlorodiphenylchloroethylene), at environmentally relevant concentrations, can rapidly increase intracellular calcium [Ca2+]i concentrations in human granulosa-lutein cells, we examined whether other pesticides, such as Kepone, o,p-DDE and methoxychlor, have similar effects. Cultured human granulosa-lutein cells were loaded with Fura-2 AM, and changes in [Ca2+]i concentrations within small areas of single cells were studied with a dynamic digital Ca2+ imaging system. Kepone, at concentrations of 0.2-2 nmol/ml, consistently increased [Ca2+]i concentrations 2-6 times higher than baseline values within minutes of exposure. Methoxychlor at concentrations of 2.8-280 nmol/ml failed to alter [Ca2+]i levels consistently in cells from 10 patients. However, at 0.28 and 1.4 nmol/ml, increases in [Ca2+]i concentrations could be elicited by methoxychlor. The isomer o,p-DDE at 3 nmol/ml increased [Ca2+]i in granulosa cells of 11/20 patients. Pertussis toxin treatment inhibited the [Ca2+]i increases induced by estradiol, p,p'-DDE, o,p-DDE and methoxychlor, but not by Kepone or progesterone, indicating that Kepone and progesterone may act through an insensitive G protein-coupled receptor. The [Ca2+]i increases induced by Kepone also occurred in Ca2+-free medium, suggesting that [Ca2+]i mobilization occurred from the smooth endoplasmic reticulum. Thapsigargin and cyclopiazonic acid, two inhibitors of the endoplasmic reticulum Ca2+ pump, also stimulated [Ca2+]i increases but did not inhibit the Ca2+ response to all the pesticides. These results demonstrate that pesticides can have a rapid effect on human granulosa-lutein cells, and a nongenomic mechanism of action is suggested.
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Sinalização do Cálcio/efeitos dos fármacos , Clordecona/farmacologia , Células Lúteas/efeitos dos fármacos , Metoxicloro/farmacologia , Praguicidas/farmacologia , Cálcio/metabolismo , ATPases Transportadoras de Cálcio/antagonistas & inibidores , Células Cultivadas , Citosol/metabolismo , Inibidores Enzimáticos/farmacologia , Feminino , Fura-2 , Humanos , Indóis/farmacologia , Células Lúteas/metabolismo , Microscopia de Fluorescência , Mitotano/análogos & derivados , Mitotano/farmacologia , Toxina Pertussis/farmacologia , Progesterona/farmacologia , Retículo Sarcoplasmático/metabolismo , Processamento de Sinais Assistido por Computador , Tapsigargina/farmacologia , Fatores de TempoRESUMO
Persistent metabolites of pesticides such as p,p'-DDE, at environmentally relevant concentrations, have been shown to have a rapid effect on intracellular calcium [Ca2+]i concentrations in human granulosa-lutein cells. Since endocrine disrupting substances can be transferred from the maternal circulation to the fetus the present study examined whether the pesticides, kepone, o,p-DDE, p,p'-DDE and methoxychlor, could alter cytoplasmic calcium [Ca2+]cyt concentrations in human umbilical vein endothelial (HUVE) cells. Cultured HUVE cells were loaded with Fura-2 AM and changes in [Ca2+]cyt of single cells were studied using a dynamic digital Ca2+ imaging system. Kepone and methoxychlor consistently increased [Ca2+]cyt concentrations, similar to the effects of estradiol and progesterone. p,p'-DDE increased [Ca2+]cyt concentrations in 80% of experiments whereas o,p-DDE stimulated its increases in 42%. Estrone, estriol, pregnenolone and cortisol were not effective. These results demonstrate that pesticides can have a rapid effect on HUVE cells probably through a nongenomic mechanism of action.