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1.
J Periodontal Res ; 2021 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-34748647

RESUMO

BACKGROUND AND OBJECTIVE: Clinical studies have shown that metabolic syndrome (MetS) exacerbates periodontitis. However, the underlying mechanisms remain largely unknown. Since our animal study has shown that high-fat diet-induced MetS exacerbates lipopolysaccharide (LPS)-stimulated periodontitis in mouse model and our in vitro study showed that acid sphingomyelinase (aSMase) plays a key role in the amplification of LPS-triggered pro-inflammatory response by palmitic acid (PA) in macrophages, we tested our hypothesis that inhibitor of aSMase attenuates MetS-exacerbated periodontitis in animal model. Furthermore, to explore the potential underlying mechanisms, we tested our hypothesis that aSMase inhibitor downregulates pro-inflammatory and pro-osteoclastogenic gene expression in macrophages in vitro. MATERIAL AND METHODS: We induced MetS and periodontitis in C57BL/6 mice by feeding high-fat diet (HFD) and periodontal injection of A. actinomycetemcomitans LPS, respectively, and treated mice with imipramine, a well-established inhibitor of aSMase. Micro-computed tomography (micro-CT), tartrate-resistant acid phosphatase staining, histological and pathological evaluations as well as cell cultures were performed to evaluate alveolar bone loss, osteoclast formation, periodontal inflammation and pro-inflammatory gene expression. RESULTS: Analysis of metabolic parameter showed that while HFD induced MetS by increasing bodyweight, insulin resistance, cholesterol and free fatty acids, imipramine reduced free fatty acids but had no significant effects on other metabolic parameters. MicroCT showed that either MetS or periodontitis significantly reduced bone volume fraction (BVF) of maxilla and the combination of MetS and periodontitis further reduced BVF. However, imipramine increased BVF in mice with both MetS and periodontitis to a level similar to that in mice with periodontitis alone, suggesting that imipramine abolished the synergy between MetS and periodontitis on alveolar bone loss. Consistently, results showed that imipramine inhibited osteoclast formation and periodontal inflammation in mice with both MetS and periodontitis. To elucidate the mechanisms by which imipramine attenuates MetS-exacerbated periodontitis, we showed that imipramine inhibited the upregulation of pro-inflammatory cytokines and transcription factor c-FOS as well as ceramide production by LPS plus PA in macrophages. CONCLUSION: This study has shown that imipramine as an inhibitor of aSMase abolishes the synergy between MetS and periodontitis on alveolar bone loss in animal model and inhibits pro-inflammatory and pro-osteoclastogenic gene expression in macrophages in vitro. This study provides the first evidence that aSMase is a potential therapeutic target for MetS-exacerbated periodontitis.

2.
Arthritis Res Ther ; 23(1): 287, 2021 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-34784965

RESUMO

BACKGROUND: Osteoarthritis (OA) subsequent to acute joint injury accounts for a significant proportion of all arthropathies. Myeloid-derived suppressor cells (MDSCs) are a heterogeneous population of myeloid progenitor cells classically known for potent immune-suppressive activity; however, MDSCs can also differentiate into osteoclasts. In addition, this population is known to be expanded during metabolic disease. The objective of this study was to determine the role of MDSCs in the context of OA pathophysiology. METHODS: In this study, we examined the differentiation and functional capacity of MDSCs to become osteoclasts in vitro and in vivo using mouse models of OA and in MDSC quantitation in humans with OA pathology relative to obesity status. RESULTS: We observed that MDSCs are expanded in mice and humans during obesity. MDSCs were expanded in peripheral blood of OA subjects relative to body mass index and in mice fed a high-fat diet (HFD) compared to mice fed a low-fat diet (LFD). In mice, monocytic MDSC (M-MDSC) was expanded in diet-induced obesity (DIO) with a further expansion after destabilization of the medial meniscus (DMM) surgery to induce post-traumatic OA (PTOA) (compared to sham-operated controls). M-MDSCs from DIO mice had a greater capacity to form osteoclasts in culture with increased subchondral bone osteoclast number. In humans, we observed an expansion of M-MDSCs in peripheral blood and synovial fluid of obese subjects compared to lean subjects with OA. CONCLUSION: These data suggest that MDSCs are reprogrammed in metabolic disease, with the potential to contribute towards OA progression and severity.

3.
Expert Rev Mol Diagn ; 21(11): 1235-1243, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34727834

RESUMO

OBJECTIVES: This study reports analytical and clinical validation of a molecular signature response classifier (MSRC) that identifies rheumatoid arthritis (RA) patients who are non-responders to tumor necrosis factor-ɑ inhibitors (TNFi). METHODS: The MSRC integrates patient-specific data from 19 gene expression features, anti-cyclic citrullinated protein serostatus, sex, body mass index, and patient global assessment into a single score. RESULTS: The MSRC results stratified samples (N = 174) according to non-response prediction with a positive predictive value of 87.7% (95% CI: 78-94%), sensitivity of 60.2% (95% CI: 50-69%), and specificity of 77.3% (95% CI: 65-87%). The 25-point scale was subdivided into three thresholds: signal not detected (<10.6), high (≥10.6), and very high (≥18.5). The MSRC relies on sequencing of RNA extracted from blood; this assay displays high gene expression concordance between inter- and intra-assay sample (R2 > 0.977) and minimal variation in cumulative gene assignment diversity, read mapping location, or gene-body coverage. The MSRC accuracy was 95.8% (46/48) for threshold concordance (no signal, high, very high). Intra- and inter-assay precision studies demonstrated high repeatability (92.6%, 25/27) and reproducibility (100%, 35/35). CONCLUSION: The MSRC is a robust assay that accurately and reproducibly detects an RA patient's molecular signature of non-response to TNFi therapies.

4.
Bioelectrochemistry ; 144: 107997, 2021 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-34801809

RESUMO

Aerobic biocathodes are effective construct for the simultaneous nitrification and denitrification, but the disturbance of cathodic oxygen reduction on ammonia oxidation and denitrification remains unclear. In this study, we revealed the oxygen reduction peak at -0.4 V (versus silver/silver chloride) by cyclic voltammetry analysis at a cathode without a biofilm. The reduction peak, however, showed a right shift from -0.4 to -0.3 V for the biocathode, indicating that the aerobic biocathode could simultaneously perform traditional nitrification and cathode oxygen reduction. Therefore, different electrode potentials ranging from -0.5 to -0.1 V were designed for regulating the ammonia oxidation rate, and the results showed that the highest oxidation rate reached 3.08 mg/h/L at a potential of -0.2 V under a low-aeration rate of 5 mL/min. High-throughput sequencing showed that Nitrosomonas and Rhodococcus were the dominant nitrogen removal genera in the biocathode, and the abundance of Devosia was related to the interactions between the aeration rate and the electrode potential. Furthermore, the amoC and hao genes responded to aeration and electrode potential regulation, and -0.2 V was more suitable for promoting the denitrification process under low-aeration conditions. Therefore, these findings provided new insights on cathodic potential control for ammonia oxidation and nitrogen removal as well as for the regulation of microbial communities.

5.
Int J Biol Macromol ; 2021 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-34798193

RESUMO

AIMS: Heavy metal pollution seriously threatens human health and ecological environment. Due to high efficiency and excellent development prospect, adsorption technology has attracted worldwide attention. It is significant to develop renewable adsorbents with excellent adsorption performance. SCOPE: In this study, the Pb2+ and Zn2+ adsorption capacity of Ca-alginate immobilized and free (without immobilization) Leu. citreum B-2 extracellular polysaccharides (EPS) was investigated. Isotherm and kinetic models were used to evaluate the adsorption performance. The adsorbents were characterized by SEM, FT-IR and XPS spectroscopy. CONCLUSIONS: The maximum biosorption of Pb2+ 269.54 and Zn2+ 49.88 mg/g was achieved with immobilized EPS. Thermodynamic studies showed that the adsorption of Pb2+ and Zn2+ on EPS was a spontaneous and feasible process, and the adsorption properties of EPS were exothermic for lead and endothermic for zinc. All the adsorption processes conformed to the pseudo-second-order model and Langmuir adsorption isotherm model, indicating that the adsorption was mainly chemisorption taken placed on single adsorption surface. SEM results showed that the surface of EPS become denser after adsorption. FTIR and XPS analysis indicated that the adsorption mechanism mainly involved the complexation reaction and ion exchange of functional groups such as CO, O-C-O, -COOH and C-OH.

6.
Artigo em Inglês | MEDLINE | ID: mdl-34775631

RESUMO

Maltogenic amylase CoMA from Corallococcus sp. strain EGB catalyzes the hydrolysis and transglycosylation of maltooligosaccharides and soluble starch into maltose, the sole hydrolysate. This process yields pure maltose with potentially wide applications. Here, we identified and evaluated the role of Phenylalanine 314 (F314), a key amino acid located near the active center, in the catalytic activities of the CoMA. Site-directed mutagenesis analysis showed that the activity of a F314L mutant on potato starch substrate decreased to 26% of that of wild-type protein. Compared with the wild-type, F314L exhibited similar substrate specificity, hydrolysis pattern, pH, and temperature requirements. Circular dichroism spectrum data showed that the F314L mutation did not affect the structure of the folded protein. In addition, kinetic analysis demonstrated that F314L exhibited an increased Km value with lower substrate affinity. Homology modeling showed that the benzene ring structure of F314L was involved in π-π-conjugation, which might potentially affect the affinity of CoMA towards starch. Taken together, these data demonstrated that F314 is essential for the hydrolytic activity of the CoMA from Corallococcus sp. strain EGB. This article is protected by copyright. All rights reserved.

7.
Nat Commun ; 12(1): 6502, 2021 11 11.
Artigo em Inglês | MEDLINE | ID: mdl-34764254

RESUMO

The observational records have shown a strengthening of the Pacific Walker circulation (PWC) since 1979. However, whether the observed change is forced by external forcing or internal variability remains inconclusive, a solid answer to more societal relevantly question of how the PWC will change in the near future is still a challenge. Here we perform a quantitative estimation on the contributions of external forcing and internal variability to the recent observed PWC strengthening using large ensemble simulations from six state-of-the-art Earth system models. We find the phase transition of the Interdecadal Pacific Oscillation (IPO), which is an internal variability mode related to the Pacific, accounts for approximately 63% (~51-72%) of the observed PWC strengthening. Models with sufficient ensemble members can reasonably capture the observed PWC and IPO changes. We further constrain the projection of PWC change by using climate models' credit in reproducing the historical phase of IPO. The result shows a high probability of a weakened PWC in the near future.

8.
Front Neurol ; 12: 706611, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34630282

RESUMO

We aimed to explore whether motor function and activities of daily life (ADL) could be improved with the application of visual deprivation in two patients with Pusher syndrome complicated by hemispatial neglect after right basal ganglia stroke. We assessed two stroke patients suffering from severe motor disturbances, both tilting heavily to the left, with diagnoses of Pusher syndrome and left hemispatial neglect. Vision in the left eye was deprived using patches during clinical rehabilitation. Motor function promotion was confirmed using the Burke Lateropulsion Scale (BLS), Fugl-Meyer Balance Scale (FMBS), and Holden grade (HG), while the Barthel index (BI) assessed ADL immediately and 1 week after intervention. Both patients regained standing balance immediately using visual deprivation, as well as walking ability, although both scored 0 on the FMBS and HG. After 1 week of treatment, one patient increased to 11 and 3 on the FMBS and HG, respectively, while the BLS score decreased from 12 to 2, and the ADL increased from 23 to 70. The other patient demonstrated increases to 10 and 3 on the FMBS and HG, respectively, with the BLS decreasing from 13 to 3, and the ADL increasing from 25 to 60. Therefore, in the rehabilitation treatment of Pusher syndrome complicated by hemispatial neglect due to basal ganglia stroke, visual deprivation can significantly improve motor function and shorten the treatment course.

9.
Front Physiol ; 12: 731549, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34658914

RESUMO

The myeloid-derived bone marrow progenitor populations from different anatomical locations are known to have diverse osteoclastogenesis potential. Specifically, myeloid progenitors from the tibia and femur have increased osteoclast differentiation potential compared to myeloid progenitors from the alveolar process. In this study, we explored the differences in the myeloid lineage progenitor cell populations in alveolar (mandibular) bone versus long (femur) bone using flow cytometry and high-throughput single cell RNA sequencing (scRNA-seq) to provide a comprehensive transcriptional landscape. Results indicate that mandibular bone marrow-derived cells exhibit consistent deficits in myeloid differentiation, including significantly fewer myeloid-derived suppressor cell (MDSC)-like populations (CD11b+Ly6C+, CD11b+Ly6G+), as well as macrophages (CD11b+F4/80+). Although significantly fewer in number, MDSCs from mandibular bone exhibited increased immunosuppressive activity compared to MDSCs isolated from long bone. Using flow cytometry panels specific for bone marrow progenitors, analysis of hematopoietic stem cells showed no defects in mandibular bone marrow in LSK (Lin-Sca1+cKit+) cell and LK (Lin-Sca1-cKit+) cell populations. While there was no significant difference in granulocyte progenitors, the granulocyte-monocyte progenitors and monocyte progenitor population were significantly decreased in the mandibular bone marrow. T-lymphocyte subsets were not significantly different between mandibular and femoral bone, except for CD4+CD25+Foxp3+ regulatory T lymphocytes, which were significantly increased in the mandible. In addition, B lymphocytes were significantly increased in mandible. Single cell RNA sequencing from mandible and femur BM revealed distinct differences in transcriptomic profiles in myeloid populations establishing previously unappreciated aspects of mandibular bone marrow populations. These analyses reveal site-specific differences in the myeloid progenitor cellular composition and transcriptional programs providing a deeper appreciation of the complex differences in myeloid cell heterogeneity from different anatomical bone marrow sites.

11.
Am J Reprod Immunol ; : e13503, 2021 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-34599631

RESUMO

Although a number of theories have been suggested, including roles for oxidative stress, an abnormal maternal-fetal interface, and genetic and environmental factors, the etiopathology of pre-eclampsia (PE) remains unclear. Maternal immune tolerance is important for maintaining pregnancy, and researchers have increasingly focused on the critical roles of cytokines in the pathogenesis of PE in recent years. The assessment of candidate genetic polymorphisms in PE could partially elucidate the mechanisms of susceptibility to disease, and contribute to seeking for new diagnosis and treatment methods of PE. PE can lead to severe complications, and even the death of both mother and fetus. Although the complex pathology is not yet clear, some evidence suggested that the occurrence of PE is related to inflammatory factors. We reviewed the current understandings of roles of cytokines in PE, and provided an extensive overview of the role of single nucleotide chain polymorphisms (SNPs) in the genes potentially underlying the pathophysiology of PE.

12.
BMJ Open ; 11(10): e050387, 2021 10 13.
Artigo em Inglês | MEDLINE | ID: mdl-34645665

RESUMO

OBJECTIVES: Laryngeal cancer is the most prevalent entity of head and neck cancer. Knowing the trends of incidence and mortality of laryngeal cancer is important for the reduction in related disease burden. DESIGN: Population-based observational study. MAIN OUTCOMES AND MEASURES: The incidence and mortality data of laryngeal cancer were retrieved from the Global Burden of Disease study 2017 online database. The estimated average percentage change was used to quantify the trends of laryngeal cancer incidence and mortality at the global, regional and national levels. RESULTS: Globally, the numbers of incident cases and deaths due to laryngeal cancer increased 58.7% and 33.9%, respectively, from 1990 to 2017. However, the overall age-standardised incidence rate (ASIR) and age-standardised mortality rate decreased by 0.99% (95% CI 0.83% to 1.14%) and 1.62% (95% CI 1.50% to 1.74%) per year, respectively. These decreases were ubiquitous worldwide. However, unfavourable trends in the ASIR of laryngeal cancer were also observed in a total of 51 developing countries. CONCLUSIONS: The incidence and mortality rates of laryngeal cancer have significantly decreased at the global level and in most countries over the past three decades. The regions that showed an increasing incidence trend deserve more attention.


Assuntos
Neoplasias Laríngeas , Carga Global da Doença , Saúde Global , Humanos , Incidência , Neoplasias Laríngeas/epidemiologia , Mortalidade , Fatores de Risco
13.
Integr Zool ; 2021 Sep 08.
Artigo em Inglês | MEDLINE | ID: mdl-34498379

RESUMO

Individual age and population age composition are the major concerns of ecologists, evolutionary biologists and conservation biologists. In amphibians, skeletochronology-counting the number of lines of arrested growth deposited in the bone tissue, is the dominant method to determine actual age of an individual. Since 1970s, age data of the ectothermic taxa have been accumulated and increasingly used in comparative studies. Here we make a global assessment for the availability of the data, based on a collection of 369 published papers. For a specific species, more males than females were sampled. Among the extant 8146 amphibian species, only 266 (3.3%) have been skeletochronologically investigated. Of these studied species, 2 (0.9% of 214) belong to caecilians, 56 (7.6% of 740) salamanders and 208 (2.9% of 7192) anurans. A complete paucity of data was seen in 80%, 50%, and 54% of families in the corresponding orders. More temperate species than tropical species were sampled, while the proportion of Palearctic species studied was higher than that in the other 5 biogeographical realms. Species inhabiting semi-aquatic niche were more likely to be studied than fossorial or plant dwellers. Age information of multiple populations (2-48) was available for species with a broad distribution, accounts for 61% of salamander and 43% of anuran species studied. Because these gaps in demographic knowledge can limit our understanding of questions ranging from life history evolution, population dynamics to conservation, we encourage herpetologists to pay more efforts on filling them.

14.
Adv Atmos Sci ; : 1-13, 2021 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-34483428

RESUMO

Highly unusual amounts of rainfall were seen in the 2020 summer in many parts of China, Japan, and South Korea. At the intercontinental scale, case studies have attributed this exceptional event to a displacement of the climatological western North Pacific subtropical anticyclone, potentially associated Indian Ocean sea surface temperature patterns and a mid-latitude wave train emanating from the North Atlantic. Using clusters of spatial patterns of sea level pressure, we show that an unprecedented 80% of the 2020 summer days in East Asia were dominated by clusters of surface pressure greater than normal over the South China Sea. By examining the rainfall and water vapor fluxes in other years when these clusters were also prevalent, we find that the frequency of these types of clusters was likely to have been largely responsible for the unusual rainfall of 2020. From two ensembles of future climate projections, we show that summers like 2020 in East Asia may become more frequent and considerably wetter in a warmer world with an enhanced moisture supply.

15.
ACS Sens ; 6(9): 3367-3376, 2021 09 24.
Artigo em Inglês | MEDLINE | ID: mdl-34470206

RESUMO

Tuberculosis (TB) mostly spreads from person to person through Mycobacterium tuberculosis (MTB). However, the majority of conventional detection methods for MTB cannot satisfy the requirements for actual TB detection. As one of the most promising powerful platforms, a silicon nanowire field-effect transistor (SiNW-FET) biosensor shows good prospect in TB detection. In this study, an enhanced SiNW-FET biosensor was developed for the rapid and sensitive detection of MTB. The surface functional parameters of the biosensor were explored and optimized. The SiNW-FET biosensor has good sensitivity with a detection limit of 0.01 fg/mL toward protein. The current change value shows a linear upward trend with the increase in protein concentration in the range of 1 fg/mL to 100 µg/mL. One whole test cycle can be accomplished within only 30 s. More importantly, a good distinction was realized in the sputum without pretreatment between normal people and TB patients, which greatly shortened the TB detection time (only 2-5 min, considering the dilution of sputum). Compared with other methods, the SiNW-FET biosensor can detect MTB with a remarkably broad dynamic linear range in a shorter time.


Assuntos
Mycobacterium tuberculosis , Humanos
16.
Clin Lab ; 67(9)2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34542969

RESUMO

BACKGROUND: Neutrophils are the most abundant and short-lived leukocytes in the human circulatory system. Studies have shown that neutrophils are involved in innate immunity, pathogen killing, and liver diseases. Erroneous activation of neutrophils is involved in the pathogenesis of several inflammatory diseases, including liver failure. Moreover, the morphology of neutrophils also undergoes specific changes. METHODS AND RESULTS: Here, we report two cases of a specific group of neutrophils in the peripheral blood smears (PBSs) of liver transplantation patients that exhibited a morphology similar to that of monocytes and led to the misidentification of neutrophils as monocytes by a hematology analyzer (HA). CONCLUSIONS: In this case, specific neutrophil nuclear shape changes were very rare. It should be considered by the laboratorian that misidentification of neutrophils and monocytes by the HA can occur.


Assuntos
Hepatopatias , Transplante de Fígado , Humanos , Leucócitos , Monócitos , Neutrófilos
17.
Artigo em Inglês | MEDLINE | ID: mdl-34511491

RESUMO

BACKGROUND: Conventional ultrasound and contrast-enhanced ultrasound play an important role in the application of carotid plaque. AIMS: To establish carotid artery vulnerable plaques model by conventional ultrasound combined with contrast-enhanced ultrasound, identify high-risk plaques that may lead to cerebrovascular events, and provide clinical risk warning of high-risk plaques of stroke. METHODS: 205 cases of patients selected in 5053 patients with symptoms from 2018 to 2019 who were verified carotid plaques by conventional ultrasound and contrast-enhanced ultrasound image characteristics, 147 cases as a training set, establishing the carotid artery plaque model, analyzing the characteristic of the plaques and the relationship between cerebrovascular event, with 58 cases as a test set, verify the model. Routine carotid ultrasound and contrast-enhanced carotid ultrasound were performed in all enrolled patients. RESULTS: The gray-level characteristics of conventional ultrasound in the training concentration showed statistical differences in plaque morphology, fibrous cap morphology, uniformity and calcification degree in cerebrovascular events. The contrast enhanced ultrasound characteristics of plaques showed statistical differences in neovascularization and perfusion mode in cerebrovascular events. In the test set, there were statistical differences in the above conventional gray scale features and CEUS features. CONCLUSION: The vulnerable plaque model established by conventional ultrasound combined with contrast-enhanced ultrasound has good diagnostic value for the characteristic plaque of carotid artery with cerebrovascular events.

18.
Regen Med ; 16(10): 949-962, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34585967

RESUMO

The stem cell origin theory of endometriosis (EMS) is a significant area of new research but the sources of this have yet to be adequately summarized. Existing treatments for EMS are commonly associated with a high recurrence rate; consequently, there is an urgent need to develop new therapeutic measures for the future treatment of this disease from the view of stem cells and gene therapy. Recently, we described the evidence for the potential sources of EMS stem cells and other key molecules participating in the establishment of lesions, and predict the miRNAs that target these key genes via bioinformatics analysis for further research. This review highlights the origin of EMS stem cells and potential therapy targets.


Assuntos
Endometriose , Biologia Computacional , Endometriose/terapia , Feminino , Humanos , Células-Tronco
19.
Zhejiang Da Xue Xue Bao Yi Xue Ban ; 50(3): 313-319, 2021 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-34402256

RESUMO

To explore the correlation of mid-term oral glucose tolerance test (OGTT) and maternal weight gain with adverse pregnancy outcomes in women with gestational diabetes mellitus (GDM). A total of 2611 pregnant women with GDM who were examined and delivered in Women's Hospital, Zhejiang University School of Medicine from July 1st 2017 to 30th June 2018 were enrolled in this study. According to the number of abnormal items of mid-term OGTT results or maternal gestational weight gain (GWG), patients were classified. The incidence of adverse perinatal outcomes in each group and its relation with OGTT results and GWG were analyzed. The incidence of gestational hypertension, premature delivery, macrosomia and large for gestational age infant (LGA) in three abnormal items GDM patients were significantly higher than those in one or two abnormal items GDM patients (all <0.017). The incidence of gestational hypertension and premature delivery in two abnormal items GDM patients were higher than those in one abnormal item GDM patients (all <0.017). The incidence of gestational hypertension and macrosomia in excessive GWG patients were significantly higher than those in inadequate and appropriate GWG patients (all <0.017), and the incidence of LGA were higher than that in inadequate GWG patients (all <0.017). The incidence of premature delivery and low birth weight infants in appropriate GWG patients were significantly lower than those in inadequate and excessive GWG patients, and the incidence of small for gestational age infant (SGA) were significantly lower than that in inadequate GWG patients (all <0.017). In one abnormal item GDM patients, inadequate GWG was a risk factor for premature delivery and SGA (=1.66, 95%: 1.10-2.52; =2.20, 95%: 1.07-4.53), and protective factor for LGA (=0.40, 95%: 0.27-0.59). And excessive GWG was a risk factor for gestational hypertension, premature delivery and low birth weight infants (=2.15, 95%: 1.35-3.41; =1.80, 95%: 1.20-2.72; =2.18, 95%: 1.10-4.30).In two abnormal items GDM patients, inadequate GWG was a protective factor for macrosomia and LGA (=0.24, 95%: 0.09-0.67; =0.54, 95%: 0.34-0.86), while excessive GWG was risk factor for premature delivery (=1.98, 95%: 1.23-3.18).In three abnormal items GDM patients, there was no significant relationship between GWG and adverse pregnancy outcomes. For GDM women with one or two items of elevated blood glucose in OGTT, reasonable weight management during pregnancy can reduce the occurrence of adverse pregnancy outcomes. For those with three items of elevated blood glucose in OGTT, more strict blood glucose monitoring and active intervention measures should be taken in addition to weight management during pregnancy.


Assuntos
Diabetes Gestacional , Ganho de Peso na Gestação , Glicemia , Automonitorização da Glicemia , Índice de Massa Corporal , Diabetes Gestacional/epidemiologia , Feminino , Teste de Tolerância a Glucose , Humanos , Gravidez , Resultado da Gravidez
20.
Zhejiang Da Xue Xue Bao Yi Xue Ban ; 50(3): 329-334, 2021 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-34402261

RESUMO

To investigate the impact of family history of diabetes (FHD) on blood glucose, lipid levels and perinatal outcomes in pregnant women with gestational diabetes mellitus (GDM). A total of 1265 GDM women who gave childbirth in Women's Hospital, Zhejiang University School of Medicine during January to December 2019 were enrolled in the study, including 253 women with FHD and 1012 women without FHD. The -test or test were used to compare the blood lipid, blood glucose levels and perinatal outcomes including large for gestational age infant, small for gestational age infant, macrosomia, cesarean delivery, preeclampsia, preterm labor, postpartum hemorrhage, fetal distress. The correlation between FHD and perinatal outcomes were estimated by Logistic regression analysis. The high density lipoprotein level at third-trimester was significantly lower in GDM women with FHD (<0.05); and the women with FHD also had higher fasting blood glucose oral glucose tolerance test (OGTT)1 h, OGTT 2 h and glycosylated hemoglobin level (all <0.01). In GDM women, FHD was an independent risk factor for preeclampsia (=3.27, 95%: 1.39-7.68). GDM women with FHD have lower high density lipoprotein and higher glucose levels. FHD is an independent risk factor for preeclampsia in GDM women.


Assuntos
Diabetes Gestacional , Glicemia , Feminino , Teste de Tolerância a Glucose , Humanos , Recém-Nascido , Lipídeos , Gravidez , Gestantes , Fatores de Risco
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